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EL-11-1936Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 166666 Permit Number: EL -10 -11 -1936 Scheduled Inspection Date: November 15, 2011 Inspector: Devaney, Michael Owner: COLE, JEAN Job Address: 9915 NE 4 Avenue Road Miami Shores, FL Project: <NONE> Contractor: ADT SECURITY SERVICES, INC Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Alarm Phone Number (305)758 -9496 Parcel Number 1132060171300 Phone: (786)331 -3967 Building Department Comments BURGLAR ALARM Passed d Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments Sn /C/i/c), // November 14, 2011 For Inspections please call: (305)762 -4949 Page 32 of 34 1 ti Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 bCifs& I Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION FBC 20 RECEI\' OCT 201011 BY: Permit No. �-' (l ~ 31 Master Permit No. Permit Type: Electrical �1 OWNER: Name (Fee Simple Titleholder): L cn ?tri6 4,011 Phone #: 3 oS 3o ( 74 ,i Address: (S t4 44e R-o City: L I A - 1 - 1 1 S r E S State: - Zip: 3 3 13 $ Tenant/Lessee Name: Phone #: Email: JOB ADDRESS: Q (J '- C `( ?N E (2-0 City: Miami Shores County: Miami Dade Folio/Parcel #: 1,1 . 3-2_06 . o l) . 1 3 0 Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: AT- ,rcGevd1'(li i d t L€S Phone #: zip: 77(3g Address: City: 11. t State: F- Qualifier 330L-c-- s�ppyy Qualifier Name: f n 1 n j (+ l Phone #:l, �J � ° _J�✓ State Certification or Registration #: _ t ~ C . ( Certificate of Com (( Contact Phone #: Email Address. t olSV ft twt_ 1.4 t `I icy #: DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit 1 S 21 0 . Square/Linear Footage of Work: Type of Work: ❑Address ID Alteration New ❑Repair/Replace ❑Demolition Description of Work: * **** * *** x ******m*a.******* * ******** Fees*** ** ** ** u****** ******** ******** * * **,e*** **** Submittal Fee $ Permit Fee $ /A /0;49 CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ Bonding Company's Name (if applicable) Bonding Compa 's Address \\ City State Zip Mortgage Lender's Nam 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 be approved and a reinspection fee will be charged. Signature Owner or Agent The foregoing instrument was acknowledged lit" day of P'I— , 20 I L , by FYill -ii• SrC.A°. S�. .: *••� ytp y' �oduced ao� who is personally known to me or who et L--- As identificatio •�hctp(i�dtt�ice anth.= r,;��JS! i �+ eon,,\ NOTARY PUBLIC: Sign: Print: t 1 ��- My Commission Expires: APPROVED BY Signature Contractor The foregoing ins ment was acknowledged before me this day of ‘)t , 20/L_, by who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print My Commissio S. Notary Public - State of Florida • My Comm. Expires Jul 26, 2015 Commission # EE 106656 +4+ ********************'.*..******+ 1+**********o. M.**** 4+ o***** ***+R ***********O***O******o **o 4 }-2) Plans Examiner Structural Review (Revised 07 /10/07)(Revised 06 /10 /2009)(Revjsed 3/15/09) Zoning Clerk CLOSING STATEMENT Esteban Giugovaz and Francesca Rinonapoli, husband and wife Purchase from: Jean E. Cole 9915 NE 4th Avenue Road, Miami Shores, Florida 33138 Closing Date: September 30, 2011 Folio No. 11 -3206- 017 -1300 Purchase Price Borrower/Buver Seller ($528,000.00) $528,000.00 Deposit $50,000.00 Broker's Commissions Keller Williams Eagle Realty ($1,594.00) R.J. Bourne, P.A. ($7,118.00) Cliff E. Shepard Jr., P.A. ($7,128.00) Keller Williams Realty Miami Beach ($800.00) Francesca Rinonapoli /Keller Williams ($15,040.00) ReOccupancy Certificate fee to R.J. Bourne. P.A. ($75.00) HELOC Payoff to Bank of America ($146,899.12) Non- Advalorem Taxes From 10/01/10 to 09/30/11 (POC Closing for fiscal year by Seller) Ad Valorem Taxes From 01/01/11 to 09/30/11 (Seller pays quarterly; no proration needed) TITLE CHARGES Closing Fee to Flanagan & Williard, P.A. ($550.00) ($150.00) Abstract or title search ($150.00) ($250.00) Owner's Title Insurance to Old Republic National Title ($2,715.00) Insurance Company/Flanagan & Williard, P.A. Document Prep (450.00) RECORDING FEES AND DOCUMENTATARY STAMPS TAXES Deed (2 pgs) ($18.50) Documentary Stamps on Deed ($3,168.00) Record Non -ID Affidavit ($10.00) ADDITIONAL SETTLEMENT CHARGES Lien Search to A -1 Title Support Service ($132.00) Survey to Exacta Land Surveyors ($325.00) Copies/Wires /Fedex to Flanagan & Williard, P.A. ($50.00) ($50.00) Water Holdback to Flanagan & Williard, P.A. ($150.00) BUYER CASH TO CLOSE NET PROCEEDS TO SELLER BUYER/BORROWER Esteban Giu ances inonapoli Date CLOSING AGENT: Flanagan & Jeffrey M. Flana $481,808.50 $344,986.88 SELLER Date c 0.