HomeMy WebLinkAbout17-18457 , ,., CITY OF ZEPHYRHILLS
5335-8TH STREET
(si3)7so-oo20 18457
BUILDIIVG PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 18457 Address: 38810 HENRY DR
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 02-26-21-0180-00000-0170
Improv. Cost: 6,590.00 OWNER INFORMATION
Date Issued: 5/09/2017 Name: KENNEDY, ANNA & DOUGLAS
Total Fees: 70.00 Address: 38810 HENRY DR
Amount Paid: 70.00 ZEPHYRHILLS, FL. 33542
Date Paid: 5/09/2017 Phone:
Work Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES
A. BARTLETT ROOFING OF CENTRAL F REROOF RESIDENTIAL 70.00
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Ins ectio s Re� '
DRY IN ROOF INSP
TAPE JOINTS ROOF INSP
FINAL
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
improvements to your property. If you intend to obtain fnancing,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.
�
CONTRA OR SIGNATURE PERMIT OFFI R
�MIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
8i3-780-OQ20 City of Zephyrhiils Permit Application Fax-893-780-0021
�� -- Buildinq Department
Date Received Phone Contact for Permitting � �� �r ^�
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Owner's Name 1P1� Owner Phone Number �" Z �
Owner's Address S,��er Phone Number �� �
Fee Simple 7itleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOS ADDRESS L� C� .S� LOT# ���
sust�ivis�oH '� � { FaRe�,��o� t���too�l �'6 � o
' (OBTAINED FRpM PROPERTY TAX NOTICE)
WORK PROP4SED � NEW CONSTR� ADDlA�T �� SIGN � Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q CO{VIfUI �� OTHEi2
TYPE OF CONSTRUGTION BLOCK Q FRAME � STEEL Q
DESCR(PTION OF WORK �VQI..L..� n �� o
BUILDiNG StZE � � SC!FOOTAGE HEIGHT ���
���l�'���� ��,��'C�, � � VALUATION OF TOTAL CONSTRUGTiON
�J ��
�Ei.ECTi21CA� {� � AMP SEf2VECE Q Pf2flGftESS ElVEi2GY Q W f2.E.0
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QPLUMB[IVG � ��
QMECFfAN}CAL � � VALUA310N OF MECHANICAL tNSTALLATION
�GAS � F2QOFiNG Q SPECIA�TY �� OTHER
FINISHED FLQOR ELEVATI�NS ���---� FLOOD ZONE AF2EA QYEa NO
�� ■ ■ ■ ■ • • ■ • ■ �—�_�._..���__.■..__e_e ■_ ■ • • � • • ■ • • . .■ ■ . ■ • •
Bui��E� � CQtUIPANY � ,� ` 8 .� L �.(
SIGNATURE 4 REGIS7ERED Y N FEE CURRE� Y/N
Address License# ���.-1�jca�s�'�� �
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N
Address License# �^ —�
FLUMBER COMPANY
SIGNATURE REGIS7ERED Y/ N FEE CURRE� Y/N
Address �icense# �` u�
NIECNANtCAl. COMPAiVY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �� �
OTHE12 COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �� �
i � � � ii � � i � � � � � i � � � i � � ii � � � � � i � ieii � iii � � � � � � � � � � � � � � iiii � ii � � � ir � � r
RESIDENTIA� Attach{2}P{ot Plans;{2}sets of Building PEans;{3}set af Energy Forsns;R-O-W Permi#for new construction,
Minimum ten(10)working days after submittal date. Required ansite,Canstruc#ion Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities 8�1 dumpster,Site Work Permit for subdivisionstiarge prajects
COMMERClAL Attach{2}eomplete sets of Building Plans plus a[.ife Safety Page;(1}set of Energy Forms.R-4-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facili#ies&1 dumpster.Site Work Permit for a!1 new projects.R!1 corr�mercial requiremen#s musf ineet campliance
StGN PERMiT At#aeh{2)sets o#Engineered Pians.
**'*PROPERTY SURVEY required for all NEW construckion.
• � ■ ■ � � � t • �_.._l�t..l._1� .1......■__1 ■.....■ ■ ■ .■ ■ ■ � l � � ■ � � � ! 1 � } f • Y Y � � l ! � 1 • � • Y � • R • a t ■ 1 � tl • � � [ !
Directions:
Fill out application completely.
