SGN-16-1903 (2) Inspection Worksheet
Miami Shores Village
10050 N.E.2nd Avenue Miami Shores,FL
Phone: (305)795.2204 Fax: (305)756-8972
Inspection Number: INSP-262798 PermitNumber: SGN-7-16-1903
Scheduled Inspection Date:July 29,2016 Permit Type: Sign
Inspector: Mesa,Michel Inspection Type: Final
Owner: I Work Classification: New
Job Address:9537 NE 2 Avenue
Miami Shores, FL 33138- Phone Number
Parcel Number 1132060133910
Project: <NONE>
Contractor: OWNER
Building Department Comments
logo stickers&letters applied to windows&doors(white tnfractio Passed Comments
letters) INSPECTOR COMMENTS False
Inspector Comments
Passed
Failed
Correction ❑
Needed
Re-Inspection
Fee
No Additional Inspections can be scheduled until
re-inspection fee is paid.
I
July 28,2016 For Inspections please call:(305)762-4848
Page 12 of 42
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Miami Shores Village
10050 N.E.2nd Avenue NE �bIZ1fCj8�C3/3
M.,.,
Miami Shores,FL 33138-0000 Pe lit tu i t
fit Phone: (305)795-2204 , ,, �•',
ua pates 1 Expiration: 01118/2017
Project Address Parcel Number Applicant
9537 NE 2 Avenue 1132060133910 DVS LLC
Miami Shores, FL 33138- Block: Lot:
Owner Information Address Phone Cell
DVS LLC 9537 NE 2 Avenue
MIAMI SHORES FL 33138-
9537 NE 2 Avenue
MIAMI SHORES FL 33138-
Contractor(s) Phone Cell Phone Valuation: $ 75.00
OWNER
Total Sq Feet: 0
Type of Sign:Wall Sign Available Inspections:
Electrical Sign:No Inspection Type:
Height: Final
Width:
Review Planning
Color: Elevation: Review Building
Plans Submitted:Yes Additional Info:
Classification:Commercial Scanning:3
Fees Due Amount Pay Date Pay Type Amt Paid Amt Due
CCF $0.60
DBPR Fee Invoice# SGN-7-16-60524
$2.00 07/08/2016 Credit Card $50.00 $64.60
DCA Fee $2.00
Education Surcharge $0.20 07/22/2016 Credit Card $64.60 $0.00
Permit Fee $100.00
Scanning Fee $9.00
Technology Fee $0.80
Total: $114.60
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 AFFIDAV I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
constructionand ni . Futhermore,I authorize the above-named contractor to do the work stated.
July 22,2016
Authorized Signature:Owner / Applicant / Contractor / Agent Date
Building Department Copy
July 22,2016 1
Miami Shores Village = =
1
Building Department JUL 08 2016
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�7��C;"1
PERMIT APPLICATION Sub Permit Nq.
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
JOB ADDRESS. 6 `7 `'J C�
City: Miami Shores County: Miami Dade Zip: ( —
Folio/Parcel#: Is the Building Historically Designated:Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: �1
OWNER: Name(Fee Simple Titleholder): f�,S ALC_ Phone#:;j�—��I _IU4
Address: ��3 d�/ ALC
f v �
City: lc4�'19 � 5 �-- i/�State: 1Pk_ Zip: S/�'1,��
Tenant/Lessee Name: Z� p ��� Phone#: � (� `�. 1
Email: 4 C r 1 0 c '-10
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 Work for this Permit:$ - Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition
Description of Work:`IL�S� C..,OaCe � AS-2 (�QlC�i,�S
m
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$ �U
(Revised02/24/2014)
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 proved and a reinspection fee will be charged.
I
Signaturer/ / Signature
OWER or AGENT CONTRACTOR
a
The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this
day of 20 %�o , by day of 20 by
�IIQ�PSII l[I&i� r!i` ,who is personal v 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:
Sigh--.2 Sign:
Print: ,'Z r'C Print:
Seal: Seal:
ELIZABETH ELORRUIQA
y ••: MY COMMI8 M#FF953M
EXPIRES 25.2020
APPROVED BY Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
1
Y Miami
5�!Oa, y Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
ltt
Tel:(305)795.2204
Fax:(305)756.8972
OWNER BUILDER DISCLOSURE STATEMENT
NAME: LLC DATE: I
ADDRESS: � 6�Z C97'sl kc
Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida,F.S 489.103(7).And I have
read and understood the following disclosure statement,which entitles me to work as my own contractor;I further understand that I as the owner
must appear in person to complete all applications.
State Law requires construction to be done by a licensed contractor.You have applied for a permit under an exception to the law.The exemption
allows you,as the owner of your property,to act as your own contractor even though you do not have a license.You must supervise the
construction yourself.You may build or improve a one-family or two-family residence.You may also build or improve a commercial building at a
cost of$25,000.00 or less(The new form states 75,000).The building must be for your own use and occupancy.It may not be built for sale or
lease.If you sell or lease a building you have built yourself within one year after the construction is complete,the law will presume that you built
for sale or lease,which is a violation of this exemption.You may not hire an unlicensed person as a contractor.It is your responsibility to make
sure the people employed by you have licenses required by state law and by county or municipal licensing ordinances.Any person working on
your building who is not licensed must work under your supervision and must be employed by you,which means that you must deduct F.I.C.A and
with-holdings tax and provide workers'compensation for that employee,all as prescribed by law.Your construction must comply with all
applicable laws,ordinances,buildings codes and zoning regulations.
Please read and initial each paragraph.
1. 1 understand that state law requires construction to be done by a licensed contractor and have applied for an owner-builder permit under an
exemption from the law.The exemption specifies that I,as the owner of the property listed,may acjAvxiRy own contractor with certain
restrictions even though I do not have a license.
Initshe
2. 1 understand that building permits are not required to be signed by a property owner unlessnsible for the construction and
is not hiring a licensed contractor to assume responsibility.
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3. 1 understand that,as an owner builder,I am the responsible party of record on a permit.I understand that I may protect myself from potential
financial risk by hiring a licensed contractor and having the permit filed in his or her name ins t d y own name.I also understand that the
contractor is required by law to be licensed in Florida and to list his or license numbers on p its an contracts.
itial
4. I understand that I may build or improve a one family or two-family residence or a farm outbuildin .I may also build or improve a commercial
building if the costs do not exceed$75,000.The building or residence must be for my use or occ panty. It may not be built or substantially
improved for sale or lease.If a building or residence that I have built or substantially improved self is Id or leased within 1 year after the
construction is complete,the law will presume that I built or substantially improved it for sale r le se,whic violates the exemption.
Initia
5. 1 understand that,as the owner-builder,I must provide direct,onsite supervision of the constr cti n.
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6. 1 understand that I may not hire an unlicensed person to act as my contractor or to supervise per ons working on my building or residence.It
is my responsibility to ensure that the persons whom I employ have the license required by la an b county or municipal ordinance.
