Loading...
ELC-15-2620 111IJ 77 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 nspection Number: INSP-246742 Permit Number: ELC-10-15-2620 Inspection Date: October 27, 2015 Permit Type: Electrical - Commercial Inspector: Devaney, Michael Inspection Type: Final Owner: , Work Classification: Low Voltage Job Address:9055 BISCAYNE Boulevard Miami Shores, FL 33138- Phone Number Parcel Number 1132060110051-55 Project: <NONE> Contractor: CERTIFIED MULTI-MEDIA SOLUTIONS LTD CORP Phone: (954)649-4030 Building Department Comments CCN LOW VOLTAGE Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comme Passed Failed El Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. For Inspections please call: (305)762-4949 October 27,2015 Page 1 of 1 Permitneo. -10-15-2620 ,90�1. t� Miami Shores Village Permit Tjrpe:EleCtriCal,�+;DommeCCiai P" 10050 N.E.2nd Avenue Illi©ricCtaSSfficakan:Low YaNtage Miami Shores,FL 33138- er 0000 Permit Status.:APPROVED 1.ejMV Phone: (305)795-2204 �ioxmp` , 0122 015 Expiration: 04/19/201 Project Address Parcel Number Applicant 9055 BISCAYNE Boulevard 1132060110051-55 SHORE SQUARE PROPERTIES I Miami Shores, FL 33138- Block: Lot: Owner Information Address Phone Cell LrSHORE"SQUARE PROPERTIES LLC 9055 BISCAYNE BLVD. ki , Contractor(s) Phone Cell Phone Valuation: $ 2,400.00 CERTIFIED MULTI-MEDIA SOLUTION; (954)649-4030 Total Sq Feet: 00 a Type of Work: Available Inspections: Additional Info: Inspection Type: Classification:Commercial Rough Scanning:3 Review Electrical Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.80 Invoice# ELC-10-15-57434 DBPR Fee $2.25 10/15/2015 Credit Card $50.00 $112.30 DCA Fee $2.25 Education Surcharge $0.60 10/22/2015 Credit Card $ 112.30 $0.00 Permit Fee $150.00 Scanning Fee $3.00 Technology Fee $2.40 Total: $162.30 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 aut ove-n I-s tr o do the work stated. October 22, 2015 Authorized Signature:Owner / Applicant / Contractor / Agent uate Building Department Copy October 22,2015 1 ` Miami Shores Village W) Department Buildin g ��t � � �0�5 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 BUILDING Master Permit No. CC %S- �C- ") PERMIT APPLICATION Sub Permit No. t C 1 2 W BUILDINGLECTRIC 0 ROOFING F_� REVISION [-] EXTENSION RENEWAL PLUMBING F-1 MECHANICAL Ej PUBLIC WORKS [:] CHANGE OF ❑ CANCELLATION [:] SHOP Q CONTRACTOR DRAWINGS JOB ADDRESS: ,t) �ji„O��SMiamo City:hgi�ir i Shores Countv:llwSx_ Miami Dade Zip: -?�2i3g Folio/Parcel#: Is the Building Historically Designated:Yes NO v Occupancy Type: Load: Construction Type: Flood Zone: r BFE: FFE: Q� q� OWNER:Name(Fee Simple Titleholder): �rI +Q-e �J�"Ptfone#:CIS r�/� Address: _S00 0 XHV et 04 City: '1 State: V Zip: Z�� Z Tenant/Lessee Name: c�wg d'�Q�e-e_ Phone#: Email: � �L Cmc CONTRACTOR:Company Name: ��cr. .�� �y�� — �;,,� �(iC`icSR ine#: L 83n Address: M-IN S �Q.1[t- v�( City: �yNn SewCy\ State: \psi& Zip: 354CsQ,n Qualifier Name: M%NV_ j=:3 cke-N. Phone#: q5 &A.T—L1®'0, State Certification or Registration M ��'�_Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: A City: State: Zip: Value of Work for this Permit:$ -_ Square/Linear Footage of Work: Type of Work: ❑ Addition Alteration `❑ New ❑ Repair/Replace ❑ Demolition Description of Work:— C.­rV Loj j) Specify color of color thru tile: Submittal Fee$ Permit Fee$. CCF$ 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 approved and a reinspection fee will be charged. Signature Signature O N or AGENT CONTRACTOR I ��� C-kl? '&N J The foregoing instrument was acknowledged before me this The forCegpypg instrume it wnowledged before me this J 'q day of Q 4e 20 IS ,by IJ d)ay of (il^ 20��, by who is personally known to �'fL Ifs 1 ,who is personally known to me or who has produced as me or who has produced L as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC- NOTARY PUBLIC: Sign: Sign: Print Print �► yr/n Expires July 2,2017 Seal: ti ,� AR6TFfA C.CARRINt#TOPI Seal: ; aod.d nw TMy Fain hreurenc M385aof s $,4• o Notary Public,State of Florida Commission#FF 159738 My comm.expires Sept 14,2018 *********************************************************************** ********* APPROVED BY Plans/�®'���8 Plans Examiner Zoning Structural Review Clerk ♦SNMe Gi NINE Miami shores Village Building Department �LOIRIDp` 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. OPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF LIABILITY INSURANCE* D. COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor 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 form and Contractor 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. .................... .... ......... BUSINESS NAME: if . / d... .�..-7C �.L� .,9...�....'.. . �..........�.87"49..... BUSINESS ADDRESS: (S)DI G-01 )(/f, iLLI CITY °i �'� � r"STATE ZIP �3 0(;10 BUSINESS PHONE: ( ) I T � FAX NUMBER CELL PHONE -) r7�C QUALIFIER'S NAME: QUALIFIER'S LIC NUMBER: 3 COZY S-/2' DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD , EG13000517 g. The ALARM SYSTEM CONTRACTOR II `>•} b Named below IS CERTIFIED -� Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2016 *ram, PETERSON, MARK CERTIFIED MULTI-MEDIA SOLUTIONS, LTD CORP. 95 TOLEDO STREET FARMINGDALE NY 11735 la , ISSUED: 11/25/2014 DISPLAY AS REQUIRED BY LAW SEQ# L1411250001230 DBA: Receipt#:ELEc RICAL/ ALARMS/CONTRACTOR' Business Name: CERTIFIED MULTI-MEDIA SOLUTIONS Business Type: (SECURITY/LOW VOLTAGE) Owner Name:CHRISTIAN A PETERSON III Business Opened:01/29/2015 Business Location: 1331 S DIXIE HWY State/County/Cert/Reg:EG13000517 POMPANO BEACH Exemption Code: Business Phone:954-541-9898 Rooms Seats Employees Machines Professionals 5 For Vending Business Only Number of Machines: Vending Type: Tax Amount Transfer Fee NSF Fee Penalty Prior Years Collection Cost Total Paid 27.00 0.00 0.00 1 2.70 0.00 0.00 29.70 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: CERTIFIED MULTI-MEDIA SOLUTIONS Receipt #52A-15-00000141 1331 S DIXIE HWY Paid 10/07/2015 29.70 POMPANO BEACH, FL 33060 2015 - 2016 Q4n%A►,RV f`nl]N'ry`r nr A 1 Rt iiciwtF:cC TAX-RFc.F1PT Client#: 1244196 CERTIMUL ACORDTM CERTIFICATE OF LIABILITY INSURANCEDATE(MM/DD/YYYY) 10/14/2015 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 certificate holder is an ADDITIONAL INSURED,the policy(les)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 CONTACT NAME: Amerisc/USI-Commercial Lines PHONE 516 419-4000 FAX 877 727-5171 AIC No Ext: AIC No: 333 Earle Ovington Blvd.,Suite E-MAIL 800 ADDRESS: Uniondale,NY 11553 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Allied World Surplus Lines Insu 24319 INSURED INSURER B:WeSCO Insurance Company 25011 Certified Multi-Media Solutions Ltd Twin Ci Fire Insurance Com an 29459 95 Toledo Street INSURER C: City Comp an NY 11735 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 CONTRACTOR 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. FN—SR ADDLSUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD I POLICY NUMBER MWDDNYYY) (MM/DDNYYYI LIMITS A IX COMMERCIAL GENERAL LIABILITY 5200143400 05/01/2015 05/01/201 EACH OCCURRENCE $1,000,000 CLAIMS-MADE �OCCUR PREMISES Ea occcurrence $100,000 MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $3,000,000 POLICY❑J CT r LOC PRODUCTS-COMP/OP AGG $3,000,000 OTHER: $ B AUTOMOBILE LIABILITY WPP0059834 5/01/2015 05/01/201 COMBINED SINGLE LIMIT Ea accident 1.000,000 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED BODILY INJURY Per accident $ AUTOS AUTOS ( ) X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE AUTOS Per accident $ A UMBRELLA LIAB OCCUR 5201041900 5/01/2015 05/01/2016 EACH OCCURRENCE s5,000,000 4( EXCESS LIAB X CLAIMS-MADE AGGREGATE s5,000,000 DED I X RETENTION$1O 000 $ `+ WORKERS COMPENSATION 31 WEOY2055 12/19/2014 12/19/201 X AND EMPLOYERS'LIABILITY PER OTH- ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? ❑ N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) RE: License#EG13000517 CERTIFICATE HOLDER CANCELLATION Miami Shores Village SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Building Department ACCORDANCE WITH THE POLICY PROVISIONS. 