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HomeMy WebLinkAbout09-8725 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 8725 BUILDING PERMIT SINGLE FAMILY RESIDENTIAL Permit#:8725 Issued: 1/26/2009 Address: 37607 DALIHA TER UNIT#177 BLD 18 Permit Type: NEW SINGLE FAMILY DWELLING ZEPHYRHILLS, FL. Class of Work: 105-NEW CONST/MULTI 5+ UNIT Township: Range: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Sq. Feet: Est. Value: Book: Page: Cost: 148,246.73 Total Fees: 10,553.90 Subdivision: EILAND PARK TOWNHOMES Amount Paid: 10,553.90 Date Paid: 1/26/2009 Parcel Number: 03-26-21-0230-00000-1770 Name: LENNAR HOMES INC Name: LENNAR HOMES INC. Addr: 600 N. WESTSHORE BLVD STE 600 Address: 600 N. WESTSHORE BLVD TAMPA, FL 33609 TAMPA, FL 33609 Phone: (813)769-5277 Lic: Phone: (813)769-5277 Work Desc: NEW TOWNHOME MARTINIQUE-(1,531 SQ FT 37607 DALIHA TER UNIT#177 BLDG 18 BUILDING FEE 699.53 ELECTRICAL FEE 141.08 PLUMBING FEE 94.05 WATER CONNECTION RESIDENT 641.00 RADON 15.31 SEWER CONNECTION RESIDENT 2,010.00 SCHOOL IMPACT FEE-sfr/1% 17.40 SCHOOL IMPACT FEE-sfr/100% 1,740.00 TRAFFIC IMPACT FEE 1% 34.80 TRAFFIC IMPACT FEE 99% 3,445.20 MECHANICAL FEE 65.84 FIRE IMPACT FEE 273.00 POLICE IMPACT FEE 254.00 PUBLIC SAFETY 5% 26.35 PARK FEES TOWNHOMES 769.56 FIRE INSPECTION FEES 13.50 FIRE PLAN REVIEW FEES 9 .28 WATER METER RES 3/4" 220.00 R.eZaxx c,e cSkt iuii FOOTER 2ND ROUGH PLUMB MISC INSULATION CEILING 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 any one 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 pro . If you intend to obtain financing,consult with your lender or an attorney before recording your mmencement." CONTRA R ATURE PERMIT OFFI PE XPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO C LL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER o 0 • • S • • • ® • PERFORMANCE BUSINESS PRODUCTS,INC.813-719-8008 FAX 813-719-7919 CITY OF ZEPHYRHILLS ZEPHYRHILLS, FLORIDA WATER ACCT. NO. DATE_/_21° OWNER/ RENTER n19 ✓ �s MAILING Thmg4 33 SERVICE ADDRESS 37ea/ tL'[ll WATER SHUT OFF SERVICE ❑ El SEWER TURN ON SERVICE ❑ GARBAGE INSTALL METER IN CITY READ METER ❑ ❑ OUT CITY CHECK METER ❑ No.OF UNITS OTHER ❑ DEPOSIT AMOUNT AMOUNT LAST BILL t6 72 DATE MISC.CHARGE METER: full irrigation WORK COMPLETED BY ORDER TAKEN BY &DATE COMPLETED BY Retain white form in office at all times. Send pink&yellow forms to Water Service Dept. Water Service Dept.to sign yellow form&return to office. Lennar Homes-37607 Daliha Terr unit#177 Martinique Permit#8725 SQ. FEET PRICE MAIN OR LIVING: 1,531 $ 96.83 OTHER AREA UNDER ROOF: - $ 94.00 OTHER: - $ - VALUATION $ 148,246.73 FEE SHEET $ 627.00 ADDRESS $ 30.00 DRIVEWAY $ 30.00 BUILDING: $ 699.54 ELECTRICAL: $ 141.08 PLUMBING: $ 94.05 MECHANICAL: $ 65.84 SUB-TOTAL $ 1,000.50 RADON: $ 15.31 TOTAL $ 1,015.81 SEWER: $ 2,010.00 WATER: $ 641.00 IRRIGATION: $ - TOTAL: $ 2,651.00 WATER METER: $ 220.00 IRRIGATION METER $ - FIRE DEPARTMENT FEES PLANS TOTAL: $ 93.28 INSPECTION TOTAL: $ 13.50 PERMIT TOTAL TOTAL: $ 106.78 PUBLIC SAFETY IMPACT FEES POLICE $ 254.00 FIRE $ 273.00 5% $ 26.35 TOTAL: $ 553.35 SUB-TOTAL $ 4,546.94 PARK IMPACT FEES $ 769.56 SIPS: $ 1,757.40 100.0% $ 1,740.00 1.0% $ 17.40 TOTAL: $ 1,757.40 T I F'S: $ 3,480.00 25%TIF AMOUNT DUE AT PERMIT($870)+$4,546.94=$5,416.94 99% $ 3,445.20 75% DUE BEFORE PRE METER$5,136.96-BALANCE 1% $ 34.80 TOTAL: $ 10,553.90 Plan review Comments 1&2 Family Dwelling 1. F.F.E. Shall be a minimum of 8" above the road elevation and a engineered site plan. 2. Lots shall be graded to comply with 401.3 of the F.B.C. 3. Drainage plan requirements shall be made before pre-slab inspection. Ordinance #974-07 section 6. 