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898 NE 91 Terr• • PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 4. /1" Job Address � �� �X, ir 4 S 'r 74— Tax Folio Legal Description // - - 3 2J 4 l/ Historically Designated: Yes No /.../ Owner/Lessee / Tenant /4 j C i i4-ii L g.' -' 14. Master Permit # 3 .a Owner's Address 1 J2 ,CcdrL 4-1 /S 7 i/in,./,, #lt's Phone - 5 : 3 L — ` 7 • G/ - 7 ,7 Contracting (//I Address AO ice/ /:? ) `Si/ 5 ./F QualifierM/-/ni I.5 i SS# Phone 7 7•— � /,' State # e,. 5 (= ,T' /� � Municipal # Competency # Ins. Co. Architect/Engineer / ' 1 , /t Address Bonding Company / L Address Mortgagor , Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MEC CAL ) EOOFING PAVING FENCE SIGN 1 WORK DESCRIPTION (1) 4- -) //J ( 6 S` �� S' n Square Ft. r i2 1 Estimated Cost (value) � l / /)?"' WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO 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.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. 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. Furthermore, I authorize the above -named contractor to do the work stated. Sign(tture „of owner and/or Condo President Date ,;�Ysic : KAREN J. MCKNNEY +: � hF , MY COMMISSION / CC415242 EXPIRES •'ice October 20, 1998 p - = '` �� fy� BONIIFII T}IFiII TA/JV 9141 9141 L I�.. V4-3'.- I3 • Notary as to Owner and/or Condo President Date My Commission Expires: ‘1.1k2-u\ V,,,,IL FEES: PERMIT ge RADON APPROVED: Zoning Building Mechanical Signature of Contractor or Owner- Builder //,6 A 4 � �1 � ' ��.�” � Date Notary as to Contractor or Owne r wider My Commission Expires: VICTORIA A. RUPERT My Comm Exp. 10/13/98 dod By Service Ins No. CC4I3539 C.C.F. 4:5 OTARY TOTAL DUE 11otIA Electrical Date Plumbing Engineering SEARS P.O. Box 150157 Altamonte Springs, FL 32715 -0157 I hereby name and appoint /� s L 11-eL.6-L, of Sears Textured Coating & Siding to be my lawful attorney in fact to act for me and apply to the nt (Type) 1S Al 1/ i) Siiipies (Address of Jobs M L 4-K /3r6vc. ( Owner of property and Address) and to sign my name and do all things necessary to this appointment. Frank Wisniski Type or print name of Certified Contractor POWER OF ATTORNEY tClimaGucalct• and Siding (800) 222 -5030 DATE: /D b / .( permit for work to be preformed at location described for a jam. 3 3/.3 ,// / / Signature of Certified Contractor Acknowledge: PERSONALLY KNOWN / NO OATH TAKEN Sworn to and subscribed before me this r27 f / day of Z %'' 4).:(4 2 .A.D. 19 ' f Notary Public, State of Florida (Seal) My commission Expires : ,,,,t /2,/ > . � -,� VICTORIA A. RUPERT My Comm Exp. 10/13/9$ By Service Ins CCA13539 ULTRA SOLD, FURNISHED & INSTALLED BY SPRAY -TECH, LNC. License No. CB 0039161 A Buis Authorized Contractor YO. Box 1501571 Altamonte Spnngs, FL 32715 Name: Address: I/We, the owners of the premises described below, hereinafter referred to as "Purchaser' offer to contract with Spray -Tech, Inc. (A SEARS AUTHORIZED CONTRACTOR,) hereinafter referred to as "Contractor' to furnish, deliver, and arrange for installation of all materials necessary to improve the premises located at: According to th following specifications: 1. Pc Trenching around home where soil meets foundation. }Them -Rinse and Hydro-Blast all areas to be coated. "Mask all doors and windows. 7; ,..San d exterior walls where coating is to be applied (Note: excess sand will naturally assimilate into top soil.) Patc and repair wall cracks and breaks where necessary. ta Amply SEARS sealer - primer to all surfaces being coated. ly ClimaGuard ULTRA® to all exterior walls designated herein. or of ClimaGuard ULTRA® P9 r . 1/' A Clean up and remove all job related ebris. ® Provide necessary permits and insurance. ® )lbeil Customer warranty after satisfactory completion, 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. Er" Special Instructions pew • rn /1? f' Repel= 7 7 7 /4 645' R O /C NOTE: ADDITIONAL PROVISIONS AND WARRANTIES ARE STATED ON REVERSE SIDE AND ARE PART OF THIS CONTRA THESE WARRANTY PROVISIONS AS STATED HAVE BEEN EXPLAINED AND I/WE UNDERSTAND THEM FULLY. Please read the following bold type and initial corresponding line. Verbal understandings and agreements with representative shall not be binding. All understandings and agreements must be set forth in writing in this Contract. The TOTAL PRICE for all Labor & Materials (including any applicable discounts) is Down Payment Balance Payable Terms: Credit (Subject to the approval of the Credit Sales Department) Cash 0 (Final Payment payable to installer upon completion) Funded by: Bank If this is a credit transaction, the agreement for credit is contained in a separate document which is incorporated herein by reference and made a part hereof. 1/We the undersigned are hereby authorizing Spray -Tech, Inc. (A SEARS AUTHORIZED CONTRACTOR) to verify and review my /our credit record with an independent credit reporting agency and release them from all liability incurred from inadvertent omissions or errors. IN WITNESS WHEREOF Purchases(s) have hereunto signed their name(s) this 1 i day of © d r , Irf f - and acknowledge receipt of a true copy of this Contract and unless otherwise specified, it is understood that the owner is ready for this grk to begin. The purchase price quoted above will be honored only until (DATE) fey f `r THIS MESSAGE APPUES TO DOOR -TO -DOOR SALES ONLY. You the Purchaser(s) may cancel this transaction any time prior to midnight of the third day after the date of this transaction. See accompanying notice of cancellation form for an explanation of this right. ACCEPTED BY Tf7 - 3 M iv 44/9 / et 4 ''A 12`,13Ek « ff� /'Of' C • Phone: Res 3Df 4 i* bus J 3O -? Srtt / I l krtP ti.F. C / ri City:. IT)!!l'u/ Sic./kr5 St: 4 Zip' 39 1 7 2 (Street) (City) her structures included - 5e. IV In to �`Y Specific areas not included. No Paint Applied* /0n d' n A t ei f' (( Please Note: ClimaGuard ULTRA® will not bridge nor hide block lines. Ak4 Authorized Signature Date SEARS Coating SIGNED SIGNED Purchaser Local: / L 7 Vie r Job No.' - 7 (Se) (Zip) Diamond Dust Yes No Purchaser Initials- $ J2 dCf - S C' $ I1 / ao ( 4 City St Acct # Signature affixed below acts as receipt that Pmdrsa(s) received operate ca celletion row. chi Ar SSN d97 511/ 0 g' Z&eelle q • Ic 4 4 /B,i2 //9.5'_ Purchaser SSN 'y78/ lid? 8'9.23 DNT - H V . T /C .S _ I GABLE HGT = =T SIDE - .3..0 0 ii x /L x"4 GABLE HGT = nc1- Li 2 f 11. ` OK- G ii -.5".., x GABLE HGT = ;HT SIDE - wiet1 s) x i n .,5 GABLE HGT = 1k x 1 I. " = cK- 13 ADDITIONAL . SBF+ CORNERS + TOTAL RUNNING FT.= j f,P y^ 1 .1 l ( X -- x 7 S/F FO /',I •X b'3 DNT- L x fs .i H V . T /C .S _ I ;1-, u i1 /0 _ .3..0 0 ii x /L x"4 nc1- Li 2 f 11. ` - !.r' j- ,C / 1 TSIDE• l) x / )_. = G ii -.5".., x 5 I 1 4a '7 wiet1 s) x i n .,5 34 k. 1k x 1 I. " = cK- 13 j f,P y^ 1 .1 l ( X -- x 7 is iog GABLE 1, . x it , 1. to ' x.7 BHT SIDE- x �� _ it) /r f /0 x _'1 = 1 r) GABLE x x.7 ADDITIONAL ..❑' + OPENINGS ... . - TOTAL .. 5% WASTE + TOTAL SQ. FT - TOTAL SQUARES .... WALL HEIGHT .. .. . - � 11 --- 3-7 0 1 01 H V H V C v' CUSTOMER P1 h f 6 „ r ________;,.•• ,.., , -- L . I FR LE BA V • a 1. k �f� 41" - 50" - 4.2' 51" - 60' - 5' 61" • 70" - 5.8' 71" - 80" - 6.7' P.1" • 90" - 7.5' i3 �� �` /� ADDRESS ` rfP ti 4 . f ?c ^R Pit ti fn( fijrelc GABLES Horizontal - H X W r = X 0 I RAIC' S• H X V/ =+ 4 Vertical - H X W = :X 70 I . T 1 STORY ❑ 2 STORY ❑ / � ADDITIONAL COMMENTS P. "+' ' / 1 49 ' - FRONT OFHdUSE " " "'- 3' HORIZONTAL WALL HEIGHT TABLE 41" - 100" - 8.3' 141" - 150" - 12.5' 101 "• 110 " - 9.2' 111" - 120" - 10' 121" - 130" - 10.8' 131" - 140" - 11.7' 151" - 160" - 13.3 161" • 170" - 14.2' 171' • 180" - 15' 181" • 190" - 15.8' FR LE BA RI ❑ SOFFIT 8 FASCIA 191" - 200" - 16.7' 201" - 210" - 175' 211" - 220" - 18.3' 221" - 230" - 19.2' 231" • 240" 20' 1.3 :1 INDICATE ❑ FASCIA ONLY DIMENSIONS SOFFIT- FASCIA PORCH CEILING - VERTICAL WALL HEIGHT TABLE 12.2' ^� 2 — 12 1 DNT- H V 'TIC 5 - 1 GABLE HGT = =T SIDE - Qt" . ' - x x. ' GABLE HGT = :',K- L i q ',,, `{ .1 x 13 ^ �, GABLE HGT = /v A. I C CIABLF 3.' x Jo fiy7r ;HT SIDE - I v 3 :,1 4; ::K- 13.2' GABLE HGT = � ilP / & x IQ 'i = ADDITIONAL . S &F+ CORNERS + TOTAL RUNNING FT.= ^ 7 GABLE Z,'. x it, S/F FO i.•5'AC 1,5'9 DNT- t. x 19. f = H V 'TIC 5 - 1 Qt" . ' - x x. ' 14 3` /I T SIDE- ') x I i. _ L i q ',,, `{ .1 x 13 ^ �, 1 e. 7 /v A. I C CIABLF 3.' x Jo fiy7r I v 3 :,1 4; ::K- 13.2' � ilP / & x IQ 'i = ^ 7 GABLE Z,'. x it, foa Y ,x ;HT SIDE- J x j� = F �1 D f w( irir / (.5 x 3 = .1 0 GABLE x x.7 _,-------- ADDITIONAL ..❑' + OPENINGS ... .. - TOTAL .. . .. = 5% WASTE + TOTAL SQ. FT - TOTAL SQUARES .... WALL HEIGHT . . 2 7I -' 3 1., 01_ H V H V C� ' • I CUSiO El 1" 4 c) / ADDRESS 7- ,4 t;'. Qtr 7c -/ ltl% /14( f ! .... . . — - .! . T .;; ; 7-1 f !: I ; I i. L GABLES Horizontal - H X W 1 = ' X 70 Vertical - HXW =.X70 ( . I FR LE BA 111 � I i : . w / -5 • • 1 1 STORY ❑ 2 STORY ❑ P. nn /� OTHER ADDITIONAL COMMENTS ' " • / 1 co 0 1 S 41" - 50" - 4.2' 51" - 00" 5' 61" - 70" - 5.8' 71" - 80" 6.7' 81" • 90" 7.5' �. X L ? X11 YC •— I .. HORIZONTAL WALL HEIGHT TABLE 91" - 100" • 8.3' 141" - 150" - 12.5' 101" • 110" - 9.2' 151" - 160" • 13.3 111" • 120" - 10' 161" - 170" - 14.2' 121" • 130" - 10.8' 171" - 180" - 15' 131" . 140" - 11.7' 181" • 190" - 15.8' FRONT OP HOUSE ' -' ❑ SOFFIT & FASCIA FR LE BA RI • RAK - S• H X X11 =1+ 4b% 191." - 200" - 16.7' 201" • 210" - 175' 211" • 220" - 18.3' 221" . 230" - 19.2' 231" • 240" b 20' II • I ,• ' - - ` TNDTCJ�TE ►iORTH ❑ FASCIA ONLY DIMENSIONS SOFFIT- FASCIA PORCH CEILING . - VERTICAL WALL HEIGHT TABLE 12.2' x A � 2. I+ Name: SPRAY - TECH, INC. P.O. BOX 150117 ALTAMONTE SPRINGS, FL. 32715-0157 State: Count K. Nun(,E OF tOMMENC E:NIEN r cis groat ire o tr ncr) 3 L g. /p lvr /1 04 ( d N,. /e Att./a/ 7) 2 - ' Idoc,s &ga-%t 33 1F7 THE UNI)I:nsK hereby gives notice that improvement w ill be made to certain real property, and in accordance with Chapter 713. Florida Statutes, the following information is provided in this Notice of Commencement. I . Description of property: (legal description of property. and street address if available) 1$ 7 1 f e %. ) /3t G a a c.v 7 4.. 2. General description of improvements Owner information a. Name and b. Interest in c. Name and Contractor: (name & address) SEARS 1EXTURED COATING & SIDING P.O. BOX 150157. ALTAMON1E SPRINGS. FL. 32715 -0157 Surer a. Name and address: b. Amount of bond S Lender: (name & address) Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713. 13(1)(07. Florida Statutes: (name and address) hi addition to himself. Owner designates the following person(s) to receive a copy of the Lienor's Notice as provided in Section 713.13(I)(b). Florida Statutes: (name and address) ABOVE NAMED CON IRACTiOR L'pimtion dale of Notice of Commencement (the expiration date is I year from the date of recording unless a different date is specified) ^14 7/ 3 Drivers License 1!: )00 y5'5 f3$ 6 A. 1342 G -K ) Owner's Name: Owner's Address. All information must be typed or printed legibly to comply with recording requirements. STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before r the this who is personally known to me or who has produced (did not) take an oath. /4,-o C meT ?cam 6 1 /4 /) address: x't lr h ge' e,‹ fieiv of e 1,• /911 l r, Sif$ N. a 4? - 7 /4 //fssre / /ref-as j 3 ro 1 3� p F xrl address of fee simple titleholder (if other than owner). ~YA (Signal of rtnee Please print name of Witness (Signature of person taking acknowledgement) (Name of officer taking acknowledgement - typed. (Title or rank) (Serial number. if any) b� as identification and who did "14 KAREN J. MCKINNEY MY COMMISSION N C 0415242 EXPIRES a October 20,1998 printed or S[ alltpcd) BONDEDTHRU TROY FAIN INSURANCE, (SEAL) INC. O r•