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ACT-10-23-2522Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address 9899 NE 2ND AVE, Miami Shores, FL 33138 Contacts Permit NO.: ACT-10-23-2522'' Permit Type: Awnings/Canopies/Tents ; Work Classification: Addition/Alteration Permit Status: Approved Expiration: 09/13/2024 SOUTHTRUST BANK NAT'L 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 ® Inspection Requests Description: TO REPLACE SGN-09-23-2249 - E08 INSTALL NEW 1 Valuation: $ 51.000.00 ILLUMINATED AWNING AND CONNECT TO EXISTING ELECTRIC WELLS FARGO BANK Total Sq Feet: 29.00 Fees Amount Application Fee - Other $50.00 CCF $3.00 DBPR Fee $2.25 DCA Fee $2.00 Education Surcharge $1.50 Permit Fee $100.00 Planning and Zoning Review Fee $70.00 Scanning Fee $15.00 Structural Review ($60) $60.00 Technology Fee $15.00 Total: $318.75 Building Department Copy Payments Date Paid Amt Paid Total Fees $318.75 Check # 13241 03/13/2024 $318.75 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 regula;i} g 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 sFp .l M3 Building Department �By 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (30S) 762-4949 FBC 20,90 BUILDING master Permit No _AC-r ' C -03 - 4?3,17- PERMIT APPLICATION Sub Permit No. G21BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL [PLUMBING ❑ MECHANICAL ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP (� n CONTRACTOR DRAWINGS JOB ADDRESS: C90d pnr City: Miami Shores County: Miami Dade Zip: S6 (�!R folio/Parcel#: - ,&(YD L[,-jLDp Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): j, k N( ��(��JDJ��Phone#: Address: ! M QcG City: enk%bco State: t A Zip: �,`I ZCYI! Tenant/Lessee Name: _ Phone#: � Email: � i`(1 n. Rhw:ca.� (l) 2ll�'_. CUM CONTRACTOR: Company Name: Address: y 4 1r 'r( Email:YDY�'tlQ' Qualifier Name: • ' N � • . �. Phone#: State Certification or Registration #: CGC 1 5Z9996 Certificate of Competency #: DESIGNER: Architect/Engineer: (-jayly), nIrCjrP )ULyI Phone#: Address:�V� '�)U%3 _City: k6 Q6 State: /_Zip: Sl'? Value of Work for this Permit: $ 5,C)M Square/Linear Footage of Work: 9 Type of Work: ❑ Addition ❑ Alteration New ❑ Repair/Replace ❑ Demolition Description of Work: innu �L ii Ilum Specify color of color thru tile: Submittal Fee $ Permit Fee $ Scanning Fee $ Technology Fee $ DCA Fee $ Training/Education Fee S CCF $ DBPR $ CO/CC $ Notary $ Double Fee $ Structural Reviews $ P&Z Review $ Bond $ TOTAL FEE NOW DUE $ d • (Revised04/05/2022) 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. xxyl�Signat re a OWNER or AGENT The fo going instrume was acknowledged before me this /� day of L 20 by who Is pers ally known to me or who ha rodu d Cam' as identification and who did take an oath. NOTARY PUBLIC: Signf, Print: Seal: ��0 IL, � JENNIFER FRIDAY $ Commission Number 841977 My Commission Expires owe August 30, 2025 ################################## ### APPROVED BY (Revised04/05/2022) Signature CONTRACTOR The foregoing instrument was acknowledged before me this 6-11ehdaay of20 e�A �:3 by ctti`(A who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Print: Seal: CANDACE ROB S %�\%': Notary Public -State of Florid 1 = Commission # HH 127635 My Commission Expires June 18, 2025 1 I 'Plans Examiner 11"3 Structural Review ############# 1AOT)V15AZoning rJd2 �3 t - - - -- Clerk tE CL CD N O W d a 20.865" C o �2 o =� w 3� _ �y p oN -0CD 3 00 0 w o0 co o x in D N i o mn Om T rm w<v m CA a m C ro' N 0 A r A A N C) C> i, z rrly� cri � ru 0 N -lam mui ZONING STRUCTUPA LLECTIRICAL PLUMBING tAECHANICAL BLDG. z SUrIJECT TO COIVIpLlje,,�,!iCE WITH ALL DATE 3 m .1999, 0Z „999'0Z 1: 3 d =� 3 2p SEP 12 2�� i I i a` E0 a } r C a c u n C V w v j •' a s -y v a 'a � M I v • O GGiO C .