HomeMy WebLinkAbout09-9925 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780 -0020 9925
BUILDING PERMIT
* S'a9u : t'", :,. g `' S 5'. s � t �`.. OEx' „#,E x t�g ;.. s r •�fl<,� .#.. e..{ N ' „ s j k.
Permit Number: 9925 Address: 5601 17TH ST
Permit Type: RE -ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11- 26 -21- 0010 - 11400 -0050
Improv. Cost: 4,700.00 :VAN :17 7.777 ,. 7. # '
Date Issued: 12/22/2009 Name: CHAGNON, MINNIE BELLE
Total Fees: 55.00 Address: 5601 17TH ST
Amount Paid: 55.00 ZEPHYRHILLS, FL. 33542
Date Paid: 12/22/2009 Phone: (813)782 -0137
Work Desc: REROOF SHINGLE
• :LA A14:01
N R• SFI NC "E=O•F RE DENTIAL 55.00
1 00 / ? S_V v_\, ;; L ovyt .str
tiA(
. ” €, sea' ;i $ . # > .�. , 1 °t .�# = s ,t°: 3 .. .✓. ...� ° .......5 ..`• ��,`L .� .. .:.t -`
`
TAPE JOINTS ROOF INSP /
FINAL I
REINSPECTION FEES: Reinspection fees will comply wi Flo d Statute 553.80 (2)(c) when extra inspection
trips are necessary due to any one of the following reaso • - 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 44
/ONTRACTOR SIGNATURE PERMIT OFFI FR
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION — 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
State evrtejeed Proposal /Contract
Scarf , Tote.
5 P.O. Box 1188. 33010 SR 52
San Antonio, FL 33576 .diceadcd,
(352) 588 -ROOF (7663) • (813) 782 -1330 &Laded &
Fax (352) 588 -9763 9otatote l
4 7 t e , www.scottblackmanroofing.com
Regoi4u; eeuervaetoic email: blackmanroofing @aol.com Date
eee 057957
PROPOSAL SUBMITTED To WORKED TO BE PERFORMED AT
Name 0 • 0 VOZZ • SP'" Street
Street _6 ®1 n Si City
City Z t' {)V►1 ✓ 14 i 11 S State Zip
State c I Zip Owner of Property
11
Phone Number 7� L -'" d 131 Fax Phone Number Fax
We heby propose to furnish all the materials and perform all the labor necessary for the completion of:
eNemove existing shingle roof ❑ Replace bad fascia boards at $ & per foot
❑ Remo e existing built -up roof____ ❑ Replace 1 x decking at $ per foot
9'Dry-in with ❑ 15 Ib. 2-36 ❑ Install feet of ridge vents
❑ Dry-in with a fully adhered underlayment $ ❑ Install modified bitimen (granulated) torch down roofing
galvanized valley met a dditi ona l
❑ Inst
g Y black, white or other color
nstall new lead boots ❑ Inst 5 yr. fungus resistant 3 -tab shingles
D Instal w exhaust vents Install 30 yr. fungus resistant dimensional shingles
nstall new drip edge, (/ "I '%...J h IT` color ❑ Shin a manufacturer / is ?J color _° 6 h
❑ Install new flashing as needed Install TPO, white rubberized roofing membrane
0 Replace plywood at $ / Yi' per sheet ❑ Other: X (A // .5 A1 4 A7 t i •, GiViMNOMICOl
❑ Repair rotten trusses at $ it/ ht-- per foot
*Woodwork is an additional charge, see pricing above i - K,v` a tw) A 7 d r .• r 1'..S
All material is guaranteed to be as specified, and the above work is to be performed is accordance with the drawings and specifi-
cations submitted for above work and completed in a substantial workmanlike manner for the sum of $ ! 70 O° b 0
with payments to be made as follows: Payment due in full on completion, unless otherwise noted. Thank You.
Credit cards accepted, additional 2.8% charge.
*Not responsible for satelite signal when satelite is reinstalled *Not responsible for A/C & electrical lines too close to roof decking
Any alteration or deviation from above specifications involving extra costs will
be executed only upon written orders, and will become an extra charge over and
above the estimate. All agreements contingent upon strikes, accidents or delays Officer /Agent Scott Blackman Roofing
beyond our control. Owner to carry fire, tomado and other necessary insurance
upon above work. Workers' Compensation and Public Liability insurance an above Note: This proposal may be withdrawn by us if not accepted
work to be taken out by Roofing Contractor. Extreme caution should be --.■
used during and after construction for debris and nails missed during within days.
cleanup.
