EL-13-1011Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-209603 Permit Number: EL -5-13-1011
Scheduled Inspection Date: March 26, 2014 Permit Type: Electrical - Residential
Inspector: Devaney, Michael
Owner: HILL, SHELTON
Job Address: 123 NW 102 Street
Miami Shores, FL 33150 -
Project: <NONE>
Contractor: ADT LLC
lsuliming Department comments
ALARM INSTALLATION
Inspection Type: Final
Work Classification: Alarm
Phone Number
Parcel Number 1131010220070
INSPECTOR COMMENTS False
Inspector Comments
Passed ❑E
Failed
Correction ❑
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
March 26, 2014 For Inspections please call: (305)762.4949 Page 26 of 40
J0 /to l3af ��.�oyo7
i
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
Permit No. /
Master Permit No.� ! �j
OWNER: Name (Fee Simple Titleholder):" - y'�o Phone#:
Address:
City: a"I 6, 0—k- ! 3f CR C °� State: m�— zip. 1 �J
Tenant/Ussee Name: Phone#:
Email:
JOB ADDRESS:
City: Miami Shores County: Miami Dade Zip: 33C I S O
Folio/Parcel#:
Is the Building Historically Designated: Yes
NO Flood Zone:
CONTRACTOR: Company Name: A UN LLC Phone#:
Address: iemMARKS WAY
City: StaMIIRAM9R
Qualifier Name: Phone#:
State Certification or Registration #:
Contact Phone#: Email Address:
DESIGNER: Architect/Engineer:
of Competency #:
Value of Work for this Permit: $ Square/Linear Footage of Work:
Type of Work: ❑Addres to n M
Repair/2,,e
lace
Description of Work: &&AW a� / 7�4 �
Submittal Fee
Scanning Fee $
Permit Fee $/ O 0 - 0A CCF
Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
sem.
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
1WROVEMENTS 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
O r o Agent Contractor
The foregoi instrument was ack25pylev
m�,
day ofg,20,bywho i personallym or who has produced
As identification arid-whe.did take an oath.
PUBLIC:
Print:i C ® u
My Commission
Florida
My Commission EECS6300
Expires 07/12/2015
(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)
The foregoing instrument was acknowledged before me this
day of - , 201 by �aS2CQL° C2'
who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:A PF PA
15
My COmmissiOII � Bonded Thru Notary Pubnc Underwriters
t_,:�'
Structural Review 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
Permit Type: Electrical
FBC 20
VF
MAY 012013
Y:
Permit No. i „ 1011 -
Master Permit No.
JOB ADDRESS: /o? 8 /11111 /Qc:; 5:& pAo t
City: Miami Shores County: Miami Dade Zip: J13/50
Folio/Parcel#: _ //- LFIV -42;2a - 00 70
Is the Building Historically Designated: Yes
NO Flood Zone:
OWNER: Name (Fee Simple Titleholder): i dAw1*d do Phone#: 796o
Address:_ lv�3 hal laa?./ 4!k�
City: �'%/ �sY7�� (S'%2(Jr+�� State: I;r/-7 Zip: L�31JZ�
TenantlUssee Name: Phone#:
Email:
CONTRACTOR: Company Name: `°[ a Phone#(
Address: s �%%lT/'leJ' !ir/C/10
State: 5TF
Qualifier Name: ae4tge, ' n/lr A aZe � Phone,
State Certification or Registration #: 6r004/-1� / Certificate of Competency #:
&,3,006 -
Contact Phone#: Email Address: �� "-.-r, x�
DESIGNER: Architect/Engineer: Phone#:
Value of Work for this Permit: $ �K99 Square/Linear Footage of Work:
Type of Work: ❑Address W/lAO' heration ❑New ❑Repair/Replace
Description of Work cl4orr� /,2J`,e
Submittal Fee $ Permit Fee $ / ®0 f 00 CCF $ CO/CC $
Scanning Fee $
Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
DBPR $ Bond $
Technology Fee $
TOTAL FEE NOW DUE $
❑Demolition
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 madeto 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 .ATO 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 $25+00, thk applicant must
promise in'gobd 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 re'ct, fee will be charged.
