HomeMy WebLinkAbout17-18751 CITY OF ZEPHYRHILLS
' ' S335-8TH STREEI"
(813)78Q-oo2o 18751
BUILDTNG PERMIT
PERMIT INFORNiATION LOCATION INFORMATION
Permit Number: 18751 Address: 7631 GALL BLVD
Permit Type: COMMERCIAL ZEPHYRHILLS, FL.
Class of Work: ADD/ALT GC?MMERCIAL Tawnship: Range: Book:
Propased Use: NOT APPLICABLE Lot(s): Btock: Section:
Square Feet: Subdivision: ClTY OF ZEPHYRHI�.LS
Est. Vatue: Parcel Number: 34-25-21-0110-00000-0010
Improv. Cost: 15,000.00 OWNER INFORMATION
Date Issued: 812512Q17 Name: 1NA�.-MART
Total Fees: 225.00 Address: 7631 GALL BLVD
Amount Paid: 225.00 ZEPHYRNILLS, FL. 33542
Date Paid: 8/25/2017 Phone: (479)204-1063
Work Desc: ADD WALL SEPARATE BAKERY FROM SALES FLOOR
CONTRACTOR S APPLICATION FEES
NEWCO CONSTRUCTION O AMERICA IN BUILDING FEE 165.00
PALMER EI.ECTRIC CC}NiPANY ELECTRICAL FEE 60.00
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Ins ections Re uire u
F TER 2ND ROU PL B MI C !NS T40 CElL G
FOdTER BOND DUCTS INSULATED SEWER M(SC.
RQUGH EL.ECTRIC LINTEL MISC MISC.
1ST ROUGH PLUMB PRE-METER INSULATlON WALL MlSC.
DUCTS lNSTAI�ED WATER MISC DRIVEWAY
PFtE-SLAB SHEATHING MISC. MISC.
CONSTRUCTIQN PQLE FRAME MISC. MISC.
REINSPEC7�ON FEES: (c)With respect ta Reinspection fees wrill comply with Florida Statute 553.80 (2)(c)the
lacal government shail impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,inrhichever is greater,far each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there maybe additiona! restrictions applicable to this property that
may be found in the pubiic records of this caunty, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning ta owner: Your faiture ta recard a notice of commencement may result in your paying twice for
improvements to your property. If yau intend to obtain financing, consult with your lender ar an attorney
befpre recording your notice of commencement."
Complete Plans, Specifications Must Accompany Application.All wark shall be pertormed in accordance with
City Codes and Qrdinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CONTRACT SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN fi MUNTHS 1NITH�UT APPRt�VED INSPECTION
CALL FOR TNSPECTION - 8 HOUR NOTICE REQUIRED
PRt)TECT CARD FROM 1NEATHER
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813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021
' ' ' Building Department
Date Received 770 965-2004
Phone Contact for Permitting
Walmart Stores East LP
Owners Name Owner Phone Number
Owner's Address z001 SE 10th St.Bentonville,AR 72716 Owner Phone Number
Fee Simple Titleholder Name N�A Owner Phone Number
Fee Simple.TiUeholder Address N/A
JOB ADDRESS �631 Gall Blvd.Zephyrhills,FL 33541 �
LOT#
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM 0 OTHER
TYPE OF CONSTRUC710N Q BLOCK Q FRAME 0 STEEL Q
Bakery remodel
DESCRIPTION OF WORK
BUILDING SIZE SQ FOOTAGE C� HEIGHT �
QBUILDING $ 5900.00 VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
QGAS Q ROOFING Q SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
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BUILDER COMPANY Newco Construction of America,Inc.
SIGNATURE REGISTERED ' N FEECURRE� N
Address License#• � ��`
ELECTRICIAN ��J � COMPANY
SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
1111111111111111111111111111111111111111111111111111111111111111111
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilities 8 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPER7Y SURVEY required for all NEW construdion.
D ctions:• �' �� ��
Fill out application completely.
