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DS-11-489Miami 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 Type: BUILDING ROOFING , OWNER: Name (Fee Simple Titleholder): ;Ge./ j t�0 /CI e- C. Address: / L3'/ itie. / 6 / 51- y,�J City: �'°ll /3i'd? % St erpad State: FL Zip: 3'/34' Tenant/Lessee Name: Al /fi Tc M, MAR 1 8 2011 ILI Permit No. Master Permit No. 1-► L1 Phone #: Email: JOB ADDRESS: City: Folio/Parcel #: N3/ /V6 /0/ Miami Shores County: Miami Dade Zip: 3 3/ 3 (/- O )-9 — D 28 Is the Building Historically Designated: Yes Flood Zone: `f CON '1'I4ACTOR: Company Name: Address: Sc (TO L ) City: Qualifier Name: M� t S State Certification or Registration #: Contact Phone #: �✓ O S $ g �' DESIGNER: Arehitect/Engineer:. co Ite-v. el -c-4- ( State: .TA OrY-1 Gi 4 �G t3Do2uz Phone #: 305-' g 8 g --- 8 ,cz, Email Address: Certificate of Comp Phone #: ete Zip: 3310) Phone #: ncy #: l 'c i/s Phone #: G?I Value of Work for this Permit: $ ‘O + S uare/Linear Footage of Work: Type of Work: UAddition Description of Work: UAlteration ew URepair/Replace ❑Demolition ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Permit Fee $ l ®C7 4"). Submittal Fee $ Scanning Fee $ Notary $ Double Fee $ Radon Fee $ Training/Education Fee $ Structural Review $ CCF $ CO /CC $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ (04'(O0 01' Bonding Company's Name (if applicable) Bonding Company's Address City State } Mortgage Lender's Name (if applicable) Mortgage Lender's Address City Stai Zip 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 attachme o, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspe.;/ ion which occu seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not (`. e approved an a reins ection fee will be' charged. • Owner or Agent The foregoing instrument wass`a�kno�wledgerrd before me this u day of I-44412420 142.0 U , bys�'O1'1L 1/60 (_f__ , who is personally known to me or who has produced 0 As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: -:yc. ® a. y4a * ** ********** * * * * * ****** gty * * *. * * *.*-4-cik4. ** **** * * * * * * * * ** * * ** * *.* ** * *war * *. The foregoing Contractor strument was acknowledged before me this d ��4��i�L �7 ,201/ 1/ , by ay of who is personally known �F `,�. -1 as NOTARY PUB . II • 1 II �.�I_.: Sign: Print: #4, n fin. .�►• at EXPIRES: October 30, 2012 R a g r e Bonded mru Notary P Undswafters e 0/ G1 My Commission Expires: APPROVED BY Plans Examiner C.22-7 /./ Zoning Structural Review Clerk (Revised 07 /10 /07XRevised 06 /10 /2009)(Revised 3/15/09) 5to NOTICE A RECORDED COPY MUST BE OF COMMENCEMENT POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION 3�) -110t1 0 1 TAX FOUONO.1t 3 .o.� °b2'[ -0226 T PERMIT NO. /5-3-11 STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that Improvements wiH be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 111111111111 111111111111 111111111111111111111 CFN 201180248481 OR Bk 27656 Ps 3290; (fps) RECORDED 04/18/2011 12:34:05 HARVEY RUVIN, CLERK. OF COURT MIAMI -DADE COUNTY, FLORIDA. LAST PAGE Space above 7 reserved •-for t of recording office 1. Legal,- tion of property and s t r e e t / a d d r e s s : 14 3 1 f 1 E 1 0 1 M t OLpA i S cfrti d -L 3 3 1 3 r m i G.141 atm ;Ail PI< Ai/tiPR C6 86 LOT 11 tit L.41- 2. Description of improvem 3. Owner(s) name and address: SOS L Interest In property: OW)U E 12 Name and address of fee simple titleholder 4. Carta tor's name, address and phone number: G- t�el(¢,u 1Toe. . S ari .SO 4 ) AV frr 5. Surety: (Payment bond required by owner from contractor, if any) Name, address and phone number. 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(1Xa)7., Florida Statutes, Name, address and phone number S13 -Qp33 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Uenor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name, address and phone number. 9, Expiration date of this Notice of Commencement (the expiration date Is 1 year from the date of recording unless a different date 4v. specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13. FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE. FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMM MENT. Prepared By .^ Print Name j c) C .1 j/{ Title/Office ed Officer/Director/Partner/Manager Prepared By Print Name Title/Office STATE OF FLOFIDAj w�� COUNTY OF MIAMI -DADE The for oing instrument wgs acbmwlgdaed before me this , _ day of Ind dually, 6C.