HomeMy WebLinkAbout08-7306
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
7306
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:
7306
ADDITION/ALTERATION
434-ADD/AL T RESIDENTIAL
SINGLE FAMILY RESIDENTIAL
Address: 38246 IRONW OD PL
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: DRIFTWOOD
Parcel Number: 02-26-21-021 A-00EOO-0040
3,045.10
12/19/2007
50.00
50.00
12/19/2007 Phone:
REPLACE NINE 9 WINDOWS - SIZE/SIZE
Name: EDYBURN,DONALD
Address: 38246 IRONWOOD PL
ZEPHYRHILLS, FL. 33542
h()~&
t-l5-0%
j(i2~
L
SHEATHING
FRAME
MISC.
MISC.
MISC.
MISC.
REINSPECTION FEES: Reinspection fees will comply with Florida statute 553.80 (2)( c) when extra inspection
trips are necessary due to anyone of the following reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspections 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.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies,
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. ..
LA..-U
ONTRACTO SIGNAT E PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020
<.;ity or Lepnyrnms ....ermlt AppliCatiOn
Building Department
, r-l:IX-O 1"- f OU-UU":,I
Date Received
h; (( s Jl.
Owner's Name
3~% Tnmwood PI,
NIA
Owner's Address
Fee Slmple'Tltleholder Namel
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
10,;>. -"/ , ~ ,. 0;;2.1 A . 00 EO 0 l OOy 0
PARCEL ID# ~ " '
iOBTAlNED FROM PROPERTY TAX NOnCE)
ADD/ALl D SIGN D MOVE D DEMOLISH
REPAIR
COMM D
FRAME D
SUBDIVISION
WORK PROPOSED
00
BUILDING
LOT #1
OTHER I
STEEL D
OTHER I
AMP SERVICE
VALUATION OF TOTAL CONSTRUCTION
PROGRESS ENERGY
o
D
w'R.E.C.
NCC_
ROOFING
VALUATION OF MECHANICAL INSTALLATION
Address !4'=t~TeJ \sOn PI. Orla..h&O, f=L .oc;2. cg/;l.
ELECTRICIAN I '. .
SIGNATURE .
Address I
PLUMBER I
SIGNATURE
Address I
MECHANICAL I
SIGNATURE ,
Address I
OTHER I
SIGNATURE ..
Address ~ 1'11111 n n . . . . . . , . . . . . . . License #
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction,
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, StormwatElr Plans wi Slit Fence Installed,
Sanitary Factlltles & 1 'dumpster; Site Work Permit for subdfvlslonsllargeprojects
Attach (3) sets of Building Plans; (1) set of EnE[lrgy Forms. R-Q-W Permlt'for new construction.
Minimum ten (10) working days after submittal date, Required onsfte, Construction Plans, Stormwater Plans wi Slit Fence Installed,
Sanitary FaclllUes & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance
Attach (2) sets of Engineered Plans.' .
....PROPERTY SURVEY required for all NEW construct/on.
SPECIALTY D
FLOOD Z NE AREA
BUILDER
SIGNATURE
,
COMPANY
REGISTERED
COMPANY
REGISTERED
COMPANY
REGISTERED
COMPANY
REGISTERED
COMPANY
REGISTERED
COMMERCIAL,
SIGN PERMIT
OTHER
DYES
DNO
~e~~~l
- H FEE CURRENT _ Y7~~_
j I
License #
FEE CURRENT
License #
I
I
:
:
I
YI N
FEE CURRENT
I Y IN
License #
IYI N
FEE CURRENT
Y/N
License #
YI N
FEE CURRENT
" YlN
Directions:
Fill out application completely.
Owner & ContractOr sIgn back of application, notartzed
If over $25!lO, a Notice of Commencement Is required. (Ale upgrades over $5000)
.. Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notartzed letter from owner authortzlng same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs Sewers Service Upgrades NC Fences (PloVSurvey/Footage)
Driveways-Not over Counter If on public roadwaysuneeds ROW
II
NOTICE OF DEEp RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrlctlons.
which may be more restrictive than County regulations. The undersigned assumes responsibility for oompllance with any
applicable deed restrictions.
