SHUTTERSDate': 1111 ....
Legal Descti}non Stk. (mr 22. (DTI Ni cm _ %t Z t 2S
Ai ,
M k SKo EG 3
er/I.ssee / Tenant VALI it ref *OE SitEA
er's Address
Contracting Co. t�-oJ tV C Address SaD �O�S11� � 1 �1
Qualifier 11 ---10 eiL17. �� • SS# Phone 3 OS -�S �
State # ��Q(Cr) �(f Municipal #
Architec
Bonding Company
Mortgagor
Permit Type (circle one).
WORK DESCRIPTION \- ( t. . Q\C eo- G3\•V,,.-r - Ce s
Square Ft. ` �j S
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 s FIDAVIT: I certify that all the foregoing information is accurate and that all work .'11 be done in compliance with all applicable
laws re : • r a g construction and zoning. Furthermore, I authorize the above -named con ' : • • : the sta
=
Signature of owner and/or
Notary : L to i er and/o
My Commission Expires:
FEES: PERMIT
APPROVED:
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Job Address (Q �.E , gs - TV- 5Z Tax Folio 1 0 �o -014- 3 (
los3 N �. q57 MIAMI Eifo,e ft.3 one t:Ar 7s a st
f - EPiiiZ (2.
ti
i3t1RADoN
ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
ondo President Date
resr entDANtELCI?e • At' : .%= MY COMMISSION ;# CC 787671
�
EXPIRES: Novembor 2, 2002
R. , Bonded Thru Notary Public underwriters
Building 't/
Zoning g
Historically Designated: Yes No
nK ( 0
Estimated Cost (value) ./ /9, / D p )
Master Permit # #66 11
Competency # Ins. Co.
Address (r-2 4: 8 - r C fThP ,331
Address
Address
Signature of Contractor or Own
Notary as to Co
My Commi
actor or Owner - Builder
;i07 DANIEL ORTIZ
:r_ MY COMMISSION # CC 787671
EXPIRES: November 2, 2002
p ° Bonded Thru Notary Pubic UndeMn crs
C.C.F. NOTARY °' D BOND
Electrical
uilder
Date
Date
'1
Si
Dear Building Official
Miami Shores
10050 Northeast 2nd Avenue
Miami Shores Village, Fl. 33138
rolladenv
550 ANSIN BOULEVARD • HALLANDALE, FLORIDA 33009
Shutter ! k oduet Approval Authoklzatlon Forin
.bear city Official,
We dte the bade bbUhty NotIce of Acceptahce holder for the following products:
• AlUtfi ft Adcbrdioh Typd Shutter§ Under # 97- 0721.03 and 96- 0621.01
Extruded AIUIIIIHUfii Doll ShUttr r§ Uhder # 95- 0303.01 95- 0223.1 97- 0826.05 and 99- 0208.05.
Eictruded AlUhlifiun1 Stbrhl Pahels Uhder # 97- 0721.02.
b.b56' AlUfttlriUtfi Stotts Pdhbls Uhder #98- 6t#11:09.
• • 18 be, deIvdhized stlrel §tbrhi Pdriels Under # 95- 0120:02 97- 0219.11 and 98- 0403.10.
• AlUhilhtih1 ['bided dblohlal SliUtter Udder # 99- 0208.06.
▪ bolycarbohdte WihdoW gldzing Under 496- 0916.03
This letter aUthorlies bUzdh td U §e dhy. of the following:
AIUhiIHUfrt Ar ctirdibh tyke §kUtte -s Wider # 97- 0721.03 and 96.0621.01
bdrt ded AIUFfitlhUrli 14611 Shutters tinder # 95- 0303.01, 95- 0223.1, 97- 0826.05 and 99- 0208.05.
Ektr lddd AltJMlriuhl btbffti Oehels uhder # 9- 0121.02.
0.08 8" Atuffilhilhl Storm IPehele uhder 08- 6811.b9.
18 ge, batVllhl l d steal btorh1 tad ibI9 Uhder # 95- 0120.02.97- 0219.11 and 98- 0403.10.
AluhiIhuffj I- Ilhged COI:WMI Bhutto! Uhder # 00- 0208.06.
Polyaarbbhatr3 WihdoW blazlhd Under #96- 0916.03
oh the following Gobi
Job OWher'§ Name: R o 5O D—
,Job Addr'bs$t . I C53 L) E. cIS a As2scg
fr1 Siics.As/3 e1=L33 t3
Hallandale: (954) 454 -4114
Dade: (305) 757 -8591
Broward: (954) 525 -3466
Palm Beach: (561) 686 -6277
r: <: (9r'l) 4n1.1577
..r p. CMS J.r, , M Jyy. %• u,Jq
J stamped envelope)
telwn to: (enclose self - address, Inc .
lame: RollaAnsin Blvd.
r 55f.Llandale, FL 33009
H7. Prepared by: r
/ 1 y 0 Secs) l4
e this lino for Processing Data
State of Florida ��
county of
The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the
following information is provided in this Notice of Commencement. ) �,� Z3 , p t� �.r �� T(�
Legal Description of property (Include Street Address, If available e z N) ANI
(3(44. Qs, M IAAt Hof Ste, 7, Leiria. r-b -.0 -�f Z., eg ( (0 I (DV Ner 4� .grr fog
General description of Improvements install hurricane shutters
Owner Name 5541 fit ( U F— EH EA
Owner Address • - rti- 1 AM
owner
Lender Name
Name
Owner's Interest in site of the Improvement
Fee Simple Title holder (if other than owner): Name
Address
Contractor Name
Contractor Address
Rolladen, Inc.
550 Ansin Blvd., Hallandale, FL Phone #era 4114 Fax# esa -1 7�7
Phone # Fax #
Surety (if any): Name
Amount of Bond S
Address
Any person making a ban for the construction of the improvements:
Lender Address
Person within the State of Florida designated by owner upon whom notices or other documents may be served as provided by Section
713.13(1)(4)7.. Florida Statutes:
Address
In addition to himself. owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13 (1)(b),
Florida Statutes. (Fill in at Owner's option). Name
Phone # Fax # Address
(This notice will expire 1 year from the date of recording unless a different date Is specified.)
Swam to and subscribed before Me
9 ^'
this .„,_1-day of
(seal) Fc, C 5600 124--0
.. f. 0E FLORIDA, COL. u DAu,-
'mew CERTIFY f••o this is o true copy of tho
sgin&MO •nt ,•s i:e on e
,A.O.'
P RVE 1 RUViCL of Circuit and County Cog) :' 5.5
__�_ � \
- .
s
t'ift' ESS my h .nd and Official Seal.
NOTICE OF COMMENCEMENT
0007.238 2000 FEB 16 AYR:4b
Space above this line for Recording Data
I nx folio No.11 2106-0(4 3600
Phone # Fax #,
Phone # Fax #
nature
Owner
otary Public
,+Pti 4 '''''* SANDRA R. OSCEOLA
(1 .1;;; MY COMMISSION 0 CC 888395
• •45 .:� EXPIRES: November 15, 2003
1 off+ Fancied 'Nu Notary Public undenrriters
UNIT
NO.
PRODUCT
CODE
DOOR
WINDOW
ROOM
ACTUAL OPENING
SIZE
WIDTH X HEIGHT
ROLL SHUTTER
CRANK
ONLY
OPERATION
MOTOR
ONLY
MOTOR
& CRANK
COLOR SELECTION
PROFILE
FRAME
SPECIAL
INSTRUCTIONS
CI)
tke..43
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$4 xs'Z
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134rri
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ft
Ft� s l4
6 TS
S
64
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ROLLADEN INCORPORATED
MER NAME SO./04 4 Rc r44-(L SF1ZA JOB ADDRESS cSAM
ING ADDRESS 53 N E. GrS
1S7— 2,1 PROPERTY OWNER
We propose to furnish and install the following:
TELEPHONE
OTHER PHONE
1
TOTAL
L
�
r
Special instruction: F.A.P'
/�
,/ ��
= tIAAAAdin . Hu-rrF
Indicate by number
counter clockwise
® Omit
ROL -5
(Salesman)
TOTAL AMOUNT OF CONTRACT
DEPOSIT - 1/3 MINIMUM REQUIRED
1/3 DUE PRIOR TO COMMENCEMENT OF INSTALLATION
BALANCE TO BE PAID TO INSTALLER
Installation to begin in approximately
tQ
weeks
from date of receipt of deposit. This is only an estimated time and you will be
contacted to schedule the actual installation date.
to
4(.LIM l my M Pt it ► P Le-r = 1 4cc R.J 1041.)
Is electrical labor for Band switch installation by Rolladen included in this price? YES ❑ NOS Is high work required? YES ❑ NO
Floo f ilding: L . I have received a copy of 'Notice of Consumer Rights Under the Construction Industry Recovery Fund' as required
nitials).
TERMS OF PAYMENT: BALANCE OF PAYMENT IS DUE UPON INSTALLATION. When Building Codes require a final building inspection or if an
electrical connection by Rolladen is required, a maximum of ten percent (10 %) of the contract amount may be retained pending completion. Purchaser
agrees to pay a late fee equal to 11/2` per month on the unpaid portion of the purchase price from the date of installation by the installer to the date of
payment. .
OWNER OF PROPERTY? YES Dg, NO ❑ - (If NO, fill in Owner's name and address in space provided at top of form.)
Productp are to b i stalled on the premises situated in �E- County, State of ' owned by Purc aser and described as:
Lot` f � i occ( $ Sub Division M IAMt S+do Folio # — 32C43 , '- b r 34' Oa
Lo-rs- ' 24 ' 4 7-5- CONTRACT I O
CONTRACT SUBJECT TO ADDITIONAL TERMS ON REVERSE SIDE
C.t' q. &---co — 't 3. q "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 down payment." N S
EXECUT IX COPIES, ONE COPY OF WHICH WAS DELIVERED TO, AND RE $ HEREBYA� LEDGED BY BUYER,
THIS . AY OF �►
(X)
urchaser Sign Here)
(X)
(Accepted & Approved) (Purchaser Sign Here)
ORDER NO. ` 0FR I q 0 V Page _I_ of
CUSTOMER
MAIM nccrrr
UNIT
NO.
PRODUCT
CODE
DOOR
WINDOW
ROOM
ACTUAL OPENING
SIZE
WIDTH X HEIGHT
ROLL SHUTTER
CRANK
ONLY
OPERATION
MOTOR
ONLY
MOTOR
CRAM
COLOR SELECTION
PROFILE
FRAME
SPECIAL
INSTRUCTIONS
( 9
i ns i
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r
rt.E
Ft45 P
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MER NAME SFAIJ ft t4fM,,(,rC Si-EA JOB ADDRESS 6
ING ADDRESS 1053 tit q S' Ty J' r7
M I ), r % 33 (3,p
TELEPHONE PROPERTY OWNER L
OTHER PHONE
We propose to furnish and install the following:
TOTAL
. Rear
Indicate by number
counter clockwise
® Omit
Front
Special Instruction:
ROL -5
.7I
Sc-. No
ROLLADEN INCORPORATED
Is electrical labor foi poptor and switch installation by Rolladen included in this price? YES ❑ NO Is high work required? YES ❑ NO IX
Floor of Building: ( . I have received a copy of 'Notice of Consumer Rights Under the Construction Industry Recovery Fund' as required
(Initials).
TERMS OF PAYMENT: BALANCE OF PAYMENT IS DUE UPON INSTALLATION. When Building Codes require a final building inspection or if an
electrical connection by Rolladen is required, a maximum of ten percent (10 %) of the contract amount may be retained pending completion. Purchaser
agrees to pay a late fee equal to 1'.z% per month on the unpaid portion of the purchase price from the date of installation by the installer to the date of
payment.
OWNER OF PROPERTY? YES' NO ❑ (If NO, / fill in , Owner's name and address in space provided at top of form.)
Products are to be installed on the premises situated in DA E- County, State of 'RA- owned by Purchaser and described as:
Lot Block Sub Division Folio #
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 down payment."
EXECUT IX COPIES, ONE OPYOF WHICH WAS DELIVEREDTO, AND REC r IS HEREBYAC OWLEDGED BY BUYER,
THIS "'UAY OF
GIG 't pDcIt
TO a MOUNT OF CONTRACT
EPOSI 1/3 MINIMUM REQUIRED
1/3 DUE PRIOR TO COMMENCEMENT OF INSTALLATION
BALANCE TO BE PAID TO INSTALLER
$ f 4oR•o0
$ Cep y620.0a
$ (Q ti o o
$ (0 41 a
Installation to begin in approximately 6, to I 0 weeks
from date of receipt of deposit. This is only an estimated time and you will be
contacted to schedule the actual installation date.
(X)
(Salesman) (Purchaser Sign Here)
(X)
(Accepted & Approved)
ORDER NO. CO EA 3 1 q(
CUSTOMER
(Purchaser Sign Here)
Page of
Shutter Schedule
I impute
ionPoJd
093
0613
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7
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Height
L �
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9s
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h�,gs'C
) 14. lei.
4 /,bl
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5L
91.
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I Product
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0
003
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41 -93
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Height
95
95
95
I (-9
L9
41PM
gx55
Pais
gA 55
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Owner's Name and Address__
and/or tegistered Architect
lsme and address of licr
'ocation and legal d
0
MIAMI SHORES-'`TILLAGE
U LDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building
or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores
Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regula-
tions of the Building ion of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans
1 specifications must be kept at building during progress of the work.
•
0
0
1
0
Rolladen Shutters
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building
or other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores
Village, Florida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regula-
tions of the Building Division of Miami Shores Village shall be complied with, whether herein specified or not. A copy of approved plans
and specifications must be kept at building during progress of the work.
Owner's Name and Address
To be constructed of_— _____________ Kind of foundation_
STATE OF FLORIDA,
COUNTY OF DADE.
MIA I SHORe. VILLAGE
.3 UILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Building Inspector
Registered Architect and /or Engineer
Name and address of licensed contractor
Location and legal description of lot to be built on:
Lot Block_ Subdivision
Street and Number where work is to be done
State work to be done and purpose of building (by floors) /
� er fit' ,
l/
19'/
No G
__and for no other purpose.
New Building_________,_ —___ Remodeling______________ Addition Repairs No. of Stories____— _________
Roof Covering_
C.
1 D
Estimated Total cost of improvements $ Amount of Permit $_
Plan Cubage
Size of Building Lot
My Commission Expires
Zone cubage required
Distance to next nearest building
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to
The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations as an employer
of labor under the Florida Workmen's Compensation Act, being Section 5966, Compiled General Laws of Florida, Permanent Supplement,
and has complied with the provisions thereof, and will require similar compliance from all contractors or sub - contractors employed by him
in the work to be performed under this permit; and will post or cause to be posted for inspection on the site of the work such public notice
or notices as are required by the Act. The undersigned agrees to employ only such subcontractors, on work to be performed under this
permit, as are licensed by Miami Shores Village.
Remarks (Signed)
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally
appeared
to me well known,
and who, being by me first duly sworn, upon oath deposes and says that he is the
of the above described construction, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated Are rue
e' if (it Permit No _/' ° ? Dane Read, Sworn to and Subscribed before me.
Disapproved Date
Notary Public, State of Florida
(Signed)
PLANNING BOARD DATE
Chairman Member
Member Member
Member Member
Council Approved— Date Disapproved _ ____Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
the Planning Board.
A re- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and/or workmanship.