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SGN-18-417
Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Project Address Permit Permit NO. S G N -2 -18-417 Permit Type: Sign Work Classification: New 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- Valuation: Total Sq Feet: $,1,275.00 47 Type of Sign: Wall Sign Electrical Sign: Yes Height: Width: Color: Plans Submitted: Yes Classification: Residential Elevation: Additional Info: EAST ELEVATION - INSTALLATION Scanning: 4 1 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee Plan Review Fee (Engineer) Plan Review Fee (Engineer) Scanning Fee Technology Fee Total: Amount $1.20 $2.00 $2.00 $0.40 $100.00 $80.00 $80.00 $12.00 $1.60 $279.20 Pay Date Pay Type Amt Paid Amt Due Invoice # SGN-2-18-66485 03/08/2018 Credit Card $ 279.20 $ 0.00 Available Inspections: Inspection Type: Final Review Planning Review Building Review Structural Review Structural 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 viki\ BUILDING PERMIT APPLICATION Miami Shores Village Building Department De . artment RECEIVE° ry ? 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Fr, �.5�f�� Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 20 � �� Master Permit No.& Ni[ jV^ - LI 1 —`7 Sub Permit No. •BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL PLUMBING ❑MECHANICAL ❑PUBLIC'WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 9545 NW 2 Avenue. City: Miami Shores County: Miami Dade Zip: 33138-2704 Folio/Parcel#:11-3206-013-3910 i Is the Building Historically Designated: Yes NO X Occupancy Type:. Load: . 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 Phone#: State: FL Zip: 33138 Phone#: Email: CONTRACTOR: Company Name: "Sign Effex Phone#: 863-294-4498 Address: 512 Sixth Street NW "Pbr .ft' .9 - ZZ-`- - 9Z-7"- City: Winter Haven State: FL Zip: 33881 Qualifier Name: James P. Richards, Jr. Phone#: 813-404-9207 State Certification or Registration #: EC0000562 Certificate of Competency #: DESIGNER: Architect/Engineer: David Norris Engineering Phone#: 863-299-1048 Address: 112 Coleman Road Value of Work for this Permit: $ 1275.00 City: Winter Haven State: FL Zip: 33880 Square/Linear Footage of Work: 47.95 SF Type of Work: ❑ Addition ❑ Alteration El 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 $ Permit Fee $ 4 60 - C.1 CCF $ CO/CC $ Scanning Fee $ Radon Fee $ a , 60 DBPR $ a . GO Notary $ 0 Technology Fee $ Training/Education Fee $ Double Fee $ 0 Structural Reviews $ 60 . Bond $ TOTAL FEE NOW DUE $ cD-�- 0 i. (Revised02/24/2014) 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 orlinstallation 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 GENT The foregoing instrument was acknowledged before me this I J day 1of Rio , 20 I , by 51 Cyr) t-f Url Yl;cn. k , who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Signs%��- Pri n Seal:; = MY COMMISSION # GG004387 i '°4?� EXPIRES June 21, 2020 (407)398-0153 Flor(dallotaryService.com APPROVED BY (Revised02/24/2014) Signature The foregoing instrument was acknowledged before me this 13 day of%e-rJ► AkaN ,20 l� by Ltny n l A eI<*-e , who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC? Sign: Print: Seal: Plans Examiner HELEN M B NDER MY COMMISSION # GG004387 ti; EXPIRES June 21, 2020 (407 398-01b3 FlorldeNote S,rvice.com Structural Review I t Zoning Clerk Florida i, Department of Business & Professional Regulation Division of Professions Electrical Contractors' Licensing Board 2601 Blair Stone Road Tallahassee, Florida 32399-0771 Phone: 850.717.1981 • Fax: 850.922.2918 Jonathan Zachem, Secretary December 22, 2017 Wayne LaPorte, President LaPorte Investment Holdings, Inc. dba Signeffex 512 6th Street NW Winter Haven, FL 33881 Dear Mr. LaPorte: Rick Scott, Governor I reviewed your correspondence dated October 13, 2017, concerning the death of James Richards, license number EC 562. After consideration of your correspondence and the facts related thereto, I am granting an emergency registration