ELC-13-651Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 188442
Permit Number: ELC-4- 13-651
Scheduled Inspection Date: May 15, 2013
Inspector: Devaney, Michael
Owner: WEST CONDOMINIUM, SHORES PLAZA
Job Address: 621 NE 92 Street
Miami Shores, FL 33138 -0000
Project: <NONE>
Contractor: LYNCO FIRE & ALARM CORP
Permit Type: Electrical - Commercial
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number
Parcel Number 11- 32060430100 -1
Phone: (305)335 -7824
Building Department Comments
INSTALL HANDWIRED SMOKE DETECTORS IN
APARTMENTS
04/10/2013 - PENDING 1 NOC FOR ALL PERMITS. As
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 14, 2013
For Inspections please call: (305)762 -4949
Page 11 of 45
LYNCO FIRE & ALARM CORP.
13899 Biscayne Boulevard Suite 313
NORTH MIAMI BEACH, FLORIDA 33181
TEL: 305 - 947 -5966 FAX: 305 -947 -2759
STATE LIC # EC13003767
April 12, 2013
Miami Shores Village
Building Department
Please list this notice of Commencement number with the following Electrical Permits:
CFN 2013R0287378
621 NE 92 ST. ELC-4- 13-651
629 NE 92 ST. ELC -4-13 -652
637 NE 92 ST. ELC -4- 13-653
645 NE 92 ST. ELC -4- 13-654
657 NE 92 ST. ELC-4-13-655
673 NE 92 ST. ELC -4-13 -656
689 NE 92 ST. ELC -4- 13-657
incerely,
ey N. Lynn
dent
NOTICE OF COMMENCEMENT
A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF ARST INSPECTION
g j%
PERMIT NO l
'� 6s-n TAX FOUO NO t /3 ®v r 6V-3 CA
STATE OF FLORIDA:
COUNTY OF MIAMI- DADE:..
THE UNDERSIGNED hereby gives notice that improverinents will be made to certain real
property, and in accordance with Chapter 713, Florida Statutes, the fMMowing fnfonnation
is provided in this Notice of Commencement.
111111111111111111111111111111111111111111111
CFN 2013R0287378
OR Bk 28579 F'4 3921; (fps)
RECORDED 04/12/2013 14:01 :21
HARVEY RUVIN, CLERK OF COURT
MIAMI -DADE COUNTY, FLORIDA
LAST PAGE
1. Legal • description .f 'rope and street/address: 5%061
i +L
2. Description of improvement:
Space above reserved for use of recording office
1L fir r.
`5"7 67-o
3.Ow.rter(s) name and address: 361.3 ' 1‹.tLt4'7'f2. C jC J(2 C% i)Ex—r .62:) NAT (lea $ z
Interest in property' pRn,Qrrn —rt.� OW'►ZR -tea
Name and address QT simple ttUe older:
4. Qontractor's name, address and phone number: 1.-14103 r06-E" f el.. Cope r ` i 3SF1Q f3 ISOvi aJF K(.. V
s%)rit. 1S, po mu,'" ikcitcA , C 3 t Fs i
5. Surety: .(Payment bond require by owner from contractor, If any)
Name, address and phone number
Amount of bond $
6. Lender's name and address:
7. Persons within the State of Florida designated by. Owner upon whom notices or other documents may be served as provided by
Section 713.13(1)(a)7, Florida Statutes,
Name, address and phone number: Net L VerCal e14 621 fit-4 a2,, S'T µINN%I • S ArUJ
314 3'313 ° 3o% 69 Z. ctoS Li
8 In addition to himself, Owners designates the following person(s) to receive a copy of the Uenor's Notice as provided in Section
713.13(1)(b), Florida Statutes.
Name; address and phone number.
9. Expiration date of this Notice of Commencement
(the expiration date is 1 year from the date of recording unless a different date is specified)
WARNING TO OWNER: ANY. PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION, OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED
IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13. FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND FROSTED ON THE OB' SITE 'B'v . • E THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORN • ‘ ; � , 1 CIN-
OR RECORDIN t YOUR NOTICE OF COMMENCEMENT.
