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EL-07-2493Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33 138 Tel: (305) 795.2204 Fax: (305) 756.8972 BUILDING PERMIT APPLICATION FBC 2004 peranTvr' I DEC 1 3 IJO1 BY: (A)—_ ��C Permit No. --a4 Master Permit No. Permit Type: Electrical Owner's Name (Fee Simple Titleholdetar me -e. .S01 h,isse. Phone # Owner's Address 4 ' V An/. 10 h City A dl hr 1 State F L Zip 33 I (Q J Tenant/Lessee Name E -MAIL: Phone # Job Address (where the work is being done) a 4 N w . I 0 crTh ST City Miami Shores Village County Miami -Dade FOLIO /PARCEL# 11.. a14jt,P X611 .()14O Is Building Historically Designated YES NO Zip Contractor's Company Name V 1 -0 r 0W-en Q tic e Contractor's Address a$0 5 re.e City vkia State FL. Qualifier Name 3'Q. C,K l(- (An 4 No. E `a"tJ Phone # State Certif sate or Re istrat E-MAIL:\ Zip 3'3139 Phone #55 534:oo�Q Certificate of Competency No. . COm Architect/Engineer's Name (if applicable) ou Value of Work For this Permit $ \ t `' . • "jj. Type of Work: Describe Work: Phone # Square / Linear Footage Of Work: ['Addition ['Alteration ['New ❑ Repair /Replace aC-Q' G m9 Yl'1Ce3re-r 1m a% n. ❑ Demolition *****xx*x*xxx' xie****xxx *xx**+Ya:xxxxxxxxxx Fees" & *xXx *Sex* ****xx xxx xx**xx xxxxx x *** *** ** **xdo Submittal Fee $ Permit Fee $ %✓ ©e—' CCF $ I•o9C CO /CC Notary $ Training /Education Fee $ V -40 Technology Fee $ 31s Scanning $ 500 Radon $ DPBR $ Zoning $ Bond $ Code Enforcement $ Double Fee $ Structural Review. $ Total Fee Now Due $ )5. 0 .55 JS 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. rcu anu are- impec- evrriee -writ oe crers eu. Owner or Agent The foregoing instrument was acknowledged before me this day of e,P., , 2, by who is personally known to me or who has produced identification and who did take an oath. PUB C- STATE OF FLORIDA Cuesta .; Is mission # DD456843 NOT Sign: Print: Expires: AUG. 01, 2009 Bonded Thru Mantle Bonding Co., Inc. My Comm .ion Expires: My Commission Expires: Signature agiaJ - Contr or The foregoing instrument was acknowledged before me this day of 13 2001, by who is so or who hp ed N . _. . ®maw id take an oath. NOTARY PU Sign: Print: My Com ssion Expires: My Commission Expires: 43 , 2009 ieg Co., Inc. qs 6_d*.F3.ma...._.o.L.... .1_ **** e********* ********** ** c*************** ***********x *****yrxxxxx*xxiex xx x x x**war* xxxxx * * xxxxx*r APPLICATION APPROVED BY: (Revised 02/08/06) 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 Date: 03/05/2008 Inspector: Devaney, Michael Owner: JULMISSE, CARMELLE Job Address: 24 109 Street NW Miami Shores, FL 33168 -4315 Project <NONE> Contractor: VISTAR MAINTENANCE CORP Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Addition /Alteration Block: Phone Number Parcel Number 1121360110190 Lot: Build.Department Common EPLACE 200 AMP METER MAIN COm p7®rL Z /c Ott rezki 6 204 Passed Inspector Comments CREATED AS REINSPECTION FOR INSP- REINSPECTION FOR INSP- 70017. ROUGH Nutral must be isolated from ground after the Put connector on "I" conduit under J -box seal screw cover to J box closed.. 4/Y (n/791''/IF G 4' '41 at7c,zJ % .