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SGN-11-1549
Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 170442 Permit Number: SGN -8 -11 -1549 Scheduled Inspection Date: May 24, 2013 Inspector: Bruhn, Norman Owner: Job Address: 650 NE 88 Terrace Miami Shores, FL 33138- Project: <NONE> Contractor: EMUNA CONSTRUCTION LLC Permit Type: Sign Inspection Type: Final Work Classification: New Phone Number (305)868 -8203 Parcel Number 1132060110190 Phone: (305)992 -6776 Building Department Comments INSTALL A MONUMNET SIGN TO BE LOCATED AT SOUTH EAST CORNER OF BISCAYNE BLVD AND NE 88 TERRACE. SIGN IS TO BE 8 FEET WIDE AND 7 FEET TALL INCLUDING A 6 FOOT TALL SIGN AND 8" PEDESTA AND 4" TOP. 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- 169583. CREATED AS REINSPECTION FOR INSP- 163660. The pipe is not welded to the bracing per plan. NB Provide engineer report for welding. NB May 24, 2013 For Inspections please call: (305)762 -4949 Page 1 of 19 A • • MDP Engineering, Inc. Mr. Norman Bruhn Building Official Miami Shores Village Building Department RE: Permit - SGN11 -1549 Inspection of welds April 8"', 2013 Dear Mr. Bruhn, We have inspected the sign that is the subject of the above referenced permit. The inspection was conducted by this office on March 28, 2013. The sign can was opened and face panels removed for this inspection. Welds attaching the sign can saddle to the center steel pole column were examined and found to be in substantial compliance with the shop drawings provided for permitting. This is true for connection points at both the top and bottom of the sign. Feel free to contact me with any questions, comments, or concerns, Mario DiPietro, PE P %° -32563 Page 1 of 2 Attachments: Photos Mail: 9531 Trivolo Place Boca Raton, FL 33434 - Voice: (954) 243 -4595 License: PE 32563 CA 6918 Miami Shores Village Building Department RE: Permit - SGN11 -1549 Inspection of welds PHOTOS SUPPORTING INSPECTION REPORT CHILDREN'S \ MONTESSORI Sign Opened for Inspection Bottom weld 1/4" x 1" evident evident on both sides Top weld 1/4" x 1" evident on both sides Page 2of2 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: BUILDING JOB ADDRESS: -e ILIA AV U ry WV Alit! F„ ms... A Y a u �poBOO� ©P9m FBC2O Permit No. zl y 1 1 .5-14 9 Master Permit No. ROOFING City: Miami Shores County: Folio/Parcel#: f 13°_c 32_0(00 I 1 01 ' 0 Is the Building Historically Designated: Yes NO Miami Dade Zip: -3S/ 32 Flood Zone: OWNER: Name (Fee Simple Titleholder): l 1 d i t 1-LL Phone#: 3 05 3 (0 b 7 d 2.63. Address: / OD 0 & - 4 id City: State: Zip: 33 /8-0 Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: �+� U : Address: 21 3 3 2- LJ V L C City: 141 L 0- � ? S te: Zi;70 1 iD Qualifier Name: yr tejNoitt O ri, in Phone #: State Certification or Registration #: (` 6 C... 1—I ( q 3118 Certificate of Competency #: Contact Phone#: k54426,77i, Email Address: /44 16 Of isi equivleA C_Or7C ifi LVI , C e)AV'(, DESIGNER: Architect/Engineer: Phone#: 992: G-Tkp Value of Work for this Permit: $ Square/Llnear Footage of Work: Type of Work: Addition ❑Alteration ❑New ❑Repair/Replace ❑Demolition Description of Work: eclkff-e(416 Color thru tile: ******** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** we' Submittal Fee $ Permit Fee $ f S `00 CCF $ Co /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 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 AkFII)AVIT: 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 ' reinspection fee will be charged. wner or Age The forego g instrument was acknowledged before me this The forego' g in /went was acknow s ged before • - ., day of Afra , 20 , by / / (ddb , day of ( ,20 l' ), by i'.1: Signaturel Contractor who is personally who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: t'22 1 My Commission Expires: j� l)Lorl C. Norris ?: COMMISSION #EE218753 ' fig° EXPI RES: AUG. 05, 2016 °O 0;;;,;,-0‘ WWW.AARONNOTARY.com who is personally known o *near who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission n„ � L bdiS �N C0MMISSION#EE218753 oli EXPI RES:AUG. 05, 2016 WWW.AARONNOTARY.com ************************ aIa**************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPROVED BY Plans Examiner Structural Review (Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06/10/2009)(Revised 3/15/09) Zoning Clerk Detail by Entity Name f") ' 1 1)11e1s1(1, Page 1 of 2 (1F Rt' 0R-fl. [ No Events No Name History Return to Search Results Detail by Entity Name Florida Limited Liability Company BISCAYNE 88 TERRACE, LLC Filing Information Document Number L04000010842 FEI/EIN Number 200778465 Date Filed 02/10/2004 tate or Country FL tatus ACTIVE Principal Address, 12000 Biscayne Blvd Suite 407 North Miami, FL 33181 hanged: 03/26/2013 ailing Address 12000 Biscayne Blvd uite 407 North Miami, FL 33181 Changed: 03/26/2013 Registered Agent Name & Address GOLDFARB, IGHAL 12000 Biscayne Blvd uite 407 North Miami, FL 33181 Name Changed: 02/26/2005 ddress Changed: 03/26/2013 anaaer /Member Detail Name & Address tie MGR 'Entity Name Search Search I OLDFARB, IGHAL 12000 Biscayne Blvd Suite 407 North Miami, FL 33181 die MGR http: // search. sunbiz. org / Inquiry/ CorporationSearch /SearchResultDetail/EntityName /flat -10... 4/16/2013 Detail by Entity Name Detail GOLDFARB, DIEGO 12000 Biscayne Blvd Suite 407 North Miami, FL 33181 Page 2 of 2 Home ontact Us E- Filing Services Document Searches Forms Help Annual Reports Report Year Filed Date 2011 02/24/2011 2012 03/22/2012 2013 03/26/2013 Document Images 03/26/2013 — ANNUAL REPORT 03/22/2012 — ANNUAL REPORT 02/24/2011 — ANNUAL REPORT 03/05/2010 — ANNUAL REPORT 02/16/2009 — ANNUAL REPORT 02/12/2008 — ANNUAL REPORT 01/23/2007 — ANNUAL REPORT 07/03/2006 — ANNUAL REPORT 02/26/2005 — ANNUAL REPORT 02/10/2004 — Florida Limited Liabilites View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format No Events No Name History Return to Search Results 'Entity Name Search Search 1 Home 1 Conta g 1 Document Searches 1 E- Filing Sery ices I Forms I Help I Coovriaht 0 and Privacy Polities State of Florida, Department of State http: // search. sunbiz. org / Inquiry/ CorporationSearcb /SearchResultDetail /EntityName /flal -10... 