PL-19-325' 07'7�
04."'..
DIVISION OF
Environmental Health
Florida Health
Miami -Dade County
OSTDS/Well Division
11805 SVJ-6th Street • Miami, FL 33175
inspector 0 D g / Date
Address 0(% AXe7 ���� Pl r<T
Comments:
Signature
19%
0- -C22 -IG -32,S
Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
Issue Date:02/21/2019
Parcel Number
1080 NE 104TH ST, Miami Shores, FL 33138 1122320290200
Contacts
Permit NO.. PL-02-19-326
Permit Type: Plumbing - Residential
Work Classification: Septic/Drairifield
Permit Status: Approved
Expiration: 08/20/2019
SHORES 104 LLC Owner
Business: 3057788787 REMY@QUILLIOT.COM
MR C'S PLUMBING & SEPTIC INC Contractor
KEMBLE ETTRICK
Business: 3056517859
Description: INSTALL SEPTIC TANK AND DRAINFIELD Valuation: $ 4,200.00 Inspection Requests:
"-4949
Total Sq Feet: 0.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$3.00
DBPR Fee
$2.21
DCA Fee
$2.00
Education Surcharge
$1.00
Permit Fee
$97.00
Scanning Fee
$9.00
Technology Fee
$3.68
Total:
$167.89
Payments
Date Paid Amt Paid
Total Fees
$167.89
Credit Card
02/12/2019 $50.00
Credit Card
02/21/2019 $117.89
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 construction and zoning. Futhermore, I authorize the above named contractor to do the work stated.
Authorized Signature: Owner / Applicant / Contractor / Agent Date
February 21, 2019 Page 2 of 2
Miami Shores Village g REcEi vED
.� Building Department FEB12
1019
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
T1 F�B1 C 200
�Y
BUILDING Master Permit No. j q - S
PERMIT APPLICATION Sub Permit No.
❑BUILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL
TrPLUMBING MECHANICAL PUBLIC WORKS CHANGE OF CANCELLATION SHOP
j t �' CONTRACTOR DRAWINGS
JOB ADDRESS: IDf� N�� IU`l' S4�
City: Miami Shores
1 County: Miami Dade Zip: 3313q
Folio/Parcel#: �0301 —0 al —Do1D0 Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): JA, `c ( d L C Phone#:
Address: y� O 0/ V rre 16 j
City: I Vt.la.rigj Skoye, State: Zip:
Tenant/Lessee Name: Phone#:
Email:
CONTRACTOR: Company Name:
I
Address: 1� 'vV)
City:
G 1S
State:
Qualifier Name: ore !/ y l.,E— GL ( I L � / Phone#:
State Certification or Registration #: sQn o& 197Certificate of Competency #: _
DESIGNER: Architect/Engineer: /y' Phone#:
C' Phone#: 30�; —6 S
MR
p: 5316 °)
3d5--6�"( —
Address: City: State: Zip:
Value of Work for this Permit: $ Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New A
Repair/El Demolition
Description of Work: 'r'Ault S-P �iG +&&L d-- ra14'e_W
t
Specify color_ofcolor thru tile.
Submittal Fee $ Permit Fee $
Scanning Fee $ Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $
CCF $
DBPR $
CO/CC $
Notary $
Double Fee $
Bond $ 9((( •
TOTAL FEE NOW DUE $ 1 cI
(Revised02/24/2014)
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable) N
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 's subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first ins ection which occurs seven (7) days after the building permit is issued. In a absegce of such posted notice, the
inspection will n t be approved and a reinspection fee will be charged.
Signature: A� Signature " ' `" N
OWNER or AGENT CONTRACTOR
The f ,ing instrume vyas acknowledged before me this
I y day of idA 20 %�1 by
Qny 01^
Q�01 ,who is personally known to
me or who has produced &Ce H t as
The foregoing instrument //as acknowledged before me this
(y0 - day of ftb✓✓ti r "j 20 I� by
,, Ge"lP Y4,Gk- who is personally known to
me or who has produced
identification and who did take an oath. identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
as
Sign: I Sign: J
Print: I v n 4( /�Ar�in Print:
Seal: ,e-jk%1 DONALD MARTIN
Seal: En4e
•. DONALD MARTIN
sk
`�'_MY COMMISSION # GGIO2743
MY COMMISSION# GG102743, EXPIRES May 01�,2021
EXPIRES May 09, 2021************************* ******************** ********** ******
APPROVED BY—����� Plans Examiner Zoning
Structural Review Clerk
(Revised02/24/2014)
Property Search Application - Miami -Dade County Page 1 of 2
OFFICE OF THE PROPERTY APPRAISER
Summary Report
Property Information
Folio:
11-2232-029-0200
1080 NE 104 ST
Property Address:
Miami Shores, FL 33138-2656
DEUTSCHE BANK TR CO
AMERICAS TRS
Owner
C/O PHH MORTGAGE
CORPORATION
RESIDENTIAL ACCREDIT LOANS
INC
ONE MORTGAGE WAY
Mailing Address
MOUNT LAUREL, NJ 08054 USA
PA Primary Zone
1100 SGL FAMILY - 2301-2500 SQ
0101 RESIDENTIAL -SINGLE
Primary Land Use
FAMILY: 1 UNIT
Beds / Baths / Half
3/2/0
Floors
1
Living Units
1
Actual Area
2,473 Sq.Ft
Living Area
1,848 Sq.Ft
Adjusted Area
2,143 Sq.Ft
Lot Size
8,250 Sq.Ft
Year Built
1951
Assessment Information
Year
2018
2017
2016
Land Value
$288,964
$288,964
$288,964
Building Value
$190,941
$190,941
$190,941
XF Value
$5,081
__.....
$5,150
.............. ..............
