Loading...
EL-12-1874Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 181382 Permit Number: EL -10 -12 -1874 Scheduled Inspection Date: November 08, 2012 Inspector: Devaney, Michael Owner: HARPER, DORSETT AND JOAN Job Address: 10501 NE 2 Avenue Miami Shores, FL 33138- Project: <NONE> Contractor: ADT LLC Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Alarm Phone Number (305)758 -6002 Parcel Number 1122310130730 Building Department Comments ALARM SYSTEM INSTALLATION Infractio Passed Comments INSPECTOR COMMENTS False Passed C7 Failed Correction Needed Re- lnspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comm November 08, 2012 For Inspections please call: (305)762 -4949 Page 18 of 19 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 l Permit No. �. J I2?4 Master Permit No. BUILDING PERMIT APPLICATION FBC 20 Permit Type: Electrical OWNER: N (Fee Sim ! le Titlehplder): ' Phone #: -� o- — 47,g " v v , Address: / ®„ /I' r r P City: State: F7,-- , Zip: 3 15 Tenant/Lessee Name: Phone#: Email: ' B JOB ADDRESS: (/ ■© City: Miami Shores County: Miami Dade Zip: 313 Folio/Parcel #: / NO Is the Building Historically Designated: Yes Flood Zone: CONTRACTOR: Company Name: C %C Phone #: Address: City: //G/�Y1 ,i State: - Qualifier Name: &-,t Phone #: State Certification or Registration #: 6— GLa` Certificate of Competency #: Contact Phone #: Email Address: DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: ❑Address Description of Work: ❑Alteration ❑New ❑Repair/Replace ❑Demolition ***************************************Fee s*********4!********************************** Submittal Fee $ Permit Fee $ /(Pe, , OW CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ , P TOTAL FEE NOW DUE $ y / 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. the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Owner or Agent The forego n instrument was acknowledged before me this day of V , 20 11---, by -1 �_ , who is personally known to me or who has produced 1('D As identification and who did take an oath. NOTARY PUBLIC: `\\`�0%131V S�' "�•,, . 1 • %gyp �\ b'\rn %�'�hhteJaP am,..-Q„ Sign: Print: My Commission Expires: Signature Contractor The foregoing instrument was acknowledged before me this day of �' ., 20 7O, 6y c ®o` c1Rm a ®o'® who is personally known to gE,yuic�}a�lced as i� G b p d °lhke an oath. NOTARY PUI#i. `rP"so o vatoCi ; C it vAalol Bitsa .1 A qP 't r is Or► s N NOS `nV3 ��'•' Sign: • �9�y # Igr?.� 0 Print: BLIC My CommissionExpires:ssi°' °aI° ° % %% d// 9/111 * * * * * * * * * * * * * * ** * * * * * *** * ***+ x ******** ************** ** x************* +**** ************ ** ****** ***a:x *** *x:*** ** rZ APPROVED BY'�/% / ' /4 /0 e D7.-- Plans Examiner Zoning Structural Review (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Clerk Property Information: Folio 11- 2231 - 013 -0730 Property Address 10501 NE 2 AVE Owner Name(s) DORSE1T A HARPER &W JOAN K Mailing Address 10501 NE 2 AVE MIAMI SHORES FL 33138 -2059 Primary Zone 1000 SGL FAMILY - 2101 -2300 SQ Use Code 0001 RESIDENTIAL - SINGLE FAMILY Beds /Baths /Half 2/2/0 Floors 1 Living Units 1 Adj. Sq. Footage 1,905 Lot Size 8,625 SQ FT Year Built 1960 Legal Description 31 52 42 PB 6-82 1ST ADDN TO PASADENA PARK S1/2 OF LOT 17 & ALL LOT 18 BLK 15 LOT SIZE 75.000 X 115 OR 12093 -2413 0384 1 Assessment information: Current Previous Year 2012 2011 Land Value $86,284 $86,284 Building Value $149,880 $150,842 Market Value $236,164 $237,126 Assessed Value $115,746 $112,375 Exemption information: Current Previous Year 2012 2011 Homestead $25,000 $25,000 2nd Homestead $25,000 $25,000 Senior $0 $0 Veteran Disability $0 Civilian Disability $0 $0 Wldow(er) $0 $0 Disclaimer: MIAMI -DADE COUNTY OFFICE OF THE PROPERTY APPRAISER PROPERTY SEARCH SUMMARY REPORT Honorable Pedro J. Garcia Property Appraiser Aerial Photography 2012 Taxable Value Information: Current Previous Year 2012 2011. Exemption/Taxable Exemption/Taxable County $50,000 / $65,746 $50,000 / $62,375 School Board $25,000 / $90,746 $25,000 / $87,375 City $50,000 / $65,746 $50,000 / $62,375 Regional $50,000 / $65,746 $50,000 / $62,375 Sale Information: Date Amount Recording Qualification Code Book -Page 3/1984 $79,500 12093 -2413 Sales which are qualified The Office of the Property Appraiser and Miami -Dade County are continually editing and updating the tax roll and GIS data to reflect the latest property information and GIS positional accuracy. No warranties, expressed or implied, are provided for data and the positional or thematic accuracy of the data herein, its use, or its interpretation. Although thls website is periodically updated, this information may not reflect the data currently on file at Miami -Dade County's systems of record. The Property Appraiser and Miami -Dade County assumes no liability either for any errors, omissions, or inaccuracies in the information provided regardless of the cause of such or for any decision made, action taken, or action not taken by the user in reliance upon any information provided herein. See Miami -Dade County full disclaimer and User Agreement at http:// www. miamidade .gov/iinfo /disclaimer.asp. Property information inquiries, comments, and suggestions email: pawebmail @miamidade.gov GIS inquiries, comments, and suggestions email: gis @miamidade.gov Generated on: Friday, October 05, 2012 *1)11 RESIDENTIAL SERVICES CONTRACT CONTRACT DATE CUSTOMER ACCOUNT NO i 111111111 11 5401U E00 1 11 im JOB NO LEAD SOURCE ' •1 •11' a • ADT LLC dba ADT Security Services MDT") ffice A dress Phi fO1dki Ave" ��O yr \+ IAA 4 7 '° �d �, i� 1>` Customer Name ("Customer' or °I° or "me" or "my") " TOTAL OF PAYMENTS FOR THE INITIAL A. TIMES B. (EXCLUSIVE OF ANY AND RATE INCREASES) ¢� p I\ LATE CHARGE - PAYMENT IS DUE PURSUANT TO MY SELECTED BILLING 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 I5 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 TOTAL OF PAYMENTS PRIOR TO THE END OF THE INITIAL TERM OF THIS CONTRACT, THERE IS NO PENALTY OR REFUND. SEE PARAGRAPHS 2, 7,15 AND 19 OF THIS CONTRACT FOR ADDITIONAL INFORMATION ABOUT NONPAYMENT, DEFAULT AND ACCELERATION. g r � Address Premises' Lap G t I S u f e' t\ U 0 5 I !i ?I � v �� i\ J 3a6 o e- J 335-301a .:&m ® (1.800.238.2727) City 161 I j^l Iv LyL( State ri ZIP Tax Exempt Protected Telephone No. .TMH..`.�� Premises' ° ., r ' . �� ,���.� �'•`�:ke } - -r Traditional Tax Phone 0 Other Expire Date (Qualified) ti. "� / / Home 0 Other O Cell (Non O - Qualified) Work 3 4 er° 7 5 6 6 0 Cry O Cell O Work Alternate Telephone Alternate Telephone 0 Fill in if Billing Address 1 -. 3--S. 77 13 es...= 2 O billing address is the same - State City - _- ZIP IF FAMILIARIZATION PERIOD 15 REJECTED INITIAL HERE (see Paragraph 14 of the Terms and Conditions for explanation) EMAIL 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 information provided by m_ e. I may unsubscribe or opt out by emaihng donotcontact@adt.com or by calling 888.DNC4ADT (888.362.4238). Initial here ._gym � Confirmation of Appointments: I authorize ADT to call me using an autQhaate'q calling device to deliver a "pre- recorded message to set/confirm } _ appointments and other information notices, aboutth alarrnirystem'at the telephonenumber(s) provided by me. Initial here provide and, EQUIPMENT TO REMAIN THE PROPERTY OF ADT. All equipment installed by ADT pursuant to this Contract shall be owned by ADT unless ADT has agreed to give me ownership of the equipment in a separate written agreement. ADT has the right upon termination of this Contract to remove or disable any or all of the equipment owned by ADT, in which case 1 will not be able to use the equipment for any purpose. See Paragraph 7 of the Terms and Conditions for more information. I 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. I 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 1 change telephone service, by calling 1.800.ADT.ASAP or by logging in to www.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 phlt 1.,E 8 LAc., Rep(If License Required) ID No. J Customer's Approval: Original Signature Required (Must match Customer Name in Section 1 above) i 7,/,11:./M NOTICE OF CANCELLATION I, THE CUSTOMER, MAY CANCEL T IS 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. 1 ACKNOWLEDGE BEING VERBALLY INFORMED OF MY RIGHT TO CANCEL AT THE TIME OF EXECUTION- OF THIS CONTRACT AND RECEIPT OF THIS NOTICE. - •1 - • .- ' • * - • FINANCIAL DISCLOSURE STATEMENT THERE IS NO FINANCE CHARGE OR COST OF CREDIT (0% APR) ASSOCIATED WITH THIS CONTRACT. A. NUMBER OF PAYMENTS FOR THE INITIAL TERM IS 36. ��jj 1( B. AMOUNT OF EACH PAYMENT IS�99 �'! TOTAL OF PAYMENTS FOR THE INITIAL A. TIMES B. (EXCLUSIVE OF ANY AND RATE INCREASES) fj TERM IS $19-56-11 ` r{� APPLICABLE TAXES, FEES, FINES (TOTAL MONTHLY SERVICE CHARGE FROM BELOW) LATE CHARGE - PAYMENT IS DUE PURSUANT TO MY SELECTED BILLING 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 I5 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 TOTAL OF PAYMENTS PRIOR TO THE END OF THE INITIAL TERM OF THIS CONTRACT, THERE IS NO PENALTY OR REFUND. SEE PARAGRAPHS 2, 7,15 AND 19 OF THIS CONTRACT FOR ADDITIONAL INFORMATION ABOUT NONPAYMENT, DEFAULT AND ACCELERATION. 1 of 6 Administrative Copy ©2012 ADT LLC dba ADT Security Services. All rights reserved. (06/12) Important Terms and Conditions (continued) SOLE METHOD OF TRANSMITTING ALARM SIGNALS, ALTHOUGH I UNDERSTAND THAT ADT RECOMMENDS THAT I ALSO USE AN ADDITIONAL BACK -UP METHOD OF COMMUNICATION. IF ADT DETERMINES IN ITS SOLE DISCRETION THAT MY NON - TRADITIONAL TELEPHONE SERVICE 15 OR LATER BECOMES NON - COMPATIBLE, OR IF I CHANGE TO ANOTHER NON - TRADITIONAL TELEPHONE SERVICE THAT IS NOT COMPATIBLE, THEN ADT REQUIRES THAT I USE AN ALTERNATE METHOD OF COMMUNICATION ACCEPTABLE TO ADT AS THE PRIMARY METHOD TO CONNECT THE ALARM SYSTEM TO ADT'S CMC. TRANSMISSION OF FIRE ALARM SIGNALS BY MEANS OTHER THAN A TRADITIONAL TELEPHONE UNE MAY NOT BE IN COMPLIANCE WITH APPLICABLE FIRE ALARM OR OTHER STANDARDS OR CODES, AND IT IS SOLELY MY OBLIGATION TO COMPLY WITH SUCH STANDARDS AND CODES. IF THE ALARM YST.EM HAS A UNE -CUT FEATURE, IT MAY NOT BE ABLE TO DETECT IF MY NON - TRADITIONAL TELEPHONE SERVICE UNE IS CUT OR INTERRUPTED. ADT MAY NOT BE ABLE TO DOWNLOAD SYSTEM CHANGES OR PROVIDE CERTAIN AUXILIARY MONITORING SERVICES THROUGH A NON - TRADITIONAL TELEPHONE UNE OR SERVICE. THE ALARM PANEL MAY BE UNABLE TO SEIZE MY TELEPHONE LINE TO TRANSMIT AN ALARM SIGNAL IF ANOTHER CONNECTION 15 OFF THE HOOK DUE TO IMPROPER CONNECTION OR OTHERWISE. ADT RECOMMENDS THAT I TEST THE ALARM SYSTEM MONTHLY, EVEN THOUGH A SUCrsESSFUL TEST OF THE ALARM SYSTEM DOES NOT GUARANTEE THAT ADT WILL RECEIVE ALARM SIGNALS FROM THE ALARM SYSTEM IN THE FUTURE. 19. CANCELLATION. I 11 11 I 5401 UE00 A. ADT may, at any time, cancel this Contract at its option if: (1) ADT's CMC is destroyed or damaged so that it is impractical for ADT to continue service; (2) ADT cannot acquire or retain the transmission connections or authorization to transmit signals between my premises and its CMC or the applicable fire or police department or other agency, or between ADT's CMC and the applicable fire or police department or other agency; (3) I fail to follow ADT's recommendations to repair or replace any defective parts of the system not covered under the Limited Warranty or, if purchased, QSP; (4) I fail to follow ADT's operating instructions for the alarm system; or (5) ADT determines that it is impractical to continue,service due to the modification or alteration of my premises .after installation. If ADT cancels for any of the reasons stated immediately above, ADT will refund any advance payments made for services to be suppried after the date of such termination, less any amounts still due for the installation Of the equipment, for services already rendered and for any other charges due. Additionally, ADT will not assess contract termination charges, if any, as described in Paragraph 2 above. B. ADT may cancel this Contract upon written notice to me if: (1) I fail to pay any monies when due under this Contract, (2) I change to a telephone/ communications service not suitable for alarm signal transmission or (3) I fail to comply with any other term or condition of this Contract. Upon receipt of written notice from ADT, I will have ten (10) days to correct the deficiency. If I do not correct the deficiency in a timely manner, and AD T does cancel this Contract, ADT may assess contract termination charges, if any, as described in Paragraph 2 above. 20. ASSIGNMENT. I may not assign this Contract without prior written consent from ADT. ADT does have the right to assign this Contract or to subcontract any of its obligations under this Contract without my approval and without notice to me. 21. DELAYS. ADT HAS NO RESPONSIBILITY OR LIABILITY TO ME OR ANY OTHER PERSON FOR DELAYS IN THE INSTALLATION OR REPAIR OF THE SYSTEM, REGARDLESS OF THE REASON. ADT HAS NO RESPONSIBILITY OR LIABILITY FOR INTERRUPTIONS OF SERVICE OR ANY RESULTING CONSEQUENCES, WHETHER DUE TO STRIKE, RIOT, FLOOD, FIRE, TERRORISM, ACT OF GOD OR ANY OTHER CAUSE WITHIN OR BEYOND ADT'S CONTROL. IF THERE ARE SERVICE INTERRUPTIONS, ADT HAS NO OBLIGATION TO SUPPLY ME WITH SUBSTITUTE SERVICES. 22. ELECTRONIC MEDIA; PERSONAL INFORMATION. ADT may scan, image or otherwise convert this Contract into an electronic format of any nature. A copy of this Contract produced from such electronic format is legally equivalent to the original for any and all purposes, including litigation. ADT's receipt by fax of the Contract signed by me legally binds me and such fax copy is legally equivalent to the original for any and all purposes, including litigation. The personal information about me and third parties that I provided to ADT is true and complete. I will notify ADT without delay of any change to this information. I consent to ADT's use of my personal information and that of third parties provided by me for the purpose of monitoring, setting up and administering my security services (including credit approval, invoicing, collecting and providing information on new equipment or services). I have obtained the consent of the third parties, whose personal information I provided to ADT, to use such personal information for the administration of my account with ADT and as provided in this Contract. ADT may collect (including my consent to record my telephone conversations with ADT'srepresentatives), use, disclose and transfer my personal information, and that of third parties provided by me, to ADT's parents, affiliates, subsidiaries and successor corporations, any subcontractor or assignee of this Contract or any applicable authority having jurisdiction that requests such information to administer alarm monitoring services or alarm system license, permit or similar programs. 23. PRIVACY POLICY. ADT maintains an online privacy policy at www.ADT.com/privacy that is applicable to the terms, conditions and obligations of the parties to this Contract. 24. ENTIRE AGREEMENT. THIS CONTRACT CONSTITUTES THE ENTIRE AGREEMENT BETWEEN THE PARTIES. 1 AM NOT RELYING ON ADT'S ADVICE OR ADVERTISEMENTS. ADT IS NOT BOUND BY ANY REPRESENTATION, PROMISE, CONDITION, INDUCEMENT OR WARRANTY, EXPRESS OR IMPLIED, THAT IS NOT INCLUDED IN WRITING IN THIS CONTRACT. THE TERMS AND CONDITIONS OF THIS CONTRACT APPLY AS PRINTED WITHOUT - ALTERATION OR QUALIFICATION, UNLESS A CHANGE IS APPROVED IN WRITING BY AN ADT AUTHORIZED REPRESENTATIVE. THE TERMS AND CONDITIONS OF THIS CONTRACT SHALL CONTROL AND GOVERN EVEN IF THERE ARE OTHER DOCUMENTS WITH INCONSISTENT OR ADDITIONAL TERMS AND CONDITIONS. IF A COURT DETERMINES THAT ANY PROVISION OF THIS CONTRACT 15 INVALID OR UNENFORCEABLE, THAT PROVISION SHALL BE DEEMED AMENDED AND ENFORCED TO THE MAXIMUM EXTENT PERMITTED BY LAW. EACH AND EVERY OTHER PROVISION OF THIS CONTRACT SHALL CONTINUE TO BE VALID AND ENFORCEABLE. 25. UCENSE INFORMATION. License numbers will be provided on a separate Rider. ©2012 ADT LLC dba ADT Security Services. All rights reserved. 6 of 6 (06/12) UiOiilh1IIHHI RESIDENTIAL SERVICES CONTRACT 062.D.aC663 CONTRACT, DAT CUSTOMER ACCOUNT NO 9 i flIIflhI LICI 11 JOB NO LEAD SOURCE Section 2. Services to be Provided a ® Standard Monthly Service, Burglary Service includes: Customer Monitoring Center Signal Receiving and Notification Service for Burglary, Manual Fire and Manual Police Emergency (continued) Monthly Service Charge separately !nit Annual Recurring Municipal Fee billed separately,- ect to change based on local law). Initial /Annual Fee � A) 4 o °— - 1 G 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 munidpal fire/police response to an alarm from the premises and/or a fine. gD Standard Monthly Service, Fire/Smoke Detection Service includes: Customer Monitoring Center Signal Receiving and Notification Service for Fire, Manual Fire and Manual Police Emergency i,/� c„.2--1 :? Municipal Electrical Permit Fee 0 Customer to obtain electrical permit O Carbon Monoxide 0 Flood 0 Low Temp $ Installation Price $ a 06,C° 4- AN O Medical Alert $ Taxable Amount $ a 06 O Safewatch Cellguard® $ Non - Taxable Amount ,-- /` ' _ 7 9 SecurityLink® $ , Connection Fee Q Extended Limited Warranty /Quality Service Plan (QSP) $ Admin Fee O Guard Response Service $ Sales Tax on Installation* $ '— /� £, 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* 313, To O Other $ Deposit Received $ 31s, OZ) Total Monthly Service Charge $ Balance Due upon Installation* *If applicable sales_tax not shown, it will be added t6'_the, ` st invoice. Section 3. Equipment to be Installed = ° i Ali _�11 ' k ae v1a ; ��o� 3\e a Control o�� 'er`§° ,� , e 0 Z,e" eCa * .c%- 0 ,ACS 0 .Oa 0 / ,^,_.... Pa neI � ' °S of ..0 pc`lop� pt ig-' - 0* 4'. (..° 4'�aQo�`? 4' 4'e rQaa �Se ao�'c' oo0 5Oe • Q4' �Q° Qoo 4`o �`d� r0.,vc.- �eaQ¢ti eVcfr Sa�e�� c,� 4P9.0 `'o P9',\`ec ��R•\ PS) ,..a- Comments Package Name =- •s Includesyg fv^a 0 Foyer �-� MI Living Room -�-�� ®- IIII Family Room Office -.---. -- ® Dining Room 11111111111111 Kitchen Laundry Laundry Room 1.11 Hallway Hallway a Master Bedroom Master Bath Bedroom 2 , ' ® Bedroom 3 �1111�® Bath 2 Basement ®--�-- ®� --�■ Garage Price Per Piece Totals -���-- E =Existing Equipment Estimated Installation Start Date NE 61 Of. INSTALLER NOTES JQ ©2012 ADT LLC dba ADT Security Services. All rights reserved. (06/12) Important ernmsand�mndKimns(continued) - the state whVre this Contract �o�gn�m�obogkeme�d��|hgh�Tu��e���U1 uu (1�nV.z3u.a,a7. 10. EXTENDED LIMITED WARRANTY/QUALITY SERVICE PLAN (QSp). If 1 purche ADT's Extended Limited Warranty, which is called the Quality Service Plan or QSP, ADT will repair or, at its option, replace any part of the alarm system installed by ADT that requires repair or replacement due to ordinary wear and tear or malfunction, excluding batteries. ADT will use new or functionally operative parts for replacements. If I require services excluded from the QSP (see Paragraph 11 below' for ekclusions), then ADT will provide the services at its current labor rate for each service call. The QSP and the billing for it will commence on the date the alarm system is installed, operational and communicating with ADT's CMC and will continue for the term of this Contract. The QSP will automatically renew for successive thirty (30)-day itierms at ADT's then-current QSP rate unless terminated by either party's written notice at least thirty (30) days before the end of the then-current term. If 1 Ourchase the QSP after the initial system installation, the alarm system must be in good working condition at the time I purchase the QSP. To purchase the QSP, call 1.800.238.7085. 11. WARRANTY EXCLUSIONS. ADT performs warranty services only during normal working hours. IF I REQUEST ADT TO PERFORM WARRANTY SERVICES OUTSIDE NORMAL WORKING HOURS, 1 WILL PAY FOR THE SERVICES AT ADT'S THEN-CURRENT RATES FOR LABOR AND PARTS. THE LIMITED WARRANTY PROVIDED UNDER THIS CONTRACT AND, IF PURCHASED, THE QSP DO NOT APPLY IF ADT DETERMINES UPON INSPECTION THAT ANY OF THE FOLLOWING CONDITIONS CAUSED THE NEED FOR SERVICE: (A) damage resulting from accidents, theft Atts' of God, natural disasters, labor disputes, war, terrorism, civil strife, electrical surge, alterations or misuse; (B) I fail to properly close or secure a door, window or other point protected by an alarm device; (C) I fail to properly follow the operating instructions; (D) trouble in a telephone line, use of non-traditional telephone line or service (including but not limited to DSL, ADSL, VolP, etc.) or due to interruption of power; (E) repairs needed to window foil, security screens, exterior mounted devices (except for outdoor cameras installed by ADT) or PROM (Programmable Read Only Memory); (F) ordinary maintenance or wear and tear (not excluded from QSP); (G) alterations to my premises or failure of my premises to comply with any applicable codes, regulations or laws; or (H) alterations or damage to the alarm system caused by me or by a cause beyond ADT's control. ADT will not perform warranty services on any device not installed by ADT. Battery replacement is excluded from all warranties. 12. NO OTHER WARRANTIES. OTHER THAN THE LIMITED WARRANTY PROVIDED UNDER THIS CONTRACT AND, IF PURCHASED, THE QSP, I AGREE THAT ADT MAKES NO GUARANTEE OR WARRANTY OF ANY KIND, INCLUDING ANY IMPUED WARRANTY OF MERCHANTABIUTY OR FITNESS FOR A PARTICULAR PURPOSE, WITH RESPECT TO THE SERVICES ADT PERFORMS OR THE EQUIPMENT IT PROVIDES. MY EXCLUSIVE WARRANTY REMEDY IS SET FORTH IN PARAGRAPHS 9 AND 10 ABOVE. SOME STATES MAY NOT ALLOW THE PARTIES TO A CONTRACT TO LIMIT THE LENGTH OF AN IMPUED WARRANT/. THE LAWS OE THE STATE WHERE THIS CONTRACT WAS SIGNED WILL DETERMINE WHETHER THESE LIMITATIONS AND EXCLUSIONS APPLY. 13. ALARM MONITORING AND NOTIFICATION SERVICE. If I purchase service that includes response by police, fire department, guard, medical emergency notification or two-way voice monitoring services and such an alarm is received at ADT's CMC, ADT may, at its sole discretion, attempt to contact me and/ or anyone on my Emergency Contact List to confirm that the alarm is not false. If ADT does-not contact me and/or someone on my Emergency Contact List, or if ADT questions the response it receives upon such contact, then (A) ADT will attempt to notify the appropriate police department or fire department or, (B) if guard response service is provided and an alarm requires police response, ADT will attempt to dispatch a representative to make an investigation of the exterior of the premises from his or her vehicle and, upon evidence of a crime, ADT will attempt to notify the appropriate police department. If ADT provides supervisory alarm or trouble alarm monitoring services (or if such services are actively programmed into the alarm system) and ADT's CMC receives an alarm, then ADT may attempt to notify my premises and/or the representative I designate. ADT may use an automated calling device to deliver such notification. If medical emergency notification services are provided, I agree that the very nature of such services, regardless of any delay, involves uncertainty, risk and possible serious injury, disability or death, for which I will not attempt to hold ADT responsible or liable; that the equiprrient furnished for medical emergency notification services is not foolproof and may experience signal transmission failures or delays for any number of reasons; and that the actual 'time required for medical emergency providers to arrive at my premises and/or to transport any person requiring medical attention is unpredictable with many contributing factors, including telephone network operation, distance, weather, road and traffic conditions, alarm equipment function and hOman factors both within and outside of ADT's control. ADT's performance of, delay in performance of or failure