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HomeMy WebLinkAbout16-14694 CITY OF ZEPHYRHILLS � ._ � 5335-8th Street . (813)780-0020 � � ELEC7`RICAL PERMIT . � - PERMIT 1NFORMATION � . L4CATIO.N INFORMATlON ' � PermR##:14694 Issued: 5l09l2016 Address: 5114 20TH ST Permi#Type: ELECTRICAL MlSC ZEPHYRHIL.LS, FL. Class af Work: ELECTRIC SERVICE REPLACEME T Township: Range: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Sq. Feet: Est. Value: Boak: Page: Cost: 2,Q00.00 Totai Fees: 45.00 Subdivision; CITY OF ZEPHYRHILLS � Amoun#Paid: 45.00 Date Paid: 51Q9/2016 Parcet Number: 12-26-21-001Q-00100-QQ60 CClNTRACTOR INF4RMATIQN � - � OWNER!NFORMATlON - Name. PATTfE ELEC. & REFRlGERATION Name: PAPINEAU.THOMAS A& LAURA Addr: 39111 PATTI RD Address: PO BOX 224 � ZEPHYRHILLS,FL. 33540 ZEPHYRHiLLS FL 33539-0224 Phone: (813)782-3319 Lic: Phone: Wark Desc: REPLACE METER PANEL � � APPLICATIC3N FEES � � ELEGTRlCAL FEE 45.Q4 , � • INSPEC 10 S REQUlRED � ROUGH ELECTRIC CONSTRUCTION POLE PRE-METER_"�y_� - FlNAL. REINSPECTIQN FEES:{c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the loca!government shall impose a fee of four times the amount of the fee imposed far the initial inspection or first reinspection,whichever is greater,for each such subsequent reinspection. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicabie to this praperty that may be faund in the public recards of this county, and there may be adtiitianal permits required from ather governmental entities such as water management, state agencies ar federaf 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 attarney before recording your notice of cammencement." � Complete Plans, Specificatians and Fee Must Accompany App(ication. AI1 work sha11 be performed in accordance with City Codes and Ordinances. �� �;(.��,� CONTRAGTOR PER OFFI PERMIT EXPIRES IN 6 MONTNS WITHC?UT APPROYED INSPECTI4 CQL� FOR INSPECTIQN - 8 HOUR N4TICE REQUIRED PRQTECT CARD EROM WEATHER � a�saeo-oozo City of�ephyrhills Permit Application Fax-813-78(}-0021 � 8ullding Department. .; ' � '� . Datg Rscelved � • � - . - - . . , - '�Phone Coiitac��for'Permtttiri��:- � . . _ . ,,... . . ....; . . . ( _ .. . . Owoer's Name C!(., °� d-�.�u..4�. C}wner Phoee Number . ` � Owner'sAddressl �•'-;, ,� - , � �-_ - , C�weeF-Phoni�Number ): t `� Fee 5imple Titleholder_Name� �� �`� " • �" '� Qwner Phone Nui'nber':�I s ... ^ � . - � �---- .=+T�'— .. fih- , . ._ . , . . .., "�- . � : . . Dry ,. , .. , Fe�Simple Tltleholder,�4ddre�s�- ; :�,.. "�" � •, - - � JOB ADDRESS �{� . ,�. .� . ^T . . . . LOT#.- � §UBDIVISION �— _. . �t� PARCEL;ID#'' l�"� �� `��6� ����Jd��d , , �• � _ . _ � �;'(08TAINED FRqIN PRORERTY YAX'NOTlCE�' '" . ., , .�= ,.,. � � WORK PROPOSED `,: {� =� . . NEw CpNSTR `�'� �_''' RDD/AL'T [� � SIGN � [� �. � [�`;� .DEMOLISH ` I � INSTAkL. ,.. �REPAIR�' � �^'' - � t� 8. ,. :�F�. ,., . -. ._ . , PROPOSED ilSE `. . Q' e'SFR ., ;� -"COMM ,. '� ''OTFiEFt`_' � . ... ., � ;� , .: :_., ... . . TYPE OF CQNSTRUCTION..` '`�Q ` "'BL'OCKry';' '�C]` �' FFtAME, C__] �.STEEL, .Q -:� � _ ... .. � - � .. DESCRIPTION'OF WOl2K � � Ci '��'-', � � � �- � "VV,,, C� �.�, �;• �.� �-��. , _ ,` .. . . . ; - ,� ... , , � ,..: . .. , . ` BUtLDING SIZE Y ` � = A . � � . " f - $QFOOTAGE , .HEIGHT: ;.�:. `�.", i � , - ' QBUILQiNG a��;���:__ --�-"�,m..._:_. '' _. . , J, _ , -. - ` $ ,VAGUATION"aF"1'fJTAL`CONSl'Rl'1CTION - .,���-, � • ' - • _ .- �I,ECTRtCAt $ ����}� ; AMP SERVICE � PROGRESS ENERGY '. r��DO ��� �_�`. -- . _, Q W.R.E.C. QPI:UMBING � �; - - _. . , ��,...�� ' .��. � _ � ... _. . .. . . . �.:,; QMECHANlGAL ��. ,_ �. , :.,: : _ .'.•` �s` _ .. _. . . $ VAl.UA,T,IQN�OF IUIECNANECAl,1PISTA[.LATION . ���� ' . . � _ .. . , ' QGAS _,�: , ROOFtNG:;i'Q SP.ECIRLTY:��'' OTliER` _ . - i FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA YES. NO C�,� � k .�a��y � . � . :.- -�-. _ .. _ : � _ ,r - eui�.�E� co�w�;arair ��� -.�� . , � ,- � � � - � - SIGP9ATURE REGISTER�O Y/ N.. FEE CURRE�'i.'., �.Y/N _-_..:,_ . Address . :�:`r � , . � License#�� " . .. , ' � I EtECTRIClAN;,. - ��. , . • '„° `�'Cf�MPANY �C.. '� �'��� _ `i!` 4 �� SIGNATURE � U �`�'� "' F - '' ` R�GISTEREp Y N �cu�eP .Y_°/N : . . . ,. - ���.r,: �.. Address� � �3 j�f� R- �4 - �_ , , .. !: .•.Ucsrise�#-;�iU�`'�'C�a�o� � � PLUMBER � � . __. - ... , '.COMPANY*- - ` � .- . � � SIGNATURE , � . . � - .,�.:�, tREf318TEREp� -- d,�.: �u.Y:/psN�_ = • ;FEE_CURRE�' � ��Y/"N::` Addre$s - _ : ?�: , t� ' {; , `- '�:,� 1Ucense_#��.� .� . , � MEChfAF�11GN:,:. � . .,,_ _ . ; - . �r .. , _.Ct3MPJ4NY, . ~�.,. �;� .:. - - -_.�-,,� -- ;;.,. �_ � SIGNATUR� " • , _ . ' �±' - . �`t' .REQIS7Ef3EDs" , �:.Y;/,N= i�EEE�CU,RREP� . .sY/.{V._ . _ ' I �iddre�s:; - „ =�:.u.,- ._ ':b<,�, .- , ,:t.. � , ,. - " _. �.�l.lcense.#°�.� `�. . „},;,,�<. ,..:"{;...,.: _ -: .. ._. ., - , . : � , ..- � -- OTHER � - � . .:i3 ' . ` . , ` ,y , `- �GOl1I1PAN'x�>, .�s� - �. , .::;. ,•:• _...:�:. ... : ;�.,. . .. _ ,.,. . ..�.: r <��,�� SIGW�TU�t�: ,: ' . " � `� " :.R�C+ISTERED :Y:/:.N�ai' " °FE�`CURfiE�-" -:Y:I�Ni' , , _ . -, ,, � .. . . _ �... • .x ; . � _ �y`nl., . . + r. : , _N _ — . . . �38's.`.sx; -z. �.i:�.'i;> .. . - ���9�$' i.�., '"'^:.;si:. "'ttr '�COflS9'�� � _- ' t,' -_ - :'-Y`" „'R;�'.;�,��.�= r''r,`a �i,*���,r;,�::�;:1s.. :�R,. . ,,. . ,.; _ , .. .� ..sP �.fi}.,, ' . . • - : ' ..REStOEN'11At�:_:="'Attacti{2),P1of:Plans,(2)sefs of:B�Itiiliig'F'laris;°,(1}se#of Enengy'fo"riris:,R=O Vit Permlf far new can'"stnui�ion�; ci �� � :Mlnlmumtten 4Q workin c!'"a s=atte�;suti itfal"date:`�R` uil�ed ons'ite�'Constnuction�Plans Stormwater Pians w/-Stlt Fence;installed, _ .... :� �`t..