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EL-15-3062 on, ri Miami Shores Village ' E � 104t FrIC ;. 10050 N.E.2nd Avenue NE �& " 0y{ QI Y' W "16 Miami Shores,FL 33138-0000 4 {{ R Phone: (305)795 2204 Expiration: 06/07/2016 Issu �Oi2ti'1 Project Address Parcel Number Applicant 1379 NE 104 Street 1122320320030 Miami Shores, FL 33138-2661 Block: Lot: SUZANNE LINDHEIMER Owner Information Address Phone Cell SUZANNE LINDHEIMER 1379 NE 104 Street MIAMI SHORES FL 33138-2661 1379 NE 104 Street MIAMI SHORES FL 33138-2661 Contractor(s) Phone Cell Phone Valuation: $ 0.00 ADT SECURITY SERVICES �.. �.. __.. ._�._. �...._ Total Sq Feet: 0 Type of Work:ALARM Available Inspections: Additional Info: [Inspection Type: Classification:Residentialeview Electrical Scanning:0 Fees Due Amount Pay Date Pay Type Amt Paid Amt Due DBPR Fee $0.00 Invoice# EL-12-15-58012 DCA Fee $0.00 Permit Fee-Additions/Afterations $55.00 05/19/2015 Check#:086512 $55.00 $0.00 Total: $55.00 Applicant Copy For Inspections, Call (305) 762-4949 or Log on at https://bldg.miamishoresvillage.com/cap/. Requests must be received by 3 pm for following day inspections. NOTICE: In addition to the requirements of this permit, there may be AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER additional restrictions applicable to this property that may be found In GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT the public records of this county. DISTRICTS,STATE AGENCIES,OR FEDERAL AGENCIES. December 10,2015 2 r George Mangineili ADT Security Services EF0001121 10785 Marks Way SecurityMiramar,FL 33025 i ce s Tel: 954-266-5066 Direct:954-266-5275 Fax: 954-266-5180 miramarpermitdeptP-adt.com UNIFORM NOTICE OF A LOW-VOLTAGE ALARM PROJECT fq PERMIT.LABEL.#..(IEREQUIRED. DATE PROPERTY ADDRESS: k3ri-1 tta A04 'sx - CUSTOMER'S NAME: 4 CUSTOMER'S ADDRESS; CITY: -STATE STATE FL ZIP CODE: TELEPHONE EMAIL ADDRESS, CONTRACTOR:ADT SECURITY SERVICES ADDRESS: 10785 MARKS WAY, MIRAMAR, FL 33025 TELEPHONE#954-266-5066 FAX#954-266-5180 EMAIL: MIRAMARPERMITDEPT(a)ADT.COM QUALIFIER; GEORGE MANGINELLI STATE LICENSE NUMBER : EF0001121 1 DATE_PROJECT COMPLETED A V + l{ 4i SCOPE OF WORK: (, i` LOW \/Dt EA Ur -_,--N.OTIO.E-LS.HERE.BY.GI_VEN THAT A L,Ot11fNQ)_TAGE ALARM,SYSTEM PROJECT HAS BEEN COMPLETED AT THE" DQ SS-SPE'CIFI D VI=. = - i' t I QUALIFIER'S SIGNATURE i ill �f STATE OF FLORIDA RTMENT Of USIN S AND �Ro � 1OAL REGULATIOi�I bEPA 850)487-1395 ' ELECTRICAL CQNTRAC'TORS,LI.CENSiNf3 BOARD .. OE STREW(' 190 NORTH MOR�1 TALLAHASSEE FL3p 3.99-07-83 f f_i GEORaE A MANO E4 1 ADfi 8 UAW—SERVICES Ate;LICENSING DEP'(' s�ocA RATO' FL 3 4 1 CongratUteti#rrs! wflh this•,Iteen s Ybu b�aattl�a►i®qf the tt tUrly d b e DspwiErt►ent•of Business and TAT F>rLORIDP+ , oris mUffolt Ftoridiaris fit�rtap Y BUSINESSA Prnfesslofiaf Reggwlatlgrt. Dur ®�afattais and buainosses rUngd. �f� �a,.��IATtO�' ` fxorn�raPrf�t��a yacht braRe s,fram baxefs#a barbagrae restawran#s; ��. . Qf��3�� ,��. �°. � � and they keep lodda's economy I�trong; :. 612 12014• ', EE0�.101121 Every day Wa w4rk to irr�pprove;the wayiA►e rao tius(ness 1n ofd®r"to ,; r �.�. serve Ynu better Fcsf ftsiorrri€ fon abbot our services,please fog onto ¢x r w�uw t>ryflc�rldalfaansd cont.There yap can find jnara intarm lion t3 T A ELL-1 Y I ns arrd the istdonsthatimpp�yoU,subsare fQ� fEtzi.t, r x 4 �6owt gur dfuffoteatn traore abaltt th8 l7epbr#a►ettys Ate r SECURI to dept�rtment nevuaietlers ,�° t lat�i t=afrly, . Durmisstonat,the Depattrr+Qr►ttt tea t. can serve y4ar x Is;G RTS iHo.undArttLe Fro�jsiona of 6h 440827 r, We constardt strive to serYb CuY Lt$� Wstomers. Wldhk you for do riga buein sir+Flan A, auc�sti ams and 6.6tioratdiptions on your new license! DETACH WERE X(N LAWS(^SECRETARY R16K SC©TT,t3NthNfli �@ d M ..w..+.�.� �...rr..<..sR...._.r.•.w r� YCVrG � ,aaX.�lh`K7Vli9lIh�� f DEfART- 0- .-$.$ > L at_16� o� K��t 44,�p�{+.d ("�(,�{ �¢�/,•�+,�x+s(+� ��ry Y. t �,�,s iV i � ` y,,,.� 7 J✓yir� � Y.IJATa 1!