HomeMy WebLinkAbout10-10618 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780 -0020 10618
BUILDING PERMIT
v iNEM - y, e.; ,,.: ",t `.'. t '. U30 c.d, ,, f ; a 4 " 71 Edo
Permit Number: 10618 Address: 5518 7TH ST
Permit Type: COMMERCIAL ZEPHYRHILLS, FL.
Class of Work: ADD /ALT COMMERCIAL 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 - 08900 -0160
Improv. Cost: 18,625.00 �, ,:E a ;
Date Issued: Name: A & �.
VENTURES :. LLC
Total Fees: 240.00 Address: 5518 7TH ST
Amount Paid: 240.00 ZEPHYRHILLS, FL. 33542
Date Paid: 6/21/2010 Phone: (813)779 -8895
Work Desc: ENCLOSE PATIO 10 X 23
BAI •N - 7 IN LLC BUILDIN F 180.00 L TRI AL FEE 35.00
C $ C�WECTRIC INC FIRE PLAN REVIEW FEES 25.00
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• •TER 2 D - •U H -LO IN ULA - I•N C ILING
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.”
/ 21! -4 4
/4isalt �e...�
d iv • NTRAC •R SIGNATUR- PERMIT OFFI
PERMIT EXPIRE 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 _ ,,,:�� r 1(a ! !�
0 -.r 1 V 1 0 y - 7 C ) t/'� ,��
Date Received t U
(/ v v Phone Contact for Permitting � � 77 /� �7
Owner's Name ' 15 • Ili � �r .- - r2 r J Owner Phone Number & ,?7`7 ,k../ C /
Owner's Address _55'S 7 5 7 ' Owner Phone Number
Fee Simple Titleholder Name 14 \Q &rf u (.9s LLO__ Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS —}J l CJ LOT #
SUBDIVISION PARCEL ID# 1 - .2 (r - Z ) - 001 0 - o,.; 900 0 /575
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR Ij ADD /ALT ( I SIGN I 1 n DEMOLISH
INSTALL n REPAIR
PROPOSED USE I 1 SFR IZ., COMM 1 1 OTHER 1 I
TYPE OF CONSTRUCTION I 1 BLOCK {1 FRAME I 1 STEEL F 1 I I
DESCRIPTION OF WORK .4 , o ) •" `p4 0 / x 23
BUILDING SIZE SQ FOOTAGE HEIGHT
BUILDING $ ` t) 0 0 VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL $ G D AMP SERVICE U I I PROGRESS ENERGY n W.R.E.C.
1 IPLUMBING $
1 i ®pbC.,
M ECHANICAL $ / r, 0 VALUATION I ECHANICAL INSTALLATION r j Cc G
1 IGAS 1 1 ROOFING I-I SPECIALTY r ---..-- OTHER l/ r ---..--
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES 1)
U '
t - J
BUILDER t ) COMPANY � '
SIGNATUR 7 REGISTERED ' Y / N FEE CURREN 1 Y/ N I
Address AP" `( i lvd ' License # (.. gv f z 5 49 7
ELECTRICIAN � � COMPANY ✓ � ...1644)C (4-/c-C._ SIGNATURE qk �� j . REGISTERED 1 Y/ N I FEE CURREN I Y/ N I
Address ( License # /- � 002 ..--
PLUMBER COMPANY
SIGNATURE REGISTERED , L Y/ N 1 FEE CURREN l Y/ N I
Address Q , License #
MECHANICAL I` � ` 'k 1 MPANY
SIGNATURE 1i 4e Y\J REGISTERED � Y/ N 1 FEE CURREN i Y/ N i
Address License #
OTHER COMPANY
SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN 1 Y/ N 1
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 $7500)
** 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 if shingles 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 CONT • • . '� - �' ✓�`s
Subscribed and sworn to (or affirmed) before me this S abed and sw•u. • (or affi 1- •) i eft e me this
by ' tP / - • .
Who is /are personally known to me or has /have produced -4511. .nr y known to me or has /h -ve produced
as identification. as identification.
Notary Public / �f dR Notary Public
;�Y; J AC UELINE B
Co fi ssion No.: = OGES
Commission No. Ear - Ciommiosiurr DD 621833
Expires December 12, 201C
Name of Notary typed, printed or stamped Name of Notary typed, bunted or stam(ied
Zephyrhills Fire Rescue
6907 Dairy Road, Zephyrhills, FL 33542
Fire Marshal Bus (813) 780 -0041
Kerry Barnett Fax (813) 780 -0044
E -mail: kbarnett?fire.zephyrhills.fl.us
Plan Review #: 10 -070
Project: Addition
Number of Pages: 3
June 17, 2010
I have received and reviewed the revised plans for the addition 5518 7 Street and will
allow the project to move forward. Please note that this review does not eliminate any
further requirements as the project continues moving forward. By receiving permit,
contractor acknowledges to comply with the items listed below. Should anyone have any
questions, please do not hesitate to contact the Fire Marshal's office.
1. Install hardwire smoke detector in hallway outside of storage room. It shall have
battery backup and also be tied into any other existing smoke detectors.
2. A single motion door opening device shall be installed on rear egress, such as a
hotel latch or similar device.
3. Storage located in designated storage room is at the discretion of this office. Type
of storage may dictate more stringent requirements.
Inspections Required:
1. Final.
t ... r
1
'910407
KERRY B • rim T' FIRE MARSHAL
** *Please be advised this review of plans submitted is a cursory review to assist the contractor in
compliance with applicable fire safety codes. This review is not intended to be a final approval of the
submitted plans. It is the contractor's sole responsibility to ensure that the plans are in complete compliance
with all applicable NFPA codes and local ordinances. In the event that further examination or site
inspection reveals areas of non - compliance, it shall be the contractor's sole responsibility, at their sole
expense to bring those areas in compliance. The City assumes no responsibility for the contractor's failure
to be in compliance with all applicable NFPA codes and local ordinances.
.
ZEPHYRHILLS FIRE DEPARTMENT
6907 Dairy Road, Zephyrhills, FL 33542
Fire Chief Keith Williams Bus (813)780 -004'1 Fax (813)780; 0044 I
FIRE SERVICE.USER FEES
Occupancy No.: /
Plan No.: /D 070 Contractor: „ire,, •. __.r. !L�! //r
Business Name: 4 4 70.5," Billing Address: i 20 ' - /A- 0 1 ,6?,
Business Address: /?<.S■4-i z� ,if�� '—
Business Phone No.: Billing Phone No.: 1 377-- - 7331' S
Business Fax No.: Billing Fax No.:
Contact: Contact: 1
PLAN REVIEW FEES _ INSPECTION FEES PERMIT FEE ' —
FALSE ALARM FEE
Site Plan N/C _ Annual N/C _ Sprinkler $50 — 1st Alarm N/C
utti Family /C• ercia ■. sf _ 1st Re inspection N/C _Standpipes $50 _2nd Alarm N/C
(Mini Charge $25.00 — 2nd Re- inspection $100 _Fire Pump
$50 — .3rd Alarm N/C
f -1•, =��"' ions DBL _ 3rd Re- inspection $250 _ Hoods $50' — :4th Alarm $100
_ 4th Re- Inspection $ _ —
Fire Alarm $50 5th Alarm $150
SPRINKLER SYSTEMS (Business closed until _ LP Gas $50 _ 6th Alarm $200
0 - 25 Heads $50 violations corrected) _ Natural Gas $50 -- NON COMPLIANCE $150
26 plus Heads $100 SPRINKLER SYSTEMS _ Fuel Tanks- per tank $50!
STANDPIPE SYSTEM Hydro Undergrounds $45 _ Sparklers $109
❑ Per Riser $50 Hydrostatic Test $65 per system Fire Works $500
FIRE PUMP Acceptance Test $45 per system Camp Fire $2 5 1
El Per Pump $100 Hydrant Flow
Y $75 _ Controlled Bum $100
_ FIRE ALARM SYSTEM — Hood/Duct $50
0 - 25 Devices $50 _ FIRE ALARM SYSTEM _ Place of Assembly $50 Annual
_ 26 plus Devices $100 _ System Acceptance $50 Fire Protection $25!
SUPPRESSION SYSTEMS _ Recall Acceptance $50 _ Flammable Application $50 Annual
e
_ Wet $50 _ OTHER _ Waste Tire Storage $50 Annual
_ Dry $50 _ Fire Wall/Smoke Wall $ 15 p er wall _ Generator < KW $100
_ CO2 $50 _ LP Gas $25 per tank _ Generator >30 KW 150
Other $50 _ Natural Gas $25 per system _ 1310-Hazard Waste $100, Annual
KITCHEN EXHAUST _ Fumigation Tenting $501
j Hood/Ducts $50 _ Tent 105(10' or greater $15 per tent _ Torch Pot/Applied $50
OTHER _ Fire Pump $45 — Haz. Materials $100 Annual
LP Installation per tank $50 Fire Suppression $30
Fuel Tank Installation $50 _ System Acceptance
(Per Tank) $50 _ Exhaust Hood/Duct $30
E Natural Gas Installation $50 __ Re DBL
(Per System) (other than annual)
0 Spray Booth $50 0I nspection scheduled DBL
^
and cancelled Tess than
—
_ 24 hours
_ Construction Insp. N/C ';
Emergency Vehicle Acs $50 1 FALSE ALARM
PLANS TOTALr INSPECTION TOTAL' I PERMIT TOTAL ! TOTAL
GRAND TOTAL 1 ��::) 1 I
Comments:
I
I
Date: 6//
InsR 134, ji — -
i
t *Y t t f6 i
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: 47 CiAtt Wt 04
Date Received: 6 r / 7 - /d
Site: 5 S7 15 7
Permit Type: /0 ( 13 ` tol ` tCO1ktR
Approved w /no comments Approved w /the below comments: ❑ Denied w /the below comments: ❑
This comment sheet shall be kept with the permit and/or plans.
Kalvin 't - — to 's Examiner Date Contractor and/or Homeowner
(Required when comments are present)
1 ' 2O-O" 0 '•- �' 6 /
0 Ai ,c) ., ,
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19 1- /1• 6'-10* / 1'
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P
S UBMIT`fED PLANkS) HAVE BEEN REVIEWEL
RY ZEPH • 4, MARSHAL'S OFFICE
Date: .% �' j
,rirwar:
�%_ ,
Please be advised this review of plans submitted is a
cursory review to assist the contractor in compliance with
ale fire safety codes. This review is not intended
to be a final approval of the submitteiplans. It is the
contractor's sole responsibility to ensure that the plans are in
complete compliance with all applicable NFPA codes P r r
local ordinances. In the event that fur lerexarrinpticn ur
site inspection reveals areas of nr pliance, it shall be
the contractor's sole. responsibility, at their sole expense to
:C
he those areas in compNarrcF. ,T he City assumes no
responsibility for the contractors aiIure to be in compliance
with all applicable NFPA Cru' "s and local ordinances.
-----
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SECTION TOWNSHIP RANGE SUBDIVISION BLOCK LOT
SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS
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STREET
•
,Joel T Bailey Contracting
4209 Gall Blvd.
Zephyrhills, FL 33542
813- 788 -4239
Estimate
c.<
Date: Date: x/25/10
Estimate completed by: Joel Bailey - Owner
Customer, Alston and Baker 4) .
Address, 5518 7 St..Zeyphyhills ,F133540
Estimate cost: $18,500
Cost includes renovating existing patio " o additional office area. This
area will consist of one room approx. 1 x 1 " with a 42 in. hall and rear
entrance. This project includes inclosing an existing window and elevating
an existing door into electrical room. There will be a new concrete floor at
the height of existing. The office will have one tubular skylight and a max of
four can lights. All work will be as discussed and to meet all city and fire
requirements. This price includes the flooring in office and siding and soffit
around the existing storage shed.
Payments to be made as follows :
10% upon acceptance 20% upon commencement 20% after concrete is
poured With balances upon written request witch may at owners and
contractors agreement. Any questions please contact Joel Bailey at 813-788 -
4239.
Acceptance:
Contractor ` Date /.j /0
-
Owners signature /� , ' / Date / .41
� WWI/
Date
1111111011111111111
2010087754
Rept:1311384 Rec: 10.00
DS: 0.00 IT: 0.00
06/21/10 A. Giard, Dpty Clerk
PAULA S . O' NEI L , Ph . Ci . PASCO CLERK q & COMPTROLLER
06/21/10 15358 PG 126
126
NOTICE OF COMMENCEMENT
Permit No. c,�
Property Identification No. // ~'=2& —.:.• I 0010-0E3 ! 00 — 0 1 L 0
THE UNDERSIGNED hereby give informs you that the improvement will be made to certain real property, and in accordance with
Section 713.13 of the Florida Statutes, the following information is provided in NOTICE OF COMMENCEMENT.
Se p u << / ). -'ev 4h; p 30 ( ve i /.s�s-f- 6seo CcuevLi
1.Description of property (legal description:) 1 / -- Z(.0 - Z- 1 — oa 1O — O$ 9 o «/' S 0 F- .
a) Street Address: ,5S 1 8 7`-A 5f ' Z�'i e crla L s 'F`6 3 n -- 6) Z
2.General description of improvements: -p O p Q co o .
3 .Owner Information ^
a) Name and address: 0 q!- / 3 ve, 7'i" ci'Le,S L �� ((IAA .CC. aSS c o)/e
and address of fee simple titleholder (if othe than owner
b) Name an a dress p e ( owner) /Yl21L(5! 13 5Keit
l i r t c) Interest in property Qa z//C/L
ontractor Information /] �/J f r � l
a) Name and address; f�jQi��Gy (8,�.�'+`� o� Q (� 1 (� . ( b I I `� � �
b) Telephone No.: 73 96 Fax No. (Opt.)
5.Surety Information
a) Name and address: t .
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.: t-- 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, CONS . • UR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTICE OF o' 2 I C ^ ENT.
-- 40 /
STATE OF FLORIDA
COUNTY OF PASCO
• ignature of Owner or Owner's Authorized Officer/Director/Parmer an . = er
Pi Print Name ��^^� i
The • e: ", f _ 1 ' • trument was ac before me this 3L1 day of JUKi e, , 20 1 1) , by . m,Lltete.
.. as r (type e f authority, e.g. office trustee, a .1 ey
in fact) for • c 1 \J e X1113► (f 5, , (name of party on behalf of who • instrument was execu ). I
ri�
Personally Known OR Produced Identification Notary S'_ wJ• 1 1
J _ ,. _ �� <II�:
f a
Type of Identification Produced Name (print) V,E('
L M - - 4 1 \ -- N, e -
YP (P )
Verification pursuant to Section 92.525, Florida Statutes. Under penalties 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. / ///
"gn= `e of Natural Person Signing Above '
FORMS /NOC,rvsd2007 . � o t,ar L, /
KEREN M. ANES
* - _ �= * MY COMMISSION 8 DD 805511 •
11° EXPIRES: July 14, 2012
� A '`'OF FtO Bonded ihm Budget Notary Services
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 HAND AN S OFFICIAL SEAL THIS
2/ DAY OF • 2 Of O
PAULA S O'NEIL, C ' K & OMP ER