SHUTTERSDate Job Address C r dl Iv 9 7 S+ Tax Folio bG ( A L I ` 33 \ O f
Legal Description
Owne Lessee / Tenant C� . DI , j4QD C0P9 Master Permit #1-.17.5
Owner's Address . � � . , . _ • �,� a � r V , Phone_3 T 1,
Contracting Co. ° , ik (iWls-A-7 -s- Address %1 /tii 36 4
Qualifier /Utz (i tJi- e.- - -, SS
State # Municipal # Competency #o
Architect /Engineer
Bonding Company Address
Mortgagor Address
Permit Type(circle one)' BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
WORK DESCRIPTION w
Square Ft.
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Notary as to Owner a Co do Presiideflt-
My Commission Expi s fker/il t °. "-c -' *;Ri.In
Sy Ccmm's_ - ' :. fain* i114: {1�l t16 ...3
� jortdtd Ito Troy
** * * * *
APPROVED:
� l C- C) c. A ddress (Kg ( 410
/r T
Zoning
Mechanical
FEES: PERMIT / 5 4 141 1 RADON C.C.F.
�.
Plumbing
ns.Co.
r �y
Estimated Cost(value) 7 J 9U
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 a -named contractor to do the work stated.
<- v) *.`t.
lignature of owner and/or Condo President ign _ _ , 4."
Lure of Contractor or Owner- Builder
Date: Date:
Notary as to Contractor or Owner- Builder
My Commission Expires :Notary Public, Stott of !WI pti_
My Commission EsE,li ms ; ;r '2,
1and.d Thry Troy Fain • Inwrancu Inc
* * * * * * * *
**
NOTARY TOTAL DUE 6
Fire Other
Building / b/Z&/ fr Electrical
Engineering
OPG
NO.
QUANT.
WIDTH
PROJEC-
TION
HEIGHT
ADDITIONAL INFORMATION
_
1
2
37X ,2 6 /f <,
3
74x.3, 9! ,.
4
3Z< WY's- S7nXl "
3
/.
e
��
—
o Sri 4'4 'I OLS
6
MI
f /P�J ,iSJY's_ ,/ b
7
I 11SL I ►`'�
11r.,
.,
,,
8
• 37.7
I
•
/1 ,,
9
b►
/MO
3'
; 9xAi ,
10
411
39/2 f/ /t //
11
IIIIII i
7541/ // / /
COLOR
TRIM
INSTALLATION ON CBS ('x1 FRAME
(
1
1 St. (
1 2 ND. (
1
,/.3/(),,g-iei) a y
//i 27 sr' /y
CITY � 1) sf /Z ,s! 3If c
SOLD TO
ADDRESS
The Seiler agree o 'ell end C)stom Njahufacture and install for
each, commencing on the
PHONE: (305) 635 -0900
. on DIAGRAM OF BUILDING
0s ,r. dba, °`/ CK 0 / 103
APPROVED
BY
SALESMA
EPTED
AWNING COMPANY, INC.
P.O. Box 1492 - HIaleah Florida 33011
Gv
5795 N.W. 36th AVENUE
MIAMI, FLORIDA
APPROXIMATE
DELIVERY
PHONE
2S / 7//
Fairwing ( ) Fairline ( ) Bahama Shutter ( ) Panels ( ) Alum. Roof ( ) Screen ( ) Roll -up Shutter ( ) Other ( )
Purchaser, who agrees to purchase the above improvements and meter Is which
are to be installed on the remises located t 7 " 9 7 �
N` - f 1 .S 2 Ff / 3 31 3"
Florida, owned by Purchaser and described as Lot. Block
Subdivision flat Book Pa ! �e /
Purchaser agrees to pay therefor to Seller a contract price of $ A f 3/ 0
which is to be paid in equal successive monthly installments of $
' ay of , 19
and continuing on the same day of each month thereafter until paid except the final
installment which shall be the balance duo.
Contract Price .$
Sales Tax A da
Total Cash Price .$ , -390
Less Down Payment 3 v
( Describe 1 3 /7
Difference
Add Official Fees
and / or insurance
Principal Balance
Add Time Price Differential .$
Time Balance 4
1 describe )
NOTICE TO BUYER
The products hereby ordered are to be custom built to fit purchaser's requirements; and t
order is NOT CANCELABLE.
All payments due hereunder shall , after default, bear interest from date of default
10 0/0 rate of interest.
In the event the monies due hereunder have to be collected upon demand of an attorn
or suit has to be instituted for the enforcement hereof, the purchaser agrees to pay all cc
thereof, including reasonable attorney's fees.
This contract shall not become binding upon seller untill acceptance and approval then
by an authorized executive of seller at its home office. Upon such approval, this agreem
shall be binding upon the heirs, personal representatives, successors and assigns of
respective parties hereto.
You are entitled to an exact copy of the contract you sign .
Executed )triplicate , one copy��g delivered to a r ipt is hereby acknowledged by buyer, this
day of , 19
( XI
�
),
( Purchaser sign here )
( Purchaser sign here
GATE S- /
Job No. /� , . " ✓
Terme
r? )A() #_
Seal )
(Seal)
/
/
•
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