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Home My WebLink About15-16625 i CITY OF ZEPHYRHILLS �I i 5335-8TH STREET ;. ' - � (sis)�so-oozo 6625 , BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION - � Per.mit Number: 16625 i Address: 6410 LAURELWOOD DR , � � Permit Type: MECHANICAL , ZEPHYRHILLS, FL. Class of Work: A/C CHANGEOUT � Township: Range: Book: � Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: SILVER OAKS Est. Value: ; Parcel Number: 03-26-21-0190-00000-0050 Improv. Cost: 8,200.00 ' OWNER INFORMATION Date Issued: 9/25/2015 ; Name: MURPHY SHAWN M & KELLY A Total Fees: 80.00 � Address: 6410 LAURELWOOD DR Amount Paid: 80.00 ZEPHYRHILLS FL 33542-4869 ' Date Paid: 9/25/2015 i Phone: 813-220-4031 I Work Desc: A/C CHANGE OUT 3TON HP i CONTRACTOR S � APPLICATION FEES M LIA -AIRE ENTERPRIS C RP C CHANGEOUT � 80.00 I I ( I ('��' V� u N� � - �� ; � � � � � Ins ections.Re uired - - DUCTSINSTALLED� ; DUCTS INSU TED�� i FINAL -� � I • I REINSPECTION FEES. (c)With respect to Reinspectionifees 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 imay 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 performed in accordance with Ci Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. I � ONTRACTOR RE PERMIT OFFI R � PERMIT XPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD�FROM WEATHER I 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 � Building Department � � i Date Received Phone Contact for Permittin Owners Name �/ l✓/7 /[ � Ff�� Owner Phone Number Owner's Address l� �[YGfY� LcJ � Owner Phone Number i Fee Simple Titleholder Name � Owner Phone Number Fee Simple Titleholder Address � JOBADDRESS � L� C �t�L l �� di// ��f o2 LOT# � I SUBDIVISION PARCEL ID# � ' (OBTAINEO FROM PROPERTYTAX NOTICE) WORK PROPOSED e NEW CON5fR e ADD/ALT � SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM � OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q DESCRIPTION OF WORK /v�`L `-'" C° � BUILDING SIZE S�FOOTAGE�I HEIGHT � QBUILDING $ VALUATION OF TOTAL CONSTRUCTION QELECTRICAL $ AMP SERVICE I Q PROGRESS ENERGY Q W.R.E.C. I ��QPLUMBING $ � �� ^ I � i �MECHANICAL $ �f VALUATION OF MECHANICAL INSTALLATION � QGAS Q ROOFING Q SPECIALIY Q OTHER / FINISHED FLOOR ELEVATIONS FLOOD ZONEiAREA QYES NO � � BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address li License# I ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURREA Y/N Address License# I PLUMBER . COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N i Address License# MECHANICAL COMPANY rl•��q � ` !y`G �yj/�.t�- _ SIGNATURE REGISTERED YI N FEECURRE� Y/N Address `�o.��t'J►2 f /�` , erv � License# ��' � � � OTHER COMPANY SIGNATURE REGISTEREO Y/ N FEE CURRE� Y/N Address License# 111111111111111111111111111111111111�1111111111111111111111111111111 RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Permit for new construction, Minimum ten(10)working days after submiltal date. Required onsite,Construction Plans,Stortnwater Pians w/Silt Fence installed, Sanitary Facitities&1 dumpster;Site Work Permit for subdivisions/large projects COMMERCIAL Attach(2)complete sels of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Siit Fence ins[alled, Sanitary Facilities 8 1 dumpster Site Work Permit for all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. i ""PROPERTY SURVEY required for aIi NEW construction.l Directions:• � Fill out application completely. � Owner 8 Conlractor sign back of application,notarized , If over 52500,a Notice of Commencement is required. (AIC upgrades over 57500) " Agent(for the conVactor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (copy of contract required) � Reroofs if shingles Sewers Service Upgrades A/C Fences(PloiSurvey/Footage) Driveways-Not over Counter if on public roadways..needs ROW I I � i � 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 owne'r and conVactor may be cited for a misdemeanor violation under state law. If the owner or intended conVactor 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 entiUed 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 exisGng 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 idenfified 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'iwill be performed to meet standards of all laws regulating consVuction, 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, WeUand Areas and Environmentally Sensitive Lands,Water/Wastewater Treatment. ' - Southwest Florida Water Management District-Wells, Cypress Bayheads, WeUand 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 aliatement. - 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 timei 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 fil,l 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 elecVical work, plumbing, signs, wells, pools, air conditioning, gas, or other'i installations not specifically included in the application. A permit issued shall be construed to be a license to proceed with the work and not as authority to violate,cancel,alter,or set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans,consVuction or violations of any codes. Every permit 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 the work is commenced. An extension may be requested, in writing,from the Building Official for a�period not to exceed ninety(90)days and will demonstrate justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned. i WARNING TO OWNER: YOUR FAILURE TO RECORD A�NOTICE OF CO NCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU IN N O OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOU T F COMMENCEMENT. FLORIDA JURAT(F.S.117.03) � OWNER OR AGENT CONTRACTOR Subscribed and sworn to(or affirmed)before me this Subs�'�and to(or ir ed)before e thi ' by Who is/are personally known to me or has/have produced W o i personally kno n o r has/have produced as identification. -- as identification. � (� � Notary Public � . / '� Notary Public Commission No. Commissio � Name of Notary typed,printed or stamped Name o ' ��►.�'�, STE1/ N M FERRARA � s•� �•z MY COMMISSION!�EE883415 .' EXPIRES January OS,2017 I (d0�)�598^�153 FbndakopryServite.Cnm l ' 4 ` _" " • �, ' . , ��" _ : . ; L�V t• b�I'SM. ,�lrt6'[ltiasla'laa�t�.r�:x ilt:.oal.ra: Name Shawn Murphy Phone# 813-220-4031�i Date 9/17/2015 Address 6410 Laurelwood Dr. � Proposal Number R1409172015191238-2 City Zephyrhills State Florida Zip 33542 � Comfort Specialist Patrick Flanagan TRAIV@ AIR HANDLER - - - -. . _._�.____-;----- - - -- ---.: .- --- -- ---- - __..- -- ------------ -- - i System In�estrrient ___ .,. _ <<.,_ ,.i:. -� �,�� :;�:... � - -- -- -�-----------.____.._-_------ - - g�"''� °�:�:::�,;Y, ,+.;<:y Base System $8,425.0: r�� it' '� r� , :':a Optional Items Total $OA( `'� °�' �;� '"'� survey <$10�.03= v,� �-�, �::s °�r ;;, correction factor <$925.Q0= �• �� ;;� 0%Sales Tax $OA( �} �� SystemTotal $8,200.0( �-� >� � �:� Finance Calculation 0 " � Estimated Monthl Investment 0 �'� � Y � Infiallnvestrnent $0.0( Balance $8,200.0( � Investment Type Finance � Op#ional Ttems—(Checked items are included in system total) _ _..... _ � ,._. _ _ __. _. . ._._ •---------�------------...._ -- ----___...._...-- ------___._..- ---------- -- Install Future : Priee ` j pescription " � E.M;I. ; Initials. . � ; I i OW � . , --_.._. _._ ._....,. _ _ ._�. __....__.__1 _ .-�----.._.... _----___-.--•-- ------I----- ------------___--_----�---- --...__` - ._..._...._._�-----�---- -- -----�-- ❑ ❑ hlo op�ional compone►ats. i ❑ ❑ I ❑, ❑ � ❑ ❑ � ❑ ❑ ❑ ❑ �`V�CMC�(.e��S� ❑ ❑ ; ❑ ❑ '�� ,��- � ❑ ❑ ' I ❑ ❑ i � � i ❑ ❑ ; 3y signing this agreement I acknowlsdge that I have read and Representati e D e mderstand each page, including the terms and conditions. � �� usfome� Date . � Approved by Date � � /?/� Rg s St•Ph:727-862-210 &3 2-688-1170•www.millian-aire.com•Contractor License#CAC056806 � Page 1 � I � - , �"_- � ' i . t � - _ �\ �, g .� �i►7T CCEf�2P �7lti'4)11'19'9C)S{;iQ,�lif'�CGlt< i I Name Shawn Murphy Phone# 813-220-4031 i Date 9/17/2015 Address 6410 Laurelwood Dr. � Proposal Number R1409172015191238-2 City Zephyrhills State Florida Zip 33542 i Comfort Specialist Patrick Flanagan Co ents �n Base S stem Investment I Inclusions Y _ ..___ ..--. ._. .- -- ..._._. .-----_ ._. _ ...-- --- -- - --� - - � _.._._..._- �--- - ----- --------...-------�--------------------------- - QtY. ' I►9odel# Description i (in Base�Sy,stem Investment) ._.._ ._ _ _ __ _ -- . _......__---�-- ------ - • ---�-._._. _ _ -- ------� -------------..__.._-�---_�_-�-_. ._____�.--------- - 4TWR6036H1000A 3 Ton Heat Pump i Clean up work area before leaving worksite 1 TAM7AOC36H31 EA 3 TOPI HYPERION A/H Complete system start up 1 TCONT824AS42DA XL 824 Wifi w/Color Screen I County Permit � oycode n heat strip Trane Hyperion heat strip to county code ' Ensure proper amount of freon by charging with superheat � 10 Year Parts and 10 Yr.Parts and Labor-Extended Warrantyl Serviced during Ensures proper drainage Labor Regular Business hrs.Mon:Friday&5 � Evacuate refrigerant system,removes air and 1 1 Year MAC 1Year Millian-Aire Club Includes Online Website water 7 SLAB HURRICANE SLAB FOR CONDENSER Quality Control inspection 1 MISCELLANEOUS A Misc.materials needed to bring system to cl rrent code. Remove and dispose used equipment 1 FLUSH KIT R22 To R410 Flush. I Secondary Pan Float Switch 1 ELEC-RECON-OD2 ELECTRICAL WIP I Exclusions 2 Add Retum-1 Add Return with Change Out I (not:included in Base System Investment) 1 Plan 2605 0%APR/48 Months � -• -------=--_ ----� ------.-----.-__..__.__._._. __ 1 Pasco Permt Pasco Counry Permit Cost. � LINE SET 1 AC-AH-8 Used for setting AC Outdoor Unit in conjunction with new Air Handler. ; � � I � i Installation Instructions - -� -�- - --- --- -- --- --- —�-�-- ---_--_ --------------------:..-------__------------------ ---------------- -_. <R: 10 year compressor, 10 Year outdoor coil,and 10 Year functional parts Air Handler: 10 Years functional parts 1 Year Labor Duct Disclaimer: Jpon Completion of installation,if ductwork is insufficient for the new equipment and additional ductwork is needed additional charges will apply a i discounted rate.Millian-Aire recommends a static pressure of less than.8 for entire system. If duciwork is damaged by rodents or other causes ound additional charges will apply at a discounted rate. I � - � � � � I � � nitial � •7805 Congress St•Ph:727-862-2100&352-68&1770•www.millian-aire.com•Contractor License#CAC056806 Page 2 � � . - , ��;`�, " � ; � :� , � . :� ��; ; �e �� p �.°�� .�iKC:a►�rana�raa.`t�e.�,�rr.mdr,r�, I iVame Shawn Murphy Phone# 813-220�4031 i Date 9/17/2015 Address 6410 Laurelwood Dr. ; Proposal Number R1409172015191238-2 City Zephyrhills State Florida Zip 33542 Comfort Specialist Patrick Flanagan Your Home - � Comfort Consultant ....{jrr''' �. � �l.f.W�y�.,,,,«�� ___"_""__"_"_________'_' '_ .__"_ "_"" _ �" Ai�"if4r. :' _ }`E�� I L��i�s"��L��ti .r� t .",�""° �,y+�A•��'��'� Ic _ - ' ��' _ ��" ti4$:J'.�t<.' _' �,hii: �� : -_�' _ , `%� � i1''__ '•'ti� ','Y� _ _ _' vt� ' - ' �;:� (�:_�_aci,}-t'L� !}::;��i*. ; I .yf' ��:, ' _ „:�_:ro , R.� kj- _ ��:�i:"�•� (��.. �i.��s``il � �ii� I - �r� t p�t 'l �."i 'v eq�.'J I :.f%-"� »Y S` ' �`��,�' :r� '``£ f t� �� p+ {{( 1: I S� � - � P� Ne hereby propose to furnish material and labor in complete accordance I ith the above specifications for the sum of: =ight Thousand Two Hundred Dollars and No Cents ' $8,200.00 Total extended Price with Tax after Discount) 3y signing this agreement I acknowledge that I have read and i epresentative Date mderstand'each page, including the terms and conditions. �ustomer ' r, Date � /? /� i pproved by Date � gress St•Ph:727-862-210 &3 2-688-1170•www.millian-aire.com•Contractor License#CAC056806 I � Page 3 f I � I I i I i � ' � y �'! :, g � � '�' � �T � '��p T� ENT. CORP. Air Conditioning & Heating i To whom it may concern, ' I, Howard Millian, hereby authorized the following nl med persons to sign, apply for and purchase � permits and/or licenses for Millian-Aire Ent.Corp. i I The list below is to re lace all others reviousl issued which are now to be considered null and void. P P Y . � � I - Ivan Millian � Patrick Flanagan Steven Ferrara Steve Ferrara ' Vince Sabatino � Sincerel , i �; 1 � -- � Howard Millian CAC 056806 I � Notary Affidavit: , State of Florida ' For all Counties and Cities ' I Sw��rn to and Subsfc ib�d before me,this �Zy� day o�i � 2-O�� by �7Ul,�/r9��I� �(/�t'�✓ P Y T who is ersonall known to me. �;• — I 1 - �� VINCENT M 3�1lAIYIONE ' � ''� •'� MY COMMISSiON#E�864Q4q; s � ��. EXPIRES Jenuery�0 2017 c•d a�a.o,s� ; �o�+aa+ � i � 7805 Congress Street � New Port Richey,Florida 34653 ,� Til:727.862.2100 � Fax:727.816.8865 � www.millian-aire.com I �I . ' ' I IIIIII IIIII III�I IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIII IIII - � 2015157436 Permit No. � W�1' Z� Parcel ID No U�� 2� �� 9(� ��7��0�J� NOTICE OF COMMENCEMENT i � State of C��]L1�. Counry of��/V�� N� THE UNDERSIGNED hereby gives notice that improvement will be made to;cedain real ro e � �� p p rty,and in accordance with Chapter 713,Flarida Statutes, w e� l he fo l lowing in fortna t ion is provi de d in t his No tice o f Commencemenk I � p•• 1 Descriptlon of Property: Parcel Identification No. �' �'' 1 ^ -_ N B r SVeet Address: �� L.�1�.)N� �13�0 c�. Q�, ��p~1 � � 2. General Description af Improvement qe.�iQ�e-��- � � �•�� ' r pp N I �� 3. Owner Infartnation or Lessee infortnation if ihe Lessee con[racted for the improvement: ' , v � �^ ° m• Name . �� Z-e.,o1r�v rLl�.�l�t.s�. �L- Address CiT�— State �p �� II Interest in Property � � � Name of Fee Simple TiUeholde� I II /�J/ Z(If;ifferen�t fr Owner listed above) r ! 6 f�y —�~"••s� � � Address /� � City State � 4. Contrectar��M�tJ1F+�Q 1�'}.0 j (�c,�,.b a �� s�c,�v� �' � l�I� �� . f=L ' A dress T7 City State Contractors Telephone No.. L Z�T��CZ Z(� 5. Surery: m D Name i O�� (,,1a Address - Ciry State �m Amaunt af Band: $ Telephone No.. ��j o m - 6. Lender I ��N Name r �F+� Address ' Ciry State N� Lenders Telephone No, i �N o (O� 7 Persons within the State of Florida designated by the owner u I on whom notices or olher documents may be served as provided by � � Section 713.13(1)(a)(7),Florida Statules: o � Name � ��+ � m , � O � Address ; City State �+Q0 Telephone Number of Designated Person: I ��o � 3 8. In addilion to himself,the owner designates � o{ � _ � � to receive a capy of the Lienors Nolice as provided in SecGon 713.13(1)(b),Florida Stalutes. � � r Telephone Number of Person or Entiry Designated by Owner m I T 9. E�iretian date of Notice of Commencement(lhe e�iration date may not be before the completion of construction and final payment lo the conUactor,but will be one year from the date of recording unless a difterent date is specified): WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY A NOTICE OF COMMENCEMENT MUST BE 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 Under penalty of perjury,I declare that I have read lhe foregoing notice of commencement and that the facts stated Iherein are true to the best of my knowledge and belief. � - i ' STATE OF FLORIDA COUNTY OF PASCO i Si na ' essee,or Owners ar Lessee's Authorized ri irectodPartner/Manager / Signatdry's TiUe/Office n C � � / � //� �� The foregoing insUument was acknowledged before me thi�-�day of�,20fJ,by_� . ��• � , i �/�� `/ as (rype of aulhority,e.g.,officer,Wstee,attomey in fact)for i i � (name on behatf whom�irtat�ument was executed). i \ , Personally Known�OR Produced Iden6fication❑ Notary Signature .1�.� T-f'P�LF.Cti-�-- � 1 Type of Identification Produced Name(IPrint) V��N �K"P I � i ' STEVEN M FERRARA �iI :�''�'`�: "�' ,,�'= MY COMMISSION#EE883415 �'�;os�d;' EXPIRES January 08,2017 (407)398-0153 FroNdaNOteryServita,�rM, � wpdata/bcs/noticecommencement�c053048 i . . ---* � � ��1G�� F �I..�F�aI�A,GC7U��Y C�r t�A�G� , � � o �� T��E� - T Tt-IE FOREGOING IS� � ° • � IS IS TO C�RTiFY THA �{�ENT '� s TH T COPY OF THG DGC ��. ° �1 TRUC P.ND CO�tREC . � ' � ON FiL.E�MY t-;ANp Ac RUCOC P:S�LS��FSICE � • 1�,GoQ��7,-�;� a WITNES 2 =�•6� � ��DAY OF ppv1PTROL�ER �� , �� ' PAULA iJ�IL � p�UTY CLERK ,�. , � 18t3% . Y J--__.._ _ ��'��F F�—��-��P