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EL-19-2225Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address Issue Date: 03/13/2020 Parcel Number 1421 NE 103RD ST, Miami Shores, FL 33138 1132050310150 Contacts Permit NO.: EL-09-19-2225 Permit Type: Electrical - Residential Work Classification: Generator Permit Status: Approved Expiration: 09/09/2020 VILMA QUINTANA Owner MR. ELECTRIC Contractor 1421 NE 103 ST, MIAMI SHORES, FL 33138 KENNETH KOTRADY Other:3055273904 Business:9547926710 ROY@YOURPERMITSOLUTION.COM Description: INSTALL STAND BY GENERATOR Valuation: $ 6,500.00 Inspection Requests: 305-762-4949 Total Sq Feet: 0.00 11 Fees Amount Application Fee - Other $50.00 CCF $4.20 DBPR Fee $3.41 DCA Fee $2.28 Education Surcharge $1.40 Permit Fee $177.50 Scanning Fee $9.00 Technology Fee $5.69 Total: $253.48 Building Department Copy Payments Date Paid Amt Paid Total Fees $253.48 Check # 4871 03/13/2020 $253.48 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. Authorized Signature: Owner / Applicant / Contractor / Date March 13, 2020 Page 2 of 2 qw ( (018119 BUILDING PERMIT APPLICATION ❑BUILDING 0 ELECTRIC RECEIVED Miami Shores Village SEP 24 2019 Building Department ' 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 j INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 201-1 Master Permit No. fEI Sub Permit No. ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL OPUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 1421 NE 103 ST City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: 11 -3205-031 -0150 Is the Building Historically Designated: Yes NO X Occupancy Type: Load: Construction Type: SFH Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): VILMA QUINTANA Phone#:305 527 3904 Add ress:1421 NE 103 ST City: MIAMI SHORE State: FL zip: c33138 Tenant/Lessee Name: Phone#: I - ow Email: ROY@YOURPERMITSOLUTION.COM CONTRACTOR: Company Name: MR ELECTRIC Phone#: 954 792 6710 Address: 4053 PETERS ROAD City: PLANTATION State: FL Zip: 33317 Qualifier Name: KEN J KOTRADY Phone#: 954 792 6710 State Certification or Registration #: EC0000724 Certificate of Competency #: DESIGNER: Architect/Engineer: Address: City: Value of Work for this Permit: $6,500 Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑■ New ❑ Repair/Replace Description of work: INSTALL STAND BY GENERATOR Specify color of color thru tile: Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ (Revised02/24/2014) CCF $_ DBPR $ e#: Zip: ❑ Demolition CO/CC $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ Bonding Company's Name (if applicable) e6 Bonding Company's Address City Zip _ Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State 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 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 an a reinspection fee will be charged. J� Signature it/,- 4" Signature OWNER or AGENT The foregoing instrument was ,,acknowledged before me this � ,,,,11 day of Sm�Je� 20 c1 by VI1yy)6 ©Ulyoa iq who is personally known to CONTRACT R The foregoing instrument was acknowledged before me this 42S— day of 20 �Q by t� who is personallykngwn to me or who has produced as me or who has produced identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: Print Seal: F�4-p Notary Pubhc State of Florida Seal:,DEINQREA DANIELS KAT,IA ROY HEAVEN * WCOMMISSION#00304= c� My Commission GG 120820 EXPIRES: Jm �, 2M di Expires 0710a,2021u,_J�,�y��6,�,`...y a .. a a 1 �t11111 A__ �„� ITW�N*� .