HomeMy WebLinkAbout15-16790 CITY OF ZEPHYRHILLS
5335-8th Street
. � (813)780-0020 1679
ELECTRICAL PERMIT �
PERMIT INFORMATION -LOCATION INFORMATION
Permit#:16790 Issued: 12/02/2015 Address: 5222 8TH ST HISTORIC
Permit Type: ELECTRICAL MISC - ZEPHYRHILLS, FL.
I� Class of Work: ELECTRICAL MISC Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 800.00 Total Fees: 40.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 40.00 Date Paid: 12/02/2015 Parcel Number: 11-26-21-0010-16800-0190
CONTRACTOR INFORMATION � OWNER INFORMATION -
Name: FIRST CLASS ELECTRIC INC Name: LYNCH, RICHARD & GAYLE
Addr: 7141 BERRY RD. Address: 5222 8TH ST HISTORIC
ZEPHYRHILLS, FL 33540 ZEPHYRHILLS, FL. 33542
Phone: (813)782-7861 Lic: Phone:
Work Desc: UPGRADE SERVICE TO 200 AMP & REFEED INTERIOR PANEL
APPLICATION FEES �
ELECTRICAL FEE 40.00
\�
, �INSP TIONS REQUIRED �
ROUGH ELECTRIC
CONSTRUCTION POLE
PRE-METER
FINAL (� ' , �
REINSPECTION FEES:(c)With respect to Reinspection fees 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 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.
"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 and Fee Must Accompany Application. All work shall be performed in accordance with City
Codes and Ordinances.
CONTRACT PER OFFI
PERMIT P IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
�
813-780-0020 City of Zephyrhitls Permit Application Fax 813-780-0021
Building Departrnent-� .. ...,.._, _ , _
> • . , rt ,.�_.H�..�.....
:,
Date Recelved P � - � ` •� - , `
,,.
Phone.Contactfor Permlttin �• �� — a'
, / . �.,...... .:. '�� c, i
Owner's Name l Cu� �- Owner Phone Number``•^ =�-••��::��.:,.._�,. �•
Owner's Address r„2 Owner Phone'Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simpla Titl�holder Addresa � -
JOB ADDRESS LOT# �
SUBDIVISION � PARCEL-ID# � - � �
- , (OBTAINED FROM PROPERTY TAX NOTICE) .
WORK PROPOSED , NEW CONSTR ADD/ALT Q SIGN� Q Q DEMOLISH
�e. INSTALL e • REPAIR
PROPOSED,USE,_ Q SFR Q COMM Q OTHER �
TYPE OF CON3TRUCTION '-, Q �' BLOCK " 'Q FRAME Q STEEL Q
DESCRI PTION OF WORK' �v,� � v CG � O����''�^ �� �r2.��r�/ � G�
BUILDING SIZE - �' SQ FOOTAGE� HEIGHT
QBUILDING $ ` , � � ` ��-.•- .. .
, VALUATION'OF'TOTAL COIVSTRUCTION
ELECTRIGAL $ � � AMP SERVICE,�� •:Q�ROGRESS ENERGY Q_ W.R.E.C.
� .
QPLUMBING `$
Q MECHANICAL $ VALUATION OF;MECHANICAL INSTALLATION . �' l����
�
QGAS Q ROOFING Q SPECIALTY, Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY' �
SIGNATURE REGISTERED Y/ N Fee CURrtEn Y/N
Addres� � - Llcense#
� L ,
ELECTRICIAN, 'COMPANY � r 40��J'�j � C��c G
SIGNATURE REGISTERED Y/ N �e.cu�n'� �Y/N
Addreas ( �� -f f• Llcense.#., : �C-''. C��'7 2j�
PLUMBER �_ COMPANY • :,. • �
SIGNATURE ' ' „ ,REGISTERED Y./..N�(� - FEE CURREA : '� Y—/N. :_:
Address - Ircense# � _ •
MECHANICAL � COMPANY
SI(iNAYURE� `•' ' ' " � ` REGISTERED Y./ N ', FEE CURREP Y,/�N
Addre�s ' = � " - ` License#
OTHER " � COMPANY
SIGNATURE � • � � ' ` 'REGISTERED Y/ N . Fee cuR�� Y/N.