UNLlCENSJ:D CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be required to be licensed tn 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 app!y for the
intended work, they are advised to contact the Pasco County Building Inspection Division-Licensing Section at 727-847-
8009. Furthermore, If the owner has hired a contractor or contractors, he Is advised to have the contractor(s) sign
portions of the .contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he Is not properly licensed and Is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION ~MPACT/UTILlTIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended, The undersigned also understands, that such fees, as may be due, will b~ Identified at the time of
pem1ltting. It is further understood that Transportation Impact Fees and Resource Recovery Fees mustbe paid prior to
receiving a "certificate of occupancy" or final power release. If the project does not Involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, If Pasco County Water/Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of Work is $2,500.00 or more, I
certify that I, the applicant, have been provided with. a copy of the "Florida Construction Lien Law-Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant Is someone
other than the .owner", I certify t~at I have obtained a copy of the above described document and promise In good faith to
deliver It to the .owner" prior to commencement. .
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that aHthel.nformation in this application Is accurate and that all work
will be done In compliance with all applicable laws regulating construction, z~:mlng 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, County and City codes, zoning regulations, and land development regulations in, the jurisdiction. I also
certify that I understand that the regulations of other government agencies may apply to the Intended work, and that It is
my responsibility to identify what actions' must take to be In compliance. Such agencies Include but are not limIted to:
. Department of Environmental Protection-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 Englneers-Seawalls, Docks, Navigable Waterways.
Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks. .
US' Environmental Proteotion Agency-Asbestos abatement.
Federal Aviation Authority-Runways, '
I understand that the following restrictions apply to the use offill:
Use of fill Is not allowed in Flood Zone Ny" unless expressly permitted.
, If the fill material Is to be used In Flood Zone "A., it Is understood that a drainage ,plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by'a,professlonal engineer
licensed by the State of Florida.
If the fill material Is to be used in Flood Zone .A" In connection with a permitted building using stem wall
construction, , certify that fill will be used only to fill the area within the stem wall. I
If fill material Is to be used In any area, I certify that use of such fill will not adversely affect adjacent
properties, If use of fill Is found to adversely affect adjacent properties, the owner may be' cited for violating
the conditions of the building permit Issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
If , am the AGENT FOR THE OWNER, I promise In good faith to inform the owner of the permitting conditions set forth In
,this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically Included In the application. 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 provlslon~r 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 codes. Every permit Issued shall become Invalid
unless the work authorized by such permit Is commenced within six months of permit issuance, or If work authorized by
the permit Is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension
maybe requested, In writing, from the Building OffIcial for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, th~ob Is 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 INl€ND TO OBTAIN FINANCING; CONSULT
WT '. N TT EYBEFO E RDIN Y N TIMENT.
FLORIDA JURAT (F;S. 117.03)
Notary Public
OWNER OR AGENT.
Subscribed and sworn to (or affirmed) before me this
by .
Who Islare personally known to me or haslhave produced
. as Identification. '
~
Notary Public
Commission No.
Commission No." ,P UC-STATE Of FLORIDA
~,... "'" San ra L. Sozzi
N fN ttyp drt ted. ta: :C'~ffiffii:J3i8I'lfDDClSJ74
amao oary a ,p n ors m .",,,,,,,"-Expires: ~ov. 16,2010
BO\DFD TERC ATL-'c\iIC BO\D!\G co, !\(
Nama of Notary typed, prtnted or stamped
Contractor/Homeowner:
Date Received:
Site:
Permit Type:
Approved wino comments~
~
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
(J.a.(~J f2 ~
Lr.t. ~(l ,':) ~ <2-1< - Cr\~ bu..tt'l
\ ~ -\ d- - 07
3~2Y t- .L{?a"l<l'-~ v..~ PL
LUi ("v~n1 0 (q ') 0-p(dC.W~
Approved withe below comments: 0 Denied withe below comments: 0
xammer
Contractor and/or Homeowner
(Required when comments are present)
PERMITS R US
17128 DOWNS DR.
ODESSA, FL. 33556
813-926-9965 (PHONE)
813-926-8536 (FAX)
FACSIMILE TRANSMITTAL SHEET
TO:
Permitting
COMPANY:
City of Zephyrhills Bldg. Dept.
