PW-17-2770Project Address
Miami Shores Village
10050 N.E. 2nd Avenue NW
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Permit
Permit NO. PW -11-17-2770
Permit Type: Public Works
Work Classification: Public Works
Permit Status: APPROVED
Issue Date: 11122/2017
Expiration: 02/20/2018
Parcel Number
Applicant
165 NW 96 Street
Miami Shores, FL 33138-0000
1131010250130
Block: Lot:
PROVIDENT FUNDING ASSOCIA
Owner Information
Address
PROVIDENT FUNDING ASSOCIATES L P165 NW 96 Street
MIAMI SHORES FL 33150-
165 NW 96 Street
MIAMI SHORES FL 33150 -
Phone
Cell
Valuation:
Total Sq Feet:
$ 1,850.00
25
Scanning: 1
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee
Scanning Fee
Technology Fee
Total:
Amount
$0.00
$0.00
$0.00
$0.20
$100.00
$3.00
$0.80
$104.00
Pay Date Pay Type
Invoice # PW -11-17-65720
11/22/2017 Credit Card
11/21/2017 Credit Card
Amt Paid Amt Due
$ 54.00 $ 50.00
$ 50.00 $ 0.00
Available Inspections:
Inspection Type:
Excavation
Review Public Works
Final Public Works
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, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNERS
constructio
FFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
id zoning. Futhermore, I authorize the above-named contractor to do the work stated.
November 22, 2017
Atfth
rized Signature: Owner / Applicant / Contractor / Agent
Buildin Department Copy
November 22, 2017
Date
1
A=)72./.L_
X95 >9� 12-(ep
Or-4,9��
0`/)' RECEIVED
Miami Shores Village NOV 21 2017
Public Works Department
(305)795-2210
Public works forms are available from the building department, 10050 NE 2"d Ave., Miami Shores, FL 33138
PUBLIC WORKS PERMIT APPLICATION
Permit Type: Work In the Right -of -Way on Miami Shores Village or Miami -Dade Property
Permit#:
?w 1 ? --2'7--3
Name of Applicant (if utility see below):�� Cc / I4PAnT' FLtAr i AS,STV' eJe,s L,?
Owner off the following described property:
Legal Description: Lot 1 3 Block 5 Subdivision ill 1GLrrgj Shorn 5
Folio#; It - iO1-ta.S-O I'3D
Add ress: / (5 N yLQ �i 6 '%► frr d 1 /itiarni ores r- l . isD
UTILITY NAME:
Qualifier/Authorized Agent: 0 -tN 1
Address: / 4 Ccie4 `i/ ( c;7-
/ Z. -
City:
;
City:. A/ , cN r / State: i= L ZIP: 3 3 J c�
Telephone: 5t4' 4-fr.r--,DVj/ Z- Email: 2/2,4/ I/Se AGI-• 40".9
State Certification or Registration #: Ga 4 /?d'/ 4,5y Certificate of Competency #
CONTRACTOR NAME: /F -CA -ii 1 PG
Qualifier/Authorized Agent: e pi- '/-PJf P .�G /S /' $
Address: l `f e, 02 •-, °`' 4 GT
City: Al r ti l o* ti r State: F G ZIP: y3 JG,
Telephone: 3 iJ'G J" r (M.' Email: Cf #' Au r Alt" e 4- P t • Le -y
State Certification or Registration #: c i3 L / 7-/iFf1FCertificate of Competency #:
Requests permission to install (describe work, attach separate page if necessary) in the adjoining right of
way: TZ- pt- 3— lig' 5 r tx"
Type of Work: 0 Paving Utility Sidewalk 0 Electric 0 Irrigation
❑ Landscape 0 Antenna ❑ Other:
DESIGNER: Architect/Engineer: i. -J / 4
Address:
City: State: ZIP:
Telephone: Email:
Registration #:
Value of Work for this Permit: $ %d J '
Square/Lineal Footage of Work: / A/ •J/
***** Fees*****
Permit Fee $ 100.00
Notary $ Training/Education $ 0.20 Technology Fee $ 0.80 Scanning $ 3 •
Bond $ (if required) Total Fee Now Due $ L-04.
