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ELC-12-1690Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT AgPLIGATION FBC 20 Permit No. . CI) 2-- WO Master Permit No. CC. t l --11 -11060 Permit Type: Electrical JOB ADDRESS: //b5 t R-a k j) e e__ City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: /13 2) 4Z) l}- / 3 5 Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): C.P7•r/t/e0:..I G Phone#: Address: i 165 Jf fl'ib(c- t O 0- ek(r City: Raul,' / 1 kQ2. State: Pc Zip: Tenant/Lessee Name: Phone#: Email. 1(CONTRACTOR: Company Name: C 7;C ig G 06/CS.Phone#: Address: /5? 7 4 Sw ff s t" C l-- 7 State: /' G Zip: /7 Qualifier Name: 0"3" CC X ice ®/f. Phone#: 352. State Certification or Registration #: eF B () 0 0 ?7 / Certificate of Competency #: Contact Phone#: -SZ -3.°= /S.-2- Email Address: 5 C` - -e-C// C 6 egi D SIGNER: Architect/Engineer. k-- Phone#: 0e:7-5-755z- City: 4/ 4—H / Value of Work for this Permit: $ /3 5 ®0 - 0 m Square/Linear Footage of Work: Type of Work: °Address °Alteration New ORepair/Replace °Demolition Description of Work: T ea **** 4******** * *********e****4* * * * ** *F ******** * *** x* * * *,x**** ************** ** * ***ee Submittal Fee $ Permit Fee $ ezr5 /®' CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 491. 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 construttiotl in this jurisdiction.- I understand drat a separate permit -must be CAL WOM 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 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 tice, the inspection will not be i oved and a reinspection fee will be charged X Signature The foregoing day of who is personally known to me or who has produced Owner or Agent Con vent was acknowledged before me this The foregoing in ent was : • . owledged before me this S% 9 4y • V/676A/it Kr I5 /', day of L by A-I cie ■te °-,r41---cef who is personal y kno to Sign: Print: Al +W- My Commission Expires: APPROVED BY v My Commission Expires: *+b****+A+N+b*******+b****** ******ffi******* ******8+ M*****+ k******************+k********** i112 S Prz6 /z-- Plans Examiner Zoning Structural Review Clerk (Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06/10/2009)(Revised 3/15/09) To: Miami Shores Village Building Opt Page 5 of 5 2012-09-10 19:18:49 (GMT) 19542061786 From: Hotwire Telecom Inc STATE OF FLORIDA P.13PARTMENT OF BUS INES.S AND PRO FE S S IONAL .:REGULATI ON ELECTRICAL. CONTRACTORS LicinurNa BOARD 050) 487-1395 1940 NORTH MONROE STREET. TALLAHASSEE FL 32399-0783 maxims. ALWANUR014 FISEC 'TECHNOLOGY CONVERGENCE LLC. 14260 SN'35 MIA= FL 33175. Congratutational With itils-Ilcense you .become one of the. nearly one million Elorktianelicetn.sed by the Department of Elusinets end ProtessionatRegulation. Our••prefeseionals and 'businesses range from architects to yeeht.brokers,lfrom boxers to 1;carbeciussrostaurents, and they Josep.florldee 'economy strong. Every -day we work to improve the wayWe do :business tri otter to .serve.you better For Informstion about or servicee,.please log onto *wviiiiir.thyttorlditteense:Oom. • Thereyou can tindrnore .infomlation•about ourdivisions and the regulations Impact you, subscribeto . department. newsletters *ancl•Isern 'more aboOt the Departments JrgistiVeS.