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EL-12-1876 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-202685 Permit Number: EL-10-12-1876 Scheduled Inspection Date: November 08, 2013 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: SUAREZ,ALEJANDRO Work Classification: Alarm Job Address:85 NE 110 Street Miami Shores, FL 33161- Phone Number 9541961-1400 Parcel Number 1121360040240 Project: <NONE> Contractor: ADT LLC Building Department Comments ALARM SYSTEM INSTALLATION Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed Failed 5 Correction �� 0 /J Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. November 07,2013 For Inspections please call: (305)762-4949 Page 30 of 33 Al*ami Shores Village R Building Department MAY A 8 2013 10050 N.E.2nd Avenue,Mianri Shores,Florida 33138 Tel:(305)795.2204 Fax:(305)756.8972 �.�. INSPECTION'S PHONE NUMBER:(305)762.4949 --- 13UILDING Permit No. L2 L— 10-1a -1 V7 to PERMIT APPLICATION Master Permit No. FBC 20 Permit Type: Electrical OWNER:Name(Fee Simple Titleholder): A� � Address: �q, ,��/� 1 ® �� City: P°30Ar 1 Y Y \ �\ State: irk�(1ac. Zip: Tenant/Lessee Name: Phone#: Email: JOB ADDRESS: q.5 1~ I t ® S17 City: Miami Shores County: I I County: Miami Dade Zip: Folio/Parcel#: i �i 13 (o o® `�[ Is the Building Historically Designated:Yes NO Flood Zone: CONTRACTOR.Com any Name: P 0-T —L'(—C Phone#: I W;:�Address: C)—1•��,� G City: � i v ca f�� State: �P Qualifier Name: Y Phone#:q SH' oGe��W j State Certification or Registration#: Certificate of Competency#: Contact Phone#: Email Address: OA a D`--c DESIGNER:Architect/Engineer: Phone#: Value of Work for this Permit:$ SgoaretUnear Footage of Work: Type of Work: (]Address DAlteration ONew ❑Repair/Replace ODemolition Description of Work: = Simi#ta1 Fie$ errmt.lee$ -- _ Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ TrainingJEducation Fee$ Technology Fee$ Double Fee$ Structural Review$ TOTAL FEE NOW DUE$ ¢ 1 bonding Compan%'> Nairn i it appIicahIc i 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 Owner or Agent ontra or The foregoing instrument was acknowledged before me this The foregoing instrument was ack owl dged before me day of ,20_,by day of ffWDi-,200,by who is personally nown to me or who has w Y 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: Sign: c Print: Print: My Commission Expires: My Commission REZ MARIA.D.PE - _ r°, tar P.ttbit� tali Elon a F ' OVED-Bs Exarriiiner - - - Zoning Structural Review Clerk (Revised 07110/07)(Revised 06/10/2009)(Revised 3/15/09) t+ y Miami Shores Village-#&,Vk 1 ,,� Building Department GICT 0 a 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel: (305)795.2204 Fax: (305)756.8972 -------- INSPECTION'S PHONE NUMBER: (305)762.4949 FBC 20 BUILDING Permit No. 1 16 PERMIT APPLICATION Master Permit No. Permit Type: Electrical JOB ADDRESS: 'Z�S NI c--- I ( ®— City: Miami Shores County: Miami Dade Zip: 331 Folio/Parcel#: 13 Lp` 0tby-- D a L(o Is the Building Historically Designated:Yes NO Flood Zone: OWNER:Name(Fee Simple Titleholder): "iJ�H 0e-0r1i Phone#: 3Os 2-W `lI I S Address: 'W S N e 110" S- City: �'— t n�r-11 State: I—u Zip: -3 3 Ile 1 Tenant/Lessee Name: Phone#: Email: A 0 RrLorJ Q� c'r-iEst., C-0r-A CONTRACTOR: Company Name: AD7-4 .-C_,, Phone#:e;—�� C�6va3 Address: & <ffr L.[—a4l City: ° State: Zi x—�' Qualifier Name: /W"/- /�/C ®��l G Phone#: State Certification r Registration#: Certificate of Competency#: Contact Phone(QK � �a3 Email Address: O®�/� _l�� '��Q j�• �'� DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: DAddress Alteration ❑New ORepair/Replacer _., ., T L3Demolition Description of Work: V tz-- Oi- ,f.r-i Submittal Fee$ Permit Fee$ 1100-100 CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ Structural Review$ TOTAL,FEE NOW DUE$ F � 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the.first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the ilrspectiorr kill not be approved and •einspectiort fee ii,ill be cluu•,r,,ed. Signature—. Si - nature SrQ bnature Owner or Agent Contractor _ The foregoing instrument was acknowledged before me this 01% The foregoing instrument was acknowledged before me this day of S0_11166eg,-2012,by NA e-'n rW o a L,C day of 20/Q by who is personally known to me or who has produced ` who i personally kno to me or who has produced OP As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC' •L�T�BB®B® Co ® a L .. Sign: Sign: Print: Print: � �� •P '"•.. BRANXI BERRY My Commission Ex .a� b1YCOMMIfiS10NAEE171273 My Commission Expires: a IA tvm �"i" 0.