ELC-10-1953r
Inspection Number: INSP - 153028
Scheduled Inspection Date: December 14, 2010
Inspector: Devaney, Michael
Owner: EDELMAN, ALEX
Job Address: 9999 NE 2 Avenue
Miami Shores, FL 33138-
Project: <NONE>
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Contractor: INDUSTRIAL ELECTRICAL SYSTEM CORP
Building Department Comments
December 13, 2010
For Inspections please call: (305)762 -4949
Permit Number: ELC -11 -10 -1953
Permit Type: Electrical - Commercial
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number ()-
Parcel Number 1132060134490
Phone: 305/228 -1384
REPLACE PANEL
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
STS
/
Page 19 of 30
1( i 1.1 t -&1)1 Miami Shores Vill
Building Departm
1005a N.E.2nd Avenue, Miami Shores, F1ori 33138
Tel: (305) 795.2204 Fax: (305) 756.89 2
INS QN'S PHONE NUMBER: (305 62.4949
BUILDING
PERMIT APPLICATION
FBC 20
Permit Type: ELIECTRICAL
Owner's Name (Fee Supple Titleholder) "WE
Owner's Address 90
City /111 S 6#t,� State 7 C
Tenant/Lessee Name N 4—
� Pho
E mai l/hD l ' V..ts4 Q V/Eit) e rg- J& '�'iA'
Job Address (where the work is being done) w9 / & L,, a )
City Miami Shores Village
FOLIO / PARCEL # /1 " .SA0 612/,3 ;4?
Is Building Historically Designated YES NO
Contractor's Company Name .C�1.ES &e'2 Azo
Contractor's Address /F167 NW 47 41 S / r
Cit C State PLO
53/7
Qualifier Name E'.S Y .2- Cow t/ o— Ph # 566 Zz — / -
State Certificate or Registration No.
C / 5001 / Z
Contact Phone jesii l el' 1 !T /,t E-mail
Architect/Engineer's Name (if applicable)
Value of Work For this Permit $ 4 Square / Linear Fo
Type of Work: (Addition ['Alteration DNew
Describe Work: ' ��L(
Notary $
Scanning $
Double Fee $
Submittal Fee $ Permit Fee $ /f5"' " �? /,-g/? CC
Structural Review. $
Radon $
County Miami -Dade
Training/Education Fee $
DPBR $
Violation date:
Total Fee
omamm
NI NOV 0 5 2010
Permit No
P■C-[ _11S 3
ge
nt
Certificate of Co tency No.
Pho e # 22f 43 �'
Z
oe
m e
one #
age Of Work:
Zip
Flood Zone
Repair/Replace ❑ Demolition
ow Due $
CO /CC $
Technology Fee $
Bond $
See Reverse side -*
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
#49-1
Mortgage Lender's Name (if applicable) T J IL. o- M ��
Mortgage Lender's Address dt ' azt..f ` .r •
City /W41/ State Zip "3 O
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
Signature
The foregoing ins
promise in good faith th copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subje t attach 1. Al , a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection hich o c r ~ s n (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved , afire- inspection fee will be charged.
day of ,20 ,by
who is personally known to me or who has produced
As identification and who did take an oath.
N TARY PUBLIC:
- AO
S ign:
Print:
:os!"'* MARIA TERESA GROS?O
MY Cr'MMISSION # 4D663996
v GXPIr s April 16, 2011
!ems /el 7' Coo
My Commission Expires:
***** * ***** ** * ** * * * * * * * * ** * *** ** * * * ** * * * * * * *** * * * * * * * * **** * * *** ** ** * * * * * * *** * * * *** * * *** **
APPROVED BY
(Revised 07 /10 /07)(Revised 06/10/2009)
r or Agent
was acknowledged before me this
e/ziL / fir c rr
GPlans Examiner
Engineer
Signature / - " a
(/ Contractor
The fore oing instrument was acknowledged before me this
day of UGlb e." , 20%o , by /v S7a2 awe/4,
who is pew nally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC: Francisco P. Morales
Notary Public - State of Florida
mission 1 DD 913453
isslon Expires 11 -17 -2013
Inc.
Sign: Xia-40
Print: 1 t'ta a
ra
My Commission Expires: t' /— / 7 — 26/3
Zoning
Clerk checked
ACORDI CERTIFICATE
OF UABIUTY INSURANCE DATE
110/18/2010
. TYPE OF INSURANCE
PRODUCER
PAYCHEX AGENCY INC
2107 05 P:() F : () -
PO BOX 33 015
SAN ANTONIO TX 78265
D TE ry
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER.