OF FLORIDA, C OtJ �®
Slgriatt r= `;�' , {s r° + ' on edOfficer/Director/Partner
CERTIFY that
Prepared Z�id.. ° >r ►� Prepar in this trffico`
Print Name ° off IQ i i C ;, ` T tic Print N =.
Tit o /Office Q a e S, Title/Offi
STATE OF FLORIDA HARVEY R
COUNTY OF MIAMI DADE By
The foregoinglns� �as aakiowlpdgedkbefore me this 1l day of
p -/
Individually, or 'as � Q e for
`ersohally known,'or produced ttie'following type of"identiflcatlon:
Signature of Notary Public:(_
Print Name: (..v.c rohftSrr.i
(SEAL] .t ,t Y'i 'S Hans J. Wrobleski
VERIFICATION PURSLUANT TO SECTION 92,525, FLORIDA STATUTES :t* +COMMISSION #EE858947
Under penalties' of perjury, I declare that 1 have read the foregoing and 9' '�`- jEXPiRES: DEC. 16,2016
that the facts stated in it are true, to the best of my knowledge and belief. �''7,,,VX � WWW.AARONNOTARY.com
Sig p re(- of Own = ) • r Owner(s)� ' razed Officer/Qirector/Partner/Mana9er who signed above:
By � �- i'!i / "i L '' . By
�.1 -- -p-sr i`_�
ti T t, W+1 '
V1 1, MI , . �i,
.r�►Ir
30S �1S � FSGn Z
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
AFR032 i3
BUILDING Permit No. 13—
PERMIT APPLICATION Master Permit No.
FBC2O
Permit Type: Electrical
OWNER: Name (Fee Simple Titleholder): \12t-S c3 2A Wert cC1 i()Phone#:
Address: 627\ tJ . iE 01.2 S i t2� T �1 -t 4 A
City: rAk Annt S 0.at2 State: 'ffL Zip:: .13 ct
Tenant/Lessee Name: Phone* 6 2 b S
Email: 'S K 4 2s. �-+ u .caw*
JOB ADDRESS: CZ km a 2. Tri/ r~t r
City: Miami Shores County: Miami Dade Zip: ...t7 1 & E
Folio/Parcel#: ! 1— Slo 6-(21/413 - o too
Is the Building. Historically Designated: Yes NO Hood Zone:
CONTRACTOR: Company Name: L. fricv 'F't RCS "kt, AAA t1M► CO( p Phone#:.SOS 335 n 8'2v
Address: 1' %cta1 INNS CAN {33-V n SVvrc l
City: /plc, M t Ann t M IFietc 14 State: 'et. Zip: �33'y `s l
Qualifier Name: 'S (2.+ei IJ t -'(.3, Phone.* 3 GS S S•a ) fr23.1
State Certification or Registration #: EC_ ! 3OO 3.v) 6) Certificate of Competency #:
Contact Phone#: SOS— SS "r1 Ts-'2.4 Email Address: Et, c- rti.t(. 'S FM' e_ G IV t. •COM
DESIGNER: Architect/Engineer: Phone#:
Value of Work for this Permit: $ f $5'7 °" Square/Linear Footage of Work:
Type of Work: °Address iteration °New °Repair/Replace
°Demolition
Description of Work: t N%-3'.i.1/4A,. t 3 nth w' tte () g (JA rrTivt.CATIS
** ** *** ******* **** ** ***** aw a*ss *w **a *********+pass **ass **+*s *** *** ** a
Submittal Fee $ Permit Fee $ /cCPiA04" CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL ME NOW DUE $ I 1
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 reinspeciion fee will be charged.
