ELC-16-2833 y3
Miami Shores Village hype 7;'
f�i��Cal ommercia�
10050 N.E.2nd Avenue NEM ( t yN py
Miami Shores,FL 33138-0000
Pemsft Statu$-APPROVED
`2a---- Phone: (305)795-2204
FLORIOP'
11f'15/2j16 Expiration: 05/14/2017
Project Address Parcel Number Applicant
9501 NE 2 Avenue 1132060133920
DVS LLC
Miami Shores, FL 33138- Block: Lot:
Owner Information Address Phone Cell
DVS LLC 9400 NE 2 Avenue (305)756-3711
MIAMI FL 33138-
Contractor(s) Phone Cell Phone Valuation: $ 50.00
ART SIGN COMPANY (954)763-4410
_ Total Sq Feet 0
Type of Work:INSTALL ILLUMINATED CHANNEL LETTER Available Inspections:
Additional Info:
Inspection Type:
Classification:Commercial
Final
Scanning:1
Review Electrical
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $0.60 invoice# ELC-10.16-61701
DBPR Fee $2.00 11/15/2016 Credit Card $58.60 $50.00
DCA Fee $2.00
Education Surcharge $0.20 10/18/2016 Credit Card $50.00 $0.00
Permit Fee $100.00
Scanning Fee $3.00
Technology Fee $0.80
Total: $108.60
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.
November 15, 2016
Authorized Signature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
November 15,2016 1
s
M
Miami Shores Village ' ° ,
7BY:
Building Department10050 N.E.2nd Avenue,Miami Shores,Florida 33138 __��
Tel:(305)79S-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949
F'BC 2®
I
BUILDING Master Permit No.SW I�e,q33 z-
PERMIT APPLICATION Sub Permit No. ELCII(0- oq8Z3
❑BUILDING (P ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
n PLUMBING ❑ MECHANICAL OPUBLICWORKS ❑ CHANGE OF ❑CANCELLATION ❑SHOP
t, ',r CONTRACTOR DRAWINGS
Q
JOB ADDRESS: {J 0( /V AV6
City: Miami Shores b County: Miami Dade zip:
Folio/Parcel#: /(37.0(0 D/,3 Y9ZQ Is the Building Historically Designated:Yes NO %
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER:Name(Fee Simple Titleholder): �i s ��-�• Phone#:
Address:�/�°/
City: /V+rl l 5 State: f c» Zip: 3313P
Tenant/Lessee Name: $(0/00/(1 r �75 (i/ Phone#:
Email:
CONTRACTOR:Company Name: Phone#: ��f tolJi/
Address: 45-,ykl o o_
�
City: • G� ��- State: /C.• Zip:
Quallfier Name: ���✓ ,: �C��/�I) Phone#:
State Certification or Registration#. �v�DODOy� Certificate of Competency#:
DESIGNER:Architect/Engineer: aN G /,eF Phone#: 9q-7/ �7 �5 70
Address: ✓ODy 4/' 6a&,1V6 X,4 City:IW��� Stater Zip: -?-'3Oen 3
Value of Work for this Permit:$ s Square/Linear Footage of Work:
Type of Work: ❑ Addition� ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work:
Specify color of color thru tile:
Submittal Fee$ Perniit Fee$- ®° CCF$_ CO/CC$
Scanning Fee$ 3 Radon Fee$ Z DBPR$ 2 Notary$
Technology Fee$ 210 Training/Education Fee$ Z Double Fee$ 1
Structural Reviews$ Bond$
TOTAL FEE NOW DUE$
is
(Rev1sed02/24/2014)
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: 1 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 a graved a a re ion fee will be charged.
Signa re Signature
WNER or AGENT CONTRACTOR
The foregoing instrument was acknowledged before me this The foregoing instru ntwas acknowledged before me this
Z 44 c E —
day of S�' 20 6P b P
�� Y da of / 20 l
—dayof ��by
ere S4 Cl pdAr-)i L10,who is personally known to of&A�0 who Is personaily known to
We 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 PUBLIC: NOTARY PUBLI
T i
-
I
Sign er � Sign:
KIM GARRET'
Print: C r z �}�11�`� E�C) <14 Print: ate of Florida
` FF 9,814
Seal: ' ' ELISABETH ELORRIAOA Seal: = �1` ; Commission#
=N` `o• My Comm.Expires Jun 3.2028
' •': MY COMMISSION#FF963636 �'9r op
%e o;,;; Bonded through National Notary
EXF�RES January 2b.1'020 '
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APPROVED BYPlans Examiner Zoning
Structural Review Clerk
(Revisedo2/24/2014)