��t.. , 9'� Y...�. !n ` �I ,A. - -. _ - Sanitary=Fadtiti�s�&:;1:hdu��ter-;�4SItei4Voik;Per,m12_#or:sutidivlslon�/la�.je�'projegts,�;,-��;„�:�,:` -f' _._.. < - --. . � - - �-:.:,�, ..�. ...,:�_. ,�� � I COII�iVtERC1At. Attac�t{3)eamptete set's'isf Suliding Plarts ptus a Life 8afety Page;(1}set af Energy Fortns.R t�-W Petmit fo�new construcUon. Ml�imum ten(10)working days after submittal dete. Required ansite,ConstrucUon Plans,Stormwater Plans w/Sllt Fence installed, .. Sanlmry Faciiitles.&1_:dumpster.,S{te Woric.Permt�for;�i{`new'projeGts;`Aii'commercla4 cequtrements�must�megYcompllance - - _ , � StGNPERMtT Attach'(2)seb=of'EngineiaTed�Pians��.t���.�,�=`.=��.. -fi'•�:�..� - � . . � •'"•PROPERTYSUR17EYreguired.yfg�;all;fVEW_;can,s,tnacdo�i.: °, '. - -, � - ,, ,��. - �: a �Directlons: �v"`z,,,. , �� ........_.�.. _.,.�.,�,. _,_ � _ . Ffll out applicatlan completely. Owner&Ccntractor sign.bac4c:of'appltcatton,notarJzad , . If over$�500,a;Notic�,of..Corrrmencement ia r�qulii�a�i: �(AIC�upgrade's over t750Q)._.,.. �� ,;;,,;�,�,;:•;;��= . . ,. � „ ., ,..t.�...v, •- -. . . . r,. '• Agent(for�ie`aontraotorj`t5�`Ptiwe�of�Attortiey"(for#he�owner)}would':be someone:with nota�ized letter from owner authorizing same OVER'TWE GOUNTER�PERNIi7TINt3�=--_ :(Front<of�ApPli'cation'Qrilyj<��.- ;'�� �.;J���;y t - j_ Reroofs if shingles Sewers �Service Upgradas°A/C,.. Fences,.(PIoUSurvey/Footage) _. � ":.:,,_t::""`""'.e..-„...W�:u.: ...... .:...:_.. <,.'=',� --:s.n-i�-`;.Y�.:^:r;' ;:Y7..4, ,. ..,7i-'�s. _ , "�Yr:i�y , _, , . .. - ..+._.�.-_ _ . . Llriveways-Not aver Caunter if on public roadways.:needs ROW , -���•"`-; 1 � - — - - � � I � � . � � ,. ;<P < � . . ` i , i ' , .-,� r. ., ' .. ^ - � � ` . NOTICE OF:DEED:R@STRICTIONS:� The-,.und.ersigned�,undergtands�{tt�t�th�s;�; „tm[t;:may;be.,subje.ct�,to:"deed"�resttCctions"`'�� ' ' �; _ _ M1i" ..ii�• 3.ar. _.!tJ4.; .l.� " �'fi'+:i i3: �fYy- :3'c.,.; t);: : .t, _ _ _ _ _ _ _ _ .:,t; _ - - .:�'Aj�. _ i',}.i _ _ Lt`� "�'? _ '�7.� .�7 ..,�t'y" '..4._..:f.....: -1:����. which ma <b;e�more:°restFt�tive::tFia��G�un` �ilat�o�is:;�The_�in'dersi"ned�''as$ mea-;res �in�sibfll :=for'eom ilance�.with��an. ,Y n� . . . .,. �Y:� _ _ ., 8 p tY- , -P.. . . Y-� applicable deed;restricftons. _ -" �.�;::,�; �'>.r�_ • � _ - `.{,; , , . _ ...:. ... ... .. ... . ... .. . - -- - - - _ - UfVLICENS D=�GONTRAC�ORS�,.AND�'..���:.;..>, :,;,�,�.....,..;., ., ,. _... _. .... .. ...�.,.V_...�.,..:_,.- ... ..._ .._ ... E � CONTRACTOR`RESPOWSI�IL11`I�S�-��ff��he�ownec�hes�"htred�='��,co�titt�ctor or _. - ._ , , . . contractors'to undertake`:work;tFte{�=ma 3+be,:r� u'iretl�to;tie>�Ilceris�tl.:ln=.accord nce:wtth.state�:and_local�re�`ulallofis:3=�if�tFie�°���,� :_ •- .