Bonding Company's Name (if applicable):
Bonding Company's Address:
City: State: ZIP:
Application is hereby made to obtain a public works permit to do the work in the right of way 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, regulation construction in
this jurisdiction. I understand that separate permits must be secured for
APPLICANT'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be
done in compliance with applicable laws regulating construction and specifically construction in the
right-of-way.
"WARNING TO APPLICANT: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN
YOUR PAYING TWICE FOR IMPROVEMENTS TO THE RIGHT-OF-WAY. 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 public works permit with an estimated value
exceeding $2,500, 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 the
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 public works permit is issued. In the
absence of such posted notice, the inspection will not be approved and a reinspection will be charged.
Signature ref
Applicant or Authorized Agent
The foregoing instrument was acknowledged before
me this day of , 20 , by
who
is personally known to me or who has produced
as
identification. '
A' , AcirmaJted
NOTARY PUBLIC:
Sign:
Print:
SEAL:
APPROVED BY:
2017-04-15
Signature
Company/Utility Agent
The foregoing instrument was acknowledged before
me this 1 day of IVt~A)EIvi�f, 20 B , by
CSZ( •=GL -esus who
is personally known to me or who has produced
as
identification.
NOTARY PUBLIC:
Sign:
Print: 1 Ali . ALxiD,
SEAL,"'.`'..-v-r`v�'r-.ge v -v' ..,-,e+rv'w,r'vV"
y o'r °"t Notary Public State of Florida
M ? . Sindia Alvarez
p q, a` My Commission FF 156750
)' l'oF 044' Expires 09/03/2018
49:1)
*************************************
0 2A E1 , Public Works Director, or Designee
ACKNOWLEDGMENT
A notary public or other officer completing this
certificate verifies only the identity of the individual
who signed the document to which this certificate is
attached, and not the truthfulness, accuracy, or
validity of that document.
State of California
County of San Mateo
On November 15, 2017 before me, C. NiIIo, Notary Public
(insert name and title of the officer)
personally appeared Ernest Brede
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are
subscribed to the within instrument and acknowledged to me that he/she/they executed the same in
his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the
person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing
paragraph is true and correct.
WITNESS my hand and official seal.
Signature 1
i (Seal)
C. NILLO
Commission # 2047805
Notary Public - California i
San Mateo County
My Comm. Expires Nov 30, 2017
'roperty Search Application - Miami -Dade County
trap://www.miaMlllaUe.govipt upei Lyscai.iu rr/ i 9,011.1 J Lu1Jlluu y
OFFICE 0F 1`''?E PR�PERTV APPRAISER
Summary Report
Property Information
Folio:
11-3101-025-0130
Property Address:
165 NW 96 ST
Miami Shores, FL 33150-1714
Owner
PROVIDENT FUNDING ASSOCIATES
L P
Mailing Address
851 TRAEGER AVE STE 100
SAN BRUNO, CA 94066 USA
PA Primary Zone
0800 SGL FAMILY - 1701-1900 SQ
Primary Land Use
0101 RESIDENTIAL - SINGLE
FAMILY : 1 UNIT
Beds / Baths / Half
2 / 1 / 0
Floors
1
Living Units
1
Actual Area
1,455 Sq.Ft
Living Area
1,065 Sq.Ft
Adjusted Area
1,285 Sq.Ft
Lot Size
8,625 Sq.Ft
Year Built
1946
Assessment Information
Year
2017
2016
2015
Land Value
$189,543
$189,543
$140,036
Building Value
$89,436
$89,436
$89,436
XF Value
$2,890
$2,927
$2,396
Market Value
$281,869
$281,906
$231,868
Assessed Value
$274,512
$249,557
$226,870
Benefits Information
Benefit
Type
2017
2016
2015
Non -Homestead Cap
Assessment
Reduction
$7,357
$32,349
$4,998
Note: Not all benefits are applicable to all Taxable Values (i.e. County, School
Board, City, Regional).
