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SGN-18-1157Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795-2204 Permit NO. S N-5-' 8-1 `157 Permit Type: Sign er io Work Classirrcatrron: New Permit Status: APPROVED Issue Data: 5/1612018 1 Expiration: 11/12/2018 Project Address Parcel Number Applicant 9050 BISCAYNE Boulevard 1132060100010 pUBLIX SUPERMARKETS, INC Miami Shores, FL 33138- Block: Lot: Owner Information Address Phone Cell PUBLIX SUPERMARKETS, INC P O BOX 407 (863)688-747_ LAKELAND FL 33802-0407 Contractor(s) Phone Cell Phone ART SIGN CO INC (954)644-2011 Type of Sign: Wall Sign Electrical Sign: Yes Height: Width: Color: Elevation: Plans Submitted: Additional Info: Classification: Commercial Scanning: 4 Fees Due Amount CCF 1.20 DBPR Fee 2.00 DCA Fee 2.00 Education Surcharge 0.40 P&Z Review Fee 50.00 Permit Fee 100.00 Plan Review Fee (Engineer) 45.00 Scanning Fee 12.00 Technology Fee 1.60 Total: 214.20 Valuation: $ 1,850.00 Total Sq Feet: 9 Pay Date Pay Type Amt Paid Amt Due Invoice # SGN-5-18-67372 05/01/2018 Credit Card $ 50.00 $ 164.20 05/16/2018 Credit Card $ 164.20 $ 0.00 Avauame ins Inspection Type: Final 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, WINI'OWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFID VIT: I certify that all the foregoin i mation is accurate and that all work will be done in compliance with all applicable laws regulating construction and oning. Futhorize th e- amed contractor to do the work stated. May 16, 2018 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy May 16, 2018 1