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EL-13-2199 Miami Shores Village Building Department SEP 2 7 g 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel: 305 795.2204 Fax: 305 756.8972 BY° Customer # INSPECTION'S PHONE NUMBER: (305)762.4949 BUILDING Permit No. PERMIT APPLICATION Master Permit No. 1'3 E l'.&l FBC 20 Permit Type: Electrical OWNER:Name(Fee Simple Titleholder): �� 7 Phone 1;F/ 7J / 3 Address: '? City:tgv/_ / , Sol—g_ A4Pu State: !F/ Zip: �f�d Tenant/Lessee Name: Phone#: Email: JOB ADDRESS: g /Iz Y/ City: Miami Shores County: Miami Dade Zip: [ 5131F Folio/Parcel#: Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: ADT SECURITY SERVICES Phone#: 954-266-5027 Address: 10785 MARKS WAY City: M I RAMAR State: FLORIDA zip: 33025 Qualifier Name: G EO RG E MAN G I N ELLI Phone#: 954-266-5033 State Certification or Registration#: EF0001121 Certificate of Competency#: Contact Phone#: 954-266-5023 Email Address: LLCARTER@ADT.COM DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: $ 1'eeq . 6?6 Square/Linear Footage of Work: 11 Type of Work: ❑Address XAlteration ❑New ❑Repair/Replace ❑Demolition Description of Work: Burglar Alarm ��xx��x��xxxx�x�xx�xx�xx��x�x��xxxFeesx•u�x�xx��xx�uux�ax�xux�xx�xx��x�x�xx�xx��x��x Submittal Fee$��`� Permit Fee$ A9,&.,&vr1 CCF$ CO/CC$ Scanning Fee$ Radon 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: 1 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 than a c•opv of the notice of commencement and construction lien law brochure will he delivered to the pegs nt whose property, is subject to attachment. Also, a certified c•opv of the recorded notice of commencement must be posted at the.job site ./or 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 he charged. (Signature Signature Owner or Agent Co •actor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of _,20 1--&,by IA6&7day of 4?,20 �2,by George Man inelll who is personally known to me or who has produce 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: ke Sign: ! Sign: Print: p USLIC �- Print: MyCommi :jre •MOHAMMADR1' My Commission ' Cotrirr9#F�g7®240 _ �ttY COBAMISSION#EE 142M E3IRE5:OctcNer27,20i5 EXpie®ss11911U17 Bonee,i rnm Novy urw,tters �� APPROVED BY k,!;, ' Plans Examiner Zoning Structural Review Clerk (Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) 9/16/13 Property Search-Report MIAMI-DADE COUNTY a OFFICE OF THE PROPERTY APPRAISER Print formatted report PROPERTY SEARCH SUMMARY REPORT t< k :„✓ '/ Carlos Lope.-Cantera Property Appraiser Property Information: Folio 11-3206-013-5590 Property Address 308 NE 99 ST Owner Nam e(s) ERNESTO R KUNDE& HELEN I YOUNGMAN Mailing Address 308 NE 99 ST MIAMI SHORES FL 33138-2437 Primary Zone 1000 SGL FAMILY-2101-2300 SQ Use Code 0001 RESIDENTIAL-SINGLE FAMILY Beds/Baths/Half 3/2/0 Floors 1 Living Units 1 Adj.Sq.Footage 2,377 AAerial Photography 2012 Lot Size 11,500 SQ FT Year Built 1949 Taxable Value Information: Full Legal Description MIAMI SHORES SEC 1 AMD PB 10-70 Current Previous Previous 2 LOTS 9&10 BLK 41 Year 2013 2012 2011 LOT SIZE 100.000 X 115 DR 18992-0673 02 2000 1 Exemption/ Exemption/ Exemption/ COC 24970-3818 09 2006 1 Taxable Taxable Taxable Assessment Information: County $50,000/$312,958 $50,000/$306,891 $50,000/$296,497 Current Previous Previous 2 School Board $25,000/$337,958 $25,000/$331,891 $25,000/$321,497 Year 2013 2012 2011 City $50,000/$312,958 $50,000/$306,891 $50,000/$296,497 Land Value $214,061 $164,836 $143,336 Regional $50,000/$312,958 $50,000/$306,891 $50,000/$296,497 Building Value $182,337 $203,061 $203,161 Sale Information: Market Value $396,398 $367,897 $346,497 Date Amount OR Book-Page Qualification Code Assessed Value $362,958 $356,891 