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EL-12-1232Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 178543 Permit Number: EL -7 -12 -1232 Scheduled Inspection Date: September 26, 2012 Inspector: Devaney, Michael Owner: KEYS, ROSALIE Job Address: 1507 NE 105 Street 1 -8 Miami Shores, FL Project: <NONE> Contractor: ADT SECURITY SERVICES, INC Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Alarm Phone Number Parcel Number 1122300530560 Phone: (786)331 -3967 Building Department Comments BURGLAR ALARM INSTALLATION Infractlo Passed Comments INSPECTOR COMMENTS False Passed C7 Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments PLEASE MAKE IT YO September 25, 2012 For Inspections please call: (305)762 -4949 Page 25 of 41 • • Ote QY/15i9 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 1 �� — 4i1HUhi INSPECTION'S PHONE NUMBER: (305) 762.4949 B ILDING ( Permit No —1. 12 1 `�L• PERMIT APPLICATION Master Permit No. _o TE g V Cam' I� . - 1 VI JUL 0 _o 25 2 it B vo FBC 20 Permit Type: Electrical ' /may // OWNER: Name (Fee Simple Titleholder): (J /er /Q_4brc//%%S Phone#: Address: /50 7 Ng es is-/- " 1 y ,,/ City: /� // Q/2% /�O /L°S State: 7 l®�'O�L e9' Zip: 45-3/3� Tenant/Lessee Name: Phone #: Email: JOB ADDRESS: /,50 7 Ale A05- S7' / Si City: Miami Shores County: Miami Dade Folio/Parcel #: // p? -Os-3 �S7'o Is the Building Historically Designated: Yes NO Flood Zone: Zip: 3 /gg CONTRACTOR: Company Name: 11W/ St ee-Z- 7 )47‘ / cS 7 C.S Phone #: Address: /C7SS // /& ,--,es evav City: f ;-/77.e7,- State: ® Y7 Gegti, 19-el.,4 State Certification Registration #: Cr //..?--/ Contact Phone #:9 ) FoP` 2.3 Email Address: Qualifier Name: Phone #: 9 60/3 Certificate of Competency #: DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ /�" '�� Square/Linear Footage of Work: Type of Work: Address LIAlteration ❑New ❑Repair/Replace ❑Demolition Description of Work: «� j �/ ��/rYy� /am% -T7,/ * *** ** * * *:xx:x:x**:x *=x:x*** ** * *** * * * * *****Fees:x**** * *** * * * * *****:x** ** * *** ** * ** xx:*:x:x***** 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 $ 5 Bonding Company's Name (if applicable) Bonding Company's Address t • 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 ich occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection Will not be ad or ved and a reinspection fee will be charged. Signature Owner or Agent The foregoing instrument was acknowledged before me this Z3 The foregoing instrument was acknowle day of Tu ' , 20 a `�by Vd4 � & =� f A 3Iea /v'Sday of , 20 / by Signature 7 Contractor who is personally known to me or who has produced De.. 44 As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commi sion Expir * * * * * * * * * * * * * * * * ** APPROVED B ed before me this who is p ally kno o me or who has prood u;leo: as identification and who itke an oath. �� > ®g � a � 31 b� oi ®� '`off. O .° .. e /,A�1® : NW Pa/17,14.e. ✓✓ a 6Sg ; o®. La/IVO y ° a My Commission Expir es: • ,0p�~ �� ®a ®� Plans Examiner NOTARY PUBLIC Sign: Print: ' /0` 9J Zoning Structural Review Clerk (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) RESIDENTIAL SERVICES CONTRACT CUSTOMER ACCOUNT NO CONTRACT DATE OCp/- ?7Z - 87 5104UE14 /ra i JOB NO LEAD SOURCE Section 2. Services to be Provided (continued) .. i Standard Monthly Service, Burglary • Service includes: Custonier Monitoring Center Signal Receiving and Notification Service for Burglary, Manual Fire and Manual Police Emergency ? Monthly Service Charge 0 Initial/Annual Recurring Municipal Fee billed separately (Subject to change based on local law) Initial/Annual Fee 1 'f 11-.99 / 0 Customer to obtain and pay for initialannual munidpal alarmysenermit. Failure to obtain and provide ADT with the munidpal alarm use permit registration number could result in no munidpal fire/police response • alarm from the premises and/or a fine. r 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 ," . Municipal Electrical Permit Fee 0 Customer to obtain electrical permit O Carbon,Monoxide 0 Flood 0 Low Temp Installation Price l 11 $ /99' 1 $ ! 