HomeMy WebLinkAbout07-6450
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6450
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
6450
COMMERCIAL
ADDIAL T COMMERCIAL
COMMERCIAL
Address: 40415 CHANCEY RD BLDG 3
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 18-26-22-0010-08400-0000
38,475.00
2/09/2007 Name:
1,621.40 Address:
986.57
2/09/2007 Phone:
INTERIOR BUILDOUT-BLDG 3 - UNIT 101
FIRST CLASS ELECTRIC
PARAMOUNT PLUMBING BY DESIGN
PLUMBING FEE
WATER CONNECTION COMMERC
TRAFFIC IMPACT FEE 99%
TRAFFIC IMPACT FEE 99%
35.00 SEWER CONNECTION COMMERC
169.70 FIRE PLAN REVIEW FEES
209.50 TRAFFIC IMPACT FEE 1%
628.48 TRAFFIC IMPACT FEE 1%
236.12
54.00
2.12
6.35
ltQd ~-14
~y\O./ l~~
r-r1 ~
~f)-j
(fie- ~& j
E
1 ST ROUGH PLUMB SEWER
2ND ROUGH PLUMB INSULATION WALL
LINTEL INSULATION CEILING
PRE-METER FIRE DEPT. FINAL
WATER ELECTRICAL FINAL
SHEATHING PLUMBING FINAL
REINSPECTlON FEES: Reinspection fees will comply with Florida statute 553.80 (2)(c) when extra inspection
trips are necessary due to anyone of the following reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspections called d) work not ready for
inspection when called e) permit not posted on job site f) plans not at job site g) work not accessible.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
"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."
NO OCCUPANCY BEFORE C.O.
IL&~ ~-.
CO NT CTOR SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
f..__-''',C
City of Zephyrhllls
Water and Sewer Impact Fe. Calculation
Land Use Type:
Mixed Use Warehouse
No. of Square Feet
Impact Fees
Withi
$
$
$
$
Water Distribution System
Wastewater Collection System
~ Wastewater Treatment Plant Ca acit
TOTAL
Outside City Limits
$ 212.22
$ 526.91
$ 294.84
$ 1,033.97
, /N~-r{l..-..)L~\4i- lrlST~ \L)2p.f~...)l,#
i(,' .:.'(_
J !! /
"1("'<>'1 i ('/,/'.-i.-
..'
~ -_ /'~, J I
r-: If j) /- ..rJ!(:' t,_
~,._.._..,_._.._._ .-./ i'
C.J'!
I' j!
.' 7"
~---
, I"
j/i: -
lLr1 $!t:J1.2
/1 ;7
{~.' \It:.):'L;,.<-1 ;)[,i/(/}
(~
I
'\\,
~,/-::
~". r.. -Jf.. ..- ,
.f
.,""-' ,. j
/, I ....;
, -', .),~ I "'- l- ~.rr ~::'I' ! 'v {.) L/-t j / C ,t..'
A..~!r. 1 'I'.c.'
C~/ ;
{/Ji. ! -? " I
, J - i/.. -I -j Jf/) /:,-1/(p
<(__..._ . \.-;i:-~.) ii (IV.)' 1.1...
Fee 'Sheet
&P... ~\ I f\L .
=f 81{6.-1 (J..JnNc.ji."t It.1)
L\O L\ I~
~
Square Feet
l ~50
Valuation . ~ ~,41S
Radon
I'{Jr-r
Connection Fees
Sewer 2?~.\"L-
Water '~9.7~
W. Meter f\'-~ r'A\I)
(All Residentials - % ")
Comm /
Dollar Amount
. Res
U(\1(l A
loP
z ~ I 5C g\J~.fx;~ \"
(Use System for calculation offees)
3 & 4 (Contact Louie) _
% (180.00) _
1 (250.00) _
1.5 (650.00) _
2 (875.00)_
Transportation
Public Safety
ciJ
I,,)"'f ~27,r;:,''" M~~~~
"$~ ; \J-S'
~:>-t rPrj V
Fire Chief Robert Hartwig
!kwJ (av6'
ZEPHYRHILLS FIRE DEPARTMENT
6907 Dairy Road, Zephyrhills, FL 33542
Bus (813) 780-0041 Fax (813) 780-0044
FIRE SERVICE USER FEES / /
Owner: <;; hy,- p te-5fx; C;.." ~C-h..,
Billing Address: ' ~ tv~ k..-
Occupancy No.:
Plan No.: 67-~
Business Name: r. ' .
