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EL-11-1932Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 167382 Permit Number: EL -10 -11 -1932 Scheduled Inspection Date: December 06, 2011 Inspector: Devaney, Michael Owner: JONES, WILLIAM Job Address: 379 NE 94 Street Miami Shores, FL Project: <NONE> Contractor: ADT SECURITY SERVICES, INC Permit Type: Electrical - Residential Inspection Type: Ipetfgh Work Classification: Addition Phone Number Parcel Number 1132060136130 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 December 05, 2011 For Inspections please call: (305)762 -4949 Page 28 of 31 s + I eyv9 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 BUILDING PERMIT APPLICATION FBC 20 RE C J ; E D OCT 20 2011 BY: Permit No.' U d , Master Permit No. Permit Type: ELECTRICAL Owner's Name (Fee Simple Titleholder) r4 P ) �f et M R/C � Phone # Owner's Address 7 ? /(% 9 cf g7' City M t 0-04r S-110/Q5 State dZ Tenant/Lessee Name Email Zip 3/ 3 8 Phone # Job Address (where the work is being done) 599 Ak 9/7) slin7 City Miami Shores Village County Miami -Dade Zip g 3 /c FOLIO / PARCEL # (1 3 d-(i G ®f 3 (t) Is Building Historically Designated YES NO Contractor's Company Name 4 i T Contractor's Address /b VS- IL , s L.sC City 17) /k lb-- State Qualifier Name State Certificate or Registration No. b 1/ Cert ' cate of Competency No Contact Phone54 b' 5o6 7 E- maiK tI ,i & AisTex4 Flood Zone Phone # 9 rzb `" 69' Zip Q Phone # Architect/Engineer's Name (if applicable) Value of Work For this Permit Type of Work: ❑Addition Describ Phone # //5,v Alteration c*tit 0-15a Square / Linear Footage Of Work: :New ❑ Repair/Replace ❑ Demolition * * ** * * * * * * ** * * **** * * ** * * * ** * * * ** *,axe, , Fees * * ** * * * * * ** * *** x * *** * * *** * * * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ /17 t-" . Fe CCF $ CO /CC $ Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Bond $ Double Fee $ Violation date: Structural Review. $ Total Fee Now Due $ See Reverse side - • w 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 $2300, 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 re- inspection fee will be charged. Signature Owner or _enp' Contractor The foregoing instrument was acknowledged before me this S The foregoing instrument was acknowledged before me this DG day of , 20 f_r , by , day of ®GZ , 20 n , byG-e■y MAP -el.& h• ' • ersonaily kno %to me or who has produced who • rsonally known me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission A# i; GEERRY BRIERRE 1n MY COMMISSION it EE 100904 EXPIRES: June 7, 2015 -1,01P Bonded Thru Notary PubMC Underwriters * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * * * * * * * * * * * * ** APPROVED BY 2 as identification and who did take an oath. NOTARY PUBLIC: * * * * * * * * * * * * * ** 2 - r ✓/ Plans Examiner Engineer (Revised 07 /10 /07)(Revise4 06/10/2009) P S--I_'�Y�1' ISPSIION # EE 091724 IIRE2 mmi o, EXPIRES: May 9, 2015 AP' Bonded Thru Notary Public Underwriters ***** * * * * * * * * * * * * * * * * * * * * * * * * * *,r * ** Zoning Clerk checked 6 Miami -Dade My Home My Home tai a Show Me: 1Property Information Search By: !Select Item ....... ............................... 13 Text only Property Appraiser Tax Estimator Property Appraiser Tax Comparison Portability S.O.H. Calculator Summary Details: Folio No.: 11- 3206 -013 -6130 Property: 379 NE 94 ST Mailing Address: ILLIAM J JONES 379 NE 94 ST MIAMI FL 33138- Property Information: Primary Zone: 1100 SINGLE FAMILY RESIDENCE CLUC: 0001 RESIDENTIAL - SINGLE FAMILY Beds /Baths: 8/5 Floors: 2 Living Units: 1 Adj Sq Footage: 5,624 Lot Size: 19,200 SQ FT Year Built: 1927 Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOTS 15- 16 -17 INC BLK 45 LOT SIZE 150.000 X 128 OR 13173 -1317 0187 4 COC 22780 -2427 10 20041 OR 27213 -0790 0310 01 Assessment Information: Year: 2011 2010 Land Value: $238,706 $299,138 Building Value: $448,769 $448,988 Market Value: $687,475 $748,126 Assessed Value: $687,475 $748,126 Exemption Information: Year: 2011 2010 Homestead: $25,000 $25,000 2nd Homestead: YES YES Taxable Value Information: ear: axing Authority: 2011 2010 Applied Applied Exemption/ Exemption/ T......I.I.. T......I.,I_ Page 1 of 2 ACTIVE TOOL- SELECT Aerial Photography - 2009 0 = 115 ft My Home 1 Property Information 1 Property Taxes 1 My Neighborhood I 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. http://gisims2.miamidade.gov/myhome/propmap.asp Web Site © 2002 Miami -Dade County. All rights reserved. 4 10/5/2011 I+,,ESIDENTIAL SERVICES CONTRACT , cbNTRACT DATE CUSTOMER ACCOUNT NO 111 i 9�Im 5104UE12 JOB NO LEAD SOURCE Section.2. Services to be Provided (continued) 0 Initial/Annual Recurring Munidpal Fee billed separately (Subject to change based on local law) Standard Monthly Service, Burglary Service includes: Customer Monitoring Center Signal Receiving and Notification Service for Burglary, Manual Fire and Manual Police Emergency Monthly Service Charge '' Initial/Amid Fee t d 4 0 Customer to obtain and pay for initiallannual municipal Failure to obtaand,provide ADT with alarm use permit. m. the municipal alarm use permit registration number could result m no municipal fire/police response to an. alarm boil the premises'ana/or a fine. Cs! Standard Monthly Service, Fire/Smoke Detection Service includes: Customer Monitoring Center Signal Receiving and Notification Service for fire, Manual Fire and Manual Police Emergency 4 l C L. Munidpal Electrical Permit Fee 0 Customer to obtain electrical permit O Carbon Monoxide 0 Flood 0 Low Temp $ Installation Price $ f f JI( O Medical Alert $ Taxable Amount z ® Safewatch Cellguard° $ (Ai C. 1 Non- Taxable Amount O SecurityLink® Connection Fee ® Extended Umited Warranty /Quality Service Plan (QSP) $ (^I C L Adrnin Fee O Guard Response Service Sales Tax on Installation* 7D /3C $ // it -0 0 Other $ Deposit Received $ 1 / CC Total Monthly Service Charge $ $ ��R .r'( Balance Due upon Installation* $ If applicable sales tax not shown, it will be added to the first invoice. rr ' • • •1 't • •' . '• I Contro i got Seos ete�, 4- s .fie 5 °n 5 ,&"% ,,e i. Lo° a rk , e e.•O i •zc Panel IRO 3 K as 4 -o ee ° a'c�� ". .o o�`' os °�4' `` Q, Ate. _ Ri .k°� ° /.�a° -- &.;,..z...-„,- �S (.3.0ti �.oae Ode�`� fie, is) `� .),, ice Comments °, S� / C�` L O S C�` (. P �. PO'�`i P P/ Q Package Nal; Includes Foyer RC LNS T R u.. — I.J€ f,J ecip.i (. AO-ea- N s 'Ikr to n) Living Room No 3 K P ( )Fi(v F Co Co(t.Q Family Room I' liSic 1 4c1._ 2 ( bDd.- Mor10,J C0,4TACTZ ft& (l Office Dining Room h e pith % 1 c S, Kitchen Laundry Room % e-- ( o Hallway + U P cam P a s! Master Bedroom 1 t X1401 Mori as' . AF b Master Bath F t O . — •-rWD- W' uCH Bedroom2 2 _T '�R 6g-1-Ayr 5 R Vl�iiTE) Bedroom 3 I SMDKE &j .To(Z Bath 2 Basement Garage Totals E = Existing Equipment' ((% Estimated Installation Start Date ;:, / / 1 I INSTALLER NOTES C ii S7 Wei /S �',,p M (Le jloUS GE- Co n)CO Rif I-rr 2 of 6 ©2011 ADT. All rights reserved. (04/11)