SGN-12-1883Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores,) FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 184550 Permit Number: SGN -10 -12 -1883
Scheduled Inspection Date: January 24, 2013
Inspector: Bruhn, Norman
Owner: SYLVAIN, FRED
Job Address: 9100 NE 2 Avenue
Miami Shores, FL 33138-
Project: <NONE>
Contractor: ONE STOP CONSTRUCTION INC
Permit Type: Sign
Inspection Type: Final
Work Classification: Addition /Alteration
Phone Number (305)759 -6235
Parcel Number 1132060133200
Building Department Comments
NEW Sign age CHANGE LETTERING ON EXISTING ON
MONUMENT AND ADD NEW 2'X3' WALL SIGN.
Infractlo 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 Comments
CREATED AS REINSPECTION FOR INSP- 179680. Post permit and plan.
NB
January 23, 2013
For Inspections please call: (305)762 -4949
Page 19 of 26
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:
JOB ADDRESS:
BUILDING
County:
City: Miami Shores
REC
C 10 201
FBC20lO
Permit No.
Master Permit No C 3 N 12 t
ROOFING
Miami Dade
zip: 3313
Folio/Parcel #:
Is the Building Historically Designated: Yes NO Flood Zone:
"7v,eol g•�r -.r�w
OWNER: Name (Fee Simple Titleholder): k-V;A -� ...41As 1(1,119^ \-NALL Phone#: 3-0)334
Address: a0 l
City: i�t Z
Tenant/Lessee Name:
Email:
State: _ �taA
Phone #:
Zip: 3 S6
CONTRACTOR: Company Name: "tr41 C,ca i\ .-V Phone #:
Address: �o� W --"c12
City: �:A6":.,e State: A. Zip: 3313y
Qualifier Name: 3- 1727SU S fri2 Z Phone #:
State Certification or Registration #:
Contact Phone #: Q9,431— 3-QC Email Address: askiNc Wt,.. Q. (9 FIX .L- • C®\
DESIGNER: Architect/Engineer: %1k 4r A, .� s Phone#: - L1S� °� 8
150
Certificate of Competency #:
Value of Work for this Permit: $ SOO.
Type of Work: CI Addition DAlteration
Description of Work: mew S GS, A
A4 `X2 4`,11,1
Square/Linear Footage of Work:
UNew l >.; 4 epair/Replace UDemolition
9 e.)s4e- r
Sao OOu••v..�.b, '
\rc
Color thru tile:
******,,********** ** *** *********** ** *** * * *Feeeesx ******** * *** *** *** ** ** *** *** *** ***** ***
eo
Submittal Fee $ ""�-i) • Aa Permit Fee $ /a:2 CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
Technology Fee $
TOTAL FEE NOW DUE $ •
1
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 comme ' : ent must b posted at the job site
for the first inspection which occur -seven (7) days after the building permit is issued. t e absence o ' such posted notice, the
inspection will not be approve,' an a reinspection fee will be charged.
Signature C K
r or Agent
The forego g instrume was acknowledged before me this
day of e , 20 by
who ' rsonally known me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Exp
,
***** ** **** ***** ** ****
APPROVED BY
JESUS LOPEZ
MY-COMMISSION •EE141577
_ EXPIRES: OCT 25, 2015
Signature
The fore
Contractor
ing instrument was acknow me this �a
day of , 20 4 3 , by \3
who is personally known to me or who has produced W-Nc9
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commis
JESUS LOPEZ
MYCOMMISSION #141577
DRIES: OCT 25, 2015
Bonded through 1st State Insurance
* * * * * * * * * * * * * * * * * * * * **
VC1- Plans Examiper
Structural Review
(Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09)
t
Zoning
Clerk
PERMIT #
CONTRACTOR: GN i 5--t- cP coRs---catkicar ,..`
SUBMITTAL DATE: 10 i 10 k 2"--
ADDRESS: 0( 100 c___ 4V,
ro
NAME: �`'• K 3 161N r (97.1X 0\ ii -
RESUBMITAL DATES:
PROJECT TYPE: N FGCi.—.) )..-ALL (pr
ZONING __
FIRE
STRUCTURAL
IMPACT FEES
ELECTRICAL
HRS /DERM
PLUMBING
NOC
MECHANICAL
B DG
)01
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License Type Name
Certified General ONE STOP CONSTRUCTION
Contractor INC
Name
Type
DBA
License
Number/ Status /Expires
Rank
CGC1505208 Current, Active
Cert General 08/31/2014
License Location Address *: 4214 SW 2ND TERR MIAMI, FL 33134
Main Address *: 4214 SW 2ND TERR MIAMI, FL 33134
Certified General
Contractor
VELAZQUEZ, JESUS DAER Primary CGC1505208 Current, Active
Cert General 08/31/2014
License Location Address *: 4214 SW 2ND TERR MIAMI, FL 33134
Main Address *: 4214 SW 2ND TERR MIAMI, FL 33134
* denotes
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1940 North Monroe Street, Tallahassee FL 32399 :: Email: Customer Contact Center :: Customer Contact Center: 850.487.1395
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850.487.1395. *Pursuant to Section 455.275(1), Florida Statutes, effective October 1, 2012, licensees licensed under Chapter 455, F.S. must
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which can be made available to the public. Please see our Chanter 455 page to determine if you are affected by this change.
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