SGN-09-1024Permit No: 09 -/
Job Name:
, 2009
Building Critique Sheet
A 1o.# chG &Jinx/ lei G�4 n. ti / 4 4
Norman Bruhn CBO
305 - 795 -2204
M iami Shores Vivage
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Page 1 of 1
(� n et e..1,-Adri # est ArizetfAir
Plan review is not complete, when all items above are corrected, we will do a complete plan
review.
If any sheets are voided, remove them from the plans and replace with new revised sheets and
include one set of voided sheets in the re- submittal drawings.
06/23/2009 10:38 FAX 1 800 685 7530
Permit No: 09-AAW
Job Name:
V `o lr , 2009
da 0 c9,Q1`�'s Ss
DATA SCAN FIELD SERVICES
TRANSMISSION OK
* ** TX REPORT $$$
TX /R% NO 3640
RECIPIENT ADDRESS 93059990938
DESTINATION ID
ST. TIME 06/23 10:37
TIME USE 00'48
PAGES SENT 1
RESULT OK
Building Critique Sheet
/ aft. lose( e
M iami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Page 1 of 1
Cc c)
PERMIT CB DATE: uoikei 03/0009
2z,T sus
( .
o Contractor
o Owner
o Architect
I.cked up 2 set i of plans an other)
Address: ( NOM W.1
From the building department on this date in order to have corrections done to plans
And/or get County stamps. I understand that the plans need to be brought back to Miami
Shores Village Building Departrniak continue permitting process.
Acknowledged by
Miami Shores Village
Building Department
PERMIT CLEARK INITIAL: V\-----°"'
RESUBMITTED DATE:
PERMIT CLEARK. INITIAL:
10050 NE 2 Ave, Miami Shores, Fl 33138
Tel: (305)795-2204 • Fax; (305)756-8972
RECEIPT
Permit No: 09-/OW
Job Name:
U'd3 , 2009
ce) As 4( Q/ a s11444
sa ..ag✓ 1 eat 4404,r �`s.�. 1�i144G .
Building Critique Sheet
M iami Shores Vivage
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
Page 1 of 1
Plan review is not complete, when all items above are corrected, we will do a complete plan
review.
If any sheets are voided, remove them from the plans and replace with new revised sheets and
include one set of voided sheets in the re- submittal drawings.
Norman Bruhn CBO
305 - 795 -2204
PERMIT DRAWING PROJECT:LLED INTERNALU' IILUMINATE4 REVERSE CHANNEL LETTERS
28.25'
St - 7"
APPROVED
ZONING DEPT
BLDG DEPT
59.58'
UIGIENT Cl •
Miami Shores Village
40 • • • •• ••• ••
• • • - • •
• ••• • • • . � •• •
• • •
•
•• • • • • • ••• ••
SUBJECT TO COMPLIANCE WITH ALL FEDERAL
STATE AND COUNTY RULES AND REGULATIONS
• • • • • • • •
• • ••• • • • • •••
• •• • • • •
• • • • • • • • • • • •
• • • •• • • •
• • • ■ ■ • • • • �•
• • • • • • • • • •
• • ••• • • ••
m
m
Client:
Medi Station
Li oatrt H Well.-In Medical Cats
Site Address:
9600 NE 2nd Ave
Miami Shores, FL
Representative:
Eran
Date: Designer:
04/21/09 D Davidson
Drawing:
KLEAN POWER ELECTRIC INC.
6601 SW 80 TH ST
SOUTH MIAMI, FL 33143
EC13002068
• • SIGNS
"HIS IS AN ORIGINAL UNPUBLISHED
DESIGN CREATED BY CITY SIGNS
SERVICES COMPANY. rr IS NOT TO BE
SHOWN OR EXHIBITED TO ANYONE
OUTSIDE YOUR ORGANIZATION.
REPRODUCTION OR CONSTRUCTION OF
DISPLAYS BASED ON THIS DESIGN IS
SUBJECT TO COPYRIGHT LAWS AND
SUBJECT TO I FI AI ACTION.
Page: 1Of 2
FACE
.090 ALUMINUM FACE PAINTED RED
F
RETURN
.063 ALUMINUM PAINTED RED
R - 1
LED
DESIGNER RED
LED - 1
PERMIT IN PROJECT:ILED INTERidki ILLURARI4rEDDREWERSE CHANNEL LETTERS
18"
ERG F
B INTERNALLY ILLUMINATED REVERSE CHANNEL LETTERS
SIGN DETAILS
• •-
13'-7" • • • •
. • ••
• • • •
•• • • • • • •
.• • • •
• • - • • • • •
••• • • •
• •
• • • -
• •
qF CiltRE
Description:
Manufacture and Install (1)set of led
internally illuminated reverse channel letters
to read:
URGENT CARE + LOGO
FONT:ARIAL BLACK
• • • • • • •
• • • ••• • • • • • • • •• -
•••
• •
12 '/"
TOTAL SIGN AREA =20.37 SQ FT
Client:
Meth—Station
CrElare Cara
Site Address:
9600 NE 2nd Ave
Miami Shores, FL
Representative:
Eran
Date: Designer.
04/21109 D Davidson
Drawing:
,Drawing
KLEAN POWER ELECTRIC INC.
6801 SW 80 TH ST
SOUTH MIAMI, FL 33143
EC13002068
•
THIS IS AN ORIGINAL UNPUBLISHED
DESIGN CREATED BY CITY SIGNS
SERVICES COMPANY. IT I5 NOT TO BE
SHOWN OR EXHIBITED TO ANYONE
OUTSIDE YOUR ORGANIZATION.
REPRODUCTION OR CONSTRUCTION OF
DISPLAYS BASED ON THIS DESIGN I5
SUBJECT TO COPYRIGHT LAWS AND
SUBJECT TO LEGAL ACTION.
Page: 1 0f 2
PERMIT DRAWING PROJECT LED INTERN;4 1 L;.Ul 4'EI5 RE5ERSE CHANNEL LETTERS
.090 ALUM FACE W/.063 ALUM SIDES.
1/8" ALUMINUM STAND OFFS (4) P
LETTER MIN.
