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CC-18-222437, 9uo.ov Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 issue Date: 11/30/2019 Permit NO.: CC-8-18-2224 Permit Type: Building (Commercial) Work Classification: Alteration Permit Status: Approved Expiration: 05/29/2019 Location Address Parcel Number 9050 BISCAYNE BLVD, Miami Shores, FL 33138 1132060100010 I Contacts PUBLIX SUPERMARKETS, INC Owner PUBLIX SUPERMARKETS, INC Applicant PUBLIX SUPERMARKETS, INC PUBLIX SUPERMARKETS, INC P 0 BOX 407, LAKELAND, FL 338020407 P 0 BOX 407, LAKELAND, FL 338020407 Other:863688747 Other:863688747 OAK CONSTRUCTION CO Contractor CHARLES MEDRANO Business: 9545839625 Description: INTERIOR CAFE RENOVATION Valuation: $ 159,827.05 Inspection Requests: 762 4949 — REPLACING EXPIRED APPLICATION Total Sq Feet: 791.00 CC17-2469 Fees Amount CCF $96.00 Certificate of Occupancy (Commercial) $200.00 (Manual) DBPR Fee $71.92 DCA Fee $47.95 Education Surcharge $32.00 P&Z Review Fee $35.00 Permit Fee $4,594.81 Plan Review Fee $120.00 Preliminary Plan Review (Commercial) $500.00 Scanning Fee $90.00 Structural Review ($90) $90.00 Technology Fee $119.87 Total: $5,997.55 Payments Date Paid Amt Paid Total Fees $5,997.55 Check # 89921 11/30/2018 $5,377.55 Deposit 08/21/2018 $620.00 Amount Due: $0.00 Building Department Copy 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 c str tion and *ning. Futhermore, I authorize the above named contractor to do the work stated. Authorized Signatur r / Applicant / Contractor / Agent Date November 30, 2018 Page 2 of 2 Miami Shores Village t�\ Building Department j 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 2 9 9 INSPECTION LINE PHONE NUMBER. (305) 76 -4 4 BUILDING PERMIT APPLICATION BUILDING ❑ ELECTRIC ❑ ROOFING QAUG2-1 `18 L9Y FBC 20\^l b+� Master Permit No. -1..�T Sub Permit No. ❑ REVISION ❑ EXTENSION RENEWAL F-IPLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: `101 u 1� i S C City: 11Miami Shores County: Miami Dade Zip: '51 Folio/Parcel#: 61 - 32 b(, ^ �� 0 o 0 1Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): t' Ui 11 . SCAOV VA��,1 14(- Phone#: Address: P o %O-X 3 2 0 Z S City: La�l�� State: rR- Zip: 3 0 2 Tenant/Lessee Name: Email CONTRACTOR: Company � Name: Address: l000 J� ne#: 0 Phone#: I �_t - J- I Z City: V4 l�(�lA/AtrCiO�. t State: 1= Zip: Qualifier Qualifier Name: l liar 1 � Vy.0 JrowV o Phone#: l � ^ � State Certification or Registration #'': rr `C �C D (S I O Certificate of Competency #: f DESIGNER: Arch itect/Engineer:l�tC ( �\V(�Stt►{1 ��ctn►ltdwA l (0 14�l1�tiPhone#: -0`�- S2�— �35� Address: S'M- wtsV ar \c DnVt City: nACAO�- State: (- Zip: 219 1 Value of Work for this Permit: $ cY2�' �quare/Linear Footage of Work: 19 1 Type of Work: ❑ jAddition ❑ Alteration n ❑ Newt ❑ Repair/Replace ❑ Demolition Description of Work: 1y� enU� I24t I` l/�OVabuNA Specify color of color thru tiler Submittal Fee $ F. "` ' ""'°'•Permit'Fee $�j� ( CCF $ �..� CO/CC Scanning Fee $ c O Ca Radon Fee $ � - DBPR $ �l •� Notary $ Technology Fee $ 119 ' <g� Training/Education Fee $ z - W Double Fee $ Structural Reviews $� (3 "C� -D✓�P,Vv, 4 500 (Revised02/24/ 14) 1 rUCtyra`l PO- I ZU Bond $ t TOTAL FEE NOW DUE $�� • `�� 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 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. Signature Signature g g OWNER or AGENT The foregoing instrument was acknowledged before me this aa�Nay of 1 20 J by ��'e�� who personally known o me or who has produced identification and who did take an oath. NOTARY PUBLIC: Sign: Print: (\CPC' �C -ex- CONTRACTOR The foregoing instrument was acknowledged before me this I day of 20 J by Y1 0 who is sonally kn n to as me or who has produced identification and who did take an oath. NOTARY PUBLIC: Sign:_ Print: Seal: v Seal: nM" ' DIAIVA ShIECKCER V0,CommW011 # 00 230M P* Expires June 19, 2022 APPROVED BY �7 Plans Examiner m - 1L04d) Structural Review (Revised02/24/2014) eyti s KRISTIE BERGER Commission # GG 098069 Expires April 26, 2021 Bonded Thru Troy Fain Insurance S&M510is as ************ b 1 Zoning Clerk Publix. COST PLUS FEE AGREEMENT BETWEEN OWNER AND CONTRACTOR FOR CONSTRUCTION This Cost Plus Fee Agreement Between Owner and Contractor for Construction (the "Agreement") is made and entered into this 7s' day of November 2018, by and between: Owner. Publix Super Markets, Inc. P.O. Box 407 Lakeland, Florida 33802.0407 rF— Contractor: Oak Construction, Co., Inc. 4000 SW 30th Ave Ft Lauderdale, FL 33312 StateLic.# l C-6C, 0,TU,?L1y l For the construction of the Project: PubHx #0794 Publix at Miami Shores 9050 Biscayne Blvd. Miami Shores, FL 33138 Architect of record is: Atkins 2001 NW 107th Ave. Miami, FL 33172 Owner and Contractor mutually agree as follows: ARTICLE 1 THE PROJECT AND THE WORK 1.1 THE PROJECT 1.1.1. The Project is described as follows: Publix #0794 Publix at Miami Shores — Starbucks Caf6 1.2. THE WORK 1.2.1. The scope of work (the "Work") includes: Attached hereto as Exhibit "A". 1.2.2. The Work which Contractor shall perform under this Agreement is hereby defined to include all of the necessary labor, services, equipment and materials required for the construction of the Project, in accordance with the Contract Documents. Changes in the Work may be made pursuant to a Change Order as set forth in Article 10 ofthe General Conditions. Cost Plus Fee Agreement For Construction 1.2.3. Contractor shall perform pre -construction services as may be reasonably requested by Owner in order to assist in ensuring that the Contract Documents achieve all of Owner's design objectives, including, without limitation, the time of construction, the cost of construction, and the functional performance of the Project. Contractor's activities during the pr"onsttuction services shall include, but shall not be limited to: 1. Attending regular meetings with Owner and Owner's consultant(s), if any; 2. Consulting with and making specific recommendations to Owner and Owner's consultant(s) regarding site use and improvements and the selection of materials, building systems and equipment; 3. Providing Owner and Owner's consultant(s) with recommendations on construction feasibility; actions designed to minimize adverse effects of labor or material shortages; time requirements for procurement, installation and construction completion; phasing of construction; and factors related to construction cost including estimates of alternative designs or materials, budget analyses and other possible cost saving means and methods of construction; 4. Reviewing and coordinating with Owner and Owner's consultant(s) all on -site and off - site utilities and infrastructure; 6. Comparing and coordinating the Drawings prepared by Owner and Owner's consultant(s) during the Schematic, Design, Design Development and Construction Document phases; 6. Preparing cost estimates of the Work and proposed Project schedules to complete the Work, as set forth below; and 7. Performing a constructability review of the drawings at 60% and at the time final Drawings and Specifications are completed. 