Owner&Confractor sign back of applicatian,notarized
If over$2500,a Notice af Commencement is required. (A!C upgrades over$7500)
** Agent(for ihe contractor)or Power af Atiorney{far the awner}would be someone with notarized!e#fer fram owner autttorizing same
OVER THE CQUNTER PERMITTING (copy of contract required)
Reroofs if shingfes Sewers Servioe Upgrades A/C Fenoes(Plot/�urvey/�votage)
Driveways-Noi over Counter if on public roedwaya..neede ROW
�
�lOTf�� ��9EE� ��STF�IGT606��: "�he und��sign�d und�rs�ands fiha�this permit may b�subj�ct�o°deed"r�striGtians"
wk�ict�m�y b�more r��tric�iv��han County reg�l�tion�. 'The und�r�ign�d a�sumes res�n�ibility for complianc�wi4h�ny
applicabl�do�d r�s�rictians.
!��l�l���9��� ���l�'6'��'�'�R� A�1� ���lt�G�'E�R 63��P�&d�l�lLtYl�S: If �F�� own�r has hir�d a contractar or
cvntrac�ors �a und�rta�:�wortc, �h�y may bg requir�d f� b� li�n��d ir� accard�nce with s��to and (�c�3 regula�lons, �f th�
cantrac4or is no4 licensed a� rc�quired by iaw, both the owner and contractor may b� cit�d for a misdc�meanor viola4ion
�ander state law. 1f�h� own�r or in��nctsd conYc�ctor ars unc�r�a{n a� to what iicen�9ng requir�rnen�s rnay apply�'or�F�e
intended work, �hey are advis�d fio coni�ct fhe i°as�a County Building inspectian Divi�ion--l.ic�n�ing �ec6on at 727-847-
8008. Furthermor�, if the ownar ha� hir�d a contractor ar contracta�, h� is advised #o have the cantraator(s) sign
�a�ior�� of th� "c�ntractor Blo�k" t�fi�hi� �ppllcaflon far which �hey w911 be r�spon�ible. �'you, �s �h� own�r�ign �� th�
contrac�or, tha4 may be an indic�ation 4h�f he is no4 properly lic�ns�d and is nat entitl�d 2o p�rmi�ing privil�g�� in P�sco
Cou�ty.
�'��1�F'��'TA"TIO� 1M�AG�'ftl�"I�.iTi�� I�fi�,�CT 6�6!!�R���UF�CE R�C01l�ftY����: The undersigned undor�t�nd�
that TranSPorta�ion Impact Fees�nd Recour�� Recovery F�es m�y�apply fio th� con�truc�ion of ne�r buiiding�, change of
u�e in existtng buildings, or o�an�ia� af existir�g build�ngs, as sp�ci��d in P�sca�o�an#y t3rdirtanc� nt�mb�r�9-�7 and
90-07, as amend�d. T'he undePsigned �lso understands, that such fees, as may b� due, will be identffied �t th� #im� ofi
{J�`P(Ttl�flftt„�. ��!'^a �E.t['t�t8f i�t1C�G�1"S�04� ��'121t !f�FIS�{}t��0Y1 �t7i�7�C� �@@S �Clt� ��SOUiC� �18COVt3C j �@�� [Y1LlS��lCs {3r'2lC� [3[�OF�O
r�c�iving a "cer�ifiicat� of occup�ncy" or fin�i paw�r release. Ifi fihe proj�ct does not involv� � ceriific�te of occup�ncy or
fin�i pow�r releas�, the fer�s mus�be paid priar to permit issuanc�. �ur�hermore, i�Pa�co County Vtl�i�rlS�uver Imp�ct
f�es��du�,#h�y must bc�pald prior to permit(ssuance in accordance�rith applicai�le t'asco Gounty ordinanc�s.
��b@t1�Y���Td1�S� l,tE� �A!€!!(Ch�g��r�13� FErarld� �t��a�av, ���rcrcr�dE�B�: It valu�tion af work i�$2,500AQ or more, I
cer�ify �hat i, the app€icanf, �I�VO b8@t't �C�Vlt��d WI�h � CO�� Of th{� "F3orsda Cons�ruction E.ien [.�w—Morfte�wn��'s
Prot�ctian Guide° prepared by fihe Florida Departm�nt of Agricuiture and Con�um�r AfFairs. 1f�he applicant is someone
oChar than the"own�r", 1 c�rfi�fy that E have obtain�d a copy of the abvve t���cribed�lacum�nt�nd prom�se in good f�i�h�o
deliv�r i#�a th�"owner"'prior to commenc�ment.
CQRDTRAC706�'S/�43tli��i�°� �,��ID�VIT: t certlfy that all the informatic+n in thts appNcatlon is accurate and that�II work
wili be done irt compliance with all a�pli�able #aws reg�lating cartstruc�c�n, zor�ing and iand deveiapm�nt. App{9ca�imn is
h�reby made �o ob�in a parmi4 fo do wariz �nd ins4�ila4ion as indicafed. ! csr�ify that no work ar insY�!lation has
commenced prior ta issuance afi a pertr�it and that aU wor4c will be perform�d to rn�e4 st�ndards of a!! l�w� reg�al��ing
car�sfructian, Coun4y and Clfy cadas, �oni»g regutafiorrs, �nd land develapment r�gulatior�s ie� fh� jurisdic#ion. 1 �lso
c�rtify that I undorsfiand th�t the r�gulations of oth�r governm�nt agencies may appiy to th� intended work, and that it is
r�y rgspons�b�lity to€dentify wha#acfions 1 must taEc��o�e in compliance. Such ag�nc'ses includ$�rat�re not Eimit�d to:
- Dmp�rtm�n4 of Envir�nm�ntal Pro4Qction•Cypr�ss 6ayheads, Wetland Ar�as and EnvironmenfaNy Sen�itive
Lands,Wa4erNVas4ewater 7'reafimen4.
- �ouf�r��st Florida Water Managemenf �i�ft�c�-W�ils, Cypr��s �ayheads� VUe�(and Are�s, Ait�ring
Watercaurses.
- Army Cor�s of Ertgineers-Seawalls, Dac�s, i�avagabie Vlla�erways,
- �e�ar�tr►ent of Heaith � R�habilitati��e &ervlceslEnvirQnmenta[ Health Unit-Well�, Wastew�ater Treatment,
Septi�T�nlcs.
- U��nvironm�nt�i Protection Ag�ncy-Asbestos abafiement.
- FederalAvia�ion,r4uYhority-Runw�y�,
1 t�nd�rs�and tha#the fiv3lovuirtg r�s#ric#�ort�apply to fhe use of�ill:
- UsQ af fiil is not a!lowc�d in Flaod Zorta"V"unless expressly permitted.
- (f 4h� �II r�aterial is Yo be used In �'lood Zane "A'� i2 is und�r�fo�d 4haY a drainage �l�n addr�ssir�g a
"cornp�nsating volum�" wi13 be submittcd af time of p�rmit�ing which is pr�parec� by a pr�fe�sionai engin�er
licensed by fih�State af Florida.
- 1�t�te �ll ma�eri�l is f4 i�e used in Fiood Zona "A" i11 G0I1f1�C�iDtt W1�FI � A$t?'Ytl$f�d ��t1It�I�i� tdSitt� StBPi"i U1t�I)
cor►struction, I certify fihat filt will be used only fo fill th�area within the stem walf.
- !� fi#! ma��ria! is to be us�d in any arQ�, ! c�rFi�y 4ha� usa of �uch �II vu�11 nc�t advers�#y aff�c� adj�c�n#
proper�ies. If use of fill is found�a adver�eiy a�fioc�adjac�n4 properties, �h� ov►►n�r may b� cited ior violating
4h� condi4ions ofi fihe building p�rmiY issued under the attached pe�miY applicafion, for lo�s 1t�ss fh�n on� (9)
acre rnrhich aEe elevated�y�II, an�ngineered drainage plan is�quired.
�g I �m�M��G��1'T F�R TH� Oif#!'f��R, I promise in good faith to inform the owner af Yhe permitting canditions set farth in
�his a�idavit pri�r �o commer�cfr�g canstrucfion. 1 understa�d that a separafie permit may be r�uired f�or etec�rical vuork,
plumbing, signs, w�lEs, pooi�, �ir conditianing, gas, or ath�r insk�llations not specif.rcaily inc(uded in the �pplicafton. A
permit is�ued �hail be cansfrued to be a licen�� to proceed with the woric and no�aS au4hari4y to violat�, cancel, alf�r, ar
se�aside any provisiorts of the teahnicai codes, nor sh�fl issuance o�a p�rmifi prevent fhe BuE(ding Of�cial fram thereaft�r
requiring a corrc�ction af errors in plan�, con�tru�tion or viot��ions o�a�ay codes. Every permiY issu�d sh►al{become invalid
unless �he work auYhQrized by such p�rmit is commenced witihin six mar�ths o#permi�is�uance, or if work authorized E�y
fhe p�rmif is susp�nc�ed or�toandoned for a period of stx(6)months after ths klme the vvorpc is commanaed. An�xten�ion
may be requested, ln writ+ng, from the Buiiding Official for a periad not ta exceed ninety (90� days and wi!! demonstrate
justi��bl�causc�for the exfension. 1fi worSt c��sc�s for nin�4y{90)consecutive d�ys, the job is consid�r�d abandoned.