Generated On : 10/25/2017
Short Legal Description
RESUB OF BLK 3 OF BONMAR PARK
PB 42-60
LOT 13 BLK 3
LOT SIZE 75.000 X 115
OR 18222-3007 0798 1
Taxable Value Information
Previous
�e
Sale
Price
BookOPage
2017
2016
2015
County
Federal, state or local government
agency
01/01/2008
Exemption Value
$0
$0
$0
Taxable Value
$274,512
$249,557
$226,870
School Board
21423-4143
Sales which are qualified
Exemption Value
$0
$0
$0
Taxable Value
$281,869
$281,906
$231,868
City
Exemption Value
$0
$01
$0
Taxable Value
$274,512$249,5571
$226,870
Regional
Exemption Value
$0
$01
$0
Taxable Value
$274,512
$249,5571
$226,870
Sales Information
Previous
�e
Sale
Price
BookOPage
Qualification Description
08/03/2017
$240,500
30645-2543
Federal, state or local government
agency
01/01/2008
$470,000
26204-3182
Other disqualified
12/01/2007
$360,000
26199-3520
Sales which are qualified
07/01/2003
$245,000
21423-4143
Sales which are qualified
The Office of the Property Appraiser is continually editing and updating the tax roll. This website may not reflect the most current information on record. The Property Appraiser and
Miami -Dade County assumes no liability, see full disclaimer and User Agreement at http://www.miamidade.govfinfo/disclaimer.asp
Version:
This
State of Talifornia
cat urcliurt$ Fix
4erretarr Of$tste
CERTIFICATE OF LIMITED PARTNERSHIP
IMPORTANT—Read instructions on back before completing this form
Certificate Is presented for filing pursuant to Section 15621, California Corporations
Code.
Form LP -1
1. NAME OF LIMITED PARTNERSHIP
Provident Funding Associates, L.P.
2. STREET ADDRESS OF PRINCIPAL EXECUTIVE OFFICE CITY AND STATE
1050 East Evelyn Avenue Sunnyvale, CA
ZIP CODE
94086
3. STREET ADDRESS OF CALIFORNIA OFFICE IF EXECUTIVE OFFICE IS IN ANOTHER STATE CITY
CA
21P CODE
4. COMPLETE IF LIMITED PARTNERSHIP WAS FORMED PRIOR TO JULY 1. 1984 AND 15 IN EXISTENCE ON DATE THIS CERTIFICATE I9 EXECUTED.
THE ORIGINAL LIMITED PARTNERSHIP CERTIFICATE WAS RECORDED ON 19
WITH THE
RECORDER OF COUNTY. FILE OR RECORDATION NUMBER
5. NAMES AND ADDRESSES OF ALL GENERAL PARTNERS: (CONTINUE ON SECOND PAGE. IF NECESSARY)
A. NAME: Provident Funding Group, Inc.
ADDRESS: 1050 East Evelyn Avenue
clrr: Sunnyvale STATE: CA ZIP CODE: 94086
C. NAME:
ADDRESS:
CITY: STATE:
21P CODE:
H. NAME:
ADDRESS:
CITY: STATE ZIP CODE:
D. NAME:
ADDRESS:
CITY:
STATE: ZIP CODE:
8. NAME AND ADDRESS OF AGENT FOR SERVICE OF PROCESS:
NAME
Ralph A. Pica
ADDRESS: 1050 East Evelyn Avenue
cry; Sunnyvale
STATE: CA ZIP CODE: 94086
7. ANY OTHER MATTERS TO BE INCLUDED IN THIS CERTIFICATE MAY 8. INDICATE THE NUMRER OF GENERAL PARTNERS SIGNATURES
BE NOTED ON SEPARATE PAGES AND BY REFERENCE HEREIN ARE REQUIRED FOR FILING CERTIFICATES OF AMENDMENT.
A PART OF THIS CERTIFICATE. 1 .,.�„ ;ly -¢L ON. CONTINUATION AND CANCELLATION.