to Wayne LaPorte as the President of LaPorte Investment Holdings, Inc. dba Signeffex to complete the following, sign projects: • 9545 NW 2 Avenue, Miami Shores This emergency registration will only allow you to proceed with incomplete or pending contracts. Section 489.523, Florida Statutes defines an incomplete contract as "...one which has been awarded to, or entered into by, the contractor before his or her death, or in which he°or.she was the low bidder and the contract is subsequently awarded to him or her, regardless of whether any actual work has commenced under the contract before the contractors' death." At this time work is limited to the list of incomplete or pending contracts, permits and projects you provided to the Board on October 24, 2017. As the Manager of LaPorte Investment Holdings, Inc. dba Signeffex, Mr. LaPorte will assume all responsibilities of a primary qualifying agent for the business entity during this time. However, I encourage you to seek out and employ a duly licensed individual to serve as permanent primary qualifying agent as soon as possible. Should you have questions or need assistance in completing the application, the Department's Customer Contact Center will be able to assist you. Upon successful registration of a permanent primary qualifying agent or completion of pending contracts, the emergency registration shall be rendered NULL and VOID. Please contact the ECLB board office at (850) 717-1981, if you are in need of further assistance. s Sirely, jm. Lt.\ Ruthanne Christie Executive Director Electrical Contractors' Licensing Board RC/sb LICENSE EFFICIENTLY. REGULATE FAIRLY. WWW:MYFLORIDALICENSE.COM a DBPR-.RICHARDS, JAMES P JR, Certified Electrical Contractor Page 1 of 1 3:47:05 PM 2/15/2018 Licensee Details Licensee Information Name: Main Address: County: License Mailing: LicenseLocation: County: License Information License Type: Rank: License Number: Status: Licensure Date: Expires: Special Qualifications Alternate Names RICHARDS, JAMES P JR (Primary Name) 4300 58TH STREET NORTH UNIT 1816 KENNETH CITY Florida 33709 PINELLAS 512 6TH STREET NW WINTER HAVEN FL 33881 POLK Certified Electrical Contractor Cert Electrical EC0000562 "Dece s dJ 06/24/1983 08/31/2018 Qualification Effective View Related License Information View License Complaint 2601 Blair Stone Road, Tallahassee FL 32399 :: Email: Customer Contact Center :: Customer Contact Center: 850.487,1395 The State of Florida is an AA/EEC) employer. Coovriaht 2007-2010 State of Florida, Privacy Statement Under Florida law, email addresses are public records. If you do not want your email address released in response to a public records request, do not send electronic mail to this entity. Instead, contact the office by phone or by traditional mail. If you have any questions, please contact 850.487.1395. 'Pursuant to Section 455.275(1), Florida Statutes, effective October 1, 2012, licensees licensed under Chapter 455, F.S. must provide the Department with an email address if they have one. The smalls provided may be used for official communication with the licensee. However email addresses are public record. If you do not wish to supply a personal address, please provide the Department with an email address which can be made available to the public, https://www.myfloridalicense.com/LicenseDetail. asp?SID=&id=DE3 93 F42B22E2OFCBF... 2/15/2018 1 A 'A` o CERTIFICATE OF LIABILITY INSURANCE i. DATE (MMIDD/YYYY) 11 /13/2017 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. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or 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 George H. Odiorne Insurance Agency Inc. PO Box 830 , • Brandon FL 33509 CONTACT Laura Taylor NAME: cN(813)685-7731 jn)(813)685-1823 (A//o, Eat): No): E-MAIL ADDRESS:. Itay for odiorneinsurance.com INSURER(S) AFFORDING COVERAGE f NAIC # INSURERA: AIDCO (Allied P&C Ins Co) 42579 INSURED Laporte Investment Holdings Inc. dba, DBA: Sign Effex 512 6th. Street NW Winter Haven FL 33881-4009 INSURER B : HARTFORD CASUALTY INS CO 29424 INSURER C : INSURER D : INSURER E: INSURER F : COVERAGES CERTIFICATE NUMBER: 2017/18 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 CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLIC ES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL INSD SWVD POLICY NUMBER /YUBR POLICY EFF (MM/DDYYY) POLICY EXP (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY ACPGLP03046392393 11/15/2017 11/15/20.18 EACH OCCURRENCE $ 1,000,000 DAMAGE TO REND PREMISES (Ea occE ence) $ 100,000 CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 5,000 PERSONAL BADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 2, 000,000 GEN'L 1 AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG 2'000'0�0 $ A AUTOMOBILE _ X LIABILITY ANY AUTO OWNED - _ SCHEDULED AUTOS NON -OWNED AUTOS ONLY ACPBAZ3046392393 11/15/2017 11/15/2018 COMBINED SINGLE LIMIT (Ea accident) i $ 1,000,000 BODILY INJURY (Per person) $ q BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ Medical payments $ 5,000 A X UMBRELLA LIAB EXCESS LIAB — OCCUR CLAIMS-MADEACPCAP3046392393 11/15/2017 11/15/2018 EACH OCCURRENCE I $ 1,000,000 AGGREGATE $ 1,000,000 $ DED RETENTION $ ' B" WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N FY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N /A 21 WECAJ4350 11/15/2017 11/15/2018 PER OTH- STATUTE ER E.L. EACH ACCIDENT $ 1 ,, E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT 10,00000 $ , A Rented/Leased Equipment ACPCIMP3046392393 11/15/2017 11/15/2018 Total Value 1 $50,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Lic #EC0000562 CERTIFICATE HOLDER' CANCELLATION Miami Shores Village Bldg Dept 10050 NW 2nd Ave Miami Shores FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved.' The ACORD name and logo are registered marks of ACORD Additional Named Insureds Other Named Insureds Sign Effex Doing Business As WKLaporte, LLC dba Apolo SIgn and Awning } OFAPPINF (02/2007) COPYRIGHT 2007, AMS SERVICES INC ADDITIONAL COVERAGES •Ref # Description Uninsured motorist combined single limit Coverage Code UMCSL Form No. Edition Date Limit 1 1,000,000 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref# Description PIP -Basic Coverage' Code PIP Form No. Edition Date Limit 1 1good Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Expense constant Coverage Code EXCNT Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium $200.00 Ref # Description Premium discount Coverage Code PDIS Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium -$95.00 Ref # Description Increased employer's liability Coverage Code INEL Form No. Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium $183.00 Ref # Description Experience Mod Factor 1 Coverage Code EXPO1 Form No. Edition Date Limit 1' Limit 2 Limit 3 Deductible Amount ' . Deductible Type Premium -$1,929.00 Ref # Description Domestic Terrorism Coverage Coverage Code DTERR Form No. i Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium , $70.00 Ref # Description Waiver of Subrogation Coverage Code WVSUB Form No. Edition Date Limit.1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium $500.00 Ref # Description Coverage Code Form No. # Edition Date Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. l Edition Date Limit 1 i. Limit 2 Limit 3 Deductible Amount Deductible Type Premium Ref # Description Coverage Code Form No. Edition Date Limit 1 Limit 2 ' Limit 3 Deductible Amount Deductible Type Premium i. OFADTLCV Copyright 2001, AMS Services, Inc. • RICK SCOTe, GOVERNOR, STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD ViliMIZZOT ECOOOOSSi • 4. • The ELECTRICAL CONTRACTOR--.