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HomeMy WebLinkAbout11-11732 • CITY OF ZEPHYRHILLS 5335 - 8TH STREET (sis)�so-oo20 11732 BUILDING PERMIT Permit Number: 11732 Address: 39713 MEADOWOOD LOOP Permit Type: RE-ROOF ZEPHYRHILLS, FL. Class of Work: ROOF REPLACEMENT Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s):50 Block: Section: Square Feet: Subdivision: MEADOWOOD ESTATES Est. Value: Parcel Number: 13-26-21-0140-00000-0500 Improv. Cost: 5,000.00 Date Issued: 4/04/2011 Name: HIRES, KRISTINE M Total Fees: 60.00 Address: 39713 MEADOWOOD LOOP Amount Paid: 60.00 ZEPHYRHILLS, FL. 33542 Date Paid: 4/04/2011 Phone: (813)782-6094 Work Desc: TEAR OFF, RE-ROOF W/ 19 SQS SHINGLES GAF IAL 60. � � � ,\ I I TAPE JOINTS ROOF IN� FINAL_�-,.5 � � 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 � 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." CONTRAC O SIGN U 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 Zephyrhilis Permit Application Fax-813-780-0021 Building Department Date Received �� Phone Contact for Permittin L� Owner's Name i'� � � . l� ' 1r�� Owner Phone Number O� J� I�Q '^ 1��(� Owner's Address �� � �� � �-�C>C� Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS �C•�L �� C./ LOT # � SUBDIVISION m u" ��'� PARCEL ID# ��' — 'O � �', "' � "�' S C�� (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED B NEW CONSTR e ADD/ALT �� SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM � OTHER TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q DESCRIPTION OF WORK I �r" � . r'j�'� ' C�'� ��V � C `S S� � i�l � {i� �j/� BUILDING SIZE �--� SQ FOOTAGE ¢ �bC� HEIGHT !BUILDING $�� VAWATION OF TOTAL CONSTRUCTION QELECTRICAL $ AMPSERVI�E 0 PROGRESSENERGY Q W.Ft.E.C. r �PLUMBING $ , � � ,,� �� � � � '� ��l QMECHANICAL $ VALUATI --MEC AL INSTALLATIO OGAS � ROOFING Q SPECIALTY � OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N Address ' License # ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N Address License # PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N Address License # MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N Addres License # OT R COMPANY �C1� � 1� �� SIG UR REGISTERED / N FEE CURRE� Y/ N Address L� _ h License #�� �� Z-�S�1-�� RESIDENTIAL Attach (2) Plot Ptans; (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 8 Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (A/C upgrades over 57500) '* 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 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, wiil 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 retease. 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 Environmentafly 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 ServiceslEnvironmental 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 a�davit 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 YO INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDIN YO NOTICE OF COM N MENT. FLORIDA JURAT (F.S. 117.03) . ' OWNER OR AGENT CO O -"" Subscribed and swom to (or affirmed) before me thfs Subscri d swom to (or a d) before me th' by bY Who islare personally known to me or has/have produced Who isfare personally known to me or haslhave produced as Idendficallon. as iden6fication. Notary Public Notary Public Commission No. Commission No. Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped � �: ; ; ��. �� � �� r� � �'���� �'' � ' �, �1�. A vivisiori of Ryman Constricctior►, Irlc. Proposal # �'��` �� iNC. 36413 SR 54 • Zephyrhills, Florida 33541 Estimate #�','�� � Phone: 813-782-6094 • Fax. 813-788-6773 License # CCC 1325505 Job #;� C1z .�j� '�-��1�-���-I�iC�i+�,',�II�' Aiso, Serving the Central and East Coast of Florida �7+�6�) Customer: ��r . � �r. �:, �-. ��2. � Date: =��' I � � � � Addx•ess: � �-]� � ,��'�c.���;L_c���� CitY� �,� �)'�. �`� Zip: .��� L `� � Home #: � � ���7�t�i � 7 � � Cell #: � S�I'3 - y� y ` �-17U � Business #:,�'��- �-1 q� - � ��"� E-Tll�lll AdCil'eSS: �Wt;omplete te:�� off of existin� �,��.. ti Additional Iten s: ����` ��y �.,; . S h���i ts �ecure all loose roof decking as needed according ��- � � �.1 � to Florida Building Codes , � , � ., . 4.�Poof dried in with �_� '� 5�-� c.�� �,�( ,- i R� •�-�u C;Vfnstall new valley metal with galva.nized metal �stall a11 new _j�,-,_" drip edge color: '�'' Lj�, ��jl;t... L����ir� '+� _1� ,�. , � s �� � �nstall a11 new lead boots �'SL�1 ,1- 1,v, \\ ��.\� 1�--� ►'}-Z�,,c�� �nstall a11 new �t yea►� fungus-resistant shingles }C7 ��c+!"'� {�� �.,i �1- �'rl,>c,z �J �. �?'"Shingle brancVcoloi° C, f�-�/�= l��'C"+ti,lk�-\. �\�-r� ( � 7�� V.— 1"�-�j�� L�" W�arity Package. �,YAII t•oof relal,ed deuiis x•enloved from job site �.�11 materials, labor alid permits furnished Total bid price $�s� .. �_S ����J f Ea�tra's C�'$ad �lywood reulaced at a cost of $,. `� v per sq. f't. in the roof field. All other wood work/additionallabor, such as, but not luliited to, valley rebuild'ul�, raf'ter replacement, etc. will be a rate of $<,''S , �� per man hour plus the cost of materials. THIS B�COMES A B1NllING CONTRACT UPON ACCEPTANCE OF YROPOSAL. PURCHASER ACKNOWLEDGES RECEIPT OF A COPY OF THIS CONTRACT. 1. A]1 material is gutu•<uiteed to be as specihed and completed 'ul a substaiitial worlau�ilike muuier. '.�.. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to cany fire, hw�ricane and other necessary insurance upon above work. 3. Labor warra�ity does not covzi• dvuage to roofs caused by liglit�luig, hurricane, toiz�adq hailstonn, impact of foreign objects or other violent storm or casualty dam�ge to roofs due to settlemeut, ciistortion failm�e or ci•acldng of roof deck, walls oi• foiuidatiou of x buildu�g. 4. Worl�na�i's compei�sation �uid public liabilily uuura��ce on above work to be taken out by RYMAN ROOFING, INC., a Division of Ryman Coi�shvction, Inc., or it's subcontractors. C�. RYMAN ROOFINU, INC., a Division of Ryiu�u� Coc�st�i�ction, Inc is not responsible to provide any materiaLs or to peiiorm any work other than what is described above. Replacement of deteriorated declditg or fascia bozucls, is not uicluded and will be charged as ati eatra unless otherwise stated herein. (i. Tlus coutiact is subje�•t to final appi•ov:il by RYMAN ROOFING, INC., a llivision of Ryman Constivction, Inc and is the eutire agreement of the parties and no other wiitten or other Yorms will recogiuzed. 7 A rha�•ge of 1.590 will be mad� on all ui�paid balruices after 3U days, plus charges incuired for non-payment procedures, plus attoniey's fees. , .,1��r�1 n,•,�C".q�f� Ityma�i Roof'vig, Inc., a Division of Rymun Construction, Inc. will not be responsible for a��y damage to septic ta�iks, sod, shrubUeiy, paint, satellite signal loss, sprinklers, coi�crete drives oi• aiiy underground pipu�g. Payment Schedule• Payntent Method: � 3 �� �(��Vt � Accept�,nce of Proposa,l �TATUTORY _NOTICE RECTARDING CONSTR TTC1N I N• ACCORDING TO FLORIDA'S CONSTRUCTION LIEN LAW (SECTIONS 713.001-713.37, FLORIDA STATUTES), TI WHO WORK �DN YOUR PROPERTY OR PROVIDE MATERIALS AND SERVICES AND ARE NOT PAID IN FULL HAVE A RIGHT TO ENFORCE THEIR CLAIM FOR PAYMENT AGAINST YOUR PROPERTY. THIS CLAIM IS KNOWN AS A CONSTRUCTION LIEN. IF YOUR CONTRACTOR OR A SUBCONTRACTOR FA1LS TO PAY SUBCONTRACTORS, SUB-SUBCONTRACTORS, OR MATERIAL SUPPLIERS, THOSE PEOPLE WHO ARE OWED MONEY MAY LOOK TO YOUR PROPERTY FOR PAYMENT, EVEN IF YOU HAVE ALREADY PAID YOUR CONTRACTOR IN FULL. IF YOU FAIL TO PAY YOUR CONTRACTOR, YOUR CONTRACTOR MAY ALSO HAVE A LIEN ON YOUR PROPERTY. THIS MEANS IF A LIEN IS FILED YOUR PROPERTY COULD BE SOLD AGAINST YOUR WILL TO PAY FOR LABOR, MATERIALS, OR OTHER SERVICES THAT YOUR CONTRACTOR OR A SUBCONTRACTOR MAY HAVE FAILED TO PAY. TO PROTECT YOURSELF, YOU SHOULD STIPULATE IN THIS CONTRACT THAT BEFORE ANY PAYMENT IS MADE, YOUR CONTRACTOR IS REQUIRED TO PROVIDE YOU WITH A WRITTEN RELEASE OF LIEN FROIVI ANY PERSON OR COMPANY THAT HAS PROVIDED TO YOU A"NOTICE TO OWNER". FLORIDA'S CONSTRUCTION LIEN LAW IS COMPLEX AND IT IS RECOMMENDED THA1 YOU CONSULT AN ATTORNEY. . I ACC�:I'T THIS P�OSAL D HEREBY CERTI�I' THA1 I HAVE READ AND F[ )I.I.Y UNDERSTAND THE P OVISIONS OF TffiS CONTRACT. i Purchaser Date: 1 �3 ' \. _._ .. Purchaser: Estimator: _�_ " ""�- "� -- ;� 1" ��� , ASPHALT SHINGLES 2007 FBC PRODUCT APPROVALS MANUFACTI)pER PRODUCT TESTS PASBED MIAMI-DAOE FL # _ LESS THAN 110 MPH 110 MPH ANO NIOHER ASTM ASTM TAS ASTM ASTM TAS 0�3981 D 7158 107 D 9187 D 7158 107 CL4SS D CLASS G CLASSF CLASS G CERTAINTEED CLA9SIC HORIZEN X 5qµ,1 CARRIAOE HOUSE X 54�,� CENTENNIAL SLATE X 5444.1 GRANO MANOR X S4µ,� LANDMARK X lM4,1 L4NDMARK PLUS X 5444.1 LANDMARK PREMIUM X 6444,1 LANOMARK TC X 6444.1 PRESIDENTIAL SHAKE X 5444,1 ' PRE9IDE�FTIAL SHAKE Tl X 5444.1 HATTERAS � X 5444.1 � PATRIOT X gM4,1 GAF•ELl( ROYAL SOVERElON X • 10124.1 CAMELOT ' X 10124,1 CAPSTONE � X 10144.1 ' COUNTRY MAN510N , X 10124.1 • GRAND CANYON X 10124.1 GRANO SECUOIA X 1012a.t GRANO SLATE X 10124.1 GRAND TIMBERtINE X 10124.1 , TIMBERUNEARMORSHIELDII " X 10124.1 TiMBERUNE PRESTIQUE GRANDE X 10124.1 TIMBERUNE PRESTIQUE 30 X 10124.1 TfMBERLINE 30 X 10124.1 TIMBERIINE PRESTIQUE 40 X 10124.1 TIMBERLINE 40 X 10114.1 TIMBERLIN PRESTI�UE UFETIME X 10124.1 TIMBERLIN£ ULTRA X 70124.1 SLATELINE X 10124.1 OWENS CORNIN�i OAKRtOGE PRO 90 X 10874.1 OAKRI � PRO 30 AR X 10674.1 OAKRI� E PRO 40 X 10674.7 OAKR OGE PRO 40 AR . X 10E74.1 OAKRIDE PRO s0 X 10874.1 OAKRIDGE PRO SO AR X 10674.7 OURATION X 10674.1 . OURATIOM PREMIUM X 10874.1 CLASSIC X 10674.1 CLASSIC AR X 10874.1 SUPREME X 10874.1 SUPREME AR X 10874.1 PROMINENCE X 10974.1 PROMIMENCE AR X 10674.1 BERKSHIRE X tOd74.1 WEATNER GUARD HP X 70874.7 TAl1AK0 GlAS3 SEAL AR X 1958.2 ?