The URL can be used to link to this page

EL-16-958 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores,FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-256843 Permit Number: EL-4-16-958 Scheduled Inspection Date:April 20,2016 Permit Type: Electrical- Residential Inspector: Devaney, Michael Inspection Type: Final Owner: BAILEY,ROBERT Work Classification: Low Voltage Job Address:1015 NE 97 Street Miami Shores, FL 33138-2555 Phone Number Parcel Number 1132050170120 Project: <NONE> Contractor: SECURITY&SOUND INTEGRATED SOLUTIONS INC Phone: (305)586-3202 Building Department Comments REPLACE CAMARAS 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. April 19,2016 For Inspections please call: (305)762-4949 Page 31 of 46 s� Miami Shores Village 10050 N.E.2nd Avenue NE Miami Shores,FL 33138-0000 Phone: (305)795-2204 ", u h a Expiration: 1011012016 Project Address Parcel Number Applicant 1015 NE 97 Street 1132050170120 ROBERT BAILEY Miami Shores, FL 33138-2555 Block: Lot: Owner Information Address Phone Cell ROBERT BAILEY 1015 NE 97 Street MIAMI SHORES FL 33138-2555 Contractor(s) Phone Cell Phone Valuation: $450.00 SECURITY&SOUND INTEGRATED S( (305)586-3202 Total Sq Feet: 0 Type of Work:REPLACE CAMARAS Available Inspections: Additional Info: Inspection Type: Classification:Residential Review Electrical Scanning:3 Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $0.60 Invoice# EL-4-16-59359 DBPR Fee $2.00 04/08/2016 Credit Card $50.00 $64.60 DCA Fee $2.00 Education Surcharge $0.20 04/13/2016 Credit Card $64.60 $0.00 Permit Fee-Additions/Alterations $100.00 Scanning Fee $9.00 Technology Fee $0.80 Total: $114.60 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 assum responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,P U BING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I ify hat all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and z in a ore,I authorize the above-named contractor to do the work stated. April 13,2016 Authorized SI ature:Owner / Applicant / Contractor / Agent Date Building Department Copy April 13,2016 1 t�,s Miami Shores Village Building Department APR 08 2016 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 201` 5 .11 BUILDING Master Permit No. L'1 1`� PERMIT APPLICATION Sub Permit No. ❑BUILDING ® ELECTRIC ❑ ROOFING ❑ REVISION ❑EXTENSION ❑RENEWAL ❑PLUMBING [:] MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS:J �I`�f� q-74in z�—r City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder)( LL20 Phone#3p /92'02-36 Address: l x L' ST City.: vvt I 'S ko Ile e S State: 1 Zip:-33/39 Tenant/Lessee Name: 1 Phone#:�5"-W 9-OZ:3S Email: CONTRACTOR:Company Name: 2 sxlni4Phone#: Sa�i 3zy�" Address: 'S 2_13 �! City: 1C;OA State: /' O i.I A-A Zip: 331,17 Qualifier Name: ✓1G15W Phone#:7g�'��Z'ZSZ-`z3 State Certification or Registration#:t-5& 13�Ofa44 Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: l City: State: Zip: Value of Work for this Permit:$ "t✓ Square/Linear Footage of Work: Type of Work: ElAddition F1Alteration New ® Repair/Replace ❑ Demolition Description of Work: 1 Gea Specify color of colo//r-co tile: Submittal Fee$ "W Permit Fee$ �o''�AA--�� CCF$ © 1 66 CO/CC$ Scanning Fee� ,.oz) Radon Fee$ 2 -W DBPR$ 2,00 Notary$ Technology Fee$ 1 15n Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ (Rev1sed02/24/2014) 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. 1 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 approved and a reinspection fee will be charged. Signature Signature WNER or T R The foregoing instrument was ac nowledged before methisThe foregoing instrum nt was a knowledged before me this day of�IL I 20 16:9 .by _day of -20 �by 0.0+ 1 he4 who is personally known to f"P�vtiISG.