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HomeMy WebLinkAbout16-17671 CITY OF ZEPHYRHILLS ' '� 5335-8TH STREET (813)780-0020 17671 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit umber: 17671 Address: 4619 CHARTER ST Permit Type: RE-ROOF ZEPHYRHILLS, FL. Class of Work: ROOF REPLACEMENT Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: � Squa�e Feet: Subdivision: CITY OF ZEPHYRHILLS Es�. Value: Parcel Number: 14-26-21-0270-00000-0300 Improv. Cost: 4,750.00 OWNER INFORMATION ' Date �ssued: 8/18/2016 Name: MSK GROUP INC ' Total Fees: 60.00 Address: 630 59TH AVE Amou�nt Paid: 60.00 ST PETE BEACH FL 33706 Da�e Paid: 8/18/2016 Phone: Wor�C Desc: REROOF SHINGLE CONTRACTOR S APPLICATION FEES � W D HUTCHINSON CONSTRUCTION LLC REROOF RESIDENTIAL 60.00 . � �� ✓ � N� �/ �� Ins ections Re uired' DRY IN ROOF INSP TAPE JOIN�I ROOF INSP FINAL REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the local go ernment 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: n addition to the requirements of this permit, there maybe additional restrictions applicable to this properly that may be f und 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 improv�ements to your property. If you intend to obtain financing,consult with your lender or an attorney before recording your notice of commencement." Complete Plans, Specifcations Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. � CO RACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER s�3as�-aozo City of Zephyrhil(s Permit Applicatian Fax-813-7$0-0021 Building Department _ t M Date Recefved Phone Contact for Permitting. � �Go� 4wner's Name � 1^'� T Owner Phone Number O IJ- 7�0"��6� Owner's Addres ��� �'�/�� �9 �'� � � �� Owner Phone Number �- � Fee Simple Title older Name � Owner Phone Number �- � Fee Simple Titte older Address JOB ADDRESS '� (P {"' Z � ' � � �d LUT# ��� S�B�,V�S�oN (�� �I ���E��o# 1 jl-��-�1��a �� --c��� (OBTAINED FROM PRQPERTY TAX NOTICE) WORK PROPOS D e NEW CON57R 8 ADDiALT [� StGN Q [� DEMOIISH INSTALL REPAIR PR,QPOSED U3 Q SFR Q GOMM � OTNER TYPE OF CONS �RUCTIQN Q BLOCK Q FRAME � STEEL Q DESCRiPT10N OF WORK �E�T��3'tt ��t�3'� $ "� SUI�DING SIZE �- � SQ FOOTAGE �S�' HEIGHT �g�«'�� � $ ��� `'..= VA�t1ATIQN OF TO'TAC CONSTRUCTION CJELECT 1CA� �> -� AMP SERVICE Q PROGE2ESS ENERGY [� W.F2.E.C. OPLt1M ING �i ---�� �� �I QMEGH NfGAI $ VR�UATION QF MECHANlCAL INSTALlATlQN ��� �GAS � ROOFING Q SPECIALTY 0 OTFiER ���� FINISHED FLOO�ELEVATIONS � � FLOOD ZONE AREA QYES NO BUI�dER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# �� -� E�.ECTRICIAFi COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# �� � PL.UMBER �� CONIPANY 51GNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# � ^� MECHANICAL COMPANY SiGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# � �� �THER COMPANY , . d', Z.L 51GNATURE REGISTERED Y/ N FEE CURRE� Y/N ,aaa��� �� I I�G " ` 1 ' ����,se# �CC/�87��1�� ZESiDENTtAI Aftach(2)Piot Plans;(2}sets of Build3ng Pians;(1}set of Energy Fo�rns;R-O-W Permlt for new canstructian, Minimum ten(10)working days afiter submittat date. Required onsite,ConsUvction Plans,Stormwater Plans w/Silt Fence installed, - - - Sanitary.FaciliUes&,1.dumpster;Site Work.Permit for subdivisions/large proJects :OMMERClAL Attach{3}comple#e sets of Building Plans plus a life Safe#y Page;{1}set of Energy Farms.Ft-4-W Permit fof new constructlon. � � - Minimum ten(10}working days'after submittal date. Required onsite,Construction Plans,StoRnwater Plans w/Silt Fence installed, Sanitery Facilities&1 dumpster.Site Work Permit for all new proJects.All commercial requirements must meek compliance 31GN PERMIT Attach{2)sets of Engineered Plans. •*"PROPERTY SURVEY required for all NEW construction. )Itestions: Fill ouk application completely. Owner&Co tractor s(gn back of application,notarized If aver$2S0 ,a Natice af Commencement ts required. {PJC upgrades over$TS00} ` Agent(for th contractor)or Pawer of Attomey(for the awner)would be someone with notarized letter from owner authorizing same }VER THE COU 7ER PERMITTIN� {Front of Apptication 4nly} teroofs if shingle Sewers Senrice Upgrades A/C Fences(PIoUSurvey/Footage) Drlveways- at aver Caunter if on publtc roadways..needs FtOW x#� I%_ ��tj . NQTICE O DEED RESTRfCTlONS: The underssgned understands that this permtt may be subject to"deed"restricfions" ' which may e mare restrictive than County regulations. The undersigned assumes responsibility for camptiance with any � applicable eed restrictions. � . � UNLICENS`EQ CC}NTRACTQRS AND CONTRAC'TOE2 R�5PONSIB1�17'IES: If the ovuner has hired a contractor or contractorslko unde�take work, they may be required to be licensed'in accordance with state and local regulations. If the contractor is not licensed as required by taw, both the owner and conEractor may be cited for a misdemeanor violation under stat law. If the awner or intended contractor are uncertain as to what iicensing requiremenfs may apply for fhe intended w rk, they are advised to cantack the Pasco County Building Inspectian Division--L.icensing Section at 727-847- 8009. Fur hermore, if the owner has hired a contractor or contracfors, he is advised to have the contractar{s} sign portions of#he "contrac#or Block" of this application far which they will be respansible. If you, as the owner sign as the confractor, that may be an indication that he is not praperly licensed and is not entitled ta permitting priviteges in Pasco Counky. ' - ' TRANSP�► TATtON IMPAC7NTtLlTIES tIUIPACT ANQ R�SOURCE REGOVERY FEES: The undersigned understands that Trans o�tation Impact Fees and Recourse Recovery Fees'�may apply to the construction of new buildings, change of use in exis ing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and 90-07, as mended. The undersigned also unde�stancis, that such fees, as may be due, will be identified at#he time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving °certificate of occupancy" oe finai power release. If the project does na# involve a certiftcate of occupancy or final powe re(ease, the fees must be paid prior to permit issuance. Furthermore, if Pasco County WaterlSewer (mpact fees are d e, they mus#be paid priar to permit issuance in aceordance with appllcable Pasco County ordinances. CONSTR CTION LiEN L�►W(Chapter 713, Florida Statutes, as amendedj: (f vatuafion of work is$2,500.00 or more, 1 certify tha I, the applicant, have been provided writh a copy of the °Florida Canstruction Lien Law—Homeowner's Protec#ion Guide" prepared by the Florida Department of Agriculture and Gonsumer Affairs. If the applicant is someone other#han khe"owner", I certify tha# I have obtained a copy af the above described dacument and promise in good faith ta deliver it t the"awner"priar to commencement. CONTRA �TOR'S/OWNER'S AFFID�Vil': t ce�#ify that ail the infarmation in this appiication is accurate and that aii work will�be do e in compliance with all applicable laws r�gulating construction, zaning and land development. Application is hereby m de ta ob#ain a permit to do wark and instatlation as indicated. 1 certify that no work or installation has commenc d prior to issuance of a permi# and that all work will be perfarmed to meet standards of all laws regulating constructi n, Gourtty and City codes, zaning regulations, and land d�velapment regulations in the jurisdiction. f also certify tha I understand #hat #he regulatians of other government agencies may apply to the intended work, and that it is my respa sibiliky to idsntify what actions E rnust take ta be in compllance. Such agencies include but are not limited ta: - Departmen# af Environmental ProEection-Cypress Bayheads, Wetland Areas and Environmentally Sensifive Lands, WateNWestewater Treatment. - Southwest Florida Vllater Management District Vllells, Cypress Bayheads, Wefland Aceas, Altering Watercourses. - Army Corps af Engineers-Seawails, Docks, Navigable Watetways. - Deparfinent of Health & Rehabilitative Services/Environmenfal Hea(th Unit-Wells, Wastewater Treatment, Septia Tanks. - US Environmental Protection Agency-Asbestos abatement. - Federal Avfation Authority-Runways, t understa d#hat fhe falEowing restrictions apply to the use af fitl:� - Use of fill is not allawed in Flaod Zone"V"unless expressly permitted. - if the fili materiai is ta be used in Fiood Zone "A"t it is understood that a drainage plan addressing a "compensating valume" wi(I be submitfed a# time of permifting which is prepared by a professional engineer licensed by the State of Florida. - If fhe fill material is ta be used in Flood Zone "A" in connec#ion with a permifted building using stem wai! construction, I certify that fill will be used only to fill the area within the stem wall. - If fil{ material is to be used in any areaJ t certify that use of such fill will nat adversely affect adjacenf properties, If use of fill is found to adversely affect adjacent properties, the owner may be cited for vialating the canditians of the building permit 9ssued under tfi�e attaahed permit application, for lots less than ane {1) acre which are elevated by fill, an engineered drainage plan is required. If I am th AGENT FOR TH� 01nlIVER, I promise in gaod faith to inform #he owner of the permitting conditions set forth in this affida it prior to camrrtencing cortstrucfian. 1 understand that a separate permit may be required for eEecfrical work, plumbing, signs, wells, pools, air canditianing, gas, ar other installations not specifically included in the application. A , permit iss ed shali be construed ta be a license to proceed v►rith the worlc and nat as autharity to violafe, cancel, alter, ar set aside,�any provisions of the technical cades, nor shall issuance of a permit preven#the Buiiding Offiaial from thereafter requiring�correc#ion of errors in plans, construction ar viqlations of any codes. Every permit issued shall become invalid uniess th� work authorized by sucft permit is commenced within six man#hs af permif issuance, or if work aufharized by the permi is suspended or abandoned for a period of six(6) months after the time the work is commenced. An extension may be r quested, in writing, from the Building Officiai for a period not to exceed n�nefy {90) days and will demonstrate justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the job is considered abandoned. WARNIN TO OWNER: YQUR �AiLURE Tt� RECQRD A NOTICE OF COMMENCEII�ENT NiAY iZESULT IN YOUR PAYING TWlCE FOR IMPROVE�(lENTS TO YOUR PROPERTI(. IF YOlJ INTEND_TO�BlG�1IV�FMN�NGs[��� �ON�S!!�T ----�- - �i���t�5���ii���ND�R i3R AN�►'T7'C}RNEY��FtJRE t2EGORDING YOURNOTICE OF COMI1tIENCElVIENT. FLORIpA J RAT(F.S.117.03) r OWNER OI�AGENT CQNTRACTOR � Subscribed and sworn to(or affirmed)before me ihls Subscr�,'b_ed nd � to(or ffiry ed be ore e}his by �'m /�,r1/`rfJrrr �s f�utCh��+-Sa� Who islare bersonai(y known to me or has/have produced 1iVh�is/are pe onally knorm to me,gr haslhave produced 1 as IdenUfication. as identifica6on. a � Notary Public No Public .,`�aY PU' �� Commisslo No. Commissfon No. :�'`P ;�c;•. 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'; 1 - �` .� � �� i�. .. � ..."., r^y� ' . : .. +r 'r n �. . .- ... 1�N'�'� e�. �+..,. ..� , t � ��� .w'q h'� I, ' _ + .X.,. � 'y,'_?k,./, ;�` lr ����,� . ;.ri., ,� ��.;, �"' . ` , . O � '- . . ��, .J,' ,�, � � _ ��: . ' � � « � 1 . 2�'e�r��^ � '� 4i� `.,�'. � � , . , ' . .,. . . . . .. J J� ^���'�s ?��' �''�L �� ��4� •_ * '�-�.�,, .� 4� ��";. `� ,...t� ��:` ` ,� ,. . ^�:..�„� "� '.�' �4..' . �'�Y*..=�4 U�`�„ l�s �S . .,Sr i. - �w �'�*�` ��'t_s* . K�k: ��E. 4�.�A �F�;'a.'i-+.k+.^}-* 4D .�r�_�t`.."�Z ln�i�. ? �- • * i.�n3. .1 �,y '`?f ,s�x...,x:�..: '� . a�+r� , ` 1 � r�. . � By order of the Building OfFicial: �ViCCiiamA. �urgess All Building, plumbing; electrical and mechanical work shall cease at the below mentioned property. Address: L/ � ' g � ����'� ,\ � � �� � 00 l- I ����1.►"� Date: � � f � -' J � Code Enforcement Officer: � �A C-�� Contact the Zephyrhills �uilding Depart�ent 5335 - 8th Street �13-780�0020 = � � � :�-�fj,f ���� ���������� � �0�?S�'Y'tGC�'i�'i..�� Y'�� �t7ic��!�'�•�ak,�.i�7n.t7, �L..�&J:-<:;�• ..,_1t bEb'•s3LG`•Fax(t3S31 n8'_� �'-i Y ma!? .eiil�am:1�`::.�t�lnEG�r t'{1hOO ca�*, L;�_r5t t�+um::�. ��C�3�37:J A�Cn: Ra Brown P d'�QSA1 G1t8�.UTFE^u�D � a••�siE ilniF MSK GraLp Inc 813-428-467U 5-16-16 c aEf? ;. •=s.�!i. 1531U i�mb�rl�� Dr. €250 Same G'v SUTE+tNO�F:QGE �'?�._.�G'*Ch Tampa, F1. �3647 4619 CharLc-r St. Ze h rhills Fl. ?�542 r ., C'4'° - '_e�r� .+;n a�+C tF. ray.mskgrcupinc@gmail_com e he�eGy su0mif s�ec�ficaRnr�nnC�s�^ta!es�o• Remove exisLin shin lE rccf. Dr � in wit two layE.rs 15� felt. Ir:s�all nec•: eave �rirrt va�Zcv rr:eLal iead bacLs a»d vEnts s eeded Install 25 °Ear '•-Cab shin 1Es. An•- roLLen WGGC3 will bc xtra n a LimE and tc i basis. Clean � and haul awar roof'n deb -' � P " 5 vc:ar wcrkmanshi Larantec 25 �car manuiactLrc warran t '�� � . — Roof: 475U.U0 NOTE: To d d 1-�-St�S'k A�D• S�SS QQ �"v`" v � G� L �_ � t�� ( �—� -�, � - ��( l/OTE Waod R�fllxarrstnt.If ry�qu�rrtl.in not�nclu6e�in th�s puolb Vtood repibccmant wit�De chrrgod on a tlme 6 mater4els tsaei0. hbar no1 to�acmrd $50•�U p�r mon hau�plus cost ot mqteruln �t �C��108t h�tsOp lo tum�eh maleria�end lubp� -complatr�n eccorOnnce.v�th above apeeiiicatlona,for ihe�um ol FcUr Lhousand s�v�n hundrEd fifty do�lara�g47S0.0�J � i+ay nt to ts�msda aa toilocvs �, NOnCE tt�4rvNER a.•r..., ... ��,••y r.rctrucm t. ia.��c:-z7 od�;���6) DL:� l:�GI7 CGIiI�LE�1C�R ._.�c,• •��•r_-.,.,� ..�c� �.�+c•.-x^t-••-�a.+.ws g+,•sn.+.+uc�a v�nat�.un�Y rtss - , .,- .- ..f ,,.... , ,-�f-v. •:aw ..p��s:�.�a.�s•s +.+a ysxs+.p.s e� o.ad .-e .-r-^�:�_�s��+}�•S •_,.y;nrnt��»r.s'Yv�org+rJ[aNOe� ],r n+CS+!wh�nin"�.' .N, � � `�n_-a�.c ._.^��� i'v�IM r.-aM�'^'u•e]iu'2 a!fi>'M�'✓S'tW^itl'liPT 7 -...•.a•t-� .�r�sr�,r. r 0.1t^ytP.Itgf�S Ql�d�'il^tC•fd IO b4!d5 SC�i�C�i�a� �:�wr.•t Ir�`::�.�Cinu.�}�r.� wn.e • M .^ rt18 l�kB T1nnP1 dCL'L1WrQ 10 4IanLS3R2 Ot,7ci�CCS A�Y ��f'.�117'��]' �C'�•dt��r.I�;.r-�, Y!D M}JT�M3Id.ZM LOKS'fj7lK'�OM LLL w:fl n0l Q8 MQ�Q ILtl9i9 Pp[rL�cN�d lktVpwtryg. I 8 �.'a SDh:��eC3l�N'S�XYvrl+�PX:�a�OSSS+�'�[L�!�[N'J{A�aRi�•JLrJ�'w�':1nn n,pn•5 '�0�n Inn of G�m!?e IO[ept�C ltnt2 6t1�t0 tR�u19 O�OW�^/�M:uaptlMf O��s �y.q�nu�rilrq to p.wwe etotaa tor Mm s�ivKx�+sM a rnU:�CS.OmC an wc;ra C^.(�>[jC�;"+t+.r�1!�6 atx�vG!h�@tf�mAtw Ail.��r�e�nP.:�iW.-nr 1� _ ��rw:insr_s �'��ent5 n�QP�RY�tv'yo'� :^p rn^�-�•, �•,'�.,p� " ���•-i'� - �,,uar W iw�r paymen�w detsurt di t�tr o�imar+ta cofireteon eoitn ace�o�sitarT+ai� �p��atic a�+rf af��er ^�essar. .nsunn:� :�i• wr,•.rr� a�r '..i�, ,..w�n '_. has rw Offi ve+G b'f dentw e c��ge af � tll�..S1i M Mngsa morrtrth on rn � WO�men s l.��npe•�s:tf.+r.+n rn5,�r:trrn eccounla o+er 30 6+Y�u7d i H Tn,.�'OMSd�nay�v+w�1cn?r7w^ Rvt�+ttr�rto .�U '° Jim llaltcn !V us� ^.r..f,itCCA1CS w�.tn.r :.Ir s S.pnetyn ' �c rDtanrr o! �roUosal - ��,e dt?�,.n pncv�, gpPc�b��7�c�;c a•,q C�^ 7�t1 rG 0�i' Sd1i5�8C10"y a^tl 3ro n@•oDY BLCa�.iG� '✓q�; 3�r d�t••,^�yC7 '� S..�r;�qurv �7t�fhn KGfY �5 SDE'C�I�PQ AavTfnt .vi)!bn ^^.?•�= 35 C`.itir^'c�Q nfY.Tyn Da e��accentance ,,,,,,;a���c, - - ----- -- � � � - � � � i i��iii iieii��iii�ii��iiiii iiioi iiiii�iiii i�iii iiiii iiii idii-� � 2016130414 PartnkNo. Pereell�•No �_`�+OS�¢-��-t�a7D—�I��a-a3ao NOTICE OF COMMENCEMENT stete.ot 1-`-o�i[�fa county ot �A S C':� THE UNDERSIQNED'hereby gives n611ca Iha[Improvament aiU ba made tc.certetA real praperty,und In eaadeneeltAth'Chaptar 7q3;Floride Sla4utes, Ihe'fWlo�MnB tnformadon Is proyldeQ(n this Notfca of Commenc�e�nenL• 1. oescrivllor+orFroperty:Parcel�aenuneanohNo. I`t��lv-�i:-Oat-'1f�-�OG1�-��0� suemi,aa�: ���ol�'} � j�.�-C,�es ��. . .