HomeMy WebLinkAbout17-18038 I -
CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 �$ 8
• . • BUILDING PERMIT
! PERMIT INFORMATION . LOCATION INFORMATION
Permit �lumber: 18038 Address: 37533 GILL AVE LOT 280
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class �f Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Propo�ed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: GRAND HORIZONS
Est. Value: Parcel Number: 34-25-21-0170-00000-2800
Improv. Cost: 18,000.00 OWNER INFORMATION
Dat�� Issued: 2/09/2017 Name: JONES LELAN & CAROL
Total Fees: 247.50 Address: 5925 BENZ DR
Amo�nt Paid: 247.50 ZEPHYRHILLS FL 33540-8501
Date Paid: 2/09/2017 Phone: 651-210-8141
W�'rk Desc: INSTALL CARPORT/ UTILITY SHED/ CARPORT 684 X 9 '
I CONTRACTOR S APPLICATION FEES
ALL FLORIDA MANUFACTURED HOME SE BUILDING FEE 187.50
JAMES �O MORTON ELECTRIC CO.,INC. EL TRICAL FEE 60.00
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' Ins ections Re uired
FOOTER I 2ND ROUGH PLUMB MISC INSULATION CE LING
FOOTER BOND DUCTS INSULATED SEWER MISC.
ROUGH ELECTRIC LINTEL MISC MISC.
1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC.
DUCTS INSTALLED WATER MISC DRIVEWAY
PRE-SLAB SHEATHING MISC. MISC.
CONSTRI�CTION POLE FRAME MISC. MISC.
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
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 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.
"Wa�ning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements 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.
:
CONT R SIGN PERMIT OFFI R
MIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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City of Zephyrhills
BUILDING PLAN REVIEW COMMEIVTS
Contractor/Homeowner: �- �j/� �
Date Rece'ved: /�� �i/��
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Site: , V��3� (0lG�! �l �
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Permit Type: � �` � ��. ��'��
Approved w/no comments: Approved w/the below comments: r I3enied w/the below comments: ❑
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This commen I sheet shall be kept with the permit and/or plans.
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���S i � ans Examiner Date Contractor andlor Homeowner
(Required when comments are present)
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s�s�so-oo�o City af Zephyrhills Permit Application Fax-813-780-0021
• Building Department
Date Receive r ,, I1 / �
I 1� � lY Phane Cantact far Permltting g� '`-��`! -
Owner's Namb � '�" Owner Phane Number I,S�S,� �.V'g 1�
Ow►ner's Address � l � u 1` OwnerPhane Number �� �
Fee Simple Titleholder Name �- � Owner Phane Number �� �
Fee Simple ti�lehoider Address
J08 ADDRES� � � � + �,�� LOT# � 0�
sug��vislo� --tCi��tt� �n?t�2S PARCELIQ# - �- o�l' ���J " O�bOt3 -c� {�Q I
, (OBTAINED FROM PROPERTY TAX NOTICE)
WQRK PE24F i SED e NEtN CONSTR 8 ADDIA�T � SlGN Q Q DEMOC.tSH
INSTALL REPAIR
PRQP,QSED t1SE Q SFR Q COMM � QTHER
TYPE'OF CON!STRUCTION Q BL.00K • Q FRAME 0 STEEL Q
� t l
DESCRIPTION OF WORK �" � � � ` L{ � eG4� �
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Btt11.DtNG SIZf ���� � SQ FOOTAGE. �� HEIGHT C„_,,, , �
�BUILDING � r���f��y,.,�(� VAItlAT10tV OF iOTAI GONSTRUGTIOi�!
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DELEGTRICAL $ AMP SERVICE Q PROGRESS ENEl2GY Q W.R.E.C.
QPLt3 `BING $
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�MEC ANICAL � � VAIUATEON OF�UiECHANiGAL INSTALLATION
QGAB Q RQQFING Q SPEGIA�3"Y � OTtiER
FINISHED FLC10R ELEVATIQNS �_� FLOOD ZONE AREA QYES NO
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BUElDER �'L
SIGNATURE �r RE,C�ISTERED Y/ N FEE CURRE� Y/N
Address . "'f -�. License# I
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ELECTRICIAN �j�;jW�� I r��ONtPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address �Cicense# � �
PLUMBER COMPAA!!Y
SIGNATURE REGIS7ERED Y/ N FEE CCIRRE� Y I N
-l�ddrxss - _ - - -- �° License��:�- ---- - �
MECHANICAL COMPAtdY
SIGNATURE REGISTERED . Y/,.N FEE CURRE� Y/�N
Add�ess . Licens,e.# � �
OTNER " ' CONt,PANY
SIGNATURE:� REGISTEReD Y/.N FEE CURRE�� Y/N .
Address � License# �� I
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RESIDENTIAt.' Attach•{2).Plot Plans;{2)sets�of Building�P3aas;�{1)'se#of Energy Forriis;R-0-W:Perrriit.far new.canstructian,-
�� �Minimum.ten(10)working;days after submittal:date. 'Required'onsite,Constniction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary.Facilities&°,1.dumpster;Site Wark Permit for subdivisionsllarge projects _ �T_ _____ _ �__
COMMERCIA[._ _A#fach_{2)comptefe-sets of-BuitclE�g Plsns�pius a�.ife Safet"p t�age;{1}set of Energy�orms.R-O-W Permit far new construction. ,
Minimum ten(10)working days after submittal dake. Required onsite,Canstruation Plans,Stormwater Plans w/Silt Fence installed,
� Sanitary Facilities&1 dumpster.Slte Work Permit far al!new pmjects.AI!commercial requirements must meet cornptiance
S1GEt PERMIT Attach(2}sets of�Engineered Ptans. , -
`"*"PROPERTY SURVEY required for.all NEW.construction. ' : - '` . ' '
Directions: � + _ � ,
Fill out application completely. ,
. Ownec&��ntractor sign,back of applacation,notarized
lf over$25L�0,a(dotice of Commencement is required. (A/C upgrades over$7500)
"' Agent(far tt�e cont'ractor)arPower of Attomey(for ttie owner)would�be someone with notarized letter ftom owner authorizing�same
;•OVER'Piif C,CfU� ER PERMiTTING . (copy of�contract required} ��' �
� Re�oofs if shingle� Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
�;t.:�.�.:....,..r_�.- - -----=-'.r�.�: ...-_, .._:.___ •=:'�-•�,
- Driveways-Not over CoUn�e�if�on pu�ilic�ro�dways..nee��,�01N � :���� '`�' ? , ''•• ;�'
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NOTICE OF DEED RESTRICTaONS:. The undersigned understands that this,permit may be subject;to"•deed"resfrictions". :,
which may be more.restfictive than Gaunty regulations. The-undersigned�assumes`��responsil�itity'fbr complia�nce with_any '
applicabie deed restrlctions.. � � � �� - � : .. ' '�� - : '. ,
UNLlCENSED-CON7'RACTORS AND CONTRACTOR RESP-ONSlBIGlTlES: !f tfie-ovirner-has hired, a contractor or
contractars�to undertake work,�fhey may be required to be licensed in accardance v�ritt� state and-lacal regulations. If the���
contractor is not licensed as required by law, both #he owner and contractor-may��be-cited for4.a misdemeanor violation .
under state iaw. 1f the owner or intended contractor are uncertain as to what licensing requirements�:may�apply for�tfie �_
intended work,they are-advised to contact'the.i'asco Caunty Building Inspection�Diyision—ticensing Section at 727-847= ;
8009. -Furthermare, if the owner has hired'a contractor or cantractors, he��is advised to'have the contractor(s} sign., ,
portions of the "cantfaGtor Block" of this application for which they will be responsible. .!f you, as ttie owner'sigri as ttie ,
contractor, that may be an indication that he-is not properly licensed and is not entitled-to permitting privileges in Pasco
Caunty.. � ,.:. , , �. _;; a ,
TRANSPdRTAT10N IMPACTIUTtLIT1ES 1MPACT AND RESOURCE REGOVERY FEES:'The undersigned understands
that Transportation,impact Fees-and Recdcrrse Recavery Fees may apply ta the construction af new_buildings, chartge�'of "�� "
use in ezisting buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and ,
90-07, as amended. The undersigned alsa understands, that such fees, as rnay.b.e.due, wilf�6e identified afi-the time_of �
permitting. It is further understood that Transportatian Irrrpact Fees and Resource Reeovery Fees must be paid prior ta
receiving a "certificate of occupancy" or final power release. If thelproject does not involve a certificate af occupancy°:or., �
final pawer release, the fees-mus# be paid prior to permit issuance. Furthermore, if Pasco County WateNSewer�lmpact, �
fees are due,they must be paid prior to permit issuance in accordance with appliaable Pasco County ordinances.