(� By c�3 Lj,, 4 �--- or ❑ as for k7 Personally known, or gproduced the following type of identification: Signature of Notary Public: Print Name: (SEAL) . 7AI t Under penalties of perjury, I declare that l have read the foregoing and that the facts stated in It are true, to the best of my knowledge and belief. �`�pt a rt1 Ulk 2 , �._ .'r` • CFA W a y • • 1)..***. • Signature(s) o f O w n e r ( s ) or Owner(s)'s Authorized OIBcer ec t 7 D i r o r / P a r t n e r / M a n a g e r who e above finttWO BY .123,01.62 PAGE 3 3/10 B ,...tie COUNTY0F DADE 1 HEREBY CER77FY that flits I a of the orlgMad fi in tip office on ' , A.D. 20 WI " Oy Rand and Official Seat HAR '� �UVIN, C RK, of «'� ' and County Courts By t�G /,Ar D.C. 138' Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 157403 Permit Number: DS- 3- 11-489 Scheduled Inspection Date: May 19, 2011 Inspector: Bruhn, Norman Owner: KOKIEL, JOEL Job Address: 1431 NE 101 Street Miami Shores, FL Project <NONE> Contractor: GUILLEN ELECTRIC INC Permit Type: Driveways /Sidewalks /Slabs Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1132050240280 Phone: (305)888 -8866 Building Department Comments CONCRETE PAD FOR GENERATOR PLACEMENT Passed Failed Inspector Comments Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. May 18, 2011 For Inspections please call: (305)762 -4949 Page 7 of 17 Protect Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Parcel Number Applicant 1431 NE 101 Street Miami Shores, FL 1132050240280 Block: Lot: JOEL KOKIEL Owner Information Address Phone Cell JOEL KOKIEL 1431 NE 101 Street MIAMI SHORES FL 33138 -2612 (786)271 -1269 Contractor(s) GUILLEN ELECTRIC INC Phone (305)888 -8866 Cell Phone Valuation: Total Sq Feet: $ 600.00 0 1 Approved: Yes Comments: Date Approved: 3/24/2011: Yes Date Denied: Type of Work: ELECTRIC FOR GENERATOR Bond Retum : Scanning: 3 Additional Info: Classification: Residential Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Total: Amount $0.60 $2.00 $2.00 $0.20 $100.00 $9.00 $0.80 $114.60 Pay Date Pay Type Invoice # DS -3 -11 -40401 03/18/2011 Check #: 1345 04/18/2011 Check #: 1352 Amt Paid Amt Due $ 50.00 $ 64.60 $ 64.60 $ 0.00 Available Inspections: 1 Inspection Type: Final Sidewalk Landscaping Foundation 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. Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy April 18, 2011 Date April 18, 2011 1 1 Planning and Zoning Criteria Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Folio Number:1132050240280 Owner's Name: JOEL KOKIEL Job Address: 1431 101 Street Miami Shores, FL Owner's Phone: Total Square Feet: 0 Total Job Valuation: $ 600.00 Contractor(s) GUILLEN ELECTRIC INC Phone (305)888 -8866 Primary Contractor Yes Planning and Zoning Criteria and Comments Approved: Yes Date Approved: 3/24/2011: Yes Comments: (3 ) TM-CA:77 Vaet_ { BRAWN AY: N.O LAND SURVEYORS SHEET No. 2 OF • 2 ,,'u MAR 1 8 2011 Why. 0•0104% OOOOOO 000 LOT.5 BLOCK-3 BOUNDARY SURVEY SCALE su rug 20' Miami Shores Village 01- sOG aQ •ti cp• se eV G *el, 4:1. o 2 u o Q ' 14 TRANSFER SWITCH 8KW - ,W Ste) 837.8 RBA TRANSFER SWITCH (IF Sit "DO NOT LIFT BY ROOF" / / / / / / / / /// AMU Doran RIGHT SIDE VIEW 1 TOP VEIN HOLE LOCA78PAI FOR CP110101. NCJNTBfi TO A CINICRETE PD REAR YEW •ALL DIPENSIONS 6* 008280 Job Address 1431 NE 101 St Miami Shores, FI. 33138 Job Descripl ;ion: Owner Information Residence of Jcoet Kokiei Notes: Combined het Pour Concrete Pad for 20kw NG fired Generator Pad weight. =1 ,200 lbs or greater Contractor Informat or ator and slab wi I be 52. 34" Wide 3/912011 57" long 24" height N N Concrete Pad 3000 PSI WI #5 Reinforcing Bars Each Way Sakrete 5000 Fiber Cement / Crack Proof GENERAC® GUARDIAN° SERIES STANDBY GENERATORS Electrical Technology LCD Tri- lingual xusT`" . Controller Governor n Circuit Breaker, :us & Maintenance Interval LED nd: GFCI Duplex Outlet 2tkW Air-Cooled Gas Engine Generator Sets Standby Power Rating Model 005887 -0 (Aluminum - Gray) - 20 kW 60Hz Connector or LP Gas Operation FEATURES O INNOVATIVE DESIGN & PROTOTYPE TESTING are key components of GENERAC'S success in "IMPROVING POWER BY DESIGN." But it doesn't stop there. Total commitment to component testing, reliability testing, environmental testing, destruction and life testing, plus testing to applicable CSA, NEMA, EGSA, and other standards, allows you to choose GENERAC POWER SYSTEMS with the confidence that these systems will provide superior performance. O TRUE POWER® ELECTRICAL TECHNOLOGY: Superior harmonics and sine we form produce less than 5% Total Harmonic Distortion for