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CC-17-386• development inc U 0 U 0 VENTURA 11870 W State Rd 84. C14 Davie Florida 33325 Phone: 954 423 1362 CG -C060048 AA- 0003123 RESPONSE LETTER Process Number: 17-386 • Address: 9545 NE 2nd Ave. Miami Shores, FL 33138 Date: 06-15-2017 COMMENTS: Date: 06-13-2017 Permit No. 17-386 5. DERM, and Health Department and impact fee approval required. RESPONSE: in process. 6. Provide a cross section through the center of the building, reflect all components, slab to roof. Also reflect the elevation to the bottom section of the roof framing members above finish floor. *Detail 5/A-4.1 shows the ceiling height above the finish floor. We need to know the elevation to the bottom of the roof framing members. According to the project summary this building is classified as a II -A construction. If any part of the roof structural members is less than 20 feet above the finish floor you will need to provide a 1 -hour fire rated assembly for the roof structure. Please see foot note "b" under table 601 of the 2014 F.B.C, Building. RESPONSE: See Section Detail # 4 in Sheet A-4.1. Thank You, Michael Ventura, Architect AR 0016152 • development Inc N VENTURA 11870 W State Rd 84. C14 ▪ Davie Florida 33325 Phone: 954 423 1362 CG -C060048 A A- 0 0 0 3 1 2 3 RESPONSE LETTER Process Number: 17-386 Address: 9545 NE 2nd Ave. Miami Shores, FL 33138 Date: 06-01-2017 BUILDING CRITIQUE: 1. Site plan, sheet A-7. Provide dimensions of outside seating area. RESPONSE: See 1/A-7. .... • • •••• • • • .. • •••• • • • • • •••• •••• • • .... • .. • • • .. .. • • •••• • • •••• • ••• • • • • • • • • • .. 2. Site plan, sheet A-7. Reflect the location of the required accessible route to and from the parking lot. RESPONSE: See 1/A-7. 3. Site plan, sheet A-7. Clearly ID the work area. RESPONSE: See 1/A-7. 4. Floor plan, sheet A-1. Reflect the location of the required accessible seating on both inside and outside seating areas. RESPONSE: See 1/A-1. 5. DERM, and Health Department approval required. RESPONSE: in process. 6. Provide a cross section through the center of the building, reflect all components, slab to roof. Also reflect the elevation to the bottom section of the roof framing members above finish floor. RESPONSE: See 5/A-4.1. 7. Bathroom walls. 1210.2.2 Walls and partitions. Walls and partitions within 2 feet of service sinks, urinals and water closets shall have a smooth, hard, nonabsorbent surface, to a height of not less than 4 feet above the floor, and except for structural elements, the materials used in such walls shall be of a type that is not adversely affected by moisture. RESPONSE: See notes included in detail 6/A-1. 8. Do not remove void sheet. Cloud in all changes. RESPONSE: clouded as revision # 3. Thank You, Michael Ventura, Architect AR 0016152 .... • . •••• • • .. • .... • .. . .... • • • •••• • . .. .. • . . • . • • • ..• • ... • .. .. . . • • • • • • • • • 1 �—T NOTE: ALL SHEET MUST BE REVIEWED MIAMI-DADE COUNTY DEPARTMENT OF REGULATORY AND ECONOMIC RESOURCES Herbert S. Saffr Permitting and Inspection Center 11805 SW 26th Street (Coral Way) * Miami, Florida 33175-2474 • (786) 315-2000 APPLICATION FOR MUNICIPAL PERMIT APPLICANTS THAT REQUIRE PLAN REVIEW FROM MIAMI-DADE FIRE RESCUE AND/OR ENVIRONMENTAL SERVICES - • , PROVIDE MUNICIPAL PROCESS NUMBER HERE G C — 2 — / 7 7 frt. - LOCATION OF IMPROVEMENTS Job Address 95 L/4 )tJ, - 2 j'11)11.(9. Folio /1 3Z06. (>/3 OW Contractor No. 64 C G60 G Last four (4) digits of Qualifier No. Contractor Name (%/-'Tll got Block CONTRAC INFORMA /,It.GH-/Tic�yb4/ Qualifier Name L L00 . /L.4J7t1 4 Subdivision • PBpg Address //g' 70 cri-rrievAO g9�-� ay.Metes and bounds City __,414/- Stateft. Zip 3j5i7-5- TYPE OF IMPROVEMENTS [ ]New Construction on Vacant Land [ Alteration Interior ] Alteration Exterior [ ] Relocation of Structure [ ] Enclosure [ ]Repair [ ] Repair Due to Fire [ ]Demolish Current /X S7N/t.i/'T use of property [ ] Shell Only I [ ] Addition Attached [ ] Addition Detached . Description of WorkN%R/t-/Gv‘ a1'►/K401C-/ [ ] Re -Roof [ ] Foundation Only Sq. Ft. 20 70 Units Floors [ ]Tent (� j �. V Value of Work /6„, ADO ' a pc] MBLD* Category 0/ REVIEW STATUS [ ] Chg. Contractor [ ] Re -Issue [ ] Re -Stamp [ ] Revision [ ] Not Applicable for Fire OWNER'S NAME Owner /2L'5 L.L. L Address w/ ,Vk. 40 fT [ ] MELE City N/A -Ml S/91 tate Zip 3JJ39 1 MLPG Phone cc a ] MMEC Last four (4) digits of Owner's Security No. [ ] FIRE Social ' PERSON TO Pig( UP PL4NS Name f0&CA7- AL kit/Ala ARCHITECT / ENGINEER Owner 1.41G1v71/lt//'A2`G/h7/ralaV kirI Address Q a /YGX /6 /97 Address//v x 77�'yKIG w g4/ 6/1 City J'1'(4 4l' Staten' -Zip 3'17// 6 City P4(//JS State. Zip 33311 7 ,Phone g".6 Y. -0Z cG6GPhone lot S'25 /162- z _ 45 x 0 am' , � lit; '! am requesting a Special Request Plan Review (SRI) to be scheduled as soon as possible at the rate of $209 for the first hour nd $71.50 per each additional hour in addition to the review fees. Minimum charge one-hour. '18t Request: Date: f !IR Request: Date: 2nd CC 3'd Request: Date: PERA OPTIONAL PLAN REVIEW (OPR) I am requesting Optional Plan Review (OPR) to be scheduled as soon as possible at the rate of $75 for each discipline. Additional review fees may apply. 1st Request: Date: 2nd Request: Date: 3rd Request: Date: 123_01-192 4/14 4 BUILDING PERMIT CATEGORIES ' CATEGORY DESCRIPTION PERMIT TYPE BUILDING 01 GENERAL BUILDING -COMMERCIAL MBLD 02 SUB—GENERAL BUILDING—RESIDENTIAL MBLD 08 CANVAS AWNING MBLD 10 COMMUNICATION TOWER MBLD 15 DEMOLITION MBLD .....t�� 29 METAL AWNING & STORM SHUTTER MBLD - 1 a 48 SCREEN ENCLOSURES MBLD - 55 SWIMMING POOL MBLD 56 TENNIS COURTS (SURFACE PAVING) MBLD 86 TRAILER TIE DOWNMBLD 88 WALK-IN COOLER MBLD J 91 MARINAS MBLD 92 LOW SLOPE APPLICATIONS (GRAVEL, SMOOTH MODIFIED, SINGLE PLY) MBLD 95 SHINGLES (ASPHALT, FIBERGLASS) MBLD 96 SHINGLES (METAL ROOFS/WOOD SHINGLES & SHAKE) MBLD 97 STAGE 2 VAPOR RECOVERY SYSTEM MBLD 99 SOIL IMPROVEMENT MBLD 0100 BULK STORAGE PROPANE TANK MBLD 0101 REMOVABLE STORM PANELS MBLD 0107 TILE ROOF MBLD 0110 WATER MAIN MBLD 0111 SITE PLAN MBLD 0112 INDOOR EVENT/EXHIBIT MBLD ELECTRICAL 04 FIRE ALARM SPECIALTY MELE 16 SPECIALTY WIRING MELE 38 GENERATORS MELE LPGX , 01 LIQUEFIED PETROLEUM GAS MLPG 02 MISCELLANEOUS MLPG 04 LIQUEFIED'PETROL. GAS/STATE MLPG? .0123n MECHANICAL 09 ABOVE/BELOW GROUND TANKS/PUMPS & POLLUTANT STORAGE SYSTEM MMEC 38 COMMERCIAL HOODS MMEC 43 FIRE CHEMICAL MMEC 46 SPRAY BOOTHS MMEC 48 SMOKE CONTROL MMEC 52 RESIDENTIAL ELEVATOR MMEC FIRE 32 FIRE SPRINKLER FIRE BUILDING _PERMIT APPLICATION 'Q BUILDING PLUMBING Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 ❑ ELECTRIC 0 ROOFING Master Permit No. Sub Permit No. 0 REVISION 0 MECHANICAL ❑ PUBLIC WORKS CHANGE OF CONTRACTOR JOB ADDRESS: 4,'5.NE Z'QE FBC 20 El EXTENSION Ej RENEWAL 0 CANCELLATION 0 SHOP DRAWINGS City: Miami Shores County: Miami Dade Zip: Folio/Parcel#: 1 / 32 Ob 0/3 39/11 Is the Building Historically Designated: Yes Occupancy Type: G -B Load: 54'4 Construction Type: IIA Flood Zone: OWNER: Name (Fee Simple Titleholder): Address: 4 2c 1 City: i4 -int ( J/kAAC Tenant/Lessee Name: COVAP // State: r---1, NO BFE: FFE: Phone#: Zip: 33136' Phone#: Email: CONTRACTOR: Company Name: VENTURA ARCHITECTURE DEVELOPMET Address: 11870 STATE ROAD 84, C14 Phone#: 954 423-1362 City: DAVIE State: FL Qualifier Name: Zip: 33325 MICHAEL VENTURA Phone#: 954 State Certification or Registration #: 954 423-1362 DESIGNER: Architect/Engineer: MICHAEL VENTURA Address:11870 STATE ROAD 84, C14 Value of Work for this Permit: $160,000 Certificate of Competency #: CGC 060048 Phone#: 954 937-1850 City: DAVIE state: FL Zip: 33325 Square/Linear Footage of Work: 2,070 SQ.FT. _Type of Work: ❑ Addition ■❑ Alteration ❑ New El Repair/Replace 0 Demolition Description of Work: INTERIOR BUILD OUT OF A DUNKIN DONUTS Specify color of color thru tile: Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ DBPR $ Technology Fee $ Training/Education Fee $ Structural Reviews $ CCF $ CO/CC $ Notary $ Double Fee $ Bond $ TOTAL FEE NOW DUE $ (Revised02/24/2014) MOM= Pro ACCOMPANY LEGAL DEBCRsPT101I FPL UTILITY EASEMENT AT MIAMI SHORES RETAIL SITE for DVS, LLC. 0 15 30 SCALE 1'=30' LEGEND co = POINT OF BEGINNING P.O.C. = POINT OF COMMENCEMENT JO P.O.T. = POINT OF TERMINATION = POINT OF CURVATURE f.T. = POINT OF TANGENCY P.N.T. = POINT OF NON -TANGENT INTERSECTION P.R.C. = POINT OF REVSERSE CURVE ^ T�.e. = PLAT BOOK N. PG. = PAGE N • FPL = FLORIDA POWER & UGHT Y Q. COMPANY r. = CENTERLINE Q � O m m 0 10 O J 8 ^ N8951'18"W 3 ��16.00' w $ $ N89 51'18"W BLOCK 29 (P.B. 101- PG. 70) LOT 9 LOT 8 15' ALLEY (PB. 10, PG. 70) 4- �- W N8951'188 W 100.00' o �' 0 00 N8951'18"W 100.00' `r' 'r c r� N z 15.00'4 EXHIBIT A BLODK 29 (P.B. 10 - PG. 70) LOT 16 LOT 17 "-S89'51'18"E cI 15.00' 8 gig gig zI iI U) + 15.00' _ _ N8951'18 -W 100.00' _ ih NE 95th STREET N8951'18"W 100.00' LEGAL DESCRIPTION FLORIDA POWER AND UGHT COMPANY UTILITY EASEMENT: The West 16 feet of the North 16 feet of Lot 16, in Block 29 of "AN AMENDED PLAT OF MIAMI SHORES SECTION No. .1", according to the plat thereof, as recorded in Plat Book 10 at Page 70 of the Public Records of Miami—Dade County, Florida. .Containing 256 Square Feet, more or less, by calculations. NOTICE: Not full and complete without all pages. Total of Two (2) Pages D\11285 9501 NE 2 Ave, Miami Shores, FL 33138\ae®\Sketch and Legal\11285 SKetch-LeQa1 10-12-12d•p 10/12/2012 3O2'47 PM EDT Job No. 11285 Page 1 of 2 i ro eZE I'c8 'P0 ACCOMPANY LEGAL ONOCRZPIPION FPL UTILITY EASEMENT AT MIAMI SHORES RETAIL SITE for DVS, LLC. EXHIBIT A SOURCES OF DATA: The Legal Description of the Subject Property was generated from the following Plat: Plat of 'AN AMENDED PLAT OF MIAMI SHORES SECTION No. 1', recorded in Plat Book 10, at Page 70 of the Public Records of Miami—Dade County, Florida. " In addition, the following sources were used to the extent required to complete this document in a defensible matter, that is to say. ' a) Design Plan labeled C-1 for Miami Shores Retail Site, prepared by CPH Engineers, Inc., Engineers Surveyors Architects Planners, et al, with a physical address of 1992 SW 1st Street, Miami, Florida 33135, last dated June, 2012. Bearings as shown hereon are based upon the North Boundary line of Lot 16, Block 29 with an assumed bearing of N89'51'18"W. EASEMENTS AND ENCUMBRANCES: No information was provided as to the existence of any easements other that what appears on the underlying Plat of record. Please refer to the Limitations portion with respect to possible restrictions of record and utility services. LIMITATIONS: Since no other information were furnished other than that is cited in the Sources of Data, the Client is hereby advised that there may legal restrictions on the subject property that are not shown on the Sketch or contained within this Report that may be found in the Public Records of Miami—Dade County, Florida or any other public and private entities as their jurisdictions may appear. This document does not represent a field boundary survey of the described property, or any part or parcel thereof. INTENDED USE f EXPRESS PURPOSES: It is understood by the Surveyor that the intended use of this document is to create an utility easement in favor of Florida Power and Light Company for the placement purposes of an electric transformer. SURVEYOR'S CERTIFICATE: I hereby certify that this "Sketch to Accompany Legal Description," was prepared under my direction and is true and correct to the best of my knowledge and belief and further, that said Sketch meets the intent of the "Minimum Technical Standards for Land Surveying in the State of Florida", pursuant to Rule 5J-17.050 through 5J-17.052 of the Florida Administrative Code and its implementing Rule, Chapter 472.027 of the Florida Statutes. By. Date: Jose Senors, PSM Professional Surveyor and Mapper LS5938 HADONNE CORP. Land Surveyors and Mappers Certificate of Authorization LB 7097 1985 NW 88th Court, Suite 202 Doral, Florida 33172 305.266.1188 phone 305.207.6845 fax NOTICE: Not valid without the signature and original raised seal of a Florida Licensed Surveyor and Mapper. Each Sheet as incorporated therein shall not be considered full, valid and complete unless attached to the others. This Notice is required by Rule 5J-17.051 of the Florida Administrative Code. NOTICE: Not full and complete without all pages. Total of Two (2) Pages ZAtI225 930t PC 2 AN. Id. Aorta. R 331313'.0.gSS4etch end t.ynl\11203 Spet&-Lepe1 t0-12-12d.p M/I2/8012 43425 P" ECT Job No. 11285 Page 2 of 2 -114`9 7/19/2011 111559 '0 2 7 1 • 0-nw x119: Trn310f rao1i a MAP OF BOUNDARY BURET LOTS B, 9, 10, 11, 12, 13, 14,16, 16, AND 17, BLOCK 28 OF AN "AMENDED PLAT OF MIAMI SHORES SECTION NO. V, P4 SECI1ON 6, ,p TOWNSHIP 63 SOUTH, RANGE 42 EAST; RECORDED M PUT BOOK 10, PMS 70, MIM*DADE COUNTY RECORDS 1111Mrr11•a • 1 41 1" 1" 7 1 11 6 re .4 nnolo 12x2 1.�! .1„p.rx. mar ••;r PM Waal Moan rru 8 4 w rF;R' `\ e UC6101/ $. 30 112131121 53110111615 RAN= 42 my MOM 11MM11 LLJ 111 11 111 ilifin NISI. soul II Z nu iI •1UUII 1111111111111 11121111111 SUS Ell!! na3 1111 1111 111 l 11111 11.11. 01111 D NS • VA..1111111�I .....11111II. D 111111 2.4111/ efifter0282 0¢11110047804rwpajensp I. Me aale of comp... 0 -lr FOP Pun, - 81.13Xr103/et9w0ae Lots 8. 9. 1 . 1111. 12. 11. 14, to 18 and 1). So. M a an ...C. PUT scc11X M. la tM aal m ..awa.a P � '1'072 .p. >o. a 1w Pe;.p p.cwa. a Y:armt-�. pawXy Plana. `wa .27Deed. Pdated �r0;�Y Off..p.54.a, . --04�y a.).Property rodr... X01, 4Xwes. !W. 19115 fen No.: 1-1910 r.= M.. 11:"':g11:39'213 118.91112 pa1XYx. les.* geometric Wei. unn me�'1. an M IN11 iamica eel ...sentp w alaiMM and Arm (10,..: t l la 10.010 1.) as w. 3.1-17-03. Moran AamMgrain Cade. •oa _ depleted on (y 5118.2, rnewured to an a t. on mJ so9. man. I/I//100 of a loot tan m ... mtt/10 a foot w 4h. en (M 5wa7 Yap e.. m.0rr•,/ b an .Yima. haritentol occwx of 1/10 a ah.. n7* Yap et Sone, b x.011 to ...payed a a 2507* a 8n YM ...Is Thirty feet or. am.. er4cla.aftencraw. North 0direa. le on on as.4.1 klertelion. NAN. Met with on frestmed Maros ..911'18,. said Ilne to be con.ered wet ...Med a. monument. bro. 7• wep0a pp.an 1e a lata. Y Nei ton 'k•. ea p.Eme0.Mra Vis MVY M Shares). 2200 22. 51 . *M omminete-Panet Nun. fe 5am L. Yap Re 0,N Ya.ro.. 1pa 0.2104 4. e0. (*44.1.0 by client. M. al •1.1X0[0 PUT Or , 9 52SECtla 10. Peg. 70. Peale petard, s 10 renes-pee.111 No. Coe* yl.are. Mot 11.1, Mo.* a,aM IM2 pswl 11. Daum lakm•Doen County. w B.ncmn.: X local. al XC 955 Simi t0n4Nartn Yb�ilera., rem! -110! Caraty, Mer.. �� P E E i SY. so on. :Man* ear urn.. otror thon that cit. in the Sources of Oahe.. Cfmt Is here. oaMod .0 Mere may . realrorons . Subjeet Properly trot ore rot oho.. the Sur. lhat rnere to fen. the MM~a «� n* w pa... el v,uc ewm a tn's Cawty. h. 9ern. y all *90.m*axn bp. Subject Property Iroamernents were b.. mono .. an erre.. .M/aMxnu eere laws. w Mose bore.. splurasrr.wena5 this 133aM1wy Sway .a Prepared at IM *.n. a nM e..rt.. 1a. x0 cee!elS46b � end wr ts,Sennly.inao nosIng ona g NW S...mM w ww*X a µMSNIiNther. 150 now 39amelary pwiw el W. wnu 1...el Standards fee tend to Pule ...apt. 7 a 102.02ntes Mnm Shaw Mr. Cm...i'el florid* ..Men. Moo) Wrr Sm. P. Q7*,. Sf.eyor end 1,per 158111 of floAdo Licensed14CMCIft Not mad $er../ar 57 P.M.. Y *8 M. oraised p2M«p 10 Sun.Yaps y men M .grana party m w..1.t1. .at s.p.n a 17. 2igtq party. 1 6 U IENaOe 1- 07-19-04 2- 00-09-04 09-16-09 - a -err Yro-tu 5- 07 -19 -II 011,0015) 0- 9- IP- 19- 14- 17- IB- .mMV 11285 ?pw Oren* PX SI* 1 MO SOON 75-00 1/1 RESTAURANT SPA 1,086 S.F. 9545 NE 2nd F.E. ELEV. 9,72' NGVD E #15 RETAI SPAS #14 9 9541 nd ••E F.F.E. ELE 9.82' V BUILDING A" OFFI 095 S.F.SE 953/ NE F.F.E ELEV. 9. . ' N 1.30.07. 1 GRACIE IP 117 dltvl 9.f II11111 1111111 11♦ dRAdEIP I 1 6Ltvl 1..LJIL RRKING / r / ASPHALT PARKING " Ek ELEV. 9.95' NGV A, ASPHALT PARKING Y ELEV. 9.91' NGVD ASPHALT PARKING rI: GA401= P1(RI NG' IJ� ' ELEV. 9.96' NGVD (_ _ELQVI 9.5 NGVD _ GRADE PAWLING fLtV( 9.dTGV L_.J r1Trti 4 CODE) 1{A(LKING Emit ELIEy. 9.3% NGV "9"I I I I II COHPR EXIST.E'Sp I I R ING 3', NCV I, ASPHALT PARKING Y ELEV. 9.88' NGV OFFICE SPACE #12 940N S. F. VE, AY EXIST. (4) HR FIRE RATED WALL I OFFICE SPACE #10 1,056 °S. F. 9531 NE 2nd AVE E 30.06' R E -I0) RETAIL SPACE #16 1,443 S.F. w 209 NE 95th ST. SUITE 1 EXISTING HR FIRE RATED OFFICE SPACE #10A BLOCK W4LL BETWEEN 865 S.F. , BUI1 lNG 9527 NE 2nd AVE I -_.+T H/C RES'. TTYPE-T II Ili LI I IRI 61,6V.ING V. 9.92' NGVD RETAIL SPACE #9. 945 S.F. 9525 NE 2nd AVE RETAIL SPACE #8 832 S.F. 9523 NE 2nd AVE F.F.E. H/C ELEV. 10.21' NGVDRESTROOM I (TYPE -0_ DR. OFFICE 851 S. 209 NE 95th 5T. SUITE 3 RETAIL SPACE #8 832 S.F.. 9521 NE 2nd AVE DR. OFFICE 829 S.F. 209 NE 95th ST SUITE 4 RETAIL SPACE #7 804 S.F. • 9519 NE 2nd AVE • RETAIL SPACE .#7 I i 804 S.F. 9517NE 2nd AVE DR. OFFICE 418 S 209 NE 95 SUITE 5 0 EXISTING 1'HR FIRE RATED PARTITION WALL BETWEEN TENANTS 2 S BUILDING RETAIL SPACE #6 788 S.F. 9515 NE 2nd AVE H -A RESTR00,1 (TYPE RETAIL SPACE #6A 788 S.F. 9505 NE 2nd AVE BUILDING OFFICE #2 -71 908 S.F. 209 NE 95th ST SUITE 2 gm,. r T MIT -NY F.F.,EQ� RES1ROOM ELEV. 10.18' NGwT (T 'lIA)-moi OFFICE SPACE #5 2.651 S.F. 9503 NE 2nd AVE E0ODIA EQUAL ME IA (BUT -B} MIRROR EE 1 F.F.E. WAY ELEV. 10.17' NGVY F.F.E. ELEV. 10.01' NOVO/. RETAIL SPACE #3 1,792 S.F. 201 NE 95th ST., RETAIL SPACE #1 1,100 S.F. 211 NE 95Th.. ST. E K ELEV. 9.50' NGV a PROPOSED DATA l*A/a1amEmD6 00 0.55 KO ARM IMO SF. rrA nSPACE NOSA DOC/ORS SF ALLOYED: •1180 SF RESTNINN1 SI 4.1.0118O 5.F CNA. WAS 2.511 5 f EXISTING DATA .Rx/o105 OINLOVauNESIwRINT GROSS LOT ARE. MN SI. Att CA E! CltoTwAt At. ri 8.5.0041 C00.4 ALIAS h. 3.20 SF 23151 ST TOTAL RUR•110 Sr: 25.2110 SF 80 SPACES CASINO 4..5 NORTH SO( SEW. SO. SDI IFTBAOF LEGAL DESCRIPTION RECORILD IN PU1 BOOK 10 41 P. 70 WirM OLOCATION MAP SCALE: 1"=1OO' NOTE: , FULL IRRTC.411. OR NOSE Y8 AS PER CODE 0'5' OC. 2 PLAMTWC MEAS TO RECEIVE A .a.. OF 5. OF TCP SOL MADE UP 6 6. SAM. 2Sx N UCL. ,SL MOSS SLAW ASL PLMTNF AREAS S WATER TREES (6) 9N DAYS A REEK FCR (N) DONT KERS AF1ER 058x980. [Rn^f (3) NONE MOM1N5 AFTER PLANT.. SCOPE OF WORK o PROPOS a) TY -0.. r NT a INED awc.R.T e)11777IM.ES�FuoD <I .M AM [LSI.0ISDN OM. AND STUCCO a1.Oae EMS.. BTO. At SOOT 21 a) Oars' LF ((RA v 0986 tI flaO O +PN)01 8(1.10101 S-r.a r-0'66 ♦Y-O'vSYs'nl Ff08w1. a)1ATa L .Of NEW Orss'-.' Lr. • S-2"Or6NR.NIS 1400 08.08 uL [:MR.m6 1 r.0x AND mom WaMuB [mere mom .t POD• arm RM. 100[008 ERWIN nr n[ to a u-/t7rr=. a roc) STm.wT e> w RIOR[.ra,I DOOPs r -r .are AI. ow... E.a,MD o6. NN.. aro mom 4 PROPOSED NORIA [[[van. 5.1 v. a NEW PARAPET R. a).S-r Lr. . .14,0'Lr. a S -R.. Or RRNY[ 802 a) [[ .. R�ARin.,RE RmFSmr Pio MS. MD maw0 LANSCAPING LEGEND _.4 PROPOSED SITE/LANDSCAPE/FLOOR PLAN SCALE: 1/16"=1'—O" SHEET 1/6"=1'—O" • • Z_Q� O 0 J_ •0 D C 1i - (D N J •O •Q W IX U Z 0 IX WNN prnM .rt <y� 0 (TI isattmi igh iFo.d.Cou.hy State of Florida Department of Health Dade County Health Department Notification of Fees Due OSTDS - Operating Date: 11/1212015 - Identification Number: 13 -QC -1008035 For. Miss Moo's 9545 NE 2 Avenue Attn: DVS LLC Miss Moo's(,) 201 NE 96 Street Miami Shores , FL 33138 To: Payment Due: upon receipt i�i.'ii0 S. f. V; uyjk!.45 [Please retain this portion for your records.] [Please detach this portion and retumwlth your payment.] please verify all informalion,.making changes as necessary, sign and return to: Florida Department of Health Miami Dade County 1725 NW 167 Street Miami Gardens, FL 33058- (305) 623-3500 Date: 11/12/20t5 Total Amount Due : $0.00 Account Infoitation for 13 -QC -1008035 Name: Miss Moo's Location: 9545 NE 2 Avenue City.: Miami State: .. FL f rip Code: 33137 .FaClIftyi Contact Name: DVS tic Phone: () • Altem. Phone: 0 Signature: Date: Owner :Information Name: DVS LLC Address: 201 NE 95 Street City: Miami State: FL Zip Code: 33138 Phone: (788) 290-8815. Altern. Phone: 0 []VISA or(] Please call the number above to inquire regarding the credit :care payrrrent process or pay on-line at www.myfloridaeh permit.com Please make ail checks or money orders payable to: Florida Department of Health Miami Dade County T WrA rase., (Environmental Health Division- Account lnformadon Copyj Date: 11/12/2015 Identification Number. 13 -QC -1008035 For: Miss Moo's 9545 NE 2 Avenue To: Miss Moo's(,) 201 NE 95 Street Miami Shores , FL 33138 State of Florida Department of Health Dade County Health Department Notification of Fees Due OSTDS - Operating Uft Payment Due: upon receipt /50INE tad rm. Air4 AP•14 .. --.=.....,..7.. tl .. - Mf .. l• - ,.adoa Row j P11 Rsfarenea YSbilaMOW Ml4 s...e...4 sa0,10.1aA11 I.w1.... EM 3. . eM1a,10A11 Pbrmism tAP001706) 4.444......, AK0 ilq /pass 440..m.tD00•144 8A - 00,0 01a_bAleaeO t404Mer 10.09m11200.002e0e 07&8 A Re84r W 1 '19.41 atasMNrest. 444,1114.41344t&7A Pew l+poh0cetdslrNsludsfitl6aW1 200 2804sdarrswia00e.72/10e 6 ISO 22e4 nrf401007414120K014.11000 Exile* a* shed system 114.. 'LOW of 800 _pt AP•14 /601 2n1 ave. AR12M/118AP1240761 IM 00202 pts 1" 1,1 grl $ OA. rim43104 4pq /11 701_ i 200 R444i0441 War CM3644411,4. 140e[t1pa•464ratrWtM11".1".° 1110 5_s_1. sift tA30M. U11 & 44AA4A 81 nosailpilee offacliy IC% MON aR0e Nil NE bid ars. AR1 40/111AiAP12 PA4!A>Ci. Efds mpietredskeiem4W1ASOpt. 4 24*444.1.0 64$40 3 r.rrr�e.r, t,tom the 41041114s4ChaM1c144ii 24404attsw911dsi•'f 14404rrsrr.440A042,40tMlaltesd lqt 103N�0rr +�ds�u00.414trarrc ArcArit sL ►fie% frY�jC>G.rchc, (� VS. GL c . 4444 --.=.....,..7.. sa0,10.1aA11 Prop. Rom 3. 3871 si ilq /pass 440..m.tD00•144 8A - 00,0 01a_bAleaeO i 02 atasMNrest. 444,1114.41344t&7A Pew l+poh0cetdslrNsludsfitl6aW1 4 6 ISO 22e4 nrf401007414120K014.11000 Existing *Ain d system 04.1.0500. 202 000 /601 2n1 ave. AR12M/118AP1240761 IM 00202 pts 1" 1,1 grl $ OA. rim43104 4pq /11 701_ i 200 R444i0441 War CM3644411,4. 140e[t1pa•464ratrWtM11".1".° 1110 5_s_1. sift tA30M. U11 & 44AA4A 81 nosailpilee offacliy IC% MON aR0e Nil NE bid ars. AR1 40/111AiAP12 PA4!A>Ci. Efds mpietredskeiem4W1ASOpt. 4 24*444.1.0 64$40 3 r.rrr�e.r, t,tom the 41041114s4ChaM1c144ii 24404attsw911dsi•'f 14404rrsrr.440A042,40tMlaltesd lqt 103N�0rr +�ds�u00.414trarrc ArcArit sL ►fie% frY�jC>G.rchc, (� VS. GL c STATE OF FLORIDA DEPARTMENT or HEALTH ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM APPLICATION FOR CONSTRUCTION PERMIT APPLICATION FOR: L ] New System [ ] Existing System [ ] Holding Tank [ ] Repair APPLICANT: AGENT: [ I Abandonment [ ] Temporary PERMIT NO. DATE PAID: FEE PAID: RECEIPT #: L ] Innovative [ ] pvs tLc S` kieo i lc C+ o✓v trEPHONa3 a S G 6 l- 6633 ?b eo'k 36S iib vvot,d 330 3 MAILING ADDRESS: TO BE COMPLETED BY APPLICANT OR APPLICANT'S AUTHORIZED AGENT. SYSTEMS MUST BE CONSTRUCTED • BY A PERSON LICENSED PURSUANT TO 489.105(3)(m) OR 489.552, FLORIDA STATUTES. IT IS THE APPLICANT'S RESPONSIBILITY TO PROVIDE DOCUMENTATION OF THE DATE THE LOT WAS CREATED OR PLATTED (M4/DD/YY) IF REQUESTING CONSIDERATION OF STATUTORY GRANDFATHER PROVISIONS. PROPERTY INFORMATION Rn LOT: {2Q-9^11 BLOCK: �SUBDIVISION: I ' argil Sto red Sce1 PLATTED: PROPERTY ID 9: It- 32©C--• O 1$- 39 2.o ZONING: C I/M OR EQUIVALENT: [ Y I `kq Zoo ® PROPERTY SIZE: . IZ I3 ACRES WATER SUPPLY: [ ] PRIVATE PUBLIC [x]<==2000GPD [ ]>2000GPD SEWER AVAILABLE AS PER 381.0065, FS? [ Y /®] DISTANCE TO SEWER: le FT ct5o t NYE 2 /we-/ M<Ocrei &t.�MJ 331523 �fC q 6 SSC -to N PROPERTY ADDRESS: DIRECTIONS TO PROPERTY: BUILDING INFORMATION [ ] RESIDENTIAL Unit Type of No. of No Establishment Bedrooms 1 2 3 4 owtcestaerimi Ix ] COMMERCIAL Building Commercial/Institutional System Design Area Sqft Table 1, Chapter 64E-6, FAC 1111i $ 24;a35 [ ) Floor/Equipment Drains [ I Other (Specify) (rett J40 r``3") SIGNATURE: DH 4015, 08/09 (0 soletes previous editions which may not be used)- InaorPorated 64E-6.001, FAC DATE: Page 1 of .4 "*TATE dr FLORIDA DEPARTMENT OF HEALTH APPLICATION FOR ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION PERMIT Permit Appficat`on Number" .------..__...___.__.__-•--- PART- If - SITE PLAN - Scale: Each block represents 5 feet and 1 inch = 50 feet. -Tet t Ai-!. r\o ....f i'f'e+-`El's{'. is ' c �►GG* • �arlj 402i,'C -• iCo -pYO Pet •{.t,wr -. • ti , tom^ .. 1. Y �y _,• .... 4..,--; .....•• T .. - - : - ' .:. i--1—;.•!--'--;- r.� w:'O 6 'L'y"r4Lr iso:- Notes: q S01 NU 2. �4v-¢. Hili L><M r �.1�/io es 3313 • o c.-1(1ST tNG s Si S FuNc-r- o� Nc3 f°aoP�—i'z-.y /v -r' TN_+S To/ Site Plan submitted by: 0163M - Pia') Approved Signature Not Approved By' cio(1*°4cs•-• Titles Date County Health Departrn;r ALL CHANGES MUST BE APPROVED BY THE COUNTY HEALTH DEPARTMENT 01.140'5, tolP.B (Hap1aco0 HRS•H Forth 40)5,uhk h may bo used) (Stack harbor: 5744.002-401545) ')nS F ._.:) .Z )A • +!?.'T3E.;N ;' 05 .J:€A.LT z :N:73F :'E S `:4'AGE TREATMENT AND ..1S1Oi: iii.. SYSTEM E IgTIN•,. SYSTEM AND SYSTEM AIR EVALUATION r STS BLDG 41 b'3 (-LC 2�I CONTRACTOR / AGENT: ..� reT : CZ;"1.1 BLOCK: l' 13R7y I T 4 SUBDIV: Ni1Or.i SJa„r:r Sri ID#: !!"?-o6 - 0�3 .......=========.....................i :ac:-ss= ===_==a:s...ax a a nm awa+.....arxaar=xlG. as=axx�a xs...t......................... TO BE COMPLETED BY FLORIDA REGISTERED ENGINEER, DEPARTMENT EMPLOYEE, SEPTIC TANK CONTRACTOR OR OTHER CERTIFIED PERSON. SIGN AND SEAL ALL SUBMITTED DOCUMENTS. COMPLETE ALL APPLICABLE ITEMS. COMPLETE TANK CERTIFICATION BELOW OR "TOTE » N REMARKS WHY THE TANKS CANNOT BE CERTIFIED. :am�m:+iesx xx=:cm.ss-axas:.s e=a=yr.ncr_=raxTs-n scm ma, asmaar-sa_xs3vaana.•n_.xsxsssxwa asas asaxca nam ;ca _cv Ek28T el nV#/ I13FOjiM IOii . [ �OS(C1�' 1 GALLOTNS 1571 b�cC/GPD ATU LEGEND: MAT E R I AL :60nerefe, BAFFLED: [Y /6 :1 GALLONS SEPTIC TANK/GPD ATU LEGEND: - --- ____ MATERIAL: BAFFLED: [Y / LTJ [' 1 GALLONS GREASE, INTERCEPTOR. LEGEND:.-_.--------__ MATERIAL:---�- !. 1 GALLONS DOSING TANK LEGEND:—^ __�- MATERIAL:� _.._._—_.# PUMPS:[ 1 scv.srCit=a aas a�zasaa ns usPCa==as.e.=a,sz-ox=sr_==a sa•sas ssasxs�a raced xs.a3a Ra:RP mien erasaxmm:s am x•Lxxaexr=xa T CERTIFY THAT THE LISTED TANKS WERE PUMPED ON10 ;✓ /13 BY , HAVE THE VOLUMES SPECIFIED AS DETERMINED BY [ INS / FILLING / LEGEND 1, ARE FREE OF OBSERVABLE DEFECTS OR LEA • ,D HAVE A [ SOtpOlVioECTION DEVICE / OUTLET FILTER DEVICE 1 I:"TAL SIFT E OF LICENSED CONTRACTOR BUSINESS NAME DTE .3x....1C <=W=Waaataaxscez:==.==0, ...==amr=a a.1==== 1.Maas::a=axmamas.===========saazaa 2.03===.= a ==ar EXISTING DRAINFIELD ,�I•N�,FORMATION /� CNK t'�+'- tl *PL�t Acs t}-s'z- r [ i SQUARE FEET PRIMARY DRAINFIELD SYSTEM NO. OF TRENCHES 3 SQUARE FEET SYSTEM NO. OF TRENCHES TYPE OF SYSTEM: [2C1 STANDARD [ CONFIGURATION: [ 1 TRENCH DESIGN: ( J READER ELEVATION OF BOTTOM OF DRAINFIELD [ 1 DIMENSIONS: X J DIMENSIONS: X 1 FILLED [ 1 MOUND [3 1 BED [ 1 D -BOX [Xi GRAVITY SYSTEMt'1 1 DOSED SYSTEM IN RELATION TO EXISTING GRADE X1.0 INCHES [ ABOVE / BELOW, SYSTEM FAILURE AND REPAIR INFORMATION [tit 1 [ 1 SYSTEM INSTALLATION DATE TYPE OF WASTE [ 1 DOMESTIC E COMMERCIAL [ 1 :METERED WATER [X1 TABLE 1, 64E-6, FAC GPD ESTIMATED SEWAGE FLOW BASED ON SITE [ 1 DRAINAGE STRUCTURES CONDITIONS: [ 1 SLOPING PROPERTY NATURE OF E 1 HYDRAULIC 01..RLOAD FAILURE: [ 1 DRA 'E , RUN OFF • FAILURE SYMPTOM: [ 1 SENA►' ON G ( ) P :.ING BACKUP REMARKS/ADDITIONAL CRITERIA [ 1 POOL ( 1 PATIO / DECK 5c1 -PARKING [ 1 [ 1 SOILS [ 1� MAINTENANCE [ 1 R^,O WATER TABLE E 1 TAN - D BOX/HEADER E 1 `TSV P1r.Ne.,i oni' �i L x 3gw X' Apt) 1 SYST., DAMAGE NF IELD QC1�� iS wv(4.1Ct'Jr 1 i Yt�Nc SUBMITTED BY: • DH 4015, 08/soletes previous • Incorporated 64E-6.001, EAC TITLE/LICENSE O°17t 2Cr'2 DATE: t (14 editions which may not be used) Page 4 of 4 PEPARTMY.:..NT OV .?Y�Y Oh15: TE S-."riA :E TREATMENT AND DISFO AL SYSTEM r.:_C_CSTINO SYSTEM AND SYSTEM REPAIR EVALZiATIN bvs LC CONTACTOR / AGENT! . &SC IN L PERMIT 4 241 BLOCK: L SUBDI . Ar`!` 11 �7 t____ 11)# =11-32-0C- 0 (3` • .__.-_s.__zvc.is.>.-:sa:___;::n-.�s�.^�_+attv:e>•u ae cragam2 Ayta- aaam ss s•cr s - 33138 :x.Ya>ccmt urt •asar.a: sa=axsmx>asz T1:: w:c COMPLETED DY FLORIDA ,REGISTERED ENGINEER, DEPARTMENT EMPLOYEE, SEPTIC TANK CONTRACTOR OR o.:'_ ER CERTIFIED PERSON. SIGN AND SEAL ALL SUBMITTED DOCUMENTS. COMPLETE ALL APPLICABLE ITEMS. c'. M?:.4TE. TANK CERTIFICATION SELOw OE NOTE IN REMARKS '!T _H THE TANKSFIE- . •xh\' S CANNOTBE CERTIFIED. • ----............--.......—......----.............—A—....= zngTrwi *:apFO RMA z tON ` 100 1 (GALLONS S IX/GPD ATU LEGEND: MATERIAL:030W064 L 1EN 1/ GALLONS • '.p ^ /GPD ATE LEGEND': MATERIAL: Cai'1 ') �• BAFFLED: CY /0R ,D GALLONS GREASE INTERCEPTOR LEGEND: MATERIAL: 1/44 ' ) GALLONS DOSING TANK LEGEND: MATERIAL: #PLUMPS: [ I 44 - t:i-3 xaa Zs 9=1,4, :C='.Gt;?_Sa==er====y4 uaa.^.=.== '..-a==.4..2as a was Reals W=a Altai waM m ama ra^.a CI CERTIFY THAT THE LISTED 'TANK:: WERE PUMPED ON 011 /13 BY=c Zj,l L HAVE VHF, VOLUMES SPECIFIED AS DETERMINED BY [aliiAIONS / FILLING / LEGEND i, ARE FRET OF OBSERVABLE .,EFECTS OR LEAKS, HAVE A [ SOLIDS<VDPCTIPNC��G / OUTLET FILTER DEVICE 1 I SSP .11‘ ATE SIGN T "E OF LICENSED CONTRACTOR BUSINESS NAME =9-=sav aq:6Ratssxr RRaa==a]Vss m=a=ss aseam n#amsexsaaxaasssosa R======eo anc ¢pa.ax3sst====.= W=40= W W=======.=ea EXISTING DRAINFIELD INFORMATION C 1 SQUARE FEET PRIMARY DRAINFIELD SYSTEM NO. OF TRENCHES : 1 DIMENSIONS: X [ 1 SQUARE FEET SYSTEM N0. OF TRENCHES 3 DIMENSIONS: ��—X TYPE OF SYSTEM: [%$1 STANDARD C I FILLED [ 1 MOUND [ ; - --�- CONFIGURATION: (� 1 TRENCH [ ; BED [ j DESIGN:. [ 1 HEADER [ I D -BOX [ '(J GRAVITY SYSTEM C. 1 DOSED SYSTEM • ELEVATION OF BOTTOM OF DRAINFIELD IN RELATION T'] EXISTING GRADE INCHES [ ABOVE i BELOW) SYSTEM FAILURE AND REPAIR INFORMATION 1 SYSTEM INSTALLATION DATE GPD ESTIMATED SEWAGE FLOW BASED 0i TYPE OF WASTE r 1 DOMESTIC [,>C1 COMMERCIAL ( ) METERED WATER t)c°I TABLE 1, 64E-6, FAC SITE C 1 DRAINAGE STRUCTURES [ I POOL C 1 PATIO / DECK C)10 PARKING CONDITIONS: [ ) SLOPING PROPERTY [ 1 NATURE OF C ) :i'YDRA r . T^, OVE - OAD C I SOILS [ 1 MAIN ANCE FAILURE: [ 1 DRAINAGE r OFF_ [ 1 ROOTS T WA t TABLE STEM DAMAGE FAILURE [ 3 SEWAGE 0 GROUND [ 1 TANK [ x'BOX/HEADER DRAINFIELD SYMPTOM: [ ) PLUMBI BACKUP [ 1 Taft K 4.5 9.11-30"1 8 L X 3, Swat 3.8 D -- 4a .01 � Vx 4:CD REMARKS/ADDITIONAL CRITERIA _ 1" 4.40-luziacKif Ride T -TFra 'T-- SUBMITTED BY: 642)2,a_ TITLE/LICENSE dJ`+Q (i7 % 2.6eL DH 4015, 08/09 fetes previous editions which may not be used) Incorporated 64E-6.001, FAC Page 4 of 4 STATE OF FLORIA ^?•i.'" ._.- SEWAGE 'R s.._ iA:`:'.'Cr .AND :•'}:.'S.i :SAL SYSTEM .......;il�,i^:'.i :i� STLEte TOL) :97._ _ ..M REPAIR EVALUATION LUATI Oi' b(-136 - 3 bvS........LkC CONTRACTOR AGENT. . V i & VVl V SORC C CIJ \ N J N C. C150( n16 2 A� 3s1� _..- 0 u.amrsJca«e:z-..=.2 =_c. .. „ BE COMPLETED BY' FLORIDA REGISTERED ENGINEER, EMPLOYEE, O, _ 1 .mss"';;7'a isitED ' 7t3TPTE .., DEPARTMENT E� PLJ EE, Sk.F`_I:: .t ?�::° CONTRACTOR • •'2 OTHER CERTIFIED PERSON. SIGN AND SEAL ALL SUBMITTED DOCUMENTS. COMPLETE. .ALL ._2PLICABLE ITEMS. COMPLETE TANK CF.i TT. i icATi:)N 5a:ow 3 NOTE IN REMARKS WHY THE TANKS C ,N T;)I BE • s:ca.,ss«v szan-m=.-svaax==-zz :a :c_ m•:a=:Lz=ac.=a.:s:.::s._-a.sr_xee sa a.m«r «s _cs:: z:=s a...�____. EXISTING TANK INFORMATION +k l(I0 �' �3AZ�rJtd s0bHr;O TANK/GPD ATU LEGEND: MATERIAL: G{� k$:AFI'i.Ezi: ':; / tIZ00 i GALLONS SEPTIC TANK/GPD ATU LEGEND: ____________ MATERIAL _BAFFLED: /0I ' �•(AS^o i GALLONS G(A'7a�INT1"RL'SPTOR LEGEND: .___.._^. MATERIA.::Conpee4.e.._-_ i :A-•LiiN DOZING TANK LEGEND: MATERIAL :?r17.4r;: • j _._...,M:-::r5azmUm.,:u.....:........asc:ayszmmm«amszvamamlcsums e.mwmxWaacaa.maemss W..a.mmWaaewn.vm ._ `- ...-.._z._z-s_ac=.r=cm:m I , CEP,TI.' Y THAT ".'LFF LISTED TAN:{B WERE PUMPED ON 10//: A7% BY SSC , :;: TAE VOLUMES SPECIFIED AS DETERMINED BY t CigNE3IONS / FILLING / LEGEND 1, ARE FREE OF OBSERVABLE • DEFECTS ORLEAKS ANn HAVE A ( SOLIf ELECTION DEVICE / OUTLET FILTER DEVICE SIGN OF LICENSED CONTRACTOR BUSINESS NAME DATE mm...,0=a==s=..==,. •eszara===xmxa.a=s==a========a===me==sa=ammesmsosmmmssm= czcaa.a.a.mam.t x. ==.==e__aa_ _ EXISTING DRAINFIE'LD INFORMATION 47` Tett', 131+3 }'( 300 ] SQUARE FEET PRIMARY DRAINFIELD SYSTEM 6A)1 SQUARE FRS?.' SYSTEM OF SYSTEM: i'(? STANDARD i ] FILLED CONFIGURATIONI ( ! TRENCH t 1 SED Or DESIGN: f ) HEADER ( 1 D -BOX NO. OF TRENCHES NO. OF TRENCHES ] MOUND t ] 1 JC1 GRAVITY SYSTEM ( 1 DOSED SYSTEM ( ] DIMENSICT.;S : (0X 30 Q 1 DIMENSIONS: ZX ELEVATION OF BOTTOM OF DF.AINI?IELD IN RELATION TO EXISTING GRADE SYSTEM FA1LURT.• AND REPAIR INFORMATION SITE ] SYSTEM INSTALLATION DATE TYPE 1 GPD ESTIMATED SEWAGE FLOW BASED ON ( 1 DRAINAGE STRUCTURES ( ) POOL CONDITIONS: ( 1 SLOPING PROPERTY ( j • NATURE 0L ( 1 FAILURE: t 1 • FAILURE= SYMPTOM: HYDRA C OVER DRAINAGE OFF INCHES t Ai3;,sr; OF WASTE (K] DOMESTIC ( COMMERCIAL 1 METERED WATER [)3 TAELE 1, 64E-6, FAC ] PATIO / DECK PARKING SOILS ROOTS t 1 SEWAGE 0 GROUND t 1 TANK ( PLUMBING BACKUP T ( 1 REMARKS/ADDITIONAL CRITERIA {Qf04.4f 304 tee 6 -Azle SUBMITTED BY SAINTEN' NCE ABLE BOX/H A/ 3.8 "� J L x "'ism_ k -4p -°t E- wf- 7rri s Tt?i TITLE/LICENSE Sr ci ••X 2.6/2- DATE: t' DH 4015, OS/0(Obsoletes previous editions which may not be used) Incorporated 64E-6.001, FAC Page 4 of 4 3-�c { r r' t, • 1 , • Mk, • • V -4l J 1 )- • 4- , / Z J K....