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EL-12-291Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 170156 Permit Number: EL -2 -12 -291 Scheduled Inspection Date: March 27, 2012 Inspector: Devaney, Michael Owner: BEAUGELUS, JUMADELLE Job Address: 142 NW 100 Terrace Miami Shores, FL 33150- Project: <NONE> Contractor: BROWER ELECTRIC LLC Permit Type: Electrical - Residential Inspection Type: Rough Work Classification: Addition /Alteration Phone Number Parcel Number 1131010220260 Phone: (954)748 -6236 Building Department Comments SERVICE UPGRADE Passed D Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments March 27, 2012 For Inspections please call: (305)762 -4949 Page 5 of 15 eA —t Bz. BUIL ING PERMIT APPLIC FBC 20 01 Permit Type: Electrical Miami Shores Village Building Department 10050 N.E.2nd Avenue, Mid Shores, Florida 33138 Tel: (305) 795.2204 1ax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 Permit No. FEB ATION Master Permit No. OWNER: Name (Fee Simple Titleholder): Iv e 1 d ,f t-4 I1 l° M to r d Phone#: Address: Ng i ) loo 1-r/' City: n < Po SkoPeS State: FL Zip: 3315 -0 Tenant/Lessee Name: Phone#: Email: JOB ADDRESS: /50 NIA) /190 ter City: Miami Shores Folio/Parcel #: //-3/0/— 002a- 0au,o County: Miami Dade Zip: 33 /5' Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: Bro er E fed/ e- Phone#: 75-q 7V -Q3 Address: 6' 3o /U 5'3 s % City: IlNderb. `I I Qualifier Name: J/40te5 / ro 4u P� State: r Zip: .3335--/ Phone #: 9r/ tivrir // State Certification or Registration #: FL' /3 00 V06,9 Certificate of Competency #: Contact Phone #: ?`l ?e/3 fad 3 ifo Email Address: l3tower e /ed(ee-- &#40(, c. osn DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ 2i/90. 00 Square/Linear Footage of Work: Type of Work: ❑Address ❑Alteration ❑New titiRepair/Replace ❑Demolition Description of Work: e , - v, c €� G:. E ied ***************** *****+x******* *x:**** *** Fees *********** ** *** ***** * ***+x**********+x******* Submittal Fee $ Permit Fee $ /.6-4-7,,, e,‘,. CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $$ 1 12 .3o 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 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. Owner or Agent (/ Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this /5— day of , 20 f e-, by t\1100 L l is lnk )0i , day of r b t't. v't 20 , by -� I3wl'e 5 4r0-Pei who is personally known to me or who has produced EC? who • 0,5500 %,5 %-/Q identification and who did take an oath. NOTARY PUBLIC: Sign: Print: _"' JAMES BROWER MY COMMISSION k DD952716 ITS" EXPIRES: January 14, 2014 Fl. Notary Discount Assoc Co. 1- &IO�IIiDTARY JAim -e 5 Pro...l tl' My Commission Expires: (— / 9 -147111 personally kn to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: *********** * * ***** * ******* **** ************ * * ************* APPROVED BY /Z- Z Plans Examiner Structural Review (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) Clerk YLIRE213M 0)2 AJRA4v taluieF1 kro stiet - *OA raide :3112S vovi eintiva .rutits3 OZCEIRI CK2 wit4rrin.103 • .PAA fi.60111 •-V' 6r1.167 .t• ACORD CERTIFICATE OF LIABILITY INSURANCE DA7E(MMIDD/YYTY) 01/06/2012 T PRODUCER Phone: 407 -695 -1333 Pontell Insurance and Financial Group, Inc. 1484 Tuskawilla Road Oviedo, FL 32765 License #: P085436 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED Brower Electric LLC 8630 NW 53rd St Lauderhill, FL 33351 -4817 I INSURER A Nationwide Insurance Company of America N INSURER B: COMMERCIAL GENERAL UABIUTY INSURER C: P PREMISES (Ea oc :urence) INSURER D: CLAIMS MADE X OCCUR INSURER E $ 5,000 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 POUCIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR ADD'L INSRD TYPE OF INSURANCE POLICY NUMBER POUCY EFFECTIVE DATE (MMIDD/YYI 01/08/2012 POUCY EXPIRATION DATE (MMIDD/YYI 01/08/2013 OMITS EACH OCCURRENCE $ 1,000,000 $ 100,000 A N GENERALLIABIUTY X COMMERCIAL GENERAL UABIUTY ACP5904718303 P PREMISES (Ea oc :urence) CLAIMS MADE X OCCUR MED EXP (Any one person) $ 5,000 GEN'L PERSONAL &ADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 AGGREGATE LIMIT APPUES PER: POLICY jc7 LOC PRODUCTS - COMP /OP AGG $ 1,000,000 AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE UMIT (Ea accident) $ BODILY INJURY (Per person) BODILY INJURY (Per dent) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LUU3IUTY EACH OCCURRENCE $ OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ AGGREGATE $ $ $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below TORY LI S 1 I ER EL EACH ACCIDENT $ EL DISEASE - EA EMPLOYEE $ EL DISEASE - POUCY UMIT $ OTHER DESCRIPTION OF OPERATIONS !LOCATIONS 1 VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS RTIFICATE HOLD CELLATION Miami Shores Village Bldg Dept 10050 N E 2nd Ave Miami Shores, FL 33138 1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO 80 SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHO er (EMW) ACORD 25 (2001/08) © ACORD CORPORATION 1988 Printed by EMW on January 06, 2012 at 11:36AM Name Address 124 Nw 100 Ter Address 2 inch 341 thhn notes Remove old 60amp meter Install new 150amp Meter combo Remove old panel not to code Install new 150amp panel in dining room wall 150 Amp 20/40 MLO 150 amp 8/16 cir Meter Combo GRND BAR 5/8 *10' ground rod 1 -1/2" 3- #lthhn 5/8 *10' ground rod 'cold water ground k BROWER k sc ELECTRIC sc Phone: 954 - 748 -6236 Fax: 954- 578 -1805 EC # 13004068 Signature Date t ry Signature Shores VillPri 0 DAIS Z7r1°39 /a O CCO. H ;APICE WI r!-I ALL FEDERAL (HL; H.'_� AND -= c!JLATIOL,S J CautgOWil OD Mai eh Cam' E000 M S' 59JS Mme= ` £00 of 0005 Mire Iii =ram 124 NW 100 TER Miami Shores FL 33150 LOAD CALCULATION 1172 sqft x 3VA 5577 Small Appliance 3000 Laundry 1500 Dishwasher 1200 Water Heater 4500 Disposal 1000 Dryer 5000 Range 10000 31777 -10000 21777 10000 x 40% 8710.80 8710.80 18710.8 10000 air conditioning 28710.8 full VA 28710.80 / 240 0 volts= 119.6283 amperage ADD SMOKE/CARBON MONOXIDE DETECTORS. ANY AND ALL CLOTH AND RUBBER INSULATED CONDUCTORS TO BE REPLACED. BROWER PROPOSAL ELECTRIC Proposal # 12021001 EC #130004068 Date:Feb 10, 2012 (954)748 -6236 Proposal Submitted by: Brower Electric, LLC Proposal Submitted to: Job Location: Living Earth Remodelers Eamon 1121a South 21 Ave 142 NW 100 Ter Hollywood FL 33020 Miami Shores Description of work/service: 1. We have included furnishing/installing: a. Remove old service from back of the house. b. Install new 150 amp service. c. Remove old panel from kitchen wall. d. Install new 150 amp panel in wall facing dining room. 2. Not included in this proposal: a. Patching and painting. b. Smoke detectors. 3. Permit provided with this proposal. 4. Not responsible for any existing code violations. 5. Price does not include extras as per inspector. 6. All work is to be completed between 8:OOam and 4:30pm excluding holidays and overtime. Brower Electric proposes to furnish the aforementioned material and /or labor and permit and plans in accordance with the above conditions for the sum of ($2,450.00). The proposed price shall remain in effect for a period of 30 days from the date of proposal. Any work required under this proposal after this date is not covered within the scope of this proposal. All additional work shall be paid for at a rate of $75.00 per man per regular working hour. Additional materials used in the work shall be paid for at our normal rates. Payment Terms: Fifty percent (50 %) due upon execution of contract, progress bill due at the time of invoice. Balance due upon completion of work. We reserve the right to adjust this proposal to reflect market values. All payments shall be due in accordance with the terms described above. Customer agrees to pay all court costs and attorneys fees should legal means be necessary for collection. Accepted by: Title: Date: (Pick the date] Feb 18, 2012 Villages of Miami Shores Building Department 10050 NE 2 Ave Miami Shores FL 33138 Dear Sir or Madam: Please accept this letter as notice that I have authorized James W. Brower as a representative to register and pull permits for Brower Electric, LLC for the Villages of Miami Shores. If you need any further information please feel free to contact me at 954 -748 -6236. Sincerely, James S. Brower Owner STATE OF FLORIDA COUNTY OF e The foregoing instrument was acknowledged before me this 2D day of cb , 20 v2, by J)4w,P5 /Srow2r Notary Signature Printed Name of Notary Personally OR Produced Identification Type of Identification Produced Notary Public in and for the State of (' "{ o -p, -I • My commission expires KARLA KAY MCCuRLEK Note► Pn1Ms - SUM of Rord. My Comm. Swims Nov t. 2012 Commission ♦ 0D 009353 vp i• Bonded Through National Notary Assn. 133fi39153ta 1/091 JUMP Won to ettO Mug vratoi4 VOS .6 veil tatop31 64r m63 1011 i?t#0,t nctiatom0 ,o2.4 ra-V,