18"
12"
LED LIGHTING
LIQUID TITE CONNECTOR
(1) 20 AMP WEATHERPROOF
DISCONNECT SWITCH
1/4" DRAIN HOLES
BOTTOM OF ALL LE I I URS
n
B INTERNALLY ILLUMINATED R1VSSE CHANNE1. Lt
TOTAL SIGN AREA =20.37 SQ FT
• • • • • • •
• • ••• • • • • • • • • •••
• •• • • • •
• • • •• • • • • • •
• • •• • • •
• • • • • • • • • ••
• • • •
CONa6rElts& • • •
• • • LH TEV6 ATiACHE4•T4) Wal-i- BY
• :1 3/ TI 4 U SIVIDOFF
• • 1 N O •5 TAIPCONS PER LETTER
• • • • • • • • •
•• • • • • • •■• ••
(1) 20 AMP WEATHERPROOF
DISCONNECT SWITCH
LED POWER SUPPLY
ONE Out Door UL 506 Listed Transformer
PRIMARY GROUNDED:120 Volts, 1.5 Amp, 60Hz
SECONDARY:12 Volts, 60 WATTS
(1) 20A CIRCUIT REQUIRED. BY
OTHERS OR EXISTING SEE PANEL
SCH. FOR MORE DETAILS
# 12 THHN WIRE INSIDE 1 /2" METALLIC
CONDUIT TO BE USED FOR ALL
PRIMARY WIRING INSIDE SIGN. TO
EXISTING OR BY OTHERS ELEC.
ADDITIONAL NOTES
Electrical
Grounding and bonding as per NEC 2801
012 mia. TNWN, AWB cooper wire, as required
Approved, weather proof 20 MAP
aleaM#ial service disconnected switch
as per NEC COO .2, Inside Bell Box
012 Primary electrical hook -up to
electrical supply as per NEC 800-2,
Inside 112 min. Type RW flexible conduit,
or approved equal.
A TOTAL OF 1 LED TRANSFORMERS
to ONE Out Door UL 508 L64d Transformer
PRIMARY GROUNDED:12D Veils, 1.5 Amp, 60Hz
SECONDARY:12 Volts, 50 WATTS
LOAD RATE 15 AMP-LESS
THAN 80% LOAD RATE
ALLOWANCE FOR 20AMP
GROUNDED CIRCUIT.
MASTER POWER SUPPLY SPEOPtCATIONS
Client:
Medi — Station
urgent 8 Walk-in moral (are
Site Address:
9600 NE 2nd Ave
Miami Shores, FL
Representative:
Eran
Date: Designer:
04/21(09 D Davidson
Drawing:
Drawing
KLEAN POWER ELECTRIC INC.
6601 SW BOTH ST
SOUTH MIAMI, FL 33143
EC13002068
THIS I5 AN ORIGINAL UNPUBLISHED
DESIGN CREATED BY CITY SIGNS
SERVICES COMPANY. IT I5 NOT TO BE
SHOWN OR EXHIBITED TO ANYONE
OUTSIDE YOUR ORGANIZATION.
REPRODUCTION OR CONSTRUCTION OF
DISPLAYS BASED ON THIS DESIGN LS
SUBJECT TO COPYRIGHT LAWS AND
SUBJECT TO LEGAL ACTION.
Page: 20f 2
ti
SITE PLAN
N
SIGN LOCATION
URGENT CARE
SIGN LOCATION
MEDI STATION
URGENT WALK IN MEDICAL CARE
NE 96th St.
NE 95th St.
• • • •• • • • ••
•• •• • • • •• • • •
• • • •••• •
• •••••• ••
• • • • • • • •
• • ••• • • • • •
•• • • • •
• • • •• • • • • • •
• • •• • • •
• • • • • • • • • •
• • • • • • • • • •
• • ••• • • •
•
•
M
w
z
Client:
Windt— Station
Ufa{ Ilk IRAaf -In Malaaa care
Site Address:
9600 NE 2nd Ave
Miami Shores, FL
Representative:
Eran
Date: Designer:
04/21/09 D Davidson
Drawing:
Drawing
KLEAN POWER ELECTRIC INC.
6801 SW80THST
SOUTH MIAMI, FL 33143
EC13002068
THIS IS AN ORIGINAL UNPUBLISHED
DESIGN CREATED BY CITY SIGNS
SERVICES COMPANY. IT 15 NOT TO BE
SHOWN OR EXHIBITED TO ANYONE
OUTSIDE YOUR ORGANIZATION.
REPRODUCTION OR CONSTRUCTION OF
DISPLAYS BASED ON THIS DESIGN IS
SUBJECT TO COPYRIGHT LAWS AND
SUBJECT TO LEGAL ACTION.
Page: 1 Of 2
,M
PERMIT D RAW I N V G PROJECT LED INTERNALLY ILLUMINATED REVERSE CHANNEL LETTERS
NORTH WEST ELEVATION
Scale= 1/$ " =1' - 0"
AND ACRYLIC CUT OUT LETTERS
•• ••• • •
•
•
•. • •• • •
•• •
• • •
•• • •
• • • •
• •
••• •
• •
• •
•
• • • ••
• ••• •
• • • • • • •
• is • • • • •
• • • •• • •
• • •• • • •
• • •• •
• • • • ••
• • • •
• ••• •
•
• •
• • • ••
• •
• •
• •
• • •
• ••
Client:
Mede Station
'Urgent & WaI-1h Medical cane
Site Address:
9600 NE 2nd Ave
Miami Shores, FL
Representative:
Eran
REVDate: Designer:
0649 /09 D Davidson
Drawing:
i<LEAN POWER ELECTRIC INC.
8801 SW 80 TH ST
SOUTH MIAMI, FL 33143
EC13002088
SIGNS
THIS IS AN ORIGINAL UNPUBLISHED
DESIGN CREATED BY CITY SIGNS
SERVICES COMPANY. IT IS NOT TO BE
SHOWN DR MINTED TO ANYONE
OUTSIDE YOUR ORGANIZATION.
REPRODUCTION OR CONSTRUCTION OF
DISPLAYS BASED ON THIS DESIGN IS
SUBJECT TO COPYRIGHT LAWS AND
SUBJECT TO LEGAL ACTION.
Page: 1 Of 2
• • ••• •
FACE
.090 ALUMINUM PAINTED RED
A -1
RETURN
.063 PAINTED RED
R -1
LED
DESIGNER RED
•
•
•
• •
LED-1
lzkRMIT DRAWING PROJECT:LED INTERNALLY ILLUMINATED REVERSE CHANNEL LETTERS
AND ACRYLIC CUT OUT LETTERS
134
7 „
i4"
rgent aic, Walk -in Medical Care
LED INTERNALLY ILLUMINATED REVERSE CHANNEL LETTERS AND ACRYLIC CUT OUT LETTERS
[ ! l E 1
1�
5atIun
Urgent & Walk -in Medical tire
,C SIGN DETAILS
Lita[31
ELAI5aZiEzitf!
150"
•• •• : •• • • • •
Actinic 1 !8° BLAUACRYLI • • • • : ' = • • • • A -2 all
•• ••i ••• ••• • • ••
Description:
Manufacture and Install (1)set of 44 internally illeminated
reverse channel leeters and'aGryfioletter
to read: • • • • • • • • • • • •
•
LOGO +MEUI rAAlO • ••• 7,• . •• •
FONT SERFU INE80LD •
URGENT & WALK IN MEDICAL CARE • • • • •
FONT SERPENTWE�BO�D • • • •
• ••• • • •
• •
„
TOTAL SIGN AREA-25.97 SQ FT
Client:
Meth-Station
laliant EL W-1 MarlIsall Cara
SiteAddress:
9600 NE 2nd Ave
Miami Shores, FL
Representative:
Eran
REV Date: Designer:
06/09/09 D Davidson
Drawing:
KLEAN POWER ELECTRIC INC.
6601 SW 80TH ST
SOUTH MIAMI, FL 33143
EC13002088
SIGNS
THIS IS AN ORIGINAL UNPUBLISHED
DESIGN CREATED BY COY SIGNS
SERVICES COMPANY. IT 15 NOT TO BE
SHOWN OR EXHIBITED TO ANYONE
OUTSIDE YOUR ORGANIZATION.
REPRODUCTION OR CONSTRUCTION OF
DISPLAYS BASED ON THIS DESIGN IS
SUBJECT TO COPYRIGHT LAWS AND
SUBJECT TO I FGAi ACTION,
Page: 1Of 2
% •
PERMIT DRAWING PROJECT: LED INTERNALLY ILLUMINATED REVERSE CHANNEL LETTERS
.090 ALUM FACE W /.063 ALUM SIDES.
1/8" ALUMINUM STAND OFFS (4) PER
LETTER MIN.
LED LIGHTING
LIQUID TITE CONNECTOR
(1) 20 AMP WEATHERPROOF
DISCONNECT SWITCH
1/4° DRAIN HOLES
BOTTOM OF ALL LETTERS
•• • • • •••
• • • • • •
• • • •
• • •• • •
• •
• • • •
••• •
• • • • •
• • • •••
• • • • • •
• •• •• •••
•
CONCRETE WALT,
LETTERS ATTACHED TO WALL BY
1 1/4" TAPCONS THRU STANDOFF
INTO WALL 3 -5 TAPCONS PER LETTER
(1) 20 AMP WEATHERPROOF
DISCONNECT SWITCH
LED POWER SUPPLY
ONE Out Door UL 506 Listed Transformer
PRIMARY GROUNDED:120 Volts, 1.5 Amp, 60Hz
SECONDARY:12 Volts, 60 WATTS
(1) 20A CIRCUIT REQUIRED. BY
OTHERS OR EXISTING SEE PANEL
SCH. FOR MORE DETAILS
# 12 THHN WIRE INSIDE 1/2° METALLIC
CONDUIT TO BE USED FOR ALL
PRIMARY WIRING INSIDE SIGN. TO
EXISTING OR BY OTHERS ELEC.
PANEL SCHEDULE
AIL WOOL V wow= Am IL •
I NAD Amore
ANNOIANIeAVANDINN DAMMAM OPINE MAC.
•
V•
D •
• • •
• •• ••
• •• • •
ADDITIONAL
Elactricai
Grounding and bonding as per NEC 280;
012 min. MINN, AWO cooper wire, as required
Approved, weather praot 20 AMP
electrical service disconnected switch
as per NEC 000 - 2, inside Bali Box
012 Primary electrical hook -up to
electrical supply as per NEC 800-2,
inside 1/2 min. Type R10 flexible conduit,
or approved equal.
A TOTAL OF 1 LED TRANSFORMERS
0 ONE Out Door UL 506 Listed Transformer
PRIMARY GROUNDED:120 Volts, 1.5 Amp, 60Hz
SECONDARY:12 Volts, 60 WATTS
LOAD RATE 1.5 AMP - LESS
THAN 80% LOAD RATE
ALLOWANCE FOR 20AMP
GROUNDED CIRCUIT.
NQTE&
MASTER POWER SUPPLY SPECIFICATIONS
Client:
Meth— Station
urgent S WaIk •en Medical rare
Site Address:
9600 NE 2nd Ave
Miami Shores, FL
Representative:
Eran
REVDate: Designer:
06/09/09 D Davidson
Drawing:
Drawing
KLEAN POWER ELECTRIC INC.
6601 SW 80TH ST
SOUTH MIAMI, FL 33143
EC13002068
• SIGNS
THIS G AN ORIGINAL UNPUBLISHED
DESIGN CREATED BY CITY SIGNS
SERVICES COMPANY. IT IS NOT TO BE
SHOWN 011 EXHIBITED TO ANYONE
OUTSIDE YOUR ORGANIZATION.
REPRODUCTION OR CONSTRUCTION OF
DISPLAYS BASED ON THIS DESIGN IS
SUBJECT TO COPYRIGHT LAWS AND
SUBJECT TO LEGAL AC11011.
Page: 2 Of 2
SITE PLAN
N
1
SIGN LOCATION
MEDI STATION
URGENT WALK IN MEDICAL CARE
SIGN LOCATION
URGENT CARE
NE 96th St.
NE 95th St.
•••••••
• •• ••
•
• • • • •
• •
•
.. • •. ••
.. • • ••• • •,
• • •
• • • • • • • • • •
•• • • ••• • • . •• • •
• • •
• • • • • • •• •• •• •
•
• •
• •
Client
Meth Station
Lane a Et•IS -I• Medical cure
Site Address:
9600 NE 2nd Ave
Miami Shores, FL
Representative:
Eran
Date: Designer:
04/21/09 D Davidson
Drawing:
Drawing
KLEAN POWER ELECTRIC INC.
6601 SW 80 TH ST
SOUTH MIAMI, FL 33143
EC13002068
THIS 15 AN ORIGINAL UNPUBIJSHED
DESIGN CREATED BY CITY SIGNS
SERVICES COMPANY. FF IS NOT TO BE
SHOWN OR EXHIBITED TO ANYONE
OUTSIDE YOUR ORGANIZATION.
REPRODUCTION OR CONSTRUCTION OF
DISPLAYS BASED ON THIS DESIGN IS
SUBJECT TO COPYRIGHT LAWS AND
SUBJECT TO LEGAL ACTION.
Page: 1 Of 2
••• • • • • •••
• • • • • • • • • • •i �•• • • •
• • •
• • •• •• • • •
•.• • • • ••• •
•
Property Owner's Name
e p Syrcp l eft 0 ,4- Me_ G,r0v0a.-
Address, City, State, Zip
71y Mt, g M Mia.w FL. 35137
E -mail Address
,
Phone Number Day
3o5. 5425 - nid Cell Number
' Fax Number
• • • •
• •
•Dame of Applicant/Tenant:
If differeiS tromrowner.
_(indicate Vpotiapplicable)
MeJ, PoV h , s - L.l.►L
AddreluVilp, State, Zip
6 -mail AddPss
'Phone fildihber Day
7$6 - 761- 771oI Cell Number I
Fax Nub, •
•• • . ..
•Name of •geft:
• Jf different from owner and
applicant
(indicate if not applicable)
Address, City, State, Zip
E-mail Address
Phone Number Day
1 Cell Number I
Fax Number
Property Address:
960o WO
.. '4 Ave.. , -i Amsfes, Fat,. WW 1
Folio
Folio Number:
// 3.2O6
- 0/3 --.26/0
•
•
• •
••••••
••
•
• •
••..•
• •
•.••••
• •
•••••.
•
•
• •••••
•••
• •
•••
•
•
•• •
•••
•
•
•
• •
••
•
•
A. ADDRESS OF PROPERTY AND PROPERTY INFORMATION
To be filled out by applicant, information available: www.miamidade.uov /aa/progerty search.aso
B. APPLICANT TNF
ATION $HEE
Contact Information
IMPORTANT: THE APPLICANT OR AUTHORIZED REPRESENTATIVE MUST
ATTEND THE HEARING TO PRESENT THE PROPOSAL. FAILURE TO
APPEAR MAY RESULT IN DENIAL OF THE APPEAL.
Site Plan Approval Signs 08 -05 -08
Page 2 of 10
Please Print or Type
• •
000000
• •
••0000
•
•
000000
•
•
•
• 0000•
•
CONSENT FOR INSPECTION OF. PROPERTY
OATH OR AFFIRMATION
• ••
••0•••
•00•
• •
• 0000
• •
••••0• • •••0••
• • NOTARX =10:
• • •
• ••
•
Dated this
®y
, the owner or authorized agent for the owner of the
premise located at '16 0O �l/e'Zi�D Afe do hereby consent to the
inspection of said preJises by an employee of Miami Shores Village, Florida, in conjunction with
an application for -sf� J � , without further notice.
day of /f /,,Leld
STATE OF FLORIDA, COUNTY OF MIAMI -DADE:
Swom to (or affirmed) and subscribed before me
• ••'tats da of
••••
•
••••
••• .• •
• ••
• • • • ••
••■• • • •
•
••••
(Please check one)
❑ personalty known to me; or
4roduced identification. I/G
Type of Identification Produced:
Site Plan Approval Signs 08 -05 -08
, by.
uthonzed Agent Thle P hone Number
TZ.,
Signature of Notary Public — State of Florida
i 0� l -riAt2441 G/ ®J
Name of Notary Typed, Printed, or Stamped
Page 4 of 10
soranstp, LAETITIA BENDAVID
r � � Notary Public - State of Florida
ufy Commission Expire Aug 14, 2010 `
0 �? �.o Commission # DD 584902
' rtA`` Bonded By National Notary Assn. )
SKETCH OF SURVEY seme-tio•
LIKWINgolesza
Loto 1, 3, 4, 11. Oeud 7. in Mock 19. of WIDE MOM 8N ONE' according
to :the Plat thereof. ea recorded in Plat Book 10, at Petra 70 . CZ the Public Record..
of Maud Dade CoUptr, FUONW
PROPERTY ADDRESS: 9800-9608 N.E. and AVENUE, LIMA FLORIDA,
•
L _50 I SO le 33 . SO: • • I - . no I ti 42:ay
N. E.. 98 rit
3
CO
1 1
MIME
MOINE
N. F.
CONCRE1E AREAS
ASPHALT WOO
Mr SOO UNLESS ZUBOSSED
SURVEYOR'S SEAL
30
'
015CRETE BLOCK MCC.
POMO OM PIPE
10•1151CATIOtt
CENTER UNE
P01411 POLE
0V•517.451 ELECTRIC LUC
11X1ER METER
115101 11005 13ZICAllOtt
SANITARY NKR MANN=
PPM
WA IM1 Vale
LOCATION MAP N.T.S.
R F L A N P
BOUNDARY SURVEY
I Hogg Gerats Thal On ~oil Softy saw mode
gado es asspombe otaRaMballO awls
Os aarasso tadaotad stesIast as at foe+ Sy Os
SWIM WORD 01 SOHO SUOJESONS Oheptor
NW-% MOO Madeisissama /moat ts
See5e1 floelea ftetoem
GARY B. CASTEL
amesteal we fb
SURVEYOR'S NOTES:
1) Weds shown berate were not abstracted for eosemonts. right of way ee
other kuttnenents of records.
2)15ore may be additional eisbr(ct(erts not shown in this sunny that may
Oa found In public records of lama Cued County
3)51* anderwound Impreeernents were located.
4) Maass athenese noted. recorded and measured data are in substantial
apreemernt.
5) Legal aescopoom PrOOded or cam
5) Ibbe survey must. molueleelp be used for maims purposes
7) 'Res survey has Nee prepared Oar OtO embudve use of the eoliths
named home end the comer hereon dam not wdend to any
emoned quip
8) Bearings if shoos are based an aseumed madden and Plat et Record.
15Berations based an 15Mai Dade County COW 3250 SW. Elowe8.11
NAV. Datum 1929.
MTV' DID TO:
ptozselv Arberre
GARY B. CASTEL SURVEYING, INC
LAND SURVEYORS
12016 S.W. 132nd COURT, ISMA, FLORIDA 33188
(305) 253-0720 (305)253-8787
FUDOD ZONE: X
4 45
se 10 a
it 14 1
IS rz
%
10250718MB 1%40' A. DR AIX1100 I 707 SOO
3 N°.
PERMIT DRAWING PRDJECT:LLED INTERNALLY ILLUMINATED REVERSE CHANNEL LETTERS
28.25'
5 -T'
WEST ELEVATION
Scate= 3/32 " =1' -0"
59.58'
URGENT C
40'
Client
Meth - Station
urgent a walk -in kcal Cara
Site Address:
9600 NE 2nd Ave
Miami Shores, FL
Representative:
Eran
Date: Designer:
04121/09 D Davidson
Drawing:
KLEAN POWER ELECTRIC INC.
6801 SW 80 TH ST
SOUTH MIAMI, FL 33143
EC13002068
•
SIGNS
THIS 15 AN ORIGINAL UNPUBLISHED
DESIGN CREATED BY CITY SIGNS
SERVICES COMPANY. IT I5 NOT TO BE
SHOWN OR EXHIBITED TO ANYONE
OUTSIDE YOUR ORGANIZATION.
REPRODUCTION OR CONSTRUCTION OF
DISPLAYS BASED ON THIS DESIGN 15
SUBJECT TO COPYRIGHT LAWS AND
SUBJECT TO 1 Fr.AI ACnDN.
