HomeMy WebLinkAbout04-3019
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
3019
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
------_.._-~
Work Desc:
Address: 38250 A AVE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
4,227.00 .
4/29/2004 Ii Name: ZEPHYR HAVEN NURSING HOME
55,00 Address: 38250 A AVE
55.00 I ZEPHYRHILLS, FL. 33542
4/29/2004 Phone:
RE-ROOF-~-----~----
30j9
RE-ROOF
ROOF REPLACEMENT
COMMERCIAL
:l.
I
--~------ -~--~-------~ ______~__ I _~~________.____
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Thirty-Five Dollars ($35.00) 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 .
---.."vamlng to owner: Your faifure torecord it 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 commenr.ement."
--~----------------COmplete Plans, Specifications and Fee Must Accompany Application.------~--~
______ ~_ ___ ______~lIwork shClII be perf~rm~d in _ accc:>rda.!lce \iVith City Codes and _ Or<!inanc~s___~ ~_______
NO OCCUPANCY BEFORE C.O.
--_."--, _._----...__.._-----~-------._~----,-.~~ -...--.--.-------
~
IGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERMrr APPLICATION
BUILDING DEPARTMENT 5335 eTR St, Zp.phyrhills, F'L 33542
813-7130-00:W FAX.: 1313-780--00:21
DA'l'E RECEIVED _________.
Sov.:t1. ~~ ~\A.V' ~ ~W\A.L4 ~ 2-t='~)~~71?c~:r..~r. FOR PERMI'l'TING ___._____
OW"En'S N^ME ~~~ 0\!M.<2.'u-l~ FIIONE 11> .>- - ossO? ___~_
JOB ADDRESS '3 8d-. SO _D__ ~ . __._________
LEGAL DESCRIPTION: LO'1'(5)
BLOCK
SUBDIVISIUN
P1\RCEI. II) if 1'4 ~q.L ~ a-. \ . ~.1D._.::JH.3 rlQ~ O.1D----.---.---J.OlU'AIK..ER.QIL.P.R{)F..ERTL'r.8X._.N.(.n:ICF~.Ln._
---------------.----
WORK PROPSED: [J NEW CONSTIUJC'1' ION
o AUDITION
[] A Vl'l'a'l\'J' 1 ON
U RE:Pl\lR
[J INSTAL,I,
OSIGN
o HOVE
[J PF:f10J,J 51!
PROPOSED USE: Dsm, F'l\MILY DWE;J.,LING
o COf1f1ERC l1\L
C1MUI,'1' I - F'NULY
D INDUS'l'IUAL
[lit (Jf' UrH TS
[J SW IMtllNG FuOI,
[J MOBI.LE H(\m~
[] UTHF',r.
DESCRIPTION OF WORK
o RESTl\URANT & HF;l\I,TIl UF.PARTMENT APPROVl\I,
d l a ~ 3 ~'cU;...tfL
.._~-_..-.."------~._--_.._-----_.__.---_.....-._--. _..-
BUILDING SlZI<;
SQU1\l\E:
IIE:IGlIT _____________
RF:SJIJEN'f'Il\L: l\'1"l'1\CH (?) PLOT PL.AlJS Fv (?) SETS OF' BIH [,IH Nt; PLANS Fv (1) SE:T ENEP.GY FOnt1S.
COMMERCIl\L: J\TTACH (:3) SETS OF' BUILIHNG PI,l\NS & (1) SET ENERGY FORMS.
IF SIGN PERtH't' ONLY (2) SETS Of' ENGINE:F:REIJ PL,l\NS REQUIRE:!).
PROPERTY SURVEY REQUIRED E'CJR ALL NEW CONSTRUCT ION,
r.::J BUILD[NG
PERMITS REQUESTED
$-.~...4-...d::l~~____ Vl\L.Ul\TIUN OF' TOTl\L, Cr)t.JSTRlJC'I'ION
L1 E:LECTRICM,
l\MP SERVICE
o F'I..OR I Dl\ PONF:n
[J W . H . F~ . C.
