Loading...
PL-13-2311V � Miami Shores Village RECEIVED EivED 441, e_ PERMIT APPLICATION Building Department JAN 0 7 2013 1D050 N.E.Znd Avenue, Miami Shores, Florida 33138 ��: Tel: (305) 795.2204 Fax: (305) 756.8972 -- -_ -- - - -- INSPECTION'S PHONE NUMBER: (305) 762.4949 FBC 20'I� Permit No. 11 1 1y Permit Type: PLUMBING JOB .ADDRESS: r City: Miami Shores County: Miami Dade Zip: 3-305 Folio/Parcel #: 1=3246 I QM* Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): ?N-MA (,(k {�QPr' •�Ic Phone#: /mb ''1 72" &8 Address: �c� - E I(X Qrwr City: N utm l goo State:Zip: ✓?3�,� _ Tenant&.essee Name: Phone#: Email: CONTRACTOR: Company Name: C�Qr .%t Qzaw I �..�. Phone#: S' s-30 - -41—sa Address: �v` `2r) Sw <3 � G� Y g " city: Nil. ArM,L —State: Qualifier Name: State Certification or Registration #: &wr Gs, C7lii.7 Jv46 Certificate of Competency #: Contact Phone#: �5 -_303 -44.33 Email Address: L% ( %dIM�I IJi • Q*1 DESIGNER: Architect/Engineer: Phone#: Value of Work for this Permit: $ Square/Linear Footage of Work: Type of Work: OAddress OAlteration ONew ORepair/Replace ODemolition Description of Work: ��� 1 S i (")T1� 0 i= 1_ D Ci47'l O N o V- '77'4 A.9 1L Submittal Fee $ Permit Fee $ .- Y CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Train_ in_glEducation Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ X_t - C)® s' Bonding Company's Name (if applicable) Bonding Company's Address T City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State zip 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 vale exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law b ochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of co ement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued I the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged Signature q- lo� Owner or Agent The foregoing instrument was acknowledged before me this day of -7SArj- 204 , by VAr-- c-14 + Ate- -W who is personally known to me or who has produced Contractor The foregoing instrument waAcknowledged before me this_ day of , 20 l4 , by Ya%K Wa. , who is .m =rzbabs gtoduc -0 As identification and who did take an oath. 7i _ Eldid�ke an oath. NOTARY PUBLIC: a .\\`� `� 0 �,,, - • >r 0 Sign: ISStu�Ui Sign: Print: _ ��� � c Print: ,F m&A IL 4,- i - - My Commission Expires: g- q�; ' �, My Commission Expires: �ds� �BS� rg�$t$s�$ 4=�oR��kBs�'R�k$aR� ��ds+Ia� ��� ��ds���kd�8�s $sR��a��a���k�+sk8a8i�8a ds$s� �$�� d� 8 #�d� dcBs�SiRsIa B�QieA�k9S��k8+ �k�R�eoR�k�Bsfis��Ra4ds����RBda� $aeR�H«� & APPROVED BY ��� ®� Plans Examiner Structural Review (Revised3 /12/2012)(Rmised 07 /10/07)(Revised 06/10 M)(Revised 3/15/09) Zoning Clerk t- a APPROVED BY ZONING f ':STRUCTURAL ELECTRICAL PLUMBING MECHAN`CA BLDG. DATE Ima COAM00t WAc't7r'RE sPtt�Q. S.p.v, S4sEJ� ®��.�• ef sa 61.0-V po 0 1 3/4" 0wAN12e'D Pt? 9' tft 1p SI NS "to TW Wk4.. ®11'"W • G Z DO-DoAltr ��Y tt Z� toPSt i I i 30' 44 N fbuieTh Y uazc fife wavy ma x e to Pat Florida Building Code Table(s):402•,A 6A) iAf*A 5la Tdtbte(s) 15.1 (o) LI Phone No. M - h - ' 2YSG• otal Gas Load: Z BiV otal Run: S4 F4;w- GARCA GROUP, LLC.1.1 G 5 rLum51NG ` Ot,(R pF OPANH AND NA'T'K"L ,yA.!