ELC-13-1485Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 194581 Permit Number: ELC -7 -13 -1485
Scheduled Inspection Date: July 30, 2013 Permit Type: Electrical - Commercial
Inspector: Devaney, Michael
T • F'
Owner: UNIVERSITY, BARRY
Job Address: 320 NW 115 Street
Miami Shores, FL 33138 -0000
Project: <NONE>
Inspection ype. ma
Work Classification: Addition /Alteration
Phone Number
Parcel Number 11213600000600
Contractor: SECURITY TECH INC Phone: (954)587 -8324
comments
INSTALLATION OF SECURITY SYSTEM 2 MODULAR
BUILDING, 1 MASTER CONTROL, 2 KEYPADS, 6
WIRELESS DOOR CONTRACTS, 6 WIRELESS MOTION
DETS, 2 SIRENS, 1 CELLULAR COMMUNICATIONS.
INSPECTOR COMMENTS False
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
July 29, 2013 For Inspections please call: (305)762 -4949 Page 13 of 34
A/ V
BUILDING
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
p MCMETMI
JUL 0 2 263
a
FBC 20
Permit No. L—jc)
PERMIT APPLICATION Master Permit N
Permit Type: Electrical 326 t4 w 11,5 'vQ e�
JOB ADDRESS: 0300 A e 3 (VQt — �'\0a 16-C `ln
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel #:
Is the Building Historically Designated: Yes
OWNER: Name (Fee Simple
City:
Zone:
State: Zip:
Tenant/Lessee Name: Phonek
Email: 1 cc��yy I
CONTRACTOR: Company Name: Se6u �L @� Phone #: " 1 ��� q . � 7' %3 p I
Address:
City: State:
Qualifier Name: d\Q Phone#:
State Certification or Registration #: OZ G'� Certificate of Compet_nc #: 00 0020
Contact Phone #: � P_ " 140%4, Email Address: CtVAQQ S G V l C RA CL COP
DESIGNER: Architect/Engineer: Phone #:
Value of Work for this Permit: $ 2 Ll ei 0.0 V Square/Linear Footage of Work:
Type of Work: UAddress . DAlteration
of Work:
IWA
Submittal Fee
Scanning Fee $
Permit Fee $.Z Ada 0 4�v CCF $ CO /CC $
Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
Technology Fee $
TOTAL FEE NOW DUE $
Ce l 1
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
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 approv a reinspection fee will be charged.
N ignature Signature R444� L ���
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this TPI
day of JO V , 201-9 , by U-'NC6 044
who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY
The foregoing instrument was acknowledged before me this
day of °J-u n, , 20 3, by (&A P Eo 1,
who is personally knovc�to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Structural Review Clerk
(Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3115/09)
Sign:
Sign: A C
cu-1
Print:
Print:
My Commission Ex p'
J.
d > oe29
: o`
My Co _s
` °;'I. LAURIE H. LANE
.r eNotary Public - 8'tate of Florida
November
�a Y n ��
«
,,,'
P�,r My Comm. Expires Noa 24, 2018
%I
«�. Commission # EE 852907'
��u��x�
APPROVED BYA6
y.�'
���- ,OV Pl�xaminer
Zoning
Structural Review Clerk
(Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3115/09)
Security Tech, Inc.
6919 W. Broward Blvd # 201
Plantation, FL 33317
PH: 954 -587 -8324 - FAX: 954- 587 -2559
Estimate
DATE
ESTIMATE NO.
5/20/2013
E1767
NAME / ADDRESS:
SERVICE @:
BARRY UNIVERSITY
BARRY UNIVERSITY
ATTN: Mr. SHILOH BALZER
"Facilities Management Modular"
11300 NE 2 AVENUE
11300 NE 2 AVENUE
NORTH MIAMI, FL 33161
NORTH MIAMI, FL 33161
DESCRIPTION
QTY
COST
TOTAL
We Propose to Supply & Install the Following Security Alarm Equipment to
Monitor the "FACILITIES MANAGEMENT MODULAR BUILDINGS ". We
will Provide Labor, Non - Plenum Cabling, Parts, Hardware & Training to
Operate System. 120 -Volt Power & Phone Line by OTHERS. Permit Fees
are Included BELOW - ALL PRICES INCLUDE INSTALLATION
SCOPE OF SECURITY ALARM SYSTEM: We will INSTALL BURGLAR
ALARM DEVICES AS REQUESTED IN: (2) MODULAR OFFICE
BUILDINGS. Install Commercial U.L. Burglary Control Panel with
38 -Zones of Protection and Install (2) Alphanumeric Remote LCD
Keypads for Operation & Annunciation of Alarm Devices. System will
have (2) Partitions and will be Armed /Disarmed Independently. System
will be Remotely Monitored by a U.L. Approved Central Station in Delray
Beach. INCLUDES UNDERGROUND CABLING TO CONNECT
BUILDING ALARMS - CONDUIT BY OTHERS
DMP XT -30 - (38) -Zone Commercial Burglar Alarm Control Panel
1
495.00
495.00T
DMP 7060 - Large Alphanumeric Back -Lit LCD Keypad w/ Panic, Fire,
2
195.00
390.00T
Medical & Ambush Capability - 100 -Event Memory Buffer
DMP - 1100D1 Wireless Receiver - Supports up to 32 Wireless
2
125.00
250.00T
Transmitters - (1) IN EACH BUILDING
DMP 1105 Wireless Door Contact - Long Life Lithium Battery -
6
55.00
330.00T
LOCATIONS: (3) DOORS IN EACH BUILDING
DMP 1121 Wireless Motion Detector - Pet Immune up to 40lbs - (3) IN
6
135.00
810.00T
EACH BUILDING
High Powered Sirens - (1) - Inside Each Building
2
50.00
100.00T
OPTIONAL: DMP 1105 Wireless WINDOW Contact - ADD: $55.00
EACH INSTALLED - (15) + (7) CONTACTS IN (2) BUILDINGS
SALES TAX (0.0%)
THANK YOU FOR ALLOWING SECURITY
TECH, INC TO QUOTE YOUR SECURITY
Subtotal
TOTAL
NEEDSI
PRINT NAME
Page 1
SIGNATURE .
