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EL-15-2347 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-246280 Permit Number: EL-9-15-2347 Scheduled Inspection Date: October 22, 2015 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: DAVIS, KARIN AND TIMOTHY Work Classification: Alteration Job Address:80 NE 94 Street Miami Shores, FL 33138- Phone Number Parcel Number 1132060130300 Project: <NONE> Contractor: ELCON ELECTRIC INC Phone: (954)979-5445 Building Department Comments CHANGE OVERHEAD SERVICE TO UNDERGROUND. Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. October 21,2015 For Inspections please call: (305)762-4949 Page 51 of 55 s° S t Miami Shores Village 10050 N.E.2nd Avenue NE Y ' \ ... \ Miami Shores, FL 33138-0000 �F—was Phone: (305)795-2204 z �Y toRrvA Expiration: 03/16/2016 Al Project Address Parcel Number Applicant 80 NE 94 Street 1132060130300 KARIN AND TIMOTHY DAVIS Miami Shores, FL 33138- Block: Lot: Owner Information Address Phone Cell KARIN AND TIMOTHY DAVIS 80 NE 94 Street MIAMI SHORES FL 33138- 80 NE 94 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 1,200.00 ELCON ELECTRIC INC (954)979-5445 (954)961-6806 Total Sq Feet: 0 Type of Work:CHANGE OVERHEAD SERVICE TO UNDERGRO Available Inspections: Additional Info: Inspection Type: Classification:Residential Review Electrical Scanning:3 Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.20 Invoice# EL-9-15-57094 DBPR Fee $2.25 DCA Fee $2.25 09/18/2015 Check#: 123396 $ 116.70 $50.00 Education Surcharge $0.40 09/15/2015 Check#: 133365 $50.00 $0.00 Permit Fee-Additions/Alterations $150.00 Scanning Fee $9.00 Technology Fee $1.60 Total: $166.70 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. i OWNERS AFFIDAVIT: I certify that all the foregoing inform ' i Lote and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore,I authorize the ab n on r to do the work stated. September 18, 2015 Authorized Signature:Owner / lican ntractor / Agent Date Building Department Co y September 18, 2015 1 Miami Shores Village ;\ Building Department SEP 5 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 201 BUILDING Master Permit No. i .�J y 23H PERMIT APPLICATION Sub Permit No. ❑BUILDING Q ELECTRIC ❑ ROOFING ❑ REVISION EXTENSION RENEWAL PLUMBING ❑ MECHANICAL PUBLIC WORKS CHANGE OF CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 80 NE 94TH STREET City: Miami Shores County: Miami Dade Zip: Folio/Parcel#:11-3206-013-0300 Is the Building Historically Designated:Yes NO X Occupancy Type: RES Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder):TIMOTHY DAVIS Phone#: Address:80 NE 94TH STREET City: MIAMI SHORES State: FL Zip: 33138 Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: ELCON ELECTRIC. INC Phone#: 954-979-5445 Address: 668 S MILITARY TRAIL City: DEERFILED BEACH State: FL Zip: 33442 Qualifier Name: JAMES MCCONCHIE Phone#: 954-979-5445 State Certification or Registration#: EC0001331 Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$1200.00 Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑■ Repair/Replace ❑ Demolition Description of Work: CHANGE OVERHEAD SERVICE TO UNDERGROUND Specify color of color thru tile: Submittal Fee$ �V-0�) Permit Fee$ /06ZOi 41,P CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ �� •� (Revised02/24/2014) i Bonding Company's Name(if applicable) Bonding Company's Address _ City State Zip Mortgage Lender's Name(if applicable) Mortgage Lender's Address F City State Zips 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 �tandards 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 val a exceding$2500, the applicant must promise in good faith that a copy of the notice of commencement and constru ' n lien law rachu will be delivered to the person whose property is subject to attachment. Also,a certified copy of the recorded noti of corn encemeiit must be posted at the job site for the first inspection w�h►c occurs seven (7) days after the building permit is is ed. 1 th absence of such posted notice, the inspection will o pproved nd a reinspection fee will be charged. 4 Signature Signature OWNER or AGENT ' N R TOR The foregoing instrument was acknowledged before me this The foregoing str a was acknowledged before me this day of - 'CC(`(1)10 ,20 �`� by _day 20 1� by I►f` ok\F V �• j) y1S .who is personally known to � �4 �'!1� i who is personally known to me or who has produced as me or who has produced 6)0g Q(\ as identification and who did take an oath. identification and wh a ao QrouiilaCd NOTARY PUBLIC: NOTARY PUBLIC: COMMIOt OM41952 ?�S WM J* 11, 2019 l •� www.AIWIMIMARY.W111 Sign: Q(C �� �� Sign: Print: M ofC L Q � Q�n n Print: IRMIUAft Seal: � �d;, !MARCELA PABON' Seal: Notary Public-State of Florida Commission#FF138965 *�'**>��►e�'�t�Y�(�+�41Ae* onded Thru Plchard Insurance APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) i ESTIMATE e I c o n ELECTRIC INC O RP OR AT EC (iINJ 446:9915 www.ekonekc[Ilccom TIMOTHY DAVIS#48503 Estimate 48503 Elcon Electric, Inc. TIMOTHY DAVIS 668 S. Military Trail 80 NE 94TH ST. Date 07/15/15 Deerfield Beach FL 33442 MIAMI SHORES FL 33138 Total $1,200.00 800-446-8915 Tno�ncnenr_nnou �nnn - -- raymeni[s ou.uu 305-505-4195 Balance Remaining $1,200.00 Primary Contact: TIMOTHY DAVIS 305-505-4195 Item Description Unit Cost Ouantity Line Total SCOPE Change overhead service to underground. $1,200.00 1.0 $1,200.00 OF Elcon will pull a permit and install fpl supplied conduit in customer WORK supplied trench. All material will be onsite. We will remove old riser and seal off old penetration in meter can. PERMIT FEES NOT INCLUDED. Subtotal $1,200.00 Tax: $0.00 Total: $1,200.00 Terms This price is valid for 10 days. Notes 1. Permit fees are not included. 2. Proposal is based on normal working hours, Monday-Friday, excluding holidays. 3. Overtime is not included. 4. Elcon Electric is not responsible for existing conditions, code violations or reused equipment. 5. General contractor work is not included (concrete, trenching, cutting & patching, painting, etc.) unless otherwise noted. 6. Elcon Electric is not responsible for unforeseen conditions. 7. A 50% deposit is due at execution of contract -balance due upon completion of project. If job is cancelled after permit has been applied for, a $250 processing fee will be retained. 8. Final payment for scope of work performed shall not be withheld if permit is unable to be finalled due to existing conditions or code violations. Thank you for the opportunity to submit this proposal. Please do not hesitate to contact us with any questions you may have. Accepted by Customer: P'I SCOTT,GOVERNOR KEN LAWSON,SECRETARY STATE-OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD j :E000Q1331 TELEC-TR(C�4L.CONTRACTOR Named below ISOERTIFIED Ur dor the provisions of Chapter 489 FS. Expiratio19.date: AUG 31,2016 M1 I - a • a MCCONCFiIE, JAMES P ELCON EI Ed TRIC INC ■ 2365- E'"BOTH PON LIGHTHOUSE POINT ,"FL 33064 ` 4 ISSUED: 07117/2014 DISPLAY AS REQUIRED BY LAW SEQ# L1407170001385 Business Tax Off(ce $LIS1Il@SS Tax ReCClp"" 1SO.NE:2"-1 Am;, 1 DoOefle idl Keach;FL X3441 iry f" 2014 20 5 Phone.(3S4)480 4333 : D E 4:1R. 4a ii; v. E=mail:web.btr deerfield-6each.com Ia: le A 41 w Repeipt Nutinher; 15=00029390 Dale:issued:x/21/14 ELCON 9LECTRIC;INC Clossiflcatipw ELECTRICAL>CONTRACTO>Z 668 S:MILITARY TRL BusiheZ L60000n.668'&M ITA YTRL Applicant: JAMES P MCCQNCHIE DtttkFIELI)kACH F1 3-1442 Control Number: 000DS69 I Tax ArrioUntr$$8.80" Add. Fels;$Q--00 1.Fenalt -$0.00 Tofai Amourit.Paid $.58.80 Notice.-This Tex Receipt becomes NULL and VOID if owndrahip,business name,or address changed:Business owner mus t apply to Business To Office for Transfer. 115 S.Andrews Ave,, Rm.A-100, Ft. Lauderdale, FL 33301-1895—954-831-4000 VALID OCTOBER 1,2014 THROUGH SEPTEMBER 30,2015 DBA: Receipt#:ELECTRICAL/ALARMS/CONTRAC R Business Name:ELCON ELECTRIC INCORPORATED Business Type:(ELECTRICAL CONTRACTOR) Owner Name: TAMEs P MCCONCHIE Business Opened:05/01/1989 ; Business Location:668 S MILITARY TRAIL State/COunty/CerUReg:EC0001331 DEERFIELD BEACH Exemption Code: Business Phone:305-979-5445 Rooms Seats Employees Machines Professionals 10 For Vending Business Only i Number of Machines; Vending Type: Tax Amount Transfer Fee �=ee Penalty Prior Years Collection Cost Total Raid 27.00 0.00 0.00 0.00 0.00 0.00 27.00 4 i r' THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS a THIS BECOMES A TAX RECEIPT This tax is levied for the privilege of doing business within Broward County and is non-regulatory in nature.You must meet all County and/or Municipality planning WHEN VALIDATED the zoning requirements.This Business Tax Receipt must be transferred when the business Is sold, business name has changed or you have moved the business location.This receipt does not indicate that the business is legjl or that it is in compliance with State or local laws and regulations. Mailing Address: NAMES P MCCONCHIE Receipt #03A-13-00009459 66B S MILITARY TRAIL paid 08/04/2014 27.00 DEERFIELD BEACH, FL 33442 'i } 2014 2015 ` -.Ni• _a .-;.!.:..:}.;-;`�,v .L.ra:.i�` .,i.:C�-.r....)'t-..-.: .+ ,:.y:r-:.+, ..:..y.., �.,:.., CG t I ( i I Client#:65090 ELCEL ACORD,. CERTIFICATE OF LIABILITY INSURANCEATE D9/15/2/DD015/YYYY) 9/15/2 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),AUTHORIZED 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 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 endorsement(s). PRODUCER CONTACT Michelle A.Kalicharan Gulfshore Insurance-Naples NAME:PHONE ,,t): A/C No 239 435-7143 FAX 239 213-2852 A/C No E 4100 Goodlette Road North E-MAIL mkalicharan@gulfshoreinsurance.com Naples,FL 34103-3303 ADDRESS: �g 239 261-3646 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Amerisure Insurance Company INSURED Elcon Electric,Inc. INSURER B:Amerisure Mutual Insurance Comp 668 S. Military Trail INSURER C:Amerisure Partners Insurance Co Deerfield Beach,FL 33442-3023 INSURER D' INSURER E: 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 CONTRACTOR 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. LTR ADDLISUBR TYPE OF INSURANCE NSR WVD POLICY NUMBER POLICY EFF POLICY EXP LIMITS A GENERAL LIABILITY CPP2075752 4/01/2015 04/01/2016 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $1,000,000 CLAIMS-MADE �OCCUR MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 POLICY X PRO LOC $ JECT C AUTOMOBILE LIABILITY CA2075753 4/01/2015 04/01/201 COMBINED SINGLE LIMIT Ea accident 1,000,000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident B X UMBRELLA LIAB X OCCUR CU20757540402 4/01/2015 04/01/2016 EACH OCCURRENCE s2,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE s2,000,000 DED I X I RETENTION$0 $ A WORKERS COMPENSATION WC20964330001 4/01/2015 04/01/201 X WC Y Mj OTH- AND EMPLOYERS'LIABILITYRS FR ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? � N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 A Leased/Rented Equ CPP2075752 4/01/2015 04/01/201 $50,000-$1,000 Ded A Install Floater CPP2075752 4/01/2015 04/01/201 $50,000-$1,000 Ded DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) License#EC0001331 CERTIFICATE HOLDER CANCELLATION Miami Shores SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Village Building Department ACCORDANCE WITH THE POLICY PROVISIONS. 10050 NE 2nd Avenue Miami, FL 33138 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S910464/M851789 MAK O m n D r m m EXISTING CONDUIT&WIRE EXISTING CONDUIT&WIRE TO REMAIN v TO REMAIN C1 EXIST 200 AMP MAIN SCOPE OF WORK: EXISTING BREAKER EXIST REMOVE EXISTING OVERHEAD RISER AND MLO PANEL W/ METER CONVERT TO UNDERGROUND FEED FOR PANEL -- FEED FPL ALL OTHER EQUIPMENT IS EXISTING i • , • TO THRU __I, CAN TO REMAIN. ;•• •� : .'•• REMAIN LUGS O • • • TO • • • • • REPLACE • :•:•.: � j EXISTING • • • • • pw ft- c • • • GROUNDING TO BE • w. • �� ; •"� INSTALLED PER N.` •••• • •�"'• • • 2011 NEC ' �c-t `� CT - N O tJ� ' con. O � QU LIFI R: PROJECT: DRAWN SCALE SHEET NO. JAP ES N H BY: TIM DAVIS ELECTRIC INCORPORATED 80 NE 94TH STREET X MIAMI SHORES FL 33138 SM E-1 668 SOUTH MILITARY TRAIL NTS DEERFIELD BEACH, FL 33442 OVERHEAD TO U/G SERVICE 9/11/15 CHANGE. QVERHEAD TO UNDERGROUND CONVERSION SKETCH FORM Customer Name: tt kc)-TR� �\f I S Daytime Contact 305 -5015 41115 Phone: Service Address: $p W vitt S+ City: WAW %WE& Zip: 2E9?jg EXAMPLE INSTRUCTIONS: 1. BUILDING ADDRESS 2. POLE LOCATION ADDRESS 3. INDICATE METER ON YOUR HOME (ex. 123) 4. EXISTING OVERHEAD WIRE TO PROPERTY (INDICATE WITH SOLID LINE) #3 #1 5. TRENCH ROUTE FOR NEW UNDERGROUND CONDUIT (INDICATE WITH DASHED LINE, SHOW TRENCH #5 ROUTE FOOTAGE) (65 6. STREET NAME #4 7. INDICATE HOW MANY UNDERGROUND RISERS ARE ON POLE: 0 (SEE FAQ #10 FOR DETAIL) i #2 #6 STREET NAME(ex. First St.) S INSTRUCTIONS: 1. BUILDING ADDRESS 2. POLE LOCATION i 3. INDICATE METER ON YOUR HOME -##4S 4. EXISTING OVERHEAD WIRE TO PROPERTY W (INDICATE WITH SOLID LINE) VL 5. TRENCH ROUTE FOR NEW UNDERGROUND CONDUIT v (INDICATE WITH DASHED LINE, SHOW TRENCH ROUTE FOOTAGE) 6. STREET WAME •• 7. IIVDICAtl�f I1*A�l UNDERGROUND RISERS L) Aft OWN F5CLE:• :* ..- (SEE FAQ#10 FOR DETAIL) �}i. !gip � �� ���h S� Ms�� ��' o��.:., :'?1��• ••. ig ... . . . • .. .. . . . . . . . . . . .. .. ... o:0 .. .. ... . . . . FPL- - Requirements For Underground Electric Service WALN!:G,CWr(v,i A(N!:G'CYHYJA Customer supplied meter can �r FPL pole (same as where existing wires to Customer provided and installed house originate) galvanized or schedule 80 PVC riser. (If SCH 80 PVC,it must be 5'MIN, similar to the AMRAK system..) 6'MAX. / Plug end of PVC FINAL GRADE FPL provided 90 degree schedule 40 bend,(24"radius) FPL provided 90 degree 24"MIN. schedule 80 bend,(24"radius) 30"MAX. or 2 FPL provided 45 degree schedule 80 bends ` Installation Instructions If any of the following instructions can not be performed, contact your FPL representative. Any changes from the specified guidelines,without prior approval from FPL could result in a delay of service or re-trenching. Customer shall: 1) Hire a licensed electrical contractor to configure meter enclosure to receive underground service 2) Make payment to FPL if required 3) Make arrangements to pick up the PVC required from FPL. (PVC comes in 20 foot lengths) 4) Call for all utility locates prior to trenching. (1-800-432-4770 for locates) 5) Trench and install FPL provided PVC as follows: a. Trench along FPL designated route. b. Trench must be between 26"and 36"in depth with 24" minimum cover over PVC. c. Use PVC cement on all joints. d. For all tums along trench route, only two 90 degree bends are allowed, use 36" radius 90 degree'long" bends. (Note: a combination of 45 and 90 degree ber deemaybe.used it l9n%a.Joe sum of the total bends used does not exceed 180 degrees) .. • • e. Use 24" radius 90 degree schedule 40 bend 940blq jCstfallflus�aga'In*s Owe and plug end at grade level unless otherwise instructed. Install FPL provided 90 degree schedule 80 end al the meter downpipe. f. Contact your FPL representative prior to backfilling trench, depth must be verified by FPL prior to backfilling. .'. ':' ••• •• 6) Electrical contractor will need to obtain an eleo(rical onspedlion from IpcaPautropty. 7) Contact your FPL representative for an appomtrnen;,pleageallo12-3%deltibr scheduling and construction. ••• • Rev.11107 ••• • • • ••• • •