BusinessAddress: -.. - C k".~
Business Phone No.: H()4\~
Business Fax No.:
Contact:
PLAN REVIEW FEES
~ite Plan ~
5)0 Building Plans ~
RevIsion .06 sf
STANDPIPE SYSTEM
[J Per Riser $25
SPRINKLER SYSTEMS
EJ 0 - 25 Heads $30
26 plus Heads $60
FIRE PUMP
[J Per Pump $100
FIRE ALARM SYSTEM
[l 0 - 25 Devices $30
o 26 plus Devices $60
SUPPRESSION SYSTEMS
~ Wet $35
Dry $35
C02 $35
Other $35
GREASENENTILATION
o Hood/Ducts $35
!PLANS TOTAL ~
INSPECTION FEES
Annual N/C
1 st Re-inspection $25
2nd Re-inspection $50
3rd Re-inspection $125
4th Re-inspection $250
5th Re-Inspection $500
Construction $15
Commercial $25
SPRINKLER SYSTEMS
Hydro Undergrounds $45
Hydrostatic System $45
Wet Acceptance $30
Dry Acceptance $45
Hydrant Flow $25
Hood / Booth $30
Grease Duct $15
FIRE ALARM SYSTEM
n System Acceptance $50
o Recall Acceptance $50
OTHER
Fire Wall/Smoke Wall
LP Gas
Natural Gas
Fuel Tanks
Tent
Billing Phone No.: r;),1- ~3- 3s,r)
Billing Fax No.~ T;,
Contact: '" ~--T;
PERMIT FEE FALSE ALARM FEE
SPRINKLER SYSTEMS
o Automatic $15
1 st Alarm
2nd Alarm
3rd Alarm
4th Alarm
5th Alarm
6th Alarm
7th Alarm
8th Alarm
9th Alarm
10th Alarm
Non Compliance
N/C
N/C
N/C
$25
$50
$75
$100
$150
$200
$250
$150
"Affidavit of Service/Repair"
FIRE PUMP
o Fire Pump $15
FIRE ALARM SYSTEM
o Detection $15
OTHER
$15,( L ~ LP Gas
$25 Natural Gas
$25 Fire Works
$25 Fuel Tanks
$15
$45
$45
$25
$45
GREASENENTILATION
n Hood/Ducts $15
~ D Kitchen Suppression $15
INSPECTION TOTA P MIT Ad I
o L/.1~_
GRAND TAL .-- Dr
Comments:
FALSE ALARM I
TOTAL
Date:
d-l~~
~/'I ~~-r~
(
Inspector:
.<i)
',-
L"{.
I:
-",
<:F'
r!
,~' l' C L'l...,_",t:: " i
, ,
I
I /11'"
.--1
/1
f I
",' ""If '. "/'.,
i ~-- ~>
- o~f'
If'> ..,,'.-.:>.. '
\/ '." ~/
~."'.. ~1
,..
-..--t
j. .
~
<{>>
(;;
.*"
----j
j
~
J
/" -\ :-.- <.2>
/ \ .. 'i< '
~_.L,=,,_r-' ,","0' ,-I I..
--t'..".....
.-. '=--::=~:~~~~'. -:.=i
/
"
, I
(,._..~'
'....
; a) j
~~m'<_,<
:~
/
If'"
)C(i, Il'f';U., \j
j i
>.....,eJ-<1 f I
i r ('"
.pi '
I /,'L!/i.t..-t;.'!
;1...i[;A.i2
) !
/,I::..<)r 'f /Ji'/ .
~.t. ("
,""J (;1 f~ I ,de i)
_- } L.' (. tt
c~:.,-'-- ~,
<, '-"...
(--..---
('
;~
lj
-i~~~ ~; ,
'7'
;' f.. I!
,,< ,,F.
<-. (..
>-
, .
-...j
~". " ~i /
, ir'-';,! ,
/ f ,', _'_')
,',"". " 1 -I -f _.J,J( l..f /)
. il"v,~ ',' C' .':.
~lj',~
n'\
" /,
(:. '~'!J~; l.
lLIi/'! /) (f/i <; f /J I~
,,1:.11"....
(".k.>
v
.,'
J
t,
: ...--
i'
3
J5i1r ~ a
t!.vli :rI ~ Jf2f'l (w
/}/J/JrpS s ~l)i-ll 5
h/I-# G2&> 2
BUILDING SHALL COMPLY WITH
ALL APPLICABLE BUILDING
ELECTRICAL, PLUMBING ANn
MECHANICAL CODES
I'
,~ !;
t\<Li- ~\).7L '-vs.
- ,-
'b ji'.:f~1 s{)> r) \{JL...
yt)")1' ;\1 ~
!
't<'
.......-..-...--
.~
'I
L:--~_~ ,:~~-~t "/ c~
/'
i'-
'5;1
~ f
/..~._,/ ;
J'
I ! ..,i " /.
7 ',' i <' .1.... (J
;"'/", (11'1 i '.) f {..; / .J
2., {. ( .,J':'
~,!',:I! '~ (~":'/-!1...;'7
~! ;''1(' 'r" L
~ t~ /':' ,/pSL^'! /S'rl"lf,.'/)
<-J~"-
':)p
<. ' f'--:---- f \
(>-/ i
//'1
, l....-....i
I
l "i:~
fe,e'
.I c1 t~~~(' {~. ()
/ -to
"
......'j
;
i J f I~
/ I,)
... -- i(:
; ",-"-'.'" - "
.
Orbital-40415 Chancey - Unit~nterior Buildout
IOIR
SQ. FEET PRICE
MAIN OR LIVING: 1,350 $ 28.50
OTHER AREA UNDER ROOF: - $ 88.00
OTHER: - $ -
VALUATION $ 38,475.00
FEE SHEET $ 225.00
ADDRESS $ -
DRIVEWAY $ -
BUILDING: $ 229.50
ELECTRICAL: $ 50.63
PLUMBING: $ 35.00
MECHANICAL: $ -
SUB-TOTAL $ 315.13
RADON: $ -
TOTAL $ 315.13
SEWER: $ 236.12
WATER: $ 169.70
IRRIGATION: $ -
TOTAL: $ 405.82
_ I Already Paid
r";~
~n.~-1\~
~q,IJ"
:,\-J
>( ;)'/,\0
WATER METERI
IRRIGATION METER $
FIRE DEPARTMENT FEES
PLANS TOTAL: $ 54.00
INSPECTION TOTAL:
PERMIT TOTAL
TOTAL: $ 54.00
PUBLIC SAFETY IMPACT FEES
POLICE
FIRE
5%
TOTAL: $ -
Already Paid
Already Paid
Already Paid
SUB-TOTAL $
774.95 ,
PARK IMPACT FEES I
I Not Applicable
TOTAL: $
1,621.40 I
M~
~~
8- " . (OCT
0&
'l\)' ~
OIf\'\f\~0e;
--_.__._--~
f' ~ 01 \
75/0 \
I - ,i
~~I
(o3Ll-, <;? 3
SIF'S:
100.0% $ -
1.0% $ -
TOTAL: $ -
Not Applicable
TIF'S: $ 846.45
99% $ 837.99
1% $ 8.46
8 60/D
Orbital-40415 Chancey - Uni~nterior Buildout
lOW
SQ. FEET PRICE
MAIN OR LIVING: 1,350 $ 28.50
OTHER AREA UNDER ROOF: - $ 88.00
OTHER: - $ -
VALUATION $ 38,475.00
FEE SHEET $ 225.00
ADDRESS $ -
DRIVEWAY $ -
BUILDING: $ 229.50
ELECTRICAL: $ 50.63
PLUMBING: $ 35.00
MECHANICAL: $ -
SUB-TOTAL $ 315.13
RADON: $ -
TOTAL $ 315.13
~o~
/~G>J.
C/ yv: f->\
~~~
SEWER: $ 236.12
WATER: $ 169.70
IRRIGATION: $ -
TOTAL: $ 405.82
WATER METER: I
IRRIGATION METER $
_ I Already Paid
FIRE DEPARTMENT FEES
PLANS TOTAL: $ 54.00
INSPECTION TOTAL:
PERMIT TOTAL
TOTAL: $ 54.00
PUBLIC SAFETY IMPACT FEES
POLICE
FIRE
5%
TOTAL: $ -
Already Paid
Already Paid
Already Paid
SUB-TOTAL $
774.95 I
PARK IMPACT FEESI
~ Not Applicable
Not Applicable )
\{~~~
6lSio
d \ \. 0:2.
~C1 _ ~D'-1.5a
\ _ 02... \ 0.
SIF'S:
100.0% $ -
1.0% $ -
TOTAL: $ .
TIF'S: $ 846.45
99% $ 837.99
1% $ 8.46
TOTAL: $
1,621.40 I
r5 '10
[03,+.83
OA - ~d--~. '+'8"
1-~.'35
8'13-780-0020
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
LPvf'jd~c~'f-s I
~ NEW CONSTR c=J ADD/AL T 0
U INSTALL CJ REPAIR
PROPOSED USE 0 SFR D COMM 0
TYPE OF CONSTRUCTION 0 BLOCK D FRAME 0
DESCRIPTION OF WORK I'~ ~ t d.. d/.A.. + fJ \ d... u..vJ-- l D fe
BUILDING SIZE I SQ FOOTAGE I r1:J'5~ I HEIGHT I
111111111111111111111111111'111111111111111111111111111111111111111"11111'11'111111111111111111111"'1111"""111111111111"1'111""'1"'111111
0' BUILDING
d' ELECTRICAL
1$ 1-1000 ~ 00 I
1$ 1/ e; ttJe> 061 I
1$ I
1$ I
D GAS 0 ROOFING D SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
111111111I1I1111111111I1111I1111111111111111111I11111111111111111111111111111111111111111111111111111111111111I11111111111111111111111111111111111
BUILDER I. J.~. 71 ~ /7 /}. 1
SIGNATURE , _~ ~ ,
Fi-
Date Received
Owner's Name --.Ja..Sh i.. "'&l.....et. -rhc:Jc...v.d- Y
Owner's Address I Lf-oLtZ-/ c..-hts-c.er
Fee Simple Titleholder Namel .J t:t.~ h ~
Y2o{ I
....-n .t:ll::...a.--ct.r I
JOB ADDRESS
SUBDIVISION
PARCEL 10#1
WORK PROPOSED
Owner Phone Number
Owner Phone Number I
LOT #
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE 0
DEMOLISH
OTHER I " ~\J..s.p....4. J
STEEL D OTHER I
AMP SERVICE
VALUATION OF TOTAL CONSTRUCTION
PROGRESS ENERGY
D
D
PLUMBING
D
D
W.R.E.C.
MECHANICAL
VALUATION OF MECHANICAL INSTALLATION
r
Address
MECHANICAL 1
SIGNATURE
Address I
OTHER I
SIGNATURE
Address I License #
11I11111111111111111111111111111I11111111111111111I111111111111111111111111I111111111111111111111111111111111111I111111111111111111111111111111111
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction,
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans wI Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects
Attach (3) sets of Building Plans; (1) set of Energy Forms. R-O-W Permit for new construction.
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance
Attach (2) sets of Engineered Plans.
....PROPERTY SURVEY required for all NEW construction.
COMPANY
REGISTERED
ELECTRICIA
SIGNATURE
PLUMBER
SIGNATURE
!~Q~ ~P'K'I
0~
COMPANY
REGISTERED
I~OMPANY
REGISTERED
I
COMPANY
REGISTERED
COMMERCIAL
SIGN PERMIT
License #
Y I N FEE CURRENT
License #
Y I N FEE CURRENT
License #
Y I N FEE CURRENT
License #
Y/N FEE CURRENT
Y/N
Y/N
Y/N
Y/N
Di~~~ti~~~I: I I . . . I I . . . I I I . I I I I I I I I I . I . I I . I . . . I I . . I I I I I . . . . I . . . I I I . . . . . . . I I . . . . . . . . . I . . I I I I I . . . ~ I . . . . . I . I . . . I I . . . . I . I I . I I . . . I I . I . . I . I I I I I I I I . I I I . I I I
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement is required. (AlC upgrades over $5000)
.. Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs Sewers Service Upgrades NC Fences (PloUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work, they are advised to contact the Pasco County Building Inspection Division-Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law-Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the "owner", I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the "owner" prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
US Environmental Protection Agency-Asbestos abatement.
Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
Use of fill is not allowed in Flood Zone "V" unless expressly permitted.
If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction, I certify that fill will be used only to fill the area within the stem wall.
If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other ~nstallations not specifically in~luded. in the application. A
permit issued shall be construed to be a license to proce?d With the work a~d not as authorl~y ~o, vlol~t~, cancel, alter, or
set aside any provisions of the technical codes, nor shall Issuance of a permit prevent the B~II.dlng OffiCial from the~eaft~r
requiring a correction of errors in plans, construction or violat~o~s o! any codes. Eve'!' ~ermlt Issued. shall become. invalid
unless the work authorized by such permit is commenced Within SIX months of permit Issuance, or If work authOrized by
the permit is suspended or abandoned for a period of six (6) months after the time th~ work is commenced: An extension
may be requested, in writing, from the Building Official for a period not t~ exceed n1n~ty ~90) da~s and Will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the Job IS conSidered abandoned.
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 A TTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT (F 03)
CONTRACTOR
SUbr.cri~d and sworn 0 ~
& '1 07 by
Who Is/are persona wn to
~ \)(.?u L-\ c..... as Identification.
f....() \ \ \ \~, b. \<~&Y'\.C hG! ~c.
Qg'~
Notary Public
c\'~. "'-"..... d.'~ll.~
Notary Public
Commission No.
Name of Notary ty
IIlI.DNi SIn .1
... 1 lIT
i
I
I
I
I
....................T1
0'
d
u6
o
118N PeAIIIn'"
;..........
BUILDING
aeC'TRlt:Al
PWMBINO
MEaiANlCAL
rs
II
'[S ~~SO.~
~
78121 12112121
?, Oe2
F811.813-78~(TI.'
P.1/2
ql~ -"lS':z...-'3o~
-.-J
I
~
I
-.-I
Owner""- NIl........
~r PllOlMlltwnlNlr I
OWIICr PIID'. IIumIIIr I
')n:~~' 11
LOTII
ortleR i I n<::il~oko.~ I
SreEiL 0 O,!"eR ~
OI:MOUSH
IT
T .....,....
VAl.UAT10N OF MecttAHICW, ,~!lIAU.ATION
~v
...
"'.'.'"''''
,...
J r..-
:'~'l
11'1'r:n:n:
o
W.Il.I::.C.
)0
')C.
r"r:'~YV"~.,A.'
~;'
.~
'~:'~""~:'~A'r 'V"Y' ,t" ~.,."