[] PLUMBING
o ME~CHl\NICl\JJ
$
VALUl\TION OF' HECHANCIl\L rNSTl\L[,l\TION
D GAS
o ROOF'ING
D SPECIALTY
D OTHF;R
TYPE OF CONSTRUCTlON: D BLOCK
o FRAME
D STEEr.
D OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YF;S
o NO
I' ',< ... . CON'l'RAC1'OR\:Sli:Oi.r!ON . '. . '
...::::::I~E..~X~~~--~-~....'~.:::::<I:::jR~:~~:~~~
******~********~***~***~~*~****~~**~*~~*~~~****~\*~~~*k~~*********
ELEC'l'RICIAN
Cot1PANY__.
SIGNATURE:
STl\TF. CERT OR REGIS! ff
--.-------------------
******************************************************************
PLUMBER
COMPl\NY
-----------------.---
S IGNl\TURF:
STATE C~RT OR REGIST ff
--~._-~-,------~---~ . --..-.--...-.-
ME:CfJ1\NJ.CAl.
~****~******k,k*~***~**+***k~*~~~~~****~~J:~~~~~*~~~~~~.~~***.******
COMPl\NJ
_._-_._----------_.__..__._-~
;3IGNl\TUHE:
/
=1~~~:~~' OR, ~E(~ I ST ,!t .,---:---
:A-J.1l\.:;'\J ';'.. "- "1
* * * * * * * * ~* *'.t; ~il' 1; *it: * *, * ~ * * * * * * * "" * I.! * *;*' * * + ... * *
\, . ,'.
11 .
! 't(~MP~N'L
tt ";.('~,~ \ :<
O'l'HER
SIGNA'l'UR,
~ :.. ; ,~. ::1...'""'.' ~:-
. STl\'l'E CERT OR RECaST !r:: "~__________________
1\. tJO'l'ICIc: uF IJE:~:IJ RI~:STF Il"[' IIlllS
The undeJ-sir,jned understands 1 hdl Ulis permit IlIay bE" subject to "deed reslriction:," \'I)li(~h
lIIay be 1I1011'~ restrictivE" than eil y requlat.ions. The \JII(IPr:~3iqnc~d assumes resp()I)sil,j lilV f,'1
cOlllpliance lJit.h any app.licahle deed restrictiullS.
B. lJNLJ CENSEU COtITRAC'I'UI<.S 1\11LJ COllTf>,AC"I'OR IU:SPUIISTBJI,l TIES
If the O\'lller has hired d contract_ol or COlltrdclulS to undertake ItlOrk, tlwy mav be .u~qui led
Lo be Jicensed in aCCOrdalJCe \"ith state arId locaI It"'-l\llat.ions. If the contract-ol .is 11<'\
licensed as required by lal-I, borh the Ol'mer allel cOlllri:I<~tol lIlay IHcO ci.Leel Lor a lIIio;delll('ilIIOr
violation under sl_aLe lall. lf the (!I'mer OJ intended (,uIILract()j. ale 11IIcEoltain a~3 1.(, vlhal
licensinq requirements rllay appJ y for the intended vlOLk, they are advised In t'ulIlacl IIIP
CiLy of (,ephyrhills Bllildinq Department, R13-'78()-U020.
Furthermore, if the owner has hil-eel a cOlltrac\:o[ or cOIILrac:tor:s, he is advised to lldVf; Ille
contractor (s) sign porUons of the "Contra('toI Sections" of thi s applicaU on [or villi <:h t:11P-')!
\cJill be responsible. If you, as the Ovlfler signs as tile contracLor, you ale Ind:i(~alinLJ Ihai.-
you, raLher than Lhe contractor:, are responsi)Jle for I.he vJOrk. I f the conLractol I"i slles
you to sign as contractor that !IIay be an .indical;ion that he is not properly licellsed alld is
not entitled to permitting privileges in the City of Zephyrhills.