4. Compaction test required if 24" or more of fill dirt is brought in at any one place. 5. Tie in survey required before pouring concrete. 6. Driveways require a R.O.W. use permit. 7. All setbacks shall be met. 8. All property markers shall be uncovered and marked at time of first inspection. 9. All A.D.A. requirements shall be met. 10. No electric,plumbing, mechanical, or framing shall be covered without an inspection and approval first. 11. All garage shall comply with section R309.2 of the F.B.C. 12. Water heaters shall comply with section 607.3 of the M.F.B.C 13. Return air in all bedrooms. F.B.C. M1620.4 14. Smoke detectors are to be installed in accordance with 313.1 of the F.B.C. 15. All glazing requirements are to be in accordance with 308.4 of the F.B.C. 16. All means of egress are to be in accordance with 311 of the F.B.C. 17. Combination-type AFCI breakers are required at all locations requiring a AFCI type breaker 18. Carbon monoxide alarms will be required in new construction that uses fossil-burning heating or appliances or an attached garage. They shall be installed in accordance with the F.B.C. 19. All plumbing, mechanical, and electrical shall be separate from unit to unit. This includes all underground plumbing and electric. F.F.E.-Finished Floor Elevation F.B.C- Florida Building Code R.O.W.-Right Of Way A.D.A.-Americans with Disabilities Act 813-78U-UUZU lily UI LCj)I IyI I IIIIa r 'I l II. nNµnuauvi � Building Department 44 Date Received Phone Contact for Permitting 8/ 9i8. 45'39` '/ Owner Phone Number 3) 7 '9 �'SZ 77 Owner's Name 45N/j,4, ' ri ODES (8 Owner's Address (a 00 N. L,/grn'SiFO 8Lf O �A. FL33(,oq Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address //� /� �tOO � �./ry/T 1 /✓N iQ• 2� /V/LI.S i .FL 3350 LOT JOB ADDRESS N / /�l Ll� � .f/7'�/rLL. PARCEL ID#[03.-& 2/-O230- SU��IVISI� (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD/ALT SIGN 0 MOVE DEMOLISH INSTALL e REPAIR PROPOSED USE SFR COMM OTHER • TYPE OF CONSTRUCTION BLOCK FRAME 0 STEEL [] OTHER DESCRIPTION OF WORK NEW BUILDING SIZE ] SO FOOTAGE HEIGHT a`STb1C' • BUILDING $ VALUATION OF TOTAL CONSTRUCTION • 3 /, 6So� AMP SERVICE PROGRESS ENERGY C] R.E.C, ELECTRICAL $ /1/0 PLUMBING $ MECHANICAL r$- 44/a s VALUATION OF MECHANICAL INSTALLATION GAS (� ROOFING O SPECIALTY O OTHER FINISHED FLOOR ELEVATIONS ,pD Q , FLOOD ZONE AREA =YES NO BUILDER COMPANY NA - 0 ✓lt5 SIGNATURE REGISTERED Y/ N I FEE CURRENT, Y I N Address O /S/ .�✓�7tr 5i a 7Md License# C�G/ a: S S'?≤/ ELECTRICIAN r COMPANY I /G- a4fflAN . LLB SIGNATURE REGISTERED Y/ N I FEE CURRENT Y/N Address iii. Oc A OE ST L4 of-- 3308 License ; J-3 oaf S( I PLUMBER COMPANY �RT7!/R � �F•M4 i PL.VI7•f6�N SIGNATURE ' REGISTERED Y/ N I FEE CURRENT Y/N Address y9 f TAM..A FL33D/31License# CFG,Q / 72 MECHANICAL COMPANY 8q a/t/FT/Z uMOY /Gi H?/V(r,.A/�G SIGNATURE REGISTERED Y/ N I 'FEE CURRENT Y/N Address .0, 80)c '.5O. 3y oNET7oiNr, 35/69 .License#. .1. CAC mss$ 0 OTHER COMPANY f1 ' SIGNATURE SIGNATURE REGISTERED I Y/ N j FEE CURRENT Y/N Address 112/1 ./Y0AL L/U St-vo .ASP IN6 Ali 4 L63W0 ' License# I C . Co s'T 9 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 wl Silt Fence installed, Sanitary Facilities&I dumpster;Site Work Permit for subdivisions/large 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/Sllt Fence Installed, Sanitary Facilities&I dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. ""PROPERTY SURVEY required for all NEW construction. 