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ACT-10-23-2523Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address Parcel Number 9899 NE 2ND AVE, Miami Shores, FL 33138 1132060134360 Contacts SOUTHTRUST BANK NAIL ASSOC Owner Stephanie Kelleher Applicant P.O. BOX 2554, BIRMINGHAM, AL 35290 Mobile: 9547866142 kristen.mahoney@wellsfargo.com FLORIDA CERTIFIED SIGN ERECTORS LLC Contractor DAVID HUGHES 2824 HORACE SHEPARD DR, DOTHAN , AL 36303 Business: 8636038497 forpermits@aol.com Mobile: 8638995751 Description: E07 TO REPLACE SGN-09-23-2246 - INSTALL 1 - Valuation: $ 100.00 Inspection Requests: ILLUMINATED AWNING AND CONNECT TO EXISTING ELECTRIC 305 7£2 4949 Total Sq Feet: 29.00 , Fees Amount Application Fee - Other $50.00 CCF $0.60 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.30 Permit Fee $50.00 Planning and Zoning Review Fee $70.00 Scanning Fee $15.00 Structural Review ($60) $60.00 Technology Fee $10.00 Total: $259.90 Building Department Copy Payments Date Paid Amt Paid Total Fees $259.90 Check # 13241 03/13/2024 $259.90 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. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulattOg construction and zoning. Futhermore, I authorize the above named contractor to do the work stated. Authorized re: Owner ! Applicant / Contractor / Agent Date March 13, 2024 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: (30S) 762-4949 S[P 12 7023 By 17 FBC 200-c' BUILDING Master Permit No. SM- D -� 3' PERMIT APPLICATION Sub Permit No. dBUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: "I b"tq 1v (god pvc City: Miami Shores County_ Miami Dade Zip: (� Folio/Parcel#: I - loCLoQ-'�Do Is the Building Historically Designated: Yes NO Occupancy Type: _ Load: __ Construction Type: Flood Zone: BFE: _ FFE: OWNER: Name (Fee Simple Titleholder)a N1(1�(&21 jlt��Phone#: Address: `/tiMi;@ City: C a&Shoj -State:- — Zip: Tenant/Lessee Name: [1�S __,_Phone#:qe4-"U-(-Q) q,-'-_ Email: CONTRACTOR: Company Name: �TY Address: 4 ,�f arc Qualifier Name: Alf v I_ 3 =5700 ON • k. State Certification or Registration #: `"UGC 529996 Certificate of Competency #: DESIGNER: Architect/Engineer: ��1��h Phone#: g,f?s(013 Address�l, clS tk 2i_01'3 _City: ' 16-b 'Oril _Statte:_�hL_Zip: Value of Work for this Permit: $ `i� pC`1J Square/Linear Footage of Work: IT, Type of Work: ❑ Addition ❑ Alteration EE New ❑ Repair/Replace ❑ Demolition Description of Work: in,�I�1 I 'Wu an a QiiAng (Ind OcWI )al ln� C1 tAV)0C71CCytC Specify color of color thru the: Submittal Fee $ Scanning Fee $ Technology Fee $_ Structural Reviews $ (Revised04/05/2022) Permit Fee $ CCF $ CO/CC $ _ DCA Fee $ _ _ DBPR $ Notary $ Training/Education Fee $ Double Fee $ P&Z Review $ Bond $ qseiO 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 reinsvection fee will be charged. C Signatur OWNER or AGE The foregoing instrume t was ackno rledged before me this day of 20, by who Is personal) known to r me or who has odu as identification and who did take an oath. NOTARY RUBLIC: "1 Signature CONTRACTOR The fore oing instrument was acknowledged before me this e� r day of +�. Y.s� _ 20by �c',..a% �r� �}`�sc�,� � ,who is personally known to R me -or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Sign: �'• 11 c Print: 'h'tG` Prin UANUACEROJA Seal: ��"� ,,,, JENNIFER F AY