HomeMy WebLinkAbout05-3804
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
3804
38 4
Permit Type: ADDlTION/AL TERATION
Class of Work: 434-ADD/AL T RESIDENTIAL
Proposed Use: MOBILE HOME SUBDIVISION
Square Feet:
Est. Value:
Improv. Cost: 18,641.00
Date Issued: 1/31/2005
Total Fees: 222.50
Amount Paid: 222.50
Date Paid: 1/31/2005
Work Desc: SCREEN ROOM,SHED AND CARPORT
Address: 37449 ILL AVE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): 185 Block: Section:
Subdivision: GRAND HORIZONS
Parcel Number:
Name: GRAND HORIZONS
Address: 37449 GILL AVE
ZEPHYRHILLS, FL. 33542
Phone:
ACE AIR CONDITIONING & ELEC.
DUCTS INSTALLED PRE-SLAB CONSTRUCTION POLE 2ND ROUGH PLUMB
DUCTS INSULATED LINTEL PRE-METER WATER
SHEATHING FRAME MISC SEWER
MISC INSULATION WALL MISC MISC.
MISC. INSULATION CEILING MISC. MISC.
MISC. DRIVEWAY MISC. MISC.
REINSPECTlON 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
"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."
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances
NO OCCUPANCY BEFORE C.O.
~5~ /1 ~ ~-~
CONTRACTOR SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8~ Street, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021 & b - IDU
DATE RECEIVED -(- Sf.-..! I-
PLANS REVIEW FEE
JOB ADDRESS
t::IZJ4N 1/
J'7Lf4Cf
/-hll.J?~V /1-111;/
.
0t Lc A Vf2
PHONE
~/ 3 - 7 r z - /6& if
OWNER'S NAME
L-~( I f'-~
LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION.aA;Vt? /-If,!Zf?ty1,//lJ/J/
PARCEL 10 # .54 - 25 -l- ( - DO 10 - cZtFLt"\D -D/i57"OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: ~ CONSTRUCTION ~TION DALTERATION 0 REPAIR ~TALL
DSIGN
PROPOSED USE: ~FAMILY DWELLING
o COMMERCIAL
o MOVE
o DEMOLISH
DMULTI-FAMILY
o INDUSTRIAL
Oft OF UNITS
o MOBILE HOME
~-
;q l-f../yn'11f1./1/;t~
t:55b
(1-1 3/ CAfZf" /IT
o SWIMMING POOL
DESCRIPTION OF WORK
c:J RESTA~& HEALTH DEPARTM~~PROVAL
~- ~~
-12 xlF' Sc (ZI::/i'IV !2ten"\. 'J PI( I). .5"' S;-ffitl ,
/ I
SQUARE FOOTAGE t:f r- L--
HEIGHT
BUILDING SIZE
RESIDENTIAL:
COMMERCIAL:
ATTACH (2) PLOT PLANS &. (2) SETS OF BUILDING PLANS
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
~ILDING
~ECTRICAL
$ If~ t.f ( , '7 1-
PERMITS REQUESTED
& (1) SET ENERGY FORMS.
FORMS. .')Q' .:? .
/<-67. LJi)(~,
- .;:).~ -,.
?), t2l.tz_C.
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
o FLORIDA POWER
OW. R. E. c. ().JI/l[ >fh7:-f'
o PLUMB I NG
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 AREAD YES 0 NO
.1
SIGNATURE
~
JI, ~
....,-......
C~MPANY_l3 ~/,f CClo.l5rfZ.JC tlCN I'~ C/!!/l/1T(I4( f::( .
STATE CERT OR REGIST It ~ 13(" C' ~-'1 '1 ~L
CITY PROCESSING ft ?_&.
... .. '. .. .....
.. .... ,_... "'. ..-.
BUILDER
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SIGNATURE
~- /1, MreX
COMPANY rfL{::: JJi(_E"LTlU C-
STATE CERT OR REGIST #
CITY PROCESSING # I~~
ELECTRICIAN
******************************************************************
'.
PLUMBER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
******************************************************************
MECHANICAL
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGI~ATURE
*****************************************************************
OTHER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
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'-''W......,............'-''~1'''''' '-".. J.~J.\,I,...........l. n~~J..J.)^v.J.J,.
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit ~ay 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 cgntractor is not
licensed as required by law, both the owner and contractor ~ay 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 intende~ 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, h~ is advised to have the
contractor(s) sign portions of the ~Contractor Sections" of this applicat~on 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 aocument and promise in good faith to deliver
it to the ~owner" prior to commencement.
E. CONfRACTOR'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 wo~k autho~ized 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 ~bandoned.
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
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A ~NOTICE OF COMMENCEMENT".
