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SGN-19-2665Miami Shores Village ENTEPED Building Department NOV 07 2019 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 201-q' (oti BUILDING Master Permit No. 0,!m-i�-Iq-2_(005 PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 6 50 N,�_g O ! < City: Miami Shores County: Miami Dade Zip: 33 1 3 d Folio/Parcel#: 10)2 060 110 l (O Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): n,< )4A-0t 67 s-ic�- b Phone#: Address: 13g5 6/U&416� Ah,- 300 City: State: Tenant/Lessee Name: it ZL£ruA-J L(,G % 'PA�q �011 �{ r Z?,A Phone#: Email: CONTRACTOR: Company Name:. Address: 1,016�> City ate: Qualifier Name: l�n( i,1 l W ( ✓y ) l,, +v �Oy\x O Phone State Certification or Registration #: �� �JIJ Certificate of Competency #: DESIGNER: Architect/Engineer: Address: City: State: Zip: Value of Work for this Permit: Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: CX! 97Y,#1!j_ 0�0 —�+ `� I T�rishC ��o""CE'1',tvC- C>F TNT 171�4 u1_ vF rc,+c..tt- Specify color of color thru tile: Submittal Fee $ 5 oPermit Fee $ CCF $ CO/CC $ ' Scanning Fee $ Technology Fee $ Radon Fee $ Training/Education Fee $ DBPR $ Notary $ Double Fee $ _ CG )) Structural Reviews $ (Revised02/24/2014) Bond $ TOTAL FEE NOW DUE $ 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 Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The for gog instrument was acknowledged before a this C7� day of y�/P.r+► -� , 20 /9 by day of �� 12--ar by � ✓ �'�Nvk�4; CA who is personally known to G��,i �bmy-p �, nib who i ersonally known to me or who has produced as me or who has produced f identification and who did take an oath. identification and who did take an oath. NOTARY P C: NOTARY PUBLIC: Sign: c� f C( Sign: Print: L- Olsyk 2- 21ca c7 Print: fit' 0l Seal: Seal: MLDA PERDOMO �,arc� •..• ROSA ISABEL RICARDO MY COMMISSION # GGl 15414 •-` Notary Public - State of Florida EXpIRES: June 17, 2021 •j,Commission: GG 185189 MAM My Comm. Expires Feb 13, 2022 *************** *****$4ride; ovaiu9kkat' L APPROVED BY Plans Examiner Zoning Structural Review (Revised02/24/2014) Clerk BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT 115 S. Andrews Ave., Rm. A-100, Ft. Lauderdale, FL 33301-1895 — 954-831-4000 VALID OCTOBER 1, 2019 THROUGH SEPTEMBER 30, 2020 DBA: Business Name: YSL GRAPHICS LLC -265449 Receipt #: ELECTRICAL/ALARMS/CONTRACTOR Business Type: (SIGNS) Owner Name: GUILLERMO A ALONSO (QUALIFIER) Business Opened:10/31/2014 Business Location: 10163 NW 46 ST State/County/Cert/Reg:EC13005138 SUNRISE Exemption Code: Business Phone: Rooms Seats Number of Machines: Employees 1 For Vending Business Only Machines Vending Tvae: Professionals Tax Amount Transfer Fee NSF Fee Penalty Prior Years Collection Cost Total Paid 27.00 0.00 0.00 0.00 0.00 1 0.00 27.00 THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS THIS BECOMES A TAX RECEIPT This tax is levied for the privilege of doing business within Broward County and is non -regulatory in nature. You must meet all County and/or Municipality planning WHEN VALIDATED and zoning requirements. This Business Tax Receipt must be transferred when the business is sold, business name has changed or you have moved the business location. This receipt does not indicate that