Security Tech, Inc.
6919 W. Broward Blvd # 201
Plantation, FL 33317
PH: 954 - 587 -8324 - FAX: 954 - 587 -2559
Estimate
DATE
ESTIMATE NO.
5/20/2013
E1757
NAME / ADDRESS:
SERVICE @:
BARRY UNIVERSITY
BARRY UNIVERSITY
ATTN: Mr. SHILOH BALZER
"Facilities Management Modular"
11300 NE 2 AVENUE
11300 NE 2 AVENUE
NORTH MIAMI, FL 33161
NORTH MIAMI, FL 33161
DESCRIPTION
QTY
COST
TOTAL
PREFERRED CUSTOMER DISCOUNT - REQUIRES CENTRAL
1
- 350.00
- 350.00T
STATION MONITORING CONTRACT
ELECTRICAL PERMIT for ALARM SYSTEM
1
165.00
165.00
ONE YEAR PARTS AND LABOR WARRANTY ON NEW ALARM
EQUIPMENT - (EXCLUDES ACTS OF GOD, WATER DAMAGE ETC)
Central Station Alarm Monitoring thru Cellular Wireless Network - U.L.
1
250.00
250.00T
Approved LOCAL Central Station - Transmits "Full Data" - All Alarms,
Troubles, Restores etc. - WITH NO LAND -BASED PHONE LINE -
$250.00 Installed + $44.00 PER MONTH CENTRAL MONITORING FEE -
CELL UNIT IS PROPERTY OF SECURITY TECH, Inc. -
SALES TAX (0.0 %)
$0.00
THANK YOU FOR ALLOWING SECURITY
TECH, INC TO QUOTE YOUR SECURITY
Subtotal $2,440.00
TOTAL $2,440.00
NEEDSI
PRINT NAME — I
Page 2
SIGNATURE
OP ID: M1
CERTIFICATE OF LIABILITY INSURANCE
DATE (MMIDDIYYYY)
09127/2012
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 poilcy(les) 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 endorsemen s .
PRODUCER Phone: 954.735 -5800
Gateway insurance Agency Fax: 954-738 -2852
Fort Lauderdale Branch
2430 W. Oakland Park Blvd.
Fort Lauderdale, FL 33311
co TACT
PH Al c NO
ME
A DRESS:
PRODUCER SECTE03
OUST
OMER
INSURER(S) AFFORDWGCOVERAGE
NAIC#
EACH OCCURRENCE.
INSURED Socurity Tech, Inc.
INSURERA: FOCI Insurance Company
33472
Attn: Mr. Gene Foley
INSURER B:Philadelphia Indemnity Ins Co
18058
4210 SW 24th St
Ft Lauderdale, FL 33317
INSURER C:
E&Olncl
INSURER D
$ 2,000,000
INSURER E :
PRODUCTS - COMPIOP AGG
$ 2,000,00
INSURER F
$ exclude
B
rrUICOArace f- VOYICIrATC kit 16ARCra• RFVISIt NINIIMRER:
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.
SIR
TYPE OF INSURANCE
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
S
POLICY NUMBER
POLICY EF
MMIDD
LIMITS
rB
- GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CUVMS-MADE OCCUR
940 9*_
PHPK773723
09/2812012
0912812013
EACH OCCURRENCE.
$ 1,000,00
PREMISES ow,,� Ce
$ 100,00
MED EXP one rson
$ 8,00
PERSONAL B ADV INJURY
$ 1,000,00
X
E&Olncl
GENERAL AGGREGATE
$ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY X PRO- Loc
PRODUCTS - COMPIOP AGG
$ 2,000,00
Emp Ben.
$ exclude
B
AUTOMOBILE
X
X
LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON- OWNEDAUTOS
PHPK773723
0912812012
09128/2013
COMBINED SINGLE LIMIT
(Ea accident)
$ 11000,00
BODILY INJURY (Parperson)
$
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
(Per accident)
$
$
$
UMBRELLA LIAB
EXCESS LIAR
OCCUR
CLAIMS -MADE
EACH OCCURRENCE
$
AGGREGATE �
$
DEDUCTIBLE
RETENTION
$
$
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPMETORIPARTNERIEXECUTIVE YIN
OFFICERIMEMBEREXCLUDED?
(Mandatory In NH)
IFyyes dosedbe under
OESGtRIPTION OF OPERATIONS below
NIA
001 WC12A54342
0912812012
09/2812013
X WC STATU OTH
E.L. EACH ACCIDENT
$ 1,000,000
E.L. DISEASE -EA EMPLOYE
$ 1,000,000
E.L. DISEASE - POLICY LIMIT
I $ 1,000 000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, it more space is required)
ncorrrrrnrcUnr nco r_AMI'r -I I ATInId
M1ASH01
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Miami Shores Village
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
Building Department
10050 N.E. 2nd Avenue
AUTHORIZED REPRESENTATIVE
Miami Shores, FL 33138
940 9*_
0 1888 -2009 AUURL) GUKPUKA I IVN. All rlgnTS reserves.
ACORD 26 (2009109) The ACORD -name and logo are registered marks of ACORD