ACCEPTANCE OF PROPOSAL
The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as
specified. I have read the back of this Proposal /Contract, which contains Florida Statues 713.001- 713.37. Payment will be made as
outlined above. Client gives permission to drive on driveway to deliver mater' s
Accepted Signature !.dl/iY ��
Date Signature
813-780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021
Building Department 9/9
Date Received • Phone Contact for Permitting --
Owner's Name 1 / ✓111 f Z. L l� ( Pico ki ("' Owner Phone Number
Owner's Address .A. l - 2 /L S t Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number ,
Fee Simple Titleholder Address
JOB ADDRESS 5 (' I. I J k S - t - Z' I I I S LOT #
SUBDIVISION
PARCEL ID# /( - � - 4 - Z I - C Pi0 -/ q cc • -c;C t;
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED I I NEW CONSTR I I ADD /ALT 1 I SIGN 11 MOVE J J DEMOLISH
INSTALL REPAIR
PROPOSED USE 1 1 SFR I I COMM J I OTHER I I
TYPE OF CONSTRUCTION I I BLOCK J I FRAME 11 STEEL J I OTHER' I
DESCRIPTION OF WORK ,• V (u 2 CD .5,- `Z r-�/ 3 �' y <'<< v �j 1-3 I% r S
BUILDING SIZE
SQ FOOTAGE 2 11 `'' c, JJ HEIGHT /
I J BUILDING $ L/ f 700 O VALUATION OF TOTAL CONSTRUCTION
1 I ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY 1 1 W.R.E.C.
1 1 PLUMBING $
1 I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
I I GAS ROOFING 1 1 SPECIALTY I I OTHER
FINISHED FLOOR ELEVATION S FLOOD ZONE AREA I IYES LINO
BUILDER COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I
Address License #
ELECTRICIAN COMPANY
SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT 1 Y/ N 1
Address License # I I
PLUMBER COMPANY
SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT I Y/ N I
Address License #
MECHANICAL COMPANY
SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT 1 Y/ N 1
Address License #
/�
OTHER <? �? - COMPANY Je JtlC.t C. k Ic G( , -zG'!1 1 G d/✓t
SIGNATURE ; Z � r / Gv� - -- REGISTERED 1 Y / N 1 FEE CURRENT 1 Y / N -' -
Address 3 3 U 5 Co\ 5 et " e`' v` 1" tfi-1 1 License # ( ( (C) 2 S S /
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 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/ 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.
* ** *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. (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 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 job 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 ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT (F.S. 117.03)
OWNER OR AGENT - CONTRACTOR
Subscribed and sword to (or affirmed) before me this Subscribed and sworn to (or affirmed) before
by by
Who is /are personally known to me or has/have produced Who is /are personally known to me or has/have sher produced a on.
as identification.
Notary Public Notary Public
Commission No. Commission No.
Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped
STAT { FL0RIbA;/'COU.NTY OF PASCO 111111111111 1111111111111111111111111 1111111111 11111 11111111
THIS' TO IF"( HAT FOREGOING IS A 2009182450
TRUE AND C.O REC1 COPY O THE DOCUMENT
ON FILE, OR f3F U BLIC REC'''ORD IN THIS OFFICE Rcpt: 1279261 Rec: 10.00
WITNESS YHA ,�7?,,N OFFIGIrALSEALTHIS DS: 0.00 IT: 0.00
All'(F "i j 2 a� 12/22/09 Dpty Clerk
PO_ 'N L, CLERK & COMPTROLLER
PAULA S. O'NEIL, PASCO CLERK & COMPTROLLER
12/22/09 0$_:14401 1 of 1
BY ' �'. DEPUTY CLERK OR BK P6
1991
NOTICE OF COMMENCEMENT
Permit No. //�
Property Identification No.' / 2Vi — 2 1 - 0010 -1 HQO'' 005
t
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Section
713.13 of th;, Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT.
1. Description of property (legal description :)21 P 1 P V 5/ LOTS 5, E3L,k I iv oie 2 O3v P(, i 2 3
a) Street Address: SIc Of I7 H St- Z iyrh /s FJ 335 c:
2. General description of improvements: yQ e_ r r. i-4 t v/ `-. 3 0 AS plIcd 1 .S h 1 . �; (,
3. Owner Information `J
a) Name and address: / M74 Be fie CA 9,nc e 5: C / 7 r 'Jt' 2 trh�. rh //s F/ 3335/a
' b) Name and address of fee simple titleholder (other than owner)
c) Interest in property
pt
4. Contractor Information
a) Name and address: .' (Cff el etr ki'►nc4 t - , R.tc "EPIC 30l O --Ca S 2 Pat x ) i to .SON Ighh F J 3 3 C 7(O
b) Telephone No.: 35 - air - 7 fc 63 Fax No. (Opt.) .3S'd - S is 8 9 763
5. Surety Information
a) Name and address:
b) Amount of Bond: .
c) Telephone No.: Fax No. (Opt.)
6. Lender
a) Name and address:
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 receive 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.
STATE OF FLORIDA /
COUNTY OF PASCO d'''. �� �s _ `, _ --�
Signature of Ow or Owner's Authorized Officer/Director /Partner /Manager
CC e k-14-10 GI
Print Name 5 g. g gCcilay -a �,� I, Y
fore of instrument was acknowle ed befo .e me thi of 1��! L ��UC.�, 2 b L _NRUL as I . C (type of authority, e.g. officer, trustee, attorney
in fact) for ' (name of party on behalf of whom instrument was executed).
