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HomeMy WebLinkAbout10-10829 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 10829 BUILDING PERMIT Permit Number: 10829 Address: 7TH AVE RETENTION POND 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 - 13300 -0250 Improv. Cost: 146,897.00 ',,1 Date Issued: 9/14/2010 Name: CITY OF ZEPHYRHILLS RETENTION Total Fees: " Address: 7TH AVE Amount Paid: S k. (V ' ZEPHYRHILLS, FL. 33542 Date Paid: Phone: (813)780 -0000 Work Desc: STORMWATER POND IMPROVEMENTS -FEE WAIVED CITY PRMT -FM NO REVIEW " . ,a� .,:..= ,a._, m„a. az�: -' :�; ,,. : U L. 1 _ ' AA kd"'_ «, i - + A :— , ,.n , i - 0. i 0 7 �r >>/ dip / ,3 P� ► - o_ D o p, r 1 An ,17,.,:.,„ ..,:.,-,:,-,:::1•}-: -, ,,,- - --,' --- , -. -,------:- -I ,,„,,,,$j:T, , , ' 7,,.::; - '--:3' :' 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." 6e0P--- - �it , - - - w- RA., IGNATU / PERMIT OFFI�R PERMIT EXPIRES • MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER a - City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: ,45/2 ' l& / / 171 71 /� - e ek Date Received: 2 9 /0 ^� Site: 7 `,, Permit Type: �S4/ C ` //'11 /Ord Gerl-te,t �1 Approved w /no comments: X Approved w /the below comments: ❑ Denied w /the below comments: ❑ e) u--si 1 c-t- K. ( L-? E tr-}1 e.K ,Tbe__-r / This comment she- sh • • e kept with the permit and/or plans. , / K 10 � , Kaly' �r , 'tzer ans Examiner Date C to r -.: • � • omeowner (Require• w en comments are,. - . t) 813- 7ao-0020 City of Zephyrhills Permit Application Fax- 813 - 780 -0021 Building Department t— t f Date Received M� V Pho ne Contact for Permidin / - 7TT17 - 7T . �j�� l Owner r Owner's Name 1� 5 i � -'�G� L i L . 1► Owner Phone Number RaM11 �� t Owners Address �f//_a►: Owner Phone Number I Fee Simple Titleholder Name 1 1 Owner Phone Number 1 Fee Simple Titleholder Address I I ) D JOB ADDRESS (� �C A✓ .. r O ' , LOT # I 2 ^� SUBDIVISION I PARCEL ID `` � / #I 1 I �� c S J X01 s 0 (OBTAINED FROM PROPERTY TAX NOTICE) F WORK PROPOSED n NEW CONSTR E ADD /ALT � SIGN Q n DEMOLISH INSTALL C REPAIR PROPOSED USE n SFR n COMM r OTHER I TYPE OF CONSTRUCTION n BLOCK n FRAME nn STEEL n 1 DESCRIPTION OF WORK S O PA. - P � l 0A4 ( C _ .J BUILDING SIZE 1 I SQ FOOTAGE' HEIGHT ( 1 n BUILDING I$ / 9 / ` s VALUATION OF TOTAL CONSTRUCTION n'ELECTRICAL $ T b { AMP SERVICE n PROGRESS ENERGY n W.R.E.C. PLUMBING $ CJ 9 fl yt Q../' ser 'VP) 1 (MECHANICAL I$ VALUATION OF MECHANICAL INSTALLATION 0 / )6e j j 1 GAS n ROOFING n 1 SPECIALTY l OTHER 1 �KI ii Sri' 9J I ke'' ♦ _ �I 0,0 FINISHED FLOOR ELEVATIONS I FLOOD ZONE AREA nYES NO V J` � BUILDER COMPANY 1 , SIGNATURE REGISTERED J Y/ N I FEE CURREA I Y/ N I Address 1 1 License* I ELECTRICIAN COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURREh I Y 1 N I Address 1 1 license# 1 PLUMBER COMPANY 1 SIGNATURE REGISTERED I Y 1 N I FEE CURREN I Y/ N I Address I 1 License* 1 MECHANICAL COMPANY SIGNATURE REGISTERED I Y/ N I FEE CIJRREF. I Y/ N I Address 1 ,/� License* 1 ✓ OTHER COMPANY (t"/ r ha SIGNATURE REGISTERE l ./ r f / N 1 � - 1 D N ( cuaaEn I Y I 1 1 Address 1 W111111111 1 1, ; Sk 1 ' -� � l 1 1 1 t � L � , 5� 1 I2 ° 1 i 1`f e 1 1 1 1 1 1 1 I 1 1 t 1 1 t (1 1 1 t 1 RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Pend for new construction, Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dunpster, Site Work Pemit for subdwisions/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 alter submittal date_ Required on site, Construction Plans, Stormwater Plans w/ Sift Fence installed, Sanitary Facilities & 1 danpster. Site Work Penult 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: All out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement Is required. (NC upgrades over $7500) " Agent (for the contractor) or Power of Attomey (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 NC Fences (PloUSurvey/Footage) Driveways -NW 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 1, 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 govemment 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 O MMENCEMENT. FLORIDA JURAT (F.S. 117.03) OWNER OR AGENT CONTRACTOR Subscribed and swum to (or affirmed) before me this S and or bero_re rgethj�, by 1 N by �Cshave�1 Who is /are personally known to me or has/have produced o is/ re persona known to me r has/have produced as identification. as identification. Notary Public ,. ± 1 _ - Notary Public Commission No. Commission No. /'n. • -� ��� / . ''L� ELIQ Name of Notary typed, printed or stamped Name of Notary typed, pri ed ' •� Notar P y ublic - State of Florida " M Comm. � pr; Y Expires Oct 26, 2012 ,,,?;........ Commission # DO 834099 Jacqueline Boges From: Kerry Barnett Sent: Monday, August 09, 2010 10:10 AM To: Jacqueline Boges Subject: RE: plans in your box No on the retention pond From: Jacqueline Boges Sent: Monday, August 09, 2010 8:12 AM To: Kerry Barnett Subject: RE: plans in your box You're welcome. "Hey Kerry I received plans for the retention pond to be done, would you need to review the plans ?" From: Kerry Barnett Sent: Monday, August 09, 2010 7:15 AM To: Jacqueline Boges Subject: RE: plans in your box Thanks From: Jacqueline Boges Sent: Friday, August 06, 2010 11:06 AM To: Kerry Barnett Subject: plans in your box Placed in your box plans for a interior remodel for 38022 Medical center ave — contractor Rodda Construction Jackie Boges Code Support Specialist ext. 35 1 11111111111111111111111111111111111111111111111 11111 1111 1111 Y 2010114493 1 • • • - Rept:1320134 Roc: 18.50 DS: 0.00 IT: 0.00 ' 08/10/10 A. Glard, Dpty Clerk - • PAULA 5.O'NEIL,Ph.D.PRSCO CLERK & COMPTROLLER • 08/10/10 R BK 1 394 PG � 1687 N + O1TCE OF' COM Magar ' • PennitNo. • PiopertyIdmtifias*FanNo. 11-26-21-0010-13300-0250 - . TEE UNDERSIGNED hereby give h>is= pm tint the improvement win be mode to certain teslptopaty, and in sooadase with . • 8eoQon713.13 o&the Florida Mantes, the following infmmrtioo B provided in this NOTICE OF COMMENCIDIENT. eecdptonofpro 1D paty (►•era[demi/monF) see attached legal description . a)841eetAddress: •(across from). 5335 81=h S r E. • 2.Gen ral deseriptIon of Laprovemmd: • • - - Stormwater pond imbrovements (adri;tirnal Q- nrann_) 3.OwmerIn amelim - a1hom nWoddroem Cit of Ze•hLhills 5335 8th -• • • 2 • b) Name and address of fee simple titlebolde& (if dim than owner) N/A o)lnta utinprapaty owner - - - •4.ConhactorInkonetim - ono= end sddras; As alt En- ineerin- Inc. 1735 • - . . b) Telephone No.: 81 . • ' 5' •Fallo.(Opt.) 813:92,. 5Smetylnf®stioa - • e.) Name cad Ogress: CBIC Ins r- ,. - - t • • - b) Amount &Bond: 51 r� R @7 9 F • a) Telephone Na: 321 .7 . 