4f�fB��6�Q6�� �'� �t��S�F�: �t`C?�6� FAtLU�� �'� 6���4R� A �@`�tC� �� ���t�������6t!`� �JI,�� �2��#1�.'�' t�f Y�JU�
��,�it��'i'li�iC� ��� ti1��8�+�i��ifi���i`��"���f4U�P'Rt7���TY. IPr YCII! t�'I'IT�N�'P�3 O�"PaAIW �9�9�i��1�§G,�COAlSULT
@,�tl"P'@i Y�UR 6,��O�t eAi�AY"P'OR�t ,�V����R�RECQ�DING YOUR�901"IC� C9� �pi��lC���l�
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OWtd�R QR AGEIU'i" c A �-=�[Z���d�� .��K..�LG:.L�
F " GC7�IS�AC'CO�_
Subscribad end swom to{ar e�inned} r�me this Subsetibed and sworn ta{ar af��rn te me this
by by
Wha is/are person�Ily known to me or has/hava produoad Wha is/are personally known tn me or has/havo produced
as identiflcatian. as identifica#i�n.
' �
� Nqtery Pubiic !� -- Notar�r Publia
Commission Rfa. Car»rnis 'on o.
_;,_' e�k` Commission#FF 150422
Name of Natary typed,printed or stamped IVarne af Not i � §sr
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�9 ��c��Y��g �.o��i�� �f �e��r�c� ,�`Y��i��f ��e. �
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3�40� 3rd Ave. { �ephyrhills, �L 33542 �
(�13) 7��-�5�5 � (3��) ��3-���� � (�13) J7�����7 �
Lic. #CCC 1325499 ;
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One of the Largesf, C1ldest, Most Depe►�dable Roofing Companies in Central Florida �
Specia/izing in Mo,bile Home White Commercial Rubber, Shingles & Color Metal Roofing 1
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���i���IT1�L 9 COi�ifif�E��l�L� iV1��ILE HO(1�iE �
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I.�CEi�SED - dNStJRED - �OlVDED "
� ME111/IIBER �F TH�C�I�6M�ER O�CON1tP/I�RCE& �ETTER �USlNESS I�UR�AU • �
,
We do everything we can to maintain our A+ rating from the �etter Bu�iness Bureau �
�
Serving Zephyrhiils, Dade City, CrystaE Spring�, C�uail H�Ilow, lN�sley �hapei, and Starrounciing Arests. I
We have re-roofed or repaired more roofs(i9,000)in the past 44 years, than the fourlocaf leading roofing compantes combined �
We do no8 c6�arge extra fees for credlt card�urchase.liJlost codn�aanfes charge 3 eo 5%.
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Nam� :�r��`` �
Addl'2SS 4540 Autumn Pa1m r ��
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Remove complete shingle roof and rear flat roof. Complete
haul away . 12ep1.ace any �i���en -piywoad . 2 sheets inc3.uded in
bid extra is $ 35.00 Per sheet (labor & material) .
Na; 1 0 b b e s eet on shinle roof. Nail on a eel
t' k brawn.
Nai1 on a 25 ear class A 3 tiab shingle . Instal.l new 3.amanco �
rid e vent 54° . Instiall 20" va11e metal and ee1 & stick
New I.ead boots over vents. 10 year leak �aarranty
Permit included, no sales tax . SHINGLE ROOF 559QOp
FLAT ROOF 600.00
Home Owner:
�ichard C.Bartleri,President&Owner A.Bartlett Roofing of Central FL,Inc.
THAL�JK YOU
Your Business is Appreciated.
Payment upon�ompletion unlsss previ9us arrangement made.Warranties pertain to original owner.
�II arrangements contingent upon strikes,accidents or delays beyond aur control,Owner to carry fire,tomado and othar necessary Insurance.
Our workers are fuily bove«tl by Workmsn's Compensation Insurance.Customer fis liable for any charges incurred in callecting this biH.
