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CHANGE OF OWNER (2) t�tSfl�ill�t; +}�lll�?5`}ft\��\41\l'���`�ti.ti �`��.�\si}��s' Lz�ti�1���iC`.�,��,�\.L�� 4;,*.��Sef}���,it�\ \ln �L � \ 1 �� \� l \�t `�, \ .l���a�\ti�,�\�1�,� � `�,ti }�\ l� �� �`�� � . � 1`� l'.�\s��. ������i� �``��:.,�t} sti�S }��.��,��`��`�..����ti`�\.\� `�a.t ��"������. ,�2?'; ..�_ ��,a:�. �1 it\,tit,���`tlt��\ 11\\��f�\�l �s���,;t2�\�����t�t;1�\{�`\. �t�'1�ti�`\t� i�1\�i`��`a��,.\3\l ti�1�,z7Z� �" ���CY1I��'IO��S��{���� ��� �`�\�ti`� �i�`i ,�1.1't�s�} '� j\��t{ll\i�`ts����`���1�\�`���\1�1 ��s�����?���ti.����{s..: � 'c<..� '� ti`� i 1 S i .: � ��`i��.\��t����\���\ti �ns`�t��4\`�t�s � �� s L � �y 2�OSONE2Av� `� � � Z �1�� \\���t�rt����c� l� l� 4���tctt'�l�i'�ti��'��; �'E �� 1t 1\ l\ t� t t134� 1\� �t l t till}�l1)4�Z�.���1`\`z{�t ti �. titit�is \l � � 1 Miami Shares Fl 33138 ` \\� 4 \ ; � �s` ��1\\����1}� } � � \t ��,�� 5 s\ l �1,��\�S��\\\��'� s��y t t �`�t� ti.. 1����'7`���'t'���,�;. , .. �i�S-��S•�.ZO4 s1Q\s Z�t1� �1 S�?\\\`1�4�\��liti�',�t\\.ti�� t��ti����\�����,�����i�.���€L�t�\aY\�,`,�`Ei���`1����:,�,�������,;�� �������,��*��```� \������i3�� t},. 1���li�k�sisr�\��,ti\\t��'`�3�1�v} ����\.�,�ltti�t ����t ��. �� vti '� �� i � �� � a�>� 7}1�i��`�1��`l ``\ ,l�\\t' ;l\\`���\ 4����� ,�\\\�j,.t .���a�`tt�+\,., s,,\t1?:,�ti�, �.s:,t�.;,,�t,rs..;, ����^ `,j rl��t \ t ti ��� -1�ti,� f`,� 5,,�1 z�lU� . . � ��t ti��� L 1 l.. ;�L i 1�f 1 ���� ,��� ` El��1��{)�1: �.Q���t��{1�"{,� ��?....�,� ...�ti,� 1..,.=���,�.�;..��'. ,<,�t,�;��t,x.� Loc�t€�r�Address Parc�i(�umb�r �.An� .�..� .��.,�,�..�..� �.,A.A.�,.,�...�..,v.�,.�..�...�w�,,...�.,.w,.,�..,�,�,.�,�.,.�.,.���..�.� ��,���_�,..�.�.��,� �,,�� � 19A PVW 97T�i ST, fUti�mi Sh�res, FL 33150 12�1�1tt2509iA C�rttacts PERCY M,4E�P�1R7IDA,IVUNEZ C�wner ENC�INEEREC?�YS1 EMS�C}�UTI€�N5 LLC Con4r�ctor 2232 SW�1 1fJAY,DAVIE,FE 33324 JESUS C,4RMEI�ATE 6usiness:SG123699?Q 7352 5W 4� ST,NfiAEvll,FE 33255 Bk�si ness:3Q59C}94871 w��.,��.. �.�.�..�.��� ,��,�...�,�,.�,�„�,�.��. �.�.�..���,,.,,���,�.�.,�,._�.�..,, Ins ��t�ort�� u�sts � ��scnp��n.ftE-R€�t��T�E�At�D�l�,T RO�� v��aa�tican; �22 �� .00 � � f � t� 4��ll1 Ll` �t 1\.:�ti�T t`\ l� Tcafal+q Fe€!t: 2,969.QEI �;�1ti��`,`,`�������\,o���l �; � ��\ ��� ���,��, ..�t.��.c;_ ��. � L F�es Rmount Pay�s�nts t3ai�Paid Amt P�id APplication Fee-Other $50.00 Tc�ta�F�es $454.60 CCF 523.2� Cred'tt Carcf Q�Sj2f�2{?l9 $294.6U Change of Contract�r �11C�.t?0 Credit Card C}6/4JSf 2fl29 �5CM.00 C}BPR Fee 54.50 CredPt Card 04f 27J2Q20 $11ft�QU Ct�A Fee $3,C}0 EduGation Surcharge S4.4Q �m�uttt�u�: $O.tN? R�erfin��ee $250.4f3 Scanning Fee $12.0� Teehnolo�y Fee $7.50 T�c�l: $454.6tD Ap►p1iC�nt CQpY For Insp��tic�ns, ��li (3Q�) 762-49�4�� or Lc�g on �t F��ps:1lbldg.rni�mishoresv�llag�.comfc�pl. Requ�sts mu�t be r�c�ived by 3prr�f�r fall�v�ring d�y insp�ctian�. NC}TICE: fn �ddition t� the requirements o� this permit, ther� m�y be [? 