�.. C ,p 7 l.ti C C y ? Dy u0 'fie° Np • O Co $�� m O 7s JO,�, 'U � ON $ a n h V A .�C cQ�Qj� L 'yCj V 7 x 0p� ✓1 y N a u z O •1' l7 C vt C I O :1A y } C .zo.-� +J- J G q I`� 1t V' C tL N Ca. C 71 ~y C Q O .Ll T '•; G G iry 'V u 01 �a 2 0 `.� C Y O ir� 2 c O u NmJ37a�a 'n0 tO m ^ rnsm Iv7a °a>a �rn`c�oine IN In c a 'w 'T m ai10, "2NnB E di a wwa� w r,m a pacrn:3 'O1 4 oa �° E 9,o'a`n y QN Ewan 4��nt5 Eli Q taix. 4 � lV j r C N t_ C Y a x s r a o a g v 6 C �y C X '> a o 4 1° O C v u O ;I,- v > a i'c ^ C N Vt O N y° c I C � °r A C� m�ti C n 4 o o° 0 a'c� L?a ter; mc�'�.on� E. r`_a giLQ�`aa Q rnNTs a�za�� a a O V 4 N D n_.� pak } p, Vy�y N g C y 7 M ~S p L p ) O N A L c.�.+ IL q' Y 2 n z A a O n. U- .-� 1 7 N u N O O y p G r V O O }N L Q Of 3 C? 'iI „�„ D G .ti G T Y D W w N G V 1` O. :° O n ¢ a a i 0a z 'n o C7. A '° 0 4 4 i0a $ accv uJ,yy v a t O e V' 1 1w a0 ?' a� a m as t? o n o q 00 00011 a U 0 Imp "J 3 9[ i s U D vEv 1� 11 U I % IWD 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 72 Design per Florida Building Code, 7th Edition (2020), Section 16 Wind Load, ASCE 7-16 Design Specifications Risk Category II Kzt 1 Exposure Factor C Kd 0.85 Kz 0.9 VOLT 175 (mph) GCpn 0.9 H < 60 Feet Ultimate Wind Pressure 54.0 (psf) Ground Snow Load, Pg 0.0 (psf) Flat Roof Snow Load, Pf 0.0 (psf) Drift Snow Load, Pd 0.0 (psf) Estimated Weight, D 10.0 (psf) ASD Desian Pressure 34.3 Insfl Canopy Information Height 1.74 (ft) Width 6.00 (ft) Projection 3.30 (ft) Building Height <20 (ft) Estimated Weight of Canopy Vertical Force = 198 (lb) 679 (lb) Required Provided Fastener size (Nominal) 1/2 1/2 Minimum number of fasteners 8 8 Shear Force per fastener (lb) 85 1125 Tension Force per fastener (lb) 337 565 Combination Tension and 0.67 <1 O.K. Shear ratio Aaron Biedenbach, P.E. FL PE #52949, FL EB 9394 LICENSE #52949 STATE OF 6C 0RIt!A DATE SIGNED: 8/7/2023 ell 1�/Gz f' 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 (1-112" EMBEDMENT) SOLID CONCRETE WEDGE ANCHOR (2-1/2" EMBEDMENT) ALL ANCHORS SHALL BE CHOSEN AND PLACED IN ACCORDANCE WITH MANUFACTURERS INSTALLATION INSTRUCTIONS WELLS FARGO 143580 9899 NE 2ND AVE MIAMI SHORES FL WFR2-BR-R-AW 72IN 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 BY ATIMER 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: (8) AS SHOWN WALL STRUCTURE ANCHOR TYPE WOOD BLOCKING LAG BOLT (4 112" EMBEDMENT) THRU BLOCKING HOLLOW CONCRETE BLOCK SLEEVE ANCHOR (1-112" EMBEDMENT) SOLID CONCRETE WEDGE ANCHOR (2-112" EMBEDMENT) ALL ANCHORS SHALL BE CHOSEN AND PLACED IN ACCORDANCE WITH MANUFACTURERS INSTALLATION INSTRUCTIONS 72" 3" I~ — — 22" — — �� — — 22" — — --�� -- — 22" _ — �� 3„ A-*- 1.----�---�-I--------_ —�— 10.54" 20.8654" 39.7 NOTE: ALL PAINT COLORS MUST BE APPLIED OVER COLOR COMPATIBLE BASE COAT AS NOTED UNDER COLOR MATERIALS .090 WELDED ALUMINUM STRUCTURE PAINTED AN SIGN92343 GGEFX-LV SILVER 1 — — RAVEN-FiREMEL-FABRtS B-T — — — - --f _ ---FLANNEL-RPCBRtC— — •— STRETCHED AROUND ALUMINUM FRAME WITH \ (8) ANCHOR NO VISIBLE FASTENERS LOCATIONS 1.5" — ----- — — — — — — — — — — — L 090"THICK ALUMINUM PANELS PAINTED WELLS FARGO ENVIRONMENTS RED (SMOOTH FINISH) MOUNTED DIRECTLY TO THE ALUMINUM FRAME STRUCTURE. A� SECTION A A .090"THICK ALUMINUM _� PANELS PAINTED WELLS ELECTRICAL - ELECTRICAL FARGO ENVIRONMENTS RED DISCONNECT (SMOOTH FINISH) MOUNTED DISCONNECT w_M W.M WIM0 WE lr::rA Li+M ma, Mm Mm Ws m GEM CAM Ma, mm Mml 'M M wm �Tc:FR — 3cM. mm I&Mm Lrm DIRECTLY TO THE ALUMINUM FRAME STRUCTURE. APPRC7V I DA ( I FLORIDA BUILDING CODE 7TH EDITION (2020) SECTION 16 WIND LOAD ASCE 7-16 175 MPH WIND LOAD RISK CATEGORY II EXPOSURE © ENCON SERVICES, INC. P.O. BOX 3613 APOLLO BEACH, FL 33572 Q 813-655-3373, FLEB #9394 ENCON@ME.COM SEE CHART FOR ANCHORS �BY WALL TYPE 10.54" oo 00 0. SEp 2 2023 sy NOTE: POWER SUPPLY !1 2 EA SLOAN 24V 10OW POWER REQUIREMENTS 2.8 AMP 120 VOLTS ga LICENSE #52949 STATE OF M BIEDENBACH, PE 52949 DATE SIGNED: 8/7/2023 CUSTOMER -SITE ID: PROJECT NUMBER: DRAWN BY: DATE: REVISIONS: FITTS WELLS FARGO _ SLz 07/30/2023 1. XX/XX/XX REV XX SCALE: CHECKED BY: DATE: 2. XX/XX/XX REV XX NTS 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 72,E 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 0F 1 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 such 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, and "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; I.,egal 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 foregoing 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 29,nd day of June, 2023, [Seal] _ Clara S. Blanding, Assistant Secrdiary Wells Fargo Bank, National Association i i d * * * 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 t ..Y OFFICE OF THE PROPERTY APPRAISER 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 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 Wllul "I WIL: .1 €,IIIIIIIIIIIIM Benefit Type 2023 2022 2021 Non -Homestead Assessment $185,674 $159,703 $90,184 Cap Reduction Na t w Not all benefits are applicable to all Taxable Values (i.e. County Generated On: 09/12/2023 Taxable Value $1,034,326 $940,297 $854,816 SG#ilt�q�[..�aRFI Exemption Value $0 $0 $0 Taxable Value $1,220,000 $1,100,000 $945,000 :;CITY Exemption Value $0 $0 $0 Taxable Value $1,034,326 $940,297 $854,816 REGIQNAL: Exemption Value $0 $0 $0 e. School Board, City, Regional). Taxable Value $1,034,326 $940,297 $854,816 MIAMI SHORES SEC 1 AMD PB 10-70 LOTS 1Paage'0 & 11 BLK 32 Previous Sale Price OR Book- Qualification Description LOT SIZE 12350 SQ FT OR 18197-2693 0798 6 07/01/1998 $540,200 18197-2693 Other disqualified 11/01/1984 $170,000 12396-0080 Sales which are qualified 08/01/1973 $85,000 00000-00000 Sales which are qualified 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://www.miamidad e.gov/info/disclaimer.asp `r ✓ • 1 LU y � • �LU �9 1 �' r.s•*'*' .�' .•� • �► • s 1 • 1 3 F 1 4.1 U. s {� j% ate` ' ® • ■ �: T . +..� .¢, S. .Ftitr► • �z Via• �i a� 1 _• 1. la r • w �L LLI LU ■. �� .�, •ii sue..:F �*� 1' •� e i■. •LU ••~� r!•s4�lr i 1: 1 • • ■ 1 ■ • • ■ LLI LU - 0 � ME MRI CD • • •m z z r - •_ ID s r- r �'.�w• ia�•r••�.. . •■ • • • `'� Y��. l; 1. F ► • / M , .ter Y 6`�^1j� `• • 1,�� '.fib : ��,' r�C •sr F1 •� �. ,..it 1 • • • 41 NO • wtia ••• �.` • j •r • iji(�ar� r '► i+a �:irrrr• • • r r _ • • ► • • • CD • - W, tv r 'n 1, C D A Crn'1 m w e, t 0 Z 0 Q Q 1 C o,vo O °N° D o na c O a S ? '— CD fC D=o o �N 3 m Z O D D tA CA m D n C m Z rn = M m O (.0 = _i N n m m Ro m C o w Do (Z LI)3 az C)= oM zrrl O A :z > {^ Q N O r cn Ln D O M w �4 o W m :;o L/, N o A lD O z O C co Ln r D n �+ m y O x T N v l ZLf) NJ 7` N CA L/1 T D V1 °n y rb an �aoM-,r v am D < C n° v ten„ RI ^ a< n rD o rD . D o a n O rt Qj O x Q n �rDD 4 to ^t o 0 v z) r' 1 3 d �� v O n v^�,. W W� o o 0 0m D< m0'� m r 0 °° o o 1 oK Q c �. O 3 Q { 0 U, D n 0 Q� o< h m X D Z `2 0 O tD v T n = ::ro m rD ,rt v x 0 N V)rD \ W rD Q � O N c r 3 c 0 �' N d 3 (D O O O � CERTIFICATE OF LIABILITY INSURANCE Date 8/22/2023 Producer: Plymouth Insurance Agency This Certificate is issued as a matter of information only and confers no 2739 U.S. Highway 19 N. Holiday, FL 34691 rights upon the Certificate Holder. This Certificate does not amend, extend or alter the coverage afforded by the policies below. Insurers Affording Coverage NAIC # (727) 938-5562 Insured: South East Personnel Leasing, Inc. & Subsidiaries Insurer A: Lion Insurance Company 11075 Insurer8: 2739 U.S. Highway 19 N. Holiday, FL 34691 Insurer C: Insurer D: Insurer E: Coverages The policies of insurance listed below have been issued to the insured named above for the policy period indicated. Notwithstanding any requirement, term or condition of any contractor other document with respect to which this certificate may be issued or may pertain, the insurance afforded by the policies described herein is subject to all the terms, exclusions, and conditions of such policies. Aggregate limits shown may have been reduced by paid claims. INSR LTR ADOL INSRD Type of Insurance Policy Number Policy Effective Date (MM/DDNY) Policy Expiration Date(MM/DD/YY) Limits GENERAL LIABILITY Each Occurrence $ Commercial General Liability Claims Made Occur Damage to rented premises (EA occurrence) Med Exp Personal Adv Injury General aggregate limit applies per: Policy ❑ Project ❑ LOC General Aggregate Products -Camp/Op Agg AUTOMOBILE LIABILITY Combined Single Limit (EA Accident) $ Any Auto Bodily Injury All Owned Autos (Per Person) Scheduled Autos Bodily Injury Hired Autos Non -Owned Autos (Per Accident) Property Damage (Per Accident) EXCESS/UMBRELLA LIABILITY Each Occurrence Aggregate Occur ❑ Claims Made Deductible A Workers Compensation and X I WC Sol.- OTH- Employers' Liability WC 71949 01/01/2023 01/01/2024 tory Limits ER E.L. Each Accident $1.000,000 Any proprietor/partner/executive officer/member E.L. Disease - Ea Employee $1,000,000 excluded? NO If Yes, describe under special provisions below. E.L. Disease -Policy Limits $1,000.000 Other Lion Insurance Company is A.M. Best Company rated A (Excellent). AMB # 12616 Descriptions of Operations/LocationsNehicles/Exclusions added by Endorsement/Special Provisions: Client ID: 81-67-912 Coverage only applies to active employee(s) of South East Personnel Leasing, Inc. & Subsidiaries that are leased to the following "Client Company": Florida Certified Sign Erectors, LLC Coverage only applies to injuries incurred by South East Personnel Leasing, Inc. & Subsidiaries active employee(s) , while working in: FL. Coverage does not apply to statutory employee(s) or independent contractor(s) of the Client Company or any other entity. A list of the active employee(s) leased to the Client Company can be obtained by emailing a request to certificates@lioninsurancecompany.com Project Name: ISSUE 08-22-23 (TD) Begin Dane: 3 16 2016 CERTIFICATE HOLDER CANCELLATION MIAMI SHORES VILLAGE Should any of the above described policies be cancelled before the expiration date thereof, the issuing insurer will endeavor to mail 30 days written notice to the certificate holder named to the left, but failure to BUILDING DEPARTMENT do so shall impose no obligation or liability of any kind upon the insurer, its agents or representatives. 10050 NE 2ND AVENUE MIAMI SHORES, FL 33138 Miami 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 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 Inspection Requests: Description: E08 INSTALL NEW 1 ILLUMINATED AWNING AND Valuation: $ 100.00 CONNECT TO EXISTING ELECTRIC 3f3Tifr jai' TotaISq 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 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 regulaW construction and zoning. Futhermore, I authorize the above named contractor to do the work stated. rized SigAture: Owner / Applicant / Contractor / Agent Date March 13, 2024 Page 2 of 2 Miami Shores Village i d T F� Building Department S 1 z023 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 20)0 BUILDING Master Permit No,",'�� PERMIT APPLICATION Sub Permit No. cUL-09- 3 { 50 ❑BUILDING t�ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP � CONTRACTOR DRAWINGS 106 ADDRESS: (` [ b`n 1q N E.- a9d City: Miami Shores County: Miami Dade zip:�3� folio/Parcel#: 11 - ?0(YL_o Q"-�U0 Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): ! { k�LPhone#: q!,�i -Va(A2I4p Address 5x Q('�A City: CwLs of State: l A Zip: 91�C a Tenant/Lessee Name: l�V[ (�� Phone#: Email: tytSs�l. M(li(yy,-j M LtIJy [��-�C�.✓CA rrf CONTRACTOR: Company Name: Address: 4 T Email: rwn ,( Qualifier Name: �_ f vic State Certification or Registration #: Certificate of Competency #: DESIGNER: Architect/Engineer: 1-3=0)I cidn-ohQCJ2 Phone#: Address('VC2)�)(„-2j City: _1�1J�)� ,CState� L Zip:_ Value of Work for this Permit: $ SLY) Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: (wnrS4A� nQ_rind-hC Specify color of color thru tile: Submittal Fee $ Scanning Fee $ Technology Fee $ Structural Reviews $_ Permit Fee $ CCF $ CO/CC $ . DCA Fee $ DBPR $ Notary $ Training/Education Fee $ Double Fee $ P&Z Review $ Bond $ _ TOTAL FEE NOW DUE $ 12 —3: 910 fRevised04/05/2022) Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State 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 OWNER or AGENT The foregoing instrume t was acknowledged before me this -- day of 20 by o is nPrcni2nllv known to me or who ha rod d as identification and who did take an oath. NOTARY PUBLIC: Signature L __•---- - CONTRACTOR The foregoing instrument was acknowledged before me this a�++ )ay of LVIQ 20.= by 1 t, USA \who is personally known to me or who has produced as identification and who did take an oath NOTARY PUBLIC: Sign: Print: Seal: JENNIFER FRIDA •pCommission Number 841977 seal: "': CANDACE ROJAS 6 My Commission Expires 41oa: • cw 30, 2025 =s�T\ " Notery Public -State of Florida - I'= Commission N HH 127635 August —••--- = , . �f,: My Commission Expires APPROVED BY <, pZ541 Plans Examiner — -- Zoning Structural Review Clerk (Revised04/05/2022)