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ELC-13-1225Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 192694 Permit Number: ELC -6 -13 -1225 Scheduled Inspection Date: July 16, 2013 Inspector: Devaney, Michael Owner: , Job Address: 9823 NE 4 Avenue Miami Shores, FL Project: <NONE> Permit Type: Electrical - Commercial Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1132060170330 Contractor: SOUND PLANNING DISTRIBUTORS INC Phone: (954)434 -3991 Iiunal comments INTERCOM AND CAMERA SYSTEM INSPECTOR COMMENTS False Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. July 15, 2013 For Inspections please call: (305)762 -4949 Page 8 of 30 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 Permit Type: Electrical JOB ADDRESS: fig- 4e' FBC 20 JUN 0 3 2013 Permit No. r—JQ l b I g 2 Master Permit No. City. Miami Shores County. Miami Dade Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): d V V Ay% % Address: 9 0,2,2 A-) rj:- -2*7� Ace— City: Tenant/Lessee Name: Email: Esc-: , State: fel;i- Zip: _r? 01 Phone #: `?4:S7 0 Of 2 �-e- CONTRACTOR: Company Name: S ®� �� 1 tUhone #: "--3 P Y � � Address: 6126 -5:�4v i r) 3 i!� 1 City: �� (!f-, State: - Zip: 2� er Name: 0 P Qualifi �� � Phone #: �'S � State Certification or Registration #: C-�- 5 1 '-10 o® 2172 Certificate of Competency #: pp Contact Phone#: Email Address: 64v 0lgdp 1&✓AV1 --^4 12- DESIGNER: Architect/Engineer: - Phone #: Value of Work for this Permit: $. �� !~ Square/Linear Footage of Work: Type of Work: ❑Address ❑Alteration ❑New ❑Repair/Replace ❑Demolition Description of Work: i A A-4-0,jrr 0.-,- 6 CO' fl-f- 41L S Submittal Fee $ Permit Fee $ CCF $ CO /CC $ Scanning Fee $ Notary Radon Fee $ Training/Education Fee $ Double Fee $ Structural Review $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ "" l[` U " e.,� L Bonding Company's Name (if applicable) ! , Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City M State zip 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 Iabsence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature Owner o Agent Contract r The foregoing instrument was aclinowledged be ' e m this � day of -aZ-f— , 20 /-L by 19 Uri who is per. onally known to me or who has produced =entification and who did take an oath. NOTARY �UBLIC: a The forego trument was ackno ged b ore me this )4y of �c. .204;5, by i .Vvho is perspnally known to me or who has produced and who did take an oath. Sign: V' Ada A Sign Vvi Fu Print: UG1P�.S�a�¢u2320 Print: NO�a'Y a ExP�esgeP 8810 P.. 90)­ XS E1 Pss ='r• r M1 fission otaty My Commission Exp' a °`a y a # �N °�a�y My Commission a Gomm �, t4WC10 al . °� S dihtou9 �• A. APPROVED BY Al aI"O'A'L' 2` Mans Examiner zoning Structural Review Clerk (Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06/10/2009XRevised 3/15/09) T z + + 9p O= EY M Py JAMES P. KVETKO, MINISTER msccl®bellsouth.net June 3, 2013 Miami *bartg (Communitp Cburrb Building & Zoning Department Miami Shores Village To Whom It May Concern: www.MiamiShoresCommunityChurch.com 9823 NORTHEAST FOURTH AVENUE TEL.: (305) 759 -3445 MIAMI SHORES, FLORIDA 33138 FAX: (305) 759 -4476 The Miami Shores Community Church has entered into a contract with Sound Planning for the installation of new security cameras and a new classroom intercom system, the work to begin shortly. The quote for the complete project - including the village permit - is $14,389. Dave Armstrong is a contractor whose signature I approve for the permit application. I will personally sign on behalf of the church tomorrow morning, June 4th. Thank you for expediting these important security upgrades for our church and school. Sincerely yours, ev. Jame P. Kvetko 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 Dme:SOUND PLANNING