SGN-09-1965Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
CL-
Inspection Number: INSP- 130295 Permit Number: SGN -11 -09 -1965
Scheduled Inspection Date: February 01, 2010
Inspector: Bruhn, Norman
Owner: MATZ, RUBIN
Job Address: 9710 NE 2 Avenue 9714
Project <NONE>
Miami Shores, FL 33138 -0000
Contractor: FAST SIGNS
Building Department Comments
January 29, 2010
For Inspections please call: (305)762 -4949
Permit Type: Sign
Inspection Type: Final
Work Classification: New
Phone Number (786)290 -8815
Parcel Number 1132060132350
Phone: (305)945 -4700
Passed / W- /C)
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspector Comments
Page 5 of 18
Project Address
Owner Information
Fees Due
CCF
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$0.60
$0.20
$100.00
$3.00
$0.80
$104.60
Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204
Buildg Department Copy
Deceml• 04, 2009
Address
Authorized Signature: Owner / Applicant / Contractor. ./ Agent
Expiration: 01/01/2999
Parcel Number
Phone
Contractor(s)
FAST SIGNS
Phone ,;•. ell Phone
(305)945 - 47013;;
Type of Sign: Wall Sign
Electrical Sign: No
Height:
Width:
Color:
Plans Submitted:
Classification: Commercial
Elevation:
Additional ibfo:
Invoice# Total Amt Paid Amt Due
SGN-11 05- 365iIS $ 104.60 $ 104.60 $ 0.00
Applicant
9710 2 Avenue Number: 9714
Miami Shores, FL 33138 -0000
1132060132350
Block: Lot:
SHORES VILLAGE PARTNERSH
SHORES VILLAGE PARTNERSHIP LLC
FL
December 04, 2009
Date
CeII
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`fFiereto and in strict conformity with the plans, drawings, staterrients or specifications submitted to the proper authorities of Miami Shores Village. In
accepting s permit I assume responsibility for all work done breither Myself, my agent, servants, or employes. I understand that separate permits are
required fc>r LECTRICAL, PLUMBING, MECHANICAL WINDOWS, DO,ORS;'ROOFING and SWIMMING POOL work.
OWNERS I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
constructicand zoning. Futhermore, I authorize the above -named contractor to do the work stated.
1
BUILDING
PERMIT APPLICATION
FBC 20
Permit Type: BUILDING ROOFING
Owner's Name (Fee Simple Titleholder) r { N X12: Phone # 5.(o - ��0 r geA
Owner's Address A 1� 71 c -
City V- l (A State !_ _
Tenant/Lessee Name
Email
Job Addres where the work is being done) 9 7 1'f a ( Z " Avt l it
City Miami Shores Village County Miami -Dade Zip 33 13
FOLIO / PARCEL # I 1 ' ?1 013 2 3
Is Building Historically Designated YES NO___X____ Flood Zone
Contractor's Company Name En, 5- S C'1 S Phone # 305 — qq5 1'700
Contractor's Address 1 %(p `2S � (S i •
cit X4 1O � Y11 ch state o� t
ty N q� �1 1A�1 `r ��► ? � �
Qualifier Name c\T baker Phone # ?)C q"(S t- ro
State Certificate or Registration No. - 1 - TN‘ 20 IREDbi Certificate of Competency No.
Contact Phone r > — e kE) 7OO E -mail � VcC 51 C.re)
Value of Work For this Permit $
Type of Work: ❑Addition
Describe Work:
gineer's Name (if applicable) IM 44,44. (/1 �M j f�'z,� Phone # 3 tJ �" s Z �j 3 637
Notary $
Miar i Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
N r6 W t 4) a..� Si
Submittal Fee $ Permit Fee $
/eon
Master Permit No.
Zip 17 7
Phone #
6-
S0 0 Square / Linear Footage Of Work:
❑Alteration ❑New ❑ Repair/Replace ❑ Demolition
xi * * * * " * * * * * * * * * * * * * * *** ** * * *** F ees * * * ** * ** * * * * **** * *** * * * * *x * ** * * ** ** * * * * * ***
CCF $
Training/Education Fee $ • dO Technology Fee $ 'E6
Scanning $ F6C) Radon $ DPBR $ Q Bond $ �1
Double Fee $ Violation date:
Structural Review. $ Total Fee Now Due $
NOV Ai 3 G 2000
B Y: JN - _) - - - - --
Permit No. s 4'0
L
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 reinspection fee iyi11 be charged..