� w ®4. -KII JON P.O. BOX 651468, MIAMI, FLORIDA 33265 DIRECT 305- 3034733 - FAX 30542 -3888 Qualifier Name: - __l VRZ K V 160 uallfter No: f�0 33G�rd ignature: --Z a� a •vn.'•_ _ i' cp I • APPENDIX I FIGURELI(a) Cylindesrs. M sfigrmefm'Wrr epwpwwwjk- codeAaJi .) For SI urft1 It = 0.304S m Note 1: 5,ft mk*num from regef valve in any disnmtion away from pp exterior mums � JqnWM o�kovwd ancm or mechan ka ve"t Mak& Refer to 3222(b). Coblider filed on sde from bulk buck Note Z If the cyUnder Is ftUed on sfte from a beds truck, the Ming connedon and vent vehle must be at least 10 ft from any exterior source of ignition. opt Into &W-vwd appliances, or mechanical ventilation air intakes. Refer to 3222(®). Note 3- Raw to 3222(b). FIGURE LI (b) Aboveground ASS E containers. (77ns fipm far . prop only; cods sr au .) coast A/C Compressor (source of tgn0lon) Crawl space operflM, Nearest Une of a*WM whdow, or exhaust tan C that be 10 ft �� For Sl units: l It = 0.3048 m Note 1: Regardless of its size, any ASME c omeb er fiM an Nate 2: Rotor to 3222(d) site must be located so that the fMV comwcoon area fixed maximum Oquld level gauge are at least 10 It from any Note 3: This distance may be reduced to rro Im dw 10 ft for a Memo] source of igr a (e 9, qm flame, windowAfC, shoe container of 1200 gat (4.5 m3) rater capacity or leas, c ressor). intake to drect-varded gas appNaraNk or ir>ig m provided such contaIrw Is at k 25 ft from any other LP-Cas to a mechanical ventilation system. container of more them 125 gat (0.5 m3) water capacity. Refer Refer to 3.222(d). to 3222 ExcepOw No. 2. SS-95 2001 Mon i. Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 200977 Permit Number: PL -10 -13 -2311 Scheduled Inspection Date: March 13, 2014 Permit Type: - Residential Inspector: Diaz, Osvaldo . Inspection Type: Final Owner: ALVARO JOSE HUERTA, PATRICIA Work Classification Gas CI CILIA DADDATC00A CLJADTT Job Address: 1566 NE 104 Street Miami Shores, FL Phone Number Parcel Number 1122320320390 Project: <NONE> Contractor: GARCA GROUP LLC Building Department Comments GAS PIPE INSTALLATION FROM PROPANE TANK TO Infractio Passed comments RANGE AND WATER HEATER I INSPECTOR COMMENTS False Inspector Comments _ P Passed Failed Correction ❑ Needed Re Inspection ❑ Fee No Additional Inspections can be scheduled until re- inspection fee is paid. March 12, 2014 For Inspections please call: (305)762 -4949 Page 8 of 29 lA. + GARCA GROUP, LLC_® GAS FL_U M ]) l N G FF- CHNOLOGlE-.S YC +M,R P7znp t14e ANb NAT+ -AL- c4A-S sol. b.-"C IN P_O. BOX 651468, MIAMI, FLORIDA 33265 DIRECT 305 -303 -473.3 - FAX 305 - 402 -3MO -89-MAIL gesptaci0aol,com ADDRESS / X-46 6 N E" 10-Y A s-1naa17 -- PERMIT NUMBER I THIS SYSTEM HAS BEEN MANOMETER TESTED FOR 15 MINUTES. START // INCHES W.C. FINISH I/ INCHES W.C. INSTALLER i�a+•l•� -� 4P o °�c.;, �-�, This installation will meet all Florida Statutes 527.06 LP Division rule 4B -1.01 The south Florida Bldg. code NFPA 54, NFPA 58, and regulations of The state Fire Marshall `` QUALIFIER Name_ V V 60 Number L^f &0233(9 I, RM M. IMdi' W ' II�rCOe�u. E1�a11�►e, sin Cow f FF 01=4 l�101d 11�A I�nl Np. To: City cw Miami Shoran P ®ga 0 oP 2 8014 -02 -MO 10:09:00 (a MT) ISOS40238BB Rrom: f3 ®a Ptu tubing Taon nologlao JE!?Ttir CERTIFICATE OF LIABILITY INSURANCE DATE(MMI°°/YY'M 02/28/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollcy(Res) must be endorsed. If SUBROGATION IS WAIVED, subject to the tents and conditions of the policy, certain policies may require an endorsement. A etatement on this certificate does not confer rights to the certificate holder In ilou of such endorsements . PRODUCER A&A Underwriters, Inc. 8790 3W 8 st Miami. FI 33174 =Tt Pablo M. Candy PWNE 305 -220 -7447 FAX No ; 305 - 220 -4821 Pw eft AD pmc @aaunderwriters.com LIMITS EACH OCCURRENCE $ 1,000,000 3E70-RENTED- PREMISES Me currents MRA W- FORUMS MWERAGE wnae INSURER A: Scottsdale Insurance Company 41297 INSURED Garca Group LLC DBA Gas Plumbing Technologies PO BOX 651468 INSURER a: Mapke Insurance Company of Florida 34932 INsflRERC: Scottsdale Insurance Company 41297 INSURER D: Retail First 10700 INSURER E: PERSONAL & ADV INJURY Miami FL 33165 rnvro a r� INSURER F: $ 2,000,000 racvrvrvry r�vmes�l[: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERRA OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OFSUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. L A TYPE OF INSURANCE X COMMERCIAL GENERAL LIABILITY CLNMS MADE OCCUR POLICY NUMBER CPS1708594 MMID 03/14/2013 MMIODIYYY 03/14/2014 LIMITS EACH OCCURRENCE $ 1,000,000 3E70-RENTED- PREMISES Me currents $ 100,000 MED EXP (Any one person) $ 5,000 B 4150130008099 04 /12/2013 04/12/2014 GEN L AGGREGATE LJ O- APPLIES PER: X POLICY ❑ JECCT LOC OTHER: AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS X HIRED AUTOS X AAUTOSWNm PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP /OPAGG $ 1,000,000 Deductible E,,Wde t $ 1,000 $ 1,000,000 BODILY INJURY leer person) BODILY INJURY Per accident) $ $ PROP A DAMAGE ere $ C X U�MBRELIALIAB X OCCUR EXOESSUAB CLAIMS MADE XBS0028206 02/07/201303/14 /2014 EACH EACH OCCURRENCE $ 10,000 $ 1.000,000 AGGREGATE $ 1,000,000 DED I PIEN11ON WORKERS COMPENSATION $ D AND EMPLOYERS LIABIUTY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? (tirysCR PT' h NH) DES�'CRI'PTIcuO OF OPERATIONS below N /A 520 -43901 0211512014 02/15 /2015 X STATUTE ER EL. EACH ACCIDENT $ 1,000,000 E.L. DISEASE - EA EMPLOYE $ 1,000,000 E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, AddIdonal Remarks Schedule, may be atlached 9 =space Is reclutred) CFRTIVIr.AT= unr r%cn Miami Shores Village 10050 NE 2nd Ave Miami Shores, FL 33138 ^vvrNu ca 14V "IW V41 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988- 2013ACORD CORPORATION. All rights rasarvad The ACORD name and logo are registered marks of ACORD PDF created with pdfFactory Pro trial version www.pdffactory.com Miami Shores village CFIIVI Building Department rBY: CT 10 2013 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 FBC 20 10 BUILDING PERMIT APPLICATION Permit Type: PLUMBING Permit No. Master Permit No. JOB ADDRESS: _ 6�� 0 E- City: Miami Shores County: Miami Dade Zip: 3N 3 S Folio/Parcel #: It — =2. — 932 0390 Is the Building Historically Designated: Yes NO 94r Flood Zone: OWNER: Name (Fee Simple Titleholder):. ?