utility quality power. This allows confident operation of sensitive electronic equipment and micro -chip based appliances, such as variable speed HVAC. O TEST CRITERIA: PROTOTYPE TESTED 1 NEMA MG1 -22 EVALUATION SYSTEM TORSIONAL TESTED , MOTOR STARTING ABILITY QUID O SOLID- STATE, FREQUENCY COMPENSATED VOLTAGE REGULATION. This state -of- the -art power maximizing regulation system is standard on all Generac models. It provides optimized FAST RESPONSE to changing load conditions and MAXIMUM MOTOR STARTING CAPABILITY by electronically torque - matching the surge loads to the engine. An unequalled ±1% voltage regulation. O SINGLE SOURCE SERVICE RESPONSE from Generac's extensive dealer network provides parts and service know -how for the entire unit, from the engine to the smallest electronic component. O GENERAC T NSFER SWITCHES. Long life and reliability are synonymous with GENERAC POWER SYSTEMS. One reason for this confidence is that the GENERAC product line includes its own transfer systems and controls for total system compatibility. GENERAC® Papa rtf -7 S` T,u�NCe FEATURES Genere6® Guardian® Series Standby Generator - 20 kW cc w ; o cc w. z w � 0 z•Engine c:,; CID z •Generac (OHVI) Design •"Spiny -lok" cast iron cylinder walls •Electronic ignition /spark advance •Full pressure lubrication system •Low oil pressure shutdown system •High temperature shutdown Maximizes engine "breathing" for increased fuel efficiency. Plateau honed cylinder walls and plasma moly rings help engine run cooler, reducing oil consumption. Because heat is the primary cause of engine wear, the OI-IVI has a significantly longer life than competitive engines. Rigid construction and added durability provide long engine life. These features combine to assure smooth, quick starting every time. Superior lubrication to all vital bearings means better performance, less maintenance and significantly longer engine life. Now featuring a 2 year/200 hour oil change interval. Superior shutdown protection prevents catastrophic engine damage due to low oil. Prevents damage due to overheating. *Revolving field •Skewed stator •Displaced phase excitation •Automatic voltage regulation •UL 2200 Listed Mows for smaller, light weight unit that operates 25% more efficiently than a revolving armature generator. Produces a smooth output waveform for compatibility with electronic equipment. Maximizes motor starting capability. Regulates the output voltage to ±1% prevents damaging voltage spikes. For your damagincc Sold separ . ely •Manual /Auto /Off switch •Utility voltage sensing •Generator voltage sensing *Utility interrupt delay warm -up •Engine cool -down •Programmable seven day exerciser •Smart battery charger •Main Line Circuit Breaker •Electronic governor Selects the operating mode. Constantly monitors utility voltage, setpoints 60% dropout, 80% pick -up, of standard voltage. Constantly monitors generator voltage to ensure the cleanest power delivered to the home. Prevents nuisance start -ups of the engine, adjustable 10 -30 seconds. Ensures engine is ready to assume the load, setpoint approximately 5 seconds. Allows engine to cool prior to shutdown, setpoint approximately 1 minute. Operates engine to prevent oil seal drying and damage between power outages by running the generator for 12 minutes every week. Delivers charge to the battery only when needed at varying rates depending on outdoor air temperature. Protects generator from overload. Maintains constant 60 Hz frequency. cp C' w J 1-- co �w -z *Aluminum weather protective enclosure •Enclosed critical grade muffler *Small, compact, attractive Provides the ultimate protection against mother nature. Hinged key locking roof panel for security. Lift -out front for easy access to all routine maintenance items. Electrostatically applied textured epoxy paint for added durability. Quiet, critical grade muffler is mounted inside the unit to prevent injuries. Makes for an easy, eye appealing installation. •1' Flexible Fuel Line Connector •Composite Mounting Pad Easy Installation SPECIFICATIONS GENERAC® GENERA !©R Model 005887-0 (20 kW) y3 ^. ra •1 €llE . 4 ap e 5 w`"�` C ,�;, Y a -�"". }., •.w �:.� ! l . "' ����1E1� ���_.,a. �rt�� ..,""•...1,. i. � �' 4 v..i >,.�.'"',+ � � $ Fh ,'a'...., Rated Maximum Continuous Power Capacity (NG) 18,000 Watts* T -1r:' r; }t ks' 4s ,, ,,` -AT r ' ' § } v `iSt� r'.�3,+:'a"✓t;' 9 sit `��`! L e°. T ��'` .. .t '�a'1�.3 ;. ^,�-. 3 ^� ✓° S 1.' +f' y .=sf. J3'a^Y %, `� :. i�� +L�u'�'2,�x:- �. °.:.