HomeMy WebLinkAbout12-13161 CITY OF ZEPHYRHILLS r
5335-8TH STREET �
� � (si3)�so-oo20 13161
BUILDING PERMIT
Permit Number: 13161 Address: 5250 19TH ST
Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL.
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-17600-0050
Improv. Cost: 5,100.00
Date Issued: 6/12/2012 Name: HONEY BADGER ENTERPRISES
Total Fees: 97.50 Address: 5250 19TH ST
Amount Paid: 97.50 ZEPHYRHILLS, FL. 33542
Date Paid: 6/12/2012 Phone: 813-758-6611
Work Desc: REPLACE 19 WINDOWS
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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 wiil 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) oondemned 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 fl 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 wmmencement 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,Specifications Must Accompany Application. All work shall be performed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
CG
CO TRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner:
�r'S �.�,�,�,�� ���,
Date Received: � °'�—� �
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Site: �2S� /�J� �.�
Permit Type: 1��-�l CC C '� j� /.!�t�'1G�O,�t./
Approved w/no comments:❑ Approved w/the below comments: Denied w/the below comments: ❑
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This comment sheet shall be kept with the permit and/or plans.
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Ka vin S ' r—Plans Examiner Date Contractor and/or Homeowner
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- , ° (Required when comments are present)
CITY OF / / / � BUILDINa
2EPHYRHILLS DEPARTMENT
OF ADDITION OR CORRECTION
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ADDRESS D E PERMIT f
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THIS JOB HAS NOT BEEN COMPLETED. The following additions or corrections shall be mcde before the job
will be occepted.
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It is un�awrul tor any Carpenter,Contractor,aui�der,or other persons,to AFTER CORRECTIONS ARE MADE CALL
cover or cause to be covered,any part of the work with flooring,lath,earth
or other material,until the proper inspector has had ample time to approve 780-0020 FOR RE-INSPECTION
the installation.
OFFICE HOURS 7 30AM-4.30 PM MON-FRI INSPECTOR f�.)�' ��
a�s-7ao-oozo Cityot�epnyrnnis r�rn���hNN���a����� �
Building Departmenf
Date Received Phone Contact for Aermitting O�`3 7�• -- SJ�
-iy-rry / - -I-I-
Owner's Name q,7 �n C- �4� t° �f •�a" C`� -�'Owner Phone Number
Owner's Address s� � �/ � � �- ' Owner Phone Number�—
Fee Simple Titleholder Name • Owner Phone Nurriber�
Fee Simple Titleholder Address ' '
JOB ADDRESS .�a�O ' ��� v L�T� �G 7 f
. .
SUBDIVISION ' • Qr Z l f PARCEL ID# l����°�'�JQO/D'^�J�C�r���1 v �c �/7
• (Of3TAINED FROM AROPERTY TAX NOTICE)
WORK PROPOSED ' NEW CONSTR ADDlALT � SIGN � MOVE [� DEMOLISH
� INSTALL e REPAIR
PROPOSED USE' . 0 SFR ' [� • COMM � OTHER
TYPE OF CONSTRUCTfON Q BLOCK [� FRAME ' .� STEEL 0 OTHER� —I
DCSCRIPTION OF WORK ' r'e- (1�G� //��� �- ��'
BUILDING SIZE ' S4�OOTAGE HL-IGFIT
' 0 BUILDING $ � fao� 0�' VALUATfON 01=TOTAL CONSTRUCTION
0 ELECTRICAL $ AMP SCRVICE � PROGRESS ENERGY 0 W.R.E.C,
� PLUMBING � �������8��������
� (813)788-533�
� MECHANICAL $ VALUATION OF MECHANICAL INSTALLAT(ON��,''�47���
. � . � 3� �f
0 GAS � ROOFING � SPECIALTY 0 OTHCR ��
f=1NISHED FLOOR ELEVATIONS [=LOOD ZONE AREA DYES [�NO
BUILDER C\ � � � `�'�� „ /_ _ ' � COMPANY U� � f � ' `�C -
SIGNATURE �,�'�(�[-�—C�`-� e�e_S��v I� REGISTERED Y/ N FEE CURRENT Y/N
Address �0 �y� /`'d�� ��n �"' � � " . License#
ELECTRICIAN • COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N
Addres� � License#
PLUMBER COM1'ANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N
Address License# �
MECHANICAL COMPANY ,
SIGNATURE • REGISTERED Y/ N FEE CURRENT Y/N .
