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HomeMy WebLinkAbout17-19165 CITY OF ZEPHYRHILLS 5335-8TH STREET (sis)�so-oo20 19165 ` � FENCE PERMIT - PERMIT INFORMATION - LOCATION INFORMATION- � Permit Number: 19165 Address: 38627 B AVE Permit Type: FENCE ZEPHYRHILLS, FL. Class of Work: FENCE/NEW Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: MOORES FIRST ADDITION Est. Value: Parcel Number: 14-26-21-0010-01900-0090 Improv. Cost: 3,208.00 OWNER INFORMATION Date Issued: 1/03/2018 Name: SILVEREST, EDWIN R & ROBIN L Total Fees: 85.00 Address: 38627 B AVE Amount Paid: 85.00 ZEPHYRHILLS, FL. 33542 Date Paid: 1/03/2018 Phone: (813)388-0804 Work Desc: INSTALL VINYL FENCE 6'X '1�47�--�SFT (� CONTRACTOR S APPLICATION FEES BIG DOG FENCE INC (813)907-9877 FENCE 55.00 CONTRACTOR CERTIFICATE 30.00 // �� ��� I � Ins ections Re uired 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 may be 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. The payment of inspection fe all e made before any further permits will be issued to the person owning same "Warning to owner: Y�r�failu record a notice of commenceuaent may result in your paying twice for improvements to your prop If you intend to obtain fin ing,consult with your lender or an attorney efore recording your no ' of commencement." plete Plan pecificatio nd Fee Must Accompany Application. ork shal e erform ' accordance with City Codes and Ordinances ON CTOR PERMIT OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ' PROTECT CARD FROM WEATHER a��-�so-oozo City of Zephyrhills Permit Application Fax-81378Q0021 Building Department DateReceived / - 3- � Q� • 8'�3 Rg�� � Phone ConWct for Pertnitting ��_„T..n,�-�- ____._._._.._ ..2--,,,-_..m-.-,�,-,. - - �._..,::::�.,:,W4,�-TT---A __.___._ ._...... ......... ..,_--------�--•--����:-.. ....._ � - -y- - I✓ ,, _, ....,...._.,.......z.,. _.. .. ... , ,.—.—�..—z--� Owners Name C t)W�h S t �V C��S� OwnerPhone Number ��3-3��1 -��O/ OwnersAddress J 0 ��7 /�o ✓� ' �e-/�� �����5 OwnerPhoneNumber Fee Simple TiUeholder Name Owner Phone Number Fee Simple Titleholder Address JOBADDRESS 3g�aZ7 �.r�VQi Z�- �'l d'�1���5 �L. 335 � LOT# � SUBDIVISION PARCEL IDIF �L�-°Z�O-°Z'��D l�I� ��19 D�- D�D (OBTAINED FROM PROPERTYTAX NOTICE) WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN Q MOVE Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM Q OTHER �N �Gt S q, TYPE OF CONSTRUCTION Q BLOCK � FRAME Q STEEL Q OTHER DESCRIPTION OF WORK �r �1 W���ei V 1 1'1 � �d`1 1��( `�-�.li►G Q- �/�St�II r x �(�� BUILDING SIZE SQ FOOTAGE HEIGHT ........;_.,,,;.�_._..;.�.,^..�.,.._......_...._....._.__,......._._..._,»».._».»._---_.._._.W_......�..__..__.....,....W._.�._._.__......_�....._.....�«.............w__..___...._w.r._.�.._..___..,.�.� F-:.._._. �� ._............_ .............._..._....__.;. . .....___.___.___,..:"',_...._.___......____.�`,..,..._._........_---__._._._�=,.,.�..----_.__.._..__-._.------.__......_.__.........._._._....__...._...........�;, Q BUILDING y $ � ,� �.�a VALUATION OF TOTAL CONSTRUCTION r�.+nG.2 - � Q ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. - Q PLUMBING $ Q MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION Q GAS Q ROOFING Q SPECIALIY Q OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES QNO ��>:��.._......_....__...__. _..._.__._....._.._._.._._._._..........._._...__..._..__._....e--�-�-...._____....---..._--_..L��:::_:<=�-�.-__:._�_'_.:..::=.__...��-�:...�_-:e:==.�—_�__._... BUILDER COMPANY SIGNATURE rtEcis�Reo Y/N FEE CURRENT Y/N Address License# ELECTRICIAN COMPANY SIGNATURE ��isiEReD Y/N FEE CURRENT Y/N Address • License# PLUMBER COMPANY SIGNATURE REGISTERED Y!N FEE CURRENT Y/N Address License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/N FEE CURRENT Y/N Address License# OTHER � COMPANY �� G Q����!/l C� -�N C , SIGNATURE � REGI57EREO Y/N FEE CURRENT Y/N Address r� ��O�Av� D r, eJ esf e C�'1 �- 33S�f S License# �z 3� 0 ---...__.._. ,_-::.�_.�_,-:��_:-::::-�:�....._.....__........._.._,..._---___,_ - - �_____ -_._.�._�._.:_...._._.�...-r—....._-T ...—_..-,.—r:_- :.._--�—.� .._. ._......_._.... _._.. ._...�._....... , _,____ ......_.. ........ __.. . _.___:.-�:_.._._�._._.-__.._._..._:.._:.-:,.�---__ _ _........._......._ ----�---__ _ ........_... _ _.�._ •_ ._.��:..•.-..:._.._:_.:_<. RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns Minimum ten(10)worlting days after submittal date. Required onsite,ConsVuction Plans,Sanitary Facilities 81 dumpster COMMERCIAL Attach(3)sets of Buiiding Plans;(1)set of Energy Fortns. Minimum ten(10)working days after submirial date. Required onsite,ConsUuction Plans,Sanitary Facilities&1 dumpster All commercial requirements must meet compliance. SIGN PERMIT Attach(2)sets of Engineered Plans. ""PROPERTY SURVEY required for all NEW construdion. _._. ..._. ..—a�—�;_„���_.�;u._._--.�._._—�.._._.�.�—��.,.�—�_ . ...__.-,.-;_.,,,_,-._.,.. �_....___.__. ._._ , .rv ..._ .....___._._ �,_... --___T.,.:--=::�.-_�_,� Directions: -'-"' Fill out application campletely. Owner&Contractor sign back of application,notarized If over Sz500,a Notice of Commencement is required. (A1C upgrades over 55000) " Agent(for the contractor)or Power of Attomey(for the owner)woutd be someane with notarized letter from owner authorizing same OVER THE COUNTER PERMITfING (Front ofApplica6on Only) Reroofs Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) DrivewaysNot over Caunter if on public roadways..needs ROW 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 compiiance with any � applicable deed restrictions. ' UNLICENSED COfdTRACTORS 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 Divisior�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 IMPACTNTILITIES 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 occupanc�'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 WatedSewer 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 certiiy that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowners 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 � 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 pertormed 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 govemment agencies may apply to the intended work, and that it is my responsibility to identiTy 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,WaterNVastewater Treatment. - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. i - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, 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"V"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. I - 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 Official 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 co nced An extension may be requested, in writing,from the Building Official for a period not to exceed ninety(90) a an II demonstrate justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job i o ide abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENC T RESU YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU IN�-END T � T N NANC ,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOURrNOTIC C NCE NT. FLORIDA JURAT(F.S.117.03) OWNER OR AGENT CONTRACTOR Subscribed and swom to(or atfirmed)before me this Subscribed and m a med)befo e this by Who is/are personally known to me ar has/have produced Who is/are personally known to me or haslhave produced as identification. as identifiqtion. Notary Public Notary Public Commission No. Commission No. Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped � . , j . . '.. FR,ED DEUEL d� ASSOCIATES� INC. OR: EDWIN R. SILVEREST SEC.14 �TY{�P.Pfv S, 5151 GALL BLVD. ROBIN L. SILVEREST Pasco county�l ZEPHYRHILLS� FLORIDA 33591 PHONEO (813) 782-6717 � ATE OF SURVEY: JULY 7� 1994 , FAX: ($13)• 782-5926 • . � OUNDARY AND LOCATION SURVEY ' . � � �< �; ' � RDER �70680—ZH 1 � � � � r ' � S 3 �r?7" �> • - 4� � � � ' , ,� .�, ,e'� �• ,., s ;� � �� , ��s"'�'. I . so �e• o� '�v DO• •b2� � ix.o � �� �,� ' .�i , � `3 CA L E '1 V I ¢ � r` � LEGAL DESCRIPTION ;�' ; L.i:�%' ��ti �'Lr �"° �o� . W o ffNGf[NN/R o�d�a,�o,.���..•; �a� `°^""�'"'" •.��Va�aisi�tT� ,,e , I The East 66.00 feet of Lot 9 and the South 2C � , J � � � �.oa._ • <<¢' feet of the Eset 66.00 feet pf Lot 10, Slock --•��•��F —,- MOORE'S FIRST ADDI�TION as recorded in F r� � ,. � uvK �� �°. I .Book 1, Page 59, Public�Records of Pasco Coun � � •� py�' � �*o� . ,� 5� ° , � Florida. , � �' � � .fiNN L/A/f LOTIe � ,;g9—�' i.� � , ae.riw ,� I �-- , ' � �aer.v"` �.r--� "�a,r.r ° ,eIRIOR�:'i: '' , 1 . c.w!eors ti . ; i � ' . �u..': . '� i°.� •0°'.. .. ..� ' CERTIFIED TO � � h � � � * oNe sroRy nwsoNay•� 79 0 � , FIRST UNION NATIONAL � n ig � owB«,N6 �: n � ' � 1 L` T � y �aeeav 'o � � � BANK OF FLORIDA . � �: ASSOCIATED LAND TITLE GROUP INC. ° a-.-� � ' ► M ' .q„�`�� 'A� �,; I COMMONWEALTH LAND TITLE INSURANCE C0. �. .i_,, . : ; �` �o ��.. �� 'b� , EDWIN R. SILVEREST i , ,Se� �' �• • �• ROBiN L. SiLVER�ST ' � �o oo.o� Dq�_+91 GG.OD "��' `G ' 3� �sPo - � •e'� y�� � �• '•s:w coa�vEa ' a '4 • �G etotrc /D F�•' � I �� �,� ( According to FIRM Panel /{120235 0005 C, r� � ' ' DeCember 17, 1991, this lot lies in Zon eo Q�.wAcr vatV�N4 � (area determined to be outsic7e 500-year , � - . — � _ _ i � plain). . �Q�� , � Per Legat Desc. or Plat � VEN "alculeted �E �V !00�4�WAy � Pteld Fleesured � I I �ound Iron Rod � C. Fred Deuel and Associates, aund Iron Pipe • • � �ound Concrete•Monunent S[JRVEYORS NOTES 2epiqrhtlis St. PetersMrg 'hain Link Fence ,� ' . ��Q1re Fence ' • Th1s certffles thet the p� rty deserlbed he�eon ras s �FPO�e � 9. No underground installations or �mprovements have been . f dlreeCton�nd supe�vlston,�het she sketeh hereon�s•t )verhead L1ne located except as noted. ' representetion of the se�e and thet thts surrey�e �otnt of Beglnntng 2. NO instxuments Of Technleal Standa�ds sei 4orth b tAe Florlda Boo�d of P 'dge ot Pavement • aCeCord Y'eflecting �easements, rightB Of Surveyors 1n Chepter 61Gi7•6 �orida A�lnistr�Nve c �o1nt a� Line way, and/or owaership were , fusnished this surveyor except `.+ection 472.02� Flo�ida Stetutes. lei lron Rod Cepped LB/107 as shown. • NOT VQLID U{YtESS �A /O G. M5TR0, 'op ot Bank 3: This surve was p ' ' 'ce oi sto�e y pre szed without the benefit of a -title , EIVIBOSSED W{r� Q SEA( ;fght of Yay � search. • E ,7'NIS STi4Mp � � � � Florida rveyor's Reg No. 4 � I ; ..�,.. ti�. 31 i 1 b ELOiAN DRiVE Date: f�. 1 f f 1 � � Contract#: � � � � 5� WESLEY CHAPEL, FL 33545 fj'f� � ��r'�,�j'�}`� � Tet_ (8i 3}907-9877 tim: etL- � �- Fax. {813}994-7827 Bus: Fax: Email: service@bi�dogfence.com Email: L=S 1 L.L�!2 �S r� ����l�����o�R� G c n.v www,bigdogfence.com No1Cut#:�y���----1--- ;..x�<';.�;i�i:r,,- c'�:r;(ii;iiii„�:.r` :,,�,,-_s 1 ��o�os�,�ic��v�r�c� - � ( ! �- . Buyer: �. CI' ��h i/i:�? `���.0� Subdivision: �/ l� o-- Maitin�Add• J t'!'��Z� �• �l �;�G .. City �i::rr3F,t�,�h �.�LfS State �"�- Zip �_���� � .lob Site Add: ��!f fx"�" Cit�r State Zip Cross St: �"�`G � ,-- rI�Z S� Lot#�,_Block �� Praperty Qwner:�Yes Na [lniu btateriats andlor Sen�ices - Z� ` � �',� ' � / ,". � . . ��i �-�:i� ��R�s� � .r��' . b ,- +� �� �\)� ! .��! ' e�.. Lr r V' ?C;% �'�T�z 1�? ��h.'.�L C';/ , 1� �. � �" IZ � ! �� �fu �L c, .: (c�E'F�°,,r1U �, � '�r J�e���py�i+ �- !e ���I `it� L��'��c �cU� ,� C^ . �,� ��.� a I<< vL 1 —«L w�'' �;� {,l� L-'� ? �c L.� t3 ���.G'r:_,,L= �, �c�' T 3-nte�,... k�� ,....�,'L.t� `� ��-fi:.�. �' _.' � ���L�%,v L, , � �e...� 12 2. f�L f�,r� /f-�. .-��� �, n.�G - t3--2tL�- 7'' � ! c�� P-r,=, ht;�'�� � � �'' t� � � ,. i $ � g�. ( � � 1 Visa MC_Atnex,_,_Disc _AayFai $ $ it BaWnce PrCCe . . . . . . . . . . . . . . . . . . . . . . .S �r..���,�tri . . . . _ h MCOW[17ianbef- IrKludeaflNUrt16eY5 a ttantp Yeat 3-4 i}1Qtt CnQe &lting Ztp Code Permit Fee. . . . . . . . . . . . . . . . . . . .$ 3%Credit Card Process Fee. . . _. . . . .$ � �^�� Ci�_��� Total Price. . . . . . . . , , S � ,/y.��*t�� �P�tinn Data 54%Dowrt Paytnent.�'.f���.�J.�'.� $ �r'��� -� ' Credit Card Financed Price. . . . . . . . . . . . . . . . . $ authorized Signature: I I .p �T- �- .. �c� Balance Due on Comp[etian---� ----$ i r� �� t ������_ C._c�-�-^� �_���� ��", ' �Signature:._��, b, �=� / Quote good for 30 days,7his Propasa(sha![become a binding contrQct " a„� upon acceprance.See Reverse Side For Contract Terrrts_ Seiters Seller:Bie Doa Fence, Inc. Ayent: ��.� � �- iiiiiiiiiiiiiiiiiiiiiiiiiiii�iiiiiiiiiiiiiaiiiiiiiiiiiiiiAii� � 2018000983 , - - - NOTICE OF COMMENCEMENT ' Rcp!:1921177 Ree: 10.00 D5: 0.00 IT: 0.00 PermitNo. .01/03/2018 J. R. , Dpty Clerk Property Identification No. 1¢zs-z��o�o-aisao-aa� TFIE iTNDERSIGNID hereby gives notice that itnprovements will be made to certain real property,and in accordance with Section 713.13 of the Florida Statutes,the following information is provided in the�FOTICE OF COMMENCEMENT. 1. Description of pmperty(legal description:) �¢�z�-aa�o-o�soaooso S� Sh'eCt AddiCSS: 38627 B AVE ZEPHYRHILLS FL 33542 Z. GCII@t'81 dC5CtlphOII Of lIIl(IfOVCII1��.S �WHITE VINYL PRIVACY FENCE INSTALLATION 3. Owner Information S� NaQ16 3IId 8ddPCSS: EDWIN SILVEREST-38627 B AVE ZEPHYRHILLS R 33542 b) Name and address of fee simple titleholder(if other than owner) - c) Interest in property oww�a 4. Coatractor Information fl� Name and address: B�G OOG FENCE,INC.- 311�6 ELOIAN DRIVE-WES�EY CHAPEL,33545 b) Telephone No.: 817-�n Fax No.(Opt) 5. Surety Information a) Name and address: b) Amount of Bond: c) Telephone No.: Fax No.(Opt) 6. Lender a) Name and eddress: 7. Identity of pe:son within the State of Florida designated by owner upon whom notices or other doc�ments may be served; a) Name and address: b) Telephone No.: Fax No.(Opt) 8. In addidon to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section ` 713.13(1)(b),Florida Statutes: � e) Name and addt+ess: b) Telephone No.: Fax No.(Opt) 9. Expiration date of Notice of Commencement(the expiration date is one year from the date of recording unless a different date is specified): WARNING TO OWNER:ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTiCE OF COA'IIViENCEMENT ARE CONSIDERED II4IPROPER PAYMENTS UNDER CHAPTER 713,PART 1,SECTION 713.l3, FLORIDA STATUTES AND CAN RESULT IN YOUR PAYING TWICE FOR IPROVEMENTS TO YOUR PROPERTY.A -� NOTICE OF CONIMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB S1TE BEFORE THE FIRST _ INSPECTION.IF YOU INTEND TO OBTAIIY FINANCING,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOU NOTICE OF COMMENCEMENT. STATE OF FLORIDA COUNTY OF PASCO � PAULfi S 0'NEIL,Ph D PRSCO CLERK & COMPTROLLER Signature OF Owner Owner's Authorized Officer/DirecWr/Pattaer/Manager 01/03/2018 10:33am 1 of 1 EDWINSILVEREST OR BK ���� PG �42 r,;:,cx�� The forego!��g instrume t was acknowledged before me this�day of �E�En'1 Y�Y' 20�,by ��U/1 n � , � (UQ.Y� as '�W J'1 E�f ' (type of authority,e.g.officer,wstee,a2torney in fact)fdr (name of party on behalf of whom' trument was e�e�. Personally Known_OR Produced Identification �� Notary Signature � � Type of Idenrification Produced �t �1�?�/l CQ,��• Name(print) �F a N�� �U Y Ot 11 O o`—' ' Verification pursuant to Section 92.525,Florida Statutes.Under penalties of perjury,I declare ttiat I ` ,ead�fo d that the facts stated in it are true to the best of my lmowledge and belief. , � � FoxMsaaoc.�axao� . ' A{exandra M.Marulanda S�o N� �,S,�,g,�,� ,�,,,,, , AleXandra �:"�•.,, State of Florida ,.�,��� �State of Florida ��= Expi�es Q�'i i�J2019 ��" mission Expires �'�n�y Commission �M Com 0411012019 ' .F 216469 e, ' No �'%f,q^`;.:�' Commission Na.�� ' .'..' �%n9 nt�' y Commission F r � � � ( � ����� :�'a,���'� . ' ° � � �+ �� STAT� OF FLOf21�A,CC�UNTY 4F PA��C� t�'�• +`i�+ THIS iS TO�G�f�T(FY TNAT THE FC}REGC}ING 15�l ' , ,, � TRUE AND CORRECT COPY OF THE DaCUMEt�T � " ��nx�ve�'�t •• � tJt�FfLE OR QF PUBI.fC REGORD 1R!T4-I1S�FFIGE � =��:'••- � � W N SS MY HANQ ND OFFICIAL SEAL 1'HiS � Q • _��DAY F �� 2 1� � �� �gg� � PAUTA S.O NEIL C K&GtJ Rt�L�ER ��°�,���,��� BY - r l DEPUTY CLERK