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Home My WebLink About08-7767 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 7767 Permit Number: 7767 Permit Type: ADDITION/AL TERATION Class of Work: 434-ADD/AL T RESIDENTIAL Proposed Use: NOT APPLICABLE Square Feet: Est. Value: Improv. Cost: Date Issued: Total Fees: Amount Paid: Date Paid: Work Desc: Address: 6121 PEARL ST ZEPHYRHILLS, FL. Township: Range: Lot(s): Block: Subdivision: OAKSIDE MHP Parcel Number: 02-26-21-0020-00300-0010 Book: Section: 4,000.00 4/18/2008 75.00 75.00 4/18/2008 Phone: 813783-3469 INSTALL VINYL WINDOW TO EXISTING SCREEN RM ~~ ~5~ 2ND RO MI FOOTER BOND DUCTS INSULATED SEWER MISC. ROUGH ELECTRIC LINTEL MISC MISC. 1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC. DUCTS INSTALLED WATER MISC DRIVEWAY PRE-SLAB SHEATHING MISC. MISC. CONSTRUCTION POLE FRAME 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." ~ I CONTRACTOR IGNATURE PERMIT OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 7767 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: 7767 ADDITIONIAL TERATION 434-ADD/AL T RESIDENTIAL NOT APPLICABLE Address: 6121 PEA S ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: OAKSIDE MHP Parcel Number: 02-26-21-0020-00300-0010 4,000.00 Name: K WILLIAM 75.00 Address: 6121 PEARL ST ZEPHYRHILLS, FL. 33542 Phone: 813 783-3469 INSTALL VINYL WINDOW TO EXISTING SCREEN RM c/ ()~ 6 tJl,~;~ ~ ~ /--~ ~ vJ~ (!fll~~ I FOOTER BOND DUCTS INSULATED SEWER MISC. ROUGH ELECTRIC LINTEL MISC MISC. 1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC. DUCTS INSTALLED WATER MISC DRIVEWAY PRE-SLAB SHEATHING MISC. MISC. CONSTRUCTION POLE FRAME 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." CONTRACTOR SIGNATURE PERMIT OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 Date Received City of Zephyrhills Permit Application Building Department Fax-813-780-0021 tOlL-II r u I rJ-./ Petirl Owner's Name i-l I Owner's Address Fee Simple Titleholder Nalllel CLdt![/) & / J.- / fJetLI'/ I OG..-16LL iL fJ a /'II( h.Lp 2~ '/"h//J r=1.33<StjJ- LOT# I PARCEL ID#I c),;L.- ~ -~ - (JaM - ()OJdd- ckJ/ d (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D JOB ADDRESS SUBDIVISION WORK PROPOSED ffiJ D o I PROPOSED USE TYPE OF CONSTRUCTION DESCRIPTION OF WORK NEW CONSTR INSTALL SFR BLOCK / v~f I B o o ADD/ALT REPAIR COMM FRAME o o o /?JO/Y} DEMOLISH OTHER I STEEL D OTHER I BUILDING SIZE I la' x /,f' SQ FOOTAGE I I fo 'I I ..'"1..'.......................11...................11.................1111...........11..1111.................11..........1........................ pl~ 1$ 1$ c=J GAS 0 FINISHED FLOOR ELEVATIONS I Cf c=J c=J c=J BUILDING ELECTRICAL PLUMBING MECHANICAL BUILDER SIGNATURE Address ELECTRICIAN SIGNATURE : I I o I HEIGHT I AMP SERVICE VALUATION OF TOTAL CONSTRUCTION PROGRESS ENERGY o W.R.E.C o ;~.