4/16/2013 11W®RII_ P ` CERTIFICATE OF LIABILITY INSURANCE OPID: MB DATE fu Y) 00113 THIS CERTIFICATE IS ISSUED AS A; MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER: THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, .EXTEND OR ALTER THE COVERAGE AFFORDED BY 'THE POLICIES. BELOiII►, THIS CERTIFICATE OF INSURA$CE DOES NOT Ct ONST ITE A CONTRACT BETWEEN THE ISSUING INSURER {$). anjipkgitp REPRESENTATIVE OR PRODUCER +IDmg CERTIFICATE HOLDER.{ IMPORTANT Were ` irrlticate balder Min AD . .1 INSLIEtED ' ' the fermis I clrrs of the pant, cer214- rrta y r cclre e L A oA not r�glils eerRncsiehblda rIn.Uanafsuch.enda sl. I 1 nollOges.) m statement ast I endorsed. If SUBROGATION 15 WAIVEO,.subject to PRODUCER 1NNOVATIVEJNSURANCE CONSULTANTS, . 5451 UNIVERSITII'DRIVE,#103 CORAL SPRINGS FL. 33067 THOMAS .L DEMARCO EMUNA CONSTRUCTION, LLC' 21332 W DI7UE STE A NORTH MIAMI, FL 33180 INSURED CERTIFICATE TH15 i.S "TO' «� 'THAT THE PONGEES . 1NQIGATED.. e THSTANDING `REOU1Rewto LERTIF[C ATE IY BE ISSUED OR NIAAY REMAIN, TH EXCLUSIONS AND CONDITIONS OF SUCH POLUCIE`S ratk FAX 1 WC.Nok 'R1II UNA:1- INS A.- ems: a Cs MISURECO III MEl iNSURISIfi coveutee TION INSURANCE CO. RION 'BELOW HAVE SEEN ISSUED 79.THE INSURED NAMED ABOvE FOR THEPOLJCY- PERIOD. CONR1 +t OF AN1f! K ITRAGT OR; QTHER" ANT WITH RESPECT it YI H 1TH15 iNSU AFFORDED OY THE POUDIE8 'DESCRIBED HEREIN 19 SUBJECT TO ALL THE TERMS, MAIL BEEN REDUCEDcBY PAIOCLAIM ..' nisei 11240 DARR +t� [Aer4lrr A X "CCH 1 oetutiIAL UABiUTY °cake: X BLIMA IDL; INSURED 1 PAIL APES PEW H 113 491.10 2 3 ERDSDIENDE ) ; Wif p 1 .PERSONAL 3 ADN_IN SIRY 3_ 1; 1,000,000; 100 0,000 1,0011,000 :2,000; i ITO>1IO®E tj+lBlu1, AN AUTO, ALL A OS AUTOS LNT BODILY-INJURY watt womGE i Tito clARISAVVE AtEGATE, TioN A . Y 07f� E7(CIUIN�t' . tR TioNSb +v MICV011103IMMI E-C:.EICW ACCIDENT , :POLICY' 1,x,01. 1 i DESCRIPT10�1 QPERAT ILOCAT1ONSJ kroorerairmsala irrgiikeet) CERTIFICATE HOLDER CANCELLATION MIAMI SHORES VILLAGE BUILDING DEPARTMENT 10050 NE 2 AVENUE MIAMI SHORES, FL 33132 SHOULD 'ANY O'THE ABOVE : THE EX011tiATION DATE T EII OF, D ACCORDANCE WON VVIIK TIME PCLICY PROVISEME BE CANcELLED'BEFORE UIR BE DELIVERED Nil ACORD 25 (2109) 0 1988 -2009 ACORD CORPORATION. All rights . The ACORD name and logo are registered marks of ACORD Miami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CHANGE OF CONTRACTOR I ARCHITECT Permit N. SGN e —li -1541 Owner's Name (Fee Simple Title Holder). • �: Try a Phone #: 30.5. -eoc)3 Owner's Address: /a cx o Ai neck. y nn Al v cf . City: No r l4 n State : Zip Code: 3 / $ f Job Address (Of where work is being done): (Q50 N .8 8- r City: Miami Shores State: Florida Zip Code:33 g-1 Contractor's Company Name: x,e L."---7 —a2 (1 Phone # :3 - cq 2 Address: a l. L) , k9/)LX-/, /1- City:1 ) -4-. i o m State: P(... Zip Code: Qualifier's Name : /� /4 e I' r Apr I r Lic. Number: CC G Architect/ Engineer of Record Name: Address: City: State: Zip Code: Phone #: Describe Work: rTh I hereby certify that the work has been abandoned andlor the contractor/architect is unable or unw' ling to co piete the contract. l hold the Bui ng Officia d the es harmless for all legal inv ............. . owner arAgent The foregoing instrument was aknowledged before me The foregoing 'men ;: as knowiedged before me this i day of 20, by lryz t 6O this / dad ir' a 203by Signatu Who is personally known to me or who has produced as indentification. Notary Public: Sign: Seal: `o e Lori C. Norris O :. 01COMMISSION # EE218753 9, . 1`EXPIRES:AUG. 05, 2016 �''�:,,�;,;;S WWW.AARONNOTARY.com who is,personally known to me or who has produced as indentification. Notary Public: Priority Permit Expeditors, LLC 21021 NE 31 Avenue Aventura, FL 33180 305 - 992 -6776 April 19, 2013 Certified #70123050000234714667 Mesa Brothers Raul Mesa 5215 SW 103 Avenue Miami, FL 33165 Re: Miami Shores Village — Permit #SGN -8 -11 -1549 Dear Mr. Mesa: The above referenced permit has expired and we are in the process of renewing the permit with a new contractor. If we do not hear from you within ten days of receipt of this letter, we will assume you have no objection to the change of contractor. Thank you, on Norris Priority Permit Expeditors, LLC Agent for Biscayne 88 Terr. LLC HALLAN &Aid 4 HALL '!DAL! 33009. -u-U99 19/2013 ,.)=:75 -8777 12:21:04 Phi Sales Receipt Sale Unit Final Description Qty Price Price 1'.IAhiI FL 33165 Zone -1 $0.4F First -Class Letter 200oz. .cted Deivery: Sat 04/20/13 Return Rcpt as 25 tE +ctronic) _elabel # 70123050000234714662 inquiry on Return Receipt (Electronic). KO Certified $3.10 Label #: 7012305U000234ii4b67 — �SS90C Issue PVI: $4.81 Total: $4.81 Paid by: Debit Card Account #: Approval #: Transaction #: 23 903520153 Receipt #: $4.81 XXXXXXXXXXXX8572 076949 700 002950 ,ar For tracking or inquiries go to USPS.com or cal"-800-222-1811. * ** IMPORTANT: ror Return Rece &dt (Electronic), wait one day, go to USPS.com; select Track & C;. ~r' label number(s); select 'Request Return Receipt ( Electronic)'; enter your name and email address. Please make your r°eciues. within 60 days. it ..'q ;$ Tr5OX., l�`rG : ^_Ards Nnl.urtiti'V SOi� vt,�. � available Tor purchase at select Post Offices. In a hurry? Self- service kiosks offer quick and easy check -out. Any Retail Associate can show you how. In a hurry? Self - service kiosks offer quick and easy check -out. Any Retail Associate can show you how. Order st s at usps.com /shot: call 1- 80n -Si ,o24. Go to usps.com /L, :oknship to print shipping labels with postage. 