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ELC-12-2325Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL `^ i Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-184555 Permit Number: ELC-12-12-2325 Scheduled Inspection Date: January 23, 2013 Inspector: Devaney, Michael Owner: , Job Address: 9475 NE 2 Avenue Miami Shores, FL 33138 - Project: <NONE> Contractor: TYCO INTEGRATED SECURITY Permit Type: Electrical - Commercial Inspection Type: �h Work Classification: Addition/Alteration Phone Number Parcel Number 1132060133760 Phone: (954)266-5063 tsmiaing uepartment comments CONNECT BURGLAR ALARM AND CCTV FOR ATM Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction ❑ Needed Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. January 22, 2013 For Inspections please call: (305)762-4949 Page 30 of 34 d IV VI -t9 c BUILD FBC 20 ID Permit Type: Owner's Name ( Owner's Address City)" l2 Tenant/Lessee NE Email Job Address City FOLIO / PAR Is Building Hi Contractor's C, Contractor's Ad \ V\ City Qualifier Name State Certificate Contact Phone �- ►� Miami Shores Village: �1 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 G APPLJCATId'N KLECT�ICAL ee Simple Titleholder) >i .c73 Z 0 G r&-1 1.7 � D E C 10 2012 Per 't No.`'�-��'�d��� Master Per it Nocr, State 1 e Zip the work �� being done) Phone # _ Phone # _ ni Shores Village County Miami=Dade Zip Name Name No. Phone # E'' Flood Zone ' State Zip ?3I0-,4-5 �i Phone # v ,Q —wp - � uQ3 11 -�n lc - p Certificate of Competency No. E-mail ft® S -r �-T _ � Y✓1 Phone # Value of Work Fpr this Per t$ ® �Square / Linear Footage Of uWork: Type of Work: ❑Additional! \ $ alteration ❑New ❑ Repair/Replace El Demolition Describe Work: �110 [` ym\D �f7t 1f �` 79�' s j�,fvn 1 Cr Cr Cs" o �� M Submittal Fee $, �W: Notary $_ Scanning $_ Double Fee $ Structural Ri Permit Fie $ CCF $�'� CO/CC $_ Training/Education Fee $ Technology Fee $ on $, DPBR $ and $ Violation date: $ Total Fee Now Du $ See Reverse side -� Bonding Company's Name (if a cable) _ Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Zip -b 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 re -inspection fee will be charged. � Signature • A,�.r Owner or Agent The foregoing instrument was acknowledged before me this day ofoz,671h,020 �by J ftp �V, who ' ersona own to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: 2p �� Notary Public State of Florida My Commission Expires: 1► Nicole Glass or ".0. E pees 0/05/20E14 ommission 0 325 8 7 APPROVED BY (Revised 07/10/07)(Revised 06/10/2009) Signature. The foregoing instrumenTwas acknowledgedbefore me this day of , 20 D by Mjj& r LW -\(n , who is personally known to me or who has produced )6MW i\ as identification and who did take an oath. (/ 4LOe /G 11!5P 7� Plans Examiner Engineer NOTARY PUBLIC: SigNi Print:) �Ir01AN%r 41 ARY PUBLIC -STATE OF FLORIDA B&CMy Commission ExpireT,,,, rly Drouillard WCouttrli�stoa # 11110893 ,,,,,�,••Expires' JULY 