Seal: _� i ,Notary Public -State of Ronda i Commission Number841977 _ = Commission a HH 127635 My Commission Expires My Commission Expires • owo . August 3 , 2025 June 18, 2025 ########## # # ## ############################### # ############### (l �n APPROVED BY ' ` Plans Examiner Zoning w l Z�-t 123 Structural Review Clerk (Revised04/05/2022) INCUMBENCY CERTIFICATE WELLS FAItGO BANK, NATIONAL ASSOCIATION I, Clara S. Blanding, hereby certify that I am an Assistant Secretary of Wells Fargo Bank, National Association, a national banking association organized and existing; under the laws of the United States of America (the "Bank"), and I hereby further certify as follows: 1. The following is a true and correct extract from resolutions duly adopted by the Board of Directors of the ]Bank on March 31, 2023, and no modification, amendment:, rescission or revocation of suich resolutions has occurred affecting such extract as of the date of this certificate: RESOLVED, that agreements, instruments, or other documents, including amendments and modifications thereto, relating; to or affecting the property or business and affairs of the Bank, whether acting for its own account or in a fiduciary or other representative capacity, may be executed in its name by the persons hereinafter authorized; RESOLVED, that for the purposes of these resolutions, "Senior Executive Officer"' shall mean any person appointed, designated or otherwise elected President, Chief Executive Officer, Senior Executive Vice President, Executive Vice President or designated an Executive Officer by resolution of the Board of Directors of the Bank, anti "Signing Officer" shall mean any Senior Executive Officer, any Senior Vice President, the Treasurer, any Vice President, any Assistant Vice President, any person whose title includes the word "Officer" (e.g., Commercial Banking Officer, Personal Banking Officer, Trust Officer), or any other person whose title! has been or is hereafter designated by the Board of Directors as a title for an officer of the Bank, and such officers are hereby authorized to sign agreements, instruments and other documents on behalf of the Bank in accordance with the signing authorities conferred in Parts A, B and C of these resolutions; C. Signing Officers RESOLVED, that any Signing Officer, acting alone, may execute on behalf of the Bank., whether acting for its own account or in a fiduciary or other representative capacity: [Governmental Reporting; Legal Proceedings] 16. Tax returns and all reports, applications and other filings made with any federal, state, local or foreign governmental department, agency, body or official. 2. On the date hereof, the following person was a duly appointed, qualified and acting; officer of the Bank, that her correct title appears beside her name, and that on said date she was duly authorized to act on behalf of the Bank as set forth in the foregoin€; resolutions: Name Title Kristen K. Mahoney Assistant Vice President IN WITNESS WHEREOF, I have hereunto signed my name and affixed the seal of the Bank this 2,!nd day of June, 2023, [Seal] _ Clara S. Blanding, Assistant Secrdiary Wells Fargo Bank, National Association * * * Redacted [Indicates portions of the resolution which have been omitted because they are not relevant to the transaction for which