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EL-12-1907Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 179842 Permit Number: EL -10 -12 -1907 Scheduled Inspection Date: December 17, 2012 Inspector: Devaney, Michael Owner: MICHELLE CANERO, PENN DAVIS Job Address: 384 NE 94 Street Miami Shores, FL Project: <NONE> Contractor: MB ELECTRIC SERVICE CORP Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Pool - Private Phone Number Parcel Number 1132060136140 Phone: (786)325 -3383 Building Department Comments POOL ELECTED REPAIR Infractio Passed Comments INSPECTOR COMMENTS False Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. Inspector Commen December 14, 2012 For Inspections please call: (305)762 -4949 Page 12 of 41 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION FBC 20 Permit Type: Electrical Permit No. Ica vow yr Ua of uxo ), l' OCT 1 2 2012 Master Permit No. OWNER: Name (Fee Simple Titleholder): Pe b n he f !!. 60.devo Phone #: Address: 2/ A) $e e ii s-/s' - City: fr7)A ,n) 56o'i.tS State: � Zip: 3 3/3g-- Tenant/Lessee Name: Phone #: Email: JOB ADDRESS: '3gq g City: Miami Shores County: Miami Dade Zip: 3 3/ 3S Folio/Parcel #: Is the Building Historically Designated: Yes N04,, Flood Zone: CONTRACTOR: Company Name: Al t(J /6 vuict'' Cav Phone #: ���+) 3z 5 3 3 8 3 Address: 3 55 A) � g 0 ci City: ll I A 1-i 64,6414",,, Qualifier Name: ,)CJ ` s State Certifeation or Registration #: State: (L Zip: 3 30 5 5 Phone #: ,) 325 3 3 'Certificate of Competency #: Q Z E O Contact Phone #: ii~ mail Address: }'i (j � f' ►G S U l CO') 6,q9 )46h0 °FAD l-➢ DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: $ 6-49a.. • Square/Linear Footage of Work: Type of Work: UAddress DAlteration New epair/Replace Description of Work: Po L Qof e 4 + 494 r Q; Y t ODemolition ****** **** �x�x�x�x +x�x *a�a��x *�x�x�x***** * * **�a� *** Fees�n�x* �x+ xx�**** x��x�x+ �a�* a: x��u* �x�xx�** **** * *+� *+n�x.x *�xx:u�� *** Submittal Fee $ 3-c-'--- Permit Fee $ is�� ' Co 0 CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 109‘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 CONDmONERS, 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 inspect' hich occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will n' be app ov an reinspection fee will be charged. Signature Owner or Agent The foregoing instrument was acknowledged before me this [2. The foregoing instrument was acknowledged before me this 1 day of O e , 20 1'1„ by pIG1r.*„�, D. j t daj� of G>c k„ev , 20 la, by S� $ e this 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. as identifi ; tion and who did take an oath. NOTAR ' UBLIC: NOTARY PUBLIC: Sign: Print: I _ "' Print: ne MY COMMISSION # EE080681 EXPIRES April 04, 2015 FloridallotaryService.com My Commission Expires: My Co 1.. 11/41,0 mmissio e§'.= MY COMMISSION # EE080881 ✓ems., L %eF "a±�' EXPIRES April 04, 2015 (407) 396 -04'.3 FlondallotaryServiee.com *** *******+k***N * ******* ' I'*******+ k********************* B* * #****** *********************** **tie*** ************ 2.e9 rz- APPROVED BY /� /4-G9-Cr Plans Examiner Zoning Structural Review Clerk (Revised 07 /10 /07)(Revised 06 /10/2009)(Revised 3/15/09) JEFF ATWATER STATE OF FLORIDA CHIEF FINANCIAL OFFICER DEPARTMENT OF FINANCIAL. SE DIVISION OF WORKERS' COMPEN * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WDRKERS' COMPENSATION LAW CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Iorida Workers' Compensation law. VICES ATION l2 -'1�5� 09-10 -2012 EFFECTIVE DATE: PERSON: FEIN: 09/10/2012 MUNOZ 208556856 BUSINESS NAME AND ADDRESS: M 6 ELECTRIC SERVICE CORP 7700 W 18TH AVE HIALEAH FL 33014 SCOPES OF BUSINESS OR TRADE: 1- ELECTRICAL CONTRACTOR EXPIRATION DATE: 09/1 JUSEF P IMPORTANT: Pursuant to Chapter 440 . 05(141, F.S., an officer of s cotparation who elects exemption from this section may not recover benefits or compensation under ibis chapter. Pursuant to Chapter 440,051121, F.S., Cerlllf scope of the business or trade listed on the aatice of electiop to be exempt. Perusal to Chapter 440.0503), F. election to be exempt shall be abject to revocation if, at any time after the tiling of the notice or the issue certificate no longer meats roe requirements of this section for )seance of a certificate. The department shell named oe the certificate to meet the requirements of this sectioe. OWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 01 -11 /2014 battler by filing a certificate of election under this etas of election to be exeept... apply only within the ., Notices of election to be exempt and certificates of e of the certificate, the person named on the notice or evoke a certificate at any time for failure al the person QUESTIONS? (850) 413 -1609 PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE STATE OF PLORIOA DEPARTMENT OP FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION CONSTRUCTION INDUSTRY CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW EFFECTIVE 08/10/2012 EXPIRATION DATE: 08 /10/2014 PERSON: JUSEF P MUNOZ FEIN: 208550850 BUSINESS NAME AND ADDRESS: M 3 ELECTRIC SERVICE CORP 7740 W 16TH AVE HIALEAH, FL 33014 SCOPE OF BUSINESS OR TRADE: 1- ELECTRICAL CONTRACTOR IMPORTANT dPursuant to Chapter 440.05114), F,S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election L under this section may not recover benefits or compensation under this D chapter. Pursuant to Chapter 440.05(12), F.S., Certificates of election to be H exempt.. apply only within the scope of the business or trade listed on Rthe notice of election to be exempt E Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt and certificates o election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. QUESTIONS? (850) 413 -1609 CUT HERE * Carry bottom portion on the Job, keep upper portion for your records. Oct. 12. 2012 11:08AM Gus Machado Ford - Account, Dept No. 1866 P. 1 MB ELECTRIC SERVICE CORP 3955 NW 195 STREET MIAMI GARDENS FL 33055 To : Miami Shores Village ATT: LICENSE REGISTRATION From: Jusef P Munoz (786) 325 -3383 /011Oct,12. 2012511_:s.08AM473 Gus Machado Ford — Account. Dept Proof of Coverage No. 186653IP' 21/002 • Page 1 of 1 i'WC dame i►WC Databases ICF0 Hama Exemption Detail Page This d&.tabam' was Wit updates Fain, October 12, 2012 224 M4. E.xtemptioll Delall6 { ilea POOMMUIP 'TINThirirtiea amla F.76e0 111Vpe "6twu►asv MOMak• ERMY01.Nme 58p1O20N Cp�nslloe A_4'a� BEMagagalE el'ermina tID t army De trough *D0 royocarom ortate exaaip*On, or explaitiOn of the 0XemptiiQD. " fl,e exemption only applies tothe business activates Oste4 on the exeatbtlaf , P MUNOZ PA Cep i 1,2 tomsenematmEtM ' 1-043c-x 6- c3 3893 ilttos: / /aldirs8. 1dfs. Comm /proofofcove rake /ExempiionDeiaiLaspepr_person id 2014152 10/12/2012 Oct. 12. 2012 11:09AM Gus Machado Ford - Account. Dept 1 o /l.., LY t. W...I I w..t-413 Proof of Coverage No. 186653 FP. 30)02 Page 1 of 1 VVia Homo FWC Databases FOFO Home Business Activities Detail Page This database was lad updated try, Oelober 17, 201/ 2:24 AM. filminess Activities on Eze mptiOn far JUSEF P MUNOZ i=LEC JICAL coNIR CTOR htincsUannalltifs_ corn/ rwonfofcovcrage igusines4Activities etaiLasnx ?EffeetDate= 9/10%.. 10/12/2012 Oct. 12. 2012 11:0901 Gus Machado Ford — Account. Dept No 1866 P. 4 QUALIFYING TRADES) 0001 ELECTRICAL CTQB Construction Trades Qualifying aoard BUSINESS CERTIFICATE OF COMPETENCY 12E000401 M [3 FL,ECTRIC SERVICE CORP MUNb; JUSEF P Is Certified under the provisions of Chapter 10 of Miami -Dade Cr,unty vALID FOR CONTRACTING UNTIL 09/30i2G13 Oct, 12. 2012 11:09AM Gus Machado Ford — Account, Dept No, 1866 P. STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD 1940 NORTH MONROE STREET TALLAHASSRE FL 32399 -0783 MUNOZ Y +7USEP p M.B. ELECTRIC SERVICE CORP 3955 NW 195 ST MIAMI GARDENS FL 3.3055 • Congratulations! With this license you become one of the nearly one million Floridians licensed by the Department of Business and Professional Regulation. Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. Every day we work to Improve the way we do business in order to serve you better For information about our services, please log onto www.myftaridallcense.com. There you can find more information about our divisions and the regulations that ' impact you, subscribe to department newsletters and team more about the Departments initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you oan serve your customers. Thank you for doing business in Florida, and congratulations on your new license! DETACH HERE 5 (850) 487 -1395 L O T ala1R • % ,° . .. & A E1T( iii11t Z110; s GWT] . »$R1301'�79 rIg CENSIPfT- • '1 003 6 5'0 3 • TO' CONTRACT �q! RROIB1] 3D bEsiARb rti9g fS . .r: • .t : p#: J' OC RIOR , :., RLA) Q . l ,, .�. ?. i A 'tom • t gg*. A F.`2 1 q02 #17,61 1'>: THIS DOCUMENT HAS A COLORED BACKGROUNF . MICROPRINTING • L1NEMARK °` PATI NT.0 PAPER TIoN • . . SEQ#Li208o20024i. s kNTa d e] W" A,' •',R ` I � S h'1 �,er •t et•s•ip iivisidliie fir)theibt. Expiratipp. date: 'Aug . \31, . 2014 •• `IMIVID. +iL:4T: Ft'1`* 1 Ar. 4'140C 198 WP sr'': H XA, E1? H r >^ It 14. I6RP ; }, 014 G <.: ` "As \W P, REN LAWSON fiRt'RRTARY 1011212012 10:54 3052792549 4ESTSUNSETINSURANCE PAGE 01 CERTIFICATE OF LIABILITY INSURANCE DATE IM' iDD/YYYYI 10. 3/12 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. 'HIS CERTIFICATE DOES NOT AFFIRMATIVU ..y OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLIOI is BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZ 6D REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: if the certificate holder Is an ADDITIONAL INSURED, the pollcylles) must be endorsed. If SUBROGATION I$ WAIVED, subject to the terms and condltlone of tho policy. Certain policies may require an endorsement. A statement on this CErtfflcate does not confer rights to the certificate_ holder In IIeU of such endorsementtn), t'RODUCER West Sunset Insurance Agency 10300 Sunset Drive, Sults #470 Miami, FL 33173 Phone (305)270.6499 Fax (305)279 -2549 INSURED "" M,6, ELECTRIC SERVICE, CORP 3955 N,W, 195 Street MIAMI GARDENS, FL 33105 -5 805 NAMAOT MAYRA FACENDA Ea, Rio). (305)2704499 es. West$unlh®Ilsouth.net I FAX No)! (305' ?79 -2549 __...... INSURER(S) AFFORDING COVERAGE INSURER A GRANADA INSURANCE COMPANY INSURER E INSURER C: INSURER D INSURER, E : . INSURES F : COVERAGES CERTIFICATE NUMBER, REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERII D INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH 1 tiS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OP SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, LrRR� TYPE OF INSURANCE ADD UDR POLI4Y EPP PoLIOYE�p IN AS WVD POLICY NUM6ER (MMIDDImert IMMIDD/YYYY) LIMBS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY 7 ❑ CLAIMS -MADE j OCCUR NAN31t A U rl GENT. AGGREGATE LIMP' APPLIES RV! POLICY ❑ i ❑ I.00 AUTOMOBILE (ABILITY 7 ANY AUTO A OWNED ❑ C3 HIRED AUTOS I_J J UMBRELLA LIAR ❑ OCCUR ExaIEss LIIIAg �] CLAIMS -MADE [._I bED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS LIABILITY ANY PROPRIETOR/PARTNER/EXECUTn� / N OFFIC /MEM ER EXCLUDED? iMandttory In NH) PTION OF OPERATIONS below SCHEDULED AUTOS AL SSSNED 4fA 12 -0996 08/24/2012 08/24/2013 EACH oCCURr2ENCE a 1,0C, 1000.00 DAMAGE TO RENTED PREMISES [Ea accurlcppo} $ MED EXP (Any one person s 5,0C 11.00 PERSONAL & ADV INJURY 5 GENERAL AGGREGATE 5 PRODUCTS - COMP /OP AGO $ $ 1,0C1,,000.00 2,0C1..„000.00 2,OC' ,000.00 de SINGLE LIMIT BODILY INJURY (Per person) $ BODILY INJURY (Per accident; 5 ElwpERTY DAMAGE LAFC, EACH OCCURRENCE AGGREGATE $ DESCRIPTrot OP OPERATION$ i LOCATIONS I VEHICLES (Attach ACORD 101, AddltIonal Remnrlle Scllodutc, If mots space Is masked) ELECTRICAL SERVICES CERTIFICATE HOLDER MIAMI SHORE VILLAGE 10050 N.E. 2ND AVENUE MIAMI SHORES, FL. 33138 ACORD 25 (2010/05 O1= CANCELLATION JJ.7ORY uMITS- .