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EL-11-2043Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 166897 Permit Number: EL -11 -11 -2043 Scheduled Inspection Date: November 21, 2011 Inspector: Devaney, Michael Owner: COBAS, SEBASTIAN & BARBARA Job Address: 821 NE 99 Street Miami Shores, FL 33138- Project: <NONE> Contractor: ADT SECURITY SERVICES, INC Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Alteration Phone Number (305)814 -8808 Parcel Number 1132060340110 Phone: (786)331 -3967 Building Department Comments BURGLAR ALARM Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments //69K November 18, 2011 For Inspections please call: (305)762 -4949 Page 47 of 47 t_15-502_ Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 RECEIVED NOV 012011 BY: BUILDING Permit No. E L t ,O`93 PERMIT APPLICATION Master Permit No. FBC 20 Permit Type: Electrical OWNER: Name (Fee Simple Titleholder): Address 7'- I c 9 city: ` -- c -b3 cf. atJj State: Zip: S31 Tenant/Lessee Name: Phone #: Email: JOB ADDRESS: f °1 L g L' Z City: ,Miami Shooreess� County: Miami Dade Folio/Parcel #: \` Is the Building Historically Designated: Yes NO Flood Zone: Zip: 'S1-3 CONTRACTOR: Compan Name: Address: 0' l�� milk, City: Qualifier Name: Neal r) Phone #: 1 State: ltd Phone #: Zip: Certificate of Competency #: State Certification or Registration #: L✓ Contact Phone #: Email Address: DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: Type of Work: Address ❑Alteration Description of Work: a Square/Linear Footage of Work: ❑New ❑Repair/Replace ❑Demolition ********* * * **:xx: **************** ** ****aim Fees * *** **** *+ x+ x: r******* ** * *.* * * *x:**** ** ********* Submittal Fee $ 5 0 • Permit Fee $ I '' Scanning Fee $ Radon Fee $ CCF $ CO /CC $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ sr. (2 Bonding Company's Name (if applicable) Bonding Company's Address City Sla Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State 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 1.,,,...,,,Lcx.,t „5 Owner or Agent The foregoing instrument was acknowledged before me this day of , 20 , by is p rsonally known to me or who has produced As identification and who did take an oath. Signature Contractor The foregoi i instrument was acknowledged before me this day of'� ,204 ✓,by who i§ ersonally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC - STATE OF FLORIDA /•' " "\ Cary M. Campria Commission #DD725531 Expires: JAN. 04, 2012 :.•.ii.+r ya, • , M_._itMC IAi860,INC My Commission Expires: APPROVED BY Plans Examiner Structural Review (Revised 07/10/07)(Revised 06 /10 /2009)(Revised 3/15/09) Sign: Pri My .,films•— �s . Notary Public - State of Florida • My Comm. Expires Jul 26, 2015 Commission # EE 106656 * * * * * * * * * * * * ** Zoning Clerk Miami -Dade My Home My Home Show Me: Property Information Search By: [Select Item EText only Property Appraiser Tax Estimator J Property. Appraiser Tax Comparison PortabilityS.O.H.Calculator Summary Details: Folio No.: 11 -3206- 034 -0110 Property: 821 NE 99 ST Mailing Address: BARBARA COBAS SEBASTIAN COBAS 821 NE 99 ST MIAMI SHORES FL 33138- Property Information: Primary Zone: 1100 SINGLE FAMILY RESIDENCE CLUC: 0001 RESIDENTIAL - SINGLE FAMILY Beds /Baths: 4/2 Floors: 1 Living Units: 1 Ad) Sq Footage: 2,527 Lot Size: 8,850 SQ FT Year Built: 1951 Legal Description: MIAMI SHORES SEC 8 PB 14 -33 LOT 15 & W1/2 OF LOT 16 BLK 169 LOT SIZE 75.000 X 118 OR 17860 -1520 1197 1 OR 27376 -2498 0710 01 Assessment Information: Year: 2011 2010 Land Value: $105,884 $132,535 Building Value: $196,779 $224,815 Market Value: $302,663 $357,350 Assessed Value: $302,663 $357,350 Exemption Information: Year: 2011 2010 Homestead: $25,000 $0 2nd Homestead: YES NO Taxable Value Information: ear: 2011 1 2010 Applied Applied (Taxing Authorit ; Exemption/ Exemption/ Y - „,„L.l.. T...... L.1.. Page 1 of 2 Aerial Photography - 2009 0 112 ft My Home 1 Property Information [Property Taxes 1 My_ Ne..i_ghborhood !Property A_pp.raiser Home 1 Uang..0.. ur_S.te 1 Ph.o.ne,Drecto...ry 1 Privacy. l Ds.claime..r, II�a W. ea f: :: i4, 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 11/1/2011 Miami -Dade My Home Page 2 of 2 Value: I awauIo Value: Regional: $50,000/ $252,663 $0/$357,350 County: $50,000/ $252,663 $0/$357,350 City: $50,000/ $252,663 $0/$357,350 School Board: $25,000/ $277,663 $0/$357,350 Sale Information: Sale Date: 7/2010 Sale Amount: $340,000 Sale O/R: 27376 -2498 Sales Qualification Description: Sales qualified as a result of examination of the deed 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 11/1/2011 tz RESIDENTIAL SERVICES CONTRACT IIHUllhI III 1 1 5104UE12 dEV EIMIV 1 JOB NO LEAD SOURCE CONTRACT DATE I ! L CUSTOMER ACCOUNT NO I .1� Section 2. Services