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EL-13-2017 • Miami Shores Village Building Department artment � � a 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. Vu 1 F3 - ac)`-i PERMIT APPLICATION Master Permit No. FB C 20 11D Permit Type: Electrical ��11 OWNER:Name(Fee pSimple /Titlehollder):,(��rsS��/�L5, �� � Phone#: Address: City: L//-7 State: _;r/�/A Zip: / Tenant/Lessee Name: Phone#: Email: JOB ADDRESS: City: Miami Shores County: County: Miami Dade Zip: FoIio/ParceI#: //—C-7/, —0/&a Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: ADZ: Phone#: Address: Z222� City: State: Zip: C__yF0z_5_ Qualifier Name: L Phone#: State Certification or Registration#: /��` Certificate of Competency#: Contact P-hone#: Email Address: DESIGNER: Architect/Engineer: Phone#: Value of Work for is Permit: $ T %-� 676 Square/Linear Footage of Work: Type of Work: t�ddress ❑Alteration ❑New ❑Repair/Replace ❑Demolition Description of Work: ��:k��:k:k:k:kok:k:koK:k:k:kx:k:k�::k:kx:k-K:k=k:kck:K��:K�>k:k:kk:KFeeti'i::k�KK ::K'�:k:t::k:i:�:k:k:Kc:'.:k>kkk:k:k=k:kaX�::I'•�=�:k�:k:K:k:k:koK-k-k:k:k=k:k Submittal Fee$S Permit Fee$ 0749 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: 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature Owner or Agent 'Contra(tor The foregoing in ment was acknowledg d before me this The foregoing instr ment was acacknowledged before me this day of 20 C,�,by �, day of 20✓by els who is pe o ally known to me or who has produced r who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: i Sign: Sign: PrPrint: '- MY COMMISSION M Commission ATHALIE L.EDWARDS My Commi.si* SEs y v NOTARY PUBLIC °•',�kRo?`s EXPIRES May 27,2017 STATE OF FLORIDA (407)39&0153 FloridallotaryService.com Camra#EE8�76�2�4,9y :k:k:k:<:k:�:i::g:gx:k>k:k:k:R:K:g:g:eY:k: :::r�>;c:g:k<>;c:k�=:k:i::k:B:I-�-kri=:g:g::: ::Fok:Y-:k�.'•:;c�Y:t:g:$:k>k��:k:gX=lc:;c:k:$�>k:k:g:tix:k:k-k�= -k-k=k��t�tf����mf3T.lefiSU�:k>k:k�ok:k:i:k9. APPROVED Blarlo to P Plans Examiner Zoning Structural Review Clerk (Rex ised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) nagm Q. t CUMULATIVE SUBSTANTIAL IMPROVEMENT VERIFICATION WORK SHEET In accordance with FEMA regulation and Miami Shores Village Flood Damage Prevention Ordinance the costs of all improvements must be monitored. The costs of any improvements in the past 12 months and the costs of any proposed improvements must be shown on the worksheet.The cost of improvements must include demolition,raw and finished materials (include those donated), labor (including volunteer and self-performed), construction supervision and management,and overhead and profit.A list of items the costs of which are to be included as well as those excluded is attached for your reference.(A Copy of the Contract must be attached) PROPERTY OWNER: PERMIT# ADDRESS: ( M``9 /V /O�� FOLIO NUMBER:/ t 5016:01—FLOOD;ZONE: BASE FLOOD ELEVATION:-----FREEBOARD:—EAST OF FL.CCCL: ! COST OF PAST IMPROVEMENTS(12 MONTHS): 1,qq, b 1 COST OF PROPOSED IMPROVEMENTS: (ATTACH COPY OF CONTRACT) TOTAL CUMULATIVE COST OF IMPROVEMENTS(past and proposed): VALUE OF PRINCIPAL STRUCTURE(attach appraisal): OWNERS SIGNATURE: DATE: PLANREVIEWER: PLAN REVIEWER SIGNATURE: DATE: Created on June 2009 Miami-Dade My Home Page 1 of 2 N", My Home MIAMI-nD,',D a se7 � e 4t Aq Q n1affle EM Show Me: Information � � �; Propert�r _ Legend Search By: a��� ,�,.;: Property rnE Rfi Boundary Select Item It Selected i Property Text only 4 ✓' Report Homestead Fraud T �._f ;� � �` Street Property Appraiser Tax Estimator ' *' t Highway Property Appraiser Tax �"' pig iQ�Tt#gT�, .-x•' ,>L,';�� � i ��, Miami-Dade Comparison "s� G� County Portability S.O.H.Calculator ~ l a Water Summary Details: F N Folio No.: 11- 1 13-01 0 t Property: 390 NE 104 ST „ WE Mailing MICHAEL J TREACY&W Address: IRENA a tii830$� 390 NE 104 ST MIAMI ti .z4 d �.} _• SHORES FL 4 33138-2018 a Property Information: ', Primary Zone: 1000 SGL FAMILY- >a � 101-2300 SQ 0001 RESIDENTIAL- CLUC: SINGLE FAMILY a_,- f Beds/Baths: /2 Floors: 1 Livinq Units: 1 Aerial Photography-2012 0 112 ft d•Sq Foota e: 2,268 Lot Size: 9,475.92 SQ FT Year Built: 1943 MIAMI SHORES SEC 5 My Home I Property Information I Property Taxes PB 10-47 LOT 1&E1/2 I My Neighborhood I Property Appraiser Legal OF LOT 2 BLK 118 LOT Description: SIZE 77.040 X 123 OR Home I Using Our Site I Phone Directory I Privacy I Disclaimer 19127-4409 05 2000 1 OR 19127-4409 0500 00 Assessment Information: F 2013 2012 If you experience technical difficulties with the Property Information application, lue: $89,889 $77,472 or wish to send us your comments,questions or suggestions Value: $153,951 172,689 please email us at Webmastealue: $243,840 250,161 d Value: $204,965 201,539 Exemption Information: ©zoo2 M a b Dade County. ear: Site 2013 2012 Ho t d: $25,000 $25,000 All rights reserved. n Ho a ad: I YES YES Taxable Value Information: Year: 2013 2012 Applied Applied Taxing Authority: Exemption/ Exemption/ Taxable Taxable Value: Value: Regional: $50,000/ $50,000/ $154,965 $151,539 County: $50,000/ $50,000/ $154,965 $151,539 City: $50,000/ $50,000/ $154,965 $151,539 School Board: $25,000/ $25,000/ $179,965 $176,539 Sale Information: ale Date: 5/2000 http://gisims2.miamidade.gov/myhome/propmap.asp 8/27/2013 RESIDENTIAL SERVICES CONTRACT FOR USAA MEMBERS II��uIV�lll�lllll�ll II�I�I�� .01t5403UE01 CONTRACT CUSTOMER0WHMIS JOB i� LEA` DATE ACCOUNT NO NO SOUR Section • • ADT LLC Customer Name dba ADT Security Services("ADT') (•Customer"or or'me'or'my") Office Address Premises' 'Ai(x"61 ic,di �l� Address city r' State ZIP Tax Exempt No. MENEM= Tax Expire Date Cwww.MyADT.com' 1.800.ADT.USAA Protected Premises' O Traditional Phone O Other(Qualified) O Other(Non-Qualified) (1.800.238.8722) Telephone AlternateO Home ®Cell O Work Alternate O Home a Cell O Work Telephone 1 / Telephone 2 ®Fill in if billing address is the same )- Billing Address City _State m 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.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 4evio�to deliver a pre-recorded message to set/confirm appointments and provide other information and notices about the alarm system at the telephone number(s)provided by me.Initial here 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 tp 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 and Conditions for more information. 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 5 and 18 of the Terms and Conditions.(B)The initial term of this Contract is two Wlears.(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 receive alarm signals If communications or power Is Interrupted for any reason.(E)ADT recommends that I manually test the alarm system monthly and anytime I change telephone service,by calling 1.800.ADT.USAA 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 ADT's only obligation will be to notify me of such termination and refund any amounts I paid in advance. ADT 7MX�/Z/ Rep.License No. Rep. /(�� (If Required) ID No. Customer'"pproval:Origi, Signature Required(Must match Customer Name in Section 1 above) I L',JLJ r NOTICE OF CANCELLATION 1,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. Section 2. Services to be Provided FINANCIAL DISCLOSURE STATEMENT THERE IS NO FINANCE CHARGE OR COST OF CREDIT(0%APR)ASSOCIATED WITH THIS CONTRACT. /y fINMAL UMBER OF 3y TOTAL OF PAYMENTS FOR THE INITIAL TERM IS $ ENTS FOR THEB.. OUNT OF EACH PAYMENT IS (A TIMES B.)(EXCLUSIVE OF ANY APPLICABLE T 5, Ea FIDWS TERM IS 24L MONTHLY SERVICE CHARGE FROM BELOW) AND RATE INCREASES) CXJ44 LATE CHARGE—PAYMENT IS DUE PURSUANT TO MY SELECTED BILLING PREPAYMENT—IF I PREPAY THE SEE PARAGRAPHS 2,7,15 AND FREQUENCY,PRIOR TO THE START OF SERVICE.MY FIRST BIWCHARGE WILL TOTAL OF PAYMENTS PRIOR TO 19 OF THIS CONTRACT FOR BE SENT/MADE SHORTLY AFTER MY SERVICE BEGINS.ADT MAY IMPOSE A THE END OF THE INITIAL TERM ADDITIONAL INFORMATION ONE-TIME LATE CHARGE ON EACH PAYMENT THAT IS MORE THAN TEN(10) OF THIS CONTRACT,THERE IS NO ABOUT NONPAYMENT,DEFAULT DAYS PAST DUE,UP TO THE MAXIMUM AMOUNT PERMITTED BY LAW,BUT IN PENALTY OR REFUND. AND ACCELERATION. NO EVENT WILL THIS AMOUNT EXCEED$5.00. X2012 ADT LLC dba ADT Security Service! 1 of 6 Administrative Copy All rights reserved.(07/12 DATE: DATE: • A Ad ress: Municipality: Job # 7Customer # 9!WZCV��Y& Coordinator: ATHALIE Process# Check # Amount r RESIDENTIAL SERVICES CONTRACT FOR USAA MEMBERS I����I�III� I IIII IIIII�I I� ' �{� 5403UE01 CONTRACT N� �J� ACCUSTOMERCOUNT NO Y� f U JOB LEAD � LTJ NO SOURCE Section 2. Services to be Provided (continued) Monthly Service Charge O Initial/Annual Recurring Municipal Fee billed separately Initial/Annual Fee {Subject to change based on local law) ®Standard Monthly Service,Burglary --- —" Service includes:Customer Monitoring Center Signal O Customer to obtain and pay for initial/annual municipal Receiving and Notification Service for Burglary, alarm use permit Failure to obtain and provide ADT with Manual Fire and Manual Police Emergency the municipal alarm use permit registration number could result in no municipal firelpolice response to an alarm from the premises and/or a fine. 0 Standard Monthly Service,Fire/Smoke Detection Service includes:Customer Monitoring Center Signal Municipal Electrical Permit Fee Receiving and Notification Service for Fire,Manual Fire O Customer to obtain electrical permit and Manual Police Emergency ®Carbon Monoxide O flood O Low Temp $ Installation Price $ /?91 W O Medical Alert Taxable Amount $ '/ 9 ! W. 0 Safewatch Cellguard® Non-Taxable Amount n O SecurityLink® $ Connection Fee Extended Limited Warranry/Quality Service Plan(QSP) $ Admin Fee O Guard Response Service $ Sales Tax on Installation* O Monthly Recurring Municipal Fee (Subject to'change based on local law) / Total Installation Charge* O Customer to obtain and pay for municipal alarm use permit O Other $ Deposit Received —"-- 7 Total Monthly Service Charge $__--aanBalance Due upon Installation* -- --- — ------— - - --- *If applicable sales tax not shown,it will be added to the first invoice. Section • • to be installed Control ?