11, 2015 * � ,TLANTICBONDBq(;V0,INQ Zoning Clerk checked Property Information Current Previous Folio 11-3206-013-3760 Property Address 9475 NE 2 AVE Owner Name(s) BANK OF AMERICA NA 13510 BALLANTYNE CORP PLACE Mailing Address 9475 NE 2 AVE CHARLOTTE NC 28277 Primary Zone 6100 COMMERCIAL - NEIGHBORHOOD Use Code 0013 OFFICE BUILDING Beds/Baths/Half 0/0/0 Floors 2 Living Units 0 Adj. Sq. Footage 20,067 Lot Size 35,425 SQ FT Year Built 1962 Legal Description MIAMI SHORES SEC 1 AMD PB 10-70 LOTS 13 THRU 17 INC BLK 28 LOT SIZE 35425 SQUARE FEET OR 22766-0601 10 2004 6(3) COC 25801-4510 07 2007 6 (3) OR 25801-4510 0707 03 Assessment Information: Current Previous Year 2012 2011 Land Value $779,350 $779,350 Building Value $448,108 $448,108 Market Value $1,227,458 $1,227,458 Assessed Value $1,227,458 $1,227,458 Exemption Information: Current Previous Year 2012 2011 Homestead $0 $0 2nd Homestead $0 $0 Senior $0 $0 Veteran Disability $0 Civilian Disability $0 $0 Widow(er) $0 $0 Disclaimer: MIAMI-DADE COUNTY OFFICE OF THE PROPERTY APPRAISER PROPERTY SEARCH SUMMARY REPORT Honorable Pedro J. Garcia Property Appraiser A Aerial Photography 2012 N Taxable Value Information: Current Previous Year 2012 2011 Exemption/Taxable Exemption/Taxable County $0 / $1,227,458 $0 / $1,227,458 School Board $0 / $1,227,458 $0 / $1,227,458 City $0 / $1,227,458 $0 / $1,227,458 Regional $0 / $1,227,458 $0 / $1,227,458 Sale Information: Date Amount Recording Qualification Code Book -Page 7/2007 $1,225,000 258014510 Other disqualified 10/2004 $1,825,000 22766-0601 Other disqualified The Office of the Property Appraiser and Miami -Dade County are continually editing and updating the tax 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 website 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 for any 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 hftp:/Avww.miamidade.gov/info/disclaimer.asp. Property information inquiries, comments, and suggestions email: pawebmail@miamidade.gov GIS inquiries, comments. and suggestions email: gis@miamidade.gov Generated on: Thursday, November 15, 2012 IYA Letter of Authorization Project Name: FL7-988 / Shores Village ATM 9499 NE 2nd Avenue Miami Shores, FL 33138 September 28, 2012 Miami Shores Village Building Department 10050 NE 2nd Avenue Miami Shores, FL 33138 To Whom It May Concern: The undersigned on behalf of Bank of America, N.A., the owner of the property located at 9499 NE 2nd Avenue, Miami Shores, FL 33138 (the "Property"), hereby authorizes Albert Anderson of CBRE, Inc., to act as Bank of America's agent for the purpose of executing and filing any applications or documents in connection with obtaining any permits or development approvals for the Project. If there are questions or comments concerning this document do not hesitate to contact me. Sincerely, Robert Stewart Vaughn Senior Vice President 864.423.9280 STATE OF FLORIDA DEPARTMMT OF BUSINESS AND PROFESSIONAL REGULVION ELECTRIChL CONTRACTORS LICMSIIJG BOARD (850) 487-1.395 � 1940 NORTH STRFLT32399•-0783 ZACHRY, DAVID i TYCO INTEGRATED SECURITY LLC PO SOX 3042 LICENSIBOLA PATO 7D$PT FL 33481 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 Sorida's economy strong. 