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EL-12-1109Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 174892 Permit Number: EL -6 -12 -1109 Scheduled Inspection Date., December 17, 2012 Inspector: Br#�n,rman Owner: DAVITZ, JOSEPH Job Address: 1120 NE 100 Street Miami Shores, FL 33138- Project: <NONE> Contractor: LONGMAN ELECTRIC INC Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1132050190450 Phone: (305)758 -1211 Building Department Comments INSTALLING SERVICE UNDERGROUND Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments December 14, 2012 For Inspections please call: (305)762-4949 Page 9 of 41 J�1 L-II. IN I PERMIT APPLICATION 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 JUN 1 - 25i1l JJJJ B Y: ' \® FBC 20 Permit No. 1 109 Master Permit No. Permit Type: Electrical JOB ADDRESS: ) l O /J/ i ) ©D e-GT City: Miami Shores County: Miami Dade Zip: $ 3 /3� Folio/Parcel #: 1I - 3�, 011 - ©lfSa Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): 90_14/4 p -id Az Phone#: 3 --71C f� Address: J I � /✓4 iod City: OYLs CMMi' .f 4 Q j'L� State: Zip: 3 3.9 Tenant/Lessee Name: Phone#: Email: Phone#: '�f- 7S'$ -1 21/ CONTRACTOR: Company Name: G -0A/6i,1 *- Address: 7L/ Me et, f 7L City: AtAt yl < 3 4 cd .5 State: Qualifier Name: 14i, h gel 2 - a,... State Certification or Registration #: G. 1340.037 / 5 zip: 33/ 3.� Phone#: - 75.x, --1.2G / Certificate of Competency #: Contact Phone#: ,305-- 75 /91/ Email Address: DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: $ 3` B cs® v'd Square/Li near Footage of Work: Type of Work: OAddress earAlteption CINew ORepair/Replace Demolition Description of Work: ZIL� ��%`l G� , il.44nfeA y P1G-4i ********* * * *a * * * ** * * * * * * * *e * * * * * * *** * **F ae****** * ***** x* ******* * * *** * *****+k*****vF: *** Submittal Fee $ Permit Fee $ /.422'ee, CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 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. Signature Signature Own or Agent Contractor The foregoing instrument was acknowledged before me this t 7 The foregoing instrument was acknowledged before me this day of J , 20 1,Z; by , day of '',o , 20 1 1 by who is personally known to me or who has produced who is personally known to me or who has produced .0'r ■ ' (• As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC Si Print: IP My Commission Expires: * * * * * * * * * * * * * * * * * * ** APPROVED B a PuW►c State of Florida r° v Michelle erez My Commission EE002609 0,,; ► e�O Expires 04 /08/2013 Sign: Print: , ti My Commissio Ex ires: `� 4r***************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Co /2- (� !i 7.A- /8 7Z - - Plans Examiner Structural Review (Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06/10/2009)(Revised 3/15/09) r °eeL_ Notary Public State of Florida Michelle Perez cr My Commission EE002609 0„,p0 Expires 04 /08/2013 * * * * Zoning Clerk NOTE OF COMMENCEMENT A RECORDED COPY MOST HEMMED ON THE AB sin AT TIME OF FIRST INSPECTION PERMIT NO. STATE OF FLORIDA: COUNTY OF MIAMI -DADE TAX FOLIO NO. ?geoc — dlq —OLIS STATE OF FL 1 HEREBYCERTI THE UNDERSIGNED hereby gives notice that improvements will be made tzt;,.:.