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DS-13-760 6) Miami Shores Village LBY: C a 14 Building Department 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 Tel:(305)795-2204 Fax:(305)756-8972 INSPECTION LINE PHONE NUMBER:(305)762-4949 FBC 20 OD BUILDING Master Permit No. Y-),s �t3 --�C PERMIT APPLICATION Sub Permit No. UILDING ❑ ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ENEWAL ❑PLUMBING ❑ MECHANICAL 0PUBLIC WORKS CHANGE OF CANCELLATION ❑ SHOP FF CONTRACTOR DRAWINGS JOB ADDRESS: 1 o i NI 0 9&9.T— City: Miami Shores County: Miami Dade Zip: -2013F) Folio/Parcel#: Is the Building Historically Designated:Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER:Name(Fee Simple Titleholder): -1Q4.� Qn � OW6,v Phone#: Address-1(')�A I f\,l iff- (o Sr City: JA ; wcra%► &koyc s State: cH Zip: Tenant/Lessee Name: Phone#: i_ Email: �r�n,.P �y- ���St a�"i a C��V\ L cn&--\ Or h&6&% 1 e d eZef-coo CONTRACTOR:Company Name:— ��,�° 1�,�"� Phone#: Address: SAM City: State Zip: Qualifier Name: Phone#: State Certification or Registration#: Certificate of Competency#: DESIGNER:Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work for this Permit:$ Square/Linear Footage of Work: Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: Specify color of color thru tile: Submittal Fee$ Permit Fee$ GQ) °Q0 CCF$ CO/CC$ Scanning Fee$ Radon Fee$ e2 DBPR$ Notary$ Technology Fee$ 40 Training/Education Fee$ C�) .GO Double Fee$ Structural Reviews$ Bond$ TOTAL FEE NOW DUE$ . (Revised02/24/2014) Bonding Company's Name(if applicable) s i' 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 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$2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also,a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signatur l Signature OWNER or AGENT CONTRACTOR The foregoing instrument was acknowledged before me this The foregoing instrument was acknowledged before me this � day of 20 by day of ,20 by _ C ,who is personally known to who is personally known to me or who has produced as me or who has produced as identification and who did take an oath. identification and who did take an oath. NOTARY PUBLIC: NOTARY PUBLIC: A ► IlfliJ//���/ Sign: �'� 's Sign: Print: Print: Seal: Seal: it APPROVED BY ° Plans Examiner Zoning Structural Review Clerk (Revised02/24/2014) 0 0 ♦$ Miami Shores Village Building Department 10050 N.E.2nd Avenue jpA Miami Shores, Florida 33138 Tel:(305)795.2204 Fax: (305)756.8972 fl OWNER BUILDER DISCLOSURE STATEMENT NAME: Mark-44 h,nen DATE: 6 2, ADDRESS: JOG// Al v Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida,RS 489.103(7).And I have read and understood the following disclosure statement,which entities me to work as my own contractor;I further understand that I as the owner must appear in person to complete all applications. State Law requires construction to be done by a licensed contractor.You have applied for a permit under an exception to the law.The exemption allows you,as the owner of your property,to act as your own contractor even though you do not have a license.You must supervise the construction yourself.You may build or improve a one-family or two-family residence.You may also build or improve a commercial building at a cost of$25,000.00 or less(The new form states 75,000).The building must be for your own use and occupancy.It may not be built for sale or lease.If you sell or lease a building you have built yourself within one year after the construction is complete,the law will presume that you built for sale or lease,which is a violation of this exemption.You may not hire an unlicensed person as a contractor.It is your responsibility to make sure the people employed by you have licenses required by state law and by county or municipal licensing ordinances.Any person working on your building who is not licensed must work under your supervision and must be employed by you,which means that you must deduct F.I.C.A and with-holdings tax and provide workers'compensation for that employee,all as prescribed by law.Your construction must comply with all applicable laws,ordinances,buildings codes and zoning regulations. Please read and initial each paragraph. 1. 1 understand that state law requires construction to be done by a licensed contractor and have applied for an owner-builder permit under an exemption from the law.The exemption specifies that I,as the owner of the property listed,may act as my own contractor with certain restrictions even though I do not have a license. Initial—t 2. 