HomeMy WebLinkAbout18-20274 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 20274
BUILDING PERMIT
PERMIT INFORMATION - LOCATION INFORMATION
Permit Number: 20274 Address: 5542 GALL BLVD
Permit Type: COMMERCIAL ZEPHYRHILLS, FL.
Class of Work: ADD/ALT COMMERCIAL Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-08900-0250
Improv. Cost: 23,250.00 OWNER INFORMATION
Date Issued: 9/24/2018 Name: CCA INDUSTRIES INC
Total Fees: 331.50 Address: 13010 US HWY 301
Amount Paid: 331.50 DADE CITY, FL. 33525
Date Paid: 9/24/2018 Phone: (813)997-0472
Work Desc: CONSTRUCT ROOM ADDITION FOR STORAGE 208 SQ FT
CONTRACTORS APPLICATION FEES
RICHARD BACK CONTRACTING LLC BUILDING FEE 240.00
EAST PASCO ELECTRIC, INC ELECTRICAL FEE 67.50
FIRE PLAN REVIEW FEES 24.00
Ins ections Required
FOOTER 2ND ROUGH PLUMB MISC INSULATION CEILING
FOOTER BOND DUCTS INSULATED SEWER MISC.
ROUGH ELECTRIC LINTEL MISC MISC.
1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC.
DUCTS INSTALLED WATER MISC DRIVEWAY
PRE-SLAB SHEATHING MISC. MISC.
CONSTRUCTION POLE FRAME MISC. MISC.
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.
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department &'
Date Received ®" Phone Contact for Permitting ��✓ A 7 - to qq 7
Owner's Name i I�"`D I N I �Lo Owner Phone Number 3-Qq 7
Owner's Address 3 )1ASPF. GI T%(' I'1► 33S7Z5 Owner Phone Number
GGA 1 N[?VgT'R`e 1 NG
Fee Simple Titleholder Name Owner Phone Number
Fee Simple•TitleholderAddress ) 50l O F ryy y. -u®` + ?J64'Dfi,:-- C4-ry , L 335 25
JOBADDRESS 542- COP<LL- {gaLV D ' ZFIPP1-4% R_" I- f LOT# C�
SUBDIVISION PARCEL ID# _2'P-2-1 -00(0 "0$R 00 - 0 7-90
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR PEPAIR
ALT = SIGN = = DEMOLISH
INSTALL
PROPOSED USE = SFR 0 COMM = OTHER
TYPE OF CONSTRUCTION - ERr_ BLOCK Q FRAME = STEEL =
DESCRIPTION OF WORK -$�o�- 1�'�� t�
/pp I Tic
BUILDING SIZE F SQ FOOTAGE HEIGHT
44+14.
=BUILDING �5 VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING Q SPECIALTY = OTHER 267i-7
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO _ram
BUILDER COMPANY RJ C *A_9-9
SIGNATURE ' REGISTERED Y/ N_J FEE CURREN Y/N
Address License# C&G Q&0D%4
ELECTRICIAN 'L� JCOMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address 0(o US 30 License# G(!, 300 30 66
PLUMBER' COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address I License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address I License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit 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 Permit 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 all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
****PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500)
" Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter 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 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 pribr.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
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. 1• 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,Water/Wastewater 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-Wells, Wastewater Treatment,
Septic Tanks.
US Environmental Protection Agency-Asbestos abatement.
Federal Aviation Authority-Runways.
understand that the following restrictions apply to the use of fill:
Use of fill is not allowed in Flood Zone W" unless expressly permitted.
-If the ill. 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
&ensed,.4p&&Stara of lol{ic �' -�:��� l t, , ,
I�the dill material is to be used in"aoo Zone "A" in connectign=wfth'�a..Aermitfe)Jgb iitdarlg,usjrig stem wall
construction, I certify that fill will be used only to fill the area within the;stem wall.
�rt�i�t�tial i :�.t� be used in any area, I certify that use df�gcfi fill•myjl{nat+advers,'ef�'r-fgect 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 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 INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGEN /�CONTRACTOR
Subscribed and swom to or a i ed before me Subscribed and swom��99 or frirmed befq met is
by -7-J 27� N. )(,/�Pii by ;� MG
Who is/are personally kno�to or has/have produced Who is/are personally known to me or has/have produced
as identification. as identification.
Notary Public Notary Public
Commission No. Commission No.
Name of Notary typed,printed o�amped Name of Notary typed,printed or sta ped -
Y P�
off;P DEBORAH BUYER MEL DEBORAH BUYERPATEI.
* * Commission f GG 165264 tM
,r
Expires Dewbw4,20"_44100- MOM TtrU&4PtfttNySVA"8 V401 8W"T"6"KWM8Wd=
e EVires DeOembet4,Z021
: :ZEPHYRHILLS FIRE"DEPARTMENT
38410.6th Ave:Zephyrhills;'FL:33642: -
FIRE.SERVICE:USER FEES increase 1L112018 : `
Occupancy No.:. .
Flan No.: - Contractor: i� n
Business Name:. Billing Address:
Business Address:. S� �l�- Gh�`-. i�i✓�:
Business Phone No.: Billing Phone:No::
Business Fax No;: Billing Fax No.:
Contact: . . Contact:"
PLAN REVIEW FEES INSPECTION FEES PERMIT FEE
Annual-
Education,healthcare,De
tention&Correctional. . Public
Assembly,Business,. schools,
Storage,Mercantile and Churches
e Plan. N/C Industrial., no charge. Sprinkler $50
Multi-Family/Commercial .03 sf up to 800 6q ft $ .24.00 Standpipes $50
(Minimum Charge$24:00 801 -1,500 sq ft:,: $ 34.52 Fire Pump.. $50'
�.Plan Revisions, DBL 1,501-2,500 sq,ft . $. . 60:02: Hoods .. $50
2,501-3,500 sq ft $ : :90;02 Fire Alarm $50
SPRINKLER SYSTEMS 3,501-5;000 sq ft $. 127.52 . LP Gas $50 -
R0-25 Heads: $50 5,501-7,500 sq:ft : _$. 187.52 Natural Gas $50. : : .
26 plus Heads $100 7;501=10,000 sq ft. $ 262:52 Fuel Tanks- pertank ' $50
STANDPIPE SYSTEM 10,001A5,000 sq ft $ 375.02 Sparklers $100. .
Per Riser $56 1.5,001-20,000 sq fi. . $ 526.02 Fire Works. $500
.__
-FIRE PUMP• 20,001-30;000 sq f' $ 7%02 Camp Fire(recreation •$25
�Per.Pump . : $100 .30,00.1740,000 sq ft :$._1',050.02.: Controlled;Burn(15da� $100
FIRE AL:ARM.SYSTEM 40,001-60,000 sq ft '$.1,500.02. Hood/Duct $50
0-25 Devices $50 60,001-80,000 sq ft: $ 2,100.02 Place of Assembly :$50.. Annual
80'001=($2,100,02)per. -
26 plus Devices: $100 ea add 1,000sq ft- $ 0.06 Fire Protection . ... $25.
SUPPRESSION SYSTEMS (Business closed until- Flammable Application $50• Annual
Wet �$50 violations corrected) Waste Tire Storage: $60 Annual
Dry $50. SPRINKLER SYSTEMS . Generator<KW $100
CO2 $50 Hydro.Undergrounds $45 .. Generator>30 KW .:$100
Other, $50 Hydrostatic Test $65•• Per system Bio-Hazard Waste: $100:Annual
KITCHEN EXHAUST Acceptance Test $45'' per system Fumigation Tenting $50
El.Hood/Ducts $50 Hydrant Flow $75 Torch Pot/Applied $50 .
OTHER Haz:Materials _ $50. Annual
LP Installation peetank $50 FIRE ALARM SYSTEM'
Fuel Tank Installation $50. System Acceptance. $50
(Per Tank) $50 Recall Acceptance $50
Natural Gas Installation $50 OTHER
(Per System). Fire.Wall/Smoke Wall. $15;
Spray Booth $50 LP Gas , $25 per tank
Natural Gas $25 per system
Tent I&x10'or greater .:$15 pertent.
Fire Pump $45
Fire Suppression $30
. .System Acceptance,.
Exhaust Hood/Duct $30
Re-inspection' DBL'
of . . .
( her than annual). .
1hspect16nscheduIed DBL
and cancelled less than
24hours
Construction Insp: N/C
.Emergency.Vehicle Acce $50.
PLANS TOTAL ,. INSPECTION TOTAL. _ PERMIT TOTALO
..GRAND.TOTAL .:
Comments:
Dater " ice../ :Inspector:
see back. :
mh.
FALSE ALARM FEE: .
1 st Alarm N/C . .
2nd Alarm . N/C.
3rd Alarm. N/C
4th Alarm $100
5th.Alarm $150
6th Alarm $200,
NON COMPLIANCE .$150
Cont.Annual Inspection-Fees
3-11_Units'price per unit. $ 5.36 .
12-25.Units price per unit $ 4.82
26-50 Units price per unit .. _ $. - .4.29.
51-100 Units price-per unit $ 3.75
100 or-more Units price per unit. •$ 2,68
Fire Safety_re-inspection types
First Re-inspectiol N/C
Second re-inspect $75
Third re-inspectior $ 125.00
Inspection'scheduled but cancelled 24'hrs : $ 50.00
TOTAL
nlh
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: fi,dww- Zack a)�a4rj Z-60
Gb�
Date Received: 6—to— l8
Site: "J�� 2— 0,4,[ l
Permit Type: 4fy-, QOW! i
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comment sheet shall be kept with the permit and/or plans.
Gene Brown—Fire Safety Officer Date Contractor and/or Homeowner
(Required when comments are present)
Jacqueline Boges
From:
Audrey McGuire
Sent: Friday, August 10,.2018 2:06 PM
To: Jacqueline Boges
Cc: Todd Vandeberg; Bill Burgess
Subject: Easy-Clean Car Wash Approval
Hi Jackie,
Planning already signed off on plans for the easy-clean car wash addition.They are good from our end to pull permits.
Thanks,
Zephyrhills
203UI
.Audrey -Mcquire
Historic Preservation Officer I Grant Support Specialist
City of Zephyrhills I Planning Dept.
Historic Captain H.B Jeffries House
38537 5th Avenue I Zephyrhills, FL 33542
Phone: 813.780.0002
Email: amcguire(@ci.zephyrhills.fl.us
PLEASE NOTE:Florida has a very broad public records law.Electronic communications regarding most City of Zephyrhills business are
public records and available upon request. Your e-mail communications may therefore be subject to public disclosure.If you received this
message in error,please do not read,forward, copy, etc. and delete immediately.
1
/�� c RLO_q lUq
City of Zephyrhills
BUILDING PLAN REVIEW.COMMENTS
Contractor/Homeowner: � ��t/.►'� -' i,ZZC
Date Received:
Site:
Permit Type:
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comment sheet shall be kept with the permit and/or plans.
e
r
Kalvin wit,e —Plans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
� IIIIIIillllillllllllllllllll1111111111111111111111IIIIIIIIII
2018165139
Rcpt:1993906 ITeC' 18.50
DS: 0.00
00
?19/28/2018 K. D. K. , Dpty Clerk
Pndmti No. Parcel ID No »-2 6^2 1 DO 10-4Eq CV -V2ZO
NOTICE OF COMMENCEMENT
State of S491 D81 County of FA 5-C C7
THE UNDERSIGNED hereby gives notice that Improvement vA be made to certain real property,and to accordance with Chapter 713.Florida Statutes.
the foliwH m Information is provided in Ws Notice of Commencement
1. Description of Property: Parcel IdertiRcalm No. 1)-2-t'o l0
Sheet Address: 5542
2. General Description of Improvement .�D � . ADD I'1101�1 TO GO><4 M�t'11:1Ai_ �b 1 Lbt ab
3. Owner ttdormatlan or lessee irdomsedott if the Lessee cdrtbaded for the Improvement. --n MOTO Y LA tJ V t
GGA 1NDU&TOY -Ue
13010 =%(- 101 _ r> G 11-y
Addreas city state
Interest It Property r-1✓B 41'M PL f
Name of Fee simple Titleholder.
(If different from Owner 8sled above) �qy
Address "NTTa tCfi f ej L4 e-
Stale
,. contractorRtC,r-t'�atc? 6hGi1�
3G 80 I"moo Q, .t�s �e oa n T1O0 C-A-r!r
Address CRY State
ComVactoes Telephone No.:
5. suety: NzA
Name -- ----
Address City state
Amount of Bond: T Telephone No.:
8. Lender. 4/A
NarTne
Address City State
w lenders Telephone No.:
J
7. Persons wttltlt the State of Florida designated by the MW upon whom notices or other*=nenls may be served as prorrded by
Section 713.13(1)tel(7).Florida SWL*ea:
-n Ho1'1+Y LI 1J J I W e--
E
o tV
jn Name
ul t 3t110 t-�W Y. 301 1pt✓ Gl-t'�{
Ads CRY State
~ Telephone Number of Designated Persam
� E
In additlon to t6metf.Fite owner designates of-
to receive a copy of the Lienors Notice as provided in Section 713.13(1)(b),Florida Statute&
a m� Telephone Number of Person or Emily Designated by Owner:
Elation date of Notice of Commencement(the e3viration date may not be before the completion of construction and final payment to the
o N m contractor.but YA be one year from Fite date of recording unless a dtlferent date Is speeift*
'j,oo WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
J N C ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1 SECTION T13.13 FLOP" STATUTES. AND CAN
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPt`RTY. A NOTICE OF COMMENCEMENT MIDST BE
?m RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCBAENT.
DanderWa de fare OW 1 have read the foregoing notice of c encemerrl and that the fads stated therein are true to the Best
STATE OF FLORIDA ►y,
OF P �. DEti0RA1f NJYBt
�vv
Owner a Ownersor Lesseds Authorized
EvIlft DeoMAW4.=
5417
trMMTrr�rLMI�tMAgtIaMIM
/D�6
WING TO OWNER: ANY FAYMEN'TS MADE BY THE OWNER AFTER THE EXPIRATION OF TRB NOTICE OF
COMMBNCEMiW ARE CONSI[DUED DUROM PAYMBNTS UNDER CSAFTn 713,PART I,SIMON 7I3,13,
FLORIDA STATUTES AND CAN RESULT IN YOUR PAYING TWICE FOR DWROYL2►'I INM TO YOUR PROPERTY.
A NOTICE OF COMMMIENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
IN$PEC710N. IF YOU INTEND TO OBTAIN MANCING,CONSULT YOUR TANDER-OR AN ATTORNEYBEFORE
COMM39NCING'WORK OR RECORDING YOUR NOTICE OF COMME CEMENT.
STATE OF FLORMA
COUNTY OF PASCO
Sigmttta of or Owner's Aoffioftd Off CedDi
"1l w W
PrintNama
The forcgoin instrument was acknowledged before,me this�day of .5- .20,eL by_7ir?Zo?11A3,
f r i>i l as_-yJg?lTeu (type of authority,a g.offiM,tsvfte, rn►ey
in fact)for IX
(name of party on behalf o om i VMS uted).
Personally Known !/OR Produced Identification Notary Signature
Type of Identification Produced Name(paint) ?
Verification pursuant to Section 92.525,Florida Statutes.Under penalties of perjury,I declare that I have read the foregoing and that
the facts stated in it are true to the best of my knowledge and belief.
Side of Natund Pemm Signing Above
OR BK 9795 PG 365
2 of 2
STATE OF FLORIDA, COUNTY,OF PASCO
• (t� THIS IS TO CERTIFY THAT THE FOREGOING IS A
TRUE AND CORRECT COPY OF THE DOCUMENT
ON FILE OR OF PUBLIC RECORD IN THIS OFFICE
' `fh�� e?r WITN HAND AND OFFICIAL SEAL THIS
tVur
DAY OF �,2 CA b
' 1 PAULA S. O'NEIL.CLER A COMPTROLL R
8�
BY DEPUTY CLERK