Page: 1 01 2
FACE
.090 ALUMINUM FACE PAINTED RED
F - 1
RETURN
.063 ALUMINUM PAINTED RED
R -1
LED
DESIGNER RED
LED - 1
PERMIT DRAWING PROJECT:ILED INTERNALLY ILLUMINATED REVERSE CHANNEL LETTERS
18"
12"
,d;AGEliV7 nitaEL
:B INTERNALLY ILLUMINATED REVERSE CHANNEL LETTERS
re SIGN DETAILS
13' -7"
Description:
Manufacture and Install (1)set of led
internally illuminated reverse channel letters
to read:
URGENT CARE + LOGO
FONT:ARIAL BLACK
IF 1' AI [ ^e
12 ' /z"
TOTAL SIGN AREA-20.37 SQ FT
Client:
Meth - Station
ur a walk -m Medical Care
Site Address:
9600 NE 2nd Ave
Miami Shores, FL
Representative:
Eran
Date: Designer:
04/21/09 D Davidson
Drawing:
KLEAN POWER ELECTRIC INC.
6801 SW 80 TH ST
SOUTH MIAMI, FL 33143
EC13002088
SIGNS
THIS IS AN ORIGINAL UNPUBLISHED
DESIGN CREATED BY CITY SIGNS
SERVICES COMPANY. IT 15 NOT TO BE
SHOWN OR EXHIBITED TO ANYONE
OUTSIDE YOUR ORGANIZATION.
REPRODUCTION OR CONSTRUCTION OF
DISPLAYS BASED ON THIS DESIGN I5
SUBJECT TO COPYRIGHT LAWS AND
SUBJECT TO LEGAL ACTION.
Page: 1Of 2
PERMIT DRAWING PROJECT:LED INTERNALLY ILLUMINATED REVERSE CHANNEL LETTERS
FACE JUMPED INSTALLATION
FACE JUMPED INSTALLATION
FROM TRANSFORMER BOX TO LETTER OUT
OF LETTER THRU GTO SLEEVING (WB3760BLK1CO)
AND INTO NEXT LETTER BACK TO TRANSFORMER
TYPICAL (FACE JUMP) INSTALLATION
Davi Er M P.E. # 17757
9731rS.W. met
Miami, FL 331 4 1 „1569
Job No.
Date: ".
.090 ALUM FACE W /.063 ALUM SIDES.
1/8° ALUMINUM STAND OFFS (4) PER
LETTER MIN.
114° DRAIN HOLES
BOTTOM OF ALL LETTERS
AS REQUIRED BY N.E.C. 600
13' -7"
LED LIGHTIN
LIQUID TITE CONNECTOR
(1) 20 AMP WEATHERPROOF
DISCONNECT SWITCH
Wind Load Info, ation
Basic Wind Speed /44A mph
Importance Factor o • 77
Exposure Category G
12'/2"
PANEL SCHEDULE Mb
e a vew.c e
rug u rai loam Z.' WAN
C7 .1 e....I!_,�GGa Gaea L• �r
CS MAE ES MIN .>. MN � MI e. .L71rs3a
aces lG �[ e:+,a`
CONCRETE WALL
X t�
LETTERS ATTACHED TO WALL BY- 54/4/ / 51.
TAPCONS THRU STANDOFF
INTO WALL*TAPCONS PER LETTER
(1) 20 AMP WEATHERPROOF
DISCONNECT SWITCH
LED POWER SUPPLY
ONE Out Door UL 506 Listed Transformer
PRIMARY GROUNDED:120 Volts, 1.5 Amp, 60Hz
SECONDARY:12 Volts, 60 WATTS
(1) 20A CIRCUIT REQUIRED. BY
OTHERS OR EXISTING SEE PANEL
SCH. FOR MORE DETAILS
13 12 THHN WIRE INSIDE V2° METAWC
CONDUIT TO BE USED FOR ALL
PRIMARY WIRING INSIDE SIGN. TO
EXISTING DR BY OTHERS ELEC.
ADDITIONAL NOTES
Electrical
Grounding and bonding as per NEC 250;
012 min. MINN, AWLS cooper wire, as required
Approved, weather proof 20 AMP
electrical service disconnected switch
as per NEC 600 -2, Inside Bell Box
012 Primary electrical book -up to
electrical supply as per NEC 0004,
Inside 1/2 min. Type RW flexible conduit,
or approved equal
A TOTAL OF 1 LED TRANSFORMERS
Q ONE Out Door UL 506 Listed Transformer
PRIMARY GROUNDED:120 Volts, 1.5 Amp, 60Hz
SECONDARY:12 Volts, DD WATTS
LOAD RATE 1.5 AMP - LESS
THAN 80% LOAD RATE
ALLOWANCE FOR 20AMP
GROUNDED CIRCUIT.
MASTER POWER SUPPLY SPECIFICATIONS
1P
Client:
Moth- station
urgent E. to -In Nedlral care
Site Address:
9600 NE 2nd Ave
Miami Shores, FL
Representative:
Eran
Date: Designer
04/21/09 D Davidson
Drawing:
KLEAN POWER ELECTRIC INC.
8601 SW 80 TH ST
SOUTH MIAMI, FL 33143
EC13002
IPt
SIGNS
THIS 5 AN ORIGINAL UNPUBLISHED
DESIGN CREATED BY COY SIGNS
SERVICES COMPANY. IT IS NOT TO BE
SHOWN OR EXHIBITED TO ANYONE
OUTSIDE YOUR ORGANIZATION.
REPRODUCTION OR CONSTRUCTION OF
DISPLAYS BASED ON THE DESIGN IS
SUBJECT TO COPYRIGHT LAWS AND
SUBJECT TO LEGAL ACTION.
Page: 2 Of 2
PERMIT DRAWING PROJECT:ILED INTERNALLY ILLUMINATED REVERSE CHANNEL LETTERS
28.25'
5' -7"
A WEST ELEVATION
Scale=3J32 " =1' -0"
59.58'
URGENT Cam"
Client
Meth Station
Urgent & Ik-m eimm care
Site Address:
9600 NE 2nd Ave
Miami Shores, FL
Representative:
Eran
Date: Designer.
04/21/09 D Davidson
Drawing:
E
IS
KLEAN POWER ELECTRIC INC.
6801SW80THST
SOUTH MIAMI, FL 33143
EC13002088
SIGNS,
THIS IS AN ORIGINAL UNPUBLSHED
DESIGN CREATED BY CITY SIGNS
SERVICES COMPANY. IT IS NOT TO BE
SHOWN OR EXHIBITED TO ANYONE
OUTSIDE YOUR ORGANIZATION.
REPRODUCTION OR CONSTRUCTION OF
DISPLAYS BASED ON THIS DESIGN IS
SUBJECT TO COPYRIGHT LAWS AND
SUBJECT TO LEGAL ACTION.