FAX NUMBER:
FROM:
Monica Watson
DATE:
December 11, 2007
TOTAL NO, OF PAGES INCLUDING COVER:
PHONE NUMBER:
SENDER'S REFERENCE NUMBER:
RE:
YOUR REFERENCE NUMBER:
o URGENT 0 FOR REVIEW 0 PLEASE COMMENT 0 PLEASE REPLY 0 PLEASE RECYCLE
Edyburn, Donald
38246 Ironwood PI.
Permitting,
Please find the enclosed permit application for the above referenced
homeowner.
Please call if you have any questions and also when the permit is ready to be
picked up.
Thanks ,
Monica
~
2007-12-10
12:55
(1854) 813-838-9008
Ins Sales/CGC1508417
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PROJECT NAME
EDYBURN
PROJECT ADDRESS 38246 IRONWOOD PL.
LOWES STORE # 1854
PRODUCT
CATEGORY SUB CATEGORY MANUFACTURER FL PRODUCT APP #
WINDOWS SINGLE HUNG MI WINDOWS & DOORS FL5438
1:.londa BUlldmg Code Unhne
Page 1 of3
ApplicatiOll #:
Date Sqbmitted:
Code Version:
Need Help?
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Organization
Search
User: Public User - Not Associated with Organization _
FL5438
09/22/2005
2004
Product Manufacturer:
Address/Phone/email:
MI Windows and Doors
650 W Market St
Gratz, P A 17030
(717) 365-3300 AIL \\/ORK SHALL COrvlPLY WIEIALL
~'REVAILING CODES, FLORIDA BDILDI";']
Windows CODE. NATIONAL ELECTRIC CODE AN'!
C > OF ZEPIIYRHILLS ORDINANCES
Category :
Subcategory :
Single Hung
Evaluation Method:
Certification Mark or Listing
Referenced Standards from the Florida
Building Code:
Section Standard Year
ANSIIAAMAINWWDA 1997
101/I.S2
Certification Agency:
American Architectural Manufacturers
Association
Quality Assurance Entity:
Validation Entity:
REVIEW DATE ld' I~ -fJ]
CITY OF ZEPHYRHILL~_ .
PLANS EXAMINER.---1L5-
Andrew Brill --
abri1l@mihp,com
Authorized Signature:
EvaluationlTest Reports Uploaded:
Installation Documents Uploaded:
PTID 5438 I 165 SH Flange Tapcon
Instr - Fastener Schedule, pdf
PTID 543U 650 SH Flange Tapcon
Instr --Fastener Schedule. pdf
PTID 5438 I 740-744 SH Flange Tapcon
In~!L:l~~!~ner Schedule. pM
PTID_~138 I AAMA Chari .:A.ingk
http://www.floridabuilding.org/pr/pr_ detl.asp?IPT=5438&R V=O&fm=ROSrch
10/29/2005
Florida Building Code Online
Page 2 of3
HlUlg Windows.pdf
PTID 5438 I Installation instructions _
BetterBilt Nail Fin Alum Windows.pdf
PIID 5438 I Installation instructions:
BetterBilt Nail Fin Vinyl Windows,pdf
PTID 5438 I Installation instructions _
Capitol Nail Fin Alum Windows,pdf
PIID 5438 I Installation instructions _
Capitol Nail Fin Vinyl Windows.pdf
Product Approval Method:
Method 1 Option A
Application Status:
Date Validated:
Date Approved:
Date Certified to the 2004 Code:
Approved
10/14/2005
10/17/2005
Page:
~
Page 1/2 GGJ
~pp/Seq Product Model # or Model Limits of Use
# Name Descriotion
165 Triple with 106x72 R-20* DP-31.4 Per
15438.1 nsulated SSB manufacturers installation
Continuous Head and Sill Annealed nstructions.
47x89 Insulated R-30 DP-42.7 Per
5438.2 165/3000 Fin Frame Oriel 3/16" Annealed manufacturers installation
nstructions.
4Ox90 Insul SSB R-35* DP-47.2 Per
5438.3 165/3000 Fin Frame Oriel Annealed Sash / manufacturers installation
DSB Annealed nstructions.
Fixed
165/3000 Flange Frame 53x72 Single R-35 DP-47.2 Per
5438.4 Glazed 3/16" manufacturers installation
Beveled Buck Annealed nstructions.
165/3000 Flange Frame 47x89 Insulated R-25 DP-34.7 Per
5438.5 priel G116" Annealed manufacturers installation
nstructions.
