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EL-13-0874Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INS P- 195263 Scheduled Inspection Date: July 16, 2013 Inspector: Devaney, Michael Owner: DI PIETRO, OLIVER & MARZIA Job Address: 336 NE 98 Street Miami Shores, FL 33138- Project: <NONE> Permit Number: EL -4 -13 -874 Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Alarm Phone Number Parcel Number 1132060135700 Contractor: ALARMS INTERNATIONAL INC Phone: (954)921 -7177 eunding Department comments INSTALL BURGLAR ALARM Passed Failed Correction ❑ Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. INSPECTOR COMMENTS False Inspector Comments 14� TULJ' 2 & /3 July 15, 2013 For Inspections please call: (305)762 -4949 Page 28 of 30 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 4 Tel: (305) 795.2204 Fax: (305) 756.8972 _ INSPECTION'S PHONE NUMBER: (305) 762.4949 FBC 20 BUILDING PERMIT APPLICATION Permit Type: Electrical Permit No. Master Permit No.� ®� JOB ADDRESS: 336 14C It STne-� City: Miami Shores County: Miami Dade Zip: 33�iI Folio/Parcel #: 10a.136612>5100 Is the Building Historically Designated: Yes NO ✓ Flood Zone: OWNER: Name (Fee Simple Titleholder): %ALAV4J i A 01 W ®ne#: -19(0 aM - 7 b3 ® Address: 33(P 0G 'A? Sr City: State Zip: 4ws tb Tenant/Lessee Name: Email: CONTRACTOR: Company Name: IVdS t�� _ \�1C. Phone #:1451�_ - -I a Address: 2D. WaA 1n:2 City: brojoc State: FL, Zip: 4;;*1 Qualifier Name: "'p State Certification or Registration #: t--`',F- coo 6 �v I Certificate of Co m etency #. Contact Phone #: i' ° �� Email Address: l N ►� ` • Cc DESIGNER: Architect/Engineer: Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: ❑Address OAlteration Pwew ORepair/Replace ODemolition Description of Work: msyhtL 6m 4 us(L �� $ Submittal Fee $ Permit Fee $ /4-0 tA� Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ CCF $ CO /CC $ DBPR $ Bond $_ Technology Fee $ TOTAL FEE NOW DUE $ A Bonding Company's Name (if applicable) Bonding Company's Address City State 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 ins ion w i ocy urs sevem (7) days after the building permit is issued. In the absence of such posted notice, the inspection wil not 1 p o ed a 419pection fee will be charged. Signature Contractor The fore�oinng instrument was acknowledged before me this°` — The foregoing instrument was acknowledged before me this, ter-t day of ITT f L , 2(11 =� , by Zl � l �Pl fl/-7? -O day of 64 > 20 0, by PAV l D �. � � +iiZ1 who is personally known to me or who has produced ``"` who is personally known to me or who has produced_D As identification and who did take an oath. as identification and who did 1roq q oath. NOTARY PUBLIC: ��`'ttiti r /i S S' '�., i,. NOTARY PUBLIC: `,, �.`` .```` � ��' °,' �� ••® pit .�U '% Sign: 6 c Sign: Print: _ .WARY PUOLIC Print: ommission ' My Commission Expires: �'�' .. EE 173059 # ` �- �~ My Commission Expires: 0 r'rrrr�trt„tsittt�� ON`�� rrrnnnuttt� APPROVED BY ��- %�j°>Z Plans Examiner Zoning Structural Review (Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09) Clerk Z-71 13 - 97(l A�,°,.-Rhf CERTIFICATE OF LIABILITY INSURANCE ��5�20 �i 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 El Dorado Insurance Agency, Inc. El Dorado Sec Srvs Ins Agy PO Box 66571 Houston TX 77266 9% CT Certificate Department PHONE (713) 521 -9251 FAX No): (713) 521 -0125 ADDLE: certificates @eldoradoinsurance.com INSURER(S) AFFORDING COVERAGE NAIC# INSURERA First Mercury Insurance Co. 10657 INSURED Alarms International, Inc. PO Box 551377 Davie FL 33355 -1377 INSURER B :Travelers Casualty 6 Sure CO. 19038 INSURER C: EACH OCCURRENCE INSURER D : DAMAGE TO RIENTEU PREMISES Ea occurrencal INSURER E: MED EXP (Arty one person) INSURER