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ELC-11-948AO Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 160151 Permit Number: ELC -5 -11 -948 Scheduled Inspection Date: June 13, 2011 Inspector: Devaney, Michael Owner: Job Address: 180 NE 99 Street Miami Shores, FL Project: <NONE> Contractor: ADT SECURITY SERVICES, INC Permit Type: Electrical - Commercial Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1132060132230 Phone: (786)331 -3967 Building Department Comments BURGLAR ALARM e Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments /717,A---.2.0.- June 10, 2011 For Inspections please call: (305)762 -4949 Page 10 of 19 46:5(toc Vtrs -r Miami Shores Village - 3-5R5 -76-150 Building Department >0050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2004 Permit No. Master Permit No. Permit Type: Electrical Owner's Name (Fee Simple Titleholder) M l amt Shores Gfi% i u' Phone # Owner's Address 130 N E S t City "7 /WM I i C-5 State L- 3fl� 757 q -�7 Zip 3 J 3e Tenant/Lessee Name Phone # E -MAIL: Job Address (where the work is being done) City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # 11 - O 13 ° 2 3 0 Is Building Historically Designated YES NO Contractor's Company Name ,,,512a./4 Contractor's Address //j 315- City i'7/ 4 State A,!� Zip 3 aek)% Qualifier Name Phone # 95-2/ e6 5%/ 9• tueti./ Phone # o _ State Certificate or Registration No. �l�(s'U d�d-� Certificate of Competency No. E -MAIL: Architect /Engineer's Name (if applicable) Phone # Value of Work For this Permit $ Type of Work: Describe Work: ['Addition eration 1!v Square / Linear Footage Of Work: ['New ❑ Repair /Replace ❑ Demolition chri Dv ,e. * * * * * * * * ** * ** ** * * * * * * * ** * * * * * * *** Fees************* * * * * ** * * * * * * * * * *** * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ 7.<7.2D, o e! CCF $ CO /CC Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Total Fee Now Due $ 1 (42 :aD See Reverse side -* Structural Review. $ • 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 occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection ; e will be charged. Signature Owner or Agent The foregoing instrument was acknowledged before me this 1 3 day of aplajL, 2010 , by l l e,(4-C 2.-1Z et who is personally known to me or who has produced Contractor The foregoing instrument was acknowledged before me this ,20 /1, by day of who is personally known to me or who has produced As identification and who did take an oath. as identificat'o an who did take an oath. NOTARY P UBLI m � BIDB , I e, " . ; s P G My Not aG r ygy P oion • 9 r a01E 06 r 1 F5I4p1IV� 7 , " ,, c `_ Commrssion #DD856 a V a eE xpi 'tireamO nZo tt2 - Expires: APR 0 ROM ED Taitl7 firMYS D' 'viIj� 'fllR e C (6— tS CS l Print: /'' , NOTARY PUBLI• Sign: Print: My Commission Expires: APPLICATION APPROVED BY: (Revised 02/08/06) My Commission Expires: 2 / /tree y 26./( Plans Examiner Engineer Zoning w,ww.sunbiz.org - Department of State ART R Ot 0 PO Page 1 of 2 Home Contact Us E- Filing Services Document Searches Previous on List Next on List Return To List No Events No Name History Detail by Entity Name Florida Limited Liability Company MIAMI SHORES CENTER, LLC Filing Information Document Number L02000000072 FEI /EIN Number 020533246 Date Filed 12/26/2001 State FL Status ACTIVE Principal Address 210 - 71ST STREET SUITE 309 MIAMI BEACH FL 33141 Changed 04/03/2009 Mailing Address 210 - 71ST STREET SUITE 309 MIAMI BEACH FL 33141 Changed 04/03/2009 Registered Agent Name & Address PIOTRKOWSKI, JOEL S ESQ 317 71ST STREET MIAMI BEACH FL 33141 US Name Changed: 01/04/2011 Address Changed: 