36x88 Insulated R-35* DP-47.2 Per
5438.6 165/3000 Flange Frame ~SB Annealed manufacturers installation
priel Sash / DSB
~nnealed Fixed nstructions.
36x74 Insulated LC-40* DP-47 Per
5438.7 3540 Fin Frame SSB Annealed manufacturers installation
nstructions.
44x72 Insulated R-40 DP-47.2 Per
15438.8 3540 Fin Frame SSB Annealed manufacturers installation
nstructions.
3540 Fin Frame Triple 108x72 LC-35* DP-50 Per
5438.9 with Continuous Head and nsulated SSB manufacturers installation
Isill ~nnealed nstructions.
36x62 Insulated R-40* DP-55 Per
5438.10 14340 Fin Frame SSB Annealed ~nufacturers installation
nstructions.
5438.11 14340 Fin Frame LC-40* DP-55 Per
36x60 Insulated manufacturers installation
http://www.f1oridabuilding.orglpr/pr_ detl,asp?IPT=5438&R V=O&fm=ROSrch
10/29/2005
J:41onda HU11dmg Code Onlme
50 Flange Frame
50 Flange Frame Oriel
SB Annealed
36x74 Insulated
SB Annealed
36x72 Insulated
SB Annealed
48x84 Insulated
DSB Annealed
54x90 Insulated
DSB Annealed
53x90 Insulated
SB Annealed
Next
Page 3 of3
nstructions.
LC-40* DP-47 Per
manufacturers installation
nstructions.
R-40* DP-50 Per
nufacturers installation
nstructions.
LC-50 DP-50 Per
manufacturers installation
nstructions.
LC-35 DP-50 Per
anufacturers installation
nstructions.
LC-30 DP-47.2 Per
anufacturers installation
nstructions.
R-35 DP-47.2 Per
nufacturers installation
nstructions.
LC-35 DP-47.2 Per
manufacturers installation
nstructions.
R-35 DP-47.2 Per
anufacturers installation
nstructions.
R-45 DP-45 Per
nufacturers installation
nstructions.
Copyright and Disclaimer; @2000 The State of
Florida. All rights reserved.
I~-
http://www.floridabuilding.orglpr/pr_ detl.asp?IPT=5438&R V=O&fm=ROSrch
10/29/2005
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SEMINOLE FORM 401
NOTICE OF COMMENCEMENT
state of Florida ' IPRIPARI IN DUPLICATII 111111111111 111111I11I11111 11111 IIIII 1111111111111" 11111111
County of ,PA-5C,O, } \ 2007201857
The undersigned hereby informs all concerned that improvements will b. made to certain real property, and in accordano-
with section 713.13 of the Flo,lda Statutes, the fOllowl,ng in'o,mati." Is stated in thi~ NOTICE OF COMMENCEMENT.
Description of property ... .~.N.ix?I':1J.N.(!!. M..::. Qf.3:,~~. :~~: .Qi1l/:l. .,.~q 4~ qq.-:. .Q.Q.'-f.9................,..,'
',?~ ~{~~~.. ~~?~p.~'aY' ~~.l.~. ~~~~... Ph~~..I.. ):.~.';?.I.. ..~-+: .Lj:.. .~4(r .f..~. .~P~~4~."",.
't:~~~.. .<R\.... .'t~:!.l?.:P.~..I.':t.l........ ;???~. 0. .:;P.~.PJ:. .~.J..!4.tR,.. 23.:;s~~...
General description of Improvements..... .. .1:1.( N /?ti,rV.. ..... ... ,. . , :f.S..Q00 . . .M.t;;.. NT . .. . . .. . . ... .. ...' ',...
.
Owner....>>~ I'l.IJ. !-:-.P... .?-:.'.. .I;D.Y..E#.I?-.~.. .?~.............. ~~~t0.~~47688 Rir: ~~0:0
Addres. .... .J~J ~ 4... ~.~. ~~)).. .P~/t!;.?[,........,..... .12~.1~~~?,..."....... .~~~~. ~.le.rk
JED PITT"AN, PASCO COUNTY CLERK
Owner's interest in site of the improvement. ........... ...,...... . ... ..,'. ... . 12/12/077079: 317a1m 1 {'2J.3
Fee Simple Title holder (If other then owner) OR BK PG:)
Name ......... '~'i 1/4"" " ,
Iv, '" . . . . . . , . . . . . . . . . . . . . . . . . . . . . . ~.. . . . . . . . . . . . . . . . , . . . . . , . , . . . . . , . , . . . . . , , . . . . . . . . . . . . . , . , , . , , . , . . .
'_, Address .....,.........,........ ~ ... . . . '" '" .................. . . .. ... .. ......... . ..... . . . . .. . . . .:. . . .. . .. . . .. ... . ... , . ........
~ CQ"'"cto, . Loi/"ili: ~ Cnn f91-\ et/rv<- ~/'65q - iJq4-'ii T~ Pi. 0,(...,,,,,",, fl3:>fu
. . Add.... .7.; ~<: ~ ~: :i~~:j;;: ~:i;; ~:;);;:~: >~ it dc.Gi'i~a. ~'~ ij::I::~ it:: ;~3. 'J.;Y::.
Surety (If any) '" N.IA
................ .... e....o...... ................0.. ..... ........ ................................................ ......
Address .:..................................................................."............... Amount of bond $ , . . . , . , . . . . . . .
Any person making a loan for the construction of the improvements:
Name ... .'. "/V' Ifr'
. .. .. ...0 ..,... ........... .
. .. ................................................. ...._.................. 0.0............................................................
Address ................................. '
Person within the State of Florida deslg~~~~d 'b~ .~~~~. ~~~~. ~h~~' '~~~i~~~ .~; '~~h~~' d~~~~~~~~. ~~~ 'b~ '~~~~~d':"""""
Name "...... ^ . j.)' . .kl,. . . . . . . . . , . . . . . . . .'. . . . . . . ,
IV. I-I ......................................................,......,..,.............,
Address .....
~~ ;~~ti(~n) (t~)'hIF'',.,I' ~!dl;: ~S'~~~; 'd~~ig~~!~~ ih~ 'f~ii~~i~g 'p~~~~~ i~' ~~~~i~~' ~. ~~p~' ~f 'ih~ . Li'~~~~;~ 'N;;t~~' ~~. P~~~i~j~d 'i~ S~~ti~
. ,orl a tatutes. (Fill In at Owner's eption).
,Name ...." A 'f!" j} ....; .~_.,. ~~.,___.......' .
.I v /-P- ... ..............'.........:.........'.."...."..."......'............"
Address
...,.........,...,....,..,..........................,. 'r}
. THtS SPACE FOR RI;CORDER'S USE OI\lLY . . ...... ... ."V" ..:. . , , ,. ',' . 'C' , . . . . , . , . ',.' . , , , , " . , . . .., , " . ,
. . A' ..__~/~, /-J ( .ff. ~
./.l.;':.......,.,.D;........ ..,.,~,_..!..... .,
'Do., .9." {J_ f /:'-::/' cOwner c? ':":":ii~L_' 'ti K. "
, ~ Pl-l-1{' "1, :::, /<..-' ~._
j....-I C '~_
Sworn to and subscribed before me this ...........,",.,."..,..~. I,-?
, ~. . '7 ~" 1
7 " /,;; . " ',' . ,., ('Y' ,?-{.iD
......",...[L.'""d8v.O!.! .elk ~:r:~ '. ,~, , , , , , . . . . . . , , , . . . . . , , , . , . , . , :l'9'..,......
<-'- /.') (, (' .,..r) . ' .' '.' _---~
. . ':-:-.....,;;!{~. ~c.,-6~1/'-c':'*;~; -:".( ~;~ . . . , . , . . , . . , . . . . . , , , . ,
ublic
S'TATE OF FLORIDA
CO~II\ITY OF PASCO
,_ 1,:,':)!3 TO IJ v THAI' THE FOREGOiNG IS A
mUE AI"I) r ,;!' 00elll"11: 1',1 ! f)1'J "I' E
OR OF j:_'UE:.~. -,' ~,r:CCh~: .-,' ()U::Ct '.;I:T~\iESS' MY
HAND "lst",:li-IL Sf;,. 'c,. f:LGAYOF
JED f '~~.-;;~;-- ;, ..QQ}'-- ,
, L.U:. ;T
BY
..^._.".~,_._'.,...._...,"
GU:RK
JUDY o. PAOOETt , '
MY COMMISSION' DO 552913
EXPIRES: M!Y 1&,2010 . .
Balded TI1IU NolIlIY ""* ~1A1I