600 NE 97 St (3)BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle): Building
Tenant/Lessee Name
Job Address (where the work is being done)
City Miami Shores Village
Is Building Historically Designated YES
Total Fee Now Due $o
r°
(Continued on opposite side)
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
Electrical " " fir - mg--
County Miami -Dade
NO
Contractor's Company Name l) r'A tv dii
Contractor's Address 4-- S
City paIP *fJZ Q State rt.
Qualifier r..)®w) DA-
Architect/Engineer's Name (if applicable) Phone #
a * * * * * * * * * * * * * * * * * * * * * * * * ** Fees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Permit No. 6Pgoo5!
Master Permit No.
Mechanical Rooting
g3
Owner's Name (Fee Simple Titleholder) r� yh wl,� /1 �i) �� 5 Phone # X41 / 7s7
Owner's Address 00.0 4 4 8 crr -
City 1 f t,4} 6 State
Zip 3?/) :8
Phone #
Zip
Phone # Qf trq " . " 1 —qQ_k
Zip 3 ,Ob Ss
$ Value of Work For this Permit 0.0 Square Footage Of Work: 30
Type of Work: ❑Addition ❑Alteration ['New El/Repair/Replace ❑ Demolition
�
Describe Work: M.. /, 4t,Jl cT/ L gi,J C.6 5' C4 / he, , biL
Submittal Fee $ 6 v / Permit Fee $ /00 ,,�,, J,ll CCF $ /1 cg o CO/CC
Notary $ Training/Education Fee $ 0/ `�'(.� Technology Fee $ A 13
Scanning $ 6 ` Radon $ Zoning Bond $
Code Enforcement $ Structural Plan Review. $
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 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 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
Owner or Agent
The foregoing instrurnent was acknowledged before me this
day of _ , 24QE , by -tee4 ril.�
who ikpersonally known i me or who has produced
As identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
.n . Exp ires. Feb 21 2008
014P�j g Joel Brodeir
Print:
? ¢ Commission #DD280300 My Commrss
9 •.. f
•
r4 a**** U19A® c1r511f1k*** * * * * * * *n * * * * * * * * * * * * * * * * * *ipr
Atlantic Bondin C o. Inc.
Signature
Contractor
The foregoing instrurnent was acknowledged before me this 6
day of , 2 0by ,1�"`,4rJe6LisfSN ,
who i know me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Joel Broder
Commission #DD280300
Expires: Feb 21, 2008
Atlantic Bons m g LO.,Inc.
/� (Certific � �
te of Competency Holder)
State Certificate or Registration No. ( (C: C633 7 Certificate of Competency No.
********************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ********** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY:
Chc 12/15/03
JAN 1 2 465 Plans Examiner
Engineer
Zoning
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204 Permit Number: BP2005 -33
Printed: 1/21/2005
Applicant: CHARLES SAMMONS
Owner: SAMMONS CHARLES
JOB ADDRESS: 600 NE 98 ST
Building Permit
Contractor NOW CONSTRUCTION SERVICES Contractor's Address: 2334 S. E. 14 ST.
Local Phone: 954 - 942 -2988
Parcel # 1132060171840
Legal Description: MIAMI SHORES SEC 4 AMD PB 15 - 14 LOTS 11 & 12 BLK 101 LOT SIZE
Fees: Description Amount
FEE2005 -887 Building Fee $100.00
FEE2005 -888 CCF $1.20
FEE2005 -889 Training and Education Fee $0.40
FEE2005 -891 Technology Fee $2.50
FEE2005 -892 Scanning Fee $6.00
FEE2005 -893 Submittal Fee ($50.00)
Total Fees: $60.10
Permit Status: APPROVED Permit Expiration: 7/6/2005 Construction Value: $2,000.00
Work: GALVANIZED STEEL FENCE 5' HIGH, COLOR BLACK.
Signed:
(INSPECTOR)
Page 1 of 1
Total Fees: $60.10
Total Receipts: $0.00
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 responisibility for all work
done by either myself, my agent, servants or employes.
Signed: (Contractor or Builder) BY: