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ELC-18-111Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-295674 Permit Number: ELC-1-18-111 Scheduled Inspection Date: January 19, 2018 Inspector: Devaney, Michael Owner: Job Address: 9537 NE 2 Avenue Miami Shores, FL 33138 - Project: <NONE> Contractor: GATOR SECURITY INC Permit Type: Electrical - Commercial Inspection Type: Rough Work Classification: Low Voltage Phone Number Parcel Number 1132060133910 Phone: (561)214-4628 Building Department Comments INSTALL IP VIDEO SYSTEM 9545 NE 2 AVE Infractio Passed Comments INSPECTOR COMMENTS False Failed Correction Needed Re -Inspection Fee No Additional Inspections can be scheduled until re -inspection fee is paid. Inspector Comments requesting rough & fi l9 57(e- L)'11-)9- January 18, 2018 For Inspections please call: (305)762-4949 Page 30 of 32 Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Permit Permit NO. ELC-1-18-111 Permit Type: Electrical - Commercial Work Classification: Low Voltage Permit` Status: APPROVED Issue Date: 1117/2018 Expiration: 07/16/2018 Parcel Number Applicant 9537 NE 2 Avenue Miami Shores, FL 33138- 1132060133910 Block: Lot: DVS LLC Owner Information DVS LLC Address Phone Cell 9537 NE 2 Avenue MIAMI SHORES FL 33138- 9537 NE 2 Avenue MIAMI SHORES FL 33138- Contractor(s) GATOR SECURITY INC Phone (561)214-4628 Cell Phone Valuation: $ 5,415.14 Total Sq Feet: 2040 Type of Work: INSTALL IP VIDEO SYSTEM Additional Info: Classification: Commercial Scanning: 3 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $3.60 $2.25 $2.00 $1.20 $150.00 $3.00 $4.80 $166.85 Pay Date Pay Type Invoice # ELC-1-18-66130 01/16/2018 Credit Card 01/17/2018 Credit Card Amt Paid Amt Due $ 50.00 $ 116.85 $ 116.85 $ 0.00 Available Inspections: Inspection Type: Review Electrical In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERSDAVIT: I cerci hat all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction d z9ning. Fut „ e, I authorize the above-named contractor to do the work stated. Authorized Signature: ner / Applicant / Contractor / Agent Building Department Copy January 17, 2018 Date January 17, 2018 1 Miami Shores Village Building Department 10050 N.E,2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION UNE PHONE NUMBER: (305) 762-4949 FBC20(� BUILDING .._.._ _.... ... .. Master.itws1!,181Sii8i�@_.._,.. .� �O � ' PERMIT APPLICATION sub Permit _._. BUILDING 0 ELECTRIC( -%V Q ROOFING El REVISION EXTENSION ❑RENEWAL (PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS (.CHANGE OF_ Q CANCELLATION El .SHOP..__, . CONTRACTOR DRAWINGS os ADDRESS: 9545 NE 2ND AVE q S3F Z , N -) (�€ S `v4� A 5) City: Miami Shores County: Miami DO.) 7}p: 33 130 FoiiolParcel# 1-3206-0134910 lathe Building Historically Designated: Yes NO X Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): fD V S LI— L Phone#: 305— 7 51- .,aa a Address: 0 ( (\J E Q STh St aty: jrY1(Gt rn t S% o reS State: ' L Tenant/lessee Name: 3cu- i9 E FFEE 0Ctn n 3)pnu_ t -S Phoned,: Email: SufE,Llehsm{`•cc?rn Zp: 3313a $55- 3fr -as-7 coluTRACTOR: company Name: GATOR SECURITY INC Phone#: 561-214-4$28 Address: 106 SE 5TH STREET City: OKEECHOBEE Qualifier Name: AL LEWIS state; FL zip: 34974 Phone#: 561-2144628 State Certification or Registration #: EG13000228 Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City State - Value of Work for this Permit: $ 5,415.14 2{)40: Square/Linear Footage of Work: Type of Work: 0 Addition 0 AlterationNew 0 Repair/Replace 0 Demolition Description of Work: install IP Video system Speer color