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EL-11-1158Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 162620 Permit Number: EL -6 -11 -1158 Scheduled Inspection Date: August 01, 2011 Inspector: Devaney, Michael Owner: ROBERTS, BARBARA Job Address: 46 NE 93 Street Miami Shores, FL 33138- Project: <NONE> Contractor: ADT SECURITY SERVICES, INC Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Alarm Phone Number Parcel Number 1132060130190 Phone: (786)331 -3967 Building Department Comments INSTALLATION OF BURGLAR ALARM Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments July 29, 2011 For Inspections please call: (305)762 -4949 Page 20 of 30 Contractor's Address (e7'8 KS cad 785 MARKS 'WnAnY City y.tiYL -f? 3 5 LH Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2004 Permit Type: Electrical Owner's Name (Fee Simple Titleholder) JUN 24,RE Permit No. et . i - 1 k S ` Master Permit No. bOf6erj- °t Qo I er-"5 Phone# 305 - 75 I55/ Owner's Address 4(Q N.f! 9 3 Si- City Marti& e7Vu7YP-s State FL-. Tenant/Lessee Name E -MAIL: Job Address (where the work is being done) City Miami Shores Village FOLIO /PARCEL# o6- Is Building Historically Designated YES Zip 33I3V Phone # _16 Pe 93 5+ County Miami -Dade Zip 13? NO Contractor's Company Name 4Pr Sect -- ;f11 DT A SECW SERVICES 7 Ce r 10 State r-z ip 350? -5 Qualifier Name C' -in.o D D e Phone # State Certificate or Registration No. epOaa /I? 1 E -MAIL: t. YiniG>'.aci Lea+ Corn Architect /Engineer's Name (if applicable) q sip -cacao -GQs 7 Certificate of Competency No. Phone # Value of Work For this Permit $ (i(20 .' Square / Linear Footage Of Work: Type of Work: ❑Addition [Iteration Describe Work: 5 itLL - Cfr bu..r ❑New 0,c ata.-rni ❑ Repair /Replace ❑ Demolition /2 RI del) /CCs *xx *x* xxxxxxxxx * *xxxxxxxxxxxxxxxxxxxxxx Fees *xxx Submittal Fee $ Notary $ Scanning $ Bond $ Permit Fee $ /3-9 P Training /Education Fee $ Radon $ DPBR $ Code Enforcement $ Double Fee $ Structural Review. $ xxxxxxxxx * * *xxxxx * *xxxxxxx * * * * *** CCF $ CO /CC Technology Fee $ Zoning $ Total Fee Now Due $ 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 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 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 he approved and a reinspection.fee will be charged. Signature Owner or Agent The foregoing instrument was acknowledged before me this ').a day of 3 l ,20 1 , by 6BS (6"k 9 -F 5 , who is personally known to me or who has produced NOTARY Sig Print: iC Notary Public State of Florida ^ Mark A Rosengarten $t My Commission EE093481 or Or Expires 05112/2015 ake an oath. "5 My Commission Expires: 0 ¶ ,°a, l r 3 APPLICATION APPROVED BY: (Revised 02/08/06) Signatu The fore g instrument was acknowledged before me this o)J day of , 20/1 , by & ZO-rod . POyt 462,0 who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: g. aaeD Print: Anicelis Trini My Commission Expires: %xxxxxxxxxxxxxxxxxrxx %xxxx %xxxxx XX x VC 2C c• 44Y 'c: Nota Public State of Florida Aracelis Trinidad .' >, c` My Commission DD945822 froc f`o0 Expires 12/10/2013 X X Plans Examiner Engineer Zoning 6/22/2011 My Home mia •a•e.•o Show Me: Property Information Search By: Select Item Text only Property Appraiser Tax Estimator Property Appraiser Tax Comparison Portability S . Calculator Summary Details: Folio No.: 11- 3206 - 013 -0190 Property: Mailing ddress 93 ST Miami -Dade My Home ACTIVE TOOL: SELECT ;.. i ' a st MIAMI•DADE HUBERT M ROBERTS &W� BARBARA S 6 NE 93 ST MIAMI SHORES FL 3138 -2816 Property Information: Primary Zone: 1000 SINGLE FAMILY ESIDENCE CLUC: 001 RESIDENTIAL - SINGLE FAMILY BedsrBaths /1 Floors Living Units: 11 dj Sq Footage: 2,049 Size: '•,600 SC FT ear Built: 11949 !MIAMI SHORES SEC 1 ,iitAMD PB 10 -70 LOT 7 & I Legal Description:1 AE1 /2 LOT 8 BLK 2 LOT 1SIZE 75.000 X 128 OR 15477 -3463 0492 1 OR 15477 -3463 0492 00 ear: Assessment Information: 2010 2009 Land Value: $86,871 i $96,691 Building Value: $157,370 3169,233 Market Value: $244,241 ;$265,924 ssessed Value: S126,513 18 Exemption Information: erial Photography - 2009 My Horne 1 Property Information 1 Property Taxes l My Neighborhood 1 Property Appraiser 0 113 ft Home 1 Using Our Site 1 Phone Directory l Privacy l Disclaimer 'If you experience technical difficulties with the Property Information application, or wish to send us your comments, questions or suggestions please email us at Webmaster. iYear: 2010 2009 °" Home dead $25,000 $25,000 2nd HomeSead. YES 1 YES Taxable Value Information: 2010 2009 Taxing Applied Authority: Exemption/ Exemption/ Taxable Value: r Taxable Value: Applied Regional: $50,000/$76,513 $50,000/$73,1871 County: i $50,000/$76,513 1$50,000/$73,187! iCity: $50.000/$76.513150.000 /$73.1871 gisims2.miamidade.gov/.../propmap.asp Web Site © 2002 Miami -Dade County. All rights reserved. Legend Property Boundary Selected Property / Street N Highway Miami -Dade County Water 1/2 6/22/2011 School 25,000/$101,513 25,000/$98,187 Board: ' Sale Information: Sale Date: 4/1992 Sale Amount: $97,000 Sale O /R: 15477 -3463 Sales Qualification Description: Sales which are qualified View Additional Sales Additional Information: Click here property. Community Development District ommunity Redevelopment Area Empowerment Zone Enterprise Zone oning Land Use Urban Development Boundary Zoning Non Ad Valorem Assessments Environmental Consderations to see more information for this gisims2 .miamidade.gov /... /propmap.asp Miami -Dade My Home 2/2 RESIDENTIAL SERVICES CONTRACT FOR USAA MEMBERS CONTRACT ` DATE CUSTOMER ACCOUNT NO 11[1111 1111 5106UE11 n JOB NO LEAD SOURCE ADT Security Services, Inc MDT") Office Address gA51\9,r-1 en `u 725 r'w.ncs (N4.3 10)r -A tv\ck ft- C e u - 3 - 6 0 - o Customer Name ( °Customer° or °I° or °me° or °my ) 5 eI 0 wP 0 H Address Ll e 9 3 5 4 State EL, ZIP Protected Premises' Telephone 4E0 Traditional Phone 0 Other (Qualified) 0 Other (Non - Qualified) 3 3 3 S15 3 1 City 14 1 N In Ce. s Tax Exempt No www.MyADT.com 1.800.ADT.USAA Alternate (1.800.238.8722) Telephone 1 IF FAMILIARIZATION PERIOD IS Alternate REJECTED INITIAL HERE Telephone 2 (see Paragraph 14 of the Terms and M Conditions for explanation) EMAIL `• L 1 3 5 9 0 N 5 0 Tax Expire Date Affinity Name & No. USAA - 01 �1Y 9 y6 -76 0 Home CO Cell 0 Work 0 Home 0 Cell 0 Work 1 sk e-- Communications Authorization: I authorize ADT to provide me with information and updates about the security system and new ADT and third -party products and services to the contact information provided by me. I may Q u ubss ibe or opt out by emalling donotcontact@ADT.com or joy calling 888.DNC4ADT (888.362.4238). Initial here 116 t3 9,Ip gag:, 'd- 1 l4J Confirmation of Appointments: I authorize ADT to call me using an automated calling device to deliver a pre - recorded message to set/confirm appointments and provide other information and notices about the alarm system at the telephone number(s) provided by me. Initial here Alarm System Ownership: 0 Customer -Owned • ADT -Owned % — f - I i A 6 Ds [ o 1 ACKNOWLEDGE AND AGREE TO EACH OF THE FOLLOWING: (A) THIS CONTRACT CONSISTS OF SIX (6) PAGES. BEFORE SIGNING THIS CONTRACT, I HAVE READ, UNDERSTAND AND AGREE TO EACH AND EVERY TERM OF THIS CONTRACT, INCLUDING BUT NOT LIMITED TO PARAGRAPHS 5 AND 18 OF THE TERMS AND CONDITIONS. (B) THE INITIAL TERM OF THIS CONTRACT 15 TWO (2) YEARS. (C) ADT IS NOT A SECURITY CONSULTANT AND CANNOT ADDRESS ALL OF MY POTENTIAL SECURITY NEEDS. ADT HAS EXPLAINED TO ME THE FULL RANGE OF EQUIPMENT AND SERVICES THAT ADT CAN PROVIDE ME. ADDITIONAL EQUIPMENT AND SERVICES OVER THOSE IDENTIFIED IN THIS CONTRACT ARE AVAILABLE AND MAY BE PURCHASED FROM ADT AT AN ADDITIONAL COST TO ME. 1 HAVE SELECTED AND PURCHASED ONLY THE EQUIPMENT AND SERVICES IDENTIFIED IN THIS CONTRACT. (D) NO ALARM SYSTEM CAN PROVIDE COMPLETE PROTECTION OR GUARANTEE PREVENTION OF L055 OR INJURY. FIRES, FLOODS, BURGLARIES, ROBBERIES, MEDICAL PROBLEMS AND OTHER INCIDENTS ARE UNPREDICTABLE AND CANNOT ALWAYS BE DETECTED OR PREVENTED BY AN ALARM SYSTEM. HUMAN ERROR IS ALWAYS POSSIBLE, AND THE RESPONSE TIME OF POLICE, FIRE AND MEDICAL EMERGENCY PERSONNEL IS OUTSIDE THE CONTROL OF ADT. ADT MAY NOT RECEIVE ALARM SIGNALS IF COMMUNICATIONS OR POWER IS INTERRUPTED FOR ANY REASON. (E) ADT RECOMMENDS THAT I MANUALLY TEST THE ALARM SYSTEM MONTHLY AND ANY TIME I CHANGE TELEPHONE SERVICE, BY CAWNG 1.800.238.8722 OR BY LOGGING IN TO W WW.MYADT.COM. (F) THIS CONTRACT REQUIRES FINAL APPROVAL BY AN ADT AUTHORIZED MANAGER BEFORE ADT MAY PROVIDE ANY EQUIPMENT OR SERVICES, AND IF APPROVAL 15 DENIED, THEN THIS CONTRACT WILL BE TERMINATED, AND ADT'S ONLY OBUGATION WILL BE TO NOTIFY ME OF SUCH TERMINATION AND REFUND ANY AMOUNTS 1 PAID IN ADVANCE. ADT Representative Name q D6 er_1�-'�� Rep.fRequied. P 1yJ (If Required) Customer's Approval: Original Signature Required (Must match Customer Name in Section 1 above) Rep. .Gf ID No. NOTICE OF CANCELLATION I, THE CUSTOMER, MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION. SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. I ACKNOWLEDGE BEING VERBALLY INFORMED OF MY RIGHT TO CANCEL AT THE TIME OF EXECUTION OF THIS CONTRACT AND RECEIPT OF THIS NOTICE. FINANCIAL DISCLOSURE STATEMENT THERE 15 NO FINANCE CHARGE OR COST OF CREDIT (0% APR) ASSOCIATED WITH THIS CONTRACT. A. NUMBER OF PAYMENTS FOR THE I B. AMOUNT OF EACH PAYMENT IS $ 3 9 ' To. INITIAL TERM 15 24. I (TOTAL MONTHLY SERVICE CHARGE FROM BELOW) LATE CHARGE - PAYMENT IS DUE PURSUANT TO MY SELECTED BIWNG FREQUENCY, PRIOR TO THE START OF SERVICE. MY FIRST BILL/CHARGE WILL BE SENT /MADE SHORTLY AFTER MY SERVICE BEGINS. ADT MAY IMPOSE A ONE -TIME LATE CHARGE ON EACH PAYMENT THAT IS MORE THAN TEN (10) DAYS PAST DUE, UP TO THE MAXIMUM AMOUNT PERMITTED BY LAW, BUT IN NO EVENT WILL THIS AMOUNT EXCEED $5.00. TOTAL OF PAYMENTS FOR THE INITIAL TERM IS $ 96/ - 96 (A. TIMES B.) (EXCLUSIVE OF ANY APPLICABLE TAXES, FEES, FINES AND RATE INCREASES) PREPAYMENT - IF I PREPAY THE TOTAL OF PAYMENTS PRIOR TO THE END OF THE INTIIAL TERM OF THIS CONTRACT, THERE IS NO PENALTY OR REFUND. SEE SECTIONS 2, 7, 15 AND 19 OF THIS CONTRACT FOR ADDITIONAL INFORMATION ABOUT NONPAYMENT, DEFAULT AND ACCELERATION. 1 of 6 Office Copy ©2011 ADT. All rights reserved. (04/11) RESIDENTIAL SERVICES CONTRACT FOR USAA MEMBERS CONTRACT DATE 66 CUSTOMER ACCOUNT NO 11 I[I{I Ill 5106UE11 iti 1111 JOB NO LEAD SOURCE 9 C. - -r i - • • - ' • • - • • I -.) Monthly Service Charge go Standard Monthly Service, Burglary Service indudes: Customer Monitoring Center Signal / Receiving and Notification Service for Burglary, Manual Fire and Manual Police Emergency $ 1 n C L 04 Standard Monthly Service, FirelSmoke Detection Service includes: Customer Monitoring Center Signal t I t) c-L. Receiving and Notification Service for Fire, Manual Fire P ' and Manual Police Emergency 0 Carbon Monoxide 0 Flood 0 Low Temp $ 0 Medical Alert $ CO Safewatch Cellguarde $ tACL. 0 SecurityLink® 1 $ , 0 Extended Limited Warranty/Quality Service Plan (QSP) $ tnc-L O Guard Response Service $ 0 Other $ 0 Initial/Annual Recurring Munidpal (Subject to change based on 0 Customer to obtain and pay alarm use permit. Failure to the municipal alarm use permit result in no municipal fire/police from the premises ancVor a Municipal Electrical Permit 0 Customer to obtain electrical Installation Price Fee billed separately local law) — for initial/annual municipal obtain and provide ADT with registration number could response to an alarm fine. Fee permit $ \ 9.5?., 00 InitlaVAnnual Fee $ \ 15, 00 $ Taxable Amount Non-Taxable Amount $ Connection Fee $ t n c L Admin Fee $ Sales Tax on Installation* 01`i -•'5 1- bitt, $ 4 . b Deposit Received Balance Due upon Installation* $ p,,O7 a , 00 $ ID Total Monthly Service Charge $ 3 9 4- *If applicable sales tax not shown, it will be added to the first invoice. 1-44 - • TITh.iuri i1I -• .„. ...- -- ., , .... z / / 7,,,c. / zz zz --ir, Control 56 ,46., " -'-ols -c, - -.' 0 4: <0.°0( (530 ..ot,/, -, ■0', 7'. , zce ,. 7 10 e rt) Package Name: , I ,.., I 5vs fa> ?Pee-n er I '5k4 .e (-19 Ceti. lei' Includes: Foyer Living Room Family Room 1 , - 4 -) c> (5 Cf a' at- 3 4- CX, I -I'lci-ei r Office PN,.1. tVinc,k Dt."-/,..5 Dining Room Kitchen Laundry Room Hallway -14 Master Bedroom Master Bath Bedroom 2 1 a 1 A CL, L. 0416) L J .1- r.e,Sa • 'i--4k/ LAA') 4-- 5/V) 19 re. 61.8ct.,c6r C_etL f-Aric, 6•Lc.y.0 4 r 6 W-C Pl",.5 ,e;01:685 1 Re›A.3.3rc, (o A-1-r6L 4 e.-I— tsA o-i-14.1 0 Bedroom 3 Bath 2 -1 — if 0.?(CI C/\13 e) CA-1-5 1 Basement Garage L • c/o,r Sirer■ i - 6 _0,,c. • ey,_ ..... ! 1 Totals Existing Equiprnent,, ,-- 1 Estimated Installation Start Date e INSTALLER NOTES , - pc , _ - 2 of 6 02011 ADT. Alt rights reserved. ' tL f'CO / Fire & / Security Permit Information AU t Secunty bermes, Inc_ Sales Rep: j'\ \ pop / .T,!er. \c),c,` =4-) Date: (_9,2,_ 1 I Install Date: -7_6__ 1 Job #: Customer Name: 6xb A k 9._%^3sCLC RU be/+5 Keypads: Tel 1: 3c5 7S1- 1 Address: L b e 93 6 4- Suite#: , 16 Tel 2: City: NA \oli,&\ \A are 5 Motion Detectors: ZIP, :, 33 `3 8. Municipality: Alt Contact: 1 Other: Tel: Lot#: Block#: BURG DEVICE TOTAL: Subdivision: Fire Pump FAIL Connections: Folio #: l ( 3-�,b6_ 0 I3_O0 90 Master Permit#: G Job Cost: S 1_9✓ =" System Type(s): NiBurg Automation EjAccess ❑Fire QCCTV ❑Home' Job Type: ❑Under Construction ❑Prewire Only Prewire & Trim Burglar Alarm Devices Control Panels: ` Audio Glassbreaks: Property Owner: Keypads: 1 Security Screens: Door/Window Contacts: 16 Smoke Detectors: Motion Detectors: 1 Transmitters: __ Sirens /Sounders: 1 Other: Holdup Buttons: BURG DEVICE TOTAL: CCTV Devices Cameras: Monitors: Property Owner: VCRJDVRs: CCTV DEVICE TOTAL: Access Devices Card Readers: Maglocks/Door Strikes: Shunt/RTE Motion Detectors: Other: Shunt/RTE Buttons: ACCESS DEVICE TOTAL: Fire Alarm Devices: Control Panel Model(s): Control Panels: Property Owner: Smoke Detectors: Horns: Pull Stations: Duct Detectors: Strobes: Transmitters: __ Heat Detectors: Horn/Strobes: Waterflow Connections" Fire Pump RUN Connections: Fire Pump FAIL Connections: PW/Tamper Connections: Hood Connections: Other: Commercial Info Shopping Center: Business Park: Building#: Property Owner: Owner's Address: Comments (continue on back if needed) 64813a60