NUMBER OF PAGES ATTACHED:
0
OF GENERAL PARTNERS) SIGNATURES) IS/ARE:
9. IT 1S HEREBY DECLARED THAT 1 AM (WE ARE) THE PERSON(S) WHO EXECUTED THIS CERTIFICATE
OF LIMITED PARTNERSHIP WHICH EXECUTION 18 MY (OUR) ACT AND DEED. (SEE 1NSTRUCTIONS1
Provides Fun si/inag Gro ,,Inc.
Q!/"c_.
By:
SIGNATURE
President 11/6/92
POSmON OR TITLE
SIGNATURE
DATE POSITION OR TITLE
SIGNATURE
POSITION OR TITLE
DATE
SIGNATURE
DATE POSITION OR TITLE
DATE
10. RETURN ACKNOWLEDGEMENT TO:
NAME
ADDRESS
CITY
STATE
ZIP CODE
n
Steven K. Denebeim, Esq.
Feldman, Waldman & Kline, APC
235 Montgomery St., #2700
ISan Francisco, CA 94104-3160
7
J
5961.0000
SEC/STATE REV 1 SS
(ORM 1P -i-- ZING :E1. 173
Aoprond D7 Sac, Cory 01 Sura
1
(PLEASE INDICATE NUMBER ONLY.
THIS SPACE FOR PILING OFFICER USE
Ci13\ccc\
FILED
In th4 °Mu of Iha SKrrlaty o1 Stete
of tha St(t* Of California
NOV1^193?
4emi
MARCH FONG E:)
SECRETMY OF STATE
Corporate Resolution
1, Michelle C. Blake, Secretary of Provident Funding Group, Inc., a corporation duly organized
and existing under the laws of the State of California, and General Partner of Provident Funding
Associates, L.P., do hereby certify that the following is a true and correct copy of a resolution of
the Board of Directors of said corporation, adopted at a special meeting held on the 6th day of
January in the year 2016:
RESOLVED, that any one of the following:
• Ernest Brede, Assistant Vice President
• Rebecca Brede, Assistant Vice President
• Milin Patel, Assistant Vice President
is authorized and directed to cause the Company to take all steps necessary to effect the sale of
any real property pursuant to a notice of time and place of a foreclosure sale; to bargain, sell,
transfer, assign, set over and deliver the real property; and to sign the name of Provident
Funding Associates, L.P., to all deeds, contracts of sale or other instruments necessary to carry
out this resolution; all of the acts in the premises undertaken by each of these individuals being
ratified as the act and deed of this corporation.
FURTHER RESOLVED, that any and all actions taken these individuals in connection with the
matters contemplated by this resolution be, and are hereby, approved, ratified and confirmed
in all respects as full as if such actions had been presented to the Board of Directors for its
approval prior to such actions being taken.
Dated: 1/28/16
t
k1
•
Michelle C. Blake, Secretary
FLORIDA DEPARTMENT OrrSTAT E
t DivISIOD G; ORI.6R.1'7(41S
DIVISION Of
CORPORATIONS
on octal Sane of Florida irelzcite
f2gpartment of State / Division of Corporations / Search Records / Detail By Document Number /
Detail by Entity Name
Foreign Profit Corporation
PFG LOANS, INC.
Cross Reference Name
PROVIDENT FUNDING GROUP, INC.
filing Information
Document Number F98000004548
FEI/EIN Number 77-0293745
Date Filed 07/30/1998
State CA
Status ACTIVE
Last Event CANCEL ADM DISS/REV
Event Date Filed 10/27/2008
Event Effective Date NONE
Principal Address
851 TRAEGER AVENUE
SUITE 100
SAN BRUNO, CA 94066
Changed: 02/21/2012
Mailing Address
851 TRAEGER AVENUE
SUITE 100
SAN BRUNO, CA 94066
Changed: 02/21/2012
B gistered Agent Name & Address
CORPORATION SERVICE COMPANY
1201 HAYS STREET
TALLAHASSEE, FL 32301-2525
Officer/Director Detail
Name & Address
Title PDVC
http://search.sunbiz.ora/;nquiry/CorporationSearch;SearchResu...ding&IistNarreOrder=PROVIDENTFUIND NG",20F990000022710
10125117, 2 43 PM
Page 1 of 3
•
PICA, R. CRAIG
851 TRAEGER AVENUE, SUITE 100
SAN BRUNO, CA 94066
Title DSVP
PICA, DOUGLAS
851 TRAEGER AVENUE, SUITE 100
SAN BRUNO, CA 94066
Title DSVS
BLAKE, MICHELLE
851 TRAEGER AVENUE, SUITE 100
SAN BRUNO, CA 94066
Annual Reports
Report Year
2015
2016
2017
Filed Date
04/13/2015
04/29/2016
04/24/2017
Document Imago-
04/24/2017 -- ANNUALREPORr[ View .mage in PDF format
04/29/2016 -- ANNUAL REPORT _ View image in PDF format
04/13/2015 -- ANNUAL REPORT View image In PDF format
05/0112014 -- ANNUAL REPORT View image In PDF format
04/16/2013 -- ANNUAL REPORT View image in PDF format
02/21/2012 -- ANNUAL REPORT View image in PDF format
04/04/2011 -- ANNUAL REPORT View image in PDF format
04/21/2010 -- ANNUAL REPORT View image in PDF format
04/24/2009 -- ANNUAL REPORT
04/30/2007 -- ANNUAL REPORT
04/24/2006 -- ANNUAL REPORT
04/06/2005 -- ANNUAL REPORT
05/03/2004 -- ANNUAL REPORT
02/17/2003 -- ANNUAL REPORT
05/29/2002 -- ANNUAL REPORT
09/06/2001 -- ANNUAL REPORT
II O: II6•--'►►
07/30/1999 -- ANNUAL REPORT
07/30/1998 -- Foreign Profit
View mage in PDF format
View image In PDF format
View ,nrae in PDF format
View large In PDF format
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Vices irr_ ga In PDF format
View .rrrge in PDF format
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View .mage in PDF format
http://search.sunhiz.org/Inquiry/CorporationSearch/SearchResu,..ding&IistNarneOrder-PROVIDENT'UNCING%20F990000022710 10/25/17, 2:43 PM
Page 2 of 3
•
• 2017 FOREIGN PROFIT CORPORATION ANNUAL REPORT FILED
DOCUMRNT# F98000004548 Apr 24, 2017
Entity Name: PFG LOANS, INC. Secretary of State
Current Principal Place of Business: CC5588344593
851 TRAEGER AVENUE
SUITE 100
SAN BRUNO, CA 94066
Current Mailing Address:
851 TRAEGER AVENUE
SUITE 100
SAN BRUNO, CA 94066
FE Number: 77-0293745
Name and Address of Current Registered Agent:
CORPORATION SERVICE COMPANY
1201 HAYS STREET
TALLAHASSEE, FL 32301-2525 US
Certificate of Status Desired: No
The above named entity submits this statement for the purpose of changing its registered office or registered agent, or both, in the State of Florida.
SIGNATURE:
Electronic Signature of Registered Agent
Officer/Director Detail :
Title PDVC Title DSVP
Name PICA, R. CRAIG Name PICA, DOUGLAS
Address 851 TRAEGER AVENUE, SUITE 100 Address 851 TRAEGER AVENUE, SUITE 100
City -State -Zip: SAN BRUNO CA 94066 City -State -Zip: SAN BRUNO CA 94066
Title DSVS
Name BLAKE, MICHELLE
Address 851 TRAEGER AVENUE, SUITE 100
City -State -Zip: SAN BRUNO CA 94066
Date
I hereby certify that ate information Indicated on this report or supplemental report Is true and accurate and that my electronic stgneture shall have the same legal effect as If made under
oath; that I am an officer or director of the corporation or the receiver or trustee empowered to execute this report as required by Chapter 607, Florida Statutes; and that my name appears
above, or on an attachment with all otter like empowered.
SIGNATURE: MICHELLE C. BLAKE SECRETARY 04/24/2017
Electronic Signature of Signing Officer/Director Detail
Date
D 0 CUMENT COVER PAGE
For those documents not providing the required 3 x 3 inch
space on the first page, this cover page must be attached.
An additional recording fee for this page mast be remitted.
D o en m ent Title: ak/ 0'Y
(Mortgage; Deed, Etc.)
Return DocnmentTo / Prepared Ey:
L
1ii1!i
11111:1 !t1 11111 11111 II1I 11111 II1I
C -F N 2017RO S48 69'
OR BK. 30759 P 4871-487 (3P95)
CORDED 11/17/2017 10:16:44
VF s 'VINr CLEF;I<. t1; COURT
Ni1i--D }r. COUNTYp FLORTDA
(Space above this line reserved for recording oEce use)
Rule 2520 (d) on all ... documents prepared ...which are to be recorded in the public records of any county ... a 3 - inch b7
3 - mchspace atthe top 3 .ght h an d comer ontin e firstpage and al - mchby 3 - inch space atthe tap right -T, ar, d eomez
on each Fib segnentpage shall beleftbhnTrandreservedfor use by the rl rl of_co,ut
• CWCT 155 Rev. 08/16 Cleric's web address: www.miaml-dadecleric.com
Miami. Shores Village
Building Department
10050 N.E.2nd Avenue
Miami Shores, Florida 33138
Tel: (305) 795.2204
Fax: (305) 756.8972
COVENANT OF CONSTRUCTION WITHIN RIGHT OF WAY
Whereas, (owner)rp tI; (1E fan,-/,' nssce,ia. fS, L P. hereinafter referred to as the
owner of the folio nges ribed property address): //,,,5 A/ sty 1111c j ores, FL>
Legal Description g Lot j 3 Block Subdivision inin,,,,Shores
Folio # I I-3101- G5 -n13D a
Requests permission to install (describe work): _sic/p_v/0A
Within the public right of way of (address) /(5 /1/ 1a% 4 L Sfre4, (fl Y,, .chores f/_ 3315D
IN CONSIDERATION of the approval of this permit by the Village, the owner agrees as follows:
1.
2.
3.
4.
Signature
To maintain and repair, when necessary, the above-mentioned item(s) installed within the
dedicated right of way. If it becomes necessary for Miami Shores Village or Dade County
to make repairs or maintain said items within public right of way including restoration of
street by reason of the Owner's failure to do so, such expense shall be paid by the Owner
or shall constitute a lien against the above described property until paid.
The owner does hereby agree to indemnify and hold Miami Shores Village or Dade
County harmless from any and all liability, which may rise by virtue of permitting the
installation of these items within the public right of way.
The Owner does hereby agree to remove or relocate their facilities at their own expense,
within 60 days notice by the Village to do so. Failure to comply with this notice will result
in the Village causing the item(s) to be removed and a lien being placed on theproperty
and/or assessed against the Owner for all costs incurred in the removal and disposal of
the item(s).
The undersigned further agrees that these conditions shall be deemed a covenant.
running with the land and shall remain in full force and effect and be binding on the
undersigned, their heirs and assigns, until such time as this obligations has been
canceled by an affidavit filed in the Public Records of Dade County, Florida by the
Village Manager of Miami Shores Village (or his fully authorized representative).
Owner or Agent
AMik-c_heci Jai—a+
.The foregoing instrument was acknowledged before me this day of
who is personally known to me or who has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
, 20 , by
OR Bk 30759 PG
t._AS T PAGE
A notary public or other officer completing this
certificate verifies only the identity of the individual
who signed the document to which this certificate
is attached, and not the truthfulness, accuracy, or
validity of that document.
State of California
County of San Mateo
Subscribed and sworn to (or affirmed) before me on this 15th
day of November , 20 17 , by Ernest Brede
proved to me on the basis of satisfactory evidence to be the
person(s) who appeared before me.
ea
C. NILLO
Commission # 2047805
Notary Public - California
San Mateo County
My Comm. Expires Nov 30, 2017 t,
ignature
1/Lug2,6
STATE OF FLORIDA, COUNTY OF DADE
HFPFBY CFRTIFY that the forenomn, ,F. a treeriang,ipiart copy of the
original on file m this office..440L.Ap
HARVEY RUVIN, Clerk of Cirs
Deputy Clerk
GIRLYNE PIER" E-THEOC #201673
487
Miami Shores Village
APPROVED
BY
DATE
AP of BOUNDARvRY,87r
I
'('L i/1•
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7S
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11.4'
1 STORY RES.
No. 165
F.F.E.=11.45'
N
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17.49' 1
17.50'
BLOCK
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NORTH RIGHT OF *60' LINE
11.1' PAAICNAY
EDGE OF PAVEMENT
LOT
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DESCRIPTION:
Lot 3, in Block 3, of RESUBDIVISION OF BLOCK 3 BONMAR PARK,
according to the Plat thereof, as recorded in Plat Book 42, at Page 60,
of the Public Records of Miami
Dade County, Fkxida.
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FLOOD ZONE WITHIN ZONE:X
ELEVATION: N/A
COMMUNITY: 120652
PANEL NO.: 0302
SUFFIX: L
DATE: 09/11/2009
ORDER NO.: LL10000
FIELD WOE'FILE.
DATE NOVEMBER 16, 2017
UPDATE
UPDATE
PROPERTY ADRE54
165 N.W. 96th Street
Miami Shores, FL. 33150
FOR• •
PROVIDENT j(*1 4(IFItSOMATES•S
I HEREBY CERTIFY: THAT THIS DRAWING REPRESENTS THE RESULT OFA SURVEY OF THE THIS SURVEY 3 NOT VALID WITHOUT THE ••
WITHIN DESCRIBED PROPERTY AND THIS DRAWING AND 5000 SAYEY VEE FROMM BY SIGNATURE
SEAL OF ••
ME C(R UNDER MY DWECTIGR. • p qyF�AppAp�,
THERE ARE NO ENCROACHMENTS ..LESS 900VN ThE EON. • • f•ORIDA LIC 11 �' ' MATER• • 1 • • •
••
•
NOTES: •••••• • •
• THIS SURVEY DOES NOT REFLECT OR DEIEFPRE O'ME%NP. 4 • • IW• • • •
• EXAMINATION OF THE ABSTRACT OF TITLE WILL HA
ORVE TOE •
MACE TO 0E7�WE_ • • • • • •
RECORDED INSTRUMENTS, IF ANY, AFFECTING THE PROPERTY THIS SRVEY IS • • •
SUBJECT TO DEDICATIONS, LIMITATIONS. RESTRICTIONS, RESERVATIONS OR • •
005EMENTS OF RECORDS. • • I IeARCl00 J. RMI•EZ • • • • •
• LEGAL DESCRIPTIONS PRO3DED BV CLIENT OR 4TTESCNG mix COMPANY. 1Ni($E55X]MAL L4MD SU VINER &MAPPER • •
• UNLESS OTHERWISE NOTED. THIS FIRM HAS NOT AN ATTEMPTED TO LOCATE FOO•MjS• p.O. 2779 • I • • •
AND/OR FOLEOATCMS. STATE OF FLORA •
• NOT VISIBLE ENCROACHMENTS WERE FOLK CN TIE PRCIPERTY, WOES 51gMR.
• IF SHOWN ELEVATIONS ME REFERRED TO N.G.V.D. 1929 • • •1•.$A/N00T DNA ..... • / • • • •
• 8ENCH MARE USED N0. N-060. LOCATOR 5100 SW, PATH ELEVATION 9.65' • NAM, FL. 33,93 • •
• • •Ei: (305) 59618888.(305)59B-0690 •
E-MAIL: e8®Wra9M00@600 ,Ah st •
•
• • •••••• • •
• • ......
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• • • • • •
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