Loading...
DS-08-1410Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: 08/04/2008 Inspector: Rodriguez, Jorge Owner: VUKOVIC, VLADIMIR AND JANET Job Address: 284 102 Street NE Miami Shores, FL 33138- Project: <NONE> Contractor: HOME OWNER Permit Type: Driveways /Sidewalks /Slabs Inspection Type: Final Work Classification: Addition /Alteration Block: Phone Number Parcel Number 1132060134710 Lot: Building Department Comments AFTER THE FACT DRIVEWAY PERMIT. CUT AND BRING IT SIDES CONCRETE DRIVEWAY AND UP TO OF ® ® ®� Passed Inspector Comments CC s ®t;; 4, � � //al Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Friday, August 1, 2008 Page 1 of 2 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2004 Permit No. O O 14) 0 Master Permit No. Permit Type (circle): Buildin Roofing �% p Owner's Name (Fee Simple Titleholder) ,+ 1/ /Giles / !'Y7 / Y'` Y U�UV /C. Phone # 305 1?/ -608.'2_ Owner's Address 2 R4 Al&,, d 0 2) Si-reel- City �/1 d $hPe. State b/ Zip 3 31 .3F Tenant/Lessee Name Phone # Job Address (where the work is being done) 284 7)E-. /62 S7ee City Miami Shores Villa g e County Miami -Dade Zip 33/3S- FOLIO / PARCEL # // °3206" 013-47/0 Is Building Historically Designated YES NO L Contractor's Company Name Oritint A_/ LU / / O r- Phone # Contractor's Address City State Zip Qualifier Name Phone # State Certificate or Registration No. Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ ! j no -� x /3 ,bra veid Square / Linear Footage Of Work: Peri? 67/at' /ilegal pen >11- Type of Work: ['Addition ['Alteration [Kew ► Repair/Replace 11 Demoliti n Describe Work: i'�j7 L r f. ,A !�- •' It �l ailPIS . MEI NI r A Lam. * *** * ** * * * * * * * ** * ** *a *** * * * * * ** Fees** * * * **** x** ** * * *** x** ** * * * ** * *** * *** * * * * *** Submittal Fee $ Permit Fee $ , / i • CCF $ CO /CC Notary $ Training/Education Fee $ _ Technology Fee $ Scanning $ Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ See Reverse side - 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 AF FII)AVIT: 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 $2500, the applicant must —wrwse prup"r " -/a , ,,f;. ._ „z;_42;r ,,, 1rs, ,ere n'Te.nc-e y pn �nas,tguetfp li�ej law brochure will be delivered to the person P!. / v... 14G14LGff t( llFGi l4 Yi l: !✓I/JYtiµ 14y LL(,G, (,C s for the first inspec'On which occurs even _(7) day/ -a huilding permit _is issued: ha the absence inspection veil t be approved and a inspection fee will be charged spa pfd notice, the l� Owir or Agent trument as , ,.4'owledgedbefore by known to me or who has produced entiftcation and who did take an oath. Signature Contractor The foregoing instrument was acknowledged before me this j Clay of , 20 , by who is personally known to me or who iias produced as identification and who did take an oath. NOTARY PUBLIC: NOTARY. Si Print: My Commission Expires: - MY MMISSIbN # OD 430503 EXPIRES. June 17, unssroltsts *********** * ******* * * ** Sign: Print: My Commission Expires: *****.p * ** vas*** *** * *** ** * * ** * * * *4 * *********** *** * *** * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: (Revised 07 /10/07) Plans Examiner Engineer Zoning 7 .'ickrsi S4r4 *etia9e R e,teost 10050 NE 2nd Ave Miami Shores, Fl 33138 Phone 305-795-2204; Fax 305-756-8972 www.miamishoresvillage.com HOLD HARMLESS PROPER OCATED AT: IO S+r ( ®1 e s' As GbJ$J4'' Iicense contractor of subject property, DATE: 7/4/)/1)? Permit number Issued to lG I agree to hold Miami Shores Village, its agents and authorized personnel harmless and relieve them from any responsibility or liability for any legal action or damage, cost or expense (including attomey's fee) resulting from missed inspection of the above mention permit. I furthermore assume responsibility for the correction, if required, of work performed under the above permit. Type of inspection missed .-11-1 uti (Prime Contractor - qualifier) State of Florida County of Dade: c dew lk_A (Print Name) g ^ 1� LA I IA. r r. U Ot& The undersigned, being the first duly sworn, deposes and says that he /she is the contractor for the above property mentioned. Sworn to and subscribed before me this Notary Public, Sate of Florida at Lar e day o T P, KE ARY DI s MY COMMISSION 4 DD 400505 4.t EXPIF ES; June 17, POOg Bonded 11i i Nardry PUblic UnddrwHi®rs g"6'.'m..._ i .'C" J .k —)— b F,. VILLAGE OF MIAMI SHORES I / OWNER BUILDER DISCLOSURE STATEMENT I/ NAME: 0:00/101/r. ULtkaIle, DATE: 7/3 a / ?" ADDRESS: 2g4 NE /02 57 -vee7L- m, Q/77' Jhne5 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 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. I hold title to the above property and I am planning on doing this co i ction Myself. Initial 2. I understand that as an owner- builder I must abide by all zoning ordinances and building regulations in effect at the time of permit application. Inac ' e permits for a period of over 180 days will become null and void (exp ed) and a new permit will be required to be issued for reinstatement f the permit. Initial 3. I have an understanding of the 2004 FBC & FRC and understand that ,this department and its inspectors are there to help enforce and interpret the ode. There is a copy of the code in this office for review. Initial 4. I understand that the building official and inspectors are not there t design, alter or give advice on how to meet code — only if the structure eets the minimum code. Initial 5. I understand that as an owner- builder, that any contractor disputes with sub- contractors and myself must be handled in a civil court with the advice of an attorney. The department will not mitigate any contract disputes. Initia 6. I understand that if I compensate any person or company for work performed they are required to have a business license in the county. If for any reason they do not posses a business license I will be responsible and liable for an wrong doing from this unlicensed company or person. Initial 7. I understand that if any person gets injured on my construction project—they are entitled to workmen's compensation. And if they do not posses a workmen's policy I could be held liable for all doctor and related cost which could elude loss of wages during recovery from injury. Initial 8. I understand that under state and local laws I can not do any Electrical, Plumbing, Heating, Air & Roof work on my property with out first of aining the proper permits by licensed contractors. Initial Was acknowledged before me this 3 0 day of July , 20 OF( By Viodim 1 - Vo kova who was personally known to me or who has Produced there icense or CU as identification. `PG. . Lori C. Norris • Lcmmassion= DD344463 �xpces� .AUG. 05, 2008 r a N.Aa RONNOTARY.com OWNER NOTARY Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit MO. DS -7 -08 -1410 WS Issue Date: Not Issued Expires: of Issued Folio Number:1132060134710 Owner's Name: VLADIMIR AND JANET VUKOVIC Job Address: Owner's Phone: 284 102 Street NE Total Square Feet: 156 Miami Shores, FL 33138- Total Job Valuation: $ 1,000.00 Contractor(s) Phone Primary Contractor Planning and Zoning Criteria and Comments Approved: Yes Date Approved: 7/30/2008 : Yes Comments: NE 102 STREET 20.00' ASPHALT PAVEMENT Property Address: 284 N.E. 102 STREET MIAMI,FLORIDA:33138 • CCRIicti.:491,Va • t•ignis••• r Mt, r n r..PC4 317 ,44 • , 3 S3.4,3410•S - .;r ••Loqc,n go,•;•D ...... 1 RA.! ref: 3.. ,.7.,4ONED 11' ESPW0.5A 7- smTo or .n..oRroA FOR TW: 'PM P S.A1 Q Sit"? Notes: NO NOTES • • • • • _ • oo• o • , • • •• • 00000 • • • • 00000000 • ,..,.. ..119 . .:0 • :••• ••• • ..)::: , 34' • • • • . , . vik .., .,. • • • 3 • • • • • • M FA ••• • • • • • • • • • • • • • •. • • • • , • • • PAGE I OF 2 • • r-- • 1.: • o 28 t!:.