The URL can be used to link to this page

SGN-11-998Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 sflr Inspection Number: INSP - 160464 Permit Number: ELC -6 -11 -999 Scheduled Inspection Date: July 25, 2011 Inspector: Devaney, Michael Owner: , SHORES SQUARE INVESTMENTS Job Address: 9017 Biscayne Boulevard Miami Shores, FL 33138 -0000 Project: <NONE> Contractor: QUALITY COMMUNICATION POWER & SECURITY Permit Type: Electrical - Commercial Inspection Type: Final Work Classification: Sign Phone Number Parcel Number 1132060110070 -17 Phone: (954)584 -4111 Building Department Comments HOOK UP EXISIING POWER Passed v Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments ,r6 / July 22, 2011 For Inspections please call: (305)762 -4949 Page 7 of 28 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 160463 Permit Number: SGN -6 -11 -998 Scheduled Inspection Date: July 26, 2011 Inspector: Bruhn, Norman Owner: , SHORES SQUARE INVESTMENTS Job Address: 9017 Biscayne Boulevard Miami Shores, FL 33138 -0000 Project: <NONE> Contractor: QUALITY COMMUNICATION POWER & SECURITY Permit Type: Sign Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1132060110070 -17 Phone: (954)584 -4111 Building Department Comments ILLUMINATED CHANNEL LETTERS FOR RADIO SHACK Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments July 25, 2011 For Inspections please call: (305)762 -4949 Page 6 of 24 Protect Address Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Parcel Number Expiration: 12/07 /2011 Applicant 9017 Biscayne Boulevard Miami Shores, FL 33138 -0000 1132060110070 -17 Block: Lot: SHORES SQUARE INVESTMENT Owner Information Address Phone CeII SHORES SQUARE INVESTMENTS 3850 BIRD Road MIAMI FL 33146- I Contractor(s) Phone QUALITY COMMUNICATION POWER t (954)584 -4111 Cell Phone Type of Sign: Wall Sign Electrical Sign: Yes Height: 30" Width: 18' Color: RED /BLACK Plans Submitted: Yes Classification: Commercial Elevation: Additional Info: RADIO SHACK Scanning: 2 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $0.60 $2.00 $2.00 $0.20 $100.00 $6.00 $0.80 $111.60 Pay Date Pay Type Amt Paid Amt Due Invoice # SGN -6 -11 -41084 06/16/2011 Check #: 1904 $ 61.60 $ 50.00 06/01/2011 Check #: 1888 $ 50.00 $ 0.00 Available Inspections: Inspection Type: Final 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 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. Futhermore, I authorize the above -named contractor to do the work stated. June 16, 2011 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Date June 16, 2011 1 1 Project Address Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Parcel Number Expiration: 12/07 /2011 Applicant 9017 Biscayne Boulevard Miami Shores, FL 33138 -0000 1132060110070 -17 Block: Lot: SHORES SQUARE INVESTMENT Owner Information Address Phone Cell SHORES SQUARE INVESTMENTS 3850 BIRD Road MIAMI FL 33146- i Contractor(s) Phone QUALITY COMMUNICATION POWER i (954)584 -4111 CeII Phone Valuation: Total Sq Feet: $ 300.00 54 Type of Work: HOOK UP TO EXISTING POWER Additional Info: RADIO SHACK SIGN Classification: Commercial Scanning: 1 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $0.60 $2.00 $2.00 $0.20 $100.00 $3.00 $0.80 $108.60 Pay Date Pay Type Amt Paid Amt Due Invoice # ELC -6 -11 -41085 06/01/2011 Check #: 1888 $ 50.00 $ 58.60 06/16/2011 Check #: 1904 $ 58.60 $ 0.00 Available Inspections: Inspection Type: Final 