• Our•mission st.the Department Is: License. Efficiently. Regulate Fail*. We constantly-MAC/6 to serve you :better *solhat you•can eve your customers. Thank you for•doing bOsideg. In. Florida, and congratulations 'on your: new llosnsel 12: 411.3.4*4 • , ••• 00, 409.R•••i* 4( ‘:154ILLIPAIXV warder the ZwevOld 489 P 13,410.0A 4, 201.4 /112M24.2459 f-,Y',7',;;-,1;;UV:OPetRYWDT,c1n,61EKEP,vtiOgPv-sAt'eciilActi,V,-.A?),Eti01iiNiii*Wc:'455,1A,WATgYA&FT'ica4g7;17:--; .01X. ..Oa' .2 0:12:-: PAR .E.11 i104:134 • F RI . . dviithmoiia.' Hs:** . • • . ..... f SEQ#14.3,P.9.6029:235. LICENSE MPT:r4k.:: Natned be3ow t5 CIROILTIAP.::." • .1:113.424w. -the -.13.#0v1.0olas of Ch AUG co. •• ••••• • .ittORALICS AtEd.gWiRs• •-• • • •:* 's. VISEC••••:TEDKNOLO.GY:'•C0111.4.4itaWCE '14200- Atif • a *f4.71.1131.17 x1,424x X.2. 2' • • • a= SCOTT .„ • • ••. KEN LAWSON • , SECRETARY To: Miami Shores Village Building Dpt. Page 3 of 5 4 otEpyreii 2012-09-10 19:18:49 (GMT) 19542061786 From: Hotwire Telecom Inc CERTIFICATE OF LIABILITY INSURANCE DATE (sirdiDoperty) 9/7/2012 'THIS -CERTIFICATE IS i,•:SUED AS A -MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER; THIS • *CERTIFICATE DOES NOT AFFIRMATIVELY 'ORNEGATWELY 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 holderis *an ADDITIONAL' INSURED, :the •poNcypes) most be endorsed. If SUBROGATION IS WAIVED, subject to the termsond ocomfiliona of the policy, certain pobelss may require an endoreeinent A statement on this certificate does'not confer ilabte to the bertificate.holder In lieu of suckendorseme s. PRODIPER Beecher Cellspri IgOoFence 15e.tvlces., obo Security America ERG - 8390 E. Crescent Parkway #200 Greenwood Village CO 80111 LLC INSURED riBea Ter-11=4.09Y Convergence, 'LLC 13876 SW 56th. •St. 4390 Miami FL 33175 .nd2ofEtsan@beeohetearlson. 'corn INBEFIER(St AFFORDING COVERAGE INSURER A ;Security AIIIeriosi RRCI memo 0:Twin City Fire Insurance INSURER 'C COVERAGES* CERTIFICATE NUMBER. • ..„ REVISION NU 8ER: . • T.HISIs. TO:CERTIFY THAT THE sPoLiciEs OF.INSURANCE LISTED. BELDWI-IAVE BEEN ISSUED TO,THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWTHSTANDING ANY 'REQUIREMENT, TENN. 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 TEorss, EXcuiSIONSAND CONDITIONS OF SU • . : mom spgmo N metlxwit CERTIFICATE HOLDER .......... • ■ • • CANCELLATION Miami Shores Vi.11age Building Department 10050 NIC 2nd Ave., Miami Shores FL 33139-2344 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEI.LED BEFORE THE EXPIRATION DATE- THEREOF, NoTtcg • WILL BE DELNctfteo IN AbcoobAracia WITH THE poI,IcY PR0vItIlt444, mMNI:mmioRmuMENTKIVAI Chszyl JertestiallleBld • ^ ......... • ' . .. • ^ • dewy% TYRE OF EdABILITY. ERCIAL GENERAL. CLAINSAIADE INSURANCE. uosiurr • hil OCCUR ii4161F-::;111!.MILVAII I 10531213 —..........,......,......,-...,...ouruma. K.I,1912o2 , i/2013 uI&ns 111:12,t;r1f934.4141111.411- 1.1.000, 000 100 000 tiwatim4immuls 0,(ED Exp Arbi Pine penron). 