E BY THE w
P
E
INSURERS AFFORDING '.OVERAGE
INSURED
INDUSTRIAL ELECTRICAL SYSTEMS CORP
10257 N.W. 9TH STREET CIR. APT. 205
MIAMI FL 33172
INSURER A: Twin City . Fire Ins Co
INSURER B:
INSURER C:
INSURER 0:
INS E:
THE POLICIES OF INSURANCE LISTED BELOWTIXVEI ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REOUIREMENT, 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 POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
Iota LTR
. TYPE OF INSURANCE
FOUCY NUMBER
D TE ry
$/ N
GOAL
LIABILITY
COMMERCIAL GENERAL UARIUTY
EACH OCCURRENCE $
FIRE DAMAGE (Aral one Ebel $
1 CLAIMS MADE U OCCUR
MED EXP (Any one Perermt
0
PERSONAL & ADV INJURY
9
GENERAI AM GATE
$
GENT AGGREGATE UMIT APPUES PER:
PRODUCTS - COMP/OP AGO
$
ICI M I ILOC
AUTOMOBILE
UAMUTY
ANY AUTO
Alt OWNED AUTOS
IA
SCHEDED AUTOS
HIRED AUTOS
NON-OWNED
E
COMBINED I S NM.E UMIT
8
BODILY INJURY
Per person'
$
BODILY INJURY
(Per accident"
$
(Per DAMAGE
$
GARAGE
UABBI&Y
ANY AUTO
AUTO ONLY - EA ACCIOENT
$
OTHER THAN EA ACC
5
AUTO ONLY: AGG
$
EXCESS muff
EACH OCCURRENCE
$
OCCUR Li CLAIMS MADE
DEDUCTIBLE
RETENTION $
AGGREGATE
$
$
5
$
A
WOIR�COMPE COMPENSATION-AND
EMPLOYERS' UAIMJIV
76 WEG F06188
-
01/24/10
:01/24/11
X I p -A� 1 I EAR
El-EACH
9100, 000
E.L. DISEASE - EA NBMIPI.OYEE.
$10 0 , 0 00
E.L. DISEASE - POLICY UMFT
$ 5 0 0, 0 0 0
OTI(EB
DESCRIPTION OF OPERATIONSIIOCATIONSNEXICLONECCLUSIONS ADDED BY EtIDORSEMENTASPECIAL PROVISIONS
Those usual to the Insured's Operations.
COVERAGES
CERTIFICATE HOLDER 1 1 ADDRiONAL'FIGURED; PISMO Lena:
Village of Miami Shores
10050 NE 2ndAVe
Miami Shores, FL. 33138
Fax: 305 756 -8972
ACORD 25-S (7/97)
CANCELLATION
SHOULD ANY OF THE ABOVE DESCIBBED POUCIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL
30 DAYS WRITTEN NOTICE (10 DAYS FOR NON - PAYMENT) TO THE CERTIFICATE
HOLDER NAMED TO THE LEFT. BUT FAILURE TO DO SO SHALL IMPOSE NO
OBLIGATION OR UABIUTY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
REPRESENTATIVES.
•
ACORD CORPORATION 1988
•ACORD. CERTIFICATE OF LIABI.ITY INSURANCE
I 1011W20 •
PRODUCER
OVERSEAS INSURANCE AGENCY
P. O. BOX 162936
MIAMI, FLORIDA 33116
.
This CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIRCATE DOES NOT AMEND EXTEND
HOLDER. THIS AFFORDED BY THE POLICES O
TER
INSURERS AFFORDING COVERAGE .
MIRED INDUSTRIAL ELECTRICAL SYSTEM CORP
10257 N.W. 9 ST CIRCLE #205
MIAMI, FLORIDA 33172
-
INSURER A: NOVA CASUALTY COMPANY
INSURER It
IER C:
INSURER D:
INSURER E
COVERAGES
1TR
TtIE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERK INDICATED. NOTWTHSTANDING
ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO %+NIGH THIS CERTIFICATE MAY BE ISSUES? OR
MAY PERTAIN THE INSURANCE AFFORDED BY WYE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE U M TS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
TYPE OP INSURANCE
GENERAL LIABILITY
A lcOMMERCIAL GMERA. LIABILITY
I CLAM 1 OC UR
-250 DED
con AGGREGATE OMIT APPLIES PER
� n nLOC
AUTOLTOBILELIABILBY
ANT AUTO
ALL 0110/ED AUTOS
SCHEDULEDAuTos
HIRED AUTOS
NON-01311133 AUTOS
GAPAGE LUABIUTY
n ANY AUTO
MESS DUTY
OCCUR Ei CLAIMS MADE
DEDUCTI13tE
RETENTION S
WORKERS COMPENSATION AND
EMPLOYERS* LIABILITY
OTHER
Village of Miami Shores
10050 NE 2rldAVe
Miami Shores, FL. 33138
Fax: 305 756 -8972
ACORD 25.6 (7197)
09 ALL39093
REMY NUMBER
POLICY BcECTIVE
DATFRRAIRROTTI
05/12/10
OESDRIPR ON OF OPERLOCOMILOCARONSPATHICLESIEXCLUSONS ADDED 8Y
DESCRIPTION OF OPERATION EL GTRICAL WIRING:
CERTIFICATE HOLDER 1 X i ADDTHONAI .HNSIIREkRiSURER
CANCELLATION
VCANADAN
05112/11
3
FIRE DA WOE (Pay ow Ors) $
MED E71P May Crta@moas) E
PERSONAL & ADV INJURY s 500,000
EACH OCCIRIFIENCE
GENERAL AGGREGATE s 1,000,000
PRODUCTS - COMFIT" AGO $ 1,000,000
maim SDIOLE mar
BODILY RAIURY
(Per poison)
BODILY INJURY
(Per apoldard)
PROPERTY DAME
(Per eedderq)
AUTO ONLY - EAACCIDENT
OTHER THAW
AUTO ONLY:
S
s
$
EA ACC 3
AG S
OCCURRENCE
S
AG GREGA TE t
3
$
S
{, L, I Mill-
E.L. EACH =WENT 0
EL DISEASE - EA EMPLOYEE $
EL DISEASE -POLICY IJWT $
500,000
100.000
5.000.
