SGN-12-444 Dunaing mepartment D
10050 N.E.2nd Avenue,Miami Shores,Florida 33138 MAR 14- 2012
Tel:(305)795.2204 Fax:(305)756.8972
INSPECTION'S PRONE NUMBER:(305)762.4949
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DING Permit No.
PE PLICATION Master Permit No.CCS 1 (10
—
FSC 0(51
Permit e: UILDING- ROOFING
OWNER:Name(Fee Si le Titleholder): �A_5V G, Phone#: of
Address: ? n
City: IL State: 17 Zip: 3
Tenant/L.essee Name. Phone#:
Email: C)5C-4�,6Z
JOB ADDRESS: 4 k'o
City: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: 11 .3 -7-0 to l 2, 7e4,
Is the Building Historically Designated:Yes NO Flood Zone:
CONTRACTOR:Company Name: %� S e_-11-e ee � •mac- Phone#:
Address: 7 L 1 _R-a ,J(z S
City: /t-e2-Z--4 t--- State: / L- zip:
Qualifier Name: 2 t" Phone#:
State Certification or Registration#: S P a-� �t r ' ate of Competency#:
Contact Phone#: ( 7 (� Email Address: i �� �`%S f� 1 ti
DESIGNER:Architect/Engineer: Phone#:
Value of Work for this Permit:$ 3 x3 v. �Square/Linear Footage of Work: ,2-
❑ ,
1
Type of Work:
Addition ❑Alteration )(New ❑Repair/ReplaceODemolition
Description of Work: . N94 A41 Pale G-WAd y,macL 4,e_j�Sz L,7- -
***************************************Fees********************************************
Submittal Fee$ Permit Fee$ /e)CD CCF$ CO/CC$
Scanning Fee$ Radon Fee$ DBPR$ Bond$
Notary$ Training/Education Fee$ Technology Fee$
Double Fee$ Structural Review$
TOTAL FEE NOW DUE$
City State Zip
Mortgage Lender's Name(if applicable)_��,cl
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
CONDAENCEMENT 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 i ection ich occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection wi not b ved and a reinspection fee will be charged.
Sig Signature
Auta�r or A nt M1ril �°.>7
Contractor
The foreg ' g instrument was acknowledged before this R '1 The fore ing instrument was acknowled fore me this
day of L1>R ,20 2-•,by VS Y 5 day of G f 20 L by
who is personally known to me or who has produced who is personally known to me or who has produced L*
As identification and who did take an oath. and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: Sign:
Print: JACKELINE TORRES Print: JACKEUNE TORRdsi
M Commission PUBLIC M Commission E NOTARY PUBLIC
Y STATE OF FLORIDA Y STATE OF FLORIDA
Comm#EE118057 Comm#EE118857
Expires 8/3/2015 Expires 8/3/2015
APPROVED BY Plans Examiner PU /--�
Zoning
Structural Review Clerk
(Revised 07/1W7)(Revised 06/10t2009)(Revised 3/15/09)
MSVC, LLC.
A Development Company
2310 Hollywood Blvd.
Hollywood,Fl.33020
March 9, 2012
Miami Shores Village
Mr. David Dacquisto
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Re: Sprint Store -9400-9408 NE 2nd Ave.
Dear Mr. Dacquisto:
We authorize the Sprint chosen company namely R.J. Schor Inc. to apply for signs
for the above reference project.
Th _y
SVC, LLC
Oscar ananginno ember
OS/ays