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DEMO-15-658 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-240291 Permit Number: DEMO-3-15-658 Scheduled Inspection Date: August 17, 2015 Permit Type: Demolition Inspector: Rodriguez,Jorge Inspection Type: Final Owner: TAVARES,TIERES Work Classification: Building Job Address: 10050 NE 12 Avenue Miami Shores, FL Phone Number (305)244-2356 Parcel Number 1132050190370 Project: <NONE> Contractor: SUNSHINE HOME RENOVATION CORP Phone: (305)801-3713 Building Department Comments INTERIOR DEMO AND DEMO CONCRETE DECK Infractio Passed Comments INSPECTOR COMMENTS False Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-230904. Need finals on all trades Failed Correction ❑ Needed Re-Inspection ❑ Fee No Additional Inspections can be scheduled until re-inspection fee is paid. August 14, 2015 For Inspections please call: (305)762-4949 Page 13 of 33 C:FN 2015RO131194 OR 5k 2451E Pis 1517 - 1519; (3pss) RECORDED 02/27/2015 12:11.24 DEED DOC TAX 4x536.00 HARVEY RUVINr CLERK OF COURT MIAMI-DADE COUNTY? FLORIDA This Document Prepared By and Return tot RICHARD A. GOLDEN, ESQ f. ,ra+ '• KRAMER AND GOLDEN, P.A. ° w ► '" 1175 N.E. 125TH STREET SUITE 512 NORTH MIAMI, FLORIDA 33161 RGPA FILE NO.16-15R Parcel tD Number. 11-3205-019-0370 Warranty Deed This Indenture, Madethis �l day of February , 2015 AD., Between ANDREW CURZON, A MARRIED MAN of the County of HUDSON , State of NEW JERSEY ,grantor, and TIERES TAVARES, AS TRUSTEE OF THE BEYOND ALL REVOCABLE TRUST DATED 01/17/14 whose address is: 10050 NE 12 AVENUE, MIAMI SHORES, FL 33138 of the County of MIAMI-DADS , state of Florida ,grantee, Witnesseth that the GRANTOR,ror and in consideration of the sum of ------------------------TEN DOLLARS 010)----------------------- DOLLARS, and other good and valuable consideration to GRANTOR in hand paid by GRANTER, the receipt whereof is hereby acknowledged, has granted,bargained and sold to the said GRANTEE and GRANTBE'S heirs.successors and assigns forever,the fonowing described Juni,situate, tying and being in the Courcy of MIAMI-DADS State of Florida to wit SEE LEGAL DESCRIPTION ATTACHED HERETO AND MADE A PART HEREOF Grantor affirmatively states that the subject property is not the HOMESTEAD property of the Grantor or any member of their family, nor is the subject property contiguous to the homestead of the Grantor pursuant to Article X, Section 4 of the Constitution of the State of Florida. The Grantor's HOMESTEAD address is 1300 Grand Street, Apt, 516, Hoboken, NJ 07030. I i and the grantor does hereby fully warrant the litle to said land, and will dofend the same against lawful claims of all persons whomsoevcr. r.au0...dWWZI*PVrn,� 1.o 2M (ass)rsn.ssss ram Flavna i I Book295181Page1517 CFN#20150131194 Page 1 of 3 Warranty Deed .Page 2 Pnreel 1D Number: 11-3205-019-0370 In W1tnm Whereof,the grantor has heraunlo set his hand and seal the day and year first above written- Signed,sealed and delivered in our presence: (Seal) Print d ame: ANDREWCiT ON Witney P.O.Address:1 RAND EET,APT,516,HOSOKEN.NJ 07030 ,_.RAntdr1 Name: fl Witness STATE OF NEW JERSEY COUNTY OF HUDSON The Foregoing irsinarwi was acknowledged before me this p�1ji� day of February 060 , 2015 by ANDREW CURZON, A MARRIED MAN who is personally Imown tome or who has produced his NeW Jersey driver r 9 lieen 'dentilionom & AMBER LYNN DIEfFENW1ERTN prim Na�pg� Notary Public CpMMaM"THOFM,ggg Notary Public My Gommiselon Expires My Commission Expires: U Aupuei 19, 2021 i 16-2 5R laur Ocmxead l;.p Dup4Y 8ycwps,lao..So1S(prJ)7G7•ssss ram pLWDi 1 ' Book29518IPage1518 CFN#20150131194 Page 2 of 3 - OR BK 29518 PG 1519 L.,AST PAGE Order No..5135489 (&Commonwealth Customer Reference: 3446.02 EXHIBIT"A" Lot 16, Block 177, Revised Plat of Miami Shores,Section 8, according to the Plat thereof, recorded In Plat Book 43, at Page 67, of the Public Records of Mlami-Dade County, Florida; and The Easterly 5 feet of Lot 15, Block 177, Revised Plat of Miami Shores,Section 8, according to the Plat thereof, recorded in Plat Book 43, Page 67, of the Public Records of Miami-Dade County, Florida,described as follows: Begin at the Northeast corner of said Lot 15 for Point of Beginning; Thence run West along the North line of sold Lot 15 a distance of 5 feet to a point; Thence run Southeasterly parallel to and 5 Feet from the Easterly line of said Lot 15 to a point on the Southerly line of said Lot 15; Thence run In an Easterly direction along the Southerly line of Lot 15 a distance of 5 feet to the Southeasterly corner of said Lot 15; Thence run Northwesterly along the Easterly line of said Lot 15 a distance of 95.89 feet, more or less, to the place of beginning. Said land situated lying and being in Miami-Dade County, Florida. Copyright American Land Title Association. All rights reserved, tf'- The use of this Form Is restricted to ALTA licensees and ALTA members In good standing as of the date of use. An other uses ere prohibited. Reprinted under license from tha Amerloan Land Title Assoclatim. e� ALTA commltmard(6M71M W FL ModifIcadons) 5 of 5 Book29518/Page1519 CFN#20150131194 Page 3 of 3 DECLARATION OF TRUST FOR THE BEYOND ALL REVOCABLE TRUST 1, of Miami-Dade County, Florida, the undersigned Settlor, do hereby give, transfer, assign and convey to myself, the Trustee and any successor Trustee hereunder, IN TRUST, the property described on "Schedule A" attached hereto which, together with such other property acceptable to the Trustee as may be conveyed, assigned, devised, bequeathed, or otherwise made payable to the Trustee by me or any other person for the purposes of this trust, shall be referred to herein as the "Trust Estate." I hereby accept the trust herein created and covenant and agree to execute the same as herein provided with all due fidelity and to account for all monies received and disbursed as part of the Trust Estate. The trust hereby created, as amended from time to time, shall be known as the " " ARTICLE I. ARTICLE 11. DISTRIBUTION OF TRUST DURING MY LIFETIME i 2.1. Income and Principal. During my lifetime, the Trustee shall pay to me such sums of the net income and principal of the Trust Estate, in convenient installments, as I may direct from time to time. i 2.2. During My Incapacity. If, during any period of my lifetime, I am "Incapacitated" or "under and Incapacity" according to the provisions set forth in the Article of this instrument, below, entitled "Determination of Incapacity," the distributions required in the preceding section, above, shall terminate, and the Trustee shall distribute from time to time such part (or even all) of the Trust Estate, as then constituted, as the i Trustee, in the Trustee's sole discretion, deems I would wish (if my circumstances were normal) for the following purposes: (a) Support, Health and Maintenance. The Trustee shall make distributions for my support, health and maintenance in my previously accustomed manner of living; and (b) Discharge of My Obligations. The Trustee shall make distributions for the discharge of any obligation which, in such Trustee's opinion, is legally enforceable against me. i i THE BEYOND ALL REVOCABLE TRUST PAGE 1 Of 18 `4 CHEPENIKITRUSHIN LLP 12550 Biscayne Boulevard, Suite 904 • North Miami, FL 33181 .Tele 305.981.8889• eFax 305.405.7979 2.3. Homestead Riahts. Notwithstanding any other provision of this Trust, I reserve the right to reside upon any real property placed in this Trust as my permanent residence during my life, and intend to retain the requisite beneficial interest and possessory right in and to such real property to comply with Florida law such that said beneficiary interest and possessory rights constitute in all respects "equitable title to real property," as such term is used in Section 6, Article VII of the Constitution of the state of Florida. Notwithstanding anything contained in this Trust to the contrary, my interest in any real property in which I reside shall be deemed to be an interest in real property and not personalty and shall be deemed my homestead. This provision does not restrict the Trustee from selling, leasing, or encumbering that property without my joinder in any deed or other instrument. ARTICLE III. DISTRIBUTION OF TRUST AT MY DEATH The Trustee, as of my death, shall administer the Trust Estate as follows: 3.1. Distributions Pursuant to My Will. If my last will and testament (including any codicil thereto, hereinafter referred to as my "Last Will") specifically devises any property which at the time of my death is held in the Trust Estate (and not in my probate estate), the Trustee shall make distribution of such property as provided therein (or to my personal representative for distribution). Except as otherwise specifically devised herein or in any such written statement or list, I devise all of my tangible personal property in two (2) unequal shares, as follows: ( 3.2. Distribution of Residue. The balance of the Trust Estate, including, but not limited to, any proceeds of insurance payable to the Trustee and any assets which may be distributed to the Trustee pursuant to any provisions in my Last Will, or otherwise, is referred to as the "Residual Trust Estate." The Trustee, after first paying from the Residual Trust Estate all Death Taxes (defined below), and expenses and debts as provided in the provided in the Article of this instrument, below, entitled "Payment of Death Taxes, Debts and Expenses," shall distribute the balance of the Residual Trust Estate (hereiafter referred to as the "Distributable Trust Estate") in two (2) unequal shares, as follows: ( THE BEYOND ALL REVOCABLE TRUST PAGE 2 Of 18 CHEPENIKITRUSHIN LLP 12550 Biscayne Boulevard, Suite 904•North Miami, FL 33181 .Tele 305.981.8889• eFax 305.405.7979 i _..._...... ___.._. ................... .. . __._.. ........ ......... ........... ...... ... _...._ Notwithstanding any of the provisions herein, all devises of the Distributable Trust Estate shall be subject to the provisions of the Article of this Instrument, below entitled, "Postponement of Possession." ARTICLE IV. POSTPONEMENT OF POSSESSION If pursuant to any provision of this instrument, a distribution would otherwise be made outright to a person who has not yet attained the age of twenty-one (21) years (referred to in this Article as the "Beneficiary"), said distribution shall be held as a separate trust, which trust shall be named for the Beneficiary and administered by the Trustee trust pursuant to the terms of this Article. 4.1. Distribution of Income and Principal to the Beneficiary. Commencing on the creation of the separate Trust created for the Beneficiary and continuing until the separate trust is fully distributed, the Trustee shall pay to or apply for the benefit of the Beneficiary so much of the net income and principal of the separate trust as the Trustee shall deem reasonably necessary for the Beneficiary's health, education, maintenance and/or support, taking into consideration all other income or property which is available to the Beneficiary from all sources known to the Trustee (including any obligations owed to the Beneficiary by any person that are reasonably able to be discharged) and all other circumstances and factors believed pertinent by the Trustee. Nothwithstanding any provision of this paragraph, distribution of net income and principal is in the sole and absolute discretion of the Trustee. 4.2. Mandatory Distributions of Income and Principal. When the Beneficiary reaches the age of twenty-one (21) years (or if the Beneficiary has surpassed his/her 2181 birthday upon the date of the creation of this separate trust), the Trustee shall pay to or apply for the benefit of the Beneficiary, all the remaining principal and accumulated income of the Beneficiary's separate trust, outright and discharged of trust. 4.3. Distribution of the Beneficiary's Trust Upon the Beneficiary's Death. If the Beneficiary should die prior to receiving all of the Beneficiary's separate trust estate, then upon the Beneficiary's death, the Trustee shall pay the entire remaining trust estate i (including any accumulated income) to the Beneficiary's then surviving lineal descendants, i per stirpes; or if none, to the Beneficiary's siblings, per stupes; or, if none, to the Beneficiary's heirs-at-law. THE BEYOND ALL REVOCABLE TRUST PAGE 3 Of 18 CHEPENIKITRUSHIN LLP 12550 Biscayne Boulevard, Suite 904 • North Miami, FL 33181 •Tele 305.981.8889• eFax 305.405.7979 ! \, ........_.. _._ ... . .... .. ARTICLE V PAYMENT OF DEATH TAXES, DEBTS AND EXPENSES 5.1 Payment of Death Taxes, Expenses and Debts Certified by Personal Representative. The Trustee, through agreement with my personal representative (my "Personal Representative"), shall pay from the Residual Trust Estate, either directly or through my Personal Representative, without apportionment or reimbursement or charging any direct skip property, such of the following taxes and expenses as the Personal Representative shall agree to in writing: (a) Death Taxes. Any estate, inheritance, succession or other similar taxes of the United States of America, or any state or territory thereof, or of any foreign country, including any generation-skipping tax imposed with respect to a direct skip other than a direct skip caused by a disclaimer, together with any interest and penalties thereon (hereafter all such taxes, interest and penalties shall sometimes be referred to in this instrument as "Death Taxes") levied by reason of j my death with respect to any property passing hereunder or under my Last Will; and (b) Expenses. Any last illness expenses, administration expenses, debts i (except those secured by mortgages or other security agreements) and other proper charges against my estate. The term "expenses" includes all transmission or management expenses of my probate estate and all administrative expenses of this j Trust. 5.2. Apportionment. Any Death Taxes payable with respect to any property ; passing outside of my Last Will or this instrument or which taxes are not required to be paid under my Last Will shall be apportioned against, and paid by, the recipients or beneficiaries of such property in accordance with Florida law, except as otherwise provided to the contrary in my Last Will. I ARTICLE VI. TRUSTEES (b) In the event a successor Trustee is not effectively appointed as provided in this section, a successor Trustee shall be appointed as provided in this Article, below. THE BEYOND ALL REVOCABLE TRUST PAGE 4 Of 18 i I CHEPENIKITRUSHEN LLP 12550 Biscayne Boulevard, Suite 904 •North Miami, FL 33181 •Tete 305.981.8889• eFax 305.405.7979 6.3 Appointment of Additional and/or Successor Trustees. (a) I shall have the right to appoint additional and/or successor Trustee (or co-trustee) of any trust under this instrument. (b) If 1 am not living or I am under an Incapacity, the appointed Trustee then serving shall have the right to appoint additional Trustees (Le, co-trustees) of any trust or subtrust under this instrument. The foregoing rights to appoint additional Trustees shall be limited as provided by the provisions of this Article, below. (c) In the event that none of the appointed Trustees set forth in Section 6.1 hereof is able or willing to serve, the majority of my beneficiaries hereunder shall have the right to appoint successor Trustee(s) of any trust or subtrust under this instrument. The foregoing rights to appoint successor Trustees shall be limited as provided by the provisions of this Article, below. 6.4 Trusts Not Subiect to an Ascertainable Standard. Notwithstanding anything to the contrary herein, except with respect to my ability to appoint a Trustee, if any person shall have the right to appoint an additional and/or successor Trustee of a particular trust as provided in this Article, above, and such person has a present beneficial interest in such trust and the ability of the Trustee to make distributions of the trust estate to or for the benefit of such person is not limited by an ascertainable standard relating to health, education, support, or maintenance, then such person may not appoint himself or herself as a Trustee of such trust and such person may not appoint a Trustee who is related to or subordinate to such person [within the meaning of Code Section 672(c) and in accordance with the provisions of Revenue Ruling 95-58]. 6.5, Powers of Additional and Successor Trustees. All additional and successor Trustees hereunder shall have the title, powers, discretions, rights, duties, authority, and exemptions given to the original Trustee hereunder, and all provisions of this instrument relating to the original Trustee shall apply to all additional and successor Trustees. 6.6. Removal of Trustees. I shall have the right to remove any Trustee then in office or designated as a successor Trustee. Otherwise, no one else shall possess the ' power to remove any Trustee unless such removal is "for cause." That said a majority of a Trustee for cause which m exercise the right to remove , my beneficiaries hereunder may g includes (i) the willful or negligent mismanagement of the Trust assets; (ii) the abuse or abandonment of, or inattention to the Trust; (iii) a federal or state charge against that individual Trustee involving the commission of a felony or serious misdemeanor; or (iv) the commission of an act of theft, dishonesty, fraud, embezzlement, or moral turpitude by that THE BEYOND ALL REVOCABLE TRUST PAGES of 18 1 •• CHEPENIKITRUSHIN LLP t 12550 Biscayne Boulevard, Suite 904 • North Miami, FL 33181 .Tele 305.981.8889• eFax 305.405.7979 individual Trustee. The removal of a Trustee under this paragraph will be effective immediately upon delivery to him or her of the written agreement for removal signed by all of the persons whose consent is required. 