DEMO-18-226a`S�tOS Miami Shores Village
$�� 10050 N.E. 2nd Avenue NE
Miami Shores, FL 33138-0000
L ' Phone: (305)795-2204
�"Irt l
PeAftrmit
Permit No. DEMO-1-18-226
Permit Type: Demolition
Work Classification. Building
Permit Status: APPROVED
Issue Date:202018 1 Expiration: MOWN its
Project Address Parcel Number Applicant
54 NE 95 Street 1132060130470
Miami Shores, FL 33138- Block: Lot: JUDITH WILLIAMS
owner mrormation Address Phone Cell
JUDITH WILLIAMS 54 NE 95 Street (305)756-1312
MIAMI SHORES FL 33138-2707
Contractor(s) Phone Cell Phone
D.L.F. SERVICES LLC (305)420-8135
Type of Demo: Building
Additional Info: DEMOLITION OF KITCHEN CABINETS BATH
Classification: Residential
Scanning: 3
Fees Due
Amount
CCF
$1.80
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.60
Permit Fee
$100.00
Scanning Fee
$9.00
Technology Fee
$2.40
Total:
$117.80
Valuation: $ 2,500.00
Total Sci Feet: 415
Pay Date Pay Type Amt Paid Amt Due
Invoice # DEMO-1-18-66266
02/06/2018 Credit Card $ 67.80 $ 50.00
01/29/2018 Credit Card $ 50.00 $ 0.00
Avauaoie inspections:
Inspection Type:
Final
Review Electrical
Review Electrical
Review Building
Review Plumbing
In considerate of the issuance to me of this ermit, I a e to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining ther to and in strict conformity with t plans, drawl s, statements or specifications submitted to the proper authorities of Miami Shores Village. In
accepting this rmit I a ume responsibility f all work done by either my elf, my agent, servants, or employes. I understand that separate permits are
required for ELE TRICAL, PLUMBI , ECHA ICAL, WINDO S, DOOR , ROOFING and SWIMMING POOL work.
OWNER A�and
VIT: I c�te
ify th tall th foreg g informa' n is ac rate and that all work will be done in compliance with all applicable laws regulating
constru ion o�iing. Frmor, I out orize th bove-n ed co ractor to do the work stated.
February 06, 2018
Authorized Zpartment
nature: Owner"-, / Apple t-" / Contractor / Agent
Building Copy
February 05, 201B 1
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
BUILDING
PERMIT APPLICATION
�QBUILDING ❑ ELECTRIC ❑ ROOFING
JANA idig
f11
FBC zoi -T -
Master Permit No. T)CMO 1B --
Sub Permit No.
❑ REVISION ❑ EXTENSION ❑ RENEWAL
❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
!�_ j' CONTRACTOR DRAWINGS
106 ADDRESS: -Ji..� �i� \t e�
Folio/Parcel#: / % —InO V t!/ y Q/ 1 ' 7 %Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
(7q tR: Name,(Fee Simple Titlehold
(Ciy:
Tenant%Lessee
Email:
State"" T— ll- [`Zip:' a�;S[ 3 7
'Z)- a ,Acw�ar, I - Cif -
CONTRACTOR: Compan Name: Phone#: �S1 — 44S — 1106I
Address
City: S at��
Zip:
Qualifier Name:
State Certification or Registration #: - �! /J /J r'f /� Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: ---_State: __ Zip:
Value of Work for this Permit: $�� ()U Square/Linear Footage of Work:x T`
Type of Work: ❑ Addition ❑ Alteration ❑ New
❑ Repair/Replace ❑Demolition
Description of Work:ye V" 0 6M , 04 it TO
Oc v*J V V GNn /� 11.E D < <,�n a a �/� 4.u� csc,wt 4 Q► v� �m o 4
Specify color of color thru tile:
Submittal Fee $ � 1 I Permit Fee $ _) M ,Cb CCF $
CO/CC $
Scanning Fee $ Radon Fee $ Z_ �yV DBPR $ 2 Notary $
Technology Fee $ Training/Education Fee $ Double Fee $
Structural Reviews $ Bond $
TOTAL FEE NOW DUE $
(Revised02/24/2014)
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State
Zip
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 goad 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.