� „I,�zy ...��.. �i�.' i.k.� _ ' '.':Y� aiFuo-S.- aF.: _ .�t�. s��,. . . _ ' -...:.�i '� ..�:-.....v .� ' ...� r.� .. �.,� . . . .. .. .. ...... .... . ... e..�... .n ,�«.. � , � .. ...�. .s.. r. :;.�� :�'. " :+v':, �..-'.. „ti. .. ,�v�..y � _xa'r.:y...- � _.......wr _.... '" �ontractor''Is not�:l(censed��as�-regulred�l�iy_law; tiotfi�_tFie'ow�er.and-coniractor��may�be=�cit��d°":for`°a���misdetneanor=violatlon under st�te law. if the owner or'inte�d�t!>:contra�tor.�ere„uncertalh-.as.to�:wHaY licenstng.requlrements�;`may��,apply:�iii�:�tF�iet•:�:�:��:�- ;-; , . � -��.,. , , ,> ..... �. �,_.� `ntended arork,rtfiey.are�advls��to.'contact_th�4Pasco Gounty,Bullding�lnsPec�l;�n DIvlslon--Licensing Sectton;at.72T=847- " 3009. Furtt�'ermore;If the�-ouvner has hlred�-a�contractor�or co'n`trectors,-Ne ls�advised to�''.have,the..cor�tractoKs),sign,,, ,,,.,,, � �ortlons of`the::"contrector B_lock`_of'thi�,� Ifcatior;�:,:for,;whlch�the. �vilL�be,res o�sihle.:;;,lf-. ou��-as::.#he`owii`e��"sl�(��n�a§'tfie=` � � -: ,.PP_.?: -,s.,:Y���... Y .�� - . _ " � .. ' ; , _ .. _ .-. ... . ;.. .. . �l.;( :,. ..a. . C�.� •-._. a. � .,.�..^".. .-e......._,.,,...�:�:4....`� y �ontracto�, thef-�inay 6e"�an�indication=that-he�is not prope�ly�license��and�°is�°n t=erititled��M�'perniitting privileges in Pasco , . ,�a-,r �ounty. : � • . , �,;>:>�: . . -. .. ��1fVSPQRTaTION�:IMPACT/kITIL�TIES<IiY1RAG'r AN6`�It�SOU�tCE�R�COV�RY�FEE8:=�TIi��undersigned�under�tands ,� :hat Trensportatfon Impact Fees;and.Recoutse Recove.ry.Fees m�y{_epply3.#a t e:construcdon�o�new.b,ulldtngs��change^of°�'"���"r� } � � �se In exist�ng�buildings;~�arr.:�ezpansf�,�`n�:of=}�iilsti��p�liiiiltlings;as`specifled.in P�sco County'Otdin�nce number.89-07 and ` �0-07, as amende.d.,r-Th�=undersigned also�urtderstands, thalt-suoh fees;�as.��rr�a�r����due�;���u111��,De identffied.at the�timen�ofi��� ��`•������°• ��rmitting. It Is further understood that Tra�i�portatlon�.impact Fees and Resdurce Rei�`►ery�Fees'`mu�f be paid prlor to ��� � ' ecetding;a;��cerfNicate�of--occupancy"-_�or flna�=powrer:,�eleas�.�:I�the�proJ�tcf;;.do s;not involve.a,,certiflcate�of occupancy�o����-�`'�:���='�'� �nal powen:��elease�:the•�fees-mu�t:;tie�paid�p�lo.r..�to;permit Is�u�nce. _-F��tk�ec ore;��If:Pas�zCounty��llf�terlS.ewer=�lmpact�� k--.=,�� �ees are due�.they.:must be„paid:�pN�or to,Perrriit�issyance.in_accord'ance with;ap Ilca6fe.Pasco�County orilinances. COMSTRUCTION'LIEN"LA1N(CNapter 713� EloNda:Statutes,a��am�nd�d): ff valuation of work is$2�800:OO,or�:mor.e;�:I�� x �� ,� ; �rote i v - Pp = - -:,.--„_v;:.:..P,rovided:;:�:with--a :copy.�o,f.�-the��"Flori�a��Construction���.Llen��'Lavv—Homeowner's �erli ihat I,, the,,.a_,Iicant,.�have:.�.tieen ct on Guide" prepared by.,tMe�Flocida'Depart:me�t;of Agric�flture and Con�umsr;Affatrs: If the appllc�nt Is someone ,_ � ;�,-:�: �ther than th� owner", I ce�tify,�that�I�,hav,e;,o.b.t�inedFa=copy„of.the,above;�ieseri�etl";dbcui�ent.andApror�ise�;in;gpod.,faitFi;to . ._, ieliverltto;ihe:'oWne�'��pr:io�s:to�commencemerit:� e ,•iD{-• , a , �,,�"-. , � ,y.;. �k"- _�` T..:.�.. .r:_. " . � .. . � CONTR/1�TOR°�/OVVNEE�'�AFFIDAVIT: I.,certityvtki�t.-all:�the,lnfonnationx.l�st�I��appllcation is accuret�:and that all�work nrill'be done in compliance wtth.all.appllcable'laws�regulating construction, zo Ong arid��land°development. Appllcation ts �ereby made to.,obtain;a permit„to;�do.-�wotl�:�and�'litistallation as indtcated:�;;�l,:certity=�tiiat no�work=;or Install�tion�'has �ommenced'p�lor�to'Issuance of a'`perniit'and thati.aA`'work will be perForme �to meet-_standards_:of�;�ll laws regulaxing- , �onstruction, Caunty and City codes, zoning regulatians� and land dev�lop ent=tegulatlons�in'�th��:Ju�isdiction:�: �I�>'al'so ;ertify that I aaaderstand that the regulations of other�government agencies ma �apply_to the_,intended:work� and that it is ny responsibility to Iden4liy.what.acttons I must::take�b be�In,corrlpllar�c�e.,�,Such;agencies_include�but-are:not Itmlted::to: .:- ' - Department of Envtronmental>�Protecti�n=�yp�ess�'Bayh'ead�;�Wetl""ntl�Areas.and Envtronriientaily Sensttlme Lands,WetedWastewater Treatment. �`° � � -- �� - Southwest FloNda Water Management<-.:I�istNct-Wells; �Cypr s.r'.Beykiead�;��-Wetland Areas� Altering' � � Watercourses. �- ,.. �-- --- •-- � � '€ - Army Corps of Engtneei�`s'=Seawalis;��Docks, IVavigable`Waterways. � - Department,of .Heal.th:,&AReY�atiilitative;,$ervlces/Envltonmental;�.ealtfi�:.Untt:Wells;:.Waste.uwaiter�Treatment, � .._ �.. _ .,.,,..,:�= . . • � Se�tic Tanks:. . ", ", � .. - - - : ----. - - US Environmental Protection Agency-Asbestos abatement... -, ' - �.Federal Avlattun:Aulhoriiy=Ru�ways: ��-- � _ -- � `� � understand that.the.followdng_;restrlctlons apply Co.'ttie�'use of flil:• � - �- ' - Use of fill is not allowed in.Flood;;Zone"V"unless expressly permitt,d. - If-the_flli;�matetiai:;is;�to-mbe.:used.�in:;Flood-_Zone. °A", 'It:is under'tood--that•a dratnage`�plan addressing a "compensating:volur�e"will'.be submitted at�ime of permift)ng w61,�h I� prepared by a prof�sstonal engtneer � Iicensed by�ytlie�'�tate�of�Flotida:„ � �•� �,� � �-,..�.r � - If.the.flli,materlaF:is._to-;tie�,used in �lood �one 'A� in�conn�cttot�• th��a'��errriitted bullding using stem wall construction,_I,certifjr.that.fil,l,:vuall:l�e t�sed.oniy.to.flll the..area.within�t�e::�tem wall. . - - � - � - _ _.. ._..._:., - If"flll`mate�lal'�'ts��to�be��uged °in any area;�f�certlfy th�t .use. of s�ch"'fllf will not adversety aifect ad)acent properties. If;use o0 flll Is found�to advetse�y,��ffect'�adJa�erit:prope les,.the owner may be'clted for ylolating . the condlllons;'of;�tFie:.b�iilaing��:perniit (ssued-under the��at�ached.,��rmit:�application�-for:lots less than.