I itial
7. 1 understand that it is frequent practices of unlicensed persons to have the property owner obtain an owner-builder permit that erroneously
implies that the property owner is providing his or her own labor and materials. I,as an owner-builder,may be held liable and subjected to
serious financial risk for any injuries sustained by an unlicensed person or his or employees while working on my property.My homeowner's
insurance may not provide coverage for those injuries. I am willfully acting as an owner-builder rp aware of the limits of my insurance
coverage for injuries to workers on my property. lei
Initi I
8. 1 understand that I may not delegate the responsibility for supervising work to be a licensed contractor who is not licenses to perform the
work being done.Any person working on my building who is not licensed must work under my direct supervision and must be employed by
me,which means that I must comply with laws requiring the withholding of federal income tax and social security contributions under the
Federal Insurance Contributions Act(FICA)and must provide workers compensation for the emplo .I understand that my failure to follow
these may subject to serious financial risk. `
In' aal
9. 1 agree that,as the party legally and financially responsible for this proposed Construction activity,_1 will abide by all applicable laws and
requirement that govern owner-builders as well as employers.I also understand that the
Construction must comply with all applicable laws,ordinances,building codes, and zoning regula
Init I
10. 1 understand that I may obtain more information regarding my obligations as an employer from the Internal Revenue Service,the United States
Small Business Administration,and the Florida Department of Revenues.I also understand that I may contact the Florida Construction Industry
Licensing Board at 850.487.1395 or http:/Iwww.mvforidalicense.com/dbar/pro/cilb/index.html
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11. 1 am aware of,and consent to;an owner-builder building permit applied for in my name and understands that I am the party
legally and financially responsible for the proposed construction activity at the following address:
Initial
12. 1 agree to notify Miami Shores Village immediately of any additions,deletions,or changes to any of th infor ation 1 at I have provided on
this disclosure.
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Licensed contractors are regulated by laws designed to protect the public.If you contract with a person who does not have a license,the
Constr4uction Industry Licensing Board and Department of Business and Professional Regulation may be unable to assist you with any financial
loss that you sustain as a result of contractor may be in civil court.It is also important for you to understand that,if an unlicensed contractor or
employee of an individual or firm is injured while working on your property,you may be held liable for damages.If you obtain an owner-builder
permit and wish to hire a licensed contractor,you will be responsible for verifying whether the contractor is properly licensed and the status of
the contractor's workers compensation coverage.
Before a building permit can be issued,this disclosure statement must be completed and signed by the property owner and returned to the local
permitting agency responsible for issuing the permit.A copy of the property owner's driver license,the notarized signature of the property
owner,or other type of verification acceptable to the local permitting agency is required when the permit is issued.
i
Was acknowledged before me this day of 20
By 7 .Wd M I"" who was personally known to me or who has
Produced the a as identification.
� �— ;•'0& ELIZABETH ELORRIAGA
=': •'= MY COMMISSION 0 FF953536
R NOTARY EXPIRES Jarwsty 25.2020
�ooiisee•o•sa FWnd3N0ft7SWVft ear
2016 FLORIDA LIMITED LIABILITY COMPANY ANNUAL REPORT FILED
DOCUMENT#L10000129579 Apr 25, 2016
Entity Name: DVS, LLC Secretary of State
CCO204796481
Current Principal Place of Business:
201 N.E.95TH STREET
MIAMI SHORES, FL 33138
Current Mailing Address:
201 N.E. 95TH STREET
MIAMI SHORES, FL 33138 US
FEI Number: 80-0670481 Certificate of Status Desired: No
Name and Address of Current Registered Agent:
CACCAMISE,THERESA
201 N.E.95TH STREET
MIAMI SHORES,FL 33138 US
The above named entity submits this statement for the purpose of changing its registered office or registered agent,or both,in the State of Florida.
SIGNATURE: THERESA CACCAMISE 04/25/2016
Electronic Signature of Registered Agent Date
Authorized Person(s) Detail :
Title AUTHORIZED MEMBER,MANAGER Title AUTHORIZED MEMBER,MANAGER
Name CACCAMISE,THERESA Name CACCAMISE,RICHARD
Address 201 N.E.95TH STREET Address 201 N.E.95TH STREET
City-State-Zip: MIAMI SHORES FL 33138 City-State-Zip: MIAMI SHORES FL 33138
1 hereby certify that the information indicated on this report or supplemental report is true and accurate and that my electronic signature shall have the same legal effect as if made under
oath;that I am a managing member or manager of the limited liability company or the receiver or trustee empowered to execute this report as required by Chapter 605,Florida Statutes;and
that my name appears above,or on an attachment with all other like empowered.
SIGNATURE:THERESA CACCAMISE AUTHORIZED 04/25/2016
MEMBER/MGR
Electronic Signature of Signing Authorized Person(s)Detail Date
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