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EL-15-2467 Y�. C Is 'qL1 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores,FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-251080 Permit Number: EL-9-15-2467 Scheduled Inspection Date:January 19,2016 Permit Type: Electrical- Residential Inspector: Devaney, Michael Inspection Type: Final Owner: PINO,ALEJANDRO Work Classification: Low Voltage Job Address:9105 NE 5 Avenue Miami Shores,FL 33138- Phone Number (305)302,5770 Parcel Number 1132060141210 Project: <NONE> Contractor: AUDIO VIDEO CAMERA&SERVICES CORP Phone: (786)375-1941 Building Department Comments ALARM, PHONE, MUSIC AND INTERNET Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed EEI/ Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. January 15,2016 For Inspections please call: (305)762-4949 Page 15 of 20 Miami Shores Village Y 10050 N.E.2nd Avenue NE E Miami Shores,FL 33138-0000 Phone: (305)795-2204 ` tOR"` r Exp irati on:0 /28/2016 Project Address Parcel Number Applicant 9105 NE 5 Avenue 1132060141210 ALEJANDRO PING Miami Shores, FL 33138- Block: Lot: Owner Information Address Phone Cell ALEJANDRO PINO 9105 NE 5 Avenue (305)302-5770 MIAMI SHORES FL 33138- 9105 NE 5 Avenue MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 2,000.00 AUDIO VIDEO CAMERA&SERVICES t(786)375-1941 �A�a.. .�.....�_.. _� _�...._ Total Sq Feet: p Type of Work:ALARM,PHONE,MUSIC AND INTERNET Available Inspections: Additional Info: Inspection Type: Classification:Residential Review Electrical Scanning:1 Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.20 invoice# EL-9-15.57234 DBPR Fee $2.25 09/28/2015 Cash $50.00 $110.70 DCA Fee $2.25 Education Surcharge $0.40 09/30/2015 Cash $110.70 $0.00 Permit Fee-Additions/Alterations $150.00 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,DO RS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing info rmati is ate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore,I authorize the above-n a r to do the work stated. September 30,2015 Authorized Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy September 30,2015 1 Miami Shores Village ,- • Building Department AC2 15 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 h^?INSPECTION LINE PHONE NUMBER:(305)762-4949 BUILDING Master Permit No. (_ A- ys q PERMIT APPLICATION Sub Permit NJEL ( 9- r-1 BUILDING 9 -❑BUILDING ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS /� JOB ADDRESS: " I If` f 6 h,12, City: Miami Shores P�r County: Miami Dade Zip: 7-) Folio/Parcel#:� �0 V � Q, It) Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: _BFE: FFE: OWNER:Name(Fee Simple Titleholder): d w T�MD \ �'`o Phone#: Address: E� ® G? KD City: N) L(L State: Zip: Tenant/Lessee Name: Phone#: Email: /lf lmip VAN ST1k6 poor CONTRACTOR:Company Name: i u 0,-j-w O �{�) 4X' Phone#_: !) kk37 F Ir'1 4 Address: a COO ILL) Pte.[ W, G City: _State: r Zip: 3 3 ? Qualifier Name: &W 0(g-L -f-�12 Phone#: State Certification or Registration M E®&d Certificate of Competency#: DESIGNER:Architect/Engineer: t, ® � Phone#: so L0 Address 1- '•Z' � �I' �Q '`� City: IW l�O State: ,Zip: Value of Work for this Permit:$ �-OC) Q8 Square/Unear Footage of Work: Type of Work: ❑ Addition r X Alteration ❑ New ❑�pRep,,aiirr/Replace ❑ Demolition G Description of Work: \�.