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HomeMy WebLinkAbout16-18018 � ' CITY OF ZEPHYRHILLS 5335-8th Street ($13)780-0020 �$��$ EL.ECTRICAL PERMIT PERMIT INFORMATION ` LOCATION INFORMATION Permit#:180'18 Issued: 32121/2016 Address: 7112 V1lIRE RD Permit�ype: ELECTRICAL MISC ZEPHYRHILLS, FL. Class of Work: ELECTRICAL M1SC Township: Range: Proposed Use: NOT APPLICABLE Lat(s): Black: Sectian: Sq. Feet: Est. Value: Book: Page: Cost: � 1,000.00 Total Fees: 40.00 Subdivision: CiTY OF ZEPHYRHILLS Amoun Paid: 40.00 Date Paid: 12/21/2016 Parcel Number: 35-25-21-0010-11600-0032 CC}NTRACTOR INFORMATIt�N OWNER lNFC}RMATION Name: PATTIE ELEC. & REFRIGERATION Name: CROOK IRA & IRL Addr: 39111 PATTI RD Address: 7052 WIRE RD ZEPHYRHILLS,FL. 33540 ZEPHYRHILLS FL 33540-1009 Phone: (813}782-3319 Lic: Phone: Wo;;rk Desc: REPLACE METER CAN APPLICATION FEES ELECTRI�A[.FEE 40.00 � [NSPECT[ONS REQUIRED ROUGH ELECTRIC CONSTRIJCTIQN POLE �� PRE-MET R FINAL I � `� . � �(",_. � 4� � REINSPEC"TION FEES:(c)With respect to Reinspection fees will camply with Florida Statute 553.80 (2)(c)the locai government shai! impose a fee of four tirries the amount of the fee imposed far the mitiai inspection or t( first reinspection,whichever is greater,for each such subsequent reinspection. NOTTCE: In addition to the reguirements of this permit, there may be additional restrictians applicable to this property that may b�e found in the pub(ic records of this county, and there may be additiona( permifis required from other gavernmental entities such as water management, state agencies or federal agencies. "Wa��ning to vwnerc Your fai[ure to record a notice of commencement may result in your paying twice for improvements#o yaur property. If yau intend to obtain financing,consult with your lender or an attorney before recording your natice of commencement." Comp ete Plans, Specifications and Fee Must Accompany Applicatian. A11 work sha(I be perfarmed in accordance with City Codes and Ordinances. 1 / CONTRACTOR PER OFFI PERMIT EXPIRES IN fi MK}NTHS 1NITHOUT APPROVED INSPECTItJ CALL FOR INSPECTION - $ HOUR NOTICE REQUIRED _ PRt�TECT CARD FR{)M WEATHER I ii � s�s-�saoozo, City of Zephyrhills Permit Application Fax 813-780-0021 I . Bullding Departrnent Date Recelve • -�I. • • �.: Phone�Contact,for:P�rmitfin ' � - Owner'a Nam I '�(�O G ���� owner Phone Number ° OwnePs Add s� � - . - ' Owrner Phone:Number.• Fee Slmple TI IeHolder,�Name - � Owner Phone Number ' Fee Simple Ti leholder Addresa JOB ADDRESS � � ,�"-� � LOT# � SUBDIVISIO� . PARCEL ID# ` . I (OBYAINED F.ROM;PROPERTY,TAX NOTICE) WORKPROP SED w�NEW'CONSTR ADD/ALT Q� SIGN` 'Q � Q �DEMOL:ISH „ B, INSTALL 8 ,r REPAIR - . PROPOSED..�S , � II E .' . _. Q � SFR []- COMM ' . Q OTHER TYPE OF CONSTRUCTION'"� 'Q` *>'BLOCK " Q FRAl1AE ' .Q STEEL' 'Q ' :� :J.. ,q , • DESCRIPTION OF WORK' � ' .Q G �Q ,,� � Ct. �I , • . • - BUILDING:SIZE - • �' � �'SQ�FOOTAGE�, ,HEI.GHT�. I „, - OBUILDING $ VALUATION�OF�TOTAL-COySTRUCTlO � ' � [�EL CTRIGAL $ �O ' AMP SERVICE.a�� ��PROGRESS ENERGY [� W:R:E:C. � _ QPL MBING • $ , , � �,. „ - _ QME HANICAI: . $ " � ' ' = VALOATION OF;MECHANIC�►L INSTALLATION. .._ Q�II' � Q , ROOFING Q ;, SPECIAL7Y;:r],-; „OTHER; : FINISHED FLOOR ELEVATIONS FLOOD zONE AREA ,QY�S. NO . ,.. : , . ., •..,:- .:�: , -.. .. . ' , . . . . _ . . s.�.c,� z.:�.. � _ . BUILDER COMPANY`. . :,`�.;.': -, , . - � SIGNATURE REGISTERED Y/ N . ���FEE CURRE��" � ` Y/N`� '� _ •:Z= f �s' :f ,:7% . j'- .. „ .. , � . Addres �: ;,°_ <M - . ,, ed - ., :Ucense:#` ' � , � j - . .. -. � „ ` '-e. :. '.: t:�.,^. . ,� ,. .:r.' ' _. � ..n. .,, . ; �� _ .,. .. �/ ELECTRIC�, .s. �. ` ,.. , � . �}COMPANY �(���'� C� �%G:.-d;l� .�/ �� :d' !' ' SIGNATURE G� , ..� ���sreRe� Y/ N �E cu��°f ::r;�:,y�N,�, . ' •- ,.;q_ ,. - - ,.. =.<�,- . � ::, ,t _ Addr ,CL � '�1,..�. .. _ ,. .3,,� . ;,<<;«t %;::.:;;:;Llcense;#,� OD_!J,/,��y �, PLUMBER ' � � , • - • ,,. _ , „' ;�, :;�.: _.. .'.;+_ . - ` - . SIGNATURE - :, . -- , -_.C.OMPANY . �.< <..,,. �ti ,:< ., �_.. . •>�: ._.. . .. „ .,REGIST.ERED. :Y/,N:.:�:i,.;r,��;curttte�:• , ,`y./.N�:,,,.,. Addre � ' , � .� . � . . . _..r : : .: �:::' .� . . „ ,- .. - „ - . . � . : .:.. . ,,:. :-... -, ,. , Ucen e =.;... , . _.:,- ._.. .... .. _ , .., _, .� - ",�5=" - , .,.,;: # •''� MECHAIVIC Ft 'f ... " . _ .�, ' COM�ANIf, ,.,: � ' ;` .:-� :•..:=` ,�, _ -'�� - ,. SIGNATURE� �� ^ ��'� - '� ' { - � �" � �REGI§TERED � Y/,N FEE CURRE�,._ `Y./�N.' �I; - _ ! -- - .. , �+'' . . � . ..... .- • :� - - , ... _ , , Addr .,,'� :;''' .. . _ .�;.... ., r�� .. � ., .:..,o,, � , _x. . � License#�� OTHER � � _ :- , .., , .. , - - , -:, - ,,,-� - �-.� : _ r:;. , ; _ +, _ . ' . , "= ,COMPANY - � . - SIGNATUftE _ ., _ '?��" ^� .. �, . ...,. ..,1, .._ ... , . - ra .. , _., . .. , - . ,..,•,.,a ���: �;j' . .'�. .:....:...:. ... . ., � a:.:,' „T.r�D;.., ' �'REGIS E Y/ I�F,:.. ;FEE�CURRE�•�� ^�Y Y N �F' �ty� >, -"�+r .1.. �.�. .. ,_ . � - . . . .. .. . . ,. _. ". . .�_� , Addresaa ;<<<., _,r::,:° _� _ �'z: .._. . .�:,. ,. ' ��Lioense#�% " . - �� RESIDENTI �I�r._yAtta �2 1 � , .. . _ .- ,�f:-r. .;_ ��,;�.,r.�.; : � ��,�_„ ,,,t a..: ,-:<.� ,.:..::., �-- . � ,ch;,( );.P-„ot�P.,l.ans`;,�(2�)set's�of:B'u(Idtri :Plan`s;� 1 set�of�Ene Forms;�R=O=W�Per`mlCfo�new�conshucUori,. . 9 .�;�;:.,. �y.,.. ,,„,_, . . :_ ,:,: - �aN�,,�AAlnimumt�enk.