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RC-08-2037Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 125703 Scheduled Inspection Date: September 29, 2009 Inspector: Bruhn, Norman Owner: PEEL, JEFFREY Job Address: 487 NE 100 Street Miami Shores, FL 33138- Permit Number: RC -11 -08 -2037 Project: <NONE> Contractor: ORONI INC Permit Type: Residential Construction Inspection Type: Final Work Classification: Alteration Phone Number Parcel Number 1132060170540 Phone: (305)685 -0412 Building Department Comments REMODELING OF BATHROOMS, FIXTURES AND TILE Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments C."4"...0.e. 74 7000 For Inspections please call: (305)762 -4949 BY: �--' Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2004 Permit Type (circle): 3- Owner's '1 Owner's Name (Fee Simple Titleholder) �J Owner's Address 7 Itj�i 1co 4 City MON1 fed State Tenant/Lessee Name Master Permit No. Electrical Plumbing Mechanical P Phone # Roofing Zip 331 Phone # Job Address (where the work is being done) L1. j7 AF, lap s"-1 City Miami Shores Village County Miami -Dade FOLIO / PARCEL # II.6 -(W-10 Is Building Historically Designated YES NO Zip Contractor's Company Name a `UCJ Phone # 2S aS Y4 i ( Contractor's Address OL{01f) IU) 6j 4y-} City 14 lAtcrim state F L Zip 27Z1 Qualifier Name Ot to . 1C.,S K.1 % Phone # S - '�� S- j/ State Certificate or Registration No. 12.S 0 SS9 Certificate of Competency No. Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ 9 CO . Type of Work: ['Addition Describe Work: ['Alteration lAriroc, • es Square / Linear Footage Of Work: _- ['New Repair/Replace ❑ Demolition C e& 132, +t f, ,k** * *, * **** * *** * * *** * **** * **** *, Fees*** ** * * * * *,r*** * * ** * * * ** Submittal Fee $ So • eo Permit Fee $ e,. CCF $ Notary $ Scanning $ Radon $ Bond $ C e E Structural Review. $ ) 0 ' Training/Education Fee $ DPBR $ * * * * * * * * * * * * * * * * * ** COIL' Technology Fee $ Zoning $ Double Fee $ CC. D MIAMI SHORES VILLAGE Total Fee Now Due $ See Reverse side --> 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 C.) Signature er or Agent Contractor The foregoing instrument was acknowledged before me this / The foregoing instrument was acknowledged before me is 2/ day of /1/O , 20 414,-.1;; ?in 4062_5 who is personally known to me or who has produced who is personally known to me or who has produced as identification and who did take an oath. Signature day of 6 i�, 20 y As identification and who did take an oath. NOTARY PUBLIC: Si Prin My Commission Expires: NOTARY PUBLIC -STATE OF FLORIDA * * * * * * * * * * * * * * * * * * * * * ** * APPLICATION APPROVED BY: (Revised 02/08/06) ...:_ am • 11 Expires: MAY 13, 2010 • ,:led Thin Atlantic Bonding Co., Inc. NOTARY PUBLIC: Print: My Commission Expires: NOTARY PUBLIC.STATE OF FLORIDA Dolores Lopez ; j' Commission #DD766456 » ' ' Expires• MAR. 10, 2012 sgrruulaco., u(a ************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * ***•* Plans Examiner Engineer Zoning NOTICE OF COMMENCEMENT A RECORDED COPY MUST BE POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO.ki '+11� AX FOLIO NO. - STATE OF FLORIDA: COUNTY OF MIAMI -DADE: THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 111111111111111111111111111111111111111111111 C:FN 2008R0947493 OR Bit 2666 0 Ps 1863; Ups) ) RECORDED 11/21/2008 13 :29 :25 HARVEY RUVIN, CLERK OF COURT MIAMI -DADE COUNTY, FLORIDA LAST PAGE 1. Legal description of property and street/address: AMC) R. 04- M(Ct 66GS 4-1 ft 2. Description of improvement: 3. Owner(s) name and address: Interest