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DS-15-2485 -'Pete C ' 5- Miami Shores Village �i;ntt!1y' BTW' V ` 3 ffi 10050 N.E.2nd Avenue NEIF lo drr+ pItlf3n/ 11tC8L�n ... Miami Shores,FL 33138-0000 `tion Phone: (305)795-2204 = Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-244517 Permit Number: DS-9-15-2485 Scheduled Inspection Date: November 03,2015 Permit Type: Driveways/Sidewalks/Slabs Inspector: Rodriguez,Jorge Inspection Type: Final Owner: JOVICIC,JOVAN & DRAGICA Work Classification: Addition/Alteration Job Address:60 NE 104 Street Miami Shores, FL 33138- Phone Number (602)821-6045 Parcel Number 1121360130880 Project: <NONE> Contractor: HOME OWNER Building Department Comments NEW STAMPED CONCRETE DRIVEWAY AND Infractio Passed Comments WALKWAYS INSPECTOR COMMENTS False Inspector Coinments Passed ( I Failed a C Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. November 02, 2015 For Inspections please call: (305)762-4949 Page 18 of 50 Miami Shores Village --- ! TD '� Building Department i SEP 3 ® 2015 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 r, Tel:(305)795-2204 Fax:(305)756-8972 ---_ INSPECTION LINE PHONE NUMBER:(305)762-4949 51 FBC 20 14 BUILDING Master Permit No. �2_q� PERMIT APPLICATION Sub Permit No. dBUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP t4 C CONTRACTOR DRAWINGS JOB ADDRESS: I O 4 s � City: Miami Shores County Miami Dade zip: '33/3,Y Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: `� Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): �-J O'V�ST._ JJ cC)U I ct g-{ Phone#: 602-8 2j—�;-`i Address: 11 ,,, G0 qG �� f��C City: 1"11 A_�A 1 S(fngZ�S State: ��- ® zip: Tenant/Lessee Name: Phone#: Email: 44f M$.0 Co'► c CONTRACTOR:Company Name: Phone#: Address: City: State Zip: Qualifier Name: Phone#: State Certification or Registration#: Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State:��Zip: Value of Work for this Permit:$_ �� Cao® Square/Unear Footage of Work: �lOc7 S� Type of Work: El � ❑ Alteration ❑ New ❑ Repair//Replace ❑ Demolition Description of Work: �'I-(: S�/�1 i7C 9J cnO•,( C Q.i" V t �V �✓/ o ��'I I-� w/b'l-1Lwi�p S Specify color of color thru tile: Submittal Fee$ 1® Permit Fee$ M CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ �703 - no TOTAL FEE NOW DUE$ (Revised02/24/2014) f� Bonding Company's Name(if applicable) M 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 ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES,BOILERS, HEATERS,TANKS,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 The foregoing instrument was acknowledged before me this day of SE�A��63 E ZO 1 �5 by day of ,20 by W,who is personally known two who is personally known to me or who has produced f`L— '; — ' � me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: SogX Py otary Print: r' Sindia Alvarez Print: n �O0"101""�Seal: J Seal: i L APPROVED BY Plans Examiner 3ol Zoning Structural Review Clerk (Revised02/24/2014) f � �5�!O Miami Shores Village loss oma, Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305)795.2204 Fax: (305)756.8972 OWNER BUILDER DISCLOSURE STATEMENT L NAME: JO VAI �®V DATE: o 2_ S- ADDRESS: `G c) �l= C)4 � 1 j �I� � I �I 33 J3� 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 entities 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. 