SGN-18-465 'r
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Inspection Worksheet
Munni Shores Village
10050 N.E.2nd Avenue Miami Shores,FL
Phone: (305)795.2204 Faux (3{!5)755-8972
Inspection Number INSP-297872 Permit Number. S N=2-1&465
Scheduled Inspection.Date: March 12,2018 Permit Tyre: Sign
Inspecfcr Naranjo,Ismael
Inspection Type: Final
Owner: VILLAGE,MIAMI SHORESWork Classification: RepairJob Address:9390 NE 2 Avenue MEMORIAL PARK
Miami Shares,PL
Phone Number
Project: <Nt3NE> Parcel Number 1132060132944
Contractor. 122 BUILDERS INC Phone:(305)231-311`3
Bultding0epaitment Comments
REPAIR MONUMENT SIGNHIT BY CAR MASONRY In,raczto Passed Cot�menis
W RK STUCCO WORK INSPECTOR COMMENTS False
Inspector Comments
PassedYr
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Failed,
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Correction,
Needed
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Re4nspection
Fee
No
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Mater 09,21315 For Insp omr� ca,.$�`
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Permit NU. SC N-2-18-465
�st!O%wv Miami Shores Village ■ Peimit Type:Sigel
10050 N.E.2nd Avenue NE Per� WorkClassfflcation:Repair
Miami Shores,FL 33138-0000
i Permit Status:APPROVED
hFN �• Phone: (305)795-2204
�ORLDA
issue Bate:2/26/2019Expiration: 08/25/2018
Project Address Parcel Number Applicant
9390 NE 2 Avenue Number: MEMORIAL PAF 1132060132940
Miami Shores, FL Block: Lot: MIAMI SHORES VILLAGE
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Owner Information Address Phone Cell
MIAMI SHORES VILLAGE r
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Contractor(s) Phone Cell Phone Valuation: =7,500.00R2 BUILDERS INC (305)231-3113
Total Sq Fee
Type of Sign:Wall Sign Available Inspections:
Electrical Sign:
Inspection,Type:
Height:
Final
Width:
Review Planning
Color: Elevation: Review Building
Plans Submitted:Yes Additional Info:REPAIR MONUMENT SIGN HIT BY IC
Classification:Residential Scanning:3 i
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $4.80
Invoice# SGN-2-18-66542
DBPR Fee $3.38
DCA Fee $2.25 02/22/2018 Credit Card $50.00 $202.43
Education Surcharge $1.60 02/26/2018 Credit Card $202.43 $0.00
Permit Fee $225.00
Scanning Fee $9.00
Technology Fee $6.40
Total: $252.43
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 AFF IDAPFuthermorNI
certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zutJionz the aL}aAe-na edcgntractor to do the work stated.(y//0� (/l�/ 7 February 26, 2018
Autho ed Signature:Owner / Applicant / Con acto / Agent Date
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Building Department Copy
February 26,2018 1
T
a CEI`v ED
Miami Shores Village
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Building De artment FEB 211018 p
10050 N.E.2nd Avenue, Miami Shores,Florida 33138
Tel:(305)795-2204 Fax:(305)756-8972
INSPECTION LINE PHONE NUMBER:(305)762-4949 �
FBC20 1(-
BUILDING Master Permit No.S(nN 18—Q&5 - h
PERMIT APPLICATION Sub Permit No.
BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS [:] CHANGE OF ❑ CANCELLATION ❑ SHOP
�J CONTRACTOR DRAWINGS
JOB ADDRESS: 9'.'00 /V E Zlo�f A,) euORAI PP'-L -
City: Miami Shores County: Miami Dade zip: 3313
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
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OWNER: Name(Fee Simple Titleholder): N 1AM 1 5�owc' y-� I� _Phone#: "7�9Jr"ZZ0`1
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Address: 10050 NE -2 wd A✓e
City: M IAJA% State: zip: 33/-�39-
Tenant/Lessee Name: Phone#:
I Email:
CONTRACTOR:Company Name: `' .2 C�U1 �5 IMJ C- Phone#' 306"3q5 " ZZOy
Address: / $;`) 5 0-I
City: Miw\ 1;-�iPk-es, , e /► State: Zip: 3?J01
Qualifier Name: 12cjo 'GTo r, OCJC2t q(,cQ'Z/ Phone#:3 5-y�J5'6 331
State Certification or Registration#: x Certificate of Competency#:CG,L 3 9�0
DESIGNER;-Architect/Engineer:- - Phone#:
. 3 to
Address: City: State: Zip:
Value of Work for this Permit: t) Square/Linear Footage of Work: 5 fl S
Type of Work: ❑ Addition ❑ Alteration ❑ New Repair/Replace ❑ Demolition
Description of Work: Qkm,n% tit 0 w✓,4 4LZT ,SIA ANE- bel CLQ -
Ntt�s�R�/ Wct��2I�Gc-D- (Awa-/L .
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Specify co/or'of co/or,tih_ru�t�le:
Submittal Fee$ Permit Fee$02D GO CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR,$' Notary$
Technology Fee$ Training/Education Fee$ Double Fee$
Structural Reviews$ Bond$ ^ t
TOTAL FEE NOW DUE$ �� r
(Revised02/24/2014)
Bonding Company's•Narne(if applicable) iN
Bonding Company's Address
City State Zip
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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 regulailh"g
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 zoriing. :-
"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." l ,
Notice to Applicant: As a condition to the issuance of a building permit with an estimdted value exceeding$2500,theapplicant 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`sdbject 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.
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Signature / ! Signature _
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OWNER or AGENT / RACTOR,
The.foregoing instrument was acknowledged before me this The foregoing instr ent was acknowledged before me this
day of 20 by oiyj r'day of bort tQJl / ,20 by
who is personally known to Q&G9PJA Ay � who i personally 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.
NOTARY PUBLIC: NOTARY PUBLIC:
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Sign: Sign:
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Print: Print:
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Seal: Seal: -
Commission M FF 98800
My Commission Expire
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March 05. 2018
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APPROVED BY vv /Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
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�• Miami Shores Village
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• a• APPROVED BY DATE
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A. ZONING DEPT
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• BLDG DEPT
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....ii _; : SUBJECT TO COMPLIANCE WITH ALL FEDERAL
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{y�';� � STATE AND COl INTY RULES AND RECUI ATnNS 1
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