C, TRANSPORTATION H1P1\CT FEES 1l,ND UTILITY C01~NEC'l'ION FEES
O. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided witll a copy of "f'lorida' s COIISt:Ilj(.~L.i on
lien Lal"i - Homeowner's ProLection Guide" prepared by the Flod.ela Department of l\LJl icu.l lure
and Consumer Affails. I [ the applicant: is sorlleone other that the "()\vl1er", I c:el-Uy 111C11 J
have obtained a copy of the above described document And promise in qood faith tr) deU ver
it to the "owner" prlor to cornrnellceIllent,
E. CONTRACTOH'S/OWNER'S AfFIDAVIT
J certify that all the information in tllis application is
be done in compliance I"ith all applicable lavls regulatirlCJ
developroenL.
Application is hereby made to obtain a pel.lnit to du lvork and installatioIl as ind1c:ated.
certify that no 1'lOrk or instal lation has commenced prior t:(Jissuanr~e ot' a perm! t and I.ilat
all Itlork ItJill be perfonned tu meet sLalldalds of al I la\"s regulatinq construct:iun, l:jt y
codes, zoning regulations, and land c1eveloprnellt regulations in llle jur.iscliction. 12Ll,i()
certify tllat I undersLand tllat the regulations of oLher govP.lnmental aqencies may appl \' to
the intended 1'lOrk, and tllal. it is lilY responsibility to identify what: act: ions 1 1i111S! tal:e 10
be in compliance. Such agencies include buL ale not ]lm1 led to: 'Departllleli\ of
Environmental Regulation-Cypress l3aylleacJs, Wet land l\rei1s and F~nvironment:al.1 y SeilS I I i.ve
Lands, Water/Wastel"iater Treatment
~Southltlest Flor.ida Water t1anagement District-vJells, Cypress 8ayheads, Weiland ^.leas,
Altering Watercourses
'Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
'Department of Health & Rehab.ilitaUve Services, Envilonmenl.al lIeaLtll llnit-vJells,
Wastel'iater Treatment, Septic Tanks
'U. s, E:nvirorrrnental Protection Agency-Asbestos abatement
I also certify that, if fill material is Lo be used in Flood Zone ")\" or "I\,etc,", il is
understood tllat a drainage plan adclJ:essi ng a "compellsaLi rllJ vol ume" \"i11 be subml tted \ilLi ell
is prepared by a professional engineer regisLered ill I.lle State of FLorida prioJ to permit
issuance,
A permit issued shall be cOIJstrued to be a ll.cense to proceed l"iUl the \'Iork and not as
authority to violate, cancel, alter, or set aside any provisions of the techn:ica.l codes,
nor shall issuance of a peulliL prevent the Buildin',j Official from thereafLer requiring a
correction of errors i_n plans, construction, or via] at ions of any code, Every pelHli t
issued shall become inva] .iel un] ess the work authorized by sllcll permit is cOllllllenced I"ith i II
six months of issuance, or if work authorized by the permit is suspended or abandonee! fOj' a
pedod of six months after: the Lime the vlork is cOlmnencecJ. One 90 day extension of Lillie
may be allo\Ved for the permit l"iith fee charqe of $15,00. The extension sha]l be requested
in Itlriting to the Building Official, An approved inspection must be 10CJLJed dud ng each si x
month period, or Lhe project vlill be considered abandoned,
WARNING TO OWNER: YOUR FAILURE TO HECorW A tloTrCE UF' CO[>1I'1ENCEHEN'I' l-11\Y RESULT III YOUH
PAYING TWICE FOR Il'1PROVEt1ENTS TO YOUR PROI:'Ef<.TY. If' YOU Hl'l'Etlll T() OBTAIN F'[IJAHCIllC~, CClll::;"I,'!'
WITH YOUR LEl'IDER OR JIll ATTORNEY BEFORE RECORDIt~G YOUR NO'I'ICF, OF COfvlMF,HCE1'1EN'I'. ,J<>BS UllLJEP.
