EL-13-2441 (2)13
BUILDING
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 APPLICATION
FBC 201
Permit Type: Electrical
OCT
Permit No.
Master Permit No. E'Ll
OWNER: Name (Fee Simple Titleholder): J'6:s !✓ h �-1 I Phone#:
Address:_ 1046 06 Q b
!2r
City: M 6W eGS State
Tenant/Lessee Name:
Email:
JOB ADDRESS: S(JLM (b
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#:
Is the Building -Historically Designated: Yes NO V-11 Flood Zone:
CONTRACTOR: CompanyName: {G106 Phone#: 3 5
®- 75 9- ZWO
Address: --66!q ttd /0 40SE
City: / % State: Zip:
a
Qualifier Name:
State Certification or Registration #:
Contact Phone#:
DESIGNER: Architect/Engineer:
Address:
Certificate of Competency #:
Value of Work for this Permit: $ 3.9 t 40 - -i Square/Linear Footage of Work:
Description of Work:
Submittal Fee,") �(. - �13 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 $ `l�I. 9i1
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
zip
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 aqd a reinspection fee will be charged
)4
;�
Signature— 4 0Signature
i Owner or Agent Contracto
s
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of ��T , 20 ta, by�Q�� day of �/ , 20a, by ,
who is personally known to me or who has produced who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Print:gz `y MARY PAT BRIGGS
IXrn�N�;idmMy Commission Expires:
Bonded b� 11, 2014
Z ev
APPROVED BYV t. �" / Plans Examiner
(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)
as identification and who did take an oath.
NOTARY PUBLIC:
I
>I_r="
My Commission
MY COMMISSION # 0O 979287
EXPIRES: May 11, 2014
Bonded Tluu Notary Public Underwriters
Zoning
Structural Review Clerk
t
MOODYA
ELECTRIC, INC.
www.moodyelectdc.com
669 N.W. 90 Street - Miami, Ft_ 33150-2166
Tel: (305) 758-2000 Fax (303) 754-1333
uLL
-- to 4:p Aj ,6. c? (91* S" -
(A L A Ml 16*10 (Leb, 1�;G • �S 1
OCT aJ
RESIDENTIAL DEMAND LOAD CALCULATIONS -- -
W/SQ. FT
REFRIGERATOR
APPLIANCES
DISHWASHER
GARBAGE DISPOSAL
MICROWAVE
CLOTHES WASHER
DRYER
RANGE
WATER HEATER
OVEN
FREEZER
TRASH COMPACTOR
GARAGE DOOR MOTOR
JACUZZI
JACUZZI BOOSTER HTR.
IRONING BOARD
POOL EQUIPMENT
SPRINKLER PUMP
LANDSCAPE LIGHTS
STEAM SHOWER
A/C WALL UNIT
SPARE CAPACITY
SPARE CAPACITY
TOTAL CONNECTED LOAD
FIRST 10 K.W. @ 100%
REST @ 40%
A/C @ 65% / HEAT @ 100%
1.5 K.W.
1.5' K.W.
K.W.
-ES K.W.
t•2 K.W.
.LZ- K.W.
-A.5' K.W.
5.0 K.W.
•0 K.W.
45' K.W.
K.W.
K.W.
K.W.
K.W.
K.W.
.-O K.W.
K.W.
tD •O K.W.
K.W.
K.W.
K.W.
K.W.
K.W.
K.W.
I". -I K.W.
10.0 K.W.
L1.9 K.W.
36. K.W.
TOTAL DEMAND LOAD K.W.
313 K.W. / 240 VOLT = (Sg AMPS A
MARY PAT BROS
MY COMMISSION 9 DD 919267
EXPIRES: May 11, 2014
Bonded Thru Notary Public Undewters
i, -10V7,77) BY
I DATE -
P PT
{
�-'_IC3JECT TO COMPLIANCE WITH ALL FEDERAL
COUNTY RULES AND REGULATIONS
W/SQ. FT
REFRIGERATOR
APPLIANCES
DISHWASHER
GARBAGE DISPOSAL
MICROWAVE
CLOTHES WASHER
DRYER
RANGE
WATER HEATER
OVEN
FREEZER
TRASH COMPACTOR
GARAGE DOOR MOTOR
JACUZZI
JACUZZI BOOSTER HTR.
IRONING BOARD
POOL EQUIPMENT
SPRINKLER PUMP
LANDSCAPE LIGHTS
STEAM SHOWER
A/C WALL UNIT
SPARE CAPACITY
SPARE CAPACITY
TOTAL CONNECTED LOAD
FIRST 10 K.W. @ 100%
REST @ 40%
A/C @ 65% / HEAT @ 100%
1.5 K.W.
1.5' K.W.
K.W.
-ES K.W.
t•2 K.W.
.LZ- K.W.
-A.5' K.W.
5.0 K.W.
•0 K.W.
45' K.W.
K.W.
K.W.
K.W.
K.W.
K.W.
.-O K.W.
K.W.
tD •O K.W.
K.W.
K.W.
K.W.
K.W.
K.W.
K.W.
I". -I K.W.
10.0 K.W.
L1.9 K.W.
36. K.W.
TOTAL DEMAND LOAD K.W.
313 K.W. / 240 VOLT = (Sg AMPS A
MARY PAT BROS
MY COMMISSION 9 DD 919267
EXPIRES: May 11, 2014
Bonded Thru Notary Public Undewters
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MY COMMARY
i PAT # DD 97920
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