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EL-13-2000Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 209319 Permit Number: EL -9 -13 -2000 Inspection Date: March 20, 2014 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: BASS, SIDDHARTH Work Classification: Alarm Job Address: 1257 NE 94 Street Miami Shores, FL 33138- Phone Number Parcel Number 1132050100060 Project: <NONE> Contractor: ADT LLC Buildina Denartment Comments BURGLAR ALARM Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed 1E , `y f 4zo zza Failed El Correction Needed a Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. For Inspections please call: (305)762 -4949 March 19, 2014 Page 1 of 1 Miami Shores Village Building Department er,� 10050 N.E.2nd Avenue, Miami Shores, Florida 3313,8-,-' Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4.49 BUILDING PERMIT APPLICATION Permit Type: Electrical JOB ADDRESS: la S-7 l;� si� Permit No. Master Permit No City.. Miami Shores County: Miami Dade Zip: Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple E q (-//I- City: Tenant lxssee Name: Email: State: _�EL— Zip: -33 CONTRACTOR: Company Name: K 1J i Phone #: Address: I V City: Qualifier Name: _ State Certification or Registration #: /1- Zip: Z% Certificate of Competency #: Contact Phone #: Email Address: DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: ❑Address „ ❑Alteration Description of Work: Pi ❑Demolition Submittal Fee Scanning Fee $ Permit Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ CCF $ CO /CC $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ J 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 cert ified 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 nd a reinspection fee will be charged. S Signature Other or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of 20 L, by Sr D%g x n H BAS'S day of . 20 _, by , who is personally known to me or who has produced 1("L 10 who is personally known to me or who has produced As identification anc��yJnoidi, ake an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: APPROVED BY Plans Examiner Structural Review (Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06 /10/2009XRevised 3/15/09) Zoning Clerk 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 FBC 20 Permit Type: Electrical SEP 0 4 2013 Permit No. ? Master Permit No. OWNER: Name (Fee Simple Titleholder): li - St 0OM%f•} 1 $A r5 Address: I W" 1 vE . C)4 JWte r- City: %Atk" % J t .6l e t State: I-- TenandUssee Name: Phone#. Email: JOB ADDRESS: x.5'1 4e • 54 S7 e r z z in . City: Miami Shores County: Miami Dade Zip: '3717-9. Foho/Parcelk �� t-/�" d�� 460 Is the Building Historically Designated: Yes NO Flood Zone: r- 1 CONTRACTOR: Company Name: Address: �® 7�� ' -14,&�& / City: k0l;- 42Z42Z State: Qualifier Name: State Certification or Registration #: Certificate of Competency # P Contact Phone#: Email Address: DESIGNER: Architect/Irngineer•. Phone#: Value of Work for this Permit: $ 5D90'60 Square/Linear Footage of Work: Type of Work: lAidress DAlteration ONew ORepair/Replace ODemolition eeeeeeee�eee�e��oa+ �+ �aeeee�e�eee�eseeeF��ee�+ s* eee��eesseseee�seee�e�aeeeaee *e��e�+e Submittal Fee $ Permit Fee $ % 7 �; Qs0 CCF $ CO /CC $ Scanning Fee $ Radon Fee $ Notary $ Tmining/Education Fee $ Double Fee $ Structural Review $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUES e y 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 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 The foregoing instrument was acknowledged before me this Z9 day of NA 20 L7, by S40 *wA a A47 , who is personally known to me or who has produced- As identification and* 1"" NOTARY PUBLIC: ; its ! Sign: = ••• Print: S&SN IA A-4 a :& Z- ,0!5 •�' to My Commission Expires: ��',6j%r •�, . n APPROVED BY (Revised 07/10W) ftvised 06110n2009) ftvised 3/15/09) / Co The foregoing instrument was acknowledged before me this d day of 20`3 by 9 who is personally known to me or who has produced as identification and who did take an oAL N NOTARY PUBLIC: °w m 0. o � wa W >-tw Sign: E Print SC. .G sf z N 9 xep /3 Plans Examiner Structural Review My Commission Expires: Zoning Clerk ��pp0 7'it�c. �a G► uu amp C4 p 4 2 ®13 CUMULATIVE SUBSTANTIAL EMPROVEMENT 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: ajr• S 1 �D k./h�G..l B Ake' I W DI �I t� ADDRESS: 17-s-7 P-JF— . 