Owner&Contractor sign back of appiication,notarized
If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500)
" Agent(for the conVactor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of conVact required)
i Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
� � , , 479 �aCi 7.9�0
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(OBTAIN3D FROY PRpPBiry7p(NQiICE) �
WORK PROPG9ED N[W COIISTR AD�/ALT � SIGN Q Q DEMOLISH
,B IN9TALL 8 REPNR �
PRQP08E0 USE Q SFR Q CpMM Q OTHER f
TYPE OF CONSTRUCTtOq Q+ BLOqC ''Q py��y,g C� .�� �
DE9CRIPTiOH OF WORK " �
BUILDINO 8� 8Q FOOTAGH� HEIGHi �
QBUILDINf3 , f
• NALUATlONbF TOTAL CON$7'�UC7jpN
QELECTRICAL S AMP SERVICE Q FROORESS ENERGY Q W.R.E.C. � "
QPLUMBINO � -
��E���� S VALUATION OF MECHANIGL INSTALUTION
C�� Q ROOFING Q s�cuur� o�+� I
FINISNED FLOOR EL@VATION3 � FLOOD ZONE AREq QyEg NO 1
BUILOER �P� � �
810NATURE REclq7EaED Y/N FEE CUaAFI. Y/N �
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Addnss ��� � �.
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SIGNATURE ' aEGeiei�n Y N �CuaAH� Y/N :.
��� ' Lleeme M• �
REEIDEHIIAL; ACach'f2).PktPlane;(2)iuleoFBu118GiyPlarte:{1)aetofFlwOYFame:R�O�WPurtnllfartawoonatruetbn� '
, �xnim�n,,+a�.t�9).��Aar+.fasr.dubauun�aea;.anvi,red omi�.cautucnon�o�,s.StoanweUiPlaru w/Slil Fenw Imletled,
Senllery Far�ttlq:61 dumPs,�►7'31toWo[Ii:F�rmtt for.tubdKldmtAe�ye woJecia
COMNERCULL ACe�(31 coi�ipiete sit9 oCB�ledlnp Plnni pliis�Llfi Satoty Pape,(7)eet ot E�iergy Fortne.R-0-W P�rtnit for rnw corotruc8on. �
n+w,tnum m�(�o)won�re aars•reer wamin,�ass�.w�,�r.a on�m,Construc9on Plerq�s�orro„��r Pieru w�snc r-«+�e wmuaa, ,
Sariltery f�ftlm 6�'dumpshr.311e Wprk PmnRtor�II new pm)ecd,/UI oommarolel roQulremenb must mwt oompilence �.
310N PE1tHR ACa�(2Jsatd e1 En91DeqAd➢lons.
••»PROPERTY SURVEY rt�qufnd faaY NEW oonstructlon.
Dlnetlonr. �
FlII out eppOtatlon aomplt+tely.
OKrter 8 Contnctor alpn bed�of appUcatlm.rata+tzed
Hawr f3lOL.�Neda oT Camrt�anesm�nt I�nqulnd. (AIC uppradu ova t7soo) I'
•• qy6M((or tlre contractaJ ot Pmirar adAffitney(fo�1}ie wvnm)wadd De someono wilh notnrixW fettertrom oxne�euthorfrJng samo I
OYERTHE COUNTBR pE(i1dITi1N0 (Fmnt olApplkptlon Only) . �
ttuooh If ehtnplea S�wcn 8ervioo Vpgcdea/1/O Fenoes(PbVSurvey/Footage) �
Drlww�ys.Not ww Cotmter H on puhYo ros�vnyi..nNdi ROW � I
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NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work,they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner 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—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the"contractor Block"of this application for which they will be responsible. If you,as the owner sign as the
contractor,that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of
use in existing buildings, or expansion of existing buildings,as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands,that such fees,as may be due,will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a"certificate of occupancy"or final power release. If the project does not involve a certificate of occupancy or
final power release,the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,500.00 or more,I
certify that I, the applicant, have been provided with a copy of 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 than the"owner",I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owner"prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT• I certify that all the information in this application is accurate and that all work
i will be done in compliance with all applicable laws regulating construction,zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other government agencies may apply to the intended work,and that it is
my responsibility to identify what actions I 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,WateNWastewater 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/Environmental Health Unit-Welis, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
- Use of fill is not allowed in Flood Zone`�/"unless expressly permitted.
- If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume"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 that fill will be used only to fill the area within the stem wall.
