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EL-13-2167Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-219602 Permit Number: EL -9-13-2167 Scheduled Inspection Date: September 12, 2014 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: FEBLES, CARLOS Work Classification: Alarm Job Address: 653 GRAND CONCOURSE Miami Shores, FL 33138-2473 Phone Number Parcel Number 1132060172150 Project: <NONE> Contractor: ADT LLC comments BURGLAR ALARM INSPECTOR COMMENTS False Inspector Comments Passed Ekl_ 4 ;X7 Failed VP > y Correction ❑ Needed Re -Inspection Fee No Additional Inspections can be scheduled until re -inspection fee is paid. September 11, 2014 For Inspections please call: (305)762-4949 Page 35 of 35 c Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fag: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION FBC 20 MAY 0 7 2014 Permit No. Master Permit No. z 1 3 ar6 Permit Type: Electrical JOB ADDRESS: 0" iG4.t� � fl�tCdus�� City: Miami Shores County: Miami Dade Folio/Parcel#: Is the Building Historically Designated: Yes NO OWNER: Name (Fee Simple Tleholder):q�� �0_$ Zone: City: _ _4 ¢� vis State: Zip: Tenant/L.essee Name: Email: cn) CONTRACTOR: Company Name:�G�ir��r�i/�y ..�%e1-�/'i iG.� Phone:'�S C Address: �o7PS' �? Qy A?Qy '�!1 Zi 3342 City: /1?�i l^Or�?� State: p: Qualifier Name: State Cerdficatic Contact Phonek Email Address: DESIGNER: Architect/Engineer: Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: OAddress Description of Work: �/ Submittal Fee $ Scanning Fee $ on ONew ORepair/Replace ODemolition EL- /,G7 Permit Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ CCF $ 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 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 V77Not be avgd and a reinspection fee will be charged. neo ---f SignatureSignature —4_/ O er or Contractor Agent The foregoing instrument was acl;owledged before me this The foregoing day of 0--), 20 Iq, by Okl� MMM 1 , day of 4140J who is personally known to me or who has produced who is—r—son. As identification and who did take an oath. NOTARY PUBLIC: Onent was acknow ged before me this iU� , 20I, by known to me or who has pr ced _as identification and who did take an oath. NOTARY PUBLIC: Sign: Sign: 44 Print Print: .4, 0 My Commission Expires: P� CASTRO My Commission Expires: 5*. ;+_ MY COMMISSION # EE 147407 40 EXPIRES: November 17 2015 Bonded Tbru Notary Public U.�onvri[ers APPROVED BY Yplans Examiner NOTARY PUBLIC STATE OF FLORIDA Comm# FF007936 Zoning Structural Review Clerk (Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) Miami Shores Village Building Department SEP 2 2013 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER. (305) 762.4949 C-4 (I FBC 20_ BUILDING Permit No. PERMIT APPLICATION Master Permit No. RL C 15 6 Permit Type: Electrical JOB ADDRESS: l� �9� Qaky kC , City: VLamj Shores County: Miami Daae zip: 3 31 13 FoliolParce�#: — 5;90U_ ()1 '] ,,2 19D Is the Building Historically Designated: Yes INO Float Zone: OWNER: Name (Fee Simple City: nc; q rn l State: , . Zip: 331 Tenantflxssee Name: Phone#: Email: CONTRACTOR: Company Address: City: i' Qualifier Name: State Certification Re Contact Phone#: C1CL DESIGNER Architect/Enei of Competency #: Phone#: Value of Work for this Permit: $ I W, 0�1 SquureAlkwar Footage of Work: Type of Work: OAddress u4nation ONew _ URepair/Replace Description of Work: Submittal Fee $ Permit Fee $ A9dP 1,P e CCF $. CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ 33 ODemolition Double Fee $ Structural Review $ TOTAL FEE NOW DUE $, MY4.0,10 Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address zip 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 cerci, f ted 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 CO Owner or Agent The foregoing instrument was acknowledged before me this I day of,20,by 6dr_Os ��_T F��a%, who is personally known to me or who has D (o b ( 334 Q As identification and who did take an oath. NOTARY PUBLIC: Sign: -a��z � Print: AVF Itt > MY Commission Exniri Lo APPROVED BY EXPIRES December 16, 2016 Signature n or The foregoing instrument was acknow)pdged before me this day of ► 20 �y 544 who is rally kno me or who has produced Tas identification and who did take an oath. 5r���3 Plans Examiner Structural Review (Revised 3/1212012)(Revised 07n0/07)(Revised 06/1Or2M)(Redsed 3/15/09) NOTARY PUBLIC: Sign: Print: My Commission Expires iATOYA L CARTER MY COMMISSION # EE 139599 Zoning Clerk Property Search - Report RO F Current Previous Previous 2 Year v 2012 2011 U4 Exemption/ Taxable "'. County Property Information: $0/$303,577 Folio 11-3206-017-2150 Property Address 653 GRAND CONC Owner Name(s) CARLOS F FEBLES $0/$333,934 MICHAEL W MASON Mailing Address 653 GRAND CONCOURSE $0/$333,934 MIAMI FL $0/$303,577 33138-2473 Primary Zone 1300 SGL FAMILY - 2801-3000 SQ Use Code 0001 RESIDENTIAL - SINGLE 3/2005 $475,000 FAMILY Beds/Baths/Half 3/2/0 Floors 1 Living Units 1 Ad). Sq. Footage 1,829 Lot Size 13,431.60 SQ FT Year Built 1945 Full Legal Description AMD PL MIAMI SHORES SEC 4 LOT 16 & 17 PB 15-14 BLK 103 LOT SIZE 103.320 X 130 OR 16047-3135 0793 1 COC 23259-1759 03 2005 1 Assessment Information: Current Previous Previous 2 Year 2013 2012 2011 Land Value $246,852 $164,159 $164,159 Building Value $124,679 $139,418 $139,418 Market Value $373,531 $303,577 $303,577 Assessed Value $333,934 $303,577 $303,577 Benefits Information: Current Previous Previous 2 Benefit Type 2013 2012 2011 Non -Homestead Assessment $39,597 $0 $0 Caps Reduction Note: not all benefits are applicable to all Taxable Values (is County, School Board, City, Regional). Disclaimer: Page 1 of 2 MIAMI -DARE COUNTY OFFICE OF THE PROPERTY APPRAISER PROPERTY SEARCH SUMMARY REPORT Carlos I opez-Cantera Property Appraiser J Aerial Photography 2012 N Taxable Value Information: Current Previous Previous 2 Year 2013 2012 2011 Exemption/ Taxable Exemption/ Taxable Exemption/ Taxable County $0/$333,934 $0/$303,577 $0/$303,577 School Board $0/$373,531 $0/$303,577 $0/$303,577 City $0/$333,934 $0/$303,577 $0/$303,577 Regional $0/$333,934 $0/$303,577 $0/$303,577 Sale Information: Date Amount OR Book -Page Qualification Code 3/2005 $475,000 23259-1759 Sales which are qualified 8/2004 $375,000 22707-2990 Sales which are qualified 7/1993 $145,000 16047-3135 Sales which are qualified 8/1990 $137,000 14654-2148 Sales which 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 properly 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 Miam i -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: Mon Sep 23 2013 http://gisweb.miamidade.gov/PropertySearch/printMap.htm 9/23/2013 AAMLL RESIDENTIAL SERVICES CONTRACT �W . CONTDATEE 0 � o � 3 OB ACCOUNT NO CT CUSTOMER,NO m SU RCE Section• • ADT LLC Customer Name dba ADT Security Services ("ADT") ('Customer' or or "me" or "my') Office Address /Vlr�(, car Uc�(J1lC(!4 I r r1 (, 6 AA Ali K k1A yi Premises' z d Address C� S r i i. C Q " CAJ O V1 S City i ° ', r I—MStater- 1 ZIP I Tax Exempt No. Tax Expire Date www.MyADT.com 800.ADT.ASAP® Protected Premises' a ' ® Traditional Phone O Other (Qualified) O Other (Non -Qualified) (800.238.2727) Telephone Alternate O Home O Cell O Work Alternate O Home O Cell O Work Telephone 1 Telephone 2 O Fill in if billing address is the same Billing Address City I E0 State m ZIP= IF FAMILIARIZATION PERIOD IS REJECT/QED INITIAL HERE (see Paragraph 14 of the Terms and Conditions for explanation) EMAIL 0 � r '� 01 � I r ` I iJ d 6 O 1 ALI' 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 _ 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 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 messages from automated dialing systems at the number(s) provided. 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 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 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, l 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 Contract (D) No alarm system can provide complete protection or guarantee prevention of loss or injury. Fires, floods, burglaries, robberies, medical problems and otter 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 ofADT.-ADT may not receive alarm signals if communications or power is interrupted for any reason. (E) ADT recommen* that I manually test the alarm system monthly and any time I change telephone service, by calling 800.ADT ASAP 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 ADTY only obligation will be to notify me of such termination and refund any amounts 1 paid In advance. ADT Representative / Rep. License No. Rep. (If Required) IO No. . Customer's Ap roval: Original Signature R -bred (Must match Customer Name in Section 1 above) m� mA�W_f NOTICE OF CANCELLATION 1, THE CUSTOMER, MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTERTHE DATE OF THIS TRANSACTION. SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION RESIDENTIAL SERVICES CONTRACT / r II��I�IuIIIIII�llllllllllllllll�ll �l�ll WUM1"'-�'t" ©?05- l7o-f 5401UE03 CONTRACT LEAD TE E f lfll /I r IZ ACCOUNTO61q O V � ,NO OB m SOU CE Monthly Service Charge 10 InitialiAnnual Recurring Municipal Fee billed separately Initial/Annual Fee Control PanelaSpa¢"yea elap °/�o \ `° e\' L/� r.a, S CommentsaSta��° Package Name: j Includes: Foyer -- - -- - --- --- LivingRoom - - — �' / i,Ch Family Room p - office Dining Room '1 t? ltoo —L. - - - Kitchen Cr Laundry Room - IAA Hallway ------ Master Bedroom Master Bath- --+�------�---- .-I ---- - -- - -- ---=-- - ------ -- - Bedroom 2 Bedroom 3 I - -- - - t ------ - - (Subject to change based on local law) ® Standard Monthly Service, Burglary Service includes: Customer Monitoring Center Signal - - - ---- ------ -- ----- -- - - O Customer to obtain and pay for initiallannual municipal Receiving and Notification Service for Burglary, $ U `� C/ alarm use permit Failure to obtain and provide ADT with the municipal alarm use permit registration number Could Manual Fire and Manual Police Emergency . result in no municipal fire/police response to an alarm from the premises and/or a fine. O Standard Monthly Service, Fire/Smoke Detection Service includes: Customer Monitoring Center Signal $ Municipal Electrical Permit Fee �7 $ � Receiving and Notification Service for Fire, Manual Fire 0 Customer to obtain electrical permit V and Manual Police Emergency O Carbon Monoxide O Flood O Low Temp - -/-�-�j - -- Installation Price $'�15 O Medical Alert Taxable Amount ® Safewatch Cellguard® !� C- Non -Taxable Amount O Securityl mk° Connection Fee O Extended limited Wananty/Quality Service Plan (Q$P) Admin Fee O Guard Response Service Sales Tax on Installation* O Monthly Recurring Municipal Fee (Subject to change based on local law) 1 Total Installation Charge* O Customer to obtainand pay for municipal alarm use permit <D Other Deposit Received Total Monthly Service Charge ' Balance Due upon Installation* *If aoolicable sales tax not shown, it will be added to the first invoice, if not collected at the time of installation. Control PanelaSpa¢"yea elap °/�o \ `° e\' L/� r.a, S CommentsaSta��° Package Name: j Includes: Foyer -- - -- - --- --- LivingRoom - - — �' / i,Ch Family Room p - office Dining Room '1 t? ltoo —L. - - - Kitchen Cr Laundry Room - IAA Hallway ------ Master Bedroom Master Bath- --+�------�---- .-I ---- - -- - -- ---=-- - ------ -- - Bedroom 2 Bedroom 3 I - -- - - t ------ - -