RC-13-1694, a,
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
BUILDING
PERMIT APPLICATION
_ UI L
FBC 2010
Permit No. IW- e5 --- /619+
Master Permit No.
Permit Type: (BUILDING ROOFING
JOB ADDRESS: &Wvl N5 02 Q
City: Miami Shores County: Miami Dade Zip:
, 1 .—
Folio/Parcelk l l --bl- u to — a 0 vJ —
Is the Building Historically Designated: Yes NO Flood Zone:
OWNER: Name (Fee Simple/Title
Address: "W
City: M1 AMI
Tenant/I,essee Name:
Email: i QDIVI I.Qi IN-&
State: Zip:
i
i
CONTRACTOR: Company Name: 0)(J)
ow Phone#.
Address:
City: State —Zip.-
Qualifier
ip:
Qualifier Name: Phone#:
State Certification or Registration #: Certificate of Competency #:
Contact Phone#: Email Address:
DESIGNER: Architect/Engineer: Phone#:
Value of Work for this Permit: $ 1 � G 2 . 0 b Square/Linear Footage of Work:
Type of Work: OAd ' 'on DAlteration ]New pair/Replace ODemolition
Description of Work: kwa aI
Color thru tile:
Submittal Fee $
Permit Fee $ SCS.
CCF $
CO/CC $
Scanning Fee $
Radon Fee $
DBPR $
Bond $
Notary $ Training/Education Fee $
Double Fee $ Structural Review $
Technology Fee $
TOTAL FEE NOW DUE $
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
zip
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 sueh posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature l - V Nn:1lU` A I Signature
Owner or Agent
The foregoing instrument was acknowledged before me this
�lJl`� ,bday of , 1�
who is personally known to me or who has produced -2E -Lk
a
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. as identification and who did take an oath.
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NOTARY PUBLIC: �.```31VI S
Sign:
Print:m
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires: My Commission Expires:
APPROVED BY
Plans Examiner
Zoning
Structural Review Clerk
(Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09)
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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.
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.mvfioddalicense.com/dbor/pro/Cilbrndex.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:
12. 1 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.
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, 'rf 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 owners 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 9 _day of (450\-� , 20 -Is
Byi ► �� �- who was personally known tome or who has
Produced there License or �'� ' �'�''� _ �s identification.
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OWNER e�a�N`5.���` NOTARY
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OR Bk 28661 Ps 0794; QP9 )
RECORDED 06/04/2013 13:04:46
DEED DOC TAX 1►980.00
HARVEY RUVINP CLERK OF COURT
MIAMI-DADE COUNTY► FLORIDA
LAST PAGE
ftailred bby and return to:
Robert Rosenberg
Vice President
San Carlos Title Services, Inc.
10631 N. Kendall Drive, Suite 205
Miami, FL 33176
305-598-1217
File Number: SC -2013 -DB -257
Will Call No.: SC -2010 -DB
(Space Above This Line For Recording Data)
Warranty Deed
This Warranty Deed made this day of May, 2013 between Louis A. Vasquez and Tina Vasquez, husband and
wife whose post office address is 3307 Flaming Candle Drive, Spring, TX 77388, grantor, and Jennifer C. Weber, a
single woman whose post office address is 849 NE 92nd St., Miami Shores, FL 33138, grantee:
(Whenever used herein the terms "grantor" and "grantee" include all the parties to this instrument and the heirs, legal representatives, and assigns of
individuals, and the successors and assigns of corporations, trusts and trustees)
Witnesseth, that said grantor, for. and in consideration of the sum of TEN AND NO/100 DOLLARS ($10.00) and other
good and valuable considerations to said grantor in hand paid by said grantee, the receipt whereof is hereby acknowledged,
has granted, bargained, and sold to the said grantee, and grantee's heirs and assigns forever, the following described land,
situate, lying and being in Miami -Dade County, Florida to -wit:
Lot 6 and the West 20.605 Feet of Lot 5, in Block 1, of GOLDEN GATE PARK ADDITION,
according to the Plat thereof, as recorded in Plat Book 6, at Page 130, of the Public Records of
Miami -Dade County, Florida.
Parcel Identification Number: 11-3206-005-0050
Together with all the tenements, hereditaments and appurtenances thereto belonging or in anywise appertaining.
To Have and to Hold, the same in fee simple forever.
