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EL-08-1681Scheduled Inspection Date: January 20, 2010 Inspector: Devaney, Michael Owner: CANTEY, ANTHONY Job Address: 186 NW 108 Street Project: <NONE> Miami Shores, FL 33168- Contractor: ADT SECURITY SERVICES, INC Building Department Comments January 19, 2010 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 103022 Permit Number: EL -9 -08 -1681 For Inspections please call: (305)762 -4949 Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1121360100080 Phone: (786)331 -3967 Passed Et 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- 95149. NO ONE HOME. MD 12/18/08 PUSH CALL BUTTON ON THE FRONT GATE. OWNER: ANTHONY 305 - 794 -9299 Page 1 of 30 Project Address Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 186 108 Street 1121360100080 Miami Shores, FL 33168- Block: Lot: Owner Information Address Phone ANTHONY CANTEY 186 108 Street MIAMI SHORES FL 33168 -4313 $ 2,000.00 ..:....... Contractor(s) Phone ADT SECURITY SERVICES, INC (786)331 -3967 Cell Phone Type of Work: Additional Info: Classification: Residential Fees Due CCF Education Surcharge Expired Permit Renewal Fee Permit Fee - Additions/Alterations Scanning Fee Technology Fee Total: Amount $1.20 $0.40 $100.00 $100.00 $3.00 $2.50 $207.10 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 !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. Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy June 04, 2009 Expiration: 1 210412009 Parcel Number Valuation: Total Sq Feet: Invoice # EL-6 -09 -34976 Check #: 2062 EL -9 -08 -32870 Check #: 1962 Total Amt Paid Amt Due $ 100.00 $ 100.00 $ 0.00 $ 107.10 $ 107.10 $ 0.00 Applicant ANTHONY CANTEY June 04, 2009 Date Cell 0 Available Inspections: Alteration Inspection Type: Underground Rough Meter Box Relocation Fire Alarm Service Change Final Final W. W. 1 'Return to: Miami Shores Village 10050 N.E. 2nd Avenue NW Miami Shores, FL 33138 -0000 'Bill To I ANTHONY CANTEY 186 NW 108 Street MIAMI SHORES, FL 33168 -4313 Date Fee Name 06/04/2009 Expired Permit Renewal Fee Thursday, June 4, 2009 invoice Miami Shores Village 10050 N.E. 2nd Avenue NW Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Invoice Number: EL-6 -09 -34976 Invoice Date: June 04, 2009 Permit Number: EL -9 -08 -1681 Bond Number: 'Comments: Fee Type Calculated Total Fees Due: Fee Amount $100.00 $100.00 Payments Date Pay Type 06/04/2009 Check Check Number Amount Paid 2062 $100.00 Change $0.00 Total Paid: $100.00 Total Due: $0.00 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: December 18, 2008 Inspector: Devaney, Michael Owner: CANTEY, ANTHONY Job Address: 186 108 Street NW Miami Shores, FL 33168- Project: <NONE> Contractor: ADT SECURITY SERVICES, INC Building Department Comments Wednesday, December 17, 2008 Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Addition /Alteration Block: Phone Number Parcel Number 1121360100080 Lot: Phone: (786)331 -3967 Passed Failed Re- Inspection Fee Correction Needed No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments cc / tc 147 1 /,`a > /(9 Page 1 of 1 Project Address Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores , FL 33138 -0000 Phone: (305)795 -2204 Parcel Number 186 NW 108 Street 1121360100080 Miami Shores, FL 33168- Block: Lot: ANTHONY CANTEY Expiration: 03116/2000 Owner Information Address Phone Cell 186 NW 108 Street MIAMI SHORES FL 33168 -4313 Contractor(s) ADT SECURITY SERVICES, INC Phone (786)331 -3967 CeII Phone Valuation: Total Sq Feet: Type of Work: Additional Info: Classification: Residential Fees Due CCF Education Surcharge Permit Fee - Additions /Alterations Scanning Fee Technology Fee Total: Amount $1.20 $0.40 $100.00 $3.00 $2.50 $107.10 Total Amt Paid I Amt Due $ 0.00 $ 0.00 Payment Type : fic,1 $ 0.00 EP 2 ''PANS Applicant ANTHONY CANTEY $ 2,000.00 0 Available Inspections: Inspection Type : Fire Alarm Final Meter Box Service Change Relocation Alteration Underground Rough W. W. 