6.7. Resignation of Trustee. (a) Resignation by Written Instrument. Any Trustee may resign at any time by a signed written instrument delivered to any other Trustee, or if none, then to the beneficiaries of the trust then having a present interest therein, or to the parent or guardian of any such beneficiary who shall not at the time of such resignation be an adult. (b) Duty of Resigning Trustee. A resigning Trustee shall render a statement of account to the beneficiaries and shall remain liable for all previous action until released therefrom in accordance with the provisions of pursuant to Florida law. (c) Resignation Without Appointment of Successor. In the event that the resignation of a Trustee of a particular trust would result in a situation where a Trustee was not serving under such trust and a successor Trustee has not been otherwise effectively appointed in the manner described in this Article, above, within forty-five (45) days of the delivery of the notice of resignation described above, the resigning Trustee or any beneficiary of a trust or subtrust hereunder may apply to a court of competent jurisdiction for the appointment of a successor Trustee. 6.8. Liability of Trustee. (a) Not Liable for Acts or Omissions of Other Trustees. No Trustee shall be responsible for the acts or omissions of any other Trustee, but only for said Trustee's own acts or omissions in bad faith, nor shall any Trustee be required to inquire into the acts or omissions of any prior Trustee or to make any claim against any prior Trustee. (b) Not Liable for Payments in Good Faith. No person paying money or delivering any property to any Trustee need see to the application thereof. Any J Trustee may rely upon any notice, certificate, affidavit, letter, telegram, or other paper or document believed by said Trustee to be genuine, or upon any evidence deemed by said Trustee to be sufficient, in making any payment or distribution authorized herein. No Trustee shall incur any liability for any payment or distribution made in good faith without actual notice or knowledge of a changed i condition or status affecting any person's interest in the trust estate. (c) Not Liable for Losses Occasioned by Acts in Good Faith. The Trustee shall not be liable for any loss of any principal of any separate trust created hereunder occasioned by acts in good faith in the administration of such separate j trust (including acts in reliance upon an opinion of counsel), and the Trustee shall only be liable for willful wrongdoing or gross negligence, but not for honest errors of judgment. THE BEYOND ALL REVOCABLE,TRUST PAGE 6 of 18 CHEPENIKITRUSHIN LLP 12550 Biscayne Boulevard, Suite 904 •North Miami, FL 33181 .Tele 305.981.8889•eFax 305.405.7979 6.9. Compensation of Trustees. (a) Compensation of Trustees. All Things Cinema, LLC and any other individual serving as Trustee hereunder shall be entitled to receive compensation for services rendered in such amount or amounts and in such manner as may be agreed to in a separate instrument by the Trustee and me. In the event there is no such written instrument, then the Trustee shall be entitled to reasonable compensation as provided by applicable law. (b) Reimbursement. The Trustee shall be entitled to reimbursement for expenses reasonably incurred by said Trustee on behalf of the Trust Estate or any trusts created hereunder in existence from time to time. If the Trustee shall be compelled at any time during the existence of any separate trust, or any time thereafter, to pay any tax or penalty with respect to such separate trust for any reason, the Trustee shall be entitled to be reimbursed from the property of such separate trust, or to the extent that the property of such separate trust shall then be insufficient, or if such trust shall be then terminated, the Trustee shall be reimbursed by the person or persons to whom any property of such trust shall have been distributed to the extent of the amount received by each such person. The Trustee, before making any distribution of either income or principal from such separate trust may accordingly require an undertaking by said person or persons in form satisfactory to the Trustee to reimburse the Trustee for all such taxes and penalties or the Trustee may withhold distribution of a reasonable amount required to meet any taxes, interest and penalties thereon pending release of any tax lien or the final determination of any tax controversy. 6.10. Delegation. A Trustee may authorize one or more of the remaining Trustees (if there is more than one Trustee then serving) or any other person or legal entity, to act as agent for the Trustee, and said authorization (i) shall be made in writing, (ii) may be general or confined to certain designated actions, such as the execution of documents and/or the signing checks on behalf of the Trustee, and (iii) may be revoked at any time. Any action taken pursuant to such authorization shall be valid and binding upon the Trustee granting such authorization, but no such authorization on the part of a Trustee shall relieve said Trustee from said Trustee's fiduciary duties hereunder. 6.11. Bond. No Trustee, regardless of whether or not the Trustee is a resident of the State of Florida, shall be required to give any bond, surety or security. { ARTICLE VII. i DETERMINATION OF MY INCAPACITY 7.1. Determination of Incapacity. Notwithstanding any other provision of this instrument to the contrary, a person hereunder shall be deemed to be "Incapacitated" or "under an Incapacity" during any period of time that any Trustee hereunder is in possession of any of the following: (a) Court Order. A court order, which such Trustee deems to be jurisdictionally proper and still currently applicable, holding such person to be THE BEYOND ALL REVOCABLE TRUST PAGE 7 Of 18 i CHEPENIKITRUSHIN LLP 12550 Biscayne Boulevard, Suite 904• North Miami, FL 33181 •Tele 305.981.8889• eFax 305.405.7979 3 legally Incapacitated to act on his or her own behalf or appointing a guardian to act for such person; or (b) Signed Letter From a Ph si�cian. A signed letter from any licensed physician then attending such person (who represents that he or she is certified by a recognized medical board), stating that said physician (i) has examined the person; (ii) is familiar with the person's mental and/or physical condition, and (iii) has concluded that by reason of accident, physical or mental illness, progressive or intermittent physical or mental deterioration, or other similar cause, the person has become incapacitated to act rationally and prudently in his or her own financial best interests; or (c) Evidence. Evidence that the Trustee deems to be creditable and still currently applicable, that the person has disappeared, is unaccountably absent, or is being detained under duress where such person is unable to effectively and prudently to look after his/her own financial best interests. 7.2. Limitation of Rights During Incapacity. During any period of time that I am deemed to be Incapacitated, any attempt by me to exercise my reserved rights hereunder to amend, alter, modify, revoke, withdraw assets, and/or control Trustee(s), and/or change life insurance beneficiaries shall be void and totally without effect, unless and until a court of competent jurisdiction determines otherwise. 7.3. Restoration of Capacity. Any physician's aforesaid letter may be superseded by a similar letter to the effect that such person is no longer Incapacitated, which letter shall be executed either by (i) the originally certifying physician; or (ii) by two other licensed physicians (who represent that they are certified by a recognized medical board). Notwithstanding the foregoing, any determination by a court of competent jurisdiction that a person hereunder is capable of acting on his or her own behalf shall conclusively be deemed to terminate any period of his or her Incapacity for all purposes of this Trust. In the event my capacity is restored as provided in this section, I shall be free to exercise my reserved rights hereunder to amend, alter, modify, revoke, withdraw assets, control Trustees and change life insurance beneficiaries. 