363 NE 98 St (8)DONALD S. LAVIGNE, INC. • 109 N.W. 29th STREET • MIAMI, FLORIDA 33137 • PH. 305 379 -8471
September 27, 1972
design by
Mr. Don Harris
363 N. E. 98th Street
Miami Shores, Florida 33138
Dear Mr. Harris:
With reference to the placement of the outside Air Conditioning unit,
please be advis -d that we, living at 351 N. E. 98th Street, have no
objection to , - unit being placed in the area as per your description.
Your : - le truly,
Mj
wen
avlgne
2
ct
74z)z.4
Mr. Don Harris
363 N. E. 98th Street
Miami Shores, Florida 33138
1
*. Tud Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
�� Mk 110050
(305) 795.2204 Fax: (305) 756.8972
BUILDIl
PERMIT APPLICATION
FBC 2001
Permit Type (circle): Building
Owner's Name (Fee Simple Title
Owner's Address
City
Tenant/Lessee Name
State
Job Address (where the work is being done) ✓ Q / Jt q S Ls
City Miami Shores Village County Miami -Dade Zip
Is Building Historically Designated YES NO
Contractor's Company Name M `` / �� � evi9 tb A 112- Pe 1 W --- Phone # a�/ % (/ / 94 0777
/v
Contractor's Address f 52 S 6 ,q' ✓ /
City rrePrnoc, State Zip
Qualifier /T)
Architect/Engineer's Name (if applicable) Phone #
$ Value of Work For this Permit li feV • 0° Square Footage Of Work:
Type of Work: ❑Addition EAlteration ❑New . Repair/Replace El Demolition
Describe Work: ri pfri(. e 4- A/ c w //Oc
** * * * * * * * * * * * * * * * * * * * * * * * * ** F ees ** * * * * ** * * * * * * * * * * * * * * * * * * * * **
n
Submittal Fee $ i V Permit Fee $ I 00 CCF $ / i g - O CO /CC
Training/Education Fee $ . 6 Technology Fee $
d Radon $ Zoning Bond $
Notary $
Scanning
Code Enforcement $ Structural Plan Review. $
Total Fee Now Due $ S
(Continued on opposite side)
Miami Shores Village
Master Permit No.
Electrical Plumbing (Mechanical Roofing
f ma S Phone # ✓ 26 '4 t %�j
cee
Zip
Phone #
n� 12D ✓G
O C
Permit No. �� ,
Bonding Company's Name (if applicable)
Bonding Company's Address '' d
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.
1 /
Signature " •-- � — Signature
The fore
day o
Owner or Agent
Contractor
oing instrument w s acknowledged me this " The foreg 'ng instrument was a know = ged bef e me tlus �
by �GC / ��tlm�.7 day of , 2 , b f
personally known t
Sign:
Print:
Chc 12/15/03
to has produced
As identification and who did take an oath.
NOTARY
� /� y e t'/
■ (i 1 �/ as a 126P^
My Commission ExpireF9114� # NOISSIVg AW *
tlFltl�l6'�d H(JI�I�
personally known to - o has produced
as identification and who did take an oath.
NOTARY PUBLIC:
Sign:
Print:
My Commission Expires:
7t2'l;l.l ggr'tw
buugla iN tato
i lo y
;ill -....i h..ti. .
A
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
(Certificate of Competency Holder)
State Certificate or Registration No. CA 8/ Certificate of Competency No.
***************************************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
APPLICATION APPROVED BY: 7(/ ` - 4 Z' Plans Examiner
Engineer
Zoning
ITEM
BATH 11.8
UNIT
FEE
ITEM
SWITCH OUTLETS
UNIT
FEE
ITEM
SPACE HEATERS
UNIT
FEE
BIDET
LIGHT OUTLETS
CENTRAL HEATING S v
•
DISHWASHER
RECEPTACLES
A/C (WIND)
DISPOSAL
SERVICE TEMPORARY
A/C (CENTRAL) ' 1 /1
DRINKING FOUNTAIN
SERVICE SIZE IN AMPS
DUCT WORK
FLOOR DRAIN
SERVICE REPAIR/METER CHANGE
REFRIGERATION
GREASE TRAP
APPLIANCE OUTLETS
PROCESS AND PRESS PIPING
INTERCEPTOR
RANGE TOP
UNDERGROUND TANKS
LAVATORY
OVEN
ABOVE GROUND TANKS
LALKRY TRAY
WATER HEATER
U.F. PRESSURE VESSELS
CLOTHES WASHER
MOTORS 0- 1 HP
STEAM BOILERS
SHOWER
MOTORS OVER 1- 3 HP
HOT WATER BOILERS
SINK POT /3 COMP:
MOTORS OVER 3- 5 HP
MECHANICAL VENTILATION .,.. _..
TRANSPORTING ASSEMBLIES
=__,gy
SINK, RESIDENCE
MOTORS OVER 5- 8 HP
SINK, SLOP
MOTORS OVER 8- 10 HP
ELEVATORS/ESCALATORS
TEMPORARY WATER CLOSET
MOTORS OVER 10- 25 HP
FIRE SPRINKLER SYSTEMS
URINAL
MOTORS OVER 25-100 HP
COOLING TOWERS
WATER CLOSET
MOTORS OVER 100 HP
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
HEATER- REPLACE
GENERATORS TRANSFORMERS
LAWN SPRINKLER -WELL
SPECIAL PURPOSE
SWIMMING POOL
OUTLETS COM!€RCIAL
WATER SERVICE
SIGN TUBES
SEWER CONNECTIONS
SIGN TRANSFORMERS
UTILITY -SEWER
SIGN TIME CLOCK
UTILITY-WATER
'F I XT1 RES
.
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, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS.)
PLUMBING
ELECTRICAL
MIAMI SHORES VILLAGE ()\,1
BUILDING DEPARTMENT
305- 795 -2204
Building Inspection Request
Date /2Z
Type Insp'n p nc( C A )0_,
r�co4- ,oci
Permit No.
Name S rn-P 3 .
Address N b3 NsE
Company P c cbbk
Phone #
Inspection Date 7/D
96,,‘ - 7 to
Approved
Correction
Re- Insp'n Fee
Miami Shores Village
10050 NE 2nd Avenue
Phone: 305 - 795 -2204
Parcel # 1132060135640
Fees: Description Amount
FEE2004 -6468 Building Fee $100.00
FEE2004 -6469 CCF $1.80
FEE2004 -6470 Training and Education Fee $0.60
FEE2004-6471 Technology Fee $2.50
FEE2004 -6472 Scanning Fee $3.00
Total Fees: $107.90
Mechanical Permit
Permit Number: MC2004 -109
Printed: 6/29/2004 Page 1 of 1
Applicant: PAUL SIMAS
Owner: SIMAS PAUL
JOB ADDRESS: 363 NE 98 ST
Contractor AFFORDABLE AIR & HEAT Contractor's Address: 515 N. E. 190 St.
Local Phone: 305 - 940 -0777
Permit Status: APPROVED Permit Expiration: 12/20/2004 Construction Value: $2,400.00
Work: 4 TON A/C W /10 KW
Legal Description: MIAMI SHORES SEC 1 AMD PB 10 -70 LOT 20 & 21 BLK 41 LOT SIZE 100.000
Total Fees: $1 .9
Total Receipts: $6.1)0
5 1 ?0
t0
t iUN 3 0 PAID
Signed: (INSPECTOR)
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:
This property describe
Lots 20 and 21, Block
AN AMBDED PLAT OF MIA tES- SECTION
according - to the Plat NO•. 1
thereof, as recorded in. .
Plat Book 10, Page-70
of 'the Public Records of
Dade County, ..Florida,
use ff ' •
/7 =
Cc.
Ole wry
Ga,a e'
• 4nd
22.6 93
05 _
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22.6
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7.1
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Two 7io�y OB. 'e':: /dd'r'c'�' • 'n
• s
/9.95' -
(r,. 9.2 .
5.0
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1 HEREBY CERTIFY that the survey
represented hereon meets the mini-
mum requirements adopted by the
F.S.P.L.S., the F.L.T.A., and the
F.B.L.S. (Technical Standards
S. 477.07). There are no encroach-
ments, overlaps, easements appear-
ing on the plat or visible asements
other than as ,atrpwn �hej6on:
C '
FL. Reg. Surveyor No. 2243
1
4 1 /5 L
20' f'C've/r2er/ "
Steps
0
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C /7/rnor / %ref
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27b: I
35.55
N E 95''' ' TREE T
PROPERTY OF: Black, 363 NE 98th Street, Miami Shores, Florida.
DATE ,
// - 25
N.E. 98 f ''?
68162 -
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P. O. Box 561131
Miami,' Florid; 33156
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LANNES and GARCIA, INC.
DRAWN BY
G• !N
1-
J
ENGINEERS - LAND SURVEYORS - LAND PLANNERS
DRWG. NO.
,
C\i
or;
, LA)
vt /9
4 •
(\s
' ,5/1
`1 21
u` 2 2
`" 23
50'
50'
5o'
r''
This property describe
Lots 20 and 21, Block
AN AMBDED PLAT OF MIA tES- SECTION
according - to the Plat NO•. 1
thereof, as recorded in. .
Plat Book 10, Page-70
of 'the Public Records of
Dade County, ..Florida,
use ff ' •
/7 =
Cc.
