HomeMy WebLinkAbout17-19153 CITY OF ZEPHYRHILLS
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(sispsa-oozo 1 53
FENCE PERMIT
- � PERMIT I�1FOF�MATIQN � - � ' LOCATlON INFCIRMATION
Permi# Number: 19'E 53 Address. 5520 21 ST ST
Permit Type: FENCE ZEPHYRHILLS, FL.
Class of Work. FENCE1NEVi( Towrtship: Range: Boak:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY UF'ZEPHYRNILLS
Est. Value: Parcel Number: 12-26-21-002A-001�00-OQ20
Improv. Cost: 2,400.00 OWNER INFORMATlt?N
Date tssued: 12128/20'17 Name: HAYES HOWARD & KAMI
Tatal Fees: 75.00 Address: 5520 21 ST ST
Amount Paid: 75.(}Q ZEPHYRHIL�S, F�. 33542-4565
Date Paid: 12/28/2017 Phone: (352)617-9967
Work Desc: INSTALLATlQN 100 FT X 6 & 140 FT X� PRIVACY FENGE
CONTRACTOR S APPLICATION FEES
WRIGHT APRIL (813)696-9074 FENCE 45.Q0
CONTRACTOR CERTIF(CATE 30.00
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Ins ections Re uired
AL
REINSPECTTON FEES:(c)With respect to Reinspection fees will comply with Flarida Statute 553.80 (2)(c)fihe
lacal government shalt impose a fee af faur times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,for each such subsequent reinspection.
NOTIGE. In additian ta the requirements af thEs permit, there rrtay be additianal restrictions applicable to this property that
may be found in the public records of this cauniy, and there may be additianal permits required from other governmental
entities such as water management, state agencies or federal agencies.
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
"1Narning ta awner: Yaur faiture to record a notice of commencement may resutt in your paying fwice for
improvements to your property. If yau intend to abtain financing,consult with your lender or an attorney
befare recording yoar natice of comr»encement.°
Complete Plans, Specifications and Fee Must Accampany Application.
A!I work sha!! be perFormed in accordanee with Ci Codes and Ordinances
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CONTRACTOR PERMIT OFF!
PERMIT EXPIRE5 N 6 Mt�NTHS WITHQUT APPRi�`/ED INSPECTIB
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
� PRtJTECT CARD FR�M WEATHER
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813•�saooao City of Zephyrhills Permit Application Fax-813-780-0021 �
Building Department _ ''�
Date Recelv,ed =pi�one�Gontact for�Permtttin '
Owner's Name Owner Phone Number
Owner's Addres� �'.<. Owner Phone Number �� �
Fee Simple TItleHolder Name 'Y • � Owner Phane Number �� �
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Fee Simple Titl�holder Address
t ZC'���,t�-��t �rZ LOT# ��-
JOS ADDRESS ��Q i cS�• c�' ,
SUBDIVIStQN � � PARCEI.td# � �
; � , , (OBTAINED FROM PROPERTI!TAX NOTICE)
WOF2K PROFOSED , NHW CONSTR ADDIALT C� StGN� Q � Q DEMOLlSH
° ,:�, INSTALL 8 REPAIR -
PROPASED:lJ$E - , � SfiR � COMM Q �C?THER ' '
TYPE OF CdN3TRUCTION" -- Q � BLOCK ' Q FRAME ��] STEEL Q �
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DESCRIPTIdN OF WdRK `�.'.� ��tt �tl t�GC /1C�? � � W /�+ ,
Btlt�DlAIG S1ZE� � �`SQ FOOTAGE�. NEIGNT��� ..
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') QBI,'1l�DIf+fG $ e.et _ - .
o (,1�,,.+� � VALUATlON't'3F`T01'ALCONSTRI'1CTI�Di�1 "
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QELECTRICAL , ($ ' � AMP SERVICE Q PRG?GRESS ENEl2GY Q "W:R.E.C.
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[�PLUMSING ^� � "� ��
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QMEGHANlCAL $ ' YALUATION OF'MECHANICAL fNSTALLATlQiV_ �'J����
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[�]GAS Q ROOFINCi _.Q 3PECIAL'F'Y � -OTHER� a -
FINISHED FLOOR ELEVATIQNS ��� FLOOD ZONE AREA [�YE5 _ .,NO �
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BUELD�R j ` �� COMPANif�� � ���(. ��'�, ��1 �`�'
SIGNATURE REGISTERED Y N �E CURttE� ' Y/'N : '
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Address '�`}'r�a �� ^a�S' f - • � Ucense# �_����"���C��
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ELECTRIC,IAt+t; � < C�MPANY- �
SIGNATURE � REGISTERED Y/ N FEE CURRE� ' ` �'Y/N
, A+ddre� - � _ . , . License# (:� � � ' �
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PLUMSER , a ,: CONIPl�NY ,.. :' ' ' ,
SIG�tATURE " ,REGIST,EREU; Y�/�,N`� ,FEEnCURRE�' Y°/N: - _ �
lldtlr68s . #� ., ° . lIC@TtS9,#�C.�.�.^^ .j. .. , --� .
MECHANlG,AL` � , �, . , GQMPANI(, ' ' , '.'- -� , , '
SIGNATURE� " „� �REGISTERED ,� ...Y.,/.N. �E cutt���, Y/-N. - �
Address` • � , ... ` � ' , � = y ` � ` license#�� �
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OTNER , . � ' � � ,COM.PANY�� '
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SIGNATURE' "�� ` `� '�� � , `` ,`'� : "� P Y' �REGISTERED � ' Y/ N...=� FEE CURREh Y L N
1�►ddre�s` � . � ,. , � . - ' L"icense# �� ' ' ' "�� �. ,
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� FtESlRENTIA��:�.• :Attaeti'(2).P-,lot;P,lan'st,{2)§eis`tifzBuliding,'Plaii"s;(1)`sef aF-�Energy�Faiins;-f2=tl�1N'Perinit far new construotiosi,_ ,
�- ;;-c y y�: Minimum,ten°(1.0);woricing�days;after�subm(ttai date.�:Requi�ed onsife,�:GonstiucBon=Pians;•Stormwater Plans�wi SitYFerice instailed,
� Sanftery FaGitties:&;;1,dumpster.Site°WorlcFPermit,#or sutidiVisions/large.,prnjec�s_�:_ :��- ' ' � '�" ` ` �'� `
COMMERCl�L Att�tch{8j'comgieie`se#s"of`Buiitlfng Plans pius a Ufe Safeity�Page;{1}set of Energy Forms.R-O W Pesmit for new car►structton. '
Minimum ten(10}working days after submittal dake. Requlred onsite,Construction Pians,Stortnwater Plans w1 Siit Fence instailed, ,
Santtary FaciliNes&1 dumpster.Site Worlc Pertnit for all new,:projacCs..All commerctal requirements.,must meek compllance � '
StGN PERN!!T Attarfi{2}se#s of Eiig`it;ieer.edFPlans.:.<..;:='�: �... _- " - � _
••«"PROPERTY SURVEY reguired for.ail_NEW oonstructlon., . -.
Dlrectians: - - - _ �
Fill out applicatlon wmpletely.
Gwrner&Contractor sign back of appltcadon,notaeized
If over�2500.a Noflce of Cammencemen#Is�equired. {A1C upgracles over�750Q) ,
ew �� 'k:L'�s '.
Agent(for the conhactor)or Power of Attamey(fbr Uie�owner)wauld be someone w(th�notarized letter from owner authorizing same
OVER'i'HE CC}UNTER.PERMIT7'iPit3 -(�rant of ARPlication-OniY) = �.
Reroofs If shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Faatage)
_ ,_ . _ . � ._ . =.4`
Drivewsys-tVot over Gounter if on publlc roadvirays..iieeds ROW"
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MOTiCE QF DEEQ RESTRICTIONS: The ut�derslgned�under�tands�:tt�rslhts.p�rmit:.may�be,subject#o."deed",res�rtctio�is"_;^.{.r y
which may tie�more•r."est�lcti�re��th��'Couiity:�i�egulat�ons:��The�underslgne�d�°"assumes'resprinslbiltty'far compfiance=with a�y
applicable.daed�restriotlons. „ �_.., �,.. , �,- � �. _ _., .. � � " � _
' UNLtCENSED�CClNTt�i4CTORS AND Ci�NTRAC�'OR RESPONS1�1C11'IES: �xff�the�cwner has���hiced��a ct�ntractar ar ,
contractors to undertake work, they,,may:b.e�:�r�qirlre.dato;bezllcensed:ln:acca�dance..with state.and,lacal:,regulatlon_s:�If�the-= �' � � -
i C0�1tt�C�Oi�S ROt•IIGS�ISL'CI'-8S'tBqUIF@t�"tiy law, tiotl��the ovuner arad��cvntEactor,may��be�cl#ed for�°a�misdemeanar viofation
under state law. If the awner ar Intended,contrai�tor,:are_.unce�taln as t" what Iicensing.reguireRnents;may:apply��for:tlie Y �� �-~r
, . �,. �,. .;,. , � _ �.E,_,,....- ,.. .,.....�.,, .,�
fntended inrorkf tfiey_are adviseii�"fo'coritact ttie:Pasco County_,Building�fnspectton�Qlirlslon--l.Icensing Sectior�a!727-847-
8U08. Furttiermore, if 4the ornrner'tias��Fiirei��a criri�aator"of contracfors, he is�adrriaec! to have hthe cantractor{s),rsign .
,,,:-ru. = .;,,
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portians of the_°conttactor Blaak° of.,this._applicatian_for:whtch...they:will.,be�.r.esponslble. If ynu;�as:#he owner stgn'�a`s the`
contractor, #hat-�ma�r.be an indicatlon t�iat`he is �ot.proper�y llcensed�a�cl��Is�tibt�enfi�ed to psttnittiitg pr6vlleges In P�sco
County. ` M �:. ._ I � :;._ _, ,: ,,,
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TRANSPORTaI`IQN-.lMPAC7"/UTllITIES'CMRAC�`�ANC1 RESC?UItC�R�CC1VEEtY'�FEES.�The undersfgne��understands
that Transportetion impacf Fees.and.Recourse Recavery:Fees may-,appiya�:to�tfie�construction:af new�b.uildings,�changez of`�=��"'� �'�
use In existing buildings;rvor�expansion�of�ei�istin,g.ibWldiags, as specmed.in Pasca County Or'dinance number 89-07 and
90-07, as amended.,r_The undersigned alsa:�Rdersta��s, #lia�t°-such fees;�;as�may;tie�:dtte;�wil��6e identiffed at the�time;of j' - � >_
permit#Ing. It is furtlier understood that Trr��isporkation Impacf`Fees and';Ftesource.;Recovery'Fees�mus� be pald priar fo
, rece�ving-a`cerf�#cate.af�occupancy"�or�flnai��powerh�elease:�':4�the.projec#...does;�not Ic�vo�ve�a:�certi�cate of accupanc�o�Y=<_�'�- �•`�°
' finai power release;��#he,fees�mu�t tie"paid;pr.lor#a.;permit tss�ence. Fc��t�iermore��1f:.Pasc;v;County�lNater/Sewe��:lmpact -� .. .�
I� fees are due,;.they tnust:be-_pald.prlor�o.,per,mit,iss.t�anceain.accardance wl�th appitcaale:Pasco'��Coun#y-�ortlinances. �
CONSTRUCTtBN°L'1EN`I:A11{l'(Ctiepter 713�Elortda St�#ute��as atnentl�tl}: if vatua�an ot'wark is$2,500.00;or more;l � - �,
certify that I, lhe. applicant;.-.have::been�.proylded�with-a-capyyof. the{"Florida �onstructlon:Llen�Lav�—Homeowner's
