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SGN-18-2451Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 issue Date:10/22/2018 Permit NO.: SGN•9-18-2451 Permit Type: Sign Work Classification: New Permit status: Approved Expiration: 04/10/2019 Location Address Parcel Number Project 9830 NE 2 AVE, Miami Shores, FL 33138-2347 1132060132240 <NONE> Contacts MIAMI SHORES CENTER LLC Owner MIAMI SHORES CENTER LLC Applicant 210 71 ST 309, MIAMI BEACH, FL 33139 210 71 ST 309, MIAMI BEACH, FL 33139 Mobile:7862368569 ORIT@ELYSEEINC.COM Mobile:7862368569 ORIT@ELYSEEINC.COM Other:3058648885 Other:3058648885 KLEAN POWER ELECTRIC INC Contractor GUILLERMO ALONSO 6601 SW 80 ST, MIAMI, FL 33143 Inspection Requests: Description: NON ILLUMINATED LETTER WITH 2 LED LAMPS. Valuation: $ 1,900.00 305-762-4949 PENDING SUBMITTAL OF DEVELOPMENT ORDER Total Sq Feet: 52.00 11 Fees Amount CCF $1.20 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.40 P&Z Review Fee $35.00 Permit Fee $100.00 Plan Review Fee (Engineer) $60.00 Scanning Fee $9.00 Technology Fee $1.60 Total: $211.20 Building Department Copy Payments Date Paid Amt Paid Total Fees $211.20 Credit Card 10/22/2018 $161.20 Credit Card 09/17/2018 $50.00 Amount Due: $0.00 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. OWNE A IDA IT: I ertify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regul nstr on//JJd��zoning. Futhermore, I a/utt rize t%h bove named contractor to do the work stated. Authorized Signalare: Owner / Agent Date October 22, 2018 Page 2 of 2 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 (3051762-4949 BUILDING PERMIT APPLICATION YBUILDING ❑ ELECTRIC ❑ ROOFING EP 17 2018 i 'Tu FBC 20 t9' Master Permit No D6 ! v � 19 r I- I Sub Permit No. ❑ REVISION ❑ EXTENSION [:]RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP p 9 CONTRACTOR DRAWINGS 10B ADDRESS: �0 aoC� � n� Ave e5:Te30 �C 6— 4�, (M1� City: Miami Shores County: Miami Dade zip: 231 3 d I Folio/Parcel#: I - 3 206 .dl �j zZ40 Is the Building Historically Designated: Yes NO Occupancy Type: Load: l Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): '- Flay \ �of t-5 c A-6- Phone#: Address:of City: State: Zip: 33 fu 1 Tenant/Lessee Name: W<iy g3 W- Phone#: -4,'6 -b0) "Sc11Z- Email CONTRACTOR: Company''Name: iea �cry AjPV r�1Y`l Phone#: ' 1) - 0-2/ Address: t' f s W i h 0�k, City: 5 � � P� �' 3AftCV%C.Sf� State: FLU Zip: Qua lifierName: v:.I'PJ 1" 1> ?1`N)--\,6 Phone#: -7$7 "2- 02/} State Certification or Registration #:`, e 1 00 Z b 6-F Certificate of Competency # DESIGNER: Architect/Engineer: 'C.Y Q`+ ��-�C h�.n� S�c,�� Phone# Address: 12 ; G S w 7- City: �- 11 v, Vtit State: r--(, Zip: -?> 1 u .5 Value of Work for this Permit: $ I , `1 Q C) o Square/Linear Footage of Work: 41 Type of Work: ❑ Addition ❑k Alteration New ❑ Repair/Replace ❑ Demolition Description of Work:. _� n -3;V% yV-,1' Lk 4-4t,3 . h Specify color of color thru tile: Submittal Fee $ W Permit Fee $`fl , CCF $ Scanning Fee $ Radon Fee $ ' OC} DBPR $ Z W Technology Fee Structural Reviews $ Training/Education Fee $ CO/CC $ Notary $ Double Fee $ Bond $ Gc-,�KNgS (Revised02/24/2014) TOTAL FEE NOW DUE $ IG I - ZjO .0 rrk r, f. !; 3 Bonding Company's Name (if applicable) Bonding Company's Address City State 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 vt OWNER or AGENT The fore; ing instru nt was acknowledged before me this da of 20, by who is personally knownto me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign:_ Print: Seal: (OFF` APPROVED BY STACY OSKOLSKI Notary Public - State of Florida Commission # GG 071356 My Comm. Expires Apr 11, 2021 Onn AeA lhrro nh U4nal Notary Assn. 1.3 Signature CONTRACTOR The (foregoing instrument was acknowledged before me a this 4 y day of 720 y by l7! VO.