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HomeMy WebLinkAbout01-0583 BUILDING PERMIT~~ 0583 CITY OF ZEPHYRHILLS (813) 788-6611 Permit Date 9 ~ ~ 7~ 0 I c;;-~~ EL~AL PI..LlAA8tNG M..E.CHAN I C AL Sewer Conn Property Owner: Job Address: Parcel J.D. # ~ .~~ .d7l.L/ /. l' --""'" ~S- I ~ ' Water Conn: Water Meter: T.I.F.'s: Zoning: DescriPtion of Work FINAL NO OCCUPANCY BEFORE C.O. Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. c.O. ( Inspector Valuation or Contract Price -. ~~~~ - 'Company Address ClePhone#~S5? ~S~ 7 ",f__\KJ 3. 9 R 9 ' ~~:L ELE c PLUM G -M[CMANICAL Ftr. Pre SLB Lintel FRM. InsuJ. CL WL Tp. Serv. Rough In Meter Can Canst. 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. 111111I IIf11 1111I 11111 1111I11111 11111 1111111111 1111I111/1111 2001134574 ~. '1" ~ :~ NOTICE OF COJ.\l.fi\iIENCEl\1ENT County of ~~1J) State of Florida Permit No. Key No. , , THE UNDERSIGNED hereby gives notice that improvement will be made to cenain real property, and in accordance with Chapter 713, Florida State Statutes, the following information is provided in this Notice of Commencement: 1. Description of Property: Parcel No. oI.- L.~' ZJ.- CJ) 8 D 7C:Duoo . 03 ~Q Rcpt: 531784 Rec: 6 00 2. .General Description of Improvement DS: 0.00 IT: 0:00 - 09/27/01 Dpty Clel"k 3. Owner Infon;n", a~ion.:Name (Dl\~ %-kbIU- --- Address \.Q \~(---, \g4h Si City ~t,_ State r=- j Phone No. ?5 1'), - 7g-L-7~ Fax No. , .. 4. Contractor: Paul Schaper, 11250 US Highway 98 South, Dade City, FL 3~525 r......\ ,-- 5. Surety: Boyett Insurance, 14114-th Street, Dade City, FL 33525 ,f "'\ ., r.' . _ JED PITT"AN~ PASCO COUNTY CLERK 6. Lender: Name/Address: 09/27/01 0...: 45pm 1 of 1 OR BK 4731 PG 1101 /. Persons within the State of Florida designated by Owner upon whom notic'es' or other '.. documents may be served as provided by Section 713.13(l)(b), Florida Statutes. 8. In addition to himself, Owner designates Paul Schaper ConstructionJRoofing, Inc. of I 1250 US Highway 98 South, Dade City, FL 33525 to receive a copy of the Leinor's Notice Cl.S provided in Section 713. l3(l)(a)(7), Florida Statutes. 9. Expiration date of Notice of Commencement (the expiration date is 1 year from the date of recording un1esr dif~rent date is specified.) Signature of Owner:X . "" '7 Owner Printed Name: ~V\V\~{ 1: 6u~ fK '.(..:.' ill: ii - I ( ~ ,--,.c! '7 C/ G CPersonally Known . i~ ~p-lt..I~\.!--.t.. " __20 l") , Notary Public: (Type, Print. or Stamp Name of Notary) :\..' .... ~ ~\. sUZllnne Doug ~.