Owner or Agent
The foregoing ' nt was acknowledged before me this
day of i4 r// ,20/3, by 4011 'I k;i r !'ris
who is p rsonally known t e or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sign: ®®°1`�"
Print f'6 C
My Commission Expires:
* * *** * * * * * * * ******
APPROVED
fak1obIeski
a� =-COMMISSION #EE858947 •
NEXPIRES: DEC. 16, 2016
,,q, , ,,` WWW.AARONNOTARY.com
Signature
V Contractor
The foregoing instrument was acknowledged before me this Z
day of Apr i° ( 20 13, by Jeccre Lynam ,
who is rally known or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print
N 01.1s Jrse,bleskt
Hans J. Wrobleski
My Commission Expires: ▪ .1121COMMISSION
Y. o�
A EXPIRES: DEC. 16, 2016
/ r WWW.AARONNOTARY.00m
** *e *********+r *** ** ** **** ***** * * ******* ** **** *** * ** ** *e * *** ** ** *see ***ses
z‘,.i3
%L Plans Examiner Zoning
Structural Review
(Revised 07 /10/07)(Revised 06110/2009)(Revised 3115/09)
Clerk
'Z/Z012 21:44 3058959298 CapriGardep 42287 P.002/002
LYNCO FIRE & ALARM CORP.
138% Biscayne Boulevard Suite 313
NORTH WAND BEACH, R.ORIDA 33181
TEL 305-947-5800 FAX 305-807-2709
STATE LiC 0 EC13003767
U.
FebriLiary 28, 2013 L#100406427
Shore's Plaza West COndominium Association
689 tti.E 92nd Street
Miami Shores, Florida pi 38
Johr KlIpatrick 306.64.9064
pesgattagra
0.41, _ C W .• TT RY
Lyn. Fire & Alarm, E I Division will install new approved hard wired 120 voltemoke detectors with
battery backup as below:
1. Install one smoke detector within each bedroom within three feet of the door. •
2. Install one smoke detector outside of each bedroom or in a common hallway.
1. The number ofismoke detectors will vary with the different unk styles. (One bedroom units get two
smoke detectoit and two bedroom units get three smoke detectors installed.)
11. Lynco will wetkthrough will) the Fire Marshall prior to commencement of work for requirements.
. Lynco will coordinate with all residents their unit installation.
8. Provide EtecIiai nspections as required by the Miami-Dade County.
No
1
Ah associated Permit fees will be billed to the Client to include Runner fees, as a separate item.
No corrections ofany existing wiring or code violations have been included in this cost.
T! Only items specifically mentioned in 1 through 8 above have been included in tnis cost
t Any Patching or minting of arty surfaces is b be done by unit owner.
o My additional wcirk required or requested by the Client or authority having jurisdiction rthe City QM the Electrical
i Inspectoe) will b4 billed as additional work at our =Tent labor rates
i'Verranty: All labor dd materials brovfoed by Lynco Fire & Alarm are Installed as vecified and is warranted for a boded of
trono yea (Exdtalve of Lamps)
otal Cost I raakilliUMMISIE $123.00 (EACH)
$ so%
Due in Full Like °mutation of Work: - $
umber or one bedroom: Number of two bedroom:
AV;
exclaims are sitattobry f anci see hereby ausetecl By skaana War
Owner euthertesiregresentatas are, can Spay sem Imo sad agreement
Su
.14;uvr
Jeffrey N. Lynn
President
LO
is �lpt; tS ' tttu� -tfe
i tout. pity approval and ;is
1i ai the 1ocation(s} Iisted hE
THIS DOCUMENT HAS A COLORED BACKGROUND • MICROPRINTING • L.INEMARK'" PATENTED PAPER
AC # 6 1 6 ill 9 8 STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
ELECTRICAL CONTRACTORS LICENSING BOARD
SEQ#L12061501066
DATE BATCH NUMBER
LICENSE NBR
06/15/2012 110432527 EC13003767 Additional Business Qualification
The ELECTRICAL CONTRACTOR
Named below IS CERTIFIED
Under the provisions of Chapter 489 FS.
Expiration date: AUG 31, 2014
LYNN, JEFFREY NEIL
LYNCO FIRE & ALARM CORP
13899 BISCAYNE BOULEVARD STE 313
SUITE 313
NORTH MIAMI BEACH FL 33181
RICK SCOTT
GOVERNOR
DISPLAY AS REQUIRED BY LAW
KEN LAWSON
SECRETARY
LYNCO -2
OP ID: DK
'°411.,c„°R °� CERTIFICATE OF LIABILITY INSURANCE
x`011
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS 140 RIGHTS UPON THE CERTIFICATE HOLDER 1105
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 MIMING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder Is an ADDITIONAL INSURER the polcy(les) must be endorsed. if SUBROGATION IS WAIVED, snbjeet to
the terms and condltlons of the policy, certain policies may regmdre an endorsement A statement on this certificate does net confer rights to the
certificate holder in Reuel such endorsement(s).
