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HomeMy WebLinkAboutApplication & Supporting DocsGT GreenbergTraurig September 22, 2010 Mr. Anel Rodriguez Clerk, Hearing Boards City of Miami 444 S.W. 2nd Avenue, 7th Floor Miami, FL 33130 Lucia A. Dougherty Telephone:(305) 579-0603 Facsimile: (305) 961-5603 E-Mail: doughertyl@gtlaw.com Re: Updated: Letter of Intent for Grove Village Major Use Special Permit Application, Rezoning, Comprehensive Plan Amendments and Special Exception. Dear Mr. Rodriguez: On behalf of Grove Village LLC, contract purchaser/developer we are submitting a Major Use Special Permit ("MUSP") application for approval of mixed use development for the Grove Village project which will consist of six blocks totaling approximately 226 multi family residential units, 21 duplex, 4 single family residences, 231,683 sq. ft. of retail and restaurant, 192,600 sq. ft of office and 1,691 parking spaces with an Alternative A for the Bimini and Freeport blocks and an Alternative B for the Bimini and Paradise Island blocks, pursuant to Articles 4 and 17 of the Zoning Ordinance 11000 of the City of Miami, as amended. As part of our MUSP application, we have included rezoning applications, comprehensive plan amendments and a special exception request. At this time we are requesting to proceed with the comprehensive plan amendments independently from the other applications as we believe that there is pending legislation, that if adopted, would make this project economically unfeasible. Our comprehensive plan amendment request along the north side of Grand Avenue, proposes to expand the existing restricted commercial high density, which fronts on Grand Avenue, and transition from the restricted commercial high density to medium density and ultimately restricted commercial low density fronting on Florida Avenue. Furthermore, the south side of Grand Avenue proposes to expand the existing restricted commercial high density which fronts on Grand Avenue and transition to restricted commercial medium density in order to screen the parking garage with work force town home units on the Abaco Block and a new market rate rental project on the Paradise Island Block, see attached Exhibit "A." Should you have any questions, please call me at (305) 579-0603. Thank you very much for your attention to this matter. Very truly yours, Lucia A. 1CdM F]1M;GR2`14,4RIg,232A9(' ATTORNEYS AT LAW a WWW.GTLAW.COM 1221 Brickell Avenue r Miami, FL 33131 ■ Tel 305.579.0500 r Fax 305.579.0717 25'1 HIBISCUS ST. THOMAS AVE 1 1 1 1 1 1 1 1 1 25 StgkO. OkA T :SRC T R FLORIDA AVE GRAND AVE MIME GROVE MARGARET ST. THOMAS AVE I I I I 1 I I I EXISTING LAND USE a RESTRICTED COM. HIGH DENSITY .... PROPOSED LAND USE RC-H RESTRICTED COM. HIGH DENSITY RC-M , la RESTRICTED COM. MED. DENSITY Wad RC-L Lo 0 . RESTRICTED COM. LOW DENSITY PROPOSED LAND USE MASTER PLAN VILLAGE Poi iteGroup kINISOHS HEARING BOARDS 444 SW 2nd Avenue, 71" Floor • Miami, Florida 33130 Telephone 305-416-2030 • Fax 305-416-2035 www.miamigov.com/hearing boards 40 Planning Designee Initial Date 02‘-0:30) (Nassau Block) AMENDMENT TO THE MIAMI COMPREHENSIVE NEIGHBORHOOD PLAN Welcome to Hearing Boards! This application is intended to serve as a guide in assisting you with our public hearing process. Please feel free to contact us at the number above, should you have any questions. The deadline to file the complete application with supporting documents is the first five working days of each month from 8:00 am until 3:00 pm, except on the fifth day, at 12:00 pm. The application submittal date is the date stamped by Hearing Boards' staff on this page. The responses to this application must be typed and signed in black ink. Please note that pursuant to Section 1304.2.2 of the Miami Zoning Ordinance, no application shall be deemed to have been filed unless and until the application shall have been completed. All pertinent and accurate information/documentation; i.e., the plans, reports, exhibits, shall be presented at the time of filing, in addition to the paid receipt. The applicant is responsible for the accuracy of the information contained in the application and all supporting materials. Should you wish, you could bring the materials to our office for review before the deadline to ensure completeness. You will be responsible, if needed, to bring an interpreter for the English language to any presentation before city boards, committees and the city commission. A valid power of attorney will be required if neither applicant or legal counsel representing the applicant execute the application or desire to make a presentation before city boards, committees and the city commission. All documents, reports, studies, exhibits (8'/2 xl 1") or other materials submitted during this process will be kept as part of the record. ORDINANCE NO. 11469, CODIFIED IN CHAPTER 2, ARTICLE VI OF THE CITY CODE STATES THAT ANY PERSON WHO RECEIVES COMPENSATION, REMUNERATION OR EXPENSES FOR CONDUCTING LOBBYING ACTIVITIES TO REGISTER AS A LOBBYIST WITH THE CITY CLERK, PRIOR TO ENGAGING IN LOBBYING ACTIVITIES BEFORE CITY STAFF, BOARDS, COMMITTEES AND THE CITY COMMISSION. A COPY OF SAID ORDINANCE IS AVAILABLE IN THE OFFICE OF THE CITY CLERK (MIAMI CITY HALL), LOCATED AT 3500 PAN AMERICAN DRIVE, MIAMI, FLORIDA, 33133. Ordinance No. 12918 states that each person or entity requesting approval, relief or other action from the City Commission or any of its boards, authorities, agencies, councils or committees regarding any issue, shall disclose at the commencement (or continuance) of the public hearing(s) on the issue, any consideration provided or committed, directly or on its behalf, for an agreement to support or withhold objection to the requested approval, relief or action. The Disclosure of Consideration Provided or Committed for Agreement to Support or Withhold Objection Affidavit included in this package must be submitted with the application. The applicant must, at the commencement of any public hearing on the issue, if there is any disclosure to report, read the disclosure into the record. Also, the applicant must supplement the affidavit if there is any new information or additional information to disclose. Copies of City Commission resolutions and ordinances can be obtained at our website through the "Legislative Hub", or for certified copies, contact the City Clerk's Office at 305-250-5360. Applications for Zoning Change (Amendment to Zoning Atlas and/or Overlay District) and Land Use Change (Amend the Comprehensive Neighborhood Plan) will not be accepted unless it is signed or initialed and dated by the Planning Department designee. Rev. 12-16-08 MIA 180, 388,111 v10 9-7-10 Please refer to Section 62-32 of the Miami City Code for Comprehensive Plan information. 1. Applicant name(s): Lucia A. Dougherty on behalf of Grove Village LLC,. Applicant/Developer, GV Nassau, LLC, Nassau Development of Village West Corp., and George A. & Dazelle Simpson,. collectively owners. 2. Subject property address(es) and folio number(s): approximately 3361 Hibiscus Street, 3472, 3440, 3422, 3412, 3400 Florida Avenue, 01-4121-007-3550, 01-4121-007-3470, 01-4121- 007-3480, 01-4121-007-3490 and 01-4121-007-3510, 01-4121-007-3560 3. Current designation: Single -Family Residential 4. Future designation: Restricted Commercial 5. Has the designation of this property been changed in the last year? If so, when? no 6. Do you own any other property within 200 feet of the subject property? yes If yes, has the property been granted a Land Use Change within the last year? no 7. Obtain signature or initial and date by the Planning Department designee prior to submittal. 8. Two (2) 11x17" original and one (1) 8'/z x 11 copy of the survey of the property prepared by a State of Florida registered land surveyor within six (6) months from the date of the application. 9. The subject property(ies) cannot have any open code enforcement/lien violations. 10. Copy of the lobbyist registration processed by the Office of the City Clerk, if applicable. 11. At least two photographs showing the entire property showing land and improvements. 12. A clear and legible copy of the recorded warranty deed and tax forms of the most current year showing the present owner(s) and legal description of the property. 13. A clear and legible copy of the subject property address(es) and legal description(s) on a separate sheet, labeled as "Exhibit A", to match with the current survey's legal description. 14. Original Disclosure of Consideration Provided or Committed for Agreement to Support or Withhold Objection Affidavit. 15. Original Public School Concurrency Management System Entered Requirements form (page 4 of the attached packet). 16. Certified list of owners of real estate within 500 feet of the subject property (see pages 7 and 8). 