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EL-13-1012Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 195710 Permit Number: EL -5 -13 -1012 Scheduled Inspection Date: July 24, 2013 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: , LEOCAVA LLC Work Classification: Alarm Job Address: 9534 NE 2 Avenue Miami Shores, FL 33138- Phone Number Parcel Number 1132060132630 Project: <NONE> Contractor: ADT LLC Building Department Comments BURGLAR ALARM Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments - - Passed Failed Correction ❑ Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. July 24, 2013 For Inspections please call: (305)762 -4949 Page 17 of 28 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 Permit Type: Electrical JOB ADDRESS: FBC 20 ECIa MAY 0 9 2013 B: - Permit No. r_,) 1 — I 019— Master Permit No. City: Miami Shores County: Miami Dade Zip: 00 ,/ -141 Folio/Parcel #: & .3 ,70 & AV/ 3 7 7-7 C) Is the Building Historically Designated: Yes NO Flood Zone:. OWNER: Name (Fee Simple Titleholder):Veoeiifil� G� • Phone #:%r(/Z G7// Address: 13OX 3 gV zo 3 City: S'i2T� �n-cc� State: mil- Zip: :22 '-p Tenant/Lessee Name: Phone #: Email: CONTRACTOR: Company Name: Phone #: /" eOO ;. -�__2 9- Address: to -?J�`— %%mss s City: State: OX J ?)4 Zip: Qualifier Name: & Ajloiql State Certification or Registration -1 )!FF0 0 ® //,:a Contact Phone #: IJ 7 't #: 293 Email Address: :ertificate of Competency #: IteY 61 A6 . DESIGNER: Architect/Engineer: Phone #: -le? Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work. OAddress 011teration Description of Work: ONew ORepair/Replace ODemolition Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ CCF $ CO /CC $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State zip 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 whilh occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approl{,ed and a reinspection fee will be charged. Signature / / v Signature°? Owner or Agent ��ontrmactor The foregoing instrument was acknowledged before me this ) The foregoing instrument was acknowledged before me this Ll day of ,20d, by �OD )/ OAS day of 20��, by (7P,�/ G- �/��CG1idc� who is erso known to me h p y y3 w o 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 P I f ' NOTARY PUBLIC: c k9R' TE gh ° r o ® s , ® . ...... JO2QjSFS Sign: Si cos Print: ` _ • �: Print: = •�° �° y�9 9:: �ERGIO VERA My Commiss My Commission Expires: My COMMISSION aaryPUbot; cw; esdEf�6 pr Ors ° °. 5�2� ®: •4l.. EXPIRES Ja+:ur.. 97 39801b3 FtortdaNutar nk4cok�Y4: aFdt�F &4:9F9t9t9nkaYaYoY9t��t9evie7k aY9t�te4e9e& ak9e9e�YeYeYied: 4tvk9t�Y4edt4t4rotskde9t�tnY9t9e9e9F9e784nktk9esk9e9es�es�9ctY9enYak '+Ya1n1e9e9t4toY:� k9t9e9F�Ae�9 APPROVED BY Plans Examiner zoning Structural Review Clerk (Revised 3 /12/2012)(Revised 07 /10 /07XRevised 06 /10/2009)(Revised 3/15/09) Miami -Dade My Home G My Home Text only Property Appraiser Tax Estimator t Property Appraiser Tax Comparison Summary Details: Folio No.: 11- 3206 - 013 -2770 Property: ENTRAL Mailing LEOCAVA LLC Address: 010 Floors: PO BOX 381703 MIAMI FL Living Units: 33238 Pronertv Information: Assessment Information: ear: 400 COMMERCIAL - Primary Zone: ENTRAL CLUC: 081 VACANT LAND Beds /Baths: 010 Floors: Market Value: Living Units: $71,500 d' Sq Footage: $100,100 Lot Size: 7,150 SO FT Year Built: $0/$71,500 Count : MIAMI SHORES SEC 1 $01,500 !$7 MD PB 10 -70 LOT 24 Legal BLK 20 LOT SIZE 50.000 Description: 143 OR 21000 -1079 $0/$71,500 203 2 (3) OR 21000- 1079 0203 02 Assessment Information: ear: 2012 2011 Land Value: $100,100 $71,500 Building Value: $0 $0 Market Value: $100,100 $71,500 Assessed Value: $100,100 $71,500 Taxahle Value Information: ear: 2012 2011 $11370,000 Applied Applied Taxing Authority: Exemption/ Exemption/ more than one parcel Taxable Taxable View Additional Sales Value: Value: Regional: $0/$100,100 $0/$71,500 Count : $0/$100,100 $01,500 !$7 Cit : $0/$100,10 0 $0!$71,500 School Board: $0/$100,100 $0/$71,500 Sale Information: Sale Date: /2003 Sale Amount: $11370,000 Sale O /R: 21000 -1079 Sales Deeds which include Qualification more than one parcel Description: County View Additional Sales Additional Information: Click here to see more information for this property: Community Development District Community Redevelopment Area Empowerment Zone Entemrise Zone Page 1 of 2 Aerial Photography - 2012 0 114 ft My Home I Property Information I Property Taxes My Neighborhood I Property Appraiser Home I Using Our Site I Phone Directory I Privacy I Disclaimer If you experience technical difficulties with the Property Information application, or wish to send us your comments, questions or suggestions please email us at Webmaster. Web Site © 2002 Miami -Dade County. All rights reserved. bttp://gisims2.miamidade.gov/mybome/propmap. asp Legend Property Boundary N Ak W+ E S 5/8/2013 Selected Property Street