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SGN-12-1775Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)7954204 Fax: (305)756 -8972 Inspection Number: INSP- 178933 Permit Number: SGN -9 -12 -1775 Scheduled Inspection Date: March 12, 2013 Inspector: Rodriguez, Jorge Owner: Job Address: 9710 NE 2 Avenue Miami Shores, FL 33138- Project: <NONE> Contractor: PROFESSIONAL SIGNS, INC Permit Type: Sign Inspection Type: Final Work Classification: Addition /Alteration Phone Number (954)553 -0553 Parcel Number 1132060132350 Phone: (305)281 -4464 Building Department Comments INSTALL WALL SIGN ILLUMINATED Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. March 11, 2013 For Inspections please call: (305)762 -4949 Page 4 of 23 PERMIT # CONTRACTOR:'Pao r_c v � I� (LA 4L—Lr BUILDING PERMIT APPLICATION 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 C1-V, SEP 2 6 2012 FBC 20 Permit No. Master Permit No. S NJ I t S Permit Type: BUILDING ROOFING JOB ADDRESS: Ci"1p'Q ( . E. 20-4 Ave. City: Miami Shores ,County: Miami Dade Tap: Foliornarcel #: /1 ''Z d 6 - 0/3-Z550 Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): .t+O S L.4 &NI LLC Phone#: (BG) ^10 —S Address: �t - to N £ DP /\ g . City: 1-1 /Aim 1 S 9+o rl State: 1 - • Zip: 3 3' ' BB Tenant/Lessee Name: Phone#: Email. CONTRACTOR: Company Name: Prof-;..- S51' &sled $ lar'S 1 rte. Phone#(3O Si y 614 Zip: 33f6er Phone#: 3aso�d1_ S/4/6 / Address: Ec N S . W' - 35" 344 —e-el City: PiTLi.iY3f Qualifier Name: State: Ft_ State Certification or Registration #: r5/0200 0/96 Contact Phone#() 97o -Di 10 DESIGNER: Architect/Engineer: Email Address: Certificate of Competency #: -per rvia nn Camce sd-acoe, Phone#: Value of Work for this Permit: $ c9p80. Square/Linear Footage of Work: Type of Work: ❑Addition OAlteration New CIRepair/Replace ODemolition Description of Work: l",\S4e (AA tricrted cr Color thru tile: Submittal Fee $ -C)\ 3 Permit Fee $ /a) CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ m........ ..r r% tt...s.. ..r... A. / ,. Budding 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 be approved and a reinspection fee will be charged Signature The fore day of who is er or trument was ac , 20, by or who has produced @ti4i448tt identification and► 64,oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: g *: ....• Y Sri ' M \SSioN' •. eff, QJst 9, 2o�A9 • • P cn • — * * **a*** ****** * ****** *Hs : * ** APPROVED BY s . Va.2fided% Adt, Signature Contractor The foregoing instrument was acknowledged before me this 74' day of U(90,5)- , 20 i 2., by Sevre, wl oi"�siery onto me or who has produced iden ia4. on and who : take an oath. 434/71.-44. Plans Examiner Structural Review (Revised 3 /1212012)(Revised 07 /10/07)(Revised 06/1012009)(Revised 3/1S/09) Sign: Print My Commission Expires: MY COMMISSION 8 EE 045718 EXPIRES: January 3,2015 Bonded Tfuu Budget Natary services a * *** ** ** * * * * * * * * * ** Clerk Miami Shores Vmage Building Department 10050 N.E2rd 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 COrRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR A. COPY OF QUALIFIERS 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 MIAM( 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 LABILITY INSURACE (CERTIFICATE HOLDER MUST BE MIAMI SHORES VILLAGE BLDG DEPT) D, COPY OF WORKER ODMP INSURANCE (EITHER CERTIFICATE OR EXEMPTION) YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE HOLDER AS FOLLOW: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE MD AVE MIAMI SHORES, FL 33138 COMPLETE CONTRACTOR'S INFORMATION BUSINESS NAME: PC O 5 5 y.