17. For all corporations and partnerships indicated: a) Articles of Incorporation; b) Certificate from Tallahassee showing good standing, less than one (1) year old; c) Corporate Resolution or a Power of Attorney signed by the secretary of the Corporation authorizing the person who signed the application to do so; d) Non-profit organizations: A list of Board of Directors less than one (1) year old. 18. What is the acreage of the project/property site? approx .0689 acres 2 Rev. 12-16-08 MIA 180, 388,111 v10 9-7-10 19. What is the purpose of this application/nature of proposed use? Change of comprehensive , plan designation from Single Family Residential to Restricted Commercial. See attached Exhibit "B".. 20. Is the property within the boundaries of a historic site, historic district or archeological zone? Please contact the Planning Department on the 3rd Floor for information. no 21. Is the property within the boundaries of an Environmental Preservation District? Please contact the Planning Department on the 3rd Floor for information. no 22. Cost of processing according to Section 62-156 of the Miami City Code*: Application to Amend the Comprehensive Neighborhood Plan to: a. Conservation, Recreation, Residential Single Family, Residential Duplex b. Residential Medium Density Multifamily c. Residential High Density Multifamily, Office, Major Public Facilities, Transportation/Utilities d. Commercial/Restricted, Commercial/General and Industrial e. Central Business District (CBD) f. Surcharge for advertising each item Public hearing and public meeting mail notice fees, including cost of handling and mailing per notice $ 300.00 $ 450.00 $ 550.00 $ 650.00 $ 1,200.00 $ 1,200.00 $ 3.50 *Pursuant to Ordinance 12719, all planning and zoning fees in excess of $25, 000.00, shall be paid in the form of a certified check, cashier's check, or money order. Signature Jf J2 Address 1221 Brickell Avenue Name Lucia A. Dougherty Telephone 305-579-0603 E-mail Miami, Florida 33131 doughertyl(a�gtlaw.com STATE OF FLORIDA -- COUNTY OF MIAMI-DADE Thp foregoing was acknowledged before me this 7 day of 20 1 , by Lucia A. Dougherty who is a(n) individual/partner/agent/corporation of a(n) individual/partnership/corporation. He/She is personally known to me or who has produced as identification and who did (did not) take an oath. (Stamp) Signature MARISOL R. GONZALEZ Notary Public - State of Florida . My Commission Expires Sep 17, 2010 Commission # DD 553129 Bonded By National Notary Assn, Rev. 12-16-08 MIA 180,388,111 v10 9-7-10 Exhibit "A" Legal Description for Nassau Block Land Use LEGAL DESCRIPTION: Lots 1, 2, 3, 5, 9, and 10, Block 23, of AMENDED PLAT OF THE FROW HOMESTEAD, according to the plat thereof, as recorded in Plat Book "B", Page 106, of the Public Records of Miomi—Dode County, Florida. ei IQvcvnrIQ ninTGc• EXHIBIT "[.J" 1_a(U)t Supporting Land Use Policies for Rezoning and Comprehensive Plan Amendment for Grove Village, Coconut Grove , Miami, Florida **Please note that only Abaco, Nassau, Paradise and Grand Bahama are being rezoned and amended in connection with this MUSP application. The rezoning and comprehensive plan amendments are consistent with the following: Goal LU-1: Maintain a land use pattern that (1) protects and enhances the quality of life in the City's neighborhoods; (2) fosters redevelopment and revitalization of blighted or declining areas; (3) promotes and facilitates economic development and the growth of job opportunities in the city; (4) fosters the growth and development of downtown as a regional center of domestic and international commerce, culture and entertainment; (5) promotes the efficient use of land and minimizes land use conflicts while protecting and preserving residential sections within neighborhoods; (6) protects and conserves the city's significant natural and coastal resources; and (7) protects the integrity and quality of the City's existing neighborhoods by insuring public notice, input and appellant rights regarding changes in existing zoning and land use regulations. Policy LU-1.1.7: Land development regulations and policies will allow for the development and redevelopment of well -designed mixed -use neighborhoods that provide for the full range of residential, office, live/work spaces, neighborhood retail, and community facilities in a walkable area and that are amenable to a variety of transportation modes, including pedestrianism, bicycles, automobiles, and mass transit. Policy LU-1.1.11: The City hereby adopts designation of the City, excluding Virginia Key, Watson Island and the uninhabited islands of Biscayne Bay, that have a land use and zoning classification of Conservation, as an Urban Infill Area pursuant to Miami -Dade County's designation of an Urban Infill Area lying generally east of the Palmetto Expressway and including all of the City of Miami. Within this area, the concentration and intensification of development around centers of activity shall be emphasized with the goals of enhancing the livability of residential neighborhoods and the viability of commercial areas. Priority will be given to infill development on vacant parcels, adaptive reuse of underutilized land and structures, the redevelopment of substandard sites, downtown revitalization and the development of projects that promote public transportation. Maintenance of transportation levels of service within this MIA 181,224,960. 109479.010100 Supporting Land Use Policies for Rezoning and Comprehensive Plan Amendment for Grove Village, Coconut Grove , Miami, Florida designated Urban Infill Transportation Concurrency Exception Area shall be in accordance with the adopted Transportation Corridors level of service standards and the City of Miami Person Trip Methodology as set forth in Policies TR-1.1.2 and 1.1.3 of the Transportation Element of the MCNP. Objective LU-1.2: Promote, facilitate, and catalyze the redevelopment and revitalization of blighted, declining or threatened residential, commercial and industrial areas through a variety of public, private, and public -private redevelopment initiatives and revitalization programs including, where appropriate, historic designations. Policy LU-1.2.1: The City defines blighted neighborhoods as areas characterized by the prevalence of older structures with major deficiencies and deterioration, high residential vacancies, widespread abandonment of property, litter and poor maintenance of real property. Declining neighborhoods are defined as areas characterized by the prevalence of structures having minor deficiencies, a general need for improvements in real property, significant declines in real property values, high vacancy rates in commercial structures and increasing difficulty in obtaining insurance. Neighborhoods threatened with decline are defined as areas characterized by significant but infrequent property maintenance neglect, an aging housing stock, declining property values, general exodus of traditional residents and influx of lower income households. Objective LU-1.3: The City will continue to encourage commercial, office and industrial development within existing commercial, office and industrial areas; increase the utilization and enhance the physical character and appearance of existing buildings; encourage the development of well -designed, mixed -use neighborhoods that provide for a variety of uses within a walkable area in accordance with neighborhood design and development standards adopted as a result of the amendments to the City's land development regulations and other initiatives; and concentrate new commercial and industrial activity in areas where the capacity of existing public facilities can meet or exceed the minimum standards for Level of Service (LOS) adopted in the Capital Improvement Element (CIE). Policy LU-1.3.15: The City will continue to encourage a development pattern that enhances existing neighborhoods by developing a balanced mix of uses including areas for employment, shopping, housing, and recreation in close proximity to each other. Policy LU-1.6.9: The City's land development regulations will establish mechanisms to mitigate the potentially adverse impacts of new development MIA 181, 224, 960. 