Signature Signature •
Owner d5Qent Contractor
The foregoing instrument was acknowledged before me this
day bf _(h��{_; 20,'bY
who ispers1—
onally known to me or who has produced
As
My Com siopAxpires:
,did take an oath.
Notary Ptdit State of Flodda
Yasiel Suarez
MY Commission EE148814
Expires 11/27/2016
The foregoing instrument was acknowledged, before me,thiss;_-o
day of , 20 _.(?by
who is personally known to me or who has produced
APPROVED BY
� �ee Plans Examiner
Structural Review
(Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print: A44,
Z—
ATHALIE L. EDWARDS
MyCommissidir Exp` ' NOTARY
PUBLIC
STATE OF FLORIDA
_ Comm EE876249
zoning
Clerk
Notice to Building Official of
Use of Private Provider
Project Name:
Parcel Tax ID: // :7d/O l — 6ca a "4!5ro7d
Services to be provided: Plans Review _ Inspections X
Note: If the notice applies to either private plans review or private inspection
services the Building Official may require, at his or her discretion, the
private provider be used for both services pursuant to Section 553.791(2)
Florida Statute.
I, , the fee owner, affirm I have entered into a contract with the
Private Provider indicated below to conduct the services indicated above.
Private Provider Firm: MTCI Private Provider Services
Private Provider: Lester Triana
Address: 97 N. E. 15th Street, Homestead, Florida 33030
Telephone: (305) 246-0696
Email Address (Optional): mtc&mtcinspectors.com
Florida License, Registration, or Certificate#: PE65707
Fax: (305) 242-3716
I have elected to use one or more private providers to provide building code plans review and/or inspection
services on the building that is the subject of the enclosed permit application, as authorized by s. 553.791,
Florida Statutes. I understand that the local building official may not review the plans submitted or
perform the required building inspections to determine compliance with the applicable codes, except to the
extent specified in said law. Instead, plans review and/or required building inspections will be performed
by licensed or certified personnel identified in the application. The law requires minimum insurance
requirements for such personnel, but I understand that I may require more insurance to protect my interests.
By executing this form, I acknowledge that I have made inquiry regarding the competence of the licensed
or certified personnel and the level of their insurance and am satisfied that my interests are adequately
protected. I agree to indemnify, defend, and hold harmless the local government, the local building official,
and their building code enforcement personnel from any and all claims arising from my use of these
licensed or certified personnel to perform building code inspection services with respect to the building that
is the subject of the enclosed permit application.
I understand the Building Official retains authority to review plans, make required inspections, and enforce
the applicable codes within his or her charge pursuant to the standards established by s. 553.791, Florida
Statutes. If I make any changes to the listed private providers or the services to be provided by those
private providers, I shall, within 1 business day after any change, update this notice to reflect such changes.
The building plans review and/or inspection services provided by the private provider is limited to building
code compliance and does not include review for fire code, land use, environmental or other codes.
1 of 2
The following attachments are provide as required:
1. Qualification statements and/or resumes of the private provider and all duly authorized
representatives.
2. Proof of insurance for professional and comprehensive liability in the amount of $1 million per
occurrence relating to all services performed as a private provider, including tail coverage for a
minimum of 5 years subsequent to'the performance of building code inspection services.
Individual
zg�)
(sign re)
Print
Name: O c. 0,4(b
Address: 11lva� �L
chi 0�!A SV►�.e' Pl �t� o
Telephone
No.:
Please use appropriate notary block.
STATE OF
COUNTY OF Q,,jt
Individual
Bef�re pe, this /� _ _ day of
at , 20_1_�L, personally
appeared
who executed the foregoing instrument,
and acknowledged before me that same
was executed for the purposes therein
Notary Publir State of Florida
Yasiel Suarez
�+< My Commission EE148814
7 pp" Expires 11/27/2015
Corporation
Print Corporation Name
By:
(signature)
Print
Name:
Address:
Telephone
No.