7.4. Examination Into My Incapacity. No Trustee hereunder shall be under any duty to institute an examination into my possible incapacity, but any such examination reasonably instituted shall be deemed made at my request, with my waiver of all provisions of law relating to disclosure of confidential medical information needed in { connection therewith, and the expenses thereof may be paid from the Trust Estate. I ARTICLE VIII. 1 ADMINISTRATIVE PROVISIONS 8.1. Perpetuities Savings Clause. Notwithstanding any provision herein to the contrary (other than the section of this Article entitled "Governing Law and Situs of Administration"), all trusts created hereunder (including all trusts and other interests which may be created at any time, directly or indirectly, by the exercise of any power of appointment provided herein, or by the exercise of any successive power of appointment granted thereafter, deriving originally from this instrument), shall terminate and finally THE BEYOND ALL REVOCABLE TRUST PAGE 8 Of 18 CHEPENIKITRUSHIN LLP 12550 Biscayne Boulevard,Suite 904 • North Miami, FL 33181 •Tele 305.981.8889• eFax 305.405.7979 i vest, if not previously terminated and finally vested, upon the expiration of the maximum period allowed for valid interests under The Florida Uniform Statutory Rule Against Perpetuities to which such trust shall be subject. The purpose of this provision is to prevent any possible violation of the rule against perpetuities and this provision shall be so construed. At the expiration of such maximum period, all income, accumulated income and principal of each trust created hereunder shall be distributed outright, completely free and discharged of trust, to those persons, and in the same proportions, as are then receiving the income therefrom; or if the payment of income is discretionary, the Trustee shall make said distribution (of income and principal) to the current beneficiaries to whom income of each such trust could then be paid in such proportions as the Trustee, in the Trustee's discretion, shall determine. 8.2. Governing Law and Situs of Administration. This trust and all of the trusts created hereunder shall have their situs and be administered in the State of Florida. The laws of the State of Florida shall govern all matters of interpretation and administration, and any proceeding involving any trust created hereunder shall be brought in the State of Florida. 8.3. Trustee May Not Partake In Certain Discretionga Decisions. No person who shall be serving as a Trustee of any trust created hereunder (other than me) may participate in any discretionary decision of the Trustee to: (i) allocate corpus or income to themselves as a beneficiary of such trust except as such power of the Trustee is limited by an ascertainable standard relating to the health, education, support, or maintenance of himself or herself; or (ii) allocate corpus or income to other beneficiaries for whom such Trustee has a legal obligation of support at the time such decision is made if the discretionary distribution to such beneficiary would have the effect of discharging any legal obligation of the Trustee (including any obligation the Trustee may have at any time relating to the health, support, maintenance and/or education of the beneficiary). 8.4. Limitation on Trustee Powers. Notwithstanding anything herein to the contrary, no person who shall be serving as a Trustee of any trust created hereunder (other than me) shall exercise any power, authority or discretion if the exercise of such power, authority or discretion would cause the assets of the trust to be included in the gross estate of such Trustee for Federal estate tax purposes. 8.5. Combination of Separate Trusts' Assets. The Trustee is authorized to combine, solely for the purpose of investment and ease of administration, the assets of any separate trusts created herein with the assets of any other separate trusts created herein; provided, however, that separate books of account shall be kept for each separate trust notwithstanding the physical combination of assets. 8.6. Merging of Trusts. In the event at any time after my death and the death of my spouse, there exist separate trusts hereunder or separate trusts created during life by myself or by my spouse (if any), which trusts have the same beneficiaries and substantially similar terms, then the Trustee of any such separate trust established hereunder shall be authorized, in said Trustee's sole discretion, to merge and combine such separate trust created hereunder with such other substantially similar trust, and j then and thereafter such trusts shall be held and administered as one trust. Prior to exercising the Trustee's discretion under this section, the Trustee shall consider the tax THE BEYOND ALL REVOCABLE TRUST PAGE 9 Of 18 CHEPENIKITRUSHIN LLP 12550 Biscayne Boulevard, Suite 904 . North Miami, FL 33181 .Tele 305.981.8889•eFax 305.405.7979 \ I consequences of such merger, including the income, estate and generation-skipping transfer tax consequences of such merger. 8.7. Source of Distributions. In the event that any distribution is to be made from any trust hereunder without specifying the source of such distribution (e.g., principal), then such distribution shall first be deemed to have been made from current income to the extent thereof; accumulated income to the extent thereof; and then from the principal of the trust, 8.8. Trustee's Rights, Liabilities and Obligations under Contract. With regard to any contract, agreement, undertaking, covenant or representation, entered into or made by, or on behalf of, the Trustee for the benefit of any separate trust hereunder, any rights, liabilities or obligations created by virtue of such contract, agreement, undertaking, covenant or representation shall be solely the rights, liabilities, and obligations of such separate trust, and shall not be the personal rights, liabilities or obligations of the Trustee, and, accordingly, no such liability or obligation shall at any time be asserted or enforceable against the Trustee personally, but only against the assets of such separate trust. 8.9. Allocation of Principal and Income. Except as otherwise provided herein, all receipts of money or property paid or delivered to the Trustee and all expenses shall be allocated to principal or income in accordance with the laws of the State of Florida; provided, however, that with regard to any item not clearly governed by such laws, the Trustee shall have discretion to determine whether items should be charged or credited to income or principal as the Trustee may deem equitable and just under all of the circumstances. Notwithstanding the foregoing, the Trustee of a trust qualifying for the estate tax or gift tax marital deduction may not allocate said cash or property received from a partnership or S corporation to principal as provided in this section, if said allocation would diminish the amount of income otherwise payable under Florida law from such trust if the terms of such trust require that all of the income be paid to my spouse at least annually. 8.10. All Gifts Subject to Encumbrance. Except as otherwise specifically provided under this instrument, any property gifted hereunder, either outright or in trust, subject to any mortgage, lien or other encumbrance, shall be taken by the donee or trustee subject to such mortgage, lien or other encumbrance. 8.11. Distributions of Net Income. Unless otherwise provided herein, in making distributions of net income to any beneficiary, the Trustee may distribute the same in monthly or other convenient periodic installments based upon the Trustee's estimate of the amount thereof (any such payments in excess of the amount in the income cash account to be paid from the principal cash account) and shall annually adjust any difference between estimated and realized income. If, on the death of any beneficiary, there is a deficiency of income thus occasioned, said deficiency shall be charged to the principal account from which the income was paid. If, on the death of any beneficiary, there is any undistributed income that the Trustee would have been required to pay to said beneficiary, had said beneficiary been alive on the last day of the fiscal year of the trust in which his or her death occurs, the undistributed net income, as of the date of such death, shall be paid to the estate of the deceased beneficiary. THE BEYOND ALL REVOCABLE TRUST PAGE 10 Of 18 r CHEPENIKITRuSHIN LLP f` 12550 Biscayne Boulevard, Suite 904• North Miami, FL 33181 9 Tele 305.981.8889• eFax 305.405.7979 . .... ....._ 8.12. Additions to Principal. The Trustee shall add any income not paid out or applied from a trust established under this instrument to the principal of such trust periodically, at least annually. 