EL-17-1784 P6rmt iva. EL-7-1771784
Miami Shores Village M Pem►it Type'l_lectrical-Ret3idential
3� 10050 N.E.2nd Avenue NE
Work:Ciassificafiare LoW.Voltaae
Miami Shores,FL 33138-000
0 erm-t
� - Petmif Statas:APPROVEp
Phone: (305)795-2204 1 11
tont�A
issueoate:'7124/201`7 Fxpiration: 01/20/2018
Project Address Parcel Number Applicant
1420 NE 103 Street 1132050310030
MARC AND ANNE LITZENBERG
Miami Shores, FL Block: Lot:
Owner Information Address Phone Cell
MARC AND ANNE LITZENBERG 1420 NE 103 Street
MIAMI SHORES FL 33138-
1420 NE 103 Street
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone Valuation: $ 2,400.00
RELATED SYSTEMS INC
Total Sq Feet: 0
Type of Work:SECURITY CAMERAS Available Inspections:
Additional Info:SECURITY CAMERAS Inspection Type:
Classification:Residential Review Electrical
Scanning:3
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $1.80
DBPR Fee Invoice# EL-7-17-64557
$2.25 07/12/2017 Credit Card $50.00 $ 118.30
DCA Fee $2.25
Education Surcharge $0.60 07/24/2017 Credit Card $ 118.30 $0.00
Permit Fee-Additions/Alterations $150.00
Scanning Fee $9.00 r
Technology Fee $2.40
Total: $168.30
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.
OWNERS AFFIDAVIT: I rt t I the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and ping. h o ,I authorize the above-named contractor to do the work stated.
July 24, 2017
thorized Signature:Owner plicant / Contractor / Agent Date
I
ilding Department Copy
July 24, 2017 1
X,� Miami Shores Village RECEIVED
Building Department JUL 12 2011
10050 N.E.2nd Avenue,Miami Shores,Florida 33138 n, /
Tel:(305)795-2204 Fax:(305)756-8972 cv_�
INSPECTION LINE PHONE NUMBER:(305)762-4949 5
FBC 20K(
BUILDING Master Permit No.
PERMIT APPLICATION Sub Permit No.
❑BUILDING IPLECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL F-1 PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
j/� � // // CONTRACTOR DRAWINGS
JOB ADDRESS: /7�O /d, /�. �-
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: C/ 320 03/—.46)3C) Is the Building Historically Designated:Yes NO
Occupancy Type: Load: ,Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder):
Address:_ l j4go
City: A41 A'M/ S A494A f7 State: _FL_ Zip: 33/3G5G
Tenant/Lessee Name: Phone#:
Email: �?-�
CONTRACTOR:Company Name: R 4'�a_7W/Q S %jWS IA-)e-. phone#:3®_5��/ /
Address: -71!57, 44040e�G, A)F—
City:&/;iI4 State: �=L Zip: �la /
Qualifier Name:_ t3tJ ('h � �c.IC
_ /�,4d&[� Phone#: 3C� j�(�
State Certification or Registration#: -V
j Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address:____
z J70 City: State: Zip:
Value of Work for this Permit:$ z Co Square/Linear Footage of Work:
Type of Work: ❑ Addition ��❑ Alteration/ ❑ New F-1 Repair/Replace ID Demolition
Description of Work: `7�Gt ll i y?i, e4-A1,_4:4,4!5
Specify color of color thru tile:
Submittal Fee$ Permit Fee$ /d m�'a CCF$ CO/CC$
Scanning Fee$ Radon Fee$ � DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$ ff
TOTAL FEE NOW DUE$ 1 • ��
(Revised02/24/2014)
Bonding Company's Name(if 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: I certify that all the foregoing information is accurate and that all work will 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 Applicant: As a condition to the issuance of a building permit with an 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 at 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 app ved and a reinspection fee will be charged.
