ELC-13-2094 Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-199209 Permit Number: ELC-9-13-2094
Scheduled Inspection Date: November 14,2013 Permit Type: Electrical - Commercial
Inspector: Devaney, Michael
Inspection Type: Final
Owner: EVERETT, HENRY AND FRANCES Work Classification: Addition/Alteration
Job Address:9636 NE 2 Avenue
Miami Shores, FL 33138- Phone Number (727)461-4370
Parcel Number 1132060132500
Project: <NONE>
Contractor: TYCO INTEGRATED SECURITY Phone: (954)266-5063
Building Department Comments
BURGALR ALARM INSTALLATION, 16 ZONE EXPANSION Infractio Passed Comments
INSPECTOR COMMENTS False
Inspector Coments
Passed
Failed
Correction ❑
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
For Inspections lease call: (305)762-4949 November 13 2013 p p ( ) Pa 9 e 9 of 31
. �.._ SEP a 2003
- Mlaml Shores Village •
Building Department
1 J 10050 N.E.2nd Avenue,Miami Shores,Florida 33138
c A 1 Tel:(305)795.2204 Fax:(305)756.8972
INSPECTION'S PHONE NUMBER:(305)762.4949 I
FBC 20
BUILDING Permit No.fe!:?
PERMIT APPLICATION Master Permit No
Permit Type:Electric
JOB ADDRESS: .Z-i��—ll�•.- f�7�
City: Miami Shores y-� County: _ Miami Dade Zip:
FoliolParcel#:
Is the Building Historically Designated:Yes NO Flood Zone:
3 ` v��
OWNER;Name(Fee Simple Titleholder):t' , S Phone#:
Address:_ fin
TenanO.essee Name:- f Phonet
Email:
i
CONTRACTOR:Company Name: TYCO INTEGRATED SECURITY Phone#: 954-266-5063
Address: 10785 MARKS WAY
City: MIRAMAR State: FL Zip: 33025
Qualifier Name.
DAVID ZACHRY Phone#: 954-266-5063
3
State Certification or Registration#: EF0000478 Certificate of Competency#
Contact Phone#: 054-266-5063 Email Address: BPOST @TYCO.COM
DESIGNER:Architect/Engineer: Phone#:
Value of Work for this Permit:$ SquarelLinear Footage of Work:
Type of Work: QAddress DAlteration 1New ORepairlReplacc ❑Demolition
(,� {
Description of Work: a S
Submittal Fee$ Permit Fee$f r g!'-o CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Bond$
Notary$ TraininglEducation Fee$ Technology Fee$
Double Fee$ Structural Review$
TOTAL FEE NOW DUE$
"
Bonding Company's Name(i f applicable) N/A
Bonding Company's Address
City State Zip
Mortgage Lender's Name(if applicable) NIA
Mortgage Lender's Address
City State Zip
-
-a
Application is hereby made to obtain a 't to do the work and installations as indicated. I certify that no work or installation has
PP Y P�
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 I
RECORDING YOUR NOTICE OF COMMENCEMENT:'
Notice to Applicant: As a condition to the issitanc•e of a building permit with an estimated value exceeding$2500, the applicant must
promise in good faith that a copy of the notice of comtnenceutenr and constntcrivn lien law brochure will be delivered to the person
whose property is subject to altachrnent. Also.a certified copy(If the mcoreled nwire of commencement must be pasted at the job site
for the first inspection which occurs seven (7) flays etf er rite building perm] is issued. In the absence U
such posted police, the
inspection will not be approved and a reinspection fee will be changed.
i
Si naturar'�<— ° — Signaturc
Owner or Agent onuactor
The forego g instrument was acknowledged before me this. ` The foregoing instrument was acknowledged before me this
� f� DAVID ZACHRY
day of 7 � ,20 by day of —' 'by
who is personal] n=f2 I or who h qfi a ho is�pe�rsson�a kngwn to me or who has produced
KNOWN
_tS#i Pa4li�vfi� b o th`�i� ��`ti` ` and who did take an oath.
