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EL-15-184
0 � Miami Shores Village BuildingDepartmentn13YY. E��r' 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 7 Zg15 Tel: (305)795.2204 Fax: (305)756.8972 INSPECTION'S PHONE NUMBER: (305)762.4949 BUILDING Permit No. _ PERMIT APPLICATION Master Permit No.�r FBC 20 Permit Type: Electrical o OWNER:Name(Fee Simple Titleholder): Phone#: Address: 2-6 9 City: State: Zip: Tenant/Lessee Name: Phone#: Email: JOB ADDRESS: ZOv k� Ct/ S / City: Miami ShoresCounty: Miami Dade Zip: f('- 3�S Folio/Parcel#: e-L?6" ��^ yso Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: f"��P_C-� !eo:N' Phone#: Address: 1 i � t City: Tne o 1 -, c� State: Zip: 46240 240 Qualifier Name: "S�h�ly[� ( rt? Phone#: kil(2_502;355ri State Certification or Registration#: CC j 2 Certificate of Competency#: Contact Phone#: [7C�� -���� Email Address: r r-A(Q&emderdt i-ec4.com DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: $ "1�. S pare/[,inear Footage pf Work: Type of Work: DAddress -DAlteration; w4v ' ❑Repair/Replace ❑Demolition Description ` k: V-gos t ah n `LL P 112 � R l Ar t'n g[� t'� r �,r�+�ot'�tk b�t'•S_�illfE9t 1.i9�>t-4 ***************************************Fees******************************************** Submittal Fee$ Permit Fee$ ®fir®b CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ Structural Review$ TOTAL FEE NOW DUE$ Bonding Company's Name(if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name(if applicable) Mortgage Lender's Address T 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 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 reinspection fee will be charged. Signature C —�_ Signature Owner or Agent Con actor r The fore in in�ttument was acknn I dgf d b fore�'tthis The foregoin in ti nt was acknowledged before me this day of� (� 20 by/�C�l�/ �fT / day of 2Q6 ,by is rsonally known =.�ation o has produced who is personally known to me or who has produced 4,V t t�J sand who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: Raul Baster NOTARY PUBLIC: NOTARY PUBLIC Sign: 41vt STATE OF FLORIDA Si11 FF032420gn: 0 AA Print: 7 �yires MAW? Print: My Commission Expires: My Co s. XO.4 N A30V1s -17,14d. ************************************************************************************************************ APPROVED BY '5� ��'`� N Plans Examiner Zoning Structural Review Clerk (Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) 10/20/IOt? Property Search Application-Miami-Dade County EMS 10.9 NJ 0 U 5 9 5 OR sm Ar 11 ' i 1OFFIULU'2 � THE PROrE I T RAISER �. sy..Yv'y. Summary Report Generated On: 10/20/2014 Property Information Folio: 11-2136-013-1450 Property Address: 126 NW 104 ST JOHN J OSTROWSKI Owner DALE C OSTROWSKI Mailing Address 126 NW 104 ST MIAMI,FL 33150 Primary Zone 0800 SGL FAMILY-1701-1900 SQ Primary Land Use 0101 RESIDENTIAL-SINGLE FAMILY: 1 UNIT Beds/Baths/Half 312/0 Floors 1 Living Units 1 Actual Area 1,893 Sq.Ft t 932 Living Area 1,640 Sq.Ft Adjusted Area 1,766 Sq.Ft Lot Size 9,150 Sq.Ft Taxable Value Information Year Built 1947 2014 2013 2012 County Assessment Information Exemption Value $50,000 $50,000 $50,000 Year 2014 2013 2012 Taxable Value $167,809 $114,716 $127,996 Land Value $98,074 $44,981 $44,981 School Board Building Value $119,735 $119,735 $133,015 Exemption Value 1 $25,000 $25,000 $25,000 XF Value $0 $0 $0 Taxable Value 1 $192,809 $139,716 $152,996 Market Value 1 $217,809 $164,716 $177,996 City Assessed Value 1 $217,809 $164,716 $177,996 Exemption Value $50,000 $50,000 $50,000 Taxable Value $167,809 $114,716 $127,996 Benefits Information Regional Benefit Type 2014 2013 2012 Exemption Value $50,000 $50,000 $50,000 Homestead Exemption $25,000 $25,000 $25,000 Taxable Value 1 $167,809 $114,716 $127,996 Second Homestead Exemption 1 $25,000 $25,000 $25,000 Note:Not all benefits are applicable to all Taxable Values(i.e.County,School Sales Information Board,City,Regional). Sale ious Price O Paook _ Qualification Description 9 Short Legal Description 05/31/2013 $280,000 28669-2473 Qual by exam of deed MIAMI SHORES SEC 5 PB 10-47 2008 and prior year sales;Qual by exam LOT 4&E1/2 OF LOT 5 BLK 127 03/01/2005 $400,000 23428-3709 of deed LOT SIZE 75.000 X 122 OR 21291-2530 05 2003 1 05/01/2003 $258,000 21291-2530 2008 and prior year sales;Qual by exam COC 23428-3709 03 2005 1 of deed 10/01/2000 $114,000119338-1083 2008 and prior year sales;Qual by exam of deed The Office of the Property Appraiser is continually editing and updating the tax roll.This website may not reflect the most current information on record.The Property Appraiser and Miami-Dade County assumes no liability,see full disclaimer and User Agreement at http://www.miamidade.gov/info/disclaimer.asp Version: R 1 `5ORE,,r• {`l .... .....M Miami shores Village Building Department Ft R 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305)795.2204 Fax: (305)756.8972 _CONTRACTORS' REGISTRATION ALL CONTRACTORS MUST PROVIDE COPIES OF LICENCES AND INSURANCES EACH TIME A PERMIT IS SUBMITTED. IF CONTRACTOR I WRM�� .�EtBRTIFI bNTRACTOR: A. COPY OF QUALIFIER'S STATE LICENCES B. COPY OF LOCAL BUSINESS TAX RECEIPT C. /R COPY OF LIABILITY INSURANCE* D. COPY OF WORKERS COMPENSATION INSURANCE* IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICE OF COMPETENCY OF QUALIFIER B. COPY OF LOCAL BUSINESS TAX RECEIPT B. COPY OF STATE REGISTERED CONTRACTOR LICENSE OR MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT. C. COPY OF LIABILITY INSURACE* D. COPY OF WORKERS COMPENSATION INSURANCE* *YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE AS FOLLOW: Certificate Holder: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES,FL 33138 i s#must specs a c� tion+ pperations or contrk lic,nse rout belt ■:wr.■..wwwwwl.':ywwwwwawwwwwwwwwwwwwwwwwwwwwwwwwwrww.wwwwwwwwwwwwwwwwwwwwwwwww,w wwwww�wwawwwrrwwaw BUSINESS NAME: Q �,em/Q.t s (',t.V\;t�t., ,pa rx.4 A ffi p 4- `� n&' QMY BUSINESS ADDRESS: ';150 'Pt-6f1l1., W" S- Or- CITY 614A STATE i(y ZIP CODE �4 0 24 0 S zoo BUSINESS PHONE: 3( Imo ) -7 r 3 — Qi D q -4 FAX NUMBER(3 n ) 5(v-4 -1154 1 CELL PHONE ( ) QUALIFIER'S NAME: QUALIFIER'S LIC NUMBER: ft, I S O D S 4 20 dE STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD (850) 487-1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 SORRELL, JOHN DOUGLAS PROTECT YOUR HOME 1125 EAST OLD HEARTHSTONE CIRCLE COLLIERVILLE TN 38017 Congratulations! With this license you become one o�ffis near +one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses rangeSTATEOF FLORIDA" from architects to yacht brokers,from boxers to barbeque restaurants, DEPARTM T F BUSINESS AND and they keep Florida's economy strong. PROF ULATION Every day we work to improve the way we do business in order to EC1300,3427� _` 711 7/2014 serve you better. For information about our services, please log onto ' f www.myfloridalicense.com. There you can find more information CEF t 7ED EAOR about our divisions and the regulations