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PLC-10-1140Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 AL--\ Inspection Number: INSP- 146644 Permit Number: PLC -6 -10 -1140 Scheduled Inspection Date: December 08, 2010 Inspector: Hernandez, Rafael Owner: , BARRY UNIVERSITY Job Address: 11300 NE 2 Avenue Wiegand & Annex Miami Shores, FL 33138 -0000 Project: <NONE> Contractor: RINGERMANN PLUMBING SERVICE INC Permit Type: Plumbing - Commercial Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1121360010160 -09 Phone: (305)635 -4516 Building Department Comments RENOVATION OF A CLASS ROOM TO SCIENCE LAB. SANITARY PIPES & DOMESTIC WATER. Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments December 07, 2010 For Inspections please call: (305)762 -4949 Page 3 of 13 (954) 680 -3979 LPG 09108 Fax (954) 434 -5948 GAS CONTRACTORS Serving The Gas Industry .R oi1 1®2 't. MANOMETER TEST. tei ,// ° Minutes W. C. Test 5641 Plunkett St. Hollywood, Fl 33021 // 7 e' AJF Job Address Installed and tested in accordance with Florida Statutes, 'Section 527.0i through 527.18 and rules and regulations of the State Fire Marshall and N.F.P.A. Pamphlets 54 and 58. pf( nit Date: /0 / Installed by: U W/HTR Change Out C] Dryer Change Out U Meter Set q-Ere iping (� Range Change Out (954) 680 -3979 Fax (954) 434 -5948 GAS CONTRACTORS Serving The Gas Industry LPG 09108 !�l' ©NM 23C/ 5641 Plunkett St. Hollywood, Fl 33021 MANtOMETER TEST. /.0 l/ ( . Minutes W. C. Test j3 ®t9 /V 2`40 Job Address Installed and tested in accordance with Florida Statutes, 'Section 527.01 through 527.18 and rules and regulations of the State Fire Marshall and N.F.P.A. Pamphlets 54 and 58. Dtz p s(— Date :. f/ l Installed by e.0.4da lJ W/HTR Change Out 0 Dryer Change Out t.l Meter Set piping L] Range Change Out BATCH NUMBER 0 8 12/20 The PL Neimed be Under- they ExpiretiOn` MIAMI -DADE COUNTY TAX COLLECTOR 140 W. FLAGLER ST. ISt FLOOR. MIAMI, FL 33130 . u LOCAL BUSINESS TAX RECEIPT 2010 MIAMI -BADE COUNTY STATE OF FLORIDA'' EXPIRES"SEPT.40, 2010 MUST BE DISPLAYED AT PLACE OF BUSINESS PURSUANT TO COUNTY. CODE CHAPTER SA ART. 9 & 10 ._026326-9. BUSINESS NAME/ LOCATION RINGEMANN -'PLUMBING SE 2190 NW 22 ',CI 33i42,MIAMI • . 200 9 FIRST GLASS l! S POSTAGE :.PAID r MIAMI, FL PERMIT N0: 231- PAY RENEWAL RECEIPT 026326 RVICE INC STATE0 .`CFCO22601 OWNER RINGEMANN , PLUMBING. SERVICE INC' Sec. Type of Business ' .. 196 PLUMBING 'CONTRACTOR. BUSINESS TAX RECE�P`Y IT - DOES NOT PERMIT THE' HOLDER. TO VIOLATE ANY EXISTINO'REGULATORY OR ZONING LAWS OF THE'j COUNTY OR CITIES.. NOR.; IT �M+T`;TpE HOLDER FROM ANY'OTHER . PERMIT.- L(C SE REOUREDEYLAW IS 1 NOT A CERTIFICATI N, °.OF THE HOLDERS CUAUFICA ■ TIONs PAYMENPRE� MUUd4OpDEt l! COLUL,�EECC. TTDF SEE OTHER SIDE WORKER /s 20, DO NOT FORWARD RINGEMANN PLUMBING SERVICE INC 2190 NW 22 CT MIAMI FL 33142 411111111'11111111111111 1111111111{111}111111,1111 II 1111111 1 Project Address Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Parcel Number Applicant 11300 NE 2 Avenue Number: Wiegand & Anr 1121360010160 -09 Miami Shores, FL 33138 -0000 Block: Lot: BARRY UNIVERSITY INC Owner Information Address Phone Cell BARRY UNIVERSITY INC 11300 NE 2 Avenue MIAMI SHORES FL 33161 -6628 Contractor(s) Phone Cell Phone RINGERMANN PLUMBING SERVICE II (305)635 -4516 Valuation: Total Sq Feet: $ 57,500.00 1893 Type of Work: SANITARY PIPES & DOMESTIC WATER Type of Piping: PLUMBING Additional Info: Classification: Commercial Scanning: 2 Fees Due CCF DBPR Surcharge Education Surcharge Miscellaneous Fee Permit Fee Radon Surcharge Technology Fee Total: Amount $34.80 $9.47 $11.60 $3.00 $1,725.00 $9.47 $46.40 $1,839.74 Pay Date Pay Type Invoice # PLC -6 -10 -38244 06/22/2010 Credit Card 08/20/2010 Check #: 15989 Amt Paid Amt Due $ 50.00 $ 1,789.74 $ 1,789.74 $ 0.00 Available Inspections: Inspection Type: Top Out Re Pipe Main Drain Heater Water Service Final Water Main Lavatory Underground 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 zoning. Futhermore, I authorize the above -named contractor to do the work stated. August 20, 2010 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Date August 20, 2010 1 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 FBC 20 ✓, ✓ate, AUG 1 2010 Permit No. a— I 1 90 Master Permit No. C.r -- 4 - I a ° &sur Permit Type: PLUMBING OWNER: N a m e (Fee S i m p l e T i t l e h o l d e r ) : 8 A J?.2.y um; u* 2s rry Phone#: 305 • '879 •3 975 Address: 11100 Jet E., 2 012' AVIE. City: IA. A tAt S t -Itj .Z 5. State: rt. Zip: 3'310 Tenant/Lessee Name: Phone#: 14OS $ q 9. 3115 Email: aYAC Mat L • �,�?iMJ/ g L, JOB ADDRESS: 1 a 00 City: Miami Shores County: Miami Dade Tip: 395 l 6 % Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: -Kt NGG2MA NA.) --PLO AIKI 416 Phone#: 3b $- 635 -45/ d Address: at 0+0 %.1i) .D,-- C'OLN1- City: kA ( ('k i State: T� Zip: -55 \ L4 e7- Qualifier Name: ( A P . el no fryylny---, Phone #: State Certification or Registration #: C - Q-.C.01) 1 Certificate of Competency #: Contact Phone#: Email Address: kpaU, I 0 Ntil c J e yr n o corn DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit $ CO Square/Linear Footage of Work: Type of Work: ❑Address Ealteration ONew ❑Repair/Replace ❑Demolition Description of Work: J((\ 3h t- -LIC-c 5 'j GC. ' i rr f-)C 1-eno [Gh 1 n i -trA . tL p\ *** * **** ******* r ****** axe** *** * ** *e Fees****** *** x ******v ***** ******* ** ** ******* ** ra Submittal Fee $ Permit Fee $ �e �' �' d CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ t Boding 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 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 approves Toe; reinspection fee will be charged Signature Owner or Agent The foregoing instrument was acknowledged before me this �.' The fore :ping in . ment was ackn.- edged bef, me this LAL day of AttA , , 20 , by iCklicic 4i) W Aq u , day of M r 20 LC2, by Signature Contractor 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. NOTARY PUBLIC: As identification and who did take an oath. NOTARY PUBLIC: Sign: Print•. c1 0 r eamwr My Commission Expires: "VI Notary Public State of Florida e or tv, Expires 11/12/2010 WE OF FLORIDA in# 000020580 Explree 1/27/2014 * * * *** * * * * ** lob**** *S*ik*3* gob ** *1„k.'. lit** **** ************* o*** 11aink**** *************** #*** *ie*****r *****#*tf*** APPROVED BY Plans Examiner Zoning Structural Review (Revised 07 /10/07)(Revised 06/10/2009)(Revised 3/15/09) Clerk ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID ZL I RINGS -1 I 08/25/09 AUDI PRODUCER Rahn - Carlin & Company, Inc . 3350 S . Dixie Highway Miami FL 33133 -9984 Phone:305- 446 -2271 Fax:305 -448 -3127 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED Ringemann Plumbing ervice Inc INSURER A: Hanover American Insurance Co. 36064 INSURER B: Hridgefield Employers Ins Co 10701 INSURER C: 09/01/09 2190 NW 22nd Court Miami FL 33142 INSURER D: $ 1 , 000 , 000 INSURER E: UPREMISES(Eaoccurence) COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING 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 BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR INSRD AUDI TYPE OF INSURANCE POUCY NUMBER POLICY-EFFECTIVE DATE (MMIDDIYY) POLICY EXPIRATION DATE (MMIDDIYY) LIMITS A GENERAL LIABIUTY COMMERCIALGENERALLIABILITY LZJ385737300 09/01/09 09/01/10 EACH OCCURRENCE $ 1 , 000 , 000 X UPREMISES(Eaoccurence) $500,000 CLAIMS MADE X OCCUR MED EXP (Any one person) $ 10 , 0 0 0 PERSONAL 8 ADV INJURY $ 1, 0 00,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 2,000,000 POLICY X PRO- JECT LOC A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS AZJ385779800 09/01/09 09/01/10 COMBINED SINGLE LIMIT (Ea accident) $ 1, 000, 000 X BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) $ GARAGE UABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA UABIUTY EACH OCCURRENCE $ 7 OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE RETENTION $ $ $ $ B WORKERS COMPENSATION AND EMPLOYERS 'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? SPECIAL describe under SPECIAL PROVISSIOONS below 0830 -35014 09/01/09 09/01/10 X TORY LIMITS I I OER E.L. EACH ACCIDENT $ 500000 E.L. DISEASE - EA EMPLOYEE $ 500000 E.L. DISEASE - POLICY LIMIT $ 500000 OTHER DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS MIAM- 04 Miami Shores Building & Zoning 10050 N.E. 2nd Avenue Miami Shores FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBUGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATyVE ACORD 25 (2001/08) - Miami Shores Village Building Department >0050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2004 Permit Type: Plumbing Owner's Name (Fee Simple Titleholder) JUN j; '` 2n10 Permit No. `!'1. -C 1 V 14 0 Master Permit No. C CA O 5 ssy rr/ 1%i vEle l / Owner's ddress // 300 NE •2 s9ci City 1 Tenant/Lessee Name E -MAIL: Phone # 305. 89-9- 3995 State 7 Zip 1/43/ t.' ray n vevs/ Phone # 3O5 • 99 - 3 9 9S Job Address (where the work is being done) 1 GOO NE_ 2247' AV E._ City Miami Shores Village FOLIO / PARCEL # Is Building Historically Designated YES NO 1- County Miami -Dade Zip Contractor's Company Name ruoAttttroG I t ws` G, 9sraft-c3 IA) c. Phone # 9514- 943 - (04.5 Contractor's Address 689? Sty 215 ST2Eia.T City t*J -pq¢t f State Ft� Zip 33123 Qualifier Name ?Earley CAfZ!ZC47 Phone # 994-1113 — 1O4 S State Certificate or Registration No. Ct C. 72LSZ4 Certificate of Competency No. GFGO"2 Z_. S2.,c( E -MAIL: CCArro&o e:? — .spt.,u Siy6 _ N 1E77 Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ � ,e'v o Type of Work: ['Addition iteration Square / Linear Footage Of Work: t ef3 ❑New ❑ Repair/Replace ❑ Demolition Describe Work: rr.s.aou4T ea F 4 C cA65 dZot�H 'ro SU >F 'C t �4L� , ig�l. 9. 1 Submittal Fee $ e• Permit Fee $ or 60- � CCF $ DPBR $ —1 4) Notary $ !�, ° raining/Education Fee $ Scanning $ �) "eD Radon $ a Technology Fee $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ CO /CC 4t« Zoning $ Total Fee Now Due $ 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 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 ised. In the absence of such posted notice, the inspection will not be approve a reinspection fee will be charged. Signature Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me thisc2S The foregoing instrument was acknowledged before me this2L) day of ( 1. , 20 ID, by )rU e. �..-1r.Ja., , day of I-o..t , 20 \0 , by _° -Cr`l C_Nr€ 0 , who is,ergall known to me or who has produced who i ersonally know to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: as identifica LINDA S. MITTS Notary Public - State of Florida Sign: 11_ :, ; =� ¢ 2013 Sign: FYI t Print: y w S f ��, `- .�' Commission 0 DD 883031 Print: j�; IMO Tin monii Awry Ana. My Commission Expires: (, II P% — , - My Commission Expires: 4 ....2.t -V s NOTARY PUBLIC: APPLICATION APPROVED BY: (Revised 02/08/06) Plans Examiner Engineer Zoning Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. Job Name PLUMBING CRITIQUE SHEET