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EL-19-1126Location Address Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Issue Date: 05/17/21319 Parcel Number 101 NW 101ST ST, Miami Shores, FL 33150 1131010220140 Contacts Permit No.: EL -05-19-1126 Permit Type: Electrical - Residential Work Ciassijicati ,,Service Change Permit status: Approved Expiration: 11/13/2019 Ilia Albornoz Owner JUPITER TEQUESTAA/C PLUMBING & Contractor 101 NW 101st St, Miami Shores, FL 33150 ELECTRIC LLC Mobile: 2395297017 silvaalbornoz20l3@gmail.com MICHAEL HORUTZ 582 N US HWY, TEQUESTA, FL 33469 Business: 5617475740 GESELLA.PAULINO@FPL.COM Description: OVERHEAD TO UNDERGOUND CONVERSION Valuation: $ 581.00 Inspection Requests: Total Sq Feet: 0.00 Fees Amount Application Fee - Other $50.00 CCF $0.60 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.20 Permit Fee $50.00 Scanning Fee $9.00 Technology Fee $2.50 Total: $116.30 Building Department Copy Payments Date Paid Amt Paid Total Fees $116.30 Check # 1174 05/16/2019 $50.00 Credit Card 05/17/2019 $66.30 Amount Due: $0.00 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 regulating construction and zoning. Futhermore, I authorize the above named contractor to do the work stated. n �s . Si nage: Owner / Applicant / Contractor / Agent Date May 17, 2019 Page 2 of 2 Miami Shores Village�� Building Department Mgy16. 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Z %9 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 / FBC 20.11 D BUILDING Master Permit No. Eus PERMIT APPLICATION Sub Permit No. [—]BUILDING FE—] ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL PLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 101 NW 101 st Street City: Miami Shores County: Miami Dade zip:,331150 Folio/Parcel#: 11-3101-022-0140 Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): ILIA ALBORNOZ Phone#: Address: 101 NW 101st Street City: MIAMI SHORES State: FL Zip: 33150 Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: JUPITER-TEQUESTA A/C PLUMBING & ELECTRIC, L.L.C. phone#: 561-747-5740 Address: 582 N US HWY 1 City: TEQUESTA State: FL Zip: 33469 Qualifier Name: MICHAEL HORUTZ Phone#: State Certification or Registration #: EC13008353 Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ 581.96 Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ■❑ Repair/Replace ❑ Demolition Description of work: OVERHEAD TO UNDERGROUND CONVERSION Specify color of col�o�r" tt hru tile: Submittal Fee $S ��-r'" Permit Fee $ Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews S (Revised02/24/2014) CCF DBPR $ CO/CC $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ Y,lt'1 • �O 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 Zi 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 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 ` OW ER or AG T CONTRACTOR The foregoing instrument was acknowledged before me this —7 �)d'a_y of 20 by 1(' �I'Ci l'Y Nl IJP who is personally known to me or who has produced identification and who di NOTARY PU IC: Sign: Print: le Q*V*af d'dtR. sPublic State of Florida GOWY ESELLA PAULINO My Commission GG 151455 �.: Expires 1 011 5120 21 _ _ The foregoing instrument was acknowledged before me this �— ,day, hof 20 by who is personally known to me or who has produced identification and who did take NOTARY PUBLIC: Print: Seal: Seal: as Notary Public State of Florida GESELLA PAULINO Commission GG 151455 FYo?ns 1o115/2021 APPROVED BY ,r) 1 Plans Examiner Zoning 1 Structural Review Clerk (Revised02/24/2014) Property Search Application - Miami -Dade County Page 1 of 1 OFFICE OF THE PROPERTY APPRAISER Summary Report Property Information Folio: 11-3101-022-0140 Property Address: 101 NW 101 ST Miami Shores, FL 33150-1213 Owner ILIA ALBORNOZ JOSE ANTONIO SILVA LOBO Mailing Address 101 NW 101 ST MIAMI SHORES, FL 33150 USA PA Primary Zone 0800 SGL FAMILY - 1701-1900 SQ Primary Land Use 0101 RESIDENTIAL -SINGLE FAMILY: 1 UNIT Beds / Baths / Half 2/2/0 Floors 1 Living Units 1 Actual Area 1,480 Sq.Ft Living Area 1,135 Sq.Ft Adjusted Area 1,303 Sq.Ft Lot Size 9,210.24 Sq.Ft Year Built 1950 Assessment Information Year 2018 2017 2016 Land Value $202,850 $202,850 $202,850 Building Value $136,815 $128,476 $129,987 XF Value $0 $0 $0 Market Value $339,665 $331,326 $332,837 Assessed Value $338,283 $331,326 $332,837 Benefits Information Benefit Type 2018 2017 2016 Save Our Homes Cap Assessment Reduction $1,382 $50,000 Taxable Value Homestead Exemption $25,000 $25,000 $25,000 Second Homestead I Exemption $25,000 $25,000 $25,000 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description 1 5341 GOLD CREST A SUB PB 21-56 LOT 7 & E1/2 LOT 8 BLK 2 LOT SIZE 85.280 X 108 OR 20040-0986 11 2001 1 Generated On : 4/29/2019 Taxable Value Information 2018 2017 2016 County Exemption Value $50,000 $50,000 $50,000 Taxable Value $288,283 $281,326 $282,837 School Board Exemption Value $25,000 $25,000 $25,000 Taxable Value $313,283 $306,326 $307,837 City Exemption Value $50,000 $50,000 $50,000 Taxable Value $288,283 $281,326 $282,837 Regional Exemption Value $50,000 $50,000 $50,000 Taxable Value $288,2831 $281,3261 $282,837 Sales Information Previous Sale Price OR Book -Page Qualification Description 01/04/2018 $455,200 30836-3387 Qual by exam of deed 08/17/2015 $400,000 29781-3012 Qual by exam of deed 03/26/2010 $316,500 27241-4712 Qual by exam of deed 11/01/2001 j $159,900 20040-0986 j Sales which are qualified 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: https://www8.miamidade.gov/Apps/PA/propertysearch/ 4/29/2019 Evidence of Self -Insurance May 13, 2019 Miami Shores Village Building Department 10050 NE 2nd Ave Miami Shores, FL 33138 a FPL EnergyServices- R NE)MRA ENERGY, INC. COMPANY RE: Self -Insurance Documentation for FPL Energy Services, Inc., including Jupiter-Tequesta A/C, Plumbing & Electric, LLC ("FPLES") — Overhead to Underground Conversion 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 Building Department. 