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EL-16-1979 (2) Jul 2016 06:25p Debbie 00000 p.3 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores,FL Phone: (305)795-2204 Fax: (305)766-8972 Inspection Number INSP-263615 Permit Number EL-7-16-1979 Scheduled Inspection Date: ulv 20.2016 Permit Type: Electrical - Residential Inspector: '�p�V� i`�1Gc�!Sev) Inspection Type: Final Owner. DE BRUIJN, GERALD 8r ANABEL Work Classification: Service Change Job Address:812 NE 92 Street Miami Shores,FL 33138- Phone Number (30$)299-7252 Parcel Number 1132060050190 Project: <NONE> Contractor: BM POWER PRO ELECTRICAL INC Phone. (786)657-2668 Building Department Comments REMOVE AND REPLACE EXISTING 200 AMP METER Infractio Passed Comments WITH NEW METER MAIN COMBO 310 THHN FEEDERS. INSPECTOR COMMENTS False AND REPLACE 200 AMP PANEL BREAKERS AND LABEL ALL CIRCUITS. INSTALL 6 120 V SMOKE DETECTORS. Inspector Comments Passed e I 4 #/ � U Failed Correction Needed Re-Inspection C a Fee a No Additional Inspections can be scheduled until re-inspection fee is paid July 119,2D76 For Inspections please call: (305)762-4949 Page 36 of 41 , rMi Miami Shores Village r ti.3 }j Type Electfitial I esidellttiai`. 10050 N.E.2nd Avenue NE ° m WI p7�,&�if tC jlt?l7 5eN100` h�i#1 e e Miami Shores,FL 33138-0000Ir PROVE " Fe Phone: (305)795-2204 - lsst tate 7I t3� , ! Expiration: 1/14/217 Project Address Parcel Number Applicant 812 NE 92 Street 1132060050190 GERALD 8.ANABEL DE BRUIJN Miami Shores, FL 33138- Block: Lot: Owner Information Address Phone Cell GERALD 8,ANABEL DE BRUIJN 812 NE 92 Street (305)299-7252 MIAMI SHORES FL 33138- 812 NE 92 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 2,000.00 BM POWER PRO ELECTRICAL INC (786)657-2668 .,.... ._. ..._._,,, ,....... „ Total Sq Feet: 0 Type of Work:REMOVE AND REPLACE EXISTING 200 AMP 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-7-16-60609 DBPR Fee $2.25 07/18/2016 Cash $70.00 $96.70 DCA Fee $2.25 Education Surcharge $0.40 07/15/2016 Cash $50.00 $46.70 Permit Fee-Additions/Alterations $150.00 07/18/2016 Credit Card $46.70 $0.00 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. OWNERS AFFIDAe.1 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. Futhermore,I authorize the above-named contractor to do the work stated. July 18, 2016 Authorized Sig �turr:Owner / / Contractor / Agent pate Building Depment Copy July 18,2016 1 Miami Shores VillageFRP PUVRID Building Department Ju 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 _ Tel:(305)795-2204 Fax:(305)756-8972 --��-� INSPECTION UNE PHONE NUMBER:(305)762-4949 FBC 20 BUILDING Master Permit N�. �� I PERMIT APPLICATION Sub Permit No. BUILDING ELECTRIC ROOFING REVISION EXTENSION RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: City: Miami Shores// County: Miami Dade Zi / Folio/Parcel#: I I ' IZ 6 - C)I 1 q A Is the Building Historically Design ed:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): (Pi l Jkko 1.1 n Phone#: 3n5-2qq_Z2 5;t Address: MOM , re@ s City: 1° �1 Q M , State: Fl— Zip: Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: {�ry' I &a io F ei,^ E lee ki.(a I Phone#: IN - 617. Address: R6 iqs Te-r ra e City: I Q/4► State: /L Zip: '33 711 Qualifier Name:men14 KQ 2 Pho e#: State Certification or Registration M IVE000331 Certificate of Competency : E^ /3®I s-m J DESIGNER:Architect/Engineer: Phone#: Address: City: _State: Zip: Value of Work for this Permit:$ y=9v- Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New [M Repair/Replace ❑ Demolition Description of Work: ,,5 ® ' a Aek g&1h, 6m -3110 �/ gee s AM tep 1r o 0( 1 r Specify color of col(orrtthru tile: Submittal Fee$ L'^j ' Permit Fee$ 4r_0 CCF$ p 2.0_ CO/CC$ o� Scanning Fee$ y C43 Radon Fee$ 0- DBPR$ �� Notary$ Technology Fee$ ` C) Training/Education Fee$ Q U Dole Fee$ Structural Reviews$ Bond$ �u -�� 116 • �� 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. 1 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_ Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of �U L 20 �by day of Q R�— 20 ( by 1 F� PAK-U U who is rsonally know t`tA91J NEo ,who ersonally know 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 PUBLIC: 4 � Sign: A Vag, Sign: &a.. qC� Print: ► Iv 1`1> tw Z Print: 1.4 � • � Z Seal: Seal: '' KENIA Y RIDIZ KEN Y IROQ :•s FF930052 ._•. ••- MY%;W MISSM 9 F • MY EXPIREt-. .. 19.2019 �*#�s�a�x •� t�a��e��*�s�*� APPROVED BYv7,X4 / Plans Examiner Zoning up" look CTB Trades 0uafifgina Board L`SfNESS CERTIFICATE OF COMPETENCY 14EO00331 SM POWER PRO ELECTRICAL INC A1Ut RTINEZ BENITO .s certified under the provisions of Chapter 10 of lvl;ami-[lade Count/ VALID FOR CON'TRACTING UNTIL 09130/2015 Local Business Tax Receipt Miami—Dade County, State of Florida -THIS IS NOT A BILL-DO NOT PAY LBT 7173317 BUSINESS NAME/LOCATION RECEIPT NO. EXPIRES BM POWER PRO ELECTRICAL RENEWAL SEPTEMBER 30, 2016 INC 7452395 Must be displayed at place of business 686 NE 193 TER Pursuant to County Code MIAMI, FL 33179 Chapter BA-Art.9&10 OWNER SEC.TYPE OF BUSINESS PAYMENT RECEIVED SM POWER PRO ELECTRICAL INC 196 ELECTRICAL BY TAX COLLECTOR C/O BENITO MARTINEZ PRES CONTRACTOR 75.00 07/07/2015 Worker(s) 1 14E000331 0221-15-006712 This Local Business Tax Receipt only confirms payment of the Local Business Tax.The Receipt is not a license, permit,or a certification of the holder's qualifications,to do business.Holder must comply with any governmental or nongovernmental regulatory laws and requirements which apply to the business. The RECEIPT NO.above must be displayed on all commercial vehicles-Miami-Dade Code Sec 8a-276. MIAMI- For more information,visit www miamidade aov/taxSQIIQetor I Municipal Contractor's Tax Receipt Miami—Dade County, State of Florida -THIS IS NOT A BILL-DO NOT PAY M C CC NO: 14E000331 BUSINESS NAME/LOCATION RECEIPT NO. EXPIRES BM POWER PRO ELECTRICAL INC SEPTEMBER 30, 2016 686 NE 193 TER 7487172 MIAMI,FL 33179 Pursuant to County Code Sec 10-24 OWNER TYPE OF BUSINESS PAYMENT RECEIVED BM POWER PRO ELECTRICAL INC ELECTRICAL CONTRACTOR BY TAX COLLECTOR C/O BENITO MARTINEZ PRES 18.75 07/08/2016 0223-16-005111 Restricted to City of Miami Shores MIAWAMI DARE For more information,visit www.miamidade aov/taxcollector ® CERTIFICATE O� tUTYlNSURANC-E -- HDATE41201n'YYY) . _. _ OT4I2016 THIS CERTIFI4ATE'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: IP 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 CONTPEAS Brian Reilly Best Rate-Insurance Exchange Of America PHONE . (866)616-OM FAX No; (305)403-0801 8600 NW 17th Street ss, isaunderwri4ng@bestrate-i urance.com ihMRER(s)AFFORDING COVERAGE MAIC# Miami FL 33126 INSURER A• PREFERRED CONTRACT R'S ASSOC INSURED INSURER S" BM Power Pro Electrical Inc. INSURER C 686 N.E.193rd Terrace INSURER D INSURER E: Miami FL 33179 INSURER F: COVERAGES CERTIFICATE NUMBER: RE"ION 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 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. i�TR TYPE OF INSURANCE I POLICY NUMBER EFF POLICY r LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED CLAIMS-MADE ®OCCUR PREM S S We occurrencei $ 50,000 MED Arty one person $ 5,000 A PCIC5009-PCA525190-02 07/06/2016 07/06/2017 PERSONAL BADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 1,000,000 X POLICY JECPROT F—]LOC PRODUCTS-COMP/OP AGG $ 1,000,000 OTHER: $ AUTOMOBILE LIABILITY COM ID SINGLE LIMIT $ Ea a; ciderrt ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODIY INJURY(Per accident) $ AUTOS NON-OWNED PRO ERTY DAMAGE $ HIRED AUTOS AUTOS Per enI UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y/N TARTUT€ €RH ANY PROPRIETOR/PARTNER/EXECLMVE ❑ N t A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L. ISEASE-EA EMPLOY $ Dyyes,describe under ESGRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached H more space Is requhed) Qualifier-Benito Martinez License Number-14E000331 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Miami Shores Village Building Department ACCORDANCE WITH THE POLICY PROVISIIONS. 10050 NE 2nd Ave AurwoRlzED REPRESENTATIVE Miami Shores FL,33938 ft,la*2-Nein Arno PrIODnIPArrnw An vl-lhfa. meart ��®. . . CERTIFICATE OF LIABILITY INSURANCE 07101=016 D ) 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, D END OR ALTER THE COVERAGE AFFORDED 13Y THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCEK AND THE CERTIFICATE HOLDER. IMPORTANT: If the Certificate holder Is an ADDITIONAL INSURED,the WgbWles)nu t be endorse& If SUMOATION IS WANED,subjed to the terms and conditions of the policy,Certain policies may require an endorsement. A Statement on this certHlcate does not confer rights to the c®rMcate holder In Neu of such endorsemen s PRODUCER �Payctwx Insurance Paychex Insurance Agency,Inc. PHONE Asea PAX 150 Sawgrass Drive E Va.Fulk 877-266411M u� Rochester,NY 14620 877-266-6850 1 Nam INSIRrR A:Hat fwd CawaMj Insurance Compam/ INSURED BM POWER PRO ELECTRICAL INC IAB' DBA POWER PRO INSURERC: 686 Ne 193rd Ter INSURER D: Miami, FL 33179 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.TERRA OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT VITti RESPECT TO V*UCH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN I SUBJECT EC ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOVW MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF INSURANCE POLICY NU AMERMOM POLICY EFF EXP LMM GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL.GENERAL LIABILITY PREMISES I $ CLAIMS-MADE [1]OCCUR MED EXP one b $ PERSONAL&ADVINJURY 3 4 GENERAL AQGREGATE $ GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ POLICY F7PRO LOC 1W MIT $ AUTOMOBILE LIABILITYa COMN ANY AUTO BODILY INAIRY(per Person) S ALL OWNED SCHEDULED BODILY INJURY(Par amid" $ AUTOS