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 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. Futhermore, I authorize the above -named contractor to do the work stated. June 16, 2011 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Date June 16, 2011 1 Miami Shores Village Building Department loN 0 1 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fait: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 Permit No:�1 `1 /— BUILDING PERMIT APPLICATION FBC 20 Permit Type: BUILDING OWNER: Name (Fee Simple Titleholder): pQS6 ref Address: c7o'7 10�ftr'��re?� 8/t a1. 0 City: 41/4401/ / ,f I .-e f State: Tenant/Lessee Name: &t c Sh Email: /"✓,1`"i 0 et/am die r J is. (c)„1. JOB ADDRESS: CID ®�'f a5re-, `; Master Permit No. the -it e F14 FC. Zip: 3 y i 3 Phone #: /72 -73Y - (hp. Phone #: 3(-IS' 779 J0 Ft- 3f,,d City: Miami Shores County: Miami Dade Zip: Folio/Parcel #: Is the Budding Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: al. 1 (6 crt-.L� 'k., u,° ,5 tLi 3 ; Phone #: q ,, s 'c t-` 1 s t i d 1 Address: 3 L) . s4 4i City:vt L,„„c4..„ od'5p State: ---'t V,,,, r Qualifier Name: Ca- i ',,= 1 (0' C9 State Certification or Registration #: rL - V c,c) 'f Certificate of Competency #: Contact Phone#. —CIA-5e. --.3&14° – a 7 L Email Address: 4 , c—.1 DESIGNER: Architect/Engineer: R=4 (4- N.!1 7 Phone #: S'e'— '-- `t (I Zip: 73Z • 2— Phone#:'a rd 6d Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: Address °Alteratio Description of Work: ew °Repair ' e . lace COLOR THROUGH ROOF TILE IS REQUIRED acknowledged by: ir9FiexeYie &atie*** aF tNatei ***Jr+ti*iUakak+'t4e** **wiedt* ees*** sk*i4ti*0i+ 4dti4*it +4 ****** ************ * *******i **k ii Submittal Fee Permit Fee $' MO CCF $ CO /CC $ Scanning Fee $ `� . Radon Fee $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ DBPR $ Bond $ TOTAL FEE NOW DUE $ (01'6i) 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 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 tha copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subje • Ito '' nt. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection s seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will not be a reinspection fee will be charged. Signature lir Nur- Ow ' or Agent The foregoing instrument w acknowledged before me this day of 20 J by 6 E. t.-ca �� q✓� �9 s 2> who is personally known t� t +r who has produced As identificatio d who did take an oath. NOTARY BLIC: Sign: Print: My Commission Expires: 'VOT , PUBLIC,STATE OF FLORIDA ` *..,,„ i. Vir nr T Fuentes 7. L, -„ = :�ission #DD667598 zo,,,,,,os Expires. JUNE 15, 2011 BONDED MKT ATLANTIC BONDING CO.,INC. APPROVED BY Signature Contra° r The foregoing instrument was acknowledged be or me this day of ✓ 2010 ,by 65 �,� .. ('.fre1`a9 who is personally known to me or who has produced , // - 4 as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commis * * * ** ,.... ., * * * * * * * * * * * * * * * * * ** * * * * * * * * ** -i7 (Revised 07(10 /07)(Revised 06I10f2009)(Revised 3/15109)(rev6/4/10) Plans Examiner Structural Review RO> PERT O. SAPITIL.LI 1'E MY COMMESSION # DD 739349 * *, al, , t er,P *n2 a0 13011* {: 3 �.ridaN .cry3ervice.com Zoning Clerk EQ. 34' -3' LEASE FRONTAGE 16' -1 5/r EQ. Q i /r /frrffrrrrrlrrrlrri11 rf/ff /1111110100000 r / /11 /111rrlrrrrrr ! r!t�EI!E! OO M N S P/I!1111 rrrt.0011t 4e$111%t$1∎Itt ►re11901011111$.11aettea��e *s ss♦/0000031 f{11et3331 OVIAf !111103!113113 1.03311003 % _ z F[' RadioShack FRONT ELEVATION SCALE: 3/16 = Miami Shores Village APPROVED ZONING DEPT DY BLDG DEPT DATE SUBJECT TO COMPLIANCE WITH ALL FEDERAL STATE AND COUNTY RULES AND REGULATIONS C CITY COPY >j RadioShack 10-1995 Shut 1 at 5 RADIDSHAO(- 101-8901 9017 -19 BISCAYNE BLVD. MIAMI SHORES. FL By. JIM HAGLE wiper MRG 9-9-10 Chandler Signs www.ciandiersigns.com Mos r..,_1ss anw ,..80.10. Q7•.,...,,. r.�C MINNA MIN ha MA4674103 taK maim •swn S412-61344a 51113-100-114$ FINAL ELECTRICAL CONNECTION BY CUSTOMER 18 -1 S /8' 8 5/S' 14' -11• PREFORMED ALUMINUM CHANNEL LOGO PRE -FIN. RED - PAINT INSIDE WITH SPRAYLAT STAR -BRITE UGHT ENHANCING PAINT 2283 RED ACRYLIC FACE W/ RED TRIMCAP RED L.E.D. ILLUMINATION (SLOAN V- SERIES ) 6' X 6' EXTRUDED AWMINUM RACEWAY PTD. TO MATCH SW #6127 2' X 2' GALV. PICK -UP ANGLE LE.D. POWER SUPPLY LOCATED INSIDE RACEWAY 0 LETTER DISPLAY SCALE: 1/2• =T-0' ON BACKGROUND PLATE N/ RACEWAY (1) SET REQUIRED NOTE: VERIFY WALL FASCIA STABLE ENOUGH TO SUPPORT SIGN r W mum. MI6. STRAPS W.ORa TO SACS OF RACEWAY *1/4' DIA. WEEP HOLES IN WW POINTS OF LOGO AND IN BOTTOM OF RACEWAY .125' ALUMINUM BACKGROUND PLATE PTD. SATIN BLACK WEATHERPROOF DISCONNECT SWITCH ON LOGO END OF RACEWAY LOGO SECTION U.L LABELS WINNER INSTALL IN ACCORDANCE W/ NATIONAL ELECTRIC CODES NTS RACEWAY MOUNTED Note: Signs to withstand 146 MPH 47 PF5 EXP C , 3 SEC. GUSTS as per ASCE 07 -05 requirement Marlon Sebelen 4611 S. University. Dr. #315 Davie, Florida 33328 TUT? NL Al STRU OL, 67659 PREFORMED AWMINUM CHANNEL LOGO PRE -FIN. BLACK - PAINT INSIDE WITH SPRAYLAT STAR-MUTE LIGHT ENHANCING PAINT 7328 WHITE ACRYUC LETTER FACES W/ BLACK TRIMCAP WHITE LE.D. ILLUMINATION (SLOAN V- SERIES ) 6' X 6• EXTRUDED ALUMINUM RACEWAY PTD. TO MATCH SW #6127 2' X r GALV. PICK -UP ANGLE LE.D. POWER SUPPLY LOCATED INSIDE RACEWAY *1/4' DIA. WEEP HOLES IN LOW POINTS OF LOGO AND IN BOTTOM OF RACEWAY .125' ALUMINUM BACKGROUND PLATE PTD. SATIN BLACK WEATHERPROOF DISCONNECT SWITCH ON LOGO END OF RACEWAY LETTER SECTION 2. X WAUW. MTG. Sn1R MOAN/ TO Mat OF RACWAY r -- ILL. LAMLE INCINNIN INSTALL IN ACCORDANCE W/ NATIONAL ELECTRIC CODES NTS RACEWAY MOUNTED RadioShack 10 -1995 Shod 3 d 5 9017-19 BISCAYNE BLVD. MIAMI SHORES, FL Boat lbw JIM HAGLE DAM' MRG 9 -9 -10 Chandler Signs FINAL ELECTRICAL CONNECTION BY CUSTOMER SITE PLAN NOT TO SCALE RadioShack 10-1995 Seat 5 of 5 RADIOSHACK- 1018901 9017 -19 BISCAYNE BLVD. MIAMI SHORES, FL Account Le JIM HAGLE Badpw MRQ 9-9-10 Chandler Signs wwr.cbaadlenlin..co `0 Iftg f124-O.144 IIaafdbwf.'� I= rNMM-1,0 11711/214 la 1 JMi I.a 210.1101114111116 �mf.baf __ f we ifO f...ar1.f as liar ]Rif! 14 flfifF3lOi Lfifw.lftla UdY NO °�sflab]aia 516611138557 FINAL ELECTRICAL CONNECTION BY CUSTOMER WOO. 1:110119C ISM Miami Shores Village JUN o 1 r'D Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 7952204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION FBC 20 Permit Type: Electrical OWNER: Name (Fee Simple Titleholder): d A ezfre Address: , . , • Poi r a e. 47 J� City: if/Aui Tenant/Lessee Name: %faA os -4 c k Permit No. �—[�� I ("' -".0 1 1 Master Permit No. State: /C6 L� Phone #: -� '' 7 7 ` 2' ,f'Yrr Email: /2 4 e Id s @ c cepct l J./ JOB ADDRESS: qt )/1 a /q by a a- r f b'L` ) City: Miami Shores zip: , 3e7k •?hone #: ?7Z —73 i' — E 53 612,"4 ; L l'9 i County: Miami Dade Zip: Falio/Parcel #: Is the Building Historically Designated: Yes NO Mood Zone: CONTRACTOR: Company Name: (2c 45 ` U-" }'y ' c ?,([4,%. Puu S Pho ` ( Pi/ Address: 3 63 '4f ,�g City: � o tom; L, :')id >s` - State: f . - D °`k Qualifier Name: «,K`.i :,s Fy3 . State Certification or Registration #: CO '2...'17`7)i- Certificate of Competency #: Contact Phone#: 9 Vjf — 341 d 1 Email Address: ri Lam , CC y - z a� -1 DESIGNER: Architect/Engineer : .l F " (aC2, h 7' f` °d j Phone #: ce7te " s :y„Q ° il t zip:' 2-- Phone #: S -- d t Value of Work for this Permit: $ ? cc Square/Linear Footage of Work: Type of Work: OAddress %%�� ClAlteration 36New CORepair/Replace Description of Work: Ivor- (I fb ClDemolition * ** * * * * * * * * * * * * * * * * * ** * * * * * * *** ** ** bees *** * *** ****** * *+ ***** * * * ** *** **** ** ***w***** rs Submittal Fee 111 . � Permit Fee $ / 0 `'° ,Cv i* CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 6' coo 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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AZi'FIDAVIT: 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 t a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is s!�'ect o attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspe is occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will no, be ap S ra,(. and a reinspection fee will be charged. Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this c2/ The foregoing instrument was acknowledged before me this 9 da y nl of �vedyi 20/1_, by day of , 20 I Ll, by Biz ,-� C_CAL! Y2., p has produced who is personally known to me or who has produced f t who did take an oath. 6 G�`v as identification and who did take an oath. NOT who is personally known to me As identification NOTAR Sign: RIDA Print: .. •, Victor 1. Fuentes +,- : Commission #DD667598 My Commission Expires :%,„,..„/ Expires, BONDED 1T�tU� 15, 2011 nzt�rte BONDING CO, INC. .il UBLIC: Sign: Prin NOTARY FUBLI tri i ' iw. r My ss xcpit�es: `o5 ROBERT D. SANTILL9 MY COMMISSION # DD 739349 ** * * *a�>k***** *** ** * * *:r *** a��am a��x****** * ***ax** ***** **** * *>Ka:>k *>F�x� * ** T (407) 393 -0153 APPROVED BY o /�� ct > i 'sue 1'' Plans Examiner F I o ri d a N ota ry a e ry i ce. co m Zoning Structural Review Clerk (Revised 07110107)(Revised 0611012009)(Revised 3/15109) cola .. s. STATE OF FLORIDA 1. }4 _ DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION n'u; = =� ELECTRICAL CONTRACTORS LICENSING BOARD TALLAHASSEEMONROE STREET FL (850) 487 -1395 • 1940 NORTH • MYERS, GORDON W UALITY COMMUNICATIONS POWER & SECURITY LLC 3700 SW 30TH AVENUE FORT LAUDERDALE FL 33312 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you better. For information about our services, please log onto www.myfloridalicense.com. There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and leam more about the Department's initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your new license! DETACH HERE DATE ` BATCH NUMBER TOR 1 .< 01 -� ti11I•f JM7 1•11•t.1.M - -1C ♦M- ;t 1 L111,At.i.