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Home My WebLink About09-9992 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 9992 • BUILDING PERMIT Permit Number: 9992 Addr �.�... �� >s. . . Address: 39740 MEADOWOOD LOOP LT 12 Permit Type: ADDITION /ALTERATION ZEPHYRHILLS, FL. Class of Work: 434 - ADD /ALT RESIDENTIAL Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: MEADOWOOD ESTATES Est. Value: Parcel Number: 13- 26 -21- 0140 - 00000 -0120 Improv. Cost: 7,000 .00 t . , ,- _ fiM A*4 a ' Date Issued: 1/14/2010 Name: BARKER, ESTHER Total Fees: 132.50 Address: 39740 MEADOWOOD LOOP Amount Paid: 132.50 ZEPHYRHILLS, FL. 33542 Date Paid: 1/14/2010 Phone: (813)788 -6325 Work Desc: REMOVE & REBUILD EXISTING FLORIDA ROOM 14 x 10 H • OWNER • BUILD E 97.50 EL T' IC��a_ AL FEE 35.00 DOUBLE M ELECTRIC V er /O 1 l 1 >• . 1 - as�; i 5 3;.M. . - 2ND R•U H UMB MI C IN ULATIsN EILIN 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 property. If you intend to obtain financing, consult with your lender or an attorney before recording your notice of commencement." 6 6g- - air /...„ rrirmririe CO 'l'0- S ' ATURE PERMIT OFFI FR PE • MIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor /Homeowner: 5 (e, 1 ikel. Date Received: / - ;clip Site: 3 5 7 f Z) ',TeX 4-' efel 2p Permit Type: Female ; f (6d/ f07 ff Aetui, Approved wino comments: ❑ Approved w /the below comments: Denied w /the below comments: ❑ 2 . ) MI oik - ( . e s 5I, 1J 6e le, m r e - (05,'s.1-4:-) ee fe This comment sheet shall be kept with the permit and/or plans. OOP' / 1 J _at ..../ i j24-7) i K4 vin �r —Plans Examiner Date C ,,'' actor . /F - o eowner (,' equired when comments are present) d 813 - 780 -0020 City of Zephyrhills Permit Application t �fy ,., �y Fax- 813- 780 -0021 Building Department a . i ()it'll Cr ✓ i / 00 L �/ Date Received ■ 6 — D /Z) Phone Contact for Permitting = /r 1 -- v O Ownes Name ,sT #er 4,7,w/`�(�/L Owner Phone Number 6/ 7 f9 `.� r' ,. Owner's Address 3 97" IV F D 14430, Ge4 2 Owner Phone Number [ Fee Simple Titleholder Name Owner Phone Number [ r , Fee Simple Titleholder Address,„,--' �S 77 / , J/ JOB ADDRESS 99 7 /72 'e6 Givaal �-al� ' /1 ///J 3] LOT # SUBDIVISION '77,,,cde /. / PARCEL ID# ✓ /J 24 a/-‘,/ /O -od v " ,,/„ve (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN I I MOVE I 1 DEMOLISH INSTALL REPAIR PROPOSED USE I I SFR 1 1 COMM I I OTHER I I TYPE OF CONSTRUCTION I I BLOCK 1 1 FRAME I I STEEL 1 1 OTHER I DESCRIPTION OF WORK V a\f)V e— 1 b t)) D �?( i ^S1 i ` oc i C k `i / t^' Y4 BUILDING SIZE SQ FOOTAGE HEIGHT WV BUILDING $ � .,6 VALUATION OF TOTAL CONSTRUCTION `"` f(�I pOO. 00 ELECTRICAL $ AMP SERVICE I 1 PROGRESS ENERGY I I W.R.E.0 1 1 / / Q . I 1 PLUMBING $ v l —. I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 1 GAS 1 1 ROOFING 1 1 SPECIALTY 1 1 OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I (YES 1 INO ± 4 41 BUILDER i ( COMPANY /t /r /. /,/ �� /.` . , SIGNATURE S, `_ / � /L ' REGISTERED WIMP- • E �:�,' NT Y / N Address License # � ELECTRICIAN j j ` COMPANY �o l33L iy /=� � ill /(- SIGNATURE / `� REGISTERED Y / N I FEE CURRENT Y / N Address License # PLUMBER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address License # ( MECHANICAL COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address License # I OTHER COMPANY SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y/ N I Address 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. 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 +) / 7 ,r. 1 �� 1� � �OW -9R AG ii _gerZe . fa . '_I .. CONTRALTO ,,r •� / • Al_ Subscri / Subscribed . 'Tram to (s, : , ee • `:r- - a's u6 scribedan. wom t -Tf i '° ` � •) • r te :I r i 1 )(d J°� 0�17 o Is /are er , Hall known to me or has /have produced Who Is /are personally known to me or has /have produced p y as identification. L as identification. ., . - r L l 1 � , �'~ - 2 //, l ! -- . 4tolary Public �� Co , tier OBBIE S S WETLAND Comm' • 14 A ."= Commission DD 734406 •; ' Commission DD 734406 - I : . _ �., , � .rr . : g 38 Name .. - , ... - ,ire• Na =� Troy r ' r, Cce ° Lfll� , Bonded Th,u;744 u 74 Fain InwxafKe 80P67019 II �Rf,, Bonded Thru ro Fain Insurance 800-385-7019 Pasco County Parcel: 13- 26 -21- 0140 - 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: Weekly Archive - Saturday, January 02, 2010 Parcel ID - 13 - 26 - 21 - 0140 - 00000 - 0120 (Card: 001 of 001) Classification 01 - Single Family Mailing Address Property Value BARKER ESTHER L Ag Land $0 39740 MEADOWOOD LOOP Land $22,168 ZEPHYRHILLS, FL 335426778 Building $69,992 Physical Address Extra Features $893 39740 MEADOWOOD LP ZEPHYRHILLS, FL 33542 -6778 Market Value $93,053 Assessed (Save Our Homes) $58,861 Legal Description (First 4 Lines) Homestead 196.031 $25,000 Non - School Additional Homestead Exemption - $8,861 See Plat for this Subdivision '' MEADOWOOD ESTATES PB 15 PG 106 Non - School Taxable Value $24,000 LOT 12 School District Taxable Value $32,861 OR 2015 PG 1765 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) I Line I Use IjDescriptionll Zoning II Units (I Type II Price II Condition II Value I I 1 I 0100 II SFR Il 00R2 II 7,700.00 II SF II $3.03 II 0.95 II $22,168 I Additional Land Information I Acres 0.18 Tax 30ZH Code X Residential Code ZHLGLP5 Commerical Code SBSDSTB I Building Information - Use 01 - Single Family Residential (Card: 001 of 001) Year Built 1983 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 Il Description II Sq. Feet II Repl. Cost New otS 1 2 II BFEA ( I 11684 (l $76,942 3 II FSP II 60 lI $8,006 4 II FGR I 360 II $9,770 Extra Features (Card: 001 of 001) Line 0 Description 0 Year II Units II Value 1 I DWC II 1983 400 II $495 2 I l CLFENCE 1986 II 520 II $183 3 I I DCFENCE II 1993 II 576 II $215 Sales History Previous Owner II HAMILTON ELSIE V Year 0 Month lI B ook /Page Q Type II Amount 1991 II 05 II 2015 / 1765 II WD II $57,000 II http: / /www.appraiser.pascogov. com/search/parcel. aspx ?sec =13 &twn= 26 &rng=21 &sbb =01... 1/5/2010 : DISCLOSURE STATEMENT FOR OWNER CITY OF.ZEPHYRHILLS - .BUILDING DEPARTMENT ��S have read and fully understand and agree to the pro �''' ?s of dr strument. The undersigned states and affirms that he or she is desirous of constructing, renovating, adding to or reroofing his or her own domicile, that he or she actually occupies, or will occupy by domicile, and same is not for rent, lease or sale. That he or she shall comply with the following conditions: 1. That the owner and he or she alone shall act as the builder for all phases of construction. 2. That the owner will comply with all provisions of the City of Zephyrhills ordinances and codes pertinent to the building. 3. That in the event various phases of construction are subcontracted, he will engage only properly licensed subcontractors and will personally supervise such work. 4. That in the event the Building Inspector shall require corrections to be made, the owner will assume full responsibility to insure they are made, and upon completion will call for a reinspection before proceeding with the. building. 5. That the owner shall assume full responsibility for the construction and will not expect supervision of his work from the City of Zephyrhills Building Department. 6. That prior to final inspection any additional fees, including reinspection fees, must be paid in full. A written request from this office shall constitute an official notice to pay additional fees. 7. That the owner shall comply with all City, State and Federal laws in regard to social security, workman's compensation, lien laws, etc., where applicable. 8. That the owner shall comply with all the safety codes issued by the Florida Industrial Commission. 9. State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor with certain restrictions even though you do not have a license. You must provide direct onsite supervision of the construction yourself. You may build or improve a one - family or two- family residence or a farm outbuilding. You may also build or improve a commercial building, provided your costs do not exceed $75,000. The building or residence must be for your own use or occupancy. It may not be built or substantially improved if for sale or lease, which is a violation of this exemption. You may not hire an unlicensed person to act as your contractor or to supervise people working on your building. It is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. You may not delegate the responsibility for supervising work to a licensed contractor who is not licensed to perform the work being done. Any person working on your building who is not licensed must work under your direct supervision and must be employed by you, which means that you must deduct F.I.C.A. and withholding tax and provide worker's compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. IP" OWNER'S SI NATU r ___ +• DATE / ADDRESS ., ' l:SV r/,l -74M1 PHONE r - g IAWMEIL %� WITNESS PERMIT UMasterforms /OwnersAffidavit/Nov07 CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER JOB LOCATION PARCEL I.D. . ## SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS. 1F A/ CI S L vs /6' " i s e I �a teo a/o fi `� • UTILITY BUILDINGS MUST SHOW SIZE & ( , C t 01,9/./ lll FOUNDATION INFOR- �- MATION. FRONT PROPERTY LINE (NOTE EXAMPLES 1 & 2) STREET 1. SETBACKS FOR R1, R2 ZONING 2. SETBACKS FOR R3 ZONING 60' 60' 10' 10' -P----E---- R X O I 10' P S 10' 10' EXISTING 10' 0. T 140' S I 1 p' E N D G PROPOSED 20' 20'SGL FAM 30'DUPLEX FRONT PROPERTY LINE FRONT PROPERTY LINE CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER. . JOB LOCATION PARCEL I.D. " # SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS. 'dr / ACI5 I I . itaid A9- ti , .., team . v i .... ( v.) 1 . . UTILITY BUILDINGS • MUST SHOW SIZE & ( tee►/ C t C / 9/ _ _ FOUNDATION INFOR- (--_ MATION. FRONT PROPERTY LINE (NOTE EXAMPLES 1 & 2) STREET 1. SETBACKS FOR R1, R2 ZONING 2. SETBACKS FOR R3 ZONING 60' 60' . - 10' 10' . _P E R X . • O I .10' P S 10' 10' EXISTING 10' O. T 1 0' 140' S I • E N D G PROPOSED 20' 20'SGL FAH 30'DUPLEX FRONT PROPERTY LINE FRONT PROPERTY LINE • CV\ccqt0,,)0 () Q6415k r PJ (5- 1 LbL L (2 6 Z 0 l c 1^1 Q,5" 111111 11111111111111111111111111111111111111111111111111111 2010001 Rept:1281478 Rec:10.00 DS: 0.00 IT: 0.0 Clerk NOTICE OF COMMENCEMENT 01106/10 PAULA S. 'NEIL, PASCO CLERK & COMPTROLLER 01/06/10 8 g 1 °1 Permit No. OR BK Lf PG Property Identification No. (3 o?// (j -.2 1 - 6 ( &j 0 'co V - a 1 ZO THE UNDERSIGNED hereby gies notice that improvements 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. 1 1. Descripti of property gal description :) St ( Ct rfl L. H i A a) Street Address: _ r It • , a' , _ 2. General description of improvements: _ L � kjE , 4 • L a. t I♦ s. L )CIS'r1.11-J 3. Owner Information a) Name and address: ES hhe, r & r 3 9 N O ni\Pad 7otxi Loop b) Name and address of fee simple titleholder (if other than owner) y k ; t � 3 351-t 2-- c) Interest in property 4. Contractor Information t. a) Name and address: TL r - y.1 r 3c fl M'CL�C't r , j b) Telephone No.: ¶' 13- 14 - ct t ( Z Fax No. (Opt.) 5. Surety Information (Jk•(r )F-L, 'Z— 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 rgen ) . AL. rr •fOw•e •r bwne Au orize cer/DirectoriPartner/Manager 1. Pri t ame The foregoing instrument was acknowledged before me this 4' day of , � a-iiuc"r 1 , 20 1 D , by as (type of authity, e.g. fi, trustee, attorney in fact) for (name of party on behalf of whom instrument was executed). y ;i "" "'' JA BOG Personally Known OR Produced Identification Notary Signature -.: �� •�: �` Commr%1o,t DD bz1833 Rf,I te e • Expires December 12, 2010 ;,.• Bonded F *In Insurance moats-zoo Type of Identification Produced L.I C am -- Name (print) at C Al. : _ Verification pursuant to Section 92.525, Florida Statutes. Under penalties gLperjury, 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 ignature ofN aural ' on Signing Ab ove FORMS/NOC,rvsd2007 ! fY\.ed L : 4c,te STATE OF FLORIDA, COUNTY ibgk . y- THIS IS TO CERTIFY TH,THE FOR ING i c; TRUE AND CORRECT CpPhy'. OF THF Q rUME,NT ON FILE OR OF PUBLI ' 0 6'I IS OFFICE — " V MY HAND A OFFI �2L ti AL TH S' DAY OF � .;. << , _ 1-5 A S. (NEIL, C' K - &. C ''3 p E. ) ``Zcl✓ _ -_- L)EPU! Y CLERK