(;1.0)yworl4,ingjde�ys;�after�submittel:da4e:�:Required on'slte;:ConstrucHon'Plans;StomiwaterFlan`s w/Silt Fence'installed, �` �Sanifary Fedlitles,&;�1E;dympster-;Site•-Worlc�Permit;for:subdivislons/la e� ro e`cts?:=:�-`" "' � , _ �,� ,�: . , ,. a�. . , . .,. �',9..P}T � a���',- .ti,,;`� COMMEFtCI Attach(3)�eompletersets'of�Bu'ildfng PIanS'"pl`u's a�Ufe�Safefy Page;(1)set of Energy Fortns.R-O WtPermit�for neW constructlon.•` > . Minimum ten(10)wrorking days after submlltal date. Requtred onsite,Construc8on Plans,Stortnwater Plans w/Silt Fence instelled, . Sanitary FaclliUes 8 1 dumpster.Sfte Work Pem�it for all nawtprojecCs::All commerGal.�equlrements_must meet comp0ance`" ' --SIGNPERAPIIT AttacFi'(2)'sefsofEng,i`neeredsPla�s:�;�:�:^��h:�;��:. �:;��.;c::�,�. �. � -._. .,. �- , ., I ""PROPERTY SURVEY r�yulre�„(or all NEW�oonstructlon._ _. �, - Dlrectlon�: II :•_;r.�e�w�,,.+,,:�:� .,:. -,- - Fill out�ppltcatlon oompletely. Owner&Contrector sign back of appllcatlon,notarized If over�2500,,a Notice of Commencament Is requlred. (A!C upgrade�over 57500) II .:,�:�:`�w�;,�;.Fc�;°,,. , . '• Agent(f�pr the contrabtor)or Power of Attomey''(fo�the ovuner)�iivould be someone with notarized letter from owner authorizing same OVER-THE:COUW.T,ER:PERMITTING-��•-•M•-•(Front�ofiApplicatlon-Only) •---- ' ' `" " Reroofs If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) Drivewll ya-Not over Counter if on:p�b8c roadways:needs.ROW:. � . . �. . , � � . t �,. � , � :i '�:: ,-.1�:°:��',.J:, '?:-�i.{ -- 'r: .. :.r. ._, ,r)u��71�.ii�� �^,t7.)_ - e /,/"� :ti;' ��•i.�i_i,V'i:ri,i .� -,... , si �� ' 'i1'�`�i �i'e.. .��9^��' �� } . . ... � ..� .,�� . .....� i•� _' ..: _.n�- ..+.rn�^�.-.., -..._ . . .. ... �... .. , � , 5-� ,..r'r.'�� -�- NOT1��,AI���D�ED�RESTRICTIO�IS:. The.undersf ned,.unde� tands,{ �fj{ {��b � � ''�;'� �. i{,{ Gl'��I�,UO'� /i�����2� Y II p':i;..c�'-.;�wa4:�;. .9. [�, h ,.�. :A�.. �:r�ay�be._�ubJe.c,fi;;to.:,,;deed.,�resl��ttoi�s,�.�.,�. �� -- i^t::^ 4*' <a... ;'s;:a" ..ii* ����µ.x:�.�:. ..r-.:,�y, _;:�r.y'�:a.. ro.a'"'�r.�l.�.;� - _ ..iv- - - - - ".,fn�a=1'�t - _ ,a�p;.,.,+ �v, �s,l�..<m.a . ._ ic ma����:tie°:riiorelr+�sttiative:�tti�i��Gi�u��. ��iat�o�is<<�'�"Tha°�u�tlers�''n���as�ur»es�°:�es���onsi�tilii �:.for?'com��llance�:with>an . wh h y +� , �►`��.._. 9 _. � �' � - Y� � appliaable'.deed�restrta#bns. � --,��...;;;�:�,; _ °�� �� ,... ' ' -- . ._ __ ., a �.._�:.����.�-•ri�� �. . . .._ :::: � ._ .. ., .�...._ :_ � .. �. ..,, ., ,; �,� f..: a:�,_....._...�..,..,..... UPlLICEMSED�'�GONTRAC'TURS���ANb CON�'itAGTt?R-RESPt7►N�iBl�lTI�S:�-�<lf�-tli����orimer��ti$s'�t�iretl�aR'i��i,t+r�ctar or , � .. . - . cantractors.to undertake work,.:#hc�y m,ay;bs;�r��u��retl;�to,���nl[cens+i3d�lit;acci�rilance:wlth.state�:end�local#:r�egulatlot�s��=lf�the��:=�r��-���� .,,�,� ,� .. ., .;,..,,�..�,�..�,. contractor�i"s-not�llcen"sed��as��re'qulred,'.tiy law,�tiott��the�owner and-confractor=��inay-�'l�e�'cit�d f�r�i�}rnl�d,'emeanor vlolallon under state law. if the awner.ar Intendedxcontra.�tor,�,ere;;unce�taln �as:to wfiat�Itcensfng.cequire�ent�f#mayr.�apply'�-for�'the�A�:,��=����°� intended�wark,'ttiey ar`e aiivl§eii�"�o;cantsct'tti+��Pasco�Coonty 8uifiling�Inspecti�in�Diiri�l°pin�--C:�i�en_,sing Section et:727-&�7- -' W-.«,�..v�W�.. «.... J.1.�...,...i..' .".�.. .c.c..' 8009. �eiitherinore,�!f the�own�r`�'fi�as'�lilr�`�i c�StiViactor'o�contracfors, �he is aclvlsed ta hav�;the canfrac#or{s����,.slgn:�r>:U.:�� �n. portians�of ther"contcrectoc.8lock'._of.;#hls�,eppllcettan�i'o.r..�whlch<;tt�ey,•.wll�;sbe�r,espanstble....,lf ycu;y-as�-:the own�i;s�n as the _ ..... ; . ,... .._ � . ,.....w..._..�,...,a...�. contractor, that�m�yr�be an indlcatlon�that'fiie 1s�n�t"piroperly"Ilceneed"antl"I� n�of'entltled'to pe�ltting pri�lleg�s !n Pascu . County., , � ' • ; �:.,w.����.�:,��;�.�. TRANSPORTATION=.ItYIPJ4CT/UTILCf1ES�1liA1�ACT�At�b RE�AU�tCE RECtiVEiZY�FEES�`�Tf�e`under`sig�ied under�t�nds that Tra�ispartatton lmpact�ees�and;Recourse.Rec�very_Fees.�ariay.aPpiyztii�t�e:c:ons6vc#ion„of new buitdings,�change��afsf.}F>tiLM:��� use ln ezlsting buildings��ot:,eicpartsl�irt o�-`�k�sti�i���ulldtngs, as speclfled.in P�sca Gouaty Or'dln��ce n�mber 89-47 and„ 90-07, as amended. �'fk��.under�lgned also undetstands, th�it su�h fee�;.a���may�':��:due;�.vu11F�.be�den�fled at thee't1r�e�^of:;��:�{.``��` -L 4�ij i�}i . R'..:i.� ,..�d..-»-1...1 ..._' j. x'.•"!$� i permltting. It Is further understood that Tra�s�'oFtation Impacf Fees and���Resourc�e�;Rec�i�ery Fees:�.mu�t be pald prior to receiving�a°cerffficate.�of��occupa�cy"'�or`�flnal�.piawer;�elease�"�:if�the.pro��c�;does�no�Involvekaxcertffical."e af occupancytor��'����':``,`;��� final pawer-rele�se;�rtFfe,�:f+�es�mu�!'tie paid:;prlor to:permit issua�nce. fw�thermore�fif�P�sc;�.�.�Counfji�;Vliater/$ewer;Impact> _:,,�*-�;.� fees are due;�ttiey mustbe;�pald:;pr�or,�o,.perrnit'-lssuan�e-.tn.accord�ance with::apPiteatifi�:Pesco:CauMy�oririinanc�s. • CON9�TRU�TIQN ClEN'�LAYV�Clieplgr�93,�I�ar�cla�3tatut��as am�nd�c!}: }f va{uation of work is�2�500.00�ocjmore,,1 �: . ,��: certifjr that-�, #he�;aPpllcent,:-l�ve:be.en pro�ldeil��-wlth�a,,,coPY;:,of--ther�"Fla�t�a:.:Gonstrti�tton,:�LtenA':Law—liomeouvr�er's Protection Gutde" prepared by:'the'Floi�lda Dep�rtment;.of Agrl�ulture and Consr�msrtAf�alr�. !f the eppllcant Is_some.one:��,;...;z-_:�--:� � other#han the'o�m�r"� 1 cert h t �v ` �' Y� `._# '� „ _.� iFy-t�,�t°�ti e:o�tafined�ascopY:of:#he'�ab.Qve:�des:crl,�eµa;ilt�ciif�eiht;and:pto�il�e:�lri;g'oo!�;�falttt•.to- :F.= deiivi �:>. .. , ; ; �;��- .ti . ,�<.,. .,�.