1 understand that building permits are not required to be signed by a property owner unless he or she is responsible for the construction and is not hiring a licensed contractor to assume responsibility. Initial 3. 1 understand that,as an owner builder,I am the responsible party of record on a permit.I understand that I may protect myself from potential financial risk by hiring a licensed contractor and having the permit filed in his or her name instead of my own name.I also understand that the contractor is required by law to be licensed in Florida and to list his or license numbers on permico tracts. Initial 4. 1 understand that I may build or improve a one family or two-family residence or a farm outbuilding.I may also build or improve a commercial building if the costs do not exceed$75,000.The building or residence must be for my use or occupancy. It may not be built or substantially Improved for sale or lease.If a building or residence that I have built or substantially improved myself is sold or leased within 1 year after the construction is complete,the law will presume that I built or substantially improved it for sale ori ase,which violates the exemption. Initial 5. 1 understand that,as the owner-builder,I must provide direct,onsite supervision of the construction. Initial"A`/ 6. 1 understand that I may not hire an unlicensed person to act as my contractor or to supervise persons working on my building or residence.It is my responsibility to ensure that the persons whom I employ have the license required by law and by county or municipal ordinance. Initial , 7. 1 understand that it is frequent practices of unlicensed persons to have the property owner obtain an owner-builder permit that erroneously Implies that the property owner is providing his or her own labor and materials.I,as an owner-builder,may be held liable and subjected to serious financial risk for any injuries sustained by an unlicensed person or his or employees while working on my property.My homeowner's Insurance may not provide coverage for those injuries.I am willfully acting as an owner-builder and am aware of the limits of my insurance coverage for injuries to workers on my property. Initial / 8. 1 understand that I may not delegate the responsibility for supervising work to be a licensed contractor who Is not licenses to perform the work being done.Any person working on my building who Is not licensed must work under my direct supervision and must be employed by me,which means that I must comply with laws requiring the withholding of federal income tax and social security contributions under the Federal Insurance Contributions Act(FICA)and must provide workers compensation for the employee.I understand that my failure to follow these may subject to serious financial risk. Initial 9. 1 agree that,as the party legally and financially responsible for this proposed Construction activity,I will abide by all applicable laws and requirement that govern owner-builders as well as employers.I also understand that the Construction must comply with all applicable laws,ordinances,building codes, and zoning regulations.f Initial "��i�Q��ytJ�- 10. I understand that I may obtain more information regarding my obligations as an employer from the Internal Revenue Service,the United States Small Business Administration,and the Florida Department of Revenues.I also understand that I may contact the Florida Construction Industry Licensing Board at 850.487.1395 or http:/Iwww.myfloridalicense.com/dbpr/pro/cilb/index.html Initial 11. 1 am aware of,and consent to;an owner-builder building permit applied for In my name and understands that I am the parry legally and financially responsible for the proposed construction activity at the following address: Initial 12. 1 agree to notify Miami Shores Village immediately of any additions,deletions,or changes to any of the information that I have provided on this disclosure. Initial Licensed contractors are regulated by laws designed to protect the public.If you contract with a person who does not have a license,the Constr4uction Industry Licensing Board and Department of Business and Professional Regulation may be unable to assist you with any financial loss that you sustain as a result of contractor may be in civil court.It is also Important for you to understand that,if an unlicensed contractor or employee of an individual or firm is injured while working on your property,you may be held liable for damages.If you obtain an owner-builder permit and wish to hire a licensed contractor,you will be responsible for verifying whether the contractor is properly