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EL-10-68 3 f Miami Shores Village 10050 N.E. 2nd Avenue N Miami Shores, FL 33138 -0000 / Phone: (305)795 -2204 « �r as A �'' s' .z.. •. ; � �3 3z1" hn A . 3aasr. Ex iration: 7119/2010 Project Address Parcel Number Applicant 1220 94 Street 1132050100220 Miami Shores, FL Block: Lot: TANYA DUARTE Owner Informa Address Phone Cell TANYA DUARTE 1220 NE 94 ST MIAMI SHORES FL 33138 -2947 Contractor(s) Phone Cell Phone Valuation: $ 3, 000.00 MOODY ELECTRIC INC (305)758 -2000 Total Sq Feet: Type of Work: ELECTRICAL For Inspections please call: Additional Info: SERVICE UPGRADE (305)762 -4949 Classification: Residential Available Inspections: Inspection Type: Final Meter Box Alteration Relocation Fire Alarm Service Change Underground W. W. Fees Due Amount Invoice # Total Amt Paid Amt Due CCF $ EL -1 -10 -36829 $ 157.80 $ 107.80 Education Surcharge $0.60 Permit Fee - Additions/Alterations $150.00 EL -1 -10 -36829 $ 157.80 $ 157.80 $ 0,00 Scanning Fee $3.00 Check #: 18056 Submittal Fee $50.00 Submittal Reversal Fee ($50.00) Technology Fee $2.40 Total: $157.80 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. _ January 20, 2010 Authorized Signature: Owner / Applicant / Contractor i Agent Date Building Department Copy January 20, 2010 1 Miami Shores Village g JAN 14 2010 Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 -- - - - ® ®- Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305). 762.4949 BUILDING PermitNo. PERMIT APPLICATION Master Permit No. FBC 20 Permit Type: ELECTRICAL Owner's Name (Fee Simple Titleholder) Phone # ?(�S --��� low Owner's Address — ' D. City S g State Zip Tenant/Lessee Name ( Phone # {� Email Job Address (where the work is being done) < g>Ds 0 1F_ 1 � - 1 <-k �- city Miami Shores Village County Miami -Dade FOLIO / PARCEL # V, -- SUS - <=kO --- OaDC,. Is Building Historically Designated YES NO . V Flood Zone Contractor's Company Name _ t5D�� r � <_ \< . Phone # 2.0S - 7 Contractor's Address Address City State Qualifier Name - JL��r.r� Y�I� c c� c., Phone # _ State Certificate or Registration No. 0LX_)kk, Certificate of Competency - No.. ', n Contact Phone E -mail i CC�� -2 Vv�c���iC C vie Architect/Engineer's Name (if applicable) I Phone # C9 Value of Work For this Permit $ '� Square / Linear Footage Of Work: Type of Work: ❑Addition ❑Alteration ONew 62� Repair/Replace ❑ Demolition Describe Work: moo, Submittal Fee $ Permit Fee $ ���� �� C�CF $ �•" CO /CC $ Notary $ Training/Education Fee $� Technology Fee $ 2 Scanning $ Radon $ DPBR $ Bond $ Double Fee $ Violation date: Structural Review. $ Total Fee Now Due $ 1'� See Reverse side Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will'be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMAMNCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a re- inspection fee will be charged. Signature _K� 1 1, 4 o rAgze t Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this 1 day of =� , 20 16 , by day of 20 LO , by ° 58�� who is personally. known to me or who has produced who is pe rsonally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: k 4 Sign: Ob MARY PAT BRIGGS Sign: `, � Print: r a Print: �5 =My Commission Expires May 11, 2010 My Commission Expires: ;Jq; a My Commi i es L N MLE BER GpfiT ��� ommission # DD 531936 Aqy$ ... Y Bonded B National Nota Assn. ry ' uly 2, 2013 Ban ded Public Und a&, s �k�okl toY�' rsY�tr9r4rdede�4 * *9e *9ek��Yda4t &• y e -. :Ydr kk9c9rrksY4nlraic 4 kab kskaYRr9e:Y:Y9rlktk *de9t k�rdcdteY4a�Y�k4ede4e�YoYRr��Y�Yde4r9eAr�trk�F9ek 4e��estrdr�Y APPROVED,BY Plans Examiner Zoning Engineer Clerk checked (Revised 07 /10 /07)(Revised 06/10/2009) jrf•--R CERTIFICATE OF LIABILITY INSURANCE OP ID IZ DATE(MWDD/YYYY) MOODY -1 12/29/09 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION InSource, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 9500 South Dadeland Blvd. , #200 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 561567 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. W-mi FL 33256 -1567 nes 305 - 670 -6111 Faxa305- 670 -9699 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: FOCI Insurance Company 10178 INSURERS: FOCI Commercial Ins. Co. 33472 Mood Electric, Inc INSURER C: 669 90 Street Miami FL 33150 INSURER D: INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER POLII MM/DD DATE MM/DD LIMITS GENERAL LIABILITY EACH OCCURRENCE $1000000 A X COMMERCIAL GENERAL LIABILITY CPP00056945 12/31/09 12/31/10 PREMISES (Ea oxurence ) $ 100000 CLAIMS MADE [i] OCCUR MED EXP (Any one person) $5000 — — -- - PERSONAL & ADV INJURY $1000000 GENERAL AGGREGATE $ 2 0 0 0 0 0 0 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 2000000 POLICY X PRO- JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT B X ANY AUTO CA00067795 12/31/09 12/31/10 (Ea accident) $ 1000000 ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY (Per (Per person) X HIRED AUTOS X NON -OWNED AUTOS BODILY INJURY (Per (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS / UMBRELLA LIABILITY EACH O CCURRENCE $1000000 B X OCCUR CLAIMS MADE TMB0Q047874 12/31/09 12/31/10 AGGREGATE $1000000 DEDUCTIBLE X RETENTION $10000 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN TORY LIMITS ER EXCLUDED? E.L. EACH ACCIDENT $ ANY PROPRIETOR/ R/EXECUTNEr —� gFFICER/MEMBER EXCLUDED? �j (Mandatory in NH) If yes, describe under E.L. DISEA - EA EMPLOYEE $ SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS *10 days notice of cancellation applies for non- payment of premium. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION VIL DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL *30 DAYS WRI TEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Village of Miami Shores IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 10050 NE 2nd. Avenue REPRESENTATIVES. Miami Shores FL 33138 AUTHORIZED REPRESENTATIVE #%Ob_� ACORD 25 (2009101) ©1988 -2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID CC DATE(MMIDD/YYYY) MOODY -1 12/14/09 PRODUCER THIS ER F CATE IS 1 ED AS A MATTE R OF INFORMATIO ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Workers Compensation Group HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR I Box 410 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW :a Raton FL 33429 - 0410 Phone: 561- 392 -3300 Fax: 561- 361 -1132 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: Brid efield Em l ers Ins INSURER B: Mood Electric Ina INSURER C: 669 l�orthwest 40th Street Miami FL 33150 INSURER D: INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TM ADTIT LTR INSRE TYPE OF INSURANCE POLICY NUMBER POLIC F E DATE Y D TI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurence) $ CLAIMS MADE OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES P,ER: PRODUCTS - COMP /OP AGG $ POUCY PROT F LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OW NED AUTOS SCHEDULED AUTOS BODILY INJURY $ (Per person) HIRED AUTOS NON -OWNED AUTOS BODILY INJURY $ (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO EA ACC $ OTHER THAN AUTO ONLY: AGG $ EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR O CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN X I T ORY LIMITS I ER A OFFICER/MEMBER EXCLUDED ECUTIVE❑ 830_24673 01/01/10 01 /0] /7 ] E.L. EACH ACCIDENT $ 500000 (Mandatory be un der If E.L. DISEASE - EA EMPLOYE $ 500000 y SPes, ECI be deacxunAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 500000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS 8 /27 /07- increase EL Limits to $500,000/$500,000 /$500,000 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION NMAb " S3 DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Village Of Miami Shores REPRESENTATIVES. 