`ll.l i/R t. *i��"� �' �k � a �. .t •ti T�l►P. ♦.,� t:1 iii L1�� `'c �1'.t� h$ , i ♦��i Cv. I'''t& MOO1�2 1� ��n�•di&b4 �k' S _ .w..,.•` a `t � Y .i �°'4t' oS�`A✓ 7 �'� ��+s. w'''�a S�,. +��'4�° L 'iax ••. No tc 's:;x, a � '' •., �' a.'S tea �t�•tr r �r r j6i .''rx'€�.$�(?�•�% �. ia.�� l �," b'�yl.„� zk�!'�,w�,�4 �4 "�'y'47R 5 eZ;.."� ya .'�' .0� `b"�:�' ;`,e•,�'��i.�l +A "( --� •.4F:d. .t�.. 'r� :S s:?. N`•7c'�-.ay+. f, !ty ,i� ,... ..... .f.t4os24aoots27 REQ •UIRED 13Y LA -� • I�fSp"LAY AS .1�:3UEp: 08l24t20t mom BROWARD COUNTY LOCAL 13USINESS TAX RECEIPT 115 S.Andrews Ave„Rm.A-400, Ft.Lauderdale,FL 33301-1895-954-831-4000 VALIDOCTOBER 1,2015 'THROUGH SEPTEMBER 30,2016 ®BA: Receipt#.,1W8El-TV3: Ll/ ALAR4s/coNTRAc` ADT SECURITY SERVICES Business TWiO:tCERTIFI= ALARM SYSTEM Business Name: CONTRACTOR Il Owner Name:GEORGE A MWGINFIZI Business 000ned:06/29/2 012 Business Location:10785 MARKS WAY State/County/Cert/Reg:EF0001121 MIRAMAR Exemption Code: 3 Business Phone:954-26-6,;:5176' 2 Rooms seats Employees Machines Professionals 1 for Vending l3"QasJ0nig ii;u8r Taz ArnQunt Transfer Fee = 1=ee tenaity Prior Y Collection Cosi Total Pald 27.00 0.00 fl.fl0 0'.0t7 O.t1fl 0.00 27.00 r, . 4. s, j THIS RECEIPT MUST BE POSTED CONSPiCUOUSL.Y IN YOUR PLACE OF BUSINESS THIS BECOMES A TAR RECEIPTThis tax is levied for the privilege of doing business within Broward County and is non-regulatory in nature.You roust meet all County and/or Municipality planning 1- 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 q E, it is in compliance with state or local laws and regulations. Mailing Address: ADT LLC DBA ADT SECURITY SERVICES Receipt #13s-14-00009790 ATTN: LlMSING DEPT Paid 0913.1/2015 27.00 PO' BOX 310702 BOCA RATON, FL 33431 2016 a slF � 20 pPy� 0 1 s / 1 ® DATE(MMMD/YYYY) A CERTIFICATE OF LIABILITY INSURANCE 12109/2015 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 pollcy(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 endorsement(s). PRODUCER CONTACT Marsh USA Inc. NAME: PHONE (MC,X 1560 Sawgrass Corporate Pkwy,Suite 300 Full No: Sunrise,FL 33323 Attn:FtLauderdale.Certs@marsh.com ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC# 048953-ADT-GAW-1516 INSURER A:ACE American Insurance Company 22667 INSURED INSURER B:Agri General Insurance Company 42757 ADT,LLC ADT Security Services INSURER C:ACE Fre Underwriters Co 20702 1501 Yamato Rd. INSURER D: Boca Raton,FL 33431 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: ATL-003445668-05 REVISION NUMBER: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 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 EFF POLICY EXP LIMITS LTR POLICY NUMBER MM/DD MM/DD A X COMMERCIAL GENERAL LIABILITY XSL 627400954 10/01/2015 10/01/2016 EACH OCCURRENCE $ 2,000,000 CLAIMS-MADE M OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $ 1,000,000 X SIR$500,000 MED EXP(Any one person) $ PERSONAL&ADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 X POLICY❑JET F LOC PRODUCTS-COMP/OP AGG $ 4,000,000 OTHER: $ A AUTOMOBILE LIABILITY ISA H08865073 10/01/2015 10/01/2016 COMBINED SINGLE LIMIT $ 1,000,000 Ea accident X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE $ HIREDAUTOS AUTOS Pereccident UMBRELLA UAB HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ A WORKERS COMPENSATION WLR C48593318(AOS) 10/01/2015 10/01/2016 X PER OTH- AND EMPLOYERS,LIABILITYSTATUTE ER B ANY PROPRIETOR/PARTNER/EXECUTIVE YIN WLR C4859332A(TN) 10/01/2015 10/01/2016 E.L.EACH ACCIDENT $ 2,000,000 C OFFICERIMEMBER EXCLUDED9 F-W] N/A SCF 048593331 WI 10/07/2015 10/01/2016 (Mandatory in NH) ( ) E.L.DISEASE-EA EMPLOYEE $ 2,000,000 It es,describe under 2,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached H more space Is required) Re:George Mangenelli EF 0001121 CERTIFICATE HOLDER CANCELLATION CITY OF MIAMI SHORES BUILDING DEPT 10050 NE 2 AVE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE MIAMI SHORES,FL 33138 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Manashi Mukhedee iav�ocrf,a c-nu► err- ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD