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ELC-19-2937Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Location Address Issue Date:12/23/2019 Parcel Number 726 NE 92ND ST, Miami Shores, FL 33138 1132060440001 Contacts Permit NO.: ELC-12-19-2937 Permit Type: Electrical - Commercial Work Classification: Alteration Permit Status: Approved Expiration: 06/22/2020 SHORES PLAZA EAST CONDOMINIUM INC Owner SHORES PLAZA EAST CONDOMINIUM INC MARIN ELECTRICAL SOLUTIONS LLC Contractor LEMAY MARIN 9802 NW 80 AVE BAY 47, HIALEAH GARDENS, FL 33016 Business: 3053815862 INFO@MART NELECTRICALSOLUTIONS.0 Mobile: 3059925457 OM Description: INSTALL 5 OUTDOOR GFCI RECEPTACLE OUTLETS. Valuation: $ 1,800.00 Inspection Requests: 305-62-4949 745 N E 91 ST Total Sq Feet: 0.00 Fees Amount Application Fee - Other $50.00 CCF $1.20 DBPR Fee $2.00 DCA Fee $2.00 Education Surcharge $0.40 Permit Fee $50.00 Scanning Fee $9.00 Technology Fee $2.50 Total: $117.10 Payments Date Paid Amt Paid Total Fees $117.10 Credit Card 12/23/2019 $67.10 Credit Card 12/13/2019 $50.00 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: Ice that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating constructio zopinj. Futhermore, I authorize the above named contractor to do the work stated. Signature: Owner / Applicant / Contractor / Agent Date December 23, 2019 Page 2 of 2 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 ❑BUILDING E'i ELECTRIC ❑ ROOFING RECEIVED DEA 13 2019, BY: Zi (T+t FBC 201�4 Master Permit No.�C +� 2 v l - 2q3 Sub Permit No. ❑ REVISION E-] EXTENSION [:]RENEWAL []PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS F] CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 7y S L- r ( `S City: Miami Shores County: Miami Dade Zip: 3 3 .( Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: iion Type: Constructti Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): -0/?FS r Z�2fi `J /' c=, 457- G AI.bc7.'(I-Phone#: 3 ©� '7 5-2 9� City: M i -441 1' s 4e pz es State: � L— Zip:33 J 38 Tenant/Lessee Name: Phone#:.3 ©5-7 5"1-ci069 Email: %N F—O (0 S1/OR r`5 PLA-24 e, 51- 6 0A Po< C- Al 2 CONTRACTOR: Company Name: M�A0 �L LA \r l c-- A CJ dk V r\Q 11\ S , Lei Phone#: v9 7-- 5 'H 5_7 Address: U 'oeL) t/zF_ 6 City: _Ide c,A State: f f Zip: 33d Qualifier Name: iM ,M/ c, r r ►�i Phone#: 4�zz=-2z.�:7 State Certification or Registration M ( 3a® Certificate of Competency #: DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit: $ �' Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: �? S �� l l � CJC> a�j� f/O/lr e f,,4I-e. a/e Ov lPf'S t Specify color of color thru tile: Submittal Fee $_ Scanning Fee $ _ Technology Fee $ Structural Reviews $ Permit Fee $ CCF $_ Radon Fee $ DBPR $ Training/Education Fee $ CO/CC $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ (Revised02/24/2014) 1 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 $1500, 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 OWNER orAT The foregoing instrut was acknowledged before me this 11 day of ren1=&M 1�11 r 20 19 by 05CO f2 Z0-e✓cu q- u Z #q who is personally known to me or who has produced Oas identification and who did take an oath. NOT Sign Print Seal Signature CONTRACTOR The foregoing instrument was acknowledged before me this day of ,f ! e— 20 by i! ej--7who is personally known to me or who (as produced 4^. 