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EL-13-1540 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-204107 Permit Number: EL-7-13-1540 Scheduled Inspection Date: December 09,2013 Permit Type: Electrical- Residential Inspector: Devaney, Michael Inspection Type: Final Owner: RODRIGUEZ,JUAN&SUSAN Work Classification: Alarm Job Address:301 NE 96 Street Miami Shores, FL 33138- Phone Number Parcel Number 1132060135880 Project: <NONE> Contractor: ADT LLC Building Department Comments BURGLAR ALARM Infractio Passed Comments INSPECTOR COMMENTS False Inspect Comments Passed 12f s1 Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. For Inspections please call: (305)762-4949 December 09,2013 Page 29 of 29 Miami Shores Village Building Department 10050 N.E1nd Avenue,Miami Shores,Florida 33138 JUL 10 2013 Tel:(305)795.2204 Fax:(305)756.8972 INSPECTION'S PHONE NUMBER:(305)762.4949 BUILDING Permit No. PERMIT APPLICATION Master Permit No.(�__U 3 — 9 SLA FBC 20 jL Permit Type:Electrical OWNER:Name(Fee Simple Titleholder): 1�'��-t S®� 51�'�"��A'J phone#: 3 5" Address: —701 N e City: L4(q-H( Ste. Ft- zip; 7 TenanvIxssee Name: Phone#: Email: JOB ADDRESS: 301 N 9& lrryx ✓ City: Miami Shores County: Miami Dade Zip: .7.7/ `3 Foliornarcelk 11- 3 7,0& • 0/7 • .S2 jo Is the Building Historically Designated:Yes NO Flood Zone: CONTRACTOR:Company Name: r PhonW �c��(Y Address: 1A city: State: Zip: Qualifier Name: Phone#: State Certification or R'eg�iystration# / Certificate of Competency# Contact Phone#: � iit��O� —,5p \Email Address: g9 DESIGNER:Architect/Engineer: Phone# Value of Work for this Permit:S_ Square/Llnear Footage of Work: Type of Work: OAddress teration ONew L Repair/Replace ODemolition Description of Work• �u 0u VL4 Submittal Fee$ �` Permit Fee$ ®°®d CCF$ CO/CC$ Sunning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ TrainingtEdnution Fu$ Technology Fu$ 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 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$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement mast be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will not be approved and a reinspecdon fee will be charged Si Signature del Owner or Agen Contractor The foregoing instrument was acknowledged before me this_ The foregoing instrument was acknowledged before me tins I day of ,20 u.by Aiw--j S-Y,-�i`l day of 20 Zd,by f"eg who is personally known to me or who has produced who is personally known to me or who has produced As identification and wh oath. as identification and who did take an oath. � 1 NOTARY PUBLIC: ��`�� •••SEAT p NOTARY PUBLIC: .• ooaa�rss•. �,,• ;•4 %ay toyye'�•s; Sign: ® _ "' S — Sign: l a 2 ol Print �•�`A L %'I' L Print L My Commission Expires: %, • A 0.000 0 �`� My Commission Expires: AO�E pL.EDWARDS ilBLIC !!a1't�ci�►! ��1 -ESTATE OF FLORIDA � Expires 2M�9 APPROVED BY %7/L- l® Plans Examiner Zoning Shuctural Review Clerk (R evised 07/1 O7)Revised 06110f W )(Re vised 3/15/09) 5 Attorney at Law Atvww&Barbara.LLP 2701&Ba bareDdve State 500 pOaasi,ltL 33133 =305-263-770 M Nmber: M13-009 wm Ca$xw fS�aeAbpveT�►?daePa�RD�I• - - .s Warranty.Deed• This Wamuty► Deed anrle tVA 26th dap of Ime.2013 botwm JUS A. R94jimm sad� G,ftWgOEN Imband and wife wbose post addM is�1 N>i:96th Stawafi, ,PL 33138,ilk Stongla and Man N1Strongk,badra<nd and wife,whose POA Ofte adds is; . (Wl w�asvrraeadhea�thete�°g<ap0o�"eat"fl�" eltt'� i�th�htaod�hehs,� � afh+div�uala, . Whuesse#l,that seat gramor,for and to oxwdumdm of the a.of TEN AND N01100 Dt)LLW(510.00)and(2bw good and valn610 cmaWcatlow to Ladd Smour in basil paid by said grantee,the nit whmaf is bmb7 a*WwWj4 