$5,217
Market Value
$484,986
$485,055
$485,122
Assessed Value
$292,871
$286,848
$280,949
Benefits Information
Benefit
Type
2018
2017
2016
Save Our Homes
Assessment
Cap
Reduction
$192,115
$198;207
$204,173
Homestead
Exemption
$25,000
$25,000
$25,000
Second
Homestead
Exemption
$25,000
$25,000
$25,000
Note: Not all benefits are applicable to all Taxable Values (i.e. County,
School Board, City, Regional).
Short Legal Description
EVENINGSIDE PB 44-53
LOT 6 BLK 2
LOT SIZE 75.000 X 110
OR 20677-0902 09 2002 1
rrn(- oanoo_olaQ �n onna 4
https://www.miamidade.gov/propertysearch/
Generated On : 2/12/2019
Taxable Value Information
2018
2017
2016
County
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
$242,871
$236,848
$230,949
School Board
Exemption Value
$25,000
$25,000
$25,000
Taxable Value
$267,871
$261,848
$255,949
City
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
$242,871
$236,848
$230,949
Regional
Exemption Value
$50,000
$50,000
$50,000
Taxable Value
$242,871
$236,848
$230,949
Sales Information
Previous
OR Book -
Price
Qualification Description
Sale
a
Page
Federal, state or local government
10/19/2018
$467,600
31192-2954
agency
10/01/2006
$556,000
25022-2168
Sales which are qualified
09/01/2002
$220,000
20677-0902
Sales which are qualified
08/01/1980
$90,000
10856-1865
tOther disqualified
2/12/2019
2/12/2019
Detail by Entity Name
Detail by Entity Name
Florida Limited Liability Company
SHORES 104 LLC
Filing Information
Document Number
L19000010919
FEI/EIN Number
NONE
Date Filed
01/09/2019
Effective Date
01/09/2019
State
FL
Status
ACTIVE
Principal Address
8551 W SUNRISE BLVD
SUITE 200
PLANTATION, FL 33322
Mailing Address
PO BOX 613248
NORTH MIAMI, FL 33261
Registered Agent Name & Address
EVAUL,SCOTT
8551 W SUNRISE BLVD
SUITE 200
PLANTATION, FL 33322
Authorized Person(s) Detail
Name & Address
Title MGR
QUILLIOT, REMY
POBOX 613248
MIAMI, FL 33261
Annual Reports
No Annual Reports Filed
Document Images
01/09/2019 - Florida Limited Liability View image in PDF format
http://search.sunbiz.orgilnqui ry/CorporabonSearctVSearchResultDetail?i nqui rytype=E"Name&direcbonType=Initial &searchNameOrder=SHORES104%20L .. 2/2
This document prepared by (and after
recording return to):
Name:
Patrick J. Schwery
Premium Title Services - FL, Inc.
Firm
1000 Abernathy Road NE, Suite
200
Atlanta, GA 30326
Phone:
(855) 339-6325
After
PO BOX 613248, Miami, FL
recording
33261
return to
Asset No.
7128046948
File No.
CE1810-FL-3467357
STATE OF FLORIDA
COUNTY OF Miami -Dade
}
}
}
}
}
}
}
Above This Line Reserved
For Official Use Only
SPECIAL WARRANTY DEED
THIS DEED, made this i 2 day of �nN U ff� , 2019 by and between Deutsche
Bank Trust Company Americas, as Trustee for Residential Accredit Loans, Inc., Mortgage Asset -Backed
Pass -Through Certificates, Series 2007-OS1, a national banking association, organized and existing under
the laws of The United States of America; hereinafter called the Grantor, whose mailing address is: c/o Ocwen
Loan Servicing, LLC, 1661 Worthington Road. Suite 100, West Palm Beach, FL 33409; and Shores 104 LLC,
a Florida limited liability company hereinafter called the Grantee, whose mailing address is:
PO BOX 613248, Miami, FL 33261
WITNESSETH, that the Grantor, for and in consideration for the sum of S524,505.00: and other valuable
consideration, the receipt whereof is hereby acknowledged, hereby grants, bargains, and sells unto the
Grantee, and Grantee's successors, heirs, and assigns forever, all that certain parcel of land in the County of
Miami -Dade, State of Florida, to wit:
SEE EXHIBIT "A" ATTACHED HERETO AND MADE A PART HEREOF
PARCEL ID #: 11-2232-029-0200
Located at 1080 NorthEast 104 Street, Miami Shores, FL 33138-0000
TOGETHER, with all of the tenements, hereditaments and appurtenances thereto, belonging or in anywise
appertaining.
