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ELC-12-1841Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 179433 Permit Number: ELC -10 -12 -1841 Scheduled Inspection Date: May 29, 2013 Inspector: Devaney, Michael Owner: PROPERTIES LLC, SHORE SQUARE Job Address: 9031 -9069 BISCAYNE Boulevard 9031 Miami Shores, FL 33138 -0000 Project <NONE> Contractor: ADT LLC Permit Type: Electrical - Commercial Inspection Type: Final Work Classification: Addition /Alteration Phone Number (305)779 -8040 Parcel Number 1132060110051 Building Department Comments ALARM SYSTEM INSTALLATION Infractio Passed Comments INSPECTOR COMMENTS False Passed Inspector Comments Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. P/ May 29, 2013 For Inspections please call: (305)762 -4949 Page 2 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 BUILDING PERMIT APPLICATION FBC 20 Permit GENE L MAY 0 8 2013 No.EL —q -Ia Master Permit No. Permit Type: Electrical OWNER: NN+a�me (Fee Simple Titleholder): S}—C a R E, 5' Address: CQ <gY NP_ 11_5 Si' City: YINI C . tM L State: Zip: , j 3 1 I Tenant/Lessee Name: Phone #: Email: JOB ADDRESS: 0 1' t v S ( S City: Miami Shores County: Miami Dade Zip: Folio/Parcel #: 11 ' 3an c0" 01-00G1 Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: PO < Phone #: Address: \c° l g 5 'Y &it q� City: `( U t S tate: - cick Qualifier Name: eo Q cy , l Phone #: State Certification or Registration: O D �, Certificate of Competency #: Contact Phone #: Email Address: vIY� .o < 'eO� DESIGNER: Architect/Engineer: Phone #: a /2 (12(0 -5147 Zip: 333 D L 1 Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: Address °Alteration Description of Work: °New ❑Repair/Replace °Demolition kfyr, • c-- Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ DBPR $ Bond $ TOTAL FEE NOW DUE $ Bonding Name it (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 such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature � n Owner or Agent Co [r actor The foregoing instrument was acknowledged before me this The foregoing instrument was ackno ledged before me this 4 day of , 20 , by , day of in , 2013 , by &? . 1• —2 • 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: Print: My Commissi APPROVED BY Plans Examiner Structural Review (Revised 07(10 /07)(Revised 06/ 10/2009)(Revised 3/15/09) mg Clerk 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 e--/ 9 6* vg BUILDING PERMIT APPLICATION FBC 20 1111 DCT 0 20'12 Permit No. F =. JC) { G-f ! 4-) Master Permit No. Permit Type: Electrical OWNER: Name (Fee Simple Titleholder):,S hor€ SquQ Y tom Pope 5, LU--- Phone# " /3(43 1cl 55 Address: Loel LP N E 54 • City: N M I G t'A State: ' • Zip: 331 C.P ssee Name: #/"e0 Loa /74- Ly7 G . Phone #: 7S- / 7-7- 3 Email: JOB ADDRESS: go 25 /' %e.09)//i%ts 73/0 0 City: Miami Shores County: Folio/Parcel #: 1/ '32t 1/1 D06 0 Miami Dade Zip: 13 9 Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: 7-7_D 7 56 e0,42/?,,4" Address: / € /% 8.� /7% /2 / S LA) l� City: l)'% / %2 t9 .42 " ie State: /° .. Zip: .3 3 O State Certification or Registration #: EF ©0 i*i /1 / Certificate of Competency #: Contact Phone#: Email Address: DESIGNER: Architect/Engineer: Phone #: Phone #: o Q 0 S 6 ®? 1 I° Qualifier Name: Phone #: Value of Work for this Permit: $ -9 q. CO Square/Linear Footage of Work: Type of Work: ❑Address Alteration UNew ORepair/Replace UDemolition Description of Work: J e ‘S-74�// tea''' /9-0-7--11---' (1)pe--/ elat. ******** * * * * * * * * * * * * * * * * * * * * *** * * * ***** Fees * * * * * * * * * ** x** ** * * * * * * * * * * * * *** *** ** : * ****** Submittal Fee $60 Irjt,/^ Permit Fee $ /eP b 'eel CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ Ionding 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 AFNIDAVIT: 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. lso, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occ, .'seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be app, ov 41 # a reinspection fee will be charged. Signature 4 �,i,, /er or Agent The foregoing instrument was acknowledged before me this day of ,201.2„by \16110i 1 1Zhc1k.. who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: Contractor The foregoing instrument was acknowledged before me this 9--' day of �/C!