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EL-11-2109Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 167994 Scheduled Inspection Date: December 19, 2011 Inspector: Devaney, Michael Owner: WHITE, MARGUERITE Job Address: 1240 NE 97 Street Miami Shores, FL 33138- Project: <NONE> Contractor: ADT SECURITY SERVICES, INC Permit Number: EL-11-11-2109 Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Alarm Phone Number Parcel Number 1132050090590 Phone: (786)331 -3967 Building Department Comments security system Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments December 16, 2011 For Inspections please call: (305)762 -4949 Page 30 of 34 e9r/5 -,,�;- p ® Miami Shores Village la NOV 14 2011 ig Building Department �Y; 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 1F21 Permit No. E1 BUILDING PERMIT APPLICATION FBC 20 Permit Type: Electrical OWNER: Name (Fee Simple Titleholder): Address: Z Master Permit No. City:0,y1. State: p Zip: / 3 8 Tenant/Lessee Name: bo 44 t 4gI. tr �-- fa L "-c. -"/ Email: Phone #: JOB ADDRESS: I Z (4-0 Ai. 41= c 4 J- City: Miami hores County: Miami Dade Folio/Parcel #: / /"" 05‘7D042.-05416 Is the Building Historically Designated: Yes Zip: 3g NO Flood Zone: CONTRACTOR: Company Name: i't 6 I t Phone#: Address: City: Qualifier Name: State Certification or Registration #: Contact Phone#: Email Addre / _ r �L1/� � � ^ WJIv DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permt » /�' / Square/Linear Footage of Work: Type of Work: DAddress ANAlteration ❑New ❑Repair/Replace ❑Demolition Description of Work: S' .S ew) (4'4et) Submittal Fee $ Permit Fee $ / ® ". 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 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 estintated'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 : .,. 0 411 Owner or Agent <f fil ,v&, 1!•) The foregoing instrument was acknowledged before me this 9 dedof igg o , by Cana ,rvt: BA c S who is personally known to me or who has produced Zb- '23531le1 As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: /Ak '1a,R)4/1..) My Commission Expires: 2e APPROVED BY %4144.-e010 Plans Examiner ignature Contr The foregoing in"strupient was acknow day ofJ ��0 ./4, by edged before me this who ' ersonally known t me or who has produced identification and who did take an oath. NOTARY PUBLIC: Structural Review (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Sign: Prin': My Co • ,t� ue iel x p �`OAM iN.I °0<Jii44 EXPIRES: May 9, 2015 WNW rhm Notary Public Undervnitere Zoning Clerk Miami-Dade My Home My Home 110 Show Me: Property Information Search By: Select Item ta Property Appraier Tax Estimator Pr2pertiAppraiserTax Coril.g115.211 Portatility_3,0,H Calculator Summary Details: Folio No.: Property: Mailing Address: 11-3205 009-0590 1i4t) NE 97 ST )MARGUERITE WHITE 1240 NE 97 ST MIAMI FL 33138-2560 Property Info tion: Primary Zone: 1400 SINGLE FAMILY RESIDENCE CLUC: 0001 RESIDENTIAL - SINGLE FAMILY Beds/Baths: 3/2 Floors: MOM Living Units: 1 Adj Sq Footage: 2,373 Lot Size: 12,262.50 $O FT Year Built: 1951 $181,757 5 53 42 FARLETON Legal SHORES PB 43-80 W1/2 Description: LOT 16 & LOT 17 BLK 4 $50,500/ $181,757 LOT SIZE IRREGULAR Assessment Information: ar3111111111111 2011 2010 MEMMIIME IIMMI`R I*, MI1=3111111111111151011:itaki “ 1 1"7-1,11111111 $357,301 atarijk, =EZZEMMIEBEENI zzeliai: Exemption nformation: MillillIIIII 2011 2010 b 000 $25,000 RIMMEIMOI MOM MEM IZMIIIIIIIII MIME Value: Taxable Value Information: Year: 2011 2010 Applied Applied Taxing Authority: E.rxrinPti°n/ El.em 1...4Pb:V Vette: Value: $50,500/ $50,500/ Regional: $181,757 $178,325 County $50,5001 $181,757 $50,500/ $178,325 City: $50,500/ $181,757 $50,500/ $178,325 School Board: $25,500/ $206,757 $25,500/ $203325, Additional information: [ick. here to see more information for this roperty: ommunity Development District Page 1 of 2 A-C TIVE TOOL- SELLei Aerial Photography 2009 My Home I Property information I Pro_perty Taxes MyNeighborhood I Prq.kqrtS Ikriaaraiser 0 mamma... 