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ELC-12-1716Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 178505 Permit Number: ELC -9 -12 -1716 Scheduled Inspection Date: December 03, 2012 Inspector: Devaney, Michael Owner: MILITANA, JOHN Job Address: 8801 BISCAYNE Boulevard Miami Shores, FL Project <NONE> Contractor: ADT LLC Permit Type: Electrical - Commercial Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1132060280240 Building Department Comments BURGLAR ALARM INSTALLATION UNIT #8955 Infractio Passed Comments INSPECTOR COMMENTS False Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments November 30, 2012 For Inspections please call: (305)762 -4949 Page 9 of 29 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 YEZMEWEi SEP 12 262 BY:__�J FBC 20 BUILDING Permit No. �✓ \'2 fl T Ce PERMIT APPLICATION Master Permit No. Permit Type: Electrical JOB ADDRESS: d S� a .; e ii 7 ta p ..411/A City: Miami Shores County: Miami Dade Zip: .3 /...g ,P Folio/Parcel #: g ?ot,6 2// 0/ 5O Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): IQ Mit- /rAl'li' Address: 0 g 6A/ 6 % °S e3-4-0.4 8 (t1 �54-c. / b ii City: tjl t.1a141 , ckC r ,p_S State: ?-1 Tenant/Lessee Name: Email: ��h1 M14- it.p Phone #: 3'&r -ire 4 49 / Zip: 33/ 3d" Phone #: 30 :' 110 �f 453( CONTRACTOR: Company Name: Address: 1 0 Me City: M Qualifier Name: .r 14ee.14 ✓ Lti State: /G Phone #: AS-9 -b 233 M . Zip: .3 .9 OS. C Phone #: 94' - L `o 470401 State Certification or Registration #: £ap9O l /o,„2.6 Certificate of Competency #: Contact Phone #: Email Address: DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ /9.9- q ©o Square/Linear Footage of Work: XAlteration Type of Work: ❑Address Description of Work: New :Repair/Replace :Demolition acx•; ex*xxx Y:: Er.: exx r,.****: g• ex•; ex,<>; cxx>;:x•*..•xx•; e*** Feesrr.^ cxxxxxxxaexxx r.; c, ex.%.{.{%.e.4.4.;.4.1.elee. **..ea2xx ****xx Submittal Fee $ Permit Fee $ //"' ' 14'0 CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ ✓ V 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 roust 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 � -c men., Also, a certified copy of the recorded notice of commencement roust be posted at the job site for the first inspection tch occurs even (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not b;.!pproved trod i, einspection,lee roil' -- i urged. Signature Agent The fo_regg %ing instrument was acknowledged before me this day of. J�io4. ,20i.,by-�1i�J hILti . , day of who is personally known to me or who has produced As identification i.i who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: Contractor The foregoing instrument was acknowled �ed�b�ef re met is /1 moo' , 20 a-by / # �6� �/?'Q/l�Y�f who is personally known to me or who has produced Sign: Print: My APPROVED BY Sign: Print: My Commission Expi a:x**' *r'. *YCx* ,, ** *•' •' *>cx****** **v. ****444********vv*v* . • /1/ .9 ' —% /Plans Examiner Structural Review (Revised 3 /12 /2012)(Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09) Zoning Clerk Property Information: Folio 11- 3206 - 011 -0140 Property Address 8945 BISCAYNE BLVD Owner Name(s) JOHN MILITANA &W ADRIENNE Mailing Address 8801 BISCAYNE BLVD MIAMI FL 33138 -3381 Primary Zone 6200 COMMERCIAL - ARTERIAL Use Code 0011 RETAIL OUTLET Beds /Baths /Half 0/0/0 Floors 1 Living Units 0 Adj. Sq. Footage 5,693 Lot Size 10,534 SQ FT Year Built 1952 Legal Description ASBURY PARK PB 4 -110 LOT 16 E OF FED HWY LOT SIZE 108.600 X 97 OR 21081 -2017 0796 4 OR 21081 -2017 0796 01 Assessment Information: Current Previous Year 2012 2011 Land Value $252,816 $252,816 Building Value $189,906 $189,981 Market Value $442,722 $442,797 Assessed Value $442,722 $429,222 Exemption Information: Current Previous Year 2012 2011 Homestead $0 $0 2nd Homestead $0 $0 Senior $0 $0 Veteran Disability $0 Civilian Disability $0 $0 Widower) $0 $0 Disclaimer: MIAMI -DADE COUNTY OFFICE OF THE PROPERTY APPRAISER PROPERTY SEARCH SUMMARY REPORT Honorable Pedro J. Garcia Property Appraiser Aerial Photography 2010 Taxable Value Information: Current Previous Year 2012 2011 Exemption/Taxable Exemption/Taxable County $0 / $442,722 $0 / $429,222 School Board $0 / $442,722 $0 / $442,797 City $0 / $442,722 $0 / $429,222 Regional $0 / $442,722 $0 / $429,222 Sale Information: Date Amount Recording Qualification Code Book -Page 7/1996 $0 21081 -2017 Sales which are disqualified as a result of examination of the deed 10/1987 $200,000 13472 -0292 Sales which are qualified 8/1983 $125,000 11904 -1296 Other disqualified 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:// www. miamidade .govrnfo /disclaimer.asp. Property information inquiries, comments, and suggestions email: pawebmail @miamidade.gov GIS inquiries, comments, and suggestions email: gis @miamidade.gov Generated on: Wednesday, September 05, 2012 SMALL BUSINESS CONTRACT 39 6 01 703 CONTRACT % n CUSTOMER DATE I 1 �A/ OS/ . ' � , ACCOUNT NO . ._.:: - _ - rmw -- Section 1. Customer Info ADT LLC dba ADT Security Servio3s ("ADT Office Address 1074r / tAAki O A • rii ^.htAti Ft. / . DJ - www.MyADT.com 1.800.ADT.ASAP® (1.800:238.2727) �1 Business Name � a ('CusOomu °.or'1' or `me° or "my7 GE,LI!!�,IPM1 I I I 1 1 1 1 1 1 1 I I I I I III I i Premises' REMIRINIM Address NW110.1111 City M , A m ; ..44 b le..I 1 1 I State Liiil zip REEVE Rert Name ft aA0I 4,1;z1 I 1 f l .1 1 1 1 1 1 Party Name e,,,,/ • . • I Protected Premises' !�'�� Phone (Required) L� LL � O Traditional Phone OOtlrer(Qualllied), OOdrer(Non- Qualified) •Fill in if billing address is the same Billing III I Address I 1 I III City I I I I I I State ZIP Billing Phone (Required) I 'I 1 I IF FAMILIARIZATION PERIOD IS REJECTED INITIAL HERE (see Paragraph B3 of the Terms and Conditions for explanation) EMAIL Communications Authorization: I authorize products and services to the contact information 888.DNC4ADT (888362.4238). Initial her ADT to provide me with information provided by me. I may unsubsaibe and updates about the security system and new ADT and third -party or opt out by emailing donotcontact@adt.com or by calling Confirmation of Appointments: I authorize ADT to call me using an automated appointments and provide other information or notices about the alarm system y calling device to deliver a pre- recorded message to set/confirm at thertelephone number(s) provided by me. Initial here Ownership of System and Equipment 0 Customer -Owned ®ADT -Owned Verticals 0 Reitail ®Business Services 0 Personal Services O Automotive/Transportation 0 Grocery/Food 0 Health Services 0 Restaurants 0 Wholesale 0 Other 1 acknowledge and agree to each of the following: (A) this Contract consists of six (6) pages. Before signing this Contract, 1 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 teens 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 inddents 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 I manually test the alarm system monthly and any time 1 change telephone service, by calling 1.800.ADT.ASAP. (E) This Contract requires final approval by an ADT authorized manager before ADT may provide any equipment or services, and if approval is dented, 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 Representative pr f �t/Z1� Gf t2. License No. Rep. ID (If Required) i I I I No. !!P C ,• ' : s Approval: Original 5 • nature Required Ill ,' /- /- ,If_.;�'. INSTA 1 R NOTES (Special Instructions /Directions /Cross Street) , 1 of 6 Administrative Copy ©2012 ADT LLC dba ADT Security Services. All rights reserved. (06/12) SMALL BUSINESS .CONTRACT CONTRACT. • DATE .olq e CUSTOMER ACCOUNT NO JOB NO LEAD SOURCE Section 2. Services to be Provided` Alarm Monitoring and Notification Services Monthly Service Charge Monthly Service Charge • Burglary (BA) 0,000 On Site Services - $ • Hold -up (HUA) i! $ X , 0 Guard Response 0 Interior 0 Exterior O Duress $ O Other $ O Two-way voice $ Total Monthly Service Charge $ jcis Da O Critical Condition Monitoring (CCM) 0 Flood O Temperature $ Initial Fee O Parallel Protection $ 0 Annual UL Certificate Fee $ O ADT DataSource $ 0 ADT to obtain Electrical Permit $ O Open/Close Login $ 0 Munidpal Electrical Permit O Supervised Scheduled Open/Close $ 0 Customs to obtain and pay for initiaYannual munidpal alarm use permit Failure to obtafi and provide ADT with the munidpal alarm use permit registration number could result in no municipal Poe/police response to an alarm from the premises and/or a fine. O ADT Entry Solutions $ 0 Other $ Other Services Installation Price $ $ • Quality Service Plan (QSP) $ :LP el. Taxable Amount (Leave blank if ADT- Owned) 0 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 03 04 06 012 $ Connection Fee $ O Training ,$ Sales Tax on Installation* $ 0 Direct Connection Services $ Tax Exempt No. Tax Expiration Date 0 Monthly Recurring Municipal Fee (Subject to change based on local law) 0 Customer to obtain and pay for munidpal alarm use permit $ Total Installation Charge* $ / 44•06 Deposit Received: 100% deposit required < $500 Minimum 50% deposit required $500+ 0 Money Order 0 Check diCredit/Debit Card d. I q 9, pi, *if applicable sales - i.n tax not shown, it will be added to the first invoice. • i•1 -• • .- In - II -. Balance Due* $ —9-. Quantity Device Description Device Location FINIMIIIIIIM Llitiallgr . / / !A ✓ 4 to 66,4.10,1 /� / , ,' 44 1 le I �SOJNdr1 A-, ,,hw .I /N TA 111-11 1 •oAAJ e1.. (F,.a. 4- /1 Fp!A . 1c_ e �i.) l }� 04,4 .�,.h .1 el P t 't DA. Estimated Installation Start Date 01/01/ 01 2 of 6 02012 ADT LLC dba ADT Security Services. All rights reserved. (06/12)