to perform medical emergency notification services under the Contract are subject to and controlled by Paragraph 5 of this Contract. The person(s) identified on my Emergency Contact List are authorized to act on my behalf. I understand that the equipment ADT provides may not operate with other companies' alarm monitoring equipment abd may prevent me from using such equipment in the event I terminate my services. understand that local laws, ordinances or policies may restrict ADT's ability to provide the alarm monitoring and notification services described in this Contract and/or necessitate modified or additional services with additional charges to me. I understand that ADT employs a number of industry-recognized measures to help reduce occurrences of false alarms. These measures include, but are not limited to, implementation of default settings on alarm panels and various procedures at ADT's CMC to determine when and how to respond, if at all, to certain alarm events. I consent to ADT's use of these measures and agree that the alarm system has not been designed, programmed or installed pursuant to any law, code or rule that may be applicable to my particular premises, including, but not limited to, any code provisions of the National Fire Protection Association or the International Residential Code. I understand that, upon receiving notification that an alarm signal has been received by ADT; the police department fire department or other responding authority may forcibly enter my premises. I understand that ADT will never arrest or detain any person for any reason. 14. FAMIUARIZATION PERIOD. UNLESS I HAVE REJECTED THE FAMILIARIZATION PERIOD BY INITIALING THE APPROPRIATE LINE ON THE fIRST PAGE OF THIS CONTRACT (EXCEPT WHERE FAMILIARIZATION 15 REQUIRED BY LAW), I AGREE THAT, DURING A SEVEN (7)-DAY FAMILIARIZATION PERIOD, OR LONGER PERIOD IF REQUIRED BY LAW, THAT FOLLOWS COMPLETION OF THE INSTALLATION AND THE COMMUNICATIONS CONNECTION TO ADT'S CMC (AND DURING ANY APPLICABLE EXTENSIONS), ADT HAS NO OBLIGATION TO, AND WILL NOT, RESPOND TO ANY ALARM SIGNAL FROM IVIY PREMISES. I ALSO AGREE THAT DURING SUCH PERIOD ADT HAS NO OBLIGATION TO, AND WILL NOT, NOTIFY ANY AUTHORITIES, ME OR MY DESIGNATED REPREStNTATIVE OR TAKE ANY OTHER ACTION WITH REGARD TO ANY ALARM SIGNAL ADT RECEIVES, EVEN IF DUE TO AN ACTUAL EMERGENCY. 15. FAILURE TO PAY CHAR sS OR HONOR CONTRAOE f 1 fail to make any payment vh due to h other term diti of thi Contract, ADT may stop providing the alarm monitoring and notification services and repossess or disable the equipment without notice. I will grant ADT access to my premises and allow it to repossess or disable the equipment. ADT has no liability if it stops providing the alarm monitoring and notification services and repossesses or disables the equipment. ADT is not required to redecorate or repair my premises as a result of repossessing or disabling the equipment. In addition to these remedies, ADT does not waive, and retains the right to exercise, any other legal remedy, including the right to charge me a late fee for each month that a payment is not received and/or interest on the unpaid amount and the right to report me to one or more consumer reporting agencies if I become delinquent on my account (more than 90 days without a payment). 16. SMOKE AND CARBON MONOXIDE DETECTORS. IF THE ALARM SYSTEM INCLUDES SMOKE AND/OR CARBON MONOXIDE DETECTORS, | AGREE THAT: 0g THE NUMBER AND PLACEMENT OF SUCH DETECTORS MAY NOT FULFILL THE REQUIREMENTS OR RECOMMENDATIONS IN CODES, LAWS OR STANDARDS THAT APPLY IN MY JURISDICTION, INCLUDING THE CODE PROVISIONS OF THE NATIONAL FIRE PROTECTION ASSOCIATION AND THE INTERNATIONAL RESIDENTIAL CODE; (B) 1 HAVE SOLE RESPONSIBILITV FOR COMPLY1NG WITH ANY AND ALL CODES, LAWS AND STANDARDS THAT MAY APPLY TO THE INSTALLATION, PLACEMENT AND MAINTENANCE OF THE ALARM SYSTEM; AND (C) ANY SMOKE AND/OR CARBON MONOXIDE DETECTORS DESCRIBED IN THIS CONTRACT ARE SUPPLEMENTAL DEVICES ONLY AND ARE NOT INTENDED TO BE PART OF A PRIMARY FIRE ALARM OR CARBON MONOXIDE DETECTION SYSTEM. 