~*My Camilli Iaa..An.n "", ...' F:X.OIrea 0::::: CC874206 2$,2003 STATE OF FLORIDA COUNTY OF PASCO THIS IS TO CERTIFY THAT THE FOREGOING IS A TRUE AND CORRECT COpy OF THE OOCUMENT ON FILE OR OF p, lIC RECORD IN THIS OFF'~~ESS MY HAND NO ~FF IAl SEAL THIS DAY OF 2~/ . ERK OF CIRCUIT COURT . '~~ DEPUTY CLERK ---------------------------------------------- .. ~'.. ~ ,. . ... seHAPE~ ~OOf'NG, INe ~ ':5 ~~: '::-[":~"'~ .-"~, :..';:If: :.,: L ,::352:5 F:-:;='r.~ 352..-)~,7",~5~ - _;,;t:(3"3'2-5c 7_7-,'1 -~''-:'., ~ ~'-:"::.?:0'-~= -~" '-::'i,_:,~:t'.~,~~ ~-~2;~ -,'1~._"',-"~'::= :c C(,.('058134 CB.('059S1- ~~ FlM~'1- f~tt H/J,~ I:t g~ ~~t '117~ _J-...L...~~--~....,_X-.~...i..'.~ -4...-,-:f..,-P-~.4.._,-.-.--~.~----.-~-.. Dalt: __fI.L~~:.iL,2!___..._.___.__._._ ./ .- .I, ./-, j ,'. S"-c Phone: __.l._.:."j_L_::___L':;..~.!...____L___ . I / --.l-_j_~~_"._=___J'-_:.._i.:..____U~--- _____ ..--~.~- --",-L.U...:.. _...k. __J.l.4-....__~ _L_ _=:__~:.._.Z ( ) / Cit.... C o 1.{1.11 ,.: __.(.--:.._.._L-...._________._ ./ Parc,.,l =- VI/;;,. ht'r::-by propOSt' to filrni"h mat:'l'wl" and labor n';'C',~~:~ary for th,,' compldlOH Shingle Reroof For the. "hin~kd portion" ofth:;, homt" !\"ll!o\e (lId rO(,till~ m~lknal" to dry-m, ta.ki!!~ pr;.>cnutiolh to protect thl:" buildin~ and the" iand~capinQ:. Groom th", df'ck and rt'''E't e>:i~tmg d,~ckiii~ Hail,.. *' '},/"~ ,.~'.~:.) Rc>plac;;' bad ,<,nod oth::'l' thrmlk'L'lIl alZre~'d for at .'!:.(L_~~~:.:__ 1'':-1' man-hour pIm male'neTh marked up a contractor'" ii-=:, ul~'taii ,~~lV,'~ drip \\ ith ali <,dg('~~('aL'd \'vith plastic C<;'lll(,lIt. IIJQallc:...J.../.__ laYt'r( s) o.L\ST'J I' lb. .\,..phalt "hmgk tmd\:"rlaYTHdH. !.n::::tall galvaIH'C:("d valley mda! lor th", l::n~th ofal! "al!::y-s \'all.;'y~ \liill b,.: (;lo~,::d. In:''tall 112\\ i.:ad boots (lV',;'r Vdit P!p::':~ and I'l:"plac,: rndal v"nh v.'ith n,?w Chalk :ilh'''' shali bt' "Huck i.o as-.:urt' propel sllHli;:lt' :?:\jh.'':iU2 install .:...... __'::..~- h'Hi ~~:c..\-~::La-L_"___~,:.j_L~_,~_ __ l~~!a~~_~s . \ ~~~:~,!f,~'~aling thngll~ rl~'\I~-;taHt tib~r~la~_;~-: ::;lnn~J~~f';, :)1\ 1 c0i1'O.,ion r,>,;,..tunt nm L ~,hHll hr.' Hl"'alld p,>r Immuli,ctun~r~; mstl1lCllO!li; C .1 ;.: Shinc:h' \Jrl11l1Jaclur~>~ :----.4j.f~./.-:------------.-- '. 0101' J..~_/..~C->_L__.:::.__!,{?L"iLc:..c:::&..L.Z:. 11 f{urri~~l1h" iHid tho.:' dt=-ck h) th2 raJh:r~ \)ptloH ro Hlc-0t ~Urrri!i ~<I3C'L'1 \:~)d2. :~;~+. j)i--iC~ ~~(ti\)H. 1 O. IIl~tall L...C) t~'d (}f ~!!umimHn ndg,c' \.c'nt S",,' pn('l!lg'('ctlon. "' 1 ., :: (, / , ._' .~. .-'t.... - 4-'. A""'// I J..,.' 7' 'f/ . ,<.. ,/ ^,_.,~~i.,.J./ /' I '- j \\-rilte n1H oeinie ation ., .--.~..." ,. ." (-- .'- ,.', /.. / V. "V j / ~':". 1~_.::'2f:~~>~! -""'O..i" i "'" . I i C -<O'".-/;"',-..~._ '! t15 './ ". .~ -?",,-\....J - -- - - - - - - - - - - - - --- --- - - - - - -.- - - -- - - --- - - - - -- - - - -'-1 .. I' . .. SQHAPCK ROOFING, INC! .... \ '-. ,_.:....,,~',:j'~:f' 'It:.',r;":_c)r:,i.:i, .>,:,525 ;~~-1\:lL~::l ~'l~2-5t:..--:---.~....-i ~ ..... - '-"" - l~ .}X :...., -.\.,;.. _'"'C,'- ! ;.' i _~ ~~:~.;~,:-::.~!E:::~'-T:?IE""'- ~.:,.':rl:C'~ _-:- /.:'>.JT' -;. ~.;L:.'_:" ...~..-:= ,ii CC CO~8D4 CD ('05981 ~ ~v~ F~ '.t F.~~ H~ \1. ~v~U S~t '1'fJ6 CONTRATOR WARRANT\ Upon completitm of the work dnd l"IJment of aU monies owed. Contu('tor shaD issue ;I ._._2___ year warranty for workmanship limited to lC'ak~ ciUued b)' any fQmpone~st:dll by the contractor. Shin~le maullfacturer shaU of(wide a -, " vearlim.ite~"rarrant". - II ____....__ .. ,/ .. // .----- BUR Rf~PLA('E-'H '\;"1 / __. ,_ , _,(~~ //')' i - /..cV p.(1',.. ( I '--:d::'~:-O / ,'.f ,./ ;).(. 11 tor tiE' Hat ro,)t portlOn.. 0 i: home. ["THO"'" (i(l..1'"ootm?maknal:, 1,0 (IrY~1n takmg. .'. ./';~_ . ,! pre-caution,. 11.:. prott"...:l rill:' om (aIil~aiid tht' I~L'apini4. '_lfthHli tlit' (;,t'CK Hnd rt':-<~'i C'\i~!iIl!;: " ,( . -~ -. d~~ckin~ nal i~;, ,/ 1") Rt:plHC~." b~ld wood oth.:>r dUUl hf.-rf'!~~t';;' or i1t_~~!(_~__i-.~: lkl Hutil-hour plus makrial~ I!1Hrked up a-, ., [,. comractor'" ft,> ~ I 1 r'l .t'.111 .1'l.T."1~-~---(' ..'- "1.1"""[. '11.j1/'110 0"")1)-"" ~:>"t. ',' 'U'!(-! t~,.. "'lll.'~ .. ,..tt"I~1 'U.) .jl j' ,..t'"lll ,.,"t'l' t., 1j;o."tJ .l ,~_.:.:, d.~':--' (.(l~....~ ~ "'... t 1t'1/.J. ~,pf\. _1.1 lCk ~ ~,< .(i:.~.t~l ,\l,tj1d,L. l (. l. lt~,~! _u_~. ,>!.kc' <trip in ,.,f modit!\.'d b!~.t!!'!c'n ::.1:"- Emndar!0!1 fO!":'C"'L' mdal. . I -1- J.n:,ta il LL.L::.-..._........::L..__ p'-:.v1ftarh~nt tlm sh ,;,d'.!", mda i t.' In~t(di nloditrt,~d hihmlt1l" roof svst~~nl I,; li"1!.,nl,..,qhli' ",,,;.n1/1.,\,,,\. Ii",..! j."V)t'- """.'f,..o'lt '-);'l'>" '-U"ll""" I t\.! 1..J.. .(~'!1-11'....(U....i"" tl ",t..dJ1n..... !~~.c..... ".....1~ ... U~(\".~l . tit""", <. 1'-' '....-,.......( . i' if applKabk 1!.b1;~H !k\\ all purp()~': roof vent~, and rese-al. / / ," OIilfiiCl.{)i' vVi.U)/ml\ Upon cornpl;:;-ri'''Jn of'th:;' work mld payrw:nt o1'al! mOlW::, o",\,:,d l.'onl1'aclor sha isSU,.';i y~m' <....'mTHfity f()l' \\,'Col'bnanslllP liJllll.-d to 11:"aks c(1u:'5t"d by any (olUpon;;,nllI1~tall "' tlw ('ontract~nk modifi.:.