• ELITE GLASS 3EAL AR X 1956.1 ' , HERITAGE 30 X t956.3 HERITAGE XL X 1956.5 HERITAGE 50 " X 1958.4 '_ NERITAQE VINTAGE AR X 7154.1 NOTICE OF COMMENCEMENT - STATE OF FLO�DA I IIIIIIIIIII IIIIIIIIIIIIIII IIIIIIIIIIIIIII IIIIIIIIIIIIIIIIII CO�� OF ���.Sc�, 2011048601 TxE utv�ERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statues, the following information is provided in this Notice of Commencement: 1. Description of Property: Parcel No. � 3- a�p -� (- Ol�-( (� °(�(�ppp � Q spd 3 (S 33s ��;�� ���es P is �- �06 �f so 0 3�63 G� 1�a 2. General De ription of Im�rovement: �� 3. Owner Information: Name: �r ' �' r� Address:� �� da City � State �� Zip code '33 S� � Interestin Pro erty: Name of Fee Simple Tittleholder: If other than owner: Address: City State Zip Code 4. Contractor: � R ��` yl ��, _ $ ( 3 _� � a' � � (� .� '� Address: 364 3 S.R. 54 Ze h rhills FL 33541 - 5. Surety: Name N/A Phone # Address City State Zip Code Amount of Bond: $ - 6. Lender: Name N/A Phone # Address City State Zip Code 7. Persons within the State of Florida designated by owner upon whom notices or other documents may be served as provided by Section 713.13 (1) (a) (7), Florida Starat�s: Name N/A Phone # Address City State Zip Code 8. In addition to himself, Owner designates: N/A of • Phone # to receive a copy of the Lienor's Notice as provided in section 713.13(1) (b), Florida Statutes. 9. Expiration date of Notice of Coinmencement (the expiration date is one (1) 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 WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEI�ENT. , Signature of Owner: _�� ��-; �r�4� Printed Name "�" 1� ("/ � /Vl � 1T i (�C � STATE OF FL A COL'iJT�r OF � i�-� The foregoing instrument was acknowledged before me this �� day of 1 to m or who produced identification, and who did/did n�,t take oath (please circle which) �,,�,�r p� Notary Public State of ,Frti�id�;�'; ��' 'I�.Y lS't-'�►'t �. � t � Q S __--.__._----_ _ , , Christian Ryma�n � My Comm�ssior UC�'i Notary Public: � Expire�� avzaro�';; Y mission Expires: �'' �'" U' � - : tl ,, �, � . Under penalties of perjury, I declare that I have read the foregoing Notice of Commencement and that the�acts stat,�a�,i�t'it ar `' true to the best of my knowledge and belief. Rcp! :1359542 Rec : 10 . 00 � DS: 0.00 IT: 0.00 ' �` JTAtE � �� o ' ���, 04/01/11 R. Cervanf.es, Dpty Clerk �''''•��,,, „, (Signature of Owner Signing Above) PRULR S 0'NEIL,Ph D PASCO CLERK & COMPTROLLER 04/01/11 08:44am 1 of 1 OR BK �531 P � 3543 , �, STATE 0� FLORIDA mF PAS�Q �,�>.�- ,, c.ti, THIS IS TO CERTIFY TMAT THE FOR�G k1��#�. A�:'f c�', TRUEAND CORRECT�COPY OFT� DO��NT,;i`_�� ON FILE OR OF PUBLI�C RECORt��tTMt,�,O�FfCE WITN�FSS MY HAND A(�D OFFICII��E/�1��'t11$ �. .'� f �_DAYOF t�G �.' 2���!:;,,�-` PAULA 'NEIL, CLEF�K Q�MP7RQLtER' -�, P, a � gY Nti"_'__-DEPI{7�LERK