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1310 NE 101 St (4)o_. ///� T Date � Address /3/D /t)e- � / 5 Tax Folio Legal Description kW Owner / Lessee / Tenant eC Oo 3 . 011d �.0 , i/ Master Permit # 1G� 7?j ' Owner's Address 13 J n NE /0/ � Phone 7 -5 Contracting Co. Address Qualifier SS# - - Phone State # Municipal # Competency # Ins.Co. Architect /Engineer Address Bonding Company Address Mortgagor Permit Type(circle one): BUILDI � WORK DESCRIPTION � �e ! (/L o / ,' 01 R ••, rk tSlod'RJI1Y SEAL BARBARA ANN FUGAZZI * COMMISSION NUMBER CC360191 9r a MY COMMISSION EXP. *`c OF Fvvw 0 998 6 RADON Notary as to Owner a My Commission Expire ** * FEES: PERMIT APPROVED: PERMIT APPLICATION FOR MIAMI SHORES VILLAGE C.C.F. Fire Building Mechanical Plumbing Zoning Address G ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN Square Ft. Estimated Cost(value) it Doc( 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 Furthermore, I authori,e the above-name contractor to do the work stated. Signature of owner and /or Condo President Signature of Contractor or Owner- Builder Date: t Date: Notary as to Contractor or Owner- Builder My Commission Expires: * * 9 4 / Electrical Engineering `. • \ � / / ! / \ -" Rc 2 40 Az- •96,35 m i,, . t/ S 3) T > ... • scA E "_ 20 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 I WAKNINU Underground power, gas, w Sfer and telecommunicatio 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 P/N 202024 06/15/93 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 pn 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 I 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 DON'T GO BACK TO THE STORE I 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. HUFFYSPO RTS 2021 MacArthur Rd. Waukesha,Wl 53188 Page 1 10 MARK POLES WITH TAPE OR MARKER PEN \ MARK l am' DIG HOLE / POUR CONCRETE BEFORE YOU DIG, CALL YOUR UTILITIES ! 14 IN. GROUND DR BUILD UR 820# CONCRETE BASE MARK AIN HILL FILL TO HERE WITH CONCRETE 2 FT. DIA. 2 FT. DEEIS 1 TOP P/N 202024 06/15/93 POLE INSTALLATION AND ASSEMBLY 5" — EXTENSION ARM 6 IN. MAXIMUM DISTANCE TOP OF HOLE TO PLAYING SURFACE 14 IN. 24 IN. USE CARPENTERS LEVEL TO SQUARE POLE IN ALL DIRECTIONS MAXIMUM 12 CENTER OF POLE PLAYING SURFACE 14 IN. BOTTOM OF POLE TO TOP OF HOLE (not including hill) \ MARK 5" OVERLAP APPLY LABEL IF REQUIRED 10 �, MIDDLE \ MARK 5" OVERLAP/ MARK 14" POLE INTO 10 J WET CEMENT CI STACK / BOUNCE THIS OVERLAP IS CRITICAL. ONCE THE POLE IS FULL OF CONCRETE IT IS VERY DIFFICULT TO CORRECT. As the poles overlap, the bottom of a pole will come closer to the 5" mark at the top of the next pole. BOUNCE poles until they don't move closer together — THEN BOUNCE THEM A FEW MORE TIMES — UNTIL THERE IS NO MORE MOVEMENT !! After bouncing two poles together, stack them on top of the one in concrete. Use a block of wood as a buffer and POUND, POUND, POUND — UNTIL THERE IS NO MORE „ MOVEMENT !! 5 MARK (see ® next page) Due to variations in processing, this 5" mark is a REFERENCE POINT. Your goal is to get the poles to fit together as tight as humanly possible. Measure after each bounce or pound. When there is NO MORE MOVEMENT toward the marks, FILL WITH CONCRETE. 5" MARK EXTENSION 2 O STACK / POUND 5" MARK TOP BRACKET 5" MARK OVERLAP 5" MARK y OVERLAP Be sure concrete has cured before stacking and pounding. P/N 202024 Z 0 0 F- w J 0 a 0 F- F- 0 06/15/93 O GOAL / BOARD © STRUT / BOARD 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 10 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 POLE CARE and MAINTENANCE Check your pole system twice a year for signs of corrosion anywhere. If you can see rust or damage follow the steps below to stop the corrosion or replace the pole if necessary. 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, litter). 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 can for more details. 4