1 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 —M 2. 1 understand that building permits are not required to be signed by a property owner unless he or a is responsible for the construction and is not hiring a licensed contractor to assume responsibility. Initial 3. 1 understand that,as an owner builder,I am the responsible party of record on a permit.I understand that I may 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 numbers on permits a c tracts. Initial 4. 1 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 or substantially improved it for sale or leas , hich violates the exemption. Initial 5. 1 understand that,as the owner-builder,I must provide direct,onsite supervision of the construction Initial V�_ 6. 1 understand that I may not hire an unlicensed person to act as my contractor or to supervise persons wo ing on 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. Initial . IL 7. 1 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. 1 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. 1 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 Initial 10. 1 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 http://www.mvforidalicense.com/dbpr/pro/cilb/index.html Initial 11. 1 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: 6© f C— �o44 s�, M Iii ( "" sI --X33138 Initial 12. 1 agree to notify Miami Shores Village immediately of any additions,deletions,or changes to any of the'nformation that I have provided on this disclosure. Initial 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 =r7L- , 20 II 2 By ) I� � L� _ who was personally known to me or who has mho ZZ •c)j m v Produced there License or as identification. n N H.TI n I izs: d J W T a) �D C= N0 T N O - tJ L OWN i R NOTARY PAM ORDERED BY: �+ •rtt•,w Si N:I:...a c v Ip51n S• 2'1 T, ,... Rels ,v somas —� ....................... _ azq .. * ._. PROPERTY ADDRESS:60 NE 104TH STREET MIAMI SHORES,FLORIDA 33161 SURVEY NUMBER:FL1308 �- FIELDWORK DATE:W312013 REVISION DATE(S):rREv o 9/32013} FL 1308.3402 ; PY BOUNDARYSURVEY , mrwADEcouffnr S 9P00'00" W 255.41' (M) ;r1 S 90'00'00" W 255.30' (P R S 89'57'45" E 74.88' (M) B.R. (ASSUMED) 1/r FIP 75.00' (P) N O 1 ,'F 1 > ,/z"FIP25.0' 180.30' (P m I No m S 89'59'04" W 180.55' ( ) I a > 1 3 11.4' l F G7 111'OFF 124.8' i[3 II .. 1 — BLOT 123 is �#W m. � ,7.6• I �' SEP 3 p 215 ;9Ac �/ �� LT 37.4' 9.9' M n to �b - I b BLK 123 1 c/S N a r w Z b LOT 4 zg I _� 10.t 24.3- j BLK 123 > ® > 7o 1 sly. m i 40.8• GUEST m 0.8.OFF os•ON 24a' I 171 WM 8 CLF. 25.0' N0 N 8 1' I hereby certify t E' tch of Survey-o"e hereon descri F�berfj'1' been made under NATES: my direction, to s bes f my knowledge Lor APPENK TO BE SERWCED BY CITY WATER AND SEWER and belief, iti trjyg an ,a rate representation FENCE OWNERSHIP NOT DED of o survey t n mum technical 30 o t5 30 standards set rth V tAe gi a Board Of Professional L SuyerTors ° described in Chapter 5J—f7 o Administrative Code. GRAPHIC SCALE (In Feet) A 1 SCRtlE 1 inch = 30' ft RONALD W. WALLING State of FloridaProfessional Surveyor and Mapper License No. 6473 UseotThis Suney IW Ptopmes