�one (1) acre which are-'elevafetl.�tiy,flll;a�t englrieer�ed drainage plan�ls requl�ed: , ,.� f i am the AGENT.-:FOR..Tk1E�.OIMNER;�;l�iromise�in pood.falth to�l�form=the-ownec,of-the.;p.ecmitting,condftions_set forth In ;, �is affid�vit`pMorto�commer.icing`�constructibn.-"1""unde'stand"thet �=aeparate p�rmit may be tequlred for electricaPvvork. ,:,; lumbin , signs,_wells,.:pools;.;air._condltioNn ,,:gas�,.or.other_In„�� '''� �` "� ' �.�..,.. ;..� � g � g st�t�ons not� pecifically inclu�ed�tn.the �pplication. .A- �ermit Issued shail"tie�aonshued to be a'�Iicensesto,proceed with`ttte�wo�k,and, ok;as�authoNty._to.violate;:cancel� alter, or et aslde any provisions=ofi`the`:tecli�iical�code�;�nor shall issu�nce��of a.permif.p.ev�nt ttie�ulldtng Otiiclal from thereafter � ',�; equirin.g a correctton ni.errors:in�plans,;;consftuction,or vlolations�of any cod�s:�:�very�p�ehrit�Issued:�hall�becdme°invalid � �'` nless the ,work authorized:by�suoFi`pe�mlt:�ts-commenced�wlttifn ..�fX months of�pertnit f�suance� or iF work authorized by ``5 ie pe�mit is suspended or..abacadoned,for:.a�-periodzof>six�(6):monffis.affe�ffie:ti�e,the:work��is commen�ed. An extenslon ..�,, '°�5 �ay be requested� In writi�g;_�from the Building;Officfal-for�a pertod not to�excePd,-ninety;{90)�days-a�d�t+vilC`demonstrate i ' istifiable cause for.�the�xtens(on;-If work ceases;for ninety(90)cons.ecutive:da .s,..the Job�is�considered aba�doned. � ;;; - ,. _. . :�_• , - _ � _ � . .le ,�M1•_ ••_�•• ��, ..� 1. ,. ".i. �.✓ .�;._.: _��.,n' � _ VARRIING TO dWNER: YOUR:FAILWRE',TC1;,R�EC:ORQ�A�I�OTlCE;.OF;;�CC MEMEEIIAEN'T::MAY�RESULT�iN YOUR � - . ; �AYING TWI,CE;FOR.:IMPROVEIGfEN.��;,�fT��.YO.C11t�;F�ROPERTY::�IF°:YO.U;�I�F.� .,D�?T�4��iBT�Je►1N��FINiA1�E11VC�,'CONSUI.T '`� _. .. . . . _ t... r���-�O��-LEli1� R':OR�11d�1,�'[ORNE1��8��dR �f�•EC F 6'�YO �`O _i`� E` . � � - ,.: � .... ,� ,� r�=l , ,'. . _ORIDA JURA'i(F.S:1.17.03} � ..; . ,.. .. ;. ... .. _. , . ,_........ - --_ -- - -- WNER OR AOENT � , � _. CONTRACTO . I �bscribed and swom to(or a�ir'med)before me thl� � Sutiedrlbed and'swam=to rtn�d)•b r!e�me,tlilB, , . by ,.b - - . ' fio Is/are personally knowm to.me or haalheve produced 1Nho:ls/aee,p.e nalry. wrr mesor.hasA�ave;prodiyc:ed • 4 as:ldentlflcatl4n: : , - . � -•� . "as"I'dentlflcadon. ' Notery Public . � ���. Notary Public . 0 S' �mmisslon No:' - �m�� � .yo, ��'__ Commissfon#F -'�p pa: � em er'12 2018' ��� �';,,�'�'.��` •Bonded?hru�iroyFeinlnsmencpepp.3 �me oi Idolary lyped,printed ar atamped Name ot Notary ti/ped,pdnted.or a mp . s