REOCC-08-24-2114Contact Name:
Buyer:
Realtor:
Miami Shores Village - BUILDING DEPARTMENT
10050 NE 2 Ave Miami Shores, FL 33138
305-795-2204 www.msvfl.gov
RE -OCCUPANCY APPLICATION
Seller:
Permit No. REOCC- 06— Lq— Zi 11
Property Address: "I "1 N T t1i 11 ' ) I I t'_` h
City: Miami Shores State: Florida Zip: 3 3 f 3
I hereby certify that I understand that the zoning for this property is for single-family residential use and that it
is unlawful for more than one family to reside therein. I also understand that any Certificate of Re -Occupancy
that may be issued by Miami Shores Village certifies only that the referenced property is being used for single
family purposes and that such certificate does not constitute any representation, warranty or certification as to
the condition of the dwelling or other structures on the property. In addition, I acknowledge the requirement
for a swimming pool barrier to be in place and in compliance with code requirements at the time the pool was
constructed, repair and or re -surface.
APPLICANT'S AFFIDAVIT: I certify that all the foregoing information is accurate.
Applicant
Signature:
The foregoing instrument was acknowledged before me this
�3 dayof A1l41,L54" 20 2-`( . by 1rQ[2e-i kt
who is personally known to me or who has produced l.j t7,-Itfty � L tc[tis 5 eAs identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print: w
My Commission Expires:
Building Officials Approval:
WENDY RODRIGUEZ
Notary Public • State of Florida
Commission # HH 528689
My Comm. Expires stay 19, 2028
ed through National Notary Assn.
RE-Occ: $60.00
Notary: $5.00
Total: (05.0D
Pa- 1 of
DURABLE POWER OF ATTORNEY
ANNA DOROTHY SABELLA
ak/a ANN SABELLA
I, ANNA DOROTHY SABELLA, a!k/a ANN SABELLA, hereby appoint and empower Valerie
Mule, if she unable or unwilling to act as my true and lawful attomey-in fact, then I appoint
Christopher Sabella, to act for me and in my name, on my behalf to do the following_
A. Collect, receive and receipt for any and all sums of money or payments due or to
become due to me.
B. Sue in my name and behalf for the recovery of any and all sums of money or payments
due or to become due to me and to collect on any judgments recovered by me and
execute satisfactions of the same.
C. Initiate, defend, continue, or settle suits on my behalf or to enforce the exercise of these
powers granted to my attomeys-in-fact.
D. Hire or discharge (with or without cause) employees, including but not limited to
physicians, nurses, attorneys and domestics.
E. Deposit to or withdraw from, or draw checks or drafts upon, any and all savings or
checking accounts, money market funds or any other type of account in my name; open,
modify or close any such accounts in my name in any bank or financial institution or with
any insurance or brokerage firm; and endorse my name to any and all negotiable
instruments.
F. Pay any and all bills, accounts, claims and demands now or hereafter payable by me.
G. Receive and endorse, for deposit in any account, any payments that I receive from any
branch or department of the United States or other government, including without
limitation, Social Security payments or grants, Medicare or Medicaid payments, and tax
refunds.
H. Represent me before any office of the Internal Revenue Service or any state agency;
prepare and sign any tax return on my behalf; receive confidential information regarding
tax matter for all periods, whether before or after the execution of this instrument, and
make any tax elections on my behalf.
1. Receive and open my mail, change my mailing address and otherwise represent me in
any matter concerning the U.S. Postal Service.
J. Borrow money and to otherwise incur or guarantee indebtedness for which I will be
liable, and to secure any such indebtedness by mortgage or other security interests
encumbering my assets.
K. Act for me in any business or enterprise in which I am now or have been engaged or
interested or with respect to any trust in which I have a beneficial interest.
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L. Manage all assets and properties belonging to me or in which I have any interest, and to
expend whatever funds my attorney -in -fact deems proper for the preservation,
maintenance or improvement of those assets or properties.
M. Compromise, arbitrate or otherwise adjust claims in favor of or against me or any assets
or entity in which I have an interest, and to agree to any rescission or modification of any
contract or agreement.
N. Participate in any type of liquidation or reorganization of any enterprise.
O. Join with other persons with whom I won property as joint tenants with right of
survivorship or as tenants by the entireties in any transaction regarding that property.
P. Vote and exercise all rights and options, or empower another to vote and exercise those
rights and options concerning any corporate stock, securities or other assets; to enter
into or approve agreements for merger, reorganization, or equivalent transactions with
respect to any company or enterprise; to delegate those rights to an agent; and to enter
into voting trusts and other agreements or subscriptions.
Q. Exercise all rights and options, or empower another to exercise those rights and options,
concerning sole proprietorships, general or limited partnerships, joint ventures, business
trusts, land trusts, limited liability companies and other domestic and foreign forms of
organizations.
