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Home My WebLink About11-12528 CITY OF ZEPHYRHILLS . 5335 - 8TFi STREET �� (si3)�so-oo20 12528 BUILDING PERMIT Permit Number: 12528 Address: 6005 6007 6008 6010 PARK HILL TE 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: PARK HILL TERRACE Est. Value: Parcel Number: 02-26-21-0000-03300-0010 Improv. Cost: 11,180.00 Date Issued: 11/14/2011 Name: ZEPHYRHILLS LTD Total Fees: 95.00 Address: P.O. BOX 5252 Amount Paid: 95.00 LAKELAND FL 33807 Date Paid: 11/14/2011 Phone: Work Desc: REROOF SHINGLE (6005,6007,6008 & 6010) APT 5. � � � IQ� ' v � TAPE JOINTS ROQF INS�/� ( FINAL � ( !� � 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. "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, aonsult with your lender or an attorney before recording your notice of commencement." Complete Plans, Specifications Must Accompany Application. All work shall be performed in accordance with Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O. , NTRACT SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER � �� ■ .� .5�,'�.�� Roofin , Inc. �, g 8949 Gail Boulevard, Zephyrhills, FI 33541 PH: (813) 782-0920 &(352) 567-8580 Fax: (813) 715-4875 STATE CERTIFIED BUILDING AND ROOFING CONTRACTOR #CB-0O59817 and #CC-0O58134 SERVING FLORiDA'S FINEST HOMES & BUSINESSES SINCE 1976 www.schaperconstruction.com Name Parkhill Terrace Date Phone Jim Ramsey 10/26/2011 352-257-0032 Address: 6005 and 6007 Parkhill Tenace City Zephyrhills State FL Zip 33540 Parcel # We hereby propose to furnish materials and labor necessary for the complehon of: Shingle Re-roof 1. For the shingled portions of the home, remove old roofing materials to dry-in, taking precautions to protect the building and the landscaping. Groom the deck and reset the existing decking nails. 2. Replace bad wood other than herein agreed to at 38.00 dollars per man-hour plus materials marked up at a 25% Percent contractor's fee. 3. Install White Eaves drip with all edges sealed with plastic cement. 4. Install 1 Layer(s) of ASTM 15-1b asphalt shingle underlayment. 5. Install galvanized valley metal for the length of all valleys. Valleys will be closed. 6. Install new lead boots over vent pipes and replace metal vents with new. 7. Chalk lines shall be struck to assure proper shingle exposure. 8. Install 30 Year Dim Class, a self-sealing fungus resistant fiberglass shingle. Manufacturer: GAF Color: Choice 9. Six 1-1/4" corrosion resistant nails shall be installed per manufacturer's instructions. O tions Hurricane-nail the deck to the rafters to meet current SBCCI code. * Install 50 feet of Color Choice Aluminum ridge vent. * *See Pricing Section Re Roof Shingle Contract.docx Page I of 2 � �.� �� s�,'�.� �xE Roofin Inc. 1 ` , g, Shingle Re-roof continued . . . Schaper Roo�ng, Commitment to Qualitv •All work shall be carefully supervised and completed by workmen skilled and lrnowledgeable m methods needed to produce lugh quality work. •The �ob site shall be kept clean daily for the duration of the job and the grounds shall be left clean of all roof related debns after complehon. �The yard shall be swept with a magnet. •The contractor shall provide pernut, worlanan compensation, and general liability insurance. •Carpentry, authorized change orders and work, which are not covered under the scope of work outlmed herein, shall be performed on a time and material basis unless otherwise agreed upon. MANUFACTURER & CONTRACTOR WARRANTY (S) Upon completion of the work and payment of all momes owed, Contractor shall issue: 1. A 5 year warranty for workmanship limited to leaks caused by any component installed by the contractor. 