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EL-12-1843Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 180649 Permit Number: EL -10 -12 -1843 Scheduled Inspection Date: November 01, 2012 Inspector: Devaney, Michael Owner: TRIMBLE, TINA Job Address: 68 NE 91 Street Miami Shores, FL 33138- Project: <NONE> Contractor: ADT LLC Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Alarm Phone Number Parcel Number 1131010200020 Building Department Comments ALARM SYSTEM INSTALLATION Infractlo Passed Comments INSPECTOR COMMENTS False Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments Ja /z November 01, 2012 For Inspections please call: (305)762 -4949 Page 12 of 15 `82997 g7// e { 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 .IVEIME-n_7717'-'1,,,,„ OCT 0 :, t Lig BUILDING Permit Noel 12 --K 3 PERMIT APPLICATION Master Permit No. FBC 20 Permit Type: Electrical OWNER: Name (Fee Simple Titleholder): 5/ c �/'Q� 4CZIjj�,Q��' Phone#: l�J yam" P7(t? Address: N9 9/ S7 %. City: O 7 / Q/721 LS/9,011,144 State: .' ? :; c, Zip: 46,3r Tenant/Lessee Name: Phone#: Email: JOB ADDRESS: 67 4/67. 9/ ~. City: Miami Shores County: Miami Dade Zip: %" Folio/Parcel #: 30/ 64:70 6600 Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: "9-47- Phone#( Jt &O/p Address: cO City: 71%//QY!'2e7-2/ State: 54111'7 Zip: ' 30a'S Qualifier Name: /1/h2-0,-* ia'ry.,,Qr.e.e.,.' Phone#: (�,$44 /pr,SD�� State Certification or Registration #: / oace. Certificate of Competency #: Contact Phone#: Email Address: DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: $/i,919,eQ Square/Linear Footage of Work: Type of Work: ❑Address WAlteration ❑New ❑Repair/Replace ❑Demolition Description of Work: �f A mil'' �/�� —/� //2.4 vel_.0�. ********* **a•** ** ******** **** * * **** ***** Feesm: x**** *******:xa::r******* * * ** ******* ** *** *** ** 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 $ 1 Q 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 TRICAL 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 he absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Owner or Agen The foregoing instrument was acknowledged before me thisCCrr day of 2 ,20 It , by FiU. r ('OIJ?41 who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: 01.97////). Print: 1•4;• rf q1 f Mi ) 0 430(44:k. My Commission Expires: MICHELLE MILDENBERGER MY COMMISSION t EE 991721 EXPIRES: May 9, 2015 Bonded Thru Notary Public Underwriters Contractor The foregoing instrument was acknowledged before me this c:V. day of *-', 200 by ce. Zardoe, • who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: ���`ststeele,,'�e .%0 101t107•a o,, QS�j9 Wt7iQG o w• v My Commission Expiret /d // c NOT t` to0 � X47.0 4? Plans Examiner Sign: Print: Structural Review (Revised 07 /10 /07)(Revised 06 /10!2009)(Revised 3/15/09) Zoning Clerk Miami -Dade My Home My Home minim 'd[a c#e.gov Show Me: Property Information Search By: Select Item tJ Text only la Property Appraiser Tax Estimator IAProperty Appraiser Tax Comparison Portability S.O.H. Calculator Page 1 of 2 ACTIVE TOOL_ SELECT'. Legend Property Boundary Selected Property Street Highway MIaml -Dade County Water Prol3erta Info on: Primary �: 1000 SGL FAMILY - 2101 -2300 SQ CLUC: 0001 RESIDENTIAL - SINGLE FAMILY Beds/Baths: 2/2 Flows: 1 Living Units: 1 AdJ Sq Footage: 1,901 Lot Size: 20,250 SQ FT Year Built 1949 $25,000/ $238,284 1 53 41 EL PORTAL SEC 3PB9- 148W1/2 LOT 2 Legal ALLLOTS3 &4 &E1/2 Description: LOT 5 BLK 9 LOT SIZE 150.000 X 135 OR 10191-4351078 5 Assessment Information: ear. 2012 2011 2011 B1W1 Applied Exemption/ Taxable Value: $25,000 Regional: '.tcLL'lil.ia ;*/r 4. w $50,000/ $226,583 County Exemption Information: =ME= 2012 2011 B1W1 Applied Exemption/ Taxable Value: $25,000 Regional: $50,000/ $213,284 Taxable Value Information: Year 2012 2011 Taxing Autitorhy Applied Exemption/ Taxable Value: Applied Exemption/ Taxable Value: Regional: $50,000/ $213,284 $50,000/ $226,583 County $50,000/ $213,284 $50,000/ $226,583 City: $213,284 $213,284 $50,000/ $226,583 School Board: $25,000/ $238,284 $25,000/ $251,583 Sale Informatlon: Sale Date t/2008 Aerial Photography - 2009 0 116ft My Home Property Information 1 Property Taxes 1 My Nelahborhood 1 Property Appraiser t Home 1 Using Our Slte 1 Phone Directory 1 Privacy 1 Disclaimer H 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 She ©2002 Miami -Dade County. All rights reserved. http: / /gisims2.miamidade.gov /myhome /propmap.asp 10/1/2012 Ti,iprsw,4*14: 1- III ii. Settlement Statement (HUD-1) OMB No 2502-026 B 1ype of Loan 1 . • FHA 2. 