HomeMy WebLinkAbout09-9953 CITY OF ZEPHYRHILLS
•
5335 - 8TH STREET
(813)780 -0020 9953
BUILDING PERMIT
P ermit Number: 9953 Address: 5911 FOREST LANE
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: FOREST VILLAS
Est. Value: Parcel Number: 10 26 - 0110 - 00000 - 0120
Improv. Cost: 4,390.00 W 9b A_
Date Issued: 1/04/2010 Name: HES MILDRED
Total Fees: 55.00 Address: 74 THORNCROFT AVE
Amount Paid: 55.00 BATTLE CREEK MI 49017
Date Paid: 1/04/2010 Phone:
Work Desc: REROOF SINGLE FAMILY
A. BA L -• I FIN O NTRAL F = s s F IDE IAL 55.00 v
1,4)
.°k - >✓ is .: : dog ar €':: i .„ _, a.Y - , tk %3'' ' n r 1 ,a'.. 5r sr >
DR NR�• N P
TAPE JOINTS jOQFaINi R
FINAL S L
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: ur failure to record a notice of commencement may result in your paying twice for —
improvements r property. If you intend to obtain financing, consult with your lender or an attorney
before record �L• _ oti of commencement."
i: • SIGNATU PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS
5335 - 811H STREET
(813)780 -0020 9953
BUILDING PERMIT
77:4 ,'1
,
Permit Number: 9953 Address: 5911 FOREST LANE
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: FOREST VILLAS
Est. Value: Parcel Number: 10- 26 -21- 0110 - 00000 -0120
Improv. Cost : £ , ,, -- , ;, ° : 2p !WPM*
M
Date Issued: Name: HESS, MILDRED
Total Fees: 7 Address: 74 THORNCROFT AVE
Amount Paid: BATTLE CREEK MI 49017
Date Paid: Phone:
Work Desc: REROOF SINGLE FAMILY
A. BAR L R • • 1 • F N RAL - ER • • - E DEN IAL 35.00 - E l l • F • MM - IAL 35.00
DR IN - • • I -
TAPE JOINTS ROOF INSP
FINAL
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 property. If you intend to obtain financing, consult with your lender or an attorney
before recording your notice of commencement."
CONTRACTOR SIGNATURE PERMIT OFFI 'R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813 -780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021
Building Department
A' 1 ,
Date Received «�� phone Contact for Permitting
Owner's Name ',WON ,
Owner Phone Number
Owner's Address IM ,'JV 4L / Owner Phone Number
�
Fee Simple Titleholder Name G R�� • wner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS LOT #
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD /ALT I 1 SIGN I I MOVE I 1 DEMOLISH
INSTALL REPAIR
PROPOSED USE ( I SFR I 1 COMM I 1 OTHER 1
TYPE OF CONSTRUCTION I 1 BLOCK 1 FRAME 1 1 STEEL I I OTHER 1
DESCRIPTION OF WORK
BUILDING SIZE SQ OTAGE HEIGHT
BUILDING [ l ( o VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL $ (T AMP SERVICE 1 1 PROGRESS ENERGY I W.R.E.C.
PLUMBING $
MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
GAS 1 1 ROOFING I I SPECIALTY 11 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES 1 INC)
BUILDER COMPANY
SIGNATURE REGI STERED I Y/ N I FEE CURRENT I Y/ N I
•
Address License #
ELECTRICIAN COMPANY
SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N I
Address 1 License #
PLUMBER COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1
Address I License #
MECHANICAL COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I
Address / , License #
�� p .. ii i �
OTHER - � COMPANY 7 / i lly " '�•
SIGNATURE REGISTERED Y / N FEE CURRENT
Address 1 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, 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. II demo
may be requested, in writing, from the Building Official for a period not to exceed ninety (90
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the jo• ' conside - i abandoned.
WARNING TO OWNER: Y • • ' AILURE TO RECORD A NOTICE OF COM ■ NCEM MAY RESULT IN YOUR
PAYING TWICE FOR IMP • MENTS TO YOUR PROPERTY. IF YOU INT • • -• AIN FINANCING, CONSULT
WITH YOUR LENDE % ' A ,r RNEY BEFORE RECORDING YOUR !• COMMENCEMENT.
FLORIDA JURAT (F.S. 1 Apiar '�
OWNER OR AGEN ii CONTRACT • -
Subscribed an. = ,,�� /
jju::
e. .�' me this Subscri. and swom.-d -fore i -
�� • b y ARM Who is are persona known to me or has/have produced
Who is /, a personally kno to me or /have produced as identification.
as Id-ntlfication.
