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EL-12-1670Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 186414 Permit Number: EL -9 -12 -1670 Scheduled Inspection Date: February 28, 2013 Inspector: Devaney, Michael Owner: GARCIA, MARC Job Address: 173 NW 94 Street Miami Shores, FL Project <NONE> Contractor: ADT LLC Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Alarm Phone Number Parcel Number 1131010330680 Building Department Comments 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 February 27, 2013 For Inspections please call: (305)762 -4949 Page 27 of 35 #&'?P '/6dy 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 JOB ADDRESS: / 73 /l/hJ 9c‘ Sheej RE,CEIVED SEP 072012 FBC 20 Permit No:Ei 1e9- 1(0.- J Master Permit No. City: Miami Shores County: Miami Dade Zip: 453/60 Folio/Parcel #: /1 3 /0/-033-4069,F0 Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): A//0'C G?/7d(_2 1V/,', >/ ?� <<tPhone #: &f&J 37/— 7#'l%3 Address: /73 /1/44../ 94/ S7242 -at. City: ;&/7'7 j c. €) -tos State: Tenant/Lessee Name: Phone #: Email: Zip: 4.63/S —b CONTRACTOR: Company Name: 4 %�7' z -Le Phone #:r!6 ��- Address: /7s /19a "-etc tea/ City: /7/4',77 a State: Qualifier Name: Alai* , I eC a,- d/ State Certification r Registration #: / 7-�C Ceerrtificate of Competency #: Contact P��6i- ��3 Email Address: aeeC i-1d1' 6:31.3t5/74 < 7)"7 DESIGNER: Architect/Engineer: Phone #: Zip: 3 Phone #: ° Value of Work for this Permit: $ �/9/9 eZ Square/Linear Footage of Work: Type of Work: DAddress ®Alteration DNew DRepair/Replace DDemolition Description of Work: Bary/C2 ' ®/' j //% j // **** .k *:k:k:E$'6ti.k:B:k=k** ** * *.�c. **** k:k *.I.I- *,k.Y*** :Y•K•k•k *:F.k** cFck *.k:k **** l=.k:i::k:: ****x:k:k:g:r.N:g:R:� ** ** * ** Fees -- 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 I)UE $ , 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 ci condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not he approved and a reinspec•tion fee to ill he charged. Signatur, are; Owner or Agent �'" The foregoing instrument was acknowledged before me this / The foregoing instrument was acknowledged before me this.? Signatur Contractor day of 5,20 (l-, by Seheif 7N1 afreilkin , day of who is personally known to me or who has produced who NOTARY PUB I Sign: Print: As identification and who did take an oath. 122er'ebr C*r2(Llb.o - Q,,r_ccry- My Commission Expires: * * * * * * * * * * * * ** * * * * * * ** APPROVED BY ROBERT GARRIDO -LECCA MY COMMISSION # EXPIRES August 21, 2016 , 20 / by fd /h'it f'L t L'fi°Y o me of ishI°�ea°sD1 ¢uced m y .4? A9 -20 F ., tt` e s personally know as identpirs , j ko yi ($J. e an oath. NOTARY PUBLIC : v '`° ''s�q >. BONOED 3% 2 THROUGH y; NOTARY PUBLIC- 0 Sign: Print: My Commission Expires: ® STik' �% 7e71 YP9 / /5r ********************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Structural Review ( Rev ised 3/12/2012 )( Re% iscd 07/1(017 !1 Rex! cl 06/1 0/2009 )1 Revised 3/1 5/09 ) Zoning Clerk Property Information Map My Home Miami -Dade County, Florida Property Information Map Aerial Photography - 2009 0 °113ft This map was created on 9/4/2012 12:51:36 PM for reference purposes only. Web Site © 2002 Miami -Dade County. All rights reserved. Page 1 of 2 Summary Details: Folio No.: 11- 3101 - 033 -0680 Property: 173 NW 94 ST Mailing Address: MARC A GARCIA JTRS SARAJINI GARCIA JTRS 173 NW 94 ST MIAMI SHORES FL 33150- Property Information: Primary Zone: 0800 SGL FAMILY - 1701 -1900 SQ CLUC: 0001 RESIDENTIAL - SINGLE FAMILY Beds /Baths: 2/1 Floors: 1 Living Units: 1 Adj Sq Footage: 1,639 Lot Size: 9,300 SQ FT Year Built: 1937 Legal Description: MIAMI SHORES SEC 6 PB 10 -39 E1/2 LOT 14 & LOT 15 BLK 132 LOT SIZE 75.000 X 124 OR 12602 -2254 0885 1 OR 27407 -0482 081011 Assessment Information: Year: 2012 2011 Land Value: $67,122 $74,580 Building Value: $133,966 $134,263 Market Value: $201,088 $208,843 Assessed Value: $118,680 $115,224 Exemption Information: Year: 2012 2011 Homestead: $25,000 $25,000 2nd Homestead: YES YES Taxable Value Information: Year: 2012 2011 Taxing Authority: Applied Exemption/ Taxable Value: Applied Exemption/ Taxable Value: Regional: $50,000/ $68,680 $50,000/ $65,224 County. $50,000/ $68,680 $50,000/ $65,224 City: $50,000/ $68,680 $50,000/ $65,224 School Board: $25,000/ $93,680 $25,000/ $90,224 Sale Information: Sale Date: 8/2010 Sale Amount: $94,200 Sale O /R: 27407 -0482 Corrective deed, quit claim deed, or tax deed; Deed bearing Florida Documentary Stamp at http: / /gisims2.miamidade.gov /myhome /print nap. asp? mapurl= http: / /gisims2.miamidade.gov... 9/4/2012 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: PERMIT # ADDRESS: FOLIO NUMBER: FLOOD ZONE: BASE FLOOD ELEVATION: FREEBOARD: EAST OF FL.CCCL: COST OF PAST IMPROVEMENTS (12 MONTHS): COST OF PROPOSED IMPROVEMENTS: (ATTACH COPY OF CONTRACT) TOTAL CUMULATIVE COST OF IMPROVEMENTS (past and proposed): VALUE OF PRINCIPAL STRUCTURE (attach appraisal): OWNERS SIGNATURE• OL, __ DATE: J PLANREVIEWER: PLAN REVIEWER SIGNATURE: DATE: Created on June 2009 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL , ELECTRICAL CONTRACTORS LICENSING BOARD 1940 NORTH MONROE STREET TALLAHASSEE FL 32399 -0783 MANGINELLI, GEORGE A ADT LLC PO BOX 811175 ADT LLC - ATTN: LICENSING DEPT BOCA RATON FL 33481 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you better. For information about our services, please log onto www.myfloridalicense.com. There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and team more about the Department's initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your new license! AC# 6130858 DETACH HERE REGULATION (850) 487 -1395 STATE OF FLORIDA AC# 6 L 308 58 DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION r;t EF0001121 CERT A MANGINELL; ADT LLC 2 118186332 C± YET tACTOR I s IS CERTIFIED under the provisions of ch.489 FS Expiration date: AUG 31, 2014 1,12051701113 THIS DOCUMENT HAS A COLORED BACKGROUND • MICROPRINTING • LINEMARK ' PATENTED PAPER STATE OF FLORIDA DEPARTMENT OF USINESS AND PROFESSION, REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD SEQ #1,12051701113 LICENSE NBR EF0001121 The ALARM SYSTEM CONTRACTOR I Named below IS CERTIFIED Under the provisions of Chapte Expiration date: AUG 31, 2014 MANGINELLI, GEORGE A ADT LLC 6830 SHADOWRIDGE DR SUITE 212; ORLANDO FL 32812' RICK SCOTT GOVERNOR DISPLAY AS REQUIRED BY LAW KEN LAWSON SECRETARY