odmrthan IMVdetLWW utWritten Wtifrca[ion,.ffl beat the User'S Sok Risk-dWYtnout LmWityto the SurmM. NotislnR h—ha be Construed W&.ANY Righb m 9enefasto Ae y—otha than those CerHfiad FLOOD INFORMAIRQN:••• • • 0 • • •• POINTS OF INTEREST MUNICIPALITY VI INUA SSSEWAWRCM�M��lp11�EiR BO R IpIN THNG S TO BE ' NONE VISIBLE OF�MAIAMISHORNS•COtTED IN ZON LirO rjpl► )452A1]P=�ariDp911/09 hL-CLIENT NUMB fg-191y1WZ851138• • DATE:Ola/201i Florida 1 AFFILIATE • • • • ���� MEMBERS BUYER:JOVA D GIti4 Z41C • • • • • • n SELLER:L'S.2oPA ASSOCWTON.AS CREDIT L1SSEFRS BOSTON CERTIFIED TO:JOVAN AND DRAGICA JOVIOC;gD►Ar�TgA�vQUICK TITLE;FIRST L '*GA G; SUC C,�IDIC�ASS "ACTA INS;AS il-tEIST R GE INT ES75 Y • Land Surveyors, Inc, na�T PM6-7351916•F.96-74443M This is e9 Oft a1ltlAsn6ldllidAFjou;atlp 6. LB#7W 11946FgrmyWesOrWe.Suee1•FILMyw6FL33913 + sP REPORT OF SURVEY FL1308.3402 This is page 2 of 2 and is not valid without all pages.~ LEGAL DESCRIPTION: THE WEST 1/2 OF LOT 4 ANDALL OF LOT S.BLOCK 123, MIAMI SHORES SECTION NO.5,ACCORDING TO THE PLAT THEREOF RECORDED IN PLAT BOOK 10,PAGE 47,OF THE PUBLIC RECORDS OF MIAMI-DADE COUNTY,FLORIDA 1� c JOB SPECIFIC SURVEYOR NOTES: THE ASSUMED BEARING REFERENCE OF SOUTH 90 DEGREES 00 MINUTES 00 SECONDS WEST IS BASED ON THE SOUTHERLY RIGHT-OF•WAY LINE OF NE 104TH STREET,LOCATED WITHIN MIAMI SHORES SECTION NO.S.ACCORDING TO THE PLAT THEREOF,AS RECORDED IN PLAT BOOK 10,PAGE 47 OF THE PUBLIC RECORDS OF MIAMI-DADE COUNTY,FLORIDA. Val n H,: GENERAL SURVEYOR NOTES: R 1. The Lega Dex•;T',M used to perlo•ritnxs si.•vey was supplied by omens.The array does m.;.deter ne a•hrtNy oome•ri 1p. ". 2. 11:n wrvey my shows Improvements found above ground Underground(M,ngs,ut9rtles and encroachments are rot:sated on this sutwy me*, 3. athase If a wpdc tank,or drain field shown on this wrwy,the location is awaidmate atth a lolcadirn was etcher stsbwn to FxN 4 by s Mird party w it .x -immed by me&I eWeetion, prob"rod/,and visual abose ground n`spec on Ory.NoexclVatlon was performed�n OrdArtO dP'Prm:M ine!adK and MC."E:P IOrdhOn. 4. THs s.ovey11endUnlielyfw the use of Me prVes to:Vhom it Is ce.NBea. S, Ad. -,.d1%,q"s:o I"s.•vey map and-1 try x " twthan the Vil g*any wearies is poi, em:bned w�tlou:w."rtte+confof thn i gn ;;par .ar: k y wie _ 6. D:^Ienskns are in kW.and dKlna9th6red. 7. Due to varying construct!onstandards.homy dirmenswns are aoPov". e ?: 8. Arty FEMA Rood caW data cemaired on tMs nmvay h forinformadomal purposes wayra Research to Don such data Was pe•tm.mda.-tem.g- 9 A�'com,marked a ser an at a memm,.rna'1'diamete:l I'imn mbar veth a cap namoed 1.987337 " t05yPu re reael.Ig Mh survey In am NeenonT'mmat ti.p tefprmatlwi ro-tamed on tA4dOtvdiem!no++ly'va"dMCFisoocumertrsAusronicngy sigredas apeoRcd:n ;. Chapter 51.17062'3;0 t florada Adm;stray w Cooe ire EMetmmc S13n1ure rye r',,ted to tmh docw--,ni p+o-++nen:Igd'spbsed cane+.c.ra te"r•'e n:-vay senr untie•teParNe COTS ManuAtlF signed and ualetl logs oral{su•vcy s•grtatm toes am knot imine oFEs olrhe pRRormmg sem-:rya Bet%s docunert n.r papr•Po•mat, a:s not va'A W9houtehe signature end cdgmai•aced seal oda^wide Licensed Smreyw I 1 t.Unlra oder-sc nmed,an eraminatims oftho abxrac:ofttik ares A'OT pesfomWd by the sigding surveys ro oercrmine whkh 4surummn,ti any.are aHeamO thb property. 