PRODUCER Phone: 954-759-7171
Customers Rule ins. Agency Far 954-759-7170
1830 8.E 4th Avenue
Ft. Lauderdale, FL 33316
Lynn Renton
CONrAcr
E0: I.e:
sG
AFFORDING COVERAGE
MC B '
INSLAIERA Insurance Co
41297
emus) Lynco Fire & Alarm Corp.
Jeffrey N. Lynn
13899 Biscayne Blvd Suite 313
N. Miami Beach, FL 33181
INSURER B
mac:
D:
UMAFIERE :
INSURER F:
COVERAGES
CERTIFICATE NUMBER:
REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLES 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 I4SURA NCE 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
A
TYPE OF INSURANCE
INDLAILBR
POUCY NUMBER
POLICY EFF
FOLE:Y E P
fAMEIDDNYYYI
MRS
GENERAL MN=
ifl.IlY
X
COMMERCIAL GENERAL LIABILITY
ICLAIMS-MADE
I x 1
OCCUR
GENL AGGREGATE UMIT APPLIES PEN
X1 POLICY E n LOC
AUTOMOBILE LIABIUTY
ANY AUTO
ALL OWNED
AUTOS
HIRED AUTOS
CP51664997
0912012012
09/2012013
EACH OCCURRENCE
DAMAGE TO RENTED
PRENSES (Ea occurrence)
$ 1,000,000
$ 100,000
hem ECP (Any one parson) $
5,000
PERSONAL & ADV INJURY
$ 1,000,000
GENERAL AGGREGATE
2,000,000
PRooucrs- COMP/OP AGG $ 2.000.000
$
SCHEDULED
AUTOS
NON -OWNED
AUTOS
COMBINED SINGLE LIMIT
(Ea
BODILY INJJRY (Per person)
$
BODILY INJURY (Per acceded) $
PROPERTY DAMAGE
(Per aaidenX
$
UMBRELLA UAB
EXCESS UAB
OCCUR
CLAlAASMADE
DED I I RETENTION
EACH OCCURRENCE
AGGREGATE
WOSGoIAT1ON
AND EMPLOYERS' UAI#M Y 1 N
ANY PRCPRIETORIPARTN� n
Mandatary In NH1 EXCLUDED? t
UySsYPrON ewbe under
OF OPERATIONS below
NIA
ITOORRY LIMITS 1 PER
EL EACH ACCIDENT $
EL DISEASE- EA EMPLOYEE
EL. DISEASE - POLICY UNIT $
A E80
A Lost Key Coverage
CPS1664997
CPS1664997
09/20/2012
09/2012012
09/20120/3
09/20/2013
ClaindA99
$1MM/M
25.000
DESCRIPIXIN OF OPERATIONS, LOCATIONS, VEI5cLESS (Attach ACORD 1O1. Addtkoal RenmaksSehodute. E man Navels smoked)
ALARMS AND .ALARM SYSTEMS - INSTALLATION, SE wiCING OR REPAIR
- ------ - — _ MIAMI s
Miami Shores Vi
Village
Fax8305.75S.8872
10050 NE 2nd Ave
Miami Shores, FL 33139
MOULD ANY OF 7H1E ABOVE DESCRIBED POLICES BE CANCM.LED BEFORE
THE ID AT t DATE 'rlmNEM; !NOT ' BE IN
ACCORDANCE Vii H THE POLICY PROVISION
AUTHORIZED 1TAIWE
Al /-
ACORD 25 (2010105)
0)1988 -2010 ACORD
The ACORD name and logo are registered marks of ACORD
/`RL..AP •• •.
�' S. CERTIFICATE OF LIARILITY INSURANCE R022
DATE (PAWDDA'YVY)
03 -29 -2013
THIS CERTIFICATEIS 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 POUCIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERIS), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDmONALINSURED, the policyfies) must be endorsed. If SUBROGATIONIS 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).