—" Named below IS CERTIFIED • Under the provisions of Chapter 489 FS. • 'Explfation date: AUG 31, 2018 RICHARDS,' JAMES P JR ' .SIGN EFFEX 512 6TH STREET NW • - WINTER HAVEN FIY33881 • • • NLA�NISECRETARY • ISSUED: 06/26/I016 DISPLAY AS REQUIRED -BY LAW '8EQ il L1606260001559 NTER HAVEN The Chain of Lakes City LOCATION: 512 NW 6TH ST BUSINESS TAX RECEIPT LAPORTE INVESTMENT HOLDINGS DBA /SIGN EFFEX 512 6TH ST NW WINTER HAVEN; FL 33881 250430 RECEIPT NO. DATE ISSUED: 09/21/2017 EXPIRES ON: 09/30/2018 CLASS ID#: Service Industry 2017-18 490 3R0 STREET NW, WINTER HAVEN, FL 33881 (863) 291-5695 MUST BE DISPLAYED IN A CONSPICUOUS PLACE POLK COUNTY LOCAL BUSINESS TAX RECEIPT ACCOUNT NO. 173594 CLASS: B OWNER NAME LOCATION LAPORTE, WAYNE M 512 NW 6TH ST WINTER HAVEN BUSINESS NAME AND MAILING ADDRESS LAPORTE INVESTMENT HOLDINGS INC 512 6TH ST NW WINTER HAVEN, FL 33881 CODE ACTIVITY TYPE 230120 CONTRACTOR ELECTRICAL SIGN PROFESSIONAL LICENSE (IF APPLICABLE) DBPR OFFICE OF JOE G. TEDDER, CFC * TAX COLLECTOR THIS POLK COUNTY LC:AL BUSINESS TAX �nEyf CONSP CUOUSLV DISPLAYED AT THE BUSINESS PAID-1528399.0001-0001 08/18/2017 08/18/2017 CFM 159 57.75 WAYNE LAPORTE o oIrvNTOWN !9' I LLAG E. t lU�►R'E�' To Whom It May Concern: This authorizes LaPorte Investment Holdings, Inc. (dba Sign Effex) of 512 Sixth St. NW, Winter Haven, FL 33881 to secure permits, variances, and perform sign installations, removal or maintenance at our properties located at: T R6146 'Street and City: KIE Gt I m orni coo..... Municipality: (`(,L.1/�r ShU(eS/,.. Name/ f Aarta P. L Title Notary Public pi"'"iik ELIZABETH ELORRIAGA 'i •c MY COMMISSION # FF953536 EXPIRES January 25.2020 011:�PN-0'S3 \ Fkxd Naa Service ear County of: ✓"( i'C2,Cr` State of: I / r,`c'Ja My Commission Expires: Miami Shores Village BUILDING PERMIT APPLICATION *BUILDING ❑ ELECTRIC ❑PLUMBING ❑ MECHANICAL JOB ADDRESS: 9545 NE 2 Avenue 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 RECEIVED JUN 0 92017 FBC 20 H Master Permit No. 5G 11— \ S54 Sub Permit No. ❑ ROOFING ❑ REVISION ❑PUBLIC WORKS ❑ EXTENSION RENEWAL ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS City: Miami Shores Folio/Parcel#:11-3206-013-3910 Occupancy Type: County: Miami Dade Load: Construction Type: OWNER: Name (Fee Simple Titleholder): DVS LLC Zip: Is the Building Historically Designated: Yes Flood Zone: 33138-2704 NO X BFE: FFE: Phone#: Address: 201 NE 95 St City: Miami Shores State: FL Zip: 33138 Tenant/Lessee Name: Dunkin Donuts Email: Phone#: CONTRACTOR: Company Name: Sign Effex Address: 512 Sixth Street NW Phone#: 863-294-4:498 City: Winter Haven State: Qualifier Name: James P. Richards, Jr. State Certification or Registration #: EC0000562 FL Zip: 33811 DESIGNER: Architect/Engineer: David Norris Engineering Address: 112 Coleman Road Phone#: Certificate of Competency #: Value of Work for this Permit: $1025.00 813-404-9207 Phone#: 863-299-1048 City: Winter Haven State: FL Zip: 33880 Square/Linear Footage of Work: 21.3125 SF Type of Work: ❑ Addition ❑ Alteration ❑■ New ❑ Repair/Replace ❑ Demolition est elevation - installation of reverse lit channel letters measuring 21.3125 SF Description of Work: Northw hooking to existing electric. Specify color of ' ol• hru 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) 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 0 NER or AGENT The foregoing instrumen was acknowledged before me this I 5+ day of .5 Lt flf , 20 I' 7 , by Hun11 iP U , who is personally known to me or who has produced identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: APPROVED BY EXPIRES June 21, 2020 P1ctdiNote 8ervicw.00m Signature CONTRACTOR The foregoing instrument was acknowledged before me this I Si - day of -3 Lif f , 20 L, ( , by nrie P Ric h�misl�r., who is personally known to as me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sig Print: Seal: j•i MY COMMISSION # GG004387 EXPIRES June 21, 2020 l401) 398.0153 FlotidalloteryService.com Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) To Whom It May Concern: This authorizes LaPorte Investment Holdings, Inc. (dba Sign Effex) of 512 Sixth St. NW, Winter Haven, FL 33881, to secure permits, variances, and perform sign installations, removal or maintenance at our properties located at: Street and City: Municipality: Named 0-ACt i'n r4arla�� L"a Title Notary Public iiiikv ; ELIT.ABETH ELORRIAGA •e MY COMMISSION I FFS$3536 EXPIRES January 25, 2020 1140/1N114'b3 1�n. i County of: 117 /'Ct ,C /`� State of: i---;70 rick My Commission Expires: 2017 FLORIDA LIMITED LIABILITY COMPANY ANNUAL REPORT DOCUMENT# L10000129579 Entity Name: DVS, LLC Current Principal Place of Business: 201 N.E. 95TH STREET MIAMI SHORES, FL 33138 Current Mailing Address: 201 N.E. 95TH STREET MIAMI SHORES, FL 33138 US FEI Number: 80-0670481 Name and Address of Current Registered Agent: CACCAMISE, THERESA 201 N.E. 95TH STREET MIAMI SHORES, FL 33138 US FILED" Mar 26, 2017 Secretary of State CC1177868782 Certificate of Status Desired: No The above named entity submits this statement for the purpose of changing its registered office or registered agent, or both, in the State of Florida. SIGNATURE: THERESA CACCAMISE 03/26/2017 Electronic Signature of Registered Agent Authorized Person(s) Detail : Title AUTHORIZED MEMBER, MANAGER Title AUTHORIZED MEMBER, MANAGER Name CACCAMISE, THERESA Name CACCAMISE, RICHARD Address 201 N.E. 95TH STREET Address 201 N.E. 95TH STREET City -State -Zip: MIAMI SHORES FL 33138 City -State -Zip: MIAMI SHORES FL 33138 Date I hereby certify that the information indicated on this report or supplemental report is true and accurate and that my electronic signature shall have the same legal effect as if made under oath; that lam a managing member or manager of the limited liability company or the receiver or trustee empowered to execute this report as required by Chapter 605, Florida Statutes; and that my name appears above, or on an attachment with all other like empowered. SIGNATURE: THERESA CACCAMISE AUTHORIZE MEMBER 03/26/2017 Electronic Signature of Signing Authorized Person(s) Detail Date o: rage 2 OT 2017-06-09 18:27:11 (GMT) Sign Effex / Apolo S From: Wayne LaPorte • .P.c:nk:(1,:.it - AVr " eill..7.41112R400.0.14work- • tga,W-gfzighi-41-Watt. , vtt C1ifko,:(t To whom It May Concern: Let this document serveas. power ofattorney and authorizatiOn for the following listed Individuals:to act as representative and agent in reOlstrAtion. of 'contractor license, securing and signing for permits for the .notedjob location below: Job Location:, Parcel #: Jeff Terry Helen Bender: Josh Terry Tim Jones Jins�h Cordova Steven Hunnicutt Jonathan Williams Lynne. Raffia hi Best egards, Wayne L Porte, Own LaPorte Investment Holdings•dba Sign Effex, Inc. Sworn to and subscribed before me by Wqyne. La Pa r-4- who is personally known to me or proOced as identification, and who did > tari—air oath, this Tth day of ;:j k 2017. Signature of Notary DANIEL JENKS : MY COMMISSION # Cit00104171 EXPIRES July 11, 2020 (4 On 4100153 FlorktatioWylleroke.tom THE AlzZT OF Seal: SIGNMAKING 2017 FLORIDA PROFIT CORPORATION ANNUAL REPORT DOCUMENT# P13000070796 Entity Name: LAPORTE INVESTMENT HOLDINGS, INC. Current Principal Place of Business: 3135 MARBLE CREST DRIVE LAND 0 LAKES, FL 34638 Current Mailing Address: 3135 MARBLE CREST DRIVE LAND 0 LAKES, FL 34638 US FEI Number: 46-3512463 Name and Address of Current Registered Agent: HUNTER BUSINESS LAW 119 S. DAKOTA AVENUE TAMPA, FL 33606 US FILED' Mar 02, 2017 Secretary of State CC0999546046 Certificate of Status Desired: No The above named entity submits this statement for the purpose of changing its registered office or registered agent, or both, in the State of Florida. SIGNATURE: SHERYL S. HUNTER 03/02/2017 Electronic Signature of Registered Agent Officer/Director Detail : Title Name Address City -State -Zip: Title Name Address City -State -Zip: Title Name Address City -State -Zip: DIR LAPORTE, WAYNE M 3135 MARBLE CREST DRIVE LAND 0 LAKES FL 34638 VP LAPORTE, KIMBERLY K 3135 MARBLE CREST DRIVE LAND 0 LAKES FL 34638 TRS LAPORTE, WAYNE M 3135 MARBLE CREST DRIVE LAND 0 LAKES FL 34638 Title Name Address City -State -Zip: Title Name Address City -State -Zip: P LAPORTE, WAYNE M 3135 MARBLE CREST DRIVE LAND 0 LAKES FL 34638 SEC LAPORTE, KIMBERLY K 3135 MARBLE CREST DRIVE LAND 0 LAKES FL 34638 Date I hereby certify that the information indicated on this report or supplemental report is true and accurate and that my electronic signature shall have the same legal effect as if made under oath; that I am an officer or director of the corporation or the receiver or trustee empowered to execute this report as required by Chapter 607, Florida Statutes; and that my name appears above, or on an attachment with all other like empowered. SIGNATURE: WAYNE LAPORTE PRESIDENT 03/02/2017 Electronic Signature of Signing Officer/Director Detail Date RECEIVED 00 M • 3/8" Dia. x 3" Lag Bolts (4 Total IS (.063) ALUMINUM BACK (INTERIOR WHITE JSE PROTECTIVE TAPE ON EDGES MGMO :0oo.o0000 Scale: 1/4" = 1' *Area (sq ft) 47.95 /8' Dia. x 3" Lag Botts (26 Total) SWITCH DRILL WEEPl1°LES 3/8 Dia. x 3" Lag Bolts (23 Total) Dunkin' Donuts General LED Statement: 1.) Sign to be evenly illuminated without hot spots or shadowing. 2.) Sign illumination to achieve minimum brightness of 130 lumens per square foot with color matrix range of 5500K to 7000K. 3.) Lighting system to utilize constant technology to ensure uniform light output throughout without overdriving LED's. 4.) Illumination to withstand and operate at temperatures of —40 degress to 140 degress F. 5.) Sign to bear UL48 listing mark. 25'-0" A.F.F. +/- TOP OF EXISTING PA • PET FEB :t 5 2 tomend MO MI Stand O Plan View COLOR & MATERIAL NOTES: DD STACKED REVERSE CHANNEL LETTERS FOR 9545 NE 2ND AVE MIAMI SHORES, FLORIDA Ilex conduit to transformer box Clip attachment f Heavy duty 1" standoff Sealtite connector LED illumination .090" aluminum face Transformer NORTHWEST ELEVATION 1/8" clear polycarbonate t>a k LOGO & LETTERS: Logo & Letter faces to .090" Aluminum ptd. White. Vinyl to be applied 1st surface leaving a white keyline border around all letters. Vinyl colors to be: DD Orange - 3M #3630-3123 DD Magenta - 3M #3630-1379 Dark Brown (on logo cup) - 3M #3630-59 Logo and letter returns ptd. Benjamin Moore 2116-10 semi -gloss finish. Weepholes, required for each individual letter and icon Trademark non -illuminated. letter illumination to be with white Nichia LED's. Nightshade MOUNTING HARDWARE/A TO SUIT WALLS 5/16" min dia depth all thread thru bolts 5/16" min dia depth toggle bolts 5/16" min dia x 2" min depth lag bolts w/ shields 5/16" min dia x 2" min depth expansion anchors 1/4" x 2-1/2 tapcon into masonary wall (4) Min. Hardware is Req'd per Letter. ((2) for the "I") 2" Min. Embed. PERMIT ; soN46._ MIAMI 5v APPROVED ELECTRICAL LTR LOGO LEDS 90 TTL. LEDS 90 TRANS. 96W (90) PerformX LEE (13) Driver (1) 96 Watt Power Supply.... _'_ _p ANP90-30P1 Power Supply 100-240Wac; 96 Watt; 3.6 Amps *Use (1) 20 Amp Circuit S,j AApS- s iAMPS TOTAL AMPS 3.6 AMPS J`C S. ,,TPAND COUNTY RULES LTR LEDS TTL. LEDS TRANS. AMPS TOTAL AMPS DUNKIN 89 89 96W 3.6 AMPS 7.2 AMPS DONUTS 75 75 96W 3.6 AMPS (164) PerformX LEDS Total (23) Driver (2) 96 Watt Power Supply ANP90-30P1 Power Supply 100-240Wac; 96 Watt; 3.6 Amps (Each) Total 7.2 Amps *Use (1) 20 Amp Circuit Aluminum return 1/8" Clear polycarbonate back .090" Aluminum Face Ptd. White Sealtite connector i/y! Clip attachment LED Illumination 9 rco ELECTRICAL INFORMATION A) Power Supply for LEDS 1.2 Amps. Total Load 3.6 Amps. B) All Electrical Components are U/L Listed. C) 120 Volts /2"#12 THWN Rig Wire All Components Painted as per Code E) External Disconnect Switch F) Sign Grounded According to NEC 250 G) Existing Dedicated 20 Amps Circuit # 6 Breaker From Electrical Panel H) All Materials Fasteners Meet 3004.4 I) Photocell Controlled On/Off. Skid VIE•W•.'•• FRONT VIEW PANEL -A 250 Rating Breaker#5 Total Load: 150 Amps .�• . . . . . LOW VOLTAGe L. .D.S To Power Supply r Letter . COLOR SCHEDULE: 2ND SURFACE VINYL 2ND SURFACE VINYL Orange- 3M A3630-3123 Magenta- 3M #3630-1379 ( PMS 165C ORANGE) ( PMS 219C MAGENTA ) PAINTED TO MATCH BM 2116-10 NIGHT SHADE ( PMS 1545C DARK BROWN ) 2ND SURFACE VINYL Dark Brown- 3M #3630-59 ( PMS 1545C DARK BROWN ) 878012610 Avenue North. the D Lego, FL 33773 PMm7274360900 Fae 727-5350944 51yn i Awning. In.. Emal: eaka®apoio,gtcom A SUBSIDIARY OF SIGN EFFEX INC. APOLO MANUFACTURED AT 612 SLM Street NW Winter Haven. Fl 33881 063-294-4498 Far. 063-297-3294 Emei: info8z40.0.a co n CIRCUITS REQUIRED TO BE DETERMINED (120 VOLT) t .4.) L':.4 REv1SIONS WY sr-0" :.�■.... ,:■ "IRA", ME.111111111 ■ /2\PROPOSED SCALE: 1 /8"=1 —O" PARAPET TOP OF EXISTING PARAPET NEW F.O. ENDOW + -04.2 WNo N ON No 00-02111,0 +75/-00 WID LOAD CNti 447.7 N. 00-1 OD ++8%-'00 WIND AD CADS NOAEIIO 00-ODgL10"FS71'l1E"`"L) + 75/-SO IWO LOAD CAL ATCH LINE LEOEND 700051210 STOREFRONT TO BE REMOVED <DEXISIBIG COLUMN TO BE WANTED ®DOSING PARAPET TO BE MOOFWD OOZING Cause/ ®EXSING TE BEAM ®NEW lE BEAN OPEN 5/T FIRE RATED TYPE 'X' DRYWALL ®IEW 1 ANY lIIOC NEISIOE ®4K OCC50� A 4 0.G INTO CONCRETE CR CCNCREIE FILLED CELL ®NEW IY CROWN MODING 01 TOP OF NEW PARAPET WALL ATTACHED W/3' TAPCON AT 24 0.G PARTIAL- NORTH/WEST- -ELEVATION e0.0/-54.2 SO0 FR NON 5. o0-0215,0 +7B/-•0 Ww Lt.CAMS DO NEW N. -1 1.D PRENSURE NON N. 00-1110A4 +70%00 WJD LOAD CML4 ;NEµw,�si/5-�efAS Il YCOE5 [I"DW IDA 1Li SOC LOAD CAWS. +75/-00 WOD LOAD GADS NEW 5/8' STUCCO FINISH OVER COSTING BRICK Ae-r TOP • COSTING PARAP ■ ■ice ■r.._____I_--- Iv 1 h'-cs tr_t• I I tr_t k-A k-el ID' MATCH LINE • PARAPET '• . ••_. BEYOND . • • NEW STORE FRONT NEW STORE FRONT BRONCE FINISH WITH 11NTED GLASS m+ NEW TO BE � TLE YUD euggek OR CPPE�Dp00, ER TN TAGGED FELT FELT S/r OCT GRADE - CUX PLYROOD ATTACED W/10d COWEN NALS AT .' D.C. AT PANEL EDGES AND 4' 0.C. AT INIERMEDIAlE SUPPORT (STAPLES NOT ALLOWED) 01 NEW W000 TRUSSES 24' 0.0. ® NEW r CCNCI TE BIOOC WALL ATTACHED WAS BARS 0 4r D.C. IN FILLED CELLS ® NEW 4W X 2. L 0200 CORBEL AT UNDERSIDE OF SLOPED TEE ROOF 24' D.C. ® REMOVE EXIS11/10 EXTERIOR BLOCK WALL ® REMOVE EX151N0 NTERKR WALL ® MOVE D05110 PLANTER ® NEW 5/r STUCCO FINISH ON ® NEW B. HALF ROUND KEYSTONE LOOK OOLONG ATTACHED W/3' TAPCO•I AT 24' 0.C. ® REMOVE DOSING BALANCE OF COIICaE1E EYEBROW BACK TO TIE FACE OF THE DOSTNO BLOCK ® NEW r CROVN MOL01N6 AT TOP OF NEW STORE FRONT ATTACHED W/3' TAPCON AT 24' 0.G ® NEW WACT STOREFRONT S1NBT WI P ORAMD FOR APPROVAL ® WD/�SX/44kliCIINYn AT 24" 0.G INTO CONCRETE OR CONCRETE FLLED CE11 NEW STORE FRONT BRONCE FINISH WITH TINTED GLASS ® emir cON0. BEAM W/3 #3 CONT. W/ge'S 0 24' C.C. ® NEW Trirc/N0. BEAM WIM (3) #6 CONT. BOWLS INTO COST TE COLUMN OLIM0'! o5 .EE T INTODOGEL W/HVAAN HESIVr SYSTEM HILT R EOUNALDNT EPDXY. MO ® SLAB TO 4RSIAANN ® EGS ING FOOTING TO REMAIN EXISTING cK FINISH TO BE REMOVED PROPOSED PARTIAL SOUTH/WEST ELEVATION SCALE: 1 /8"=1 '—O" EXISTING BRICK FINISH TO BE REMOVED 1.-tr sr-r 1EVre r sr� st-r 1.1 _ Ir•-ie PROPOSED PARTIAL SOUTH/EAST ELEVATION SCALE: 1 /8"=1 —O" EXISTING BRICK FINISH TO BE REMOVED 1r-r REMOVE COST. BRICK STACK REPAIR AS REQ. War Tv v *0 MATCH LINE EXISTING A/C �TO BE RELOCATED ®; NEW sTatcnicorr swop _ t II 00-021.10iYTW:AU +75/-110 WID LOAD CALCI e1® EXISTING WINDOWS TO BE BLOCK UP COSTING BRICK FINISH TO BE REMOVED A PROPOSED PARTIAL NORTH/EAST ELEVATION SCALE: 1 /8"=1 '—O" RIMER OI..411Ot 1+W DM 01•I.OWON I-SO-11 • • 1 • f r • • • • • DRAWN M.N. M.A.G. 1-4-11 AS SHOWN 10 SHEET A-2 OF 4 SHEETS ...• • • ...• •- •• • • • • • • • •• • • • • • • • • • • • • • • • •• • . • • • •• • • • • ..• • • • ..• . 1n 9545 NE 2nd Ave e Plan MotVinecebi fl-tv4a4 (Wt s • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • •w • • • • • • w • • • • • • • • • • • • • • • • • ••• • • • • • • • • • t • • • • • • • • • t • • • • • • • W • • • • • • • • • • • • • • • • • • r • • • • • • • • • • • • CH 47.95 3/8" Dia. x 3" Lag Bolts ) (4 Total) USE PROTECTIVE TAPE ON EDGES 8800 a�N DoD SWITCH (.063) ALUMINUM BACK (INTERIOR WHITE GITIVJGN, DRILL WEEP HOL Scale: 1/4" = 1' *Area (sq ft) 3/8" Dia. x 3" Lag Bolts (26 Total) Dunkin' Donuts General LED Statement: 1.) Sign to be evenly illuminated without hot spots or shadowing. 