HomeMy WebLinkAbout17-18528 , _ CITY OF ZEPHYRHILLS
' S335-8TH STREET
(813)780-0020 18528 ,-- �
BUILDING PERMIT �
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 18528 Address: 4652 LARCH DR '
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: CITY OF ZEPHYRHILLS
Est. Value: Pa�cel Number: 15-26-21-0160-00000-0140
Improv. Cost: 7,650.00 OWNER INFORMATION
Date Issued: 5/26/2017 Name: SCHWARTZ JESSICA
Total Fees: 75.00 Address: 4652 LARCH DR
, Amount Paid: 75.00 ZEPHYRHILLS, FL. 33542
Date Paid: 5/26/2017 Phone: 813-900-7633 '
Work Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES
MITCHELL ROOF SYSTEMS LLC REROOF RESIDENTIAL 75.00
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Ins ections Re u' ed
DRY IN ROOF INSP
TAPE JOINTS� OF I�J,SP
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 grea#er,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 perFormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
- ,
CONTRACT SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
a��-�eaoo2o City of Zephyrhills Permit Application Fax-813-780-0021
" . 6uitding Department
Date Received phone=Contactfor-Parmtttli� '
, •
Owner's Name �e�-�-'�'',,,�' t ' ��� �.. Ownar Phone Number gl� �aQ"�7�'�
Owner's Address •T(�,,�Z �---q{'C� �� Owner Phone Number - �- ��
Fee Slmple Tltleholder Name �^ � '� Owner Phone Number � �
Fee Slmple Tltleholder Address ��i S�. (� ��Lti ,.� 2� � "`� 33 Sy�2
JOB ADDRE8S �Z Z--`t�'�� t�r 2 h ` (S L 33.5"`� Z LOT# ��,.�
suso��v�s�aa� � � �,aRCE�.io# � � �
, (OBTAINED FROM PROPERTY,TAX NOTICE)
WORK PROP03ED � NEw CONSTR ADDlALT �. SIGN� `Q - [� DEMOLtSH �
e INSTALL. 8 , REPAIR
PROPQSEDrUSE Q SFR Q COMM [� -QTHEi2 ' '
TYPE OF CONSTRUCTION Q 'BL.00K ' Q FRAME � STEEL Q
�
DE3CRIPTION OF WORK �e- '�o� U S i� i✓t�b C�f ' 1dc� �.4 �� ���� �E'-�
SUILDIPIG SIZE � � SQ FOOTAGE ���� HEIGHT���� _
QBUt�DlNG � VALUATION`OF TOTAL CONSTRUCTION
, �.�'�� ,
QELECTRIGAI. -$�'-" � AMP SERV#CE Q -PROGRESS ENERGY Q W.R.E.C.
L
QPLtlMSlNG ��� `
[„�MECHANlGAL $ ,,, VALiJAT10N t�F'MECHA{�lICAl.lN9TAlLAT!{7t+!
�.,��.