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LOCATION April 22, 2013, 12:30 pm MIAMI, FL 33165 April 22, 2013 MIAMI, FL 33152 April 21, 2013,11:18 pm MIAMI, FL 33152 April 20, 2013 April 20, 2013, 8:45 pm April 20, 2013 April 20, 2013 April 19, 2013, 11:44 pm April 19, 2013, 3:53 pm April 19, 2013, 12:19 pm ON ABOUT.USPS.COM About USPS Home > Newsroom > Mail Service Updates > Forms & Publications > Careers > https: // tools. usps. com /go /TrackConfirmAction.action Business Solutions MIAMI, FL 33152 MIAMI, FL 33152 MIAMI, FL 33152 MIAMI, FL 33152 MIAMI, FL 33152 HALLANDALE, FL 33009 HALLANDALE, FL 33009 FEATURES Expected Delivery By April 20, 2013 Certified Mail'" Return Receipt Electronic OTHER USPS SITES Business Customer Gateway > Postal Inspectors > Inspector General > Postal Explorer > 04/26/2013 -n -a r1 m rn ru C3 C3 ru r1 1:3 U.S. Postal ServiceTM CERTIFIED MAILTM RECEIPT (Domestic Mail Only; No Insurance Coverage Provided) For delivery information visit our website at www.usps.como r n gr-\\ Tt: Postage Certified Fee Return Receipt Fee (Endorsement Required) ReStricted Delivery Fee (Endorsement Required) Total-Postage & Fees Sent 1 g 20bere 5irtt s39 or PO Box No. S s k it'3 -- r City, state PS Form 3800, August 2006 See Reverse for Instructions 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 Permit No.% N ( S Lici Master Permit No.�F. BUILDING PERMIT APPLICATION FBC 20 Permit Type: BUILDING ROOFING OWNER: Name (Fee Simple Titleholder): J4 L.. 7 01,1)FA9.S) Phone #: 305 -8C$ -8 0-3 Address: / /4/0 /11V toil) o (1ST lj ctoo- City: Ay X/,'PJ3Q . L�1UfS State: , 2.)O #1. Zip: 33 51 Tenant/Lessee Name: 146i2. -l& ktaP\C/S . Phone #: 305 -757— 1zc8 Email: C VMS M I MM 1 e b A/d/l1 G- CIJ}�l JOB ADDRESS: 650 NE (Ei 9-1-1-k le 2 City: Miami Shores County: Miami Dade Zip: 15 U-38 Folio/Parcel #: Is the Building Historically Designated: Yes NO i� Flood Zone: s'oto --asp - �(3 CONTRACTOR: Company Name: f1 ESA f51 of Al ERZ a Phone #: '305- 630 -ZSR Address: -.5a IS NA-) / 03 -/-/i Ave_ City: J.(1 M t State: Zip: '3'3 165 Phone #: 305- Aso 2S4 \ Qualifier Name: 213u L J1 Ests . State Certification or Registration #: FE /-300.10-70- Certificate of Competency #: Contact Phone #: 196— 683- t-1 S I Email Address: 5. 5101 JoG) (La 6) RI 5 eg c6Atto0.00J -t- DESIGNER: Architect/Engineer: DOA) Ram) A) MS. e. E. Phone #: Value of Work for this Permit: $ .20O 00 • Square/Linear Footage of Work: 56 Type of Work: ❑Addition ❑AlterationTew ❑Repair/Replace Description of Work: rA.7S +Aid— 1. t'(OMUMEJOk S ‘01.10 -ko E ❑Demolition LoarLues2 ®r- r 5 ) ..41fo i?r;U() A 3 X . WI +E 'r +6,1A- loci A S W s io A PEOE5I t, R AD y tua, . . � 'F'm ft ax-f ************* * * * * * * * * * * * * * * * * * * * * * * * * * *Feees ************ ** * * * * * * *** * ** * * * * * * * * * * * ** ** ** u mi 1 ee $ .., _ Permit Fee $ Jo 0 CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ ILA 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 be approved and a reinspection fee will be charged. Signature Signature Owner or Agent Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of , 20 , by day of , 20 , by who is personally known to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: Print: My Commission Expires: My Commission Expires: ******************************************** * * * * * * * * * * * * * * * ** * * * * * * * * * * ** ** APPROVED BY Plans Examiner * * * * * * * * * * * * * * * * * * * * * * * * ** 7 / / /// Zoning Structural Review Clerk (Revised 07 /10 /07)(Revised 06 /10 /2009XRevised 3/15/09) s s 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 as chment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection tch ,sccurs seven (7) days after the building permit is issued n'`tfie absen'of.such posted notice, the inspection will not be ppro 'd and a reinspection fee will be charged. Signature wner or Agent The foregcin instrument was ackno 1 ged before me tic day of , 201/, by ® ) who is rsona1(y kknown to me or who has produced P y P NOT o . ' UBLIC: Sign: Print: • ovit w Notary Public State of Florida Roclo Muneton c < My Commission DDl89050 lt "PO Expires 05 /0 ` 014 co My Commission Expires: t7 -oJ ry Signature Contractor The foregoing; strument was acknowle d before me thin day of 2R4 b who is personally own to me or who has produced as id NOTARY • .� • • .1i i an ath 4040 X41 Notary Public State of � da Rocco Muneton v4 pe Ex Comm s 05/2014489050 Sign: Print: ) l /, 0 My Commission Expires: ,� ®� ® *****************************************/*/**** * * * * * * * * * * * * * * * * * * * * * ** * * * * * * ** * * * * * * * * * * * * * ** /// ************ APPROVED BY �' (J ! -s/` 1( Plans Examiner 7/' G/ Zoning Structural Review Clerk (Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09) NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION rr�� PERMIT NO. TAX FOLJO NO. I I" 3ZO6- DJ / -O��v STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 11111111111111111131111111111111111111111111 C -Ft4 2CI 11i R13,6 4.39 OR Bk 27523 Pa 1661; (ips) RECORDED 09 /16/2011 11+36 :44 HARVEY RUYIH, CLERK OF COURT MIAMI-DADE COUNTY, FLORIDA LAST PAGE Space above reserved for use of recording office 1. Legal de4cription of property and street/address: 650 kE 88 Terra G2- S�u�y xrK P84 -110 Lee iG Less Size 2562 2. Description of improvement: fir A-> ■r n SIG,.. n , /0- -gam 1 St 0 .LN1G-IP . 3. Owner(s) name and address: .6 iSCCil B " TEIC..- 11-Le o i i'4® If..Q WOCWt`e_ Soh F-100.2.. 33 /S Interest in property: SAY H-0/6::#1 [sipexds, FL Name and address of fee simple titleholder: 4. Contractor's name, address and phone number: /1/1" s )-}ILt"" , LPL 11.16 TV/2 A VI / l /OZ o PI/AM/ id/ gvivii 31619 1 y 5. Surety: (Payment bond required by owner from contractor, if any) Name, address and phone number: Amount of bond $ 6. Lender's name and address: 7. Persons within the State of Florida designated by Owner upon who Section 713.13(1)(a)7., Florida Statutes, Name, address and phone number. 8. In addition to himself, Owners designa 713.13(1)(b), Florida Statutes. Name, address and phone number: he following person(s) t I HE/3EBYh v" 4iNicr-1.01. TAMMY 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a different date Is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHANT ER 713, PART I, SECTION 713.13. FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR OWCE a COMMENCEMENT. Signature(s) of 0 er (s)' Authorized Officer/Director /Partner/Manager Prepared By i �' Prepared By Print Name gha\ G.0 1c1 Ib Print Name Title /Office Ti4f1Qc9%%)Cj Member Title/Office STATE OF FLORIDA COUNTY OF MIAMI -DADE The fore oing instrument as acknowledged before me this I co day of Qp ,m &( By �Sti� ��c :.e.cb ❑ Ind idually, or was 1.4ci naTn j 2 m6er for s �5'CQk}tg- 5E3 Tt2..0 — LAC- ersonally known, or ❑ produced the following type of identification: Signature of Notary Public: 'Car Print Name: 34 2icref0 2_01 I (SEAL) VERIFICATION PURSUANT TO SECTION 92,525, FLORIDA STATUTES Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true, to the best of my knowledge and belief. Signature(s) of Owner(s) or Owner(s)'s Authorized Officer /Director /Partner /Manager who signe By 123.01 -52 PAGE 3 3/10 •Bax#It s_e.offirrelaweir •.' " "u�., ROSA RICARDO t�tY PV. (141 Notary Public - State of Florida -1 My Comm. Expires Jan 12, 2014 v 41. Commission # 00 930272 OF Oft � ... O Bonded Through National Notary Assn. By Aci&-af CERTIFICATE OF LIABILITY INSURANCE 12/14/10 THIS IFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). OP ID JG DATE (MMIDDIYYYY) PRODUCER BROWN & BROWN -HBA DIVISION 2500 NW 79TH AVE, SUITE 101 MIAMI FL 33122 4UN IALI NAME: PHONE AIC, No, Ext): E -MAIL ADDRESS: PRODUCER CUSTOMER ID #: ME SAB -1 FAX (A/C, No): INSURER(S) AFFORDING COVERAGE INSURED Mesa Brothers Inc. 5215 S.W. 103Rd Avenue (Rear) Miami FL 33165 INSURER A : INSURER B: INSURER C : INSURER D : INSURER E : INSURER F : *FCCI Insurance Company* NAIC # 10178 COVERAGES CERTIFICATE NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. REVISION NUMBER: INSR A TYPE OF INSURANCE GENERAL UABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE I X I OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: X 1 POLICY PRO- JECT JECT AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS ALMA SUBh INSR WVD POLICY NUMBER OLICY EFF (MMIDDIYYYY) EXP (MMIDDYIYYYY) GL0003191 12/18/10 12/18/11 LIMITS EACH OCCURRENCE $ 1,000,000 — DAMAGE I0 RENTED PREMISES (Ea occurrence) $ 100,000 MED EXP (Any one person) $ 5 , 0 0 0 PERSONAL & ADV INJURY $ 1, 000,000 GENERAL AGGREGATE $ 2, 000, 000 PRODUCTS - COMP /OP AGG $ 2, 0 0 0, 0 0 0 COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ (Per accident) E $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIV OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below EACH OCCURRENCE AGGREGATE IL YIN NIA WC STATU- 1OTH- TORYLIMITS 1 1 ER E.L. EACH ACCIDENT $ E.L. DISEASE - E! EMPLOYEE, $ E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (Attach ACORD 101, Additional Remarks Schedule; if more space is required) CERTIFICATE HOLDER CANCELLATION Miami Shores Village 1050 Ne 2Nd Ave Miami Shores FL 33138 ACORD 25 (2009/09) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ----4; 9 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD a D CERTIFICATE OF LIABILITY INSURANCE TIER OF INFORMATION THIS CERTIFICATE IS ISSUED AS A MA Company ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. DATE (MM/DD/YYYY) 1/5/2011 PRODUCER Sunz Insurance PO Box 1777 St Petersburg, FL 33731 www.ins4biz.com INSURE) Employee Staff, LLC 5543 Edmondson Pike, Suite 190 Nashville TN 37211 727 - 497 -1247 727- 497 -1280 INSURERS AFFORDING COVERAGE INSURER SUN/ Insurance Company INSURER B: INSURER C: INSURER D: INSURER E NAIC # 34762 COVERAGES THE POUCIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING MAY PERTAIN, MTHE (INSURANCE AFFORDED BY THE POUCIES OUCN CONTRACT DESCRIBED HEREIN DOCUMENT U WITH TO ALL THE TERMS, EXCLUSIONS FAND CONDITIONS FE SUCH TERM OR CONDMON OF ANY POUCIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY EFFECTIVE DATE /MM/DDIYYYY" INSR LTR ADDR NSRD A TYPE OF INSURANCE GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR GEN'L. AGGREGATE UMrr APPUES PER: n POLICY n JPR n LOC AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS GARAGE LIABILITY ANY AUTO EXCESS 1 UMBRELLA UABIUTY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION WORKERS COMPENSATION AND EMPLAYER$' UABIUTY ANY PROPRIETORIPARTNEWEXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) lives, describe under SPECIAL PROVISIONS Mow OTHER YIN POLICY NUMBER WCPE0000005601 10/29/2010 POLICY TT IMR EXPIRATION LIMITS 10/29/2011 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Coverage provided for all leased employees but not subcontractors of: Mesa Brothers Inc Location Effective: 1/1/2011 CERTIFICATE HOLDER 5362 City of Miami Shores 10050 NE 2nd Ave. Miami Shores FL 33138 ACORD 25 (2009101) CERT NO.: 9236133 Denise Cluff 1/5/2011 7:49:16 AN Page 1 of 1 CANCELLATION _ EXPIRATION SHOULD ANY OF THE ABOVE DE SCRIBFD POLICIES BE CANCELLED BEF O DAYS WRITTEN DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHAU. IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES (Ea occurrence) MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS - COMP /OP AGG COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Par accident) AUTO ONLY - EA ACCIDENT OTHER THAN AUTO ONLY EA ACC $ $ EACH OCCURRENCE AGGREGATE AGG V I TWORY LIMITS I I ER EL EACH ACCIDENT EL DISEASE - EA EMPLOYEE EL DISEASE - POLICY OMIT $ 1,000,000 $ 1,000,000 1,000,000 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE +J • fir Glen J Distefano / ©1988-2009 ACORD CORPORATION. All rights reserved. MIAMI -DADE COUNTY TAX COLLECTOR 140 W. FLAGLER ST, lst FLOOR IAMI,, FL 33130 040577-;9 BUSINESS NAME / LOCATION MESA BROTHERS INC.; 5215 SW 103 AVE 33165 l}NIN.DADE COUNTY OWNER MESA BROTHERS INC Sec. Type of Business BUSINESS TAX RECEIPT. IT DOES NOT PERMIT THE HOLDER TO EXISTING REGULATORY OR_�� rZONING, -LAWS OF THE COUNTY' OR CITIES. NOR ROES IT EXEMPT THE HOLDER FROM ANY OTHER; 010 LOCAL BUSINESS TAX RECEIPT 2011 MIAMI-DADE COUNTY ^STATE OF FLORIDA EXPIRES SEPT. 30, 2011 'MUST BE DISPLAYED AT PLACE OF BUSINESS PURSUANT TO COUNTY CODE CHAPTER 8A - ART. 9 & 10 THIS IS NOT A BILL - DO NOT PAY RENEWAL RECEIPT NO. 040577 -9 STATE* EC13001870 FIRST -CLASS U.S. POSTAGE I PAID MIAMI, FL PERMIT NO. 231 WORKER /S THIS" Is tIN Y6'A I I LCTRICAL CONTRACTOR 10 PERMIT , OR LICENSE r. "REOUIIED BY IAW.