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EL-12-742Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 180457 Permit Number: EL -4 -12 -742 Scheduled Inspection Date: October 29, 2012 Inspector: Devaney, Michael Owner: CUMING, RICHARD Job Address: 436 NE 94 Street Miami Shores, FL 33138- Project: <NONE> Contractor: ADT SERVICES SYSTEM INC Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Alarm Phone Number Parcel Number 1132060140340 Phone: (954)266 -5275 Building Department Comments BURGLAR ALARM INSTALLATION Infractio Passed Comments INSPECTOR COMMENTS False Passed D Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments October 26, 2012 For Inspections please call: (305)762 -4949 Page 17 of 27 Miami Shores Village D EMMEWE; ' APR 2 5 c�i12 Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 • Y, Tel: (305) 795.2204 Fax: (305) 756.8972 ° INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION FBC 20 Permit Type: Electrical Permit No. El 12 Master Permit No. I�I OWNER: Name (Fee Simple Titleholder): 4o of LA- t C i Phone#: 3.0) 7310 ° & 33 7 Address: 4 31 City: 0•1 (ri-m r S /3-0 R-F State: Zip: 33/ 3 Tenant/Lessee Name: Phone#: Email: JOB ADDRESS: 7U (4 /ff 9i. c. 94110 - City: Miami Shores � County: Miami Dade Zip: e /3 Folio/Parcel #: 11 3 t 0 M 0 3%(-o Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: /7'-n/ Sgee447>ty UGYJ// ea S Phone#: f Address: (/ . S lt/ /I City: in/CO/77 State: - Zip: Zug Qualifier Name: 7Ltor ma4-2-,4g -ce4 Phone#: r , State Certification or Registration $: &—n2.70# 9-1 Certificate of Competency #: Contact Phone #: `Email Address: DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ (a ©r) quare/Linear Footage of Work: Type of Work: ❑Address Q L'�Alterati n New ❑Repair/Replace ❑Demolition Description of Work: .!�!J /(La/ L ****** **** * * *** **** *** * * *** **** ***' **** Fees* `*******************+ x* ***u:************** *** Submittal Fee $ Permit Fee $ /' P' ` 49 4" CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 5 8' CoQ 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,tch posted notice, the inspection will not be approved d a reinspection fee will be charged. Signature 'r Ag; The foregoing instrument was acknowledged before me this 2. I day of APP -I L , 20 )'by -1743ificl Cu'( who is personally known o,Ine or who has produced 11 gob Ifi‘ As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: Signature Contractor The foregoing instrument was acknowledged before me this 20a by to me or who has produced , day of who i * * * * * * * * * * * * * * * * * * * ** APPROVED BY personally kno as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: i / / Sti 4”' My Commission Expires: !O // 9 ooze'oa s� S g17endMaaoNn 20 o°noaH Boni 1 • a 'sS,r 3pty8$4 6' ******** *+x****x+********* ******* ***** ******** ****** *********a:**a:**x: ****k4 , r` vxo, tt „e Zoning e-"/� 7 '0/7 Plans Examiner Structural Review Clerk (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) 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: V DJ7f) iQ/4' PERMIT # ADDRESS: 4 1V qq S et FOLIO NUMBER://2& (9/4/6W0 0 FLOOD ZONE: BASE FLOOD ELEVATION: FREEBOARD: EAST OF FL.CCCL: COST OF PAST IMPROVEMENTS (12 MONTHS 5t '/. D0 COST OF PROPOSED IMPROVEMENTS: (ATTACH COPY OF CONTRACT) TOTAL CUMULATIVE COST OF IMPROVEMENTS (past and proposed): VALUE OF PRINCIPAL STRUCTURE (. ttach appraisal): OWNERS SIGNATURE: 4 DATE: PLANREVIEWER: PLAN REVIEWER SIGNATURE: DATE: Created on June 2009 Miami -Dade My Home My Home is m ' ac . :a 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- 3206 - 014 -0340 Property: 436 NE 94 ST Mailing Address: RICHARD GORDON CUMING JTRS JOHN FRANCIS LALLY JTRS 436 NE 94 ST MIAMI SHORES FL 33138- Property Information: Primary Zone: 1100 SINGLE FAMILY RESIDENCE CLUC: 0001 RESIDENTIAL - SINGLE FAMILY Beds/Baths: 3/2 Floors: 2 Living Units: 1 Adj Sq Footage: 3,093 Lot Size: 6,400 SQ FT Year Built: 1923 Legal Description: MIAMI SHORES SEC 2 PB 10 -37 LOT 8 BLK 51 LOT SIZE 50.000 X 128 OR 19378 -3635 11 2000 1 OR 27126 -1990 1209 01 Assessment Information: Year: 2011 2010 Land Value: $79,569 $99,713 Building Value: $268,942 $270,450 Market Value: $348,511 $370,163 Assessed Value: $348,511 $351,403 Exemption Information: Year: 2011 2010 Homestead: $25,000 $25,000 2nd Homestead: YES YES Taxable Value Information: IYear: 1 2011 1 2010 A....Ii...1 1 A.,,.,1.,.. Page 1 of 2 ACTIVE TOOL SELECT Aerial Photography - 2009 0 113ft My Home 1 Property Information 1 Property Taxes 1 My Neighborhood 1 Property Appraiser 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 4/23/2012 RESIDENTIAL SERVICES CONTRACT CONTRA 9 r CUSTOMER ACCOUNT NO iv 11 it n 5104UE14 6 F 7 6. 8 JOB NO LEAD SOURCE I r 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. 1 ACKNOWLEDGE BEING VERBALLY INFORMED OF MY RIGHT TO CANCEL AT THE TIME OF EXECUTION OF THIS CONTRACT AND RECEIPT OF THIS NOTICE. FINANCIAL DISCLOSURE STATEMENT THERE 1S NO FINANCE CHARGE OR COST OF CREDIT (0% APR) ASSOCIATED WITH THIS CONTRACT. A. NUMBER OF PAYMENTS FOR THE INITIAL TERM I5 36. P i<v B. AMOUNT OF EACH PAYMENT 15 $ jj 7q di TOTAL OF PAYMENTS FOR THE INITIAL TERM 15 $ Z / '47 (TOTAL MONTHLY SERVICE CHARGE FROM BELOW) (A. TIMES B.) (EXCLUSIVE OF ANY APPLICABLE TAXES, FEES, FINES AND RATE INCREASES) LATE CHARGE - PAYMENT I5 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 55.00. PREPAYMENT- IF I PREPAY THE SEE SECTIONS 2, 7, 15 AND TOTAL OF PAYMENTS PRIOR TO 19 OF THIS CONTRACT FOR THE END OF THE INITIAL TERM ADDITIONAL INFORMATION OF THIS CONTRACT, THERE IS NO ABOUT NONPAYMENT, DEFAULT PENALTY OR REFUND. AND ACCELERATION. 1 of 6 Administrative Copy 02011 ADT. All rights reserved. (06/11) Orr ,,.�.,.. _;._ a ..;.�:, - ' - ?, .<. , ..., - =. g9�}yc..,.:: - ,._.: ..,... , -• :- ... . ADT Security Services, Inc MDT") Office Address 07 $.r Ma'rici Nifo,wo/ ii 330zJ D f _. www.MyADT.com 1.800.ADT.ASAP® (1.800.238.2727.)) J Customer Name 011 I �1 (°Customer° or °l° or °me° or °my') LA `` Premises' 3 L Nt ` 5T Address Mi } 3 City_ ' 1 ( "N ( S R" State C- ZIP 3 r �1 ta, .. i ■ dz' Tax Exempt No. + Tax Expire Date o Protected Premises' 10 j ? ro / 3 3 7 O Traditional Phone ® Other (Qualified) 0 Other (Non - Qualified) Telephone l� 7 Alternate 7 i `t •5,t O 6 r-0, Telephone 1 +J �1 2 4. 0 Home C9 Cell 0 Work Alternate O Home 0 Cell 0 Work Telephone 2 O Fill in if billing address is the same Billing Address - City State ZIP IF FAMILIARIZATION PERIOD I5 REJECTED INITIAL HERE (see Paragraph 14 of the Terms and Conditions for explanation) EMAIL r 4 L t `7 m E ,. cloivi - Communications Authorization: I authorize products and services to the contact information 888.DNC4ADT (888.362.4238). Initial here ADT to provide me with information and updates about the security system and new ADT and third -party provided by me. I may unsubscribe or opt' out by emailing donotcontact ®ADT.com or by calling Confirmation of Appointments: I authorize appointments and provide other information ADT to call me using an automated calling device to deliver a pre- recorded message to set/confirm and notices about the alarm system at the telephone number(s) provided by me. Initial here Alarm System Ownership: Customer- Owned (ADT -Owned 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 15 THREE (3) YEARS. (C) ADT 15 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 1.055 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 1F COMMUNICATIONS OR POWER IS INTERRUPTED FOR ANY REASON. (E) ADT RECOMMENDS THAT I MONTHLY AND ANY I CHANGE TELEPHONE SERVICE, BY CAWNG 1.800.ADT.