\ PanelJAS¢°S�aQ,�sac�e, Q J�Se i �' QOS j Comments Package Name: Includes: Foyer Living Room /C' Family Room Office / G Lx ix F/7 Dining Room Kitchen .Laundry Room Hallway '! F /Gcj^ Master Bedroom n Master Bath 1_-Ic Bedroom 2Bedroom 3 G /� ) Bath 2 Basementr`- Garage I le Ir Price Per Piece E=Existing Equipment Totals stimated Installation Start Date INST ER NOTES @2012 ADT LLC dba ADT Security Service-. 2 Of 6 All rights reserved.(07/1: i ter;z a vera?,' ea\. �v\yQ• c \ M�vLv�\�•-�\\�?\... ��\�� a\`�, Qtr��.. \ •' ` \ \ ����\`\\\�Q t� S� .,kms\ \'��`�\ \ \ �'\'\•��E �. v wvvwAvv� \ '� -Ava\y��A�y \ a yA Q v A.:o.Q�' -A.A A .. • l Fear. �y \ �; 'z i �. \ �"\\`"�• Fos.,, \@ ?y 3�`�\\a\\��� Q a Instrument Prepared by: OR Ek 28754 ass1920 - 1922► Gass) RECORDED ►308/02/ ►313 10:04:11 DANIEL S. CARUSI,ESQ. DEED DOC TAX 3x270.00 Daniel S.Carusi,P.A. HARVEY RUVIN, CLERK. OF COURT 517 SW First Avenue MIAMI-DADE COUNTY► FLORIDA Ft.Lauderdale,FL 33301 Record and Return to: Hark Burkhalter Yon PL 2101 N.W. Corporate Blvd., Suite 220 Boca Raton FL 33431 WARRANTY DEED THIS INDENTURE, made the day of July,2013, between MICHAEL J. TREACY and MINA TREACY A/K/A IRENA TREACY,his wife,whose address is:390 NE 104TH St Miami Shores, FL 33138-2018, hereinafter called the grantor, and CHRISTIAN S. DUNHAM and DEIRDRE B. DUNHAM, his wife,whose address is: 390 NE 104TH St Miami Shores, FL 33138-2018,hereinafter called the grantee, (Wherever used herein the terms"grantor"and"grantee"shall include singular and plural,heirs,legal representatives and assigns of individuals,and the successors and assigns of corporations,wherever the context so admits or requires.) WITNESSETH, That the grantors, for and in consideration of the sum of Ten ($10.00) Dollars,and other good and valuable consideration to grantors in hand paid by grantees,the receipt whereof is hereby acknowledged,have granted,bargained and sold to the said grantees and grantees' heirs,successors and assigns forever,the following described land,situate,lying and being in the County of Miami-Dade, State of Florida,to wit: Lot 1 and the East'/:of Lot 2,Block 118,of AMENDED PLAT OF SECTION NO.5 OF MIAMI SHORES,according to the Plat thereof,as recorded in Plat Book 10,at Page 47,of the Public Records of Miami-Dade County,Florida. Parcel ID#: 1121360130160 SUBJECT TO: Taxes for the year 2013,and subsequent years;applicable zoning ordinances, easements,restrictions,limitations,reservations,and conditions of record,if any. TO HAVE AND TO HOLD,the above granted,in fee simple forever. AND the grantor hereby covenants with said grantee that they are lawfully seized of said land in fee simple;that grantor has good right and lawful authority to sell and convey said land-,that the grantor hereby fully warrants the title to said land and will defend the same against the lawful claims of all persons whomsoever. Page 1 of 2 Book28754/Page1920 CFN#20130608641 Page 1 of 3