SGN-06-2092E:,
Miami Shores Village
Height: NA
10050 N.E. 2nd Avenue
Color: WHITE
Miami Shores, FL 33138 -0000
-;nom
Phone: (305)795 -2204 Fax: (305)756 -8972
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Permit
Permit Status: APPROVED
Issue Date: 8/8/2006 Expires: 02104/2007 Permit Number: SGN -8 -06 -2092
Owner's Name: KATIE DUKES one:
Permit Type:
Work Classification: New
Parcel #:
Block:
Job Address: 166 96 Street NE Section:
Miami Shores Village, FL 33138-
:;ontractor(s) Phone Primary Contractor
SOME OWNER Yes
comments:
SIGN REMOVE AND REPLACE WITH NEW 166 -168 NE 96 ST WHITE LETTERING
Additional Information
Type of Sign: Wall Sign
Electrical Sign: No
Height: NA
Width: NA
Color: WHITE
Elevation: NA
Plans Submitted: Yes
Additional Info: NA
Classification: Commercial
Permit Fee
In consideration of the issuance to me of this permit, I agree to perform the work
covered hereunder in compliance with all ordinances and regulations pertaining
thereto and in strict conformity with the plans, drawings, statements or specifications
submitted to the proper authorities of Miami Shores Village. In accepting this permit I
assume responsibility for all work done by either myself, my agent, servants, or
employes. I understand that separate permits are required for ELECTRICAL,
PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING
POOL work.
OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that
all work will be done in compliance with all applicable laws regulating construction
and zoning. Futhermore, I authorize the above -named contractor to do the work
stated.
1131010240190
Lot:
PB:
Total Square Feet: 0
Total Valuation: $ 1,000.00
Fees Due
Amount
Invoice Number Amt Due
CCF
$0.60
SGN -8 -06 -25816 $106.30
Education Surcharge
$0.20
Total:
Permit Fee
$100.00
LAa
O
D]
Scanning Fee
$3.00
Technology Fee
$2.50
#
Total:
$106.30
M, 11011
Building Department File Co
Copy
NOTICE: In addition to the requirements of this permit, there may be
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additional restrictions applicable to this property that may be found in the
public records of this county.
AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER
GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT
DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES.
Applicant Signature
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4767 N.W. 183 St
Misr j, Fla 33055 69AZI2044 saw 1Q& 2Q Em am 5 .6Q ,1y Moog
305- 625 -2265
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day of 20 -,-® by &Y Of-- 20
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NOTAXT PURUC:
NOTARY PUMUC:
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APKWATIQK APmvw sy.-
Phm Enminer
Pentagonl R(-,41 Estate Corp.
47671 -' w. 183 St
INI awi, l,'Ia 33055
305-625.2265
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OSM/2000 Sm 40120 (ift M S40T) 003
DATE 1 \O' °fl Lam` f1
aELL' �/
RECEIVED FROM `'ST£ `) ELL' K` . 6A CID P 4. . s a 5. c ....•1
ujF1,4 P, yDc 1 Q 9-8 5 - C)G ACC DOLLARS
QFOR RENT
U R
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ACCOUNT OCASH
FROM TO
PAYMENT e �� CHECK
BAL. DUE CORDMONEY BY ��` � it
Miami Shores village
if*lding p De artment*
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fag: (305) 756.8972
BUILDING AN 0 4 2006
PERMIT APPLICATION
FBC 2001
<1 VVN
$i81�
Permit No.
Master Permit No.
Permit Type (circle): Building Electrical Plumbing Mechanical Roofing
Owner's Name (Fee Simple Titleholder) L: &Q C&A Phone # see: 75-4, ' //7 :7 & i z..
Owner's Address V34- OVZ't ZNa AVT-
City_9,A dl/ vt,idA!;5 State Zip
Tenant/Lessee Name Phone #, Dom; :7.-,:7
Job Address (where the work is being done) % fib —J68- /1,5- =7 r0 5 j
City Miami Shores Village County Miami -Dade Zip 3313
Is Building Historically Designated YES NO
Contractor's Company Name N /�/`i Phone #
Contractor's Address
City
Qualifier
State Certificate or Registration
State
Zip.
Certificate of Competency No.
Architect/Engineer's Name (if applicable) -Al JI /s9 Phone #
$ Value of Work For this Permit # / o • trD Square Footage Of Work:
Type of Work: ❑Addition Alteration ❑New ❑ Repair/Replace ❑ Demolition
Describe Work: 1Z 6Ago of°" t-x i S 7—,. 1 -43 W 7 N D e 'J�I Ste, q W --i r — i V i 1 C: K_ - -c.) 4 Z_tfTT L;��_ t %K, i
c 4---' ; ' l-4
Ago Submittal Fee $ Permit Fee $ � ' CCF $ CO /CC
Notary $
Training/Education Fee $
Scanning $ Radon $
Code Enforcement $
Total Fee Now Due $
(Continued on opposite side)
Technology Fee $
Zoning Bond $
Structural Plan Review. $
Bonding Company's Name (if applicallIS LA
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State
Zip
Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC.....
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
" WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding 52500, the applicant must
promise in good,faith th a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject o attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection w 'ch occur seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be appr ved and 0 reilpection fee will be charged.
'owner or Agent
The foregoing instrument was acknowledged before me this
day of f" A-It- , 20 66, by Z,,f a /t/
who is person 1 know„ rn me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sign.
Print.
My Commission E +32 -4254)
.................
...... ............. ...:
MICJ' 6Q�LWAY
ommiss on UUV4V 3�
Expires 8/18/2007
Bonded through
Florida Notary Assn., Inc. =
.... ....@$ ........................:
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:
APPLICATION APPROVED BY: l///f d / b /&WV Plans Examiner
Engineer
6 e� Zoning
Chc 05/13/03
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