❑ ER F E.L. EACH ACCIDENT r, E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE . POLICY uMrr $ SHOULD ANY OP �TJ3IE.ABCVE DESCRIBED POLICIES BE CANCELLE 1 BEFORE THE EXPIRATIOITDAHEREOF, NOTICE Will BE DELIVERED IN ACCORD WIT E POLICY PP,gy MRS. au CORPORATION. All right s reserved. and logo are registered mafli . of ACORD Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 B p! - 1/-r759- Inspection Number: INSP - 179836 Permit Number: PL -10 -12 -1906 Scheduled Inspection Date: December 12, 2012 Inspector: Hernandez, Rafael Owner: MICHELLE CANERO, PENN DAVIS Job Address: 384 NE 94 Street Miami Shores, FL Project: <NONE> Contractor: R8d PLUMBING SERVICES CORP Permit Type: Plumbing - Residential Inspection Type: Final Work Classification: Pool - Private Phone Number Parcel Number 1132060136140 Phone: 305 -823 -6911 Building Department Comments POOL PIPING REPAIR Infractio Passed Comments INSPECTOR COMMENTS False Passed Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. nspector Comments December 11, 2012 For Inspections please call: (305)762 -4949 Page 21 of 41. Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION FBC zo tc.) Permit Type: PL ING `,�,'• J OWNER: Name (Fee Simple Titleholder): Pg h Vi DAVt s - / 1 �G 1 t e �a»ero one#: Address: ° ��1 N E- 61 4 c"rrc i City: Aoki S' hope es State:. RE OCT 1 22012 1/C0 mrn 32 Vet tuP af� Permit No. FL'/ Master Permit No. FR 1.-n 's Tenant/Lessee Name: Email: Phone#: Zip: 31 In JOB ADDRESS: 1 g3'I iv E 9 A 17re '} City: Miami Shores County: Folio/Parcel#: Is the Building �iistoriiallyDea nated: Yes Miami Dade NO Flood one CONTRACTOR: Company Name: R T. NV 10,110i At Phone#:" ? i7 (- gar- Td C7 Address: 7 g°I �8 !Vic] . 1.7 N ) r ,/ 0 City: i4tn1! ` State: gi " .• 331.0.1. p: _ Qualifier Name: !Zell re &d Y E A VI Phone #: State Certification dtRegistration'#:' ©31a '0000.74 j Certificate otComiietency *: Contact Phone*: a Email Address: DESIGNER: Architect/Engineer: Phone# Value of Work for this Permit: $ I 't 7.0 Q ° ° Square/Linear Footage of Work: Type of Work: °Address OAlteration ONew )(Repair/Replace °Demolition \,Description of Worjo Pool l' p i h rain. ***************************************gees************** a *** * * ** * **** * ** * * * * * * * *4 *** Submittal Fee $ �� -rirs Permit Fee $ ,, ,ZS ' CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ 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, P.,kUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and than 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, .LENDBR 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be dellyered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of coni nenceinent must be posted at the job site for the first inspect' w h occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will no be appro er ++ : einspection fee will be, chaeged. . Signature Owner or Agent The foregoing instrument was acknowledged before me this! i <ai _ _day of 1rSlevor , 20 Jby Vet". 20.,.1.. who is personally known to me or who has produced As identification and who did take an oath. NOTARY PUBLI, : ye Signature .contractor The fomgoit g instrument was acknowledged before me this 5. day of at 10 421, , 20,J, , by ez.vie. 6v>•rwiox who is personally known to me or who has produced as identification and who did take an oath. • Sign: is Print: yko,oka. My Commission Expires *: '`' '" MY COMMISSION # EE080681 • '•= ' *, EXPIRES April 04, 211 (407 398-0153 FloridallotaryService.com * * * * * * * * ** *gip+ * * * * * * * * * * * * * * ** APPROVED BY NOTARY PUBI .. Sign:,,.. �.. J, a► org, Print: ri, •''al.uq��' My Commiss .'s_ ANY MARTINEZ •*-: MY COMMISSION # EE080881 EXPIRES April 04, 2015 (407) 388 -0153 FloridallotarySe ****** 4' ***************** 4aN+ klN* *********+M****+Ffi*+k********ik**(k$+R*t++i *** ***** F****** lans Examiner Structural Review (Revised 07 /10/07)(Revised 06 /10/2009)(Revised 3/15/09) Zoning Clerk