The URL can be used to link to this page

EL-12-1601 L 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 No. PERMIT APPLICATION Master Permit No. /-L- 8— 04o/ FBC 20 t� Permit Type: Electrical OWNER:Name(Fee Simple Titleholder): Phone#: Address: 9317 /✓yr City: State Zip: Tenant/Lessee Name: Phone#: Email: JOB ADDRESS: V1,7 AOV 7 a'w- City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated:Yes NO Flood Zone: CONTRACTOR:Company Name: X917-14e_ Phone#: 0��--4->7J- Address: �le3 City: f State: A!Z Zip: Qualifier Name: es Phone#: 9042-a-. 7 State Certification or Registration#: Certificate of Competency#: Contact Phone#:Off/-2AiAf 7.J'_ Email Address: DESIGNER:Architect/Engineer: Phone#: Value of Work for this Permit:$ Square/Linear Footage of Work: Type of Work: ❑Address UAlteralion >❑New/ ❑Repair/Replace ❑Demolition Description of Work: i�G!'4' � Submittal Fee$ Permit Fee$ LUO CCF$ CO/CC$ Scanning Fee$ 5• c.3Radon Fee$ DBPR$ Bond$ Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ Structural Review$ TOTAL FEE NOW DUE$ 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 —!7T::::::::;�� Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of ,20_,by day of ,2013by 1092 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 Print: Print: REREZ My Commission Expires: My Co io pires;'a bl'� -S'a!e of Florida My �o(nfn. Exp ?ay 7.2016 "sir •a.�� commiss,c: APPROVED BY _ a �J� Plans Examiner Zoning Structural Review Clerk (Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) Miami Shores Village Buildin g Dep artment ` ' 99 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel: (305)795.2204 Fax: (305)756.8972 INSPECTION'S PHONE NUMBER: (305)762.4949 L BUILDING Permit No. PERMIT APPLICATION Master Permit No. L t2 -tcoo FBC2o �0 Permit Type: Electrical OWNER:Name(Fee Simple Titleholder): �i /w 144..191'!1/9 Phone#: Address: g3/? NL 9 fVe- City: W/lh-PiState: Tenant/Lessee Name: Phone#: Email: JOB ADDRESS: 93y? e_ City: Miami Shores County: Miami Dade Zip: 3 3 1.38 Folio/Parcel#: //"3Lv6" Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR:Company Name: 54U1-)� / -GYY! Phone#: Address: / ,0 73'�;; 92,4/a 7 City: RAM 46 /Z- —State: Zip: 2-5- Qualifier Name: <;�"/eG V, f 299Aj�a/A)(;L Phone#: ®P 6 57 State Certification or Registration#: CA70®0//a'/ Certificate of Competency#: Contact Phone#: Email Address: DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit:$ 6 y8 • Va Square/Linear Footage of Work: Type of Work: ❑Address L'4 Alteration ❑New ❑Repair/Replace ❑Demolition Description of Work: Submittal Fee$ Permit Fee$ /°gL9 V,-,9,e7 CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ Structural Review$ _ c, + TOTAL FEE NOW DUE$ VY l¢O Bondtr�g 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 ' ectio ich curs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection ill no pproved nd a reinspection fee will be charged. Signature Signature Own or A Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me tllis•?O day of dUl 0S, ,20 Q. ,by DAV'a Ag4gi►7 a day of eO!% 8/ ,20 Z,;I.;by /`��►a'��1�, who i ersonally know ko me or who has produced/9 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: o Sign: W COMMISSION#EE 139699 Print: /dent 7 ZPIA Print: EXPIRES'0cfter 19 2015 �� Imu Pft Uri My Commission Expires: STATE OF My Commission Expires: • Comm#EES EXOM 6117=16 APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) MIAMI-DADE COUNTY f� OFFICE OF THE PROPERTY APPRAISER - PROPERTY SEARCH SUMMARY REPORT Honorable Pedro J.Garcia •f Property Appraiser Property Information:` r' Y Folio 11-3206-001-0070 Property Address 9317 NE 9 AVE Owner Names) DAVID RAHAMIN Mailing Address 9317 NE 9 AVE y t MIAMI SHORES FL � =� ✓ r t < tr 33138-2903 3 x Primary Zone 1400 SINGLE FAMILY RESIDENCE Use Code 0001 RESIDENTIAL-SINGLE FAMILY Beds/Baths/Half 2/1/0 Floors 1 ' Living Units 1 ' Ad).Sq.Footage 1,459 Lot Size 9,600 SQ FT Year Built 1943 Legal Description MARILYN HGTS PB 41-8 Q Aerial Photography 2010 LOT 7 LOT SIZE 75.000 X 128 OR 19489-4807 02 20014 7rmable Value Information: COC 22544-4114 07 20041 Current Previous OR 22544-4114 0704 00 Assessment Informffloi: Year 2011 2010 Current Previous Exemption/Taxable Exemption/Taxable Year 2011 2010 County $50,000/$178,295 $50,000/$174,922 Land Value $110,288 $116,332 School Board $25,000/$203,295 $25,000/$199,922 Building Value $149,093 $108,590 City $50,000/$178,295 $50,000/$174,922 Market Value $259,381 $224,922 Regional $50,000/$178,295 $50,000/$174,922 Assessed Value $228,295 $224,922 Saie;;Information: Exemption Infornir"Dlt. Date Amount Recording QuaUflcation Code Book-Page Current Previous 7/2004 $355,000 22544-4114 Sales which are qualified Year 2011 2010 2/2001 $0 19489-4807 Sales which are disqualified as Homestead $25,000 $25,000 a result of examination of the deed 2nd Homestead $25,000 $25,000 9/1980 $66,000 10866-2127 Sales which are qualified Senior $0 $0 Veteran Disability $0 $0 Civilian Disability $0 $0 1Nidow(er) $0 $0 Disclaimer. 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.miatnidade.govAnfo/disdaimer.asp. Property information inquiries,comments,and suggestions email: pawebmail@miamidade.gov GIS inquiries,comments,and suggestions email: gis@miamidade.gov Generated on:Wednesday,August 15,2012 A I I�I�I �II III IIII III�II IIII II��II IIII IV SMALL BUSINESS CONTRACT 54000E00 CONTRLEAD A �piGl �I /I ACCOUNT NO OB CUSTOMER ,NO m SOURCE = SectionAT • • ADT LLC dba ADT Security Services("ADT") Business Name ("Customer"or"I°or"me"or"my') Office Address Premises' Address City S State ZIP L�J_l_JJ ResponsibleJ Party Name www.MyADT.com 1.800.ADT.ASAP® Protected Premises' S � O Traditional Phone O Other(Qualified) O Other(Non-Qualified) (1.800.238.2727) _J Phone(Required) (*Fill in if billing address is the same Billing Address illing Phone City S a m ZIP B (Required) IF FAMILIARIZATION PERIOD IS REJECTED INITIAL HERE e Paragraph 83 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 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 set/confirm appointments and provide other information or notices about the alarm system at the telephone number(s)provided by me. Initial here Ownership of System and Equipment: O Customer-Owned cS ADT-Owned Verticals O Retail O Business Services O Personal Services O Automotive/rransportation O Grocery/Food 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 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.(D)ADT recommends that 1 manually test the alar system monthly and any time I change telephone service,by calling 1.800.ADT.ASAR(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 ADT's only obligation will be to notify me of such termination and refund any amounts I paid in advance. ADT Representat' e Rep.License No. Rep. U (if Required) � ID No. Customer p val:O ginal Signature Required E6V1fl/F_R INSTAL NOTES (Special Instructions/Directions/Cross Street) ©2012 ADT LLC dba ADT Security Services. 1 of 6 Customer Copy All rights reserved. (06/12) 9? 3�27/1 G ey Arl SMALL BUSINESS CONTRACT ©� -�� IIIIIII��II�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII� 54000 E00 CONTRLEAD A ?T= IE/I ISI Z ACCOUNT NO ' NOSOURCE Section 2. Services to be Provided Alar Monitoring and Notification Services i Monthly Service Charge Monthly Service Charge I 0 Burglary(BA) On Site Services "4 O Hold-up(HUA) O Guard Response O Interior O Exterior O Duress ! O Other O Two-way voice Total Monthly Service Charge O Critical Condition Monitoring(CCM) Initial Fee O Flood O Temperature ®Parallel Protection $ O Annual UL Certificate Fee O ADT DataSource O ADT to obtain Electrical Permit O Open/Close Login I O Municipal Electrical Permit O Customer to obtain and pay for initial/annual municipal alarm use permit.Failure to O Supervised Scheduled Open/Close obtain and provide ADT with the municipal alarm use permit registration number could result in no municipal fire/pollce response to an alarm from the premises and/or a fine. O ADT Entry Solutions I 10 Other Other Services Installation Price �C OR Quality Service Plan (QSP) f �' I Taxable Amount(Leave blank if ADT-Owned) O If Quality Service Plan(QSP)is Declined Customer must Initial here Non Taxable Amount(Leave blank if ADT-Owned) O Preventative Maintenance/Inspections Per Year 01 02 0 ( Connection Fee 3 04 06 012 ... ........... O Training _ 1 Sales Tax on Installation* Tax Exempt No. ,r� O Direct Connection Services j _, Tax Expiration Date t �" O Monthly Recurring Municipal Fee . Total Installation Charge* (Subject to change based on local law) / O Customer to obtain and pay for municipal Deposit Received:100%deposit required<$500 y ?1 b alarm use permit Minimum 50%deposit required$500+ O Money Order O Check 0 Credit/Debit Card *If applicable sales tax not shown,it will be added to the first invoice. Balance Due* Section • • to be Installed Quantity Device Description Device Location ------------ 2 i 1 r' V 6 k Estimated Installation Start Date ©2012 ADT LLC dba ADT Security Services. 2 of 6 All rights reserved.(06/12)