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DEMO-11-960 (2)Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 1)5‘6‘ Inspection Number: INSP- 160237 Permit Number: DEMO -5 -11 -960 Scheduled Inspection Date: December 21, 2011 Inspector: Devaney, Michael Owner: Job Address: 9501 NE 2 Avenue Miami Shores, FL 33138- Project: BENNETT BUILDING Contractor: RAC ELECTRIC INC Permit Type: Demolition Inspection Type: Final Work Classification: Electric Phone Number (305)756 -3711 Parcel Number 1132060133920 Phone: (954)443 -7561 Building Department Comments ELECTRICAL DEMO Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments December 20, 2011 For Inspections please call: (305)762 -4949 Page 3 of 35 (1.0(/`/...Acteiftwe, Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION FBC 20 Permit Type ROOFING Permit No. 'iA1Z47011 Ld BY° *********** * *** ****** Master Permit No. OWNER: Name (Fee Simple Titleholder): \I L..`,,.V Address: g q 00 N. 1 . and aye City: Kam\ 1.)Oreg State: 5L Tenant/Lessee Name: Email: Phone#: 305 "15(0- 3-7 Phone#: Zip: ?313 JOB ADDRESS: q5 0 1 - `7 5 q N . E. ,gdi owe.. City: Miami Shores County: Miami Dade Zip: 3313 (25 Folio/Parcel #: 1` 3 1-06 0r3 3o Is the Building Historically Designated: Yes NO Flood Zone: CONTRACTOR: Company Name: 6V is r11,61QY'1 Address: 1 014 b .\ J t0 % \-. ell Q1e City: M, aii() X State: C'„_ Qualifier Name: 1 C �1&r er State Certification or Registration #: qy� ) 0(0Q1 � �C�errtificcaate of Competency #: Contact Phone#: 1$(n 3110 -a V r�`V Email Address: �,��. ";t�,Q�]. A�-1 l . DESIGNER: Architect/Engineer: MQY� `1 Oarrip\ \ Phone #: 306-151 Value of Work for this Permit: $ *V:6 r 0 O Square/Linear Footage of Work: Phone#: 305—D:2)4-Q514 gip: 33�� o Phone# 5 -74_(0 -1 /I0O Type of Work: OAddii 2n OAlteration Description of Work J Jr ) joSac ONew ORepair/Replace NDemolition Submittal Fee $ Permit Fee $ 1 f ' " CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL Hi E NOW DUE $ ,1 • Sanding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) 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 ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and 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 is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspe curs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection , r.r t b_ pry ved reinspection fee will be charged Owner or Agent Contractor The foregoing instrument was acknowledged before me this 2.614,- The foregoing instrument was acknowledged before me this 11 lb' day of Vi cc�� IL, by '1 e-ve, - Ca.c.E.,.t t-ce , day of l� f,(ky , 2011, by b )( r , ho is personally known to me who has produced who is personally known to me or who has produced As identification and i ., c NikAtTPA as identification and who did take an oath. ��TARY 1'w L NOTARY PUBLIC: °° Yariiv Ofilr ' �=Commission#DD7956P0 r. ' ' Expires: AUG. 22, 2012 -'Z`B0��— nt II ATLANTIC BONDING CO, INC. Sign: -- C/ Sign: Print i)/C ^i ✓� Print My Commission Expires: My Co NOTARY PUBLIC: APPROVED BY �// Plans Examiner Structural Review (Revised 07/10/07)(Revised 06/10 /2009)(Revised 3/15109) Zoning Clerk -+t MIAMI -# TAX COLLE(.., Tr 140 W. FLAGLER ST, 1st FLOOR MIAMI, FL 33130 - STATES IofInA MUST BE DISPLAYED AYED AT LAC£ OF BUSINESS PURSUANT TO COUNTY CORE CHAPTER 8A ART. 509629 -2 BUSINESS NAME 1 LOCATION BBF CONSTRUCTION INC 10705 SW 216 ST 33170 UNIN DADE COUNTY THIS 10 FIRST -CLASS U.S. POSTAGE PAID MIAMI, FL PERMIT NO. 231 IS NOT A BILL — DO NOT PAY RENEWAL RECEIPT NO. 532331-6 215 STATE* CGC060787 OWNER BBF CONSTRUCTION INC Sec. Type of Business . LsONL6At ERAL BUILDING CONTRACTOR BUSINESS Tax REcEmT IT GOES NOT PERMIT THE HOLDER TO VIOLATE ANY EXISTING REGULATORY OR ZONING LAWS OF THE COUNTY OR CITIES. DOES IT EXEMPT THE HE FROM ANY OTHER LICENSE NOT A CERTIFICATION of THE BBF CONSTRUCTION INC s QUALIFICA- TIONS. BUCK B FISHER PRES PAYMENT RECEIVED 10705 SW 216 ST 215 DDTaDCES COUNTY TAX MIAMI FL 33170 WORKER /S 1 DO NOT FORWARD 60000000385 000075.00 SEE OTHER SIDE h. liI. tllt.t tllh.. llltt .ttllt...11ll.ul..tti,llt.tl.lt ll STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 FISHER, BUCK B BBF CONSTRUCTION INC 10705 SW 216 ST.4215 MIAMI FL 33170 - • - Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to improve the way we do business in order to serve you better. For information about our services, please log onto www.myfloridalicense.com. There you can find more information about our divisions and the regulations that impact you, subscribe to department newsletters and learn more about the Departments initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers: Thank you for doing business in Florida, and congratulations on your new license! (850) 487-1395 DETACH HERE , . . d1CURc• CERTIFICATE OF LIABILITY INSURANCE ,° r THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPONTHE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY ANEND, EXTEND OR ALTERTHE COVERAGE AFFORDED BYTHE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, ANDTHE CERTIFICATE HOLDER. , r IMPORTANT: If the certlfl s bolder is an ADDITIONAL INSURED, the poiicy(Iea) mueet be endorsed. V SUBROGATION IS WAIVED, subject to the terns and conditions of the pogyy, certain polldaM may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Ariake, Inc. 9016 Philips Hwy. Jacksonville, FL 32256 PDUCYNUMMBER _.. ADprt�s.' INSURERIS) AFPORNNG COVERAGE HMOs INSURER A:Namandy Harbor Insurance Company. Inc. 13012 INSURED Matrix 9016 Pt er Jacksonville, v lle, FL 32258 INSURER B: IRSI7NERC: INSURER 0: $ INSURER 5: $ INSURER F: COVERAGES CERTIFI CATE NUMBER:ZIC4Tl(VUS REVISION NUMBER: THIS IS TO CERTIFY THAT THE POUCIESOF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY RECX BREMEVT,TERMI CONDITION OF ANY CONTRACT CROTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE 63SUEDORMAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUB,ECTTO ALLTHETERMS, EXCLUSIONS AND CONO1TIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY Pi9ID CLAIMS. LTRR TYPEOF INSURANCE 8MSR WNU PDUCYNUMMBER MWDDIDIYYYY1 MMISIETY�YYI LIMITS ,GENERAL LUABN..3TY COMIIERCW.GENERALLIABILITY EACH OCCURRENCE $ PREMIS t0 $ aocanr PAEM6ES(EaucatttenCe) I CI.AIINS -LADE ❑ OCCUR MED EX?P (Any one person) $ PERSONAL 8 AM INJURY $ GENERAL AGGREGATE S GEN't. AGGREGATE LIMIT APPLIES PER: PRO- 7 POLICY f iFer n LOC PRODUCTS - COMPIOP AGO $ $ AUTOMOBILE - LIABILITY ANYALITO ALL MIXED HREDAUTOS — SCHEDULED #d uras ' ICOMBINED MSINGLE Lik$T $ BODILY INJURY(Perperson) $ BODILY INJURY (Per =Wad) $ �MAGE (Pe accident) $ $ UMBRELLA LL4B EXCESS UAB — OCCUR (XMAS-MADE EACH OCCURRENCE $ LEGATE $ DEO 1 1 RETENTIONS $ A emcees COMPENSATION AND EMPLOYERS' UABIUTY ANY PROPRIETOMPARTNEIVEXE2UrVE YIN OFFICER/MESMER E XELUDED? N mandatory In MS byes detente wader DESORIPT10NOPOPERNHONSbekra N /A NHFL110389 01/01/2011 01101)2012 y� 1 X 17�iYSl s 1 1 ER EL EACFI ACCIDENT $ 1,000,000 EL DISEASE -EA EMPLOYEE $ 1,000,000 EL DISEASE - POLICY LBaT $ 1,000,000 $ $ $ $ DESCRIPTION OFOPEAATMONS /LOCATIONS IVEHICLES (AtiochACORD101,AddISonal Remarks Schedule, if movespace is orevued) Coverage Is extended only to the inured'$ employees who are leased to the dint company employer: BBF Construction, Inc. 1111061 DISCLAIMER: Coverage Is not extended to any employee o1 the dint company employerwho Is not leased Born the insured or to any leased employee for wtdch the client company