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EL-13-826 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-199091 Permit Number: EL-4-13-826
Scheduled Inspection Date: September 16,2013 Permit Type: Electrical - Residential
Inspector: Devaney, Michael
Inspection Type: Final
Owner: STRAUSS, MICHAEL Work Classification: Alarm
Job Address: 1251 NE 94 Street
Miami Shores, FL Phone Number
Parcel Number 1132050100050
Project: <NONE>
Contractor: ADT LLC
Building Department Comments
Infractio Passed Comments
INSTALL BURGLAR ALARM INSPECTOR COMMENTS False
Inspector Comments
Passed [Ef
Failed
Correction ❑
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
September 13,2013 For Inspections please call: (305)762-4949 Page 30 of 38
Miarm Shores Village
� ���
Building Department APR � �' ����
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
TeE•(305)795.2204 Fax:(305)756.8972
�\ INSPECTION'S PHONE NUMBER:(345)762.4949
FBC 20 KD
BUILDING Permit No.
PERMIT APPLICATION Master Permit NS<-4 3—k';°
Permit Type:Electrical
JOB ADDRESS: 04E5 1 N
City: Miami Shores County: Miami Dade Zip: 3
Folio/Parcel#: 1l- ?os — O k V
Is the Building Historically Designated:Yes NO Flood Zone:
OWNER:Name(Fee Simple Titleholder): i9
Address: i
City: 6 �_State: Zip: `�77t2
Tenant/Lessee Name: Phone#:
Email: )
CONTRACTOR:Company Name: Phone#:
Address: L0 MAS
City: it State: _Zip: � ®��
Qualifier Name: "c�L'—' ip�'� A Phone#: —
State Certification or Registration#: '&�c� l l2 Certificate of Competency#:
Contact Phone#: Email Address:
DESIGNER:Architect/Engineer: Phone#:
Value of Work for this Permit:$ 100 00 Square/Linear Footage of Work:
Type of Work: ❑Address Alteration ONew ❑Repair/Replace LIDemolition
Description of Work: -:7i y s/it// A��
Submittal Fee$ C Permit Fee$ 1106' r 10® CCF$ CO/CC$
i�
Scanning Fee$ Radon Fee$ DBPR$ Bond$
Notary$ Training/Education Fee$ Technology Fee$
Double Fee$ Structural Review$
TOTAL FEE NOW DUE$
4 . t
t
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
inspection will not be approved and a reinspection fee will be charged.
Signature Signature
Owner gent Co actor
The foregoing instrument was acknowledged befog me th' ® The foregoing i strument was acknowledged before me this �
day of ° ,20 by �° ay of 203 by 0`rI wlozmel
who is pers nally known to me or who has produced who is personally known to me or who has produced
®° i entification and who did take an oath. as identification and who did take an oath.
NOTARY PUB NOTARY PUBLIC:
®��®��••ease e••0 7j0
aa: MY�o�•. �.
0,4 Sign: �•
Sign: a $Tl ar-:�> °�•ta®
Q e �
Pri n Print:
My n IQM41A BOKKUIU M Commission Expires:
Z 1SSION#EES53743 ;�» 5'a'�•��°
•;� ®® .�
• EXPIRES N*M mber 25,2016 �A// ORItDA`a�4R�tl�
t407)3W4153 F eWaae Smvioe can
APPROVED BY A/7A Plans Examiner Zoning
Structural Review Clerk
(Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)
Miami-Dade My Home Page 1 of 2
My Home
- MIAMPDADE
Show Me:
Property Information Legend
Search By:
Property
Select Item I N Boundary
r Selected
Property
® Text only
4
•Property Appraiser Tax Estimator N Street
w
Property Appraiser Tax r 0%4 Highway
Comparison
- Miami-Dade
_ County
S Portability S.O.H.Calculator . Water
Summary Details: wE 24TH ST
Folio No.:
Property: 1251 NE 94 ST Sri:
Mailing MICHAEL JUERGEN - Q w t
ddress: TRAUSS W'
A
1251 NE 94 ST MIAMI
HORES FL
3138- T m
411 ro ert Information:
Zone: 1400 SGL FAMILY- ! >AT
001-3250 SQ
001 RESIDENTIAL-
INGLE FAMILY
Beds/Baths: /2
Floors: 1 nits: 1 Aerial Photography-2012 0 113 ft
oota e: ,078: 375 SQ FT
ilt: 1951 IAMI SHORES BAY My Home I Prone Information I Property Taxes
IEW PB 40-16 LOT 6 1 My Neighborhood I Property Appraiseion: OT SIZE 75.000 X 125
R 11388-1113 0382 1 �4 I Using Our Site I Phone Directory I Privacy I Disclaimer
R 27328-2312 0610 01
Assessment Information:
Year: 2012 2011
Land Value: $162,000 135,000 If you experience technical difficulties with the Property Information application,
Building Value: $186,450 187,589 or wish to send us your comments,questions or suggestions
Market Value: $348,450 D322,589 please email us at Webmaster.
Assessed Value: $332,266 [$322,589
Exemption Information:
Web Site
ear: 2012 2011 ©2002 Miami-Dade County.
$25,000 $25,000 All rights reserved.
YES YES
< Taxable Value Information:
Year: 2012 2011
Applied Applied
Taxing Authority: Exemption/ Exemption/
Taxable Taxable
Value: Value:
Regional: $50,000/ $50,000/
$282,266 $272,589
County: $50,000/ $50,000/
$282,266 $272,589
City: $50,000/ $50,0001
$282,266 $272,589
School Board: $25,000/ $25,000/
$307,266 $297,589
Sale Information:
ale Date: /2010
http://gisims2.miamidade.gov/myhome/propmap.asp 4/9/2013
R.E 'ENTIAL SERVICES CONTRACT I����UIIIIWIII��II�IV��� j
't m 5401 UEW
CUSTOMER JOB LEAD
CONTRACT
DATE ACCOUNT NO NO m SOURCE
,ection 1. Customer •
ADT LLC Customer Name
ba ADT Security Services("ADT") (°Customer°of"i°or°me`or'my'}
Office Addr
l C�� � 1- 1 J. 1!�t�lj
W)'v / > � Premises'
Address
y State ZIP L
Tax Exempt No. 'Tax Expire Date
: yAdT.COm
800.ADT.ASAP® Protected Premises O Traditional Phone o Other(Qualified) O Other(Non-Qualifled)'
(80I1:E38.2727) Telephone
alternate O Home . O Home O tell O Work
4Cjl 0 Work Alternate
relephone 1
Telephone 2
jpFill in If billing address is,the same
""Ing
address
City State m ZIP
IF FAMILIARIZATION PERIOD IS REJECTED INITIAL HERE (see Paragraph 14 of the Tema and Conditions for explanation)
EMAIL
Communications Authorization:I authorize ADT to provide me with information and updates a out the security system and n ADT and third-party
products and services to the contact information provided by me.I may unsubscribe or opt out by emailing dongtcontact®adt.com or by calling
888.DNC4ADT(888.362.4238).Initial here
If I have provided ADT with a phone number,including but not limited toe cell phone number or a number that I later convert to a cell phone
number,I agree that ADT may contact me at this number.I also agree to receive calls and messages such as pre-recorded messages,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 ayseparate 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 1 will not be able to use the equipment for any purpose.See Paragraph 7 of the Terms
and Conditions for.more information.
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
q r indents are unpredictable and wnnot�always be detected or prevented by an alarm system.Human error Is always possible,and the response
4i of police,fire and medical emergency personnel Is outside the control of ADT.ADT may not receive alarm signals if communications or power is
i errupted 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 1 paid in advance.
ADT Representative
Rep.f Requi Required)
Rep.
(If Required) ID No.
Customer's Approval:Original Signature uire (Must match Customer Name in Section 1 above)
NOTICE OF CANCELLATION
THE CUSTOMER,MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY
kFTER THE DATE OF THIS TRANSACTION.SEE THE ATTACHED NOTICE OF CANCELLATION FORM'FOR AN EXPLANATION
)F THIS RIGHT. I ACKNOWLEDGE BEING VERBALLY INFORMED OF MY RIGHT TO CANCEL AT THE TIME OF EXECUTION
)F 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 i TOTAL OF PAYMENTS FOR THE INITIAL TERM IS
PAYMENTS FOR THE B.AMOUNT OF EACH PAYMENT IS I(A,TIMES B.)(EXCLUSIVE OF ANY APPLICABLE TAXES,FEES,FINES
INITIAL TERM IS 36. 1(TOTAL MONTHLY SERVICE CHARGE FROM BELO AND RATE INCREASES)
LATE CHARGE-PAYMENT IS DUE PURSUANT TO MY SELECTED BILLING PREPAYMENT—IF I PREPAY THE SEE PARAGRAPHS 2,7,15 AND
FREQUENCY,PRIOR TO THE START OF SERVICE.MY FIRST BILUCHARGE WILL TOTAL OF PAYMENTS PRIOR TO 19 OF THIS CONTRACT FOR
BE SENT/MADE SHORTLY AFTER MY SERVICE BEGINS.ADT MAY IMPOSE A THE END OF THE INITIAL TERM ADDITIONAL INFORMATION
ONE-TIME 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. j
OF ii A& ��� / C �-n 02012 ADT LLC dba ADT Security Services.
f Administrative Copy All rights reserved.(10/12)
A-Et1D�11T1
AL SERVICES CONTRACT III. ��I�WII��IVU�
5401 UE.03
CONTRACT CUSTOMER JOB m LEAD
DATE ® ACCOUNT NO NO SOURCE
Monthly Service Charge O Inl6YAnnual Recurring Municipal Fee billed separately Initial/Annual Fee 1
Nibject to change based on local law) )
1
Standard Monthly Service,Burglary Ofustomer to obtain and pay for.initial/annual municipal 7
Service includes:Customer Monitoring Center Signal alarm use permit-failure to obtain-and provide ADT with
Receiving and Notification Service for Burglary, • the municipal alarm'use permitniiistratigh number count
Manual Fire and Manual Police Emergency / in no unicIpal firelpoilue respond to all alarm
d prises and/or a flpe,..
®SWIdard Monthly Service,FireiSmoke Detection municipal Electrical Permit Fee
Service Indudes:Customer Monitoring Center Signal ! O Cusemner to obtain electrical petrrrit.
Receiving and Notification Service for t he Manual Fire
I'and Manual Police Emergency ��000 �
D Carbon Monoxide O Flood'O Low Temp $ InsEa lation Price `
Medical Alert Taxable Amount
li+Safewatch Cellguard* Non-Taxable Amount
0 SecurityLInk* Connection Fee
R Extended Limited Warranty/Quality Plan(QSP)° /' Admin Fee
0 Guard Response Service Sales Tax on Installation*
O Monthly Recurcing lvlunidpai Fee CZ t✓� ,�
(Subject to change based on local law) Total installation Charge*
O Customer to obtain*and pay for
municipaPal rm use permit
QP Other _ $ Deposit Received $/ V oo "
Total-Monthly Service Charge J BalanEe Due upon installation* �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
Control
Panel Qaa`l Ste° °ssS¢" °r� 0�� �`O��q�S o�° °�• Lai• QJ�v C Q��y¢°�(a����a�ce QJ\�¢ / //
a La�ooIV¢aate�o L� QO V° PO�� `QO� QOM / /Comments
Package Name:
Includes:
Foyer
Living Room
Family Room
Office
Dining Room
Kitchen --.—
Laundry Room
Hallway
Master Bedroom t
Master Bath a
Bedroom 2 _
Bedroom T� ��-
Bath 2'
Basement
_ a —
Garage ---- — ( Q 01
— -------
Price Per Piece �-
Totals ( I E=Existing Equipment
stimated Installation Start Date
i NOTES
02012 ADT LLC dba ADT Security Services.
2 Of 6 All rights reserved.(10/12)