EL-15-1111Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-236973 Permit Number: EL -5-15-1111
Scheduled Inspection Date: June 22, 2015 Permit Type: Electrical - Residential
Inspector: Devaney, Michael Inspection Type: Final
Owner: RITTER, STEVEN Work Classification: Solar
Job Address: 29 NW 105 Street
Miami Shores, FL 33150-1241 Phone Number
Parcel Number 1121360050300
Project: <NONE>
Contractor: CUTLER BAY SOLAR SOLUTIONS Phone: (786)457-5958
Building Department Comments
INSTALLATION OF 4 KW PHOTOVOLTAIC AND DHW mtractio rassea comments
SYSTEM I
INSPECTOR COMMENTS False
Passed
Failed
Correction
Needed
Re -Inspection
Fee
J
n
No Additional Inspections can be scheduled until
re -inspection fee is paid.
Inspector Comments
CREATED AS REINSPECTION FOR INSP-236431. CREATED AS
REINSPECTION FOR INSP-236309. Grounding conductor is # 10 nOt #
8.Strapping is not compleat.
Need a rain tight hub on the side of the panel where the consentric K. O. is
broke
June 19, 2015 For Inspections please call: (305)762-4949 Page 17 of 21
Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NW
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Parcel Number Applicant
29 NW 105 Street 1121360050300
Miami Shores, FL 33150-1241 Block: Lot: STEVEN RITTER
Owner Information Address Phone Cell
STEVEN RITTER 29 NW 105 ST
MIAMI SHORES FL 33150-1241
Contractor(s) Phone Cell Phone
CUTLER BAY SOLAR SOLUTIONS (786)457-5958
of Work: INSTALLATION OF 4 INV PHOTOVOLTAIC A
onal Info:
ification: Residential
ling: 6
Fees Due
Amount
CCF
$8.40
DBPR Fee
$7.35
DCA Fee
$7.35
Education Surcharge
$2.80
Permit Fee - Additions/Alterations
$490.00
Plan Review Fee
$40.00
Plan Review Fee
$30.00
Scanning Fee
$18.00
Technology Fee
$11.20
Total:
$615.10
Valuation: $ 14,000.00
Total Sq Feet: 0
Pay Date Pay Type Amt Paid Amt Due
Invoice # EL -5-15-55511
05/12/2015 Credit Card $ 150.00 $ 465.10
06/08/2015 Credit Card $465.10 $ 0.00
Available inspections:
Inspection Type:
Final
ning
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 certify that all the foregoing informatiois ccu to a�idhat all work will be done in compliance with all applicable laws regulating
construction and zoning. Futhermore, I authorize the above -nam ntr r t the work stated.
June 08, 2015
Authorized Signature: Owner / Applicant / Contractor / Agent ua�e
Building Department Copy
June 08, 2015 1
Miami Shores Village
MAY 122015
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138Y' —�
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBC 20 P
BUILDING Master Permit No.��
PERMIT APPLICATION Sub Permit No.
❑BUILDING 0 ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: 29 NW 105 ST
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#:11-2136-005-0300 Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): STEVEN RITTER LIVING TRS Phone#: 305-237-8086
Address: 29 NW 105 ST
City: MIAMI SHORES State: FL Zip: 33150
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name: Cutler Bay Solar Solutions Phone#: 786-457-5958
Address: 8301 SW 184 LANE
City: Cutler Bay State: FL Zip: 33157
Qualifier Name: Raul Vergara Phone#: 786-457-5958
State Certification or Registration M CVC 56957 Certificate of Competency M
DESIGNER: Architect/Engineer: JUAN A. RODRIGUEZ-JOMOLCA R.A. Phone#:
Address: 625 SW 82ND AVE City: MIAMI State: FL Zip: 33144
Value of Work for this Permit: $ 14,000 Square/Linear Footage of Work:
Type of Work: ElAddition Q Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: INSTALLATION OF 4KW PHOTOVOLTAIC AND DHW SYSTEMS
Specify color of color thru tile:
Submittal Fee $ Permit Fee $ AlfweP CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $ TK+
(Revised02/24/2014)
4
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
Zi P.
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 COMMENCE NT.'.'Ifbe �e�,(�e 1 CVfte/ g� 691piv -<Q1 h'V4
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
OWNER or AGENT
The foregoing instrument was cknowledged before me this
day of TI r 20 by
h is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
.�� -- Jeff Dieg o -
Print•
Seal- BU x COMMISSION # FF181160
EXPIRES: December 4. 2018
www.AARONNOTARY.COM
APPROVED BY�3 /� Plans E
Structu
(Revised02/24/2014)
L
Signature 0 V�
CONTRACfbR
The foregoing instrument s acknowledged before me this
day of 20 —� by
who is personally known to
me or who eas produced := as
identification and who did take an oath.
NOTARY PUBLIC:
Print: 1p 77" V/ Il r.W)
Seal:4�►��l���a�� Jeff Diego
�'• COMMISSION # FF181160
EXPIRES: December 4, 2018
xaminer �� �`�` ✓� _Zoning
ral Review Clerk
p�� du o0
cufler lar mum__.
4pay Kpil;
u� IN 7'F_..,
(®'
MAY 12 2015
.'.
05/11/15
State of Florida
County of Miami -Dade
Before me this day personally appeared Raul Vergara who, being duly sworn, deposes and says:
That he or she will be the only person working on the project located at 29 NW 105 St. Miami Shores 33150
Sworn (or affirmed) nd subscribed before me this 11th day of May 2015 by
Raul Vergara
Personally known or produced Identification FI. Drivers license
"- Jeff Diego
"• ;�: COMMIO N # FF181160
' EXPIRES: December 4, 2018
www.AAaoNNoTARY.com
Jeff Die o
WWW.CUTLERBAYSOLARSOLUTIONS.COM (786) 457-5958 / (305) 299-5624 8301 SW 184 LANE CUTLER BAY, FL 33157
RAULCCDCUTLERBAYSOLARSOLUTIONS.COM / JEFF CUTLERBAYSOLARSOLUTIONS.COM
MAY 2 2®1�
Miami shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Notice to Owner —Workers' Compensation Insurance Exemption
Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05
allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to
obtaining a building permit. Pursuant to the Florida Division of Workers' Compensation Employer Facts Brochure:
An employer in the construction industry who employs one or more part-time or full-time
employees, including the owner, must obtain workers' compensation coverage. Corporate officers
or members of a limited liability company (LLC) in the construction industry may elect to be
exempt if:
1. The officer owns at least 10 percent of the stock of the corporation, or in the case of
an LLC, a statement attesting to the minimum 10 percent ownership;
2. The officer is listed as an officer of the corporation in the records of the Florida
Department of State, Division of Corporations; and
3. The corporation is registered and listed as active with the Florida Department of
State, Division of Corporations.
No more than three corporate officers per corporation or limited liability company members are
allowed to be exempt. Construction exemptions are valid for a period of two years or until a
voluntary revocation is filed or the exemption is revoked by the Division.
Your contractor is requesting a permit under this workers' compensation exemption and has acknowledge that he or she will not use
day labor, part-time employees or subcontractors for your project. The contractor has provided an affidavit stating that he or she will
be the only person allowed to work on your project. In these circumstances, Miami Shores Village does not require verification of
workers' compensation insurance coverage from the contractor's company for day labor, part-time employees or subcontractors.
BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS
CONTENTS.
afow=`a�a'•
I
State of Florida
County of Miami -Dade 1
The foregoing was acknowledge before me this oK $ day of Ate` 1( , 20
By 5 4 eye_IIn R 1#0_(1 who is personally known to me or has produced
I. T)r^. b.l C Q�,� as identification. 'T,
ii'yr Denis
/ ���,� a Ver ara
Notary: Den_ 15 Vex Clo(`CL ?�c x = CQMMISSIQAI g
I F�181379
EXPIRES. D=Mbe
�e�,a _• - a� r 4.2018
SEAL: yfc"'"`' �•-,';ngF„u���`�� WWW.AARONNOTARY.COM
�_ L_,)ds--Its t
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Solar Installation Requirements
Check type of Solar System to be installed:
X Solar Thermal
Required Inspections:
PLumbing Solar Final
Electrical Solar Final
Structural Solar Final
Owner Notification:
)( Solar Electrical
Required Inspections:
Electrical Solar Rough
Electrical Solar Final
Structural Solar Final
❑ Solar Hybrid
Required Inspections:
Electrical Solar Rough
Electrical Solar Final
PLumbing Solar Final
Structural Solar Final
Installation of roof mounted photovoltaic or solar support systems typically require roof system
Penetrations to allow attachment to the structure which may create additional long-term roof
system maintenance requirements and/or jeopardize roof system manufacturer's warranties.
Roof mounted solar systems generally required removal and reinstallation of solar panels/arrays
in order to perform routine roof system maintenance, repair or replacement.
I hereby acknowledge that I have read and understand the above notification on this a
day of fJci , 20J_S_.
Print owner name 151e ue. v) R I
Owner signature
Property address ST , Miami Shores, FL
Permit #
Denise Ver ara Notary stamp Print Notary Name DeT)_Se Vec OcO�-
,�� COMMISSION # FF181179
-0EXPIRES: December 4, 2018
10 www.AARONNOTARY.COM
JUN/08/2015/MON 11:46 AM FAX No. P.001/001
CERTIFICATE OF LIABILITY INSURANCE DATE(MM1DDlYYYY)
06/08/2015
.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), AUTHORt7.ED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terns and conditions of the policy, certain policies may require an endorsement. A statement on this certificate doss not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER
CONTACT
Choice One Network
PHONE .(305)252-1873 V W.1-505)677-7112
18400 Franjo Road
E-MAIL ]Ud chotceone.us
Miami FL 33157
INSURER(S) AFFORDING COVERAGE NAIC B
NSU : Maxum Indsmni ompany 26743
INSURED
Raluna Solar Energy Solutions Inc.