employer is not reporting n payroll hours to We insured. Thls �� ins in effect provided the client company employees account is in good standing with the Insured. Please contact of employees leased to the dent company employer by the insured.. Current Number of Leased Employees Is THREE. CERTIFICATE HOLDER CANCELLATION Miami Shores Buildrtg Department Fax 305-756-8972 10050 N.E. 2nd Ave. Miami Shores, FL 33138 SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATETHEREOF, NOfCEWILL BE DELIVERED IN ACCORDANCE WITHTHE POUCY PONS. AUTHOOZED REPRESENTATIVE Paget al 1 01988.2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD May 06 11 11:05a Futurity Ins. Inc. 5613618332 p.1 ACORD CERTIFICATE OF LIABILITY INSURANCE _ J 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 GOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER {S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, pate («IINCKFTm'I 05106/2011 IMPORTANT: If the candidate holder Is an ADDITIONAL INSURED, the policy(ius) roust be endorsed. id SUBROGATION IS WAIVED, subject to the terms and conditions or the policy, certain policies may require an endorsement A statement on this cc dentate does not confer rights to the ceittfdate holder In lieu of such endorsement(s). PRODUCEN Futurity insurance. Inc. PO Box 4277 Deerfield Beath INSURED 11. 33442 -4277 FIEF ConslruCli011. tno. 10705 S.W. 216111 St. 37,1 5 Miami fL 33170 CONTACT NAME: PH(,HVL ANC, IN, I��o ADDRESS (561) 361 -0331 'tit Nu): (561) 361 -13332 CURTOr! ID 613_FU MISURRR(S) AFFORDING COVERAGE INSURER A: Mid- C0,11n0Ill Casualty Co NAIL P INSURER V: INSURER CI INSURER O: INSURER E: N UMBER: INSURER F: .+�ww REVISION NUMBER: THIS INDICATED. CERTIFICATE EXCLUSIONS L1LTR IS TO CERTIFY THAT THC PQLICTES OF INSURANCE LISTED Kt OW HAVE BEEN ISSUED TO T1 IE IVt;VItLU NAMED ABOVE FOR THE POLICY PERIOD NOTWITHSTANDINO ANY REQUIREMENT, TERM OR CONDmON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS MAY A E ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, ANO Cowan IONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID GLAM4S. TYPE OP INSURANCE MISR WWI PRICY NUMBER misexoYYY) IAMtlor1YYYei ..,.�_ LINTS .r A GENERAL LIABILITY COMMERCIAL GENERALUABIL:TY J OCCUR 04 -GL -702066 06/022010 0610212011 EACH OCCURRFNCF S 1,000,000 "1JAI1dAOE+O11EnNT�aEe} 6 100.000 CLAt.i :r.n/JU]L MCD CAP (Any are (uworrq 6 FXCIUS1RO (FNRONAL x.ADV INJURY 5 1.000,000 a c■'L �/ CtNt'AL AGGREGATE ~ 5 2,000,000 AGGRCt•,ATC LIM!T APPLIES PER: POLICY FGTOJ- LOC PRODUCTS . CO PLOP AGO $ 2,000,900 AUTOMOBILELIABILITY I— _ ANY AUTO AU. OVYNCD AUTOS SCHEDJLEO AUTOS HIRED AUTOS NON -OWNED ALTOS COMBINED SINGLE UNIT tE0 acsronra 1 UODILY INJURY ;Pat person) 5 BODILY INJURY :PH POCIG1 101 5 MOPE ft IY DAMAGE (Par 055139011 $ 5 5 UMBRELLA LIAR C%CL•SSL1AD OCCUR CLAIMS MOE EACH OCCJRRCNCC 5 AGOSEGATC 3 ......... DECUCTIOIE RCTCYTION 5 S $ WORKERS COMPENSATION ANO EMPLOYERS` UABIUTY Y1 N ANY PROPRIETORIPART'NERIEXECUTIVE ❑ OFFICER/ME ER EXCLUDED? Md IMa.slatory In NHI M NyU�B, de�ribs an08r CCSCRiPTION 6 OF CP RATIDNS below 14111% 1 TORY LLIIMITS ER r .I.. r.ACH ACCIDENT 3 E.L. DISEASE - EA S C.L. OEECA SC -POLICY LIMIT 3 DESCRIPTION OF OPERATIONS! LOCATIONS 1 VEHICLES (M USA ACORD 101, AOdltian*t Rent wks SChedals. If nuns sumps 10 taqulredl G nor N Contractor M . . I L0 CANCELLATION Miami Shores OEdg. Copt. 305 755 -11072 10050 NE 2nd Avenue Miami Shores FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL. BB 0EUVEREO IN ACCORDANCE WITH THE POLICY PROVISIONS. 1REPRESEATA ', •' ACORD 25 (200$109) Cr) 1558 -2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD (DAHstate.. You WbondMnd+. CERTIFICATE OF INSURANCE ALLSTATE INSURANCE COMPANY HOME OFFICE - NORTHBROOK, IL 60062 hereby certifies that the following insurance is in force: EFFECTIVE DATE OF CERTIFICATE 05/07/11 POLICYHOLDER POLICY NUMBER POLICY PERIOD BBF CONSTRUCTION, INC 048852913 BAP 01/20/11 TO 01/20/12 10705 SW 216 5T UN T 215 AT 12:01 A.M. STANDARD TIME MIAMI, FL 33170 -3137 The person or organization designated below is described in the policy as: MIAMI SHORES BUILDING DEPARTMENT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 -2304 ..X. Coverages designated are afforded as stated below: LIABILITY: $35,000 EACH ACCIDENT AS THEIR INTEREST MAY APPEAR LIENHOLDER (Loss Payable Clause) ADDITIONAL INTERESTED PARTY ADDITIONAL INSURED CERTIFICATE ..HOLDER ... _..._. To the person or organization stated above: This policy, as respects the interest of the loss payee, additional interested party, additional insured or certificate holder named herein, may be cancelled by the Company during the policy period by giving such person or organization 10 days, or whatever longer period of time prescribed by state law. Proof of such mailing is deemed sufficient proof of such notice. This Certificate of Insurance neither affirmatively nor negatively amends, extends or alters the coverage afforded by the policy referred to above. BU1380 (05 /06) BU114R-3 PAGE 1 OF 1 May 24, 2011 To: DVS, LLC. 9400 NE 2nd Avenue Miami Shores, FL 33138 General Contractor / Shell Specialist C. G. C. # 060787 10705 SW 216th St. Suite # 215 Miami, FL 33170 Phone (305)234 -4514 * Fax (305)234 -4515 The commencing of demolition to be done for project located at 9501 & 9545 NE 2nd Avenue Miami Shores, FL 33138, is Friday June 3rd 2011. If you should have any questions please contact our office. Thank you, Buck Fisher BBF Construction, Inc. — President The foregoing instrument was acknowledged before me this a4' day of MXy . 20 t1 , by '6u,61.1 cif r who is personally known to me or who has produced as identification and who did take an oath. Notary Public: Sign: Print: tt to \P rofy- My Commission Expires: '7 I p-i `anr 9400 N.E. 2nd Ave Miami Shores, F133138 Ph: 786 - 423 -5959 Buck Fisher BBF Construction Inc 10705 SW 216th Street Miami, F133170 Mr. Fisher, Please allow this letter to serve as authorization to perform demolition as per the demolition plans, D1 and D2 on our commercial property located at 9501 -9545 NE 2nd Ave, Miami Shores, F133138 e are any q stions, please feel free to contact me. ging ` ber DV , LLC 786 - 423 -5959 NOT !MY PUBLIC.STA`i' OF VLO I A Yaniv Offir '_ Commission #DD795690 1 Expires: AUG. 22, 2012 BONDED TflRU ATLANTIC BONDING CO., INC. Jul 0611 08:52a BBF Construction A NOTICE OF `` Paver NoMglp cry do snot: tw noRrok, Downy MIN69-0193E THE UNDERsiamp hereby shoo Sodtmpean b prov y FfatiQa 1t r V% 1l r OFRISTDISPItlitiN ode nodeto =deb reel 305 - 234 -4515 1111111011111111111116111 11111111111111111 CFN 20'11R0404649 flR Elk 27728 Ps 2362; (IPA) HARVEY SIN; CL�ERKK OF COURT 1 COAT/TYr FLURIQA LAST PAGE 1. a/ properly y �e` emma 1 ..r '.� 1 f- sis 11 1.• ?t S. C name tt1 ,. _ u �,�i s;c�. ..„..