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EL-10-768Project Address 10619 NE 10 Place Miami Shores, FL 33138 -2103 1122320280580 Block: Lot: AGUSTIN & NORMA AYUSO Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Contractor(s) BROADVIEW SECURITY Phone Cell Phone (305)406 -3940 Fees Due CCF Education Surcharge Permit Fee - Additions/Alterations Scanning Fee Technology Fee Total: Amount $0.60 $0.20 $150.00 $3.00 $0.80 $154.60 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Expiration: 11/0312010 Parcel Number Type of Work: ELECTRICAL Additional Info: BURGLAR ALARM INSTALLATION Classification: Residential Pay Date Pay Type Amt Paid Amt Due Invoice # EL -5-10 -37763 05/07/2010 Check #: 1002874 $ 154.60 $ 0.00 Applicant May 07, 2010 Date AGUSTIN & NORMA AYUSO 10619 NE 10 Place MIAMI SHORES FL 33138 -2103 Valuation: Total Sq Feet: $ 1,000.0 0 Available Inspections: Inspection Type: i 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 May 07, 2010 1 CUMULATIVE SUBSTANTIAL IMPROVEMENT VERIFICATION WORK SHEET In accordance with FEMA regulation and Miami Shores Village Flood Damage Prevention Ordinance the costs of all improvements must be monitored. The costs of any improvements in the past 12 months and the costs of any proposed improvements must be shown on the worksheet. The cost of improvements must include demolition, raw and finished materials (include those donated), labor (including volunteer and self- performed), construction supervision and management, and overhead and profit. A list of items the costs of which are to be included as well as those excluded is attached for your reference. (A Copy of the Contract must be attached) PROPERTY OWNER: ° 11-4 14 4V (4"r° PERMIT # ADDRESS: AN / 5 /y r. /0 8� y ��Ys��/ V FOLIO NUMBER: I I 2.234 FLOOD ZONE: BASE FLOOD ELEVATION: FREEBOARD:. EAST OF FL.CCCL: COST OF PAST IMPROVEMENTS (12 MONTHS): t'91'-a3 COST OF PROPOSED IMPROVEMENTS: (ATTACH COPY OF CONTRACT) TOTAL CUMULATIVE COST OF IMPROVEMENTS (past and proposed): VALUE OF PRINCIPAL STRUCTURE (attach appraisal): OWNERS SIGNATURE: ' ' „ DATE: PLANREVIEWER: PLAN REVIEWER SIGNATURE: DATE: Created on June,2009 /0 1 QTECTIVE EQUIP.MIEyT QTY LOCATIO1)1` o t� R s m RIO NW- T Master Control with Backup Battery, 1 ,. — C. L.t F 1 '""'•w ,rrnw a`: )'? . f r '` ^ c� 'tea + .. �.._ .. ■ ( (e y p a d 1 P'114gr Motion Detector 1 1 1 v nJ) 4Ar i� udible a n D evice . W,.rni, s 1 (Standard - 4 Door or Window Sensors (premium - 3) g f" APP +., G / ) 1 t?e A " a. X 4 F�. -. I m, fF � � � � f{ $ • I"'...:t, I`: iF +S1�4j�•'T e Y ^�J."y 21i� �i'Y ex -:;3' NJFJABu dY�} y3' + t aL� M1 'S'� 5 x t . . .,. .. ,;�. ,. _ ,s t�+ .,�• >,�^t° � a1�d , # ,� " ¢ d'.�r��' ��. �'�`�`h "'G, d 1 r} � .;.✓ �" $` r.,. Sa /!+'fp .. e: f � �} aY s, ^�y14i. , F,ys �IW 1 { ry er' I LSv: IK`�� ��s�ti: :. d 7i . r Y ;e = '{ 'v}�t`. +MS^.' yt �' '9gy,jr 2 MOtirrOl N ^ "' '� ; k. -y �- Wµ i' P M1 � 2ur +' r r'.n .4 .JJ J _ _ 2`T M.Byi 93 Ld^ , .4' S rt 4 .I r7: a MpAO O , { ' t�/ tIs6 C t?t, i�rr f$l,7 rift �,� ra" He � . P » yp . "^FV> 4 €. a ' ^•.: � t '@ V t i p ,.lak `r BXTENDBQ:SEBVICE Pl AN u � �" yti M i f' -� k' Isla? n ,.,, T i '.. .rrF. r �r pq A Ll 1 Oh liege l- ) �' G 2W% f � • V � f .cp' a, � • SAC € J � 5 . _� �, W 3 r + ;Y, G'iC a ]Y F §u4TOTA1- Willi TAX (o Imes k 5) • • s : a Q 4, r� •e ,4,: d ., .