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HomeMy WebLinkAbout01-0381 BUILDING PERMIT~~ 0381 CITY OF ZEPHYRHILLS (813) 788~6611 Permit J1lt7-.. g 0 BUILDING Date b-/4-c)/ ~ ?- ~l aO ELECTRICAL PLUMBING MECHANICAL Sewer Conn Property Owne' ~~ ~,bi" p- Job Address: ~ _A J--f , Water Conn: Water Meter: T.I.F.'s: Parcel I. D. # Zoning: b Energy Code: Description of Work . J\..Jl 0 .f'N'Ld7~ _ tI ~J (!) "9 ~;1as:L~ ) , .F NO OCCUPANCY BEFORE C.O. FINAL C.O. -0/ DATE Complete Plans. Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. Inspector ~. City License Registration # State Certified License# Permit Fee Signature ~ A- - ~ Company Address Valuation or .l.J I ~.J 1 J ~ Contract Price...:J);t 0) ry ~ I, ~ Telephone# '7!t- (() fo 'f ~4-\,d ~. #2-~ BUILDING Q;;fJ)L ~~AL PLUMBING MECHANICAL Ftr. ~ -/~-o I 5 E.. Pre SLB 'I' 'i /0 I S (l.. Lintel FRM. Insul. CL Wl Tp. Servo Rough In Meter Can Const. Pole Pool Pre-Meter Final SLB Tub Set Water Sewer Final Breakers Ducts Insl. Compressor Final Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Twenty Five and 00/100 Dollars ($25.00) 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. J, '\ g d- LI C~,)Tr2JJ( 1(t:.J 3751' l ctUiNiJ- AV w SQ. FeET PRJCS - .. . MAIN OR UvaIG ....1IC.a $ \ OTHER.AREA UNDER ICIJQi $ ""~ . YAUlATION $ . I SU11LDING:: $ 1/1.. 50 CREDIT: $ lJYt EL&C'TRICAI..: $ 2-<.:) . ,::;:, "b pi L -~NG: '$ N}tr IECHAMCAL: $ }Jlfr' (d)o $ 0, CJ:::> -r5 r:;:K- i c.f 1 5 J ! J.. .. ) ! TIF'S:I' AJ!rt I J1 WED 08:56 FAX B&H CONSTRticnON OF CENTRAL FL. INC. ~ MoDis Bridao Ro.d FREE ESTIMATES ~ n 33543 ) -8()o'224-1206 III 001 LK.en,cd.BoD4cd.haJunc:l · Slcirtma.- Step · hO= Additiom. AJwz2iDl.ml*Conctete . Lot" /0'7 . SUbdi"*oD.5'75/ ( ~~J'f A,,~ GIt~A.1d ~1P'/241IG/J Glass Room WaIb ....8uQaW1DdPS _EAx_ WUIs_+_+_+_ -_Ufx_ 1l",.. taN... ~ .._.. _l/F J(_ ~ L.p1O Pu CoIGr Trim Color ~ Color ....- ~ ahIGl~ roo& iIldude; ~ Tria. Ouftcr ~ 3d P-.2M ..... aad Shiqle l'tMb. ~;..LLPt Lana1il:Sq Pt ll2.U - J.15 LL-~~~ScIAx2.7S-3.IS tR...... Pa/o1.1Lft LcoD&llL Sq ,.. J( Z.1S .;. 3.1' _,.._~ UII&.-SeJ PI x 2.15 - ~.1$ va.._Protlt__PJ:fIrHl'F x 3.~ Guuer 011 Hame L/F x 3.75 Gable'" WClI'k <a ProAl LoId -llt..- 2x7 SM 8eluD LlF x ..61 :b9SMBeam - 1/1~~:LIf x 6.76 Aa:Ma Do. 2A x 62.40 Mist ~UFx '~4 _LIF x 15.60 EA x 72.10 .~x ----x~EAx -- Lap 'WiDe . fIud Rail... Seep ".u~ Gu.,. Door Gnp [)oar HMdtr Mitc. _ AJ..UMINlJM TOrAt Coacme ad Brick Wort hrlo Sltb-- ~~- ~Sq Fl x 2.00 Puio SIaIt '.42-~-.&R-Sq Ft x 2.00 Patio Sle.~ ~_ - ~ Ft X 2.00 Side Walk -.A.-x/D.... --:iiiLSq', J( 1.00 Driveway . ~-..aL.." ~Sq fl x ~oo ~_x_-_SqPt): 2.00 ~~erS&M_ll -_SqFtx 1.00 biIoCldlltWty .l\ra- _1-112" _3 IrE' 10.00 RaiIIed PatIo' ~ALxLL - ..L&.&if f'l lit 6.15 biJe4Pldofeo....;.......x_ __$4Ptx 5.15 Owa' 6 per I.- CAtnJL.x-L.- .. JL!LLIF :It 1.10 '_fIf' (1x12~~ x 3.50 'oot., ~_... -~LIF' It 2.50 1 T..-s.., I!A :It sa.GO 2 TrtiId 9aIJl ~ EA x 116.00 ) triia s., _ EA )t 174.00 $twp PIa.. _ EA x W$.OO ~ S1drdac Max $ HIP Over s. per it per c....... _Uf. x 1.60. . Splillridt Ajr ~ LIF x a.oo Split Brick Solid' . ,2tJ In x 9.00 0... $ per 'Il.,. eo......... _LIF lC UO Fill Din Loedt x ...... . 1 M .....-.... - .-L. Mbc: SCJUmN ROOM WAllS Up KP 4+ iL+.LL + _ -LLJfx 23.fJ"l Scm:u Door 1ndUiN: ClQlllt Idd 1'brwboW '-'-eA x 71.00 GaWo FiU... side - UF x 12.48 lnIl.&l* Kick P.....- ---vF x 3.00 Faa Bema (Net Wrrcd)- X 52.00 U1U.rrv ROOM Pan stMld + + + ... LIF" x 28.08 Witb24Aiun>>-;;-~4 Wood~ Iroc Lep fJf..twiJ!.. + ~.;+-a... + _ · ~1Jf ~ 2LOI Elixir Door _4 J Wi"'~ L-,x 124.10 Ooubte E.Jixir Doclr I Wiadvw x 34&.40 Slider W~(E1dra)--- -L- *-10 84.l8 Sbidd ~ LIF lit 4.16 Mile’ V!NYl.. I\OOM WALLS Vinyl WUIs_'" __. _ + _ "_LlFx_ lraside ICidc ,lalO- lJh 4AS Lap Top inaid. aad out - _ UPx12.... FJarida GJass----- UF.c 132 ~ 'tap arad 8caom-- 1.IF x 4.4S Doors laducIe (2) 2 Track tJaits ~Gld &ad C1oser--- EA lit 119.60 Mile - Conctet~ AJuminum Permit ,.~ T otaJ All --~........~., -..rn .ar-JW&AIIDCNfQOIAala.,.'J.s" ....... wGI~.-.. _.u ...,.i4 ___......... AIfHUAL PIaCaCrAOa~tIIOJ .~_ .....,....w.-rr..... ~-d ~l'J.:t HvlV:~ 1~-l!I?:-v LEONARD G. "GEOFF" WOOD. P.E. 4034 THE FENW A Y MULBERRY, FLORIDA 33860 (863) 646-5517 Date: 5-30-01 B & H Construction Zephyrhills, Florida Re:.375/ f Address 2000 Jacobsen Mod# Classic II Double Lorena Ave. Lot # 107 Zephyrhills, Fl. 33541 Dear Sirs, This letter is to certifY that I have reviewed the above referenced project to determine the structural adequacy of the existing structure to receive the attached structure. The proposed structure is roughly a IOxl8 raised screen room a 10xl0 shed, and 16x20 carport. The existing mobile home, to be considered an adequate host structure, should be blocked and anchored in accordance with the manufacturers suggested and permitted set-up permit. Therefore, it is my opinion that the marriage of the proposed structure with the addition will not compromise the structural integrity ofthe host structure, if the addition is constructed as per the attached aluminum engineered drawings. As always, should you have any questions, please feel free to call me at any time. ~elY,V~ ie~~ lw~od 4034 The Fenway Mulberry, Florida 33860 /<' , .14,26 ~ 7$1< ~"s ; >1 /""\;;....,.., 70 / /0 , 3(,'3..(, ; J(, >~ ~ 4 ~ ~ ~ ~ ~ () ~ , [< ~ -, - - I -, T If\" - - ~ - '-...... ~ I-- - ~~ L.-.- I ~~ , ~ ~ - ~~ ~ .......... ~ ~ - I ~ - ~ L- ~ - -- ~ ~ ~ ~ ~~ ~ - \l 1 k ~ --r- J~ ~ .............. - ~ .::--- -' -~ ~ - ~ - - .... - - I L..-. , I...- ~ ~ I - - - '{) - ~ - ~ ~ - - . H\ I ~ ~ ~~ , ....... ~ ~ '- I ~ - ~ , ~ - <:;:) - "- - \J - , 1 - l;-~ - I ..... ::::t ~ ~'<J ~ ~ .......... ~~ ::r-. ~ ~ ) ~~ ~~ ~ ~ 'v\ ~ ~ ~ ~ ~~ ~ ~ "")~ ~ ~ ~ \() :J () ~ ~ oC:) -- 0--. < \.. (J >::: ~ J ~ ~ (J ~~ ~ ,,~ ~ k ~ <J ~ ~ ~ v-. ~ ~ '::..~ Q.. ~'::..: ~ 1, ~ ~~~ ~~ ,~~ ~ ~f\ ~ ~'::t~ ~N ~ ~ ~ ,,~x. >2. '- ,,- \,~ ~ - ~'->('l.l M ~ ~ ~ .' ~ ~ <:J ~ ~ ~ '-~ ~ ~ '. ~ .,. ~ .~ ~ ~ ~~ ~ \J ~ ~~ ~ <t ~~\" ,~o ~~~~ ~~ ~-....J ~ l'r) l2.~~ ~ n~ ~ - \,. Q..... ~ I " ..... ~. ~ I~ 1'-.. ~ ~~ V\ i:- ~ V) 11. '" ~~. ~ ~ <( ~ ~ ~ ~ ~\..... i~ \.b~ tI\ <::) ~~ ~~ ~ ~~~ ~ ~\S ~ ~ ~\;.\9 ~ ~;~ ~ ~~ ~ '-~ t~ ~ ~~ ''() ~ lI..l ~ \,J IiJ V ~ ~~ ~'" () ~'oI ~~ ~ ~"1. )~~ ~ I~~~ ~ \l "'" ~ \~ ~"'\ k ~ ~ ~ ~ ~~ ~ ~ .~ "- ~~, ~ ~, ~ ~ ~ '- ,~ " '~ \.~ ~ ~ V ~ ~ 4J b ~ Vj - '- I{}~ ~ ~,....... ~ ~\J V) ~ '0 ~ ~ ~ ~ ~ '-0,.) 0.- "-J ~ ...... '-i ~ ~ '-.) '-0,.) ~ I4.l ."-J "4l ~ 4: ~t \h~ ~ ~ ~ ~ ~ ... ~ ~ ~ ,~ ~ "" ~ ~..... . ~ '" "\ ~~ )-.~ ~~~,~ ~ ~ 0 ~ ~ ':)0. 1-... ~ ~~ lJl "\::l .., ~ <<'). }- C) ~ \,J ~ .> ~ 1P'1I/l ) ~ . "::to. ~,~ ~~'t ~~~ -c;) ":) ~ ~ 0... ~ ~~ 0 ~l-... ~ ~ "-"l '- ...J ~ "" ~ ~ "\u '0 ~'j.." ~ () Ii.! () ~ ~ ~~ ~~~~ ~ r-'~ -1 ~ ~ ~ \) K v 10 ~ ~ r-:~ "-.J -.......J ~ ~ ~ ~ ~ ~ "- ~ ......... I-:~ ~ J ~~~~ ~ ~ ~ ~~ ~ ~ lolJ ~ ~~ ,~ ~ " ~ ~ ~~ f: ~ ~ ~~~ ~ ~ 1<- I 7tJ /0% I -, 1 -1 ~+ 1< 70 ;I' - .>~ , /o'f,J./. ~ ~ 'oN - <4.l ~ "\:) ~ ~ ~ It ~ ~ ~ ~'$ ~ h~ ~( " .1<' I 7() /0% / --, 1 ~ ~+ 1< 70 ;' - >1 lOr-1/. ~ I;::) ...N - ~ ~ '\:) ~ ~ ~ 4- ~ ~ ~ ~~ ~ h~ ~( ..... '. ./<. I 70 -, 1 /0% " -1 ~+ 1< 70/' - >~ I IO'f,1f, ~ ~ ..N ...... ~ ~ ~ ~ ~ ~ ~ ~ 'Q; ~ Q.~ ~ f-...~ ~< ..... / y v .., /111/11111111111I1111111111111111111I11111111111111111111111 2001080041 STATE OF HORIDA COUNTY OF PASC(J THiS i~~ TO CERT!"',. '-WiIT THE FOREGOING IS A TRUE i;ND COPREcr CliP" Of 1 HE DOCUMENT ON FILE OR OF PUf)i.iC.,!;FC?,"i) ". _ .rH':if),r-:iC~~SS MY HAND A, '.,,",!L., I Ill. :, oJ". ',1'.) (~, A Y OF _ ') L!li.' JED. , fV)~..N j( C~ F:~.,r~~: UHf w CiPCUIT COUHT BY ___~_. DEPUTY CLERK Rcpt.: 505394 OS: 0. 00 06/14/01 Rec: 6.00 IT: 0.00 Dpty Clerk JEO PITTMA~ PASCO COUNTY CLERK 06/14/01 0.: : 4!pm 1 of 1 OR BK 463~ PG 1220 S tHe I) t FL(){Z./O A HOTIC! OV COkxEH'C;I!:~HT Countyot PASCo ';'us \J~n(!llSICNClO hU'eby 9l.ve. notl.ce that ,L'mprovomlnt ....U1 bo modo to CHt.Ji.n ,e..l p'l')penYt and .l.n accordange ....ith Chapt.r 71J, rlorolda Stotvteo, the Collo....LnC) into,rm&tolon i. provid.d in thi. Hotic. ot ConvnonCnl/lCllt,: I . Parc.l Ho. 3'1-7--~--- 2 (- 0010 - DUo()-O '/0 '7 IIf, Lv r I v'1 I prop.r y an . r.lt 0 tl ? Cent,,1 O'~JCrlptlon o( IlllprovUI.nt Ill-VIYII/V'<..J/){ PA{:~jjC>E ) . Olfncr In(ornlationl Hamo C/Z..:J.(I;p !-IOIZ, co/..! f)'1,tI,/', r.deJ, e>> 1"579/ Lt)luf,v,& /lilt Cl. ty 2 fI(li (2 !-If L C> In~Hcst 1n pr.()p.rty. Nal~e of r.. Simple Titloholderr (It other th,n owner) StH' FL. ^ddre,. > ' City. St.:ltc rPl ~..~ it .~ 1 . Contractor: NJm,y~(-I (O/J>IIZ-J<:7Io~' OF Ct~(Jrf-tiL ^udrvulf/)l~ I11fYlt2(7 B;(jIXc /4J, City 2{~;WY!ZfI1LL5 1'::'-( , State f-L. 5.J5t1) s . 5 U ( c t y: N J In, Addrou City St 4t.e MIOunt ot Bond. $ 6. Lllnder: N4m. Adtlroll City S~<lto 7 . P e , . 0 n , .... i t h l. nth. S t " t . 0 , f lor i d . d. d 9 n at. d by Ow nor U po n IoJ 1'. C :1\ noticeJ or oth.r document. may bo ..rvld 4. p~ovidtd U, Sectlon 71),1)( 1)(4)(7), rlorida Sto1tu~", HMTlO' ^c1d".. City St,H-t 6. In addit1.o.n to him..l', O....n.r cfo.i9n6t'lI o{ to roc. Lv. a COpy o{ t~e L i · nor '. H 0 t 1. c e 4\, 'p r 0 v 1. d e d 1. n 5 . 0 t 1. 0 n 71), 1 J ( I I ( b.J, rl 0 rid II S t H u : t' J. 'J. ('p.i'1\".fJn dl\l.e ot H<lt.J.ce o( CO/lIIll.noomon\-,I""e expJ,totlc.n d..)tu 1. I yeoC tc?m the U.:lto ot rucordl.n9 unl... " di't.rent datI ol. .pec1tLed. I S H) n a t u 't 0 ( Ow n, r : SIoJorn to and 7' .... L.L-O ( . ~ 14 - t2Jk() MOtJry Public: ,..../ .C 0 ",.n, 0 I ion I: I4p 1 , . . I ~ ~ Bruce A Asbel *~*My Commission CC7486n ...WI; Expires June 22, 2002 ....,,'" CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8~ STREET ZEPHYRHILLS, FL 33540 PhoneIS13-7S0-0020 Pax:S13-780-0021... "( / DATE RECEIVED b I 0 ) PLANS REVIEW FEE OWNER'S NAME 0!2.AN/J J-/4U2DtJ {J,1,H, fl, JOB SITE ADDRESS 3'7 511 LOU: Iv f} 1+ \IE . PHONE CONTACT -712 - I DC, tf t-or ID'7 LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION Cf2IJIVt! /-i6 (Z I Z D;.I /lII1,p, PARCEL ID # 3lf-25 -2{- 00/ t) ~ D ztfoo- WORK PROPSED: ~w CONSTRUCTION o ADDITION (OBTAIN FROM PROPERTY TAX NOTICE) o ALTERATION o REPAIR l:trINSTALL OSIGN o MOVE o DEMOLISH PROPOSED USE: OSGL FAMILY DWELLING DMULTI-FAMILY 0# OF UNITS o MOBILE HOME o COMMERCIAL o INDUSTRIAL DSWIMMING POOL G30THER 1l&n1f/llJ/H fAcKfJ6E /I'C7J c=J RESTAURANT & HEALTH D~TMENT APPROVAL cH9 r(3.c70'\~) DESCRIPTION OF WORK. / Ox It /2A15t# Sa2tiitJ f2[)i1,A1. I /t?x-70 C/lf?!,.?flT, I OJ({ 0 Sf-ifJ? f f BUILDING SIZE SQUARE FOOTAGE ~00 HEIGHT RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REQUESTED [!(BUILDING UYELECTRICAL $ I o7tl, Lj. 5' VALUATION OF TOTAL CONSTRUCTION AMP SERVICE o FLORIDA POWER o W.R.E.C. w/(zt .5ff(30 o PLUMBING o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIALTY o OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREA 0 YES 0 NO BUILDER SIGNATURE ~.. /~, f1JM2 COMPANY Ell-!- CCNST/lVG Ilbr-f of r: OvTll/k.. FL \ STATE CERT OR REGIST # c..gco 5 '77 t-z... CITY PROCESSING # 7~ ****************************************************************** ELECTRICIAN . SIGNATURE _r3-~- I~' w , *****l~*********************************************************** COMPANY /let: J3L-Ec Tf!({ STATE CERT OR REGIST # CITY PROCESSING # PLUHBER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE MECHANICAL ****************************************************************** COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***********~***************************************************** OTHER . COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to "deed restrictions" which may be more restrictive than City regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. B. 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 City of Zephyrhills Building Department, 813-788-6611. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "Contractor Sections" of this application for which they will be responsible. If you, as the owner signs 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 may be an indication that he is not properly licensed and is not entitled to permitting privileges in the City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTUION 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 - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other that the "owner", I cerify 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. E. 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, City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other governmental 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 Regulation-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 *U.S. Environmental Protection Agency-Asbestos abatement I also certify that, if fill material is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan addressing a "compensating volume" will be submitted which is prepared by a professional engineer registered in the State of Florida prior to permit issuance. 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 code. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of issuance, or if work authorized by the permit is suspended or abandoned for a period of six months after the time the work is commenced. One 90 day extension of time may be allowed for the permit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection must be logged during each six month period, or the project will be 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. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". Jl,.!j ~~,{J~ SIGNATURE: WN R OR AGENT A^~ ]'j -",~ SIGNATURE:. ONTRACTOR STATE OF FLORIDA PI1 COUNTY OF 5CO The foregoing instrument was ack~owledged Before me this (P day of :JUN/: ,1:lt.:2a> ( by ('dZ~tP f?~ {name of person ackno~ledged) ~o is personally known to me, or STATE OF F.LORID~ 11-">( b COUNTY OF The foregoing instrument wa~ ac~nowledged Before me this ~ay of ,UN~ ,>>7a;( by ("~ -~ ;: (name of person acknowledged) ~ is personally known to me, or and whoO did &~O o who has produced (type of identification) ~ not take an oath. (Jt. aid Signature of person taking acknowledgement B(LucG A ~S/JfL- Name typed, print~P 1E~C748677 . :S *tIIY comm t.; Expires June 22. 2002 -..,...,f\: o who has produced ~e of identification) and who Ddid E::}:iid not take an oath B~ A. f1/kiJ Signature of person taking acknowledgment T~JLU6E A. A5IlfL Name typed, printed or stamped ....' '~ aroce A Asbe\ . ..~ tIIY commission CC740077 ~. ~ expires June 22. 2002 fit..,,'