EL-12-2277Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 184554 Permit Number: EL -12 -12 -2277
Scheduled Inspection Date: January 23, 2013
Inspector: Devaney, Michael
Owner: EVANS, GEORGE
Job Address: 9957 NE 4 Avenue Road
Miami Shores, FL 33138 -2439
Project: <NONE>
Contractor: LONGMAN ELECTRIC INC
Permit Type: Electrical - Residential
Inspection Type: Final
Work Classification: Alteration
Phone Number
Parcel Number 1132060171240
Phone: (305)758 -1211
Building Department Comments
SERVICE UPGRADE AND PANEL CHANGE
Infractio Passed Comments
INSPECTOR COMMENTS
False
Passed
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
sf-,-Ka'
January 22, 2013
For Inspections please call: (305)762 -4949
Page 29 of 34
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
1(11V1 \I\1Jilatat
PERMIT APPLICATION
Permit Type: Electrical 11
JOB ADDRESS: i ri Na 4 041,4. )71*
FBC 2070
DEC 032012
Permit No. f -
Master Permit No.
City: Miami Shores County: Miami Dade
Zip: 33/ TP
Folio/Parcel #:
Is the Building Historically Designated: Yes NO )< Flood Zone:
OWNER: Name (Fee Simple Titleholder): .,., P' � sad L. 4G�tj Phone#: le r° ine f 31 77
Address: �� � /✓� LIM /lot. ,cam //
City: s dart 0
State: FL
Zip: 3TITI
Tenant/Lessee Name: Phone#:
Email:
4*r#Q 9 ,4o /. uoM
CONTRACTOR: Company Name: 1.-41Z 9 Md+! r%[
Phone#: 3 — 7$ 4a. L/
Address: 21 L1 gt q A al-
City: P'!% fiai; 04 P)- State: P1°-* Zip:
3313.S
Qualifier Name: /kW CA gel 2-t2A, 6-/414"e'o Phone#:
State Certification or Registration #: 1'4'4%4, 1 3 4.0 3 7/3 Certificate of Competency #:
Contact Phone #: 3 -- 75$, 9 a. // Email Address:
DESIGNER: Architect/Engineer: Phone#:
Value of Work for this Permit: $ 0") 300 , 00 Square/Linear Footage of Work:
Type of Work: ❑Address °Alteration °New , Repair/Replace °Demolition
Description of Work: 5e. 1'L GP/ V/ J'4f<, 4-40( ( t'4' f e4''"- -�—�
**** **** **** * *** * * **** **** ***•x******** Fees** x: *****+ x*+ x**+ x**** ***** ** **+xx:+x**+x***********
Submittal Fee $ .' .t ti Permit Fee $ /4-0 'sP CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $ ��✓ Lid./
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 ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDMONERS, ETC
OWNER'S ANNIDAVIT: 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 sever (7) days after the building permit is issued In the absence of such posted notice, the
inspection will not be approved and a rei ection fee will be charged.
/
Signature
Owner or Age
The foregoing instrument was acknowledged before me this
day ofL -i4a , 20 /3--, by j2 tad tPAy
who is ersonally knoo me or who has produced
As identification and who did take an oath.
3
NOTARY PUBLIC:
Sign: X11.
Print: �
` ,� �" 1 UCH �. •.: t 1.
�%
My Commission Expires:
Contractor
The foregoing instrument was acknowledged before me this ,
day of , Ran �, �° , 20 by 14ir . \, -`14, ,A'i
who i
Y MILADY DAVILA
'• '`' el MY COMMISSION # EE088184
***** *** ********** ********x * 61** *** fix *ixarg 413913***
(101) 398 -0153 FbridalloteryService.com
APPROVED BY
4Plan Examiner
to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
t< * * * * * * * * * * * * * * * * **
Structural Review
(Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09)
* * **
* * * **
* * * * * * * * * * **
Zoning
Clerk
9957 NE 4th Ave Road
Miami Shores, FL 33138
David Gay
METER
Main
200 AMP
3# 2/0 THHN
2" PVC
200 AMP
PANEL
1 Phase
120 / 240
40 CKT
4— #4 Ground
DEC 031201Z
ROD 8' X 5/8
*-- FPL
2" Sch. 80 PVC
ROD 8' X 5/8
Cold Water
Longman Electric
EC 13003713
APPROVED
ZONING DEPT
BLDG DEPT
SUBJECT 0 CCAIPI
r,VT-F1 n."..Iu C(1,1"
VNCE Vvi 11-1 ALL FEDERAL
ULEB AND EC LILA 1-IOUS
_ _
9957 NE 4th Ave Road
Miami Shores FL
David Gay
LOAD CALCULATION
3066 sgft x 3VA 9198
Small Appliance 3000
Laundry 1500
Dishwasher 1200
Water Heater 4500
Disposal 1000
Dryer 5000
Range 10000
Pump 1200
Total
Longman Electric Inc.
EC 13003713
844 NE 98th Street
36598
- 10000.00 10000
26598 x 40% 10639
20639
10,000 NC
30639/240 128 Amp
9957 NE 4th Ave Road
Miami Shores, FL 33138
David Gay
Panel Schedule
1.) NC Handler
3.) A/C Handler
5.) NC Compressor
7.) A/C Compressor
9.) lighting
11.) lighting
13.) Kitchen App.
15.) Kitchen App.
17.) lighting
19.) Lighting
21.) Dish Washer
23.) Pump
25.) Pump
60 Amp
60 Amp
50 Amp
50 Amp
20 Amp
20 Amp
20 Amp
20 Amp
15 Amp
15 Amp
20 Amp
20 Amp
20 Amp
thi ck ce ( 5 : --,o
be 13.t=o 37) >
2.) Range 50 Amp
4.) Range 50 Amp
6.) Dryer 30 Amp
8.) Dryer 30 Amp
10.) Lighting 15 Amp
12.) Lighting 15 Amp
14.) Lighting 15 Amp
16.) Lighting 15 Amp
18.) Lighting 20 Amp
20.) Refrig 20 Amp
22.) Disposal 20 Amp
24.) Washer 20 Amp
26.) Bath GFI 20 Amp
9
9957 NE 4th Ave Road
Miami Shores, FL 33138
David Gay
METER
Main
200 AMP
3# 2/0 THHN
2" PVC
200 AMP
PANEL
1 Phase
120 / 240
40 CKT
4— #4 Ground
ROD 8' X 5/8
ROD 8' X 5/8 Cold Water'
4— FPL
2" Sch. 80 PVC Longman Electric
EC 13003713
,T:D IR 5-ir
Miami Shores Village
i\EPROVED
ZONING DEPT
5L.DG DEPT te'
UEJECT 0 Cc.I\VI.IPNCE WI Di ALL FEDERAL
TE ANL) CLF.jN rdL,P=S AND REcuL6crioNs
9957 NE 4th Ave Road
Miami Shores, FL 33138
David Gay
Panel Schedule
1.) A/C Handler
3.) A/C Handler
5.) A/C Compressor
7.) A/C Compressor
9.) lighting
11.) lighting
13.) Kitchen App.
15.) Kitchen App.
17.) lighting
19.) Lighting
21.) Dish Washer
23.) Pump
25.) Pump
60 Amp
60 Amp
50 Amp
50 Amp
20 Amp
20 Amp
20 Amp
20 Amp
15 Amp
15 Amp
20 Amp
20 Amp
20 Amp
%I'll G e
13 -'o3 2i3
2.) Range 50 Amp
4.) Range 50 Amp
6.) Dryer 30 Amp
8.) Dryer 30 Amp
10.) Lighting 15 Amp
12.) Lighting 15 Amp
14.) Lighting 15 Amp
16.) Lighting 15 Amp
18.) Lighting 20 Amp
20.) Refrig 20 Amp
22.) Disposal 20 Amp
24.) Washer 20 Amp
26.) Bath GFI 20 Amp
9957 NE 4th Ave Road
Miami Shores FL
David Gay
LOAD CALCULATION
3066 sqft x 3VA 9198
Small Appliance 3000
Laundry 1500
Dishwasher 1200
Water Heater 4500
Disposal 1000
Dryer 5000
Range 10000
Pump 1200
Total
Longman Electric Inc.
EC 13003713
844 NE 98th Street
36598
- 10000.00 10000
26598 x 40% 10639
20639
10,000 NC
30639/240 128 Amp