$2,500 IN VALUE D NOT NEED '1'0 RECOHD AND POST A "NOTICE OF COMMENC ''1ENT''.
accurate and that al]
construcLlon, zoning,
\'10 r:K IV III
and .Land
S 1 GNll,'I'UEE:
STATE OF FLORI 011, ~
COUNTY OF IQ.aLO
The foregoing instrumen. twas ~ledgecll ,
BP._fore me -hiS~~~~ , 2o.Q't
by '-
~e of erson acknowledged)
19'Who is personally known Lo me, or
STATE OF' FLORIDA ~\
COUNTY UF' \.JQ....-u. 0____
The [(JIegoing instrument 1."asr:'lCkn~JvJleclge(\(/
Befol.e me t,\li s J3'Ct....daii of (~AAa , LOCI.+-
by <.. JA<r\ p"-kGJ<- ...-_
(name of person ackllo\"ledqed)
~ personally known to Ille, OJ:
[J vlha has producecl~____
( type
D(11d Ilot_
LJ vlho has producecJ_______________
(type uf iclelllificati"ll)
OJi.d llot take an (laLII
of ident5.f.i cali 011)
Lake an oat:h,
~ Pl..ltilllescstate:GIf~ c; k 1J 0\" led g 1\1 ell L
Elq:i8IOct26.2m1
commllllan # DD2a97O
IJallle
J
ped
:~
-,:
S CJ{/l PE (f( CR..OO(FJ :JV"0~
l'Af-c'. "'1
J. "
-"
89,j,9 Gall Blvd, Z~hyr"hii13. F133S,n
PH: (352) 567-S530 & (813 7~52,.09'20 F:l~~: ((;1.3) 715...-;'375
STATE CERTIFIED BnLDI'?G .-ll'JD ROOFI"TG CONTR\CTOR #C8-0)59'817 :mrl #CC-Cu581J4
Se~'l'nC Flc,"';d~'s C:n""'<"t. qom~s Xr !:I""'l''''''''';:e' "I'nee lQ7f:.
· >' -- - 1~ _ 1 ~ ..,0 ...~, i~'" \..... .:....>,1.." ..~~~ ;-; ::> .u " , \.._.
~ ~
/":.~ ," ! r...-".1 ......
/ i~" +~ :' I I /~':fC) 5''';/ ...-z::.
~
" /' ~)
, ;..... .
f
/
;-/ .f ,
!/ j$. ...i'-r'....kf
It..> ~> 1 :'p .' ~ a .-l;"- v'v'.h-'(""
/
I)ate
'.
..... 'f
~,~t2.me ...;-,~ /J n '-.#',/1
/~ -- C. y-
~-\ddress
f'";' ,/ --e..
~,
:--i1cne
'7
~"-C'o:"5
r,? ~
/ ..... -~.
,--.:-4";::
~ ,/;.
, :..<
:2 .:~ C\
.~
f,
f"l
- ( I
./. " ,- "1
-- ,_-~ /.- .., " ,1-,
--"'-"-----~------~
/
r r
l / 5--
-r
r.....
? 1r~~e: ~ ___;-~~ ~.
/ 1 / /
.'< y,v :.. ~_::__ ~_i . ! :;.:..~~>~ j_Lt.f: J, (p_:~---J:fJJ1)-~-j)1312fl_~QQ1l2_
-;:>) 'r-t.,..-.
"-' -----
.:-....-.
,
Cit:i/CCt:nt'J__!::_~_~~_ :_,'
\Vc :-:creby ~ropose to furr.ish materiuls a..'1d labor nec~ssary for the c~)mpl~ticn of
Shingle Reroof
Fer L~e s.binglcd pcrticJ"'....') of the hOili~, r~move old reefing matcf:als tc d~'':-L~_, t2kiJlg prec3uticrLS to prc!ect t.he
ollilding and the landscaping. Groom the deck and reset existiJ:.g deckiq; nails.
Replace bad weed ether than herein agreed for at
~ _, fr
,7 ~. /::/
r-, ",.-~
v<./
C'e:- ~:?J:~hct.:r plw rnat~r:31s :Ylar:(~d up a
'7
./ 0
-..., ~
)
Ins tail
(/'
. contracto(s fee.
~ ;'_'l-:;';,.r
caves drip \~-lt}1 all edges sealed .,v'i:}: nlsst:c c~n1ent.
,
~
I::stDll
.-.
J
.;^--" ::-:-
IaY'cr(s) of ..~'-)T~-J 15 lb. ~~pr_31t ~;hingle ~derlayn'!~;:t.
;::,
lnstall galvanized valley met3l fer Ll].e lcngtfJ. of all valleys. ',..'311eys '"illl be closed.
:Jl$tall ne\v lead beets ~}Ver v~nt pipes and replac~ mct31ll~n.ts \vith ne~t'\/.
-;
J.
Chalk lines shall be stn.~d;: to assllfe proper sr.ingle expcsllf~.
M3J1ufacturer:
In 11 ' ~ ....... ,-,' ',~' ./.. ';/1" rl If 1 ",-,. '-b '_1
sta __~ '...--- _ year ~ ~!-- r ~ ass aleL -se3.Llg llmglls resistant II ..,erglass 3r.ing.t~s.
- I f
r -- "1 -.- ' -r- ~-...=.c/ 'Olor' ,.. l . .-7
; -" {~'/' l~.r'--I' ~ .----.. --I ::: ~ . ,.;- ...~ . c-- "-"'c"
8.
9. Si.x 1,'4" corrosion resistant nails shall be installed per manufacturers instructicr...s.
Qptions
Hurricane nails t~e deck to the rafters to meet current SBCCI cede. >I<
Ir...stal1
;-; C.
feet of
~. _ ...-r-
t;1f'.r~"""""""""~.-/
al1.:rJml.lI!1 riC1:e vent. :[c
__ t~~ ~= '- f--
.,....-'-~{
~../ ..- . -'-::/~! I --'" .'" ..fJr .....~S
~s~~ :"ri.c.ir:g Sccticn
: " ',.'- :--~ :-:.:':r::~r:~3' .'::::c::~:rH ": Gc~:..'"::~r:r:::;'~~ J..i.:::~ ~ ::U""-1 ~.,i ~~;^>::1;C:;~,/; -,: --:.r:i.~' -:::L=--~C..~
:> ~ '-,- .
. ~ ..
~..:': 3:
Q<l ,":'t'(J'"}' C'::iC
'_''':'' ._' I 'J _ .... '_' ~~ '.-'
=:-~:-'~',,;,:~ ~_J.',!,"-,'~:' ~
l-: "r.':"'
Scha~ RQQftM. ComMitment to 0uaJ~
.All work sh8l1 be carefully ~ and cOO'lpleted by worlcrncn skilled s.nd knowledgeable ir. met.1...:.e6 needed fA)
produc:a high quality W<:.rA.
.'!'roe job site shall be kept clean daily Cot ~ dlmation of the job and the grc~ sl-.ali be Len ,:;1~ 01 /111 C'.::<,f ~-d
&ehris after completion.
-The yard shall be swept with II ~t
-The oontractor sh8ll provi<w permit. wcBmm1 compeI1l'5ation, and generalliabilit'j 1r.fll.lI"i'mce.
-Cupenuy. a\1l:horized change ordc:.r.s and work. which are not covered under the ~ ofworl" cutiind h...-cir... ~...'1l1 be
pctrfonnad OJ] a time and matarial bGsis unl,ess otherwise ~ upon.
~'WFACTURER & CONTRACTOR W.t\RRANTY (8)
L1pon completien of'tl-.e 'Work and payment. 01.u monica owed, C~.cr :1l-.sl1 iJ:l~~
1. A__ --;;- yeal warranty fer workma."'lShip iimitl:A, to 1e9ks caiJ..~ by 'J1ly r.ompc.~t i.n~-uill by th~ c""nt:lI.ctor.
2. SrJr.gie manufact.uer Wsll ptov,de 3 30 ytsr limit:d ~.ty.
I It.. ...... 10..&.".... *C~ ~.. .,...,. -* it.; ~.. ~ .-- =~-~=-~==~-=-=l
I.
I Vi"ihlc T Jt M Allowaoce j $ I J'? C C' I? I/(.:"....~'P .t....;;:. ~
s~ ~f IS described he:ein I $ ;;~~_..,-~. _:..:-:.__._-=~~
I~:" I/..y jf <#J1{VT../i ~)./l #. 1'7~~- 1::------=-=
I ~::-:;:",.;:::;~"'--;:.-' ' ~i I cn~7~r WfAU
f !