a d sold to the said g�and 8 's�a�assigns irk�follow�n$ land; mate„Lying and being in Kkrd-Dade County.F%rlda to-wit: Lacs 13 and•t4, Bloek 43, of AN ADd$NAP,D PLAT OF MUM MOM MWIZOW NO 14 to tlse Plat glmof,reeordsd in lqg Bonk 10,Page 70,of*e Wbk Reconb of Wbmi Bade +Mmd- p Umfificatim Nwmber:113?0"Ll-SM Togetherwith'alltb�etis nts, and &embdaglA9oririanywiseapped• To Have and to Hdld,ft saaa3 bt fee SIMPU And to grantor hw by caeanaats Wn 80$1�t�ttc is WvpAy said of Wd land in fee sfirplei that the g bas flo dgbt add lawlnl authm*to wl and convey said but that the gar h�Y MY the title tp said.ind and wM defend the lame against the lamM chime of all l? whomsoever,and that said load is fxee of ail en.m*mcm ex qt two ace[uing=Nqpmt to pewsber 31,2012. In Witness Where grantflr bas ha cam set gza�'s band and seal the day and y�e.�r fib Above wdttray. _ a � SigRcA waled and ddh;wW In YlY pmwm ' / OW) Q�3�]t NaII7�: CCvI�✓ - Wit m Name. 9A Wftm a dripm W Alamo Stale ofl�lorida - _ - Cow ty dMWxd Dade T1n,!fig bwftumem wo adaowlWgcd bd=are this 251h dap of Jone;2013 by Jun.A.Radripm and Sawn Q Rodtigne�,wbD L j are pwaaaitp Dawn or pq have pmdwed a ddWs HDM*as idcti� - Prbod No= Mama •• €10 . . MyCoPh . t , My Home MIAMhDADE ti. Show Me: ftpertyinbmubw k, ,- -- Legend Search By: w. Property Select Item Selected Property Text only i�6T „>3. Street Property Appraiser Tax Estimator - q 9TTl - Property Appraiser Tax Comparison _ fir✓ Highway 4 r � Miami-Dade Portability S.O.H.Calculator- `t County MM Water S mmary Details: Folio No.: 11-3206-013-5880 HE 96TH ST t Property: 01 NE 96 ST Mailing JUAN A RODRIGUEZ W E Address: USAN G RODRIGUEZ t F .n L1 NE 96 ST MIAMI SHORES " 1 . r .T S 3138 �4 Pro a Information: r' 1400 SGL FAMILY-3001- .' Primary Zone: r 3250 SO - 0001 RESIDENTIAL- t� LUC: SINGLE FAMILY " HE 95TH ST ro Beds/Baths: /3 ; Floors: 1 Living Units: 1 d S2 Footage: 3,138 Aerial Photography-2012 0 112 ft Lot Size: 11,500 SQ FT Year Built: 1948 1 53 416 53 42 MIAMI SHORES SEC 1 PP13 10-70 LOT 13&14 4 B LK 43 My Home I Property Information I Property Taxes Legal Description: LOT SIZE 100.000 X 115 1 My Neighborhood I Property Appraiser OR 21331-4930 06 2003 1 Site O i U Home I Using Our e one Directory I Disclaimer CDC 26037-4452 10 2007 H I Ph Dit Privacy I —� 3 Assessment Information: ear. 2013 2012 If you experience technical difficulties with the Property Information application, and Value: $214,061 $164,836 or wish to send us your comments,questions or suggestions uilding Value: $193,571 223 819 please email us at Webmaster. arket Value: $407 632 388,655 ssessed Value: $386,046 379,593 Exem Jtlon Information: Web Site ©2002 Miami-Dade County. ear: 2013 2012 All rights reserved. omestead: $25,000 $2500 12nd Homestead: I YES YES Taxable Value Information: Year: 2013 2012 Taxing Applied Applied Authority: Exemption/ Exemption/ Taxable Value: Taxable Value: R ional:$50,000/$336,04 $50,000/$329,593 County: $50,000/$336,046$501000/$329,593 $50,000/$336,04 0,000/$329,593 chool $25,000/$361,04 25,0001$354,593 oard: Sale Information: RESIDENTIAL SERVICES CONTRACT /_ • -T- 34-7 ls9 2Z MHJ- 1500-715(0 - 5401UE04 CUSTOMER! CONTRA 0 J 3 AC COUNTNO t D JOB W LEAD NO SOURCE Section • • ADT LLC Customer Name dba ADT Security Services("ADT)I('Customer'or°I'or'me,or,MY Office Address Syid O�q-i. L A 5 2 14 M E ats)�S6Z$227 Premises' ( 1861 � Address' 4 f u(�. City State® ZIP 3 l�'(t1�✓f r1" i Tax Exempt No. Tax Expire Date M M D D Y Y www.MyADT.com 800.ADT.ASAP® Protected Premises' 3.5 O Traditional Phone O other(Qualified) O Other(Non-Qualified) - — (800.238.2727) - Telephone Alternate O Home 0 Cell