„ .; -+ • : property, and in accordance with Chapter 713, Florida Statutes, the followi is provided in this Notice of Commencement • . • III .u.a WITN HAR BY 111111111111111111111111111111111111111111111 CFW 20f 1L 2R0423356 OR Bk 28150 P9 4747; (1P9) RECORDED i_i6 /15/2012. i_i ? :27 :4O HARVEY RUVIN CLEM', OF COURT MIAMI -DADE COUNTY, FLORIDA LAST PAGE IDA, COUNTY OF DADE that thls a true copy oftha- 1103 on unty Courts .C. (4,6.6 Space above reserved for use of recording office 1. Legal description of property and street/address: .! 53 9 pi, lei 14 ek-co s c, L $ 4 GLr e L V3 4 7 1 b 4" 9 (31)l )-7.8 l d,1' .ft z,c., 7 S x 119 2. Description of improvement El C *4'c... .5[ i vc,e, .. ti 3. Owner(s) name and address: .7'1"..5 e/ j2�dV t2. 11 ,l/ E 1 cb .fH`Lti /hI ,.k' s' r A- 3. /$, Interest in property 04+'HG Name and address of fee simple titleholder. 4. Contractor's name, address and phone number. Loit,6- iA-y t /Gtifr . $ �Y frl '7 S �� /h,'4rhj'� 3313,8 31,5' - 73.8 -) 0 f 5. Surety: (Payment bond required by owner from contractor, if any) Name, address and phone n inber: Amount of bond $ 6. Lender's name and address: 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, , Name, address and phone number. /htG�Z�I - �.r/G/h/t.,� !'4 y �oe T 8 J/ .474,4s� -/ j4,- 4j 31 3 f3 1,e,f -�- 758 -- l A1/ 8. In addition to himself, Owes designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name, address and phone number: 47dC_ /)4s 1 Z 119c5 A/4 /o ,//" A7,4,),,' 346 £- j pt. 3 >)31 3af-- 796 i 3 9. Expiration date of this Notice of Commencement (the expiration date is 1 year from the date of recording unless a different date is specified) WARNING TO OWNER ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED INEIROPER � `.5 _ 713, PART 1, ACTION 713.13_ FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO .,.; A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. n YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTE OF COMMENCEMENT. Signatures) of or Prepared By --I °S Print Names 'I-� Trtle/Office d tdn a,,,,., {+` STATE OF FLORIDA COUNTY OF MIAMI -DADE pt) ed pcer irector/Partner/Manager „ !j �`f' Prepared By Alt r vTel l-o�3 /41.1- Print Name /�i,�`L Le Pfr:o Title/Office p1'.e�` .r <.a. L vj,j,0.✓ O/c-thy-4_ The foregoing instrument was acknowledged before me this 1 3 day of By io ,e f\' t 044—Z- ❑ IndividualV or ❑ as for c•' Personally known, or ❑ produced the following type of ide Signature of Notary Public: Print Name: (SEAL) VE IFICA 0 PU ' UA TI •N • 52 •RI ntficati �r �r �r �^rwr;. � • Michelle Perez My Commission EE002609 °'op, � Expires 04/06!2013 Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true, to the best of my knowledge and belief. Signature(s) of Owner(s) or Owner(s)'s Authorized Officer/Director/Partner /Manager who signed above: o., o., 1120 NE 100th Street Joe Davitz LOAD CALCULATION 1650 sqft x 3VA= 4950 Small Appliance 3000 Laundry 1500 Dishwasher 1200 Microwave 1200 Dryer 5000 pump 1500 Refrig 1000 19350 -10000 9350 10000 x 40% 3740.00 3740.00 13740 10000 air conditioning 23740 full VA 23740 / 240 = 98.91667 amperage Longman Electric EC 13003713 844 NE 98 Street SNOI1_tflf1Dd1 GIN SH1fH) NrI J7 fNV ThVIS TVEDO7c1 TIV H1 IM JN Vridl'4J0 0.1 10-- 9f1S 1630 001E1 H80 JN ft 0Z Joe Davit 1120 NE 100th Street Miami Shores, FL 33138 METER Main 200 AMP 3# 2/0 THHN 2" PVC 200 AMP Nema 3R PANEL 1 Phase 120 / 240 12 CKT ,10-Ak 1/0`k- 4-- #4 Ground ROD 8' X 5/8 ROD 8' X 518 Cold Water F-- FPL 2" Sch. 80 PVC