(_ SignatureyVJ \�
1 G0WNER,or,—AG ENTD
The foregoing instrument was acknowledged before me this
C day of r�A
who is personally known to
me or who has producedr — 0 L_ as
identification and who did take an oath.
i NOTARY. PUBLIC:i
Sign:-
C-Print• Ca N C-C:� ►^ Or
Seal:'
APPROVED BY
Signatur
CONTRACTOR
The fore oing instrument was acknowledged before me this
-,:P day of f%U 20 ��, by
personally known to
me or who has produced
identification and who did take an oath.
NOTARY PUBLIC:
Print:
as
ANA I FERREIRA Seal:
Notary Public ISABEL VALDES
State of New Jersey * *` MY COMMISSION #FF101662
mi io Ex Ires Feb. 28, 2021
-'-' (407) 398-0153 FloridallotaryService.com
` Plans Examiner Zoning
(Revised02/24/2014)
Structural Review Clerk
OFFICE OF THE PROPERTY APPRAISER
Summary Report
Property Information
Folio:
11-3206-013-0470
Property Address:
54 NE 95 ST
Miami Shores, FL 33138-2707
Owner
JUDITH B WILLIAMS TRS
JUDITH B WILLIAMS REV TR
Mailing Address
54 NE 95 ST
MIAMI SHORES, FL 33138 USA
PA Primary Zone
1100 SGL FAMILY - 2301-2500 SQ
Primary Land Use
0101 RESIDENTIAL -SINGLE
FAMILY: 1 UNIT
Beds / Baths / Half
3/2/1
Floors
1
Living Units
1
Actual Area
1,904 Sq.Ft
Living Area
1,605 Sq.Ft
Adjusted Area
1,755 Sq.Ft
Lot Size
9,675 Sq.Ft
Year Built
1941
Assessment Information
Year
2017
2016
2015
Land Value
$241,547
$241,547
$184,000
Building Value
$122,148
$122,148
$122,148
XF Value
$26,571
$26,580
$161027
Market Value
$390,266
$390,275
$322,175
Assessed Value
$390,266
$126,501
$125,622
Benefits Information
Benefit
Type
2017
2016
2015
Save Our Homes Cap
Assessment Reduction
$263,774
$196,553
Homestead
Exemption
$25,000
$25,000
Second Homestead
Exemption
$25,000
$25,000
Senior Homestead
Exemption
$50,000
$50,000
Widow
Exemption
$500
$500
Note: Not all benefits are applicable to all Taxable Values (i.e. County, School
Board, City, Regional).
Short Legal Description I
1 5341 6 53 42
MIAMI SHORES SEC 1 AMD PB 10-70
W1/2 LOT 5 & LOT 6 BLK 4
LOT SIZE 75.000 X 129
OR 12618-1397 0885 5
Generated On: 1/16/2018
Taxable Value Information
2017
2016
2015
County
Exemption Value
$0
$100,500
$100,500
Taxable Value
$390,266
$26,001
$25,122
School Board
Exemption Value
$0
$25,500
$25,500
Taxable Value
$390,266
$101,001
$100,122
City
Exemption Value
$0
$50,5001
$50,500
Taxable Value
1 $390,2661
$76,001
$75,122
Regional
Exemption Value
$0
$50,500
$50,500
Taxable Value
1 $390,266
$76,001
$75,122
Sales Information
Previous
Price
OR Book-
Qualification Description
Sale
Page
Corrective, tax or QCD; min
04/07/2016
$100
30041-1482
consideration
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
H. The singular includes the plural and the plural includes the singular.
ARTICLE 3U - TRUSTEE
A. Appointment of Trustee:
1. The Settlor appoints herself, JUDITH B. WILLIAMS a/k/a JUDITH B.
BROOKS, to serve as Trustee of the JUDITH B. WILLIAMS REVOCABLE TRUST
AGREEMENT dated the —�J_ day of 2016, created hereunder.