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.com. There you can find more Information about our divisions and the regulations that impact you, subscribe to department newsletters and Ilam more about the Department's initiatives. Our mission at the Department is: License Eftioiently, 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 licensel 1. DETACH HERE Tr=.o'F id •��;: • s•1?>jt•Oi3"�`��' ,rl+�i}'yy ESaU,'G��!� �,;:'.. 7 t;' . it t ,}JY, N.�1 •'.t,,. .e 1. �•'.. � li.:. ;ti, EF1100078r^it�1y�2Q?2803357. �.ir. .. ✓G. 1/!, �l•',}r:nr..l+• .'�'�. x,.,5:7 �� •1.: i.;�:r •� ., • N t..• 'r' C, 1 dt h: :'�,,:9,''••,�,+`,�T7F7,�i•D "i}al¢9�'i�^tiltei`:is �P1P� U;-_-' C�' ,1'i:: 2. �i r: 13.0 33yd2,7!SB tJ; 90/T0 39vd 1Qb ZET599Zb56 St7:TT ZTOZ/0T/ZT _ P. t 115 S. Andrews Ave., Rm. A-100, Ft, Lauderdale, FL 33301-1885 — 954-839-400`) VALID OCTOBER 1, 2012 THROUGH SEPTEMBER 30, 2013 I DBA: Business Name. TYCO INTEGRATED 841CURITY LLC Receipt*181 T 5,955 ,JA] �ikn7S/C01�`r b� l3usiness Type: (ALARM CONTR7.CTOR) j Owner J 45kGtit2y I Business OpeRed:t)2/08/1993 Business Location. MARKS WAY MIR AMA R State/County/CePUReg.-E ro 0 0 0 4 7 8 1 Business Phone; 561988-3600 Exemption Cade; I Rooms beats Ern 57 57 yees Machines pratesslanal$ I For Veodlmg I3i�8lntl6S only Number of Machines; Tax Amount Transfer Fee Vending Type, W5F Fee Penalty Prior Years Collection Cost Total paid 1 150.00 15.00 O. DO 0.00 A.00 0.00 155.00 ITHIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSIIIE ITHIS BECOMES a TAX RECEIPT This chis tax is levied for the privilege of doing business within Broward C ounty and is non -regulatory in nature. You must meet all County and/or Municipi lity plannin WHEN VALIDATED and zoning requiremen`t;. This Eiusiness Tax Receipt must be trans ferfed g when the business is sold, )usiness name has changed or you have moved the business location, This •eceipt does not Indicate that the business is legal or that it is in Compliance with ;,tate or local laws and regulations. Mailing Address: TYCO INTEGRATED SECURITY LLC ATTN, LICENSIN{3 DEPT "064t OIOA-11-00000:157 YO BOX 3042 Paid 09/05/2012 3,6S.0) BOCA RATON , F`Y, 31431-0942 2012 .. 2013 90/Z0 39Vd IGV Z61999Zb96 90:11 ZTOZ/0T/ZT 90/60 39ad 1QV ZETS99ZV96 Sb:TT ZTOZ/0T/ZT 'FAYNEhT RECEIVED -SaA4-DADS �yr�!G(Y'7AX :CZt1FCrOR- 08/07/2012 60120000533 000250.00 d8bt1.111 SEE OTHER SIDE r F 1IIAIIEI-0A17E C031t[TY .` ypl2 SAL 19tJ�6S TAX REMPT 1a0i8 ��_ �`': "RST-CLASS "a"we UIirY-sTATfOFFL=DA ;,•i Viµµ�. U.S.PDSTA(iE [ 1 0 W. FLAG LEA BY. EXPMS a T. 311, 3013 4':F:+�`3 PAID I 8180 &W8T'%�EE YEO ATPLAW C' BIPmm :; fti MIAMI, FL . PUR6iIA19T'#n OQEfM CODE OHAPTIRT SA - ARL, E A ' PERMIT NO. 231 .: THIS IS ROT A BILL — DO t40T PAY 366133'3 RENEWAL BUSINESS NAME; LOCATION RECEIPT NO. 385201-0 TYCO INTEGRATED SECURITY LLC DOING BUS IN DADE CO OWNER s TYCO INTEGRATED SECURITY LLC St-c-Typeof SusFne" i 217 SECURITY SYSTEMS MONITORING TM.E 16 ON_Y A L0041 :BUSIIESS TAX AECU-T. R !ODES WT FMUfF TAE 14010611 TO VRT.ATE ANY - IEu"1*15 7OR sE DO NOT FORWARD mwjh" an MIR. NOB =00X6 If EIIaFT THE FERUIH'"'OR TYCO INTWRATED SECURITY LLC IUCEM FENuv ly ucE ISE :NEO-JU,EOw LAt�.T16sIs ATTN LICENSING DEPT EWS fJ AU O= =NOf A MILDEWS ins ER•saJaLtflcFY P 0 BOX 3042 BOLA RATON FL 33431 'FAYNEhT RECEIVED -SaA4-DADS �yr�!G(Y'7AX :CZt1FCrOR- 08/07/2012 60120000533 000250.00 d8bt1.111 SEE OTHER SIDE r '`"'"'''``� CERTIFICATE OF LIABILITY INSURANCEDATE(MI]1/DD/YYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF I12 NFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. HIS 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: it the certificate holder is an ADDITIONAL INSURED, the palicy(les) must be endorsed. It SUBROGATION IS WAIVE=D, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate doas not confer rights to the Wrtlticate, holder In lieu of such endorsement(s). PRODUCER NTBhavna Chauhan Marsh USA Inc, �: 0°E 1165 Avenue of the Americas PH°NIiG, E„ tt_ (312) 395-6735 _ ,nAc. Nut, t21z) 99©-13952 New York, NY 10036 aDbbRRESS. Pie w .0 see bottom of 3 d INSURED - '- - •• ••--•• Tyco Integrated Security LLC, 10785 Marks Way Miramar, FL 33025 United States • • • _ INSURERfS) AFFORDING COVEr AGS • AIC . ---- INSURER A: COmmerce & Industry Ins Co. 19410 INSURER 8: Illinois Nalionp) InSUrance Co. 23917 INSURER C: Nail Union Fire Ins Co. of Pittsburgh, PA 19445 INSURER D: New Hampshire Iris. Co. 23841 THIS IS TO CERTIFY ThlAT` THE PDLJC133 OF INSURANCE LISTED BELOWHAVE BEEN ISSUED TO THE INSURED NAMED IABOVE OR 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, TME 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. _ JLTRR TYPE of INSURANCE ADDL SUER -- POLICY (, POLICY NUMBER MOLICY EFF MM1D0 YJ YY I - LIMITS D G> NERAL LIABILITY C3L 7146417 (Primary CL) 9/2812012 1 U/1/2Q13 EACI I OCCURRENCE E $1,000,UW.UO X COMMERCIAL GENERAL LIABILITY UZCII(J1b1't�"I €'d ECLAINI.S-MADF RFMI. F 6pj S $1,00U,0t1U.00 OCCUR MI=p IEx1? (Any opon) $ _ 6$10.000-00R'S I. COCONTRACTOR'S PRC]'I - ne ars-- " - PERSONAL & ADv INJURY $1,000,000,00 B C D D GEM. AGGREGAT6 LIMIT APPLIES PER: - N / A Y.vyuca trL) WC 043464$72 (MI) WC 04346402(CA) WC 04948401 (All UUiar 5't&ta;) WC043414673(MN) � 9/2ti/201� 9/2$/2012 Q42W012 9/2812012 19/1/2013 10/1/2013 1011/2013 '101112013 GrxNERAL A(40RF.CSATE • $ $ C C D X POLICYPRO- LOC AUTOMOSiLL LIABILITY X ANY AUTO AUTOSN�D r ACHCcUL6D � NONOCViwN p HIRED AUTOS X AUTOS CA 344724b (All Other 5t; jV.,) CA 3447251 (MA) CA 34472 4 S (VA) CA 3447252 (NH) (Primary AL) 9/2$/2012 9/2$/'[U12 , r J/G$/1D1� 9/29/201. 10/1/2013 1011/20'13 iW112U13 IOM/2013 P�OOUCTS • COMPIOP AGG - COMBINE yIN l.E LIMIT sEa accldcnn _�, $ BGDILYINJURY(Perprron) BODILY INJURY (Per accldpnt) RTYDA "-• -- EMMtP^UaRELLA �NPW 5 DESCRIPTION OF OPERATIONS I LOCATIONS I WHIDLES (Attach ACORD 101, Addklonal Remarks Sepsdule, W more .Paco Is roquiradl LI AOCCUR LIAB -"CLAIM_ .ggADE HACESL_ -rIOCCUkASNC AT PRODUCTS AGGk6G gL- -S m B C D D AND EronI,OYERs' LIA9IL1Tr YIN ANYPROPRIMBER/PXCLU 317/EXECIJTIVE (Mandatery In eER 1 XCLUGED? N� (MyyArWetory in NH) DCSCdowilNpPOPERATION N / A Y.vyuca trL) WC 043464$72 (MI) WC 04346402(CA) WC 04948401 (All UUiar 5't&ta;) WC043414673(MN) � 9/2ti/201� 9/2$/2012 Q42W012 9/2812012 19/1/2013 10/1/2013 1011/2013 '101112013 x STAT 1-1 C.L. L°ACH A(,C E.L_DISEPwE- Eclnw 9/20/2012 10/112013 E.L.DISEASE - DESCRIPTION OF OPERATIONS I LOCATIONS I WHIDLES (Attach ACORD 101, Addklonal Remarks Sepsdule, W more .Paco Is roquiradl Ple&te r•efor to arLac:hrd ACOAD 10.1 Eor furthor remarks. Miami Shores Village 10050 NE 2rttl Ave. Mlarrli Shores, FL 33'138 United States ACORD 25 (2010/05) $1,000,000,00 $2,000,000.00 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE- EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, AUTHORIZED REPMtSENTATive MAHSH USA INC. BY 01988.2010 ACORD The ACORD name and logo are rogistered marks of ACORD 90/90 39dd i(IV ZETS99Zb56 , All rights reserved. St7:11 ZZOZ/01/ZZ AGENCY Marsh LISA Inc _ POLICY NUMBER CAttklfR AGENCY CUSTOMER ID: Loc #; ADDITIONAL REMARKS SCHEDULE NAIC THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: —_ J5 FORM TITLE: CERTIFICATE OF LIASIL NAMEDINsuRCD Tyco Integrated Security I.I.C. 10785 Marks Way Miramar, FL 33025 United States EfFFCTIVE DATE: MOAKUING POL,Tr,'1'8;1 OF TN$UkANCE: 116—or Policy Number-(;;) WC 043454674 (MA, ND, ON, WA, WI, Wy) ELr-,'otive Date(tl) Expiratiow, Date(s) WC 04)3464575 (r.-ro ;A,PA,SC.') 9/28/201' 10/1/2013 9/20/2iY1'L ZD/1/$U13 EdGARDING WC)TICE OF CANCdLLATION 'M ClrRTIFICYI'1'L )IOLDERri; 11r ,;ndorseMent modifier, Lhr, notice of cancel""'on of iueurd"W prov.i -d horcaunder: Mould any of: the above dosoribed policies be cancelled, art•.her that, for non-paymernt OE premium, betorc the cpiration date Lhoreof, 30 c4tys advice of car,e.'114rt•ion will be. delivered to certificate holdars in ,cordancG with the prrlicy end0r•.-jjMents. J other texaw ,grid condJ I. i rens of Lh.i;s Policy rrmain unchunHad, FOR QUESTIONS REGARDING THIS CERTIFICATE OF INSURANCE CONTACT: Ecvwrly POSt (Email: bposttwadt.com phone; 954-266-$063) page 2 of &- ___—------ —_..---- _.----- —------- THIS CERTIIICATg OF INSURANCE WAS GtNERATED AND DEUVERED BY EXIGIS RiukWorkmW rm.G&("rji4ieLunu:1 Bus+nr'. PPucouu Autwn4114,n for Rink Managurnunt, tn.t,runca, and Tradd F41ah66 r6186m what 6xIC15 own do tar ynw• twdinnrx M1 WdViu.com pr Call 800.028.1983 ACORD 901 (2008/00 © 2008 ACORD CORPORATION, All rights reserved. Tho ACORD name and logo are registered marks of ACORD 90,x+90 39dd i(IV ZET999Zb96 5tp : TT ZTOZ/0T/ZT