�" a 1 / 7 l r I 43 70898. CREATED AS FAILED. MD 12/27/07 main disconnect. an used openings in J box I ;viz v /' W- Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. El until pa? 9,f yr N ue' / Tuesday, March 4, 2008 x4 7 A 4,11'--_ ' 7 Page 1 of 2 Inspection History Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 For Inspections please call: (305)762-4949 Project: Owner: Phone: <NONE> HARRY JULMISSE Job Address: 24 109 Street Miami Shores, FL 33168 -4315 Parcel: 1121360110190 Block: Lot: Scheduled Insp # 12/21/2007 INSP -70012 Inspection Type W. W. FP &L NOTIFIED MD 12/21/07 12/27/2007 INSP -70011 Rough Inspection Status APPROVED Inspector Date Completed Michael Devaney 12/26/2007 DENIED Michael Devaney 12/28/2007 EMT NOT APPROVED FOR RISER 60 AMP BREAKER WITH #8 CONDUCTORS NUTRAL CONDUCTORS NEED TO TERMINATE IN MAIN PANNEL. #6 G.E.0 NOT#4. RECONEECT GROUNDING CONDUCTORS FOR C.A.T.V AND TEL. RACE WAY FILL UP SIZE ALL CONDUCTORS ONE SIZE. CLOSE ALL UNUSED OPENINGS IN BOXES AND SCREW COVER CLOSED. MD 12/27/07 12/27/2007 INSP -70017 Final DENIED Michael Devaney 12/28/2007 ROUGH FAILED. MD 12/27/07 01/25/2008 INSP -70898 Final DENIED w /FEE Michael Devaney 1/29/2008 CREATED AS REINSPECTION FOR INSP- 70017. ROUGH FAILED. MD 12/27/07 Nutral must be isolated from ground after the main disconnect. Put connector on "I" conduit under J -box seal an used openings in J box screw cover to J box closed. 03/05/2008 INSP -73140 Final DENIED w /FEE Michael Devaney 3/6/2008 CREATED AS REINSPECTION FOR INSP- 70898. CREATED AS REINSPECTION FOR INSP- 70017. ROUGH FAILED. MD 12/27/07 Nutral must be isolated from ground after the main disconnect. Put connector on "I" conduit under J -box seal an used openings in J box screw cover to J box closed. CANNOT PARALLEL CONDUCTORS SMALLER THAN # 1/0 NOT # 10 PUT SCREW ON PANEL DOOR THAT IS USED AS A J BOX DON'T USE SHEET METER SCREWS FOR GROUNDIER. REMOVE N.M CABLE (ROMEZ) THAT RUNS OUTSIDE FEEDING SPRINKLER PUMP. MD 03/05/2008 01/01/2999 INSP -77003 Final NONE Michael Devaney Not Complete Monday, May 23, 2011 Page 1 of 2 CREATED AS REINSPECTION FOR INSP- 73140. CREATED AS REINSPECTION FOR INSP- 70898. CREATED AS REINSPECTION FOR INSP- 70017. ROUGH FAILED. MD 12/27/07 Nutral must be isolated from ground after the main disconnect. Put connector on "I" conduit under J -box seal an used openings in J box screw cover to J box closed. CANNOT PARALLEL CONDUCTORS SMALLER THAN # 1/0 NOT # 10 PUT SCREW ON PANEL DOOR THAT IS USED AS A J BOX DON'T USE SHEET METER SCREWS FOR GROUNDIER. REMOVE N.M CABLE (ROMEZ) THAT RUNS OUTSIDE FEEDING SPRINKLER PUMP. MD 03/05/2008 Monday, May 23, 2011 Page 2 of 2 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: 03/05/2008 Inspector: Devaney, Michael Owner: JULMISSE, CARMELLE Job Address: 24 109 Street NW Miami Shores, FL 33168 -4315 Project: <NONE> Contractor: VISTAR MAINTENANCE CORP Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Addition /Alteration Block: Phone Number Parcel Number 1121360110190 Lot: Building Department Comments REPLACE 200 AMP METER MAIN �� 6 1000 Passed Inspector Comments CREATED AS REINSPECTION FOR INSP- 70898. CREATED AS REINSPECTION FOR INSP- 70017. ROUGH FAILED. MD 12/27/07 Nutral must be isolated from ground after the main disconnect. Put connector on I conduit under J -box seal an used openings in J box screw cover to J box closed.. v ® Lr i1/o� ./72-9i/F 2 a 'Pci '' T J MIL r ,% /�% f� ,� 0,----- j� d / 0 % �c am -' `� 1-9‘_, 0,59‘94 / ill i % a 7 vd Afr � � X� s - Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid. until e_ p ew j' S g W7- .(l® 1- Tuesday, March 4, 2008 >°4r ,y' A 'Pie) f""-� 57/ 4 /17(11 - Page 1 of 2 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: 12/27/2007 Inspector: Devaney, Michael Owner: JULMISSE, CARMELLE Job Address: 24 109 Street NW Miami Shores, FL 33168 -4315 Project: <NONE> Contractor: VISTAR MAINTENANCE CORP Permit Type: Electrical - Residential Inspection Type: Rough Work Classification: Addition /Alteration Block: Phone Number Parcel Number 1121360110190 Lot: Building Department Comments REPLACE 200 AMP METER MAIN \OK 2 8 01 Passed Inspector Comments .'H y- /4"dr dp Ake, `11 le e U� a4✓�tee,- p 0 A a,#XY g-az,. e- £I" s 1iG Lf4a X vs 4- 17Pit. c" /`41-- '' ' ' ' A -12''� v@ p.f./ e,- Vd7 4, L . 2 0,�� ,� e't��c b--- ,'"wG 0 C i� It ,4 0it& 51 g2 e /fr e/ 9wa, ®e�.r-�e �'�� �� Di*- ce fr P 1--- a e,4, 6),i Q l�5-7°24 Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until Wednesday, December 26, 2007 Page 2 of 2 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: 01/25/2008 Inspector: Devaney, Michael Owner: JULMISSE, CARMELLE Job Address: 24 109 Street NW Miami Shores, FL 33168 -4315 Project: <NONE> Contractor: VISTAR MAINTENANCE CORP • Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Addition /Alteration Block: Phone Number Parcel Number 1121360110190 Lot: Building Department Comments REPLACE 200 AMP METER MAIN X28 NCB Passed Inspector Comments CREATED AS REINSPECTION FOR INSP 70017. ROUGH FAILED. MD 12/27107 c ���� �� �Vari4Z � errr /3e_ c S tiz ofrt t/z t-i._ --d- iziP rey- i e /* #/,/ Di rce 02,4-/A/ -e G ro ,�G��ia ®� / �s G� �°i`'�`�` r �''�i G �,t�� ® , ial e-ex/ tig',0e6G ®��/� i `� 9 ` iv r- 77‘,/- 94/2"(' -- %7fP� �'`a -s'�d ` Failed Correction Needed � Re-Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until Thursday, January 24, 2008 Page 2of2 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Date: 12/21/2007 Inspector: Grande, Claudio Owner: JULMISSE, CARMELLE Job Address: 24 109 Street NW Miami Shores, FL 33168 -4315 Project: <NONE> Contractor: VISTAR MAINTENANCE CORP Permit Type: Electrical - Residential Inspection Type: W. W. Work Classification: Addition /Alteration Block: Phone Number Parcel Number 1121360110190 Lot: Building Department Comments REPLACE 200 AMP METER MAIN DEC 2 6 2001 Passed Inspector Comments Pfd_ y Failed ,1111°*//, ,P/i/ ®," Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until Thursday, December 20, 2007 Page 1 of 2 Inspection Date: 12/27/2007 Inspector: Devaney, Michael Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Owner: JULMISSE, CARMELLE Job Address: 24 109 Street NW Miami Shores, FL 33168 -4315 Project: <NONE> Contractor: VISTAR MAINTENANCE CORP Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Addition /Alteration Block: Phone Number Parcel Number 1121360110190 Lot: Building Department Comments REPLACE 200 AMP METER MAIN DEC 2 8 MOT Passed Inspector Comments i' a e' 7A ®` / 0 '/ Pi.. ` / ,e,z4- Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid until Wednesday, December 26, 2007 Page 1 of 2 ADDENDUM