of colorthru tile: Submittal Fee $ 53 permit Fee $ %r©i OeP ca$ colu$ Scanning Fee $ Radon Fee $ - GO DBPR $ 2 • 25 NttarV$ Technology Fee $ TraWng/Education Fee $ Double Fee $ Structural Reviews $ Bond $ TOTAL FEE NOW DUE $ ' ! G • 95 (Revised02f24/2Q14) Bonding Company's Name fif applicable) / Bonding Company's Address City State Zip Mortgage lender's Name (if applicable) Mortgage Lender's Address City State Zip Application Is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, ETC.... OWNER'S AFFIDAVIT: 1 certify that all the foregoing Information is accurate and that all work wilt be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU 'INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING . YOUR NOTICE OF COMMENCEMENT." Notice to Appliovnt: As a condition to the Issuance of a building permit with on estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law -brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted et the job site for the first inspection which occurs seven (7) days after the building permit is Issued. In the absence of such posted notice, the inspection will not be a. s • fee will be charged. Signature • OWNER or AGENT The foregoing instrument was acknowled: • before me this 611 daY'ff.& VI U Gt r^Y 20 / by 1 r.i''tis+ i /} teelf i14 whd is personat1y knovun to m�e or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign`' Print: Seal: Signature CONTRACTOR The foregoing Instrument was acknowledged before me this 574) day of do. ni-& .r9 , 20 1 , by AL �—e10 r who has produced as identification and who did take an oath. NOTARY PUBLIC: who is personally known to Sign: Print Seal: lRevised07,%24/2014t Structural Review • C •• 6,10 1 . • ALE ':State of Florida -Notary Public Commission k GG 131089 My Commission Expires August 03, 2021 r c Zoning Clerk Gator Security, Inc 106 SE 5th St Eblizigiii Okeechobee FL 34974 Seturttvhx Name / Address 1 Surlide Coffee Company d.D.a Dunkin Donuts 1250 NE. 1st Avenue. suite 205 Miami. Florida 33137 ESTIMATE Date Estimate # 1/3/2018 10760 Ship To Dunkin Donuts PC 3556863 9545 NE 2nd Ave Miami Shores, FL 33138 Terms Due on receipt P.O. No. Project Item Description Qty PC356863 MIAMI SHORES Total Rate 0543-001 MAR -30162 3D-C234L-C 3D-C234BC TQ-TPES44 WG -63301106 WG -65086101 GSD V -AT 1210A-... 0E-625V8LCD MISCELLANEOUS OI Labor -Regular 0E -19L ED MISCELLANEOUS M ISCELLANEOUS PC 356863 9545 NE 2nd Ave Miami Shores, FL 33138 Install and configure IP Video system (11 cameras) in PC356863 M3007P/ 5MP/ 360-180/ SMOKE -CAM CAMPX WDR Minidome H.264 WDR 2.8-12mni POE Surface Mount Dome Analog 1.3mp 2.8-12mm 12vdc Bullet, MPX 1.3MP 2.8-12mm 8 -Port 10/IOOMbps PoE Switch (4x 10/100, 4x 10/100 PoE) 24/ 4PR CAT5E CM IM BOX BLUE Non -Plenum RG59 95%CCA BRD=18,' 2 STR WI1TE Power suply 18 -Port Fused Outputs, 12V DC, IOAmp, UL. list CCTV Power Supply Box 625VA/ 390W/ 8 OUTLET/ LCD UPS Boxes, Hanging Straps and connectors Labor 0730 through 1800 Monday through Friday Components provided with DVR unit 19 LED MONITOR VGA HDMI BNC ALAMLB Monitor mount MO-1008BU COMPUTER MOUSE Pesrmits fees if applicable will be added to final invoice Terms: 50% at acceptance 50% at completion 7 1 1 500 2 0 0 0 653.79 324.55 139.98571 153.99 72.79 0.1338 127.98 92.00 88.19 200.00 1,896.00 195.99 19.54 10.50 653.79T 649.10T 979.90T 153.99T 72.79T 66.90T 255.96T 92.00T 88.19T 200.00T 1,896.00T 0.00T 0.00T 0.00T Phone # E-mail 800-676-1580 contaetus@gatorsecurity.com Signature Sub total $5,108.62 Sales Tax (6.0%) $306.52 Total $5.415.14 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD (850) 487-1395 2601 BLAIR STONE ROAD TALLAHASSEE FL 32399-0783 LEWIS, ALBERT MLL1AM GATOR SECURITY INC 1295 STH ST OKEECHOBEE FL 34974 Congratulations! With this license you become one of the nearly cne million Floricians licensed by the Department of Busness and Professional RegUlatiOn. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business in crder to serve you better. For information about our services, please log onto www.myfloridalicense.com. There you can find more imormation about our divisions and the regulations that impact you, subscribe to department newsletters and learn more about the Departmerrrs Our mission at the Departrr.ent is: License Efficiently, Regulate Fairly We constantly strive to serve you belle( so that you can serve your custOrner-s. Thank you for doing business in Florida, and congratulations on your new license! • s. =1-* ,at• ; :FA.: • •• .•;;:a ''-7:07/13/2016 11 • • „ •." °ROA SINESS AND LitATION DETACH -HERE RIcK SCOTT, GOVERNOR KEN LAVVSON, SECRETARY .. . . _ STATE -OF FLORIDA , - - , DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD The ALARM SYSTEM -CONTRACTOR 11 Narned bel4w IS CERTIFIED - * n der the prov;sions Of Ch,ap*,.489 F Expiration date. AUG , LO* GATOR SECURITX11,1 1295 8TH ST OKEECHO , . Ma: OLT,. fl7PI 2/1111g nI001 AV4C ocrti IlOrr) 121/ ASA/ ern 41 1 1.(171:111/11 '727 OKEECHOBEE COUNTY Busine STATE OF FLORIDA 2017 IN CONSIDERATION of the TOTAL SUM OF MONEY shown hereon, the receipt of which is hereby acknowledged. Company ID #: 9964 No. 138: 1011612017 antactOr (0015A) (01-1° Employees) OCC19,%-iatafee - 4!+!TVIV,*••• • $18.00 $1.80 irPt1;44114.....r.s.,;•••'!..roo.tte . • ... 'kg.* w mr”..• • • TorAt_ $19.80 s GATOR sEcuRtrtL. is hereby licensed to engage in the bu Contractir (004644400 Erloyees)UCE at amupation of 106 SE 5TH ST ,n Qeechobee, Fibrida, for the period beginning the da' of October 201i an. enduiOflThe3Oth day of September, 2018 . teste Waif C.F.0 - Tax Collector Above documents reflect updated business licenses for: Gator Security Inc, 106 Se 5th St Okeechobee, FL 561-214-4628 LIC#EG13000228 ....".2-:-,TAT5-7.....LC."-i-S.:::: . ".:.;),"=:... -::-..'"'L F.,. • • • ACORD CERTIFICATE OF LIABILITY INSURANCE mis CERTIFICATES MUMASA MAT INROF MORMA770N ONLY MMS CONFERS NO RIGHTS UPON TRE CtRiiTCATB ON _ 1/312018 Pwsa Dixie Specialty Risk 4290 10th Ave. No. Suite 102 Palm Springs, FL 33461 561-968-6026 HOLOEN. TM cERTIRCATE00ES NOT MEM EXIEWD ALTER TME COVERAONAPFORDED NY THE P°u°ES IMM. INSUREMAFFOKINOCOVERAGE N _ Gator Security, Inc 106 S.E. 5th Street Okeechobee, FL 34974 •••n• Cram t Forster PM •.•.. Normandy Insurancce -- .K ..o A .0.4.. 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Paaa.L...N4N•1 • a.a.... ...4 .1..10 •••r.••••Iq.. r.. 4 $EO -102104 10/08/17 10/08/18--P ,uR..aea.w«w . 1,000. 000 4. WM/ , 000 , 1 000 ^.n.p�w..1.1....w.n' 311°"^ � t.,P.. J LJ c R0•� • ""n' s 9 - 12/15/17 12/15/18 X t l ...}1111..0✓.... `"'°"""'"' r.VIO....R..Y.. ;,,�..a..i. EtIK..GP..M . 1,000,000 NEFL0079972017 ua....a..PR. 1 1,000,000 •••414•114..91•1•••••••••••••••• VG 01111•1110.1•60.• . 11000,000 Ws • .o', Alarm A 1.p'000100a.M1.Yn+aglm,l01Iawi..wlRwravx.D.1%.0 Security Installation -a CERTRiCATE HOLDER Miami Shores Village Bldg. 10050 NE 2nd ve. Miami Shores, FL 33138 t Dept. •'^'°4'0'11"• •••- onm a`P"`"" .0140 411119/ ..+oa...maua.Qal w.r.Iw1a ...wino, ••• • * 0010 m"•• •..•.pM..... ....."" ........ ...4.010*0111'-M1114.a a. 1I0'?t WM. qPRP* 04 .0.11400,11144 IOMM/ .w,ams r.c AcoRMIZOOVOC 4.