�t APPROVED BY q i / l�?pPlans Examiner (Revised02/24/2014) as c= a Zoning Clerk BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT 115 S. Andrews Ave., Rm. A-100, Ft. Lauderdale, FL 33301-1895 — 954-831-4000 VALID OCTOBER 1, 2019 THROUGH SEPTEMBER 30, 2020 DBA: Receipt #:ELECTRICAL/ALARMS/CONTRACTOR Business Name: 1-2128 MR ELECTRIC Business Type: YP (ELECTRICAL CONTRACTOR) Owner Name: KEN KOTRADY Business Opened:08/31/1994 Business Location: 4053 PETERS RD State/County/Cert/Reg:EC0000724 PLANTATION Exemption Code: Business Phone:954-792-6710 Rooms Seats Employees Machines Professionals 10 For Vending Business Only Numhor of Marhinas� Vendina Tvne: Tax Amount Transfer Fee NSF Fee Penalty Prior Years Collection Cost Total Paid 27.00 0.00 0.00 0.00 0.00 0.00 27.00 THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS 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 WHEN VALIDATED 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 receipt does not indicate that the business is legal or that it is in compliance with State or local laws and regulations. Mailing Address: KEN KOTRADY Receipt #02A-18-00008926 4053 PETERS RD Paid 09/13/2019 27.00 PLANTATION, FL 33317-4553 2019 - 2020 BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT 115 S. Andrews Ave., Rm. A-100, Ft. Lauderdale, FL 33301-1895 — 954-831-4000 VALID OCTOBER 1, 2019 THROUGH SEPTEMBER 30, 2020 DBA: MR ELECTRIC Business Name: Owner Name: KEN KOTRADY Business Location: 4053 PETERS RD PLANTATION Business Phone:954-792-6710 Receipt #: 181-2128 Business Type: ELECTRICAL/ALARMS/CONTRACTOR (ELECTRICAL CONTRACTOR) Business Opened: 0 8 / 3 1 / 19 9 4 State/County/Cert/Reg: EC 0 0 0 0 7 2 4 Exemption Code: Rooms Seats Employees Machines Professionals 10 Signature For Vending Business Only Number of Machines: Vending Type: Tax Amount Transfer Fee NSF Fee Penalty Prior Years Collection Cost Total Paid 27.00 0.001 0.001 0.001 0.001 0.00 27.00 Receipt #02A-18-00008926 Paid 09/13/2019 27.00 '`' CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 12212018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFISATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) 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 an endorsement. AI statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER FEDERATED MUTUAL INSURANCE COMPANY HOME OFFICE: P.O. BOX 328 CONTACT CLIENT CONTACT CENTER HON A CNNo Ext : 888-333A949 FAA/c No): 507-446-4664 E-MAIL ADDRESS: CLIENTCONTACTCENTER FEDINS.COM OWATONNA, MN 55060 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: FEDERATED MUTUAL INSURANCE COMPANY 13935 INSURED 398-681-7 INSURER B: MR ELECTRIC & ASSOCIATES INC 4053 PETERS RD STE 1 INSURER C: INSURER D: PLANTATION, FL 33317A553 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 146 REVISION NUMBER: 0 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 BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE. TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE INDL SR SUBR WVD POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MMIDDIYYYY LIMITS A MERCIAL GENERAL LIABILITY X OCCUR r N N 6065409 03/01/2019 03/01/2020 EACH OCCURRENCE $1,000,000DAMAGETO RENTEDLAIMS-MADE MI E a oc nce $100.000 MED EXP (Any one person) EXCLUDED GEN'L IOTHER: PERSONAL & ADV INJURY $1,000,000 AGGREGATE LIMIT APPLIES PER: PRO-LOC POLICY ❑JECT GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP/OP AGO $2,000,000 A AUTOMOBILE X LIABILITY ANY AUTO SCHEDULED OWNED AUTOS ONLY AUTOS HIRED AUTOS ONLY NON AUTOSS N ONLLY N N 6065409 03/01/2019 03/01/2020 COMBINED SINGLE LIMIT Ea acc de 1 $1,000,000 BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE a acc de A X UMBRELLA LIAR EXCESS LIAR X OCCUR CLAIMS -MADE N N 6065411 03/01/2019 03/01/2020 EACH OCCURRENCE $2,000,000 AGGREGATE $2,000,000 DED I RETENTION A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY y / N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) I1 yes, describe under DESCRIPTION OF OPERATIONS below NIA N 6065412 03/01/2019 03/01/2020 X PER STATUTE OTH- E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF.OPERATIONS I LOCATIONS I VEHICLES (ACORD 101. Additional Remarks Schedule, may be attached it more space is required) EC0000724 CERTIFICATE HOLDER CANCELLATION 398-681-7 1460 MIAMI SHORES BUILDING DEPARTMENT 10050 NE 2ND AVE MIAMI SHORES, FL 33138-2304 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 O 1988-2015 ACORD CORPORATION. All rights reserved. .ACORD 25 (2016/03) The ACORD name and.logo are registered marks of ACORD