HomeMy WebLinkAbout23-6378 (2)City of Zephyrhilis
533Eighth Street
5
Zephyrhills, FL 33542
Phone: (813) 780-0020
Fax: (813) 780-0021
BAR-006378-2023
Issue Date: 06/30/2023
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 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 permit required from other governmental
entities such as water management, state agencies or federal agencies,
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Complete Plans, Specifications add fee 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 EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER i
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received
Phone Contact for Permitting
( )
11222611K
ass
Owner's Name
OLIVER DAVID N & MCMAHON ASHLEY
Owner Phone Number
813-846-0619
5737 18TH STREET, ZEPHYRHILLS, FL 33542
Owners Address
Owner Phone Number
Fee Simple Titleholder Name
Owner Phone Number
Fee Simple Titleholder Address
®�
JOB ADDRESS
5737 18TH STREET, ZEPHYRHILLS, FL 33542
LOT #
SUBDIVISION
ITY OF ZEPHYRHILLS PB 1 PG 54
T� 1-3t1VGI: BL-OGK 88-
PARCEL ID#
11-26-21-0010-06000-0010
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED
NEW CONSTR ADD/ALT SIGN
DEMOLISH
e
INSTALL REPAIR
8
PROPOSED USE
SFR COMM 0 OTHER
TYPE OF CONSTRUCTION
f77 BLOCK FRAME STEEL
Complete enclosure of carport and installation of garage door and back door
DESCRIPTION OF WORK
BUILDING SIZE
I----�
SQ FOOTAGE
HEIGHT
8ft
=BUILDING
$
$5500
VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ 500.00
OPLUMBING
=MECHANICAL $
=GAS ROOFING Q
FINISHED FLOOR ELEVATIONS
AMP SERVICE PROGRESS ENERGY W.R.E.C.
w
r
VALUATION OF MECHANICAL INSTALLATION
SPECIALTY = OTHER
FLOOD ZONE AREA =YES NO
BUILDER ANY IJimmy T's Holding Inc. Dba Arbor Construction Services I
SIGNATURE "� REGISTERED Y / N FEE CURREN Y / N
Address 14103 Cypress Run License # FCRC1331192
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y / N FEE CURREN Y / N
Address I License #
PLUMBER COMPANY
SIGNATURE REGISTERED L_Z_LN_j FEE CURREN Y / N
Address License #
MECHANICAL COMPANY
SIGNATURE F REGISTERED Y / N FEE CURREN I Y / N
Address License #
OTHER COMPANY
SIGNATURE REGISTERED Y / N FEE CURREN Y / N
Address _ License # e
1€tT�1E���1€;���t�1��1f�t��tf1��1f11t€1f1f1ti?ft€#a€��1�1fi
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 Pen -nit 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
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
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 IMPACTIUTILITIES 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" orfinal 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 1, 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 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.
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.
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 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.
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4 - Uni"
RIM 1191 MA 94 3 SM N
OWNER OR AGENT
Subscribed and sworn to (or affirmed) before me this
_b
Who is/are personally known to me or has/have produced
as identification.
Public
Commission No.
CONTRACTOR Subscribed and sworn ---to- (01�affinrned) before me this
by
Who is/are personally known to me or has/have produced
as identification.
Commission
Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped
Public
813-780-0020
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
NOTICE. OF DEED RESTRICTIONS: The L.•,y:;: signed understands that this permit may be subject to "does' restrictions" which may be more restrictive
than County regulations, The undersigned ass mes responsibility for compliance with any applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTR4kCTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work, they
may be required to be licensed in aecordar,c.., c inih state and local regulations. If the contractor is not licensed as required: by law, both the owner and
contractor maybe cited for a misdemeani v )' .tier under state law. If the owner or intended contractor are uncertain as to what licensing requirements
may apply for the intended work they arc a, ri 9 7 'i contact the Pasco County Building Inspection Division —Licensing Section at 727-847- 8009.
Furthermore, if the owner has hired a ccotra c , �r contractors, lie is advised to have the contractor(s) sign oortions of the "contractor Block" of this
application for which they will be responsible. If ve,:: as the owner sign as the contractor, thatmaybe an indication that he is not properly licensed and is
not entitled to permitting privileges in Pasco County,
TRANSPORTATION IMPAC'Tfl1TILITIES,1MPACT AN.11) RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recour e Recovery Fees may apply to the construction of new buildings, change of use in existing buildings, or
expansion of existing buildings, as specif„^ Pasco County Ordinance number 69-07 and 90-07, as amended. The undersigned also understands, that
such fees, as may be due, will be identifies ;i tt,e time of permitting. it is further understood that Transportation Impact Fees and Resource Recovery
Fees must be paid prior to receiving. a "ce^ti;.fate of occupancy" ordinal 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 LAIN (Chapter 711, , srlor'sda Statutes, as amended): If valuation of work is $2,500.00 or more, i certify that 1, the applicant,
have been provided with a copy of the `Flo,tt;a 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 deNver it to the "owner" prior to commencement
CONTRACTOR'SIOWNER'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 performed to meet standards of all
laws regulating construction. County and C..i"y 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 agenses 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, Wetiand Areas, Altering
Watercourses.
Army Corps of Engineers -Seawalls, mocks, Navigable Waterways.
Department of Health & rehabilitative Services/Environmental Heart i :.knit -Wells, Wastewater Treatment,
Septic Tanks,
US Environmental Pr= & :°'ion Agency -Asbestos abatement.
Federal Aviation Autl, t s" inways.
understand that the following restrictiot_a at it , the use of fill:
Use of fill is not all wtrt ,, ? it i�iood Zone W" unless expressly permitted.
If the fill material i5 ;� wt used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating vole-M r' WI, be submitted at time of permitting which is prepared by a professional engineer
licensed by the State 0 Florida_
If the fill material is ,4 be used in Flood Zone "A" in,c.onnection with a permitted building using stem wall
construction, i certify tl';:at fill will be used only to fill the area within the stem wall.
If fill material Rw, to be:: ed in any area, I certify that use of such fill will not adversely affect adjacent
properties. If G -;,- of 9 , iound to adversely affect: adjacent properties, the owner may be cited for violating
the conditions of the :,. ring permitissued under the attached permit application, for lots less than one (1)
acre which are elevilet'. by fill, an engineered drainage plan is required.
It 1 am the AGENT FOR THE OWNER I pro Ise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to
commencing construction. I understand it! ' ii separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or
other installations not. specifically Included it, :ne 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, norsnali issuance of a permit prevent the Building Official from
thereafter requiring a correction of enom in mans, construction or violations of any codes. Every permit issued shall become invalid unless the work
authorized by such permit is commenced vmhin six months of peimitiSsuaree, or if work authorized by the permit is'suspended 'orabandoned for a
period of six (6) months after the time thew_ irk is commenced. An extension may be requested. in writing, from the Building Official for a period not to
exceed nin aty (90) days and will demonsta,cs justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the jobis, considered
abandoned.
WARNING TO OWNER: YOUR. FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEIE.RfTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
T (F:Ss41e,rj3), s
OWNER ORAGENT_J
Subscribed and sworn to (or a
t!W6.J V1 t
irme befc r +i Is
CONTRACT(
Su ,c cY arP w affs, dbe e me this
by
,{(or
y
V rho is are pe ovally known to me r bas/ J( ! r)(T d -
U\' is6 e ersonally known to me a,as/have produced
-�— -- - Fen; tic. itrin.
-..� as idenig ation. .
,,lotary Public
r Notary Public
_
9
Commis n No.
Commi)p+on No
4
F d
7e of pa rated a a=� � ° —
- s r'�pe
— _
:;ao JAC UELINE � ES
Commission HH 325572
"
;4Afie oe Expi tuber 12, 2026
aMx_ �� SEYHMUS F. CIHANER
a- `: Notary Publio • State of Florida
Commission N GG 087481
.,,o�w My Comm. Expires May 12, 2024
Bonded through National Notary Assn.
813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021
Building Department
Date Received I I Phone Contact for Permitting 1(
1#077154_0071�
Owner's AdclressE:::::::::����� Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS LOT #
SUBDIVISION ====PARCEL ID#
WORK PROPOSED
NEW CONSTR
ADD/ALT
SIGN DEMOLISH
El
INSTALL
REPAIR
PROPOSED USE
SFR
COMM
OTHER
TYPE OF CONSTRUCTION
BLOCK
FRAME
STEEL
DESCRIPTION OF WORK
BUILDING SIZE
SO FOOTAGE
HEIGHT
=BUILDING
VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL
AMP SERVICE
PROGRESS ENERGY W.R.E.C.
=PLUMBING
t5
=MECHANICAL
VALUATION OF MECHANICAL INSTALLATION
=GAS
ROOFING
SPECIALTY =
OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY E
�JL�yj��FEE �CURREN
SIGNATURE REGISTERED Y/N
Address License #E:====
ELECTRICIAN /7 COMPANY 44
SIGNATURE CREGISTERED Y 1 N FEE CURREN Y/N
Address License #
PLUMBER COMPANY E
SIGNATURE REGISTERED ;;;;;�FEE CURREN
Address License #E:====
MECHANICAL COMPANY E;� FEE CU�RREN
SIGNATURE REGISTERED
Address License #E=====
OTHER COMPANY E
SIGNATURE REGISTERED ;;;;�FEE CURREN
Address License #E=:==::=
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/ Sift 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 wl 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
Nikki Alvarez�Sowles, Esq., Pasco County Clerk,& Comptroller
µ ' ,NOTWE OF COMMEiNCEMENi l' `<
Prrinit No.
Til!ti t'1a114T No
11.26-21-0010.08M &O010.
TI-IF_. UNDERSIGNED hereby gives notice tilat improvements will be made to certain real property, and in accordance with Section ..
713.13 of the Florida StatuteS;.the followi:1g ;nformatian'is provided in this NOTICE OF COMMENCEMENT.
I . Descrij tion of property (legal descrfpriru:): CITY OF ZEPHYRHILLS F8 1 PG 54 LOTS 1.3 INCLSLOCK 80
;I) Street(job)Address 573748THSTZEPHYRHKus;'FI,38542.4409,
: Eneaose cart; aA and install a rear door andgwage door.
,encrat dLcciiphon of mpro,vements:
Ea ,.0 ner'Iitformation
d) Nalne:and address: OLIVER DAVID N g MCMAHON ASHLEY 5737 18TH STZEPHYRNILLS, Fl 33542.4409
b) Name and address of fee simple t tl di:older (if other than owner) l
04nierest in property Homeowner T
qp7 ontracto' Information
tT)`Naaree'attdaddrets.'Aabor.COrisfn,aio:l-�:x de'•,. •.:,,. .,__.. 1 s r" _... ,....
4 b) 7', IepiionL Nti.: a1a-za3sa3a _.. _ Fax No. ((apt.)
i.Surcty information
I) Name and address: NIA
b) Amount of Bond
c)•Telephonc No.: Fax No
6.I,cuder
i) Name and address wa
/ Phone:No.
7. Identity of person withu► the, State of Flarida,designated.by owner' upon. whom notices or.. other doct4ments may be served:-
,4) Name and',addreS'S: IVER DAVID N. MCMAHON ASHLEY 5737 18TH STZEPHYRHILLS, FL 33642-4409 - -
b) Telephone No:: Ei13-ass �99 Fax.No: (opt.)
8.In addition to liimself,'owner design"rates the.followfrig Berson t®.'receive a copy "of ihe.L,ienoras Notice as.provided in Section
713.13(1 .)(h),:Florida Statutes
.. _.
cd) Name and address
_.. „
h) I clephonc No.: _ Fax No (Opt.).
9.Expiration date of Notice of Commence rreeait (the:epiration date,is one .year "from the date of recording unless a different date
_.
" is specified):-
N` ARNI NG, 'l C} O I .ER ANY PAY,z.IEN t ,1 81ADE BY THE OWNER AFTERTHk EKPI TION OF THE NOTICE OF
l:Q1it!Nl ki'NC'i{;:t11ENT'ARE CONSIDEkGf► .-vIPROPEWPAYMENTS UNDER CHAPTER17I3;"PART l; SECTION 713,13,
I' I�ORIDA, S l A FPTES, ANI),CAN L' 'a I' Ol.JIt I'AY'ING TWICE FUR 12QVEli1 NTS TO YOC)Fi PROPER'I Y.
^r 1 NOTICE OF, GOI2ENCE NT' ).L). 7" BI>' CO ED AND POSTED ON THE JOB STI± BEFO THE FIRST
IN51',F:C'I'IOV.. IF YOU INTEND Tdi OR - '-IN' ANCINf�, CONSIJ T YOUR I:.NDEI�' A ATTO EY BEFORE
!.'0114MENCING..WOR OR RFC0RD`;'i`.a:• Y3OR NOTICE OF CO]! N ME
s1:1 ra.1>N a a.uRan i s ' to
<:e.aI:NT%'O HILLSBAROUGH. Signapwreo Owner or owner' AutholiaeiiOf cer/Dire/etlor!Pattner/Manager
a Print hjami ir4 �!Y
The foreggi 'g instrument was ack pwled&ed fore me by means of physical presence ®r.®onitire ltotanzatton, this
day of
4
t
.. - :. (ei®iren of pcesoa askauwteiagtngT .
\°
Pnnt,:Fypc or Sump Commisaiorid Name eiNots N w b �c ra -
- r .:. .,; �i �`i ite of F
Personally Known "OR'Pfodticed Identificat ,.n Cemmiuion k GG-987481
t ov "My Comm. Expires May 12, 2024
Type of Identification Produced: tht Nattaial
t'e riticatitin pursuant to Section 92.52aic�r i. ;statutes; Un er-"pena ties "of per�tary; I dec tie that I IiaVe`read the foregoing and that
11T� facts stated In• ..Ware true to the best of rrr u s'wiedge and belief.
t Signatuecbf pi9turat; `t}bi80n sr. ning (tn h4l in10 }'`Above.
a
lgi_t,, State Of Florida, County Of Pasco
This is to certify that the foregoing is a
true and , c rest copy of the document
an file or of public record in this office,
° Witness my hand ai . fificial seal this
day Cif, -�- 2 �"
Nikki Alvarez-S ales, Eso., lark & Comptroller
Pasco Cour y, Florida
By— _•m._. _e_., Deputy clerk