3 12.1he symbds reflected in the ILgPrsd and wI MIs survey may have bees eedarged or reduced fol clamy.TM zymbok have haFm pkTtteP at she tamer o/rht TN4d Y Iccatlon,and may rm;rWpmsem:he aOk'N swe o-t n of:ite fea.um. 13.aunts oP tmeresc!P01's)am sciatica aboveground Improve anb whit`,maybe.�co-like w•!th en awry.bu9d'�q ferbac4 v easement Nres. as defined try the parameter etthb si,rvay.Tno+e rmay be aitdit'oral Deli which are nw s1ra.,*.not csikd-o.rt as POIX ar w-hich are orhrrwkr nrtkrvown to the surseydr Teresa PI'S may no:represent a'I nems of mtrento!he ricrac. 14.V fliff"shown on the sublscr Property may or may not indicate:he existence ofrecmded w Jnruronsed uMilreasemenm 15.The FnNtrmtPten Contained on+h ruirwy tors berm oerk'n'ed erc1u0wy,and k theSole mq,p r siWi ry.of lite Surveyors.Addhlonel Ingo Or rakMM w third party fvms am for 'nhrmatbmd'purpose{0'dy. 16.Pursuamt l0 A.S.558 C035 en'rtdn duel empt,iyee o•agamf may nor oe hed.nd vA.at.y liable ler megl-9erce. 17.FMusa measureme^.1.t should nwceused 4r new rpMnyr!.on wplanrring AteaMnmemytl-bold he aerrF.ed pribe 1.c sxF litNav Y LEGEND: 5UKVMK5 LEGEND OOLVW xe AC AR CO+W'004 o iOVrrCATtov ser. serem 0A. e'APR..^,Via.' wr. 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E &land Sunney -Inc, wA exactalandcom( 1. , •im •.+^" • • 41641, • • - RSW735-1916•FA66.744-2882 r -" "- 1.817337 11940 Fairway Lakes Drive,Suhe t.Ft.Myers.VL 33911 A F 1/2" Fill A ,q 1/2" FIP25 0' NO ID NO ID Wa„9 pamolulai 4saw jaq!3 Ae—pp eilanu-padwinS ISd 000E 11.4' F. � � 0.1. OFF cull ANadoid wotl Aem q cn v D � 18.8' y �C "n c v O 1 24.8' C O Q N 17.6' RES STy0 j �N -� .co 0 _ M -j CD C Ni "' tri� N M N I C'44 I N CP v LOT 5 37.4' 1 9.e• b 6- I 4®LK 123 I cls to J I w ®fxo- p ITI LOT 41: fo.r m I ®LK 123 Lo C7 — 24.3' '.j 3 O m i STY. .o l 40.6' C s-�s--1 'd GUEST 120.8. OFF I s s 0.2' ON 24.3' I WM 5' CLF. g• 25.0' ,err i 5• 9' 7 4 .0 N 8 tr• t. o hereby certify t tch o urvey o e hereon des rib pertl been mode under NOS; my direction, d to Us bes J f my knowledge LOT APPEARS TO BE SERVICED BY CPTY WATER ANO and belief, iti on �a c rate representation FENCE OWNERSHIP NOT DETERMINED of a survey t t n mum technical 30 0 15 30 standards set rt h $YT.t&e a o Board Of Professional L Sum"yiers described in Chapter 5J-17 0L SURVAdministrative Code. GRAPHIC SCALE (In Feet) I V EZ RONALD W. WALLING 1 inch = 30' ft. State of Florida 600e•sianal•Suweyor ani•M•ppel•• • •• • • • • ••• • •Y •Y• •• • • • Y• Use ofThis Survey for purposes other than Intended Without Wratten Verification,will be at the Users Sole Risk and Without Liability to the Surveyor. Nothing hereon shall be Construed to Give ANY Rights or Benefits to Anyone Other than those Certified. FLOOD INFORMATION:••• `;• �I •I`• ••• •Y• •YY POINTS OF INTEREST MUNIBY CIPA ITY OR WWW$TY QN,,T OE RQ R ;VP�AQS t0 BE NONE VISIBLE LOCATED IN ZONE X.TMK4PROPERTY W94S F&JND IN-RHE VIL4LAGE OF MIAMI SHORES,COMMUNITY NUMBER 120652,DATED 09/11/09. file a 'Florida AFFILIATE Title CLIENT NUMBER:191112285313Bi • � i �Aj= 9= 3/W1: 3 BUYER:JOVAN AND DRAGICA JOVICIC FL-TA MEMBERS