SIGd1 ^:JER(Z::'~ SIGd:! ~PAC~(;~
STATE OF FLORIDA p, 4 ~ GO STATE OF FLORIDA n /l r
COUNTY OF /.J C> COUNTY OF r N-<-"> (. C
The foregoing ins~ument was acknowledg~~LL The foregoing instrument was ackno~le~e111
Before m~ thi~.26:- day of Jl JiVE , 20~ Before !Jl8_ t;.h;J..s 2-c~:ay of ::Su:iJb., =.:::!:
by ~/2Ec; I?IS~ . by CdLEV" ~EFe
~ (name of person acknowledged) _ ~name of person acknowledged)
~who is personally known to me, or UN60 is personally known to me, or
Owho has produced
~e of identification)
and who Ddid Bfid not take an oath
~ 11. O~.p12
Signature of person taking acknowledgment
Dwho has produced
~type of identification)
and whoDdid ~d not take an oath.
~il,~
Signature of person taking acknowledgement
B(2{jGe A. IfSIJ6L--
Name typed, pr~i{ctru<ti!A~~mped
!~ ~ MyCommissionDD116710
~0l'",J' Expires June 22. 2006
IS'(LvcE jJ, ,49JFL.
Name typed, printed or stamped
ij' Bruce A Asbei
,~ .: MyCommissionDD11671C
Of ",'# Expires June 22, 2006
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"REE ESTIMATES
402$ MOIUUS BlUDGB ROAD' .
ZEPHYRBIlLS. FL 33S43
"t!:J vv..
l..aoo.224-1206
LioenMd · 8on4ed · In.... a Skiftlfta · s..,. · R.m A...cieftl · lundftWll · Concrcrc
Lot .aLSubdiltidion J "1~~t (j.,"'tL Ai/R. aA~ud Htut,MU.J' OIIC' ~ -/ i'-QI
=~~~~~;;~
8caal ~<<
All .lwnUwm roa6 iac:luM: ..... trill. Qulwr 0.... .
$pOIo<<s.3xJ ,.,. IN SUllIe ......
UPMJJ!L.fllaaI8&Sq Ft X J."" )..i' .flf #W) HIt
~hns_'F1 LoIt&-Sq Pt xl.". '.11
_Ptfts_ft lAIlL.-:i4 ~ E '.n. ".at
_f4fts_l'l1..cln&.--$q ~ X '.J,. '.1.
Val.. ...s..lA. 4M
(j~ ClII ..... - :;rr.lAx ....
~ ..... Work CD ftOOCl. ... ......72
2." SM 1cIuD--- Jl.-lA X 3.1$
2x6 SM &am ... .. .iL.,lJFx $.34 ".F- L'II
2Jt1 SM a.m- vr. S.({t
1)(1 SM .... LIf a 1-'4
2'" SM..... ~Vfx 1.11 1,/'1'.. ~z..
2xIOSMs-m-~ _lAxU.H
~
,?2.
1ft. ~_
SCRnN ROOM WALLS
lAp 'D'!.!" D. "4:+_ · J!JJ:::..1Jf x 2U4
ScreIa Door ~:
CIcI<< ad llIIahold I UP x M~
o.bJe FlII one SkIeo -"' IJF x 1$.10
{awl.1Od Kict ".. JA z J.e
F." s-. (n<< wind).- ~ . Q.92
IJTILITY ROOM WALLS
...t~... L +r!:.E.+ _ - Ji&-lA x JJ.!II
2Jl. sw, I'" ex;
)bed Oocr ud I w....... -1...JA :!CISl.OJ
)iAJ"W~~r----L-IA. S6M
9\. SltleW r - -!L-UP x '.02
~iK:
,,',flJ
1f,3'
.11 ~".."
I ~-J. DJ
,~-~
... ~"n
VINYL ROOM WALLS
"inyl Wall_'" _ + _... _ - ---JJf ~
"side IC.ic* p~ ~ . ... IA x $.12
..., Top ....._4 Qut--- LIF llIS.IO
::'lot14a Cil__. ... UP.. 10.0'7
nw.... T." ucl8eaala- -rn:lt .5_19
:loon indIIIk (2) 2"'" ~
r1vc:IboW_CbIr a BAxl4'.12
~ will ... be ~Hebiii...
in V11'In ROOMS X
-'>--
OLASS !lOOM WALLS
w.... + -+ + - lJf x
~ .-. .-..- --... ..--.
l~ fro.'.-I _x_- _~ Pt J.14
0..- ~JJJ -300.00
....."..... -rLf 11 2ue
.,...... ~I!A X 90.97
0Inp~ _,,"-iAX_
~Deor......- _~_b._
o.nae Doer 0,..- _l_~ )I _
~be:
AL,UM1N\)M TOT A L
CONCUTE AND BIUCJC woRK
PIIIo ,.. Lx1L-. .&J... S4 Pt )( 2.13
.... ... ..JI-iJ.L- .ss:LSt4 Pt a 2.33
,..... _x_. _~ JIt x 2.33
......~ft-~Ftll: .2.3'
.... -....- -aa..Sq" x l.JJ
~Jqj' . -JiA...S4 ~ x 2.33
1)rit.~'" -.&..~ fit k . ..,
...... UdIit)--: , I/r ..L.- l\: J3~
........ f e.1J.x4~s.." x 1"1
........... c- _z_ - _St4")( 1.51
0..,,..... aAL..~ x 2.33
,... 1x12..,. r~ - ?Q UP 11 ..02
.... ~12"'M ~IJF x 6.00
...... 1IIfl!Jf Jt 2."
