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EL-18-3252Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address � JV Issue Date:11/14/2018 Parcel Number 1167 NE 99TH ST, Miami Shores, FL 33138 1132050180080 Contacts Permit NO.: L-10-18-3252 Permit Type: Electrical - Residential Work Classification: Alteration Permit Status: Approved Expiration: 04/22/2019 YOHIR AKERMAN Owner 1167 NE 99 ST, MIAMI SHORES, FL 33138 FPL ENERGY SERVICES INC Contractor MICHAEL LAWRENCE HORUTZ 773 SW MCCRACKEN AVE, PORT ST LUCIE, FL 34953 Business: 5616813048 e Description: METER UPGRADE SUB PANEL INSTALL TESLA Valuation: $ 5,249.00 nests: Ins 305-ection Requests : CHARGER INSTALL Total Sq Feet: 0.00 Fees Amount Application Fee - Other $50.00 CCF $3.60 DBPR Fee $2.76 DCA Fee $2.00 Education Surcharge $1.20 Permit Fee $133.72 Scanning Fee $9.00 Technology Fee $4.59 Tota 1: $206.87 Payments Date Paid Amt Paid Total Fees $206.87 Check # 5000000664 11/14/2018 $156.87 Check# 1087 10/23/2018 $50.00 Amount Due: $0.00 Building Department Copy In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regull ng cons ction and z thermore, I authorize the above named contractor to do the work stated. %uthorized Signature: Owner / Applicant 1 Contractor / Agent Date November 14, 2018 Page 2 of 2 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Ave, Miami Shores, Florida 33138 Tel: 305-795-2204 Fax: 305-756-8972 Inspection Number. INSP-003186-2019 Permit Number "F-4-4211:) Scheduled Inspection Date: January 15, 2019 Permit Type: Electrical - ResillieniQ Inspector. Madevrisaul C � Inspection Type: E t—dist-14i i Owner: YOHIR AKERMAN Work Classification: t Address: 9 ffAT. Phone Number. Miami Shores, FL 33138 Parcel Number: 1132050180080 Project: Contractor. l� Y--86R E$ t1i Phone Number: 5616813048 MICHAEL LAWRENCE HORUTZ Building Department Comments - Checklist Item Passed General Comments False Comments 1/9/2019 WORKING ENTRANCE IN FRONT OF TESLA SUB PANEL NEC 110.28 PLATFORM UNDER MAIN PANEL /METER NEC 110.26(E)(2) (REMOVE STEPS) TESLA SIDE OKAY ( NO ROUGH ON RECORDS > 60AMP REQUIRES DISC. NOC 7 WORKWITH PASSED . DEVANEY FPL OK Inspector Comments Passed E]— Failed Correction k `l Needed ❑ t Re -Inspection Fee ( i No Additional Inspections can be scheduled until re -inspection fee is paid. January 15, 2019 For Inspections please call: 305-762-4949 Page 28 of 37 V!� BUILDING PERMIT APPLICATION Miami Shores Village RECEIVED Building Department OCT 23 20113 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 I Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 201-::V Master Permit No.f ZS Z Sub Permit No. BUILDING ❑■ ELECTRIC ❑ ROOFING PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS JOB ADDRESS: 1167 NE 99 Street ❑ REVISION ❑ EXTENSION ❑ RENEWAL ❑ CHANGE OF CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS City: Miami Shores County: Miami Dade Zip: 6AJ3 1 Folio/Parcel#: 11-3205-018-0080 Is the Building Historically Designated: Yes NO X Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): YOHIR AKERMAN Address: 1167 NE 99th Street City: Miami Shores State: FL Tenant/Lessee Name: Email: Phone#: Phone#: 33138 CONTRACTOR: Company Name: FPL Energy Services, Inc. Phone#: 561-681-3073 Address: 6001 Village Blvd. City: West Palm Beach State: FL