EL-12-1842Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 189831
Permit Number: EL -10 -12 -1842
Scheduled Inspection Date: June 27, 2013
Inspector: Devaney, Michael
Owner: MINSKI, JOEL & ANDREA
Job Address: 9969 NE 4 Avenue Road
Miami Shores, FL 33138-
Project: <NONE>
Contractor: ADT LLC
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Alarm
Phone Number (305)510 -0916
Parcel Number 1132060171230
Building Department Comments
ALARM SYSTEM INSTALLATION
permit extended until the end of the month.
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
fzifri 0-9
June 27, 2013
For Inspections please call: (305)762 -4949
Page 7 of 32
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
Permit No.et'- (0` - (71-1-2,
Master Permit No.
BUILDING
PERMIT APPLICATION
FBC 20
BY:
; CEIVED
MAY 0 8 2013
Permit Type: Electrical �n I '
OWNER: Name (Fee Simple Titleholder): 6 C) ' Y 1 t 1� J k s Phone #: 4115 31 q
Address: 9 ° t keg N E, L- vQ
City: 1 ecrY\\ 3\4r QS State:
Tenant/Lessee Name:
Email:
JOB ADDRESS: q, a (IA L
City: Miami Shores
Folio/Parcel #:
zip: 33 137
Phone #:
County:
Miami Dade
Zip: 3313g
Is the Building Historically Designated: Yes NO Flood Zone:
CONTRACTOR: Company Name: A01- ` LL C-
Address: C �® / IC-CJ
Phone #: _Sl4 4 (Q k X51 t
City: Ml `l f`•VN (a. State: Vim\ Zip: , 3 3 6-1 .s.S`
Qualifier Name: C. Or O \ NZ-kill Phone #:
State Certification or Registration #: 4K -' *00 1 \ el, Certificate of Com etency #:
Contact Phone #:
DESIGNER: Architect/Engineer: Phone #:
Email Address:
Value of Work for this Permit: $ Square/Linear Footage of Work:
Type of Work: OAddress OAlteration
Description of Work:
ONew ORepair/Replace
ODemolition
•
**
fll
• .... .5 �.. .� 3 mod'
_ :. _..CO/C: $T.
Scanning Fee $ Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Renew $
DBPR $ Bond $
Technology Fee $
TOTAL FEE NOW DUE $, 1 7
Rnnding Company. Namc rft 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. W 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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature Signature
Owner or Agent C. tractor
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before r e this
day of , 20 , by day of , 20(3 , by
who is personally known to me or who has produced who is personally known to me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
Sign: c$.QTh
Print:
My Commiss
Plans L xamtner
Structural Review
(Revised 07 /10 /07)(Revised 0611 0/2 00 9)(Revised 3/15/09)
Clerk
1
Miami Shores Village ptLCcrgEWci
Buildin g Department r3 De artment OCT o 202
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972 ®o
�, �'e o me ®oo® o ®mm00000
INSPECTION'S PHONE NUMBER: (305) 762.4949
BUILDING
PERMIT APPLICATION
Permit Type: Electrical > )
JOB ADDRESS: ` 1(9 l
kroaz
2
City: Miami Shores County: Miami Dade Zip: 331 2S
FBC 20
Permit No 1 fI '�
Master Permit No.
Folio/Parcel #: //(5.C&2 e7/7 /a30
Ls the Building Historically Designated: Yes NO Flood Zone:
OWNER: Name (Fee Simple Titleholder): "'v\Nk Phone #:
Address: 'PO 02
City: KekAiCA State: 6—
Tenant/Lessee Name: Phone #:
Email:
Zip: 33 C
CONTRACTOR: Company Name:
Address:
ADT LLC
10785 MARKS WAY
City: State: Zip:
Qualifier Name: / %�'/� �l Chi �G>r''�'•
State Certification or Registration #: /t9 a' Certificate of Competency #:
Contact Phone#:: Email Address:
DESIGNER: Architect/Engineer: Phone #:'
Phone #:
Value of Work for this Permit: $ Zeration p� c�-a9Square/Linear Footage of Work:
Type of Work: UAddress UNew ❑Repair/Replace ODemolition
Description of Work: / j&- -"
****: k: i:% i:: k: k: k: x: k: R*= k *:k:k:k:k*:k�.'.-:k:k,k:k%k** *4.4- *:x***Fees**** ** * *** k*. - **** *** *:k:k:k **:k:k *%k-k*** * *.:t ** ** ***
Submittal Fee $ Permit Fee $ / 8"69 ''.02 '49 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 '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 MR 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 wl i occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be up d and a reinspection fee will be charged.