- If fill material is to be used in any area, I certify that use of such fill will 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 building permit issued under the attached permit application, for lots less than one(1)
acre which are elevated by fill,an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER,I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I 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 to proceed with the work and not as authority to violate,cancel,alter,or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Offcial from thereafter
requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shall become 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 or abandoned for a period of six(6)months after the time the work is commenced. An extension
may be requested, in writing,from the Building Official for a period not to exceed ninety(90)days and will demonstrate
justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTE TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NO E OF CO MENCEMENT.
FLORIDA JURAT(F.S.117.03) .�
OWNER OR AGENT CONTRACTOR �
Subscri6ed and swom to(or affirmed)before me this S sc' ed and sw t o affirtned;befo e �
6y �
Who is/are personally known to me or haslhave produced o i I person y no to me or has have produced
as identfication. as identification.
Notary Public Notary Public
Commission No. Co ' ion o.
Name of Notary typed,printed or stamped Name o Notary typed,printed or stam d yY'�}!' �EB��H ���EY
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=•; != MY COMMISSION#FF961446
EXPIRES Ma�ch 27.2020
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OF AMERICA,INC.
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LETTER OF AUTHORIZATION
August 8, 2017
i I hereby appoint the following of Newco Construction of America, Inc. to act on behalf
of Newco Construction of America, Inc. with the City of Zephyrhills, Florida to apply,
discuss, sign for, and receive any and all licenses and permits in regards to the D-98
Bakery Project at the Walmart #65201ocated at 7631 Gall Blvd., Zephyrhills, FL 33541
Agents Name
Douglas Ray Long Jr.
�
Ke eth M. Mark, Jr., Qualifier
Newco Construction of America, Inc.
State of Florida
County of Lake j
Signed this 8th day of August, 2017 by Kenneth M. Mark, Jr., who is personally known �
to be the person who executed this document.
,�.� DE���+H W�LEY
Deborah Wi y,Notary Public :�''� �:; MY COMM�SSION ik FF961446
My commission expires: ' EXPIRES March 27•2020
�' .�,. � rlo�k�►�o� �•cu"'
IAU7)!9H-Ut6:i
MAR-01-2006 23�08 PALMER ELECTRIC 4079980480 P.05
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PA L M E R ELECTRIC
Since z951
Date: August 23, 2017
RE:Permit Authorization
Permitting Services
This letter is giving authorization to the following employees of Palmer
Electric Co the ability to sign for andJor pick up electrical permits from
the City of Zephyrhills.
James Hoffman
Carl Grif�in
Bruce Davidson
Domingo Senespleda
� Pam Ternus
If you have any questions,please feel &ee to contact me at 407-646-870d.
Regards,
������
Scott Easterbrook
License Holder EC0043096
Signed before me this 23rd day of August,2017 by Scott Easterbrook who is
personally wn to me and did not take an oath.
� -��,
Notary ��;;kacE, p�t.ns�tus
*�* Coireniss(a��G�3l106�2
Exp►resAugutt7,2021
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Rcpt:1885232 Rec: 18.50
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PertnitNo. ParceIlDNo 08/07/2017 C. F., Dpty Clerk
�RULR S.0'NEIL,Ph.D.PRSCO CLERK & COMPTROLLER l
NOTICE OFCOMMENCEMENT 08/07/2017 10:46am 1 of 2 I
Stale of cow�ty ot OR BK �r ��5 PG Z� r�'1 J
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1'HE UNDERSIGNED hereby gives notice that improvement will be made ta ceAain raal p[operty,and In accardance with Chapter 713,Flarida Stelutes, �
lhe fopowing infotmation is provided in this Natice af Cormnencement:
1. Description of Property: Percei IdentHicalion Na.See Exhbit A.PmjactA�708-229
Street Address: 7fi31 Gail Blud.,Zephyrfills,FL 33541
2. General Descrlpl'ron of Improvement Bakery Remadel
3. Owner Informatian or Lessee informedan if tha Lessee contracted for tlte improvement:
Walmart Stores East LP
2007 SE 10IhSL Name Bentonvlle qR72��g
Address Ciry State
Inlerest in Property: �er
Neme of Fee Slmple Tilleholder. n/a
(If diiferent From Ovmer listed ebave)
Address Newco ConsWdion of America Ina Ciry State
4. Contractnr:
1000No ie S1e.100 Roswell GA30076
Address City State
Cantractors Telephone No.: ���"�2-6963
5. Surety; Na
Na Name �� Na
Address Cily State
Amounl a(Bond: S N8 Telephone No.: n/a
6. Lender. n/a
�a Name
n/a Na
Address ' ' � � City State
Lenders Telephone No.. .Na
7, Persons wlthln the State oT Flarlda designaled by the ovmer upon whom nodces a other doaunents may be served as provided by �
Sedion 773.13(i)(a)(�,Florida Statutes: j
Na
Name
n/a n/e n/a
Address Na City State
Teiephone Number of Designated Persan:
8. In addillon to himself,the oumer designetes ��e of_
n/e to receive e copy of the Lienors NuUce as provided in Sedion 713.13(1)(6),Florida StaWtes.