Address • • .License#
OTHEF2 � COMPANY •
SIGNAl'UR� RHGISTERED Y/ N FEE CURRENT Y/N
Address License# �^
RESID�NTIAL Attach(2)Plof Plans;(2)sets of Building Plans;(1)set of Cnergy Forms;R-O-W Permit for new construction,
Minimum ten(10)worl<ing days after submittal date. Required onsite,Co�struction Plans•,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumps�er;5ite Worlc Permit for subdivisionsllarge projects
COMMERCIAL Attacli(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-Q-W Permit for new construction.
Minirnum ten(10)worlcing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence Installed,
Sanitary f-acilities&1 dumpster.Site UVorlc Permit for all new projecEs.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
****PF20PERTY SURVEY roquired for all NEW construction. •
a-�-hH-Ff-Ii�-F�-�;;;;;;;;-t-;-H-�+H+h�a-ta-t-t-�a-��-��-���-�+Ft-H-ta-l-w-I+rHaa+rrrH-rt-�-la-t+t-l+t-E-r -i. :•• ., •:,•:••••'",•'
Directions:
Fill out application completely. •
Owner&Contractor sign back of application,nofarized �
If over$2500,a Notice of Commencement is required. (A/C upgrades over$50D0)
** Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizfng same •
OVER THE COUNTER PERMITTING (Front of Application Only) '
Reroofs Sewers Service.Upgrades A/C Pences(PfoUSurvey/Footage)
1]riveways-Not over Counter if on public roadways.:needs ROW
NOTICG OF DECD RCSTRICTIONS:o�n{��ed ulafigons The undersigned lassumes esponsib Iby for�mpl ance w th any
which may be more resirictive than C y 9
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR I�ESPONSIBILIT[CS: If the owner has hired a conlrac or or
contractors to undertake work, they may be required fio be ficensed in accordance with stafie and local regulations. I(the
contractor is not licensed as required by law, both the owner and confiractor may be cited �For a misdemeanor vifi�lat{he
under state law. If the owner or iniended confiractor are uncertain as to wlzat licensing requirements may apply
intended work, fihey are advisecl fio�coniact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Furfihermore, if the owner has hired a confiracfior or contractors,
he is advise.d to have fihe contractor(s) sign
portions of'the "coniracior Rlocic" o�F this application �for whiclz they will be responsible. IF you, as the owner sign as the
contractor, that may be an indication that he is riot properly licensed and is noi entitled to permilting privileges in Pasco
County.
TRANSPORTATION IMPACTIUTILITIES lMPACT AND RGSOURCC RL-C�o�h�Rconst ucti nllof n webu'�ild ngsnchange of
that Transportation Impact Fees and f�ecourse Recovery Fees may apply
use in existing buildings, or expansion of existing buildings, as speci�Fied in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that sucl� �fees, as may be due, will be identified at the fiime of
f�ermitting. It is �further understood that Transportation Impact Fees and Resource Recovery Fees musi be paid �rior to
receiving a "certificafie of occupancy" or fiinal power release. If tl�e project does not involve a certificate of occupancy or
, final power release, the fees must be paid prior i:o �ermifi issuance. Furthermore, if Pasco County WaterlSewer Impaci
fees are due, ihey must be paid prior fo permifi issuance in accordanc�with applicable P�sco Counly ordinances.
CONSTRUCTION LICN LAW (Chanter 713, Florida Stafiui:es, as amended): If valuation oF work is $2,500.00 or more, I
certify lhat I, the applicant, have been provided with a copy oF ihe "Florida Consiruction Lien Law—I-lomeowner's
Protection Guide" prepared by the Florida Departm�nt of Agriculfiure and Consumer Af�airs. IF the applicant is someone
other than fihe "owner", I certify thafi I hav�.obtained a copy of ihe above described document and promise in good�Faith to
deliver it to the"owner" prior to commencement.
CONTRACTOR'SIOWNER'S AF1=IDAVIT: I certify thafi all the information in this application is accurate and that all woric
will be done in compliance wifih all applicable laws regulating construction, zoning and land development. Application is
hereby made to obtain a permil to do work and installafion as indicated. I certify thafi no worlc or insfallation has
commenced prior to issuance of a {�ermil and fih�i all work will be perFormed to meefi standards of all laws regulating
construction, Counfiy and City codes, zoning regulafiions, and land dev�[opment regulations in the jurisdiction. f also
certify fihai I understand that the regulations oF other governmei�t agencies may apply fio the intended work, and fihat it is
my responsibility to identify E,nvi ontmenfal Proteclt on�Cypress l3ayheads SWetfand Areas alnd EnvironmentallytSensitive
- Departmenfi of
Lands,Wafier/Wasfiewater Tre�tment. ress Ba heads, Wetland Areas, Altering
- Southwesi Florida Wafier Management District-Wells, Cyp Y
Watercourses.
Army Corps of Engineers-Seawalls, Docks, Navigable Wafierways.
- Department o( I-lealth & Rehabilitative Services/Environmental I-lealtli Unifi-Wells, Wastewater Treatment,
Septic Tanks.
_ US Env.ironmental Profiection Agency-Asbesfios abaiement.
Federal Aviation Authority-Runways•
I undersfiand that fihe following restrictions apply i:o�the use o�f fill:'
Use of fill is not allowed in Flood Zone"V" unless expressly permitied.
- If the fiil maieri��lume�will be submi ied afizme o`Ap�ermitting wh'cl�is pr pared rby agpro essio nalreng ne r
"compensating vo
licensed by the Siate oF Florida.
If ti�e fill material is to be-used in Floocl Zone "A" in connecfiion with a permitted building using stem wall
construcfiion, I certify that�fill will be used only to�fill the �rea within fihe sfiem wall.
If fill mafierial is to be used in any area, I certiFy ihat use of such fill will nofi adversely affecfi adjacent
properties. If.use of fill is �found to adversely affect adjacent properLies, the owner may be cited for violating
the conditions of the building permii issued under the attached permit application, �for lofis less than one ('I)
acre which are elevated by fill, an engineered drainage plan is required.
If I am the AGENT FOR TI-IE OWNoR�t� p tion!S I 'u de�stanldltl ai a�s parat permifi may Ue requ'�ired forlelectrc I�worlc,
this affidavit prior to commencing as, or other insfiallations not specifically included in the application. A
plumbing, signs, wells, pools, air conditioning, g
permit issued shall be consfrued to bcal codesenorp half ss alnce'of a p'e mi�prevent thehB i ding OFFicial from thereafter
set aside any provisions of th�fiech
requiring a correction of errors in plans, con srcotmmenced'wiihin six�monti�eof nerm pssua'nce,uor if work autho�rized by
unless the work authorized by such permii
the permit is suspended or ab�ndoned�Buildpn r'Off�ial �o6a per ohd nofi tof xcl edin ne yr(90) d ys andewill demonstrate
may be r e q u e s t e d, i n w r i t i n g, f r o m i h e 9
justifiable cause for the exiension. If wor{c ceases�(or ninety (90) consecu fiiv e d a y s, t h e j o b i s c o n s i d e r e d a b a n done .
WARNING TO OWNER: YOU1� rAILURC YoU���o��R�T��YO1:1 INTEND TO OBTAINM NANCING C'ONSULT
PAYING TWICG FOR IMPROVEMENTS TO
WITH YOUR LENDER OR AN ATTORNEY f3EFORE RGCORDtNG YOUR NOTICE OF COMMENCEMENT.