Address ' � License#
�:,-:. ..
RESIDENTIAL,.� •Attach'(2),Plot�Plans;:(2)sefs:of<Buflding�Plans;(1)sef of-�Energy�Fo'r'm's;�R-0=W PeRrilt for new construcUon,
. ,, Minimum;tem(:1,0)�working;days after;;submittal"date.':Required onsife;;Construcdon=Plans;�Stortnwater Plans w/Silt Fence installed,
Sanitary Fadlfyes-&�,1.dumpster,Site.Worlc.Pertnit tor subdiVisionsAarge projects, _,� ` -
COMMERCIAL Attach(3)�complete sefs`of BuiliJing Plans plus a�I:ife Safety Page;(1)set of Energy Forms.R O-W Permit for new constructlon.
Minimum ten(10)worlcing days after submlttal date. Required onsite,ConstrucUon Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilitles 8 1 dumpster.Site Work Permit for ali new proJects:All commercial requlrements.must meet compllance
SIGN PERMIT AttacFi(2)�sefs of Eng,i`neer,edcP:.lans.,,•-����-- �� .� �
""PROPERTY SURVEY required for all_NEW.construcUon.
Directlons: • . '
FIII out applicatlon completely.
Owner 8 Contractor sign back of applicatlon,nota�ized
If over 52500,a Notice of Commencement is requlred. (AIC upgrades over 57500)
,., ,,.�,.. .
" Agent(for the contractor)or Power of Attomey(for tFie owner)would be someone with notarized letter from owner authorizing same
DVER THE COUNTER.PERMITTING - �(Front of-Application Only)- -
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Drivewaya-Not over Counter if on public roadways:.needs ROW ' �
�
NQTiCE OF DEED RESTRiCT10NS: The underslgned understands�;th�t:tt�1�;p�Cmlt may.be.sub}ect_to,"deed"restrlgtlons"
r.�.
which may.6e::more�r.esti:�ctive<th�n Countjr ne8uistCons:'�The`underslgned�'as�sumea'resp�nsi6111tyfor compilance�with any
applicable deed restrlations. . ,,. .. , " •
UN�.ICENSED CBNTitACTQRS AND CONTRACTt3R RESPORISlBtC:IT1ES. tf the avmer has�hired a contractor or
contractors to undertake work, they may b,e;r,equlred.:ta.,be.�ltcensed In.accordanae.with state•and:local r+agulatians. �If the
contt�actor Is not lEcensed as requlred°by law� bath�the awner and contrector{�may be�=clted for a�misdemesnor v1olatlon
under state i�w, {f the owner or Intendedt;contractor,•are,;uncertaln as to what ilcensing.requlreKnents�may�:apply:�far�the
intended work, they are advised to contact the Pasco County Bullding:tnspectton Dlviston--l�.lcensing`Sectlon at 727-847-
8�09. Fur#hermore, if the owner has`hired a cantttiactor or contractats� he is advlsed ta have the cantractor{s)..sign
porkla�s af the "cantraator Block' of this application:far which they wilL,ba responsible.-.If,.yau,.as;the awrier"sign as''fhe
contractor, that tnay be an lndicatlon tha#'he is nat.properiy-Acenset! and�ls not enti�t�d to permittlhg prtulfeges M Pasco
County. ` '
TRANSPCI►RTATION:IMPACT/UTIL:ITIES�IMPAG'��AND RESOU�.CE REGOVEItY�EES;� Yhe undersigned undarstands
----$#��t Tr�c���scsrts#te��-�m�sac#-Fees-snd-Reea�.�r�e-Q�eceave�t.��es-�atay�apFly::#�=##���eonst€�sc�or���f_new-bas�idic�gs,�ch��ge~�f � — -
use In existing bulidings, or.,expansi�n�<<of��eziski�ig.�buil�ings, as speclfled.in Pasco County O�dinance number 89-07 and
$o-OT, as amended._.'�he undetslgned a{sa�undecstar�ds, tl�af''such fees,�,as may�tie:;;due��will.:6e identifted at ths�#lmekof
permitting. it is 1'urttier understood that Trensportatlon impaot Fees and�Resource.�.Recovsry�Fees,.must be paid prlor to
rsceiving-a"ceK�icate.o[�occupancy" orflnak.pawer.release: :If-the.proje�ct;does�not Involve�aicert�lcate of occupancy.or-��� �
�nal pawer-:release�.,the fees.mu�t be pald;pc�or ta permi# issuance. F�tthermore��if Pasc;�..Cpunty�1Nater/Sewer,:tmpact
, _.
fees are due,,they��must;be.pald.,prlor to,permit�lss4ance'in accordance witii�appliceble.Pasco�.County ortllnances. •
CONSTRUCTICIN't1EN�lAilit{Cltapter 713."Fla�cla Statutes��1s ame�dadj: (f valua�on of wark is�2,500.00:or more, !
certify that I, the. applicant,y�have.been proyided-�wlth a-copy- of the°"Florlda� Constructton� Lien-.Law Hameowner's
ProtectEon Gutde" prepared by,ths Floilda Department�of Agr[culture and Gonsumer�Affairs. if the appticant ts someane ,
ather than the"awner", i certlfjr,.that I h�ve.opta�ined}a=copy;of:the�ab,ave.:descri�ea'doai�ent�and,promise�•in,good.faitfi,to .
deliver It ta:the."owriec"�:p�ior'to�commencement:''° � �' ' , � - � ' .
CONTRACTOR'SIOWNER'S AE�IDAVlT: 1.c�i1;1�y.>th�at.all�t�is�li�f�rmatlon:i��fh�s appltcatlon ts acc�rate and that atl work
will'be-done in compliance with all.appltcable laws regulating constn�ctlon. zonMng and�land�development. Applicatian (s
hereby made_ to obtafn .a permit;to do..woits:and�.installatlon as indl�afed::.�..�1� ce�tify"thaf no work�o� installation lias
cammenced pTtar to tssuance of'a permit'and that.ail work wllt be performed�to meet standerds of ail laws regulating�
constructian, C�unty and City codes, zoning regulatiQns, and land development regulattons"in the Jurisd(ctlon.� ( al'so
ce�tify tha# I u�derst�nd Ehat the�egulatlons of other�govemment agenctes maY�aPPly�ta the lntended work, and tha# it#s
my responsibility to IdenNfy�what.act(ons I must take:ta,be,inYc:orqpllance: S.uch.agencles include but-are.not Iimtted ta:
- Department af Et�vtronmentaE>�Rrotect�on=Cjrpr`ess.'Bayhead�; VYe�and Areas a�nd Ernrlronmentally Sensttive
Lands,Water/Wastewater Treatment. ,.
- Sou#hwest FloNda Water Management:�:D[strict:Weils� Cypress. Bayheads; WeAand Areas, Alter�ng
Watercourses. r
- Army Corps of Engineers-Seawalls�"Docks, IVavigable Waterways.
- Department af Nealth�'& Ret�abllttathre SenrtcesJE�vitonmen#al. Nealtta llntt Wetts; VVastewa#er-Treatmen#,
Septtc Tantis. - _
- US Environmental Protec#ton Agency-Asbestos abatement.
Federal Avlatton:Au#harity,riZunways.
I understand.that.the.followirig.�restrictlons apply'to the use of flll:•
- Use at�iE!Is nat altowed tn'Flood,Zone"V"unEess expressly permltt�d.
- If the flll matecial �ts to�b.e used:�'in �Fload Zone. "A", tt. is understood�that a drainage plah addresstng a
°compe�sating volume"w]!1 be subr�ltted at time of permltting wlilah is pregared by a prafessionat engineer
ticensed bytfie.State of-Flo�ida: �`
- If ih� flil matertal_is to:6e used in Flood Zone "A" in�connea�ion�with�a�permttted building using stern wal!
� construct�on� 1 ce�#tty that�ll�:w�li�b.e�i�sed oNy.#o f111 the area within th��ste�n�val1:
- if flll �material is to be used In -any area;''1 certify that .use. of such"flll will r�ot adversely affect adjacent
propertles, If use of fill fs fQund.ta adyersely,�ffect ad�aceia#�propertfes..the owner may be c#ted for vioCating
the cond�ions..of.the bwilding�permlt Issueid�-under tha��attached_permit appUcatlan; far::lots�.less;than.one (1)
aare wh(ch are elevated�by fllt;a�t englneer•ed dralnage plan ts required. • . �
Rf 1 am the AGENT FOR.THE�OWNER; l;�promtse tn_good falth ta inform the owner of�#he permitting conditions set forth in
this aiftdevit prior to cammencing ca�st�uction. I understand that a°.separate permit may be requlred for elecMcal wark,
plumbing�_slgns, wetls,,Pools,.alr.�condi#lonittg.-.Sas�.or.othet instatl�tlons nat.spec�lcc�aity Inciuded�tn.#Fte apptic�tion. .A
permit Issued'shall be construed to tie�a�Ilcense to=proceed with'tti�e work and not as.euthoNty�to:violate, cancel, alter, or
set aside any"provisions of tFie.tecfintcal:codes; nor shall tssuance�of a.permtt_pr.event the Bulldfrig t?�flcfalfrom thereafter
requiring a correction af ercors fn ptans; constiuctlon,or vio(aiions of-any cades. �very•piermit-;i.ssued"shall become invalid
unless the work authortxed by such permit:ls-commenced•wlthln sfx.;months of pertn(t Issuance, or If wark authorized by
the perrrtlf_is.suspended=or.abandonecl,for:a:perlod;o€�s�C{�)�mo�tFis,:after.:t�e#Ime#he�.work�ls commenced. An exterision
may be requested, In writing;;wfrom t1ie,Buliding,Official for a period:':not to exceed�ninety�(90) days a�d�will demonstrate
just�iable`cause far.�lhe extenston: tf wQrk ceases:for nlnety.{90}cons.ecutive:day.sr..t�te f ob�Is consldered aba�doned,
WARNING}70 CIWNER: YOUI�.FAILURE:TCI.,R�C.ClEtD A.MOTIGE:QF:�COMMEMCEMENT�.MAY�RESULT�lN YnuR
PAYING't"WtCE:�OR IMPRQVEMEI!�TS:TO Y£iUR::PRRt3PER�T.Y::f 1�°.Y�O.U�IN�'.FE�tE3:TQ:'OBT/A1N�:�FiN�Afi1�tNG;�ONSULT
WIT U A Es. �.; U ,
��oR�aa,�u�rn�.{�.s.��7.os} � .- � , � . . _ -
OWNER OR AOENT, CONTRACTO ' •�+ ' " �
'� Snbsaibed and swvm to(or aflirmedj before me fhl� Subsafbed and'�wom�to{ot a rtned}' ' me'tti1�
� by Z_ ,T , ..
Wlio Is/are pe�sonally knovm to:me.oahaalhave produced Who.fs/are ona owm•to me:or,he�lhave•produced ,� .
:. . "as(dentlBcatlOn. �. . as JdenB�catlan.
Notary Pabttc . ' Notary Public
Gammisslon No:` � �omr� on•IVa
� ,.,,�'o��,.. �JAC'�U`LIN�BOGES '
Name o/Notary typed�pdnted or stamped Name af Nctary type *: '#�a�n
s December 12,2018
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��rt�: a�c�mber 2, 201 S
,�TTE'N'TIQNr Jackie,C'ity pf Zepkyrhi�is
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Re,f'er�n��: 5222 Bnf St�eet,2ephyrhill�,Fl.,Rlcl�ard& G,�y�tre�Gyr:ck
t�7TACHL�D IS A CUPY OF Tl�,�R�CURDE,p�Y�tRR.9lYT'�,�?I"sE�?F(1R PRQpF QC�'QWNERSfiC1'P,I BELI�VL�`
MR�A1vA MRS.LYNC'H fIAVEAFP�.1'E7?FQR A,�'E'!xMlT TU X,,�VB fYQRlC D+�1Y,Cs, PLF.�4SE�.ET ME I�fNQJ�
!F YOU 1V��Et1 ADDIT1U,Nr�L lNFDRM�!xXE1,CY.
.�F YOU HAVE AIVY Q�rJ!''s.STlQNS QR CONC.�RNS PL,LCASE CALL(IS',9T(�?5Zf S�i7-1 Zd X.
THANl7 YOUy
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CCiNFID�NTI,�L AND E.YEI4�FT F`RC711�DISCLOSURE UN'I�E.�APP.C.I�,BLE LAkY. .tF ThC�
R�ADER QF fiH`l�JI��SSA�E IS N'�T THE INTENbED.�REGIPI.�Nx; G?R 2'HE,�MPLd.��,E pR
.�GE1V7'RE�Pal�SI13LE.�'QR DL��,1'VERING TFX'�S ML�SS�4GE TD Tx1E'I,NTEN�'3ED REC.FPIFN�'
YOU�f�t�HEREBY NCyTIFIED THA?"ANY,17155,E1l�INATtQli�, L1,tS?'RIBUTl41V l.�R CC7FYING
QF T.t�IS CC3MMUNIC,��"IQN IS S�'RIC2'zY.�R4X1`BITEI). IF YC�U�IAYE R.ECElY�'.D �":�1',CS
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S�RVI�E. �`,�I.�IV.t�'Yt�U.
� � Page 1 of 1
� , �
Mike Wells Pasco County Property Appraiser
Data Current as Of: Weekly Archive- Saturday, November 28, 2015
Parcel ID 11-26-21-0010-16800-0190 (Card: 001 of 001)
Classification 12 - Stores, Office, SFR-mixed use
Mailing Address Property Value
8TH STREET TRUST Ag Land $0
ROMAN J A&ROMAN M E TRUSTEES Land ,$13,253
PO BOX 2053
SAINT LEO FL 33574-2053 Building $59,216
Phvsical Address-See All 2 Ext�B Features $440
addresses�Fi�eshow��
5222 8TH ST
ZEPHYRHILLS FL 33542-5055 7ust Value $72,909
Lecaal Descriation (First 4 Lines) ASS2SS2d (Non-School Amendment 1) $72,909
See Plat for this Subdivision
CITY OF ZEPHYRHILLS PB 1 PG 54 Taxable Value $72,909
LOTS 19 &20 EXC EAST 47 Ff
BLOCK 168
OR 8718 PG 1178
]urisdiction
Citv of Zeqhvrhills
Land Detail (Card; 001 of 001)_________
Line � Use Descri tion� Zonin ; --�----i�-�___
_ i, __� j � p `� g T!Units E Type � Price jCondition; Value
1 } 1100 ;STORE iFLRj TMUH � 4,650.00 ; SF ! $2.85 � 1.00 ; $13,253
Additional Land Information
______.__-----___�____._T_ ----_.._ - -�- ---------------.----,-
' i
Acres i 0.11 i Tax Area + 30ZH i Code � -- 'Commercial Code� M8ST9AB
�
Buildinq Information - Use 12 - Stores/Office SFR(Card: 001 of 001)
Year Built ' 1915 Stories 2.0
Exterior Wall 1 Average Exterior Wall 2 None
Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
Interior Wall 1 Wall Board or Wood Wall Interior Wall 2 None
Flooring 1 Pine or Soft Wood Flooring 2 None
, Fuel Electric Heat Forced Air - Ducted
A/C Central Baths 2.0
� Descri tion ; S Feet ' Re I Cost New
Line � .
___�.__.___._______�__.__-.----�____._._____. 4'-------,------�----__..p.�_---�_____
P-------
, � -- , --__...___._. ._
1 1 BAS � __._ ._.._.._,._ 1,_188---_,__._�_-.�----._--____.�59,127
._.--.--.---______�.__-----__ ___._____-----_.________--�-- -----___rw
-------?- ---- - - - �-----�-- - FOP-- -------' - 140 I _$1,742
- -, - - . _---------------a---------- - --------_
3 ; FEP ' 100 $3,484
___- - _-_---- - _.- - ------ -_-__._._.__--------'--- --------------�- ------- ---- _----------------
4 FUS ; 696 � $31,156
Extra Features (Card: 001 of 001)
._..______-_----------�- -___---------------- — ----------�------------------____..�.___—_______-
Line ! Description 1 Year � Units i Value
-- - -- ----____- _ _ -� - ---------- ------ - - -- ----_-____ _-- -- - ---�-- - �- ----_
- : - -- ---- ,--_.-_____.
