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HomeMy WebLinkAbout95-4754 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 No Permit ". 47548 Date ~ --f- 7'--5- BUILDING ELECTRICAL PLUMBING MECHANICAL Sewer Conn Pmp'rty Own., .~~ (!;i, Job Add,,,,, -6'<2/' a _~ C,-..J Parcell.D. # Water Conn: j)~ Water Meter: T.I.F.'s: Zoning: Energy Code: Description of Wor~~;" 6~ Radon Gas: NO OCCUPANCY BEFORE C.O. FINAL j~tJ-9 ~ DATE Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work shall be performed in accordance with City Codes and Ordinances. DATE Inspector Valuation or Contract Price City License Registration # :J K'1 State Certified License# P~rmitFee ~~ Slgnature~_ '_ Company Address Telephone# ,9--.S"CJ. crv IJ~ Oh//h- BUILDING ELECTRICAL PLUMBING MECHANICAL Ftr. Pre SL Lint ~' ~ ,:~ ?1-) 11 W;;,~ ,J----' , DrivewQ ((Jv Tp. Servo Rough In Meter Can Canst. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction. c. Repairs or corrections not made when inspection called. d. Work not ready for inspection when called. e. Permit not posted on job site. f. Plans not at job site. g. Work not accessible. The payment of inspection fees shall be made before any further permits will be issued to the person owning same. OWNER JOB LOCATION PARCEL 1. D. # SHOW ALL EXIS"I'IRG 6: PROPOSED STRUCTURES GIVIHG DIIlENSIOHS 6: SETBACKS. /j\ k-- ;(O~ ~ ~-- -- ---- ALLEYWAY ACCESS FOR GARAGE OR CARPORT - 15 FOOT SETBACK REQUIRED. ( t ~ ( Q.) I }-~ I S5 1 ~~() { r- \j "f:". ~,ci~ ( ( ( I l ( ~ " -- r- '11--1 UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. (NOTE EXAMPLES 1 & 2) 1. SETBACKS FOR R1, R2 ZONING 60' 10' P E- R X 0 I 10' P S 10' 0 T S I E N D G 20' 1 0' FROII"r PROPERTY LIRE ..... ~ '~{)7 0cy-( VrJY J tl . ~E 2. SETBACKS FOR R3 ZONING 60' 10' 10' EXISTING 10' PROPOSED 20'SGL FAM 30 ' DUPLEX 1 0' FRONT PROPERTY LINE /ri~ j<"Xr IOP..~ ~~ - .. - - ..~ :J'Y.4 'UlrJ I ClJ ~ '~ rI ~ ~ W . ~ ~ . ~ ~ ~ , .... ~ w-..'IJ " ~ l t 1 , ~ .. ~ -... (r - I i . . .:IJ ~ . I II ~. :J..~'1 TrH- Beq~ tAJ/;' -l}I"l3Yl eoH-~ . if -3)(3 r~+ C:2f't-l~j ~ pe.r y,"lleer;~) , I I. I; I I' I' b. /fwJcr ~ rr ~"~M't1j) I . #-.5 BcV" rs( '~NJJ e'ptf' Tiflrt~ J ~ ~ t '::) ~ .VJ (.f) i _c - i- -!1 x. l.U ) . W=~ErEST ANDING ALUMINUM COVERS '\ 1""\ TABLE 2: MAX. ROOF BEAM SPANS FOR CARPORTS, SCREEN & VINYL ROOMS AND OTHER OPEN STRUCTURES WI SOLID ROOFS 6063 T-6 AL.LOY EXAMPLE: FOR SPAN "L" ON DRAWING USE LOAD WIDTH = "W"/2 + O.H. 2"x 4"x 0.050" TILT BEAM: LOAD WIDTH = 14'/2 + 2'O.H. = g' LOAD WITH = g'; L.L. @ 22#/SF BEAM SPAN = 7'- 3" BEAM SIZE BEAM SPAN FOR DESIGNATED LOADS BEAM LIVE LOAD WIND LOAD LOAD WIDTH 22#/SF 32#/SF 100 MPH 110 MPH 120 MPH 2"x 3"xO.050" TILT BEAM OR 2"x 3"xO.050" EXTRUSION 5' 8'- 1 " 6'- 7" g'- 0" 8'- 1 " 7'- 5" 6' 7'- 4" 6'- 0" 8'- 3" 7'- 4" 6'- g" 7' 6'-10" 5'- 6" 7'- 6" 6'-10" 6'- 3" 8' 6'- 5" 5'- 2" . 7'- 2" 6'- 5" 5'-10" g' 6'- a" 4' -11" 6'- g" 6'- 0" 5'- 6" 1 0' 5'- 8" 4'- 8" 6'- 5" 5'- 8" 5'- 2" 11 ' 5'- 5" 4'- 5" 6'- 1" 5'- 5" 5'- a" 12' 5'- 2" 4'- 3" 5'-10" 5'- 2" 4'- 9" 2"x 4"x 0.050"x TILT BEAM 5' g'- 9" 8'- a" 10'-11" g'- g" 8' -11" 6' 8'-11" 7'- 3" 10'- 0" 8' -11" 8'- 1" 7' 8'- 3" 6'- g" g'- 3" 8'- 3" 7'- 6" 8' 7'- g" 6'- 3" 8'- 8" 7'- g" 7'- a" g' EXAMPLE 7'- 3" 5'-11 " 8'- 1" 7'- 3" 0'- 8" 10' 6'-11" 5'- 7" 7'- g" 6' -11" 6'- 3" 11 ' 6'- 7" 5'- 4" 7'- 4" 6'- 7" 6'- a" 0 12' 6'- .3" s'- 0" 7'- 0" 6'- .3" s'- g" 2"x 4"x 0.044"x 0.120" S.M.B. 5' 12'-10" 10'- 5" 14'- 4" 12'-10" 11'- 3" 6' 11' - 8" g'- 6" 13'- 1 " 11'- 8" W'- 8" 7' 10'-10" 8'-10" 12'- 1 " 10' -10" g' -11" 8' 10'- 1 " 8'- 3" 11'- 4" 10'- 1 " g'- 3" g' 9'- 6" 7'- g" 10'- 8" 9'- 6" 8'- 8" 1 0' g'- 1 " 7'- 5" 10'- 1" g'- 1 " 8'- .3" 11' 8'- 8" 7'- a" g'- 8" 8'- 8" 6'-10" 12' 8'- 3" 6'- g" g'- 3" 8'- 3" 7'- 6" 2"x ~"x 0.050"x 0.120" S.M.B. 5' 15'- 2" 12'- 4': 16' -11" 15'- 2" .13' -1 A" 6' 13'-10" 11'- 3" 15'- 6" 13'-10" 12'- 8" 7' 12'-10" 10'- s" 14'- 4" 12'-10" 11'- 8" 8' 12'- a" 9'- g" 13'- 5" 12'- 0" 10' -11 " g' 11' - .3" g'- 2" 12'- 8" 11'- .3" 10'- 4" 10' 10'- 8" 8'- g" 12'- A" 10'- 8" 9'- g" " 11' 10'- .3" 8'- 4" 11' - 5" 10'- .3" g'- 4" 12' 9'- g" 8'- 8" 1 0' -11" g'- 9" 8' -11" '"'" [b@W[[@(fi)@@ go m@(fi)(fi)@1111g [;Jo(~o CIVIL ENGINEER AND DEVELOPMENT CONSULTANT P.O. BOX 4369 S. DAYTONA, FLORIDA 32121-4368 PHONE: (904) 767-4774 FAX: (904) 767-6556 @ COPYRIGHT, 1995 NOT To BE REPRODUCED IN WHOLE OR IN PART WITHOUT WRITTEN PERMISSION I ROM L^WRENCl C. BfcNNll r, r~.[. SECTION: 4 PAGE: 8...9 -63- FREEST ANID~NG ALUMINUM COVERS TABLE 3: SCHEDULE OF POST TO BEAM SIZE & # OF THRU BOLTS REQUIRED BEAM SIZE MINIMUM # /THRU BOLTS @ L= D + 1/2" POST SIZE 1/4" 3/8" 2"X 3"X 0.05" TILT 3"x 3"X 0.06" Scalpd 1 2"X 4"X 0.05" TILT .3"X .3"X 0.06"" 1 2"X 4"X 0,044" X 0.12" 5MB .3"X 3"X 0.06"" 2 2"X 4"X 0.044" X 0.15" 5MB 3"X 3"X 0.06"" 2 2"X 6"X 0.044" X 0_12" 5MB .3"X .3"X 0.09.3 .3 2 2"X 7"X 0.050" X 0.1.3" 5MB .3"X .3"X 0.093 3 2 2"X 8"X 0.070" X 0.23" 5MB 3"X 3"X 0.125 4 3 2"X 9"X 0.070' x 0,23" 5MB 3"X 3"x 0_125 4 3 TABLE 4: MAX. ROOF AREA FOR ALUMINUM CARPORT/OPEN BUILDING POST FOR ALLOWABLE ROOF AREA USE "AREA" = S x (W/2 + O.H.) EXAMPLE: "S"= 7' , W = 12', & O_H. += 2' THUS: "AREA" = 56 SF POST TYPE MAX. ALLOWABLE ROOF AREA IN SQUARE FEET MAX. HGT. @ MAX. LOAD IN # LIVE + DEAD LOAD WIND LOADS 3"x .3"xO_040" ROLL FORM** 55#/SF 22#/SF 100 MPH 110 MPH 120 MPH 8'- a" 7,200 1.31 327 450 360 300 10' - a" 5,500 100 250 343 275 229 12'- 0" 4,700 85 213 294 235 196 3"x 