PLORIDA JURAT(P:S.117.03) `��/ ��� 1 � �l�—
S�C� CONTRACTOR L��"
OWNER OR AGENT S bscr bed and sworn to yor affrmed)bef��e me hi��
SubscJ ibed and swo(f{q(o�l�rmed�fore jne,this � 1`� by ;„1 ;.;^ �
(t —!—/ bY ��-� !��L��� Who is nally I<nown to me or haslhave prodrlced
Who is/are personali y I<nown to me or haslhave p oducecJ as identification.
as identification.
�
� � Notary Public
Notary Public
COfI111lISSI0f11V�• NOTARV Pi"Rl�( C'i'+�'�L nnnm
111fT115S1011 *'�'i'epv nr-nr�r eTn�r .'r)U%aP'7'C 83�11'
�L17aI1Tle B31'1T � • .'' ' '
` �" Name of Notary tYped,printed or sEa , ,:FK�z;,-;,, ,�V 22,2014
NameofNotarytyPed�'P.,, a ; ti0V22,2014 so*��FCrar .r� �r �.�;��cco,irrc.
SOSDELTiiRL'-' :. .-'���i\��:.\GCO,INC.
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$u. ,:(��4`�.
BAHR'S ALUM/NUM INC.
6440 Fort King Rd invoice No.
Zephyrhi!ls FL 33542
(813-782-3513) TollFree:(866J 296-4396
�INVOICE
Customer
Misc
Name Brian Crow
Address 5250 19th St Date 5/19/2012
C�ty Zephyrhills Order No.
State FL ZIP Rep
Phone 758-6611 honeybadgerenterprises a�gmail com
FOB
Qty Description Unit Price TOTAL
Estimate For New Wndows �
-F2emove Old Windows&Haul Away
Install:(19) PGT SH2200 Single Hung Windows
White Vinyl Flange Frame w/Insulated Solarban 60 Low-E Glass Clear
Extra Cost-Permit&Engineering$200.00
1
.;'�
$5,100.00 $ 5,100.00
,�� .
.., � .s,��.�,.y.1>�y;�:�.� �'
�%u�_„-... �:����. .�.�...�..:�.;�,�.._..��J. SubTotal
$ 5,100.00
Payment Shipping $ _
Tax Rate(s) .0.00% $ _
Comments �� �t?�f / S-�p a c�
Name TOTAL $ 5,100.00
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CC#
Ex ir .QffiGe;:llse O,nl{/=�_�-�:- t�s�v�-� �.::_
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We guarantee afl material used in this contract to be as specified above and the entire job to be done in a neat,
workmanlike manner.Any variations(Per Homeowner)from plan or alterations requiring extra labor or material will be
performed only upon written order and billed in addition to the sum covered by this contract.
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Professi��la� �' °�E Product Approval i'
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� Product Aooroval Menu >PrQduct or Aoolirarion Sear h>Apolication List>Application Detail �
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' ��� Comments !
Archived
�
F:i Product Manufacturer PGT Industries
�"' Address/Phone/Email
k� 1070 Technology Drive
'�-'�'
-.,;, �,x:.� Nokomis, FL 34275
' ��{' (941)486-0100 Ext 22318
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{z Authorized Signature
Jens Rosowski
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� jrosowski@pgtindustries.com
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= �;q Technical Representative
� �° Jens Rosowski
�;''� Address/Phone/Email 1070 Technology Drive
} �4'�; ������ Nokomis, FL 34275 �
� � I (941)486-0100 Ext 21140
,` ��ti; jrosowski@pgtindustries.com
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' �'; Quality Assurance Representative
� * j'i ��; Address/Phone/Email
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',' Category Windows
,F k:�� Subcategory � � '"d t�–^ Single Hung
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Compliance Method
��' p�� � Certification Mark or Listing
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a�` �a Certification Agency ,�'� O n y Keystone Certifications,Inc.
