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RC-11-1467Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 164331 Scheduled Inspection Date: September 13, 2011 Inspector: Bruhn, Norman Owner: BALLINGER, HOWARD Job Address: 361 NE 97 Street Miami Shores, FL 33138 -0000 Project: <NONE> Contractor: EA LANDERS G.0 INC Permit Number: RC -8 -11 -1467 Permit Type: Residential Construction Inspection Type: Final Work Classification: Alteration Phone Number Parcel Number 1132060135760 Phone: 305 -823 -3938 Building Department Comments REPAIR AND REINFORCE EXISTING PORCH ON THE BACK OF THE HOUSE Passecyl fvALf_ Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments September 12, 2011 For Inspections please call: (305)762 -4949 Page 13 of 14 Miami Shores Village �� GBM3j� Building Department AUG 1. 1. 2011 V.) 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 Permit No )1 H 401 Master Permit No. BUILDING PERMIT APPLICATION FBC 20 Permit Type: BUILDING R Owner's Name (Fee Simple Titleholder) OFING Owner's Address 7 City 1944 ) 5-40/7/I State e../ Tenant/Lessee Name Email Zip Job Address (where the work is being done) City Miami Shores Village FOLIO / PARCEL # Phone# gi Phone # "D(0I 1\l_._ 91 C County Miami -Dade Zip -g3/3‘ Is Building Historically Designated YES NO Contractor's Company Name c-A0 ' /c4 Phone # 30 .25e 3 �9 Contract. 's Address City �I 4 0 Qualifier Name State Certificate or Registration No. Certificate of Competency No. Contact Phone Flood Zone � . Zip 1(� � C9 Phone # .`"?05-219' c E -mail R Architec ngineer's Name if applicable) 12/1 r% Phone # 5� J {Qy' '2 3 l 3,g) Value of Work For this Permit $ 300 O — Type of Work: ❑Addition ❑Alteration Describe Work: i� , 00q., 5' A Square / Linear Footage Of Work: New if Repair/Replace ❑ Demolition 4- Lei GrAlet e' v c_.Q o.a Submittal Fee $ Permit Fee $ ' 70 O` CCF $ * * * * * * * * * * * * * * * * * * * * * * ** CO /CC $ Notary $ Training/Education Fee $ Scanning $ Radon $ DPBR $ Double Fee $ / v "41- Violation date: Structural Review. $ Total Fee Now Due $ PJ Technology Fee $ Bond $ See Reverse side -+ 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 conunenced 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 Appl" ant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in goo' aith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is ubject to attachment. Also, a certified copy of the recorded notice of commencement must be poste -'t the job site for the first inspec 'on which occurs seven (7) days after the building permit is issued. In the absence o such d notice, the inspection will not b approved a ' reinspection fee will be charged.. 1, Signature / %� ,%jvallr Owner Agent Con illr The foregoing instrument was ackno ledged before me this q The foregoing instrument was acknowledged before me this 9 day of " , 20 / 1 , by N 4Gil p. SJV4 it day of AV Gl ` 20 /% , by eTh 1J4, who is personally known to me or who has produced who is personally known to me or who has produced ~As identification and who did take an oath. as identification and who did take an oath. NOTARY P i ' IC: Sign: Print:. My Co ,L i1} ;*% ilia! • iission # EE 09 m 095165 Expires June 17, 2015 Boded Troy Fain Insurance 804485.7019 NOTARY7BLIC: Sign: I !& / L _> ce!, KRE ifjes: Expires June 17, 2015 Banded Ilan Troy Fah Insures) 804385-7919 * * *ie,k **** **drtk****, Y, tc+ t•, YieAr 'k,Y+t+tek****** * **** ** 9th *,k4t,Irle*oF9 ********* k*i k, k, k#, kie** * * *****,k**dr,Y+Y,t7e,Y &ie*** * **** ** ** 5 y Plans Examiner APPROVED BY Zoning Engineer Clerk checked (Revised 07110 /07)(Revised 06/10/2009) 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.myfloridaiicense.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 constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your new license! DETACH HERE STATE OF FLORIDA AC# DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CGC043271 `` 08/31/10 100103338 CERTIFIED GENERAL CO1TRACTOR LANDERS , EDWARD ALOYSIUS E A LANDERS: G C INC TS CERTIFIED under the provisions of Ch.489 8s Expiration dates AUG 31, 2012 L10083103770 STATE OF FLORIDA DEPARTMENT OF B1USINESS PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD SCIAIF L1008330377 DATE BATCH NUMBER LICENSE NBR 08/31/2010 100103338 CGC043271 The GENERAL CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter Expiration date: AUG 31, 2012 LANDERS, EDWARD ALOYSIUS E A LANDERS G C INC 164 PLANTATION AVE TAVERNIER FL 33070 CHARLIE CRIST GOVERNOR DISPLAY AS REQUIRED BY LAW CHARLIE LIEM SECRETARY 300249 -0' ,- 1E A LAtI R A3 C INC 7850 146 ST 3"X16 MI ME[ LAKE A;,LAD1 _6_ C I CDNTRACTI 0105 tB SEE OTHER SIDE DO NOT FORWARD E A LANDERS G C INC EDWARD A LANDERS PRES 7850 NW 146 ST #509 MIAMI LAKES FL 33016 1er11rrr��al 1aarvar�l ai�arora�1r�alaaar��r90aa + +IVrr�ee��` 03 -07 -2008 ALEX SINK STATE OF FLORIDA CHIEF FINANCIAL OFFICER DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION . * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW * CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: PERSON: FEIN: 03/07/2008 EXPIRATION DATE: 03/07/2010 - LANDERS 650362024 BUSINESS NAME AND ADDRESS: E. A. LANDERS G. C. INC. 7850 N W 146TH STREET #509 MIAMI LAKES FL 33016 SCOPES OF BUSINESS OR TRADE: 1- CERTIFIED GENERAL CONTRACTOR EDWARD A * IMPORTANT: Pursuant to Chapter 440. 05(14), F.S., an officer of a corporation Who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05(12), F.S., Certificates of election to be exempt... . apply only within the scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time For failure of the person named on the certificate to meet the requirements of this section. QUESTIONS? (850) 413 -1609 DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09 -06 PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION CONSTRUCTION INDUSTRY CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW EFFECTIVE: 03/07/2008 EXPIRATION DATE: PERSON: EDWARD A LANDERS FEIN: 650362024 BUSINESS NAME AND ADDRESS: E. A. LANDERS G. C. INC. 7859 N W 146TH STREET 5509 MIAMI LAKES, FL 33016 SCOPE OF BUSINESS OR TRADE 1- CERTIFIED GENERAL CONTRACTOR 03/07/2010 IMPORTANT Pursuant to Chapter 440.05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election L under this section may not recover benefits or compensation under this D chapter. Pursuant to Chapter 440.05(12), F.S., Certificates of election to be H exempt.. apply only within the scope of the business or trade listed on E the notice of election to be exempt R E Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. QUESTIONS? (850) 413 -1609 CUT HERE * Carry bottom portion on the job, keep upper portion for your records. DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09 -06 4. r Y,. 