111111W1111111W IlIlIlIWhIWIlIl 1111111W WI III I 1111111 I Iffiffill IlIlIlIllIll IllIllIllIll III 11111 III III WI III IllIlIlillili lW 11111111 Directions: Fill out application completely. Owner&Contractor sign back of application, notarized If over$2500, a Notice of Commencement Is required. (A/C 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 A/C Fences(Plot/Survey/Footage) Driveways-Not over Counter If on public roadways.:needs ROW NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed" restrictions" which may be mote'restrictivethan 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 tmpaet'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 Couty 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"owwner" 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 l 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 toinform a se atrratee pn a r mit mof he permitting ay berequired for conditions electri alowork;rth in stand plumbing, signs, wells, pools, air conditioning, g this affidavit prior to commencing construction. lasn or that other installations not specifically included in the application.A permit issued shall be construed to be a license to proceed with the codes, nor shall Issuance a permitd not as authority to,prevent the Building set aside any provisions of the technical Official from"t ereafter requiring a correction of errors in plan is commenced within six am nths of permit issuance, or permit ncedif work authorized by shall become invalid unless the work authorized by such permit r a of six ) months after the time the k is ension the permit is suspended or abandoned Build Building Offi Official period not to exceed.ninetyr(90) days andewill demonstrate t may be requested, in writing, from the g e� justifiable cause for the extension. if work ceases for ninety (90) consecutive days thjob is considered abandoned. , O OWNER: YO RE TO RECORD A NOTICE OF COMMENT MAY NC NG CIONSU T N YOUR WARNING .T NT O YOUR PROPERTY. IF YOU INTEND PAYING TWICE FOR IMP IT YQUR LE DER A ORN Y BEFORE RECORDING YOU N F CO NCEMENT. FLORIDA JURAT(FS. 117 CONTRACTOR OWNER OR AGENT re me this Subscribed and savor or a Ee�me this PFteMBFK Subscribed and sworn t { zeo9 by t�f,Rom by Who is/are personally known t m_e or has/have produced known to me or has/have produced _ as identification. Who is/are personally as Identfication. Notary Public Notary Publilc �r.r►n,ln7 D 7g .Z3 Commission No Commission No. " ' ' ''" "'3 Name of Notary typed,printed or st Name "" ELISSA M.HOLLERAN RERAN `' :___ Commission DD 774023 Commission DO 774023 Expires June 6,2012 Expires June 6,2012 "'. Exp1 es nor a a,201 eooae P019 `:., - eawred nxu rroywn w r,na aoosss rme FEE SHEET COMM RES f -� -� Ott 1, h& ��// G a Square Feet: � Rate Valuation: r C mputed( m uted At: 1 � 73 Use System Calc for Fees) Radon: Connection Fees: Sewer: ro.oc Water: 1;ôô Water Meter: /?/4 ize Current 6/11/07 " 18000 220.00 All Residentials 1" 250.00 320.00 1 .5" 650.00 725.00 2" 875.00 990.00 3" & 4 Contact Louie for Quote Irrigation Connection: 175.00 266.00 Plus Meter Charge Above •Based on size Impact Fees: School: Transportation: 2" -' Park Public Safety: S (ZsA 6S32rld:uo!sJ A)®eBney(BJau3 'pgZ ssUed uo Indlno self)Jvw!M 7g)ewwng ses'seaje pue od e 8 len�e and•vdQ s9sJ6)uauluioPmd J.;.:-j 13tddO JNIa9U1e :IN3!DV/?l3NMo I AwguS epuotd 041 LMA• ,� •saanle}S BpuoL-I soue!Idu=U. • )sap SE'Bu!p!!nq sly lsyl �QfJ M 0061mg uo1—pos q ►amelldwoo joppapadsul aq Ulm Bulplinq SINI pty.S :31!da P9110woo s!uo!pnAsuno ato;ee 'apoo AOAua Bmiold eul ua!M », :J19 a3aad3.ad �° aouwldwoo swlpu!uolleli oleo ep03 O8�� ��o" S!Lp/(q ponAw Suollii:ogioeds A epuold a as ldwao u!aae uopelrril�a s!ta sie pue sueld ay;Lo nnalnaa ,cq paianoo suolleo!eds pus sueld ayl le4l A i o Aga 1 SSVd • e�l — £6"L s}u)od eseq l 80'Q Id/ 1J :E9 .loo SS.e ZLLb4 s.julod.