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DS-17-877 'Pe Irv.: S- 47-8' Miami Shores Village F'elP17i!1)0e."10w ewalks]SlabS 10050 N.E.2nd Avenue NE .... nn'ffl ' #1r Miami Shores,FL 33138-0000 yrs Phone: (305)795-2204 Issue .gt15/2017 Expiration: 1211712017 Project Address Parcel Number Applicant 9705 NE 2 Avenue 1132060134230 Miami Shores, FL Block: Lot: COCHRAN MIAMI SHORES LLC Owner Information Address Phone Cell COCHRAN MIAMI SHORES LLC 1800 ELLER Drive FT.LAUDERDALE FL 33316- 71 1800 ELLER Drive FT. LAUDERDALE FL 33316- Contractor(s) Phone Cell Phone Valuation: $ 1,500.00 EAST COAST CDB INC (561)685-9512 _.....,,,, ..__ Total Sq Feet: 21 1 Approved:In Review Available Inspections: Comments: Inspection Type: Date Approved::In Review Final Date Denied: Foundation Type of Work:REMOVE BROKEN SIDEWALK AT THE BA Additional Info: Review Planning Bond Return: Classification:Commercial Review Building Scanning:3 Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.20 Invoice# DS-3-17-63513 DBPR Fee $2.00 03/30/2017 Credit Card $50.00 $66.20 DCA Fee $2.00 Education Surcharge $0.40 06/15/2017 Credit Card $66.20 $0.00 Permit Fee $100.00 Scanning Fee $9.00 Technology Fee $1.60 Total: $116.20 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans,drawings,statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL,PLUMBI ,MECHANICAL,WINDOWS,DOORS,ROOFING and SWIMMING POOL work. OWNERS AFFID IT: I certi the r oing information is accurate and that all work will be done in compliance with all applicable laws regulating construction an n' ,I ori the above-named contractor to do the work stated. June 15, 2017 Aultzed Signature:Owner / Applicant / Contractor / Agent Date Building Department Copy June 15,2017 1 Miami Shores Village Building Department 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 -- Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 — FBC 201 BUILDING Master Permit No. PERMIT APPLICATION Sub Permit No. QBUILDING ❑ELECTRIC ROOFING REVISION EXTENSION RENEWAL ❑PLUMBING ❑MECHANICAL PUBLIC WORKS [:] CHANGE OF ❑CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 9705 NE 2nd Ave City: Miami Shores County: Miami Dade Zip: Folio/Parcel#:11-3206-013-4250 Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder):Cochran Miami Shores LLC Phone#:954-760-4360 Address:1800 Eller Drive Suite 212 City. Fort Lauderdale state: Florida Zip: 33316 Tenant/Lessee Name: Phone#: Email: CONTRACTOR:Company Name: East Coast CDB, Inc Phone#: 561-685-9512 Address: 1415 Scottsdale Road West City, West Palm Beach state: Florida Zip: 33417 Qualifier Name: Richard Conforti Phone#: 561-685-9512 State Certification or Registration#: CBC-057100 Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$1500 Square/Linear Footage of Work: 21 Type of Work: ❑ Addition ❑ Alteration ❑ New ❑E Repair/Replace ❑ Demolition Description of Work: Remove broken sidewalk at the back end of property adn replace concrete to same height of remaining sidewalk (location image attached) Specify color ��o//f��color thru tile: Submittal Fee$ Ob Permit Fee$ CCF$ �' CO/CC$ Scanning Fee$ �' C� Radon Fee$ �' OU DBPR$ Notary$ Technology Fee$ ' �® Training/Education Fee$ ® ' Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ Zn (Revised02/24/2014) N R 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 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 