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EL-13-1595 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-195387 Permit Number: EL-7-13-1595 Scheduled Inspection Date: October 09,2013 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: GONZALEZ, FEDERICO Work Classification: Addition/Alteration Job Address:21 NW 101 Street Miami Shores, FL 33138- Phone Number Parcel Number 1131010180220 Project: <NONE>- Contractor: LYNCO FIRE&ALARM CORP Phone: (305)335-7824 Building Department Comments CHANGE OVERHEAD ELECTRICAL SERVICE TO Infractio Passed comments UNDERGROUND. 200 AMPS INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. October 08,2013 For Inspections please call: (305)762-4949 Page 3 of 24 P! Miami Shores Village JUL 16 20'13 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 :rj 5�_ BUILDING Permit No. L12 PERMIT APPLICATION Master Permit No. FBC 20 Permit Type: Electrical /'� OWNER:Name(Fee Simple Titleholder):PO�Gre X40 1.70k i'01,e-'L Phone#:�� Address:21 P w F 0($ 't"=tw L., rr __ � City:_W Q 1M [ 0r'-el Stater, Zip: Tenant/I.essee Name: // Phone#: Email: 2-CC 4, Ceh., JOB ADDRESS: "I A) W, ( O \ S"T Q EE= City: Miami Shores County: Miami Dade Zip: 1 S d Folio/Parcel#: Is the Building Historically Designated:Yes NO Flood Zone: CONTRACTOR:Company Name: L�/�Co R_e" £ A,_am nn Phone#:0'5- 90-1 Address:_1� � \� 151,C q.� t� $L V 1`� s y I'T e SIT, City:/VU M\MA l al SAC 14 State: N-C O C'z\)�Z A,. Zip: 1 Qualifier Name:— ae25 t_'t, (ysln3 Phone#: State Certification or Registration#: C_c l3 OCp 3`'1 6n Certificate of Competency#: Contact Phone#:9 0'�_ ?,3 S `1 &2q Email Address: E CC.'T'R l C C O M DESIGNER:Architect/Engineer: Phone#: o� Value of Work for this Permit:$ 2 U��©--0 Square/Linear Footage of Work: Type of Work: DAddress L 'Alteration ONew ORepair/Replace• ODemolition Description of Work: 0\LC-2LA-t z A N {✓C, C 4 5 --r-O Submittal Fee$ Permit Fee$X521''el CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ Structural Review$ TOTAL FEE NOW DU 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 nd a reinspection fee will be charged. Signature Signature + Owner or gent L Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of—'20 �,by day of ,20�,by�� �, who is personally known to me or who has produced 'S Z- — who is personally known to me or who has produced Z L J'1 - 6;&—®S•O—D As identification and who did take an oath. as identification and who did take an oath. NOTARY BLIC: TARY PUBLIC: Sign:- Sign &"/ Print Print d r eIle ASP-�1 P M Commission Expires: '� MV MMMS10NRDD897 Y P pig 1 My Commission ExpirenDTAIty PUBLIC-STATE OF FLORIDA a Bonded Thru Notary publicUndennri►ere Michelle iUIontalva A Coaamission#DD976119 APPROVED BY f Plans Examiner Zoning Structural Review Clerk (Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) ■� LYNCO-2 OP 0.DK CERTIFICATE OF LIABILITY INSURANCE 1 °AW IIII&TOY" 01108>t24113 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 poncypes)must be endorsed if SUBROGATION 18 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 certif cats holder M Rau of such