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ELC-16-3131 13 ttAt, ; 5 ° t e Villa Miami Shores P PBrrYi g � �I�tri�al Gorlitllttrcial .� 10050 N.E.2nd Avenue W$dafion-Sign Miami Shores,FL 33138-0000 t St9>u5.APPROVED'` hF'� Phone: (305)795-2204 F Issue©at .11/22t2E11 Expiration: 5/21/2017 Project Address Parcel Number Applicant 9025 BISCAYNE Boulevard 1132060110051-25 SHORES SQUARE INVESTMENT Miami Shores, FL 33138-0000 Block: Lot: Owner Information Address Phone Cell SHORES SQUARE INVESTMENTS 3850 BIRD Road MIAMI FL 33146- Contractor(s) Phone Cell Phone Valuation: $ 580.00 ADWAVE GRAPHICS INC (305)643-8020 Total Sq Feet: 0 Type of Work:ILLUMINATED CABINET SIGN Available Inspections: Additional Info:ILLUMINATED CABINET SIGN 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-11-16-62079 DBPR Fee $2.00 11/16/2016 Check*1351 $50.00 $58.60 DCA Fee $2.00 Education Surcharge $0.20 11/22/2016 Check* 1400 $58.60 $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 FID IT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating constructi nd z 'ng. Futhermore,I authorize the above-named contractor to do the work stated. LkJ November 22,2016 Autho Signature:Owner / Applicant / Contractor Agent Date Building Department Copy November 22,2016 1 �` Miami Shores Village CEV i 16 Building Department Nov1sz0 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 BY: Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBCZO 14 BUILDING Master Permit No. �j G N @-_j6 -'2!j02— PERMIT APPLICATION sub Permit No. ❑BUILDING LECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL [—]PUBLICWORKS ❑ CHANGE OF ❑CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS /� JOB ADDRESS: CA V Z S �VCA�I�J�� 'R-Wo- City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name ee Simple Titleh/o�dpr): �C w one#: �7�-�-� �G� " `' Address, �'V f - '4' City: I State: C ,c Zip: S Tenant/Lessee Name: �` ' gg k�' r � ��— Phone#:3Us Email ''' ,�� , 1 U-)Y10N CONTRACTOR:Company Name:ADWMJl5 Phone#: XC35 *3-9020 Address: �� '� Arius City &f,;'Afd►AState: -R, Zip:M:3 12 r Qualifier Name: Phone#: ��f643-96ZO State Certification or Registration#: Certificate of Competency#: 'J' DESIGNER:Architect/Engineer: Phone#: Y✓L(? sC_s aj Address: City: State: Zip: Value of Work for this Permit:$ Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work:1�\kM,ZA Qlz nJ Specify color of color thru tile: Submittal Fee$ E>0 i Permit Fee$ 1"90°,&41 CCF$ `•e Q v� ® ® SO Scanning Fee$ _ ) Radon Fee$ - - DBPR$ 2- Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ (Revised02/24/2014) 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: 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 an eins ction fee will be charged. tff//Signature Signature 0 or AGENT CONTRACTOR The foregoing instrum ntLw�s acknowledged before/me this The foregoing instrument was acknowledged before me this 21.6 day of �GTGI�<- 20 1 C°' by Z_day of (DC t ,20 « by NrAPh L who is ersonally know o `. NCS� ,who i ersonally know to me 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. NOT PUBLIC: NOTARY PUBLIC: Sign: Sign: UEZ P ' P a�LOS Print: �- star Public- to of Florida Notary Public -State of Flonda coo Commission#FF 819 Seal: '•' Commission FF 9g6g2q Seal: ••;e°FFA°?.- My Comm.Expires Aug 10,2018 �•�nu0"` +� �A.• -My Comm.Expires Apr 18,2020 Bonded through Natinnai Nntr v zoo., . APPROVED BY / �11'PPlans Examiner Zoning Structural Review Clerk (Revised02/24/2014)