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EL-11-1428Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 163686 Scheduled Inspection Date: August 24, 2011 Inspector: Devaney, Michael Owner: BECHT, CLAUDE Job Address: 1610 NE 105 Street A -12 Miami Shores, FL 33138 -2118 Permit Number: EL -8 -11 -1428 Project: <NONE> Contractor: ADT SECURITY SERVICES, INC Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Alarm Phone Number Parcel Number 1122300530120 Phone: (786)331 -3967 Building Department Comments INSTALLATION 0 BURGLAR ALARM Passed C7 Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments August 23, 2011 For Inspections please call: (305)762 -4949 Page 19 of 23 � r ■ • 114 PERMIT APPLICATION FBC 2004 Miami Shores Village SAitio Building Department sye 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Te . ' 05) 795.2204 Fax: (305) 756.8972 Permit No. 7 Master Permit No. Permit Type: Electrical Owner's Name (Fee Simple Titleholder) ' CI1I f Phone # (- ac J Owner's Address /kip f or City Y'j'j stow- State - Zip 7.2j Tenant/Lessee Name Phone # E-MAIL: Job Address (where the work is being done) ,47/e City Miami Shores Village County Miami -Dade FOLIO / PARCEL # (1- 22;0 —0E3 -°'0/ Zo Is Building Historically Designated YES NO Contractor's Company Name 4151 a-Gip/pi Contractor's Address (' 01 j fr/Aff/j_ VAti City -i (lame. State n - p 33O 2' Zi_ Qualifier Name a-- • e4E ) 4 ( fI ,( Phone # State Certificate or Registration No. v-� X c? ' ;3// Certificate of Competency No. E -MAIL: Architect/Engineer's Name (if applicable) Phone # Zip 03/ a Phone # ' 7 � �G --co 0 �— Value of Work For this Permit $10(0>0), Square / Linear Footage Of Work: Type of Work: ['Addition ‘ration ❑New ❑ Repair/Replace ❑ Demolition Describe Work: Tto O ` sy41AP` ***** ** *aye ******* * *** **a************* Fees * ** *■******* ** ** *** *** **** ****** ****** ***** Submittal Fee $ -, - DD J Permit Fee $ (090, CCF $ CO /CC Notary $ Scanning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ Training/Education Fee $ Technology Fee $ Radon $ DPBR $ Zoning $ 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, HEA'L'ERS, TANKS and AIR CONDITIONERS, ETC OWNER'S Al'FIDAVIT: 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. Signa Owner or Agent The foregoing instrument was acknowledged before me this The fo day of_� 20%it,by 0� , day 0 who is personally known to me or who has produced OM ��y--f who is per Signature Contractor trument was acknow 20/^/ , by oex ¢ t/aa 3&0 -7 Ash tification and who did take an oath. NOTARY PURL lly known to me or who has produced as identification and who did take an oath. 'hrl da sWcylkePt NOTARY PUBLIe. My Commission Expires: Sit RR RRRRRRRRRRRRRRRRRRRRRRRRRRRRR RRRRR***RR** * RRRRRRRRRRRRRRRRRR RRRRRRRRRRRR RRRRRRRRRRRRRRRRRRRRRRRRRRRRRRR APPLICATION APPROVED BY: (Revised 02108/06) Plans Examiner Engineer Zoning Page reservee aux autoritee competentes pour delivrer le pgsseport Paging reseruada colas autoridades competecItes u paraexpedire(pqaporr.. /Fabehaidtdea. asudstede7de ,r, nd gheder I Amt iche Vennerke +: ifpoopr4rai a tic 5,0;4 ro. EA, cppob,sc I is rnv Ex50a17 ro. 61a6anpidu 1 Pages reserve for issitiac .,ru +, o, n Leathana•gtl in a7 ithi d'7d rar e,,,i'ha Fag na riServat'5 o(('curoritb Opmerkingen.van bevoegde 1.'151: Pcg,na reservada as e atidades cJmpete, tes oara entftiro rasscport .41'074f.. f casS'� aPOVrrano^i %c,. F%be' /Lr•/t`a- .aauzrvntrghet Ce passepo t c ntient un compa§d t eiectronique. convient d %en prendre gain; et er pa drWier de ne pas le plier, (e perforer, l "exposer a des tempera urt=, extremes oar a une numidite excessive. ti I 'JSSt'�Qi r )�s�l 06AF86816 BECHT. CIAU DE,RENE,FREDERIC 2.00 m MARRON .re ' nr @=tirtr,�_'r 10 021960 BENFEt,T3 07 2006 2 ccssus auaus r£ w cer 581 ^E. htULHO■SE f'ol rf<k4GE SOUS- PREFEc uRE DE.'rvtULHO 03 07 2016 P< FRABECNT «CLAUDE <RENE <FREDERIC « «<fi «<<“ 06AF868 168FRA6002109M1607037« « «E « «« <02 Fiihrerausweis- Perrnis de conduire Licenza di cordurre - Perriiss da manischar - Driving Licence 1. Becht 2. Claude Rene Frederic 3. 10:02.1960 F 4a. 28,05.201 0 4b. 5. 006943348001 Fiahrerausweis- Perrnis de conduire Licenza di condurre Permiss da manischar Driving Licence 1. Becht 2. Claude Rene Frederic 3. 10.021960 F 4a. 28.05.2010 4b. * * * * * * ** "' 4c. VD -CH 5. 006943348001 9. Al B F 9• 10. 11. 12. Al 19.07.1978 * * * * * * * * B 6lit, 19.07.1978 * * * * * * * » ** 1. Nom 2. Prenom 3. Date de naissance, lieu d'origine 4a. Date d'emission 4b. Date d'echeance 4c..Autorite 3 dmissian.. 5. Numero du permis 9. Categorie 10. Date de deterrence, par categorie 11. Date Techeance. par 'r 12. Donnees complementarorie 70(780467801341.n re9' HDS394F<< FACHE006943348001 «600210 « «< BECHT«CLAUDE<RENE <FREDERIC «< OF • . Miami -Dade My Home My Home Show Me: !Property Information Search By: !Select Item CText only Property Appraiser Tax Estimator EjProperty Appraiser Tax Comparison Portability S.O.H. Calculator Summary Details: Folio No.: 11- 2230 -053 -0120 Property: 1610 NE 105 ST Al2 Mailing Address: CLAUDE BECHT 1610 NE 105 ST #Al2 MIAMI SHORES FL 33138- Property Information: Primary Zone: 2010 CLUC: 0007 CONDOMINIUM - RESIDENTIAL Beds /Baths: 2/2 Floors: 0 Living Units: 1 Adj Sq Footage: 1,728 Lot Size: 0 Year Built: 1971 Legal Description: HARBOUR CLUB VILLAS CONDO TOWNHOUSE A -12 UNDIV 1/79TH INT IN COMMON ELEMENTS CLERKS FILES 69R143006 & 70R100201 OR 21331- 2548 05 2003 1 Assessment Information: Year: 2010 2009 Land Value: $0 $0 Building Value: $0 $0 Market Value: $233,410 $307,120 Assessed Value: $233,410 $307,120 Exemption Information: Year: 2010 2009 Homestead: $25,000 $25,000 2nd Homestead: YES YES Taxable Value Information: Year: 1 2010 1 2009 Page 1 of 2 ACTIVE TOOL_' SELECT AYStele TE Aerial Photography - 2009 0 200 ft My Home 1 Property Information 1 Property Taxes I My Neighborhood 1 Property Appraiser Home 1 Using Our Site 1 Phone Directory 1 Privacy 1 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. Web Site © 2002 Miami -Dade County. All rights reserved. http: / /gisims2. miamidade .gov /myhome /propmap.asp 8/4/2011 Miami -Dade My Home Taxing Authority: t pplleu „NNneu Exemption/ Exemption/ Taxable Taxable Value: Value: Regional: $50,000/ $183,410 $50,000/ $257,120 County: $50,000/ $183,410 $50,000/ $257,120 City: $50,000/ $183,410 $50,000/ $257,120 School Board: $25,000/ $208,410 $25,000/ $282,120 Sale Information: Sale Date: 3/2011 Sale Amount: $0 Sale O /R: 27730 -4299 Sales Qualification Description: Corrective deed, quit claim deed, or tax deed; Deed bearing Florida Documentary Stamp at the minimum rate prescribed under Chapter 201, F.S.; Transfer of ownership where no doc stamps were paid; or, Transfer of ownership by other than a deed such as a final judgement or court order. View Additional Sales Additional Information: Click here to see more information for this property: Community Development District Community Redevelopment Area Empowerment Zone Enterprise Zone Zoning Land Use Urban Development Boundary Zoning Non -Ad Valorem Assessments Environmental Considerations http: / /gisims2. miamidade .gov /myhome /propmap.asp Page 2 of 2 8/4/2011 RESIDENTIAL SERVICES CONTRACT CONTRACT DATE M/D / CUSTOMER ACCOUNT NO 6 JOB NO LEAD SOURCE ec on . ustomer Info ADT Security Services, Inc. (°ADT°) Office Address www.MyADT.com 1.800.ADT.ASAP® (1.800.238.2727) Customer Name t✓L,�rP F I ; ,�. pA M E ( °Customer° or `I° or °me° or `my °) " V Q LAST NAME p/ f�r�- Address / b (0 k. / n,f s4 ' City ( `ki r f 3 State L'__Y_J ZIP 3 3 l43 Tax Exempt No Protected Premises' • % ( 'Dill � Telephone �V l Tax Expire Date M M / D D / Y Y 0 Traditional Phone 0 Other (Qualified) 0 Other (Non - Qualified) Alternate Telephone 1 0 Home 0 Cell 0 Work IF FAMILIARIZATION PERIOD IS REJECTED INITIAL HERE Alternate Telephone 2 0 Home 0 Cell 0 Work (see Paragraph 14 of the Terms and Conditions for explanation) 1 EMAIL C 1 A a A rL . 6 e d h I-. e b i Li e W t- n. C II Communications Authorization: I authorize products and services to the contact information 888.DNC4ADT (888.362.4238). Initial here ADT to provide me with information and updates about the security system and new ADT and third -party provided by me. I may unsubscribe or opt out by emailing donotcontact@ADT.com or by calling 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: a Customer- Ownec( er0 ADT -Owned I ACKNOWLEDGE AND AGREE TO EACH OF THE FOLLOWING: (A) THIS CONTRACT CONSISTS OF SIX (6) PAGES. BEFORE SIGNING THIS CONTRACT, 1 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 CONDmONS. (B) THE INITIAL TERM OF THIS CONTRACT IS THREE (3) YEARS. (C) ADT I5 NOT A SECURITY CONSULTANT AND CANNOT ADDRESS AU. 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. I 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 LOSS 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 aF ADT. ADT MAY NOT RECEIVE ALARM SIGNALS IF COMMUNICATIONS OR POWER I5 INTERRUPTED FOR ANY REASON. (E) ADT RECOMMENDS THAT I MANUALLY TEST THE ALARM SYSTEM MONTHLY AND ANY TIME I CHANGE TELEPHONE SERVICE, BY CALLING 1.800.ADT.ASAP OR BY LOGGING IN TO NWW.MYADT.COM. (F) THIS CONTRACT REQUIRES FINAL APPROVAL BY AN ADT AUTHORIZED MANAGER BEFORE ADT MAY PROVIDE ANY EQUIPMENT 3R SERVICES, AND IF APPROVAL IS DENIED, THEN THIS CONTRACT WILL BE TERMINATED, AND ADT'S ONLY OBLIGATION WILL BE TO NOTIFY ME OF ;UCH TERMINATION AND REFUND ANY AMOUNTS I PAID IN ADVANCE. \DT Representative Name kat O , -c-0/ `1 Rep. License No. Rep. ,�q,� v�i�/'V (If Required) ID No. K 6�f :ustomer's I: OcigipaLS• ture Required (Must match Customer Name in Section 1 above) THE CUSTOMER, MAY CANCEL HIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY NOTICE OF CANCELLATION FTER THE DATE OF THIS TRANSACTION. SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION F THIS RIGHT. I ACKNOWLEDGE BEING VERBALLY INFORMED OF MY RIGHT TO CANCEL AT THE TIME OF EXECUTION F 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. ,. NUMBER OF AYMENTS FOR THE VITIAL TERM IS 36. B. AMOUNT OF EACH PAYMENT I5 $ ! r (TOTAL MONTHLY SERVICE CHARGE FROM BELOW) TOTAL OF PAYMENTS FOR THE INITIAL TERM IS H+ (A. TIMES B.) (EXCLUSIVE OF ANY APPLICABLE TAXES, FEES, FINES AND RATE INCREASES) ATE CHARGE - PAYMENT 1S DUE PURSUANT TO MY SELECTED BILUNG REQUENCY, PRIOR TO THE START OF SERVICE. MY FIRST BILUCHARGE WILL E SENT /MADE SHORTLY AFTER MY SERVICE BEGINS. ADT MAY IMPOSE A ,NE -TIME LATE CHARGE ON EACH PAYMENT THAT IS MORE THAN TEN (10) AYS PAST DUE, UP TO THE MAXIMUM AMOUNT PERMITTED BY LAW, BUT IN 0 EVENT WILL THIS AMOUNT EXCEED $5.00. PREPAYMENT - IF I PREPAY THE TOTAL OF PAYMENTS PRIOR TO THE END OF THE INITIAL 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. rf A