QGAS Q RQOFIE+tG _� SPECtALTY �] CITHER
FINISHED FLOOR ELEVATIONS ��� FLOOD ZQNE AREA QYES. PIO
, �aui�a�� �--�.'�_�� -'`� co�pa�nr � ` t,�.t;� �
� 5 �S L�'C
�, SIGNATURE ['�� � REGISTERED Y/ N FEE CURRE� Y N
Address ��? t-e�h� �f': � t--N �t`7 t�-t,. S�{3 Eicense# ��(-3 Z`7 7�`-� �
E�EC7RICIAN . C`OM#�A�Y ` -
SIGNIa1TURE '� REGI3TERED Y/ N FEE CURREK�' Y/N
Address ' . , License# � + � �
P[.tlMBER , COMPANY
SIGNATURE' ` ,REGISTERED- Y./-N-. -_EEE.CURRE� Y-/N
Address Licepse,# ��- ��
MECHAt�ICAE: ' � � � GOMP,ANlt � - '
SIGNA'PURE �� ' REGISTERED Y/ N . FEE CURRE� Y/•N
Address`� - . � �. . ` � .. . �- License# �� �
OTHER '*' � � � . ;COMPANlf,
SIGNATURE �"_"'� � �. ' "` ' "" ` ' ' " `' REGISTERED' Y/ N;,... FEE CURRE� � . Y/N
Address � n � ticense#��— �
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RESIDENTIAL:;; :Attacli"(2):P!o#�P,lasis;.(2�sefs-of�Bullding:!?ian's;(1}set ofEiiergy;Farms;RA�W�Remiit 1�r new constructian, ,
-_ , Minimum�ken;(10)�working days,aftersubm�ttal d`ate.;:R'equired onsite,ConstrucUon-Plans;�Stormwate�`Plens w!SIIYFence instaUed,
��� �Sanitary Facilides&;1;dum.pster-�Slte Worlc3Permit tor subtliVisiq�§Qarge.proJecYs:�._;`;:;; "
- G{21V{MERCOAt. Attach{3)�comyslefe sets'of Bulliliiig`Plan'plus a�I.ife Safe�ty Page;�(1}set of Energy Forms.R Q-W Petmit for neuv oonstnsctlan. � `
Minlmum ten(10)working days after submltNal date. Required onsite,ConsUuction Plans,Stormwater Plans w/Silt Fence lnstalled,
Sanitary FaclliUes&1 dumpster.Site Wark Permit for all new:proJects..All comm�rGal requiremenks�must meet comppance
StGN PERMIT Attacit{2)"sets of Eiiglneered.Plaris.: � � . .. �
••'"PROPERTY SURVEY requlred for_all NEW constructfon. . .. �
Dlreattons: . . _ . , <
Fill out appiicatlon wmpletely.
4wnar&Conhactar sign back of appficallon,natarized '�
if ovar a�500,a Natice of Comrnencement i��equirad, {AIC a�sgrades over S750dj
'4=;;,:.,,;
'" Agent(for the!contractor)'or"Power of Attomey�(far tFie owner)would be someone with natarized letter from owner authorizing same
dYER i'FFE CCIUNTER PERMITFtNG , (Front af•AppEica#ion Oniy} � Y '
Reroofs if shingles Sewers - =� Service Upgrades A/C � Fences(F'lot/Survey/Footage)
. .? _... ._� ;; :, ' - , _
Drivewaya-Not aver�.Counter if on pubifc iaaduiays:.needs l�OW
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NOTtCE t3F DEED RESTRlCT10�ES: The.andersigned�under�tands�.th�t:this.���rmlt>may,be�,subjeat to"deed"_restrlctlons"_P_��� � �
whfch may�ie�mote.testttctive:;th&�Cou�ty���regulst(ons:"The`underslgned�'assur'rmes=.responsitiility far`compllance witH"any : ':�`�
appllcable.deed-restrictlons. ... � .. . - • � .';. ` _
UNLICEN�ED�CONTRACTORS-AND CON�"RACTOR�i2ESPANSM�ILiTi�S: -°If'tlie�owner hasr•hired a�co�tfactor �r
coniractors#o undertake vvork, thay t�iay,b�;r+�qufr;ed��to.be,lficensed In accardance.wi#h.stafe�.and..tocai�regulations:}=1f°the � "
cantractor ts nat ticensed:as�requlced�6y 1aw� bath the ovmer�rid co»tractor=:may:�be°cited'for a~mistieme�nor vlolatlon
under state law. !f the owner or intende.,d�contractor.;are�uncertaln as to what Iicensing.requirements�may,apply:for:�tlie` � �
intended"work, they afe advlsed to c�iitact tiie�Pasco County,Building"Inspe�tion DfVision-r-Licenstng Section a#72T-847-
8009. Furtliermore, If the owner�'has'`fitred`�a conl�actor o� confractors, he is advised b have the contractar(s},,stgn, , ,
portia�s of the °cantrectar.Btocic`'.of,this.appilcatian�farwwhich they wiil,be.-r.espanslble.. lf-you,=:as.the,avdiier'sign'as the"." , .� `.+
. . .
cantractor, that may�be an indication that'h� ls not':properly'licenssd�and-is�-ribt"entttled fa permikti"rig priulleges #n Pasco _
County. ' � ,ru. .. . -.
