Loading...
EL-11-2092Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 174783 Permit Number: EL -11 -11 -2092 Scheduled Inspection Date: June 14, 2012 Inspector: Devaney, Michael Owner: CAROLINA CALDERON, JULIAN Job Address: 170 NE 94 Street Miami Shores, FL 33138- Project <NONE> Contractor: ADT SECURITY SERVICES, INC Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Alarm Phone Number Parcel Number 1132060132950 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 CREATED AS REINSPECTION FOR INSP- 174689. No access at 3:40 p.m.. /z/ e June 13, 2012 For Inspections please call: (305)762 -4949 Page 15 of 22 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 Permit Type: Electrical (� _ C OWNER: Name (Fee Simple Titleholder): C�a K.+UUA rQ q ∎ Q.on Phone #: 305 • 15g't 55. /? Address: lip _ &)c 9 c-/ S± City: P`°l W ri\ ` Co`v State: Y- Zip: 33138* Tenant/Lessee Name: Phone#: 305 - -159 - S3 i7 Email: C C- CA 1d er� g M JUti 0 1 2012 Permit No. E L ° )1 - < t 20q 2 Master Permit No. JOB ADDRESS: 11 D &) E. 94 .'k--' City: Miami Shores County: Miami Dade Zip:a3 k at Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: ADT Security Services Phone #: 954- 266 -5137 Address: 10785 Marks Way City: Miramar State: FL Zip: 33025 Qualifier Name: George Manginelli Phone #: 954-266-5275 State Certification or Registration #: EF0001121 Certificate of Competency #: Contact Phone #: 954 -266 -5137 Email Address: Iscastro @adt.com DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: ❑Address (]Alteration (]New ORepair/Replace ODemolition Description of Work: enew Perm't1� - a L�`jq ** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ******Fees** * *+ say******** *** ***** *** **** * *** ** * ** * * * * ** Submittal Fee $ Permit Fee $ /0 01'0' 0 CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ Bont ling C'h, pany'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 A}F1DAVIT: 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 o such posted notice, the inspection will not be ,,roved and a reinspection fee will be charged. Agent The foregoing instrument was acknowledged before me this The foregoin day of M01/1 , 20 I by Ca roll ✓1®t Ca 1 de-on day of who is personally known to me or who has produced FL Zrivdtsi who is personal C.t? 0144 As identification and who did take an oath. Signature Contractor instrument was acknowledged before this3 i " , 20/2-, by S. � "- f n t P!-�'U L own to me or w has produced NOTARY PUBLIC: Sign: Print: as identification and who did take an oath. S. BUZZANELL : *s MY COMMISSION # DD 976361 K? EXPIRES: April 26, 2014 Bonded Thru Notary Public Underwriters TARY PUBLIC: My Commission Expires: (+lab Poi'4- APPROVED BY ./9 PL 6' 1"4`N le- Plans Examiner Structural Review (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Print: My Commissi w.�ti -y ;� MARIA D. PEREZ Notary Public - State of Florida ; My Comm. Expires May 7, 2016 Commission # EE 196354 Zoning Clerk e 4 Pia -?l /r3 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 Permit No. NOV 1 0 'J BY Master Permit No. Permit Type: Electrical OWNER: Name (Fee Simple Titleholder): 0/44 624-i 4V-61Y1 Phone #: Address: / 0 O Ai r__' City: State: Tenant/Lessee Name: Email: JOB ADDRESS: ! 70 Ne 9/177' cl +/- � y City: Miami Shores" County: Miami Dade Zip: 3/34e Folio/Parcel #: 1(— 5P40 -° 01'9c95z, Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: 4i) %/ Phone #: Address: /012K— / « tu State: Zip: �� r w Phone #: 9 ' o r °' ,Z ?9 City: Qualifier Name: ' �j—{ kin State Certification or ' egistration Contact Pho Email Addres Certificate of Com ency #: Of, ifs 624 or e. DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: 0/4 Lib Square/Linear Footage of Work: Type of Work: ❑Address prAlteration New DRepair/Replace Description of Work: etigeei €,A, ❑Demolition ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ /' fit 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 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 n+ le approved and a reinspection fee will be charged. Signature cugot Iao -9-`k 103VO Owner or Agent The foregoing instrument was acknowledged before me this g day of/i t / /,by who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: ;'.y CAROL N. YOUNG *: =' ar MYCOMMISSION # EE 092203 -` 41- EXPIRES: May 10, 2016 Jr'J/ L ^•'Ncdmitl�bllc Undafwdtete Pr A Signature ontractor The foregoing instrument was acknowledged before me this j' day o j;!� ✓e20/( , by who is personally known to me or who has produce d/'sl c ki-rk- /4.-e-- as identification and who did take an oath. NOTARY PUBLIC: * * * * * * * * * * * * * * * * * ** Sign: Print: My Co ***************** * * ***** * * *** ***** ** * * ** *** * ** ** APPROVED BY /477(--' / Plans Examiner Structural Review (Revised 07 /10 /07XRevised 06 /10 /2009XRevised 3/15/09) ALBA H. AGUILA Notary Public - State of Florida • My Comm. Expires Jul 26, 2015 Commission # EE 106656 Zoning Clerk V 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 of the Contract must be attached) PROPERTY OWNER: 0 meth"? 4 'ci /d PERMIT # / ADDRESS: /- { n C/ DE abad FOLIO NUMBER: /" — 3)540'0/ 0Vq.) FLOOD ZONE: BASE FLOOD ELEVATION: FREEBOARD: EAST OF FL.CCCL: COST OF PAST IMPROVEMENTS (12 MONTHS): COST OF PROPOSED IMPROVEMENTS: (ATTACH COPY OF CONTRACT) TOTAL CUMULATIVE COST OF IMPROVEMENTS (past and proposed): VALUE OF PRINCIPAL STRU t�T RE (attach appraisal): OWNERS SIGNATURE: � DATE: t . if( PLANREVIEWER: PLAN REVIEWER SIGNATURE: DATE: Created on June 2009 Miami-Dade My Home My Home Show Me: 'Properly Information Search By: 'Select Item zi E Text only Property roPertY APPraiser Tax Estimator Property Appraiser Tax Comparison Summary Details: Folio No.: 13206-013-2950 Property: 170 NE 94 ST Mailing ,Arldress: JULIAN BERGIER &W CAROUNA CALDERON 170 NE 94 ST MIAMI SHORES FL 33138- Pro�ertv Information: _. - rY Zcwi°' 100 SINGLE FAMILY RESIDENCE LUC: •/41 RESIDENTIAL - - INGLE FAMILY Beds/Baths: 4 Floors: • Units: $395383 , 201 • . - . Foo , • -: 4 ,265 Lot Size: 2,80060 FT ear Buift: 967 Legal .... .. . , . : , IAMI SHORES SEC 1 D PI3 10-70 LOTS 8 & r BLK 22 LOT SIZE 00.000 X 128 OR 72-0650 07 2008 6 • R 26472-0650 0708 00 Assessment Information: Page 1 of 2 AtiVgiqiiPpgkil - 01,0 ear 2011 2010 Land Value: $109,785 MOM Bul I Value: r7tr. 1'..111111 $395383 , 201 Taxable Value Information: 2011 2010 APPliod Exemption/ Taxable Value: MEM." 7-041 ."79I'lr7.7111 ja7iij x gt 44 a r44 Aerial Photography - 2009 0 1131t My Home 1 Property Information 1 flity_Taxes 1 MyFIeighboThoo 1 PiPPgriYIWPrgilser. Home 1 Usjng_Our Site 1 Phone Directory 1 Privacy 1 Disclaimer -,*11,VM40-3140qt,WW4-*Aakii.iattli.m.:44-tag,cteegait, If you experience technical difficulties with the Property Information application, or wish to send us your comments, questions or suggestions please email us at WeiNpaster. http://gisims2.miamidade.goy/myhome/propmap.asp Web Site 2002 Miami-Dade County. All rights reserved. 11/9/2011 Miami-Dade My Home Sale Inf allow Sale Date: /2008 Sale Amount I$485,000 Sale 0/R: 12472P650 Sales Qualification Description: ISales which are qualified View Additional Sales Additional Information: Click here to see more information for this Community Development District Community Redevelopment Area Empowerment Zone Enterprise Zone Zoning Land Use Urban Development Boundary Zoning Non-Ad Valorem Assessments Environmental Considerations Page 2 of 2 http://gisims2.miamidade.gov/myhome/propmag.asp 11/9/2011 PRINT CLEARLY IN CAPITAL I 11 I �I �II 11 1±11555 (USE BLACK INK ONLY) ADDITIONAL SERVICES RIDER U ©© A g C �� 5269UE01 TOWN NO: CUSTOMER NO` Zif7g7 / L JOB NO. 11 ©2010 ADT Security Services, Inc. (11/10) THIS VII part of and is to be attached to the � �� ��® by and between ADT Security Services, IS RIDER made �' i Contract/Agreement ("Agreement') made I Inc. ( °ADT °), with offices at Address A�, ?6r * v''l 4/ 1I City 7)./T 4 4t' State Zip .alt I ('CCustoms /. C49 L51 "Customer � � "/ � Business Name ( "Customer ") for service in the Premises of the Customer at / 117 /i%r S_ 7 9 n 'r2' e� City et/ State Zip / t% ( "Premises ") The Customer hereby and ADT agrees, to install the following additional requests, protection' ' �'"' /4 �d%2//f ,4 e(v /of'/ / 11. // 6 / e, / 5b.. hi,, The Customer hereby agrees to ADT, its Agents or Assigns the sum of pay J-2- Y, $ /o 4 payable upon the signing of this Rider and the balance payable upon completion of this installation, and to pay in addition the additional sum of $ A . 6) yea per annum payable in advance. The parties hereto mutually agree that the aforesaid Agreement, of which this Rider is made a part, is and shall be and remain in full force and effect in accordance with all the terms and conditions thereof, modified only as in this Rider specifically provided. / It is further to that the date of the referenced Agreement shall be extended for a period of f years. agreed original expiration ,-I THIS RIDER REQUIRES FINAL APPROVAL OF AN ADT AUTHORIZED MANAGER BEFORE ANY EQUIPMENT /SERVICES MAY BE PROVIDED. IF APPROVAL I5 DENIED, THIS RIDER WILL BE TERMINATED AND ADT'S ONLY OBLIGATION TO YOU WILL BE TO NOTIFY YOU OF SUCH TERMINATION AND REFUND ANY AMOUNTS PAID IN ADVANCE. ADT SECURITY SERVICES, INC (°ADTI 1 Accepted By: � ����,, �%�% X - WI i7hti+i/ 26� Rep. No 02.2 ADT Sales Representative Signature Accepted and Copy Received By: �%`'� L rio - M E. CA/DA R S 1' N . M E Customer Name � � X l 6';!x/ 67) / # Y Customer Si atur -1 ' Office Copy ©2010 ADT Security Services, Inc. (11/10)