2. Shingle manufacturer shall provide a 30 Year limited warranty. CONTRACT PRICING Visible T& M Allowance $ 300.00 Shingle Re-roof as described herein $ 5290.00 Modifications $ $ TOTAL AGREED UPON CONTRACT PRICE� LABOR AND MATERIAL----------------- $ 5590 .00 TERMS '/2 Down and Balance at Completion Price Valid For Thirty (30) Days Collection costs if any, together with interest shall be added to the contract price if payment default occurs. Cancellation of contract after e 72-hour grace period shall incur a nominal fee. Doug Norns C�--- � Date �� /� Schaper oofing, Inc. Representative I accept the above price and terms; you are authorized to begin work. Signed �` � Date l ` � ��' � � Signed Re Roof Shingle Contract.docx Page 2 of 2 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0 21 Bwlding Department Date Received Phone Confact for Pertnittin Owners Name h � 1 �� ..�� Ownar Phone Number Owners Address �,�. � Owner Phone Number ��iP12'1 � � Fee Simple TlUeholder Name Owner Phone Number Fee Slmple Titleholder Address� JOBADDRESS �001 �pOO� �pQj �']J/� �r LOT# SUBDIVISION —� pARCEL ID# � 2 �p Z � �0 �330� 0 0� (OBTAINED F� PROPERTY T� TICE) DEMOLISH WORK PROPOSED B NEW CONSiR ADD/ALT � SIGN INSTALL 8 REPAIR PROPOSED USE Q SFR Q COMM � OTHER TYPE OF CONSTRUCTION � BLOCK � FRAME � STEEL a DESCRIPTION OF WORK `Eir� � BUILDING SIZE SQ FOOTAGE 4600 V{R ` HEIGHT � QBUILDING ` S D � VALUATION OF TOTAL CONSTRUCTION / QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E. . QPLUMBING $ QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION '�' v�� OGAS Q ROOFING Q SPECIALN � OTHER '/ �� FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO v BUILPER' � � . COMPANY � e� �� SIGNATURE REGISTERED Y/ FEE CURR h Y/ N Address �--} � ` t f� License # � 3 ELECTRICIAN COMPANY SIGNATURE REGISTEREO Y/ N FEE CURREA Y/ N Address License # PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREA Y/ N Address License # MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N Address License # OTHER � COMPANY SIGNATURE REGIS7ERED Y/ N FEE CURRE� Y/ N Address License # 111111111111111111111111111111111 1111111111111111111111111111111111 RESIDENTIAL Attach (2) Plot Pians; (2) sets of Building Plans; (1) sel of Energy Forms; R•O-W Permit for new construction, Minimum len (10) working days after submittal dale. Required onsite, ConsWction Plans, Stortnwater Plans w/ Silt Fence install d, Sanitary Facilities & 1 dumpster; Site Work Pertnit for subdivisions/large projecls COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set af Energy Forms. R-O-W Permit for new conslruction. Minimum ten (10) working days aNer submittal date. Required onsite, Construction Plans, Stormwater Plans w! Silt Fence install d, Sanitary Facilities 8� 1 dumpster Site Work Permit for all new projects. All commercial requiremenls must meet compliance SIGN PERMIT Attach (2) sets of Engineered Plans. ""PROPERTY SURVEY required for all NEW construction. Dlrectlons: Fill oul application completely Owner & Contractor sign back of application, nolarized If over 52500, a Notice of Commencement Is required. (A!C upgrades over 57500) " Agent (for the contractor) or Power of Attorney (for the owner) would be someone with nolarized leller from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs ii shingles Sewers Service Upgrades A/C Fences (PIoUSurvey/Footage) Driveways-Not over Counter if on publ�c roadways..needs ROW . , NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" rest ctions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance ith any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES. If the owner has hired a contr ctor 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 v olation 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 7 7-847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor( ) sign portions of the "contractor Block" of this appliqGon 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 priviieges in Pasco County. TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned unde stands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, ch nge of use in exisdng buildings, or expansion of existing buildings, as specified in Pasco Counry Ordinance number 89- 7 and 90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the ime of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid rior to receiving a"certificate of occupanc�' or final power release. If the project does not involve a certificate of occup ncy 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 ore, I certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Home wner's Protection Guide" prepared by the Florida Department of qgriculture and Consumer Affairs. If the applicant is s eone other than the "owner', I certify that I have obtained a copy of the above described document and promise in good aith 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 II work will be done in compliance with all applicable laws regulating oonstruction, zoning and land development. Appli tion is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installati n has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws re lating 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 t at 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 S nsiGve Lands, Water/Wastewater Treatment. - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Itering Watercourses. - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Tre tment, 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 addre ing a "compensating volume" will be submitted at time of permitting which is prepared by a professional e gineer licensed by the State of Florida. - If the fill material is to be used in Flood Zone "A" in connection with a perrnitted building using ste wall construction, I certify that fill wil� be used only to fill the area within the stem wall. - If fill material is to be used in any area, I certiTy that use of such fill will not adversely affect a jacent properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for vi lating the conditions of the building permit issued under the attached permit application, for lots less than ne (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 orth in this affidavit prior to commencing construction. I understand that a separate permit may be required for electrica work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not speafically induded in the applicat n. A permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, ter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from th eafter requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become nvalid unless the work authorized by such permit is commenced within six months of permit issuance, or if work authori ed by the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An ex nsion may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demo strate justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandone . WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN OUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CO SULT WITH Y UR LEND OR AN RNEY BEFORE RECORDING YOU OTICE OF MMENCEMENT. FLORIDA JURAT (F.S. 11 .0 OWNER OR AGEN CONTRACT R �� Subscribed and swom r affirtned b fore me this Subscribed an or affirme efore me lhis ` by p Who islare personally known to me or has/ ave produced Who is/are personally known to me or has/have produced as iden ' tion. as identification. / ___ — --- - -__ No Public u lic mmission No. Commission No. ._ -"� J � - � i Name yped, pri ed or sta e Name of Nola yped, prin or stamped ,NUU N.u�u.� .,. � SUZANNE ALLEN �`��"� � SUZANNE ALLEN ��,� `' z Notary Public - State of Florida i Notuy Public • State of florid� �s�� My Comm Expires Oct 25, 2015 � ,g M�r Comm. Exp�res Oct 25, 2015 ,,,��,�� Commisaion � EE 131770 1, �� Commission � EE 131770 �c.�.�e....a�..,.,r,._,Aw.� v .�. p.. ., .� . .. -.,w, . "_ � � i t' � 1^ R �+�1: J; ` j. . ` �.n .r? • ' x �i�°' " ' r $ ��" - � �.� �.G �SC�.,� �� Roofin Inc. �, g, 8949 Gall Boulevard, Zephyrhilis, FI 33541 PH: (813) 782-0920 8� (352) 567-8580 Fax: (813) 715-4875 STATE CERTIFIED BUILDING AND ROOFING CONTRACTOR #CB-0O59817 and #CC-0O58134 SERVING FLORIDA'S FINEST HOMES & BUSINESSES SINCE 197C www.schaperconstruction.com Name Parkhill Terrace Date Phone Jim Ramsey 10/26/2011 352-257-0032 Address: 6008 and 6010 Parkhill Tenace City Zephyrhills State FL Zip 33540 Parcel # We hereby propose to furxush materials and labor necessary for the completion of: Shingle Re-roof 1. For the shingled portions of the home, remove old roofing materials to dry-in, taking precautions to protect the building and the landscaping. Groom the deck and reset the existing decking nails. 2. Replace bad wood other than herein agreed to at 38.00 dollars per man-hour plus materials marked up at a 25% Percent contractor's fee. 3. Install White Eaves drip with all edges sealed with plastic cement. 4. Install _ 1 Layer(s) of ASTM 15-1b asphalt shingle underlayment. 5. Install galvanized valley metal for the length of all valleys. Valleys will be closed. 6. Install new lead boots over vent pipes and replace metal vents with new. 7. Chalk lines shall be struck to assure proper shingle exposure. 8. Install 30 Year Dim Class, a self-sealing fungus resistant fiberglass shingle. Manufacturer: GAF Color: Choice 9. Six 1-1/4" corrosion resistant nails shall be installed per manufacturer's instructions. O tions Hurricane-nail the deck to the rafters to meet current SBCCI code. * Install 50 feet of Color Choice Aluminum ridge vent. * *See Pricing Section Re Roof Shingle Contract.docx Page t of 2 �� 1'.� �.G SC'�.� �'�E Roofi n I n c. ��', g, Shingle Re-roof continued . . . Schaper Roofin�, Commitment to Qualitv •All work shall be carefully supervised and completed by worlanen skilled and lrnowledgeable m methods needed to produce high quality work. •'The job site shall be kept clean daily for the durahon of the �ob and the grounds shall be left clean of all roof related debns after complehon. •The yard shall be swept with a magnet. •The contractor shall provide permit, workman compensahon, and general liabilrty .msurance. •Carpentry, authonzed change orders and work, which are not covered under the scope of work outlined herein, shall be performed on a time and material basis unless otherwise agreed upon. MANUFACTURER & CONTRACTOR WARRANTY (S) Upon completion of the work and payment of all monies owed, Contractor shall issue: 1. A 5 year warranty for workmanship linuted to leaks caused by any component installed by the contractor 2. Shingle manufacturer shall provide a 30 Year limited warranty. CONTRACT PRICING Visible T& M Allowance $ 300.00 Shingle Re-roof as described herein___________________________________________________________ $ 5290.00 Modifications $ $ TOTAL AGREED UPON CONTRACT PRICE, LABOR AND MATERIAL-------_�____�____ $ 5590.00 TERMS 1 /2 Down and Balance at Completion Price Valid For Thirty (30) Days Collection costs if any, together with interest shall be added to the contract price if payment default occurs. Cancellation of the c tract after the 72- ur grace period shall incur a nominal fee. � Doug Norris �_ Date �i�3� a(�� 1/ per Roofing, c. Representative I accept the above price and terms; you are authorized to begin work. Signed �� _ J Date �� ' � � ' � � Signed Re Roof Shingle Contract.docx Page 2 of 2 11/14/2011 15:03 FAX f� 001/001 . PASCU COUN�� 3U�II�T�S� �`.�.� R�C�IPT �011-1� Issued pursuant and subject to Statutes and Pasco Couniy Ordinances. Issuance does not certify compiiance with ` zoning or other laws. Th�s receipt must be posiad conspicuously in place of business. Expires Sepiember 30. Milcc Olson ACCQUNT NO � 005079 TAX COL,I, i�~ TYPE OF BUSINESS � S�C CODf � 176I pA5C;0 CUUNTY FLORInA ROOFING CONTRACTOR ,: '�T"`sauk'•, LOCATION ADDRES5 � SCHAPER CONSTRUCTIDN :'�'' �'• 8949 GALL BLVD PAUL SCNAPER ROOFING INC :� ZEPHYRtIILLS 8949 GALL BIVD �' ZEPHYRHILIS FL 33541-7410 '�.' �'•.,''�,� DATE RECEIPT AMpUNT •-. O7/19/ll 607219 32..25 �•�E� . i i�iiii iiiii aiii �iiii iiai iiiii iiiii iiiii iiiii iiiii iiii iiii 20111�ssZg Pertnit No. �� Parcel ID No ! V/� 7 NOTICE OF COMMENCEMENT State oi �� CouMy M �'!!� � � THE UNDERSIGNED hereby pives notice ttial improvement wiA be made to certafn roabpmpa►ty„a�1� e�. --..� ;hapter 713, Fiorida Statutas, the following infortnation is provided in this Notice of Commanceme�C n � t �, nn o 010 t Description af Property: Parcel Identification No. _ 02 ], SVee1 Address: _ �OCX7� . Co�b7 �' �.�. � -� Z. General Deacription of Improvoment �'�bC�. ��'"1 ► r1C� �� J(pQ �— T'" d� ^ (�J 3� �'t' c� I= � 4s� /�= T' o�-' S�.1� S I' � l�_t2 J3 2�l �l 3. Owner Informatbn or Lsssee iniormation it the Lassee tophactad forthaYnprovement: 1-7 �.. �� ZEP'F�Rh� LTD Neme Pf�''B`� � LAKEL,4I�p FL 3'�8t17-5252 Address „ _ _ � � � � � , . ��y State Interest in Property �:-(f�«' 7�' �' Neme of Fee Simple Titleholder. _ �lf !� 7 "` (If differe t from Owner Iisted above) R Address C�ly State 4. Contractor ��. _l G./�„r' Name � a _ . P� Ql � qr CTa�� t Q�xt ?�n,. rl,.. � s �� 3�5'� �. Address City State CoMractors Telephone No.. S �� Z �1 ZO 5. Surery• �� i•�'�CpC� , 1 22 io �.45 Ucti>c� 3�) _`a �-�� C�, -1` �' �-• v� Address C � h , : S �� .a (/� n Amount oi Bond: S 5 . �UU -� V Telephone No. f �� A�•• 8. Lender nJ � � . �,,,, # Neme F+ m (u► t+ m (O Addreas � Lenders Telephone No. �� State � � m G'1 7 Persons within the Sfste of Florida designated by the owner upon whom notices or other documents may be served as provided by d ion 713.13(1)(a)p), Florida Statutes: Z N `�c �M rJ..D r f1 � 7p ... . � Name � ' n � z �. �,� ) � m .. Address � � � �-� � � � ,� r ` Telephone Numbet of Desipnated Person: � � 8. In additlon to himseH, the owner desipnates /11 � � of A �-.. to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. 10 Telephone Number of Person or Entlty Designated by Owner � , � 9. Expiration date of Notice of Commencement (the e�iralion date may.not Ife before the completlort of const[uction and final payment to the contractor, but wili be one year from the date of recording unless a dHfererk dale is specified�: � ARE C ID REDEMPROPER PAYMENT� NDER CHAPT�ER7�PARTE, SECTIOL�713�.73,HFLORIDAESTATUTESEANDMCAN RESULT IN YOUR PAYING TMCE FOR IMPROVEMENTS T� YOUR PROPERTY. !t NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECT(QN. IF YOU INTEND TO OBTAIN FINANCING. CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Under penalry of perJury, I dedare that I have read the foregoing notice of commencement end that the fads stated therein are true to the best ~ D of my knowledpe end beliet. �+ � STATE OF FLORIOA � �` D COUNTY OF PASCO � ' 4"� � ,�� W � m Sigeamro at cnm8r or Lessee, or Owner's or Le�Authorized 7� �'' ° OificeT�Director/ParinedManager �"' z -'' ,��'�o.� � L '�,4N.4G� � QQm � Signatary's Title/Office �7.. S �� The foregoing instrument was acknawladged before me this �� day of �� , y0 t� , by _ • rY'1 � i� C1� S g t�{ ��rb o 88 �� - (lype of authoriry, e.g., oificer, trustee, attomey in fad) for E"' n N (name of parly on b atF of whom instrument was executad). � � �... o Penonaly Known 4g Produced Identification O Notary Sipnature � __ ______—� � � Type of Identification Produced Nam �� N '' " �r �° c� � o 3 f � � V■ � A O r r m wpdata/bcs/noticecommencament,pc053048 t�� '�i, SUZANNE ALLEN � . . Nafary Public • St�te of Flond� M�► Comm. Expire: Oct 2S. 2015 '' Ca�mittlon N EE 181 T70 f%�' STATE OF FLORIDA, COUNTY OF'�A5C0 THIS 1S TO CERTfFY THA7 T�F�REGOlNG IS A �' TRUE AND CORRECT COPY�HE QC�CUMENT . ,, ON FILE OR OF PUBLIC RECORD-fRt THIS a�FICE �->' WIT E � MY HAIVGl�ND UFFICIAI�EAL, � � i IS � = __l:L_ DAY OF ,l.� �2�.��` � `� ' PAULA ,S NEIL, C ERI�,& MP�' ; OR � L'GER ,' � a ! J BY -�, DEPUTY CLERK'