A(� bp CERTIFICATE OF LIABILITY INSURANCE GATE Ym 03/132020 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 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) 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 an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsements . PRODUCER FEDERATED MUTUAL INSURANCE COMPANY HOME OFFICE: P.O. BOX 328 C',M ACT CLIENT CONTACT CENTER PHONEVAX EXI : fiM333.4949 a c Hai: 507-046-4664 nooRess:C IENT NTA T NTER E INS. OM OWATONNA, MN 55060 INSURER SI AFFORDING COVERAGE NAIL # 13935 INSURER A: FEDERATED MUTUAL INSURANCE COMPANY INSURED 398-681-7 INSURER B: INSURER C: MR ELECTRIC 8. ASSOCIATES INC 4053 PETERS RD STE 1 PLANTATION, FL 333174553 INSURER D: INSURER E: INSURER r: COVERAGES CERTIFICATE NUMBER: 146 REVISION NUMBER: 4 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 BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INTR TYPE OF INSURANCE ADOLR WVD UBR POLICY NUMBER POLICY vW POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR N N 6065409 03/01/2020 03/01/'2021 EACH OCCURRENCE $1,000,000 DAMAGE PRFMISFS I RENTED S100,000 MED EXP IAny one penan) $5,000 Fr'LUAGGRF PERSONAL& ADV INJURY $1,000,000 GAjELIMIT APPLIES PER: CYPROO IOC ACT THER: GENERAL AGGREGATE $2,000,000 PRODUCT6COMPIOP A00 S2�000,000 A AUTOMOBILE X LIADILITY ANY AUTO OWNFD AUTOS ONLY S�OSSIILED HIRED AUTOS ONLv NON-ON71ED AUTOS ONLY N N 6065409 03/01/2020 03/01/2021 COMBINED SINGLE LIMIT $1,000,000 SOD0.Y INJURY IPer Penn) BODILY INJURY (Par Kdden4 PROPERTY OAMAGE A X UMBRELLA LIAR EXCESS LIAR N OCCUR CLAIMS -MADE N N 6065411 03/01/2020 03/01/2021 EACH OCCURRENCE $1,000,000 AGGREGATE $1,000,000 OED I RETENTION A WORMERS COMPENSATION AND EMPLOYERS' LIABILITYYIN ANY PROPRIETORIPARTMERNEXECUTIVE 'f II OFnCERIMEMRER EXCLUDED? t___J (M—cf." I. MR) M Yea. �esuiM trader DESCRIPTION OF OPERATIONS Wis. N I A N 6065412 03/01/2020 03/011202, X PER STATUTE OTN ER E.L EACH ACCIDENT 11,000,000 E,L DISEASE - CA EMPLOYEE 11,000,000 El DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, AddlO l RemaKs Sd+eddle. may be e7selred II more space is regwmd) ELECTRICAL CONTRACTOR: EC 0000724 399-681-7 1464 MIAMI SHORES VILLAGE BUILDING DEPARTMENT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 10050 NE 2ND AVE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN MIAMI SHORES, FL 33138-2304 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 4,,,., tD 1WRI-XV10 Ila.VKll WKYVI'U'—n. wl rly0a> read veu. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 4053 Peters Road Plantation FL 33317 Phone: 954-792-6710 Fax: 954-792-5710 Estimate Date Estimate # 7/16/2019 310-12R Rill To- Rill To- Job Name : • . .. Canter Power Systems Viilnta Quintana 0 F • 21 UU Fairfax Road 1421 NE 103 Street 000000 Greensboro. NC 27407 Miami Shorc.Fl 33138 0900 • Description • • • Mr F_Icctric proposes to Provide Labor & Material to • • (1) Install new 200 amps service rated transfer switch on The exterior oh the house by the meter can (2) Install low voltage wire 18+2 from the transfer switch to the air handler unit in The house (3) install new conduit tend circuit from the transfer switch to the generator location (4) Install new 3/4" conduit an(( control wires from the transfer switch to the generator (5) Supply The City of Miarni Shore with Drawing for Electrical Permit (6) "There is $250.00 permit fee allowance included in this proposal (7) Mr Electric is not responsible for any resoding of the grass in order to do the trenching (8) This proposal is base on working normal business hours monday to friday 8:30 A.M. to 4:00 P.M. All work will be performed according to the National Electrical Code and the Florida Building Codes. . All material is guaranteed to be as specified. All work is to be completed in a workmanlike manner according to standard practices. Any alterations or deviations from the above specifications involving extra coats will be executed only upon written orders and will become an extra charge over and above the selling