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ELC-15-975 C 0--- 1 Y , 2 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-235144 Permit Number: ELC-4-15-975 Scheduled Inspection Date: May 22,2015 Permit Type: Electrical - Commercial Inspector: Devaney, Michael Inspection Type: Final Owner: MANAGEMENT LLC,ADVANCE Work Classification: Low Voltage cl r%Dlr%A Job Address:9190 BISCAYNE Boulevard Miami Shores, FL Phone Number Parcel Number 1132060100030 Project: <NONE> Contractor: INTERLINK GROUP PROFESSIONAL SERVICES, INC. Phone: (305)591-9661 Building Department Comments LOW VOLTAGE DATA CABLING FOR ATM MACHINES. infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-235107. Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. May 21,2015 For Inspections please call: (305)762-4949 Page 20 of 36 Permit NO. Com'!5. 75 �s>• s t,� is Miami Shores Village 1 xm T Efee Cal» :o[C mercha) 10050 N.E.2nd Avenue bw SIG tagC Miami Shores,FL 33138-0000 `ti p Phone: (305)795-2204 � � .A) PR9VED "'' f Rive' Ip1 Expiration. 10127'/2015 Project Address Parcel Number Applicant 9190 BISCAYNE Boulevard 1132060100030 BRITE STONE INVESTMENT LLC Miami Shores, FL Block: Lot: Owner Information Address Phone Cell BRITE STONE INVESTMENT LLC 9190 BISCAYNE Boulevard (786)340-7513 MIAMI SHORES FL 33138- 9190 BISCAYNE Boulevard MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 1,600.00 INTERLINK GROUP PROFESSIONAL! (305)591-9661 (305)607-9880 __......_ __ Total Sq Feet: 0 Type of Work:LOW VOLTAGE DATA CABLING FOR ATM MA Available Inspections: Additional Info: Inspection Type: Classification:Commercial Review Electrical Scanning:1 Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.20 Invoice# ELC-4-15-55312 DBPR Fee $2'25 04/30/2015 Cash $0.20 $160.50 DCA Fee $2.25 Education Surcharge $0.40 04/23/2015 Check#:5839 $50.00 $110.50 Permit Fee $150.00 04/30/2015 Check#:5892 $ 110.50 $0.00 Scanning Fee $3.00 Technology Fee $1.60 Total: $160.70 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFID VIT: I certify tha II the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction an Hing. Futhermor I authorize thea ,9ve-n d contractor to do the work stated. April 30, 2015 Authorized Signature:Own / Applicant actor / Agent Date Building Department Copy April 30,2015 1 Miami Shores Village RECRINT 75 Building Department APR ' 3 2015 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 By INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20 �0 BUILDING Master Permit No. CCI ` _ 2� 14_� PERMIT APPLICATION Sub Permit No. l-� ❑BUILDING M ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION RENEWAL ❑PLUMBING ❑ MECHANICAL [—]PUBLIC WORKS [:] CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 9190 Biscayne Blvd. City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: 11 32060 100030 Is the Building Historically Designated:Yes NO X Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name(Fee simple Titleholder):Advance Florida Management LLC Phone#: 305-397-8986 Address.9559 Collins Avenue, Suite 703 City: Surfside State: Florida Zip: 33154 Tenant/Lessee Name: Bank of America Phone#: Email: CONTRACTOR:Company Name: Interlink Group Professional Services, Inc. Phone#: 305-591-9661 Address. 2170 NW 82nd Avenue City: Doral State: Florida Zip: 33122 Qualifier Name: Marc Bradford Sherman Phone#: 305-607-9880 State Certification or Registration#: ES-0000303 Certificate of Competency#: N/A DESIGNER:Architect/Engineer: N/A Phone#: Address: City: State: Zip: Value of Work for this Permit:$1,600.00 Square/Linear Footage of Work: Type of Work: ❑ Addition ❑Q Alteration ❑ New ❑ Repair/Replace El Demolition Description of Work: Low Voltage Data cabling for ATM Machines. Specify color of color thru tile: Submittal Fee$ Permrt Fee$ 1-4-0.14P,51 CCF$ CO1/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ I � (Revised02/24/2014) Bonding Company's Name(if applicable) N/A Bonding Company's Address City State Zip Mortgage Lender's Name(if applicable) N/A Mortgage Lender's Address 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 ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS,TANKS,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 b a proved and a reinspection fee will be charged. Signatur _�,. Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me-this The foregoing instrument was acknowledged before me this day of J� ' 20 r by day of 20 by 4 ® who is personally known to Q" c ho is personally known to me or who has produced as me or who has produced Ft TD as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: 6L,,Print: "/ 1Tu0 Print: Zi�e7- PSS Boris Boruk 10V Seal: Seal: •=Commission#FF164392 •,C��ApV9,�, QExpires: SEP 30,2018 i FRANZINET SANTOS � a�•'• BONDED TH - NotarYPupli 1ST FLORLDANo .• R-State of Florida WIq COMMISSion N FF 134521 APPROVED BY f, Plans Examiner oning Structural Review Clerk (RevisedO2/24/2014) 'Detail by Entity Name Page 1 of 2 Detail by Entity Name Florida Limited Liability Company BRITE STONE INVESTMENT LLC Filing Information Document Number L13000177392 FEI/EIN Number N/A Date Filed 12/27/2013 Effective Date 01/01/2014 State FL Status ACTIVE Principal Address 9559 collins ave suite 703 surfside, FL 33154 Changed: 01/02/2015 Mailing Address 9559 collins ave SUITE 703 surfside, FL 33154 Changed: 01/02/2015 Registered Agent Name&Address advance florida management Ilc 9559 collins ave suite 703 surfside, FL 33154 Name Changed: 01/02/2015 Address Changed: 01/02/2015 Authorized Person(s) Detail Name &Address Title MGR ADVANCE FLORIDA MANAGEMENT LLC http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entity... 4/21/2015 Detail by Entity Name Page 2 of 2 9559 collins ave 703 surfside, FL 33154 Annual Reports Report Year Filed Date 2015 01/02/2015 Document Images 01/02/2015 --ANNUAL REPORT View image in PDF for 12/27/2013-- Florida Limited Liability View image in PDF format Copyright 6 and Priv Policies State of Floslda,Department of State http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entity... 4/21/2015 Detail by Entity Name Page 1 of 2 1E ! nv5 Detail by Entity Name Florida Limited Liability Company ADVANCE FLORIDA MANAGEMENT LLC Filing Information Document Number L13000017618 FEI/EIN Number N/A Date Filed 02/04/2013 Effective Date 02/01/2013 State FL Status ACTIVE Principal Address 9559 collins ave suite 703 surfside, FL 33154 Changed: 01/02/2015 Mailing Address 9559 collins ave suite 703 surfside, FL 33154 Changed: 01/02/2015 Registered Agent Name &Address POLIAKOVA, ANNA 9559 collins ave suite 703 surfside, FL 33154 Address Changed: 01/02/2015 Authorized Person(s) Detail Name&Address Title MGMR POLIAKOVA, ANNA 9559 collins ave suite 703 surfside, FL 33154 http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entity... 4/23/2015 'Detail by Entity Name Page 2 of 2 Annual Reports Report Year Filed Date 2014 03/12/2014 2015 01/02/2015 Document Images 01/02/2015--ANNUAL REPORT View image in PDF for 03/12/2014 --ANNUAL REPORT View image in PDF format 02/04/2013-- Florida Limited Liability View image in PDF format Copyright 6 and Privacy Policies State of Florida,Department of Slate http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entity... 4/23/2015 5�1C.I ..•. �...� Miami shores Village L �e Building Department ORIDA 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CONTRACTORS' REGISTRATION IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. ✓" COPY OF QUALIFIER'S STATE LICENCES B. —Z�-,COPY OF LOCAL BUSINESS TAX RECEIPT C. _- ' COPY OF LIABILITY INSURANCE* D. �z COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER Affidavit) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICATE OF COMPETENCY OF QUALIFIER B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF STATE REGISTERED CONTRACTOR LICENSE OR MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT. D. COPY OF LIABILITY INSURACE* E. COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER Affidavit) *YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE AS FOLLOW: Certificate Holder: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES,FL 33138 Certificate must specify the description of operations or contractor license number. ■■rrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr■ ■rrrrrrr■ ■rrrrrrrrrrrrrrrrrrrrrrrr■ BUSINESS NAME: I a i �i { BUSINESS ADDRESS: I L? AU A!�� CITY 1 ) ? I STATE F7 ZIP /`� BUSINESS PHONECF0� FAX NUMBER) .239- 55��7 CELL PHONE) C�/� �® QUALIFIER'S NAME: MCIM cP�,o41-) �1wl)'w) QUALIFIER'S LIC NUMBER: E�j 0wo a c 0 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD (850) 487-1395 4VMNORTH MONROE STREET TALLAHASSEE FL 32399-0783 SHERMAN, MARC BRADFORD INTERLINK GROUP PROFESSIONAL SERVICES, INC. 13611 SOUTH DIXIE HWY PMB 500 PALMETTO BAY FL 33176 Congratulations! With this license you become one ofthe nearly - - one million Floridians licensed by the Department of Business and ----- Professional Regulation. Our professionals and businesses range STATE OF FLORIDA from architects to yacht brokers,from boxers to barbeque restaurants, DEPARTMENT OF BUSINESS AND and they keep Florida's economy strong. PROFESSIONAL REGULATION Every day we work to improve the way we do business in order to ES0000303 I-SSUED: 09/07/2014 serve you better. For information about our services,please log onto www.myfloridalicense.com. There you can find more information CERT SPECIALTY ELECTRICAL CONTR about our divisions and the regulations that impact you,subscribe SHERMAN,MARC BRADFORD initiatives. to department newsletters and learn more about the Department's SHERMINTERLINKGROUP PROFESSIONAL SERVI CERTIFIED AS: Our mission at the Department is:License Efficiently,Regulate Fairly. LIMITED ENERGY SYSTEMS SPEC. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, IS CERTIFIED under the provisions of Ch.489 FS. and congratulations on your new license! ExphWion dale:AUG 31,2016 u4=70003529 DETACH HERE RICK SCOTT, GOVERNOR KEN LAWS-ON.SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION --� - ELECTRICAL CONTRACTORS LICENSING BOARD ES0000303 - The SPECIALTY ELECTRICAL CONTRACTOR W,.. Named below IS CERTIFIED - - Under the provisions of Chapter 489 FS. `� y Expiration date: AUG 31,2016 AS A LIMITED ENERGY SYSTEMS SPECIALIST SHERMAN, MARC BRADFORD 0 INTERLINK GROUP PROFESSIONAL SERVICES, INC. 13611 SOUTH DIXIE HWY P1VIB 500 PALMETTO BAY FL 33176 JS ISSUED: 09/07/2014 DISPLAY AS REQUIRED BY LAW SEQ# L1409070003529 Local Business Tax Receipt Miami—Dade County, State of Florida HIS IS NOTA BILL - DO NO'1'PAY 6906573 T BUSINESS 111"M%OCATION RECEIPT NO. EXPIRES tNTERLINK GROUP PROFESSIONAL SERVICES INC RENEWAL SEPTEMBER 30, 2015 2170 NW 82 AVE#A 7182447 Must be displayed at Placa of business MIAMI FL 33122 Pursuant to County Code Chapter BA-Art.9&10 OWNER SEC.TYPE OF BUSINESS INTERUNK GROUP PROFESSIONAL 196 SPEC ELECTRICAL CONTRACTOR F"MENT 1CWED SERVICES INC ES0000303 BY TAX COLLECTOR Worker(s) 1 $45.00 07/18/2014 C-1ECK21-14-024834 This Load,Business Tfax RecefPt only ceafirms palm1ent of the Local Business Tax.The Receipt is not a Rome P or a oerdficadan ci dm holda'sguWfflcaftns,to do business.Hoklmrmwoomplywhhosygmernmealej aoullovermnemai regulatory,hone anndd r011011emaMs vifth apply to the busiaess. The RECEIPT NO.above mug be displayed an MR mummadall vehicles-M110fli-080 Cole Sec ga-W& %T more Information,0*masmkoklade�,,vkexcoll r �—� ® OP ID:EB CERTIFICATE OF LIABILITY INSURANCE D02f2ATE A1201YY) 02/26/2015 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 cartifiholder Is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WANED,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 endomemen s. PRODUCER Phone:305-238-1000 NANlEa cT Morris&Reynolds Inc. Fax:305_255_9643PHONE PAX 14821 South Dixie Highwaya N Arc No): Miami,FL 33176 Robert D.Reynolds ADDS C=C wo-INTERI-I INSU S AFFORDING COVERAGE NAIL& INSURED Interlink Group Professional INSURER A:United Specialty Insurance Co. 12537 Services,Inc. msuRER B:Brid etield Casualty Ins.Co. 10335 Mr.Bradford Sherman INSURER c:Progressive Express Ins.Co. 10193 13611 S.Dixie Highway#500 Palmetto Bay,FL 33176 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. L R TYPE OF INSURANCEim JIM POLICY NUMBER EXP LUMM GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 A X COMMERCIAL GENERAL LIABILITY USA4058281 07113/2014 06117/2015 PREMISES a oaamer� s 100,00 CLAIMS-MADE ®OCCUR MED EXP(Any are person) S 10,000 PERSONAL&ADV INJURY $ EXCLUDED GENERAL AGGREGATE $ 2,000,00 GENA AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ 2,000,00 X POUCY PRO-JE9a LOC $ AUTOMOBILE LWBRJTY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ 1,000, BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ C X SCHEDULED AUTOS 080802333 06/17/2014 06117/2015 PROPERTY DAMAGE C X HIRED AUTOS 080802333 06117/2014 06/17/2015 (Pwaccidera) s C X NON-OWNEDAUTOS 080802333 06/17/2014 06/17/2015 $ $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ 4,000,000 X EXCESS LIAR CLAIMS-MADE AGGREGATE $ 4,000,0 A USA4048621 07/1312014 06/17/2015 00 DEDUCTIBLE S RETENTION $ WORKERS COMPENSATIONX WC STATU- OT RIH- AND EMPLOYERS'LIABILITY T B ANY PROPRIETORIPARTNEEXECUTNE YIN 19622003 07/13/2014 07/13/2015 EL EACH ACCIDENT $ 1,000,000 OFFICERIMEMBER EXCLUDED? F N r A (Mandatory In NH) EL DISEASE-EA EMPLOY $ 1'0W'000 If yes,describe under DESCRIPTION OF OPERATIO below I EL DISEASE-POLICY UMR $ 1,000,00 DESCRIPTION OF OPERATIONS r LOCATIONS r VEHICLES(Attach ACORD 1(1.Additional Rwwrks Schedule,U nuwa space Is required) Communication Equipment Installation Ref: Low Voltage Installation Contractor License Number: ES0000303 CERTIFICATE HOLDER CANCELLATION MIAMISH SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Miami Shores Village ACCORDANCE WITH THE POLICY PROVISIONS. Building Department 10050 North East 2 Avenue AUTHORIZED REPRESENTATIVE Miami Shores,FL 33138 ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009109) The ACORD name and logo are registered marks of ACORD