HomeMy WebLinkAbout16-17920 .�
' 'f CITY OF ZEPHYRHILLS
5335-8TH STREEf
(813)780-0020 �7 ��
�i BUILDING PERMIT �
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' PERIiIIIT INFORMATION LOCATION INFORMATION
Permit t�urrzber: 17920 Address: 37538 LORENA AVE �t�T 134
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Ciass of Work: RQOF REPLACEMENT Township: Range: Book:
Propos'�d Use: MOBILE HOME SUBDIV(SION Lot(s):134 Block. Section:
Squa�e Feet: Subdivision: GRAND HORIZONS
Es#�. Vaiue: Parcel Number: 34-25-21-0090-fl000p-1340
Imprav. Cost: 7,5Q0.00 OWNER INFORMATION
�ate��ssued: 9'EI'1712096 Name: SOLANO NENRY
Total Fees: 75.00 Address: 37538 LORENA AVE
Amot�nt Paid: 75.OQ ZEPHYRNILLS, FL. 33542
Date Paid: 11/17/2Q16 Phone:
Wor',k Desc: RE ROOF SHlNGLE
I CONTRACTOR S APPLICATiQN FEES
RYMAN ROQFWG INC REROCJF RESIDENTIAL 75.OQ
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' 1ns ections Re� uired �
D INR� FIN F'
TAPE JO(NTS ROOF INSP
FINAL ���. a9��
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REINSP'EC'fION FEES: (c)With respect ta Reinspection fees will comply with Flarida Statute 553.80 (2)(c)the
focat government shall impase a fee af four times the amount of the fee imposed for the initiat inspection ar
first reinspection,whichever is greater,far each such subsequent reinspection.
NOTICi : In addition to the requirements of this perrnit, there maybe additional restrictions applicab(e to this properly that
may be faund in the pub(ic records of this caunty, and there may be additianal permits required from other governmental
�� entities such as water management, state agencies or federal agencies.
"Wa'IIning to ownerc Your failure to record a notice of commencement may resul#in yaur paying twice for
impr�vements to your property. If you intend to abtain financing,consult with your lender or an attorney
Gj, before recording yaur notice of commencement."
Camp ete Plans,Specifcations Must Accompany Application.All we�rk shall be pertormed in accardance with
� Ci Codes and Ordinances. NO OCCUPANCY BEPORE C.O.
� NO OCCUPANCY BEFORE C.O.
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�'C NTRACTO IGNATURE PERMIT OFFI R
! PERMIT EXPIRES IN fi MCiNTHS WITHOUT APPRClVED INSPECTION
� CALL FOR INSPECTTON - 8 HOUR NOTICE REQUIRED
( PROTECT CARD FROM WEATHER
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I Fax-813-780-0021
813'780-0020 City of Zephyrhills Permit Appiication
I Building Department
Date Receive�d ] �] Phone Cootact for Permitting �� r�� -- ��� _
I � �. 1— I �
I� ��( �D Owner Phone Plumber V - /� � �?��
Oweeee•s;Name
.,.. ;,�,�::. .
,�' ' `' 3' J 3g, l.(j���-1nQ t"1�/� ►1 �hl r�5 3 �'OwnerPhone Number
O,wner's�Ad ress.;. ,
Fee Sim le�itleholder Name Owner Phone•Number
P � , � .
•Fee Simple itleholder•Address �
.lOB;ADDR. S5'�, . ' S 3 l� l,�����C'(. 1/'�. � �hif I 'S �l 3 3 5�r I �oT# u�--�
,:.�, ::: �, � :
SUBDIVISION rQl�� �D��� �►�5 Q S-z ( tPAE3CEL:�ID#. ��-��-a �"d��d -��� r 3 y�
, • . , ' �(OBTAINED FROM PROPERTY TAX NOTICE)
W.ORK;PRO OSED�, e NEW CONSTR ADD/ALT C✓J� SIGN Q MOVE Q DEMOLISH
'` ' � ` �` ` � INSTALL 0 REPAIR J
PROPOSEq USE . , Q SFR �] COMM Q OTHER � �
TYPE OF CIONSTRUCTION Q , BLOCK � � FRAME Q STEEL Q OTHER
� � � �� � f�e�1� e� re-�oof' �5 c�eS �AFT��n�J���-� �f 5��� 1�S
DESCRIP.TION,O�aWORK•
.� :.•� �:-.�h'i...•:.•2•.i:..' .. .i�
BUILDING SIZE; ,SQ;FOOTAGE � I I I HEIGHT
. .,
Q� B ILDING , $'";;_, �:;�::��i`��?;��^;,.;;'`'•,° �.VFli:UATIQN`:OF=1'OTAL,CONSTRUCTIOM • .
�'' 4� - :�.,
Q E ECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
� P UMBING $ � I
Q ECHANICAL $ , VALUATION OF MECHANICAL INSTALLATION ��� I
Q �AS Q ROOFING � SPECIALTY Q OTHER
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FINISHED IFLOOR ELEVATIONS FLOOD ZONE AREA QYES ONO
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8U16.DEP� ' COMPAMY
SIGNATU REGISTERED Y/ N , FEE CURRENT Y/N�
Addr�ss ' License#
ELECTRIC�AN . ' , . • ' COMPAfdY - •�
SIGNATU E REGISTERED Y/ N �FEE CURRENT �Y/N
Addr�ss � � ' License#
PLUMBER C0119PANY
SIGMA'I�U E ' REGISTERED Y/ N FEE CURRENT Y/N
Addr ss License#
!I • • ' .
AAECFIANICAL COMPANY •
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N
Addro�ss . ' License# �
OTNER;.�i._�. J'IG�l.�(,UCJO(�\ ;COMP..ANY. �Q� OO n -�I-rnCC ' '
SlGNA'�URE;� � � " ,REGISTER�D N FEE CURR T /N •
Address � �� SI\ �!�1 � �h� ��S �J 3 S� I �`License# ��—I�ZS��
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RE5IDEN I 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.' Requireii onsite,�Gonstruction'Plans,.Stoimwater Plans.w/Silt Fence installed;
Sanitary Facilitles•&'1 dumpster;,Sife V11ark Permlt for subdivisions/large projects
COMMERCIAL Attach�(3)sets ofBuilding Plans;(1)set of Ene�gy Farms.R-O-W..Permit for new construction:--= --
Minimum ten(10)�working days after submittal date. Required onsite,Constiuctlon Plans,Stormwater Plans w/Silt Fence installed,
Sanitary FaciAties&1"dumpster.Sfte Work Permit for_all.new p�ojects.All commercial�requirements must meet compliance�' �
SIGW PEiMIT Attach(2).sets of Engfneered Plans.� =-:-"f . •
`"*'PROPERTY SUR�Y�requirecl for all NEW construction.
Disectlon�:`= -• ,-� , ,� � ._ - • - . � . --
�� Fill out application completely. ' � � . �
Owner&Contractor sign back,of application,nofarized ' " � � , •
' If ov�er$2500,,a Notice of Commencement is requlred. (A/C upgrades over$5000) !, ' � -'? � _�
*" ,,�Ager�t(for,the.contractor).or Power of Attorney(for the owner)would be someone with.notarized letter fcom owner authorizing same �
'OVER TH�COUNTER PERMI7'TING (Front of Application Only)
Reroofs Sewers Service Upgrad�s A/C Fences(Plot/Survey/Footage)
Driv Iways-Not over Counter if an public roadways..needs ROW
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NOTICE OF DE�D RESTItIC'�IOMS: The undersigned understands that this permit may be subject to"deed°restrictions"
which may be mote restrictive than County regulations. The undersigned assumes responsibility for compliance�with any
applicable deed restrictions. '
IJMLICENSED CQ(dTR�►CTORS �►fdD COPITRACTOR RESPONSIBiLOTIES: If the .owner has hired a contracto� or
contractors to undertake.work, they may be required to be licensed in accordance with state and local regulations. If the
contractor 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 confractor are uncertain as to what licensing requirements may apply for the
intended work, 4hey 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
portions of the "contractor Block" of this application for vuhich.they wi!! be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not �ntitled to permitting privileges in Pasco
County. � .
YRAWSPORYATION IIVIPACT/UTILITIES IR�IPACT APID RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in 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
permitting. It is further understood that Transportation Impact Fees and Re�aurce Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco Coun#y Water/Sewer Impact
�fees are due, they must be paid prior to permit.i5suance in accordance with applicable Pasca County o�dinance"s.
COIdSTRUCTIORI,LI�N LR►!fl!(�hapter 7'�3, �loridla Sita�utes, as amended): If valuation of work is $2,500.00 or more, I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien La.w—Homeowner's
Protection Guide" prepared by the Florida Departmer�t of Agricultur� dnd Consumer Affairs. If the applicant is�someone
other than the"owner", I certify that I have obtained a copy of the above described document and promise in good fiaith fo
deliver it to the"owner"prior to commencement. •
COFVTRACTOR'SiOWIdER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
will be done in compiiance with all applicable laws regulating construction, zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work will be performed to rneet standards of all laws regulating
construction, County and Cifiy codes, zoning regulations, and land development regulations in the jurisdiction. ( also
. certify that I understand that the•regulations of o#lier government agencies may appiy to the intended work, and that it is
my responsibility to identify what actions I must takP to be in compliance. Such agencies include but are not limited to:
- Depar�ment of Environmental Protection-Cypress Bayheads, Wetland Areas and Erivironmentally Sensitive �
Lands, Water/Wastewiater Treatment.
- Soufhwest Florida Wate� Management District=Wells, Cypress Bayheads; Wetland Areas, Altering
Watercourses: ' ,
- Army Corps of Engineers-Seawalls, Docks, Navigable Wate�virays.
- Departrrient of Healtti & Rehabilitative Services/Environmental Health Unit-Weils, Wastewater.Treatment,
Septic'�anks.
- US Environmental Protection Ngency-Asbestos abatement.
- Federal Aviation Authority-Runways. -
! undersfand that the following restrictions apply to the use of fill:�
- �Use of.fill is not allowed in Flood Zone"V"unless expressly permitQed.
- 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�lorida. -
- If the �II material is. ta be used in Flood Zone "A" in connection with a permitted building using sterri wall
construcfion, 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 am the AGENT FOR THE OlfifNER, I promise in good faith�o inform�th�e owner of the permi#ting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required�for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in�the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to.violate; cancel, alter, or
set_aside any p�ovisions of the technical codes, nor shaEf issuance of a permi#prevent the Buildir�g Official from thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become.invalid
unless 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) manths after the time the work is commenced. An extension
may be �equested, in writing, from the Bu,ilding �Df#icial for a period not to exceed ninety (9p) days and will demonstrate
justifiable cause for the extension._If work ceases for ninety(90)cansecutive days,th�job is considered abandoned.
MlARf�ING TO Od1lR7ER: YOUPi F�11LU9ZE TO.EtECO�D R� iV0'TO�E OF C�flflN1�NCE�IiEfdT 11fiAlf RESl3LY IW YOUI�
PAYING'�UICE FOR IMPROVE�IiEIdTS TO YOUR PROPERTY. IF YO.0 IPITEWD TO OBT�►IN FIPIANCIfdG, CONSULT
lNI4H YOUR LEP�DE92 Oit APl AT'TOFZNEY BEFOF�E GZE�ORDIiVG YOUIZ fdOTIC�OF COMIIAENCEMIENT. •
FL�RIDA JURAT(F.S. 1•7.03) 1 • ___� 1 `�,
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011YMER;;QR?%IAGENT�::� a ��._ , .:,�A.���__i:COI�lTRACTOR: :'° _ � .
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o is/are personally krt wn to m e o r h a s/h a v e p r o d u c e d Who is/are personali y kno to me or has have produced
as identlfication. as identiftcation.
o,�aY Pv� Notary Public State of Florida ' =o�par Pu�^ Notary Public State cf Florida
r � T �rrda�ero , Tamm Pd$��f@lic
� y om iss on�184019 N„ o� My Commiss�on FF 184019
?oF�� Expires 12/16/2018 ission No. 9jPOFwoa Expires 12l16/2018
Commission No.
Name of Notary typed,printed o�stamped Name of Notary typed,printed or stamped
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'=�a ERICAN :�;}�; 1/
`'`R �;' R\,man Roofin(�J, Inc. �RES ;_;;�a �� ��
,r ,, J J 5%fee for credit cazd processing.
'`� ,-�=::- _v�r A Division of Ryman Construction,Inc.
�?''���' �»� Pro osal#
�� �T�`� 36413 SR 54 •Zephyrhills, Florida 33541 P
���:� �`���'' ��!`:`"�` P hone (8 1 3)7 8 2-6 0 9 4 • Fax(8 1 3) 7 8 8-6 7 7 3 NO.
,..G.r:_F:�-� 0025
� ''�`: A O�c Estimate#
1-855-Go-Ryman (1-855-467-9626) • Lic.#CCC 1325505
'i O www.RymanRoofing.com
� Serving all of Central Florida Job#
OwnedPurchaser. Henry Solano Date: 10-20-2016
Claim#: i InsuranceCompany:
Policy# I
Job Addresi: 37538 Lorena Ave. city: Zephyrhills Z;p: 33541
nnaii to Addr;ess: E-Maii address: Hsolano1 @tampabay.rr.cc
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Home #: $13-783-2707 Cell #: Business #:
✓❑Comilete tear off of existing ASphSlt ShltlgleS Additional Notes/SpecialConcerns:
� Install ncw GAF Timberline lifetime dimensional
J� Secu're all loose roof decking as needed according Shingles
to Fltlrida Building Codes
0 Roofdr�ed��w�tn Svnthetic underlayment
�� Install new 2x4 skylight ( 1 ea.)
,
❑✓ InstafI new valley metal with galvanized metal Install new solar tube lens cap. ( 1 ea.)
❑✓ Install new 6 "drip edge color:(�fU��`
ii
� Install new lead boots Existing metal chimney pipe to remain
J� Install all new general roof vents
��
� Install new ✓❑Shingle �Metal �Tile
� �Modified Butimen ❑TPO DAV discount $250.00
0✓ Manil facturer (snin9ie, metal or tiie)
ManIufacturer �vo o�nnoa. s�t�me��
'�ColoP:(Shingle,MetalorTile) �,G
Col I�:(TPOorMOD.Bitumen)
✓� All roof related debris removed from job site, pick-up loose
nail�using commercial grade magnet
✓� All m�Iaterials, labor and permits furnished Base Price*$ ���0 0.0 0
0✓ ProVide a 5 labor warranty
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Additional I+tems:
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Payment II ethod: �Check# �Cash Financing �Insurance Claim �,
❑ Credi�Card# p. Date CC ID#
Down Pa I ent:$=��� (1. �i Amount Financed:$ Approx.Monthly Payment:$
P a y m e n t r m s: Balance in full u pon com pletion
Extras:
*Base Pri e does NOT include any unforeseen costs as described below unless indicated in"Additional Items"above. oustomermitia� ��
�Defici�nt 1/2"plywood replaced at a cost of$ 65.00 per sheet in the roof field,which includes labor&materials.All other wood work/ad-
i ional la�or,such as, but not limited to,valley rebuilding, rafter replacement, 1x decking,etc.will be a rate of$5.00 per lineal foot plus the
cost of materials.
THIS BEC�MES A BINDING 0 TRACT UPON ACCEPTANCE OF PROPOSAL.PURCHASER ACKNOWLEDGES RECEIPT OF A COPY OF THIS CONTRACT.
u
, I ACCEPT�HIS PROPOSA. AND HEREBY CERTIFY THAT I HAVE READ AND FULLY UNDERSTAND THE PROVISIONS 0_ THIS ONTRACT.
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�w . ���J'��.�. ��: � � �;w
Purchase�: �� �'�''�"F�'s''��'
f�?,�t':�F'-�.�'�i��.-._V_En�.i��t -�«,.� �.�.�.,,a^• .�Nx
I Date.�...��.:�:� . � • ��kn:::��
Purchase: Estimator ROb NOOJIII
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� 2026181050
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' Pertntl No. �� • Parcel fD No � �_��~�� ~ ���O ^ �`�� � ��O
�' r AOTICE OF COIVifl�ENCEMENT � ' r'`..��
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('� .�....�
State ot �i � County of � `�' � � �"'
, �� � h�B�
7HE UNDERSI,GN�D hereby gives noUce that improvement wfll be made to cedaln real propeRy,and In accordance wlth Ghapter 713,flodda Statutes, N LD Oo
ihe foliow(ng infortnation Is provided(n fhis Notice of Cammencemeni �ry /�./��} ��`��(� U �S+�
t. Des IcrtAtlon ot Propsrty� Palcet tde�Rcatibn No. ���'✓ ���~ I.JL.� 1 � - '�"-`"'`� Y j� ` � 01 W
Stregt Addtess: 5 3 �a i e.��.- vC' rh I[(.s F �3��f{ � �
2. Genllral pescripiion ot tmpravement ���
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3. O I er tnfotmai n ar Lessee Inf etlan If the Lessee contracted far�lhe Improvemenl: � ���
II Q� `\ Q.n� f � ,O O t9
I Nam ����v l..Ul1..�Q Z I �1 J �f 7�J�( K �
Address Ctty State n
lnierest tn Property. '-
'I � to
� Nali e of Fea Simple Titlehatder. �
; (If differ,gnt irom Owner Iisied adove)
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Adtlre'ss ',M n n � r� ��C c�ty State
� A. Go traciar �+1�S, /''' )
p� I� Name � 1 hlr��5 �"'_L___�_ '"�j3,51�J -
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Ad'dress ! �/�,^� �} r( City � State �n
Contraciots Tetephone No.�t�� �d ��� t _� O��
�Na
5, Siirely: �Ts�p
I) TJama ,�/ 7'C�
I Y "' Z
� A�dress • C(ty Stale ,//nr��
'' Tete hone No.: V�
Afnaunt at Bond: S P ��m.�
�+�'
i 6. ��I nder. � ��N
Name �_ ■�
'r�a D
�ddtess Cify Stete 3 n
0
nders Telephone No.� "0
� C1�+r�-
7 ersons within the Stffie oT Florida designated by th�oumer upon whqm natices or other documents may he served as provided by �
�ection 713.i3(1}(a)(7),Florida Staiutes: N �j' �,,,.�p'�
O ame �'r•o
��Vp �
W �
� dGress Gty State o
��elephone Number of Designated Person: m
B. ��In add'Aion to himself,the owner deslgnates 1� ' af_ A
ta receSve a copy of ths l.tenoPs NoNce as provlded!n SectSan 713.13{t}(b},F{orida Statutes.
i Tetephone Numher of Person ar Entity pestgnated by Owner.
9, Expiratlon date a1 Nofice of Comtnenceinent(1he expitaUo�date may not De belore ths ctimpletiqrnot�nnsui(ct(�n ar�tr`i}nal,payrnent to the
Ln � -�Ltd � 1
cantractor,but w[I!be one yearlrom the date of recording unless a differe�t date Is specfFled): ! 'c/ll CY CJ
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AF7ER THE EXP�RATIOt3 OF iNE NOTtGE OF COMMENCEMENT
� AftE GONSlRERED lMFR4PER PAYMENTS�UNOER CHAp7ER 713, PAftT 1 SEC710N 713.13, FLORIDA STA7UTES, AND CAN
RESULT IN YOUR PAYWG 7WiCE FOFt IMAROVEMEiVTS TO YOUR PRdP�`RTY. A NOl'tGE OF COMMENCEMENT MUST 8E
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST IN C710N. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR IENdER OR AN ATfORNEY BEFORE COMMENCihtG Oft RECORDI33G YOUR NOTIGE OF COMMENGEMEN7
Under penaity of perjury,i deotare that i have read the toregaing noil ot mencement and that the facts stated thereln ese true to the best
of my knowledge and bellef.
STATE,Q F FLORIDA
Ct7t}NTY OF PASCO �'
Signature oi Ownar or l.essee,or Owner's or Lessee's Authorized
ONzcertQlrectarlPartne�/Manager
� Signata s Tiue/0ffice C �
T foregofng ins ment was acknowledged before me thi��day oP✓�� ,20�by t y�'�r T �� Q-��
es �{iype ot autho ity,e.g.,aNtcer,trvstee,attomey in fact}tor
I) (na oi pad a ghatt�om in�men�vas execuced),
Perso�atty Known[1 OR Produced Identi}i ion t� lJatary 8lgnature � �'
Type If ldent� on P�(���d N jpe{Prinl)�. � � "`"��'�'' AN6Ei.a hAYWOdd
`• Y v(��i.
�.4�r P�e�,+' , g:f �=: Notaty Pubfls-State ot Florlda
?�4+ �� Notary Public-State ol Florld;� �, � • Cammission#FF 912551
* Commisston#Ff 912551 3:,��,,� ,,,�.�My Comm.Expires Aug 24,2459
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STATE OF FLO�IDA, COUi�TY OF PASCO �y�; ��
THIS IS T0�CERTIFY THAI'THE FOREGOING IS A v J►
TRUE AND CORRECT COPY�F THE DOCUMENT � s .,.,�;� .�
ON FILE OR OF PUBLIC RECORD IN.THIS OFFICE In�Od�'f'e7.ncrt . �
WITNESS MY HAND AND FFICIAL SEAL THIS � � � ;`�,''� �
�DAY OF 2� ,�' ' � ' �"
PAU A S ' EIL,CL RK COMPTROLL R � '• ��5� �
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