/ , 20 40 ?-15--y , 4%Y /L ,/»)4Y who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commissio ************************ — x��x x�x� a�a� �x.. ** ** :**** ** * * ***************** ** *** * * *** ******* ******* ep APPROVED BY Plans Examiner Structural Review (Revised 07 /10 /07)(Revised 06110 /2009)(Revised 3/15/09) Zoning Clerk Prr on: Folio 11- 3206-011 -0060 Property Address 9005 BISCAYNE BLVD Owner Name(s) SHORE SQUARE PROPERTIES LLC Mailing Address 696 NE 125 ST MIAMI FL 33161 Primary Zone 6200 COMMERCIAL - ARTERIAL Use Code 0081 VACANT LAND Beds/Baths/Half 0 /0 /0 Floors 0 Living Units 0 Adj. Sq. Footage 0 Lot Size 27,731 SQ FT Year Bulk 0 Legal Description 6 53 42 ASBURY PARK PB 4 -110 BEG 478.01 FTW OF SE COR LOT 5 RUN W219.07FT ALG N R/W/L NE 90TH ST N12.20FT TO E R/W/L BISC BLVD TH NELY210.73FT E85FT S177FT TO POB on Current Previous Year 2012 2011 Land Value $610,082 $610,082 Building Value $0 8492,158 Market Value $610,082 $1,102,240 Assessed Value $610,082 $1,056,000 Ip1 Infer Current Previous Year 2012 2011 Homestead $0 $0 2nd Homestead $0 $0 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 Gi Aerial Photography 2012 Value Itttwttion:' Current Previous Year 2012 2011 Exemption/Taxable Exemption/Taxable County $0 / $610,082 $0 / $1,056,000 School Board $0 / $610,082 $0 / $1,102,240 City $0 / $610,082 $0 / $1,056,000 Regional $0 / $610,082 $0 / $1,056,000 Sale Inform Date Amount Recording Book -Page Qualification Code 11/2011 $8,000,000 27902 -4847 Sales not exposed to the open - market 2/2005 $0 23079 -3255 Sales which are disqualified as a result of examination of the deed 11/2005 $0 24432 -4515 Sales which are disqualified as a result of examination of the deed 9/1985 $1,850,000 12653 -1995 Deeds which include more than one parcel 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 webslte 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 httpJ/ www. miamidade .govlinfoldisclaimer.asp. Property information Inquiries, comments, and suggestions email: pawebmall@mlamidade.gov GIS inquiries, comments, and suggestions email: gis@miamidade.gov Generated on: Tuesday, October 02, 2012 0/2/12 www.sunbiz.org - Department of State Home It I N4 0 N Contact Lis E -Kling Services Document Searches Forms Help Prelious on List Next on List Retum To List No Events No Name History Detail by Entity Name Florida Limited Liability Company SHORE SQUARE PROPERTIES, LLC Filing Information Document NumberL11000075982 FEI/EIN Number 452672348 Date Flied 06/30/2011 State FL Status ACTNE Effective Date 06/28/2011 Principal Address 696 NE 1251H STREET • NORTH MIAMI FL 33161 US Mailing Address 696 NE 125TH STREET NORTH MIAMI FL 33161 US Registered Agent Name & Address ROBERT A. BRANDT, PA 696 NE 12511-I STREET NORTH MIAMI FL 33161 US Manager/Member Detail Name & Address Title MGR IZHAK, YORAM 696 NE 125TH STREET NORTH MIAMI FL 33161 US Title MGR LIPTON, ALAN 649 OCEAN BLVD GOLDEN BEACH FL 33160 Annual Reports Report Year Filed Date 2012 03/29/2012 !Entity Name Search Document Images ww.sunbiz.org/scripts/cordet.exe?action=DETFIL&inq_doc number =L11000075982 &inq_came_from... 1/2 SMALL BUSINESS CONTRACT CONTRACT DATE 9/ 23/ 1 Z ©a523475r03 CUSTOMER ACCOUNT NO 11 11 11 11 11 54000E00 11 11 11 1 y JOB NO LEAD SOURCE • i • 11' 1 • ADT LLC dba ADT Security Services ( "ADT ") Office Address ®r ir 1 ,e2P122 4h ®e r e.. 33O www.MyADT.com 1.800.ADT.ASAP® (1.800.238.2727) Business Name ( "Customer" or "I" or "me" or "my ") -°' j`} /41 Address City R spoNamle Protected Phone 25 � /. & % /V J State / 6. "°'t / ( , e� 6 15 Ia ZIP LEi✓ (Required) e ) /2 s e..' 0 /7/6-,..4....i Premises' Phone 0 Other (Qualified) 0 Other (Non - Qualified) 3 0," 7 4 5 t/ j 7 7 COTraditional EtPFiHI in if billing address is the same Billing Address City State ZIP Billing Phone (Required) IF FAMILIARIZATION PERIOD IS REJECTED INITIAL HEREee Paragraph B3 of the Terms and Conditions for explanation) EMAIL Commun'cations Authorization: I authorize ADT to provide me with information and updates about the security system and 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 new ADT and third -party or by calling Confirmation of Appointments: I authorize ADT to call me using an automated calling device to deliver a prerecorded message to set/confirm appointments and provide other information or notices about the alarm system of the telephone' number(s) rrovided by me.,Inital here Ownership of System and Equipment: 0 Customer -Owned C1ADT -Owned Verticals 0 Retail 0 Business Services 0 Personal Services 0 Automotive/Transportation 0 Grocery/Food 0 Health Services 0 Restaurants 0 Wholesale 0 Other 1 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 time I 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 Represen ative 1'' 4 €/ IS Q ,2 Re e d Rep. License No. i `� (If Required) Rep. ID No. M I Customer's Approval: Original Signature Requi d 1 ,_ "'dip 4# a ME /EE/ i 2- INSTALLER NO S (Special Instructions /Directions /Cross Street) 722 0 / by,-6 e.4 / - 1 of 6 Customer Copy ©2012 ADT LLC dba ADT Security Services. All rights reserved. (06/12) SMALL BUSINESS CONTRACT CONTRACT DATE a 2. 2 CUSTOMER ACCOUNT NO u n 11 i 11 54000E00 1100 111 JOB NO LEAD SOURCE • 1 - - • •- ' • • e -• Alarm Monitoring and Notification Services Monthly Service Charge Monthly Service Charge Burglary (BA) $ / Ai Q f f On Site Services O Hold-up (HUA) $ 0 Guard Response 0 Interior 0 Exterior O Duress $ 0 Other O Two -way voice $ Total Monthly Service Charge $ - -' 9' 9 0 Critical Condition Monitoring (CCM) 0 Flood 0 Temperature Initial Fee O Parallel Protection $ $ 0 Annual UL Certificate Fee 0 ADT to obtain Electrical Permit $ O ADT DataSource 0 Open /Close Login $ 0 Municipal Electrical Permit O 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 $ 0 Other 1 Other Services Installation Price $ 19 ®Quality Service Plan (QSP) / / $ a_ /� Taxable Amount (Leave blank if ADT - Owned) Non Taxable Amount (Leave blank if ADT Owned) $ $ O If Quality Service Plan (QSP) is Declined Customer must Initial here a Preventative Maintenance /Inspections Per Year 01 02 03 04 06 s 012 Connection Fee 0 Training '> $ k -f- Sales Tax on Installation* 1 $ 0 Direct Connection Services Tax Exempt No. 00 Tax Expiration Date Total Installation Charge* 0 Monthly Recurring Municipal Fee (Subject to change based on local law) 0 Customer to obtain and pay for municipal alarm use permit Deposit Received: 100% deposit required < $500 Minimum 50% deposit required $500+ ,yr; 0 Money Order 0 Check Credit/Debit Card *If applicable sales - ••I tax not shown, it will be added to the first invoice. • .••11 -I • •- 1 -• Balance Due* /// Quantity Device Description Device Location r 1712 € /V /5 6 i7/2 D -i-- a / 1 /, ► I.- -czy pit, .b / 4,62 4 ©-/ if o A) I / Ai g / (iU q' / f >t) /,6'A) i PAN' Q... !o/O') / 4} V 2. Doc, .. q 0A) / ,,,,, e2.7- ESC-/% ? 3 /2 0 &A 'd 74 /tea 12r Estimated Installation Start Date /W/W 2 of 6 02012 ADT LLC dba ADT Security Services. All rights reserved. (06/12)