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ELC-13-1250Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 192913 Permit Number: ELC -6 -13 -1250 Scheduled Inspection Date: July 01, 2013 Inspector: Devaney, Michael Owner: , BARRY UNIVERSITY Job Address: 11300 NE 2 Avenue Thompson Hall Miami Shores, FL 33138 -0000 Project: BARRY UNIVERSITY Contractor: SECURITY TECH INC Permit Type: Electrical - Commercial Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1121360010160 -02 Phone: (954)587 -8324 Building Department Comments INSTALL HOLD UP ALARM SYSTEM, INSTALL WIRELESS PANIC BUTTONS (4), CONTROL(1), RAYPAD(1),WIRELESS RECEIVER (1) 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 re//7 June 28, 2013 For Inspections please call: (305)762 -4949 Page 15 of 32 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 MCICIEvEc JUN O 6 2013 Permit No. 1CJ 15-1150 Master Permit No. Permit Type: Electrical 1 13 00 me 2 -Nvse• 1 `` S iOS JOB ADDRESS: I" 0%Cc1/4.1 N SS A 41/43) ■mo.ok. ee o,okeCeS "---o 41/4 14 a City: Miami Shores County: Miami Dade Zip: 331(o Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): a A \V'QCS Phone#: 30 ' Ca )q ' *43 Address: I 1 300 kg Z ,Qi JJJ City: \NZQA a". S t∎oi` ..5 State: �U Zip: 3316 f Tenant/Lessee Name: Email: (`A.P, c \s-V:\ Nva Phone# 04T4 Q.AQ CONTRACTOR: Company Name: eGvC� 'e� G . Phone#: q514 '5 1 2t/ Address: (DS \q ii..) e QV0 W044 & 201 City: \ t 0 k, State: V Zip: 3 33 0 7 Qualifier Name: 6.+a$,h.e, ��A o� Phone#: 6151f - %(0 3 Z'32AI State Certification or Registration #: 0000207 Certificate of Competency #: Contact Phone#: ' (t �Q3 - %3744 Email Address: se kNe �J cs e tV c �� oL. o 4A,c , e✓0 IM Phone#: DESIGNER: Architect/Engineer: Value of Work for this Permit: $ e zizs. . oo, Type of Work: DAddress Iteration Description of Work: `C Square/Linear Footage of Work: New ORepair/Replace Ww" +x*** *************x *** ********* ********* Fees* ******* ***** ****** ************* ******** * *** Submittal Fee $ Permit Fee $ /00/0, CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ (7,:j N x_, 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 A}FIDAVIT: 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 s • roved and a reinspection fee will be charged. Signature Owner or Agent The foregoing instrument was acknowledged before me this ittk Signature Contractor i �� The foregoing instrument was acknowledged before me this `7 d a y o „) :1�� , 20 , b y e ' ° ° 1 ' jk,AROS , day of J O ' , 20 )3, by e U e„e f-Uc 10 ( , who is personally own to or who has produced who is personally known to me or who has produced r-- As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Si Print: r�, pfd Print:: " ' ' z''''' My Commission Expires: UU. My Commission`, tic State of Florida ti , tr, ,pins Nov 24 1016 Commission # EE 852907 ************************************************************ * ****** ************ * ** *** ** * * ** * ..:.• * ********** APPROVED BY ),472- ir4,44-- Plans Examiner Structural Review (Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Zoning Clerk STATE OF FLORID. 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.myflorldalicense.com. There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and loam 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 E FLORIDA AC# 6 40.8.3'3 USINESS AID ESS ;O REGULATION 12801206]. .pzovigioflS ofCn.4.89 FS:' `014 L120718 ©1777 , THIS DOCUMENT HAS A COLORED' BACKGROUND • MICROPRINTING • LINEMARK` "j PATENTED PAPER AC E OOCO2 FOLEY, EUGENE "`, �� SECURITY TECH ENTERPRISSES, ` 6919 W 'BROWARD 'BLVD, ° #201 PLANTATION FL- `3331' PLAY AS REQUIRED' I EN LAWSON SECRETARY OP ID: M• ki ..