1 ,......, _JA x '11.13
l ,.,....., ~ . I,."",
3 ~SUp ~IA . ;>>1.69
41D4.111~ I ~ :It ,~.12
....... MIX S...
........ AIr - IJP e-c..- x x 2.10
SpUr'" StAW71l.vr A..t.eoun. J: %.33
Pill Dirt Jl-l.MM x ,100.00
,.... '" . .100.00
Mile;
NOtE: A_.... It... PIa. ~ c:-.
. cnck if 1Mt. ...... ,..~V_ uerlll b
~ CONCkEiE
SIG ~ ALUMINUM
'DAn PUMIT
FAX TO 71U516 TAX
lOR. !N01N!!1UNO TOT Ai.
All ...-......... __.. ~' ar..,.,. A IIINANCICKAIIGI., J -"'.......Iril lIe.-..
.......-_.-. ~ .....,AGI..."fII'...........,.... it =~ rr .......
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.!. r,90{
J~"?JJ,/6
YJ17(}
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/ $ ,(>0
I fi."~ D6
77~:t. 2~
~79"7,07
~OOtoe
... /DO,OO
/0 ~iO,C>()
? '/1,. 72-
-t. ':0,00
Fcj./ 'II,. '12
WdE.l 't ~-B'1-9
This space for use by Clerk of the Circuit Court only.
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11111111111\ 11111 11111111\\ 1111111111 \11I111111 \\111 1111111\
2005017528
I
Rcpl: 850860 Rec: 10.00
os: 0.00 IT: 0.00
01/31/05 __~___ Dpty Clerk
\
~~93~~1!MA~8: ~C;;O fOUNTJf CL1ERK
OR BK 6209 PG 86
f r\..Of\\O~ i.GO\~\~t~
s~ (l.~~~ of ~ (l.;~ ,,,,,, '~~~t~ ~~~: ",'i
CO\}~,,\~ \'O~d'c;~O?'i O~~~\tf\Ct-2 ~~i o~ 'i o~
QC()""~""C\"O \~ ,,\~ ~
,,,\)t ~ I\.\t "~I,,v ~t~\. , ~ffi .. ,
0" Of ~ o~~\~\f . ~ ~ 0\)'" .
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tiQ)"lce O~ COMMeNCeMI!Np
.'
Slalo of Florida
The undersigned hereby give. noUcell1ellmprovemenls will be madalo cer10ln reel property, end In eccordance with
S.ctlon 713.13 of Ih. Florlde Slely''', Ihe following IMormellon I. provided In Iho NOTIC E 0 F COM MEN C E MEN T
\. L.g.I OescrlpUon 01 prop.rty ('1"" .ddre.. required): "] '74{'( . t,;," L i- 07 I ~O
"lj_ zZ;-1-I- .~/~ / /
'f
2,
General descrlp\lon of Improvements:
A I- VIVl t ;J~ IV! PA G !eA 0/::'
=
3a. Owner Name: ~fl.~O j;!.';}U 7.'~ . /l11f;J
Own" Add"": _~5 c;..:FY ,<;~, & IJ (!. . 2 if? If" Rtf/ U,f F"' r, -=:<r/ . ']6ibO
=
3b.Owner's Intereslln slle:
3c. Fee Simple TIlle holder (of olher lhen owner)
Address:
=
R....
..
COol",lor N.me: ~ 1:: ,"If A Tilde 7'1 MJ r,c e-?AlT/Z/iL ;::'L .
Add"": '-I t z'" -" __, [ill! /J';'!' J2/{. zP~1 y,/~ J/ '( I H "- 'i" J PhOne: ,pI f. . ?f? - /0(, 'f
Amount of bond:
5. Surely Name:
Address:
Phone:
7. Person within \he S\a\e of FlorIda designated. by owner upon whom noUe.. or other documents may be served as provided by
Section 7,13.13(1)(.)7, Florida Sla\ul",
Contact:
6. Lender Name:
Address:
Phone:
Name:
Addr...:
Ph9n. Numb.r:
8. In eddltion to hlm~elf, Ownerd"lgna\e.lh. fallowing p.r.on \0 reo. Iv. . copy of \h.l.I.nor', NoUee as provided In Section
7 .13.13( 1 )(0), Florida S\atut". . .
Name:
Add",,:
Phon. .Number.
9.
Expiration dale of Nollce of Commencoment (expiration date I' ont (1) V,ar from date of recording unlus a dlHerent dale Is
.,.."...lIiedl '" .,
~..~_.. ." .' .. /~) {f ' .n O'f}
~\,. . \'K~~~
J2{CHAJ~ L. !2E1-ffY;Z rt' Slgnalure of Owner
STATE OF FLORIDA
~'.l "
d.t.Of0A-/'l'///-jl1 ,20v5, by
who (Is) (are) personally known 10 me or
..ldtnUneaUon, who dld/dld not \Ik, In oath,
\
The foregoing inslrvment was .eknowled.ge btfore me \hl. .3 I
~ c/-lft W L. ZIY/ [j/:!;Z G '
... p~duced pF/Z> () /1-;4 Vv '1 t:';..:: w /J
(Driver'. Lteen.. ffl
~ II. fU4
Signature . No\ary Public
i'~' Bruce.c. Ashel
,~ ; My Commission D0116?HI
Q/O~'.I' Expires J<)Il~ 22., 2001}
(A copy of any bond must be attached at the Ume of reeordlUon of lhl. Nollee of Commencement)
,
I This space for use by Clerll of the Circuit Court only,
I .
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\ 1111111111111I1111111111111111111111111111111111111 1111111I
2005019693
'.
...
.',
Rcpl:851716 Rec: 10.00
OS: 0. 00 IT: 0. 00
02/01/05 _________ Dpty Clerk
I
I
\
L
JEO PITTMAN, PASCO COUNTY CLERK
02/01/05 03: 16pm 1 of 1
OR BK 6212 PG 1505
Slale of Florida
The undersigned hereby gives noUo, \hallmprov,menta will b. made to oerteln r.al property, end In accordance wilh
Section 713.13 of lhe Florida Stet~t", the following ';"ormeUon I' provided In the NOTICE OF COMMENCEMENT.
\. L.g.1 om'lpUon of property (,~"lOooro" roqvlroo): 3'1 'I' G I U- A Vi t- OJ ,,p t;"
-'2- - D .-0' D- _5-
General description of Improvements: J.'ClU~-:1/'J /CbOfiA I CAIZlhll T.i' 5 1 +[~i
,
"
))/11 V ["wiN
2.
3a Owner Name: Cl-fJ/Vt/ ~'((,.I fi! jJ (IA ~ p .
Owner Addross: '1" Ii <; &/. B<l - on;. vi, 2/'../ If'{' i?111 U > jC.1. 7 -" ,If I - 'J.' 0
3b. Owner's In\ereslln slle:
3c. Fee Simple Tille holder (of other then owner)
Address:
R Co"""lo' N.me: J? d! (-J,)/~ oR U {.. 'T/ ~jJ a: {6;\/ f~ V L
AddroSS:1' l __ ,"~/II ~ /Jv I ilf: .?u /; YlzlJi U f ri. FS<./;J' Phone: ,f'O-7 Pc - 10' '-(
5. Surely Name: Amount of bond:
Address: Phon.:
7. Person wilhln lhe Slale of Florida dulgnaled. by own.r upon whom notlo" or other documenls may be served as provided by
SecUon 7.13.13(1)(8)7, Florida Slalul".
Contlo\:
6. Lender Name:
Address:
Phone:
Name:
Addren:
Ph9"' Numblr:
8. In addlUon 10 hlmi'l', ownerd"lgnaln the fcllowlng perton to reo.lve . copy of th. I.I.nor'. Nollee 8S provided In Section
7 .13.13( 1)(b), Florida S\tM".' . .
N,ame:
Addre,,:
PhOn' .Number,
9. Exp\ra\ion dale of Notice of Commencemenl (explr8110n dale It one (1) y,ar fr~m dal. 01 recording unless e different dale Is
spec!fied).
\ .
'.
f2ft.) ~e.1Zf Slgnalure of own..r
STATE OF FLORIDA
,'.l /
3/
dlte or,--rwvJA/Z y' ,20 Or;: by
who (Is) (are) personally known \0 me or
IIldenUnoaUon, who dld/dld not like en oath,
\
.R~' Broce A Asbei
,~j ~CommiSSionDD116?1()
Of '" EXplres June 22. 2000
The 10(i~ojng inslrvment 'l!l,Js,~eknowJedoe before m. Ii'll.
-R.r( AiZd. j. J(..f)-':!)I~/Uc .
r.,p'-Oduced pjilLS 0 /V/Llv'f (NOW'\/
{Driver'. Llcen.. j)
(~AAA A, OJf~
Sign.lure . Nolary Public
(A copy of any bond must be anlchod 8\ the \lme of record.Uon of \hI. Notlc. of Commencemenl)
'.