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ELC-12-2006
Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 180592 Permit Number: ELC -10 -12 -2006 Scheduled Inspection Date: April 17, 2013 Inspector: Devaney, Michael Owner: DE LA ROSA, TANYA Job Address: 9713 NE 2 Avenue Miami Shores, FL 33138- Project <NONE> Contractor: ADT LLC Permit Type: Electrical - Commercial Inspection Type: Final Work Classification: Addition /Alteration Phone Number (305)756 -6110 Parcel Number 1132060134220 Building Department Comments NEW ALARM INSTALLATION Infractio 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 April 16, 2013 For Inspections please call: (305)762 -4949 Page 2 of 32 Miami Shores Village rugs", Building Department QCT 2 20 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 t,%/9b 4623 FBC 20 BUILDING PERMIT APPLICATION Permit No'`��Jl.�l Q • Master Permit No. Permit Type: Electrical JOB ADDRESS: 9113 me 2 Ni) ilvV City: Miami Shores County: Miami Dade Zip: 3 S (3 0 Folio/Parcel #: // 3,2 /%/ 3 4V2Z.O Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): ©dd / % /2S-t -- fi — Phone #: AFS: -75-7-19C'O Address: 90t0e ie • /� G .c here---- . City: ltt°10 -y72/ State: Zip: 30/61 Tenant/Lessee Name: Phone #: Email: CONTRACTOR: Company Name: ADT LLC Phone #: --2i#4' 9133 10785 MARKS WAY Address: MIRAMAR, FL 33025 City: /j State:tp, Qualifier Name: )7 A•7 /�I /X-efj4✓ Phone #: State Certification or Registration #: cra 7 9&il Certificate of Competency # :' Contact Phone #: Email Address: DESIGNER: Architect/Engineer: 'Phone #; Value of Work for this Permit: $ 9 %, 'a 0 Square/Linear Footage of `Work: ' Type of Work: ❑Address Iteration 141New URepair/Replace'` ❑Demolition Description of Work: // *** *>k%K** ** k****. k* ***-k*:k-k:k *.k:k** **=k.k** *** Fees**** -Y*** * * ** * ******.k**** **** ** ** * *** *** **** Submittal Fee $ Permit Fee $ /OUP 4' CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 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 commenced prior to the issues construction in this jurisdiction. WELLS, POOLS, FURNACES. btain a permit to do the work and installations as indicated. I certify that no work or installation has ce of a permit and that all work will be performed to meet the standards of all laws regulating I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I c rtify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating cons t uction 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, CON ULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOU 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 coy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to art chment. Also, a certified copy of the recorded notice of commencement roust be posted at the job site for the first inspection which ccurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not bc' approved and cr reinspection fee will be charged. Signature Owner or{ Agent pledged before me this IL Ee hasstroduced who is personally known to me or who has produced rcati4i tndzkho did take an oath. as identification and who did take an oath. .. Sign: Print: My Commission Expires: Contractor The foregoing ins •ument was acknowledged before me this d °?` day of' 20b17 by / */Z Ate/A-46 NOTARY PUB I iC: °0itieeeet►o,4 . 00 <4y %' , Sign: . -� ` cD�• 64,t) VS1 r9 s 0 T. T. Print: It �en17. *PO�o o: �' .15 -Th My Commission Expires: ; 0 *� /A��� r". ,7 - 13,12 '•A 1' a �� :599 �.PNb.s ' -a,� -x, :k****-k** **:;c ******** **** k** * * ** ** k%k k=k*** *�k** ** * * ***** * *%k=k k:k****:F>k** **:k ****�: *:k**** k:k ** * * *** mtAwA: *:k*** ,J L..2'4'2! -- Plans Examiner Zoning APPROVED BY ( Revised 3112_/20I 2 )( Rex Rend (17/ f 0 /07)( Structural Review Clerk Revised 0h/I(I /2009 II Revised 3/15/09( 0/19/12 \AMt-f)ADL ( PROPEF 1 rsi tOPERTY ; • Propeq• ' • Home & r its Real PropertyViewer r- ULF Ret; RoU nStrtiOfl Selected Property Information Property -1 Legal Descriptio.i Assessment Information Exemption Information Sales Information Additional Information Featured Online Tools TI-tX COITIparISOF TAX EMImator .:.• TRIM Notice View Taxes Ariri;ticir; (7,”."11!,- To Bock to Re: Primary Zone: Land Use: 9i:V"X) M 8..4MORE DRIVE MIAMI FL :11:1103- 6100 COMMERCIAL - NEIG HD:A:Hoop RETAIL OUT-ET Bedersathsilisa: 1 Floors: Living Unit: Adjusted Sq Footage: 3,062 Lot Size: 6 500 SO FT Year Built: 1446 , •' •••• ' tre-3 • • 4ittliftk „ • 1"w 2042 Aanal Photography isweb.miamidade.goy/PropertySearch/ 1/2 www.sunbiz.org - Department of State ,-,EL DA 131EPA DIVISION OF COR 0111 Page 1 of 2 Home Contact Us E- Filing Services Document Searches Forms Help Previous on List Next on List Return To List Events No Name History Detail by Entity Name Florida Limited Liability Company ODAMISE, LLC Filing Information Document Number L05000049861 FEI /EIN Number 202873888 Date Filed 05/13/2005 State FL Status ACTIVE Last Event REINSTATEMENT Event Date Filed 10/15/2009 Event Effective Date NONE