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ELC-10-961Inspection Number: INSP- 144571 Permit Number: ELC -5 -10 -961 Scheduled Inspection Date: June 15, 2010 Inspector: Devaney, Michael Owner: Job Address: 9526 NE 2 Avenue Project: <NONE> Contractor: ADT SECURITY SERVICES, INC Building Department Comments BURGLAR ALARM INSTALLATION SUITE 101 Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments FOR UNIT #103 June 14, 2010 Miami Shores, FL 33138 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 For Inspections please call: (305)762 -4949 Permit Type: Electrical - Commercial Inspection Type: Final Work Classification: Addition /Alteration Phone Number C l� Parcel Number 1132060132630 Phone: (786)331 -3967 Page 14 of 25 Inspection Type: Final Meter Box Alteration Relocation Fire Alarm Service Change Underground W. W. , Owner Information June 03, 2010 Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fees Due CCF Education Surcharge Permit Fee - Additions/Alterations Scanning Fee Submittal Fee Submittal Reversal Fee Technology Fee Total: Amount $0.60 $0.20 $100.00 $3.00 $50.00 ($50.00) $0.80 $104.60 Project Address 9526 NE 2 Avenue Miami Shores, FL 33138 1132060132630 Block: Lot: MIAMI SHORES MEDICAL CENT Building Department Copy Address Parcel Number MIAMI SHORES MEDICAL CENTER INC 9526 NE 2 AVE MIAMI SHORES FL 33138 -2750 Contractor(s) ADT SECURITY SERVICES, INC Phone Cell Phone (786)331 -3967 Authorized Signature: Owner / Applicant / Contractor / Agent Phone Type of Work: ELECTRICAL Additional Info: BURGLAR ALARM Classification: Residential Scanning: 1 Pay Date Pay Type Invoice # ELC -5 -10 -38016 05/27/2010 Check #: 5601 $ 50.00 $ 54.60 06/03/2010 Check #: 5613 $ 54.60 $ 0.00 Amt Paid Amt Due Date Expiration: 1/129 /2010 Applicant Cell Available Inspections: 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 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. Futhermore, I authorize the above -named contractor to do the work stated. June 03, 2010 1 Q3i/o ...Miami Shores Village Building Department BUILDING PERMIT APPLICATION FBC20 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 Permit Type: ELECTRICAL Owner's Name,(Fee Simple Titleholder) Leto C I L Phone # 3 65 - 7C''//% 7 Owner's Address lb i �2L 3/ 2 Cit AU/Mu) State f` Tenant/Lessee Name 76/x/' rt ai w Pit ysi ;#/tx e' 1/C8 Phone # .j05- RS4 - / Email 1 bE6A- 14 A e4#4 eon Job Address (where the work is being done) 9 fj 4 IVE • ' AV 1 / � 0 City is ores Village County Miami -Dade Zip 3 3 / 3F FOLIO / PARCE 3x6 4 di 3 a X0,36 Is Building Histor ally Designated NO Contractor's Company Name � � Q %phone # •S� 246 -1/45 4. dik Contractor's Address O ,' 5 / CS' 40 City State .41'''' d uo // 2-/ Qualifier Name (0-e o J-e State Certificate o gistration No. Contact Phone '/ , E -mail Permit No.F Master Permit No. Zip 334138' Flood Zone ** ........... Zip 33 d Z Phone # (9s) 2 (- --1° // Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit 43..5'. 6 Square / Linear Footage Of Work: Type of Work: ❑Addition ❑Alteration [New ❑ Repair/Replace ❑ Demolition Describe Work: J L €4 111-49Z *** * * * * * * * * ** * ** * * * * * ***** * * * * * * * * * *** F * * * * * * * * * * * * **** ******* * * * * * * * * * * * * * * * * * ** Submittal Fee $ " Permit Fee $ f �' 1 ' 1 4' ® 4' CCF $ (Rae) CO /CC $ Notary $ Training/Education Fee $ 0 NO • Technology Fee $ 0 Scanning $ 3 O [) Radon $ DPBR $ Bond $ Double Fee $ Violation date: Structural Review. $ Total Fee Now Due $ 54 -(e0 See Reverse side -4 ievo 3 ` 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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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 oc, rs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be ,approved a d a re- inspection fee will be charged. Signature O or Agent The foregoing instrument was acknowledged before me this c 4p day of �'yL6'1 , 20 �, by f® ( /n c - Leah l who is personally known to me_ or who has produced As identification and who did take an oath. `40`" GERALDINE LILLIAN FAILLA � ► MY COMMISSION # DD696627 d �g7 EXPIRES: July 18, 2011 1- 90 P1. Noisy DIsoouut Mos. Co. NOTARY PUBLIC: Sign: h '. 1/ e , Print: }1 Pkol&Q/fQC _ c»itl,4 My Commission {afg?UELIC -STATE OF FLORIDA Alba Aguila Commission #DD682830 ' Expires: JULY 26, 2011 - Plans Examiner My Commission Expires: APPROVED BY (Revised 07 /10 /07)(Revised 06/10/2009) ie, Engineer Signature Contractor The foregoing instrument was acknowledged before me this2 — r day of ��� , 20 , by who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Zoning Clerk checked www.sunbiz.org - Department c,4,State . Home Previous on List Contact Us No Events No Name History Detail by Entity Name Florida Limited Liability Company LEOCAVA LLC Filing Information Document Number L02000029124 FEI /EIN Number 020651120 Date Filed 10/31/2002 State FL Status ACTIVE Effective Date 11/01/2002 Principal Address 9534 NE 2 AVE MIAMI SHORES FL 33138 Mailing Address PO BOX 381703 MIAMI FL 33238 Registered Agent Name & Address LEONI, TODD 7100 BISCAYNE BLVD 206 MIAMI FL 33138 US Manager /Member Detail Name & Address Title MGRM LEONI, TODD M MR 7100 BISCAYNE BLVD SUITE 206 MIAMI FL 33138 US Title MGR CAVA, RICHARD H 1865 BRICKELL AVE MIAMI FL 33129 US E Filing Services Next on List Return To List Document Searches Forms Page 1 of 2 H Entity Na Su http: / / www.sunbiz.org/ scripts /cordet.exe ?action= DETFIL &inq doc number= L020000291... 5/26/2010 www.sunbiz.org - Department c„,ZState , v Annual Reports Report Year Filed Date 2008 01/18/2008 2009 01/22/2009 2010 02/04/2010 Document Images 02/04/2010 — ANNUAL REPORT 01/22/2009 — ANNUAL REPORT 01/18/2008 - ANNUAL REPORT 02/14/2007 — ANNUAL REPORT 01/06/2006 — ANNUAL REPORT 01/04/2005 — ANNUAL REPORT 02/06/2004 — ANNUAL REPORT Vi+ 02/20/2003 — ANNUAL REPORT 11/01/2002 — Florida Limited Liability Previous on List Next on List No Events No Name History View image in PDF format Vie mage image in PDF format View image in PDF format Note: This is not official record. See documents if question or conflict. Return To List age 'In PDF format e rn PDF' format in PDF form PD format age in PDF format rmat Home 1 Contact us 1 Document Searches 1 E- Filing Services 1 Forms 1 Help 1 Copyright and Privacy Policies Copyright © 2007 State of Florida, Department of State. Page 2 of 2 Entity Na http: / / www.sunbiz.org/ scripts /cordet.exe ?action= DETFIL &inq doc number= L020000291... 5/26/2010