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SGN-18-666 WA.� ,. ,,. _ r E e F f r i r i E Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores,FL Phone: (305)7952204 Fax:(305)756.8972 I l inspecti6n Number: INSP-299333 PermitNumber: SGN-3-18-666 Scheduled Inspection Date:June 11,2018 Permit}Type: Sign Inspector: Riveron,Alexis Inspection Type:final Owner: Work Classification: AdditiorI/Alteration Job Address:9501 NE 2 Avenue Miami Shores,FL 33138- Phone Number (305)756-3711 Project: <NONE> Parcel Number 1132060133920 1` Contractor: FOREVER'SIGNS INC Phone:(305)885-3411 Building Department Comments REVERSE CHANNEL LETTERS AND ALUMINUM SOLID infractioPassed Comments, LETTERS FOR SECOND INFO INSPECTOR COMMENTS False a ADDRESS IS FOR 9517&9519 NE 2 AVE KUMON CENTER REPLACED SGN-12-16-3422 Inspector Comments Passed Failed Correction Needed Re-Inspection Fee No Additional Inspections can be scheduled until re-inspection fee is paid For inspections please call:(305)762-4949 June O8,2098 Page 10 of 33 i f i I , ' ACORN DATet uD—ate CERTIFICATE OF LIABILITY INSURANCE 04/09n018 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. # j I IMPORTANT: If the certificat0 holder Is an ADDITIONAL WSURED,the pollcy(les)must have ADDITIONAL INSURED provisions or be endorsed. i If SUBROGATION IS WANED,subjeett0 the terms and conditions of the policy,certain policies may require an endorsement. A statement on tido certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCERNTAC7 MANUELCASTRO Chaplan&Castro Insurance PHONE (305)541-4009 2552 NW 7 Street tui No: (305)649-1513 ' ohdns®bellsouth.net Miami,FL 33126 INSURE S AFFORDIIiGCOVERAGE NAICIF Phone 305)541.4009 Fax 05 649-1513 INSURERA: CAPITOL SPECIALTY INSURANCE CORP 10328 INSURED D+suRER B FOREVER SIGNS INC INSURER C 2400 WEST 3 Cr INSURER D: HIALFIW INSURER E. ,FLORIDA 33010 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CER77FYTHAT 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 MAYBE 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. I i tit AD UBR ' POLICY EFF POr TYPE OF INSURANCE POLICYNUMBER -Wh D LIMrra ® COMMER iAL GENERAL LIABILrrY — EACH OCCURRENCE s 1,000,000 ❑ CLNM54AADE ® OCCUR f DAMAGE TO RENTED S 100,000 I go MED EXP one a 5,000 A O _ Y Y '201$-0738 04/10/2018 04/10/2019 PERSONAL a ADV INJURY s 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2ADO.000 E ❑POLICY ❑ ❑ LOC PRODUCTS-comPIOPAGG s 2,000,00D ❑ OTHER I $ AUTOMOBII E LUI6LLJTY I I C�Ol�Bw SINGLE LMM S i ❑ ANY AUTO ED SCHEDUIm BODILY INJLRtY(Per pereorr) $ ❑ OWN OS ONLY ElATOS1 eolmy INJURY(Perdd aoenl S ❑AUTOSONLY 0 AUTOS ONLY .EM DAMAGE S f s ❑ UMBRELLA UAB ❑OCCUR EACH OCCURRENCE s ❑ EXCESS LIAB ❑CIAIMS-MADE AGGREGATE $ ❑ DEQ El RETENnONS a WORKERS COMPENSATION PE7H AND EMPLOYERS'LIABILITY Y I N ANY PROPREETORIPARTNERIMC l OFFICERIMEMBER EXCLUDED? �NIA II EL.EACH ACCIDENT S (Mandatory to Ni) E.L.DISEASE-EA EMPLOYE S NYea,d-MIn.Iotder I DESCRIPTION OF OPERATIONS below j EL DISEASE-POLICY LIMIT g I I DESCRIPTION OF OPERATIONS I LOCATIONS I VENICLES(Arach ACORD 101,AddMond Remeft Sdradul%N more apace is required) MANUFACTURING&INSTALLATION OF SIGNS: i i a i CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE I MIAMI SHORS VILLAGE THE XPDHETHEREOF, �BE DELIVERED IN 10050 NE 2ND AVE �O � w1POLICY NOTICE MIAMI,FLORIDA 33138 AUTHORIZED REPRESENTATIVE l I m 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2018103)QF The ACORD name and logo are registered marks of ACORD r CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDNYYY) 4/18/2018 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 I REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(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 endorsement(s). PRODUCER IOONTACT Nancy Munoz Brown & Brown of Florida, Inc. fINSUREIR NE (3D5)247-5121 FAX (305)248-8343 A/ No dba T.R. Jones & Co. AIL ,nmunoz@bbins£l.00m i 1780 N Krome•Ave DDR INSURER($)AFFORDING COVERAGE I NAIC# Homestead FL 33030 RERA:Granite State