in property: Name and address of fee simple titleholder: 4. Contractor's name and address: h0 (9 I i■./ C,0 44°7A1"•4 �, 3 5. Surety: (Payment bond required by owner from contractor, if any) Name and address: Amount of bond $ 6. Lender's name and address: REBY CERTIFY that thi. ;�. t �� oI�- RVEY Ryy 7. Persons within the state of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes, Name and address: 8. In addition to himself, Owners designates the following person(s) to receive a copy of the Uenor's Notice as provided in Section 713.13(1)(b), Florida Statutes. Name and address: 9. Expiration date of this Notice of Commencement: (the expiration date is 1 year from the date of recording unless a .20S 1 2,0 different idatj spec Signat e of ► er i Print Own is Name Z "P, 1 Sworn to and subscribed before me this c:::2/ day of AWV Notary Public Print Notary's Name My commission expires: Prepared by q.tlf;Aa , 20 d Addr s: liktqt NW 6I4 t) vui,1 33% b1 123.01 -52 PAGE 4 510? PI 14 1,, t, ''' - ' 7 - 0 fi in' l' z ..?"-e. /rs• e . 1:- re," g e A/-p C_ 1-17; ,.. 6 - A 1•7;,--Al 44. rz- • 4 /Z4--/- re ilE V.S7/7^/6, >t-774e-- A A) P eer loge e PCTHED T E- :SAT :RA 7.) F. • Ti !: b- p4.4 e e I:: L. • = 121 /2.#) IAJ 124p1' C err "t' AlE5 1-1 F & E9. R 0 M )R PLAN g SCALE 34" gi Plite-4 EY-157/-1.)40 -1-401)C7- V I N re„,„,,, 44 t::_tx ,:f.r0,414,ie 1 bl 1 . ""' /709244e 14CW- r IL X IATfrer -tv woo...it:6 vizweciatosezowc P>zitr /re, AT", IZ' pLAc—c e y-i sl P-16 / AK DD -)EE L...) ) E F F' "':).....(1.1H:'..\--Ii C.; UEST BA-T 1-1 E L.0 (1.) R ill') Li:0,1 4L 3/9 .:--- 7' Rep/4, t_g IA/4 GL 71 1,6 S EX I 6 77,0 4, N.-17w f3 '774> lye ge e LA Ce P Oi Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL fkc O-LO?1 Phone: (305)795 -2204 Fax: (305)756 -8972 Scheduled Inspection Date: June 16, 2009 Inspector: Perez, JanPierre Owner: PEEL, JEFFREY Job Address: 487 NE 100 Street 111 Miami Shores, FL 33138- Project <NONE> Contractor: AG MECHANICAL INC Permit Type: Mechanical - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1132060170540 Building Department Comments X19 Inspector Comments Passed [bit Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. June 15, 2009 Page 1 of 31 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795,2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2004 Permit Type (circle): Building Owner's Name (Fee Simple Title older) Owner' Address City' Electrical amft Pee. Tenant/Lessee Name \Or j State FL i Permit No. o 'CO 1 Master Permit No. 06 —.2037 Plumbing Mechanical Phone # Zip 5?). 1 ?)�` Phone # Job Address (where the work is being done) 401 NE, %co th Roofing City Miami Shores Village County Miami -Dade FOLIO / PARCEL # 11-- 52 -©17 - 05 FO Is Building Historically Designated YES NO Contractor's Company Name A'.(:). kaeckoiccd Contractor's Address 28-51 6 1/4..fti City MICtf { State Ft, Qualifier Name A11e(10 C (_,■U State Certificate or Registration No. GPNGOS7c V4S Zip Phone # Architect/Engineer's Name (if applicable) Zip 341 Phone # 30S- 4+46- IQ 31 Certificate of Competency No. Value of Work For this Permit $ 100. ca Type of Work: Addition ['Alteration Describe Work: 14,11r1119 1 o f C.akalty' I ()-J�Ulk.l4 t nr\ 04 03`; Kroo , ,r 4-c". Phone # Square / Linear Footage Of Work: 14 IA ONew dRepair/Replace Th4urP & 11 it, 0 Demolition I ***** * * * * * * * * * * ,f * * * * * * * * * * * * * * * * * * ** *. :.************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** is l Submittal Fee $ Notary $ i3j Scanning $ Bond $ Structural Revie Permit Fee $ Training/Education Fee $ `Z-6) ad i DPBR $ MIAMI Sit VILLAGE CCF $ 04 CO /CC Technology Fee $ )35 Zoning $ Double Fee $ Total Fee Now Due $ See Reverse side —> 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 ap roved az(d a reinspection fee will be charged. Signature Signature Owner or Agent , ' Co _ltor OP Or The fore oing instrument was acknowledged before me this / 3 The foregoing instrument was acknowledged before me this 4-3 day of cl IN , 20 Cn , by Pe_e.-( , day of JMi Is v p 02)!' 20 Lt' 9' by /3o PE Lt Q62rPc r who is p so a ly kno w to me or who has produced who is personally known to me or who has produced As identification and who did take an oath. as identification and who did ke an NOTARY PUBLIC: NOTARY PUBLIC: NOTARY PUBLIC -STATE tDA Nancy Iglesias 'TAR :LIC STA w Commission # DD535535 ) olore ► _ Expires: MAY 13, 2010 Sign: —.11,-2- � ,;f, s::i7iaZS.Y.± 4;0058nded Thu Atlantic Bonding Co., Inc. Print: +' Explr, 10 20 �t7 RIDA pez R, ..,, :� • ', AT .UAndAti tt33tbN ffioc +,.p% Sign. My Commission Expires: APPLICATION APPROVED BY: (Revised 02 /08/06) P My Commission Expires: Plans Examiner Engineer Zoning Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 100518 Scheduled Inspection Date: September 21, 2009 Inspector: Devaney, Michael Owner: PEEL, JEFFREY Job Address: 487 NE 100 Street Miami Shores, FL 33138- Permit Number: EL -11 -08 -2039 Project: <NONE> Contractor: ATLANTIS ELECTRICAL CORP Building Department Comments REMODELING OF BATHROOMS, FIXTURES AND TILE Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1132060170540 Phone: (305) 551 -4043 Passed [ z Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Comments September 18, 2009 For Inspections please ^all: (305)762 -4949 Page 2 of 23 2 q° - Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Permit No. -I OFK-90,39' Master Permitl'No.C/ Og °203.-1 BUILDING PERMIT APPLICATION FBC 2004 Permit Type (circle): Building Electrical Plumbing Mechanical Owner's Name (Fee Simple Titleholder) ��� i Phone # Owner's Address City MICIy i , Ili too s--1- Roofing Tenant/Lessee Name State +L, Zip S;k Phone # Job Address (where the work is being done) /*I City Miami Shores Villaee County FOLIQ / PARCEL # 0S90 Is Building Historically Designated YES NO Miami -Dade Zip Contractor's Company Name A4-64-t& , t l d-11 C Phone # Contractor's Address t 4 .ri City MIDty t State 'L., Zip 11'S Qualifier Name Crcaa(O (Pei Phone # ,9j-DS -S I— gOD Z State Certificate or Registration No. JC, — t bp 0 iq Ki Certificate of Competency No. 1-Goo Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ 600. 420 Square / Linear Footage Of Work: Type of Work: ['Addition DAlteration DNew Er—Repair/Replace D Demolition Describe Work: , 0 ` 0 ( N , -lr‘ f -r t S e T t 7` c f ci. * * * ** *********************************Fees******************** ***4e******************* Submittal Fee $ 50 • Permit Fee $ �� /�� Notary $ Training/Education Fee $ Scanning $ Radon $ DPBR $ Bond $ Code " or . Double Fee $ CCF $ CO /CC Technology Fee $ Zoning $ Structural Review. $ Total Fee Now Due $ MIAMI SHORES VILLAGE See Reverse side -› 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 gppr o ed and aaei spection fee will be charged Signature rr br Agent The foregoing instrument was acknowledged before me this 7 day of ".-)t) V 20 61<by who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Si UBUC -STATE OF FLORIDA Nancy Ig esias 0 ; • Signature Contractor The foregoing instrument was acknowledged before me this / day of AI , 20 'd; by , 4 ZP c.,-e- who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC -STATE OF FLORIDA fir, +'i Paint: Commission # DD535535 .