�.,.H�'%�� az:'""" �. �1dY .va.,'.�wr.��4�`s�ti%�...����t.. Rated Maximum Continuous Load Current — 240 Volts 83.3 LP/75 NG 95§ WAig - ,'. Nrx ? " ' 'p`h'i C�+�"A, 7'4 s ,`3�' yo-. t si'*` Main Line Circuit Breaker 100 Amp Number of Rotor Poles 2 Fst .. _ c'.sh- "`F° d z 'n�k _y� '" �tf .L. .3' .x^ ��(��4>.�`e?2'-- z.'u'.,'Z1H�� p_ �sn k_� � r»;+w ''.S� �"� : -yRS§� "�,�"� ����'x�'-'.,c Power Factor 1 441147,.;.. a i is F °" . bi s# .. ' . ` r a n. Y �i ` �, ," �' #�} .,!.1 ... .._;" �'s ���... ras"�."..a�z'�`kTr.. A ..ar" 'S fi E !;Y <= ..:'° ■ a °i�$ `z Unit Weight (Pounds/Kilos) 451/204.6 .A.„ 'i ,!�a 3 v .F4 ��� �• �� 4fdh A 3`n�', u� _P° .usd,§..✓.:^s..3 - a.Y..:✓.,,� ,e!;s �i ....."�v . °..:�3i-^-.^�.�%a,. #t �Y�._x�.k- :�. �.L � � Sound output in dB(A) at 23 ft. with generator operating at normal Toad 66 ..,..fig § �fi^ ".y�"' N t'ay �ti' ? "r,..., '7-, �k""31 ++'h ✓ d' iP',.w.. !. .�i.� S B .s..:.E 1*x3 Ji91`h iF 4 f .✓..:�jk"'"'J`.Y -'.i�. "'<-`„� ,x3°r 'y �u£�'"�s,_ R�. GINS ° Model 005887-0 (20 kW) 3 I .w Y%ns a% yy K ! "aCS._ 4 Number of Cylinders 2 Cylinder Block Aluminum w /Cast Iron Sleeve Ignition System Solid state *Magneto _. %'�s`��F� r��� �,�� �, � ��� � ���� -��� �� ;gym �,. « ' .o,' _ _.� Compression Ratio 9.5:1 Z�`k'. ^U'if`�'!4.""v`S'}'y"�"i�'-'F 'S£ ``iT- y' ° °i�ri G'f. S�,�. N f,� rF'8t /!�r*'S,.'`y G$ a z__N`:tat3- ..B:: r, . ,`3 ;`�s. ..,._.,i ;,z_`' �"i:R �.,. : ° �.���..�� -ter ��:,_ +tor:" _ ern' . Oil Capaci Including Filter Ap tux. 1.9 Qts./1 SL %t ,�s.�.... +a.,.. 'yy "£ - FV" ,v' $ ` �, "t' � �'P 'G+"`'• '+ '15c �'^ 3�',.r." ... R � Y tl �� 'R uv is2' >�fl'3 �� - ��::v�;z��'...,��`3... �>�marr�'�r....�� �:a�3��.'� Fuel Consumption Natural Gas cu.ft/hr. 1/2 Load 206 Full Load 294 Liquid Propane ft3/hr (gat/hr) [Liter/hr] 1/2 Load 69 (1.89) [7.15] Full Load 106 (2.90U10.98] y� y� 1 t 1' ! k € k i CS E'� [ P't !aF' Eli fir $r- h 3s� $ i . i - i<9i k t i @ �...FP a x° i .,ya m z b i 31 Ne, xFd ;p 0 E t vS§ S ')k" ` "+X�t' - ` q .. tr" °I.m.:�. ._ ...� ,✓ ,. #$ .- .._...§,- .•'�?x�A,,.-t?,,.�`?� .gas..- au- sa".rc"'`{.w<,.a .§S - ,�,.s.�.•�'�r_ r'.N_.._�a'. C (INTRO :VS '- S'3STi�. i,�k < °k : �lwkbc^ii+w-`�,-= .�'.f iffiv!� i41 h�f;Y i3iS >,E Mode Switch -Auto Automatic Start on Utility failure. 7 day exerciser _ ,F�� � - Manual/Test (start) Start with starter control, unit stays on. If utility falls transfer to load takes place. g-, s ' � ".�:..y ° ° ���� -r' „:,.„ "�'vvr��,..n -max raltiftiC124+�� ��`�� KAW Engine Start Sequence Cyclic cranking: 16 sec. on, 7 rest (90 sec maximum duration) t.. +, €R 0 s '""T�' .�,"�' :tom .� -h.s,. k"iur*�^`s -``,.- -”` {�� v'r�r'T, .s', '��' �'s:. t B �,., _rte �;sosiu' �a �� Engine Cool -Down 1 minute .,'. 6 i 5.3 ya^vk. ?'q.. d#L .;v°- 53'+:aj '1° xF '?.?t'4 s$ *rt �" . y ^-, . {-a^=y, Smart Battery Charger Standard iE.t n s 9p F {i,�, -t r xw. t,ay`a '"k+.,. ,„r,,,. ." , Automatic Low Oil Pressure Shutdown Standard ,,,„ al�u ��:._.,.� � '�2.�...,� - _...e3.. -,� High Temperature Shutdown Standard 'r[ S`}4�"',- ?.k'$'''i '�va_,{y`wb Y`-�'Y §°i: -Y'§ 1scw. ':i.``' •F Y`�•b dZ' a §'� & gyp!' ...�2MY. i5. ..,...-,. v9' S. ...'✓' "3°,Y�'ra 'Sf?F+:�'i ¢ 4kiuE�` �.,.'__i'B ;«..a Safety Fused Standard -c...� K. .G�.... Y ~. .�a.._:a� $'w - -, K ^lF'�< ......, B . k �" K h ,. Low Battery Protection Standard ��-h"e' 'r r~ x# i� ' 2.� E� aF " ^' its �- .+.��' >..� ..-., 'f_„�,...�4�`".f�'�+v �- �y;Lm�. r :s � 2''�e uYY 3,yd/ Future Set Capable Exerciser Standard Internal Fault Protection Standard �7 n.. +w`ns t'p'i4 3!'3 l ! $. Rating definitions - Standby: Applicable for supplying emergency power for the duration of the utility power outage. No overload capability is available for this rating. (All ratings in accordance with 835514, IS03046 and DIN6271). * Maximum wattage and current are subject to and limited by such factors as fuel Btu content ambient temperature, altitude, engine power and condition, etc. Maximum power decreases about 3.5 percent for each 1,000 feet above sea level. f Generac0 Guardian® Series Standby Generator - 20 kW Design and specifications subject to change wthout notice. Dimensions shown are approximate. Contact your Generac dealer for c 1I ied drawings. DO NOT USE THESE DIMENSIONS FOR INSTALLATION PURPOSES. LEFT SIDE VIEW GENERAC® Generac Power Systems, Inc. • S45 W29290 HWY. 59, Waukesha, WI 53189 • generac.com 02010 Generac Power aystwiar, Inc. Al rights reserved. AO specifications am suit to change without rogce. Bum 018619OBY -B Prhded In U.S.A 09/28(10 ORAWNBY: N.G LAND SURVEYORS SHEET Na 2 OF ' 2 %10W 5 e). if 4 2L444441_ 't �4. ' - * 14 Vi - =GCS -a • 50r 000. Ot,1�3 • 8L0 10.001 .