Corporation
Partnership
Print Partnership Name
By:
(signature)
Print
Name:
Its:
Address:
Telephone
No.:
Before me, this day of
,20__,
personally appeared
Of
,a
corporation, on
behalf of the state corporation, who
executed the foregoing instrument and
acknowledged before me that same was
executed for the purposes therein
expressed.
Partnership
Before me, this day
Of , 20_, personally
appeared
partner/agent on behalf of
a partnership, who executed the
foregoing instrument and acknowledged
before me that same was executed for
the purposes therein expressed.
Personally knnA�iduced identification Type of identification produced
NOTARY STAMP BELOW
My commission expires:
2 of 2
Print Name
OMB No. 2502-0265
�a> A. Settlement Statement (HUD -1)
B. Type of Loan
1. O FHA 2 O RHS 3. El Cony Unum
4. OVA 5. O Conv hhs. 6. O Sellcr Fin
7. O Cash Sale.
6. F le Number
812032011
7. Loan Number
411105472
8. Mortgage Ins Case Number
C. Note: This form is furnished to give you a statement of actual settlement costs. Amounts paid to and by the settlement agent aro shown. Items marked
" .o.0.1 were Paid outside the closing; they are shown hero for informational purposes and are not included in the totals.
D. Name & Address of Borrower
Octavio Godoy
123 NW 102nd Street
Miami Shores, FL 33150
& Name & Address of Seller
Federal National Mortgage Association AWA Fannie
Mae
950 East Paces Ferry Road, Suite 1900
Atlanta, GA 30326
F. Name & Address of Lander
Primary Residential Mortgage, Inc.
4750 W. Wiley Post Way
suite 200
Salt Lake City, UT 84116
G. Property Location
Gold Crest, Lot 16,17, Block 1, Miami -Dade
County
123 NW 102nd Street
Miami Shores, FL 33150
R Settlement Agent Name
New House Title, LLC.
4919 Memorial Highway, Salle 200
Tampa, FL 33634
866-750-3551
Underwritten By. Westcor Land Tire Insurance
company
L Settlement Date
03/26/2013
Fund:
Place of Settlement
New House Tide, LLC
4921 Memorial Highway
Suite 114
Tampa, FL 33634
J. Summary of Borrower's Transacdon
K Summary of Seller's Transaction
100. Gross Amount Due from Borrower
400. Gross Amount Dae to Seller,
101. Contractsalesprice $249,900.00
401. Contract sales $249,900.00
102. Personal property
402. Personal property
103. Settlement clunges to borrower $13,122.64
403.
104.
404.
105.
405.
Adjustments for stenos paid by seller In advance
Adjustments for items paid by seller in advance
106. County property texas
406. Con* property taco
107. HOA
407. HOA
108. Condo Assoc
408. Condo Assoc.
109. NonAd-Valorem
409• Non Ad -Valorem
110. 2nd HOA
410. 2md HOA
111. COA
411. ODA
112.
412.
113.
413.
114.
414.
115.
415.
116.
416.
120. Gross Amount Dae From Borrower s263 022.64
420. Gross Amount Due to Seller SWAM
200. Amoumis Paid By Orin Behalf 0f Borrower
500. Reductions In Amount Due to Sella
201. Deposit or earnest money 52,500.00
501. Excess deposit (aeeiaesuctons)
202. Ptiaoipal amm sot of new l0an(s) $237,405.00
501 Settlement charges to seller (line 1400) $14 Z09S0
203. Etcisting loan(s) takon subject to
503. ' ' loans) ishan subject in
204. Additional Earnest Money Deposit $9,995.00
504. Payoffoffirst mortgage loan
205. Lender Credit toCum TransffsrTas $0.33
505. Payoffofseexnd mortgage loan
206.
506.
207.
507.
208. Portion afOvmer'sPolicy Paid bySeller $1,324.50
508. PoAioaofOwneesPolicy Paid by Seller g1,92450
209. Seller pd loan policy & endorsements 578495
509. Seger pd loan policy & cuilor to $194.95
Adjustments for items unpaid by seder
Adjustments for items unpaid by seller
210. Cotmty taxes 01/01113lhm 03/25/13 $709.41
510. (buulyp 01/01/13 thin 03/15/13 $709.41
211. HOA
511. HOA
212. Condo Ass=
511 CM&Asaoc.
213. Non Ad Valorem
513. NanAd-Valorem
214. 2nd HOA
514. 2m1 HOA
215. COA
515. COA
216.