Personally Known V OR Produced Identification Notary Signature Ce `) (LA/v.\
Type of Identification Produced Name (print) U i , a„,, k i� k
V
Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, 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. /
S of Natural Person Signing Above
FORMS /NOC,rvsd2007
,I. . :,, COHI ANSI! KEOUGH
� Uo tary Pu!alr State of Florida
k1} G:• nrrs cxc +pins Aug 17, 2010
r y . Cr'* !• ^it,sion = X 5 &6503
4 k; , ` .;' P ,,, N:aiaial Notary Assn.
Pasco County Parcel: 11- 26 -21- 0010 -11400 -0050 001 Page 1 of 2
Search Again Map Generalized Building Schematic Frequently Asked Questions Estimate Taxes
Other Agency Data: Tax Collector School Board Supervisor of Elections
Data Current as Of: II Weekly Archive - Saturday, December 19, 2009
I Parcel ID II 11- 26 -21- 0010 - 11400 -0050 (Card: 001 of 001)
Classification 11 01 - Single Family
Mailing Address Property Value
CHAGNON MINNIE BELLE Ag Land $0
5601 17TH ST Land $25,704
ZEPHYRHILLS, FL 335424405
Building $33,048
Physical Address Extra Features
$1,042
5601 17TH ST
ZEPHYRHILLS, FL 33542 -4514 Market Value $59,794
Assessed (Save Our Homes) $46,911
Legal Description (First 4 Lines) Homestead 196.031 $25,000
Non - School Additional Homestead Exemption - $0
See Plat for this Subdivision
ZH PB 1 PG 54 LOTS 5, 6 Non - School Taxable Value $21,911
BLK 114 School District Taxable Value $21,911
OR 2034 PG 1237 Warning: A significant taxable value increase may occur when sold.
Click here for details and info. regarding the posting of exemptions.
I Land Detail (Card: 001 of 001)
Line II Use IlDescriptionll Zoning II Units II Type Q Price Q Condition II Value I
I 1 II 0100 0 SFR II 00R2 II 8,400.00 II SF II $3.06 II 1.00 II $25,704 I
Additional Land Information
Acres II 0.19 II Tax Area II 30ZH II FEMA Code II X IlResidential Codell ZHLHLP2
Building Information - Use 01 - Single Family Residential (Card: 001 of 001)
Year Built 1957 Stories 1.0
Exterior Wall 1 Asbestos Shingle Exterior Wall 2 Above Average
Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
Interior Wall 1 Wall Board or Wood Wall Interior Wall 2 None
Flooring 1 Cork or Vinyl Tile Flooring 2 Carpet
Fuel Electric Heat Forced Air - Ducted
A/C Central Baths 1.0
Line II Description II Sq. Feet 11 Repl. Cost New
1 II UEA II 312 II $5,114
2 II BAS II 1,196 II $39,205
3 II FCA II 312 II $2,557
Extra Features (Card: 001 of 001)
Line II Description II Year II Units II Value
1 II DWSWC II 1957 II 178 II $67
2 II CLFENCE II 1983 II 1,000 II $353
3 II UDU II 1957 II 168 II $378
4 II UDU -M II 1983 II 1 II $244
Sales History
Previous Owner 11 N/A
Year 11 Month II Book /Page II Type II Amount
1991 I 07 II 2034 / 1237 II 2 11 $
1977 II 01 II 8890 / 1132 1 1 $20,000
http: // appraiser. pascogov .com /search/parcel.aspx ?sec =11 &twn= 26 &rng =21 &sbb= 0010 &... 12/22/2009
City of Zephyrhills
2 BUILDING DEPARTMENT
(�
RE: Permit # q / 2 5 9/17/07
Inspection Affidavit
I ,� Cvi ` f i elgt a.,:z g 4.1 ,licensed as a(n) Contractor* /Engineer /Architect,
(please print name and circle Lic. Type) FS 468 Building Inspector*
License #; (Y C or Jf ,c— 7
On or about i aJ a ! ( , I did personally inspect the roof
(Da / (..)
timee)
ck nailing and / or second • r ',e a te 4. - 17:1 rrier , o rk at ,..5 6 0 1 J -7 r - 7 -- ,
c,irc.1i ,,,.. (Job Site Address)
Ze pi/tf vI1 /// // .
Based upon that examination I have determined the installation was done according to the
Hurricane Mitigation Retrofit Manual (Based on 553.844 F.S.)
Signature
STATE OF FLORIDA
COUNTY OF
Sworn to and subscribed before me thisrday of a (L yvi . If . 200_
By €COtt l (CLCkCVict .
Notary Public, State of Florida
Print
( , type or stamp name)
Commission No.: _
Personally known or
Produced Identifica io
Type of identification produced.
* General, Building, Residential, or Roofing Contractor or any individual certified under 468 F.S. to make such an
inspection. Include photographs of each plane of the roof with the permit # or address # clearly shown marked on the
deck for each inspection. _ KEOUGH I et: � " CORI ANN KEOUGH '
.'' � Public - StI or Florid.
• Co m�.ion Expires hp 17, 2010
'. + ./ Commission 0 DO 588509
Eondsd ey NNfon.l No try Aesn.
..
• �n