DISTRIBUTORS INC Receipt Type- Business Name: BUSin @SS Type: (ELECTRICAL CONTRACTOR) Owner Name: DAVID B ARMSTRONG /QUAL Business Opened:12 /07/1989 Business Location: 5726 SW 103 AVE State /County /Cert/Reg:ES12000292 COOPER CITY Exemption Code: Business Phone: 954-434-3991 Rooms Seats . Employees Machines Professionals 1 For Vending Business Only Nurrihrar of Marhinec• Tax Amount Transfer Fee NSF Fee Penalty „y YMa. Prior Years Collection Cost Total Paid 27.00 0.00 0.00 2.70 0.00 0.00 29.70 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. Mailing Address: SOUND PLANNING DISTRIBUTORS .INC 5726 SW 103 AVE COOPER CITY, FL 33328 2012 -2013 Receipt #02A -12- 00000775 Paid 11/01/2012 29.70 10/31/2012 Effective Date xepon viewer J 100 - . 00"JEFF ATWATER CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION • CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW •' CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 6/13/2013 EXPIRATION DATE: 6/13/2015 PERSON: ARMSTRONG DAVID g FEIN: 650001542 BUSINESS NAME AND ADDRESS: SOUND PLANNING DISTRIBUTORS INC 5726 SW 103 AV COOPER CITY FL 33328 SCOPES OF BUSINESS OR TRADE: ELECTRICAL WIRING WITHIN BUIL no monger me raquuen�nta ottlua legion for ywaixo @Is - ibr-8. The depaNroM ww remote a DFS•F2- OWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 07 -12 OUESTIONS9 (BW)313.1609 Page 1 of I https:// apps8 .fldfs.com/crreportviewerlreportV iewer.aspx ?data.= kdvpginc9D7Q3 gH6TER6e... 5/1/2013 STATE OF FLORIDA M- g` DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD 1940 NORTH MONROE STREET •� TALLAHASSEE FL 32399 -0783 ARMSTRONG, DAVID B SOUND PLANNING DISTRIBUTORS INC 5726 S.W. 103 AVE COOPER CITY FL 33328 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 bette For information about our services, pleaselog onto www.myfloridalicense.com. There you can find more information about our div!sions and the regulations that impact you, subscribe to department newsletters and learn 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!, AC #6307626 DEPART!M 'E L DETACH HERE STATE OF FLORIDA LICENSE NBR (850) 487 -1395 STATE OF FLORIDA AC# f7 3O 7 6L r DEPARTMENT OF BUSINESS AND ® PROFESSIONAL REGULATION ES1200025-2 0;8/27/12 128012179 CERT. - SPSCIALTY.-- ELECTRICAL CONTR ARMSTRONG,';':DAVID B:-. SOUND PLANNING'DISTRIBUTORS INC -- CERTIFIED; AS.: LIMITED ENERG' ;SYSTEMS SPEC. I5' CERTIFIED under the provisions of Ch.489 as, sapiratim date 'A JO 31 2014 L12082702606 TION SEQ# L12082702606 KEN LAWSON SECRETARY 06102/2013 22:53 9549898208 FINNEY INSURANCE PAGE 02/02 AC°'� CERTIFICATE OF LIABILITY INSURANCE 08!03/ 0 3 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CEF nmr -ATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED SY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT 13ETWEEN THE ISSUING INSUREKS), AUTHORUtEp REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER IMPORTANT' If the eertlfloate holder In An ADDITIONAL INSURED, the pallcy(les) must be endorsed, if SUBROGATION 19 WAIVED, subject to the terms and conditions of the policy, cerWn policies Mwj require an endommont. A statement on this certificate does not confer rights to the certlflcats holder In lieu of such endwsame s PROMCM I COUTACr INS1 MD FINNEY INSURANCE CORPORATION 5601 Sheridan Street Hollywood, FL 33021 Sound Planning Distributors Inc 5726 SW 103rd Ave Cooper City, FL 333$8 -8599 v 10-0w REVISION 14 UMBER: 1 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 SUBJEOTTO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEAN REDUCED BY PAID CLAIMS. A QmmtAL LAITY ACPGLDO5915269688 11/03/2012 111MM13 mJ w OOCURRENCE &"r $ X COMMEROIAL OENERAL UASIUTY �t%atm4rxeL _ $ OIAIMS.h7AQE OCCUR IVIED SW (Artt care perw S OWL AGGREGATE LIMIT APPLIES I>ER: POLICY I.00 PRODt11CfS _ COMP/OP AGO, $ S AUTO MOB UANU Y {� Pk ' !MIT acp g ANY AUTO BODILY INJURY (Par pew+) b AUTbB Nso �EDULEO NON.OWNI;D HODILY INJURY (ParacdcJen g HIRE ©AUTOS AUTOS IAUE tPF'el ectldnnfS $ EACH oCOMMINCE a UM9�,A LIA@ OCCUR EXCESS CLAIMB.MADS OgD .TENTICivS AOMMOATE $ Y�tS LfABILITY Y / N YVC STATU. Q PH 1NY AROPRIErORlPARTPBR/EXECLMVS aPAOSRNEMSE MCLUOMq NIA 6,L,BAOHAOCII ?ENT $ i M60tory in *Q E.L DI5EA3E- EA F.Adw AVF s fptL01 d0r�ipe render MSCRIPTM OF OP®t TONS I LO "TWM I NEH1C�IA WM ACORD 101, Ad0ow ROMMU S*tdu* R mole apace I6 ro9Wmdl SHOULD ANY OP THE ABOVE DESCRIMED POLICIES BE CANCELLED BEFORE Miami Shores Village Hail THE EXPIRATION DATE THmEOF, NOTice mi. BE DELIVERED IN 10060 Northeast 2nd Avenue ACCORDANCE WITH THE POLICY PRMPioms. Miami Shores, FL 333938 a RQED enrrnTnrE ton DLF ACORD 25 201010 019$8 -2010 ACORD COtZpOiZA77ON, All hts ra e ( The ACORD name and 1090 are rsaglstered marks of ACORD Printed by DLP on June 03.201 s at 11 ;51AM Report Viewer a Pa- DFS- F2 -DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 07 -12 or QUESTIONS? (850)413.1609 Page 1 of 1 https: / /apps8. fldfs. com/ crreportviewerlreportViewer.aspx ?data. kdvpginc9D7Q3gH6TER6e... 5/1/2013 JEFF ATWATER CHIEF FINANCIAL OFFICER -�-' STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION ` * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 6/13/2013 EXPIRATION DATE: 6/13/2015 PERSON: ARMSTRONG DAVID B FEIN: 650001542 BUSINESS NAME AND ADDRESS: SOUND PLANNING DISTRIBUTORS INC 5726 SW 103 AV COOPER CITY FL 33328 SCOPES OF BUSINESS OR TRADE: ELECTRICAL WRING WITHIN BUIL a Pa- DFS- F2 -DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 07 -12 or QUESTIONS? (850)413.1609 Page 1 of 1 https: / /apps8. fldfs. com/ crreportviewerlreportViewer.aspx ?data. kdvpginc9D7Q3gH6TER6e... 5/1/2013 NOTICE OF COMMENCEMENT A RECORDED COPY ET BE MTED ON THE Joe $ffE AtgVE M$pW= PERMIT NO 61 -0- 434714%7 X FOLIO NO. T� STATE OF FLORIDA. COUNTY OF MIAMI-DADE. n�, THE UNDERSIGNE..hereby gives odtW that Mq*;oVft&rft will be made to certain real property, and In accordance with Chapter 713jf!p Pa Statutes, the fogmft Informallom &!& rL CFN 2013RO454514 OR Bk 28668 Ps 1462? {1P9) RECORDED 06/07/2013 10:54;0Q. HARVEY RUVINY CLERK OF COURT MIAMI-DADE COUNTYP FLORIDA LAST PAGE SPOM W"W reserved for uee of onke 2. Description of improvement: A--.0 3. OwnWs) name and address: . property; A4"q4l_k Interest jn N" and address simple titleholder: 4. CoAractor's name, address.and phone number 5. Sufet)r.(Payment bond feq4lr" by ownprftm gtractor, If any) .­ on Name, address Amoiinfo66nd 6. Lehdl" name and address : 7. P within iho'state of norididesighated by -provided by upon whom notices or other documents may be served' as Mini he nu I mber 8. In iidiff6bfi t0`hlft'61f,'0*W'ners designates thelbil6wing Pers0n(s) to receive a copy of the Lienor's Notice as prov I Ided I I n.Section 713.lift) Florida Stafu as' Narne'. - Ad ".and 'phbne'nurh b*ar!=14Q__ ersoha Owner Section 7 ttiutes, 6, add 9, 1504fibhdifte ofthis'Wilce of Com in*ncbment. fthe •XPWon data Is I yqar from the date of,®Wong WON a 0"nt date W 'PQ EIi IU1Y I�AYMENTS MADE BY THE OWNEF AFTER THE EXPIRATION AF THE NOTICE OF CQAAMENCEMENT 4�RE CONSIDERED IMPIiUPER' PAYMENTS'IjNDER CHAPTER 713; PART 1,'SECTION 713.13. FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYIjdC TWICE FOR THE OR = Er I M W; M., %Adul" T The f' g In ." ht was rwledgod before 'me this gid, day.. av rn MY co _60 fiffriija 'ILI MM # DD 955300 Under EXPIRES: March 29,2014 I d6d 6 '11-h ...... Bonded Thru No" Publit Undenwbrs that the facts stated in it are true, to the best of my knoWiedge ark "at. Sig 8) of er(s) �or O;nellsl ��=�fillreclo:7N er who signed above: By