705 NE 92 St (6)Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Printed: 9/2/2005
Applicant: HENRY DONALDSON
Owner: DONALDSON HENRY
JOB ADDRESS: 705 NE 92 ST
Contractor
Local Phone:
Parcel # 1132060141561
Signed: (INSPECTOR)
Building Permit
Permit Number: BP2005 -967
Contractor's Address:
Permit Status: APPROVED Permit Expiration: 12/26/2005 Construction Value:
Work: 40 YR RE- CERTIFICATION
Page 1 of 1
Legal Description: 5 6 53 42 MIAMI SHORES SEC 3 PB 10 -37 PARTS OF LOTS 22 -23 BEG 25FTE OF
Fees: Description Amount
FEE2005 -8959 Building Fee $250.00
Total Fees: $250.00
Total Fees: $250.00
Total Receipts: $250.00
r Fd
In consideration of the issuance to me of this permit, I agree to perform 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 permit I assume responisibility for all work
done by either myself, my agent, servants or employes.
Signed: (Contractor or Builder) BY:
BUILDING
PERMIT APPLICATION
FBC 2001
Permit Type (circle): Building Electrical Q Plumbing I ,�' Mechanical Roofing
Owner's Name (Fee Simple Titleholder) "t l) r9 1 �� Knd
Owner's Address
City State Zip
Tenant/Lessee Name Phone #
Job Address (where the work is being done)
City Miami Shores Villa•e
Is Building Historically Designated YES
0
Contractor's Company Name Phone #
Contractor's Address
City State Zip
Qualifier
State Certificate or Registration No. Certificate of Competency No.
Architect/Engineer's Name (if applicable) Phone #
$ Value of Work For this Permit Square Footage Of Work:
Type of Work: ❑Addition ❑Alteration ❑New
❑ Repair/Replace Demolition
Describe Work: I
Submittal Fee $ Permit Fee $
Notary $ Training /Education Fee $
Scanning $ Radon $
Code Enforcement $
Total Fee Now Due $
(Continued on opposite side)
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795.2204 Fax: (305) 756.8972
JUN 29
County Miami -Dade
0 f -C Ira 4- i
* * * * * * * * * * * * * * * * * * * * * * * * ** ** F ees * * * * * * * * * * * * * * ** * * * * * * * * * * * * **
NO
G
Zoning
Structural Plan Review. $
2 S �-
Master Permit No.
Technology Fee $
Bond $
JUN 3 0 2005 A_ '
Permit No. 13ppS - kpl
Zip
CCF $ CO /CC
Bonding Company's Name (if applicable) • f .
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. 1 understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC
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.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT 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."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature
The foregoing instrument was acknowledged before me this
day of ,20by
who is personally known to me or who has produced
As :. dentification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
Owner or Agent
APPLICATION APPROVED BY:
chc 05/13/03
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
*********************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
NOTARY PUBLIC:
Sign:
Print:
*
Signature
Contrac
The foregoing instrument was acknowledged before me this
day of , 20 , by
who is personally known to me or who has produced
as identification and who did take an oath.
My Commission Expires:
* * * * * *+ * * * * * * ** * * * * * * * * * * * * * * * * * * * * * * * * * *
Plans Examiner
Engineer
Zoning
sX 002 05
July 14, 2005
Miami Shores Village
Building and Zoning Department
10050 NE 2 Avenue
Miami Shores, Florida
Attn: Building Official
Re: Building Recertification
705 NE 92 Street
Miami Shores, Florida
Gentlemen;
Folio No. 11- 3206 - 014 -1561
Edward A.
LANDERS, P.E.
CONSULTING ENGINEERS
Edward A. Landers, P.E. has performed a Structural Inspection and an Electrical
Inspection of the Apartment Building at 705 NE 92 Street, Miami Shores,
Florida in accordance with the Florida Building Code Administration, Chapter 8 of
Miami- Dade County Ordinance No.02 -44.
We conclude from our inspection that the above structure is both
structurally and electrically safe and is in good condition.
As a routine matter, in order to avoid possible misunderstanding, nothing in this
report should be construed directly or indirectly as a guarantee for any portion of
the structure. To the best of my knowledge and ability, this re • ort re
accurate appraisal of the present conditior
evaluation of observed conditions, to the e
Should you have any additional questions
ru
823 -3938.
Very truly y
Edward A. Landers, P.E.
Florida P.E. # 038398
(1.1 Postage
r1
r9
Certified Fee
M Return Receipt Fee
p (Endorsement Required)
Restricted Delivery Fee
O (Endorsement Required)
O Total Postage & Fees
m
U.S. Postal Service
CERTIFIED MAIL RECE,iPT
(Domestic Mail Only: No In ?urance Coverage Provided)
Sent To
PS Form 3800, January 2001
See Reverse for Instructions
rr Street, Apt. No.;
O or PO Box No.
N City, State, ZI
Qs NS cri
7850 NW 146 STREET, SUITE 509 • MIAMI LAKES, FL 33016 • (305)823 -3938 • FAX (305)823 -9355
MINIMUM INSPECTION PROCEDURAL GUIDELINES FOR BUILDING
1. Description of Structure:
a. Name of title:
b. Street address:
c. Legal description:
c:\amipro\docs\penalty
2. Settlement:
3. Defections:
4. Expansion:
5. Contraction:
STRUCTURAL RECERTIFICATION
7o S A/ ?Z
CW P
N/3
�vrS zz - t3
t/I/l (i i S L 5 , S'e c 3 06 t O- 3 7
d. Owner's name: Hew K y >JAIL/9 bs0'7 4 00 /04,xCC.o•A--
e. Owner's mailing address: 7 O Ale 9 Z * Sr: 4E 7 (N� 44 - Ciao, R •
33 /3P
f. Building Official Folio Number: ! t 2o -- 0 (4- - I Se/
g . Building Code Occupancy Classification: Gg-O y
h. Present use:
i. General description, type of construction, size, number of stories, and special
features.
ittr 6 (Z s C S S T clvbte oil A- J As ✓M
r n JI Al o.9-7 . S' e-vti c J/
—rD2p gvu ' .r .7 ret
j. Additions to original structure: / al/Le (X
/ 3 / 1 C
2. Present Condition of Structure:
a. General alignment (note good, fair, poor, explain if significant)
1. Bulging: GA N)
b. Portions showing distress (note, beams. columns, structural walls, floors, roofs,
other).
I d 015 IX!? rS (/o S. 4'6
c. Surface conditions - describe general conditions of finishes, noting cracking,
spalling, peeling, signs of moisture penetration & stains
(; Ce,t4 ,, 7
d. Cracks - note location in significant members. Identify crack size as HAIRLINE if
barely discernible; FINE if less than 1 mm in width: MEDIUM if between 1 and 2
mm in width; WIDE if over 2 mm.
, . 0
e. General extent *of deterioration - cracking or spalling of concrete or masonry;
oxidation of metals; rot or borer attack in wood.
/l c.P
f. Previous patching or repairs: / P4 f c:
g . Nature of present loading - indicate residential, commercial, other stimate
magnitude. 'r 1 -t-
3. Inspections:
a. Date of notice of required inspection:
b. Date(s) of actual inspection:
c:\ m i p ro \does \penalty
c. Name and qualification of individual submitting inspection report:
2 /, *9 ,4 Z4)4/A-0-3, o e e o3 ,e3c'
d. Description of any laboratory or other formal testing, if required, rather than
manual or visual procedures.
t/l c 0014419 01119
e. Structural repair - note appropriate line:
1. None required
2. Required (describe and indicate acceptance)
4. Supporting data:
a. 1 'L sheets written data
b. photographs
c. drawings or sketches
5.
• • l I
Its . a II.
1
a. Concrete masonry units
b. Clay tile or terra cotta units 6
c. Reinforced concrete tie columns &Ai °
d. Reinforced concrete tie beams 07N
e. Lintels
f. Other type bond beams
g.
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Wa
dica
Masonry finishes - exterior:
1. Strucco
2. Veneer
3. Paint only
4. Other (describe)
riate Ii, e
1-
c:\amipro\docs \penalty
h. Masonry finishes - interior: /�
1. Vapor barrier (,— �%1M
2. Furring and plaster 6
3. Panelling (30aP
4. Paint only 0)99
5. Other (describe)
i. Cracks;
1. Location - note beams, columns, other
2. Description
Spoiling;
1. Location - note beams, columns, other
2. Description
�ouo
A7A-
Rebar corrosion - check appropria line: /
1. None visible 0 v r (�✓ k_
2. Minor - patching will suffice N /.+
3. Significant - but patching will suffice /" A`
4. Significant - structural repairs required //
(describe) !(//
1. Samples chipped out for examin tion in spall areas:
1. No
2. Yes - describe color texture, aggregate, general quality
APA-
6. Floor and Roof Systems:
a. Roof:
1.
c :\amipro \docs \penalty
Describe (flat, slope, type roofing, type roof dec
condition):
f C r- fiz- o attit sir.4
;4. -G/tr
2. Note water tanks, cooling towers, air conditioning equipment, signs, other
heavy equipmentaxd condition of supports:
/ D
3. Note types of drains and scuppers and condition: /'
f��t -tti►1'
- 1‘ girt] H'! U 1/U Io l�I
b. Floor stem(s):
1. Describe (
(oJ ' G Cott to I
7. Steel Framing Systems;
a. Description:
e of system framing, material, spans, condition):
c. Inspection - note exposed areas available for inspection, and where it was found
necessary to open ceilings, etc. for inspection of typical framing members.
4 c r A1 S
ilo V ri i 6
b. Exposed Steel - describe condition of paint & de ee of corrosion:
A f d Cdt..e-of �' V
c. Concrete or other fireproofing - note any crackjn or spalling, and note where any
covering was removed for inspection:
d. Elevator sheave beams & connect.i,ons, and machine tioor beams - note condition:
8. Concrete Framing Systems:
a. Full description of structural system:
/(-?,) D t odActv4 c
b. Cracking:
1. Not significant:
/1/4/
C OU C 7 CgW
2. • Location and description o members affected and type cracking:
c. General condition: Gf
d. Rebar corrosion - check appropriate line:
1. None visible
2. Location and description of members affected and type cracking
c:\amipro\docs \penalty
3. Significant but patching will suffice A-71
4. Significant - structural repairs required (describe) AI /f}—
e. Samples chipped out in spall reas:
1. No.:
2. Yes describe color, texture, aggregate, general quality:
9. Windows:
a. Type (Wood, steel, aluminum, jalousie, single hung, double hung, casement,
awning, pivoted, fixed, other): 4 (Maui (/.-% /J 1J,J C
Ave 4- wetfi 717 /6 Afo ivt/
b. Anchorage - type & condition of fasteners and latches: /�ONV%
c. Sealants - type & condition of perimeter sealants & at mullions:
o c.J2 at.A G 0 CeAit 0 7
d. Interior seals - type & condition at operable vents: 6
e. General condition:
10. Wood Framing;
c:\amipro\docn \penalty
Type - fully describe if mill construction. light construction, maior spans, trusses:
a.
b. Note metal fittings i.e., angles, plates, bolts, split pintles, pintles, other, and note
condition: CenA d ?
c. Joints - note if well fitted and still closed: _ t N ` (5 /1tit4
Gu-e -tt ,r✓! e La.°q
d. Drainage - note accumulations of moisture: / v c) 4 c_ c" . ✓
OF- 44ct yT',t,
e. Ventilation - note any concealed spaces not ventilated: ?kJ(NZ4
f. Note any concealed spaces opened for inspection:
MINIMUM INSPECTION PROCEDURAL GUIDELINES FOR BUILDING
ELECTRICAL RECERTIFICATION
INSPECTION COMMENCED
Date: 7 -
INSPECTION COMPLETED
Date: C r
DESCRIPTION OF STRUCTURE:
a.
b.
c.
d.
e.
f.
g-
h.
L
NAME OF TITLE:
STREET ADDRESS: 7o r Al C cf Z '
LEGAL DESCRIPTION: 1./' : 2 2 - Z 3 � & (C: 6>3 /0)14( .SK GtOf 5 iL c&
OWNERS NAME: 1 .m .130 -ofinl ci GU A� Di-
OWNER'S MAILING ADDRESS: 70 S/V ? z X-7
FOLIO NUMBER OF BUILDING: / f 3 2 OG — 0 ( 4 ^ (5 11
BUILDING CODE OCCUPANCY CLASSIFICATION: K . n-N�J - - - - --
PRESENT USE:
GENERAL DESCRIPTION, TYPE OF CONSTRUCTION, SIZE, NUMBER OF
STORIES, AND SPECIAL FEATURES. ALSO ADDITIONAL COMMENT.
-1145 (z) r rtn C65 3 -rvu
A P—v),T1`,✓6, ✓046
S GT . 1 2 1■11 Cvy 7 lu s s
cf
INSPECTION MADE
SIGNATURE: n /� /
PRINT NAME: C� SAS A /J
11'1 "LE: P, 4 4ycd r*C �
ADDRESS: era /J C S7; `(77
frO«i £*ttP 5, i(. ?3d /a
1. ELECTRIC SERVICE:
1. SIZE, AMPERAGE: ( 1 1 f FU ES ( ) BREAKER (' )
2. PHASE: 30 ( -) 1 ( )
3. CONDITION: GOOD ( ✓ ) AIR ( ) NEEDS REPAIR ( )
4. COMMENTS'
GUIDELINES AND INFORMATION FOR RECERTIFICATION OF ELECTRICAL SYSTEMS OF FORTY
(40) YEARS STRUCTURES
METER AND ELECTRIC ROOMS:
1. CLEARANCES: GOOD ( /) FAIR ( ) REQUIRES CORRECTION ( )
2. COMMENTS:
3. GUTTERS
1. LOCATION:
/v • .31
4. ELECTRICAL PANELS:
6. COMMENTS :
c:lamipro\docs \pcaalth
GOOD ( VI REQUIRES REPAIR
2. GOOD ( ) - REQUIRES REPAIR
3. COMMENTS:
LOCATION GOOD ( NEEDS REPAIR ( )
1. PANEL " (
`�� GOOD ( (.--1 NEEDS REPAIR ( )
2. PANEL K ( rJ )71 " `V" P S
GOOD ( ) NEEDS REPAIR ( )
3. PANEL m ( ):
GOOD ( ) NEEDS REPAIR ( )
4. PANEL ( ):
GOOD ( ) NEEDS REPAIR ( )
S. PANEL # ( ):
GOOD ( ) NEEDS REPAIR ( )
ELECTRICAL:
PAGE 2.
S. BRANCH CIRCUITS:
1. IDENTIFIED: YES( `/) MUST BE IDENTIFIED ( )
2. CONDUCTORS: GOOD( ) DETERIORATED( ) MUST BE REPLACED( )
3. COMMENTS:
6. GROUNDING OF SERVICE
COMMENTS:
7. GROUNDING OF EQUIPMENT:
COMMENTS:
8. CONDUIT RACEWAYS: CONDITION: GOOD( V) REPAIRS REQUIRED( )
COMMENTS:
9. CONDUCTOR AND CABLES CONDITION: GOOD( v) REPAIRS REQUIRED( )
COMMENTS:
10. TYPES OF WIRING METHODS- CONDITION:
CONDUIT RACEWAYS: RIGID: GOOD (" ) REPAIRS REQUIRED ( )
CONDUIT PVC: GOOD ( /) REPAIRS REQUIRED ( )
NM CABLE: GOOD (✓) REPAIRS REQUIRED ( )
BX CABLE: GOOD ( ) REPAIRS REQUIRED ( )
c:\amipro \don \penalty
GOOD() REPAIRS REQUIRED( )
GOOD( 7) REPAIRS REQUIRED( )
ELECTRICAL:
PAGE 3.
12. EMERGENCY LIGHTING:
COMMENTS:
14. FTRF, ALARM SYSTEM:
COMMENTS:
COIvt ENTS:
COMMENTS:
c :\i m i p r o \d oc i\ pc o a l ty
11. CONDUCTORS: CONDITION: GOOD( t/) REPAIRS REQUIRED( )
COMMENTS:
GOOD( REPAIRS REQUIRED( )
13. BLDG. EGRESS ILLUMINATION: GOOD( ✓ REPAIRS REQUIRED( )
COMMENTS:
GOOD(CA REPAIRS REQUIRED( )
15. SMOKE DETECTORS: GOOD( U '5 REPAIRS REQUIRED( )
16. EXIT LIGHTS: GOOD( ( REPAIRS REQUIRED( )
COMMENTS:
17. EMERGENCY GENERATOR; GOOD( ) REPAIRS REQUIRED( )
j 4-
ELECTRICAL:
PAGE 4.
18. WIRING IN OPEN OR
UNDER COVER PARKING
GARAGE AREAS:
COMMENTS:
19. OPEN OR UNDERCOVER
PARKING GARAGE AREAS
AND EGRE,SSIT,LUMINATION:
COMMENTS:
20. SWIMMING POOL WIRINGS GOOD( • ) REPAIRS REQUIRED( )
d/fr"
COMMENTS:
21. WIRING TO MECHANICAL EQUIPMENT: GOOD( ✓) REPAIRS REQUIRED( )
COMMENTS:
22. GENERAL ADDITIONAL COMMENTS:
c:\arnipro\docApcoalty
REQUIRE ADDITIONAL
GOOD( ✓ ) ILLUMINATION ( )
REQUIRE ADDITIONAL
GOOD( L' ILLUMINATION C. )
CERTIFICATION OF COMPLIANCE WITH PARKING LOT ILLUMINATION
STANDARDS IN CHAPTER 8C OF THE CODE OF MIAMI -DADE COUNTY
Date: 7- !4-0 S�
Re: Case No.
Property Address:
Building Description:
The undersigned states the following:
1. I am a Florida registered professional engineer or architect with an active license.
2. On _ 1)I_y I4 , 20 I measured the level of illumination in the parking lot(s)
serving the bbove referenced building.
3. The level of illumination provided in the parking lot(s) meets the minimum standards for
the occupancy classification of the building as established in Section 8C -3 of the Code of
Miami -Dade County.
Seal of Architect or Engineer Executing the
Certification Must Be Affixed in the Above Space
76 i Al c q z ,4-, 57>tsLo-t
5-19x44
(Print Name)
ITEMS
NAME CONTRACTORS & SUPPLIERS
NAME & ADDRESS
1. Ar�hitectura1 Fee 1ansT
WO < %.:, rya; ' .'- - / .3 / /1/.&.. PJ °' j
•' : ?
2. Asphalt T r?a,_Jcs . drives . etc.
3. Cabinets - Bath Vanity
, S • 4. .i.% y/<.1; ,
,, �, �4z ^ ,A.: ,1/1.-02/3141 .
4. Cabinets - Kitchen
o, • ; .. .• _
5. Cabinets Medicine
�,
.G-. Cabine + -, Unit Close
g. C1eani r.g
_
.8 � wite.
`s C1err.�
9, Concret; - Foundation Slabs
A 5
10. Concrete - Cra Iks drives .etc.
-- 2'.';
11. Contractors Fee
1 Electric Fixtures
`. ',,Y 4 :f'
23. Electric .. ?i:win
,7;->f'
.
1 E uiiment Rental
575, Excavation
16, Fill S1;
..1 ,�;. � , . / /..", r + cr ,
_for
17. Floors - Finish wood & kitchen
i'lcors _a- Terrazzo
�:90 Ga..ra. 9 Doors
a0,1 Sli.din Doors
21. Hardware - Finish
• �`G o '_
22. Hardware - Rouh
23. Heating_
_ . ut✓ t - 612, /,
24. Insurance - Liabilit .com.. -bond
25. Labor - Pa •o11
?' A.y .f., e.,)
26. Labor - Contract
� •
27. Labor - Contract
28. Landsca•oi.ng Fill Gradin:
} ,° + .,
''� ���' e s '%_r. . o ,9' //6
29, Lath, P1aste Stucco
30. Lunber CA111
,,` ,
--��
�', Acs `':,7r�.
31. Masonry Labor
<�l � P,F `�. -. a, . A� : r o"%; aa:',
32. Masonry Materials, Block
33. Millwork
.- <19
34. Miscellaneous
35. Ornamental Iron Uork
*A 'a,,'f /. /.4 /
36. Oven & Plate - Built-in
37. Overhead
.
38. Paints
W /94 } , gym
_
39, Permit s feEporar y Power
.✓A , . ., �^., ; ,
40, Pi11Foundation,
41. P l u m b i n g ete
it •I "er
. b ool , - Swimming__ �rrlmdrei ng__
-
..._ ._-...._._...�
r
43. Roof in & Sheet Metal Uork
�. �� 7^° 77 .''°ev
44 I'oof Trusses - Pre -fab.
..,9
., :'' c
.Scree. Enclo5ur^s
' nk or Sewerage •
46. Septic a
f .t� /r; _ = 4 4,,4 -%
47. Show er - or Tub Enclosures
,fir e;•c�,s % ,.
48. Steel - '-Zeinforcing . strl_. __
. ' " .
49. Super•visiorr s
� ' > ; o
-..
50. Surveys ,.
51. Tile. ,.garble s.s
2/ /_` C d :'//'i 44_
/ _ 6 i, - . �•
--
_�__ s
. i „Q . C' ^ l' b� eo
_ __
�1 '9 s,l dr -'� i 6j,� ., -
... - -
�. ._ .. ,. �.
„- ate. . :e1.1 &�Pum r�. _ __
_ _�_..
54. tando'rs Glazink& Screens
( , . / . ,, /.a � `'4/ -�
55, ��1 .Frames - C
> / �; // ,T/ �',, .., , -
Pt.,. lv J P� L: t`
St -iOR. S VILLAGE
APPLICATION FOR FINAL INSPECTION
Prior o a fine.i inspect_ n this appi.:�.cation must k'e filled oo ; if sub contractors have
failed to take out perniis the general contractor shall be re'7ponsi.b i.e for the permit and
fee. A final inspection nust be made prior to the release to Florida Power and Light Co.
and the issueance of a certificate of occupancy.
OT,INER J 4 4 ( S c JOB ADDRESS '/
BUILDER
SIGNED
B
LOT r BLOCK SUB. W _.'
/ e ti • Alice__ ) DAY LABOR OONTRAC`1'1
--- C ONT.:ACT OR -
/A/
DA'b'Yie- .; 19 S
•
TOTAL
PERMIT NO.
ADDRESS:
MIAMI SHORES VILLAGE
BUILDING / ZONING DEPARTMENT
SECTION
BY
DATE
ZONING
ELECTRICAL
MECHANICAL
PLUMBING
FIRE
PUBLIC WORKS
STRUCTURAL
BUILDING OFFICIAL
1. Subject to compliance with alt Federal, Sul
County. Village rotes end regulations. Wage usual
no responsibUlty for accuracy oflor results (cc
these plans.
2. Thli copy of plans mat be %Nalltbts
building site or no inspection win be conduct<
CRITIQUE SHEET
JOB ADDRESS ` D !' 1457
ftt
APPLICANT fl a$01•1
PHONE #
APPUCATION
SHEET OF
MISCELLANEOUS
DATE MUG
COMMENTS
INITIALS
shlo Fr Aces 1 -C"At y aril m I is f be atoiorevt-ai 4(
Ltnn ,
FeAc e S 1;1 41-06.1- y1 . tr L arc f t v►., r f t