-1 I 3111 Neeneand Weems, ofgse r t, omPboeambr netext 5- &vete (Payment bow Nentit adchess end phone . s- `l^ s . >«*+Eby Rte ... and sinutfadduzse 5. Lender's 7. Seceon 713.1801007-, Rod& mattes, Perturb within Stele of Nanbrorkbees end phone r.7. In � a• ? S ltedowing Nein% addle= and phone rpm 9. Dome= dafiented; Notice of Cotatiencennent „cowgirl/7 YOUR FROMM% NOTICE OF OR nu-GOMM YOUR NOME0FOONME647811561X Signaturefej PrePeind ay�°rd Print Nenb3 ittletOttbe SMITE OF FLORt0A The hodnersent Sato incibidualbt or litPereandlly bee' Undar tied the feels Bad ■ Prot upon ohorn notices or other dobseedet au& An sewed olo Pouted ti7 4. L. :r la Make aco 1ofthe Notfees provided fir Section data ill mm °s"•�••eodenrumom,Y••y.mayeeoq 18 dBFAAE mama syoN o c -ra ftsma 68 6 Pt ID The M 6e84 WORK SY Plint None °ar�.,. Arm! palmy; declare thaf Maw 1ead'. JF- ' to tho bestow We and �BuBId r3L anal ! vibe �: 11 . EV 4°�15Sf1' ue itk--peL4k2s4.7 p.2 Date : 6/16/11 TRAFFIC MAINTENANCE AND 1AFETY PROVISIONS Location: 9501 & 9545 NE 2 Ave Work Description : New Exterior Facade General Provisions: (1) The Contractor shall be responsible for t provisions, installation and maintenance of all traffic control and safety devices, in accordance with specifications outlined in I ,-.;on C2 and Section R19 of the Public Works Department Manual and/or the Florida Department of Transportation (FDOT) ' If and Traffic Design Standards. In addition, tin: Contractor is responsible for the ruing or replacing of all traffic control 'tees, including pavement markings removed or damaged during the construction period. Existing STOP, YIELD, DO NOT n n and ONE WAY signs shall be restoredhe- erected immediately if damaged or knocked down. Existing School signs shall be rei .F: - within 24 hours if damaged or knocked down. All damaged traffic signs will be replaced prior to completion of weak. (2) Excavated or other material stored adjacent#to or partially upon a roadway pavement shall be adequately marked for traffic safety at all times. No material shall obstruct the line of(sight as define by FDOT Index 546. (3) Temporary patch material or plates must be on the job site whenever pavement or sidewalk or bike path is cut, or the inspector will shut the job down. Special Provisions: (1) Contractor shall provide necessary access all adjacent property during construction. (2) Contractor shall notify Mr. Bob Williams, i -Dade County Traffic Signals & Signs Division, (305) 592 -8925, Ext. 247, forty- eight (48) hours in advance of construction 'thin any signalized intersection. (3) ready for construction Contractor shall notify the Me3ropolitan Dade County Public Works Department 24 hour, phone (305) 375 -2135, when the work is (4) My work adjacent to railroad right of wa should be discussed with CSX Transportation to determine appropriate safety measures. Tim Pollack at (954) 520 -0663 covers frrnti West Palm Beach to South of Broward Boulevard and Brian Reeves at (954) 818 -5439 from South of Broward Boulevard to South f Miami International Airport. (5) The Contractor is required to keep a copy of these "Traffic Maintenance and Safety Provisions" and work information form supplied by Miami -Dade County Public /forks Department at the job site during the term of construction. (6) Contractor shall maintain pedestrian, - and vehicular traffic according to corresponding typical traffic control details as outlined in the Manual on Uniform Traffic Control Devices, Miami -Dade County Public Works Manual and/or FDOT Roadway and Traffic Design Standards. No pedestrian ,r ;' shall be blocked or demolished without provision of an ADA- compliant pedestrian pathway; either by plating voids with max ; inch, transition, or by providing temporary parallel path, or by utilizing adjacent existing walkway, accompanied by pedestrian a signage and/or pavement markings. (7) There shall be no interruption of traffic permitted Monday - Friday 7 to 9 AM and 4 to 6 PM. There shall be no interruption of pedestrian, bicycle and vehicular traffic av t ways surrounding schools during school arrival/dismissal hours. Any variations from these requirements will require express penaission from the Public Works Director. Contractor shall coordinate with Dade County Public, Charter and/or Private Schs) at least a week in advance prior to construction. All other times: 1 maintain one la<e$neach direction for traffic for multilane two -way, FDOT Index 616 or 613 (2010 Edition) depending on the contractor needs and the field conditions In addition to the advance warning signage, provide changeable (variable) message signs (CMS) showing Ps�°� I� --� date and time of c dsu a and inform affected residents, property owners and business by mean of flyers at 7 '° ill 7 i least 1 weeks in ce prim to construction ® Ensure that MOT not in conflict with One Way or Do Not Enter signage and a minimum of 20 feet 11IM �lt�1 �p`� pavement isprovi,. for two-way traffic Li ei tJ ll 1 ,I Install proper T ' Restrictions where applicable .2 Ensure that p traffic control devices exist for safety purpose �%� ® Install proper advance warning signage for traffic heeding toward the closure Y:... c' <...,..... -: FDOT permit / approval required if working on State right away ® Coordinate with appropriate Municipality for M.O.T on City FFIC ® SIDEWALK CLOSURE AS PER FDOT INDEX 660 NIETROPOUTAN DADE COUNTY. FLORI (8) Contractor must provide Flasher Arrow Board for any lane closure and/or diversion on "multilane" roadways. (9) Contractor shall notify law enforcement, in accordance with Section 336.048 of Florida tr. Statutes, fire protection services TA vase of any de (10) o s sh cl �' ,'thout written perrtlisshm being obtained prior to such closing and 1111 approved Detour Plan submitted. TRAFFIC MAINTENANCE AND SAFETY PROVISIONS Date : 6/16/11 Location: 9501 & 9545 NE 2 Ave Work Description : New Exterior Facade General Provisions: (1) The Contractor shall be responsible for t ie provisions, installation and maintenance of all traffic control and safety devices, in accordance with specifications outlined in Section C2 and Section R19 of the Public Works Department Manual and/or the Florida Department of Transportation (FDOT) R; :. , : and Traffic Design Standards. In addition, the Contractor is responsible for the resetting or replacing of all traffic control including pavement markings removed or damaged during the construction period. Existing STOP, YIELD, DO NOT ENTER, and ONE WAY signs shall be restored/re - erected immediately if damaged or knocked down. Existing School signs shall be rei led within 24 hours if damaged or knocked down. All damaged traffic signs will be replaced prior to completion of work. (2) Excavated or other material stored adjacent to or partially upon a roadway pavement shall be adequately marked for traffic safety at all times. No material shall obstruct the line of' sight as define by FDOT Index 546. (3) Temporary patch material or plates must be on the job site whenever pavement or sidewalk or bike path is out or the inspector will shut the job down. Special Provisions: (1) Contractor shall provide necessary access tq all adjacent property during construction. (2) Contractor shall notify Mr. Bob Williams, iami -Dade County Traffic Signals & Signs Division, (305) 592 -8925, Ext. 247, forty- eight (48) hours in advance of construction viithin any signalized intersection. (3) Contractor shall notify the Metropolitan Dsde County Public Works Department 24 hour, phone (305) 375-2135, when the work is ready for construction. (4) Any work adjacent to railroad right of should be discussed with CSX Transportation to determine appropriate safety measures. Tim Pollack at (954) 520 -0663 covers frord West Palm Beach to South of Broward Boulevard and Brian Reeves at (954) 818 -5439 from South of Broward Boulevard to South Of Miami International Airport. (5) The Contractor is required to keep a co of these "Traffic Maintenance and Safety Provisions" and work information form supplied by Miami -Dade County