Signa Signature
OWNER or NT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of 20 �� by ` day of �SJ�: \l 1120 by
MarQ- 01 e&er�who is personally known to ��01 ,� 1-7�+(,lrn�,who i personally kno to
me or who has produced N&\1 V:'L ISL_ 1.3Z5-Seas me or who has produced as
identification and who did take an oath. U 3 -o a b identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
dkSign: Sign:
Print: PrintWMAMADO :
Seal: ' : : MY COMMISSION 0 FF 973462 Seal: :heti'"►fie BARAI�AMAD0
:* w: W COMMISSION A FF 973462
MWIo¢ EXPIRES:J*21,2020 ` EXPIRES Juy 21,2020
..�,q;�• Bonded 1h u Natuy Pd*Uklwmbts ''•;e c? BOnded Thu N018ry Pubpo UndeMrtlbeis
I p',��
############################################################################################################
APPROVED BY ZZ XZe`�r�{ Plans Examiner Zoning
Structural Review Clerk
(RevisedO2/24/2014)
SNoRoil Es
n �
,,,,.l" Miami shores Village
Building Department
�4oRivA
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Notice to Owner — Workers' Compensation Insurance Exemption
Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05
allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to
obtaining a building permit. Pursuant to the Florida Division of Workers' Compensation Employer Facts Brochure:
An employer in the construction industry who employs one or more part-time or full-time
employees,including the owner,must obtain workers' compensation coverage. Corporate officers
or members of a limited liability company (LLC) in the construction industry may elect to be
exempt if:
1. The officer owns at least 10 percent of the stock of the corporation, or in the case of
an LLC,a statement attesting to the minimum 10 percent ownership;
2. The officer is listed as an officer of the corporation in the records of the Florida
Department of State,Division of Corporations;and
3. The corporation is registered and listed as active with the Florida Department of
State,Division of Corporations.
No more than three corporate officers per corporation or limited liability company members are
allowed to be exempt. Construction exemptions are valid for a period of two years or until a
i voluntary revocation is filed or the exemption is revoked by the Division.
Your contractor is requesting a permit under this workers' compensation exemption and has acknowledge that he'or she will not use
day labor,part-time employees or subcontractors for your project.The contractor has provided an affidavit stating that he or she will
be the only person allowed to work on your project.In these circumstances,Miami Shores Village does not require verification of
workers' compensation insurance coverage from the contractor's company for day labor,part-time employees or subcontractors.
BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS
CONTENTS. I
Signatur . _._.__....
Owner
State of Florida
County of Miami-Dade
The foregoing was acknowledge before me this_�day of )U\A ,20
By �� C— Uil ze_obcr0 who is personally known to me or has produced
Q 12 as��ident>fcation.
BARAHAMA00
Notary: ►
• = W OOMIMI6 M E FF GYM
SEAL: a :�' DO'IRE&Jlh 21,tom
60fldBd�11 "dwy PUM Und IIm
1
F
R E LAT E D OF S Y S T E M '
Date -7 7o/ 7
State of
County of M ►�-ry �U7F.�-
Before me this day persomally appeared who, being duly sworn,
Deposes and says:
That he or she will be the only person working on the project located at:
2D 1U,e- .10-3 51- A4 71—tc
Contractor signature
Sworn to (or affirmed) and subscribed before me this JLday of v 20F1
By 20nat� k8aMS
Personally know V
OR Produced Identification
snwwAMAoo Type of identification produced
WCOW� WIFFar U
exPlr�s
21,=
��;t r ��`•, M*d no Nfty PdW Undelwtl6eia
Print, Type or Stamp Name of Notary
Installing alarm systems since 1985
7152 Laurel Lane Miami Lakes, Florida 33014
W W W R E L A T E D S Y S T E M S . N E T
FLORIDA S T A T E L I C E N S E # Er. 0 0 0 0 1 04
Property Search Application - Miami-Dade County Page 1 of 1
U THE PROPERTY APPRAISER
OFFICE
Summary Report
Generated On :7/17/2017
Property Information ,
Folio:
11-3205-031-0030
1420 NE 103 ST
Property Address: .
Miami Shores,FL 33138-2626
Owner MARC W LITZENBERG
ANNE F LITZENBERGxiq
jlgnq€ �
Mailing Address
1092 NE 94 ST
MIAMI SHORES, FL 33138 USA
PA Primary Zone 1300 SGL FAMILY-2801-3000 SQ
Primary Land Use 0081 VACANT RESIDENTIAL
VACANT LAND
Beds/Baths/Half 0/0/0
Floors 0
Living Units 0 .-
Actual Area 0 Sq.Ft L
Living Area 0 Sq.Ft
Adjusted Area 0 Sq.Ft Taxable Value Information
Lot Size 12,430 Sq.Ft 2017 2016" 2015
Year Built 0 County
Exemption Value $0 $0 $0
Assessment Information Taxable Value 1 $682,919 $620,836 $893,866
Year 2017 2016 2015 School Board
Land Value $684,099 $684,099 $577,592 Exemption Value $0 $0 $0
Building Value $0 $0 $333,592 Taxable Value $684,099 $684,099 $914,764
XF Value $0 $0 $3,580 City
Market Value $684,099 $684,099 $914,764 Exemption Value $0 $0 $0
Assessed Value $682,919 $620,836 $893,866 Taxable Value $682,919 $620,836 $893,866
Regional m
Benefits Information Exemption Value ..$0 $0 $0
...........................
Benefit Type 2017 2016 2015 Taxable Value $682,919 $620,836 $893,866
�.
Non-Homestead Assessment $1,180 $63,263 $20,898
Cap Reduction Sales Information
Note:Not all benefits are applicable to all Taxable Values(i.e.County, Previous OR Book-
School Board,City, Regional). Sale Price Page Qualification Description
11/01/2013 $1,200,000 28915- Qua[b
Short Legal Description 0046 y exam of deed
RE-PLAT OF TR C MIAMI SHORES BAY 00000- Sales which are disqualified as a result
PARK ESTS PB 64-97 06/01/1993 $0
00000 of examination of the deed
LOT 12 BLK 5 -
LOT SIZE 110.000 X 113 07/01/1984 $260,000 12201 Other disqualified
OR 17852-1967 0697 4 1 464
The Office of the Property Appraiser is continually editing and updating the tax roll.This website may not reflect the most current information on record.The Property Appraiser
and Miami-Dade County assumes no liability,see full disclaimer and User Agreement at hftp://www.miamidade.gov/info/disclaimer.asp
Version:
http://www.miamidade.gov/propertysearch/ 7/17/2017
Miami Shr_res Village
APPROVED BY DATE
�bJ ZOLL IG DEPT
\ BLDG DEPT
SUBJECT I0C(-,N1Pl-',PNCE w1 FH AU F j
.._. .::_ 4 -
f !I I 2
Camera power suppy UPS b —
and DVR located on existing J '7 —
y i rack.Optional lockbox is
avalable.
1
W
yp
40- �
a `
N
.. •
i .
_ .
.• ... .. . . •. ',
Litzenberg Residence RECEIVED
1420 N.E.103 Street
JUL 121017
• Miami Shores, Florida 33138 ;
• •• • ••• .
f • ••• r
---------------
• • • • • • • • • •
• •• •• • • • •• ••
. RELATED SYSTEMS INC. PROPOSAL
71 52 LAUREL LANE
MIAMI LAKES, FL 3301 4 Date Estimate#
6/18/2017 000002094
0. 305 231 7766 C.S. 1 866 231 0208
Mr.Marc Litzenberg Property Location:
1420 N.E. 103 Street
Miami Shores,Fl.33138 1420 N.E. 103 Street
Miami Shores,FL 33138
" 1 , --
• 0 •••• • •• System Installation&Equipment List Qty Rate Total
annel digital video Recorder with PoE system with 3.2MP HD 1080P resolution cameras: O.00T
N44 Quad-cttV ei
%144 include,jnstglling a 04rld igre 8 channel HD-NVR with a ITB hard drive and DVR to be installed on rack
.sVUWl pd by dtljerS jthe cla;gt bt b ind the kitchen.
,b•�judes connectirjg and se�ilyretwork router to view the cameras through your network and remotely on 3G or
better cell phget.•* •...�•
•b!":on below.for viewing-on h fuse TV's
.A jrysjall six J�MP HD 1080%esolution vandal resistant forret color cameras that see in the dark at the locations
ow on thetIl PDF 0.000
� wing.
NVR Quad-ooie A(lhannel Digital Video Recorder with a 1TB Hard Drive,Support Live View,Storage,and 1 403.50 403.50T
Playback up to�1 ZMP IP Cameras,80MB Input Bandwidth,8 Built-in PoE,4K(3840x2160)HDMI,VGA,CVBS,
TCP/IP,H.264/H.264 Zip+,H.265 Ready
IP 3.2MP HD 1080P Color Mini Dome Cameras with a 2.8 MM wide angle fixed lens with night vision in a 6 154.80 928.80T
weather-proof white Housing.
CONNECTORS 16 0.225 3.60T
PRE WIRING,DRILLING,CABLE,CABLE RUNS,NAIL PLATES,&TIE-WRAPS 8 60.00 480.00T
MOUNTING,POSITIONING,AND HEAD END INSTALLATION 8 60.00 480.00T
SUBTOTAL: 2,295.90
Optional viewing on the house TV's providing they have an extra HDMI input.Each location will require a CAT-5 0
run and a 1080P HDMI pass through set.This will provide 1080P viewing of all cameras.The cost for each location
will be approximately$375
Please review this proposal and call Ron Adams at 305.785.7766 if you have any questions.
Subtotal $2,295.90
WE ACCEPT THE FOLLOWING Sales Tax (7.0%) $160.71
—]l✓" MSCOV'01Ell AMERICAN
vlSa ��'w��t Ess PayPaf Total
$2.456.61