Loading...
CC-11-20-2544 (2)Miami Shores Village 10050 NE 2 Ave Miami Shores FL 33138 305-795-2204 Permit NO.: CC-11-20-2544; Permit Type: Building (Commercial)' Work Clossif ation: Alteration Permit Status; Approver Issue Date: 02/09/2021 Expiration: 08/09/2021 Location Address Parcel Number 790 NE 91ST ST 4, Miami Shores, FL 33138 1132060390040 Contacts RICARDO PADULA Owner WILCON CO Contractor 790 91st 4, Miami Shores, FL 33138 WILLIAM CRUZ Business: 3058965144 padulabox@icloud.com 9636 NE 5 AVE, MIAMI SHORES, FL 33138 Business: 7863998855 Inspection Requests: Description: REMOVE AND REPLACE CABINETS AND j Valuation: $ 12,500.00 COUNTERTOPS, BATHROOM RENOVATION �762-4949 Total Feet: 720.00 Fees Amount Application Fee - Other $50.00 CCF $7.80 DBPR Fee $5.63 DCA Fee $3.75 Education Surcharge $2.60 Permit Fee $325.00 Planning and Zoning Review Fee $35.00 Scanning Fee $12.00 Technology Fee $9.38 Total: $451.16 Payments Date Paid Amt Paid Total Fees $451.16 Credit Card 11/04/2020 $50,00 Credit Card 02/09/2021 $401.16 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 AFFID VIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regul#ting Fo¢str4tion and 4oning. Futhermore, I authorize the above named contractor to do the work stated. Applicant / Contractor / Agent Date February 09, 2021 Page 2 of 2 Location Address Parcel Number 790 NE 91ST ST 4, Miami Shores, FL 33138 1132060390040 Contacts RICARDO PADULA Owner WILCON CO Contractor 790 91st 4, Miami Shores, FL 33138 WILLIAM CRUZ Business: 3058965144 padulabox@icloud.com 9636 NE 5 AVE, MIAMI SHORES, FL 33138 Business: 7863998855 _..... ....... . ...... __... ....... �........................__ .....__..._............._...._...__._..........._._.._..........._.,\ 111,111 Ins ect�on Requests: Description: REMOVE AND REPLACE CABINETS AND Valuation: $ 12,500.00 COUNTERTOPS, BATHROOM RENOVATION Total Sq Feet: 720.00 I' Fees Amount Application Fee - Other $50.00 CCF $7.80 DBPR Fee $5.63 DCA Fee $3.75 Education Surcharge $2.60 Permit Fee $325.00 Planning and Zoning Review Fee $35.00 Scanning Fee $12.00 Technology Fee $9.38 Tota I : $451.16 Applicant Copy Payments Date Paid Amt Paid Total Fees $451.16 Credit Card 11/04/2020 $50.00 Credit Card 02/09/2021 $401.16 Amount Due: $0.00 For Inspections, Call (305) 762-4949 or Log on at https://bidg.miamishoresvillage.com/cap/. Requests must be received by 3pm for following day inspections. NOTICE: In addition to the requirements of this permit, there may be AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER additional restrictions applicable to this property that may be found in the GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRBCTS, public records of this county. STATE AGENCIES, OR FEDERAL AGENCIES. February 09, 2021 Page 1 of 2 Miami Shores Village RECEIVED BUILDING Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 1 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC 20 Master Permit No. J J t PERMIT APPLICATION 6 BUILDING ❑ ELECTRIC ❑ ROOFING ❑PLUMBING ❑ MECHANICAL [:]PUBLICWORKS JOB ADDRESS: (2) A; U-1- c �) I (1::ft. Sub Permit No. ❑ REVISION ❑ EXTENSION ❑RENEWAL ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS City: Miami Shores County: Miami Dade Zip:j (3� Folio/Parcel#: Is the Building Historically Designated: Yes NO Occupancy Type: Load: Co-n�strru-cttiionn Type: OWNER: Name (Fee Simple Titleholder): Address: �� City:`J� State: Tenant/Lessee Name: Email Flood rZone:: BFE: FFE: �y L Phone#: C"%��� 12 i5!:) t 611/1)L. CONTRACTOR: Company Name: Phone#: Address: 9, 3 6 A/� S ", A-w- rn_I_-� City: CAI i' u rvn r $- # `C�Ej State: I— Zip: 3 ? J -3y % Qualifier Name: I-t rAz" Z Phone#: State Certification or Registration #: 512 4 `f Z