TRANSPORTATlON=1MPAGTlUTILITIES�lMPAC'C ANd=RESOU�tCE RECOVERY�FEES,�The unde�signed�understands �
that Transpartatlon Impact Fees�and.Recourse.Recovery.Fees may�.apply�to�t(�e'construction of new.buildings,�change`�of>�` �`'°= '��'
use in exis#ing butldings,-or��.expansi�n-•of'ezistin,g:'�buildings, as spec�ied.in Pasco County Cfrdinance number 89-07 and
90-07, as amended.,,::The ande►signed aiso;:wrider�tands, tha€=such fee�.w.as:tnajr_be�:due;.;will:6e td'e_tit�ted at the��t�me°of'-�- �'� ��-�
permitting. It is furt#ier underst6ad th�t Transp'ortatkan Impact Fees and'Resource�Recou.ery�Fees.mu'st be pald prlor to
rece�ving a_°cectlf4cate of�-occupancy"or tlnal�-.power�.release: :!f`tlie.proJect.does�.not lnvolve�a:�.certif[cafe of occupancyto���',�:... .A`
. .,
flnal power release; #he-';fees.mu�t"tie paid:pr.lor to,permR issuatice. Fc�.�thermore;�If:.Pasco�County'Water/5ewer�;lmpact �_°,�,�
�.. ,
fees are due,_they must be:.pald_prior to permit�Fissuance�ln.accordance wfth appllcable.Rasco'�,Caunty a�ilinances. �
CONSTRUGTION�t1EN'LAIIV(Cliapter 713� �lorida Statut�s�as amendedj: If vaiva�on of work ls$2,500.00=ar more;.,i� . __.
certify that I,..#he _applicant,-hsve-been pro�rlded��wfth--a-coPyr of=the°"Florlda� ConstivatEan: Llen-L'av�—Morneowner's
Protection Guide" prepared by'ttie Fiociila Departmer�t�o#Agctculture and Consumer;.Affairs. !f the appticant is someone� .
other than the"ownet", !aertify that.l,-;have.optaine�i"a=eopY:of.the:above.�eseribed:tlociii�ent�and;pror�ls+�.ln,gaod;:fatth.ta. _ ...
delive�It to:.the:'owne�':p�ior�ta:�ciomri�encement.'�' . , -. ' ' ..
CONTR�4CTOR'S10WNER'S AFFIDAVIT: i.certffy.#hat�all�.the�.�inf.ormation:,tn�thi�appltaation is accurate�nd that eti work
wiil�be done in campliance with all.applicabie`laws regtilating construction, aontng and:�land-devefopment. Appticatian ts
hereby made ta obtaln .a pe�mit��..to.;do work�:.and�inatalletion as indlca#+sd:�- -:1 certifiy that no work>or Ins�a!latlon Fias �
commenced p�lo� t� issuanc� of'a permit`arid that`:all work wi41 be pertormed to meet standards-oF atl laws �egalating-
constructlan, County and Ciky codes, �oning regul�tia�s� and land d+avelopment regulatlons'in"#he:jurlsdiction. !�al'so.
certlfy that I uriderstand that the regulatlons of other govemment agencles may�apply�to the intended.work: and#hat 1t Ps
my responstbllity to Identify�what.actlons i must take,M,be<In.compl�ance:,Such.agenc�es Include bwt-are.not Ilmlted to: � -
- Depar"tment of Ehvironmentat��Rmtectton-Gypress`Bayhead�;��VeNand Area� and Environmen#atty Sensittve
lands,WatedVtlastewater Trea#ment.
• Sa�thwest Flarida Wa�tsr Management"-I��strPct:Weils; Cypress.� 8syheads; Wefland Areas, AlterEng
Watercourses.
- Army Corps of Engineers=�eawa�lls, Docks�Mavigable Waterways.
- Department of Heatth:'& Re�abllltattve Seniices/Envitanmen#��1,.Health Unit Welt.s, Wastev►tater<Treatment,
Se�ttc Tanfis.�. ." _ " �.' � .� ' ... . _ _
- US Environmentai Protection Agency Asbestos abatement... �
Federal Avl�t(on_Aufhorlty-Ftunways. � -
1 understand that the.following.restricttons apply to the us�of flll:•
- Use af flll Is�riot allowed In.Flood:Zone"V"unless expressly permltted.
- if the��filt' material=is to�be used. in �Flaod-Zone. "A", it. Is understood that a drainege plan addressing a
ycampensating vaiume"wiil be submltted at time af�permifting wiiich is preparsd by a prafessionai engineer '
Ilcensed by'th�State qf°�totlda: . - • � . . . _
- !f th� flll materlal�.t's to b�_used !n Flood �one "A° in4 connection�uvlth�a�permitted buildir�g using stem wall
canstruation, !certify.th.at fUl�.vi►all-•be used only.to..fil)the.a�ea-wlthln�the stemMrall.
- If fill materlal is "to be used in any er'ea; I"�ceitify that .use. of;�such fl(I wlll not adversely affect adJacent
p�aperties. if use of fill Is_found.to adversely.�ffect adjacent�prope�#ies,.the owner may be clfed for viotating
the�cond�ians.af the bwiiding:perniit issued�under#he.att�ched permit:apptication,��for,iots�less�than one (1}
aare whlch are eievatet��by f�lt,a�t englneered dralnsge ptat�i�requ(red.
If!am the AGENT l�QR THE OIMNER; l��romise ln.g�od .f.aith#c l�farm�the own+er of the.permitling condltions set forth tn
this affidavlt�prior to commencing canstructlon. ( undersfand thet a�separate permlt may be requlred for electNcal work, .
plumb(ng,.slgns, wetls�:pools, air.conditioning,.gas,.or otheP (ne#all�ttons nal.spec�ically included�in.the�application. .A
permit issued shali be constn.ted ta be a licen�e to�proc�ed�uith`the:work and°nat-aa�authority ta:.violate�..cance{, alfa�, ar
set aside any provfslons of the.tecli�ical,cr�des;�nor shat{lssua�nce�of a.permit.pr.event the Bultdfrig Q#�ida!from thereafter
requlring a correctlon nf erro�s In�.plans;�consti�uction orvlolatlons of�any codes:- Every:permit=lssued�sfiall-tiecflme inualtd
unless the work authorized.by such permit��ls.co�mencedwithln sf�c.,m.onths of peimft issuance, ar if work authorized by
the permif Is suspended�or�abandoned•for.a,period af�slx��)�montt�s:.efte�.the tt�e the�wo�k fs aommenced. An exienston
may be reques#ed,,tn writing,_from.tFie_�Buiiding,C3f�cial for a periodnnot.ta-exceed'�ninetyr�(90)���ays a�id-wifl demanstrate 1
justifiable'cause far.the extension, If work ceas�s:fat nln�#y{90}cans.ecutive day.s,..the�)ob�fis.considet�d aba�doned. I
�
WARNlNG Td Ol'AINER; YOUR..FAlLIJRE-TO.,REC.��tD A�rMOTlGE QF.•CAMMENG�MEMT:MAY-RESULT IN`YC1UR i
PAYING TWICE.�'OR iMP1tOVEMEN.TS:TO:YOUi�.,PR�OPERTY: �1��YO.UaIiVTEMjID='TQ'OBTAIN�FINAR�GtNG;�CONSULT �
WIT U � , M A ORN FOR��.� O G:� p1,! ' ;� �.`p-� `v� ;E -- �.
-_ -_ - ---��::__-___-- -:_� _-_�_ ... : ., '
_ F�oRsa�au�a�;{F:s:�.ti7�s�- — —._---- _ ..�..�,�r�-_ __ __ - - - _�
OWNER C1R AOBNT cranit�►�`�ra �
Subsaribsd and swrom to(or afPirmed)before me fhis Stibscrlbed attd'stiMotn#o{ot a�fl(rmed)'batote tne'ttifS
by . .
Nfio tsiare personaily known to.me.or haslheve prod��ed WMo.ts/are p nsonatiy M.me or heslhave�produced •
as tdenatR�Ban.' as tdenUftcattan.
� . , .
Notery Publia - �"' Notary Publlc
Commisslan Na:` �oinr� I .No, �' .
Name ot Natary typed,ptinted or stamped Name a!Nokery typed*p t,
;.: ;.`•. Commission#FF 150422
. :; �o�: Expires December 12;2018
'h,R��;0.��` Bond�d TAru 7roy waln Inaurene�8063A5�7019
Mitchell Roof Systems LLC 05/25/17 '
3015 Whispering LN
Wesley Chapel, FL 33543
(813)312-2126
, tmitchell@mitcheliroofsvstems.com
State Certified Roofing Contrector LIC.#CCC1329714
Proposal
Proposal Submitted T0: '
Jessica Schwartz
4652 Larch Dr.
Zephyrhilis,FL 33542 I
(813)900-7633
iesse941vnn@aol.corri
WE HERE BY SUBMIT SPECIFICATIONS AND ESTIMATE FOR: 25 sq.Re-Roof using GAF Timberline Asphalt shingles
1. Remove all existing roofing material, roof shingles,drip edge,roof vents and flashings.Haul away all job
related debris. I
2. Replace any rotted plywood sheathing,(3)4x8 sheets of'/:"plywood are included in proposal.Additional
wood replacement to be completed @$50 per 4x8 sheets installed,upon home owner approval.
3. Re-nail entire roof deck with 8d round head ring shank nails 6"o.c.
4. Install self-adhered/self-sealing shingle underlayment as a secondary water barrier in all valleys and
Rhino synthetic underlayment prepared roof sfieathing.
5. Install all new color matched lead boot flashings,GVR vents and 6"eave drip. ,
6, Install GAF Timberline HD 30 YR Dimensional Shingles(color:Weathered Wood) I
7. Install 60' of GAF Cobra shingle over roof ventilation at ridge to reduce heat build-up and insure maximum i
roof performance.
- Total $7,650.00
• All grounds to be cleaned up on a daily basis also use magnetic sweep around house to assist in picking up nails left behind
in the removal process.All bushes,shrubs,and flowers to be protected. ,
�All labor guaranteed 5 full years/30 year material warranty*
Price includes all labor and specified materials to complete job,clean up and disposal of all job relate debris and any permitting ;
and inspectlons required. '
, Acceptance of Proposal:$3,825.00 material deposit due upon.acceptance of proposal,Balance due upon completion of above �
specified work. � i
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Home Owner � �J Date 5 a ��`� �
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Contractor Date i
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. i IIIIII IIIN Iiill IIIII Dfll IIIII IIIiI Iliil IIlI�IINI IIII IIII
V ' � ` 2017122158
ReP�:1�84315 I�R,ea�.�Q.��
� dS: �.�� Clerk
08J02l2017 !C. D. K. , DPtY _
NCITICE dF CO1VIl41ENC�1t�NT -' `
ppU4A S 0'NEIL,Ph D PASGO CLERK & COMPTROLLER
Pe�mitxo. ! �S'..��� 0$OR BK 17 03:56 m PG of 1
. 958� 3431.
Property ldentificaiion No. j$~-�Cc,^Z.I �a)ca0-`(��002�� thl``l'O
THE iTNL1ERSICiNED hercby give inSorms you thet the imgmvemcnt wIi!ba mnde ta cezmia n:e2l�zoFeri}{aad ia accosdsoce w(zh
Sxt[on 713.13 ofthe Florlde Stamtes,tha followipg infannetion is prov�ded ia this NOTJCE OF COM11�ftCE1V�NT,
1.Desraiption ofpropetty(LegcX drscrJptlon J �
a)Street Address: C.. _
2.Cleaeia!descrigti+on of improvemeais:
��,�;-►'�I.e c,
3.Owtter Tafarma6aa
a)Name and addrrss:�eSS iCct Caeh.w�r��.r.j�r S"21_c^,�. r, N br ?-�e i 1[5 t=t 2'?c4 Z
b)Nsme and addrese of fee simple titleholder(if athet than awner) '
e)I�esrest in P�P�3`
4.Contractorlafom�etioa ' .
a)N�ne mid acid�rsa: `E-�..�..�1, c� S"N� S 1.._4..-
h)Teleghane No.:.,S$t�1 3t 2�2j 2{ Fmc No.{Opt) t 7'
' s.siuety In.t'ocmatlon � • L+�e,st ey aj+�e t 33`��!3
a)Neme end'eddn�s: /
b)Amo�t►t af Bond:
c)Tcicphone Np,.: ' Eetc No.(Qpt.)
6.I.ender
a)Nea2a and eddnss:
Phoae No.
7.Tdentiry af peisou withia the State o£Fforids desf�ns;cd bj+owner upon wham notices or ather documents may be served:
a)Namn and add�ess: • .
6)Telephone No.: Fex No.(GptJ
8.In adtliiian to hfmseI�owner designaies!t�falIawirig�xtaon to�tve a copy bf the X,iaior's Natice as'pmvided m Section..
713.13(1)(bj,Florida Smrims: . .
e)Neme�d address: �
b}Teiephane No.: '�- �� ' •FexNo.{Ogt.) '
9.F�iraHon dew of Notice of Commoncem�t(the 4xpir�ton date is ane year&+b�the datie of racording a dtffetaat date is
�jfr�Y
'4YARPf;IPt�TO OWNER: A�il'�PAYlY1F.IV'CS 113AIT�Blt THL,t OWN�tt AFT�R T��7�'IRATIOiV OB T8E NOTtCE dR
COMiVtEIYCEMENT ATiE CONSID�RED�MPROPEA PAY�ElVTS'ClN11ER.CBAPTER'713,PART I,SEGTION?13.13,
Ff:ORIriA STA't[TI'ES;AND CAIV 1tES[JLT IN YOUIt PAI'TIYG TWYCE FOIt IIVLP'ROVBMENTS TU YO'IJR PROPER"1`Y.
A PIO'IxCE O#►COMMENG'EMENT MUSI'BE RECi3ItURD Ai+tD POSTED ON THE J4B SITE BF.RUR&TR�Ft[tST
INSPECITUN. IIt YOU INTEND TQ OHTAIN FINANCING�CON5f]Y.T Y01Jh I,,END&R OR AN ATPORNEX BERORE
• COMMENCIIVG WORK OR RECORDING XOUR IdOTiCE OF G�UMMENCENIk;NT. �,�,, ,
• sr , '�'�/ �` . _...�.,_.,,
µ CAROl111A VAZ{iUfi
� ofOwaor ot Owna' Auldmfud Offiar/ClfredarlPaMa/M�ega
. . Ncqry Pu�i1�•stue ot F1or�d• 5�2SS�tA. ����n.wt7..�'�Z-
My Comm.Eaplra Auq 20.2018 , Y,��
Connnt�tEOtf�#Ff 15290� � ,�� 1 �t ltj76.
� , �i � . �
V�Z�� � aayaf_�1V 1�2o�bs*
�: _ _ ,L ( pe of autho�ty,e.p,.officar,trusteq aStornaY
in }far Gk Ca L a of paziy on behsif of whom fash+uaeat was euwtud).
.PPt94�M-KI10AR1_OFL-PIOfIIICEd��E�SQ8Ll0II�—�iotary�ignshm�� ���'"��
"I'ypeofTdeatifieatiouProdueed_,��_,r.,,. Name(prink)_1��,�� '� �v'�.�N�'' r''��'"' •G'��
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Verificatian pursunnt to Section 92.525,Ftorida Stahms.Uader pena}}�tes of perJury,I dectecz that e e fareg ing aad thaf
the facts stated in it am�ue to the best of my l�owledge and beH�L C'— -
S ofNa4ud Ya�en 9ignie�Abova
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�`����~ �� ��',� THIS IS 70 CERTIFY THAT THE FOREGOING IS A
°����: ,.:,�s� ` TRUE ANQ CORRECT COPY OF THE QOCUMENT
p� � '�;.�:� �.�.. �, � ON FILE OR OF PUBLiC RECORD!N THIS�FFICE
t ��'"� WIT ESS Y HAND A OFFICIAL SEAL THIS
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��' .u�"� h�"�"� �,��-^ � _s'����DAY OF G�
��}`���� �� ;�"" PAULA S.O'NEIL, CLERK& PdiPTROLLER
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��L�� •�, e ����' BY �,� DEPUTY CLERK
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