3"xO.060" ROLL FORM** 8' - 6" 7,500 10'- 0" 6000 12' - a" 5:200 3"x 3"xO.060" SCALLOPED* 11'-10" 8640 14'- 0" i 330 16'- 0" 6'120 3"x 3"x 0.90" TUBE* 11'-10" 12,960 14'- A" 11070 16'- a" 9180 3"x 3"x 0.125" TUBE* 13' - .3" 13,500 14'- a" 12000 16'- a" 8',000 4"x 4"x 0.125" TUBE* 15'- 9" 23,280 423 1,058 1,455 18'- 0" 20,712 376 941 1,294 20' - a" 18,4.30 335 838 1,152 * ALLOY 6063 T-6 ** ALLOY 3105 H16 1. THE SMALLER ROOF AREA OF LIVE + DEAD LOAD AND WIND LOAD SHALL GOVERN. TABLE 5: ISOLA TED FOOTINGS MAXIMUM ROOF AREA IN SF FOR CARPORT POST W/ ISOLA TED FOOTING FOOTING TYPE AND SIZE FOR BELOW LISTED WIND VELOCITY UPLIFT LOADS POURED CONCRETE 100 MPH 110 MPH 120 MPH l'-O"X l'-O"X 1'-0" 29 25 21 l'-4"X l'-4"X 1'-4" &6 72 61 l'-6"X 1'-6"X 2'-0" 163 136 116 1'-8"X l'-8"X 2'-0" 187 156 134 l'-8"X 1'-8"X 2'-6" 275 229 196 2'-0"X 2'-0"X 2'-0" 346 288 257 2'-6"X 2'-6"X 2'-6" 463 386 331 PRE-CAST SLAB W/ 80# SACK-CRETE & BACKFILL OVER SLAB 1'-4"X l'-4"X 2'-4" 117 97 ~ .. '~ ~ 136 109 95 157 133 111 236 201 167 245 218 145 341 273 236 392 333 278 589 503 417 614 545 364 469 375 325 540 458 382 810 691 574 844 750 500 375 300 235 432 366 306 648 554 459 675 600 400 1,164 1,034 922 312 250 216 360 305 255 540 461 383 563 500 333 970 863 768 56 [1,@WU'@[ij)@@ ~o [;3@[ij)[ij)@nUg [;)O~O CIVIL ENGINEER AND DEVELOPMENT CONSULTANT P.O. BOX 4369 S. DAYTONA. FLORIDA 32121-4368 PHONE: (904) 767-4774 FAX: (904) 767-6556 @ COPYRIGHT. 1995 NOT TO BE REPRODUCED IN WHOLE OR IN PART WITHOUT WRITTEN PERMISSION FROM LAWRENCE E. BENNETT, P.E. -65- SECTION: 4 PAGE: 8-9 f'~!E!EST ANDIN~ ALUMINUM COVERS TABLE 1: MAXIMUM SPANS FOR STANDARD ALUMINUM ROOF PANELS OF 3105 H-14 OR H-25 ALLOY WIND LOADS: CARPORTS, SCREEN ROOMS, AND OTHER OPEN BUILDINGS O.H. CONDITION NO O. H. l' O. H. 2' O. H. 3' O. H. 1-1/4"x_0.026" 100 MPH W. L. 110 MPH W. L. 120 MPH W. L. 1---1/4" x_O. 032" 100 MPH W. L. 110 MPH W. L. 120 MPH W. L. 1-3/4"x_0.026" 100 MPH W. L. 110 MPH W. L. 120 MPH W. L. 1-3/4"x_0.032" 100 MPH W. L. 110 MPH W. L. 120 MPH W. L. 3"x_0.026" 100 MPH W. L. 110 MPH W. L. 120 MPH W. L. 3"x_0.032" 100 MPH W. L. 15'- 6" 15'- 8" 110 MPH W. L. 13' -10" 14' - 0" 120 MPH W. L. 12'- 8" 12'-10" LIVE LOAD; ALL BUILDING TYPES O.H. CONDITION NO O. H. l' O. H. 1-1/4"x_0.026" 20 #/SF L. L. 30 #/SF L. L. 1-1/4"x_0.032" 20 #/SF L. L. 30 #/SF L. L. 1-3/4"x_0.026" 20 #/SF L. L. 30 #/SF L. L. 1-3/4"x_0.032" 20 #/SF L, L. 30 #/SF L. L. 3"x 0.026" 20 II/SF L. L. 13'- 3" 30 #/SF L. L. 10'- g" 3"x_0.032" _. 20 #/SF L. L. 30 #/SF L, L. r--.. r---.. 7'- 2" 6'- 5" 5'-10" 8'- 5" 7'- 6" 6'-10" 7'- 6'- 6'- 5" 8" . 1 " 7'- 5" 6'- 8" 6'- 2" 8'- 8" 7'- 9" 7'- 1" 7'- 7" 6' -11" 6'- 4" g'- 0" 8'- 1" 7'- 5" 13'- 3" 11' -11" 10'-11 " 7'- 3" 6'- 1" 8'- 6" 7'- 0" 7'- 7" 6'- 4" 8'-10" 7'- 4" 13'- 4" 11'- 0" 15'- 2" 12'- 5" 8'- 2" 7'- 6" 7'- 1" g'- 3" 8'- 6" 7' -11" 8'- 5" 7'- g" 7'- 3" 9'- 7" 8'- 9" 8'- 2" 1.3'- 8" 12'- 5" 11'- 5" 161- 0" 14'- 5" 13'- 3" 2' O. H. 8'- 1" 7'- 0" 9'- 2" 7'-10" 8'- 4" 7'-11" 9'- 6" 8'- 1" 13'-10" 11 '- 6" 15'- 7" 12'-11 " 14'- 5" 13'- 2" 12'- 3" 16'- 7" 15'- 1" 14'- 4" 3' O. H: '14'- 6" 12'- 4" 16'- 2" 13'- 8" 1. TOTAL ROOF PANEL WIDTH = ROOM WIDTH PLUS WALL WIDTH PLUS OVERHANG. 2. THE SMALLEST VALUE OF THE WIND LOAD TABLE OR THE L.L. TABLE GOVERNS. 1""". 8'- g" 7'-10" 7'- 1" 13'- 1" 11' - 9" 10'- 8" 7'- 0" 5'- 9" 8'- 3" 6'- 9" 7'- 4" 6'- 0" 8'- 7'" 7'- 0" 15' - 1" 12'- 3" [h,@W[i'@(]U@@ @:o m@(]U(]U@~~g [Po@:o CIVIL ENGINEER AND DEVELOPMENT CONSULTANT P.O. BOX 4369 S. DAYTONA. FLORIDA :52121-4368 PHONE: (904) 767-4774 FAX: (904) 767-6556 @ COPYRIGHT, 1995 NOT TO BE REPRODUCED IN WHOLE OR IN PART WITHOUT WRITTEN PERMISSION FROM LAWRENCE E. BENNETT, P.E. I ~ -61- SECTION: ~ PAGE: ~-9 1Iii.", .k QUAN. I. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. Received By 'f BAHR'S ALUMINUM & HARDWARE, INC. 37827 FOUNTAIN RD. ZEPHYRHILLS, FL 33541 (813) 782-3513 Customer', Order No. N " . . A . . . . . . ~ 183 ~''I)-I I~ --'P;IICE AMOUNT It( SOLD BY '" \ Tax TOTAL $i'o t::v 10812 In case of claims or returned goods, pleose present this bill. ~~ PRINTED ~ USA. APPLlCAnON FOR PERMIT CITY OF ZEPHYRB1LLS BUILDING DEPAImIENT OWNER'S NAHE GI-en~ ~be- &)O~ ~~~ PHONE ~7v.- (p 157 OWRER'S ADDRESS JOB ADDRESS LEGAL DESCRIP'lION: LOT(S) BLOCIL-SUBDIVISION PARCEL I. D. t (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPOSED: ~ Construction ~ition --..Alteration .--Jlepair _Install _Sign PROPOSED USE: ~1 e Faaily ~ve ->>eaolish --.-Jt/F _' of Units --.-Jt/H _~rcial _Indust. _Swia. Pool _Other .--Jlestaurant &: Health Departaent Approval DESCRIP'lIOII OF WORK: Vqt-I' 0 (vue\-- I 'I d 7~uare Feet, 7~ Height .20x I BUILDING SIZE: RESIDEJITIAL: ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLAHS &: (1) SET ENERGY FORMS. COMMERCIAL: ArlACH (3) SETS OF BUILDING PLAHS &: (1) SET ENERGY FORKS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. ~ING $ 15oe!?- PERMITS REOUESTED Valuation of Total Construction _ELECTRICAL AIIP Service Florida Power Corp. W.R.E.C. ~ClWllCAL $ Valuation of lIecbanical Installation -PLUMBING GAS ROOFING SPECIALTY TYPE OF mIlSTRUCl'101l: _Block _Fraae _Steel Other PIllISBED FLOOR ELEVAnONS: Fl. IS PROJECl IN FLOOD ZONE AREA? YES NO ****************************************** . alBTJIACWII k~ I mnmR ~~ a8PAn ~ State Cert. or Regist. t . O. () IJ? Signature City License Registration t ~t3 ************* **************************** 7 RT.RCTRICIAR COMPANY State Cert. or Regist. t SianAture City License Registration t ****************************************** PLDKBER COMPANY State Cert. or Regist. t Signature City License Registration t ****************************************** HEClWilCAL COMPANY State Cert. or Regist. . Signature City License Registration . ****************************************** OTRRR COMPANY State Cert. or Regist. t Signature City License Registration t ****************************************** APPLICATION APPROVED BY PERMIT OFFICER. .... . . ... CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS 'fbe undersigned understands that this pemit lilY be subject to .deed restrictions. wbich lilY be lOre restrictive than City regulations. 'fbe undersigned assUleS responsibility for COIpliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner bas bired a contractor or contractors to undertake work, they JaY 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 lilY be cited for a lisdeleallor violation under state lall. If the owner or intended contractor are uncertain as to wbat licensing requirelents lilY apply for the intended work, they are advi~ to contact the City of Zepbyrhills Building Departlent, (813) 788-6611. FurtheIlOre, if the owner bas bired a contractor or contractors, he is advised to have the contractor(s) sign portions of the .Contractor Sections. of this application for wbich they will be responsible. If you, as the owner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign as contractor that lilY be an indication that be is not properly licensed and is not entitled to pemitting privileges in the City of Zepbyrbills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of .Florida's Construction Lien Law - lIaIeowner's Protection Guide. prepared by the Florida DepartJent of Agriculture and ConsUJeI Affairs. If the applicant is SOMllle other than the .owner., I certify that I have obtained a copy of the above described docUIent and prOlise in good faith to deliver it to the Howner" prior to COIIeDCelellt. E. CONTRACTOR' SlOWER 'S AFFIDAVIT I certify that all the inforlation in this application is accurate and that all work will be done in COIpliance with all applicable laws regulating construction, loning, and land developent. Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or installation bas CDlencecl prior to issuance of a perlit and that all work will be perfonec1 to .et standards of all laws regulating construction, City codes, loning regulations, and land developleDt regulations in the jurisdiction. I also certify that I understand that the regulations of other gOYerDlleDtal agencies lilY apply to the intended work, and that it is If responsibility to identify what actions I lUSt take to be in COIpliance. Such agencies include but are not lillited to: t DepartJent of EnvirOlll8lltal Regulation - Cypress Bayheads, Wetland Areas and EnviroDleDtally Sensitive Lands, Water /Wastewater 'freatlent t Southwest Florida Water ManageleDt District - Wells, Cypress Baybeads, Wetland Areas, Altering Watercourses t AIIY Corps of Engineers - Seawalls, Docks, lIavigable Waterways- t DepartJent of Health' Rehabilitative Services, EnvirODleDtal Health Unit - Wells, Wastewater 'freatJent, Septic ranks t US EnvirODleDtal Protection Agency - Asbestos abatell!llt I also certify that, if fill Iilterial is to be used in Flood ZOne .A. or HA,etc.", it is understood that a drainage plan addressing a .COIpeDSating volUle" will be saitted which is prepared by a professional engineer registered in the State of Florida prior to peIlit issuance. A Perlit 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 perlit prevent the Building Official fIOl thereafter requiring a correction of errors in plans, construction, or violations of any code. Ivery peIlit issued shall. beCOle invalid unless the work authorized by such pemit is COIIeDCed within sillODtbs of issuance, or if wort authorized by the peIlit is suspended or abandoned for a period of sil IODtbs after the tiIIe the work is COIIeDced. One 90 day extension of tille, lilY be allOlled for the perlit with fee charge of $15.00. 'fbe extension shall be requested in writing to the Building Official. An approved inspection lUSt be logged during each SillODth period, or the project will be considered abandoned. WARRING 'f0 omR: YOUR FAILURI 'f0 RECORD A IIO!ICE OF <XIIMDCEMm MAY RlSUL'f 1M YOUR PAYllfG filCE FOR DIPROVBIIBIIIS 'fO YOUR PROPER". IF YOU IIlIIIID 'fO OB'lAIII FlIfDCING, COJISUL'f wlm YOUR LINDO OR 111 AnoRJ1BY BEFORE RECORDING YOUR DICE OF COMMEIlCEMBIf'f. JOBS UIIDIR $2,500 III VALUE DO IIO! IfBED 'f0 RECORD 1IID POsr A "IIO!ICB OF ClJIlBJICBMBJI'fIl. SI~l1fv1b~ ~JftM}~ S'fA'fE OF ~ coum OF ,qSl?o The foregoing instrument was acknowledged before me this fY)A~ 3 , 19.!l.S:: by S'fA'fE OF FLORI!)I) coum OF I1lSt!o The foregoing instrument was acknowledged before me this fY)AR~ ~, 19!1....c- by rYl1~l<t& ~,;J .b/f~,fC, e~ who is pers nallv known to me or who has produced as identification and who did/did not ta~, oath. C;.~ fSi ature) \. // (Name Typed, Printed or Stamped) NOTARY PUBLIC who is pro uced as identification and who did/did not take~ 4. ~ (s(gna re) (Name Typed, Printed or Stamped) NOTARY PUBLIC ~~- " JAMES A. STONE Notary Public, State of Florida My comm. expires May 16, 1995 CC 1.1 0::'>74 1:. '... ;:-:- JAMES A. STON~ Notary Public, State of Flod6;.; My comm. expires Mav 1 f; 'J (1C.:.~: ,1 .;.J, .. '-'._"--.1 CC110274