1723 FaiNo. (Qpt) 3 ?1 .722.1726 63.mder - • a) Name and address: N /'A • - • • ' Phone No. • - 7. Ideality of pima within the State ofFlorlda desigosted by irviner upon whom notices or other documents maybe saved: . opium and addax= Steven F. Sp .na, - City Mqr. 5335 8th St, . 7PPhyrhi 11 5 • FL b) Telephone No.: 813.780.0000 PNa (Opt.) R1 3 7 8n ,gpn, 8.In addition to b®seg own denigrates the following person to receive a copy of the /*nor's Notice as provided hi Section 713.13(1)(b), Florida Steerage ' . ' s) Nane andaddsys; Sha e LeBlanc P.W. Suet. : . - • • • - FL •b) Telephone No.: - 3.78.0.0022 • .FaLNO.,(Opt) R11 7R(1. (11195 date f of Comma:a a (the a on date is o leer *wake date of iscocdbngtmless a dfflitEmrt date is WARNING TO OWNER: Al PAYMENT$ MADE HY'I'SS OWNERA -TER TES EYPIIIATION•OF 178E NOTICS'OR COMMENCEMENT ARE COPIBIDERED.IIM PROPS (PAYMENTS UNDERCEAPTER.'113, PART I, SECTION71313, • FLORIDA. STATUTES, AND CANIIESQLT IIT TOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A PTO11CB QF COMMENCEMENT MOST 1111 RECORDED AND POSTED ON 'MR JOB 811sBNYORE T XFISBT • INSPECTION, IF YOU INTEND TO OHTANISI NANCDCG, CONSULT YOUR. UNDER OR AN ATTORNEY BEFORE COMMENCING WORK ORRECORDING YOURNOTnCS OF COMMENCEMENT. . 9tATE OT140YIDA St) 4- � . D Lam• - • ODUNIYOTPABCO 1 • • aliplue oroweererPosses Aomoisa sfrJ.6-nt' F. S p „vk imam= . • • The foregoing we .• . • .•.bafsreme8 b da y of 'Akg-u.CT 2p � •Sf - A) ' - as : u a : .e. 3' (type dfaskaIty, e.g. officer, tutee, ettbomey • k ; fre W� r 6 afpsrly on baba te� �LJ Personally Known. QRPiodaeed T sn Notary 81 �j I' - • Type ofldeeb$sNm Produced Nano (odd) f / O J.0 .. U • •1 J`° 1 ' • ymd5cedmparsoeottosadim '92 325. Florida s.-Underpenaltles otpeajmy, Ideolirethd the the theta elated b i it ate true to the be of my knowledge and belted /'` � � � � • atssAam otew.e+ rssee tapirs Aa•,9 ; 11CAN - - • _ q I Commission DD 769964 %. j Expires June 15, 2012 Record and Return to: ,,,, . 9a1dsdlAaTioyFsineuuagere ,11S701e ' .. City Clerk's Office . • • . - 5335 8th Street - Zephyrhills, FL 33542 Pasco County Property Appraiser - Legal Description for: 11- 26 -21- 0010 -13300 -0250 Page 1 of 1 • OR BK 8394 PG 1688 Welcome :Records Search :Parcel Details :Legal Description 2 of 2 Legal Description 11- 26 -21- 0010 - 13300 - 025 0 Assessed in Section 11 , Township 26 South, Range 21 East of Pasco County, Florida ZEPHYRHILLS PB 1 PG 54 PORTION OF ABANDONED RR DESC AS COM AT SW COR OF BLOCK 134 TH SWLY 60 FT FOR POB TH SWLY ALG NORTH LINE OF 6TH AVE 200 FT TO EAST LINE OF US 301 TH NWLY ALG SAID EAST LINE 300 FT TH NELY 200 FT TH SELY ALG WEST LINE OF 7TH ST 200 FT TO POB & A STRIP OF LAND 60 FT WIDE COMPRISING FULL WIDTH OF R/W OF 7TH AVE EXTENDING ACROSS ABANDONED RR R/W LESS THE FOLL COM AT MOST NLY COR OF ABOVE REFERENCED PARCEL AS DESC IN OR 490 PG 446 FOR POB TH S26DG 31' 48 "E ALG 7TH AVE 6.77 FT TH S63DG 34' 40 "W 200.24 FT TO A POINT ON ELY R/W LINE OF US 301 TH N26DG 25' 00 "W 6.55 FT TH N63DG 30' 44 "E 200.23 FT TO POB OR 921 PG 887 OR 490 PG 446 Please be advised that our legal descriptions are for assessment purposes only, and are not intended for use in legal conveyances. Pasco County Property Appraiser Page Layout Modified: 2/17/2009 11:49:04 AM The Local Time Is: 8/3/2010 1:36:13 PM h ttp: / /apprai ser.pascogov.com /search /I egal . aspx ?parcel= 2126110010133000250 &cache= Fal... 8/3/2010 • 1111111111011111111111111110111111101111 • 2010114493 . I. • . Rept:1320134 Roe: 18.50 • DS: 0.00 IT: 0.00 • . • . 