And the grantor hereby covenants with said grantee that the grantor is lawfully seized of said land in fee simple; that the
grantor has good right and lawful authority to sell and convey said land; that the grantor hereby fully warrants the title to said
land and will defend the same against the lawful claims of all persons whomsoever; and that said land is free of all
encumbrances, except taxes accruing subsequent to December 31, 2012.
In Witness Whereof, grantor has hereunto set grantor's hand and seal the day and year first above written.
Signed, sealed and delivered in our presence:
(Seal)
Wi s Name. Louis A. Vasquez
WitnessfAme: 11P..►., t3a,.-,.�o,�
(Seal)
Tina Vasquez
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22 a
100 2"
Reverse Existing Panel
159
All dimensions _size designations
given are subject to verification on
job site and adjustment to fit job
conditions.
sennifer.kit
JO POINT ALONG COUNTERCTED RECEPTACLTo BE MORE E. FEET FROM{ G.EI PR
PUT DM RECEPTACLEN DEDICATED CKTS•
ALL FIXED APPLIANCES
This is an original design and must
not be released or copied unless
applicable fee has been paid or job
order placed.
All
Designed: 6/28/2013
Printed: 7/11/2013
849 NE 92 ST. MIAMI SHORES, FL, 33138
LOAD CENTER PANEL A 125A M.L.O.
1PH.3W, 120/240V
EXISTING PANEL TO BE REVERSE.
IOK A.I.0
FEEDER WIRE 3#1+6G
SERVICES
AREA FEEDING FROM PANEL `A'
CKT NO. BKR. - POLE
1403 SQ. FT.
WIRE - COND.
APPLIANCES
21-22
20- 1 EACH
# 12
RANGE
1-3
50-2
#6
A/C AH.U. COMP
5-7
40-2
#8
DISHWASHER
10
20-1
#12
FRIDGE
12
20-1
#12
CLOTH WASHER &
DRYER
24
30-2
#10
BEDROOM REC -
LIGHT
9-11
15-1
#14
WATER - HEATER
6-8
30-2
#10
GENERAL LIGHT - REC
13-15-17-19-14-
16-18-20
15-1
#14
EXISTING CIRCUIT REMAIN UNCHANGED
NO ADDITIONAL CIRCUIT / LOAD ADD TO PANEL
ONLY RELOCATION OF EXISTING CIRCUIT IN KITCHEN WORK AREA
SMOKE DETECTOR W/BATTERY BACKUP HARD WIRED TO KITCHEN OR
BATHROOM NON SWITCHABLE LIGHT CIRCUIT (NON GFI)
ALL NEW ELECTRICAL RECE PTACLES SHALL BE TAMPER RESISTANT
NEC TABLE 220-30
KW
1403 S.F.@ 3 WATTS /SF
4.2.
2 APPLIANCE CIRCUITS x@1500 WATTS EA.
3.2
1 BATHROOM CIRCUIT @ 1500 WATTS
1.5
COOKING EQUIPMENT
6.3
DISH WASHER
1.2
WASHER & DRYER
3.5
FRIDGE
0.7
WATER HEATER
3.5
TOTAL WITHOUT DEMAND
24.1
FIRST 10KW a@ 100% 10.0
NEXT 14.1 0@40% 5.6
AC 100% 8.0
TOTAL CONNECT LOAD 23.6
WATTS TO AMPS = 23,6001240V 98.3
All dimensions size designations
given are subject to verification on
job site and adjustment to fit job
This is an original design and must
not be released or copied unless
applicable fee has been paid or job
Designed: 6/28/2013
Printed: 6/29/2013
conditions.
order placed.
Jennifer.kit
All Drawing #: 1
j
Note: This drawing is an artistic Designed: 6/28/2013
interpretation of the general Printed_: 6_/2.9_/20_13
appearance of the design. It is
not meant to be an exact rendition.
lennifer.kit All awing #: 1
III ss t i
Note: This drawing is an artistic Designed: 6/28/2013
interpretation of the general Printed: 6/2_9/2013
appearance of the design. It is _
not meant to be an exact rendition.
Jennifer.kit Wl 1Drawing #: 1 'i
Note: This drawing is an artistic
interpretation of the general
appearance of the design. It is
not meant to be an exact rendition.
Jennifer.kit
Designed: 6/28/2013
Printed: 6/29/2013
1All [Drawing #: 1