Highway Miami -Dade County Water N Ak W+ E S 5/8/2013 Detail by Entity Name No Events No Name History Return to Search Results �I':rft�1TFTiita VA LLC ment Number IN Number Filed or Country s tive Date L02000029124 020651120 10/31/2002 FL ACTIVE 1110112002 534 NE 2 AVE IIAMI SHORES, FL 33138 lailing Address O BOX 381703 IIAMI, FL 33238 registered Agent Name & A, EONI, TODD 100 BISCAYNE BLVD 06 ilAMI, FL 33138 Tanager /Member Detail ame & Address itle MGRM EONI, TODD MMR 100 BISCAYNE BLVD SUITE 206 11AM1, FL 33138 itle MGR ,AVA, RICHARD H 865 BRICKELL AVE IIAMI, FL 33129 Report Year Filed Date 2011 03/17/2011 Page 1 of 2 ___ ... . _._._._ . _...._._ Entity Name Search 5�arctr http: // search. sunbiz. org /InquirylCorporationSearchIS earchResultDetaillEntityNarne /flat- 102... 5/8/2013 Mr '4 —BALL BUSINESS CONTRACT 54000E02 CONTRACT CUSTOMER JOB LEAD DATE ACCOUNT NO NO SOURCE= Section 1. Customer Info ADT LLC dba ADT Security Services { "ADT Office Address i ,.., n n „i� ( 6 ir"t', Q'2 A_ie1 v� vvvvw.MyADT.com 800.ADT.ASAP® (800.238.2727) I Business Name i I ( °Customer °br °I° or "me' or °my% 1 Premises' J Address a I� (.� City ( State InZIP Responsible Party Name t, 11 Protected Premises' O Traditional Phone O Other (Qualified) then (Non- Qualiflecl) Phone (Required) 171, iR.H.41111ng:address is the same Biing Adlldress Bitding Phone City state `ZIP t (Required) IF FAMILIARIZATION PERIOD IS REJECTED INITIAL HERE (see Paragraph B3 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 ursubscribe or opt out by emailing donotcontact@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 to a cell phone number or a number that 1 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 automates} dialing systems at the number(s) provided. Ownership of System and Equipment: O Customer -Owned ADT -Owned Verticals O Retail O Business Services O Personal Services O Automdtiverrransportation O Groceryffood O Health Services O Restaurants O Wholesale O Other . 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 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 guaranteepreventian of loss or Injury. Fires, floods, burglaries, robberies, medical problems and other incidents are unpredictable and cannot always be detected or prevented byatPalarm 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 1 manually test the alarm system monthly and any time I change telephone service, by calling 80o.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 Mrs only obligation will be to notify me of such termination and refund any amounts I paid in advance. ADT Reprmntafive ro / Rbp. License No. Rep. c^ (If Required�.� ID No. Gusto Appro al: dginal Signature Required w� 1� NOTES (Special InstructionsOrections /Cross Street) c ' 1 of 6 02012 ADT LLC dba ADT.Securlty services Administrative Copy All rights reserved. (1x12 SMALL BUSINESS CONTRACT 1 u1VIII11111lll1l111ICI1 0 54000E02 CONTRACT m /m /� OJSTOMER JO6 m LEAD DATE LJ--V LJJ, w ACCOUNT NO NO SOURCE Section • be Provided Alarm Monitoring and Notification Services i Monthly Service Charge. O Burglary (BA) II .[ I C on Site Services — Monthly Service Charge O Hold -up (HUA) O Duress ,- O Guard Response O Interior O Exterior O Other; 0 Two -way voice Total Monthly Service Charge O Critical Condition Monitoring (CCM) 0Flood OTemperature initial Fee • Parallel Protection O ADT DataSaurce - - " W O Annual UL Certificate Fee ? 'ADT to obtain Electrical Permit O Municipal Electrical Permit O Open/Close Login $ O Supervised Scheduled Open/Close i O Customer to obtain and pay, for irritiallannual municipal alarm use permit Failure to obtain and provide ADT with the municipal alarm use permit registratlon number could result in no municipal IlWpolice response to an alarm from the premaes and/or a fine. O ADT Entry Solutions I $ O Other Other Services Installation Price Taxable Amount (Leave blank if ADT- Owned) $ O Quality Service Plan (QSP) Is N O If Quality Service Plan (QSP) is Declined Customer must Initial here Non - Taxable Amount (Leave blank if ADT -Owned) - O Preventative MaintenancetInspections Per Year 01 02 03 04 06 012 Q $ Connection Fee O Training $ Sales Tax on Installation* Tax Exempt No. Tax Expiration Date - - -- _ — O Direct Connection Services O Monthly Recurring Municipal Fee. (Subject to change based on local law) 0 Customer to obtain and pay for municipal alarm use permit $ Total Installation Charge* $ iv a Deposit Received: 100% deposit required < $500 Minimum 505/b deposit required $500+ O Money Order O Check O CredWDebit Card *If applitable sales tax not shown, it will -be added to the first invoice, If not collected at the time of installation. Balance Due* Section 3. Equipment Quantity to be installed Device Description Device Location ) Estimated Installation Start 2of6 02012 ADT LLC dba ADT - Security Service: All rights reserved. (1011: