The URL can be used to link to this page

PL-14-2813Y Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-225856 Permit Number: PL -12-14-2813 Scheduled Inspection Date: January 07, 2015 Permit Type: Plumbing - Residential Inspector: Diaz, Osvaldo Inspection Type: Final Owner: CASE, JAIMIE MANCHAM Work Classification, New Job Address: 41 NW 107 Street Miami Shores, FL 33138-4306 Phone Number (941)875-5085 Parcel Number 1121360070450 Project: <NONE> Contractor: RINGEMANN PLUMBING SERVICE INC Building Department Comments REPLACE EXSITING ELECTRICAL WATER HEATER IN __ __......_..__ GARAGE AREA WITH NEW WATER HEATER. A.O SMITH INSPECTOR COMMENTS False 50 GALLON 220 VOLT HEATER Inspector Comments Passed / -L ,5r ( ' Failed n Correctio ❑ Needed Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. January 06, 2015 For Inspections please call: (305)762-4949 Page 29 of 45 Miami Shores Village _ -- Building Department DEC 30 204 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 BUILDING PERMIT APPLICATION ❑BUILDING ❑ ELECTRIC ❑ ROOFING �FBC 20 (C) Master Permit No. Sub Permit No. ❑ REVISION ❑ EXTENSION ❑ RENEWAL ❑■ PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 41 NW 107 Street City: Miami Shores County: Miami Dade Zip: Folio/Parcel#:11-2136-007-0450 Is the Building Historically Designated: Yes NO x Occupancy Type: Res Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): Jamie Mancham Case Phone#: 941-875-5085 Address: Jamie Mancham Case City: Miami Shores State: FL Zip: 33168 Tenant/Lessee Name: Email: Phone#: CONTRACTOR: Company Name:Phone#:�y��`�� Address: CCX-)fir4- i f City: l CA'M t State:-- Zip: Qualifier Name: Phone#: 3' State Certification or Registration #: "-VC- Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ 500 Square/Linear Footage of Work: NA Type of Work: ❑ Addition ❑ Alteration ❑ New ❑■ Repair/Replace Demolition Description of Work: Replace existing electric water heater in garage area with new water heater. A ., _ . I _ aWAM Specify color of color thru tile: Submittal Fee $ Scanning Fee $ Permit Fee $ d d , f-' Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ (Revised02/24/2014) CCF $_ DBPR $ CO/CC $ Notary $ Double Fee $ _ Bond $ TOTAL FEE NOW DUE $ Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) 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 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 a reinspection fee will be charged. C Signature OW� AGENT The foregoing instrument was acknowledged before me this day of 20jt by i who i personal) own to .:. m . me or who has produced as identification and who did take an oath. NOTARY Sign Pri APPROVED BY (Revised02/24/2014) JEFFREY *CMWM,*p" MY COMMISMON NFF11140 EXPIRES duly 18, 9101# Signature CONTRACTOR The foregoing instrument was acknowledged before me this �C 1 day of fvec r— 20 14by /q Tau'l Kin!Cigt"nOnn who rsonally known t6 me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign:_ Print: Seal: ` •°s►�^ £t ;. A 'vT *************** Plans Examiner Structural Review YADIRA R LAFUENTE 1.1`! COMMISSION #FF043501 EXPIRES August 7. 2017 Zoning Clerk STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD CIF 11022601 The PLUMBING CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2016 RINGEMANN, PAUL RICHARD` 0� Q RINGEMANN PLUMBING t CE 2190 NW 22ND COURT MIAMI FL33142' .:_ . ISSUED: 07/21/2014 DISPLAY,AS REQUIRED B 11 Y LAW SEQ # L1407210000863 7302 Local Business Tax Recei.. t .: P Miami -Dade County, State of ,Florida.,,f -THIS IS NOTA BILL - DO NOT PAY ` 263269 t BUSINESS NAME/LOCATION RECEIPT No. RINGEMANN PLUMBING SERVICE INC' EXPIRES RENEWAL 2190 NW 22 CT 263269 SEp"i hIIBER.30 .2015' MIAMI FL 33142 Must be displayed at place of business Pursuant to County Code Chapter 8A - Art. 9 & 10 OWNER SEC. TYPE OF BUSINESS RINGEMANN PLUMBING SERVICE INC 196 PLUMBING CONTRACTOR PAYMENT RECEIVED Worker(s) 20 CFCO22601 BY tax COLLECTOR ;_$75.00 07/18/2014 CREDITCARD-14-028538 This Local Business Tax Receipt only confirms payment of the Local Business Tax. The Receipt is not a license, permit, or a certification of the holder's qualifications, to do business. Holdermust comply With any governmental' or nongovernmental regulatory laws and requirements which apply to the business. The RECEIPT NO. above must he displayed on all commercial vehicles - Nfiami-oade Code Sec Ba -276. For more information, visit www.miamidade eoy/taxrollector AC ©^ RINGE-1 OP ID: DJ ... CERTIFICATE OF LIABILITY INSURANCE F DATE(MM/DDIYYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HO D2ER.. 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 anADDITIONAL INSURED, the policy00s) 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 endorsement(s). -Carlin & Company, Inc. S. Dixie Highway 1, FL 33133-9984 305-446-2271 NAME CT 305-448-3127 ac NN . Extf: 305-446-2271 hn-carlin.com 305-448-3127 INSURED Ringemann Plumbing Service Inc INSURER A: Hanover American Insurance Co. 36064 2190 NW 22nd Court Miami, FL 33142 INSURER B: Hanover Insurance Company INSURER C: FCCI Insurance Company 22292 10178 INSURER D: INSURER E COVERAGESINSURER F CERTIFICATE NUMBER: REVISION NUMBER: 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 TR TYPE OF INSURANCE POLICY NUMBER tNMIDDM MMB YD/YYY LIMITS GENERAL LIABILITY A X COMMERCIAL GENERAL LIABILITY LZJ385737305 CLAIMS -MADE a OCCUR EACH OCCURRENCE $ 09/01/14 09/01/15 PREMISES Ea occurrence $ MED EXP (Any one person) $ 1,000,00 500,00 10,00 X PER PROJECT AGG PERSONAL & ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,00 PRO- POLICY FXILOC PRODUCTS - COMP/OP AGG $ $ 2,000,00 A AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AS HIREDAUTOS NON -OWNED AUTOS AZJ385779805 09/01114 09101/15 COMBINED SINGLE LIMIT Ea,cadenf $ 1,000,00 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PR PER DAMAGE $ Per ,cadent $ EACH OCCURRENCE $ 2,000,00 B X UMBRELLA UAB X OCCUR EXCESS LIAB E:ICLAIMS-MADE UHJ920750503 09/01/14 09101/15 AGGREGATE $ 2,000,00 DED I X I RETENTION $ 0 C WORKERS COMPENSATION AND EMPLOYERS, LIABILITY ANY PROPRIETORlPXCLUD /EXECUTIVE Y / N OFFICER/MEMBER EXCLUDED? � (Mandatory In NH) if yes, describe under DESCRIPTION OF OPERATIONS below N / A 71115 09/01/14 09/01/15 $ X TAY LIMITS PER E.L. EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYE $ 1,000,00 E.L. DISEASE - POLICY LIMIT $ 1,000,00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) Paul Ringemann State License# CFCO22601 r`f=PTICWf ATC Uf11 r1Cr2 MIAM-04 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Miami Shores THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Building & Zoning ACCORDANCE WITH THE POLICY PROVISIONS. 10050 N.E. 2nd Avenue Miami Shores, FL 33138 AUTHORIZED REPRESENTATIVE W Tyt$U-ZUTU ACUKU CORPORATION. All rights reserved. ACORD 26 (2010/05) The ACORD name and logo are registered marks of ACORD