SGN-14-1484Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795-2204 Fax: (305)756-8972
Inspection Number: INSP-215679 Permit Number: SGN-7-14-1484
Scheduled Inspection Date: September 10, 2014 Permit Type: Sign
Inspector: Rodriguez, Jorge
Owner: LLC, MSVC
Job Address: 9472 NE 2 Avenue 9472
Miami Shores, FL 33138-0000
Project: MSVC
Contractor: SIGN A RAMA
comments
Inspection Type: Final
Work Classification: Addition/Alteration
INSTALL CHANNEL LETTERS NON ELECTRICAL "SALON I INSPECTOR COMMENTS
DAHLIA
Phone Number
Parcel Number 1132060132780-72
False
September 09, 2014 For Inspections please call: (305)762-4949 Page 13 of 44
Inspector Comments
Passed
Failed
Correction
Needed ❑
Re -Inspection ❑
Fee
No Additional Inspections can be scheduled until
re -inspection fee is paid.
September 09, 2014 For Inspections please call: (305)762-4949 Page 13 of 44
T�x-_:
Miami Shores Village
Building Department
JUL 10 2014
g p
10050 N.E.2nd Avenue, Miami Shores, Florida 33138 (•`a'
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
FBC 20/0
BUILDING Master Permit No.
PERMIT APPLICATION Sub Permit No.
BUILDING
ELECTRIC
[—] ROOFING
[—] REVISION
Ej EXTENSION
RENEWAL
r-IPLUMBING
MECHANICAL
[]PUBLICWORKS
[:] CHANGE
CONTRACTOR
E] CANCELLATION
SHOP
DRAWINGS
JOB ADDRESS: � ' - N *f7F
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Title
Address: 0
City:
Tenant/Lessee N e:
Email:
CONTRACTOR: Company Name:
Address: /_1193f A(e d
L_irk Phone#:_`
d
• � 1,r1/J� � ' �i. ill , i► -
State Certification or Registration #: Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#.
Address: City:
State: Zip:
Value of Work for this Permit: $ / 701I 00 uare/Linear Footage of Work:
Type
Specific color of color thru tile:
Submittal Fee $ Q ` Permit Fee $ Q OD CCF $ CO/CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $
Training/Education Fee $
Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $ GG. 2-0
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
state
Zip
Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC.....
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
"WARNING TO OWNER: YOUR ' FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO. YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING
YOUR NOTICE OF COMMENCEMENT."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction hen'low brochure will be d red .to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement mu posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issuZContractor
such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
1
Signature Signature7�) 1-7
Owner or Agent
The foregoing instrument was acknowledged before m(,e, ,this l
day of�'e _ , 20 )l by ArcL _ • S !::,6
who is personally known t o me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
The foregoin8d1s rument was acknowledged before me thiis
day of 20 4xiby --MAn-Q�a
who 's personally known to or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Ja
JACKEUNE TORRES �
Sign Sign:
Print: STATE OF FLORIDA GAWL
Print: ��� �����
Flaft
• MWIF My COMM. Expires May 25, 2018
My Commission Expires: Expires 8/3/2015 My Com s: Comadnim * EE 185050
1111111101 TWO* 41111W Nehn Ann.
T��*�w7 ti-(( f
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)(Revised 5/2/2012)(Revised 3/12/2012) )(Revised 06/10/2009)(Revised 3/15/09)(Revised 7/10/2007)
CTQ
Constructlon Trades �ifying Board !�
BUSINESS CERTIFICATE OF COMPETENCY;
- 018500342
HITE SANDS DMC, INC
D.B.A.:SIGN-A-RAMA
�
l: ROGER ALLEN JR FIS
ie nprtmed under the orovisions of Chaoter 10 of Miami -Dat&
t,'IUALIFYING TRADES)
0051 SIGN (NON ELEC)
/ •
Chartoa Den9et
P.E. �("'• do�Wiwi&
,
t t
� J
t
A CC7►R 7 a
C40 CERTIFICATE OF LIABILITY INSURANCE
DATE (MMIDDNYYY)
4/28/2014
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
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(les) 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 endomement(s).
PRODUCER
MCTAGGART INSURANCE AGENCY LTD, INC.