1.2.4. Contractor's pre -construction services shall be included within the Cost of the Work. 1.2.5. In the event Owner chooses not to proceed with the Project, Owner reserves the right to terminate this Agreement for convenience and to exercise its rights under 117.2 of the General Conditions, in which case, Owner shall pay Contractor the an amount of the Pre -construction Fee as set forth in 117.2. ARTICLE 2 THE CONTRACT DOCUMENTS 2.1 CONTRACT DOCUMENTS 2.1.1. The Contract Documents consist of this Agreement, the General Conditions of the Agreement for Construction (the "General Conditions"), the Drawings and Specifications prepared for the Project, Addenda issued prior to the execution of this Agreement, the Contractor's Bid Proposal Form, any Change Orders issued subsequent to the execution of this Agreemcnt, and all other documents listed in 111.2 of this Agreement. 2.1.2. The foregoing documents shall be read in conjunction with each other and any inconsistencies or discrepancies therein shall be resolved as set forth in the General Conditions. ARTICLE 3 REPRESENTATION OF CONTRACTOR 3.1 CONTRACTOR'S RELATIONSHIP TO OWNER 3.1.1. Notwithstanding anything to the contrary contained in this Agreement, Owner and Contractor 2 Cost Plus Fee Agreement For Construction agree and acknowledge that Owner is entering into this Agreement in reliance on Contractor's knowledge, skills and experience with respect to performing the Work. 3.1.2. Contractor acknowledges that Owner is entering into this Agreement based on the trust and confidence Owner places on Contractor's knowledge, skills and experience. Contractor covenants with Owner (1) to furnish reasonable skill and judgment consistent with that of a contractor using the professional standards and generally accepted construction practices typically employed for projects of similar size, design and complexity in the County where the Project is located; and (2) to cooperate with the Architect in furthering the interests of Owner. Further, Contractor shall use its best efforts to perform the Work as set forth in the Contract Documents in an expeditious and economical manner consistent with the interests of Owner. ARTICLE 4 CONTRACT TIME 4.1 DATE OF COMMENCEMENT 4.1.1. The Contract Time shall be measured from the date of commencement of the Work. 4.1.2. The date of commencement of the Work shall be the later of, the date on which Owner approves The Project Control Estimate (defined below), the first date on which Contractor mobilizes on the Project, the date the Notice of Commencement is recorded, or the date on which Contractor receives the first of its building permits. 4.2. SUBSTANTIAL COMPLETION 4.2.1. On or before Ninety (90) days after the date of commencement, Contractor shall achieve Substantial Completion of the Work (the "Contract Time"). . 4.2.2. The Contract Time in which to achieve Substantial Completion may be adjusted as set forth in ¶ ¶ I0.21 and 10.2.3 of the General Conditions. 4.2.3. Time is of the essence with respect to achieving Substantial Completion within the Contract Time. 4.3. PROJECT SCHEDULE 4.3.1. Contractor shall execute the Work in accordance with the Project Schedule prepared in accordance with 15.2 below which Contractor shall submit to Owner prior to commencing the work or as otherwise requested by Owner. 4.4. LIQUIDATED DAMAGES 4AA. If Contractors fails to achieve Substantial Completion of the Project in the Contract Time, as adjusted by Change Order, Contractor shall pay Owner Zero Dollars ($0.00) per day for each day on which Contractor failed to achieve Substantial Completion ("Liquidated Damages"). Contractor expressly acknowledges that time is of the essence in completing the Work required hereunder and that the actual delay damages which Owner will suffer in the event of a delay in achieving Substantial Completion of the Work are difficult, if not impossible, to determine and that the Liquidated Damages described above are not a penalty but are a fair and reasonable estimate of the direct and non -consequential delay damages which Owner will suffer in the event of such delay. ARTICLE 5 PROJECT CONTROL ESTIMATE 5.1 ESTIMATED COST OF THE WORK 5.1.1. Simultaneously with the execution of this Agreement, Contractor shall submit to Owner a written M Cost Plus Fee Agreement For Construction estimate of the Cost of the Work. This estimate shall be deemed the Project Control Estimate, which Contractor and Owner shall use to monitor the actual cost of the Work. 5.1.2. The Project Control Estimate shall include: 1. A statement of the estimated Cost of the Work, organized by the various trades of the Work, and Contractor's Fee, as defined herein below. 2. A list of the clarifications and assumptions made in the preparation of the Project Control Estimate and on which the estimate is based. The list shall identify names of manufacturers, model numbers, styles, grades, etc, sufficient to identify the nature and quality of the major materials, systems, and equipment included in the Work. 3. Cost and expenses associated with the complete execution of the Work. 4. Contingencies associated with additional engineering that may be required in execution of the Work. 5. Contingencies associated with further development ofthe Drawings and Specifications as required by 9 5.1.3 below. 6. Lists of unsuccessful bidders and amounts, if any. 5.1.3. To the extent that the Drawings and Specifications are anticipated to require further development by the Architect, Contractor shall provide appropriate cost contingencies in the Project Control Estimate for such further development consistent with the Contract Documents and reasonably inferable therefrom. Such further development does not include changes in scope, systems, kinds and quality of materials, finishes or equipment, all of which, ifrequired, shall be incorporated in a revised Project Control Estimate by mutual agreement of the parties. 5.1A. Prior to commencing the Work, Owner shall approve Contractor's Project Control Estimate. 5.2. ESTIMATED PROJECT SCHEDULE 5.2.1. Contractor shall submit to Owner, along with the Project Control Estimate, an estimated Project Schedule. The Project Schedule shall indicate the activity sequences, durations and milestone dates for the various activities and trades comprising the Work. The Project Schedule also shall identify the dates or times Contractor requires receipt and approval of pertinent information from Owner, a schedule of shop drawings and samples, and procurement and delivery of materials or equipment requiring long -lead time. In the event the Contract Documents specify that Owner may partially occupy portions of the Work, the Project Schedule shall reflect the times when such occupancy shall occur. 5.3. MONITORING THE PROJECT CONTROL ESTIMATE 6.3.1. Contractor shall develop and implement a detailed system of cost control that will provide Owner with: (1) a comparison of the Project Control Estimate with the actual cost of the Work in progress; and (2) an electronic job cost detail report If requested by Owner, on a monthly basis, and along with Contractor's Application for Payment, Contractor shall submit to Owner an updated Project Control Estimate. ARTICLE 6 SUBCONTRACTS 6,1 SELECTING SUBCONTRACTORS 6.1.1. Contractor shall invite bids from, and enter into agreements for labor, materials and services with, only subcontractors and suppliers who have fast been approved by Owner. After receiving such bids, Contractor shall analyze them and recommend to Owner which proposals should be accepted. Contractor's recommendations shall include pertinent backup data supporting Contractor's recommendation. 6.1.2. Prior to commencement of the Work or any portion thereof, Contractor shall furnish to Owner 4 Cost Plus Fee Agreement For Construction copies of bids and estimates from Subcontractors and suppliers for various aspects of the Work. No Subcontractor or supplier shall be engaged if objected to by Owner provided; however, that if Owner does not take exception to a Subcontractor on or before fifteen (15) days after Owner's receipt of such notification, such Subcontractor shall be deemed acceptable to Owner. 6.1.3. Upon Owner approval of any such subcontractor, Contractor shall contract directly with the approved subcontractor or supplier in its own name and behalf, and not in the name or behalf of Owner. 6.1.4. Subcontracts or other agreements entered into by Contractor with third parties furnishing labor or materials to the Project shall conform to the payment provisions of this Agreement and shall not be awarded on the basis of Cost Plus a Fee without Owner's prior consent. ARTICLE 7 PROJECT COST 7.1 CONTRACT SUM 7.1.1. For performance and completion of the Work in accordance with the Contract Documents, Owner shall pay to Contractor the total sum equivalent to the actual and necessary Cost of the Work, as defined herein, plus Contractor's Fee (the *Contract Sum"), which shall be paid in current funds. 7.2. CONTRACTOR'S FEE 7.2.1. Contractor`s Fee shall be as follows: ❑ 13.75% of Contractor's Cost of the Work; or ❑ Contractor's Fee on all Change Orders shall be 7.0 %. 7.2.2. Unless noted otherwise herein, Contractor's Fee shall include all costs associated with Contractor's home office overhead, general expenses, supervisory (other than field incurred general conditions) and administrative personnel, and Contractor's profit. 7.3. COST OF THE WORK TO BE REIMBURSED 7.3.1. The Cost of the Work shall include the actual and necessary expenses incurred by Contractor in the proper performance and execution of the Work in accordance with the Contract Documents. The Cost of the Work shall only be based on the following: 1. Wages of laborers directly employed by Contractor to perform the Work on -site. 2. Wages or salaries of on -site supervisory and administrative personnel, or if approved by Owner those who are stationed at the home office while specifically engaged in the Work including: Project Manager, Project Engineer, Estimators and Contract Administrators, but only to the extent of the actual hours such personnel are directly working on the Project. 3. Costs paid or incurred by Contractor for taxes, insurance, contributions, and benefits required by law including, customary benefits such as sick leave, medical and health benefits, holidays, vacations and pensions, provided such costs are based on wages and salaries included in the Cost of the Work under this 1 7.3.1. 4. When approved by Owner pursuant to Article 6, Subcontract and purchase order costs in accordance with the agreements between Contractor and Subcontractor and supplier. S. When approved by Owner, cost of materials and equipment purchased by Contractor and incorporated into the Work, including the transportation and storage of such materials and equipment. 6. Costs of temporary utilities and sanitary facilities to the Project site. 5 Cost Plus Fee A reernerd For Construction 7. Rental expenses associated with temporary machinery and equipment not customarily owned by contractors or subcontractors that are furnished to the Project for the execution of the Work. Such expenses also shall include the transportation, erection, and dismantling of the equipment; however, in no event shall the expense include cost of maintenance or repair of such equipment. 8. Costs of removal of legally disposed debris and construction materials from the Project site. 9. Costs associated with Payment and Performance Bonds and Builder's Risk insurance, if required by the Contract Documents. 10. Sales, use or similar taxes imposed by a governmental authority that are related to the Work and for which Contractor is liable. 11. Fees and assessments for the building permit and for other permits, licenses and inspections Contractor is required by the Contract Documents for which Contractor is liable. 12. Fees of laboratories for tests required by the Contract Documents, subject to the limitations of 13.8.3 of the General Conditions. 13. Royalties and license fees paid for the use of a particular design, process or product required by the Contract Documents. 14. Costs associated with taking emergency action to prevent threatened damage, injury or loss; provided however, that such action is not required due to the negligence of Contractor or any other person or Subcontractor performing the Work. 15. Subject to the Iimitations and conditions of 117.2.3 and 7.2.4 of the General Conditions, costs associated with repairing or correcting damaged or nonconforming Work executed by Owner's separate contractors or vendors. 16. Costs of on -site Project general conditions such as jobsite trailers, small tools and expendables, ice, water, standard document reproduction, long-distance telephone calls and facsimiles and postage and parcel delivery charges. 17. Cost of Contractor's general liability insurance attributable to the Work. 7.3-2. Subcontracts or other agreements entered into by Contractor with third parties finnishing labor or materials to the Project shall conform to the payment provisions of this Agreement and shall not be awarded on the basis of Cost Plus a Fee without Owner's prior consent. 7.3.3. Pursuant to Owner's rights under 1 18.3.1 of the General Conditions and to Owner's satisfaction, Contractor shall keep full and detailed accounts and exercise such controls as may be necessary to monitor the actual and necessary Cost of the Work for proper financial management under this Agreement. 7A. DISCOUNTS, REBATES, AND REFUNDS 7A.1. In accordance with 18.4 of the General Conditions, Contractor shall use all reasonable efforts to obtain discounts, rebates, and refunds associated with the Cost of the Work that may be available to Contractor. 7A.2. Contractor shall credit the Cost of the Work with the amounts that accrue to Owner in accordance with 17.4.1 above in the Application for Payment that immediately follows Contractor's receipt of any discount, rebate or refund, provided Owner funds in time for Contractor to take advantage of any such cash discounts. ARTICLE 8 PAYMENTS 8.1 PROGRESS PAYMENTS 8.1.1. Periodically, during the progress of the Work, Contractor shall submit to Owner Applications for Payment and Owner shall make periodic progress payment for the performance of the Work as set forth in 18.2 of the General Conditions. 0 Cost Plus Fee Agreement For Construction 8.1.2. Applications for Payment shall show the Cost of the Work actually and necessarily incurred by Contractor through and including the last day of the period covered by the Application for Payment. 8.1.3. During each Application for Payment, Contractor shall demonstrate that cash disbursements already made by Contractor on account of the Cost of the Work will equal or exceed (1) progress payments already received by Contractor, less (2) that portion of those payments attributable to Contractor's Fee; plus (3) payrolls for the period covered by the present Application for Payment; plus (4) retainage provided in 18.1.4, if any, applicable to prior progress payments. 8.1 A. Subject to other conditions of the Contract Documents, Contractor shall compute the amount of each progress payment as follows: 1. Take the Cost of the Work as described in 17.3.1; 2. Add the Contractor's Fee attributable to the Work completed in accordance with the Contract Documents; 3. Subtract 10% to be held in Retainage; 4. Subtract the aggregate of previous payments made by Owner, S. Subtract the shortfall, if any, indicated by Contractor in the documentation required by 8.1.3 above or resulting from errors subsequently discovered by Owner's accountants in such documentation; and 6. Subtract amounts, if any, for which Owner has withheld pursuant to 18.2.5 of the General Conditions. 8.2. FINAL PAYMENT 8.2.1. Owner shall make final payment to Contractor representing the total of the Contract Sum, subject to the conditions set forth in 19.2.2 of the General Conditions. ARTICLE 9 OWNER AND CONTRACTOR REPRESENTATIVES 9.1 OWNER'S REPRESENTATIVE 9.1.1. For purposes of providing notice under this Agreement and the General Conditions, Owner's representative and contact information is as follows: Mr. Mikhael H. Ser Director of Construction Publix Super Markets, Inc. F.O. Box 407 Lakeland, FL 33802-0407 9.2. CONTRACTOR'S REPRESENTATIVE 9.2.1. For purposes of providing notice under this Agreement and the General Conditions, Contractor`s representative and contact information is as follows: Oak Construction, Co., Inc. 4000 SW 30th Ave Ft Lauderdale, FL 33312 7 ARTICLE 10 INSURANCE 10.1 INSURANCE Cost Plus Fee Agreement For Construction 10.1.1 Contractor shall furnish Owner with a certificate of insurance evidencing the insurance required herein. Such certificate of insurance shall provide that cancellation of such insurance shall not be effected without thirty (30) days prior written notice to Owner. In no event shall the failure, for any reason, of the Owner to receive any certificate of insurance or copy of any policy of insurance or of any endorsement thereto or any notice or other document required in accordance with the provisions hereof operate as or be construed as a waiver by the Owner or a release of the Contractor's obligation to provide the insurance coverages and limits required. The Contractor's obligation to obtain, pay all premiums for and maintain all insurance required of the Contractor under the provisions hereof is an obligation of the Contractor separate and independent of the Contractor's duty to provide certificates of insurance, copies, policies and endorsements, notices and the like. 10.1.2. The Contractor shall provide, pay all premiums for and maintain during the entire, tern of this Contract the following insurance coverages and limits: (a) Workers' compensation and employer liability insurance shall be maintained by Contractor, during the term of this Contract, for all employees engaged in Work under this Contract, in accordance with the laws of the State where the Project is located. The limits of coverage shall not be less than: (1) Workers' Compensation - Statutory Requirements (n) Employers' Liability - $1,000,000 limit for (Each Accident, Disease Aggregate and Disease Each Employee) (b) Commercial general liability insurance, which must be written on an occurrence basis, shall be maintained by Contractor. Coverage shall include, but not be limited to, premises and operations, personal injury, contractual for this Contract, independent contractors, broad form property damage including completed operations, and products and completed operations coverage, personal and advertising injury coverage and fire damage coverage, and shall not exclude coverage for the "JC' (explosion), "C" (collapse), and "U" (underground) property damage liability exposures. Completed operations coverage shall be maintained by Contractor for a period of not less than five (5) years following Final Acceptance by Owner. This commercial general liability coverage shall be for $5,000,000 combined single limit achieved through a combination of primary and umbrella -form excess liability coverage, on occurrence basis for both primary and umbrella -form excess liability coverage. Such insurance shall name Owner as an additional insured. (c) Automobile liability insurance shall be maintained by Contractor as to the ownership, maintenance, and use of all owned, non -owned, leased or hired vehicles. This automobile liability coverage shall be for $5,000,000 combined single limit, achieved through a combination of primary and umbrella -form excess liability coverage. Such insurance shall name Owner as an additional insured. (d) All insurance policies to be provided by Contractor under the Contract Documents shall be primary to any insurance policies obtained by Owner. The Contractor's insurance companies shall waive their rights of subrogation against Owner. Ej ARTICLE 11 OTHER PROVISIONS 11.1 ACCOUNTING RECORDS Cost Plus Fee Agreement For Construction 11.1.1. Pursuant to Owner's rights under 1 18.3.1 of the General Conditions and to the Owners satisfaction, Contractor shall keep full and detailed accounts and exercise such controls as the Owner may, in its sole discretion, deem required to monitor the Contractor's Cost of the Work for proper financial management under this Agreement. 11.2. ENUMERATION OF CONTRACT DOCUMENTS 11.2.1. The Contract Documents are enumerated as follows and all are specifically incorporated by reference into this Agreement. 1. This Agreement; 2. The General Conditions of the Agreement for Construction; 3. Construction Drawings listed in Exhibit A, attached hereto; 4. The PMeet Spesifieations, 6. 6. ; 7. _ _ 8. Bid Proposal Form listed in Exhibit A, attached hereto; 9. Further documents as follows: Addendum to Cost Plus Fee Agreement form. 11.2.2. This Agreement constitutes the entire agreement between Owner and Contractor with respect to the scope described herein, and supersedes any and all prior and contemporaneous oral or written understandings. This Agreement may not be altered, amended or modified except by a written amendment to this Agreement or Change Order signed by both Owner and Contractor. This Agreement is entered into on the date first written above. OWNER Digitally signed CONTRACTOR Date:2018.11.15 08:43.48-05'00' Name Robert J. McGanity. P.E Name Title Vice President of Facilities Title ('j� �oaE f-�;-K "o Digitally signed by 131080102 Date; 201&11.07 183&VS -051W g October 29, 2018 Mr. Christopher Cox Publix Super Markets, Inc 3300 Pubiix Corporate Parkway Lakeland, Florida 33811 Re: Revised Bid for Starbucks @ PX-0794 — Publix at Miami Shores Dear Mr. Cox: After carefully reviewing the blueprints and visiting the site for the above -referenced job, our price is: TWO HUNDRED SIXTY ONE THOUSAND EIGHT HUNDRED NINETY SIX and 051100ths DOLLARS ($261,896.05) We appreciate the opportunity to work with you on this project. If you have any questions regarding this proposal, please do not hesitate to contact us. Sincerely, Charles Medrano President OAK CONSTRUCTION CO., INC. 4000 SW 30TH AVENUE, FORT LAUDERDALE, FL 33312 TEL. (954) 683-9625 E-MAIL mail oal«tructions m FAX (954) 583-9949 PUBLIX #794. STARBUCKS REV) scHEnuLG nu: VAI u WA Acct. Desedption Amount Subcontractor General Conditions Supervision Oak Construction General Conditions Materials $ 6,756.0 Oak Construction Plan Expediter $ 2.500.00 Oak Construction Demolition $ 16 800.00 Oak Constriction Dumpsters, Jade Hammer & Equipment for DEMO $ 10,300.00 Oak Construction Concrete Cuttin $ 