490 NE 102 St (10)PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
Date)' (6 Job Address L/ go N6 /Oa 5 T Tax Folio /1 - 3 G ~0 / n S j p
Legal Description Lc T /'- a f3( C j
Owner/Lessee / Tenant /,. ) I L l3L' I '1 "LI SSeL_L Master Permit #
9c RUC 1OQ sT if7 /asni 33 /Phone 'IS 7 /OcGC,
Owner's Address
Contracting Co. ) % 3 .U'? � , A• i 0 . (30X Ca 10 L 32
Qualifier 'Cra /C. l01
State # C C V 1(0 / Municipal # Competency #
Architect/Engineer Iv)4 Address
Bonding Company Ili I Address
Mortgagor A )
Square Ft.
APPROVED:
Zoning
Mechanical
Historically Designated: Yes No
SS# Phone
Address
Permit Type (circle one): U ► ING LECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN
('
WORK DESCRIPTION .L rn.rl ( (
a,
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 accur
laws regulating construction and zoning. Furthermore, I authorize the above
-//-/1 7
Signature of oikner and/or Condo President Date
id�6/A '11/D/6
Noar as to Owner and/or Condo President Date
My Commission Expires:
o uB r
� , x _. PFNA C WIDNER
t fission CC535433
m _xF aos f-eb. 28, 2000
9TF OF FtO
FEES: PERMIT I / 1 • � D RADON
0 / "
Estimated Cost (value) f> (o
Ins. Co.
Sfgnature of Contractor or Owner- Builder
/Jo g zdokit.
Ni7(ary as to Contractor or Owner - Builder
My Commission Expires:
oti'RY { P�eei
4 . .7 1 ° RENA C WIDNER
* My Commission CC53543C
Expires Feb. 26, 2000
NIP
•
11 work will be done in compliance with all applicable
or to do the work stated.
,," /
Date
Date
\o
OF
AA .�
C.C.F. lo-- NOTARY BOND
TOTAL DUE -1 ( 7
Building , � Electrical
Plumbing Engineering
This instrument Prepared by: Sh,r1t1 t
Name: SPRAY-TECH, INC.
P.O. BOX 150157
ALTAMONTE SPRINGS, FL. 32715-0157
State:
County:
NOTICE OF COMMENCEMENT
o ,e./ Laic
b4-..6
THE UNDERSICNED 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.
I . Description of property: (legal description of property. and street address if available)
fiptie> .1 / / -3 — 017 — D5'S D
40 7- / v- Q 4
2. General description of improvements: CL/ P 614 kefl
co
ra
0
ri
Cd
r
1N
3. Owner information
a. Name and address: 'ti. 1 t\ /6. / J' S 5 /'h t 4 ? 0 /). I:' _ /o 1 q r IM //PM . .
b. Interest in property m e. G' / 33 1
c. Name and address of fee simple titleholder (if other than owner): 561111,
5. Surety
a. Name and address:
6. Lender: (name & address)
Owner's Name:
of
STATE OF FLORIDA `\„ _�
COUNTY OF ►.�-
W TNESS my trod and OffIdolSool
HWVE RUVIN ERK�. of irctaO
4. Contractor: (name & address) SEARS TEXTURED COATING & SIDING
P.O. BOX 150157. ALTAMONTE SPRINGS. FL. 32715-0157
b. Amount of bond
7. Persons within the State of Florida designated by Owner upon wfiom notices or er documents may
be served as provided by Section 713.13(1)(a)7, Florida Statutes: (name and address)
8. In 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 CONTRACTOR
Excpiration.dittL�of Notice of Commencement (the expiration date is I year from the date of recording
t essa' e ent d ate 's "pecified)
Drivers License d ( 5 `✓
Please print name of Witness
C ( f304 FaSSi--
Owner's Address: 14 9 a N `\ . / D 71 '
-r PUBI
All information must be typed or printed legibly to comply with recordi re t'fts� W IDNER
The foregoing instrument was acknowledged before me this //1
wino is personally known to me or who has produced as identification and who did
(did not) take an oath.
(Signature of person taking acknowledgement)
(Name of officer taking acknowledgement - typed, printed or stam
(Title or rank)
(Serial number, if any)
S COUNTY OF DADE
TATE OF FLORIDA, of the
INPUT CUM ' Fho! m �"° do of
his 0 NCQ on
SarchE
wi /4 r 5 /I-,:/4 c - 4. L. 3 7/ ?/
y Commission CC533433
a; /- Expires Feb. 26, 2000
Eaf Ft
tai 1 ! ue4 E ()e ( j s /(
. ' Poe
1±4.1 a figNA G WIDNER
* My Comml.Non CC 3t.
, . Expires(1 1,)2000
� o
OF FOQ:
' , ,:y . • Please read the following bold type And initial cori+espotiding lute
Verbal understandings and agreements with tep'reientative shall not be bindingAilltddr�tadtlie
writing in this Contract
in
•
x n
:2 for
Sa1e9 itepresentatie,'
orized Signatuie<,
1 'r. 'r Jr .F ": 1 t J - P it r c c •_ p..
... ...,...� IfT't + °)] , '+"+ L, 1 .,„ ,�... T SsSr t +(Tie_ / tit7.• '
1' ' 'ZT,*JT tA 4:(2,1';i14 ''(1
.41.' ODS, Nt712NI3ITED I.UFD J k�7kr y� 9 n JC K t({ M�+R� y /(�I a w h 1 r • Gig Y titr , ; JiT O
.L` Ouu 11 ,7r'
i gf'sYRAY? �) �A
) t. , T'l1VC s l , c t3 • '�, t, , t - 1- .�.� r .;
c w;t {ohlleNo' t'�l "�ttq, l # �i4 ,t+ ",�+ t{ 1�,�,ytll�+tja,ll,�,•�> E
v x, 4 fk n �r h1a„ st fi' 4 A 1E fh
l r# k �ilir �dti tYlr Ti �� lee? "��s�j l�J 3 �4' `f ("i +P• r rt S 5 a, , Er a }f {�1.h h 1 �'uw 5 �1 T
1
�b91ixS22240t .dngwoodF'L325f2224a� f,� 1 h �y+y�•1) ,1 � , 1 +F.Ir.,l ,F , 4� -it jf1l.,Pb
x , ' � %t �'+,,. , ,r ..,,,{S +wt,.;� k.,., »� t,n,�„ r• t ir74 "`r •rw 4 , J 'n' +µ ice 6�t � 1 '
i� 1 .M1I v ! w'C� t �J j � , ,� �► iyyr Vii[` RL� r �, + b t ,�.�. k'• � , 7 'ti� Ie +'f t <tl•.. ' ,� t rl , �' , (,�r'�
1 �f �� " ^. x� ++ +'.,v ii ,S..ExtE.��•� f r J .�+ ti + ly +tl *� Yi a ,
s , : �,,,{ , mitt ���f • gUSCs
eas: , :: f' ' L 1 :' 3 {3 � G3?
AdtlF 4 �t d �1 / 0,A lo
n 51" �„ { p /!,► /�9yrt . K`S 5t .�
�•!. • r•.. 1
r a ? t I • � ,+c >• k , e� y ' r i ) y� C,r >:iD"' 4 5f Z•• i
'r - * c1. r; r15y c , y;.f tYi't _.,, r,•V r +r 9!
y th f i$ bed T
We,'
eownets o the prem es descn bebw, h eretna pr;refe o as rt,U,C a s+ e r� off r totpi4 • ract w • z h Spr y, h Inc: (A
AUTHORIZED CONTRACTOR' hereinaf referred to a3 yCoht s�ctar $.tt tu eeli er hrlti • f iigA f ' ifi�5ta1i8tioh,ol il.tt,:�t�ri it#
necessary to improve the premises at ' 1: i t y 1'3 r ,r $, '
` ., ... .. ,. ,. s I K 1 �I.... fvi ii. r f, I ``i t t.� �rT t ,aY t1: �1 } +�1 i (. yS .'+ 1 1+L 1 yr l�l } y f,
f 1 f r
(Street) � , (Cit9) f 1 t
f ski 3, J �{ tl ?j rf r:t 'r l+ ! w':rC ` i. ., IJr 1 r i,ri) 'i til l )rl i c i•t ' fl ^6A tl C. 1' %..li �r )
folloWin tf) lS } t t r r
s ecifiixitions: It r f
g p 4 ,ir z
1 �,' �, •, r'.l r
Trench grou h f o m e ' w h e ' r ` e ` s i o il r h ` eets . lnu i ; tia tio n '; { ' 1� 'f' f t s," ' ° Sr ` II � , ` " }� , 'y '��yE�}' ` • Chem Rinse and Hydro -Mast all areas to,be, co e tedl4t ! " { ' t � ' 'k ; , j t , ` r rt , S , l . � ��fr4�" � t
M ask aii doors and.windows , ,) �+ }t r ; z 1 i f± � }t r it {�, )�J�t , , (, #�, , . 7 , +; i i a -- ; ;, • �, t�! 7 t ,tti a m Yy At- � r {� Jli 'e , t ., t5' "fi,.
Sandblast exteri8l Walls is �toickepplledfi Note eiccess sehd v ili nettirelly �atildillete� ihto t !;bit)' •
t l a • •1r'r r•i dfrj".v1? '}41' rite '11. ii , i7 •1111 '+1 V;i E it f.,1T , +
Patch and,repair'wa and �1•oaks.Where necess�r�} tr � � + �� i f fT 1ri � , t .>'ixf, � i',�'
LL ,
try Fa i i4 c N1 ,, ) +(g ✓f 7+'f nh {,4 i . . 0i i h I Z , {jf• f i {f ei'�.,v,••:
ipiy S AF2 ,sexier rimett # a)I a il�f cell been `co `'� h,,,, , "~ 5 ,,1 fr rti 3i l �
p ,, „ ,, . ,p , t ) r A , - e I am i- 4 ,irr R+Y:.(� ,�+,� t lttr{ ES�� }t'�� !!y H{ �1S'7%r' lifd•,
ppiy Glift sGus , �l� ► ®,, extePiotV ttS, } de5l §bated herein; if ,1.�,), t ' i 1ri f c i� ••
oior GilMaGU'erd UL
i ' R A ®x4L ► t t /, `6t/ b+e'h •fir ;, r4a,r� bt � ofYti' 4t +Yost' ...,. .
• Cieart tlp and r'ehi job related ctef � + � + i 1 �,. , 'I , t 3 t♦ 1 F d , tMti { ` ,.�, t ) 17 ; t P t , i !■-:: ! r"
® Provide necessary pe�iiitsand iri ), i ,, ,,i- f ,,J. a; t yit "tx ;1 ANI 1 jrtam 1r �® y , na 4 . r r elf ( «y t 5 + .. ' ) ,t r ,. 4 � ). v" Y S 7, tyi 1` nT {•:,N} - tF i3 G M ai l Custo t er sat fac com f l , f , , ,` 1 .n r • y 11 Mai J t i 1 4e f) .�a t• fi .�l ((w. 1 4 + Other - structures in a ` i. +.I .� .t • r t.E /. {tr L t f t i,. f µ i' �r 7 t. r 1 � lottrrr `r i9 i r {i
❑ Specific areas not in ckided�'+t�o paint APpliRd 1. s .,1,t ,' 11 . ,, li••r•4! + ,l. l. .l{ • } ,y$. • :.,1 ^C Yh4"+S•�l .k:,a .! b ,.LU {1 !'2itJ i
• ..c ,.,;;;;;•,:,.,;.1,,,,,,,
'A ., t•: 11 f'.t. ,, 1 1 n4m'.'(! • ; { li. .f).4 ; "'
. . ,r.... , .r t ,. .';''; 1 r i 1 i'. 1 r7nr f V+:�3' a 5 U,Vn,"?.".;sr''l1 . t
l.',f: i,i , .:•[ii. . .'at'1 u)- .. J .Cfii : i:1�.. / b ,1 .tl:�'r1 .>; ?4, . - ';i' a . ,. • .o i.
otei;= Clir 140,44 d�ULTR, A® wiil riot : n� Fide' loc linef
N OTE: ADDITION PROVISI AN� A STATED ON REV t lf Ar Ait> PART t)'P THIS Cb ;
''.; HESE WARRANTY PROVtSIONS AS STATED H AVE BI EN EXPLAIIIED II/ EE 0N, MI' AND' ITEM 1?IJ1 .1, 4t
•.Special,lnstructio► c
E ,. • c .. D i Y t M+ r w) f ft �t ,• {" 4y y y .b .,V. y k { '�`rtji; +,,41
1 IfthiA a cr�it transactttfn for c dit contaui i n a arat e doc ' hic i
etlaof'I/tf•e the hereb " t reis r ' u !1 d R h in"
record with aii "` y�tuftho Spit) Tet h; Inc (A SEARS Ati tdlti b trot
record OF ptii c ! t i repoitiitd agency hnd; telease them from all liability" di 7 fr'
hasei() have hereunto signed their name(sj this' : "
• of u true copy of this Contract and unless otherwise specified, it is understood that
quoted above will be honot`ed only u ntil )`�� A
...h 1, i N ^'/,+ ^lf `�i,t
-'�' , •� rWa r; Yl+'tl''1) fl
THIS MESSAGE APPUES r DOOR TO -DOOR SALES ONLY .You the "r �}
, t j r HI f ,1 � i ` �` J' ( l,'P
tufts pnor to midnight of.thfe th 4a y after tii da'e Of this ft a sa IOrt ilk accc�tn
for an of
Ul3MITTE
tf
'J,wt:
.1 .
•
XTERIOR COATI*TGIWORKSHEET
Type PreP;'...surfaOa;
,,, 1 • . .
Color of Coa
-. . ,..„ .
.--. • ' , : ' -. 1, .?, ' , : ' *,';'', 1
Type coatin4;Hmp4t .# of.SCIuares
Diamond Dust: , ..,, : , # Of Squares
• .„,..,,;,•;.„; , ..;::. t"•;.■ ,,-K 7 : ' •••piq• ..
ExcesPINO.Patc0Ing:„," Yes - :',, .' -#:
' ' •.-- '
IrWindpw/DiPpr
Presle:wsli:I.:::,:-. ..'..• .N
, ., ..
Area to Be Washed:
.,.
...
Awnings: , • - .--*. ' R+R / R+D " ..
, . ..-.,
E4iat Mask' R+R./ R+111.„.,.....A. pair .
•,''' , -,.
Mask R+P, ,, TUPair.4, '''.'j
':' ''.t ' , ,:,.4-.■ ••• :,;,,
New Shutters. ...dolor.,-..:. -• 411Pair
•-■..,57,,..
••..,;- .-,, .;-, . ..1,.t, 't:!'.:';'!.i '. ' ' • ., .
Ph4tter ; $ i Zigf , : ' ! ' @ ''. • ..':; ' i . / .. . • ;:. @ : : • ' :/.. ,: /
,,.: ..;!....
Securi B . N4sk'
Downspouts. I. '
T.
Utility Boxes. i
1
l '... ., .
Pool;‘' .-,,. , No/Yes.
•`. • :•.
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DNT- (3 x I1 =
H
T
VC
iSA
13 7
x 11 =
gT SIDE -
9 1
r A (•.
( so
GABLE 1 3 x L x.7
•' J
GABLE HGT =
170
I S
13 II
•T SIDE 2 x (3 ° =
(y .')
I C l
3 /
• b x , =
■HT SIDE -
NU 7
,,i
GABLE .2 / 6 x 2 x.7
+ •
•
A:
E
CC 3
G B
k:iztai
FO .
0
GABLE x x.7
— WAX
S
- H X W =
+ 40
•
• 1 r
1Z. t i I - t , I
2 (1�
.al x 9 =
Vet HIxW
=X7
3 v
ADDITIONAL ... d'+
OPENINGS -
TOTAL =
5% WASTE +
TOTAL SO. FT. ... =
TOTAL SQUARES ..
WALL HEIGHT
A 7 7,3
'
y1°)
.30
` al-
H
v
#23U C>
023
H
V
±—__
A
hi
;<
_
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.
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m fi
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i s
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-
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—
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1
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-
.
16!
i _..�_ .
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f
1_I
_ - __L__._____ _..t -__ _L_
�~ FRONT OF H _ _
HOUSE INDICAT _ _
DNT- (3 x I1 =
H
V
VC
iSA
13 7
x 11 =
gT SIDE -
9 1
r A (•.
( so
GABLE 1 3 x L x.7
•' J
GABLE HGT =
170
I S
13 II
•T SIDE 2 x (3 ° =
(y .')
I C l
3 /
• b x , =
■HT SIDE -
NU 7
,,i
GABLE .2 / 6 x 2 x.7
GABLE HGT =
f7 3
3 v
CK- S? x 1 ∎ =
CC 3
9z✓ x G '' =
SIF
FO .
IG ss
GABLE x x.7
IHT SIDE- I x (V =
2 (1�
.al x 9 =
I (I3
GABLE r r I x y x.7
3 v
ADDITIONAL ... d'+
OPENINGS -
TOTAL =
5% WASTE +
TOTAL SO. FT. ... =
TOTAL SQUARES ..
WALL HEIGHT
A 7 7,3
'
y1°)
.30
H
v
#23U C>
023
H
V
ONT-
GABLE HGT =
gT SIDE -
GABLE HGT =
.
CK-
GABLE HGT =
■HT SIDE -
GABLE HGT =
ADDITIONAL . S&F*
CORNERS . +
NN
TOTAL RUING FT =I
SIF
FO .
CUSTOMER u
FR
LE
. BA
. RI
1 STORY ❑ 2 STORY ❑ OTHER
41" - 50" = 4.2'
51" - 80" 5'
61" - 70" - 5.8'
71" - 80" = 6.7'
81" - 90" - 7.5'
HORIZONTAL WALL HEIGHT TABLE
J1" • 100" - 8.3'
101 " - 110" =9.2'
111" - 120" - 10'
121" - 130" - 10.8'
131" - 140" - 11.7'
ADDRESS - tie, b » - ( ' = . /O Z 9 M /4A1 / 1/rn4& sD 2-R �f j
141" - 150" - 12.5'
151" • 160" - 13.3
161" - 170" = 14.2'
171" - 180" = 15'
181" • 190" - 15.8'
FR
LE
BA
RI
❑ SOFFIT 8 FASCIA
DIMENSIONS SOFFIT- FASCIA
PORCH CEILING
3
U 4 7it, <
ADDITIONAL COMMENTS
191" - 200" = 16.7'
201" - 210" = 175'
211" - 220" - 18.3'
221" - 230" - 19.2'
231" • 240" ► 20'
VERTICAL. WALL HEIGHT TABLE
12.2'
❑ FASCIA ONLY
H
PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY) �y
Job Address 70 41E /t�2 laid Tax Folio /� ,3� (p / .4.5
Master Permit #
Legal Description /01'
Owner / Lessee / Tenant
Owner's Address 1 19'0 yU1E /0
Contracting Co. ally /-7/
/2/0*y9 4
Qualifier
State#
Architect /Engineer
Bonding Company
Mortgagor
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL PAVING FENCE
(744/4/' 4(,7 /4/.1f
f ce
WORK DESCRIPTION
Square Ft. Estimated Cost /5
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 apermit to do work and installation as indicated. 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.
Not
My
Signature of Owner and /or Condo President
Date:
as • • Owner and/orNOTA3441BrIreOgitegtFLORIDA
mmission Expires: MY COMMISSION EXPIRES APRIL y 16 , , 1992
* * * BONDE*HRU STEMB*R -ADAMS & *EET
PERMIT FEE:
36 , 00 7100
.eo iGp
r/
l/r/. Q.
APPROVED: Fire
Zoning
Mechanical
Address /2705 / 4 4
phone
o mpetency# c //c/ /3/ Ins. Co. r� c,...a
Plumbing
Address
Address
Address
iced, ,e
Signature of ontractor
Date:
phone
tar to Contractor d`IHI Lrt J UttklliUet I LUKIUA
y Commission Expires: MY COMMISSION EXPIRES APRIL 16, 1992
BONUf iHRU S1EMER -ADAMS WED
Other
� 1, i t/ Electrical
Engineering
Owner- Builder
SIGN