1 understand that ADTs electrical smoke and carbon monoxide detectors, if installed in my ises, are designed to be connected to an electrical power source. THESE DETECTORS WILL NOT OPERATE, THE ALARM WILL NOT SOUND AND THE ALARM SIGNAL WILL NOT BE TRANSMITTED WHEN: THE ELECTRICITY IS CUT OFF; THE BACK-UP BATTERY, IF INCLUDED AS PART OF THE SYSTEM, IS LOW OR DEAD; OR FIRE CUTS OFF THE ELECTRICITY BEFORE THE ALARM 15 ACTIVATED, SOUNDS AND 15 TRANSMITTED. Connecting these detectors to a separate dedicated electrical circuit may increase their reliability, but even dedicated circuits can fail. 1 understand that these detectors all have limited useful lives, after which time they will not function. It is my sole responsibility to monitor and replace alt detectors before or at the end of their useful tives. 17. BATTERY-POWERED DEVICES. | understand that all battery-powered motion detectors, smoke detectors, door and window contact transmitters and other detection sensors installed under this Contract are not connected to the electrical system of my premises and require batteries to operate. THESE BATTERY-POWERED DETECTION SENSORS WILL NOT OPERATE, AND THE ALARM WILL NOT SOUND, IF THE BATTERIES ARE LOW OR DEAD. It is my sole responsibility to maintain and replace these batteries. ADT recommends that I regularly inspect the sensors for dirt and dust buildup and test the sensors weekly to help maintain continued operation. ADT also recommends that I carefully read and follow the owner's manual, instructions and warnings for all equipment. 18. COMMUNICATION FACILMES. (A) AUTHORIZATION. I authorize ADT to request services, orders or equipment from a telephone company, wireless carrier or other company providing communication facilities, signal transmission services or facilities under this Contract (referred to as "Telephone Company"). (B) DIGITAL COMMUNICATOR. A digital communicator, if installed under this Contract, uses traditional telephone lines for sending signals, which eliminates the need for a dedicated telephone line and the costs associated with such dedicated lines. (C) DERIVED LOCAL CHANNEL. The Telephone Company's services provided to me in connection with ADT's services may include Derived Local Channel service. Such service may be provided under the Telephone Company's service marks or service names. These services include providing lines, signal paths, scanning and transmission. The Telephone Company's liability is limited to the same extent as ADT's liability in Paragraph 5 of this Contract. (D) ADT WILL NOT RECEIVE ALARM SIGNALS WHEN THE TELEPHONE UNE OR OTHER TRANSMISSION MODE IS NOT OPERATING OR HAS BEEN CUT, INTERFERED WITH OR IS OTHERWISE DAMAGED, OR IF THE ALARM SYSTEM IS UNABLE TO ACQUIRE, TRANSMIT OR MAINTAIN AN ALARM SIGNAL OVER MY TELEPHONE SERVICE FOR ANY REASON. OTHER POTENTIAL CAUSES OF SUCH A FAILURE OVER CERTAIN TELEPHONE SERVICES (INCLUDING BUT NOT LIMITED TO SOME TYPES OF DSL, ADSL, VolP, DIGITAL PHONE, INTERNET-PROTOCOL-BASED PHONE OR OTHER INTERNET-INTERFACE-TYPE SERVICE OR RADIO SERVICE, INCLUDING CELLULAR OR PRIVATE RADIO, ETC. ("NON-TRADMONAL TELEPHONE SERVICE")) INCLUDE THE LOSS OF NORMAL ELECTRICAL POWER TO MY PREMISES (THE BATTERY BACK-UP FOR ADT'S ALARM PANEL DOES NOT POWER MY TELEPHONE SERVICE) AND ELECTRONICS FAILURES SUCH AS A MODEM MALFUNCTION. ADT WILL ONLY REVIEW THE INITIAL COMPATIBILITY OF THE ALARM SYSTEM WITH MY NON-TRADITIONAL TELEPHONE SERVICE AT THE TIME OF INITIAL INSTALLATION. CHANGES IN MY TELEPHONE SERVICE'S DATA FORMAT AFTER ADT'S INITIAL REVIEW OF COMPATIBILITY COULD MAKE MY TELEPHONE SERVICE UNABLE TO TRANSMIT ALARM SIGNALS TO ADT'S CMC. IF ADT DETERMINES IN ITS SOLE DISCRETION THAT IT IS COMPATIBLE, ADT WILL PERMIT ME TO USE MY NON-TRADMONAL TELEPHONE SERVICE AS THE 11 11 11111 1111111 II 54O1UE0O�' 5 of 6 Terms and Conditions continue on accompanying sheets.