°THIS I$. NNOT-A CERTIRCATION OAP THE HOLDER'S QUALIICA rTIOWS PAYMENT RECEIVED MIALII DADE COUNTY TAX I- CFll' GOTON.: 408/11/2010 60010000569 00007500 SEE OTHER SIDE DO NOT FORWARD MESA'BROTHERS INC RAUL MESA PRES 5215 SW 103 AVE MIAMI FL 33165 l, liLl, HI1l, iilii; lliri ,imiiililllililiilluAil .A ii www.sunbiz.org - Department of State Page 1 of 2 FLORIDA DEPARTMENT OF STATE D i FSION «FA, C oRPoR \F FO\S Home Contact Us E- Filing Services Document Searches Forms Help Previous on List Next on List Return To List Events No Name History Detail by Entity Name Florida Limited Liability Company CHILDREN'S VILLAGE MONTESSORI SCHOOL AND DAY CARE CENTER, LLC Filing Information Document Number L07000079422 FEI Number 261086438 Date Filed 08/01/2007 State FL Status ACTIVE Last Event LC AMENDMENT Event Date Filed 10/26/2007 Event Effective Date NONE Principal Address 650 NE 88 TERRACE MIAMI FL 33138 US Changed 10/26/2007 Mailing Address 650 NE 88 TERRACE MIAMI FL 33138 US Changed 10/26/2007 Registered Agent Name & Address BEDARD, DENNIS R 1717 N BAYSHORE DRIVE SUITE 215 MIAMI FL 33132 US Manager /Member Detail Name & Address Title MGRM MANICA, MARIELA 1510 CLEVELAND ROAD MIAMI BEACH FL 33141 US Title MGRM MAULEM, RONI 1510 CLEVELAND RAOD MIAMI BEACH FL 33141 US Annual Reports http:/ /sunbiz.org/scripts /cordet.exe? action= DETFIL &incLdoc_ _number= L07000079422 &i... 3/13/2009 Recommendation Planning and Zoning staff recommends APPROVAL of the site plan for a eight (8) foot wide by seven (7) foot tall monument sign to be located not less than ten (10) feet from the front plot line, with a finding that it is consistent with the technical provisions of the Code. However, the Planning Board must make a finding that the proposed improvements are harmonious with the community, as required in Section 523 of the Code and, in that regard, may add further conditions or delete or modify staff recommended conditions, deny the application, or continue the item for future consideration. Should the board find that the applicant merits approval, staff recommends that the following conditions apply: 1) Approval is for a eight (8) foot wide by seven (7) foot tall monument sign to be located not less than ten (10) feet from the front plot line. 2) Applicant to meet all applicable code provisions at the time of permitting. 3) Applicant to obtain all required building permits before beginning work. N4) Berm is to be leveled and the sign installed at natural ground level. 5) NAILS sign to be removed from architectural feature above roof prior to issuance of a building permit for monument sign. The sign on the Montessori School, "Children's Village Montessori School" to be removed or Planning Board approval and a building permit obtained for the sign, before a building permit is issued for the monument sign. 7) This zoning permit will lapse and become invalid unless the work for which it was approved is started within one (1) year of the signing of the development order by the board chair, or if the work authorized by it is suspended or abandoned for a period of at least one (1) year. Page 3 of 3 PZ -5 -11- 2011246 Biscayne 88 Ten Manica 61\1\k, - Permit No: 11 -1549 Job Name: August 31, 2011 Miami Shores Viiiage Building Department Building Critique Sheet 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Page 1 of 1 1) Provide Zoning approval. 2) The existing foundation must be certified by the engineer of record showing that all required steel is in place and the foundation size is in compliance with the plan prior to installing new sign. The statement that the engineer has not visited this site is unacceptable. The engineer must visit the site and do evaluation of existing structure and certify it. 3) The foundation must be no less than 16" below finished grade to top of foundation. 4) Planning board approval included removing the existing mound of dirt and setting new sign at grade. The plans do not reflect this. 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 -795 -2204 www.sunbiz.org - Department of State Report Year Flied Date 2008 02/01/2008 2009 02/09/2009 Document Images 02/09/2009 — ANNUAL REPORT 02/01/2008 — ANNUAL REPORT 10/26/200 — LC Amendment 08/01/2007 — Florida Limited Liability ,' image in PDF format flew image in PDF format v image in PDF format I View image in PDF format 1 Note: This is not official record. See documents if question or conflict. Page 2 of 2 Previous on Llet Next on List Return To Llet Events No Name History Entity Name Search Home Contact us Document Searches E- Filing Services Forms Help Copyright and Privacy Policies Copyright © 2007 State of Florida, Department of State. http: // sunbiz. org / scripts /cordet.exe ?action= DETFIL &incdoc number= L07000079422 &i... 3/13/2009 INfiNITY June 28, 2011 CAYN E 88 TERRACE Lt.0 To: Whom it May Concern: I Ighal Goldfarb as the managing member of Biscayne 88`h Terrace owner of the property located in 650 NE 88t Terrace, Miami Shores, FL 33138 do hereby give authorization to Sergio's Signs & Graphics .to get and sign the application that Miami Shores City requires. 1140 KANE CONCOURSE • FIFTH FLOOR BAY HARBOR ISLANDS, FL • 33154 P: (305) - 868- 8203 1 F (305) - 868-8234 1 Infoeinfinitybh.com 1 www.infinitybh.com PROPOSAL MONUMENT SIGN 8' LONG , 7 'HEIGHT, DRAWN BY z co 88" ' WIDE ell) 1 2 INC 2 INC -0 -1 -- - -------- - - - - --- 8 FEET ChiIdren Village Montessori School --- Since 1999 Half Time Full Time SUMMER CAM? Extended PERMIT 6g0-0-1 mfi4 , mceoGyiLLAGE 305-757-1236 w4Anitchildrensvillagerontessorischnol_cnr. DATE PIZZA ELECTRICA, 1 92" IILUMBINC Tb-CHANICAL illumincked signs services • repairs oke downs • insbnlabons and more 8 FEET nr. 650 NE 88 TERRACE MIAMI SHORES VILLAGE s - BC 2004- UBJECE 7412 EXAC t)ERAL ATE 44LtIVIPit Bes, OHS PROPOSAL SIGNAGE MONUMENT SIGNAGE 7 FEET HEIGHT , 8 FEET LONG AND 1 FOOT WIDE . AREA FOR COPY " 92 INC. BY " 72 INC. BASE 1 FEET , PAINT COLOR MACH BUILDING. EXISTING SIGNAGE SINGLE POLE SIGN , DOUBLE FACE WITH ELECTRICAL VALLAST , RUN EIGHT H.O DAYLIGHT LAMPS. JOB DESCRIPTION: REMOVED ALL BOX , CUT THE POLE AT 7 FEET FROM THE GROUND . RELOCATED NEW POLE AND INSTALL NEW MONUMENT SIGN A. 88 NE TERRACE AND CENTER POLE 11 FT B. PARKING WEST ON THE BUILDING AND CENTER POLE 13 FT C. SIDE WALK 8 FT D. END SIDE WALK TO THE END ON MONUMENT SIGN 10 FT E. END TO THE MONUMENT SIGN TO SIDE WALK SHOPPING 7 FT F. BISCAYNE BLVR TO THE END ON MONUMENT SIGN 14 FT F D PROPOSAL MONUMENT SKIN tt1t1i TEif, B1JFi 1. 1 1 I BOUNDARY 8UiNEY PROPOSAL MONUMENT SION ,2 INC INC mwNn9:rxm.m+ ar ' mawr, gr,=.°.a.. 4Aa e. L.1 Rani. .19,0.0947 7FT 8FT ChU�ren's ViIage Montessori Schoo Since 1999 dim 931nc Children's Village Montessori School-- 14Inc Since 1999 3A' 68inc Lfl fc nts thru Kifder,9cirterl 4a- 64 Inc Half Time Full Time 25 Mc Extended 3A SOMMER CAMP 35 621nc 305- 757 -1236 — 44Inc www. childrensvillagemontessorischool .com . 11 In POLE SIGN 8 ° )t 7' (TYPICAL) STRUCTURE @ ELECTRICAL 1/4 WELD TYP.@ EA. CONN. EA.SIDE T &B 6" STL PIPE SCH.40 DOUBLE FACE ALUM.CABINETS WJALUMINUM FACES CUT OFF ROOTER NAMES NUMBER OF PRIMARY CIRCUITS MANUFACTURER OF SECONDARY ELECTRICAL SOURCE = (ADVANCED) ELECTRICAL INFORMATION : (SIGN) PRIMARY WIRE #12 THHN,THWN ENCASED IN 1/2" METALLIC CONDUIT &WIRE RACEWAY BALLAST SECONDARY WIRE 1,000VOLT CONSTRUCTED OF 1-1/2"X1-112"X3/16" ALUMINUM ANGLE DOUBLE FRAME.ALL CONNECTIONS Wi 1/8 "MI5 ,WELD BALLAST .21/2.1./?,50411 4 PRIMARY IMRE #12 THHN.THWN friol ENCASED IN 1(2 "METALLIC CONDUIT , 1 -120 VOLT BREAKER#4 BALLAST TYPE 488D NUMBER OF BALLAST 2 AMP LOAD EACH BALLAST 3.9 TOTAL AMP LOAD 7.8 NUMBER OF LAMPS 8 SIZE T-12/96 H/O DISCONNECT : 20 AMP SWITCH WITH 20 AMP IN -LINE FUSE TOTAL AMOUNT OF SWITCHES -2 &WIRE RACEWAY zt PRIMARY BY OTHERS BALLAST SECONDARY WIRE 1.000 VOLT "l�7 (AS PER NEC 600 -21) � � ® 1/2 "RACEW W/ AY W/#12 WIRE(THHN. THWN) et40/� ALL BREAKERS AND TIMING 2 s i des DEV!C ' S SHALL BE IDENTIFIED 49� AT VIE OF INSTALLATION. POLE COVER .060 ALUM: CONST. OF ALL ELECTRICAL WIRING AND INSTALLATIONS 1 112 "X1 112 X3(16 "STEELANGLE DOUBLE SHALL COMPLY WITH THE PROVISIONS OF THE GRADE FLORIDA BUILDING CODE FRAME ALL CONNECTIONS W/ 118 "MIN.WELD ATTACHED TO FRAME W 1 /8"POP RIVETS @12C.0 1 20 AMP.DISCONNECT SWICH CLIENT : COLONY SHOPS LOCATION: 5084 BISCAYNE BLVR MIAMI, FL, 33137 SION(S) o BE NI ANUFACrUREd TO U.L SPECIPICAT I WILL BEAR THE U L LAifEG(S} INSTALL 5NACC GRO6It EWITH NATIONAL: ELECTRIC GOES .,._ Typical Installation Saddle ti ' Aluminum Angle Sing Frame Welded Steel Angie Saddle Welded Steel Weld Sched.40 PI To Steel Angle Coddle All Four Sides Sched.40 PI Weld To Steel Saddle 2500 P.S.I CONCRETE FOOTING 2000 P.S.I SOIL CONDITION (SAND OR SAND &ROCK "IF DIFFERENT CONTACT ENGINEER' TO PRIMARY BY OTHERS 1/2 RIGID AS PER NEC 600 -21 EXISTING FOUNDATION /1-47 14) frirt dr26Pi° NOTE.' UNLESS OTHERWISE SPECIFIED ALL STEEL TO BE ASTM A -36 ALL BOLTS TO BE A -307 ALL WELDING TO BE 1/8" MIN. PRIMARY WIRING AS PER NEC 600 -21 IN -LINE FUSE REQ'D. AS PER FBC 4505.4 GROUNDING BONDING OF SIGN AS PER NEC 250 SERVICE DISCONNECT AS PER NEC 600 -2 ALL ELEC. COMPONENTS U. L. LI STED&APPRO 4/ED STRUCTURAL ENGINEER ELECTRICAL CONTRACTOR / PE #28585 VERNINO CODE. 2007 FLORIDA BUILDING CODE WITH •IMPH, EXPOSURE 'C' I = 0.77 SOUID.SIGN METHOD (46 /A ENGINEERING AOK, LLC DON ARPI�NM.S.P E 4920 N. DIXIE HW t • C#1.4. STRUCTURAL C NLI" P.E.2855$ FT. LAUDERDALE, FL 33334 TEL. 854-772-8.345— COA 4 26073 gy�Gi'id'%l d11J THIS ENGINEER HAS NOT VISITED THE J06SITE. DESIGN IS BASED ON CONTRACTOR SUPPLIED DATA IF ANY FIELD CONDITIONS THE SPECIFIED HEREIN,THIS ENGINEER SHALL BE NOTED 4,: OH CO JOB(S) ONLY VALID ONLY WITH ENAINBER SEAL 28660' 745 33334 RAUL MESA LIC # EC- 13001870 78‘.-6 5215 S.W 103 RD AVENUE MI I,FL,33165 le Alum. Mount' . Shoe Full Weld To Alum. Sign Frame .'lint Boh:ThroudlF Mounting Shoe & Steel Angle Saddle (/? POLE SIGN 8' * 7 ' (TYPICAL) STRUCTURE © ELECTRICAL 1/4 WELD TYP.@ EA. CONN. EA.SIDE T &B ' STL.PIPE SCH.40 2 112" X 5116" ALUM ANGLE CABINET WELDEDX 1/4" FULL CONTACT 2 SIDES OF ANGLE PRIMARY \MRE#12 THHN.THWN ENCASED IN 1/2 "METALLIC CONDUIT MIRE RACEWAY BALLAST SECONDARY WIRE 1.000 VOLT 120 AMP.DISCONNECT SWICH STEEL ANGLE ,S'AIMI A TYP.T &B POLE COVER .060 ALUM. CONST. OF 1- 112"X1 - 112"X3116 "STEELANGLE DOUBLE FRAME ALL CONNECTIONS W/ 1I8"MIN.WELD ATTACHED TO FRAME W 1/8"POP RIVETS @12C.0 TO PRIMARY BY OTHERS AS PER NEC 600-21 2500 P.S.I CONCRETE1 OOTING 112 RIGID CLIENT : COLONY SHOPS LOCATION: 5084 BISCAYNE BLVR MIAMI; FL, 33137 O S fGN(sac) BE ElLIFB TO 11 L SPEC IFICATPNEBJ ILL B 11R THE U•f. 'VW.. .( j INS TA L IN ACC O320ANCEsWITH S 0 A TIONALELECTRIC CQOES L. STRUCTURAL ENGINEER PE #28585. ,VERNING CODE: 2007 FLORIDA BUILDING CODE WITH p , IMPH, EXPOSURE 'C' 1= 0.77 SOEID.SIGN METHOD "(Igo M'Oil ENGINEERING•AGK, LLC hAf 1 DON ARRI{4M.S.P.E 4920 N. DIXIE HWY.: > STRUCTURAL ONLY!'P.E.28585. , FT. LAUDERDALE,;FL 33334'. TEL 334-772-8345.. �A COA t7 28073 E THIS ENGINEER HAS NOT VISTTEDTHE JOBSITE. DESIGN IS BASED ON CONTRACTOR SUPPLIED t DATA.IF ANY FIELD CONDITIONS THE SPECIFIED HEREIN, THIS ENGINEER SHALL BE NOTIFIED Aszamemietnigateumac MANUFACTURER OF SECONDARY ELECTRICAL SOURCE = (ADVANCED) ELECTRICAL INFORMATION : (SIGN) PRIMARY WIRE #12 THHN, THWN ENCASED IN 1/2" METALLIC CONDUIT &WIRE RACEWAY BALLAST SECONDARY WIRE 1,000VOLT NUMBER OF PRIMARY CIRCUITS 1 -120 VOLT BREAKER#4 BALLAST TYPE 488D NUMBER OF BALLAST 2 AMP LOAD EACH BALLAST 3.9 TOTAL AMP LOAD 7.8 NUMBER OF LAMPS 8 SIZE T -12/96 H/O DISCONNECT : 20 AMP SWITCH WITH 20 AMP /N -LINE FUSE TOTAL AMOUNT OF SWITCHES -2 PRIMARY BY OTHERS (AS PER NEC 600 -21) 1/2'RACEWAY W/#12 W/RE(THHN, THWN) ALL BREAKERS AND TIMING DEVICES SHALL BE IDENTIFIED AT TIME OF INSTALLATION. Typical Installation Saddle js Aluminum Angle Sing Frame Welded Steel Angle Saddle Welded Steel Weld Sched.40 To Steel Angle Coddle All Four Sides Sched. 40 Pipe Weld To ;reel Saddle ALL ELECTRICAL WIRING AND INSTALLATIONS SHALL COMPLY WITH THE PROVISIONS OF THE FLORIDA BUILDING CODE NOTE: UNLESS OTHERWISE SPECIFIED ALL STEEL TO BE ASTM A -36 ALL BOLTS TO BE A -307 ALL WELDING TO BE 1/8" MIN. PRIMARY WIRING AS PER NEC 600-21 IN -LINE FUSE REQ'D. AS PER FBC 4505.4 GROUNDING BONDING OF SIGN AS PER NEC 250 SERVICE DISCONNECT AS PER NEC 600-2 ALL ELEC. COMPONENTS U.L. LISTED&APPROVED ELECTRICAL CONTRACTOR RAUL MESA LIC # EC- 13001870 78‘-6 5215 S. W 103 RD AVENUE MIAMI , FL , 33165 A •le Alum. Mountln ±Shoe Full Weld To AIum.SIgn Frame ' CI 'Thn! BoiuThrough Mounting Shoe & Steel Angle Saddle 14:ej SUBJECT TO COMPLIANCE WITH ALL FEDERAL STATE AND COUNTY RULES AND REGULATIONS 4.1.11■1110 oals■■■■ 41.1.110111. LEGAL DESCRIPTION. LOT 19, Less Twimstompt PART MORN THE CONFINER OF eiscAyte soluVARO, "ASBURY PAW, ACCORDING TO THE PLAT THEREOF.AD RECOMEPIN..PLATBOOK C. AT PAGE 110, OF THE FUBLIC RECORDSOF litAidti4IADSCOUNTY. FLORIDA. • WaY4023dr .41•41441.11. tea; ■••■•■■•■••■•■•1 W■12 1 1 BOUNDARY aUSVEY • GRAPHIC SCALE SCALE: 1* 20' • • --SURVEYOR'S NOIS:- 1.- Rath Arrow infection shown boson ors bond en vaned value as per Pt Book 48. at Pogo 17, Onlarni—Dade CatitA • 2.— The ober* isigibrepoPorin wito surveyed atd *Ad band at the above Lego) DevoriptIon thit am& 3.— Not said vdthout the strata* and the cricket tad sad of a Rorldo licensed . Samar ond Mapper. or death:es to tisty maps or reports by other that the slating party or pities Is prohibited wont written =wont of the Fenn 01° Pilaw LOCATION warm swairwora paopEray laDREss: 013 11 Eit154444Y14 MIAMI esSeZI WO. .81440, TE*Rok 1011,44.41 P1.. aio mat ma maw 0011 w? maw. il-onwastron *Siloam mow aarmisafl taw OUSIKPFS 110 MON tarareaduria 10 10 anasolinus corimoterr tio.1242agil fW1t Sawa :44441 adeborirepaly to Sao saisoaad Id bid d 04a Ose* .se ago wad- 4oweedamas Jim dem 4Mostk.I1141n.:1"181"titadIas$1"0"r04.1=41bIttr1 id' • • 'tesdasa 4001044110sdisa 41 add Woad 1i adisobl taw et OIL Ma amp . „. 40471013531111111'107.411073•3C 024001 6.3433 2...acciarros, as cowmen Pe •41043 • • • OAP CS • SUPP7RMS W. • I 001,0_1A1tefi OInSK PO PIlnWv4AL 11 MA • MC* CL a ;1110111. • a • Nowa tn. .4 mos PPM 11011131011 LP. • L WAS • WICDW 1 KOK tom ILA AO= /LTA 01. 1431.0, Pad. PL. KKK HIED 011 Noma pooves 00111103117 PPM POPO OF ISOM POPS Of. PEPPtiteff 112111100 P1M1311 P • NW( UNE ROL SCOPP) KIS. • 11111031110 11/41 • MKT Sal SEt• OW PPE 110.1-9. 3170 STY. • NOOK • San • T. • VA • MOP MOW mar coma mat am aomariti: ** P144101111 ad add 4B roe* am* kadd 1111401 orb Ow widow 11,40* BIBBOBII 01011-0.10000 Cal.. 'midst am 10 1. owls 14 cldwain ismaddkiln44•14411.1ar.: , 10 11 daladl MOB 010111 soduldaddkOSIOS/03 . at 10.4. 0110 *tip 1 exadatdiaa mem kt Owe plows Cal10531 303 SON um 124- II " 1101 101110 TOW THE Mat RD VAL MD SKsili/URE Or FLORIDA MOM =NUM rte MAPPER. J. Bonet Assodotes, hit lisablorod SarrolorAnd **or, SUN of Florida. th 11.. 3363 9300 s.W. rind. asitTi.poi 263 Marith 7101de 33373 (300.39443333 rub 898-0023 AMON, 10111010 CLOS OMB NI 03-0144. Re: 01- 0112o .02-0047 SERGIO CARMONA (786) 683 4392 (786) 683 4376 contact@sg-graphics.com wwwsg-graphics.com illuminabed signs services repairs Eake downs insEallaElons and more Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 164607 Permit Number: DEMO -9 -11 -1672 Scheduled Inspection Date: September 22, 2011 Inspector: Bruhn, Norman Owner: Job Address: 650 NE 88 Terrace Miami Shores, FL 33138- Project: <NONE> Contractor: MESA BROTHERS INC Permit Type: Demolition Inspection Type: Final Work Classification: Walls & Signs Phone Number (305)868 -8203 Parcel Number 1132060110190 Phone: (305)345 -1974 Building Department Comments REMOVE BACK LIGHT FROM POLE SIGN WITH THE POLE ON THE GROUND FOR FUTURE MONUMENT SIGN. REMOVE TWO SIGNAGE FROM BUILDING ONE ONE ON FACE WEST AND ONE ON FACE SOUTH Passed Failed Inspector Comments CREATED AS REINSPECTION FOR INSP - 164336. POle sign still standing. No permit or plans posted. NB Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. September 21, 2011 For Inspections please call: (305)762 -4949 Page 21 of 29 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 / OWNER: Name (Fee Simple Titleholder)Dl U.00.EWS 1t1UMG£ MOA)€S 112) �y 1A00L phone #: 305-957-- I v3g Address: ‘ 1,1.E . 88 +�Y2 City: i iA1✓l1 S torms State: Tenant/Lessee Name: Email: ROOFING MGMBWIE SEP 201 Permit No. G O Master Permit No. Zip: 3313g . Phone#:3o3' S 136 JOB ADDRESS: 650 3 • £ 09 iorxrc_, City: Miami Shores County: Miami Dade Zip: -3313 z Folio/Parcel #: Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: HCS Ii g KERS Address: S ? 5 5w (03 City: 1 A k. State: f'- Qualifier Name: 12A Li L. 5/14. • State Certification or Registration #: 1300 i ei 0 Contact Phone #: SE/24! 10 Civrit'loivi), . Email Address: DESIGNER: Architect/Engineer: bO)4 A CLO1 t • S 10 P one #: SOS — G3O 25`1 1 Y(9 . ra3• 4391- zip: 33IG5 Phone #: 37$• 630— ZS 41:1k Certificate of Competency #: 594k611r5pflic5 a lANcto.co vv-k,. • P• £ Phone #: 9n-1/2.