GQNSTRUCTlON LIEN LAW(Chapter T13, Florida Statutes,as�mended}: !f valuation af work is$2,500.00._ar more,.1..,, . �
certify that I, the applicant; have been provided'virith a�copy..af the "Florida�"Construc#ion L.ien Law.:Nomeowner's
Pratection Guide" prepared by the Flarida Department of Agriculture and Consumer Affairs. !f the applicant is someone
other than the°owner", i certify that I have obtained a copy of the abave described�document and promise�in good faith.to
deliver.it to the."owne�'prior to commencement. .
CC?NTRACTOR'S/OWNER'S AFFIDAVIT: 1 certify that ali the infarmatian in this application is accura#e and that ali work
wiil be done in campliance rrvith a!! applicable laws regulating construction, zoning and�land development. Applicatian is
hereby made to obtain a permit to do work and insta!lation as indicated. 1 certi€y tliat no wark or installation has
' commenced prior to issuance of a perm'it and that all work will be performed to meet standards of al! laws regulating
� construction, County and City codes, zoning regulations, and land development regula#ions in the jurisdiction. I also
certify that 1 understand tha#the regulations of other government agencies may apply to #he intended work, and that it is
my responsibility to identify what actians I must take fo be in compiiance. Such agenc'res include bu#are nat limited.to: ,
- Department of Environmenta! Pratection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,WaterMlastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps af Engineers-Seawalls, Docks, Navigable Watenrvays.
- Department of Heatth & Rehabiiitative Services/Environmentat Health Unit Wells, Wastewater.Treatment, '
Septic Tanks.
'�� - US Environmental Protection Agency-Asbestos abatement.
� - ' Federal Aviation Authority=Run`ways:
' I understand that the following restricfions apply to the use of fill: • , �
- Use of fiil is not atlowed in Flaod Zane"V"unless expressiy pe"rmitted. . . . � -`
- If the �itl rnateria! is to be used in Flaad Zone "A", it is understoad that a drainage pian addressing a
"compensating uolurrie" will be submitted at time of permitting which is prepared by a professional engineer
licensed by#he State of Florida.
- If the fill material is ta be used in Flood Zone "A" in connection with a permitted building using stem wall
construction, (certify that fill will be used only to fill the area within the stem wall.
- (f frp material is to be used in any area, I certify that use af such-filt will not adversely affect adjacent
properties. If use of fill is faund to adverseiy affeat adjacent properties, the owner may be ci#ed for vialating
the conditions of#he building permit issued under the attached permit application, for iots tess #han one (1}
acre which are elevated by fi!!,an engineered drainage plan is required.
If I am the AGEI�T FOR THE OWiVER, I pramise in good faith to infarm the owner of the permitting conditions set farth in '
this affidavit priar to cammencing construction. I understand that a separate permit may be required for electrical work,. '
plumbing, signs, weils, paols, air conditioning, gas, or other instaliations not specifically included in the application. A
permit issued shall be construed to be a license ta praceed with the work and no# as authority to violate, cancel, alter, or �
set aside any provisions of the technical cades, nor shall issuance of a permit prevent the Building C3fficial from thereafter
requiring a correction of errors in plans, construction or vialations af any codes. Every permit issued shali become invalid
unless the work authorized by such permit is commenced wi#hin six mon#hs af permit issuance, or if work authocized by ,
the permit is suspended ar abandoned for a period.of six(6) months after the time the work is commenced. An e�ctension
may be requested, in wri#ing, fram the Building Official far a period not to exceed•ninety(90) days and will demonstrate
justifable eause for the extensian. tf work ceases for ninety(90}consecutive days,the jab is considered abandoned.
WARNlNG TO OWNER: YOUR FAILURE TC1 RECQRD A NOTlCE OF COMMENGEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR.PROPERTY. IF YOU�INTEND..TO OBTAlN FINANGING, C4NSUl.T
W1TH YOUR L'ENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE lJF COMMENCEMEN�-~'
FtORtQA Jt1RAT(F:S.997.03} - "—" / - -
OWNER OR AGENT CONTRACTOR
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Sub crib ar►d swo to affi efore me this Sub �n'he and s�wom t ar affirmed}b fore me thi. s�,,,�-
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Who islare pe onalt nawn to a has/hav�p oduced Who is/are pers y kno o me or has/fiav raduced
as 3de»tifica6on. as identificatian.
Notary Public Notary Public
Commission No. � Commissio � �
Name of Not Name of No#ary typ`
,.���""���, ••• '", JENEBIACK
;.: �� L JENE 6lACK
MY COMMISS10P1#�243095 � '� MY CAMA3iSSIdN A FF 243095
EXPlRES'OCtobeF 2t}�2419 ��� E?tPEFtES:OctobeT 2Q�2418
� R.�` Bonded Thm FbtmY PubGc Urldeiwriters +R;�1• BaidBd ThN NoGwY Pubbc UMenrriters
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November 12, 2016
e.: Attachment Beam(Host Beam)Verification:
Serial Number: 34794
o whom it may concern;
'�he above listed Jacobsen manufactured home has been constructed with a structural attachment
beam, or"host beam".The host beam design and the home plans are both approved in accordance with
t�e requirements of the Federal Manu�'actured Home Construction and Sa�et� Standards commonly
referred to as the "HUD Code". The design of this host beam allows an attachment (typically sheds,
�arports, screens rooms, etc...) to be made directly to the included structural member in lieu of the
typically required "fourth wall construction". Please refer to the serialized floor plan to verify the
location of the host beam.
his manufactured home is required to be set-up or installed, on-site, in accordance with the Jacobsen
omes "Set-Up Manual" and it's "Addendum". Please specifically refer to page SU-01-0008, which
ii cludes site requirements that must be followed in order to attach a structure to the host beam
provided. This page also has the maximum sizes allowed for any attached structure along with the
�equirements for perimeter blocking along the entire sidewall area where the host beam is installed.
11 site installed structures shall be designed by a Professional Engineer (PE) registered in the State of
lorida or as allowed by the Local Authority Having Jurisdiction (LAHJ). The design shall comply with all
pplicable sections of the Florida Building Code that is in effect during the time of the construction of
t e addition. All attachment designs and construction are by others, not Jacobsen Homes. Any site
i stalled structures shall be subject to permitting,plan review,and inspection(s)by theLAHJ.
I I can be of further assistance,please feel free to call me at 727-726-1138.
incerely,
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raig Young
�irector of Engineering ,
, cobsen Homes
File
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600 Packard Court,Safety Harbor, FL 34695
Telephone:727-726-1138 Fax:727-726-7019 �
National:800-843-1559 In Florida:800-282-5389
� www.iachomes.com
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- � - PASCO COUNTY, FLORIDA
Permit No, � ��3'�
Date Permitted �-�j/7
Builder Name/Owner Name R/� F/dr,o�k /1i/,g„u�,.�yy�r�ontrol� —
County Parcel No. 3y 2S-L/-O/70 .DDOoa-Z 0 o p SubDiv: /1� ' � ��
Address/Location �j`]�'�� ��(/ � /.��Z�d
Classification/Type of Use /Lfv�r�e !L(�rtG��� �,S„�o
TRANSPORTATION IMPACT FEE Rate: Sq Ft Unit: ��i(rLL�
, Exempt [] Yes � No How Determined
Impact Fee Amount $ ��3y Zone No. Tp,Z;
SCHOOL IMPACT FEE
Account (056) Single-Family Detached House Amount $
(057) Mobile Home �
(058) Other Residential
123) Collection Fee
Exempt Yes � No How Determined
PARKS AND RECREATION FEE
Land Account Land Credit Land Total
Recreation Account Recreation Credit Recreation Total
Zone TOTALAMOUNT $ S��=�3
Exempt � Yes � No How Determined
LIBRARY FEE
Land Account Land Credit Land Total
Facility Account Facility Credit Facility Total
Exempt � Yes � No How Determined Total Amount �
RESOURCEFEE ERU
TOTAL AMOUNT
Prepared By r Checked By
NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION
PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE
BEEN PAID AND
RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY
�
Acknowiedgement below.does not(mply acceptance of concurrence,but simply recelpt of a copy of this form,placing
the building permit owner on notice of this assessment and the cond(tions of payment for same.
DATE RECEIVED BY
RECEIPT NO DATE BY
I - -- -
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2017017652
, • ; ��-Q��� � L-QI�O��C�obO � ���
Pertnk No. Percel ID No�
�,w N0710E OF COMMENCEMENT �
State ai � �p�`���La Counry at 'ir�.�,Cl7
• THE UNDERSIGNED hereby gives noGce ttiat improvement will be mede to certain real properiy,and'm accordance witii Chaptet 713,Florida StaNtes,
the foOwMg Infortnation is provlded In tMs NoUce of Cammence�mpenY. r�
1. Oes�iption M Property: Percal Identificetlon No.,�e�,' C���n�0^�11� '��Q'��' Ntl��
I SUeet Address: �7 A��� �. b 1 ��t V-�_ �P nh.ti.,��,� �,� �� �����
2. General DesctipNon of Improvement ��Aa'� ��d'��7-�� �� t�,f�R-�� SAA � ('l�v,CrA&0
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3. Ov.ner Infortnetion ur L�ssee Information IT the Lessee conlraGed fa the Improvement:
1�a 1r'.l,n �- Cr�.�t� �a�.� �
a7�,�'�N�,�C-;,�\ �.� ��.���,;Id� �
Add�ss �ity 5�8�8
tntelest ln Property:
Nemo of Fee Simpla l7tleholder.
(I1 dlfferrnt(rom Ovmer Gsted ebave)
Address � Ciry State
4. ContraGor
'��a�`�� "C.�a��«. � �ac�._o_ (�� �4
Address �p P City State
ConUactors Tdephone No.. Oi��J� �aZ�� N(�/f p
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5. Surety: m. ``
Name ���
�• r�
Address City Sfffia �B�
Amounl M Bond: $ Telephone No.: J w
�
i 6. •Lender. 3 +�
Name '
'1�M
Address Ciry State • ��
Lenders Tetephone No.: ` n
vo••
7. Persons wHhin the Stale of Florlda designeted by the awner upon whom notices w other documenls may be served as provided by 'D •
Sectlon 713.13(t)(e)(n,Floride Stetutes: ���
Name � �
�
�
Address City State 7C
Telephone Number of Designated Person:
8. in edditlon to himself,the ovmer designates o1_
� to recefve a copy af the Llenors Nofice es proNded In Section 713.13(1)(b),Florida StaWtes.
ITelephone Number af Person or EnUty Deslgnated by Ov.mer.
9. E�Iratlon date af NoUce of Commencement(the e�irotlon dete may not be before lhe completlon of consWctlon and Onal peymeM to the N c
conVactor,bul will be one year from the date oi rewr�ding unless a diflerent date Is spedfied): p�r
�D
WARNING TO OWNER; ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ��p� I
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN �� �
RESULT IN YOUR PAYING TNACE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE , �N o
, RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSUIT p Z
YVITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTfCE OF COMMENCEMENT. r+m
Under penalry of perf ury.I declare that I have read the forepoin notica o(canmencement and Ihat the facts atated thereln ere We to fhe best
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of my knowledge and belief. ��_
STATE OF FLORIDA W��
COUNTY OF PASCO � �O�D
Lessee,ar Oymars or Lessee's Authwized � �
aMer/Meneger o
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Slgnetory tlelOfflce �^
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The(oregoing Instrumem was ecknowledged before me this y y ..ti�
i �
`-',� - �, �., n�9-�1'�. (type of authoriry,e.g.,oficer,trustee,ettomey in fad)fw /��o
�1Jw'� ' � (n of'arty'on behalf m instrumenl vras exeated). W �
Persone0y Kno�O$Produced IdenUflcatlon❑ Notery Signeture �n'� ^ � J o
�dCX.�J�. VV-
, r
i Typa af Identificallon Produced. Name,(PdN) m
�
_�Vr,''•�� L JENE BLACK I
�`� t` �AY COAU�NSSION O.FF 243095
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�.�i�. bg EXPIRES:October 20,2019 ��
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,���:��;'�'�iQ STATE OF FI.ORIDA, COUNTY OF PASCO
i ��`'�' ' �G THIS lS TQ GERTfFY THAT THE FOREGOWG IS A
� , � «��+ TRUE AND CQRRECT COPY OF 1'HE DC�CUMENT
•, � ON F1LE OR OF PUBLIC RECORD IN THIS OFFICE
* • �n yoa.yye,�yusc � WITNESS MY FiAiUD AND OFF1GlA�SEAL 1'NIS
� . �:;..."�-. * �_DAY OF���„�' 2�
• PAULA S.O'NEIL,Cl.ERK&CQNIF�TRC►LLER
�Cc ., 188r � '
' � � � ��a� �Y DEPUTY CLERK
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