PO BOB 2248
CONTACT
NAME: CUSTOMER SERVICE OTTER
PHCNEo (866) 972-7378 ('AA1'C No:(800) 455-9611
E-MAIL
ADDRE BUSINESS. CUSTOMERSERVICE@FARMERSXNSIIRANCE.COX
GRAND RAPIDS MI 49501-2248
5/20/2014
5/20/2015
INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A: FOREMOST SIGNATURE INSURANCE CO 41513
MED EXP (Any one person) $ 10,000
INSURED 305 947-7731
WHITESANDS DMG, INC
INSURER B: FOREMOST PROPERTY & CASUALTY 11800
GEN'LAGGREGATE LIMIT APPLIESPER:
POLICY JET LOC
OTHER:
GENERAL AGGREGATE $ 2,000,000
INSURERC:
INSURER D:
1798 NE 163 STREET
INSURER E:
NORTH MIAMI BEACH FL 33162
INSURER F :
COVERAGES CERTIFICATE NUMBER: Cert ID 131563 REVISION 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.
INSR
LTR
TYPE OF INSURANCE
ADDL
SUBR
POLICY NUMBER
POLICY EFF
MMIDD
POLICY EXP
MMID
LIMrfS
A
B COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE a OCCUR
N
N
PAS002969287
5/20/2014
5/20/2015
EACH OCCURRENCE $ 1,000,000
PREMISES Eaoocunence $ 11000,000
MED EXP (Any one person) $ 10,000
PERSONAL&ADV INJURY $ 11000,000
GEN'LAGGREGATE LIMIT APPLIESPER:
POLICY JET LOC
OTHER:
GENERAL AGGREGATE $ 2,000,000
PRODUCTS - COMP/OP AGG $ 2,000,000
$
AUTOMOBILE
LIABILITY
ANY AUTO
AA�� ED SCHEDULED
AUTOS
NON -OWNED
HIRED AUTOS AUTOS
COMBINED SINGLE LIMIT $
Ea accidert
BODILY INJURY (Per person) $
BODILY INJURY (Per accident) $
PROPERTY DAMAGE $
Peracddent
$
UMBRELLA LIAB
EXCESS LIAB
OCCUR
CLAIMS -MADE
EACH OCCURRENCE $
AGGREGATE $
DED I I RETENTION $
$
B
WORKERS COMPENSATION
AND EMPLOYERS LIABILITY YIN
ANY PROPRIETOR(PARTNER/EXECUTIVEE.L.EACH
OFFICER/MEMBER EXCLUDED? F—N]NIA
(Mandatory in NH)
If yyes describe under
DF-SCRIP71ON OF OPERATIONS below
N
WC003676600
4/27/2014
4/27/2015
B STATUTE I ER
ACCIDENT $ 100,000
E.LDISEASE -EAEMPLOYE $ 100,000
E.LDISEASE- POLICYUMrT I $ 500,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remaft Schedule, may be attached if more space Is required)
PRINTERS - ALL OTHERS/ WHITESANDS DMG, INC IS COVERED FOR GENERAL LIABILITY AND WORKER'S
COMPENSATION BY THESE POLICIES REFERENCED. SUBJECT TO POLICY TERMS AND CONDITIONS.
CONTRACTORS LICENSE # OlBS00342
CFRTIFICISTF HOLBFR CANCELLATION
V IVUB-ZU14 AGUKU L;UKI-VKA 11UN. All 17191TEa3 reserveu.
ACORD 26 (2014/01) The ACORD name and logo are registered marks of ACORD
Page 1 of 1
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
MIAMI SHORES VILLAGE BUILDING DEPARTMENT
10050 NE 2ND AVE.
AUTHORIZED REPRESENTATIVE
MIAMI SHORES FL 33138
V IVUB-ZU14 AGUKU L;UKI-VKA 11UN. All 17191TEa3 reserveu.
ACORD 26 (2014/01) The ACORD name and logo are registered marks of ACORD
Page 1 of 1
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WRRTH MVM MACKA 33-1--62-
OWNER SEC. TYPE OPAUSINESS PAYMEiSFMECEIYED
WHITE SANDS DMG INC 214 RETAL S,�S1.11S BY TAX.AWLLECTOR
E11*oyee(s) 1 $45.00'•0/14/213
FVHSI..,,43—OQM7
This. 1 Busina aft Reoei orfirms I Business Tan The I pt is not alcense,
r a c of the qualHi ess Ho tlAt any goylemme�rtai or
etrta�,F$�atory la : , :. egnirem�ds which the b � .`
a i e RECEIii10. above displayejin elI co cial vahis de Sec
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Miami -Dade County
Tax Collector
140 W. Flagler St. Rm 101.
M Jami, FL 33130-1575
.�?:!........................................Baia
...............................
Cashier.
CLAA
Paid By:
SIGN A RAAR.A INC
09/ 21201312:44 PM
Date.
;
Received Via:
in Person
Num: Hems:
i 1
Total Tendered:
1$175.,00
Receipt #:
0227-13-001373
Batch:
i 8877953
Drawer
02�,_7
,...: •-- - ........�
Status:
.................. ............ .
I Camplate --
.�?:!........................................Baia
...............................
.
Business Tax.: (
_.......
$175,00
Acc# 4858172 I
Rct# 7437131 i
Yr. 2014 4.....::.
..::,:.....::..:.:..
..:..:....:...:.::._
Total: '
............................ ... ...... I... .......................
$175:00
.............................. .... ...............................................
Psymetat.............................I Paid ..............................................
Check:
$17500
Chk#3134(...
........ ................ .............................................
Balance:
..............................................................................................
$0.00
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NON -ELECTRICAL
CHANNEL LETTERS
co
O
co
N
C' IVFED
JUL 10 2014 1
1/2 FLAT CUT PVC LETTERS
NON -ELECTRICAL CHANNEL LETTERS
AND 1/2 INCH FLAT CUT PVC
COLOR BLACK
TOTAL SQ. FT. 25.39
SEE PG 2 FOR DETAILS
• Village
24 LINEAL FT STORE *0 •q
EAST ELEVAT4b •
.�OVk• . ..' BY DATE
ZONING DEPT
BLDG DEQT
JOB ADDRESS NORTH MIAMI BEACH: 305-947-7731
9472 N.E. 2ND AVENUE •UBJECTTOCOMPLIANCE iMTiAMFEDER& 1798 NE 163rd STREET 33162
MIAMI SHORES, FL 33138 •. STATE&4";oTy,7?UL*AND RmutATION3 PG 1
NON- ELECTRICAL
REVERSE CHANNEL LETTERS
NOW ELECTRICAL
FLAT CUT 1/2 INCH PVC LETTERS
2 INCH RETURN
.063 ALUMINUM -
PAINTED BLACK
.M.
2 in STAND-OFF s
3116 X 11/2 TAP CONS ; •'.
2 OR 4 PER UNIT
FACIA
3/16" x 1-1/2" LONG
THREADED STUD
INTO MASTIC FILLED
HOLE (2 - 4 PER LETTER)
SECTION THRU LETTER @ WALL
NON -ILLUMINATED (TYPICAL)
• • II
•
• •• �' s' •s• •
• a
NORTH MIAMI BEACH: 305-947-7731
1798 NE 163rd STREET 33162 ,,, , •••
PG 2
ry
{
MSVC, LLC.
2310 Hollywood Blvd.
Hollywood, FL 33020
Tel (954) 925-9292 — Fax (954) 925-6292
July 8, 2014
Miami Shores Village
10050 Northeast 2nd Avenue
Miami Shores, Florida 33138
JUL 10 2014
r. l
This letter authorizes Sign -A -Rama to obtain Permits and perform Sign Installations as
per attached drawings for address listed bellow:
Miami Shores Village Center
9472 NE 2nd Avenue, Miami Shores, Fl 33138
Should you have any questions or if you need any additional information please call me.
Thank you,
�e
Ari L. Sklar
Managing Member
Notary:
Sworn to subscribed before me this 81�1 day of , 201T .
My Commission Expire:
OA11WM own �OM11M
NOWY f' k • Wu Of Pki1i11
NOWELECTRICAL
1"��BONen _ '.; ,CliAtipEL LETTERS
"/2 RJR carr wC LETTERS
NOWELEECRyCAL CHANNEL LETT"
AND 1f2INCH FLAT CUT PVC
- s SALLXJ DA4ILSA COLOR BLACK
t,.SctLr b..t..6 TOTAL SO. FT. 2529
_I SEE PO 2 FOR DETAILS
' 24 LINEAL FT STONE FRONT
I
EAST ELEVATION
a^�r
J0 SS
2 NjF- 2
84M N.E 2PD AY91UE
NORTH MAM 6EAGIt 305-04747a1
MIAMI SHORE$. FL 33138
1798 N€183(4 STREET 33162
P61
A
21NCH RETURN
.063 ALUMNUM
NOW ELECTRICAL PAINTED BLACK
REVERSE CHANNEL LETTERS
s � srMo o�
5118 x � � TCP cars
2011 4F LINT
NOW ELECTRICAL
FLAT CUT 1/2 INCH PVC LETTERS
17MNE 1834 STREET 33162
&['C1MY lWW IE�nJe 4.Yiu1
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