RC-13-2730Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone: (305)795 -2204 Fax: (305)756 -8972
Inspection Number: INSP- 211229 Permit Number: RC -12 -13 -2730
Scheduled Inspection Date: April 24, 2014
Inspector: Rodriguez, Jorge
Owner: NOALES, GONZALO & JOHANNA
Job Address: 371 NE 103 Street
Miami Shores, FL 33138-
Project: <NONE>
Contractor: HOME OWNER
auuumu veparumenz %.omments
KITCHEN CABINETS REMODEL
Permit Type: Residential Construction
Inspection Type: Final
Work Classification: Alteration
Phone Number (305)632 -9753
Parcel Number 1121360130270
INSPECTOR COMMENTS False
April 23, 2014 For Inspections please call: (305)762 -4949 Page 18 of 22
Inspector Comments
Passed 4E
Failed
Correction
Needed
Re- Inspection ❑
Fee
No Additional Inspections can be scheduled until
re- inspection fee is paid.
April 23, 2014 For Inspections please call: (305)762 -4949 Page 18 of 22
Miami Shores village
Building Department DEC 0 52013
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972 Y:
INSPECTION'S PHONE NUMBER: (305) 762.4949
BUILDING
PERMIT APPLICATION
Permit Type: BUILDING
FBC 20
Permit No.
Master Permit No.� _
ROOFING
JOB ADDRESS•' 7/ bJ 6
City: Miami Shores County: Miami Dade Zip: Y3 13,
Folio/Parcel #:
Is the Building Historically Designated: Yes
NO Flood Zone:
OWNER: Name (Fee Simple Titleholder): Phone #: 61-11 41-1
Address: 7 / /" � 6 3
City:
Tenant/Lessee
Email: 6 '04,
In
State: _�L Zip:
CONTRACTOR: Company Name: r2l o o Phone #:
Address:
City: State:
Qualifier Name: Phone #:
State Certification or Registration #:
Contact Phone #: Email Address:
Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone #:
Value of Work for this Permit: $ �/, CfY�� Oe��4Square/Linear Footage of Work:
Type of Work: ❑Addition OAlteration ONew Repair/Replace ODemolition
Description of Work•
Color thru tile:
Submittal Fee $ 0,6&0' Permit Fee $ CCF $ CO /CC $
Scanning Fee $
Radon Fee $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
DBPR $ Bond $
Technology Fee $
r
TOTAL FEE NOW DUE $27.
Bonding g .jy.,s�.Nanae,(if applicable)
Bonding Company's Address r
City State zip
• a
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, CONSYtT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUWNOTICE OF COMMENCEMENT."
Notice to Applicant: Asa n to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
promise in good faith t, of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subjec to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first ins a tion hich occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will o b,q #proved and a reinspection fee will be charged.
R
O er or Agent
The foregoing instrument s acknowledged before me this
day of a2c 120 L3 by 6rx- 9-- Glll-) AldaleS- ,
who is personally known to me or who has produced Z6
?9 ?6 7 aa760 • As identification and who did take an oath.
NOTARY PUBLIC: ,
Sign:
Print:
My Commission Expires
ID A
APPROVED BY
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.
Structural Review
(Revised 3 /12/2012)(Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09)
NOTARY PUBLIC:
My Commission Expires:
Clerk
Miami Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
�°� OWNEnnRqq BUILDER DISCLOSURE STATEMENT
NAME: , �.' PZA1 1D Gy DATE: I Z-
ADDRESS• a
Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida, RS 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 7
2. 1 understand that building permits are not required to be signed by a property owner unless he or she 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 pumbers on
permits and contracts.
Initial 6
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 lease, which violates the exemption.
In'fial
5. 1 understand that as the owner- builder, I must provide direct, onske supervision of the construction.
Initial
6. 1 understand that I may not hire an unlicensed person to act as my contractor or to supervise persons working on my but ding or
residence. It is my responsibility to ensure that the persons whom I employ have the license required by law and by unty or
municipal ordinance. ,
Initial 0.
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 competion for
the employee. I understand that my failure to follow these may subject to serious financial risk. e6 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.
e6k)
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 htti)-://www.m)lorWalicense.comldbi)r/ora/cilbfindex.htmf
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:
)63 41-
Initial 0�
12. 1 agree to notify Miami Shores Village immediately of any additions, deletions, or changes to any of the information that
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 average.
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.