the business is legal or that it is in compliance with State or local laws and regulations. Mailing Address: YSL GRAPHICS LLC Receipt #WWW-18-00196128 10163 NW 46 ST Paid 09/30/2019 27.00 SUNRISE, FL 33351 2019 - 2020 BROWARD COUNTY LOCAL BUSINESS TAX RECEIPT 115 S. Andrews Ave., Rm. A-100, Ft. Lauderdale, FL 33301-1895 — 954-831-4000 VALID OCTOBER 1, 2019 THROUGH SEPTEMBER 30, 2020 DBA: YSL GRAPHICS LLC Business Name: Receipt #: 181-265449 Business Type: ELECTRI CAL/ALARMS/ CONTRACTOR (SIGNS) Owner Name: GUILLERMO A ALONSO (QUALIFIER) Business Opened: 10/31/2014 Business Location: 10163 NW 46 ST State/County/Cert/Reg:EC13005138 SUNRISE Exemption Code: Business Phone: Rooms Seats Number of Machines: Employees 1 For Vending Business Only Machines Vendina Tvne: Professionals Tax Amount I Transfer Fee NSF Fee Penalty Prior Years Collection Cost I Total Paid 27.001 0.001 0.001 0.001 0.00 0.001 27.00 Receipt #WWW-18-00196128 Paid 09/30/2019 27.00 RICK SCOTT, GOVERNOR JONATHAN ZACHEM, SECRETARY MOMh STATE OF FLORIDA DEPARTMENT OF BUSINESNRROFESSIONAL REGULATION ELECTRICA �1 NG BOARD THE ELECTRIC TO 1;4! ER1IN 15 CE M 1 UNDER THE PROVIUTES 'oBs'4_ e s+teati n EXPIRATIOMU tiJS`'I" 31, 2020 Always verify licenses online at MyFloridaLicense.com %to. Do not alter this document in any form. This is your license. It is unlawful for anyone other than the licensee to use this document. WK JIMMY PATRONIS CHIEF FINANICAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OFF WORKERS' COMPENSATION CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 5/2/2018 PERSON: JOSE Y RAMIREZ FEIN: 452827564 BUSINESS NAME AND ADDRESS: YSL GRAPHICS LLC 10163 NW 46 ST FORT LAUDERDALE, FL 33351 SCOPE OF BUSINESS OR TRADE: Licensed Electrical Contractor Sign installation, Maintenance, Repair, Hemoval, or Rep!acement NOG -Away From Shop Drivers EXPIRATION DATE: 5/1/2020 EMAIL. YSLGRAPHICS@YAHOO,COM IMPORTANT, Pursuant to Chapter 440.0504), F.S., an officer of a Corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter. Pursuant to Chapter 44US(l 2), F.S,, Certificates of election to be exempt.., apply only within trie scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.05(13), F.S,, Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requi&ments of this section for issuance of a certificate, The department shall revoke a certificate at any time for failure of the person named on the certific4ts to meet the requirements of this section. DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS? (850)413-1609 A 110� CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CE CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFF( BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING I REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder 13 an ADDITIONAL INSURED, the pol)cy(Ees) must be endorsed. If SUBROGATION terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate do certificate holder In lieu of such endorsenwnt(s). PRODUCER Miateah Inc. C TA TM.MUnjZ -7 No 1550 W. 94 St. #42 Hialeah, Fla. 33014 -MAIL INSURER A. Grangda Insurance CO, INSURED YSL Graphics LLC __ INSURER 13, . . ......... INSURER C' 10163 N.W. 46 St. INSURER D: Sunrise, Fla. 33351 INSURER I -: INSURER F: COVERAGES CERTIFICATE NUMBER- acrtn4e If%U aural THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW NAVE BEEN ISSUED TO THE INSURED NAMED ASO16 INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITI CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SU EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE IN= NUMBER POUC­YEFF AM1001YYYY1 A GENERAL LIABILITY COMMERCIAL GENERAL UABIIJTY I%., I CLAJMS­MAOE Lf�j OCCUR —POLICY F_ 0185FL118333 12103/2018 12103/2019 EACH OCCURRENC PREUtSg§ MEDEXP(AnyOne pERsot4AL & ADv 11 2UE1 ERAL AGGREG t — PRODUCTS - cow. GEN*L AGGREGATE OMIT APPLIES PER, X7 POLICYPRO- LOC F JECT F AUTOMOBILE LIABILITY ANYAUTO ALL OYMED F] Asculygxw AUTOS NON4DWNED HIRED AUTOS AUTOS Es INED. 8WILYINJURY(Pw BODILY INJURY (Pes PROPERTY 0 wd LPW&arrf UMBRELLA UAB OCCUR F EXCESS LIAR F1 CLAJMS-MADE F-771 EACH OCCURRENCI D RETENTIONS WORKERS COMPENSATION AND EMPLOYERS! LIABILITY YIN ANY PROPMETORMARTNERO(ECUTIVE OFMCEIMENSEREXCLUIX07 F-1 NIA (MwwWM In NH) VVC STATUm JvftyLwIS.� gI, EACItACCIDFN E.L.DISEASE -EAE) E.L. DISEASE -POLK 717 DESCRIPTION OF OPERATIONS /LOCATIONS IVENICLES (Attach ACORD 101, Additional Remarks Sch*dufe, IF mars apace Is required) Sign Erection! Installation/ Repair Miami Shores Village 10050 Northeast 2nd avenue Miami Shores,FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIi THE EXPIRATION DATE THEREOF, NOTICE ACCORROW" TH THE POLICY PROVISIONS. ACORD 25 (2010105) The ACORD narne and logo arc registered marks 4 ACORD 2019 FLORIDA LIMITED LIABILITY COMPANY ANNUAL REPORT DOCUMENT# L14000009758 Entity Name: 88 BISCAYNE MANAGEMENT, LLC Current Principal Place of Business: 1395 BRICKELL AVE. SUITE 650 MIAMI, FL 33131 Current Mailing Address: CIO MANAGEMENT LLC 1395 BRICKELL AVE SUITE 650 MIAMI, FL 33131 US FEI Number: 46-4571559 Name and Address of Current Registered Agent: CIO MANAGEMENT LLC 1395 BRICKELL AVE. SUITE 650 MIAMI, FL 33131 US FILED Feb 05, 2019 Secretary of State 9254714611 CC 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: MARILI CANCIO 02/05/2019 Electronic Signature of Registered Agent Date Authorized Person(s) Detail : Title -,- Name L PARADELO, GERMANE% Address 1920 E HALLANDALE BEACH BLVD STE 801 City -State -Zip: HALLANDALE BEACH FL 33009 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 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: GERMAN PARADELO MANAGER 02/05/2019 Electronic Signature of Signing Authorized Person(s) Detail Date Property Search Application - Miami -Dade County Page 1 of 1 OFFICE OF THE PROPERTY APPRAISER Summary Report Property Information Folio: 11-3206-011-0190 Property Address: 650 NE 88 TER Miami Shores, FL 33138-3363 Owner 88 BISCAYNE MANAGEMENT LLC C/O CJ LAW Mailing Address 1395 BRICKELL AVE 800 MIAMI, FL 33131 USA PA Primary Zone 6200 COMMERCIAL - ARTERIAL Primary Land Use 1111 STORE: RETAIL OUTLET Beds / Baths / Half 10 / 10 / 0 Floors 1 Living Units 0 Actual Area Sq.Ft Living Area Sq.Ft Adjusted Area 9,537 Sq.Ft Lot Size 25,621 Sq.Ft Year Built 1954 Assessment Information Year 2019 2018 2017 Land Value $1,409,155 $1,409,155 $1,409,155 Building Value $406,556 $406,556 $290,845 XF Value $44,996 $45,459 $0 Market Value $1,860,707 $1,861,170 $1,700,000 Assessed Value $1,860,707 $1,861,170 $1,700,000 Benefits Information Benefit Type 1 2019 20, 2017 