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 OBUGATION WILL BE TO NOTIFY ME OF A +U r 1 PAID IN ADVANCE. I ACKNOWLEDGE AND AGREE TO EACH HAVE READ, UNDERSTAND AND AGREE THE TERMS AND CONDITIONS. (B), THE ADDRESS ALL OF MY POTENTIAL SECURITY PROVIDE M. ADDITIONAL EQUIPMENT ADT AT AN ADDITIONAL COST TO ME. ALARM SYSTEM CAN PROVIDE COMPLETE MEDICAL PROBLEMS AND OTHER INCIDENTS HUMAN ERROR IS ALWAYS POSSIBLE; OF ADT. ADT MAY NOT RECEIVE ALARM MANUALLY TEST THE ALARM SYSTEM W W W.MYADT.COM. (F) THIS CONTRACT OR SERVICES, AND IF APPROVAL I5 DENIED, SUCH TERMINATION AND REFUND ANY ADT Representative Name Rep. License No. Rep. J ' % 3 _iiIr /� (If Required) ID No. Customer's • • ; al: Ori • inal Signature Required (Must match Customer Name in Section 1 above) Ili% 4 \ M/EIVIE I r 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. 1 ACKNOWLEDGE BEING VERBALLY INFORMED OF MY RIGHT TO CANCEL AT THE TIME OF EXECUTION OF THIS CONTRACT AND RECEIPT OF THIS NOTICE. FINANCIAL DISCLOSURE STATEMENT THERE 1S NO FINANCE CHARGE OR COST OF CREDIT (0% APR) ASSOCIATED WITH THIS CONTRACT. A. NUMBER OF PAYMENTS FOR THE INITIAL TERM I5 36. P i<v B. AMOUNT OF EACH PAYMENT 15 $ jj 7q di TOTAL OF PAYMENTS FOR THE INITIAL TERM 15 $ Z / '47 (TOTAL MONTHLY SERVICE CHARGE FROM BELOW) (A. TIMES B.) (EXCLUSIVE OF ANY APPLICABLE TAXES, FEES, FINES AND RATE INCREASES) LATE CHARGE - PAYMENT I5 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 55.00. PREPAYMENT- IF I PREPAY THE SEE SECTIONS 2, 7, 15 AND TOTAL OF PAYMENTS PRIOR TO 19 OF THIS CONTRACT FOR THE END OF THE INITIAL TERM ADDITIONAL INFORMATION OF THIS CONTRACT, THERE IS NO ABOUT NONPAYMENT, DEFAULT PENALTY OR REFUND. AND ACCELERATION. 1 of 6 Administrative Copy 02011 ADT. All rights reserved. (06/11) RESIDENTIAL SERVICES CONTRACT 3 Mil 11il CUSTOMER ACCOUNT NO I 0 N1 5104UE14 111 JOB NO LEAD SOURCE 1 • • - r i • • - P • '• -• (• in e•) ® Standard Monthly Sertrice, Burglary Service includes: Customer Monitoring Center Signal Receiving and Notification Service for Burglary, Manual Fire and Manual Police Emergency Monthly Service Charge 0 Initial/Annual Recurring Munidpal Fee billed separately (Subject to change based on local law) Initial/Annual Fee / $ 5e f 63 , 0 Customer to obtain and pay for initiallanfilidl municipal alarm use permit. Failure to obtain and provide ADT with the municipal alarm use permit registration number could result in no municipal fire/police response to "an alarm ' from the premises armor a fine. .® Standard Monthly Service, Fire/Smoke Detection Service ndudes: Customer Monitoring Center Signal tRecemng and Notificatioi Selice for Fire, Manual Fire and Manual Pplice Emergency " ' " fA/ ( L 4 Municipal Electrical Permit Fee `O Customer to obtain electrical permit m Carbon Monoxide 0 Flood 0 Low Temp $ I N C (_ Installation Price $ SI $ 0 Medical Alert $ ? • ,Taxable A'tnount ® Safewatch Cellguard® $ / NC L Non- Taxable Amount 0 SecurityUnk® $ Connection Fee $ ® Extended Limited Warranty /Quality Service Plan (QSP) $ r[ tj C L Admin Fee $ 0 Guard Response Service $ Sales Tax on Installation* $ 76 gF 2/[Cr' 0 Monthly Recurring Municipal Fee (Subject to change based on local law) 0 Customer to obtain and pay for municipal alarm use permit Q Total Installation Charge* $ CL / 0 Other Deposit Received J Balance Due upon Installation* $ 2' Total Monthly Service Charge jq 61 If applicable sales tax not shown, it will be added to the first invoice. •I(' • • I I - I • • - . ' * / `�� i ;ae oaa® / cis. ;ice Control 4'. , Scs° ' .4. CS'' - e6.° ` °'. S 84" t O 4'''' `' 2��� `a�e� Q J\si Q� „ O4*- Panel 1e P .‘41s %'§‘ So-, . e yj`�aS' 4\°N. 6604•‘ •ZeO e ( t's" Sate4Ct`ea\ f,C.�_ P:0 p4S.'' e' p9�PgQ QOM, Comments Package Name: c 1-11{14)Vb4t - .o CN1144 E Ji ��* (� "i'M l } r t C ICIII �l , e V rJ �CZO $ Includes: Foyer Living Room �� E {��. f(AnS E PA tJ' ' Rio 3) + QS/ C jcs Z 4 a 1 l� CC ZEI ✓ il.) Family Room �.J 4 t ■ i i fi9- (�R(/, Office C ` kL Dining Room L Kitchen Laundry Room + 1 1 } �f f Hallway Master Bedroom Master Bath Bedroom 2 Bedroom 3 Bath 2 Basement Garage -L - — L Price Per Piece Totals j E = Existing Equipme0 Estimated Installation Start Date 0 4 /2- & / I INSTALLER NOTES 2 of 6 ©2011 ADT. All rights reserved. (06/11)