Rotten wood is an extra�35.00 per sheet(4piy).Roiten fascia is�u2.00 per IineariooL gAt�l %,���
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2017069514
PertnitNo. Pe�cellDNo (��.��7-� �/�Q ���dd �l� d
NOTiCE OF COMMENCEMENT
State o1 �(�f'i !Y 4 CouMyof �C1S��
THE UNDERSIGNED hereGy givGs nafice iAat anprovam'ent w�l De matle 4o certain reaF propeRy,artd in accoidencs wit�Chapter 713,FfoAda Stefutes,
the foilowing infortnation is provided m lhis Natice of Canmencement:
1. Qesc�tion ot Pmperty Percel Identjfication No� !� d
Street Addtess: /
�
2. General Description oT Impravemerd
3. �` Owner m�etion or Lessee C�fortnetion it the Lessee contracted far tRe im0�ement: -- -
� Nem �
� �� ��,�,,/l� ��3�z,
aaa 5 , J sc�s
, Irderest in Prope [.J ( �)
Neme af Fea Simple T31ehoMer.
' pidiNe�entfrom Ownerlistedabove)
Addtess Cfry State
4. Contrador: Richard Bartlett
� Name
4R4(1R �rrl Avannr FT•
Addtess Cf Stete
co�i.eraors Tdepnorre mo.•813—7 S 2—5 5 8 5 3 3 5 4 2
Y
5. surety. `'� ~ U � w
' Neme
/ cnW � cn W v
Adtlress City Stafe ��` = O = -�J y-
AmauM of 8and: $ Telephone No_ (��Z U � J � �
�dO = Q N � �
6. Lander. Name �� � ~ � �- �
� w z J �
nddress C1ry ste�e fl�� p Q O
Lenders TeteDhone No.. �w t� � U
=00 � ,�
7 Pecsans within the State of Floride designated by tAe owner upon�vhom notices ar other documerts mey be served as provided by = �-. } O Y
Saction 713.13(1)(a)(T);Floride Slat�es: � � 0- � �
Neme U =O V z -�
Q F- E- J Q
� } UmQ �U
nad�ess ciH siace � ��Q � ��
Telephona Numberof0esigneted Person: � ���= QQ z
8. 1�addition to himseif,lhe ownerdesignates oi_ u' �' � oy � .
to recewe e copyafthe Lvenor's Not�e as O�ded in Section 713.13(1xb),Floride Stffiufes. O � n O �
:Telephone Number ofPerson or�n1Ay Designated by Owner � cn Q�� J
F ►►� u_ Z
9. F�piretinn dete of Notice af Commencement Rhe expiratlon date mey rrot be befaie the complelion of conslruclion and 5na1 peyment ta the � _�z H Q }
canccacoac,oue wa�ae ane year ran me aaRa nc�ac,o�atcvg wwass a aiaeceax aeRe is spec�ied): cn F- 1- � � �"
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EJCPIRATION OF THE NOTICE OF COMMENCEbIENT � �
ARE CONSIDERED IMPROPER PAYMENTS UNDER CNAPTER 713, PAR7 1 SECTION 713.13 FLORIDA STATUTES, AND CAN �
RESULT IN YOUR PAYIPlG T1MCE FOR IMPROVEMENTS TO YOUR PROP�RTY. A NOTICE' OF COMMEfJCEMENT MUST BE
- . RECORDE�AND POSFED ON THE JOB SRE BEfORE THE FIRST INSPECTION. IF YOU INTEND TO 08TAiN FINANCIPIG,CONSULT � '� O/
WfTH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. �� ��
o Je
� urwer pen�ry ot pa�ury,l decle�IhaE I have read�e 6otegoing notice o{commancement end thet the fads stateA itrerein ere true to lhe 6est � � ,���, � � ��
ot my knowledge end be6ef. � � Q �
STATE OF FlORIOA r
COUNTY OF PASCO •
- +��`�y��6� RICHARD C.BARTLEIT �9 �+�e a�Owne�or Lessee,or Ow�rers o essee's Authorined �`� ; �
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The�orepoa�p u�stnm�ontwas acluwwledged tsefore'me this�dayof /M�,20�by N.e �� �
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{name of + m instrumeM wes executed).
Personaily Known��R Praduced lde�"fficetiar �. Na1ery Signeture
Type oTldentd'xatian Pmduced��.,�i L•D h S-e Neme(PAnt) 6 .�
Rcpl:1861797 Ree: 10.00 I
DS: 0.00 IT: 0.00 �
05/09/2017 K. D. K., Dpf.y Clerk
Pi7ULR S 0'NE7L,Ph D.PiiSCO CLERK B COMPTROLLER
05/09/2017 5 m 1 of 1
OR BK 9�3� P� 593
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