Telephone Number of Person ar Endty Designated by Owner. �a
9. E�iration dete of Notice of Cammencement(the e�lration dele may not be befare the completion of construction and final paym�t to the
wnVactor,but will ba one year frnm the date of recording unless a different date is specifie�: �uly 6,2018
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFfER 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 TMCE FOR IMPROVEMENTS TO YOUR PROPERN. A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSl1LT
VNTH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Undet penalty of perjury,I dedere that I have read Ihe toregoing nollce of commencement and t the ta stated fherein are Uue to Ihe best
of my knowledge end heGef.
STATE OF FLORIDA
COUtdTY OF PASCO �-!✓Y�.�
Signature af Owner or Lessee,or Owners or Lessee's Authorized
Off1icedDirectoNPeriner/Manager •
�ir�:�/
Si nato /s TNe/Office
The foregoing insUument was acknovAedged before me this day ,20�by �J,oW�,�(J� � 1 /�
as � (type of aulhoriry,e.g.,officer, s mey In fact)tor
me of party on b alf f s e s xecute�.
Personalty Knawn�.p�Produced Iden6ficalion❑ Nolery Sipnatu
Type of IdenGfication Produced Name(Prtnt)
cAYsta�u�BV,c
- NO'��RY P p�anaae
BeAtan County'Ires iD110�026 _
Comniloolon ExP 12361 38
wpdaterbcslnoticecommencement�co53o48 �Y�oMmyNtan Numb��
0
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,�� � .� . �
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS � t'I , ��� ,, f,�
�.-�
- � ��-� `
Contractor/Homeowner: �-� `^�
- ----- ---- -- -- --------- ----
- -- ---- — -
- -- - ---------------— --------- - -- - —--- --------
Date Received: • r C �—
s�te: � (P 3 f�d¢����� .
Permit Type: r� �it���
,
� Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
TYus comment sheet shall be kept with the permit and/or plans.
�
��
f/ ���•
Kalvi- �witzer s Examiner Date � Contractor and/or Homeowner
, (Required when comments are present)
� � ����
• � 1000NorthfieldCowt
' EWCO
_ ���
� � Roswell,GA 30076
OF AMERICA,INC.
o�o���a�n�369
. �� .• F���a�n-��o
LETTER OF AUTHORIZATION
August 11, 2017
I hereby appoint the following of Newco Construction of America, Inc.to act on behalf
of Newco Construction of America, Inc. with the City of Zephyrhills, Florida to apply,
discuss, sign for, and receive any and all licenses and permits in regards to the D-98
Bakery Project at the Walmart #65201ocated at 7631 Gall Blvd., Zephyrhills, FL 33541
Agents Name
James David Voisard
?
i
Kenneth M. Mark, Jr., Qualifier
Newco Construction of America, Inc.
State of Florida
County of Lake
Signed this l lth day of August, 2017 by Kenneth M. Mark, Jr., who is personally known
to be the person who executed this document.
.��.�. ILEY
:�����: ���e��H w
='•`�� MY COMMISS{ON t�FF961446
Deborah Wiley,Notary Public "p��;. EXPIRES Ma�ch 27,2ozo
My commission expires: ,�i`�1399-C'S3 Fw�+o�«e s�.