O Work Alternate O Home O Cell 0 Work Telephone 1 Telephone 2 O Fill in if billing address is the same Billing Address I�� il��i City State m ZIP L�1�LLI IF FAMILIARIZATION PERIOD IS REJECTED INITIAL HERE :(see Paragraph 14 of the Terms and Conditions for explanation) EMAIL Communications 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 donotcontactt@adtcom or by calling 888.DNC4ADT(888.362.4238).Initial here If I have provided or do provide ADT with a phone number,including but not limited to a cell phone number,a number that 1 later convert to a cell phone number,or any number that I subsequently provide for billing purposes,I agree that ADT may contact me at thisfthese number(s).I also agree to receive calls and messages,including pre-recorded messages and calls and messages from automated dialing systems,at the number(s)provided. EQUIPMENT TO REMAIN THE PROPERTY OF ADT.All equipment installed 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,including but not 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 have selected and purchased only the equipment and services identified in this Contract.(D) 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.(E)ADT recommends that I manually test the alarm system monthly and any time I change telephone service,by calling 800.ADT.ASAP or by logging 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 refund any amounts I paid In advance. ADT Re resentative Rep.License No. Rep. �$y OrJ (If Required) ID IN Customer's Approval:Original Signature Required(Must match Customer Name in Section 1 above) NOTICE OF CANCELLATION I,THE CUSTOMER,MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS 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 OF THIS NOTICE. Section • be Provided FINANCIAL DISCLOSURE STATEMENT THERE IS NO FINANCE CHARGE OR COST OF CREDIT(0%APR)ASSOCIATED WITH THIS CONTRACT. A.NUMBER OF TOTAL OF PAYMENTS FOR THE INITIAL TERM IS $ �8a PAYMENTS FOR THE B.AMOUNT OF EACH PAYMENT IS $ (A,TIMES B.)(EXCLUSIVE OF ANY APPLICABLE TAXES,FEES,FINES INITIAL TERM IS 36. (TOTAL MONTHLY SERVICE CHARGE FROM BELOW) AND RATE INCREASES) LATE CHARGE-PAYMENT IS DUE PURSUANT TO MY SELECTED BILLING PREPAYMENT—IF I PREPAY THE SEE PARAGRAPHS 2,7,IIS AND FREQUENCY,PRIOR TO THE START OF SERVICE.MY FIRST BILUCHARGE WILL TOTAL OF PAYMENTS PRIOR TO 19 OF THIS CONTRACT FOR SE A E SHORTLY AFTER MY SERVICE BEGINS.ADT MAY IMPOSE ONAL INFORMATION BE SENT/MAD THE END OF THE INITIAL TERM ADDITI ONETIME LATE CHARGE ON EACH PAYMENT THAT IS MORE THAN TEN(10) OF THIS CONTRACT,THERE IS NO ABOUT NONPAYMENT,DEFAULT DAYS PAST DUE,UP TO THE MAXIMUM AMOUNT PERMITTED BY LAW,BUT IN PENALTY OR REFUND. AND ACCELERATION. NO EVENT WILL THIS AMOUNT EXCEED$5.00. @2013 ADT LLC dba ADT Security Services. 1 of 6 Office Copy All rights reserved.(02/13) RESIDENTIAL SERVICES CONTRACT 5401 UE04 CON DATE 3 AC CUSTOMER NO ( $ ,NO 19 SOURCE IRRI Section 2. Services to be Provided (continued) a Monthly Service Charge O InwallAnnual Recurring Municipal Fee billed separately i Initial/Mnual Fee 0 Standard Monthly Service,Burglary -- ------ (Subject to change based on local law) Service includes:Customer Monitoring Center Signal O Customer to obtain and pay for initiaUannual municipal Receiving and Notification Service for Burglary, alarm use permit Failure to obtain and provide ADT with Manual Fire and Manual Police Emergency I�L the municipal alarm use permit registration number could result in no municipal firelpolice response to an alarm from the premises and/or a fine. m Standard Monthly Service,FaelSmoke Detection Service includes:Customer Monitoring Center Signal rL Municipal Electrical Permit Fee � 41 $ Receiving and Notification Service for Fire,Manual Fire $ I O Customer to obtain electrical permit and Manual Police Emergency CIS+ ®Carbon Monoxide O Flood O Low Temp i $ I rf L Installation Price I 25$3 O Medical Alert Taxable Amount a Safewatch ® Cell uard --------—__-i---_-----—.