112 ft ti.2r..nc Uf,ifig_Pur .4.0 I f_tiolle Difectqa 1 friYARY 1 D.I.:.C,19,finer: tf you experience technical dMicutdes with the Property Information application, or wish to send us your comments, questions or suggestions please email us at Webmo,Mer. Web Site 0 2002 Miami-Dade County. Alt rights reserved. http://gisims2.miamidade.gov/myhome/propmap.asp Legend Property Boundary Selected Property 0,40 Street Highway Mtaml-Dade County Water 11/10/2011 "RESIDENTIAL SERVICES CONTRACT CONTRACT DATE 11/ orfal CUSTOMER ACCOUNT NO llJllO11llOIll1 5104UE12 tC/ 1 5F 5 • JOB NO LEAD SOURCE Miff' ADT Security Services, Inc (°ADT") Office Address 10785 Marks Way Miramar, FL 33025 i- fldalgo Duran (786)200-2727 www.MyADT.com 1.800.ADT.ASAP ' (1.800.238.2727) IF FAMILIARIZATION PERIOD I5 REJECTED INITIAL HERE (see Paragraph 14 of the Terms and Conditions for explanation) Customer Name (°Customer° or °I° or °me° or °my ) i1 ri ciAii Pi N Address 2 0 Gl 9q State LJJ ZIP Protected Premises' Telephone 3 ��►��L�Ifii %�' City. dho 5 Tax Exempt No. 0 Traditional Phone 0 Other (Qualified) 0 Other (Non - Qualified) Alternate Telephone 1 Alternate Telephone 2 EMAIL Tax Expire Date 0 Home 0 Cell 0 Work 0 Home 0 Cell 0 Work Communications Authorization: I authorize ADT tto 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 seUconfirm 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 OF THIS 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 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.1 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 IS 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 W W W.MYADT.COM. (F) THIS CONTRACT REQUIRES FINAL APPROVAL BY AN ADT AUTHORIZED MANAGER BEFORE ADT MAY PROVIDE ANY EQUIPMENT OR SERVICES, AND IF APPROVAL IS 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. ADT Representative Name %l/&w0 TvRflN Rep. License No. (If Required) ID No. Customer's Approval: Original Signature Required (Must match Customer Name in Section 1 above) WO-620-ctinan 11/ 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. 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 CREDIT (0% APR) ASSOCIATED WITH THIS CONTRACT. A. NUMBER OF c T 9 PAYMENTS FOR THE B. AMOUNT OF EACH PAYMENT IS INITIAL TERM IS 36. [(TOTAL MONTHLY SERVICE CHARGE FROM BELOW) LATE CHARGE- PAYMENT IS DUE PURSUANT TO MY SELECTED BILUNG 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. TOTAL OF PAYMENTS FOR THE INITIAL TERM I5 $ ° (A. TIMES B.) (EXCLUSIVE OF ANY APPLICABLE TAXE , FEES, FINES AND RATE INCREASES) PREPAYMENT - IF 1 PREPAY THE SEE SECTIONS 2, 7, 15 AND TOTAL OF PAYMENTS PRIOR TO 19 OF THIS CONTRACT FOR THE END OF THE INITIAL TERM ADDmONAL INFORMATION OF THIS CONTRACT, THERE 15 NO ABOUT NONPAYMENT, DEFAULT PENALTY OR REFUND. AND ACCELERATION. 1 of 6 Administrative Copy ©2011 ADT. All rights reserved. (04/11) ,R SI N' AL SERVICES CONTRACT CONTRACT DATE 11/01e/It CUSTOMER ACCOUNT NO 5104UE12 1 JOB NO LEAD SOURCE Section 2. Services to be Provided (continued) ® 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 0 Initial/Annual Recurring Munidpal Fee billed separately (Subject to change based on local law) Initial/Annual Fee / $ -N G L. 0 Customer to obtain and pay for initial/annual munidpal 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/Smoke Detection Service includes: Customer Monitoring Center Signal Receiving and Notification Service for Fire, Manual Fire and Manual Police Emergency t Municipal Electrical Permit Fee 0 Customer to obtain electrical permit $ 13 5 O Carbon Monoxide 0 Flood 0 Low Temp $ $ Installation Price $ C�0 Y� O Medical Alert Taxable Amount $ (L90 ® Safewatch Cellguarde $ 3.