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EL-15-2991 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-248862 PermitNumber: EL-12-15-2991 Scheduled Inspection Date: December 07,2015 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: DEVINE, MICHAEL&CLAUDIA Work Classification: Service Change Job Address:54 NE 102 Street Miami Shores, FL 33138- Phone Number 305-759-4883 Parcel Number 1132060131470 Project: <NONE> Contractor: SHINE ELECTRICAL ENGINEERING Phone: (305)688-2000 Building Department Comments SERVICE UP GRADE TO 200 AMPS INSTALL NEW Infractio Passed Comments PANEL 200 AMPS WITH SPACE FOR BREAKERS INSPECTOR COMMENTS False Inspector Comments. Passed Failed -� Correction Needed a Re-Inspection Fee No Additional Inspections can be scheduled until re-inspection fee is paid December 04,2015 For Inspections please call: (305)762-4949 Page 26 of 28 rp Miami Shores Village 10050� N.E.2nd Avenue NE1,6 R p n 31 3 y Miami Shores,FL 33138-0000 � � h Phone: (305)795-2204 Expiration: 06/30/2016 Project Address Parcel Number Applicant 54 NE 102 Street 1132060131470 MICHAEL 8 CLAUDIA DEVINE Miami Shores, FL 33138- Block: Lot: Owner Information Address Phone Cell MICHAEL&CLAUDIA DEVINE 54 NE 102 Street 305-759-4883 MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 2,300.00 SHINE ELECTRICAL ENGINEERING (305)688-2000 Total Sq Feet: 00 Type of Work:SERVICE UP GRADE TO 200 AMPS INSTAL Available Inspections: Additional Info: Inspection Type: Classification:Residential Review Electrical Scanning:3 Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.80 Invoice# EL-12-15-57904 !i DBPR Fee $2.25 12/01/2015 Credit Card $50.00 $118.30 DCA Fee $2.25 Education Surcharge $0.80 12/02/2015 Credit Card $ 118.30 $0.00 Permit Fee-Additions/Alterations $150.00 Scanning Fee $9.00 Technology Fee $2.40 Total: $168.30 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 th all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zonig. F thereto I authorize the above-named contractor to do the work stated. December 02, 2015 Authorize Signatu e:Ow er li/ App, nt / Contractor / Agent Date Building Del i nt Copy December 02,2015 1 q G Miami Shores Village 7DEC 01,2015 Building Department 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 BY' Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 201 BUILDING Master Permit No. 41 PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑E ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOBADDRESS: 54 NE 102 Street City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: 11-3206-013-1470 Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder):Devine, Michael & Claudia Phone#:305-773-6008 Address:54 NE 102 Street City: Miami Shores State: FL Zip: 33138 Tenant/Lessee Name: Phone#: Email: devineclaudia@gmail.com CONTRACTOR:Company Name: Shine Electrical Engineering Phone#: 305-688-2000 Address: 3876 NW 125 Street City: Opa-Locks State: FL Zip: 33054 Qualifier Name: Francisco E. Santos Phone#: 305-688-2000 State Certification or Registration#: EC0001514 Certificate of Competency#: DESIGNER:Architect/Engineer: N/A Phone#: Address: City: State: Zip: Value of Work for this Permit:$2,300.00 Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New 0 Repair/Replace ❑ Demolition Description of Work: Service up grade to 200 Amps/ Install new panel 200 Amps with space for breakers. Specify color of color thru tile: Submittal Fee$ Permit Fee$ !`' �� CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ (Revised02/24/2014) 1 Bonding Company's Name(if applicable) N/A Bonding Company's Address City State Zip Mortgage Lender's Name(if applicable) NSA 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. Signature �� 0 "_�l" � 1 Signature WIJ OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this dayof t�y e�`be r�- ,20 15 by dayof �e�na� ,20 by 0-k(&xaW%, 1�0� ,who is ersonally known to � • �e�1��5 ,wh s personally known to me or who has produced as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY P Sig Si Print: Jn 1 d Print: �S l IP.. AVAnIsl A% Ry Fluezu TH1510y HUM-11 Sea =COMMISSI #EE 194256 Sea I: ��:COMM ION#EE 1942 4' ��';:EXPIRES:JUN.24,2016 EXPIRES:JUN.24,2016 1ES;R WWW AARONNOTARYarR, �''•.;; o`� WWW.AARONWTARY.com uu.a d Aalele R lk RkS+kkR P deNAle tlr9`k Rek Mte tfkdeh�BF RNilMR&Ie geMMk kflM h+M#iRkMrRk ilkak qNl akNo kh NMk�R&+krtealA3Ril981eb tb 98e eRk+INutrM+R&+RR8+F8MR+RffiekhKe F+lt ale APPROVED BY 1)0104 i,f Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) CERTIFICATE OF LIABILITY INSURANCE DA 9/28/15 PRODUCER All Motors Insurance THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 11934 S.W.8th Street ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR Miami,FL 33184 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Phone (305)559-8818 Fax (305)227-0977 INSURERS AFFORDING COVERAGE NAIC# INSURED SHINE MAINTNANCE ELECTRICAL CONTRCTR CORP INSURER A: SCOTTSDALE INS.CO. D/B/A SHINE ELECTRICAL ENGINEERING INSURER B: AMTRUST NORTH AMERICA INSURER C: 3876 NW 125 STREET- INSURER D: PROGRESSIVE INSURANCE CO. OPALOCKA, FL 33054 INSURER E: COVERAGES INSURER F: THE POLICIES OF INSURANCE LISTED HAVE BEEN ISSUED 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 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR INSRD DATE MMMO DATE MMIDD GENERAL LIABILITY EACH OCCURRENCE 1,000,000 FV COMMERCIAL GENERAL LIABILITY ENTED KYVCG-M 07/27/15 07/27/16 PRISES Ea occurence 50,000 ❑❑ CLAIMS MADE d❑ OCCUR MED EXP(Any one person) 5,000 A ❑ ❑ PERSONAL&ADV INJURY 1,000,000 ❑ GENERAL AGGREGATE 3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG 1,000,000 ❑ POLICY ©PROJECT ❑ LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ❑ ANY AUTO (Ea accident) ❑ ALL OWNED AUTOS BODILY INJURY B ❑ ❑ SCHEDULED AUTOS (Per person) ❑ HIRED AUTOS BODILY INJURY ❑ NON OWNED AUTOS (Per accident) ❑ PROPERTY DAMAGE Ll (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT ❑ ❑ ANY AUTO OTHER THAN EA ACC ❑ AUTO ONLY: AGG EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE ❑ OCCUR ❑ CLAIMS MADE AGGREGATE ❑ DEDUCTIBLE ❑ RETENTION $ WORKERS COMPENSATION AND ❑ WC STATU- OTH- EMPLOYERS'LIABILITY 3401867 09/23/15 09/23/16 T RY I I ER B ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT 500,000 OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE 500,000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT 500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS ELECTRICAL CONTRACTOR INCLUDING FIRE &SECURITY SYSTEM, PHONE LINES, ELECTRICAL ENGINEERING CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL M02DUMM MAIL VILLAGE OF MIAMI SHORES 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO 10050 NE 2 AVE THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY MIAMI SHORES, FL 33138 OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25(2001/08)QF ©ACORD CORPORATION 1988 /6 - 29ql_ �IE n DEC 0 BY: �YOnoic,CC) .ISP.: MICHAEL J DEVINECLAUDIAEHI ECTRICAL ENCINEERINO Master Electrician;-E. �an 303 Nom'125 8T Si net e• 54 SIE 102 ST OPALOCKA,FL.33054 agPR•Y iG s MIAMI SHORES,FL.3313 TEL: 305 500-2000 er r 8�:, Anisiey Hue,,,, E C 0001514 rfmmyyN�a eEE19425G9 24,2016 oraR%",' "EXISTING ELECTRICAL RISER "NEW ELECTRICAL RISER DIAGRAM OUTSIDE OUTSIDE EXISTING EXISTING EXISTING 200 AMP PANEL 150AMP 200 CAMP NEW PANEL 200 AMP 1■=` IlDr- 01 150 A 200 A /Z 0 ;0�w (imf EXISTING ISTING 34 1/O THHNITHM NEW •• ••• •• IN 1 112 C. 3-#2JOTHHN11JH 1: IN 1 1 Q C. ': # u. (EC ) .. ... .. • .. EXISTINGWCP #4Cu.*80' (EGp FPL 518 AGROUND EXISTING .•• •.• ••. E'APART MINIMUN FPL 5J8 AGROUND : : : •' E'APART MINI4Qe • ' : ' :•• e• ELECTRICAL REVIEWS/Js ... . . . . ... . . APPROVE DATE ••• • • • ••• • •