8.13. Coordination With Guardian. If a separate trust is created for a beneficiary who is under a legal disability, I request the Trustee to consult with the guardian of the person for that beneficiary, or if none, the person having custody of the beneficiary and to (i) establish a reasonable budget to provide for the needs of the beneficiary; (ii) construct a financial analysis of the beneficiary's needs and determine the amounts reasonably required for his or her care; and (iii) implement procedures for disbursing funds to the guardian for those purposes. The Trustee is authorized to make distributions that provide some incidental or indirect benefit to the beneficiary's guardian, but only if the expenditure is for the primary benefit and needs of the beneficiary. 8.14. Lapsed Gifts. If any gift at the time of my death is conditioned on the recipient surviving me and no alternative disposition of that gift is specified, the gift will lapse and become part of the Residual Trust Estate if the designated recipient does not survive. 8.15. Additions to the Trust Estate. Any person may, at any time and from time to time, add cash, securities or other property to any trust created hereunder by deed, gift, "pour over" from any other trusts, by will or otherwise. Any addition to any said trust estate shall be held, administered and distributed as an integral part of the principal in accordance with all of the terms and conditions of this instrument and the instrument making such addition; provided, however, that any addition, other than by "pour over" from my Last Will or any trust created hereunder, must be first approved by the Trustee. 8.16. Dispute Resolution. If there is a dispute or controversy of any nature involving the disposition or administration of this Trust, I direct the parties in dispute to submit the matter to mediation or some other method of alternative dispute resolution selected by them. If a party refuses to submit the matter to alternate dispute resolution, or if a party refuses to participate in good faith, I authorize the court having jurisdiction over the trust to award costs and attorney's fees from that party's beneficial share or from other amounts payable to that party (including amounts payable to that party as compensation for services as fiduciary) as in chancery actions. 8.17. Beneficiary's Release of Trustee. The Trustee of a separate trust is hereby authorized to secure from any beneficiary of such trust a full and complete release from any and all liabilities whatever attributable to any acts by the Trustee, or any decision by the Trustee to act or to refrain from acting in any manner whatsoever, with respect to the investment of the assets of the trust estate, retention of any or all trust assets, and the sale or disposition of any or all trust assets, and to secure the written approval by any beneficiary of any account or statement required hereunder, and such release or approval shall be binding and conclusive upon said beneficiary and upon all of said beneficiary's descendants (including then unborn descendants) who may then have or thereafter f acquire any interest in such trust. i THE BEYOND ALL REVOCABLE TRUST PAGE 1 1 Of 18 I CHEPENIKITRUSHIN LLP 12550 Biscayne Boulevard, Suite 904• North Miami, FL 33181 .Tele 305.981.8889• eFax 305.405.7979 j 8.18. Notice. Wherever, throughout this instrument, persons are permitted or required to deliver written notice or any other notice to a Trustee, if there is more than one Trustee then in office, said notice shall be delivered to all Trustees then in office. 8.19. Captions for Convenient Reference Only. Section titles and/or captions in this instrument are inserted as a matter of convenience only and shall not be construed as limiting, expanding or otherwise defining the provisions herein. ARTICLE IX. POWERS OF TRUSTEE I hereby grant to the Trustee of this trust and all trusts created hereunder, and their successors, the continuing power to deal with any property, real, personal or mixed, held in any trust hereunder, independently, and without the prior or subsequent approval of any court or judicial authority, and no person dealing with the Trustee shall be required to inquire into the propriety of said Trustee's acts. Without in any way limiting the generality of the foregoing, the Trustee shall, subject to any other contrary provisions herein, have the following specific powers and authority, in addition to and not in substitution of all powers conferred by law: 9.1. Retain and Hold Property. Notwithstanding any contrary provisions of i Florida law relating to underproductive property, to retain and hold for such periods as the Trustee shall determine, any property, real, personal or mixed, which is received by the Trustee or which at any time forms a part of the Trust Estate, without regard to the quantity or quality thereof, the principles of diversification, the non-productivity thereof or any potential conflict of interest on the part of the Trustee. 9.2. Invest and Reinvest. To invest and reinvest in all forms of property without restriction or limitation to investments authorized for Trustees. 9.3. Sell, Transfer or Pledge Real and Personal Property. To sell at public or private sale, with or without notice, for cash or on credit, lease (which leases may extend beyond the term of the trust hereunder), pledge, mortgage, transfer, assign, convey, exchange, convert, abandon or otherwise dispose of or grant options with respect to any and all property, real, personal or mixed at any time forming a part of the Trust Estate in such manner, at such time or times, for such purposes, and upon such terms, credits and ' conditions as the Trustee may deem advisable. Specifically with respect to real property, to exchange, partition, subdivide, alter, demolish, develop, dedicate, improve, repair, rezone, grant easements on or otherwise deal with the property. 9.4. Loans to Beneficiaries. To loan money to any beneficiary, firm, corporation or business with which any beneficiary is associated, upon good and adequate security, and at a reasonable rate of interest. 9.5. Distributions in Kind. Except as herein otherwise specifically provided for, any distribution by the Trustee, whether of income or corpus, may be made in cash or wholly or partly in kind; or the Trustee may sell for such purpose any part or all of the Trust Estate and distribute all or part of the proceeds of such sale, or the Trustee may make such distribution partially in kind and without allocating the same property to THE BEYOND ALL REVOCABLE TRUST PACE 12 of 18 CHEPENIKITRUSHIN LLP 12550 Biscayne Boulevard, Suite 904• North Miami, FL 33181 .Tele 305.981.8889•eFax 305.405.7979 different distributees, and partially in cash, all as the Trustee, in said Trustee's sole discretion, shall deem best and most advisable. In determining the value of any property distributed in kind, the judgment or valuation of the Trustee shall be final and binding. The Trustee may, in making any division in kind, allot undivided interests in different properties or businesses, or in the same property or business, to several trusts or shares or persons. 9.6. Elections Pursuant to Distributions under Contract. To elect, pursuant to the terms of any non-qualified or qualified employer plan, individual retirement plan or insurance contract which are subject to this instrument, the manner of distribution of the proceeds under such plan and/or contract, if the manner of distribution had not been elected by me individually or as Trustee, hereunder prior to my death or Incapacity and no adjustment shall be made in the interests of the beneficiaries to compensate for the effect of the election. 9.7. Purchase and Transfer Property from Related Trusts. To purchase any assets from, or sell any assets to, at the fair market value; or make loans to or borrow money from, at a fair and reasonable interest rate and for good and adequate security, any trust created by me or my spouse (if any) during either of our lifetimes, notwithstanding j the fact that the Trustee hereunder may be a fiduciary of both entities. 9.8. Auboint Agents. To appoint agents, attorneys, appraisers, real estate brokers, accountants, managers, foremen, and others to act under the Trustee in the administration of the Trust Estate, and to fix the salaries, wages or compensation of such persons, without liability for any act of those persons if they are selected and retained with reasonable care. Fees may be paid from the Trust Estate even if the services were rendered in connection with ancillary proceedings. The Trustee may serve in any of these capacities and be compensated separately for its services in each capacity. 9.9. Borrow Mona. To borrow money (from said Trustee, individually or from others) for any purpose connected with the protection, preservation, or improvement of the Trust Estate, and to purchase stocks and other securities on margin, to pledge stocks and other securities as collateral for loans to this trust, whenever, in the Trustee's discretion such borrowing is advisable and to give security and pay reasonable interest therefor. 