10050 NE 2nd Ave Miami Shores Village,FL 33138 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION.All rights reserved. ACORD 25(2014/01) 1 Of 1 The ACORD name and logo are registered marks of ACORD #S16463496/M16430649 WXGCW SHORE SQUARE PROPERTIES, LLC 696 N.E. 125" Street Miami, Florida 33161 PH: (305) 893-9955 Fax: (305) 899-9060 October 14, 2015 Re: Shore Square Properties, LLC Dollar Tree Stores, Inc. 9055 Biscayne Blvd. North Miami, FL 33138 To Whom It May Concern: Please be advised that Shore Square Properties, LLC as owner of the above referenced property,hereby authorizes Certified Multi-Media Solutions their General Contractor and/or Subcontractor to apply for and obtain permits for various alterations as necessary for the above referenced property under the following conditions; (a) Contractor(s) acquires the required permits and perform all work to code and in a professional manner; (b) Contractor(s) acknowledge that Landlord has no financial obligations to contractor(s) or their sub-contractors or to Dollar Tree Stores, Inc. (Tenant). All financial liability to contractor(s) shall be the sole responsibility of the Tenant or their designated agent. ke , STATE OF FLORIDA) COUNTY OF MIAMI-DADE ) I HEREBY CERTIFY that 46601to me personally known or who hasthave produced as identification and ho did take an oath., this day acknowledged before me that they executed the foregoing document this 2015. My Commission Expires: Notary 0TYA GONZALEZ "•eYe�., Commissi #FF 032722 ly Expires July 2,? 0 3a 7W9 9 �oc`• B.&O07myF& .��P� w LEGEND 153 0 DATA ro S ®VOICE AP AIPHONE SPEAKER PHONE w PORTdH,REO#1PORT#13,EMBGINGSPE <' PORTOZ REO#2 PORT#14,OPEN PAW 8 HORN PORT#3,REO#3 PORT#18,PCA2 w w C PORT#4,RE6#4 PORT 06,OPEN � a0 VOLUMEeoanROL iAV PORT#8,RE6#6 PORT#17,OPEN 11 ❑ 'L ❑ ® 16nD END H PORT da,REO pB PORT dHB,OPEN PORT#7,FIE,#7 PORT#18,OPEN PORT PORT#2a,OPEN e ❑ ❑ ❑ /d_NOTES PORT#8,PC 1 PORT 021,OPEN PORT 010,AP 1 PORT VZ OPEN PORT#11,AP 2 PORT 023,OPEN •CWFIRY ALL LOCATIONS PRIOR TO INSTALL PORT#1Z2.SENSOR PORT 024,OPENABOVE DESK BEHIND RACK •DSL EXTENSION FROM 09MARC TO MOR OFFICE •-rm •VOICE RAN FROM DEMARO LOCATION IN STOCKROOM TO EACH LOCATION W PIAN •FIREWRO INSTAUBDVOTH RJ31X v; •MAIN PHONE AND SPARE IN Wh"ER6 OFFICE WILL CONFIRM LOCATION US2&PUT PAIRS FROM ONE CABLE 8 ------._..._______.—._-__—_..—.._--. _______._—, PRIOR TO INSTALL .OSLANO DIAL BACKUP w MANAGERS OFFICE IMLL 2 __: -_�.'_I EMS VOICE USE PAlfle Fad11 ONE 'c2 t <, 0 EMB DATA,PORT 13 ow& SENSOR NOTE 94�P RTM (( If �] _1__-.l �. 4-:--I.. L _— -,I r + f I �' _� ' PRIOR TO INSTALL N "vr 03 .�- _.�= - L EV C N EMODEL OR�VQ K.�NSTA�RT#3 l , STORE.OoNOT INSTALL • FIR OI E VOICE F�SOR CAAIBLBEW✓ --._. 8�0 •(FUNSUREOP%ORKTYPE,CONSULTYdrNSAILIWICKPM `< LLED AT PANEL.� tRJ31X JACKS w CAMERA LEGEND �•�_ ua+ ECR . O)AX40CAMERAP30' o> AX48R2CAMER A! � J _ AXOCAMERA J pL JJJ RT#1 05 `•- � ®> MCMTOR d I- =' EXTERIOR L = LJyIJf�� I{ 1 _.I �,(E. - )" t: j _ ® NO CAMERA ROUGH IN CABLEONLY W •(� t„J CAMERA NOTES O N n i - No•DAMCAMERA RA ANDDOLLAR TREE EEABOVOIAFF. u {TMOP DOWN MTS FA ENOSo OPEN07 USES ABOVE IT Q j S S S - S i AO WNRRMCAMERAPIA WENTPRIOR TO["TALLI81M 6=p lO Yom^-4+--m ^-_-,��- ) .•.- «I.' •� .IF CAMERA HWW IT DUMMY DOME. DUMMY O=BEFORE LEAVIitO eRE CAMERA 04 IN OFFICE MUST 8e 24 INCHES OFF WALL AND SHOT 3 f 1' _. I AMERA�IS�T CKgOCM)LDESK AND DOOR MUBTkQCLVDED4ORODOR DI She - �'- _ 25 I (n� I AND BE e7ALLE0 ARWND SffE008TR1X;TIIN18 rr l t 1�'j (<_ :.� -. 'f- F !1 • . _ I ALL CAMERA MUST BE VERKED BY BARNCK BEFORE LEAVING SIT AVINGSR8 AOUNTA49AND ASSOCIATED MONITORS PER ELEVATION THN BELOWAND,SALSMCK DOCUMENTATION O p„ 7 t2l u~i R. AXQCAVM 0> 08 29 t �" MONITOR � V I, �y J � 1