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 05/13/19 05/13/2020 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 Building Department 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: http://www.nexteraenergy.com/investors/index.shtml Sincerely, Stacy Vinnu6st Stacy Winnubst Risk Management 700 UNIVERSE BLVD. JUNO BEACH, FL 33408 700 UNIVERSE BLVD. JUNO BEACH, FL 33408 12/20/2018 Proof of Coverage WC Mobile App WC Home Search Our Data CFO Home Locations Detail Page This database was last updated Thursday, December 20,2018 12:08 AM. Return to Employer Detail Page FLORIDA POWER & LIGHT CO Policy Number: *** SELF INSURED Effective Cancellation Date Effective at Street Address *Total City State Zip Number of 12:01 A.M. Employees Jul 11935 Current 700 UNIVERSE BLVD jJUNO BEACH FL 33418- 2657 "Not Reported II *Represents the total number of employees as reported by the insurance carriert -Carriers were not required to report the total number of employees for policies issued prior to October 1. 2009 Return to Search Page https://apps8.fldfs.com/proofofcoverage/LocationsDetail.aspx?PolicyID=***%20SELF%201NSURED%20***&EffectDate=Jul%20%201 %201935%20&E... 1/1 AIR CONDITIONING P.O. Box 3669 Tequesta, FL 33469 t PLUMBING & ELECTRIC Electrical LIC # EC13008353 ,L M FPI. Energy Services Company Billing Address ALBORNOZ, ILIA 101 Northwest 101 st Street Miami Shores, FL 33150 USA Description of Work Invoice 76927033 Invoice Date 4/26/2019 Completed Date Customer PO Job Address ALBORNOZ, ILIA 101 Northwest 101 st Street Miami Shores, FL 33150 USA - The scope of work for this project is to Terminate New UG Feed at Meter Main Combo (Only) - All material and trench is C/S - Furnish and install new grounding system with intersystem bonding bridge. Task # Description Quantity Your Price Your Total E016-3004NM MAIN GROUNDING SYSTEM 1.00 $490.00 $490.00 E003-MO09NM MISC ELECTRICAL CONNECTION REPAIR NO PARTS USED 2.00 $45.98 $91.96. Paid On Type Memo Amount 4/25/2019 AMEX $175.00 FOR 30% DOWN PAYMENT $175.00 Sub -Total $581.96 Tax $0.00 Total Due $581.96 Payment $175.00 Balance Due $406.96 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. • • • • • • • • By sigining this acknowledgement, I certify that I the by 0606:9 • work performed JARED HARMON at ALBORNOZ, TUA,•for the apou#Aof m {AuthrorizedAmount) has been completed. • • • • •.•..• •. . ••.••. •••••• •••• ••••• Credit Card Payment Authorization Print Name below as it appears on credit card Please pay total due amount. Thank you. Payment Typex x x Credit Card # EXP >e-%u, Name on card Signature Remit to: 96 Jupiter Tequesta A/C, Plumbing and Electric LLC D Q^vQrr.QT.--+� 1:1 :1QAAQ •••••• •••• ••••• •• •• •• • •••••• • • • • • •••••• Please pay total due amount. Thank you. Payment Typex x x Credit Card # EXP >e-%u, Name on card Signature Remit to: 96 Jupiter Tequesta A/C, Plumbing and Electric LLC D Q^vQrr.QT.--+� 1:1 :1QAAQ EXISTING 2" RISER AND WEATHERHEADTO BE REMOVED NEW 2" SCH 80 PVC FROM FPL POLE WITH NEW FEEDERS PULLED BY FPLAND TRENCH DUGGED BY OTHER CONTRACTOR AND HOME OWNER JUPITER-TEQUESTA NOT RESPONSIBLE FOR TRENCH JUPITER-TEQUESTA A/C 582 N US HWY 1 TEQUESTAAFLa33'469- _n M'am Shores Village APPROVED BY DATE ZONING DEP; R[ IDG DEPT w 5' JECTT.O COA4 ST��Cf1 nn, inr EXISTING METERMAIN COMBO TO REMAIN Wi FH ALL FEDc�iAL1 � q AN l ALBORNOZ, ILIA 101 N.W 1011T STREET MIAMI SHORES, FL 33150 ELECTRIC QU LIFIER MICHAEL U RTZ Arctguo X353 EXISTING FPL TRANSFORMER SCOPE OF WORK TO BE DONFON PROJECT IS TO REMOVE EXISTING OVERHEAD SERVICE AND RELOCATE TO UNDERGROUND TRENCHING IS TO BE DONE BY OTHERS JUPITER-TEQUESTA IS ONLY RESONSIBLE FOR CONNECTING TO EXISTING METERMAIN AND NEW GROUNDING SYSTEM WITH NEW GROUND RODS AND INTERCONNECT BRIDGE PER NEC INSTALL NEW GROUND BRIDGE WITH NEW GROUNDING RODS MIN 6' APART WITH #4 GROUNDING CONDUCTOR r� 4 MIN DEPTH OF CONDUIT 24" R CE/V4 �y 14 l 69n- e Notary Public State of Florida GESELLA PALILINO My Commission GG 151455 OF �� Expires 10/1512021 0.00•• • 0000•• 0000•• Residential Standard Calculation W - Version 2011 L STEP 1 Article 220.42 & 220.52 Dryer Demand Load �sq. ft 1480 General Lighting load 4,440 VA 2 Small Appliance 3,000 VA 1 Laundry circuit 1,500 VA Gen.Lgt, Sm App.& Laun. Load 8,940 VA STEP 2 Article 220.50 & 220.51 P A/C Condenser & Fixed Electric Space Heating 2.5 ton I 3,600 VA AHU 117.SkW A/C #2 VA AHU 21 Select , A/C #3 j • VA AHU 31 Select A/C #4 '. • VA AHU 41 Select A/C #5 VA AHU 51 Select `► STEP 3 Article 220.53 4,500 VA Ir 1 Water Heater 1,400 VA I 2 Refrigerator --_.....__..__._.._...-- 600 VA . Freezer 1,030 VA 1 Dishwasher 690 VA M 1 Disposal 400 VA R / Hood 1,630 VA IV 1 Microwave ❑ 4,000vA lw Microwave 170 VA Iv Mini Refrig ❑ 400 VA l• Wine Cir ❑ 5,000 VA 'V Insta Hot 1,500 VA t. Ironing Center IT select Jacuzzi Tub ❑ select v'j Sprinkler Pump ❑ select- Well Pump select Imo' Fountain Pump select i v Elevator Pool Equip. Panel ❑ GATES ❑ Other load STEP 4 Article 220.54 Electric Clothes Dryers STEP 5 Article 220.55 3,000 VA @ 100%= 5,940 VA @ 35% = VA @ 25% = QTY 8,300 VA 1 i - VA Qty VA QtY I VA Qty ISI VA Qry _ 9/25/1997 ALBORNOZ, ILIA JUPITER TEQUSTA A/C 582NUSHWY1 JUPITER, FL 33469 561-747-5740 5/6/2019 15:30 3,000 VA 2,079 VA VA General Lighting Demand Load 5,079 VA Total 1 Heating Load 8,300 VA CU Load 1 4,400 VA Greater of Heat @ 100% vs.A/C @ 100% 8,300 VA Appliance Demand Load 7,988 VA 4,500 VA A B select 2,800 VA Dryer Demand Load 5,000 VA VA 0 0 0 1,030 VA Range Demand Load 8,000 VA 690 VA v 0 0 VA Service Demand 34,367 VA 1,630 VA 0 0 0 VA Demand Load 143 A VA A Phase Amperes VA Neutral Demand 78 A VA VA Min.Service Req. 150 A VA VA Min. Feeder size 1 VA Min. Neutral size 4 VA Eq. Grding Cond. • • • o 6 VA • • ❑ ••Gspper •••••• VA 100% Demand • • ` 0 • • • ` VA No Demand + ` VA No Demand Total Appliance Load 10,650 VA 4 or more demand @ 75% plus 100% demand Toads 7,988 VA • • • • • 5,000 VA "" ` `��`�• •••••• •••• ••••• Electric Ranges 8,000 W Col C demand 8000 • • • • • • • • `• 0 ` or Number of appliances • • • • • • • • Cooktop W Col B demand • • • • • • •••••• ❑Check Box for Gas Range Cooktop Col B demand • • + • • Oven's) Col B demand • • • • • • • • Oven(s) Col B demand Number of appliances 1 Dem. Factor 80% 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 l 0 ...... Blower select 0 ❑ 240v other load 0 ❑ 240v othertoad 0 ❑ 240v ❑ Min.( er Pool Feeder AWG A B select N 0 0 0 0 0 0 0 0 select 0 0 ❑ 240v 01 0 v 0 0 0 0 0 0 0 0 0 0 0 0 A A A Minimum Panel Rating A Phase Amperes I Neut. load Continuous Motors select select V ❑ 240v select Jr ❑ 240v select w ❑ 240v select v ❑ 240v select ,r ❑ 240v Non -continuous Motors select I v ❑ 240v select I V ❑ 240v ;select • ❑ 240v select V ❑ 240v select V ❑ 240v 0.0 1 Motor Neutral Load GESELLA PAULINO M'C4W-L My commission GG 151455 Expires 10/15/2021 7;