01/04/2011 Manager /Member Detail Name & Address Title MGRM NEW MONACO MANAGEMENT, INC. 210 - 71ST STREET, SUITE 309 MIAMI BEACH FL 33141 Forms Help Entity Name Search Submit http: / / www.sunbiz.org/ scripts /cordet.exe ?action= DETFIL &inq doc number= L02000000072 &inq_ came... 5/19/2011 www.sunbiz.org - Department of State Page 2 of 2 Title MGR MUSSAFFI, ROY 210 71ST STREET, SUITE 309 MIAMI BEACH FL 33141 Annual Reports Report Year Filed Date 2009 04/03/2009 2010 02/16/2010 2011 01/04/2011 Document Images 01/04/2011 — ANNUAL REPORT 02/16/2010 — ANNUAL REPORT 04/03/2009 -- ANNUAL REPORT 02/06/2008 — ANNUAL REPORT 01/29/2007 — ANNUAL REPORT 03/21/2006 -- ANNUAL REPORT 02/21/2005 — ANNUAL REPORT 03/29/2004 — ANNUAL REPORT 04/24/2003 — ANNUAL REPORT 07/30/2002 — ANNUAL REPORT 12/26/2001 — Florida Limited Liabilites L View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format Note: This is not official record. See documents if question or conflict. Previous on List Next on List No Events No Name History Return To List 1 Home 1 Contact us 1 Document Searches 1 E- Filing Services 1 Forms 1 Help 1 Copyright© and Privacy Policies State of Florida, Department of State Entity Name Search Submit http:// www. sunbiz. org/ scripts /cordet.exe ?action= DETFIL &inq doc number= L02000000072 &inq came... 5/19/2011 www.sunbiz.org - Department of State Page 1 of 2 Home Previous on List Events Contact Us E- Filing Services Next on List Return To List No Name History Detail by Entity Name Florida Profit Corporation NEW MONACO MANAGEMENT INC. Filing Information Document Number FEI /EIN Number Date Filed State Status Last Event P94000003956 650469384 01/18/1994 FL ACTIVE REINSTATEMENT Event Date Filed 12/05/2000 Event Effective Date NONE Principal Address 210 71ST STREET #309 MIAMI BEACH FL 33141 Changed 12/05/2000 Mailing Address 210 71ST STREET #309 MIAMI BEACH FL 33141 Changed 12/05/2000 Registered Agent Name & Address PIOTRKOWSKI, JOEL S 317 -71 STREET MIAMI BEACH FL 33141 US Name Changed: 04/02/2002 Address Changed: 04/02/2002 Officer /Director Detail Name & Address Title P Document Searches Forms Help Entity Name Search Submit http: / /www.sunbiz.org/ scripts /cordet.exe ?action= DETFIL &inq doc number= P94000003956 &inq came ... 5/19/2011 Submit 1 www.sunbiz.org - Department of State Page 2 of 2 YEHEZKEL, HAIM 210 71ST STREET, STE. 309 MIAMI BEACH F; 33141 Annual Reports Report Year Filed Date 2009 02/19/2009 2010 01/08/2010 2011 01/04/2011 Document Images 01/04/2011 -- ANNUAL REPORT 01/08/2010 — ANNUAL REPORT 02/19/2009 -- ANNUAL REPORT 01/25/2008 -- ANNUAL REPORT 02/02/2007 — ANNUAL REPORT 01/23/2006 -- ANNUAL REPORT 03/16/2005 -- ANNUAL REPORT 03/09/2004 -- ANNUAL REPORT 04/25/2003 -- ANNUAL REPORT 04/02/2002 — ANNUAL REPORT 04/25/2001 -- ANNUAL REPORT 12/05/2000 — REINSTATEMENT 07/10/1998 — ANNUAL REPORT 05/02/1997 — ANNUAL REPORT 04/30/1996 — ANNUAL REPORT 05/01/1995 — ANNUAL REPORT View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format 1 1 r View image in PDF format View image in PDF format View image in PDF format 3 1 View image in PDF format View image in PDF format 1 View image in PDF format View image in PDF format View image in PDF format Note: This is not official record. See documents if question or conflict. Previous on List Next on List Events No Name History Return To List Home I Contact us 1 Document Searches I E- Filing Services I Forms 1 Help 1 Copyright © and Privacy Policies State of Florida, Department of State Entity Name Search http: / /www.sunbiz.org/ scripts /cordet.exe ?action= DETFIL &inq doc number= P94000003956 &inq_ came ... 5/19/2011