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EL-16-480 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-261075 Permit Number: EL-2-16-480 Scheduled Inspection Date: June 17, 2016 Permit Type: Electrical - Residential Inspector: Devaney, Michael Inspection Type: Final Owner: RAYBURN, RALPH Work Classification: Alteration Job Address:250 GRAND CONCOURSE Miami Shores, FL Phone Number Parcel Number 1132060136220 Project: <NONE> Contractor: LONGMAN ELECTRIC INC Phone: (305)758-1211 Building Department Comments REPLACE 2 EXISTING ELECTRIC PANELS Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed Ef Failed Correction Needed Re-Inspection Fee l �� No Additional Inspections can be scheduled until re-inspection fee is paid June 16,2016 For Inspections please call: (305)762-4949 Page 23 of 28 33 ' " Pew Nt EL -1 Miami Shores Village P !#t Type E[edricai-R identle, 10050 N.E.2nd Avenue Work ctassfflci:,l+ftration Miami Shores,FL 33138-0000 Permrt'u`t tu5:APPROVED Phone: (305)795-2204 mr�• , 312016 Expiration: 21!2016 Project Address Parcel Number Applicant 250 GRAND CONCOURSE 1132060136220 Miami Shores, FL Block: Lot: RALPH RAYBURN Owner Information Address Phone Cell RALPH RAYBURN 250 GRAND CONCOURSE MIAMI SHORES FL 33138-2853 Contractor(s) Phone Cell Phone Valuation: $ 2,500.00 LONGMAN ELECTRIC INC (305)758-1211 Total Sq Feet: 0 Type of Work:REPLACE 2 EXISTING ELECTRIC PANELS 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-2-16-58767 DBPR Fee $2.25 02/23/2016 Credit Card $ 118.30 $50.00 DCA Fee $2.25 Education Surcharge $0.60 02/22/2016 Credit Card $50.00 $0.00 Permit Fee-Additions/Alterations $150.00 Scanning Fee $9.00 Technology Fee $2.40 Total: $168.30 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBING,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating constructio d zoning Futhe ore,I authorize the above-named contractor to do the work stated. Z February 23, 2016 Authorized Si nature:Owner / Ap cant / Contractor / Agent Date Building Department Copy February 23,2016 1 Miami Shores Village Building De artment FEB 2 2 016 � g p 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 �o Tel:(305)795.2204 Fax:(305)756.8972 - INSPECTION'S PHONE NUMBER:(305)762.4949 FBC 20 1`A BUILDING Permit No. PERMIT APPLICATION Master Permit No. Permit Type: Electrical JOB ADDRESS: _2_5V City: Miami Shores County: Atiami Dade Folio/Parcel#: Is the Building Historically Designated:Yes NO Flood Zone: BYO OWNER:Name(Fee Simple Titleholder): ��L� �� /2�Y��f i2� Phone# _?0S ?Lq&_,99® Address:-25-0 City:zfX1,417/ _91to&6:5 State: ,CGS/_1>.q Zip: _g Tenant/Ussee Name: rr Phone#: Email: CONTRACTOR:Company Name:_�00,f/W" Phone#: Address: /666�ell_ l _ City: A I-SOMI, IfA141014ir State: `Z zip: Qualifier Name: /1'/rLh4?e-/ ZJW0WA 'I Phone#• State Certification or Registration#: Certificate of Competency#: Contact Phone#: Email Address: 100.f,0WeW!!fI ��E°�%SD�r •%�� DESIGNER:Architect/Engineer: Phone#: Value of Work for this Permit:$ Square/Linear Footage of Work: Type of Work: ❑Address ❑Alteration ❑New air/Replace ❑Demolition Description of Work: eW Submittal Fee$�d'`'� Permit Fee$ CCF$ �✓� CO/CC$ Scanning Fee$ C Radon Fee$ 2L DBPR$ c Bond$ Notary$ Training/Education Fee$ ® Technology Fee$ � Double Fee$ Structural Review$ TOTAL FEE NOW DUE$ B I Bonding Company's Name(if applicable) s Bonding Company's Address City State zip Mortgage Lender's Name(if applicable) /VO/V 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 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." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signatur 4 Signature6 � r Owner or Agent Contractor The foregoing instrument was acknowledged before me this G' The foregoing instrument was acknowledged before me this'a dL day of f� ,20/C ,by dL<�,i� 7 h,' day of 1'e b 1'ucl H►/,20 b,by /A i`c 1li a e.l L o/)QM q q who i�sJ d personally known to me or who has producewho' personally known me or who has produced VI r,t- L-' As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLI6 NOTARY PUBLIC: Sign:. Sign: QTS Print: 1 C My Commission Exp S-gO Py4#, Notary Public State of Florida l�ljy COmm1SS10II NOWY Public S�a Florida a Christopher P Kelley Michelle Perez c*1 My Commission EE 193335 My Commission FF 000321 AoF F�o4 Expires 05/21/2016 E"s 04/08/2017 N4z+k98k@R��l+Bt'kk&MhR � ffi 'k�nk�&�$=krts$�BkRRkk+k$r$skdyk�8kkkh�+RRkB+kYlEsk��kk#aka=d8'k'RF�flssR��kkr&ffisd��A�RskdskrkakjRk 8 APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised 3/12/2012)(Revised 07110/07)(Revised O&IOn009)(Revised 3/15/09) v . 250 Grand Concourse Longman Electric Miami Shores, FL 33138 844 NE 98th Street Miami Shores, FL 33161 EC 13003713 Panel Schedule'A' 1.)AC 60 Amp 2.) Receptacles 15 Amp 3.)AC 60 Amp 4.) Receptacles 15 Amp 5.)A/C Com. 40 Amp 6.)Microwave 20 Amp 7.)A/C Com. 40 Amp 8.)Sm. App. 20 Amp i 9.) Lighting 15 Amp 10.)Sm. App. 20 Amp j FEB 2 2 016 11.)Lighting 15 Amp 12.)Space 13.)Rec. 15 Amp 14.) Lighting 15 Amp BY: 15.)Rec. 15 Amp 16.) Lighting 15 Amp 17.)Space 18.) Rec. 15 Amp 19.)Lighting 15 amp 20.) Rec. 20 Amp .. .... . •• F y 0000•• 0000•• • • • • 'r ` • • • 0000•• • 0000•• •• • •• •• /' • • • • `^ 000.0• • ••• 000000 *004, • "" Miami Shores Village GO ' ....•. APPROVED 13V 0.00•• DATE • •• •• I4JQ DEPT 00•• '? FP IA',ICE WITH ALL FEDERAL �'!I 1-4 AND R6GU1_ATIONIS 250 Grand Concourse Longman Electric Miami Shores, FL 33138 844 NE 98th Street Miami Shores, FL 33161 EC 13003713 Panel Schedule '8' 1.) Receptacles 15 Amp 2.)Space 3.)Space 4.)Space 5.)Space 6.) Dryer 30 Amp 7.)Space 8.) Dryer 30 Amp 9.)Space 10.)Washer 20 Amp 11.)Space 12.)Space 13.) Pump 20 Amp 14.)Space 15.) Pump 20 Amp 16.)Space 17.)Space 18.) Lighting 15 Amp 19.) Lighting 15 amp 20.)Space • 0000 .. 0000.. • 0 0000.. 0.4900 4 0 4 0 • • 999..9 9.99.. 44 . 80000* 4499. 0 .. 990094 0994* 99 • 4440 • 0 • 4 • • • 40 40.0 •94049 4 :0 • • •9494• •499.• • •• • •04994 • • •• • 99 • • • 0000•. 4000 9 0 0 250 Grand Concourse Miami Shores, FL 33138 LOAD CALCULATION 2035sq ft x 3 VA 6105 Small Appliance 3000 Dishwasher 1000 Microwave 1200 pool pump 1400 Frig 800 disposal 1000 Laundry 1500 Dryer 5000 water heater 4500 25505 -10000 15505 x 40% 10000 6202.00 6202.00 16202 10000 air conditioning so • 27216 / 240 26202 full VA rrrrrr • • • • ' ' 109.175 amperage ...... .. . .. ..... SdPACP is 2ne:imp ..... .. . .... • Longman 9PoVic Ed?3b03VX9 " 84.�141E 98 Str2et Miami, FL 33138