�,. ':t + .t as r ��I 9eri* ' $D'•�s `! *P 9 rRe 6i# ;i c g. .: 4 xr aI' �' S;ud y a � � fi �* ef' e w I � I t �' q � - I f q c; ° ,g ntrol. p4l n " i t %o roIO i w'§ mia�ii rll� i � � �1�(r n9►i • � A..E1- VCTOicAL PPi4MiT Of apPli4I �� 7B. POLICE /FIRE PERMIT 00 applicab 7C. ADMIN FEE (where allowed) F `S+y' ✓,-'^?k' �$$ `, :F r■ 9 l9 �tign H! gI r om pn TIia po ptlpn path m e9r i �; y Mr rOlSrner 1 is Of cQ S MP l P n9� I e 4 10, BALA(FCP DPP' , t :: ,..,. { 3 .4Rtill4i r a PRQAPVIEW IN§TAW TIPP WP K PRKR ,_ RESIDENTIAL - U. sE M !Tr EasyPay Auto Payment Name: Mr. C Ms. N pp t O i -M 4 to "j 0 Street: f O is + . b / lik 4 C 4 I City: /14 in 01 1 1 /- i . County: iF) I 1 t i) , State , i Zip: 41 Cellular Phone f i -7!-1' 'rd d" iii �• 4i AD 7 Air 4 i Email: Cross Street; Move /STO rr ,� t 4 �; x �» /14vF4 Completed By Move (Previous Address) Customer # _f ' 2 f_ prospect # L e F � Job # ...110.1_0_, 0 L pate. 5 iOuled: PM SYSTEM TYPE: levy Installation C Conversion C. Pre- Wired C Conversion Pre- v 2 Takeover 2nd System (1st Site Address) r Horne Style: 2 Split -Level v Multi -Story Itt Ingle Story 2 Manufactured Basement: 2 Finished 2 Slab 2 Crawl Space 2 Unfinished Attic: C None C Vaulted /Drop 2 Partial 2. Full Flooring: 2 Tile /Hardwood 2 No Carpet I 2 Partial Carpet 2 Full Carpet Comments: SS;)t (last four digits. only): Installation Phone Work Phone of Add CSR Add Branch Ext. Serv.: ` Coippieted QY` Promotion: B roadview is providing the Protective Equipment to your s ubject to the terms and conditions 9t Proteptive SO4 AgraRniRnt You ackpowied9e that Broadview has etcplained the full range of Broadview equipment available and yoy have selecte0 thl3 egyprnept Beek that an additional $500 fee is required to purchase the Protective Equipment, which must pe separately Itemized BeIpjy F 441'xf an . 9n of €i! g Alarm n9v1c99 equal or exceed the recommend ed an} erds of the, (fat$ n Firefroteciign As iErecanlrn?rlds installation of a smoke detector (which may include battery- operated, nonmonitored detectors) 9,r1 eye r f199s pf yoir horpg (lncl* 4 rv , very Glee ping area, and in every room where people sleep. NFPA recommends installation of strob li9hts In acditior) ;o sirens for people who li ye-. y, ( rmetitan regarding recommended fire protection is available at nfpa.org or by writing the NFPA at Battery Marotl ! a „ 9uln f 9a26s You 019ei gpofvunetnt or pther ' local authority to determine any legal requirements regarding smoke detectors in your ,lurisdiction.you rll er rsd and egree that yet • X %0V'me 9141913er of fill erm devices for your prernisea arld where they are installed, /p ..hiae+ +n +ha en ,ne,al of Rrnatriolauea 4dt•hnielan. I d lep13a f #ttrou9h 8, 0194 al §9 ecowledse 1'09 �fFP.a Outside e M °re l fire rat fer .4.0.V Miami Shores Village age "` Building D epartment �A� 2010 ili 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 ��' '••'T Permit No.FI 10 1(0K Master Permit No. BUILDING PERMIT APPLICATION FBC 2004 Permit Type: Electrical ,� Owner's Name (Fee Simple Titleholder) /top' 7 ., �7 Phone # 3d..(-- 3d..(-- 6(/ 7Li7 Owner's Address /e /6 PZ City / � State Zip Vef Phone # Tenant/Lessee Name E- MAIL: Job Address (where the work is being done) /04/9 Cit Miami Shores Village County Miami -Dade FOLIO / PARCEL # g).-Y' 0570 Is Building Historically Designated YES NO Contractor's Company Name __ / ��� Contra Zs Address 39/ N� / 7 5 2)7 City �h� tate "2- E -MAIL: Architect/Engineer's Name (if applicable) Qualifier Name State Certificate or Registration No. E) OOO 7 a DO Value of Work For this Permit $ / 0 Zip Phone # `✓ 9 4 Zip 3 Phone # 44e 5 /Ye? !' Certificate of Competency No. Phone # Square / Linear Footage Of Work: Type of Work: ❑A , ❑Alt 1' oonw ❑ Repair /Replace El Demolition Describe Work: / Li ' - �y '� �/ a.4,A ii Ble ******** * * * * * * ** * * * * * * * * * * * * * * *xxxxxxxx F xxxxxxxxxxx *x * * * * * * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ / & G , °— CCF $ Notary.