��x. M Comm' sion Expire Expires: MAY 13, 2010 My ommission Expiitns cd Thru Atlantic Bonding Co CInc. ppnded Thru Atlantic Bonding Co., Inc. ******** * * * * * * * * *�r#r�r�tr+F * * *,a * * *w ** sir* *fir* ate *ta ** sir * *** * * * * * * * **** **** ' ************** * *,r *** * ** * ** *** ** * * ** * *,t * **** APPLICATION APPROVED BY: (Revised 02 /08/06) /t.,d1•0.- ig:›6' Plans. Examiner Engineer ■ Zoning Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP - 100510 Scheduled Inspection Date: September 21, 2009 Inspector: Levrock, James Owner: PEEL, JEFFREY Job Address: 487 NE 100 Street Miami Shores, FL 33138- Project: <NONE> Contractor: NELMAR PLUMBING INC Permit Number: PL -11 -08 -2038 Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Addition /Alteration Phone Number Parcel Number 1132060170540 Phone: (305) 261 -3942 Building Department Comments REMODELING OF BATHROOMS, FIXTURES AND TILES Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. September 18, 2009 For Inspections please call: (305)762 -4949 Page 1 of 23 r� �;7 ►it1. L Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 - - - - -- Tel: (305) 795.2204 Fax: (305) 756.8972 BY: -------------- BUILDING PERMIT APPLICATION FBC 2004 Permit No. Master Permit No 1� Ole J _It Permit Type (circle): Building Electrical Plumbing Mechanical Roofing Owner's Name (Fee Simple Titleholder) 'Pt Phone # Owner's Address y , rn 5-I C. State C. Zip 33 1 ? B Tenant/Lessee Name Phone # Job Address (where the work is being done) 1 At i O 4—‘- City Miami Shores Village County Miami -Dade Zip FOLIO / PARCEL # 1 1-. 32 017 O -t Og-t a Is Building Historically Designated YES NO { Contractor's Company Name v EL, (r 1 ilk PL, PLA44,6('Aj Phone # 36 J.-2--6/-' L- Contractor's Address Li 9 S� C-C) 7 I^ 4 V c City iYl, ,v Pak; 1 Zip 3 ii)' Qualifier Name ! , V I? (5 F k,j 2; Sv L. Phone # State Certificate or Registration No. 400 3e zo 6 Certificate of Competency No. e2ed eo CS-4, Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ J 00 Square / Linear Footage Of Work: Type of Work: ['Addition ❑Alteration ❑New LS Repair/Replace ❑ Demolition Describe Work: 61% (V3 ('* (C'OMS/ -X.401- d.4 ( u c CCi 1 0 ***** * * * * * * * * * * * * * * * * * * * * * * * * * * * * *Fe ************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** CO Submittal Fee $ � Q . Permit Fee $ �(S CCF $ CO /CC Notary $ Training/Education Fee $ Technology Fee $ Scanning $ Radon $ DPBR $ Zoning $ Bond $ Code Enforcement Double Fee $ n Structural Review. $ '"-�� Total Fee Now Due $ 14S ' Od. , 0 4 2008 SP,r77 'n See Reverse side - 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 p sted notice, the inspection will not be approved Id a reinspection fee will be charged. Signature caner or Agent The foregoing instrument was acknowledged before me this 2, day of /b' ✓ ,20(*by who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Signature Contractor The foregoing instrument was acknowledged before me this2 O day of PO V . , 20 o', by who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: ( / I . Sign: Dolores Lopez Print E Cim nussion # DD766456 ' Expires: MAR. 10, 2012 My Com BONDED TRRU ATLANTIC BONDING ' •., INC., * * * * **** * ** Fie**** * * * *** ******** **** * * ***** ****** * * ********* ** *** ** *** My Commission Expires: APPLICATION APPROVED BY: (Revised 02 /08/06) ow- for- )7 T`vAiiy TUMA EXPIRES: April 25, 2011 0R I400-3-NOTARY -3-NOTARY Fl. iy Discount Assoc. Co. ihr * * * * * * * * ** Plans Examiner Engineer Zoning