�,1Z s00GK.3 v 4Q� O R� 1462 kg 742/3 mg /a/ Os -3- /1 -Lf8- P L- SeA(4 .1--a-.41Ynce- f200 1'4 1 s ) APR 0 7 2011 c),0c ,4M P UTO iLT C. 1-72.11JS 12_ El2)11rC,14 /k�k /SC ,Sewz.vi ce M P Pr ki iIJ catedriqe, A 1, r , Li Loxit ecico c4}/0-3- Q.. q /l / mAoct.. a...cit-era-4 _2er° yo ja-cei4, _At GQ4 -e O am' Jr� � i 4r ? itt ,,may 1 COQ p,,_ • p Y ••eiy+.. • 0 r cf. orEX, /14 e/L. C4-4-AA-1"-± 12.4,&le Al...4.,c,L4 4 • sfo vac # D5 -3- II —1-/e ��� .2a 00014-Ps wit 4,, ; -6 S� H3 / '97649-ne/c.- NtAsT- 1Z taZ R- R/4nl e, Des p. 'gait° a 3 !S -A4 Fed-40o m 4 5 MAsTER, SAT-4 OA- 6o 4 ?k /c, L0 A- 20 %i' La;helobti 2 S'V 2.d /r PoT tr SVC. 4o thr 1 S A- et-cot.Q e IS' A- qcol., 1 v 4 PA o, - %loT 11 ,1 Svc. RLV CORP 1401 NE 101 St Miami Shores, FL 33138 (305) 790-5899 bobvickers@bellsouth.net 1431 NE 101 St Miami Shores, Fl. 33138 Legal Description: MIAMI SHORES BAY PK ESTS AMD PB 56-86 LOT 11 BLK 3 LOT SIZE 11685 SO FT OR 13242- 160 0467 4 COC 26145-079712 2007 6 Dear Joel and Peter; RLV CORP is pleased to provide the following quote: Description of Work: RLV CORP will perform the following: • Submit all necessary paperwork for Construction (pad), plumbing (gas), electrical (generator) and electrical (service upgrade). No work to commence without permit approvals. • Hand dig 12" wide x 36" deep x 80' long trench from house to pole and from trench to pad site • Lay FP &L provided conduit for service from pole to meter, coordinate inspections and FP &L cutover • Install high and low voltage electrical conduit from meter to pad, install wiring • Build concrete pad with dimensions of 5' long x 3' wide x 2' high (per code) • Install 110' of 1" Galvanized Pipe from Teco meter to generator for Natural Gas Service • Paint galvanized pipe (trenched) with Black Magic asphalt paint (per code) • Lay Red Ribbon identifying tape above Natural Gas pipe line (per code) • Compression check gas line for 24 hours and allow for inspection (per code) • Mount customer provided 20kw generator to pad with 7" x %2" Red Head Anchors (per code) • Mount customer provided Automatic Transfer Switch (ATS) to right of meter box • Stub in both generator and ATS conduit, wire connections at both ends, install (2) 8' ground rods • Install 26R battery in customer provided generator • Make required gas connections at meter and generator • Inspect customer provided generator, prepare for starting. Report any issues. • Start and test generator for proper functioning from Utility loss to Utility restore • Set Exercise timer, perform customer training, documentation • Backfill trench, install sod, clean area • One year service included with this agreement (oil, oil filter, plugs, corrosion protection) • RLV CORP warrants all materials and labor for 2 full years (except generator and ATS) • RLV CORP will show proof of Final Inspection for all permits pulled related to this project • Customer responsible for all Miami Shores Village permit fees Installation Interval: Estimated installation time will take 2 -3 weeks barring any unforeseen events including material shortage, permitting delays, access limitations, acts of God, and / or failure to make scheduled payments. Total Job Cost: $7840 (includes taxes) (50% @ contract signing, 25% with generator install on pad, 25% proof of Final Inspection on all permits) We look forward to delivering a quality installation for you. ACCE AG ' D: om l aU Joel . . +'el TRS - Owner (RI.Ja ke,C, Date '� l ( Date IA/ /1/ Robert B. Vickers — President RLV Corp. Quote valid for 30 days Page 1 of 1 2/21/2011 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 it -Lt 89 Inspection Number: INSP - 157645 Permit Number: PL -3 -11 -533 Scheduled Inspection Date: May 18, 2011 Inspector: Hernandez, Rafael Owner: KOKIEL, JOEL Job Address: 1431 NE 101 Street Miami Shores, FL Project: <NONE> Contractor: DIAL PLUMBING CORP Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Gas Phone Number Parcel Number 1132050240280 Phone: (305)221 -8569 Building Department Comments NATURAL GAS LINE INSTALL FOR NEW GENERATOR Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments May 17, 2011 For Inspections please call: (305)762 -4949 Page 10 of 27 1 Protect Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Parcel Number Applicant 1431 NE 101 Street Miami Shores, FL 1132050240280 Block: Lot: JOEL KOKIEL 1 Owner Information JOEL KOKIEL Address 1431 NE 101 Street MIAMI SHORES FL 33138 -2612 Phone Contractor(s) DIAL PLUMBING CORP Phone CeII Phone (305)221 -8569 (786)412 -6720 Cell (786)271 -1269 Valuation: Total Sq Feet: $ 1,200.00 80 1 Type of Work: GAS LINES Type of Piping: NATURAL GAS Additional Info: GENERATOR Bond Retum : Classification: Residential Scanning: 1 Fees Due CCF CCF DBPR Fee DBPR Fee DCA Fee DCA Fee Education Surcharge Education Surcharge PerP,it Fee Permit Fee Scanning Fee Scanning Fee Technology Fee Technology Fee Total: Amount $0.00 $1.20 $2.25 $0.00 $2.25 $0.00 $0.00 $0.40 $150.00 $0.00 $0.00 $3.00 $0.00 $1.60 $160.70 Pay Date Pay Type Amt Paid Amt Due Invoice # PLC -3 -11 -40459 03/25/2011 Check #: 1347 $ 50.00 $ 110.70 04/18/2011 Check #: 1352 $ 110.70 $ 0.00 Available Inspections: Inspection Type: Final Press Test 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. April 18, 2011 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Date April 18, 2011 1 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 Permit No. ?Li 5 Master Permit No.'D5 1 1 4 si BUILDING PERMIT APPLICATION FBC 20 Permit Type: PLUMBING OWNER: Name (F/e� 3i ,( Simple Titleholder): Address: �4 eite./ / Jr City: /?14..L.. J /"''� State: 1 Tenant/Lessee Name: /°�� /' l/ Phone #: Phone#: Zip: 3313 Email: JOB ADDRESS: /e/3/ me' / City: Miami Shores �p County: Miami Dade Zip: 33/38 7 Folio/Parcel #: / — 3.4o s' O.2- V — O ,--� Is the Building Historically Designated: Yes Flood Zone: _________C . i ,. CONTRACTOR: Company Name: _ :.11 Gam-! Phi" ( " Phone #: 6d ,267,_ S1- Address: 99 �6 3����� City: Xi/ Y!4 T State: ce�.AA Zip: p Qualifier Name: IRd9,) !—O/I 1 & Phone #: go, 2- 1 1 ' a S 6? State Certification or Registration #: 3-71 i2-e// 44/ 3 Certificate of Competency #: / v3/ 7 Contact Phone#: 2- z—! P'5`6 7 Email Address: DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ /7. tqj a Square/Linear Footage of Work: Type of Work: UAddress DAlteration 1l'1Vew ORepair/Replace Description of Work: %l C- ! L .r•t . Lit e 74Le, K7/Lat../ y� (" -- SPO -17/* ODemolition +0x ** * * *+x*************** * *** x* :x+x*** ****Fees*****+x** ** :**** ********* *** * **** *** ***.x *+ *** Submittal Fee $ _ _ Permit Fee $ /5 ) 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 inspecti ' which occurs seven (7) da a er the building permit • issued. In the i s e of such posted notice, the inspection will not G`: approved and a reinspecti be charged. Signature Owner or Agent The fore• ng ins 5 ment was a day o 0 ,b h. is Signature Contractor The foregoing instrument was acknowledged before me this day of ,20_,by •1— /rte known to me or who has produced t" ho is personally known to me or who has produced '2OPlAdentification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARYY BLIC: Sign: Print: My Commission Expires: APPROVED BY o . '''..00 S\''..:''''' ' 9141 g� Sign: 2 `— Print: 1/ M iet'/9 My Commission Ex.'_ ; PATRICIA EDEN` CEPER° � Commission # DD 73432 4 er; : �: �f@S NOY @robe ..7019 * * *.x * * * * * * * * * * * * * * * * * * * * * ** (Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09) Plans Examiner Structural Review Clerk 10 -28 -2009 ALEX SINK STATE OF FLORIDA • CHIEF FINANCIAL. OFFICER DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 10/28/2009 EXPIRATION DATE: 10/28/2011 PERSON: FONTEBOA FRANCISCO A FEIN: 592248413 BUSINESS NAME AND ADDRESS: DIAL PLUMBING CORP 9940 SW 22ND ST MIAMI FL 33165 SCOPES OF BUSINESS. TRADE: 1- REGISTERED PLUMBING CONTRACTOR IMPORTANT: Pursuant to Chapter 440 . 05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05112), F.S., Certificates of election to be exempt... apply only within the scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.06(13), F.S., Ngjices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person nam5‘on the certificate to meet the requirements of this section. QUESTIONS? (850) 413 -1609 DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09-06 T5') SEE OTHER SIDE DO NOT FORWARD DIAL PLUMBING CORP FRANCISCO FONTEBOA PRES 9940 SW 22 ST MIAMI FL 33165 tasl/►a biLt43tt$ tLat�ttt�tssta� ►� ►at�►astis+s�ss�ib +ass�s�.ii DIAL PLUMBING CORP FRANCISCO FONTEBOA PRES 9940 SW 22 ST MIAMI FL 33165 it, hu lit sd i► 1' i► ►►i►1►i ► ►►i ►hhJit ► ►ii ►►►i ►dli ►► JAY 3 7 tri7a. 1.2, CERTIFICATE OF LIABILITY INSURANCE DATE THIS CERTIFICATE IS ISSUED AS A MATTER CERTIFICATE DOES NOT AFFIRMATIVELY OR BELOW. THIS CERTIFICATE OF INSURANCE REPRESENTATIVE OR PRODUCER, AND THE OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED CERTIFICATE HOLDER. IMPORTANT: If the certificate Folder is an ADDITIONAL INSURED, the policy(Ies) must be endorsed. If SUBROGATION IS WANED, subject to the terms and conditions of the policy, certain poli4les may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER Pat Del Vecchio Insurance Agency 263 N.E. Sth St. Homestead, FL 33030 Phone (305)246 -9500 Fax (305)246 -9502 CONTACT NAME: PHONE $ : AI PRCt1S�T0 RID#.x INSURERS) AFFORDING COVERAGE NAIL a" INSURED PLUMBIl G �„�{ a INSURER A e a INSURER B � t s s • z,� � , � `� � t � �.