HomeMy WebLinkAbout16-17710 � .
� CITY OF ZEPHYRHILLS
� 5335-8TH STREET
' I �' (813)780-0020 710
� BUILDING PERMIT
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PERMIT INFORMATION= � - LOCATION INFORMATION � .
Permit N, mber: 17710 Address: 6948 GALL BLVD
Perm�t Type: MECHANICAL ' ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book:
Propos�d Use: NOT APPLICABLE Lot(s): Block: Section:
Squa�e Feet: Subdivision: CITY OF ZEPHYRHILLS
Esfi�� Value: Parcel Number: 02-26-21-0010-00800-0130
Impro�v. Cost: 9,500.00 - OWNER INFORMATION
Date �ssued: 9/06/2016 Name: PMPM INC
Total Fees: 85.00 Address: 7561 49TH ST N
Amount Paid: 85.00 PINELLAS PARK, FL 33781
Da�te Paid: 9/06/2016 Phone: 817-538-4945
Wo;k Desc: A/C CHANGE 5 TON
CONTRACTOR S � - APPLICATION FEES
MERCU Y HEATING AND AIR INC A/C CHANGEOUT 85.00
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� Ins ections Re ired. � -
DUCTSI TALLED
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DUCTSIN ULATED
FINAL II
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local �overnment shall impose a fee of four times the amount of the fee imposed for the initial inspection or
I 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 b�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.
"Wa��ning to owner: Your failure to record a notice of commencement may result in your paying twice for
impr vements to your property. If you intend to obtain financing,consult with your lender or an attorney
� before recording your notice of commencement."
Comp ete Plans,Specifications Must Accompany Application. All work shall be pertormed in accordance with
� City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
I NO OCCUPANCY BEFORE C.O.
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
IPROTECT CARD FROM WEATHER
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� 813-I�0-002o City of Zephyrhills Permit Application Fax-813-780-0021
I Building depaKrnent
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'� Date Recelved �Fhone-Contact'for;PermitEln -
Owner's Nam�l G(�GV �� Owner Phone i+tumber
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Owner's Addr ss -I v�i. (l� Owaer Phane Number. �� �
Fee Simple TI�eholder Plame � Owner Phone Number
Fee Slmple TI leholder Addrasa I
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JOB ADDRES� V !l� LOT# C__� I
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SUBbIVISiON� � � PARCEL tD#
(OBTAINED F.ROM PROPERTYTAX PIOTICE) I
WORK PROP�SED >•� NEw�CONSTR ADDlA1:T �] S1GN' 'Q Q pEMO�iSH
��, INSTALI. �� REPAIR �
PROPOSED•: SE Q� SFi2 Q 'COMM [� Oi`FtEi2 �
TYPE OF CO+STRUCTION Q �BLOCK '' � FRAME � � STEEL Q
DESCRtPT10 OF WORK' C�t.,..� � , , � G{,J. fl,G� , �
BUiLDENG�SI�E� �� �'SQ'F80TAGE , , HEIGHT�.���
�8�� ����'' � VALUATION°OF 7'�TRL COWSTRUCTION �
QE CTRIGAC � '�$ � = ' r� AMP SERVICE Q PROGRESS ENERGY [� W.R.E.C.
L_
QPL MBING ` �
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[�ME�HAiV3CA� $ q��� �Aj�j. VAl:UATIOI+i OF MECHAi+lICAI tNSl'AlIATlON. J� jU �
j � .,
�GA [�J EtOOFlNG .Q SPEClALTY [� OTHER
FINISHED FLOOR ELEVATIQNS FLOOD ZONE AREA QYES ,NO
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BUILOER COIVIPANY� •
SIGNATURE REGISTERED Y/ N FEE CURRE� ,Y/N
Addrsss , � Llcense�# � , , �
E�EGTRECI. -�COMPANY' , _
SIGNATURE `� REGISTERED Y/ N FEE CURREK=' Y/N
Ad
dre�� . . - , License# � , f
� PI.UMBER � CONIRAS+tY ' ,
SIGNAYURE' REGISTERED Y/:N• � �FEE CURREP ' Y/N. �
Aatdre I ,Ucense,# .
MECF#AAtFCA1.` � � CflMP�WY ' t t�
SIGNATURE• � 4 � REGISTERED N FEE CU (" YI N
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� Addres� `; � ; �� � �, /�� License#� � �.. t
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OTHER >' � . _ +;COMPAHY -
I SIGNATURE �� • � '� � � ' REGISTERED Y/ N.. � FEE CURREh Y/N
' Addre' �- . . __ . � , � ,. . - - ', License# � �
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REStRENTi �;"�e ;Attacti'(2}rP-.lct�.P.;ians;:,{2}sets�.of;Buitil3ng=Flaris;(1}se#of�Energy�Foims;�R-0=W`Pemilt for new canstruction, ,µ ,
-� � � Minimum�.len�(•1,0),working;days�aiter.submlEtal date.'vRequlred onslte;:G'o`nstiiictlon'Plans;Stormwater Plans w/SIIt Fence installed,
- �"��� Sanitary Facilldes.&:15;dumpster-Slte_Worlc;Permit,for su6divlsions/Iarge.proJects
COMMERCI Attach{3)eamplete'sets of'Bultding Ptans plus aUfe SafetyPage;(1}set of Energy Focros.R-t3 W Perznit far new cans#ruction.
� Minimum ten(10)working days after submittal date. Required onsite,Canstructlon Plans,Stormwater Plans w/Silt Fence inskalled,
Sanitary FaciUdes&1 dumpster.Site Work Permit for all new projects:All commercial requlrements must mest complieace
SlGN PERMt, Attadli{2}'se#s ofEngiiieered,Plaris: �,�,��- L .�;
I •"`"PROPERTY SURVEY reGuired for all NEW canstructlan.
Directlons. �� • . -
Fill out opplicadon completely.
Qwner l�Coniractor slgn back of appllcatlon,natarized
if over�2500.a Notice cf Commencement 1�required. (AtC upgrades over iT500)
" Agent(for the contractor)or Power of Attomey�(far�tFie owner)would be�someone with notarized letter from owner authorizing same
OVER�THE�OUi+FFER:PERMITTft+IC3- •--�; {Front of Apptication-Oniy}-
Reroafs if shi�gles Sewers Service Upgrades A/C Fences(PIoUSurvey/Foatage) _
Drivew�ys-Not over Caunter if an pubtic roadways..needs ROW
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NOTiCE OF DEED RESTRICTION�: The unde�signed undergtands_.th�t:this;.p�rmit�may;be,subJect:to,"deed"__restrictions",�.:_,�,`,. ��:,
which may:tie=more�.restrictive:•tlie��t��County��regr�lat(ons.'TFie�-undersignedYassumes=respansitiillty'for"compilance with�any �"�`�
applicable deed�restrictions. ..:�., : �... . :.•-- . ' � . ,.- - -• -. ,....: � •• � - �='
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSI�ILITiES�: �If-the°•ovmer has��fiired`�a�.contcactor or
coniractors to undertake work, they may,;be�ceiqu,ired._ta��be;licensed In accordance.with•state�.and;local^regulation.s.s -1f the�= - ��'�
. .�.,,,a:....:_:__,, -
contractor fs-nof�l(censed,as�requlred'tiy'law��both�the owner and�conUactor��may��be•°clted'.for-�a�misdemeanor violation
under state Iaw. if the owner or Intended,Lcontraetor;are;.�ncertain as to what Iicensing:requirements�may�:eppiyr,�for.the��-�--�����'=
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intended iniork, they are'ad"vised to'contact the:Pasco County,Bullding'Inspection_Divlston-Licensing Section at 727-847-
8009. Furtfiermore, �If the owner`has"'Fii�ed a cont�actor'o�contractors, he Is �dvised to have �the contractor(s),.sign. ;_, , _,
portions of the "contractor Block" of thle application,for.:which.they,wilt be.,respo�sible.�.�If:-you;�as•:#he owne�=Fsign`as�`fhe"�
contractor, that�tnay be an Indicatlon that he'is�not'.prope�ly-Iicensed-and`is not entitl'ed to perriiitting priuileges In Pasco ._
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Counry. � .,;;.�- y:; ; : : -n
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TRANSPORTATlON-1MPACTIUTILITIES�rMPAC'I��ANb RESOU�tCE RECOVERYfEES:�T�he�und�rstgned�understands
that Transportation Impact Fees and.Reco.urse Recovery.Fees m�y,.:apply�to�the:construction�of new buildings..;change�of`� �`�' '-
use in exis8ng buildings; or..exparisi�n:�of�,extstin�'�buildings� a's speclfled.in Pasco County Ordinance number 89-07 and
90-07. as amended.:,The undetsigned also.urtderstands, that_�such fees;-<as,may�be��due;;.wili:=tie identtfied at the�time°of•`` ��- il•
permitting. It is iurtFier understaod that Tra�sportation Impacf Fees and°Resource.fRecovsry°'Fees.,must be pald prior to
recefvtng a.°certificate of�occupancy" or�flnal�power;r,elease:� ':If�Ehe.project�:does�`not involve�a=:ce�t�tcafe of occupancy�-o���'-��-'��"�`
final power release;,the-,fees mii�t be patd,p�lor to:permft Issuance. Ft�,�thermore;�ff Pasco,�County`Water/Sewer��lmpact ., .. �
fees a�e due,_they�must:be=pald-pridrto.permit;Issuance�.In.accordance wltF�:applicable Pasco':County�o�tlinances. •
CONSTRUCTION'LIEN`LAW'(Chapter 713� Florlda Statuke�;as amended); If valuaHon of work is$2,500.00�.ormore�.l � ,r
ceriiry that-I, �he applicant,-have..been .provided: with-a=copy-of_.the� "F..lorida��Constructlon� Llen :Law—Fiomeowner's
Protection Guide" prepared by ttie Flo�ida Department�of Agriculture and ConsumerAffairs. If the appilcant Is someone , , ._
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other than the'oarner", I certffy-that.i.have.obta)ned�a copy,of the.abova:rfescribed;docur�ent�and:pr.omise in,gootl.:faith�to �.
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deliver it to the"owne�'�:piior to�c:ornmencement:�'� ` " � - -�- - , , �-
� CONTRACTOR'SIOWNER'S AFFIDAVIT: I.ceitify.�:th�at aII.th�:,inf.ormation:Jn�thi� applicatlon is accurate and that all work
will'be done in compliance with all.applicabie laws regulating constructlon, zoning and:�land��developme�t. Appl(catlon, is
hereby made to obtain .a .permit9.to,;do.r work_.,and;Installation as indicated:-, :I ce�tffy that no work�:or installatton has' -
commenced p�lor to i"ssuance of'a permit""and that.all work wlll be pertormed�to meet.standards of-all laws regula�ing�
construction, Caunty and Cily codes, zoning regulatians, and land development regulations�in the .jur(sdlctton.= l also .
, certify that I u�derstand that the regulations of other government agencles may•apply�-to the.intended.work, and that it ts
my responsibility to identify.what.acttons I must•teke:to,be,in:,co[rlpllar�ce:.,.S.uchagencies include-but�are.not Ilmited to:_
- Department of Ehvironmental Protectton'=Cyp�ess."Bayhead�;�VVetland Areas and Environmentally Sensitive
Lands,WatedWastewater Treatment. � '
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- Southwest Florida Water Management`.I�istcict Wells, `Cypress. Bey.heads; Wetland Areas� Altering
Watercourses. � . �
- Army Corps of Engineers-Seawalls, Docks, Navigatile Waterways.
- Department of. .Health,'.&.,ReY�abil.itative Services/Envfronmental�-Heaith Unit:Well.s, WastewaterTreatment,
Septic Tanks:. . � � ,-
- US Environmental Protection Agency-Asbestos abatement. �
- Federal Avlatlon.Authority-Runways.� '
I understand.that the.following:;restcl'ctions apply to the use of flIL•• �
- Use of fill is not allowed in,Flood:;Zone"V"unless expressly permitted.
- if the:fill mate�lai�=ls- to�"be-used.`In.:Flood Zone. "A", (t is understood that a drainage plan addressing a
"compensating volume" will be submitted at�ime of;permitting whlch is prepared by a professfonal engineer
Iicensed by�he State of:Florida: • -�: �- �-
- If th� flll material�:ts to�be�u5ed In Flood �one 'A" in�connec�ion�with�a�permitted building using stem wall .
� construction, I certify,that�Il:viiall:b.e;used only.to.flll the area.within�the�stem�wall: -
- If flli mate�lal�Is to�be used in any area� F�certify that .use. of;such flil will not adversely afiect ad)acent
properties. If use of ffll Is.found_to.advers�ly:..�ffect adJa�enf��propertles,.the owner may be cited for violating.
the cond�lons,of.the building-.permit Issued�.under the`at�ached.,�ermit �pplication;:for:lots�:lessthan.one (1)
ac�e wtiicfi a�e elevated'6y.,flit; ��t englneered dralnage plan is required. •�
If 1 am the AGENT FOR THE�OWNER; I;.promise In_good faith to inform the owner of�the permitting condftions set forth in
this aifidaVit-prtor to�commenoing construction. �I understand that a�separate perm(t may be required for elecMcal work. -
plumbing, signs, wells,.pools;,_air..condttioning,-.gas, ;or othec Ins#all�tlons not,speciflcal�y included�tn.the�application. .A �
permit issued shail be construed to`tie��a'Iicense�to p'roceed with"'tNe yi►o�k and�not�as:authoNty::to,violate;cancel, alter, or
set aside�any provisions of tfie.tecfinlcai codes;�nor shall Issuance�of a.permtt.prevent the Bulldirig Official from thereafter
requirtng a correction af ercors-In.,plens; construation.or violat(ons of�any�codes:� Eve-ry permit�lssued siiell-become invaltd
unless the work authortzed.by such permft:is-commenced•withln sfx:months of permit lssuance� or If work authorized by
the permit is suspended cr:aba�doned_for:a�;period,`ofsix,(8)�montfis,.-aRe�.the;time the�work��s commen�ed. An extension
may be requested� In wcitih'g;,f�om'tHe�Building,Offlcial for a perlod:not-to.exceetl��nineiy�(90) days a�d-witf demonstrate
Justiflable'cause for.the extenslon�. If work ceas,es.for ninety.(90)cons.ecutive day.s,..the Job�is.considered aba�doned. �
WARNIIVG TO OWNER: YOUIt..FAiLURE.TO.,R�EC;ORD.A:,NOTICE OF:�COMMEMCEMENT�.MAY�RE3ULT IN�YOUR
PAYING TWICE:FOR-IMPROVEMEN.TS�TO;;YOUFt:;PRL�PERIY�:IF�.YO.U{IN'FEWD�TO`�OBTAIN�_FINAI�EING;_CONSULT_ _ ` �.
-Qii/iT�l'Y6ZIR-LE�DEQt OR/�►F�1'ie1T9'OF�iYe����R��R�-.a(t�INCa��YOUR'NOTI��'OF CdMI111ENC�1INENT. -:
FLORIDAJURA�•(F:S:1.17.03) _ � - .. , _ � . - .. -
OWNER OR AOENT CbNTRAGTOR - � �
Subscrlbed and swam to(or afflrmed)before me thls Subecribed'and'swom=to(ow afflrmed)'beTore me'ftit§�
by .�y... • . , ,
lMio islare personaliy knovm to.me or haslhave produced Who.ls/are;p.ersonallyknown•.to me or hesJhave-produced
as Identlflcatl4n. as Identlflcatlon.
Notery Public . � Nofary Public
Commisslon No: Commisslon.No.
Name ot Nolary lyped,pMnted or stamped Name of Notery lyped,printed or atamped
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� Mercury Heating and Aix,Inc.
132 42na Avenue N.E.
Saint Petersburg,FL 33703
727-249-661b
LIC. CAC1817266
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� PRQPOSAL �
( 09/0212026
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F OPOSAL SUBMITTED TO: .iOB 5ITE:
Pawn Max
6��48 Gall Blvd.
Z'ephyrbiiis,FL 33542 -
ercury Heating and Air,�nc.(Mercury}is proposing to do an equai change out of existing heat pump. Mercury
i�ill install a new Trane XIt17 Ston heat pump 16.25seer with electric resistance heat.
SCOPE OF WORK:
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Iv�Eercury Heating and Air,Inc.(Mercury}wili deliver system to job site,remove existing equipment from the
p operty,and install new condenser in sanne locanan. Mercury will relacate air handler,install new copper line set,
2ine,hanging kit,thermostat,return duct work,modify eacisting duct system and install new snpply ducts in
a� 'c. Mercury will use existing electrical,pressure test copper,evacuate line set,charge system with refrigerattt and
s system in accordatice to manufacture specifieations. This proposa!includes permit,equigment,materials,and
''stallatzon only. Electrical by{3ther. Modificatians of condenser cage and install by other.
TIVIITED WAF;ANI'Y
All parts,labor,aud materials covered 1 yeaz by Mercury Heating and Air,Inc.,a#�er rafer to mannfactures limited
�arranty.
We I�ereby Propase to furnish material and tabor,completely in accardance with the
Above specifications,for the sum of:
$� ,50�.00 Nine T'housand Five Hundred Dallars and Zara Cents.
ERMS ARE AS FALLOWS:
100°l0 on campletion.
�1 material is guaranieed to be as specified. All work to be completed in a worlananiike manner accarding to standard pracrices. All materials
,'Il remain the property of MeTCUry He1ti21g and Ait',IriC.undl aII invoices pertaining to this job are paid in full. MeTC1tPp Heatlrig
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d Aii,IriC. Has the express consent of buyer to enter the properiy and remave any portion af the materials if not paid. Any alteration or
d�v'satian ftam above speeificatian involving e�tra costs,will be execnteti anly agon written orders,and wi1E became an e�ctra charge over and
a'ove the estimate. Ali agreemenis conti�gent upon accidents or delays beyond our control. This prop�sal is valid for(10)days from below date.
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�espectfutty Sabmitted By Mercury Heating and Air,Inc. ` Date 09101/2016
�cceptance of Proposat-Yoa are aut arized to do work as spec�ed. Payment will be made as outline.
Buyer(s)Signature Date
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: : � IINI1IIf111111�11111o1Nlllllllll�IIIII�IIIIIlIIllllll�I
� 20161470 ----
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N��'ICE:t��C��1EI��E1V�[F,1�'T ----r-�-;
Rcpt�1801615 Rec: 10.00
..�.��,� DS: �.00 IT: 0.00
Ae� itNo. �' ,0911612016 E. M. , Dpty Glerk
T � Folic�No. � � _—__ _ ——....._�___ �__.�_
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Tl-T UPdDERSIGNE�hereby�ives notice that improvements wiil be made to certain r�al�ra erty,and in accordance wstl�Seciion
73 I.73 ofthe Flanda Si;3tutes,the foliawiiag infoemation is provided in this NC1TiGE O�C{7��EI�C�MENT.
I.L7ascription af properiy(lega!descri lior� : Q o�-v��i"r�j��d���'���U•� j�j `• �
I� a)Street(�oh)Address:__,���� +�?� dit" .: ' '�f ti j " j ,�/
2.General descriptiori of irt3prflvements: } `" ,, f � �r'��'�". .
