HomeMy WebLinkAbout17-18124 CITY OF ZEPHYRHILLS
5335-8TH STREET '
d� �' -' (813)780-0020 18124
� BUILDING PERMIT
PERMIT iNFORMATION LOCATION INFORMATION
Permit Number: 18124 Address: 5405 23RD ST
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: ZEPHYR HEIGHTS
Est. Value: Parcel Number: 12-26-21-0030-00600-0200
Improv. Cost: 9,300.00 OWNER INFORMATIO,N
Date Issued: 2/06/2017 Name: CONNER LIN & COLONEL
Total Fees: 85.00 Address: 5405 23RD ST
Amount Paid: 85.00 ZEPHYRHILLS FL 33542-4608
Date Paid: 2/06/2017 Phone: 813-546-0934
Work Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES
SCOTT BLACKMAN ROOFING INC REROOF RESIDENTIAL 85.00
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Ins ections R uired
DRY IN ROOF IN P
TAPE JOINTS ROI.�F�S��vr�
FINAL li �
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 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.
�����
CONTI�ACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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i�iiiii i����i�i�i iiiii iilll fllll IIIII IIIII IIIII IIIII IIII Illl �
,;` :- � 2017017456 _
, Pertnit No. Parcel ID No ( ��Z� �/� 0 v ��^ O� ��� _ �Z��
NOTICE OF COMMENCEMENT
Stete af � � County ai,�4'f��
�O�
THE UNDERSIGNED hereby gives notica thel improveJnent will be made to certain real property,and(n accardance wilh Chapter 713,Floride Statules, N(/�O
Ihe fallowing In/armation is provfded(n this Notice of CammencemenL• �" �
t. Desaiptlan ol Property: Parcel Idenlifica6on No.� 2 �' z�'�Z� ����'� r bb 6� —�Z--«� O�D��
Street Address: � �� �3 r� j'�'r 1 S 3 3�7� �@ w
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2. General Description of Improvement � tr ti ti W( 14-S t4 L�� T ��!.�Q� �J N
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3. Qwner Infortnatian or Lessea InfortneUon if the Lessee contrectad for the impravement: �tr
Col� �2 ( Co�,h P r , • -��
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Address Ci��— State v��
Interest in Property: �p
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Neme of Fee Simple TiUeholder• '� s
(If diNerent from Ovmer listed above) n
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Address .�.f_ r � City Slate fD
4. Conlrador. ��1� `�C �-S� �u u �••� S �,
� ��0 1 O e S SZ�2 S A.h �rw'���v � �
Address � t,L ^ �� ��G� City Slate �'� S��
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iConlredafsTelephoneNo.. �
5. Surety:
Neme
Address City State
Amounl of Bond: $ Telephona No.: N c
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6. Lender. �O D
Name ��rn
Address Cily State �B�
Lenders Telephone No.• (��'m
' �i/J�
7 Persons within lhe Slate of Florida deslgnated by lhe owner upon whom nolices or other dowmenls mey be served as provided by �m�
SecXion 713.13(1)(a)p�,Florida Statutes: N�"
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Nema � �W D
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Address City Slale �
Telephone Number of Designated Person: �~m
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8. In eddilion to himsell,the ovmer designates o1_ � Np �
ro receive a copy of lhe Llenor's NoGce as provided in Seclion 713.13(1)(b�,Florida Statutes. �
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Telephone Number of Person or EnGry Designated by Owner: � �~3
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� 9. E�iretion dete of Notice of Commencemenl(the e�lration dele mey not 6e before the completion of construction end flnal payment lo lhe o
conVaGor,but w10 be one year(tom lhe date of recording unless a differenl date(s spedfied): �
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT � �
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN
RESULT IN YOUR PAYING 11MCE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR R D G YOUR NOTICE OF COMMENCEMENT
Under penelty of perjury,I dedare thet 1 heve read the foregoing nollca af ence end t al lha feds stated therein aza true to tha best
of my knovAedge and befief.
STATE OF FLORIDA
COUNTY OF PASCO
. Signeture of Ovmer ar Lessee,or Owners or Lessee's Autha�ized
Office�r i�re��arlPartner a ager
_1�I'D1Ve��. �f�rll7�/2 .�12.
� Signetary Title/Office /�
The farBgoing InsWmen ;acknawledged before me this�day of_1�a�"''�',�PA�/b \JO! ��!`C�•� ��lJ��
�.Bv�YI (L —� y--
es (lype of aulhoriry,e,g.,officer,lrustee,attomey in fad)for
(name o a an behaH of wty�rt�i�pnt Has executed).
Personapy Known❑Q@ Produced Identificalion'\❑�,, Notary Slgnature G u-��� ���
Type of IdenlHication Produced ��IY'�/S�\"""�Name(PrInQ u v I��. U P�
,,,���'°i�;•; JACQUELINE BOGES
_•: :` Commission#FF 150422
=;;�P; Expires December]2,2018
•�Pi.F.• B°^ded Thru Truy Fain Insurenca 5(q38$•70f9
i wpdate/hcslnolicecammencement�c053048
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��ATE OF FLORII3A,Ct}!1�lTY QF P��C� r�� ° $ ,��
THIS IS TO CERTiFYTHATTHE FOREGQING ISA � ' a
TRUE AND CC)RRECT CQPY OF THE DOCUMENT `� ` � �`�.� , ,
ON FILE OR OF PUBLIC RECORD W THIS OFFICE �„ s InG��'Qr,�,s` � � �
WIT---��Y HAND A FF,ClAL SEAL TN(S , b ��-. �
DAY OF 2 � �
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PAULA S.C7' L, CLERK&COM TF20LL R � y '� �� � •�"
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BY DEpUTY CLERI(� �d''��°���p
( `
5��� Proposa-I/Contract -
.�ca-t� �Qa.cl¢�za�z � '�, �rzc.
P.O. Box 1188 • 33010�2
�
San Antonio, FL 33576 -���-
� (352) 588-ROOF (7663) • (813) 782-1330 �aKded&
1-866-407-0559 • Fax (352) 588-9763 ��a,�vted
www.scottblackmanroofing.com
� ����� email: blackmanroofin aol.com - � �
�.'�05?95?
9@ Dateo? � �
PROPOSAL SUBMITTED TO WORKED TO BE PERFORMED AT
� Name ot L� rl.Ps�' Street
Street � ��� � � a�- City
City_��►.�,�,��f� �� State Zip
State �� Zip Owner of Property
Phone Number_�/���—��,3°fFax Phone Number Fax
We hereby propose to furnish all the materials and perform all the labor necessary for the completion of:
�'Ftemove existing shingle roof �Replace bad fascia boards at$ m d � per foot
❑ Dry-in with ❑30 Ib. U.L. ❑Synthetic underlayment ❑ Replace 1 x decking at$ per foot
�(Dry-i with a fully adhered underlayment$ �'Install��feet of ridge vents
additional
nstall new galvanized valley metal ❑ Install 25 yr. fungus resistant 3-tab shingles
.�Install new lead boots ❑ Install / � ��gus resistant dimensional shingles
�nstall new roof vents �Shingle manufacturer��1� color
�'fnstall new drip edge, �i�,� f't color ❑ Install TPO,white rubberized roofing membrane
❑ Install new flashing as needed ❑Other: �Per�.�-F—, !� 2,y��.r�f ,,.�` ,��( /��,��„S'
� eplace plywood at$��� � � per sheet
.0'Repair rotten trusses at$ � �� per foot
*Woodwork is an additional charge,see pricing above
All material is guaranteed to be as specified, and the above work is to be performed is accordance with the drawings and specifi-
cations submitted for above work and completed in a substantial workmanlike manner for the sum of$ � �O Q(3�
with payments to be made as follows: Payment due in full on completion, unless otherwise noted. Thank You.
Credit cards accepted, additional 3% charge.
*Not responsible for satellite signal when satellite is reinstalled 'Not responsible fo C&electrical lines too close to roof decking
Any alteration or deviation from above specifications involving extra costs will be
executed only upon written orders, and will become an extra charge over and
above the estimate.All agreements contingent upon strikes,accidents or delays Officer/Agent Scott Blackman Roofing
beyond our control.Owner to carry fire,tomado and other necessary insurance Note: This osal may be withdrawn by us if not accepted
upon above work.Workers'Compensation and Public Liability insurance an above
work to be taken out by Roofing Contractor. Extreme caution should be used within days.
during and after construction for debris and nails missed during cleanup.
ACCEPTANCE OF PROPOSAL
The above prices, s fications and conditions are satisfactory and are hereby accepted. You are authorized to do
the work as sp 'fi . ve read the back of this Proposal/Contract, which contains Florida Statues 713.001-713.37.
Payment will d utlin above. Client gives permission to drive on driveway to deliver materials.
Accepted Signature
Date Signature
I �
s��-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021
�• Building Department
Date Receiv�' ` Phone Contact for Permittin —
g;_.
Owner's Name Owner Phone Number
Owner's Address � � �o�"l t-✓ - Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS J �� Z 3� S� � � ` G[ S LOT# �
SUBDIVISION PARCEL ID# ��� Z�o — ZI ��� 3v -oo � c�o -G 2ac�
(08TAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED ' B � NSTALLSTR B REPAIR � SIGN. Q Q DEMOLISH
PROP..OSED USE Q SFR Q COMM 0 OTHER ;
TYPE'OF CONSTRUCTIOId Q BLOCK •- Q FRAME Q STEEL Q -
DESCRIPTION OF WORK �`' �� � � � /t� �I"`^ � <<Z^'� � �
- BUILDING SIZE SQ FOOTAGE � � J b HEIGHT •.
QBUILDING $ G) �v p�� VALUATION"OF TOTAL CONSTRIJCTION
l
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
Q'PLUMBING $
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � C �/��
QGAS � ROOFING Q SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y'/ N FEE CURRE� Y/N
Address License#
� 'ELECTRICiAN COMPANY =
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
' 'Address Licerise# +
:.�,�
P.LUMBER.,;, � CORIIPANY� �
SIGNATURE �REGISTERED Y•/ N " FEE CURRE� Y/N
Address L(cense#°
�- -: r.; ..
MECHANICAL" ' COMPANY
SIGNATURE�' ' REGISTERED , Y/ N FEE:CURRE� Y/N ' -
Add'r`e'sst" . L•icense#
r;.�;�'r, �. ..
,".-O?HER��� ;•:,. ,. ,.. COMPAMY , SC.O � : 4Crkl�wcen �;',•�
;�`SIGNE?►TURE;'��,i:� - ��Y/-—"� REGISTERED Y/.N FEE CURREK Y/N
::: �;::F.i .- _
Address�.; Y, ,V � �X.,1..Go: �, cla� �v,.�d� � , 33�76 Lioense# CCC V �� �'l��
-�.. �'�=::;, . ,
%;YRESIDENTIAL°::,�: �:Atttach;;(2):�Plof�.P.lans;!(2)�"sets of:Building�Plans;(1•)-set of��Energy',Forms R=0=V11 Permit,for new.construction,
_ ,_ -, ,��,�,::.,.,;�;-,�Minimum_;ten;(10)wor..kingidays afte�su6mittal�date:'Requireii`onsite;Constniction Plans,Stormwater Plans w/Silt Fence installed,
�. ' p. ,
�- Sanit�ry;�F�acilities;&;;1�dumpster;Sife;Wor,k P..ermit for.,sulidivisions/iarge p�ojects �
=�F,COMMERCIAL Attacti`�(2f'com'plete"'sets�of'Building Plans plus�a'Life Safety Page;(1)set of Energy Forms..R-O-W Permit for new constructlon.
' ' Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
�°° Sanitary FaciliUes 8�1 dumpster.:Site Work Permitfo��all�new p�ojects.All commercial requirements must meet compliance
ti��SIGN�pERMIT -AttacFi`(2f sets of;Engineered Plans:�r.� - '
' ""'*PROPERTY SURVEY required for aII,NEW.construction.
":i _. _ '
y..t.' " _ " _ _
'J . .
=;DI6@CtI0118: „ . .._ .: " � �
- Fill':out application completely.
