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EL-13-1760/3 /Op / 2, - Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 205958 Scheduled Inspection Date: January 23, 2014 Inspector: Devaney, Michael Owner: CARMEN RODRIGUEZ ALTIERI, DANIEL NO" Job Address: 510 NE 95 Street Miami Shores, FL 33138- Project: <NONE> Contractor: HAMILTON ELECTRIC eumung Department comments ELECTRIC FOR NEW SWIMMING POOL Permit Number: EL -8 -13 -1760 Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Pool - Private Phone Number Parcel Number 1132060140830 INSPECTOR COMMENTS False Inspector Comments Passed Ef 7/ Failed Correction Needed Re- Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Phone: (561)210,5263 January 22, 2014 For Inspections please call: (305)762.4949 Page 19 of 22 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fag: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION Permit Type: Electrical JOB ADDRESS: 510 NE 95 Street v -b� iR AUG 0 5 265 c� FBC 20 Permit No. Ct 13 - 110 Master Permit City: Miami Shores County: Miami Dade Zip: 33138 Folio/Parcelk Is the Building historically Designated: Yes NO X Flood Zane: OWNER: Name (Fee Simple Titleholder):_ Daniel Perez i Cti men AA}i,evi phones. 305 - 788 -6419 Address: 510 NE 95 Street City: Miami Shores State. FL Zip: 33138 Tenant/Lessee Name: Phone#. Email: CONTRACTOR: Company Name• HAMILTON ELECTRIC Phone#: 561 - 210 -5263 Address: 2701 NE 27 CIRCLE City: BOCA RATON State: FL gyp: 33431 Qualifier Name: MARK HAMILTON phone#. 561- 210 -5263 State Certification or Registration #: ER13013563 Certificate of Competency #: 06- CME12426X Contact Phone#: 561- 210 -5263 Email Address: HAMILTONELECTRICa@COMCAST .NET DESIGNER: Architect/Engineer. DAVID FAERMAN Phone#: 561445 -1787 Value of Work for this Permit: $1000.00 Square ✓Linear -Featnge..orwork :- - E g o 1 S C - r Type of Work: ❑Address ❑Alteration ❑New ❑Repair/Replace ❑Demolition Description of Work: ELECTRIC FOR NEW SWIMMING POOL Submittal Fee $ Permit Fee $ l?®® le-0® CCF $ ,66 CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ 9, -5 0 , Bond Notary $ Training/Education Fee $ Technol®o�gy Fee $ , a Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ Bonding Company's Name (if applicable) Bonding Company's Address City State 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 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 abs a of such posted notice, the inspection will not be approved and a reinspection fee will be charged f Signature Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this k (o The foregoing instrument was acknowledged before me this �� � 97 � MARK HAMILTON day of 20 �, by J�1/`t�rb sn day of 20 �, by , who is personally known to me or who has produced o is ersonally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY Sign: Print: M Commi '•• • spy A. MASKER My *• • - Commission # EE 099428 Expires . MYf6 X019 APPROVED BY Plans Examiner Structural Review (Revised 3 /1=012)(Revised 07 /10 /0raevised 06/10=09)(Revised 3/15/09) NOTARY UBLIQ Sign: Print: DALE A MASKER My Commission # EE 099428 Expires June 6, 2015 Sm*dThmTm.A.;.. e,.., Zoning Clerk Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CONTRACTORS' REGISTRATION FORM ALL CONTRACTORS MUST PROVIDE COPIES OF LICENCES AND INSURANCES EACH TIME A PERMIT IS SUBMITTED OR THE VILLAGE MAY MAINTAIN A FILE WITH YOUR INFORMATION FOR A $30.00 FEE PER YEAR. IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. COPY OF QUALIFIER'S STATE LIC CARD B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF LIABILITY INSURANCE (CERTIFICATE HOLDER TO BE MIAMI SHORES VILLAGE BLDG DEPT) D. COPY OF WORKERS COMPENSATION (EITHER CERTIFICATE OR EXCEMPTION) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICE OF COMPETENCY OF QUALIFIER B. COPY OF MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT C. COPY OF LIABILITY INSURACE (CERTIFICATE HOLDER MUST BE MIAMI SHORES VILLAGE BLDG DEPT) D. COPY OF WORKER COMP INSURANCE (EITHER CERTIFICATE OR EXEMPTION) YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE HOLDER AS FOLLOW: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 BUSINESS NAME: BUSINESS ADDRESS: ;C76l OZ 0-1 C ytil-, CITY y� STATE V:- �— _ ZIP CODE BUSINESS PHONE: f �( ) QAb 5aleS FAX NUMBER CELL PHONE ( p) 't N - OGG QUALIFIER'S NAME: V V VV4V\&. V O QUALIFIER'S LIC NUMBER: E -MAIL ADDRESS (IF APPLICABLE).\nu & \' \ c @ Cl Mac - cn Created on 3119109 BY MLDV I RV 3126!09 MLDV CERTIFICATE OF LIABILITY INSURANCE 7/3` 1°" 3"' PRODUCER (407) 838 -3445 FAX: (407) 838 -3460 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION IRA Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 498 S Lake Destiny Rd HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR nY ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Orlando FL 32810 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A. Travelers 10796 Mark XMI I ton dba INSURER B: Star I =uranCe CCUPMY 18023 Hamilton Electric INSURER C: 2701 NZ 27th Circle INSURER D: Boca Eta on E'L 33431 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TOTHE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTAN DING 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 BYTHE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OFSUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR DATE THEREOF, THE ISSUING INSURER VBLL ENDEAVOR TO MAIL 10 DAYS VIQiI1TEN POLICY NUMBER lP LICY CnVE PO EXPIRA710N LUM A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS MADE 0 OCCUR - 660- 7A230922- IND -12 9/23/2012 9/23/2013 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RE9TED PREMISES Ea 0%#W ;e $ 100,000 MEDEXP one $ 5,000 PERSONAL 8 ADV INJIRY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENt AGGREGATE LIMIT APPLIES PER: 7 X POLICY PRO LOC PRODUCTS - COMPIOP AGG $ 2,000,000 AUMOBI.E LULBIUIY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON- OVNVED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ BODILY INdl1RY (Perp --) $ BODILY IN,RIRY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIAEIRM ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ EXCESS UMBRELLA LIABWTY OCCUR FI CLAIMS MADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE $ AGGREGATE $ $ $ IB WORKM COMPENSAnON AND EMPLOYEW LIABILI Y ANY PROPRIETORIPARTNERAD EC TIVE YIN C NH® (Mandatory ! 11 yes, descdbe under SPECIAL PROVISIONS below 0690933 9/23/2012 9/23/2013 X , VtC STATU TH E.L. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ J.'000,000 OTHER DEWAF nON OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADD® BY ENDORSEMENTI SPECIAL. PROVLSIONS P'CD97Cie,ATC YAi nco PAutN ci 1 A'nr%u ACORD 25 (20=01) (9IW&VwAW8AWKU UWKPUKA11UN. AR rgnis reWFVBU. INS025 (200mi ).oi The ACORD name and logo are registered marks of ACORD SHOULDANYOFTHEAWVEDEBCIaBEDPOL QE SBECANCELLEDBEFORETHEEXFIRAnoN DATE THEREOF, THE ISSUING INSURER VBLL ENDEAVOR TO MAIL 10 DAYS VIQiI1TEN Miami Shores Village Building Department 10050 N& 2nd Avenue NonCE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUr FARURE TO DD SO SHALL IMPOSE NO OBUGA-nON OR LIABILITY OF ANY KIND UPON THE MJRER, US AGWM OR Miami Shores, IFL 33138 REPRESENrATM& AUTIDRUED REPRESENrATM S Gerhoff Gerhoff Ins ACORD 25 (20=01) (9IW&VwAW8AWKU UWKPUKA11UN. AR rgnis reWFVBU. INS025 (200mi ).oi The ACORD name and logo are registered marks of ACORD Outlook Print Message Page 2 of 2 We are prepared for hurricane season. Let us help you get ready, too. Visit www.FPL.com/storm =for helpful tips for your home or business. Also, stay informed this storm season by signing up for our residential or business email updates. Not sure if you are signed up? Just check your email preferences. 0 FPL Privacy Policy Click Here to register now. it's easy - re's how. STEP 1 STEP 2 Enter your Account Number. Create yi ur User and Pass ord. You will need your FPL acco of your Social Security STEP 3 Fill in the information and click submit nber and the last four digits ID number to register. We hope that you find the FPL E -Mail Bill pr ram venient and easy to use. If you have any questions, please go to www.FPL.com or d us an -mail. Please remember to include your account number with all online correspon nce. For y ur convenience, your account number is listed at the top of this e-mail 1 L8116v2013.06v5 FPL Privacy Policy ` Copyright © 2011 FPL. All rights reserved. < 4 https: //bayl70.mail. live. com / mail/ PrintMessages .aspx?cpids= 8f3d65ab- df2d -1 le2- 605 -00... 7/2/2013 Doc 03 12 12:17p HAMILTON ELECTRIC 561- 392 -3111 p.1 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD •°� TALLABAS MONRO£ STRSEEFL 32395 -0783 HAMILTON, MARK HAMILTON ELECTRIC 2701 NE 27TH CIRCLE BOCA RATON FL 33431 Congratulations[ With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to Improve the way we do business In order to serve you better. For information about our services, please log onto www.myfloridalleense.com There you can find more information about our divisions and the regulations that Impact you, subscribe to department newsletters and learn more about the Department's initiatives. Our mission at the Department Is: License Efficiently, Regulate Fairly. We mstantiy strive to serve you better so that you can serve your customers. nank you for doing business in Florida, and congratulations on your new license' DETACH HERE (850) 487 -1395 :0 STATE of FLORIDA AC# 6 15 9 2 3 8 DEPARTMENT OF BusiNESB AND PROFESSIONAL REGULATION ER13013563 06/11/12 110424361 REG ELECTRICAL CONTRACTOR HAMILTON, MARK HAMILTON ELECTRIC ( INDIVIDUAL MUST MEET ALL LOCAL. LICENSING REQUIREMENTS PRIOR TO CONTRACTING IN ANY AREA) HAS REGISTERED under the provisions of ch.489 mpa -tsoa date: AUG 31, 2014 L2 20 612 011SI C# 6159238 STATE OF FLORIDA DEPARTMENT .OF BUSIN�EEgSS 'AND PROFi3SSI{3 _PGULATION ELECTRICAL CONTRACTORS LICENSI d °•. SFCNl T_�9AG [ 9 AY'1 n, - �� .r �.r—V .