SGN-11-1750Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP - 164775
Scheduled Inspection Date: February 21, 2012
Inspector: Bruhn, Norman
Owner: SHANDLOFF, NED
Job Address: 211 NE 98 Street
Miami Shores, FL 33138 -0000
Project: <NONE>
Contractor: HOME OWNER
Permit Number: SGN -9 -11 -1750
Permit Type: Sign
Inspection Type: Final
Work Classification: New
Phone Number ()_-
Parcel Number 1132060134350 -211
Building Department Comments
VINYL STICKERS SIGN
Inspector Comments
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
February 17, 2012
For Inspections please call: (305)762 -4949
Page 7of34
.p14 111 -M-
BUILDING
PERMIT APPLICATION
FBC 20
Miami Shores Village
Building Department SEP 2 2U11
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949 ` c,
Permit No q t) 11 O
Master Permit No.
Permit Type: BUILDING ROOFING
OWNER: Name (Fee Simple Titleholder): •S (4 A Pc4 k A C2 Y Cho Phone #:
Address: gP `t. 17 4 O P (n1 K Pr
City: Q c c4 fiZ c rd State: t . Zip: 3 ��
Tenant/Lessee Name: _G' p
e . (60 vi S �• 1es • C'ovri
Email:
JOB ADDRESS:
021 1 g 9556i-
City: Miami Shores County:
Folio/Parcel #: I I 320to .0113 4 3 `6ID
Is the Building Historically Designated: Yes NO
Phone #: � ' 14510 - S 3F) 7
Miami Dade Zip: 33) 3
Flood Zone:
CONTRACTOR: Company Name: ..�1r) I y'1° 551 t )P. �f e /t'�' 5Phone;t1:
Address: L-12.13 503 6 Th ,9 not
City: not. rn v State: 1(.� Zip: 3365
Qualifier Name: ! i yi , 1 1"
State Certification or Registration #:
Contact Phone #:� �j
Phone #: 3o6-a c? (ob • �b'S 7
�C 3 . �0 I ' p S0GI I °i C 4ificate of Competency #:
3 '59 3 ° Email Address: .4 all-el ( l 11 \(,P j S ° Cr we
DESIGNER: Architect/Engineer:
Coc�i1 �, a hone #: `3 0S • 3 3 I " wi 3
/� _ OOP
Value of Work for this Permit: $ 1 l5 r Square/Linear Footage of Work:
Type of Work: Addition ff CC
Description of Work: c°5 i i ' U (l 1 CJ'k ( e '(^5
OAlteration New
ORepair/Replace
®Demolition
* * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee $ Permit Fee $
Scanning Fee $ Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
CCF $ CO /CC $
DBPR $ Bond $
Technology Fee $
TOTAL FEE NOW DUE $ �.J 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 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 1�. approved and a reinspection fee will be charged.
Signature Signature
Owner or Agent
The foregoing instrument was acknowledged before me this ( The foregoing ins ent was acknowledged before me this / '
day of sefr, 20 1) , by ,IJEl) 34'1'4 1`1D" F� day of re-44 1:340 1) , by ppw4
own to me or ho has produced who is personally known to me or who has produced P iP) t4 t -
119_10_j1-60 -• 78 ,'?aentification and who did take an oath. e -
NOTARY PUBLIC:
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
NOTARY PUBLIC -STATE OF FLIMr.
V. L. Goldman
Commission #DD910671
Expires: AUG. 08, 2013
BONDED THRI' ATLi..\NTIC BONDING CO., INC.
Sign: 444 1 — ',y1
Prilit: rid e
My Commissi
* * * * * * * * * * * * * * * * * * * * * * * ** ** *********** * * * * * * * * ** * * * * * * * * * * * * * * * ** * * **
APPROVED BY
r
A.
Plans Examiner Zoning
Structural Review Clerk
(Revised 07 /10 /07)(Revised 06 /I0/2009)(Revised 3/15/09)
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We, the Staff of Inkpressive Print Studio welcome any questions or concerns, so please do not
hesitate to contact us!
Thank you,
Yanel Alfonso
Inkpressive Print Studio
4213 SW 75th Avenue
Miami, FL 33155
305.331.8939
SUBJECT TO COMPLIANCE WITH ALL FEDERAL
STATE AND COUNTY RULES AND REGI II ATIONS
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