550 NE 96 St (15)Contractor
Local Phone:
Parcel # 1132060140700
Signed:
Building Permit
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305- 795 -2204 Permit Number: BP2005 -594
Printed: 5/24/2005
Applicant: FRADER ONE, INC.
Owner: ONE, INC. FRADER
JOB ADDRESS: 550 NE 96 ST
Contractor's Address:
Page 1 of 1
Legal Description: MIAMI SHORES SEC 2 PB 10 -37 LOTS 10 TO 12 INC BLK 54 LOT SIZE 150.000
Fees: Description Amount
FEE2005 -6583 Building Fee $212.00
FEE2005 -6584 CCF $1.80
FEE2005 -6585 Training and Education Fee $0.60
FEE2005 -6586 Technology Fee $5.30
FEE2005 -6587 Notary Fee $5.00
FEE2005 -6588 Scanning Fee $6.00
Total Fees: $230.70
Total Fees: $230.70
Total Receipts: $0.00
Permit Status: APPROVED Permit Expiration: 10/22/2005 Construction Value: $3,000.00
Work: FENCE ALUMINUM
(INSPECTOR)
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:
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle): Building Electrical Plumbing Mechanical Roofing
Owner's Name (Fee Sim e Titleh• : r) &cho.r Cie .--- c. Phone # C
Owner's Address 150 S. es Ne... =5l.6.14c 1 c 5T€. 150A - l04
State "" d, Zip 3
Phone # NA,
City ( 44'46` -
Tenant/Lessee Name
Job Address (where the work is being done) 55 O N �G.. 11 \
City Miami Shores Village County Miami -Dade Zip 3 3'. 3
Is Building Historically Designated YES NO X
Contractor's Company Name
Contractor's Address
City State
Qualifier
State Certificate or Registration No. Certificate of Competency No.
Architect /Engineer's Name (if applicable) Phone #
$ Value of Work For this Permit SO60 .00 Square Footage Of Work: / 70 L
2 '—
Total Fee Now Due $
(Continued on opposite side)
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
N/A
Miami Shores Village
Code Enforcement $ Structural Plan Review. $
Phone #
Permit No.yPOS— 594
Master Permit No.
�ts�f (10,2q 5 c b
Zip
Type of Work: ['Addition ❑Alteration Iew ❑ Repair /Replace ❑ Demolition
Describe Work. ./(6.1 a ,i�a�r - f , p e.ry .- t e /ero�er ►iJ
..r U I(
� ��
***************************F
r U
Submittal Fee $ Permit Fee $ ` 2 � � CCF $ CO /CC
Notary $ T'raining /Education Fee $ Technology Fee $ 3.30
Scanning $ Radon $ Zoning Bond $
Bonding Company's Name (if applicable) ji( /f�- •
Bonding Company's Address !/
Ike
T
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. 1 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: 1 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
chc 05/13/03
wner or Agent
The foregoing instrument was acknowledged before me this
day of .23 , 20O ,
who is personally kno
NOTARY PUBLI
Sign:
Print:
My Commission Expires:
* * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY:
o me or who has produced
* **** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
Signature
Contractor
The foregoing instrument was acknowledged before nie this
day of , 20 , by
who is personally known to me or who has produced
s identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
***************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
/ 0
Plans Examiner
Engineer
Zoning
OWNER BUILDER DISCLOSURE .STATEMENT
being the legal property owner, for the property
Located at: S5 At E ` STRfi
.1.00i< 4 " 0 940e
Legally described as 1..d 1 T6 Oc 6 4 t t aat sit,04eN
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 understand the following disclosure
Statement, which entitles me to lrork 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 licensed contractors. You have applied for a permit under an
exemption to that 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 or a farm out - building. You may also build or improve a
commercial building at a cost of 525,000.00 or less. 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 completed, the law will presume that you built it for sale or lease, which is a violation of this
exemption. You may not hire an unlicensed person as your contractor. It is your responsibility to make sure
that 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 Icensed must work under your supervision
and must be employed by you, which means that you must deduct F.I.C.A. and with- holding tax and
provide workers' compensation for that employee, all as prescribed by law. Your construction must comply
with all applicable laws, ordinances, building codes and zoning regulations.
Proof of ownership. provided ( )
Was acknowledged before me this
By
Owner
VILLAGE OF MIAMI SHORES
BUILDING DEPARTMENT
DISCLOSURE STATEMENT
initial of reviewing clerk. The foregoing instrument
day of
20Q
who is personally known to me or who has
Produced as identificati d who did take an oath.
Notary