�NQ A A �IZA &* who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign:_ Print: Seal: Notary pobl'1c . s e of �� 9 Comm an # f % 437 Y##�k#rk �k#rk 7rirk rk###rk rk#ir 7r*•#�k 7�rk �k#�k kirk•##rk##rk rk#######�k rkirk rk rkirR �k ####�F*** 04 Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) c Detail by Entity Name Page 1 of 2 Fiorida Department of State brg ;'`ter' � .... r.�, ,. •!; d ,..'F., ,i, 1 + t. Department of State / Division of Corporations / Search Records / Detail By Document Number / http://search. sunbiz. org/Inquiry/CorporationSearchISearchResultDetail?inquirytype=Entity... 9/ 17/2018 Retail by Entity Name Page 2 of 2 210 71 ST STREET, SUITE 309 MIAMI BEACH, FL 33141 Title Manager Yehezkel, Haim 210 - 71 ST STREET SUITE 309 MIAMI BEACH, FL 33141 Annual Reports Report Year Filed Date 2016 02/10/2016 2017 02/23/2017 2018 04/18/2018 Document Images 041812018 --.ANNUAL REPORTAmendment 02i23/20171- ANNUAL REPOR r ORP12f2R1F -- (..C„Arn�3xfinent 02/10,'201,3 -ANNUAL REPORT 03!0412015 -- ANNUAL REPORT Q3/!.RI QI4...--..ANN_UM,,,f.FP0RT 04/12/2013 -- ANNUAL REPORT 01;3112012 -- ANNUAL. REPORT 01/041201' ANNUAL REPORT 0211612010 -- ANNUAL RE::POR'I Q4/Qs!2000.--.:._AiJNUAf::_REE.Q. T 02106t2008 -- ANNUAL REPORT 01/29r'2007 - ANNUAL. REPORT 03./211200f? -ANNUAL REPORT 02/212005 —ANNUAL REPORT saL,_3FE. RT 041242003 -- ANNUAL REPORT 7/30;2ft12.�ANNUAI, REPORT 12/26f2071 Florida Limited Liabilites View image in PDF format /iew image in PDF format l View image in PDF format View .rage in PDF for View image in PDF 3'3rmat View image in PDF format View image In PDF format View irnage in PDF format View irnage in PDF format I View irnage in PDF format View irnage in PDF format V1evd image in PDF format Vim✓d image in PC.3F #orrnat View image in PDF format r:n:...:. ....�N or ..:.., r,:.. .., , , .�11 http: //search. sunbiz. org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entity... 9/ 17/2018 Your Licensed Electrical Advisor Thursday, October 18, 18 State of Florida Miami Dade County Before me this day personally appeared Angel Alonso, who, being duly sworn, deposes and says: That he will be the only person working on the project located at: 9802 NE 2"d Ave, Miami Shores Village, FL 33138 Contractor Signature Sworn to (or affirmed) and subscribed before me this 18 day of October 2018, by Personally known OR Produced Identification Type of Identification Produced Y YERRYPERAZA �: � �Pob�C • Shte of RorbB Type of Stamp Name of Notary Florida DRIVER LICENSE 4.,L,_A452-28,1-63-208-O'y`.^"rz -�. ,i.ERMO ANGEL A W 1SOTH AVE ,.,,M-!VILEST RANCHES.. FL 33331 ;-16108JI963,5sEx M SAFE DRIVER M48J2M tsw-T F48" .,t ..NONE a. s+v NONE OW1*018 v •:�. ,:, 4 a rftotw M consotums ovs� w 'c .any .regOffed"law. r Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Fforida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Notice to Owner — Workers' Compensation Insurance Exemption Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Scat. § 440.05 allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to obtaining a building permit. Pursuant to the Florida Division of Workers' Compensation Employer Facts Brochure: An employer in the construction industry who employs one or more part-time or full-time employees, including the owner, must obtain workers' compensation coverage. Corporate officers or members of a limited liability company (LLC) in the construction industry may elect to be exempt if 1. The officer owns at least 10 percent of the stock of the corporation, or in the case of an LLC, a statement attesting to the minimum 10 percent ownership; 2. The officer is listed as an officer of the corporation in the records of the Florida Department of State, Division of Corporations; and 3. The corporation is registered and listed as active with the Florida Department of State, Division of Corporations. No more than three corporate officers per corporation or limited liability company members are allowed to be exempt. Construction exemptions are valid for a period of two years or until a voluntary revocation is filed or the exemption is revoked by the Division. Your contractor is requesting a permit under this workers' compensation exemption and has acknowledge that he or she will not use day labor, part -tune employees or subcontractors for your project The contractor has provided an affidavit stating that he or she will be the only person allowed to work on your project. In these circumstances, Miami Shores Village does not require verification of workers' compensation insurance coverage from the contractor's company for day labor, part-time employees or subcontractors. BY SIGNING BELOW YOU ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. Signature: Owner State of Florida County of Miami -Dade The foregoing was ac owledge before me this —1-� day of 20�, By wh s person�Jykow, to a or has produced as identification. Notary: STACYOSKOLSK.I SEAL: ;?o�� g Notarypublk-Stateo(Flooda Commission a Apr 13 6 My Comm. Exp '••.,,,._.r�?:.,'' 9un021 dedMroughNa6oralNotaNAsm. LUCIO CAFE NON -ILLUMINATED ALUMINUM LETTERS WITH 2 LED LAMPS a,•i Facade: 70' W `..,,• i • • } South -East Elevation, • Location. NE;?n1q Av Miami ShgE@j, FL �3138 Sign Die tsfi tios; , • 171 " x 449'= 52 :S4* Tt '"'►— • • • 29" H 171" —17" H wall 44" wall / 1 20.5" H APR OVt�7__.. DAT�� l� .,or, -illuminated Black al `Arwu Y WIRING RS PER U MPEPNEC axe ' esanoeaeorae1c OE IHCM0YPVICE o•[oxI[ctM NEe 40a1 NL Elx. caN,ol4Nrs v�. Eao PeP NEe aro+ MN4PxCP•EP d 1ECIX4ltw BLCIBC SOPPCE .pEq POwERfl,Pal •PRPMW wOMFM NO1F' UNFSSCINEPWEIPEcf® fA3 PEP NEC da6Lt1 NI SIFEI roPF A41M MM _ NIp_ Nl Bdl$10N AM1 oEvxxs sNPu x uNEF4o w ncaP4WWIGN ILL uccnxwL wPuc ND ParPUNlon RVaL COMRv wmI1NE PPOwP014alIa PANEL SCHEDULE LE(#T38108sPv n u MIMI 24D vpC INEIq 4ppry brVrot.ODAENEx wpn1—xa AMPs CiMu sa Pw • Ia x axlacbr, rEe wq.ra NFC PiPP Ee.w ulnae Par caaP .emu ttrp u.e brtfbrb WrYroaea nawab� a Paaar RaPM twe a+b Is•. NPA: • tan ] eaaeveba PK pEa.ae• RC Epa PPaq urwa b/Cgxa /ItCI✓n LLUI,• IMebtafrxbn gpAFRPAMIaPe up b'AI. LLIIIMCIa.M boaaonaasLLlxaw, ML elAarglaar IY a IY ze-, lw4ae . pPNar atpM P b 11a a01PMae b a bPalan alpgae b aaP,a4 CPpM Na dgwu GPxPb wM eawr aeae Ia» b mvu1,I• P IN PR pW 1eEaNWIa ` PM 11D07!01 ,fw 14atl awa Ve a r.lga PMY (II4-aYlaT b nnxip bME. 'A'Calf-Pea &.*NngY(r aye I__v—%v*ba w-CpN41 CaaaCM 4 Nani sPPII nNigY (Nbl! PpM t ngllp 111aa Aaxxrba0aaaeoonl pRcrorcl EwP[N b PNmPrI Prow. Yx1[f IlMnpaa I ]) aae oar S11Y, weal IulaCPaagaarP. PaW1Y 1M VW5II tMtEESM0111EM aaN wtara®Accoaow ro NEc xso non-iltuminated 1/4 thick Green Aluminum letters Stud mounted/silicone filled 2 to 6 studs per letter 40w LED adjustable head lamp with extended rod total 2 Disconnect switch rated 20amp on 2x4 waterproof box with switch cmier 2x4 waterproof box with cover to conned lamps total 2 Goose neck lamps total 2 40w LED Lamps 2 total connected to existing line on 20amp switch AS PER NEC 600-21(E)Ne 2014 ALL ELECTRICAL COMPONENTS WILL BE LISTED AND APPROVED AS PER 2014 NEC 600.3 AND MARRED AS PER NEC 000 4 THE INSTALLATION OF THE WIRING WILL BE DONE AS PER FSC AND DESIGNED TO UL 48. ALL SIGNS ARE TO BE GROUNDED AND BONDED PER 600.7 AND 250.122. PRIMARY ELECTRICAL SOURCE TO BE SUPPLIED BY CUSTOMER TO WITHIN SOX (6) OF SIGN. ALL PRIMARY WILL BE,12 THWN. EXPOSURE •C' ASCE 7.10 2014 FSC BUILT TO WITHSTAND 156 MPH. THIS SIGN WILL BE BUILT AND INSTALLED IN COMPLIANCE WITH NEC ARTICLE 600. UL 48 AND FBC. N07E TIME CLOCK OR PH474 GELL(♦E4D, I i l ' Y18'zt-1/1'topmn wawa 2 per box 1 L EXGfING EIECiRKAI 1 P) � • �.eox tar oMEPSI awwcN cwclNlry7 EOP sr,N aEouwEMENrs ExsnNG wul SECTION THRU LETTER @ WALL -- CLIENT: DRAWING: MANUFACT: ENGINEER: V1