Public'orks Department at the job site during the term of construction. (6) Contractor shall maintain pedestrian, bicycle and vehicular traffic according to corresponding typical traffic control details as outlined in the Manual on Uniform Traffic Control Devices, Miami -Dade County Public Works Manual and/or FDOT Roadway and Traffic Design Standards. No pedestrian pathwa4 shall be blocked or demolished without provision of an ADA-compliant pathway; walkway, accompanied ei1� plating voids with max Y inch, transition, err by providing temporary parallel path, or by utilizing adjacent existing by pedestrian detour�cignage and/or pavement markings. (7) There shall be no interruption of traffic Veil Monday -Friday 7 to 9 AM and 4 to 6 PM. There shall be no interruption of pedestrian, bicycle and vehicular traffic on r always surrounding schools during school arrival/dismissal hours. Any variations from these requirements will require express written permission from the Public Works Director. Contractor shall coordinate with Dade County Public, Charter and/or Private School(s) at least a week in advance prior to construction. All other times: Maintain are lane each direction for traffic for multilane two -way, FDOT Index 616 or 613 (2010 Edition) on County road depending on the contractor needs and the field conditions In addition to the advance warning signage, provide changeable (variable) message signs (CMS) showing date and time of cfpsure and inform affected residents, property owners and business by mean of flyers at least I weeks in advance prior to construction Ensure that MOT • pavement is provi ® Install proper Turn Ensure that proper Install proper adv FDOT permit / ap MI Coordinate with SIDEWALK C Contractor must provide Flasher Arrow Board for any lane closure and/or diversion on multilane roadway& 14 �Zt ►Z� not m conflict with One Way or Do Not Enter signage and a minimum of 20 feet for two-way traffic fictions where applicable e control devices exist for safety purpose warning signage for traffic heading toward the closure 1eiuired if working on State right of way ate Municipality for M.O.T on City roads AS PER FDOT INDEX 660 - — TRAFFIC POLITAN DADE COUNTY. FLORID/ Contractor shall notify law enforcement, in accordance with Section 336.048 of Florida Statutes, fire protection services Cud MDTA twenty-four (24) hours in advance of any detour. No street shall be closed without written permission being obtained prior to such dosing and an approved Detour Plan submitted. TRAFFIC MAINTENANCE AND Date : 6/16/11 Location: 9501 & 9545 NE 2 Ave Work Description : New Exterior Facade General Provisions: (1) The Contractor shall be responsible for the provisions, installation and maintenance accordance with specifications outlined in on C2 and of all traffic eontMl and safety devices, in Department of Transportation (FDOT) Section Rig of the Public Works i>e�rhrnen; Manual and/or the Florida Depart n or replacing oTr o all traffic control J) Roadway • and Traffic Design Standards. In addition, the Contractor is responsible for the Existing STOP, YIELD, DO NOT ces including pavement markings removed or damaged during the construction period. down. Existing School signs shall ONE WAY signs shall be restored/re-erected immediately if damaged or knocked replaced prior to led within 24 hours if damaged or knocked down. All damaged traffic signs will be completion of work. (2) Excavated or other material stored adjacent tt or partially upon a roadway pavement shall be times. No material shall obstruct the line of sight as define by FDOT Index 546. adequately marked for traffic safety at all (3) Temporary patch material or plates must be on the job site whenever pavement or sidewalk or bike path is cut, or the inspector the job down. nspector will PROVISIONS Special Provisions: (1) Contractor shall provide necessary access to ai1 adjacent property during construction. (2) Contractor shall notify Mr. Bob Willi 1�� forty- eight (48) hours in advance of construction wa any i �� Tic i Signals & Signs Division, (305) 592 -8925, Ext. 247, forty - finalized intersection. (3) Contractor shall notify the Metropolitan Da& County Public Works ready for construction. Department 24 hour, phone (305) 375-2135, when the work is (4) Any work adjacent to railroad right of way suid be discussed with CSX Transportation Tim Pollack at (954) 520 -0663 covers from West Palm Beach to South of Broward Boulevard daand Brat Reeves at (9$) 818-5439 from South ofBroward Boulevard to South ofiMiand International Airport. (5) The Contractor is required to keep a copy Of these "Traffic Maintenance and Safety Provisions" and work information form supplied by Miami -Dade County Public Works Department at the job site during the term of construction. (6) Contractor shall maintain pedestrian, bicycle in the Manual on Uniform Traffic Control Design Standards. No pedestrian pathway pathway; either by plating voids with max Vs • walkway, accompanied by pedestrian detour vehicular traffic according to corresponding typical traffic control details as outlined ces, Miami -Dade County Public Works Manual and/or FDOT Roadway and Traffic 1 be blocked or demolished without provision of an ADA- compliant pedestrian ch, transition, by Parallel path, or by utilizing adjacent existing (7) There shall be no interruption of traffic permitted Monday- Friday 7 to 9 AM and 4 to 6 PM. There shall be no interruption of pedestrian, bicycle and vehicular traffic on ways surrounding schools during school amvaWdismissal hours. Any variatiofrom these requirements will require express permission from the Public Works Director. Contractor shall coordinate with Dade County Public, Charter and/or Private Sdwol(s at least a week in advance prior to construction. All other times: Maintain one lane in each direction for traffic for multilane two -way, FDOT Index 616 or 613 (2010 Edition) on County triad depending on the contractor needs and the field conditions ® In addition to the advance warning signage, provide changeable (variable) message signs (CMS) showing date and time of clos and inform affected residents, property owners and business by mean of flyers at least 1 weeks in adva prior to construction Ensure that MOT is in conflict with One Way or Do Not Enter signage and a minimum of 20 feet pavement is provided or two-way traffic ctions where applicable control devices exist for safety purpose waning signage for traffic heading toward the closure ® Install proper Turn R ® Ensure that proper ® Install proper adv FDOT permit / app required if working on State right of way Coordinate with appropriate Municipality for M.O.T on City roads SIDEWALK CLOSURE AS PER FDOT INDEX 660 �Z1 Contractor must provide Flasher Arrow Board for any lane closure and/or diversion on "multilane" roadways. Contractor shall notify law enforcement, in accordance with Section 336.048 of Florida Statutes, fire protection services and MDTA twenty-four (24) hours in advance of any detour. No street shall be closed without written permissr being obtained prior to such closing and an approved Detour Pfau submitted. EgSEE.MISMI 305-234-4515 DISTANCE BETWEEN SZGI Speed =iii airmen Devices at.) ICE ION FIENI IlaialZararrangsl ETNIFI;171 RIMICIVIIIIIIIIIIIIIitkleatial FRT.11 limmiammomp,zippArmi, Et; h r ea e PartIrlIMAXil WORK AREA 9601 NE 2ND AVE. ALL MOT SHALL CONFORM TO FOOT & MUTCD STANDARDS tiMERICAN T11,0511C fi,AFETY- SCIVOCES ASSV,ClATiON Dovtati tides Max, Distance airmen Devices at.) SPeeli CO.' 6r Typo /or riot /1 Sergeancy or'Irertteal (mph) Tubular Markers emit or DrUnta E.:7"7//e727711111Lanilli 1,...:,./ 25 25 50 25 50 30 to 45P 25 50 50 50 60 to 70 25 50 50 100 Ilottl-Mo., 6,t v h • iN att141:ti ta..*1 , ADVANCED WARNING SIGNS WILL BE POST MOUNTED NE 96TH ST. 305- 234 -4515 wsrmc SIGNS r�- EiEE1�11J 'r _rr ... qi on FZ�i�tMt11.'.r] WORK AREA 9501 NE 2ND AVE. ON STREET PARKING WILL SE CLOSED WITH A SAFETY FENCE Tr7a ot TronalOon) . Ill[IiiO illl(hI1l1 4' ./'A�.i/.r./' e' NE95THST. ALL MOT SHALL CONFORM TO FDOT S MUTCD STANDARDS akiERFCAN T [ I FC > AF rr( 3 VICES Adxaeu+PQN oer/oe Ma D1atanae 8ehveen Devices (tJ Speed o0 o w VarN ( oh) ane/a or Drama ■�xn t� iC2?ill ■��rac�■ 25 25 50 25 50 30 to 4 50 30 50 to • 50 50 100 h1r. 6101.1': m; a: fi .l.•i.. <mc...4,; r ADVANCED WARNING SIGNS WILL BE POST MOUNTED Of KEN oer/oe Ma D1atanae 8ehveen Devices (tJ Speed o0 o w VarN ( oh) ane/a or Drama ■�xn t� iC2?ill ■��rac�■ 25 25 50 25 50 30 to 4 50 30 50 to • 50 50 100 h1r. 6101.1': m; a: fi .l.•i.. <mc...4,; r ADVANCED WARNING SIGNS WILL BE POST MOUNTED (To be co Company Address MIAMI DADE COUNTY PUBLIC WORKS WORK INFORMATION FORM 111 NW First treat, Miami, FL 33128 Phone (305) 2142, Fax (305) 375 -2178 all contractors planni .. . construction on Miami -Dade road (Prods number) Job # Location a Contact / / - . d j Phone -4614 Email Description of Construction A• WilI work be started within 15 days of permit issuance? If no, state estimated starting date Does construction fall within a County ri - of-way within a Municl ityy ? M'11 6i Yr. ( S v If Yes, what Munidpallty(s) - DYes ❑Yes 23No ❑ No t v N Does installation crosses a canal(s)? What type of canal crossing Q Bridge attachment Canal Bore Identify Bridge(s) Identify Canal Canals maintained by Miami Dale Countywill require or Canals NOT maintained Miami Dade Give dimensions (from edge of pavement to R/W) s Does trench or excavation fall within the swale area Does trench or excavation fall within the sidewalk a Will work damage existing sidewalk, curbs and gutt dimensions Sidewalk LF Will work obstruct pedestrian access to sidewalk Pedestrians, hmiudli g persons with dbabtudes vat be replicates as much as practical the desirable Bridge Number approval (Recommend prior approval before submission) will from South Florida Water owing trench or excavation m E 1 Method of underground installation Does trends or excavation fall within the paved road - ? If yes number of lanes which will be affected by tren or excavation Have the roads, which are impacted by the propo work, recently been pave or resurFaced? Does construction work pass through a signalized int rsectlon or mid -block pedestrian signal? District ❑Yes ❑ No [Yes ❑ No ? _ ❑Yes 0 N LF DYes 0 N with a reasonably safe, gear, and accessible path that of the existing pedestrian facilities. Curb & Gutters ❑ Bore 0 Trench /Excavation ❑Yes $1.No 0 m Will construction warrant a roadway closure Will this construction affect, in any way, normal traffi flow? Provide the number and direction of lanes affected . construction. North t /4746 south East West Will work continue on a 24 hour basis until normal t • ffic is resumed. Please provide an estimate of construction time for ich traffic flow will be affected Posted speed limit within work zone QYes ,® No ❑Yes 0No ®Yes 0 N Yes 0 N DYes El No 9c9 Classification of Roadway ❑ Section / /2 n Line ❑ Arterial ❑ Collector Will construction result in the installation of an at-gra WIII installation of at -grade appurtenance be located Will installation of at -grade appurtenance be located Length Width Length Width e appurtenance in a Utility Easement in the Public Right- of-way Depth Height Depth Height ❑ Yes ❑ Yes © Yes No ®No No MIAMI DADE BOUNTY PUBLIC WORKS WORK INFORMATION FORM 111 NW First Phone (305) 31 (To be completed by all agencies /contracts planning Company `101d Address Job # Location treet, Miami, FL 33128 2142, Fax (305) 375 -2178 (Process number) perform construction on Miami -Dade County road rights -of -way). Contact ;hyfl g//1114 tea, Phone 5— l4- "77Jr3 O Email 419 Description of Construction Will work be started within 15 days of permit issuace? If no, state estimated starting date Does construction fall within a County rig -of /65;513/00t_.. __ ❑Yes 0 N If Yes, what Municipality(s) byfrei within a Munid Iity? s t 0 BA ❑Yes !No Does installation crosses a canal(s)? What type of canal crossing ❑ Bridge attachment ❑ Canal Bore Identify Bridg identify Canal Canals maintained by Mid Dade County will require Bridges or Canals NOT maintained Miami Dade Give dimensions (from edge of pavement to R/W) s Does trench or excavation fall within the swale area Does trench or excavation fall within the sidewalk a Will work damage existing sidewalk, curbs and gutt Give dimensions Sidewalk IF Will work obstruct pedestrian accts to sidewalk Pedestrians, including persons with thsabilities will be pr replicates as much as practical the desirable Method of underground installation Does trench or excavation fall within the paved ro If yes number of lanes which will be affected by tre Have the roads, which are impacted by the prop recently been pave or resurfaced? Does construction work pass through a signalized int or mid -block pedestrian signal? Bridge Number approval (Recommend prior approval before submission) e from South Florida Water Management District wing trench or excavation Curb & Gutters ❑ Yes 0 No ❑Yes No ['Yes ❑No LF ❑Yes 0 N with a reasonably safe, convenient, and accessible path that of the exists estrian fadsties. h or excavation work, ❑ Bore ❑ Trench /Excavation Et Yes ,ENo 0 c ea 2 Will construction warrant a roadway closure Will this construction affect, in any way, normal traffi Provide the number and direction of lanes affected North I itorg6 South Will work continue on a 24 hour basis until normal t Please provide an estimate of construction time for Posted speed limit within work zone Classification of Roadway ❑ Section /1/2 ❑ Yes la No ❑Yes 0No flow? construction. East_ West ffic is resurned. dch traffic flow will be affected n Line [j Arterial Will construction result in the installation of an at o a Will installation of at -grade appurtenance be located Will installation of at -grade appurtenance be located q a Length Width 44 Length Width appurtenance ithin a Utility Easement ithin the Public Right - of-Way Depth Height Depth Height Yes ❑ No 57.d Yes El No ❑ Yes ❑ Collector ❑Yes No ❑Yes IA No ❑Yes No Does installation crosses or falls within Busway (if yes, Has MDTA approved installation or crossing rior approval is recommended) ❑ Yes 54,,No 0 Yes No NONCE OF COMMEN EMENT A CO RECORDED BE t IN ,RIB SITE AT OF titer INIVECTION PERMIT NOi1 r - »- Ax FOLIO STATE OF FLORIDA COUNTY OF MIAMI -DADS No. 11- 3antn -ol3- 3 o. 11 `3x3(0- 013-3gt0, ''320 (p- 013- a$qo, 30/0(o. THE UNDERSIGNED hereby gives notice that fmproremer4 will be made to certain real property, and in accordance wlth Chapter 713, Florida Statues, the following information is provided in this Notice of Commencement. 1 11111111111 11111 1111111111 11111 11111 1111 1111 Ct= ttl 2011R0404649 OR Bk 27728 Ps 2862; Ups) RECORDED 06/21/2011 11:55:10 HARVEY RUVINr CLERK OF COURT MIIAMI -DADE COUNTY, FLORIDA LAST PAGE Space above reserved for use of recording office 1` Legal description of property and street /address: g50t - gSLiS N.E. gyp, M jQMt o rL 311.35 t 13g�� .. - -- • t !Y� , ti . to r !� t,u - - / d, 70 3. Owner(s) name and ado: Interest in property: t Ott '/. Name and address of fee simple titleholder: • Contractor's name, address and phone number 5. Surety: (Payment bond required by owrr from contract Name, address and phone number: Amount of bond $ (), 6. Lender's name and address: 01 4111 .-.. 7. Persons within the State of Florida designated by Ownerupon whom notices or other documents Section 713.13(1)(x)7., Florida Statutes, may be served as providedby Name, address and phone number: t :. .. = •- 8. In addition to himself, Owners designates the following 713.13(1Xb), Florida Statutes. Name, address and phone number. to receive a copy of the Lieno?s Notice as provided in Section 9. Expiration date of this Notice of Commencement WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SEC11 IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, OR RECORDING YOUR NOTICE OF COMMENCEMENT. Signatures) of Owner(s) or Owner(sy Authorized Officer Prepared By Print Name Title/Office STATE OF FLORIDA COUNTY OF MIAMI -DADE The fo oing instrument vas acknowledged before me By h Pr PS & 0,0 C a c, ❑ Individually, or ► as Personally known, or ❑ expiration dale is 1 yew* front the date of recording a di leant date is specified) TER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED 713.13. FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR "•ENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE T WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK or/Partner/Manager Prepared By Print Name Tiile/Office day of .: t...L./K.. 2 : c; i l 1ERIRCATION PURSUANT TO S f utORIDA S ATUrTES Under penalties of perjury, l declare that t have read the forIng and that the facts- true, to the best of my knowledge and belief. Si Nara pt C ATMI.ORIDA ,tf4114 t, Yank* Offlr Commission #DD795680 >..,,;.,..' Expires: AUG. 22, ton r(srs Authorized Officer/Director/Partner/Manager who SigneditaP RRII ATLANTIC BONDING CO.,IWC. 6R1550 64556171/Ne BY E 0 R April 1, 2011 General Contractor / Shen Specialist C G. C. # 060787 i 10705 SW216th St. Suite 11 215 Miami, Fl 33170 I I Phone (305)234-4514 * Fax (305)234-4515 POWER OF ATI-RONEY To Whom It May Concern: JUN2 1 2011 I, Buck Fisher do hereby authorize Glenn Bolding ir. to conduct all business with the Miami Shores Building Department. Thank you, Buck Fisher BBF Construcdon, Inc. — President Glenn Bolding Jr. BBF Construction, Inc. - Superintendent scribed before me on this rt day of April 2011. or tamp smmissioned Name of Notary Public Produced Identification 0 0 0 Prepared by: Yamilet Estevez Thomas G. Sherman, P.A. 90 Almeria Avenue Coral Gables, F133134 File Number: TGS -10 -10 -012 General Warranty Deed 111111111111111111111111111111111111111111111 CFH 2011R0007782 OR Bk 27542 Pss 4900 - 4903; (4Pas RECORDED 01/05/2011 11:5003 DEED DOC: TAX 9/600.00 SURTAX 7,200.00 HARVEY RUVI44r CLERK OF COURT MIAMI -DADE COUNTY? FLORIDA Made this 23rd day of December, 2010 A.D. By Bennett Electric Co, a Florida corporation, Nancy H. Bennett, individually and as Trustee of the Nancy H. Bennett Revocable Trust dated February 14, 1994, and Bonnie A. Bennett, individually and as Trustee of the Nancy H. Bennett Revocable Trust dated February 14, 1994, whose address is: 10007 NE 4th Avenue, Miami Shores, FL 33138, hereinafter called the grantor, to DVS, LLC, a Florida Limited Liability Company d/b /a Downtown Village Square, whose post office address is: 9400 NE 2nd Avenue, Miami Shores, FL 33138, hereinafter called the grantee: (Whenever used herein the term "grantor" and "grantee" include all the parties to this instrument and the heirs, legal representatives and assigns of individuals, and the successors and assigns of corporations) Witnesseth, that the grantor, for and in consideration of the sum of Ten Dollars, ($10.00) and other valuable considerations, receipt whereof is hereby acknowledged, hereby grants, bargains, sells, aliens, remises, releases, conveys and confirms unto the grantee, all that certain land situate in Miami -Dade County, Florida, viz: LOTS 8, 9, 10, 11, 12, 13, 14, 15, 16 AND 17, BLOCK 29,. OF AN AMENDED. PLAT OF MIAMI SHORES, SECTION NO. 1, ACCORDING TO THE. PLAT THEREOF AS RECORDED IN PLAT BOOK 10, PAGE 70, OF THE PUBLIC RECORDS OF MIAMI -DADE COUNTY, FLORIDA. Parcel ID Number: 11- 3206 - 013 -3900; 11- 3206 - 013 - 3910; 11- 3206 - 013 -3890; 11- 3206 - 013 -3920 Together with all 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 hereby covenants with said grantee that the grantor is lawfully seized of said land in fee simple; that the grantor has good right and lawful authority to sell and convey said land; that the grantor hereby fully warrants the title to said land and will defend the same against the lawful claims of all persons whomsoever; and that said land is free of all encumbrances except taxes accruing subsequent to December 31, 2010. In Witness Whereof, the said grantor has signed and sealed these presents the day and year first above written. Signed, sealed and delivered in our presence: 1st Witness Signatur 1st Witness Printed Name 2nd Witness Signatur 2nd W1 itness Printed Nam Bennett Electric Co, a Florida corporation By: it 7 . (Seal) George H. ennett, its President State of Florida ncy H. L u H. Benne nett, individually and as Trustee of the Nancy evocable Trust ed February 14,1994 Bo 8 ice. Bennett, individually and as Trustee of the Nancy H. Bennett Revocable Trust dated February 14, 1994 HUD-1 A. Settlement Statement U.S. Department of Housing and Urban Development OMB No. 2502 -0265 B. Type of Loan Q 1. FHA 0 2. FmHA Q 4. VA. 0 5. Conv. Ins. Q 3. Conv. Unins. 6. File Number 10- 200094 ID: 7. Loan Number 8. Mortg. Ins. Case Num. C. NOTE: This form is furnished to give you a statement of actual settlement costs. Amounts paid to and by the settlement agent are shown. Items marked "(p.o.e.)" were paid outside the, closing; they are shown here for informational purposes and are not Included in the totals. D. NAME OF BORROWER: DVS, LLC, a Florida Limited liability Company Address of Borrower 9400 NE 2nd Ave, Miami, Florida 33138 E. NAME OF SELLER: Bennett Electric Co., a Florida corporation and Nancy H. Bennett, individually and as Trustee of the Nancy H. Bennett Revocable Trust Dated the 14th Day of February, 1994 Address of Seller 10007 NE 4th Avenue, Miami, Florida 33138 F. NAME OF LENDER: Bennett Electric Co Address of Lender. 10007 NE 4 Ave, Miami, Florida 33138 G. PROPERTY LOCATION: 9501. NE 2nd Ave, Miami, Florida 33138.9537 NE 2nd Avenue, Miami, Florida 33138, 9501 NE 2n H. SETTLEMENT AGENT: Jericho TiUe Services Place'of Settiement: 1930 Harrison Street, Suite 208, Hollywood, Florida 33020 L SETTLEMENT DATE: 12/23/10 DISBURSEMENT DATE: 12/23/10 TIN: TIN: 04-3629237 Phone: 954-929.0679 J. Summary of borrower's transaction 100. Gross amount due from borrower: 101. Contract sales price 1,600,000.00 K. Summary of seller's transaction 400. Gross amount due to seller: 401. Contract sales price 1,600,000.00 102. Personal property 402. Personal property 103. Settlement charges to borrower (Une 1400) 95,590.52 403. 104. 404. 105. 405. Adjustments for items paid by seller in advance: Adjustments for items paid by seller in advance: 406. City/town taxes 106. City/town taxes 107. County taxes 407. County taxes 108. Aseeseme is 408. Assessments 109. 409. 110. 410. 111. 411. 112. 412. 120. Gross amount due from borrower. 1,695,590.52 420. Gross amount due to seller. 1,600,000.00 200. Amounts paid or in behalf of borrower: 500. Reductions in amount due to seller: 201. Depositor earnest money 50,000.00 501. Excess. deposit (see instructions) 202. Principal amount of new loan(s) 502. Settlement charges to seller (line 1400) 238,592.99 203. Existing loan(s) taken subject to 503. Existing loan(s) taken subject to 204. Principal amount of second mortgage 504. Payoff of first mortgage loan 205. 505. Payoff of second mortgage loan 206. 506. Deposits held by seller 207. Principal amt of mortgage held by seller 1,040,000.00 507. Principal amt of mortgage held by seller 1,040,000.00 208. 508. 209. 509 Adjustments for items unpaid by seller: Adjustments for items unpaid by seller: 210. City/town taxes 510. City/town taxes 211. Countytaxes from 01/01/10. to. 12/23/10 77,673.40 511. County taxes from 01/01/10 to 12/23/10 77,673.40 212. Assessments 512. Assessments 213. Tenant Current Rent from 12/23/10. to 12/31/10 3,796.53 513. Tenant Current Rent from 12/23/10 to 12/31/10 3,796.53 214. Tenant Security Deposits 11,397.64 514. TenantSecurity Deposits 11,397.64 215. Tenant Last Month Rent Transfer 8,543.64 515. Tenant Last Month Rent Transfer 8,543.64 216. 516. 217. 517. 218. 518. 219. 519. 220. Total paid by/for borrower. 1091,41121 520. Total reductions in amount due seller. 1,380,00420 300. Cash at settlement from /to borrower: 600. Cash at settlement to /from seller: 301. Gross amount due from borrower (line 120) 1,695,590.52 601. Gross amount due to seller (line 420) 1,600,000.00 302. Less amount paid by/for the borrower (line 220) (1,191,411.21) 602. Less total reductions in amount due setter (Iine 520) (1,380,00420) 303. Cash 4 From 504,179.31 603. Cash ( 4 To • From ) Seller. 219,995.80 ( • To ) Borrower. Substitute Form 1099 Seller Statement The information contained in blocks E, 8, H, and I and on line 401 is important tax infamratton and is being fumished to the IRS. 16 you are required to file a return, a negligence penalty or other sanction will be imposed on you if this item is required to be reported and the IRS determines that it has not been reported. Seller Instructions: If this real estate was your principal residence, file Form 2119, Sale or Exchange of Principal Residence, for any gain, with your tax retum; for other transactions, complete the applicable parts of Form 4797, Form 6262 and/or Schedule D (Form 1040). HUD -1 U.S. Departrnent of Housing and Urban Development Page 2 L. Settlement charges Borrower POCSeIIer POC 700. Total Sales/Brokers Com. based on price $1,600,000.00 @ % = paid from Borrower's Funds at Settlement PaId from Seller's Funds at Settlement 701. ova 702. % to 703. Commission paid at settlement 704. tc 800. Items payable in connection with loan: Borrower POCSeller POC 801. Loan origination fee % to 802. Loan discount % to 803. Appraisal fee to 804. Credit report to 805. Lender's inspection fee to 806. Mortgage insurance application fee to 807. Assumption Fee to 808. to 809. to 810. to 811. to 900. Items required by lender to be paid in advance: Borrower POCSeller POC 901. Interest from 12/23/10 to 01/01/11 (m 198.8300 /day 1,771.47 902. Mortgage insurance premium for months to 903. Hazard insurance premium for years to 904. Flood insurance premium for Years to 905. to - e - -- - -- - -- - - -- 1000. Reserves deposited with lender: Borrower POCScner POC 1001. Hazard insurance months (di per month 1002. Mortgage insurance months (i0, per month 1003. City property taxes months (t per month 1004. County property taxes months o('1, per month 1005. Annual assessments . months @; per month 1006. Float insurance months (rD, per month 1007. months (rD, per month 1008. months Cd), per month 1009. Aggregate accounting adjustment 1100. Title charges: Borrower POCSeller POC 1101. Settlement or closing fee to 1102. Abstract or title search to Talon Group 250.00 1103. Title examination to 1104. Title insurance binder to 1105. Document preparation to 1106. Notary fees to 1107, Attorney's Fees to (includes above item numbers: ) 1108. Title Insurance to First American Title Insurance Company /Jericho Title 6,600.00 (Includes above item numbers: ) 1109. Lender's coverage (Premium): $1,040,000.00 ($25.00) 1110. Owner's coverage (Premium): $1,600,000.00 ($6,575.00) 1111. Endorse: 8.1- 25;F9- 680.00 685.00 1112. Courier and Fedex to Jericho Title Services 150.00 1113. to 1200. Government recording and transfer charges: 1201. Recording fees' Deed $27.00 Mortgages) $300.50 Releases 139.00 188.50 1202. City /owntytax/stamps Deed $7,200.00 Mortgage(s) $2,080.00 2,080.00 7,200.00 1203. Statetax/stamps Deed $9,600.00 Mortgages) $3,640.00 3,640.00 9,600.00 1204. UCC. Recording to Florida UCC 38.00 1205. to ____ 1300. Additional settlement charges: Borrower POCSeller POC 1301. Survey to P3SM 500.00 1302. Pest Inspection to 1303. Attorney's Fees to Thomas G. Sherman PA 5,000.00 1304. Seller's Attorney Courier to Thomas G. Sherman PA 75.00 1305. Uen Letters , to Lightning Uen Letters 1,090.00 1306. Prior Years Taxes 1121060133900 to Miami Dada County Revenue Collector 8,341.32 1307. Prior Years Taxes 1132060133910 to Miami Dade County Revenue Collector 34,420.14 1308. Prior Years Taxes 1132060133890 to Miami Dade County Revenue Collector 8,341.32 1309. Additional expenses... .. (See Attached Addendum) 79,987.05 164,086.71 1400. Total settlement charges: ( Enter on tines,403,Sectiert4end 502, Section K) A 95,590.52 238,592.99 y rev! : cunt or by , UD-1 Settieingnt Statement and to the best of my knowledge and belief, k is a nsactlon. I fu " =r certify that I have received a copy of the HUD-1 Settlement Borrower Borrower d accurate statement of all receipts and disbursements made on Seller The HUD -1 Seftle jf; f'. tement which I have prepared is a true and accurate account of this transaction. 1 eve caused, or will cause, the funds to be disbursed In accordance with this stateme By JerichoTitl ;'FL' /ces As Its Au ?'r'.'-. Representative Date WARNING: it is a crime to knowingly make false statements to the United States on this or any other similar form. Penalties upon conviction can Include a fine and Imprisonment For details see: Title 18 U.B. Code Section 1001 and Section 1010. DoubieTime® FILE NUMBER: HUD -1 SETTLEMENT STATEMENT ADDENDUM 10- 200094 NAME OF BORROWER: Address of Borrower. NAME OF SELLER: Address of Seller. DVS, LLC, a Florida Limited liability Company 9400 NE 2nd Ave, Miami, Florida 33138 Bennett Electric Co., a Florida corporation and Nancy H. Bennett, Individually and as Trustee of the Nancy H. Bennett Revocable Trust Dated the 14th Day of February, 1994 10007 NE 4th Avenue, Miami, Florida 33138 NAME OF LENDER: Bennett Electric Co Address of Lender. 