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EL-12-1412Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: I NSP- 176456 Permit Number: EL -7 -12 -1412 Scheduled Inspection Date: August 16, 2012 Inspector: Devaney, Michael Owner: MADIGAN, DEAN Job Address: 547 NE 94 Street Miami Shores, FL 33138- Project: <NONE> Contractor: MEGAWATTAGE LLC Permit Type: Electrical - Residential Inspection Typg Rotugh Work Classification: Addition /Alteration Phone Number Parcel Number 1132060140880 Phone: (954)328 -0232 Building Department Comments INSTALLATION OF A 200 AMP MANUAL TRANSFER SWITCH Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector C ?mments /1 tc/frc/,'62 August 15, 2012 For Inspections please call: (305)762 -4949 Page 12 of 26 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 ( 111"°' 11)-1--kA _ �11)-1--kA B ILDING PERMIT APPLICATION Permit Type: Electrical �/ JOB ADDRESS: S''7 N� 9 Nlh f-f City: Miami Shores County: Folio/Parcel #: % J— 32.0 6 0l LI-- O 88�O Is the Building Historically Designated: Yes ECEg1/ED .lilt 262:2 FBC 2010 Permit No. -.L— t2- ILA 12-- Master Permit No. Miami Dade zip: 33/38 NO Flood Zone: OWNER: Name (Fee Simple Titleholder): nRind 7 pe L Phone#: Address: 511 NC 9 (1 fteeq city: /'1pm i S 0 s state: FL Zip: 3 313g Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company N ame: /GAw,fi Ge Address: t P° 54.) wsi L CC s>r City: MIAmi State: FL Qualifier Name: /1,ChAe ( S rhWTe,,) State Certification or Registration #: EC 130 0L,6 Contact Phone#: Email Address: DESIGNER: Architect/Engineer: Phone#: 9Ty— 3a8 -023.2 Zip: 3 3 /17 Phone#: 91v— Certificate of Competency #: fl1jiNkA)CP/ yfW4 z.0O3-1 Phone#: Value of Work for this Permit: $ of I I o.o0 SquareJLinear Footage of Work: C2 Type of Work: °Address °Alteration LE6lew °Repair/Replace °Demolition Description of Work: l'� /�N or 0 Oo fry,-` arTks" jw,i ( Submittal Fee $ 5 b .00 Permit Fee $ /may' Gp Scanning Fee $ 1,10 Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ CCF$ CO /CC$ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ 1 )c2.-. �� 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 FT FCTRICAL 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) day a r r the building permit is issued In the absence of such posted notice, the inspection will not be roved a re,,�; ction f e j ll be charged. Signature Owner . r Agent The foregoing instrument was acknowledged before me this day of ,20 21 by V1r1 � i'I , who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Signature Con ctor The foregoing instrument was acknowledged before me this 2-611 day of ..v/ , 20 12, by ,//tale( SITA,,ef,.) , who is personally known to me or who has produced !","1. My Commission Expires: I «. xION #EE158I54 EXPIRES: January 24, 2016 no44 Ikndenguiltd0dRataly APPROVED BY My Commission Expires: y — e% — /3 1 1'f 3/) Z4 y Plans Examiner Zoning Structural Review (Revised 3 /12/2012)(Revised 07 /10/07)(Revised 06/10 /2009)(Revised 3/15/09) Clerk EXISTING METER AND iN BR DISCONNECT FED WfTH AND 4* 6 FOR GROUND g's LF ER RECE WED JUL 3 1 T2 INST TRANSFER SWITCH NEMA 3R FED FR ' P MAIN BREAKER USING 3 AND 4 ta6 FOR GROUND IN A r purr INSTALL fRI WITH 3 AS WIRES A GROUND ,i',HrOfftWN N TIED TO GROUND ROD AND COLD WATER PIPE N CUST ER PRESENTLY DOES NOT HAVE A GENERATOR THIS IS BEING DONE FOR FUTURE USE WHEN PORTABLE GENERATOR IS PURCHASED JR, F DENISE PATRICK Notary Public - Stitt of Rot* • • My Comm Expires Apr11, 2013 ,t211/ MOB COM r, S ln 00 873555 DAVID TOPEL 547 NE 941 STR MIAMI SHORES INSTALLATION OF Ae: MANUAL TRANSFER SWITCH FOR FUTURE USE t1-1411, MEGAWATT E LLC. Et ate:7/26/2012 Time:1:54 PM To: MIAMI SHORES VILLAGE @ 3057568972 305- 821 -8303 ge:002 " - — " "—Iv CERTIFICATE OF LIABILITY INSURANCE I DATE(MM/DDA'YYY) 07/26/2012 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 pollcy(Ies) must 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 endorsement(s). PRODUCER Keen Battle Mead & Company 7850 Northwest 146 Street Suite 200 Miami Lakes, FL 33016 CONTACT NAME: Welt, Extl: 305. 