Signature
O or Agent
acknowledged before me e this 2-2-
t-1
, 20 t l—, by
The foregoing instrument
day of
who is personally known to me ot.who has produced
��►a�tllEtra
As�,)ao did take an oath.
NOTARY PUBLICi° , •.MISSION ••• '�,,
�v. �y 9, 20 —co ;
co
My Commission Expire��.o•'!e;6;;;:0••' d4z
/ / /��lllll! i1�..1 °...
APPROVED BY
Contractor
The foregoing instrument was acknowledged before me this
day of +2- , 20/0- , by •41-4,-A/ :Ce-0 d,
who is personally known to me or who has produced
01111L!!11/
as identification. .r an oath.
NOTARY P IC:
•
Sign:
Print:
SN•
14 %S, • #EE 139599 .• vi`
My Commission Expires: *4 j11 6 �` ° ° °`
Plans Examiner Zoning
Structural Review
I Rex -1sed 3/12/2012 a Rcv iked 07/1(1/07 )1 Revised 06/10/2009 ((Revised 3/15/09)
Clerk
RESrDtNTIAL SERVICES CONTRACT (ACTIVATION)
6,3144,a3
CONTRACT
DATE
0/2
CUSTOMER
ACCOUNT NO
poi
5404UE00
JOB
'NO
LEAD
SOURCE
- 1.
1 .. - 1 fo
ADT LLC
Security Services CADT%
Office Address
g S-. rActy S •l
,,r, a Y) FL 3 a)
3 ?,) • %t 0,5
(1.800.238.2727)
dba ADT
c o -1
t,,,t �e
",,,
3Q:1--
www.MyADT.com
1.800.ADT.ASAP®
Customer Name O,� r
°I' •me° or •my7 F- P t I I
(°Customer' or or
rivlh i k[� ■
Address 1 KJ cr /\ E LI p.✓e. S
•
State ZIP EE EM
u �- :, / /
No. Tax Expire Date
Tax Exempt
Protected Premises' /T / `7 A3 i LI 4473- O Traditional Phone 0 Other (Qualified) ® Other (Non - Qualified)
Telephone �� CQ� 7
Alternate
Telephoned...,:
0 Fill in
Billing
Address
if billing
O Home O Cell O Work' Alternate Iy O Home 0 Cell 0 Work
Telephone 2
address is the same
-
City
■ State ZIP
IF FAMILIARIZATION
PERIOD IS
REJECTED INITIAL HERE (see Paragraph 14 of the Terms and Conditions for explanation)
EMAIL `^
CommunicaGo ri3 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 me. I may unsubscribe or opt out by emailing donotcontact @adt.com or by calling
888.DNC4ADT (888.362.4238). Initial here
Confirmation of Appointments: l authorize
appointments and provide other information
ADT to call me usi - an automated calling device to deliver a pre - recorded message to set/confirm
the telephone number(s) by me. Initial here
and noticeslabothe alarm system at provided
EQUIPMENT TO REMAIN THE PROPERTY OF ADT. All equipment nstalled 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 I 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, induding but n1 t 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 Piave selected and purchased only the equipment and services identified in this Contract. (D)
No alarm system can prpvide complete protection or guarantee prevention of loss or injury. Fires, floods, burglaries, robberies, medical problems and
- :othecJACklents rq 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 achy. rgason. (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,l9gging 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 refundtany amounts I paid in advance.