10007 NE 4 Ave,. Miami, Florida 33138 PROPERTY LOCATION: 9501 NE 2nd Ave, Miami, Florida 33138, 9537 NE 2nd Avenue, Miami, Florida 33138, 9501 NE 2nd Aven SETTLEMENT AGENT: Jericho Title Services Place of Settlement: 1930. Harrison Street, Suite 208, Hollywood, Florida 33020 SETTLEMENT DATE: 12/23/10 DISBURSEMENT DATE: 12/23/10 Itemization of Additional HUD Line items Desolation Prior Years Taxes 1132060133920 2010 Property Taxes Miami Shores Storm Water Fee in Escrow Code Enforcement Violation in Escrow Expired Open Permit In Escrow Solid Waste Fee in Escrow Certificate of Good Standing Fee Department of State Filing Fees Paves Miami Dade County Revenue Collector DVS, LLC Miami Shores Miami Shores MDWS Miami Shores Miami Shores Thomas G. Sherman PA Jericho Title Services Total HUD Line 1309 Expense: . Borrower POC Seller POC Borrower Seller 122400.11 79637.05 270.00 40480.00 0 175.00 752.85 0 8.75 0 350.00 0.00 0.00 79,987.05 164,086.71 This addendum is attached to a HUD -1 Settlement Statement executed by the aforementioned parties and is attached to said HUD Statement for the purpose of itemizing expenses reflected on line 1309 of pa 2 thereof. Borrower's I s): Seller's In DoubleTima® Electronic Articles of Organization For Florida Limited Liability Company Article I The name of the Limited Liability Company is: DVS, LLC L10000129579 FILED 8:00 AM December 20, 2010 Sec, Of State nculligan Article II The street address of the principal office of the Limited Liability Company is: 9400 NE 2ND AVENUE MIAMI SHORES, FL. 33138 The mailing address of the Limited Liability Company is: 9400 NE 2ND AVENUE MIAMI SHORES, FL. 33138 Article III The purpose for which this Limited Liability Company is organized is: ANY AND ALL LAWFUL BUSINESS. Article IV The name and Florida street address of the registered agent is: THERESA CACCAMISE 9400 NE 2ND AVE MIAMI SHORES, FL. 33138 Having been named as registered agent and to accept service of process for the above stated limited liability company at the place designated in this certificate, I hereby accept the appointment as registered agent and agree to act in this capacity. I further agree to comply with the provisions of all statutes relating to the proper and complete performance of my duties, and I am familiar with and accept the obligations of my position as registered agent. Registered Agent Signature: THERESA CACCAMISE Article V The name and address of managing members /managers are: Title: MGRM THERESA CACCAMISE 9400 NE 2ND AVE MIAMI SHORES, FL. 33138 Title: MGRM RICHARD CACCAMISE 9400 NE 2ND AVE MIAMI SHORES, FL. 33138 Article VI The effective date for this Limited Liability Company shall be: 12/17/2010 Signature of member or an authorized representative of a member Signature: THERESA CACCAMISE L10000129579 FILED 8:00 AM December 20, 2010 Sec. Of State nculligan • STATE OF (FLORIDA) COUNTY OF (DADE) Miami Shores Village Building Department SURVEY AFFIDAVIT �The undersigned Affiant, L C. do es hereby by attest that (Property owner) p ()Sr LLc_ The attached survey, performed by 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 (Name of surveyor's company) For address: S-1.2 1 s Z "' oavtiv- Performed on Q ! el /63 Li (date of survey) is an accurate representation of the existing conditions and locations of all structures on the property as of this date. The purpose of this Affidavit is to induce Miami Shores Village to issue a building permit for the property without first providing a survey less than seven (7) years old old. The Affiant, as property owner, further agrees to remove or obtain permits for any structures which now may exist on the property which are not permitted or which may violate zoning or building code regulations. The Affiant further understands that the existence of any such s rages may aff nal inspections as applicable to this or other permits. t say a naught. tea 'Kb i9�ure �vs, Property Owner Print Name SWORN TO AND SUBSCRIBED before me this 154 day of Mat/ , 2011 . Affiant is personally known to me, produced as identification. Revised on 5/22/2009/ Revised on 6/12/09 N;T'a. ?11031.1 A YLORIr+A '••. Yaniv Offir Commission #DD7956P0 ,,„ Expires: AUG. 22, 2012 BONDED THRII ATLANTIC BONDING CO., INC. // • • Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 REQUIREMENTS FOR DEMOLITION PERMIT Frovide notarized letter from homeowner authorizing contractor to demolish house- letter to be accompanied with copy of warranty deed. II'Submit permit application for demolition, electrical, I i g an gas connection if applicable. ❑ , SSubmit Asbestos Report. ec S1C • - - - e tility companies for discontinuance of services m a pest control company, that property cleared ofroden - roaches, pest, etc... ❑ Pi`ovide notarized letter from contractor doing the demolition, notifying the date of scheduled demolition. �r �' 2007 F.B.0 Section 3303 Revised on 5/22/2009 C Jun 2011 02:27p Futurity Ins. Inc. 5613618332 p.1 R ° CERTIFICATE OF LIABILITY INSURANCE 1 osizono ) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NCI RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: lithe certificate holder Is an ADDITIONAL INSURED, the poiicy(ies) must No endorsed. If SUBROGATION E WAIVED, subJcCtto tho terms and conditions of the policy, certain policies may require an endorsement A stetomont on this certificate does not confer rights to the certificate holder In Ileu of such enders/mantis). PRODUCER Futurity Insurance. Inc. PD Ilan 4277 Deerf+eid Beach FL 33442 -4277 CONTACT FA MC, Ne. (501) 301 -8331 NC No : (561) 381-8332 E -MAR. ADDRESS PRODUCER CUSTOMER ID: INSURERIS}AFPORQING COVERAGE INSURER A: Mid-Continent Ceeuelty CO. MAIC9 INSURED }ISM•' Conslrticumt, Inc, 10705 S!N. 210th S13/215 Miami FL 33170 INSURER B: LIABILITY COMMERCIAL G6NFRA1.1.1A8FLITY tNSUr+FR C INSUREn 0: 06/02/2011 IV5URERE: $ 700,000 INSURER F: CI AcnS aR OCCUR R: THIS INDICATED. CERTIFICATE EXCLUSIONS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED uWLOw1 ALINE BEEN ISSUED TO THE INSURED NAMR:D AUOVC FON THE POLICY PERIOD NOTYVITIiSTANQING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS MAY MC ISSur.0 OR MAY PERTAIN, THE INS4JIRANCC AFFORDED BY THE POLICIES DESCRIUEU HEREIN $$ SUBJECT TO ALL THE TERMS. AND CONDITIONS OF SUCH POLICIES MOTS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS: TYPE OF INSURANCE INSR , ; . POLICY NUMBER ; , is ',A AAA. MDDr M1 03!0212012 LIMITS EACH OCCURRF IEF $ 1 000,000 GENERAL. LIABILITY COMMERCIAL G6NFRA1.1.1A8FLITY 04-OL- 000822582 ' 06/02/2011 TA SES0 R IAN ere& $ 700,000 CI AcnS aR OCCUR nx:U F}hP (Anv one oersonl $ EXCLUDED pEnsorta g ADV IN.$JRY $ 1.000,000 GCNCRN. AGGRR;GAle $ 2,000,000 ENE AGGRCC.4TF i IMIT APPLIES PER 1I711 POLICY!. Cry' FILOC PRODUCTS - COMP/OP AGG S 2,000.000 AUTOMOBILS III LIABILITY ANYAUra AI.I. QYdNF0 AU701 SCHEDULED AUTOS HIDED AUTOS NOW- 0M,'NED AUTOS COMBINED SINGLE LINT 0-0 MAW 8CDILY INJURY (Per (x3 fit) $ BODILY INJURY (Pn nag e) 1 PROPERTY DAMAGE (Per ux(Je91) $ 3 3 11MBRE1.1.ALI/W H OCCUR EXCE55 LIAO CLAIM8.MnpE EACHOCCURRENCr $ ACCHECATE $ DF.D{X',TSLE RLTEM11ON $ 3 �yp�KY(�CRS C u L9AT14N AND F.RRPLVYtlCfi'UABSIiTY YIN Ofr�CWM�i�RD XCLWED7�CUT D IMrndotory In NH1 Uy�ee, 4e cr�oureN, UtSCRIPTIGN Of OPERATIONS nekkar N: A TON LIMIT1 rFR • E.L. EACH ACCIDENT $ EL DISEASE . PA 1 EL VI5EASE - POLICY LIMIT $ onsCIEPTEN Cenerrni Cordfuutar OF OPERATIONS r LdOCATIoNStvDWIICLes (mime h AcORD 101. Add'itlonn Romano 961ls.k,le, W morn epaana 11 r ttirad) ,, WI 9 •,_t. •. .-•r CERTIFICATE HOLDER Nllsm( Stores Bldg, Dept. 305 756 -6972 10050 NE 2nd AMIIMIo Alt Arleen N6ami Shores ACORD 25 (2009109) FL 33138 CANCELLATION SHINED ANY OP THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DEU EREO IN ACCORDANCE WRN THE�OLiCY PROV1$I Au T,/ -EPRRE$ENTATIVB �.' b r *ems The ACORD name and logo are Y0010)11:4 marks of ®1583.2009 ACORD CORPORATION. AU rights reserved.