,. ===~~~=~=--------- ,~ (/ ~ · I 'J '1' C ';;'. .:2-::..1 .--'- It:
I . , -.---~- \ , ! J t ~ i'l~ '1 ~f '. ~ . I
t I:rice vahd far thirty (30) da)-s. .t: ! ~ \Ii /, ___ _________1
Coll~"t1on C03U if any. together with int~~ .mall ?e added to the contz.a!.-t ~~Ce'7poy1nmt default cc:::u:r3 Ca:ri.Cellatlon
of the ccnaact it. the 72-.hcur ~ pe.nod shall mcut a lk.."'tIlin61 fee. ~
--~~~~=_..
Schaper Roofing. Inc. ~tstive
I ~ the abov~ and temlS~ you attl authorized tel begin work.
~~~
_ ,~, dL I
Si /f. ttiL....., - - ..1.0" { Jl. fI A
(J /D:IF e d- 0 Cf (J f.l 00 l1 Lf
J:.lBte
~J "7~2LC c'.-(
,/
DEUe
'I .r~ ,., i /
"7-.';> , l/ "7
..4..---__.___._______.._._
Signed
O;'~ nu.~ o.o.:-ll'IaI... T......t ~ r_ CallIrKlaoll'lHlNGL.-;;:itE:RUOli 3-?A1lT IO%SCi:!.,.io~
NOTICE OF COMMENCEMENT
111111111111 111111111I1111I11111111I1 11111 111111111I11111111
2004071094
Rcpt: 77=490
OS: 0.00
04/21/04
---
'7 CM,( 0
rllA
Rec: 6.00
IT: 0.00
Dpty Clerk
State of Florida
County of
M f,t Key No,
Permit No,
THE UNDERSIGNED hereby gives notice that improvement will be made to certain
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, ,1- d It> - ~ I - VD I D - 013 Of) - OD, 0
2. General Description ofhnprovement f(-e...I-~;- /hfJ .~4-rz ~
3. Owner Inform~tion: NameADlifk.~ ~t,+rnl . rll~~/J~"1; _/~Ot~ tf 2~ph~(}1; J!J ,J'N.."
Address ~x.},~.J 0 A A.-.-.L CIty? ""'\f h \\ {' h I H~ State 4- C' 5 3.5 V J..
Phone No.7Z;. -- i::;~'{)l Fax No. .'"'1 I/\.-
..,....'..:.;~
;.t~~'\1l'\.
~
; 4. Contractor: Paul Schaper, 8949 Gall Boulevard, Zephyrhills, and FL 33541
5. Surety: Bauer & Associates, 14427 th Street, Dade City, FL 33525
6, Lender: Name/Address: ~ IA-- ~~92~~~1"Ari: rt:~o fOUNT:, C1ERK
OR BK 5817 PG 791
7. Persons within the State of Florida designated by Owner upon who notices 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 ConstructionIRoofing, Inc, of
8949 Gall Boulevard, Zephyrhills, FL 33541 to receive a copy ofthe Lenoir's
Notice as provided in Section 713. 13(1)(a)(7), Florida Statutes.
9,
I AlIIA'
~ /J1t~!J}I/&Y
Personally Known ~.
Signature of Owner:
Owner Printed Name: XS79~1J LtE-r;
ill: 'Il'} f).~o -7~6 - tfI- 7'1-3 - 0
-\L-
Sworn to and su cribed before me this~day of ,Jv\C\.fCI..-.
~ eJ :r-
20~.
Cor c.j or>t!
,\,~~I~"" .
/~'J.''',~~" Bev J. GregorIO
~:(~' j*~ MY COMMISSION # 00229949 EXPIRES
...}~&~~~ August 1, 2007
"',9f.,f.;~" BONDED THRU TROYFAIN INSURANCE,INC
STATE OF FLORIDA
COUNTY OF PASCO
THIS IS TO CE.RTIFY THAT THE FOREGOING IS A
TRUE AND CORRECT COPY OF THE DOCUMENT ON FILE
OR OF PUBLIC RECORD IN THIS OFFI;ITNESS MY
HAND AN~ SEAL 2TH~p( DAY OF
JED PITTM~~ OF CIRCUIT COURT
BY J - DEPUTY CLERK