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EL-14-1403Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-216852 Scheduled Inspection Date: September 16, 2014 Inspector: Devaney, Michael Owner: CORDERO, CARLOS AND NICHELE Job Address: 301 NE 101 Street Miami Shores, FL 33138-2468 Project: <NONE> Permit Number: EL -6-14-1403 Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Alteration Phone Number Parcel Number 1132060135180 Contractor: LONGMAN ELECTRIC INC Phone: (305)758-1211 rsunamg uepartment comments PANEL CHANGE AND PARTIAL REWIRE OF CLOTH infractio Passed Comments WIRE I INSPECTOR COMMENTS False Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-216708. Add smoke detectors EE� and arc fault breakers. Garage receptacles to be G. F. I. protected. Failed d — �- - -d Correction Needed Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. September 15, 2014 For Inspections please call: (305)762-4949 Page 10 of 40 Miami Shores Village _ -__ _ Building Department I JUN 3O I M4 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 LBY—. INSPECTION'S PHONE NUMBER: (305) 762.4949 _ FBC 20C D BUILDING PERMIT APPLICATION Permit Type: Electrical Permit No. F Q L, " D �� Master Permit No. JOB ADDRESS: 301 N ) ID 1 1,'* k7k / City: Miami Shores County: Miami Dade zip: Folio/Parcel#: I I — 3aot — r)) 3 -- .SIS© Is the Building Historically Designated: Yes NO K Flood Zone: OWNER: Name (Fee Simple f, City: on1l �/ ^ State: Zip: 3 %313 Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: Address: '9 11 L City: 41YLJ Qualifier Name: State Certification or Registration #: —7" /tel/ r—L- zip: �3)3'IF g Phone#: ^% 516� — ? l 3 Certificate of Competency #: Contact Phone#: Email Address: DESIGNER: Architect/Engineer: Value of Work for this Permit: $ , AO (`3 , 00 Square/Linear Footage of Work: Type of Work: ❑Address Description of ❑Alteration ❑New Submittal Fee $ ,- -7,% _ _ Permit Fee $ 1J4 e'®� CCF $ CO/CC $ Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fee $ Structural Review $ DBPR $ Bond Technology Fee $ TOTAL FEE NOW DUE $ ❑Demolition 4r. 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 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. "WAFMING 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. Owner or Agent The foregoing instrument was acknowledged be re me this �� day of �e, 20 �, by S D , who isqSjsonally knov to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: tel" G Print: M , r My Commission Michelle Perez My Commission FF 000321 Expires 04/08/2017 Signatureg2�� Contractor The foregoing instrument was acknowledged before me this day of E -MA -C- > 20 )R, by who is ersonall known me or who has produced as identification and who did take an oath. tG/� APPROVED BY � l , oeY Plans Examiner Structural Review (Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) NOTARY PUBLIC: Sign: Print: My 110tary Public State Of Florida Michelle Perez My Commission FF 000321 F-XPires 04/08/2017 Zoning Clerk 301 NE 101st Street Nichele Cordero CI'm TY LOAD CALCULATION PY C 0 2085 sqft x 3VA= Small Appliance Laundry Dishwasher Microwave Dryer pump Refrig Stove Longman Electric EC 13003713 844 NE 98 Street Miami, FL 33138 PERMIT Q f -U4-± MIAMI SNom "u"E 6255 - 300P -,Y'--`-1 _,; 150b jU 3 p 14 120 120 5000 1500 2000 10000 31655 -10000 21655 x 40% 8662.00 .,kj UECT To COMPUANCE WH ALL FEDER4 -A,TE AM CoUtM JWUS AND MGIU T! _- .. manw- 10000 8662.00 18662 10000 air conditioning 28662 full VA 28662/240 = 119.425 amperage 301 N E 101 st Street Miami Shores, FL 33138 Panel Schedule New Panel in Garage Longman Electric 844 NE 98th Street Miami Shores, FL 33161 EC 13003713 1.) AC 60 Amp 2.) Range 50 Amp 3.) AC 60 Amp 4.) Range 50 Amp 5.) A/C Compressor 40 Amp 6.) Dryer 30 Amp 7.) A/C Compressor 40 Amp 8.) Dryer 30 Amp 9.) Washer 20 Amp 10.) W/H 30 Amp 11.) lighting 20 Amp 12.) W/H 30 Amp 13.) Pump 20 Amp 14.) Lighting 15 Amp 15.) Pump 20 Amp 16.) Lighting 15 Amp 17.) Spare 15 amp 18.) Lighting 20 Amp 19.) Lighting 15 amp 20.) Refrig 20 Amp CERTIFICATE OF LIABILITY INSURANCE 6/27%2014 TMS 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 CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the cwt flcate holder Is an ADDITIONAL INSURED, the pollcy(les) must be endorsed. B SUBROGATiONIS WANED, 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 certificate holder in lieu of such endomemert(s). PRODUCM PAYCHEX INSURANCE AGENCY INC 210705 P: F:(888) 443-6112 PO BOX 33015 SAN ANTONIO TX 78265 ACT ( caC.nm (888) 443-6112 EmsR ADDREss: INSURMS)AFFORDINGCOVEMM NAICe WARERA: Twin City Fire Ins Co 29459 finuaw LONGMAN ELECTRIC INC 844 NE 98TH ST MIAMI FL 33138 INsulmzTa: INSURER C : TNSURERD: INSURME: 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 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. AM LTR TYPEOFEWURANCE ADDL SORB POLICYNUAMER POLICYEFF (AMOD)YFFY) POLICPEXP ,am COMMERCIAL GENERAL LW01LITY CLAIMS -MADE ❑OCCUR GEWL AGGREGATE LIMIT APPLIES PER: POLICY[:] JECT ❑LOC OTHER !! EACH OCCURRENCE S DAMAGE TO RENTED $ PREMISES EeoaaMwm MED EXP (My we Panwn) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP/OP AGG AUTOMOBILE LUUHLnT ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUT NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ee acddwd) S BODILY INJURY (Per pewon) S BODILY INJURY (PeraaideM) PROPERTY DAMAGE (Per aeddeart) UMBRELLA LIAB EXCESS LUU3 OCCUR CLAIMS•MADE EACH OCCURRENCE AGGREGATE DEO RETENTION $ W0REMC0"A?B Mx AND&IMLOYRWLUBII"Y PROPRIErOWPARTNER/EXECUTIVE YIN OFMCERIMEMSER EXCLUDED?A (MhrMa[mylnA" 0 DESCRIPTION Odescrilbe uFF OPERATIONS below wA 76 WEG IX1296 05/01/2014 05/01/2015 OTti- UfE ERANY VLEAAC ACCIDENT 1,000,000 SE -EA EMPLOYEE S1, 000, 000 DISE - PWCY UMIT $1, 00 0, 000 DMCWTM OFOPER MM/LOCAWM/WMLLFss (ACORD IOI, AdMOBW Rags SchWWe, may be aaachW M more apmm Ia raquUed) Those usual to the Insured's Operations. LIC# EC13003713 CERTIFICATE HOLDER CANCELLATION ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUMOROW REPRESENTATWE Miami Shores Village 10050 NE 2ND AVE MIAMI SHORES, FL 33138 !! ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD