HomeMy WebLinkAbout12-12746 CITY OF ZEPHYRHILLS `
, 5335-8TH STREET
(si3)�so-oozo 12746
BUILDING PERMIT
Permit Number: 12746 Address: 3844 LAUREL VALLEY BLVD
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: MAJESTIC OAKS
Est. Value: Parcel Number: 24-26-21-0000-00100-0090
Improv. Cost: 5,310.00
Date Issued: 1/31/2012 Name: NHC FL115 LLC
Total Fees: 65.00 Address: 6991 E CAMELBACK RD STE B 310
Amount Paid: 65.00 SCOTTSDALE AZ 85251
Date Paid: 1/31/2012 Phone: 8137802591
Work Desc: REROOF 9 SQ MH SHINGLE
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TAPE JOINT OOF INSP
FINAL �(G� �%
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 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.
"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 re�cording your noace of commencement."
Complete Plans, Specifications Must Acxompany Application. All work shall be pertormed in acwrdance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
�
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permittin –
Owner's Name C p� � ,2 2a-, Owner Phone Number � -• 7 g� – 1�
Owner's Address �$��4 L���� (/ �� ��� Owner Phone Number � �
Fee Simple Titleholder Name Owner Phone Number �
Fee Simple Titleholder Address
JOB ADDRESS �p 7�'I Ga,�i`� Uc, /Ir I.. LOT# �
SUBDIVISION PARCEL ID# "f �'�(U" Z�–"C�t.c�`��W�Ud�'
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROP03ED B NEW CONSTR 8 ADDlALT [� SIGN Q C] DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM Q OTHER � � e ...,�
TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK G �pv � / 7 � �/` �<S
BUILDING SIZE SQ FOOTAGE J �v HEIGHT
OBUILDING $ /D,� VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUM8ING $
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
OGAS Q ROOFING � SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �
PLUMBER � COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �—
MECHANICAL � COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N
Address License# �—
OTHER COMPANY O^� z.�. `'v�e�..-F S�'�'�-��`S
SIGNATURE REGISTERED � N FEE CURRE� Y/N
Address l y�� C r�•s o� S� ��>6�� . � �y74 License# C�< <� 5 g�a'7 �
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new oonstruction,
Minimum ten(10)woricing days after submittal date. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilides 8 1 dumpster;Site Work Permit for subdivisionsAarge projects
COMMERCfAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construcUon.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Faalitles 8 1 dumpster.Site Work Permit for ali new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
"'""PROPERTY SURVEY required for all NEW construcUon.
Directions:
Fill out application completely.
Owner&Contractor sign back of applicatlon,notarized
If over 52500,a Notice of Commencement is requlred. (A/C upgrades over 57500)
"" Agent(for the contractor)or Power of AKomey(for the ovmer)would be someone with notarized letter from owune�authorizing same
OVER THE COUNTER PERMITTING (Front of Application 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"de�ciry restr�ctions"
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 viotation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND IiESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the const�uction 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 identi�ed 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 finai power release. If the project dces not involve a cert�cate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, 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'S/OWNER'S AFFIDAVIT: I certify that all the information in this applfcatfon 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 pe�mit 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 sta�dards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. 1 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 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 flll, 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 witl 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
PAYINYGO R'LENDER'OR AN ATTORN Y BEFORE RECORDING YOUR NOT CE OF COMMENCEMENT.' CONSULT
WITH
FLORIDA JURAT •
OWNER OR A(3ENT CONTRACTOR
S s qed an tq, or rmec�before me this Subscrlbed and swom to(or afflrmed)before me this
��/-/L by co��`' i bv
Who is/are personally knovm to me or has/have produced Who is/are personally knovm to me or haslFiave produced
L;�G P-yr SP as ldentlflca8on. as Iden88cation.
--.
�\ ES�o ry Public Notary Public
'*= �,_ EXpI� 1�o.3es-�0�9 Commission No.
Co lssio "
''�•°f„�u,r,:�r++✓"'r`°r
ed, �inted or stamped Name of Notary typed.Printed or stamped
Name of Notary typ P
� � Home
Improvement
Services of Leesburg, Inc.