0 RHS 3. .0 Cony. Unins. 4. 0 VA 5. 0 Cony. Ins. 6' File Number 3344 T. Loan Numbet 0347945495 IL Mortgage Insuran� Caso Nusnber C. Note: This form is furnished to give you a statement of actual settlement costs. Amounts paid to and by the settlement agent are shown. Items marked (p0 G) were paid outside the closing; they are shown here for intonational purposes and are not included in the totals. D. Name and Address of Borrower Robert Irwin and Floyd Gonzales 28438 Bayshore Dr. *6D Miami, FL 33133 E. Name and Address of Seller Tina Trimble and Dawn Eauneier 17655 Henderson Pass Apt 711 San Antonio, TX 78232 F. Name and Address of Lender Wells Fargo Bank, N.A. 12550 SW 93rd AVE 4th Clackamas, OR 970159786 G. Property Location 66 NE 91 Street Miami Shores, FL 33138 H. Settlement Agent (305)444-3121 Louis L LaFontisee, Jr. Louis L. La Fontisee, .Jr. 3121 Commodore Plaza Suite it 301 Miami, FL 33133 PaC� of Settkiment Louis L La Fontisee, Jr. 3121 Commodore Plaza Suite 301 Miami , FL 33133 I. Settlement Date 10/01/12 Disbursement Date 10/01/12 J. Summary of Borrower's Transaction K. Summary of Seller's Transaction 100. Gross Amount Due from Borrower 400. Gross Amount Due to Seller 101. Contract sales price ' ' 101. Contract sales price l-- ... 102. Personal j402. Personal property property 103. Settlement charges to borrower (line 1400) 1403. 104. 404. 105. A J405. Adjustments for items paid by seller in advance Adjustments for items paid by seller in advance 106. City/town taxes to 406. City/town taxes to 107. County taxes to 407. County taxes to 108, Assessments to 408. Assessments to 109. 409. 110. 410 111. C II 411. 420. Gross Amount Due to Seller V 112. 120. Gross Amount Due from Borrower 200. Amounts Paid By Or In Behalf Of Borrower 500. Reductions In Amount Due To Seller 201. Deposit or earnest money 1 501. Excess deposit (see instructions) -1-- 202. Principal amount of new loan(s) -"Ili 502. 502 Settlement charges to seller (line 1400) VI -1----- - -- '' 203. Existing loan(s) taken subject to 503. Existing loan(s) taken subject to - 204. 504. Payoff of first mortgage loan GMAC 205. 505 Payoff of second mortgage loan 206. 506 207. -I- 507, 508 509 209. Adjustments for Items unpaid by seller Adjustments for items unpaid by seller 210. City/town taxes to 510. City/town taxes to 211. County taxes 01/01/12 to 10/01/12 1 "GePtIP. 511. County taxes 01/01/12 to 10/01/12 + ' 212. Assessments to 512 Assessments to 213 , 513 214. I 514 . ,gxlama>r Addendum to Settlement Statement This page Is attached to and made part of the Settlement Statement in the matter described on Page 1 of the Seftia rent Statement !have carefully reviewed this Settlement Statement and to the beat of my knowledge and belief, itis a true and accurate datement of all receipts and disbursements made an my account or by me in this transaction. I further certify that 1 have received a copy the Settlement S nt. Borrower(s) °r~ 10/01/12 Seller(s) )0101/12 Trimble yd Gontaiglc The Settlement Statement which 1 have prepared a true a account of ft: roc &'" a d funds isbu = = =ed > r to be disbursed for this transaction. 10101112 �.:. , - j� Jt�i:'' (10 1J� L taFontisee, Jr., SettiementAgent t°.'ARRN O 4 0 n C7/1111. ttrira:og y inOxe ?att. •' +e t1,4toS $:5,e9 oe , vs rum 00000:01 .:G:+' u....t. Un �&', t.s.�0 U ".rya XY:'y.: i:✓ r .4 Sea., 1000 de aae rule,a00 L.»<Socw*: 0X■