Principal Address 9300 N. BAYSHORE DR. MIAMI SHORES FL 33138 Mailing Address 9300 N. BAYSHORE DR. MIAMI SHORES FL 33138 Registered Agent Name & Address DE LA ROSA, TANYA 9300 N. BAYSHORE DR. MIAMI SHORES FL 33138 Manager /Member Detail Name & Address Title MGR DE LA ROSA, TANYA 9300 N. BAYSHORE DR. MIAMI SHORES FL 33138 Annual Reports Report Year Filed Date 2010 02/17/2010 2011 01/10/2011 2012 01/30/2012 Document Images ';1l i UAL RE FC)I i; View image in PDF format 'Entity Name Search http: / /sunbiz.org/ scripts /cordet.exe ?actionDETFIL &inq doc_numberL05000049861 &i... 10/16/2012 SMALL BUSINESS CONTRACT, ►v ` - ;141 /l l o t'(,e°f% ° i Im II 11 11 54000E00 11 11 11 CONTRACT AE / (J/ i 11 � ACCOUNT NO C L [ C ' O NO SOURCE r I - •u - • ADT LLC dba ADT Security Services ( "ADT") Office Address www.MyADT.com 1.800.ADT.ASAP® (1.800.238.2727) O Fill in if billing address is the same Business ("Customer" or "I" ' I" or "me" or "my ") � � E ( (�j � l ;Address Premises' City Responsible Party Protected Phone r 7 / 3 Ifir p. State a'4 ��a ell' . ZIP ~a Name (Required) ) ON l/q �,,.! O i : � ! ✓� f ` Z Premises' Phone 0 Other (Qualified) 0 Other (Non Qualified) oa a 7 e jTM dal prrraditiomal Billing Address City State ZIP Billing Phone (Required) IF FAMILIARIZATION PERIOD IS REJECTED INITIAL HERE (see Paragraph B3 of the Terms and Conditions for explanation) EMAIL �'�(✓ f' 1 !"I/I�cC`e°C. Y JC j .0 Communications Authorization: I authorize ADT to provide me with information and updates about the security system and new products and services to the contact information provided by me. I may unsubscribe or opt out by emailing donotcontact @adt.com 888.DNC4ADT (888.362.4238). Initial here ADT or to set/confirm here and third -party by calling Confirmation of Appointments: I authorize ADT to call me using an automated calling device to deliver a pre- recorded message appointments and provide other information or notices about the alarm system at the telephone number(s) provided by me. Initial Ownership of Syste,m,and Equipment: 0 Customer - Owned *ADT- Owned: Verticals 0 Retail 0 Business Services 0 Personal Services 0 Automotive/Transportation 0 Grocery/Food c7tHealth Services 0 Restaurants 0 Wholesale 0 Other 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 C and E of the important terms and conditions. (B) The initial term of this Contract is three (3) years. (C) 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. (D) ADT recommends that I manually test the alarm system monthly and any timed change telephone service, by calling 1.800.ADT.ASAP. (E) 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 %� `u LI � /^� �{ �, /� C --X— Rep(If License Required) ID No. Ili Customer's Approval: Original Signature Required X {> L .,. 1o/13 ( INSTALLER NOTES (Special Instructions /Directions /Cross Street) } 1'of6 Administrative Copy ©2012 ADT LLC dba ADT Security Services. All rights reserved. (06/12) SMALL BUSINESS CONTRACT 11 11 11 I u 5400 U E00 11 11 CONTRACT DATE ' T) r' CUSTOMER, ACCOUNT NO JOB NO LEAD SOURCE - i • a . - . - • •- •r• .•-• .. Alarm Monitoring and Notification Services i YBurglary (BA) Monthly Service Charge. $ ) ,L i Monthly Service Charge On Site Services O Hold -up (HUA) O Duress,.$. $ a 0 Guard Response O Interior 0 Exterior I 0 Other Q Two -way voice $ O Critical Condition Monitoring (CCM) 0 Flood . 0 Temperature 1 _ Total Monthly Service Charge Initial Fee O Parallel Protection $ 0 Annual UL Certificate Fee O ADT DataSource s' 0 ADT to obtain Electrical Permit O Open /Close Login $ 0 Municipal Electrical Permit 1 0 Supervised Scheduled Open /Close 0 Customer to obtain and pay for initial /annual 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 and /or a fine. O ADT Entry Solutions Other Services 0 Other Installation Price $' 0 Quality Service Plan (QSP) $ j (QC, L 0 If Quality Service Plan (QSP) is Declined Customer must Initial here' Taxable Amount (Leave blank ifADT= Owned) Non- Taxable Amount (Leave blank if ADT- Owned) 0 Preventative Maintenance /Inspections Per Year 01 02 03 04 06 012 0 Training $ - h Direct Connection Strvices "„ 0 Monthly Recurring Municipal Fee (Subject to change based on local law) 0 Customer to obtain and pay for municipal alarm use permit ( Connection Fee Sales Tax on Installation* Tax Exempt Ni 'D. i Tax Expiration Date Total Installation Charge* Received: 100% deposit required < $500 Deposit Rece ° Minimum 50% deposit required $500+ 0 Money Order 0 Check 0 Credit/Debit Card 1 *If applicable sales tax not shown, it will be added to the first invoice. •1 • •11 -1 • • - • Balance Due* j $ Co'" Quantity Device Description Device Location -R 0 1 Carti104 C I ''t___C ( I 0 0 p( f NO'l ).0 ( 0 (1 o-NN k'81 Q I) tiVi 6>-t-1 U`v1 Q PA .4' C' I CS`c- L( ir'LP 1 2 -"_-"ne..- je,ok_itici_civ0 (- 0-Y"\-:( --:: ---- Estimated Installation Start Date W A1411 2 of 6 ©2012 ADT LLC dba ADT Security Services. All rights reserved. (06/12)