Zip: 33407 Qualifier Name: Michael Horutz Phone#: 561-681-3073 State Certification or Registration #: EC13006338 Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State Value of Work for this Permit: $ $5,249.00 Square/Linear Footage of Work: Type of Work: ❑� Addition K Alteration ❑ New ❑ Repair/Replace Description of work: Meter upgrade - Sub Panel Install - Tesla Charger Install Specify color of color thru tile: Submittal Fee $ Scanning Fee $ Technology Fee $_ Structural Reviews $ M ❑ Demolition Permit Fee $ CCF $ CO/CC $ Radon Fee $ DBPR $ Notary $ Training/Education Fee $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ � � 7 (Revised02/24/2014) 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 ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, 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 aFa 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 ^� W R or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this day of _J r _ 2fl �, by _Q�f �C�AV& who ispersorrally known to The foregoing instrument /was acknowledged before me this _ 15— day of _ �Zi��_,.__, 20 /O by who is personally known to ram, or who has produced _ _ as me or who has produced _ as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: ;(-2 Sign: _ _ __ Print: 2, Seal: ............ °ue�, ROSA ELIZABETH PLEITEZ ,y'1C': Notary Public - State of Florida �C A COMM *� .** fin*"EicpvesAug 16, 2022 Bonded through National Notary Assn. x APPROVED BY iUOTARY PUBLIC: Sign:_ Print: 0 Z Seal: Ai ou'•. ROSA ELIZABETH PLEIDoning Notary Public Statte7o`faF �6�I: ko N��%�K�** �'RM��k F y omm. xpires Aug 16 Bonded through National Nota Plans Examiner —— J ,W&C210>% X,q cr-r-T6:t Structural Review (Revised02124i2014j Clerk 9/28/2018 Property Search Application - Miami -Dade County ..OFFICE Summary Report Property Information Folio: 11-3205-018-0080 Property Address: 1167 NE 99 ST Miami Shores, FL 33138-2640 Owner YOHIR AKERMAN Mailing Address 1167 NE 99 STREET MIAMI SHORES, FL 33138 USA PA Primary Zone 1100 SGL FAMILY - 2301-2500 SQ Primary Land Use 0101 RESIDENTIAL -SINGLE FAMILY: 1 UNIT Beds / Baths / Half 3/2/0 Floors 1 Living Units 1 Actual Area Sq.Ft Living Area Sq.Ft Adjusted Area 2,028 Sq.Ft Lot Size 8,925 Sq.Ft Year Built 1951 Assessment Information Year 2018 2017 2016 Land Value $321,020 $321,020 $299,280 Building Value $223,080 $243,664 $246,402 XF Value $3,980 $4,024 $4,067 Market Value $548,080 $568,708 $549,749 Assessed Value 1 $548,080 $568,708 $549,749 Benefits Information Benefit Type 2018 2017 2016 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description REV PL MIAMI SHORES SEC 8 PB 43-69 LOT 19 BLK 178 LOT SIZE 75.000 X 119 OR 19425-3841 12 2000 1 Generated On : 9/28/2018 Taxable Value Information 2018 2017 2016 County Exemption Value $0 $0 $0 Taxable Value $548,080 $568,708 $549,749 School Board Exemption Value $0 $0 $0 Taxable Value 1 $548,080 $568,708 $549,749 City Exemption Value 1 $0 $0 $0 Taxable Value 1 $548,080 $568,708 $549,749 Regional Exemption Value $0 $0 $0 Taxable Value $548,080 $568,708 $549,749 Sales Information OR Previous Price Book- Qualification Description Sale Page 04/01/2014 $827,000 29102 Qual by exam of deed 3073 12/01/2000 $235,000 19425- Sales which are qualified 3841 15821- Sales which are disqualified