2. Upon the death, or mental or physical incapacity of JUDITH B. WILLIAMS
a/k/a JUDITH B. BROOKS, the individual Trustee, as so certified by Marc Saltzman, M.D. as
provided for in Article V, second paragraph on Page 4 above in writing, Settlor appoints
MICHAEL PETE WILLIAMS to serve as Successor Co -Trustee. In the event MICHAEL
PETE WILLIAMS is unable or unwilling to serve, then in that event, Settlor appoints ANDRE,
R. FOURNIER to serve as Successor Trustee. My Successor Trustee shall serve without
responsibility for any acts of the original Trustee. Upon receipt of written notice of the incapac-
ity of JUDITH B. WILLIAMS a/k/a JUDITH B. BROOKS, the individual Trustee, the
Successor Co -Trustee is authorized and directed to transfer all assets to the name of Successor
Trustee and in so doing is authorized to execute in their capacity as Successor Trustee, any stock
powers or other instruments necessary to effect such a transfer of ownership.
3. Any successor to JUDITH B. WILLIAMS a/k/a JUDITH B. BROOKS,
whether by transfer of situs of any Trust hereunder, consolidation, merger, or by resignation or
otherwise, shall succeed as Trustee with like powers and effect as though originally named as
THE JUDITH B. WILLIAMS REVOCABLE TRUST AGREEMENT
TRUST AGREEMENT made this. day of 2016, between JUDITH B.
WILLIAMS a/k/a JUDITH B. BROOKS, (hereinafter called the "Settlor), and JUDITH B.
WILLIAMS a/k/a JUDITH B. BROOKS, (hereinafter called the "Trustee").
ARTICLE I - NAME OF TRUST
This Trust shall, for convenience, be known as the-JUDITH B. WILLIAMS
REVOCABLE TRUST AGREEMENT dated the day of 4 Pe 2016, and it shall be
sufficient that it be referred to as such in any instrument of transfer, deed, assignment, bequest, or
devise.
ARTICLE H - TRUST PROPERTY
The Settlor hereby transfers and delivers to the Trustee the property listed on Schedule A
annexed hereto, to have and to hold the same and any cash, securities, or other real and personal
property which the Trustee may, pursuant to any of the provisions hereof, at any time hereafter .
hold or acquire, all of such property being hereinafter referred to as the Trust Estate, for the uses
and purposes and upon the terms and conditions herein set forth.
The Settlor reserves the right to reside upon any real estate placed in the Trust as her
permanent residence during her life, it being the intent of this provision to retain for the Settlor
the requisite beneficial interest and possessory right in and to such real property to comply with
such. In the event that one or both of the named Successor Trustees are unable or unwilling to
act, then the surviving or remaining named alternate Trustee shall either elect to act or appoint a
Successor Trustee to act in his or her capacity.
4. The title to the Trust Estate shall vest forthwith in any Successor Trustee acting
pursuant to the foregoing provisions hereof, but any resigning or removed Trustee shall execute
all instruments and do all acts necessary to vest such title in any Successor Trustee without court
accounting. A Successor Trustee shall have no duty to examine the accounts, records, and acts of
the previous Trustee or Trustees and shall in no way or manner be responsible for any act or
omission to act on the part of the previous Trustee. Any claim or action against any previous
Trustee must, in any event, be asserted or filed by any beneficiary within one year after such
Trustee ceases to serve.
6. Settlor's Trustees shall be entitled to be reimbursed all expenses advanced and
to a fee consistent with what is normal and customary in the community and any benefit
otherwise given any of my trustees shall NOT be taken into consideration with respect to fees.
ARTICLE XII - POWERS OF TRUSTEE
In administering the Trust established hereunder, the Trustee shall have the express
powers enumerated herein, together with all other powers conferred by law upon Trustees
generally, and may exercise them at any time and from time to time in any valid manner with or
without court order, as follows:
A. Retain Trust Estate: To retain, without liability for loss or depreciation
12
resulting from such retention, the original assets and all other property hereafter transferred,
devised, or bequeathed to the Trustee for such time as the Trustee shall deem advisable although
such property may not be of the character prescribed by law or by the terms of this instrument for
the investment of trust assets and although it represents a large percentage of all of the Trust
Estate•, said original property may accordingly be held as a permanent investment.
B. Hold Uninvested Cash and Unproductive Property: For any periods deemed
advisable, to hold cash, uninvested, even though the total amount so held is disproportionate
under trust investment law or would not be permitted without this provision and to retain or
acquire and hold unproductive realty or personalty.
C. Invest and Acquire: To invest and reinvest trust assets in any type of property
or security without regard to -the proportion that investment of the type selected may bear to the
entire Trust Estate, without limitation to the classes of trust investment authorized by law, and
without regard to the possibility that the investments may be in new issues or in new or foreign
enterprises. The property acquired may be realty or personalty, and may include life insurance,
bonds, debentures, leaseholds, options, easements, mortgages, notes, mutual funds, investment
trusts, common trust funds, voting trust certificates, and any class of stock or rights to subscribe
for stock, regardless of whether the yield rate is high or low or whether or not the new asset
produces any income at all. it is intended that the Trustee shall have the authority to act in any
manner deemed in the best interest of the Trust involved, regarding it as a whole, even though
certain investments considered alone might not otherwise be proper.
D. Exercise Options and Conversion Privileges: To exercise any options, rights,
and conversion privileges pertaining to any securities held by the Trustee as trust assets.
E. Receive Additional Property: To receive additional property from any source,
including the Personal Representative of Settlor's estate and the Trustee or beneficiary of any
other trust, by whom created, and to hold and administer this Trust, by whomever created, and to
hold and administer this property as part of the Trust Estate.
F. Sell and Lease: To sell, convey, grant options to purchase, lease, transfer,
exchange, or otherwise dispose of any trust asset on any terms deemed advisable, to execute and
deliver deeds, lease, bills of sale, and other instruments of whatever character, and to take or
cause to be taken all action deemed necessary or proper in connection therewith.
G. Insure: To carry any insurance deemed advisable with any insurer against any
hazards, including public liability, and to use insurance proceeds to repair or replace the asset
insured.
13
-•1
H. Lend: On any terms deemed advisable, to lend trust funds to any borrower,
including the Personal Representative of Settlor's estate and the trustee or beneficiary of any
trust, by whomsoever created, and to change the terms of these loans. This authorization
includes the power to extend them beyond maturity with or without renewal and without regard
to the existence or value of any security therefor, to facilitate payment thereof, to change the
interest rate thereof, and to consent to the modification of any guarantee relating thereto.
I. Borrow: To borrow whatever money the Trustee deems desirable for any trust
on any terms from any lender including the Trustee and the personal representative of the
Settlor's estate, and the Trustee or beneficiary of any other trust, by whomsoever created, and to
mortgage, pledge, or otherwise encumber as security any assets of the borrowing Trust.
J. Term or Duration of Obligation:_ Incident to the exercise of any power, to
initiate or change the terms of collection or of payment of any debt, security, or other obligation
of or due to the Trust Estate, upon any terms and for any period, including a period beyond the
duration or the termination of any or all trusts.
K. Compromise or Abandonment of Claims: Upon whatever terms the Trustee
deems advisable, to compromise, adjust, arbitrate, sue on, defend in favor of any trust; to
abandon any asset the Trustee deems of no value or of insufficient value to warrant keeping or
protecting; to refrain from paying taxes, assessments, or rents, and from repairing or maintaining
any asset; and to permit any asset to be lost by tax sale or other proceeding.
L. Distribution in Cash or in Kind: To distribute any shares in cash or in kind, or
partly in each, and the Trustee's valuation of assets upon making distribution shall, if made in
good faith, be final and binding on all beneficiaries.
