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EL-12-143Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 176013 Permit Number: EL -1 -12 -143 Scheduled Inspection Date: July 18, 2012 Inspector: Devaney, Michael Owner: BUDEBO, ESTHER Job Address: 1155 NE 102 Street Miami Shores, FL Project: <NONE> Contractor: ADT SECURITY SERVICES, INC Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Alarm Phone Number Parcel Number 1132050190080 Phone: (786)3314967 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- 175971. No access at 2:02 p. m.. please go by between 3:00 -3:45 p.m thanks July 17, 2012 For Inspections please call: (305)762 -4949 Page 25 of 29 t 01/26,2012 10:56 9542665132 AD- Miarni Shores Village Building Department 1 COO N.E.2rid Aventic., Miami Shores, Florida 3313E Tel: 305) 795.2204 Fax: t305) 755,8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 Customer #3o9 i36,52, 7 BUILDING PERMIT APPLICATION FBC 20 Permit Ne. Master Permit No, PAGE fl/E13 YLH Puniit Type: Electrical -- rS . OWNER : Name (Fee Sm iple Titlehoideei:a71-e0-- .464e _nonez 519 q : Acidmss: //SST "VC AAR- •.C717 city: ______ State: • 7.ir, 3..3/ Tenard&e:Ssee Name: 'tenet! JOB A DDRESS: //SY- ,X71,fre----71— Miami Ctunry yob csiParcel#: 4d9/ 4P49.0012 1s the Ruiliclitig Historically Designated: Yon Ni.am; Dade Zij 5 43 '13 NO ote: CONTRACTOR: Company Namt:.: ADT SECURITY SERVICES ontA 954-266275.0.27.... Addrehs: 10785 MARKS WAY city MIRAMAR FI,..O_RIDA 7.41: 33025 Qaaer Nome: GEORGE MANGINELL hon,#: 954-26675033 101C CO11(4'011(111. RuLtivr.alir7n #: _EE0:UO.1121 Conmet Phone#: 9547266-5064 F.Ind: Addre' LLCARTER@ADT.COM , .... DEsiGNER: ARiiiloomr:2rn,..,,..1.: 1,(1;ilet. Wine of 'Work for this Pecniii: $ .6 ea • 00 Sqdare/Linear Emits of Wcrla ___.. Type tit Work: jAdd:i.ns XAI:aration a\!:.:‘v 1--I ie.ergt WIRT: act! LI DCM0111 icln oeseriptiAn a Work: .. ._................ . .. . .. ...._.. .......______ ..._.... Burglar Marna. . . . Submktal Fee $ PermIL Fee $ /e0/ CCP $ _ CO/CC $ Scanning Fee $ Radon F& $ $ Rtind $ Notary $ Training/Rdracation Fee S Teeleaciegy Fee Deo hie Etc Struc1ncal Review $ • •••---• • •- Y.A.I. FEE NOW 1)1i E $ D 01/26/2 . 10:56 6542665132 ADT PAGE 02/03 Bonding Company's Name (if applicable) Bonding Compary's Addrzv,-; • , _ .4.18.9 City State Zip Mortgage Ladder's Name (if applicable) Mortgage Lender's Address City _ State Zip_ App Jicat,on is hereby made to ob.cin n perrnit rn clo the work and instt;llat onc its indicated, 1 certify that oc work or installation has commenced prier to the issuance of a permit and that alt work will the perfnrrrieci in meet the standards or u3 laws reguta' +ng construction it this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLiJMa1NG, SIGNS, WPI.T.S, POOLS, FURNACES, BOILERS, HEATERS. TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: ( certify that at the foregoing iutortnatian is accurate and that all work will be done, in compliance with al; applicable law; regulating construction and zoning. "WARNING TO OWNER: YOUR FAILLTRE 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." NCEMENT." !`gutter, let App/hunt.. its at nurfir %r t to t'tr issuance o f r( hirii'el:ri., 7rr ° +t,rf; tell! an cstu finned value vA., rcriing ;:;25t:44 rfer rtprrfu•ratt r,rux; promise' hi mid fairh (hurl to c -emy tt( ikc tallier ur t $.r+i+littittt•r•;urefU !Phi e• rru.+b(rt•lit.tn lief' law fx•trr(nrrr• will he deliver •ti it) 1hr p•r,,rre • tahfis;; t7re■(rctt,J nQ.tiVert ter tiL l lilfo'it. , +thsrt, rr certified (vy +4 r±r ++dN 1'e't sire ?en1'rrtice 01.t r,001t tWell7eJt1 +RNa'1 he 00.tirerl at the jalr safe .fen. ?htr Itrt7 itispeCtlttri te•ilit'li t:crtrrs .seven. (7 drays after the Infi(, f17g ; Inuit fc is.ri.e'd in lh' ahcPriee n1 .er.et'h 1xr,Fed rte: ?..' <'r, slue itr.tpe tion :rs1.' era >F ' and a mfnspes'li,•n (tr s;n'i ht charged, Siertutare Sisnctur Owner or A +'nI 1-2z o -a©© _/_'/t'y en; was acki1ow':cdcct+ beer :r Tic Carir.:1.r The Ibtcgoirig instrcFC ^in t instrument was acknowled etl hei'nre u::y • r .2f) .11y ,i.;, „r _...._._^� 21) , h1• George Manginelli a 1t: ;v +;:1:wilnttliy !mown ;tt me or who isle'ititlt;alir11 ;Hid v:?1;: ti: +i :il:. ;in 0:111:. APPRti T.1)?Y iH•cvr' .:,,wily kiia' i in nit: (r :a.*>?as< r:r0dU?t:.Li and tc'!rl did tuk' Nt ri':tf+ Y PUBLIC: .,04 ;,°Aare c e/�i,,/ `��►tluy� II/ h/�� vv • X f 8 •.. tl .alai ;ca ?'"u' r(©!��Q% ?.:; .^ sio = cA Co„, '/ ; D:7• 54411(11,1: ' � .:ooa /. "1/e w.!.k d:,r�y( '/ •4!t�':g V '!ld‘ `hn.gt r...,:..t;�eah s•m >f $:isv :4$•:k ,:Y.:g:t::r•S::Rxr,.4: r. 7. 5' :("1%.1 B:Y'�E't� >' • ` \ \\ 1 ��nt�►ntt rte ti��.�d° �� /Z ''''zi�FFL�1R10PA`��• l�i:.tily I'.x:.t'ttin:•r !idrro:yc:.lit7it1:,917)(?-t Np? t1i+ a? f' 1 .><tl(i��i :k..�'i1tiSl?!'3 /f ±,it Sfrucittral ha','iuc. Flcrl, Miami -Dade My Home 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- 3205 - 019 -0080 Property: 1155 NE 102 ST Mailing Address: ESTHER T BUDEBO & NORBERTO VAZQUEZ JTRS 1155 NE 102 ST MIAMI SHORES FL 33138- Property Information: Primary Zone: 1100 SINGLE FAMILY RESIDENCE CLUC: 0001 RESIDENTIAL - SINGLE FAMILY Beds /Baths: 3/2 Floors: 1 Living Units: 1 Adj Sq Footage: 3,353 Lot Size: 16,038.10 SQ FT Year Built: 1979 Legal Description: MIAMI SHORES SEC 8 REV PB 43 -67 LOT 8 BLK 175 LOT SIZE 123.370 X 130 OR 17068 -0154 1195 1 OR 26691 -0092 1208 01 Assessment Information: Year: 2011 2010 Land Value: $289,653 $240,961 Building Value: $251,524 $252,983 Market Value: $541,177 $493,944 Assessed Value: $295,391 $291,026 Exemption Information: Year: 2011 2010 Homestead: $25,000 $25,000 2nd Homestead: YES YES c Taxable Value Information: (Year: I 2011 I 2010 I Applied Applied Page 1 of 2 ACTIVE TOOL* SELECT Aerial Photography - 2009 My Home 1 Property Information 1 Property Taxes 1 My Neighborhood 1 Property Appraiser 0 117 ft 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. http://gisims2.miamidade.gov/MyHome/propmap.asp 1/26/2012 IDEATIAL SERVICES CONTRACT CONTRACT: DATE CUSTOMER ACCOUNT NO . 1/44474 11 r"Z-4 94) 0 r 11111111111111111111111fir -"°131 I LEAD NO ',SOURCE sup ADT Security Services, Inc. MDT") Office Address www.MyADT.com 1.800.ADT,ASAP® (1.800.238.2727) AF FAMILIARIZATION PE 0 REJECTED INITIAL HERE (see Paragraph 14 of the Ter s and Conditions for explanation • Customer Name (Customer or y or "me or "my) Address State ZIP • Protected Premises' Telephone 4,1e/lo City 2 Tax Exempt No. 0 Traditional Phone 0 Other (Qualified) 0 Other (Non-Qualified) Alternate Telephone 1 Alternate' Telephone 2 AIL. '1 Tax Expire Date / lAY31°1 0 Home ell 0 Work 0 Ronie 0 Cell 0 Work 'communications Atithorization:'I auth lie o provide me with information prig 435dites about the security system and new DT and third-party products and services to the contact information provided by me. I may unsubscribe or opt out by emailing donotcontaact'ADT.cen or by calling 888.DNC4ADT (888.362.4238). Initial here Confirmation of Appointments: I authorize ADT to call me using ah automated calling device to deliver a pre-recorded m ge to set/confirm appointments and provide other formation and notices about the alarm system at the telephone number(s) provided y me. Initial- ere Alarm System Ovvrteiship: ustomer-Owned 0 ADT-Owned HAVE READ. UNDERSTAND AND AGREE TO EACH AND F THIA!CciitiltACI; INCLUDING BUT NOT .4110TEO TO PARAGRAPHS 5 AND 18 Olt I ACKNOWLEDGE AND AGREE TO EACH OF THE FOLLOWIN,G;'' CONSISTS OF SIX (6) PAGES. BEFORE SIGNINd, .CONTRACX• -THE TERMS AND CO moNs E);31iE-16101AL.HTERM- THIS cONTRALT ISVIR6E (3) YEARS. (C) ADT IS NOT A $E4iIIITY .cONSULANTANDONNOT' ADDRESS ALL OF 0141MITY NEEDS. ADT HAS EXPLAINED To ME THE FULL RANGE OF EQUIPIVIENT*NO SERVICES: rUirADT CAN PROVIDE ME ONAT E UrPMENT AND SERVICES OVER THOSE IDENTIFIED IN THIS CONTRACT AREAVALIABLEANDimAY__BETPodimED:-FAOM ADT AT AN ADDITIONAL COST TO MEFHAvE SELECTED ANapoRcHAsED ONLY THE EQUIPMENT AND SERVICES IDENTIFIED IN. TINS CONTRAcr. (D) NO ALARM SYSTEM CAN PROVIDE -COMPLETE PROTECTION OR tUARANTEE PREVENTION OE LOSS OR INAIRY',FIREE.PLOOOS, BURGLARIES, ROBBERIES, • MEDICAL PROBLEMS AND OTHER 'INCIDENTS ARE UNPREDICTABLE AND CANNOT ALWAYS REpETECTED•Olt pREVENLTED BY AN ALARM SYSTEM. HUMAN ERROR IS ALWAYS POSSIBLE AND THE RESPONSE liME OF poucE, FIRE AND MEDICALIMERGENCY PERSONNEL IS OUTSIDE THE CONTROL OKADT. ADT MAY NOT RECEIVE ALARM SIGNALS IF COMMUNICATIONS OR POWER IS BOOR' UPTEDFOR ANYREASON. (E) ADTREcoMMENDs THAI!: MANUALLY TEST THE ALARM SYSTEM MONTHLY AND ANY TIME I. CHANGE BY CALULG1-800ADIASAP OR BY L 1,06114G IN TO WWW.NIYADT.COM.IF) THIS