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ELC-12-2320Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 182631 Permit Number: ELC -12 -12 -2320 Scheduled Inspection Date: May 22, 2013 Inspector: Devaney, Michael Owner: , BARRY UNIVERSITY Job Address: 64 NW 111 Street Miami Shores, FL 33168- Project: <NONE> Contractor: SECURITY TECH INC Permit Type: Electrical - Commercial Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1121360030380 Phone: (954)587 -8324 Building Department Comments BURGLAR ALARM Infractio Passed Comments INSPECTOR COMMENTS False Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments May 21, 2013 For Inspections please call: (305)762 -4949 Page 7 of 24 19912t9P, BUILDING 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) 7614949 PE • IT APPLICATION FBC 2010 Permit No. L-c-- 22, Master Permit No. Permit Type: Electrical JOB ADDRESS: 64 glki City; Miami Miami Shores County: Miami Dade Folio/Parcel#: Is the Building Historically Designated: Yes NO Flood Zone: zip: 33)(Q OWNER: Name (Fee Simple Titleholder): Address: 1)360 74* City: thibut 511,1 Tenant/Lessee Name: Email: caw ihorinstly Phone#: 36%, 391E State: tt—' Zip: 31,(1) Phone#: CONTRACTOR: Company Name: 5eCUR-k Address: th ILA City: cuol-6rL04_, State: FL Qualifier Name: G-e.y■e, roi State Certification or Registration #: EF 00 020 7 Certificate of Competency #: Se Phone#: 6/5-ti -s-'7-g32- Zip: 33 ye 7 f - 3-3241 Phone#: Contact Phone#: 5 I Nt, Email Address: DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: $ - 0 0 Type of Work: iAddress Description of Work: L.0 uj Ctut1/4.ft\ t 61— 9el Square/Linear Footage of Work: Ailp- C3Alteration UNew :r< r epair/Replace UDemolition M4e3.€. Pok6kr &Co.& Sy4e0A- tk coa ***************************************Fees******************************************** Submittal Fee $6.)` Permit Fee $ / 4,1? (1' 0 CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 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 ET ,F,CTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFR)AVIT: 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 YO PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YO. LENDER OR AN ATTO EY 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 wiwse property is subject to attachment. Also, a certified copy of the recorded notice of commencement nzust 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 he approved and a reinspection fee will be charged. Signature ___IA—.11t Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this 2G, day of ... ydt, 20 , by Wit(e -1)1j4h11b-( day of 1\kettig4, 20 t-, by 5istkAi -G4-1` j , who is_Dessmally known to me or who has produced who is •'e or who has produced As identification and who did take an oath. NOTARY PUBLIC: as itentification and who did take an oath. NOTARY PUBLIC: Sign: Print: :E. w , — My Commission Ex ••••• • — tEE 1001 • — 1.'4 • Trelr.• aakbitS4 **41:*(;."486111311e..W **** *** * ********** **********************************fe 404741(44016********** Lc '6 80ismittIO APPROVED B Plans Examiner Structural Review (Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10t2009)(Revised 3/15/09) Zoning Clerk OP ID: M1 '`�� �`"�e CERTIFICATE OF LIABILITY INSURANCE DATE 0927/ 127/2012 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(les) 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 Phone: 954- 735 -5500 Gateway Insurance Agency Fort Lauderdale Branch Fax: 954 - 735 -2852 2430 W. Oakland Park Blvd. Fort Lauderdale, FL 33311 p cT PHONE No INC. No. Eat): }: JIM, ): . EE -MAIL ADDRESS: PRODUCER SECTE03 CUSTOMER io #: INSURERS) AFFORDING COVERAGE NAIL It INSURED Security Tech, Inc. Attn: Mr, Gene Foley 4210 SW 24th St Ft Lauderdale, FL 33317 INSURER A: FCC! Insurance Company 33472 INSURER S :Philadelphia Indemnity Ins Co 18058 INSURER c $ 100,000 $ 5,000 INSURER D : CLAIMS -MADE INSURER E : X GENT. —I INSURER F : PERSONAL & ADV INJURY 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 POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR 11:B_ B TYPE OF INSURANCE ADDL INSR SUER WILD POLICY NUMBER POLICY EFF (MM/DDJYYYY) 09128/2012 POLICY EXP (MMIDO!YY?YL 09/28/2013 MPS EACH OCCURRENCE $ 1,000,000 GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY I X I OCCUR PHPK773723 PREMISES Ea oc zsrence) $ 100,000 $ 5,000 CLAIMS -MADE MED MCP (Any one person) X GENT. —I PERSONAL & ADV INJURY $ 1,000,000 E &O Inc' GENERAL AGGREGATE $ 2,000,000 AGGREGATE LIMIT POLICY n 78f APPLIES PER: PRODUCTS - COMP /OP AGG $ 2,000,000 LOC Emp Ben. $ excluded B AUTOMOBILE X X LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS PHPK773723 09128/2012 09/28/2013 COMBINED SINGLE LIMIT (Ea accident} $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accldent) $ PROPERTY DAMAGE (Peraccldent) $ $ UMBRELLA UAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE RETENTION $ $ $ A WORKERS AND EMPLOYERS' IABILI ANYPROPRIETORIPARTNER /EXECl1TIVE OFFICERIMEMBER EXCLUDED? (Mandatory In NH) Ifyas, desc:iba under DESCRIPTION OF OPERATIONS YIN N / A 001WC12A54342 09/28/2012 09/28/2013 g X TORY 4111 iT I °d-F7- EL.EACHAOCIDHIT $ 1,000,000 EL DISEASE -E E. EMPLOYEE $ 1,000,000 below OLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS 1 VEHICLES (Attach ACORD 101, Additional Remarks Schedule V more space Is required) CERTIFICATE HOLDER I MIASH01 Miami Shores Village g 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. AUTHORIZED REPRESENTATIVE 94(29*-- ACORD 26 (2009/09) 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 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,myflorldallcense.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! The (850) 487 -13.95 DETACH HERE C$RTIFI .' under �$L9:uR d8E'6A laxx�r'''' IS DbCUMENTHAS A +COLOREDT3AGKGROUNDa., MIGROPRINTING • LINEMARK'. PATENTED PAPER 4 ^', 'cti.489 ra 0718011:77 LICE AL ARK :.SYSTEM CON' Named, below ,iS CER''I] Under' the .::provis ions ; Expiration date,: AUG RICK SCOTT GOV'ERN'OR DISPLAY AS REQUIRED `R' I A EN: LAWSON SECRETARY r BROWARD 115 Business Name: Owner Name: Business Location: Business Phone: Rooms COUNTY LOCAL BUSINESS TALC RECEIPT S. Andrews Ave., Rm. A -100, Ft. Lauderdale; FL 33301 -1895 — 954 - 831 -4000 VALID OCTOBER 1, 2012 THROUGH SEPTEMBER 30, 2013 p 181 -2350 Receipt #:ELECTRICAL /ALARMS DBA: SECURITY TECH ENTERPRISES INC Business Type: (ALARM CONTR EUGENE E FOLEY Business Opened:10/01/1994 6919 W BROWARD BLVD #201 State /County /Cert/Reg:EF0000207 PLANTATION Exemption Code: 587 -835 �° iu u x i, Seats ; Employees s Machines ? Professionals • ' , /COi3TRACTOI I) _ *:;'., 1 For Vending Business Only Number of Machines: Vending Type: Tax Amount Transfer Fee ' y.iw `G '4ikYkit; 4. $ °A kTnay 6 `' C ollection Cost ls`TOtal'Paid 27.00 0.0O ails*, ers.: .:;-,46.0 ': " 0.00 27.00 THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT 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 WHEN VALIDATED 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 is4 `' a i p the it is in compliance with State or local laws and regulations. . Mailing Address: EUGENE E FOLEY Receipt #034 -11- 00091628 6919 W BROWARD BLVD #201 Paid 07/24/2012 27.06 PLANTATION, FL 33317 2012.- 2013' Planion dle grass is green& City of Plantation LOCAL BUSINESS TAX CERTIFICATE Valid from Oct 01, 2012 to Sep 30, 2013 Classification: 4 -D2 Alarm (Security and Fire) Business Name & Address: SECURITY TECH, INC. 6919 W BROWARD BLVD: #201 PLANTATION, FL 33317 Certificate# 136817 Account # OC12-0408 THIS CERTIFICATE MUST BE CONSPICUOUSLY DISPLAYED CITY CLERK SIGNATURE NOTICE: If Business is sold this Certificate must be transferred within 10 clays or it becomes null and void.