--K) C Non- Taxable Amount $ 13 5 OSecurityLinke $ Connection Fee $ -e- • Extended Limited Warranty /Quality Service Plan (QSP) $ 1 lti G L. Admin Fee $ —G- 0 Guard Response Service +II $ [�I I "q Sales Tax on Installation O bE botEd Deposit Received ST- -B _ O Other $ 135 Total Monthly Service Charge Balance Due upon Installation* $ �n O1 V� lJ *If applicable sales tax not shown, it will be added to the first invoice. - i. • .i•1 -n • •- . -• Control -''' Se °'4 ¢` eeao``S�o,,,,o oo`s a` \' CO' c J\s6o`Joee�o t d•aeo es4,e, Panel a ,R.''''' R o'Secsooc c o tee. Qom. Q m Q hoc Ooos. " ,e, 4\6'. (POe�¢�ea0es a Oe's -siz `e. cc .tP\ tS5 \# pO' 0 p0� 01z Comments Package Name: 1 3 Includes: Foyer ! 1 - Living Room 1 - Family Room ' 1 Office Dining Room Kitchen 1 Laundry Room Hallway Master Bedroom -l- Master Bath Bedroom 2 t Bedroom 3 Bath 2 Basement Garage Totals 1 3 I I E = Existing Equipment Estimated Installation Start Date AID/ ]] INSTALLER NOTES 2 of 6 ©2011 ADT. All rights reserved. (04/11) This instrument was prepared by: James M. Williams, Attorney at Law 49 N. Federal Hwy. #379 Pompano Beach, FL 33062 DURABLE POWER OF ATTORNEY (WITH FULL POWERS TO ACT ON BEHALF OF THE PRINCIPAL, INCLUDING THE POWER TO SELL HOMESTEAD REAL PROPERTY, AS PER SECTION 709.08 OF FLORIDA STATUTES, AS AMENDED IN 2011) STATE OF FLORIDA COUNTY OF BROWARD BY THIS DURABLE POWER OF ATTORNEY, I, PEGGY B. WHITE, of 625 Lakeside Circle, Pompano Beach, FL 33060, appoint as my attorney in fact to manage my affairs my daughter, CORINNE W. BATES, of 522 E. Sola, Santa Barbara, CA 93103. This durable power of attorney shall not be affected by any physical or mental disability that I may suffer, except as provided by statute, and shall be exercisable from this date. All acts done by my attorney in fact pursuant to this power shall bind me, my heirs, devisees and personal representatives. This power of attorney is nondelegable. All of my property and interests in property are subject to this durable power of attorney. Without limiting the broad powers conferred by the preceding provisions, I authorize my attorney in fact to: 1. Sell and convey all my interest in my real property situate in Miami -Dade County, Florida, described as: West Y2 of Lot 16 and all Lot 17, Block 4, FARLETON SHORES, according to the Plat thereof as recorded in Plat Book 43, Page 80, of the Public Records of Dade County, Florida, for such prices and on such terms as my attorney in fact may deem best; and in my name execute and deliver all contracts, deeds and other instruments necessary or proper to effect such sale; and collect and receive all proceeds of such sale. 2. Sell any other property of mine, real or personal, for such prices and on such terms as my attorney in fact may deem best, execute all instruments necessary or proper to effect any such sale, and collect and receive the proceeds of any such sale. 3. Collect all money and other property that may be payable to me or belong to me, and execute receipts, releases, cancellations or discharges. 4. Borrow money on such terms and with such security as my attorney in fact may think fit and to execute all notes, mortgages and other instruments that my attorney in fact finds necessary or desirable. 