�g 5�- c 3
Was acknowledged before m this day of , 20
By @ who was personally known tome or who has
Produced ther4Ucen alq s ide Fit A.P16, � i C6
= C N�
DA
Return to:
Christopher P. Kelley, Esquire
11098 Biscayne Boulevard, Suite 205
Miami, FL 33161
This instrument prepared by:
Christopher P. Kelley, Esquire
11098 Biscayne Boulevard, Suite 205
Miami, FL 33161
Tax Folio No. 11- 2136- 013 -0270
CFhI 2C I1.3RO914.4-94-
OR Bk 28917 Fss 1987 - 1969; C3a9s)
RECORDED 11/19/2013 11:50 :18
DEED DOC: TAX 1r966.80
HARVEY RUVIHr CLERK. OF COURT
MIAMI -DADS C:OUHT'fr FLORIDA
PERSONAL REPRESENTATIVE'S DEED
THIS INDENTURE is made this / 3 �1 day of 2013, by and between
MARIA MURAWKA, the duly qualified and acting Personal Representative of the Estate of
DOLORES PATRICIA MOORE, Deceased and the Estate of BARBARA ANN MOORE,
Deceased, hereinafter referred to as Party of the First Part, and JOHANNA RIZO- NOALES and
GONZALO NOALES, wife and husband, whose Post Office address is 371 NE 103 Street, Miami
Shores, FL 33138, hereinafter referred to as Party of the Second Part.
WITNESSETH: That WHEREAS, DOLORES PATRICIA MOORE died testate a resident of
Miami -Dade County, Florida, on December 6, 2011, seized and possessed of the real property
hereinafter described; and
WITNESSETH: That WHEREAS, BARBARA ANN MOORE died testate a resident of
Miami -Dade County, Florida, on March 28, 2012, seized and possessed of the real property
hereinafter described; and
WHEREAS, title to said property vested in the decedent's estate as of the date of decedent's
death pursuant to the provision of the decedent's Last Will and Testament, which was admitted to
probate and filed by the Circuit Court of Miami -Dade County, Florida, Probate Division, in File No.
12 -0327 CP 04, with the right of the Party of the First Part to sell or encumber the property for the
purpose of defraying claims, costs and expenses of administration of decedent's estate, and an
Order Authorizing Sale of Property was entered 0.r` % , 2013, with the right of the
Party of the First Part to convey the hereinafter described property.
WHEREAS, title to said property vested in the decedent's estate as of the date of decedent's
death pursuant to the provision of the decedent's Last Will and Testament, which was admitted to
probate and filed by the Circuit Court of Miami -Dade County, Florida, Probate Division, in File No.
12 -1754 CP 04, with the right of the Party of the First Part to sell or encumber the property for the
purpose of defraying claims, costs and expenses of administration of decedent's estate, and an
Order Authorizing Sale of Property was entered C>hr , 2013, with the right of the
Party of the First Part to convey the hereinafter described property.
WHEREAS, the Party of the First Part wishes to sell said property to the Parties of the
Second Part.
NOW, THEREFORE, for and in consideration of the sum of $10.00 and other good and
valuable consideration in hand paid by the said Parties of the Second Part, the Party of the First Part
does hereby sell and convey to the Parties of the Second Part, all of the rights to said property
granted, conveyed and confirmed unto the Parties of the Second Part, their heirs and assigns
Book28917 /Page1967 CFN #20130914494
Page 1 of 3
PERMIT #
CONTRACTOR:
-Z
SUBMITTAL DATE:
ADDRESS:
NAME:
)Olt
RESUBMITAL DATES:
PROJECT TYPE:
`
ZONING
FIRE
STRUCTURAL
IMPACT FEES
ELECTRICAL
HRSIDERM
PLUMBING
MECHANICAL
Cp
BLDG
77.90
t l 9a
P/
169
i
Personal Representative's Deed
Moore Estate sh Noales
Page 2
forever, all of the interest of said decedent in and to the real properly situated in Miami -Dade
County, Florida, described as follows:
Lots 20 and 21, Block 118, MIAMI SHORES SECTION NO.5 AMENDED, according
to the Plat thereof, as recorded in Plat Book 10, Page 47, of the Public Records of
Miami -Dade County, Florida.
TOGETHER WITH all and singular the tenements, hereditaments and appurtenances belonging to
or in any way appertaining to that real property, subject to all restrictions, reservations, and
easements of record, if any; and ad valorem taxes for the current year.
