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MECHANICAL
S i 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 In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. NOTARY (Revised 02 /08/06) Signature jZ . -v Owner or Agent The fore ;�in instrument was ackno hedged before me this day oi / , 20 by (.,91 110Q " "_l �ppr who is personally known to me or who has produced APPLICATION APPROVED BY: As identification and who did take an oath. C: Signature ,41: ontractor ontractor The fore in' ` ginstrument was acknowle • ged . efore me this day o f , 20 Cn by {/ liI r�1 who is pers • nally known • or who has produced ation and who did take an oath. •k. Sign: J -llii� ,+ 0 Sign: ■ Print: O • Print: My Co mission Expires: • . R My Commi.sion Expires: * * * * * * ** . * . ********************* �'***** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** **** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** ) L I 1-1 J 7 Plans Examiner Engineer Zoning Project Address 1183 NE 99 Street Miami Shores Village, FL 1132050180090 Block: Lot: WILLIAM TENNEY i Owner Information Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Address Parcel Number WILLIAM TENNEY 1183 NE 99 ST MIAMI SHORES FL 33138 -2640 (305)308 -4639 i Contractor(s) PALM AIR INC Phone 305 - 758 -7545 CeII Phone ential - OVED Expiration: 10/02/2007 Phone Tons: 3 Additional Info: NC Classification: Residential Approved: In Review Comments: Date Denied: Date Approved:: In Review Fees Due CCF Education Surcharge Notary Fee Permit Fee - Additions /Alterations Scanning Fee Technology Fee Total: Amount $3.60 $1.20 $5.00 $185.50 $3.00 $4.64 $202.94 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Total $ 0.00 $ 0.00 Payment Type: Amt Paid I Amt Due $ 0.00 I Applicant Valuation: Total Sq Feet: $ 6,000.00 0 1 Available Inspections: Cell Inspection Type: Smoke Det Test Smoke Test Ventilation Rough Duct Rough Hood Final April 05, 2007 Date 45'2 . APR o 5 PAID 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 responsibility for all work done by either myself, my agent, servants, or employes. 1 understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS 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. Futhermore, I authorize the above -named contractor to do the work stated. Thursday, April 5, 2007 1 EXACT CHANGEOUT OF EXISTING 3 TON AIR HANDLER CONDENSER WITH 0 KW HEAT APR 1 7 2007 a)) b./ Z , ile Passed K Inspector Comments ql fl t4 ---) Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Date: 04/11/2007 Inspector: Perez, JanPierre Owner: TENNEY, WILLIAM Job Address: 1183 99 Street NE Project: <NONE> Tuesday, April 10, 2007 Miami Shores Village, FL Contractor: PALM AIR INC Building Department Comments Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: Addition /Alteration Block: Phone Number (305)308 -4639 Parcel Number 1132050180090 Lot: Phone: 305 - 758 -7545 Page 1 of 2 W e IT • •••• • • • • • • • •••• •• • •••••• • •••••• •••• • • � ••• • • • •I • •I • • • • • • • • • • • • •• • lagmgvni APR 0 3 2007 AY MG C'Yl-Ggi •••• • •••• • •••• • • •••• ••...• • •• ••.••• • • •••••. • • ••••• • N• • r- l� C oti2 -A)St L2C0i /N ififroac INSTALL SPLIT A/C SYSTEM IN GARAGE FOR GARAGE 2 TON WITH PLENUM ON TOP OF A/H. assed Passed Inspector Comments i 1 0/ `if r�r� Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until Inspection Date: 04/0512006 Inspector: Perez, JanPierre Owner: TENNEY, WILLIAM Job Address: 1183 99 Street NE Project: <NONE> Contractor: PALM AIR INC Building Department Comments Tuesday, April 4, 2006 Miami Shores Village, FL 33138- Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: 305)795 -2204 Fax: (305)756 -8972 • Block: Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: New Phone Number (305)308 -4639 Parcel Number 1132050180090 Lot: Phone: 305 - 758 -7545 Page 2 of 2 1 0 . , 0 6 A 1 - 1 3' II-106 BUILDING PERMIT APPLICATION FBC 2001 Permit Type (circle): Building Owner's Name (Fee Simple Titleholder) Owner's Address //, ✓ /V1 E, City ni I/ ,5 41 State Tenant/Lessee Name Qualifier am KR6 6o77- State Certificate or Registration No. CA CO 341S/3 Architect/Engineer's Name (if applicable) $ Value of Work For this Permit c 900. 00 Type of Work: QAddition Describe Work: Total Fee Now Due $ 33 ` 40 (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 \A s.) L L l fl 'V\. Teio IL, i Phone # q fr; Job Address (where the work is being done) //8 at, q? -J ✓ City Miami Shores Villa e County Miami -Dade Zip Is Building Historically Designated YES NO ?( Contractor's Company Name ' P4 Levi 41 , / Phone # 305 7S' 1 Contractor's Address / © Ai r 153 S City , State p Zip 33 © / � ['Alteration ' G /T RIE'CEIVED T Electrical 02 'v/•i' R OA-) p - A .4; Plumbing Permit No. it- aster Permit No. Zip 3 I /3s Phone # Certificate of Competency No. Mechanica Phone # Square Footage Of Work: New 0 Repair/Replace Roofing ❑ Den►olitian Submittal Fee $ Permit Fee $ ( CCF $ f • 230 • CO /CC Notary $ S • bO Training/Education Fee $ G.7 (0d Technology Fee $ . 0 Scanning $ • QC) Radon $ Zoning Bond $ Code Enforcement $ Structural Plan Review. $ c. 1 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. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature Owner or Agent The foregoing instrument was acknowledged before me day of EROA , 20 ()(, , by WiliktAA Xfil ► who is personally known to me or who has produced 1 - 500 - 1 - 1 NOTARY P Sign: Print: My Commission Expires: APPLICATION APPROVED BY: chc 05/13/03 (-- Signature / As identification and who Contractor The foregoing instrument was acknowledged before me this_ fb1 _ day of //lUf04 , 20 ( , b ,S•l, T, ✓,� hJ1i who is personally known to me or who has produced 17 f¶ ' i 3L'L TARY PUBLIC: Sign: Print: // I 7; rt. i MONICA U88N # DO 483995 �iQ� _ '' ' ' ''iMMISSIO yar.,�lts 1/ 115 * /' XPIRES: P X91„ ■ d 1}nu V,aeq mllo underwriters Commission --- My Com Ex ************************* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * *44* * vs * * *** as identification and who did take an oath. A *y * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning 1TEM BATH 1U3 UNIT FEE ITEM SWITCH OUTLETS UNIT FEE ITEM SPACE HEATERS UNIT FEE BIDET LIGHT CUTLETS CENTRAL HEATING DISHWASHER RECEPTACLES A/C (WIND) DISPOSAL SERVICE TEMPORARY A/C (CENTRAL) 2 DRINKING FOUNTAIN SERVICE SIZE IN AMPS DUCT WORK FLOOR DRAIN SERVICE REPAIR/NETER CHANGE REFRIGERATION GREASE TRAP APPLIANCE OUTLETS PROCESS AND PRESS PIPING INTERCEPTOR RANGE TOP UNDERGROUND TANKS LAVATORY OVEN ABOVE GROUND TANKS LAUNDRY TRAY WATER HEATER U.F. PRESSURE VESSELS CLOTHES WASHER MJTCRS 0- 1 FP STEAM BOILERS SHOWER MOTORS OVER 1- 3 FP HOT WATER BOILERS SINK, POT /3 COMP. MOTORS OVER 3- 5 HP MECHANICAL VENTILATION SINK, RESIDENCE MOTORS OVER 5- 8 HP TRANSPORTING ASSEMBLIES SINK, SLOP MOTORS OVER 8- 10 If ELEVATORS/ESCALATORS TEMPORARY WATER CLOSET MOTORS OVER 10- 25 If FIRE SPRINKLER SYSTEMS URINAL MOTORS OVER 25-100 HP COOLING TOWERS WATER CLOSET MJTCRS OVER 100 FP VIOLATION INDIRECT WASTES -' A/C WINDOW REINSPECTION WATER SUPPLY TO: AIR CONDITIONERS A/C UNIT STRIP HEATER FIRE SPRINKLER GENERATORS TRANSFORMERS HEATER -NEW INST. GENERATORS TRANSFORMERS I HEATER - REPLACE GENERATORS TRANSFORMERS i LAWN SPRINKLER -WELL SPECIAL PURPOSE SWIMMING POOL OUTLETS COMI,SERCIAL WATER SERVICE SIGN TUBES SEWER CONNECTIONS .SIGN TRANSFORMERS UTILITY -SEWER SIGN TIME CLOCK UTILITY -WATER FIXTURES SEPTIC TANK ANTENNA RELAY TELEVISION OUTLETS DRAINFIELD, 4' TILE/RES. VIOLATION PUMP & ABANDON SEPTIC TANK REINSPECTION SOAKAGE PIT CU. FT. CATCH BASIN DISCHARGE WELL DOMESTIC WELL AREA DRAIN ROOF INLET SOLAR WATER HEATER FIRE STANDPIPE POOL PIPING LAWN SPRINKLER SYSTEM GAS RANGE METER SET (GAS) GAS PIPING ADDENDUM TO BUILDING PERMIT APPLICATION (AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS B. OBTAINED,H� OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.) PLUMBING ELECTRICAL MECHANICAL WILL/ - 11:Abv6 - Y I 1 V.3 /Vat. 9 9 57 )(4n1i ' 141 305 zci L. /Y? AIR c: /0 Ai, “,/, 1 5 '3 57 M 4frvi c- "7 St- '2 CITY / COPY RI5CEIVED m,i p y 2006 _SP RA“ o K 2! \A,1 LLI Ary-■ -rir 4.16y • 1 - Sv tv 9 5 57, ni Di `-..., ' • ' , ,.,. .. --, ,-, 4AIVIY11,,_ • Work Classification: New Issue Date: 3/13/2006 Owner's Name: WILLIAM TENNEY Permit Type: Mechanical - Residential Job Address: 1183 99 Street NE Miami Shores Village, FL 33138- Contractor(s) PALM AIR INC Phone 305 - 758 -7545 Primary Contractor Yes Comments: INSTALL SPLIT A/C SYSTEM IN GARAGE FOR GARAGE 2 TON WITH PLENUM ON TOP OF A/H. Additional Information Tons: 2 Classification: Residential Additional Info: 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 responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS 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. Futhermore, I authorize the above -named contractor to do the work stated. Fees Due CCF Education Surcharge Notary Fee Permit Fee - Additions /Alterations Scanning Fee Technology Fee Total: Amount $1.80 $0.60 $5.00 $120.00 $3.00 $3.00 $133.40 Building Department File Copy Applicant Signature Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 03/10/2007 Parcel #: Block: Section: Permit Status: APPROVED Permit Number: MC -3 -06 -623 Phone: (305)308 -4639 1132050180090 Lot: PB: Total Square Feet: Total Valuation: Required Inspections 0 $ 2,900.00 Rough Rough Duct Ventilation Smoke Test Hood Smoke Det Test Final MAW- 04111 4 Invoice Number MC - 3 - 06 - 24124 Total: Amt Due $133.40 NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. 64 / Application is hereby made for the approyal 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. j T Ll..e„ Date_ • - - - -_- _ -- _ r-- - - -1 _/_ 19 4 .f . Owner's Name and Address 4 �) �/__�Y No. _ / /_Er, .___ Street 4/6 9,� Registered Architect and /or Engineer Name and address of licensed contractor____ _ 1! Location and legal description of lot to be built on: Lot. Block Street and Number where work is to be done __ _ _ State work o be done and purpose building (by floor ) / _�?' _ ^ _ 3 ,..,.., fi 54 f c...44.,. r % a us - n, oo4- s id 4. Co ...�0".e_lt • and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation Roof Covering Estimated Total cost of improvements $ 94 9 Amount of Permits t!,� 00 STATE OF FLORIDA, COUNTY OF DADE. ss peared BUILDING INSPECTION DEPARTMENT APPLICATION FOR BUILDING PERMIT MIAMI SHORES VILLAGE Subdivision /1- S/3 A! -,� 9 -9 -1* 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 subcontr ctors, on work to . .erformed under this permit, as are licensed by Miami Shores Village. Remarks.. ._ (Signed) _ . •_�� Before me, the undersigned authority, a notary public, duly authorized to administer oaths and take acknowledgments, personally ap- 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 f ( .2" 1 (° Date.. — J---e° 7 _ Read, Sworn to and Subscribed before me. Disapproved _ D (Signed) i.`/) l– /� L Building Inspe• or My Commission Expires__ Notary Public, State of Florida ANNING BOARD__ __ _ DATE Chainnan Member Member Member 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- inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. MIAMI SHORES VILLAGE 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.. Registered Architect and /or Engineer Name and address of licensed contractor._eter. Location and legal description of lot to be built on: Lot Block / 7 51r Subdivision Street and Number where work is to be done 1/ t .3 /✓e 9 State work to be done and purpose of building (by floors) BUILDING INSPECTION DEPARTMENT r_ a- f ,19 ihA. __• --..__ No S./!/ 'J,( Street /v e 9 9 -W 4e Date 442 and for no other purpose. New Building Remodeling Addition Repairs No. of Stories To be constructed of Kind of foundation // Roof Covering Estimated Total cost of improvements $ / 9 00 . 0.0 Amount of Permit 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 subcontractors, on work to be performed under this pennit, as are licensed by Miami Shores Village. r , Remarks (Signed) ..L2-4- 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...4. _ e31 Date. Disapproved c ,(_._ Dat (Signed) L - l ...., :_`_. �. -t ..... _ Building Inspector ,' Read, Sworn to and Subscribed before me. t Notary Public, State of Florida My . Commission Expires L4NNING BOARD DATE Chairman 1 Member Member Member 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-inspection fee of $1.00 will be charged when such re- inspection is made necessary by improper notice for inspection or faulty materials and /or workmanship. BUILDING ELECTRICAL PLUMBING aaoFmrr� a. Owner of Building s of ng Architect Contractor or Builder . E itc ts+ i i? ,.1< t_ Description 11 Legal Lot BL MIAMI SHORES VILLAGE, FLORIDA 'V PERMIT N? 5831 Q.� Ci..ti {, 1 71. ranted is the understanding that the contractor or builder named above assumes the r pertaining to the work covered hereby whether shown on the plans or drawings or in done by his agents, servants or employees. DATF w' Contractor's License No. 195_Z _ Work to be performed under this Permit Subdi- vision Value of t 11 Amount of ! Project $ /100 II Permit $ ivy 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 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, statemet . 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 +..; authorization. A further condition upon which this permit is thorough kn•. • • of the ordinances and regulations cifjations assumes responsibility for work INS In consideration of the issuance to me of this perit I agree to perform the work co hereunder in compliai • all ornances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifioailo : bmitted to the proper authe hea of Miami Shores Village. In ac. sapling this permit 1 assume responsibility for all work done b either, myself, my agent s ant or employee. AtORITY s kola