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DEMO-14-429 Phone:(305)795-2204 Fax: (305)756-8972I 4 — ko'A dor 3109 Inspection Number: INSP-212601 Permit Number. DEMO-3-14-429 Scheduled Inspection Date: May 20,2014 Permit Type: Demolition Inspector: Diaz,Osvaldo Inspection Type: Final Owner: CAP REALTY LC,CAP REALTY LC Work Classification: Plumbing Job Address:2 NW 108 Street Miami Shores,FL 33168- Phone Number (305)773-3101 Parcel Number 1121360110090 Project: <NONE> Contractor: DO YOU NEED A GOOD PLUMBER INC Phone:(305)758-9215 Building Department Comments DEMO PLUMBING lnfractio Passed comments INSPECTOR COMMENTS False Inspector Comments Passed CREATED AS REINSPECTION FOR INSP-208484. CALL 305-773-3101 Failed Correction Needed ❑ 3- -1 Re-Inspection Fee No Additional Inspections can be scheduled until re-inspection fee is paid. Miami Shores Village Building p DepartmentFfMC—E!: I_V 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 MAMA ` Tel: (305)795.2204 Fax: (305)756.8972 INSPECTION'S PHONE NUMBER: (305)762.4949BY .. FBC BUILDING Permit No. gepj PERMIT APPLICATION Master Permit No. oemo 11-1-39(F Permit Type: PLUMBING JOB ADDRESS: 7— AI(Ai 107 ST_ City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: Is the Building Historically Designated:Yes NO Flood Zone: OWNER:Name(Fee Simple Titleholder): CAP R M(I Zi LZ Phone#:3 n.s' 77-2 Address: J"7 00L- City: Al tA AA State: el, Zip: P J Tenant/Lessee Name: Phone#: Email: X14 V;IRI C A 0 C A-<, I CONTRACTOR: Company Name: //0 4)y Phone#: '2/ yre" 3�r� Address: CA— City: State: / Zip: 3 Qualifier Name: %e' &?A Phone#: State Certification or Registration#: Certificate of Competency#: Contact Phone#: ::�_"' e-- Email Address: DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit:$^3 n o G' Square/Linear Footage of Work: Soo S T� Type of Work: ❑Address ❑Alteration ONew ❑Repair/Replace &emolition Description of Work: �`��ry /� 6_4424 Submittal Fee$ (/ (/ Permit Fee$ �T Z�` CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ Structural Review$ TOTAL FEE NOW DUE$ Bonding Company's Name(if applicable) a Bonding Company's Address City State Zip Mortgage Lender's Name(if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK,PLUMBING,SIGNS, WELLS,POOLS,FURNACES,BOILERS,HEATERS,TANKS and AIR CONDITIONERS,ETC..... OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first 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. 4 Signature Signature Owner or Agent JOF Contractor The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this day of .M.r,.0 ,201 ,by X.n—'�2 C.49&�'-tFt cEday ofZC/� ,20 ,by who is personally known to me or whe haspedtteed who ' rsonally known me or who has produced As identification and who did take an oath. as identification and who did take an oath. NOTARYPUB NOTARY PUBLIC: Sign: �l-+2��-� Sign: 7/- Print: R-o 'Va C-,4— 9 , Print: My Commission ExpireL-st cor SstoNrDDt�s My Commissi RENE LOPEZ EXPIItE.!=29,2014 ,� Vi. MY COMMISSION#F�011535y nNbtwD=oWA9=Ca '�atioP.