Ole wry
Ga,a e'
• 4nd
22.6 93
05 _
'
/eon Rod
Fou
tt�
22.6
'Sl
m
11
21.6
/3.3'
755
•0!'!I /o /U
9: aver e/ G /5 At«y
' /
F:
Et2=-4
9.4 ' / /.1 5 Wail
7.1
/00. o'
17.5'
(t ■
Two 7io�y OB. 'e':: /dd'r'c'�' • 'n
• s
/9.95' -
(r,. 9.2 .
5.0
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1 HEREBY CERTIFY that the survey
represented hereon meets the mini-
mum requirements adopted by the
F.S.P.L.S., the F.L.T.A., and the
F.B.L.S. (Technical Standards
S. 477.07). There are no encroach-
ments, overlaps, easements appear-
ing on the plat or visible asements
other than as ,atrpwn �hej6on:
C '
FL. Reg. Surveyor No. 2243
1
4 1 /5 L
20' f'C've/r2er/ "
Steps
0
ui •
C /7/rnor / %ref
, /4 /5 ,
27b: I
35.55
N E 95''' ' TREE T
PROPERTY OF: Black, 363 NE 98th Street, Miami Shores, Florida.
DATE ,
// - 25
N.E. 98 f ''?
68162 -
.4/ /
SCALE
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CI
} Icon P,ve
'' -T`i— Foul % c / -
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• 1 //
/4.2'
P. O. Box 561131
Miami,' Florid; 33156
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LANNES and GARCIA, INC.
DRAWN BY
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ENGINEERS - LAND SURVEYORS - LAND PLANNERS
DRWG. NO.
14 1
PERMIT APPLICATION FOR MUNICIPALITIES OF DADE COUNTY
(OWNER TO RETAIN COPY)
Date/- /3- 9 3 Job Address 3L3 /V E c/g /,/ S / ree
rich
Legal Description f v 2/ 41/ e / Master Permit 17/5'D 1 :4.%
Owner / Lessee / Tenant Foul 311-7720c
Owner's Address 3 3 !1, Phone 15 Y 7973
Contracting Co.
Qualifier Jay) k y l ` , e Phone 9 ' 6 4 2 - 0 1 7 ' 7 7 r -� 0 a t.c 4 / {y
State t' l( r /�/a- Competency{ L.-- /1-7C- /7 C�5
tie//) Ins. Co.
Architect /Engineer Address
Bonding Compaay Address
Mortgagor Address
Permit Type (circle one): BUILDING ELECTRICAL PLUMBING CMECHANICA.L) PAVING FENCE S'_,
WORK DESCRIPTION g49/.9 (I b'G / ' •7
1
0 1K u) I—/ e G -{-e
J F F 0 O -SC6 eQ+
W4)-1
)'1
Square Ft.
4ARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE
DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YC
LNTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
?ECORDING YOUR NOTICE OF COMMENCEMENT).
'•.pplication is hereby made to obtain a permit to do work and installation as indicated above,
)n the attached addendum (if applicable). I certify that all work will be performed to meet
standards of all laws regulating construction in this jurisdiction. I understand that sepa:a:
, errnits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING, and MECHANICAL work.
WNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all 4.0:
1.11 be done in compliance with all applicable laws regulating construction and zonint
'urthermore, I authorize the above -named contractor to do the work stated.
o °Pres iderrt
ignature of Owner an
ate: 1� 4)
u
Dtary as to Owner and /o
I Commission Expires:
SRMIT FE : APPROVED:
• 6. l , 6 Zoning
MechanicaitA
WO 06 h/e , / Address 5 4/. / 90/k7 ree7
Estimated Cost
ryry % �
- baSOt9 President ' N tary as to Co
Fire
Building
Tax Folio // 3�O�p / s
"0;inaT=134ii2•d7 ` 1
tr&'Ct'or Ovi'er•Builder
� My Commission Expires:
* * * * * * * * *
Other
Electrical
= 000
it
I P4umbing Engineering
AC01 :1). CERTIFICATE OF INSURANCE
PRODUCER
Collinsworth, Alter, Nielson,
Fowler & Dowling, Inc.
Post Office Box 9315
Miami Lakes, FL 33014 -9315
(305) 822 -7800 Dade
INSURED
Affordable Air & Heat, Inc &
Affordable Electrical Contr
516 N. E. 190 Street
Miami FL 33179
ISSUE DATE (MM /DD /YY)
6/14/93
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
POLICIES BELOW.
COMPANIES AFFORDING COVERAGE
COMPANY
LETTER A West American Ins. Company
COMPANY
LETTER B
COMPANY
LETTER C
COMPANY
LETTER D Florida Transportation Builder
COMPANY E
LETTER
COVERAGES
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN
CO
LTR TYPE OF INSURANCE POLICY NU
' GENERAL LIABILITY C " 0 55/ T MBER 6
X COMMERCIAL GENERAL LIABILITY
CLAIMS MADE X OCCUR.
OWNER'S & CONTRACTOR'S PROT.
BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
MAY HAVE BEEN REDUCED BY PAID CLAIMS.
POLICY EFFECTIVE POLICY EXPIRATION LIMITS
DATE (MM /DD /YY) DATE (MM /DD /YY)
6/1& 76/16/94 G ENERAL AGGREGATE $ 1000000
PRODUCTS - COMP /OP AGG. $ 1000000
PERSONAL & ADV. INJURY $ 500000
EACH OCCURRENCE $ 500000
FIRE DAMAGE (Any one lire) $ 50000
MED. EXPENSE (Any ono porson) $ 5000
AUTOMOBILE LIABILITY COMBINED SINGLE $
LIMIT
ANY AUTO
ALL OWNED AUTOS BODILY INJURY $
(Per person)
SCHEDULED AUTOS
HIRED AUTOS BODILY INJURY $
NON -OWNED AUTOS (Per accident)
GARAGE LIABILITY PROPERTY DAMAGE $
EXCESS LIABILITY EACH OCCURRENCE $
UMBRELLA FORM AGGREGATE $
OTHER THAN UMBRELLA FORM
t S
U WORKER'S COMPENSATION 6/ 1 /01 793 1 /0/C 1 /94 X STATUTORY LIMITS
EACH ACCIDENT $ 100000
AND DISEASE — POLICY LIMIT $
EMPLOYERS' LIABILITY DISEASE —EACH EMPLOYEE $ 100000
OTHER
DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES /SPECIAL ITEMS 0 till:"
CERTIFICATE HOLDER
City of Miami Shores
Bldg Dept —Mr . LuB u i en
10050 NE 2 Avenue
Miami Shores, FL 33138
ACORD 25 -S (7/90)
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTH IZED P avi `� RESS AT �. E ltpr, CPCU, AAI, AMIM
,� 7f �„.. ti �� / .� i±,1( 4A/
OACORD CORPORATION 199(
n
14
D
os
AC# 1864711 STATE OF FLORIDA
DEPARTMENT OF PROFESSIONAL REGULATION
CON:;TRU CT ION IN ,I..1STRY LIC'E?;SING BOARD
•
06/27/97?, 1
- LAWTON CHILES
GOVERNOR
•
, T4Ap l omplapcOO R NW4MANONONSWO
C A C. :16 111
NZEDCletn\AY F E D COD. N CO NT R
UNDER THE PRO\51SIOWTOFFJOHIAPTET. F.S., FOR THE YEAR
EXPIRING AUG 31, 1c •
'FREEMAN, JONNIC 3TANCT:t.
AFFORDAq.E .5 :t HEAT I
516 NF. 190TH r‘
M I A .1 FL 3317'
DISPLAY IN A CONSPICUOUS PLACE
GEO E STU T, JR.
SECRETARY .P.R.
• p
•
r '
DADE r COUNT,
Y_',
TAX COL :LECTOR
:fop W FL ADLER ST:
14th FLOOR
MIAMI:, FL 33'130`
2102=12 -4
BUSINESS NAME /LOCATION
AFFORDABLE AIR E HEAT INC.
516 NE .190 ST
33179 UNIN DADE COUNTY
OWNER
A FCRDA;LE AIR C HEAT INC
Sec. Type of Business
196 SPECIALTY MECHANICAL
THIS IS AN OCCUPA-
TIONAL TAX ONLY. IT
DOES NOT PERMIT THE
LICENSEE TO VIOLATE
ANY EXISTING REGULA-
TORY OR ZONING LAWS
OF THE COUNTY OR
CITIES, NOR DOES IT
EXEMPT THE LICENSEE
FROM ANY OTHER LI-
CENSE OR PERMIT RE-
OUIRED RV LAW. THIS IS
NOT A CERTIFICATION OF
THE 1 ICENSEE'S OUALIFI-
CAII ON.
PAYMENT RECEIVED
DADE COUNTY TAX
COLLECTOR:
10/06/92
270000331
000045°00
SEE OTHER SIDE
1992 OCCUPATIONALLICENSE TAX"_ ,/1993 • FIRST CLASS
: }DADE COUNTY'= STATE, ORFLORIDA ^ 4: U.S. FIRST
EXPIRES' SEPT. 30; 1993 PAID
MUST BE DISPLAYED AT PLACE•OF BUSINESS MIAMI, FL
PURSUANT TO COUNT X, CODE CHAPTER 8A -JART 9* ;10 PERMIT NO 231
DO NOT FORWARD
A1=t =CR AtiL AI t H A T :.NC
NE l'30
NIAPII ft_ .33.L7
LICENSE NO- -,', 13.12-6
C CaC0 4i_'111.
E