HomeMy WebLinkAbout91-1468
STATE OF FLORIDA
City of Zephyrhills
PASCO COUNTY
Permit N~
1468~
~/- d.. '-;- 7 /
Il,;)<~o
Type of Permit
/ ...!:> ~-r 0-0
BUILDING DEPARTMENT
1-813-788-6611
/ ~ -.. <:f7) /.5'.:- iJD Date
PLUMBING' ) ~A9
Property Owners Name: ~.
Job Address: 0- '? d., R - ...5-:d
,I
~. ,-;r~
4-
Legal Description:
Sub.Div.
Lot
Blk.
Zoning CI:
Description of Work
afLr~.~
z./~
'^Lk 4~~
9 ::J-O'7 (1-
+
7-3:~' ~
,
Energy Code Readout:
Complete Plans, Specifications and Fee Must Accompany Application
OCCUPATIONAL LICENSE #;JJ>~~~ U
J? :-it,
Fee: .J. / 7. s u -+ ~ 02 ()
SIGNATURE m;J ~./IA.t/...t..
COMPANY
ADDRESS
TELEPHONE #
Estimated Cost: ~ I_I CJ?7J. 0-0
All work shal! be performed in accordance
with the above and all City Codes
and Ordinances.
/r~ A'aL
( MECHANICAL
"7?
Ftr.
Pre SL
Lintel
FRM.
Insul.CL - Ib 15;)
WL ~"'L -'N
Driveway "-llJ-'t1 6JA
~~~~~~ 5-ti~', ~ Breakers l~. p~
Meter Can Ducts Insl. 5- 'l'-c; I _ ~
Canst. Pole.'5 - is cOfl M Compressor
Pool -/J ^ Final
Pre-Meter &-20--'{1 pqtr
Final
Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of ten ($ 10.(0)
dollars shall be made for each trip.
(a) Wrong Address
(b) Condemned work resulting from faulty construction
(c) Repairs or corrections not made when inspection called for
(d) Work not ready for inspection when called.
'e payment of reinspection fees shall be made before any further permits will be issued to the person owning same.
FLORIDA ENERGY EFFICIENCY CODE
FORM 1000-C-S9 FOR BUILDING CONSTRUCTION J
SMALL ADDITIONS SECTION 10 _ RESIDENTIAL PRESCRIPTIVE COMPLIANCE METHOD CLIMATE '?pNES
AND RENOVATIONS DEPARTMENT OF COMMUNITY AFFAIRS CENTRAl" ~ 5 6
COMPLIANCE WITH SECTION 10 OF THE FLORIDA ENERGY EFFICIENCY CODE MAY BE DEMONSTRATED BY USE OF FORM 100OC.89 FOR ADDITIONS OF 600 SQUARE FEET OR LESS. AND RENOVATIONS
TO SINGLE AND MULTIFAMILY RESIDENCES ALTERNATIVE METHODS ARE PROVIDED FOR ADDITIONS BY USE OF FORM 1000A.89 OR 900A-89
BUILDER: PI..A.TUM
PERMITTING ')~~ 1
OFFICE: . /<
PERMIT
NO.:
RENOVATION
ADDITION
CONDITIONED ~j .3 I SO
FLOOR AREA ~ FT
PREDOMINANT D] [a
EAVE OVERHANG 0 FT
LENGTH .
PORCH OVERHANG m 0
LENGTH . FT
j: F~,.o.4-
40"5060
~
PROJECT NAME
AND ADDRESS:
OWNER:
MULTIFAMILY ATTACHED
SINGLE-FAMILY DETACHED
IF MULTIFAMILY, NUMBER OF
UNITS COVERED BY
THIS SUBMITTAL. [ll]
NEW GI.ASS AREA AND TYPE
CLEAR TINT.FILM.SOLAR SCREEN
SINGLE- 1TI:;1n] SO SINGLE- DID SO
PANE ~ FT PANE FT
DDUBLE- DJI] SO DOUBLE- DID SO
PANE FT PANE FT
WALL TYPE AND INSULATION CEILING TYPE AND INSULATION FLOOR TYPE AND INSULATION
FOR ADDITIONS ONLY: WOOD FRAME MASONRY [1]]. a WOOD MASONRY
UNDER ATTIC:
PERCENTAGE EXTER~O~ [ill]. [Q] EXTE~O~ m.o R= RAlSE~ ~ ~. El RAISED _ rn 0
OF GLASS m.o R - .
TO FLOOR ADJAC:~ [ill] . [QJ ADJA~E~T: m.o SINGLE ASSEMBLY COMMO~ [ 0 COMMRO~ rnD
R = R - .
[ru% COMMRO~ [ill. [Q] COM~O~: m.o COMMON: m.o SLAB-ON- rn D
R= GRf\DE: R = .
DUCTS COOLING SYSTEM HEATING SYSTEM HOT WATER SYSTEM
IN N CENTRAL D NONE D ELECTRIC STRIP Z HEAT PUMP M ELECTRIC o SOLAR
UNCONDITIONED
SPACE: R = D ROOM D NATURAL GAS D ROOM / PTHP D NATURAL GAS D HEAT RECOVERY
rn.~ D PTAC D OTHER FUELS D NONE D OTHER FUELS D DED. HEAT PUMP
IN CONDITIONED D NO NEW SYSTEM D NO NEW SYSTEM D NO NEW .~illJ SF/EF = o.m
SPACE: R = rn.[9 COP I HSPF I AFUE = 13J. [Q[] SYSTEM EF =
m.o SEER/EER = []J
NUMBER OF BEDROOMS =
In accordance with Section 553.907 F.S., I hereby certify that the plans
and specifications covered by this calculati I}-are in compliance with the
Florida Energy Code.
OWNER/AGENT:
DATE:
Review 01 the plans and specifications covElred by this calculation indicates
compliance with the Florida Energy Code. Before construction is completed, this
building will be inspected 10 plia n accordance Wi~53.908 F.S.
BUILDING OF: ICIAL: ~ - ...;!~
DATE:
TABLE lOA MINIMUM REQUIREMENTS FOR SMALL ADDITIONS AND RENOVATIONS
COMPONENTS SECTION REQUIREMENTS CHECK
WINDOWS 904.1 MAXIMUM OF 0.5 CFM PER LINEAR FOOT OF OPERABLE SASH CRACK.
EXTERIOR & ADJACENT DOORS 904.1 SOLID CORE, WOOD PANEL, INSULATED OR GLASS DOORS ONLY MAXIMUM OF 0.5 CFM PER SQUARE FOOT OF DOOR AREA.
INCLUDES SLIDING GLASS DOORS.
EXTERIOR JOINTS/CRACKS 904.1 TO BE CAULKED GASKETED WEATHERSTRIPPED OR OTHERWISE SEALED.
SOLE & TOP PLATES 903.2 SOLE PLATES AND PENETRATIONS THROUGH TOP PLATES OF EXTERIOR WALLS MUST BE SEALED.
INFILTRATION BARRIER 903.2 INFILTRATION BARRIER MUST BE INSTALLED IN EXTERIOR WALLS & RAISED WOOD FLOORS.
INTERIOR JOINTS/CRACKS 903.2 ALL OPENINGS IN INTERIOR SURFACES OF CEILINGS AND EXTERIOR WALLS MUST BE SEALED.
FIREPLACES 903.2 FIREPLACES MUST HAVE FLUE DAMPERS GLASS DOORS AND OUTSIDE COMBUSTION AIR INTAKES.
EXHAUST FANS 903.2 EXHAUST FANS VENTED TO UNCONDITIONED SPACE SHALL HAVE DAMPERS, EXCEPT FOR COMBUSTION DEVICES WITH
INTEGRAL EXHAUST DUCTWORK.
MUST BEAR LABEL INDICATING COMPLIANCE WITH ASHRAE STANDARD 90 OR COMPLY WITH EFFICIENCY AND STANDBY
WATER HEATERS 904.2 LOSS REQUIREMENTS. SWITCH OR CLEARLY MARKED CIRCUIT BREAKER (ELECTRIC) OR CUT.QFF (GAS) VALVE MUST BE
PROVIDED. AN EXTERNAL OR BUILT.IN HEAT TRAP MUST BE PROVIDED.
SPAS AND HEATED 904.3 SPAS AND HEATED POOLS MUST HAVE COVERS (EXCEPT SOLAR HEATED). NON-COMMERCIAL POOLS MUST HAVE A
SWIMMING POOLS PUMP TIMER. GAS SPA & POOL HEATERS MUST HAVE MINIMUM THERMAL EFFICIENCY OF 7!i%.
HOT WATER PIPES 904.4 INSULATION IS REQUIRED ONLY FOR RECIRCULATING SYSTEMS INCLUDING HEAT RECOVERY UNITS. IN SUCH
CASES, PIPING HEAT LOSS SHALL BE LIMITED TO A MAXIMUM OF 17.5 BTUH PER LINEAR FOOT OF PIPE.
. SHOWER HEADS 904.5 WATER FLOW MUST BE RESTRICTED TO NO MORE THAN 3 GALLONS PER MINUTE AT 80 PSIG.
HVAC DUCT 903.2 CONSTRUCTED IN ACCORDANCE WITH INDUSTRY STANDARDS AND LOCAL MECHNICAL com:. JOINTS IN UNCONDITIONED
CONSTRUCTION 904.6 SPACE SHALL BE SEALED. DUCTS SHALL BE INSULATED TO A MINIMUM OF R-4.2.
HVAC CONTROLS 904.7 A SEPARATE READILY ACCESSIBLE MANUAL OR AUTOMATIC THERMOSTAT FOR EACH SYSTEM.
RENOVATIONS ONLY GLASS 1003.0 MEETS THE REOUIREMENTS OF SEC 1003.0 SEE STEP 3 OF PAGE 2 OF THIS FORM.
\.
CLIMATE ZONES 4 5 6
TABLE 10B. Prescriptive Requirements lor Small Additions (600 Sq.Ft. and Less) and lor Renovations to Existing Buildings.
COMPONENT MINIMUM INSULATION MINIMUM EFFICIENCY
INSULATION INSTALLED EQUIPMENT EFFICIENCY INSTALLED
Concrete R'5 R-tl ..... Central AIC SEER = 9.0 SEER = 9.a
0
~ Wood frame, 2' x 4' R,11 0 Room unit or PTAC EER = 85 EER =
..... Wood frame, 2' x 6' R-19 (.) -
; Common, Wood frame' R-11 fl. - U Electric resistance ANY
Common, Masonry' R-3 -
0 ~
en :z Heat pump COP = 2.7 or COP/HSPF =
0 Under attic R-30 fi HSPF = 6.4
:z /2.-/'7
~ Single assembly R-19 w
:J:
W Common, Wood frame' R,11 w Room unit or PTHP COP = 2.6 or COP/HSPF = -
(.) (.) HSPF 61
of =
Slab-on-grade No Minimum Gas, natural or propane AFUE .70 AFUE
en 1< -I Cj en = = -
II: Raised wood R-11
0
9 Raised concrete R.5 Fuel oil AFUE = .70 AFUE = -
... Common. Wood frame' R,11 dL
II: Electric resistance EF = .88 EF =
0 In uncond. space R-4.2 4,~ oli Gas. natural or propane EF = 54 EF = -
::) I n conditioned space No Minimum :J:=-=
Q Fuel oil EF = .54 EF =
-
'Common components are !nose which separate two conditioned living units in a multifamily building.
TABLE 10C. Prescriptive Requirements lor Glass Areas in ADDITIONS ONLY (Renovations see 3 below)
Maximum percentage glass to floor area allowed is selected by type, overhang length, and shading coefficient. See below. Maximum Installed
%= %=
GLASS TYPE, OVERHANG, AND SHADING COEFFICIENT (TINTING) REQUIRED FOR GLASS PERCENTAGE ALLOWED
UP TO 20% UP TO 30% UP TO 40% UP TO 50%
Single Double Single Double Single Double Single Double
OH - SC OH - SC OH - SC OH - SC OH - SC OH - SC OH - SC OH - SC
l' - 10 0' - .90 2' - 10 l' - .90 3' - 1.0 2' - .90 4' - 1.0 3' - .90
3' - .86
0' - .86 l' - .86 0' - .70 2' - .86 l' - .70 2' - .65 2' - .70
0' - .65 l' - .65 0' - .50 l' - .45 l' - .50
0' - .45 0' - .35 0' - AO
Shading coefficients (SC) may be obtained from the manufacturer of the glass. Typical shading coefficients are: single-paned clear
SC = 1.0, double-paned clear SC = .90, and single-paned tint SC = .86.
Form 1000C may be used to comply the following types of construction
SMALL ADDITIONS TO EXISTING RESIDENCES. Additions which have 600 square feet or less of conditioned area may comply with the Energy Code using this form. The prescriptive
requirements In Tables 10A. 10B and 1 OC apply only to the components of the addition, not to the existing building. Space heating, cooling, and water heating equipment efficiency levels must
be met only when equipment is installed specifically to serve the addition or is being installed in conjunction with the addition construction. Components separating unconditioned spaces from
conditioned spaces must meet the prescribed minimum insulation levels.
RENOVATIONS. Residential buildings undergoing renovations costing more than 30% of the assessed value of the building must comply with the Energy Code using this form. The
prescriptive requirements in Tables 10A and 10B apply only to the components and equipment being renovated or replaced.
GENERAL DIRECTIONS:
1. On the left side oITable 1 DB in the column titled "INSULATION INSTAllW', indicate the R-value of the Insulation being added to each component. On the right side oITable 1 DB indicate the
efficiency levels of the equipment being installed in the column titled "EFFICIENCY INSTAllED". All R-values and efficiencies installed must meet or exceed the minimum values prescribed
in the preceding column for that component Components and equipment neither being added nor renovated may be left blank.
2. ADDITIONS ONLY. Determine the percentage of new glass to conditioned floor area in the addition as follows. Total the areas of all glass windows, sliding glass doors and glass panels in
doors which are more than 113 of the area of the doorDOuble the area of all non-vertical roof glass and add it to the previous totaL When glass in existing exterior walls is being removed or
enclosed by the addition, an amount equal to the total area of this glass may be subtracted from the total glass area. Divide the adjusted glass area total by the conditioned floor area of the
addition. Multiply by 100 to get the percent Find the largest glass percentage under which your calculated percentage falls on Table 1 DC. For example, 29% glass would qualify for the "Up to
30%" column. Prescriptives are given bythetype of glass (Single or Double pane) and the overhang (OH) paired with a shading coefficient (SC). Any pair within the selected "Up To "
category is acceptable. For a given glass type and overhang, the maximum shading coefficient allowed is specified. Indicate the category into which the percentage falls in the box at the top
titled "Maximum % = " In the next column titled "Installed", indicate the calculated percentage of glass in the addition Actual glass windows and doors previously In the exterior walls
of the house and being reinstalled in the addition, do not have to comply with the overhang and shading coefficient requirements on Table 1 DC. All new glass in the addition must meet the
requirements for one of the options in the glass percentage category you indicated. The overhang (OH) distance is measured perpendicularly from the face of the glass to a point directly
under the outermost edge of the overhang.
3. RENOVATIONS ONLY. Only glass areas which are being replaced as part of the renovations need to meet the following requirements. Anyglass type and shading coefficient may be used
for glass areas which are under at least a two foot overhang and whose lowest edge does not extend further than 8 feet from the overhang. Glass areas being renovated that do not meet this
cnteria must be either single-pane tinted, double'pane clear, or double-pane tinted.
4. Complete the information requested on the top half of page 1.
5. Read "Minimum Requirements for Small Additions and Renovations", Table 10A on page 1, and check to indicate your intention to comply with all applicable items.
6. Read, sign and date the "Owner/Agent" certification statement on page 1.
2
CITY. OF ZEPHYRHILLS
Permit Application
HEATING, VENTILATING, r' - 17-1
AIC, REFRIGERATION SYSTEMS ,5~ ~;.;1. ~h -'.~ -p,
Certificate Number state CA C04'3948 .'::z:r: ?Y Job Address ):.~ S:.&- n@a~A\~ Estat
Contractor Bahr, Kevin Jay Bahr Propane Gas & A/c Inc. Z -'33540
Owner's Name Larry and Frr:Jncp-!'; Rpnnprr
Date April 4, 1991
Air Conditioning Ventilation-Ductwork Rea dng
Refrigeration Repairs--Alterations Boiler
Other CONTRACT PRICE OF. INSTALLATION $
MINUnJM PERMIT FEE .............$10.00 FEE
Fee for Heating, Ventilating, Duct, AirConditioning and Refrigeration
Systems shall be Ten ($10.00) Dollars for the first one thousand dollars
($1,000) of total valuation of installation PLUS two ($2.00) per each
additional one thousand ($1.000) d~llars or fraction thereof $10.00
Repairs, alt~rations and additions to an existing system over $500.00
sbalrbe$2.00 per each $1,000 or fraction thereof in valuation plus
five ($5.00) dollars. 5.00
Temporary Operation Inspection Fee: For inspecting a Heating,
Ventilation Refrigeration or Air Conditioning System. S.OO
In all buildings except one and.two'family dwellings using self-
contained Alc units less than two tons, the fee charged shall be
based on the valuation of total.tonnage of all units combined. Minimum
fee shall be $10.00 10.00
Boilers based on BTU Input:
33,000 BTU(l BRP) to 165,000 (5 BHP) . . . . . .' . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . 5.00
165,001 BTU (5 BRP) to 330,000 ( 10 BHP)....... II . . . . . . . . . . . . . . . . . . . . . . . . 10.00
330,001 BTU (10 BRP) to 1,165,000 (52 BHP)............................. 15,00
1,165,001 BTU (52 BHP) to 3,300,000 BTU: (98 BHP)....................... 25.00
Over 3.300.000 BTU................. ~.. ~ .'~........................."'" 35.00
Re-Inspection Fee, each trip . 10.00
For nobile hane mechanical 15.00
-
TOTAL FEE ..
Check. one:
Re-Inspections: When extra inspection trips are necessary due to anyone of the following
reasons, a charge of ten ($10.00) dollars shall be made for each trip.
(a) Wrong address.
(b) Condemned work resulting from faulty construction.
(c) Repairs or corrections not made when inspection called for.
(d) Work not ready for inspection when called.
payment of reinspection fees shall be made before any' further permits will be issued tc
person oWing same. ~- ..f~
SIGNATURE OF APPLICANT;/ -
The
the
CITY Of ZEPUYRlIILLS, FLOlt:tDA
PLUMnING~A~~LIC~TION
Job'kddreBS 5328 Fifth street
Zephyrhills. FL 33541
Certificat.e Numb,er 125
Plumbing Contx:acto.r Challenqer Plumbi~g
().Iner's Name Laurie E. Frank
Date April 4, 1991
Application is hereby made to make the following Plumbing installation in accordance
with City of Zephyrhills Plumbing.Ordinance. .
MINIMUM PERMIT FEE . . . . . . . . . ... . . . . ... . . . . . . . . . . $10.00
DESCRIPTION OF ~\QRK , NO. @ FEE
I.
For ll'Obile hane( plUIiil5-ing; ~;- '.' '.",;.,:.- . 15.00 ,..
. ..
For each plumbing fixture, floor drain or . '1.. '.
trap ~including water and drainage piping) ... 2.50
For each house sewer. . . . . . . . . . ~ . . . . . . . . . . . . . . . " 5.00
For each house sewer having to be replaced or
repaired. . . . . . . . . . . . ... . . . . . ~ . . ~ . . . . . e.. · . . . . . . .5.00
and/or . . 2.50
For each wat~;r hea ter. ve'n t . . . .' ..:~ . . . . . . t. .;..
For installation, alteration or repair of water
piping and/or water treating equipment....... 5.00
of. drainage ..
For repair or alteration or vent
piping. . . . . . . . . . . . . . . . . ..- . . . . . . . . . . . . . . . . . . . . ..... 5.00
. , I "
For vacumm breakers or backflow protective
devices installed subsequent. to the install-
ation of the piping or equipment s!!rved
.
One. to Five. . : ._ . . . . . . . . . . . . . . .' . . . . . . . . . . . . . . .. . '. 2.50
......
.
Over Five, each. . . . . . . . . . '. . . ~ . . . . . . . . . . : . . . . . " . 1.50
,
TOTAL FEE
R~inspections: When extra inspection trips are. necessary ~ue to anyone of the followj
reasons, a charge of ten $10.00 doll~rs shall be ,made for each trip.
(a) Wrong address. .
~b) Condemned work resulting from faulty construction.
(c) Repairs or corrections not made when inspection called. for.
(d) Work not ready for inspection when called. .
The payment of reinspection fees shall be made before.a y'fu
to the person owing same., ~
SIGNATURE OF::APPLICANT!: \
;'
will be iSSUI
CITY OFZEPHYRHILLS. FLORIDA
ELECTRICAL APPLICATION
'--01.
Certificate NumberCity 173 state ER 0011039
Electrical Contractor Carlyle Electric
Owners Name Laurie E. Frank
Date April 4, 1991
Application is hereby made to make the following installation in accordance with the
City of Zephyrhills Electrical Codes.
Job Location 5328 5,th Street
Zephyrhills, FL 33541
~ MINIMUM PERMIT FEE - $io.oo
Description of Work Number @ Fee
Minimum Permit-Standard
2 Bedroom. 2 Bath House $25.00
Mobile Home Services 15.00
Fixtures or Outlets
including switches' 110V .25
Fixtures or Outlets
including switches 220V 1.00
.
Alc Central Unit 5.00
Electric Signs 15.00
o through 100 amp service 5.00
Over 100 amp to. and 'including
200 amp service 10.00
Over 200 amp to and including
400 amp service 20.00
Over 400 amp to 800 amp service 30.00
Over 800 amp service 80.00
TOTAL OF ALL ABOVE
Reinspections: When extra inspection trips are necessary due to anyone of the follow-
ingreasons, a charge of ten dollars ($10.00) shall be made fd't each trip: (a) Wrong
address. (b) Condemned work resulting from faulty construction~ (c) Repairs or correc-
tions not made when inspection called for. (d) Work not ready for inspection when callec
The payment of reinspection fees shall be made before any further permits will be issued
to the person owing same.
~~~ ~~~~
ELECTR CaNT eTa SIGNATURE
-S.
I
I
.\
1
Notice of Commencement
.. ... .._._ f
TO WHOM IT MAY CONCERN:
The undersigned hereby informs you thai improvements will be made 10 certain real property, and In accordance wilh Seclion
713.13 of Ihe Florida Slalutes the following informal ion is slaled in Ihis NoUce of Commencemenl.
. ,oeser/Pilon of Properly:
~(~:: ~~,
n...'!
S':.U
City of Zephyrhills PB 1 PG 54
I Block 123 or 1297 PG 1397
./
I Owner:
Frank, Laurie E & Pearl E
I Address:
5328 5th Street P.O. Box 1137 Zephyrhill~,. F]orinR ll~lq-11l7
Conlraclor:
Future Builders of Flori a
Address:
38420 Fifth Ave. Suite 101 33540
I Surely (If any): VSOl1 075 10: 22 A~
I Address: I.; Amount of Bond $ 1. DO
. RECOR lNG/INDEXING 5.00
RECOR . l. . 0
Name of person wilhin the State 01 Florida designaled by owner upon whom nollces or other documents may be served:
IName: TOTAL: B.OO
LONG~~Cf( ft: 0 410.5 ~. DO
I Address: 2-8 M1T PAID: 3.00
,
Lots 19 20 21 & 22.
In addition 10 himself, owner design ales Ihe following person 10 receive a copy oflhe Lienor's Nollce as provided in SecUon 713,06
(2) (6), Florida Slalutes. (FiII/n. at Owner's Oplion).
I N3me:'
I Address:
. .
Commencemenl of said Improvemenl shall be wilhin thirty (30) days from dale of recording Ihl~. n~lice.
Date this /.1
day of Aoril
:;:m!~:;
"..:::::r.
,19 91 .
[owner (~ .. ~ d-,
0~{,,'2~ b_~lq~(
;. .... - -..,
lowner~ .." '- .,' --
:-R-ad C ~nA~J~
en
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CO
1;,;;;11")
, Illlt
~"'l
(',.,1
-'-:::1.
(n
STATE Or;Q:LORIDA ~.:-;,~;
COUNT~ ~ .
.1 hereby certify that on this day"tbeforehme,;J!I oUlHer~1y autl)orlzed In the State and County aforesaid to take acknow-
ledgements, personally appeared ~ yr:.eo.vc ~ to me, known to be the person described in and who
' executed the foregoing Instrument as owner or authorized agent and acknowledged before me that he execu~d Ihe same.
WITNESS my hand and official seal in Ihe Counly and ~Iale afQre~ itt!i~r rL~~ nay of
n M" () . COUNTY OF Fo'ASCO ' ,
~ ,A.D., 19 9 I THIS IS TG CEiHlfY THAT THE FOREGOING !S ~
TRUE AND CORRC:CT COPY Of nil:: fJGCUI,;ENi ON FlI.E
~}]_C ORD I~l THIS or~ JP~W; MY
_ N OH 9lAl SEAL HF'f"~- DN,' OF
.. - 1~
JE ~~CIRCUIJCOURT
IN~I~~~~ . ..Gl-D.c.
My Co mission Expires: ..
Nlllar:v l'u!ID.i!, S1af~ of F10nda
(Prepa" In Duplicate)
(File origln81 wllh Clerk of CirculI
Court. POSI certl/ied copy on Improvement site) .
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O.R. :200/1 PAGE (J t:; 81
09:>710 ApI 84 PliO;',