1 $346,497 9/2006 $785,000 24970-3818 Sales which are qualified Benefits Information: 6/2004 $460,000 22529-2352 Sales w hich are qualified Current Previous Previous 2 212000 $208,000 18992-0673 Sales w hich are qualified Benefit Type 2013 2012 2011 1/1996 $65,000 17076-0217 Sales which are qualified Save Our Homes Assessment $33,440 $11,006 $0 Reduction Homestead Exemption $25,000 $25,000 $25,000 Second Exemption $25,000 $25,000 $25,000 Homestead Note:not all benefits are applicable to all Taxable Values(ie County, School Board,City,Regional). Disclaimer: The Oft-ice 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 informal ion 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 frill disclaimer and User Agreement at hitp:h%rnt+.miantidade.gov/info/disclaimer.asp. Property information inquiries,comments,and suggest ion,email pawebmailLmiamidade.gov g isweb.rmarrtidade.g ov/PropertySearch/printMap.htm 1/2 DATE(MMIDDIYYYY) ,acoR�® CERTIFICATE OF LIABILITY INSURANCE ° 013 THISTHIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY HE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),' REPRESENTATIVE OR PRODUCER,AND THE'CERTIFlCATE HOLDER IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.IE SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(sj. m CONTACT PRODUCER NAN>= Aon Risk Services Northeast, Inc. (860 Zai-7122 FAX No.): (800) 363-0105 (AIC.No.Ext): G Morristown NJ Office _ 44 Whippany Road, Suite 220 A.M. Morristown NJ 07960 USA MAIC# WSURER(Si AFFORDING COVERAGE INsuRERa Zurich American Ins co 16535 INSURED40142 ADT LLC °USURER e: American Zurich Ins co ADT Security Services VISURER C: 1501 Yamato Rd Boca Raton FL 33431-4408 USA INSURER 0: INSURER l+ . INSURER F' COVERAGES CERTIFICATE NUMBER:570051414702 REVISION NUMBER: HE POU ly INDICATED. OTWIIHSTAND NG ANYIULI IEREQUIREMENT,S OF CTERM O CR ONDITION OF USTO BELOW HAVE BANY CONTRACT E-0—ISSUED OOR OTHE ITHER DOCUNSURED MENT WITH RESPECT TO WHICH �THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES'DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested sh PO CY EFF POUCY INS POLICY NUMBER MMIDO MIDI L.� TYPE OF INSURANCE INSR WVD 4 EACH OCCURRENCE $2,000,000 A GENERALUASOJrY GLOS 5 ETO $1,000,000 X PREMISES oca COMMERCIAL GENERAL LIABILITY M®EXP(Any one person) S10,000 cLAlans-MuoE DccuR PERSONAL&AIV INJURY $2,000,000 GENERAL.AGGREGATE 54,000,000 d• V PRODUCTS-COMPIOPAGG $4,000,000 0 GEN'L AGGREGATE UNIT APPLIES PER: r X POLICYPRS LOC BAP 5095900-01 10/01/2073 10/01/2014 COMBINED SINGLE uMlr S1,00 000 A AUTOMOBILE LUd31UTY eacddent BODLLY INJURY(Per person) a Z X ANY AUTO BODILY w uRY(per accident) ALL OWNEDSCHEDULED AUTOS AUTOS PROPERTY DAMAGE Q HIRED AUTOS NON-OWNED (Per aecMen<) t AUTOS tD U F15CH oCCUFtfIENCE UMBRELLALIAR OCCUR AGGREGATE EXCESS LIAB CLANS-MADE DED RETENITON B WORKERS COMPENSATION AND Wc509589701 10/01/201310/01/2014 X IRYlroltis ER EMPLOYERS'LIABILITY YIN WCS09589801 10/01/201310/01/2014 E. EACH ACCIDENT $2,000,000 A L ANY PROPRIETOR l PARTNER 1 McUnVE ❑ OFFlCEfLMEMeER lJ(CLUOm7 N N 1 A EL pISEASE-EA EMPLOYEE $2,000,000 (Mandatory in NH) EL DISEASE-POUCY UMIT $21000'000 If yyea,desc@a under -- DESCRIPTION OF OPERATIONS below z� o� DESCRIPTION OF OPERATIONS I LOCATIDNs I VEHICLES(Attach ACORO 101,AddMonal Remarks Schedule,if more space is required) �u e.3 CERTIFICATE HOLDER - CANCELLATION JTHESHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFOREEXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITHPOUCY PROVISIONS.CITY OF MIAMI SHORES BUILDING DEPT AUTHOR¢ED REPRESENTATIVE10050 NE 2 AVEMIAMI SHORES FL 33138 USA ©1988-2010 ACORD CORPORATION.All rights reserved. AGORD 25(2010105) The ACORD.name and logo are registered marks of ACORD