HomeMy WebLinkAbout11-12311 CITY OF ZEPHYRHILLS
5335 - 8TH STREET �
, (si3)�so-oozo 12311
BUILDING PERMIT
Permit Number: 12311 Address: 6252 HUNTINGTON DR
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: SILVER OAKS
Est. Value: Parcel Number: 03-26-21-0120-00000-1200
Improv. Cost: 11,400.00
Date Issued: 9/01/2011 Name: WOODWARD, ELAINE
Total Fees: 95.00 Address: 6252 HUNTINGTON DR
Amount Paid: 95.00 ZEPHYRHILLS, FL. 33542
Date Paid: 9/01/2011 Phone: (813)715-6507
Work Desc: REROOF SHINGLE
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TAPE JOINTS ROO �IN$P� � rr
FINAL l�d I
REINSPECTION FEES: Reinspection fees will wmply 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 t� plans not at job site g) work not acxessible.
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.
"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, wnsult with your lender or an attorney
before recording your notice of commencement."
Complete Plans, Specifications Must Acxompany Application. All work shall be pertormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
�
CONT CT I NATURE PERMIT OFFI R
MIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
sis-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Receiv�d + Phone Contact for Permlttln _ V I�
Owners Name LL��'1P '� � Owner Phone Number �I " � S- �
Owner's Address "`" �(�"fi �(1 �L,1/� Z Y�`Uwn� Phone Number ��
Fee Simple Titleholder Name Owner Phone Number �— �
Fee Simple Titleholder Addrass
JOB ADDRESS ; LOT # C�
SUBDIVISION "�' � , PARCEL ID# O ' o� I(�� . � � C�
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW CONSTR B ADD/ALT � SIGN Q �] DEMOLISH
INSTALL REPAIR ('.L_(�-,�.£
�� (�
PROPOSED USE � SFR Q COMM OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL �
DESCRIPTION OF WORK t� � � � �! � � G� �� i �
BUILDING SIZE — 1 SQ FOOTAGE �� HEIGHT
QBUILDING $
l� �.� VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
QGAS � 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 # r
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRFJ� Y/ N
Address License # r
r
OTHER � � �� ' COMPANY n'� �[�1�'l .–�-( 1�
SIGNATURE � REGISTERED Y/ N FEE C RE� Y/ N
Address y� �f Y! Ij(.� S�� License # rC�.�.. ���� `�
RESIDENTIAL Attach (2) Piot 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 wl Silt Fence installed,
Sanitary Facilities 8 1 dumpster; Site Woric 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 construction.
Minimum ten (10) working days after submlttal date. Required onsite, Constructlon Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilitles 8� 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance
SIGN PERMIT Attach (2) sets of Engineered Pians.
'"*"PROPERTY SURVEY required for all NEW constructlon.
Di�ectlons:
Fill out application completely.
Owner 8 Contractor sign back of application, notarized
If over 52500, a Notice of Commencement Is required. (A!C upgrades over 57300)
'* Agent (for the conVactor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of ApplicaBon Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences (PIoUSurvey/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
Counry.
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 buiidings, 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 cer�ificate 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 ail 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 Fiorida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-SeawaAs, 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 ailowed 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. 11 .03) � � � I
' � � CONTRACTOR �
OWNER OR AGENT Subscribed and swom to (or a rm befo e thls
Subscribed and swom to (or aflirm ) efore ni by
by
Who islare personally known to me or has/have produced Who is/are personally knovm to me or ha asedentification.
as idenBflcallon.
Notary Publlc Notary Public
Commission No. Commission No.
Name of Notary typed, printed or stamped
Name of Notary typed, printed or stamped
03-18-'�g 15;37 FBOM-ABC SUPPLY C0. 3525232Z27 T-240 P003I006 F-004
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Code Varslon 2007 FL# q�,�,
ApPlkatioa Type Atl Product Manuhctursr GAF Materials Corporation
Catpory ALL 5ubeaoqory qLL
ApplEeattoa Status ALL Compllance Mathod ALL
QwIRy nssurance �ntRy Au„ Qq�ruty Asw�nco �ntity Gontrack Exp�rad nu.
' Product Moqel, Number or Name ALL Produc! Pescrlptlon n�
Approved fbr use in M/HZ ALL Approwd tor uso outalde MYHZ ALL
Inip�ct Reslswi�t ALL D�sign Pnssuro qu,
0lha qu,
I'�neh Rowili - i
� I�a tlidlriC�Yf�C va�idae.e �� ,�y�
FL640.R7 �y� � M+�teriats Corpor�tian � � 7ohn W. Kneawi�h. Approvad
�CG C�pory: RooAnq p�
�bwbpory: Cements-Adbes(ves-Coad (954) 772-6224
FL3�43_ ReWs1o� GAF Matariats Corporatton Jehn W. Kn�evlch, Approvad
SZ Ci�a1Y: ROAAD4 PE
1�4CL s��tp.ry: 5intiie o!y Roo! Systams (944) 772-6224
FL4911_ Ravislon GAf Matafals Corporatlon ]ohn W. Knvzevich, Approved
B3. Csfye�ye RenAnS pE
�11i�9CC �: Watrrproodnq (954) 772�li�24
fLS Revtsl0n GAF M+�tafab Corporation John W. Itnezovich, Approved
B2 Cat�ory: EtoeFlnp PE
dl�X a�re.�No�pa Slnqle Ply Roof Systems (954} 772-b224
F.LSG� Revlsion WII� Mstrlals Corporatlon 7ahn W. Knesavich, Approved
El C�eya��te ftooAnq pg
�L /11b0�Orys MOdM� 81tumOR RoOf SystMn (934) 772'6224
� 67. Revislon �� RooAn�g �tion � n W. Knaevlch. APRrovecf
bl�qG inbe�MNr� Roofinq A�asao►fa that aro an intagral P�rt o� tha (954) 772-6224
Roa�InY Syst�m
��37. Revts�an ciAF M�E�� CoryaAtloa ]ohn W. Knezevish, Approved
�L7� �11�OI U11dir1iymiflt8 (954) 772-6,224
- Ravisloa Matrll�b Corpecatlpn ]vhp W. Kna:�vich. Approvee
Bl
l�pC Suias�er�n Aephalt Shingles �9aa� m-az2a
EL14�2�L New GAF M�terl�ls COrporaL�on John W. Knasvich, ApProvea
Cabpe��n Roofln4 PE
�w�ory: Underlaymenls (934j 772-4224
�� New oAF i�MMbrl��s corporstlan �� ]ohn w. Knme+n�h. Approved
C�1� ��� PE
3�orys Built up Roofin9 9S4 772-62T4
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A Division of Ry»tan Construction, Inc. ,re�, ���
INC. 36413 SR 54 • P�'oposal # �„j
Zephyrhilis, Florida 33541
Phone: 813-782-6094 • Fax: 813-788-6773 Estimate #_�
License # CCC 1325505
Job#���
�"��� Also, Serving the Central and East Coast of Florida
(7663)
Customer: � �,; � �,�,�,,� r �
_ Date: S/ �lo / � �
Address: I.�,
�q-krr, I�r �ity: Z�Ph�r� • 1 S _ zip: � 3,5'��_
Home #: � I'� 71,3 =(�jpc:� Cell #:
Business #:
E-mail Address: _
�❑'�Co plete tear off of e�usting -�,: - c
��ecure a.11 loose roof declang as needed according Additional Items: -L. g�\\ � -�
� �t F'lorida Building Codes b - - �'''�'� °�\` �^- '- •- R: A..a o e/ {.t
l3 Roof dried in with d� �,• �� .�'4a_� , a' a�1a� �;n� 2y,`�r
�� � �� �a� �-- - -- -
� sta11 new valley metal with galvanized metal
„ ;n
��I ta11 all new �_ �p e�ge color: ���_ �-
�install all new le�d boots �
- �Pc�k . 1- � rti-� k c
Install a,ll new�� ye�• fungus-resistant shingles ;' ���'''�
i G�hingle brancUcolor:C.-teeFj��k `r;
; ^�ber�r� �1D --�s,gr �C'�.1�dr
, C�AlI roof related debris removed from job site W�Zt3' �kage.
' L�AII materials, labor and permits furnished Total bid price $ �`, �-f �, ��
,
Extra's
CH'�ad plywood r•eplaced at a cost of $�. .SO per sq. ft. in the roof field. All other wood work/additionallabor, such as but not
linuted to, valley rebuilding, rafter replacement, etc. will be a rate of $ . op '
per man hour plus the cost of materials,
TfIIS BECOMES A BINDING CONTRACT UPON ACCEPTANCE OF PROPOSAL. PUR,CHASER ACKNOWLEDGES RECEIPT OF A COPY OF THIS CONTRACT.
1• All ivateria! is gtiaranteed to be as specified and completed in a substantial worlananlike manner.
2• All agreements contingent upon sirikes, accidents or delays beyond our conti•ol. Owner to carry fn•e, huiricane and other necessary insurance upon above work.
3. Lahor Wan<�nty does not cover da�nage to roofs caused by lightning, hu111cane, tomado, hailstorm, impact of foreign objects or other violent storm or casualty damage to roofs due to
set�lement, distortion failure or cracldng of roof deck, walls or foundation of a build'uig.
4• Wo�•larian's compensation a�id public liability insiu•azice on above woi•k to be taken out by RYMAN ROOFING, INC., a Division of Ryman Construction, Inc., or it's subconti•actois.
6. RYJvIAN ROOFING, INC., a Division of Ryman Conshvction, Inc. is not responsible to provide any mateiials or to perform any work other tltan what is described above. Replacement
of aeteriorated decldng or fascia boarc1s, is not included and will be charged as an extra unless otherwise stated herein.
G. This contract is subject to final approval by RYMAN ROOFING, INC., a Division of Rymtan Construction, Inc. and is the entire agreement of the parties and no other written or other
Forp�s wip recognized.
7. A c�arge of 1.5°k will be made on all wlpvd balances after 30 days, plus charges incuired for non-payment procedures, plus attoimey's fees.
8. A 4$b processing fee will be added to �11 credit card ordeis.
RYn►aq Roofing, L►c., a Division of
Ry�nan Construction, Inc, will not be responsible for any damage to septic tanks, sod, stuvbbery, paint, satellite signal loss, sprinklers,
concre�e drives or any underground piping.
Payme�t Scliedule: �3�p . � �p W � � � �, '�'3�
�� Payment Method:
�
' Acceptance of Proposal
STATiTTORY NOTICF RF nN4TRiTr�rrrn T r TFNS
CONSTRUCTION LIEN LAW (SECTIONS 713.001-713.37, FLORIDA STATUTE S THO O FLORIDA'S
ON YOUR PROPERTY OR PROVIDE MATERIALS AND SERVICES AND ARE NOT AID IN FU LL
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
FAILS TO PAY SUBCONTRACTORS, SUB 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
FILF�D 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 FROM ANY PERSON OR COMPANY THAT HAS PROVIDED TO YOU A"NOTICE
TO OWNER". FLORIDA'S CONSTRUCTION L I E N L A W I S C O M PLEX AND IT IS RECOMMENDED
THAT YOU CONSULT AN ATTORNEY.
I ACCEPT THIS PROPOSAL AND REBY CE THAT I VE READ AND FUI,I,y UNDERSTAND THE PROVISIONS OF THIS CONTRACT.
Purchaser: � �� /� �� /
Date: Lj-va �
Purchaser:
Estunator • ,-�
� �v 'iJJ.' �1J1r11V1L` lr� � 1�JLUlr Y
STA'1'E Ol� FL01:1llA
CUUN'TY Ula ��
'1'kiG U1V1llL1:SIGNI:D l��r�b �iv �
y�� es notice that un roveiu�ni will b� macle to certain real pcoperly, and iu accordancs with
Cl�apk��• 713 FIpI'1CJ1 SCti1UdS, tlie iollowing infoiination is provided 'u� il�is Noticd ot' ConunencerneY�C;
1. Descriptiun of Prop�rty: P�u•cal I�o. - 02 •� � c�_(}
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�7• General Description oflmprovenieiii: -7 �,��
— I IIIIII IIIII IIIII IIIII IIIII IIIII IIIII �IIII IIIII IIIII IIII IIII _
2011136028
3 • O�vnar lnf�iznation: Name: �1 '� —
Addra�s: (� �
City �..Q..�4.udC1� L1�� State _� ---------
� lriterest in Pi aperty: --_-�(l� I� ---------_____. Zip code �{ y'
Nai�i� of Fee SuYiple 1 ittieholdei
lf otlier t�iau owiier: Addr�ss;
City _
Siate Zip Code
� � Caiilractu�° �,�
� --`�u� ;,� _ _��. '1 �S�l •l�c��� �1
��ddrCSS: 36413 51:.. 54 Le h rhi �I_, 33541�� "'
5. Siir�ty: Naiiie N/� '
Address Phone #
City
Auiouiil af Bond: $ p S � at � Zip Code
�. Lcnder: Name N/� Rcpt: 1386319 Rec: 10.00
Phoiie �� �S � 0. 00 IT: 0. 00
Aaitress 09/01/11 K. Garcia, Dpt
City Y Clerk —
State Zip Code
7• 1'�rsons withui tha Statz of Florida d�sigiiat�d by own�r upon v� notices or olher doctilnents may b� served as
p�•oviaed by Sectioii 713.13 (1) (a) (7), rloricla Stahites; '
Nam� N/.A
Address Phone #
C ity
Stale ' Zip Cude
1�. lu addition to l�imself, Owiier designates: N/A
°� — Plzone #
provid�d in section 713,13(1) (b), Florida Statutes to 1 d copy ofthe Lienor's Notice as
�. Expiratian datz o�'Notice of Comnieiic�inent (the, expi.ration daie is oiie (1) year ti•om l(ie �lat� of �•ecord'uig unless a
different date is specitied.) �
WAP�.NING T� O'4VNElh: �NY pA�1V,LENTS n n'y TH� OWNER ATT�1� TH� l:��IRATION OF THE
NOTICE O.f� C(�1V11�IENCEl�1LNT AP�, CONSTDEP�I;D INIYROP�12 PAYMENTS UNDLR CI '713,
I'Al:l I, SECTION 713.13, FLORTDA STATUTES, AND CAN R1;SULT IN YOUR YAYING TWICE FOR
�1V1PI�OVEl�IENTS TO YOUR PROPERTY. A NOTICE QF CONIMENCEMENT NIUST B1;12ECORD�D AND
�'QSTED QN T�� JOB SITE BEFORE THL FI�tST INSP�CTION: Ir YOU 1NTEND TO OBTAIN
r1NANCING, CON�SULT V117TH YOUR LENDER �R AN ATTOI�IVEY BEFORL CON.[MENCING WOR.K O�.
;�.t=;CORJING YOUR NOTICE Ol CC�MNIENCE ENT.
Si�;�iatux•� uF Owiier: '�Lsy,-z,tJ �
ry F'rint�d Name�' ��� / � � � � � �
SrC1�ZL" O�' FL I.1DA Ppu�a S 0'NEIL,Ph D PqSCO CLERK & COMPTROLLER
G � 09/�Ri BK2 09: 51am P of 1
COUNTY Ol 8593 50?
Tli� ii�reboing uistrum�nt was acluiowledged b�fare me this ��) a�, o f '�
to inc or who produced identificat'ou, and who did/did uot tak� oath (please cu•cle which) ' 20 �° ���'sbnally��.i�own
���� r �� C-.�-�--��-` r _ �� P � IVOtary Fublic S2ate O�F orida �
, Christian Ryman ,
� �o` n.°� E P�e �01�/24/201�2 751�0 v �
Not�iry Yublic: - Nly Commission l.,xpires: 4 _ o .
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n �
Unde:i• penalties of peijury, I ci�clare that � hava read tlie for�gouig Notice ol: Coinm�ncement and iliat thc; facts stat�c�in,it ar�
iru� to the b�st of my l;nowledg� a d belief. � ;;;.
� � �� .
(Siguatur� of Owlier Si�;ning �1bov�)
STATE OF FLORIDA, C�O�UN:�'�� �'�
THIS IS TO CERTIFY THA'�'(�E FQR�GQ,ING (S A
TRUE AND CORRECT COPY OF THE Q�CUMENT
ON FILE OR OF PUBLIC RECORp IN TWIS C�'�ICE
WITN S�.S MY HAND AN OF CIAL S AL fiHIS
2
DAY OF Cf!/
PAULA S NEIL, CL K OMPTROLLER
� ' QEPUTY CLERK