1410 Emerson Street,Leesburg,FL 34748
ToIlFree 888-728-8818•352-728-8818•352-728-3329•Fax 352-365-6458
License#CCC058227
SALES CONTRACT
HIS of Leesburg,Inc.agrees to furnish all materials and labor necessary to do the modernization work at the following address:
Name /��r(�P,t�J /7J �ii�Z2� Phone `r/� �SG' ZS�i/�_Phone(w)
Address��� �i���/'�/ /��(�1/ b�G�d
, Date � .j/- Z
City�l�t�//C!-�i�/5 state r''� Tip 3 35��2
In accordance with specifications given below: '
REROOF:
A.SHINGLE ROOF
1 REMOVE OLD ROOF TO WORKABLE SURFACE. /�
2. RENAIL ROOF DECK WITH RING SHANK NAILS. � �
3. REPLACE ANY ROTTED WOOD WITH STANDARD SHEATHIN �$7.00 P�OOT D$90.00p.Ef1 SHEEf OF PLYWOOD,IF ANY.��Imtial)
4. INSTALL IKO STORM GUARD SELF ADHESIVE MEMBpANE 0 EPiTiHE ROOF
5. INSTALL PHANA EAVES DRIP COLOR L✓�,`�
6. INSTALL NEW VALLEY METAL AND FLASHINGS AS NECESSARY.
7 INSTALL NEW LEAD BOOTS OVER VENT PIPES AND RESEAL VENTS.
6. INSTALL YEAR FIBERGLASS SHINGLES.COLOR �fJLL�rQ/l�
9. INSTALL�FEET OF RIDGE VENT AT$6.00 PER FOOT.COLOR �
10.CLEAN-UP JbB SITE OF ALL WORK DEBRIS AND HAUL AWAY ALL RELP7ED DEB IS AND LEAVE JOB SITE CLEAN.
11 CONTRACTOR WILL COORDINATE REMOVAL AND REINSTALLATION OF ROOf RELATED PERIPHERALS SUCH AS(BUT NOi'LIMITED TO)SOLAR UNITS,SKYLIGHTS,N.DISH
AND AIR CONDITIONERS,ETC.REMOVE AND REINSTALL EXISTING SOFFI7 AND FACIA�$425 PER f00T�N ADDITION TO CONTRACT PRICE,IF REOUIRED.THE COST FOR
SUCH WORK WILL BE IN ADDITION TO CONTR4CT PRICE AND HEREIN APPROVED BY HOMEOWNER.
B.LOW SLOPE ROOF SYSTEM— �nv ���,��c/�� �����
1 REMOVE OLD ROOF TO WORKABLE SURFACE. 1' 7
2. RENAIL ROOf DECK WITH RING SHANK NAILS. � �
3. REPLACE ANY ROTTED WOOD WITH STANDARD SHEATHIN �$7.00 P F00T a90.00 P SHEEf OF PLYWOOD,IF ANY. i� (Initial)
4. INSTALL IKO STORM GUARD SELF ADHESIVE MEMBRANE IRE ROOF
5. INSTALL NEW LEAD BOOTS. ���
6. INSTALLFHANAEAVESDRIP COLOR E�'� ContractPrice $__-?I� ________
7 INSTALL 1 PLY ROOF SYSTEM. COLOR !' •f L-
8. CLEAN-UP J08 SITE OF ALL WORK DEBRIS AND HAUL AWAY ALL RELATED DEBRIS AND LEAVE JOB SITE CLEAN.
t Contract Documents.This contract consists of this document,extra work/wood authaizadons,if arry,and if payments
hereunder are to be financed,all financing documents.No promises other than those specificalty set fath in the contract �.�
documents shall be recognized by either party.The eMire understanding and agreement af the parties�s coMained in the Fe►1111t $_
------------
contraci daumerrts.
2 It is understood and agreed that this contract shall not become binding upon HIS of Leesburg,Inc.until it is duty approved,
accepted,sgned and witnessed by an officer or officers of ihe Selle�.
3 Nbrk on the job descnbed in the d uments will commence on approximately�and be !•p t=�
completed on approximately The recited dates are approximations and are subject to schedulmg T��� $—��t�-----____
ditticulties of Seller,labor anrUa maten shatages,acts of C,od and other events not fore,seen by Sellec Seller reserves
the right to employ any sub-contractor for the completion of the wak described in the coM2d documents.
4. HIS of Leesburg,Inc.reserves the nght to substitute materials of equal or greater value and kind.My required matenals
such as fi2 retardant plywood,tongue and groove board,etc.will be billed on a time and matenal basis.All other charges / c'�
required by New Jurisdictional Code Enforcement Laws may result in additional charges. 1�3 D@POSI� $_1��________
5. IMerest at the rate ot e�gMeen(18%)per cent per annum will be charged on all halances not paid as per the terms specified
above.Reasonable attomey's fces will be charged to the Purchaser A it is necessary to place this coMracl in the hands of an
atlomey for collection,and this charge becomes a part of the contract and obligation of Me Purchaser to pay. �7
6. Partes agree that this agrcement shall be construed according ro the laws of the State of Florida and any actron brought $UbtOt81 $__�7 L2_'c✓
thereon may be brougM in the Slate of Flaida.Venue is hereby agreed to be in Lake County Fbrida. --
7 BUYERS RIGHT TO CANCEL(SOLICITED SALES ONLI�If you do not want the goods a services,you may cancel
this agrcement by providing written notice to the seller in person,by telegram,a by mail.This not�ce must Indicate that you
do not want the goods a services and must be delivered a postrnarked be(pre midnight of the thud business day a(ter you ,1
signthisagreert�ent. BALANCE DUE $ �-����f
6. �h��r's compensation and public IiabilAy insurance are camed by the Seller and they are applicable to the work to be (plus Total from Item No.3 above)
9. It is understood and agreed that the buyer hold harmless,HIS of Leesburg,Inc.,tor any damages that may aar to the UPON COMPLETION
buyer's diiveway(s)during delivery of materials and/a remrnal of the work related debns that may be required to perform
this home improvemeM coMract.Furthertnae,the buyer herein gives pertnission(or typical delivery vehicles and typical
waste renaval vehicles to enter said drrveway�s)fa the purpose of expediting this sales contrad.
10.Contractor will coordinate removal and reinstallatbn of roof 2lated peripherals such as @ut rat limited to�salar units,skylights, _�-"�
T.V.dishes and air conditioners,etc.The cost for such work will be in addition to conUact price and approved by fqmeovmer. --`
11. HIS of Leesburg,Ir�c.shall not be held responsible fa damage to electrical 6nes,water I�nes,refrigerant lir�s a other
mechanical components that have been improperly installed near roof decking and may be damaged while performing
installation of roofing matenals.HIS ot Leesburg,Inc.shall not be responsible fa any additional costs due to roof decking (
that may have old materials adhered m such a way that requires redeclting of sWcture.
12 Construction Industnes Recovery Fund payment may be available from the CIRF if you bse rtaney on a project perfom�ed _
urider conVact,where the bss resuRs from specified violffiions of Flaida law by a state-licensed contractoc Fa
infamation about the recovery fund and filirg a claim,contact the Flaida Conshuction Industry Licensiiy Board at ihe �
following telephone num6er and address:7960 Mington F�cpressway,Suite 300,Jacksonville,FL 32211-7467 or call(904) '
727-6530.
C
13 Chapter 558,Florida Statutes contains important requirements you must follow before you may bnng any legal p."��
action for an alleged construction defect in your home.Si�cty days befwe you bnng any legal action,you must � ��� , °"
deliver to the otherparty ro this contrad a written notice referring to chapter 558 of any alleged constructron defects �
and to consider ma ik ng an offer to repair or pay for the alleged construchon defects.You are not obligated to accept
any offer which may be made.There are strid deadlines under this Flonda Law which must be met and followed to
protect your interests.
Executed in triplicate,one copy of which was delivered to,and receipt is hereby acknowledged by Buyer,this
S� day of-�`221r�''d�SL—'2U�_�_.
Approved and Accepted:
NOTICE TO OWNER
a. Do not sign this home improvement contract in blank.
b.You are entitled to a copy of the contract at the time you sign.Keep it to protect your rights.
(seal) (X)-� > -x���� '�"�1 , �- (Seaq
___ ea er- e (Purchaser Sign H��
Bl(` _�-` `� - �X�
� - (Seal)
'� '`� — (�� �� " (Purchaser Sign Here)
�---____� �
SA ESMAN FORD PRESS,INC.352-787-4850
� , � i iiiii�iiiii iiiii iiiii i�iii iiiii iiiii iiiii iiiii iiiii iiii iiii
20120160�8
Rept:1412522 Rec: 10.00
After recording,retum to: DS: 0.00 I T: 0.00
H.I.S.o/Leesburg,i�o. 01/31/12 K. Gareia, Dpty Clerk
� / � G /".t�- S o /�S �'�j
_ �"�✓�4 �/` 3 -17�X
Pe�„t"°.. � Notice of Commencement
Tax Folio No.: 2,t�•z,h�I D�f10 OD/Ot��o�� State of Florida ( County of Lake
The undersigned hereby gives notice that improvement will be made to certain real propeAy,and in accordance with Chapter 713,Florida Statutes,the
following information is provided in this Notice of Commencement. '
1 Description of the PrOperty'(lega/description of the propedy and st�eet address i/availableJ
Legal Description:�/�q F �Gr � �j.� �,S � �(j ��- j m�
� D F- ./� I�✓ Y .�j �hw� �t✓�" d F L✓e5 '� �� O� \a
�' o F S E L >�F�. a Z e i+. ��:1�s B ss +�c s °�r,,D
Sireet Address: 3$yyl �. �, /� ,�� � ��_ �_���, �CL .3 Z,�"4,Z� oo�",
2.General Descnption of Improvement 7C F'°_
� �!!bf Nz
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N�
3.Owner's Information or L ssee information if the lessee contracted for the improvement: �N�
Name: Q �.SZZ �v
Address: � ,� �, � : s. �3 a
�
Interest in Property p✓r E �
Name�Address of fee simple titleholder(i�Be�ent than owner)• �~�
� r
O �^
4 Contractor Information '�/� �� � �'"'�
Name:/�i� nc� ' ✓ � S� %tGs ��TGY/1C! ��/O►�s'�?�i��9�(/��Y'.S� �.�
Phone No ; � �
Address: / �,. � k t�
5.Suret i�a J ' 3 � V• i
y( pp6cable,a copy o/tha payment bond must be atfached): � �
c
Name: �
Phone No �
n
Address: Amount of Bond: $ '
6.Lender Information:
Name: Phone No•
Address•
7 Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section
713.13(1)(a)7.,Florida Statutes '
Name: Phone No.
Address:
8.In addition to himself or herself,Owner designates of
to receive a copy of the following Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes: Phone No.:
9 Expifatiofl date of rlotiCe of COmmenCemeM(the expiration date may not be belore the complefion ol construction and final payment to fhe contractor,but wiN be f
year fiom the date of recorrfing unless a�Berent date is specified)'
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER
PAYMENTS UNDER CHAPTER 713,PART I,SECTION 713.13.FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
PROPERTY.A NOTiCE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FlRST INSPEC710N. IF YOU INTEND TO
OBTAIN FINANCING,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR N0710E OF COMMENCEMENT.
Under penalty of perjury,I declare that I have read the foregoi�g�iotice of comm�ement and that the facts stated therein ara 4ve to the best of my knowledge
and belief. �
� J
�� -, �vl j `� ��_
Srgnalu o/ wner or Ce e or ner's ar Less�e's thorized OI/,teriDr¢otar�parinerANaneper
� /9J/J
Sgnafory s TAk/OT�E'
The foregoing instrument was acknowledged before me this ��da of . � � �
Y J 20>� .by�(�1�1`�•-� as
� for � who
Type ol aufhoRty(i.e.WGcer,lruslee,aMomeyln/acf) Name o!party on behall ol whom instrument was execufed
is personally known or produced ��{��1(�(;� -�js S Z-�J j_Q as type of identification.� _
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•. . �1i2,2014 Signafure o/NOfaryP�blic-Stafe o/ e wsfam commissio
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40Y 3Y9-0153 P'�� ��rvice.00m i �•�,�\ �
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Astatula,Clermont,Eustis, uitland Park,Howey 1n the Hills,Groveland,L�y Lake,
NoUce of Commencement-BF29(Updated ii/4/11) Lake County,Leesburg,Mascott tnneola,Montverde,Mount Dora 7avergs,Umatilla
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� R
STATE OF FLORiCDA, �C,�6,jNTY 0�>�I�SGC�
THIS IS TO CcRTIFY Ti-1A�'�t��Qf�d�GOlNG f�A",
TRUE AND CORRECT COPY OF.ThiE_QC?Ci1M�NT ".
ON FiLE nR OF PUBLI�RECOR� IN THI'�OFFICE
WIT �' HAND �FFICIAL SEAI.�HIS- "
��"" ^uAY OF , �_� �'
PAULA S� O'f�EIL; RK & TFrOLL�Ftt
BY `.
%' � '�� EPUT�CLERK
� � f ,