457 NE 95 St (2)Date
Legal Description
Q - hfnee / Lessee / Tenant
PERMIT APPLICATION FOR MIAMI SHORES VILLAGE
(Job Address '`/1_ 7 4/2r. 9S ?.nggf' Tax Folio
A3,e it K & >i✓ TO)✓ Master Permit # 37507
Owner's Address 4'X ` ? d 9S � � / Y& 4' 7 2
Phone �S ' SC
Contracting Co. �,EO,r�D,&QL4 /(///l 0 4407; C. Address S/ V t. /9O » S7 er
Qualifier C7 4 2A A) SS4 Phone 9 0177
State #1 Municipal # Competency 41CA1_ Ins.Co.
Architect /Engineer Address
Bonding Company Address
Mortgagor Address
Permit Type(circle one): BUILDING ELECTRICAL PLUMBING
WORK DESCRIPTION
7 /•/T_ Sk w
Square Ft. /, 000
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 zo ing. Furthermore, I
authorize the above -named contractor to do the work stated.
S igna ur f o
Date : � 1 I C'�'tC..:7 Flinn OTATE
4:7 ROAM
L,. !
Notary as o" and /o:V",C0pdm7Presi ent
My Commission E"
** * * *
FEES: PERMIT 5 RADON
APPROVED:
Zonin
Mechanical
* * *
MECHANICAL
Signaturq
Date: 3I It
Notary as to
My Commissio
ROOFING PAVING FENCE SIGN
Estimated Cost(value) 16.1")C3.
or or Owner- Builder
* * * * * * **
* *
C.C.F.
Fire Other
Building
Plumbing
NOTARY TOTAL DUE 53.0
Electrical
Engineering
•
Sec. 5-1.1. Air conditioning regulations.
(a) All individual air conditioning units installed in walls or
windows shall be securely anchored to the walls by approved
methods. Units installed over public property, paths of egress or
more than ten (10) feet above grade shall be secured to the struc-
ture by bolts or screws to resist horizontal wind loads. Such units
cantilevering more than eight (8) inches on the exterior of a
building shall be supported by steel angle brackets secured by
bolting. Bolts to masonry shall be set in lead shields or similarly
rot - resistant fastenings.
(b) The following special requirements shall apply to the con-
trol and regulation of noise nuisance from air conditioning machinery.
(1) All equipment, existing or hereafter installed, regardless
of location, shall be maintained in good working order.
Equipment so located that normal operating noises create
a nuisance to adjacent owners or occupants shall be pro-
vided with soundproofing, or sound - absorbing baffels, or
enclosures, as approved to insure maintenance of a rea-
sonable noise level.
(2) All equipment on outer walls, on roofs, or in other exposed
locations, which are unduly noisy, and which causes valid
complaints from adjoining property owners or occupants,
may be required to be relocated, redesigned and /or en-
closed in noise - retarding materials when, in the opinion of
the building official, such enclosure is necessary or would
be effective.
,(3) Special consideration shall be given to the planning of all
future installations to minimize the noise nuisance to ad-
joining property owners or occupants, and the building
official shall have authority to reject or require the rede-
sign of any system which, in his opinion, would cause such
a.noise nuisance.
(c) Violation of this section shall be punished as is now or may
hereafter be provided by law. (Ord. No. 299, §§ 1 -3, 2- 21 -61)
I have read the above ordinance and will comply with the
regulations thereof.
Jdiami c 12ores9illage
Owrbr iSignatu- 6�� ontractor Si nature
-
TOTAL FOR ROOM 1
e .
LOGIC 1000 RESIDENTIAL LOADS ANALYSIS PAGE 2
STRUCTURE TOTALS 12,240 CU FT
12,240 CU FT 1,530
SENSIBLE
LATENT
MINIMUM Cooling Capacity needed is 30,550 btu
at 90 degrees outside 75 degrees inside
Maximum desired Sensible Cooling Capacity is 30,558 btu
(115% of Sensible Load)
AREA BTUH BTUH
SQ FT LOSS GAIN
DOOR 10D SOLID CORE 18 201 123
WALL 14A 8 INCH BLOCK NO INSUL UNFINISHED 239 3,047 1,865
. WINDOW 6A METAL FRAME SINGLE GLASS FACING -S 9 248 306
TINT -PLAIN SHADING - DRAPES HALF DRAWN
SHADING COEFFICIENT = 1
WINDOW 6A METAL FRAME SINGLE GLASS FACING -S 24 660 816
TINT -PLAIN SHADING- DRAPES HALF DRAWN
SHADING COEFFICIENT = 1
CEILING 16B LIGHT R -7 INSULATION 1,530 4,590 5,998
FLOOR 22A NO EDGE INSULATION 45 911 0
WINTER INFILTRATION 82 CFM 2,248
SUMMER INFILTRATION 82 CFM SENSIBLE GAIN 1,349
LATENT GAIN 3,058
PEOPLE 4 1200
APPLIANCES 1200
26,258 26,572
3,978
1,530
- SENSIBLE 26,258 26,572
- LATENT" 3,978
_
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Version 92.05 * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
* This Heating and Cooling Load Computation was produced using the procedures *
* and tables of the Air Conditioning Contractors of America's Manual J,
* Seventh Edition. The accuracy of the calculated loads depends upon the
* accuracy of the data used and the accuracy of the Manual J load calculation *
* procedures for the given conditions. No warranty, either expressed or *
* implied, is given by Lennox Industries Inc. with respect to the accuracy *
* and /or sufficiency of the information provided by this report.
************************************************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
u
Lennox Objective Guide to Installation Comparison
************************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
AFFORDABLE AIR & HEAT, INC.
516 N.E. 190 STREET
MIAMI, FL 33179
305 - 940 -0777
************************************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
ROOM - 1 WHOLE HOUSE IN ZONE 1 45 X 34
WALL 14A 8 INCH BLOCK NO INSUL UNFINISHED 280 3,570 2,185
WINDOW 1C SNGLE PN CLR GLASS METAL FRM FACING -E 24 693 1,272
TINT- TINTED SHADING- DRAPES HALF DRAWN
SHADING COEFFICIENT = 1 .
WINDOW 1C SNGLE PN CLR GLASS METAL FRM FACING -E 32 924 1,696
TINT- TINTED - SHADING - DRAPES HALF DRAWN
SHADING COEFFICIENT = 1 -
DOOR 11A FIBERGLASS CORE 24 354 217
WALL 14A 8 INCH BLOCK NO INSUL UNFINISHED 246 3,130 1,916
WINDOW 1C SNGLE PN CLR GLASS METAL FRM . FACING -N 9 260 162
TINT - TINTED SHADING- DRAPES HALF DRAWN
SHADING COEFFICIENT = 1
DOOR 11A FIBERGLASS CORE 18 258. 158
WALL 14A 8 INCH BLOCK NO INSUL UNFINISH 289 3,678 2,251
OVERHANG = 1.0
WINDOW 6A METAL FRAME SINGLE GLASS FACING -W 12 330 883
TINT-PLAIN SHADING - DRAPES HALF DRAWN
SHADING COEFFICIENT = 1 REVEAL = 1.5
WINDOW 6A METAL FRAME SINGLE GLASS FACING -W 30 825 2,093
TINT -PLAIN SHADING- DRAPES HALF DRAWN
SHADING COEFFICIENT = REVEAL = 1.5
WINDOW 6A METAL FRAME SINGLE GLASS FACING -W 9 248 662
TINT -PLAIN SHADING - DRAPES HALF DRAWN
SHADING COEFFICIENT = 1 REVEAL = 1.5
WINDOW 6A METAL FRAME SINGLE GLASS FACING -W 3 83 221
LOGIC 1000 RESIDENTIAL LOADS ANALYSIS PAGE 1
FILE TITLE: .QUINTON
DESIGN TEMPERATURES (DEGREES F)
WINTER INSIDE 72 WINTER OUTSIDE 47
SUMMER INSIDE 75 SUMMER OUTSIDE 90
DAILY TEMPERATURE RANGE INDICATOR L
DESIGN GRAINS RELATIVE HUMIDITY 55
DEGREES NORTH LATITUDE 25
SUMMER AIR CHANGES PER HOUR 0.4
WINTER AIR CHANGES PER HOUR 0.4
TINT -PLAIN SHADING- DRAPES HALF DRAWN
SHADING COEFFICIENT = 1 REVEAL = 1.5
AREA BTUH BTUH
SQ FT LOSS GAIN
7S `f
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BUILDING ❑
ELECTRICAL ❑
PLUMBING ❑
ROOFING ❑
Owner of (")
Building A
Architect
Contractor
or Builder
Legal
Description
Address of
Building
f
Lot
0
This permit is granted to the contractor or builder named above to construct the building or to install the equipment or device described in the applica-
tion 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 respon-
sibility for work done by his agents, servants qr emplo5fees. r
!f k / /
�._ . •
Signed:.L . L -- (INSPECTOR) BY
In consideration of the issuance to me of this permit I agr e- to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawl , statements or specifications submitted to the proper authorities of Miami Shores Village.
In accepting this permit I assume responsibility for all work d e by either, myself, my agent, servant or employee.
/ /
,/7r . _ -a.. __
CONTRACTOR or BUILDER
MIAMI SHORES VILLAGE, FLORIDA
PERMIT N? 10280
II B
ti 14
Date— "' 19
Contractor's OvJ ` eL
License No.
Work to be performed under this Permit
/c.- 44
Subdi-
vision
Sq Ft <
Value of Amount of
Project $ CAD I I Permit $ _
BY AUTHORITY
Registered Architect and /or Engineer
Name and address of licensed contractor.
MIAMI SHORES VILLAGE
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build-
ing 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 budding during progress of the work.
Owner's Name and Address 4., ' J� � _. No.... t �..». Street�.S,r.► . ..4 > .i._.
Location and legal description of lot to be built on:
Lot Block Su ivision'/ /y ? ._.....__..__
Street and Number where work is to be done
State work to be done and purpose of building ( floors) _ ...__.. _........_._...._.._
4 .... Le, 41..
and for no other purpose.
New Building Remodeling X
To be constructed of Kind of foundation
Estimated Total cost of improvements $ J ' ° 9 OV Amount of Permit $. & co
Addition Repairs No. of Stories
Roof Covering
Zone cubage required _.._...plan Cubage
Distance to next nearest building Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to
The undersigned applicant for this building permit does hereby certify that he understands 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 su ntractors, on work to be perfo d under this
pennit, as are licensed by Miami Shores Village.
Remarks (Signed
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap-
peared — ••
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, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him stated are true.
Permit No....._._ Date Read, Sworn to and Subscribed before me.
Disapproved — Date. ._.......
Notary Public, State of Florida
(Signed)
Building Inspector My Commission Expires
PLANNING BOARD DATE
Chairman Mcmbcr
M1crr,bcr Mcmbcr
Member .. ... Member ..__._.
Council Approved Date Disapproved Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
the Planning Board.
A re fee of 31.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty
materials and /or workmanship.
Location and legal description of lot to be built on:
Lot Block
Street and Number where work is to be done :
State work to be done and purpose of building fip
,� -x1 T • ..1u97./.e, ....
New Bui!ding Remodeling X
Chairnnan
Mcmbcr
Member ...... ..._.
i ,
MIAMI SHORE
Subdivision
y floors). -
(Signed
Mcmbcr
Mcmbcr
Member
I LLAG E
BUILDING INSPECTION DEPARTMENT
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the build -
ing 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 the work.
Owner's Name and Address .14 . .. ....... ........._ _ ......_. No._.
Registered Architect and /or Engineer ,,:,.. „,,,,,,, „n.,....:, •,t ..