�� MU6\ . ��Qfk'e Specify color of color thru bile:; av'4 ya Submittal Fee$ "PeWHt+Fee.$—. �s O' 00 CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ (Revised02/24/2014) Bonding Company's Name(if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name(if applicable) 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$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment Also,a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approve d a reinspection fee will be charged. Signature Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of 120 by day of Ply— ,20 I-r. •by who is personally known to �i]UIJ ;? ® Z ,who-is is known to me or who has produced as me or who has produced / /.J�_ as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: n NOTARY PUBLIC: Sign: Sign: Print: Print: LOURDES SANTEIRO PW Seal: W, My CONNISSION 9E68409" Seal: n Notary Public sate d FloAda EXPMO:Nov�Q 16,2016 +y Joanna M Felideno • my Cammis im FF 082153 �Nd g„pites0lHara018 **************************************************************** * ************************* APPROVED BY J �� 0'1Q.,"/$ Plans Examiner Zoning Structural Review Clerk (RevisedO2/24/2014) V1WO �. Construction Trades QualNng Board BUSINESS CERTIFICATE OF COMPETENCY 12E000059 T Y AUDIO VIDEO CAMERA&SERVICES CORP D.B.A.: PER SANILLA RAUDEL Is certified under the provisions of Chapter 10 of Miami-Dade County r 006439 Local Business Tax Receipt Miami—Dade County, State of Florida THIS IS NOTA BILL - DO NOTPAY 7119951 V LBTJ BUSINESS NAME/LOCATION RECEIPT NO. EXPIRES AUDIO VIDEO CAMERA&SERVICES CORP RENEWAL SEPTEMBER 30, 2016 3600 W PALM CT 7397657 HIALEAH FL 33012 Must be displayed at place of business Pursuant to County Code Chapter SA-ArL 9&10 OWNER SEC.TYPE OF BUSINESS AUDIO VIDEO CAMERA&SERVICES 196 SPEC ELECTRICAL CONTRACTOR PAYMENT RECEIV@O Worker(g) 1 12E000069 BY TAX COLLECTOR $45.00 07/08/2015 CHECK21-15-082781 This Local Business Tax Receipt only ooNhms payment of the Local Business Tax.The Receipt is am a license, penak are certification of the holder's goalfiicadene,to do business.Holder ano compiy with any gavanuceMel or muplovenmmnINI regulatory IBM ad requirements which apply to the buinOs. The KMPT N0,above groat be displayed on all cneaaercial vehicles-Mbmd-08do Cede Seo lia-27fi. For more information,vbrit DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD (850) 487-1395 � 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 PEREZ, RAUDEL AUDIO VIEDO CAMERAS SERVICES CORP. 3600 W PALM CT MIAMI FL 33012 Congratulations, With this license you become one of the nearly one million Floridlans 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 EGULATION Every day we work to improve the way we do business in order to ET11000929 ''ISSUED: • 07/31/2014 serve you better. For information about our services,please log onto www m oridalicense.com. There you can find more Information Yfl about our divisions and the regulations that impact you,subscribe nt' REG.SPECIAbk'Y ELECTRICAL CONTR. PEREZ,RAUDI=L to department newsletters and learn more about the Department's ..w initiatives AUDIO VIEDO-EI IERIIS-SERVICES'CORP. REGISTERED AS Our mission at the Department is:License Efficiently Regulate Fairly. RESIDENTIAL ELE&TRICAL-SPEC. We constant) strive to serve you better so that you can serve your Customers. lank you for doing business in Florida, HAS REGISTERED under the provisions of Ch.489 FS. and congratulations on your new licensel Explmt date:AUG 31,2018 L1407310002344 DETACH HERE RICK SCOTT,GOVERNOR KEN LAWSON,SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD ET11000929 The SPECIALTY ELECTRICAL CONTRACTOR Named below HAS REGISTERED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2016 AS A RESIDENTIAL ELECTRICA"PECIALIST PEREZ, RAUDEL a' 0 AUDIO VIEDO CAMERAS- Ef10ES CORP. 3600 W PALM CT MIAMI FL 3M2 ~ . s ___. ISSUED: 07/31/2014 DISPLAY AS REQUIRED BY LAW SEQ# L1407310002344 091281201 S 10:46 MD P.0011001 ,Efc'�-'wz CERTIFICATE OF LIABILITY INSURANCEDA-MOMOM" 08f26118 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 owlificals hohMr Is an ADDITIONAL INSURED,tlhl paNcy(MV must be elMonad. It NBROUTION 15 WAIVIV,subject to the terms and oondMone of the POUC,4NUIn Pollohls may ro*dm an endomemal4 A statananR on this rertiftato do"not confer ftft to ft oardfluste hohtar In Uau of aucI ondorem"IG). PRODUCER DAYAMI ROD R18UEZ Estrella Insuranpa 0106 Iu,eu� (308)825•2613 _ €� (36.0825 1140 West 66th St.Ste,8 ,M Histaah.Ft 33012 IR A NAIC o Phom 8)825.2813 Fax (306)626.0625 Rq; FEDERATEDNATIONAL INSURANCE COMPANY INSURED ' AUDIO VIDEO CAMERA&SERVICES CORP 5879 W 28 Ave HIALEAH,FL 33018- (786)375.1941 COVERAGES CERTIFICATE NUMBER: = REVISION NUMBER: THIS 18 TO CEFMFY THAT THE POLICIES INSURANCE USIM BELOW HAVE BEEN SUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM:OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT T I C O 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, TYPE OF owpAN06 AM POLIQY NUMaER i4' .n ( t 1 A LBfR1S oeaeRAL LIABILITY , R 500,000.00 �] COMMERCIAL OENERAL L90LrIY °I 100,000.00 A ❑ ❑ CLAIMS•MApE OCCUR GLIG45901 04J4MIS O4/2W2D18 r F.78'IArryone 5,000.00 PE GAOVIN1uRY a 600,000.00 ❑ GENERAL AGURECATS a 500 000.00 OWL AOGREeATE LIMIT APPLIES PER: PROMCM.COMMOPAGO 6 ❑POUC ❑ CJ LOCs AUT LL LIABILML . I r~ ❑ ANY AUTO 809my VAIURY(Par Form) a ❑ a i s"E0 ❑ Or" e0eOCu.YMwRY(ftal"HMOAVTO8 ❑ D E' a ❑ WERE"LIAR ❑OMUR EAC"OCCu; tEN M a !3x0688LIAR ❑CWAS-MM AGGREGATE a _ pw 1:1 RETENrms a WORK@RsEN$ATW A ` ANOEMPLOYBRVLIABILM YIN UTIVE 0" M aL C N!A e Ifs yin E.L.0189 ACCIDENT a yy�� E.L.CM -fiA EMPLOYE a DEBLAR T ONS below E.L.13MEAGE.POLICY LIMIT a DEQ ti- UPTIONOFOPERATWO)LOCATIONSIVOGICLas~AMW tat,Adm Rt nwrks 8oheaft N mere wpm"N wOwno COMMUNICATION EQUIPMENT INSTALLATION,ELECTRICAL APPARATUS,INSTALLATION$SERVICE. CERTIFICATE HOLDER 15 LISTED AS ADDITIONAL INSURED. CERTIFICATE HOLDER _ CANCELLATION SHOULD ANY OF THE ADM 0a9CRIEW POLICIES BE CANCELLED BMW MIAMI SHORES VILLAGE 13UILDING DEPARTMENT THE°EXPIRATION DATE THEREOF,NOTICE WILL Be DELIVERED IN 10058 NE 2 AVE ACCORDANCE WITH THE POLICY PROVISIONS, MIAMI SHORES,FL 33136 AUTHORIZED REPRENNTATN6 —�— _ ODALYS ALPIZAR 0 i9W2010 ACORD CORPORATION. All rights reserved. ACORD 28(2010100 OF The ACORD name and WOO are reglatered marks of ACORD audio video camera 786-409-3888 p.1 0912812015 12:55 fAQ P.001/001 CERTIFICATE OF LIABILITY INSURANCE W12`°'w°'"""'` DS1261"IS THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTWICATE HOLDER.THtB CER"FICATE DOES NOT AR'IRKATIVELY OR NEGATRf pLY AMEND,8 END OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($),AUTHORIZED REPRESENTATIVE OR PRODUCER.AND THE CERTIFICATE HOLDER. i/TITWVD,subct to tha earsecatohddarle aRACO IN URED, he pollMles)'Oust 110 endmee . NSt10RCOA the tam's and Cor4mlans of the polley,calaln Pollalas may require en andorsem aL A stolamem on this cGrI teato dens not tmnfrs rrghla ra tho certlRod w holderin lieu of such enttasanxrrtK PRODUCER rrAAi A ,_ Maroon A.Alusree _�_ �y—_ E=llence Insurance Agency SIL (3O5)2Z8-3800 MI titter Ndx (305)226-3887 r 3801 aw 107 Avenue matw"a�_e'°°el alnsurmoe'n°t Waml.FL 33166 ... _ -_.n+susc-aV itswoaaNic_covEltaas nwm d Phone 005)226,3900 Fax (305)228-3897 a 7echnobgy4uurettoepant+„ _.. weuRSO s: Audio Video&CoMern Sarvtalte,COrP. E I 3600 weal Pelta Cant INWRER Hialeah„FL 33012; 786-286-8300 .91wlt F: COVERAGES CERTIFICATE NUMBER: _ REVISION NUMBER: THIS IS TO CERTIFY THATTHE POUCIRS OF INSURANCE LISTED BELOW HAV>8 BEEN LSSUEDI O YIH6 tNSUREO IYPit19EDA8t�{►6 FOR TFt�POUCH I�EAIOD MIDICATEO. NOTWITHSTANDING ANY REQUO MENT'.TERM ON CON MTXN OP ANY CONTRACT•OR OYHER DOCLUEUr WITH RES PEOT TO WHICH THIS CERTIFICATt;MAY MIMED OR MAY PERTAIN,-M INSURANCE AFFORDED 8Y IVE POLICIES DESCRIBED HEREW IS SU13JMT TO ALL THE TERMS, �Epx LUFIONS.AND CONDITIONS OF SUCH POLICIES.LN dM SI10WN MAY HAVE BENN REDUCED 9YMEW - .kLli. TYPS OF 1NSUPAWIDS Avom PCY i LMlI U ar�RAt:LuttataTv OAC r _. .. ..;ft..._.__ C) CI1nIMB 19%1.91rlllMIMMY i Q ❑ CtAU�rMAOE (, Ot:OUR McD27tP area n ' J PERSONAL s ADV I N URV 0 p (IMPALAOMM"T9 s ABN-I.A YE LMAR APFr—UrRS PER PRODUCTS-COMMOP AIXi S Lac ALITORONOLELIwORM QOMB fiLB ipY9T ❑ AW W ' gg p I JSODr Y NJURY(PerPerdoal : . . ❑ ALL ❑P08 60aLY1NJURY(Par 4 ❑ WO Auras ❑ timlieLLi►UA0 �'"�OWUR EeACHOCCUMENCE i o13 ummoNs _— _. ...._-..._- WOR�RBCONP6NSATION WC A btii ANN EAIPLCrf9K -<IAS1UTY Y I N ANY P 1WARt}�� CurtyE AW01041673 LL EACH ACCIDENT 11000!;0.00 ClUOB 12117120'a 12/17/2015 A of i"sx nirA u1sFAst:.EALvurLc 1500.000.00 D ESCRPTEQN OF OPORATIONS WOW I BEASE-POLICY L(MLTI 6 loo 000A0 r I weampreoN OP OPERA110Ne r LOCATIbA0CRD101,AQenletua b eahsA+Rq a earsapaaa b requTratl) License No:12E000 9 CERTIIRICATE HOLDER CANCELLATION SHOULD ANY OR THE ABOVt?DESCRIBED POLICIES Be CANCELLED BEFORE Nllam)ohms VNHage THE EXPIRATION OATS THEREOF,NOTICE WILL Be VELNERED IN Budding Department ACCORDANCE VK MTIMPOLICY PROMSIOHS. 10050 NE 2 Averula ASD MIPIVEseNTAME tuuaml Shores,Florida 33138 ®1988-2010 ACORD CC1RPORATION. All rights mmwvnd. ACORD 25(2010105)OF The ACORD naaw and Nano are mialsored rmrke or ACONO