� jcc7� &t ho is personally known to me or who has produced as me or who has produced as identification and who did take an oa identification and who did take an oa NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: X22- Print: �- Seal: STA FLORIpA Seal: 2=11iSTATE OF FLORIIM . C MM#FF032435 C MMM FF032M X17 E>�lros 817 APPROVED BY y/ Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) STATE OF FLORIDA x DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD (850)487-1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 RODRIGUEZ, FRANCISCO J SECURITY&SOUND INTEGRATED SOLUTIONS. INC. 7311 NW 12TH STREET SUITE 18 MIAMI FL 33125 congratul It ans` With this license you become one of the nearly one millionFttdians licensed by the Department of Business and Professional Regulabon. Cour 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-jo business to order to EG1 000488 '1 U90, OV0762014 serve you better. For information about out services,please log unto www.myfforidalicense.com There you cwri ftr-td rrn[rre information CERT ALARM Sya* WCOWRAqOR 11 about our divisions and the regulations that impact you,subscribe RODRIGUEZ. to department newsletters and learns more about the Department's SECURITY 8 S $OLUTI initiatives. w, Our mission at the Department is License Efficiently,Regulate Fairly We constari ly strive to serve you better that you can serve your csast rs, hank you for ruing business in Florida, IS CERTIFIED under the proviii�on&of Ch 48$Fs and coiVratulations ort your new license? t toarn'tt a B DETACH HERE RICK SCOTT GOVVRNOR KEN LAWSON,SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD EG1 ADDITIONAL BUSINESS QUALIFICATION The ALARM SYSTEM CONTRACTOR Ii Named below IS CERTIFIED Under the provisions of Chapter 489 FS Expiration elate: AUG 31, 2015 RODRIGUEZ, FRANCISCO J SECURITY&SOUND INTEGRATED SOLUTIONS,INC. 18495 SOUTH DIME HWY 284 MIAMI FL 33157to. . a ISSUED taj t2tita DISPLAY AS REQUIRED BY LAW SEC}# L140707OW1204 004148 L©cae Miarrn-fade Cst � o€ -THIS IS NOTA BILL DO NdTPAY 7166842 BUSINESS NAME/LOCATION SECURITY&50llND INTEVZATEDS66jItSJNCREM 18495 S MEMM 284. 4ust,I dispey -MAMt FL 33157 s F B SEC.TYPE OtJ3it$ES$ � < OWNER PAYMEWOECE M SECURITY&SOUND INTEGRATED 196 SPECELECTRI 21{ t'TC € r CAI I Rip SOLUTIONS INC ,,sg1300049B IAS.00 0 /15/21 Worker(s) 2PU06—M--014940 This.EocAF$asinenTaxtHeceipt orrl�co0.payme l l usia att The Rete k' not a liq®nse pemdt.,W' ertificauor ufthe holdets lificatiofisrtgdo Holden .. k rht9ove mental ` ornoagmracnmentafr, atorylawsa uireme a " ffieb a ` The RECEIPT N0.above ofust be displayrad'on all commercial vek"fcfes—Mi 9a 276 rx� For more information,visit wwwmiamidadltglli mxcoll roc v � J AC R CERTIFICATE OF LIABILITY INSURANCE F DATE(MM1DD/YYYY) 1 04/06/2016 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 ALL CITY INSURANCE INC-ACI CONTVa CARMEN RODRIGUEZ 275 FONTAINEBLEAU BLVD. HPO 275 FxQ- _13051463-9431 FA's (305436-6797 SUITE 190 E-MD/dLam: GMAIL(d)ALLCI_TYINS.COM MIAMI FL 33172 INSURERW AFFORDING COVERAGE NAIL# INSURER AAMTRUST NORTH AMERICA INSURED •EVANSTON INSURANCE COMPAN SECURITY&SOUND INTEGRATED SOLUTIONS INC 18495 S DIXIE HWY .SCOTTSDALE INSURANCE CO SUITE 284 INSURER D: Palmetto Bay FL 33157- INSURER JNSURER F: COVERAGES CERTIFICATE NUMBER:10 REVISION NUMBER:01 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 ADD L SUBR POLICY EFF POLICY EXPLTR POLICY NUMBER LIMITS C GENERAL LIABILITY X CPS2404552 02104/201602/04/2017 EACH OCCURRENCE 1,000,000 DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY 100,000 CLAIMS-MADE FKOCCUR MED EXP one 5,000 PERSONAL&ADV INJURY 1,000,000 GENERAL AGGREGATE 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG s 2,000,000 IVP ICY PIrrTRO LOC $ OMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULEDBODILY INJURY Per axiderd $ AUTOS AUTOS ( )HIREDAUTOS NON-OWNED PROPERTY DAMAGE $AUTOS (Piz accidiml)B UMBRELLA Lim X OCCUR XOBW6460216 03/11/201602/04/2017 EACH OCCURRENCE 1,000,000 EXCESS LIAR CLAIMS-MADE AGGREGATE L1 000'000 A WORKERS COMPENSATIONX AWC1062553 03/11/201 3/11/201 X WCSTATU- OTH- AND EMPLOYERS'LIABILITY Y/N M ANY PROPRIETOR/PARTNERIEXECUTIVE E.L.EACH ACCIDENT 500,000 OFFICERIMEMBER EXCLUDED? © N i A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S 500,000 If ,describe under E.L.DISEASE-POLICY LIMIT 500,000 -FT DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Addidonal Remarks Schedule,H more space Is required) LICENSE* EG13000488 CERTIFICATE HOLDER CANCELLATION Al V.Q.C SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE MIAMI SHORES VILLAGE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN BUILDING DEPARTMENT ACCORDANCE WITH THE POLICY PROVISIONS. 10050 NE 2nd AVE MIAMI SHORES FL 33138- AUTHOKMD REPRESENTATIVE C�t{L f� �" - ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD