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ELC-12-8Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 168402 Permit Number: ELC- 1 -12 -8 Scheduled Inspection Date: January 25, 2012 Inspector: Devaney, Michael Owner: , 9 10 Job Address: 9710 NE 2 Avenue Miami Shores, FL 33138- Project: <NONE> Contractor: ADT SECURITY SERVICES, INC Permit Type: Electrical - Commercial Inspection Type: Final Work Classification: Addition /Alteration Phone Number (954)553 -0553 Parcel Number 1132060132350 Phone: (786)331 -3967 Building Department Comments BURGLAR ALARM Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments / January 24, 2012 For Inspections please call: (305)762.4949 Page 17 of 30 Ng. 4,-43 w ; b l Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION FBC 20 Permit Type: Electrical OWNER: Name (Fee Simple Titleholder): ....->4-c ..)12„-E- LAN C (N( 4.Address: 14'to N = . 2-4-9 A-Nt= City: 11 jHutL- Tenant/Lessee Name( (e, Email: Permit No. EL-C-- — 8 Master Permit No. L.-LC Phone #: ( `��1) Z`t0 -8 J �S State: ?? 5 * Zip: 3 31 3 Phone #T1 %gyp` to �' 11�. t JOB ADDRESS: 1/ 2IP " g73'0 NE ,Znot Ave. City: Miami Shores County: Miami Dade Zip: 33L 8 Folio/Parcel #: 1— 32.0C, ° 01 3 a 2350 Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: At l . 'c11v'4- y �V ices 1 hC • Phone #: 9S�' a 6b - SO%3 Address: )0/66 i'4w ks City: M .vriart' State: 1 L Qualifier Name: b wkix8 2.2..clvcm �^ --1 State Certification or Registration #: C l c,4 Certificate of Competency #: Contact Phone #: " atpb SC A:3 Email Address: DESIGNER: Architect/Engineer: Phone #: Zip: 330,as- Phone#: Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: ❑Address ❑Alteration Description of Work: ONew °Repair/Replace exArg14% Moon 5L5S'+e' l 401-it ❑Demolition * * ** * * * * * * * * * * * * * * * * * * * * ** r** * * *** * ** Fees * * * * * * * * *, *** * * * * * * * *** * * * * * * *** * * * * * * * * * * ** Submittal Fee Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ Permit Fee $ CCF $ CO /CC $ TOTAL FEE NOW DUE $ S .V2, Bonding Company's Name (if ap Bonding Company's Address City cable) State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip if 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 A}'r'illAVIT: 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 w c occurs seven (7) days after the building permit is issued In the r se e o such posted notice, the inspection will not be ap � o ed ' a reinspection fee will be charged The fore oingginstrument was acknowledged before me this V�: day of ;120 Q V , by ,�,L't ) - '6•11/4 me or who has produced tification and wit \\ .........0 ,4 s NO 42.,)"4 "• Si6. X 01,x,_ • 2• PrO� , °ortdedabr0 My Uo .41le 4i'�;rtr1 s.••T •� {7� Siff 411$1,11144‘00' 76,° Stid�� * * * * * * * * * * * * * * * * * *OM -/ �✓J�� %' /e . APPROVED BY i 7:4MW∎ - Plans Examiner Signature Con The foregoing instrument was acknowledged before me thine day of , 20`.\ , by l wl tb \j' A -' who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: i Sign: ! ylj , Print' .. L±iii►. In ' My Commission Expires: 8 "" -, Beverly Drouillard • li ,,, ,,_ a Commission # EE110893 Expires: JULY 11, 2015 BONDED THRU ATLANTIC BONDING CO,INC. ************************************************ * * * * * * * * * * * * * * * * * * * * * *** * * * * * ** Structural Review (Revised 07 /10/07)(Revised 06 /10/2009)(Revised 3/15109) Zoning Clerk STATE OF FLORIDA e6. DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD 1940 NORTH MONROE STREET TALLAHASSEE FL 32399 -0783 ZACHRY, DAVID J ADT SECURITY SERVICES INC 4381 NW 3RD