this certificate has been requested.] #25131643 2 YOFFICE OF THE PROPERTY i Summary Report Folio 11-3206-013-4360 9899 NE 2 AVE Property Address MIAMI SHORES, FL 33138-2350 Owner SOUTHTRUST BANK NAT'L ASSOC PO BOX 2609 Mailing Address CARLSBAD, CA 92018 Primary Zone 6400 COMMERCIAL - CENTRAL 2313 FINANCIAL INSTITUTION: OFFICE Primary Land Use BUILDING Beds / Baths /Half 0 / 0 / 0 Floors 1 Living Units 0 Actual Area 3,430 Sq.Ft Living Area 3,430 Sq.Ft Land Value $432,250 $321,100 $321,100 Building Value $787,750 $778,900 $623,900 Extra Feature Value $0 !� $0 $0 Market Value $1,220,000 $1,100,000 $945,000' Assessed Value $1,034.326 $940,297 $854,816 Benefit Type 2023 2022 2021 Non -Homestead Assessment $185,674 $159,703 $90,184 Cap Reduction Note Not ail beneflia are appilcable to all Taxable Values (i.e. County, MIAMI SHORES SEC 1 AMD PB 10-70 LOTS 10 & 11 BLK 32 LOT SIZE 12350 SQ FT OR 18197-2693 0798 6 Generated On: 09/12/2023 Taxable Value $1.034,326 $940,297 $854,816 sc�,aafzl� Exemption Value $0 $0 $0 Taxable Value $1,220,000 $1,100,000 $945,000 GlTy Exemption Value $0 $0 $0 Taxable Value $1,034,326 $940,297 $854,816 RKPICIkiALI Exemption Value $..0 $0 $0 Taxable Value _......_ _........ $1 034,326 ...... ....... ............ $940,297 $854,816 ....... t= 11.110i: OR Book- Qualification Previous Sale Price Page Description 07/01/1998 $640,200 18197-2693 Other disqualified 11/01/1984 $170,000 12396-0080 Sales which are qualified 0810111973 $85,000 00000-00000 Sales which are qualified The Office of the Property Appraiser is continually editing and updating the tax roll. 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Um.0 •M O1� m-m0n LL 'm c3 ;}L o a' 'L aLy c W �� v a c+o`� v"' oc� � > � v �u �'Nu a000 2 y E E y 1 c c�a Ec� ya•c sic x�utN c`vw'ac`oFnm w c,o Q .+o.+ q S._ + oc �u _w ,; o o inu a oa _ 1'0 e_ vo a e. c waz �i a n w wry v U 0.v i° 0 � n b°OQ � c.a Lm m C`0.O co r'D<u 0 20 � vO 73 A U ff ¢ ¢ b°O¢$ anus0000o■ ❑ 0 0 kiI N i � Fn IA M Li I6 EnCon Services, Inc. Sign Design Calculations Job Description PREPARED BY: EnCon Services, Inc. WELLS FARGO 143580 PO Box 3613 9899 NE 2ND AVE Apollo Beach, FL 33572 MIAMI SHORES FL 813-655-3373 WFR2-BR-R-AW 118IN Design per Florida Building Code, 7th Edition (2020), Section 16 Wind Load, Aaron Biedenbach, P.E. ASCE 7-16 FL PE #52949, FL EB 9394 Design Specifications O�Q• �It_..\ Risk Category II Kzt 1 �' LICENSE Exposure Factor C Kd 0.85 #52949 Kz 0.9 VOLT 175 (mph) GCpn Ultimate Wind Pressure 0.9 H < 60 Feet 54.0 (psf) STATE OF �� ��. FCIpR►DP Ground Snow Load, Pg 0.0 (psf) Flat Roof Snow Load, Pf 0.0 (psf) Drift Snow Load, Pd 0.0 (psf) DATE SIGNED: Estimated Weight, D 10.0 (psf) 8/7/2023 ASD Desian Pressure 34.3 (DSfl Canopy Information Height 1.74 (ft) Width 9.83 (ft) Projection 3.30 (ft) Building Height <20 (ft) Estimated Weight of Canopy Vertical Force = 324 (lb) 1112 (lb) ppRc,/rQ � ,l,` ✓`� Required Provided Fastener size (Nominal) 1/2 1/2 Minimum number of fasteners 10 10 Shear Force per fastener (lb) 111 1125 Tension Force per fastener (lb) 442 565 Combination Tension and 0.88 <1 O.K. Shear ratio FOR APPROPRIATE ANCHOR SELECTION. SIZE AND NUMBER REQUIRED ARE NOTED IN THE CHART ABOVE. WALL STRUCTURE ANCHOR TYPE WOOD BLOCKING LAG BOLT (41/2" EMBEDMENT) THROUGH BLOCKING HOLLOW CONCRETE BLOCK SLEEVE