91 M O Medical Alert • $ Taxable Amount O Safewatch Cellguard®. $ ,,,r...41.14- Non- Taxable Amount $ -- O SecurityLink® $ —• Connection Fee $ ` O Extended Limited Warranty /Quality Service Plan (QSP) $ • _r,y,,(..°. Admin Fee $ '— O Guard Response Service $ -- Sales Tax on Installation* $ -r-,9 O Monthly Recurring Municipal Fee (Subject to change based on local law) 0 Customer to obtain and pay for municipal alarm use permit $ Total Installation Charge* ,�1 /G)fa el v !l / O Other $ Deposit Received A4 C # 'i �� Total Monthly Service Charge ''//— I $ I9• 4 Balance Due upon Installation* v$ if applicable sales tax not shown, it wjll be added to the first invoice. Section 3. Equipment to be Installed fi' °_ "` ° "" °" "` Control �/ \� / off/ Secs€) • ,7 ,6o` l/ l onoi' /repo, �¢0 ¢v. C.oc ois� �a�OP e�/ / Panel ' "/ Pj / -, / La� Qu' -k"` ' QV>_S?A'R Sack j ; '" t`' ''cock 'S5 5'C' ao4" , 4SF 411 ',boo / • O'f) ' ,e ,' .° 4b0"/ ; AOT .RESIDENTIAL SERVICES CONTRACT CONTRACT e- / DATE CUSTOMER ` BIZ ACCOUNT NO '4f- 172 -.t,Y 0 IIIfl 5104UE14 n JOB NO LEAD SOURCE Section 1. ADT Security OfficeAddress www.MyADT.com 1.800.ADT.ASAP® (1.800.238.2727) Customer Info • Services, Inc. ( °ADT' homer Name 6 F �M I I ✓A LI E' I //lI ("Customer" or "I" or "me" or 'my") I / ' ANSI I 11 1 1 1 1 1 1 1 I I Premises' / 3 7 NE /O ,S $ 7 T I Address _ City Y "'I / > x � % 1 r S No 5 EZ I P Tax Exempt No. L a. a Tax Expire Date . - _ .. r 'p Protected Premises' w 4' p/ ` 1 0 Traditional Phone 0 Other (QualHied) 0 Other (Non - Qualified) Telephone / V�I" I Alternate Telephone 1 O Fill In if billing �:�i �� k`'" '`Alternate ?� 17,�Ie1 d3[3.-_3 3 Z 0 Home • 9 Cell O Work Telephone 2 "I �I' I T q3 r O Home O Cell Work address is the same X3)7 Billing Address s 1 4 City State ZIP IF FAMILIARIZATION PERIOD IS REJECTED INITIAL HERE see Paragraph 14 of the Terms and Conditions for explanation) EMAIL 6-( / v^ A iji / .n ✓yl) (& D T I ' • ( O Communications Authorization: I authorize ADT to provide me with information and updates about the security system and new ADT and third -party products and services to the contact infor do rovidd by me. I may unsubscribe or opt out by emailing donotcontact@ADT.com or by calling 888.DNC4ADT (888.362.4238). Initial here' Confirmation appointments Alarm System of Appointments: I authorize and provide other infortbation°and ADT to call me using an automated calling device to deliver a pre - recorded message to set/confi rvi. /1 the - System' at the tWlephone number(s)•provided by me. Initiahhere 04— notices about alarm Ownership: 0 Customer AND AGREE TO EACH UNDERSTAND AND AGREE CONDmONS. (B) THE OF MY POTENTIAL SECURITY ADDITIONAL EQUIPMENT COST TO ME. CAN PROVIDE COMPLETE AND OTHER INCIDENTS IS ALWAYS POSSIBLE, MAY NOT RECEIVE ALARM THE ALARM SYSTEM (F) THIS CONTRACT AND IF APPROVAL IS DENIED, AND REFUND ANY -Owned BADT -Owned I ACKNOWLEDGE HAVE READ, THE TERMS AND ADDRESS ALL PROVIDE ME. ADT AT AN ADDITIONAL ALARM SYSTEM MEDICAL PROBLEMS HUMAN ERROR OF ADT. ADT MANUALLY TEST W W W.MYADT.COM. OR SERVICES, SUCH TERMINATION OF THE FOLLOWING: (A) THIS CONTRACT CONSISTS OF SIX (6) PAGES. BEFORE SIGNING THIS CONTRACT, I TO EACH AND EVERY TERM OF THIS CONTRACT, INCLUDING BUT NOT LIMITED TO PARAGRAPHS 5 AND 18 OF INITIAL TERM OF THIS CONTRACT IS THREE (3) YEARS. (C) ADT IS NOT A SECURITY CONSULTANT AND CANNOT NEEDS. ADT HAS EXPLAINED TO ME THE FULL RANGE OF EQUIPMENT AND SERVICES THAT ADT CAN AND•SERVICES OVER THOSE IDENTIFIED IN THIS CONTRACT ARE AVAILABLE AND MAY BE PURCHASED FROM I HAVE SELECTED AND PURCHASED ONLY THE EQUIPMENT AND SERVICES IDENTIFIED IN THIS CONTRACT. (D) NO PROTECTION OR