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EL-12-1505Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 177488 Permit Number: EL -8 -12 -1505 Scheduled Inspection Date: August 20, 2012 Inspector: Devaney, Michael Owner: UNIVERSITY, BARRY Job Address: 190 NW 111 Street Miami Shores, FL 33168- Project: <NONE> Contractor: SECURITY TECH INC Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Alarm Phone Number Parcel Number 1121360030480 Phone: (954)587 -8324 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 August 17, 2012 For Inspections please call: (305)762 -4949 Page 27 of 33 Mia 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 BU DING PE ' IT APPLICATION Permit Type: Electrical JOB ADDRESS: 9 City: Miami Shores \j 111 S /0 ECEOVE AUG 0 7 Z2 FBC 20 CO Permit No. rE---L- — 1 SOS Master Permit No. County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated: Yes NO )k Flood Zone: OWNER: Name (Fee Simple Titleholder): X1r-rti OniThirer-501-1 Phone#: 305'" 2 CA -3775 Address: 1 1300 h} 6 2. At/ City: pro, tutitiv, State: FL— zip: 33ILo 1 Phone#: 305"—M 9-315— Tenant/Lessee Name: Email: etiWQ(\c maA, bar.-(\/ , &tut SetwitAl 1wh 1-nt .4kzo Ft— CONTRACTOR: Company Name: Address: el 10 City: PkAttatio-r Fol L-F000aao-7 Qualifier Name: State Certification or Registration #: Contact Phone#: '- DESIGNER: Architect/Engineer: go 0 State: Phone#: 6/5q— sr?—&32. Zip: 53 3 1 7 Phone#: 61514— &to3-g32 % Value of Work for this Permit: $ Email Address: Certificate of Competency #: Ge-41R- &twed-freLii lot ,e.f)yyL, Phone#: 61,5; D Square/Linear Footage of Work: Type °Mork: IDAddress )EfAlteration Description of Work: (e,G ( UNew ORepair/Replace t,L503\0,.Cs `t?i V 1\ ODemolition *********************Fees******************************************** Submittal Fee $ 1111 . so Permit Fee $ /0149/.? P&P ---- Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ CCF $ CO/CC $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ CS° 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. "WA ' "`NG TO OWNER: YOUR FAIL = TO RECORD A NOTICE OF CO 1 ENCE ° I NT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YO LENDER OR AN ATTO ' Y 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 attaclunent. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occur even (7) days after the building permit is issrt d In the absence such posted notice, the inspection will not be approved , reinspection fee will be charged. Signature Owner or Agent The foregoing instrument was acknowledged before me this • day of AVM% , 20 tre< by ( .'# id who is personally known to me or who has produced As identification and who did take an oath. NOTARY P . " "1 LIC: Sign: Print: My Commission Expires: I 1 * * * * * * * * * * * * * * * * * * ** APPROVED BY Signature ��Q Contractor The foregoing instrument was acknowledged before me this day of Ni , 20 jz by Evrj .ene Ere -s° who is personally known to me or who has produced OL as identification and who did take an oath. Plans Examiner Structural Review (Revised 3 /12/2012)(Revised 07 /10/07)(Revised 06 /10/2009)(Revised 3/15/09) NOTARY PUBLIC: Sign: Print: • Lark. I +• VII ors. [ltJf' ' the - ' ate • F on . a AA My Commissio jut lk y Comm ••yT.rr��'o - .,F ®F op,c Commission # EE 128810 E • 1�5 "` Bonded Through National Notary Assn. Zoning Clerk iVliami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CONTRACTORS' REGISTRATION FORM ALL CONTRACTORS MUST PROVIDE COPIES OF LICENCES AND INSURANCES EACH TIME A PERMIT IS SUBMITTED OR THE VILLAGE MAY MAINTAIN A FILE WITH YOUR INFORMATION FOR A $30.00 FEE PER YEAR. IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. COPY OF QUALIFIER'S STATE LIC CARD B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF LIABILITY INSURANCE (CERTIFICATE HOLDER TO BE MIAMI SHORES VILLAGE BLDG DEPT) D. COPY OF WORKERS COMPENSATION (EITHER CERTIFICATE OR EXCEMPTION) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. B. C. D. COPY OF CERTIFICE OF COMPETENCY OF QUALIFIER COPY OF MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT COPY OF LIABILITY INSURACE (CERTIFICATE HOLDER MUST BE MIAMI SHORES VILLAGE BLDG DEPT) COPY OF WORKER COMP INSURANCE (EITHER CERTIFICATE OR EXEMPTION) YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE HOLDER AS FOLLOW: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 COMPLETE CONTRACTOR'S INFORMATION BUSINESS NAME: e CA) k e IkA.c �J ' II ��� -zo ► BUSINESS ADDRESS: CcM i't w . ii'r©watyn CITY eko,..7- ko1/4A, STATE ' ZIP CODE 3 l7 BUSINESS PHONE: (-4154) 5t-in 'g 324 FAX NUMBER (934 ) 5g7- 2s59 CELL PHONE (151I) (43 8329 QUALIFIER'S NAME: Burk 0'�y QUALIFIER'S LIC NUMBER: 0000307 E -MAIL ADDRESS (IF APPLICABLE): gene. Sew Q L∎v ∎e,• co Created on 3119109 BY MLDV / RV 3126109 MLDV STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD 1940 NORTH MONROE STREET TALLAHASSEE FL 32399 -0783 FOLEY, EUGENE E SECURITY TECH ENTERPRISES, INC. 6919 W BROWARD BLVD #201 PLANTATION FL 33317 • 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, and 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 leam 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 you for doing business in Florida, and congratulations on your new license!' DETACH HERE (850) 487 -1395 - DATE BATCH NUMBER OP ID: VJ -'`� °- CERTIFICATE OF LIABILITY INSURANCE � 09127 /1YYYY) 09/27/11 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 9554 - 7355-555500 Gateway Insurance Agency 954- 735 -2852 Fort Lauderdale Branch 2430 W. Oakland Park Blvd Fort Lauderdale, FL 33311 CAE CT PHONE FAX (A1C, No. Ext): INC, No): E -MAIL PRODUCER CUSTOMER ID t: SECTE03 INSURERS) AFFORDING COVERAGE NAIC @ INSURED Security Tech, Inc. & Security Tech Enterprises, Inc Eugene Foley 6919 W. Broward Blvd., 201 Plantation, FL 33328 . INSURERA: Philadelphia Indemnity Ins Co '18058 OCCUR INSURER B: FCCI Insurance Company 33472 INSURER C: 09/28/11 INSURERD: EACH OCCURRENCE INSURER E : 1,000,000 INSURER F : $ COVERAGES CERTIFICATE NUMBER THIS IS TO CERTIFY THAT THE POLICIES. OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSR SUBR WVD POLICY NUMBER POLICY EFF (MMIDDtYYYY) POLICY EXP (MMIDDIYYYY) LIMITS . A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY OCCUR PHPK773723 09/28/11 09/28/12 EACH OCCURRENCE $ 1,000,000 PRREMI SES (ER Eoccurrence) $ 50 000 CLAIMS -MADE X MED EXP (Any one person) $ 1,000 PERSONAL & ADV INJURY $ 1,000,000 GEN'L —1 GENERAL AGGREGATE $ 2,000,000 AGGREGATE LIMIT APPLIES PER: .(� I I LOC PRODUCTS- COMP /OP AGG_ _ $'. POUCY X PRO- JECT $ ,.1,000,000 AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLT LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ $ UMBRELLA LIAB EXCESS LIAR OCCUR CLAIMS -MADE - EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE RETENTION $ $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) • If Yes, describe under DESCRIPTION OF OPERATIONS Y t N N I A 001. WC11 A54342 09/28/11 09/28/12 X I ORY LIMI S I I OER E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 below E.L. DISEASE- POLICY UMIT $ 1,000,000 DESCRIPTION OF OPERATIONS t LOCATIONS 'VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space 1s required) CERTIFICATE HOLDER CANCELLATION MIASH01 Miami Shores Village Building Department 10050 N.E. 2nd Avenue Miami Shores, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZEEEDD REPRESENTATIVE O 1988 -2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) . The ACORD name and logo are registered marks of ACORD Plantation the grass is greener` City of Plantation LOCAL BUSINESS TAX CERTIFICATE. Valid from Oct 01, 2011 to Sep 30, 2012 Classification: 4 -D2 Alarm (Security and Fire) Business Name & Address: SECURITY TECH INC 6919 W BROWARD BLVD #201 PLANTATION FL 33317 -2902 Certificate # 131538 Account # 00O203739 THIS CERTIFICATE MUST BE CONSPICUOUSLY DISPLAYED CI Y CLERK SIGNATURE NOTICE: If Business is sold this Certificate must be transferred within 10 days or it becomes null and void. L e AL BUS1N-ESS-TAX RECEIPT 115 S. Andrews Ave., Rm. A -100, Ft. Lauderdale, FL 33301 -1895 — 954- 831 -4000 VALID OCTOBER 1, 2011 THROUGH SEPTEMBER 30, 2012 DBA: Business Name: SECURITY TECH ENTERPRISES INC Owner Name: EUGENE E FOLEY Business Location: 6919 W BROWARD BLVD #201 'PLANTATION Business Phone: 587 -8324 Rooms Seats Employees 1 Receipt #:181 -2350 Business Type :ELECTRICAL /ALARMS /CONT (ALARM CONTR I) Business Opened:l0 /01/1994 State /County /Ce rt/Reg: E F 0 0 0 0 2 0 7 Exemption Code:NONEXEMPT Machines Professionals For Vending Business Only Number of Machines: Vendlnsl Tvue: Tax Amount Transfer Fee . NSF Fee Penalty Prior Years Collection Cost Total Paid 27.00 0.00 0:00 0.00 -0.00' 0.00 27.00 THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT WHEN VALIDATED Mailing Address: EUGENE E FOLEY 6919 W BROWARD BLVD #201 PLANTATION, FL 33317 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. Receipt #032 -10- 00004793 Paid 07 /14/2011 27.00 Security Tech, Inc. 6919 W. Broward Blvd # 201 Plantation, FL 33317 PH: 954-587-8324 - FAX: 954-587-2559 NAME / ADDRESS: BARRY UNIVERSITY ATTN: Mr. SHILOH BALZER 11300 NE 2 AVENUE NORTH MIAMI, FL 33161 Estimate DATE ESTIMATE NO. 5/14/2012 E1558 SERVICE @: BARRY UNIVERSITY "190 HOUSE" MIAMI SHORES, FL 33161 DESCRIPTION QTY COST TOTAL We Propose to Supply & Install the Following Security Alarm Equipment to Monitor the Premises listed above. We will Provide Labor, Non-Plenum Cabling, Parts, Hardware & Training to Operate System. 120-Volt Power & Conduit Risers by OTHERS. Permit Fees are NOT Included. SCOPE OF SECURITY ALARM SYSTEM: We will Supply and Install Security Alarm Devices to Monitoring of All Exterior Doors, Install Motion Sensors to Provide "Trapping Coverage" of Interior Areas, Install RESIDENTIAL U.L. Burglary Control Panel with 16-Zones of Protection and Install Alphanumeric Remote LCD Keypad for Operation & Annunciation of Alarm Devices. We will Connect to and Evaluate the Existing Alarm Devices and Screens - PRICE DOES NOT INCLUDE REPLACING FACTORY SCREENS - System will have Local Siren and be Remotely Monitored by a U.L. Approved Central Station in DELRAY BEACH, FL. GE NX-8 - 48-Zone Control / Communicator w/ Wireless Capability High Powered Siren - Inside - NEW SIREN MOUNTED IN HALLWAY GE NX-148E-RF - Alphanumeric LCD Keypad with Built-in RF Receiver for Adding Wireless Devices to Security System Connect, Evaluate and make Basic Repairs to the Existing Alarm Devices - DOES NOT INCLUDE REPLACING SCREENS IF NEEDED GE-NX-650 - Wireless Crystal Door/Window Transmitter - Built-in Magnetic Contact - Supervised Tamper Switch - REAR DOOR + (3) SCREEN TRANSMITTERS GE NX-481 - Pet Immune Wireless Motion Sensor - Up to 40 Pounds - LOCATIONS: FLORIDA ROOM, LIVING ROOM + (2) BEDROOMS OPTIONAL: GE NX-490 - Wireless Smoke Detector - Photoelectric - Central Monitored Detector - ADD: $115.00 EACH INSTALLED - NO ADDITIONAL MONITORING FEES 1 1 1 1 4 4 250.00 50.00 185.00 100.00 55.00 125.00 0.00 250.00 50.00 185.00 100.00 220.00 500.00 SALES TAX (0.01)/0) THANK YOU FOR ALLOWING SECURITY TECH, INC TO QUOTE YOUR SECURITY NEEDS! Subtotal PRINT NAME Page 1 SIGNATURE TOTAL 000 Security Tech, Inc. 6919 W. Broward Blvd # 201 Plantation, FL 33317 PH: 954 - 587 -8324 - FAX: 954 - 587 -2559 NAME / ADDRESS: BARRY UNIVERSITY ATTN: Mr. SHILOH BALZER 11300 NE 2 AVENUE NORTH MIAMI, FL 33161 Estimate DATE ESTIMATE NO. 5/14/2012 E1558 SERVICE @: BARRY UNIVERSITY "190 HOUSE" MIAMI SHORES, FL 33161 DESCRIPTION QTY COST TOTAL Central Station Alarm Monitoring thru Cellular Wireless Network - U.L. Approved LOCAL Central Station - Transmits "Full Data" - All Alarms, Troubles, Restores etc. - WITH NO LAND -BASED PHONE LINE - $150.00 Installed + $44.00 PER MONTH CENTRAL MONITORING FEE - INCLUDES SERVICE - CELL UNIT IS PROPERTY OF SECURITY TECH, Inc. Permit Fees - $75.00 PERMIT & PROCESSING FEE $175.00 PREFERRED CUSTOMER DISCOUNT ONE YEAR PARTS AND LABOR WARRANTY ON NEW ALARM EQUIPMENT - (EXCLUDES ACTS OF GOD, WATER DAMAGE ETC) - SERVICE INCLUDED WITH MONITORING - $45.00 TRIP CHARGE AFTER FIRST YEAR 1 1 1 150.00 250.00 - 260.00 150.00 250.00 - 260.00 SALES TAX (0.0 %) $0.00 THANK YOU FOR ALLOWING SECURITY TECH, INC TO QUOTE YOUR SECURITY NEEDS! Subtotal $1,445.00 TOTAL $1,445.00 PRINT NAME Page 2 SIGNATURE ...