2, 10;00 PERSONAL A AM/ INJURY $ 1 ,.00D , 00 . egNERrat. AGGREGATE . Is *III 2,000;000 2 000,000 OEM AGGREGATE IUNETINEPLIES fe.A. LOC • PRODUCTS - cONIR/QP AGG POLICY pR PROMMONAL LIABIliy: t 1 000'000 AU/011911LE Lemur( ANY AUTO Au_ OWNED AUTOS. HIRED AUTOS • imiNt,.4.4iiiii jimmt r.:,..1. :A•tar if:., . 1 • SCHEDLILE0 • Amos BODILY INJURY (Par parson) EMILY INJURY (P.x.Roattent) • NON-OWNED AUTOS PROPERTY DAMAGE ,.:.-: t tosekeu.g. use ISCCOSE L,IAB X "occiiR cLAIIi8414ADE 110 .312130148 ' .110/2012 cif 9/20/3 EACH OCCURRENCE * 1., 000,000 QEGATE 1 , 000, Q00 MO Z RETENTION S B moms COMPENSATION ANDIMPLOVERS'LIABILITY ANY. eRomtorampARTNER40cEgyllyt oRmcgRimEMBER ExCLUDIEG7. &Rasoldorthl NNI mat* OF OPERATIONS YIN . ri N /A c .119)9EMi1700 m 0/17/2011 1 . 7,1 $ 500 Wow 10/17/2012 El. DISEASE - . 5 .000 50' 1 0 s EL DISEASE. $ . . -500,000 DESCRIPTION �PD,ERAyIas tuescamegtio , 61C1.140a ,cd, . ...... .............. ......- - - ...- - - POLICY LIMIT • . : mom spgmo N metlxwit CERTIFICATE HOLDER .......... • ■ • • CANCELLATION Miami Shores Vi.11age Building Department 10050 NIC 2nd Ave., Miami Shores FL 33139-2344 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEI.LED BEFORE THE EXPIRATION DATE- THEREOF, NoTtcg • WILL BE DELNctfteo IN AbcoobAracia WITH THE poI,IcY PR0vItIlt444, mMNI:mmioRmuMENTKIVAI Chszyl JertestiallleBld • ^ ......... • ' . .. • ^ • To: Miami Shores Village Building Dpt. Page 4 of 5 2012 -09-10 19:18:49 (GMT) 19542061786 From: Hoiwire Telecom Inc •• FIRST -CL.S ILM POSTAGE FL T 1.231 ...rte. >s.;;! ?_: 637660 -2 • ..... 3US1NNSS Nlrm i we/MAW .. • . • FISEC TECHNO LOGY`':CONVERateNICE;':LLC. 14260 ;SYt '35 " ST' . 33175N1Z.111 :ADE't�Ut: MIER :. FISEC TECit.J gLOGy.:.'CONVER ENCE...!. .IREItI i AL '... . EtPC r..':1Vd. •., . •i6'0ti434 SdA EF000097.1.. �? A W-TANT • 1MT T aa9r., raTOrialAtATityl n• OR'O RCS NOR R. 'fir THE 7 ,9,1 d 5V LAW. 7W918 . QT OU • FiligW.174* 08/01 /2012.. 60080600 044 • 0.00100..00. SEE ©TyiER SIDE CO ROT•FORWARD FISEC TECHNOLOGY *CONVERGENCE LI,C• ALEJANDRO•, 4 !MORALES :MGR 14260 'SW 35 ST MIAMI FL. 33175 111$131111111141,1111111111-11111119 1111111111 .11111119 111,11111111,6411 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 CC - l l - 20(120 Inspection Number. I NSP- 178814 Permit Number: ELC -9 -12 -1690 Scheduled Inspection Date: December 12, 2012 Inspector: Devaney, Michael Owner: LLC, DEVINELLA Job Address: 9165 PARK Drive Miami Shores, FL Project: <NONE> Contractor: FISEC TECHNOLOGY CONVERGENCE LLC Permit Type: Electrical - Commercial Inspection Type: Work Classification: Addition /Alteration Phone Number (305)785 -8990 Parcel Number 1132060141350 Phone: (305)523 -9352 Building Department Comments TELEPHONE AND COMPUTER CABLE DROPS Infractlo Passed Comments INSPECTOR COMMENTS False Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments CREATED AS REINSPECTION FOR INSP - 178342. Ceiling roughO. K.. F/t__ December 11, 2012 For Inspections please call: (305)762 -4949 Page 17 of 41