price. Please perform the services listed above: Name: Signature: _ Date: �Za Estimate Total 11,500.00 OV v Authorized Signature Densmore (JR) Daniels Set -vice Dept: Manager GENERAL CONDITIONS OF ELECTRICAL. CONTRACT This Agreement sets forth the terms and conditions under which Mr. Electric Cv Associates, Inc. (herein after the "ELFCI-RICAL CONTRACTOR") shall provide all electrical related work as it pertains to the Property stared on page 1, in accordance with this Proposal. These conditions form part of a quotation submitted by the ELECTRICAL CONTRACTOR to the CUSTOMER named in the Proposal. The FLEC—FRIC:AL CONTRACTOR will carry out "the Works" describecl in this quotation for the Estimate Total, as stipulated under the attached proposal and incorporated by reference, as pursuant to these condnionts: ELECTRICAL CONTRACTOR shall -be responsible for the professional quality, technical accuracy and coordinatior.4•all work furnished by ELECTRICAL CONTRACTOR under this agreement. ELECTRICAL CONTI:ACTQR �1%1, withotut ltdditiona� • • P • • compensation, correct or revise any errors or deficiencies in its work, if any. El_FCTRICAL CONTRAC110R is a LiccIA-4 U4imired ' •• Certified State of Florida ELECTRICAL CONTRACTOR qualified to finrnish the services described under•this••A• • •• ••••••greement. . • • • • • In consideration of ELECTRICAL CONTRACTOR'S performance of this Agreement and subject tliJ� c Tierms aigioQ;ndirions hereinafter set forth, CUSTOMER shall ay to ELECTRICAL CONTRACTOR the Total Sun on tine Pro gal h reinafrer o: ' * • pay ;is V p°• 00000 "CONTRACT PRICE." This contract price includes an allowance for permit fees as noted on Proposal. COhmct Price Io't� "id 50%,..... upon execution of this Agreement with die remainder of Progress Pa}nnents ( "Progress Payments") th�etgi*at the duration of the • Work as 40% upon successful Rough Inspection and 10%, Final Payment upon successful Final Inspecti n. ; • 0•• 0 0 • • • •: • • • 000000 All amendments including Change Orders (the 'Change Order") if any to this Agreement shall be in ktiing and 421*661D- both! • ) L1 CIIU AL CONTRACTOR and CUSTOMER. This Agreement sets forth the entire understanding between thee* Va ties with regard to the subject matter hereof and supersedes any prior discussions or representations between them with respect thereto. Any and all claims, disputes and matters in question arising out of or relating to this Agreement, shall be resolved by negotiations, mediation and arbitration, as set forth herein and in accordance with Industry Mediation and. Arbitration Rules of the Anierican Arbitration Association ('.AAA") then in effect. Prior to initiation of any arbitration, the Parties agree to submit all claims, disputes or controversies arising out of or in relation to the interpretation, application or enforcement of this agreement to mediation, which will be conducted in accordance with the AAA rules. The Party seeking to initiate mediation shall do so by submitting a formal, written. request to the other Party to the Agreement. In the event that the Parties fail to reach an amicable resolution of the dispute in such mediation within thirty (30) days of commencement thereof, either Party shall be entitled to die initiation of arbitration under the AAA Rules. Any mediation or arbitration commenced pursuant to this Article shall be in the English language and shall occur in Broward County, Florida. The prevailing Parry in any arbitration under this Agreement shall be entitled to recover its attomey+s fees and costs incurred as a result of the other Party's breach. This Agreement may he executed in any number of counterparts. Each executed counterpart shall be conclusively deemed to be an original. All executed counterparts taken together shall constitute one Agreement A facsimile transmission and/or email transmission of this Agreement bearing a signature of a Party hereto shall be legal and binding of such Party. ACCEPTED BY: CUSTOMER OR NAME OF COMPANY BY:y Cu oe P4aTct.