' h�- Validated By �'�'' �' � r' Steven M. Urich, PE
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� ��, # FL1435 R9 Eauiv 1996-05 to 02 Eauiv odf
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2012094726
Permit No. Parcel ID No l�o�-�l��— vQ�d� �7G(1d"" �lx.(�'(�
.�/ NOTICE OF COMMENCEMENT
State of J�!�/'l U�t- �Q�j'Cv
County of
THE UNDERSIGNED hereby gives natice that improvement will be made to certain real property,and in accordance with Chapter 713,Florida Statutes,
the following information is provided in this Notice of Commenc�em"e�nt:
1. DescripGon of Property: Parcel Identification No. u--yc4 Of Z;�t,l� P� � ��� �,� S'�G' 7 t/l, /� �
Street Address: S o�-'��d /lr'h� J� • V Le. �^/L[, ���c�3�J"f/oti Q�—wT d' 6�/C /7(0
2. General Description of Improvement
/��-Q U�-GL �U/iC�Clll�tf LJ�. /�-Dl�--
3. Owner Information or Lessee information if the Lessee contracted for the improvement:
Q �i� ��uu�v
so�-Sd /�� �' • /
Address City r � �! �—S� rn�°n�
Interest in Property: m " �,
tri m..
Name of Fee Simple TiUeholder• ,.�,m p
(If different from Owner listed above) N m W
� �
Address /1_ `^ J. �! / �C City State � �
4. Contractor: �f7c�/� f'lG«rN
�N � / o�
/� YS�d meJ�O/`�- ��!/g 72 i�-C� � �S�`� °• ��
Address City State � �
Contractors Telephone No.:
. m..
v m�..
5. Surety: ��m
Name '� �
n
m
Address City State �
�
Amount of Bond: $ Telephone No.: �
6. Lender:
Name
Address City State
Lender's Te!ephone No.:
7. Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by m D
Section 713.13(1)(a)(7),Florida Statutes: ��D
Name �� a
N2
/� m
. Vv�r
Address City State �•N 7
Telephone Number of Designated Person:
•.��o
8. In addition to himself,the owner designates af �3 n
to receive a copy of the Lienor's Notice as provided in Section 713.13(7)(b),Florida Statutes, v '� °
G'1 �
Telephone Number of Person or Entity Designated by Owner: Q �
� x
9. Explration date of Notice of Commencement(the expiration date may not be before the completion of construction and final payment to the �►-�"
contrector,but wfll be one year from the dafe of recording unless a different date Is specified): `� "
V■ c
3
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 1, 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 A
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of pery'ury,I declare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best
of my knowledge and belief.
STATE OF FLORIDA ��T.iR`c :'_;;; f ;;;��rr�. F-r��A
�..,, �,
COUNTYOFPASCO _°�,�,�b��=:Y� <<d�ic ___��WjQ �
5��-�Y; ::_ri�.��.;�;�r ;;.;;,��ZE164 na reo eror ssee,orOwne►'s r essee'sAuthorized
°. � ,• �'.-•n;r�" ��j 15,2013 cer/DirectoNPartner anager
BO!�1)EDTT�k; ,ii;,�;�.i�;iJVili;iGCO.,ItvC, �,•./,, n
�,y�.,./ L'r�v
Signatory's Title/Office
The foregoing instrument was acknowledged before me this��day of v(,t-� ,pp�Dl-{�y �/'�/� �nJ(,Lf
as W/�� (type of authonty,e.g.,officer,trustee,attomey in fact)for
Je (name of part n behelf of wh instrum nt was executed).
Personally Known❑Qg Prc+;lt,Led Identification� Notary Signature Ci�--
Type of Identification ProducecE /J� Name(Print) �JQ. t�i�-w
.
wpdata/bcs/noticecommencement�c053048
Y ���'
STAI'� C�F �LtJRIDA�CO���r�G�S A
THIa IS�'G LERTIFY THAT� �THE DOGUM��T
T�u�p,Np CORRECT C�'.;�
QN FILE���HAfJDAC- (��0��SEALTOH�S�E
WITNESS M 2
� pAY OF CO �T`Ra-�
PAULA S;9�NEIL. � '
y�';�,D,E.�Pt}�Y C1.E,�K
BY ,,.. - ,
,