CT COCONUT CREEK FL 33066 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, carol they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you better. For information about our services, please log onto www "myfloridalicense.com. There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and learn more about the Department's initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank your for doing business in Florida, and congratulations on your new license! DETACH HERE (850) 487 -1395 4.;09030718 ft•ACTOR• r INC `IS CEi2ZiFTED'sn don 1W. prevision:; of -Ch. 't 8 9 s. 'ixl>t•.ti,aii date 411c. : 31, 2 i)7 2. - - i,ila911.4ll'lati i .�)'�,.��(i • ...F..-- -.•t'tv �inrl�}w``''h ".'i,1.•*, - >:��''��''�;rwt •:d h� "!{i .. -... ••'t:i: j •`i:•.... . . BATCH NV103.0t 1 10 115 S. Andrews Ave., Rm. A -100, Ft. Lauderdale, FL 33301 -1895 — 954 -831 -4000 VALID OCTOBER 1, 2011 THROUGH SEPTEMBER 30, 2012 Receipt #:181- 3595 Business Type :ELECTRICAL /ALARMS /CONT TOR (ALARM CONTRACTOR) Business Opened:02 /08/1993 State /County /Cert/Reg: E F 0 o 0 0 4 7 s Exemption Code :NONEXEMPT DBA: Business Name: ADT SECURITY SERVICES INC Owner Name: DAVID J ZACHRY Business Location: 10785 MARKS WAY MIRAMAR Business Phone: 954-917-2374 Rooms Seats Employees 57 Machines Professionals THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT WHEN VALIDATED Mailing Address: DAVID J ZACHRY P 0 BOX 3042 BOCA RATON, FL This tax is levied for the privilege of doing business within Broward County and is non - regulatory in nature. You must meet all County and /or Municipality planning and zoning requirements. This Business Tax Receipt must be transferred when the business is sold, business name has changed or you have moved the business location. This receipt does not indicate that the business is legal or that it is in compliance with State or local laws and regulations. 33431 -0942 2011 - 2012 0_: Receipt #032 -10- 00005961 Paid 08/15/2011 150.00 For Vending Business only Number of Machines: Vending Type: Tax Amount Transfer Fee NSF Fee Penalty Prior Years Collection Cost Total Paid 150.00 L_ 0.00 0.00 0.00 0.00 I 0.00 150.00 THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT WHEN VALIDATED Mailing Address: DAVID J ZACHRY P 0 BOX 3042 BOCA RATON, FL This tax is levied for the privilege of doing business within Broward County and is non - regulatory in nature. You must meet all County and /or Municipality planning and zoning requirements. This Business Tax Receipt must be transferred when the business is sold, business name has changed or you have moved the business location. This receipt does not indicate that the business is legal or that it is in compliance with State or local laws and regulations. 33431 -0942 2011 - 2012 0_: Receipt #032 -10- 00005961 Paid 08/15/2011 150.00 9726 North East 2 Avenue, Miami Shores, FL - Gm* Maps - Windows Internet Explorer , r. googlecom X 972i5 NE2 AVE File Edit View Favorites Tools Help —A Favorites -1:,4 if, MD - Phone List t_ CONTP,ACTOR DEFINITION Miami-Dade County Clerk... t Department - For_ DADE CONTRACTOR INQ... LogMeIn123,com MSV Citizen Access Portal MD Local Business Tax Miami-Dade My Home 19126 North East 2 ken, - Page v Safety v Tools Veb rrI3gE.,.!:.; Videos Map lc Shr.Ippng Gruai jr Sign in i0() le 9726 North East 2 Avenue, Miami Shores, FL Get dit ections ivty places Miami Shores, FL 33138 Dii.ections • At this address: cob )e 's Search For Job Openings. Apply For a Position Today! guetN - 5 td 5 Internet I Protected Mode Off f3 • 'l!,,,100% v Desktop 7, sir 4,, 1„J 11:49Am 1/4/2012