'sue Q? AAy Comm.Expires Jun 2� 6
NOTARY PU ;°' Commission#EE 205082 NOTARY PUBLIC:
Sign: Si
Print: Print RD
My Commission Expires: My C agABETHeqw
WCOIMISSION 1 EE 074432
EXPIRES:Match 1
APPROVED B S Plans•Examiner Zoning
Structural Review Clerk
(Revived 3/12/2012)(Revised 07/10107)(Revised 06117X2009)(Revi-d;111109)
Property Search-Report Pagel of 2
4 ,
~ \ MIAMI-DADE COUNTY
OFFICE OF THE PROPERTY APPRAISER I
-° PROPERTY SEARCH SUMMARY REPORT
Carlos topaz-Canters f
` •� Prop"App Tbal'
I
Property Information:
Folio 11-3206-013-2500
Property Address 9636 NE 2 AVE
_ 3
Owner Nams(s) FRANCES B EVERETT
HENRY A EVERETT a`
MaOing Address 188 DEVON DR -
CLEARWATER BEACH FL j
33676- s
Primary Zone 6400 COMMERCIAL-CENTRAL
Use Code 0013 OFFICE BUILDING
BedslBethe/Half 01010
Floors t
Living Units 0 <y t
Adi.Sq.Footage 11,065 1
Lot Size 23,850 SO FT i' 1
Year Built 1936
Full Legal Description 153 416 53 42 Aerial photographq 2x12
MIAMI SHORES SEC 1 AMD PB 10-70 N
LOTS 1-2&6-7 BLK 19
LOT SIZE IRREGULAR Taxable Value Information:
CDC 23732.4548 08 2005 4(CD)Assessment Information: Current Previous previous 2
Current Previous Previous 2 Year 2013 2012 2011
Year 2013 2012 2091 Exemption/ Exemption/ Exemption/
Taxable Taxable Taxable
Land Value $426,950 $416,485 $401,650
Building Value $482.845 $493,310 $508,145 County $0/$909,795 $0/ 09.795 $01$908,785 I i
School Board $01$909,795 $01$909,795 $0!$909,795
Market Value $909,795 $909,795 $909,795
Assessed Value $909,795 $909,795 $909,795 City $01$909,795 $01$909,795 $0!$909.795
Benefits Information: Regional $0!$908,795 $0/$909,785 $0!$808.795
Current Previous Previous 2 Sale Information:
Benefit Type 2013 1 2012 2011 Data Amount OR Book-Page QuaOfication Code
312011 $3,084,000 27638-1734 Deeds to or from financial
Institutions
8/2005 SO 237324546 Sales which are disqualified as a
result of examination of the dead
7/2005 $4,500,000 23628-2089 Deeds which include more than
one parcel
711976 $200,000 69364-0445 Sales which are qualified
Disclaimer.
The Office of the Property Appraiser and Miami-Dade County are continually editing and updating the laz roll and GIS data to reflect the latest property information
and GIS positional accuracy.No warranties,expressed or implied,are provided for data and the positional or thematic accuracy of the data herein,Its use,or Its
interpretation.Although this webstte is periodically updated,this information may not reflect the data currently on file at Miami-Dade County's systems of record.The
Property Appraiser and Miami-Dade County assumes no liability either for any errors,omissions,or inaccuracies in the information provided regardless of the cause
of such or forany decision made,action taken,or action not taken by the user in reliance upon any information provided herein.See Miami-Dade County full �.
disclaimer and User Agreement at httpJ/www.miamidede_goviinfo/dimisimer.asp.
