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FW-13-1535Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 Inspection Number: INSP-194934 Permit Number: FW -7-13-1535 Scheduled Inspection Date: December 02, 2014 Inspector: Rodriguez, Jorge Owner: GOMEZ-BASSOLS, ISABEL Job Address: 137 NE 92 Street Miami Shores, FL 33138 - Project: <NONE> Contractor: V&C SUPPLY ORNAMENTAL CORP Building Department Comments Permit Type: Fence/Wall Inspection Type: Final Work Classification: Iron/Ornamental Phone Number Parcel Number 1132060133170 Phone: (305)634-9040 ALUMINUM PICKET FENCE 75' LINEAR FEET Infractio Passed Comments INSPECTOR COMMENTS False December 01, 2014 For Inspections please call: (305)762.4949 Page 1 of 36 Inspector Comments Passed Failed Correction Needed ❑ Re -Inspection ❑ Fee No Additional Inspections can be scheduled until re -inspection fee is paid. December 01, 2014 For Inspections please call: (305)762.4949 Page 1 of 36 Miami Shores Village � `- s Building Department �Jt ofJjtubl I 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 B Yo ------ 3' Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 FBC 20 L� BUILDING Permit No. PERMIT APPLICATION Master Permit Permit Type:BUILDING ROOFING JOB ADDRESS: / 3 —/ 9Z 5 -,4 - City: Miami Shores County: Miami Dade Zip: 33/ Folio/Parcel# 13z460/ 3 �-7 Is the Building Historically Designated: Yes NO OO"Flood Zone: OWNER: Name(Fee Simple Titleholder): Phone#: * %W-3617WOV6 city: -1,045a Zip. J. —3 Tenanvlzssee Name: -: Phone#: Email: ISV5 CONTRACTOR: Company Name: ef'Phone# `361t�.1?'� 9� Address: City: State: Zip:/ Qualifier Name: Phone#: ®� State Certification or Registration #: 01 Certificate of Competency #: ®�� 9/ Contact Phone#: Email Address: DESIGNER: Architect/Engineer. Phone#: Value of Work for this Permit: $_ /�` Square Anear Footage of Work: /t, ' Type of Work: ❑Addition ❑Alteration ❑New ORe air/Replace ❑Demolition Description of Work: �Ir✓!� �� ximg 5 � AgA4.- ®74 V1 -*, 7I 4,dzp . Submittal Fee Scanning Fee $ Color thru tile: Permit Fee $ Radon Fee $ CCF CO/CC $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ ' PERMIT # CONTRACTOR: SUBMITTAL DATE ADDRESS: NAME: w i V - RESUBMITAL DATES: PROJECT TYPE: 4W, I, ZONNG FIRE STRUCTURAL IMPACT FEES ELECTRICAL HRSIDERM PLUMBING NOC MECHANICAL . c 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 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. Signatur VOwner or AgeriN" The foregoing ins rument was acknowledged before me this Iq day of AAeV20 & by r 9PO4Z, , who' o to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Signature � �. Contracto The foregoing s ment was �aacknowledg efore rn day of , 20 L7, byN�.✓ �"'/�1 who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign:LW4 Sign: Print: a � TOFKS Print: , • •• SSIQN 0 FF 075W MWISSIGN # FF OW:eZ 2018 My C* * • Feb=q 2, 2018 My Com `E fru lNo�yservim 14oF �.�� Tlw eudlowy smim APPROVED BY Plans Examiner Zoning Structural Review Clerk (Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) Sj S �� 1 ,�. q t .1107 01 30 4t13 Lr • i� I 4 � i■iilii! I I!\ t!li�iil i Sia i!llil 1': • � liiSl=ilf • ll,.iia.l�x iiilRlHlti�1 I l=li. �cr • � • �iii!`�Rr�i� ONE STY. GARAGE to CNI ' • ilNili� ili•ill NO ID. MMM ', • • ilk= 1 !! lilt! • • • ilii�l�;�\. � _ iii•sl1� , I•iilli�i _ !ililiti d !lliilti!