1268 NE 93 St (10)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date Job Address tQL6P) `' Tax Folio . k ? O5 C.) %- d ,
Legal Description 3a ! L tit �` E J3 of ) O
Owner J Lessee / Tenant V t j �� L eN1 Master Permit # ;
Owner's Address 2A.6 , Phone
'--7 �
�� .�-- c � �� �kr�P�• � t. TJ�� ��5
Contracting Co. \ 1 �� OL O -k r) Address ) lAn;n at‘io
�(
Qualifieik'�
State #CL ,, t'G 15Municipal #
,Ar ±itect /Engineer
Bonding Company
Square Pt .0CD J 'It A
Mechanical
ss# Phone r� i
es,r,c.
Competency #
Plum•in
-�e
Address 1 235 5 CD • ? P\\ e..
Address
Mortgagor / Address
Permit Type(circle one BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN
-
WORK DESCRIPTION u 1 S a \\ - N \ ('N am 0 6� S
2 ;f-,
- ..'
Estimated Cost value -�
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 a d that all work will
be done in compliance with all applicable laws regulating constr j on and z• ing. Furthermore, I
a rhorize the ybove -name¢ contracctor to do the work stated.
i +yam
r z rc
Signature of owner and /or Condo President Signatur- of Contra t•r o Owner- Builder
Date: �V ' 3, I i 9 i t Date: �
JrN, La--
u � �
r
Noftry as to Owner and /or Condo President
My Commission E
ROTARY P UBLI A - RTS
MY COMMISSION EXPIRES AUG 11,1997
** * * * COMM Nri cr. 4r *^n ^n *
FEES: PERMIT F RADON C.C.F.
APPROVED: Fire
Zoning Buil
tary as to or Bier- Builder
y Commis `� R�BERTS
R ' 'STATE OF FLORIDA
MY COMMISSION EXPIRES AUG 11,1997
COMMISSI2rJ PJn rr. ')nn^
* * * * * * * *
in - /
NOTARY
**
e
TOTAL DUE.
Other
Electrical
Engineering
Unit
No.
Prdt
Slid
Door
Win
Entry
Door
Room
Opening Size
Width Height
Operation
US Profile
Color
OIS Profile
Color
Frame
Color
Manual
Crank
Motor
lryllfl'
I(
Livtwor
137X421
x
cW
4 t i.
L ugs
t"f-t
(m Daw
: " —
BaRcom
S5S3
Gu..)
A
4
5
6
#C)1
GLN
- r
Sthif
i b —
c -C'-
4 Ieo
T79nM
k
7
4.1) itokil}'
s
9
10
T MOUNT
�6Gl 00
DEPOSIT c Min. Required)
Sse) , O 0
C.O.D. Pay Installer
f / V CID
Installat n estimated to begin
to weeks from date
in approximately
of receipt of deposit. T is
you will be contacted to
date.
is only a estimated date and
schedule the actual installation
CUSTOMER NAME HARSIE t MARI IVI�s•
BILLING ADDRESS I2(. N ��r q SI
We propose to furnish and install the following:
Rear
Indicate by number
counter clockwise
Q OMIT
Front
ROLLADEN INCORPORATED
JOB ADDRESS SAM E
h4M l Sftottes r - : 13 137
TELEPHONE 7S' • Z 0 PROPERTY OWNER SA -
OTHER PHONE
rat- 0
(4
A_ OAPS'
•
Accepted & Approved
ROL. -4 ORDER NO. (' Z� D
MAIN OF FILE
Outside
Tota openings o be covered (multiple count as one). Units are numbered from left to right from: Inside
Filler Panel(s) to be located in section No and No and No None _v
Shutter(s) to be installed: Inside Cl Outside t�
�CX J1Jc. - r� r� 4
(Purchaser Sign Here)
(X)
(Purchaser Sign Hole)
Special Instructions: IVOe ' A- QAl 1T (AMU. S Do N coy--
_abNfot To N < <J /9q'f Coj tE --
Electrical hook -up included in this price? YES ❑ NO V. Surface Mount 1) Recessed U
TERMS OF PAYMENT: BALANCE OF PAYMENT IS DUE UPON INSTALLATION. In those cases where electrical hook -up is to be performed by Rolladen
or its authorized sub - contractor, a maximum of ten percent (10%) of tha contract amount may be retained pending completion of same.
FLOOR OF BUILDING l OWNER OF PROPERY? YES IX NO ❑ (If NO, fill in Owner's name and address
Is "high- work" required? YES ❑ NO in space provided at top of form.)) ,�
Products re to be installed on the premises situated in DAD E- r County, State of i° owned by Purchaser and described
as: Lot �o Block `' , Sub Division. 8 WO I1- nos- CZ? --o2Z
CONTRACT SUBJECT TO ADDITIONAL TERMS ON REVERSE SIDE
"BUYERS RIGHT TO CANCEL"
"This is a home solicitation sale, and if you do not want the goods or services, you may cancel this agreement
by providing written notice to the seller in person, by telegram, or by mail. This notice must indicate that you do
not want the goods or services and must be delivered or postmarked before midnight of the third business day
after you sign this agreement. If you cancel this agreement, the seller may not keep all or part of any cash
downpayment."
EXECUTED IN SIX C PJES, ONE COPY � F WHICH WAS DE I VERED TO, AND RECEIPT IS HEREBY ACKNOWLEDGED
BY ',THISQ�� ��AY �F `%/ ,19q 9'
Page _ of _
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E ; `OPOLJTAN DADE COUNTY, FLORIDA
Cllnirmnn
::u+l 5. 11iu'tlbm
:r- Chainno,t
L,1.ttrh•r
Members-
fi'nt•t :lrttlt
1 5erlin
n, r .;. O,+r•.rtri
1 vrnlit
llrry +n,ln
.'.,1,,1 Cu lpini
•• dr 1u 7,rri, ••••
C;:rIten Drc&t r
. Guklniun
,1.1r1 M. Il
Junirl Lrui
.,11,t Liudtrr,un
hero, La+tr
:rpit 1;nkher. Sr.
/:une; Po:ter
;:7lli:,n Riley
mond., M. ROI
+t:u Utterhnck
;l!r,•d Ilr•itl,rnd
.\t„ It 11' +lii,tlrt.t
• :n.-t.' Cnn :ul(ant
• •'.+i;n /
Stuff
,711,11 ..% Dunety
Sandi • Ilr•thrr},
vii Diamond
Roliaden, Inc.
' 550 Ansin Boulevard
Hallandale, Fla. 33009.
Your application for Product Approval of a LEOVAt
Storm Shutter under Sections 203 And 204 of th4 South Florida
building Code governing the use of Alternate Materl.tRls An'i
Types of Construction, And completely described ih the pinns
specifications and calculations As submitted by O. LSZSLq. F. .
—F : oleo . • . o at . .Ji .th_st Low ina t 92= i1._s1 Q(1
August 27. 1190 a1d signed July 8a 1992 has been accepted by
Product Control to.be used in the Unlncorporat@d attaa of bade
County under the Specific Conditions set forth Oil page 2 and
the Standard Conditions on Page 3
ACCEPTANCE No.t 92- 0710,1
APPROVED
EXPIRES
130A110 OF ilULES AND APPEALS
SUITE 1010
111 I.1 Is S1f1EEI
MIAMI, r1_oniDn 33128.19711 .
(305) 375 -29n1
PRGf2UCT CONTROL NOTICE 01_ACC_MP1AN
APPROVED: December 11,_1992
frit
METt1O -DAD MITFfl
(305) 375 -2612
Dec. 14. 1915_
G D ,mono, P.E.
Dec. 14. 1992 Product Control Dividioh
Supervisor
* *PLEASE Nona
THIS IS THE _cOVERSIEET ■- SEL AUDITII L_ A i. FC
11ND QEl1ERAL CONDITIONS
BOW OF R014 R_AHILAEPEAL QTLG.E_OP IA.CO p .1C$
This application for Product Approval has been accepted by the
Metropolitan Dade County Board of Rules and Appeals to be used
in the
Incorporated and Unincorporated area, of Dade County under the
conditions set forth above.
-1-
fee oleo
c larles Danger.!
5ecretnry
Netropoi ltan t ?nc:er Cvul:' y
Board of Rule, and Appals
2. The panels are designed to be installed with the lottq d1reneio►i
spanning vertically as tabulated in the approved drawing Ado. 92 -11.
See cross- sections A -A, B -B and Note 5 on dwg. 92 - for methvl of
anchoring thtr fixed components of the shutter to the tnagonry
opening.
•
4. Applications for building
prints of approve drawing
seiecttd for. A schedule
grade shall be included.
5. -This renewal And revision
'dated June 12, 1989.
This approves a manually operated folding storm a)tuttat tor
installations up to 350 feet above finish grade, cdhlttucted of
6063 -1T5 extruded aluminum sections ae followat
Heacie�
S i? 1 Ada:vter
Rain Guards
Vertical FraMing
LLSSkinu t vice
Lanai
ACCbttANCP Not __12 -01JQJ •
APPItoVBb t
ExpintS t 199
NQT1Cz QF AcCEPTANCE t MC COMM/a"
: 4.00" x 0.056" (1 1/4" x 12" Lexan plastic light
optional)
3.186" x 0.062" (min. thick)
t 3.130" x 0.062" (min. thick)
3.012" x 1.612" X'0.062"
Min. thickness 0.062"
Min. thickness 0.055" - See approved drawI.ng
for detailed dimensions
pertttj.t must be accompanied by dttpn_r_1te
92 -11 marked to indicate th9 cotr o IPItt,
of the site of openings end height above
supersedes Product Approval 199- 0523.3
J — ulemond r.r.
roduct Control Div lion
5,,r1ory (ltnr
IET.AOPOLITAN DADS COUNTY, FLORIDA
ETRO DADE,
Chairman
Timm S. 11;tnh.nr
i(r Chnirrnnn
11.(). La.t.wirr
Members .
Rnnnh! .
fumes Arias
Grarx'r Dreher
itornc.c Af. nick
wroth* A. Dorm i
Tv/ midis
(bow lhrmrr►r►
John Calvin,
rxe dr la 'Purloin.
1. Cirrltnr:Order
Arnold Goldman
khan! Al. Ilmnart
Ihmlrl Leo
John Lindtrrt►m
Breton Lair
m.tr/rh Ahdhrr.
Junin lrmrrr
IVillian► Riley
innando Al. Rizr,
7hnnms U ie,Iu:rk
,Ilfrrd II;•61a,41
Maly U,homer •
Danner Ci,rtsmlron(
John pimorim ,
kittlitYbAbt caltt ti
tioM11b bk N11119 AND AhhtAl.8
SUItf~ In10
111 N.W. 191 STtlttt
MIAMI, 11 011111A 111?.11•IP74
I:It't 175.29n1
( 305) 315 -261.2
kigtI..CE QF _ArMakTANC_E t S 2�NILliftD_C_Q '
1. Extension of Acceptance may be considered after h het.)
j : ! application has been filed attd the supporting dota,
test reports no older than In (10) yehrs, have been.
re evaluated.
All reports of re testing shall bear the drat,
signature and . date of an engineer regidteted In the
State of Florida.
2. Any revinioh or change ih the materials, use, ob
manufacture of the product or ptoceed., bbeill
automatically be cause for termination, uttlet#a p ±-lob
approval in granted for revisions or change.
3. Any unsatisfactory performance of this ptoddet of
. process or a change in Code proviaionli :shall be
grounds for
re- evaluatioh.
4. This acceptance shal1 not be used as nn ehdersemettl: of
any product for salea.or advertislnq pubpoaes.
5. The Notice of Acceptance number preceded by the w"fdg
Dade County, Florida, and followdd by the explication
date may be displayed in advertia.tnq literature, it
any portion of the Notice of Acceptance:id displdyed,
theh it Shall be done in its entirety.
6. Product approval drawings, where rntfuired tot ppttnit
applications, shall be rovided to the applicant. by
the manufacturer. or his d istributors; uinl othetc'l14e
noted in the Notice of Acceptance. The prints deed
no4 ' be .re- healed by en engineer.
7. Failure to comply with Standard Conditions shall be
cause for termination of Approval
-3-
4
1 biamotld,
roduct Control biviaiort
Supervisor