HomeMy WebLinkAbout14-15340 : r CITY OF ZEPHYRHILLS
" � 5335-8TH STREET
(sis)�so-oozo 1534
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 15340 Address: 6329 GALL BLVD
Permit Type: SIGN ZEPHYRHILLS, FL.
Class of Work: MONUMENT SIGN Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 03-26-21-0020-00000-0010
Improv. Cost: 77,000.00 OWNER INFORMATION
Date Issued: 6/05/2014 Name: KAUFMAN GROUP ENTERPRISES
Total Fees: 649.50 Address: 6329 GALL BLVD
Amount Paid: 649.50 ZEPHYRHILLS, FL. 33542
Date Paid: 6/05/2014 Phone:
Work Desc: INSTALL LED MONUMENT SIGN 128 X22 (APPROVED BY BOA-1/6/14) KAUFMAN
CONTRACTOR S APPLICATION FEES
CB SIGN SERVICE INC SIGN 589.50 ELECTRICAL FEE 60.00
METCALF ELECTRIC
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�Ins ections Re uired
FOOTER
ELECTRICAL ROUGH
FINAL �� - �� �f�I
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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) 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,consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans, Specificati s Must Accompany Application. All work shall be pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
C NTRA OR SIGNATURE PERMIT OFFI R
ERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECYION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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City of Zephyrhills �,s�- �"���
BUILDING PLAN REVIEW COMMENTS �� ,
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Contractor/Homeowner: (� Il�(.�,���./� �?��- l��c'CS �� �
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Date Received: �- �-/- l� ��
Site: � 3�-f �L � �`v J
Permit Type: l��� Z3 /� �'►c.C���.��l �S� ��}�'
Approved w/no comments:❑ Approved w/the below co s: 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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Kalvin witzer ans Examiner Date ntr tor and/o omeowner
quired wh comments are present)
Jun. 05.2014 06:32 AM PAGE. 4
G Buitding DepaAment
Date Received � �� Ahane Contaet!or permintn � �� — (Z
Qwner's Hame � /�1� Owner Phona Number �� '",0 �� ��
Owner's Address � ' Owner Phone Number
Fee Simpte 7illeholder Name ^� Owner Phone Number
Fee Simple Tflleholdet Address
JOB ApDRE55 Z% i.OT# 1 I
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SUBDIVISION � PARCfL IDfd
(OBTAINEOFIiOMP OPERTYTA%HOTICB�
WORKPROPOSED e NEWCONSTRe ADO/ALT Q SIGN Q OEMOLiSH
INSTALL REPAIR
PROPOSED USE O SFR Q COMM Q 07HER
7YPE OFCONS7RUCTION Q BLOCK Q FRAME � STEEL Q
DESCRfPTIQN OF WORK LG(/ �Q/l �
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BUII,DING SiZE �� SQ FOOTAGE IL�� FIEIGHT
QBUILOING �S DO/1 VA�UAFION OF TOTAL CONSTRUC710N
l/
[�ELECTRICAI b AMP SBRVICE �] PROGRESS ENERGY Q W,R.E.C.
OPLUMBING §
[�MECHANlCAL S VALUqTION OF MECHANICAI.lNSTAI.I.ATI )�._ j� ?�V
xi" {
QGAS Q RDOFING Q SPECIALTY Q OTHEit ,
FINISHEO FLOOR EIEVATIONS FtOOD ZONE AREA QYES NO
BUII.pER COMPANY
SIGliA7URE REGiSTEfiEO Y/N FEECUartEt. Y/N
Address . License#
� �I t n EiECTRICfAN �,p COMPANY ��(,/'(�� ��{L P�C�
l StGNATURE r�clsreReo Y!N r�E cuaad. Y f M_
���v,[� � `� Address � Qll� ?j ,Z. LiwnsefF �f�-����f+ 6
V`�,y.
PLUMBER COMPANY
SIGNA7IJRE REGISTEREO - Y/ N FEEqtqRP1, Y/N
Address License� �—��
MECHAPlICAL � CDMPANY �
SIGNATURE � REGISTEFEO��� Y/N FEE CllitREh Y I N
Address i ' License#
OTHER � COMPpNY �������IoC/� L1�S��
SIGNATURE RECisreaen � Y! N �ECUrir�n Y/N
Address Lieense f��
RESI�EN7IAL At�aeh(2)Plol Alans:(2)sels ot Bultding Plans;(1)sel oi E�ergy Forms:R-O-W pettnll for new consUuction.
Minimum ten�SO)working days after submiltal da�e. Required onsite,CansVuction Plans,Stomrwater Plans wi Silt Fence InsMalled,
Sanitary Facilfties d 1 dumpster;Sfte Work Permit for subdivi:ionsliarge praJects
GOMMERCIA4 Attach(3)camp{ete sels of 9uilding plans ptus a LiEe Sa(ery Page;(ty set of Energy Forms.R O-W Permit for new eonsWcltoa,
kfinimum ten(19)wrorkfng days afte�submitlal date. Required ansite,Canstruc6on Plans,Stormwater Pfans w!Siit Fence instailed,
Sanilary FaciliGes 6 t dumpster.Sile Work Permtt far all new projacts.AIt commercial re�uirements must meet compliance
SIGN PERMIT Atlach(2)sets nf Engineered Plans.
""PROPERTY SURVEY requtred for all NEW constructlon.
Directlons:
F(II out appliration completely.
