SGN-4-06-1033Miami Shores Village
10050 N.E. 2nd Avenue
Miami Shores, FL 33138 -0000
Phone: (305)795 -2204 Fax: (305)756 -8972
Permit
Permit Status: APPROVED
Issue Date: 7/26/2006 Expires: 01/22/2007 Permit Number: SGN -4 -06 -1033
Owner's Name' TANYA DE LA ROSA Phone:
Permit Type: Sign Parcel #
Work Classification: New Block
Job Address: 9713 2 °Avenue NE Section
Miami Shores Village, FL
'ontractor(s) Phone Primary Contractor
10ME OWNER Yes
,omments:
TO REPLACE SIGN OF PREVIOUS TENAT TO NEW TENANT "YOGA"
Additional Information
Type of Sign: Wall Sign
Height:
Color: BLACK
Plans Submitted: Yes
Classification: Commercial
Electrical Sign: No
Width: NA
Elevation: NA
Additional Info: NA
In consideration of the issuance to me of this permit, I aqree to pe
covered hereunder in compliance with all ordinances and regulations pertaining
thereto and in strict conformity with the plans, drawings, statements or specifications
submitted to the proper authorities of Miami Shores Village. In accepting this permit I
assume responsibility for all work done by either myself, my agent, servants, or
employes. I understand that separate permits are required for ELECTRICAL,
PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING
POOL work.
OWNERS 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. Futhermore, I authorize the above -named contractor to do the work
stated.
1132060134220
Lot:
PB:
Total Square Feet:
Total Valuation:
0
$ 300.00
Fees Due Amount Invoice Number Amt Due Amt Paid
CCF $0.60 SGN -7 -06 -25700 $106.30
Education Surcharge $0.20 Total:
Permit Fee $100.00
Scanning Fee $3.00 Ads O 3 PAID
Technology Fee $2.50
Total: $106.30
Building Department File Copy NOTICE In addition to the requirements of this permit, there may be
additional restrictions applicable to this property that may be found in the
public records of this county.
AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER
GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT
DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES.
Applicant Signature
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
BUILDING
PERMIT APPLICATION
FBC 2004
Permit Type (circle) B
Owner's Name (Fee Simple Titleholder)
jp) �C �IIVgjj
APR 21 2006
BY:- yf��� .......
Permit No. 5G 4 — M3
Master Permit No.
Electrical Plumbing
W 61- � 2_.m
Owner's Address L-1 %/ ! P J — --,' %�cl
City k a.e - State 12 Zip
Tenant/Lessee Name O✓2 vO r e'
Mechanical Roofing
Phone # _
Phone # ? �2, `-! j (v
Job Address (where the work is being done) '57 71-S
City Miami Shores Village County Miami -Dade Zip
FOLIO / PARCEL #
Is Building Historically Designated YES NO
Contractor's Company Name l )L,)O e" Phone #
Contractor's Address
City State Zip
Qualifier Name Phone #
State Certificate or Registration No. Certificate of Competency N
Architect /Engineer's Name (if applicable) Phone #
Value of Work For this Permit $ 1�)06 1 Square / Linear Footage Of Work:
Type of Work: ❑Addition ❑Alteration []New f K
Repair/Replace
` ❑Demolition
Describe Work:
Submittal Fee $ Permit Fee $�� CCF $ CO /CC
Notary $ Training/Education Fee $ Technology Fee $
Scanning $ Radon $ DPBR $ Zoning $
Bond $ Code Enforcement $ Double Fee $
Structural Review. $ Total Fee Now Due $
See Reverse side -+
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State
Zip
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
inspectio will not approved and a inspection fee will be charged.
Signature \ Signature
Owner or Agent Contractor
The for oing instrument was acknowledged befor me th'
day of �. , 20L1�, by ) Q JL- a �� -' �
n-.l Q
who is personally known to me or who has produced
As identification and who did take an oath.
NOTARY
Sign: C
Print: w o'-3
My Commission Expires:
The foregoing instrument was acknowledged before me this
day of , 20 _, by
who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Doris Caroline Rivas
L Commission #02%1989
Expires, Mar 17 x008
onded Thmr
.Atlantic Bonding C In c
FAy Commission Expires:
APPLICATION APPROVED BY: Plans Examiner
r.
(Revised 02/08/06)
Engineer
Zoning
CURRENT SIGN:
PROPOSSED SIGN: Same typeface, size, color, etc.
Lea a:....,, 7 7
JUL 2 6
B Y: - - i.., L �
Carlos Omehaca, M.D., FCCP
Diplomate, American Board of
Infectious Diseases and
Critical Care Medicine
October 30, 2012
Mr. Norm Bruhn, CBO
Building Official
Miami Shores Village
10050 NE 2nd Avenue
Miami Shores, Florida 33138
Dear Norm:
RE: 9715 — 9713 NE 2ND AVENUE, MIAMI SHORES
Maria Gabriela Ale- Castro, MD
Diplomate, American
Board of Infectious Diseases
and Internal Medicine
0(0 -10'3
Further to our conversation yesterday, this is to confirm that Shores Yoga is no longer a
tenant at the aforementioned address. They had applied for a sign permit but they never
used it, hence this permit needs to be withdrawn and cancelled.
Many thanks,
s
Carl-KOmenaca, MD
0
Tany de la Rosa
AM
12ilmed
9111 Park Drive
Miami Shores, FL 33138
Tel: 305 - 756 -6110
Fax: 305 - 759 -1255
vilmed @bellsouth.net