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Home My WebLink About01-0572 BUILDING PERMIT ~~ 0572 ~ Cf1'~ BUILDING CITY OF ZEPHYRHILLS (813) 788~6611 Permit Property Owner: Job Address: Parcel 1.0, # ~ ~ ELECTRICAL Date 9- 2~-n / , ~L Sewer Conn Water Conn: Water Meter: cy- NO OCCUPANCY BEFORE C.O. FINAL /() - Complete Plans, Specifications and Fee Must Accompany Application. C.O. _ All work shall be performed in accordance with City Codes and Ordinances. Permit Fee ESianatur0 ~ Company Address Telephone# ~/?O' City License Registration # d- ~ State Certified License# Valuation or Contract Price ~ 11 tltnt~t; ~ e.v.,i f7-=tM!.' . BUILDING (2 <u- ELECTRICAL PLU~ ---- ~IAr"ILAL Ftr. r; ~ . be-SlB - f- () I 5 R... 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. " , g}-II ( G,,!~(L\JC([~ NG2\J~Aif LC:iT IY7 . SQ. FEET PRICS '. ., . IIAIN OR L.iv-.a ......... $ 011iER AREA a.-.:R __ $ YAUJATIDN $ . I .,.~ . Q7;)O ~r: s all . S Z--":'u. ). pi Lr"'J .. 's ,J/ rr . s ~Jrr 7~Y . ....- Ll.( !J. ,-,-- I 7oT/Jc /23. it..1 A I TIF'S~' I CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DBPARTMENT 5335 8~ STREBT ZBPRYRHILLS, FL 33540 Phoner813-780-0020 Faxr813-780-0021 '7 / / DATB RBCBIVED . /16 / 0 ( PLANS RBVIEW FRR OWNER'S NAME bi2iMI/l J-Ioll( 7~tV m .H. f, JOB SITE ADDRESS (V'&.Ut:t>M.. f) V~ PHONE CONTACT f/tf2 -/6(, Lf ~7" /1f7 LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION tbbtN,9 f/o~( Z 0/,/ WORK PROPSED: '2--$"00 _ o/1f7 (OBTAIN FROM PROPERTY TAX NOTICE) DALTERATION D REPAIR D INSTALL DSIGN PROPOSED USE: ~ FAMILY DWELLING DMOVE D DEMOLISH DMULTI-FAMILY D# OF UNITS D MOBILE HOME D COMMERCIAL D INDUSTRIAL D SWIMMING POOL ~ER fJ Lu,n I f1/JNL ~ , Z-~ ~'1 c/.J.dblZ"r DESCRIPTION OF /:if) D RESTAURANT & ~TH DEPARTMENT APPROVAL r~/ 12'1./l ~ av WORK )c.(l.tiEtJ. &t!>rYl I .r X ? 5fJ(~~. 'k. g> !JllffzfW!J Y J , / / SQUARE FOOTAGE s; (,L(- HEIGHT BUILDING SIZE 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 [9""BUILDING ~ECTRICAL $ g;/Po. O~ VALUATION OF TOTAL CONSTRUCTION AMP SERVICE D FLORIDA POWER D W.R.E.C. t.J1(lf.: SHEp D PLUMBING D MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION D GAS D ROOFING D SPECIALTY D OTHER TYPE OF CONSTRUCTION: D BLOCK D FRAME D STEEL D OTHER IS PROJECT IN FLOOD ZONE AREAD YES 0 NO FINISHED FLOOR ELEVATIONS SIGNATURE ~ ()~ ~ COMPANY Ftft {DN>,rfGvc4JW OF CCMTZIIL FL, STATE CERT OR REGIST # CBCvS'7'? ,r2 CITY PROCESSING # :2" BUILDBR ****************************************************************** SIGNATURE ~ 4, aAJ2. COMPANY Ijcc: pL-?C T(lt c STATE CERT OR REGIST # CITY PROCESSING # BLBCTRICIAN ****************************************************************** SIGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # PLUMBBR ****************************************************************** SIGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # MECHANICAL **********~****************************************************** COMPANY STATE CERT OR REGIST # CITY PROCESSING # OTHRR SIGNATURE ***************************************************************** CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to ~deed restrictionsH 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 viol~tion 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, 613-766-6611. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the ~Contractor SectionsH 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 ~ copy of ~Florida's Construction lien Law _ Homeowner's Protection GuideH prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other that the ~ownerH, I cerify that I have obtained a copy of the above described document and promise in good faith to deliver it to the ~ownerH 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 ~AH or ~A,etc.H, it is understood that a drainage plan addressing a ~compensating volumeH 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 COMMENCEMENTH. d;J~~ o17~ENT sa;.::; coil~ STATE OF FLORIDA }'A-sc COUNTY OF 0 The foregoing inil:ument was acknowledged Before me this . day of ,TUL- '-( , ~ ( by aE& (J~E/l,C ~(name of person acknowledged) ~who is personally known to me, or STATE OF F.LORIDA COUNTY OF The foregoing ~nt w..~~nowledged Before me this day of..:::f , pr4Jts7 by a~-c ~ame of person acknowledged) ~o is personally known to me, or P AS-utS o who has produced ~type of identification) and whoO did !:B'clid not take an oath. ~~lh 4 L 00RuP Signature of person taking acknowledgement Owho has produced ~e of identification) and who Odid ffi:j1d not take an oath 1:; MLg A, UaluQ signature of person taking acknowledgment l?[lvcE A. A-sO Ii L Name typed, printed llfLuU: USfJGL Name typed, printed or stamped I~ ::-r. eruce A AsbeI *~; *tJry commlssiOl'l CC740077 .\!!; expires June 22. 2002 or stamped._..... BnJC8 ^,..,..,... 1i~ comtnlssiOl' CC748677 * *tJry 002 '\l; If..~ expires June 22, 2 B&H CONS1RUCTION OF CEN1RAL FL, WC, 4025 Morris Bridge Road FREE ESTTh1A TES Zephyrhills, Fl, 33543 1-800-224-1206 Licensed-Bonded*Insured · Skirting.. Steps · Room Additions- Aluminum. Concrete , Lot # /'17 Subdivision lU6"uktJ/H Jlvc ClIfJAlVd ~~I Z~AJJ' LapID Glass Room Walls Pan Color Single Hung Windows EA x - Trim Color Walls + + + - UFx ----- - Beam Color R System Insulated Roof_ + _ - _ UFx - AJI aluminum roo& include: Pans, Trim, Gutter Mise: Downspouts, 3x3 posts, 2x4 beams and Shingle Flub.. ~.!l]ans 13 Ft Lon~Sq Ft x 2.75 - 3.15 IJ ~r'1. ~ Lap Siding--------------------------------- ~ UF x 6.24 ~6/,t:) - Pans _Ft Long_Sq Ft x 2.75 - 3.15 . Hand Railing------------------------------__ UF x 15.60 - Pans _Ft Long_Sq Ft x 2.75 - 3.15 Step Railing------------------------------- __ EA x 72.80 - Pans _Ft Long_Sq Ft x 2.75 - 3.15 Garage Door------------------- _ x__ EA x Valance _Front_Rear.