(,ak 3;63 n S BUSINESS ADDRESS: Coq 60 S9 (• 3-544 344 CITY M 1C)/}1 STATE FL o ZIP CODE 331 BUSINESS PHONE: ( 30 ) - LIq6 (/ FAX NUMBER ( ) CELL PHONE ( ) QUALIFIER'S NAME: Serc9 9 t� dr QUAUFIER'S UC NUMBER 6:75 1 "Z WO 1 g fa E-MAIL ADDRESS (IF APPLICABLE): be r SS 46166 . e.a Cry on 3H9lt9 BY OLIN/ RV 3126109 9DDi STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD (850) 487-1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 BEROT, SERGIO S PRO ESSIONAL gams INC 646b SW 35 STREET MIAMI FL 33155 C.ongratulationsl .1itth this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from .. boxers to barbeque restaurants, and they keep Florkia's economy strong. Every day we work to improve the way we do business in order to serve you better. For information about our services, please log onto www.myfloridaficense.com. There you can find more information about our divisions and the regulations that Impactyou, subscribe to department newsletters and team more about the Department's initlitives. Our mission at the Department Is: License Efficient*, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your new license! DETACH HERE OFRAODA, 4W4 3,71 3 OF ay.siNE: ' SSIG 118120 ; 86 11818905 jER!rIFZED im • •it..= 412014... litca date!: , "t6; •. ;•• ,A4)9 tsl *450 THIS DOCUMENT HAS A COLORED BACKGROUND MICROPRINTING • LINEMARK''' PATENTED PAPER Ac# 6141723 DEPAR STATE OF FLORIDA usINES pRosiasSZ COW ORS LICEMB/ TION SEQ# L12052600557 BATCH NUMBER OTOt below Named CikatIF er ::the r,j .reiriaiOne of Chapti Expiration date: AUG 31, 2014 AS A SIWgZiECTAXgAVI''PE:0114.44 • BERTOZ:4, SERGIO. •?' VROFEaSIONWP5SIGIW .6460 S 35 STREET' MIAMI FL 33155 • DIS;13 RE6D1RED KEN LAWSON SECRETARY THIS IS NOT A BILL — DO NOT PAY RERpWAL RECEfPT NO. 543444 -4. STATE* ES12000186 520009- B8§6 s l E1 #0AfON. PROFESSIONAL.SIENS INC 6460 SW 35 ST. 3 155 UNI:N. DADE. COUNTY FAST-CLASS +:Pt'AGE 'MIAMI Ft PERMrr 1\10. 231 OWNER PROFESSIONAL SIGNS INC Sec. Type of Business WORKER /S r6& 4C ELECTRICAL CONTRACTOR 1 G REGULATORY OR OMER .uMWW AAWISMO assn 1+er� TAR 08/31/2011 6:0fl 110065 00OOT5■00 SEE OTHER SIDE DO NOT FORWARD PROFESSIONAL SIGNS INC SERGIO S OERTOT PRES 6460 SW 35 ST MIAMI FL 33155 84 09-29-2011 JEFF ATWATER STATE OF FLORIDA CHIEF FINANCIAL OFFICER DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * URTIFICATE OF ELECTION 10 BE EXEMPT FROM FLORIDA WORKERS` COMPENSATION LAW * CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation taw. EFFECTIVE DATE- 09/2912011 EXPIRATION DATE: 09/28/2013 PERSON: BERTOT SERGIO S FEiN: 320089922 BUSINESS NAME AND ADDRESS: PROFESS /ORAL SZ14S INC 8480 SW 39TH STREET MIAMI FL 33196 SCOPES OF BUSINESS OR TRADE 1- REPAIR SERVICE 3- SIGN INSTALLATIONS /MAINTENANCE 2- CERTIFIED SPECIALTY CONTRACTOR 4^ MANUFACTURING IMPORTANT Pursuant to Chapter 440 . OBi14! F.S., an officer of a corporation who elects exemption from this chapter by tiling a cenfficate of election under this section may not recover benefits or etiMpensation under this chapter. Pursuant to Chapter 44o.o5f12), F.S.. Canlficetes of election to be exempt.. apply oaiy white the seeps of the business or trade listed on the notice of electtion to be exempt Pursued to Chapter 440.05113), F.S., Notices of election to be exempt sad certificates of election to be exembt shall be subject to revocation n, at ay time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section ler Issuance of a certificate. The department shall revoke a certificate et say time for failure of the perms named oe the certificate . meet the requirements of lids section. QUESTIONS? (850) 413 -180 DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01 -11 PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE STATE OF PLORIDA DEPARTMENTOPMANCALSERVICES 0N191041 DNUIONOFINMOKSMVC0MFENSMON CONSTRUCTION INDUSTRY CERDFCATECOILECDONTOMEXEMPTPROIDFUMWDA WORKERS WORKOWCOMPENVADONLAIN EFFECTIVE 09/29/2011 EXPIRATION DATE: 09/28/2013 PERSON SEROIO S BERTOT FEIN: 320688922 BUSINESS NAME AND ADDRESS: PROFESSIONAL SKINS INC 6460 SW 35TH STREET MIAMI. FL 33155 SCOPE OF BUSINESS OR TRADE 1- REPAIR SERVICE 2- CERTIFIED SPECIALTY CONTRACTOR 3- SIGN INSTALLATION;: /MAINTENANCE 4- MANUFACTURING IMPORTANT gPursuant to Chapter 440.05 {14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election L under this section may not recover benefits or compensation under this D chapter. Pursuant to Chapter 440.05 {12), F.S., Certificates of election to be H exempt.. apply only within the scope of the business or trade listed on E the notice of election to be exempt E Pursuant to Chapter 440.05 {13), F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, tine person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. QUESTIONS? (850) 413 -1809 CUT HERE * Carry bottom portion on the job, keep upper portion for your records. OWC -252 CERTIFICATE OF ELECTION TO 8E EXEMPT REVISED 01 -11 �..•.r ____µ CERTIFICATE OF LIABILITY INSUR»j E DATE YYy PRODUCER NS hum= Amy 0712 i/i 2 THIOC8N11RDA E WISSUED AS A MAIrrin CFII ONLY AND CONFERS FIRM NO UPONy tYOTDATE � HOLDCA. TIBS MIMEO= OM Nom, NARK EXTEND OR 9600 $W 13th AL Suite 27 Miami, FL, 33174 Phrl t4$UR ► PliorESS(ONAL MOW INC. S.W. SADO 311th street M6AMr, FLORIDA 33156 INSURER E: Fax (30082-52)2 "1"8p1Ep113V i1" U X114 CASUALTY CUr4PAN'Y commies THE POLICIES OF U3TED HAVE DUN ISSUED THE I NSUFIEDNAR�Ep ii?A ouov PERIOD INDICATED, ANY REQUIREMENT, TERMOR CoNDmos op ANY c NTRAQrgR OTHER . NOTW rota, FETrfAW, 7'F161�1J �CU�' WITH AE8REC7'Tt} THIS A F n,: RANDEAPPORDSD BY THE P0u G6 HEREIN IS S JEC TO ALL X478 R00 D I ISSUED QIRQiq ! - AO N% TE WITS N MA HAVE = EEN 6YFAID jRl,gq�, �T�MS. Exa.U�BANDrxs+RDmr,�N�CPBUGh 1. V771 TIEPE Cr INSURAI4CE MASSY man INSURER F: NAJC • fit,mom WAIMEROIAL GENERAL LIABILITY 00 mon mot ® o00ua GEML AGGREGATE LIMff APPU S PER ❑ POLICY 10 P.Paecr ❑ toc AUTDMINsks ❑v ANY Juno ❑ ALLOWtEOAn, SCHEMED AUTOS HMO AUTOS ❑ NON OWNED AMOS ■ SWUM LIABILITY d AUTO ❑ OCCUR 0 CLANS tame 0 DaDUCrtr LE FIrromoN �r. IMMO ANY OFFICER / oR�t � EXECUTIVE It man 'A. own OSIGLOSSIAT olmM1Z 07(24!13 kj Mat CNRR B ., EN CE qp MED MO' (MY one pmearo PERSONAL & Ariv INJURY OMR& PAoDUQT$ -e oMp/oPAee OOMM81NED SINGLE L„Ito` EMILY !Rangy BODILY INJURY (Per PROPERTY DAIg AUTO ONLY -E A0 OTHER ?HAM AUTO ONLY - AGGREGATE u E.L. EACH ACtgp 0$EABE' EA EMPLOYEE E.L, DISEASE , POLICY LIMIT custesonsespooses Lamson l maws 1 eiriPA+01ttelr3tlp MIDI SHORES VILLAGE BUILDING DEPARTMENT 90050 NE 2ND AVE. MIAMI SHORES, FL 33938 1,000000 $100,000 S2.000 000 coo 000 d SZSSNASSI. 