$ Training /Education Fee $ . Scanning $ Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ . Double Fee $ Structural Review. $ Technology Fee $ Total Fee Now Due $ CO /CC See Reverse side -* 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 Zi 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 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 , osted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of ch posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature ‘4 Signature - Owner or Agent Contractor The foregoing instrument was acknowledged before me this 1® The foregoing instrument was ackno ,ledged efore me this r day of Apra 1 , 20 I10 , by A 4 us+'n A 1/ka , ' , day of a , 20 /6 , by ,p g6 / or 5 who is personally known to me or who has produced who is personally known to me or who has produced PlkIva Li" s - fa"isd As identification and who did take an oath. as identification and who did take an oath. NOT ; _ + NOTARY PUBLIC: is State of Florida havez 814212 pares 08/05/2013 Sign: Print: My Commission Expires: 0 ki / z01 x xY. xXxxxx xx Y. xxxxxx,: xxxxx xxxx xxx 'cat x atx* xxx xxxx APPLICATION APPROVED BY: (Revised 02 /08/06) Sign: Print: DERRICK MILLER z ° MY COMMISSION # DD 834836 • ° r EXPIRES: October 27, 2012 '�` public ',indent/titers ,il�.Ql``�` Bonded TFwNotary My Commission Expires: x xxxxxxxx xxx XxXxx Xx Xx XY. Y. xxx x xxxxx xx *xxxx 'x *Y. xx xxx sex** Plans Examiner Engineer Zoning ADDENDUM TO BUILDING PERMIT APPLICATION AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS. PLEASE CIRCLE 0 DISCIPLINE APPLIED FOR: PLUMBING ELECTRICAL PERMIT # MECHANICAL ITEM UNIT HEATER- REPLACE BATH TUB DISHWASHER DISPOSAL FLOOR DRAIN GREASE TRAP INTERCEPTOR LAVATORY LAUNDRY TRAY CLOTHES WASHER SHOWER SINK. POT /3 COMP. SINK, RESIDENCE. SINK, SLOP. TEMPORARY WATER CLOSET URINAL WATER CLOSET INDIRECT WASTES WATER SUPPLY TO: A/C UNIT FIRE SPRINKLER HEATER -NEW INST. LAWN SPRINKLER -WELL SWIMMING POOL WATER SERVICE SEWER CONNECTIONS UTILITY -SEWER UTILITY -WATER SEPTIC TANK RELAY FAINFIELD, 4" TILE/RES. PUMP & ABANDON SEPTIC TANK SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING FEE ITEM UNIT GENERATORS TRANSFORMERS SWITCH OUTLETS LIGHT OUTLETS RECEPTACLES SERVICE TEMPORARY SERVICE SIZE IN AMPS SERVICE REPAIR/METER CHANGE APPLIANCE OUTLETS RANGE TOP OVEN WATER HEATER MOTORS 0 -1 HP MOTORS OVER 1 -3 HP MOTORS OVER 3 -5 HP MOTORS OVER 5 -8 HP MOTORS OVER 8 -10 HP MOTORS OVER 10-25 HP MOTORS OVER 25 -100 HP MOTORS OVER 100 HP NC WINDOW AIR CONDITIONERS STRIP HEATER GENERATORS TRANSFORMERS GENERATORS TRANSFORMERS SPECIAL PURPOSE OUTLETS COMMERCIAL SIGN TUBES SIGN TRANSFORMERS SIGN TIME CLOCK FIXTURES ANTENNA TELEVISION OUTLETS FEE VIOLATION REINSPE ON PO ITEM SPACE HEATERS CENTRAL HEATING A/C (WIND) A/C (CENTRAL) DUCT WORK REFRIGERATION PROCESS AND PRESS PIPING UNDERGROUND TANKS ABOVEGROUND TANKS U.F. PRESSURE VESSELS STEAM BOILERS HOT WATER BOILERS MECHANICAL VENTILATION TRANSPORTING ASSEMBLIES ELEVATORS /ESCALATORS FIRE SPRINKLER SYSTEMS COOLING TOWERS VIOLATION REINSPECTION UNIT FEE Primary Zone: 1000 SINGLE FAMILY RESIDENCE CLUC: 0001 RESIDENTIAL - SINGLE FAMILY Beds/Baths: 3/2 