HomeMy WebLinkAbout17-18645 CITY OF ZEPHYRHILLS
= 5335-8TH STREET
` (813)780-0020 18645
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 18645 Address: 6049 18TH ST
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: 02-26-21-0180-00000-0410
Improv. Cost: 7,800.00 OWNER INFORMATION
Date Issued: 7/10/2017 Name: REBENSKY, FRAN
Total Fees: 75.00 Address: 6049 18TH ST
Amount Paid: 75.00 ZEPHYRHILLS, FL. 33542 �
Date Paid: 7/10/2017 Phone: (813)782-1003
Work Desc: RE-ROOF
� CONTRACTOR S APPLICATION FEES
A. BARTLETT ROOFING OF CENTRAL F REROOF RESIDENTIAL 75.00
/ �
� ✓�
- Ins ections Re '
DR 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 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 '
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
_
CONT SIGNATURE PERMIT OFFI R ��
�P MIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION ,
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021
Building Department
Da4e Received Phone Contact for Permitting 3 -- S
�
Owner's Name ..Q Owner Phon�Number
Owner's Address ° � �' � Owner Phone Rlurr►ber �
Fes Simple Titleholder Name Owner Phone Number
Fee Simple Titlefiolder Address
JOB ADDRESS � ✓t i -I—_ LO�� �
SUBDIVISION '�(��'L�� , ' PARCEL ID# D
(08TAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR� ADD/ALT Q SIGN Q Q DEMOL{SH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION BLOCK �] FRAME Q STEEL Q
. �
DESCR1PT10N OF WORK 1 '
BUILDING SIZE SQ POOTAGE I�S(O HEIGHT
PR' T T9��'P' r�f'���tT'lYTTY���°r7"1�°T
�BUILDING $ ���`� VALUATION OF TOTAL CONSTRUCTION
QELEGTRiGAL � � AMP SERVICE Q PROGR€SS€N€RGY Q W.R.E.C.
QPLUMBIfdG $
QMECHANICAL $ VALUATION OF MECHANICAL IPISTALLATION
QGAS �i ROOFING Q SPECIALTY Q OTHER
F1tV1SHED FL�OR ELEVATIDNS FLDOD ZaNE AREA �YES N�
■ I_� ■-IL_�-l-LL� �-� ■ l � � ■ ■ ■- ■--■ ■ ■ W-LLL� • ■ ■ •
T7 - ���T�lTTr� r�r7 Tr
BUILDER , COMP 4NY �� � b � O. L�
SIGNATURE REGISTERED Y N FEE CUftRE� N
Addr�ss l.icense#
ELECTRICIA{d COMPAPIY
SIGfdATURE REGISTERED Y/ I� FEE CURRE� Y I Pl
Address License# �—
PLUMBER COMPANY
SIGNATURE R�GISTERED Y/ N FEE CURRE� Y/N
Address Ltcense# �
MEGHANICAL C�MPANY
SIGNATURE REGISTERED Y/ N FEH CURREA Y I N
Addre�s License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
IIIIIIIIIIIIIIIIIIIIIIIIi111111111110111111111111111111111111111111
RESIDENTIAL Attach(2)Plot Plans;(Z)sets of Buitding Plans;(9)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date, Required onsite,Construction Plans,Stormwater Pians w/Silt Fence instailed,
�- ---Sanftary Facilities&1-dumpster,Site Work Permit for subdivision's/large projects - �— -- - - � - --�--
COtViilfi�RCIAL Attach(2)complete sets of Building Pians plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new consiruction.
Minimum ten(10)workfng days after submittal date. Required onsite,Construction Plans,Stormwater Pians w/Siit Fence instalied,
Sanitary Facifities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGiV PERMI� Attach{2j sets offngfneersd Pians.
*'"*"PROPERTY SURVEY required for all NEW construction.
• - -
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notfce of Commencement ts required. (A/C upgrades over$7500)
"" Agent(for the contractor)or Power of Attorney(for the own�r)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers �eniioe Upgrades �C ��ncss(PIoUSurv�ylFo�ta�e)
Drivowaqa-No�ovet CouMer i4 on pvblic*occ�*�ery=..++eedr�4i0�1
4��'�°9��O�D���D��5�'Ft8C1'i��l�: '�`h� und�rsign�d und@rs�nds th�@ this�permi�may��subj�ct qo"d��d"restric4ions"
whi�h m�y b�more ���tcic�v��h�n County r�gtal�tion�. Th� und�rslgn�d as�umes r�sp�n�ibil�ty for c�mp#ianc�wi4h any
applicable deed restrictions,
�l�9�d��6���� ���{T���'��� ��� ��&�"�'��"�5�� ���P�6��[�!LlTflE�; !f �4�� �wn�r has hired a c��tractor or
c�nt�ac#ors�o und�r�#:�work, th�y m�y be r�qu(red fo b� i�c,�n�ed �� ac�ord�nce with�f�4�and ioc�i regutafiians. tfi#he
aontrr�c�or fs nat licensed �s required by law, both the owner and contractar may b� cited for � mi�d�m�anor �iol�fiion
ttnder s#afe #aw. 1��f��t�wt�r�r in�n�ied t�rr��r�ctor�r� unc�rf�in as #o�v�tat#�cen�ng r�qt�9r�rne��nay apply�'a�r fihe
intended work, they�re advi�ed �a cont�c�4h�Pas�a County�ullding Inspec#ion Divi�ion�-Lic�n�ing S�c�on at 72'�-847-
8QQ9. Furth�rmor�, if #hc� ownar ha� hirc�d � contr�ctor c�r corttractors, f�e is ad�vised tZ► have th� contr�ac#or(�} sign
porti�rr� of�i�e "cflntrac�ar Stoc�" of�his appiic�fiion for whieh th�y wiil be respa�sible. i�you, a�s th� owner sign a� ti��
confrac4or, tiia4 rr►�y be an indic�tion t�af !�e is no� prop�rly licen�ed ar�d is no4 snt��i�d to permitfi�g privileg�s in P�a�co
Cour��t.
7'E�B�SF�ORYd�'T�0�3 INi�AI�TYU�'ILf�I�� 16��,�C7 6��D�3E�O�IRC� ��C046��Y l���S: Th� undersigned under�fl�r�ds
�h�t$�ik�tlS�Of'Nra�ICCt IiS1p�Ct}�6C33�dt1d R@COU[�� R�COV@f}f F�BS tl1�Y'�D�IJt�4 4h@ GOt1S#rllG�jOit Of ti�U1!b�llld�fl��,Ch�Ptt��0�
u�� in e�ast�ng bt�iidings, or expansian af exi�Ying buildings, as sp�cifi�d in Pasca Caun4y 4rdin�nc� num��r�9-0�' a�d
9q-07, as am�ndad. 1'he undQrsign�d �lso underst�nd�, that such f�es, �s may b� du�, wiH be identifred at�he time �F
���eniffing. It is furtkter unders�oad �hat Trans�or#a�o� tm�tact F��s and �e�ourc� Rscovery F��s mu�t�� paid prior�o
rec�iving a "ce�i�ic�4e of c�ccupancy" or final pawer refeas�. if th� project d��s nat involve a c�rti�cate of ac�up�ncy or
fi��l power rel�a�e, the f�c�s mus��e paid priar�a permi4 issuanc�, Furthermorc=, i��a�co Gouniy Wa�rlS�wer lmpact
ft�e��r�du�,fihey mu�t��paid prior ta permifi issuance in accard�nc�wi4h applicabl�Pasco County ardinances.
�5��9��`6�d8��'ltd�l�t��! L��9 dC����ee�?a 3, �l��dd���$ec��,���a��u�d��, If valu�tfon of wark Es��,500.p0 or r�ore, I
c�r�f�r th�t 1, th� apptfcant, t�av� b�en proNd�d r�it� a copy ofi the "FIo�3da Cons�ctac�on �i�n l.aw F�omeawr�e�'s
Protection Guideu prepar�d by th� �lorlda D�parfm�nt o#Agriculture ar�d Can�umer Affiair�. If fih� appiicant is som�one
o�h�r than th�"ovun�r", !r,�r�►�j►ttt�t��a��obtain�d�cop�og the�bove�escribed�#oc�ment�nd promi�e�n�aod 5�aith�a
d�liv�r it�o fihe"own�r"prior to commencemen�.
Cf98�7'6�►C7't1�'�/Ol�i6�ER'� A�'�ID�VIT: f certify tha��li #he infarmatian in this appfic�ation is accur�te and that aH work
wit[ be donc 1n campNancs wi#h �il a�plicabl� 1av�rs regulating canstruc#ion, �ctning and land d�v�icpra�nt. Application is
h�reby m�de #o obf�ir� a p�rmi4 to do wori< and ins�all�Yion as indice4�d. I cerfify t0��fi no uvork or ins�altation ha�
cornmenced �rior to is�uance ag � p�rrr►i� and 4f�a� al! w�rk �r�li be pe�rorm�d �o meet st�nd�rds of ait [��nrs regtalaiin�
construction, County �nd Cify cad�s, ��ning regulations, �erd iand developmeng r�guiations in fhe jurisdicfion. I aiso
c��ifiy thafi I undersfi�nd �hat the r�gulatian�of oth�r gov�r�ncnent agencies m�y apply#o th� intended wo�4c, and th�t it is
my r�sponsibiC#y to iden#ify wh�#�ctions i rn�s#��e ta be in corrt�liance. Sucfs ag�ncies include bn�sre no�iimit�d to:
- D�partm�n� of Envir�nmentai Pr�o��ction-Cypress 6�yheads, Weti�nd Ar�as �nd �nvironm�ntally Sen�itive
l.ar�ds,WaterNil�s4ewaf�c Trea#m�nt.
- Southwe�t Fiorida Wai�r M�n�gemertf Di�fric�Welt�, �ypr�ss B�yheads, U1/�t}a�rd Areas� Alkering
W�tarcaurs�s.
- Army Garps af Engin�er�S�a�all's, Qacks. 3�avigabie Wa�rways.
- C�e��rtenent a� H.ealth &. Ft�h�bilGf�tiv� a�nt(cesl�n�iranmentat hleatth lin��-iN�[I�, V1tas%water Treatment,
Sep�c Tanks.
- US�nviranm�ntai Protectian Agency-Asbestas abatement.
- Fedefat Aviat��r��u�hc�rity-Runw�y�, '
1 sandQrs#and tha�the�allowing r���rictions apply to the us�of fi11:
- Us�af�!1 ts na�allow�d tn�looci�'or�s"1�"ur►less�xpressly�ermit�ed.
- if the �ilt mater#�I is f� b� used in Flood Z.��e `�A", i� is ur�d��sfo�d fih�� a drairtaga plan addre�sirtg a
"compansafing voium�� wiit be �ubmitt�d at time of permitting which 1� prepareci by a professianai �ngin��r
licensed by the St�t�o�Flarida.
- t�tP�� fill material is fo be used 'rn F1ood Zane °A" in conn�cfian wiff� a p�rrrtiffar� buitding ��ing �tem waii
cottstruction, I ce�ify�ha4 fiil wili b� used only ta fil the area within the s4�m wall.
- I� fitl tna�eria! i� tv be used in any srea, ! cer�ify that tsse of such fiE( �ill no# adverseEy �ff�ct adj�c�n�
prope�ies. ifr use of�Il is fiaund �o adv�rs�iy a�fiect adjacent prop�rties, the owner m�y b� cited for viola4ing
the condiYions of the building perrni4 issued undc�r fha a44�ah�d permit applicatior�, for lofs lQss iF�n or�� (1)
acr�which are ei�v�tarl by fill,an en�ineered dr�in�ge p1�n s`s t�cJuir�d,
if I�m�hc�e4C��i�T�f�E��Ml� ���R, t promi��in good f�ith to fr�form the owner of th�permi�ting conditions s�t for�h in
��f18 ��It�BVtt�t1OC'�0 COittf11i3#1�li1� GOF}S�C'UGfI4Pi, � U11dG't'S�Qtld �31�C� S9�}aF'8�� �1@�172�4 t3'1�}� �� t'Gt�Uit'8d �OT�1@G#t1C�l WOC�t,
piumbing, signs, welis, poois, �ir conditioninc�4 gas, or o�h�r in��ll�fic�n.S nat sp�cifica(ly inciuded tn th� spplication. A
perm�t is�usd �hall b� con�fru�d t� be a ticer��e �o proc�ed wlth ths work and not as aughori�y�a viot�te, canc�l, aSi�r, or
se�a��de�ny provisions ofi the technical codes, nor shati is�uance aF� permi�prevent#h� Building Of�ciai fram th�rea�f�r
r�quiri�tg a carrecfion of errars ir�plans, constru�tion or viol�tions c��ar�y cod�s. Ev�ry p�rmifi i�sued sF�a{f becvme ir�vatid
ur�less �e wor�C aufihori��d by sucF�permlt�� commenc�d w�ghin six man��s o#permi�i�sua�ce, �r if work autho�i�ed by
the permit is susp�nded or�b�ndaned for a p�riod of stx(6)months af�er the klme 8he work is cammonc�d. An ext�nsion
may be re�ue�ted, in wri#ing, firam tl�e k3uilding O€f�cia! �or a period not to exc�ed ninety {9Q} d�ys and wilt demons�ra�e
justi�iabie cauee for�he extension. 1�work aeas�s fiar nin�4y{90}con�ecu4ive days, fihe jab i�considered abandoned.
�9A�#���Zs �'C9 ��A���; Y�i�� �Ai�:t3�� "�'�'1 ���fi��l� a� ��`�1�� Q� �����i�����k�� �4Y ���Ui�°t [A� YC9E��
�AlPtidC�T!flli�� �0� if�lP�OlfE��1�7�T�1P'OUR PR�6��6�°f�t. I�Y�4! I�d`I"�I�D'PO 0�"�'Ali� �IPIAE9�1{�Gw CO�l�IlLY
!N!'Y&�'�'� R L O� �► �RR Y 1� �R�R��'t��D 6�G Y�! F��40"Y6C� � CA E � � .
��ORiDA dURRT(F.S.1- 7.�3) � �
-�-O'!!�ltV�t3�R2=AG�d1t'� - ����� -GC144�g1A."C'i � ^ - —_.. _
Subscribed and sv�m to�"ar aifirmed}bs � e this 8ubs 'b, r}��ey%a��na swom ta{or a#firnted}b me�his
7�ip_,,.E'� by `r/,� by
Who Islare personaAy knowm to rna or hasthave praduoed Who Islar�personal4y known to ms or haslhave produced
as iderrtiflcation. as 1den�flcation.
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-�o6��p�,( .� hJotary Pupiic � _- _ otar�r Public
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Co m�ss3on i�a.�����." ' .._ Ca rnission No.
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ame af Na ry typed,printed ar ata ed Name a�A�o�ary typed,Ar'snted ac stamp�d
r Y♦<au�as�i'ary„cr
;a�:::"` ►:'���, '::::iNE RUFFEL.L pRtR�.{i:VA�i, DEBRAEIAlNE Rt3FFEl.I
-'� �''`s � r 53�� =" ��` Commisslon#GG 045343
Com,��!ssiun�:;.,;�?� �•� :-
=�° ���Expltes Nuu��� . `� :,� 'a:=ExAires November 7,2424
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3�40� 3�d Ave. � �ephyrhilfs, FL 33542
(813) 7�2-55�5 � (352) 523-1944 � (�13) 973-7737
�Lic:#CCC �325�99
One af the Large�t, (�Ide�t, iUlost De�Oendal�le Roofir►g Compa�ie� in Cenfral Florida
5paciallzing in Mobile Home White Commercia!Ru�bber, Shing/es & Color Metal Roofing
RESIDEIVT'lAL a�OM�iERCIAL a MO�ILE H�iVIE
LI�ENSED - IR9SUP�ED - �ON�I�D
o d'�EfU�BER �F TME C�lAMBLR OF COMNI�RCE� ��TTER �USIOVESS �Uf��AU �
We do everything we can to maintain our �4+ rating from the Better Business �ureau
Se�vtng Zephyrhills, Dade Gify, Crystat Springs, Qu�61 Hollow, lNe�ley�h;��ael, and Surrounct6ng Areas.
We have re-roofed or repaired more roofs(19,000)in the past 44 years, than the four local leading roofing companies combined.
4R/�cfo noP ch�r�e extra fee�For credlt c�rd�urchase.Mo�t c�mpa�ties chae�ge 3 to 540.
Date 6�26�17
l�jame Frances Rebensk�r
Address 6049 18th Street , Zephyrhills ,Fle 33542
F'hon� 7$2-1003
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No sales tax ermit included
��toma�Owr�r,
Richasd C.eartlett,President F�Owner A.Barlle Roofing of Central FL,Inc,
_ , THANK YOU
Your Business is Appreciated.
Payment upon completion unlass previous arra�gement made.Warranties pertain to original owner.
All arrangements contingent upon strikes,accidents or delays heyond our cor�rol.Owner to carry fire,tomado and other necessary insurance.
Our�vorkers are tully covered by Workmen's Compensation Insurance.Cusiomer is Ilable for any charges incurred In collecUng this bi11.
Rotten�aood is an extra$35.00 per sheet(4-ply).Rotten fascia is$2.00 per Nnear foot. ����' 7 8 0 0.0 0
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2017106347
r�m,a No. Pe�,��Na a�c�r21 0�.53c� o c�oo6 c��+1 Y�
P10YiCE OF COG9AA�AfCEiYlENT (�
sr�cea !' (.�`�r�GL�i ca,mvor _ i QSC�
THE UN�ERSIGNED hereby gMes rtottce thet improvement w�be meda to eertaln reat property,and in accardence wtth Chepler T1�,Fbiide Sfalutes,
the fo�owing information is pmvided m thts Notice of Canmencerne�:
1. QesapNon of Properry:Peres!IdenUfteeti�n No. . O I
3treatAddtass: n't � �I �
2. Gene�el Description of Impravement
3. 6wner fntortnatio�arLessse Ntbmfatian a the Lessee eontre�etl farihe fmprcvemert:
�r���.�s t2�t�..� ��
�'-{�, 1��� .P�;� 7�.P��i,�r h i`�j� (�C(]�
Address � C�Y t5 ete Q I- LU �
IMerest in ProPertY tJ 1� .a U �r�1 �.t�L� -�fl rrC" (� -� �'S�� Z U , � w
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pf ddia ient from Oamer hsted ebove) � = 0 �-- �J
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4. Contractm:$� [��_` e(-t�.�� ��M , Stete � L�11 � � � a p I
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Contractofs Tetephone No..�I�_�$� " ��"1 �� 335sfZ � _ � � —
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Address CriY State �i-�- � J z U �
Amou�'of Bond: $ Telephane No.. Ll >- U m p
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7 Persnns urithin tha Stats of Fladde designated by t�e owner upon tvAom natices or other documents mey be served as provFded Cy � � ¢ -� ¢
Section 713.T3(1)(a)(7},Flm[Qe 6teCutes: � � � � � �
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Neme' cd i-=— � O � � r�
Ade�ass caY State � � .�
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Tefephone NumberofDesigneted Person: �,��0 • �� ,$�
8. ln additian to himseit,the awnerdesi9�etes °( � � � /'T���I ����
tn receive e copya/tha Lfenofs Notfce as prwided in SecBon 719.13 1 �� ���fP"3�''=�:r� ;�{g-T�g,,,
(Xb?,Flacide Statutes.
fietephone NNnber of Person or En1Ry Designaled by0�mer. , r��'��-% '�� �
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9. Exp'vation dete of Notiee ol CammencemeM(the axpiratioo dete mey nat be treio�e the completion of caistructton er�d hnel peymem fo the �n9" ���� ii� .c�n �;�i�'
•=,•er••�DuivdLLham»yoeerzom�LLvseivwoteacwadkgvaJww.ad�@axeaideLsisaqociAaq}. 6� �'�ns��';�'��� ,� ��.;�
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WARN�NG TO OWNER: ANY PAYMENTS MAOE BY THE OWNER AFTER 7HE EXPIRATION OF THE NOTICE OF COMPAENCEMENT � • ����� �� °'�P
ARE CDNSIDERED IMPROPER PAYMENTS UPlDER CHAPTFA 713 PRRT 1 SECTION 713.13 FIORIDA STATUTES, ANU CAN
RESULT IN YOUR PAY1SdG T1MCE FOR IMPROVEMENTS TO YOtIR PROP�`RTY. A MOT7CE OF COMMEtdCEMENT A7UST BE �� p y�
RECOR�ED ANO POSTED ON THE JOB SfTE BEFORE THE FIRST INSPECTiON. IF YOU INTEND TO OBTAtN FINANCIN6,CONSULT � . �g
WRH YOUR LENDER OR Atd ATTORNEY BEFORE COWMEPICiNG WORK OR RECORDING YOUR NOTiCE OF COMARERlCEMENT. ��o,.� � g�
ead �
Under penelty ot pequry:F decla�e that I have read the foregoing nofi�e of encemant and thet the f[ads staTed therein e�We to lhe hest
ot my lamwledge end behat.
STATE OF f LORlDA
COUMTY OF PASC
�RICHARD C,BARTLE7T '9na ot Ovmer or i.essse,ar 0 rte or esse�s AiRhorized
�MY COMMISSION q FF012098 OificerlDitectoGPartnerlManagar "
�� oau�:�Wy n.zon 1
Signator�sTdl f�ea
' Tt�efoBgomgrtislNmentr�esecknor�ledoed6efaamethis�v�dayot Sr��.20,�by .2 � .elG$��/
es . .,oT(icer, e,attomey§�tact)for 1
e p ofwhom insttumeru wes ezecu(ed).
PetsonellylCno�in�OB Producad[denCdication f� Natary Si re
Typa pf Idenfdlcation Pmduced � �.-.J G.P/A �_..P_ Nam
Repl:1877380 Ree: 10.00
DS: 0.00 IT: 0.00
07/07/2017 J. R., Dply Clerk
PqULN 5 0'NEIL,Ph D.PiiSCO CLERK B COMPTROLLER
07/07/201��G�m 1 Q09�
tvpGatalecsmoticecammencemerrtye053048 OR BK Q PG 3
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