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SGN-11-254• Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 156013 Permit Number: SGN -2 -11 -254 Scheduled Inspection Date: September 08, 2011 Inspector: Bruhn, Norman Owner: SHANDLOFF, NED Job Address: 9801 NE 2 Avenue Miami Shores, FL 33138- Project: <NONE> Contractor: NEON SIGN SOLUTIONS INC Permit Type: Sign Inspection Type: Final Work Classification: Addition /Alteration Phone Number ()- Parcel Number 1132060134380 Phone: (305)592 -5202 Building Department Comments BLACK ALUMINUM HANGING WALKWAY SIGN WITH WHITE LETTERS LOCATED ON THE BUILDING OVERHANG. Passed,' Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments September 07, 2011 For Inspections please call: (305)762 -4949 Page 5 of 47 ;301 1 U7_ 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 BUILDING PERMIT APPLICATION FBC 20 Permit No. Master Permit No. Permit Type: BUILDING OWNER: Name (Fee Simple Titleholder): 5 A .,4 N R e Al /11 Phone #: Address: ' i 0 / • M g 0 0 L 33 t City: State: Zip: Tenant/Lessee Name: f /Ore ii et 4 -A*on 6 er H 1 P4 Phone #: Or. 251 . 17 3 7 Email: JOB ADDRESS: ,Z IS Ne City: Miami Shores County: Folio/Parcel #: /1- 32.06 - 0/ 3— ((3 O Is the Building Historically Designated: Yes Miami Dade Zip: 33 13 fl NO ✓ Flood Zone: Phoned -'315 -caaq CONTRACTOR: Company Name: (er 9 t So (..o7 C0I3 > Address: S 50 ' � 5t 1' 2 I it' State: Zip: 33 (72 Qualifier Name: To / 1 6 A- P-12 A 000 7 0 Certificate of Competency #: 04 6 0 0 f/ 2- 0 Email Address: t�e014 • 80 /c/ ,1l 0 1( to $v v/ 4 14 Phone #: City: bC) 'L � L' t11'2� -2'�i State Certification or Registration #: Contact Phone#: ` � �,L ' Z 0 2 DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: Address ❑Alteration New Desc apt ou of Work: /3To., R /vim, 1.4 •"/P) h 4 it 4 . ❑Repair/Replace w•+.« w," 1_ 2. 73.. ❑Demolition h COLOR THROUGH ROOF TILE IS REQUIRED acknowledged by: x***+*** * * * * *x *x * *x *x *xxx * * * * *x * * * * * * ** Fees******x****** * + * * * * * * * * * * * * + * * * * * * * * * * * * * * ** Submittal Fee $ Permit Fee $ /00 ®`) CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ cti y a tc .t 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 s. 1 OWNER'S AFFIDAVIT: I certi all the foregoing information is accurate' and that all work ill lie done in compliance with all applicable laws regulating coinst ul tiofflnd zorlingt ►'4� -‘ \ W IP ' O, OWNER: YOUR FAI R. Ec � NOTICE OF l� • COMMENCEMENT MAY RESULT 'IN YOUR PAYING 'TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR , LEND :R _OI ,.&N d ATEQ1NEY BEFORE RECORDING YOUR NOTICE OF COMMENu1IVIENT." Notice to Applicant: As a condition to the issuance of a building permit with an estirnati 'vaPu? e gc&'ds g 90; Lithe 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 ).4 - e� -t:�iL v `'�- Q��✓J� S Owner or Agent The foregoing instrument was acknowledged before me this O day of PC, , 20 ) f , by 2 . J r j e A ( - 1 1 1 - ° - - 5 " who is personally known to me or who has produced 0,1102- -• As identification and who did take an oath. NOTARY PUBil . Sign: Print: • The foregoing instrument was acknowledged before me this day of , 20 f i, by SOR.(o 2 /- - 1;0■RQrd4-6A- who is personally own to me or who has produced as identification and who did take an oath. My Commission txp.. APPROVED BY SAND" . State of 113 c. = MY Comm- Expires P 79599 CfImmss“rn # 00 Nolan Pubik A t 12.201 NOTARY;1gUBLIC • ,Print; My Commissio • y Comm. Expires Apr 12, 2019 47 Commission N DD 819519 i, ,it Ar,nded Through Woad Notary Assn. (Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09)(rev6/4/10) Plans Examiner Structural Review Clerk Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CONTRACTORS' REGISTRATION FORM ALL CONTRACTORS MUST PROVIDE COPIES OF LICENCES AND INSURANCES EACH TIME A PERMIT IS SUBMITTED OR THE VILLAGE MAY MAINTAIN A FILE WITH YOUR INFORMATION FOR A $30.00 FEE PER YEAR. IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. COPY OF QUALIFIER'S STATE LIC CARD B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF LIABILITY INSURANCE (CERTIFICATE HOLDER TO BE MIAMI SHORES VILLAGE BLDG DEPT) D. COPY OF WORKERS COMPENSATION (EITHER CERTIFICATE OR EXCEMPTION) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICE OF COMPETENCY OF QUALIFIER B. COPY OF MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT C. COPY OF LIABILITY INSURACE (CERTIFICATE HOLDER MUST BE MIAMI SHORES VILLAGE BLDG DEPT) D. COPY OF WORKER COMP INSURANCE (EITHER CERTIFICATE OR EXEMPTION) YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE HOLDER AS FOLLOW: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 BUSINESS NAME: COMPLETE CONTRACTOR'S INFORMATION Ni 0I.) 5(60 So1 vreocl.9.s loo BUSINESS ADDRESS: > >o au.) 4 244 51 By I CITY PCra STATE P L ZIP CODE 33 2° BUSINESS PHONE: (30, ) q2--S 20 2 FAX NUMBER ( 705. ) 5-'72-5207 CELL PHONE (30; )54 °2/ 61.- QUALIFIER'S NAME: TO 126% °. �' r�r1212J �i QUALIFIER'S LIC NUMBER: 0 4- 6- 0 0 I/ 2 t� E -MAIL ADDRESS (IF APPLICABLE): Created on 3119109 BY MLDV 1 RV 3126109 MLDV ACORD,„ CERTIFICATE OF LIABILITY INSURANCE 1 i 2/ Q � NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO 50 SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. PRODUCER OVERSEAS INSURANCE AGENCY P. O. BOX 162936 MIAMI, FLORIDA 33116 Serial # B2081 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NEON SIGN SOLUTIONS INC. 9550 N.W. 12 ST BAY # 14 B MIAMI , FL 33172 I A INSURER A: NOVA CASUALTY COMPANY INSuRER B: KINGSWAY AMIGO INSURANCE CO INSURER C: ASCENDANT INSURANCE CO 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 CONTRACT OR 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 TYPE OF NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO 50 SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. Al irwn�``wr�rGnwQeawFSENTATIVE �1 • POLICY f ikVE r r i:.:f.:et,,r:x�'i 1. �IH�y_tr . l: *,J 1 ;:::Ir tf/ L4tt1T3 POLICY A GENEML LIABILITY COMMERCIAL GENERAL LIABILITY 6 �� V v�ry 01/29/11 01129/12 EACH OCCURRENCE $ 1,000,000 FIRE DAMAGE (Any uiefare) $ 100,000 ■■ CLAMS MADE X OCCUR MED ExP (Any one person) s 5,000 X -250 DED PERSONAL a ADV INJURY $ 1,000,000 GENERALAGGREGATE $ 1,000,000 GEN'L AGGREGATE UM— APPLIES PER PRODUCTS - COMP/OP AGG $ 1 000,000 X POLICY ■ PRO- . LOC B AUTOMOBILE LlaMUS' ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS CA 70961 -06 1/22/11 7/22111 cot+�INEa SINGLE LIMIT (Ea accident) s 30,000 CSL _ BODILY INJURY (Pa' s) $ BODILY INJURY (Per t) $ 1 PROPERTY DAMAGE (Pert) $ GARAGE LIABILITY AIIY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EAACC $ AUTO ONLY: AGO $ EXCESS LIABILITY EACH OCCURRENCE 5 OCCUR CLAIMS MADE AGGREGATE 5 DEDUCTIBLE RETENTION $ $ ■ $ s C WORKERS COMPENSATION AIM EMPLOYERS' LJAt$tUTY WC- 61140-1 1010512010 10/05/2011 roR i ITS ER E.L EACH ACCIDENT $ 100,000 EL DISEASE - EAEMPLO » $ 100,000 EL DISEASE - POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONSI OCATIONSJNEHICLES SIGN ERECTIONS, INSTALLATION PROVISIONS EXCLUS30MS ADDED BY ENDORSEMEN7)SPEOAL AND REPAIR CERTIFICATE HOLDER j 1 ADDITIONAL INSURED. INSURER LETnx CANCELLATION 1 MIAMI SHORES VILLAGE BUILDING DEPARTMENT 10050 NE 2 AVE MIAMI, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WU. ENDEAVOR TO MIL 10 wars WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO 50 SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. Al irwn�``wr�rGnwQeawFSENTATIVE �1 • ACORD 25-S (7/97) O ACORD CORPORATION 1988 t /5014AM-DADE COUNTY 2010 LOCAL susrmrss- TAX RECEIPT - 2.- 2014 .-.- : ,_ . _::_ FIRST.CLAS 1 TAX COLLECTOR ralA-DADE COUNTY - STATE OF MORICA - US. F--OSTAt ' -1401#1.. FLAGLM ST... EtPIRES SEPT. Se, 2all - - - _ PAID '1St -FLOOR MUST:SE DESPLAYED AT PLACEOF_BUSIN-ESS: _ --_-_----- -...-. - , -,--.:.._ AGM% FL WALL =30 KTPZIIANT -TO OCUMY CODE CHAPTER- BA-- AFtT;S• az ltr.- .... •---.- PET NO..1 HIS Is NOT A SILL - DO f'.1OT PAY - 522443-1 RENEWAL- - - sumEss NAME; LOCATION mummml 546010-0 NOM SIS scLurrems IC . cc it C4E601120 9550 NW 12 ST 143 33172 TIORAL OWNER • NEON SIGN SO1.131TONS INC See, Type al Susimess 1424 S?EC FgFcTRTnAL 7ws is. _owe a 6 c.261 =SIM= T4 CMPT. IT • DOES IcIOT PMAIIT HOLUM TO VIOLATE ANY OZZTVW REV-MAMMY oN ZON3= LAWS OP -me COUNTY OR NOR Fsos rr EXErt m PMT 05 LiCENSZ MCW;a33.3Y LAW. TieS IS NOT A CER 1 I I.:CATION OF THE .140I.0EWS Or;AuFrOA- 1101. :*PLMAI:RECEIVEO. IY.QcottecrolitOP-1. tArx r:/-)11,MMTAX. 09/13/Z010 6909609D243 SEE OTHER SME WORXER/S r.RNTRAnTeR, DO NOT FORWARD NEON SIGN SOLUTIOMS INC JORGE IDARRAGA PRES 9550 NW 12 ST #14B MIAMI FL 33172 1 1 r„ I 1 117,A , .E.o 7,1 IA 0 44 7,1", e e • "op a Corieri Trades Qs.s5r)irtg Seard • SUSiNESS CERTiFiCATE OF COMPETENCY 04E001120 iVEON SIGN Snii 'ilinNq DA RAGA JORGE cesw-va =ter ale -prtritems of Chapter 10 ta • 4 Law Office of Florence Chamberlin, PA 215 NE 98th Street Miami Shores Sign Details Font : Century Gothic Height : 22W"X33"H X .080 thick Oval Aluminum Sign Blank Color : white Letters /Black Background (Non Electrical Sign) Vinyl letters V Law Office of Florence Chamberlin, PA • IMMIGRATION LAW 33" 22" Proposed Sign Location Buttom of sign is located 9' off the ground 12.5' W Law Office of Florence Chamberlin, PA 215 NE 98th Street Miami Shores Law Office of Florence Chamberlin, PA 215 NE 98th Street Miami Shores Sign Details Font : Century Gothic Height : 2.36 "' Color : white (Non Electrical Sign) Vinyl letters 10.5 1.5 1 Law Office of Florence Chamberlin, PA IMMIGRATION LAW (305) 758 -7733 23 Law Office of Florence Chamberlin, PA IMMIGRATION LAW (305) 758 7733