109479.010100 2 Supporting Land Use Policies for Rezoning and Comprehensive Plan Amendment for Grove Village, Coconut Grove , Miami, Florida on existing neighborhoods through the development of appropriate transition standards and buffering requirements. Objective LU-1.7: Ensure that the Miami Comprehensive Neighborhood Plan is updated as needed to meet changing conditions and, improve its effectiveness and success. Goal LU-3: Encourage urban redevelopment in identified Urban Infill Areas and Urban Redevelopment Areas. Objective LU-3-1: Promptly review and act on petitions for land use plan amendments and rezoning of property in Urban Infill Areas or Urban Redevelopment Areas to facilitate redevelopment. Policy LU-3.1.1: Continue review of existing zoning regulations to determine if they provide adequate flexibility to promote redevelopment with a mix of uses in Urban Infill Areas or Urban Redevelopment Areas and, if not, revise said existing zoning regulations or adopt new zoning regulations to promote redevelopment. Goal HO-1: Increase the supply of safe, affordable and sanitary housing for extremely low, very low-, low and moderate -income households (in accordance with the current standards and regulations of HUD and the State of Florida) and the elderly by alleviating shortages of extremely low, verylow-, low - and moderate -income housing, rehabilitating older homes, maintaining, and revitalizing residential neighborhoods in order to meet the needs of all income groups. Policy HO-1.1.3: The City will continue to develop comprehensive neighborhood redevelopment plans and programs that encourage private developers to build new, or rehabilitate old, residential structures and ensure that public investments are coordinated with private sector developments to increase the overall attractiveness of redeveloping neighborhoods. Goal HO-2: Achieve a livable city center with a variety of urban housing types for persons of all income levels in a walkable, mixed -use, urban environment. Objective HO-2.1: Design and create pedestrian friendly environments and neighborhoods with varied housing prototypes and amenities catering to persons of diverse social, economic and cultural backgrounds, with a variety of urban housing types for persons of all income levels including those of extremely low, very low-, low-, and moderate -income households (in accordance with the current standards and regulations of HUD and the State of Florida) provided in a walkable, mixed -use, urban environment. MIA 181,224,960. 109479.010100 3 Supporting Land Use Policies for Rezoning and Comprehensive Plan Amendment for Grove Village, Coconut Grove , Miami, Florida Policy HO-2.1.2: The City will continue to revise residential zoning district regulations to provide greater flexibility for the design and development of a variety of contemporary housing types and mixed -use developments with the application of new higher density zoning in accordance with neighborhood specific design and development standards that might be adopted as a result of amendments to the City's land development regulations and other neighborhood planning initiatives. Policy TR-1.4.5: A new category of public thoroughfares is created entitled "Urban Streets," defining the Urban Street as a pedestrian and vehicular way whose primary function is to serve adjoining residential neighborhoods and the businesses that serve them in the City of Miami. Characteristics and standards for such streets will be defined and specifications created on a case -by -case basis in cooperation with the governmental entity having ownership of the street, local residents and homeowner associations. Principles that will guide the design process will include, as appropriate: lower design speeds and control of traffic volumes utilizing traffic calming devices including but not limited to modification of lane widths consistent with lower design speeds; wide sidewalks; medians; roundabouts; landscaping; attractive lighting; creative and informative signage; on -street parking; and other design features and amenities as appropriate. Urban Streets shall be subject to the level of service standards described in Policies TR-1.1.2 and TR-1.1.3. The first such Urban Streets to be designated shall be: * * * Grand Avenue * * * MIA 181, 224, 960. 109479.010100 4 ,St <Z' ' e• CiOkOfAliami Public Siiiiiiiil elgjorirkenty cphOOrten:cy:Marletterneht.Syi.rtturisEel.oroN Applicant Fields - Information Application Typo FablIa.lIcating A001IoatIon Sub -Type [5.114.Vre. ,APplIO.itIon Name * 00/0: Villag•LLCT , Application Phone 1.0-89-8-.91$.:.F4A.-f 244 .Appller*Ion.Emall. . * iiiie0.0ointOgrivpotiOpit Aiil- .A0,114t1Ori Address nso.miry: $604.SiiW200 EWitiii FL 33133 Contact Fields infOrricipti.On Contact Name * • •?.I1c14•It..•PP.IrghOrIZ•Ak4IIik Contact Phone *--. i30507.9A603. . • •* 'Contact Emall .0e.oglIgIyl@gtlawcem, ...4•501.gpyt; Nome !..City : of Mlaml Loa! Govt Phone 10541104400 Legal TGovt. Emall :0000ygoi.ralain.;0.ua Low:IA*04 App. NuMberlOcriciAL-USEtINEYI Property FieidS lefOiltiaddil . Master Fello Number •0i.-41.*10.3's0,•447oi348o;:3.00;:40;3490. Additional Folio Number TOW AOIca(10 * apPrex..;0..6.89,.40rua ......... . P.11.io.socIland UserZerdnil :1401110ad•Conuperaial. .... .._. .. .SIngle-Family Detaelied ;bilks. * 0 ....... NieliteamilYAttOnlieri 0014.01.UP10/0: '*. 0: NNI(Ifarn0y,Unitia. * 0 • nits. TORN06f U* --1 0 3 . .RadiveibisisOaviatairbsobb:im0#49 .--Riki414,010pitaia )10116O8088. ate- for 1130s0,*:eneent elttpei .:10,vettett a.: Local 0a*riiin4i has paaAakiibitS!ii:::iiiilitai , er for g'gigsi-:161600.1.40Y440. 0440.*.ii***:0*.r000110. '*. ;deitmo by local govetnnte4 'fin:rimier:Or When:v.17e input Into the,Ciale the: netdifference:between'ilet °glint --Oilatl'ii(i4cs..ai. oats Ablibe..604•00004*004.itbbita.. 00* 'en e#042.040(00.-01* 01.:ki80t77 .09Aliti;froglexeloptifent. The holey groposed,0419P:Mot:Ofis fai40jorni units tooel#000t.tte9tene0Okeligirti:fri thiitMs,(iet difforoncebekeolthic-Munitsivoskittless, 1fi9nvyprogosed4unita • • - ' .:' Required Rel.ds: forApplication LUdia A, Doughedy, Esti, tt*nor(s)fAttorney/Applicanflieme g.tidg, OF FLORIDA COUNTY OF MIAMI-DADE .0wilei(s)iAtiorbsy/Apiitiaait Signbbite . fititigOititwas aalloWlOg• 04.1,1400.**P C-PV daYbf by .1,ticia A.. PeuilhOft• Esquire i,la(nykstdividualltiartner/#gasitkorOpatiiiii of a(n) indiyidkiatt.pasisies',040,/atirlii0t1.00: Ole Pr OlcillBs' rochweit :aeldetilifibotion and *rhif...r.littliti.d.:446rao.iinla.alli,.• AFFIDAVIT OF AUTHORITY TO ACT Before me this day, the undersigned personally appeared Lucia A. Dougherty , who being by me first deposes and says: 1. That he/she is the owner or the legal representative of the owner, submitting the public hearing application as required by the Code of the City of Miami, Florida, affecting the real property located in the City of Miami, as listed on the foregoing pages. 2. That all owners who he/she represents, if any, have given his/her full and complete permission for him/her to act in his/her behalf for the change or modification of a classification or regulation of zoning as set out in the foregoing petition, x including or ❑ not including responses to day to day staff inquires. 3. That the foregoing and following pages are part of this affidavit and contain the current names, mailing addresses, telephone numbers and legal descriptions of the real property of which he/she is the owner or legal representative. 4. That the facts, as represented in the application and documents .submitted in conjunction with this affidavit, are true and correct. Further Affiant sayeth not. Lucia A. Dougherty Applicant(s) Name Applican(s)`'Signature STATE OF FLORIDA -- COUNTY OF MIAMI-DADE The foregoing was acknowledged before me this ii" day of )7Lay 20 !L� , by Lucia A. Dougherty who is a(n) individual/partner/agent/corporation of a(n) individual/partnership/corporation. He/She is personally known to me or who has produced as identification and who did (did not) take an oath. (Stamp) Note I - of Florida tMy Commission Expires Sep 17, 2010 Commission # DD 553129 Bonded By National Notary Assn, Rev. 12-16-08 Nassau Block GV Nassau LLC - Owner/Contract Purchaser 3440 Florida Avenue - Folio No. 01-4121-007-3510 3361 Hibiscus Street - Folio No. 01-4121-007-3560 3422 Florida Avenue - Folio No. 01-4121-007-3490 3415 Grand Avenue - Folio No. 01-4121-007-3650 Nassau Development of Village West Corp- Owner/GV Nassau LLC as Contract Purchaser 3400 Florida Avenue - Folio No. 01-4121-007-3470 3412 Florida Avenue - Folio No. 01-4121-007-3480 3441 Grand Avenue - Folio No. 01-4121-007-3630 3461 Grand Avenue - Folio No. 01-4121-007-3610 George A. & Dazelle Simpson -Owner/GV Nassau LLC as Contract Purchaser 3472 Florida Avenue - Folio No. 01-4121-007-3550 3485 Grand Avenue - Folio No. 01-4121-007-3580 Stirrup Properties Inc. - Owner/GV Nassau LLC as Contract Purchaser 3495 Grand Avenue - Folio No. 01-4121-007-3570 Paradise Island Development Corporation- Owner/GV Nassau LLC as Contract Purchaser 3475 Grand Avenue - Folio No. 01-4121-007-3590 3401 Grand Avenue - Folio No. 01-4121-007-3660 Andros Development Corp.- Owner/GV Nassau LLC as Contract Purchaser 3471 Grand Avenue - Folio No. 01-4121-007-3600 MIA 180,414,289v1 2-2-09 DISCLOSURE OF OWNERSHIP 1 List the owner(s) of the subject property and percentage of ownership. Note: The Miami City Code requires disclosure of all parties having a financial interest, either direct or indirect, with respect to a presentation, request or petition. Accordingly, disclosure of shareholders of corporations, beneficiaries of trusts, and/or any other interested parties, together with their address(es) and proportionate interest are required. Please supply additional lists, if necessary. Owner's Name(es) GV Nassau, LLC- Percentage of Ownership See attached Exhthbit nCn Subject Property Address(es) 3340 Florida Avenue and 3361 Hibiscus Street. 