brochu will be I' r to the person whose property is subject to attachment. Also,a certified copy of the recorded noticeo coin c t m paste at the job site for the first inspection which occurs seven (7) days after the building permit is i u d. n sen e f such po ted notice, the inspection will not be approved a a pection fee will be charged. p Signature Signature OWNER or AGENT T OR The foregoing instrument was acknowledged before me this The foregoing instru<entas a 4 owledged before me this 8 day of March 2017 by (� day of 6x1', 20 by Shelby Smith ,who is personally known to QK c�" A- Co T,who is personally known to me or who has produced knowW personaly as me or who has produced as identifikadition and who did take an oath. identification and an o NOTARY PUBLIC. NOTARY P LIC Sign Sig Print: RObPrint: nAHL .,L(&407??J `t Seal: tM MY COMMISSION#FFII82299 SealMY COMMISSION#FFOsao36EXPIRES Apr1130,20� �)fipk!•tg%SePtembw7 'A , 140n9>�Ot53 O1{' Florid nolrlrySowico.eom APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) 2MM17 Properly Search Application-Mierni-Dede County OFFICE OF THE PHUPERTY a I)PO" ISEmA HA Kr Summary Report Generated Qn:2/212017 Property information Foilo: 11-3206-013.4250 Pmpefty Address: s, Owner COCHRAN MIAMI SHORES LLC � ,t 1600 ELLER DR STE 212ih Mailing Address FT LAUDERDALE.FL 33396 � Y Primary Zone 8100 OFF-STREET PARKING ` 2865 PARIQNG LOTIMOB8.E HOME Primary Land Use PARK:PARKING LOT Beds I Baths I Half 01010 Floors 0 ` Living Units 0 a x se Actual Area 0 Sq.Ft - Living Area 0 Sq.Ft Adjusted Area 0 Sq.Ft Lot Size 5,750 Sq.Ft Year Built 0 Taxable Vahre tttformafiori 2016 2Oi5l 2014 Assessment liftrmation County Year 2016 2015 2014 Examption V&m $0 $0 $0 Land Value $115,000 $92000 $90,5W Taxable Vale $108,5sel $98,717 $97,070 Building Value $0 $0 $0 School Board XF Value $6,816 $6,717 $6,805 Exemption Va m $0 $0 so Ma*et Value $121,816 $98,717 $97,367 Taxable Value $121,896 $x,717 $97,367 Assessed Value 1 $108,588 $98,7171 $97,070 City Exemption Value $0 $0 Benefits information Taxable Value $108,588 $98.717 $97,070 Bonet ITYpe, 2016 2015 2014 Regional Non-Homestead Cap Assessmant Reduction $13,228 $�J7 Exemption Value so Note:Not all benaitis are applicable to e9 Taxable Values(ie.County,School Taxable Value $108,588 $88,717 $87,070 Board,City,R%*A. Sales Information Short Legal Description Previous Price OR Book- 1534165342 ook- 1534165342 Sale Page Quafif'EaUon Descr"m MIAMI SHORES SEC 1 AMD PB 10-70 , 6 6 26354- Sates which are d'squaC>hed as a result of LOT 16 BLK 31 r2m $0 0exemlestion of the deed LOT SIZE 50.000 X 195 1210911995 17224- Sales which are qualified as a result of 2395 examination of the deed OR 17224-23951295 5(2) The Office of the Property Appraiser la continually editing and updating the tax roll.This website may not reflect the most current information on record.The Property Appraserand AdtmWade County assumes no Dabft see full disclaimer and User Agreement at http:lhvffwjrdamidade.g*vAnfo/dbdairfor.asp Version: Detail by Entity Name Page 1 of 2 Florida Deoaitment of State 1"'w's,oa or.Cor;cr,= ;;;rs rg 6 e - Department of State / Division of Corporations / Search Records / Detail By Document Number/ Detail by Entitym Florida Limited Liability Company COCHRAN MIAMI SHORES, LLC Filina Information Document Number L08000034368 FEI/EIN Number N/A Date Filed 