HomeMy WebLinkAbout17-18146 CITY OF ZEPHYRHILLS
� -- 5335-8TH STREET
' (813)780-0020 18146
BUILDING PERMIT
PERMIT INFORMATION � LOCATION INFORMATION
Permit Number: 18146 Address: 38532 13TH AVE
Permit Type: MECHANICAL ZEPHYRHILLS, FL.
Class of Work: A/C CHANGEOUT Township: Range: Book: �
Proposed Use: NOT APPLICABLE Lot(s):1 & 2 Block: 38' Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-03800-0010
Improv. Cost: 16,000.00 OWNER INFORMATION
Date Issued: 2/14/2017 Name: PONCHOT, JAMES & MARY
Total Fees: 115.00 Address: 38532 13TH AVE
Amount Paid: 115.00 ZEPHYRHILLS FL 33542
Date Paid: 2/14/2017 Phone: (352)467-5142
Work Desc: A/C CHANGE 3.5 TON 14 SEER
CONTRACTOR S APPLICATION FEES
SUPER HEAT AND AIR LLC A/C CHANGEOUT 115.00
. �
_. � ' � � �� L � �
_ �
�� � -
�'� �',�'
L�..%
Ins ections Re uired
� DUCTS INSTALLED
DUCTSINSULATED
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 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.
\ �
, � ONTRACTOR IGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
� CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
�
��:
' °,;,, ' � DATE: + /�/ � INVOICE#: 5567 SUPER CLUB MEMBERSHIP
`,` � 7ech Name ��Q_� WO#: Super Heat and Air Club Memberships have been
T��� � expiained:
�13-609-5015 , �, . . . . . . �.
� _ OCurrent Member
��; ��R www.superheatandair.com Make Model Serlal A e Cond ,
`� ,� g info@superheatandaiacom g �Agree to purchase
�' �(P' CAC7 818204 AHU P P
�; ❑Deciine artici ation
Jaime: J 1'i �� Customer's Initials
1 .�
i�eet Address: � � V I have discussed Super Heat and Air Club
;��y � � � tate:FL Zip: Membership Saving programs with the customer.I
have given a copy of the contract to the customer.All
lrjrr�e Tel: Fax: �� '�� • •• '-•• � ''•• • work is complete and is in compliance with Super
.�n��: Htgh Low Actual Max. Heat and Air standards of excellence in workmanship
„ and in compliance with building codes.
` Before
��ason For Call: ❑Work Complete
� After Technician's
❑Attn.Supervisor �Follow Up ❑Work Incomplete Signature
BRAND ❑S/C ❑HP ❑VERT ❑HORIZ TONS
� • • • � � � �- � • .. . . .-
INDOOR AIR QUALITY
l � l ���� �Q�F-- Air Handler OOk ODust �Growth �Dirt
' ��g � ` �" BlowerWheel OOk ❑Dust �Growth ❑Dirt
i
� r ,(
i l � s 1- � � . � (`�,�0 e 1� Evaporator Coil ❑Ok ODust �Growlh ❑Dirt
� � �ln� �n e � ` � �` Ducts and Vents ❑Ok ❑Dust �Growth ❑Dirt
Q,,���� �Ll � ��—f,t?� c,�] PAYMENT OPTIONS
� 4` `S ��� �Ln � �a G ��` �Cash ❑Check# ❑ Credit Carcl., �
• �� ��� �`� � ���" � ' ' v ���` ❑VISA ❑MC ❑ AmEx ❑ Discover
i
; la,�� � 3� c�cf� o�• c,� e �
� �1�..�� � �� Name on Card:
! 471 l�r�
Card No.
� ��
CV2 Code: Expiration / .
�.� = / .
„ � -� � Signature
�� 1� I hareby acknowledge the sadsfactary compleUon a(the work as noted on
O^` lh(s inwice.It Is agreed that the seller will retain dtle to any equipment or
�``j matedal until flnal end complete payment is made.If the settlement Is not
made as agreed, the selter has the dght to remove equipment and
� , , � '""' matedal and the seiler will be held hartnless for eny damages resultlng
, ment for Service:1.the undersl ned,mn an authorized re resentative of ffie " `. ° _ -;,_a�' �r'°�:."�',.'��b �'.y,_,r,.,' _ _„..,,-, ,.,_,.„,.,,,,..,�, - ,.,,-x=,.,;�„a, from the remaval of equipmenl Terme indude 1S% monthly seMce
pmises at which the work above 9 Ing done.1 authorize ihe pedartnence a( <°.�� � - =STANDARD�s MEMBER:TOTAL.Sw�� �,y� �;� �,�.,,�,�. .,�$ '• charge If not paid in 30 days.In the event of non-payment of the specified
a work ae noted on this Inwice a oariedge that the estimated prfce does not ° ' ^�' �'��'�"�'�'�*�'""'' "' "�zs" �"°' ` ; - � ��".a flen agalrretmy property may be pursued and I vrill be resportside
. '. � ,�,� �.ry,� ;', �,�' � ;my,� ,4 , y��r�%M1, . ,('f � �! for practicel attomey tees,coltectlon coste.and interests.
�(�de unforeseen parts oN whl meybe needed'attertFiework begins.My �. :, '�: ''� , � ��'� � ,P�.
Super�Weat and R,r Sawhgs- - ���
ilten authadzatlon wiA be ab n betore beginning any addidonal work.1 have ��,��r�.'s'�.����,�'.;,,,,u,;�sp� j��¢���� .,�. !s.�," , " ` .�.;. K. ? t , , Parts end Lebor Warrenty:
yd this contract,and agree und by.' tertn contained hereln. ��' ' s ' '�'"� •:' All parts as recorded are wartanted as per manufacturer..specfficadons.
�wa�,"4':��',�".^''' ,� � p,.�,,:,
� ��.;e:-� , T• .�£,���;�°y.;°.' We do rwt guarantee other parts lhen Ihoae we supply. if repalra'later, ,
��� � , a fn� 'y.,'"' '_+'s�� �'�*'�°� b"ecome necessary due to other,defective parts, they wfll be.charged.
, . •_ � • � ��,�������,'{�'��g��������� separately.We guarantee that ell iepaire are done i1ghL H a.repalr falb"
Ignatu �•��':�°,�, _ � dunng'the seasan;we wili repatr it agefn absdutely free.
hereby aelaawledpe the eatlstactory cortpletlon o1 the ebove work
813-780-0020 City of Zephyrhills Permit Applicatian Fax-813-780-��21
• � " BUilding pepartment
Date Received Phone Contact for Permittin �� a( —���/J
Owner's Name A Y�+� Owner Phone Num6er (S (�-7t����t ��
Owner's Address � � Owner Phane Number ���— ��`�—rs voZ...Q�
Fee Simple Titlehalder Name �� � Owner Phone Number �— �
Fee Simple Titlehotder Address
JOB ADDRESS ��� ��— L07# ��
SUBDIVISION � � PARCEL ID# `/- o��-- ��a—Q � ^` ) 'd
� {OBTAINED FFtOM PROPERTY 7AX NOTlCE}
WORK PI20POSED � NEW CONSTR 8 ADD/ALT � SIGN Q Q DEMOLISH
lNSTALL REPAIR
PROPOSED USE 0 SFR Q COMM C� OTHER
TYPE OF CON$7RUCTION � BLOCK Q FRAME � STEEL �
DESCRIPTION OF WORK V/�-- � � 2.r . ��
..
BUILDING SIZE SQ FOOTAGE HEIGHT C�.
�BUILDING �� VALUATION OF TOTAL GONSTRUCTION
�ELECTRICAL. �� AMP SERVICE � PROGRESS ENERGY 0 W,R.E.C.
...... .
OPLUMBING $
[z.���'vf1ECNANICAL $j� aaa� VALUATION OF MECHANtCAL tNSTAtLATiON
OGAS � ROOFING Q SPECtALTY � OTFiER
FINISHED FLOOR ELEVATIONS C� � FLOOD ZONE AREA �YES NO
BUILDER � � COMPANY
SIGNATURE REGISTERED Y/ N FEE GURRE� Y/N
Address License# C �
ELECTRICIAM1t � COMPANY
SIGNATURE f REGISTERED Y/ N FEE CURRE� Y/N
Address License# �� �
PLUMBER � � COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# � ��
MECHANiCAL ���J, / ' � COMPARlY Qg,� � ('r
SIGNATURE !iG`�''Ll f2EGISTERED N FEE CURRE� Y/N
Address L '(,�}, t^t License# �(fj�� �
OTHER COIUIPANY
SIGNATURE ftEGISTERED Y/ N FEE CURRE� Y/N
Address License# �� ��
1111111111111111111111111111111111111111111111111111111111111111111
RESIDEtVTiAL Attach(2)Plof Plans;{2)sets of Building Plans;{1}set of Energy Forms;F2-O-W Permit for new construc#ion,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,S#armwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large profects
COMMERC[AL Attach{2}corttplete sets of Building Plans plus a life Sa€e#y Page;(1}set of Energy Forms.R-Q-W Permit For new constrciction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilitles&1 dumpster.Site Work Permit for all new projects.Al!commercia!requirements must meet compliance
8lGN PERMIT Attach(2}sets af Engineered Plans.
•***PROPERTY SURVEY required for all NEW construction.
Y ■ • ■ ■ ■ ■ • ■ ■ l. ■ 1 ■ ■ ■ ■ ■ ■ ■ Y Y. ■ • ■ • .! Y Y f f ! Y fl ■
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
tf over$2500,a Notice of Gommencement is required. (AtG upgrades aver$7500}
** Agent(for the contractor)or Power af Attorney(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTE32 PERMITt'ING {copy of cantract required)
Fteroofs if shingles Sewers 5ervice Upgrades A/C Fences(PIoUSurvey/Faotage)
Driveways-tJof over Covnter if an pub(ic raadways..needs ROW
c , � y •
NOTICE QF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed" restrictians"
which rnay be more restric#ive than County regulations. The undersigned assumes responsibility for cort�pliance with any
applicable deed restrictions.
UNL:IGEIVSED CQN'FRACTORS AND CONTRACTOR RESPOIVSlBILITIES: If #he owner has hired a contractor or
contractars to undertake work, they may be required to be licensed in accordance with state and Iocat reguiations. If the
contractor is nat (icensed as required by law, bath the owner and contractor may be cited for a misdemeanar violation
under state law. If the auvner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work, they are advised to contact the Pasco County Building Inspection Division—L.icensing Section at 727-847-
8009. Furthermore, if the owner has hired a �ontractar or contractors, he is advised ta have the contractar{s) sign
portions af the "contractor Black" af this application far which they will be responsible. lf you, as the owner sign as #he
contractor, that may be an indication that he is not praperly licensed and is not entitled to permitting privileges in Pasco
Caunty.
TRANSPORTA710N IMPAC7IUTILITIES IMPACT AND RESOURCE RECOVERY F�ES: The undersigned understands
that Transpartati�on Impact Fees and Recourse Recovery Fees rnay apply to the construction of new buildings, change of
use in existing buildings, or expansion of existing buildings, es specified in Pasco County Ordinance number 89-07 and
90-Q7, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
permitting. (t is furkher understood tha#Transpo�Eation impact Fees and Resource Recovery Fees must be paid prior to
receiving a "cerkificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
final power release, the fees rrtust be paid prior to permit issuance. Furthermore, if Pasco County WaterlSewer Impact
fees are due,they must be paid priar to permit issuance in accordance with applicable Pasca County ordinances.
CQNSTRUCTIQN LlEN LAW(Chapter T13, Florida Statutes,as amended): !f valuation of work is$2,5QQA0 or more, 1
certify that I, the applicant, have been provided witM a copy af the "Florida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other#han the"owner", 1 certify that t have ob#ained a copy of the above described document and pro►nise in good faith to
deliver it ta the"awner"prior#o commencement.
CONTRACTOR'SlOWNER'S AfFIDAVlT: ! certify thai all ihe infarmation En this application is accurate and that all work
will be done in compliance with alt appiicabie iaws regulating constructian, zoning and land develapment. Application is
hereby made to obtain a permit ta do work and installation as indicated. ! certify that no work or installation has
commenced prior ta issuance af a permEt and that alt work urill be pertormed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdictian. I also
cer#ify that ! understartd that the regulations of ather government agencies may apply to the intertded work, and that it is
my respansibility to identify what actions� must take to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,WaterlUVastewater Treatment. �
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Enviranmenta! Health llnit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- FederaE Aviation Autharity-Runways.
I understand that the following restrictions apply to the use of fi11:
- Use of fill is not allowed in Flood Zone"V"unless expressly permitted.
- If the fill materiai is ta be used in Fioad Zone "A", it is understoad that a drainage ptan addressing a
"compensating valume" will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
- If the fill material is to be used in Flood Zone "A" in connection with a permitted.building using stem wall
construction, I certify#hat fill wi!!be used only to f!!the area within the stem walt.
- If ftit materiai is to be used in any area, I certify fhat use of such fili wili 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 btailding permit issued under the attached permit appEication, for lots less than one (1}
acre which are elevated by fill, an engineered drainage plan is required.
If I arrt the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting condi#ions se#forth in
this affidavit priar to commencing construction. 1 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#o proceed with the worK and not as authority to violate, cancel, atter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correetion af errors in ptans, cons#ruction or violations of any cades. Every permit issued shall become Envalid
unless the work authorized by such permi# is cammenced within six months of permit issuance, or if wark authorized by
the permit is suspended or abandoned for a period of six (6)months after the time the work is commenced. An extension
may be requested, in w�iting, fram the Building t�fficial for a period not to exceed ninety (90) days and wiii demonstrate
justifiable cause for the extension. If work ceases for ninety(90)cansecutive days,the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWlCE FOR IMPRC?VEMENTS TO YOUR PROPER'TY. !F YOU INTEND TO OBTAIN FfNANCING, CONStlLT
WITN YOUR LENDER OR AN ATTORfVEY BEFORE RECORDiNG YOU NOTtCE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117,03)
OWNEi2 OR AGENT CONTRACTO
Subscribed and sworn to(or affirmed)before me this Su cribed and sworn�o(�or„affrmed bef�oJ e me this
by !!? _bY_.�.[�t/S' �Ll.l'Jl,L�
Who istare personally known to me or hasli�ave produced Who i aj� ersonaity know to me ar haslhave p
as identification. L...�/V� i i .
Notary Public No Publia
Commission No. Commission No.
:ip!'• . AIEXANDRA MICt1E1,1,E WitSQN
;.: `;:c
Name of Notary typed,printed or stamped Name of Notary typ d, a �,�r st���s���13 2020
v1G7t398 4"5's
Fbrdp . Y+Ca can
Super Heat a_nd Air
3654 W.Gypi-ess Street
'I'el(�13]609-5015 I�ax(813)609-5U16 ��. �
www.SuperHeatandAii:com `
_ /
/
�,, r �
�
� �� �
oz/14/201�
CITY OF ZEPHYRHILLS
To Whom It May Concern:
� I,Denis Nuhic, resident and owner of Su er Heat and Air LLC authorize Aaron Anderson Daniel Pena and Carol n
P P , ,
Y
Sands,to sign on my behalf for any permit-related work within the CITY OF ZEPHRYHILLS.
Thanlc you,
Y- -
Denis Nuhic
Owner and President
State of �'LC!l�l�
County of �C.d
Subscribed and sworn befor.e me this L ` day of�,20�
B �� L
/
� -�-----------._.,.._-.:
, �, ry Public ,R�„�-��EXANDRA MICHflLIe WILBC�N
My commission E pires n�v connt�iSsiob a FF9,oaae
" A9
����,a�� EXPIRES Jenuary 13.2�20
�A'v71�78 0'S+ FlmdaHWr�Rnrv�u coo�
I '__.____' ________" _ _— _'__— .__
y 4r,s�z�eca�zorrsc-rcErtmxrri� �y��({llllllllllll{lIIIIllilllllllllllllllllllllllllllllllll
2017020138
�
/ Rcpt,:1837599 Rec: 10.00 �
�.:u,urr rsun�a���'�/ DS: 0.@0 I T: 0.00
� 02I141201? E. �t. , Dpty Clerk
' NOTI(:E 4F COniY1�NCEMT.A17'
Ttze ttndez'si�ned lis:rebt=gives notice tliat improvemeni�c�il}6e made to certain real properh;�nt!ia accordanct uritli Cffapiec 7 t3,
Floricla Swtutcs,lhe tol lo�ving information is pruvidcd in this Nuticc of Commencemcnr.
y, DESCRkPTi6�AF PR4PEKTY(I.egaI dc�cripiinn oflhe pra�rerty 8 yt=eei addreas,if ara$aGle�"F.aS FOLitl7ltl.:t t�a��l`�t�J'��'�'���
SI:BDIVISIO:� IiL(1CI:�,_T214T LnT_I�, OL f1LDG U�IT
;. GE\�RALDESC.`R1PTi0N pFT�iPROVtiTtE1T:�tI�� � �`���,�I(�Q��1`(�^-^"��
I�t -�� �� �.f
i 0��1HTif�'FORMATiO\ORLESSEE11lAOR\fATIO�TFI'FTELESS�:ECONTRA EDFpRT1iCTtITROVE�lEl+7T:
! �� � }-�^ .r ��t� 'I l r��
n.i:ame an3 addcess:�An t� � � �j��i�-`t ���(� j(Sa._.��at'1 ue�
b.Intertv in propcm•.
�.;.�ismta�n!3dJress aFfrt simple atltt.,�tda(ifdiftzrtnc tiom Uunu SiaW abp.•rt;
�4. a.CO�'1'tL�Ci'Okl,'S�\:4H2:;y Y A�1T _���_�C�1 1 t�1 [ 1 ��
COntr.t4Us'SIlddreSS: s1�D�'�--� t 3--�i�L.75 m� t�.a3�ne numhtr:��V l�' �CJ��
I $. SURF:f1:(iCappiiqblc,a ropp ofthc p�3vun�boud is amchcdl:
� �.YSnit171tSIIdd[GSS' I v t I"f
Ih Phona num6s. N 1 !� c.Atttoum of 6vnd:S
6.3 L�VS}E4i'SNAMLE: j"�r�
Lcr,d.r'sa�Jrru: ��" b.Phone numher:
7 Persflns titi�thin thc Srute of Ftarida designuted 6y Owner upon x�hom notices os othea documents may be sen�ed as prrn�ided h}•
5ec�ion 7i3.i3 fi)(aj i._Florida 5tatutes:
n��r.�em�daddrexs N)�
b.Phonc numturs at'desipnted ptRons:�/,�,_
� 5.a.Li uddition co himselEur herself.O���ner desi�iates ��� of
� to receiva a copy of the t_ienors Notiec as provided in Srctiaa�h}�Fiorida Snmtes. 3
b.Phunc uumbcr ofpermn at rniily drsig�alyd by 0��+�tr: M� � �,
9 �ipiracion date ofnotice af'camme�ice�nent(the e�piration date«iil bc i year froin�e date afrccording unicss a dif3'arent data ss
spccitied): .20 .
il'ARi3NC TQ��JS+'iVL�ft' ANY P1tY14'LT'TS'�iADG QY TfTG fRyt��l'�R AfTGR TI tr GXT`TitATI()�I C11�7'!If Nl� CL n1'CCI�v1I'`\'CL'.ivirNl' i
� .dRE CC�T3,5iDERED itvSFRt7PER PAY31fEtv'TC TTNt3ER CFEAPTFfi 753.PART I.CEC77t1N 7i37�.F1 C)RTDA,^,TA7TlT�.0 AND Cr1T.
RF_CLn.T 1N 1'OLJR.YAYNCi Til�10E F4R IMPRI�VF.MFN'TS TO VOUR PROPER'fY. A NOTICF C1F COIv2MFNCF1ffih'7'\ILTST BE �
RECORD[D iU3D POS'CED IJN'fI�JOfl SITE 13G•TOi2t'17�IE FIRST TNSPL•CTION, IP S'UU RJTF_ND TO O$T:\DJ F1NA13CTi�G.COhSULT '
TC"[Tt3 Y tIR LEi`It3t-K OR �`3 A L-Y BITC7TiE COMML't4Cli\C U�L7Rk dR RECL7Ri}ING YOG"R Nd31C�.Ut�C.`UMR•�CE1'I�i`P
f� �� �l./�..` -� �___L.�!___�V ,0�
� (Sr�,u�tUre of mcr or Le5see,or t?trver�pr I.escao s tPclnt t�ame and r4vide Siguator}'s Ti$elOffice}
autharized O ceNDimctor/PartnerM�nager)
' , State of�1Yt�
C011ilt}'Ot �C��-�
The fureaoing uistrument t�as�ctma«9ed�ed bcforc me this � ttay of�t .'<� f 7
� .i�}�_�f2r����// 11 '� .as ��1�(A
/�Y�A�on} (�e ofauzhority,...e.g.o�eer,truslee,ottomcy�facii
fur
{namC of p�rly on behal f of whom insuumeni�vas executed)
Persouallg Ivio���n�ur Produccd Idrntiftcaticm__,��Y'Pe ofIdtntitira' Yr duced "
1 �.
a�`a!�F�'!�', hLEXAN�RA tdlCt{EttE WIISON
.���� •'. MY COMMISSION p FF950448 (Sign:�lMi e Notan•Public) �
�� EXPIRES Januaty 13•2021? (Ptint,Type,or Stamp Co iissianed Nurne of Notmr}�Puhlie)
„�;,�,jggp•5;, Fq�daNawyiwv�:ecan PAULR S 0'NET�.,Ph.D PpSCO C�ERK 8 COMPTROt�l.ER
212/14/2017 10:1�7+am 1 of 1
�zv.t�-«.s, OR BK ����i PG ���
: � , i
����d��
,� � , t �p� �it�TE JF FLQ�iDA, CQUNTY OF PASGQ
�
THlS IS?G Ccf�`?�IFY TFiAT TNE�OREGOING 1S A
� ' � �"RUE AND CO�RECT CQPY OF THE DOCUMENT
� o QN Ff�.�0�OF PUBLiG RECORD IN THIS OFFlCE
b ,,_���,,Q,.�l ' ; „� W}� . MY HAND A FF(CIAL SEAL TNIS
�r � �`:'°:.. ' DAY QF t 2
(¢� : # A LA S O'NEIL, CLE &CO TROLLE
� �8`�'� � BY � DEPUTY CLERK
���AF�+9����