3415 Grand Avenue and 3422 Florida Avenue 2. List all street address(es) and legal description(s) of any property located within 500 feet of the subject property owned by any and all parties listed in question #1 above. Please supply additional lists, if necessary. Street Address(es): Legal Description(s): None x (, ( rat vIreV Owner(s) or Attorney Name Owner(s) or Attorney Signature STATE OF FLORIDA -- COUNTY OF MIAMI-DADE The foregoing was acknowledged before me this 20 (v , by G.N.1 Ni Ct.`-3 t't LA. , a(n) individual/partner/agent/porporation of individual/partnership/corporation (He is per Wally known to e or who has produced as identification and who e icl-not)to a h. (Stamp) MARGARET NEE MY COMMISSION # DO 951740 * EXPIRES; February 23, 2014 Bonded Thor Budget Notary Semces ark day of r7 CAak Signature who a(n) is Rev. 12-16-08 EXHIBIT "C" Entity GV Abaco, LLC GV Nassau, LLC GV Freeport, LLC GV Grand Bahama, LLC GV Bimini, LLC GV Paradise, LLC Ownership Structure - GROVE VILLAGE PROJECT Percentage 100% 100% 100% 100% 100% 100% Owner Grove Village LLC Grove Village LLC Grove Village LLC Grove Village LLC Grove Village LLC Grove Village LLC Entity Grand Avenue, LLC 32-232118 3250 Mary Street #100 Miami, FL 33133 DFG1, LLC 05-0582333 3250 Mary. Street #100 Miami, FL 33133 Continental Citrus Corp. 59-0850478 3250 Mary Street #100 Miami, FL 33133 Property Finance Corp. 59-1150689 3250 Mary Street #100 Miami, FL 33133 Sandhill Realty, LLC 20-3536928 3250 Mary Street #100 Miami, FL 33133 18 Nonantum, LLC 20-3987320 3250 Mary Street #100 Miami, FL 33133 Ownership of Percentage 35.403975% 5,449736% 29.223949% 5.018640% 10.492523% 14.411177% 100.000000% Grove Village LLC Owner William L. Driscoll Oliver Street Partners LLP Peter C. Gardner Beau Gardner Courtney Berry Frank C. Gardner W. John Driscoll Trust fbo Rudolph W. Driscoll Jr. John B. Driscoll William L. Driscoll Elizabeth D. Hlavaka Margaret L. Driscoll W. John Driscoll Frank C. Gardner Percentage 54.545455%. 45.454545% 50% 5% 13% 8% 8% 8% 8% 50% 50% Frances G. Gardner 25% Peter C. Gardner 19.50% Elizabeth Gardner Berry 19.50%. Thomas M. Gardner 19.50% Peter Gardner GST Trust 5.50% Elizabeth Gardner Berry GST Trust 5.50% Thomas M. Gardner GST Trust 5.50% Peter C. Gardner 100% 111111111111111111111111111111111111111111111 EQ/JCM QCD Miami 0152389778887.8977991 This Document has been prepared by: Egramul I. Chowdhury, J.D, The Law Office of JULIO C. MARRERO & ASSOCIATES, P.A. 3850 Bird Road, Penthouse 1 Miami, Florida 33146 Tel,: (305)446-0163 egramul (a7imarrero reale sta tel aw, com Folio#: 01-4121-007-3650 C-Fhl 2C)01WW1? 72 394 DR Bk 2682S Pas 4073 — 40744 (2ti'as) RECORDED 04/15/2009 11:13135 DEED DOr. TAX 1f820.40 SURTAX 1,365.30 HARVEY RUVIIJr CLERK OF COURT MIAMI--DADE CDUNTYr FLORIDA The above space is reserved for the Miami - Dade County Clerk of Courts QUIT -CLAIM DEED THIS QUIT -CLAIM DEED, executed this 15h day of JANUARY, 2009 by S&G FINANCIAL SERVICES OF SOUTH FLORIDA, INC., a Florida corporation whose post office address is 3850 Bird Road, Suite #903, Coral Gables, FL 33146 Grantor, to CG 3415 GRAND, LLC, a Florida limited liability company whose post office address is 3850 •$ird Road, Penthouse One, Coral Gables, FL 33146, Grantee. WITNESSETH, that the said Grantor, for and in consideration of the sum of TEN ($I0.00) DOLLARS, and other good and valuable considerations, in hand paid by the said Grantee, the receipt whereof is hereby acknowledged, does hereby remise, release and quit -claim unto the said Grantee forever, all the right, title, interest, claim and demand which the said Grantor has in and to the following described lot, piece of parcel of land, situate, lying and being in Miami -Dade County, Florida, to -wit: Lot 19, less the South 10 feet thereof, Block 23, FROW HOMESTEAD AMENDED, according to the plat thereof, as recorded in Plat Book B, Page 106, of the Public Records of Miami -Dade County, Florida. a/k/a 3415 Grand Avenue, Miami, FL 33133 Folio#: 01-4121-007-3650 TO HAVE AND TO HOLD the same together with all and singular the appurtenances thereunto belonging or in anywise appertaining, and all the estate, right, title, interest, lien, equity and claim whatsoever of the Grantor, either in law or equity, to the only proper use, benefit and behalf of the said Grantee forever. IN WITNESS WHEREOF, the undersigned has signed and sealed these presents the day and year first above written. [SPACE LEFT INTENTIONALLY BLANK, SEE SIGNATURE PAGE BELOW] 2- Book26828/Page4073 CFN#20090272894 Page 1 of 2 OR BK 24B28 PG 4074 LAST PAGE EQ/JCM QCD — Miami 0152389778887.8977990 Signed, sealed and delivered in the presence of: S&G FINANCIAL SERVICES OF SOUTH FLORIDA, INC., a Florida corporatio Witness: BY: JOR G • CERAN ITS: PRES Prin ®d Name of4itness ` re: �it_.£�. Witnesss•, —f t 7G• it`I Printed Name of Witness Here: NOTARY. CERTIFICATE STATE OF FLORIDA COUNTY OF MIAMI-DADE jj I HEREBY CERTIFY, that on this 1 hr day of JANUARY, 2009 before me, an officer duly authorized in the State and County aforesaid to take acknowledgments, personally appeared JORGE GALCERAN AS PRESIDENT OF S&G FINANCIAL SERVICES OF SOUTH FLORIDA, INC., a Florida corporation, to me known to be the persons described in and who executed the attached QUIT -CLAIM DEED and that he/she/they acknowledged before me that he/she/they execute he same. I relied upon the following forms of identification of the above named person(s): AJ IJkk .' ) t1P C and that an oath was/was not taken. WITNESS my hand and official seal in the County and State last aforesaid 1 ' day of JANUARY, 2009. (Seal) My Commission Expires: EQRAMUL I. CHOWDHURY 1rib Comm# DD0686039 Expi 1 %,,I r, n Florida llotary Asses n., Inc Book26828/Page4074 CFN#20090272894 Page 2 of 2 Tax Folio No. 01-4124-007-3560 Grantee(s) Social Security No(s) This instrument prepared by: Michael C, Slotnick, Esq. Law Offices of Henry A. Lopez-Aguiar 9415 Sunset Drive, Suite 119 Miami, FL 33173 WARRANTY DEED 111111 1111 1111111111 1 111111111111111111111111 CFN 2008R0247943 DR Bk 26288 Pa 2926P (loa) RECORDED 03/26/2008 11:46149 DEED DOC TAX 3,300.00 SURTAX 2,475.00 HARVEY RUVIN, CLERK OF COURT NIANI-DADE COUNTY, FLORIDA LAST PAGE THIS WARRANTY DEED Made this March 25, 2008 by DAVID M. PORTER, JR., a single man, whose post office address is 7104 Westwind Dr., Bowie, MD 20715 ("Grantor"), to CG SSP, LLC, a Florida limited liability company, whose post office address is 8211 West Broward Blvd,, , PH-2, Plantation, FL 33324 ("Grantee"). WITNESSETH: That the Grantor, for and in consideration of the sum of $10.00 and other good and valuable considerations, receipt whereof is hereby acknowledged hereby grants, bargains, sells, aliens, remises, releases, conveys and confirms unto the Grantee, the following described land: Lot 10, Block 23, of AMENDEDfAT OF THE FROW HOMESTEAD, according to the plat thereof, as recorded in Plat Book "B", Page 106, of the Public Records of Miami -Dade County, Florida. TOGETHER with all the tenements, hereditaments and appurtenances thereto belonging or in anywise appertaining. TO HAVE AND TO HOLD, the same in fee simple forever. AND the Grantor hereby covenants with the Grantee that the Grantor is lawfully seized of said land in fee simple; that the Grantor has good right and lawful authority to sell and convey said land; that the Grantor hereby fully warrants the title to said land and will defend the same against the lawful claims of all persons whomsoever; and that said land is free of all encumbrances, except taxes accruing subsequent to December 31, 2007, and restrictions and easements of record, if any. IN WITNESS WHEREOF, the Grantor has signed and sealed these presents the day and year first above written. Signed, sealed and delivered in our presence: 4 '. batC. Name: Michael C. glornl�k Name: KM() ,4.s e" DAVID M. PORTER, JR, STATE OF FLORIDA COUNTY OF MIAMI-DADE a4471 • 4.4 The foregoing instrument was acknowledged before me this 25th day of March, 2008, by DAVID M. PORTER, JR,, a single man, (X) who is (are) personally known to me or ( ) who has (have) produced as identification. Mc* idsscs "• MyCOmmissiCoD0$ N3 4ryll'', Expires November OS. 2008 444 0.4.t, G. $t.)4vs004 NOTARY PUBLIC, State of Florida at Large My commission expires: Book26288/Page2926 CFN#20080247943 Page 1 of 1 • PLEASE RETURN TO: Shepard & Leskar, P.A. WIG 100 NW 70th Avenue Plantation, FL 33317 01,1* 111111111111111111111111111111111111111111111 CFN 2007R0788532 OR OK 25844 Fss 2323 - 23241 (2P95) RECORDED OE/09/2007 04:01:55 DEED DOC TAX 2r146.00 HARVEY RUVIN, CLERK, OF COURT MIAMI-DADE COUNTY, FLORIDA Prepared By: Barbara Nash Buyer's Title, Inc. 100 NW 70th Avenue Plantation, FL 33317 incidental to the issuance of a title insurance policy. File Number: 07-1334 Parcel ID #: 01-4121-007-3510 SPECIAL WARRANTY DEED (CORPORATE) This SPECIAL WARRANTY DEED, dated June 2.D . 