Page: 1Of 2
FACE
.090 ALUMINUM FACE-PAINTED RED
F - 1
RETURN
.063 AWMINUM PAINTED RED
R - 1
LED
DESIGNER RED
LED - 1
PERMIT DRAWING PROJECT LLED INTERNALLY ILLUMINATED REVERSE CHANNEL LETTERS
C INTERNALLY ILLUMINATED REVERSE CHANNEL LETTERS
Cc
SIGN DETAILS
Description:
Manufacture and Install (1)set of led
internally illuminated reverse channel letters
to read:
URGENT CARE + LOGO
FONT:ARIAL BLACK
T CARS
TOTAL SIGN AREA =20.37 SQ FT
Client
Med Station
Urgent a rYalk -In Medical Cana
Site Address:
9600 NE 2nd Ave
Miami Shores, FL
Representative:
Eran
Date: Designer.
04/21/09 D Davidson
Drawing:
KLEAN POWER ELECTRIC INC.
6801 SW 80 TH ST
SOUTH MIAMI, FL 33143
EC13002068
SIDE
THIS IS AN ORIGINAL UNPUBLISHED
DESIGN CREATED BY GOY SIGNS
SERVICES COMPANY. IT IS NOT TO BE
SHOWN OR EXHIBITED TO ANYONE
OUTSIDE YOUR ORGANIZATION.
REPRODUCTION OR CONSTRUCTION OF
DISPLAYS BASED ON THI5 DESIGN IS
SUBJECT TO COPYRIGHT LAWS AND
SUBJECT TO LEGAL ACTION.
Page: 1Of 2
MASTER POWER SUPPLYSPECIFICATION9
r+m+.
nos Mmr.m./..•• MM.. A m
.TY.\.B
..Ct W.mW
Cs ®I..dI um0Y4.4J
S.
4.m Pa.
.m•p,o.vtw.l6
Mme «WIR.,
psorgyteamosts
,r.
m•
o4s . , +n IN..®s.r+lwl
Cmam}wM.ivs
'..
•
PERMIT DRAWING PROJECT:LED INTERNALLY ILLUMINATED REVERSE CHANNEL LETTERS
FACE JUMPED INSTALLATION
David . o�s, RE # 17757
9731 • .W rStreet
Miami, F .33114 Ph U5481.1559
Job pia. Pa
Date:, 7— .3 — A
.090 ALUM FACE W /.063 ALUM SIDES.
1/8° ALUMINUM STAND OFFS (4) PER
LETTER MIN.
LED LIGHTIN
LIQUID TITS CONNECTOR
(1) 20 AMP WEATHERPROOF
DISCONNECT SWITCH
1/4° DRAIN HOLES
@ BOTTOM OF ALL LETTERS
AS REQUIRED BY N.EC. 600
FACE JUMPED INSTALLATION
FROM TRANSFORMER BOX TO LETTER OUT
OF LETTER THRU GTO SLEEVING (WB3760BLK100)
AND INTO NEXT LETTER BACK TO TRANSFORMER
TYPICAL (FACE JUMP) INSTALLATION
Wind Load Information
Basic Wind Speed / mph
Importance Factor o • 77
Exposure Category G
12th"
PANEL SCHEDULE
AL@COM COMIC= a• Q USW /ND MEM
aLUaB NX0e!"W41aC•x0O m I
•6 CCC, — WIC o awe to
Oml so
MMM
Cl•[fr. �LJ���f - ' leT� 111
CFI�>)F 11 71 M•IM ∎ — .1�— L1.IaaL
.J NJ rya t i :,0
MOM MN=
402.•
CONCRETE WALL
LETTERS ATTACHED TO WALL BY • K�y
TAPCONS THRU STANDOFF
INTO WALW TAPCONS PER LETTER
(1) 20 AMP WEATHERPROOF
DISCONNECT SWITCH
LED POWER SUPPLY
ONE Out Door UL 506 Listed Transformer
PRIMARY GROUNDED:120 Voits, 1.5 Amp, 6OHz
SECONDARY:12 Volts, 60 WATTS
(1) 20A CIRCUIT REQUIRED. BY
OTHERS OR EXISTING SEE PANEL
SCH. FOR MORE DETAILS
# 12 THEN WIRE INSIDE 1/2° METALLIC
CONDUIT TO BE USED FOR AU.
PRIMARY WIRING INSIDE SIGN. TO
DOS TING OR BY OTHERS ELEC.
ADDITIONAL. NOTES
Electrical
Grolmding and bonding as per NEC 2501
012 min. TNYMN, AMC cooper wire, as required
Approved, weather proof 20 AMP
electrical service disconnected switch
as per NEC 600 - 2, Inside Bell Sox
012 Primary electrical hook -up to
electrical supply as per NEC 600.2,
inside 112 min. Type RW flexible conduit,
or approved equal.
A TOTAL OF 1 LED TRANSFORMERS
Q ONE Out Door UL 506 Listed Transformer
PRIMARY GROUNDED:120 Volts, 1.5 Amp, 6OHz
SECONDARY:12 Volts, 60 WATTS
LOAD RATE 1.5 AMP -LESS
THAN 80% LOAD RATE
ALLOWANCE FOR 20AMP
GROUNDED CIRCUIT.
Client
Medi- Station
Urgent 0 NaBaln Meeleal Care
Site Address:
9600 NE 2nd Ave
Miami Shores, FL
Representative:
Eran
Date: Designer.
04/21/08 D Davidson
Drawing:
KLEAN POWER ELECTRIC INC.
6601 SW 80 TH ST
SOUTH MIAMI, FL 33143
EC13002068
SIGNS ■
THIS IS AN ORIGINAL UNPUBLISHED
DESIGN CREATED BY CITY SIGNS
SERVICES COMPANY. R IS NOT TO BE
SHOWN OR EXHIBITED TO ANYONE
OUTSIDE YOUR ORGANIZATION.
REPRODUCTION OR CONSTRUCTION OF
DISPLAYS BASED ON THIS DESIGN IS
SUBJECT TO COPYRIGHT LAWS AND
SUBJECT TO LEGAL ACTION.
Page: 2 Of 2
•
SITE PLAN
N
SIGN LOCATION
MEDI STATION
URGENT WALK IN MEDICAL CARE
SIGN LOCATION
URGENT CARE
NE 96th St.
NE 95th St.
Client
Med Station
Urgent & Walk-In Medical Cars
Site Address:
9600 NE 2nd Ave
Miami Shores, FL
Representative:
Eran
Date: Designer.
04/21/09 D Davidson
Drawing:
Drawing-
KLEAN POWER ELECTRIC INC.
6601 SW 80 TH ST
SOUTH MIAMI, FL 33143
EC13002068
SIGNS
0.77=
THIS IS AN ORIGINAL UNPUBLISHED
DESIGN CREATED BY CITY SIGNS
SERVICES COMPANY. IT IS NOT TO BE
SHOWN OR EXHIBITED TO ANYONE
OUTSIDE YOUR ORGANIZATION.
REPRODUCTION OR CONSTRUCTION OF
DISPLAYS BASED ON THIS DESIGN IS
SUBJECT TO COPYRIGHT LAWS AND
SUBJECT TO LEGAL ACTION.
Page: 10f 2
WALL SIGN INSTALLATION CHANNEL LETTERS
BOUNCE CHECK UNPAID
Passed j
Inspector Comments
� F
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled
re- inspection fee is paid.
until
I nspection Number: INSP- 117218 Permit Number: SGN -6 -09 -1024 I
Inspection Date: June 09, 2010
Inspector: Rodriguez, Jorge
Owner: MATZ, RUBEN
Job Address: 9600 NE 2 Avenue
Miami Shores, FL 33138-
Project: <NONE>
Contractor: KLEAN POWER ELECTRIC INC
Building Department Comments
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Permit Type: Sign
Inspection Type: Final
Work Classification: New
Phone Number (305)525 -8816
Parcel Number 1132060132510
June 08, 2010
For Inspections please call: (305)762 - 4949
Page 1 of 1
Protect Address
Owner Information
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204
CAMP BISCAYNE AT THE GROVE
Contractor(s)
KLEAN POWER ELECTRIC INC
Phone
Cell Phone
Fees Due
CCF
Education Surcharge
Permit Fee
Scanning Fee
Submittal Fee
Submittal Reversal Fee
Technology Fee
Total:
Amount
$1.20
$0.40
$128.57
$6.00
$50.00
($50.00)
$3.75
$139.92
Address
Authorized Signature: Owner / Applicant / Contractor / Agent
Building Department Copy
Expiration: 01/13/2010
Parcel Number
9600 2 Avenue
Miami Shores, FL 33138-
1132060132510
Block: Lot:
CAMP BISCAYNE AT THE GROV
Phone
Valuation: $ 2,000.00
Total Sq Feet: 0
9600 2 Avenue
MIAMI SHORES FL 33138-
(305)525 -8816
Type of Sign: Wall Sign
Electrical Sign: Yes
Height: 18
Width: 13
Color: RED
Plans Submitted: Yes
Classification: Commercial
Elevation:
Additional Info:
Invoice #
SGN -6-09 -35133
Check* 1842
SGN -7 -09 -35407
Check #: 0876
Total Amt Paid Amt Due
$ 50.00 $ 50.00 $ 0.00
$ 89.92 $ 89.92 $ 0.00
Applicant
Cell
For Inspections please call:
(305)762 -4949
Available Inspections:
Inspection Type:
Final
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 regulating
construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated.
July 17, 2009
Date
July 17, 2009 1
P2eturn to: I
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Bill To
RUBEN MATZ
CAMP BISCAYNE AT THE GROVE
9600 NE 2 Avenue
MIAMI SHORES, FL 33138-
Permit Type: Sign /
Work Classification: New
Date
Friday, April 23, 2010
Fee Name
04/23/2010 Expired Permit Renewal Fee
Invoice
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
For Inspections please call: (305)762 -4949
Invoice Number: SGN -4 -10 -37677
Invoice Date: April 23, 2010
Permit Number: SGN -6 -09 -1024
Bond Number:
'Comments:
Fee Type
Calculated
Total Fees Due:
Fee Amount
$128.57
$128.57
Payments
Date Pay Type
04/23/2010 Check
Check Number Amount Paid
1544 $128.57
Change
$0.00
Total Paid:
$128.57
Total Due: $0.00 I
BUILDING
PERMIT APPLICATI
FBC 2004
Permit Type (circle): ( Building) Roofing
Miami Shores Village
Building Department
90 050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
f ner'sNameFeesimple Titleholder) l < v‘3 — 116
O_wner's..Address - N - S�j S '
i -
City 1 4 e / State
Tenant/Lessee Name M S r e R4 - - 2 S
Job Address (where the work is being done) ' ‘o 0 0 N. -, 2 = .
City Miami Shores Village County Miami -Dade Zip
fro�iAR� 1I— 3ZO(0 -- 013 —
Is Building Historically Designated YES NO V
%Z1A) 0z (�� 0 0 Phone # ‘dc-- ,1.l�y
Contractor's Company Name
Contrac gr's As . ess did/ 4'1 SC .L
Ci
Qualifier Name
State Certificate or Registration No. /31)62,d 6,p
Type of Work:
Describe Worlc
eill�.cie
Structural Review. $
State
Value of Work For this Permit ed 4 47 0
■
['Addition DAltera 'on
ew
Permit No. sail 01- ! 024
Master Permit No.
Architect/Engineer's Name (if applicable) Phone #
UREiT c.ARE a.�d‘r
e
a2 �'s
"` Phone a$ b� zq o- 8131S
Zip 3 5134-
Phone # ( *(') ( 8* (0 0
Zip /‘-3.
Phone # €6 22, 3 cP -3.ry
Certificate of Competency No.
Square / Linear Footage Of Work: /ZS
/Replace LJ Demolition
******* * **** * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * ** *** 0*** * * * * * * * * * * * * * ** * * *** * * * * * * * *RR*
Submittal Fee $ ". X) — Permit Fee $ /c
P
Notary $ Training/Education Fee $ ()• Technology Fee $ 3
Scanning $ (Q' Radon $ DPBR $
Bond $ Code Enforcement $ Double Fee $
Total Fee Now Due $ ?col ca
CCF $ 1,.0 gO/CC --
Zoning $
See Reverse side —
•
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 ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a renspection fee will be charged.
Signature
Contractor
r 'flee for eg +' r: ' « : «<ent was acknowledged before me this V The foregoing instrument was acknowledged before -me this
v �
g (
,,, LAETIT VID
6 Pd a
•y Commission Expires Aug 14, 2010
Commission # DD 584902
Bonded By National Notary Assn.
day of � 20 by � _ , 'day of / .20
t who is
who is personally known
NOTARY PUBLIC:
My Commission Expires:
(Revised 07/10/07)
APPLICATION APPROVED BY:
R * * *RR *RR *R * * *RR **
/�/
0
or - or
lr:,T >, , ;$
s�' �.* L d Rt .
v • My Comtr r Expires Aug 14, 2010
• - , �, Corm�ton # DD 584902
'''•� Bonded By National Notary Assn.
