SGN-10-298BUILDING
PERMIT APPLICATION
FBC 20
Permit Type: BUILDING ROOFING. 4/0 40_, * Owner's Name (Fee Simple Titleholder) 4.5WeV ! Phone # 39C- 4 '3 7.0
Owner's Address
City '
Tenant/Lessee Name
Email
7, Nf S, sin
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
Job Address (where the work is being done) 9I1' K/ 4 _-
City Miami Shores Village County Miami -Dade Zip
FOLIO / PARCEL # // °7 Z- - 01 7 "39/e
Is Building Historically Designated YES
'Contact Phone
Archite
NO
pcmgwmfil
EB 26 201
Permit No. 5N IO ' `3
Master Permit No.
Contractor's Company Name de•./11 .alrs Phone #
Contractor's Address Lill
City
Qual'.i er Name
State Certificate or Re
Zip
Phone #
93/ ° 331°7
Flood Zone
-9f/6 3 y
stration No. 45:-
.53/77
Name Name (if applicable) f% 4 ' f1W-r� Phone # 7, " S ys- '/ 73.
Value of Work For this Permit $ 2. ® 00 lanear Footage Of Work:
Type of Work: ['Addition ['Alteration W ❑ Repair/Replace fi ❑ Demolition
Describe Work: s r t ir7 6.v"
*** * ** * ** * * * * ** * *** * ** ** * ** *** * * * * * *** F ees * *** * * * * * ** *pax *** * * * * * * ** *** * * *** ***** * * **
Submittal Fee $ 50 -CO Permit Fee $ /So oel CCF $ 1 • CO /CC $
Notary $ Training/Education Fee $ 0-40
Scanning $ 31-90 Radon $ DPBR $ Bond $
Double Fee $ Violation date:
Structural Review. $ Total Fee Now Due $ 1 (.Q '20
See Reverse side --�
Technology Fee $ jI ° C9O
Bonding Company's Name (if applicable)
Bonding Company's Address
City
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: YFR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RO.ULT IN YOUR PAYING TWICE FOR
IMPROVEMENTS TO YOUR => ROPERTY. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITgli' 'OUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF 0M IENCEMENT."
Notice to Applicant: As a condition to the is ` ance of a building permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the noe Otcommencement 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 seveW- (7)days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reins*tion fee will be charged..
The foregoing
day ofdt:
who'
erson
NOTARY P
State Zip
Sign:
Print:
My Commission Exp es:
(Revised 07 /10 /07)(Revised 06/10/2009)
Owner o A _ nt Contractor
ent was eknowledged before me this / ` The fore : omg instrument was acknowledged before me this if
20 /0 , by y ,t/ 1 , day of , 20/" by ill' /t%%e-t
known?o me or who has produced wh. '�
p p orally kno • me or "who as produced
cation and who did take an oath.
identification and who did take an oath.
.1
44.1. EXPIRES: April 16, 2012
41 BondedThni Budget Notary Services
Signature
NOTARY P 1
1
r ,
Sign:
Print:
My Commi
*
on Expires:
4,otaR;� R0BERTOJ SOLANA
* ' NI ;Ir 1117
EXPIRES: Apti116, 2012
4 3O F BondedThthBu tNgiy�g�(g�}
APPROVED BY ° �1> Plans Examiner �!� Zoning
Engineer Clerk checked
July 27, 2010
Miami Shores Village
Building Department
10050 NE 2 Ave
Miami Shores Village, FL 33138
To Whom it May Concern:
Regards,
Please contact me with any questions.
Jay McNeill
President/Qualifier
McNeill Signs, Inc.
#ES12000166
I MOEM
AUG 3 fl 2010
RE: Permit SGN- 2- 10-298 for Healthmart Pharmacy @ 9537 2 Street NE
555 SOUTH DIXIE HWY., EAST ,
POMPANO BEACH, FLORIDA 33060 -6985
Customer is anticipating operating their business at another location in Miami Shores Village and
elect to not install signage at the above location at the present time.
BROWARD (954) 946 -3474 DADE (305) 947 -0631 PALM BEACH (561) 737 -6304
FAX (954) 946 -8051
BUILDING
PERMIT APPLICATION
FBC 20
Permit Type: ELECTRICAL
Owner's Name (Fee Simple Titleholder) �f',/4 s / 340 '" / " .✓ Plione # 3'oP . Y' °
Owner's Address
City State Zip
Tenant/Lessee Name /4012,';d4~04
Email
Job Address (where the work is being done) 9.3:3,x 5 /t/ 2 ' 1 "a0—
City Miami Shores Villa. e County Miami -Dade
FOLIO / PARCEL # — 32 t' _ ® /3 P 37/ 0
Is Building Historically Designated YES NO
Contractor's Company Name
's Address .. rf J - to
1 72,:y ltee9rg/i,
State
Qualifier Name
State Certificate or Registration No. ..� /04,®o //v .
Contract •
City
Contact Phone
7/ V/1/ .S�j sr:
ArchitecfIngineer' Name (if applicable)
Value of Work For this Permit $
Type of Work: ❑Addition
Describe Work:
Double 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
-mail
Certificate of C
Phone #
Notary $ Training/Education Fee $ l J L3
Scanning $3 - 00 Radon $ DPBR $
Phone #
Permit No. E LC ID • 3 4.,
Master Permit No.
Phone # 14 3/ - 3.3 ..r/
Zip
Flood Zone
* *7 -9y4 737
LEBr;6
BY:
,',',/, -- /
Linear Footage Of Work: e fi
❑ Repair/Replac ❑ Demolition
******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** F * * * * ** * * ** * * * * * * * * * * * * * * * * * * * **
Submittal Fee $ Permit Fee $ af CCF
Technology Fee $
Bond $
Violation date: /�
Structural Review. $ Total Fee Now Due $ 1 t C 'J
See reverse side
CO /CC $
n-C
Bonding Company's Name (if applicable) /f
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 willbe 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 7 0R -- ''' , 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 commenceme 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 (t e building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a re- inspection fee x ill be cFiarged.
Signature
Contractor
The foregoing in ru ent was acknowledged before me this , 7 The foregoing instrument was acknowledged before me this E'
day
v , by Raged 1■41
me or who has produced
As identification and who did take an oath.
NOTARY PUB
.49 1.Y. `ezt, ROBERTO J. SOLANA
; MY COMMISSION #DD761I97
aoc:+ EXPIRES: April 16, 2012
4% T m BudaetNotuvSeMces
Sign:
Print:
My Commission Expires:
APPROVED BY
(Revised 07 /10 /07)(Revised 06/10/2009)
i
kfrA- /.Plans Examiner
Engineer
day of
who •
NOTARY Nye
Sign:
Print:
My Commission Expires:
,20/0, ®y #'iy ,
me or who as produced
as i• - s tification and who did take an oath.
* EXPIRES: April 16, 2012
Banded Tin Budget Notary Servlces
Zoning
Clerk checked