60—S2U 80- Ii I — as identification and who did take an oath. NOTARY PUBLIC: Sign:_ Print: Seal: �ar+�sNoawRs� yfWA=owoc336714 wmftmAm APPROVED BY �/ lll� ( Plans Examiner Zoning Structural Review _ Clerk (Revised02/24/2014) Detail by Entity Name Page 1 of 3 Flonda Dep, nment of Slate ,r'1 .org Department of Stale / Division of Corporations / Search Records / Detail By Document Nuc+ber / Detail by Entity Name Florida Not For Profit Corporation SHORES PLAZA EAST CONDOMINIUM, INC. Filina Information Document Number 726432 FEI/EIN Number 59-0597536 Date Filed 05/17/1973 State FL Status ACTIVE Principal Address 745 N. E. 91 ST ST MIAMI SHORES, FL 33138 Changed: 04/26/2012 Mailing Address 745 N.E. 91 ST ST MIAMI SHORES, FL 33138 Changed: 04/26/2012 Reaistered Agent Name & Address ZARAGOZA,OSCAR 745 NE 91 ST ST MIAMI SHORES, FL 33138 Name Changed: 04/26/2012 Address Changed: 04/26/2012 Officer/Director Detail Name 8r Address Title PD DE ROJAS, JORGE 9140 NE 8TH AVE, APT 4H MIAMI SHORES, FL 33138 Title VD TALAVERA, CARLOS DIVISION OF CORPORATIONS http://search. sunbiz. org/Inquiry/CorporationSearchISearchResultDetail?inquirytype=Entit... 12/ 13/2019 Detail by Entity Name Page 2 of 3 726 NE 92ND ST, APT 7L MIAMI SHORES, FL 33138 Title TD ZARAGOZA,OSCAR 726 NE 92ND ST, APT 1 L MIAMI SHORES, FL 33138 Title SD WARD, DAVID 488 NE 90 ST EL PORTAL, FL 33138 Title D OCAMPO, DAVID 755 NE 91 ST 4F MIAMI SHORES, FL 33138 Annual Reports Report Year Filed Date 2017 04/26/2017 2018 04/27/2018 2019 04/24/2019 Document Images 04/24/2U19 -ANNUAL REPORT View image in PDF Format 04/27/2018 --ANNUAL REPORT View image in PDF format 04/26/2017 --ANNUAL REPORT View image in PDF torrnat 04/19/2016 -- ANNUAL REPORT I View image in PDF format 04/28/2015 -- ANNUAL. REPORT View image in PDF format U4l29i2014 -- ANNL)AL REEOHT View image in PDF forIZ771771 05101 /2013 -- ANNUAL REPORTI View image in PDF format 04/26/2012 --ANNUAL REPORT View image in PDF format 04/28/2011 —ANNUAL REPORTI View image in PDF format 04/27/2010 -- ANNUAL REPORT View image in PDF format U4/20r2009 -- ANNUAL REPORT. I View image in PDF format 05/01/2008 --ANNUAL REPORT I View image in PDF format 04/27/2007 ANNUAL REPORTI View image in PDF format 02/11/2006 -- ANNUAL REPORT' I View image in PDF format 05/02/2005 -- ANNUAL REPORT View image in PDF format 09122/2004 -- ANNUAL REEQ View image in PDF Format 04/2112004 —ANNUAL REPORT I View image in PDF format 03/24/2003 — ANNUAL REPORT View image in PDF forrnat 04/29/2002 -- ANNUAL REPORT View image in PDF forma 05114/2001 --ANNUAL REPORT View image in PDF format 03120/2000._..:_ANN View image in PDF format http://search. sunbiz.org/Inquiry/CorporationSearchISearchResultDetail?inquirytype=Entit... 12/ 13/2019 December 7, 2019 t:, Miami Shores Village Building Dept. 10050 NE 2` d Avenue Miami Shores, FL 33138 Dear Sir / Madam: This letter will serve as your confirmation that "Marin Electrical Solutions" Lic. EC13008998, has been contracted by the The Shores Plaza East Condominium Asso and is fully authorized by the Board of Directors to perform installation of outdoor electrical outlets within the condominium property. Should you have any questions regarding the enclosed, please feel free to contact the condominium office. yours, Jorge DeRojas Shores President Plaza East cc: file Condominium Association 745 NE 91 Street ` Miami Shores FI 33138 info@shorespiazaeasteondo.com 305.759.9069 Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CONTRACTORS' REGISTRATION IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. /COPY OF QUALIFIER'S STATE LICENCES B. t COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF LIABILITY INSURANCE* D. COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor Affidavit) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICATE OF COMPETENCY OF QUALIFIER B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF STATE REGISTERED CONTRACTOR LICENSE OR MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT. D. COPY OF LIABILITY INSURACE* E. COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER form and Contractor Affidavit) *YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE AS FOLLOW: Certificate Holder: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 Certificate must specify the description of operations or contractor license number. ........................................................................................... BUSINESS NAME: /��v,�� L�r� c s� sG,u %/�/H S , Lu—'- BUSINESS ADDRESS: Ac&�-;� CITY7 -A d STATE ZIP 3.30/4, BUSINESS PHONE: k'I S-S-6,2— FAX NUMBER ( ) CELL PHONE (3�) 7 07 2--L5 4S7 QUALIFIER'S NAME: QUALIFIER'S LIC NUMBER: 6e'l 37 8- 9 5� i— �A0 10 Ron DeSantis, Governor Halsey Beshears, Secretary dbpr a STATE OF FLORIDA DEPARTMENT OF BUSINESS:AND--PROFESSIONAL REGULATION ELECTRICA THE ELECTRIC PROVISIM 0 `-RACT( rl�,Hg-R:EI-N-IS CE OF -IC HA- PTERy,489=F_L`ORII �M-At��l;N EM o N G BOARD UNDER THE AAUTES '9802 NV, 80TN'`AVE''BAY�747=�'9 HI ,L-HsAtIUS FL 3301t t LICE S.EtNN1MBER EC1�30089.A8 •,� Asti• eje EXPIRATION_DAT_ .ET _ �1GUST 31, 2020 Always verify licenses online at MyFloridaLicense.com Do not alter this document in any form. This is your license. It is unlawful for anyone other than the licensee to use this document. Local Business Tax Receipt Miami —Dade County, State of Florida —THIS IS NOT A BILL — DO NOT PAY 7248895 BUSINESS NAME/LOCATION MARIN ELECTRICAL SOLUTIONS LLC 9802 NW 80TH AVE BAY 47 HIALEAH GARDENS, FL 33016 OWNER MARIN ELECTRICAL SOLUTIONS LLC r.1n I FMAY MARIN Worker(s) 1 RECEIPT NO. RENEWAL 7535429 SEC. TYPE OF BUSINESS 196 ELECTRICAL CONTRACTOR EC 13008998 LBT EXPIRES SEPTEMBER 30, 2020 Must be displayed at place of business Pursuant to County Code Chapter 8A — Art. 9 & 10 PAYMENT RECEIVED BY TAX COLLECTOR 45.00 07/11/2019 CHECK21-19-053322 This Local Business Tax Receipt only confirms payment of the Local Business Tax. The Receipt is not a license, permit, or a certification of the holders qualifications, to do business. Holder must comply with any governmental or nongovernmental regulatory laws and requirements which apply to the business. The RECEIPT NO. above must be displayed on all commercial vehicles — Miami —Dade Code Sec 6a-276. MFor more information, visit www.miamidade.aov/taxcollector ACORO® CERTIFICATE OF LIABILITY INSURANCE Iihl�• DATE(MM/DD/YYYY) 12/10/2019 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 IACT NAME: Daniel Martinez Sharp Insurance Agency PHONE (305)825-8580 ac No: t305>e25-e5e1 6175 NW 153rd St Ste 200 E-MAIL ADDRESS: certificates@ sharpins.com INSURERS AFFORDING COVERAGE NAIC # INSURER A: Western World Insurance Group Miami Lakes FL 33014 INSURED INSURER B: Evanston Insurance Company INSURERC: Marin Electrical Solutions, LLC INSURERD: 9802 NW 80th Avenue INSURER E : Bay 47 INSURER F: Hialeah Gardens FL 33016 COVERAGES CERTIFICATE NUMBER:CL1921410127 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER EFF MM DDPOLICY/YYYY POLICY EXP MMDD LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ❑X