GUARANTEE PREVENTION OF LOSS OR INJURY. FIRES, FLOODS, BURGLARIES, ROBBERIES, ARE UNPREDICTABLE AND CANNOT ALWAYS BE DETECTED OR PREVENTED BY AN ALARM SYSTEM. AND THE RESPONSE TIME OF POLICE, FIRE AND MEDICAL EMERGENCY PERSONNEL IS OUTSIDE THE CONTROL SIGNALS IF COMMUNICATIONS OR POWER IS INTERRUPTED FOR ANY REASON. (E) ADT RECOMMENDS THAT I MONTHLY AND ANY TIME I CHANGE TELEPHONE SERVICE, BY CALLING 1.800ADT.ASAP OR BY LOGGING IN TO REQUIRES FINAL APPROVAL BY AN ADT AUTHORIZED MANAGER BEFORE ADT MAY PROVIDE ANY EQUIPMENT THEN THIS CONTRACT WILL BE TERMINATED, AND ADT'S ONLY OBLIGATION WILL BE TO NOTIFY ME OF AMOUNTS I PAID IN ADVANCE. ADT Representative Name S I Y► r 01.1E-- Rep. License No. ID No "'r . C p % (If Required) Customer's pp val: Original Signature Required (Must match Customer Name in Section 1 above) ( / /2.- 41/ / 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. • GTtr. a.'P"'^ ?.e- e - e FINANCIAL DISCLOSURE STATEMENT THERE IS NO FINANCE CHARGE OR COST OF CREDFT (0% APR) ASSOCIATED WITH THIS CONTRACT. ay?, Si TOTAL OF PAYMENTS FOR THE INITIAL TERM IS $ /6�9, - y B. AMOUNT OF EACH PAYMENT IS ) (A, TIMES B.) (EXCLUSIVE OF ANY APPLICABLE TAXES, FEES, FINES (TOTAL MONTHLY SERVICE CHARGE FROM BELOW) AND RATE INCREASES) A. NUMBER OF PAYMENTS FOR THE INITIAL TERM IS 36. LATE CHARGE - PAYMENT IS DUE PURSUANT TO MY SELECTED BIWNG 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 15 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 SEE SECTIONS 2, 7, 15 AND TOTAL OFPAYMENTS PRIOR TO 19 OF THIS CONTRACT FOR THE END OF THE INITIAL TERM ADDmONAL INFORMATION OF THIS CONTRACT, THERE IS NO ABOUT NONPAYMENT, DEFAULT PENALTY OR REFUND. AND ACCELERATION. 1 of 6 Administrative Copy ©2011 ADT. All rights reserved. (06/11) 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: t/ A L(=1? 1/4 A &re As M's PERMIT # ^_ MY COMMISSION t EE M028 11,2096 if. � 36'4° �3- �Jr' � Bonded Thu r a UMennite�s FOLIO NUMBER: FLOOD ZONE: ADDRESS: Iro 7 'I» ��,� -Sri( P� 7 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 STRUCTUR OWNERS SIGNATURE: Y. ttach appraisal): DATE: 6-12/2- PLANREV IEW ER: PLAN REVIEWER SIGNATURE: DATE: Created on June 2009 1 1Vtl\/11.' 1.111.1a1111114.1%/11 a\VIJV11. 411211.4altgardf3y My Home Property Information Report Summary Details: a wsv a va a Folio No.: 11- 2230 - 053-0560 Property: 1507 NE 105 ST 1-8 Mailing Address: EFRAM H ABRAMS VALERIA ABRAMS 1507 NE 105 ST # 1-8 MIAMI SHORES FL 33138- Property Information: Primary Zone: 2011 2010 CLUC: • •rr.•= -2remption/ T,x b!e Value: 0007 CONDOMINIUM - RESIDENTIAL Beds/Baths: Sal ._ ,�._ ...___........._. 2/2 -_. $0 0 lAsseMarket Value . : _ _ _-_ ri ir$64,423 0 Adj Sq Footage: _ - -. - , T - -, -- 1" "' Lot Size: 6 -- Built: 1970 e.a. i ILegal Description: HARBOUR CLUB VILLAS CONDO TOWNHOUSE 1-8 UNDIV 1/79TH INT IN COMMON ELEMENTS CLERKS FILES 698143006 & 70R100201 OR 19428 - 0219 1200 1 Assessment information: 1Year: 2011 2010 !Taxing Authority • •rr.•= -2remption/ T,x b!e Value: $0 $0 Sal ._ ,�._ ...___........._. County: 20 $0 `.39,423 lAsseMarket Value . : _ _ _-_ ri ir$64,423 ssed Value: _ - -. - , T - -, -- r Exemption Information: Homestead: 2nd Homestead: ;1 $_5,000 YES 2010 $25,000 YES Taxable Value Information: kyvar. 21111 2010 !Taxing Authority • •rr.•= -2remption/ T,x b!e Value: Applied Exemption/ Taxable Value: Regional: Sal ._ ,�._ ...___........._. County: `.39,423 . : _ _ _-_ ri ir$64,423 Sale Information: Sale Date: Sale Amount•. 21 ?_ ; .. Sale O/R: 28113 -1121 Sales Qualification Description: Sal ._ ,�._ ...___........._. View Additional Sales 1Close window], 'Click here to Print], This report was created on 6/19/2012 10:47:07 AM for reference purposes only. Web Site © 2002 Miami -Dade County. All rights reserved. http:// gisims2. miamidade .gov /myhome/proptext_print.asp ?folio = 1122300530560 &cmd = 6/19/2012