EL-13-0276Miami 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
BUIL ING
PERMIT APPLICATION
Permit Type: Electrical
FBC 20
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BYm aevQ___ ®- ®__e_ovooae
Permit No. tj ) 3�
Master Permit No.
JOB ADDRESS: d bo ad 9Z,�, �;6
City: Miami Shores County: Miami Dade Zip: 331 S'o
Folio/Parcel #: fly' "'A4101° 0119` o0io
Is the Building Historically Designated: Yes (!lU Flood Zone:
OWNER: Name (Fee Simple Titleholder): Z6&TkAtV Pa GE Phone #: 4269
Address: uo A q shop
City: ®Ar n i S, We--8 State: It Zip: M(SW
Tenant/Lessee Name: VIA Phone #:
Email: pp r
CONTRACTOR: Company Name: q el�o �`��' `� �' Phone#: 3uj l f
Address: 10S-D � ��
City: /V V
Qualifier Name:
on I
State Certification or Registration #:
Mari
Contact Phone #: 9 oS G q T (T if Email
DESIGNER: Architect/Engineer: Qvi
M
of Com-p/etency #:
Value of Work for this Permit: $ Z-315'0 - Square/Linear Footage of Work:
Type of Work: DAddress ❑Alteration ONew
Description of Work: M o
zip: _V ( 9
�c®00aFs
A fin
Submittal Fee $ Permit Fee $ ��® �'� CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
Technology Fee $
TOTAL FEE NOW DUE $
Q /IICDel�lr?
ODemolition
r
Bonding,Company's Name (if applicable)
Bonding Company's Address
City
State
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 NOTICEE 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 appr, d and a reinspection fee will be charged.
Signature t Signature
Owner or Agent Contractor
The foregoing instrument was acknowledged before j e this The foregoing instrument was acknowledged before me this eat
day of 20 by 4:`f�` 41�'✓ da ®� _ by 6 G c q
who is personally known to in or who has produced fl 44 f 1AiVtl ho is person ly kno me or who has produced
identification and who did take an oatk , as identification and who did take an oath.
NOTARY PUBLIC: o° sP ® ®a ®® NOTA Y PUBLIC:
KI
maGOMMISSIQy.c� ® ®o /
Sign: �'� — N Sign:
'o�Qi. s
STAT ��,§ a
4;11 1011►
®a®®0a
Structural Review Clerk
(Revised 3/1 ,0 )Qtevised 6 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09)
gag x�
ti�
SMOKE DETECTOR NOTES
SMOKE DETECTORS SHALL BE PROVIDED IN EACH BEDROOM AND HALLWAY
AND SHALL BE HARDWIRED TO SWITCHES CONNECTED TO BATHROOM OR
KITCHEN LIGHTING CIRCUITS, INTERCONNECTED AND BATTERY BACK -UP.
ELECT. PNL. SCHED.
CIRCX
LOAD
WIRE
COND.
BREAK
VA
REMARKS
1,3
HWH
010
3/4"
30
4500
2,4
DRYER
010
3/4"
30
5000
5
WASHER
012
1/2"
20
1500
6'5
RANGE
08
1"
50
12000
7
REFRIGERATOR
012
1/2"
20
1500
9
DISH WASHER
012
1/2"
20
B00
10 -16
GEN. UGHTJRECEP.
#12
112"
20
5228
1742SQFT x 3W /SF
17,19
SMALL APPLIANCE
#12
112"
20
3000
18,20
AHU
#S
1"
30
4800
21,23
CU
#10
3/4"
30
2500
24,26
POOL PUMP
012
1P2"
20
1500
25
SMOKE DETECTORS
#12
112"
20
S00
LOAD CALL. s- #3lOTHW CU. IN2IreC
TOTAL LOAD = 34326
1ST 100DO @ 100% = 10000
REM 24326 @40° /u = 9730.4 I � /1 s
MCB
A/C LOAD = 7300 1. #S SOLID CU. IN lW C TO
TOTAL = 27030.4 CWF & 2- &W x IW GRO. RODS
ATTAC ED TO STRUCT, STL IN
27030.4/240 = 112.6 BLDG. FOUNDATION.