as a result of 09/01/1992 $0 1419 examination of the deed The Office of the Property Appraiser is continually editing and updating the tax roll. This website may not reflect the most current information on record. The Property Appraiser and Miami -Dade County assumes no liability, see full disclaimer and User Agreement at http://www.miamidade.gov/info/disclaimer.asp Version Oct.23.2018 3:22PM No.1784 P. 1 QUALIFIER: MICHAEL HORUTZ COMPANY: FPL ENERGY SERVICES, INC. CONTA.CT:ROSAPLEITEZ C(561)681-3073- 61)310-2545 IF ADbITIONAT, INFORMATION IS NEEDED. Energy Bervlces- BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT 115 S. Andrews Ave., Rm, A-100, R. Lauderdale, FL 33301-1895 -- 954-831-4000 VALID OCTOBER 1.2018 THROUGH SEPTEMBER 30, 2019 DBA: Recelpt f:181�-2 93912 Business Name' FPL ENERGY SERVICES INCBusiness.Type:RIECxRTCAL/AJAMS/CONTRACIOR (CERT ELECTRICAL CONTRACTOR ) Owner Name: MICIML LAWRENCt HORUTZ Business Opened:10/0112016 Business Location: 7200 taw 4 ST 8tateiCounty/Cert/iteB:Eci3oo6338 PLANTATION Buslness Phone: Exemption Code: Rooms Employees Machines Professionals I 1 1 Forvend)ng auelness Only Numbnr of Marhrnww !Tax Amount --.....--- -.._.__.....__. TMrISFOrFee NSF Fee Penalty WorwIng My Prior Yaws Collection Cost Taal Paid 27.00 o.00 o,00 o.00 0.00 0.00 27.00 THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS I THIS BECOMES A TAX RECEIPT This tax is levied for the privilege of doing business within Broward County and is non -regulatory in nature. You must meet all County and/or Municipality planning UVHEN VALIDATEp and zoning requirements. This Business Tax Receipt must be transferred when ' the business Is sold, business name has changed or you have moved the business location. This recelpt does not Indicate that the business is legal or that j it is In compliance with State or local laws and regulations_ Mailing Address: I MICFtAEL LAATRENCE fIORdTZ Receipt 902C-18-00000011 I 773 3A1' NICCRP,CFCEN AVE Paid 10/01/2018 27.00 r PORT ST LUCIE, FL 34953 1 r C 1' 2018 .2019 .... .. .. .. .. .._.._ FiY-: ,'t.:, vi', o;i,'--�:.�:_ �.r••e.;-r�r�<••..rr,.+r!c. �Arr •r... yr, <�., 9 'd tiR l 'ON WdtiZ : 8 8 l H U ; D0 Nov. 6.2018 9:39AM No.1890 P. 4 Evidence of Self -Insurance October 23, 2018 Miami Shores Village Building Department 10050 N.E 2bd Avenue Miami Shores FL. 33138 a FPL Energy Services - A NUMM FNMGR NC. C01AWn RE: Self -Insurance Documentation for FPL Energy Services, Inc., including .Iupiter-Tequesta A/C, Plumbing & Electric, LLC ("FPLES") - Electrical Services. To Whom It May Concern_ This letter confirms FPLES's, self -insured retention / self-insurance (together, the "Self -Insurance") as requested from Miami Shores Village. This Self -Insurance letter pertains only to FPLES, and/or its Contractors related to Electrician, Plumbing and HVAC Services. FPLES will maintain Self -Insurance for the following insurance coverage: POLICY EFFECTIVE POLICY EXPIRATION 10/23/2018 10/23/2019 General Liability: $1,000,000.00 — Each Occurrence $2,000,000.00 — Aggregate Bodily Injury and Property Damage — Combined Workers' Compensation and Employers' Liability: with limits of not less than $1,000,000 Additional Insured Includes: Miami Shores Village For a copy of NextEra Energy, Inc.'s latest annual report