04/03/2008 Effective Date 04/03/2008 State FL Status ACTIVE Last Event REINSTATEMENT Event Date Filed 01/24/2014 Principal Address 1800 ELLER DRIVE,SUITE 212 FT. LAUDERDALE, FL 33316 I Changed:01/24/2014 Mailing Address 1800 ELLER DRIVE,SUITE 212 FT. LAUDERDALE, FL 33316 Changed:01/24/2014 Registered Agent Name&Address FITZGERALD PROPERTY MANAGEMENT 1800 ELLER DRIVE,SUITE 212 I FT. LAUDERDALE, FL 33316 Name Changed:02/16/2011 i Address Changed:01/24/2014 Authorized Person(s)Detail Name&Address Title MGRM COCHRAN,JOHN B 43 LOOKOUT POINT ROAD HULLS COVE, ME 04644 http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entity... 3/30/22017 Detail by Entity Name Page 2 of 2 Title MGRM COCHRAN,SHELIA S,TRUSTEE 8205 KERRY ROAD CHEVY CHASE, MD 20815 Annual Reports Report Year Filed Date 2015 02/06/2015 2016 02/09/2016 2017 02/22/2017 Document Images 02/22/2017--ANNUAL REPORT View image in PDF format 0210912016--ANNUAL REPORT View image in PDF format 02/0612015--ANNUAL REPORT View image in PDF format 03/211012--ANN AL REP RT View image in PDF format 02/162011--ANNUAL REPORT View.mage in PDF format 04/01/2010--ANNUAL REPORT View image in PDF format 02/19/2005 -ANNUAL REPORT View image in PDF format 04/0312008--Florida Limited Liability View image in PDF format i f1m'ina Uaoartmant of Skafe,Uir!sion M_�ro:,ra^.w:s http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entity... 3/30/2017 r.:..-...-... POWER OF ATTORNEY KNOW ALL MIEN BY TIM, E PRESENTS that 1, S <2rArWLn,have made,constituted and appointed, and by these presents do make, constitute and appoint Shelby G. Smith true and lawful attorney for me and in my name, place and stead, to execute any and all documents incident to the property,gnly as it relates to permitting for improvements directly related to the"Property'or any portion thereof, and to do and perform all and every act and thing whatsoever requisite and necessary For this appointment,to all intents and purposes that I might or could do if personally present,with full power of substitution and revocation,hereby ratifying and confirming all that said attorney shall do or cause to be done by virtue hereof. The powers granted herein shall remain in full force and effect until termination of that certain Management Agreement dated January 1. 3005, by and between Carlyle V.D. Cochran Trust and FITZGERALD PROPERTY MANAGEMENT,INC.,a Florida corporation,or until otherwise revoked in writing by me or upon my death.. IN WITNESS WHEREOF, 1 have hereunto set our my hand and seal this Zg day of JZttn DO fes• Signed sealed mid deltiered h, the preselwe of • [Print name ofwitness] .1 �- 1mx [Print name of witness] STATE OFF IDA Xk COUNTY OF The foregoing instrument was acknowledged before me this all day of 144-0- —4 070by %&Ll9 S• CoCA" ,who is personally known to me or who roduced Aij:61figp n y&d Q 31nyS" as identification. NQQTARY PUBLIC A9)6 V- DMIC 14 ELE fiprintname]----.,...... ........., , My Commission Fxpires. �/t /U . (Notary 5en11. < woo. lopdpoejlds,)6u0J}suuoo< I ILL-lOL (£L6) < luew960uow Jassy punlyloaH< �f'6uo�suuy-F mejpuy< Apuy< ZJo Z a;lsd 06/17/2011 11:05 3019518819 COCHRAN PAGE 01 COCHRAN MIMAI SHORES, LLC 1800 Eller Drive.Suite 222 Fort Lauderdale,FL 33316 954-760-1360 September 23,2011 City or Miami Shores: Please utilize this letter as authority for Shelby O. Smith to execute documents related to our property located at 9781-9711 NE Ph Avenue and 211.217 NE 97'h Street, Miami Shores.Such documents shall be limited to Permit Applications and related documents: Violation Corrective Actions;and other city documents required within the normal day to day operation or Mal estate. This document shall not be used to commit the property or its owners under any mortgage And/or loan. Should there be any questions,please Feel Free to contact the corporate representative at Cochran Miami Shores,LLC Shella Cochran,as Trustee 1 certify under penalty of perjury that this document has been executed by the individual referenced above. vkU t.-L,4_t4rjU 4/ 711 Z o /Z._. 06/11/2011 18:02 3019518819 COCHRAN PAGE 01 COCHRAN 1114LMI SHORES,LLC 1$00 Eller Drive,Suite 222 Fort T uderdale,FL 33316 954-760-4360 September 19,2011 City of Miami Shores: Please utilize this letter as authority for Shelby G.Smith to execute documents related to our property located at 9701-9711 NE 7a'Avenue and 211-217 NE 97*Street,Miami Shores.Such documents shall be limited to Permit Applications and related.documents: Violation Corrective Actions,and other city documents required within the normal day to day operation of real estate. This document shall not be and to commit the property or its ownerls under any mortgage and/or loan. Should titers be any questions,please feel free to contact our family representative John Cochran at 303-591-0552. 5 �i I a. . sheila S Cochran As Owner and Managing Member RICK SCOTT,GOVERNOR KEN LAWSON.SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD �q 7171 100 The BUILDING CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31,2018 CONFORTI, RICHARD h �' EAST COAST CDB INCehM, 4980 NW 53 AVENUE COCONUTCREEK ■ s ISSUED: 08/ moi6 DISPLAYAS R90UIRED BYLAW SEQ# L160821GOD2516 0ANNE M. G A N N O N P.O.BOX 3353,West Palm Beach,FL 33402-3353 "LOCATED AT CONSTITUMNAL TAX COLLECTOR www4fttax.corn Tel:(561)355-2264 1415 SCOTTDALE RD W Serving Putin Beach County WEST PALM BEACH, FL 33417 Serving you. (�FITIFlCATHNN� RECEIPT BRIATE PAID Atdr PAID BILL u TYPE OF MANESS OWNER 840132025 23-0153 WIXIINSCONTRACrOR CONFOpfl RICHARD CBC0 AT U1&735280.0l1f28116 527.50 This document is valld only when recelpted by the Tax Couector s office• STATE OF FLORIDA PALM BEACH COUNTY 2016/2017 LOCAL BUSINESS TAX RECEIPT EAST COAST CDB INC LBTR plumber: 200816285 EAST COAST CDB INC EXPIRES: SEPTEMBER 30,2017 1415 SCOTTSDALE RDW of engaging in or WEST PALM BEACH,FL 33417-5619 This receipt grants the prMe� 111 I managing any business profession or o=ipatton lolls loll within its jurisdiction and MUST be Conspicuously displayed at the place of business and in such a manner as to be open to the view of the public. AC R" CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 02/14/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endomement(s). PRODUCER CONTACT NAME Cheryl Lojewski Connect Insurance PHONE , 661-713-1448 No):661-228-0627 13860 Wellington Trace#38-128 ADDRESS: cheryi.lojewski@connectmyinsurance.com Wellington, FL 33414 INSU S AFFORDING COVERAGE NAIC>< INSURER A: Standard Lines Brokerage, Inc. INSURE) INSURERS: National General Insurance 29742 East Coast CDB Inc INSURER C: 1416 Scottsdale Rd W INSURER D: West Palm Beach, FL 33417 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 00000000-0 REVISION NUMBER: 47 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LLTTRR TYPE OF INSURANCE AD01�� POLICY NUMBER POLICY EFF PM D EXP LIMITS A X COMMERCIAL GENERAL LIABILITY NNS65110 08/29/2016 08/29/2017 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED CLAIMS-MADE F—I OCCUR PREMISES Ea occurrence) $ 60,000 MED EXP(Arty one person) $ eXcl PERSONAL&ADV INJURY $ 1,000,000 GEML AGGREGATE LIMB APPLIES PER GENERAL AGGREGATE $ 2.000.000 X POLICY❑JERCT 7 LOC PRODUCTS-COMP/OP AGO $ 2,000,000 OTHER $ B AUTOMOBILE LIABILITY 2004092706 08/02/2016 08/02/2017 COMBBIINEDSINGLE LINA $ 1,000,000 ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY X AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETORIPARTNER/EXECUTIVE ❑ EL EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? N I A (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ IT yeas describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more apace Is required) LIC#CBC057100 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN MIAMI SHORES BUILDING DEPT ACCORDANCE WITH THE POLICY PROVISIONS. 10060 N 2ND AVE Miami Shores, FL 33138 AUTH D REPRESENTATIVE CAL © 8-2015 ACORD CORPORATION. All rights reserved. ACORD 26(2016103) The ACORD name and logo are registered marks of ACORD Printed by CAL an February 14,2017 at 01:04PM DATE(MMIDDIYYY1f) ACA" CERTIFICATE OF LIABILITY INSURANCE 2/15/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endomement(s). PRODUCER ew°ME:CT Tammy Waddington Ax S. T. Good Insurance, Inc. PHONE (302)328-1888 FNC Na:(302)328-1431 875 AAA Boulevard ADDRESS:twaddington@thegoodagency.com Suite A INSURER(S) AFFORDING COVERAGE NAIC# Newark DE 19713 INsuRERA:Frank Winston Crum Insurance INSURED INSURER B: East Coast CDB, Inc INSURER C: 1415 Scottsdale Road W INSURER D: INSURER E: West Palm Beach FL 33417 INSURER F: COVERAGES CERTIFICATE NUMBER:CL1682527593 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDLSUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE g IM POLICY NUMBER IMMIDDIYYYYI IMMIDDIYYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ N/A DAMAG TO RENTED CLAIMS-MADE FIOCCUR PREM SES Ea occurrence $ N/A MED EXP(Any one person) $ N/A N/A N/A N/A PERSONAL&ADV INJURY $ N/A GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ N/A POLICY❑JET LOC PRODUCTS-COMP/OP AGG $ N/A OTHER: $ AUTOMOBILE LIABILITY O INED SINGL LI $ N/A Ea accident ANY AUTO BODILY INJURY(Per person) $ N/A ALL OWNEDSCHEDULED N/A N/A N/A BODILY INJURY(Per accident) $ N/A t AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ N/A HIRED AUTOS AUTOS Per ecadan UMBRELLA UAB OCCUR EACH OCCURRENCE $ N/A REXCESS LIAO CLAIMS40ADE N/A N/A N/A AGGREGATE $ N/A D RETENTION $ WORKERS COMPENSATION X STATUTE ER RS' AND EMPLOYELIABILITY ANY PROPRIETOR/PARTNER/EXECU I IVE YIN N NIA A E.L.EACH ACCIDENT $ 1,000,000 OFFA (Mandatory In ER EXCLUDED? FCWC10122500 8/18/2016 8/18/2017 E.L.DISEASE-EA EMPLOYE $ 1,000,000 (Mandatory in NH) H yes,describe under DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $ 1.000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached It more space is required) LIC#CBC057100 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Miami Shores Building Dept THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 10050 N 2nd Ave ACCORDANCE WITH THE POLICY PROVISIONS. Miami Shores, FL 33138 AUTHORIZED REPRESENTATIVE S Good, III/DANYEL ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD INS025 oniAm i GRAPHIC SCALE BOUNDARY SURVEY J �� 7o wmwmL=a 4D w (I OCR- 2 - NZ. 98th 70 D n. — . a Lo DJ I � -- — — -- -- -- llvi';� ' n IVki !C. ! i I IV rtLi�., l:)i;�i i,:l 'U_) N.E. 97th �— -�z ------ wlLOCATION —!