M. Use of a Nominee: To hold any or all of the trust assets, real and personal, in
the Trustee's own name, or in the name of any corporation, partnership, or other person as the
Trustee's nominee for holding the assets, with or without disclosing the fiduciary relationship.
N. Bid in or Take Over Without Foreclosure: To foreclose any mortgage, to bid
m the mortgaged property at the foreclosure, and to retain it or dispose of it upon any terms
deemed advisable.
O. Pay Off Encumbrances: To pay off any encumbrance on any trust asset and to
invest additional amounts to preserve it or to increase its productivity.
P. Vote Stock: To vote stock for any purpose in person or by proxy, to enter into
-'"�� 14
a voting trust, and to participate in corporate activities related to any trust hereunder in any
capacity permitted by law, including service as officer or director.
Q. ParticiQate in Reorganizations: To unite with other owners of property similar
to any held in trust in carrying out any plan for the consolidation, merger, dissolution, liquida-
tion, foreclosure, lease, sale, incorporation, reincorporation, reorganization, or readjustment of
the capital or financial structure of any association or corporation in which any trust has a
financial interest; to serve as a member of any protective committee; to deposit trust securities in
accordance with any plan agreed upon; to pay any assessments, expenses, or other sums deemed
expedient for the protection or furtherance of the interests of the beneficiaries hereunder; and to
receive and retain as trust investments any new securities issued pursuant to the plan, even
though these securities would not constitute authorized trust investments without this provision.
R. Employment of Assistants and Agents: To any extent reasonably necessary, to
employ attorneys, accountants, tax specialists, brokers, investment counselors, realtors, managers
for businesses, farms, ranches, groves and forests, technical consultants, attorneys -in -fact, agents,
and any other consultants and assistants the Trustee deems advisable for the proper
administration of the Trust Estate.
S. Establishment and Maintenance of Reserves: Out of the rents, profits, or other
gross income received, to set aside and maintain reserves to the extent deemed advisable to meet
present or future expenses, including taxes, assessments, insurance premiums, debt amortization,
repairs, improvements, depreciation, obsolescence, general maintenance, and reasonable
compensation for services, including services of professional and other employees authorized
hereby, as well as to provide for the effects of fluctuations in gross income and to equal or
apportion payments for the benefit of beneficiaries entitled to receive income.
T. Manage Realty: To deal with realty in any manner lawful to an owner thereof.
This authority includes the right to manage, protect, and improve it, to raze, alter and repair
improvements, to sell or contract to sell it in whole or in part, to partition it, to grant options to
purchase it, to donate it, to convey to, to acquire it, release, or grant easements or other rights
relating to it, to dedicate parks and thoroughfares, to subdivide it from time to time, to lease it in
whole or in part, and to renew, extend, contract for, and grant options in connection with leases.
Leases, contracts to sell, mortgages, and any contract entered into by the Trustee can be made on
any terms and for any period, including a period beyond the duration or termination of any or all
trusts.
U. Carry on Business: With reference to any business that may be or become a
part of the Trust Estate whether organized as a sole proprietorship, partnership, or corporation,
upon such terms, for such time, and in such manner as the Trustee deems advisable:
15
U
1. To hold, retain, and continue to operate such business solely at the risk of the
Trust Estate and without liability on the Trustee's part for any losses resulting therefrom.
2. To incorporate, dissolve, liquidate, or sell such business at such time and upon
such terms as the Trustee deems advisable.
3. To borrow money for business purposes and to mortgage, pledge, or otherwise
encumber the assets of the Trust Estate to secure the loan.
4. To exercise with respect to the retention, continuation, and disposition of such
business all the rights and powers for which the Settlor would have been capable, including all
powers as may now or hereafter be conferred upon the Trustee by law or as may be necessary to
enable the Trustee to administer the Trust Estate in accordance with the provisions of this
Agreement, subject to any limitations thereof that may be provided for herein-
V. Allocation to Principal and Income: All receipts of money or property paid or
delivered to the Trustee and all expenses shall be allocated to principal or income in accordance
with the laws of the State of Florida.