516.
217.
517.
218.
518.
219.
519.
220. Total Paid or Borrower M119,19
M. TOW Reduction Amount Due Seller S16.42&M
300. Cash At Settlement From To Borrower
600. Cash At Settlement TaFrom Sena
301. Gross Amount due from borrow also 120) $263,022.64
601. Gross Amount due to seder (dtte 420 S7A9,900.00
301 Lass among paid by/tor borrower (Iiso220) s252,119.19
602. Less reductions in amt due sada (line 52o) $16,42836
303. Cash From Borrower S10,�3A5
603. Ca ;- seller S233,41L64
e no sonu mopon numen mr ms coaeccam w mrammaon is wi meea m nn mmums pr tem tar conammg, mview mL and mporting the data rads agency
may not coded this lofmmatlon, andymt ma notrequired to complete this fora, ualess it displays a anrntly veld OMB control somber No con6denliddy is
assured; this disclosure is mandatory. This 18 designed to provide the patties to a RPSPA covered I msacdon with information during the satttoment process.
POC($)-PaidOumideafawkeby Borrower. POC(S7-PaidOutsideofClosingbyShcer. POC (L) -Paid Outside orClosing by Lender.
Previous editions ars obsolete Pagel of 5 HtB11
File No. 812032011
is of all receipts and
I have carefldly reviewed the HUM Settlement Statmnmt and to dw best of my knowledge and it a
of 2 and 3 of this HUD -I Settlement
disbursements made on my accountor bymein this transaction.
I further certify that I have a f� ,, py r ,
Statement.
The ,7 eentsis Atrtandaect rau gYRONNAR.V/OLi�$ASSOCIATES PlASA11
account fib s t a te ion I Fixe d e nds u be dis is
accordan w tf t i . tee a �,JtY_ MEtISSAI. NUNIEY,AUTHORIZEDSIGNOR
emen on J
Wzru, t is a crime owls y make false statements to United
Staff this or any othersim form. Penalties upon conviel on can
include a fine and hnpriso For details sem Tide 18 U.S. Code Section
1001 and Section 1010.
Previous effidons are obsolete Page 5 of 5 HUD -1
- $ SiDEIWTIAL SERVICES CONTRACT
��� ��1� Illll�f��llladlllllll�lllllll�lllll�
J�N4 5401 UE03
CONTRDATE A V (� bCUSTOMER ' ACCOUNT NO S ` ,NO OB m SOURCE
Section• •
ADT LLC I Customer Name 1
dba ADT Security Services VADT' i ('Customer' or 'I' or'�d
Office Address
Premises'
t' Address
/ 11,,_. .116 - Lj '� �..a city CTI p a C State I� 1. ZIP
��
v Tax Exempt No. �4 �Tax Expire Date
WYw.MyAQT.yom .
- Y 800;ADT 10- Protected Premises' u O Traditional Phone O Other (Qualified) O Other (Non -Qualified)
(800.238.2727) Telephone
7
elep ne 1 O Home O Cell O Work Telephone 2 Alternate TTM
O Home O Cell O Work
(4 Fill in if billing address Is the same
trilling
Address
City StateEll ZIP
IF FAMILIARIZATION PERIOD IS REJECTED INITIAL HERE (see Paragraph 14 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.1 may unsubscribe or opt out by emailing donotcontact@adtcom 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 I later convert to a cell phone p!
number, 1 agree that ADT may contact me at this number. I also agree to receive calls and messages such as pre-recorded messages, calls and Messag&
from'automated dialing "sy'stetns at the nuiribe'r(s) provided.
EQUIPMENT4'O 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
MW Conditions formore Information.
I acknowledge and agree to each of t16 fol 'lowing: (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 Contact (D)
No alarm system can provide complete protection or guarantee prevention of loss or Injury. Fires, floods, burglaries, robbery, 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
M ADT ASAP or by logging In to wwwtiMyADT.com. (Fi this Contract requires final approval by an:ADTauthodaed-managerA mfom ADT.mag_pEov(de
any. equipment or services, and if approval is denied, then this Contract will be terminated, and ADT': only obilgation will be to notify me of such
termination and refund any amounts 1 paid in advance.
/pT Representative
P S y e Rep. License No. Rep.
(If Required) ID No.
Customer s/kj o Sign Requi Must match Customer Name in Section 1 above)
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 ANE PLANAT)Oh
OF THIS RIGHT. I ACKNOWLEDGE BEING VERBALLY INFORMED OF MY RIGHT TO CANCEL AT THE TiME OF EXECUTIOh
OF THIS CONTRACT AND RECEIPT OF THIS NOTICE.
FINANCIAL DISCLOSURE STATEMENT
THERE IS NO FINANCE CHARGE OR COST OF CREDIT (0°% APIs) ASSOCIATED WITH THIS CONTRACT.
A. NUMBER'OFTOTAL
$
OF PAYMENTS FOR THE INITIAL TERM IS $
PAYMENTS FOR THE
INRIAL TERM IS 36..
IL AMOUNT OF. EACH PAYMENT IS —t —I
(TOTAL MONTHLY SERVICE CHARGE FROM BELOW)
(A, TIMES B.) (EXCLUSIVE OF ANY APPLICABLE TAXES, FEES, FINES
AND RATE INCREASES)
LATE CHARGE - PAYMENT IS DUE PURSUANT TO MY SELECTED BILLING
FREQUENCY, PRIOR TO THE START OF SERVICE. MY FIRST BIL UCHARGE WILL
PREPAYMENT - IF 1 PREPAY THE
SEE PARAGRAPHS 2.7, 15 AND
BE SENT/MADE SHORTLY AFTER MY SERVICE BEGINS. ADT MAY NPOSE ATHE
SAL OF PAYMENTS P RIOR TO
19 OF THIS CONTRACT FOR
ONE-TIME LATE CHARGE ON EACH PAYMENT THAT IS MORE THAN TEN (10)
END OF THE INITIAL TERM
ADDITIONAL INFORMATION
DAYS PAST DUE, UP TO THE MAXIMUM'AMOUNT PERMITTED BY LAIK BUT IN
OF THIS CONTRACT THERE 5 NO
ABOUT NONPAYMENT, DEFAULT
NO EVENT WILL THIS AMOUNT EXCEED $5.00.
PENALTY OR REFUND.
AND ACCELERATION.
@2012 ADT LLC dba ADT Security Service
1 of6 Administrative Copy All rights reserved. (1 W1:
RESIDENTIAL SERVICES CONTRACT 11111111111111101
pf^ 5401UE03
CONTRACT-H]
ONTRACT}. I CUSTOMER JOB m LEAD
DATE I1 ACCOUNT NO NO SOURCEUVI
Section• be • •'• •
MonthlyService Cf ge
�,�
® Standard Monthly Service, Burglary
Service includes: Customer Monitoring Center Signal
j Receiving vW Notification Service fonflurglary,
Manual Fre and Manual Police Emergency '
(1
Standaid Monthly ServKKe, Fire/Smoke Detection
t Service includes: Customer Monitoring Center Signal
Reeelving and Notification Service for Fire, Manual Fre 1
and Manual Police Emergency
' a uaI Recurri Municipal Fee billed separately
( n9P Y
() dtange based on local law)
O Customer to obtain and pay for initiallannual municipal
alarm use permit. Failure to obtain and provide ADT with
the municipal alarm use permit registration number could
resuR in no municipal fire/police response to an alarm
from the'remises andlor a fine.
