HomeMy WebLinkAbout16-17809 k
CITY OF ZEPHYRHILLS
5335-8TH STREET
� � (813)780-0020 17809
BUILDING PERMIT
' PERMIT INFORMATION LOCATION INFORMATION
' Permit Number: 17809 Address: 6218 9TH ST
Perm�t Type: DEMOLITION ZEPHYRHILLS, FL.
Class �f Work: 636-DEMOLITION Township: Range: Book:
� Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Squa�e Feet: Subdivision: TYSON
Es�. Value: Parcel Number: 02-26-21-0160-00200-0010
Improv. Cost: OWNER INFORMATION
Date Issued: 10/04/2016 Name: CARRINGTON MORTGAGE SERVICES L C
Tot I Fees: 75.00 Address: 1600 S DOUGLASS RD STE 200-A
Amo�nt Paid: 75.00 ANAHEIM CA 92806-5948
Date Paid: 10/04/2016 Phone:
Wo k Desc: DEMOLITION 1092 SQ FT NOT FOR 6222 �p?l�f
CONTRACTOR S APPLICATION FEES ,
CROSS ENVIRONMENTAL SERVICES INC DEMOLITION 75.00
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Ins ections Re uired
FINAL �
REINS�ECTION 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.
NOTIC : 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.
"Warning 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."
Complete Plans,Specifications Must Accompany Application.All work shall be pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
' �� /
I CON CTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
s� -�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021
, ' Building Department
Date Received Phone Contact for Permitting 813 783 __ �688
Owner's Na�e Carrington Mort. Svc. LLC Owner Phone Number
Owner's Address 1600 S Douglas Rd Ste. 200-A, Anaheim, CA Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple 7itleholder Address
JOB ADDR SS 6218 9th Street LOT# �
suB�ivisi N Tyson PARCEL ID# 02/26/21/0160/00200/0010
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PRO OSED e NEW CONSTR B ADD/ALT � SIGN Q � DEMOLISH
INSTALL REPAIR
PROPOSE USE Q SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK COMPLETE DEMOLITION
BUILDING 51ZE SQ FOOTAGE �,�`"I Z ' HEIGHT
�B ILDING $ VALUATION OF TOTAL CONSTRUCTION
� QE ECTRICAL $ AMP SERVICE Q PROGRESS ENERGY � W.R.E.C.
OP UMBING $
Q ECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ` � � I ��� �
�
Q IAS Q ROOFING Q SPECIALTY Q OTHER
FINISHED LOOR ELEVATIONS FLOOD ZONE AREA �YES NO
-�:--:--r� "
CROSS ENVIRONMENTAL SERVICES, INC
BUILDER COMPANY
SIGNATUR REGISTERED Y/ N FEE CURREN Y/N
Addre s P.O. O 1299, CRYSTAL SPRINGS, FL �icense# CGC062981 -
ELECTRIC AN COMPANY
SIGNATUR REGISTERED Y/ N FEE CURREN Y/N
Address License#
PLUMBER COMPANY �
SIGNATU�E REGISTERED Y/ N FEE CURREN Y/N
Address License#
MECHANI�AL COMPANY
SIGNATU E REGISTERED Y/ N FEE CURREN Y/N
Addr ss License#
OTHER COMPANY
SIGNATU E REGISTERED Y/ N FEE CURREN Y/N
Addr ss ricense#
1111111111111111111111111111111111111111111111111111111111111111111
RESIDEN IAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster,Site Wor1c Permit for subdivisions/large projects
COMMER IAL Attach(3)complete sets of Building Plans pl�s 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,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PER IT Attach(2)sets of Engineered Plans.
"*"PROPERTY SURVEY required for all NEW construction.
�� • - . , . . : 5 : : : : : : C � : � ➢ � : � : CCL : � : � O � C � : COCCE � : L'—:—:—' . . . .
Direction • • • • • • •
Fill o�t application completely
Own�r&Contractor sign back of application,notarized
If ov1r$2500,a Notice of Commencement is required. (A/C upgrades over$7500)
" Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same
I
OVER THE COUNTER PERMITTING (Front of Application Only) ',
Reroofs if Shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) I
Driv Iways-Not over Counter if on public roadways..needs ROW I
NOTI �E 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. ,
UNLIaENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contra�ctors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the
contra�ctor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contractor 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
portio I s of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
contr ctor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
Count .
TRA SPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that T ansportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use i existing 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 identified at the time of
permi ting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
recei ing a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
final dower release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees�re 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
certif� 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 ithan the "owner", I certify that I have obtained a copy of the above described document and promise in good faith to
delive�r it to the"owne�"prior to commencement.
