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SGN-12-141Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 169260 Permit Number: SGN -1 -12 -141 Scheduled Inspection Date: February 16, 2012 Inspector: Bruhn, Norman Owner: RICHARD CAVA, TODD LEONI Job Address: 9540 NE 2 Avenue Miami Shores, FL 33138- Project: <NONE> Contractor: HOME OWNER Permit Type: Sign Inspection Type: Final Work Classification: Temp Banner Phone Number Parcel Number 1132060132630 Building Department Comments TEMP BANNER FOR NEW BUSINESS PIZZA FIORE rasa KJr.- .,9;Yd'il Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments February 15, 2012 For Inspections please call: (305)762 -4949 Page 11 of I8 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 Type: Electrical OWNER: Name (Fee Simple Titleholder): Address: 015 110 NC- Q, AV City: f 1 : c-Ho1 N Tenant/Lessee Name. I -P o't 0 Permit No!�� It-1 4 Master Permit No. State: one #: 3105—SET 10 2-3 zip: 33138 Phone #:3c5 ` -5 y-1/Et r Email: JOB ADDRESS: °15 1+0 IN 6 M City: Miami Shores Folio/Parcel #: Is the Building Historically Designated: Yes CONTRACTOR: Company Name: Address: City: County: Miami Dade Zip: *33 1 38 NO Flood Zone: Phone #: State: Zip: Qualifier Name: Phone #: State Certification or Registration #: Certificate of Competency #: Contact Phone #: Email Address: DESIGNER: Architect/Engineer: Phone #: Value of Work for this Permit: $ l ®Q Square/Linear Footage of Work: Type of Work: Address ❑Alteration Description of Work: ❑New ❑Repair/Replace VO 5(9F ❑Demolition ***** �x�x+ x* �x�x�x**** �x�ux��x�x+ x�x�x •xx��x�x�xx�x�•xx++x�x�x***Fe s******************************************** Submittal Fee $ Scanning Fee $ Notary $ Double Fee $ Permit Fee $ l U CO /CC $ Radon Fee $ $ Bond $,, _L —J �/ • f/V CCF $ GiD1BPR Bond Fee $ a O V Technology Fee $ Structural Review $ TOTAL FEE NOW DUE $ CI . OD Bonding Company's Name (if applicable) Bonding Company's Address City State Zip VVlorigage Lender's Name (if applicable) rtgsge Deer' 9'• A elkr 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 apps ©ved and a reinspection fee will be charged. Signature wner or Agent Signature Contractor The f remgoing instrument was acknowl g before me this ` The foregoing instrument was acknowledged before me this day o€ �° 20 , by�e�� , day of , 20 _, by who i r who has produced who is personally known to me or who has produced tification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: My Commission Expires: ***** ********sHsk*****us: k******* ******* skskM ****** sk******** *sk**x**** ******N+ **ae*ve: k**sk+ k******** *********w***sk+k*+k*** APPROVED BY Plans Examiner (C2741) / /,3d /2Zoning Structural Review Clerk (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) 0 •••••■■••••• izza_FroG I Si_iP,,I7CT [0 CCMPIJANCE W111-1 ALL FEDERAL ur_,I,N , ( ■4.!_,LS AND REGULATIONS )■/).Ny--9 5,s 1014/.y APP nV Fr.) Shores Village ZONING DEPT- DG DFT �ovw.1", 3C)/o< 1C71