ADT Representative
el tAdi -i
Rep. License No. Rep.
a. p (If Required) ID No.
Customs_
X
rjS gPproval:
Original Signature
Required (Must match Customer Name in Section 1 above)
-
bri/Pa/ 1
1
NOTICE OF CANCELLATION
1, THE S OMER, MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY
AFTER T DATE OF 1IS TRANSACTION. SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION
OF THIS RIGHT. I ACKNOWLEDGE BEING VERBALLY INFORMED OF MY RIGHT TO CANCEL AT THE TIME OF EXECUTION
OF THIS CONTRACT AND RECEIPT QF THIS NOTICE.
FINANCIAL DISCLOSURE STATEMENT,
THERE I NO FINANCE CHARGE OR COST OF CREDIT (0% APR) ASSOCIATED WITH THIS CONTRACT.
A .I`161NI8ER t?E;
PAY -ME THE
INfriAL TEI21VFj534 .s
l AMOUNT OF EACH PAYMENT IS
TtOTA). MONTHLY SERVICE CHARGE FROM BELOW)
$
TOTAL OF PAYMENTS FOR THE INMAL TERM IS $ -) o f7
(A. TIMES B.) (EXCLUSIVE OF ANY APPLICABLE TAXES, FEES, FINES
AND RATE INCREASES)
LAVE CHARGE - PAYMENT IS PURSUANT TO MY SELECTED BILLING
FREQUENCY PRIOR TO THY Alt* ART OF SERVICE. MY FIRST BILL/CHARGE WILL
BE SENT /MADE: SHORTLY AFTER MY SERVICE BEGINS. ADT MAY IMPOSE A
ONE -TIME LATECHARGE+ON EACH PAYMENT THAT IS 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
J;THE END QF THE INITIAL TERM
L. OF THIS Co rrRACT, THERE IS NO
.PENALTY OR RE,,UND,
SEE PARAGRAPHS 2, 7, 15 AND
19 OF THIS CONTRACT FOR
ADDITIONAL INFORMATION
ABOUT NONPAYMENT DEFAULT
AND ACCELERATION.
@2Q1Z,ADT LLC dba..DT Seeririty Services.
RESIDENTIAL SERVICES CONTRACT (ACTIVATION)
CONTRACr�
DATE
q
CUSTOMER
' ACCOUNT NO
e
5404UE00
it
•.JOB
NO
LEAD
SOURCE
Section 2. Services to be Provided (continued)
tnit al/A nuai RecurringMunidpal Fee billed separately
•,_ (Subject to change based on local law)
Initial/Annual Fee
Monthly Service 0harge
4D Standard Monthly Service, Burglary
Service indudes: Customer Monitoring Center Signal
Receiving and Notification Service for Burglary,
Manual Fire and Manual Ponce Emergency
�-^"'
$ _ e (
fie Customer to obtain and pay for initial/annual munidpal
alarm use pery'Iit;:Failure pb and provide ADT with
the municipal alai use p rmit Yegistration ralmber could
result in no municipal fire/police response to an alarm
frompe premis Sand(or a fine.
.® Sltandard Monthly Service, Fire!Smoke Detection
c, indudes: Custome7Monitoring Center Signal
',Melding-add Notification Service for Fire, Manual Fire
and Manual Police Emergency
4 �•— -
I "° 1,0
t GC
lylunicipal Electrical Permit Fee
Customdr to'b6tain eldctricaV ermit
O Carbon Monoxide 0 Flood 0 Low Temp
$
Installation Price
$ 2 cr
O Medical Alert
,$
Taxab unt
® Safewatch Cellguard®
$ c
Non:raxable Amount
O SecurityLinka
$
Connection Fee
$
4> Extended Limited Warranty/Quality Service Plan (QSP)
$ G�
Admin Fee
$
O Guard Response Service
$
Sales Tax on Installation*
O Monthly Recurring Municipal Fee
(Subject to change based on local law)
O Customer to obtain and pay for
municipal alarm use permit
$
atalInstallation Charge*
o
^�! a Cr
O
1s� L �.