��D{`«(rh:I1� f�(. 3���-Z 2. Generel besaiptlon of Improvemenl rer�� ' 3. Oxnm fnlormaUa�ar Lesaee Infortnatibn if the Lessee contn�cied for'Ihe IinprwemenC ►'! lf _ C, 1�3� S�i"�'°Au� � �, -e . � FI, �,��� .—' .. c�ty s��e Iriterest In Property: �Ll�A���' yame of Fee Slmple Tiltehddei: (If difierent trom Wrt�er Ilatad aboye�� ' Addresa. Ciry S1afe Q z V v � w c«��a«: , �: �� an . LL.`�. � amd r � � LLI � Cn ' J J f� U 1"�: OX b�l ' �.rIr3KP'IA.v\C� �I�. (� � S J Address Clty State � Z � � F._. � Cantrectofa Totephone No: �Q O = JQ N� a , 6. Surely:/1!/� �3" LC�1] �p F- �; � � Name � . --- - • - �y � z � o�=- Q , Addrase .' Clly: State } ��-p - O .Am:oLntdBond:S . _. . . .. .. To1sP.hbne.Nd:: . _ �,_. !i CL' U V /��7 �� � � LL . pb I 8. �lendar../l�!�+� U LL Na e - � F-n-W Q� Adarese .Ciry smie � _�V <�W " lendere Telephone No.: .Q F- �- J V �7. •Porsons wi�hfn Iha Stete ot FloAde desl neted y be sened as provided by � � W m � O J � B by.Iha wmer upon�Lhwn rottoes or olher dowmanis me _Sedlonit3.13(1)�a)(7),FloddaSlelutes:�� �-' �' Z W O � �' LL} Qz (_ Name -� W � 0 '-S- UU � � , O adaress piry s�eie � � z � cA c0 �� Teleplione Nurtibaz o('Desfg�ated Person: W � a ---� W Q J B. In.nddiUon to himself.the rnmer daslgnates of_ Q Sn�u" � � N recelve'a copy M 1he Lienurs.Nnqce es provlded In Secdon 7t3.13(7)@),Florlda Statutes. � � �O� � �p I Telephone Numberef Person a Enlity DeslBnated by Owner. � 8. E�Itatlon data ofNoltcn of Commencement(the exptrlian dale may�wt babefore the camplellm ot constructton end final paymeM Io the �camradar,but wlll be one year Irom Ihe date at recarding unless a dHferent date Is speGllad): . � �( � � WARNING,TO OWNER:.ANY PAYMENTS MAOE BY THE AWNER AFTER THE EICPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER.PAYMENTS UNDER CHFPTER793,�PART1, SECTION7.13.13,FLORIDA STATUiES, AND CAN "��� RESULT IN YOUR PAYING TWfCE.FOR IMPROVEMENTS TO.YOUR PROPERT'. A NOTICE QF COMMENCEMENT MUST BE �/ e • '• ��� RECO(3DED AND POSTED ON THE JOB SITE BEFORE THE FIRST.INSPECTION, (F VOU INTEND TO OBTAIN FINANCINO,CONSULT �j WITFi VOUR LENDER OR AN ATTORNEY BEFORE COMMEPIC�NG WOJtK OR "COROING YOUR NOTICE OF COMMENCEMENT. � 41 � Uridnr paoslC¢of peiju'ry'",I dedere ihe[�he've'read fhb faiegeing noGce e enf end O�st(he hcl3 sla(ed Qieiein eie Cdie.to O�a be3( � � �a��;rt'� e.. �� o(myknowledga.endbellaL � 4.. y,yy STATE_OF FLOR�DA � „ �� '`° � � COUNTY'OF PASCO � f�n e o ar or leseae,or Qrmars or L'dssee'a.Aulhmtzed � � �n , �� FflcedOf o artnar/Manager /O M ' � �.� ;Jz� • S��ne .s. O(fic/e �� � 7Tieiaegoing'InsWmertt�was�ecknowiedge fore ne IMs � daY oP 20�1°by �'(�' ��C.0 �.�� � � � as (lype'o1 authoilry,e:g:,ofrtae,Wstae,aUcmey fn�fea}for. � � •.(name qrarhehel whom'InsWment wes e�cuted). Parsonely Knoum�g$Producad Identlfieatlon❑ NoWry Signature ' Typa of.ldentifleapon Praduced. Nume(Pdnt) Rept:17 4558 Rec: 10.00 DS: 0.0 IT: 0.00 -�. 08/18/2 16 J. R. , Dpty Clerk �_•� ��1D ��� ��MMISSWN N� Rt�9�7 I wptletalbcslnmlcor.ammeneement�c053048� �71�-0�� �S"`���.�Q}Q •� -�PAULA 0'NE2L,Ph D.PpSCO CLERK & COMPTROLLER � ' ! 08/1 /201 /1�2:1 m 1 oiq i OR 9K �'T1� P� 3b�2