1 J/ ./tICCOWCE iY. t J;.1 o UOIJ./-I 1-KLMILK rMU I E1:1 J.UN CERTIFICATE OF LIABILITY INSURANCE PAGE 01/01 OP ID: CM DATE (MMIDD/YYYY) THIS CERTIFICATE 15 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: if the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WANED, subject to the terns 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). MOWER 44099 SE 7th Sttection Insurance Fort Lauderdale, FL 33301 Douglas A. Levy 954 -467 -8738 954 - 9441881 cM. PHONE FAX LAIC No. &xt1: J INC. No, E-MAIL aRESS: PRODUCER ta►STaiFR Io s: .ALAN41 INSURER(S) AFFORDING COVERAGE NAIC // INSURED E.A. Landers GC, inc. Suite 509 7850 NW 148th St Miami Lakes, FL 33016 UMITS INSURER A: United Specialty Ins. Co. A INSURER 81 IJA$*UTY COMMERCIAL GENERA. 1 CLAIMS -MANE INSURER N81209122 INSURER D: 03/27/12 INSURER E • $ INSURER P : X THIS INDICATED. CERTIFICATE EXCLUSIONS IS TO CERTIFY THAT THE POUCIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES AND CONDITIONS OF SUCH POUCIES. UMITS SHOWN MAY HAVE BEEN REDUCED BY RIG PJ1V111 rmnilmaGR: THE INSURED NAMEO ABOVE FOR THE POLICY PERIOD OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS DESCRIBED HEREIN I5 SUBJECT TO ALL THE TERMS, PAID CLAIMS. fess -LTS. TYPE OF INSURANCE ADDI. 1,(d$�fV(0 SUER POLICY NUMBER POLICY EFF (MMUDD/YYYY) pp��ppLLICY!Ott" dNtAIDD/YYYYI UMITS A GENERAL IJA$*UTY COMMERCIAL GENERA. 1 CLAIMS -MANE LIABILITY ' N81209122 03/27/11 03/27/12 EACH OCCURRENCE $ 1,000,000 X pREMMts 3 tEaEo Eessx ertce) $ 100,104 X OCCUR MED EXP (MY one oeteonL $ 5,01 1 PERSONAL & ADV INJURY s 1,000,000 GENERAL AGGREGATE $ 2,000,000 OEM AGGREGATE LIMIT POLICY 1-1 JfRt'.T APPLIES PER PRODUCTS - COMP /OP AGO S 2,000,0. 5n. LOC S • ,:.! �'' .' ' It :: AUTOMOBILE UABMTY ANY AUTO AU. OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Es ) $ ''' BODILY INJURY (Pet worn) $ --1 BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ $ UMBRELLA UAB EXCESS LUA& OCCUR CLAIMS- MADE EACH OCCURRENCE $ _ AGGREGATE $ "' DEDUCTIBLE RETENTION $ $ __ $ WORKERS COMPENSATION AND EMPLOYERS' UABILITV ANY PROPRIETORIPARTNERIEXECUTNE OFFICERI MEUSEREXCLUDED? (Mandator In NH) Dyyeep� �� ESCR I&N OF OPERATIONS / N N 1 1O RIJMRS I I ER E.L. EACH ACCIDENT 3 blow E.LD)SEASE- EAEMPLOYEE $ E.L DISEASE - POLICY LIMIT $ _ DESCRIPTION OF OPERATIONS / LOCATIONS! VENOM (Attach ACORD tot, ALWILIonif Rinaldo Schaltdo IT mom epao.le requlad) General Contractor VILLAGE Village of Miami Shores 10050 NE 2nd Ave Miami Shores, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTNOR2ED REPRESENTATIVE ACORD 25 (2009/09) 1988 -2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ........ • • OO • • • • • • • • • • le . • • • ••• • . • ••••••• • •.••• • ,•••• • • ••• •• • • • • • • • • , Edward A. LANDERS RE. 41'.**4 A nica-1-7.cr #038398 At - (305)823-3938 SIV1 t--14 FeErs.totgArc,. 3Gl ME 7-7 s' 00-71141:s CONSULTING ENGIN ' td t' r d LANDERS, RE. CONSULTING ENGINEERS August 9, 2011 Village of Miami Shores Building and Zoning Department 10050 NE 2nd Avenue Miami Shores, Florida Attn: Building Official Re: Residence 361 NE 97th Street Miami Shores, Florida 33138 Dear Sir; We inspected the roof overhang at the second floor of the above referenced project. We recommend adding a 4 "x4" wood diagonal brace at each end of the existing overhang per the attached Sketch SK -1. The braces will strengthen the roof for both gravity and uplift Toads. The structure will be in compliance with the requirements of the Florida Building Code. Please call if we can provide any additional information. Very trul y, and A. President • • ••.... • OOOOOO • • • .•...: • OOOOOO •• • •.... •• • • •• • OOOOO • • • •..... • •• •• • • • • • •• ••••.• ••■• • • ers, P.E. • • • • •• • •••••• • L• •• ...•.• • •••. • ••• • •.•••. • •••.•• • • •• • • 7850 NW 146TH STREET, SUITE 509 * MIAMI LAKES FL 33016 * PHN: (305)823 - 3938 * FAX: (305)823 -9355