• miii e i, P , , OV: q r��silllia BLDG DEPT NE. 92nd STREET 'AAMI-c"I lu 'WITH ALL FEDERAL �Nlal!!!Ni AND REGULATIONS MAX. POST SPACING GW5 T ptot d 4.00" Connections 2. lx Ili/ )-0U2 �e j, Q. 042. I (Max) fillet weld Y. CLEARANCE (tYp) I - _ I - - 7� R s�•� V, rF-�tL P Connections fillet weld'(typ.) ......... ........ ........ ........ ......... ..... .. ........ 2500 PSI min. CONCRETE 24" •:&":•:•::clearance:•:• _ 4 12" dia. --► 2500 PSI min._ CONCRETE 24" ,r 1 r, r� �.,.- m - _ 4 elvE 4F4 . Aluminum / Iron /Steel Fence. Detail NOTE: �s� �l G'� �li� es7Urt� dig a�k°r isL I NOTE: i LLuM- Go61-T%; ......... ��-- 12" dia. PERMIT # 1'5 S57 CONTRACTOR: s"'T SUBMITTAL DATE: I t�, ADDRESS: No 1"'2- S --T NAME:��-- RESUBMITAL DATES: PROJECT TYPE: ZO FIRE STRUCTURAL IMPACT FEES ELECTRICAL HRSIDERM PLUMBING NOC MECHANICAL BLDG- Miami Shores Village BuildingDepartment r 6A) 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 JUL 2013 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 FBC 20 LO BUILDING Permit No. PERMIT APPLICATION Master Permit No. ISS S Permit Type: BUILDING ROOFING JOB ADDRESS: 137 W6 9Z City: Miami Shores County: Miami Dade dip: /31? Folio/Parcel#: //® 3 "- &3s 3J -70 Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder):j �'> �. ®� �� Phone#: Address: i?;77 412F City: ../!o i State: le Zip: Tenant/Lessee Name: Phone#: -V�1 .467' 00. Email: CONTRACTOR: Company Name: we 6/PW - I e Phone#: Address: Sr �•B City: / , State: Zip: 4*z Qualifier Name: . �w 17`-4114049 Phone#: State Certification or Registration #: Certificate of Compete cy #: Contact Phone#: Email Address: 0V1WA4V�� t . W4 DESIGNER: Architect/Engineer: . Phone#: r� Value of Work for this Permit: $�� ' Square/Linear Footage of Work: Type of Work: DAddition 'WAlteration ONew ORepair/Replace C Description of Work: e7 4P Color thru tile: Kml �9jB ac)Submittal Fee $�_ Permit Fee $ CCF $ CO/CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ (KE Bonding Company 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 unde'rstan'd 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 COMMENCEMENT MAY RESULT IN YOUR IMPROVEMENTS TO YOUR PROPERTY. IF YI FINANCING, CONSULT WITH YOUR LENDER OR RECORDING YOUR NOTICE OF COMMENCEMENT." RECORD A NOTICE OF PAYING TWICE FOR )U INTEND TO OBTAIN AN ATTORNEY BEFORE 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 'ce, the inspection will not be approved and a reinspection fee will be charged Signa Signature 'yJ� Owner or AgeW Contract r The fore instrument was acknowledged before me this day of , 20 '' , by -ZZyi sa lS who is ersonall known to or who has produced As identification and who did take an oath. NOTARY PUBLIC: The forego' g ' strument was acknowl ged before me this day of , 20 0, by who isonally known a or who has produced as identification and who did take an oath. NOTARY PUBLIC: • P�c Slgri: �P 'o ,'gift NUN Sign: *EXPIRE Februa 2 2014.. Print: Al #DD9 2014 9301 03 Pant: QF F�O4ahrunry 9,2014 ` 11e{I & $EMCBS 9jAO BMW ThrU BU* Nft➢ Suft My Commission Expires: My CommissionpF expires: APPROVED BY ZIAW13--Plans Examiner 1 ll � (� Zoning Structural Review Clerk (Revised 3/12/2012)(Revised 07/10/07)(Revised 06/10/2009)(Revised 3/15/09) Miami Shores Village Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 CONTRACTORS' REGISTRATION FORM ALL CONTRACTORS MUST PROVIDE COPIES OF LICENCES AND INSURANCES EACH TIME A PERMIT IS SUBMITTED OR THE VILLAGE MAY MAINTAIN A FILE WITH YOUR INFORMATION FOR A $30.00 FEE PER YEAR. IF CONTRACTOR IS A FLORIDA STATE CERTIFIED CONTRACTOR: A. - - COPY OF QUALIFIER'S STATE LIC CARD B. __ _ ___ COPY OF LOCAL BUSINESS TAX RECEIPT C. - COPY OF LIABILITY INSURANCE (CERTIFICATE HOLDER TO BE MIAMI SHORES VILLAGE BLDG DEPT) D. COPY OF WORKERS COMPENSATION (EITHER CERTIFICATE OR EXEMPTION) IF CONTRACTOR HAS A MIAMI DADE COUNTY CERTIFICATE OF COMPETENCY: A. COPY OF CERTIFICE OF COMPETENCY OF QUALIFIER B. COPY OF MIAMI DADE COUNTY MUNICIPAL CONTRACTOR'S TAX RECEIPT C. COPY OF LIABILITY INSURACE (CERTIFICATE HOLDER MUST BE MIAMI SHORES VILLAGE BLDG DEPT) D. COPY OF WORKER COMP INSURANCE (EITHER CERTIFICATE OR EXEMPTION) YOUR INSURANCE COMPANY MUST ISSUE A CERTIFICATE HOLDER AS FOLLOW: MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2ND AVE MIAMI SHORES, FL 33138 ■■r■■r■■■r■■■■■■■■�■■�■■■rrrr■■■■■■��r■■■■■■■■■■■■�■�■■■■r■■■■■■■■■■■r■■r■■■■■■■■rrrrr■■r� COMPLETE CONTRACTOR'S INFORMATION BUSINESS NAME: BUSINESS ADDRESS:y CITY oma/ . STATE _ /Gk/dCl/tvs ZIP CODE 0.31#k 01 BUSINESS PHONE: (_.505) FAX NUMBER CELL PHONE ] / 0/1-f0 / QUALIFIER'S NAME: QUALIFIER'S LIC NUMBER: edeno.�;a'e9/ E-MAIL ADDRESS (IF APPLICABLE): ✓C Created on 3119109 BY MLDV I RV 30109 MLDV 07/09/2013 12:32 3055534968' SUNFLOWERS INSURANCE PAGE 01/01 DATE(MM/DDlYY) a s CERTIFICATE Of LIA131LITT INSURANCE ` _07/09113 THIS CERTIFICATE IS ISSUED AS A MATTER OF. INFORMATION' PRODUCER Sunflowers Insurance Group Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 11401 SW 40th St. Ste 311 HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Mlaml, FL 33165 :_„ALTER THE COVRDED. BY THE POLICIES BE4 NAIC 0 Phone (305)553-4849 Fa'x (305)553-4958 ! INSURERS AFFORDING COVERAGE V __ _,•,___ _.. -• INSURER4a A50ENDANT COMMERCIAL INS CO MsUkEb V G SUPPLY -ORNAMENTAL INSURER B:� 3601 NW 50 St INSURGR.C: MIAMI, Fh 33142• INSURER D:.- - (305) 223-1528 INsuREa COVERAGES THE POLICIES OF INSURANCE LISTED HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWIThISTANDING . ANY REQUIREMENT, TERM 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 OF SUCH POLICIES, AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.—•— }N3R ACWL POLICY•EFFECTIVE PO1 ICY EXPIRATION LIMITS LTIf TYPE,OF INSURANCE POLICY NUMBER _ DATE (MMM. orYYYY) RATE MMIDOrYYYY __ - " EACH OCCURRENCE 300,000 00 GENERAL LIABILITY EA W1 COMMERCIAL GENERAL LIAB1LrrY ±BEMIS TO a oceurr 100 OOO 001. GL -40559.2 10/2212012 10/22/2013 PREMISES{Eecccurrsnce)__ �U CROGCUR MED EXP (Any one person LAIMS MADE ) I 5,000 00 A I PERSONAL t. ADV INJURY i -140000000 a GERL AGGREGATE LIMIT APPLIES PER: &� POLICY, n PROJECT _ ❑ LOC _ AUTOMOBILE LIABILITY (...: ANY AUTO _j ALL OWNED AUTOS rI � SCHEDULED AUTOS ;I] HIRED AUTOS (-� NON OWNED AUTOS --- GARAGE LIABILITY U ANY AUTO EXCESS 1 UMBRELLA LIABILITY OCCUR rI CLAIMS MADE �] DEDUCTIBLE �❑ RETENTION $ WORKERS COMPENSATION AND EMPLOYERS, LIABILITY ANY PROPRIETOR I PARTNER 1 EXECUTIVE Y OFFICER /MEMBER EXCLUDED? below OESCRlPTION OF OPERATIONS I LOCATIONS 1 VEHICLI METAL ERECTION CERTIFICATE HOLDER MIAMI SHORES VILLAGE BLDG DEPT 10050 NE 2 AVE MIAMI SHORES FL 33138 26 _GENERAL AGGREGATE 600 ,000-00 PRODUCTS COMP/OP AGG 300,000 ;O0 COMBINED SINGLE LIMIT (Ea ecdIdeM) r........ BODILY INJURY BODILY INJURY (Per aWdent) PROPERTY DAMAGE (Per eccitl6nt) CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 6EFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO " TWE LEFT, BUT FAILURE TO oO 90 SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES, AUTHORIZED REPRESENTATIVE r�Y 0)1988-2009 ACCORD CORPORATION. All rlgltib reOMO. The'ACORD name and logo are registered marks of ACGRD. `pol � �SO 10 MARLA VERONICA, 4.00" 1 (" CLEARANCE r�iAj t0 5-0 ........ .... I ... ......... ........ I ... I ... ........ ......... ........ ........ ........ ......... ........ ........ ........ ......... ........ ........ ........ ......... ........ .. ...... ........ ......... ........ .1 ...... ........ ......... ........ 24" 12" dia. —► MAX. POST SPACING r< 1� Connections 2 X_� %�Q.g62 "x I�0.ow, fillet weld (rip-) Connections fillet weld'(typ.) 2500 PSI min_. CONCRETE 24" �N . :1Ki�Z7 N. r 92 Sr. Tip ®�o AL .W—r?. Aluminum / Iron / Steel Fence Detail NOTE: p NOTE: mu Ni_ Go6)-76: UL 2 12" dia. �r MIAMI 0 ®1� S, FL 5' O p. 24" Connections fillet weld•(typ.) NOTE:. IIS_ BUILDING ❑ ELECTRIC T Miami Shores Village IVE PRE Building Department JUL 22 2014 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 13Y: INSPECTION LINE PHONE NUMBER: (305) 762-4949 FBC X270 Master Permit No. ❑ ROOFING WREVISION Sub Permit No. PLUMBING ❑ MECHANICAL PUBLIC WORKS ❑ CHANGE OF CONTRACTOR JOB ADDRESS: A37 V,6 /46' ❑ EXTENSION RENEWAL CANCELLATION ❑ SHOP DRAWINGS Folio/Parcel#: / 63ZP60 3 3� 0 Is the Building Historically Designated: Yes Occupancy Type. Load: Construction Type: Flood Zone: BFE: _ OWNER:Name (Fee Simple Titleholder): '%tr/ 4�99f 'PL-5VkPhone#:_ MI NO FFE: City: Ole4*i S!'tb�C� State: ;G' Zip: 33/—V Tenant/Lessee Name: Phone#: Email: CONTRACTOR: Company Name: �!1 �; d14A&W44i 40V 0 Phone#: aO5,63-f-9 v! Address: 360 Ac : CO City: i fes/ State://�L' Zip: -33/`'O Qualifier Name: N � , '!0 Phone#: 4'`-606— 00 State Certification or Registration M Certificate of Competency #: 06 ®0 6 91 DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$., i%r'a' �` Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration Description of Work: Specify color of color thru tile:, Submittal Fee $ Permit Fee $ Scanning Fee $ Radon Fee $ ❑ New ❑ Repair/Replace ❑ Demolition Technology Fee $ Training/Education Fee $ Structural Reviews $ (Revised02/24/2014) CCF $ CO/CC $ DBPR $ Notary $ Double Fee $ Bond $ 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 ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, 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 d a reinspection fee will be charged. Signature "- OWNIR or AGENT The foregoing instrument/was acknowledged before me this OZ, ® day of d �1�1 .20 by Tg 69m. R _ , wh personail n to me or who has produced identification and who did take an oath. NOTARY PUBLIC: " rot�';:Y ;.�e40 CIt3A.R Ti)pREB +i 1 FF 075881 Sign: Print: Bonded kea Seal: ���a"ew�esoee���e��►w**�rw*��sa���x�* Mw�ex��r���s �"x APPROVED BY (Revised02/24/2014) Signature' CONTRACTOR The foregoing instrument was acknowledged before me this f day of 20 � f by ./ AEOa V : �� who! liersonally k ow to as me or who has produced identification and who did take an oath. NOTARY PUBLIC: ' �?�'� t tom.: �/ $ Ak G o, as K"+I��RN"+iN�N��F 9�d N�N�Fb&�F N�N��F�K��R"R�K"�R�Ntl"K�N"6�Rt�k�k �kK��M �kIItbb+6 &b48b�R�k�RN+ksi�+B+R�MdI�$�k Plans Examiner )-//L/-Zoning Zoning Structural Review Clerk MAX. POST SPACING ,y r n O"'o�.�-T n. Y� 4.00" Connections . (Max) Fillet weld X G 4 ci RArrc (tyn) PT �� ,41 C 11 1 1 —TI TT ---- IT I I I I H II H I I I I TT- r � L SEC-T)'atJ Connections fillet weld((yp.) _. Iron / Steel Fence, Detail NOTE: N'f / L1 �G3�J�N:✓Y� e k afEd is l %,CkN/�'' NOTE: AwM. 6o61- Ty,;