&UF x 3.64 1.:21RJ~P Garage Door Header--------- _ x__ EA x Gutter on Home ~9 L/F x 3.75 I If ~, "Jt;' Misc: Gable Beam Work on Front Load -------119.60 ALUMINUM TOTAL UL ~ ." 2x7 SM Beam L/F x 4.68 2x9 SM Beam L/F x 6.76 Concrete and Brick Work Access Door EA x 62.40 Pat~o Slab----------m~x IJ... = --7!!Sq Ft x 2.00 1.2f1i'~oo Mise Patio Slab----------m1-xL- = ....k!LSq Ft x 2.00 /.,;1., ,"0 Patio Slab-Moo-mum --,&-X --22.... = .!1J..!L_ Sq Ft x 2.00 ~ ~ ~,/dO SCREEN ROOM WALLS 1ob'l76 Side Walk-------------~x~ = .db..Sq Ft x 2.00 t ()O Lap KP ..!L + 4 + ~ + _ =LL/Fx 23.92 Driveway--------------~xJl!L = ~Sq Ft x 2.00 J ~ !./, O() Screen Door Includes: Driveway-.--Flairs----_x_ = __Sq Ft x 2.00 Closer and Threshold-------- -'- EA x 78.00 '7 ~ d.b Air Co~~itioner Slab_x_ = _Sq Ft x 2.00 Gable Fill - one side m_____ L/F x 12.48 Raised Utility Area--_l 1/2" ~3 1/2" 30.00 ...~Jt'~ - Insulate Kiek Plate-------- UFx 3.00 Raised Patio 6 Courses _x_=_.SqFtx 6.75 - Fan Beam (Not Wired)----_ x 52.00 Raised Patio 6 Courses _x_ =_.Sq Ft x 6.75 Over 6 per ft per Cours_x_ = __UF x 1.80 UTILITY ROOM Footer (8x12 Reinforced)------------ftUF x 3.50 _~~LjJO Pan Shed + + + = UF x 28.08 Footer (Skirting) ----------00---------- _ UF x 2.50 !)t.j~~O - ---- With 2x2 Alum or 2x4 Wood Studs 16" OC 1 Tread Step--------------------------- EA x 58.00 Lap ExterL + L + L +.3...... =.:U.L/F x 28.08 "iln r-/ 2 Tread Step--------------------------- ~ EA x 116.00 .L ~.J.ltJO r7 Elixir Door and 1 Window-------L x 124.80 ... u r<"", Ji'reao Step-------------------------- _ EA x 174.00 Double Elixir Door I Window - x 348.40 Step Platform-----------------------. _ EA x 185.00 Slider Window (Extra)----m-----.L x 46.80 'Ib,ffO Brick Skirting Max 5 High Bug Shieldumm------mum-_ L/F x 4.16 Over 5 per ft per Course charge _ UF x 1.60 Mise . Split Brick Air Stack----u-----------_L/F x 8.00 Split Brick Solid----------------------~L/F x 9.00 .25;J,00 VlNYL ROOM WALLS Over 5 per ft per Course charge ~ UF x 1.80 ' 't1 <'l^ Vinyl Walls_+_+_+_=_UFx_ Fill Dirt--------------------------------- Loads x - - Inside Kick Plate---------------- UFx 4.45 Pretreat -------------.....------------------------- - ------ ---- - Lap Top inside and out -------_L/FxI2.48 Misc: Florida G lass---m----m------ UFx 8.32 - c Concrete rJ'l/,tfO Insulate Top and Bottom-----_L/F x 4.45 319J1 k Doors Include (2) 2 Track Units ~'k X Aluminum "~';G-, ~.:l Threshold arid Closer~------ EA x 119.60 Permit ?S-tJ ,t)O - r/lX To ?15"-t.FP.