EL-09-1742Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 129132
Permit Number: EL -10 -09 -1742
Scheduled Inspection Date: December 01, 2009
Inspector: Devaney, Michael
Owner: KLEIN, LESLIE
Job Address: 534 NE 94 Street
Miami Shores, FL
Project: <NONE>
Contractor: MOODY ELECTRIC INC
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Alteration
Phone Number (305)876 -7514
Parcel Number 1132060140950
Phone: (305)758 -2000
Building Department Comments
Repair service,new breaker box and new meter
Inspector Comments
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
� (,ice /67.ez7/9.
November 30, 2009
For Inspections please call: (305)762 -4949
Page 20 of 32
Miami Shores Village
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.
PERMIT APPLICATION
FBC 20
Permit No. tZ ` /9? /e1
Master Permit No.
Permit Type: ELECTRICAL
Owner's Name (Fee Simple Titleholder) ,,%5' ( ��' /L k%d Phone # .5r 75/ -99‘ .
Owner's Address S&L/ ,' �//E 9'4,/' '
City d � /2 State P"CC) �.��' Zip (37:__/,N
Tenant/Lessee Name ®A //4 Phone #
Email 80
Job Address (where the work is being done)
City Miami Shores Village County Miami -Dade Zip
FOLIO / PARCEL #
Is Building Historically Designated YES NO X Flood Zone
Contractor's Company Name /
' �� ����driC, Phone #
Contractor's Address 4'6Q440 9e
City State EGewel� Zip , /.5-® .
Qualifier Name A/) V o-%
Phone #
,5..0 7 R &®dc)
State Certificate or Registration No. /297 Certificate of Competency No.
Contact Phone ['] , .1060 E -mail
Architect/Engineer's Name (if applicable)
Value of Work For this Permit $
Type of Work: DAddition
Describe Wo r :
a 414. OD
/VA
Phone #
Square / Linear Footage Of Work: 0 ®a
New Repair/Replace ['Demolition
******** * * *: * * * * * * * * *** * * * * * **** * * * * ** Fees************: * * * * * * * *** * * * * * * * * * * * * * * * * * * * **
Submittal Fee $ Q® Permit Fee $ ®t'e®
Notary $
Scanning $ Radon $
Double Fee $
Training/Education Fee $
Structural Review. $
CCF $
DPBR $
Violation date:
CO /CC $
Technology Fee $
Bond $
131.90
Total Fee Now Due $ ,
See Reverse side
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
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
COMIVII;NCEMENT 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 re- inspection fee will be charged.
Owner or Agent
The foregoing instrument was acknowledged efore me this P.-- day of Dc , 2009 , by IL,tFM
who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Si
Contractor
The foregoing instrument was acknowledged before me
day of (. , 206/, by
who is personally known to me or who has produced
as identification and who did take an oath.
Print:
My Commission Expires:
APPROVED B
Notary Public - State of Florida
• My Commission Expires May 11, 2010
Commission # DD 531936
Bonded By National Notary Assn.
v7 %r -ir o- -b -or- - -oy ror
l a'� Plans Examiner
Engineer
(Revised 07 /10 /07)(Revised 06/10/2009)
NOTARY PUBLIC:
Sign:
Print:
My Commiss
MARY PAT BRIGGS
Notary Public - State of Flor
•My Commission Expires May 11,
Commission # DD 531936
a tibVFal'} 'b'i li #: * **
Zoning
Clerk checked
MOOD ELECTRIC, INC;
www.moodyelectric:com
669 N.W. 90 Street • Miami, FL 33150 -2166
Tel: (305) 758 -2000 Fax (305) 754 -1333
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SUBJECT TO COMPLIANCE WITH ALL FEDERAL
STA I L AND COUNTY RULES AND REOULATII6N3
AV 711,1N MARY PAT BRIGGS
'P % Notary Public - State of Florida
•My Commission Expires May 11, 2010
�; Commission # DO 531936
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' Bonded By National Notary Assn.
MOODY# ELECTRIC, INC.
www.moodyelectric.com
669 N.W. 90 Street • Miami, FL. 33150-2166
Tel: (305) 758-2000 Fax (305) 754-1333
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RESIDENTIAL DEMAND LOAD
CALCULATIONS
W / SQ. FT
REFRIGERATOR
APPLIANCES
DISHWASHER
GARBAGE DISPOSAL
MICROWAVE
CLOTHES WASHER
DRYER
RANGE
WATER HEATER
OVEN
IREEZER
TRASH COMPACTOR
GARAGE DOOR MOTOR
JACUZZI
JACUZZI BOOSTER HTR.
IRONING BOARD
POOL EQUIPMENT
SPRINKLER PUMP
LANDSCAPE LIGHTS
STEAM SHOWER
A/C WALL UNIT
SPARE CAPACITY
SPARE CAPACITY
TOTAL CONNECTED LOAD
FIRST 10 K.W. @ 100%
REST @ 40%
A/C @ 65% / HEAT @ 100%
ell, -7
35- 70
TJOTAT,), DEMAND LOAD
K.W. / 240 VOLT =
K.W.
K.W.
K.W.
cV K.W.
K.W.
A.5 K.W.
S76 K.W.
K.W.
K.W.
K.W.
K.W.
K.W.
K.W.
K.W.
r g K.W.
K.W.
K.W.
K.W.
K.W
K.W.
K.
7ek.
10.0
-`•
MARY PAT BRIGGS
Notary Public - State of Florida
I• •:Ny Commission 6xpires May 11, 2010
Commission # DD 531936
Bonded By National Notary Assn.
K.W.
.W.
K.W.
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