ANCHOR (1-1/2" EMBEDMENT) SOLID CONCRETE WEDGE ANCHOR (2-1/2" EMBEDMENT) ALL ANCHORS SHALL BE CHOSEN AND PLACED IN ACCORDANCE WITH MANUFACTURERS INSTALLATION INSTRUCTIONS S&P 12 WELLS FARGO 143580 9899 NE 2Nb AVE MIAMI SHORES FL WFR2-BR-R-AW 118IN AWNING calc ELECTRICAL REQUIREMENTS: 1. SIGN TO BE CONSTRUCTED AND INSTALLED TO 2017 NEC 600 STANDARD 2. LISTING AND MARKING FOR SIGN SHALL BE IN ACCORDANCE WITH 600.3 AND 600.4 OF THE NEC. 3. A DEDICATED 20A CIRCUIT ON 20A OCPD REQUIRED AT FRONT OF THE OCCUPANCY FOR THE SIGN. NEC 600.5 4. SIGN SHALL HAVE A 20 AMP, 120 VOLT ELECTRICAL DISCONNECTING MEANS FOR THE BRANCH CIRCUIT SUPPLYING THE SIGN PER NEC 600.6(A) 5. THE REQUIRED DISCONNECTING MEANS SHALL BE LOCATED AT THE POINT OF ENTRY OF THE CIRCUIT PROVIDING POWER TO THE SIGN ENCLOSURE. NEC 600.6(A)(1) 6. DISCONNECT SWITCH MUST BE IN A SEPARATE ENCLOSURE PRIOR TO SIGN 7. SIGN CIRCUIT SHALL BE CONTROLLED BYATIMER PER C405.2.5 FBC ENERGY CONSERVATION CODE 8. SIGN SHALL BE GROUNDED AND BONDED PER NEC 600.7. 9. THE INSTALLATION OF THE WIRING SHALL BE PER FBC 5405.4 AND DESIGNED TO UL 48 ANCHOR TO BE THRU BOLTS IF POSSIBLE, ALTERNATE ANCHORS PER WALL TYPE SHOWN BELOW FOR USE IF THRU BOLTING IS NOT POSSIBLE ANCHOR SCHEDULE: 1/2" DIA. ANCHORS QUANTITY: (10) AS SHOWN WALL STRUCTURE ANCHOR TYPE WOOD BLOCKING LAG BOLT (4 1/2' EMBEDMENT) THRU BLOCKING HOLLOW CONCRETE BLOCK SLEEVE ANCHOR (1-1/2" EMBEDMENT) SOLID CONCRETE WEDGE ANCHOR (2-112" EMBEDMENT) ALL ANCHORS SHALL BE CHOSEN AND PLACED IN ACCORDANCE WITH MANUFACTURERS INSTALLATION INSTRUCTIONS 118" 3" - 28" _ - 28" - - - t - - - 28" 1.25•, I A� 10.54" 20.8654" 1 .090" THICK ALUMINUM PANELS PAINTED WELLS FARGO ENVIRONMENTS RED (SMOOTH FINISH) MOUNTED DIRECTLY TO THE ALUMINUM FRAME STRUCTURE. 39. i _28"_�8, t"LVIE APPROVED oA� (10) ANCHOR LOCATIONS GLEN RAVEN FIRESIS'i - - -FL FL FABRIC- - ­FREFBHEI - GUNI - ALUMINUM FRAME WITH NO VISIBLE FASTENERS ON WELDED ALUMINUM STRUCTURE PAINTED AN SIGN923 3 GGEF%-LV SILVER 10.54" ELECTRICAL4 l 090" THICK ALUMINUM PANELS DISCONNECT PAINTED WELLS FARGO ENVIRONMENTS RED (SMOOTH FINISH) MOUNTED DIRECTLY TO THE ALUMINUM FRAME STRUCTURE. SECTION A -A ELECTRICAL - DISCONNECT IrLItC i <l(_'AL Inc APPROVE.;:'��� FLORIDA BUILDING CODE 7TH EDITION (2020) SECTION 16 WIND LOAD ASCE 7-16 175 MPH WIND LOAD RISK CATEGORY II EXPOSURE C NOTE: ALL PAINT COLORS MUST BE APPLIED OVER COLOR COMPATIBLE BASE COAT AS NOTED UNDER COLOR MATERIALS SEE CHART FOR ANCHORS BY WALL TYPE 00 � A � g4 C e SFP I2 20 y ?3 ! NOTE: POWER SUPPLY 3 EA SLOAN 24V 10OW \ © ENCON SERVICES, INC. P.O. BOX 3613 APOLLO BEACH, FL 33572 Q 813-655-3373, FLEB #9394 II)o ENCON@ME.COM POWER REQUIREMENTS 4.2 AMP 120 VOLTS LICENSE #52949 STATE OF 6�ORIDP AARON BIEDENBACH, PE 52949 DATE SIGNED: 8/7/2023 CUSTOMER -SITE ID: PROJECT NUME3ER: DRAWN BY: DATE: REVISIONS: SCALE: FITTS WELLS FARGO _ SLz 07/27/2023 1. XX/XX/XX REV XX NTS CHECKED BY: DATE: 2. XX/XX/XX REV XX THE FITTS COMPANY XXX XX/XX/XXXX 3. XX/XX/XX REV XX SITE ADDRESS: WELLS FARGO 143580 PRODUCT NAME: INCORPORATED 55 SIRENS LN, GASTON, SC 29053 9899 NE 2ND AVE WFR2-BR-R-AW 1181N APPROVED BY: DATE: 4. XX/XX/XX REV XX PAGE: 803-356-5947 MIAMI SHORES FL XXX XX/XX/XXXX 5. XX/XX/XX REV XX 1 OF 1 Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 H ✓ Y t �: i{��i,., i� j 4q1 ?i k� Y a�s£"�h� y .