as evidence of FPLES's financial ability to self - insure, please copy and paste the following link into your web browser: hq://www.nexteraenergy.com/investors/index.shtml Sincerely, Stacy �,Vi?znudst Stacy Winnubst Risk Management 700 UNIVERSE BLVD. JUNO BEACH, FL 33408 Nov. 6.2018 9:39AM No.1890 P. 5 CERTIFICATE OF LIABILITY INSURANCE DATE 10/23/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR AFTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERYIFICA71= OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN 71-1E ISSUING INSURVR(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, IMPORTANT, If the certificate holder is an ADDITIONAL INSURED, the policy(iea) must have ADDITIONAL INSURED provisions or be endorsed, If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, Certain policies may require en endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsernent s . PRODUCER MCGRIFP, SEIBELS & WILLWAS, INC. BOX 10265 Bi ham, AL 35202 �� CONTACT ploy Dlcua PNONe BOD470P.O. -Z211 FA N.: L AobkESS• sdlcus@mcgriff.00rn INSURER AFFOROINOGOVORAOr_ NAIC# INSURER A :Everest National Insurance Company 10120 INSUP-ro FPL Energy Services, Inc. INSURER B INSURER C - 700 UDNerse Boulevard Jura Beach, FL 3NOa 2057 INSURER D : INSURER E : INSURER F . THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BYTHE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INS. LTR TYPE OF INSURANCE POLN:YNUMBBR INMDD MM/D LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 1:1OCCUR EACH OCCURRENCE S PREMISES lEa occurrence S MED EXP one reon) S PERSONAL 8, AOV RUURY S GEWL AGGREGATE LIMIT APPLIES PER, POLICY ER 0LOC GENERAL AGGREGATE S PRODUCTS-COMP/OPAGG S OTHER S AUTOMOBILE LIABtlJTY NYAUTO O OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY COMB EDISINGLE LIMIT IF BODILYINJURY(Parpsmon) S BODILY INJURY (Par occidvnQ S PROPERTY DAMAGE d S i UMBRELLA LIARHCLAIMS4AADE PJCc6Ss LIAR OCCUR EACH OCCURRENCE $ AGGREGATE ; DIED RETENTION WORKERS COMPENSATION AND FMPLOYERS'LIABIUTY YIN ANY PROPRIETOR/PARYN@R/EXECUTIVE OFFICERIMEMSER EXCLUDED? If RAandalorItt andNH) u yyeea deecr>De under DESCRIPTION OF OPERATIONS below E CE55 WO ERS' COMPENSATION PER OTH S A N 1 A EN4GL00100.171 12/01/2017 12101/20181"ChAcddentofftch EL. EACH ACCfDENi $ E.L.DISEASE-EA EMPLOYEE --- S E.L. DISEASE - POLICY LIMIT Employee for Disease $ S 35,000,000 E 8 DESCRIPTION OF OPERATIONS 1 LOCATIONSIVEHICLES (ACORD 101, AddlUoml Re(ftrktr Sehedw9, mey be attached Ir more tome itrrepubtd) RE: ELECTRICAL CONTRACTOR ECi3006338. f%r15"E11%ATG U^1 new Mlaml Shores Village Building Departrnent 10050 NE 2nd Avenue Miami Shores, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 040 Page 1 of 1 01988-2016 ACORD CORPORATION_ All rlrrhte roservnri At;UKU "lS (2016/03) The ACORD name and logo are registered marks of ACORD Oct.23.2018 3:23PM No.1784 P. 3 Miami shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Notice to Owner — Workers' Compensation Insurance Exemption Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05 allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to obtaining a building permit. Pursuant to the Florida Division of Workers' Compensation Employer Facts Brochure: An employer in the construction industry who employs one or more part-time or full-time employees, including the owner, must obtain workers' compensation coverage. Corporate officers or members of a limited liability company (LLC) in the construction industry may elect to be exempt if 1. The officer owns at least 10 percent of the stock of the corporation, or in the case of an LLC, a statement attesting to the minimum 10 percent ownership; 2. The officer is listed as an officer of the corporation in the records of the Florida Department of State, Division of Corporations, and 3. The corporation is registered and listed as active with the Florida Department of State, Division of Corporations. No more than three corporate officers per corporation or limited liability company members are allowed to be exempt. Construction exemptions are valid for a period of two years or until a voluntary revocation is filed or the exemption is revoked by the Division. Your contractor is requesting a permit under this workers' compensation exemption and has acknowledge that he or she will not use day labor, part-time employees or subcontractors for your project. The contractor has provided an affidavit stating that he or she will be the only person allowed to work on your project. In these circumstances, Miami Shores Village does not require verification of workers' compensation insurance coverage from the contractor's company for day labor, part-time employees or subcontractors. BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. Signature: caner State of Florida County of Miami -Dade The foregoing was acknowledge before me this C a day of , 20—S By L111 C /ae hb1t -� Z who is personally known to me or has produced as identification. Notary: !r SEAL: ROSA ELIZABETH PLEITEz y 1 Commission d GG 249666 V µy Comm. Expires Aug 16. 2022 Bonded through National Natary Assn. 9/28/2018 Property Search Application - Miami -Dade County V y; PROPERTY APPRAISER OFFICE OF T Summary Report Property Information Folio: 11-3205-018-0080 Property Address: 1167 NE 99 ST Miami Shores, FL 33138-2640 Owner YOHIR AKERMAN Mailing Address 1167 NE 99 STREET MIAMI SHORES, FL 33138 USA PA Primary Zone 1100 SGL FAMILY - 2301-2500 SQ Primary Land Use 0101 RESIDENTIAL -SINGLE FAMILY: 1 UNIT Beds I Baths I Half 3/ 2/ 0 Floors 1 Living Units 1 Actual Area Sq.Ft Living Area Sq.Ft Adjusted Area 2,028 Sq.Ft Lot Size 8,925 Sq.Ft Year Built 1951 Assessment Information Year 2018 2017 2016 Land Value $321,020 $321,020 $299,280 Building Value $223,080 $243,664 $246,402 XF Value $3,980 $4,024 $4,067 Market Value $548,080 j $568,708 $549,749 Assessed Value 1 $548,080 $568,708 $549,749 Benefits Information Benefit I Type 2018 2017 2016 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). (Short Legal Description REV PL MIAMI SHORES SEC 8 PB 43-69 LOT 19 BLK 178 LOT SIZE 75.000 X 119 OR 19425-3841 12 2000 1 Generated On : 9/28/2018 Taxable Value Information ' 00 2048 i 2�17•' 2016" County • • �• • •.••• Exemption Value • $0 •"',;C Taxable Value $548,080 • $568,70$ �5.