9 $ s'- K-Pce. r- 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 IMPROVEM IM (past and proposed): '9 5p5o . ®® VALUE OF PRINCIPAL STRUCTURE (attach appraisal): P DATE: 8.7-9-13 PLAN REVIEWER SIGNATURE: ---PATE.• Created on June 2009 O N; W CnMM F�1 RESIDENTIAL SERVICES CONTRACT I -f, 31f $01(v 5401UE04 CONTRACT M �I � 3 ACCUOUNT NO " jail NO � SOURCE I NOTICE OF CANCEILLATIUM 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. 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`� PAYMENTS FOR THE B. AMOUNT OF EACH PAYMENT IS (A, 71MES i ) (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 Section • • ADT LLC dba ADT Security Services ( °ADT' Customer Name I N 1; (-Customer, or °I° a °me° or 'my') Office Address ONE -TIME LATE CHARGE ON EACH PAYMENT THAT IS MORE THAN TEN (10) 1194-011111111111 DAYS PAST DUE, UP TO THE MAXIMUM AMOUNT PERMITTED BY LAW, BUT IN PEATY OR REFUND. NO EVENT WILL THIS; AMOUNT EXCEED $5.00. 111LIAISIT11NIAIMIE11 SEel%16 ADZ 30T 962S= -7 Address, 7 E ( ( City I ; D D Y y I I I I I I I I I I I I Tax www.MyADT.com Tax Exempt No. Expire Date 800ADT.ASAP® Protected Premises' , 14 S' O u-ftonal Phone O Other (Qualified) O Other (Non- Qualfied) (800.2382727) Telephone ' Z O Home • Cell O Work Alternate S '� 9 3 O Home • Cell O Work Telephone 2 Alternate g Telephone 1 O Fill in if billing address is the same Billing Address 1 111 m City State ZIP IF FAMILIARIZATION PERIOD" IS REJECTED INITIAL HERE (see Paragraph 14 of the Terms and Conditions for explanation) ROM j� -R� A�" p � ":. �,�' .k n' 3 V px'Fr V „Y a, 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. 1 may unsubscribe or opt out by emailing donotcontact@adt.com or by calling 888.DNC4ADT (M362.4238). 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 I later convert to a cell phone number, or airy number that I subsequently provide for billing purposes, I agree that ADT may contact me at this/these 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 ail 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 admowledge 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 reeve 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 ADTs only obligation will be to notify me of such termination and refund any amounts I paid In advance. ADT Representative • Rep. Ucense No. Rep. Qfjj of Required) ID No. Customers g(nal Signature Required (Must match Customer Name In Section 1 above) mom ?� �V. t �Q�i ICJ €7;y�� 'r��.i��Y�,a NOTICE OF CANCEILLATIUM 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. 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`� PAYMENTS FOR THE B. AMOUNT OF EACH PAYMENT IS (A, 71MES i ) (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 FREQUENCY, PRIOR TO THE START OF SERVICE. MY FIRST BILICHARGE WILL TOTAL OF PAYMENTS PRIOR TO BE SENT /MADE SHORTLY AFTER MY SERVICE BEGINS. ADT MAY IMPOSE A, THE END OF THE INITIAL TERM ONE -TIME LATE CHARGE ON EACH PAYMENT THAT IS MORE THAN TEN (10) OF THIS CONTRACT, THERE IS NO DAYS PAST DUE, UP TO THE MAXIMUM AMOUNT PERMITTED BY LAW, BUT IN PEATY OR REFUND. NO EVENT WILL THIS; AMOUNT EXCEED $5.00. 1 of 6 Office Copy SEE PARAGRAPHS 2, 7, 15 AND 19 OF THIS CONTRACT FOR ADDITIONAL INFORMATION ABOUT NONPAYMENT, DEFAULT AND ACCELERATION. ®2013 ADT LLC dba ADT Security Services All rights reserved. (02/13; so !"