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ELC-10-2520 / S' 2S�Q Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-244865 Permit Number: ELC-10-15-2520 Scheduled Inspection Date:January 26,2016 Permit Type: Electrical - Commercial Inspector: Devaney, Michael Inspection Type: Final Owner: , Work Classification: Sign Job Address:9055 BISCAYNE Boulevard Miami Shores, FL 33138- Phone Number Parcel Number 1132060110051-55 Project: <NONE> Contractor: ANCHOR SIGN, INC Phone: (800)213-3331 Building Department Comments CONNECT(1) INTERNALLY-ILLUMINATED DOLLAR infractio Passed Comments TREE WALL SIGN TO THE EXISTING ELECTRICAL INSPECTOR COMMENTS False CIRCUIT PROVIDED BY OTHERS Inspector Comments Passed Failed Correction Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid January 25,2016 For Inspections please call: (305)762-4949 Page 8 of 41 Pormiu E -40464620 �sD°'Ms y,� Miami Shores Village Pe"eloctricau.c+Dmme ial �Sn 10050 N.E.2nd Avenue Work Classification:Sign i Miami Shores,FL 3313&0000 Phone: (305)795-2204 Permit Status:APPROVE! FlOR11)p' 'i/15/ 016 Expiration: 07/13/2016 Project Address Parcel Number Applicant 9055 BISCAYNE Boulevard 1132060110051-55 Miami Shores, FL 33138- Block: Lot: SHORE SQUARE PROPERTIES I Owner Information Address Phone Cell SHORE SQUARE PROPERTIES LLC 9055 BISCAYNE BLVD. Contractor(s) Phone Cell Phone Valuation: $ 250.00 ANCHOR SIGN, INC (800)213-3331 (843)576-3268 ...... Total Sq Feet: 0 Type of Work:CONNECT(1)INTERNALLY-ILLUMINATED Available Inspections: Additional Info: Inspection Type: Classification:Commercial Final Scanning:3 Review Electrical Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $0.60 DBPR Fee Invoice# ELC-10-15-57308 $2.25 DCA Fee $2.25 01/15/2016 Credit Card $ 109.10 $50.00 Education Surcharge $0.20 10/02/2015 Credit Card $50.00 $0.00 Permit Fee $150.00 Scanning Fee $3.00 Technology Fee $0.80 Total: $159.10 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. Futhe re,I authorize the above-named contractor to do the work stated. January 15,2016 Autho ' ed Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy January 15,2016 1 Miami Shores Village Building Department OCT ® 2 2015 g p 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 - _ -- Tel:(305)795-2204 Fax:(305)756-8972 - INSPECTION LINE PHONE NUMBER:(305)762-4949 �`I'1 FBC 20119 BUILDING Master Permit No. � — 1S — PERMIT APPLICATION Sub Permit No. T,LC — IS-2z5 ❑BUILDING ❑E ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL PLUMBING ❑ MECHANICAL PUBLIC WORKS CHANGE OF [:] CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 9055 Biscayne Boulevard, Miami Shores,FL 33138 City: Miami Shores County: Miami Dade Zip• Folio/Parcel#:1132060110051 Is the Building Historically Designated:Yes NO Occupancy Type: Retail Load: Construction Type: Sign Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder):Shore Square Properties LLC Phone#:(305) 779-8040 Address:696 NE 125th Street City: Miami State: FL Zip: 33161 Tenant/Lessee Name: Dollar Tree Phone#:(713) 923-1090 Email: keith.short@imcpropertymanagement.com CONTRACTOR:Company Name: Anchor Sign,Inc.-Jennifer Dominici,contact Phone#: (843)576-3208 Address: 2200 Discher Avenue City: Charleston -State: SC Zip: 29405 Qualifier Name: David W.Jackson Phone#: (843)576-3208 State Certification or Registration#: ES0000291 Certificate of Competency#: n/a DESIGNER:Architect/Engineer: Winslow Engineering-Alan Plants,P.E. Phone#: (863)682-1848 Address:208 South Lake Avenue City: Lakeland State: FL Zip: 33801 Value of Work for this Permit:$250 Square/Linear Footage of Work: 196.25 Type of Work: ❑ Addition ❑ Alteration 1011 New ❑ Repair/Replace ❑ Demolition Description of Work: Connect(1)internally-illuminated Dollar Tree wall sign to the existing electrical circuit provided by others. Specify color of color thru tile: Submittal Fee$ 5-z) Permit Fee$ 16'e'o CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ ® r (Revised02/24/2014) Bonding Company's Name(if applicable) n/a Bonding Company's Address _ City State Zip Mortgage Lender's Name(if applicable) nja 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 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 and a reinspection fee will be charged. )K Signature Signature OW ERo AGENT NT CTO The foregoing instrument wa cknowledged before me this The fore of )me t was acknowledged before me this 24 day of September 20 15 by FIL day of 20 15 ,by Yoram Izhak who is personally known to David W.Jackson ,who i ersonally know o 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 P NOTARY PUBLIC: Sign: n: 4. C:91 Print: NZALEZ Print: `' �nl'1 ��1. �nn ,, •, le_v- Expires July 2,2017 Seal: y •� Seal; BondWThmTroyF® rence800385-701 nImu9 L.ERIN Ivi� >Kx�*x�**>k*��rs•r�r>�***�r***>r�x�r***rs+*>�*****ww****>M�x**w*x�**w**�*x��r�>«�x Aid � itN 7130f�02S APPROVED BY _ � �.®'�/'�i�� Plans Examiner MY Commission Hing Structural Review Clerk (Revised02/24/2014)