-93‘16 Value of Work'for this Pp' riit $ 640°O° Squarel1Linear`Footage°of ork: Type of Work: DAddition OAlteration `' ONew La-Repair/Rep-lace emolition Description of Work: la P.f.t011C3 YJAek,jc * 920A4 f paLE. "• A,3 / f Pol O� 6e2Dt ; 110 S P) 120-701,1110 f u O 51aituFs, I3l® /1 1 uP) ►�� CE tS+ i OkAdE FRGE YOU/241i • ******** ***** * * * **** * * * * * * * ****** *** ** *Fees ** ********** **** * * *** **** * * * * * * * * * ** * ****** O Submittal Fee $ Permit Fee $ j ®0 CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ ID T7 Lab 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 issue' In th-e—abstmce of such posted notice, the inspection will not be a, rov s, and a reins, ection fee will be charged. Signature or Agent The foregoin :, in day of��`� who is personal ent was a ledged before 20 / t , by / 67e.L0 known to me or who has produced As identification and who did take an oath. Signature Contractor this /09") The foregoing nstrument was acknowled: ' before me th , day of r # / , 20 /1, by who is p onall known to me or who has produced as ide NOTARY PUBLI My Commission Expires: Ac — My Commission Expires: *********** ** * ***** * *** * ** ** *** x***************x: **x :****:x***** * * *** * * * * ***:x ** **x *** ***+xx:** ** * *** x *** ***** APPROVED BY Plans Examiner 7 /�y /1, Zoning Structural Review Clerk (Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09) 1TY COPY - - - j .. . Miami Shores Village APPROVED BY DATE ZONING DEPT ��q/ l BLDG DEPT ng1'),,I., 1,._.-} ''/7�1e SUBJECT TO COMPLIANCE WITH ALL FEDERAL STATE AND COUNTY RULES AND REGULATIONS Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 163679 Permit Number: ELC -8 -11 -1554 Scheduled Inspection Date: February 01, 2012 Inspector: Devaney, Michael Owner: Job Address: 650 NE 88 Terrace Miami Shores, FL 33138- Project: <NONE> Contractor: MESA BROTHERS INC Permit Type: Electrical - Commercial Inspection Type: Final Work Classification: Sign Phone Number (305)868 -8203 Parcel Number 1132060110190 Phone: (305)345 -1974 Building Department Comments HOOK UP EXISTING POWER ONLY Passed Failed Correction Needed Re Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments //e January 31, 2012 For Inspections please call: (305)762 -4949 Page4of39 Miami Shoes =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 Permit No. aC1 Master Permit No. G6N1 11- -154tH OWNER: Name (Fee Simple Titleholder):... M ), .Qt.) • Address: j /qo ' - - 270,A icoc.,12.5e- r-toolf2._ City: 5''\f ..5l \1Y . State: - [9) ir)41, Tenant/Lessee Name: H'y L1 A it -1/3)01(21. Email: VI MtAt-Ni A 1rl%9l - E0,' JOB ADDRESS: els -+ j +W Phone #: -315- 862-8203 . Zip: 3-5 1 S\k Phone #:S-' 15`7 - iZ fi , City: Miami Shores County: Miami Dade 8 Folio/Parcel #: Is the Building Historically Designated: Yes NO IC Flood Zone: CONTRACTOR: Company Name: Address: -5215 ax-) Phone #: 3'0 '3c ZS�q City: /1-.4/ AA-1 I State: /L.O attr)1 • Zip: -3S) C-5 Qualifier Name: ,I ..UL Phone #: 705 C50-;ZStlet State Certification or Registration #: �r��,. =rf�' /300/870 Certificate of Competency #: Contact Phone #: 786 -6� 431g Email Address: S SjQ AaC► Z,S kiagOO. COM - DESIGNER: Architect/Engineer: /24,/x/ Atappu J ,s Phone #: ciS1(772._8315 Value of Work for this Permit: $ 100- 00 Square/Linear Footage of Work: Type of Work: ❑Address OAlteration ❑New ORepair/Replace ODemolition Noah LIP -/r) Ex l3l .A pa vE auz-- Description of Work: **************: x**** **: x***x: ******** ***** Fees******+x*******+x:xx:****** * * ** x *:x****** * *:x***** Submittal Fee $ Permit Fee $ /'49 Fe CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $1 r$ Wt' 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 be approved and a reinspection fee will be charged. Signature Owner or Agent 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: Sign: Print: My Commission Expires: Signature Contractor 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: Sign: Print: My Commission Expires: * ***** **: x*** ** * *:x:x ****:x:x****:x:x** *** * * ** :: x: xs:: x**a: ***: x: x**x::: x*= x: x************ *x:: x****** * *** * *** ** * * **:x****** ** **** APPROVED BY Plans Examiner Structural Review (Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09) Zoning Clerk I 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 h occurs seven (7) days after the building permit is issued. t e abs ce"of -.s ch posted notice, the inspection will not apps. ved and a reinspection fee will be charged. Signature Owner or Agent The foregoint instrument was acknowl ed before me,th3 day of ter �' 20 /J, by who is rson y known to me or who has produced As id NOTARY �UBLIC: a C-4-;) Sign: Print: My Commission Expires: OC.19--O Signature Contractor /2-) The foregoin strument was acknowl , day of who is p son. y known to me or who has produced. before me tltL , by `' C- .r°. "% Notary Public State of Florida Rock) Muneton My Commission DD989080 Moir Exp, ; o OS/05/2014 NO /l * * * * * * * * * * * * * * * * * * * * ** APPROVED BY i`- Sign: Print: My Commission Expires: ********************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Zoning Structural Review (Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09) Clerk Miami Shores Viiiage Building Department RECEIPT PERMIT #: 11 DATE: I, SIo 91 2 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Contractor ❑ •wner ❑ Architect Picked up 2 sets of plans and (other) a -C-1 -r[ co,s S Address: 1 i\-(1., 8 S ( From the building department on this date in order to have corrections done to plans And /or get County stamps. l understand that the plans need to be brought back to Miami Shores Village Building D-:rt 1nt to continue permitting process. Acknowledged by: PERMIT CLERK INITIAL: RESUBMITTED DATE: qi ) lJ r,01 PERMIT CLERK INITIAL: