HomeMy WebLinkAbout15-16603 ; CITY OF ZEPHYRHILLS
� ' S335-8TH STREET
' �si3��so-oozo 16.03
BUILDING PERMIT
PERMIT INFORMATION � LOCATION INFORMATION
Permit Number: 16603 Address: 39024 MANOR DR LOT 13
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 12-26-21-0050-00000-0130
Improv. Cost: 5,000.00 OWNER INFORMATION
Date Issued: 9/18/2015 Name: MAXON ROBERT & CHERYL
Total Fees: 60.00 Address: 37746 EILAND BLVD
Amount Paid: 60.00 ZEPHYRHILLS FL 33542-1824
Date Paid: 9/18/2015 Phone: 813-788-5539
Work Desc: REROOF SHINGLE �
CONTRACTOR S I APPLICATION FEES
HOMEOWNER REROOF RESIDENTIAL 60.00
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Ins ectionslRe uired
DRY IN ROOF INSP
TAPE JOINTS ROOF INSP �
FINAL
REINSPECTION FEES: (c)With respect to Reinspectionlfees will comply with Florida Statute 553.80 (2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater�for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there maybe 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.
"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."
Complete Plans, Specifications Must Accompany Application. All work shall be pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CON RACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD�FROM WEATHER
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Frorri: 49!�8!2075 70:49 #4�4 P.041
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� DISCIASETRB STATSaiBk]�P FOR 04�NER -
CITX OF ZSPHYRHILLS BIIILDINC� DSPARTMBNT
Y, C� ,Q,�,��CU-v y� Faaz� read and fully uadarstand aad
agree to the provisiona of thia inatrumeat.
The uaderaigaed atates aa8 affirme that he or ehe ie deairoua of conatructing, •
renovating, addiag to or reroofiag his or her owa domicile, that he or ehe
actually occupies, or will occupy by esid domiaile, aad eame ia not for
reat, lease or saZe. That he or she shall coiap].y with the followiag conditione:
1. That the_owaer aad he or she aloae shall act as the builder tor all phasea of
coastruction.
2. That tha ownes wi11 comply with ali provi�ions of the Ciby oP Zeghyrhilla
ordiaances aud aodes gertiaeat to the buildfag.
3. That ia the eveat various phases of coastruction are aubcontracted, he wi11
engage oniy properly liceasad aubcontractors aad will peraonally superviae
such work.
4, Tha� ia the event the Building Inspector ahall reguire correctioae to be ma8e,
the owaer will aesume full responsibility to iaeure �hey are made, aad upon
completioa will call for a reinepectioa before proceediag with the buildiag.
5. That the owuer eha11 aseume full reapoasiliility for the coaetructioa and wiil
aot expect supez�visioa of hie work �rom the City og Zephyrhills Suildiag
Depastsnent.
6. That psior to final inepection aay additioaal fee�, including reinapectioa
feeB, muat be paid in gull: A writtea requeet from this ofgice ehall
coastitute an o£tfcial aotice to pay additiional fees.
7. That the owaer ahall comply aith all City� State amd Federal laars ia regard to
social security, workman's compansation, liea lawa, etc. , svhsre apgliaable.
T 8. That the owaer ehall comply with all the eafaty codes issued by the Florida
2nduBrrial Cammisaion.
9. State law reguires coa�tructioa to be 8one by licenaed coatractora. You have
applied for a permit uader aa exemptioa to that la�v. The exemption allows
you, as the ovmer of your property, to act aa your rnva contractor with certaia
restrictioas even though you do aot have a licenee. You sauat provide direct
oasite aupervision ot the constzvction yourself. You may build or improve a
oae-femily or two-family reaideace or a fano outbuilding. You may also build
or improve a commnrcial buildiag, proviSed yaur eo��� do not �xcss8 $75,000.
The building or re�idea.ce must be for your owa uee or occupaacy. It may not
be built or subetaattally improved !or eale or leaae. I� you eelZ or leaee a
buildiag you ha.ve built or substanbially improved yourself wi.thia 1 year after
the coaetruction is complebe, the laa will preeume that you built or
aubetaatially improved if fos eale or lease, which is a violation of thi.s
exemption. You anay aot bire aa unl3cenaed peraoa to act as your coatractor or
to euperviee peopZ• workiag oa your buildiag. It ia your responaibiT,i�y to
make eure that people em�ioyed by you have licenses rec�ired by atate law and
by couaty os muaicipal licensiag ordinaacea. You may aot delegate the
reaponsibility for supervisiag work to a licease8 contractor aho ie not
liceased to perform the �rork beiag doae. IAay pereoa svorkiag on yous building
•vho ie not licenaed muet work uader your direct auperviaion aad must be
employed by you, which meaas that you muar 8educt F.I.C.l�i. aad wi.thholdiag tax
and prrnride workers' co�pensation for that employee, all ae pzescr3bed by law.
Your conetruc�ioa must comply ovith all applicable lawa, ordinaacee, buildiag
codea, end zoniag ragulatione.
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OWH$R'3 SIGNATIIRE^I 4/ `""`�"^� DATL �����5
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To Whom It May Concern,
Please be advised that:
Spenser Bahr and Kathy Mims of FBG Plans & Engineering
have my permission until fizrther written notice to act as my agent to sign and pick
up permits.
Sincerely,
�
Signature
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Da�e
NOTARY
STATE OF FLORIDA, COUNTY OF PASCO
The fore oing instrument was sworn to and subscribed before me this /� day
of Sz�-��e m b�✓ , ��.��.
Personally known ✓ or Produced identification ,
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NOTICE OF COMMENCEMENT
� Stateof ��Uli� a. Cauntyol ( �Scd
THE UNDERSIGNED hereby glves noUce that Improvement will be made to ceRain real property,and In accordance with Chapter 713,Flodda Statutes,
the following Infortnat(on is proWded In this Notice of Commencement:
1. Descrip6on of Property: Parcel IdentlOCaUon No. ��'�L• J (.- QOIS-0 �O�OOa—O 13 0
SUeetAddress: 3��,� �a►4vt I..r 2�/J�'+ ►` hlt ��S � �C - 33 S`I 2—
2. General Oescriptfon of Improvement � ' 2d�� I
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3. Owner Inrormation or Lessee infortnation ft the Lessee contracted for the improvemeit:
C r�f j {��,X d vl
3 c!U�.� Na�r��, �L.
� Y/IQ+a-J✓' n{, ��_��+,r �i �
Address City' State
laterest in Property: P�Lt)1^✓P � I
Name of Fee Simple TlUeholder: I
(If diHerent from Owner listed ahove) I
Address 1 I �/�� State
4. Contractor: r h'P�`�` /YL�v� Clt�
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'� A��aml ✓�'lG{�JY �d" �-?Al �-�..� �� �L=
Address p City State �
ContractorsTelephoneNo.: O I3 " ���"��3� ��� �
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5. su�ri: �� �
Name �
.�l. 6� �''
Address City' State � �q`' S Q � ,�
Amount of Bond: $ Telephona No.. �-. �x,y4 � '•�� ^ � �
I �� . >^�` �= N��.
6. Lender . _ . _ . � � � � a �
Name I RepL:1713952 Rec: 10.00 � o ; tm �
Address ���y D5: 0.00 IT� 0.00 a.A tt -K. ; �
LendersTelephoneNo.. 09/18/2015 E. M., Dpty Clerk � ' �l�,�
7 Persons within the State of Florida designated by the owner upon whom nolices or olher documents may be served as provided by e
SecUon 713.13(1)(a)(7),Florida Statutes: ��� y� •�'1 �
Name
Address City State
Telephone Number of Deaignated Person: �
8, In additfon to himselt,the owner deaignates I of_ Q � W Y
to receive a copy of the Llenors Notice as provided in Sectlon 713.73(1)(b),Florida Statutes. (n z V � W
Telephane Number af Person or EnOty Designeled by Ovmer: I o () �LL- = J U
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g, E�Iration date of Notice of Cammencement(the expiration date may not be befo�e the complelion of construction and final payment to lhe Q O O (n J N � �
contraclor,but wlil be one year from lhe date of recarding unless a difterent date Is specifled): �- w p = W f- a
WARNING TO OVIMER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT �' � W z C� a p
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN O � _ — J �
RESUIT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY A NOTICE OF COMMENCEMENT MUST BE .r, LL �-- p Q �
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING•YOUR NOTICE OF COMMENCEMENT. � _ � 0 � U
Under penalty oi perjury,I deciare that I have read lhe foregoing naUce of commaneement and that the facts stated therein are true to the besl o � � W Q Y
af my knowledge and belief. V Q � �
STATE OF FLORIDA *����_ � ���,�` V V z J ,
COUNTY OF PASCO � � } (�j m ¢ U
Signa u�re oTf Oxm r or�Lessee,ar Owner's or Lessee's Authorized � w � � �
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OfficerfDirectodPaAn Ir/Manager d° � � � Q } W
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Signatory's Tille/OKce u- � � 0 >" � z
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The foregoing Instrument was acknowtedged before me this�day of_�_,20��;by o H z � � '
eS i (type of authorily,e.g.,officer,lrustee,attomey in(act)(ar F,l.i (I} Q J W Q
p (name af party on behalf of whom instrument s executed). � �� IL Z. �
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Persoaaily Known �Produced IdentificaQan❑ Notary Signature `����' � µ�- � O � a �p
Type o!Ident�catton Produced Name(Print) �DO .,�_
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wpdatalbcslnoticecommencement�c053048 PRULii S 0'NEIL,Ph D.PpSCO CLERK 6 COMPTROLLER
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, s�aaao-oozo City of Zephyrhi�ls Permit Applicatiorr Faic 8'i3-784-dd24
-.-... .- ._. .. _- ._,_„__._...._ Building Department
Date Received , . ,phone Contact for Permittin �.� 4 � - � �3 � - '
T[-iTi-ITi-"
Owner's Name . PP.. l ._ �X�c� . Owner Phone Number C1 �3" 7g�" � $r3
Owner's Address 3���tt �'����' t�� �hf y�S �L• y� Owner Phone Number � �
Fee Simpte Titleholder Mame Qwner Phone Number
Fee Simple 7itiehoIder Adctress
JOBAQDRE3S ���� _` !/lCli:-b� �!'. �'� I �i���S rL 33sy3-- LOT# 13
,(�r, .z-� � -�z / -Or�Sd- dOt��c� --013 d
SUBDIVlSldN ��� 6� Sh�S �thd PARCEL ID# �
� {qBTAINED FROM PROPERTY TAX Np710E)
WOF2K PROPOSED e NEW CONSTR 8 ADDlAL7 �v� SIGN Q Q DEMOLISH
lNSTA�L REPAfft
PRQPOSEq USE 0 SFR Q COMM � OTHER
TYPE OF CONSTRUGTION Q BL4GK Q Ff2AME � STEEL Q
DESCRIPTION OF WORK �. - J�-oa� S �,N„� � I
BUILDING SIZE 3�'�C S�� SQ FOOTAGE ���� � HEIGHT ���
-r�"e-ri-�-s-trrrrrsra�R-rrrr'e-e�a-rrs^rrr'rt-re��r'rtrrrrTrta-t-s-rrrt-r-rt-c-r�'rr'e�e-r'i-t-rrt-
QBUILDING $ ��� �� VALUATION OF TOTAL CONSTRUCTION
'�ELECTRiCAL � � AMP BERVICE 0 PROGRESS ENERGY Q W.R.E.C.
OPWMBING �� �` ��
� �p
OMEGHANiCAL $ VALUATION OF StiEGHANICAL INSTAI.CATEC7N �SC
OGAS Q RdOF1NG Q SPECIAI.'C'Y � OTHER
FINISHED FLOOR ELEVATIONS � FL.00D ZONE AREA QYES NQ
-i-1-1�-1--i-•i--i-a-I-#-1-1-1-d-1-1-i-�-i--1-f-1-i-F-1--F-E-I-I--i�-i-1--t-1--1�-i-t-�i-�-i--F-i-1--1-k-i-�i-i--f-�I-L-F-i-I--�-I-�-�i-1-i-i-E-i-i-a-d-1-
SUILDEI2 �=%L�_lL - ���'�'�`�� GONIPAMY �
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address U� �t j- �i,`�f� � Licertse# ��
SIN?--
�LEGTRICtAN GOMPANY
SIGNATURE REGISTERED Y I N FEE CURREN Y/N
Address License# � �
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FI.UMBER COMPAFlY
SICyNATURE REGISTER�ED Y 1 N FEE CtSRREN Y I N
i
Address { License# � �
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MEGHANlCAL � � COMPANY
s1GNATURE ( REGtSTERED Y 1 N FEE CURREtV Y/N
Address I License# �i �
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OTHER � � COMPANY
SIGNATUC2E REC,ISTERED Y 1 N FEE GURREN Y/N
Address I License# �� �
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RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of En�ergy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submitta!date. Required onsite,Canstruction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&�I dumpster;Sife WorK Fermit for subdivisionstlarge projecfs
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life SafetylPage;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten{10)working days after submitfa!date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for a11 new projects.AII cammercial requirements musf ineet corapiiance
SIGN PERMIT Attach(2)sets of Engineered Plans.
"""PROPERTY SURVEY required for all NEW construction�
.i�i�i-�.i.�ia-R-i�.i-I-i�i�i-i�t-i-i-i�i-i-i-i-' ',�-:-..`�S�(-i�i�i.-i�-i��i�I�.i.�I-i�i�i..4.I-i-i-I�i..i-i-i..i-1..R.i�.i-i-I�i.�7-I-i..1..i..I..i..
Directions: �
Fill out application completely.
Owner&Contracfor sign back of applicat9an,notarized
If over$2500,a Notice of Cammencement ls required. (A/C upgrades over$7500)
`" Agent{for the contractor}or Power of AEtomey{for the owrser}would be soineone with notarized letter from awner authodzing same
OVER TH6 COUNTER PERMI7°I'ING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/SurveylFootage)
Driveways-Not over Counter if on public roadways..needs ROW �
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NCJTtCE i7� DEEQ RESTRlCTtONS: The undersigned understands that this permit may be subject to"deed"restrictions"
which may be more: resfrictive than Counfy regulations. The undersigned assumes responsibilify for compliance with any
applicable deed res,trictions.
UNLICENSED CONTRAGTORS AND Ct�NTRACTOR RESPONSIBILITt�S: If the awner has hired.a cantractor 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 contractar may be cited for a misdemeanor violation
under state law. !f the owner or intendec{ confractor are uneerEain as to what licensing requirements may apply far the
inte�ded work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Furthermorf:, if the awner has hired a cantractor or contractars, he is advised to have the contractor(s} sign
portions of the "cor�tractor BfocK" of fhis application for which they will be responsibfe. ff you, as the owner sign as the
contractor, that may be an indication that he is nat properly licensed and is not entitled to permitting privileges in Pasco
Caunty.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
___ that Transaortation itnpact Fees and Recourse_Recovery_Fees may apply_to the construction af new btaildings, change of
use in existing builciings, or expansion of existing bui(dings, as specifed in Pasco Coun#y Ordinance number 89-p7 and ��
90-07, as amendecl. The undersigned alsa understands, that such fees, as may be due, will be identified at the fiime of
permitting. It is further understaad tYiat Transpartation Impact Fees and Resource Recavery Fees must be paid prior to ,
receiving a "certifiaate of occupancy" or final power release. If the project does not invalve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer lmpact
fees are due,they rnust be paid priar to permit issuance in accordance with appiicable Pasco County ordinances.
_ __ __ COIVSTRUCTION LIEN LAW(Chapter 713,Florida Statutes, as amended): If valuation of work is$2,500.00 or more, I
certify that 1, the s�pglicant; liave kieen-provided with a �copy af-#he "Floric3a C�nstructia:� Lien Lalv.Homeowner's
Protection Guide" ��repared by the Florida Department af Agriculture and Consumer Affairs. If the applicanfi is someone
other than the"awner", 1 certify that 1 have obtained a capy of the above described document and promise in good faith to
deliver it to the"owr�er"prior ta cammencemenf.
CONTRACTOR'S/()WNER'S AFFIDAVIT: I cerl:ify that all the information in this application is accurate and that all work
will be done in corr�pliance with all applicable laws regulating construction, zoning and land development. Application is
hereby made ta ol�tain a permit to do wark and installation as indicated. I certify thaf np work ar installatian has
commenced prior t�� issuance of a permit and that all work will be performed to meet standards of all laws regulating
construetian, Couni,y and City codes, zoning regulatians, and {and develapment regulations in fhe jurisdiction. 1 also
certify that I understand that the regulations.of other government agencies may apply to #he intended work, and that it is
my resportsibility ta identify what actions l must take to be in compliance. Such agencies include but are nat iimited to:
- DeparEment of Environmental Protection-Cypress Bayheads, Wet(and Areas and Environmenfiaily Sensitive
Lands,Water/UVastewater Treatment.
- Southw�est Flarida 1Nater Nianagement District-V1lells, Gypress Bayheads, V1letland Areas, Altering
Watercourses.
- Army Gorps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Hea(th & Rehabiiitative ServiceslEnvironmental Nealth Uni#-Welis, Wastewater Treatment,
Septic"fanks.
- [1S EnU�ironmentai Protection Agency-Rsbestos abatement.
- Federal Aviation Authority-Runways.
l understand that the following restrictians apply to the use of fill:
- Use of Fii is not a(lowed in Fload�Zone"V"unless expressiy permifted.
- If the fill material •is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
°compensafiing valumeu will be submitted at time of permitting which is prepared by a professionai engineer
license��by the State of Florida.
- lf the fill material is to be used in Flood Zone "A" in cannection with a permitted building using stem wall
construcfion, 1 cerEify that fill wi(1 be used aniy to fili the area within the stem wa(1.
- If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacenfi
properties. lf use of fill is faund ta adverseiy affect adjacent praper#ies, the owner.may be cited for violating
the cor�ditions of the building permit issued under the attached permit application;;for lots less than one (1)
acre wPiich are alevated by fill, an engineered drainage plan is required. � � .
if 1 am the AGENT FCiR THE OWNER, ( promise in good faith to inform the owner of the permitting canditions sef forth in
this affidavit prior tc� commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, vu�.11s, pools, air canditioning, gas, or other irtstalSations not speci#ically included in the application. A
permit issued shall be construed to be a license to proceed wifh the work and not as authority to violate, cance(, alter, or
set aside any provi:sions of the technica! codes, nar shal! issuance of a permit prevent the Building Official from thereafter
requiring a correctic�n of errors in pians, canstruction ar violations of any codes. Every permit issued sha11 becoma invalid
unless the work au��horized by such permit is commenced within six months of permit issuance, or if work authorized by
� the permit is suspended ar abandaned far a periati of six(6) months after the time the work is commenced. An extension
may be requested, in wrifing, from the Buifding ,0#ficial,for:a period not to exceed ninety (90) days and wifl demonstrate
justifiable cause for the extension. !f work cease's for ninety(90) consecutive days,the job is considered abandoned.
WARNING TO OW'NER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESUL.T IN YOUR
PAYING TWIC�Ft}R 1MPR{�VENtENTS TO YOUR PROPERTY. [F YOU tNTENi7 TO'OBTAiN FINANClNG,CONSULT
WITH YQUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NfJTtCE OF COMMENCEMENT.
FLpRIDA JURAT(F.S.11. )
OWNER OR AGEN'R.� � � D i� "~ CONTRACTOR � Z�___���`-"-"t°"'--``.---
Subscribed and swor o�(or affirmed)'bMefo'rne.me this Subscribed and sworn to r ff ined) efor e this
�Y�1�r"Lt � u' +�?CL�-Yl by �G r 19-
Who is/are personally known tTme or has/have produced Who is/are personally known to me r has/have producad
as identification. as identification.
, U Notary Public � r V�{/1�.�������L� Notary Public
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Commission No. Commission Na.
� Na �i:tr�tlr.��+atnpP�i Name of Notary typed,printed ar stamped
p��1 ,�a�"AY`"8��; P�ANCY J BRd�OKS
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