EL-15-1002Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-234847 Permit Number: EL -4-15-1002
Scheduled Inspection Date: May 18, 2015 Permit Type: Electrical - Residential
Inspector: Devaney, Michael
Owner: JOHNSON, KRISTY
Job Address: 357 NE 97 Street
Miami Shores, FL
Project: <NONE>
Contractor: MOODY ELECTRIC INC
Isuna
comments
NEW 200 AMP SERVICE UPGRADE
Inspection Type: Final
Work Classification: Service Change
Phone Number (305)539-7249
Parcel Number 1132060135750
INSPECTOR COMMENTS False
Inspector Com
Passed
i
v
Failed V."?,
Correction ❑
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
Phone: (305)758-2000
May 18, 2015 For Inspections please call: (305)762-4949 Page 21 of 28
4s rr
Miami Shores Village
CCF
10050 N.E. 2nd Avenue NE
DBPR Fee
$2.25
Miami Shores, FL 33138-0000
�LORivp`
Phone: (305)795-2204
Expiration: 101 1 015
Project Address Parcel Number Applicant
357 NE 97 Street 1132060135750
KRISTY JOHNSON
Miami Shores, FL Block: Lot:
Owner Information Address Phone Cell
KRISTY JOHNSON 357 NE 97 Street (305)539-7249
MIAMI FL 33138-
Contractor(s) Phone Cell Phone
MOODY ELECTRIC INC (305)758-2000
of Work: NEW 200 AMP SERVICE UPGRADE
itional Info:
;sification: Residential
nning: 1
Fees Due
Amount
CCF
$1.80
DBPR Fee
$2.25
DCA Fee
$2.25
Education Surcharge
$0.60
Permit Fee - Additions/Alterations
$150.00
Scanning Fee
$3.00
Technology Fee
$2.40
Total:
$162.30
Valuation: $ 2,400.00
Total Sq Feet: 0
Pav Date Pav Tvue Amt Paid Amt Due I
Invoice # EL -4-15-55347
04/29/2015 Check #: 2177
$ 162.30 $ 0.00
Available Inspections:
Inspection Type:
Review Electrical
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are
required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS AFFIDAVIT: I ceify thrall he foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and,zonjaq. Fut ermo authorize the above-named contractor to do the work stated.
129, 2015
Authorizeddgaaatucc:Owner / Applicant / Contractor / Agent uate
Building Department Copy
April 29, 2015 1
BUILDING
PERMIT APPLICATION
Miami Shores Village WRT
Building Department APR 28 2015
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972 -
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBC 20A�-5
Master Permit No. Etj "'�z I ocn—,
Sub Permit No.
❑BUILDING )� ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF CANCELLATION ❑ SHOP
J CONTRACTOR DRAWINGS
JOB ADDRESS: " Sir f c,
06 D. 13 5'iS"C) Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): Kr `S 3UAB w-� Phone435--;) 13 "S3 a
Address: ive
I-Tit-
City:
1 � /
City: ikA-n i �� 1f1 ores State: Zip: _3313
3
Tenant/Lessee Name: n I /i- Phone#:
Email: �10Inn5� �'�`r,l�ll • C!/�
CONTRACTORi': Company Name: oA, Efec+'6 c. I n c- Phone#: -2x)5;'7ac-S'� QAddress: 66 q 10 to q6 St
City: oil
Qualifier Name:
State Certification or Registration #: Vcru d Certificate of Competency #: _
DESIGNER: Architect/Engineer: A Phone#:
Zip: 33/5-6
Address: City: State:
Value of Work for this Permit: $ 'Square/Linear Footage of Work:
Zip:
Type of Work: ❑ Addition ❑ Alteration ❑ New Utepair/Replace ❑ Demolition
Description of Work:
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ Q'So CCF $ CO/CC $
Scanning Fee $
Radon Fee $ DBPR $
Technology Fee $ Training/Education Fee $
Structural Reviews $
(Revised02/24/2014)
Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $ �6 2 g 3 jo
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State
0
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 ELECTRIC, PLUMBING, SIGNS, POOLS,
FURNACES, BOILERS, HEATERS, TANKS, 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 reinspection fee will be charged.
c���
Signature Signature
WNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this
t� f day of DOI p _ I 20 0 by
who is personally known to
Me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Print:
The foregoing instrument/was acknowledged before me this
day of d� dam% 20 / , by
-,)6A Awho is personally known to
me or who has produce as
identification and who did take an oath.
NOTARY PUBLIC:
Print:
•t I' MY COMMiswury
Seal:' .. as EXPIRES April 28, 2018 Seal: ' �•+••c Y Notary Public -State o1 Florida
a My Comm. Expires May 11, 2018
,do", SM -0183 Flodq o Service.com-;;Fu S Commission # FF 120746
************************************************************************************************************
APPROVED BY "/APAA0/ Pians Examiner
Structural Review
(Revised02/24/2014)
Zoning
Clerk
MOODY EL-ECTR/C, INC.
www.moodyelectdc.com
669 N.W. 90 Street - Miami, FL 33150-2166
Tel: (305) 758-2000 Fax (305) 754-1333
DEC 2 i"171�
2" Rigid
3 #2/0 THHN
a
200 -AMP
Main Breaker
250 -Volt
NEMA 3R
#4 THHN
5/8" x 10'
Shoiesywage
r=' nr1A,ED BY DATE
L �� r
T BGG ri
VV f: I ALL FEDERAL
,� r'.JLa.T�nr.1S
In Garage
200 -AMP
M.L.O
Single -Phase
250 -Volt
32 -CCT
Load Center
1
2
" Conduit NEMA 1
3 #2/0 THHN
�- 6 —,
MARY PAT BRIM
_ MY COMMISSION # DD 979267
EXPIRES• May 11, 2014
" T"V Rotary Public Underee a,,
40ODY45CTRIC INC.
C
www.moodyelectdc.com
669 N.W. 90 Street • Miami, Fl. 33150-2166
Tel: (305) 758-2000 Fax (305) 754-1333
e� l2s � hv,�,✓
3Si 7:5T
RESIDENTIAL DEMAND LOAD CALCULATIONS
W / SQ. FT
75 K.W.
REFRIGERATOR
A K.W.
APPLIANCES
® K.W.
DISHWASHER
L K.W.
GARBAGE DISPOSAL
'—' K.W.
MICROWAVE
/, K.W.
CLOTHES WASHER
K.W.
DRYER
K.W.
RANGE
K.W.
WATER HEATER
K.W.
OVEN
K.W.
FREEZER
K.W.
TRASH COMPACTOR
K.W.
GARAGE DOOR MOTOR
K.W.
JACUZZI
K.W.
JACUZZI BOOSTER HTR.
'—' K.W.
IRONING BOARD
K.W.
POOL EQUIPMENT
A' K.W.
SPRINKLER PUMP
K.W.
LANDSCAPE LIGHTS
K.W.
STEAM SHOWER
---' K.W.
A/C WALL UNIT
K.W.
SPARE CAPACITY
• c5 K.W.
SPARE CAPACITY
K.W.
TOTAL CONNECTED LOAD
7 7. K. r
FIRST 10 K.W. @ 100%
REST @ 40%.
A/C @ 65% / MEAT @ 100%
`1, 10.0 K. 42
K.W.
/6 AP.K.W.
TOTAL DEMAND LOAD �K.W
I.W. / 240 VOLT = IV®,,AMPS
MARY PAT BFUMS
MY COM(v W10N # DD 979281
EXF4 ES: Mey 11, 2014
B=fed Thru Ndwy Pub9c Undowk
`GfD . 83
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
BUILDING
PERMIT APPLICATION
FBC 20
Permit Type: Electrical
OWNER: Name (Fee Simple Titleholder): /'
Address: -15-7 VE q 73
i
Dec 13 <2
Permit No. 0--' 0�'— Cq
Master Permit No.
City: !9""LLState: ��/4 Zip:
Tenant/Lessee Name: /lJ Phone#:
Email:
JOB ADDRESS: '15-7 xj',!e !2757-
City:
275/City: Miami Shores County: Miami Dade Zip: J
Folio/Parcel#:
Is the Building Historically Designated: Yes
CONTRACTOR: Company Name:
Address: 646 41A.)
City:
Qualifier Name: :7;;-,4A)
NO Flood Zone:
Phone#: ��,F
State Certification or Registration
s#a L ��� Certificate of Competency #:
Contact Phone#: 5 7!!5;�7 --�4OO Email Address: &eFp�
DESIGNER: Architect/Engineer: Phone#:
Value of Work for this Permit: $ :;�V®® Square/Linear Footage of Work:
Type of Work: ❑Address DAlteration DNew epair/Replace DDemolition
Description of Work: z A
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 $
Bonding Company's Name (if applicable) 9 ,
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: 9
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 ap rove nd a reinspection fee will be,charged.
lgnature Signatu
er Qt� gentContractor
L4
n
The foregoing instrument wa�-a Pwvledgedr before me thisThe foregoing ins trun>�ryvas acknowledged before„ me this
day of -,6/, 20 t oZ �e S �_ _ rt h�a on day of by®�
who is personally known t r who has produced who is personally �1 to me or who has produced '
elttification and who did take an oath. identification and who did take an oath.
NOTARY PUBLI NOTAR VBLIC:
'WA1Wdk bU4tV--
Sign: �— �y�'" Sign:
Isis
Print: Tlqurdo, c Print:
My Commission Expires: `' ' GCIi ttt't"^'^°t 93L994 8SION t 00 TW7
My CommissioExpires Se tember 22 2015 s
S- may 11, 2014
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APPROVED BY / Or Plans Examiner Zoning
Structural Review Clerk
(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)