� DATE:, SIGN RE TLE (Please Print Name) APPROVED BY; Mr. Electz•ic & Associates, Inc- f Servi�eaer Densmore Daniels DATE: �,.�� • • • • • • • • • • i • • • • ... • • • • • • • ' • • • • • • • •• • • • • . • • • • • .. • • • .. J..T .. .• • . . . . ••• .. t4ow 7 viL�i�/�itt 3. ;�,e' esm"l? �jo Zo ��}nrr 2 .L vfMel •• 4h. o O Z G a 4 o=c r— Y ,% Z-V,4. R �uTa:L �1�lSiK- fE � &2ms ,9Z(Ive ew Al" \ U- 0 v a Q 0 : iar E 22 AA, U y {,; EXPIRES: Arnie 1, 2023 °` : Bonded TTwu Notary Pubk LWWWrU A.K.U.Rsialm r J Qc,,e p t 2 4 2-6F 44 �P e. IV. c-. IB"dap Ak— GL Vj1A1 A �v�a l aA FIR 01' —t4 J 00 706 � O C r- Lot 12, CD Block 6 P CO O 0 O O z 0.1' CI •••. ...... . . . . ..... .. . .... FI ..•.•. .•.. ..•... • • • • N • I 0.2' 0 Cl 00 . -.9.95' River Bay Park Addition (PB 40, Pg 72) Not a Part of this Plat 7.50' Wide Alley (Not Improved) n�-rr ice- N89°46'39"E 90.00' Swimming Pool —35'- AM Residence # 1421 69.1' Conc (6 N89`50'54"E 90.00' 15' Parkway 20' Asphalt Pavamsnt NE 1 03rd Street . (50' Total R/W) JOB SHEETNO.,/ 4053 Peters -Road ciucuuTEoBY, ,r�.4.dti' A_ PLANTATION, FLORIDA 33317 �. (954) 792-6710 • '(954) '792,5710 CHECKER BY DATE �- e _ v ' aI1 rj NATURAL GAS LOAD ANALYSIS AND ISOMETRIC Q STEP GOWN REGULATOR \�A EXISTING DRYER 35000 BTU S)EP DOWN REGULATOR EXISTING � W/H F 9 l(HX) BTU NEW 22KW C,ENERATOR 0 EXISTING 3 2 600 B T U BSO GRtli 40000 BTU - CITY GAS a Y 0 a GAS DESIGN CRITERIA GAS TYPE: NATURAL TOTAL DEMAND BTU: 50,000 LONGEST RUN: 120 ft INLET PRESSURE: 2.0 psi PRESSURE DROP: 1.0 psi SPECIFIC GRAVITY: 0.6 PIPE MATERIAL: SCHED. 40 METALIC, POLYETHYLENE PIPE F.B.0 TABLE: 402.4 (5), 402.4 (22) G. M. Q c� EXISTING RANGE SODUO BTU • • •••••• • • ••• EXISTING APPLIANCES QTY BTU Total BTU Dryer 1 35,000 35,000 Tankless 1 199,000 199,000 Bbq grill 1 1 40,000 40,000 Range 1 50,000 50,000 New 22kw Generator 1 327,000 1 327,000 TOTAL BTU 651,000 PIPE SIZED BY BRANCH LENGTH METHOD FBC 402.4.2 Project: VILMA QUINTANA,1421 NE 103rd ADVANTAGE GAS SERVICES STREET, MIAMI SHORES, FL. 33138 16891 SW 139th PLACE Date: 2/7/20 Approved by: MIAMI FL. 33177 Scale: N.T.S. PHONE:305-979-8281 Drawn By: C.C. Daniel Santana LICENSE LPGX: L142062 ovs'' 11 Notary Public State of Florida ? KATJA ROY HEAVEN My Commission GG 120820 Expires 07/04/2021 is . . ... . . . ... .. .. . . . % .. . . . . . . . . . . . .... .. .. 000 .. . . . . . .. . . .. . . . .. ... .. . ... . . . . .. . .. . . . . . ... .. EA 1S41 h 5 DRYER RANGE EXISTING ONE STORY BUILDING W/H RESIDENTIAL GAS METER k CONNECT NEW 22KW GENERATOR 326000 BTU 'SEPARATE PERMIT) TO AN ). EXISTING GAS LINE. • BBQ GRILL Notary Public State of Florida KATJA ROY HEAVEN aM r.,mmianien (%Q 12D820 •�!'a �,cF' Expires 07/04/2021 Project: VILMA QUINTANA, 1421 NE 103rd STREET, ADVANTAGE GAS SERVICES MIAMI SHORES, FL. 33138 16891 SW 139th PLACE Date: 2/7/20 Approved by: MIAMI FL. 33177 Scale: N.T.S PHONE:305-979-8281 Drawn By: C.C. Daniel Santana I LICENSE LPGX: L142062 / (( River Ray Park Addition M1, (P8 40, Pg 72) Not a Part of this Plot 7.50'Wilde Alley (Not Improved) /r—rrL-77 nor- 7/ �//� rf--= —7/ FIR 1 N89046'39"E 90.00' 0. 2' On Cl CNS. r i� -x ... Swimming Pool i` its co C.-6 all X C r > V S, Lot 12, (.0 x V C) , — . / /* Block 6 Resi ence -0o < C) X< Lot 13, C:) # 1421 X, C) \,A V z Block 6 eggs 0.11 • 9,95 X\. Cl 69. 1', V go -.Paco oe** 0*0*00 Conc go:... 180.00 -- — — — — Fib' V N89`50'54"E 90.00' 15' Parkway 20' Asphalt Pavement NE 103rd Street (50' Total R/W) Aniano J. Garcia, PLSdf �� MWd, Florins riles Land Surveyor & Planner yeds2170-- Property Address: 1421 NE 103rd Street, Miami Shores, Florida 33138 Legal Description: Lot 13, Block 6, of REPLAT OF TRACT "C" MIAMI SHORES BAY PARK ESTATES, according to the Plat thereof, as recorded in Plat Book 64, Page 97, of the Public Records of Miami -Dade County, Florida I I I I I I N,pm Limits cq o0 3 Lot 12, G Block 6 O z 0.1'— a PIP I Or BOO _ JI _ N89'S0'S4'E I. * SW ConFer of ---- I LaI 11. Block 6 I a 'IN-,. River