�kCLPr �'�S�'� ht Qr Phone-0: ��-�a-Z "9292 Address:15Gro k) E 104 *k a Le A_— City: W D�MAi State:d Zip: 3313$ Tenant/Lessee Name: Phone#: F__ Email: CONTRACTOR: Company Name: Ch1 v � - Q LPL Phone#: 30.5 303-11 3� Address: ROL bo 3%A_� t 9\-nzA_-t City: k k- Nm 1 state: zip: 33l6 S Qualifier Name: C U � �cC V160 Phone#: 3v 3M !n 3 3 State Certification or Registration #: Certificate of Competency #: Contact Phone#: 3;DS— 303 " 44333 Email Address: SeM/ ,9'qPLv&4 , jAj417 W,. &K DESIGNER: Architect/Engineer. Phone#: Value of Work for this Permit: $ . L100 • SquareMnear Footage of Work: Type of Work: OAddress OAlteration U(New ORepair/Replace ODemolition Description , Work: Submittal Fee $ Permit Fee $ X?, CCF $ CO /CC $ Sunning Fee $ Radon Fee $ Notary $ Training/Education Fee $ Double Fu $ Structural Review $ DBPR $ Bond $ Technology Fee $ TOTAL FEE NOW DUE $ Bonding Company's Name (if applicable) Bonding Company's Address City State Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip 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 $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien faw brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of ommencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged Signature T�t�GiD p�Q� a-r Owner or Agent \\ Contractor The foregoing instrument was acknowledged before me s t CA The foregoing instrument was acknowledged before me this LOW day of ev , 2013, by Ito►: i c ta.� Y0. day of T+ 6020 a, by d — ---- who is NOT) Sign: _ Print: My Commission expires: 5, r I t i who r mm. Exphes Mi1y& oath. NOT mhSsion # FF 01M4 WhM00 National NOn Assn. Sign: P i ukepPr T I A Print: (v40. 1.Q �D My Commission Expires: S ! [ t APPROVED BY Plans Examiner Zoning Structural Review Clerk (Rmised3 /12/2012)(Revised 07 /10 /(R)(Revised 06/1012009)(R"ised 3/15/09) ($?} 921- 16t}Ei: - T8�SSE;L', }OtiEi tacutrt1 -. M 407 it: IPX .� ibis C2�iCaio;iS iiS URideraUftrity Of s000nsv 04 :F� .�1I*Okto 4 fi" 1 OT 17, BLOCK 4 9t OAY PAW AMMM rt� PB 40-s72uat� �- H�T� #Z,0D 't"AA11R b�/ 41 W TOTAL 0 C(R W?hT�RA M(Wi IT-L_ 33130 of Boortne) ltspxy : 3/49" Q4Zi . PI PV � s Ism sir FM fM 0M4&2$ GARAGE au =i&V 60= ;!N jarm I LOT i9, BLOCK 4 IM fAY P8 x#-72 HOLM 10�4.tk3 Florida Building Code 'Table(s):g02. -1(2 -, i) MWGPLAM Appra Disapproved i�►a �., ,?" Pwc lu cfr'tab �� wy u *,.*y Name: .IPa cos^fa0^0 Address._ bPolro WE %04" C% (MTZ-fi t-p� Citystate, zip: P'14 �L33t38 t Q Il" ° C• Phone No. -70(o -0117 - BZ$Z . 2 Total Gas Lo 000 ftv/N (J�F} Total Run: 2® Seer S GARCA GROW, L.i c w ;off Ste.. '' � � C 45 FLT,. M15I G cvtc%;ood v-wtti `T EC.H N LOGIF S,O .J , -5 YORV P90PANE AND NAT1422AL CA$ SOL-1.4TION P.O. BOX 651468, MIAMI, FLORIDA 33265 2' 8� -1/4 rN l 2xp P(PE DIRECT 305- 303-4133- FAX 305402-08 ST P To TKE W 4N. Qualifier Name: q1 r.0 Qualifier No: Signature: RIMA Y mmry pdft - 81e of F% ft L 4L„t• ` • R MOM BMW 10�4.tk3 Miami Shores Village Building Department RECEIPT 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 PERMIT #: /o °- 2 i� DATE: Ll & Z1y (NAME) EContractor • Owner • Architect Picked up 2 sets of plans and (other) n Address: IX-66 v6- / ©c /°`T, s'' From the building department on this date in order to have corrections done to plans And /or get County stamps. I understand that the plans need to be brought back to Miami Shores Village Building Department to continue permitting process. Acknowledged by: (Signature) PERMIT CLERK INITIAL: RESUBMITTED DATE: PERMIT CLERK INITIAL: Miami' Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 January 8, 2014 Permit No: PI-1 3-2311 Planning Critique Tank cannot be located within 10 ft. of side plot line, within 5 ft. of a rear plot line, or in the front yard. David Daquisto 305 - 762 -4864 Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. Miami' Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 January 10, 2014 Permit No:PL13 -2311 PLUMBING — OSVALDO DIAZ • NFPA58 MINIMUM SEPARATION FROM PROPERTY LINE THAT MAY BE BUILT UPON 10 FEET • ZONING APPROVAL REQUIRED Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. Miami Shores Vrillage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 [date: l - q • l q Permit No: PL• t 3- Plumbing Critique -rf44T " t P I 13 v, L cr c19.e - (ZC3,t-), () � Osvaldo "Ozzie" Diaz Chief Plumbing Inspector Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. z , .... . ...... . ... . .... . . • • •.• • . . . •t• .4 ti 33130 OW . ......... . .. .. . ....... TOTAL -�. V NE 104th Streetkx ~ 1 h�a OLJ C of 4) Quo �{rq C:st� •$ a.. W.'44l MM b 3 k- WWCW E owam t wa LOT 17, � ��1rr1 BLOCK a4 ��6 l O K W.W 2419 SAY P,&q( MAIM Pe 54-97 �m W t 0 0 0:00 0 090: 0 0 00010 :0004 0 6:001 0 Pli 1s-- oZ,e3 I 1 Miami shores Villas • -r ? � r t • • y BY . ... ...... •••••• •••••• •••• . • Florida Building Code Table(s):402.1(2-- -q) NFY*$O 1s.t`oj JAN 0 7j 20A Coe*l°, ddr�ss: City Sjole' Zip. x`91 1 1..3 F3 (!"W•�• Total Gas load: 2 W ®CST �Q i8r gym" Total Ftun:c � 4 tk� It a GARC'A GROW, U.C. ci i rwM51NG TECHNOLOGIES, P''Pt dvs R vl p!'I ,11f'1 AI-W 4,n„tfQ V,doh.`. 'f. 1- qlI {',tl P.O. BOX 651468, MIAMI, FLORIDA 33265 DIRECT 30M- 303 -4733 - FAX 305- 402 -30 Ifler Name: IVREK V1 Qualifier No: G4'�C� O ��18 6-1v re: �\ -L "V NoblyPdit•Uftdit My CcMOL Wirp ON A. M? I FF OIGM ;1 ?+C nr •• •• • • • of •• • • • • • • • • • • • • • • • • • • • • • ••• • • • • ••• • • • • • •• • • • • • . • • • 1 ST- • • • • • • • • • • • •!E� • •��Qt• yg�000 • • TOM _._ • -8W7 fit® ; e ; of ftwmg) Y F AEMM i1.'!tJ Mi wwor E can= am ML LOT 17, ROM 8 was SAY PM MAIM .-F 3�T• I 1: i;� LOT ItOLM4 M MY PAW ADWW PS X72 x jr FK i