9.10. Purchase and Sell Securities, To purchase, sell or exercise any options, calls or warrants for the purchase of securities on such terms and conditions as the Trustee deems advisable in the best interests of the beneficiaries of this trust; or, alternatively, not to exercise any such options, calls, or warrants, (and allow them to lapse) if the Trustee deems such non-exercise to be in the best interests of such beneficiaries. 9.11. Voting Rights. To vote directly or by proxy on any question, any stock, bond, or other security held by the Trustee, and to make such exchanges, pay such expenses, and otherwise act as the Trustee deems proper, in any bankruptcy, merger, reorganization, consolidation, dissolution, sale, lease, mortgage, purchase or other procedure or action affecting the property of the Trust Estate, regardless of whether the Trustee is personally or individually a stockholder, officer, director, employee, or agent of such corporation. THE BEYOND ALL REVOCABLE TRUST PACE 13 of 18 CHEPENIKITRUSHIN LLP 12550 Biscayne Boulevard, Suite 904• North Miami, FL 33181 •Tele 305.981.8889• eFax 305.405.7979 9.12. Contract Rights. To make contracts and agreements, to compromise, settle, release, arbitrate or accept arbitration of any debts or claims in favor of or against the Trust Estate; to sue on behalf of this trust, and to defend any suit against the same, to foreclose any mortgage, deed of trust or other lien securing any obligation and to bid in the property at foreclosure sale or acquire the property by deed without foreclosure; and to extend, modify or waive the terms of leases, bonds or mortgages and other obligations or liens. 9.13. Tax Elections. The Trustee is hereby authorized to make any election permitted by any tax law, if in the opinion of the Trustee such election is for the combined best interests of the trust and the beneficiaries thereof, and make or agree to such apportionment of taxes as the Trustee may deem equitable under the circumstances. 9.14. Conflicts. To exercise all of the rights, powers and exemptions set forth herein in this trust regardless of whether the said Trustee is interested in said Trustee's individual capacity in any such business, partnership, corporation, or limited liability company, as partner(s), member(s) or managing member(s), joint venturer(s), officer(s), stockholder(s), director(s), employee(s), or otherwise; provided, however, that in the case of any transaction with any Trustee, all sales to or purchases from any Trustee shall be at the fair market value of the property sold or purchased, and all loans or advances shall be upon adequate, good and sufficient security, and at an adequate and fair rate of interest. 9.15. Abandon Property. To abandon any property or interest in property belonging to this trust or any trust created hereunder when, in the Trustee's sole and absolute discretion, such abandonment is in the best interests of this trust, the trusts created hereunder and their beneficiaries. 9.16. Commence and Defend Litigation. To commence or defend, at the expense of the Trust Estate or any of the trusts created hereunder, such litigation with respect to the Trust Estate or the trust estates hereunder, as the Trustee considers advisable and to compromise or otherwise adjust any claims or litigation against or in favor of any trust created hereunder. i 9.17. Powers Granted by Law. In addition to all powers hereinabove granted to I the Trustee, I grant to all Trustees, all powers conferred upon trustees by law, and generally, to grant to all Trustees power to do any and all acts and things and to execute any and all written documents with respect to any property at any time held hereunder, which the Trustee would be entitled to do, were such property owned absolutely by the Trustee. I 9.18. Powers With Respect to Business Interests. In the event that I have made arrangements for the sale or disposition of any business interests (whether operated in the form of a sole proprietorship, partnership, limited liability company or corporation) which I may own at the time of my death, then I direct the Trustee to carry out such agreement or agreements as expeditiously as possible. Otherwise, my Trustee may continue to hold any such business interests for such period as my Trustee may deem advisable, regardless of whether such business interest is of a class or diversification authorized by law for the investment of trust funds, and to operate as a sole proprietorship, partnership, limited liability company or corporation such business interest and any other business interests THE BEYOND ALL REVOCABLE TRUST PACE 14 of 18 CHEPENIKITRUSHIN LLP 12550 Biscayne Boulevard,Suite 904 • North Miami, FL 33181 •Tele 305.981.8889•eFax 305.405.7979 which may be acquired by this Trust or by a trust created hereunder and to do any and all things necessary or appropriate for the management and operation of such business interest. ARTICLE X. NO ASSIGNMENT OF BENEFICIAL INTERESTS i Except for the right to disclaim, no interest of any beneficiary hereunder and j neither the principal nor the income of any trust created hereunder shall be subject to alienation, pledge, assignment or other anticipation by the beneficiary for whom the same is intended as hereinabove provided, or to attachment, execution, garnishment, sequestration or other seizure under any legal, equitable or other process, including bankruptcy proceedings in satisfaction of any debt or liability of a beneficiary prior to receipt by said beneficiary. ARTICLE XI. PRESUMPTION OF SURVIVORSHIP For all purposes hereunder, the presumption of survivorship shall be determined in accordance with Florida Statutes, Section 732.601. ARTICLE XII. MISCELLANEOUS DEFINITIONS 12.1. Lineal Descendants. References to "descendant," "descendants" "lineal descendant" and "lineal descendants" mean lawful blood descendants in the first, second or any other degree of the ancestor designated, provided that an adopted child and such adopted child's lawful blood and legally adopted descendants shall be considered as lawful blood descendants of the adopting parent or parents and their ancestors only if the petition for adoption was filed with the court before the adopted child's eighteenth (18th) birthday. j (a) Relationship Terminated by a Court, If the legal relationship between a parent and child is terminated by a court while the parent is alive, that child and that child's descendants will not be regarded as descendants of that parent. If a parent dies and the legal relationship with that deceased parent's child had not been terminated before that parent's death, the deceased parent's child and that child's descendants will continue to be regarded as descendants of the deceased parent even if the child is later adopted by another person. i (b) Infants in Gestation. For all purposes of this instrument, an infant in gestation who is later born alive will be deemed to be in being during the period of j gestation for the purpose of qualifying the infant, after it is born, as a beneficiary under this instrument. 12.2. Education. In this instrument the Trustee has been directed or given I discretion to distribute certain amounts for the "education" of certain persons. As used herein, the term "education" shall include but not necessarily be limited to the following: i THE BEYOND ALL REVOCABLE TRUST PAGE 15 Of 18 , } 1 CHEPENIKITRUSHIN LLP ` 12550 Biscayne Boulevard, Suite 904• North Miami, FL 33181 •Tele 305.981.8889•eFax 305.405.7979 i precollege private school tuition, college or graduate school tuition, trade school or vocational school tuition, room, board, books, school supplies, and travel to and from any of said schools away from home. It is intended that the Trustee liberally construe and interpret references to "education," so that the beneficiaries shall obtain the best possible education commensurate with their abilities and desires. 12.3. Per Stirpes. Distributions that are to be made to a person's descendants "per stirpes" will be divided into equal shares, so that there will be one share for each living child (if any) of that person and one share for each deceased child who has then living descendants. The share of each deceased child will be further divided among his or her descendants on a per stirpes basis by reapplying the preceding rule to that deceased child and his or her descendants as many times as necessary. 12.4. References to Internal Revenue Code and Florida Statutes. All references herein to the Internal Revenue Code or to the Code or to provisions thereof(such as those provisions referred to in the next section) are to the United States Internal Revenue Code of 1986 as it now exists or as it may be amended at the time in question. All references herein to the Florida Statutes are to said Statutes as they now exist or as they may be amended at the time in question. Accordingly, if by the time in question, a particular provision of the Code has been renumbered, or the Code has been superseded by a subsequent Federal tax law, the reference shall be deemed to be to the renumbered provision or the corresponding provision of the subsequent law, unless to do so would clearly be contrary to my intent as expressed in this instrument, and a similar rule shall apply to references to the Regulations and the Florida Statutes. 12.5. Tax Terms. It is my intent that wherever used in this instrument, the words "direct skip," "disclaimer," "general power of appointment," "generation-skipping transfer tax (or generation-skipping tax)," "GST Exemption," "gross estate," "inclusion ratio," "individual retirement plan," "marital deduction," "qualified employer plan," "qualified terminable interest property," "S Corporation" and "transferor" shall have the same meanings as said terms have under the provisions of the United States Internal Revenue Code in effect at the time in question. 12.6. Trustee. The term "Trustee," (or "successor Trustee" or "co-Trustee") wherever used in this instrument shall refer individually or collectively to all Trustees serving hereunder from time to time as the context may require. The term "Corporate Trustee" shall refer to any Trustee which is a state or national banking institution or trust company with trust powers. The singular shall include the plural and the plural shall include the singular; the male gender shall include the female gender and the female gender shall include the male gender, as the context and meaning of this trust instrument may require. i ARTICLE XIII. POWER TO REVOKE, ALTER, OR AMEND TRUST i Subject to the Article of this instrument, above, entitled "Determination of My Incapacity," at any time while I am alive, I expressly reserve and retain the power to revoke, alter, amend or modify this trust instrument and/or to change the Trustee and any successor Trustee or Trustees at any time or from time to time by an instrument in THE BEYOND ALL REVOCABLE TRUST PAGE 16 Of 18 CHEPENIK,TRUSHIN LLP 12550 Biscayne Boulevard, Suite 904• North Miami, FL 33181 •Tele 305.981.8889• eFax 305.405.7979 \. . writing signed by me and delivered to the Trustee. Such instrument of amendment or revocation shall be effective immediately upon its acknowledgment, but, until a copy has been received by a Trustee, said Trustee shall not incur any liability or responsibility for either (i) failing to act in accordance with such instrument, or (ii) acting in accordance with the provisions of this trust unaffected by such instrument. The trust properties to which any revocation relates shall revert to me as my own property, free of trust. IN WITNESS WHEREOF, I have hereunto set my han.'and seal id this instrument, on this 17th day of January, 2014. / The foregoing instrument was signed, sealed, published and declared by Settlor to be his revocable livin /trust in our presence, and we, at the request of Settlor, and in the presence of Settlor, and in the presence of each other, have hereunto subscribed our THE BEYOND ALL REVOCABLE TRUST PAGE 17 Of 18 CHEPENIKITRUSHIN LLP 12550 Biscayne Boulevard,Suite 904 9 North Miami, FL 33181 •Tele 305.981.8889 9 eFax 305.405.7979 STATE OF FLORIDA } )ss.. COUNTY OF MIAMI-DADE ) 1, TIERES TAVARES, declare to the officer taking my acknowledgment of this instrument, and to the subscribing witnesses, that I sigr;cd—this ment as my Revocable Trust. We, have been sworn by the officer below, and declare to that officer on our oaths that the Settlor declared the instrument to be the Settlor Trust and signed it in our presence and that we each signed the instrument as a witness in the presence of the Se iqr and of each other. 1 i � r i i Acknowledged and subscribed before me by the Declarant, [ who is personally known to me or [] who has produced a Florida drivers license as identification, and sworn to and subscribed before me by the witnesses, [X] who is personally known to me or { ] who has produced a Florida drivers license as identification, and {X] who is personally known to me or [ ] who has produced a Florida drivers license as identification, and subscribed by me in the presence of the Declarant and the subscribing witnesses, all on the 17th day of January, 2014. i i BART H.CHEPENIK 4 Not Public-State of Florida NOTARY UBLIC, State of Florida . My Comm.Expires Apr 27,2011 Name: B H. Chepenik r Commission N EE 863623 My Commission Expires: Bonded Through Natlonal HOW Asse. r l THE BEYOND ALL REVOCABLE TRUST PAGE 18 Of 18 CHEPENIKITRUSHIN LLP 12550 Biscayne Boulevard, Suite 904 • North Miami, FL 33181 • Tele 305.981.8889• eFax 305.405.7979 i PerM3 Miami Shores Village 10050 N.E.2nd Avenue NE � �° t VVWit, � y Miami Shores,FL 33138-0000 s. aye Phone: (305)795-2204 �'tonlvA Ia Will: Expiration: 09/30/2015 Project Address Parcel Number Applicant L10050 NE 12 Avenue 1132050190370 BEYOND ALL REVOCABLE TRU Miami Shores, FL Block: Lot: Owner Information _ Address Phone Cell BEYOND ALL REVOCABLE TRUST 10050 NE 12 Avenue (305)244-2356 - --- - - -- MIAMI SHORES FL 33138- 10050 NE 12 Avenue MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone i Valuation: $ 2,400.00 SUNSHINE HOME RENOVATION COR (305)801-3713 Total Sq Feet: 0 I Type of Demo:Building Available Inspections: Additional Info: INTERIOR DEMO AND DEMO CONCRETE DEC Inspection Type: Classification:Residential Final Scanning:3 Review Electrical Review Electrical Review Building Review Plumbing Review Plumbing Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $1.80 Invoice# DEMO-3-15-54914 DBPR Fee $2.00 DCA Fee $2.00 03/24/2015 Credit Card $50.00 $67.80 Education Surcharge $0.60 04/03/2015 Credit Card $67.80 $0.00 Permit Fee $100.00 Scanning Fee $9.00 Technology Fee $2.40 Total: $117.80 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 AFFIDAVIT: I certify that all the foregoing inf ation is accurate and that all work will be done in compliance with all applicable laws regulating constructionni g. Futhermore, I authorize the ab e- amed ontractor to do the work stated. � April 03, 2015 A orizeclSignature:Owner / Applicant— / Contractor / Agent Date Building Department Copy April 03, 2015 1 pew/ D � �� `ggoREs Miami Shores Village 10050 N.E.2nd Avenue NE lir<c CasfsF�l�fan �� Miami Shores,FL 33138-0000 VO � o` Phone: (305)795-2204 P0 Stags �torci"vA �Ii -:late;412D1Expiration: /2015 . Project Address Parcel Number Applicant 10050 NE 12 Avenue 1132050190370 BEYOND ALL REVOCABLE TRU Miami Shores, FL Block: Lot: Owner Information Address Phone Cell �BE�Y�90�NDAALL REVOCABLE TRUST 10050 NE 12 Avenue (305)244-2356 - -- MIAMI SHORES FL 33138- 10050 NE 12 Avenue MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone $ 800.00 Valuation: MILLENNIUM PLUMBING LLC (561)674-7727 Total Sq Feet: p Type of Demo: Plumbing Available Inspections: Additional Info: Inspection Type: Classification:Residential Final Scanning: 1 Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $0.60 Invoice# DEMO-4-15-55035 DBPR Fee $2.00 04/03/2015 Credit Card $58.60 $50.00 DCA Fee $2.00 Education Surcharge $0.20 04/02/2015 Credit Card $ 50.00 $0.00 Permit Fee $100.00 Scanning Fee $3.00 Technology Fee $0.80 Total: $108.60 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 AFFIDAVIT: I certify that all the foregoing info-(mation is accurate and that all work will be done in compliance with all applicable laws regulating construction zoning. Futhermore, I authorize theab a name contractor to do the work stated. �� April 03, 2015 oriz d gna r :Owner / Applic / Contract r / Agent Date Building Department Copy April 03, 2015 1 Penn--Ak! 3 's°jEs y, Miami Shores Village ?p �t • � � 10050 N.E.2nd Avenue NE � dr1l�858trE)r)' trtr Miami Shores,FL 33138-0000 Phone: (305)795-22048fn7fAfu.: "� � 00,4 41 2015 Expiration: 09130/2015 3.: Project Address Parcel Number Applicant 10050 NE 12 Avenue 1132050190370 � Miami Shores, FL Block: Lot: BEYOND ALL REVOCABLE TRU Owner Information Address Phone Cell [L�q�hlL�D�A�LL REVOCABLE TRUST 10050 NE 12 Avenue (305)244-2356 -- MIAMI SHORES FL 33138- 10050 NE 12 Avenue MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone Valuation: $ 800.00 SENTECH ELECTRIC, INC. 954-327-1881 Total Sq Feet: 0 Type of Demo:Electric Available Inspections: Additional Info:REMOVE ALL NECESSARY OUTLETS AND WI Inspection Type: Classification:Residential Final Scanning: 1 Fees Due Amount Pay Date Pay Type Amt Paid Amt Due CCF $0.60 Invoice# DEMO-4-15-55033 DBPR Fee $2.00 04/02/2015 Credit Card $50.00 $58.60 DCA Fee $2.00 Education Surcharge $0.20 04/03/2015 Credit Card $58.60 $0.00 Permit Fee $100.00 Scanning Fee $3.00 Technology Fee $0.80 Total: $108.60 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 AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating constructionair d zoning. Futhermore, I authorize the veanamed contractor to do the work stated. -; April 03, 2015 A Il orized Signature:Owner / Applicant / Contractor Agent Date Building Department Copy April 03, 2015 1 Miami Shores Village Building Department MAR 24 2015 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Q Tel:(305)795-2204 Fax:(305)756-8972 - INSPECTION LINE PHONE NUMBER:(305)762-4949 i FBC 20 (C)BUILDING Master Permit No PERMIT APPLICATION Sub Permit No. F BUILDING ❑ ELECTRIC ❑ ROOFING REVISION ❑ EXTENSION ❑RENEWAL ❑PLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP / CONTRACTOR DRAWINGS JOB ADDRESS: City: Miami Shores County: Miami Dade zip: Folio/Parcel#: /( 3 '�S -- 1`� o 3 ?-o Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: be' ����R r�F r O _(_ l li� OWNER:Name(Fee Simple Titleholder): I�� (ids /�(� 'Z� Phone#:c-�05' �7 -�3 5—Co Address: 1010 5-ZD JA/C f 2- City: -A , ( tjdA State: Zip: r Tenant/Lessee Name: �� Phone#: Email: c / CONTRACTOR:Company Name: !z '(/8-44hone#: 10 Address: City: �R C L'i� � L-1 . State: Zip: Qualifier Name: c`7 / �- 'fes +rZ �f I �/ilf f� Phone#:�q� / c/( oc State Certification or Registration#: (� / 5 /C�3 Certificate of Competency M DESIGNER:Architect/Engineer: Phone#: Address: [/ City: State: Zip: Value of Work for this Permit:$ c`� l C� Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace Demolition Description of Work: 2 4-C'n s ©h _-7) C2 l7iv 7 cy (14 Specify color of color thru tile: Submittal Fee$ ��� � Permit Fee$ 1 w CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Notary$ Technology Fee$ Training/Education Fee$ Double Fee$ Structural Reviews$ Bond$ / c,/� TOTAL FEE NOW DUE$ 6� - j0 (Revised02/24/2014) 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 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 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 inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this _day of !-A 20 1 by day of 20 by who is personally known to S�1.y�� e� � who is personally known to me or who has produced EL�R1�uc�s� as me or who has produced _ patjJC as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign: Sign: Print: Print: # Notary Public State of Florida Seal: Seal: r o Nota Public State of Florida Sindia Alvarez �,N' Notary My Commission FF 156750 Sindia Alvarez �pf di Expires 09/03/2018 e.} My Commission FF 156750 7pfµ Expires 09/03/2018 *************************** ************************************ * * * * * ************** APPROVED BY t Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) SN e.I soon .....� Miami shores Village Building Department ALRNp' 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CONTRACTORS' REGISTRATION IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. COPY OF QUALIFIER'S STATE LICENCES B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF LIABILITY INSURANCE* D. COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER Affidavit) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICATE OF COMPETENCY OF QUALIFIER B. COPY OF LOCAL BUSINESS TAX RECEIPT C. COPY OF STATE REGISTERED CONTRACTOR LICENSE OR MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT. D. COPY OF LIABILITY INSURACE* E. COPY OF WORKERS COMPENSATION INSURANCE* (Workers Compensation EXEMPTION must have NOTICE TO OWNER Affidavit) *YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE AS FOLLOW: Certificate Holder: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 certificate must specify the description of operations or contractor license numbeK BUSINESS NAME: U N .�6�( l ��l (-�h✓� ��1� ��� " ��� BUSINESSADDRESSag�) 33 1'6/ CITY�� �" STATE zip 33 YV Z BUSINESS PHONE: ( ) I Cq FAX NUMBER(-) CELL PHONE f ):L�1 QUALIFIER'S NAME:( V 1/4 /R QUALIFIER'S LIC NUMBER: L_� C_ / 5 / L f .3 . . •:�;. !eSt se4.ieedtlylaw. �M BEACH: NOTICE OF LOCAL BUSINESS TAX i� sties , R CERTIFICATiCN N0. NUMBER x= ., ,.,.' ;; LQ.CATION BE p 8401°$3025 CGC1514377 1 358'�ERN QR - t ¢ s�� rga tr 6 247'0 ,' *e4 DETACH HERE —WICK SCC TT, C;OVL"NOR KEN lAV4SON. SEc,'RETARY STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION t -- CONSTRUCTION !'til?t1STRY LICENSING BOARD � a CGC1514377 ie GENERAL CONTRACTOR arced below IS CERTIFIED ider the provisions of Chapter 485 FS »•q7°` cpiration date AUG 31. 2016 DACUNHA, SILVAIR FERREIRA 0 ' SUNSHINE HOME RENOVATION CORP 302 SW 33 AVENUE DEERFIELD BEACH_ FL 33442 ■ ISSUED 0&1412014 DISPLAY AS REQUIRED BY LAW SEo 11 L1408140001720 � t �• r it k 7= '� f�liyk � MLOFFICEfl DEPARTMENT' FI DMSION OF 7�_ •CERTIFICATE OF ELECTION TO BE EXEMPT FROM RARE ', =NSTRMIM WMISIRY"EM PTION "1ft oeignm that the individual fisted below 11as elected to W exempt nom FIwI*WOIIIe el C11WE DATE: 1/15/2015 EXPIRATION DATE: 1M4l29 fY . IRsON: DACUNHA SILVAIRaR' 454212110 S NAME AND ADDRESS: HORS RENOVATION CORP BAVE ,. x� Yz 1, II BEACH FL 33442 V l tit `Q WJS FESS OR TRADE: WK n � lil 11{f$,f.>f an COw W Chaff.6D(12),,F 8 IAYq s aAU4ylt iiw oe,tie no a a.WCZ a to ow 1p Iwo 1a w«Mww"I IM mk)W m Nv000m I ,Mr'wY. r�w«�et acts ne�aw�Farngrwamartr ' ar c _ a rr. t SHORES ,,, ,,,,; Miami shores Village ramso..a Building Department �0R1Dp' 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Notice to Owner — Workers' Compensation Insurance Exem tion 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: 1. 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. 1 Signature: Owner State of Florida County of Miami-Dade The foregoing was acknowledge before me this day of 20 (LJ . ByAl2MQ/\]r_-JCJ NJ who is personally known to me or has produced �2t VC_ (J�C'x N as identification. Notary: SEAL: 600 Pu- Notary Public State of Florida Y� Sindia Alvarez My Commission FF 158750 Ex ire.09/03/2018 '` `" " CERTIFICATE OF LIABILITY INSURANCE DATE03/24/15YYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATI O__IN 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 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 PAULO SILVA. NAME: PHONE (95FAX Express Service Insurance Agency o ) [A/C,,No (954)943-1810 900 E.Atlantic Blvd.#10 A-MAILDDRESS7 pauloc@express4u.net Pompano Beach,FL 33060 INSURER(S)AFFORDING COVERAGE NAIC# Phone (954)943-7900 Fax (954)943-1810 INSURER A: Lloyd's Of London 78444 INSURED INSURER B: SUNSHINE HOME RENOVATION CORP _INSURER c: 358 FERN DRIVE INSURER 0: Weston,FL 33326 954 7091094 INSURER E: _ 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. INSR TYPE OF INSURANCE ADDL UBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER MM/DDIYYYY MM/DDIYYYY GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000.00 DAMAGE TO RENTED 100,000.00 COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrenceZ-_. $__ ❑ ❑ CLAIMS-MADE E,/ OCCUR CIBFL0010817MED EXP(Anyone person $ 5,000.00 A ❑ Y Y 11/2612014 11/26/2015 PERSONAL&ADV INJURY $ 1,000,000.00 ❑ GENERAL AGGREGATE $ 2,000,000.00 _ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000.00 i'/J POLICY _❑_PRO- ❑ LOC $ -- AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) ___ $ ______.. ❑ ANY AUTO BODILY INJURY(Per person) $ ❑ ALL OWNED ❑ SCHEDULED BODILY INJURY(Per accident) $ - 1' AUTOSAUTOS '. L] HIRED AUTOS ❑ NON-OWNED PROPERTY DAMAGE $ — AUTOS Per accident) UMBRELLA LIAB ❑OCCUR j EACH OCCURRENCE j $ r ❑CLAIMS-MADE EXCESS LIAB AGGREGATE $ ❑ DED ❑.._RETENTION$ __—.._.. __. -..... I— _ $--. WORKERS COMPENSATIONWC STATU- OTH AND EMPLOYERS'LIABILITY Y/N ❑TQRY LIMITS__ ❑ ERS____ ____.._� ANY PROPRIETORIPARTNER/EXECUTIVE E.L.EACH_ACCID_ENT OFFICERIMEMBER EXCLUDED? ❑ N I A (Mandatory in NH) , E .DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) TYPE OF CONTACTOR OR CONTRACTOR'S LICENSE IS CGC 1514377 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE MIAMI SHORES VILLAGE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. BUILDING DEPARTMENT 10050 NE 2ND AVENUE AUTHORIZED REPRESENTATIVE MIAMI SHORES, FL 33138 !'FAX 305 7568972 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 26(2010/05)QF The ACORD name and logo are registered marks of ACORD SUNSHINE HOME Renovation Corp. 302 SW 33AVE Deerfield Beach-FL-33442 Phone: cell(954)709-1094 March 24, 2015 State of Florida Before me this day personally appeared Silvair Dacunha who, being duly sworn, deposes and says: That he or she will be the only person working on the project located at: 10050 NE 12 AVE Sworn to (or affirmed) ands scribed before me thk2yday of &kC— , 20 "!S , by C Personally Know OR Produced Identification Type of Identification 4�0s Silk, r 0310612016 Ar-Mi, Type or Stamp Name df Nb '•. Co mission # LIP,% EE173059.--", � N`���• Illllli!I!!11���