%19 • School Board • • • ' • Exemption Value $0 • • • •$ $O Taxable Value 1 $548,0801 $568,708 $549,749 City Exemption Value $0 $0 $0 Taxable Value 1 $548,080 $568,708 $549,749 Regional Exemption Value $0 $0 $0 Taxable Value 1 $548,080 $568,708 $549,749 Sales Information OR Previous Price Book- Qualification Description Sale Page 04/01 /2014 $827,000 29102 Qual by exam of deed 3073 12/01/2000 $235,000 19425 Sales which are qualified 3841 15821- Sales which are disqualified as a result of 09/01/1992 $0 1419 examination of the deed The Office of the Property Appraiser is continually editing and updating the tax roll. This website may not reflect the most current information on record. The Property Appraiser and Miami -Dade County assumes no liability, see full disclaimer and User Agreement at http://www.miamidade.gov/info/disclaimer.asp Version: P.O. Box 3669 Tequesta, FL 33469 Estimate 72784485 AIR CONDITIONING 'I Electrical LIC # EC13008353 Job 72700764 PLUMBING S ELECTRIC / AnFPILEWOY SonkaCOMPM Estimate Date 8/20/2018 Completed bate Customer PO Billing Address Job Address AKERMAN, YOHIR AKERMAN, YOHIR 1167 Northeast 99th Street 1167 Northeast 99th Street Miami Shores, FL 33138 USA Miami Shores, FL 33138 USA Estimate Details Ackerman, Yohir-Estimate for Tesla char ggingg circuit.: Customer requested an estimate for a circuit and installation of a Tesla 80A Wall Connector. Tesla Part # 1050067-01-E (customer supplied). Customer has a 200A Service which is at its maximum load capacity and will need to be upgraded to 300A meter main and add an 80A sub -panel for the car charger circuit, which is to be run to the front of the house from the back where the sub panel will be located. Task # Description Quantity Your Price Your Total E016-3004NM MAIN GROUNDING SYSTEM 1.00 $488.00 $488.00 E075-3000NM REPLACE UP TO 400 AMP METER BASE 1.00 $1,346.00 $1,346.00 E043-4008NM INSTALL 70-100AMP 240 VOLT CIRCUIT OUTDOOR (UP TO 30 FT.) 1.00 $699.00 $699.00 E005-4009NM INSTALL 70-100AMP 240 VOLT CIRCUIT OUTDOOR (EACH ADDITIONAL S FT.) 14.00 $99.00 $1,386.00 E017-8080NM GE 80A 2P 1.00 $188.00 $188.00 E080-2014NM 80 AMP SUB PANEL (UP TO 50 FT.) GE 1.00 $1,142.00 $1,142.00 +ti-TotaCijSZ1?g00 •• Ta; tG.G9 •••Moial •%S,'L49.00 Please mail all payments to: P.O. Box 3669 Tequesta, FL 33469 By signing this authorization, I also agree to be bound by the governing Terms and Conditions. • ••• • : �s • • Credit Card Payment Authorization Print Name below as it appears on credit card ••.••• • o • Please pay total due amount. Thank you. Payment Type Credit Card # EXP CVC Name on card Signature Remit to: Amount Due: $5,249.00 P.O. Box 3669 Tequesta, FL 33469 Electrical LIC # EC13008353 RISER DIAGRAM YOHIR RESIDENCE THE NEW METER MAIN METER WILLREPLACE THE EXISTING 200 AMP METER CAN rg RECEIVEDCOCT 2 3 2018 EXISTING w Tb 0 amp 12 circuit sub panel -------------- 200 AMP installed to 200 ------------- MLO PANEL accommodate the new 80 amp IN THE car charger EXISTING 2 inch PVC conduit with 3 -2/00 RESIDENCE AND A #6 GRND 80 100 NEW 1 % PVC CONDUIT %•••�• WITH 3 #3 AND A #8 •• •••• • #2 GEC GROUND CONDUCTOR ••.... •••••• • • •••••• NER 80 AMP TESLA CAR CHARGE.F,*M4 ; •• • 960090 CHARGER WILL BE FEED BY A 1 IWC" VVC ••"' CONDUIT WITH 3 # 4 THHN CON4Uf,TORS •• •• ... ...... • 6FT ' 10.% 0••••• 61 .• • THE EXISTING GROUNDING SYSTEM WILL BE UPDATED TO A #2 GEC AND 2 THE SCOPE OF WORK ON THIS PROJECT IS REMOVE THE EXISTING GROUND RODS SPACED 6 FT APART TO -J r=• MEETr�CURRENT C CODES ALONG e '::Q t71 vWffWd Wl Unininir_ ugl V;arn Shires Village APFRObE BY DATE 70NING DEPT SUBJECT TO CGNIPUANCE WITH ALL. FEDERAL STATE ANi3 CCUN tY rIL)L-=S AND REGULATIONS 3ao�33� tROSA ELIZABETH PLEITEZ Notary Public - State of Florida Commission = GG 249666 yComm. Expires Aug 16. 