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ELECTRICAL PERMITPERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address 695 A, ( / F, !j t Tax Folio Legal Description Historically Designated: Yes V No Owner/Lessee / Tenant / V f4l' Master Permit # (71(0,0 Owner's Address — 5 7 N , . f I S f ‘ Phone 7' C r 3 0 0 7 Contrachn: • V 1 'ec. w C. __ Address I % 4 iE. / +o S t- Qualifier Ci k. i � Ct C15 r1 State # 0 60 l0 5 Municipal # Architect/Engineer Bonding Company Mortgagor Permit Type (circle one): BUILD WORK DESCRIPTION a ve c_e l ,f. c _c(E) Square Ft. Estimated Cost (value) / ©/ /Q D 0 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.) N My Commission E FEES: PERMIT • Condo Presi t Date ‘ / — / 3 - �� /, -9 pFi7 OT • ' SEAL . • and/or Cor prlgU Dat (NARY PUBLIC STATE OF FLORIDA COMMISSION NO. CC714103 iy(Y GOMNNEXP. MAR. 1,2002 �S D • RADON ss# - - [ ! —6373 Competency # Ins. Co. Address Address Address LUMBING MECHANICAL ROOFING PAVING FENCE SIGN 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 • • • e ork stated. gnatur o ontrac or o S No My Commission Eztres. OFFICIAL NOTARY SEAL CLADYS j VILLAR NOTARY PUBLIC STATE OF FLORIDA COMMISSION NO. CC714103 MYCOMMIESTON EXP. MAR. 002 C.C.F. / e NOTARY erer um to Contractor or Owner - Builder BOND APPROVED: TOTAL DUE '• Zoning Building Electrical 7? _) 9, a-D -97 Date Date Mechanical Plumbing Structural Engineer NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. / -3106-0/3— 3'S22 STATE OF FLORIDA: COUNTY OF DADE: THE UNDERSIGNED hereby gives notice that improvements 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. Legal description of property and street address: S 7 lVV ?/ S / 2. Descri tion of improvement: 17 y - ) w)"\-9Yr 3. Owner(s) name and address: Mt 9146, zs - - . .:- -. Y hoe a et 1/1 - -z n (.6Th 1-41\ o ( d e_. en i (l yid r-__ f"7,c Yl c e Y^ret t . /t!', ho m, s te » 9R 5 . 3 3, K Interest in property: Name and address of fee simple titleholder: 4. Contractor's name and address: v '& M a) 'e-c_ 6 2,0 A) , E. IL st. N .M; wti L �'1 (- i 771 I 5. Surety:(Payment bond required by owner from contractor, if any) Name and address: Amount of bond $ 6. Lender's name and address: 7. Persons within 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: 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(1)(b), Florida Statutes. Name and address: 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a differs Sworn to and P: v -7/3 CI a dale is specified) re of owner 45 2 - 7-- r _ / 3 .//-/3 - yy Print Owners Name rei-Pte es,y Qtr i�lcz tjJ q C� . 19 Notary Publ Print Notary's Name scribed before me this ' -() day of .J n . OFFICIAL N ARY SEAL GLADYS J VILLAR NOTARY PUBLIC STATE OF FLORID.1 COMMLSSION NO. CC71 h1YiYZ SION EXP. MAR. 12002 My Commission Expires: •STATE OF FLORIDA, COUNTY OF DADE • 1 HEREBY CERTIFY that this h o true copy of fh .onigInal f in 1hl (Who on c d o f � . A.o. w WlTN@SSmyh nd and Off'ch.1S0 t, HARRVEY R;(, of Circuit and county Court Prepared by: / /h t�( M ec d5eii i - vY1 E Address: I 36, N eE. 1 4gst, N. rIIQ `pL r��ID� .2x5.2 Z3 111sW AM 1/ / 3 NS AP PLICATION FOR ELECTRICAL PERMIT Permit No MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building ot other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiv:ida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations 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 work. Owner's Name and Address.. / / ' ' �' 49 f Street and Number where work is to be performed —No... /1 ,0, .te, ..,f'',�..�1! /.�!a'c�� State work to be performed and purpose of building (By Floors) Amount of Permit $ (Signed) Date Noaqr7 Street...� 7 J17- Registered Architect and /or Engineer Employing Electrician's Name 4 ��� ' 4 ' 7/ U fEfl -(7* ••No ,e20/•-- Location and Legal Description Lot Block Subdivision Street /(/‘ ' .Q?: New Building Remodeling Addition Repairs No. of Stories Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation -- Conduit Tubing B.X.L .Metal Moulding 1e- Stzut Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations a. 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 subcontractors 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 sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Notary Public, State of Florida Master Electrician. STATE OF FLORIDA, } COUNTY OF DADE. ss. 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, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECE'P'T'S FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER 14 W. HEAT. CONN. SPACE HEATER STRIP H TOTAL CONTR. LIST CHECK ENT. SW. DIET. CAS. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1 -5 HP NEON TRANS. RADIO C. TOTAL CONTR. LIST / 4: 7 7/ /1.••• / f CHECK 111sW AM 1/ / 3 NS AP PLICATION FOR ELECTRICAL PERMIT Permit No MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building ot other structure herein described. This application is made in compliance and conformity with the Building Ordinance of Miami Shores Village, Fiv:ida, and all provisions of the Laws of the State of Florida, all ordinances of Miami Shores Village and all rules and regulations 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 work. Owner's Name and Address.. / / ' ' �' 49 f Street and Number where work is to be performed —No... /1 ,0, .te, ..,f'',�..�1! /.�!a'c�� State work to be performed and purpose of building (By Floors) Amount of Permit $ (Signed) Date Noaqr7 Street...� 7 J17- Registered Architect and /or Engineer Employing Electrician's Name 4 ��� ' 4 ' 7/ U fEfl -(7* ••No ,e20/•-- Location and Legal Description Lot Block Subdivision Street /(/‘ ' .Q?: New Building Remodeling Addition Repairs No. of Stories Service Overhead Site Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation -- Conduit Tubing B.X.L .Metal Moulding 1e- Stzut Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understands and accepts his obligations a. 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 subcontractors 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 sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. Notary Public, State of Florida Master Electrician. STATE OF FLORIDA, } COUNTY OF DADE. ss. 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, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. MIAMI SHORES VILLAGE, FLORIDA BUILDING ❑ DAT1 1 a 4• .1 L. 195 ELECTRICAL PERMIT N? 13474 Contractor's PLUMBING 1 1 License No ROOFING n Work to be performed under this Permit Owner of Building �--N . & �.,►�, Architect Contractor or Builder Legal Lot I Bi. Description, Address of �r ./ � value of II Building f :S. c • 1 f _ Project $ This permit is granted tol the contractor or builder named above to construct the building or to install the equipment or device described in the application herefor in strict compliance with all ordinances pertaining thereto and with the understanding that the work will be performed in compliance with any plans, drawings, statements or specifications that may have been submitted to and approved by the proper municipal authorities. This Permit may be revoked at any time if the work is not done in compliance with such ordinances or if the plans are changed without authorization. A further condition upon which this permit is granted is the understanding that the contractor or builder named above assumes the responsibility for a thorough knowledge of the ordinances and regulations pertaining to the work covered hereby whether shown on the plans or drawings or in the statements or specifications and that he assumes responsibility for work done by his agents, servants or employees. r(*Wo BY — 7" ,/ ti/ �`�� CONTRACTOR NA A c ,r.... OR BUILDER Signed- Subdi- vision Amt. of Permit INSPE In consideratitn of the issuance to me of this permit I agree to p the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this pernyt d assume responsibility for all work done by either, myself, my agent, servant or employee. BY AUTHORITY Permit No...._L_. .7 Lk Employing Electrician's Name MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date S 2� 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 regulations 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 work. M Owner's Name and Address `i • r• 0 . • t _M4e....41!:'tr.. Street Registered Architect and /or Engineer 6S. Amount of Permit $ 1 ---- (Signed) No Street Location and Legal Description Lot Block r Subdivision Street and Number where work is to be performed —No S 1 1.. ? 1 treet Y State work to be performed and purpose of building (By Floors) T New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B..1 Metal Moulding Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understds 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 sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) Master Electrician. STATE OF FLORIDA, COUNTY OF DADE. 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, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. SWITCH OUTLETS LIGHT OUTLETS PLUG RECEIP'T'S FIXTURES NO. LAMPS REFRIG. OUTLET IRON OUTLET RANGE OUTLET RANGE CONN. WATER HEATER W. HEAT. CONN. SPACE HEATER STRIP HEATER TOTAL. CONTR. LIST CHECK ENT. SW. DIST. CAB. SERVICE TEMP. SERVICE PERM. MOTORS 0.1 HP MOTORS 1.5 HP NEON TRANS. RADIO TOTAL CONTR. LIST CHECK Permit No...._L_. .7 Lk Employing Electrician's Name MIAMI SHORES VILLAGE ELECTRICAL INSPECTION DEPARTMENT APPLICATION FOR ELECTRICAL PERMIT Date S 2� 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 regulations 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 work. M Owner's Name and Address `i • r• 0 . • t _M4e....41!:'tr.. Street Registered Architect and /or Engineer 6S. Amount of Permit $ 1 ---- (Signed) No Street Location and Legal Description Lot Block r Subdivision Street and Number where work is to be performed —No S 1 1.. ? 1 treet Y State work to be performed and purpose of building (By Floors) T New Building Remodeling Addition Repairs No. of Stories Service Overhead Size Feeders Conduit Main Sw Amps Main Fuses Amps Underground Type of Installation— Conduit Tubing B..1 Metal Moulding Electrical Inspector. The undersigned applicant for this building permit does hereby certify that he understds 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 sub - contractors, on work to be performed under this permit, as are licensed by Miami Shores Village. (Signed) Master Electrician. STATE OF FLORIDA, COUNTY OF DADE. 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, and he has carefully read the foregoing application, and that he did sign the same, and that all facts therein by him stated are true. My Commission Expires Notary Public, State of Florida NOTE: A re-inspection fee of $1.00 will be made when such re-inspection is made necessary by improper notice for inspection, or faulty materials and /or workmanship. Date i9 Job Address o 7 4 W V, Legal Description r Ce--/7 ctrii czg 2� Owner's Address ( -0.6 - 7 /1) 9i Contracting Co. 0 a 'k-die I C re ()ern a U Owner / Lessee / Tenant Qualifier 74."' SS4i State #t 1? nDX099 Municipal # Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING -. 9 ' 1 2 rail Co-r, Estimated Cost(value) i ?ee Go 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 cer; "y that all the foregoing information is accurate and that all work will be done in compliance\ all applicable laws regulating construction and zoning. Furthermore, I authorize the above red c tractor to do the work stated. WORK DESCRIPTION //)-(AP- Square Ft. PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Signature o Date: Notary as to My Commission ** * * FEES: PERMIT APPROVED: * * RADON ident ndo President Tax Address Competency 4i O0D00999 Folio 0 Master Permit # 3 Z 4 /-� Phone 2s,ey si-- Phone .�DS ca/o /r, - 777 Ins.Go. O CTRICAL J PLUMBING MECHANICAL ROOFING PAVING PENCE SIGN Signature of Contractor or Owner- Builder Date: Notary as to Contractor or Owner-Builder My Commission Expires: * * * * * * ** * C.C.F. Fire Other _ NOTARY TOTAL DUE / 5)� Zoning Building Electrical OP Mechanical Plumbing Engineering RERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY Date ;V - 97 / Job Address / 9/ cc-T( Tax Folio Legal Description Master Permit # 546/6 Owner /�a9/l/G� �S QYn Q '� Tenant Owner's A ddress /1) /1) g — � SIDrI Day -Time Phone 3e7e7 Contracting Co. x42-11 L-r aC / e�aef ( . Address 2 And A.S./. Qualifier 4 . a - f r Phone ( J ) , 2 4, 4 - 2 2 State# 00 0DO, 9 , Competency# Ins. Co.R,1GZL Architect /Engineer Bonding Company Mortgagor Permit Type: ROOFING BUILDING Application is hereby made for a permit to do work & installation as indicated. I understand that separate permits are r WORK DESCRIPTION Square Ft. equired for Electrical, Plumbing, Sig Pools, Roofing, & Mechanical work. l e_ 6-0(f_Ap..4_061-0 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMEZ'T 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 Ts NOTICE. A BACKFLOW PREVENTION DEVICE PERMIT AND CERTIFICATION TEST MAY BE REQUIRED IN ACCORDANC' WITH ORDINANCE #825. CALL THE PUBLIC WORKS DEPT. AT 787 -1001 OR VISIT THEIR OFFICE AT 1815 N.I. 150 ST. OWNER'S AFFIDAVIT: I certify that all the foregoing information Is accurat:, i~xl •t all work will be done In compliance with applicable laws regulating construction and zoning. Furthermore, I a gnature of Property • ner or Co',o Pres. ADMINISTERED OATH ❑ SWORN TO & SUBSCRIBED BEFORE ME THIS D ' OF ,, — ■ , 19__. `it eh Sig at r of NOTARY o 0 i. er /Condo President NOTACCV Ptratib LAW 4i . A4: laves ^ tea (Print, Type, or Stamp Commissioned Name) Personally' Known ❑ or Produced I.D. ❑ Type of I.D. produced Zoning Mechanical FEE Building Plumbing Address Address Address PLUMBING MECHANICAL PAVING FENCE SIGN Estimated Cost ve -mined contractor to = work stat of Contracto ADMINISTERED OATH 6 "ON TO & SUBSCRIBED BEFORE ME TH{a • D re r Y to Contractor zyiJn (Print.., Type, or Stamp Commissioned Name) 8i✓ Perscr ally Known ❑ or Produced I.D. ❑ Type cf I.D. produced Electrical Engineering PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date 7 /? / 1 7 Job Address 1,f7 Ale f / Si Tax Folio Legal Description &6 - Historically Designated: Yes No Owner/Lessee / Tenant PO ie OA roe Master Permit # L/ r7Z 7( Owner's Address ZS? JVE '9/ ST Phone 34 5 7 3 - q " 3,10 7 Contracting Co. e /A ) ecr,. Address 5)2.0 $w /44 AVC ir: tiA Qualifier / /... (241t SS# Phone State # - .3 7, Municipal # Competency # / 793 1 Ins. Co. 5 0 /e/! Architect/Engineer Address Bonding Company Address Mortgagor Address Permit Type (circle one): BUILDING LECTRICA PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION /A/ C E - 4 3 C /f.✓ /c vwy m 4,Ng RI a Square Ft. Estimated Cost (value) 3 /--1 69Z7 e 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 contra tor to do the irk stated. Signature of owner and/or Condo President Date Notary as to Owner and/or Condo President Date My Commission Expires: FEES: PERMIT Gf ea 40 RADON Signa e of afl( or or 3wner- Builder Date Notary as to Contractor or Owner - Builder Date My Commission Expires: C.C.F. NOTARY S - BOND TOTAL DUE APPROVED: Zoning Building Electrical Mechanical Plumbing Engineering