'QNIOt ; tZ t :1Z 2.10Z 9z 'n' (0j$) Aeolis a REVERSE CHANNEL LETTERS ILLUMINATED BY L.E.D. & NON-ILLUMINATED PVC LETTERS SOUTH ELEVATION 23.68 SQ.FT. (-EP 2 2012 4 tima Medical Center 77.5" 44" State Certified 6460 S.W. 35 ST. MIAMI, FL. 33155 Sign ES 1200u iou Contractor Ph.(305) 2811-4464 FAX(305) 665-2357 OPTIMA MEDICAL CENTER 9700 N.E. 2nd AVE. MIAMI SHORES, FL 33138 v REVERSE CHANNEL LETTERS ILLUMINATED BY L.E.D. & NON- ILLUMINATED PVC LETTERS .063 ALUMINUM RETURN PAINTED LIME GREEN BLUE .090 ALUMINUM FACE PAINTED LIME GREEN OR BLUE WHITE LED LIGHTS (LOW VOLTAGE) 20 AMP EXTERIOR DISCONNECT SWITCH 3° LETTERS ALL WELDED — 1/4" X 11/2" ALUMINUM LEGS WELDED TO LETTER (3 LEGS MIN. PER LETTER) CONSULTING ENGINEER DAVID E. MOROS, P.E. 9371 S.W. 3rd STREET MIAMI, FL 33174 LICENSE #17757 THIS DESIGN COMPLIES WITH: 2010 FLORIDA BUILDING CODE ASCE 7 -10 WIND SPEED = 175 MPH EXPOSURE = C EXTERIOR CONCRETE WALL AWG# 18 (LOW VOLTAGE) 105C TYPE, PLTC LEAD WIRE (UL) 20 AMP EXTERIOR DISCONNECT SWITCH POWER SUPPLY LOW VOLTAGE 45 TRANSFORMER BOX 120 VOLT PRIMARY POWER (BY OTHERS) 1/4" X 2W TAPCONS (3 MIN. PER LETTER) 1%" METAL STUDS INSERTED WITH LIQUID NAILS TO CONCRETE WALL. (3 MIN. PER LETTER) Electrical Information ALL BREAKERS ANDTIMWG DEVICES SHALL BE IDENTIFIED AT TIME OF INSTALLATION. PRIMARY WIRING (BY OTHERS) ALL ELECTRICAL WIRING AND INSTALUUION SHALL COMPLY WITH THE PROVISIONS OF THE FLORIDA BUILDING CODE CHAPTER 3107, ARTICLE =AND ANY AND ALL ARTICLES OF THE CURRENT NA'RONAL ELECTRIC CODE SERVICE DISCONNECT ASPER N.EC.800.8 1/YRACEWAYWITH @12WIRE (THHN,THWN) ALL SIGN COMPONENTS ARE UL LISTED &APPROVED MANUFACTURER OF SECONDARY ELECTRICAL SOURCE: JS-L.E.D. CONFORMS TO U148 & UL 2161 UL LABEL APPLED ALL LOW VOLTAGE POWER SUPPLIES ARE G.F.C.I. PROTECTED NO.12 COPPER WIRE FOR GROUNDING / BONDING OF SIGN AS PER N.E.C. 800.7 TIME CLOCK OR PHOTO CELL REQUIRED FOR EACH CIRCUIT PER F.B.C. 13 -415.1 ABC.4 PANEL BOARD °A" SCHEDULE -4,71, , 1t- •inEi^7F 1 .. 1t7G�L -1. IEIFIF]ES idMIE.:1E7cr 710•11. ,y,.MF LECE8 E317@JIIM3 SaLMI f..nlf IS- ,7M111,I7:1INIMFJC7EF_l -- _';li�F:lk1•lE "ri - -- - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - MINIM - -- .amao °"' u . ALL ELECTRICAL COMPONENTS ARE.USTED" SIGN GROUNDED ACCORDING TO NEC 80O QTY SOURCE TRANSFORMER 18.O�B0E AMPS 3.78 TOTAL 12.0 8.0 0.000180 2.25 8. 1.80 POWER SUPPLY 1.0 1.0 GRAND TOTAL 9.0 TOTAL AMPS 1.0 i 20 AMP CIRCUIT REQUIRED PER SIGN State Certified 6460 S.W. 36 ST. MIAMI, FL. 33166 MAM ES 12000186 Contractor Ph.130,) CAL 281 -4464 FAXt808) M8 -8487 9700 N.E 2ndAVE. MIAMI SHORES, FL 33138 Permit No: 12 -1775 Job Name: September 25, 2012 Miami Shores Village Building Department Building Critique Sheet 1) Provide the code used for design. 2) Provide the wind Toad design criteria. 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Page 1 of 1 Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. Norman Bruhn CBO 305 - 762 -4859 F'AX : `7 0 2-ZS S0 (0 1 10/04/2012 08:55 FAX 1 800 685 7530 DATA SCAN FIELD SERVICES a001 ********************* $*$ TX REPORT **$ ********************* TRANSMISSION OK TX/RX NO 2975 RECIPIENT ADDRESS 97862758061 DESTINATION ID ST. TIME 10/04 08:54 TIME USE 00'56 PAGES SENT 1 RESULT OK Permit No; 12-1775 Job Name: September 25, 2012 Miami Shores Village Building Department Building Critique Sheet 1) Provide the code used for design. 