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SGN-15-677Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-232059 Permit Number: SGN-3-15-677 Scheduled Inspection Date: April 10, 2015 Permit Type: Sign Inspector: Rodriguez, Jorge Inspection Type: Final Owner: , Job Address: 9723 NE 2 Avenue Miami Shores, FL 33138 - Project: <NONE> Contractor: HOME OWNER tsunaing uepartment comments Work Classification: New Phone Number (305)949-9049 Parcel Number 1132060134210 BUSINESS SIGN WITH VINYL LETTER Infractio Passed Comments SILVER PC I INSPECTOR COMMENTS False UNIT 214 Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-231014. Wrong address Address is 214 NE 98 ST Business Unit# 214 Failed d Correction Needed Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. April 09, 2015 For Inspections please call: (305)762-4949 Page 33 of 41 Project Address Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Parcel Number Applicant 9723 NE 2 Avenue 1132060134210 GATOR 9723 NE 2ND AVE LLC Miami Shores, FL 33138- Block: Lot: Owner Information Address Phone Cell GATOR 9723 NE 2ND AVE LLC 1595 NE 163 Street (305)949-9049 NORTH MIAMI BEACH FL 33162- 1595 NE 163 Street NORTH MIAMI BEACH FL 33162- Contractor(s) Phone Cell Phone HOME OWNER of Sign: Wall Sign ical Sign: No Submitted: Yes fication: Commercial Fees Due Amount CCF $0.60 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.20 Permit Fee $100.00 Scanning Fee $3.00 Technology Fee $0.80 Total: $108.60 Valuation: $ 200.00 Total Sq Feet: 0 Elevation: Additional Info: BUSINESS SIGN WITH VINYL LETTE Scanning: 1 Pay Date Pay Type Amt Paid Amt Due Invoice # SGN-3-15-54938 03/30/2015 Credit Card $ 108.60 $ 0.00 Available Inspections: Inspection Type: Final Review Planning Review Building 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 AFf�ID�VIT� I rtify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating constructio and oni g ermore, I authorize the above-named contractor to do the work stated. March 30, 2015 Signature: Owner / Building Department Copy March 30, 2015 1 Miami Shores Village 4'r� MAR 2 5 015 Building Department BY: 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 20 BUILDING Master Permit No. PERMIT APPLICATION Sub Permit No. OBUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION [—]RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS 'OB ADDRESS: 9723 NE 2 AVE UNIT 214 City: Miami Shores County: Miami Dade Zip: Folio/Parcel#:11-3206-013-4210 Is the Building Historically Designated: Yes NO X Occupancy Type: Load: Construction Type: Flood Zone: OWNER: Name (Fee Simple Titleholder): GATOR 9723 NE 2ND AVE LLC Address: 1595 NE 163 ST City: NORTH MIAMI BEACH State: FL BFE: FFE: ne#: Tenant/Lessee Name: Phon Email: CONTRACTOR: Company Name: OWNER Phone#: Address: 33162 City: State Zip: Qualifier Name: Phone#: State Certification or Registration #: Certificate of Competency M DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ 200 Square/Linear Footage of Work: 18 Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: BUSINESS SIGN WITH VINYL LETTERS - SILVER PC Specify color of color hru tile: ` Submittal Fee $ Permit Fee $ CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Notary $ Technology Fee $ Training/Education Fee $ Double Fee $ Structural Reviews $ Bond $ TOTAL FEE NOW DUE $ (Revised02/24/2014) 1 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 ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, 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 s en (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved an reinspection fee will be charged. Signature ER or AGENT The foregoing instrument was acknowledged before me this vd day of IW06--- 20 IS , by 70 ho is personally known to m r who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: , Print: Seal: APPROVED BY (Revised02/24/2014) Signatu / A-0 CONTRACTOR The foregoing instrument was acknowledged before me this day of me or who has produced 20 by who is personally known to identification and who did take an oath. ,01i1111199lr�d>s NOTARY PUBLIC: NE:TT� ��os'®'s Sign:_ ®®® Print: • r � 263 ° 3 Seal: ;;°9h1.tSta�e\�;°. 1 P o �� ®ST091110110 �OQO\� Plans Examiner Structural Review as Zoning Clerk Detail by Entity Name Florida Limited Liability Company GATOR 9723 NE 2ND AVE, LLC Filing Information Document Number L12000146623 FEI/EIN Number 80-0869819 Date Filed 11/21/2012 Effective Date 11/20/2012 State FL Status ACTIVE Principal Address 1595 NE 163RD STREET NORTH MIAMI BEACH, FL 33162 Mailing Address 1595 NE 163RD STREET NORTH MIAMI BEACH, FL 33162 Registered Agent Name & Address GOLDSMITH, JAMES A 1595 NE 163RD STREET NORTH MIAMI BEACH, FL 33162 Authorized Person(s) Detail Name & Address Title MGR GOLDSMITH, JAMES A 1595 NE 163RD STREET NORTH MIAMI BEACH, FL 33162 Report Year Filed Date 2013 04/26/2013 2014 04/22/2014 Document Images Page 1 of 2 http://search. sunbiz. org/Inquiry/CorporationSearchISearchResultDetail?inquirytype=Entity... 3/25/2015 opo , \\\M 11,0100ft If MAR, 5,�p15