-os 'g,'•� ` Bo Thrum azy PubBe U0,2n8 writete ���/�yy/f ®°� �� •��p_ s' '•� �o�®® 7l ®®s®sOF FLOW%%%% o APPROVED BY M' eP—tL7� Plans Examiner Zoning Structural Review Clerk (Rcviscd Y12/2012)(Recised07/10/07)(Rexked 06/10/2009)(Revised 311�/09i + 4 O ♦7 Vt u a h! ■n■ n... ANTES H'i$ ORIDp� 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: ; DATE: PLANREVIEWER: PLAN REVIEWER SIGNATURE: DATE: Created on June 2009 Miami-Dade My Home Page 1 of 2 My Home MIAMI DADE Show Me: Property Information ' Legend Search By: Property Select Item ► Boundary Selected Property Text onlyt, Property Appraiser Tax Estimator 444 Street Property Appraiser Tax / Highway Comparison Miami-Dade County Portability S.O.H.Calculator Water Summary Details: t11TT N Folio No.: 11-2136-004-0240 Pro et : 5NE110ST " W Mailing FEDERAL NATIONAL ddress: MORTGAGE ASSN $ 7105 CORPORATE DR PLANO TX 75024 Property Information: 1000 SINGLE FAMILY3 ;atTti S7- Primary Zone: RESIDENCE , 0001 RESIDENTIAL- CLUC: SINGLE FAMILY Beds/Baths: 2/1 Floors: 1 Livinq Units: 1 Aerial Photography-2009 0 112 ft d'S Foota e: 1,210 Lot Size: 9,075 SO FT ear Built: 1941 COLLEGE HEIGHTS PB My Home I Property Information I Property Taxes Legal 42-8 LOT 25 BLK 1 LOT I My Neighborhood I Property Appraiser Description: SIZE 75.000 X 121 OR 20825-3159 11 2002 1 Home I Using Our Site I Phone Directory I Privacy I Disclaimer OR 28089-3274 0412 12 Assessment Information: Year: 2011 1 2010 Land Value: $82.118 $82,118 If you experience technical difficulties with the Property Information application, Building Value: $98,314 1$98,866 or wish to send us your comments,questions or suggestions Market Value: $180,432 1$180,984 please email us at Webmaster. Assessed Value: $180,432 1$180,348 Exemption Information: Web Site ear: 1 2011 2010 ©2002 Miami-Dade County. Homestead: 1 $25,000 1 $25,000 All rights reserved. 2nd Homestead: I YES I YES Taxable Value Information: ear: 2011 2010 Applied Applied axing Authority: Exemption/ Exemption/ Taxable Taxable Value: Value: Regional: $50,000/ $50,000/ $130,432 $130,348 County: $50,000/ $50,000/ $130,432 $130,348 City: $50,000/ $50,000/ $130,432 $130,348 School Board: $25,000/ $25,000/ $155,432 $155,348 Sale Information: Sale Date: 4/2012 http://gisims2.miamidadc.gov/myhome/propmap.asp 8/9/2012 •f S - t REIT�A DNL SERVICES CONTRACT(ACTIVATION). g ACCOUNT 5404UECO CONTRACT LEAD NO p 8 NO SOyR Section orn er Info ADT LLC Customer Name dba ADT Security Services("ADT") (.Customer.m^I°or°me'or°my) Office Address 4 0 IW785 AZ,(SVZPri+ Address MS1 14d d{. r' MICA T= 33o2s �I si )41q-11l,q City N F-1 11 State[ffg ZIP 3 �L.B �HCAAT•Co.n www.MyAI)T.com Tax Exempt No. Tax Expire Date 1.800.ADT.ASAP® Protected Premises' lb Traditional Phone O other(Qualf� O Other(Non-Qualified) (1.800.238.2727) Telephone Alternate p O Home ®Cell O Work Ailtemate ( ° 'O Homer b Cell O Work Telephone 1 Telephone 2 ®Fill in if billing address is the same i{ j Billing Address City State m ZIP IF FAMJLIARIZATION PERIOD IS REJECTED INITIAL HERE (see Paragraph 14 of the Terms and Conditions for explanation) EMAIL Communications Authorization:I authorize ADT to pr de me with information and updates`aiiout the security system and new ADT and third-party products and services to the contact informs' rtied 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:I authorize A134T to call me using an automated calling device to deliver a pre-recorded message to set/confi appointments and provide other