endorsemen!s). PRODUCER Phone.984-759-7171 Customers Rule Ins.Agency 1839 S.E.4th Avenue Fax.984-759-71 No: FL Lauderdale,PL 33316 Lynn Ramon INSURER(s AFFORDM COVERAGE NAIC$ IMSURERA:*Scottsdale insurance Co 41297 INSURED Lynco Fire rm rp. INSURERS: J N.Lynn 13899 Y Bis a Bhrd Suite 313 c N.Miami B a h,FL 33181 04ROM D: I SURERG: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT 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 POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE PO CY Lam GENERALLUIBIU7Y EACH OCCURRENCE $ 110001 A X COMMERCIAL GENERAL LIABILITY PS7664997 X120/2012 99/2612913 10%1. Eli aC R�ICe $ CLAIMS-MADE Q OCCUR MEDEXP VON onepwan) $ 5+ PERSONAL&ADV INJURY $ 11000, GENERAL AGGREGATE $ 2+000+ GENI AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG S 2,OOOs X I POLICY PRO LOC $ AUTMOSILE LABILITY ANY pAyU�TO BODILY INJURY(PerperM) $ AUTOS ED SCHEDULED BODILY WARY(Per Weldwrt) $ NON-OWNED G $ HIRED AUTOS AUTOS UMBRELLALIAB HOCCUR EACH OCCURRENCE $ EXCESS LAB CLAIM"ADE AGGREGATE $ NS $ VwORi(M COIfIP 3"TON A AND EMPLOYERS'LIABILTY YIN 'Z(1 S ER ANY PRCPRIETORIPARTtOCIiTIVE a A E.L.EACH ACCIDENT $ �w p(q pq 1 F-L DI -EA EMPLOYEE$ It dettribe under PTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S A E&O P87664997 091=012 99/26)2973 Ia6n/Agg 31MMIsm A r Key Coverage CPSISUS97 09rt0/2012 09120P1013 25, E 1"nONOF OPERATIONS!LOCAMNSI VBWas pxwA ACORD tor.Add"mml Remarks Said R more apse M rs<pdred) ALARMS Am ALARM SYSTEMS - MSTALLATION,SEtt 1cm OR REBACR CERTIFICATE HOLDER CANCELLATION MIAMI S SMOULD ANY OF MIZ ABOVE DEBCROW POLE BE CANCELED BEFORE Miami Shores Village THE EXPIRATION DAM THEREOI. NOTE WLL 10 VELIVERW m F&A"i08.756.8972 ACCORDANCE WITH THE POLICY PROVI>NONS 10050 NE 2nd Ave aunRaRUr�►aEPIRESr�TrATIVE Miami Shores,FL 33139 0 1988 2010 ACORD CORPORATION. A0 rights reserved. ACORD 25{2010(05) The ACORD name and logo are registered marks of ACORD y/^ AI�Ri CERTIFICATE OF LIABILITY INSURANCE DATE(MMi- 05-02201201 3 THIS CERTIFICATEIS 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 CER71RCATEOF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERM),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate hot&r Is an ADDITIONALINSURED,the PoRcy([es)must be endorsed. If SUBROGATIONIS WAIVED,subject to the terms and conditions of the Policy,certain Polices rmmey require an endorsement. A statementon this certificate does not confer rights to the PRODUCER cUCER ato holder In lieu of such endorsement(s). CONTACT PAYCHEX INSURANCE AGENCY INC "HAMO� 210705 P: () - F: (888)443-6112 AiC (Arc,No: (888}443-6112 PO BOX 33015 ADDRESS: SAN ANTONIO TX 78265 INSURERIS)AFFORDING COVERAGE NAIC,r INSURED INSURER A: Twin City Fire Ins Co INSURER B: LYNCO FIRE & ALARM CORP. INSURER C: 13899 B I SCAYNE BLVD STE 313 INSURER D MIAMI FL 33181 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT 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 O OTHER DOCUMENT WITH R CERTIFICATE MAY BE ISSUED OR RESPECT TO WHICH THIS MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES D BED ESCR) HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. L TYPE OF INSURANCE IAISR VKHM POLICY NUMBER GENERAL UA�4nY (MMft10tYYYY) I (MRI-661 YYY) I LIMn's EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY PREMISES Ea :m I to e) S CLAIMS-MADE u OCCUR _ MED EXP(Arty.person) I $- U U PERSONAL&ADV INJURY 1$ GENERAL AGGREGATE $ L AGGRE aATC E UNdT PA PLIES PER: PRODUCTS-COW10P AGG g POLICY LJ PRO- LOC g AUTOMOSU LIABAM COMBINED SINGLE LIMIT g (Ea aceiderM ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED U U BODILY INJURY(Per acoldwid g AUTOS U AUTOS PROPERTY HIRED AUTOS NON-OWNED (Per Y g UY DAMAGE AUTOS $ LIA9 U OCCUR EACH OCCURRENCE 8 EXCESS LIAB CLAN9S MADE j I I j AGGREGATE $ D RETENTION g L IJ g WORKERS COMPENSATION yr WC STATUS OTH- AND EMPLOYERS LIABtLtPlf Y!N _ L� I -- ANY FRiO1�ETORIPARTNERIEXEC E.L.EACH ACCIDENT s 100,000 A OFF(M IC EXCLUDED? ��U N/A 1H 76 WEG DF9547 05/16/2013 05/16/2014 E.L.DISEASE EA EMPLOYEE $ 100, 000 !fy� dascrifs urwer DESCRIPTION OF OPERATIONS below E I DISEASE-POLICY LIMIT 8 500, 000 uu )ESCRIPTION OF OPERATIONS!OUT—IONS Ima-E61Atlach ACORD 101. ke more spece re required) Those usual to the Insuredfs Operations. -ERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED Kiami Shores Village BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE Building Department DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 10050 NE 2ND AVE AMO ENTATIVE MIAMI SHORES, FL 33138 p'Z,. 74 a 1988-2010 ACORD CORPORATION. All rights reserved. %CORD 25(2010/05) The ACORD name and[ago are registered marks of ACORD e l °Era LYNCO FIRE & ALARM CORP. 13899 Biscayne Boulevard Suite 313 NORTH MIAMI BEACH, FLORIDA 33181 TEL: 305-947-5966 FAX:305-W,-2759 STATE LIC#EC13003767 U.L.#100406-627 July 15, 2013 Federico Gonzalez-Denton 21 N.W. 101"Street Miami Shores, Florida 33150 (305)539-6113 FConzalez@RCD.corn INSTALL 200 AMP UNDERGROUND ELECTRICAL SERVICE: Lynco Fire&Alarm, Electrical Division will install a new 200 amp underground service to replace the existing overhead service as specified below: 1. Provide a trench 24p deep from existing electrical service to the FPL pole located at the rear. 2. Install a PVC in-ground brooks box at base of FPL pole. 3. Run 2"schedule 80 PVC conduit in trench and cover per South Florida requirements. 4. Pull in three(3), #2/0 copper conductors rated at 200 amps and a#4 copper ground wire. 5. Provide FPL workwith to schedule connection of new wiring and removal of the overhead. 6. Provide all required Electrical Permits and associated Electrical Inspections. Notes: • No corrections of any existing wrong or code violatiions have been included in this cost. • Only items specifically mentioned in 1 through 6 above have been included in this cost. • Arry additional work required or requested by the Client or authority having jurisdiction("The City and the Electrical Inspector')will be billed as additional work at our current labor rates. Warranty.. All labor and materials provided by Lynco Fire&Alarm are installed as specified and is warranted for a period of two years. (Exclusive of Lamps) Total