}ilnq-se lqo� - = - -- _______- (Ilmeall ouo2llia H-7vB '2og000 ouozpinw-Z-Zw • 4(iOSI`0.9=*I.dnS aouaJpl:(palvS)Hv t103•1 )I 0U fl:dnS v 'iansouustij aiRcanuafdo,d.Ld sl '+Q 'U `uj osnoq olminn-JH V/N • 4U0t1 llNan 3-A3`unj gumoJ-dJ) VIM q uT;Lo 3VAl-i S t r1L O'998'O,OE==a o4IV bPsIl's• (dwnd isoq Pa{a^IPaa-dHU sad C 1I13 '01 • as;oS'daan0aW InH-fH) V/bl.3 • — s1!Pvaa uoganaasiioo'o — V/N'P : :f — V/H'o — v/N'g — - v/u g • _.. 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I O 11111111111111111111111111111111111111 6 TRUE AND CORRECT COPY OF THE DOCUMENT ON FILE OR OF PUBLIC RECORD IN THIS OFFICE Rept: 1220961 Ree: 10.00 SS MY H OFFICIAL SEAL THIS DS: 0.00 IT: 0.00 01/09/09 Dpty Clerk A S. O'NEIL, CLERK& C MPTOL PAULA S. O'NEIL, PASCO CLERK OR BK � CLERK & COMPTROLLER DEPUTY 01/09/09 ��� 1 016 pG NOTICE OF COMMENCEMENT Permit No. Property Identification No '"CJ3-26- /- 0230- Oo O— 1770 THE UNDERSIGNED hereby give informs you that the improvement will be made to certain real property,.and iin accordance with Section 71.3..13 of the'Florida Statutes,the following information is provided in this NOTICE OF COMMENCEMENT. 1.Description of property(legal description.)4o r 10 7 S/1_K+ND ,41k 7o .u/No, p ' PG/Q a)Street Address: 3 ?b o'/ D A I.,NA TEst 2.General description'of improvements: /^Of- %Jeierral —1-V LoJc�re. 3.Owner Information a)Name and address: Lf1VNA,e //c*/& ZAJl. Goo /V. e,1Errrdloow P3 e,1 Q.W/o4,GL 33409 b)Name and address of fee simple titleholder(if other than owner) c)Interest in property . ontractor Information a)Name and address: YTEVE.5'm/rN ("00 Al LJesssMo2B 8 vo.rre hoc ,TAMr Aix F.4 33409 b)Telephone No,: �(S 13) 7g—. 2'77 Fax No.(Opt) 5.Surety Information a)Name and address: /✓1A b)Amount of Bond: 4,14 c)Telephone No:: Fax No.(Opt.) 6.Lender a)Name and address: __ll Phone No. in th 7. Identity of person within State of Florida designated by owner upon whom notices or other documents may be served: a)Name and address:JlTEyES,i,rN— 4 W. MesJVoRf &t/Da Ji'E 600, TA•wMA . # t 33609 b).Telephone No.: x(1313) IC.9—$271 Fax No.(Opt.) 8.In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice,as provided in Section 713.13(1)(b),Florida Statutes: a)Name and address: _V/_ •b)Telephone No.: S 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. STATE OF FLORIDA COUNTY OF PASCO Signature o r Owner's Au orized Ofticer/Director/Partner/Manager Print Name • The foregoing'instrument was acknowledged before me this__rµ day of • ) c t e . '20-0 S by l e Ni9E L k- .S?FpRNS as •MAivAGEi2. • (type of authority,e..g..officer,trustee,attorney in fact)for LEN/V fl, e o repoR 4 rio,i (name of party on behalf of whom in ent was executed). Personally Known ✓ OR Produced Identification Notary Signature Type of Identification Produced. Name(print) &L./S SW iV /`l a E Verification pursuant to'Section'92.525,Florida Statutes.Under penalties ofperjury,I declare that I have read the foregoing and that the facts stated in it are true to the best of my knowledge and belief. Signature of t IPersonSigning Above • OR1d81NOC,nsd200T • ' " ' ELISSA M.HOLLERAN •_ Commission DD 774023 Expires June 6,2012 • eaidnruT mis R' 1.t.�f,�T F sz! 1 d i-, {#w '7 tom' '`_�+��� .EAR IA- !!A Di ' !! F C T L ADDR 600 N WE c. S.HOF E BL t nf .._.FR SOLID TE -ham_.- # 6_0-7 :r DALIHc T_!t U 1 i77 r B a CUNT RAi_.!l..} ss 9?9999 ^ I •a TOTAL k"05UN, 30.26 Acc: T C5iFy ACCoUNT CENTER , RECEIVED SY