Insurance Com an 23809 INSURED B Forever Signs, Inc. INSURER C: I 2400 W. 3rd Ct. INSURER D 4 INSURERE: Hialeah FL 33010 INSURER F: l COVERAGES CERTIFICATE NUMBER:2018 Master 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 l CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, I EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE R P NUMBER POLICY EFF M/DDDY EXP LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE 7 OCCUR AMA RENT PREMISEScuff $ MED EXP{An one erson $ •- i PERSONAL&ADV INJURY $ GEMLAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY ElPRJECT o- F1LOC PRODUCTS-COMP/OPAGG $ OTHER: $ I AUTOMOBILE LIABILITY - COMBINED SINGLE M $ accident ANY AUTO BODILY INJURY(Per person) $ ALLOWNED SCHEDULED I AUTOS AUTOS BODILY INJURY(Per accident) $ NON-OHIREDAUTOS AUTOS ED PROPERTY DAMAGE tl $ auros I $ UMBRELLA L1A8OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DFS RETENTION$ $ WORKERS COMPENSATION OTH- i. AND EMPLOYERS'LIABILITY YIN g STATUTE ER ANY PROPRIETOR(PARTNFRIEXECUnVE E.L. ACH ACCIDENT $ 1000 000 A (Mandatory IOFFICERtMEn NE.L.)EXCLUDED? � NIAJ WC019-60-9673 4/17/2018 4/17/2019 Byes,desuibaunder El.DISEASE-EA EMPLOYE $ 1,000,000 DESCRIPTION OF OPERA-n S below E.L.DISEASE-POLICY I IMIT $ I 000 000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached ifmore space Is required) Re: Manufacturing & Installation of signs I I t CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Miami Shores Village THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 10050 NE 2nd Avenue ACCORDANCE WITH THE POLICY PROVISIONS. Miami Shores, FL 33138 AUTHORIZED REPRESENTATIVE 7P r� T Jones Jr./LOUMAR V ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025(201401) I Miami Shores Village NAR 14 ?P18 A �� Building Department �� 10050 N.E.2nd Avenue,Miami Shores, Florida 33138 Q�oq Tel:(305)795-2204 Fax:(305)756-8972 ` INSPECTION LINE PHONE NUMBER:(305)762-4949 S t VV FBC 201 ,BUILDING master Permit No. Sib r) Ia(QCX0 PERMIT APPLICATION Sub Permit No.SGN-12-16-3422 jBUILDING F-]-ELECTRIC ❑ ROOFING ❑ REVISION EXTENSION ARE NEWAL OPLUMBING ❑ MECHANICAL ❑PUBLIC WORKS [:] CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 9501 NE 2ND AVE City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: 1132060133920 Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FIFE: OWNER: Name(Fee Simple Titleholder): DVS LI-C.• Phone#: 305'— 75C 3-7 11 Address: 97So/ V Q Z UE City: aze"-) /W fe-s State: Zip: Tenant/Lessee Name: V1ymo� �� Ul .(,cL( 1 eIt- Q*- Phone#: 30S'SS�d�yF�t 1.3 Email: CONTRACTOR:Company Name: FOREVER SIGNS Phone#: 305.885.3411 Address: 2400 WEST 3RD COURT City: HIALEAH State: FL Zip: 33010 Qualifier Name: RAFAEL A. ALVAREZ Phone#: 305.885.3411 El 3003878 State Certification or Registration#: Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: , Address: City: State: Zip: Value of Work for this Permit:$ /gao-0o Square/Linear Footage of Work: Type of Work: ❑ Addition ' ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: L:-)r1e/Ua 4,L- Sea o Specify color of color thru tile: Submittal Fee$ Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ (Revised02/24/2014) M�/�/�I 50 1 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 a an a spection fee will be charged. S' naCure Signature ' / OWNER or AGENT CONTRACTOR he f/oregoi instrument was acknowledged before me this The foregoing instrument was ckno ledged before me this Cy day of Varc,h 20 by 7 day of f'(Vy 20' by ice,who is personally known to /Z MC6 ,&A111, 4ffL ,who is personally known to I 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: t Sign. Q ✓ Sign: / r Print: Zr` py�, �UYr✓L1lia Print: �h P7 Z ROBIN PEREZ Seal: ELIZABETH Seal: *w�P` =. ELORRIA(3A MY COMMISSION#FF 951968 :.. ' :y EXPIRES:May 18,2020 �= Mr COMMISSION#FF953536 riters • EXPIRES •. ,.