RC-11-2147Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 166857
Scheduled Inspection Date: September 04, 2012
Inspector: Bruhn, Norman
Permit Number: RC -11 -11 -2147
Owner: DJORDJEVIC, MILDRED & MIROSLAV
Job Address: 10130 N MIAMI Avenue
Miami Shores, FL 33150-
Project: <NONE>
Contractor: HOME OWNER
Permit Type: Residential Construction
Inspection Type: Final Building
Work Classification: Alteration
Phone Number
Parcel Number 1131010210060
Building Department Comments
REPAIR STUCCO ON OUTSIDE WALLS, BACK PATIO,
FRONT AND AROUND GARAGE DOORS
Inspector Comments
Pass
Failed
Correction
Needed
Re- Inspection
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
August 31, 2012
For Inspections please call: (305)762 -4949
Page 4 of 29
e
��i'L112-
B ILbING
PERMIT APPLICATION
FBC 20
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
Permit Type: BUILDING 1 fl ' .ROOFING �\
OWNER: Name (Fee Simple Titleholder): t\XNU cj
Address: lO\ 50 K.D ark,co t A
City:
Permit No.
Master Permit No. 1• 1 � � ` fl .
Tenant/Lessee Name:
Email:
State:
Phone #: 2%-1149 2�
Zip: L I 50
Phone#:
MP( 02-144 09 i Q • c-nh',()
JOB ADDRESS; I O 16Z ax i-x) .Q_J ofa aw
City:
Folio/Parcel #:
Miami Shores County: Miami Dade
1 ! 5 10 ! 02-) 00 (00
Is the Building Historically Designated: Yes
CONTRACTOR: Company Name:
Address:
City: State: Zip:
Zip: 3 ('J'
Flood Zone:
Phone#:
Iv V
Qualifier Name: Phone #:
State Certification or Registration #: Certificate of Competency #:
Contact Phone #: Email Address:
DESIGNER: Architect/Engineer: Phone#:
Value of Work for this Permit: $ I t a L.1) Square/Linear Footage of Work:
❑New Ggepair/Replace
Type of Work: ❑Addition ❑Alteration
Description of Work:
cii•
❑De; olition
OP"
********* ****+ x*** **a:* ******** *u: ******** Fees********** ******* a: **** *********** ****:x******
Submittal Fee $ Permit Fee $ I C) 31 n
Scanning Fee $ Radon Fee $
Notary $ `7 • I'D Training/Education Fee $
Double Fee $ Structural Review $
CCF $ 1S. ( CO /CC $
DBPR $ Bond $
Technology Fee $
TOTAL FEE NOW DUE $ 1WOO
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 $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature
Signature
Owner or Agent Contractor
The foregoing instrument was acknowledged before me this 5- The foregoing instrument was acknowledged before me this
day of , 20 O if, by' 1 U I vi) ) ,50 (.day of , 20 _, by
i� L
who is personally known to me or who has produced 0 who is personally known to me or who has produced
As identification and who did take an oath. as identification and who did take an oath.
NOTARY PUBLIC: i NOTARY PUBLIC:
0\01 iuiiii://,,
OP 4►:. �, ..q
Sign: �.,. . 0 Sign:
Print: o i ° 74 .. `S) Print:
--1, �� :cri_
My Commission Expires: r. -° o o ° y My Commission Expires: •
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k** ****** ******************* hkkkN**/(at %1 �Hk**** NkkkkkkkNkkkkkNkkkk*NNkkNkkd d*kkRkk *k Mkkd$kkkkkd*kk***
APPROVED BY fi a-_ Plans Examiner _ Zoning
Structural Review Clerk
(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09)
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
�/ OWNER BUILDER DISCLOSURE STATEMENT
NAME: 14 i?° S (4✓ 0 b RAJ DATE: /2 /Q Z 0 V
ADDRESS: /0 / 30 ii/ot-GC, ftj,,.,1i ift7- fikyni 540,eps 331--(0
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 new form states 75,000). 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 understand that state law requires construction to be done by a licensed contractor and have applied for an owner - builder
permit under an exemption from the law. The exemption specifies that I, as the owner of the property listed, may act as my own
contractor with certain restrictions even though I do not have a license.
Initial
2. I understand that building permits are not required to be signed by a property owner unless he or she is responsible'r the
construction and is not hiring a licensed contractor to assume responsibility.
Initial
3. I understand that, as an owner builder, I am the responsible party of record on a permit. I understand that I -' protect myself
from potential financial risk by hiring a licensed contractor and having the permit filed in his or her name instead of my own
name. I also understand that the contractor is required by law to be licensed in Florida and to list his or license on
permits and contracts.
Initial
4. I understand that I may build or improve a one family or two- family residence or a farm outbuilding. I may also build or improve
a commercial building if the costs do not exceed $75,000. The building or residence must be for my use or occupancy. It may
not be built or substantially improved for sale or lease. If a building or residence that I have built or substantially improved
myself is sold or leased within 1 year after the construction is complete, the law will presume that I built ors tially
improved it for sale or lease, which violates the exemption.
5. I understand that, as the owner - builder, I must provide direct, onsite supervision of the construction.
Initial
Initial
6. I understand that I may not hire an unlicensed person to act as my contractor or to supervise persons working ' my building or
residence. It is my responsibility to ensure that the persons whom I employ have the license required by law and by county or
municipal ordinance.
7. I understand that it is frequent practices of unlicensed persons to have the property owner obtain an owner - builder permit that
erroneously implies that the property owner is providing his or her own labor and materials. I, as an owner - builder, may be held
liable and subjected to serious financial risk for any injuries sustained by an unlicensed person or his or employees while
working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an
owner- builder and am aware of the limits of my insurance coverage for injuries to workers on my property.
Initial
8. I understand that I may not delegate the responsibility for supervising work to be a licensed contractor who is not licenses to
perform the work being done. Any person working on my building who is not licensed must work under my direct supervision
and must be employed by me, which means that I must comply with laws requiring the withholding of federal income tax and
social security contributions under the Federal Insurance Contributions Act (FICA) and must provide workers compensation for
the employee. I understand that my failure to follow these may subject to serious financial risk.
Initial
9. I agree that, as the party legally and financially responsible for this proposed Construction activity, I will abide by all applicable
laws and requirement that govern owner - builders as well as employers. I also understand that the
Construction must comply with all applicable laws, ordinances, building codes, and zoning regulations.
10. I understand that I may obtain more information regarding my obligations as an employer from the Internal Revenue Service, the
United States Small Business Administration, and the Florida Department of Revenues. I also understand that I may contact the
Florida Construction Industry Licensing Board at 850.487.1395 or htto : //uwuw.mvtloridalicense.com/dbpr /pro /cilbfndex.html
Initial
11. I am aware of, and consent to; an owner - builder building permit applied for in my name and understands that I am the party
legally and financially responsible for the proposed construction activity at the following address:
(01 v Aet' /141 ft
12. I agree to notify Miami Shores Village immediately of any additions, deletions, or changes to any of the information that I
have provided on this disclosure.
Licensed contractors are regulated by laws designed to protect the public. If you contract with a person who does not have a
license, the Constr4uction Industry Licensing Board and Department of Business and Professional Regulation may be unable to
assist you with any financial loss that you sustain as a result of contractor may be in civil court. It is also important for you to
understand that, if an unlicensed contractor or employee of an individual or firm is injured while working on your property, you may
be held liable for damages. If you obtain an owner - builder permit and wish to hire a licensed contractor, you will be responsible for
verifying whether the contractor is properly licensed and the status of the contractor's workers compensation coverage.
Before a building permit can be issued, this disclosure statement must be completed and signed by the property owner and
returned to the local permitting agency responsible for issuing the permit. A copy of the property owner's driver license, the
notarized signature of the property owner, or other type of verification acceptable to the local permitting agency is required when
the permit is issued.
Was acknowledged before me this day of Oe-0 , 201)
B )Yl� V OpdSCAAD who was personally known to me or who has
Produced there License or T 1 Vt.2 I a�' dentific -tion.
Ivite
NOTARY
p,,, CLAUDIA-V. CUBILLOS
"PH `e`er•. Notary Public - State of Florida
• E My Comm. Expires Sep 23, 2015
p; Commission # EE 128810
.n ; ; :so Bonded Through National Notary Assn.
Permit NW I
Miami Shores Viiiage
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
CHANGE OF CONTRACTOR I ARCHITECT
Owner's Name (Fee Simple Title Holder): I'O ( S O6 ' �a
State : &
Owner's Address:
City:
Job Address (Of where work is being done): le t 50 e l
State: Florida Zip Code: ,
City: Miami Shores
Contractor's Corn .an Name:
Address: =�
City: e J State:
Qualifier's Name : (c32
Phone #:_r- -z
Zip Code: 12-
Lic. Number:
Architect/ Engineer of Record Name: Phone #:
Address:
City: State:
Describe Work:
Zip Code:
I hereby certify that the work has been abandoned and/or the contractor/architect is
unable or unwilling to complete the contract. I hold the Building Official and the
Miami Shores harmless for all le
Signatu
owner orAi „mss /i1,
The foregoing ins ment was a owl -died before me
this (dayo
Who is personally known to me or who has produced
as indentification.
Notary
Sign:
Seal:
•
��. ,Pk t CLAUDIA V. CUBILLOS
?i °` ,� +% Notary Public - State of Florida
4 My Comm. Expires Sep 23, 2015
-4 "�'e' Commission # EE 128810
°%%%%%%%%%%%% �� Bonded Through National Notary Assn.
•
Signatures
tractor or Architect
The foregoing instrument was aknowledged before me
this day of , 20 by
who is personally known to me or who has produced
as indentification.
Notary Public:
Sign:
Seal:
December 20th, 2011
Amaya Contracting Stucco, Inc.
Attention: Jose Amaya
1732 NW, 7th Street, Unit 1
Miami, Fl. 33125
RE: Permit # RC11 -2147 and PT11 -97
Dear Jose:
Pursuant to our conversation, please be advised that due to the fact that your
company does not have the proper licenses required to finish the work needed in
my home, as of today, you will no longer be our contractor.
If you have any questions do not hesitate to contact me.
Sincerely,
oslav and Mildred Jo
`' 10130 N Miami Avenue
G Miami Shores, FL 33150
-16'00442412staxmorasimearkdowilimanimmi,
LITTLE RIvER FuST OFFICE
MIAMI, Florida
331389998
1158540115 -0094
12/221,011 .K0) 01. Pi
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Description Qty Price Price
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December 20th, 2011
Amaya Contracting Stucco, Inc.
Attention: Jose Amaya
1732 NW, 7th Street, Unit 1
Miami, Fl. 33125
RE: Permit # RC11 -2147 and PT11 -97
Dear Jose:
Pursuant to our conversation, please be advised that due to the fact that your
company does not have the proper licenses required to finish the work needed in
my home, as of today, you will no longer be our contractor.
If you have any questions do not hesitate to contact me.
Sincerely,
oslav and Mildred Jo
10130 N Miami Avenue
J Miami Shores, FL 33150
LITILE RiFR ruST OttiCE
Florida
31389998
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street, Apt :OF?
or PO Box No. -71 _4 LSI:
City, State, ZIP+4
4 A r 1 .3 2
roio.,6,i;ons
Wil6444*404t,_
22ft
Open
Swimming Pool
31ft
Patio
Study
DaYmci by a la node, mc.
Living Area
First For
loft
N
fi
Bed room
Bath
Foyer
Family
F/P
Living
Dining
18ft
Kitchen
Bedroom
lift
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Pp 1Cs2
d-axliAotcW 3Qc
Area Calculations Summary
Garage
/ A 13.5ft
wow
N
O
5.4ft
Total Living Area (Rounded):
Non - living Area
Garage Cony.
1841.7 Sq ft
1842 Sq ft
270 Sq ft
Calculation Details
11 x 10.5 = 115.5
13 x 10 = 130
7.4 x 5.4 = 39.96
13.8 x 12.6 = 173.88
27.3 x 12 = 327.6
34.3 x 30.1 = 1032.43
0.9 x 24.8 = 22.32
20 x 13.5 = 270
Ill
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•
PROPERTY ADDRESS: 10130 N. MIAMI AVENUE, MIAMI SHORES, Florida 33150
FIELD WORK DATE: itrzivoio REVISION DATE(S): (rev .o 11/22/2010)
FL 1011.1045
BOUNDARY SURVEY
MIAMI-DADE COUNTY
•
SURVEY NUMBER: FL1011.1045
Moles:
FENCE OWNER5`i1F NOT DETERMINED
..1/T AFFEAR5 TO l:_ ytkv:CED BY CM- WA tFt AND
LOT 7
DLK I
RESIDENCE
TABLE:
L I SOUTH 1 06.55' (P)
S 0 °05'23° W 1 06.48' (M)
L2 SOUTH 1 06.55' (P)
5 0°0 I 04' W 1 06.38' (M)
I /2° FIP
5' CHAIN LINK FENCE (TYF)
64. I'
CONC.,AM/
0.5'
LOTS 8$9
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F /2° FIR
1/2' FIR
NO ID
BLK. COR.
I her b
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`COSE NUMB'
4512
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PESIDENCE
ey of the hereon described
ecbon, and to the best of my
�ccurate representation ofa survey
ndards set forth by the Florida Board
described in Chapter 5J -17 of the
PAUL M. VALENTINE
State of Florida Professional Surveyor and Mapper
License No. 4512
I /2° FIR
NO ID
Froth
® BLK. COR.
N.F. I01.5T AvF•IUE
GRAPHIC SCALE (In Feet
1 inch = 30' ft.
Use of This Survey for Purposes other than Intended, Without Written Verification, will be at the User's Sole Risk and Without Uabilityto the Surveyor.
_.. Nothin ° hereon shall be Construed to Give ANY Ri • hts or Benefits to An one Other than those Certified.
POINTS OF INTEREST: None Visible
t
Miami Shores Village
Building Department
mmonwserfil
Lq NOV. 1 8 2011 Ji
BY: m_.___._.___ ®____o_m
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
INSPECTION'S PHONE NUMBER: (305) 762.4949
Permit No. VC)11--ai41
Master Permit No.
BUILDING
PERMIT APPLICATION
FBC 20
Permit Type: BUILDING ROOFIN // �6 �' t
OWNER: Name (Fee Simple Titleholder): k — /2 G�� ld
Address: / / /O
City:
Tenant/Lessee Na e:
Email:
JOB ADDRESS:
State:
e #: Plo Z ,/ / J97
Phone #:
City: Miami Shores County:
Folio/Parcel #: //3/4/402/ 00 (a U
Is the Building Historically Designated: Yes
CONTRACTOR: Company Name:
Address: ��� 4-1(1) <C14
State:
Miami Dade
Zip: , —a/-5Z
Flood Zone:
a _C-2,z,;(6-
City:
Qualifier Name: /D.V
State Certification or Registration #: 7 V53 Certificate of Competency #:
Contact Phone #: Email Address:
DESIGNER: Architect/Engineer: Phone #:
air
Phone #: WS 5127
33 /ai- �
Phone #: (36-/-6y9-3V2-7
Value of Work for this Permit: $ 4 l�7 U (/ Square/Linear Footage of Work:
Type of Work: ❑Addition
Description of Work:
❑Alteration
❑New " epair/Replace
Memo lition
***************************************Fees*** * * ** * ** * ****
Submittal Fee $ Permit Fee $ 670 CCF $ CO /CC $
Scanning Fee $ Radon Fee $ DBPR $ Bond $
Notary $ Training/Education Fee $ Technology Fee $
Double Fee $ Structural Review $
TOTAL FEE NOW DUE $ 1 V3,
, Bonding Company's Name (if applicable)
Bonding Company's Address
City
State Zip
Mortgage Lender's Name (if applicable) 9 ?fie A))--)77 / d? 4 e__2 /9QZC2 cQ-/
Mortgage Lender's Address 1 x' �� ePes,
City (it,- r7 . dC State (.I/' Zip —51CO29
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.
Owner or Agent }�?
The foregoin: nstru -. t was acknowledged before me this /9//1 The foregoing instru was acknowledged before me this /61 °
day of �:�r?.�i :> , by /L% /e/ye t. � lieu OGday of �+ Ll:](���. I, , by e- 9 )/9(/ ,
who is personally known to me or who has produced who is personally known to me or who has produced
Contractor
As identification and who did take an oath. as identification and who did take an oath.
NOTA ' PUBLIC:
Sign.
Print:
My Co
ARLETTE T JEDA
COMMISSION # DD875549
pires:
NOT PUBLIC:
Si
Print:
My Commission Expires:
RLETTE TEJEDA
MMISSION # DD875549
2013
, x**** ** ********** *: x****, x> k***********, x**** **,x******* *** *********** ** :: ******* ****** *,xx,****,x******* ***,x**** *Dk*
APPROVED BY
1// ' � �7/ Plans Examiner Zoning
Structural Review Clerk
(Revised 07 /10 /07)(Revised 06 /10 /2009)(Revised 3/15/09)
.r.T.19(1
up7 C?"9"-DC)+-
22ft
Open
Swimming Pool
31ft
Patio
7E OR g W121111
00\I 1•8 2011 AJJ
BY:
Study
Da %raid by a la mode, Mc.
Living Area
First Floor
10ft
Bedroom
Bath
Foyer
Family
F/P
Living
Dining
Bedroom
Covered Entrance 31-1ft
Area Calculations Summary
18ft
Kitchen
Garage
13.5ft
LOD PeG<D
e 5.4ft
N.
VC11---2J4-1
1841.7 Sq ft
PERMIT #:
Miami Shores Village
Total Livim Area Mountain°
Non-living Area
Garage Cony APPROVED
ZONING DEPT
BLDG DEPT
BY
DATE 77n
SUBJECT I-0 CCMPLIANCE WI rrl ALL FEDERAL
STATE AND er_AJN rIL,LES AND REGULATIONS
Calculation Details
11 x 10,5 = 115.5
13 x 10 = 130
7.4 x 5.4 = 39.96
13.8 x 12.6 = 173.88
27.3 x 12 = 327.6
34.3 x 30.1 = 1032.43
0.9 x 24.8 = 22.32
20 x 13.5 = 270