TO BUILDING PERMIT APPLICATION AN APPLICATION FOR BUILDING PERMIT MUST ACCOMPANY THIS ADDENDUM. IF A MASTER PERMIT HAS BEEN OBTAINED, THE OWNER'S NOTARIZED SIGNATURE NEED NOT BE PRESENT ON SUBSEQUENT APPLICATIONS. PLEASE CIRCLE 0 DISCIPLINE APPLIED FOR: PLUMBING ELECTRICAL PERMIT # `1,4 MECHANICAL ITEM UNIT FEE ITEM UNIT FEE ITEM UNIT FEE BATH TUB SWITCH OUTLETS SPACE HEATERS DISHWASHER LIGHT OUTLETS CENTRAL HEATING DISPOSAL RECEPTACLES A/C (WIND) FLOOR DRAIN SERVICE TEMPORARY NC (CENTRAL) GREASE TRAP SERVICE SIZE IN AMPS V ✓ DUCT WORK INTERCEPTOR SERVICE REPAIR/METER CHANGE ,5 REFRIGERATION LAVATORY APPLIANCE OUTLETS PROCESS AND PRESS PIPING LAUNDRY TRAY RANGE TOP UNDERGROUND TANKS CLOTHES WASHER OVEN ABOVE GROUND TANKS SHOWER WATER HEATER U.F. PRESSURE VESSELS SINK. POT /3 COMP. MOTORS 0 -1 HP STEAM BOILERS SINK, RESIDENCE. MOTORS OVER 1 -3 HP HOT WATER BOILERS SINK, SLOP. MOTORS OVER 3 -5 HP MECHANICAL VENTILATION TEMPORARY WATER CLOSET MOTORS OVER 5 -8 HP TRANSPORTING ASSEMBLIES URINAL MOTORS OVER 8 -10 HP ELEVATORS /ESCALATORS WATER CLOSET MOTORS OVER 10 -25 HP FIRE SPRINKLER SYSTEMS INDIRECT WASTES MOTORS OVER 25 -100 HP COOLING TOWERS WATER SUPPLY TO: MOTORS OVER 100 HP VIOLATION NC UNIT • A/C WINDOW REINSPECTION FIRE SPRINKLER AIR CONDITIONERS HEATER -NEW INST. STRIP HEATER HEATER - REPLACE GENERATORS TRANSFORMERS LAWN SPRINKLER -WELL GENERATORS TRANSFORMERS SWIMMING POOL GENERATORS TRANSFORMERS WATER SERVICE SPECIAL PURPOSE. SEWER CONNECTIONS OUTLETS COMMERCIAL UTILITY -SEWER SIGN TUBES UTILITY -WATER SIGN TRANSFORMERS SEPTIC TANK SIGN TIME CLOCK RELAY FIXTURES FAINFIELD, 4" TILE/RES. ANTENNA PUMP & ABANDON SEPTIC TANK TELEVISION OUTLETS SOAKAGE PIT CU. FT. VIOLATION CATCH BASIN REINSPECTION 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 Miami -Dade My Home My Home ;ami ade.' Show Me: IProperty Information Search By: I Select Item 1: Text only • Property Appraiser Tax Estimator Summary Details: Folio No.: 11- 2136 -011 -0190 Property: 24 NW 109 ST Mailing Address: HARRY M JULMISSE &W CARMELLE 24 NW 109 ST MIAMI FL 33168 -4315 Property Information: Primary Zone: 0800 SINGLE FAMILY RESIDENCE CLUC: 0001 RESIDENTIAL- SINGLE FAMILY Beds/Baths: 3/2 Floors: 1 Living Units: 1 Adj Sq Footage: 1,840 Lot Size: 9,225 SQ FT Year Built: 1952 Legal Description: DUNNINGS MIAMI SHORES EXT NO 7 PB 52 -33 LOT 3 BLK 214 LOT SIZE 75.000 X 123 OR 18605 -4936 05 1999 1 Sale Information: Sale O /R: 18605 -4936 Sale Date: 5/1999 Sale Amount: $130,000 Assessment Information: Year: 2007 2006 Land Value: $241,020 $185,400 Building Value: $163,322 $144,002 Market Value: $404,342 $329,402 Assessed Value: $115,034 $112,229 Homestead Exemption: $25,000 $25,000 Total Exemptions: $25,000 $25,000 Taxable Value: $90,034 $87,229 Page 1 of 2 ACTIVE TOOL: SELECT Digital Orthophotography - 2006 We appreciate your feedback, please take a minute to complete our 0 My Home 1 Property Information 1 Property Taxes 1 My Neighborhood 1 Property Appraiser Home 1 Using Our Site 1 About 1 Phone Directory 1 Privacy 1 Disclaimer 112 ft If you experience technical difficulties with the Property Information application, please to let us know. E-mail your comments, questions and suggestions to Web Site © 2002 Miami -Dade County, All rights reserved. http: / /gisims2. miamidade .gov /myhome /propmap.asp 11/28/2007 • • ••• • • • ••• Customer first and last name &Mt. t. ream ::: CAl 4.LE JULMISSE Today's date is December 11, 2007 r rAdressr:'r �4 NIT 1a9 ST • • ••• • • • • ••• MAIlVII SHORES, FL, 33168 • • • • ••• • • • • ••• •: ] Phaii:3 Wire •.015tionaaaaaaaaa 'I•Ldad Calculation Voltage r • 220.V • • • • • Total Square fgetr : :1$9Q•ft : • x S.VA per sq. ft = 3,870 VA T o t a l Small A p p l i a a C e s : = : ' .' 2:: :.. x.*1500 VA each = 3,000 VA Laundry = 1 x 1500 VA each= 1,500 VA List of all other General Loads Description Amp Volts Volt Amp. Calculated VA Project mgr: Bernardo R Gonzale The current time is 5: National Electrical Code sections; `220.1 C 220: NOTES : IFCC.-ZEWM 1 DEC 1 3 2007 Water heater 20. A 240 V - = 4,800 VA 1) See attached Drawing u u . __ Dryer 30. A 120 V = 3,600 VA Microwave 15. A 120 V = 1,800 VA Refrigerator 1,200 VA = 1,200 VA Range 8,000 VA = 8,000 VA Sprincles Pum 15. A 120 V =1,800 VA A/C & Heat @ 100 °/ 10,000 VA = 10,000 VA Dish Washer 10. A 120 V =1,200 VA J a ,z J Garvige disposal 10. A 120 V =1,200 VA `' ` o �1 .24 MI am, J v'"�� VII ?ae APPROVED DATE . �,g /.-� ale. LOG DEPT SU[ LCT TO COMPLIANCE WI 11 ALL F€DERAL STATE AND COUnMTY RULES AND REGULATIONS ORIDA NOM SRC -_ rData Sub Total = 41,970 VA The First 10 KW @ 100 % = 10,000 VA Remainder KW @ 40 % = 12,788 VA A/C & Heat ® 100 % = 7,500 VA 1 4) 3 Wire Service: P(VA) 30288 VA Phases 1= --E = 220 V Total Calculated Load = 30,288 VA Total calculated Load / 220 V = 137.67 A 137.67 A 43 . + �, Atlantic Bonding Co., c. Vistar Ele `; c am" Jack Bryant Lic# EC 13002954 i s t a r E 1 e c t r i c • • ••• • • • ••• •• •• • • • •• •• • • • • • • • • • • • • • • ••• • • • • • • • • • • • • • ••• • • • • ••• • • • ••• • ••• •• • • •• • • • • • • • • • • • • • 3# % trHN.QIIRE IN's' C CONIVI! i ••• ••• ••• • •• • • • •• ••• •• • • • • • • • • • •• • • • • • ••• •• NEW 200A MAIN METER COMBO LOAD CENTER N CIRCUIT 1 #4 THHN WIRE IN 3/4' PVC CONDUIT 8. 2 GROUND ROD 96 X10 6' APART CWP 1 EXISTING PANEL REMAIN AS SPLICED BOX RUN EXISTING CIRCUITS TO MAIN METER COMBO IN EXISTING 2' CONDUIT %AR zaanresarAcra COUP y /� Don l lli4. [ 1},w. --....• �/ U 8NT Zi '1'ZON OTSIER'O 'L'ZOO 2 3 0 5TH STREET CARMELLE JULMISSE MIAMI BEACH ,FL 33139 24 NW 109 ST DADE PH'305- 534 -0010 BRWD PH 954- 344 -8644 MIAMI SHORE, FL 33168 FAX 3055340148 CELL 786 -295 -7131 DADE 10 -31 -2007 LIC # EC13002954 DRAWING BY1BERNARDO GONZALEZ Bill To Invoice Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 CARMELLE JULMISSE 24 NW 109 ST MIAMI, FL 33168 -4315 Return to: Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Date Fee Name Invoice Number: EL -3 -08 -31174 Invoice Date: March 06, 2008 Permit Number: EL -12 -07 -2493 Fee Type Fee Amount 03/06/2008 Re- Inspection Fee 1st Occurence Fixed $75.00 Total Fees Due: $75.00 Payments Date Pay Type Check Number Amount Paid Change 04/17/2008 Credit Card �� i 7 �g8© $75.00 $0.00 Total Paid: $75.00 rl1HrI1 JnUI FJ. CL SS1St) (3051 795 -2209 Sale [0: 237828 1/17/08 itch 4: 48 10:12: SA XXXX0XXXX4080M Pr Code: 603132 Inv /: 00000 ount: $ 75,0 x: $0.0 tal: $ 75.0 APPROVED 609132 Customer COPY THANK YOU! Total Due: $0.00 II Thursday, April 17, 2008