NOTARY P
Sign:
Print:
orally kno
as
My Commission Expires:
by erzedle � .s
�)
Z40®
* *R* *Rat* ** ** ******* * * * * * ** * R********* R************* R****** * * *** * * * ** * * ** *R*** *RR* ***RR ***
Plans Examiner
Engineer
Zoning
From the desk of
Ruben Metz
1 t 200
` fz.. DAN L J DA caut s1 o
Apt Si-f'o 2 S
SI G A
iiZP3 Et,f ` l - z OW Pi 2. p r S tm i2 � r ,O O LL C
(q,00 N 2"° ) 1--1-4 2-E e i A-Peoi, -r
K t_ = a Pou) C -L.c G' 1 C i C t s i �r -'-
1l SiGr 2 ��v - P, Z rnEa2 LO
c cCOO N a .
D l P.44Z i ,A2S
- yd 4�0o,. "yo t.112 t<ttsj Coo E1 -T, 0 N
1
g
JUN 1 9 200
Y:
C9 -,1094
BUILDING
PERMIT APPLICATI
FBC 2004
Permit Type: Electrical
vner's - (FFe Simple Titleholder)
Owner's Address 4.14 i%l .. = Stlm
City 11 r 4 j t State .
Tenant/Lessee Name 11 a atz - r,., tea_ LAC.
. G Co
E -MAIL:
L,Inb-Ad.drewhere the work is being done)
City Miami Shores Villa e
LFOLBEELPARCE # 1 I— 3204- Ot 3 -- ZSd
Is Building Historically Designated YES NO
Contractor's Company Name /(-49& �O.Ja46,1A,'hoone 1'0 f- P/S
Contra tot's ddress �,��� .�� c gef
Ci /:j State fa
Qualifier Name
State Certificate or Registration No.
E -MAIL:
Architect/Engineer's Name (if applicable) Phone #
Value of Work For this Permit $ ' •
Type of Work: ❑Addition ❑Alteration
Describe Work
,1 s
Cry yip ea_os
cr ikr iJT CARE
p p �[ *******13******** * *** **** stir ************ F ees ** ** **** ***** ******* * ** **** ** ****** ******
A •
Su nittal Fee $ Permit Fee $ / 4" v .' ® P e CCF $ ® a 1y ' CO /CC
Training/Education Fee $ 0.90
Notary $
Scanning $ ( to 6 Radon $
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
1
New
Master Permit No. SCIN (ft- f 024
, 7Lc-a
) 8
zgD.8ts
Phone #
Zip 3313_
i'c oo N . _ . 2"°
Phone # (4-A(..)
County Miami -Dade Zip
Zip
Phone #
Permit No.
Technology Fee $
Bond $ Code Enforcement $ Double Fee $
Structural Review. $ Total Fee Now Due $ Y • ` %�
See Reverse side --
s
Certif ate of Competency No.
Square / Linear Footage Of Work:
❑ Repair/Replace ❑ Demolition
DPBR $ Zoning $
{ l
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 ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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 'ob si
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted
inspection will not be approved and a reinspection fee will be charged.
er or Ag
The foregoing t was acknowledged bef e me this d 5/
day of / 9 , 20 6,, by R v 47 , day of
who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sri
My Commission Expires:
APPLICATION APPROVED BY:
(Revised 02108/06)
, f /�.D/ o
Signatur
2 $JCo.it—'
Contractor
The foregoing ins ent was acknowledged before me
, by er„,,t(N. A
wn to me or who has produced
as identification and who did take
NOTARY PUBLIC:
Sign: J
Print: 7I / ti QN6 1
My Commission Expires:
** ** * *,8& Rattflf48* * ***R9AARWAA4AQRRRRA & &**** ***** 4**************&!&ARR*** ******** &AAMAA*********** **** ** r****
Plans Examiner
Engineer
Zoning
pteturn to: I
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
IBiII To'
RUBEN MATZ
CAMP BISCAYNE AT THE GROVE
9600 NE 2 Avenue
MIAMI SHORES, FL 33138-
Permit Type: Electrical - `Commercial / Work Classification: Sign
Date
Friday, April 23, 2010
Fee Name
04/23/2010 Expired Permit Renewal Fee
Invoice
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
For Inspections please call: (305)762-4949
Invoice Number: ELC -4 -10 -37678
Invoice Date: April 23, 2010
Permit Number: ELC -6-09 -1025
Bond Number:
'Comments:
Fee Type
Calculated
Total Fees Due:
Fee Amount
$160.00
$160.00
Payments
Date Pay Type
04/23/2010 Check
Check Number Amount Paid
1544 $160.00
Change
$0.00
Total Paid:
$160.00
Total Due: $0.00 I
Project Address
Owner Information
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138-0000
Phone: (305)795 -2204
CAMP BISCAYNE AT THE GROVE
Fees Due
CCF
Education Surcharge
Permit Fee - Additions/Alterations
Scanning Fee
Submittal Fee
Submittal Reversal Fee
Technology Fee
Total:
Amount
$0.60
$0.20
$160.00
$6.00
$50.00
($50.00)
$4.00
$170.80
Building Department Copy
Address
Parcel Number
9600 2 Avenue
Miami Shores, FL 33138-
1132060132510
Block: Lot:
CAMP BISCAYNE AT THE GROV
9600 2 Avenue
MIAMI SHORES FL 33138-
Contractor(s)
KLEAN POWER ELECTRIC INC
Phone
Cell Phone
Authorized Signature: Owner / Applicant / Contractor / Agent
Phone
(305)525 -8816
Applicant
Valuation:
Total Sq Feet:
Type of Work: ELECTRICAL SIGN FOR URGEN CARE
Additional Info:
Classification: Commercial
Invoice #
ELC -6-09 -35134
Check #: 1842
ELC -7 -09 -35408
Check #: 0876
Total Amt Paid Amt Due
$ 50.00 $ 50.00 $ 0.00
$ 120.80 $ 120.80 $ 0.00
July 17, 2009
Date
Expiration: 01/13/2010
Cell
$ 400.00
0
For Inspections please call:
(305)762 -4949
Available Inspections:
ZINETAffiReaMMESIMUMEINMESIMEN
Inspection Type:
Final
1
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 regulating
construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated.
July 17, 2009 1
Scheduled Inspection Date: May 24, 2010
Inspector: Devaney, Michael
Owner: MATZ, RUBEN
Job Address: 9600 NE 2 Avenue
Project: <NONE>
May 21, 2010
Miami Shores, FL 33138-
Contractor: KLEAN POWER ELECTRIC INC
Building Department Comments
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 117220 Permit Number: ELC -6 -09 -1025
For Inspections please call: (305)762 -4949
Permit Type: Electrical - Commercial
Inspection Type: Final
Work Classification: Sign
Phone Number (305)525 -8816
Parcel Number 1132060132510
ELECTRICAL WORK FOR URGEN CARE SIGN.
Passed
(v
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
-7// fria'7
/z9/
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