CON�RACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
will b done in compliance with all applicable laws regulating construction, zoning and land development. Application is
hereb�y made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
comrr}enced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
const ction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certif�that I understand that the regulations of other government agencies may apply to the intended work, and that it is
my re�sponsibility 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, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland 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 abatement.
- Federal Aviation Authority-Runways.
I und rstand 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 time 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 fill 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 a 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 electrical work,
plum�ing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
perm t issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
set a'ide any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requi ing a correction of errors in plans, construction or violations of any codes. Every permit issued.shall become invalid
unle s 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 �e requested, in writing, from the Building Official for a period not to exceed ninery (90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety(90) consecutive days, the job is considered abandoned.
WA�NING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAY�NG TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITIi YOUR LENDER R�AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLOR�DA JURAT(F.S.11 . ) �
OWNER OR AGENT CONTRACTOR �
Subsc�ribed and sw r to or affi e )b ore r�e this S bscr' ed and sworn (or a irm d)be re� i�^
Z� b ' V 0�` �� '
Who i's/are ersonally nown to me r has/have produced Who is/are ersonally known me r has/have produced
� as identification. as identification.
lJ ` �-Q otary Public Notary Public
Com lission No. Commission No. }
Nam 'o d Name of Notary typed,printed or stamped
�4,,,,� MELODII KAY IiIlORTOl1_, - MELODY KAY MORTON
�,, �.a���p��
Not�ry Publlc-SUte o1 Floitd� �S� t;'. Nbtary Publlc-St�te ot Florid�
. � ;•: Commlaslon N FF 2276�7 :
�� o�= My Comm.Expfre�May 5,2014 ,� •= Commisslon�►Ff 227647
�'�:iFUSF��p`,, BondedtMaqhFltlon�INotrYAi�. �� . My Comm.Expfres M�y 5,201�
�„���„ ��''�°���`���` BondedtMouphNatlon�INOtrpAsfn.
02-26-21-0 l 60-00200-0010 � Pasco County Properiy Appraiser Page 1 bf 1 '
Mike Wells Pasco County Property Appraiser
Data Current as Of: Weekly Archive - Saturday, September 24, 2016
Parcel ID 02-26-21-0160-00200-0010 (Card: 001 of 001)
� Classification 01 - Single Family
Mailing Address Property Value
CARRINGTON MORTGAGE SERVICES Ag Land $0
LLC Land $16,538
1600 S DOUGLASS RD STE 200-A
ANAHEIM CA 92806-5948 Building $45,609
' Phvsical Address-See Atl 2 Extra Features $1,757
��C�I'@SSeS (FirstShown)
6218 9TH ST
ZEPHYRHILLS FL 33542-3520 Just Value $63,904
Lec�al DescriDtion (First 4 Lines) Assessed (Non-School Amendment 1) $63,904
SON SUB 1ST ADD UNREC R/P OF
E 250 FT OF TR A TYSON SUB PB4
PG 109 LOT i BLOCK 2 DESC AS Taxable Value $63,904
OM AT NW COR OF BLOCK 2 TYSON
]urisdiction
� Citv of Zeahvrhills
_._ .. ._._..._.._._._.. __ Land Detail (Card: 001 of 001) _..__...�.�....__ �__.�...,___._._____� _ ___._ __.
---- __. .�._. ..._. ___, �.�
Line Use ;Description� Zoning Units Type Price �Condition Value
_.._.__._.._..__.....__.____. ...___....._.._..�...__....._..� __M_�_____._____ ___._._� :.._._ _._______.._..._.__.__._.__.�____._ ._._.__.___ .___��.
1 � 0100 SFR OOR3 9,450.00 SF $1.75 = 1.00 $16,538
Additional Land Information
._. ____.__ _.__.._..._..__ __ _..�._..�..__.. _ .._..._�_�...__.._ ..._. ....�._ .__ _.__._�..._�__m__._._.___.._.......�..__ ___. ....._.
Acres 0.22 ! Tax Area 30ZH FEMA , __ Residential Code TYSBLPI
Code
I Buildin�Information - Use O1 - Single Family Residential (Card: 001 of 001)
Year Built 1960 Stories 1.0
E�Cterior Wall 1 Concrete or Cinder Block Exterior Wall 2 Above Average
�oof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
Ihterior Wall 1 Drywall Interior Wall 2 None
F�ooring 1 Asphalt Tile Flooring 2 None
Fluel Electric Heat Forced Air- Ducted
/C Central Baths 1.0
Line f Description � Sq. Feet � Repl. Cost New
___..__.._. x_._. _._. _.. ----- ----_. _.
_.
1 BAS s 1,092 } $53,901
_-. _.__ _. _._....----. .
2 FEA 112 i $3,850
�._��.... �.:._.._..,_. ._ _._._. �.._.. ._—-_. __� _�._ .�___. .........�. ....._�._�. _
__..._.� .... .__.__.__ �_ ._. .
3 FCA ; 529 } $6,516
4 - - FOP � 180 _. .._.. __ _ $2,221
_...�....._ _ __....._�_ __._.. ..__..�. .__._..._ —.__. ..._....�__:....� __ _ _.__ . w.._� _.._._..�_.��__....__�..___ ..,�__. ..._._.
5 AOF i 294 $14,512
..._. ____._ .�__.._._._._._..__...._._ ._.__ __._. .___—�___�,__..�.. �._______
6 UST ; ____98_.�_..._.��.__..�..�-.—. .�1,925 "_.__.
Extra Features (Card: 001 of 001)
_, _ __ ,. _. _.. _ . _ .
_. �...._.
Line i Description Year � Units Value
.__ _.�.. .___ __ ._:.�.µ..�.__.______.__.�_._.... ...._:._.. ._____,.....___..._. �__.__ _..__..__ �
..._�_.�..___�� �_____.� _..____.
1 DWSWC 1960 � 200 ; $99
2 UDU-M � 1988 ; 1 ? $1,160
I . __ ______._�__�_�_...._,_ ...�._._____..... .._. .._.-_.,_._._.�._._.. _��.�... .,_..._._. ..._ .�..._.
__,�_..._...._.___..___._. _.�.. $498
3 DCFENCE ; 2009 � 400 3
Sales History-See All 6 sales
Previous Owner: SMITH BARBARA JEAN
, ._....-:.�....._. .��....�._. . __
Month/Year Book/Page Type � DOR Code Condition � Amount
12/2015 € 9295 / 3512 � � Certificate of Title �� 12 Improved � 23 800
. ___._.�.�. .w.__._�,.._. _ _ ...._ e_..� . _ .�___._. ._..�,._...__..__.._ ._.. ...___._...._�.�....... __��. �. ._..._. .__..__.__ .... __
06/2009 � 8118 / 1366 Warranty Deed ; 01 Improved � $78,000
03/2009 � 8045 / 0246 Warranty Deed � 11 Improved � $0
httI�://appraiser.pascogov.com/search/parcel.aspx?parce1=2126020160002000010 9/27/2016
Pasc County Building Schematic Page 1 of 1
Generalized Building Schematic
02-26-21-0160-00200-0010
Card: 001
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Pasco County Property Appraiser
Page Layout Modified: 9/6/2013 8:36:26 AM
The Local Time Is: 9/27/2016 11:54:36 AM
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Pasc County Property Appraiser Mapping Page 1 of 1
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� � , _ Land Ma ket: $16,538 �__1
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j a = �*� ��,�,�� � '�`Feat res: $1,757 '
� �c� ��'� a�=����', � 'APPrased• �63,904 � ;
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P�SCo CotTl�T7`Y BUSI��:�S5 TAx R�C�IPT �. 2°'7
Issue pursuant and subject to Florida Statufes and Pasco County Ordinances, Issuance does not certify Expires September 30th
com liance wtth,zon(ng or other laws. This receipt must be posted consp3cuousfy in place of business. - ,�s.�.�.
� ` � � � MIKE FASANO � � - `� �
��o� .�
A NT#:: 07647 7YPE OF BUSINESS '• 6.+++f` -
� TAX COLI,F,CI'OR GENERAt CONTRACTOR ""
SIC CODE: �1522.00 pASCO COUI�ITY FIARIDA STATE LICENSE# ,
� ' ' cgc062981
' • ' OWNER/QUALIFYING AGENT
. � BISTON CLYDE ALAN
" CROSS ENVfRONMENTAL SERVICES,INC •
' „ , LOCATION ADDRESS: ,
PO BOX 1299 - . 39646 FIG AVE
CRYSTALSPRINGS,FL 335241299 , ZEPHYRHILLS,FL 33540-3140
� . � ' � � ' DATE RECEIPT AMOUNT
' 09/29/20i6 16-135-004228 207.50 v
------ ------------------------------------------------------------------------
De r Business Owner:
Your 2017 Pasco County Business Tax Receipt is printed above. Please detach the receipt and display
it in a place that is visible to the public and avaiiable for inspection. '
' The Pasco County Business Tax Receipt is in addition to any other license or certificate that may be required
by I w and does not signify compliance with zoning,health, or regulatory requirements.The Pasco County
Bus'ness Tax Receipt is non-regulatory and is not meant to be a certification of the holder's ability to
perform the service for which it is registered.