5. Conduct banking transactions as provided in F. S. 709.2208 (1), including the power to: a. Establish, continue, modify or terminate an account or other banking Page 1 arrangement with a financial institution. b. Contract for services available from a financial institution, including renting a safe deposit box or space in a vault. c. Withdraw by check, order, electronic funds transfer or otherwise money or property of mine deposited with or left in the custody of a financial institution. d. Receive statements of account, vouchers, notices and similar documents from a financial institution and act with respect to them. e. Purchase cashier's checks, official checks, counter checks, bank drafts, money orders and similar instruments. f. Endorse and negotiate checks, cashier's checks, official checks, drafts and other negotiable paper of mine or payable to me or my order, transfer money, receive the cash or other proceeds of those transactions and accept a draft drawn by any person upon my account and pay it when due. g. Apply for, receive and use debit cards, electronic transaction authorizations and travelers checks from a financial institution. h. Use, charge or draw upon any line of credit, credit card or other credit established by me with a financial institution. i. Consent to the extension of time of payment with respect to commercial paper or a financial transaction with a financial institution. 6. Conduct investment transactions as provided in F. S. 709.2208 (2), including the power to: a. Buy, sell and exchange investment instruments. b. Establish, continue, modify or terminate an account with respect to investment instruments. c. Pledge investment instruments as security to borrow, pay, renew or extend the time of payment of a debt to me. d. Receive certificates or other evidences of ownership with respect tq, investment instruments. e. Exercise voting rights with respect to investment instruments in person or by proxy, enter into voting trusts and consent to limitations on the right to vote. f. Sell commodity futures contracts and call and put options on stocks and stock indexes. 7. Execute on my behalf any tax return and act for me in any matter or proceeding relating to taxes. 8. Enter any safe deposit box or other place of safekeeping standing in my name alone or jointly with another person and remove the contents and make additions, substitutions and replacements. 9. Transfer securities, bank accounts and other property, including real property, to the trustee of any trust created by me. Page 2 10. Do anything regarding my property and affairs that I could do myself. The powers conferred upon my attorney in fact extend to all of my right, title and interest in property owned by me individually, in property in which I have or may have an interest jointly with any other person or in an estate by the entirety, and to all other property rights that I may have. This instrument is executed by me in the State of Florida, but it is my intention that this power of attorney shall be exercisable in any state or jurisdiction. I hereby confirm all acts of my attorney in fact pursuant to this power. Any act that is done under this power between the revocation of this instrument and notice of that revocation to my attorney in fact shall be valid unless the person claiming the benefit of the act had notice of the revocation. IN WITNESS WHEREOF, I have set my hand and seal on this 10 day of Qp bLe12. , 2011, at Pompano Beach, Florida. Signed, sealed and delivered in the presence of: ^� es M. 'tt`' ams Print e: o .s Peg RQi„ -2\ STATE OF FLORIDA COUNTY OF BROWARD /8 The foregoing instrument was acknowledged before me this / day of OCT D'Y eYt , 2011, by Peggy B. White, who is personally known to me. Page 3