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SGN-15-2631 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-245873 PermitNumber: SGN-10-15-2631 Scheduled Inspection Date: December 09,2015 Permit Type: Sign Inspector: Rodriguez,Jorge Inspection Type: Final Owner: Work Classification: New Job Address:9061 BISCAYNE Boulevard Miami Shores, FL 33138-0000 Phone Number Parcel Number 1132060110051 Project: <NONE> Contractor: AMICON CONSTRUCTION SERVICES INC Phone: (305)573-8030 Building Department Comments NEW SIGNAGE ON EXTERIOR FOR DANCE STUDIO(NO Infractio Passed Comments ELECTRICAL) INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction Needed ❑ Re-Inspection ❑ Fee No Additional Inspections can be scheduled until reinspection fee is paid December 08,2015 For Inspections please call: (305)762-4949 Page 11 of 24 Miami Shores Village 10050 N.E.2nd Avenue ,, Work lss fir# IeAt .. Miami Shores,FL 33138-00007 rt Staters Y; `zee Phone: (305)795-2204 z ;° V" 3t Expiration: 05/01/201 Project Address Parcel Number Applicant 9061 BISCAYNE Boulevard 1132060110051 SHORE SQUARE PROPERTIES I Miami Shores, FL 33138-0000 Block: Lot: Owner Information Address Phone Cell SHORE SQUARE PROPERTIES LLC 9055 BISCAYNE BLVD. Contractor(s) Phone Cell Phone Valuation: $ 200.00 AMICON CONSTRUCTION SERVICES (305)573-8030 Total Sq Feet: 0 Type of Sign:Wall Sign Available Inspections: Electrical Sign:No Inspection Type: Height: Final Width: Review Planning Color: Elevation: Review Structural Plans Submitted:Yes Additional Info:NEW SIGNAGE ON EXTERIOR FOR Review Building- Classification: uildingClass cation:Residential Scanning:3 Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $0.60 DBPR Fee Invoice# SGN-70-15-57448 $2.00 11/03/2015 Credit Card $ 144.60 $50.00 DCA Fee $2.00 Education Surcharge $0.20 10/16/2015 Credit Card $50.00 $0.00 Permit Fee $100.00 Plan Review Fee(Engineer) $80.00 Scanning Fee $9.00 Technology Fee $0.80 Total: $194.60 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 AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating constructio d.zcaia thorize the above-named contractor to do the work stated. November 03, 2015 orized Signature:Owner Applicant / Contractor / Agent Date Building Department Copy November 03,2015 1 Miami Shores Village Building Department ent R OCT 015 10050 N.E.2nd Avenue,Miami Shores, Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 v �F FBC 20 BUILDING Master Permit No e_::;GN 15-2631 PERMIT APPLICATION Sub Permit No. ❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ySHOP � j CONTRACTOR DRAWINGS JOB ADDRESS: -V®kI_ UCK-6 4)i POUNVS City: Miami Shores County: Miami Dade Zip: -a ��, Folio/Parcel#: r� 32-0&' -CA a - OrY Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: r FFE: OWNER:Name(Fee Simple Titleholder): �l-`� � '��6 (�(%�'1 Phone#: Address: %;' A 5 «� 5r, City: NJr?'\NA nXN-11 State: Fil- Zip: !)'G� Tenant/Lessee Name: �1O`'l�S N(,�' ffir Phone#: Email: �R�Ct�MoN��NTt {�2�sC� �F-�A'Iit .caM CONTRACTOR:Company Name:Ati(CION 0E>NS'MVCM0rj Phone#: �J05 3 s 2;o3 Address: Z40NC N�z 'AQC City: 11(AtAk State: Zip: 3>39 Qualifier Name: tw kbw Phone#: 3CLS.573, Spno State Certification or Registration#: L G 1SD42$3 Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: pew SA&C-1 ota E)6ay�a2 A)o LajE7,-Pyz(U Specify color of color thru tile: Submittal Fee$JC5® Permit Fee$ CCF$ CO/CC$ ' Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$,i (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 be approved and a reinspection fee will be charged. Signature - Signature OWNER or AGENT TRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of 0Cl050,9— 20 16' .by 13 day of beT°6FUZ .20 l S by J F;6FMJ P%Ct-1Mp1.1 ,who i ers ay no Joi4A t)ooj) whoqiier ona y now 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: Sign: �J/04�� Print: Print: A J.MIIEU.ERti ` '••s A J MUELLER P. Seal: S,: MY�h9NISS10N EE2007� Seal: ? : MY COMB,tISSIQN t EE 2MM �: EXPIRES:May 21,2016 �, EXPIRES:May 21,2016 ',RF Raided Tlw Notary PubBc Undelawders i , Balled TMu Nag y PubQc UadenxQers APPROVED BY Plans Examiner CJ10V Zoning Structural Review Clerk (Revised02/24/2014) G no - ART WORK FOR APPROVAL cA911111 xupy I , �l LIJ _ t. z .40I ---1 :5 z LLJ >crZ I J! n ! a- � l Q IN 1 I, N THE DRAWING.CONCEPT,SPECS AND/OR RENDERINGS SIGNATURE FOR APPROVAL ARE THE EXCLUSIVE PROPERTY OF SIGNS CONNECTION,INC. 7400 N E 4th Ct Suite 1 OG AND MAY NOT BE SHOWN TO ANY ••• • • • • ••• • • Y PERSON/CORPORATION OUTSIDE THE CUSTOMER'S • • • • • • • • COMPANY NOR ARE THEY TO BE REPRODUCED ••• Miami, FL 33138 IN ANY WAY,SHAPE OR FORM WITHOUT • •• •• • • • •• •• P. (305) 978'5777 EXPRESSED WRITTEN CONSENT OF SIGNS CONNECTION,INC, ••• • • • ••• • • connection ART WORK FOR APPROVAL 58.8" PVC LETTERS 1 INCH THICK K4ADY S METAL STUDS YV 24" PVC LETTERS 1 INCH THICK i L L PVC LETTERS 1 INCH THICK F-ASTENERJ','-\BLE MOUNTING HARDWARE8 A DNOO noN MM 1/4"BOLTS THROUGH WALL X X X •• ••• • • • • • •• 1/4"LAG BOLTS W/LEAD SHIELDS X • • •• • • • • • • •• • • • • ••• • 1/4"LAGS BOLTS • • • • • • • • • ems. X •• ••• •• • • • •• 1/4"TOGGLE THROUGH X X 1/4"SLEEVE ANCHORS X • • • • ••• • ••• 1/4"X 2.5"TAPCON SCREWS X • • • • • • • • •• • •• • • • • • 000 THE DRAWING,CONCEPT,SPECS AND/OR RENDERINGS SIGNATURE FOR APPROVAL ARE THE IXCAND M PROPERTY BE OF SIGNS CONNECTION,INC ••• • • • • ••• • • 7400 NE 41' Ct Suite 102 AND MAY NOT BE SHOWN TO ANY • • • • • • • • PERSON/CORPORATION OUTSIDE THE CUSTOMERS • • • ••• • • • COMPANY NOR ARE THEY TO BE REPRODUCED • . . Miami, FL 33138 IN ANY WAY,SHAPE OR FORM WITHOUT • •• •• • • • •• •• EXPRESSED WRITTEN CONSENT of SIGNS CONNECTION,INC. ' • • ••• • • s L yg n s P: (305) 978-5777 c o II a e c t o o a