// Date Miami -Dade My Horne My Home Show Me: Property Information Search By: Select Item - Text only Property Appraiser Tax Estimator Property Appraiser Tax Comparison Portability S.O.H. Calculator Summary Details: Folio No.: 11- 3206-017 -1$00 Property: 9915 NE 4 AVE RD Mailing JEAN E COLE Address: 1 Living Units: 9915 NE 4 AVE RD MIAMI FL Adj Sq Footage: 33138 -2439 Property Information: Primary Zone: 1200 SINGLE FAMILY RESIDENCE CLUC: 0001 RESIDENTIAL - SINGLE FAMILY Beds /Baths: 2/2 Floors: 1 Living Units: 1 Adj Sq Footage: 2,705 Lot Size: 13,403 SQ FT Year Built: 1950 $50,000/ 6 53 42 MIAMI SHORES SEC 4 AMD PB 15 -14 Legal LOTS 15 & 16 BLK 96 Description: LOT SIZE 103.100 X 130 OR 18832 -3143 10 1999 $210,532 1 OR 18832 -3143 1099 $50,000/ 00 Assessment Information: Year: 2011 2010 Land Value: 5166,940 $208,674 Building Value: $222,664 $224,030 Market Value: $389,604 $432,704 Assessed Value: $264,439 ,$260,532 Exemption Information: Year: 2011 2010 Homestead: $25,000 ' $25,000 nd Homestead: YES YES Taxable Value Information: Year: 2011 2010 5224,500 Applied Applied Taxing Authority: Exemption/ Exemption/ Sales which are qualified Taxable Taxable View Additional Sales Value: Value: Regional: $50,000/ $50,000/ $214,439 $210,532 County: $50,000/ $50,000/ $214,439 $210,532 Cfty: $50,000/ ,$50,000/ $214,439 $210,532 School Board: $25,000/ $25,000/ $239,439 $235,532 Sale Information: - - - Sale Date: 10/1999 Sale Amount 5224,500 Sale 0 /R: 18832 -3143 Sales Qualification Sales which are qualified Description: View Additional Sales 'nation: Page 1 of 2 ACTIVE TOOL: SELECT Aerial Photography - 2009 0 117 ft My Home 1 Property Information 1 Property Taxes 1 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. Legend Property Boundary • Selected • Property Street fi Highway Miami -Dade County Water E 9 RESIDENTIAL SERVICES CONTRACT CONTRACT DATE 9 ©1 I0 CUSTOMER ACCOUNT NO 7miAk✓ -1 .z6,0 096)00 11 I'1 �9 1 S U.7( JOB NO 6 / LEAD SOURCE ADT Security Services, Inc. ("ADT") Customer Name Office Address ( °Customer° or °I° or "me° or °my °) 64(0 /4 z 3oS%Z. 2-27 /u/trei-Awi Fc, 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) FA�- 4 c SC 4 4 0 z- CS 4 6 I' A Address 9 / /.r€ (4 State Ad ZIP Protected Premises' Telephone 5 ( 3 4 3 a r 2 8 City / Tax Exempt No. 0 Traditional Phone 0 Other (Qualified) 0 Other (Non - Qualified) Alternate Telephone 1 Alternate Telephone 2 EMAIL O 6 / Tax Expire Date 0 Home 0 Cell 0 Work 0 Home 0 Cell 0 Work Al o A/A P 0 6 C 0 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. I may unsubscribe or opt out by emailing donotcontact@ADT.com or by calling 888.DNC4ADT (888.362.4238). Initial here 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 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 OFTHIS CONTRACT, INCLUDING BUT NOT LIMITED TO PARAGRAPHS 5 AND 18 OF THE TERMS AND CONDITIONS. (B) THE INITIAL TERM OF THIS CONTRACT IS THREE (3) YEARS. (C) ADT I5 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. 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 OF 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 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 I5 DENIED, THEN THIS CONTRACT WILL BE TERMINATED, AND ADT'S ONLY OBLIGATION WILL BE TO NOTIFY ME OF SUCH TERMINATION AND REFUND ANY AMOUNTS I PAID IN ADVANCE. Rep. License No. (If Required) Custo s Approval: riginal Sign re Required (Must match Customer Name in Section 1 above) Rep. f"'�o—/ ID No. /3 ao 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. 1 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 IS NO FINANCE CHARGE OR COST OF CREDIT (O% APR) ASSOCIATED WITH THIS CONTRACT. A. NUMBER OF PAYMENTS FOR THE B. AMOUNT OF EACH PAYMENT IS INITIAL TERM IS 36. (TOTAL MONTHLY SERVICE CHARGE FROM BELOW) .cPa pJ LATE CHARGE - PAYMENT I5 DUE PURSUANT TO MY SELECTED BILLING 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 I5 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 I5 (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 INITIAL TERM OF THIS CONTRACT, THERE I5 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 Administrative Copy ©2011 ADT. All rights reserved. (04/11) 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 l of the Contract must be attached) r PROPERTY OWNER: T'1 kJ CE-CA (2- d tit ,- co L I I S TEgA J G i to Gt_14 z PERMIT # ADDRESS: t 4 A g t 1-2_-0 FOLIO NUMBER: ' 3 Z ((° ' b (1 ° 170O FLOOD ZONE: BASE FLOOD ELEVATION: FREEBOARD: EAST OF FL.CCCL: COST OF PAST IMPROVEMENTS (12 MONTHS): COST OF PROPOSED IMPROVEMENTS: 751627;a-4) (ATTACH COPY OF CONTRACT) TOTAL CUMULATIVE COST OF IMPROVEMENTS (past and proposed): VALUE OF PRINCIPAL STRUCTURE (attach appraisal): OWNERS SIGNATURE: DATE: 9 13 °I 11 PLANREVIEWER: PLAN REVIEWER SIGNATURE: DATE: Created on June 2009