USE 200 A SERVICE TO FPL TRANSFORM�
ELECTRICAL NOTES
1. ALL ELECTRICAL WORK SHALL BE IN ACCORDANCE WITH THE
NATION& ELECTRICAL CODE AND ALL APPLICABLE LOCAL CODES
2 CORDINATE ELECTRICAL SERVICE WITH FLORIDA POWER AND
LIGHT COMPANY
3. ALL TELEPHONE RELATED EQUIPMENT PER TELEPHONE
COMPANY SPECIFICATIONS
4. ELECTRICAL INSTALLATION DESIGN OF THIS PLAN IS IN
COMPLIANCE AS SET FORTH BY THE STATE OF FLORIDA
STATUTES MODEL ENERGY EFFICIENCY CODES,
51 THE CONTRACTOR WILL EXAMINE THE JOB SITE AND DETERMINE
FOR HIMSELF PRIOR TO SUBMISSION OF BID, EXISTING
CONDITIONS.
6. ALL ELECTRICAL WORK SHALL BE PERFORMED BY A LICENSED
ELECTICAL CONTRACTOR. IT WILL BE HIS RESPONSABILITY TO
SECURE AND PAY FOR ANY PERMITS, CERTIFICATES OF
INSPECTION, ETC
7. SUBSTITUTE MATERIALS, EQUIPMENT OR METHODS SHALL NOT
BE MADE WITHOUT APPROVAL OF THE ENGINEER IF THE USE OF
A SUBSTITUTE IS REQUIRED
�►amo s "oFesiII���
APPIROVED By
7of 11NG DEPT
su)G Dc
i
DATTE
// w'l
SUpJECT TO COMPLIANCE WITH ALL F I I'l I lAL
STATE AN[7 COUNTY RULES ANN R ATIONS
,RLES MITCHELL
N. FEDERAL HWY
LYWOOD, FL. 33020
NEW ELECTRICAL SERVICE,
FENCE, & GUTTERS
130 N.W. 92ST
MIAMI SHORES, FL.
33150
I I BERTRAND PILLER
[DRAWN BY: JB I
SHEET NO.
BY:
Op
,a►� CERTIFICATE OF LIABILITY INSURANCE 252013°'"x"'/'
2/28/2013
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 polley(los) 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 riEhte to the
certificate holder in lieu of such endorsementlsI.
PRODUCER
ice Marketing Inc
State Road 84, C -15
dale FL 33324
INURED METRO -2
Metro Electric Service, Inc.
21407 NE 38th Avenue
Aventura FL 33180
Patta( Carlton Fxf 3fle _
f:954- 452 -4901] I "box. Na)Q54.45 - -n450
INSURER(S) A "ORDING COVERAGE NAIC N
tNauRERA:SCot dale Ins Cn _•�•
I,NSURERe:Finrida Gitr SRI,ndUt;lrIes.Fund
INSURER C'
INSURER E:
COVERAGES CERTIFICATE NLIMRFR! - 1713209 -2coo RIPVI_ -MeW MHURRR•
PHIS IS TO CER I•iFY THAT TI M POLICIES OF INSUNANCE LISTED Fl?.-LOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THt POLICY PERIOD
INDICATCn. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION
OF ANY CONTRACT OR OTI ICR LIOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PFRTAIN, THE INSURANCE AFFOROL:0 BY THE POLIUMS OFSCRIBED HEREIN 13 SUBJECT TO ALL TI IC TERMS.
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY I [AVE BEEN REDUCEr) MY PAID CLAIMS.
Will TYPE OF INSURANCE I I R -
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DESCRIPTION OF OPERATIONS / LOCATIONS—/ VEHICLES (Attach ACORD 101. Addiecrztl Ramarka Sahedule, H mora apace Is reglli(adl
Electrical Contractor located at 15050 NE 20 Ave. N Miami, FL 33181.
TE HOLDER GANGtSLLA I ILAM
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE T14ER90F. NOTICE WILL BE DELIVERED IN
Miami Shores Village Hall ACCORDANCE VATH THE POLICY PROVISIONS.
10050 NE 2nd Avenue
Miami Shores FL 33138 AUTHOWLCD RFFeRRREN I ATIVE
Q) 1988 -2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2014105) The ACORD name and logo are registered marks of ACORD
N " SMS _
LA d 0£5L 599 009 L << 22520650£ OIN10313 ON13W LV6L 92-20-£LO2