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EL-12-2339Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 193379 Permit Number: EL -12 -12 -2339 Scheduled Inspection Date: June 12, 2013 Inspector: Devaney, Michael Owner: CHEVALIER, CHRISTOPHER Job Address: 89 NE 105 Street Miami Shores, FL 33138- Project: <NONE> Contractor: ADT LLC Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Alarm Phone Number Parcel Number 1121360060160 Building Department Comments INSTALLATION OF CELL GUARD TO AN EXISTING ALARM SYSTEM 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 /2 7k<eav- June 11, 2013 For Inspections please call: (305)762 -4949 Page 31 of 38 g6,910/09S 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 BUILDING PERMIT APPLICATION Permit Type: Electrical DEC 1 212 It BYo- vm�mm -o omv® -marry FBC 20 Permit No. 'tlig, — 9 Master Permit No. JOB ADDRESS: 89 ne 105th Street City: Miami Shores County: Miami Dade Zip: 33138 Folio/Parcel #: 11- 2136- 006 -0160 Is the Building Historically Designated: Yes NO Flood Zone: N 0 OWNER: Name (Fee Simple Titleholder): Christopher Chevalier/ Rafael Andrade Phone #: 954 - 483 -7517 Address: 89 ne 105th Street City: Miami Shores State: Florida Tenant/Lessee Name: ' -c !,*t svDwen__ . L%'e` Email: Cl�C'. i � I CI CiJr t,q i • L'xAM- Zip: 33138 Phone#: ' CONTRACTOR: Company Name: ADT, LLC Phone #: 1- 800 - 238 -2727 Address: /7s 02eicks City: /2'a, 2 Z State: Zip: �-,5-- Qualifier Name: C,"�'4 1 ,9-2,9,-2,9,1a."62. ,9i2,9i' Phone(.)? rdif) State Certification or Registration #: ek20/ 0tn / Certificate of Competency #: Contact Phone #: Email Address: DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: $ 49.00 Square/Linear Footage of Work: Type of Work: Address Alteration New ❑Repair/Replace ODemolition Description of Work: Adding a CellGuard (GS3060) to an existing alarm system ******** * **m* * *************** * ** ** ***** Fees************* ******** * *** * *** ** ** ** ** ** * * *** Submittal Fee $ Permit Fee $ .10 '' ' CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ Gip 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 CONDMONERS, 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 such posted notice, the inspection will not be approved and a reinspection fee will be harged. Signatur Signature wner or Agent The foregoing instrument was acknowledged before me this day of lUAVemv, 20 I Z, by Chrh hoer 3. ekt 4I ?r, who is personally known to me or who has produced f7. „ flVitvf G1t4ti5e. As identific NOTARY PUB C. S S1444QN P WASH r WI' COMMISSION #EE110081 EXPIRES: Jury 7, 2015 Bonded Thru Notary Public Underwriters My Commission Expires: SHANNON P. WALSIi MY EMISSION # EE 110081 EXPIRES: July 7, 20151 * * * * * * * * * * * * * * * * * * * * * ** APPROVED BY P1 Contractor The foregoing instrument was acknowledged before me this 7 day of / 0— , 20 /Qby who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: ans Examiner Structural Review (Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Sign: Print: ,``11i11Ylliej, sNs V P7 O Yq ��i0 e o My Commission Expires: = M ryON .31 4 = /0/•9 #�5�k4r <c0' g�FOc3 1TATEOFFN:Os m Zoning Clerk 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: Christopher Chevalier and Rafael Andrade PERMIT # ADDRESS: 89 NE 105th Street, Miami Shores, FL 33138 FOLIO NUMBER: 11 -2136- 006 -0160 FLOOD ZONE: BASE FLOOD ELEVATION: FREEBOARD: EAST OF FL.CCCL: COST OF PAST IMPROVEMENTS (12 MONTHS): COST OF PROPOSED IMPROVEMENTS: $49.00 (ATTACH COPY OF CONTRACT) TOTAL CUMULATIVE COST OF IMPROVEMENTS (past and proposed): $49.00 VALUE OF PRINCIPAL STRUCTURE (attach appraisal): OWNERS SIGNA 'URE• j.,. ` ..gf : .Ara, DATE: ' /4, • /2.- PLANREVIEWER: PLAN REVIEWER SIGNATURE: DATE: Created on June 2009 ADDITIONAL SERVICES RIDER CUSTOMER ACCOUNT NO 111 1151112q110111 JOB NO Administrative Copy ©2012 ADT LLC dba ADT Security Services. All rights reserved. (06/12) THIS RIDER made / / 6 is part of and is to be attached to the Contract ( "Contract') made /�� 1 I /� I I� I I by and between ADT LLC dba ADT Security I Services ( "ADT "), with offices at Address / ® , In A 8 f State City fil I Ydr l n U !, ZIP? and Customer ( „Customer ") Business Name ( "Customer) for service in �� % �f r� 1 �0� /� rT� !iT C�6 1 the Y } Aflr P Premises of the Customer at i1/4, 6? j �`� ( r ") City /2' / t° te 0 i State 1151 ZIP 5 / ( "Premises The Customer hereby requests, and ADT agrees, to install the following additional protection: 5. C'�(1'0 /i mil. °� rI) gieeired d)erin/ / / Vo The Customer hereby agrees �/0a C/ C to pay ADT, its Agents or Assigns the sum of Z7�i ' /de k,dt°al 8 I9 7 / — %7 / `� °C. $ , /' t) ® payable upon the signing of this Rider and the balance payable upon completion of this installation, and to pay the additional sum, of 4,11e il y _ _5 7 X 46/4 1/ $ ?C 0 per annum. The parties hereto mutually accordance with all the THIS RIDER REQUIRES I5 DENIED, THIS RIDER. ANY AMOUNTS PAID ADT LLC dba ADT SE .