information and notices about the alarm system at the telephone number(s)provided by me.lntial here EQUIPMENT TO REMAIN THE PROPERTY OF ADT.All ulpment installed by ADT pursuant to this Contract shall be owned by ADT unless T has agreed to give me ownership of the equipment in paste written agreement ADT has the right upon termination of this Contra to remove or disable any or all of the equipment o by =case I will not be able to use the equipment for any Purpose. Paragraph 7 of the. Terms and Conditions for more Info : 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 agXXgpjpr.k J 0DI_IecpCri[pends,that 1 manually test the alarm system monthly and any time 1 change telephone service,by calling I*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,the this Contract will terminated,and ADT's only obligation will be to notify me of such termination and refund any amounts I paid in advance. = ADT Repre§APAistive Rep.License No. Rep. (If Required) ID ao. Customer's Approval:O 'nal Signs .Required(Must match Customer Name in Section 1 above) X 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 ' �,g.yy PAYMENTS FOR THE B.AMOUNT OF EACH PAYMENT IS $ ' TOTAL OF PAYMENTS FOR THE INITIAL TERM IS �— INITIAL TERM IS 36 (TOTAL MONTHLY SERVICE CHARGE FROM BELOW) AND TIMES BNCEXCLUSIVE OF ANY APPLICABLE TAXES,FEES.FINES LATE CHARGE-PAYMENT IS DUE PURSUANT TO MY SELECTED BILLING _r FREQUENCY,PRIOR TO THE START OF SERVICE.MY FIRST BILL/CHARGE WILL PREPAYMENT-IF I PREPAY THE SEE PARAGRAPHS 2,7,15 AND BE SENT/MADE SHORTLY AFTER MY SERVICE BEGINS.ADT MAY IMPOSE A TOTAL OF PAYMENTS PRIOR TO 19 OF THIS CONTRACT FOR ONE-TIME LATE CHARGE ON EACH PAYMENT THAT IS MORE THAN TEN(10) THE END OF THE INITIAL TERM ADDITIONAL INFORMATION DAYS PAST DUE,UP TO THE MAXIMUM AMOUNT PERMITTED BY LAW,BUT IN OF THIS CONTRACT,THERE IS NO ,ABOUT NONPAYMENT,DEFAULT NO EVENT WILL THIS AMOUNT EXCEED$5.00. PENALTY OR REFUND. AND ACCELERATION. O f 6 ©2012 ADT LLC dba ADT Security Services. Administrative Copy All rights reserved.(06/12) RESIDENTIAL'SERVICES.CONTRACT(ACTIVATION) 5404UE00 CONTRA a $ .AC OUNT NO ( � $ ,NO a ( SOU s,ection 2. Services to be Provided (continued) Mond*Service Charge O Mun!$ I ee b!QC)tely InitiaUAmuwl Fee (Subject to dump based on w) ti Standard Monthly Service,Burglary Service includes:Customer Monitoring Center Signal O Customer to obtain and pay Initial/annual pal Receiving and Notification Service for Burglary, alaim use permit Failure to aand T with Manual Fire and Manual Police Emergency dJL.I the municipal alarm use perstrar could result in no municipal f re/poponrm from the premises"or a f O Standard Monthly Service,FhWsnmke Detection Service includes:Customer Monitoring Center Signal Municipal Electrical Permi $ Receiving and NoYdicadon Service for fire,Manual Fire $ ®Customer to obtain electricait •p and Manual Police Emergency O Carbon Monoxide O Flood O Low Temp $ Installation Price O Medical Alert $' Taxable Amount O Safewatch Cellgirard® �rtC L, Non Taxable Amount O SecurityLink® Connection Fee Y ®Extended Umited Warranty/Quality Service Plan(QSP) $ cL Admin Fee O Guard Response Service Sales Tax on Installation* O Monthly Recurring Municipal Fee a (Subject to change based on local law) Q i Installation Charge* I q:,oD O Customer to obtain and pay for �P municipal alarm use permit ' O Other $ Deposit Received .�91.-00 ` Total Monthly Service Charge $ qLA,9c Balance Due upon Installation* *If applicable sales tax not shown,it will be added to the first invoice. 'Section 3. Equipment to be Installed Control Panel Comments Package Name: includes: Foyer Living Room Family Room L Office Dining Room. 9 t,&C Kitchen Laundry.Room -- Hallway ----------..__—' -- ------I---"- - I j7T,Cj" Master Bedroom J ly�st Balk 3p J E Bedroom 2 B P-4 edroom 3 ` , Bath 2 f Basement - i , Garage �It Price Per Piece—F Totals I E=Exxistingg Equipment � Estimated Installation Start Date INSTALLER NOTES 02012 ADT LLC dba ADT Security Services. Of 6 All rights reserved.(06!121