3.! ��nfonnation �j�, _,,,r , j �!���j� J ,�p ��
a)Name ttnd address: t`1����_ ...I�-�.%c'r... �'�i ����''� �r- �f"�it;���tt�S d't�^��,r?� :3'31�s�
b}I�ame and address o£fee simple#ii�eholder(if t�tl�er than owner) I �
c)lnkerest in_property I ! _�
�!: ;ontractor.int'onnation ,ru : 1 �
.I a;iti'ame�;�ad�ress:�"�"�i�j.,f;!'�,t�';�t..F...��'�! ii,i�%� L 1��• � ; -.,-
b)Teteghtmelva:: _J-s,�'-��y"�a� ��'� � ,.�-�����-� Fa,�cTla.{Opc,j I i
5: ucery Infarn�ation
a)Narne and address: . _
b)Amourrt of Band: �
c}Telephone No.: �_ _ Fax No.(Opt.)_j__I
6. ender ^ � i
a)Nap1e and adiiress: ( a
� I'hone Itio. � '
7 .Identi.t}�pf,.persoit within the.State of Plorida designatetl By omier upon v.�hom notices or o er�documents may be served:
� a)�iame and addcess.
6}"T'elephone A�o.: EaY Itia.{O�t_��_
&In addition to himself,o�mea•designates the follou�ip�persan to receive a copy of the l..iena�'s TJotice as provided in Sectian
'��3,U(1)(b),Florida Statutes: i
� �}Name and address: �_�,_.._
b)Tele�tianc?+Io.;. Fax I�Io�(OpL) i
.C:�Iratian iiate ofNc>tice of Commencement(the expiration date is one year f�`om the dr��e of.recording unless a different date
i' specif'ied): � �
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� ARh°.I.1+IG TO Q1uA1ERe 15�1i'4'PAYIYiElV7'S 1!`IAI}E BX THE()'4'4']\ER Ai`TER"T'H.E.LXPIRA�'YON OF TIiE NOTIC'E OF
i OMML�'3CJEME��.'"C r1RE CONSIDE]R.E�IMPROPER�'A'YM�NTS i31V�ER CtiAPT�lt 713,PAR.'Jc I,SEC'�'1ON 7i3.13,
�L�RCDA STATUTES,ANA CAN R1�SU.[.�T In`Y�t7R 3PAl'TiVG'E1�'IC�l+'OR LMPFi+qVENiE�'TS TQ YUYIft PROP�.RTX:
� � 1�`C�TIf E OF�iJ�'t7�7��v�EiV,tE�IT MUST 33E RECOi2:DED ANi}POS'7'ED()N TH��TOB S1T'��3EFURE'TEIE FIRS7'
� �'IVSP�C"i"ii)N. TF YOIJ�NTEiWD TO OS"R'ACN.F]NANC.ING;CONSULT l'�17Li X.EP^i�FR OR AN ATTO�tI�`F:Y B]EFORE
iC:Ui�IN[E�iCT]'+TC 4VtJRIf Q.R REC(7RU1�1G'YOCTRNOTgCE O�COyIIYI�NGEh7EN"
�� r
I 'fATE4l�f"L.QRlUA "�Y .
� `� eA�a�,��:�,�I ��
�:QU11'Y(3I�PiNk;l.i�r� MY CUMAIISSION N FFl9'141? 1�•___..__:���__ _
� �� EXPIitES•AuSusE03.2{}�8 SignatureoFOtt�iterorU�t�ier'sAuttiori`zecff?flteerlDi[ectorll'artnerlMeur¢gcr
ow '
Fl�al� �o��r;� .
Print Name
l�e fore�aing instrument was acknolvledged�etore nn�this�.day of�J 2C1L,by����_
1 � !
� � �,_�_ as����.�..�:.� J� _. _._(iype!Iauthorit`�,c.g.ot�iccr,Erustee,
a#farney in#'act):1'ffr �{���..�,ft�. (name of�ar n beha� f whom inst niment�vas executed).
IPersonally Knov+'t] V QR Produced Tdentification�__ Notary Signature i . _ _ _
�_ •�
Type of Tdentificatian Praduced itiame(prinf) ��` �•+ �v _
-'�';�a',AJ�.:�_�= .
Verification�ursuant to Section 92.�25,Florida Statutes..Under penalties of perjury,I declarg thai 1 have read the fore�oin�atzti that
the facts sfated in it are trese to the i�esre of iny kr�awledge and beiief. ! ,
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ro2.,src+oc,�oswri r �
5i�nature af I�attual Fetson Signin�,{iii iinc�F tu.)Abvvc
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