4,170.00 Oak Construction Sop Poisoning $ 2,500.00 Oak Construction Concrete labor $ 2,688.00 Oak Construction Concrete & Carpentry Materials $ 0 Qak Construction Stucco $ 500.00 Oak Construction Stainless Steel $ 2,451.00 Doudne Carpentry Labor $ 14,396.00 Oak Construction Drywall & Framing $ 19.500.00 Vazquez Acoustical Ceslin $ 3,500.00 Doral Acoustic MMA $ 20,400.00 Durabond Ceramic Tile $ 2,285.00 D'Mesa Painting $ - 2,800.00 TruCotor Air Conditioning $ 2,150.00 Quamec Plumbing $ 22.660.00 Plumbing Mart Lift Station & Grease Tank $ 35 500.00 Plumbing Mart Electric $ 37,900.00 C. Davis Fire Sprinklers $ 3,869.00 S & L SUBTOTAL: $ 224,524.00 13.75% OVER HEAD & PROW: $ 30,872.05 Permit Fee $ 6,500.00 1 V I AL.: $ 261,886.U5 Quallftcatlons: 1-Skim carat walls; 2-1/4" drywall laminate: 3-Air dust existing sprinkler head 4-Replace rusted sprinkler head escutcheon 5-Replace grease coated sprinkler head 6-(the above numbers already Included our overhead and profit fees) Exclusions: Fire Alarm _Clean and topcoat MMA _ Clean with high pressure air and reseal all sidewalk cracks greater than 1/4". _Repair cracks in ceiling, wall and columns at outside logia. _Patch and repair any damage concrete slab not Indicated an the plans. $2.86 per SF $3.72 per SF $21.28 per unit $28.00 per unit $97.44 per unit 51.2 1 CERTIFICATE OF SECRETARY (AUTHORITY OF DIRECTOR OF CONSTRUCTION) THE UNDERSIGNED, being the Secretary of PUBLIX SUPER MARKETS, INC., a Florida corporation (the "Corporation"), hereby certifies, on behalf of the Corporation and its subsidiaries, that MIKHAEL IL SER, P.E., as the Director of Construction of the Corporation, is authorized to do all acts and execute all documents (including, without limitation, permit applications and notice of commencement documents) with 'respect to the construction, alteration, and installation of improvements and equipment for facilities awned, leased, or otherwise controlled by the Corporation, on behalf of the Corporation, as fully as the Corporation might or could do through its officers. DATED this "day of January, 2017. __._JWnil-A-. -. .Secretary ii"(:i't 7-i tolk O atP t DEC. 27,1921 * SEAL STATE OF FLORIDA COUNTY OF POLK t.- O R The foregoing instrument was signed, sealed, and acknowledged before me this O day of January, 2017, by John A. Attaway, Jr., as Secretary of Publix Super to me. Markets, Inc., a Florida corporation, on behalf of the corporation. He is personally known s Printed Name- ' My Commission Ex ir Commission Number; es; 1 (Notary Seal) --- ` JOYCE M. PAMSA ; `i�1 I NY COMM3SS1gM 1 ii iiQ21 MAMA F COUidT1'� y VERIFICA'hON FORM Water and Sewer PO Box 330316 Miami, Florida 33233-0316 T 786-268-5360 F 786-268-5150 pAlr; I AuouSt;511.2018 BLDG PROCESS M M2018017521 y o 18-20180-VF - W INVOICE(S)#: 533 THIS FORM 15 NU 1 VALIU M I I'1UU I H rA1U iry VUll.c AMU r-ArIKr_ UNt TtAK VHUM I Ht UAI t UN FUKM MMOMMW Water Sewer New Construction Remodels No No • •No I WA THIS VERIFICATION LETTER CERTIFIES THAT AVAILABILITY OF A WATER AND/OR SEWER MAIN ONLY, AND IT DOES NOT GUARANTEE THE EXISTENCE OF A WATER SERVICE LINE, FIRE LINE OR OF A SEWER LATERAL WITH SUFFICIENT DEPTH TO SERVE THE PROPERTY. FOR ADDITIONAL INFORMATION EMAIL NEWBUSINESSSUPVLIST@MIAM IDADE.GOV. SHOULD IT BECOME NECESSARY TO INSTALL A SERVICE LINE AND/OR A SEWER LATERAL MDWASD REQUIRES THAT THE DEVELOPER RETAINS SERVICES FROM DESIGNERS AND CONTRACTORS WITH SKILL SETS FOR DESIGNING. BUILDING, AND CONNECTING TO PUBLIC WATER AND SEWER SYSTEMS. A WATER AND/OR SEWER AGREEMENT MAY BE REQUIRED. AN INSPECTION FOR ANY EXISTING SERVICES WILL BE PROCESSED WITH THIS FORM, AND A SERVICE UPGRADE MAY BE REQUIRED WHICH MAY TAKE UP TO 12 WEEKS. THIS IS TO CERTIFY THAT THE MIAMI-DADE WATER AND SEWER DEPARTMENT DOES HAVE A(N)12 INCH WATER MAIN SIZE AND/OR DOES HAVE A(N) 81NCH SEWER MAIN ABUTTING THE SUBJECT PROPERTY. WE ARE WILLING TO SERVE THE SUBJECT PROPERTY, SUBJECT TO PROHIBITIONS, OR RESTRICTIONS OF GOVERNMENTAL AGENCIES HAVING JURISDICTION OVER MATTERS OF THE ANTICIPATED DAILY WATER AND/OR SEWAGE FLOW FOR THIS PROJECT WHICH WILL BE THE NUMBER OF GALLONS PER DAY INCREASE STATED ABOVE. IF "WILL HAVE', UPON PROPER CONVEYANCE AND PLACEMENT INTO SERVICE OF WATER AND/OR SEWER FACILITIES BY THE DEVELOPER UNDER AGREEMENT IF APPLICABLE WITH THE DEPARTMENT. FURTHERMORE, APPROVAL OF ALL SEWAGE FLOWS INTO THE DEPARTMENTS SYSTEM MUST BE OBTAINED FROM D.E.R.M. SUBJECT TO RER'S TERMS AND CONDITIONS SET FORTH IN THE CONSENT DECREE (CASE NO. 1:12-CV-24400-FAM) OR DOH ONSITE SEWER TREATMENT & DISPOSAL SYSTEM RULES & STATUES. Verification Form - Non -Residential Exis ' Water 75 1 1.00 75.00 Verification Form - Non -Residential Existing Sewer 75 1.00 75.00 Water Allocation Certificate - Initial 1 90 1 1.00 1 90.00 ,d s 2ao.00 Verification Form Total S3 280.65 COMMENTS: Refunds are based on the date of payment and subject to State Statute 95-11. Some fees are not refundable. Only 5/8' meter for domestic service and no irrigation meter. N/A FAST FOOD RESTAURANT STARBUCKS 791 SF REPLACING RETAIL 791 SF CUSTOMER NAME: EVE GRADOVA CUSTOMER PHONE: Prepare by: Latarsha Cleare Approved by: Luis Delgado Printed Name of Reviewer Printed Name of Supervisor M-e a.w VM"VHWVW r14mm1119 ana vaur OUPpry L,eruncaaon weer Page 1 of 2 Scanned with CamScanner FOUNT Water and Sewer PO Box 330316 Miami, Florida 33233-0316 T 786-268-5360 F 786-268-5150 Water Supply CerWiw*m Number. WSC-20180-VF - 57 Water Supply Certification Issued Date: August 31, 2018 8url&V Process Number.M2018017521 Agent/Representative: EVE GRADOVA Owner. PUBLIX SUPER MARKETS INC 3300 PUBLIX CORPORATE PKWY LAKELANDFLORIDA 33811 Re: Adequate Water Supply Certification for the Project PUBLD( NEW STARBUCKS, Number 18-20180-VF - 57 The Miami -Dade Water and Sewer Department (Department) has received your request to receive water services to serve the following project which is more specifically described in the attached Agreement, Verification Form, or Ordinance Letter. Totals The Department has evaluated your request pursuant to Policy CIE-5D and WS-2C in the Countys Comprehensive Development Master Plan and Limiting Condition No. 5. of the South Florida Water Management District Water Use Permit Number 13-00017-W. Based on its review of all applicable information, the Department hereby certifies that adequate water supply is available to serve the above described project. This Adequate Water Supply Certification will expire if a building permit is not applied for within 365 days of the date of issuance of said certification. If an Agreement is executed for the proposed project, the certification will remain active with the terms of the Agreement until such time as the building permit is applied for. If a building permit is applied for in accordance with the aforementioned conditions, this certification will remain active with the building permit process. Furthermore, be advised that this adequate water supply certification does not constitute Department approval for the proposed project. Additional reviews and approval may be required from sections having jurisdiction over specific aspects of this projecL Should you have any questions regarding this matter, please contact Maria A. Valdes, Chief, Planning and Water Certification Section, (786) 552-8198 or via email at mavald0miamidade.cov. Sincerely, Latarsha Cleare New Business Representative Page 2 of 2 Scanned