HomeMy WebLinkAbout12-13772 CITY OF ZEPHYRHILLS
, . 5335-8TH STREET �,��--°
(s13)�so-oo20 13772
BUILDING PERMIT
Permit Number: 13772 Address: 5940 DOGWOOD ST
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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 12-26-21-0260-01800-1290
Improv. Cost: 3,920.00
Date Issued: 1/16/2013 Name: ZEPHYR CHRISTIAN CHURCH INC
Total Fees: 55.00 Address: 5940 DOGWOOD ST ( MH)
Amount Paid: 55.00 ZEPHYRHILLS, FL 33542
Date Paid: 1/16/2013 Phone: 812-946-2934
Work Desc: REROOF MH ON PROPERTY W/SHINGLE
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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)wndemned 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 pubiic records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
"Waming to owner: Your failure to record a notice of oommencement 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."
Complete Plans, Specificadons Must Accompany Application.All work shall be pertormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
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C RAC R 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 Zephyrhiils Permit Application Fax-813-780-0021
Building Department
Date Received �� 2 � ` �3
Phone Contact for Permittln
Owner's Name � �GAa�' /� r �Z- ��" Z`�-� �
Owner Phone Number
Owner's Address ���� � � ZP / ,/ Owner Phone Number
Fee Simple Titleholder Name ry�/'f" Owner Phone Number
Fee Simple Titleholder Address �
JOB ADDRESS 5/ D L✓v0 -S7, � � / ,/S /� 43,,�,j 2 LOT# �
SUBDIVISION �vi'� � ^ , PARCEL ID# J�`2 " ZJ''��6� --�fgf7C7—�� a
(OBTAINED F�pROPERTY T�nce)DEMOLISH
WORK PROPOSED e NEW CONSTR 8 ADDlALT [� SIGN
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION [� BLOCK Q FRAME C] STEEL Q
DESCRIPTION OF WORK /iE' p� � ; � � � �,,,; �� �^ /�-f- C
BUILDING SIZE SQ FOOTAGE�� HEIGHT
OBUILDING $
VALUATION OF TOTAL CONSTRUCTION
DELECTRICAL $ AMP SERV�CE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBtNG $
QMECHANICAL $ r °i' VALUATION OF MECHANICAL INSTALLATION � � ��
3 �2p ��
OGAS Q ROOFING [1� SPECIALTY �� OTHER �� q
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � �' � l ��
BUILDER � COMPANY �q/f i �f�'.
SIGNATURE REGISTEFtED Y/ N FEE C n Y/N
Address ' License# �.C�y��yZ
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
Llcense#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �—
RESIDENTIAL Attach(2)Plot Pla�s;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pe�mit for new construction,
Minimum ten(10)woricing days after submittal date. Required ansite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Woric Permit for subdivisions/la�ge projects
COMMERCIAL Attach(3)compiete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construcdon.
Minimum ten(10)working days after submlttal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary FaciliBes 8 1 dumpster.Site Work Pennit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""'PROPERTY SURVEY requlred for all NEW construcUon.
Directions:
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=7500)
" 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 A1C Fences(PIoUSurvey/Footage)
Driveways-Not over Counte�if on putilic 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 complie�nce 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
cont�actor 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
County.
TRANSPORTATION IMPACTNTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing buildings, o� 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, ff 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 T13, 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 Agricu�ture 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 all work
will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work will be perFormed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I aiso
certify that I understand that the regulations of other government agencies may apply to the intended wo'rk, 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 ServiceslEnvironmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protectfon 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�II, 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 a�davit 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 cvdes. 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 RECQRDING YOUR NOT C CO C ENT.
FLORIDA JURAT(F.S. 117. -
OWNER OR AG � CONTRACTOR `�
Sub cri ed and swom to )befors,smg thls
S�b crib d swom or a re me�Js� ��i¢ �? ,, by �-;' c'� .S
by �
o i are person cnown e or has/have produced ol o s/are personally known to me or has/have produced
as iden8fica8on. as identification.
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Na e,p E RAH MEINHARDT �''�'� DEBOR/W MEINF111RDT
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Pasco County Parcel: 12-26-21-0260-01800-1290 001 Page 1 of 1
Data Current as Of: Weekly Archive - Saturday, January 12, 2013
Parcel ID 12-26-21-0260-01800-1290 (Card: 001 of 002)
Classification 71 - Churches
Mailing Address Property Value
ZEPHYR CHRISTIAN CHURCH INC Ag Land ��
5940 DOGWOOD ST ��d $29,251
ZEPHYRHILLS FL 33542-3867
Physical Address Building $173,878
5940 DOGWOOD ST Extra Features $913
ZEPHYRHILLS FL 33542-3867 7ust Value #204,042
Leclal Descrintion (First 4 Lines) Assessed (Non-School Amendment i) $204,042
COLONY HTS UNREC SUB BLK 18
LOTS 126-129 &BLK 19 LOTS 124 Taxable Value �p
125 AND THAT POR 12TH AVE BETW
LOTS 125 & 126 ALSO DSCB AS
Land Detail (Card: 001 of 002)
Line Use Description Zoning Units Type Price CondRion Value
�� 7100 CHURCH OOR4 8,500.00 SF $1.65 1.00 $14,025
�� 7100 CHURCH OOR4 56,391.00 SF $0.27 1.00 $15,226
Additional Land information
Acres 1.50 Tax Area 30ZH FEMA Code ��Residential Code ZHLALP4
Buildina Information - Use 71 - Churches (Card: 001 of 002)
Year Built 1978 Stories 1.0
Exterior Wall i Concrete or Cinder Block Exterior Wall 2 Common Brick
Roof Structure Gable or Hip Roof Cover Rolled Composition
Interior Wall i Drywall Interior Wall 2 None
Flooring 1 Carpet Flooring 2 None
Fuel Electric Heat Forced Air- Ducted
A/C Central Baths 4.0
Line Description Sq. Feet Repl.Cost New
1 BAS � 6,240 $431,808
2 FOP 504 $10,449
3 FOA 144
4 CAN $2,007
— 280 $5,813
Extra Features (Card: 001 of 002)
Line Description Year Units Value
1 UTILITY 1978 1 $150
2 D W S W C 1978 1,333 $500
3 CON PTO 2012 120 $263
Sales History
Previous Owner N/A
Month/Year Book/Page Type DOR Condition Amount
Code
04/1977 0884 / 1884 Vacant �p
http://appraiser.pascogov.com/search/parcel.aspx?sec=12&twn=26&rng=21&sbb=0260&b... 1/16/2013
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COIVTftACT Hernando: (35�) 686-333,�1
�AN'S 32, 754 �
Commercial. i� Residential Citrus' (3 ) 34 -1400
ROOFING,INC. "Home of the FREE Roof Inspection"* � Pasco: (72 6-927g
�a4ss Po�ce�e�eon ai�d. �•alansroofinginc.com Toll Free• (8 9-5667
Brook ��e,FL 346a1 ..... LICENSE NO.CCC046942 F�X: 75 $902
Please Print ��; �,a,�� / ,, � �
NAME ' '? � �/' '.� %� !'" �.,/i✓,✓"C / � T DATE C _ /
PHONE R� h - `%,� > , r
ADDRESS �7 � ( M: i,.�, � .�� CITY �" / � ZIP .i.�� 1�
• �r 0 �, .
SALESMAN � ✓�✓� ' CONTACTPHONE ��'�ib.�'�,� pT� ME C MMERCI JOB# � �1 r �,�
BRAND AND DESCRIPTION �, �..- •
OF PRODUCT �:�V � S � � t �sr+ " COLOR � ;%� ��i� PITCH ��' %>_'%
❑ 1. PULL A CITY OR COUNTY +� PERMIT SQ.RENAIL WOOD
❑ 2. TEAR OFF�SQ.OF OLD SHINGLES � SQ.OF FLAT ROOF � SQ.OF OLD TiLE
❑ 3. DRY IN RF EEL 8 SEA 1 LAYE — 2 LAYERS '� FT./ �'� SQ.TILE �
❑ 4. INSTALL `—FT.GALV.VALLEY METAL "�FT.SELF ADHERING UNDERLAYMENT �FT.METAL OVER RIDGE
❑ 5. INSTALL '_ Ff.ALUMJ 17�� �STEEL DRIP EDGE � FT.PAN/ 'FT.L FLASHING � ' COLOR
❑ 6. INSTALUREPLACE� .OF R V. � QTYJ � FT.OFF RIDGE VENT � PLUGS � COLOR
❑ 7. REPLACE " 1�/z IN.�_2 IN.�3 IN.LEAD BOOTS� 41N. "� 101N.GRV'S � ELEC.RISER
❑ 8. STARTER STRIPS
❑ 9• LAY�SQ.OF NEW FIBERGLASS SHINGLES "— CAP '—3-TAB/PERF/HIP&RIDGE
� 10. INSTALL �� SMJ- --F-- LG.DEAD VALLEY ' MODIFIED r LIBERTY —`
�-11. INSTALLTPO � LAYER OF INSULATION �
� 12. INSTALVREPLACE °°r 2 X 2 '— 2 X 4 4 X 4 SKYLIGHTS ACRYLIC sFn LOW E SELF FLASHIPIG
�OMES CM GL45S
] 13. HAUL OFF ALL TRASH AND RUN MAGNET AROUND GROUNDS
] 14. ALL WOOD WORK WILL BE EXTRq pER ATTACHED WOOD BILL�+'-•`,
ALAN'S ROOFING INC.HAS MY PERMISSION TO CONTRACT WITH AN ENGINE OF ITS CHOICE TO ��� r
� 15' CONDUCT ANY O�ALL INSPECTIONS THAT MAY BE REQUIRED UNDER LOCAL OR STATE LAW.
] 16• SPECIAL INSTRUCTIONS � � •
°' —� �� S � �% �/. ..� ��.� �r
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2a.�S Yi?. ,.�vr�i'�°.�,� ��.�
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Price is good for 30 days
DEPOSIT `�Z{� :=
BEST BETTER GOOD BALANCE DUE UPON !7
$ $ � �
COMPLETION '7 �
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ATTIC INSPECTION COMPLEI'Ep. CUSTOMER SALESMAN
ACCESS:Customerapreestoallayaccesstoyiepropertyan��z�q�theavyequipmerrtisbempused.
ConUsctorshall not be 6eblefor,without limftatlon,damageto driveways,sidewalks,Iewns,sprinldersystems,9ardens,septic systems and arry o}hershuctures thereof,as a result of roof6op orjob deiiveries.
DAMAOE,p C.:Should customer become eware o{damage�p P��,bY Contractor,his agaMs,or empbyees during the course of ir�stallation of the roof,said damage shell be brought M the agention of the
demsgeAlan'a Roofl eme of Is r�rot res'�ponsible or�r ofing naps Pa�9r��e�s�in the�cctorof said damege.within 5 worldng days of occurrence�then shall waive all rigMs againsi Contractorconceming said
DELAYS.ETC.:Hereby eclv�owledpes that Contrector may be aubjec[to deiays occesioned by fidemerrt weather,labor dsputes,end material suPPN shortages which are beyond the control of the Contrector and
�B�abY eccePts delaYs occesbned by one w n0 of these dreumstancea fn the Inslailetion of his roof.FuAher agrees to PsY Contractor an ertauM to 0%of the tWal con4ac[price slwuki this coMrac[be
cenceNed forany reason prior W fhe MFtiayun o(wprk on roof,but aftermidnightofthe third business day aftersipning.
PAYqAENT CONTppCT:C�stomer hereby egrees}hat ff the emourrts due and ownin hereunder are not paid when due,aLso shatl be iieyle ep cpsts
attomeys fees and costs,wh�h amour�,mg�er wfth all sums and g car�cellation, udmg, fimited to,reasonable
peyment owin8 hereunder,shall bere irrierest et 1+h%per moMh.We accept erGard arM y1 o�edg cebs ur fee vn71 be 25%at time of
ACCEPTANCE PROP03AL:7}�abpve�P��es.specj¢cations and condiyons are satfsfacto and � �
harebyeccepted.,qpcor�ay� N SALESMANSIGNATURE
CUSTOMER SIGNATURt"� , �y
DATE,t '���I'TMqNAGEMENTApPROVA
Construction Industries Recovery Fund:Payment may be available from the construction industries recovery fund'rf you lose money on a project perfortned under corrtract,vvhere the toss
resutts firom specified violations of Florida Law by a State Licensed Contractor.For information about the Recovery Fund and filing a claim,contact the Florida CILB at the foliowing
telephone numberand address:850-487-1395,Florida Construction industry Licensinp Board,l g40 N.Monroe Street Tallahassee,FL32399.
� � i iiiiii iiiii�iiii iiiii iiiii iiiii iiiii iii�i iiiii iiiii iiii iiii
2013008891
Rcpt: 1489380 Ree: 10.00
DS: 0.00 IT: 0.00
01/15/13 D. Bonilla, Dpty Clerk
PAULR 5 0'NEIL,Ph D PfaSCO CIERK & COMPTROLLER
Key No 01 R BK gg 13 P�0 2530
Permit No ��/�� �� �����
(
NOTICE OF COMMENCEMENT � s(/f� ,���IS Lp LS `
� T �`�`
THE UNDEi2SIGNED hereby gives notice that improvement I be ���� �� �
Made to certain, and in accordance with Chapter 7'I 3, Florida tate '��s /Zy- jZS'
Statues,the followi�g information is provided in this Notice of �����4� f70l-�� ��
Commencement: ,��
�d� �zs�� �/rc� D� �
1 Description of Property. Parcei No.� � � �� -- � �–O S � � i'7 �
(Legal d scr111ppption of the property and street address if available)
2. General Descrlption of Improvement: 1�e -,c�%
/
3. Owner Information: Name: �
Address: �✓ City State=Zip �'�
Interest in Property: e �
Name and Addr�ss of Fee Simple Tifle older(If ther than owner) :
Contractor: Name: oo �'n n ,
Address: /4� F( City rvu�t's v�'//� State F� Zip .3 y6 o i
hone No. - �f� - 33 U Fax No. _35.2- 7Sy- Fl9 aa
5. Surety; Name Amount of Bond: $
Address: State Zi
City p
Phone No. Fax No. —
6. Lender: Name:
Address: City State Zi
Phone No. Fax No. —" p
7. Persons within the State of Ftorida designated b Owner upon whom notices or other documents may be
served as provided by Section 713.13(1)(a){7) Forida Statutes.
Name:
PhoneSNo City State_Zip
• Fax No. �
8. In addition to himself or herself, Owner designat s_ /1//� '
of
To receive a copy of the Leinor's Notice as provid�d in Section 713.13(1)(b), Florida Statutes.
9_ Expiration date of Notice of Commencement (the expiration date is 1 year of recording unless a different
date is specified.)
WARNING TO OWNER:ANY PAYMENTS MAOE BY THE OWNER FTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE
CONSIDERED lMPROPER f�AYMENTS UNDER CHAPTER 713,PA T 1,SEC T13.13,FLORIDA STATUTES,AND CAN RESUIT IN YUUR
PAYING TWICE F�R IMPROVEMENTS TO YOUR PROPERTY.A N TICE OE COMMENCEMENT MUST BE RECORDED AND POSTED ON THE
JOB SITE BEFORE THE FlRST INSPECTION.IF YOU INTENO TO BTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEF E COMMENC! G W K OR RECORDING YOUR NOTICE F COMMENCEMENT.
X l . � �
Signat�ra of Owner or Owner's thorized OfitceNDirector/Partner nager Slgnaton/s T(tle/Office
, "Signajure Required by same below by�C"mark""
Stateof_ /-�(Q/l,�q �
County of y.�� C�
The forgoing instrument w acknowledged before me this � day of �� , 2p�L by :c/Ci / � /�
as T/ (/� � (Printed name of peBOn knowledging)
for
(Type of a ori e.g.,office,t attomey In fact) Name of a
( p rty on behalt of who instrument was executed -
� NOTARY PCBLiC-5;;:rL oF FLORID�
Signature ota Print � '/� ?� � i
Personally kn n OR Produced Identification v TY_ mp N �of tvo
rype of►der,c�ficac�on Produ�ed: __Commissi�,����94127
. %„ .•�Exp�res riIAY 20,201�}
Veriflcation pursuant to Section 92.525, Florida Statutes: under P nalties of perjury,1 declare tha�I�Fave read�the foI ego gGan�d�that tha facts
state it are true the`bes f my knowledge and belief.
x '� �(.�
Signature of Natural Person Slgning ove
NEWN0008.doc Rev 2008
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iAONDGDTHFT•a"•• , ,�. ^�'PI'�C,C�,lNr
STATE OF FLORIDA, COUNTY OF M�ASCC!
�hIS fS TO CERTIFY THAT THE FOREGQ�NG IS A
Tf�UE AND CORRECT COPY 0�ThIE q�C;iJMENT
ON FILE OR OF PUBLIC FiECORG W T�;I�Q(=FICE
INITNESS MY HANQ AN :FII�►AL S�HL THIS
pAY OF �2�_�
PA O'N G PTROLLE
BY � UTY CL•ERK