284 NE 102 St (6)BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle): Building U I/O lumbing Mechanical Roofing
Owner's Name (Fee Simple Titleholder) U 1 4[ d t
L }Z � IQ-vL1G Phone #
Owner's Address S -( E L(h Nei S1.
City A . S . State L. Zip 3 313 8
Tenant/Lessee Name Phone #
Job Address (where the work is being done) S ,kJ Lo 2 s c
City Miami Shores Village County Miami -Dade Zip
Is Building Historically Designated YES NO
Contractor's Company Name nu.w e3U t l0 -ez Phone #
Contractor's Address
City State Zip
Qualifier
State Certificate or Registration No.PE "C 5 ZUI
Total Fee Now Due $
(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
Name (if applicable) (20■0-i gspe (-e Phone # 365- —Z v27
$ Value of Work For this Permit ,N 1,5 000
Type of Work: XAddition ['Alteration
Describe
DUB o 2- , d 2 -rr) 1
Permit No.6PO S — 103S
Master Permit No. 05- &A
Certificate of Competency No.
Square Footage Of Work:
❑ Repair/Replace
❑ Demolition
* * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Submittal Fee $ Permit Fee $ 4S 0 % • CCF $ CO /CC
Notary $ Training/Education Fee $ Technology Fee $
Scanning $ 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 ngAbe approved and a inspection fee will be charged.
Owner Agent
The foregoing instrument was acknowledged before me this
day of , 20 "(by
Signature
N
S
vho is p
Print: • Q m
My Commission Expires:
APPLICATION APPROVED BY:
Chc 05/13/03
r who has produced
** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** **
tification and who did take an oath.
NOTARY PUBLIC:
NOTARY PUBLIC -STATE OF FLORIISiign:
Fredi M. Novak Milbe m'nt:
Conunission # DD432320
Evires: JULY 09, 2009y Commission Expires:
Handed Thn AtIoliti4 PfItte41114 Ee., Inc
Ak Irn ire
Signature
Contractor
The foregoing instrument was acknowledged before me this ` �
day of ,20,by
who is personally known to me or who has produced
as identification and who did take an oath.
7
•••••= d
* * * * * * * *
Plans Examiner
Engineer
Zoning
VILLAGE OF MIAMI SHORES
Nee4 ,eE
BUILDING DEPARTMENT � os-mr
OWNER BUILDER DISCLOSURE STATEMENT
I VIHI � v i th ll ,, 1/1/ beng e ega property oer, for the ro e � M ' property
Located at: ,Z8i !y v/ 102-10 5t
Legally described as , .
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 td 3rork 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 licensed 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 ( )
Produced
C9
Owner
Owner
DISCLOSURE STATEMENT
initial of reviewing clerk. The foregoing instrument
Ili day of
20
Was 'acknowledged before me this
By o is personally known to me r who has
as identification and who did take an oath.
b
Notary
NOTARY PUBLICS ATE OF FLORIDA
146 Fredi M. Novak Milberg
Commission # DD432320
Expires: JULY 09, 2009
Bonded Thru Atlantic Bonding Co., Inc.
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Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 7/13/2005
Applicant: JANET VUKOVIC
Owner: VUKOVIC JANET
JOB ADDRESS: 284 NE 102 ST
Contractor
Local Phone:
Parcel # 1132060134710
Signed: (INSPECTOR)
Building Permit
Permit Number: BP2005 -1035
Contractor's Address:
Page 1 of 1
Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 1 & LOT 2 BLK 35 LOT SIZE
Fees: Description Amount
FEE2005 -9490 Building Fee $450.00
FEE2005 -9491 CCF $9.00
FEE2005 -9492 Notary Fee $5.00
FEE2005 -9493 Scanning Fee $15.00
FEE2005 -9494 Training and Education Fee $3.00
FEE2005 -9495 Technology Fee $11.25
Total Fees: $493.25
Total Fees: $493.25
Total Receipts: $0.00
Permit Status: APPROVED Permit Expiration: 1/9/2006 Construction Value: $15,000.00
Work: FOUNDATION PERMIT ONLY
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:
Bp. dl'fO54 *
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date j ( / l ' f °I Job Address U 1 , / 0 � Tax Folio / 3P-06' V I 3 ' )) r 0
Legal Description 4 (it 00(.3c I bh 0 Historically Designated:
Owner/Lessee / Tenant V 2-4 01- ' 1 V U k 0U 1 . C_ tester Permit #
Owner's Address ( N N L / D2 c
Contracting Co. fb -e FeriC
Qualifier (l 1"ao - 7d ✓� ' /G S
State # 0000/.q4-4/
Municipal # Competency # Ins. Co.
Architect/Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING
WORK DESCRIPTION Z-12_, o l i' beD /
Moore Ft. 2 17
WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO 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.)
Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work
will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL
PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK.
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. Furthermore, I authorize the above -named contractor to do the work stated.
S
e of owner and/or
esident
a 7/ 2 -- /1-11-1-0/
Date
Notary as to Owner and/or Condo President
My Commission Expires:
ANA M. TORRES
My Comm Exp. 6/6/2003
No. CC 843457
11 Personaly Known 11 Other I.D.
FEES: PERMIT RADON
o
APPROVED: At■ t ,
1 ( - 1 1/ 0 /
Zoning . ' / f - Building
Mechanical Plumbing
C.C.F.
Address 1 O () I P�
2i ( 0" - 5
Estimated Cost (value)
NOTARY
Phone
Yes No
.il
on actor or Own • r- Builder
tary as to Contractor or Owner- Builder
My Conunission Expires:
5l/ 3
„ / D1
Date
oi
• Date
ANA M. TORRES
My Comm Exp. 6/6/2003
No. CC 843457
1 1 Personally Known (I Other I.D.
BOND
TOTAL DUE
SIGN
Structural Engineer
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Found 1/2" Pipe
No Id
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21,00'
21.00'
centerline
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Record Sc Measured: 115.00'
33,50'
51.50'
19' Pavement
Found 1/2" Pipe
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Record & Measured- 115.1.x .Y 5' Sidewolk
Found 1/2" Pi 15' Parkway Found 1/2" Pipe .
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11/12/200:. 17:17 3052708385
BOUN E D A ;
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E:
LOCATION SKETCH
N. T. S.
1) FLOOD ZONE: X PANEL: 0093 F
COMMUNIT' NO. 120652 DATE OF MAP: 3-2-94
2) THERE SURVEY THAT BE IN THE PUBLIC RECORDS Of THIS
COUNTY
3) EXAMINATMH OF ABSTRACT OF 11TLE WL, HAVE TO BE MADE TO
DEIERMINI: RECORDED INSTRUMENTS, IF ANY, AFFECTING PROPERTY
4) LOCAnON AND IDEN11F1cATION OF UTIUTIUES. IF ANY ARE SHOWN
IN ACCOR)ANCE WITH RECORDED FLAT
5 OWNERSHIP IS SUBJECT TO OPINION OF TITLE
6 TYPE OF :SURVEY: BOUNDARY SURVEY
7 LEGAL DE'iCRIPTION: FURNISHED BY CLIENT
8 THIS SUR'1EY 15 NOT VAUD WITHOUT THE SIGNATURE AND THE
ORIGINAL RAISED SEAI OF A FLORIDA UCENSEO SURVEYOR AND MAPPER
9) THIS PLAN OF SURVEY, HAS BEEN PREPARED FOR THE EXCLUSIVE USE
OF THE ENTITIES NAMED HEREON. THE CERTIFICATE DOES NOT EXTEND
TO ANY (UNNAMED PARTIES
10) UNDERGROUND UTILITIES ARE NOT DEPICTED HEREON, CONTACT THE
APPROPRIATE AUTHORITY PRIOR TO ANY DESIGN WORK OR
CONSIRU:1I0N ON THE PROPERTY HEREIN DESCRIBED. SURVEYOR
SHALL BI: NOTIFIED AS TO ANY DEVIATION FROM UTILITIES SHOWN
HEREON.