that impact you, subscribe CRRLL,J to department newsletters and learn more about the Department's initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly. j We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, tS G16, bhe isFons or cn.aas Fs , ner and congratulations on your new license! .e,W dige auo31.2016_ L140717DO01396 � DETACH HERE RICK SCOTT, GOVERNOR KEN LAWSON, SECRETARY - _ STATE-OF-FLORIDA - DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS4LICENSING BOARD _ L e s ma m z EG1300342 _. . The ELECTRICAL CONTRACTOR Named belowlS CERTIFIE[? lip- Underfhe provislonzfiChater489 FS, =" TM wu ExpiratioridoW' RUG-al 2016. SORRELL;JOHN DOUG "sy ■ ■ 0 PRIORLY WHO x h ' INDIANAPOLIS -4"24b s _ a _ k i��i iFn 07/17r5)ma nmpl AY AR RF01 JIRFn RY I AW SEQ# L1407170001396 Client#: 12385 DEFESEC ACORD,. CERTIFICATE OF LIABILITY INSURANCEDATE(MMIDD/YYYY) 9/29/2014 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 NAME:CONTACT Liz Higgins MJ Insurance, Inc. PHONE 317 805-7646 FAX 317 805-7515 PO Box 50435 E-MAIL(A No,Ext: AIC,No ADDRESS: elizabeth.higgins@mjinsurance.com Indianapolis,IN 46250-0435 317 805-7500 INSURER(S)AFFORDING COVERAGE_ _ _ NAIC#_ INSURER A:Philadelphia Indemnity Insuranc 18058 INSURED INSURER B:Travelers Property Casualty Co. 25674 Defender Security Company Travelers Indemnity 3750 Priority Way S. Drive,Suite 200 INSURER C: Com an p Y 25658 Indianapolis, IN 46240 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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 SUB POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER MM/DD/YYYY MMIDDIYYYY A GENERAL LIABILITY PHPK1193345 07/01/2014 07/01/2015 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY _PREMISES_Ea Deco ence $100,000 CLAIMS-MADE I:x OCCUR MED EXP(Any one person) $5,000 X ALARM E&O PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 X POLICY PRO LOC $ JECT A AUTOMOBILE LIABILITY PHPK1193345 7/01/2014 07/01/201 COMBINED SINGLE LIMIT Ea accident $1,000,000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNEDIXXPHYS SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS X HIRED AUTOS NON-OWNED PROPERTYDAMAGE $ AUTOS Peraccident DAMAGE COMP DED:$500 COLL DED$1,000 $ A X UMBRELLA LIAB X OCCUR PHUB463786 7/01/2014 07/01/2015 EACH OCCURRENCE $1O 000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $10,000,000 DED I X RETENTION$10,000 _ $ WORKERS COMPENSATION WC STATU- OTH- B AND EMPLOYERS'LIABILITY TC2JUB1108L22614 0/07/2014 10/07/201 X T RY LIMIT ER YIN ANY PROPRIETOR/PARTNER/EXECUTIVETRKUB1108L46014 E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? � N/A (Mandatory in NH) 3A STATES INCL ALL EXCEPT M 3NOLISTICE.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under 3C STATES EXCL D DESCRIPTION OF OPERATIONS below ,OH,WA WY E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) NAMED INSURED CONTINUED:dba PROTECT YOUR HOME; dba HOME DEFENDER; dba DEFENDER;dba DEFENDER DIRECT;dba ADEX SECURITY; DEFENDER HOLDINGS,INC.; DPL ONE,LLC; DPL TWO,LLC; HOME DEFENDER, INC.; DEFENDER SECURITY CANADA,INC.; DOTHOME ACQUISITION GROUP,LLC; DOTHOME, LTD NAMED INSURED CONTINUED FOR WORK COMP ONLY: DEFENDER SECURITY COMPANY;TRUE.HOME I HEATING COOLING,INC. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Miami Shores Village Bldg.Dept. ACCORDANCE WITH THE POLICY PROVISIONS. 