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SGN-14-2360Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-222342 Scheduled Inspection Date: April 02, 2015 Inspector: Rodriguez, Jorge Owner: , Job Address: 9710 NE 2 Avenue Miami Shores, FL 33138 - Project: <NONE> Permit Number: SGN-10-14-2360 Permit Type: Sign Inspection Type: Final Work Classification: Addition/Alteration Phone Number (954)553-0553 Parcel Number 1132060132350 Contractor: ART SIGN COMPANY Phone: (954)763-4410 Building Department Comments INSTALL ILLUNATED CHANNEL LETTERS ON STORE FRONT EAST ELEVATION AND INSTALL VINYL ON WINDOWS ALLSTATE INS TO CLOSE PERMIT# SGN-13-2358 INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction ❑ Needed Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. April 01, 2015 For Inspections please call: (305)762-4949 Page 9 of 34 1. 10)x1 I BUILDING PERMIT APPLICATION Miami Shores Village RE C 7, , Building Department Lo 1Z'4 g4 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 B Y INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 20 I o Master Permit Nom Sub Permit No. BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION [—]RENEWAL ❑PLUMBING ❑ MECHANICAL [—]PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: q -10 Z /'/r z "'(7yc% OWN Miami Shores County: Miami Dade Zip: Folio/Parcel#: ZZ 3 zo 6,o/ 3 � Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): ��� (I-Allf&olit 60" 4�-ef Address: -� I q m5- s ! S/ City: Af l�"i?ii/( State: Zip: 3� / 3 0 Tenant/Lessee Name:n ?AS Tl� 7 Phone#: sl* Email: —8 �/J ? lwt CONTRACTOR: Company Name: /n �_T�/�, `�� ' Phone#: 9SY6 Z/Vzo e Address: City: Ir -State: State: �� Zip: Qualifier Name: -90 saw' Anglfi-x-,� Phone#: tqy-iill 76 3 yY/ 0 State Certification or Registration #: �i�✓�0000 3 f -/ Certificate of Competency #: DESIGNER�Ar�chitect/Engineeee%r: 6 ,, Phone#: 9 S 17 �� 1-6 D // Address: 4(i V, L/S�l�/�"/✓ 512-0 City:*/d/'* ��State:P�— Zip: Value of Work for this Permit: $ //00 Square/Linear Footage of Work: % / - ® -�Tj -7• 32- Type of Work: ❑ Addition ❑ Alteration °New ElRepair/Replace ElDemoliti6n '�Z. "P`F-2— Description of Work: IAI s % /� acl C� / Specify color of color thru tile: Submittal Fee $ ccs® Permit Fee $ � CCF $ � CO/CC $ or Scanning Fee $ 4f-? Radon Fee $ '2— •-0 O DBPR $ Q -- Notary $ Technology Fee $ Training/Education Fee $ ® ° 40 Double Fee $ Structural Reviews $ Bond $ TOTAL FEE NOW DUE $� (Revised02/24/2014) N 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 seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved 9 fldV—r—ei—nsperkpn fee will be charged. 0 The foregoing instrument was acknowledged before me this k- day of �1ra t i .20 1 , by _T®W/� �G� who is personally known to qLnature NT R The foregoing instrument w acknowledged before me this _ /dray of 20 by ®sWA4- I)eA(*who is personally known to me or who has produced as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLI NOTARY PUBLIC: Sign: Sign: Print:km - RRETT Print: - 9/4,0)/ KINI GARRETT Seal: ;, Notary Public State of Florida Seal: `My Comm. Expires Jun 3. 2016ry Public - State of Florida Commission # EE 187888Comm. Expires Jun 3. 2016 BondedThrough National NotaryAssn. ommission # EE 187888 d Throu h National Noar Assn. APPROVED BY i Examiner Zoning Structural Review (Revised02/24/2014) Clerk SHOES LANDING, LLC 9710 NE 2nd Avenue Miami Shores, FL 33138 July 17. 2014 All State 9702 NE 2nd Avenue Miami Shores, FL 33138 Property Folio# 11-3206-013-2350 To Whom It May Concern This letter authorizes Joseph Dillar and Art Sign Company to install a sign(s) at the above referenced location, and Art Sign Company representatives to act as agents on our behalf to sign permit applications and obtain any necessary permits.. Sincerely, State of Florida County of Miami -Dade L�j, Before me personally appeared Qw�j eeu to me well known to be the person described in and who has executed the foregoing instrument and acknowledged to and before me that he gWjWQ 'd instrume t forthe purposes therein express WITNESS my hand e� x B' and odic' s , �,�s,••�' of of 2014 �,: ' o GAJ At9,2p�.oi o ® #EE 209881 ; Qe ® o i9 °64 .44ded%0.00000000 dti,}W'l YJ't1771i1k% io ACO b CERTIFICATE OF LIABILITY INSURANCEDATE(MM/DD/YYYY) 10/23L2014 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 endorsements . PRODUCER CO TACT NAME PHONE FAC No: Keyes Coverage Insurance 5900 Hiatus Road Tamarac FL 33321 E-MAIL ADDR 2/31/2013 INSURERS AFFORDING COVERAGE NAIC @ INSURER A.TraVeIerS Indemnfty Go of Amer P5666 DAMAGE TO RENTED PREMISES Ea occurrence $100,000 INSURED 8050 INSURER B:Charter Oak Fire Ins. Co. 25615 INSURER C:Bridgefield Employers Art Sign Company, Inc. dba INSURER D: Art Lighting Supply & Service 835 N.W. 6th Avenue INSURER E: 7 1 Fort Lauderdale FL 33311 INSURER F: LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS X NON -OWNED AUTOS COVERAGES CERTIFICATE NUMBER: 712822720 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 INS WVD POLICYNUMBER POLICY EFF D POLICY EXP p LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE 15F] OCCUR Y Y P660227ON199TIA13 2/31/2013 2/31/2014 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $100,000 MED EXP (Any one person) $5,000 PERSONAL & ADV INJURY $1,000,000 X Prim/Non-Contrib GENERALAGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRO X LOC POLICY[x­ I PRODUCTS - COMP/OP AGG $2,000,000 $ B AUTOMOBILE X X LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS X NON -OWNED AUTOS Y Y P8105715B415COF13 2/31/2013 2/31/2014 COMBINED SINGLE LIMIT Ea accident) $1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ Per accident $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE Y EACH OCCURRENCE $ AGGREGATE $ DED I I RETENTION $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTNE OFFICER/MEMBER EXCLUDED?FN (Mandatory in NH) If yes, descdbe under DESCRIPTION OF OPERATIONS below N/A Y B3040342 2/22/2013 2/22/2014 X I WC STATU-OTH- I TORY LIMITS E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE - EA EMPLOYEE $1,000,000 E.L. DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Addrdonal Remarks Schedule, If more space is required) Certificate holder is included as an additional insured. Blkt WC Waiver of Sub/Travelers Extend Endmt CGL/on-going/Waiver of Sub/Primary and Non-contributory Desc: ES0000387 CERTIFICATE HOLDER CANCELLATION Village of Miami Shores 10050 NE 2nd Ave Miami Shores FL 33138 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 * J(p, ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD DILLARD, JOSEPH C ART SIGN CO INC 835`NW 6TH AVE FT LAUDERDALE FL 33311 ongratulations! With this license you become one of the nearly ne million Floridians licensed by the Department of Business and rofessional Regulation. Our professionals and businesses range om architects to yacht brokers, from boxers to barbeque restaurants, nd they keep Florida's economy strong. very day we work to improve the way we do business in order to L-rve you better. For information about our services, please log onto ww.myfloridalicense.com. There you can find more information bout our divisions and the regulations that impact you, subscribe 1 department newsletters and learn more about the Department's itiatives. jur mission at the Department is: License Efficiently, Regulate Fairly. /e constantly strive to serve you better so that you can serve your .Istomers. Thank you for doing business in Florida, id congratulations on your new license! DETACH HERE RICK SCOTT, GOVERNOR STATE OF FLORIDA DEPARTMENT OF 113US114— ELECTRICAL IC-cNSE NUMBER- IIIIG: (850) 487-1395 0 STATE OF FLORIDA DEPARTMENT,0F BUSINESS AND s' PROFE,SS10NAL RULATION . ES0000387 1ISSUED: � 07/24/2014 CERT. SPECIALTY ELECTRICAL CONTR CDIL,LARD, JOSEPH C AkT'S1GN CO INC CERTIFIED AS .4 SIGN ELECtRICALSPERCIALIS7. AS -CERT] IED u•ndar"the pro -jai-ons of Ch..4013-M , EzpW1Ign'dWe : AUG 31, 2016 0407240001M - -. _.._._ ....-.... _........ . _ .. ......... . KEN L.AWSON, SECRETARY BR®WAR® COUNTY LOCAL BUSINESS TAX RECEIPT 115 S. Andrews Ave., Rm. A-100, Ft. Lauderdale, FL 33301-1895 — 954-8314000 VALID OCTOBER 1, 2014 THROUGH SEPTEMBER 30, 2015 ®B/4; Receipt #: 181-1748 ELECTRICAL/ALARMS/C-ONTRACTOR - Business Name: ART S2GN COMPANY INC Business Type: (SPEC ELECTRICAL CONTRACTOR): - Owner Name: JOSEPH DILLARD Business Opened:o8/21/2000 Business Location: 835 NW 6 AVE State/County/Cert(Reg:Es 0000387 FT LAUDERDALE Exemption Code: Business Phone: 954-763-4410 Rooms seats Employees Machines Professionals 10 For Vending Business Only Nnmhar of Marchfnnm. Vending Tvne: Tax Amount Transfer Fee NSF Fee Penalty Prior Years I Collection Cost Total Paid 27.00 0.00 0.00 0.00 0.00 0.00 27.00 THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS f THIS BECOMES A TAX RECEIPT This tax is levied for the privilege of doing business within Broward County and is non -regulatory in nature. You must meet all County and/or- Municipality planning WHEN VALIDATED and zoning requirements. This Business Tax Receipt must be transferred when the business is sold, business name has changed or you have moved the business location. This receipt does not indicate that the business is legal or that it is in compliance with State or local laws and regulations. Mailing Address: JOSEPH DILLARD 835 NW 6 AVE s FORT LAUDERDALE, FL �i 33311 2014 -2015 Receipt #ICP -13-00012144 Paid 08/14/2014 27.00