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description ASBURY PARK PB 4-110 LOT 19 LESS FED HWY LOT SIZE 25621 SQUARE FEET OR 22120-0744-47-50 0304 6(6) Generated On : 11/4/2019 Taxable Value Information 2019 2018 2017 County Exemption Value $0 $0 $0 Taxable Value $1,860,707 $1,861,170 $1,700,000 School Board Exemption Value $0 $0 $0 Taxable Value $1,860,707 $1,861,170 $1,700,000 city Exemption Value $0 $0 $0 Taxable Value $1,860,707 $1,861,170 $1,700,000 Regional Exemption Value $0 $0 $0 Taxable Value $1,860,707 $1,861,170 $1,700,000 Sales Information Previous Price OR Book - Qualification Description Sale Page 29604- Corrective, tax or QCD; min 04/20/2015 $100 2999 consideration 01/15/2014 $8,700,000 29004- Qual on DOS, multi -parcel sale 0428 22120- Sales which are disqualified as a result 03/01/2004 $0 0750 of examination of the deed 18799 09/01/1999 $125,000 Other disqualified 0828 The Office of the Property Appraiser is continually editing and updating the tax roll. This website may not reflect the most current information on record. The Property Appraiser and Miami -Dade County assumes no liability, see full disclaimer and User Agreement at http:ltwww.miamidade.gov/info/disclaimer.asp Version https://www8.miamidade.gov/Apps/PA/propertysearch/ 11 /4/2019 Miami Shores Village Permitl'ype; S 10050 NE 2 Ave Miami Shores FL 33138 work classification. Red 305-795-2204 Permit Status: Approv Issue Date:11/15/2019 Expiration: 05/13/2020 Location Address Parcel Number 650 NE 88TH TER, Miami Shores, FL 33138 1132060110190 Contacts Y...,,..,_.._ ........ _ ................... F....... "_ .�.. w..... ........ �...... Inspection Requests. Description. existing sign Valuation: $ 700.00 11111 305 762 4949 plastic replacement of the front of each letter 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 Planning and Zoning Review Fee $35.00 Scanning Fee $9.00 Technology Fee $2.50 Total: $151.30 Payments Date Paid Amt Paid Total Fees $151.30 Credit Card 11/07/2019 $50.00 Credit Card 11/15/2019 $101.30 Amount Due: $0.00 Building Department Copy 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 r ed for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OW RS AFFID ' IT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulati consyV tion and zoning. Futhermore, I authorize the above named contractor to do the work stated. Authotn2"fure: Owner / Applicant / Contractor / Agent Date November 15, 2019 Page 2 of 2 Existinc -_ m �� fm• • .11coul'''1111 PERMIT DRAWING 18'-0° Specs: Return = RED Face Color = RED 00 Trim color = RED PAPA JOHN S PI 0 r7t[:�i ELECTRICAL REVIEW �'CvIO j j APPROV77A9 DATE - — ZZ. o0 .AI.::I.. .. ••..*, 04 0 0 00000 a�-tn-Il IG(05. .. :....� DATE Date: 11.05.19 Site Address: Contractor: PAPA JOHNS PIZZA YSL Signs LLC 8849 Biscayne Blvd. 10163 NW 46 ST Miami Shores FL 33138 Sunrise FL. 33351 Existina Sian. ReWacij lastic of the front of each lettek PERMIT DRAWING 18'-0"- 00111111111- CHANNEL LETTERS •••••• Specs: Return = RED (.0 �••�•� . . Face Color = RED r- � ..:�. PIZZA:::.,. Trim color = RED 'PAPA JOHN S . . . . ...... -44 216" Site Address: PAPA JOHNS PIZZA 8849 Biscayne Blvd. Miami Shores FL 33138 Date: 11.05.19 Contractor: YSL Signs LLC 10163 NW 46 ST Sunrise FL.33351 Existing Sign A East Elevation