-..-- ------- .-._—_---- —_____.— g $ (n(v Non-Taxable Amount { O Securityl-ink®Two-Way Voice Connection/Activation Fee ®Extended Limited Warranty/quality Service Plan(n¢ $ (njL Admin Fee O Guard Response Service Sales Tax on Installation O Monthly Recurring Municipal Fee Total Installation Charge* I 2,77-3 — (Subject to change based on local law) O Customer to obtain and pay for municipal alarm use permit - Trip Charge Received -- ---- ---- — ------ --- 0 Other �c'� P'" Jr. �w�11Y0(. $ 1 kV-1 Deposit Received C 3 Total Monthly Service Charge Sg��^ Balance Due upon Installation* { 3 b I. S-D *If applicable sales tax not shown,it will be added to the first invoice,if not collected at the time of installation. Section • • to be Installed a¢o Control C Q` t�l o . t ¢sa °n0° �C°: boa. Panel Ll 3 i as\1J, o .-�S¢ ,cQ¢ 0�¢a�l mob \��`�°o��a��.\ Lato \S�oC�\s¢os� \sa°c Qo\s¢ /�jx �J,G(,\/ ., o°�S yS�oa°.''�o�`O V�aO¢� ¢ ,i�at0p¢ Sa"r`�aa%ACV %PO V9 pO�eoePOSPQQ�/PO\ `;' Comments Package Name: (06 Lo Includeskwryj I { Foyer _ ' i 1 Living Room Tf�ft'3 Family Room ItF Co-3iS -- , I .6r Office ' �- v60 Dining Room M Y Kitchen qW4F Laundry Room 6 440'&V Hallway ?. . Master Bedroom I — 1— — Master Bath { - Bedroom 3 —L----� — _-__ --_ Bath 2 ---- -- ---�-----�--- ; --- — —— BasementT Garage { 44— —�t Price Per Piece Totals 1 rj 1-7 3 Z I E=Existing Equipment a_ Estimated Installation Start Date �((ff NOTES a'Y► ` ®2013 ADT LLC dba ADT Security Services. 2 Of 6 All rights reserved.(02/13) IAML ' UW RESIDENTIAL SERVICES CONTRACT 5401UE04 CONTRACT DATE J AC OUNT NO q g NO©SOURCE LAC Check ®Check received for 4i Installation: Check# Amount $ Confirmation# O Annual Service Charges Collected: Cheek# Amount $ Check Confirmation# I authorize ADT: O To withdraw all()Service Charges and(t)Contract Termination Charges i®To charge my credit/debit card for all p)Service Charges and(i)Contract (see Paragraph 2.Early Termination of this Contract)from my bank account: Termination Charges(see Paragraph 2.EarlyTernination of this Contract): O Annually O Semi-Annually O Quarterly O Monthly W installation O 3 monthly aedlYdebit card payments of equal amounts — Choose one: O Checking O Savings (available only for telephone orders with an installation price Name of BanktCredit Union over$400 or field sales with an installation price over$1,500) .All/Recurring Service Charges O Annually O Semi-Annually O Quarterly ®Monthly ABA Routing Number Bank Account Number ; ®VISA O MasterCard O Discover O AMEX IFFM11111111 11111 1] Credit/Debit Card Number Expiration Date ,{cfS 1131310 1174971 It E/519 Recurring Service Charge Amount $ Plus tax MM Y Y 11 I Name as it appears on bank account !Recurring Service Charge Amount g Plus tax Cardholder's Name I authorize ADT to debit my bank account for the amount of all Recurring Service Charges I If I am using a debit card,I autorize ADT to debit t my bank account for the amount of all and all Contract Termination Charges(see Paragraph 2.Easy Termination of this Contract) !Recurring Service Charges and all Contract Termination Charges(see Paragraph 2.Early indicated above.I may revoke this authorization only by notifying ADT and my bank in Termination of this Contract)indicated above.I may revoke this authorization only by writing at least 10 business days before the scheduled