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RC-14-595 (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-217248 Permit Number: RC -3-14-595 Scheduled Inspection Date: August 08, 2014 Inspector: Naranjo, Ismael Owner: GLINN, MacDAM & DENISE Job Address: 1201 NE 102 Street Miami Shores, FL 33138 - Project: <NONE> Contractor: INGERSOLL BUILDING & REMODELING CORP Building Department Comments Permit Type: Residential Construction Inspection Type: Final Building Work Classification: Alteration Phone Number Parcel Number 1132050250160 Phone: (407)276-4634 RENOVATION OF KITCHEN INCLUDING NEW CABINETS Infractio Passed Comments AND FLOORING AND NEW WIDENED DOORWAY AND INSPECTOR COMMENTS False REINFORCEMENT August 07, 2014 For Inspections please call: (305)762-4949 Page 18 of 31 I pector 9omments Passed Failed Correction Needed Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. August 07, 2014 For Inspections please call: (305)762-4949 Page 18 of 31 _ 'Miami Shores Village CEJE� Building Department artment 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 -- INSPECTION'S PHONE NUMBER: (305) 762.4949 FBC 20 to BUILDING Permit No. PERMIT APPLICATION Master Permit No. QC1 4-4 -Sq5 Permit Type: BUILDING ROOFING JOB ADDRESS: 1201 NE 102 St City: Miami Shores County: Miami Dade gip: 33138 Foho/Parcelt 11-3205-025-0160 Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): MacAdam & Denise Glinn Phone#: 321-882-8060 Address. 1201 NE 102 St City: Miami Shores State: Florida gip; 33183 Tenant/Lessee Name: N/A Phone#: Ems; MacAdam.Glinn@skanska.com CONTRACTOR: Company Name: Ingersoll Building & Remodeling Corp. Phone#: 407-276-4634 Address: 1851 Wind Harbor Rd City: Orlando State. Florida Zip: 32809 Qualifier Name: Richard Ingersoll Phone#: State Certification or Registration #. CRC1330166 Certificate of Competency #: Contact Phone#: 407-276-4634 Email DESIGNER: Architect/Engineer: Value of Work for this Permit: $ 4 0 ® t) Square/Lmear Footage of Work: Type of Work: OAddition $Alteration ONew �,lRepair/Replace ODemolition Color thru tile: Submittal Fee $ Permit Fee $ CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Doable Fee $ Structural Review $ TOTAL FEE NOW DUE $ g ()• 5D, . I / Bonding Company's Name (if applicable) Ok k4 Bonding Company's Address City State Mortgage Lender's Name (if applicable) c X. -,&S e - 1i A Mortgage Lender's Address City State zip 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 inspecthVf which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will nqt approved ander reinspection fee will be charged Owner or Agent The foregoingLttrument was acknowledged before me this PV day of20 1-1-, by�1 Cc�PAl/Yl , who is personally known to me or who has produced �- ��' �� As identification and who did take an oath. NOTARY Sign: Print: My COmm1SS10II Notary Public Stele of Florida Elizabeth Yelin WD My Commission FF 083558 Expires 10118i2017 APPROVED BY 3 Contractor The foregoing instruntftt was acknowledged before me this day of �klft . 20 -X by 1Z "VCL -Lnaev I who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: (az Sign: 'I Print n tl� LU 0 01 t My Commission Expires: 10 I �' S Notary Public - State of rionun Plans Examiner 's ; "ef My Comm. Expires Oct 25, 2015 �_ . cr ta19AZOI Structural Review Clerk (Revised 3/12R012)(Revised 07110/07)(Revised O6flOn009)(Revised 3/15/09) STATE OF FLORIDA DEPARTMENT.OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487=1395 1940 NORTH NOSMONROE STREET LT32399-0783 INGERSOLL, RICHARD M INGERSOLL BUILDING & REMODELING CORP 1851 WIND HARBOR ROAD ORLANDO FL 32809 Congratulationsl 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.myfloridalicense.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 Faidy. 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 The RESIDENTIAL CONTRACTOR Named -below 15 CERTIFIED T SEQ# L12052800171 REN LAWSON SECRETARY .04 Report Viewer Page 1 of 1 https:Happs8.fldfs.com/crreport... Richard 6/23/2013 SCott Kanaoipn, I ax l.:olleccor LOCall t3us1I11i7bb 1 ax MULU UrNa v. al5ww My 1 "his local business tax receipt is in addition to and not in lieu of any other tax required by law or municipal ordinance. Businesses are subject to regulation of zoning, health and oft awful authorities. This receipt Is valid from October 1 through September 30 of receipt year. Delinquent penalty Is added October 1. R-&*GINAL.— 2613 EXPIRES 9/30/2014 1801-1093743 1801 CERT RESIDENTIAL CONTR $30.00 1 EMPLOYEE 5000 BUSINESS OFFICE $30.00 1 EMPLOYEE TOTAL TAX $60.00 INGERSOLL RICHARD PREVIOUSLY PAID $60.00 TOTAL DUE $0.00 INGERSOLL BUILDING & REMODELING CORP 1851 WIND HARBOR RD BELLE ISLE FL 32809 1851 WIND HARBOR RD (MOBILE) M - BELLE ISLE, 32809 PAID: $60.00 099-00583199 7/15/2013 Scott-Randolphl Tax CoReCtor---- Local Business Tax Receipt— --Orange County, Florid: This local business tax receipt Is In addition to and not in lieu of any other tax required by law or municipal ordinance. Businesses are subject to regulation of zoning, health and oth awful authorities. This receipt is valid from October 1 through September 30 of receipt year. Delinquent penalty Is added October 1. **'ORIGINAL*** 2013 EXPO x of 074 9801-1093743 1801 CERT RESIDENTIAL CONTR $30.00 1 Ef ESS OFFICE $30.00 1 EMPLOYEE TOTAL TAX $60.00 NGERSOLL RICHARD PREVIOUSLY PAID $60.00 TOTAL DUE $0.00 a 9 INGERSOLL BUILDING & REMODELING CORP r 1851 WIND HARBOR RD 1861 WIND HARBOR RD (MOBILE)' �� a BELLE ISLE FL 32809 M - BELLE ISLE, 32809 PAID: $60.00 099-00583199 7/15/2013 This receipt is official when validated by the Tax Collector. CITY OF BELLE ISLE OCCUPATIONAL LICENSE 1600 Nela Avenue Belle Isle, FL 32809 Business License Number: L3-00226 Effective Date: 10/01/13 Expiration Date: 09/30/14 Fee: 25.00 Business Name: INGERSOLL BLDG&REMODELING CORP Location: 1851 WIND HARBOR RD Classification- RESIDENTIAL CONTRACTOR POST IN A CONSPICUOUS PLACE NOT VALID UNLESS SIGNED BY CITY OFFICIAL The person, firm, or corporation named above Is hereby granted this license as the receipt for fees paid to the City of Belle Isle for the business described above for the period indicated. Granting of this certificate does not entitle the holder to operate or maintain a business in violation of any law or ordinance. The City of Belle Isle does not guarant" qualifications of the holder of this certificate. /1 I City Official LOCAL OCCUPATIONAL LICENSE City of Belle Isle 1600 Nela Avenue Belle Isle, FL 32809 Phone: 407-851-7730 Fax 407-240-2222 www.c!tVofbelleislefl.org AC40Rbr CERTIFICATE OF LIABILITY INSURANCEDATE(MM(DDNWY) 1 111.� 03/25/2014 THIS CERTIFICATE IS 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 pollcy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms 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 endomement(s). PRODUCER MacLeish Insurance Agency 634 Virginia Drive Orlando, FL 32803 CONTACT NAME: Lee Clark PHONE (407)647-9000 (AJcFAX N,; (407)229-2897 E-MAIL DRESS: bobm@macins.us License #: A161813 INSURER(S) AFFORDING COVERAGE NAIC9 INSURER A: R I N InsuranceCo n INSURER B 02/27/2015 INSURED Ingersoll Building and Remodeling Corp INSURER C: 1851 Wind Harbor Roa INSURER D: INSURER E: Orlando, FL 32809 INSURER F: $ COVERAGES CERTIFICATE NUMBER: 00002552-109754 RmsinN NHMRFR. 7 THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR I TYPE OF INSURANCEim ADDL SUBR POLICY NUMBER MMfDDY EFF EXP (MUMDNYM LIMBS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE a OCCUR PGL006318-14 02/27/2014 02/27/2015 EACH OCCURRENCE $ 600,000 DAMAGE TO RENTED PR I E Ea occurrence $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 600,000 GENERAL AGGREGATE $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY PRO- LOC PRODUCTS - COMP/OP AGG $ 1,000,000 $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOSAUTOS q COMBINED SINGLE LIMIT a aoddent BODILY INJURY (Per person) $ t BODILY INJURY (Perecciden ) $ PROPERTY DAMAGE Per accident $ $ UMBRELLA LIAR EXCESS LAB HCLAIMS-MADE OCCUR - EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / NLIM ANY PROPRIETOR/PARTNER/EXECUTNE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A WC STATU-S1 JOTH- PR E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Sohedule, If more spaoe is required) License# - CRC1330166 Miami Shores Village 10050 NE 2nd Ave Miami Shores, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD Printed by LMC on March 25, 2014 at 03:37PM