IN WITNESS WHEREOF, the undersigned, as Personal Representative of the estate of the
decedent, has executed this instrument under seal on the date aforesaid.
ff9tr and del' r in our presence:
Print ame
Print name
STATE OF FLORIDA
MARFA MURAWKA
as Personal Representative of the Estate of
DOLORES PATRICIA MOORE and BARBARA
ANN MOORE, Deceased
Address: 1291 NE 105 Street
Miami Shores, FL 33138
COUNTY OF MIAMI -DADE )
I HEREBY CERTIFY that the foregoing Personal Representative's Deed was signed and
acknowledged before me this 13 day of A ooe r r 2013, by MARIA MURAWKA,
as Personal Representative of the Estate of Dolores Patricia Moore, deceased, and Estate of
Barbara Ann Moore, deceased, who produced ors - -�► � `' bhense.. as
identification. v
SC•
N TARY PUBLIC, a of FLORIDA at Large
[ not name]
fl! K N
NOTARY PUBW
STATE OF R.OF A
Camm#EED05M
E 8M6rA14
Book28917 /Page1968 CFN #20130914494
Page 2 of 3
OR 133 28 917 PG 1969
LAST PAGE
MIAMI SHORES VILLAGE
Building Department
10050 NE 2 Ave, Miami Shores Fl, 33138
Tel: 305- 795 -2204- Fax: 305 - 756 -8972
Permit No. REOC -11 -13 -2536
Certificate of Re- Occupancy
Address: 371 NE 103 Street
City: Miami Shores Village
State: Florida
Zip: 33138
This certificate verifies that the reference property has been inspected by Miami Shores
Village and has been determined to presently comply with schedule of regulations of
Miami Shores Land and Development Code pertaining solely to the requirement that
each one family dwelling is used and intended to be used* for a one family dwelling
purpose oniy, however, this certificate does not constitute any representation or
warranty as to the condition of the dwelling or other structures on the .premises
described herein, or any aspect of such condition, and interested persons are advised
and encouraged to make their own inspections of the premises in order to determine the
condition thereof.
Building Inspector Approval:
�J
Book28917/Page1969 CFN #20130914494 Page 3 of 3
r
T
DEC p 5 13
UITY.
Carm
%Opy NO POINT ALONG COUNTER TO BE MORE THAN
2 FIEET FROM G.l I PROTECTED RECEPTACLE.
PUT DM RECEPTACLE UNDER SINK.
ALL FIXED APPLIANCES ON DEDICATED CKTS.
ADD SMOKEICARBON MONOXIDE DETECTORS. �
ANY AND ALL CLOTH AND RUBBER
INSULATED CONDUCTORS TO BE REPLACED
Lc i
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-
stores FINAL - West Wall
0000i 5474 -0392
BY
UITY.
Carm
%Opy NO POINT ALONG COUNTER TO BE MORE THAN
2 FIEET FROM G.l I PROTECTED RECEPTACLE.
PUT DM RECEPTACLE UNDER SINK.
ALL FIXED APPLIANCES ON DEDICATED CKTS.
ADD SMOKEICARBON MONOXIDE DETECTORS. �
ANY AND ALL CLOTH AND RUBBER
INSULATED CONDUCTORS TO BE REPLACED
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UITY.
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%Opy NO POINT ALONG COUNTER TO BE MORE THAN
2 FIEET FROM G.l I PROTECTED RECEPTACLE.
PUT DM RECEPTACLE UNDER SINK.
ALL FIXED APPLIANCES ON DEDICATED CKTS.
ADD SMOKEICARBON MONOXIDE DETECTORS. �
ANY AND ALL CLOTH AND RUBBER
INSULATED CONDUCTORS TO BE REPLACED
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All measurement in inches
All measurment«Inche
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»_«
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�shores FINAL C East Wall �.
0000-5474-0392
All measurment«Inche
371 NE 103rd Street
Miami Shores, FL
3# 210 THHN
2° IMC
METER
Main
200 AMP
) amp
nel Inside
New
circuit
120/240 volt I 120/240 volt
New
+— #4 Ground with ground bridge
ROD 8'X 518 ROD 8'X 518 Cold
Longman Electric Inc.
EC 13003713
844 NE 98th Street
Miami Shores, FL 33138
371 NE 103rd Street
Miami Shores, FL 33138
Panel
_II ill'
A/C Compressor
2#8 -1 #10 gmd
13/4" PVC
-1 #10 grnd A/C handier
EMT
371 NE 103rd Street
Miami Shores, FL
LOAD CALCULATION
1986 sqft x 3VA
Small Appliance
Laundry
Dishwasher
Water heater
Frig
Dryer
Range
Pump
5958
3000
1500
1200
4500
1000
5000
10000
1200
33358
-10000
23358 10000
x 40% 9343.20
9343.20 19343.2
7500 air conditioning
26843.2 full VA
26843.201240 111.8467 amperage
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