debit If no oval is filled above, notifying ADT and my bank in writing at least 10 business days before the scheduled debit service charges will be withdrawn monthly. If no oval is filled above,my aeditdebft card will be charged monthly. -----. . - - ----- -- -- ----- --- --- I authorize ADT to withdraw the amounts in this section from my bank account or credit card through an Automated Clearing House('ACH').These payments are for the equipment and services described in this Contras This authorization will remain in effect until the termination date of this Contract or until I cancel it in writing,whichever occurs first I also agree to notify ADT in writing of any changes in my account information at least 15 days prior to the next billing date.If a payment date falls on a weekend or holiday,payment may be executed on the next business day.Because this is an electronic transaction,these funds may be withdrawn from my account each month as early as the transaction date.if the date or amount of the withdrawal changes,or if Contract Termination Charges(see Paragraph 2.Early Termination of this Contract)apply,ADT will notify me at least 10 days prior to the payment being collected.If an ACH transaction is rejected for non-sufficient funds(NSF),ADT may attempt to process the charge again within 30 days,and an NSF charge may apply.The origination of ACH transactions to my account must comply with the provisions of U.S.law.I am an authorized user of this credit card or bank account and I well not dispute the payment with my credit card company or bank,so long as the amount corresponds to the terms indicated in this Contract O To send me a bit I: O Annually O Semi-Annually O Quarterly O Other DOA Approval If no oval is filled,ADT will send bill quarterly. Authorized Account SionaWre• Section • and System Data Municipality (� Municipality Police Name Fire Name Municipality Medical Patrol Name Responder Name &Number Cross street Job Type O New Sale O C hange Over O Upgrade O Resale Control Type ®HW O RF Permit Affiliation Member# Number Burglar Alarm:O Yes O No Fire/Smoke:®Yes O No Two-Way Voice:O Yes*NO Cellular Maki: S-7 -7 1 0 •Parallel O Standard Resale-Former Acct# Former CS# Section • Password This password must be issued to all users of the alarm system,including all people listed in Section 7.An optional,secondary password for service individuals,housekeepers,tenants, etc is available upon request A password must be no less than three(3)and no more than five(5)characters in length and may not contain any punctuation or spaces,offensive language or non-standard spelling.Customer may change passwords and contacts by going to www.MyADT.com or by calling ADT tall-free at$DO.ADT.ASAP. Section •eContact These are the individuals who may be called in the event of an alarm.Because they may nerd to meet the authorities in response to an al arm,I will provide them access to my premises, the password,and the keypad code.By selecting the'Yes designation on the right I am identifying which of these Individuals may be called prior to,notification of the authorities. CustomerfEtnergemcy Contact#, 1�-�.(�,,tiy fs�,,eoru>rl/ 3057 X99 osBs OO . O Print Firstllast Name Phone Home Cell Work Yes No O O O O O n Phone Home Cell Work Yes No Customer/Emergency Contact#2 IXl.1Swk 1�2LJ 6A Ul�� 204 Z._. O ® O O Print Firsttast Name Phone Home Cell Work Yes No O O O 00 S�u i 1 Phone Home Cell Work Yes No AhematefFmergency only contact C p (x, N Phone 3a r?9 0 7 7 8`f Home ® w k 0 4D Print First/Last Name 0 0 0 O O Phone Home Cell Work Yes No @2013 ADT LLC dba ADT Security Services. 3 of 6 All rights reserved.(02/13)