~ OTHER ~c: ~~ ~~ v!eJ VALUATION OF MECHANICAL INSTALLATION ROOFING Address COMPANY REGISTERED PLUMBER SIGNATURE COMPANY REGISTERED Address MECHANICAL I SIGNATURE . Address I OTHER I SIGNATURE Address I COMPANY REGISTERED COMPANY REGISTERED RESIDENTIAL DYES DNO A tu rx'/I2I//YJ FEE CURRENT License # I Y IN FEE CURRENT Y/N License # YI N FEE CURRENT License # YI N FEE CURRENT License # Y/N FEE CURRENT License # Y/N Y/N ,. Y/N I 1111111111111111111111111111111'1111111111111111111111III111II1III111111111111111111111111111111111111111111III1II11IIII111111111111111111111111111 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, Stormwater Plans wI Silt Fence installed, / Ol{ '),0 ~ p~\~ fD. ~ ~'V "'es .G ~\ '\J ''V ~":l $2 llj T ~~ r-j'i6 '-0 ~ ~'\;) ~~ C I ~ ~ ~ \::~ ...j ~ ~ <C::l ~ r .1 ~)I.:1::.ST. oct!... I, MOM - PI'-...DP ~ J/rJ/ VL V<I.tNWYl<S ~ ....... E '>CLST 11, II. REViE\N D,!:l.TE 4-1 i-v f :...,i"""',,",, 1\' L ,_ ,__ _ It I \',n L S __-.!ct~\lER~---1.0- Ai:L \f~ OPJ( SB ALL COV;pl.:i W\Tl.l A.LL. 7REVAllTNG CODt~;, YLORlDA BUlLm;'~~i CODE, NAT10NAL ELECTRiC CODE AlrJ CY;'Y or ZE?HYPJllLLS ORD\.Nl'J~CE~; I--U '-J ~ '5 ~ City of Zephyrhills BUILDING PLAN REVIEW COMIvIENTS Contractor/Homeowner: R ~)' ~ /J / U/Vl I;"'U I'Y\ i{-r 5-()8 0(2 f 16-~ / Sf 4#ij w,rdWs. fAA, /.... Date Received: Site: Permit Type: Approved wino comments:~ Approved withe below comments: 0 Denied withe below comments: 0 be kept with the permit and/or plans. s Examiner 1-/6--og Date Contractor and/or Homeowner (Required when comments are present) ~ ~ ~'-> ~() \) ~' V :so -\) ""- <""\ ~ ""V III I 0~ I ; f''i -':,,":;( '-0 ~ ~) ,0'-.') ~ ~Y~T. .selC. _1'::::, 12-0011 - fJ R..c} fJ , I c:: VIN!jL W1NIX)y;{'1 :::: 2WT /'1}, fl. ~ '...\j -" K ~ ....j .::::::,. <(::) '-J 4-1 $-0 ~ -J0--- l-.u '-i ~ '-5 ~ ~~ o>w ::l~ dO z>- woo Z.. ww ..... "'E uw "'>: E < ~ ~ ii :>... l:j ~ ~ x .. , z " ~~ ~~ !~ me; .~ ~l;! ~~~ :><.J ~.:~ =~~ 5Q~ ~5~ ~ ~ ~~ ~~ j;:> -1;1 mu .~ ~ li :r: ~~ ~ .:0 .....11....1 Q A ~~ ~ ~ ~~ ~ n~ ~'5 ~ *~ u~ ~ ~t- ::J 3~ ~~ z ;{~~~~ ~ ::t:::~.~!:.101 CI ~~Li>~ > 3b:~~5" ~ <:~3:; ~ ~ "'~~~ ~t.j ~~~g~ ~8 ~~:S~ ~~ ll5~~~~~~ f~~~~E~i ~i~:~~>~ t:1._zt-U...lwzgo.. ~5!5E~~~~ ~~e:M~~;~ ... ~ i L ~I r 9 ~ (/) :; :> g z :; . L- J: 0- e> ;; :> o '" :z :> ~ i j~ _I" >>: .. , J a 38 ~i ~~ ..5 -~ '" ~ ~>: bw ~~ ;;~. G !j :>;:; ~ I I i I I ~ I it '" I I I ~~ ,,~ dO .- ".. .'" "... ~i' lH! I ~l;! .".. 0> ~ig ~~~ ~g~ ~~~ u>~ 813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Owner's Name f-l I Owner's Address Fee Simple Titleholder Namel bate Received ulrJ--/ tLcla!{/} / h .LtuI It /?JO/YJ JOB ADDRESS f.4/J-/ fJeaJ\j if I~ f 2~ 'r'M j/J pI. 3JStj J- LOT # SUBDIVISION IcJrLKu~ /Jar'/( I PARCELlD#1 dJ.-~ ~ -;Jf - tJool.(j - ()O]dd- ckJ/ d (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED ~ NEW CONSTR B ADD/ALT D SIGN D MOVE D DEMOLISH INSTALL REPAIR PROPOSED USE 0 SFR D COMM 0 OTHER I TYPE OF CONSTRUCTION 0 BLOCK D FRAME 0 STEEL D OTHER I DESCRIPTION OF WORK I BUILDING SIZE I JtJ' X /,f' sa FOOTAGE I / fo If HEIGHT I I "'...'.'..'11""""1111'.".'111'.1'11'.'."...."1....11..111..111....'.......111..."...,111.....,11.11.......1111.......1111111111.,11.1111.. ~ BUILOING []$ .,010 ~ ELECTRICAL L D PLUMBING 1$ D MECHANICAL 1$ DGAS 0 FINISHED FLOOR ELEVATIONS I : I I D I AMP SERVICE D PROGRESS ENERGY D WR.E.C. VALUATION OF TOTAL CONSTRUCTION DYES DNO Aw/X'/I2f//YJ FEE CURRENT License # Y / N FEE CURRENT License # Y/N FEE CURRENT License # Y/N FEE CURRENT License # Y / N FEE CURRENT License # f1JC: ~~ ~~~ ~~ VALUATION OF MECHANICAL INSTALLATION Address ROOFING OTHER BUILDER SIGNATURE ELECTRICIAN SIGNATURE COMPANY REGISTERED Y/N Address PLUMBER SIGNATURE COMPANY REGISTERED Y/N Address MECHANICAL SIGNATURE COMPANY REGISTERED Y/N Address OTHER SIGNATURE COMPANY REGISTERED Y/N Address 111111111111111 111111111111111111I11111111111111111111111111111111111111I111111111111111111111111111111111111111111111111111111111111111111111111 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, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsllarge projects COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new construction. Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance ~ SIGN PERMIT Attach (2) sets of Engineered Plans. \1. ""PROPERTY SURVEY required for all NEW construction. ,Directions: Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (AlC upgrades over $5000) Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades AlC Fences (PloUSurvey/Footage) Driveways-Not over Counter if on public roadwaysooneeds ROW NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. 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 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 IMPACT/UTILITIES 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 be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be 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 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. 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, '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 I 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 Engineers-Seawalls, Docks, Navigable Waterways. Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. US Environmental Protection Agency-Asbestos abatement. Federal Aviation Authority-Runways. I understand that the following restrictions apply to the use of fill: Use of fill is not allowed in Flood Zone "V" 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 professional 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, I certify that fill will be used only to fill the area within the stem wall. 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 I 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 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 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 may be 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, the.)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 INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATT NEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT 9:.03) j! .7'" '. OWNERORAG~ ~.'=: ,~;:: _..-<- L (( /~'t &~+~and s m ~~~ffirm~tl~e this I Who Is/are personally known to me or has/have produced as identification. Notary Public ~ ~ NOM~P"~~ Commissio. NCl",'r:.'( T'UDLlC-ST'(fE Of- fLuttlUl\ ~,;c"r',;~'\,' PUBLIC-~::-_"TE' T'IO:Ui}\ ~', ~'_i 0:.: ., ,. .~-~ '~_.~" :::~ :~i_ ;~ Name of Notary typed, PIfr\led or stamped" . " " L-: -~; i-,( ;r :)i Name of Notary typed. printed;or st~~~.