ARTICLE XM - CONSTRUCTION OF AGREEMENT
The headings and subheadings used throughout this Agreement are for convenience only
and have no significance in the interpretation of the body of this Agreement, and Settlor directs
that they be disregarded in construing the provisions of this Agreement.
IN WITNESS WHEREOF, I, JUDITH B. WILLIAMS a/k/a JUDITH B. BROOKS,
as Settlor of the foregoing Trust Agreement, have hereunto set my hand and seal this '� day
of 2016.
QA.1 A�W'
JUD B. WILLIAMS a/k/a JUDITH B.
BROO , Settlor
This instrument was signed, sealed, published and declared by the Settlor, JUDITH B.
WILLIAMS a/k/a JUDITH B. BROOKS, as her Revocable Trust Agreement in our joint
16
J
presence, and at her request we have signed our names as attesting witnesses in her presence and
in the presence of each oth on the date first above written.
r
I Residing at J,
�•1� Residing at d v -O5...
STATE OF FLORIDA )
) ss
COUNTY OF MIAMI-DADE)
I, JUDITH B. WILLIAMS a/k/a JUDITH B. BROOKS, declare to the officer taking
my acknowledgment of this instrument, and to the subscribing witnesses, that I signed this
instrument as my Revocable Trust Agreement.
�.
JUDI B, WILLIAMS a/k/a JUDITH B.
BROOKS, Settlor
We,_BEVERLY ANN SIMPSON and WTLL.TAM n_ STMPSnN, TP,,havebeen
sworn by the officer signing below, and declare to that officer on our oaths that the Settlor
declared the instrument to be the Settlor's Revocable Trust Agreement and signed it in our
presence and that we each signed the instrument as a witness in the presence of the Settlor and of
each other.
Witness
Witness IT
Acknowledged and subscribed before me by the Settlor, JUDITH B. WILLIAMS
a/k/a JUDITH B. BROOKS, who is personally known to me or who has produced
N.A. as identification, and sworn to and subscribed before me by the witnesses,
E E V ERLY ANN SIMPSON , who is personally known to me or who has produced
N.Aw as identification, and WILLIAM D. SIMPSON, JR. ,who is
personally known to me or who has produced N.A. as identification, and
;�� � 17
subscrib d by me in the presence of the Settlor and the7r,
scribing witne 11 on the
day of l i , 2016.
f
Public, State of Florida
AWW R, FOURNIER
* MY COW1810" FF.12110
EXPIRES: AUP 10, 2018
'�.,���,�` Bd�ed'IIW6ud�Nd�NServka
ACCEPTANCE BY TRUSTEE
The undersigned hereby accepts the trust imposed by the foregoing Trust Agreement and
agrees to serve as Trustee upon th terms and conditions therein set forth.
Dated this 1_� day of cc C.- 2016.
Signed, sealed and delivered
STATE OF FLORIDA )
) ss
COUNTY OF MIAMI-DADE)
The foregoing instrument was acknowledged before me this day of
2016, by JUDITH B. WILLIAMS a/k/a JUDITH B. BROOKS, Trustee, who is personally
known o me or who has produced A14— as ident cation; and
wFio did take an oath.
'/LV
of Public, State of Florida
AWFE R. FOURNIER
`� `. ••, MY COMMISSION # FF 12M
* EXPIRES, AygL*110- 20i8
'�,,,�� 9q�9edfliN9�INofuySwrkes
18
SCHEDULE "A"
(Description of all stocks, bonds, life insurance policies and other assets
which are to be delivered to the Trustee at time of execution of the
Agreement).