10050 NE 2nd Ave r UTOO REPRESENTATIVE ami Shores FL 33138 ACORD 25 (2009101) c 1988 -2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ELECTRIC, INC. 1 7 JAN 14 2010 www rnoodyelectdc:com 669 N.W. 90 Street • Miami, FL 33150 -2166 Tel: (305) 758 -2000 Fax (305) 754 -1333 A -�,VA Z, - 6 i 1,4 /� F tlffiv ilm. O m A14p , I � pt5ov . "avp w MARY PAT BRIGGS "� No Public State of Florida rm My Commission Expires May 11, 2D14 Commission # D0531936 Bonded By National Notary Assn. Nnp.d MOO DYia ' ELECTRIC, INC. www.moodyelectdc:com 669 .N.W. 90 Street - Miami, Fl, 33150 -2166 Tel: (305) 758 -2000 Fax (305) 754 -1333 fAA3VA &A kll - e- f RESIDENTIAL DEMAND LOAD CALCULATIONS W / SQ. FT ` 4: .W. REFRIGERATOR K.W. APPLIANCES K.W. DISHWASHER K.W. GARBAGE DISPOSAL K.W. MICROWAVE K.W. CLOTHES WASHER / K.W DRYER e5 - ,46 K. W tPav'P`�e MARY PAT BRIGGS RANGE K i {. .'� • Notary Public - State of Florida . My Commission Expires May 11, 2010 WATER HEATERK. i �F, F �pP�`� Commission # DD 531936 OVEN K W Bonded By National Notary Assn FREEZER K.W. TRASH COMPACTOR "" K.W. 1 GARAGE DOOR MOTOR K.W. 1 JACUZZI -^ K.W. JACUZZI BOOSTER HTR. K.W. IRONING BOARD / K.W. POOL EQUIPMENTS I.W. SPRINKLER PUMP K.W. LANDSCAPE LIGHTS _ K.W. STEAM SHOWER K.W. A/C WALL UNIT K.W. SPARE CAPACITY K.W. SPARE CAPACITY K. TOTAL CONNECTED LOAD FIRST 10 K.W. p@7 100% 414q. Z' 10.0 K.W. REST @ 40% - :5q. 46 /5 K.W. A/C @ 65% / HEAT @ 100% /0 / K.W. TOTAL DEMAND LOAD J 5� 7Z K.W. / 240 VOLT = t qq , 6 kMPS 7 °_____ p ATE 1 � 7 r;�;1F BY IFPT� cT ,)FCT TO COM1; I^P CE V ITH ALL FEDERAL n C't I A70 ^'l j C�TATP P" I F 4, 14 3. MOODY4111e� ELECTRI JA►N 14 2010 www.moodyelectdc:cOm BY. . .................... 669 N.W. 90 Street • Miami, FL 33150 -2166 Tel: (305) 758 -2000 Fax (306) 754 -1333 .�L1 • !✓�- -12.1 _ b Om _ _06 a Amp N 60 I pf a� irtreA- t + + +" MARY PAT BRIGGS Notary Public -State of Florida �My Commission Expires May 11, 2010 Commission # DD 531 936 Bonded By National Notary Assn. t MOO DY46a ' ELECTR INC. www.moodyelectric:com 669 N.W. 90 Street • Miami, FL 33150 -2166 Tel: (305) 758 -2000 Fax (305) 754 -1333 IAA ,4 boAiZ. Fe- ( A0 E 9413 RESIDENTIAL DEMAND LOAD CALCULATIONS W / SO. Fr '/K.W. REFRIGERATOR K.W. APPLIANCES P K.W. DISHWASHER K.W. GARBAGE DISPOSAL "' K.W. MIGROWAVE K. CLOTHES WASHER `� K ; �p0.YPVe PAT sR��cs 20 «`�z Notary Public - State of Florida DRYER K.W : • Wy Commission L'�pires May 11 2010 + �.� Commission # DD 531836 �N ° c RANGE K .W ' Bonded ?y Nationa• Notary Assn. WATER HEATER K.W. OVEN K.W. FREEZER K.W. TRASH COMPACTOR "° -' K.W. GARAGE DOOR MOTOR K.W. JACUZZI K.W. JACUZZI BOOSTER HTR. °— K.W. IRONING BOARD / K.W. POOL EQUIPMENT a4LK.W. SPRINKLER PUMP CAA K.W. LANDSCAPE LIGHTS K.W. STEAM SHOWER K.W. A/C WALL UNIT K.W. SPARE CAPACITY b-' T K.W. SPARE CAPACITY '` K.W. TOTAL CONNECTED LOAD qq'v .W. p o 11 ?1 FIRST 10 K.W. @ 100% 4/1 1. 10.0 K.W. REST @ 40% :gq, /S. K.W. A/C @ 65% / HEAT @ 100% ®® /0 K.W. TOTAL DEMAND LOAD S 7 4.W. :Y6�- 7 K.W. / 240 VOLT= Nq 0 s . r r PT ^T TO - _,GN, LIAI TH ALLFF-QERA CO ^ T{ r,t)tE ANC, q;opy d Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 133549 Permit Number: EL- 1 -10 -68 Scheduled Inspection Date: March 01, 2010 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: DUARTE, TANYA Work Classification: Addition /Alteration Job Address: 1220 NE 94 Street Miami Shores, FL Phone Number Parcel Number 1132050100220 Project: <NONE> Contractor: MOODY ELECTRIC INC Phone: (305)758 -2000 Building Department Comments 200 AMP SERVICE UPGRADE Inspector Comments Passed EE"/ Failed Correction ❑ Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. February 26, 2010 For Inspections please call: (305)762 -4949 Page 6 of 19