ELC-19-1325Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
Issue Date: 06/18/2019
Parcel Number
9830 NE 2ND AVE, Miami Shores, FL 33138 1132060132240
Contacts
Permit NO.: ELC-06-19-1325
Permit Type: Electrical - Commercial
Work Classification: Sign
Permit Status: Approved
Expiration: 12/16/2019
MIAMI SHORES CENTER LLC Owner
98302
CORPORATE SIGNS INC Contractor
EFRAIN RODRIGUEZ
5960 NW 99 AVE BAYS, MIAMI, FL 3378
Other: 3058008313 corporatesigns.alice@gmail.com
Description: INSTALL CHANNEL LETTERS "CARROT EXPRESS" Valuation: $ 400.00 Inspection Requests:
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 # 1007
06/18/2019 $116.30
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 �l certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws
regull �uiau�nd-zoning. Futhermore, I authorize the above named contractor to do the work stated.
Signature:
/ Applicant / Contractor / Agent
Date
June 18, 2019 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: (305) 762-4949
BUILDING
PERMIT APPLICATION
❑BUILDING j-ELECTRIC ❑ ROOFING
RF�Fi
(o4 L,
CC
F((BC 201)
Master Permit No. 36O - oko-yq -)? 2y
Sub Permit No. EL C` ��"1-I " l s s
❑ REVISION ❑ EXTENSION [-]RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOBADDRESS:
City: Miami Shores/ County: Miami Dade Zip:'��
Folio/Parcel#: I1 3;L06-0! 3 qp Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: EIFE: FIFE:
OWNER: Name (Fee Simple Titleholder): :�f`K �!�/ C�— Phone#:1V5' Y(O�
Address: ') �ii 7 ST
City: M,(~t State: �� Zip:
Tenant/Lessee Name:
L I 2 .iL� ..411111 —wli/
CONTRACTOR: Company Name:
Address: 59(�/
City:
Qualifier Name:
_Zip: 731 7 O
ne#: k7C"'?
State Certification or Registration #: G7� L .. Certificate of Competency #: /y/
DESIGNER: Architect/Engineer: 5.�Y/!/y r% /i�%� Phone#: 41
Address: 7,�i Nei/ `79 JCity: %n�� State: Cip:
Value of Work for this Permit: $YM-00 Square/Linear Footage of Work: ��J •
Type of Work: ❑ Addition ❑ Alter tion g_New ❑ Repair/Replace ❑ Demolition
Description of Work:
Specify color o r thr tile:.
Submittal Fee $ 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 $
(Revised02/24/2014)
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
Zi
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. I,
"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 low 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.post6d 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 G Signature�C��'� !6
OWNER or AGENT 1KI, ` CONTRACT '
The foregoing instrument was acknowledged before me this
day of 20 by
ho is ersonally known to
me or who ha' produced as
identifiicatio6 and who did take an oath.
NOTARY PUBLIC: ~
G
Sign:
Print: ItdCl
Seal:
APPROVED BY
Thojqginstrurnen4wase fiacknowledged before me this
o ' personally known ow
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:_
Print:
GRIT MIMOUN Seal:
MY COMMISSION # GO 162406
EXPIRES: December 10021
ZUMGA
MYCOMMSSION#FFMU
EXPIRES: June 20, 2019
Bonded Thru Notary Pubko UrdenwUera
Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)