2022 Bonded through National Notary Assn. 00 AMP ELECTRICAL METER AND REPLACE IT WITH A 400 AMP ETER MAIN COMBO UNIT. THE EXISTING 200 AMP ELECTRICAL PANEL WILL REMAIN UNTOUCHED. THERE WILL BE A 100 AMP UB PANEL ADDED TO ACCOMMODATE THE NEW 80 AMP TESLA HARGER YOHIR Residence 1167 North East 99th Street Miami Shores Florida, FL 33138 Qualifier Michael Horutz EC13006338 Residential Standard Calculation „.-- Version 2011 L _STEP 1 Article 220.42 & 220.52 sq. ft V 2028 General Lighting load 6,084 VA 2 Small Appliance 3,000 VA 1 Laundry circuit 1,500 VA Gen.Lgt, Sm App.& Laun. Load 10,584 VA STEP 2 Article 220.50 & 220.51 P1 A/C Condenser & Fixed Electric Space Heating 14 ton is 5,700 VA AHU 1 10. kW v !A/C#2 V VA AHU 2 ;Select V 1A/C #3 + VA AHU 3'Select V A/C #4 V VA AHU 4 'Select v 11A/C #5 V VA AHU 5 ISelect v STEP 3 Article 220.53 4,500 VA . 1 Water Heater 1,400VA . 1 Refrigerator 600 VA 1 Freezer 1,030 VA 1 Dishwasher 1690 VA . 1 Disposal 400 VA . R / Hood 1,630 VA 1 Microwave ❑ 14,000VA V Microwave 170VA V Mini Refrig ❑ ;400VA . Wine Clr ❑ 15,000VA V Insta Hot 1,500VA . Ironing Center ❑ ;select Jacuzzi Tub ❑ 1/2 hp w Sprinkler Pump ❑ select r Well Pump sec Fountain Pump select Elevator -' Pool Equip. Panel ❑ 10000 tesla charger 11 3,000 VA @ 100%= 7,584 VA @ 35% _ VA @ 25% _ QTY 11,600 VA 1 �` VA Qty VA Qty VA Qty VA ' Qty V 9/2511997 Yohir RESIDENCE Yohir Residence 1167 NE 99th Street Miami Shores 0 10/4/2018 12:22 3,000 VA 2,654 VA VA General Lighting Demand Load Total 1 Heating Load 1 11,600 VA CU Load 7.300 VA Greater of Heat @ 100% vs.A/C @ 100% Appliance Demand Load 5,654 VA 11,600 VA 18,233 VA 4,500 VA 1,400 VA Dryer Demand Load 5,000 VA 600 VA 1,030 VA Range Demand Load 8,000 VA 690 VA VA Service Demand : • •4%167 VA 1,630 VA ' ... **00" VA Demand Load •* *161A 'o .0*gg0 VA Neutral Demand `78 A ' • •• .• :••••0 VA w•••• VA Min.Service Reg. ' 225 A • • • • • VA ••••• • • . • • •.•• •• 1,127 VA 0 go Min. Feeder size " 3f0 • • • • • • VA Min. Neutral size :': ' 4 • VA Eq. Grding Cond. • • • 4 • • • •: • Coy 0e� VA 100% Demand • • • • • • """ 10,000 VA No Demand ', �' •' VA No Demand Total Appliance Load 20,977 VA 4 or more demand @ 75% plus 100% demand loads 18,233 VA STEP 4 Article 220.54 Electric Clothes Dryers 5,000 VA STEP 5 Article 220.55 Electric Ranges 8,000 W Col C demand 8000 or Number of appliances Cooktop Col B demand Rl Check Box for Gas Range Cooktop Col B demand with aef •he aa�sa s�- -' ��^•'^^+ Oven(s) Col B demand Oven(s) Col B demand Number of appliances 0 Dem. Factor 0% C NAtAq,(.A, Cooktop & Oven Demand Load W Pool Panel Feeder Calculation (See Note) Continuous Motors 0 ...... Non -continuous 0 ...... Spa heater 11 kVA ..... Pool heater 3.5 ton ..... Pool heater 5 ton ..... Pool Light select 1 0 ...... Blower = 0 El select • other load 0 ❑ 240v other load 0 240v Min.Co er Pool Feeder El 240v A_ B N 0 0 0 0 0 0 0 0 0 0 01 0 0 0 0 0 0 0 0 0 0 0 0 0 A A A Minimum Panel Rating A Phase Amperes Neut. load IAJ ,CC 17,66 L6_2? Continuous Non -continuous Motors Motors select El select select �; ❑ 240v select v El select select El 240v select ❑ 240v select _ = ❑ 240v select zaov ;select ❑ 240v select ❑ 240v select ❑ 240v 0.0 Motor Neutral Load Max.Unbalanced Neutral Load Notary Public • State of Florida Commission a GG 249666 My Comm. Expires Aug 16. 