Bay Park Addition (PB 40, Pg 72) Not a Part of this Plat- 7.50' Wide Alley (Not Improved) N89"46'39"E 90.09 if Residence # 1421 Boundary Survey Scale 1 "= 20' SCHEDULE B- SECTION II of the Title Commitment: 1. Defects, liens, encumbrances, adverse claims or other matters, if any created, first appearing in the public records or attaching subsequent to the effective date hereof but prior to the date the proposed Insured acquires for value of record the estate or interest or mortgage thereon covered by this Commitment. Not a survey or a plottable matter tj 2. Facts which would be disclosed by an accurate and comprehensive survey of the premises herein described. Refers to this survey 3. Rights or claims of parties in possession. r Not a survey or a plottable matter on PL 4. Construction, Mechanic's, Contractors' or Materialmen's lien claims, if any, where no notice thereof appears of record. i Not a survey or a plottable matter 10.95, t 5. Easements or claims of easements not shown by the public records. No information was provided on this matter 1 _ F 6. General or special taxes and assessments required to be paid in the year 2018 and subsequent years. Lat 14 Not a survey or a plottable matter Block 6 7. All matters contained on the Plat of the Re -plat of Tract "C" Miami Shores Bay Park Estates z recorded in Plat Book 64, Page 97. 0.4 C If there is any plottable matter affecting our property, it is shown on the survey PRM �L1 4a per Rat M w ,r Iak..y I 1C vyk,w Pa.wr,wA _ NE 103rd Street _ Title Commitment by First American Title Insurance Compnay — Chain Ink Mee dmg the weal side enaooy - .5 feet hnto Na north odjdnkng alley right of way File Number: 17129272 Effective Date: December 07, 2017 @ 8:00 A.M. • • - Am Length: AC - Air Coaditiansr: AE - Anchor Easement, BC - Bock Cen omer, BM - Bch Mark; aea BOB — Basis Bring.; (C) — Calculated Dlmer lan; CB LEGAL NOTES Catch Basin; CBS - Concrete Bock Structure CM - Connate Feaee Wall; CH - Chord Length; CHB — Chord Beodng; Cl — Clear. CML — City Monument Liu; N CME — Canal Maintenance Eaaerrenl: Core - Concrete: DE — Drel a g. Easement; ME - Grainsgs h Maintenann E-1. or - arh,e; E — East, El- = This ypwy doe W reflect or detaadne amralia Eaentillon of the Ab Ued d Tile ti • ENCR — Erw I,ed: EIP — Electric Transformer, FDH - FwM Drill tole: FIR — Found Iron Rod: FFE - .ni hod Flour Elwatian: M — Fire Hydrant nP i,p,e o be rmY o delnmile Reosded FOuelede. V any, ellatinq gr PepWFf• lhi _ —Found Imn Pipe; FN — Found Nag; FT — Feel; LYE — Lake Maintenance Easement, la = licensed Business; LFE Lneast Foer Elevation; LP - Light Pale; (M) h-I' a -a t de "i" frl Tdim,s, essese . if% ". ell'ne n Use d rewrl, — Measured Dimensbn; ME — Maintenance Easement, WON — Monument; N - North; NGVD 1929 - National Geodetic Vertical Datum of 1929; NTS - Not To Scale; & pOvided a .fill , id the nesSu`ev u smiled le the tool ni the E - Overhecd Cables; OH = Over Hang; ORB - Official Record Book; O/S OH Set, Pb - Plat Book; PC - Point of Curvature; PCC - Point Of Campound Legal Desorption pr �� N L > Curvature; POOR — Properly Comer, PCP = Permanent Control Point; Pg = Page; PL — Planter or Property Line: PLS = Profesalmal Land Surveyor: PLSM - �' underground W7• ore net dean; This firm Im not atteapted is Professional Land Surveyor and Mapper, POB - Paint Of Beginning; POC — Point Of Commncement PRC — Point Of Reverse Curve; PRIA - Permanent Reference bade looting and/or fovMotian and/n cede 7.M 'elVrvre.b of ary nvhr N *—N n m Mornanent. PT - Point Of Tonga y. R - Rod!=: (R) — Receded Dimension; RLS - Registered Land surveyor and Wppsr, R/R - Rag Road; R/W - Right Of Bearings Wa referred W on Asslned Wardat a dpert Fkwfians an reffered to Nations! do Way, Sec — Seaton: T - Tangent, 5 - South; SIP - Set Iran Pipe With COP Stamped PLS 5105; LIE - utility Easement, UP — Ulirdy Pals; UTY — Utility; Goidelic V goil Dohen , 1929 01M 1929) W — West. WF — Wood Fence: WM - Water Mo—,, WV — Water Valve: ¢— Center9ne; —v— — Chain Link Fence; Ric— Conmte Wag;' — Degrees; e — Central Angle; e = Diameter; jP = Usting Elevation; ' - Minutes; " - SecoMs� ro� Wood Fence; Uaiess otherwise noted, found markers had no identi6calion For. Vilma Quintana; Holland & Knight LLP; Old Republic National Title Insurance Date of Field Work 12-19-2017 Company; Caliber Home Loans, Inc., its successors and/or assigns valid without the signature the original raised seal a Florida licensed surveyor Order No 17-0378 mapper uNlj C514G'CH T-Lu \ I G I s ? PAD THICKNESS U in P PD `e n N ISOMETRIC VIEW Q ANCHOR 'I LOCATION FG3154-4G HURRICANE CONCRETE PAD FOR GENERATORS (GENERAC AND HONEYWELL UNITS) (ON -GRADE APPLICATIONS ONLY) SCAN HERE: ABOUT THIS DOCUMENT ENGINEER -CERTIFIED ORIGINALS, VARIATIONS & MORE INFORMATION CAN BE FOUND BY VISITING ENGINEERINGEXPRESS.COM/STORE y OR BY SCANNING OR USING THE WEB ADDRESS FOUND HERE > THIS DOCUMENT NOT VALID WITHOUT �y �M� • ORIGNAL ENGINEER CERTIFICATION _ OR, GO TO ECALC.10/141669 1/4" O ANCHOR FG5431-4G LOCATION v I i-- �---fir------,r--� Li p I 9.859" I i•I 1 _ 3 1.063'. 1.05 Nd t v o C7 O 0 Q L- a 1------- J ~ p a -- - m = _= _ - - - E_ - -- - - - - - - Jq- - LL r--_------_ --1 - o Q 0 I N I I I N a u 0 I I O T --- L----=--JL m ------�/ 7.74" -� • i • • • • • • • • 53.60" (PAD LENGTH) 53.60" (PAD LENGTH) •�•••y •• • i • i PLAN VIEW PLAN VIEW • • FG3154-2GrTY*CA1L ANCHORAGE: • _ (4) 3/8" 15 A! AMIFAST CONCRETE INSERTS (PART# 165003 & FG5431-4G TYPICAL ANCHORAGE: •: T[ST REPO WT 95t329 BY ELEMENT MATERIALS TECHNOLOGY) (3) 1/4" DIA. CONCRETE INSERTS (PART# RM0119 & TEST • ••••it •••• W/ 3/8" �Ii`TASTM A307, 3" MIN. EDGE DISTANCE, REPORT # 12-0967 BYTEC SERVICES) W/ 1/4" DIA. BOLT •••••t •••• /8" EMgF[Z.•INTO CONCRETE (BASE PAN MIN. THICKNESS ASTM A307, 3" MIN. EDGE DISTANCE, 1-1/4" EMBED. INTP •�••�i6 • "0.69" AND MIW. BEARING STRENGTH = 6 KSI) CONCRETE (MIN. BEARING STRENGTH = 6 KSI) o0o•i ' O ••••••� •t••• rc F• •••• 1 L WIND LOAD Q RESULTANT I GENERATOR UNIT BY SEPARATE SUBMITTAL (SEE CONCRETE PAD z SCHEDULE FOR MINIMUM WEIGHT REQUIRED) W O Z I VI 0 Z "' Qa °n 950 SIDE VIEW H FRONT VIEW 0 N PAD WIDTH T PAD LENGTH 0 ALLOWABLE DESIGN PRESSURE: SEE TABLE REQUIRED WIND LOAD DESIGN PRESSURES CALCULATED FOR USE WITH THIS SYSTEM SHALL BE DETERMINED UNDER SEPARATE CERTIFICATION ON A JOB -SPECIFIC BASIS IN ACCORDANCE WITH THE GOVERNING CODE. SITE -SPECIFIC LOAD REQUIREMENTS AS DETERMINED IN ACCORDANCE WITH THE APPLICABLE BUILDING CODE SHALL BE LESS THAN OR EQUAL TO THE POSITIVE OR NEGATIVE DESIGN PRESSURE "ASD" CAPACITY VALUES LISTED HEREIN FOR ANY ASSEMBLY AS SHOWN. GENERAL NOTES 1. THIS SYSTEM HAS BEEN DESIGNED AND SHALL BE FABRICATED IN ACCORDANCE WITH THE REQUIREMENTS OF THE FLORIDA BUILDING CODE SIXTH EDITION (2017). 2. POSITIVE AND NEGATIVE DESIGN PRESSURES CALCULATED FOR USE WITH THIS SYSTEM SHALL BE DETERMINED BY OTHERS ON A JOB -SPECIFIC BASIS IN ACCORDANCE WITH THE GOVERNING CODE. 3. MAXIMUM DIMENSIONS AND WEIGHT OF GENERATORS UNIT SHALL CONFORM TO SPECIFICATIONS STATED HEREIN. 4. THE AREA UNDER CONCRETE SLAB ON GROUND SHALL HAVE ALL VEGETATION, STUMPS, ROOTS, AND FOREIGN MATERIALS REMOVED PRIOR TO INSTALLATION ON COMPACTED SOIL AS VERIFIED BY OTHERS. THESE CONCRETE PADS HAVE BEEN DESIGNED FOR A MINIMUM BEARING CAPACITY OF 2,000 PSF AND MINIMUM SUBGRADE MODULUS = 100 PCI. SHOULD OTHER CONDITIONS OR MATERIALS BE ENCOUNTERED, THE ENGINEER OF RECORD SHALL BE NOTIFIED PRIOR TO PROCEEDING WITH THE WORK. 5. RESISTANCE TO SLIDING OF THE PAD ON THE GROUND IS NOT PART OF THIS DOCUMENT AS SOIL CHARACTERISTICS AND PAD PLACEMENT VARIES. 6. ELECTRICAL GROUND, WHEN REQUIRED, TO BE DESIGNED & INSTALLED BY OTHERS. ALL MECHANICAL SPECIFICATIONS (CLEAR SPACE, TONNAGE, ETC.) SHALL BE AS PER MANUFACTURER RECOMMENDATIONS AND ARE THE EXPRESS RESPONSIBILITY OF THE CONTRACTOR. 