ELC-19-401Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
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Issue Date: 03/18/2019
Location Address Parcel Number
8700 BISCAYNE BLVD, Miami Shores, FL 33138 1132060201030
Contacts
Permit NO.: ELC-02-19-401
Permit Type: Electrical - Commercial
Work Classification: Sign
Permit Status: Approved
Expiration: 09/ 16/ 2 019
Miami Shr Sery Station LLC Owner SIGNALITE INC Contractor
9701 Biscayne BLVD, Miami Shores, FL 33138 OMAR GALAN
7230 NW 46 ST, MIAM1, FL 33166
Business: 3054702333 info@signaliteinc.com
Description: ELECTRICAL FOR SIGN Valuation: $ 500.00 Inspection Requests:
305-62-4949
Total Sq Feet: 0.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$0.60
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.20
Permit Fee
$50.00
Scanning Fee
$9.00
Technology Fee
$2.50
Total:
$116.30
Building Department Copy
Payments
Date Paid Amt Paid
Total Fees
$116.30
Check # 1976
03/18/2019 $66.30
Check# 1824
02/20/2019 $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.
0WNE S AFFIDAVIT I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
reg at' g constructio nd zoi Futhermore, I authorize the above named contractor to do the work stated.
Owner / Applicant / Contractor / Agent
March 18, 2019
Date
Page 2 of 2
Miami Shores Village
Building Department EB 2 p 019
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972 BY:
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBC 2017 �tti
BUILDING Master Permit NOSl7 _2-1 I Q (.-
PERMIT APPLICATION Sub Permit No. Fk 7; 0- of
❑BUILDING P'rLECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF [:]CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS: Yv'y 'R--nCQ_. 0.e OB4u
City: Miami Shores County: Miami Dade Zip: 33) 3 if
Folio/Parcel#: 11 • 3 z oG ^ 020 — 1030 Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): ti i n k—� 5"o `-�L, ca. S nhone#: 303-0841 �tf e7i
Address:
City: . ' &
Tenant/Lessee Name:
Email
State: Y1 - Zip:
Phone#: 3 5 1-1 4
CONTRACTOR: Company Name: n C- Phone#: 30S -
Address:Z-3 O N 5
City: State: i�L Zip: 153
Qualifier Name: C�N' A 2 0 L o. &j Phone#:
State Certification or Registration #: E3' G /3 < 0 'ho 3 ( Certificate of Competency #:
DESIGNER: Architect/Engineer:
Ad
hone#:
City: State: Zip:
Value of Work for this Permit: $ �`55aOC
t Square/Linear Footage of Work: Z C
Type of Work: ❑ Addition I � Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work: 6 40 G - Zoit �5; ?- IJ
Specify color of color thru tile:
Submittal Fee $ Sb Permit Fee $
Scanning Fee $
Technology Fee
Structural Reviews $
Radon Fee $
Training/Education Fee $
CCF $ CO/CC $
DBPR $
Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $ (0%. 50
(Revised 02/24/2014)
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
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
U-�
OWNER or AGENT
The foregoing ins`Ament was acknowledged before me this
-14" day of Nov , 20 O by
7gnn d o m • UYhi -e ho is ersonally know o
me or who has produced as
Signature A � r
CONTRACTOR
The foregoing instrument was acknowledged before cme this
f 02 /
day of h�1 em�Cr 20 j b by
rWCUZ- 6 6LL45 l , who is personally known to
me or who has produced
as
identification and who did take an oath. identification and who did take an �� M�,;�,�,,,I
Maw
NOTARY PUBLIC: NOTARY PUBLIC: s �1IA�1I��RR1I
! 0 GG 216504
E� EXPIRES: Jlxle 24, 2022
E� W i1N�U AAROt! NIM
Sign: Sign:
Print: 1 Print:
Seal: Seal:
�a►�� Notary Pubk State of FWida
Eatefania Ramirez
MY Commission GG 199994
********* **M.'is*DililiQaR***************************************************************************
APPROVED BY
Plans Examiner
Zoning
(Revised02/24/2014)
Structural Review
Clerk