2022 uQhrough National notary Assn. R Residential Standard Calculation by:J — Version 2011 L STEP 1 Article 220.42 & 220.62 sq. ft ! 2028 General Lighting load 6,084 VA 2 Small Appliance 3,000 VA 1 Laundry circuit 1,500 VA Gen.Lgt, Sm App.& Laun. Load 10,584 VA 3,000 VA @ 100%= 7,584 VA @ 35% = VA @ 25% = STEP 2 Article 220.50 & 220.51 I] A/C Condenser & Fixed Electric Space Heating 4 ton V 5,700 VA AHU 1 j 10. kW w A/C #2 V VA AHU 2 ISelect A/C#3 V VA AHU 3 !Select v !A/C#4 V VA AHU 4'Select V A/C #5 V VA AHU 5 !Select V STEP 3 Article 220.53 4,5ooVA 1 Water Heater 1,4o0VA ,. 1 Refrigerator 600 VA 1 Freezer 1,030 VA 1 Dishwasher 690VA 1 Disposal '400 VA . R / Hood 1,630 VA v 1 Microwave ❑ 4,000VA V Microwave ,170VA ,w Mini Refrig ❑ 1400 VA . Wine Clr ❑ 15,000VA Insta Hot 1,500vA . Ironing Center ❑ 'select V Jacuzzi Tub ❑ 1/2 hp v Sprinkler Pump ❑ ;select — . Well Pump select Fountain Pump �� — Elevator Pool Equip. Panel QTY 11,600 VA li t VA Qty VA Qty VA QtY VA Qty 4,500 VA 9/25/1997 Yohir RESIDENCE Yohir Residence 1167 NE 99th Street Miami Shores 0 10/4/2018 12:19 3,000 VA 2,654 VA VA General Lighting Demand Load 5,654 VA Total 1 Heating Load 11,600 VA CU Load 1 7,300 VA Greater of Heat @ 100% vs.A/C @ 100% 11,600 VA Appliance Demand Load 8,233 VA 1,400 VA Dryer Demand Load 5,000 VA 600 VA 1,030 VA Range Demand Load 8,000 VA 690 VA VA Service Demand • • ; •38,487 VA 1,630VA •••• 0 • VA Demand Load .. • • • • •••• • • �p A • • VA • • •••••• VA Neutral Demand • • • • • • �8 A : • • • • • • • • • • VA Min.Service Rey • 01h A • •; • • VA • • • ••••• 1,127 VA Min. Feeder size • • TO 000000 VA Min. Neutral size o • e • 4 • • VA Eq. Girding Cond. • ••••:• ;.. VA : o • •;� • Copper • • VA 100% Demand •• Q •• • •••••• VA No Demand • 00000 VA No Demand Total Appliance Load 10,977 VA 4 or more demand @ 75% plus 100% demand loads 8,233 VA STEP 4 Article 220.54 Electric Clothes Dryers 6,000 VA STEP 5 Article 220.55 Electric Ranges 8,000 W Col C demand 8000 or Number of appliances Cooktop Col B demand El Check Box for Gas Range Cooktop Col B demand with out the added car charger load Oven(s) Col B demand Oven(s) Col B demand Number of appliances 0 Dem. Factor 0% Cooktop & Oven Demand Load W Pool Panel Feeder Calculation (See Note) Continuous Motors 0 ...... Non -continuous 0 ...... Spa heater 11 kVA ..... Pool heater 3.5 ton Pool heater 5 ton Pool Light select 0 ...... Blower select . 0 ❑ 240v otherload 0 El 240v other load 0 240v Min. Copper Pool Feeder ❑ AWG A B N 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 01 0 0 0 0 0 01 0 0 AlA A Minimum Panel Rating A Pliatse Amperes Neut. load Continuous Non -continuous Motors Motors select V 0 240v select V ❑ 240v select ❑ 240v select - ❑ 240v select V El select select — — V ❑zaov select - El 'select select - El 240v select V ❑ zaov select V ❑ 240v 0.0 1 Motor Neutral Load Max.Unbalanced Neutral Load Notary Public -State of Floriaa t • V Commission # GG 249666 �oFF ° My Comm. Expires Aug 16. 2022 Ronde Ntional Notary Assn. or A04k tom/ �� Gdw�tlrvcL irCa300 6 3300,