Property information inquiries,comments,and suggestions small:pawebmail@mlamidade.gov
GIS Inquiries,comments,and suggestions email:gis@mismidade.gov Generated on:Tue Aug 20 2013
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J PMor anChase j < DBSI
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INCORPORATED
August 27,2013
Frances Everett
Henry Everett
188 Devon Drive
Clearwater Beach, FL 33769
Re: CHASE Teller Cash Recycler Project Location: Miami Shores;9640 NE 2"d Ave,
Miami Shores,FL 33138.
JPMorgan Chase Bank(JPMC)has engaged DBSI Incorporated to manage the Teller Cash Recycler efforts for several of
their branches across the country. This project is intended to accommodate an increase of Chase sales associates with
additional sales desks to be Installed at select locations.
The Teller Cash Recycler project is scheduled to be completed no later than December 31,2013. As part of the work,
JPMC will secure all necessary permits and regulatory approvals along with reassuring that all elements are manufactured
and installed to applicable codes and restrictions.All of our construction,manufacturing and installation contractors will
carry industry appropriate insurance and required licenses.
Work includes minor cosmetic changes to the teller line or back office areas to accommodate the installation of a TCR
(Teller Cash Recycler).Minor modifications to the teller counter,back office work surfaces and low voltage cabling may be
necessary to complete the installation of the device.In all cases work will be limited to nights and weekends and at no m
time will the branch be closed during normal working hours.The construction schedule will range between 3-4 business
days.
N
M
At this time,we are seeking your approval for this Teller Cash Recycler initiative.This letter constitutes the formal Y
submittal for the interior work.we appreciate your assistance with this submittal and related approval.
Please address any questions to me.I can be reached at 602-264-7263 or hmiller@dbsi-inc.eom.The favor of a reply o
indicating your approval with a signature below and returning it either by email or fax within five(5)business days from rn
the date of the letter is appreciated.
N
Thank you in advance for your assistance.
v
Regards, N
tmJ
A
N
A
N
Hannah Miller
DBSI Incorporated
hmiller@dbsi-inc.com
Fax 602-264-5633 c
Land lord Sionature
Printed ame GI-> d�GGtA?
DATE(P MiDDIYYYY)
CERTIFICATE OF LIABILITY INSURANCE 101112013
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 pollcy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to
the terms and conditions of the policy,certa ln.poGeles may require an endorsement. A statement on this certificate does not courier rights to the
certificate holder in I(eu of such endorsemeW(s).
PRODUCER 9Z.CT shavna Chauhan
Marsh USA Inc. NONE (212) 345-5935 1 FAX No: (2121 948-8652
1185 Avenue of the Americas E-ME
New York,NY 10036 m a . Please aoG bottom of 2nd e
INSUR S AFFORPIN6 COVERAGE NAIC0
INSURED INSURER A: ACE American Insurance Company 22567
INSURER B: Indemnity Insurance Company of North America 43575
Tyco Integrated Security LLC.
