HomeMy WebLinkAbout16-17893 CITY OF ZEPHYRHILLS
5335-8TH STREET
� (813)780-0020 17893�
� BllILDING PERMIT ,,..��� '�
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 17893 Address: 37535 LAUREL HAMMOCK DR '
Permit Type: MECHANICAL ZEPHYRHILLS, FL. '
Class�of Work: A/C CHANGEOUT Township: Range: Book: �,
Propo�ed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section: ;
Square Feet: Subdivision: OAK RUN -
E�t. Value: Parcel Number: 34-25-21-0100-00000-0230 �
Improv. Cost: 7,900.00 OWNER INFORMATION
Date Issued: 11/08/2016 Name: SNOW LYNNETTE
Total Fees: 75.00 Address: 37535 LAUREL HAMMOCK DR '
Amount Paid: 75.00 ZEPHYRHILLS FL 33541-4254
Date Paid: 11/08/2016 Phone: 813-782-7622
Wo'rk Desc: A/C CHANGE OUT 3 TON HP
� CONTRACTOR S APPLICATION FEES
TEMPRITE AIR SOLUTION LLC A/C CHANGEOUT 75.00
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i Ins ections Re uired �
DUCTS INSTALLED
DUCTSINSULATED
FINAL I
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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 maybe 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
improdements 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 performed in accordance with !,
� City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. �
� NO OCCUPANCY BEFORE C.O. �
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� � N�FRACTOF2'SIGNATURE `- PERMIT OFFI R
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� PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
I CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
� PROTECT CARD FROM WEATHER -
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1161 - - � cnc ia�a39s � �
Date: ��— ���o �,,,,o��e#: - CLUB MEMBERSHIP
Tech name:��l� 5 WO#: Temprite Saving programs have been explained:
TEMPR �T�
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� � ` ❑ Current Member
MAKE MODEL SERIAL AGE COND ❑ Agree to purchase
❑ Decline participation
AHU
813.252.4507
Customer Initials:
WWW.tempriteairsolutionscom �� I have discussed Temprite Air Solutions Saving
�infoQtem riteairsolutions.COm programs with the customer, I have given a copy of
the contract to the customer All work is complete
Name: � PCK and is in compliance with Temprite Air Solutions
��/e � 1 standards of excellence in workmanship and in
Address: . � .., � ..., compliance with building codes.
City:Z I 7 I HIGH , ' LOW ACTUAL MAX Technician Signature:
Home Tel:���i y��� I ��`/�Cell/Fax: BEFORE
Email:
Reason For Call: S�� a ��„ �o.�C �,�� AFfER INDOOR AIR QUALITY
❑ Attn.Supervisor ❑ Follow Up Air Handler ❑Ok ❑Dust ❑Growth ❑Dirt
❑ Work Complete ❑ Work Incomplete BRAND ❑ S/H ❑HP ❑VERT ❑HORIZ TONS slower Wheel ❑Ok ❑Dust ❑Growth ❑Dirt
p . fi s s`• ' _. p ` � . p`�" � . � � ' 1 � ,�m , ,; , = Evaporator Coil ❑Ok ❑Dust ❑Growth ❑Dirt
r� � ! � j Ducts and Vents ❑Ok ❑Dust ❑Growth ❑Dirt
o /✓ �'� .,� / .r- i d' •4
a � PAYMENT OPTIONS
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- -- ❑ Cash ❑ Check#
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Z ❑ Credit Card ❑ VISA � MC ❑ DISC ❑ AMEX
o °" �O /� �''�I' 1/ �` C'Q
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° Name on Card:
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� O' -�C�. /I/G�G�✓
� � Card Number:
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�-✓� /U� O i.� Z � a - CV2: EXP:
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� �,�C � U ��✓, � 9� Signature:
o /� _ ° I hereby acknowledge the satisfactory completion of the work as noted on
W C r / C.'� 1 Q�Le. this invoice.It is agreed that the seller will retain title to any equipment or
a material until final and complete payment is made.If the settlement is not
omade as agreed,the seller has the right to remove equipment and material
and the seller will be held harmless for any damages resulting from the
� removal of equipment.Terms include 1.5%monthly service charge if not
paid in 30 days.In the event of non-payment of the specified"total",a lien
against my property may be pursued and I will be responsible for practical
Agreeme;r;(ar Service:I,the undersigned,am an authorized representative of the premises at � STANDARD vs MEMBER TOTALS ,� attorney fees,collection cosu,and interests.
which the work above is being done.I authorize the performance of the work as noted on this ; /--�� � _ ____ - - - - - -- - — --
invoice.i acknowledge that the estimated price does not include unforeseen_parts or_la6or_which-_—_-- _ -- - - "- - Parts and Labor Warranty:
may.be needed after the work begins.My written aulhorization will be obtained before beginning 4 CIUb'MErtlblf`58V117g5 $' ' ' • All parts as recorded are warranted as per manufacturer specifitations.We
any additional work.I h read this contract,an a e to 6e boy� d by all terms contained herein. � do not guarantee other parts than those we supply.If repairs later become
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necessary due to other defective parts,they will charged separately.We
Signatu�e: ''• s � r • � ��b�j , � guarantee that all repairs are done right.If a repair fails during the season,
eb acknowledge the satisfactory completion of the above work _ we will repair it again absolutely free.
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CAC1818393
; 938 E 124T"Ave
Tampa, FL 33612
813-252-4507 Office
813-252-4570 Fax
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Authorization Letter
I� Christian Lee, owner of Temprite Air Solutions, LLC authorize the
following individuals to sign and obtain permits.
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RITA BARRETT
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��ANDIE BARRETT '
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Signature of qualifier
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i =���+'s ' CANDIE BAF2RE77
:;�,0. ���S��us GG 020553 ;
"''`•�,R�F�q••• 8onded Thru No 2020 �
"�" tary Pubfic Ur�de�
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s�'3aso-oo2o City of Zephyrhills Permit Application Fax-813-780-0021
' • Building Department
(
Date Recelv�d Phone Contact for Permitting _ i
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Owner's ldame /►-� "'7�-� U ft/G�G✓ Owner Phone Number Q �cJ � �U�' / 7" �
Owner'sAddress � � �� �� �^mD��G .Y - OwnerPhaneNumber �
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Fee Simple Titleholder Name �� � Owner Phane Number � � �
Fee 8imple Titleholder Address
.lOB ADDRESS �7 S. � �� �'UG'���� �� h f��l j ���" � �`LOT# ��
St18DIVISION j�,¢'/l�'�� ���� =f- I �,a�c���o# ,��„2� t� �f� t���vv �'1:�.��
I (OBTAINED FROM PROPERTY TAX NOTICE) �
WQRK PROPOSED e NEW COiVSTR 8 ADDIA�T [� SIGN Q Q DEMOLISH
j� INSTALL 'REPAIR
PROPQSED USE Q r SFR Q CQIIAM � QTHER
TYPE OF CONSTRUCTION Q BLOCK - [� FRAME � STEEL Q �
4. / / /
DESCRIPTIO I OF WORK G� / fi/.I�ti . O�✓��` � :
BU1�.DING StZIE SQ FOOTAGE� HEiGHT � �
����Id��� r' � VAIL?ATION OF TOTA[.CQNSTRUCTEON
L
QEL�CTRICAL $ A�+IP SERVICE Q PR{}GRESS ENERGY Q W.R.E.C. .
OPLUi BtNG $
QMEG�ANtCAL $ . VALUATI4N OF MECNANIGAL INSTALLATION ;
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QGAS Q ROQFING � SPEClAE:TY �] t?THER
FINISHED FLOOR ELEVATIONS �___� FLOOD ZONE AREA DYES NO �
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BUILDER � COMPAIdY '
SIGNATURE ' REGISTERED Y/ N FEE CURRE� Y/N
Address ; License# �� �
ELECTRICtAN �i .• COMPAi�tY `
SIGNATURE i REGISTERED Y/ N . FEE CURRE� Y/N
Address License# �— V � �
P�UMBER; COMPANY
SIGNATURE �REGISTERED Y�/ N FEE CURRE� Y/N
Address " License#'���� � �
I `� t rL .�l�ItN-t'1(Ir�'
' MECHANICAl. � COMPANY ,�t�" �i -� l�r
SIGNATURE REGISTERED Y/ N " FEE CURRE� Y/N
Address - , .�G� S f ,Z�(� (1"� !v j• ���' � �icens,e# ��� /Q �tT � /.� I .
OTHER� �`` � ' = COMPANY
SIGNATURE� ` REGISTERED ,.Y/.N . _ FEE CURRE�' . Y/N
Address�- , License# �— �
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RESIDENTIAt.,' 'I Af#ach{2}P16t Plans;`{2)s`ets of{Baililing=Plans,'{1)se#of'Energy,Farins;R 0-W Pe�n9t.for new.construction,
, i, ; t , Minimum:ten°.(,10)working,iJays after'subrriittal.date. Required onsite��Constriictian Plans,Stoimwater.Plans w/Silt Fence installed,
Sanftary Facilities,&�1•dumpster;Site:W.ork Permtt for.subdivisionsllarge projects
-.._-COMMERClAl. � Attach�(2)'coniplete sets of Building PEans plus a t,ife Safety Page;{1}set of Energy Forms.-R-O-W Permit for new consfruc8an:--__.�,__�—__
Minimum ten(10)working days aRer submittal date. Required onsite,Canstruction Plans,Stormwater Plans w/Silt Fence installed,
' Sanliary Facilities&1 dumpster,Site Work Permik fo�a!i new piojects.All comm�rciat requirements must mee#comp!lance
;�SlGN PERMIT � A#taoti(2}sets of;Engineered Ptans. ° ,
"`*PROPERTY SURVEY�equir.ed foc aII.NEW construction.
,:"Direction"s: � . _.,- , .
Fill out appli�ation completely.
Owner&Contractor sign back of appEication,notarized
If over$2506,a Notice of Commencement is required. (AlC upgrades over$7500}
" Agent(far the'c"ont�actor}or Power of Attomey(for the owner)would be someone with natarized letter from owner authorizing same
w, OVER TtiE COUtdTER PERMITTING (copy of contrac#required} �
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
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Driveways-Not over Counter if an pubiic�roadways..needs ROW
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Ni3TICE OF DEED RESTRtCT10NS: The undersigned understands that this permit.may be subject to"deed"_restric�ions",_`,
which may-be more:restrict9ve than Ca.unty r.egulations: The�undersigned-assurries�respcinsibiiityfor compliance with any-�
applicable deed restrictions. .. � �
UNUCENSED. CONTRACTORS AND C�lNTRACTOR RESP.ONSlBIUTIES: If the owner has tiired a��contractor or
contractors to undertake�wark, they may be re,quired to be licensed in accordance with state and�local regulations. �lf the �
cantractor is .not licensed as required by (aw, both'the owner and:contractor-may��be cited for�a misdemeanor violation ,
under state iaw. If the awner or intended contractar are uncertain as to what licensing requirements:rna.y,�appiy�:for.the:�• "�
intended wor-k, they are advised#o coritact the Pasco Gaunty Buiiding Inspectiori�Division=Licensing Section at 727=847-
80Q9. Furthermore, if the owner has hired a contractor or contractors, he�is advised to have the contractar(s} sign ,,,
partians of the "contractor Block" of this application for which they will be responsible. If you, as tfie�owner sign a`s the `
contractor, that may be an indication that he is not properly licensed and is not entitled-to permitting privileges in Pasca
county. _ - � t
TRANSPORTATION IMPACTLUTtLIT1ES IMPACT AND RESaURCE RECOVERY FEES: The undersigned understands
that 1'ranspartatian impact Fees and Recourse Recovery Fees may.appfy to the canstruction af new buildings, change`of' `
- use in existing buildings, or expansion of existing.buildings, as speci�ed in Fasco County Qrdinance numbec$9-47 and „
90-OT, as amended. The undersigned also understands, that such fees, as may be due, will be�identified at:the�tiriie of
permitting. It is further understoad tha#Transportation Impact Fees and Resource�Recovery. Fees mus# be paid prio� to ,
receiving a "certificate of occupancy" or finai power re(ease. If the�praject daes nat involve a certificate of occupancy-or.� ,.
final power relesse, the fees must be paid prior#o permit issuance. F.urthermore, if Pasco County Waterl�ew,er•Impact.
fees are due,they rr�ust be paid prior ta permi#issuance in accardance with applicable Pasco County ordinances.
CClNSTRUCTION LIEN�LAW{Chapter 743, Flarida Statutes,as amended): if valuatiort of work is$2,500.0.0 ar more, I,. .
certify that 1, the applicant, have been provided with a copy� of the °Florida ConstrucEion Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. !f the applicant is someone
ather than the`bwner�, ( certify that I have abtained a copy of the above described'document and promise in good faith to
deiiver it to the."awner"prior to cammencement. � �
GONTRAGTQR'SfOWNER'S AFFIDAVIT: 1 certify#hat aH the information in this applicatian is accura#e and that ai(work
wil! be done in compliance with all applicable laws regulating construction, zoning and land-developrrtent. Applicatian is
hereby made to ob#ain a permit to do wark and installatian as indicated. 1 certify that no work or installation has
commenced prior to issuance of a permit and that all work will be performed to meet standards of a!I laws regulating
consfruc#ion, County and Cify codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that 1 understand that the regu(atians of ather gavernment agencies may apply to the intended work, and that it is
my responsibility to identify what actions I must take ta be in compliance. Such agencies inc{ude but are not iimited to: �
- Department of Environmental Protectian-Cypress Bayheads, Wetiand Areas and Environmen#ally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheadst Wetland Areas, Altering
Watercourses.
- Army Carps of Engineers-Seawa{is, Dacks, Navigable Waterways.
- Department of Health & Rehabititative Services/Environmental Heafth Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Pratection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
t understand that the follawing restric#ions apply to the use of fill:
- Use of fil!is not aliowed in Fiood Zone"V"unless expressly permitted.
- !f the fil! material is to be used in Flood Zane "A", it is understood that a drainage p(an addressing a
°compensating volume" wilt be submitted at time af permitting which is prepared by a professional engineer �
licensed by the State of Florida.
- �f the fill material is ta be used in Flood Zone "A" in cannection with.a permitted building using stern wal!
canstruction, t certify that filt will be used anly to fill the area within the stem wall.
- If fil! material is to be used icn _any area, t certify that use af such-fill will nat adversely affect adjacent
properties. If use of fiil is found ta adversely affect adjacent properties, the owner may be cited for viala#ing '
the conditions of the building permit issued under the attached permit applicafion, far lots less than one (1)
acre which are elevated by fill,an engineered drainage plan is required. �
if I am the AGENT FOR THE OWNER, I pramise in good faith to inform the owner of_the permitting conditions set forth in �
this affidavit priar to commencing consfruction. ( understand that a separate permit may be required for electrica! work, �
plumbing, signs, wells, pools, air conditioning, gas, or ather installations not specifica(ly included in #he applicatian. A
permit issued shall be construed to be a license to proceed wi#h the work and not as autharity ta vialate, cancel, alter, or
set aside any pravisions of the technica! codes, nor shall issuance of a permit prevent fhe Building tJfficia(from thereafter
requiring a correction of errors in plans, construction or violations of any cades. Every permit issued shall become invafid
un(ess fhe work authorized by such permit is commenced within six manths af permit issuance, or if work au#horized by
the permi#is suspended ar abandaned for a period-of six(6) months after the time the work is commenced. An extensian
may 6e requested, in writing, from the Suildirig Official for a periad not to exceed•ninety (90) days and will demonstrate
justifiable cause far the extension. If wark ceases far ninety{90}consecutive days,the job is cansidered abandoned.
WARNING TO OWNER: YOUR FAILURE TC1 RECORD A NOTlGE�OF GOMMENGEMENT MAY RESULT tN YOUR
PAYING TWtCE FCiR IMPRUVEMENTS TO YOUR PROPERTY. !F YOU=INTEND TO�BTAIN�FINANCING,CQNSULT
WiTH YOUR LENDER OR AN AT"TORNEY.BEFORE RECORDING YOUR�NOTICE OF COMMENCEMENT. ._ �
FLORlDA JURAT(F.S.917.03�_-= .__ __—_ . --`——_----.- __..__—�--- -
OWNER OR AGENT CONTRAC70R
Subscribed and swom to{or affirmed)befare me thls Subscribed and swom to(or affirmed}before me this
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Wfio islare persanaiiy known to me or has/have produced ' Who is/are personally known to me or has/have produced
as identifica6on. as identification.
Notary Public Notary Pubfic
Commission No. Commission No. �
Name of lVotary typed,prtnted or stamped Name of Notary typed,printed ar stamped
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�� 11lIIIIIIIIIINIIIIIIIIIllll4l11111111111111111!{!l1111C1�11 ;'�
i 2016176393
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� ; Rcpt:l$13920 Reo: 10.0@ !
, DS: 0.00 IT: 0.00 , -
Permit Number 11J0'712016 K. K. , Dpt,v C I erk i ..
Parce((i Number -3 c�-�—?�f _��dv G o pu o �'�3.C? I
N O Ti 1 C E V F G l'! liffl M"E N G E M E.N T 11/07/2016 1�D1$ m4 GiERK�f CiMPTROLLER`
Sta#e o# F{orida OR BK �L� 'r�" � pG 344? �
County'�of Pine(las �
THE UN�ERSlGNED he�eby gives notice that improvements wi8 be made to certain real property, and in accardance with Section 713.13 of the
Ftorida Statutes,the foHawing informafian is provided in this NOTiCE OF COMMENCEi�ENT. !
1.Descr�pffon of groperty(lega!descriptFon): "�`1'S��j �,.S�l.r�-� �.'�c�'CC`�.,�'.C. \ c`�� �.�y'�<�LlS � �j�{1
a}Street(job)Address; ;
2.Genera�descriptian of improvements: �n"c�ti �,V Q� �� ��..�c � ---
�
S,Owner It�formation or Lessee inforrrtation if the Lessee conQracted for the improvement: j
a�Nar�e and address: ' �.._��,c1�e... ���, '�����a.��-� �'C'��'`�?�`���2-2.�rlt�.«���� 3����
b}Name and address of fee simple tifieholder(if different fhan Owner fisted above} � � -
4 { ,
c�Inter�est in property:
4,Cantractor tnformation i
a}Name and address; -�r� ��.. ��C �:� �� 7�t9-_�,�.n� ��,�tYl �
b}Teiephone Na.: ��\'>>�,�-y�p� Fax No:(optiona!)� L `�
S.Surety(if app(icable,a copy ofi ihe payment bond is attached} �
a}Nam�e and address: i
b)7elephone No.: i -
c)Amo�nt of Bond; $ ; �
6.Lender ��� � ;
a�Name and address: ! �
b)Telephone No.. �
7.Persons�wifihin the State of Florida designated hy Owner upon whom notices or other docume�ts may be served as provided by Secfion
713.13(i1}(a)7.,Florida Stafu#es: , ,
a)Name and address: � ,
b)7elep�one No.: Fax Nn.:(optional) { ;
8.a.ln addi.tion to himsei€or hersetf,Owner designafe� ( of
to rece�ve a copy of the Lienors No#ice as provided in secfion 793.13{1}tb}, �lorida S�atutes. '
b)Phone�INumber of Person or entity designated by Qwner: �
9.Expiratlott date of no�ice o#commertcernent{the expira8on date may not be before fhe completian af consfruction and final payment to the
contractor,but wiii be 1 ear from the date of recordin unless a different date is s ecifed: � ,20 ' �
WARIdING T`4 OWAlER:ANY PAYi�ENTS MADE BY THE OWNER AF3ER THC �X�IRATtON t?�F Tf�E �fOTiC� OF CO�iMENC@MER1T ARE
CONSlDERED lMPROPER PAYME�ITS UNDER C{iAPTER 7�3,PA�'F I,SECT{Ot�7'i3.�3,FLOR(DA STATUTES,AND CAN RESUL7(i�VOUR
PAYl�G 1'WICE FOR If�PROVENi�NTS TO YOUR FROPERTY, A�IOTiCE OF COMM�NCEMEAI� MUST BE RECORDED AND POS'TED Ofl!
THE JOB SITE BEFORE THE FIRST INSPECTIOPI. [F YOIJ IfdTEND TO O�T,4lfV Flf�AtVGltdGr C�1�S!!LT WlTH YOtIR LE�lQ�R OR ,��!
ATTQRNEY BEFORE CqMME1dCliVC INORK OR RECQRD[t�G YQUR NQTICE 0�C4MME�fCENlENT. ,
Under penal�y of perjury,!decia�e that f have read tE�e foregaing notice ofi commencement and fhat the�facts stated therein are true ta the best of my �
knawl '�d lief. � � � � '
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(S g o� ner or E.essee,or Owners or C. ae's{A thorized 4#�certDire�tor/PartnerlManager} ( int Name and pravide Signatory's TiUe/Qfficej
The foregoin !i strument was acknow(edged before me this �t�' day af t��tQ�ce��;"` ,2Q\�( .
by ��21�� ��C�'�. 2S '�.th�-- {type of authorify,e.g.a�icer,husiee,attomey in fiact) i
for � ,as � � �i
{Narne of Person) (type of sutha' e,g.a�sicer,trustee,attorney in fact} �
foc (name af ha Enstrument s execn
Personafly Knawn � Produced ID �:,.�..�< ,�� i
Type of ID I ` i Natary Sig ture i
i,.;�c:"'�. Print
r�,: "�4e�'.. µY COMMISSION#G�020553 '
�_ �}(P1RES:August 11.2020
�''�'' •o?� BondedThfUNotaryPublicUndenv��'
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�' ' '°' ��, THIS ISTO CERTIFY7HAT7HE FOR�GOING IS .
' ` '� T�l)E AND CORRECT CQPY OF THE DOCUMENT
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��� n�- pN FILE OR OF NU�-�p�F�C�SEA'L��SICE
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`� K&COMPTROLLER
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�"0�;�;�� �,•� pEPUTY CLERK I
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