TO HAVE AND TO HOLD, the same in fee simple forever.
AND the grantor does hereby fully warrant the title to said land, and will defend the same against lawful claims
of all persons claiming by, through or under said Grantor but against none other.
In Witness Whereof, the grantor has hereunto set his hand and seal the day and year first above written.
Signed, sealed and delivered in our presence:
'✓ lw,
Witness
Trm'a Nam
Print Name
�; � L'�-
Witness
Katherine Burgos
Print Name
STATE OF FLORIDA
COUNTY OF PALM BEACH
Deutsche Bank Trust Company Americas, as Trustee for
Residential Accredit Loans, Inc., Mortgage Asset -Backed Pass -
Through Certificates, Series 2007-OS1,
by Ocwen Loan Servicing, LLC as Attorney -In -Fact
4170
BY
Beoni a Dufandisso�Ccnirat i ':ana erren
of Ocwen L ervicing, LLC, as Attorney -in -Fact
Address: C/O Ocwen Loan Servicing, LLC,
1661 Worthington Road, Suite 100, West Palm Beach, FL 33409
The foregoing instrument was acknowledged before me this 1 � day of Tmufte
2019 by Beunide Durandisse as CatiradManace-mentCo *ata of Ocwen Loan
Servicing, LLC as Attomey4n-Fact for Deutsche Bank Trust Company Americas, as Trustee for Residential
Accredit Loans, Inc., Mortgage Asset -Backed Pass -Through Certificates, Series 2007-QS1, who i e2�&nd
ow to m� or who has produced as identifica
wh did did not) take an oath.
n
State of FicriCa
=Pub,cc
zuion rF 90383?
�1201'3
(Notarial Sea!)
POA recorded simultaneously herewith
Notary Public
Chrlstan Lazu
Printed Name
My Commission Expires:
EXHIBIT "A"
CE1810-FL-34E7357
LOT 6, BLOCK 2, OF EVENINGSIDE, ACCORDING TO THE PLAT THEREOF, AS RECORDED IN
PLAT BOOK 44, PAGE 53, OF THE PUBLIC RECORDS OF MIAMI-DADE COUNTY, FLORIDA.
Parcel ID No.: 11-2232-029-0200
This Document Prepared By and Return to:
RICHARD A. GOLDEN, ESQ
KRAMER, GOLDEN & BROOK, P.A.
12000 BISCAYNE BLVD., SUITE 303
MIAMI, FLORIDA 33181
KGPBA FILE #219-18R
AFFIDAVIT
STATE OF Florida
COUNTY OF Miami -Dade
BEFORE ME, the undersigned authority, duly authorized to administer
oaths and take acknowledgments, personally appeared this day,
RICHARD A. GOLDEN, ESQ., who, after being duly sworn, deposes and says
as follows:
1) That Affiant represented REMY QUILLIOT, Manager and Sole Member of
SHORES 104 LLC, a Florida limited liability company on his purchase of
the of the following legally described property:
LOT 6, BLOCK 2, OF EVENINGSIDE, ACCORDING TO THE PLAT THEREOF, AS
RECORDED IN PLAT BOOK 44, PAGE 53, OF THE PUBLIC RECORDS OF MIAMI-DADE
COUNTY, FLORIDA.
FOLIO# 11-2232-029-0200
2) Affiant certifies that the Law Office of Kramer, Golden & Brook,
P.A. was instrumental in procuring the settlement of the purchase,
reviewed all closing documents, and has received the duly executed
HUD-1 Settlement Statement, Warranty Deed, and State of Florida
Division of Corporations search, all of which are -attached.
FURTHER AFFIANT SAYETH NAUGHT. By:
RICHARD-A-_GOLDEN, ESQ.
Florida Bar #270271
STATE OF Florida
COUNTY OF Miami -Dade
me th's
Sworn to and subscribed before 4 23rd day of January, 2019
by RICHARD A. GOLDEN, who is personally �kno,7n to me or wh?—!I�s Froduced
his Florida driver's license as ident-if" - 1 0 L_ I
A LA,4-i
Pri Name:
rKM'L:' L
Notary Public
My Commission Expires:
KECat RYMAZ
"
-0, Ah SSi
GG 111255
EXPIRES- Jwe 17,2021
w.t , m
6;)tixl ThrL Notary Public Undervvriters
writers
221-18R
A. Settlement Statement U.S. Department of Housing and CMB Ac"avial .No. 2542-02 5
Urban Development
of Loan
1 r--1,
❑FHA 2. [jFmHA 3. VV. Umns.
J 3. r le NumLver :. ar• Ym::sr 3, ve. mr3ra Cxse der,
y_C,
4. �VA 5, �Conv.lns.
CEtB'CFL•34 7357 Cash
C. Note: Thu 1- s'u'unet. o :p - a ;(moment Jf xti.i xrlernani xslx. A"c '..;s prtl :a rd W > ustlw�Vrr.E a Jrt Jra sheen. llen5 narked p J :.;' errs oaa vuraa :tie 3J:ai�.:hay :uo
Tti n ha(e tM of r aaer.A :xt,pr5 3 d X'9 :t91
ndlean Ate - W.
0, ?imra 3.ls m. of 3--
=. N.xe 3 A d&.$ d S.AY:
F. J1 La,7sr:
SHORES 104 LLC. A FLCRICA LIMITED L IASILIti
DEUTSCHE BANK TRUST COMPANY AMERICAS.
COMPANY
AS SUS 1 v-E FOR RESICENTIAL ACCREDIT
PO BOX 613248
LOANS. INC., MORTGAGE ASSET -BACKED PASS-
MIAMI, FL 33261
THROUGH CERTIFICATES, SERIES 2007-CS'
1661 WORTHINGTON ROAD SUITE 100
WEST PALM BEACH, FL 334C9
G. ftWj La ka :
tit 5xtxet^enl Agent
1080 NCRT1•tEAST 104 STREET
PREMIUM'-, ITLE SERVICES - FL, INC.
MIAMI SHORES, FL 33138.0000 ^AA"Al 7A EI
1000 ABERNATdY ROAD NE, SUITE 200. A'LANTA GA 30328 185'0) 339.6325
(1 ?232-Oi�0200
Pace v^t sede:nus:
I. oxNm>ent OatetDisourse.•ne!;t Odle
t000 ABE^dRNAi HY ROAD NE
SUITE 200
t12 t2049 t
J. Summarf of Borrower's Transact -ion
K. Summary of Sellees Transaction
1 nn. Gmss Ammmt nua pmm anrrnmer
ane a.___ __.._.
101. Contract sales once
5524.505.00
401: Contact sales price
5524 505 00
102. Personal Property
402. Person! Procerly
103. Settlement Charges to Borrower (line 1400)
$49,704.50
403.
104,
404,
105.
405.
Adjustments for items paid by seller in advance
Adjustments for items paid by seller in advance
106. CityRown taxes
406. Ciryttown taxes
107. County taxes
4C7. County taxes
t08. Assessments
408. Assessments
i09.
409.
11a.
410,
tt
411.
IQ,
412,
'20, Gross Amount Due From Borrower
5574,209,60
420. Gross Amount Due To Seller
$524.505.00
200. Amounts Paid By Cr In Behalf Of Borrower
500. Reductions In Amount Due To Seller
fit. Depose or =am t Money
515: 00.00
501. Excess deocs(t (see instrudonsl
20Z. °^ncioJ amount of new ;can
502. Settlement Charges to Seiler ;One 1400)
$38.145.01
203. F*5P !oar. taken sud,?,t!a
503. Exis^nq loantsi taken subectto
204.
SC4. Payoff of 5ar me , age [can
GU5• i
5C5. Payoff of second marl a loan
206. I
506. Eamest money retained by
207.
50%. Disbursed as orcceeds'S15,100.001
208,
508.
209.
509,
Ad usiments for ;ems unpaid by seller
Adjustments for items unsaid by seller
210. Citvitcwn taxes
510. Cityrtown taxes j
211. Couny ;axes tiliz?1910 1,2 '2019 GD S7.595.29tY'sar
5457.50
511. Count taxes 111 201.9 to 1r�3i20'8 3 57.595.2&Year
5457.80
212. Assessments
512. Assessments
213.
513.
214
514
215.
515.
216.
5,5.
217.
517,
218•
518,
219,
519.
220. Total Paid By/For Borrower
$15,457.80
520. Total Reduction Amount Out Seller
538.602,81
1. Gross Amount Due From Rcrmwer
302. Less :mounts Paid SwFor Bcvmer (tine 22C) i S15.457.80 602. Less 0eduction In AmL Due To Seger (fine 5201 538,602.81
303.Cash ✓QFrom QToBorrower $558,751.90 603.Cash ✓[tTo MFromSeller I 5485,902.19
SA.��• t�. 2.G� �t�-YV'e�l"
Authonzed Signatory for Ocwen pan Servicing, LLO, as aComeY•in-fact for Deutsche Bank Trust Company Americas, as Trustee for Residential Accredit Loans. Inc.,
tvtongage .Asset -Backed Pass -Through Certificates, Series 2C07-OS 1
L zan Number Casa F:le Number C"c1S10-F_ 3467357 P' 3a 1 of 3
L. Settlement Charges
rvision of Comims=n Ifiria 70C) as . 6cxs:
Paid From I "raid From
70. S. 3;7,53 o Kea1 Hiom ..ices 3nc Soiwicns Inc.
8cnowPrs Funds SeBer'3 =ands
'02. 5'5 735.15 o Carhon Intemanorai
at SeMement I at Sen:emant
7�13. Lommi -10n, oald 3t Settlement
523.502,73
704. Referral Fee to REO Management. L _C
$00, Items Payaole In Connection'Arih Loan
S% 3n7,53
801, Loan Onamason Fee
30i Lender's inscmtri Fee
$05. Mongace Insurance Am
$07.Assumcdcrt=ee
1uut, Nazam rrsurance
1002. Men ace insurance
1003. C6y Propeny was
1004, Court^ orooer1 faxes
1005. Annual assessments
1008, Aggregate accounting ao;us^nent
1 Se lement x closing fee to Premium Titte Services -FL, inc.
5430.00
S430.a3
1',O", AbsU3ct or title search to Prernium Title Services - FL. fro,
5150 00
1103. Title examination
1104. Title insurance bjnnar
1105. Document precxation
1108. Newry fees
1107. Atlemev's %as
Oncludes above item rumoers: )
08. Tide Insurance to Pramium Title Services • FL, Inc.
S2.597,52
(incluo2s above .tern numbers:11
1109 Lender's cover e Prernium 50,00 ONesxa Land Tide Insurance Comcany: SO.00)
111 Owner's coverage 5:24,95.(IG Premium 52.897,52 f7vestcor Land 7tle Insurance Comoary• SM.25)
a. Reca:diog Serrce Fee to Premium Tide Serrtces - FL, Inc.
3a "3
_....._............. ..............y �..,... ��....�, ..�,.,, yam.,
1211, Rec>rdmg fees: Deed 323,OO.Mormage :getease
5<
1202. Court y taxa Deed :
1203, State azs,.tros, teed : Acnyage
os: crtga e
f
1204 C;cr tax;slamns: Deeo:Mc^gaga
t
1205. !Atg: irans:er Tax: Deed S3.147.50: !dtg 50.00: to Simo4Fle
$3.147 0
1206, Power Of Attcmev Recording Fee to Simelirl e
586.50
1207. Lien Release to SimoHife
1301 Survev
'3G2. Pest k±sCecdCn
' 304. Buyers Premum to Albscume OnOne Auenon, Inc.
5<25.400 0
1305. Lien Pavoff to Miami Shores til e
52.488.18
1305. CIcs;rq Coamnascn Fee m A,tiso;xce Holdings, LLC - Cperating Account
$753 A
1307, Remtaurserrert cf uctrent navment to PremWirn Tide Services - FL. Inc.
50 00
t308. S-waige Fee to UnitedMiaograohics
545.00
309. A ;omev Fee to Xmmer Golden 3 Sreck, PA
54,500: 0
1310. Deed to Premium Title Services - FL, Inc,
5150.00
1311, Refund Deposit to Shores 104 LLC a Fonda limited liab litr moanr
( S15 00000
1400. Total Settlement Charges tenter an tine 103, Section J and 502. Section K) I
$49.704.60
$38,145.01
Sad y eal, Sa-rve+-
Authorzed Signatory for Ocwen Loan Servicing. LLC: as at•,omev-n-tact for Deutsche Bank Trust Companv Americas, as Trustee for Residential Accredit Loans,
Inc., Mortgage Asset -Backed Pass -Through Certificates. Series 2C07-QSt
L)en Number ash Fife Number CE131.0-FL-345?357
Page 2 of 3
I `3 7Zf'r:ik'ds 4»Ci a ` _ ,3: Mr i'.dla' w. 3r.1')'hd },,A . 'T +..• »!3'�4 St "rirdl 1 S :':d :r� Cw(� P . diMN.t ti +Cf':^.'? 3'd . C .. N- fi!i'^.. X'd .� AR:J: :> >s'rd n'^:'. 3Ra3Cl:Cr,
1'Lf„Gl :ii!7b, tw, ^iNP.`^ 4w. -0.0 .-!I" 1.0 :. ",ld.T.dn1 jidiem6^�
BCRROWERS
Shams '04 ' LC, a ;,Cnd31mA'_C hacii:4r ,=, my
Remy Cu Fo?, Manzger
SELLERS Sa ij J ui, S
a r
Autherzgtl Sgnator for Ocwen Loan Servicing. LLC. as at:orneyin-fac, for
CEiiTSCPE 3,'3iK I~t S7CCMY i!'' AMERIC,S. AS'RUS: E FCR RE53GEN'IAL
ACCR£CIT' CANS. I."lC.. MCRTGAGE ASS ET-BACI(ED BASS TNR:;UGr
CcR?h ? ES: SERIES 2;0'-CSI
"ne �tX SerlerRPRt Sraxrrrr^a nn:ch i ns.d ardran. r s a 3tiP 3:N axirnrd ccwnt e! rairan:xwc.; nave ca:3ee Sr i Mi „3u.e'Ce s'o he 3i :;a3ec ..^: axoM3i::P n�h ;*ra 3;di]R:t.'Y.
Patrick J Schwerq
Date
1r23!°919
?A—, MC� j 5'.H AR?
