EL-15-1391 Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-236332 Permit Number: EL-6-15-1391
Scheduled Inspection Date: September 11, 2015 Permit Type: Electrical - Residential
Inspector: Devaney, Michael
Inspection Type: Final
Owner: GAIQUI, MARITZA Work Classification: Generator
Job Address: 1450 NE 101 Street
Miami Shores, FL
Phone Number
Parcel Number 1132050240040
Project: <NONE>
Contractor: ALL QUALITY ELECTRICAL SERVICES, INC Phone: (305)968-7832
Building Department Comments
INSTALLATION OF NEW 36KW FIRED GENERATION Infractio Passed Comments
WITH AUTOMATIC TRANSFER SWITCH. INSPECTOR COMMENTS False
Inspector Comments
Passed
G�
Failed
S
Correction ❑
Needed
Re-Inspection ❑
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
September 10, 2015 For Inspections please call: (305)762-4949 Page 9 of 31
Permit No. EL-6-15-1391
Miami Shores VillagePermit Type:Electrical-Residential
41 t
10050 N.E.2nd Avenue NE � � Work Classificetidn tfleratww
Miami Shores,FL 33138-0000 Per ,
Permit Status:APPROVED
Phone: (305)795-2204
`O1Expiration: OV06/2016
Project Address Parcel Number Applicant
1450 NE 101 Street 1132050240040
Miami Shores, FL Block: Lot: NATASHA GAIQUI &MARITZA G
Owner Information Address Phone Cell
NATASHA GAIQUI &MARITZA GAIQUI & FIRST UNION PO BOX 40062/C MOORE
-- - -- - JACKSONVILLE FL 32231-0062
Contractor(s) Phone Cell Phone Valuation: $ 4,000.00
ALL QUALITY ELECTRICAL SERVICE (305)968-7832
Total Sq Feet: 0
Type of Work:INSTALLATION OF NEW 36KW FIRED GENE Available Inspections:
Additional Info: Inspection Type:
Classification:Residential Final
Scanning:3 Review Building
Review Electrical
Review Electrical
Review Planning
Review Plumbing
Fees Due AmountPay Date Pay Type Amt Paid Amt Due
CCF $2.40 Invoice# EL-6-15-55892
DBPR Fee $14.61 06/08/2015 Credit Card $50.00 $968.62
DCA Fee $14.61
Education Surcharge $0.80 07/10/2015 Credit Card $968.62 $0.00
Permit Fee-Additions/Alterations $974.00
Scanning Fee $9.00
Technology Fee $3.20
Total: $1,018.62
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 A VI : I rtVtha all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
constructio and o ng. uthI authorize the above-named contractor to do the work stated.
July 10, 2015
thorized Signature: ner / Applicant / Contractor / Agent Date
Building Department Copy
July 10,2015 1
Miami Shores Village R.FCExvEt
JUN 0 2015
Building Department BY:
fi 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 --
�� �t Tel:(305)795-2204 Fax: (305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
FBC 20 (d
BUILDING Master Permit NAFL— j5—Off)
PERMIT APP (CATION Sub Permit No.
❑BUILDING ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
C CONTRACTOR DRAWINGS
JOB ADDRESS: /TN ` �0/ /�
City: Miami
?Shores /� �lCjt:/ 7County: Miami Dade Zip: �� `J
folio/Parcel#: [/�'Y L/ y Is the Building Historically Designated:Yes NO
Occupancy Type: `�f' Load: Construction Type: CAA Flood Zone: BFE: FFE:
OWNER: Name(Fee Simple Titleholder): /'"/a`/1-2-4 i�� U Phone#:'?w—s3.�_ / �9 So
Address: IL/-S-6A)JF /Q/ f
City: &CGwAi _ J yy���I U�'C�S State: �l Zip:
Tenant/Lessee Name: Y1 Phone#:
Email: �— --Iq C) r�- —1
I Q/
CONTRACTOR:Company Name: ( L 7�v�! ( C Phone#: / (�
Address: 1Y7 S— 1 f
City: iw z State:_ �� Zip: / 6 7
,
Qualifier Name: Phone#:3cb—96 91 ` S' 3�
State Certification or Registration#: 6 Certificate of Competency#CJ OM O
DESIGNER:Architect/Engineer: Phone#:
Address: �[ City: State: Zip:
Value of Work for this Permit:$ t cm - Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration NeuL -41 Demolition
Description of Work:
Specify color of color thru tile:
Submittal Fee$ , •` �) Permit Fee$ CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$ G� n
TOTAL FEE NOW DUE$ 6
jRevised02/24/2014)
Bonding Company's Name(if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name(if applicable)
Mortgage Lender's Address
City 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 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 and a reinspection fee will be charged.
f
Signatux - _ Signature
OWNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instrum nt was acknowledged before me his
day of %` 20 5 by day of �'ti 20 , by
who i pers�knowho is personally known to
me or who has produced as me or who ha roduced L 2.3/ 23 j �d Y.Z Z 0 as
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC -``
MMU E.DIAZ /
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Print: %E �P6 Print: � .•
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Print, or Stamp Name of Notary y u.anceeooaesao,s
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Type of klentiiicatican Wrca'aced �.
Nt�ftiD@RQ J3,1(�. Plans Examiner l� Zoning \,
TM-AIMEW Clerk
(Revised02/24/2014)
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CHWF0LWM2{LOFFMZR STATE OF FLORIDA
DEPARTMENT OF FINANCIAL SERVICES
DIVISION OF WORKERS COMPENSATION
! "CERTIFICATE OF ELECTIOINI TO 13E EXEMPT FROM FLORIDA VV F1TM LAW`
CONSTRUCTION MIDUSTRY EXEMPTION L
} Tbs NOW that the ISWd below has ebcted th be em..Ptban Florida V*dmW Cin Iai►
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EFFECTIVEDATE. W_4=13 EXPIRATION DATE 8212413
PERSON: LIGHTBOURNE SAMUEL
FEML• 542171753
I BUSINESS NAME AND ADDRESS:
ALL QUALITY ELECTRICAL SERVICES INC
14750 S.RIVER DRIVE
MIAMI FL 33167
SCOPES OF BUSINESS OR TRADE:
ELECTRICAL WRING BURGLAR AND FIRE
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httpsJ/apps8.#ldfs.com/weportviewer/MortViewer.npx?data.=kdvpginc9D7Q3aH6TER6... 7/12/2013
RLV CORP v \
1401 NE 101 St
Miami Shores, FI. 33138
(305) 790-5899
Generac Dealer # 665578
Maritza Gaiqui
1450 NE 101 St
Miami Shores, FI. 33138
Dear Maritza;
RLV CORP is pleased to provide the following proposal:
Description of Work: RLV CORP will provide for a new 36kw Generac model QT03624 Liquid Cooled
Guardian QuiteSouree Series,aluminum cabinet generator with matching Generac 200 AMP Automatic
Transfer Switch (ATS)with Service Disconnect(now required by MSV code).
Installation includes: Placement of generator next to Sauna room west wall,all required gas and electrical
connections between gas and electric meters and generator, installation of 200 AMP Automatic Transfer
Switch placed next to FP&L meter,required gas and electric materials including 600'of 3/0 copper load wire
(3x200'),200' of low voltage control wire,26 R battery, system registration,test and turn up, customer
overview and acceptance. A concrete pad will be poured to support placement of generator with dimensions
of 85" long by 42" wide and 36"high. A bracket will not be required.The generator will be affixed directly
to the pad.
Warranty: RLV CORP warrants generator, ATS, labor,workmanship and materials for 2 years. A 2 year
annual service plan is included with this contract. This plan includes 2 visits per year, oil change,oil filter, air
filter(if needed), fluid check/top off,belt check,system start up/test,and ATS inspection.
RLV CORP will coordinate and supervise all phases of this project from design, installation,testing,and user
acceptance/training. All permitting, engineering fees and any other costs are included with this proposal
Total Job Cost $26,020.
Sales Tax (7%) $1,821.40
Total $27,841.40
Installation Interval: Estimated installation time will take 4-6 weeks barring any unforeseen events
including material shortage,permitting delays,access limitations, acts of God,and/or failure to make
scheduled payments.
A 5001,, deposit ($13,920.70) is required WHEN MSV PERMITS ISSUED and 50% ($13,920.70)
balance due when MSV PERMITS CLOSE.
We look forward to delivering a quality installation for you.
ACCEPTED AND AGREED:
r Date
M�Ktza�Gaiq ufC Prope W ` "er
Date
Robert B. Vickers—President RLV Corp.
Quote valid for 30 days Page 1 of 1 3/8/2015
07/07/2015 23: 25 3056886297 ALLQUALITYELECTRIC PAGE 01/01
i
All Quality Electrical Services, Inc.
14750 S. River Drive Miami, Fl. 331.67
Dade: Lig-9 05E000478 Broward: u,-.4 07-CME-13653-X
Fax # 05)688-6297 Office # (305)968-7832
allg u alkyelecAatt.net
July 8, 2015
To: Miami Shores Building Department
This letter is to inform you that I Samuel Lightbourne will be the person working at any property
where my company obtains d a pernnit to do any electrical work in the City of Miami Sbores
Florida I I .
C-A 7�
amnel�.lghtboor-
President
I _
♦5t!ORE' Li
ones ,,,,,>�, Irl iami Shores Village
Building Department
�ORIDP 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.
Signature: ...... �Z,
Ar
State of Florida
County of Miami-Dade
The foregoing was acknowledge before me this C1 day of V '20
By ftT?Ak� Gm01 who is personally known to me or has produced
�,C1_ ( J CPrE7 S'E as identification.
Notary: _.L�
Notary Public State of Florida
SEAL: Sindia Alvarez
F�'ep
My Commission FF 156750
fpd' Expires09/03/2018
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06/11/2015 23:56 3056886297 ALLQUALITYELECTRIC PAGE 02/02
co o' CERTIFICATE OF LIABILITY INSURANCEDA rm(MM/ D )
PRODUCER Annette Willis Insurance THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
18401 N.W.27 Ave ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER,THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
Miami,FL 33056 MR 1HE COVERAGE AFFOY THE POLICIES
Phone(WS)625-2403 Fax (305)625.6472 INSURERS AFFORDING COVERAGE MAIC#
INSURED ALL QUALITY ELECTRICAL SERVICES, INC INsukrx A: GRANADA INSURANCE COMPANY
AND-':;AMUF=L LIGHTBOURNE IN URER B.
14750 SOUTH RIVERS DRIVE INSURER C:
MIAMI,FL. 33167 ENSURER D:
—-- - INSURER E:
COVERAGES INSURER F:
THE POLICIES OF HLSURANCF USTED HAVE MEN ISSUED TO THE INSURED NAMED ABOVE FOR THE P011CY'PE RIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT,TERRA 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 TERM,EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
ft18R
—ADIYL TYPE OF INSURANCE POLICY EFFECTIVE ICI ICY ERPIRA-HON
POLICY NUMBER pA� p LIMITS
GENERAL LIABILITY EACHOCCURRENCE 1,000,000
®COWAEaRCIALGENF,RAt-L6A0ILITY 0185fl00058653 04/17/15 04/17/16 PR EoENTEnoe 100,000
A ❑❑ CLAW MADE ® OCCUR MED EXP(Any one pxaon) 5,000
❑ PERSONAL&ADV INJURY 1,000 000
❑ GENERAL AGGREGATE 2,000,000
GEN'L AGGREGATE LM+fT APPLIES PER: PRODUCT5•COMP/OPAGG 2,000,000
® POLICY ❑PROJECT ❑ LOC
AUTOMOBILE LuumuTY
❑ ANY AUTO COMBINED SINGLE LIMIT
❑ ALL OWNED AUTOS FA acdclad)
❑ ❑ SCHEDULED AUTOS BODILY INJURY
❑ HIRED AtJTQ$ (R-Pg—,%)
❑ NON OWNED AUTOS BODILY INJURY
❑ (Per accldent>
PROPERTY DAMAGE
(Per aooidsm
D
l AN LIAY AUTOO AUTO ONLY..EA ACCIDENT
❑ AN
❑ OTHER THAN -F-;A ACC
AUTO ONLY; AGG
EXCt:S&VMBRELLALIIABIUTY EACH OCCURRENCE
❑ ❑ OCCUR ED CLAW MADE AGGREGATE
❑ DEDUCTIBLE
❑ REtmWN S
woalceRs co�NsAT1oN AND
EMPLOYERS'LUU31UTY WC STAT ❑ H_
C ANY PROPRIETOR/PARTNER/EXECUTIVEOFFICER/MEMBER EXCLUDED? E.C.EACH ACCIDENT
If Yes,dewzibe under Rl-03FAZE-EA EMPLOYEE
SPECIAL PROVISIONS below E.L DISEASE-POLICY LIMIT
OTHER --_ ......_.—
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
ELECTRICAL WORK
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES DE CANCELLED BEFORE THE
0"RATIQN DATE THEREOF,THE ISSUING INSURER WELL ENDEAVOR TO MAIL
MIAMI SHORES VILLAGE 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO
BUILDING DEPARTMENT THE LEFT,BUT FAILURE Teo DO 00 8"ALL IINIP0311 NO OBLIGATION OR LIA®LrTY
10050 NE 2ND AVENUE OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRH8ENTATIVBB.
MIAMI SHORES, FL 33138 AU I MORIZEDREPRESENTATRe - " --
ACORD 25(2001/013)QF A8 ACOIRO CORPORATION 1988
07/0612015 07:06 3056886297 ALLQUALITYELECTRIC PAGE 02103
JEFF ATWATER
cNEF FWANCIIAL OFFICER STATE OF FLORIDA
DEPARTMENT Of FINANCIAL SERVICES
DIVISION OF WORKERS,COMPENSATION
"CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS'COMPENSATION LAW*'
CONSTRUCTION INDUSTRY FXEMPTION
This certifies that the individual listed below has elected to be exempt from Florida Workers`Compensation law.
EFFECTIVE DATE: 7/6/2015 EXPIRATION DATE: 7/5/2017
PERSON: LIGHTBOURNE SAMUEL
FEIN: 542171753
BUSINESS NAME AND ADDRESS:
ALL QUALITY ELECTRICAL SERVICES INC
14750 SOUTH RIVER DRIVE
MIAMI FL 33167
SCOPES OF BUSINE33 OR TRADE:
LICENSED ELECTRICAL
CONTRACTOR
Pu L-9 to Chspter 440.0504),F.S..an otficer of a corporation who elects exemption from this chaplor by filing a oeMceta of eiemon under this sedion
�y not recover DeneUtE or torr Wsalion ruler ttfm chapter.Pursuant to CI>epter 440.05(12),F.5.,Certificates of election to be exempt..apply orgy
within the stype of thin business or tracts listed on the notice of eleglon to De exempt,Pursuant to Chapter 440.05(93),F.S.,Notices ofeledl0fl to tx
exempt and eertifioatRs of election to be exempt shall be sublett to revocation if,at any time Eder the filing of the noD4ti of g!e lksuarxa of the certificate,
Cts person named an the notice or rerlff ate no longer mo is the requirements of this section for tasuance of a certificate.The department shall revoke a
DFS-172,13WC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS?(850)4131609
07/06/2015 07:06 3056886297 ALLQUALITYELECTRIC PAGE 03/03
v
CERTIFICATE OF LIABILITY INSURANCE DAT05/0E(M6/Dn1YY)
6/15
PR60M ER Anreft Willis Insurance THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
IU01 N-W,27 Ave ONLY AND CONFFRS NO RIGHTS UPON THE CERTIFICATE
HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
Miami, 33056 ALTER THE C E AFFORDED BY THE ELpyy,
pltDne ( 0�5)�625-Z403 Fax (305)625$172 INSURERS AFFORDING COVERAGE NAIC 0
INSURED ALL QUALITY ELECTRICAL SERVICES, INC INSURER A: GRANADA INSURANCE COMPANY
AND SAMUEL LIGHTBOURNE INS B:
14750 SOUTH RIVERS DRIVE IN RER C:
MIAMI, FL_ 33167 IN URE D:
INSURED E:
COVERAGES I INSURER F;
THE POLICIES 41=INSURANCE LISTED HAVE bitk LcStJED 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 Tm*CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCI.USIONSAND CONDITIONS OF SUCH
POLICIES.AGGREGATE LIMITS SHOINN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
IN8rR INSRD ADD'L TYPE OF INSURANMCE POIJCY EWECTNE POLICY EXPIRAtION
PsOLICV NUMBER DATB MNIM DATE MM/bb[Vy LIMITS
GENERAL LIABILITY
EACH OCCURRENCE 1,000,000
®COMMERCIAL GENERAL LIABILITY Oi85flOQ058653 04/17/15 DAMAGe ORE 'I D5"
04/17/16 PREMMSES Ea occurerice 100,000
A ❑❑ CLAIMSMADE R OCCUR MED EXP(Anyone person) x,000
r7 PERSONAL&ADVINJVRY 1,000,ON�
❑
GENERAL AGGREGATE 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER; PROQUCTS-COMP/OP AGG 2,000,
�0
® POLICY ❑PROJECT ❑ LOC
AUTOMOBILE LIARLITY
❑ ANY AUTO COMBINED SINGLE LIMIT
ALL OWNED AUTgS
E8aCti1"-
❑ SCHEDULED AUTOS BODILY INJURY
❑
T❑ HIRED AUTOS Per psman)
❑ NON OWNED AUTOS BODILY INJURY --
❑ (Per sadOwp
PROPERTY DAMAGE
Per accident)
GARAGE LlneluTY DENT
❑ ❑ ANY AUTO AUTO ONLY-F i ACCI
�] OTHER THAN ,EA ACC
AUTO ONLY: AG
F7ICE�M1IMa3RELa,q LJABILI7 Y EACH OCCURRENCE
❑ ❑ OCCUR ❑ CLAW MADE AGGREGATE
❑ DEDUCTIBLE
❑ RETENTION S
WORKERS GOMPENSATM AND
EMPLOYERS,LIANI-try WCY TATU ❑ OTH-
C
ANY PROPRIETOR/PARTNER/EXECUTIvE ..EACH ACCIDENT FR
OFFICER/MEMBgR EXCLUDED? E.
If Yes,dowrtbea�rder E-L,DISEASE-EA EMPLOYEE
rlSPECIAL PROM MNS below
OTH ERR E.L.DISEASE-POLICY LIMIT
DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES/EXCLUSIONS ADDED BY ENDORSFURNT/SPECbAL pROyI,qIONS
ELECTRICAL WORK
CERTIFICATE MOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
MIAMI SHORES VILLAGE EX RATI DAYS WWRRTEN NOTICE'SWING CER�ICpTE��R T L
BUILDING DEPARTMENT THE LEFT,BUT FAILURE To DO SO SHALL IMPOSE NO O3LIGATIQN OR LIABILITY
10050 NE 2ND AVENUE OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES.
MIAMI SHORES,FL 33138 AUTHORIZED REPRESENTATIVE
ACORD 25(2001/G8)QF
®ACORD CORPORATION 7889
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Job Address Job Description: Contractor Information
1250 NE 101st All Quality Electric
Miami Shores, FI. 33138 Pour Concrete Pad for 14500 NW 16 Ct
Owner Information 36kw NG fired Generator Fl. 33167
Pad weight = 1,200 lbs or greater Miami,
Residence of Maritza Gaiqui 305-968-7832
Notes: Combined height of generator and slab will be 82"
85" long 36" height
42" Wide
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HOLE (4) PLACES LOCATED • • •CEP?[ FZ OF: • • •
ON BOTTOM OF GENERATOR 0 • • • 000 •• OIL FILL CAP EITHER DOOR
WEIGHT DATA MOUNTING FRAME GRA ITY OIL DIP STICK THRU RIGHT DOmt
755.6 [29 3/4']
WEIGHT SHIPPING
ENCLOSURE YE IGHT (VOODEN SHIPPING�� '
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FOR CONCRETE PAD GUIDELINES. L 58.5
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2) ALLOW SUFFICIENT ROOM ON ALL SIDES OF THE GENERATOR FOR MAINTENANCE g_�
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cn n APPLICABLE NFPA 37 AND NEPA 70 STANDARDS AS WELL AS ANY OTHER FEDERAL, 102 REPLACEMENT PART LISTINGS
- STATE AND LOCAL CODES FOR MINIMUM DISTANCES FROM OTHER STRUCTURES. 1q•7 SEE NOTE 4
H * 3) CIRCUIT BREAKER INFORMATION, 1750 168 7/8'7 TYP lOD
SEE SPECIFICATION SHEET WITHIN OWNERS MANUAL MOUNTING HOLES TYP
4) INSIDE STUB-UP AREA FOR AC LOAD LEAD CONDUIT CONNECTION, NEUTRAL BATTERY 12 VOLT 26F TOP VIEW
to CONNECTION, BATTERY CHARGER 120 VOLT AC (.5 AMP MAX.) CONNECTION, AND 525 COLD CRANKING AMPS
m ACCESS TO TRANSFER SWITCH CONTROL WIRES, REMOVE FRONT COVER FOR ACCESS. VISE ACTION LATCH,
3 3 4A) FIELD CUT HOLE IS ONLY REQUIRED FOR MOUNTING OF GENERATOR ON AN 1950 176 3/4'1 ONE PER DOOR, ONE LIFT-OFF
N EXISTING PAD. 1139 144 13/16'1
DOOR PER SIDE OF GENERATOR
5) REFERENCE OWNERS MANUAL FOR LIFTING WARNINGS. DOOR TYP
6) REMOVE EITHER LEFT OR RIGHT HAND SIDE PANEL TO ACCESS EXHAUST MUFFLER CONTROL PANEL 850 133 1/2'7—+{
g • AND FAN BELT.
Cn
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Er
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N LOUVERS - FRONT AND SIDES
C3 13.5 [17/32'7 DIA. MOUNTING FRONT COVER r 84 134 813/16'7
c HOLE (4) PLACES, 12.7 (1/2') SEE NOTE 4 - DOOR
DIA. MASONRY ANCHOR 152.5 152.5 F 1
BOLTS RECOMMENDED [6'7 [6'7 } L j TYP
MIN. MIN. CIRCUIT BREAKER
152.5 AIR INLET
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Ep 152.5
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m FRONT VIEW 3/4' NPT FEMALE COUPLING 780 130 3/4'1 CENTER OF GRAVITY DIMENSIONS
LOCATED ON THIS SIDE (LH) FIELD CUT HOLE FOR OUTSIDE CONDUIT
3 En LEFT SIDE VIEW CONNECTION ONLY, SEE NOTE 4A
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FOREVER GAS CORP.
18111 NW 68 AVE UNIT 1-105, HIALEAH, FL 33015
Tel: 305-331-2572 Cell: 305-298-0193
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Longest Run of Pipe- :o"`,�� 20; •.
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Qualifier*Rob6;Lzalez
Table- N-5 t4o2:47( �
State # : 28379
Job Address 1950 IVC /0j 5T MIUNt/ S�+M�S i i•i •i• i • IB�BRCIC,S�Pt•
CC # : LPG28379
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GENERAC9 QUIETSOURCE" SERIES
STANDBY GENERATORS
36 kW
Liquid-Cooled Engine Generator Sets
INCLUDES: Standby Power Rating
• Generac Turbocharged/Aftercooled Model QT036 (Gray) - 36 kW 60Hz
Gaseous Fueled 2.4L Engine
• Two Line LCD Tri-lingual
Digital Nexus TM Controller __- _ _ _ _ = GENERAC'_•
• Isochronous Electronic Governor —
• Closed Coolant Recovery System GENERAC'
OuloBourca Sn.ies
• Smart Battery Charger
• UV/Ozone Resistant Hoses
• ±1% Voltage Regulation
• Natural Gas or LP Operation
=''"GOOD QUI
•
2 Year Limited Warranty C(S)US SUS HOUSEKEEPING
LISTED
• UL 2200 Listed Meets EVA EmisM:p j�Lulatiorjs,,,,
'„• ; Not forMe in CA/MA ,•
. .. .. • .•....
FEATURES
.... .... . .
.... .... .....
INNOVATIVE DESIGN & PROTOTYPE TESTING are key components of SOLID-STATE, FREQUENCY COMf;F;JVjQ0 VOLTA�F REGULATION,;,,•
GENERAC'S success in "IMPROVING POWER BY DESIGN.” But it This state-of-the-art power maximi4rig%gplation syStgr;l%standard pq,,,,
doesn't stop there. Total commitment to component testing, reliability all Generac models. It provides op4ryi&4 fkST RESPONSE to changing ,•
testing,environmental testing,destruction and life testing, plus testing load conditions and MAXIMUM: MMOV STAPIJING �APABILIJ�,,;,
to applicable CSA, NEMA, EGSA, and other standards, allows you to by electronically torque-matching jhe su(ge loads:01""gine. �n ,
choose GENERAC POWER SYSTEMS with the confidence that these unequalled ±1%voltage regulation ,,, ••••
systems will provide superior performance. •
D SINGLE SOURCE SERVICE RESPONSE from Generac's extensive dealer
network provides parts and service know-how for the entire unit,from the
TEST CRITERIA: engine to the smallest electronic component.
PROTOTYPE TESTED NEMA MG1-22 EVALUATION 0GENERAC TRANSFER SWITCHES, Long life and reliability are
SYSTEM TORSIONAL TESTED MOTOR STARTING ABILITY synonymous with GENERAC POWER SYSTEMS. One reason for this
confidence is that the GENERAC product line includes its own transfer
systems and controls for total system compatibility.
GENERAC
°
Application & Engineering Data QT036
GENERATOR SPECIFICATIONS ENGINE SPECIFICATIONS
TYPE Synchronous MAKE Generac
ROTOR INSULATION Class H MODEL Inline 4
STATOR INSULATION Class H CYLINDERS 4
TELEPHONE INTERFERENCE FACTOR(TIF) <50 DISPLACEMENT 2.4 Liter
ALTERNATOR OUTPUT LEADS 3 PHASE 4 wire BORE 3.41
BEARINGS Sealed Ball STROKE 3.94
COUPLING Flexible Disc COMPRESSION RATIO 8.5:1
LOAD CAPACITY(STANDBY RATING) 36 kW INTAKE AIR SYSTEM Turbocharged/Aftercooled
EXCITATION SYSTEM Direct VALVE SEATS Hardened
LIFTER TYPE Hydraulic
VOLTAGE REGULATION
TYPE Electronic GOVERNOR SPECIFICATIONS
SENSING Single Phase TYPE Electronic
REGULATION ±1% FREQUENCY REGULATION Isochronous
STEADY STATE REGULATION ±0.25%
GENERATOR FEATURES ADJUSTMENTS FOR
Revolving field heavy duty generator Speed Yes
Directly connected to the engine Droop Yes
Operating temperature rise 120°C above a 40°C ambient
Insulation is Class H rated at 150°C rise ENGINE LUBRICATION SYSTEM
All models are fully prototyped tested
OIL PUMP Gear
ENCLOSURE FEATURES OIL FILTER Full flow spin-on cartridge
Aluminum weather Ensures protection against mother nature. CRANKCASE CAPACITY 4 Quarts
protective enclosure Electrostatically applied textured epoxy paint for
added durability. ENGINE COOLING SYSTEM
Enclosed critical grade Quiet, critical grade muffler is mounted inside TYPE Closed
muffler the unit to prevent injuries. •••••
Small,compact, Makes for an easy,eye appealing installation. WATER PUMP . ....'Belt driven ..0.
attractive FAN SPEED •• •••0.0 1050 •
... . .. . ....
FAN DIAMETER 22inch*
•
FAN MODE • • •• Pullgr •••
•
FUEL SYSTEM •
...... .. . .....
FUEL TYPE " ' Naturallls,ropane vapor*
CARBURETOR • • Down Draft •
•..•
SECONDARY FUEL REGULATOR . . ;""' Standar
FUEL SHUT OFF SOLENOID •• • •• ••• Standafd •
OPERATING FUEL PRESSURE " 5''-14"H2O
ELECTRICAL SYSTEM
BATTERY CHARGE ALTERNATOR 12V 30 Amp
STATIC BATTERY CHARGER 2 Amp
RECOMMENDED BATTERY Group 26,525CCA
SYSTEM VOLTAGE 12 Volts
Rating definitions-Standby:Applicable for supplying emergency power for the duration of the utility power outage. No overload capability is available for this rating. (All ratings in accordance with BS5514,
IS03046 and DIN6271). (All ratings in accordance with BS5514,IS03046,IS08528,SAE J1349 and DIN6271).
Generac`,� QuietSource° Series Standby Generator - 36 kW GENERACx
OPERATING DATA
KW RATING(LP/NG) 36/35
ENGINE SIZE 2.4 Liter Inline 4
GENERATOR OUTPUT VOLTAGE/KW-60Hz kW LPG AMP kW Nat.Gas AMP CB Size(Both)
120/240V,1-phase,1.0 pf 36 150 35 146 175
120/208V,3-phase,0.8 pf 36 125 35 121 150
120/240V,3-phase,0.8 pf 36 108 35 105 125
277/480V,3-phase,0.8 pf 36 54 35 52 60
ENGINE FUEL CONSUMPTION(Natural Gas)(Propane) Natural Gas Propane
(W/hr.) (gal/hr.) cu ft/hr
Exercise cycle 48 0.5 19
25%of rated load 156 1.7 62
50%of rated load 282 3.1 112
75%of rated load 392 4.3 156
100%of rated load` 503 5.5 200
For Btu content,multiply ft3/hr x 2520(LP)or ft3/hr x 1000(NG)
ENGINE COOLING
Air flow(inlet air including alternator and combustion air) ft3/min. 2,200
System coolant capacity US gal. 2.5
Heat rejection to coolant BTU/hr. 135,000
Max.operating air temp.on radiator °C (°F) 60(150)
Max.ambient temperature °C(°F) 50(140)
COMBUSTION AIR REQUIREMENTS
Flow at rated power 60 Hz cfm 106
SOUND EMISSIONS IN DBA
Exercising at 7 meters 58 0000
Normal operation at 7 meters 64 •
. . 0000 ... ..
EXHAUST '• • ••••
Exhaust flow at rated output 60 Hz cfm 300...;..
Exhaust temp.at muffler outlet °F 1075 .... 0000 ;•• •;
ENGINE PARAMETERS "" •••• •'• •
Rated synchronous RPM 60 Hz 1800"
0000..
POWER ADJUSTMENT FOR AMBIENT CONDITIONS '•' ••
0000..
• • ••• ••
Temperature Deration •• • ••• . •
3%for every 10'C above-°C 25 ••• 0
1.65%for every 10°F above-°F 77
Altitude Deration
1%for every 100 m above-m 915
3%for every 1000 ft.above-ft. 3000
Refer to"Emissions Data Sheets"for maximum fuel flow for EPA and SCAQMD permitting purposes.
RATING: All three phases units are rated at 0.8 power factor.All single phase units are rated at 1.0 power factor.STANDBY RATING:Standby ratings apply to installations served by a
reliable utility source.The standby rating is applicable to varying loads for the duration of a power outage. There is no overload capability for this rating.Ratings are in accordance with
ISO-3046-1.Design and specifications are subject to change without notice.
KW rating is based on LPG Fuel and may Berate with natural gas.
INTERCONNECTIONS QT036
UTILITY SUPPLY FROM
QT SERIES ENGINE GENERATOR SERVICE DISCONNECT RTS TRANSFER SWITCH
CONNECTION PANEL
N1 N2
�Ir)CKAja
_
\ LOAD SHED
NOTE
NODULE �•� (c+•vie) !1 P
PATCH WIRE soo 000
NUMBERS TD ee e
Qes
TERMINAL RS o00 000
2Z:71 0* 02
eo
O El 0
06
El E2 ® NEUTRAL BLOCK 19 0o o0
�w
DD TI I I T2
Z 00 1 1
O TI EI E2 T2
O
GROUND
GROUND 0
Q
NEUTRAL BLOCK
CUSTOMER LOAD
POWER LEADS AND TRANSFER SWITCH LEADS (DISTRIBUTION PANEL)
III BE RUN IN TWO DIFFERENT CONDUITS.
LIQUID COOLED INSTALLATI❑N
NEXUSTA CONTROL FEATURES 06e
••+ "•"'
•
2-Line Plain Text LCD Display Simple user interface for elsg 2fpoefation • • • 00:4
Mode Switch Automatic Start on Utility failule•7 ft.exerciser • • 0
-Auto
-Off Stops unit.Power is removed.Contro4anl charger still opera e. • '
-Manual/Test(start) Start with starter control,unit stays on.If utility rails7, ansfer to loag Wel place. ' *0*
Programmable start delay between 10-30 seconds Standard''"'• 00069, • •••
Engine Start Sequence Cyclic cranking:16 sec.on,7 rest Atec'rlaximum dur2tiQn)• • *000
Engine Warm-up 5 seconds•••••• • •
Engine Cool-Down 1 minute• • • • • 0000
Starter Lock-out Starter cannot re-engage until 5 sec.+after aline has stopped. • •
Smart Battery Charger Standard •• • • 009 • •••;
Automatic Voltage Regulation with Over and Under Voltage Protection Standard ..
Automatic Low Oil Pressure Shutdown Standard
Overspeed Shutdown Standard,72Hz
High Temperature Shutdown Standard
Overcrank Protection Standard
Safety Fused Standard
Failure to Transfer Protection Standard
Low Battery Protection Standard
50 Event Run Log Standard
Future Set Capable Exerciser Standard
Incorrect Wiring Protection Standard
Internal Fault Protection Standard
Common External Fault Capability Standard
Governor Failure Protection Standard
*Single and three phase connections may vary,refer to the owner's manual for specific connection information.
I � Z•
m y
Z a
m r
m r
n o
REMOVE COVER FOR ACCESS SERVICE ITEM ACCESSIBILITY CHART
13.5 117/32'1 DIA. MOUNTING TO RADIATOR FILL CAP SERVICE ITEM 2.4L
HOLE (4) PLACES LOCATED
ON BOTTOM OF GENERATOR CENTER OF OIL FILL CAP EITHER DOOR
WEIGHT DATA MOUNTING FRAME GRAVITY
WEIr�(T SHIPPING 755.6 129 3/4'1 OIL DIP STICK THRU RIGHT OODR
ENCLOSURE (SIGHT (WOODEN SHIPPING VEI GH (SKID OIL FILTER THRU RIGHT MM O
MATERIAL(GENSET ONLY) CRATE/SKID) AM GENSET>
KG[LHS] KG ILHSI NG(LDS1 OIL DRAIN HOSE TIRO RIGHT DDDR
N ALUMINUM en(12)11 44 IN) .1 11— RADIATOR DRAIN HOSE THRU LEET DOOR G
0 822 I AIR CLEANER ELEMENT THRU RIGHT DOOR
NOTES' J
c 132 3/8'1 ® �f
TYP 381 SPARK PLUGS THRU L
EFT
1) MINIMUM RECOMMENDED CONCRETE PAD SIZE,1155 145 112'1 WIDE X 2255 MOUNTING 119.1 195 C7 3/4'] MUFFLER SEE
fid 188 7/8.1 LONG.REFERENCE INSTALLATION GUIDE SUPPLIED WITH UNIT HOLES
(, rn FAN BELT SEE
FOR CONCRETE PAD GUIDELINES. 58.5
rn _ �gT1F� BATTERY THRU
f 2) ALLOW SUFFICIENT ROOM ON ALL SIDES OF THE GENERATOR FOR MAINTENANCE + AREA-J 12 1/4']
AND SERVICING. THIS UNIT MUST BE INSTALLED IN ACCORDANCE WITH CURRENT —- —- -— REFERENCE OWNERS MANUAL FOR PERIODIC
�+ c') APPLICABLE NFPA 37 AND NEPA 70 STANDARDS AS WELL AS ANY OTHER FEDERAL,
y102 REPLACEMENT PART LISTINGS
STATE AND LOCAL CODES FOR MINIMUM DISTANCES FROM OTHER STRUCTURES. 14.1 SEE NOTE 4
3 3) CIRCUIT BREAKER INFORMATION- 1750 168 7/8'1 TYPCD 1140
SEE SPECIFICATION SHEET WITHIN OWNERS MANUAL MOUNTING HOLES TYP
,C 4) INSIDE STUB-UP AREA FOR AC LOAD LEAD CONDUIT CONNECTION, NEUTRAL BATTERY 12 VOLT 26F TOP VIEW
Tn CONNECTION, BATTERY CHARGER 120 VOLT AC (.5 AMP MAX.) CONNECTION, AND 525 COLD CRANKING AMPS
- Ev ACCESS TO TRANSFER SWITCH CONTROL WIRES. REMOVE FRONT COVER FOR ACCESS, VISE ACTION LATCH,
S 4A) FIELD CUT HOLE IS ONLY REQUIRED FOR MOUNTING OF GENERATOR ON AN 1950 176 3/4'] ONE PER DOOR, ONE LIFT-OFF
n EXISTING PAD. DOOR PER SIDE OF GENERATOR
1139 144 13/16'1
5) REFERENCE OWNERS MANUAL FOR LIFTING WARNINGS. DOOR TYP
" 6) REMOVE EITHER LEFT OR RIGHT HAND SIDE PANEL TO ACCESS EXHAUST MUFFLER CONTROL PANEL 850 133 1/2'1—•-{
• AND FAN BELT.
4n
EXHAUST MUFFLER
En ENCLOSED WITHIN,
SEE NOTE 6 11455
-' Iv EXHAUST AND AIR DISCHARGE �`� 145 1/8'7
N LOUVERS - FRONT AND SIDES r -L
C= 13.5 117/32'1 DIA, MOUNTING FRONT COVER r ? 134 8134/16'1
HOLE (4) PLACES, 12.7 (1/2') SEE NOTE 4 - I DOOR
c DIA. MASONRY ANCHOR 152.5 152.5 F J
BOLTS RECOMMENDED 16'1 16') ` L TYP
MIN. MIN. CIRCUIT BREAKER I 152.5 AIR INLET
Cn SEE NOTEa I MIN LOUVERS
CD 152.5
a
MIN,
MIN, r.
m r:
7756
Epi) CONCRET M❑�CINN I G pAD 12 1/4'1 STUB-UP LIFTING PROVISION
y (SEE E•1)s�� : ••• ••• FUEL LINE CONNECTION AREA (4) PLACES, SEE NOTE 5 AND REAR VIEW
• FRONT 0VI0 • • • • • • 3/4' NPT FEMALE COUPLING 780 130 3/4'1CENTER OF GRAVITY DIMENSIONS
s • •• • • • • ••• • LOCATED ON THIS SIDE (LH) FIELD CUT HOLE FOR OUTSIDE CONDUIT
cn • • • • • • • • • LEFT SIDE VIEW CONNECTION ONLY, SEE NOTE 4A
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Existing Existing JUN 082015 j lily GATE
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Panel IaU1 FS AND RFGUI_ATIONS
Voltage: 120/240 single phase New y3L G-'t-'7
- —
Bus Rating 200 amps »
M.L.o 2 PVC—Cond.
1 — set— 1 /0 TH WN Existing
New Location OCP OCP Location # PANEL A
SMALL APPUANC9)P 20 50D RANGE # g
Existing 200 AMP 1 — 6— round— TH WN
SMALL APPUANCE 20 50D RANGE Existing—meter& 225 AMP AUTOMATIC 225 AMP
General Lighting DP 20 40 AIR CONDITION FPL—underground 42 CIRCUIT
General Lighting 20 405 AIR CONDITION Riser TRANSFER
General Lighting 20 O DRYER SWITCH INDOOR
General Lighting 20 30 DRYER
General Lighting 20 20 General Light
k#a General L htin 20 20 General Lighting
General Lighting 20 20 General Lighting
General Liahtina 20 20 POOL MOTOR 2a New 36 KW GENERATOR
General Lighting 20 20 POOL MOTOR 991
9.11 General Lighting 20 40DP OVEN 94
General LlahtinQ 20 40DP OVEN ' .• 4.. ° •
97 General L hting 20 20 General Li htin d' a '
General L' tin 20 20 General Ll htin Existing �• i'' ° a
DISH WASHER 20 20 Ll General htin #4TH WN ` ' • ° •
General Lf htin 20 20 General LI htin Ground Wire
General Lighting 20 20 General L1 htin
General Lighting 20 20 General Lightina ,"'•
General L htin 20 20 General Li htin Existing • •••• ••.•••
41 I in 20 20General Lighting ground •
Gen.light-3450—sq.ft.x3va=10,620 Optional—M ethod—220.82—A,8,&C rod ' ' ' •
Small—Appliance—2x1500-3000va First—1OKVA—Generol.Lood®100X-10,000 .••• " ' •""'
Laundry-10500va Remain Ing—35,800va—Gen.Load040X-14,320va ' ' ' •
Water—Heater—20x240-4800va AHU—Heat-12,000040%4800va ••"' +•••• i•"
Pool.Pum p—2hp.1 2x240=2880va Total-29,120va/240=121.33amps •••• ..•• •• •
Oven-11,000va Omit—AC—Heat.larger. •••• • • s •
Range-12000vo Omit—Dryer—Will—be—gas . • . . , •••••
Dishwasher-1500va •• •• •• •
Total=45,800va ••••••
Existing ..,.:.
2"PVC—Cond.
1 — set-3/OTHWN
1 — #4— ground— THWN
Martina Gaquei Residence All Quality Electrical Services Inc. aBY:
�.I::�1450 NE 101 Street 14750 S. River Dr.
Miami Shores Florida 33138 Miami Shores Florida 33167 Lis.#05E000478
State �13013536