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EL-11-1611Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 163982 Permit Number: EL -8 -11 -1611 Scheduled Inspection Date: September 26, 2011 Inspector: Devaney, Michael Owner: BERRY MAN III, JOHN Job Address: 248 NE 98 Street Miami Shores, FL 33138- Project: <NONE> Contractor: ADT SECURITY SERVICES, INC Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number (305)754 -1423 Parcel Number 1132060134180 Phone: (786)331 -3967 Building Department Comments BURGLAR ALARM SYSTEM 1 PANEL 19 DEVICES Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments September 23, 2011 For Inspections please call: (305)762 -4949 Page 29 of 41 Miami Shores Village A n* ,• -r . Building Department , �h 4"3/3)9 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305). 762.4949 BUILDING Permit No.' 1,1 PERMIT APPLICATION Master Permit No. FBC 20 Permit Type: ELECTRICAL Owner's Name (Fee �� Simple F'1 e Titleholder) Y ` Be ' d Owner's Address 293 City AM /Wit Skh r Qs State 4 Zip 33 13 5) Phone # Phone # Tenant/Lessee Name Email Job Address (where the work is being done) 2c/9 'E (g City Miami Shores Village County Miami -Dade FOLIO / PARCEL # //1-3.,16 6 — O/r3 -r /S1) Is Building Historically Designated YES NO /° Flood Zone Phone (9s y) Zb6-c3 %/ Zip . 3 g Contractor's Company Name Contractor's Address /b s,„-- City„,/7-74e44i4e444, State Zipc Qualifier Name / � ` /�%� / / , Phone # State Certificate or Registration No. 2P /1..2-/Certificate of Competency No. Contact Phone ( f� 2--CoP 6- --57/ E -mail Qafieii/a- � 1 Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ �/ 1�- Square / Linear Footage Of Work: Type of Work: ['Addition ['Alteration j DNew ❑ ep ' /Replace ❑ Demolition Describe Work: (/) Oltd-ead" * **** * * * ** * * * * * * ** ** * *************Fees******************************************** * *** * *** * * * * * * * * * * ** * ** * * * ** Submittal Fee $ Permit Fee $ /.04P, Notary $ Scanning $ Radon $ Double Fee $ Training/Education Fee $ Structural Review. $ CCF $ CO /CC $ DPBR $ Violation date: Technology Fee $ Bond $ 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 i' h occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be app r - an re- inspection fee will be charged. gt g.442-5 133 0 Signature i % ', Signature Owner or Agent Contractor The foregoing ins.' ment was acknowledged before me this 2 5 The foregoing instrument was acknowledged before me this day of % , � � , 20 I ) , by ..1k n . o try's., r9 , day of , 20 _, by who is rsonally known to me or who has produced J'ir; v e v' who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: hemst NOTARY PUBLIC: As identification and who did take an oath. Sign: Print: Sign: Print: My Commission Expires: My Commission Expires: APPROVED BY /( .9 ° Plans Examiner Zoning Engineer Clerk checked (Revised 07 /10 /07)(Revised 06/10/2009) Miami -Dade My Home My Home miamidade.go Show Me: 1Property Information Search By: !Select Item . ............................... Text only Property Appraiser Tax Estimator EJ Property Appraiser Tax Comparison Portability S.O.H. Calculator Summary Details: Folio No.: 11- 3206 - 013 -4180 Property: 248 NE 98 ST Mailing Address: JOHN BERRYMAN &W BETH 248 NE 98 ST MIAMI SHORES FL 33138 -2408 Property Information: Primary Zone: 1000 SINGLE FAMILY RESIDENCE CLUC: 0001 RESIDENTIAL - SINGLE FAMILY Beds /Baths: 2/2 Floors: 1 Living Units: 1 Adj Sq Footage: 1,666 Lot Size: 8,625 SQ FT Year Built: 1939 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 7 & W1/2 OF LOT 6 BLK 31 LOT SIZE 75.000 X 115 OR 18882 -3791 11 1999 1 COC 25696 -3263 02 2007 1 OR 25696 -3263 0207 00 Assessment Information: Year: 2011 2010 Land Value: $107,502 $134,378 Building Value: $149,582 $149,711 Market Value: $257,084 $284,089 Assessed Value: $257,084 $284,089 Exemption Information: Year: ' 2011 2010 Homestead: $25,000 $25,000 2nd Homestead: YES YES Taxable Value Information: MP.ar• 1 7011 1 7010 1 Page 1 of 2 '291-1-1 NE EETr f ..... 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All rights reserved. i http: / /gisims2. miamidade .gov /myhome /propmap.asp 8/30/2011 Miami -Dade My Home Taxing Authority: Applied Exemption/ Taxable Value: Applied Exemption/ Taxable Value: Regional: $50,000/ $207,084 $50,000/ $234,089 County: $50,000/ $207,084 $50,000/ $234,089 City: $50,000/ $207,084 $50,000/ $234,089 School Board: $25,000/ $232,084 $25,000/ $259,089 Sale Information: Sale Date: 2/2007 Sale Amount: $490,000 Sale O /R: 25696 -3263 Sales Qualification Description: Sales which are qualified 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 8/30/2011 121 91,11 IMO 1 'I.s11.1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 11111111111 [111 CONTRACT DATE Ta nn CUSTOMER ACCOU NT NO �; GEi3C2 FCEEEEEE JOB NO { LEAD SOURCE Section 1. Customer Info ADT Sec urityt Services, Nrc ( °ADT) Customer Nary Office Address (°cusNmer° or "r or 'me° or °r�°) }O7gs rt PIA trdr • P36 064111 [FIT-1R1 TI INIAIMIEI 1 1 1 1 1.1 1 1 1 Address D-emig7htfon 11124D642 ll5tate ® zip 4 Z5 INIA1MIE1 1 1 1 1 1 1 1 1 1 1 111111111111111 -1111 www.MyADT.com 1.800.ADT.ASAP® (1.800.238.2727) IF FAMILIARIZATION PERIOD IS REJECTED INITIAL HERE (see Paragraph 14 of the Terms and Conditions for explanation) Protected Premises' Telephone 11111111111 Traditional Phone Alternate Telephone 1 Alternate Telephone 2 EMAIL City Tax Exempt No. 0 Other (Qualified) 0 Other (Non-Qualified) Kla7E1E1EE0 311111 111111111111111 Tax Expire Date 0 Home i'Cell 0 Work 0 Home 0 Cell 0 Work 111111 11111111111111111111111111 Communications Authorization: 1 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. l may unsubscribe or opt out by entailing donotcontact0ADT.com or by falling 13138.DNC4ADT (888362 .4238). Initial here Confirmation of Appointments 1 authorize ADT to call me using an automated calling device to deliver a pre-recorded message to setcohfirm appointments and provide other information and notices about the alarm system at the telephone numbers) provided by me. Initial here 1 ACKNOWLEDGE AND AGREE TO EACH OF THE FOLLOWING: (A) TIPIS 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 CONDITIONS. (8) THE INITIAL TERM OF THIS CONTRACT IS THREE (3) 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 ADDTnONAL COST TO ME. I HAVE SELECTED AND PURCHASED ONLY THE EQUIPMENT AND SERVICES 1DENTIRED IN THIS CONTRACT. (D) NO ALARM SYSTEM CAN PROVIDE COMPLETE PROTECTION OR GUARANTEE PREVENTION OF LOSS OR INJURY. FRIES, 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 1 MANUALLY TEST THE ALARM SYSTEM MONTHLY AND ANY TIME 1 CHANGE TELEPHONE SERVICE, BY CAUNG 1.800.ADT.ASAP OR BY LOGGING IN TO WWW.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 ADTS ONLY OBLIGATION WILL BE TO NOTIFY ME OF 51101 TERMINATION AND REFUND ANY AMOUNTS I PAID IN ADVANCE. ADT RepreSen)e(ive Name c en "la q61-474 Rep. License No. Rep. / /,'} Of Required) ID No. j (/ 11O (11 NOTICE OF CANCELLATION , 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. 1 ACKNOWLEDGE BEING VERBALLY INFORMED OF MY RIGHT TO CANCEL AT THE TIME OF EXECUTION OF THIS CONTRACT AND RECEIPT OF THIS NOTICE. Section 2. Services to be Provided _ _— _ CONTRACT. - . FINANCIAL DISCLOSURE STATEMENT THERE IS NO FINANCE CHARGE ,OR COST OF CREDIT (o%;_APR) ASSOCIATED WITH THIS A. PAYMENTS S FOR THE IL AMOUNT OF EACH PAYMENT IS $ TOTAL OF PAYMENTS FOR THE NRIAL LIES OF ANY )IK 2 TERM t5 ��. L L/ ARPLICABLE TAXES. FEES, FRIES NITIALTERM 15 36- (TOTAL MONTHLY SERVICE CHARGE FROM BELOW) AND RATES EA LATE CHARGE - PAYMENT 15 DUE PURSUANT TO MY SELECTED BILLING FREQUENCY, PRIOR TO THE START OF SERVICE. MY FIRST BIWOIARGE WILL BE SENT/MADE SHORTLY AFTER Y SERVICE BEGINS. ADT MAY IMPOSE A M 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 55.00. PREPAYMENT - W 1 PREPAY THE TOTAL OF PAYMENTS PRIOR TO THE TOTAL OF OF THE INITIAL TERM OF THK 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 02011 ADT. AU rights reserved. (04111) Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Parcel Number Applicant 248 NE 98 Street Miami Shores, FL 33138- 1132060134180 Block: Lot: JOHN BERRY MAN III i Owner Information Address Phone CeII JOHN BERRY MAN III 248 NE 98 Street MIAMI SHORES FL 33138 (305)754 -1423 Contractor(s) Phone Cell Phone ADT SECURITY SERVICES, INC (786)331 -3967 Valuation: Total Sq Feet: $ 2,206.00 0 1 Type of Work: ELECTRICAL Additional Info: ALARM Classification: Residential Scanning: 1 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee - Additions/Alterations Scanning Fee Technology Fee Total: Amount $1.80 $2.00 $2.00 $0.80 $100.00 $3.00 $2.40 $111.80 Pay Date Pay Type Amt Paid Amt Due Invoice # EL -8 -11 -41904 08/31/2011 Check #: 128874 $ 111.80 $ 0.00 Available Inspections: Inspection Type: Final Meter Box Alteration Relocation Fire Alarm Service Change Underground 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: 1 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. August 31, 2011 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Date August 31, 2011 1