EL-13-1946Inspection Worksheet 1?39 Miami Shores Villagef
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-205930 Permit Number: EL -8-13-1946
Scheduled Inspection Date: January 22, 2014 Permit Type: Electrical - Residential
Inspector: Devaney, Michael Inspection Type: Final
Owner: MELTZ, JONATHAN Work Classification: Pool - Private
Job Address: 157 NE 104 Street
MIAMI SHORES, FL 33138-2028 Phone Number
Parcel Number 1121360130750
Project: <NONE>
Contractor: HAMILTON ELECTRIC Phone: (561)210-5263
tiunaing uepartment comments
ELECTRIC WORK FOR POOL
INSPECTOR COMMENTS False
Inspector Comments
Passed ER
Failed 22
Correction ❑
Needed
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
January 21, 2014 For Inspections please call: (305)762-4949 Page 39 of 39
r
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
BUILDING
PERMIT APPLICATION
Permit Type: Electrical
FBC 20 lJ
Permit No. F_ L-- 13 1`9 " �
Master Permit No.. i 3 —193
�►
JOB ADDRESS: 157 NE 104 STREET
City: Miami Shores County: Miami Dade gyp; 33138
Folio/Parcel#:
Is the Building Historically Designated: Yes NO Flood Zone:
OWNER: Name (Fee Simple Titleholder): JONATHAN MELTZ phone#: 786-269-5630
Address; 157 NE 104 STREET
City: MIAMI SHORES State: FL .rap: 33138
Tenant/Lessee Name: NA phone#: 786-269-5630
Email:
CONTRACTOR: Company Name: HAMILTON ELECTRIC Phone#: 561-210-5263
Address: 2701 NE 27TH CIRCLE
City: BOCA RATON State: FL zip: 33431
Qualifier Name: MARK HAMILTON Phone#: 561-210-5263
State Certification or Registration # ER13013563 Certificate of Competency #
Contactphone#: 561-210-5263 Email Address: HAMILTONELECTRIC@COMCAST.NET
DESIGNER: ArchitectMugmeer. DAVID FAERMAN phone#: 561-445-1787
Value of Work for this Permit: $1000.00 Square/Linear Footage of Work:
Type of Work: DAddress OAlteration ONew ORepair/Replace ODemolition
Description of Work: ELECTRIC WORK FOR NEW SWIMMING POOL
Submittal Fee $ LSV Permit Fee $ CCF $ �t� CO/CC $
Scanning Fee $ 3 c t=?-- Radon Fee $ DBPR $ �° Bond
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $
U
Bonding Company's Name (if applicable) NA
Bonding Company's Address
City State
Mortgage Lender's Name (if applicable) NA
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.
SignatureSignature
—4w/1�111- 1
Owner or Agent ntractor
The fore mg instrument was acknowledged before me this � The foregoing instrument was acknowledged before me this30
day of , 20 by Jo , �,�V�~}—L, day of JULY 20 _,by MARK HAMILTON ,
who is personally known to me or who has produced who is orally known to or who has produced
-
M As identification and who did take an oath. as identification and who did take an oath.
NOTARY
NOTARY P LIC:
Sign: Si 0 /
D.-.-.. DALE A MASKER
Structural Review Clerk
(Revised 3/1212012)(ReWa d 07/10/07)(Revised 06/10nM)(Revised 3/15/09)