1 � UDU-M i 1990 ; 1 � $250
---- - --__—----- -- -�--- - ---------- __,---_-__------___...-- --------------___------- --- - -------- --------
2 � SUNDECK � 2009 ; 80 $190
Sales Historv- See All 4 sales
Previous Owner: SONS OF SAINT JOHN TRUST ,
_ .----._�_ ----------,_._--------___�_._. _.---=-------_ _._. ___,_._.___---._....____,__..�_,.____
-- _.._..._____.____._�__..
Month/Year _,__ Book/Page �_ _ _ Type _ _ _ ' DOR Code ! Condition Amount
-___..._---- - �--------— ��-- ----.__..�_-____
06/2012 F 8718 / 1178 ; Quit Claim Deed ; 11 '. Improved ' $0
- ---- ------,-- ---- ------ ` -- - - -- --------------
- �-
08/2005 i 6569 / 0529 E Quit Claim Deed i ' Improved ' $0
�
- - - ---------- - �-- --; - - ----- --...��------ ----------.--____------- --
--------- ----- - ----- ----- --- - - -
05/2000 �` 4368 / 1207 � Warranty Deed � � Improved � Multi-Parcel Sale
http://appraiser.pascogov.com/search/parcel.aspx?parce1=2126110010168000190 12/1/2015
12fU2f2Q15 11�4 Met'id`Iar�Tltle {FA�}35�5�►Q457 P,OQ2l00�
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.TttB�}1hir�e�c�,�!"ic�nl►F+��' PAULA S.0'I+I�L,Ph,�.PASCO�t�C�IP7ROLl.E�c
' Merfdiaa Tit�e CCumpany,Ine. lxjdz j2Q�.3 Q9:�ti AM 3 aC� �
' �7�7 Nteridian Ayeaae Saite lOb a� � ��'� �� ���D
' �tada Cit}+�F�33�2$
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Fil�Nti3�ts�t: I�-�i�2�'.,Y�.
SALFS PRIGE,�99,004.00
ISpacc Abova'ftl�s Liqo 3�4r Rec+�rding Datn'1 �.,�.,,
I
I . ���x��� ���
' "�'�ri� Warranfiy Dced made this �,� day aE` � �a �'�e, �� . 20�3� betvv�af JaHN
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A#.L�[+t R4tV'xr+lN AN�3 IV1Ai�Y ��.A�i�� Rt�N��N� �NAt'V�t1UALLY, AiN1� A� C+E�TR�38'i`EE'� QR '�'N� 8th
�'1tt'��,T TR�.JS�'AGRt�f�lV1.Et�'C UAxE'�Q�CEIV���iR 2,�1�?,whosa pa�t af�ca addt`ess is F.t�,�x�ii53,Ssint T,�eo,
��+t r7VRt�L(Y�7�7t i?'"""Wi5
�� and R�cttard�",Lynctt atlQ C�t�rle t�.�.ytt�eh,hu�s1�Q�nd�uvife,whcct5�po9�t offic��ddt�ess is 834i Caas�aer'�Vey,l.�bigh
Ac��t�L�397�►gt�ee:
(Wt�aneY� u�od hetcla th8 i�r�ns"gqtntor"�cF"graatrJO" �Scludc�11 t�tp�attics to thla Iflsttunteni and tt�Esq�s,tegn2 capi�,lchistiv�,nnd t�igna ot'
�
l�ttividaeta,a»dtl�6vcc�sso�a and�ssigns al'cffrpor�tim�s,tr�sl��td Intctces)
, Wf�iri�88�,that s�id,gr�ta��fox and�t�Ghsid�#`�tm of t�c sw»o€TEfiI AN�3?�t01i�b DC3I,'�A�S��3 d.04}ami atfier
'i gaod and t+slaab�e cc�rsstd+�ratlosts tt�sat8 g�»car'sn hand p�i@ by s$�3�t�e„t}�e res��pt w�Zer��"is here�y�ctcrrawledgad,
has gra�tted, b�lled, u�'►d sti18 to i,l�sald gt�t0�,tutd g,r�itt+P�'s heit���td Assigus f�YEr>the fo334W�tt�desC�ibCd l��td,
sit�ate,ly3r���Yd bnlr,g in Fa�ea County,�'iorida ta-witt
�L�� 19 a�n�ct Zti, Stock iG8.A MA�'t�F TH�'�QV�'N t'�1��PHX�'tHi�,��c,�ordta�to tGe mag or
gta�th�rcof a�rreeor�ed in�'1at Bop�C 3,3'�tg+e 5�#,P�tb3te R�cda qf�'�sco C�qonfy,�lor��s,���the
"'���47.40 teet thcrca�".
t'aro�)identi�tcatton Namber; lI-2�-ZI�QA't0•I68QONp190
Tage#her witlt all the tmt�oments�hotealitamc�ts and sp[�acteae»ces thereta�eiongiog�r it►�nnyvvis�app�itting.
' Ta Hsv��tn+d tb�old,the s�eme in f�slmple fordver. �
A.i�d tl�e �ntor#ar�+ �ovatta�ms witt����d gra3tt�e�t titt gtantvr L�lswfutly sei�ed og satd land in �'�e simple;tliat ths
g��antvr has�ad�i�ht and iawfitl�uthorety to sei#a�d r�av�}r sa�c�lar�d;thh�r tt►�graator hereby�uEt�warrant$t�title tu�id
land aad wilt defend th� sam� a#�pia�t th� [�wfttl �Isim$ cf�11 per�ons v�li�nsoever; and that sa�d t�nd is fr� Q�`ai!
�ncambrances,ex�tt faxes�ccniing sabsequat�t to aecombtt'31,�0�5�zonitl�ar�d(ar resErictions�mpagod Eiy�vs�meatat
sc+thari�►, nnd �rnan�s�restrlati�ns a�td resorvatlons af recard� if any, haw4wer tbis tcf�ren�s�att�ot serve to reimpose
sa�c►�,
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12lQZ1�41 S 1��4 Meridian Titie � , ��A?q35�567 Q457 P.0031003
o� � 9�'� �' �� �'�" 1�
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�t3t W���3S"�Vh�reo�`t grattt4r he�l��re�t�set,�r�ntor's�snd�nd se�i tha d�y$nd ya�c ftrsc a�cve wr�ttctt.
Signed.�aled�ntd d�Eiver�ci in our presence:
$T!�STREE'I'"t'�UST A��t�SA�E�1'C Dt�'�UP.CEM��t 1�2(1IQ
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� HN ALL.EN tt�MA,At,tt�]DiV�DUALLY 8c1!�S
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MA� �LA�I�i�ROMAN,iRit�IVIL?UALL'Y.Bc 1�t�
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�wtcn as ro bottt g�ttor�h � ��/'
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' Staca aFFlorida
County af l�asco
Th�faro8aing i�um�nt wss acknowlcdged i�Sare me this `,_,,,,,,�,.�da�'oP ������h��,,,,�, .�Q15 b�r �
1(}I�3N ALLE�'*1 RCIMPi?�1 ftiA1D MARY �LAIN� R,{1MAN, I�iL�1VI�UALI.Y� A'fVD A3 CU-7'RUS't"EES O�'I'H� 8th �
�'1"RBET�tt3sT A�EtEl�M�Ni` DATED D��SMB�R t,2pI0, on bahatF of s�id mast,who �is petaonaity knawn or
(X�h�s pm�t3Ccd a dt�Y�t's 1icc+»se�s idesttificu�ticut.
��r ����*?f/L�G���wL.. ._
ot � �'.�•'�� �7Rl�MICH�Z Not�
�N �Y � ,� *1�Y�O�E#BFtlBl�S �Y Ppbllc i
�iP�B;lfp��o,POfB Pr��stcdlVatne.
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' My Commisaion Expfaa+e�s: .
WwYwray�rFd.poga x poublqTlma