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ELC-13-2539 Inspection Worksheet Miami Shores Village 10050 N.E.2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-202814 Permit Number: ELC-11-13-2539 Scheduled Inspection Date: November 19,2013 Permit Type: Electrical - Commercial Inspector: Devaney, Michael Inspection Type: Final Owner: EDELMAN,ALEX Work Classification: Addition/Alteration Job Address:9999 NE 2 Avenue Miami Shores, FL 33138- Phone Number ()_- Parcel Number 1132060134490 Project: <NONE> Contractor: MIAMI DADE ELECTRIC INC Phone: (305)685-6429 Building Department Comments correct electrial conduit in space remove ROMEX CONDUIT Infractlo Passed Comments FOR UNIT#218 INSPECTOR COMMENTS False Inspector Comments Passed Failed Correction Needed ❑ C� / ` Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. November 18,2013 For Inspections please call: (305)762-4949 Page 18 of 31 i Miami Shores Village u , Building Department 'I N5V V 7 A20 10050 N E2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795.2204 Fax:(305)756.8972 °°° °° INSPECTION'S PHONE NUMBER:(305)762.4949 FBC 20 UD BUILDING Permit No. 13 --`aS3°` PERMIT APPLICATION Master Permit No. Permit Type: Electrical JOB ADDRESS: Z City: Miami Shores Cody. Miami Dade gip: Folio/Parcel#: Is the Building Historically Designated:Yes NO Flood Zone: OWNER:Name(Fee Simple Titleholder): f Phone#: 16 -77 Address: / City: �'y/i H/YI i Sl�1G S, State: Zip: Tenantd.gs/see ame: Phone#. Email: `o/0 /v. ta)i Gam- CONTRACTOR:Company Name:_/O/c l�I. U&1c I=/ec l�/C Phone#-. Z�% � �✓ Address: 90-2-7/ 19"Z AV) (,,W11/ 101'Z3 City: t-n i` State: L zip: Qualifier Name: ZZL, one# %% State Certification or Registration#: 1 S 3� � Certificate of Competency#• Contact Phone#:2-c,;s ZZ/-Z �5' Email Address: /R�rLf e-b e�a�e/%ic*f�,sY� DESIGNER:Architect/Engineer. Phone#: Value of Work for this Permit:$ Square/Linear-Footage of Work: Type of Work: C]Address t]Alteratioq ONew OfQair/Replace ODemolition Description of Work: f�,�/�? �°� S��c e i ma 1/-C Submittal Fee$ Permit Fee$ '��"'i CCF$ CO/CC$ . Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ Structural Review$ TOTAL FEE NOW DUE$ r J Bonding 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 subjec to attachment. Also, a certif ed copy of the recorded notice of commencement must be posted at the job site for the first inspection hich'o seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be ap roved a a reinspection fee will be charged. r/ Signature Signature or Agent Contractor The foregoing instrum acknowledged before me this The foregoing instrument was acknowledged before me this day of aJ ,20 1':�by'Z5 Js-- r-V .l Ml1-"Z- day of N O .201-by A-FP rr�——7 who' ersonally krio a or who has produced r' _ who is personally known to me or who!has produced ' 2 As identification and who did take an oath. as identification r"__pan oath. NOTARY PUBLIC: °�w ki u i i u urrr,�� NOTARY PUBLIC: •° o��......... .''��, sign: sign: — d ANYl Print: _ ' o a2 Print: .sa dX3 My Commission Expires: My Commission Expires: .......... nrrnnn���� APPROVED BY ,0,-%a Plans Examiner Zoning Structural Review Clark (Revised 3/122012)(Revised 07/10/07)(Revised 06/10/2009)(Rmised 3/15/09) Property Search- Report Page 1 of 2 NHAW-DARE COUNTY OFFICE OF THE PROPERTY APPRAISER -j PROPERTY SEARCH SUMMARY REPORT Carlos Loma-Caere PropertYAPprelsar Property Information: ' L` Folio 11-3206-013-4490 P r. Property Address 9999 NE 2 AVE Owner Name(s) CITY NATL BNK OF FLA TRU , Mailing Address 25 WEST FLAGLER ST#711 i MIAMI FL 33130-1718 Primary Zone 6400 COMMERCIAL-CENTRAL k . Use Code 1713 OFFICE BUILDING-ONE STORY:OFFICE 9 € T BUILDING , Beds/Baths/Half 0 10/0 Floors 3 ; Living Units 0 Ad).Sq.Footage 47,771 ;_,* Lot Size 31,850 SQFT Year Built 1965 •a Full Legal Description 1 53 41&6 53 42 MIAMI SHORES SEC 1 AMD PB 10-70 Aerial Photography 2012 LOTS 10 THRU 14 INC BLK 33 N LOT SIZE 245.000 X 130 OR 15864-4092 0393 2(2) Taxable Value Information: COC 23360-4133 05 2005 4 Assessment Information: Year 2013 2012 Year 2013 2012 Exemption/ Exemption/ Taxable Taxable Land Value $637,000 $637,000 County $0/$950,875 $0/$950,875 Building Value $313,875 $313,875 School Board $0/$950,875 $0/$950,875 Market Value $950,875 $950,875 Assessed Value $950,875 $950,875 city $0/$950,875 $0/$950,875 Benefits Information: Regional $0/$950,875 $0/$950,875 Benefit Type 2013 2012 Sale Information: Date Amount OR Book-Page Qualiticatlon Code 05/01/2005 $0 23360-4133 Quai by exam of deed 03/01/1993 $600,000 15864-4092 Qual by verifiable& documented evidence 03/01/1993 $0 00000-00000 Quai by exam of deed 08/01/1989 $0 14249-2507 Qua]by exam of deed 05/01/1988 $2,700,000 13673-934 Qual by verifiable& documented evidence 09/01/1984 $3,100,000 12277-2524 Qua]by verifiable& documented evidence Disclaimer: The Office of the Property Appraiser and Miami-Dade County are continually editing and updating the tax roil and GIS data to reflect the latest property Information and GIS positional accuracy.No warranties,expressed or implied,are provided for data and the positional or thematic accuracy of the data herein,its use,or its interpretation.Although this website Is periodically updated,this Information may not reflect the data currently on file at Miami-Dade County's systems of record.The Property Appraiser and Miami-Dade County assumes no liability either for any errors,omissions,or Inaccuracies in the information provided regardless of the cause of such or for any decision made,action taken,or action not taken by the user In reliance upon any Information provided herein.See Miami-Dade County full disclaimer and User Agreement at http,.//www.miamidade.govPnfb/disclaimer.asp. Property Information inquiries,comments,and suggestions email:pawebma]IQmiamidade.gov GIS Inquiries,comments,and suggestions email:gis@miamidade.gov Generated on:Fri Nov 8 2013 http://gisweb.miamidade.gov/PropertySearch/printMap.htm 11/8/2013 1/18/2013 6:26 AM From: Carrera insurance/305-385-2886 To: 13057568972 2 of . h CERTIFICATE OF LIABILITY INSURANCE �TE(IWAAIDD/fi�Y1� 11/18/2013 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:K the certificate holder is an ADDITIONAL INSURED,the policy(les)must 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 Franklin Davila CARRERA INSURANCE NAME: W °Eft 305-3855-2886 FWAX 13500 SW 88TH Street.Ste 235 C'No: ADDRESS; fdavilaQcarrerainsurance.com INSURER(S)AFFORDING COVERAGE NAIL 0 Miami FL 33186 INSURER A: Granada Insurance Company p INSURED INsuRERe: Southern Insurance Company Miami Dade Electric Inc. 9021 SW 142 Ave.Ste 1623 INSURER 0: D: INSURER E: Miami FL 33186 INSURER F: COVERAGES CERTIFICATE NUMBER: 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. ILTRR TYPE OF INSURANCE ADOL suBR p U PO A� UAIT8 INSR UCYNUMBER GENERAL LIABILITY EACH OCCURRENCE $ $1,000,000 COMMERCIAL GENERAL LIABILITY PREMISES(Fa u:atrrrence $ $100,000 CLAIMS IIAAADE IX OCCUR MED EXP(Arty one pewn) $ 5,000 A B0185FLOO53151 09/26 12013 09/26/2014 PERSONAL&ADV INJURY $ $1,000,000 GENERAL AGGREGATE $ $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER; PRODUCTS-COMP/OP AGG $ $2.000,000 POLICY PRO LOC AUTOMOBILE UABILITY -OUIT $ ANY AUTO I ant $ ALL MNED SCHEDULED BODILY INJURY(Per pereon) $ AUTOS A��JT'rOS BODILY INJURY(Peraoddent) $ HIREDAUTOS NON-0WNED AUTOS PR PERTYDAMA E $ Per accident) $ j H I UlABRELLA LIAR OCCUR EACH OCCURRENCE $ IXCESS UAB CLAIMS4AA0E AGGREGATE $ DED RETENTION WORKERS COMPENSATION $ AND EMPLOYERS'LIABIUTy, - B OFFICERIMEMBER EXCLUDED?ECUTNE y�NIA EL EACH ACCIDENT $ 1,000,000 (Mandatory M NH) PWCPP7947-13 OW26/2013 09/26/2014 If yea descnbeunder E.L.DISEASE-EA EMPLOYE $ 1,000,000 DESCRIPTION OF OPERATIONS belay E.L.DISEASE-POLICY LIMIT 13 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Atach ACORD 101,Additional Remarks Schedule,H more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Village of Miami Shores ACCORDANCE WITH THE POLICY PROVISIONS. Building Department 10050 Northeast 2nd ave AUTHORMED REPRESENTATIVE Miami shores,FL.33138 ACORD 25(2010/05) ©1988 2010 ACORD CORPORATION.All rights reserved. The ACORD name and logo are registered marks of ACORD Shoreview Center Wednesday,July 03, 2013 TO WHOM IT MAY CONCERN: Please be advised that Julio Martinez is authorized to represent me in all matters related to the property located at 9999 NE 2nd Avenue,Miami Shores Village,FL 33138 as regards to permits and licensure in the village of Miami Shores. S' relyeann Alex E e Building Sworn and Subscribed before m on this 3 day of July, 2013 bye ar Yne Who is personally known to m 7 �2 1�0 ry Public State of Florida ATS MA 0 it * MY COMMISSION w Ee 091861 EXPIRES:May 9,2015 tA,r"11 FLOR`O Bonded Tku Bum afty 9999 NE 2 id. Aventie,Ste.305 Miami Sbores. FL 33138 Tel.(305)756-7747—Fax(305)756-7745 CFW 2005RO480011 i OR Ek 23360 Pas 4133 - 4136# (4aas) RECORDED 05111/2005 14:43132 DEED DOC TAX 0.60 SURTAX 0.45 HARVEY RUVINY CLERK OF COURT MIAMI-DADE COUNTYP FLORIDA This Instrument Was Prepared By: RONALD R. FIELDSTONE, ESQ. FIELDSTONE LESTER SHEAR&DEN13ERG LLP 201 Alhambra Circle, Suite 601 Coral Gables, Florida 33134 (305) 357-1001 NOTE TO RECORDER: This is a conveyance to a land trust of which the grantor is the sole beneficiary. Therefore this deed is exempt from other than nominal documentary stamps tax and surtax, and pursuant to Rule 12B-4.013(32)(a),F.A.C. CONVEYANCE DEED TO TRUSTEE UNDER LAND TRUST AGREEMENT THIS INDENTURE WITNESSETH, that the Grantor SHOWPLACE COMMERCIAL PROPERTIES, INC. , a Florida Corporation (the "GRANTOR"), for and in consideration of the sum of Ten Dollars and other good and valuable considerations in hand paid, receipt of which is hereby acknowledged, hereby conveys and warrants unto CITY NATIONAL BANK OF FLORIDA, Miami, Florida, a national banking corporation organized under the laws of the United States, and duly authorized to accept and execute trusts within the State of Florida (the"TRUSTEE1, as trustee under the provisions of a certain Trust Agreement, dated effective the 6th day of May, 2005, and known as Trust No. 2401-2045-00, whose address is City National Bank of Florida, Trust Department, 25 West Flagler Street, Suite 711, Miami, Florida, 33130, the following described real estate in the County of Miami-Dade and State of Florida, to wit: Lots 10 through 15 and the West ;4 of Lot 16, Block 33, AMENDED PLAT OF MIAMI SHORES SECTION ONE, according to the plat thereof as recorded in Plat Book 10, Page 70, of the Public Records of Miami-Dade County, Florida. Folio No. 1132060134490 Folio No. 1132060134540 Book23380/Page4133 CFN#20050480010 Page 1 of 4 GRANTOR, dose hereby grant, bargain, sell and convey to TRUSTEE, his successors and assigns, the Property; TOGETHER WITH all appurtenances, privileges, rights, interests, reversions, remainders and easements thereunto appertaining; TO HAVE AND TO HOLD the said Property in fee simple upon the trusts and for the uses and purposes herein and in said trust agreement set forth. Full power and authority is hereby granted to TRUSTEE, without limitation, to improve, subdivide, protect, sell, lease, encumber and otherwise manage and dispose of said property or any part thereof, and to resubdivide said property as often as desired, to contract, sell, grant options to purchase, to convey either with or without consideration, to convey said property or any part thereof to a successor or successors in trust and to grant to such successor or successors in trust all the title, estate, powers and authorities vested in said TRUSTEE, to donate, to dedicate, to mortgage pledge or otherwise encumber said property or any part thereof, to lease said property or any part thereof, from time to time, in possession or reversion, by leases to commence in praesenti or in futuro, and upon any terms and for any period or periods of time, not exceeding-in the case of any single demise the term of 99 years, and to renew or extend leases upon any terms and for any period or periods of time and to amend, change or modify leases and the terms and provisions thereof at any time or times hereafter, to partition or to exchange property, or any part thereof, for other real or personal property, to submit said property to condominium, to grant easements or changes of any kind, release, convey or assign any right, title or interest in or about an easement appurtenant to, said premises or any part thereof, and to deal with said property and every part thereof in all other ways and for such other considerations as it would be lawful for any person owning the same to deal with the same, whether similar to or different from the ways above specified, at any time or times hereafter. Any contract, obligation or indebtedness incurred or entered into by the TRUSTEE in connection with said property shall be as a trustee of an express trust and not individually and the TRUSTEE shall have no obligation whatsoever with respect to any such contract, obligation or indebtedness except only so far as the trust property in the actual possession of the TRUSTEE shall be applicable for the payment and discharge thereof, and it shall be expressly understood that any representations, warranties, covenants, undertakings and agreement hereinafter made on the part of the TRUSTEE, are nevertheless made and intended not as personal representations, warranties, covenants, undertakings and agreements by the TRUSTEE or for the purpose or with the intention of binding said TRUSTEE personally, but are made and intended for the purpose of binding only the trust property specifically described herein; and that no personal liability or personal responsibility is assumed by, nor shall at any time be asserted or enforceable against the TRUSTEE, individually on account of any instrument executed by or on account of any representation, warranty, covenant, undertaking or agreement of the said TRUSTEE, either expressed or implied, all such personal liability, if any being expressly waived and released and all persons 2 Book233601Page4134 CFN#20050480010 Page 2 of 4 r and corporations whomsoever and whatsoever shall be charged with notice of the condition from the date of the filing for record of this Deed. OIn no case shall any party dealing with said TRUSTEE in relation to said property or to whom said property or any part thereof shall be conveyed, sold, leased or mortgaged by said TRUSTEE, be obliged to see to the application of any purchase money, rent, or money borrowed or advanced on said property, or be obliged to see that the terms of the Trust Agreement have been complied with, or be obliged or privileged to inquire into any of the terms of said trust agreement; and every deed, trust deed, mortgage, lease or other instrument executed by said TRUSTEE in relation to said property shall be conclusive evidence in favor of every person relying upon or claiming under any such conveyance, lease or other instrument (a) that at the time of the delivery thereof, the trust created by said trust agreement was in full force and effect, (b) that such conveyance or other instrument was executed in accordance with the trusts, conditions and limitations contained in this trust agreement or in some amendment thereof and binding upon all beneficiaries thereunder, (c) that the TRUSTEE was duly authorized and empowered to execute and deliver every such deed, trust deed, lease, mortgagee or other instrument, and (d) if the conveyance is made to a successor or successors in trust, that such successor or successors in trust have been properly appointed and are fully vested with all the title, estate, rights, powers, duties and obligations of the said predecessor in trust. The interest of each and every beneficiary hereunder and under the Trust Agreement and Declaration of Trust hereinbefore referred to and of all persons claiming under them or any of them shall be only in the earnings, avails and proceeds arising from the sale or other disposition of said real estate, and such interest is hereby declared to be personal property, and no beneficiary hereunder shall have any title or interest, legal or equitable, in or to said real estate as such but only an interest in the earnings, avails and proceeds thereof as aforesaid. AND GRANTOR hereby covenants with said TRUSTEE that GRANTOR is lawfully seized of the property in fee simple; that the Grantor has good right and lawful authority to sell and convey the property; that the Grantor hereby warrants the title to the property, and will defend the same against the lawful claims of all persons claiming by, through or under the Grantor,but not otherwise. 3 Book2336O/Page4135 CFN#20050480010 Page 3 of 4 DID B1: 23360 PG 4136 • [.AST PAGE IN WITNESS WHEREOF,the Grantor aforesaid have hereunto set their hand and seal effective this 6th day of May, 2405. Signed and delivered in the presence of: SHOWPLACE COMME AL PROPERTIES,Inc.,a Florida Corporation ha ae,4 By: Print Name: earki r. 7 Ronald R.Fi 1 e,President h nt e: PSI ick- tI e 11 r C,�G41 STATE OF FLORIDA COUNTY OF Miami-Dade The foregoing document was acknowledged before me this day of May, 2005, by Ronald R. Fieldstone, President of SHOWPLACE COPAKERICAL PROPERTIES, INC, a Florida corporation who is personally known to me and who produced his Florida driver's license as identification. 9fi� o� A, Notary Public, State of Florida My commission expires: H:\LIBRARY\Clients\Showplace.Shoreview\Land Trust\Deed.(1).doc "' AMYCaMMJ$SJONYDF1IggM •,, EXPIRM S WI*3,XW 4 Book23360/Page4136 CFN#20050480010 Page 4 of 4