OCCUR NPPS561882 4/17/2019 4/17/2020 EACH OCCURRENCE $ 1,000,000 DAMAGEO REN D PREMISES Ea occurrence $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL BADVINJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: X POLICY PRO- LOC OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 Each Professional Incident $ Included AUTOMOBILE LIABILITY ANYAUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIREDAUTOS AUTOS COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Peraccident) $ B UMBRELLA LIABF EXCESS LIAB OCCUR CLAIMS -MADE ZZXS3007903 4/17/2019 4/17/2020 EACH OCCURRENCE $ 2,000,000 X AGGREGATE $ 2,000,000 DED I I RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR/PARTNER/EXECUTIVE ElN OFFICERIMEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below /A P OTH- STATUTE ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) License#: EC13008998 CERTIFICATE HOLDER CANCELLATION Miami Shores Village 10050 NE 2nd Ave Miami Shores, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Gonzalez/MF . All rights reserved. ACORD 25 (2014101) The ACORD name and logo are registered marks of ACORD INS025 (201401) ACORO0 `CO CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) 12/12/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER CONTANAME: Cathy Florez PHONE (305) 556-0393 FAX No): (305) 556 6570 GENERAL LINES INSURANCE ADDRESS: cathy@glimail.com ADDRESS: 7610 NW 186 St INSURERS AFFORDING COVERAGE NAIC 0 INSURERA: BERKSHIRE HATHAWAY GUARD INSURANCE C( Hialeah FL 33015 INSURED INSURER B : INSURER C : MARIN ELECTRICAL SOLUTIONS LLC INSURER D : 9802 NW 80 AVE BAY 47 INSURER E : INSURER F : HIALEAH 33016 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 CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL SUBR NUMBER POLICPOLICY MIDDY EFF POLICY MM/DD EXP LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS -MADE F—IOCCUR DA I ORE TED PREMISES Ea occurrence $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY ❑ PRO - POLICY ❑ LOC PRODUCTS - COMP/OP AGG $ $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ BODILY INJURY (Per person) $ ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ HIRED NON -OWNED AUTOS ONLY AUTOS ONLY r $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS UAB CLAIMS -MADE DED I I RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / NTATUTE ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? ❑N (Mandatory in NH) N / A MAWC007262 12/07/2019 12/07/2020 PER OTH- ER E.L.LEACH ACCIDENT $ 100,000 E.L. DISEASE - EA EMPLOYEE $ 100,000 If yes, dasaibe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required) LICENSE NUMBER EC13008998 MIAMI SHORES VILLAGE 10050 NE 2 AVE MIAMI SHORES VILLAGE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE FL 33138 05' ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD -mitt i4 " East L-Olt.�a:Jtxi�af+.'r72, �ia�. .•••.• UP N.V. slit SMERT MIAId[ EKC.1lH5. RLORIDA 33138 �• Property Layout BY: S 1�00 i BkKmne Blvd. rush !]_ w G� S N E.CIJ • • 1 715 • • • Ft"o m�, • • 1 1-4A •• ••• st • S 715 1-48 • • •••••• N. T. 717,723E. 725,735 •••••• 7�6 • •• •• • • 72 5 736 • . 45,755 • • •. N.E. • • 9 • � 000 N.E.91* .••••• Street* d •0 s Stfe@t • • • • 5 % • 725 •• • •.•• T. +` . 1-4D •••• 716 723 - 1-4 M 1-4 C 735 W. Perking 1-A G L• 91,40 1-4 H �y 9120 9160 Cv C 1-4 G 1-4J Li Li 9120,9140,9160 WE 8M Avenue ' N.E. 8t" Avenue S t? 6 [ ( (S) ov �avc)r a,7-&j,?, 1zocl ceinve n i Puke; 6F&-,r rccepf,r,c-1r-