INSURER B
dba Cutler Bay Solar Solutions
INSII C:
8301 SW 184 Lane
JNSURFR D.,
Cutler Bay, FL FL 33157
INSURER E:
COVFRAr;FC 1-==�rc,i.A-rr .
INSURER F:
•+—IN -. -, A L ,1§v1i1pr-M: 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. NOTWITHSTAN13ING ANY R5QUIRI=MENT, 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.
INSR DDL SUS
L TYPE OF INSURANCE POLICY NUMBER PfflOL[CDY EPF POO
P LIMITS
COMMERCIAL GENERAL LIABILITY
EACH OCCURRENCE$1,000,000
A CLAIMS•MADH � OCCUR DAMAGE TO RENTED -28F 1AFS (Fa 8100,000
BD00081823-02 05/14/2015 05/14/2016 MED EXP (Anyone amoni 55,000
E NAL & V INJURY ,$1,000,000
GEN AGGREGATELIMIT APPLIES PER; 09NERAL AGGRWATE s2.0milou
X POLICY ❑ J� E LOC
PRODUCTS -COMP PAGG$2,000,000
I
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $
ANYAUTO BODILY INJURY (Lr p..)ALL $
AUTOS OWNED SGHSDAUTOS BODILY INJURY (Pet acddent) $
HIREDAUTOS NON OWNED OPERTYDAMAOE
AUT09 $
UMBRELLA I Wg OCCUR EACH OCCURRENCE
EXCESS LLAB CLAIMS -MADE
AGGREGATE
DED F RETENTION
WORKERS COMPENSATION $
AND EMPLOYERS- L MIWTY oTH
Of,EMSWPMEMBER ti(4 UDEE b�CUnVE NIA E L. EACH ACCIDENT $
(Mandatory In NH)
If ygc dsscribv undsr E.L. DISEASE - EA EIIPLOYEE
EL DISEASE •POLICY LIAr11T $
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Addluonar Remarks Schedule, may be attached If more space Is requlred)
BI/PD $500 DEDUCTIBLE PER OCCURRENCE.
15404-01 Metal Dealers or Distributors - nonstructural.
12362-01 Distributors - no food or drink - Not Otherwise Classified.
81581-01 Contractors - subcontracted work, in connection with construction, reconstruction, erection or repair - not buildings - Not Otherwise
Classified.
CERTIFICATE HOLDER
Miami Shores Village SHOULb ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
10050 NE 2ND AVENUE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
MIAMI SHORES, FL 33138 ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE /d A eLl>
®1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD
JUAN A. RODRIGUEZ-JOMOLCA, R.A.
LICENSED ARCHITECT #:AR6691
625 SW 82ND AVE,
MIAMI, FLORIDA, 33144
TEL (305) 461-2188 FAX (305) 461-2238
TO WHOM IT MAY CONCERN:
SUDJECT: CERTIFICATION LETTER
PROJECT: Steve Ritter
ADDRESS: 29 NW 105 st
Miami Shores 33150
SYSTEM: PV SYSTEM
JUN 0 1. 2015
5/29/2015
I CERTIFY THAT THE INSTALLATION OF THE PHOTOVOLTAIC SYSTEM WILL NOT
EXCED THE WEIGHT OF 866.4 lbs.
AREA OF SOLAR ARRAY: 216.6sq.-ft
WEIGHT PER SQ. -FT: 41bs.
TOTAL WEIGHT OF ARRAY: 866.4 lbs.
EXISTING ROOF DETAILS:
ROOF: WOOD
CONSTRUCTION: RAFTERS
SPECIFIC GRAVITY: 0.50
WOOD TYPE: SPRUCE, PINE
SOLAR SYSTEM DETAILS:
TOTAL NUMBER OF MODULES: 12
TOTAL NUMBER OF SOLAR WATER COLLECTORS: 1
LIVE LOADS:
LIVE LOADS ASSOCIATED WITH PHOTOVOLTAIC SYSTEMS ARE USUALLY
ASSUMED TO BE DISTRIBUTED UNIFORMLY AND ARE SMALL, ON THE ORDER OF
4 PSF OR LESS.
AS AN EXAMPLE, FOR AN ARRAY HAVING AN AREA OF 158.04 SQ. -FT., THE TOTAL
UPLIFTING (RESULTANT) FORCE ACTING ON THE ARRAY WOULD BE -30.6 PSF X
158.04 SQ. FT. =-4,836.024 LB. KNOWING THIS RESULTANT FORCE, THE DESIGN
ENGINEER CAN NOW DETERMINE THE NUMBER OF ATTACHMENT POINTS AND
THE SIZE OF THE MOUNTING HARDWARE NECESSARY TO SAFELY CARRY THIS
LOAD.
Page 1
Miami, Shores Village
Building Department
10060 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
5,lb`Pr
Permit No:
Structural Critique Sheet
Page 1 of 1
STOPPED REVIEW
Plan review is not complete, when all Items above are corrected, we will do a complete plan review.
If any sheets are voided, remove them from the plans and replace with new revised sheets and include one.
set of voided sheets in the re -submittal drawings.
Mehdi Assaf