I
sus�ness Tax Receipts expire September 30th.Annual renewals are mailed in June to the address of record
at t�at time. Please contact our ofFice if there are any changes to your business name, ownership, physical
address,or closing of your business.
Th k you for allowing us to serve you!
, MI E FASANO ,
PA CO COUNTY TAX COLLECTOR
EAST PASCO GOVERNMENT CENTER WEST PASCO GOVERNMENT CENTER TAX COLLECTOR BUILDING
DADE CITY NEW PORT RICHEY GULF HARBORS
CENTRAL PASCO GOVERNMENT CENTER COMPARK 75 BUSINESS PARK
LAND O'LAKES WESLEY CHAPEL
CALL CENTER:MONDAY-FRIDAY 8:30 AM-5:00 PM (352)521-4338 • (727)847-8032 • (813)235-6076
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,. 2016160230
PertnitNo. 17809 ParcellDNo 02/26/21/0160/00200/0010 G
mufo
� � ..�
NOTICE OF COMMENCEMENT ��„
Florida Pasco ' �' `J
State of County of N O 0�
� � Bmm
, THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and in accordance with Chapter 713,Florida Statutes, � ~ �
Of W
, the following infortnatian is provided in this Notice of Commencement: �
1 DescriptionofProperty ParcelldentificationNo. 0?/9fi/?1/MRN(109�0/0010 m �
� �
StreetAddress: 6��8 9$L-S1�PP1,�PPh�/rhj�c�FI � 3 N
• ��
2. General Description of Improvement Demolition of SFR ' " �
n
I va••
,� .
�m�
3. Owner Information or Lessee infortnation if the Lessee contracted for the improvement � '� ��
Carrinetnn MnrtaBe cervinea ; r B
Name N
�Fnn s Ilnu9lac Rri stP�nn-a Anaheim.CA 92806-5948 CA �
Address City State
Interest in Property� OW�e� �
Name of Fee Simple Titleholder
(If different from Owner listed above)
Address Cross Environmental Services,Inc. City State
i 4. Contractor
P O.Box'� Crystal Springs FL
Address City State
Contractors Telephone No. 813-783-1688
5. Surery• � r-+v
Name � m�
i O�r
Address City State �f�',. D
Amount of Bond: $ Telephone No. I �N�
0
6. Lender I �m
Name I�O1�
Address City State '���
A�
Lenders Telephone No.. ��i N o
7 Persons within the State of Florida designated by the owner upon whom notices or other tlocuments may be served as provided by I��''�N
Section 713.13(1)(a)(7),Florida Statutes: j g �
� o
Name C1�.a�
r
m
; �
� o "
Address City State �r_'y�w
Telephone Number of Designated Person: V��o
B. In addition to himself,the owner designates of_ !� �
i to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes. o
r
Telephone Number of Person or Entity Designated by Owner m
�
9. Expiration date of Notice of Commencement(the e�iration date may not be before the completion of construction and final payment to the
contractor,but will be one year from the date of recording unless a different 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 NVICE 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 AlTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT
Under penalty of perjury,I declare that I have read the foregoing notice of commencement and that the facts stated therein ere true to the best
of my knowledge and belief.
STATE OF FLORIDA s�� �y � � ( j��
COUNTY OF PASCO
Signature of Owner or Lessee,or Ow s or Lessee's Authorized
Office r/D irectoNPartne r/M a nage r
Cl���n Yl/�GP ►/�Gl C-U�'
�l Signatory's Tit e/0ffice
_The foregoing instrument was acknowledged before me this�=dey of U(.°'��1�20��,by �TC..V Q— S�1(�Q
as (type of authority,e.g.,officer,trustee,attomey in fact)for
(name party orrbehalf of lfi�n instru ent was executed).
Personelly Known❑OR Produced Identification�- Notary Signature �A
Type of Identification Produced ZlK'\Ue� ��°�ihc� Name(Print) � � �Q V l�
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,.•::��s:d�,- JESS{CACARTER
:t: MY COMMISSION#GG 016457
� ���'°F EXPIRES:July 28,2020
:;,�:„�:•'Bonded firu NoYety PuNiC Ur�writers
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