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SGN-11-1062Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 160833 Permit Number: SGN -6 -11 -1062 Scheduled Inspection Date: September 08, 2011 Inspector: Bruhn, Norman Owner: OSMAN & DE LA ROSA, OMAR & TANYA Job Address: 9101 PARK Drive Miami Shores, FL Project: <NONE> Contractor: NEON SIGN SOLUTIONS INC Permit Type: Sign Inspection Type: Final Work Classification: New Phone Number Parcel Number PARC2003 -28 Phone: (305)592 -5202 Building Department Comments SIGNAGE FRONT AND BACK OF THE BUILDING. ACRYLIC LETTERING Inspector Comments Passed 077. Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. September 07, 2011 For Inspections please call: (305)762 -4949 Page 12 of 47 Miami Shores Village Building Department 7 JUN 092011 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING Permit No. L1 L� PERMIT APPLICATION Master Permit No. FBC 20 Permit Type: BUILDING OWNER: Name (Fee Simple Titleholder): °Sfia r' Cs!J'lCt f7 Phone #: Address: lO ( l��?�.�0/e2'•v�2 . City: /LLt R0?) t Sti© X2..5 State: ►r�--i Zip: 1-31-3 Sl Tenant/Lessee Name: Phone #: Email: "1A JOB ADDRESS: Ci (O / e(40,14 472t'/ Q City: Miami Shores County: 0'Q Miami Dade Zip: 3 'at 3 r Folio/Parcel #: it " 3:•D iv •0/C1 /3 "7- c7 Is the Building Historically Designated: Yes NO X. Flood Zone: Sl6r` • CONTRACTOR: Company Name: Al e-0", Sfl l vh a � S ® . G • Phone #: ,3 05 3T - Address: •- rn , 6 SS°-5 / /2 R dQ • ft9# lYI,$ City: A/4 k- / ✓ State: jC-( Zip: 33 ! Qualifier Name:3 '6 Q rOG Phone #: State Certification or Registration #: Oi EOO t (20 Certificate of Competency #: Contact Phone #: f-tr6 • 3) S - c) 2.1-L Email Address: 6 O Q `t St S)^o rE2'1 a/vt p d • ces DESIGNER: Architect/Engineer: i ieCU . 4( Phone #: 7314 • 31 1 r:d �Z lit Value of Work for this Permit: $ 1, / 0 0 Square/Linear Footage of Work: Type of Work: Address ❑Alteration ❑New ❑Repair/Replace ❑Demolition Description of Work: 9 /Flo s C,e /era.7/ f: r 6 ii ell''' t sv „az,, 8b4.01 ttl. R? o a, c ' m: i ',PIA i y1 3c d �.tba1 '�_' ' ,� -571: ;?ir1P1ilan `1 COLOR THROUGH ROOF TILE IS RE ED acknowledged by: Submittal Fee $ Permit Fee $ %ems 4" CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ 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, 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 'bsence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Owner or Agent The foregoing instrument was acknowledged before me this day of Fa--a , 20 (/ , by LI "2,kQ.tt, V o e.'- who is personally known to me or who has produced 0404-(t "%c.c.s 42,--As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Signature Contractor The foregoing instrument was acknowledged before me this 0 Y day of tJ°YL' , 20 I / , by - 70,2-64 who is personally known to me or who has produced as identification and who did take an oath. My Commission Expires: * * * * * * * * * * * * * * * * * * * * * ** °s Nary Public -SWI12. 2013 My Co • = My Comm. Expires AP y P;: Commission • 00 079599 ..-4�∎ Vie Bonded Through Nalior7, • * •** * * * *** •***** * * * * *** * * **** **** NOTARY PUBLIC: Sign: Print: APPROVED BY 6 -70-(/ (Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09)(rev6/4/10) Plans Examiner Structural Review Notary Public - State of Florida • My Comm. Expires Apr 12, 2013 Commission N DD 879599 4bF•W1 , Ar•nriul •. .• . \t,i:.• q. ti• ., 9S4n. * * * * * * * * * * * *t * * * * * * * ** Zoning Clerk AZ Omar Osman, D. D. S. 9101 -9111 Park Drive Miami Shores, FL 33138 Sign Details Font : Futura Height : 4" Color: Black 15" Vilmed 4" MEDICAL OFFICE 1 4" 13" OMAR OSMAN, D.D.S. 1 4" GENERAL DENTISTRY 14" 45" 60" Q 9101 - 9111 PARK DRIVE OMAR OSMAN, D.D.S. 4" 13" GENERAL DENTISTRY 14' 45" 60" 109" 148" East Elevation 298" Omar Osman, D. D. S. 9101- 9111 Park Drive Miami Shores, FL 33138 Sign Details Font: Futura Height : 4 "& 3" Color : Black 34" 34" 1107" 9111 14.7" 9101 13.5„ lifted MEDICAL OFFICE 32.84" OMAR OSMAN, D.D.S. GENERAL DENTISTRY 60" 4 ,' 3,, 4„ 13"