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ELC-18-418Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address Permit Permit NO. E-LC-2-18-418 Permit Type: Electrical - Commercial Work Classification: Sign Permit Status: APPROVED Issue Date: 3/8/2018 Expiration: 09/04/2018 Parcel Number Applicant 9537 NE 2 Avenue Miami Shores, FL 33138- 1132060133910 Block: Lot: DVS LLC Owner Information Address Phone Cell DVS LLC 9537 NE 2 Avenue MIAMI SHORES FL 33138- 9537 NE 2 Avenue MIAMI SHORES FL 33138- Contractor(s) SIGN EFFEX • Phone (863)294-4498 Cell Phone Valuation: Total Sq Feet: $ 100.00 47 Type of Work: ELECTRICAL SIGN FOR DUNKIN DONUTS Additional Info: Classification: Commercial Scanning: 3 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Scanning Fee Technology Fee Amount $0.60 $2.25 $2.00 $0.20 $150.00 $3.00 $0.80 Total: $158.85 Pay Date Pay Type Amt Paid Amt Due Invoice # ELC-2-18-66486 03/08/2018 Credit Card $ 158.85 $ 0.00 Available Inspections: Inspection Type: Final Review Electrical 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. March 08, 2018 Authorized Signature: Owner / Applicant / Contractor / Agent Date Building Department Copy March 08, 2018 1 BUILDING PERMIT APPLICATION ❑BUILDING ELECTRIC PLUMBING ❑ MECHANICAL JOB ADDRESS: 9545 NW 2 Avenue Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 ❑ ROOFING PUBLIC WORKS Master Permit No. Sub Permit No. RECE`ED eA FBC 2017 b cbry �Lc. lfr- 4I r ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS City: Miami Shores Folio/Parcel#: 11-3206-013-3910 Occupancy Type: Load: County: Miami Dade Zip: 33138-2704 Is the Building Historically Designated: Yes • NO X Construction Type: ` Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): DVS LLC Address:201 NE 95 St Phone#: City: Miami Shores Tenant/Lessee Name: Dunkin Donuts Email: State: FL Zip: 33138 Phone#: CONTRACTOR: Company Name: Sign Effex Address: 512 Sixth Street NW Phone#: 863-294-4498 City: WinterHaven State: FL Qualifier Name: James P. Richards, Jr. State Certification or Registration #: EC0000562 DESIGNER: Architect/Engineer: David Norris Engineering Address: 112 Coleman Road zip: 33881 Phone#: 813-404-9207 Certificate of Competency #: Value of Work for this Permit: $100.00 Type of Work: ❑ Addition ❑ Alteration Phone#: 863-299-1048 City: Winter Haven State: FL zip: 33880 Square/Linear Footage of Work: 47.95 SF ❑■ New ❑ Repair/Replace ❑ Demolition Description of Work: Northwest elevation - installation of reverse lit channel letters measuring 47.95 SF hooking to existing electric. Specify color of color thru tile: Submittal Fee $ Scanning Fee $ Permit Fee $ f ©/ Radon Fee $ ' C Technology Fee $ Training/Education Fee $ Structural Reviews $ CCF $ CO/CC $ DBPR $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ I `-Da (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 has1 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, it 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. Signature OWNER or AGENT The foregoing instrument was acknowledged before me this �I S day' of' 1—ChC UDC- , 20 1 , by UtGV�V1 t - nn ►C1I1+, who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Si Print: Seal: a1' 4407) 398-0153 ******************** r+, APPROVED BY i n 1&Wc438 EBg�g�nuli�le IV7 ridat+o iTAA A --- nonaJR6tbly=3ervice.com Signature The foregoing instrument was acknowledged before me this 13 dayof Ce--t�`cUC'+C� , 20 � , by War n Q l �s` Poc+ e , who is personally known to me or who has produced identification and who did take an oath. NOTARY PUBLIC: / Sign: Print: Seal: /4iLE R ' MY COMMISSION # GG004387 -A EXPIRES June 21, 2020 (407) 398-0153 F orideNotaryService.com as *********************************************** *************************** Plans Examiner Structural Review Zoning Clerk (Revised02/24/2014) BUILDING PERMIT APPLICATION ❑ BUILDING ❑� ELECTRIC ❑ PLUMBING ❑ MECHANICAL JOB ADDRESS: 9545 NE 2 Avenue City: Miami Shores Folio/Parcel#:11-3206-013-3910 Occupancy Type: Load: Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 ❑ ROOFING ❑ PUBLIC WORKS Rfl:. Cr IVED RECEIVE +.b n9 7017 JUN 0 91017 FBC 20V-k Master Permit No. l -i Sub Permit No. E LC(Y SS S ❑ REVISION ❑ EXTENSION ❑ RENEWAL ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS County: Miami Dade Zip: 33138-2704 Is the Building Historically Designated: Yes NO X Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): DVS LLC Address: 201 NE 95 St City: Miami Shores Tenant/Lessee Name: Dunkin Donuts Email: CONTRACTOR: Company Name: Sign Effex Address: 512 Sixth Street NW City: Winter Haven Qualifier Name: James P. Richards, Jr. Phone#: Phone#: Zip: 33138 Phone#: 863-294-4498 State: FL Zip: 33811 Phone#: 813-404-9207 State Certification or Registration #: EC0000562 DESIGNER: Architect/Engineer: David Norris Engineering Certificate of Competency #: Phone#: 863-299-1048 Address: 112 Coleman Road City: Winter Haven state: FL Zip: 33880 Value of Work for this Permit: $ 100.00 Square/Linear Footage of Work: 21.3125 SF Type of Work: ❑ Addition ❑ Alteration . New ❑ Repair/Replace ❑ Demolition Description of Work: Northwest elevation - installation of reverse lit channel letters measuring 21.3125 SF hooking to existing electric. Specify color of colpr thru tile: Submittal Fee $ Permit Fee $ l5' %€'G Scanning Fee $ Radon Fee $ Technology Fee $ Structural Reviews $ CCF $ CO/CC $ DBPR $ Notary $ Training/Education Fee $ Double Fee $ 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature OW, R or AGENT Theforegoing instrument was acknowledged before me this 54- day of aAn•e. Seven Puny); c LCRR , who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign Print: Seal: ,20 Irl ,by I o '-f)7 ,Wlordpf act en m Pendpr :s"' • HELEN M BENDER MY COMMISSION # GG004387 a?a d EXPIRES June 21, 2020 1407139a-0153 it*ti/aNatah$ervlco.com Signature CONTRACTOR The foreg%'ng instrument was acknowledged before me this day of J UM €. , 20 19 , by T Qrne� P. (2ichc rd5 Fvho is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: d6.12rr-nt2x �C � :I`�)RE&a E 16ER MY COMMISSION # GG004387 110„t,.: EXPIRES June 21, 2020 I40i)39l-0153 flordeNetary5ervice.com ************************************************************************************************************ l /73 /2- J %',,' Plans Examiner APPROVED BY Structural Review Zoning Clerk (Revised02/24/2014)