1290 NE 101 St (15)PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
Date Q� Job Address `� ?O /2E A7/ Tax Folio // J�D.7 /°� GD /fl /
Legal Description114 / Master Permit #
(nrs Cid e temetel
?ate:
/ Lessee / Tenant
Owner's Address /c L O E. /Of eir ",n1J Phone 7Y OY�'3
Contracting Co. Si ' V ` Zw cZ f� c Address ..D /V 4r6 �r /'/7C4 u R.
(? e s7a N SSA
Phone ��.7r- �6'S�/
Qualifier
State#
Archit
Bonding Company
Mortgagor
Permit Type (circle one)
WORK DESCRIPTION „I I2S7 gard-clojitelIZ=vs
l a av2 r"
5 k- toe � d -s' Cif ct oa eas7 Jiw7 C('
Square Ft. Rpm /00o Estimated Cost `,:? 5 413
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 Bo the work stated.
signature cf Owner
•
Competency l
and /or Cdo President
rotary as to Owner and Qw,,G,. B4911PWjhcInt
ly Commission Expire p 6
k * * Vv * ^iII : •{j! : :t "'a �G :i 25,1774
gandod Th,u :oy raiq: n.ur.nco Ine
�Cl Ins. Co.
f/ A ...��1�
Address �r O Vefrs• , t U y 2 C�h2(r
Address
Address
ELECTRICAL PLUMBING MECHANICAL PAVING FENCE SIGN
Q t ) ..z6N-6Z--
Notary as to Contractor or :Owne'r . u-ilder
My Commission
* * * pAr *i'
Signature 9f Cpntractor or Owner- Builder
Date: y,
g'1
'ERMIT FEE: APPROVED: Fire Other
Zoning Building y `'w�" �(M / ) ectrical
Mechanical Plumbing Engineering
Item
No.
No.
Awnings
WIDTH
SLAT
LENGTH
WALL
HEIGHT
STYLE
DESCRIPTION
COLOR:
/ ���
/ f / /
1
Q
W
�`L1
�i p ,y,
, qC - X0 U/ Mi �I /1--4:4-4
2
&/0 /A-6q
�
STRIPE.
--
Su tiiDON.
l> , 4-9 -g - 10 7 .4 saa2
�O3 /4)
q00 'CY%
S
1st FLOOR ❑
2nd FLOOR ❑
J0-
5
6
INSTALL ON
7
8
S e
. CID
At•'(f Prc4
I Y _
? I �yN
7 6't 1 tv
shall not be binding
of the seller other
and countersigned
- l=Q SNP
S i ALLE VOFTt & t-f•v s
until approved and countersigned by
than the salesman.
d
Total Cash Price S t Z
Sales Tax l
Permit
Survey
Total Contract, S 1 Z 4 l; zit?
1
I S
This contract
an officer
Approved
Deposit $ W 405 i OS:
Difference $ Ci 3 i 0 —
Add Official Fees S
& /or Insurance (Describe)
Principal Balance S
Add Time Price Differential
Time Balance S
S
"SELLER Guarantee items sold pursuant to this
Contract against defects in material and in
installation for a period of ten (10) years from
date of installation except for screen mesh.
Screen mesh material and installation is guaranteed
for one (1) year from date of installation."
NOTICE TO BUYER
(1)•Do not sign this contract before you read it or if it contains any blank spaces.
(2).You are entitled to an exact copy of the contract you sign.
(3) You have the right to prepay this contract in full and, under certain condi-
cions, receive a partial refund of the time price differential.
INDUSTRIES, INC.
3750 N.W. 46th Street, Miami, FL 33142 1901 N.W. 18th Street, Bldg. D, North
Phone: (305) 633 -9650 Pompano Beach, FL 33069
I Fax: (305) 634 -9060 BROWARD: 960 -0110
SOLD TO: W I (\ry ■—) Yv2s.
�a r
Job Address l'? -- \ O 34 ID ` —
Mailing Address 1 P's" 'r`r - �
City State
O y 19 C 4
Phone 7 • 9 1 – Di v3
Purchase
Date
Delivery
Contract Price is to be paid in equal
successive monthly installments of $
each. commencing on the day of
19 and continuing on the same day of
each month thereafter until paid except the final
installment which shall be the balance due.
Order No.
Finance Charge
,? 3 OD-
This contract is subject to covenants and conditions on the reverse side hereof. This contract is the comp ete agreement between the parties and no terms,
conditions, contingencies, payments, materials or work shall be expected of either party except as expressly provided for herein.
Executed in four copies, one copy of which was delivered to, and receipt is hereby acknowledged by buyer, this
09 day of
Salesman (1 eSC:1-.
Any overdue balance not paid will be subject to a 11/2%
service fee. Further, reasonable attorney's fees and collec-
tion costs will be charged in order to secure this account. Purchaser (Seal)
PEHMI I• # y1//../1
{T
State of Florida
County of Dade
1
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.
1. Description of property: (legal description of the property, and street address if
available)
2. General' description of improvement:
Tcys,t,.(sfud,17;,c
3. Owner information:
a. Name and. Address:
b. Interest in property:
4. Contractor: (name and address)
5. Surety:
a. Name and Address k�
b. Amount of bond$
/O/
6. Lender: (name and address) ' / fP
rotary Public
My '
Bnn:bei S: r•� i•cy r. •.
tax Folio No. //
NOTICE OF COMMENCEMENT ,9 .1 R 139546
7 �r C�r&ccii r s-?h
•
:j (?(.51
Ce ccLict
rs ._ (Q/e, lc- 20
Sworn to and subscribed before me this Z ( day of
v v/ V
/01-!-- °halal/ I
c. Name and address of fee simple titleholder(if other than owner):
A sa. Kam, n er � Gnv
7. Persons with•the State of Florida designated by. Owner upon . whom notices or
other documents may be served as provided by Section 713.13(1)(a)7., Florida
Statutes: (name and address) Nn(nAZ
r4O CA S7u17",r
CQ n / 5 /cie_z
8. In addition to himself, Owner designates of
to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),
Florida Statutes.
9. Expiration date of notice of commencement (the expiration date is 1 year from
the date of r ecording unless a different date is specified)
Signature o Owner
./
, 19.91.
My Commission Expires:
STATE OR FLORIDA
COUNTY OP DADE
I HEREBY CERTIFY that this is a true copy of the
original filed In Y t � his office op 27 LYI day of
L
l )1� !x-11-' , A.D. 19 9/
WITNESS my hand and Official Seal.
•