� agree that this Contract, of which this Rider is made a part, is terms and conditions thereof. FINAL APPROVAL OF AN ADT AUTHORIZED MANAGER BEFORE ANY WILL BE TERMINATED AND ADT'S ONLY OBLIGATION TO YOU WILL IN ADVANCE. RITY SERVI and shall be and remain in full force and EQUIPMENT /SERVICES MAY BE PROVIDED. BE TO NOTIFY YOU OF SUCH TERMINATION effect IF APPROVAL AND in REFUND 1 1 N / o ,DL.- I ADT Rey = 6 . tive Accepted and Copy Received By: Customer Name ii i9l ? 0 ( T j /f t /; r r Oil g PJ / 1' / Y L — X l✓ 6/ id / Customer Signature Administrative Copy ©2012 ADT LLC dba ADT Security Services. All rights reserved. (06/12) Property Information Primary Zone: Land Use: Beds/Baths /Half: Floors: Living Units: Adjusted Sq Footage: Lot Size: Year Built: 1000 -SGL FAMILY - 2101 -2300 SQ 0001 - Residential - Single Family 4/3/0 1 1 2,349 9,259.44 SQ FT 1942 Legal Description DUNNINGS MIAMI SHORES EXT NO 2 PB 41 -78 LOT 16 BLK 202 LOT SIZE 75.280 X 123 OR 10411 -999 0679 1 COC 21772- 062710 2003 1 2012 2011 Assessment Information Land Value: $75,702 $84,114 Building Value: $203,971 $204,428 Market Value: $279,673 $288,542 Assessed Value: $279,673 $288,542 Taxable Value Information Taxing Authority: County: School Board: City: Regional: Applied, Exemption/ Applied Exemption/ Taxable Value: Taxable Value: $50,000/ $50,000/ $229,673 $238,542 $25,000/ $25,000/ $254,673 $263,542 $50,000/ $50,000/ $229,673 $238,542 $50,000/ $50,000/ $229,673 $238,542 Exemption Information Homestead: $25,000 $25,000 2nd Homestead: $25,000 $25,000 Senior. $0 $0 ................ Aariculture ont, $0 Sale Information Sale Date: Sale Amount: ............................... ............................... Public Records: Qualification Description: Sale Date:'.: ....................... Sale Amount: ...................... Public Records: Qualification Description: Sale Date: Sale Amount: Public Records: ........................ Qualification Description: 1Q12003 $320,000 ......................... . ............... 21772 -0627 00 -Sales which are qualified /1979 $70,000 ........................ 10411 -0999 00 -Sales which are qualified 611974 $58,000 00000 -0000 00 -Sales which are qualified Featured Online Tools T x Comparison ..... ............................... Tax Estimator ......._ .................... TRW Notice View Taxes Additional Online Tool December 7, 2012 Miami Shores Norman Bruhn 10050 NE 2nd Avenue, Miami Shores, FL 33138 Dear Norman Bruhn, ADT LLC 10785 Marks Way Miramar, FL 33035 Phone: (954) 266 -5275 En 1 202 BY: To continue to enhance our customer experience by providing the best service in the industry and assist with the large volume of installs in your area, ADT has partnered with MTCI, a third -party inspection service. ADT will include the "Building Official Notice" form with all permit applications, and the form will be signed by the homeowner to allow MTCI Inspectors to perform the inspection. If for any reason you do not want ADT to provide this form with each permit, please let us know. ADTs use of third -party inspectors will reduce the workload for your installation inspectors. We would like to request a permit discount for the permit fees in your jurisdiction. Please take this into consideration as we are trying to make this an overall better process for all parties involved and ultimately take care of the customers in your jurisdiction. Again, thank you for your willingness and patience in working with us through these upcoming changes. We hope the above information addresses any questions or concems you may have had. If, however, you do have remaining questions or would like to discuss this further, please do not hesitate to contact me. Kind regards, Stephanie Wagner License and Compliance Manager slwaaner adt.com (980) 333 -2940 George Manginelli Area Operations Manager and Electrical Contractor #EF000121 Attachment: MTCI Building Official Notice Form