Notary Public otary Public
Commission No.
Commission No. -
Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped
,.. Lcrtlztt t afing Of 1! ntrax`, R'hartha, ,1nr•
C/O Richard Bartlett
38408 3rd Ave. ,
Zephyrhills, FL 33542
One of the Largest, Oldest, Most Qependable OFFICE
Roofing Companies in Central Florida '
! , \ ' Specializing in Mobile Home JP Stevens White Rubber Roofs ! i PHONE
`' & Insulated Aluminum Roof Overs ` 813) 782 -5585
'Al $13X,973 - 7,137
RESIDENTIAL • COMMERCIAL + OBI ; E HO E � 5 23- 94'
LICENSED - INSURED s. .OND
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` 4�iC 0031769
• MEMBER OF THE CHAMBER() CO - C
Serving Zephyrhills, Dade City, Quail Hollow, Wesley Chapel, Land 0' LakeS.an rroundin9 Areas
We have re- roofed more roofs (96, 000) in the past 35 years than the four to . ` - a • in roofilw mpanies comb .
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President & Ovytier A. Ping of Centrfal FL, Inc.
Sign: { f 1
Ricl�rd C. Bartlett '
,• THANK YOU
Your Business is Appreciated.
Payment upon completion unless previous arrangement made. Warranties pertain to original owner
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Al arrangements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance.
Our workers are fully covered by Workmen's Compensation Insurance. Customer is liable for any charges incurred in collecting this bill.
Rotten wood is an extra $35.00 per sheet (4 -ply). Rotten fascia is $2.00 per linear foot. Total
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• `Pasco County Parcel: 10 -26 -21 -0110- 00000 -0120 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: I Weekly Archive - Saturday, December 26, 2009
I Parcel ID II 10- 26 -21- 0110 - 00000 -0120 (Card: 001 of 001)
Classification I 01 - Single Family
Mailing Address Property Value
HESS MILDRED E Ag Land $0
74 THORNCROFT AVE Land $6,276
BATTLE CREEK, MI 490174524 Building $59,494
Physical Address Extra Features $858
5911 FOREST LN
ZEPHYRHILLS, FL 33542 -3260 Market Value $66,628
Legal Description (First 4 Lines) Assessed (Save Our Homes) $0
FOREST VILLAS UNRECORDED PLAT
PARCEL 12 BEING A PORTION OF Taxable Value $66,628
LOTS 18 & 19 BLOCK 2 FOREST
HEIGHTS PB 8 PG 10 DESC AS COM
I Land Detail (Card: 001 of 001)
Line (I Use IJDescriptionll Zoning lI Units (I Type II Price II Condition II Value
I 1 II 0100 II SFR II 00R4 11 3,338.27 II SF II $1.88 II 1.00 II $6,276
Additional Land Information
I Acres II 0.08 II Tax Area II 30ZH II FEMA Code II X IlResidential Code() FVLALP1
Building Information - Use 01 - Single Family Residential (Card: 001 of 001)
Year Built 1980 Stories 1.0
Exterior Wall 1 Concrete Block Stucco Exterior Wall 2 None
Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
Interior Wall 1 Drywall Interior Wall 2 None
Flooring 1 Cork or Vinyl Tile Flooring 2 Carpet
Fuel Electric Heat Forced Air - Ducted
A/C Central Baths 2.0
Line II Description 11 Sq. Feet
I I I Repl. Cost New
1 I I BAS II 1,388 $71,038
I 2 FEP II 136 $4,862
I 3 11 FOP I 60 II $768
Extra Features (Card: 001 of 001)
I Line II Description I Year II Units 11 Value
I 1 II DWA I 1980 I 300 I $188
2 1111 FIRE PL I 1980 I 1 I
$424
I 3 II UDU -M I 1997 lI 1 $246
Sales History
I Previous Owner 1 RECKER HENRY &
I Year 11 Month I Book /Page I Type II Amount
I 2002 1 09 I 5082 / 0826 II QC 11 $0
2001 II Q 04 I 4584 / 1309 11 I $0
1991 12 I 2072 / 0816 II WD II $49,000
Search Again Map Generalized Building Schematic Frequently Asked Questions Estimate Taxes
http: / /appraiser.pascogov. com/ search /parcel.aspx ?sec= 10 &twn= 26 &rng=21 &sbb= 0110 &... 12/30/2009
Phone Call Script
Hello my name is (YOUR NAME), and I am calling on behalf of Faith Christian Center, in support of your
decision that was made as an altar call respondent. I want you to know how excited I am about the decision you
made for (salvation, rededication, baptism of the Holy Spirit, and membership- obtain information off the slip.)