2.) Sign illumination to achieve minimum brightness of 130 lumens per square foot with color matrix range of 5500K to 7000K. 3.) Lighting system to utilize constant technology to ensure uniform light output throughout without overdriving LEDs. 4.) Illumination to withstand and operate at temperatures of —40 degress to 140 degress F. 5.) Sign to bear UL48 listing mark. 25'-0" A.F.F. +/- TOP OF EXISTING PAR PET imimmi iimis NIA is Plan View COLOR & MATERIAL NOTES: 1" Stand Offs c DD STACKED REVERSE CHANNEL LETTERS FOR 9545 NE 2ND AVE MIAMI SHORES, FLORIDA NORTHWEST ELEVATION LOGO & LETTERS: Logo & Letter faces to .090" Aluminum ptd. White. Vinyl to ffiiiel 1st surface leaving a white keyline border around all letters Vinyl colors to be: APPRO' DD Orange - 3M #3630-3123 DD Magenta - 3M #3630-1379 Dark Brown (on logo cup) - 3M #3630-59 Logo and letter returns ptd. Benjamin Moore 2116-10 Nightshade semi -gloss finish. Weepholes, required for each individual letter and icon. Trademark non -illuminated. letter illumination to be with white Nichia LED's. MOUNTING HARDWARE TO SUIT WALLS 5/16" min dia depth all thread thru b Its 5/16" min dia depth toggle bolts 5/16" min dia x 2" min depth lag bolts w/ shi Ids 5/16" min dia x 2" min depth expansion anch 1/4" x 2-1 /2 tapcon into masonary wall (4) Min. Hardware is Req'd per Letter. ((2) for the "I") 2" Min. Embed. TURAL RE IV ✓ED W DAT* Flex conduit to transformer box Clip attachment Heavy duty 1" standoff Sealtite connector LED illumination .090" aluminum face Transformer W NW WOW W WI OW NMI EWE OW IMB W OW WSW W SW 1115 Illy 1/8" clear polycarbonate back Aluminum return 1/8" Clear polycarbonate back .090" Aluminum Face 'Ptd. White Se Itite connector his structure has been designed in accordance with thee 6th edition (2017) FBC & FBCR and Chapt. 26-31 of ASCE 7 for (3 sec. gust) Wind Vel. of Vult = 175 , Vasd = 131 Exposure `[ ' , Risk Cat. IE Int. Pr. = ± 0.55 GCpi (partially enclosed) ± 0.18 GCpi (enclosed), ± 0 GCpi (open) It is the responsibility of the owner/contractor to verify ail dimensions & conditions prior to construction. p attachment LED`ttttrmination • • WIWNW • .• •••• StDE1 VIEVA .• • FRONT VIEW •• •• • • • • • ELEC ICAL INFATION J�,,y, #fl) dower for LEDS 1.2 Amps. Total Load 3.6 Amps. B) All Electrical Components are U/L Listed. C) 120 Volts 1/2'#12 THWN Rig Wire D) All Components Painted as per Code E) External Disconnect Switch F) Sign Grounded According to NEC 250 G) Existing Dedicated 20 Amps Circuit # 6 Breaker From Electrical Panel H) All Materials Fasteners Meet 3004.4 I) Photocell Controlled On/Off. LTR LEDS TTL. LEDS TRANS. AMPS TOTAL AMPS LOGO 90 90 96W 3.6 AMPS 3.6 AMPS (90) PerformX LEDS Total (13) Driver (1) 96 Watt Power Supply ANP90-30P1 Power Supply 100-240Wac; 96 Watt; 3.6 Amps *Use (1) 20 Amp Circuit LTR LEDS TTL. LEDS TRANS. AMPS TOTAL AMPS DUNKIN 89 89 96W 3.6 AMPS 3.6 AMPS 7.2 AMPS DONUTS 75 75 96W (164) PerformX LEDS Total (23) Driver (2) 96 Watt Power Supply ANP90-30P1 Power Supply A. # 8283 100-240Wac; 96 Watt; 3.6 Amps (Each) Total 7.2 Amps *Use (1) 20 Amp Circuit ?.20 PANEL A 250 Rating Breaker#5 Total Load: 150 Amps LOW VOLTAGE L.E.D.S To Power Supply DAVID NORF S ENGINEERING 112 COL_Eiv1AN RD. WINTER HAVEN, FL 33880 (863) 299-1048 FL P.E. # 32186 COLOR SCHEDULE 2ND SURFACE VINYL 2ND SURFACE VINYL Orange- 3M *3630-3123 Magenta- 3M *3630-1379 ( PMS 165C ORANGE) ( PMS 219C MAGENTA ) PAINTED TO MATCH BM 2116-10 NIGHT SHADE ( PMS 1545C DARK BROWN ) 8/80126in Avenue Ndbl. GOD Lag. FL. 33773 Mara 727-535C900 Fu 127-5350944 Sign 6 Awning, Ina. 5me,1 sales@apobvgn.mm A SUBSIDIARY OF SIGN EFFEX INC COMPLIES WITH STANDARD48 2ND SURFACE VINYL Dark Brown- 3M 43630-59 ( PMS 1545C DARK BROWN MANUFACTURED AT 512 Sixth Street NW Winter Haven. F132881 ?n 863254.58 F. 863297-3299 Ern. in/oewgneeer.com CIRCU115 RE091RE7 TO BE DETERMINED (120 VOLT)