�V,V •iJ. . • LIC E- NHR 06 11L BO1Z 110424361 BR13013.563 '- ".uua- a wiv.eaiJ 4.Vi\ 1 lGl1\.1 V R . Named - .below HAS' REGISTERED Under `the provisions of Chapter 489 FS. Expiration date: AUG 31, 2014 .(INDIVIDUAL MUST MEET ALL LOCAL LICENSING REQUIREMENTS PRIOR TO CONTRACTING IN ANY AREA) HAMILTON, MARK HAMILTON ELECTRIC 2701 NE 27TH CIRCLE BOCA RATON FL 33431 RICK SCOTT KEN LAWSON GOVERNOR SECRETARY DISPLAY AS REQUIRED BY LAW Aug 21 12 09:47a HAMILTON ELECTRIC 561 -392 -3111 p.1 ANNE M. G A N N O N P.O. Box 3353. West Palm Beadi, FL 33402 -3353 — LOCATED AT" - C6I09TtT11T1C 1t TAX 001A6CtOA ww taxcollectorpbc.com Tei: (561) 355 -2272 s�pte Pafpf ttradl C44wrg 2701 NE 27TH CIR ` BOCA RATON, FL 33431 TYPE OF BUSINESS OWNER CERnFICATICN$ RECEIPT1i1DATEPAO AMT PAN) BILLS 23.0169 ELECTMPL COWRACTCR I KAI LTON MARK ER13013563 812.48100-07=12 $27.50 840040914 is document is valid only wher receipted by the Tax Collector's Office. STATE OF FLORIDA PALM BEACH COUNTY 2012/2013 LOCAL BUSINESS TAX RECEIPT B3 - 206 HAMILTON ELECTRIC LBTR Number: 200704274 HAMILTON ELECTRIC EXPIRES: SEPTEMBER 30.2013 2701 NE 27TH CIR This receipt does not constitute a franchise. BOCA RATON, FL 33431 -7547 agreement, permission of authority to perform the lll II 11111 services or operate the business described herein 011ie ullnit oil r.I when. a franchise, agreement or other county commission, state or federal permission of authority Is required by coL". . state of federal law. Jul 1813 08:13a HAMILTON ELECTRIC 561- 392 -3111 p.2 TAX ADF COOK{ y 2012 LOCAL ousuffm TAX � 40 W. FLAGLEj%RST let MIAII 41AQE 2019 QXRny- STATEOF ROMA R FLOOR MU �P'R� ��ICE OF PURSIlMST TO S{MM COU"I YCODE CHARM 8A -ART. 9&1a U POSTAGE PAID PEFUNT NO.231 FL 67a132 -3 THIS IS NOT A SILL — 00 NOT PAY B %wL NA"' "Rom Re RENEWAL TQ5497 -6 DOING BUS IN BADE CO CC B o8 M700 O MARK D HAMILTON Seelg6 ge CAL CONTRACTOR WORKER /S T+�s M OA iocAe 1 om N8 TAX mWarT. R %VLF NOT 0816LT THE AW M UMM RMULATORY on WMG LAiM GF THE Z,aA TFE DO NOT FORWARD VMW ROOTMAR 21lNEN 7L ECiRIC ''X.ffoudFAV ° BOCA RATAN FLR33431 fIMMMMO CO,Wp1C0 -TV TAX 07/25/2012 60030000065 000075 00 SEE OTHER SIDE 1 ►.11„ Jt..1 "1'.II...,ltl,,.l,l,)„ l,.It, ►jn...... t},4/ttt Jul 181308:13a HAMILTON ELECTRIC 561 -392 -3111 p.1 BUSINESS CER�FICATE OF 08EO00700 rfns Board COWETENCY 4wAmILTON ELECTRIC HAMiLTON MARK c;w l o at Ai uw IsceMed urt� #0 P��O of . 3 Jul 181308:13a HAMILTON ELECTRIC 561-392-3111 MIAMI -DADE COUNTY BUILDING AND NEIGHBORHOOD COMPLIANCE 11805 SW 26TH ST. SUITE 207 MIAMI FL, 33175 (786) 31S -2880 CON'TRACTOR'S BUSINESS CERTIFICATE OF COMPETENCY ISSUED SEPTEMBER 02, 2008 THIS IS TO CERTIFY THAT HAMILTON ELECTRIC CONTRACTOR CERTIFICATE NO.: OSE000700 TRADE: ELECTRICAL CERTIFICATE EXPIRATION DATE: 09/30/2013 HAVING MET THE CODE REQUIREMENTS OF MIAMI -DADE COUNTY, AS AMENDED, IS CERTIFIED AS A CONTRACTOR IN THE FOLLOWING CATEGORY(S): 0001 ELECTRICAL WITH ALL WORK TO BE DONE UNDER THE SUPER'%TiSION, DIRECTION AND CONTROL OF QUALIFYING AGENT HAMILTON MARK S.S.N. - - 441 ALTERATION, RE- PRODUCTION OR TRANSFER OF THIS CERTIFICATE IS PROHIBITED. CHARLES DANGER, P.E. SECRETARY, CONSTRUCTION TRADES QUALIFYING BOARD HAMILTON ELECTRIC 2701 NE 27 CIRCLE BOCA RATON FL 33431 FEE FOR THIS CERTIFICATE WAS PAID ON PROCESS CIO. 72011113296 p.3