HomeMy WebLinkAbout11-11743 . . - CITY OF ZEPHYRHILLS �%�
- 5335 - 8TH STREET
(si3)�so-oozo 11743
BUILDING PERMIT
Permit Number: 11743 Address: 3524 TOURMALINE DR LT 271
Permit Type: ACCESSORY BLDG. ZEPHYRHILLS, FL.
Class of Work: SHED INSTALLATION Township: Range: Book:
Proposed Use: RV PARK Lot(s): Block: Section:
Square Feet: Subdivision: EMERALD POINTE
Est. Value: Parcel Number: 24-26-21-0080-00000-2710
Improv. Cost: 15,000.00
Date Issued: Name: LENTZ, JACK & DONNA
Total Fees: 285.00 Address: 3524 TOURMALINE DR LT 271
Amount Paid: 285.00 ZEPHYRHILLS, FL. 33542
Date Paid: 4/07/2011 Phone: (724)840-1785
Work Desc: BUILD STORAGE BUILDING 12 X 42 W/ PLUMB & ELECTRIC
1 5.
HOMEOWNER PLUMBING FEE 60.00
HOMEOWNER
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SHEATHING
FINAL
ELECTRICAL ROUGH
ELECTRICAL FINAL
1ST ROUGH PLUMB
2ND ROUGH PLUMB
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."
.
CONTRA TOR ATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
a�saao-oo2o City of Zephyrhilis F'ermit Application rax-ts�s-iau-uuz�
� , .
- Building Department
Date Received �-- ���� phone Contact for Permlttin �� y� - 7�V
Owner's Name f/ GC.0 � � en� �z D Owner Phone Number 7pZ �� Q'- ��`i�
Owner's Address 3 vr.� aL "� Owner Phone Number
Fee Simpie Titleholder Name � Owner Phone Number � �
Fee Simple Titleholder Address
JOB ADDRESS DU Q „J � � f' �' � �dr � 1!' e`` LOT # �/�
SUBDIVISION �— , PARCEL ID# � y _ � � � "� D � � OD d0-(J ��/'
(08TAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED � NEW CONSTR B ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION Q BLOCK Q� FRAME Q STEEL Q
DESCRIPTION OF WORK ,(� ,� S q�(' i�' �� ' � C �C ��
BUILDING SI2E �oZ �..t' �� � SQ FOOTAGE V�� HEIGHT �� /
� �..
�UILDING �� !�, �,i � VAL ATION OF TOTAL CONSTRUCTION
��ac�
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ ` %�,�� 7 � �
� -
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �„%Cf��S X'�5���,�,�
c-_ � _.... — �._
QGAS Q ROOFING Q SPECIALTY 0 OTHER ���,�,j
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER � D , C ,� � � COMPANY
SIGNATURE �����° W REGISTERED / N FE CURRE� Y/ N
Address ' License # r
ELECTRICIAN ��� �� k COMPANY � �
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address Ucense #
PLUMBER ��.,e,.� � . COMPANY i �.
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address License #
MECHANICAL COMPANY
SIGNATURE _ RE�isrERe� Y/ N FEE CURRE� Y/ N
Address License # — 1
OTHER COMPANY
SIGNATURE REG�STERED Y/ N FEE CURRE� Y/ N
Address Ucense #
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 submittai date. Required onsite, Constructlon Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Faciflties & 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 onslte, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilitles & 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 requlred for ail NEW construcUon.
D(rections:
Fill out application completely.
Owner & Contractor sign back of application, nota�ized
If over;2500, a Notice of Commencement is required. (AIC 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 Senrlce Upgrades A/C Fences (Plot/Survey/Footage)
Driveways-Not over Counter if on publlc 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 appl(cation 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 IMPACTlUTILITIES 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°ce�tificate 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. Fu�thermore, if Pasco County WaterlSewer 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'SlOWNER'S AFFIDAVIT: I ce�tify 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 8 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 fiil 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 wili 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 speci�cally included in the application. A
permit issued shall be construed to be a ficense 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, cvnstruction 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 ATTORN BEFORE RECORDING YOUR NOTICE OF MME CE ENT.
FLORIDA JURAT (F. 17.03) � ,
OWNER OR AGENT ` CONTRACTOR
Subscribed and swo or a re s Subscribed and s to affl d) ore e this
by - % � �`' 1 b / ,
W o Is/are rson own to roduced pe � n ly k wn to or has e produced
�� , � as identHication.
/ � .
: , � C- _ � , _ d �� �_.
� � � �� E tary Public
Com Commission No.
=�R Cur��tis�ion DR 734406 � 60BBIE S. SWETLAND
�r y� 2 Name of Notary
Nam ��� � Explrea ebruary 22, 2012
Oonaed Thru T�oy Fain ImlyYice 8pp3g5�7p19
... . . - . `''Rr�� �onded Thru Troy Faln IMUrMio� BOOaB&7019
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DISCLOSURE STATEMENT FOR OWNER
C1TY OF ZEPHYRHILLS — BUILDING DEPARTMENT
�, have read and fully understand and agree to the
pro ions of this instru nt.
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 said
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 emplo�red 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.
OWNER'S SIGNATURE Q.��"v DATE _ _y / ' / �
ADDRESS < � , :, f �i. / s , /= l
PHONE � -
/
WIT ESS G . PERMIT
UMastcrForms /OwnersAffidavit/Nov07
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Sheds
Plan Review Comments
1) Ali property markers shall be fully exposed at time of inspection.
2) AI! sheds shall be installed and anchored per manufactures specifications.
3) All set-backs shall be met. 90 sq ft or less is 5' set-back. Greater than 90 sq ft the set-
back is 10'
4) Only 2 accessory buildings per parcel.
5) Sheds shall not be rented or inhabited.
6j Must meet and follow all conditions of ordinance:780-01
7j No*. ta exceed 16' in height at peak.
8} No other work shall be permitted (framing, plumbing, electrical and mechanical) unless
otherwise specified.
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Procedure for Lot Improvement Requests
(Please refer to "Rules and Regulations')
1. All requests are to go to Cha.irman of the Property Evaluaxion Committee, for the committee
to review. There is � h�l.der lab�led "ProDertv Eva�t�ation & I�dn.rovements" in the ' carv
�
for Lot owners to n,fa,ce their com�etod.�forma in xnd theae for.ma will bc �ad.nn fram
the L�brarv bv � Prenertv Evninstion committee.
2. Any request wlu�h is NOT filled out properly or in detail, which includes, compiete plan
layout, elevations (where applicxble), written details of improvement being requested, includi�g
color, etc, and any other information pertinent to th� processing of the request, wd�l be �et�ned
t4_t�e Lot e�rer fer �o�a beii�re bei� peviewed bv thE Ca�nit�ee.
3. Committee will review requests and visit the site of the request as necessary.
4. After Lhe Committee has approved or denied the request, it will be presented to the Board of
Directors for their approval or denial.
5. There will be NO more one day approvals or last minute approvals. Request will talce 7- 14
days for appropriate review and consideration, thus giving the Committee and Board members
time to review and consider the request in a thorough manner.
6. The original request will be stamped approved or denied, and after being copied the original
wtill go into to the members file and the copy retumed to the Lot owner by the Board of Director
liaison to the committee.
7. The committee will follow up on requests to determine that the request as presented and
approved is being adhered to.
3,j�► � � �
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As the owner of Lot #_�� / , I understand the Property Evaluation Committee and/or the
B�ard of Dircxtors will enter the property to follow the external progress of the const�vction or
impmvement, as submitted on the Lot Improvement Request.
� �' C � 1 /
Owner's Signa Date
4/03/06
�
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� � ' �
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LOT IMPROVEMENT REQUEST
To EPPOA Property Evaluation Committee & Board of Directors:
From ,�ar, K' �,e �.�L.
Lot# /Address o 2 7 J 3.3" y � �, �,,,, �, �,„'..�,
Phone number where you can be reached �oZ Y - � ya _/�� s-
We request POA approval for the following (must include drawing for any
construction / additions / remodeling / landscaping, etc. ).
�oZ X�,2 L� A N�� � n} RA �'Se d S/a. 6 �;c�`/�/%q�i ,( a t✓
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Lot Owner's Signature Date ,3 - / .� - / /
Approve � Denied
Pro e Evaluatio Committee:
��� -
� Date: 3 ' z�' l/
Board of Directors
� - � � � �; :� - zg.-, �
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Date:
Remarks: ND �DD� I�UJ�'iP�ti`y � t L Q��� �`
I e r�'r �
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5'
SET BACK
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SET BACK '�� SEf BACK
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TYPICAL 38' X 68' LOT
WITF1
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�' MAX. CONCREIE 26' X 63'
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' City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
�.__ _._ ,
Contractor omeown � i ✓
��__�-� �
Date Received: 'T ` /� :��
Site: � �� �-��r il�l ��� -'e.�
�
Permit Type: / � � � (
�
Approved w/no comments: ❑ Approved w/the below comments: [� Denied w/the below comments: ❑
�
This comment sheet shall , kept with the permit and/or plans.