7. ENGINEER SEAL AFFIXED HERETO VALIDATES STRUCTURAL DESIGN AS SHOWN ONLY. USE OF THIS SPECIFICATION BY CONTRACTOR, et. al. INDEMNIFIES & SAVES HARMLESS THIS ENGINEER FOR ALL COST & DAMAGES INCLUDING LEGAL FEES & APPELLATE FEES RESULTING FROM MATERIAL FABRICATION, SYSTEM ERECTION, CONSTRUCTION PRACTICES BEYOND THAT WHICH IS CALLED FOR BY LOCAL, STATE, & FEDERAL CODES & FROM DEVIATIONS OF THIS PLAN. 15. S. HOLLOW PADS FOR USE WHERE APPLICABLE BY CODE. 9. WATER -TIGHTNESS OF EXISTING FINISHES SHALL BE THE FULL RESPONSIBILITY OF THE INSTALLING CONTRACTOR. CONTRACTOR SHALL ENSURE THAT ANY REMOVED OR ALTERED WATERPROOFING MEMBRANE IS RESTORED AFTER FABRICATION AND INSTALLATION OF STRUCTURE PROPOSED HEREIN. THIS ENGINEER SHALL NOT BE RESPONSIBLE FOR ANY WATERPROOFING OR LEAKAGE ISSUES WHICH MAY OCCUR AS WATER -TIGHTNESS SHALL BE THE FULL RESPONSIBILITY OF THE INSTALLING CONTRACTOR. 10. THE ROLE OF THIS ENGINEER FOR THIS PROJECT IS THAT OF SPECIALTY ENGINEER AND NOT THE ENGINEER OF RECORD. CONSEQUENTLY, THE ARCHITECT/ENGINEER OF RECORD SHALL BE RESPONSIBLE FOR THE INTEGRITY OF ALL SUPPORTING SURFACES TO THIS DESIGN WHICH SHALL BE COORDINATED BY THE PERMITTING CONTRACTOR. 11. THIS DOCUMENT IS GENERIC AND DOES NOT PERTAIN TO ANY SPECIFIC PROJECT SITE. INFORMATION CONTAINED HEREIN IS BASED ON CONTRACTOR -SUPPLIED DATA AND MEASUREMENTS. ENGINEERING EXPRESS SHALL NOT BE HELD RESPONSIBLE OR LIABLE IN ANY WAY FOR ERRONEOUS OR INACCURATE DATA OR MEASUREMENTS. DIMENSIONS ARE SHOWN TO ILLUSTRATE DESIGN FORCES AND OTHER DESIGN CRITERIA. THEY MAY VARY SLIGHTLY, BUT MUST REMAIN WITHIN THE LIMITATIONS SPECIFIED HEREIN. WORK SHALL BE FIELD VERIFIED BY OTHERS PRIOR TO CONSTRUCTION. ENGINEERING EXPRESS SHALL BE NOTIFIED AND GIVEN AN OPPORTUNITY TO REEVALUATE OUR WORK UPON DISCOVERY OF ANY INACCURATE INFORMATION PRIOR TO MODIFICATION OF EXISTING FIELD CONDITIONS AND FABRICATION AND INSTALLATION OF MATERIALS. ALTERATIONS OR ADDITIONS TO THIS DOCUMENT ARE NOT PERMITTED AND INVALIDATE OUR CERTIFICATION. 12. EXCEPT AS EXPRESSLY PROVIDED HEREIN, NO ADDITIONAL CERTIFICATIONS OR AFFIRMATIONS ARE INTENDED. CONCRETE PAD SCHEDULE UNIT DIMENSIONS (IN) MINIMUM PAD DIMENSIONS (IN) WIND LOADS GENERATOR UNIT CONCRETE PAD ALLOWABLE ALLOWABLE ITEM UNIT WEIGHT PAD WEIGHT WIDTH LENGTH HEIGHT MODEL # WIDTH LENGTH THICKNESS (LBS) PRESSURE RESULTANT (PSF) (LBS) 1 8KW 25.00 48.00 29.00 360 4 4 -1 � (D L(L 30.56 53.56 4.00 240 30.72 296.93 2 SOKW 25.00 48.00 29.00 407 30.56 53.56 4.00 240 33.13 320.25 3 14KW 25.00 48.00 29.00 435 30.56 53.56 4.00 240 t34.57 334.21 4 16KW 25.00 48.00 29.00 409 30.56 53.56 4.00 240 33.10 319.97 5 16KW 25.00 48.00 29.00 513 30.56 53.56 4.00 240 38.53 372.44 6 17KW 25.00 48.00 29.00 471 30.56 53.56 4.00 240 36.40 351.88 7 17KW 25.00 48.00 29.00 431 30.56 53.56 4.00 240 34.37 332.20 8 20KW 25.00 48.00 29.00 451 30.56 53.56 4.00 240 35.39 342.12 9 20KW 25.00 48.00 29.00 448 30.56 53.56 4.00 240 35.26 340.85 SO 22KW 25.00 1 48.00 29.00 466 30.56 53.56 4.00 240 36.35 351.38 IYV ICJ. 1- CONCRETE PADS WEIGHT PROVIDED BY MANUFACTURER, VERIFIED BY OTHERS. 2- MINIMUM COMPRESSIVE STRENGTH, fc=4,000 PSI AT 28 DAYS. 3- ALL OTHER UNITS NOT SHOWN SHALL BE DESIGNED ON A CASE BY CASE BASIS. LARGER CONCRETE PADS MAY BE DESIGNED PER DIFFERENT LOAD COMBINATIONS. L. BENNARDO, P.E. 07 1 019 Gordon Dvisto PE THERE IS A DIGITAL GNATURE ON SHEET 1, THIS IEET IS PART OF A DIGITALLY GNED FILE, SHALL REMAIN IN GITAL FORMAT, & PRINTED )PIES OF THIS DOCUMENT LE NOT CONSIDERED SIGNEI ID SEALED. IF THERE IS NO GITAL SIGNATURE ON SHEET J THIS SHEET DOES NOT WTAIN AN ENGINEER'S IGINAL SIGNATURE & SEAL, � N z � v ((,nn U1 m 0 i ui�MoNO v, InLL Lf) LL q�xw rrnn(� H/Q W Q W ow0 LJLI. O 0 z 00 o ZW Z W �111ItNomZw 00� W v@W Z ILL - U &LL W is III O / t 0 Z O o� �0 N. �L LU O Z H H W ca.-Q O fV n 3 M LLJ (D Z O a rn gLOL w a M = F- a o DC C) In OV Q 0 W i�OD W a z L~a Q � Q In W O U co LLJ o Z o Ln O z Q O w f y � iO o a N�Zi 0 0 0 0 0 Y m m m m m S(n (JJm W zWj23 w LI H )- LL LL H- 2 J J xw z OO O o 0p 0<<�ww O W¢Owa o o a aaaa zED oo Y O D U r Y V y o KaLLm= `o=�'�z N b 1 "��3 w LL COPYRIGHT ENGINEERING EXPRESS 0 14-1669A SCALE:NTS UNLESS NOTED of