2) Provide the wind load design criteria. 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Page 1 of 1 Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re-submittal drawings. Norman Bruhn CBO 305-762-4859 Property Information Map iami • ade.gov Property Information Map http:// gisinvs2. miamidade .gov /myhome /printmap.asp?mapurl http: / /g;... My Home Miami -Dade County, Florida Aerial Photography - 2009 0 This map was created on 8/9/2012 11:24:37 AM for reference purposes only. Web Site © 2002 Miami -Dade County. All rights reserved. a Close 116 ft MIAMI Summary Details: olio No.: 11- 3206 - 013 -2350 - roperty: 710 NE 2 AVE Mailing Address: SHORES LANDING LLC 714 NE 59 ST MIAMI FL 33137 -2326 Property Information: �rimary Zone: 6100 RESTRICTED COMMERCIAL ICLUC: 10013 OFFICE BUILDING 'Beds/Baths: 10/0 'Floors: 1 (Living Units: 0 lAdj Sq Footage: 13,544 Lot Size: 19,500 SQ FT 1Year Built: 1946 Legal Description: 1 53 41 6 53 42 MIAMI SHORES SEC 1 AIM PB 10 -70 LOTS 3-4 & 5 BLK 18 LOT SIZE 150 X 130 OR 23462 -2095 06 20051 OR 23462 - 2095 0605 00 Assessment Information: Year: 2011 I 2010 and Value: $429,000 I $429,000 Building Value: $620,961 1 $620,991 Market Value: $1,049,961 $1,049,991 'Assessed Value: $1,049,961 $1,049,991 Taxable Value Information: Year: 2011 2010 Taxing Authority: Applied Exemption/ Taxable Value: Applied Exemption/ Taxable Value: 'Regional: $0/$1,049,961$0 /$1,049,991 'County: 0/$1,049,961$0/$1,049,991 0/$1,049,9611$0 /$1,049,991 !City: '.School Board: 1$0/$1,049,9611$0 /$1,049,991 Sale Information: 'Sale Date: •/2005 ale Amount: 2,165,000 Sale O/R: 3462 -2095 ales • ualification Description: Sales which are qualified View Additional Sales 1 of 1 8/9/2012 11:25 AM www.sunbiz.org - Department of State http: / / www.sunbiz.org/ scripts /cordetexe ?action= DETFIL &ing_doc... -FL OR1DA DEPAAYj Divisio oi CORPORA"TIONS 5unby Home Contact Us Previous on List Next on List Events No Name History E- FIIIng Services Document Searches Forms Help Return To List Detail by Entity Name Florida Limited Liability Company SHORES LANDING, LLC Filing Information Document Number L04000070308 FEUEIN Number 201672500 Date Filed 09/27/2004 State FL Status ACTIVE Effective Date 09 /27/2004 Last Event REINSTATEMENT Event Date Filed 10/07/2010 Event Effective Date NONE Principal Address 714 NE 59TH STREET MIAMI FL 33137 US Mailing Address 714 NE 59TH STREET MIAMI FL 33137 US Registered Agent Name & Address MATZ, RUBEN 714 NE 59TH STREET MIAMI FL 33137 US Manager /Member Detail Name & Address Title MGRM MATZ, RUBEN 714 NE 59TH STREET MIAMI FL 33137 US The MGRM MATZ, GLADYS 714 NE 59TH STREET MIAMI FL 33137 US Annual Reports Fntitv Name Search 1 of 2 8/9/2012 11:26 AM www.sunbizorg - Department of State Report Year Filed Date 2010 10/07/2010 2011 04/28/2011 2012 04/26/2012 Document Images 04/26/2012 -- ANNUAL REPORT 04/28/2011 -- ANNUAL REPORT 10/07/2010 — REINSTATEMENT 01/15/2009 — ANNUAL REPORT 05/15/2008 -- REINSTATEMENT 06/30/2005 — ANNUAL REPORT 09/27/2004 — Florida Limited Liability i ttp:// www.sunbizorg/scripts/cordet:exe ?action= DETFIL&ing_doc... 