PRA
PAYCHEX INSURANCE AGENCY INC
210705 P:0- F:088)443-6112
PO BOX 33015
SAN ANTONIO TX 78265
CONTACT
NAME:
PH FAx
'Lin. EX"' IVNo1: (888)443 -67.22
EADDRESS:
INSURER(S) AFFORDING COQ NAIC tt
INSURER A: Twin City Fire Ins Co
29459
MEWED
LYNCO FIRE & ALARM CORP.
13899 BISCAYNE BLVD STE 313
MIAMI FL 33181 .
INSURER B :
❑
INSURER C :
INSURER D :
EACH OCCURRENCE
INSURER E :
DAMAGE )0 REM ED
PREMISES (Ea occurrence)
INSURER F :
MID EXP (Any one person)
COVERAGES
CERTIFICATE NUMBER:
REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POUCIES 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.
WM
UR
77E o
NW
er, A
POWY S/if
I EAP
Lm7S
r'E`
—
COMMERCIAL GENERAL UABIUTY
❑
❑
EACH OCCURRENCE
$
DAMAGE )0 REM ED
PREMISES (Ea occurrence)
$
MID EXP (Any one person)
$
1 CLAIMS -MADE I 1 OCCUR
ANAL & ADV INJURY
$
GENERAL AGGREGATE
$
PRODUCTS - COMP/OP AUG
$
C„
'L AGGRF� UNIT At LIEF S PER:
POUCY PRO- ( 11 LOC
$
AUTOLON1E
LIAN4l1y
ANYAUTO
ALL OWNED
AUTOS
HIRED AUTOS
SCHEDULE)
AUTOS
NON -OWNED
AUTOS
❑
❑
COMBINED SINGLE LIMIT
(Ea neckband
$
BODILY INJURY (Par person}
8
BODILY INJURY (Per accident)
$
PRO SDAMAGE
(Per =Mon
$
$
itA [!A8
EXCESS LAB
—
OCCUR
CLAIMS -LADE
❑
❑
EACH OCCURRENCE
8
AGGREGATE
r
$
DED
RETENTION $
$
A
(
ANDEtis WV88S'UAEEl1Y Y 1 N
NSA
❑
76 WEE DF9547
05/1 6/2013
05/16/2014
XI r 1 JOT -
EL EACH ACCIDENT
4100,000
8 10 0 , 0 0 0
ANY PROPRIETORIPARTNERIEXECUn
OFFICER(MENBEREXCLUDED?
(Mantletory kr me
If
DESCRIPTION OF OPERATIONS below
E.L. DISEASE - EA EMPLOYEE
EL DISEASE - POLICY LIMIT
$ 5 00 , 0 0 0
❑
❑
DIBICRIMON OF OAER47 / LOWMAN /VERICLES Mime t ACORD 701, Additional It mans apamdv make*
Those usual to the Insured's Operations.
CERTIFICATE HO
CANCELLATION
Miami Shores Village
Building Department
10050 NE 2ND AVE
MIAMI SHORES, FL 33138
SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED
BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE
DELIVERED IN ACCORDANCE WITH THE POUCY PROVISIONS.
AUTHORIZED REPRESENTANVE
7 f
ACORD 25 (2010/05)
1988.2010 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
Shores Plaza West Condo
621 N.E. 92" Street, 4A
Miami Shores, Fla. 333138
(305) 692 -9054
Miami Shores Village Building Department
10050 N.E. 2nd Ave.
Miami Shores, Florida 33138
Re: Electrical Building Permit
Gentlemen,
Having been inspected by Miami -Dade County, our condominium received notice
from their Fire Inspectors that we are required to put smoke detectors in the
twenty -eight (28) one and two bedroom units we have in our two buildings.
On March 21, 2013 our Board of Directors voted to have the detectors installed by
Lynco Fire and Alarm Corporation. This letter is written to confirm that they have
our approval to do the work. I understand that we need a permit for each of the
four unit quads. Here are the addresses covered by this approval letter
621 N.E.
629 N.E.
N637 N.E.
"645 N.E.
657 N.E.
ti673 N.E.
689 N.E.
92" Street
92" Street
92" Street
92" Street
92" Street
92" Street
92" Street
cerel
(lohn S. Itil s 'ck, President
Shores Plaza West Condominium, Inc.