? `eK C6 ►�I RESIDENTIAL SERVICES CONTRACT CONTRA J ACCUSTOMER OUNT NO 3 NO SOURCE 2of6 Will I AU LLl aoa Avr �un Ly �-'! -- All rights reserved. (02/13) Section 2. Services to be Provided *Standard Monthly Service, Burglary Service includes: Customer Monitoring Center Signal Receiving and Notification Service for Burglary , Manual Fire and Manual Police Emergency (continued) Monthly Service Charge O IWWAnnual Reaming Municipal Fee bided separately (�1� m dime based on local law) InitiallMnual Fee - -- - O Customer to obtain and pay for ~annual municipal alarm use permit Failure to obtain and provide ADT avitin the municipal alarm use permit registration member could result in no municipal firelpoilce response to an alarm fmm the premises ardfor a fine. ® Standard Mwft Service, Fk&Snwke Del ecdw Receiving and Notification Service four Fire, Center Signal and Manual Police Emergency �� " !'�l A*.tl O Municipal Customer to obtain electrical permit S I` $ t 4 u —� • Carbon Monoxide O Flood O Low Temp $ t 14- Installation Price ++ O Medical Alert Taxable Amount O Safewatch Celiguard° $ -- I &L Non- Taxable Amount $ — O Securityl-ink® Two-Way Voice $ -- ConnectionfActivation Fee $ � • Extended Limited Warran /Qu lily Service Plan (Q $ 1 _ •� Admin Fee - - -- -- - -- O Guard Response $ Sales Tax on Installation* - _ -- -- - - ------------------------- O Monthly Recurring Municipal Fee (Subject to change based on local law) O Customer to obtain and pay for municipal alarm use permit - --- - - - -- -- ---- - - - - -- Total Installation Charge* Trip Charge Received •Other �� J lira tt N L Deposit Received - $ —u?O' Total Monthly Service Charge $ - Balance Due upon Installation* $._ 29-70— *If applicable sales tax not shown, It will be added to the first invoice, if not collected at the time of installation. Section 3. Equipment to be Installed Control 01111 �a °�� °o � °a��¢ S.a�• ��, �% Panel Comments Padit/a�ge Ind,d Foyer Living Room l •- 8 �� Family Room IT# 941L Office -,Avr Dining Room riots Krtdren • $44 Laundry Room Hallway •' 4 4a0 Master Bedroom (AO Master Bath Awr Bedroom 2 Bedroom 3 s Bath Basement �� •V Gwagestpe g • c •►er P� price Per Piece Totals E = Existing Equipment Estimated Installation Start Date M M D D Y Y NOTES�to�o�Itt • ______ - -- - -- - - - -- 2of6 Will I AU LLl aoa Avr �un Ly �-'! -- All rights reserved. (02/13) My Home ® Text only X* Report Homestead Fraud } Property Appraiser Tax Estimator IJ Property Appraiser Tax Comparison !J Portability S.O.H. Calculator Summary Details: Folio No.: 1 -3205- 010 -0060 Property: 1257 NE 94 ST Mailing SIDDHARTH BASS &W KAREN ddress: SINGLE FAMILY Beds/Baths: 1257 NE 94 ST MIAMI Floors: SHORES FL Living Units: 3138 -2946 ProDertv Information: Primary Zone: 1400 SGL FAMILY - 3001- 2012 3250 SQ LUC: 0001 RESIDENTIAL - Buildin Value: SINGLE FAMILY Beds/Baths: 3/2 Floors: 1 Living Units: 1 Ad' 129 $50 000/$258,555 375 SQ FT 951 50,000/$253,398 IAMI SHORES BAY 1$25,000/$283,5551$25,000/$278,3 40 -16 LOT 7 LOT MEPB IZE 75.000 X 125 OR 19261 -0469 08 2000 1 OR 19261 -0469 0800 00 Assessment Information: Year: 2013 2012 Land Value: $171,000 $162,000 Buildin Value: $182,211 $205,172 Market Value: $353,211 $367,172 Assessed Value: $308,555 $303,398 Exemntion Information: ear: 2013 1 2012 Homestead: 1 $25,000 11 $25 000 12nd Homestead I YES I YES Taxable Value Information: Year: 2013 2012 Taxing Applied Applied Authority: Exemption/ Exemption/ Taxable Value: Taxable Value: Regional: $50,000/$258,55 $50,000/$253,39 gun : $50 000/$258,555 50,000/$253,398 $50,000/$258 555 50,000/$253,398 chool Board: 1$25,000/$283,5551$25,000/$278,3 Sale Information: Vale Date: 8/2000 Sale Amount: 1$267,500 95TH 5T Aerial Photography - 2012 0 113 ft My Home I Property Information I Property Taxes I 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. 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