•• ES January 25.2020 APPROVED BY 1 Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) Detail by Entity Name Page 1 of 2 Florida Depitment of State. C?tvi>IO J CA CORPO4RAT.ONS i { 1 G Department of State / Division of Corporations / Search Records / Detail By Document Number I Detail by Entity Name Florida Limited Liability Company DVS, LLC Filing Information Document Number L10000129579 FEI/EIN Number 80-0670481 Date Filed 12/20/2010 Effective Date 12/17/2010 State FL Status ACTIVE Principal Address 201 N.E. 95th Street MIAMI SHORES, FL 33138 Changed: 04/14/2013 Mailing Address 201 N.E. 95th Street MIAMI SHORES, FL 33138 Changed: 04/14/2013 ' Registered Agent Name&Address CACCAMISE,THERESA 201 N.E. 95th Street MIAMI SHORES, FL 33138 Name Changed: 04/14/2013 Address Changed: 04/14/2013 Authorized Persontsl Detail Name&Address Title Authorized Member, Manager CACCAMISE,THERESA 201 N.E. 95th Street MIAMI SHORES, FL 33138 Title Authorized Member, Manager http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entity... 3/14/2018 Detail by Entity Name Page 2 of 2 CACCAMISE, RICHARD 201 N.E. 95th Street MIAMI SHORES, FL 33138 { Annual Reports w Report Year Filed Date 2015 + 03/12/2015 2016 04/25/2016 2017 03/26/2017 Document Images 03!20!2017--ANNUAL RLPORIView image in PDF format 94/25?2016..::.-.ANNUAL T Vie.° ima e in PDI forn3at 03112/2015--ANNUAL REPORT View image in PDF format Oii 1 3/2014--ANNUAL.REPORT �ew iimmge in PDF format 04/14/2013- ANNUAL REPORT View image in PDF format 03.'2012012--ANNUAL REPORT View image in PDF format 0 /10?2011 -ANNUAL REF>7RT View image in PDI format 12/2012010--Florida Um€ted Liahihty View image in PDF for e J 1 I http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entity.'." 3/14/2018 i r Property Search Application - Miami-Dade County Page 1 of 1 OF THE PROP01"I APPRAISE' R kw, ,. Summary Report Generated On :3/14/2018 Property Information " t Folio: 11-3206-013-3890 r' �� r ' f 9501 NE 2 AVE Property Address: + 4 Miami Shores,FL 33138-0000 ? Owner DVS LLC .416 201 NE 95 ST «_ Mailing Address MIAMI SHORES,FL 33138 USA PA Primary Zone 8100 OFF-STREET PARKING Primary Land Use 1081 VACANT LAND- COMMERCIAL:VACANT LAND Beds/Baths/Half 0/0/0 Floors 0 � Living Units 0 Actual Area 0 Sq.Ft r _�_ , ( , .►.c A al P. Living Area 0 Sq.Ft tM Adjusted Area 0 Sq.Ft Taxable Value Information Lot Size 7,150 Sq.Ft 2017 1 2016 2015 Year Built 0 County Assessment Information Exemption Value $0 $0 $0 Year 2017 2016 2015 Taxable Value $127,403 $115,821 $105,292 Land Value $143,000 $143,000 $114,400 School Board Building Value $0 $0 $0 Exemption Value Y$0 $0 $0 XF Value $0 $0 $0 Taxable Value $143,000 $143,000 $114,400 - .................1....._........... __............_._.................__.._. .._.._..W.....-_W............ _._ .. Market Value $143,000 $143,000 $114,400 City Assessed Value $127,403 $115,821 $105,292 Exemption Value $0 $0 $0 Taxable Value $127,4031 Regional $115,821 $105,292 — Benefits Information g Benefit Type 2017 2016 2015 Exemption Value $0 $0 $0 Non-Homestead Assessment Taxable Value $127,403 $115,821 $105,292 Cap Reduction $15,597 $27,179 $9,108 Note:Not all benefits are applicable to all Taxable Values(i.e.County, Sales Information School Board,City,Regional). Previous OR Book- Sale Price PageQualification Description Short Legal Description 27542- 1 5341 6 53 42 12/23/2010 $1,600,000 4900 Qual on DOS,multi-parcel sale MIAMI SHORES SEC 1 AMD PB 10-70 08/06/2010 $100 27394- Corrective,tax or QCD;min 3799 consideration LOT 8 BLK 29 --- LOT SIZE 50.000 X 143 07/01/2004 $0 22525- Sales which are disqualified as a result 4025 of examination of the deed OR 16249-1695 0294 5 � 02/01/1994 $0 16249- Sales which are disqualified as a result 1695 of examination of the deed The Office of the Property Appraiser is continually editing and updating the tax roll.This website may not reflect the most current information on record.The Property Appraiser and Miami-Dade County assumes no liability,see full disclaimer and User Agreement at hftp://www.miamidade.gov/info/disclaimer.asp Version: t http://www.miamidade.gov/propertysearch/ 3/14/2018 I