0 Other t
$
Deposit Received
_
$ a,z r
,t
Total Monthly Service Charge
$ ,e..c
Balance Due upon Installation*
$
If applicable sales tax not shown, it will be added to the first invoice.
Section 3. Equipment to be Installed
�� `�z \a °aA ' a,�¢ �a°
Control ak. 0° Sao c `.1k 04. , e - J4 �ocse — \sec`e. `seed
Panel
°•e'0 °`2kt
V 000�S¢ 4Oao� �oboo (re- 4°ee` C 0\�'055� °' 0\ ��a 09 Comments
Package Name:
..
Includes
Foyer
Living Room
1111
N VI S4-es ( (
Family Room
--��
�
\
S
,
.4A,
Office
Dining Room
Kitchen
• AO Yf
Hallway
ire-
Master Bedroom
1 C
fl 6-v cFv
kasser Bdth'•-
&IIIIIIffinft
k 0
. - -u<
In e.
cC
S ■ cite c:ft9D°
Bedroom 2
Bedroom 3
Bath 2
Basement
; pt
A m le c,ot
Garage
64D.0 ,-,
tCfs�1
Price Per Piece
E.
c a v t(ai'
'OtalS
.
I
Estimated Installation Start (Sate
lira
is 11
INSTALLER NOTES n ,- e.•l_o s4-m w . ' 4 . - 0 - v 53,41 off t c _ l _ 2 7o ad, aa1 3' 1 I('ll \J
.,� (3.-0 f w •1 0-,c ■ ,, k • Nc 4 L ' 14., s 1 D 74 loci 441
U,n 9
� •
\e eS+ o a t/1 g Q,,• S RU ISQ i (lJ `� � w l..) 4-4 1 \ Oat.' cl t k at' LA av-✓ i
t I
r
®?m 7 ADT L dba ADT Security Services.
Property Information•
Folio
11- 3206 - 017 -1230
Property Address
9969 NE 4 AVE RD
Owner Name(s)
JORGE GOMEZ &W MELISSA
Mailing Address
543 MIN STREET APT 700
NEW ROCHELLE NY
10801
Primary Zone
1200 SGL FAMILY - 2501 -2800 SQ
Use Code
0001 RESIDENTIAL - SINGLE FAMILY
Beds /Baths/Half
4/3/0
Floors
2
Living Units
1
Adj. Sq. Footage
3,571
Lot Size
17,026.10 SQ FT
Year Built
1951
Legal Description
MIAMI SHORES SEC 4 AMD PB 15-14
LOTS 1 & 2 BLK 96
LOT SIZE 130.970 X 130
OR 17157 - 4662 0496 1
COC 26228- 0176/0178 12 20071
OR 26228 -0176 1207 00
Assessment information:
Current Previous
Year
2012
2011
Land Value
$243,877
$212,067
Building Value
$309,379
$309,623
Market Value
$553,256
$521,690
Assessed Value
$537,340
$521,690
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
Widower)
$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 / $487,340
$50,000 / $471,690
School Board
$25,000 / $512,340
$25,000 / $496,690
City
$50,000 / $487,340
$50,000 / $471,690
Regional
$50,000 / $487,340
$50,000 / $471,690
Sale Information:'
Date Amount Recording Qualification Code
Book -Page
5/2007
$0
25681 -4482
Sales which are disqualified as
a result of examination of the
deed
12/2007
$750,000
26228 -0176
Sales which are qualified
4/1996
$275,000
17157 -4662
Sales which are qualified
11/1993
$265,000
16148 -4551
Sales which are qualified
10/1977
$120,000
09824 -0445
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 this 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 .govfinfo /disclaimer.asp.
Property information inquiries, comments, and suggestions email: pawebmail @miamidade.gov
GIS inquiries, comments, and suggestions email: gis @miamidade.gov Generated on: Tuesday, October 02, 2012