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EL-13-173 r Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FIL Phone: (305)795-2204 Fax: (305)756-8972 I Inspection Number: INS P-196097 Permit Number: EL-1-13-173 I Inspection Date:July 31,2013 Permit Type: Electrical- Residential Inspector: Devaney, Michael Inspection Type: Final Owner: ROMANO, MITCHELL&MONICA Work Classification: Addition/Alteration Job Address: 1 NW 110 Street Miami Shores, FL 33168- Phone Number Parcel Number 1121360030640 Project: <NONE> Contractor: ADT LLC Building Department Comments BURGLAR ALARM Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-184925. No access at 4.p. m. 29 jul2013 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 July 31,2013 Pagel of 1 Miami Shores Village ��r Building Department JAN 3. v 005 N.E 2nd Florida 1 7 0 Avenue Miami Shores Flo d 33 38 Tel:(305)795.2204 Fax:(305)756.8972 INSPECTION'S PHONE NUMBER:(305)762.4949 `� `�✓� FBC 20 BUILDING Permit No. PERMIT APPLICATION master Permit No. Permit Type:Electrical JOB ADDRESS: eu L.-i 1 c 0 S .r City: Miami Shores County: Miami Dade Folio/Parcel#: Ems, Is the Building Historically Designated:Yes NO Flood Zone: j OWNER:Name(Fee Simple Titleholder): C Phone#: Address: t IV L") City: (Y��C' d State: / Zip: &31 is Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: z) / C 6— Phone#: �• ,,-) � Address: ��P � 1_ a,<k•j City: State• ' Zip: 2_30 a Qualifier Name: ezeev-r ,, z", Phone#: State Certification or Registration t. ® Certificate of Competency#: Contact Phone#: Email Address: e I, � DESIGNER:Architect/Engineer: Phone#: Value of Work for this Permit:$ �� '�� Square/Linear Footage of Work: Type of Work: ❑Address Alteration ❑New ❑Repair/Replace ❑Demolition Description of Work: �x�xxxxx��xxxxuxxxxx�xaxxxxxxxx��xjxxxxxFeesx�xxaxx��xx+xx��x�x•x.xx�xxxx�xx��xxxxxx��x Submittal Fee$ Permit Fee$ 4:4;' CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ Structural Review$ TOTAL FEE NOW DUE$ '(D,) 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 caner or Agent Contractor The foregoing instrument was acknowledged before me this °`7 The foregoing instrument was acknowledged before me this 5 day of ,� ,20 IL,by day of / ,20 L by �7r �✓ dd 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: Sign; .�®.'•�'�c��t'•'••`°9 ,`a j Print: Print: Z-4 . DANIEL ® -4 :5i � tc°o -4� � - My Commissi : IAI�NV� My Commission Expires: m 44Z 1 m �;:r FbVLVdV0K0=A0M VI& `* APPROVED BY 31 Plans Examiner Zoning Structural Review Clerk (Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) T 4 MIAMI-DARE COUNTY OFFICE OF THE PROPERTY APPRAISER PROPERTY SEARCH SUMMARY REPORT Honorable Carlos Lopez-Canters ® Property Appraiser Q Folio 115-2136-003-0640 , Properly Address 1 NW 110 ST � Owner Name(s) MITCHELL A ROMANO MONICA ROMANO ' ' MallingAddress 1 NW 110 ST MIAMI SHORES Fl- 33168 ��, E �• � Primary Zone 0800 SGL FAMILY-1701-1900 SQ Use Code. 0001 RESIDENTIAL-SINGLE FAMILY s 3 Beds/Baths/Half 21210 ` Floors 1 r w Living Units 1 Adj.Sq.Footage 1,664. Lot Sbze 12,727.04 SQ FT . Year Built 1950 Aerial Phonography 2012 Legal Description 36 52 41 " MIAMI SHORES EXT PB 43-40 LOT 32 BLK 220 ! 1 = ` . . LOT SIZE 104.320 X 122 Current Previous OR 17687-3826 06971 COC 26275-1990 02 2008 3 Year 2012 2011 F Exemption/Taxable Exemption/Taxable Current Previous Year 2012 2011 County $50,000/$128,835 $50,0001$129,531 Land Value $62,566 $62,566 School Board $25,000/$153,835 $25,0001$154,531 Building Value $116,269 $116,965 City $50,000/$128,835 $50,000/$129,531 Markatr Value $178,835 $179,531 Regional $50,000/$128,835 $50,000/$129,531 Assessed Value $178,835 $179,531 Date Amount Recording Qualification Code 6fr� ..... .. a Book-Page _ - Current Previous 5/2009 $78,000 269642848 Deeds to or from financial Institutions Year 2012 2011 1212009 $235,000 27150-0235 Sales qualified as a result of Homestead $25,000 $25,000 examination of the deed 2/2008 $0 26275-1990 Sales which are disqualified as 2nd Homestead $25,000 $25,000 a result of examination of the deed Senior $0 $0 7/2006 $548,000 24733-0420 Sales which are qualified Veteran Disability $0 11/2004 $165,000 22873-0471 Other disqualified Civilian Disability $0 $0 6/1997 $79,500 17687-3826 Sales which are qualified VYldouar) $0 $U 4/1995 $58,600 16741-3758 Sales which are qualified 10/1990 $0 14732-3073 Sales which are disqualified as a result of examination of the deed 3/1988 $66,500 13627-0829 Sales which are qualified 3/1985 $65,000 12465-0689 Sales which are qualified Dieclafiner. The Office of the Property Appraiser and Mlami-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 website is periodically updated,this Information may not reflect the data currently on file at Miami-Dade County's ms of record. rP 9 Pe Y � systems Y Pda Y 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 Miaml-Dade County full disclaimer and User Agreement at http:/Mww.miamidade.gov/tnfb/discialmer.asp. Property information inquiries,comments,and suggestions email: pawebmail @miamidade.gov GIS inquiries,comments,and suggestions email: gis@miamidade.gov Generated on:Saturday,January 26,2013 * , ® RESIDENTIAL SERVICES CONTRACT p I�� I�IInI IIIII�II ILII�I�� x>. -- � �� 5401UE00 CONTRACT m CUSTOMER JOB LEAD DATE I(?I\ I , � ACCOUNT NO 3 NO SOURCE Section • • ADT LLC ` Customer Name dba ADT Security Services("ADT") ("Customer"or"I°or'me"or"my") Office Address W" Premises' .� { Address -1 Cm G <9 State Lld�ZIP Tax Exempt No. MINNIE= Tax Expire Date www.MyADT.com 1.800.ADT.ASAPO Protected Premises` (� ,O Traditional Phone 00ther(Qualified) O Other(Non-Qualified) 00 (1.8 .238.2727) Telephone Alternate Home Cell O Work Alternate, O Home O Cell O Wok Telephone 1 Telephone 2 *Fill in if billing address is the same Billing Address TTTFFFT I 11* 111 City State m ZIP IF FAMILIARIZATION PERIOD IS REJECTED INITIAL HERE (see Paragraph 14 of the Terms and Conditions for explanation) EMAIL ` C 7 e 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 donotcontact@adt.com or by calling 888.DNC4ADT(888.362.4238).Initial here Confirmation of Appointments:I authorize ADT to call me using an automated calling device to deliver a pre-recorded message to settconfirm appointments and provide other information and notices about the alarm system at the telephone number(s)provided by me.Initial here 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 con'sist's of six(6)pages.Before signing this Contract,)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 1.800.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 ADrs only obligation will be to notify me of such termination and refund any amounts I paid In advance. ADT Representative Rep.License No. Rep. �( ps^c�l�`t„�. ( (If Requires!) ID No. •Customd`es Ap vaI.Ori Ignature Required(Must match Customer Name in Section 1 abgw) - NOTICE OF CANCELLATION I,THE CUSTOMER,MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAN 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 EXECUTIOP OF THIS CONTRACT AND RECEIPT OF THIS NOTICE. Section 2. Services to be Provided FINANCIAL.DISCLOSURE STATEMENT THERE IS NO FINANCE CHARGE OR COST OF CREDIT(0%APR)ASSOCIATED WITH THIS CONTRACT. Lj A.NUMBER OF ©� TOTAL OF PAYMENTS FOR THE INITIAL TERM IS 1 ` °A 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 BUNG PREPAYMENT—IF I PREPAY THE SEE PARAGRAPHS 2,7,15 AND FREQUENCY,PRIOR TO THE START OF SERVKE MY FIRST BILUCHARGE WILL SAL,OF PAYMENTS PRIOR TO 19 OF'(M CONTRACT FOR BE tiENTIMA) )H 1_LY AFi EH i0 f SLnVICE CEGINS.ADT IJAY I1,7POSE A -THE FNS)OF THE INITIAL TERM AJQITIOWAL IWrorMATION ONE-TIME LATE CHARGE ON EACH PAYMENT THAT IS MORE THAN TEN(1u) OF THIS CONTRACT,THERE IS NO 'ABOUT NONPAYMENT DEFAULT DAYS PAST DUE,UP TO THE MAXIMUM AMOUNT PERMITTED BY LAW,BUT IN i PENALTY OR REFUND. AND ACCELERATION. NO EVENT WILL THIS AMOUNT EXCEED$SM @2012 ADT LLC dba ADT Security Service! 1 of 6 Administrative Copy All rights reserved.(06/1e ® RESIDENTIAL SERVICES CONTRACT II,II��I� VIII��IIII �I��II l 5401 UE00 CONTRA�� ACCOUNT NO NO®SO RCE� Section • be • • • • • Monthly Service Charge O Initial/Annual Recurring Municipal Fee billed separately Initial/Annual Fee (Subject to change based on local law) Standard Monthly Service,Burglary - - ----- -- Service includes:Customer Monitoring Center Signal O Customer to obtain and pay for initial/annual municipal Receiving and Notification Service for Burglary, alarm use permit.Failure to obtain and provide ADT with Manual Fire and Manual Police Emergency the municipal alarm use permit registration number could result in no municipal firelpolice response to an alarm from the premises and/or a fine. Standard Monthly Sernce,Fire/Smoke Detecdon j Service includes.Customer Monitoring Center Signal Municipal Electrical Permit Fee Receiving and Notification Service for Fire,Manual Fire \ O Customer to obtain electrical permit and Manual Police Emergency C O Carbon Monoxide O Flood O Low Temp $ Installation Price O Medical Alert -- $ Taxable Amount c _(� — ---- ------ -------- -I - -------- -- -- 0 Safewatch Cellguard® I $ (\ Non-Taxable Amount $ (� O SecurityLink® $ Connection Fee Extended Limited Warranty/Quality Service Plan(QSP) 1 $ a Admin Fee O Guard Response Service Sales Tax on Installation* O Monthly Recurring Municipal Fee (Subject to change based on local law) d Total Installation Charge* O Customer to obtain and pay for municipal alarm use permit G- O Other Deposit Received Total Monthly Service Charge Balance Due upon Installation* *If applicable sales tax not shown,it will be added to the first invoice. Section • • to be Installed Contr X 16\ E /oi¢�l/fit•°°�l •C¢/a�¢�0 d�(°�`�¢o Oa;S c`¢�`o�¢p� / Pane 7 �OJ�Qa,O / O O O Comments Package Name: Includes: i i Foyer - Living Room -- .. 6E -- Family Room Office Dining Room in Kitchen \ i!J Laundry Room P Hallway Master Bedroom Master Bath Bedroom 2 Bedroom 3 Bath 2 Basement --- Garage l Price Per Piece Totals E_=E/xisdmg E�rptipment Estimated'Installation Start Dat491 U/M INSdALLER WviES t •� 02012 ADT LLC dba ADT Security Services. 2 Of 6 All rights reserved.(06112) RESIDENTIAL SERVICES CONTRACT ® T II�IIIII�II,IIIII II,I,IIII,,I;III��I�II r a — — 5401UE00 CONTRA /i t i 7 i/,i q i ACCOUNT NO f S JOB SOURCE Section 4. OCheck received for Ofnstallation: Check# Amount O Annual Service Charges Collected: Check#Lt Amount I authorize ADT: O To withdraw all 01 Service Charges and(ii)Contract Termination Charges W To charge my crediUdebit card for all(i)Service Charges and(ii)Contract (see Paragraph 2.Early Termination of this Contract)from my bank account: Termination Charges(see Paragraph 2.Early Termination of this Contract): O Annually O Semi-Annually O Quarterly O Monthly 41P Installation O 3 monthly credit/debit card payments of equal amounts Choose one: O Checking O Savings (available only for telephone orders with an installation price over$400 or field sales with an installation price over$1,500) Name of Bank/Credit Union WAII/Recurring Service Charges O Annually O Semi-Annually O Quarterly 0 Monthly , ABA Routing Number Bank Account Number O VISA O MasterCard O Discover 40AMEX l fi; Credit/Debit Card Number Expiration Date MAE Recurring Service Charge Amount Plus tax M M Y Y Name as it appears on bank account Recurring Service Charge Amount Plus tax Cardholder's Name I i 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 authorize ADT to debit my bank account for the amount of all and all Contract Termination Charges(see Paragraph 2.Early 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 credWdebit 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 Contract 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.R a payment date falls an 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.0 an ACH transaction is rejected for non-suffident 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 amount must comply with the provisions of U.S.law.I am an authorized user of this credit card or bank account and I will not dispute the payment with my credit card company or bank,so long as the amount corresponds to the temp indicated in this Contract O To send me a bill: O Annually O Se '-Annually O Quarterly O Other DOA Approval U no oval is filled,ADT will send bill quarterly. AgLhzed A=M Slcmati,il e: Section • and System D. Municipality Municipality Police Name I I I I I I I I I I Fire Name Municipality Medical Patrol Name Responder Name 8,Number Cross Street Job Type O New Sale %aP Change Over O Upgrade Control Type O HW 4@!l RF Permit Affiliation Member# Number Burglar Alarm:CO-Yes O No Fire/Smoke:&Yes o Two-Way Voice:O Yes%WNo Cellular Model: O Parallel 'il!$Standard Section • Password This password must be Issued to all risers 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 W11-free at 1-8W-ADTASAP- Section 7. Emergency Contact These are the inliald®Ls who may be called in the event of an alarm.Because they may need to meet the authorities in response to an alarm,I will provide than access to my premises, the password,and the keypad Code.By selecting the"Yes'designation on the right I am identifying which of these irxi'nriduals may be called prior to notification of the authorities. Customer Cotrtoct#1 CUStD fm rgeni:e r C�� «, Phone �CJ�' �a t�� I Home W. Work es O No Print O O O 0 0 Phone Home Cell Work Yes No CrutonterMner"ncy Contact#2 O O O O O Print FiaULast Name Phone Home Cell Work Yes No 0 0 0 CD 0 Phone Home Cell Work Yes No AltemalWEmeriency Only Contact O O O O O Print First(Last Name Phone Home Cell Work Yes No O O O 00 Phone Home Cell Work Yes No ©2012 ADT LLC dba ADT Security Services. 3 of 6 All rights reserved.(051`12)