Real Estate:
Lot 4 and East %2 of Lot 5, in Block 4, of MIAMI SHORES SECTION 1,
according to the Plat thereof, as recorded in Plat Book 10, at Page 70, of the
Public Records of Miami -Dade County, Florida, a/k/a 86 N. E. 95 h Street,
Miami Shores, FL 33138
West %2 of Lot 5 and Lot 6, in Block 4, of MIANII SHORES SECTION 1,
according to the Plat thereof, as recorded in Plat Book 10, at Page 70, of the
Public Records of Miami -Dade County, Florida, a/k/a 54 N. E. 95' Street,
Miami Shores, FL 33138
Tract 39, of BISCAYNE GARDENS, SECTION A, according to the Plat
thereof, as recorded in Plat Book 40, at Page 41, of the Public Records of
Miami -Dade County, Florida, a/k/a 325 N. E. 152nd Street, North Miami,
FL 33162
Lot 18, in Block 238, of INDIAN LAKE ESTATES, UNIT 6, according
to the Plat thereof, as recorded in Plat Book 40, at Page 41, of the Public
Records of Polk County, Florida
Lot 19, in Block 238, of INDIAN LAKE ESTATES, UNIT 6, according
to the Plat thereof, as recorded in Plat Book 40, at Page 41, of the Public
Records of Polk County, Florida
Lot 1, in Block 2, of SUNSHINE ESTATES SECTION 1 PLANTATION
KEY, according to the Plat thereof, as recorded in Plat Book 4, at Page 63, of the
Public Records of Monroe County, Florida
Lot 28, in Block 78, of INDIAN RIVER ESTATES UNIT NO.9, a
subdivision, according to the Plat thereof, as recorded in Plat Book 10,
at Page 74, of the Public Records of St. Lucie County, Florida
SUCCESSOR TRUSTEE'S CERTIFICATION
BEFORE ME personally appeared MICHAEL P. WILLIAMS, as Successor Trustee of
the Judith B. Williams Revocable Trust Agreement dated the 71h day of April, 2016:
1. On April 7, 2016, JUDITH B. WILLIAMS a/k/a JUDITH B. BROOKS established
a Revocable Trust by written instrument of that date and such Trust named JUDITH B.
WILLIAMS a/k/a JUDITH B. BROOKS as the initial Trustee to act thereunder. As to said
Trust, the undersigned is the Successor Trustee currently holding office.
2. The provisions of said Trust provide in ARTICLE V thereof for distributions of
income and principal to JUDITH B. WILLIAMS during her lifetime and for her benefit during
any period of her incapacity and in ARTICLE VII thereof upon her death, terminates by
distribution to certain beneficiaries.
3. ARTICLE X names son, MICHAEL P: WILLIAMS, as Successor Trustee and if he
is unwilling or otherwise unable to act, appoints attorney, ANDRE' R. FOURNIER, as
alternate.
4. ARTICLE XI of such Trust specifically grants the Trustee the power to invest and
reinvest the Trust's assets and to convey any and all real and personal property held by the
Trustee at any time, including Settlor's homestead residence. No contrary power or restrictions
appear in the Trust documents.
5. The foregoing provisions of the Trust have been in full force and effect from April 7,
2016, through the date hereof. Attached hereto are pertinent portions of the Trust consisting of
Page 1, Pages 11 through 18 and either a copy of Settlor's death certificate or obituary.
6. The purpose of these provisions is to show that this Trust is an active Trust rather than
a passive Trust.
Dated at Miami -Dade County, Florida, this day of Z044,,2016.
MICHAEL . WILLIAMS, Successor
Trustee
STATE OF FLORIDA )
COUNTY OF MIAMI-DADE)
I HEREBY CERTIFY that on this day, before me, an officer duly authorized in the State
aforesaid and in the County aforesaid to take acknowledgments, personally appeared MICHAEL
P. WILLIAMS,) as Successor Trustee, who is personally known to me or who has produced
43/ i— as identification, and who executed the foregoing instrument and he
acknowledged efb ore me that he executed the same.
WITNESS my hand and official seal in the County Ahd Stat as said this day
of FCC )2016.
r
otary Public, tate of Florida
r ru
ANW R. MMIER
MY COABuIiSSioN t FF i2W
* *
EXPIRES: Aught 19. 2018
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