Name and address of licensed contractor. .i�.l...Jr 2& .. %- - e-414. - .. ......_..(11. i ,
peared
and for no other purpose.
Addition Repairs No. of Stories
Roof Covering
Permit $...(f?_ •
To be constructed of Kind of foundation
Estimated Total cost of improvements $ /#0M-)010 Amount of
Zone cubage required ..._ _....Plan Cubage
Distance to next nearest building Size of Building Lot
Maximum live load to be borne by each floor
I hereby submit all the plans and specifications for said building. All notices with reference to the building and its construction may
be sent to
The undersigned applicant for this building permit does hereby certify that he understands 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 SuuPplement,
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 s» oos tractors, on work to be performed under this
pennit, as are licensed by Miami Shores Village.
Remarks
STATE OF FLORIDA,
COUNTY OF DADE. ss.
Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments. personally ap-
Notary Public, State of Florida
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, that he has carefully read the foregoing application, and that he did sign the same, and that all facts
therein by him state are true. F
Permit No....... / Date...4 Read, Sworn to and Subscribed before me.
Disapproved , . Date..... ;..
Building Inspectors Commission Expires _.._.. ...
PLAANING BOARD _.._._...DATE
Council Approved Date Disapproved Date
NOTE: A charge of $1.00 will be made for making corrections or changes to this application after approval has been obtained from
the Planning Board.
A re-inspection fee of 31.00 will bc charged when such re- inspection is made necessary by improper notice for inspetiinn oe faulty
materials and /or workmanship.
I nspection Number: INSP- 9977 ° J j.
Inspection Date: 02/22/2006
Inspector: Perez, JanPierre
Owner: QUINTON, ALBERT
Job Address: 457 95 Street NE
Project: <NONE>
Contractor:
Passed
Failed
Correction
Needed
Re- Inspection
Fee
($75)
Miami Shores Village, FL 33138-
AFFORDABLE AIR & HEAT
Building Department Comments
No Additional Inspections can be scheduled until
re- inspection fee is paid.
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
Phone (305)795 -2204 Fax: (305)756 -8972
Inspector Comments
Block:
Permit Number: MC2005 -145
Permit Type: Imported Permit
Inspection Type: Final
Work Classification: <NONE>
Phone Number
Parcel Number 1132060140630
Lot:
\ Phone: 305-770-4167
94 tivt
Thursday, February 16, 2006 Page 1 of 2
457 NE 95 ST
Passed
Inspector Comments
C
.c0 0
y
1 l it
Failed
Correction
Needed
Re- Inspection
Fee
($75)
No Additional Inspections can he scheduled
re- inspection fee is paid.
1
until
�[rny�ln 1 tY 44. l'. 11 1 5 '' i r"7''r"'1i1r. of J i l iL
Inspection Date: 12102/2005
Inspector: Perez, Jan Pierre
Inspection Worksheet
Miami Shores Village
10050 N.E. 2nd Avenue Miami Shores, FL
hone: (305)795 -2204 Fax: (305)756 -8972
Owner: Name £ L_L -r t]L IV -- ry t j
Job Address: 457 95 ST
Project: <NONE>
Contractor: AFFORDABLE AIR & HEAT
Building Department Comments
Friday, December 2, 2005
90/Z0 3Etid
Miami Shores Village, FL
±d3Q 9Q1$3 t1i'If11N3IW
l vl
Block:
Permit Type: Imported Permit
Inspection Type: Final
Work Classification: <NONE>
Phone Number (3ttS)' 4-O - 0717
Parcel Number 1132060140630
Lot:
Phone: 305- 770 -4167
Page 2 of 2
6176899t'S0E i0 :60 S00Z /90 /ZT
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204 Permit Number: MC2005 -145
Printed: 10/19/2005
Applicant: ALBERT QUINTON
Owner: QUINTON ALBERT
JOB ADDRESS: 457 NE 95 ST
Contractor AFFORDABLE AIR & HEAT
Local Phone: 305 - 940 - 0777
Parcel # 1132060140630
Mechanical Permit
Contractor's Address: 515 N. E. 190 St.
Legal Description: MIAMI SHORES SEC 2 PB 10 -37 LOTS 20 & E1/2 LOT 19 & LOT 21 & 22
Fees:
FEE2005 -13735
FEE2005 -13736
FEE2005 -13737
FEE2005 -13738
FEE2005 -13739
Description
Building Fee
CCF
Training and Education Fee
Technology Fee
Scanning Fee
Total Fees:
Amount
$156.00
$3.00
$1.00
$3.90
$3.00
$166.90
Total Fees: $166.90
Total Receipts: $0.00
Permit Status: APPROVED Permit Expiration: 4/16/2006 Construction Value: $4,450.00
Work: REPLACE 4 TON NC WITH 10KW
Signed:
(INSPECTOR)
PVid
NOV s P AID
6t n
Page 1 of 1
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:
Tenant/Lessee Name
BUILDING
PERMIT APPLICATION
FBC 2001
�.
Permit Type (circle): Building ` Elect>ricaI'`'
Owner's Name (Fee Simple Titleholder)V tnf
Owner's Address i dS 1 Ni E. CIS Sf -
City\' 1 \(1 % � &tate
Job Address (where the work is being done) _5 ) NE. CS
City Miami Shores Village
Is Building Historically Designated YES NO L-
Contractor's Company Name PfgaieCtabi C T' - t
Contractor's Address
City On L a VYl 1
Qualifier J G 11
Architect/Engineer's Name (if applicable)
$ Value of Work For this Permit
Type of Work:
Describe Work:
Code Enforcement $
Total Fee Now Due $
5 ME- I RD S-f
State Certificate or Registration No. Certificate of Competency No. C 0 . g 1
❑Ad 'tion ❑Alteration ['New
etace. LITCh - Ptic
Submittal Fee $
Notary $
Scanning $ 3.
(Continued on opposite side)
■hores Village
Department
nue, Miami Shores, Florida 33138
5.2204 Fax: (305) 756.8972
E NL NO.
County Miami -Dade
ST'
State L ,
(�
Permit Fee $
Training /Education Fee $
Radon $
- a,ter Permit No. NI-006 -1 4
_‘\
lurhbing Mechanical Roofing
Phone #
( #
Zip
Phone #
Zip
Square Footage Of Work:
(-61-1-3) 10 K J
* * * * * * * * * * * * * * * * * * * * * * * * * * ** F ees * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Technology Fee $ 3. 90
Zoning Bond S
Structural Plan i�e�. $
1 6� . a NOV 1 PAID
33138
33
❑ Repair/Replace ❑ Demolition
CCF $ 3 . 00 CO /CC
Bonding Company's Name (if applicable)
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. I 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. A the absence of s h posted notice, the
inspection will n' • • ap• oved and a reinspection fee will be charged.
Signature
chc 05/13/03
•
APPLICATION APPROVED BY:
As identification and who did take an oath.
Signature
er or Agent
The foregoin mstru' - t was ac owledge before me this 1 7 The foregoing ' trument was acknowledged before me this C 7
day of DO , 20 6S by J 1;7�u
en ( s day of 0G 4 , 20 05 by Un
to me or who has produced
who is rs no ally knowo me or who has produced who is
as identification and who did take an oath.
NOTARY PUBLIC: NOTARY PUBLIC:
Sign: -- '- ------ Sign:
Print: cry. t , ` a, r ni
y ` db ;� itMe of f londa�
Print:
' - :; rssion DD41166t37
My Commission Expires: , I OF r :xu ley ■1,1or2009 =.,. My Commission Ex it ''
P � „o , %Ri11 at
*************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *** * * * * * * * * * * * * * * * * * * * * * * * * * * * ** *0* * * * * * * * * * **
Plans Examiner
Engineer
Zoning
l
Contracctor