`NAR9IN� 8rs aurtrsx-a e» "e mane !ataa starerr s:>,rte'unLs33ta:Psa•.:fim x3nY �?rsr srmrlara ?era2Pa epon:nnHe.cn�.m ^.use a; ^e 3nc'�naor^e...For-'Fiats ..tfl 'Ne 18 ...>. ��aq
ideacn •a' .n aecwe 1,13
San"Pumier :ash :":4eNumter CE1S"1-+=_'s4673:%
Page 3 Y 3
A. Settlement Statement U.S. Department of Hcusing and GMSAoCrcval No. 25,02-0295
Urban Development
B. lytie of
❑''%.. 2 Qi-m�;t 3.CCcnv.!nins'
�
4. ❑`IA 5. ❑corv. lrs.
CE18.0"L34E.
'351
Casn
C. Note' vn s 4r u « KG a .ratwnc ;.;! sw
s Y meri s)s:i ?mcnt> 7m :tl WC cy'n-; dtm. en( 4an yt lter, a to''F. o._;' .wra za a
cutsae i a tips rq" ray lnrm
$tI^.wn'4rt';,r Mp^.aIICtldi �11.^.v58a ary are ^A::nG1YfleQ
^'titl'atall
Ci. *:3Ta : >GntRSB �� .''.CR.MYr'
� NYB j �ptruSg Ct J2it8f
f Y3t!9 u,:+'Gf?Si i1 .:fG9r
SHCRES 104 LLC, A FLCRICA LIMITED LIAI:LITY
DEIiTSCHE BANK TRUSTCOMPA.NY AMERICA1
CC41P.a^!Y
.AS TRUSTEE FCR RESICENT AL ACCRECIT
PC BOX 513248
LOANS, INC., MCRTG:.G'c ASSET. -BACKED P'SS-
MIAMI. FL 33261
THROUGH CERTIFICATES, SERIES 20'W-CS1
16C 17VCRT11INCTCN RCAC SUfTE 100
WEST PALAd BEACH, FL 33409
>. ?'c:Ml• CraitGn;
4. Se!tlafrara Ayen•
1080 NORTHEAST 104 STREET
PREVILM TITLE SERVICES - FL. INC.
MIAMI SHORES, L 33128,120 {M AMI-CAGE)
1C00 ASERNA HY RCAC NE SI:ITE 200, A?L.NTA, GA 30328 18551339-6325
_232-C29-0200)
FtaCe Gr �E:ill1!tM:: f.
SatAer^enl _all. iiiuvser. eM ?&9
1000 ASERNATHY RC:AD NE
SUITE 20
ts'23;2019 f
J. Summary of Borrower's Transaction K. Summary of Seller's Transaction
100. Gross Amotlnt Gue Prom R-nwer Ann r- a.,..,.- -1- T„ cene.
101Contract salesonca S52d,505.
411t Contract sales poce s524.5CS.00
102. Personal Praderfl' P
402 Personal oro0env
103. Settlement Chanel to Borrower (l na 1 d(10; $49,704,60 .
403, S
104,
404.
1 G5.
405.
Adjustments for items -paid by seifer in advance
Adjustments for items paid by seller in advance
10 ;. City4o'rn taxes
4C6. C6.4own taxes
107. County .axes
407. County taxes
i08. assessments
408. Assessments
139.
409.
to.
4110.
1t2
1
412.
120. Gross Amount Due From Borrower
5574.209.50
420. Gross Amount Due To Seiler
5524.505.00
:r, f, Dtcasa or Eames; `Aunty
St 5.000.E+1
501. Excel oeooa;t see ir,metionst
202. Pnr.c;oal amount cf new ;can
502. Settlement Charoas o Setl^r (:re 1sCC1
Sib, i dS,Ot
203. Em! rq loan taken sup evt ra
503. Ecistr lovs) rawer, sutier,; to
20-.
i
504. Paved cf 4rst mc.lzoaca'oan
I35-
%5. Paycffi of second mor gage foan
2` CL
5C6. Earnest mor+ev reta`ged by
%.
507. Uisbursen as orocetds is'S )a Of
K8
508.
2C9.
509.
Ad"ustmtats for items unpaid oy seller
Adjustments for items unpaid by seller
Z 0. C.r; town taxes
E
510. Clrjrtown taxes
21 Ceunrr taxes i it219 to 4 n _G'.9 . 37, 45.291"oat
S-.90
511. Coat, lazes t: );... to ,;2 '0u e, z7 3S'.2q^'ur
S457.80
.ASaessr:<n's
5' 2. Azsesemen:s
2' 3.
214
114
215
StS.
2118,
516.
2t7
St%
213.
518.
220. Total Paid B IForBorrower
st5.457.80
520. Total Reduction Amount Cue Seller
538.602.81
„ t u G:uiru.va ON. Uasn At Settlement TofFrom Seiler
3C 1. Gross Amount Cue From cncrrcvrer ;,ire 120) 5574.2C9.6C 601. Gross Amount Due To Seffer (tine 42() 5524.505.00
302. Lass Amounts Paid B.rPor 4crrowarline. 220) 515.457.80 EC2. Less Deduction in AmL Due To Self2r Hine 52C) $38.602.8t
303. Cash Z From ❑To Borrower ! s558,751 Z 603. Clsh E/✓1-✓1To []From Seller I $485,902.19
�oanNumber Casn FleNumber C_'31Gr.34E7357 Pr,Se t of 3
L. Settlement Charges
700, Total Salesisrooes Commission
Civson of :nmmission fre 7Nf as fctlows.
Real �nme 3er;icEs and Selua rs Irr,.
?g2. S 14,735.15 m Ceriton lraervadonat
793. Cnmrisaxn nca at 3erJemert
7r�d, R4!2rial `EE'n rs.'�`. Siaragamert. { LC
$CO. Items Payable In Connection'Nith Loan
Pad Fen Pa d From
BcrroazrsFvnds SE1ef surds
at Setemert at Setdcmert
801. Loan Crciiation wee
j
802, Loan i:iscoaM I
804. Credit Reoon
805, Lendees rscec ion Fee i
806. Mcr!pge Insurarce acclicacor Fee
807 AssumaeonFee
Premium
1000. Reserves Deoosited With Lender
0001. Hazard insuaree _ �
1002, Mortgage irsurarca j
I M C;tv cwcerty taxes
100. Annual taxes
1005. Annual assessments
aess
ss
1008. Aogregate accounting ad uwrrert
1100. Title Charges
1101. SE:yoment or lvsing feeto Ptem:nin itle Serl;ne$ • FL, Inc.
I'02. Absoact nr 51.1e search to Premium 7infe Services - FL, I.^c.
S 150.00
1 CG3. Tide examination
104, TAe insurance border
' 105. Cccument omoaraticn
;
110;. Notary fees
i
l i%. Aitntnev'S'eeS
;induces acoVe itam numbers'
1'3&.'ide Insurance Premium TitL Ser:xes • F; . ;nc.
S2.597.52
includes above item numbers:l
I M Lender , cover �is Premium S0. ONC-stcar Lard Tide irsurance Comoanv SO.001
). C.vrer's ca e ars S524 5^S 0 -rem um 52857 2 t^.yst:er Lard "ide trsura cE .amcsnv: 5804.25i
14. Resar":rq Se -,ice - e ;c P•,,mium Me Serrcas
1200. Government Recording and
20 L Record?rq "e No S25,N
1202.Ccunrv;ax,s;amns:deed 41c
1245. Mtq,'•ans:ar Tax, Deed 33.14750: 4>St9 3..061: to Simc151E 5' !41 Sr3 i
?,�- ?p.,ysrffiCGr^eY Rscoror .ee 'n .�mci:flE r
566.50
1207. Ler Relaase to Simolit'ie
S'8 i0
1300. Additional Setlemert Charges
1301. Survey - ---
1302. Pest lnsoecvcn
1304. Buyers Premium ;o Ah'source Cr5re Auumn. Inc.
526.4 L.vO
1305. Lien Pavoif to M4mr Shores ViVage
S2 43.13
13C6. Closirq Cxr*a'en Fee ;0 Al -source Holdings. LLC - Cceratinq Account
S750 00
1307 Re!moursement of ucfrcrt aMvmert w Prenxum Tide Seraces - FL, Inc.
550. x.
13E3,Storage Fee toUritedMicroraonks
i $4&GO
1309. attorney Fee to Kramer, Gciden ;; Srxx, ? =
Sy;,30 0
1310. Deed ;o Premium Tdle S wices - FL. Inc.
I $ ISJ•CA
1311 Refund Dex sit tc Shores 104 LLC a Florida limited i!atJiij ,^maary
7 515.00axi
1400, Total Settlement Charges tenter on line 103, Section J and 502, Section Kj
I $49,704.50
$38,145.01
Loan Numbar Casa
F le Nt rnher Cc 18f u =-34o7"s57
Pegs 2 of :'3
llxa�,Vq:J#F-e-.*r. 3wl..'et P=MM31'BW in
vt—t""l i,.o fK-? , zov, •-C-' Bemol.m
SELLERS
snores C E,, r S C .1 E :-;, P I K TRU S 7. C C kl P',l I I A.�. I E R I C A S. , S —, U S T:- E -- 0 R E S; C E T 1 A L
Remy �uliot.,Mwaqef ACCREC17, LOANS INC.. MCR TG,!;' ;E R-
�! c�cp
CERTSCA.7ES, SERIES M-CS!
sta!e—rt -o I s are �a X-wMe wcvml w wmm hm mm v 0 mu "mv mm", =M. a m mmm
Patrick J Schwery - Dace
Low Numm, Cal FM%Mu, CENARIWE-, Pm 3 d 3
. gVEl
FEB 12 'L'j"9
SCALE V:30'
L0'1' - 7
HOCK 2
s CHAIn
TIN
FENCE.
BOUNDARY SURVEY
PR0UDLY•FJRV#1: Ft t)A WSJ Ta 60ASTj • • L
• • • • • • • • • •
• • ••• • • • • •••
• •
•
•
• N.E.1 STREET
• • •
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LroCATION
SKETCH
N.E. 104th STREET:::::'.
:
;Scale 1"=
NT.S.
'
'So' rorAl RCN' of war
20.4' ASPHALT PAVEMENT
' 5' PARKWAY .