08/10/10 A. Giard, Dpty Clerk • PAULA S.O'NEIL,Ph.D,PASCO CLERK & COMPTROLLER • 08/10/10 R BK 8 PG � 1687 • NOTICE OF C OMM N� . . PeemttNo.. /� 9 . • • 1ropestyT.I .t No. 11- 26 -21- 0010 - 13300 -0250 . TFIEUNDERSIGNRD herebygiyeroomyonTattheimprovem entwil lbeBodotocermiarealproperty ,andinaacndsoaewith • • Sedion713.13 oftbe Florida Statutes, the folowlog infarmadionla provided in Ms NOUC& 0! COMMENC M NT. • 1Descriptlonofpro - perty (legaldser :) s ee at 1e9a1 description a)8ieetAddreee: .(across f ram) .3335 8th SE. 2.0eneral description of improvements: • . . • Stormwater pond imtS Qvements (aciditi anal crnrnga.) . 3.Owner ln£amatim . . - • a)Naaeondaddtem: Cit of Ze•h iLhills 5335 8th - •. •• • . • 2 • - • b) Name and address of fee simple - titleholder (if otberthan owner) N/A • a) Interest iaprapetty owner . • 4.Comhscmr Informed= . - a)Nme and Wig= Asphalt Engineering, Inc. 17.351 SIZE LOT. _ El. 14r1 EL . b) Telephone No.: 813.995.9559 •FarNo.(ORO 813.929.9422 S.SnmtyI a)Namcmdaddress: CBI Ins r- •.. - • • .. _ • • _ b) Amount offload 'i4 R 9 7 IM • c) Telephone No.: 321 :722.1723 FacNo.(Opt) 3Z1.722.172A 63,mder a) Name and address: N to • • . . • Phase No. 7. Identity' ofperson within the State ofFlarlda designated by Owner upon whom makes or other doemamh maybe nerved . a)Nomemdaddrem: Steven F. Spina, •City Mgr . 5335 8th St, . Zephyrh111 4, • FL b) Telephone No.: • O 7 B.In add : wow bbnard dodo:Mee the SoDovdng person to receive a copy mints Limner er Notbe as pr iti Section • - 713.13(1)(b), Florida Matinee: . • a)Nameawiaddmes: Shane LeBlanc, P.W. Supt., 5335 8th St.. Zephyrhi1lc, FL t)1'elepbaaeNo.: 3.78.0' . 0 02 2 • .FazNo..(Opt.) R1 n 425 . data fNotiee of Commemorated (the sapiodtam date le owerar from date ofrecordlag miles' a diffident date Is N/A WARNING. TO o' NEB: AINYPAYMENTS MADEBYTIM OWNER. Air= TER ZY ATION•OPTSENOTICE•OR COMMENCEMENT ABE CONSIDERED IMPROPER PAYMENTS DNDER.CRAP ER -713, PART I, SECITON 713.13, . FLORIDA STATUTES, AND CANBESOLT D(TODB PAYING TWICE FOE IIIQROV>IMENIB TO YOURPROPSRTY. A. NOIICE Q1T cosy ncaso T menu RECORDED AND POUTED ON THE 70B SF1E BEFORE MA FIRST • INSPECTION, RR YOU INTEND TO OBTAINBINANCD(G, CONSUL.T YOUR LENDER OR AN ATTOBNEYBEBORE [•OM^ENCIING WORK ()REWORDING YO1;IHNOT.TCE OF COMMENCEMENT. • _ . • . .� m . • S l ' A = 0s 1 L 0 M A f L A . . . - 1 4 . • L °" COUP=01PASCO • . • 8ianmmee ema ' inaodPrlerMarsr Sic - IEn� �. Sf�alk ' , • nne naegamg im.�®t was .. , .. , before .... t � n . d y l►r A ka.,.4Az r 29 SI , by S4.eve . as• .: 1[ : : a. 4' (tYP* of ionharlty, e.g. officer, Mate; attorney • .fn;: for tJr'LR'�' .P T.. r - s - (name of party onbabe& • . • Persona lyKnown JORProdneedIdemtifaadoa Notary 8 • . Type ofIda�BoattmProduced Nme(pdat) / / . • 2" - Vmffdad n mama to Seettrm92. 535, Markle 8tmuies. Umlerpmaltlee elici my, I dealiro fllat I lane read the foregoiig emd9mt the fiats etmed'iq it arable to the beat adnty knowledge andbele/ ,- • �� ' 7 ,__)) s____.t...._ - • 91 t oWeerrldssdPeoest1l�ssA6s ►,e • . e'°"CA iaoAri - • • a ,•, ' Commission DD 769964 ' r. ' -;<.,7.*:: f Expires June 15, 2012 • • ' „ . •: .enteiMui,orw,6„,,,,„,„, ,, Record and Return to: • City Clerk's Office .^ • . Zephyrhills, FL 33542 •