Floors: 1 Living Units: 1 Adj Sq Footage: 2,517 Lot Size: 10,400 SQ FT Year Built: 1953 $0/$351,645 32 52 42 MIAMI City: SHORES ESTATES PB Legal 47 -58 LOT 8 BLK 4 LOT Description: SIZE 80.000 X 130 OR 20435 -0110 04 2002 4 COC 26448 -2271 06 2008 3 Year: 2009 2008 $200,000 Applied Applied Taxing Authority: Exemption/ Taxable Exemption/ Taxable i nstitutions Value: Value: Regional: $0/$351,645 $0/$555,746 County: $0/$351,645 $0/$555,746 City: $0/$351,645 $0/$555,746 School Board: $0/$351,645 $0/$555,746 Sale Date: 4/2009 Sale Amount: $200,000 Sale O /R: 4978-2631 Sales Deeds to or from financial Qualification i nstitutions Description: SHORES FL View Additional Sales Folio No.: 11- 223 ?_ 8 -t8Q Property: 10619 NE 10 PL Mailing AUGUSTIN AYUSO Address: NORMA AYUSO $288,578 10619 NE 10 PL MIAMI $351,645 SHORES FL Assessed Value: 33150- Year: 2009 2008 Land Value: $140,870 $267,168 Building Value: $210,775 $288,578 Market Value: $351,645 $555,746 Assessed Value: $351,645 $555,746 Miami -Dade My Home Show Me: Property Information Search By: Select Item El Text only My Home Propeefy Appraiser Tax Estimator Property Appraiser Tax Comparison Summary Details: Property Information: Assessment Information: Taxable Value Information: Sale Information: Additional Information: Click here to see more information for this I ro pe. 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Page 1 of 2 Legend Property Boundary Selected Property Street Highway Miami -Dade County Water http: / /gisims2. miamidade .gov /myhome /propmap.asp 5/3/2010 Inspection Number: INSP- 145264 Permit Number: EL -5 -10 -768 Scheduled Inspection Date: June 14, 2010 Inspector: Devaney, Michael Owner: AYUSO, AGUSTIN & NORMA Job Address: 10619 NE 10 Place Miami Shores, FL 33138 -2103 Project: <NONE> Contractor: BROADVIEW SECURITY Building Department Comments BURGLAR ALARM INSTALLATION Passed Failed ■ Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments June 11, 2010 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 For Inspections please call: (305)762 -4949 Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Alarm Phone Number ()_ Parcel Number 1122320280580 Phone: (305)406 -3940 Page 15 of 29 Sep 17 10 02:57p Project Address Classification: Residential • Agustin Ayuso - Lamadrid Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795-2204 10619 NE 10 Place Miami Shores, FL 33138 -2103 1122320280580 Block: Lot: AGUSTIN & NORMA AYUSO 10619 NE 10 Place MIAMI SHORES FL 33138 -2103 Contractor(s) Phone Cell Phone BROADVIEW SECURITY (305)406 -3940 Type of Work: ELECTRICAL Additional Info: BURGLAR ALARM INSTALLATION Fees Due CCF Education Surcharge Permit Fee - Additions/Alterations Scanning Fee Technology Fee Total: Amount $0.50 $0.20 $150.00 $3.00 $0.80 $154.60 Parcel Number - 5 ql - 1v7 N�.rl Aieo43 Pay Date Pay Type Invoice # EL -5-10 -37763 05/07/2010 Check #: 1002874 $ 154.60 $ 0.00 787 - 792 -1979 Amt Paid Amt Due Applicant Valuation: Total Sq Feet: $ 1,00 0 Available Inspections: , I on yyte: /4 -- fr" p.1 E Applicant Copy For Inspections, Call (305) 795 -2204. Requests must be received by 3 pm for following day inspections. NOTICE: In addition to the requirements of this permit, there may be AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER additional restrictions applicable to this property that may be found In GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT the public records of this county. DISTRICTS, STATE AGENCIES. OR FEDERAL AGENCIES. May 07, 2010 2