� &s ��• INSURER C INSURER ' k D a INSURERE a Ap INSURER F .�. COVERAGES CERTIFICATE NUMBER , _ REVISION NUMBER: _ .._ ._ __ _______ __.. ......... .- ........... .....- ...n, u- %..,"r ..c.•rrn ec,'sou uw•c occs, It ,en Tn TUC mai iDCf MA\APr] AR(1VF FAR THE Pill ICY PFRinn INDICATED. NOTWITHSTANDING ANY REQUIREM , TEOLA OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, 1 HE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE GENERAL UABIU TY ❑ COMMERCIAL GENERAL LIABILITY ❑ ❑ CLAIMS-MADE ® OCCUR GEN'L AGGREGATE UMIT APPLIES PER ❑ POUCY ❑ PRCOi El LOC JE AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS AL Ski iNDDR S BR POUCY NUMBER (MM/DDIYYFYY) POLICY EXP (MMIDD/YYYY1 LIMITS EACH OCCURRENCE PREMISES (Ea occurrence) MED EXP (My one person) PERSONAL 8 ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ COMBINED SINGLE UMIT (Ea accident) BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ ❑ UMBRELLA LIAB ❑ OCCUR ❑ EXCESS UAR ❑ CWMS -MADE ❑ DEDUCTIBLE II RETENTION $ EACH OCCURRENCE AGGREGATE $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE -. p( EXCLUDED? Iyes' describe under DESCRIPTION OF OPERATIONS below NIA I I TORY LIMITS M ❑ EER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY UMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS !VEHICLES ( h ACORD 101, Additional Remarks Schedule, if more space is requtrei) CERTIFICATE HOLDER CANCELLATION 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 ACORD 25 (2009109) CIF ©198 009 ACORD CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORE 4 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 157404 Permit Number: EL- 3- 11-490 Scheduled Inspection Date: May 18, 2011 Inspector: Devaney, Michael Owner: KOKIEL, JOEL Job Address: 1431 NE 101 Street Miami Shores, FL Project: <NONE> Contractor: GUILLEN ELECTRIC INC Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Generator Phone Number Parcel Number 1132050240280 Phone: (305)888 -8866 Building Department Comments ELECTRICAL FOR GENERATOR INSTALL & AUTOMATIC TRANSFER SWITCH Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments (w �� May 17, 2011 For Inspections please call: (305)762 -4949 Page 8 of 27 Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Parcel Number Applicant 1431 NE 101 Street Miami Shores, FL 1132050240280 Block: Lot: JOEL KOKIEL Owner information Address Phone Cell 1 JOEL KOKIEL 1431 NE 101 Street MIAMI SHORES FL 33138 -2612 (786)271 -1269 1 Contractor(s) GUILLEN ELECTRIC INC Phone (305)888 -8866 CeII Phone Valuation: Total Sq Feet: $ 10,000.00 0 1 Type of Work: GENERATOR Additional Info: Classification: Residential Scanning: 1 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Miscellaneous Fee Permit Fee - Additions/Alterations Scanning Fee Technology Fee Total: Amount $6.00 $5.25 $5.25 $2.00 $1.05 $350.00 $3.00 $8.00 $380.55 Pay Date Pay Type Invoice # EL -3 -11 -40402 04/18/2011 Check #: 1352 $ 330.55 $ 50.00 03/18/2011 Check #: 1345 $ 50.00 $ 000 Amt Paid Amt Due Available Inspections: Inspection Type: Final 1 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 F'OOL 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. April 18, 2011 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Date April 18, 2011 1 Miami Shores Village Building Department 10b50 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 4i ,r4 j:11 011 MAR 1 8 BUILDING �4 Permit No. A _1 PERMIT APPLICATION" -7 al - aster Permit No. (1 FBC 20 Permit Type: Electrical _ / OWNER: Name (Fee Simple Titleholder): J��f k-ee, Phone #: Address: /1/3/ Ale '10i St- city: /W/ id 4 /° glt eThe.4 State: 1 . Zip: 33/3 d' 11/417R Tenant/Lessee Name: Phone #: Email: JOB ADDRESS: /93 / MET /0/ City: Miami Shores County: AA Miami Dade Zip: 33/3e Folio/Parcel #: /i 3)-0 S` 9J 4- £2- Is the Building Historically Designated: Yes Flood Zone: CONTRACTOR: Company Name: ( ?