CONTRACT REQUIRES FINAL APPROVAL BY AN ADT AUTHORIZED :MANAGER BE ADT MAY PROVIDE MY1QUIPIVIENT OR SERVICES, AND IF APPROVAL IS DENIED, THEN THIS CONTRACT WILL BE TERMINATED, AND ADT'S ONLY OBLIGATION vitiate To NOTIFY ME OF SUCH TERMINATION AND REFUND ANY AMOUNTS 1 PAID IN ADVANCE. ADT Representative N Rep. Licerise No. (If Required) Cu omer's Approval: Original Signature Requjmi (Must match Customer Name in Section 1 above_ X 131,A-ae.c."6/ ft I F.' I / --i-maticE CANCELLATION I, THE CUST0MER, MAY CANCEL THIS IS TRAJNISPiOfflOn AT ANY TIME PRJOI(70 MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTIOltiSEEIHtATTACHED 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. •,.1 1 'le 0.0 Rep. ID No. 0//a772-1 TIAL SERVICES CONTRACT CONTRACT DATE 1111 1116119 #IIIII ::JOB ENO LEAD SOURCE Section 2. Services to be Provided (continued) tandard Monthly Service,. Burglary Service includes: Customer Monitoring Center Signal Receiving and Notification Service for Burglary, Manual Fire and Manual Police Emergency Standard Monthly Wince, Are/Smoke Detection Service. includes: Customer Monitoring Center Signal . It Receiving: and: Notification Sewice,for Fire,, Mannual Fire and Manual Police Emergency Monthly se e.Charge 0:1nitial/Annual Recurring Municipal Fee billed separately (Subject to change biked on local law) Initial/Amnia! Fee o Customer to obtain and pay fb initiai/annual muniidpal alarm use permit Failure to obtairtand provide A91 w th the municipal alarm use permit registration number could result in no muniapal fire/police response to an alarm from the premises and/or a'fine. 0 Carbon Monoxide 0 Flood U Low Temp 0 Medical Alert Safewatch Cellguard® O. SecurityLink® .FMS Extended limited Wanarlty /Quality Service Plan (QSP) 'Municipal Electrical.Permit Fee o .Customer to obtain electrical permit Rital. Monthly Service :Eh rOet i *If applicable ilea; #x not shown, it will be added to the first invoke,. Section :3. Equipment to be installed Control Panel Package am Includes Foyer - Living Room Installation Price Taxable Amount Non - Taxable Amount Connection Fee Admin Fee Sales Tax on Installation* Deposit ,Received BalariceOue upon Installation* Family Room Office Dining Room Kitchen Laundry Room Hallway Master Bedroom Master Bath Bedroom "2' Bedroom 3 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: 4j; PERMIT # ADDRESS: III �" 1 ‘ 1; FOLIO NUMBER: 1-. 2t)2-! °0 i°'-'00 bPa.<)FLOOD ZONE: ii\tS -,BASE FLOOD ELEVATION: 4E_ -E FREEBOARD: EAST OF FL.CCCL: COST OF PAST IMPROVEMENTS (12 MONTHS): COST OF PROPOSED IMPROVEMENTS: (ATTACH COPY OF CONTRACT) x eo TOTAL CUMULATIVE COST OF IMPROVEMENTS (past and proposed): e7f°°°C1'c.) VALUE OF PRINCIPAL STRUCTURE (attach appraisal): ` 1,52.1 vv. rof,i OWNERS SIGNATU1C PLANREVIEWER: PLAN REVIEWER SIGNATURE: DATE: t `o I Z'' Created on June 2009 DATE: