SGN-06-3025 Miami Shores Village 571 ,�
1
Building Department FEB 12016
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 20j�
BUILDING Master Permit No. �C�I ���5
PERMIT APPLICATION Sub Permit No.
11-91 BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ZLCANCELLATION ❑ SHOP
� } /® / CONTRACTOR DRAWINGS
1®JOB ADDRESS: 1 (E_� IV�s ',�t-
city: Miami Shores County: Miami Dade Zip:
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type:
/,^ 1 Flood
(Zone: BFE: FFE:
OWNER:Na a(Fee Simple Titleholder):�CA\(4.c- �C��'�-� `\ `�L "-- Phone#: 3u5 S V ( (-1
Address: b Uv I C Q k"
�C�-" S1-,a�t 9
City: \ State: `c
�-. Zip:
Tenant/Lessee Name: _o � ' Phone#:3��` 3bC,
Email: n •C��-+ �o�
CONTRACTOR:Company Name: ` Phone#:
Address:
City: State: Zip:
Qualifier Name: Phone#:
State Certification or Registration#: Certificate of Competency#:
DESIGNER:Architect/Engineer: Phone#:
Address City: State Zip:
Value of Wor or this Permit:$ Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work:
Specify color of color thru 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)
c ,
Bonding Company's Name(if applicable) '
Bonding Company's Address
City State Zip
Mortgage Lender's Name(if applicable)
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.
Signature p ,>,StBture
OWNER or AGENT CONTRACTOR
The foregoing instrumyt was acknowledged beforeCe this The foregoing instrument was acknowledged before me this
l day of " V����r� 20 ,by day of 20 by
IUo� ay� who is personally known to 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 PUBLIC: NOTARY PUBLIC:
Sign: y4j Sign:
Print: Print:
Seal: ANDREW VOGEL Seal:
MyCOMNMION N FP919693
EXPIRES:November 25,2119
******* * ** *
MCC
**** ********v****** x****** **** t** v<* ** **v******* **** * *xx****** *
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
Palazzo Leoni LLC
PO Box 381703
Miami, Florida 33238
February 11, 2016
Miami Shores Village Building Department
10050 NE 2"d Ave
Miami Shores Florida 33138
Permit: SGN -12-06-3025
Address: 165 NE 96th St. Miami Shores FL 33138
To Whom It May Concern:
We would like to cancel this sign permit because the sign is no longer there.
Please fel free to contact our office at 305.756.1177 x 10
Todd Leoni, President
101 Miami Miami Shores Village DEC16 2006
�
• Building Department BY:
10050 N.E.2nd Avenue,Miami Shores,Florida 33138
Tel:(305)795.2Go . .
Fag:(305)756.8972
1911 g
BUILDING �� Permit No.
PERMIT APPLICATION L6� Master Permit No.
FBC 2004
Permit Type (circle): uildh g� Electrical Plumbing Mechanical Roofing
Owner's Name(Fee Sim ple Titlehoer) v, Phone#
Owner's Address i S" ap—
City—M i a n State, Zip
Tenant/Lessee Name Phone# 2/49 TfT4
Job Address(where the work is being done)
City Miami Shores Villaize �✓'� ouinty Miami-Dade Zip
FOLIO/PARCEL#
Is Building Historically Designated YES NO
Contractor's Compare N e �' Phone#C � l C5 —
Contractor's Address[ c�
City 1ti'1 State Zi
Qualifier Name Phone#
State Certificate or Registration No. Certificate of Competency No.
Architect/Engineer's Name(if app 1 _K; 7*6m0* _ Phone#
Value of Work For this Permit$ a Square/Linear Footage Of Work:
Type of Work: ❑Addition ❑Altera' n ew ❑ Repair/Replace EJ Demolition
Describe Work•
Submittal Fee$ Permit Fee$ zoo � CCF$ t VJ 0 CO/CC
Notary$ 5 .00- Training/Education Fee$ t Technology Fee$ 2 •��
Scanning$ -00 Radon$ DPBR$ Zoning$
Bond$ Code Enforcement$ Double Fee$
Structural Review.$ Total Fee Now Due$
See Reverse side-�
Bonding Company's Name(if applicable)
Bonding Company.s°tl.ddress
City ; State Zip °
Mortgage Lender's Name(if applicable)
MortgageLecef'�S Address"@ i
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 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 ah--Ostimated 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 xectZrded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the buildng permit is issued. In the absence of such posted notice, the
inspection will not be approved anda i spection fee will be charged:'
Signature Signature
✓/vZ.pZ.
er oLet /0 ontractor
The foregoing was ad before e s The foregoing instrument was acknowledged before me thisiv
day of}�,20 by day ofba eule 20 Q4p,by MlM60'O°C &4oe,
who is personally known to me or who has produced who is persqly kn1QM to or who has produced
As identification and who did take an oath. ®L s i enti cati c an oath.
NOTARY PUBLIC:
WILLIAM V.TUDOR.
NOT P LIC: ® EYP m Mabel Var s � My coha SSIOx a naws245
0m p231 ' �a,,� EXPIRES:August 2a.2MM
.s• :a e �.�J ll 1 �}/, 1•f�D.-WARY fl.Nalmy Diawmt A�3ac.Co.
20017
Sign:
00ndec�T,hrZ, Sign:
Print: ..Inc Prin6-�
My Co fission Expires: My Commission Expires:
APPLICATION APPROVED BY: Plans Examiner
Engineer
1
Zoning
(Revised 02/08/06)