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Home My WebLink About11-11934 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (sss)�so-oo20 11934 . ' BUILDING PERMIT SINGLE FAMILY RESIDENTIAL Permit #:11934 Issued: 6/01/2011 Address: 38349 EVERGREEN VILLAGE DR 1-9 Permit Type: GENERAL BUILDING PERMIT ZEPHYRHILLS, FL. Class of Work: ADD/ALT COMMERCIAL Township: Range: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Sq. Feet: Est. Value: Book: Page: Cost: 16,704.00 Total Fees: 214.56 Subdivision: CITY OF ZEPHYRHILLS Amount Paid: 214.56 Date Paid: 6/01/2011 Parcel Number: 02-26-21-0010-05300-0020 Name: RYMAN CONSTRUCTION OF FLORIDA IN� Name: Z-HILLS LTD Addr: 36413 S.R. 54 WEST Address: 38349 EVERGREEN VILLAGE DR 1-9 ZEPHYRHILLS,FL. 33541 ZEPHYRHILLS, FL. 33542 Phone: (813)782-0825 Lic: Phone: (863)647-1581 Work Desc: CONSTRUCT OPEN PAVILLION 24 X 24 • .5 � . �� / � 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 fauity 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 properly 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. `- � - CO R NATURE PERMIT OFFI ` PERM EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER a�saao-oo2o City of Zephyrhills Permit Application Fax-til3-/FtU-UU11 Building Department Date Recelved � 5- � � r Phone Contact for Permittin � � � � � � - � `�� Owner's Name A'� M �Q'�'� � �="r'� �j Owner Phone Number � � �' - � � � _ � � � � Owner'sAddress � �- ��'� �a�a � �-RK°��`'�� OwnerPhoneNumber Fee Simple Titlehoider Name r Owner Phone Number �— Fee Simple Titleholder Address JOBADDRESS 3�G'��g Ev'��GQ�� vti1,�,A-t�t. p�. ,'zgPN�C�N\v�S,F1.335`i� LOT# � SUBDIVISION � . PARCEL ID# �a�� p ''� 1 �� C '�� b 5��'t' ��' �`'Z� (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED � NEW CONSTR 8 ADD/ALT 0 SIGN 0 � DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM Q� OTHER A�ES:�C � S'r'f�v.UT�6z TYPE OF CONSTRUCTION Q BLOCK �� FRAME STEEL DESCRIPTION OF WORK A�- u • �C�� /OY1 [Al BUILDING SIZE �`� � x �� SQ FOOTAGE � 1 � HEIGHT a t [�BUILDING $ , � i -� � �„� VALUATION OF TOTAL CONSTRUCTION QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. QPLUMB�NG $ � ��C � 0 QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � � � �` QGAS Q ROOFING Q SPECIALTY Q OTHER �' " Uv FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO ��( l�� BUILDER — �� v ' COMPANY � � � � �'�' � S��` � � L � � �. SIGNATURE REGisretteo / N FEE CURRE� `/ N Address � S� �i, Ze{°�i7rh.11� ��1.. �3.7�41 License# ��ZC... 151 1 l�7 � 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 Address License # � OTHER -- - COMPANY ��,M A� �. Gcu �� 1-> C�-� � S J� � SIGNATURE REGISTERED L� / N FEE CURRE� (1V Address ?ab �! � � S R �� , 2 tP,.. �Hr ��..s, i-L ? -',J'� License # �- �-G � 3 � � � � RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-0-W Permit for new construction,. Minimum ten (10) working days after submittai date. Required onsite, ConstrucUon Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities 8 1 dumpster; Site Work Permit for subdivisions/large projects COMMERCIAL Attach (3) complete sets of Bullding Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new construcdon. 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 wmmercial requirements must meet wmpliance SIGN PERMIT Attach (2) sets of Engineered Plans. ""`PROPERTY SURVEY required for all NEW consUucBon. Directions: Fill out application completely. Owner 8 Confractor sign back of application, notarized If over;2500, a Notice of Commencement is required. (A!C upgrades over E7500) ** 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 responsibiliry for compliance with any applicabte 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, ff 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 buildittgs, 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 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 pertormed 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-Welis, Cypress Bayheads, Wetiand Areas, Aitering 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 aflowed in Flood Zone "V" uniess 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 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 NO E OF COMMENCEMENT. FLORIDA JURAT (F. . 117 OWNER OR CO CTOR Su�� be� and swo rmed) b re me this Subsc swom fti ) before me this i'Vl b by Who Is/are per sonallv known to me or haslhave produced Who is/ar person_ ally known to me or has/have produced as identl8catlon. as identificatlon. G��%i � U Notary Public �� .� Notary Public Com s o o Commission No. ,,,�� NA MARt tLYNCH-TERRY Name of ta � rintAtl� ' Nam � t t FloriGa `_� *�p Notary Public - State ot Florida - ,•= Y Ommission Expires Apr 4, 2012 � r , c My Commission Expires Apr 4, 2012 _ * . ' j,� �,d`,•' Commiision # DD 740169 Commission # DO 740169 , oF v��.� gq�f� TTlfql�ll N8Gon81 N ?" �9 ", p` c '�nun O�fy 14SSI1. 4� r p o-: %� F�,o` Bonded Throu h National Notary Ass�. � �� 9 sg� ; r'S''� �� , J � ��(i.�, ��- �� s. £`��j�bf �ief,�1 �ir�""'' .,. ,5,; "a"' � . -w:= = I �„"ka � I� City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: Date Received: < �- r � Site: �� 3 � � r /��/j � � � Permit Type: 2 - � Z� C� C/`"�<! ` �� Approved w/no comments: � Approved w/the below comments: Denied w/the below comments: 0 l� , � This commen ee� sh kept 'th the permit and/or plans. �� Kal m Switzer Examiner Date Contractor andlor Homeowner (Required when comments are present) Zephyi•hills Fire �tescue (,�)07 1.)tiir� Rc�ac1. .1_eph� rhillti. i� l_ �35�42 I irc I��1ar5h�il 13us (RI3) 7�U-()041 I�e.rr�� 13arnett f�aa (81 ;} 78O-O044 L-mail. kbarnett��r,�tire.r.ephyrhilis.(l.us _._.____ .�._...�_ __.___._.__._ ..,. _. __. �_ ..__.__._..._.._...__..�.__. ---._._... �._.�_.�.._.___.�...�_____ Plan Review #: 11-072 Project: Pavilion Number of Pages: 3 May31,2011 I have received and reviewed the plans for the construction of the pavilion located at 38349 Evergreen Village Drive and will allow this project to move forward. Paying for perm�t, contractor acknowledges to the comments listed below. Should anyone have any questions, please do not hesitate to contact the Fire Marshal's office 1. Install certified fire extinguisher inside cabinet. Inspection Required: 1. Final r � �_.. KERRY BARN , 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 submrtted 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 e�pense 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. ��"L��iI�L� FIR� D�P�4R�"EVIEN� � 690�7 Dairy Road, Zephyrhiils, �L 33542 rere Chi�t Keith Wifi�ams Bus ($13)780-Ot��i1 Fax (813)780-OU�id FIRE SERVICE USER FEES Occupancy No.: � Plan No.: _ --�G"" �-� Contractor � '� Business Nam � „�c ��- Billing Address: / Business Addres ��f �r�"�� %� � ,�.... � -� G ' � 5 Bus�ness Phone No Billing Phone No.: � Business Fax No. Billing Fax No.: Contact Contact: PLAN REVIEW FEES INSPECTION FEES PERMIT FEE FALSE ALARM FEE Site Plan � Annual N!C Sprinkler $50 1 st Alarm N/C ti-Fami�y�Commercial �i sT� 1 St Re-inSpeCtion N/C Standpipes $50 2nd Alarm N/C (Mfrnmum Charge $25.00 �� 2nd Re-inspection $100 Fi�e Pump $50 3rd Alarm N/C � Plan Revisions OBL 3rd Re-inspection 3250 Hoods $50 4th Alarm g�pp ��'�j 4th Re-Inspection $500 Fire Alarm $50 5th Alarm $150 SPRINKLER SYSTEMS (Busmess closed until LP Gas $50 6th Alarm $2pp 0- 25 Heads $50 violations corrected) Natural Gas $50 NON COMPLIANCE $150 26 plus Heads $100 SPRINKLER SYSTEMS Fuel Tanks- ce� mnk $5p STANUPIPE SYSTEM Hydro Undergrounds y45 Sparklers $�pp � Per Riser $50 Hydrostatic Test $65 per system Fire Works $Spp FIRE PUMP Acceptance Test $45 a, sy5cem Camp Fire $25 � Per Pump $100 Hydrant Flow $75 Controlled Burn $100 FIRE ALARM SYSTEM HoodlDuct $Sp 0- 25 Devices $50 FIRE ALARM SYSTEM Place of Assembly $SO Annual 26 plus Devices $100 System ACCeptance a50 Fire Protection $25 SUPPRESSION SYSTEMS Reca11 Acceptance $50 Flammable Application $50 Annual Wet S50 OTHER Waste Tire Storage $50 qn�ua� �rY $SO Fire Wall/Smoke Wall $15 per wall Generato� < KVV $100 CO2 $50 LP Gas $25 �� w�k Generator >30 KW 15p Other S50 Natural Gas E25 per sys[em BiaHazard Waste a100 Annual KITCHEN EXHAUST Fumigation Tenting $50 � HoallDucts $50 Tent 10'x10' or greater $15 per tent Torch PotlApplied $SO OTHER Fi�e Pump b45 Haz. Materiats $100 qnnuai LP Installation per tank $50 Fire Suppression E30 fuel Tank Installation $50 System Acceptance (Per Tank) $SO 8 Exhaust Hood/Duct a30 � Natural Gas Installation $50 Re-inspECtion DBL ( Per System ) (other than annual) � Spray Booth $50 � Inspection scheduled DBL 8 and cancelled less than 24 hours Construction Insp N/C Emergency Vehicle Ac� $50 FALSE ALARM PLANS �AL L__� INSPECTION TOTAL � PERMIT TOTAL � TOTAL I_ I ��d7Y4' GRAND TOTAL � Comments Date Insq��clor � �� A Drvisi�rt of h'yrrutrr C oitsr.rr.rctiort, I�x•. i_��.��„�• - c� c:r,.s;i;-� INC. To: Evergreen Village 38415 #1 Evergreen Village Drive Zephyrhills, FI 335A2 813-782-2740 8Z3-715-72A0 Attn: Brenda Wise RE: 2A Ft. x 24ft. Pavilion We submii the foliowing work for the new Pavilion Plans and Permits: • Provide all engineered plans, building permits, sealed drawings for permitting in nasco County or the city of Zephyrhilis • AU plans to current hurrir.ane wind codes +"fhis bid does not inciude any impact fees • Any surveys required by owner and not in price{adr� $37; to bid if contractor to liandie surveys to locate and pin corners) Coiicrete • Includes monolithic concrete faoters and 4" thick concrete slab to finished ii� a smooth finish • Slab to have cornplete footers around perimeter ta perrnit future closing in pf pavilion at a later date • Inclucies alI rebar, wire, visquine and termite treatment ��er plans • Pavilion to be open on sides with only posts exposed + There is no railing arounc! the building perimeter • Slab height to be 4-6 inches above the existing sidewalk • Includes a 4ft wide x�t" thick sidewalk to tie into the existing sictewalk and the new pavilion Framing: • All to hurricane codes � Set 4 6"x6" rougi� cec3ar or pt posts � Install engineered trusses 2ft on center • Install 2"x]2" beams per plans • Install all truss bracij�g per plans • Install all hurricane clips per plans ifi413 SR ,S�i • 7.epliyrhills, T'lorida 33541 q'(el�phone: �13/'82-0827 • Fas li13/?83-6%?3 EmaiL• rvn•�auhom�s�?�a��l.rom • Install %, CDX plyurood for sheathing foll�wed with 301b saturated felt paper Roofing • instali new 30 year architectural shingie over plywood � install new white smooth wide faced drip edge • install ridge vents per code � install new white vinyl soffit and aiuminum fascia per cod� • for vinyl soffit over exposed truss area add $3.475.00 to bid lncludes daily clean up of rnateriais and removai of all debris as it accumulates. includes daily supervision Includes final clean up at completion Not inciude; Palnting by pwner lmpact fees There is no electrical work in this quote Owner to provide power supply during construccion Work to be completed within 30 days of receipt of permit Any surveys by owner Total k3id Estimate: $16,704.00 —sixteen thousand seven hur�dred and four dollars Draw scizedule 25% at signing of contract ''1 ��•�� 25% upon receipt of permit 25%at dry in inspection 259'o upon final building inspection Any work that is different from the above and the signed and agreed to buiiding plans will oniy be executed with a change order and may be an extra cost. The above speci#ications include the entire stope of ihe wark along with the signed and sealed buitding p ns. By our signature below we agree to the above specified plans and specifications. Lx��i.C.� '-'�� ( l Owners rep/date �'"�� J� yman Constructio cJdate .,.�1 1 i iiiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiii iiii , 2011078619 Rcpf.:1368789 Rec: 10.00 DS: 0.00 IT: 0.00 05/20/11 K. Garcia, Dpty Clerk PAULA S 0'NEIL Ph D PRSCO CLERK & COMPTROLLER 05/20/11 02:44 m 1 of i NOTICE OF COMMENCEMENT OR BK ��Z p� �� Permrt No , Property Identification No (� a— ��'� t-�,yC: � l`� ' G�j�Gv -pp� p THE UNDERSIGNED hereby gives notice that improvements will be made to certam real property, and m accordance with Section 713 13 of the Florida Statutes, the followmg mfotmation is provided m this NOTICE OF COMMENCEMENT 1 Descript�on of property (legal description :h �t�y��)IL�,s <<,,cuy cc ��N,� �� 1 .� - N �-� � �-�-� 6 � T � � � � � � � r � � �� a)StreetAddress '3'b7`�`I c�tec,etFN ;,u�.�-c,G ��- � r�- �;5�►� �� zc.2�,�4 2 General descript�on of improvements q��FSS�,��., �T�ucz,�c� t� - ��L,�, c �a� «` �� . 3 Owner Information a) Name and address q�/� � czc � p� i� x �;,r�� LAKE�N�� f rL �3�� b) Name and address of fee simple titleholder (if other than owner) c) Interest m property 4 Contractor Information a) Name and address. �. Mat� Cc N��-�tt•,c ,c�.: �N�. �aK��. °,v_ 5 z��,t P t�t��5 �-� 3;•, y� b) Telephone No @: Z-� K�- � �� -z .r� Fax No (Opt.) g,�3 - F, �- 6'7 � 5 Surety Information — a) Name and address ��A- b) Amount of Bond c) Telephone No Fax No (Opt.) 6 Lender a) Name and address 1�.J�/� Phone No 7 Identity of person w�thin 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.) R In addit�on to himself, owner des�gnates the following person to rece�ve a copy of the L�enor's Notice as provided in Section 713 13(1) (b), Florida Statutes a) Name and address b) Telephone No Fax No (Opt.) 9 Expirat�on date of Notice of Commencement (the expiration date is one year from the date of recordmg unless a different date is Spec�fied) 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. STAT� OF FLORIDA . COUNTY OF PASCO �� Q M �� Signature ofOwner or Owner's Authorized Officer/Director/Partner/Manager �cencl� C..J� S � Prmt Name The foregoing instrument was acknowledged before me this � day of � , 20 �( , by �e„ d c� �' � as (type of authorrty, e.g officer, trustee, attorney �n fact) for (name of party on behalf of whom instrument was executed) Personally Known t/ OR Produced Ident�fication Notary Signature �/� i� � � Type of Identification Yroduced Name (prmt) � ?O1pRV PV�� ANNA MARIE LYNCH•7ERRY + « o: Notary Public • State of Florida Vertfication pursuant to Section 92 525, Florida Statutes. Under penalties of perj �„ �3{��t�l f�rtsggtj d that the facts stated m it are true to the best of my knowledge and belief. %',;F�� r?�' Commission # DD 740169 B0 � Th�h Wabonal Notary Assn. � �s.�+.�� 1.a.�t� FORMS/NOC,rvsd2007 Signature of Natural Person S�gning Above D � _ D r � � _ � Z D � � � (�,.� � N � � -� • tn O rn �� X �� N � � � N �� o rn� � �O :U� � .�0 � � s i �m o �D •° ` O �� Z � i i' D o � r - ' r N O N N � s � A z � < � � o r � O n Z "' � N 0 D i � a . � I I 7'-z3/4" � � 8'-0" ,� �o � -� ,o � � �• � o rn iW � � i D � . � i �O O � � 24'-0 ----- ------------------------------------------------ --- -- -- �--� -- --- ----- --------------------------------------� 1�� ----------------------------------------------- � �� i ---- �� "' i i �;� �� i ,.� � �� i i �� i �� i �� i N i �� i ; i �� i i �� i o �� i �� ;;� � � i �� w �� i � � v i i �� i. � i '�� X 'ii I V �� I i�i �i� I � N � y � �ii � "� � �x Q-O�X � � I i�� N �� I frl —' � . 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