Certificate of Competency #: / DESIGNER: Architect/Engin�eer: fr 1 it) UOl 0 A. -to Ff-E Pho�nSe#: 12L 3� 2- 1 b 9 r Address: 3 % l� City: 01 A!Jl �81 K State: 1�& Zip: 33 13,� Value of Work for this Permit: / Z S a0 Square/Linear Footage of Work: `7 7 �T`� Type of Work: ❑ Addition -❑ Alteration ❑ New ❑ Repair/Rep/lace ❑ Demolition Description of Work: �yr.I� d� at ea /4 t e. �}1�, r.v;r j� 7C 40C"y Rye exAf Qr'n U vac -D,1.) NON _rnoneFF: Er('vRySF_/ZV) A Specify color of color thru tile: Submittal Fee $ p - C Permit Fee $ CCF $ CO/CC $ Scanning Fee $ Technology Fee $ Structural Reviews $ Radon Fee $ Training/Education Fee $ DBPR $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ --; 0 1. . I (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 on 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 is subject to atta men Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which oc rs se�(7) after the building permit is issued. In the absence of s posted notice, the inspection will not be a an reinspec on feq will be charged. Sig OWNER or AGENT The foregoing instrument was acknowledged before me this ? day of 0 C47 120 by who is ersonally know to me or who has produced identification and who did take an oath. NOTAR PUBLIC: Sign: Sign CON The foregoing instrument was acknowledged before me this 9 day of O C.F , 20 40 by 41 191 AvV1 (KA_ L. , who is personally known to as me or who has produced identification and who did take an oath. NOTARY P DENA CRUZ � °;Notary Public -State of Florida Sign: it Commission 8 GG 305462 fb7 Print: Print: Hprn V "rd�, DENA CRUZ o;rrYAM,, DENA CRUZ Seal: ;_wnw '�";Notary Public -State of Florida Sea . _':° ,Notary Public-Ststo of Flo, :. _ Commission � GG 305462 y „ Commission M i30 30l44 My Commission Expires �naA� MY Commission Expire April 07, 2023 April 07, 2023 APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) CONSTRUCTION.INDIJT'RYLNCENSING BOARD THE GENERAL CONTRACTOR HEREIN IS CERTIFIED UNDER THE Ll Local Business Tax Receipt Miami —Dade County, State of Florida -THIS IS NOT A BILL - DO NOT PAY 5953626 BUSINESS NAME/LOCATION WILCON CO 9636 NE 5TH AVENUE RD MIAMI SHORES, FL 33138 OWNER WILCON CO Worker(s) RECEIPT NO. RENEWAL 6210769 SEC. TYPE OF BUSINESS � 11 EXPIRES SEPTEMBER 30, 2021 Must be displayed at place of business Pursuant to County Code Chapter BA - Art. 9 & 10 196 GENERAL BUILDING CONTRACTOR CGC1512642 PAYMENT RECEIVED BY TAX COLLECTOR 45.00 07/10/2020 C R E D ITCARD-20-049680 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 ga-276. MIAMMADE l For more information,visitwwwmiamidade.gov/taxcollector �% VGI'l1 1FIV/11 G Vr L10'%UIL1 1 I 11rrr7Vfl/'11rL►G 10/07/2020 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 endorsement(s). PRODUCER CONTACT NAME: Next First Insurance Agency, Inc. PO Box 60787 Palo Alto, CA 94306 PHONE (855) 222-5919 FAX C No Ext : A/C No): _ E-MAIL ADDRESS: support@nextinsurance.com INSURERS AFFORDING COVERAGE NAIC A INSURER A; State National Insurance Company, Inc. 12831 INSURED INSURER B : William Cruz Wilcon Co INSURER C INSURER D : 9636 NE 5th Avenue Rd Miami Shores, FL 33138 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 2019256 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 OF INSURANCE ADDLTYPE INSD SUER POLICY NUMBER MMIDDPOLICY EFF MM/DD POLICY FRCP LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000.00 CLAIMS -MADE � OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $100,000.00 MED EXP (Any one person) $10,000.00 PERSONAL & ADV INJURY $1,000,000.00 A X NXTR3HMPJW-00-GL 09/10/2020 09/10/2021 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000.00 X POLICY ❑ JET LOC PRODUCTS - COMP/OP AGG $2,000,000.00 $ 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 