• EXPIRES April 24,2017 9F *YYYdr9e9e9eF9e*3:kk 4:Ykk3nY9e4r4e**Y9eY9e9e Y3e Y 9e9eYY 9e9eFnY4r 4r3r3nYF9e3rkk deY3e9e9ekk*9ede4: (40 39H-01b3 Flo00 s APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) (MM A� CERTIFICATE OF LIABILITY INSURANCE DATE 12/10/10/20132013/ Y) THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTERTHE COVERAGE AFFORDED BYTHE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If 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 CONTACT Risk Transfer Programs,LLC PHONE FAX 219 East Livingston Street AIC No .866 481-9363 AIC,No): Orlando,FL 32801 E-MAIL ADDRESS: INSURER(S)AFFORDING COVERAGE MAIC# INSURER A:CastlePoint National Insurance Company 40134 INSURED INSURER B:Tower Insurance Company of New York 44300 CoAdvantage Corporation 3350 Buschwood Park Drive INSURER C: Suite 200 Tampa,FL 33618 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:EFSZ7RX5 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 ADDLSUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER MM/DD MM/DO GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ CLAIMS-MADE ElOCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN1 AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY JEC- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident UMBRELLA LIABOCCUR EACH OCCURRENCE $ EXCESS LIAR HCLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ A WORKERS COMPENSATION WSLTHPE00008210 01/01/2014 04/01/2014 XTOC STATRY LIM rs OER B AND EMPLOYERS'LIABILITY Y/N SLTHPE00030004 ANY PROPRIETOR/PARTNER/EXECUTIVE NIA E.L.EACH ACCIDENT $ 1,400.000 OFFICER/MEMSER EXCLUDED? El (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,H more space Is required) Coverage is extended to the leased employees of alternate employer in all states except in monopolistic states(ND,OH,WA,WY): Do You Need A Good Plumber,Inc. (Effective 10/4/10) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATETHEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Miami Shores Village AUTHORIZED REPRESENTATIVE 10050 NE 2 Ave Miami Shores Village,FL 33138 Page 1 of 1 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD Miami Shores Village Building Department artment ff 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 ` Tel: (305)795.2204 Fax: (305)756.8972 INSPECTION'S PHONE NUMBER: (305)762.4949 F BUILDING Permit No. PERMIT APPLICATION Master Permit Permit Type: BUILDING ROOFING JOB ADDRESS: 416a 7Ai w f City: Miami Shores County: Miami Dade Zip: Foho/Parcel#: Is the Building Historically Designated:Yes (NO Flood Zone: OWNER:Name(Fee Simple Titleholder): C,4 C Phone#: 2,o< 773 ?) o j Address: 4 7_ova Gl C-4,_ _ L(,f) City: M� d4 State: F L• Zip: 7 I ) Tenant/Lessee Name: / Phone#: / Email: X A-LCFA 92 �' �r1rx1 D M 2�A.�,r, Ccs CONTRACTOR: Company Name: c- ,4 P DLO EA ceS Lc- r- Phone#: S 77 G Address: O&C­ City: nn. State: 1�—L Zip: 33 )Y? Qualifier Name: A.A-e �dF 2 C,4 02 L� Le Phone#: State Certification or Registration#:_ C 6( t 13d K� 5_3 Certificate of Competency#: Contact Phone#:2aT 771 22 V Email Address:XA.-�cajEC_AlG2-✓L-2-- ►,. i ` '� /L,.,t DESIGNER:Architect/Engineer: Phone#: Value of Work for this Permit:$ a �� Square/Linear Footage of Work: Type of Work: ❑Addition ❑Alteration ❑New ORepair/Replace &5emolition Description of Work: A� cF>a, {T{ti F tr r c oe-t- w E Color thru tile: Submittal Fee$ Permit Fee$ CCF$ CO/CC$ Scanning Fee$ Radon Fee$ DBPR$ Bond$ Notary$ Training/Education Fee$ Technology Fee$ Double Fee$ Structural Review$ TOTAL FEE NOW DUE$ 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 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 his day of/t'�Qt ,20 N,by ��i e P C /,G�° ,'2��2• day of ,20�by )�Q vi,o/• (ia njp&- who is personally known to me or who has produced(!/ who is personally known to me or who has produced C/;3,/ TJ&- As identification and who did take an oath. 9•,S Z/-fj L&s'as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: Sign Sign: J oan FEev ® / 275 Pp!► ►ea 1/12y Commission ExpirCo �oo . 76anna M Felidano My Canm�eWn FF 082753 �a�� Ex}fires0l/12/2018 4n+t4nlnt�F�Y9zs4�tra4sY��4c&�kar�Y9rdr&a4oY �srtk�'r�Y4r9nF v�Y� 3t�YaFar3e4rFr�Y�Y�Y��Y�Y3:ar9F�Y�Fa�4raFsY��4r9i��Ealr3roYs4�Y9cdr3r�YinY�Y�kaFk9etk9cFroY�YsY3cAr�Y3e3t4c4r�t��Y*�ie3nY APPROVED BY 0 G Plans Examiner Zoning Structural Review Clerk (Revised 5/2/2012XRevised 3/12/2012))(Revised 06/10/2009)(Revised 3/15/09)(Revised 7/10/2007) 3/3/2014 Licensing Portal-License Relationships Licensee Name: CAPDEVIELLE, XAVIER O License Number: 1508653 Rank: Certified General Contractor License Expiration 08/31/2014 Date: Primary Status: Current Original License Date: 03/02/2005 Secondary Active Status: Related License Information Relation License Relationship Expiration Number Status Related Party Type Effective Rank Date Date Current CAP PROPERTIES LLC Primary 03/03/2014 Construction Qualifying Agent Business for Business Information Page 1 of 1 ® 'IImE� Related License Search License Type View all related licenses • First Name — Last Name License Number Expiration Date From To 1940 North Monroe Street,Tallahassee FL 32399 :: Email: Customer Contact Center :: Customer Contact Center: 850.487.1395 The State of Florida is an AA/EEO employer.Copyriaht 2007-2010 State of Florida.Privacy Statement Under Florida law,email addresses are public records.If you do not want your email address released in response to a public-records request,do not send electronic mail to this entity.Instead,contact the office by phone or by traditional mail.If you have any questions,please contact 850.487.1395. *Pursuant to Section 455.275(1),Florida Statutes, effective October 1,2012,licensees licensed under Chapter 455,F.S.must provide the Department with an email address if they have one.The emails provided may be used for official communication with the licensee.However email addresses are public record.If you do not wish to supply a personal address,please provide the Department with an email address which can be made available to the public.Please see ourChapter455 page to determine if you are affected by this change, httpsl www.myfloridalicense.cornAicenseRelation.asp?SID=&Iicid=2618856 1/1 CERTIFICATE OF LIABILITY INSURANCE DATE /YYYI) 033/03//03/14 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(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 CONTACT NAME: Great Florida Insurance-Pinecrest PHONE NN: (305)256-0616 ao No): (786)522-1889 11205 S Dixie Highway 101 E-MAIL ana@legacy3insurance.com Miami,FL 33156 INSURERS AFFORDING COVERAGE NAIC# Phone (305)256-0616 Fax (786)522-1889 INSURER A: Lloyd's of London Insurance Company INSURED INSURER B CAP Properties LLC INSURER C: 12000 Biscayne Blvd. #704 INSURER D: Miami,FL 33181 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. ILTR TYPE OF INSURANCE ADD UBR POLICY NUMBER MMIDDY EFF MMIDD FSP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 300,000.00 A AGE TO ® COMMERCIAL GENERAL LIABILITY PREM SES JE,RENTED occu encs $ 100,000.00 A ❑ ❑ CLAIMS-MADE Q OCCUR JJJNA-C 02/26/2014 02/26/2015 MED EXP(Any one person $ 0.00 PERSONAL$ADV INJURY $ 300,000.00 ❑ GENERAL AGGREGATE $ 600,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 300,000.00 W1 POLICY ❑ JECT PRO- ❑ LOC $ AUTOMOBILE LIABILITY Ea aINE eDtSINGLE LIMIT $ ❑ ANY AUTO BODILY INJURY(Per person) $ ❑ ALL OWNED ❑ SACOEDULED BODILY INJURY(Per accident) $ AUTOS NOWOW NED PROPERTY DAMAGE F-1HIRED AUTOS ❑ AUTOS Per accident $ ❑ ❑ $ ❑ UMBRELLA LIAB ❑OCCUR EACH OCCURRENCE $ ❑ EXCESS LIAB ❑CLAIMS-MADE AGGREGATE $ ❑ DED ❑ RETENTION$ $ WORKERS COMPENSATION ❑WOC STATUS ❑OTH- AND EMPLOYERS'LIABILITY Y/NER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? ❑ NIA (Mandatory In NH) E.L.DISEASE-FIA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space Is required) General Contractor Roofing Operations performed directly by the insured and/or the insured's direct employees is prohibited. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Miami Shores Village Bldg Dept THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN 10050 NE 2nd Ave ACCORDANCE WITH THE POLICY PROVISIONS. Miami Shores,FL 33138 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05)QF The ACORD name and logo are registered marks of ACORD Local Business Tax Receipt Miami-Dade,Cour►ty,Slate,of Florida -THIS tS fVOT A i —DO t+ft)T PAY 7167592 RUS100SS NAN1MOCATION NEW BUSS EXPIRES CAP PROPERTIES LLC SEPTEMBER 3Q,.2U14 12000 WCAYNE 13LVD'7t24 744 427 MIAMI,ESL 33181 Must ba displayed at place of business Pursuant to'Courwty Code a� Chapter 8A--Art.9*40 SEC. E OF EUSINESS OWNE 1 I PAYMEt11T'1fiB � A CA P OPER IES L�C Ci(O XA�/�IER 196 GENkRA BURDif CA /IELLE ;. CC>4�1 i BATOR ( I BY TAX CN �R { 7 ;.00 b.31 /2014 Workers) 1 CGC1 86E;3�� 021-14 84 I - this Local 8ush�ess Tax only confines payplrtat of ffie l ocel4otreine�alt'Fiaa Htcaipt is 10 a license, rmit o)aacation Iders q Ullaetiowto do;businesi Holder must coIllply vnth am(�overm�reaffit I nonBorarmme ml reguratory ws and requirements which apply to the busiasss. i The N0.ab�re mt t be disp �+ed on all rclel vehioles—iNiemi-Q�Code Secliv4 . MUU4® `d" ` — Po► ►ore intortion,ris�4wwmiami ¢ggpy/ gQjlr ry r � r ' !lllfli Dili illi!lflN lil!!l!l!I illi!ill!illi _ CFN 242.4RC14447* -• OR Sk 29045 Pas IV63 — 1965; (3o,ps) RECORDED 02/26/2014 12311,44 P=uW.byAmdr 3utlfo. DELD DOC TAX 1►68U,00 Carol V.Keys HARVEY ROVIN r CLM OF COURT MAKI—DADS CMINTY: FLORIDA Keys Title Company 13700 Biscayge Boulevard Suite 401 North Miand,l+°[,33181 305-691.1600 File Number: K14.102 Parcel ideatificadoa No.11-2136-0114M Space Abova lUs Uve Porpwomkg ileal Warranty Deed (STATiJIORY voltm-$fiC rm so9m, This IRdeYitllre mtade uta .���day of February,2014 bictwecn REO Asset Disposition LLC,a Florida U Company whose Post 001M address is 7875 NW 12 3t,Suite lilt bYllarmt,IFL 33126 Md Jung Maraud Santamartna,a single mart ivltose Pnst office g i9 12620 SW 8 3L,MIAM4 F1331843,grantor*,and CAP Realty LC,a Florida Limited Liability Company whose post office address Is 12000 Biscayne Blvd#704,Miaml,V g=tct►, Witnesseth that said grantor, for artd!A WnWdwation of the sum of TEN ANP N01100 MLLARS($10.00)and other good and valuable considerations to said grantor in bmd paid by said grantee,the receipt w}tereof is hereby acknowledged, has granted,hargsined,and sold to the said gr+snt0o, and grantee's hags and assigns forever,the following described laud, situate,1*49 and being in Miami-Dade County,Florida,to-wit: Lot 1,Block 213,A1TNNiNG'S MIAMI SHORICS EXTENSION NO.7,socordfrg to the plat tbereA as recorded to Plat Book 32,Page 33,of the Public Reoordy of Mtam1•Dade County,Florida. Subject to taxes for 2014 and attbsetiuent years; eoveAants, couditioms, restrictions, easements, reservAtIOAs and limitations or record,B any. sad said grantor does hereby fully warrant the thio to paid land,and wig dehad dw same against lawfltl claims of aII persons whomsoever. •"Oraweand"Granraa"aro used forshadwarpmw,as eownt mquimL DOititt977l1g0e �r Book29045IPage1963 CFN#20140144475 Page 1 of 3 V001Z00'd 0:0 Op:L L V LOMPO!£0 . i IR Wltum Whereof,grantor has her UW set spa bcd and seal the dally and year first above written. Signed,sealed and delivered in our pnwmce: RHO AssetISi LC, Liability Comyany Name: E71: > Omar (Corporate Seal) V kry p0 bo a m*or ftwe bon mmij State of Catmty of Q The foregoing Instrument was WkWwledged before me this day of February,2014 by Carlos D.Do Varnne,Mann w Of REO Asm Disposidon,LLC,a Florida Liability Company,on behalf f the eotporatiop, S Personally imcnvq to the or[A has produced a drivels iicoose as identi osson. y INoW'Saal] Nifteryft-511c Printed Name: my commissioa Expuw Raw 81b p RoA7� ►lY o1i ftt a"No !'+�inM'► ota iY4m=01 DW 0400ory Fogy.Page Z Doubt ryoteo Book29045/Pagel964 CFN#20140144475 Page 2 of 3 ti001£00'd AD LV:L L V LOZlti01£0 QR SK 29044 PG 196.5 LAST PAGE 113 Witness Whereof,gaautor bas 6=wto wt v=toes hand and seal the day and year i'lrst above w,ittso. Sword.sesied and dcivered is our pm wuce: haft - Sau Name .�Aeerd• State OPFlorida County of Miami-Dodo The faragoing inatrumant was acknowledged before me this 20th day of February.2014 by 1 an t=ripe,who U is ptrlOnRUY knwm or[X3 has produced a driver's license as ides' (N°�'Seat] Na �' lilac Printed Nemo. My Couauiaaion F�pu�ee: i �P�Qf fforl0a ' .i AAr�Commhz a�aasroz i +�oarso+s FP--v Dwd maurtory Form)-page 3 [TOUble ltlnta Book29045/Page1965 CFN#20140144475 Page 3 of 3 ti00/ti00'd AD LV:L L v LOZ/volso Rdh= M*WBR.fldfs.com/crreportviewerlreportViewer.aspx?data=kdvpginc9D7Q3gH6TER6eP1KMZD/D2fSz5bXKYfBxkrekeESoPVylv4NR.. ® ©Om ®=/1 0 ® 100% PLEASE CUT OUT CARD BELOW AND RETAIN FOR FUTURE REFERENCE 17,11-11"1", ............................................................................................ IMPORTANT ' STATE OF FLORIDA Pursuant to chapter 440.05(14),FS.,an dicer of a corporation ■ 1 who efts wemption from this chapter h fflino a certificate of ■ DEPARTMENT OF FINANCIAL SERVICES ° ; election under this section may not recoverbenelitsor DIVISION OF WORKERS'COMPENSATION ;F compensation under Us nhWer. Pursuant to Chapter 440.05(121.F.S..Certificates Of election to •A�„ i ' CONSTRUCTION INDUSTRY EXEMPTION 10 be wempt...apply onty witMn ft scope of the business or trade ■ L listed on the notice of election to be e>aW. j CERIIRGAIE OF ELECVON 10 BE EXEMPT FROM FLORIDA D Pllrspant to Chapter 440.05(13),F.S.,Notices of election t0 be ■ WORKERS'CONPENSA7ION LAW want and oer ilcates of election to be wempt Shell be i EFFECUVE DAIS: 3142014 EXPIRATON DALE: 3/32016subled 10 re%ooetion It.at any time after the filing of the notice 1 ■ ■ I H or the issuance of the certificate•the person named on the ■ PERSON: CAPDEVIELLE XAVIER 0 tnotice or certilcate no longer meals the requlremerds of this ■ ■ r E :action for issuance ct a cer00cate.The department shall rev** ■ i FEIN: 320433052 It R a certificate at any line for failure of the person named on the ■ 1certiticete to meet the requirements of fids section. ■ i BUSINESS NAME AND ADDRESS: i E ■ 1 � CAP PROPERTIES LLC ■ 1 ■ 1 � ■ 1 ■ 11111 BISCAYNE BLVD i ■ 1 � MIAMI FL 33181 ■ 1 ■ ■ 1 ■ SCOPES OF BUSINESS OR TRA 1 ■ LICENSED GENERAL ,CONTRACTOR .......................................................................................................................... DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 07-12 QUESTIONS?(850)413-1609 Page 1 of 2 Detail by Entity Name Page 1 of 2 r Detail by Entity Name Florida Limited Liabilily Corrigan CAP REALTY LC Filing Information Document Number L06000089951 FEI/EIN Number 205550248 Date Filed 09/13/2006 State FL Status ACTIVE Effective Date 09/13/2006 Princi al Address 12000 Biscayne blvd suite 704 miami, FL 33181 Changed: 04/13/2013 Mailing Address 12000 Biscayne blvd suite 704 miami, FL 33181 Changed: 04/13/2013 Re ister d Agent Name &Address CAPDEVIELLE, XAVIER 12000 Biscayne blvd suite 704 miami, FL 33181 Address Changed: 04/13/2013 Authorized Persons Detail Name &Address Title MGR CAPDEVIELLE, XAVIER 12000 Biscayne blvd suite 704 miami, FL 33181 http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail/EntityName/flat-106... 3/4/2014 CAP PROPERTIES LLC 12000 Biscayne Blvd.Suite 704 CGL Miami, FL 33181 OR-F,CF"IV MAR 1 `� 2 14 T 305 777-1888 xavier@capgroupmiami.com �I r Y:__ March 17,2014 REF: Building Permit#314-398 AFFIDAVIT To Whom It May Concern: As per my previous affidavit, I,Xavier O.Capdevielle,am the only owner and employee of Cap Properties LLC.. And I have Workers Compensation exemptions.There are no other employees of Cap Properties LLC.Work will be outsourced to sub contractors and freelancers,these people will be paid according to negotiated contracts and Cap Properties LLC is not required to provide them with workers compensation. Xavier Capdevielle P P 2D C GL. j0 AA 1:71 LIAR '3 L,,t 17,`1 �Q�ti..�T � 3 1 c/ 98 BTS: A F F- CA994 - 'Ctc� Z,dL - AFFIDAVIT I Xavier Capdevielle declare MrJose Isaza from ISA Construction Inc will do the demolition on the property located at 2 NW 108th St Miami Shores _ dw'�'�� t��•-�e �-� d07 L4 9 A- Capdevielle S STATE.QF F m candplerMOM(1 4 FA-avafibm aie DEPARTAIIIEW OF FWARMAL SERCES a ... Btts bit � f warndlaww w a _ TtfllUr:�T iC# !p �eFrs�za I - � A� 2},FS. cat�s� ba l 1Dbe P�- eniitegatotbe®apL • e Fff. waompffir 3E t ow avocawas atawmailo w-mno am be • btu nail lf.��rity�eaflsF�i�rig a4B�s�e Imo,-�ICT€QA1 flUi: _� w"�r ofi� e,-ff�e tdmT@�e , 9S�if78tLt� � �' it0e9�8 - Qt�S sei�drttari dfsc .Tile eep awfavow §GWE8 pf Bi B 09 7RAW OCENSW GYRAL ARANO V WOM CONORE`-E-i3R••GfEf4t!?EWT EA ALuu)' t .b#iEE.Roc: THE CAP C ROU P Engineers I General Contractors I Developers Xavier Capdevielle Principal 12000 Biscayne Blvd Suite 704 T: +I-305-773-3101. Miami,FL 33181 E: xavier@capgroupmiami.com APR AFFIDAVIT,: 7 I am contracting Alejandro Casas from EI Leon Construction Inc to do the demolition work. - 7 Xavier ielle Miami Shores 4/8/2014 h'�► ),O"DfL C-O,,n Ay CO o'= &I y-3q� ouzwo 101-30-2013 JEFF ATWATER STATE OF FLORIDA CHIEF FINANCIAL OFFICER DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 01/30/2013 EXPIRATION DATE: 01/30/2015 PERSON: CASAS AL.6JANDR0 FEIN- 204640183 BUSINESS NAME AND ADDRESS: EL LEON CONSTRUCTION INC 4302 HOLLYWOOD BLVD, #1011 HOLLYWOOD FL 33021 SCOPES OF BUSINESS OR TRADE: 1- LICENSED BUILDING CONTRACTOR IMPORTANT: Pursuant to Chapter 440 . O5f14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this Milne may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05112), F.S., Certificates of election to be exempt... apply only within the pe of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt and certificates of election to be exempt shalt be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named an the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01-11 QUESTIONS? (850) 413-1809 PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE STATE OF FLORIDA IMPORTANT DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS'COMPENSATION F Pursuant to Chapter 440.05(14), F.S., an officer of a corporation who CONSTRUCTION INDUSTRY 0 elects exemption from this chapter by filing a certificate of election CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA L under this section may not recover benefits or compensation under this WORKERS'COMPENSATION LAW 9 D chapter. EFFECTIVE: 01/30/2013 EXPIRATION DATE: 01/30/2015 Pursuant to Chapter 440.05(12), F.S., Certificates of election to be PERSON: ALEJANDRO CASAS H exempt.. apply only within the scope of the business or trade listed on FEIN: 204340183 R the notice of election to be exempt BUSINESS NAME AND ADDRESS: E Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt EL LEON CONSTRUCTION INC and certificates of election to be exempt shall be subject to revocation 4302 HOLLYWOOD BLVD, #1011 if, at any time after the filing of the notice or the issuance of the HOLLYWOOD. FL 33021 certificate, the person named on the notice or certificate no longer meats the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the SCOPE OF BUSINESS OR TRADE: person named on the certificate to meet the requirements of this 1- LICENSED BUILDING CONTRACTOR section. QUESTIONS? (850) 413-1809 CUT HERE Carry bottom portion on the job, keep upper portion for your records. OWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01-11 4 N.W.-J08th STREET 17'Asphaft 75.00'Total R1W 30.20' 24'Paftyay a0 p Asphalt C13 SCALE: 1-20' P-. 5'Conc.Walk 74.73' FND1/2 FND.I.P.I/Z' (NO Di [r)i I)(NO ID) 24 T t &-89-5645 C. R=25.00 Ito L=39.25' 7*00' 12.10, )FND 17.80' :17.657 ID) 12.90'inj-T—GWI (p Ln 17.70' Brick Planter in I INA L) ONE STORY CBS Colic. RESIDENCE#2 C? 17.10' 1-0 Lot 2 0.70- 6.00. Block 211 LQ 141? 1 7._O I' Conc r Tile zz Tile !;2 .......... b 10 0. Z:,Anc. 10.60" 1 12 50' i 18-10' 16 8.10' 100 411 0 ILL: LL:C .-j JI 6 d 1 Concrete Driveway —I1,00 4'C.L.F. 13.00' L=2��-,—� ALLEY i------- D1N 40.00 74.73 Cm (NO ID) oCV: iO'Asphalt---. 15' A Asphalt ........... LEGEND: A ARl' OUL OVERHEAD UTILITY LINES FD FOUND Ip RECORD Sm 6ENCN MANK EL ELEVAI ION Fm FIRE HYDRANT WIZ WOOD FENCE CB CAI IN BASIN EM ELECTRIC METER IM) MEASURED VIM WATER METER CBS CONCRETE MIN HE ELECTRIC MANHOLE POO POINT OF BEGINNING V WATER VALVE CH CHORD ET ELECTRIC TRANSFORMER ISM GAS METER N NAIL CENTERLINE ENC. ENCROACHMENT FN FOUND NAIL m OFFSET ML MONUMENT UNE SIP SET IRON PIPE PC POINT OF CURVATURE T TANGENT CUNr CONCRETE Flp FOUND IRON PIPF PT POINT OF TANGANT CH.BR C14ORD SEARING CIL CLEARANCE FIR FOUND IRON ROD PRC POINT OF REVERSE CURVATURE DME DRAINAGE MAINTENANCE EASEMENT N40 NAIL AND DISK CLF CHAIN LINK FENCE PCC POINT OF COMPOUND CURVATURE LME LANE MAINTENANCE EASEMENT F F+ELEV FINISH FLOOR ELEVATION TYP TYPICAL POC POINT OF COMMENCEMENT CENTER ANGLE CME CANAL MAINTENANCE EASEMENT DRILLHOLE: R RADIUS SIR SET IRON ROD UE UTILITY EASEMENT UN MH MANHOLE RES RESIDENCE: F- ONLY EASEMENTS,RIGHT OF WAYS,ETC RLIWIL Y KNOWN W.-SHOWN,NO RESEARCH OTHERWISE ELAS BEEN NiADE 0. see 000 • 0*0 0: *as 0:0 :0 0: v AREAS EXISTING DESCRIPTION AREA DEN ROOM 128.3 SQ.FT. LOWN,i ° PORCH 138.9 SQ.FT. I BATHROOM#1 35.4 SQ.FT. ' ENTRY CLOSET#1 17.1 SQ.FT. ; 7—Mc IVED `" ' r 'O LIVING/DINING N NG HEN 155.4 SQ.FT. BEDROOM#3 BATHROOM BEDROOM#2 ROOM 515.1 SQ.FT. VAR 0 4 2014 a r BEDROOM#1 165.7 SQ.FT. CLOSET#3 5.6 SQ.FT. (D] CLOSET#4 14.3 SQ.FT. — — —_ HALL 28.0 SQ.FT. IuN BATHROOM#2 52.9 SQ.FT. LIVING (I CLOSET#5 32.8 SQ.FT. I I I BEDROOM#2 174.2 SQ.FT. TOTAL UNDER A/C 1463.70 SQ.FT. APPROVED By DATE — — GARAGE 256.0 SQ.FT. r ® HALL TOTAL 1719.70 SQ.FT. I CLOSET#3 —CLOSET#4 ZONING I — -- AOC —— ' N KITCHEN STRUCTURAL cL Is I I y-� ELECTRICAL I'fdl- DINING \` I PLUMBING i o cLd Ere 1<TC A C-- BATHROO(I MECHAN'CAL CLOSET#2 SUC)t'.;T l; CG4.9Pl,'API E YdT,i .:L'_ ,f... N t STATE P;ND COUNTY RULES AND N�':-.'.-r.I: IL cu BEDROOM#4 FAMILY ROOM e v LEGEND EXISTING WALL TO ® STUD WAL .. ••• • • • • • •• BE DEMOLISHED NO-BEARII • •• • . • • ••• • FIRE RA TE • • • • • • • • • NEW 8"WOOD •• ••• •• • • • •• STUD WALL n� NO-BEARING;NO L L L L L L L W EXISTING FIRE RATED C/A-5 WALL TO F 0:0 so. .00 sell, j lull ••• • • • • ••• • • CLOSET#1 • • • • •• • • • • • • • :6 see see see " EXISTING&DEMOLITION PLAN ••• • L SCALE ••• . • • •.. . •