�., w-. _ . .. �. �.. er t-#o.-.the'�"ow"rie�":�pi�ior;to=comi�iencement�T" , . GClNTRACTQR'S1C?WNER'S AF�IDAVIT: i,c�r,tlGy;,,ft:iatslli.th�:,irif.orm�tiidn�l�Tthi��$ppltcation is accurat�.and tha#�ail wark -- ,,�,, wlll�'be done (n compl�ence-with all.applicabl�lawrs regulating cor�strua#lon� zv»Ing a►iif:�laiid=�devetvpm�nt. Appli.catlon is hereby made�,tn: abtal�i�:a:pernn,it�,,to,:�do�;wo�:�,and`:t�istallatlon ss Iridt�ete�����'�:1� ce�tifjr that no work�`c�r Instatlatlori has � commenced pr1o� to Issuance afi`a'permif'and that�.all work w911 be performed�to meet,-�tandar.ds-of�:a!! laws regu(a�ng�. cflnstnrcti�n, Coun#y and Ciiy codes� zaMng regulatians, a�d land devetapment regulatlons�In�tlie Jurtsdlctlon:�f'=f�al�o= - certify the#1 u�de�stand that the fegulatbns of otiter�gavernment agencies may�apply,ta::the.elntended.work, and that It ts my responsibtlltyr to ldentify•wha#:ac#tan�I,must,.take ta be;slr�*fca„rt,tptla�ce:�x8uch agencles�inctude�but=a�e:not ilmited ta:_�_ • � - - Depar"tment af Er�vlronmental:'ProtectionlGypress:'��ytie�d�, �11'eNend Areas and Envtronr,;nentally Sensitive Lands,Water/W�stewatef Treatment. �, . - „"' ` �. �: - Southwest Florid'a Vllater Manager`r"tb'nt��:�1lstcict V►leps;'=`�Cjrptess:�Bay�ead�; Wetland` Areas, Alter�ng : �dNatercourses. ;,,fr, _..� .-.�i :.�:; ::,�;,i.= � �,- . - � _ , - - ,. . . , - Army Corps�f Engtneai`s��Seawatts;'Docks�Navigatiie Wate�v►+ays. � . - Department�.afu,Nealth,;,&,,,.Ret�ab�litative,;,aSentice�/Ernr,�.ronmentals.��althpUnit dVelfs;=Wastevirater�•Tre�finent; .>�,,. �S'eptic.Ta�it�s:�._`: .. ' .._. F ` '. ' ...: `-. ._ � ._ _ . . . • US Envlronmental Prots�ctlon Agency-Asbestos abatement�, r Federal avleQon:Autho,rityaKur.�waays:° �. „ 4. ,..�.,,. ,_ .�.r .., f understand.that�the:foltovv�ng;restaic#lons appiy`fci#Fie use mf fllt:� - Use of`fil!ts riat afiowed in i�tood�2or.te'"V"unless expressiy permitted. � - If the:�=flll� ma#eila4�.ls�fo��'tie��used>�in.;Fbod�2o�e. "A", t#. Is understcad that'..a dratnage pi�� addressing a "compe�sating valume"wr#II.be subr�ltted at�Ime►of:permitting whlch is grepered by a professiona! engineer �` � Ilcense'tl �'th�e=.�tate�of�Flo�fde�: � � • .�; .'� bYv. - If ih��fltl �maferiai•�ia�to.tie�_us.ed in Fload Zone 'A° in>conneo�l�n�virlth�a�•p�rmitted building using stem wall, , consbvction,:.l.cectify;that:�it:i�r�li:6�e=�sed.oniy.to.fill th�area-withtn��the�stem�w�ll: . -R . _.. �. .. _. _ • d - tf fll! 'matei�al�.is��#o be used-!n ariy .aree; 1 �c�i�ify„th�t .use. of;such tilt w111 r�at adverseiy affect adjacent . ., propertles,;�.IF..us�:.af fll!•Is;fourt�_to-edvets�aly,:.,�ffect a��a�ii�#«prdp�rties�.the awner may be cited for vt��ting. - • , il,�,�.d.� ; : � .....-.; _ the cond�lons•;.of�the bwllding}p�rmlt lssue�<�u�det tfi�'��ittactied:k�etmlt:�pplicatlon,�for�fots.!e"s��tt�an:�one {1) acire wHlch`e�e elevatetl'by:flll,a�r,englneered dralna��plan Is requtred. •• � if i am the AGENT:FOR.�TME>OWNER;;.I�promitse�.infgood�.f..alth to inform��th�owner af�the perniltting condftions set forth In this affidavit'prtar to coinmer�ctng conshvction. "i understand thefi a�sep�rete?permit may be tequtred far electrlcal:,woek� � .. . plumbingf.si�ns, we11sF„pools���lr� condltioning�=:g�t�;�,or:other Instetl�'�I�ins naE�spes�ftcalty in�lu�ded•in.the�appiication. .A � permlt Issued�ha�ll be conshued to'`be'a`Ilcense`�ta=proce�d wlth`tliei_viioik antl_�nat-�s::euthorlly��to:vfol�te;<pcancel, after. ar set astde�any�proiiislons of tf�e.technlcal,.cadeis;,nor shall Issu�nce�af a.permlt.pr,event th�Bulldtrig C?#�!c!a!from thereaft�r � cequiring a correc#ian a#,ecrors:in-�plan.s,;.�constivctlon...or�irlalatlons of�any code�:.�very,p�armlt��Issued stialF�fiecoirie��lnvalid unless th�wortc aiitharizeit:by such permit:�is.caxnmencedwithin s�c;m,onths of:permlt issuance� or tf work author(zed by - ttEe permlt!s suspendad�or�aba�do�ed�lio�-a�,perlodfo€;�ix��}�mantt�s"aftet:#Fie:t�rr�e#h��work��s comrnenced.. An�xtension may be requested..ln.wr�ing�:�•fiom-ttie;8ullding,Qfflclal°for a perlo�rnot-t4 e��'tinf�ety'(90)�itay�`s�id�u+ill"demonshate Justlflable cause ibr.�the extenston: If work.ceas�e�:for nlneqr.(90)cona�cutive:day.st..the jeb�ls consldered aiba�doned. ---_ _—_._ - — - �- -- ------�-__ ___,_ _.__.__ -- ._ , --:.—�—:�____��.. _,. _. �_ - - ----- - V�ARNING TO OWNER: YO.UR;.�AIi.E1RE::T4..R�CO�2Q,�A:=,�OTJGE:OF,�C,C�NIMEN�EMEII�T.;MAYrRESUL'iyIN��YOlJR � PAYI[�It�'�WlGE;F.OR.tMFRO�VEMEI!M:�'L��.T�n�f!�UR;:P�k?"ERTY:'�t�$:Yt�U$t�1h�D�TQ��6p�A'IN�FiNi�-fiiE�NE3;_'C.ONSULT WIT Q F!�. k . ;,, :� s }, . . ,. _,. ,,. ...._ . . FLORIdA JURA��F: ....,. ,. .. _.>,.�, .- , �:A.. :�_;:�.�: ._,., �; � �r,-::,,;,,,.�, _. . ,. ( Si•:t17:03).° -- • , . .�:.-- OWNE�OR AOENT,. .. � CdNTRAG'�O - . 5ubsaibed and swom lo(or a�irmed)before ma fhls Su be nd'surom� o ' rmed me� " t� �, � ;�tl! �v ��1 1 ..,�y...,, . ���,-°._.��r^�t�.. _._ ' .�.. Wfio Islare perscnalty knownlo�m�.oc:ha�Ihaue:A_n?duced :Wha:lstars per�o. t _ K me;.oc.tleafiav,e:proditced.�� . `ae Id'eriU8i�8pn. " �T�l�i� ��� as Identl�caUon. Not�ry Fub}tc . �./C>��'�. 0`=��ll,t./�.1�� Jt��Notary PubUc CommisslonNa:` Comn�lealon•Na._ ��T (�ll�.�'J �b� ��ri� �2c1���. tYame of Notary typed,prtnted o�s�mped Name af Natery q�ped,pdnted or stamped � � - , , p��r�ni i�;>��•• DEBftA ELAINE RUFFELL � ;'�a �'';,Commission#GG 045343 =y;r,�P,��Expiras November 7,Zd20 . . .�d�it4�� Sondedth�u7royFatnlnawa�e8DD�385-7019