{y�y r/'� -. �j / I✓�V�� �� 2248 3w' i �. lj 3� µ w S �� ermlz 5 tatus'Ap""proved �ssue;Qate 03/13/2€12 Expiration: 09/13/2024 Location Address Parcel Number 9899 NE 2ND AVE, Miami Shores, FL 33138 1132060134360 Contacts SOUTHTRUST BANK NATT ASSOC Owner Stephanie Kelleher Applicant P.O. BOX 2554, BIRMINGHAM, AL 35290 Mobile: 9547866142 kristen.mahoney@wellsfargo.com FLORIDA CERTIFIED SIGN ERECTORS LLC Contractor DAVID HUGHES 2824 HORACE SHEPARD DR, DOTHAN , AL 36303 Business: 8636038497 forpermits@aol.com Mobile: 8638995751 Description: E07 INSTALL 1 ILLUMINATED AWNING AND Valuation: $ 100.00 Inspection Requests: CONNECT TO EXISTING ELECTRIC 305-762-4949 Total Sq Feet: 29.00 �o Fees Amount Application Fee - Other $50.00 CCF $0.60 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.30 Permit Fee $50.00 Scanning Fee $9.00 Technology Fee $10.00 Total: $123.90 Building Department Copy Payments Date Paid Amt Paid Total Fees $123.90 Check # 13241 03/13/2024 $123.90 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. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulajirS,g construction and zoning. Futhermore, I authorize the above named contractor to do the work stated. Authorized Sdature: Owner / Applicant / Contractor / Agent Date March 13, 2024 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 p�tT�TT ' .III SEN 12 2023 FBC 20?0 BUILDING master Permit No,�zl�-,93 X V PERMIT APPLICATION Sub Permit No. LLC- l✓!' 1 2? Y ❑BUILDING ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: `" b"tq N E_ 60 pvc- City: Miami Shores County: Miami Dade Zip: n6OR Folio/Parcel#: I -,&(`Yn -013- 4_,J]Lpb Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): Phone#: Address:"-PCr'�(_ f'i ( 0c�g �� ,,��.,, City: Oaka (('�� d State: A Zip: `' 11-�.�yY Tenant/Lessee Name: Phone#:OL moo- (ni�4a Email: C CONTRACTOR: Company Name: Address: �4 ir�f Ce rc Email: -11C)r Qualifier Name: hone#: State Certification or Registration #: Certificate of Competency #: DESIGNER: Architect/Engineer:Phone#: Address.�?CS (-V- Ql3 City: 1 _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: 0Lnnrc4 tI ff-bic Specify color of color thru tile: Submittal Fee $ Scanning Fee $ Technology Fee $ Structural Reviews $ (Revised04/05/2022) Permit Fee $ CCF $_ DCA Fee $ DBPR $ Training/Education Fee $ CO/CC $ Notary $ Double Fee $ P&Z Review $ Bond $ TOTAL FEE NOW DUE $ I 4z- 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. "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 $1500, 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. c Signature OWNER or AGENT Tffegoing instrume t was acknowledged before me this day of 20 by 16 who Is per nally known to me or who has ro d �O as identification and who did take an oath. NOTARY PUBLIC: Signature CONTRACTOR The foregoing instrument was acknowledged before me this r _ +__hay o((fY' — 20 �Z, by ,z, V10�'who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Sign( Print: (I1AyYP.� k Print Seal: �'P, JENNIFER FRIDAY Seal: =;:Commission Number 841977 My Commission Expires ow' Au ust 30 2025 rrrrrrrr rrrrrrrrrrrrrrrrrrr+ APPROVED BY=�� %y>i' Plans Examiner Structural Review (Revised04/05/2022) CANDACE ROJAS " :Notary Public -State of Florid Commission # HH 127635 `"����AAAAlIWW1IW� My Commission Expires \\ June 18. 2025 rrrrrrrrrr Zoning Clerk