Municipal Electrical Permit Fee
O Customer to obtain electrical permit
Initial/Annuai Fee
' u
O Carbon Monoxide O Flood O Low Temp
Installation PriceIs
O Medical Alert
Taxable Amount
Safewatch Cellguard®
t r
Non -Taxable Amount
---- -----
-
O SearityUnk®
� �
Connection Fee
$ (i
9D Extended Limited WamanWQuality Service Plan (QSP)
`
Admin Fee _ —_
O Guard Response Service
Sales Tax on Installation -
0 Monthly Recurring Municipal Fee
(Subject to change based on locallaw)
O Customer to obtain and pay for
municipal alarm ttce permit
Total Installation Charge*
S 5
O Other
Deposit Received
$ .j C1
Total Monthly Service Charge
Balance Due upon Installation*
*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 \ / o<
Panel /,. :asSe� aor°° 0 �� tboo*a¢\• L S��`�o t�c��`��a° tea
��_,-.<-«..'"__._._,/+�o po .ZS�c• tS•o/(���Oe ��Oe CSO¢ SaC�` t,� PFJ PV.C�` PV Q9 Comments
Package Name:
Includes:
I
Foyer
Living Room
Family Room
Lout.hcn
Office
Dining Room
,c, jS r r4
Kitchen
- �� a
Laundry Room
Hallway
1
Master Bedroom
nMaster Bath
Bedroom2
P f
Bedroom 3
C e. a
Beth 2{
Basement
U )
Garage
Price Per Piece
Uh n
Totals
E _= Erdsting Equip
sumated Installation Start Date
NOTES c v l 5 J t+
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4/30/13
gisweb.miarrddade.gou/Propert 6earch/printMap.htm
Property Information:
Current Previous
Year
Folio
11-3101-022-0070
Property Address
123 NW 102 ST
County
Owner Name(s)
SHE LTON A HILL &W SOMA
School Board
Mailing Address
123 NW 102 ST
MIAMI FL
33150-1231
City
Primary Zone
0800 SGL FAMILY -1701-1900 SQ
Regional
Use Code
0001 RESDENTIAL - SINGLE FAMILY
Sale Information:
Beds/Baths/Half
21211
OR Book -Page
Floors
1
$0
Living Units
1
4/1994
Adj. Sq. Footage
1,510
Sales which are qualified
Lot Size
8,100 SQ FT
11955-0313
Year Built
1953
Legal Description
GOLD CREST A SUB PB 21-56
LOT 16 AND
E1/2 OF LOT 17 BLK 1
LOT SIZE 75.000 X 108
OR 19808-1942 07 20015
OR 19808-1942 070101
Assessment Information:
Current Previous
Year
2012 2011
Land Value
$58,385
$64,872
Building Value
$116,362
$114,870
Market Value
$174,747
$179,742
Assessed Value
$92,679
$89,980
Exemption Information:
Current Previous
Year
2012 2011
Homestead
$25,000
$25,000
2nd Homestead
$25,000
$25,000
Senior
$0
$0
Veteran Disability
$01$0
Civilian Disability
$0
$0
Wldow(er)
$0
$0
Disclaimer:
R)
MIAMI -DARE COUNTY
OFFICE OF THE PROPERTY APPRAISER
PROPERTY SEARCH SUMMARY REPORT
Carlos Lopez-Cantwa
NopmV Appraiser
Aerial Photography 2012
Taxable Value Information:
Current Previous
Year
2012
2011
Exemption/raxable
Examption/rexable
County
$50,000/$42,679
$50,000/$39,980
School Board
$25,000/$67,679
$25,000/$64,980
City
$50,000/$42,679
$50,000/$39,980
Regional
$50,000/$42,679
$50,000/$39,980
Sale Information:
Date
Amount
OR Book -Page
Qualification Code
7/2001
$0
19808-1942
Sales which are disqualified as a
result of examination of the deed
4/1994
$76,100
16345-1358
Sales which are qualified
10/1983
$62,000
11955-0313
Sales w hich are qualified
The Office of the Property Appraiser and Miami -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 systems of record. 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 Miami -Dade County full disclaimer and User Agreement at
http:/Avww.miamidade.gov/info/d`isclaimer.asp.
Property information inquiries, comments, and suggestions email: pawebmail@miamidade.gov
GIS inquiries, comments, and suggestions email: gi%@miamidade.gov
Ge=nerated on: Tue Apr 30 2013
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