>d bitum;;'ll nUUluiactuJ'l'r ."hai! providE' a ! ~- 'it'ru" \VmT~V .; /~/'I '/fl. 7' L-c. - .;';~';" I ......2,.7/-"'c</""".,.;/ -->..---." t' , l'if.....,,'1'" I ,,/ . .;r' " "-- ,- , , G e fiU at (' QnditiQI! . .\11 \vork "hal! be caretllUy ,;up.:n'iE't.d rUld complNt'd by workrHt"11 "ktlled mId lalo\\'ledg;;>abl,: m method" llt:,::d,:d to produce tagh quality work TIlt:, job Slk shall be' kept c1e:m datly II.H' the' duratIOn orttt;: .1Gb and the- grounds shall be t.:ft clC'aH of all roof rehJkd d:;,bri." a..tt.:'r c':Hupk-tion.nk' yard ~hall be- ~\vep~ \..vith a ma~llet ColJ",('tion {.'osts Irany. togt'tJwr ,nth intpn";t .,hal! bt.. add.:d to the contract pricE' ifpayll1::nt d::fau\t OC-CUP,. ('lli1c",iiatIOU of till> contract an\;'r the' 72-hour QI'ac,: fkriod shall iJj('ur H nominal f;'~c~ Pc>nnir. wc.rkman L'ompdlsarion. (Uld ~<,n"'ralliabiiity IIlsunmc:;, "hall b.:- pro\ldt'd by the' comracto!'. Cllilk'lltry. !ll.lthoriz;.>d chrul~c' ordc'nc ~U1d \'.iork. \'.bich i'i !lot cOh'n>d tUlcL'r th", :"COp'" OhH'l'k outlilh."d h<,-rc'lll. ~hajl he' p"l'k'l1ll;"d on a tlltk and lHruc'rmh ba-,I~ md"..,." oth,>lwlse agreo'd upon '" ---'I ~ ,. . . .. ScHAPER ~OOF'Na, INQ . '2~ _i..3 .'...., , :'-":,')f ..-: ....:: '-- ~ ',_;~, ~-~t:' ; 5 :-'~r.'-; ,,~~~ ~'-_ -:'~::,;'r _"-3:-'5t ~.; :- T.-L~~,':-':::7::?TI:= ::7.S_I': -,L:' l:..l:-:~ c ' sf:" - ,:.'F.F."-:-:::;i ('.:' C05813~ ':::'flC05981- ~;~ f~f,t f~ H~~t Cj,. ~U )~e 1176 v (' ontract BaSe> Pri c" \'i:::lbl.: T &: M totHl :-;hing!2 r~'roofa.s d",';crib<:' hd'~'in B., un:;cmlt' nad tlk' \\uod d2Ck.. .. ..' dlL-. . it!. .. I A Jill H.u:l~::' \-et.:t opt~on . .._< .f'>{?""'".f:'J-nLL"'. '. . ) ..w7-...r..H:J-.....:...-K~-~r~-. 7S.__..IJ -i:~"-~~7""/' ') I JT - . I . \.. c.__~ .\I1I\><>c(;lpon price'. labor and mat;;>riaJ " '7 ... '. - .. - .-. ." 0:/- <: /.. . ( .. r . j / . . . '.. < ( /C ,(v :'), [.....4 TER:.,lS_ _2t:. ._ ~:~_._L .L........l.JLU_LL.....L:_L'=.::....LL~~.Q_ (..., "'.. - . s '1 . .' / .;' '." J:__~~..'>t..~,/ 1, -__~_..i ..1.... _. ,_. S__ L/~.__L.... c...C...J?___ __ ~ ) ," . /- ~_._...,--'-_-L....L_~~~~:J:.:L.__L_L...'-:J.::1....a(~~~!~~__ \....-.- '/ , / .... ~~-_.._- //,..)/.,// Y......./ ..~--/,<;+---.._pz- ..-!.:~___,~__-.L.:~_ __.,--..~:-~~- \Vard Lf.'itec Schap".f' .Rooting I accept tl1;;- aboy:,: price and knns: you arl~ author:z:::u to be~in work. SIl?11c"d: ,/ --1 / i-_.____..:-~__."...:__. ~_L..sL-...._ - --':~_~__'__ --:L~~'---"'::--.::!L~-- Dat;:>. .~..!...2.1.~!.:...._.=..c,,="'-"---=--==----==c:=~=.=-'C.====---=C-===,,="'-.__._._..__..____.____...... CITY OF ZEPHYRHILLS PERMIT APPLICATION BUZLDZNG DBPARTMENT 5335 8th STRBBT ZBPHYRRZLLS, FL 33540 Phone:813-780-0020 Fax:813-780-0021 DATB RBCBIVED PLANS REVIEW FBB . . OWNER'S NAME CONTACT JOB SITE ADDRESS LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # r07 . clQ - L\ . U\<6() - cr:::D<9o - '024.00 (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPSED: DNEW CONSTRUCTION o ADDITION o ALTERATION g-"REPAIR o INSTALL DSIGN o MOVE o DEMOLISH PROPOSED USE: DSGL FAMILY DWELLING DMULTI - FAMILY 0# OF UNITS o MOBILE HOME o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK (CO ~ v-Lf~ \. V BUILDING SIZE SQUARE FOOTAGE L~ HEIGHT RESIDENTIAL: COMMERCIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOPMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REQUESTED o BUILDING $ J<;~~ ,)'7 VALUATION OF TOTAL CONSTRUCTION D ELECTRICAL AMP SERVICE D FLORIDA POWER [] W.R.E.C. D PLUMBING D MECHANICAL $ D GAS ~OFING VALUATION OF MECHANCIAL INSTALLATION D SPECIALTY o OTHER TYPE OF CONSTRUCTION: D BLOCK D FRAME D STEEL D OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES D NO BUILDER ~ SIGNATURE Del.---- COMPANY STATE CERT OR REGIST # CITY PROCESSING # 'Z~'z. ****************************************************************** BLBCTRICZAN COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ****************************************************************** PLUMBBR COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE MECHANICAL ****************************************************************** COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** OTHBR 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". ~~ _ ~ - CO~CP-- S ATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR - STATE OF FLORIDA .0~S CA-0 COUNTY OF C The foregoing instrument was acknowledged Before me this ~ day of)p (?\--lt1\xy, ~ZOO \ by ~ (name of person acknowledged) ~who is personally known to me, or STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged Before me this 4f1-day of s.Q{?kJvt~ , :olQ,::-) I by (name of person acknowledged) UMio is personally known to me, or \k~CO o who has produced (type of identification) and WhoD~~e an oath. Signature of persoIJ..,~I&1.ft81~lIMdgement ; Iii:J *My commission CC874208 .~ WlfI1.~ Exoires October 25. 2003 Name typed, printed'or stamped Owho has produced (type of identification) and Whz.. D~ an oath Signature of p,erson taking acknowledgment ,"6' Suzanne Douglas-Allen ~~*MY Commission CC87420B Name typed~""I1fld'!i!@ItP*pr 8S;2lJIlIled