EL-13-557Miami Shores Village
Building Department
g
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
Permit Type: Electrical
FBC20V
is"
Permit No.�
Master Permit No.
JOB ADDRESS: 21 % liI a 1 A M l01
ll
City: Miami Shores County:
Folio/Parcel#:
Is the Building Historically Designated: Yes
OWNER: Name (Fee Simple
NO "d Flood Zone:
City: u,State: Zip: 5 "�
—�
Tenant) ,essee Name: Phone#:
Email:
CONTRACTOR: Company Name: vw �I �� � vUl C t Phone#:
Address: 15M /1, �w
City: A.. ! State:
Qualifier Name: 0 0 if&C-ers f. -,?Wl PW Phone#:
State Certification o, rcegistration #:�®�®� Certificate of Competency #:
Contact Phone#: Pr Imo=( f 9 ( Email.Addrz&sL-
DESIGNER: Architect/Engineer:
Value of Work for this Permit: $ ° 'r' Sgilarie/Liri'eair F
Type of Work: UAddress
Description of Work: _
, , a.:;; 'f
UAlteration UNew
`5
Ione#: D `
>air/Replace ODemolition
AG® A?M4C-`- e'O-N
Submittal Fee $ Permit Fee $ /6 �� ®y CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
Technology Fee $
OR
TOTAL FEE NOW DUE $ ` Iq
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.
"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 and a reinspection fee will be charged.
Signature Signature r
caner or Argent � Contractor
The fore oing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of 20 a, by day of °`� , 201, b
who is personally own to me or who has produce - (�Vl o is personally known t e or who has preduced
(-t Ose As identificati--nom=''-- ,UA y-Um—.i& — — — — — as identification and who did take an oath.
.04 ef�y TILSON A RODRIGUEZ v'
NOTARY PUBLIC: ,.p � �,., N T Y PUBLIC:
�= Notary Public - State of Florida
My Comm. Expirps Mar 19, 2016
Commission # EE 180873 c,
f � j_ et;E�
xp2016My Commission Expires: 63 16 -V � K M Commission96h National Notary Assn.
APPROVED BY �� ` AeAlZPlans Examiner Zoning
Structural Review Clerk
(Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)
SCOPE OF WORK
NEW ELECTRICAL SERVICE
FOUND VY IRON d
PIPE NO ID FENCE r%
POST: 0A NORTH
120.00'
LOT 2 BLOCK 1
RECTOR SUBDMSION
PLAT BOOK 48 PAGE,
MIAMN)ADE COUNTY RECORDS
SITE PLAN
LEGAL DESCRIPTION:
LOT 1, BLOCK 1 OF "RECTOR SUBDIVISION" ACCORDING
TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOK
45, PAGE 1 OF THE PUBLIC RECORDS OF MIAMI-DADE
COUNTY, FLORIDA.
FOLIO: 11-3101-014-0010
OCCUPANT CLASSIFICATION
R-3
TYPE OF CONSTRUCTION
TYPE V B
FBC 2010
SITE DATA
ZONING CLASSIFICATION A-1
RAINWATER SHALL BE RETAINED WITHIN
PROPERTY LINE (OR ON SITE)
►RLES MITCHELL
N. FEDERAL HWY
,LYWOOD, FL. 33020
SMOKE DETECTOR NOTES PROJECT:
_ _ _ _ ` _ _ '
SMOKE DETECTORS SHALL BE PROVIDED IN EACH BEDROOM AND HALLWAY NEW ELECTRICAL SERVICE
AND SHALL BE HARDWIRED TO SWITCHES CONNECTED TO BATHROOM OR
KITCHEN LIGHTING CIRCUITS, INTERCONNECTED AND BATTERY BACK-UP.
ELECT. PNL. SCHED. ADDRESS:
9148 N. MIAMI AVE.
CIRCA LOAD WIRE COND. BREAK VA REMARKS MIAMI SHORES, FL.
33150
=26.00' N
1,3 HWH #10 3/4" 30 4500
R
C 1=3914 I I 2,4 DRYER #10 3/4" 30 5000 OWNER.
NANCY AQUILINO
5 WASHER #12 1/2" 20 1500
I 6,8 RANGE 06 1" 50 12OW
LIGHTS
POLE SERVICE � 7 REFRIGERATOR #12 1/2" 20 1500
p+ $ I 9
DISH WASHER #12 1/2" 20 800
W
ss
Z 10-16 GEN. LIGHTJRECEP. #12 1/2" 20 6,064 2028SQFT x 3W/SF
17,18
SMALL APPLIANCE #12 1/2" 20 3000
a ; 18,20 AHU #6 1" 30 4800 DATE:
qi 21,23 CU #10 3/4" 30 2500 DRAWN 8Y: JB
! a
'•., = 1$ 25 SMOKE DETECTORS #92 1/2" 20 800 APPROVED BY:
FOUND,Pd'1RON , REVISIONS:
POST:0 D NORTH
I C MAR 2 5 2 1�
POST: 09' NORTH '
�i
z
In
ELECTRICAL NOTES LOAD CAMSEAL:
f3'#2/0 THW W. Od i C
1. ALL ELECTRICAL WORK SHALL BE IN ACCORDANCE WITH THE TOTAL LOAD = 33684
NATIONAL ELECTRICAL CODE AND ALL APPLICABLE LOCAL CODES IST 10000 ® 100% = 10000 1
2 CORDINATE ELECTRICAL. SERVICE WITH FLORIDA POWER AND
LIGHTCOMPANY REM 23664 040% = 9474 ,BOA
CiTY
3. ALL TELEPHONE RELATED EQUIPMENT PER TELEPHONE COMPANYSPECIFICATIONS AIC LOAD = 7300 _ 841OUNDARN.
IDCU.1N 1/TCTO4. ELECTRICAL INSTALLATION DESIGN OF THIS PLAN IS IN TOTAL = 28774WPSW GRD. RODS TTAD TOUCT. STL O4 COMPLIANCE AS SET FORTH BY THE STATE OF FLORIDA LDGC pf
STATUTES MODEL ENERGY EFFICIENCY (ODES. 28774 f240 = 111.6 A
5. THE CONTRACTOR WILL EIAMINE THE JOB SITE AND DETERWNE USE 160 A SERVICE - .r - J
FOR
�HW}S� PRIOR TO SUBMISSION OF BID, EXISTING • r
V
6. ALL ELECTRICAL WORK SHALL BE PERFORMED BY LICENSED
ELECrICALCONTRACTOR. rrWILL BE0RESPONSA1KPTo Miami Shores Village
SECURE AND PAY FOR ANY PERMITS, CERTIFICATES OF
INSPECTION, ETC APPROVED BY DATE
7. SUBSTITUTE MATERIALS, EQUIPMENT OR METHODS SHALL NOT
BE MADE WITHOUT APPROVAL OF THE ENGINEER. F THE USE OF D N I NC DEPT SHEET NO.
A SUBSTITUTE IS REQUIRED
r i..DG DEPT �2
I r_sz
a 0 CC 14181 41NCE W11T14 AI_I FEUERAL
�I f r�"wL=S AN9 REGULATIONS