Protecttan Gutde" prepared by:#tie Fla�lda Department�of Ag�icult�re and Consumer�.Affatrs. If tt�e applicant is someanet . �
ather.than#he`owner", I certifji.that;,.l�have.,obtained�a'copy;of.the,ab.ava-.iiescritietl�tlocuim,ent�and.pmmisi�.i�,good::failh�fo :>.: �
deliver It to:.the;`owner":'.prio�a#o commeiiaeinent `��� . , ,., � , .,. ,� „ . ,
CONTRACTOR'S/OWNER'S AFFIDAVIT: I ce�tify,,.that�att.the�lnf.ormeti,tr'�n;in=thi�application is accurate and that att wor`k
will'be done in compliance wi#h all applicable laws regulating oonstructlon� zoning and:.land�`devetopmer�t. Appl[cation Is
hereby made to obtain-.a perm�t,:Yo,;do;woik;;and;in"stalla�lan as Indl�ted:.,,.�:1� cen�'jr tlist ria work-tor tnstatlatlon lias'
commenced p�lo� to I'ssuance af'a pemiikVand that.all work will be pe�Formed�ta mee# standards-of aIP laws regulaking-
cans#ruction, Gaunty and Gity cades, zoning regulatia�nst and land dev�ebprnertt regt,tla�ons�tn the Jur�sdiction.'�� #�also
certlfy that 1 u�derstand that the regulations of other government agencl s may�apply�#o the.intended work, and that it ls
my responstbiltty to Identlfy�what.act(ons 1 must-take.to be<ln:.car�pllance._S.uch agencles include but are.r�ot Ilmiked to: : ;
- Departmen# af Er�viranmentaf-�Ptotection=Cypr'es�i`�aytieaii� �VCletland Areas snd Envtronmentatly Sensitive
Lands,Water/VVas#ewater Treatment. ;
' - Southwest Ftarlda Water Management .Dis#rlct V11e1ls� CYPress.'.8eyheads�,� V1lettand' Areas, Altering
Watercourses. •
- Army Corps of Engineers-Seawalls�Docks,Navtgable Waterways, i
- Depar�ment of,,Health,.;,&.,-Ret�ablEitative.ti:.Servtcesl.Envitonmertt�l�Nealth Uitit:Weil.s;,�1Nastewater=Treatrrtent,
Septic Ta�ks..` .. ' . . '.- � . .. . i
- US Envlronmental Protectlon Agency-Asbestas abatemen#,...- � '
- Federal Av.lativn-Aulhority�;Runways:-° � . �
f understand.thai the following;.restrfctlons ap,ply'to'�the u�e o#fil1:� ' � � • -
- Use oFfltl is not atbwed insFiood�:Zone"V"unless expcessiy p rnnitted. �
- If the���ll matei�lal�M�ls`to��'be usetl:�in��:Flood-Zone. "A", It. is �nderstood�that a drainage plan addressing a
°compensattng vofume"will be submitted at#ime af;petmitttng whlch Is prepared by a profe�sional engtneer
Iicensed by#he-State�of"�Ip�ida:� - �_ - � ,�� � '
- !#th��fili-mate�ial���s'ta�:be:used In fload �one 'A" in�conneclEon�w1th�a �aermlt#ed bnilding using stem waii
� construction,,.1 certify that fiil:wall.b.e-used only.to..fill the are,a w thln�the�stetn�wall: , '
- � if fill material��is�ta be used-in.any area; ! �certlfy that .use� of suah fll! will not adversely afFact adjacent
praperties. If use of fill is„fo�tnd�to adver�eEy-�ffect ad�acent�prs�perties�.the awner may be cited for violating
the condi#ions_of,.the building;perrril't Is'sued�under the:'attach�dapermit appllcatfan;rvfo�:lots.less�tha'n.one (1�)
acre wHtct�are e!e"vated�by flll,a�t engineered dralnage plan Is required, ;
If I am the_AGENT FOR THE OWNEit;.I�.pnamise In good faith to inform the owner of the permitting condit{ans set forth In
thls affidad(t~p�ior ta�commencing construction. 1 understand that a;saparate permlt may be requlred for elecErlca#work,
plumbing,Msigns�.wells,..poots;, air,conditioning,-.gsts,.-or att�ei install�i#toris not,spec�ic�tly inctuded�in.the application. .A
permit issue� shall be conshued to'tiie`a�ltcense��to`proceed wlth ttie:yuork and�not�as:.authoNty to,vlolate'.;cancel� alter, oP
se#aside ariy"provistoits of#tie tectinEcal-c�des;�nor shail issuance�of a.p�rmit.pr.even#ti�e Bulldl�ig t�clal fram Ehereaf�+a� �
requiring a co�ectian af,eRors,�in;plens; constniction�or vlolatians of-any c�odes:�.�very�perrr�it�t.ssued shall become invalfd
unless the work authaHzed_by such permit�is-co�tmenced�withtn sfX.;mortths of�pemilt Issuanae, or If work authorEzecf by
the permtf is suspended=or:aba�doned_f,or,a:period<of�si�:�)�monfF�s,:after.";�he;tir►ae the�wotk�as commenced. An extension
may be requested, in writing;_#`rom.tHe�Building,Offlcial for a perlod:not.to�-exceed'�ntnety�(9U) days a�id-wlll derr�onstrate
� justlf�abi�cause for�the exfenslon. 1f work ceases:for ninety.(90}cons.ecutive day.st_the�ob�1s consldered aba�done�. E
,.� .
�� WARNING TO OWNER: YQUR,FAIlLtREPTQ.,REGOEtQ,A..M�'��lGE:OF..°GOMMBMCEMEMT:MAY��REStl�T_IN YC►UR _
-- PAYiNG TWIC�:,{�4�R I�I�QV{�AAEPA';'S�T�►yYOUt�.�R1�PER?tY:��i�°YO.U�t�Y°€EA1D:�TQ��TAIN•�FIN�pE1NG;'C.ONSULY
WIT U ` � D �O: A � d N O.E��,�� -OR�1 �;,. .pV :� .G �p :�' `,:
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FlORlDA JURA�';{F.B:4.l�:Q3) . ._ - _ , . -
OWNEIt OR AOENT.- - CONl'RACTO �• ��
Subscrlbsd and swom io{or afflrmed)before me this Stibscribed' ru!' � (ot a tmed}-��jfc�re'm ' .
by I�-�� .�by• r� )�` ��
Who Is/are personally,knrnm to.me or has/have produced Wh s/are�,e�r���Qn�al .�o� •tCt me;or has/h e�produced •,
' � � as id'enllftcaUon. ' � �� �3i2i 2r-e�;Gi C� as tdentNicatlon. — .
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Notery Pubttc �- Nlotary Publlc
Commissian No°: Co s1an.No. I .
,=q1�::ei�;�,, JAC •
:: Commissfon#FF 150422
IVame oI Notary typed,ptlnted ar stamped Name oi Notary typed ' " �IS eo$ttt e� ,
��'�,pF ��:` Bondld7hruireyPdninaurcnaa6C4•589=7Ai9
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' ' 2018002010
Pertnit No. � � I �� Parcel ID No I 1'��P ^� I ' v��� � QpC�4 �`✓ � O���
NOTICE OF COMMENCEMENT
State of /��� ���Gl� Counry of / �-S G�
THE UNDERSIGNED hereby gives notice that improvement wi0 be made ta certafn reai property,end in eccordence with Chapter 713,Fiorida Statutes,
the faflawing In/ortneQon is provfded in Ihis Notice of Comme cement ^ C ��L p - (�
1. DesrlipUon a(Property: Parcel Identlfiwtio No.��n �� �����1! d�p Uo�7Y` �--�^S�- G�� `qs�
SVeet Address: J��� 0 "� � "� �.� /h� u S � -
p� i
2. General Description af Improvement �� �y •��� L1JpL� �/��� '
3. Owner Iniormation or Lessea Informetian if Iha Lessee eonVaded far tha improvemenL• Q�.n t n� � 1
y�1'Z �y��.�MS � • ., R. � �Z..erO�^-'�I I���� 5 ��
add.ess c�N swie
Interesl in Property:
- Neme of Fee Slmpla TiUeholder.
(Ii dltterent from Owner•lisied above)
Address Clry 5[ate
4. "� Conlraaor. �1 L � ��
a Nam ' ��.n /►,��l� ��-� �
ndaress r 13 —� ah+ scate
CanUactot's Telephone No.:l � oZ�
5. Surety:
Name
'°'ddres6 Clty State
lvnount oi Bond: 5 Telephane No..
8. Lender:
. Name
Address , .._ ., City Slate
Lenders Telephone No..
i •
7. Persons within Ihe State�ot Flo�ide designeted by the owner upon whom notlees a olher dowments may be served es provided by
Sedion 773.13(1)(a)(7),Florida Statutes: _
Name .
Address • City State
Telephone Numbu of Designated Person:•
8. In addNon to himselt7 the awner designates of
to receife a copy oT the Llenors Notice as pmvided in Sectfon 713.13(1)(b),Fiarida Slelutes.
Tdephona Numher o(Persan ar En6ty Designalad by Owner.
K 9. E�Iration dete af Natice af Commencement(the e�iration date may nol be be/are Ihe campledon of construcllon and final payment to lhe
conVadar,but wiA be one yeer from Nie date af recording unless a ditterent dale is spedfted):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE ONMER 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 TVNCE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SRE BEFORE THE FIRST INSPECTION. IF YOU IN7END TO OBTAIN FINANCING,CONSULT
WfTH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. �
� Under penelty of perjury�e�c�rpleatJ�heve read the fore�oing notice of commencement end at ha steted therefn ere We to 1ha best
°�,'�exa"���"�e rura����u
`a�q���� STATE OF L RID of F�or��a
�� 4l'y,OUNTY OF PASC�tate �1�p�2019
' ;� ires 0 I S nat e of Owner or Lessee,a Oxmers or Lessee's
� `�My Commission EXp Officer/DireclodPaMer/Manager
�; ► �► '' �ommission No.�F 2��69
sig�e�ey5 ru�an� -
The foregoing(nstrument was acknowledged 6etore me Ihis�day o Wlr 20 by !,Q�l,�/�VYCL C��� �`\4 %,
—' as GY�f2�la!r� ((ype of authariry,e.g.,aRcer,trustea,altamey in faa)far v
(name o!p un b d / whom in ment Nio eXa ted).
' PersoneDy Knovm 0 sl$produced Idenl+i�fiwtion[�, Natary Signeture �
Type of IdrnUfippon Produced_�L .,J�"/VPY )�m N.� Name(Prinq
�-�
RCpt:1925662 RCC: 10.�0 PpULA S.0'NE IL,Ph D.PRSCO CLERK & COMPTROLLER ,
D5: 0.00 IT: 0.00 01/04/201$ t: m 1 of 1
01/04/2018 J. R. , DptY Cle�k OR BK 9 '�� PG �5�
wpdete/bcslnotfcecommencement�53048
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���e�;�� �
�� ' '� a ��g, STAT�OF FL(�RIDA, COU�lTY OF PASCO
�� �: � THIS IS TQ C�RTIFY THAT THE FOREGOING�IS A
�' � m '� TRUE AND CORRECT COPY OF THE DOCUMENT
� s � �� '� <�'°. • ON FILE OR OF PUBLIC RECORD IN THIS OFFICE
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