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EL-16-199 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores,FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-253668 Permit Number: EL-1-16-199 Scheduled Inspection Date: March 09,2016 Permit Type: Electrical- Residential Inspector. Devaney,Michael Inspection Type: Final Owner. CATHERINE HABERMANN,GLENN Work Classification: Pool - Private CADIZ Job Address:164 NE 105 Street Miami Shores,FL 33138-2033 Phone Number Parcel Number 1121360130660 Project: <NONE> Contractor. HAMILTON ELECTRIC Phone: (561)210-5263 Building Department Comments RENEWAL OF EXPIRED PERMIT EL14-2665 Infraactio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-253482 CREATED AS REINSPECTION FOR INSP-251566. PERMIT IS LOCATED BY THE POOL EQUIPMENT.Gates locked no access to pool equipement 26 feb 16 Failed ❑ Gates locked at 4:20 p. m..No access to pool equipement Correction Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. March 08,2016 For Inspections please call: (305)7624949 Page 27 of 43 41 h Miami Shores Village 10050 N.E.2nd Avenue NE Miami Shores,FL 33138-0000OAK } E3 Phone: (305)795-2204 . Z Expiration: 08/17/2016 Project Address Parcel Number Applicant 164 NE 105 Street 1121360130660 Miami Shores, FL 33138-2033 Block: Lot: GLENN FORD CATHERINE HABI Owner information Address Phone Cell GLENN FORD CATHERINE 164 NE 105 Street •------- • MIAMI SHORES FL 33138- 164 NE 105 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 900.00 HAMILTON ELECTRIC (561)210-5263 m- Total Sq Feet: 416 Type of Work:RENEWAL OF EXPIRED PERMIT EL14-2665 Available Inspections: Additional Info: Inspection Type: Classification:Residential Final Scanning:1 Light Niche Bonding Review Electrical Alarms Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $0.60 DBPR Fee $4.50 Invoice# EL-1-16.58442 DCA Fee $4.50 01/26/2016 Check*25406 $50.00 $263.60 Education Surcharge $0.20 02/19/2016 Check#:26101 $263.60 $0.00 Permit Fee-Additions/A iterations $300.00 Scanning Fee $3.00 Technology Fee $0.80 Total: $313.50 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 construction and zo ' g. Futhermore,I authorize the above-named contractor to do the work stated. February 19, 2016 Autho Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy February 19,2016 1 Miami Shores Village ;SAN $,6 2016 Building Der artment BY: c7,Z 10050 N.E.2nd Avenue,Miami ;hores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION UNE PHONE NUR ISER:(305)7�, 2-4949 FBG 20,16) BUILDING _ Master Permit No PERMIT APPLICATION SOb Permit No. -- ❑BUILDING ®ELECTRIC ❑ ROOFING ❑ REVISION ❑EXTENSION ®RENEWAL ❑PLUMBING ❑MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑CANCELLATION I❑SHOP CCNTRACTOR DRAWINGS JOB ADDRESS: 164 NE 105 Street —Miami Shores county: Folio/Parcel#:11-2136-013-0660 Is the B sliding Historically Designated:Yes_jNO X Occupancy Type: Res load: Construction Type: New Flood Tone: BFE:_ ; FFE: OWNER:Name(Fee Simple Titleholder):GLEN FORD&CATHERINE HABERMAN Phone#:305-$05-7104 Address:164 NE 105 STREET City, MIAMI SHORES state: FL Zip: 3138 Tenant/Lessee Name: NSA Phone#: Email: GLEN.FORD@BTINTERNET.COM CONTRACTOR:Company Name: HAMILTON ELECTRIC phone#. 561- 10-5263 _ Address:2701 NE 27 CIRCLE city: BOCA RATON State: FL Zip: 3 33 Qualifier Name: MARK HAMILTON Phone#: 561- 10-5263 State Certification or Registration#: EC 13006694 rtificate of competency#: DESIGNER:Architect/Engineer: DAVID FAE MAN Phone#: 561-445-1787 Address:22171 WATERSIDE DRIVE city: BOCA RATON State: FL Zip: 33428 Value of Work for this Permit:$ 100.00 Squar Unear Foot AS BU LT ,ge w work: Type of Work: M Addition ❑ Alteration ❑ New ❑ ROpair/Replace Demolition Description of work.. CLOSE PERMIT W orK C , Specify color of color thru tile: .Submittal Fee S �� 6�) Permit Fee$- 1®e,op CF co/cc$ Scanning Fee$ 2 oz�' Radon Fee$ —Notary$ I� Technology Fee$ Training/Education Fee$ 20 Double Fee$ j Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ (Revised02/24/2014) 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 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 reinspection fee will be charged. F! Signature Signature OWN R or AGENT C NTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrumen was acknowledged before me this 22 day of JANUARY 20 16 by 22 day of JANUARY 2016 ,by GLENN FORD ,who is personally known to MARK HAMILTON ,who is personally known to 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 UBLIC: NOTARY PUB C: Sign: Sign: Print: E A MASKER Print: ALE A MASKER Seal: DALE A.MASKER . c �" i FF 236797 Seal: DALE A MASKER `` Commission# r Commission#FF 236797 Expires June 6,2019 June 6,2019 ', " BawbdTkuTroYFatnUmmaioe is EgWWTImNYF i.kw _uN85- T8 ####### ######################################################### ####################### APPROVED BY Z�J`�-���Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014)