2007 by National Asset Direct Acquisition 2, LLC, a Delaware limited liability company by Integrated Asset Services, Inc., as Attorney -In -Fact whose post office address is: 4600 S. Syracuse Street, Suite 700, Denver, CO 80237 hereinafter called the GRANTOR, to CG 3440 Florida, LLC, a Florida limited liability company whose post office address is: c/o Pointe Group Management, 2840 SW 3n" Avenue, Suite 100, Miami, Florida 33129 hereinafter called the GRANTEE: (Wherever used herein the terms"GRANTOR" and "GRANTEE" include all the parties to this instrument and the heirs, legal representatives and assigns of individuals, and the successors and assigns of corporations.) WITNESSETH: That the GRANTOR, for and in consideration of the sum of $10.00 and other valuable considerations, receipt whereof is hereby acknowledged, hereby grants, bargains, sells, aliens, remises, releases, conveys and confirms unto the GRANTEE, all that certain land situate in Mlaml-Dade County, Florida, viz: Lot 5, Block 23, AMENDED PLAT OF FROW HOMESTEAD, according to the plat thereof, as recorded in Plat Book B, Page 106, of the Public Records of Miami -Dade County, Florida. SUBJECT TO covenants, conditions, restrictions, reservations, limitations, easements and agreements of record, if any; taxes and assessments for the year 2007 and subsequent years; and to all applicable zoning ordinances and/or restrictions and prohibitions imposed by governmental authorities, If any, TOGETHER with all the tenements, hereditaments and appurtenances thereto belonging or in anywise appertaining. TO HAVE AND TO HOLD, the same in fee simple forever. AND THE GRANTOR hereby covenants with said GRANTEE that it is lawfully seized of said land in fee simple; that it has good, right and lawful authority to sell and convey said land; that it hereby fully warrants the title to said land and will defend the same against the lawftrl claims of all persons claiming by, through or under the said GRANTOR. Book25844/Page2323 CFN#20070788532 Page 1 of 2 k OR BK 25844 PG 2Z324 LAST PAGE IN WITNESS WHEREOF, GRANTOR has signed and sealed these presents the date set forth above. SIGNED IN THE PRESENCE OF THE FOLLOWING WITNESSES: Signature:. Print Name: Signature: Print Name: State of Colorado County of National Asset Direct Acquisition 2, LLC G By Kathryn L. Berthiaume, as Vice President of Integrated Asset Services, Inc., as Attorney -in -Fact THE FOREGOING INSTRUMENT was sworn and acknowledged before me on June)64 2007 by: Kathryn L. Berthiaume, as Vice President of Integrated Asset Services, Inc., as Attorney -in -Fact for National Asset Direct Acquisition 2, LLC, a Delaware limited liability company on behalf of the company. She is personally known to me or who has produced a driver's license as identification. Signature: cj LGI C/YI �i WS} �f Print Name: €/4/h g A L"/ Book25844/Page2324 CFN#20070788532 Page 2 of 2 111111111111111111111111111111111111111111111 This Instrument Prepared by: Ellen Rose, Esquire Katz, Barron, Squitero & Faust, P.A. 2699 South Bayshore Drive, 7th Floor Miami, Florida 33133 Folio No. 01-4121-007-3490 CFN 2OO9RO182335 DR f<R 26785 Pas 1491 - 1492; (2Pas) RECORDED 03/12/2009 12:300:40 DEED DOC TAX 27580.00 SURTAX 1,935,0O HARVEY RUVIN, CLERK OF COURT MIAMI-DADE COUNTY, FLORIDA The Space Above This Line for Recording SPECIAL WARRANTY DEED This SPECIAL WARRANTY DEED is made as of February 6 / , 2009 by SANDHILL REALTY, LLC, a Delaware limited liability company, whose address is 8211 W. Broward Boulevard, Penthouse 2, Plantation, Florida 33324 ("Grantor") to GV NASSAU, LLC, a Florida limited liability company, whose address is 8211 W. Broward Boulevard, Penthouse 2, Plantation, Florida 33324 ("Grantee"): Witnesseth: That Grantor, for and in consideration of the sum of TEN AND NO/100 DOLLARS ($10.00) and other valuable consideration paid to Grantor by Grantee, the receipt and sufficiency of which are hereby acknowledged, has granted, bargained, sold and conveyed, and does hereby grant, bargain, sell and convey, to Grantee and Grantee's successors and assigns forever, the following described land, situate, lying and being in MIAMI-DADE, Florida (the "Property"): Lot 3, Block 23, FROW HOMESTEAD, according to the Plat thereof, as recorded in Plat Book "B", at Page 106, of the Public Records of Miami -Dade County, Florida. TOGETHER WITH, all the easements, tenements, hereditaments and appurtenances belonging to the Property; and . TO HAVE AND TO HOLD the same in fee simple forever. This conveyance is made subject to: (a) Taxes for the year 2009 and subsequent years. (b) Restrictions, easements and limitations of record, if any, without reimposing same. GRANTOR specially warrants the title to the Property, and will defend it against the lawful claims and demands of all persons claiming by, through or under Grantor, but against none other. Book26785/Page1491 CFN#20090182835 Page 1 of 2 OR BNB 267'85 PG 1492 LAST PAGE Grantor has duly executed this instrument as of the date hereinabove written. Signed, sealed and delivered in the presence of: Print Name: SANDHILL REALTY, LLC, a Delaware limited liability company -AL ‘xa,-. Ca L - 7 ►'- PETER C. GARDNER, Manager STATE OF FLORIDA COUNTY OF MIAMI-DADE The foregoing instrument was sworn to and acknowledged before me this i day of i`Ci6P 2009 by Peter C. Gardner, as Manager of SANDHILL REALTY LLC, a Delaware limited liability company, on behalf of the company. He is ,personally known to me. Morgaret Nee )`00522106 '�a9� Commission # ••. •'eExP� fires: FEB. 23, 2010 •....e, �Fiipt ttt www.AARON-OTARY.com H:\LIB\DOCS\07302002\LOANDOCSU25082.DOC NOTARY PUB R - STATE OF FLORIDA My Commissi n xpires: Book26785/Page1492 CFN#20090182835 Page 2 of 2 DISCLOSURE OF OWNERSHIP The foregoing was acknowledged before me this cF day of 20 j�l , by 1,r'z Cow,-�� who - is a(n) individual/partn-I • , orporation of a(n) Individual/partnership/ rpo ati•.n. He/She is • known to me or who has produced as identification and who did ( (Stamp) 1 List the owner(s) of the subject property and percentage of ownership. Note: The Miami City Code requires disclosure of all parties having a financial interest, either direct or indirect, with respect to a presentation, request or petition. Accordingly, disclosure of shareholders of corporations, beneficiaries of trusts, and/or any other interested parties, together with their address(es) and proportionate interest are required. Please supply additional lists, if necessary. Owner's Name(es) Nassau Dev of Village West Corp. Percentage of Ownership See attached Exhibit "D" provided by owner Subject Property Address(es) 3400, 3412 Florida Ave, 3441, 3461 Grand Avenue, 2. List all street address(es) and legal description(s) of any property located within 500 feet of the subject property owned by any and all parties listed in question #1 above. Please supply additional lists, if necessary. Street Address(es): Legal Description(s): None Owners) . •'ar' •y Name O nery Signature STATE OF FLORIDA -- COUNTY OF MlAM1-D •ICE ersonall .. no`) take an oath. Signer! "£bslSB@a•ea ea as aaac eeoeaeo aaeaeaoo aeno® QRAMUL I. CHOWDHURY sti4Comm# DD0686039 �� Expires 6Me/Y2M1118-Cie Florida Notary Assn., Inc a3546555VM1404§Uaaae eaeeoeaaaeaoaaaseaea EXHIBIT "D" TO DISCLOSURE OF OWNERSHIP FORM: Florida Entity Name: Nassau Development of Village West Corporation, a Florida corporation 100% fee owner of that certain real property located at: 1, 3461 Grand Avenue, Miami, FL; Folio#: 01-4121-007-3610 2, 3441 Grand Avenue, Miami, FL; Folio#: 01-4121-007-3630 3, 3412 Florida Avenue, Miami, FL; Folio#: 01-4121-007-3480 4, 3400 Florida Avenue, Miami, FL; Folio#: 01-4121-007-3470 Entity Shareholder Breakdown: Julio Marrero 45% 27 out of 60 total shares issued Orlando Benitez 45% 27 out of 60 total shares issued Phillip Muskat 10% 6 out of 60 total shares issued arc: r19020Pf 2647 This instrumcnt.Pr{pilled By, Nancy C.'hiofalo Record and Return In: [i v Title 6'c Etterow In.:. 271> East Oakland Park Boulevard Furl Lauderdale. Florida :13306 Agent Ftle No.: 99-3-18 /' :. c' l IJPur{17rarrr.,n ;slumber • it /..r / , l-111i7. •14 7ur i 481r WW'.4RRAIVTYDEED OCIR 1 ib 117 2000 MAR i0 i4�38 HARVEY RUVIHr54CLERKBDADE COUNTY, FL ' I'af'F nnovu TIUIC 1 INF Ff. If RRI..'eoff-tn•:v. nATA THIS INDENTC/RE, made this 25 day ofnet:e nther. 1999, between Guillermo Guerr.:ro, a married mun, GRAI4TOR•. whose address is Calle Atli Stieet l[rR 143743. Bogota. C:nlumbia , and ( $y�'`(�.-!•a.(�aOS'1� � rt� _fit>C�ln whose vddreaa is 33ut1 Florida Avenue. Miami, Flnnda `11..;.iiii,A`N IF (Vhei s t' used hri rill the tcnu.+"tlsuulol ' and 'tirantet"'than include all the parncs to this instrument and heirs. labial teOreae natives, and asalglrs of individuals, arrd the F11c:ea5l La Jad ass igu8 uCaulporMIiuun.) FF7 TNVESSETi/. That said Grantor, for and ui consider anon of the swnot-TEN AND 00/100 t5111.0u) TNT. LABS and oilier good and valuable coiwideration, to said Glamor hi hand paid by said Crimes. the receipt whereof is hereby acknowledged, hereby grams, bargains, sells, aliens. remises. releases. tunveys and confirms unto the Grantee and Grantee's heirs. successors and asaIgns forever the,fullowuig described land located Li the Cnuuty of Miami -Dade. State of Florida, ro-wit: Lot 1. Block 23. FROW HONI STEAD, tecardtua to the Plat thereof as recorded in Plat Book "B" Page 106, or the Public Records nr Dade County, Flnrido. Subject Property Is not the lloinestemd of Grantor herein nor is it adjacent or eonttguous'thereto. C:rumor resides of Calle Ntlt Street NUR rr11J3, Bogota. Columbia St:BJBcI' TO J11 restrict r escrc•anvn' end easements o frevord. it arty: honing restrictions .nd prohibitions itllposed I.y governmental uuthorin', and roves 1 n the year 10901ust yet due and payable. ToGETNER Fr7FN all the Ion hrrediranu nth and appurtenances thereto belonging ur in anywise appertaining. TO H.s I'R AND TO HOLD the same w fee simple farrver. AND THE SAID t;IZ•INToR does hereby COVe110111 with the said Chance that that:halltol' is 1Jwdb11y sewed nt'wad land ,n ire simple. lharthe Grantor has good right and Iaw1lil aurhorlry w sell mud c•otivey said land. end Iteiehy billy wan'auta the Mk to .a.id laud and will defcud the saint against the lawful'elainie of all persmu w•hollunever. IA' m'iTNESS llVIREOF. fin antor has hereunto set Grantor's hand and seal this day and year lira aboe'1•'1 Men. Su n' n Ind • nd del vo r:d o the preA ace 'i : • ir ure cas SII!`�r Gt Os' iK Fruited Signature Witness Signature Printed SIgnantrr STATk. 0If Bogota COUNTY OF O co •6VE& The fort:going in.lnlmrnl wa<.eel.ntoaledeedbefore rue lids Z.i day oiDacember, 1999. byGuillermo olGuerrero. I,ins r tied Man who ,•d I 1 .,n• personally known io me nt f i pi odue--as ler SF..'U- / Nolar �t,uinue y � 4 Pnnted Notary Sa1nauue .My Cutiuuuisluu 6•ci1i1oe: amucevringirr:-;:•:.z*gm.zr1. , M.A. BEATRIZ SANINPOSADA NOTARIA 35 DEL CIRCULO DE SANTA FE DE BOGOTA , D.C. COLOMBIA AUTENTICACION 17-7 FIRMA hi —21 e c 6..V-• Jifiertern1 , • —0(nt, tonatlfIcado con 5.192. 5f9 V • y nun:testa que Ia Elena que sperm:en ocurnento as la auyo. En conatencla, firma nuevamanta. .044.9MIDTIVITIY.1,7i,':" .; '7...?Zre....f:.-Me16-3, M.A. BEATRIZ SANINPOSADA • NOTARIA 35 C.Li. CIRCULO DE SANTA FP DE BOOM A , DC- COLONIDIA rack:. (..,_54-ar Pi-/14,4,....., I .1 U TIC N 1:-E FIRMA Idnntlacado con /9 . 3)40PR e k y man:fent() quo la firma quo cpereca en tete dOCUITIent0 CZ la sup. En cora:Um:la, firma nuevarnants. ..... 1 1:•P 14.4' ti 1, ..••'' :','' ' l':11 :ilk ,L M.A. BEIR ANIN POSADA Huulla i':•„_ OT IA • if ..••z ...11:17(4547=Xp=6.14,„,AP-tV4AW6M7.-•.,..• triFrar:177T.7 M.A. BEATRIZ SANIN POSADA NOTARIA 36 D'a CIRCULO DE SANTA FF, DE BOGOTA D.C. COLOMBIA A gliTtriTeA FifthIgi El din ecki 474, ad I IdenlIncado cod it/ • 90 • AvA' y men:recta que b time que apareee en a este documinto eo to sup). En conManda. firma nuavamante. RECORDERS NOTE: The legibility of writing, typing or prinling unsatis- factory in this document when received, RECCRCED CY FICIAL.cceos nooK (Y DADE COLA171,, FLOW& RECQR0 VERIFIED HARVEY RUVIN CLERK CIRCUIT COURT 1111111111111111111111111111111111111 li11 1111 Prepared by and return to: IVETTE RODRIGUEZ, P.A. 201 Alhambra Circle, Suite 500 Coral Gables, FL 33134 File Number: Laroye 3412 Will Call No.: [Space Above This Line For Recording Data] Quit Claim Deed C:IFM 2004P(0626362 OR Bk 22514 F'ss 0402 - 404°r (3ass) RECORDED 07/26/2004 11:27:43 DEED DOC TAX 1e050d00 HARVEY RUVII'4, CLERK OF COURT MIAMI-DADE COUNTY, FLORIDA This Quit Claim Deed made thist. day of July, 2004 between L.V. Investments, Inc., a Florida Corporation, LAROYE INVESTMENTS, INC., a Florida Corporation and HUNDRED INVESTMENTS, INC., a Florida Corporation whose post office address is 8461 Grand Canal Drive, Miami, FL 33144; 4271 SW 75th Avenue, Miami, Florida 33155; and 8591 NW 186th Street, #103, Miami, Florida 33015, grantors, and NASSAU DEVELOPMENT OF VILLAGE WEST, CORP., a Florida Corporation whose post office address is 2903 Salzedo Street, Coral Gables, FL 33134, grantee: (Whenever used herein the terms "grantor" and "grantee" include all the parties to this instrument and the heirs, legal representatives, and assigns of individuals, and the successors and assigns of corporations, trusts and trustees) Witnesseth, that said grantor, for and in consideration of the sum TEN AND NO/100 DOLLARS ($10.00) and other good and valuable consideration to said grantor in hand paid by said grantee, the receipt whereof is hereby acknowledged, does hereby remise, release, and quitclaim to the said grantee, and grantee's heirs and assigns forever, all the right, title, interest, claim and demand which grantor has in and to the following described land, situate, lying and being in Miami -Dade County, Florida to -wit: Lot 2, Block 23, amended plat of the FROW HOMESTEAD, according to the Plat thereof as recorded in Plat Book "B", Page 106, of the Public Records of Miami -Dade County, Florida. Parcel Identification Number: 01-4121-007-3480 This Quit Claim Deed has been prepared without the benefit of a Title Search or Title Examination and is based solely on the information provided by the Grantors. To Have and to Hold, the same together with all and singular the appurtenances thereto belonging or in anywise appertaining, and all the estate, right, title, interest, lien, equity and claim whatsoever of grantors, either in law or equity, for the use, benefit and profit of the said grantee forever. In Witness Whereof grantor has hereunto set grantor's hand and seal the day and year first above written. [Signature pages and Notary Pages are on the 2nd and 3rd page of the Quit Claim Deed] Doubler:mos Book22514/Page402 CFN#20040626362 Page 1 of 3 Signed, sealed and delivered in our presence; ~ WitfiessName; J•y`a ..r i - • .LI.6.16, �r. Witness Name; ii^llig m04.,.6 State of Florida County of Miami -Dade L.V. INVESTMENTS, INC., a Florida Corporation Luis Valdeon, President (Corporate Seal) INC. Gonza ez resi. ent (Corporate Seal) HUNDRE BSTMEN By: A. Hernandez, President (Corporate Seal) The foregoing instrument was acknowledged before me this ( day of President of L.V, INVESTMENTS, INC,, a Florida Corporation, on behalf o me or [X] has produced a driver's license as identification, [Notary Seal] ivette Rodriguez . ,,,PPY ALk _? ;-'- `.': Commission #DD174839 -.:. ��"= Expires: Feb 01, 2007 .A. Q. :,l'ioi F�oQ�' Bonded Thru ",,1" Atlantic Bonding Co., Inc. Quit Claim Deed - Page 2 Notary Pu Printed N My Co. xpires; J by Luis Valdeon, ion. He [_] is personally known to DoubieTimeo Book22514/Page403 CFN#20040626362 Page 2 of 3 OR BK 22 514 PG 0404 LAST PAGE r • State. of Florida County of Miami -Dade The foregoing instrument was acknowledged before me this IV day • j ;r , 204 by Miguel A. Hernandez, President, who L] is personally known or [X] has produced a cation, [Notary Seal] lvette Rodriguez 1,pY PI/B €;: ��: Commission #DD174839 `. kv.:* � Expires: Feb 01, 2007 °' Bonded Thru !p?F OF f�oQ�: '',,,liov Atlantic Bonding Co., Inc. State of Florida County of Miami -Dade The foregoing instrument was acknowledged before me this NI day of President of LAROYE INVESTMENTS, INC., on behalf of the corpora [X] has produced a driver's license as identification. [Notary Seal] Quit Claim Deed - Page 3 vettte Rodriguez Commission #DD174839 f1.�Pp` '"Expires: Feb 01, 2007 ` Bonded Thru Atlantic Bonding Co., Inc Notary Pub Printed My C pines: viby Yvette Gonzalez, nally known to me or Doublerlmea Book22514/Page404 CFN#20040626362 Page 3 of 3 1111111111111111I 1111111111111111111111111111 THIS INSTRUMENT PREPARED BY: MARIO VELEZ, ESQUIRE 10030 BIRD ROAD, Suite "B" Miami, Florida 33165 Real Estate Tax Folio No.: 01-4121-007-3610 +GF N 2C)C) RO89754. OR 8k 21876 Pas 2325 - 2326; (lass) RECORDED 12/05/2003 12:28:20 DEED DOC TAX 2,715.00 SURTAX 2r036,25 HARVEY RUVI'Nr CLERK OF COURT MIAr1I-DADE COUNTYr FLORIDA WARRANTY DEED (STATUTORY FORM - SECTION 689.02 F.S.) THIS INDENTURE, made this 4th day of December, 2003 BETWEEN: Mario Velez and Angel Aponte, constituting the majority of the surviving directors and as trustees of BUY RITE MEATS #3 INC., A Dissolved Florida Corporation grantor*, and NASSAU DEVELOPMENT OF VILLAGE WEST, CORP., A Florida Corporation whose post office address is: 2903 Salzedo Street, Coral Gables, FI. 33134 Grantee. That said grantor, for and in consideration of the sum of TEN DOLLARS ($10.00) and other good and valuable considerations to said grantor in hand paid by said grantee, the receipt whereof is hereby acknowledged, has granted, bargained and sold to the said grantee, and grantee's heirs and assigns forever, the following described land, situate, Tying and being in Miami -Dade County, Florida, to wit: Lots 15 and 16, less the South 10 feet thereof, Block 23 FROW HOMESTEAD AMENDED, according to the Plat thereof, as recorded in Plat Book "B" at Page 106 of the Public Records of Miami -Dade County, Florida. Subject to restrictions, reservations, easements, dedications, rights -of -way and limitations of record, if any, provided that this shall not serve to reimpose same, zoning ordinances, and taxes for the current year and subsequent years. { ob act. Except for the claims of Angel Arias Et.al. v. Alcides Velez etc.vpending under Case Number 03-21460 CA 01 in the Circuit Court in and for Miami -Dade County, Florida said grantor does hereby fully warrant the title to said land, and will defend that same against the lawful claims of all persons whomsoever. *"Grantor" and "grantee" are used for singular or plural, as context requires. Warranty Deed Page 1 Book21876/Page2325 Page 1 of 2 , OR Bk 21876 PG 2326 LAST PAGE IN WITNESS WHEREOF, Grantor has hereunto set grantor's hand and seal the'day and year first above written. Signed, sealed and delivered in the presence of: rint Name Witness ®,e4,es(Print Name) Witness STATE OF FLORIDA ) ss COUNTY OF MIAMI DADE A:fg BUY RITE MEA #3;INC43'i4 -• A ' ! solved Flor da Corpor igrin `.,���,.� , • yt;11:Aili::.... i; Velez as Tru ving Director, Add- . 130 S1N •- t., # B, Miami, Fl.(ci 5 npontTrustee and surviving Dire for Add: 9240 SW 68 St. Miami, FI. 33173 The foregoing instrument was acknowledged before me this 4th day of December, 2003 by Mario Velez, and Angel Aponte constituting all of the surviving directors and as trustees of BUY RITE MEATS #3 INC., A Dissolved Florida Corporation who are personally known by me or who have each produced a Florida driver's license as proof of identification and who did not taa ath. ARY P IC My commission expires: O^" SISMAYTORRES %.4 MY COMMISSION # OD 242314 EXPIRES: September21, 2007 PF„M1 eiramTh. Nora P 61 c Undenviiters Warranty Deed Page 2 Book21876/Page2326 Page 2 of 2 DISCLOSURE OF OWNERSHIP 1 List the owner(s) of the subject property and percentage of ownership. Note: The Miami City Code requires disclosure of all parties having a financial interest, either direct or indirect, with respect to a presentation, request or petition. Accordingly, disclosure of shareholders of corporations, beneficiaries of trusts, and/or any other interested parties, together with their address(es) and proportionate interest are required. Please supply additional lists, if necessary. Owner's Name(es) George A. Simpson & W Dazelle D. Percentage of Ownership 100% Subject Property Address(es) 3472 Florida Avenue, 3485 Grand Avenue, 3325, 3439, 3577 Thomas Avenue, 2. List all street address(es) and legal description(s) of any property located within 500 feet of the subject property owned by any and all parties listed in question #1 above. Please supply additional lists, if necessary. Street Address(es): None Owner" } or Attorney Na e Legal Description(s): Owner(s) or Attorney Signature STATE OF FLORIDA -- COUNTY OF MIAMI-DADE The foregoing w acknowledged before me this► C day of 20 1 o , by � 7,- , 6 e , �t �t 7i-- ' c9 a(n) individual/partner/agent/corpo tton of _ a(n) individu-I/•artnership/corporation, He/She Is _ all_y known to me or who has ro used �...-as identification and why {,did-rttt ath. (Stamp} ,���,P� Margaret Nee '•EYECommission #DD522106 •F'•�1../OFe, Expires; FEB, 23, 2010 WWW.AAflONNOTAAY,com Signature Rev. 12-16-08 03/04/2008 FIRST AMERICAN TITLE [1535] b032 ■.r"Gy PoGw f 1/e91oi 'phis Jndtnbwe, todr tilt dAY nl Dsoidaut: , A. O. i9 la WIN IAes s. MASI, also 1qu4i i as wawa= 1. mks. a widow if 16 t'i' tnh of Dada . In Ow Skin es1 Florida , P+M y .1 M*e Pei part Gttof SCRtti . IImmmo and DAUWi D. 11MQN, bit wife, ,l t6. Calmly of Dade . in Ito Slaty G1 Placid* , *Am. Hoof ei%ko setimst. 3619 Percival Sven*, Coconut Grave Station, Miawi 33, Florida, erd,ea of liar ►not4i part. itlltfitfihb rar6.lii1..al►fpate y ,, a� viI►w jwt pert. tot owl a o.e,Ntwrll«► rj tip. NAM 4 oDolla n hand og hind nerd b Ike a�+i roand ar) coniideration bottom, w e41 nr o., h 4.06y 444. h" a ynintri. i.r.,ln.tf, a"d..0 to ib ma r«/ iAN 4 '4 *mod pawl, their kein lHa ammo 1umw. . tRr folloteloo dkat.WId land. tflwb, Goof 6+rnp In tho Comfy .f Dade +InU of r1atida . it, wit, Lot Sins (9) of Klock lwnby-tbxss (23) of PROW ElOWSKIRAD Afl MDRD, a subdivision lying and being in Dads County, Florida, as shorn in Plat S00% II" at Page 106 of the official and public Records of the Clerk of the Circuit Court, Dade County, rlorida. 4nd t6 said Pori y o1 it. Qdi Poi MID y arty it+.Hsu,t 16e Min tows. *hi will d.1.Ml 1lw sane di,hul Ilw lewlal riiiim el all persona wb.t".eaer. ii Vann Wilierbg, no ..id ,tarty e1 tlw too pert iia s bor•w"...et ber sand !xl ..ol the Jay awl roar Jlivti Aso* written. Slltn „alesi and efrt iwrd in IM offter• ei+ 11At1 19 emir, ,xlt'N'rY t)t 4; r746,..0Zi..>rX'..«t.4...,..... • 1 HU.$*Y csirraY doe M 21. tiny, Woo r, to ,ffkrr *Jo eanbed.ai In the 8i....l.ruai! mi la 0>ra C geeing* .. Wm .w p.ara►' nyysaed WM i. DB, also known as wan= S. tlRait, a wider, and an *4A.a +w ,d lei wit bibs *modin iaa t, loontosst sod OA rd+awlodood Wan on ohm «.mend aG N se. 1� WITNI4S one bend aid .lYlew wee IG rise Coto* sod Soso trot Womb* 81. / �t.+' ..•, iit (ir« December A. D. i9 Cie 4e' e 31' a.e, J gyp. woess ea was MS M. } - T4W2F-7=7 >Erlir&zr)ti vqfgre,-- n e3ssins State of Florida Department of State I certify from the records of this office that GV NASSAU, LLC is a limited liability company organized under the laws of the State of Florida, filed on January 29, 2008. The document number of this limited liability company is L08000010104. I further certify that said limited liability company has paid all fees due this office through December 31, 2009, that its most recent annual report was filed on April 14, 2009, and its status is active. I further certify that said limited liability company has not filed Articles of Dissolution. Given under my hand and the Great Seal of Florida, at Tallahassee, the Capital, this the Twenty Third day of February, 2010 Secretary of State Authentication ID: 700170311247-022310-L08000010104 To authenticate this certificate,visit the following site, enter this ID, and then follow the instructions displayed. https://efile.sunbiz.org/certauthver.html www.sunbiz.org - Department of State Page 1 of 1 FLO R Home A EPA ON OF T> RPOR1 T1. Contact Us E-Filing Services Document Searches Forms Help Certificate of Status Verification Listed below is the current information for the entity for which you are requesting a certificate of status. If this information is what you require for certification, please press the "Continue" button. If you do not wish to continue with this certification, press your browser "Back" button or select to return to the Sunbiz home page. Document Number Corporate Name State of Inc Filing Date Document Status Effective Date Last Trans Date Last Trans Effective Date Last Annual Report Date Last Annual Report Year Cross Reference Name L08000010104 GV NASSAU, LLC FL 01/29/2008 ACTIVE N/A 07/24/2008 N/A 04/14/2009 2009 N/A If this is not the correct information, please hit your browsers' 'Sack' button and enter another document number. Coontnue Home 'I Contact us I Document Searches I E-Filing Services I Forms I Help I Copyright and Privacy Policies Copyright © 2007 State of Florida, Department of State, https://efile.sunbiz.org/scripts/certauthver.exe 2/23/2010 >.AUAN .4nw4 w ♦ pgf),Mk V vd i le V , UT r A 4\ n nl..n4nR n n, n:n i gn n (6i a r IPpartmt nt of #tatr I 11I1111111111111111111111111111111111111111 `-r`'N i) ;4.ko '29'- :9 OR 8k 26505 P s 4278 - 4283; (fags) RECORDED 08/01/20:108 11:58:28 ' HARVEY RUVINr CLERK OF COURT MIAMI-DADE COUNTY? FLORIDA l certify the attached is a true and correct copy of the Certificate of Merger or Articles of Merger, filed on July 24, 2008, for GV NASSAU, LLC, the surviving Florida entity, as shown by the records of this office. The document number of this limited liability company is L08000010104. CR2E022 (01-07) Given under my hand and the Great Seal of the State of Florida at Tallahassee, the Capitol, this the Twenty-fifth day of July, 2008 errziarg- of tate «, ° » v«U«VDU«V U V mV«V "'V' y'U +J�"V� n?nRnnn �nnn nn_.n nnTnnn�nnn�/nnN. nan r 0o CERTIFICATE OF MERGER `' J The undersignedparties have executed this Certificate of Merger "Certificate" `'� � g ( ) ,�� f x�, , 2008, and`hereby state as follows: <'G, 1. Merging Companies. The following limited liability companies (collectively, "7 sometimes referred to as "Merging Companies" and individually as a "Merging Company") are merging into GV NASSAU, LLC, a Florida limited liability company (the "Surviving Company"): a. CG SSP, LLC, a Florida limited liability company; and b. CG 3440 FLORIDA, LLC, a Florida limited liability company. 2. Plan of Merger. The Plan of Merger is attached hereto and made a part hereof. 3. Approval. Approval of the Plan of Merger was obtained by each Merging Company (as described in Paragraph 2 above) in accordance with the applicable provisions of Chapter 608 of the Florida Statutes. 4. Manager. No Manager is a Member of a Merging Company or the Surviving Company. 5. Effective Date. The effective date of the Plan of Merger shall be upon the filing of this Certificate with the Florida Secretary of State in accordance with Paragraph 5 of the Plan of Merger. IN WITNESS WHEREOF, this Certificate of Merger has been executed by the Merging Companies and the Surviving Company as of the date first written above. MERGING COMPANIES: CG SSP, LLC, a Florida limited liability company By: A4-‘ 6111-7041 Peter C. Gardner, Manager CG 3440 FLORIDA, LLC, a Florida limited liability company By: Peter C. Gardner, Manager ti SURVIVING COMPANY: GV NASSAU, LLC,"a Florida limited liability company By: 'i �' "14"'• Peter C. Gardner, Manager W1ER\GARDNER\COCONUTGROVEISLANDPURCHASE\MERGER - GV NASSAU\CERTIFICATE OF MERGER (GV NASSUA).DOC PLAN OF MERGER The Plan of Merger (the "Plan") is as follows: 1. Name and Jurisdiction. The name and jurisdiction of each Merging Company are as follows: a. CG SSP, LLC, a Florida limited liability company; and b. CG 3440 FLORIDA, LLC, a Florida limited liability company. (collectively, sometimes referred to as "Merging Company") 2. Surviving Entity. The surviving entity shall be GV NASSAU, LLC, a Florida limited liability company (the "Surviving Company") 3. Terms and Conditions. The terms and conditions of this Plan are as follows: a. The separate legal existence of each Merging Company set forth under Paragraph 1 hereof shall terminate as of the Effective Date hereof; b. The assets of each Merging Company set forth under Paragraph 1 hereof shall, as of the Effective Date hereof, vest in the Surviving Company c. The liabilities and obligations of each Merging Company set forth under Paragraph 1 hereof shall be the sole responsibility of the Surviving Company; and d. The Surviving Company's Operating Agreement shall be the governing operating agreement. 4. Manner and Basis of Converting Members' Interests. The manner and basis of converting members' interests shall be as follows: a. GROVE VILLAGE, LLC, a Florida limited liability company, and the 100% owner of CG SSP, LLC shall be deemed as of the Effective Date hereof, to have cancelled its 100% interest in such Merging Company without further action and to have its interest represented by its 100% membership interest in the Surviving Company; and b. Continental Citrus Corporation, a Florida corporation and the 100% owner of the membership interests in CG 3440 FLORIDA, LLC shall be deemed, as of the Effective Date hereof, to have cancelled its 100% interest therein without further action and to have its interest represented by a twenty- three percent (23%) interest in GROVE VILLAGE, LLC, a Florida limited liability company, subject to Paragraph 7 hereof, which, in turn, owns 100% interest in the Surviving Company. 5. Effective Date. The Plan shall be effective ("Effective Date") upon the filing of the Certificate of Merger with the Florida Secretary of State. 6. Fair Value. The method of determining the "fair value" as defined in F.S. 608.4351 of an interest in a domestic limited liability company that is a party to this Plan shall be the purchase price of properties acquired by a Merging Company set forth under Paragraph 1 hereof. 7. Other Terms. a. Continental Citrus Corporation, a Florida corporation, has a 23% membership interest in GROVE VILLAGE, LLC which owns 100% of the Surviving Company. Continental Citrus Corporation has an obligation to fund 23% of the equity in GROVE VILLAGE, LLC by contributing cash or property and its 100% interest in CG 3440 FLORIDA, LLC, a Merging Company, and such contribution satisfies part of that obligation. b. A certified copy of the Certificate of Merger shall be filed in the official records of any county in Florida in which a party to this Plan holds an interest in real property. c. The members of each Merging Company set forth under Paragraph 1 hereof waive any and all appraisal rights to which such members are entitled under F.S. 608,4351-608.43595 by approving this Plan. IN WITNSS WHEREOF, this Plan has been executed by the undersigned parties this day of VtiL x , , 2008. MERGING COMPANIES: CO SSP, LLC, a Florida limited liability company Peter C. Gardner, Manager CG 3440 FLORIDA, LLC, a Florida limited liability company Peter C. Gardner, Manager OR BK 26505 PG LAST PAGE SURVIVING COMPANY: GV NASSAU, LLC, a Florida limited liability company Peter C. Gardner, Manager PARTY TO PLAN: CONTINENTAL CITRUS CORPORATION, a Florida corporation By: ft/4--..4"--.07-e-4, Peter C. Gardner, President GROVE VILLAGE, LLC, a Florida limited liability company By: /46 '';'144"' Peter C. Gardner, Manager W;\ER\GARDNERICOCONUTGROVEISLANDPURCHASE\MERGER - GV NASSAU\FLAN OF MERGER (GV NASSAU).DOC State of Florida Department of State I certify from the records of this office that NASSAU DEVELOPMENT OF VILLAGE WEST, CORP. is a corporation organized under the laws of the State of Florida, filed on September 24, 2003. The document number of this corporation is P03000104869. I further certify that said corporation has paid all fees due this office through December 31, 2009, that its most recent annual report was filed on January 21, 2009, and its status is active. I further certify that said corporation has not filed Articles of Dissolution. Given under my hand and the Great Seal of Florida, at Tallahassee, the Capital, this the Second day of February, 2009 Secretary of State Authentication ID: 200142666112-020209-P03000104869 To authenticate this certificate,visit the following site, enter this ID, and then follow the instructions displayed. https://efile.sunbiz.org/certauthver.html CITY OFMIAMI DISCLOSURE OF CONSIDERATION PROVIDED OR COMMITTED FOR AGREEMENT TO SUPPORT OR WITHHOLD OBJECTION The City of Miami requires any person or entity requesting approval relief or other action from the City Commission or any of its boards, authorities, agencies, councils or committees, to disclose at the commencement (or continuance) of the hearing(s) on the issue, any consideration provided or committed, directly or on its behalf, to any entity or person for an agreement to support or withhold objection to the requested approval, relief or action. "Consideration" includes any gift, payment, contribution., donation, fee, commission, promise or grant of any money, property, service, credit or financial assistance of any kind or value, whether direct or implied, or any promise or agreement to provide any of the foregoing in the future. Individuals retained or employed by a principal as a lobbyist as defined in Sec. 2-653, and appearing before the City Comtnission or any of its boards, authorities, agencies, councils or committees solely in the capacity of a lobbyist and not as the applicant, or owners' legal representative are not required to fill out this form. NAME: 41-e.71-e,r Name) HIOME ADDRESS: a'( Middle Last ame l ) i ) 3 6t aJ ' Oo (\ ?$ Wat.9 (Address Line 1) CITY: ` (1� nil Address Line 2) STATE: Florida zip:3 3( 3 HOME PHONE: r CELL PHONE: " J J_/- r4 06 bS3 g FAX: EMAIL: (�t� rd i7'E r- l)(�1 �1 ' G�i o ciJ V 136-)r ► c_bv11 BUSSINESS or APPLICANT or ENTITY NAME BUSINESS ADDRESS: Grzo\f L,Le... (Address Line 1) AA a tr!) :I* C) Yin t r-'(s- 5 51.5" (Address Line 2) 1. Please describe the issue for which you are seeking approval, relief or other action from the City Commission, board, authority, agency, council, or committee. iv\ Os 2. Has any consideration been provided or committed, directly or on your behalf, to any entity or person for an agreement to support or withhold objection to the requested approval, relief or action? YES 'NO If your answer to Question 2 is No, do not answer questions 3, 4 & 5 proceed to read and execute the Acknowledgment. If your answer to Question 2 is Yes, please answer questions 3, 4 & 5 and read and execute the Acknowledgement. Doc. No.:86543 3. Please provide the name, address and phone member of the person(s) or entities to whom consideration has been provided or committed. Name Address Phone# a. c. * Additional names can be placed on a separate page attached to this form. 4. Please describe the nature of the consideration. 5. Describe what is being requested in exchange for the consideration, ACKNOWLEDGEMENT OF COMPLIANCE I hereby acknowledge that it is unlawful to employ any device, scheme or artifice to circumvent the disclosure requirements of Ordinance 12918 and such circumvention shall be deemed a violation of the Ordinance; and that in addition to the criminal or civil penalties that may be imposed under the City Code, upon determination by the City Commission that the foregoing disclosure requirement was not fully and timely satisfied the following may occur: 1. the application or order, as applicable, shall be deemed void without further force or effect; and 2. no application from any person or entity for the same issue shall be reviewed or considered by the applicable board(s) until expiration of a period of one year after the nullification of the application or order. PERSON SUBMITTING .DISCLOSURE: (-2;;/' / s nature 610. rot rint Name Sworn to and subscribed before me this 1 z5 ,y of , 20 . The foregoing instrument was acknowledged before me by 7 �� ,cv' (v ,t , .who has produced as identification and/or is personally Icnoiv to me and who did/did not take an oath, STATE OF FLORIDA CITY ffalYa iTNoavy'Mnnnn „umq, MY Cg SWI :saaid>c�,•��° .1'a Expimizz a# uolsSiWlllo t'tiS. aaN 1aat?G,it?� , n Enelosure(s) Doo, No.:86543 tint ame ref - Page 2