— N,T.S. _ 1_� 'J �i�nl I✓)�I --- r'� aL WAL DE8CRd7i M ABBREVIATIONSLOTS 13,14,15.&18 BLOCKS 31 of-AN ANEND -- SECTION NO-I•,ACCORDNO O THE PLAT 7HpLE0F, AT PACE 70.OF i1tE PUBIJC RECORDS OF CODE CC PROPERTY ADDRESS: KE 9M AVENUE,M1ALe-DADI 11%•DENOTES BEARING N -OD101E9NWw 8 -DFND=Sam F -71am FAM NOTA PART IV N rii R .I0.N mTm 9FST , SURVEYOR'S NOTES 18III,.DOro1E9 ucvam 816EY88 $ 'co 5 TPll � r _ laI•GER ' •.• as a'A e N49'W'OD`E UOAM(R) °�'' °� 1 g• :. I RMN�TS- Y�am\o FA'%.o c�'a 1 1 I 1 IMO a SP/CI5 I I :..1.. 2-NO ATTEMPT WAS MADE BY THIS FIRM To LCCA M•1D.TLDTES WASIM MM D q r `u 9UMNCS.WALLS OR FENCES,EXCEPT AS SHC 1 LLecT•UNM UWM CM%G4 DRIAM, / �/1 \:�QL Emmy . ,R 1 1 I I I I; I I I !-NO UF85ERORDUNp OR UT8111 SERACE DIYESTIC T:E1•D1NDrte CATiDI tIA9l, '•\\ E¢NA T EXCEPT AS DO)OATED. / /% / / ffi% •• CSR-a. 4-THE NORTH ARROW AND BEARINGS SHOWN HERE _..HC-DINOTEH k NDr.LNK S GWOD7A ALS CENTER-LINE OF H Nc•DENOTES NatOACAP �_ ......- - - // // � m �. � �, � a�Au rnSUR ARE ReurrvE THERe WN-DLNatte'lMiSR YETFA F S {q$ d_ A -FLOOD ZONE P1ATA COMMUNITY/P vJ.•DTNeTE9 raD•noDR %/ % �%'// s�PDC ANEL 021181 FL.tRNOTEB 4FYATONI b FAFL10.1f' I I„., / /�_'/' p° ` •, 1 8-SECHMARK NAME•N-397 EMATON:9.80 i 11 I ) I 11 1 LEGEND ,Is R Yo em. L 40,00 U ASPHALT PAVEMENT ///iggjv�j I\�. 8T�1Y I I I�IIr I II I I 150 ”" L Y Ss LS CiE�ACi�1TEL ® (.T.'I N / �'/;, Mm.l\��\ \.,,,�.\ ,; .I I IO PA9�6'J•.VZY ( I -1a 1,HEREBY CERTOY,THAT fN r0pp TNI PRCFE9SONAL GP, '•-,+y� CQNf..S101'�IAU( ^I k7�d49Y / ' F SURVIVOR&WNPER,IN THE STATE OF'FLIDM T o OvrH (Na nPl THE NWSWN TECHNOAI.STANDSROS SET FORM r,Aa89°a8'al' ,135'9naa 'o ffi9,u 1� MAPPERS IN CHAFFER BIGI7,FLORid{AGMtMSTMtt FNA - -�—•— WOOD FENCE I � T I � 1 , ` ` 1 , T 9TA0t6U..lEOS1HFETRJRiINNFEORaMTAMTION AYAI{ABLE I05 BZ ON —• — BION FENCE _ _-3 �T TL �T 5 1 TL -�T D7 1 1 1 � T 1 , T ,,g THE SERVICES WERE RENOEREO.COPIES OF THIS 9 L. T L 1 d wDd AfLST T 1 1 ev a T.. THE GRIMM RAISED SEAL OF A FLORIDA LICENSE ® CATCH BASIN '� I rC L T-•.. L L L 1T LL �L �, LT YYII°O ARE FOR THE SPECWC USE OF THOSE ENTITIES M T tZ METAL LIGHT POLE I ^ ... LLrr�T L n T \ T WATER VALVE ~ '�'1} -—T N.E_L�t�—_-h7 A 1 ET— J.H.MANUCY.INC l8 8837 O ELECTRIC BOX y� - HANDICAP I •• ••• • • • • • •• O SEPTIC TANK �� • •• • • • • • O WATER METER ® •• •• • • • • ••• •• ^ +%off ELEVATION r ••• ••i ••i ••• i i •• JACOB ' PROFESSIONAL SURVEYOR AND MAPPER P STATE OF FLORA _ NOTED • • • • 1)THIS CERTIFICATION IS ONLY FOR THE LAND A.- 2) !7)THIS IS NOT A CERTIFICATE OF TITLE,ZONING • • • • • • • • • FREEDOM FOR ENCUMBRANCES. • • • • • - - • • • • • • • • • 3)11G5 CpLToiCAtE IS N01 VALID WITHOUT 1}IE SK • • • ORIONAL RAISED SAL OF A FLOR DA LKENSEO 51911 DATE REVISIONS By L'H PROJECT NAME; .MArrcrcY,rNc. CARLYLE V.D. COCHRON LMNG TRUST ,o Itm • • N.E 97th AVENUE,WAMI,FL. tC)CDPrk,DNT NOTICE.ALL ORAMINOS AHO BPEMIXTO M WOO ASID DPPICiC0 ON TIB PLA•,S THAjj Xj=, N081•HEQlR1ff0 8Y maaR OF OTHER PAllilEe EXCEPT 8Y TAOFT[N AGREEMENT MRN J.N.,EANUCY,INC. ••• • • • i i k �.t • •••• •• •• • • • • •••• •••••• ,, Soso•* -T-moon- • .t$ s•Aitarz� •••• - •• 1 � • lS � n — w s