— R CERTIFICATE OF LIABILITY INSURANCE D09127/201 YY) 091z7/2o1z THIS CERTIFICATE 1S 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 poiicy(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 Phone: 954- 735 -5500 Gateway Insurance Agency pax' 954 - 735 -2852 Fort Lauderdale Branch 2430 W. Oakland Park Blvd. Fort Lauderdale, FL 33311 CONTACT PHONE FAX A/C. No. Ext): Noi: INIMIIDDDY/YYYY) _(Arc. A ?ss: PRODUCER CUSTOMER ID N: SECTE03 INSURER(S) AFFORDING COVERAGE INSURER A: FCCI Insurance Company NAM 1 33472 INSURED Security Tech, Inc. Attn: Mr. Gene Foley 4210 SW 24th St Ft Lauderdale, FL 33317 INSURERS; Philadelphia Indemnity Ins Co 18058 INSURER C: 09/28/2012 INSURER 0 : EACH OCCURRENCE INSURER E : DAGE TO RENTED PREMMAISES (Ee occurrence) INSURER F COVERAGES CERTIFICATE NUMBER: REVISION 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. UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS LSR TYPE OF INSURANCE aNSR NND POLICY NUMBER (M DC �F) INIMIIDDDY/YYYY) LIMITS B GENERAL X L ABU.ITY COMMERCIAL GENERAL LIABILITY OCCUR PHPK773723 09/28/2012 09/28/2013 EACH OCCURRENCE $ 1,000,000 DAGE TO RENTED PREMMAISES (Ee occurrence) $ 100,000 CLAMS -MADE [ X I MED EXP (Any one parson) $ 8,000 X GENT. —} PERSONAL & ADV INJURY $ 1,000,000 E&Olnci GENERAL AGGREGATE $ 2,000,0001 AGGREGATE LIMIT POLICY iii] l r,in APPLIES PER: PRODUCTS - COMP /OP AGG $ 2,000,000 LOC Emp Ben. $ excluded B AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS PHPK773723 09/28/2012 09/2812013 COMBINED SINGLE OMIT (Ea accident) $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accldent) $ PROPERTY DAMAGE (Per accident) $ X $ $ UMBRELLALIAB EXCESS LIAR OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE RETENTION $ $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICER/MEMBEREXCLUDED? (Mandatory In NH) DSs 4 RsPdIO OnOr P ERATIONS Y / N N IA 001 WC12A54342 09/28/2012 09/28/2013 X' WC STIMIATU- TS I OER TH- TORY L E.L. EACH ACCIDENT $ 1,000,000 I E.L. DISEASE - EA EMPLOYEE $ 1,000,000 below E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule K more space Is required) CERTIFICATE HOLDER CANCELLATION 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 REPRESENTP.TNE 9 9.,q71- ACORD 26 (2009/09) 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT 115 S. Andrews Ave., Rm. A -100, Ft. Lauderdale, FL 33301 -1895 — 954 - 831 -4000 VALID OCTOBER 1, 2012 THROUGH SEPTEMBER 30, 2013 DBA: Business Name SECURITY TECH ENTERPRISES Owner Name: EUGENE E FOLEY Business Location: 6919 W BROWARD BLVD #201 PLANTATION Business Phone: 587-844, Rooms INC Receipt #: EL CTR25CAL /ALARMS /CO$'ITRACT0 Business Type: (ALARM CONTR I ) Business Opened:10 /01/1994 StatelCounty /Cert/Reg:EFO 0 0 0 2 0 7 Exemption Code: Professionals Number of Machines: For Vending Business Only Vending, Type: Tax Amount Transfer Fee rN Fa P n`alt Pno e collection Cost ''&Tdial�Paid 27.00 0.00.> P 0. -- . '.0.00 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 and zoning requirements. This Business Tax Receipt must be transferred when the business is sold, business name has changed or you have moVedtthe business location. This receipt does not indicate that the business is. hor,,,t Z it is in compliance with State or local laws and regulations. P.; WHEN VALIDATED Mailing Address: EUGENE E FOLEY 6919 W BROWARD BLVD #201 PLANTATION, FL 33317 2012.- 2013' Receipt #034 -11- 00091628 Paid 07/24/2012 27.06 Plantation the grass Is greener' 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 # 0C12 -0408 THIS CERTIFICATE MUST BE CONSPICUOUSLY DISPLAYED CITY CLERK SIGNATURE NOTICE: If Business is sold this Certificate must be transferred within 10 days or it becomes null and void.