F: PERSONAL BADVINJURY rnvFRerFC r!FRTIFIf•ATF NI IMRFRrtifiaate (03/13) 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 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 TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MM/D POLICYE)(P LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY I CLAIMS -MADE Fx-1 OCCUR X Errors & Omissions -CGL- 0000007142 -02 /3/2013 /3/2014 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RIENTEU PREMISES Ea occurrencal $ 100,000 MED EXP (Arty one person) $ 5,000 PERSONAL BADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO LOC PRODUCTS - COMP /OP AGG $ 1,000,000 $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS NON -OWNED HIRED AUTOS AUTOS COMBEa INED SINGLE LIMff aodderrt BODILY INJURY (Per parson) $ BODILY INJURY (Per accident) $ PPR�O�dT DAMAGE $ UMBRELLA LIAB IA EXCESS LB OCCUR EACH OCCURRENCE $ HCLAIMS-MADE AGGREGATE $ DEC) I I RETENTION$ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? (Mandatory In NH) If yes, descrbe under DESCRIPTION OF OPERATIONS below NIA - 9104%97 -3 -13 /3/2013 /3/2014 X WC STATU- X OTH- E.L. EACH ACCIDENT $ 100,000 E.L. DISEASE - EA EMPLOYEE $ 100,000 E.L. DISEASE - POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) roDrrCrt�A,rc uni nr-D CAhICFI 1 ATIAN ACORD 25 (2010105) INS025 /7nimrl n1 U 1885 -LU1 U At;UKLI VVKYVKA I Ivry. An rlgntis rV5t1rrc3u. Thu Annan namn and Innn ova runic oenrl mmrlrc of Ar`npn SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. CIty of Miami Shores Building Department 10050 NE 2nd Avenue AUTHORQEDREPRESENTATIVE Miami Shores, FI, 33138 R.L. Ring, Jr. /GA10 ACORD 25 (2010105) INS025 /7nimrl n1 U 1885 -LU1 U At;UKLI VVKYVKA I Ivry. An rlgntis rV5t1rrc3u. Thu Annan namn and Innn ova runic oenrl mmrlrc of Ar`npn ALBERT, DAVID R ALARMS INTERNATIONAL INC 14261 APPALACHIAN TRL DAVIS FL 33325 _. _. _. s3re o fLaip AC#. 6: `L 5 9 2 2 7 Congratulations! With this license you become one of the nearly one million i?SgARTt1T OF' gIIS2NL3S AND Floridians licensed by the Department of Business and Professional Regulation PRO IOS' Our professionals and businesses range from architects to yacht brokers, from z - boxers to barbeque restaurants, and thay keep Florida's economy strong. EF004 T 1 �,�;31��2 1113201$46 r 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.corn CSRT A%ARNI COTOR I There you can find more information about our divisions and the regulations that INC impact you, subscribe to department newsletters and learn more about the ALRMS I?± 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. =S .CZRTIFi- anger .,the provisions of ch.489 Bs Thank you for doing business in Florida, and congratulations on your new license! =at�on aster AIIG'31; . 2014 L120e1101140 DETACH HERE STATE OF FLORIDA D A- RTMENT 5E*' BQS SS ANL PROFESSIOi�AL tEGDLATiON �gg ,LCTRCA, CCNTiiCTORS `LICENSING BOARD SEQ#L12061101140 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: Receipt #:ELECTRISCAL /ALARMS/ Business Name: ALARMS INTERNATIONAL INC Business Type: (ALARM CONTRACTOR) Owner Name: ALBERT DAVID R BusinessOpened:o5 /17/1976 Business Location: 14261 APPALACHIAN TRL State /County /Cert/Reg:EF0000161 DAVIE Exemption Code: Business Phone: 954 - 921 -7177 , Rooms Seam} EnpCoyees INatlnes Professionals 10 For Vending Business. Onty Number of Machines: Vendino Tvoe: Tax Amount Transfer Fee r Pene�i Prl2 Ya rs Collection Cost Total Paid 27.00 0. do__ .. A.atk .6 75 ':�, .OD 25.00 58.75 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 is legal or that it is in compliance with State or local laws and regulations. Malllhg Address: ALBERT DAVID R Receipt #02A- 12- 00005086 PO BOX 551377 paid 01/07/2013 58.75 DAVIE, FL 33355 2012 -2013 13