10050 NE 2nd Ave. Miami, FL 33138 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S649395/M649042 EAH . Client#: 12385 DEFESEC YYYY) ACORDTM CERTIFICATE OF LIABILITY INSURANCE 9/29DATE(M12014 M/DD/MIDDI 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 CONTACT NAME: Liz Higgins MJ Insurance,Inc. PHONE 317 805-7646 (AIC No,Ext): A/C,No): 317 805-7515 PO Box 50435 Indianapolis, IN 46250-0435 ADDRESS: elizabeth.higgins@mjinsurance.com 317 805-7500 _ ___ INSURER(S)AFFORDING COVERAGE _ NAIC# INSURER A:Philadelphia Indemnity Insuranc 18058 INSURED INSURER B:Travelers Property Casualty Co. 25674 Defender Security Company Travelers Indemnih�Company 25658 3750 Priority Way S.Drive,Suite 200 INSURER C: `7 P Y Indianapolis,IN 46240 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 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 SUB POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER MM/DD/YYYY MM/DDIYYYY A GENERAL LIABILITY PHPK1193345 7/01/2014 07/0112015 EACH OCCURRENCE $1,000000 JXALARM OMMERCIAL GENERAL LIABILITY pAMA E7 RENTEDPREMi ES Ea occurc.c $100,000CLAIMS-MADE LJ OCCUR MED EXP(Any one person) $5,000 Ebro PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 X POLICY PRO JECT LOC $ A AUTOMOBILE LIABILITY PHPK1193345 0710112014 07/01/201 COMBINED SINGLE LIMIT Ea acce idnt $1,000,000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident X PHYS DAMAGE COMP DED: $500 COLL DED $1,000 $ A X UMBRELLA LIAR X OCCUR PHUB463786 7/01/2014 07/0112015 EACH OCCURRENCE $10,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $10,000,000 DED I X1 RETENTION$1O 000 _ $ B WORKERS COMPENSATION TC2JUB1108L22614 0/07/2014 10/07/201 X IN STATU- OTH- AND EMPLOYERS'LIABILITY T RY LIMITS ER Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE TRKUB1108L46014 E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBEREXCLUDED) N/A (Mandatory in NH) 3A STATES INCL ALL XCEPT M WFOLISTICE.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under 3C STATES EXCL DOH DESCRIPTION OF OPERATIONS below , ,WA WY E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) NAMED INSURED CONTINUED:dba PROTECT YOUR HOME;dba HOME DEFENDER;dba DEFENDER;dba DEFENDER DIRECT; dba ADEX SECURITY; DEFENDER HOLDINGS,INC.; DPL ONE, LLC; DPL TWO,LLC; HOME DEFENDER, INC.; DEFENDER SECURITY CANADA,INC.; DOTHOME ACQUISITION GROUP,LLC; DOTHOME, LTD NAMED INSURED CONTINUED FOR WORK COMP ONLY: DEFENDER SECURITY COMPANY;TRUE.HOME I HEATING COOLING, INC. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Miama Shores Village ACCORDANCE WITH THE POLICY PROVISIONS. Community Development 10050 NE 2nd Avenue AUTHORIZED REPRESENTATIVE Miami Shores, FL 33138 n ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S649394/M649042 EAH 004403 usiness Tax Receipt �OO ,g State'; of Florida 4�� ` t M'ratTll--DadIS�SO NOTA BILI - DO NOT PAY 600500' a,�elar No EXPIRES 2015 BUSINESS NAIVIE/LOCATION 'RENEWAL SEPTEMBER 30, 83$$098 Must be displayed at place, ode business 79 ST Pursuant to County 3901 NW Chapter 8A-Art 9&10 DORAL FL 33166 v SEC.TYPE OR BUSINESS PAYMENT ItECEiVED N OWNER 196 ELECTRICAL CONTRACTOR BY TAX GOLIECTOR F, DEFENDER SECURITY COMPANY- EC13003427 $45.00 07/30/2014 CHECK21 X14-039063 Worker(s) 3 with any 9overame t o caatitna pgrpent of the Local Business,Tax,The Receipt is not a License This loch eusiness7ex Bs"ip �Y 1 uletory laws a requiremsats which apply to the beaiaea. Cede Sectie-216• Ibis per1 certilicetio¢dt holde�a msliflcations to hi h aures:.Boidar must copy or eonquvarnmenta tall le onailGo eercial vehicles The RECEIPT NO.above must 6e disp 9 f For more itdaasadon.visit _