with CamScanner MIAMNDADE " 11 Water & Sewer Department New Business Office P.O. Box 330316 Wand, FL 33233-0316 Invoice Number Customer Number Invoice Date Business Process Number (X) Total Amount Due PUBLIX SUPER MARKETS, INC. 3300PUBLIX CORPORATE PKWY LAKELAND FL 33811 Note: WSS CC'S, VF FEE, W M ALLOC FOR FAST FOOD RESTAURANT (STARBUCKS) REPLACING RETAIL AT 9050 BISCAYNE BLVD F01-I0#11-3206-010-0010 #M2018017521 ER Water ER Sewer Agreement ID Invoice N00053396 00005304 r August 30, 2018 M2018017521 r $3,280.65 VF Non -Res Existing Wtr 1 EA 75.00 75.00 0.00 75.00 VF Non -Res Existing Swr 1 EA 75.00 75.00 0.00 75.00 Water Alloc Cert Initial 1 EA 90.00 90.00 0.00 90.00 CC WASD Water 435 GPD 1.39 604.65 0.00 604.65 CC WASD Sewer 435 GPD 5.60 2,436.00 0.00 2,436.00 Total Standard Charges $3,280.65 Total invoice ft9 AMI-DAf:E $3,280.65 YlATEn AND SEVWEn DEPARTMENT AUG 3 1 2018 Printed on 8/31/2018 by e31513 at OVERTOWN To pay online go to: Payment must be made within 72 hours of receipt of invoice. Refunds are based on the date of payment and subject to State Statute 95-11. Some fees are not refundable. Scanned with CamScanner Miami Shores Village � r�Y'� 7BY: 02 Building Department ^10� 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 ��1. L INSPECTION LINE PHONE NUMBER: (305) 762-4949 �FBC 20 BUILDING Master Permit No. 0 (—� 2 4 (o� PERMIT APPLICATION Sub Permit No. OBUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ORENEWAL F-IPLUMBING ❑ MECHANICAL PUBLIC WORKS [:]CHANGE OF [:]CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 9050 Biscayne Boulevard City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: 11 -3206-010-0010 Is the Bw Historically Designated: Yes NO X Occupancy Type: M Load: Construction\e: Flo Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): Publix SupermarkeX Inc Phone#: 863-688-7407 Address: PO Box 32025 City: Lakeland State: Zip: 33802 Tenant/Lessee Name: Owner OCc Aed N one#: Email: Donnett.Lowe@publix. CONTRACTOR: Company Name: MCkow\vBuilders, nc. Phone#: 305-774-7100 Address: 79Q9 NE First Avenue City: Miami State: FL Zip: 33138 Qualifier Name: Aid McConville Phone#: 646-533-0342 State Certification or Regist ion #: GC 2371 Certifi to of Competency #: DESIGNER: Architect/Engineer: ittle Diver ied Architectural Consu Ing Phone#: 704-561-5116 Address: 5815 Westpark Driv it Ci : Charlotte State: NC Zip: 28217 Value of Work for this Permit: $ 343, 0 Squar Linear Footage of Work: 8,578 Type of Work: ❑ Addition Q It tion ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: Interior Cafe Reno tion Specify color of color thru tile: Submittal Fee $ 26) " (P Permit Fee $ Scanning Fee $ Radon Fee $ Technology Fee $ Training/Education Fee $ Structural Reviews $ l (00 GO- (Revised02/24/2014) CCF $ CO/CC $ !� Glz�) DBPR $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ "L Bonding Company's Name (if applicable) Bonding Company's Address City N/A State Mortgage Lender's Name (if applicable) N/A Mortgage Lender's Address City State Zip Zi 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 wor construction in this jurisdiction. I understand that a separate FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, ETC..... k will be performed to meet the standards of all laws regulating permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, 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 such posted notice, the inspection will not be approved and a reinspection fee will be charged. — Signature Signature / OWNEhJAGENT CONTRACTOR The fpfegoing instrument was acknowledged before me this day of (�/bk 20 by ,. C &vnrI who is personally known to me or who has produced as identification and who did take an oath. `i .Y/ / It �. The foregoing instrument was acknowledged before me this 1`6/day of 20 11 by G—GN MCC0110;11P who is rso me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: '�1�'��► CY16 . Seal: Seal: t►✓<r DONNETT LOWE * * MY COMMISSION N GG 054362 f ov EXPIRES: December 1Z Mo APPROVED BY Plans Examiner >� 1 Structural Review GARVAN FRIIEL MY COMMISSION M FF935855 * * i�c6S�PaYsw�r,L�& „�142D* Zoning Clerk (Revised02/24/2014) STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 MCCONVILLE. AIDAN MICHAEL MC GOWAN BUILDERS, INC. 10690 NE 11TH COURT MIAMI SHORES FL 33138 Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you better, For information about our services, please log onto www.myfloridalicense.com, There you can find more information about our divisions and (tie regulations that impact you, subscribe to department newsletters and learn more about the Department's initiatives Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida. and congratulations on your new license! 4� STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CGC1523712 ISSUED. 05/2412016 CERTIFIED GENERAL CONTRACTOR MCCONVILLE, AIDAN MICHAEL MC GOWAN BUILDERS, INC. IS CEATIPIED under the plovasions of Ch 489 FS, EgWatwasts AUG31 201P LIME-1,40M-M DETACH HERE RICK SCOTT, GOVERNOR KEN LkV%/S0N, SECRETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD 4,1 The GENERAL CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 469 FS, Expiration date: AUG 31, 2018 MCCONVILLE, AIDAN MICHAEL MC GOWAN BUILDERS, INC. 7929 NE FIRSTAVENUE MIAMI FL 33138 ISSUED, 0512412016 DISPLAY AS REQUIRED BY LAW SEQ# L1605240000938 Local Business Tax Receipt Miami —Dade County, State of Florida -THIS IS NOT A BILL - DO NOT PAY 0ZEITIT-19 BUSINESS NAME/LOCATION MC GOWAN BUILDERS INC 7929 NE I AVE MIAMI FL 33138 IRECEI" NO. EXPIRES RENEWAL SEPTEMBER 30,2018 5959490 Must be displayed at place of business Pursuant to County Code Chapter flA - Art. 9 & 10 OWNER SEC. TYPE OF BUSINESS PAYMEW RECEIV90 MC GOWAN BUILDERS INC 196 GENERAL aLlILDING CONTRACTOR BY TAX COLLECTOR Wotket (5) 5 CGCO62486 WkQ 0710512017 CREDITWD-1 7-042928 This Local Business Tax Flo"ipt only 96rdirms paymoril al 1ha Local Busiflus Tax permit, at a certification of the holder's qualificaCons, to do lusint'", ornongovernmental tm. falory laws and requirements which app'VletioledgLi�M The RECEIPT NOabove musibe displayed an all commercial vshicla For more information. vigil l`liant#• 19AAARA MCGOWBUI ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 8/24/2017 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 endorsement(s). PRODUCER USI Insurance Svcs - KORE CL CONTACT Katlen Yesse NAME: PHONE 973 965-3166 ac N, : 610 537-4508 A/C No Ext 300 Executive Drive ADDRESS: katlen.yesse@usi.com INSURER(S) AFFORDING COVERAGE NAIC # West Orange, NJ 07052 973 965-3100 INSURER A: Travelers Property Cas. Co. of 25674 INSURED McGowan Builders, Inc. INSURER B: Starr Indemnity & Liability Com 38318 INSURER c : American Guarantee & Liability 26247 7929 NE First Avenue Miami, FL 33138 INSURER D INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: 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 CONTRACTOR 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. LTRR TYPE OF INSURANCE NSRADDLSUBR WVD POLICY NUMBER MWDDNYYY MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR DTC07E849701 PHX17 8/27/2017 08/27/2018 EACH OCCURRENCE s2,000,000 PREMISES Ea occu ence $300000 MED EXP (Any one person) $5 000 PERSONAL & ADV INJURY s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRO - POLICY F—] JECT LOC OTHER: GENERAL AGGREGATE $4,000,000 PRODUCTS - COMP/OPAGG $4,000,000 $ A AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED SCHEDULED X AUTOS X AUTOS X HIRED AUTOS X NON -OWNED AUTOS DT8107E893423TIL17 8/27/2017 08/27/201 COMBINED SINGLE LIMIT E, accident 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY RTY DAMAGE $ $ B C X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE 1000023055 AEC013469801 8/27/2017 8/27/2017 08/27/2018 08/27/2018 EACH OCCURRENCE $$25 OOO OOO AGGREGATE $$25 OOO OOO DED I I RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y / N OFFICER/MEMBEREXCLUDED? � (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N/A DTNUB7E84970117 8/27/2017 08/27/201 OTH- X PER ER E.L. EACH ACCIDENT $1 OOO 000 E.L. DISEASE - EA EMPLOYEE $1 000 000 E.L. DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) RE: license #CGC 1523712. CERTIFICATE HOLDER L AN%.,r LLA I IUN Miami Shores Village SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE g THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Building Department ACCORDANCE WITH THE POLICY PROVISIONS. 