8
S90.00,00 75.00'
l Q
FLP 112'
NO GIP
i.onc
I
F.1.P 112'
NO W
401.34'
P.C.
DRIVEWAS
NO'f SL'BDiI/IDED
FIR 112'
NO CM
0
BLOCK 2
BM USED:
BM# B-26-RA ELEV: 17.23' (MIAMI-DADE Co.)
LEGAL DESCRIPTION:
_OT 6, BLOCK 2, OF "EVENINGSIDE", ACCORDING TO THE PLAT
(HEREOF, AS RECORDED IN PLAT BOOK 44, AT PAGE 53, OF THE
'UBLIC RECORDS OF MIAMI-DADE COUNTY, FLORIDA.
ID,?d Nf,7 (d�- 97.
IG PL S
Date O
;d Date
MC'W4
ADDRESS:
1080 N.E. 104th STREET,
MIAMI SHORES FL. 33138
(Die
M ami Shcros Vrl,,go
APPROVED BY DATE
ZONINS DEPT
I_>L P.� PEPT
-L'JL ,T i O CC;hIPI_If t ICE WI FH All FEDERAL
IT- ANL)(-f I.JN'Y HLL`S AND REOULATIONS
. ... . . . ...
% •. . % ..
• • ••• • • •
STATE OF FLORIDA
DEPARTMENT OF HEALTH • • w • . .
ONSITE SEWAGE TREATMiNt A4 Df!:PO-IAZ • �:
SYSTEM i •� •� i •i
PERMIT #: 13-SC-1 922883
APPLICATION # : AP 1397054
DATE PAID:
FEE PAID:
RECEIPT #:.
DOCUMENT # : PR1202121
•• • • • •• ••• ••
• • • • • • • • •w P A I K
CONSTRUCTION PERMIT FOR: OSTDS Repair i i i i i i•• i i
.. ,x AMI- rCCit "TV HEALTH Di pAR"i'7d1Wr
APPLICANT: Deutsche Bank /Shrove 104 LLc
PROPERTY ADDRESS: 1080 NE 104 St Miami, FL 33138
LOT: 6 BLOCK: 2 SUBDIVISION: Eyegside
[SECTION, TOWNSHIP, RANGE, PARCEL NUMBER]
PROPERTY ID #: 11-2232-029-0200
[OR TAX ID NUMBER]
SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION
381.0065, F.S., AND CHAPTER 64E-6, F.A.C. DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE
SATISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS,
WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE
PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID.
ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL,
STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY.
SYSTEM DESIGN AND SPECIFICATIONS CONTRACTOR.., SOIL BORING
T [ 900 ] GALLONS / GPD New Septic Tank CAPACITY
A [ 0 ] GALLONS / GPD CAPACITY The contractor (or des;gnce) is required to perform a so' be
N [ 0 ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY S• tfy nk vaVon at the time of
c ' al. the FDOH •nspector :
K ( ] GALLONS DOSING TANK CAPACITY [ ]GALLONS @ [ti�� $13�5'ld co'1sutts fAe Ori6
site evaluation submhted. A remspection feu wiil be as�-:e:
D ( 300 ] SQUARE FEET Np2 Q[ainfield Bed Conf, SYSTEM if the contractor is no! at the )ObSite at the arranged t
R [ 0 ] SQUARE FEET SYSTEM
A TYPE SYSTEM: [X] STANDARD [ ] FILLED [ ] MOUND [ ]
I CONFIGURATION: [ ] TRENCH (x] BED [ ]
N
F LOCATION OF BENCHMARK: FFE 12A
I ELEVATION OF PROPOSED SYSTEM SITE [ 31.20]( INCHES FT ][ ABOVE BELOW BENCHMARK/REFERENCE POINT
E BOTTOM OF DRAINFIELD TO BE ( 81.20]( INCHES FT ][ABOVE BELOW BENCHMARK/REFERENCE POINT
L
Di
0
T
H
E
R
ILL REQUI RED: ( 0.00 INCHES EXCAVATION RL UIREtD: [ 0/-.UU ) iNc titan
1.- Install a 900 gal. septic tank with an approved filter
2.- The licensed contractor installing the system is responsible for installing the minimum category of tank in accordance
with s. 64E-6.013(3)(f) FAC.
3.- Install 300 sf. of drainfield in ... BED... configuration,
4. Install 12 " of slightly limited soil at the bottom of the drainfield,
5.- Invert elevation and Bottom of drainfield to be no less than 6.13 ' & 5.63 ' NGVD respectively
THIS PERMIT IS NOT FOR ANY ADDITIONS.
SPECIFICATIONS BY: CON TITLE:
APPROVED BY: ' « TITLE: Environmental Specialist II Dade CHD
Rriok ear.
DATE ISSUED: 0210812019 EXPIRATION DATE: 05/09/2019
DH 4016, 08/09 (Obsoletes all previous editions which may not be used)
Incorporated: 64E-6.003, PAC Page 1 of 3
v 1.1.4 AP1397054 SE1151813