Ovuner'&ConVactor sign back of application,notarized
r_ � Ifover$2300;a Notice.of Commencement is required. (AIC upgrades over$7500) : , _ -
� �,.:„:.r��,c
;."'"- .Agent.(forthe�contractor)°or�Powerof Attomey(for"tlie ovmer)would tie someone with notarized letter from owner authorizing same _
�;OVER.THE COUNTER=PERMITTING. - ;(copy.of contract?required) �� "```' �
� 'Reroofs if shingles Sewers � Service Upgrades A/C �Fences(Plot/Survey/Footage)
� DriVeways-Not over Counter if on publicrroadways'.needs ROW:.: ����
_ ...____ ��:��
, . . . ,t
IdOTICE.OF DEED RE57RICTIONS: The undersigned understands;#hat,this;permit may be.subjeet to".deed"�.��strict'ions"`n�}
_ _ 'r;. . S, a,� ..�,•�" _L,.=-•fr.,:.v:...,,;...� '�rad*:.-�'•t:„s;q:..:.r.crd;.,,y,;:i-,: f-�,�*4^�.;,
which,.may,;6e:moce:restric#ive:.than;G.oun#y`:regulatEons.r'The utide�signeelrt assumes��responslbili#jr'far complian`ce=uinth any ' '
appliicable deed r'estrictions., �4t-=���'� ���=�`�� �M
UNLIGENSEQ �CONTRACTaRS AND Ct?NTRA,iCTOR RESP.QNSIBILI7'IES: If�tlie=awrier'�I�as•hirecl:L�a=�contractor or ;�
contractors�to undertake work; they may,_:be required ta be.licensed in accordance with state�and-:local=r,egulations:.=.-1f�tlie{°� :'
contractor is not licensed-as require`d�by'iavir, bofh.the owner:and'confracfor-�may<=be��cited��fo��a'misdemeanor violation '""
under state iaw. If the awner ar intended. contractar. are�uncectain as #o what t�censing reguicetiiaents�rnay==apply'>for��tfii'e:�;'��-<�
. . fi: .i51 '._ .e. , _ _ ._�
intended wack,.they-are advised to c6ntacfi'tfie Pasco County Building Inspecfion;'bivision-Licensing Seation�at 727=847- ,'
8009. Furthermore; if the owrzer-has hired-a�contracfor ar ca'nt"ractacs, he is advised to`��have fhe contraa#or{s,},�sign ,;..;;�,
portions of the "contractor Black" of this applicatian for which they.will be responsible..=�lf:-ybu,,as'`tFie�owner sig`n��as`�the�°="��;�
contractor, that majrbe an indication that he�is not properly licensed anc!"is not entitled to�permitting pi9vlteges�inl,Pasco;:r,._,,:s;�
�'i8Ut1�/. _ ._., ' . ,_ ::oi�. ,vs.
TRANSPORTATION IMPACTNTILITIES�IMPACT ANQ RESQURCE REGOVERY FEES:�The undersigned understands °���
: �.;:,..: ..::=.�,a..
that Transportation Impact Fees and Recourse Recovery Fees may.,apply to the constructron of new:buildings� cFtange��fy��=;_����
use in existing buildings,-or�,expansian:.of;existing buildings, as specified in Pasco Caunty Ordinance number 89-U7�and _ '`;
9Q-OT, as amended. The-undersigned also understands, that such.fees, asyrrtay.;be.due, wifl be:ident�ed-afi��tEi'e=:tirrte�af=-mu}�";
permitting. �lt is further understood that Transportation Impact Fees�and Resource�Recovery.Fees must be paid priar to �;
receiving a ':certificate af,occupancy,"or final power release. If the.project does not inuolve a'certiflcate of oecupancy-0:ory:�==°�.3
final,power release, the fees must be paid prior to permit issuance. FurtEiermore,.if Pasco�County WateclSewec�lmpact,.s%�,: :
fees are due, ttiey must be paid prior to permit issuance in accardance with applicable:P`asco County ordinances.� , `
GONSTRUCTION�l�IEN�C:AV1t{Ghapter 713, Ftor9da Statu#es,as amended}: If valuation of work is$2;50Q.QO:or.more,,,l:,.,u{„ .
certify'tfiat I, the applicant, have been- provided with a copy_of the "Florida� Construction Lien Law_Homeowner''s �
Protection Guide° prepared by tfie Florida Departmen#of Agriculture and Consume�Affairs. !f the applicant is.:someone ,.
; .}�
other than the"awne�',.i certify that I.have abtained a copy of#he above described document�and promise�'in goad`:faitii to:,.,,,
deliver,it.to#he:"owne�'p�ior:to.commencement: �
CONTRACTOR'SlOWNER'S AFFIDAVIfi I�.certify.tha#all the information in this applscation is accurate and that al(�work
will be done in compliance wi#h all applicable laws regulating construction, zoning and land develapment. Application is ..
hereby made to abtain a _permit,ta .do,wark and installatPon as indicated, t certify #haf na wa�k or:installaf'ion�has ,
commenced prior to issuance of a p.ermit and�that all work will be performed to meet-standards of all laws regulating
construction, County and C�ty codes, zoning regulatians, and land development regulations iri=•the jurisdiction: � !:�also
certify that t understand tha##he regulations of other government agencies may app{y to the intended work, and that i# is ;
my responsibility to identify what actions I must take to be in compliance. Such agencies include.but are not limited,.to: '
- n.Department of Ertvironrttental:�Protectlan-Gypress Baylieads, Wetland Areas and Environmeritally Sens�#ive ,
Lands,WaterNVastewater Treatment. • `
- Southwest Florida Water lVlanagement Districi-1tUells, Cypress Bayheads, Wetland Areas, Altering �
Watercourses.
- Army Corps af Engineers-Seawalls, Docks, Navigable Waterways.
- Depa�tmen# of Health & Rehabitifative Services/Environmen#al Health .Unit V1lells, Wastewater_Treatment,
Septic 7anks.
- US Enviranmen#al Rratection Agency Asbestos abatemeni. ,
- Federal Avia#ion-Authority-Runways.
1 understand thatithe foNawing`restrictions apply ta the use of fill:
- Use of ftt(is not al(owed in Flood Zone"V"uniess expressly permitted.
- IP the �II material is to be� used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume° wi11 be submitted at time of permitting which is prepared by a professional engineer "
licensed by the State of Florida. , � �
- lf the fill materiaf is to be used in Flood Zone "A° in cannection with a perrr�itted building using stem wall
construction, 1 certify that.fili wili be used oniy to fill fhe area within the stem wall.
- If fill material is to�be used in any a�ea, I certify that use of such�fill will nat adversely affect adjacer�t
proper#ies. 1€use of fill is faund to adversely affect adjacent properties, the owner may be cited far vio(ating
the conditions of#he building permit issued under the attached permit.ap.plication, for.lats less than one (1)
acre whichare elevated by fll,an engineered drainage plan as requi�ed.
If I am the AGENT FOR THE OWNER,:1 promise in good faith to inform the owner of.the permitting condi#ians set forth in
this a�davit:prior Co cornmencing construction. ! understand that a separate permit rrtay be required for electrical work, '
ptumbing, signs, we{!s, pools, air canditianing, gas, or ather installafions nat specifica0y included in fhe 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 provisions af the'technicat codes, nor shall issuance of a permit prevent the Buitd�ng C}fficial from #hereafter
requiring a correction of errors in plans; construction or violations of any codes. Every permit�issued shall beeome 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.ar abandoned far a period:of six(6}manths after the time the work is commenced. An extensian
may be requested, in wri#ing, fram the Buildirig Clfficial for a period not to exceed�ninety {90) days and wil!demanstrate
justifiable cause for fhe extenslon. If work ceases for ninety{90}consecutive days,the job is cansidered'abanclaned:
WARNlNG TU OWNER: YOUR �AI�URE�TQ RECORD A NOT-ICE OF COMMENCEMENT•MAY RESUCT IN YOUR
PAYtNG TWiCE FCIR tMPROVEMENT$,TO YOUR:PROPERTY.: 1F YOU-.INTEND-TO•QBTAIN'FINANCING, CONSULT -
WITH YOUR`CENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF�GOMMEt���4ub�l�T�=-,--- -----
__F�oR1DA,ttiBAT(F s.sazo3� --- __— ___ __ _ , . __.,�
OWNER OR AGENT CONTRACTO
8ubscribed and swam to(or aftitmed}before me thls - Subscribed an swom tp(or affir�►�ed}before me this �
� �y � �Y
, Who is/are personally known to me or has/have produced Who is/are ersonally kn +nm me or haslhave.produced
as Identification. ��, as idenUflcation.
\
Notary' Public � ' Notary Publlc
Commissfon IVo, m�s ' n No. --
�y'P�i
'°"� YB��,-. �A mroussion#FF 150422
Name of tVoiary typed,prfinted ar stamped IVame of Na - : ,w dg�a�. '
'; F � go�n ed 7hru T�oy Fain Inau�unco E60w'85'7619
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