�1l� £ ec�C Phone #: Address: g,12 S (f )--„c City: ' Me�)o ��j State: e'r► n Qualifier Name: 1'c` G- I• t S ■-•■ State Certification or Registration #: 13 00 Z Z / 2- Certificate of Co Contact Phone #: 30 o' % g �" 4 Email Address: ► I�ain C le y 30s t4$ -g8c.f. Zip: ^S' 3 k Phone #: g $' g" DESIGNER: Architect/Engineer: etenc #: ►v Phone #: rue p /2e" '7- //4 /�I �� �- pc -arm,; r �i may. �� Value of Work for this Permit: $ 2' S uare/Linear Footage of Work: teration New OR air/Re lace ❑Demolitioi Type of Work: UAddress -- Description of Work: OAl ep p e a. Submittal Fee $ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Fees************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** • p Permit Fee $ 702",02 CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Traiing/Education Fee $ Technology Fee $ Double Fee $ Struc ural Review $ TOTAL FEE NOW DUE $ -350 • 1I_ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip ye 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 in ection whit o urs seven (7) days afier the building permit is issued. In the absence of such posted notice, the inspection will of be appro 'd a ' a reinspection fee will be charged. Signature v Owner or Agent The foregoing instrument was acknowledged before me this 1 V day o 20 Al, by 3TA , who is personally known to me or who has produced I- LD As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: * * * * * * * * * * * * * * * * * * * * * * * ** APPROVED BY 01,111111m, 'wera Contractor The foregoing ins + ment was acknowledged before me this day of Aci [c k. t7 , 20 ti , by who is personally known to me or who has produced t as ide NOTARY PUBLI Sign: Print: My Commission Expires: 3L)_ZO ************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** (Revised 07 /10 /07)(Revised 06 /10 /2009XRevised 3/15/09) Plans Examiner Structural Review * * * * * * * * ** Zoning Clerk DBPR - GUILLEN, ALEXIS; 11 oing Business As: GUILLEN ELECTRIC INC, Electrica... Page 1 of 1 10:41:46 AM 7./2312011 Licensee Details Licensee Information Name: Main Address: County: License Mailing: LicenseLocation: License Information License Type: Rank: License Number: Status: Licensure Date: Expires: Special Qualifications GUILLEN, ALEXIS (Primary Name) GUILLEN ELECTRIC INC (DOA Name) 8125 NW 74TH AVE UNIT 7 MIAMI Florida 33166 DADE Electrical Contractor Cert Electrical EC13002212 Current,Active 09/29/2004 08/31/2012 Qualification Effective View Related License Information View License Complaint Contact Us :: 1940 North Monroe S eet Ta iahassee EL 32399 " Cail.Center @dbpr.state.fl.us :: Customer Contact Center: 850.487.1395 The State of Florida 1. an AA /EEO employer. Copvriaht 2007 -2010 State of Florida. Privacy Statement Under Florida law, a -mall a public - records request, do not have any questions regarding httne - /kw rnr mvflnrirlalirpncp r resses are public records. If you do not want your e-mail address released in response to a nd electronic mail to this entity. Instead, contact the office by phone or by traditional mail. If you SPR's ADA web accessibility, please contact our Web Master at webmaster@dbpr.state.fl.us. m/T.icpncpT)etail asn ?STD= &id= 7514D1 B63C96283DF90... 2/23/2011 STATE OF FLORID DEPARTMENT OF B ELECTRICAL CONT 1940 NORTH MONR TALLAHASSEE GUILLEN, ALEXIS GUILLEN ELECTRIC I 8105 N.W. 33RD STR MIAMI Congratulations! With this license you beco Floridians licensed by the Department of Bus Our professionals and businesses range fro boxers to barbeque restaurants, and they ke Every day we work to improve the way we do For information about our services, please lo There you can find more information about o impact you, subscribe to department newsle Department's initiatives. Our mission at the Department is: License E constantly strive to serve you better so that y Thank you for doing business in Florida, and AC# SINESS AND PROFESSIONAL REGULATION CTORS LICENSING BOARD E STREET FL 32399 -0783 ET FL 33122 e one of the nearly one million ness and Professional Regulation. architects to yacht brokers, from p Florida's economy strong. business in order to serve you better. onto www.myfloridalicense.com. r divisions and the regulations that ers and learn more about the iciently, Regulate Fairly. We u can serve your customers. ngratulations on your new license! DETACH HERE (850) 487 -1395 BATCH NUMBER Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. Pg 11 -"b Job Name e67 , -i CRITIQUE SHEET ,v� 6p A ','y r cam • s ,� �� s;� -��,�� dim 40-111C,e, d 7/ ®d .4,Vp P,"4 Scj Pal e �A " -' rhic d - er