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Previous on List Next on List Events No Name History Return To List Entity Name Search Submit I Home I Contact us 1 Document Searches 1 E -F na Se vkes 1 Forms I HAD. 1 Coovrlaht© and Privacy Poems State of Florida, Department of State 2 of 2 8/9/2012 11 :26 AM Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 178934 Permit Number: ELC -9 -12 -1776 Scheduled Inspection Date: February 04, 2013 Inspector: Devaney, Michael Owner: Job Address: 9710 NE 2 Avenue Miami Shores, FL 33138- Project: <NONE> Contractor: PROFESSIONAL SIGNS, INC Permit Type: Electrical - Commercial Inspection Type: Final Work Classification: Sign Phone Number (954)553 -0553 Parcel Number 1132060132350 Phone: (305)281 -4464 Building Department Comments INSTALL WALL SIGN ILLUMINATED Infractio Passed Comments INSPECTOR COMMENTS False Passed • Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comm 11/ 2a• February 01, 2013 For Inspections please call: (305)762 -4949 Page 6 of 45 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 Permit Type: Electrical Ave OB ADDRESS: 4 `s(B ® �� ,� , 7 tii .e City: Miami Shores County: Folio/Parcel#: 1% 3 2 06 0 /3_ 2 3 S0 Is the Building Historically Designated: Yes SEP252012 FBC20�,,0 Permit No. �LO 2 - 77 1 Master Permit No.561 � t 2 " t t Miami Dade Zip: 3 313 a NO Flood Zone: OWNER: Name (Fee Simple Titleholder): HoiL LAi i N G Li C Phone# ��'�rbl 770 — a3 j Address: 9‘-4-10 NI '.. 2''P AV City: ri t # M 1 SQ-Fori • State: �- . Tenant/Lessee Name: Phone#: zip: �3i 3� Email: CONTRACTOR: Company Name: G�i'C'�fe_5STanot 1 a)h C. Phone#:(S &r- 7/- W('4 Address: � `1c Q S j a3 2 #r 04 City: YA, tb 1 i State: Qualifier Name: & i v elier4ert State Certification or Registration #: g5 /a Contact Phone#: 600 Q7t� ° ® "I ( 0 DESIGNER: Architect/Engineer: Ft. . Zip: 3 3 I S Phone#:(;345)iQel - q L O 1 Ff 6 Certificate of Competency #: perm Qcorneas+. r) e+ Phone#: Email Address: Value of Work for this Permit: $ ., . :� BQnquare/Linear Footage of Work: Type of Work: OAddress OAlteration ONew ORepair/Replace ODemolition Description of Work: Ir1.S-6. () dal l t S' / rl ri ! ur 1 i n a to 4 Submittal Fee $ Permit Fee $ #.4'U Scanning Fee $ Radon Fee $ Notary $ Training/Education Fee $ CCF $ CO /CC $ DBPR $ Bond $ Technology Fee $ Double Fee $ Structural Review $ mum ♦ T 7:71,77 /■T/■tii Tina d' 4 City State Zip Bonding Company's Name (if applicable) Bonding Company's Address Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee Will be charged. Signature ent The fo - going�trument was acknowledged before me this G day of who is 2O 1, , by g.0.0 Q Kart' e or who has pnp�1BOASt�"* As identification an oWha@iW ��i NOTARY PUBLIC / e hod J��st 9, �o -i�9 o• e • = .0 ; #EE 209881 : 47m ® Sign: Print: Jf My Commission Expires: Signature Contractor ,,�G The foregoing instrument was acknowledged before me this 7/ day of rii3US± , 20 i a, by 3er3 t11. - , o is personally knowrrt me or who has produced 'dentifi n :,, . who did take an oath. • Sign: Print: ao '''.'`LB`s * ANDRES A OQUENDO My Commission Expires: MY COMMISSION # EE 045718 EXPIRES: January 3, 2015 4,40F F09. Banded Tin Budget NotaTy Spices **+k**sp ************ + s¢: k******** ************ sR*sR*eDsRReR**7Re0***i6 RepksR*****s R# ******** #****Ytzt$******** ** **** ,,"4. /y. APPROVED BY / i / TT '07 Plans Examiner Zoning Structural Review (Revised 3 /12/2012)(Revised 07110 /07)(Revised 06 /10/2009XRevised 3/15/09) Clerk