Signature
or Agent Contractor cl (s/ C °Anal --
The foregoing instrument was acknowledged before me this 1 The foregoing instrument was acknowledged before me this l `
day of OW , 20 a. by day of % CD i.) , 20 07 , by
who is personally known to me or who has produced who is personally known to me or has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print
My Commission Expires:
Sign:
Print:
NOTARY PUNIC-STATE OF FLORIDA
My Commission Expires: Sandra D. Halt
Commission #DD8673$9
" Expires: APB. 02,2013
IMBED TEM tirrn►rr[C Kelm° CO. Die
NOLARY �+Li -STATE 0P }WRIDA
r . Sandra D. Hart
L F Commission #DD867559
, ' Pvnires• APR. 02, 2013
Ennr co. me
APPROVED BY Plans Examiner
(Revised 07 /10 /07)(Revised 06/10/2009)
Engineer
Signature
72.
NOTARY PUBLIC:
54-.42 Qi6a-
-2-/i 07
Zoning
Clerk checked
BUILDING Permit No. k\, Qs
PERMIT APPLICATION Master Permit No.
FBC 20
Permit Type: BUILDING ROOFING.
Owner's Name (Fee Simple Titleholder) ['(, E ireJ v"lkT Z Phone #
Owner's Address
City State Zip
Tenant/Lessee Name
Email
Job Address (where the work is being done) . 111 -1 A) G we /Cu 61Amg
City
FOLIO / PARCEL #
'Contact Phone
Submittal Fee $
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
Phone #
Miami Shores Village County Miami -Dade Zip ' 3 l 3 1>
E -mail
Phone #
* * * * * * * * * * * ** ** ** * * * ** * * * ****,r * * * * *** F ees * *, ****** x*** * * * * *** * * ** * * * * *x * * * ** * * *******
Permit Fee $ CCF $ CO /CC .$
Notary $ Training/Education Fee $ Technology Fee $
Scanning $ Radon $ DPBR $ Bond $
Double Fee $ Violation date:
See everse side
li_MTMWE
Mt NOV 3 2009
Is Building Historically Designated YES NO Flood Zone
Contractor's Company Name
Contractor's Address
City State Zip
Qualifier Name Phone #
State Certificate or Registration No. Certificate of Competency No.
gineer's Name (if applicable) !M ANA- C \ w,PA LL Phone # 3 o S� $ 2� ' 3 3 7
w
Value of Work For this Permit $ cO Square / Linear Footage Of Work: 1
Type of Work: ['Addition ['Alteration ['New ❑ Repair/Replace ❑ Demolition
Describe Work: 1 51r+ 514 ry f\ 9 PC.t t&2 f) w✓J C.�,�
Structural Review. $ Total Fee Now Due $
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, 13OILERS, 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 afier the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a re pection fee will be charged.
Sign:
Print:
APPROVED BY
Signature 4 Signature
er or A. Contractor
The foregoing ent was acknowledged before me this The The foregoing instrument was acknowledged before me this
day of I)oUt , 20 Ol, by 41104 , day of , 20 _, by
who i ers:ray crow a or who has prrg000 /, who is personally known to me or has produced
As identification ... 11 w as identification and who did take an oath.
.. .. .., k pb. l ,,
:: ->GO 9 �st 9, , NOTARY PUBLIC:
NOTARY PUBLIC:
My Commission Expires:
(Revised 07 /10 /07)(Revised 06/10/2009)
r ▪ •
• ROD 8 08141
%99 e°nGed tln�► r / 'o.
►• o :*
• Plans Examiner
Engineer
Sign:
Print:
My Commission Expires:
Zoning
Clerk checked
VINYL APPLICATION
BAYSIDE INSURANCE ADJUSTERS
MIAMI SHORES
FAST
S?gn &Graphic Soiutons Mode StmpJe.
• ..
"BAYSIDE" is 5.8" high & 36" wide
"WAVE" is 15" high & 82" wide •••:•.
"INSURANCE ADJUSTERS" is 25" high & 42" wit*.
"PHONE NUMBER" is 2" high & 17" wide ..
"OPENING HOURS" is 4.7" high & 18" wider• ••
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Nov 3 G 2009
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APPROVED
ZONING DEPT
BLDG DEPT
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Miami Shores.ViilE
BY
SUBJECT TO COMPLIANCE WITH A
STATE AND COUNTY RULES AND R
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pt, /vim-
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FEDERAL
GULATIONS
VINYL APPLICATION
BAYSIDE INSURANCE ADJUSTERS
MIAMI SHORES
•
"BAYSIDE" is 5.8" high & 36" wide ' ▪ '
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"WAVE" is 15" high & 82" wide ••.:.•
"INSURANCE ADJUSTERS" is 25" high & 42" wltte.
"PHONE NUMBER" is 2" high & 17 ". wide .....•
"OPENING HOURS" is 4.7" high & 18" wide••
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FASTSIGNS.
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SUBJECT TO COMPLIANCE WITH ALL FEDERAL
STATE AND COUNTY RULES AND REGULATIONS