558.1101 I mac. No): 305. 822. 4722 E-MAIL ADDRESS: PRODUCER CUSTOMERIpIf: INSURER(S) AFFORDING COVERAGE NAIC Q INSURED Megawattage LLC PMB 592 7333 Miami Lakes Drive Miami Lakes, FL 33014 CCVEPAC,PS l-mm,i ,s an,- •Il•wwwr••• ' w ..ow INSURERA: FCCI Insurance Company 10178 INSURERS: INSURERC: INSURERD: $ INSURERS: COMMERCIAL GENERAL INSURER F : $ THIS INDICATED. CERTIFICATE EXCLUSIONS INSR I'GV IVIVIV I't I,IGGR. IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE ADDLSUER INSR WVD POLICY NUMBER POLICY (MMMIDDIYYYYY) LIMITS GENERAL LIABILITY LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL AMAGE TO PREM SET Ea NT D nce) $ CLAIMS MADE I I OCCUR MED EXP (My one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY n PRO n LOC PRODUCTS - COMP/OP AGG $ —I $ AUTOMOBILE LIABILITY ANY AUTO ALL OYVIJEDAUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ _ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ — AGGREGATE $ DEDUCTIBLE RETENTION $ $ A AND EMPLOYERS' YERS' LIABILITY AND EMPLOYERS' LIABILITY y I N ANY OFFICER /MEMBERE EXCLUDEDD?ECUTIVED (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A OOIVWC12A59486 04/01/2012 04/01/2013 X I WC STATU- 10TH- TORY LIMITS ER E.L. EACH ACCIDENT $ 1I000/000 E.L. DISEASE - EA EMPLOYEE $ ] 1 000 1 000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule If more space Is required) CERTIFICATE HOLDER FAX: 305.756.8972 CANCELLATION Miami Shores Village Building Dept. 10050 NE 2nd Ave Mimi Shores, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ACORD 25 (2009/09) AUTHORIZED REPRESENTATIVE Alex Perez /JMC O 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No: 12- l!'%/ Job Name: ram Date:) racy ce, /ix ELECTRIC Critique Sheet AY- �s' p�� ` /C- t°— g-f "keee`'r ietoogAr 5-10 5GA 40(2z„,0 - 05_ Lj - Si 3� Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. Review Complete by: Michael A. Devaney SR. Chief Electrical Inspector ate: 7/26/2012 Time: 1:32 PM To: 13057568972 Page: 001 Client#: 85387 MEGAWLLC ACORDTM CERTIFICATE OF LIABILITY INSURANCE DATE /DD /YYYY) 71261 7/26/2012 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 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 endorsement(s). PRODUCER Euclid Insurance Agencies, LLC 4450 W Eau Gallia Blvd., #164 Melbourne, FL 32934 SOO 407 -4077 CONTACT Erica Bratsch PHONE 800 407-4077 FAX 321 - 752 -7980 (Ale, No, Ext): I (arc, No): E-MAIL DDRE ebratsch@euclidinsurance.com ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : Endurance American Specialty In GENERAL X X INSURED Megawattage, LLC 7333 Miami Lakes Drive , Suite 592 Hialeah, FL 33014 COVFR.G'FC ......- ,..�.. , - -�� INSURER B: Wesco Insurance Company X INSURER c :Travelers Insurance 08/24/2011 INCLUDED INSURER D: EACH OCCURRENCE INSURER E : DAM A� E7p� ENTED PREMISESlEa occurrence) INSURER F: PERSONAL 8, ADV INJURY • - THIS INDICATED. CERTIFICATE EXCLUSIONS INSR -- - rccv110111JN NUMCCK: IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE ADDLSUBR INSR WVD POLICY NUMBER (MMIDD YYYY) (MM/DD /y YYYY) LIMITS A GENERAL X X LIABILITY COMMERCIAL GENERAL LIABILITY ICLAIMS -MADE X OCCUR PRIMARY X X ECC10101101301 CONTRACTUAL POLLUTION IS OCCURRENCE MADE 08/24/2011 INCLUDED 08/24/2012 EACH OCCURRENCE $1,000,000 $50,000 $5,000 DAM A� E7p� ENTED PREMISESlEa occurrence) MED EXP (Any one person) PERSONAL 8, ADV INJURY $1,000,000 $2,000,000 X NON CONTRIBUTORY GENERAL AGGREGATE GEN'L AGGREGATE LIMIT APPLIES PER: POLICY n SEC ' n Loc PRODUCTS - COMP /OP AGO $2,000,000 $$2500 DEDUCT! B AUTOMOBILE X LIABILITY WPP105020200 01/11/2012 01/11/2013 ONED S (ECe MBIaccident) INGLE LIMIT $1,000,000 ANY AUTO ALL AUTOS OWNED HIRED AUTOS X X SCHEDULED AUTOS N-OWNED AUTOS BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ A _ X UMBRELLA LIAR EXCESS LIAB X OCCUR CLAIMS -MADE X X EXS10101101401 EXCESS POLICY OVER AUTO 08/24/2011 OVER GL 08/24/2012 OVER POLLOVER EACH OCCURRENCE $4,000,000 $4,000,000 $ AGGREGATE DED I XI RETENT ON $0 WC /EL WORKERS COMPENSATION EMPLOYERS' LIABILITY Y / N ANY EEXXCLUDDEED? WC STATU- 10TH- TORY TORY LIMITS I I FR ECXITIVEI (Mandatory N / A E.L. EACH ACCIDENT $ In NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT C EQUIPMENT QT6608217P506 03/14/2012 03/14/2013 $1,000 Deductibles $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space le required) CERTIFICATE HOLDER CANCELLATION MIAMI SHORES VILLAGE BUILDING DEPARTMENT 10050 N.E. 2nd AVENUE MIAMI SHORES, FL 33138 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 f ACORD 25 (2010/05) 1 of 1 #S451793/M416245 © 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD EXB JUL -26 -2012 13:00 FROM: JANSEN STATE OF FLOr"',A 9545779261 TO:3057568972 P. 1/1 DEPARTMENT OP BUS ES AND PROFESSIONAL REGULATION ELECTRICAL CoRwRACToRR LICENSING BOARD 1940 NORTH MONROE STREET 3 (850) 487 -1395 TALLAHASSEE 2399 -0783 JANSEN MICHAEL SS NE#71WA� LLC 12481 SW 1ST ST PLANTATION FL 33325 �latlanaI With this license you become one of the needy one million curia licen e d by the Department of Business and ProffeessiOnel Regulation. Our professionals end businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. E'er day wabout ork improve the way we do business in order to serve you better. There you can find more services, please log onto www mynortdallcense aom. impact you, subscribe as to ikon about our divisions and the that Dep rtrnent's Initiatives, srwt newsletters and learn more about the Our mission at the Department he Lim Efficiently, Reguiebs Fairly. We Thank to sane you better so that you can serve your customers. you for doing business in Florida, and congratulations on your new license! DETACH HERE 'arm -- ��7011 DXPARTHINIT OP susz TEBS AND anOFSssroNAL, R*GDXi TIQN EC13.004670 02/23/13. 100333491 CERTIFIED ILEC'TRZC,1lL commacrolt MOAN, 1f..CaAEL S BEGAWATTAGE LLC IS C iTZFZ uad,m . " wtS of oa.489, i. eassatiot d a, AUG 303.2 W032304201 r AO, 5470682 STATE OF FLORIDA "' S DRPAR ICE inAtERB LI� �'B �TION TcAL 5E6# 4.3,022304266 100333891 3tC13004670 The ELECTRICAL CONTRACTOR Named below IS CERTIFIED Tinder the provisions of 'Chapter 489 FS. Expiration date: AUG 31, 2012' JANDEN MICHAEL $ MEGAWAiPAtiR LLC 9820 SW 168TH ST SCOTT MIAMI VGxagoR FL 33157 DISPLAY AS REQUIRED BY LAW SE�CUTART= AUG -7 -2012 13:59 FROM:JANSEN 9545779261 MIAMI I DADE COUNTY 140 W COLLECTOR ST. 1st FLOOR MIAMI, FL 33130 TO:3057568972 P.1/1 2011 - LOCAL BUSINESS TAX RECEIPT FIRST -CLASS r _ 11•DADE COUNTY - STATE OF FLOFIIpA 2012 U.S. POSTAGE MUST BE DISPLAYED AT PLACE OF BUSINESS PAID PURSUANT TO COUNTY CODE CHAPTER OA - ART. B & 10 MIAMI, FL PERMIT NO, 231 593070-7 : -0,1% 1 :•1� :.Si' P Ld1 1 -_ :, Pdt'z't i' ^v BUSINESS NAME / LoCATION RENEWAL RECEIPT NCI. 61868846 MEGAWATTAGE LLC 9820 SW 168 ST STATED EC13003450 33157 UNIN DADE COUNTY OWNER MEGAWATTAGE LLC Sec. T at auBtnesa 196 ELECTRICAL, CONTRACTOR Um IS ONLY A Las14. MN TAY RJ4I H' riswEATQ WDLATa E1«R+4NG RESULATURY 'UA ZONING n OFF THE M. WWR TRW4 ARy OTHER °MMrT � R V41: NOT A CER lR�A'na4 " OLO�,{�`6 auataAaA, PAYAMBNT rrEC&rVeD •COUNTY TAY 60010000156 000075.00 SEE OTHER SIDE WORKER /S DO NOT FORWARD MICHAEL T JANSEN LLC MNGR 9820 SW 168 ST MIAMI FL 33157 143