~, . ," tL~ rJ~? -Ib-/Ir 111111111111111111111111111111111111111111 111111111111111111 2008033110 SUB W1/2 OF SE1/4 B 2 P 6 LOTS 1 4 5 8 BLK 3 & LOTS 1 234 5 6 BLK 4 & LOT 1 BLK 5 EXC PCL 20 FT BY 20 FT WHERE UFT STATION IS LOCATED OR 4984 PG 1213 & OR 4984 PG 1216 -,.. Rcpt: 1174022 Rec: 10.00 DS: 0.00 IT: 0.00 NOTICE OF COMMENCEMENT 04/14/08 Dpty Clerk Property Identification No. O~ - .;L' -02../ - 00 cJ. J - i) 0300 - ()OJ rJ JED PITTMAN~ PASCO COUNTY CLERK 04/14/08 11:49am 1 of 1 OR BK 7810 PG 1452 Permit No. THE UNDERSIGNED hereby give informs you that the improvement will be made to certain real property, and in accordance with Section 713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT. I.Description of property (ISlal dS8crlptlDIf"ft:. It IJ (}W<. f.t. J a) Street Address: (L / rJ-1 ,Pd 4.r \.S J./Jt. 2.General description of improvements: 1/1 tv 3.0wnerInformation , 1 , a) Name and address: -:Tea.,... C ()Urp r ~ 1tJ../ b) Name and address of fee simple titleholder (if other than owner) R c) Interest in property 4.Contractor Information I 'lit " ,LJ'd L::I .3J.J7/.J- a) Name and address: /l7~ A-!u.n..+ fr1U. ~M-l'Ulor a79/rl 7 "./f"~ Z-e;;''Jr..?IJJ.frt ~ b) Telephone No.: Fax No. (Opt.) 5.Surety Information a) Name and address: b) Amount of Bond: . c) Telephone No.: 6.Lender a) Name and address: Pearl (,. r.j. J.IJt f 2.ep4rkl/r, Ff &St/~ Fax No. (Opt.) Phone No. 7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served: a) Name and address: b) Telephone No.: Fax No. (Opt.) 8.In addition to himself, owner designates the following person to receivt: a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes: a) Name and address: b) Telephone No.: Fax No. (Opt.) 9.Expiration date of Notice of Commencement (the expiration date is one year from the date of recording unless a different date is specified): WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. .L- ~ ~ZzD ature of Owner or Owner's Authorized OfficerlDirector/PartnerlManager -:R (in If . C' r/V I h- Print Narne STATE OF FLORIDA COUNTY OF PASCO The foregOin~.iA~ment was acknowledged before me this /1/ )l~day of A-I' ~ J I /.l ~ ,20d7,by T.e Ct.A l,;; I/- r as auh/" . (type ofauthority, e.g. officer, trustee, attorney 10 fact) for ~M~ /1- .' (name of party on behalf of whom instrument was executed). Personally Known L OR Jt~~lI\tTjdlftlt~6B.FL~RIDA Notary Signature ~ ~ k/'i ,:,-- "'-_ StaCIe HartwIg .../ {W komlnission#DD6S2189 / / I Type ofIdentification Produ~e3l Expires: OCT. 16, 2009 Name (print) .... r'l--u...t!le Ha NIU iq BONDED THRU AlLAN ll~ lIUNlJINu l.U., INC. '-J Verification pw:su~nt to Section 92.525, Florida Statutes. Under penalties of perjury, I declare that I have read the facts stated 10 It are true to the best of my knowledge and belief. . /7 STATE OF FLORIDA / C FORMS/NOC,rvsd~UNTY OF PASCO THIS IS TO CERTIFY THAT THE FOREGOING IS A TAUE AND CORRECT COpy OF THE DOCUMENT ON FILE OR OF PU'lIC RECORD IN THIS OFFICE. WITNESS MY HAND AND OFFICIAL SEAL THIS~ DAY OF /f~/Q... . 2 QQ:f J~D ~~AN. CLERK OF CIRCUIT COURT BY ~Aa P,o~..M'o"tid DEPUTY CLERK