'fH�FtE MAY BE ADC?lTIt3NA� P�FtNF€T� Ft�QUIRE� F�t3AH ATHER �ddition�I e��trie�ions�ppiieatate tc�th€s prcap�rty th�t may b�f�ur�d in the Gt?V�Rt�Cta���tT,4L ENTITt���UCN AS t�dATE�t� AGE��PlT�iSTRE�T�, public r�cords of this county. �TA'�E A��tdG1��,t7R��C?�RAf.AG��t�IES. RYI+��Vdf 41fAV P'���.6�E G r�.� i i h r s i I I � �. � � � � � _� _ ��`�"'��� ����,a�� ���t`���.�����_� s� �t�� � � �` � �.�� i I i n rt r�t � t $ti k� �� ��, 10Q54 hi.E.2nd Avenue, Miami Shores, Flarida 33238 ���� Tel. (3Q5)?95-2204 Fax:(305)756�&972 � �� tNSPECI'ION CINE PMONE NUM�ER:(305y 762e4949 ���µ� ���`� �:�`� - ._. ����M� � �L � aster Permit No �� � � ��`��� ���"��� �� � � � Sub�ermit No. ��UILDING � ELECTRlC � ROOFING � REVISIOfV � EXTENSlON RENEWAl. �PLUM�ING ❑ MECHANfCAL �PUBLIC W(�RKS CHANGE OF � CANCELLATION ❑ SHOP CONTRACT��� �RAWf i�GS �o�Aa���ss: ����t��� ���� �v:�.�� � � �` �� �=�.�.�- Citv: Miami Shores Cauntv: Miami Dade Zip° Foiia/Pareel##c ts the Building Historiea(ly Resignated:Yes NO Qccupancy Type: Load: Canstructi�n Type. Fload Zone: BFE� FFE: OWNER: Nar�e(Fee Simple Titleholderj: ��"�� �C � `�" "��`� ��� ���°���'�� � � �-- Fhane#: ��� �,_°� � ���� Address: �-���� `� � ° ��'� � City: ��a't�. �� State: �"� Zip: ��:�����.� .�. TenantJLessee N�m�� Phane#: Email: "�--'�_`,��: f°�`����` -� ��-��..�-���i#`�'1 c $ � ���� CONTRACTOR:Company Name: �}, „�' ,,,� p�a��#�; Address: • , �, . «� City: P� � - St�t '_—.l=�`_"'�� _ Zip: _ J �� �J �--r Qualifi�r Name: Phane#: ` State Certifieatian or Registration#: � Certifieate af Competency#� [?ESIGfVER:Architect/En�ineer: p��n��: Address: City: Stat�. Zip: Vatue af W�rk for this Permit:$ �� ; t����' SquareJl.inear Faotage of Work; � � ��`�� �' Type of Work: ❑ Additian ❑ Alteration ❑ New ❑ Repair(Replace ❑ Demalition Descri�tian of Work: �"�.� ���'�-~ Specify col�r c�f color thru tite: Submitta!Fee$ Permit Fee$ CCF$ CQjCC$ Scanning Fe�$ Ftadan Fee$ DBPR$ Notary$ T�ehnolagy Fee$ Training/Educetion Fee$ Dac�ble Fee$ Siructural Revi�ws$ g4nd$ TQTAL FEE NOW DUE$ _��"'} , �" {Revsseaoz/2�/2asa} Sanding Gompany°s Name(if appiicablej , � �ondin�Company's Address _ City State Zip Mortgage lender's Name(if appiicablej Mor�ga�e Lender's Address City State Zi p Applicatian is hereby made ta obtain a permit to do th�w�rk and inst�l(ations as indicated. I certify that no work ar installatian has commenced prior to the issua�ce of a permit and that all �arork will be perFormed to me�t the standards of ail laws regulating consfiruction in this jurisdict'son. I und�rstand