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561 NE 95 St (5)Date �. 1 Job Address .S q Legal Description i Master Permit # .3 -/ 0/ Owner's Address 3 / / V L 9 i S I . Phone 7 J 0 7 Contracting Co. (,.I Address 571 Qualifier SS# - - Phone State # Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING G MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION /bAe a i( / pas_ -e((c4r' + 11074 d !r"f,; . Owner)/ Lessee / Tenant otar y Commission Expire ** * APPROVED: as to Owner a Zoning PERMIT APPLICATION FOR MIAMI SHORES VILLAGE 1 - � ' 'a•%I . ( C 1 45 0 :. Na CC197545 e (C Square Ft. Estimated Cost(value) 'w 10SEMHINE CINAd1 Mechanical Plumbing_ Tax Folio (1 VR0 Pi O /50 11 -11g(07 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 contractor to do the work stated. (?-41a_ CAVL Signature f caner and /or Condo President Signature of Contractor or Owner- Builder Date: ,A � 0 �'3 Date: t Notary as to Contractor or Owner- Builder My Commission Expires: * y * * * * * * * * * * * * * ** FEES: PERMIT % 2 (3 0 RADON C.C.F. NOTARY 37 TOTAL DUE %/ sue- W Fire Other Building / 2, - - `7 1 `L_ Electrical Engineering i75° 11 7 w u_ t■I If.64 /2.0 -- "Isiod kamo , • , • 'ri• • • • • • r. . t 4 .. ENe&. c211. "pErPN Ica.' 7? PA- pie. 1..pE. 9 / E.P7d- } al6 IOC; TtP NFIFL I I • / • NIEW Kti C7 Q1.1,E. e . 5T -,TTimsr r - - i 4 IT S. P Il In • L zeilp 21- 13LK.54- • .%le.N.E S.; 5ter. tz A416141 LIC43E5 V1LxE • . M95 ccx11 r tom pp, pi.9 ix. 10 , PlisE- 3 PIECE POLE, EXTENSION ARM BACKBOARD and RIM PLEASE READ ALL INSTRUCTIONS COMPLETELY BEFORE ASSEMBLY This pole system has been designed to provide basketball enjoyment at regulation playing height of 10 feet (playing surface to goal rim). If the playing surface is not level with the ground around the pole, please follow pole instructions carefully or rim height may be SHORT of 10 feet. BEFORE YOU DIG 1 WARNING,; Underground power, gas, er and telecommunication`s 'nes can cause outages, injuries, or even death when exposed or damaged. BEFORE YOU DIG — contact local utility companies to locate buried lines. OR check your phone listing for a one —call center that performs that service for several utility companies. TOOLS REQUIRED: 1. Carpenters Level 2. Eight Foot Step Ladder 3. Two(2) Open End Adjustable Wrenches 4. Tape Measure 5. Shovel 6. Containers to Mix /Pour Concrete CONCRETE REQUIRED: IMPORTANT ! FAILURE TO FILL YOUR POLE COMPLETELY WITH CONCRETE AS DESCRIBED IN THESE INSTRUCTIONS WILL VOID ALL WARRANTIES WRITTEN OR IMPLIED. PARTS: A Huffy Company HUFFYSPO RTS NOTE: At times, assembly of this basketball system will require two adults. Three would make the job safer, easier and more fun. Approximately 900 pounds (dry weight) is equal to 7.1 cubic feet of wet concrete. Concrete is a mixture of cement, sand and gravel. YES, 900 LB (dry weight) IS REQUIRED to balance high forces encountered during normal play. Remove the contents from the carton and carefully spread them out on a flat surface. Check inside the pole sections for the struts. Compare these to the parts list, size guides, and illustrations. We apologize that even though' great care and effort have been taken, occasionally errors may occur. SAVE TIME I DON'T GO BACK TO THE STORE 1 CALL FOR FRIENDLY SERVICE. When you call you will receive even quicker assistance if you have your model number and instruction sheet available. If necessary, new parts will be sent within a few days. SAVE TIME I DONT GO BACK TO THE STORE l CALL FIRST I TOLL FREE CUSTOMER SUPPORT 1- 800 - 558 -5234 MODEL NUMBER BOARD SERIAL NUMBER: Find model number on shipping carton end and board serial number on back of board. Please take time NOW to note these numbers for future reference. 2021 MacArthur Rd. Waukesha,W1 53188 P/N 202024 06/15/93 Page 1 5" MARK TOP BRACKET 5" MARK \ OVERLAP Be sure concrete has cured before stacking and pounding. 4 O STACK / POUND m O 5" MARK OVERLAP w J 0 0 O O m GOAL / BOARD P/N 202024 06/15/93 3 ITEM # DESCRIPTION PART # QTY REQ. 1 POLE SECTION 990062 3 2 EXTENSION ARM 900751 1 3 BACKBOARD SERIAL # 1 4 GOAL, BLACK OR RED 1 5 BOLT,HEX —FLNG 5/16 -18 X 2" 203104 4 6 WASHER, 1" OD 203309 8 7 NUT,HEX —FLNG 5/16 -18 203100 10 '8 BOARD STRUT 990438 2 9 BOLT,CARRIAGE 5/16 -18 X 1" 203223 2 1 0 WASHER, 5/16 FLAT 203218 8 11 BOLT END COVER —VINYL 200516 2 12 BOLT,CARRIAGE 5/16 -18 X 1.5" 203217 2 13 SPACER,FLEXIBLE RUBBER 203291 2 14 BOLT,HEX —FLNG 5/16 -18 X 3." 201611 2 15 POLE CAP — PLASTIC 207103 1 0 POLE MOUNT A WARNING P/N 202024 06/15/93 corrosion anywhere. If you can see rust or damage follow the steps below to stop the corrosion or replace the pole if necessary. POLE CARE and MAINTENANCE Check your pole system twice a year for signs of Your Huffy pole system has been engineered and manufactured of high quality steel tubing. Each pole section has been individually powder coated for quality and durability. The life of your basketball pole depends on many conditions. The climate, placement of the pole, the location of the pole, exposure to corrosives such as pesticides, herbicides or salts are all important. The instructions below explain how to make your basketball pole system last longer and how to avoid sudden pole failure which may cause property damage or severe personal injury. 1. KEEP ALL ORGANIC MATERIAL AWAY FROM POLE BASE (grass, weeds, leaves, fitter). 2. Locate areas on pole that have chipped paint or visible rust. 3. Using sand paper or emery cloth, remove rust and loose paint completely from affected area. 4. IF RUST HAS PENETRATED COMPLETELY THROUGH THE POLE ANYWHERE - REPLACE THE POLE I 5. Clean the affected area with a damp cloth and allow to dry. 6. Apply an exterior enamel primer to the affected area and allow to dry. 7. Apply two coats of high gloss black enamel paint to the area, allowing paint to dry between coats. See instructions on paint con for more details. 4