CERTIFY TO: oLADIMIR WKOVIC AND JANET TURCOT WKOVIC, CITY
NATIONAL BAN( OF FLORIDA, U.S. FIDELITY I1111 COMPANY, CHICAGO
TITLE INSURAN E COMPANY
FIELD SURVEY DATE: 08- 177 -00 SCALE: 1'= 2O' DRAWN BY: PAP
DRAWING DATE: 8 -17 -00 FB: 194 PG: 55 DRAWING Na 00 -690X
A S MIAMI
•
•• • •
• • •
PHONE: 305- 253 -0909
FAX: 305 -253 -0933
••• • • • •••
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44.
1� 1 ' Zc, 21 2?
LEGAL DESCRIPTION: Lots 1 and 2, block 35. AN AMENDED PLAT OF MIAMI
SHORES SECTION NO, 1, according to the Plat thereof, os recorder' in Plat
Bode 10, of Page 70, of the Public Records of Dade— County, FlarMo.
PAGE 03
SURVEY FOR: VLADIMIR WKOVIC AND JANET TURCOT VIJKOVIC
284 NE 102141) STREET
MIAMI SHORES, FLORIDA 3.3138
I HEREBY CERTIFY: That the SKETCH OF SURVEY of the ab the best
property was completed under my supervision and /yr re
of my knowledge and belief, This survey meets or exceeds the Mnlmum
Technical Stondords set forth by the Florida Board of Land Surveyors in
Chapter 61— g -17 -6 Florida AdmEnlstrative Code. Pursuant to Section
472.027, Florida Statutes.
SUCVEY�'S ,
DELTA SURVEYORS, INC.
13205 SW 137TH AVENUE
SUITE 225
MIAMI, FLORIDA 33186
.ice .r
WALDI F. PAEZ
REGISTERED AND SUR
NO 3284
CERTIFICATE OF AUTHORIZATI
LB. 40. 3386
STATE JF FLORIDA
Dw
5'-0" MAX
2' -0"
Lac 51
Lc:
4
°
-- 1 -Ofl --
4" X 4" Wood Past',' •
•
/ 2" X 4" Wood kad
I" X6" or I" X8"
Wood PIckeb
Concrete
1
WOCSD 4 ;Ei
rri .the res
• • ••• •
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3I-0
• • ••• • • • •••
•• •• • • • • • • • • • •
• • • • • • • • • • • • • • • •
• • • • ••• • • • •
2915 Fences
• • •
• • •••
Wood Posts
••••
•
• • •
• • •
••
• •• • •• •
•• • • • ••
4' -0" High or Less = 6' -0" O.C.
5' -0" High or Less = 5' -0" O.C.
2915.1 Wood fences, so located on a property
that by zoning regulations they cannot be used
as a wall of a building, shall be constructed to
meet the following minimum specifications.
(a) Fences not exceeding 5 feet in
height shall be constructed to meet
the following minimum
requirements: from nominal 4 inch
by 4 inch by 8 feet -0 inch long
posts spaced 5 feet -0 inches on
centers, having a fiber stress of
1200 p.s.i. in bending, and shall be .
embedded 2 feet -0 inches into a
concrete footing 1 foot -0 inches in
diameter and 3 feet -0 inches deep.
Other components shall be
designed to comply with the
provisions of this Chapter and
Chapter 23.
(b) Fences not exceeding 5 feet and 4
feet in height respectively shall be
constructed as provided in
paragraph 2915.1 (a) herein,
except that the spacing of posts
may be increased to 5 feet -0
inches and 6 feet -0 inches on
centers for these heights.
•
L AZA TORRES
NOTES
17055 NW 78TH AVE.
MIAMI, FL 33157
PAY TO THE ` 4
ORDER OF� `� P
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Ope //wire n
W Washington Mutual
Washington Mutual Bank. FA
Miami/Country Club Financial Center 1751 '
18575 NW. 67th Avenue - Y 788 - 7000
Miami, FL 33015 a ho COACT!, Service
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ROW'
41267084 L3LI:38611102 ? L2t11011' - 054
63- 8413/2670
3860217120
DATE /2—/ /10
1054
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