SHOUID ANY aFTHEABOVE POLANES BECANCELLED BEFORE WMI AMOK
DATE THE, THE mums unmet VAIL EPWVOR 1O MAIL 30 DAYS WRITTEN
NO= TO THE CERTIFICATE HOLDER NAMED TD THE LEFT, BUT FAILURE TO DOSOMALL
IMPOSE NO C/MIGATION OR LIABILITY OF ANY IUND UPON THE INSURER, ITS AGENTS TM
REPREMINTATIVEIL
c ACORD CORPORATION 1838
Permit No ELL -10 -1953
Job Name AHE REALTY
Shoreview Center
Job Description:
Miami Shores Village
Building Department
Replace and upgrade lift station control panel and pipes.
Install and seal off new J Box
New feeder from panel to 1st floor (outside)
Pao
Address
p�
Proposal created for
ARE Realty Associates
7701 we9f ! CL.° 4/4
City, State Zip
Phone rDate S ubaetted
•rt5_3 %Nr3
lennk
WIMM0
2.
2.- Upgrade lift station control panel.
4.- Install and seal -off new Junction box.
6.- Permit fees are not included.
One thousand five hundred
Payment to be made as follows:
Total amount upon completion of job.
1111`
Acceptance of Proposal - Tim above speed cations, paces and
conditions arc acceptable. Ihmeby authorize all work as specified. Payment to
be :emitted as outlined above
Date Authorized:
Industrial Electrical Systems, Corp.
State Electrical Contractors. EC 13002182
10257 NW 9th St Cir #205. Komi, FL 33172.
Phone: 305 228 -1384 Fax 305 225 -2062
e -mail: iesflorida@comcast.net
Job Name
Lift station electrical repair
Job Adlres s
5.- New feeders from electrical panel to 1st floor.
City State Zip
Miami. Shores,
Architect
1.- Provide labor and materials for electrical installation as described below:
3.- Replace conduit from electrical panel to control panel, PVC will be used.
We hereby purpose to furnish material and labor in accordance to the above specifications, for the sum of:
Make checks payable to Industrial Electrical Systems,Co
Authorized
S &patine
Proposal
Valid Sr
S1 gnatore
9999 NE 2nd Ave
FL. 33138
'Date ofPlans
D ($ 1,500.00
Si nce AA✓ik cif'+ 2 e y o
-30-
Diomedes Imam 4) /4",
Cell: 786 333 -3612
Days
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1. FLC T 430 -248
1HP /230 VOLT — 8 AMPS
2. OVERLOAD PROTECTION
430 -32 MIN 430 -34 MAX
CALCULATION
4 MOTORS 1 HP 230 VOLT
3. BRANCH CIRCUIT WIRE SIZE, 430 -22 FLC X 125%
FLCX125 %= 8 AMPX125 %= 10 310 -16= 1112 THWN 75%
4. BRANCH CIRCUIT OVER CURRENT PROTECTION 430 -52
8X125 % =10 430.52
240.6 (A) = 15 A
5. FEEDER WIRE 430 -24 310 -10 = 48 THHNORTHNM 75%
( 8X125 %) +8 +8 +8 = 10 +8 +8 +8 =34
5. FEEDER PROTECTION 430 -62 (A) 240.6 (A) - 430 -52
20 +8 +8 +8 = 44
44 + 10 control Load = 54 =50 Amps
:: •••• •
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PAGE I OF 3
38841AM
BOULAY BIBA'ICATION, INC.
PO. Box 508 LoFoyette N.T. 13x81 Phone 315617 -417
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WM Approxed Electrical Control Panels Fox 315 -877 -5325
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PAGE 3 OF 3