10785 Marks Way
Miramar,FL 33025
United States
COVERAGES CERTIFICATE NUMBER:1209208-A REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE=FOR THE POLICY PERAOO
INDICATED, NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WTH RESPECT"TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIFS DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCWSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
ILNTTR TYPE OF INSURANCE ADDRL u6 POLICY NUMBER 1p0 EF POU�GphY LMUS
A GENERAL LIABILITY, HDO 027326888(Primary GL) 10/1/2013 1011ta01A EAGH OCCU E 5 51,000,000.60
COMMERCIAL GENERAL LWBILITY P A 6' Ea oG S $1,000.000.00
CLAIMS-MADE Fx-�OCCUR MEDEXP(Any oneOMCn S $101000.00
OWNER'S A CONTRACTOR'S PROT PERSONAL 8 AN INJUME S 311000.000.00
GENERAL AGGREGATS 8 $2,000,000.00
GEML AGGREGATE LIMIT APPU28 PER: PROMggs-22tp/0P AGO S $2,000,000.00
P7 OUCV m LOC 3
X
AUTOMOBILE LIABILITY COMaUN LE LIMI $1,000,000.00
A IBA H0672264A(Ali OUIer states) 1011/2013 10!112014 . cent
A X ANY AUTO IBA H08722687(NH)(PrimeryAL) 10/1/2013 10/1/2014 BODILY INJVRY(Per persm) 5
ALL OOS NED SCHSDgULED BODILY INJURY(Per eooident) 6
NON-OWNED PROPERT�DAMAGE S
X HIRED AUTOS X AUTOS
NEW HAMPSMIRE lCSQ
UMBRELLA LIAR OCCUR EACH OCCURRENCES
EXCESS LIAB CLJUMS-MADE AGGREGATES PRODUCTS- 5
DED 1 ,RETENTION 5 NEW HAMPSHIRE(CSL $
WORKERS COMPENSATION X A� 0TH,
A AND EMPLOYERS'LIABILITY SCF 047323526(WI only) 10/112013 1011/2094
A ANY PROPRIETOMPARTNER/FXBCUTWE /N WLR 047323484 CA,MA) 101112013 101112014 F-L•EACH ACCIDENT S $2,000,000.00
13 OFFICERNEMBER EXCLUPED� N� NIA WLR 047323447�A0 Other States) 90/112013 101112014
(Mandatory in NfI) E.L.DISEAS -EA EMPLOY 01-1 $2.000,000.00
Kyes d"Cfte under
DESCRIPTION OF OPERATIONS below E.L DS6A.4E•POLICY LIMIT $ $2.000,000.00
DESCRIPTION DP OPERATIONS r LOCATIONS(VEHICLES(Attach ACORD 101,Additional Ramarka Sdneddle,If mote OPMO Is required)
Please refer to aczached ACORD 101 tor further remarks.
CERTIFICATE HOLDER CANCELLATION
VILLAGE OF MIAMI SHORES SHOULD ANY OF THE ABOVE:DESCRIBED POLICIES Be CANCELLED BEFORE
10050 NE 2ND AVENUE THE EXPIRATION DATE THEREOF, NOTICE WALL BE DELIVERED IN
MAIN SHORES,FL 33138 ACCORDANCE WITH THE POLICY PROVISIONS.
United States
AUTHORtz9O R€PRESENTATIVE
MARSH ysA,NC.BY:
]09Si00 n 0010111
01988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD
b0/Z0 3E)Vd 810999ZPSG 6E:61 610Z/8Z/0Z
STATE OF FLORIDA
D$PARTM OF MUNRO AID] PRopEgsroaL RRm LkTj0.V
ELRCM 't�L CONTRACTORS LICENSING BOARD (850) 181-139S
1940 NORTH MONROE STREW
TALLAHASSEE VL 32399-•0783
ZACBRY, DAVID J
TYCO XNTLGR&T= SECURITY LLC
PO BOX 3042
LICENSING. DEPT
BOCA R.A.TON PL 33481
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W= t fi .:.
Congrakuiationsl With this license you become one of the nearly one million
Floridians licensed by the Department of Business and Professional Regulation.
Our professionals and Djisfnesses range from architects to yacht brokers,from ",
boxers to barbeque restaurants,and they keep Florida's economy strong. `'e'•' Fyy -- " i`
EFQ0.0047, �° ire 12t30$3d57
Every day we work to improve the way we do business in order to serve you batto ,.' -. 'r\,f•? „ 'a Tf. ;; �,:
For information about our services,please log oho vvww.myftoridattcense,com ti¢Fr}�T;:•4. .t q ,�''�k0k. Vo' Y;
There you can find more information about our divisions and the regulations that •; ''
impact you,subscribe to department newsletters and learn more about the O•L �, « ;t. .
.
Department's Initiatives.
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Our mission at the Department Is.License Efficiently,Regulate Fairly.We :.:« ra,a^ :•”
constantly strive to serve you better so that you can serve your customers.
Thank you for doing business In Florida,and cogratutations on your new lioensel
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