10050 N.E. 2nd Avenue Miami shores, FL 33138 AUTHORIZED REPRESENTATIVE ®1988-2014 ACORD CORPORATION. All rlgnts reservea. ACORD 25 (2014101) 1 Of 1 The ACORD name and logo are registered marks of ACORD #S21358228/M21352169 AJMZP Property Search Application - Miami -Dade County Page 1 of 1 OFFICE OF THE PROPERTY APPRAISER Summary Report Property Information Folio: 11-3206-010-0010 9050 BISCAYNE BLVD Property Address: Miami Shores, FL 33138-3222 ...... ...... _..._...._............._ _ ._....... __ _....._ NORTHERN TRUST BANK ETAL Owner TRS % PUBLIX SUPERMARKET INC PO BOX 32025 Mailing Address LAKELAND, FL 33802-2025 PA Primary Zone 6200 COMMERCIAL - ARTERIAL _...... . ......... ... ...._........._.... �..__..__..... __.._._.................................. 1411 SUPERMARKET: RETAIL Primary Land Use OUTLET Beds / Baths / Half 0/0/0 _._._._....—._..._...._— Floors .... ........ ..... .__.............. _..—_...... .—..__.._. 2 Living Units 0 __._..........__............ Actual Area ......... _..... _........_.. _..._......_�__. Sq.Ft Living Area Sq.Ft Adjusted Area 63,776 Sq.Ft Lot Size 223,898 Sq.Ft _ .......—.........................--.......................—_ Year Built _.._.._..... ....... 2001 Assessment Information Year 2017 2016 2015 Land Value $4,030,164 $4,030,164 $3,582,368 Building Value $4,214,836 $4,214,836 $4,523,632 _ — XF Value $0 _._ $0 _._............-....._....-...�.... $0 _ ........ ..... Market Value $8,245,000 $8,245,0001 $8,106,000 Assessed Value $8,245,000 $8,245,000 $8,106,000 Generated On : 8/21/2017 Taxable Value Information 20171 2016 2015 County .... _----............ —_.................._........_ _.._..._.._.. _ �.... ....... ................. .......... _............. �. _.... Exemption tion Value $0 $0 $0 Taxable Value $8,245,000 $8,245,000 $8,106,000 School Board Exemption Value $0 $0 __-.._...... $0 Taxable Value $8,245,000 $8,245,000 $8,106,000 City Exemption Value Taxable Value $0 $8,245,000 $0 $8,245,000 $0 ...... ...... ..,...,. $8,106,000 Regional Exemption Value $0 $0 $0 Taxable Value - — .............. ..._.— _.... $8,245,000 $8,245,000 $8,106,000 Benefits Information Benefit Type 2117 2016 2015 Note: Not all benefits are applicable to all Taxable Values (i.e. County, Sales Information School Board, City, Regional). Previous Sale Price OR Book -Page I. Qualification Description Short Legal Description 6 53 42 5.14 AC M/L SHORES CENTER PB 49-42 TR A LESS BEG 52.07FTSWLY OF X OF S/L NE 92ND ST & WLY R/W/L BISC BLVD CONT SWLY140.15FT 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.gov/info/disclaimer.asp Version: http://www.miamidade.gov/propertysearch/ 8/21 /2017 10/9/2017 Detail by Entity Name Department of State / Division of Corporations / Search Records / Detail By Document Number / Detail by Entity Name Florida Profit Corporation PUBLIX SUPER MARKETS, INC. Filing Information Document Number 112252 FEI/EIN Number 59-0324412 Date Filed 12/27/1921 State FL Status ACTIVE Last Event CORPORATE MERGER Event Date Filed 08/22/2017 Event Effective Date NONE Principal Address 3300 PUBLIX CORPORATE PKWY LAKELAND, FL 33811-3311 Changed: 03/24/2010 Mailing Address Licenses P O Box 32027 LAKELAND, FL 33802-2027 Changed: 04/22/2014 Reaistered Aaent Name & Address ATTAWAY, JOHN A, JR. 3300 PUBLIX CORPORATE PKWY LAKELAND, FL 33811-3311 Name Changed: 07/14/2000 Address Changed: 04/27/2005 Officer/Director Detail Name & Address Title SRVP ATTAWAY, JOHN AJR. 3300 PUBLIX CORPORATE PKWY http://search.sunbiz.org/Inquiry/CorporationSearch/Search ResultDetail?inquirytype=EntityName&directionType=l nitial&searchNameOrder=PU BLIXSU ... 1 /4 10/9/2017 ' I LAKELAND, FL 33811-3311 Detail by Entity Name Title EXECUTIVE VP & CFO PHILLIPS, DAVID P 3300 PUBLIX CORPORATE PKWY LAKELAND, FL 33811-3311 Title CEO & PRESIDENT JONES, RANDALL T 3300 PUBLIX CORPORATE PARKWAY LAKELAND, FL 33811-3311 Title SR VP CHAMBERLAIN, JEFFREY G 3300 PUBLIX CORPORATE PKWY LAKELAND, FL 33811-3311 Title SR VP INDUSTRIAL OPERATIONS SMITH, MICHAEL 3300 PUBLIX CORPORATE PARKWAY LAKELAND, FL 33811 Title VP Facilities MCGARRITY, ROBERT J 3300 PUBLIX CORPORATE PKWY LAKELAND, FL 33811-3311 Annual Reports Report Year Filed Date 2017 01 /24/2017 2017 01 /25/2017 2017 02/13/2017 Document Images 08/22/2017 -- Merger View image in PDF format 07/24/2017 -- Merger View image in PDF format 07/12/2017 — Merger View image in PDF format 07/12/2017 — Merger View image in PDF format 06/07/2017 — Merger View image in PDF format 04/14/2017 -- Merger View image in PDF format 03/31/2017 -- AMENDED ANNUAL REPORT View image in PDF format 02/13/2017 -- AMENDED ANNUAL REPORT View image in PDF format 01/25/2017 — AMENDED ANNUAL REPORT View image in PDF format 01/24/2017 — ANNUAL REPORT Viow image in PDF format 02/11/2016 -- ANNUAL REPORT View image in PDF format n4/9Q/9MF — NA—.r _ _—Vww.manp. in PnF. fnrmnt_ http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetaiI?inqu irytype=EntityName&d irectionType=Initial&searchNameOrder=PU BLIXSU ... 2/4 i� - ', �i. t! � Si �.fi ,77.'�1 '� i`s! .. �� ar , ��. ..I v`�� 1'i'W'if�%1`r• — �l'LL�`� �-�M it—'�r..f. � 3 7'�Jr .. i'f �;ia 0 -•,h KC�eS �. '� • >: �.•i ? � 7 � ! # � b Y,.: IF 7 �� 3 �"c�r " . 7�y ..c, •¢ � , ...] Certificate of Completion Miami Shores Village 10050 N.E. 2nd Ave, Miami Shores, Florida 33138 Tel: 305-795-2204 Fax: 305-756-8972 Building Inspection Department This certificate issued pursuant to the requirements of the Florida Building Code 106.1.2 certifying that at the time of issuance this structure was in compliance with the various ordinances of the jurisdiction regulating building construction or use. For the following: Description: INTERIOR CAFE RENOVATION Permit Type Owner Subdivision/Project Construction Type II-B Square Footage Location 9050 BISCAYNE BLVD Miami Shores, FL 33138 Building (Commercial) Bldg. Permit No. CC-8-18-2224 PUBLIX SUPERMARKETS, INC Contractor OAK CONSTRUCTION CO Date Issued 02/28/2019 Occupancy M Type 791.00 Flood Zone AE-8 If the building is located in a special flood hazard area documentation of the as -built lowest floor elevation or lowest horizontal structural member has been provided and is retained in the records of Miami Shores Village. This certificate issued pursuant to the requirements of the Florida Building Code certifying that at the time of issuance this structure was in compliance with the arious ordinances of the jurisdiction regulating building construction or use. Building Officials Approval Ismael Naranjo, CBO w�-a:..