AUTOS PROPERTY 14 RED AUTOS AUTOS D $ $ UMBRELLA LLAS OCCUR EACH OCCU RENGE $ F EXCESSLWB ClAIMS-MADE AGGREGATE $ -' DED RETENftON $ A wORKERs cOA1PEISATKIN gF-L ST 1TIJ- OETH AND R P RIEEtS LIABILITY ANYP IVIMEMTOR/PARTNERIE%ECUTIVE Y7 76WEGZH624�2 EACHA C $ 100.000 OFFIGER/AAEMBER EXCLLIDED7 Y NtA ! d YL'Y 02!0512018 02/05/2017(Mandatary in NHI �S -EA EMPLOYE $ 100,000 if yes describe under 500.000 DESCRIPTION OF OPERATIONS bel. -POLICY UAAIT $ i DESCRIPTION OF OPERATMS I LOCATIONS!VEH=ES(A ,ACORD 1(1.Adder Ramada Sdmdal%H Ansa spas®Is mq,dmd) License#14E000331 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLIC S BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DI LIVERED IN ACCORDANCE WITH THE Miami Shores Village Building Department POLICY PROVISIONS.BUT FAILURE TO MAIL SUC NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON TF E COMPANY,ITS AGENTS,OR 10050 NE 2nd Avenue REPRESENTATIVES. Miami Shares,FL 33138 f L�71 PDREPRESENTATIVE . 918-2010 ACORD COR [3RA . A .rights roservvd, ACQRD 26(2010105) The AC4RD name and logo areregistered marks of ACORD RF,CRTV-EAP7] JU 15 2096 • Bedroom 2 .••••. 6 new Enter—connected smoke detectors Nith battery back up •••• • • • • O �� — • • •••••• S/\r/ 3 3/0 IN 2 INCH Con. •••• • ••••• Bedroom 1 •••••• ••• ••�••• .. .. .. . ...... Bedroom 3 O Bathroom 200 AMP METER 200 AMP MAIN 30 Space COMBO MLO Panel i Kitchen — e r, _ J — J Q Liv/dining L c Room ~ - Panel A to be -- s replaced \_#4 Grounding wi h 2 ground rods Bedroom 4 812 NE 92 Street Miami O O Replace 200 Amp meter Shores FI. Scope: remove and replace i existing meter and panel with new 200 amp meter main combo and new 200 amp MLO = Panel, install grounding system, East Outside Inside Install 6 interconnected wall Panel Feeder/Syster(VOccupancy Printed Reports System Pro Page A Name Pane;-A I A.I.C.Rating 1-i-Cmd Pftd Fed From Mew Main 240.l ftgle Phwe Location (inside- -1 Bw Amps 1225 --1 Main Amps I- Feeder OCP fte bmww Amp IF0 -1 Opanc ❑ List of Load —] phaseQSvre�rCircuit Brand D Breaker Style I MLO Directory Model I Main LugsPoles l T� Breaker Amps 4 Inch x 6 0000.0 LaW(Va) lbealcer [mail Va Sze TLoad Type Cirma Nam _Ccit� 0 oo:'o 0 •006 0*00*0 Cct I Grad Kam Load Type A B I P I Amp] [TWw_j P A B F 0 1 Ac ung Beeft Real 25CO 2250 Kahw Ew ovo 2 Demand Loads(Va) ----------- 0000 Ell ftm 0 F111 2250 4 0666*9 :0*000 00000 fthem General Lighting 490.0 00000. 000 90:000 5 07ya Dry& M0 when Eq-Wp v Cook Top so 0 0 ------- goo •0 *Goov ------ Continuous Ugh*V g.0 2250 General Receptacle 139M.0 00 7 Dryer em r 0 0000.. 9 %1l hem Gm.Rece;mcfe l 5HO Sal Rew,%de S;bfer P-un 10 Dtvbv Appliance 0.0 0 0 0 0 Electric Dryer 59210 0 0 11 Gm.ReWftde F"We v 12 0000 Kitchen Units 4725.0 14 Heating/Cooling 511110.0 13 Oedrwin I vd 2 L*bq Other@ 1031. 0.0 15 tem 3 and 4 Gement L"! ISCO ISO WkWea Equip 16 Motor Load 0.0 17 Cw&t 90mg I Gwwsfl LigWg v 112aa Gen.RemzWe v viveher is 25%Largest Motor 0.0 19 SnbV Apj*ance Smd ftprwce 18CO 12CO 20 Other @ 125% r0_0—7 21 22 Fol ------ - Connected Load vo/o Demand 23 ------ All ]i I ii 24 Factoring 25 26 A B C 2728 Conn.Load 2155D d .'Phase(Va), 29 OV, [___Jj 130 21900 Total Connected Load 43140 �'a 181 Amps Total Demarid Load 133M 7 Va 139Affw