R. Buy, sell exchange, lease, convey and grant options with respect to any real or personal
property, and to negotiate for and to enter into contracts and agreements of every nature
concerning real or personal property, including homestead or exempt property. Any such
contract, agreement or lease will be valid and binding for its full term even if it extends
beyond my lifetime or the duration of this power of attorney-
S. Exercise all powers even though my attorney -in -fact may also be acting individually or
on behalf of any other person or entity interested in the same matters.
T. Transact all business, make, execute and acknowledge all contracts, orders, deeds, bills
of sale, assurances, promissory notes, mortgages and other instruments of any nature
which may be requisite or proper to effectuate any matter or things pertaining to or
belonging to me.
U. Make gifts for estate planning purposes; change the beneficiaries of any life insurance
policies or other qualified or non -qualified benefit plans; create or fund revocable or
irrevocable trusts for the benefit of myself or of other persons; and consent to the
creation or extension of trusts established by other persons for my benefit.
V. Continue or discontinue my membership in any club or other organization.
W. Accept or resign on my behalf from any offices or positions which I may hold including
any fiduciary positions.
X. Continue, use or terminate any charge or credit accounts.
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Y. Employ and compensate any investment management service, financial institution or
similar organization to advise my attorney -in -fact and to handle all investments, and to
render all accountings of funds held on my behalf under custodial, agency or other
agreements.
Z. Enter into any safe deposit box for which I am a lessee and add or remove items; and to
enter into or terminate any safe deposit box lease or lease for vault space.
AA. Disclaim any property interest that I would otherwise receive.
BB. Demand, obtain, review and release to others medical records or other documents
protected by the patient -physician privilege, attomey-client privilege or any similar
privilege, including all records subject to, and protected by, the Health Insurance
Portability and Accountability Act of 1996, as amended ("HIPAA"). I designate my
attorney -in -fact as my "personal representative" under HIPAA.
CC. File or process claims for any medical bills with all insurance companies through which I
have coverage, including but not limited to Medicare and Medicaid, and to receive from
any insurer information obtained in the adjudication of any claim in regard to services
furnished to me under Title 18 of the Social Security Act.
DD. Invest in assets, securities, or interests in securities of any nature, including (without
limit) commodities, options, futures, precious metals, currencies, and in
domestic and foreign markets or investment funds, including common trust funds; to
trade on credit or margin accounts (whether secured or unsecured); and to pledge
assets for that purpose.
I further authorize my attorney -in -fact to take all other actions as may be necessary or
appropriate for my personal well-being and the management of my affairs, as fully and as
effectively as if made or done by me personally.
Despite the foregoing powers, my attorney -in -fact may not (i) deal with insurance
policies I own on the life of my attorney -in -fact, or (ii) except as specifically authorized by this
power of attorney; distribute assets so as to discharge a legal obligation of my attorney -in -fact.
My attorney -in -fact shall keep full and accurate inventories and accounts of all
transactions for me as my agent. Such inventories and accounts will be made available for
inspection upon request by me or by my guardian or personal representative. My attorney -in -
fact may not file any inventory or accounts with any court or clerk.
Any third party to whom this power-of-attomey is presented may rely upon an affidavit by
my attomey-in-fact stating, to the best of my attorney-in-fact's knowledge and belief, that this
power has not been revoked, that I am then living, and that no proceedings have been initiated
to determine my incapacity.
No third party relying on this power and that affidavit will be liable of any losses, damages or
claims caused by compliance with the action requested by my attorney -in -fact, unless that third
party has actual knowledge of my death or the revocation of this power.
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This durable power of attorney will not be affected by my subsequent incapacity except
as provided in Chapter 709 of the Florida Statutes. It is my specific intent that the power
conferred on my attorney -in -fact will be exercisable from the date of this instrument,
notwithstanding my subsequent disability or incapacity, except as otherwise specifically
provided by statute.
If any part of this power of attorney is declared invalid or unenforceable, that decision will
not affect the validity of the remaining parts.
My attomey-in-fact does not have an affirmative duty to act under this power of attomey
and will not be liable for any claim or demand arising out of any acts or omissions, except for
willful misconduct or gross negligence.
In witness whereof, I have executed this durable power of attorney on Q I day of July
2015.
Signed in the presence of: : ANNA DOR - HY SABELLA, a/k/a
ANN SABELLA
WITNESSES:
Signature
PnrAed Name
Street Address
City, State and Zip-.,t;�
Street Address 1 :�� /�/ 61 � l
City, State and ZipFvl/� /�i
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STATE OF FLORIDA }
COUNTY OF MIAMI-DADE }
SWORN TO AND SUBSCRIBED before m
DOROTHY SABELLA, a/ka/ ANN SABELLA, who is
identification in the form noted below and who took an
Personally known
or Produced Identification
e this °` day of July, 2015 by ANNA
personally known to me, or who produced
PREPARED BY:
RICHARD A. GOLDEN, ESQ.
KRAMER & GOLDEN, P.A.
1175 NE 125th Street., SUITE 512
NORTH MIAMI, FLORIDA 33161
(305)899-1800
Email: rag(a)kgpalaw.com
PUBLIC -
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