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 . Authorized Signature : Owner / Applicant / Contractor / Agent Building Department Copy September 17, 2008 Date Wednesday, September 17, 2008 1 1 BUILDING PERMIT APPLICATION FBC 2004 Permit Type: Electrical Owner's Name (Fee Simple Titleholder) /1 4 / � T one # 6 & / �j , ; -.. City e �L / Zip..? Ste' Tena t/Lessee Name E- MAIL: Owner's Address Job Address (where the work is being done) City Miami Shores Village FOLIO / PARCEL # Is Building Historically Designated YES Contractor's Company Name E -MAIL: Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. Master Permit No. Phone # County Miami -Dade Zip NO # (.3e 296- Contractor's • ress / I"-- _ y„ fj City �' State Zip QualifierName /��Z°J. / a' Phone # 4 %T5 9 ' �' �O3 State Certificate or Registration No. 4 Z.7 Certificate of Competency No. Value of Work For this Permit $ 7 ‘ Square / Linear Footage Of Work: -- 7V926 { Architect/Engineer's Name (if applicable) Phone # Alteration ` ['New :1 Repair/Replace ❑ Demolition Describe Work: e @! t/ eCo Cv e . Type of Work: ['Addition Submittal Fee $ Notary $ 0 Scanning $ Bond $ Structural Review. $ Total Fee Now Due $ ****** * * * * * * * * * * * *xxxxxx * * * * * * * * * * * ** F asxxuae***** * * * * * * * ** * * * * ** * * * * * * * * * * * * * * ** Permit Fee $ /! ' ® e,02 Zs CCF $ L LO coicc Training /Education Fee $ U AV Technology Fee $ 250 Radon $ DPBR $ Zoning $ r. Code Enforcement $ Double Fee $ See Reverse side —> Bonding Company's Name (if applicable) f Bonding Company's Address City State Zip Mortgage ender's Name (if applicable) Mortgage Len ' ddress City State Zip t � 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence .of such posted notice, the inspection will not be approved and a reinspection fee will be charged. fey Cf.. ley Signature Signature The foreg day of Sign: Print: Owner or Agent ng instrument was acknowledged before me this ,20' ,by As identification and who did take an oath. NOTARY PUBLIC: The foregoin day of My Commission Exp es ' =� My Commission ww f *ww *x 9c*** n **wwwww r*w i it* *wwwwwwww*w*wwwwww*w**ww*w*ww*w ,twat BOi!DEL Tiil U ATLANTIC 0 ;li NG CO., INC. APPLICATION APPROVED BY (Revised 02/08/06) Contractor ment was acknowledged before me 20 , by who is personally known to me or who has produced who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: TJY$I1A OF FLORIDA �, Alba Ag ana Expires «� �� n =fission DD682830 y �, y , y , , , y . JULY 26, 2011 ***** tell, l E1 itYi F I '1°hl�ctl.`, * i - 4 efd Plans Examiner Engineer Zoning ADT Security Services, Inc. (ADT) ( "We" or "Us" or "Our") Office Address ILA pus) 64, u 3300 3a -L7q( Tel: 1- 800 -ADT -ASAP) 1- 800 -238 -2727 IF FAMILIARIZATION PERIOD IS REJECTED INITIAL HERE Communications Authorization You hereby authorize ADT to furnish information and updates regarding your security system and new ADT and/or third party produces and services available to ADT arstomexs to your email or by telephone at the addresses and/or telephone numbers shown above. You may tmsubsaibe and/or opt - out by emailing webmaster@adtcom or by calling I- 800 - 238 -2727. Initial here System Ownership: IZ(ustomer -Owned Standard Monthly Service, Burglary 1Mmdtly Service Charge Service includes: Customer Monitoring Center Signal Receiving and Notification Service for Burglary, Manual Fire, and Manual Police Emergency Standard Monthly Service, Fire /Smoke Detection Service includes: Customer Monitoring Center Signal Receiving and Notification Service for Fire, Manual Fire, and M Police Emergency ❑ Carbon Monoxide ❑ Flood ❑ Low Temp ❑ Medical Alert RESIDENTIAL SERVICES CONTRACT CONTRACT DATE: _/ (0 /P TOWN NO: CUSTOMER NO: EMAIL ❑ ADT -Owned ❑ Safewatch Cellguard® ❑ SecurityLink .xtended Limited Warranty/Quality Service Plan (QSP) L ❑ Guard Response Service ❑ Monthly Recurring Municipal Fee (Subject to change based on local law) El Customer to obtain and pay for municipal ahem use permit Other /rr Ba (4/e iJ Total Monthly Service Charge , ❑ Initial /Annual Recurring Municipal Fee -billed separately (Subject to change based on local O O t° obtain and pay for initialiammal municipal al= use penaitYour fiIum to obtain and provide ADT wrthyourn al ahnn use petmit registration numberaotuld result in no m u n i c i p a l Ss /police msporae to as alarm from your pmmvses ani/or a free. Customer Name r J ("You" or "Your") , Address / g / AJ 1J 7 f 8 Ply - ciry / Shrel State / Zip F 1 331 6 ' Protected Premises' ❑ Traditional Phone ❑ Other (Qualified) ❑ Other (Non- Qualified) Alternate Telephone 1 C 3O 7 9 9-99 Alternate Telephone 2 \ Initial /Annual Fee 0111111111111111 11111 Municipal Construction Permit Fee ❑ Customer to obtain construction permit Installation Price Taxable Amount Deposit Received Estimated Start Date Non - Taxable Amount Balance Due upon Installation* Estimated Completion Date JOB No: LEAD SOURCE: S &L Connection Fee Total Installation Charge* - Do 8 E /3/ ta.13 Sales Tax on Installation* _ o IG, £ o /6 * If applicable sales tax not shown, it will be added to your first invoice. Affinity Name & No. Tax Exempt No. Tax Expire. Date (Circle one) Home / Cell / Work w /ext. (Circle one) Home / Cell / Work w /ext. /8 66 F5104-07 (7/07) `sb YOU ACKNOWLEDGE AND ADMIT THAT: (1) WE HAVE EXPLAINED TO YOU THE FULL RANGE OF EQUIPMENT AND SERVICES AVAILABLE TO YOU; (2) ADDITIONAL EQUIPMENT AND SERVICES OVER THAT DESCRIBED HEREIN ARE AVAILABLE AND MAY BE OBTAINED FROM US AT AN ADDITIONAL COST TOYOU; TERM OFTH S CONTRACTS IS FOR ONLYTHE SHOULD Q MANUALLYTESTYOUR S MONTH YANDTESTYOUR CT; (4)THE M WITH ADT UPON ANY CHANGETO A NON- TRDMONALTELEPHONE SERVICE ANDTO CONFIRM PROPER TELEPHONE UNE SEIZURE AND SIGNALTRANSMISSION IS FUNCTIONING UPON ANY CHANGE TO THE TELEPHONE SERVICE IN YOUR PREMISES. WE ARE NOT A SECURITY CONSULTANT. YOU ACKNOWLEDGE AND DMITTHAT BEFORE SIGNING YOU HAVE REDTHE FRONT AND BACK OFINS PAGE IN ADDITION TO THE ATTACHED PAGES WHICH CONTAIN IMPORTANT TERMS AND CONDRIONS FOR THIS CONTRACT. YOU STATE THAT YOU UNDERSTAND ALL THE TERMS AND CONDITIONS OF THIS CONTRACT, INCLUDING, BUT NOT UMITEDTO, PARAGRAPHS 5, 6, 7, 8, 9,10 AND 22YOU ARE AWARE OF THE FOLLOWING: NO ALARM SYSTEM CAN GUARANTEE PREVENTION OF LOSS; HUMAN ERROR S ALWAYS POSSIBLE; WE MAY NOT RECEIVE ALARM SIGNALS IF THE TELEPHONE UNE OR OTHER ALARM TRANSMISSION SYSTEM IS CUT, INTERFERED WITH, OR OTHERWISE DAMAGED OR IF TELEPHONE OR ELECTRICAL SERVICE IS U, ell : FOR ANY REASON. SECOND AND THIRD PAGES ACCOMPANY THIS PAGE WITH ADDITIONAL TERMS AND CONDITIONS ' - / <! ( 3 NOTICE OF CANCELLATION YOU, THE CUSTOMER, MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO THE END OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION. SEE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT.