EL-18-2105Miami Shores Village
10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
Phone: (305)795-2204
Project Address
mit
Parcel Number
Issue Da
Permit NO. EL-8-18-2105
Permit Type: Electrical - Residential
Work Classification: Alteration
Permit Status: APPROVED
8/13/2018
Expiration: 02/09/2019
Applicant
401 NE 103 Street
Miami Shores, FL 33138-2456
1122310150130
Block: Lot:
TERRENCE & ELIZABETH WALL
Owner Information
Address
Phone
Cell
TERRENCE & ELIZABETH WALLACE 401 NE 103 Street
MIAMI SHORES FL 33138-
(617)852-2747
401 NE 103 Street
MIAMI SHORES FL 33138-
Contractor(s)
DOLCHE INC
Phone
(786)399-1900
Cell Phone
Valuation:
Total Sq Feet:
$ 2,000.00
0
Type of Work: REPLACE ELECTRIC METER BOX
Additional Info: REPLACE ELECTRIC METER BOX
Classification: Residential
Scanning: 3
Fees Due
CCF
DBPR Fee
DCA Fee
Education Surcharge
Permit Fee - Additions/Alterations
Scanning Fee
Technology Fee
Total:
Amount
$1.20
$2.25
$2.00
$0.40
$150.00
$9.00
$1.60
$166.45
Pay Date Pay Type Amt Paid Amt Due
Invoice # EL-8-18-68475
08/08/2018 Credit Card $ 50.00 $ 116.45
08/13/2018 Credit Card $ 116.45 $ 0.00
Available Inspections:
Inspection Type:
Review Electrical
i
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 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 mooning. uthermore, I authorize the above -named contractor to do the work stated.
A....)
�.c A
lt�► mac'
Authori ed Signature: Owner / Applicant / Contractor / Agent
August 13, 2018
Date
Building Department Copy
August 13, 2018 1
c..3\\9\0
BUILDING
PERMIT APPLICATION
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
BUILDING ECTRIC ❑ ROOFING
❑ PLUMBING ❑ MECHANICAL
PUBLIC WORKS
JOB ADDRESS: ` I v 1 N 10'j "`'f
City: rMiami Shores County:
Folio/Parcel#: I ; i —1D1 ti -- L 130
Occupancy Type:
Load: Construction Type:
Master Permit No.
Sub Permit No.
❑ REVISION n EXTENSION
RECEIVED
AUG 0 8 2018
FBC 0 I -3-
- 2105
❑ CHANGE OF ❑ CANCELLATION
CONTRACTOR
Miami Dade Zip:
Is the Building Historically Designated: Yes
Flood Zone:
BFE:
❑ RENEWAL
n SHOP
DRAWINGS
NO
OWNER: Name (Fee Simple Titleholder): �i ia (1si ).d-r244c_c ot ca cQ . Phone#: 4
Address: 40( O )C9-`ate_
City: 1' V I 1 axa' i, Sc� �r,� kra State: t�Lr
Tenant/Lessee Name: 13, i9- •
Email: (nn Gt)l r,/1etj
CONTRACTOR: Company Name: � 4" / cti�' Phone#: [-(7 3`lam9
Address: [ [-2 sv ,r)�I
City:C(001 TLS' A- State: %l,
//�r r 1 �
Qualifier Name: t7-ik t s l.c) () '/it u-49,/ Phone#:
State Certification or Registration #: EL / 3 00 3 f l Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
FFE:
Zip: 331 %
Zip: �` �G�
Value of Work for this Permit: $ C - DOO cD
Phone#:
Square/Linear Footage of Work:
Type of Work: n Addition ❑ Alteration ❑ New
Description of Work:
v1n f :. ioo)C
epair/Replace n Demolition
Specify color of color t►ru tile:
�i a :•;i�G ;a a nairr.imm:,.74/
')
i -
•
d
Submittal Fee $ Permit Fee,$ /Oa,/ea
Scanning Fee $ Radon Fee $ Z - C�
Technology Fee $
Structural Reviews $
Training/Education Fee $
CCF $
DBPR $ 2- 2 Notary $
• Double Fee $'
Bond $
TOTAL FEE NOW DUE $ I G • G
(Revised02/24/2014)
Bonding Company 'sName (if applicable)
Bonding Company's Address
City State Zip 4
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State Zip
a'+
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:' Icertify 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.
Signatur
OWNER or AGENT
The foregoing instrument was acknowledged before me this
(0"- day of I L-L , 20 t S • by
T-br 'tce- , who is personally known to
me or who has produced as
identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
Seal:
l ► Z�c 5G {M • oa -'1;04-(-
00,,7:4x ELIZABETH MEENAN DALY
• v. Commission 0 FF 945994
My Commission Expires
4+4%; 7 December 27, 2019
********* i.►.
APPROVED BY
Signature\
CONTRACTOR
The foregoing instrument was acknowledged before me this
day of �� {�a� 20 (�j , by
kt516 b,,,A(�naWD60-01, fib is personally known to
me or who has produced FC-1>V4 Lk-C1 as
identification and who did take an oath.
NOTAR11PUBLIC:
Sign:
Print: TtD kL - ,
Seal:
%7) eltYPtit. Notary Public State of Florida
Sindia Alvarez
y� cQ Mypires Commission 09103I2018 FF 156750
dF Ex -
**********************!***fir ***** * ** * * * *,***********
lg Plalls Examiner
Structural Review
Zoning
Clerk
(Revised02/24/2014)
0
RICK SCOTT, GOVERNOR
JONATHAN ZACHEM, SECRETARY
STATE OF FLORIDA
DEPARTMENT OF BUSINESSANDXPROFESSIONAL REGULATION
<a. ELECTRICAL CO. NT. RATO EiR_S LICE SING BOARD
THE ELECTRICAL C,ONTRACTO�R HEREIN IS CERTIFIED UNDER THE
.‹,p'to,
PROVISIONS OFF-CHAP12.4- „ .tTER�489 :FLORID STATUTES
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2531r7o2N STRtE T'AP 216 •a
SUNNY ISLES BEACH, AL 3,3160
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LICENSENhU M BEREC13004399
i
4
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•
EXPIRATIONtDATE 'AUGUST 31, 2020
Always verify licenses online at MyFloridaLicense.com
Do not alter this document in any form.
This is your license. It is unlawful for anyone other than the licensee to use this document.
Florida
Local Business Tax Receipt
Miarni-Dade County, State of Florida
-THIS IS NOT A BILL -DO NOT PAY
6573787
BUSINESS NAME/LOCATION
DOLCHE INC
OPERATING IN DADE COUNTY
MIAMI FL 33999
OWNER
DOLCHE INC
Worker(s)
RECEIPT NO.
RENEWAL
6844436
LBT
1
EXPIRES
SEPTEMBER 30, 2019
SEC. TYPE OF BUSINESS
196 ELECTRICAL CONTRACTOR
EC13004399
Masi tie dispii.Wed at pace Of business
Pursuant to County Code
Chapter RA - Art. 9 & 10
PAYMENT RECEIVED
BY TAX COLLECTOR
575.0(7 07/(72/2018
CREDITCARD-18-047396
This Local Business Tax Receipt only confirms payment of the Local Business Tax. The Receipt is not a license,
permit, or a certification of the holder's qualttications. to do business, Holder must comply with any governmental
or nongovernmental regulatory laws and requirements which apply to the business.
The RECEIPT NO. above must be displayed on all connnercial vehicles - Miemi-Dade Code Sec 8a-276
For more information, visit www mtaniidade ggyft)ttggflgrtor
14RlSTG
CK1LTCP- «',
2?33 t* Si.AP1 21i
SUNNY t:S'LE5 BEACH. Ft. Sal
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American Land Title Association
ALTA Settlement Statement - Combined
Adopted 05-01-2015
File No./Escrow No.: 136-18P
Print Date & Time: 7/31/2018 9:26:58 AM
Officer/Escrow Officer: RAPID TITLE SERVICES COMPANY
Settlement Location: 1175 NE 125th STREET SUITE 512 NORTH MIAMI, FL 33161
TRUE CERTIF[ED COPY
`9? as,.
Certified this -d
By
Property Address: 401 NE 103 STREET MIAMI SHORES, FL 33138
Buyer: TERRENCE WALLACE and ELIZABETH WALLACE
401 NE 103 STREET MIAMI SHORES, FL 33138
Seller: MATHIEU PICARD
Lender: K & B CAPITAL CORP. D/B/A CHOICE MORTGAGE BANK, INC.
40 SE 5TH ST. STE. 502 BOCA RATON, FL 33432
Type of Loan: Conventional Loan #: 504952073 MIC #:
Settlement Date: 7/31/2018
Disbursement Date: 7/31/2018
KER
„I MY COMMISSION # CMG 111255
;�•:� EXPIRES: June 17, 2021
., ; o" Bonded That Notary Public Underwriters
piµ;, y.�d`y. .- 114.G.t.t �e".t:lat ' . ` .44 `s�`�"'_ st �" " , --', yy" .: y''.� P
Fi4iz,"'+;. "'K�h�,"�. .ti7.1-m.>r .,. C6�q��i'���_'�-���=��Zw�2`.
L.y..
y���ar�.���a
o Borrower/Buyer's+
Seller : ittr, .:'Description q,rr •.. . -
Debit
Credit
M: Debit '
+" ieitredit r '
Financial
$1,050,000.00
Sales Price of Property
$1,050,000.00
•
Deposit including earnest money
$50,000.00
Loan Amount
$453,000.00
$7,500.00
Seller Credit
$7,500.00
Lenders Credits
-$1,000.00
Prorations/Adjustments
$9,365.45
County Taxes from 1/1/2018 to 7/31/2018
$9,365.45
$122.39
Non -Ad Valorem from 7/31/2018 to 9/30/2018
$122.39
$214,966.34
Payoff Darcie Picard
Loan Charges to K & B CAPITAL CORP. D/B/A CHOICE
MORTGAGE BANK, INC.
40 SE 5TH ST. STE. 502 BOCA RATON, FL 33432
Doc Prep Fee to
$320.00
Prepaid Interest from 7/31/2018 to 8/1/2018
$58.21
_
Processing Fee to
$595.00
Underwriting Fee to
$625.00
Other Loan Charges
Appraisal Fee to Dart Appraisal
$915.00
Credit Report Fee to K&B Capital Corp FBO Factual Data
$26.18
Survey to Lannes & Garcia, Inc.
$285.00
Tax Service Fee to First American RE Tax
$79.00
Copyright 2015 American Land Title Association.
All rights reserved.
Page 1 of 3
File #136-18P
Printed on 7/31/2018 at 9:26 AM
TRUE CETIFIEDCOP
Certifi
By, _
gyms I nyy
Impounds
Title Charges & Escrow / Settlement Charges
)
Title - Closing Fee to
RAPID TITLE SERVICES COMPANY
$650.00
_
Title - Courier Fee to
Baron Msgr/FedEx/RTSC
$55.00
KERRY D
MY COMMISSION
AZ
It
M
Title - Electronic File Storage to
United Micrographics
$45.00
EXPIRES Juno
8Tid�iNruN_ fal
17, 2021
IleUnd�iwrltare
_lam
Title - Electronic Recording to
p .
Sim Ifile
$18.00
Title - Endorsements: 9;NSE; to
Old Republic National Title Insurance Company
$617.00
Title - Lender's Endorsements: 9;NSE;6;8.1; to
Old Republic National Title Insurance Company
$518.00
Title - Lender's Title Insurance ($453,000.00) to
Old Republic National Title Insurance Company
$2,340.00
Title - Owner's Endorsements: 9.2; to
Old Republic National Title Insurance Company
$520.00
Title - Owner's Title Insurance (optional) ($1,050,000.00) to
Old Republic National Title Insurance Company
$3,085.00
Title - Wire Fee to
First Tennessee Bank
$40.00
Commission
$43,000.00
Real Estate Commission to Robert Bourne Real Estate LLC
Government Recording and Transfer Charges
Record Deed: to Clerk of Court
$18.501
Record Mortgage: to Clerk of Court
$129.00
Transfer Tax Mortgage County to Clerk of Court
$906.00
$6,300.00
Transfer Tax State Deed to Clerk of Court
Transfer Tax State Mortgage to Clerk of Court
$1,585.50
Payoff(s)
$551,516.25
Payoff of First Mortgage Loan
Principal Balance ($551,083.05)
Interest on Payoff Loan ($433.20)
Additional Payoff fees ($0.00)
Miscellaneous
$200.00
Abstract/Title Search to RTSC/ORNTIC
$1,750.00
Attorney Fee to Balzli & Associates
$50.00
Courier Fee to Balzli & Associates
$100.00
Escrow "final" utility to Rapid Title Services Company
$283.00
Municipal Lien Certificate to ABRAMOWITZ TAX & LIEN SERVICE,
INC.
$75.00
Reimburse Certificate of Reoccupancy to Cliff Shepard Jr., P.A.
$50.00
Wire Fee to First Tennessee Bank
Copyright 2015 American Land Title Association.
All rights reserved.
Page 2 of 3
File #136-18P
Printed on 7/31/2018 at 9:26 AM
.Debit
Credit
Debit
Credit e
$835,156.04
$1,050,122.39
Subtotal
$1,062,552.78
$519,865.45
Due From/To Borrower
$0.00
$542,687.33
$214,966.35
$0.00
Due From/To Seller
$1,050,122.39
$1,050,122.39
Totals
$1,062,552.78
$1,062,552.78
TRUE CEETIFI �� OPY
Certified this day o
By
Copyright 2015 American Land Title Association.
All rights reserved.
Page 3 of 3
File 4136-18P
Printed on 7/31/2018 at 9:26 AM
ALTA Settlement Statement Acknowledgment
Buyer:
Seller:
Lender:
Settlement Agent:
Settlement Location:
Loan Information:
Settlement Date:
Disbursement Date:
Property Address:
TERRENCE WALLACE and ELIZABETH WALLACE
401 NE 103 STREET MIAMI SHORES, FL 33138
MATHIEU PICARD
K & B CAPITAL CORP. D/B/A CHOICE MORTGAGE BANK, INC.
40 SE 5TH ST. STE. 502 BOCA RATON, FL 33432
RAPID TITLE SERVICES COMPANY
1175 NE 125th STREET SUITE 512 NORTH MIAMI, FL 33161
Type of Loan: Conventional Loan #: MIC #:
7/31/2018
7/31/2018
401 NE 103 STREET MIAMI SHORES, FL 33138
We/I have carefully reviewed the ALTA Settlement Statement prepared by RAPID TITLE SERVICES COMPANY and find it to be a true
and accurate statement of all receipts and disbursements made on my account or by me in this transaction and further certify that I
have received a copy of the ALTA Settlement Statement. We/I authorize RAPID TITLE SERVICES COMPANY to cause the funds to be
disbursed in accordance with this statement.
6y/
Mt-NIE WALLACE Borrower MATHIEU PICARD
By:'
L
ty
ELIZABETH WALVACE Borrower
By:
RAPID TIT SERVICES :.MANY
Marta
WARNING: Is it a crime to knowingly make false statements to the United •tates on this or any similar form. Penalties upon conviction can include
a fine and imprisonement. For details see: Title 18 U.S. Code Section 1001 .nd Section 1010. File #136-18P
Page 1 of 1 Printed on 7/26/2018 at 11:11 AM
Seller
a -
TRUE CERTIFIES-C,OPY
Certified this C da
By
Prepared By and Return To:
Mark D. Balzli, Esq.
Balzli & Associates
1688 Meridian Avenue, Suite 700
Miami Beach, FL33139
Order No.: 1858
Property Appraiser's Parcel I.D. (folio) Number:
11-2231-015-0130
WARRANTY DEED
THIS WARRANTY DEED dated 6" Ot �� / , 2018, by Mathieu Picard, a single man, whose post
office address is 8620 Arboretum Lane, Miami, Florida 33138 (the "Grantor"), to Terrence Wallace and
Elizabeth Wallace, husband and wife, whose post office address is 401 NE 103rd Street, Miami Shores,
Florida, 33138 (the "Grantee").
(Wherever 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)
WITNESSETH: That the Grantor, for and in consideration of the sum of Ten And No/100 Dollars ($10.00)
and other valuable consideration, receipt whereof is hereby acknowledged, hereby grants, bargains, sells,
aliens, remises, releases, conveys, and confirms unto the Grantee, all that certain land situated in County
of Miami -Dade , State of Florida, viz:
Lot 13, less the North 34.25 feet and all of Lot 14, Mirror Lake Subdivision, according of the plat thereof as
recorded in Plat Book 56, Page 15, Public Records of Miami -Dade County, Florida.
Subject to easements, restrictions, reservations and limitations of record, if any.
TOGETHER with all the tenements, hereditaments and appurtenances thereto belonging or in any wise
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, 2017.
IN WITNESS WHEREOF, the said Grantor has signed and sealed these presents the day and year first
above written.
ti
Mathieu Picar
Grantor Address:
8620 Arboretum Lane
Miami, FL 33138
State of Florida
County of Miami -Dade
Signed, sealed ltd delivered in fargsence of:
Witness SignatitrF
NI it C,IC 3q(Z
(ine of First Witness
Witness Signature
rxreho 1. ( )earl
Printed Name of Second Witness
The foregoing instrument was acknowle ged before me this day of v l 201
by PlcAli eu Pc , who is personally known tb me or who has
produced " _s identification.
Notary Publ
My Commission Expires:
(SEAL)
MARK D. BALZLI
Notary public • State of Florida
Commission # FF 219264
oc My Comm. Expires May 28, 2019
'Bonded through National Notary Assn.
RAPT TIME SERVICES CO.
1175 N.E. 125th ST, S-512
North Miami, FL 33161
Prepared By and Return To:
Mark D. Balzli, Esq.
Balzli & Associates
1688 Meridian Avenue, Suite 700
Miami Beach, FL33139
Order No.: 1858
Property Appraiser's Parcel I.D. (folio) Number:
11-2231-015-0130
IIIIII1II1I1 IIlI 111111111111111111111111 1111
CFN 2018R0477427
OR BK 31091 P9s 1045-1046 (2Pss)
RECORDED 08/07/2018 13:17:10
DEED DOC TAX $6,300.00
HARVEY RUVIN, CLERK OF COURT
MIAMI-DADE COUNTY, FLORIDA
ttWARRANTY DEED
THIS WARRANTY DEED dated (- Vl \( I , 2018, by Mathieu Picard, a single man, whose post
office address is 8620 Arboretum Lane, Miami, Florida 33138 (the "Grantor"), to Terrence Wallace and
Elizabeth Wallace, husband and wife, whose post office address is 401 NE 103rd Street, Miami Shores,
Florida, 33138 (the "Grantee").
(Wherever 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)
WITNESSETH: That the Grantor, for and in consideration of the sum of Ten And No/100 Dollars ($10.00)
and other valuable consideration, receipt whereof is hereby acknowledged, hereby grants, bargains, sells,
aliens, remises, releases, conveys, and confirms unto the Grantee, all that certain land situated in County
of Miami -Dade , State of Florida, viz:
Lot 13, less the North 34.25 feet and all of Lot 14, Mirror Lake Subdivision, according of the plat thereof as
recorded in Plat Book 56, Page 15, Public Records of Miami -Dade County, Florida.
Subject to easements, restrictions, reservations and limitations of record, if any.
TOGETHER with all the tenements, hereditaments and appurtenances thereto belonging or in any wise
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, 2017.
IN WITNESS WHEREOF, the said Grantor has signed and sealed these presents the day and year first
above written.
I3u-IEe NaI(Q,Ce
Book31091/Page1045 CFN#20180477427
Page 1 of 2
OR BK 31091 PG 1046
LAST PAGE
Mathieu Picar
Grantor Address:
8620 Arboretum Lane
Miami, FL 33138
Signed, sealeOid delivered in psence of:
Witness Signa
Witness Signature
Ire o I4I )scri
Printed Name of Second Witness
State of Florida
County of Miami -Dade
The foregoing instrument was acknowlef ged before me this oo day of d" u , , 201
by eil.41i i ear Pc d-o-QN , who is personally known me or who has
produced s identification.
Notary Publ
My Commission Expires:
(SEAL)
MARK D. BALZLI
Notary Public - State of Florida
Commisalon • FF219264
�, My Comm. Expires May28, 2019
„'•,' Bonded ttrouph National Notary
Assn.
OF FLORIDA, COUNTY
STATEAD ao_1
I HERESY CERTIFY That the forego>n9 � o
original on file in this office, n curt Courts,.
HARVEY ROAN, Clerk of Circu �J
Deputy Clerk
Book31091/Page1046 CFN#20180477427
Page2of2
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