-•-M t•- 115 S. Andrews Ave., Rm. A -100, Ft. Lauderdale, FL 33301 -1895 — 954- 831 -4000 VALID OCTOBER 1, 2010 THROUGH SEPTEMBER 30, 2011 DBA: Receipt #:181-236037 Business Name: QUALITY COMMUNICATIONS POWER & Business Type: ELECTRICAL /ALARMS /CONY• SECURITY LLC Owner Name: GORDON MYERS/ QUALIFIER Business Location: 3700 SW 30 AVE FT LAUDERDALE Business Phone: Rooms Seats Employees 30 Business Opened:09 /22/2010 State /County /Cert/Reg:ECO 0 02 3 8 0 Exemption Code:NONEXEMPT Machines Professionals For Vending Business Only Number of Machines: Vending Type: Tax Amount Transfer Fee NSF Fee Penalty Prior Years Collection Cost Total Paid 81.00 0.00 0.00 - 0_00 0.00 0.00 81.00 THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT This tax is levied for the privilege of doing business within Broward County and is non - regulatory in nature. You must meet all County and/or Municipality planning 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 it is in compliance with State or local laws and regulations. Mailing Address: GORDON MYERS/ QUALIFIER 3700 SW 30 AVE FT LAUDERDALE, FL 33312 U.S.A. 2010 - 2011 Receipt #04A- 09- 00017683 Paid 09/22/2010 81.00 R ® CERTIFICATE OF LIABILITY INSURANCE OP ID CG °A1 /23/ o) 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 IN- SURED, the pollcy(les) must be endorsed. If SUBROGATION I5 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 BROWN & BROWN OF FLORIDA INC 8000 GOVERNORS SQUARE BLVD 400 MIAMI LADS FL 33016 -1588 Phone:305- 364 -7800 Fax:305- 822 -5687 -L.UN I Al. I NAME: PHONE IAX c, No, Ext): (NC, No): ADDRESS: CUSTOMER ID 0: QUALIO3 INSURER(S) AFFORDING COVERAGE NAIC# INSURED UQUALITY HOLDING GROUP LLC DBA ALITY COMMUNICATIONS POWER & ECURITY LLC, QUALITY COMMUNICATIONS OF FL UALITY COMMUNICATIONS FIRE & QUALITY 3700 SW 30 AVE FT LAUDERDALE FL 33312 -6707 INSURERA: FCCI COMMERCIAL INS CO 33472 INSURERB: NATIONAL TRUST INSURANCE co 20141 INSURER C : 07/22/11 INSURER D: $ 1,000, 000 INSURERE: PREEMMISES(Eaooccurrence) INSURER F : S 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. INBR LTR TYPE OF -AUUL INSR SOUR WVO POLICY NUMBER POLICY EFF (MMIDD/YYYY) POLICY bXP (MMIDD/YYYY) LIMITS A GENERAL LIABIUTY COMMERCIAL GENERAL LIABILITY OCCUR CPP00102742 07/22/10 07/22/11 EACH OCCURRENCE $ 1,000, 000 X PREEMMISES(Eaooccurrence) $ 100,000 $ 10 , 000 CLAIMS -MADE X MED EXP (Any one person) PERSONAL&ADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 2 000 000 GEN'L AGGREGATE LIMIT POLICY n APPLIES PER: PRODUCTS - COMPIOP AGG $ 2,000,000 n LOC $ B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS CA00140182 07/22/10 07/22/11 COMBINED SINGLE LIMIT (Ea accident) $ 1 000 000 r r X BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ X $ X $ B UMBRELLA LIAB EXCESS UAB X OCCUR CLAIMS -MADE UMB00092202 07/22/10 07/22/11 EACH OCCURRENCE $ 2 r 000,000 AGGREGATE $ 2,000,000 DEDUCTIBLE RETENTION $ 10,000 $ $ X A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVF (Mandatory In N ER EXCLUDED? (Mandatory In NH). If yyes describe under DESCRIPTION OF OPERATIONS Y/ N N / A 001WC10A63224 01/02/10 01/02/11 X 1 WCS ATU- XI ER E.L EACH ACCIDENT $ 500,000 1 I I E.L DISEASE - EA EMPLOYEE $ 500,000 $ 500 000 below EL DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, It more space Is required) VCR I Ir1VM 1 E nJI,J r MIAMI SHORES VILLAGE BUILDING DEPARTMENT 10050 NE 2ND AVENUE MIAMI SHORES FL 33138 1 MIAMI SH - - - --- - -- - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE j) r, . .t ... .. �....AT1f11J All dnhio .-.m d ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD = _ - • LICENSE - , -. y --, ., ,./.. 40 ul,. 29297157 9 Class _.; /../..... a 11/18/2009 ISS 4b Exp ,,, boa 0 1 /1 5/1 9 50 - \ \ MYERS GORDON WILLIAM 8 1202 SUMMIT CREST SAN ANTONIO TX 78258-0000