Cost: $2,200.00 Deposit: $ 500.00 Balance Due in Full upon Completion of Work: $ Acceptance of Proposal The above Prices,spedFications,and c:orditns are sdbft"to me and are hereby accepted By signing below I depose that I am the Owner or the Owner's authorized representative and can legally enter into said agreement No deducts will be a4lowed from the Contract pest. Payment wig be as outfrned above. Signature: Date: Submitted; Jeffrey N. Lynn President JULY 15, 2013 CHANGE EXISTING OVERHEAD SERVICE TO UNDERGROUND: FEDERICO GONZALEZ(786)302,V47 21 N.W 101ST STREET MIAMI SHORES,FLORIDA 33150 -Q sq EXISTING 0 EAD TO BE REMOVED tsuL 7 "'Ro i3 b ----------- EXISTING 200 AMP MCB METER COMBO CENTER TO REMAIN IL AIF mm 200AMP I; IT MAIN co- P T NEW E xis TING GROUND RODS AND WATER BOND TO REMAIN P,,I:ami Shores Vill?- cle APPROVE0 BY DATE T ',-SCHEDULE 80 PVC RUN 73 FEET TO F.P.L.POLE NEAR PROPERTY UNE. 71 DG DEPT 'DEPTH+24"BELOW GRADE -------------------------------- NEW -1-17,!ECT i0,-(-lH"l styH( l- \,'Vlll 1- 1-1-1-1 NEW UNDERGROUND PVC CONDUIT PROVIDED BY F.RL. LYNCO FIRE&ALARM CORP JOB NAME: JULY 15,2013 13899 BISCAYNE BOULEVARD SUITE 313 SERVICE UNDERGROUND NO. MIAMI BEACH,FL 33181 FEDERICO GONZALEZ(786)3023247 1147!- 878 S r 21 N.W 101ST STREET SHEET #1 STAT U NSE 767 MIAMI SHORES,FLOMDA33150 JETF —N. YNN,MPRES. f � r JULY 15, 2013 CHANGE EXISTING OVERHEAD SERVICE TO UNDERGROUND: FEDERICO GONZALEZ(786)302-3247 21 N.W 101ST STREET MIAMI SHORES,FLORICA33150 F.P.L. EXISTING POLE (ACCESS THROUGH PROPERTY BEHIND) E - '° - - - - - -- - -E - -PROPERTY- UNE(F.- CE01---------------- I 9 °♦ I � ♦ i °♦ I NEW 2" CONDUIT PROVIDED BY F PL. WITH WIRING PROVIDED BY F.P.L. BURIED + 24" BELOW GRADE ",,SCHEDULE 80 PVC WHERE IT COMES OUT OF GROUND I °a I °♦ f �% I ♦♦ 71 FEET TO FENCE 2 FEET TO F.P.L. POD a ♦ I ♦♦ I °♦ EXISTING METER COMBO 200 AMPS 0 REAR HOUSE WALL LYNCO FIRE&ALARM CORP. JOB NAME: JULY 15,3013 13M BISCAYNE BOULEVARD SUITE 313 SERVICE UNDERGROUND IAIUII BEACH,FL 33181 FEDERICO GONZALEZ(786)302-3247 305-947-98-73- 21 N.W. 101ST STREET T STA C13003767 MIAMI SHORES,FLORIDA33150 JEF EY N.LYNN,PRES. OVERHEAD TO UNDERGROUND CONVE SI SKETCH CH F Daytime Contact Customer Name: c 2u E�Z. o Phone: Service Address: D.t No,r! t 0 %-T city: M vA Sys Zip: 33\!C 0 EXAMPLE INSTRUCTIONS: 1. BUILDING ADDRESS 2. POLE LOCATION ADDRESS 3. INDICATE METER ON YOUR HOME (ex 123) 4. EXISTING OVERHEAD WIRE TO PROPERTY `INDICATE WITH SOLID LINE) #3 #1 5. TRENCH ROUTE FOR NEW UNDERGROUND CONDUIT �.--- (INDICATE WITH DASHED LINE, SHOW TRENCH ROUTE FOOTAGE) 6. STREET NAME (60y, #4 7. INDICATE HOW MANY UNDERGROUND RISERS ARE ON POLE: 0 (SEE FAQ#10 FOR DETAIL) 1 #2 #6 STREET NAME(ex.Fb*St) INSTRUCTIONS: 1. BUILDING ADDRESS 2. POLE LOCATION 3. INDICATE METER ON YOUR HOME 0,1 do to t ST 4. EXISTING OVERHEAD WIRE TO PROPERTY (INDICATE WITH SOLID LINE) 5. TRENCH ROUTE FOR NEW UNDERGROUND CONDUIT (INDICATE WITH DASHED LINE, SHOW TRENCH ROUTE FOOTAGE) 6. STREET NAME �g 7. INDICATE HOW MANY UNDERGROUND RISERS � Ile ARE ON POLE: (SEE FAQ#10 FOR DETAIL) W 10 k S:--f a % 7S KoRLS 31