« . ,�-,� �,,,�.,•.Notesransfera.ble-n........L...,,..,_._,w...,....�..w...._.._w.__ W.�._..._ r ___.�-_---...._ . -- -. Miami Shores Village Leoj ear Building Department 1 10050 NE 2 Ave E- Miami Shores FL 33138 �roxt°P Issue Date: 11 /30/2018 INSPECTION REQUESTS: (305)762-4949 or log on at https://bidg.msvfl.gov/energov_prod/selfservice Requests must be received by 3:30pm WORK IS ALLOWED: MONDAY THROUGH FRIDAY, 8:00AM-TOOPM SATURDAY 8:OOAM - 6:00PM. NO WORK IS ALLOWED ON SUNDAY OR HOLIDAYS BUILDING AND ROOFING INSPECTIONS ARE DONE 'MONDAYTHROUGH FRIDAY . NO INSPECTION WILL BE MADE UNLESS THE PERMIT CARD IS DISPLAYED AND HAS BEEN APPROVED . PLANS ARE READILY AVAILABLE. IT IS THE PERMIT APPLICANT'S RESPONSIBILITY TO ENSURE THAT WORK IS ACCESSIBLE AND EXPOSED FOR INSPECTION PURPOSES. NEITHER THE BUILDING OFFICIAL NOR THE CITY SHALL BE LIABLE FOR EXPENSE ENTAILED IN THE REMOVAL OR REPLACEMENT OF ANY MATERIAL REQUIRED TO ALLOW INSPECTION . Permit NO, CC-8-18-2224 Type: Building (Commeniit) Warkciass: Alteration Permit Status: Approved Expires: 05/29/2019 POST ON SITE 1132060100010 Owner's Name: PUBLIX SUPERMARKETS, INC Owner's Phone: 863688747 Job Address: 9050 BISCAYNE BLVD Total Square Feet: 791 Miami Shores, FL 33138 Total Job Valuation: $ 159,827.05 I Contractor(s) Phone Address OAK CONSTRUCTION CO (954)583-9625 Description: INTERIOR CAFE RENOVATION Ay REPLACING EXPIRED APPLICATION CC17-2469 y 4. I WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Page 1 of 1 INSPECTION RECORD �■■�STRUCTURAL INSPECTION DATE INSP Foundation � -~ Slab Columns (1st Lift) Columns (2nd Lift) Tie Beam Truss/Rafters Roof Sheathing Bucks Interior Framing Insulation Ceiling Grid Drywall ^ Firewall Wire Lath Pool Steel Pool Deck Final Pool Final Fence Screen Enclosure Driveway Driveway Base Tin Cap Roof in Progress Mop in Progress Final Roof Shutters Attachment Final Shutters Rails and Guardrails ADA compliance DOCUMENTS jy Soil Bearing Cert Soil Treatment Cert Floor Elevation Survey Reinf Unit Mas Cert Insulation Certificate Spot Survey Final Survey Truss Certification STRUCTURAL COMMENTS WINDOWS: INSPECTION DOORS I DATE INSP Attachment INSPECTION WORKSPUBLIC DATE INSP Excavation ELECTRICAL INSPECTION DATE INSP Temporary Pole 30 Day Temporary Pool Bonding Pool Deck Bonding Pool Wet Niche Underground Footer Ground Slab Wall Rough S Ceiling Rough 10 f Rough Telephone Rough Telephone Final TV Rough TV Final Cable Rough Cable Final Intercom Rough Intercom Final Alarm Rough Alarm Final Fire Alarm Rough Fire Alarm Final Service Work With c ELECTRICAL COMMENTS INSPECTION JINSP Final Sprinkler Final Alarm FINAL PLUMBING INSPECTION DATE I I• Rough Water Service- 2 nd Rough Top Out �Septic reSprinklers Tank Sewer Hook-up Roof Drains Gas LP Tank Well Lawn Sprinklers Main Drain Pool Piping Backflow Preventor Interceptor Catch Basins Condensate Drains HRS Final PLUMBING COMMENTS INSPECTION DATE INSP Underground Pipe Rough Ventilation Rough r Hood Rough Pressure Test Final Hood Final Ventilation Final Pool Heater Final Vacuum MECHANICAL COMMENTS P L U M B I N G Lic. # CFCO25560 6299 Johnson Street Hollywood, FL 33024 • (954) 961-5527 • Fax: (954) 962-1521 �f SEE INVOICE #,�7 DATE i PERMIT # NAME OF PREMISE (]794 PROPERTY OWNER NAME STREET ADDRESS CITY ZIP L LOCATION OF DEVICE ' TYPE OF DEVICE: RP Y D.C. ❑ PVB ❑ SIZE_ A COUNT # / MANUFACTURER �y t 1k 1-)n ,� METER # �� l�� © 70 MODEL NUMBER `') SERIAL # PRESSURE DROP ACROSS FIRST CHECK VALVE PSI CHECK VALVE #1 CHECK VALVE #2 DIFFERENTIAL PRESSURE VACUUM PRESSURE RELIEF VALVE BREAKER INITIAL I.LEAKED ❑ LEAKED ❑ AIR INLET TEST OPENED AT C9i LBS. OPEN AT LBS. 2. CLOSED TIGHT CLOSED TIGHT DID NOT OPEN ❑ DID NOT OPEN ❑ CLEANED ❑ CLEANED ❑ CLEANED ❑ CHECK VALVE REPLACED REPLACED REPLACED LEAKED ❑ RUBBER PARTS KIT ❑ RUBBER PARTS KIT ❑ RUBBER PARTS KIT ❑ CLOSED TIGHT ❑ C.V. ASSEMBLY ❑ C.V. ASSEMBLY ❑ C.V. ASSEMBLY ❑ CLEANED [] OR OR OR REPLACED R DISC ❑ DISC ❑ C.V. ASSEMBLY ❑ E O-RINGS ❑ O-RINGS ❑ DISC ❑ DISC. AIR INLET ❑ P SEAT ❑ SEAT ❑ DIAPHRAGM ❑ DISC. C.V. ❑ A SPRING ❑ SPRING ❑ SEAT ❑ SPRING ❑ I STEM/GUIDE ❑ STEM/GUIDE ❑ SPRING ❑ RETAINER ❑ R LOCK NUTS ❑ LOCK NUTS ❑ O-RINGS ❑ O-RING ❑ OTHER ❑ OTHER ❑ OTHER ❑ OTHER ❑ FINAL- OPEN AT LBS. TEST CLOSEDTIGHT ❑ CLOSED ❑ REDUCED PRESSURE SATISFACTORY ❑ nLzrrvnJ/nCrL/AUr-iVltlV 1 JhiALL tSt UUMN DIFFERENTIAL PRESSURE ACROSS CK VALVE #2 - REMARKS: ✓D�WITHIN TEN (10) DAYS. oL I HEREBY C RTIFY THAT THIS DATA IS ACCURATE AND REFLECTS THE PROPER OPERATION AND MAINTENANCE OF THE UNIT. PASSED FAILED - REPAIR NEEDED ( f INITIAL TEST BY CERTIFIED TESTER NO. i G REPAIRED BY FINAL TEST BY_ CERTIFIED TEST CERTIFIED TESTER EXP. MO. DAY YR. DATE DATE MO. DAY YR. DATE (WHITE) - CITY (YELLOW) - (*FICE` ' (PINK) - FILE DATE NAM STRI CITY LOC) TYPE MANI MOD PRE,c P L U M B I N G Lic. # CFCO25560 6299 Johnson Street Hollywood, FL 33024 • (954) 961-5527 • Fax: (954) 962-1521 CHECK VALVE #1 I CHECK VALVE #2 I DIFFERENTIAL DRFCCIIQC oci IQCVAI- INITIAL TEST 1. LEAKED 2. CLOSED TIGHT ❑ KI LEAKED CLOSEDTIGHT ❑ ❑ OPENED AT DID NOT OPEN LBS. ❑ CLEANED ❑ CLEANED ❑ CLEANED El REPLACED REPLACED RUBBER PARTS KIT ❑ RUBBER PARTS KIT ❑ RUBBER PARTS KIT ❑ C.V. ASSEMBLY ❑ C.V. ASSEMBLY ❑ C.V. ASSEMBLY ❑ OR OR OR R DISC ❑ DISC ❑ E O-RINGS ❑ O-RINGS ❑ DISC ❑ P SEAT ❑ SEAT ❑ DIAPHRAGM ❑ A SPRING ❑ SPRING ❑ SEAT ❑ I STEM/GUIDE ❑ STEM/GUIDE ❑ SPRING ❑ R LOCK NUTS ❑ LOCK NUTS ❑ O-RINGS ❑ OTHER ❑ OTHER ❑ OTHER ❑ FINAL- OPEN AT LBS. TEST CLOSED TIGHT ❑ CLOSED El REDUCED PRESSURE rm1namr-rLHl,tMtN I SHALL BE COMPLETED WITHIN TEN (10) DAYS. DIFFERENTIAL PRESSURE ACROSS CK VALVE #2 - REMARKS: PRESSURE VACUUM BREAKER AIR INLET OPEN AT LBS. DID NOT OPEN ❑ CHECK VALVE LEAKED ❑ CLOSED TIGHT ❑ CLEANED ❑ REPLACED C.V. ASSEMBLY ❑ DISC. AIR INLET ❑ DISC. C.V. ❑ SPRING ❑ RETAINER ❑ O-RING ❑ OTHER ❑ SATISFACTORY ❑ I HEREBY CE TIIFY THAT THIS DATA IS ACCURATE AND REFLECTS THE PROPER OPERATION AND MAINTENANCE OF THE UNIT. PASSED __ --, FAILED - REPAIR NEEDED INITIAL TEST BY CERTIFIED TESTER NO. !' REPAIRED BY FINAL TEST BY CERTIFIED TEST CERTIFIED TESTER EXP. MO. DAY YR. DATE 4EXP.:1 MO. DAYYR. (WHITE) - CITY (YELLOW) - OKICE' v (PINK) - FILE 12043 6512 NW 541h Ct, Lauderhill FL 33319 Cell 754-235-7126 / Office: 954-709-5249 NOTICE OF TERMITE PROTECTION TREATMENT As Required By Florida Building Code (FBC) 104.2.6 Property Information Builder/Contractor Treatment Date-" ! Name of Builder r ,' TreatmentTime � l 0 41s7 Lot r% � 4 Shell Contractor Block ,p `� Subdivision Name / CONSTRUCTION TYPE: Street Address �LVFMonolithic_!�i&�_ S/F L/F ' Stemwall S/F LJF City / State / Zip ;'+' Patio S/F L/F Additions S/F OF CHEMICALTYPE: ❑ Cyper To Cypermethrin ❑ Termidor Fipronil ❑ Dragnet Permethrin ❑ Spray Only ❑ Pro Build TC Cypermethrin ❑ Permise Pre -Construction ❑ Spray and Tamp ❑ Other Imidacloprid ❑ Residential ❑ Commercial TREATMENTTYPE: ❑ Underslab Date of Completion Chemical % E Gallons "�•.:.'`� ❑ Footers 4, ❑ Wood Treatment Applicator t c' GUARANTEE RENEWAL ❑ None ❑ Yes ❑ 1 Year ❑ No ❑ 5 Years NO LIMIT TERMITE & PEST SERVICES, LLC, hereby confirms that this building has received a complete treatment for the prevention of subterranean termites. Treatment is in accordance with the rules and laws as established by Florida Depart- ment of Agriculture and Consumer Services. Exterior perimeter treatment was completed upon final grade.