** *You want to make sure that the person understood what has just taken place in their life. * **
A. Remind about; where, when, and what time new member class takes place.
B. Invite them and their family out to our "Circle of Faith" group meetings. Get them in touch with the
leader of a group that is closest to their home.
C. Ask if any concerns or questions do they need prayer for anything.
D. Before you hang up pray a prayer of blessing over person.
* ** *Make sure before you hang up that every person whom you contacted are assured of our love for them, and
that our goal is for new believers to become established. * * * * * * * * * * **
Calls are to be made between hours of 9:00 a.m. until 8:00 p.m.
Encourage, Encourage, Encourage ...
15
FOREST VILLAS UNRECORDED PLAT PARCEL 12 BEING A PORTION OF
LOTS 18 & 19 BLOCK 2 FOREST HEIGHTS PB 8 PG 10 DESC AS COM
AT .NE COR OF SECTION 10 TH N89DG 38' 40 "W 671.73 FT ALG
NORTH LINE OF SECTION 10 TH SOODG 04' 30 "E 25.00 FT TO NE
COR OF BLOCK 2 FOREST HEIGHTS TH N89DG 38' 40 "W 150.00 FT
TO EAST RIGHT -OF -WAY LINE EAST HART DRIVE & NW COR OF LOT 22
BLOCK 2 FOREST HEIGHTS TH SOODG 04' 30 "E ALG EAST RIGHT -
OF WAY LINE EAST HART DRIVE 418.48 FT FOR POB TH N46DG 45'
49 "E 86.71 FT TH SOODG 04' 30 "E 52.78 FT THS 46DG 45'
49 "W 86.71 FT TO EAST RIGHT -OF WAY LINE EAST HART DRIVE TH
NOODG 04' 30 "W 52.78 FT TO POB OR 2072 PG 816
OR 4584 PG 1309 OR 5082 PG 826
NOTICE OF COMM.ICEMENT IIIIIIIII
Rcpt:1280627 Ree: 10.00
Permit No. DS : 0.00 IT: 0.00
12/31/09 Dpty Clerk
Property Identification No.
THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Section
713.13 of the Florida Statutes, the following information Lt provided in this NOTICE OF COMMENCEMENT.
7� b .R/
1. Description of property (legal description :) ( O - 04 --0 N 000 O /2_0
a) Street Address: 5911. Forrest Lane Zephyrhills. FL 33541
2. General description of improvements: R e r o n f MH S h i n g 1 PR
3. Owner Information `
a) Name and address: Mildred Hess 5911 Forest Lane Zephyrhills, Fl 33542
b) Name and address of fee simple titleholder (if other than owner)
c) Interest in property
t 4. Contractor Information
R a)Nameandaddress: A Bartlett Roofing 38408 3rd. Ave. Zephyrhills, F1 33542
b) Telephone No.: 813- 787 -5585 FaxNo.(Opt.) 813 - 780 - 1805
5. Surety Information •
a) Name and address:
b) Amount of Bond: PAULA S. O' NE I L , PASCO CLERK & COMPTROLLER
c) Telephone No.: Fax No. (Opt _ 12/31/09 OR BK Z Q; 0�5 1 of PG 1 0 22
6. Lender 4
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 / / r"4)2A'"-4� aa�
Signatt OwteCor O er's horized Officer/Director /Partner /Manager
/ / / /ame ill
Print Name
The foregoing instrument was acknowledged before me this day of , 2017 , by
as (type of authorit e.g. officer, trustee, attorney
in fact) for (name of party on behalf of whom instrument was executed).
Personally Known OR Produced Identification Notary Signature
Type of Identification Produced Name (print) tL �L'I' 46
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. /r
NOTARY PUBLIC - STATE OF FLORIDA )i)&1.04
l►
""%t Richard C. Bartlett llli���
Signature of Natural Person Signing Above
FORMS /NOC,rvsd2007 'v I Commission #DD878490
„ ,,,.••' Expires: JULY 31, 2013
IONDED TIntU ATLAAT1C BONDING CO. JNC
STATE OF FLORIDA, COUNTY OF PASCO
THIS IS TO CERTIFY THAT THE FOREGOING IS A
TRUE AND CORRECT COPY OF THE DOCUMENT
ON FILE OR OF PUBLIC RECORD IN THIS OFFICE
WITNESS MY H' = ' ND OFFIC AL SEAL THIS
DAY 0 I ,L 1
PAU O'NEI , & COMPT LLE
TY CLERK