, �'� ��
' Swi lans Examiner Date Contra or and! omeowner
� (Required when comments are present)
'������ ���I� ����� ����� ����� ����� �����'���� ����� ����� ���� ���� ,�
, _ 20,�1052561
PASCO COLTNTY BUILDING PERMITS DATE: 04/07/:L1
NAME AND ADDRESS FOR PROPERTY ID: 24 26 21. 0080 00000 27"10
PARCEL IS LOCATED IN CITY ZH SC TP RG SUBD BLOCK LOT
NAME l: LENTZ JACK & DONNA NAME 2:
ST LN1: 3528 TOURMALINE DR ST LN2:
CITY: ZEPHYRHILLS STATE: FL ZIP: 33540-7441 TIFZN: 3
-------------LEGAL DESCRIPTION FOR PROPERTY----------------------------------
THE EMERALD POINTE RV RESORT PHASE SIX PB 4f3 PG 006
LOT 271 OR 8021 PG 1364
NOTICE OF COMMENCEMENT
Rcpt:1360771 Ree: 10.00
Permit Na, DS : 0. 00 IT : 2� . 00
04/07/11 K. Garcia Dpty Clerk
Property Identificarion No.� `� '� 0 2., (�, '- � j - ,Q�C�'� .,_, � C+l � p ,,.Q — � '� � a
THE UND$RSIGNED hereby give infom�s you that the improvement will be made co ccrtain real property, and in accordance with
Secrion 713.13 of the Florida Statutes, the following informarion is provided in this NOTICE O�' CONIlVIENCEMENT.
Se•� �41b � v 4
I .Description of pr°PertY (legal descri�tion:} o'� 5�- �/ - % •- �?R3�2! w- ,p/-�,�?,C7 °-��/Q ,� 17°�C-��'�./�a� p,� :,�.�7` f.'ti/ �'�S
a) Street Address• �'-
2.Geneial clescriptivn ofimprovements: �s �� " �
�"
3.Owner Informarion
a) Name and address: � � I�C ,� � ! 0 /M Qr�
, b) Name and address of fee simple titleholder {if other than ownerj '' ,S� 02 f I �, �, '
c) Inierest in property - ,, �
4.Contractor Infom�ation
a) Name and address: � G7 c k �, 2 h �' L ,.S m-r. Q s b c e� ,�, � r�
b) Telephone No,: '�� Y _ � �� p _ � 7 ,s-5-.,- Fax No. (Opt.) � '�
S.Surety Iaformation
a) Name and address:
b) Amount of Boad:
c) Telephone No.: Fax Na. (Op�) _ PAU�a S 0' NE I L Ph D PRSCO CLERK & COMPTROLLER
6.Lender 04 R �5�� 1 PG� ��5�
a) Name and address:
Phnne No.
7, I@entity ofperson within the State o£Floxida des�ignated by owner upon whom notices or other documents may be servect:
a) Name and address:
b) Telephone No.: Fax No. (OptJ
8.In addition to hirnseIf, owner desiguates the following person to receive a copy of the Lienor's Not'scc as provided in 3ection
?13.i3(1�(b), Florida Stahztes:
a) Name and address:
b) Telephone No.: Fax No. (Opt,)
9.Expiration date of Notice of Cornmencemeni (the expiiation date is ome year from the d�te of r�cording unless a different date is
specified):
WARNING TU Q'6VNER: ANY PAYMENTS MAUE gy TgE pWNEg A�ER �.gE �p�TT�N OF THE NOTICE UF
COMMENCEMENT ARE CONSIDERED IMpROPER PAYMENTS UNDER CHAPTER �I3, PART I, SECTION 713.13,
1�'LORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPRUVEMENTS TO Y4UR PROPERTY_
A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POST�D ON THE dOB SITE BEFORE TIiE FIItST
Ii�tSPECTiON. IF YOU INTEND TO OBTAIN FiNA1�iCING, CONSULT YOUit LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDIlVG YOUIi NOTiCE OF COMIVVI�NCEMENT.
STATE OF FLORIDA
COUNTY OF PASCO
r gnaMre of Owner aa O s Authorized O�cer/Director/pariner/Manager
� 'Z.
' t Name
The foregomg inshument was aclaiowledged before me this � day of �i- �� 20-// , by cJQ�1G �'i ��l1T Z
$3 e af authori
in fact) for (aame of party on bebalf of hom� insfrument was exxu�ed���' & �� ey
Personally Known OR Produced Identification /� Notary Signai�ue '
t�°"' "'�e DOROTHY E MASUMIAN
Type of Ideurifcation Produced � L�1- Name (print) Ml COMbIISSION MDD991638
o • 3 2014
� 6 � 3 � 3 - 3 �..�.�,�Y Fl. ��,+.�. c�.
Verificarion pursuant to Section 92.525, Fiorida Statutes. Uncicr pcnalties af perj�y, I declare that I iiave rea@ the for$
the facts stated in it are tru.e to the best vf my ]�oyviedge and belie 8o�g $nd that
C���
'ORMSMOC ,rvsazoo� Si ture of Na erson Signin Abave