> MR Tax Mise .. C A.8)1';vC G" ~ /:Vv Total 13/30,0;2- All worbmanshlp and matcrialJ at JU&tllItood t>r OM year. ~ PINANCB CHAROS of 1,5% per month will bo I~ 00 III unp&id f,CCOunlJ In 1JTC&ll, ANNUAL PERCBNTAOB,RATB OF U%plw attol'M)"l Jtca [(Dcccssary to collClCt. LEONARD G. "GEOFF" WOOD. P.E. 4034 THE FENWAY MULBERRY, FLORIDA 33860 (863) 646-5517 Date: 7-2-01 B & H Construction Zephyrhills, Florida Re: 2002 Jacobsen Neukom Ave Zephyrhills, Fl. 33541 Mod# Custom Lot # 147 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 12x12 raised screen room a 8x8 shed, and 12x27 carport The existing mobile home, to be considered an adequate host structure, should be blocked and anchored in accordance with the manufacturers suggested and pennitted set-up permit. Therefore, it is my opinion that the marriage of the proposed structure with the addition will not compromise the structural integrity of the 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. 7:)t:/?u/ Leonard G. Wood 4034 The Fenway Mulberry, Florida, 33860 r ,- 7~S >1 )7 7~ ,- ~ARI"1t T 7,5 - -- / .- ~ ~ ~ ~ , ~\.~ ).'1 I I "- Ii' ;'1 ~ ~ ~~ ~ , ~~'b O~Il/6"W'Y '" ~ h ~ tJ I wtl;t..K ~ 1< s-o IS ,- -1 , r-~-1 T ~ "- ~ ~ ~ "' r--.... ~~ -...... ~~ , J ~ l- I- I , '-\ ~ -< '- ,G ~ ~ \J }~ I- ~~ "'-1) ~ -V ~ \ I- I ~ '~ \.~ - --! [\ ~ ~ -. ~ r----.- ~ <:l-~ ~ ~~ r ~ ~ ~ " ..:;l>.( '-' '" "-.. ~ '-.J ct. - - I ~ " t--.. ~ ~ ~ r- ~ --.J r---.A ~ I-IJ ,:\C ~ ~ ~ ~ ',- ~ ~~ ~ . - - ~ ~~ ~ ~ ~~ '<:) , ~ l:,. >.:: \() ~ ~ ..:-~ ~ '- t'rJ....... 0- .,.... '" , ~ ~~ ~ r- ~;:;: , ~ ~ ~ ~~ ~ ~ ~ ~ ~ ~~ ~ "- ~ ~ ~ \.., ~ ~~ ~ ~ f: '"') ~ \l \i l() ~ ~ ::: ~"'\ ~ ~ ~ h ~ ~ ':J ~ ~ , "- ~ - ~ .......~ '" ~ ~ ~ ~ ~ ~~ ~ -}~ ~ ~ ..... ... V\ '-~ ~ ~ ~ ~ ~ ~ ~ ~ ~ \ ~ l't) ~ ~~ '- ~ C'5) "" /' /. NOTE: FOR COMPOSITE PANEL~ USE #10' SMS IN LIEU OF II 8 SMS. CON"-tECT FJ:lOF PNaS TO ~ WI (-') faxV2 SMS A 318" txAM. x.o16 WASHER EACH 12'" PANEl. .040 THICK EXTRuDED OR BFW<E FORMED t-EAOel V<4IIl. MIN PITCH ') NOTCH 3X:I POST TO ACCE PT 2x 5MB 3- I8X112 SMS v.xl.1/4- DRIVE PIN FOR CONCREll: WAll.S EACH ,r PANEL OR"OXZ'WD SCFIEWIHTOWOOOS1U>Pl.ATE A~ Ilo.N AJ...-n:l1,W.." OR FASCIA 0 12" D.C. ~"'~Q\ ~ M. UCw1l,,( ~S , I 1 S' D" MAX. CASTING INSERT MAY P.E:PL.4CE ANGLE S ~Z' . ' 3-1J2'" min. ~ k4d ...15 r1IW conL 1101 preuure II I...s ... 2GClO ,., r ., CONT, LAP 2CI' I.CIN. THJCI<ENEO SlAS ~TTAOEDCAAr-u11 ~ CNl Y) . NOT REOUIREO IF CARPOR1' NfEA IS 400 SCl.FT. OR LESS. .:. r :-.~ ~:..-. . ,- ,. " '1:,' ';1,.' .', ;dJ &'tW 7/yf; ~ ~ ~ ~ ~ '" ~ \.J ~ ~i-... ~ I<l Cl ~~ ~ ~ ~ ~)-~ ~ , . . .~. No ~ ~ ~ \~ ~ \J ~ () ~ ~ ~ t--. ~ "- Ij.... ~ '-.J ~ ~ \~ \J..,. ~ '0 '-.) "" l'rJ l2. ~ ~ ~ ~ ~ ~ }< - Iu ~~ ~ ~ ~\~~~vt~ II)~ \f'\ ~. . \~ ~ ,,~~ t':) " ~ \-l., :s i~ '.bfl.. ~~ i~~ l~\J ~ ~ ~ ~ t~ ~ ~ ~'- \; ~ ~ ~~ ~ ~ ~~ ~ ~"'I. ~~ ~ ~ ) ~~ ~ ~~~~~ ~~~ ~~ ::-~~" ~ ~ ~ "). \ '- ~""t. ~ ~ ~ ~ ~ ~J ~ ~ .~ " ~~, ~ ~, ~ ~ ;)c:, ~ ,~ " '~ \. ~ -K ~ \J ~ ~ 4J () ~ ~'""'Q VJ . 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" '" ~ '"' ~ ~ \'><- ~ ~~ ~ '-9 >~~o, ~ ~ ~~ ~~ ~ <t: '-..J ~ ~ " ~ '<:r ~ 'V') ....... ~ J , ~ ........ -1 . I~ / 100 tl' w",.t..k' 1< , '1tJ$ $7J IS " r---i T' -+ +- --1 >1 / ICJO 4J ~ ~ ~ ~~~ ~ ~ ~~ ~~~ "" ~. ~ ~ ~ \J I~ It/O / " 7tJ5 ~ I wt#tLK 1< ,- so IS -1 r--1 T -*- +- >\ ,/ 100 ~ ~ ~ ~ ~~~ ~ ~ ~~ ~~1:J ....... ~. h. ~ ~ \j 'I~ / 100 7~5~ ~ I cvol;LK 1< so IS ", r--1 T -+ +- >\ /00 / 111111111111111111111\1111111111111111111111111111111111111\ 2001142428 Repl: 535601 DS: 0.00 10/12/01 Rae: 6.00 IT: 0.00 Dpty Clerk ~ ,,'~'.">""'" ....-. ,.... :!i..;"~" ,!v....~ u ..../fi '.".''':,'~:~'C l\,~:V T..tf'4~O) '":~ IQLw~~ L'.'\ '( 0 r- CEll JED PITTMAN~ PASCO COUNTY CLERK 10/12/01 1~:56am 1 of 1 OR BK 4745 PG 874 >/ (~LERK St~te of F LutZ ( D/~ . . NOTICE o~ COHxENCfM2NT I County of PASc 0 ';'U'3 lINnl:RSIGNCD hereby 91v88 notice that improvement will be .11JdC! to c;:rt,)~r, re.l1 prClFerty, And in Accordance with Chapter 71J, florid2 Stotut~~, th(' Col1o..i.nC) intoC/:lation is provided in thi. Notico of CommonCr'lo":'IIr.: 1 . Parcel No. 3/f- 25" - 2/- ocyo- 02&",tJO -[;/'1 '7 /4- ress c":av.J:1~Fle) 2 . Ceneral DescrlPtlon of Improvement AL VIJ1/ NJfl.1 PACkA(;i.~ J. Olmcr Intormation: NAm\) c;RIftJ/J !Io(l.fZh/ 1I1-/-l f. /\dcJress~lf~ ~3i'lJ~tZ ~ City zrfll'ffl/1/lU:; /IJ..C. 5tH!! H, 515V/- '7"0 Interest in PrlJperty: Nal~e of fee Simple Titloholder: (!f other thqn owner) Address City St~tc ~.,..rt."""" i"'-'.' ~ . Cor~ t ,ac tor: NJme.B~ H C uN'7r,fll./Cr /av ct= Cei./T/?,k ^uc r.? s s 1oz,- IJ1,YlJUS !Set v6/.- RLJ, City 2Ef'tlY~1-I / L.-l.J FL. Stdte IL. 55':>'+;1 5, Su:c:y: NJme Adoress City Stclt~ tvllount ot Bond: S 6. Lt!nde r: Name AdLlress City :~ ~ <J ~ C 7 . Persons within the State of clorida notices or other documents may bo 713. :J( 1) (a) (7), cloridA Statutes: designated by Ownar ~pon "o.I'".C:T served AS provided ~y Sec~~on . tI.u"o t.c1dr;f:59 City s c. ~ L'~ 8. In ildjition to himself, O....ner oosignAtes ot to receive ~, copr of ~.~e L~e")c,'. NotJ.Cll as prov.l.ded .l.n Sect.l.on 71J.1J(1)(b" fc;::,.du St,,:,,:cs. <). r'p.r,~t..ifJn dnt.e ot t1CJt!co o( CO/llmcnCemcnL (t.he el\p!L'o~!v,. :J.:>tu i~ I y,,~r; tr?m ~he J~to of recording unless 4 dittwrent date is s~c~i!luc.' S i CJ n a t u reo t Ow n e r : l C /,( f42..o Sworn to d~d subscribed before me AGF/'I r- OC r{;/j~-Iz ~ '260 ( NOt.l!"Y Plltlic: ~A.~ M,/ CO"""1 ~s con Expires: . BI1IC8 A Asbel ......6' My Commilsion CC740617 ~.~ Expires June 22, 2002 "'t..".. .C~)O'.:'J.'