licensed and the status of the contractor's workers compensation coverage. Before a building permit can be issued,this disclosure statement must be completed and signed by the property owner and returned to the local permitting agency responsible for issuing the permit.A copy of the property owner's driver license,the notarized signature of the property owner,or other type of verification acceptable to the local permitting agency is required when the permit is issued. Was acknowledged before me this day of f'_ nqW 20 _[_q By Igtj42M-%on who was personally known to me or who has Produced there rise or i as identification. a OWNER NO RY Miami 1APR Shores Village Buildin De . artment I.j 201 g � 10050 N.E.2nd Avenue,Miami Shores,Florida 33138 B Y_ Tel:(305)795.2204 Fax:(305)756.8972 INSPECTION'S PHONE NUMBER:(305)762.4949 FBC 20 BUILDING Permit No.` ' 3 PERMIT APPLICATION Master Permit No. Permit Type: BUILDING ROOFING JOB ADDRESS: /(./ f / M & tS� r City: Miami Shores County: I' Miami Dade Zip: -331st ' Folio/Parcel#: Is the Building Historically Designated:Yes NO Flood Zone: A OWNER:Name(Fee Simple Titleholder):� � Address: J or City: State Zip; Tenant/Lessee Name: /V4 Phone#: Email: A AIA 7-GW1AS,** & PeOZ4449 . (fO•yt CONTRACTOR:Company Name: `l/bt/6✓Fez— Phone#: Address: City: State zip: Qualifier Name: Phone#: State Certification or Registration#: Certificate of Competency#: Contact Phone#: Email Address: DESIGNER:Architect/Engineer: Phone#: Value of Work for this Permit:$ Square/Linear Footage of Work: ®V Type of Work: OAddition RAlteration ONew ORepair/Replace ODemolition Description of Work: 1.?,FAf 0 J',a✓I$ti;r /)ie4(k iVdtL AV& COZOP thru We: Submittal Fee$ 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$ 'D` Bonding Company's Name(if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name(if applicable) a 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 IWROVEMENTS 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 roed a a rein coon fee will be charged. SignatureSignature O er or Agent i Contractor The for oiti instrument as a kn led ed bef m I e foregoing instrument was acknowledged before me this A y day of ,20 l.J b �' y of .20_,by , Who,' pe nally own to me or who has produced ho is personally known to me or who has produced ro s identification and who did take an o as identification and who did take an oath. NOTARJ PUB C: a ' ���o e(2o�� NOTARY PUBLIC: �e g Si ��e �at� Sign. Sign: a Print ��� `Ss �a` Print: My Commission Expires: x`'a a = �o ae� My Commission Expires: �Illll 10,,',, yy APPROVED BY Z/--/Cf%X Plans Examiner Zoning Structural Review Clerk (Revised 3/12/2012)(Revised 07/]0/07)(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 OWNER)BUILDER DISCLOSURE STATEMENT NAME:_Z & ffl G1 r6//L/,j4x/ DATE: /S 3 ADDRESS: ®�Z y�f �� ST /%VWW/ a62Ef" Do hereby petition the Village of Miami Shores to act as my own contractor pursuant to the laws of the State of Florida,F.S 489.103(7). And I have read and understood the following disclosure statement,which entitles me to work as my own contractor,I further understand that I as the owner must appear in person to complete all applications. State Law requires construction to be done by a licensed contractor.You have applied for a permit under an exception to the law.The exemption allows you,as the owner of your property,to act as your own contractor even though you do not have a license.You must supervise the construction yourself.You may build or improve a one-family or two-family residence.You may also build or improve a commercial building at a cost of$25,000.00 or less(The new form states 75,000).The building must be for your own use and occupancy.It may not be built for sale or lease.If you sell or lease a building you have built yourself within one year after the construction is complete,the law will presume that you built for sale or lease,which is a violation of this exemption.You may not hire an unlicensed person as a contractor.It is your responsibility to make sun:the people employed by you have licenses required by state law and by county or municipal licensing ordinances.Any person working on your building who is not licensed must work under your supervision and must be employed by you,which means that you must deduct F.I.C.A and with-holdings tax and provide workers' compensation for that employee,all as prescribed by law.Your construction must comply with all applicable laws,ordinances, buildings codes and zoning regulations. Please read and initial each paragraph. 1. I understand that state law requires construction to be done by a licensed contractor and have applied for an owner-builder permit under an exemption from the law.The exemption specifies that 1,as the owner of the property listed,may act as my own contractor with certain restrictions even though I do not have a license. Initial 2. 1 understand that building permits are not required to be signed by a property owner unless he or she is responsible for the construction and is not hiring a licensed contractor to assume responsibility. Initial_ 3. 1 understand that,as an owner builder,I am the responsible party of record on a permit I understand that I may protect myself from potential financial risk by hiring a licensed contractor and having the permit filed in his or her name instead of my own name.I also understand that the contractor is required by law to be licensed in Florida and to list his or license numbers on permits and contracts. e* Initial 4. 1 understand that I may build or improve a one family or two-family residence or a farm outbuilding.I may also build or improve a commercial building if the costs do not exceed$75,000.The building or residence must be for my use or occupancy.If may not be built or substantially Improved for sale or lease. If a building or residence that I have built or substantially improved myself is sold or leased within 1 year after the construction is complete, the law will presume that I built or substantially improved it for sale or lease,which violates the exemption. Initial_`2 5. 1 understand that,as the owner-builder,I must provide direct,onsite supervision of the construction. Initial 6. 1 understand that hnay not hire an unlicensed person to act as my contractor or to supervise persons working on my building or residence:It is my responsibility to ensure that the persons whom I employ have the license required by law and by aunty or municipal ordinance. Initial 7. 1 understand that it is frequent practices of unlicensed persons to have the property owner obtain an owner-builder permit that' erroneously implies that the property owner is providing his or her own labor and materials.I,as an owner-builder,may be held liable and subjected to serious financial risk for any injuries sustained by an unlicensed person or his or employees while working on my property.My homeowner's insurance may not provide coverage for those injuries.I am willfully acting as an owner-builder and am aware of the limits of my insurance coverage for injuries to workers on my property. Initial 8. 1 understand that I may not delegate the responsibility for supervising work to be a licensed contractor who is not licenses to perform the work being done.Any person working on my building who is not licensed must work under my direct supervision and must be employed by me,which means that I must comply with laws requiring the withholding of federal income tax and social security contributions under the Federal Insurance Contributions Act(FICA)and must provide workers compensation for the employee.I understand that my failure to follow these may subject to serious financial risk. Initial- 9. 1 agree that,as the party legally and financially responsible for this proposed Construction activity,I will abide by all applicable laws and requirement that govern owner-builders as well as employers.I also understand that the Construction must comply with all applicable laws,ordinances,building codes, and zoning regulations. Inifial 10. 1 understand that I may obtain more information regarding my obligations as an employer from the Internal Revenue Service,the United States Small Business Administration,and the Florida Department of Revenues.I also understand that I may contact the Florida Construction Industry Licensing Board at 850.487.1395 or httpl/www.mvfloddalicerise.com/dbor/pro/dfbMdex.htmi Initial 11. 1 am aware of,and consent to;an owner-builder building permit applied for in my name and understands that I am the party Dally and financially responsible for the proposed construction activity at the following address: 105Q /yE 3SI3S InWai-241k— 12. 1 agree to notify Miami Shores Village immediately of any additions,deletions,or changes to any of the information that I have provided on this disclosure. Initial_ Licensed contractors are regulated by laws designed to protect the public.If you contract with a person who does not have a license,the Constr4uction Industry Licensing Board and Department of Business and Professional Regulation may be unable to assist you with any financial loss that you sustain as a result of contractor may be in civil court.It is also important for you to understand that,9 an unlicensed contractor or employee of an individual or firm is injured while working on your property,you may be held liable for damages.If you obtain an owner-builder permit and wish to hire a licensed contractor,you will be responsible for verifying whether the contractor is properly licensed and the status of the contractor's workers compensation coverage. Before a building permit can be issued,this disclosure statement must be completed and signed by the property owner and returned to the Iood permitting agency responsible for issuing the permit.A copy of the property owner's driver license,the notarized signature of the property owner,or other type of verification acceptable to the local permitting agency is required when the permit is issued. Was acknowledged before me this 15 da of 20 f 3 9 Y who was rsonall known to me or who has By Y t� k1lipersonally r Produced then License or `I6-' 1 Iden ' cation. 6WNER - • cv••- ,r ��,,,r a M Alk Arm ITY 1ogl �JE- SY M ► A, ► SAaas 4 . r II + Q .1 . .Q� -¢�c.o i�'b•J:�r S7t U ^V 'Q'1 4�y1 _E'�il.� tr j'\\,f ' -_ _1J �. / • +c r �/ TSI A � S� �jtl I Y:---- Zm :r 1. r Miami Shore 1 .i � � e,, Y, 41 ftJ 4 , 1„ 1 1•:4 A .F � _._.__._ ._ __ _.. 8y nam ZONING DEPT L r i BLDG DEPT 7/• ! p•.a' a�'., I '';s � 11 ��Q��+ �q�/p��ar��/�}��r�•r��� . i I• ,r•,;�I Il '[fl )..._..��_ c Sv6Rr�E!! O Wi{AKIANCE�Yr r H ALLMIDI SAL e. o '•�� ,' r ,� STATE AND COt WN FVJLES FIND REGULATIONS ASPNALT w1 T>H GEND N �� I� ' Aft =Air Conditioner �+�+0C'SV�i�E ��u/i�s ®pDY ASPH = Asphalt LB = Licensed Business •n `l CBS NTS = Not to Seale X n = Concrete Block SlruGure O.U.L. = Overhead Ulilily Lines LEGAL DESCRIPTION "i' 1� �7/ /��/�� 3 Center Line Lot 14 and The East%of Lot 15,Block 62,MIAMI SHORES SECTION NO.3,according to wI7H 6,t j7v(ry� = Property Line. CLF = Chain Link Fence P P = power polo the Phil thereof,as recorded in Plat Book 10.Page 37,of the Public Records of Dade Cir = Clear RI1N = Right-of-Way County.Florida. Conc. - Concrete Fnd = Found ® = Recorded CERTIFIED TO: Clara 1.Washington.Stewart Title of Miami.Inc.,Slower[Title Guaranty Swk. '= Sidewalk Company,Great Western Bank,a Federal Savings.Bank. ae*•u+amaaearrrouaewra BOUNDARY SURVEY PROPERTY OF Clara 1.WASHINGTON,1041 N E.96 Street,Miami Shores,FL w SURVEYOR�3 SEALn.,w..e..r.a.y..r..._0 MOJARENA & ASSOCIATES, INC. 33138 L.,G rr:..ce>q Mda al•••vaaw.•hw•w.en•u w•4 w.e. r'•t' M wlaboe re�eteN eY�yM•••y y,g,M y,e Land Surve ots&Mappers Surveyor Note' U FLOMA NOMW or wro ruMMS N a,•a„ y (1P •roaa.n•.w Aa,.wuw.e.,c.e.,re..w,e a 10025 S.W.83rd Street • Undmground structures,If any,not located. E33 �"f.,M07•rmtw.aur•'••• r"••••••�• Miami,Florida 33173 (305)270-6967 • Bearings,If Shown,ere .ac,e.corn•au,n•rNOae•un•„r••vn•wgeae,. g based on assumed meridian or Pial of Record. 1 •U,•,•MmN•,-,uu.O_m„•,.ue.,,h—. • Lends Shown hereon were not absimcded for easements endfor right-of-ways U ) of retold. REVISED: NELSON MOJ NA�� FLOOD ZONE: �( Reglatemd Surveyor a Mapper No.6604 DATE: BCALE: OWN.BY JOB No. TD K Stale of Rbr(de f�. r' Parcel Owner Report Parcel Number: 1132060143720 1041 NE 96 Street Miami Shores FL 33138-2551 Tax ID: 1132060143720 Owner Information MARK HUTCHINSON Current Owner:Yes Phone: Related Permits Permit Number Application Date Expiration Date Status Demolition DEMO-9-10-1666 03/29/2011 01/01/2999 CLOSED Demolition DEMO-9-10-1625 03/29/2011 01/01/2999 CLOSED Demolition DEMO-9-10-1665 03/29/2011 01/01/2999 CLOSED Demolition DEMO-9-10-1587 09/03/2010 01/01/2999 CLOSED Driveways/Sidewalks/Slabs DS4-13-760 04/15/2013 11/05/2013 EXPIRED Electrical-Residential EL-2-11-217 02/09/2011 01/01/2999 CLOSED Electrical-Residential EL-5-11-875 05/13/2011 01/01/2999 CLOSED FenceMall FW-3-11-399 03/07/2011 01/01/2999 CLOSED Mechanical-Residential MC-2-11-215 02/09/2011 01/01/2999 CLOSED Plumbing -Residential PL-2-11-216 02/09/2011 01/01/2999 CLOSED Re-Occupancy REOC-8-10-1466 08/13/2010 01/01/2999 CLOSED Residential Construction RC-1-11-144 01/27/2011 01/01/2999 CLOSED Roof RF-9-10-1572 09/01/2010 01/01/2999 CLOSED Roof RF-6-11-1001 06/02/2011 01/01/2999 CLOSED Windows/Shutters WS-12-10-2144 12/03/2010 01/01/2999 CLOSED Related Code Cases Case Number Case Status Case Date Compliance Date Ordinance Violation CASE-1 0-1 3-1193Case Closed 10/07/2013 11/12/2013 Ordinance Violation CASE-1 0-1 3-1193Case Closed 10/07/2013 10/11/2013 f� 1 Q,J A.lt1 ll.,pjJ1/"oi�t✓ �'""� �✓,Sd /�7V /��.�.,..'T• DS- Y'_13 e'er .alt .G•-.� �/,rr/� �'"n"""'r "v Thursday, December 4,2014 Page 1 of 1