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS UTAB CLAIMS -MADE DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N PER OTH- STATUTE ER ANYPROPRIETOR/PARTNERIEXECUTIVE E.L. EACH ACCIDENT $ OFFICERIMEMBEREXCLUDED? ❑ N / A (Mandatory to NH) E.L. DISEASE - EA EMPLOYEE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ Each Occurrence: $25,000.00 A Contractors Errors and Omissions X NXTR3HMPJW-00-GL 09/10/2020 09/10/2021 Aggregate: $50,000.00 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Certificate Holder is an Additional Insured on the General Liability policy, per the Additional Insured Automatic Status Endorsement if required by written agreement between the Certificate Holder and the insured. All Certificate Holder privileges are subject to policy terms and conditions. CGC1512642 GERTIFIGAII E HOLUEK GANGELLA I IUN Village of Miami Shores Building Department SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 10050 NE 2nd Ave THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Miami, FL 33138 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE n ©1988-2015 ACORD CORPORATION. All rights reserved. 9636 NE 5TH AVE .! k' 1 .. VIAWK_' , Contractor -Project Manager, Constiuction Execoutlwe,_ Construction Manager or Construction Superintendent IMPORTANT Pursuant to subsection 440.115(14), F.S., an officer of a corporation who elects' exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter. Pursuant to subsection 440,05(12), F.S., Certificates of election to be exempt issued under subsection (3) shall apply only to the corporate officer named on the notiCe of election to be exempt and apply only within the scope of the business or trade tested on the notice of election to be exempt. Pursuant to subsection 440.05(13), F.S.; notices of election to be exempt and certificates of election to be exempt shalt be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 E01224096 QUESTIONS? (8 0) 413-1609 Wij rjmCO 6ENZPAL CONTRACTOR COINN. uv "ION "^mAGEMENT LICENSED ac INSURED CSC# IsIXG42 WILLIAM CRUZ OESION-BUILD 9Ss& HE STH Avt RD. CELL 78Br899-BBSS D> I" HL4wa BMOMW FL. 331 $B O"um SOS-458-996= � y, WCRUZS3 "OT"^v --cqM State of - 111� 4, -- �* `:, me W5 dey person$ft appeared ('x--z wW, dY moml, arld Says: That he of she wiN be the o* person vmKft on the Wgea A % %0 N� I / s� �� 1, and subscribed before me this day of 61 c- r ,2f3 , by L+ : + + : .�F +.:�t'+; •fit,_+, .+: _i Print #. pe or stamp of Tc Fi l.1 z Nctary f ublic-State; o! Florida L '• *= Cornrnission # GG 305462 z , o rvly Con mission Expires Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Notice to Owner — Workers' Compensation Insurance Exemption Florida Law requires Workers' Compensation insurance coverage under Chapter 440 of the Florida Statutes. Fla. Stat. § 440.05 allows corporate officers in the construction industry to exempt themselves from this requirement for any construction project prior to obtaining a building permit. Pursuant to the Florida Division of Workers' Compensation Employer Facts Brochure: An employer in the construction industry who employs one or more part-time or full-time employees, including the owner, must obtain workers' compensation coverage. Corporate officers or members of a limited liability company (LLC) in the construction industry may elect to be exempt if: I . The officer owns at least 10 percent of the stock of the corporation, or in the case of an LLC, a statement attesting to the minimum 10 percent ownership; 2. The officer is listed as an officer of the corporation in the records of the Florida Department of State, Division of Corporations; and 3. The corporation is registered and listed as active with the Florida Department of State, Division of Corporations. No more than three corporate officers per corporation or limited liability company members are allowed to be exempt. Construction exemptions are valid for a period of two years or until a voluntary revocation is filed or the exemption is revoked by the Division. Your contractor is requesting a permit under this workers' compensation exemption and has acknowledge that he or she will not use day labor, part-time employees or subcontractors for your project. The contractor has provided an affidavit stating that he or she will be the only person allowed to work on your project. In these circumstances, Miami Shores Village does not require verification of workers' compensation insurance coverage from the contractor's company for day labor, part-time employees or subcontractors. BY SIGNING BELOW YOU, ACKNOWLEDGE THAT YOU HAVE READ THIS NOTICE AND UNDERSTAND ITS CONTENTS. Signature: / Owner State of Florida Countv of Miami -Dade The foregoing was acknowledge before me this day of IC f20 2 �3 By. /_�/\ i �� °' f —1� who is p ona�y,��own to me or has produced as identifical DENA CRUZ `=a'a_Notary Public -State of Florida Nota`�F� Commission 8 GG 305462 My Commission Expires 'n9,;; April 07, 2023 SEAL: OFFICE OF THE PROPERTY APPRAISER Summary Report Property Information Folio: 11-3206-039-0040 Property Address: 790 NE 91 ST UNIT: 4 Miami Shores, FL 33138-3250 Owner MARILYN A BASS Mailing Address 790 NE 91 ST APT 4 MIAMI SHORES, FL 33138 USA PA Primary Zone 4700 MULTI -FAMILY - CO-OPS Primary Land Use 0508 COOPERATIVE - RESIDENTIAL: COOPERATIVE - RESIDENTIAL Beds / Baths / Half 1 / 1 / 0 Floors 0 Living Units 1 Actual Area Sq.Ft Living Area 620 Sq.Ft Adjusted Area 620 Sq.Ft Lot Size 0 Sq.Ft Year Built 1959 Assessment Information Year 2020 2019 2018 Land Value $0 $0 $0 Building Value $0 $0 $0 XF Value $0 $0 $0 Market Value $41,000 $41,000 $41,460 Assessed Value $41,000 $41,000 $41,460 Benefits Information Benefit Type 2020 2019 2018 Homestead Exemption $25,000 $25,000 $25,000 Second Homestead Exemption sol $0 $0 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description ASBURY PARK PB 4-110 E148FT OF LOT 4 SEVEN NINTY INC - CO-OP APT 4 1 SHARE OF 8 - 13% OR 19002-1 02 2000 1 Generated On : 10/15/2020 Taxable Value Information 2020 2019 2018 County Exemption Value $25,000 $25,000 $25,000 Taxable Value $16,000 $16,000 $16,460 School Board Exemption Value $25,000 $25,000 $25,000 Taxable Value $16,000 $16,000 $16,460 City Exemption Value $25,000 $25,000 $25,000 Taxable Value 1 $16,000 $16,000 $16,460 Regional Exemption Value 1 $25,000 $25,000 $25,000 Taxable Value 1 $16,0001 $16,000 $16,460 Sales Information Previous OR Price Book- Qualification Description Sale Page 09/12/2014 $100 29524 Corrective, tax or QCD; min consideration 0744 02/01/2000 $26,000 19002-1 Sales which are qualified 11/01/1999 $20,000 18895 Sales which are qualified 3338 07/01/1992 $0 00000- Sales which are disqualified as a result of 00000 examination of the deed 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: Property Search Application - Miami -Dade County Page 1 of 1 OFFICE OF THE PROPERTY APPRAISER ^p E Summary Report Property Information Folio: 11-3206-039-0040 Property Address: 790 NE 91 ST UNIT: 4 Miami Shores, FL 33138-3250 Owner RICARDO PADULA Mailing Address 10178 COLLINS AVE APT 207 MIAMI BEACH, FL 33154 USA PA Primary Zone 4700 MULTI -FAMILY - CO-OPS Primary Land Use 0508 COOPERATIVE - RESIDENTIAL: COOPERATIVE - RESIDENTIAL Beds / Baths / Half 1/1/0 Floors 0 Living Units 1 Actual Area Sq.Ft Living Area 620 Sq.Ft Adjusted Area 620 Sq.Ft Lot Size 0 Sq.Ft Year Built 1959 Assessment Information Year 2020 2019 2018 Land Value $0 $0 $0 Building Value $0 $0 $0 XF Value $0 $0 $0 Market Value $41,000 $41,000 $41,460 Assessed Value $41,000 $41,000 $41,460 Benefits Information Benefit Type 2020 2019 2018 Homestead Exemption $25,000 $25,000 $25,000 Second Homestead Exemption $0 $0 $0 Note: Not all benefits are applicable to all Taxable Values (i.e. County, School Board, City, Regional). Short Legal Description ASBURY PARK PB 4-110 E148FT OF LOT 4 SEVEN NINTY INC - CO-OP APT 4 1 SHARE OF 8 - 13% OR 19002-1 02 2000 1 Generated On : 2/4/2021 Taxable Value Information ._....r.._.........®...._.... _ 2020` 2019C 2018 �... _ __.. County Exemption Value $25,000 $25,000 $25,000 Taxable Value 1 $16,000 $16,000 $16,460 School Board Exemption Value $25,000 $25,000 $25,000 Taxable Value $16,000 $16,000 $16,460 city Exemption Value $25,000 $25,000 $25,000 Taxable Value $16,000 $16,000 $16,460 Regional Exemption Value 1 $25,000 $25,000 $25,000 Taxable Value $16,000 $16,000 $16,460 Sales Information Previous OR Book - Price Qualification Description Sale Pa a 9 08/29/2020 $92,500 32087-1092 Qual by exam of deed Corrective, tax or QCD; min 09/12/2014 $100 29524-0744 consideration r02/02000 $26,000 19002-1 Sales which are qualified 1999 $20,000 18895-3338 Sales which are qualified 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 hftp://www.miamidade.gov/info/disclaimer.asp Version: https://www.miamidade.gov/Apps/PA/propertysearch/ 2/4/2021 Return to: David Hauser, Esq. i 111 Kane Concourse, Suite 616 Bay Harbor Islands, Fl, 33154 This Instrument Prepared by: Christopher P. Kelley, Esq. 11098 Biscayne Boulevard, Suite 205 Miami, Fl, 33161-7486 ASSIGNMENT OF PROPRIETARY LEASE/STOCK CERTIFICATE Folio No.: 11-3206-039-0040 i1j, / This Instrument made this` "day of �ls't , 2020 by MARILYN A. BASS, a single woman, the lessee of Cooperative Apartment Proprietary Lease of the Public Records of Miami - Dade County, Florida and) of Stock Certificate (Numbered 41) representing one (1) share dated September 12, 2014 between 790 CO-OP, INC., a Florida Corporation, and MARILYN A. BASS, filed for record on March 4, 2015, in Official Records Book 29524 at Page 0744 of the Public Records of Miami -Dade County, Florida legally describing the property as follows: Apartment No. 4 of 790 Co -Op Apts., Inc. Located on The East 148 feet of Lot 4, less the North 12 feet of Asbury Park, according to the plat thereof as recorded in Plat Book 4 at Page 110 of the Public Records of Miami - Dade County, Florida - hereinafter referred to as Assignor and RICARDO PADULA, hereinafter referred to as Assignee, whose address is 10178 Collins Avenue, Ant. 207, Miami Beach, FL 33154. For the sum of TEN ($10.00) DOLLARS, and other good and valuable considerations, the Assignor does for herself and her heirs, executors and assigns, hereby conveys and transfers all of her right, title and interest in and to said Proprietary Lease and Stock Certificate to the Assignee her heirs, executors and Assigns forever. IN WITNESS WHEREOF, the Assignor has set her hand and seal at Miami, County of Miami - Dade State of Florida,this 2 �? day of .4 u- ur,, > 2020. Witnessed by: Witness Signature Witness Name: 0 C.i,.o 2751 NE 183rf Street #1509 Aventura, FL 33160 Wi s Signature Witness Name: State of Florida ) County of Miami -Dade ) The foregoing instrument was acknowled ed before me by means of [X] physical presence or L] online notarization, this 'Z,�r_ day of utj , 2020 by MARILYN A. BASS, who is personally known or [X] has produced a Florida driver's 11 ens* identification. / 'l �. [Notary Seal] ,t m ^ crlRWORMP K UEY bn#GG Notary Public, State of FLORIDA AVrarge r ommayz,=4 Printed Name: CHRISTOPHER P. KELLEY O' 0o01idUNWAa 1N1pr- - My Commission Expires: May 21. 2024 This instrument prepared by: Christopher P. Kelley, Esquire Christopher P. Kelley, P.A. 11098 Biscayne Boulevard, Suite 205 Miami, Florida 33161-7486 BILL OF SALE KNOW ALL MEN BY THESE PRESENTS, That MARILYN BASS, a single woman, Party of the First Part, for and in consideration of the sum of Ten and 001100 ($10.00) Dollars lawful money of the United States, to her paid by RICARDO PADULA, Party of the Second Part, the receipt whereof is hereby acknowledged, has granted, bargained, sold, transferred and delivered, and by these presents does grant, bargain, sell, transfer and deliver unto the said Party of the Second Part, his heirs, executors, and administrators, the following goods and chattels: All improvements and attached items, including fixtures, built-in furnishings, built-in appliances, ceiling fans, light fixtures, attached wall-to-wall carpeting, rods, draperies and other window coverings, and other items set forth in the Contract between the Parties or the Listing Agreement with the Seller's Agent, all as presently located in the premises at 790 Northeast 91-' t Street, Unit 4, Miami Shores, FL 33138. TO HAVE AND TO HOLD the same unto the said Party of the Second Part, his heirs, executors, and administrators forever. AND the Party of the First Part does, for herself and her heirs, executors and administrators, covenant to and with the said Party of the Second Part, his executors, administrators and assigns, that she is the lawful owner of said goods and chattels and that they are free from all encumbrances; that she has good right to sell the said property, goods and chattels hereby made, unto the said Party of the Second Part, his heirs, executors, and administrators, and will warrant and defend the sale of said property against the lawful claims and demands of all persons whomsoever. IN WITNESS WHEREOF, P rty of the First Part has hereunto set her hand and seal this Lei day of IWU',4' 2020. (Signature and Notary acknowledgment are on the following page) Page 1 of 2 1 Sill of Sale Bass s4 Padula Signed, sealed and delivered in our presence: i I Lazl;i�Ql Witness Signare Print Na ftlesg-Signaturd' Print Name STATE OF FLORIDA COUNTY OF MIAMI-DADE MAMLYN A. BASS THE FOREGOING INSTRUMENT was acknowledged, subscribed and sworn to before me by means of physical presence or online notarization, this 2,471 day of Z kx< , 2020, by MARILYN A. BASS, a single woman, who produced .G-'1'-se // "— as identification. "RYPUBY,�State o/W�LORQ<at Large My commission expires: P ctiwsroPM P. KEu.EY � •'""• con.ralafanss�o�07� E*=W21,=4 �lp�pd�' ➢�ar�llairbekl1ar78aWea Page 2of2 ,« r JF CFN: 20200557689 BOOK 32123 PAGE 4128 DATE:10/01/2020 08:18:23 AM HARVEY RUVIN, CLERK OF COURT, MIA-DADE CTY Prepared by and return to: David Hauser, Esq. 1 11 I Kane Concourse, Suite 616 Bay Harbor Islands, FL 33154 Tel. No. (305) 864-9934 COVER PAGE STOCK CERTIFICATE BETWEEN 790 Co -Op Inc., a Florida CORPORATION, AND Ricardo Padula PROPERTY LEGAL DESCRIPTION: Apartment No. 4 of 790 Co -Op Apts, Inc. Located on The East 148 feet of Lot 4, less the North 12 feet of Asbury Park, according to the plat thereof as recorded in Plat Book 4, Page(s) 110, Public Records of Miami -Dade County, Florida. ft+" ,`+`; `:�4 .t; �= �„bi�?4`µ"I. r,..C,.y{y '`' w'A`ca. +°'t':- i `ti'OA SJd xh=.3':'n'»�'i �""4 e.�3h `` 4.''P,�y. A''.s �A••�¢. �ispu'.�Si Ox,s ,'( !(r ��' 4' .'�. "x�4� aiYa �:e�s� '�� �- `�° j/1"..�ty,,:I:; i. '. = �, • ,lk'a S" s�at� F�.�1;..,y r. e.�r ��% �5'9rYw�, •y = aex ."ve`• � ,,'���.'� •�.a ,�cc �oVia(' � .ii.� � E .�,.,�3'4`,�. .itX6.5%rs ..''� ;?��\.:. ..'�tn3. �r r�i� �C� .mot �7. „Ao ,err _'tea � �I ,` � �`„�a��.�,a.�.3 0.... r i �",��a. f 4h d� _ r ..• i „''4 i / �,. � �r .n?u ",,� ..��^e:4•�;. 'z.,,J .., � � .•^s'rt .c`3 `..-*,.ss._-- �r �' a�y� �'�'_ <?.,•, _ - -fir •. `.�i -? :'�'r„ a"�" �' y��� _ v�d� ,. -\, INCOF"RATED UND"ViELAWS OF 1HE-5iATE OF 1FLORfCkA- %� -NUMBER" SHARES hens A -!1 T i ti -- - - .........1� t..t ...? r ......... ' e?., �:F-........ ........... ...is the owner of Shares of the Capital.Stock of no par value af79Q CO OP INC-, fully"paid and non- .............. assessable transferable'only_ on the books'of the Corporation by tfie holdeehereof in person or by Attorney upon sur e0der of this Certifi afe,,properly endorsed. Subject to die, provisions of: , i Elie Certi&ate of Incorporation of 790 CO-OP, INC. 1 The_By Laws of M'C0-OP, mc. , . , 3. The Rules, and Regulatiom"of 790 CO-OP, INC. - A Certain PmprietaryY ease demising,and covering Apartment No.::...... of 790 CO-OP, INC , located-uporr;pr,e sN. ,at 790E. 91st Street, Miami Shores, Florida - _M i Sibcic Wi4icate is transferable only art the books of the Corporation and only pursuant to the said Certificate of incorporation the said By Laws ttte.,said Proprietary Lease- ; and said Rules and Regulations, and "the transfer of this Certificate is limited as therein set- forth:- ITT=-TTL�ESS WIREOF; the said Corporation has caused'this Certificate to be signed ley its duly authorized -officers and its Corporate , h �eai"to 6e _6i' -O affixed at Miami, Florida, this ...... day, of :,..4 A.D. S RETARY << PRESIDENT © GOES >4 z N 0 N O 0 it M rn w U3 O O 71 Cl) N W D m N co 790 Co -Op, Inc. 790 NE 91st street Miami Shores FL, 33138 We, Officers of the 790 CO-OP Board, give permission for Mr. Ricardo Padula, to perform remodeling activities as permitted by the Village of Miami Shores. Please call me if any further information is required. My number is (305)833-8275. 790 CO-OP Inc. /C /2�J��' 6--r- = `NAY pll4 DENA CRUZ w Notary Public -State of Florida Commission# GG 305462 9�"pP� My Commission Expires "'I`� April 07, 2023 Detail by Entity Name Page I of 3 Flonda—CIA"a Ml r., - C, enk : Of ',-ate 4 Depat I men I of Slale / Division of IC, omorations / Sewch Records / Sew ch by Enfily Name / D 1 V: S: 0 N G F C",) R P 0, RA T I G NS http://search.sunbiz.org/lnquiry/CorporationSearchISearchResultDetail?inquirytype=Entity... 2/9/2021 Detail by Entity Name Page 2 of 3 1205 Mariposa Avenue Unit 423 Coral Gables, FL 33146 Title PD CISNEROS, NANCY 8749 NW 146 LN MIAMI LAKES, FL 33018 Title VPD BRUHY,PEGGY 790 N E 91 st St. 3 Miami Shores, FL 33138 Title SD Harrington, William J 1229 N E 97th St Miami Shores, FL Title Director Spinney, Jean 790 N.E. 91 ST. APT. 2 MIAMI SHORES, FL 33138 Annual Reports Report Year Filed Date 2019 02/06/2019 2019 10/21 /2019 2020 03/19/2020 Document Images 03i1_J-20"LO__- ANNUAL REPO€? r View image in PDF format 10/2112019 ._. ANIENDED ANNUAL REPORT View image in PDF- format GZ«l2?1-21..::.:..!1NNU4gL.BE-('UF+',I View Image in ME Fnrnlai 08/14/2018 -- REINS TA.TEME NT Views- image in PDF format 04102;2015 -- ANNUAL REPORT F— View image in PDF to mat 02//214 2014.-:::_ANNUAL REPORT View image in PC1F format 03/28/2013 -- ANNUAL REPORT View image in PDF format 02X}(3I2012-..,ANNUAL_REHUE�;j: View image in PDF forrnai 02/15/2011 -- ANNUAL REPORT View image in PDF format 02/25,2010 - ANNUAL REPORT View image in PDT,rrnat 02,21!2-009_-_ ANNUAL REPOR C View image in PDF format 02103/2008 - ANNUAL REPORT View image in PDF format OL,10712007 -- ANNUAL_REPUFi_ View image in PDF formal 07/2E12006 -- ANNUAL REPOR I .................................................................................................. http://search. sunbiz.org/Inquiry/CorporationSearchISearchResultDetail?inquirytype=Entity... 2/9/2021