to be Provided (continued) 0 Initial/Annual Recurring Municipal Fee billed separately (Subject to change based on local law) Initial/Annual Fee /Standard Monthly Service Charge Monthly Service, Burglary Service includes: Customer Monitoring Center Signal Receiving and Notification Service for Burglary, Manual Fire and Manual Police Emergency $ 0 Customer to obtain and pay for initial/annual municipal ' alarm use permit. Failure to obtain and provide ADT with the municipal alarm use permit registration number could result in no municipal fire/police response to an alarm from the premises and/or a fine. O Standard Monthly Service, Fire/S9 oke Detection Service includes: Customer Monitoring Center Signal Receiving and Notification Service for Fire, Manual Fire and Manual Police Emergency Municipal Electrica ermit Fee 0 Customer to obtain electrical permit t �� Ci-. $ 1 O Carbon Monoxide 0 Flood 0 Low Temp $ Installation Price $ C::.2. O Medical Alert Taxable Amount (`'ct5-"Z Safewatch Cellguard® Non Taxable Amount O ecurityLink® $ Connection Fee Extended Limited Warranty /Quality Service Plan (QSP) Admin Fee O'IGuard Respotrse Service Sales Tax on Installation* oy, O other $ Deposit Received Total Monthly Service Charge Balance Due upon Installation* applicable sales tax not shown, it will be added to th first invoice. Section 3. Equipment to be Installed / /' ` � f o \ \te . Ja % � O / , ' r / '' s ; o� a a a e Control DS, ¢s , o ( a , 0%0 \,c • s �0 5� Ng, 4- • -Rrel a�' ao� ° `\Se,+ a ¢1/4a o L°�Oe��°e�e v� �`�e� o ro�5e � ¢ P oo°�o%Q a o.e LLP�� ee ge` ormenfis \package Name: t.. pp t d r 7 . _ 3 it ludes: ( ,Oyer ,.. Living Room 2.......40-4 IISLV116, �.;J ,l' ,. ., . - . 1 ��1 Family Room :4 } laill1b. 1,, Office � �,.. -4-J _. 4 (�'�. � "'.��0/�" •�� t IIIIIIMNIMINN Dining Room Kitchen Laundry Room L � t - r t ($ d t _, �: _ Hallway Master Bedroom Pri� VIP) Master Bath Bedroom 2 Bedroom 3 116... a lab NIL Pik !- `a� d 'r t _+ Bath 2 Basement Garage Totals E = Existing Equipment Estimated Installation Start Date =AID INSTALLER NOTE 2 of 6 ©2011 ADT. All rights reserved. (04/11) RESIDENTIAL SERVICES CONTRACT CONTRACT DATE t CUSTOMER ACCOUNT NO RBI 111111 N 11 51 04UE1 2 1 1 u Section 1. Customer Info riammsvitesiwommotit ADT Security ervice nc. ("ADT ") Office Address Mk\._ www.MyADT.com 1.800.ADT.ASAP® (1.800.238.2727) Customer Name ( "Customer" or "I" or "me" or "my ") JOB NO LEAD SOURCE ddress StateIP Protected Premises' Telephone 0 Traditional Phone Alternate Telephone 1 --a IF FAMILIARIZATION PERIOD IS REJECTED INITIAL HERE (see Paragraph 14 of the Terms and Conditions for explanation) Alternate Telephone 2 EMAIL City l`` eREIN LIlMI Tax Exempt No. 0 Other (Qualified) 0 Other (Non - Qualified) 0 Horn Home 0 Tax Expire Date / Communications Authorization: I authorize ADT 1Io 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 seticonfirm appointments and provide other information and notices about the alarm system at the telephone number(s) provided by me. Initial here Alarm System Ownership: Customer -Owned 0 ADT -Owned I 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 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 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 15. ' LWAYS POSSIBLE, AND THE RESPONSE TIME OF POLICE, FIRE AND MEDICAL EMERGENCY PERSONNEL IS OUTSIDE THE CONTROL OF ADT. ADT MA 1 ►•ii • ECEIVE ALARM SIG COMMUNICATIONS OR POWER IS INTERRUPTED FOR ANY REASON. (E) ADT RECOMMENDS THAT I MANUALLY TE THE A. RM SYSTEM MO HLY A D ANY TIME I CHANGE TELEPHONE SERVICE, BY CALLING 1.800.ADT.ASAP OR BY LOGGING IN TO WWW.MYAD '.COM. (F) T' CONTRACT RE UIRES "NAL APPROVAL BY AN ADT AUTHORIZED MANAGER BEFORE ADT MAY PROVIDE ANY EQUIPMENT OR SERVICE , AND IF AP' R • AL IS DENIE>>, THEN HIS CONTRACT WILL BE TERMINATED, AND ADT'S ONLY OBLIGATION WILL BE TO NOTIFY ME OF SUCH TERM ° ATION AN • REF D ANY A OUNT 1 PAID IN ADVANCE. of ADT Repres ntative N Customer's A provOriginal Si. X li ure ' equir Rep. License No. Rep. (If Required) ID No. st match Customer Name in Section 1 above) / / NOTICE OF CANCELLATION A p I, THE CUSTCWER, MAY CAN L 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 IS NO FINANCE CHARGE OR COST OF CREL7tlfi{0% APR) ASSOCIATED WITH THIS CONTRACT. A. NUMBER OF PAYMENTS FOR THE INITIAL TERM IS 36. B. AMOUNT OF EACH PAYMENT IS (TOTAL MONTHLY SERVICE CHARGE FROM BELOW) T TOTAL OF PAYMENTS FOR THE INITIAL TERM IS (A. TIMES B.) (EXCLUSIVE OF ANY APPLICABLE TAXES, FEES, FINES AND RATE INCREASES) LATE CHARGE - PAYMENT IS 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 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. 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. 1 of 6 Administrative Copy ©2011 ADT. All rights reserved. (04/11)