that a separate p�rmit must k�e secur�d far ELECTRIC, PLUM�ONG, SIGfVS, POOLS, FURNACES, �QiLERS,HEATERS,TA,NKS,AIR CONQITIC?NERS, ETC.,... �WM1lER'S AFFIDAVtT: I certify that all the foregoing information 3s accurate and that all work will be dane in compliance with all applicable laws regufating eonstruction and zonin�. " ARNING TO Q NER: YQUR FAILURE T RECQRD ,4 RIaTICE OF C ENCE ENT AY ESULT IN YOUR PA►YtNG T ICE FQR ! PRQVE E TS TO YAUR PR4PfR . IF Y U INTE T� OBTAtN FINANCING, CQNSULT WITH YOUR LENDER OR AN Al�'ORNEY BEFORE RE�ORDING YGlUR NQTICE 4� CQIVIMENCEMENT." IUotice to Applicant: As a conditr'on to the issuance of a bui/ding permit�✓�th an estimated value exeeeding$250Q, the appilcant must �romfse dn g�od faith that a copy of the notice of commencement carrd construction Pien lawr broehur� will be delivered ta the person whose praperty is su6ject to attachment. Also, a certified copy of the recarded notice of corramencement must be pasted at th�jab srte for the first inspectdon which occurs seven (7) days after the building �ermit is issued. !n the absence of such posted notice, the inspection wilt not be a o and re spection fee wiU be charged. � Signature Signatu ER�r AGENT CONTRACTOR The fo�egoing instrument was acknowledged before me this 1'h�fore�oing instrument was acknowledged befare me this ���� �C _���, � d�y of ,20 � '�' , by � day ofi 20 , by � � � � ~��� °� ,who is personally known to ;who is personallv kr�nwr,tn � Ty me ar wh�has produced ' ��"��� "��'�� °���"".�as� me or wha has pr�duced as identific�tion and who did take an oath. identification and wha did take an oath. NOTARY PUBtIC. NOTARY Pt18LIC: �- ���-�� �- � s�° '� � �;:::�' .�e..�._. Sign�� �-' �x., ,�" �. � � � Sign: � ��° � � � Prin�-.... � �� � ,�� ,�,�`��-":� Print: �,.��� �2��: �2a�: ,�,�;n'�:ei�i�.., MAft1AANDREA�C3105 ���"� Notary Public Stat�9f Fiarida .� e ���u������pg����; „`�'�'�`� Notary Pub`ic-State of F4orida ,�, � Puty Gammission GG 195743 R �'�� � ' Comm;ssion i�GG i 161A4 , .I �- ���� Expir�SQ3113l2022� �`';'!'�„r�,p��''� MyComm.ExpiresAug14,2071 ��k*******�k***�k �k***%�*�&*�k*#**�kac#*�k**�k*****�k �k**N��k r�.,.�t���� APPROVED BY ,�`✓ � Plans Examiner Zoning � Structura! Review Clerk {Revised02J24J2014) ~ ' " GFN; 2Q2000�212� �OC7K 31792 P�GE 2515 C�ATE:01�24t202£} 02:49:5� P� DE�D DOG 1,974.QC� H�IRVEY RUVIN,C�ERK QF GC3UftT,t+�IA-DAD�GTY i'r�;t��ired bv�rtd r�tarr►ta: t��y�nna F"irez,Esy. ��ttc�rr��}�at L,�w !'ir 1�w F'trtte,P.A. �9�9�fV4' 15l 8tre�t S�ite (t2 'rt��mi L�k�s, �'L 33Q14 "t3t�95 242 E�ilu�lumber: MSYI,E,LC-1�lALDC? E�onsider�tian A�aant: �329,QOO.f20 _�_(Space�lbovc Tt�is l.i�e I'ar Rec�rdin�I}aEa] . ,_. ��I'r���' ��#�t� �[`his �`�tr it�y D�ed trt�d� this 17t1i d�y af Janusr°y, 2Q2t3 between MSYIq GL.C, � Flc��°id� lirnft�d li�b�tity g�om��oy, wh�se post o�ce address is 15�7i IYW 83 Pta�e, Hi�Eeah, �L 33Qif, ntar, d P�rcy I��lpart�da �tun �anc! J�a�nifcr Gudris Ma[donada, Nusbas�d �nd Wif�, whos�post of�'ice address is t40 �iW 97�1° , Miam�Shor E`L� �3150.�rant : ,�Vhen���4s us�d heeein the t�rms "$r�ntas"' ancl "�r�r�te�" iacluelc all the ies to ehss ansvument the heits, kegat rcpr�set�Eatives, and igns oE' individuaEs,aiad shc suecessoi:;and assi�,ms of carpexati�atis,�rusu snd trtast�) �'Vit[t�s5eth, that s�id � tor, far and in consideration af the surn af TEI� AND NQ1200 L�C)LLP.E�S (�tQ.{?(�) d csther :;c�c�d �nd valuabi� cc�nsiderations tcr sa°sd �rant�r �n hand p�id by said�ra�t�e, the rec��pt where�f is hereby acknawl�d�ed, t�a� g,rant�d, b�rgained, and st�ld to the said grantee, and te�'s ��ics d igns foraver, t�te �oltaw`:ng described l�nd, ;iYx��fe, lying at�d bein�in �9i�re�i-�3�de Co�nt}�=Florida t�-�rit. t�art 1, �tc�k 3, Plat �uf[tesubdivisic�n of�lock 3 �onm�r P�rk,�ccordin�to the m�p o�°pl�t th�reoE �s r� rded in Pl�t B�ok 4�q F�g�6€l,Public R v¢°ds af M���ie��de��unty,Ft�rid�. Fa�rcel tdentificatiun l�umber: ti-.3t01-Q�S-04tQ �aub,��et tt� t�xes fae �fll9 �nd subsequent ye�rs; ec�vet��r�ts, candit`so�s, restrictic�r�s, eas�men�ts, r erv�tions and li€nitatic�ns ef record�if any. To�eth�r w�th ali ihe i�n�rnents,her�dii�rr��r�ls and appurten� �s th�reto b�latt�ing c�r in i��appe ining. `1'o H�ve snd to I�old,the sarn�in fe�simpce Farev�r. At�d the grantor hereby couenants with said �r�nt�e that the �r�ntor Bs lawfutly sei d csf said land in fee simple; th�t th� �;rantc�r has good right and I�wful�athorit��to se[!and car�v�y said landg Ehat the ntar here�sy ft�ily wa nts the title to said lar�d �nd wtHt dsfend the same a��enst the [��vful claims of all persons whomsa�ver; �nd that s�id land is free of �li ��r�cu�nbrr�nces,except taxes accruing subsec�c�ent to C? ernber 3 E,2019a �� Wit� S Wh� f,�r�ntc�r has hereuf�tc�s�t grantor's hand�nd s��l the day and y��r ficst�bove s�rri�ten. tloubl�TEm�� , . , a CFN: 2(}20QC}6212� �C?C�I{31792 PAG�2516 Sigr►�ci, I�! d deliv�r�cl�n pr . , , MSVI LL.�,a F�t�x' a limit�d li$bility c�r►�p�ny� �I B' � � �4� �,�� �'t ,3' �; t �� � ����t)��EQCI�� �QUIl�C?��t�Cflt-��1� resg�ing 1ns rta t � owt�g�x! b�for�me by m s af[X] ph " ence Qr [� otaline no ` tran,th�s y af J u ,2Q2(}6y J A Mij s,Ivt a�er af iVISV I, ,a Ft d� ` ' liabilitY P Y}on atf of the rpa t�or�. Helshe[� is s�n�Ity kztown ta me or[X]has prc�u a i r's se as id tifi i�n. [IJ S 1� N Pubtic Print�t N e: ,,.�..� ��, My missi ��i . �,. `"� '�' � ��q��1ece�rib 1� �w, � U� „� ' Wrrrrrrnty E�e�d.p'a�2 �►u!�leTfln�°