Qwnu&Contracror sign back of applicaGan,natarized
If over;2500,a NoUce of Commeneeme�t is required, (A!C upg2des over 57500�
" Agenl(1or the contractor)or Power of Aflomey(for Iha owner)would be someona wiltt nofar¢ed lefter from avmer auU�orizing same
OVER THE COUNTER PERMTTTIN6 (Frontof Application Only)
Rerao(s if sMngles Sewers Service Upgrades A/G Fences{ploVSurvey/Footage)
Or(veways•Not over Cotmter if on puMie roadways,.needs ROW
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Rcpt:1604174 [tec: 1@.00
DS: 0.00 IT: 0.00
0S/20/14 T. 5t,ine, Dpf.y Clerk
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� PRULR S.0'NEIL,ph D.PASCO CLERK & COMpTROLLER
esrzei:a i:� i o� :
OR SK ���� pG '12�2
NOTICE OF COMNL�NCEMENT
� Pomrit No.
Ta�t�alio No. QOO Q7/�'
i
'S7tE UM}ERSI4NED hereby gives notice that improvemarts will be madt to aASee teaS pmperty,etnd in accardanco wsth Section
�I 71a.13 of Ihe Plorida Statutes,the foqowing informetion ia pmvided in this NUTiCE OF COMMFNCEMEIV'T.
'� I.Dtscription of pmperty(ltga!descr' 'n: r •'j /� ` �✓ . ��/
I a}Street(jdb)Address: +
2.Genus!description oFimprovemonts:�polv for qgpdjpslells(�pgp
� 3.4wnu infotmaticn
a}Name and atldress:
b)Name and addrcss of fee simple tiqeholda(iCather than owner)
E)Inttrut in pmpeny
i .Cantractar Infe�atia»
a}Nmnc and addrcss: CB Sign Services inc., 13608 Dogpatch Ln,land O'Lakes,FL 34&38
b)Telr�hone No.: 813-267-2080 Fax No.(Opt.)
.Surmy lrifortnetion
a}Name and address•
b)Amount of Bond:.
c)Telephone No.: Fau No.(Opt.)
6.Lendtr
a}Nat»a and address•
Phone No.
7.ldentisy of person within the State of Florida daignated by owner upon whom nmices ar other doeuments may bo savtd:
_- a)Nama and eddress�
b}Tstephaae Na.: Fan No.(Opt.}
8.In addiHon to himulf,ownu designata the following petson to rceeive u capy of the Lienor's Nolia aa provided in Section
713,I 3(1 xb),Floride Stetutes: ,
a)Name and addrar
b}Tttaphone No.: Fanc No.(Opt.)
9.Expiretion dnte ofNoticn of Commcncertient(tde�plrqtlon date b one year trom the date of recording anless e dlffercnt date
is speclfied):
�I WARNINC TQ OWNER: ANY PAYMENTS MADB BY THB pWNER AFTER TNE EXPIRATION OF THE NOTICE OF
CpMMENCBMENT ARE CONSIDERED IMPAOPER PAYMBNTS UNDER CHAPTER 119,PART 1,SECTION 713.13,
FLORIDA STATUTES,AND CAAT RESUt,T 1N YOUR PAYING TW 10E FOR IMPROVEMEtVTS TO YOUR PRQPER3'Y.
A NOTtCB OF C{3MMENCEMEIYT MUST BL RECORUED AND POSTEII 4 THE JOB SI7'E B�FOAE THB FiRSC
� INSPECf10N.IF YOU INTEND TO OBTAIN FINANCING,CON T ENDER OR AN ATTORNEV BEFORE
COMM6NCING WORK OR RECORDINC YOUR NOTICE OF C M ENT.
STASBOPPU}RIDA �
COUNTYOP►Wf�4tAS � 1�.
Signaty�e [ �.��%!•hq�� O(1�mdD�/PUtnu/p�ecmgp
�.•�-` ! li.�J
..�'EV ti e-•�.
pfNl t+6�f<C
Tha faregoing instrumeN wes acknowledged bofore me this�dey of__� ,20�,by�L�7���.
�i _ , �
'
, t ) �l.��N��) es (typeotoutfioMty,e.�.olrcer,trustee,
attorney tn[act)for {a�me ot parf on behaif of whom{nstrument wN5 s:eeuted},
' porsonaily Known_OR Produud ldentification� Notary Signatur
,�[
TypentidentiCcetionProdused Name{prini) �
ndv penalUes of ptry'ury,1 dcclaro thet I heve rcad the forogoing and ihat
U�e�e{gtdi in it ere t�u���{$�y$knowledg d belief.
I ``yot*pr Ppb 4
�, NOtdiy P4iblic•State o#Ftarida'
;•. .��,My Comm.ExpitBS Apr•24,2017 Sig�wureofWUmlPUSOnSigning(inlineN 10.)Above
'':�FaFFti�`�r Coinmissio6�M FF 01�1898
� ' ,��.�+• ' 8cn�ed�ThtQuyti tTatiotf�I Notary Assn.
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��4 ° ' • c��Q� , r�,ORIDA,COUNTY t}F'PASCC7
.+�.��IS TO CERTIF.Y THAT THE FOREGOING IS A I
� � a► T�UE AND CQRRECT COPY QF TNE DC?GUMEt�7' �
�g. • t�id FILE OR t�F PUBLIC RECORD IN THIS OFFICE
InGo�t"►ye?rust � * WITNnESS MY HANDAN OFFICIAL SEAL THIS
� . 1�,� • o���lAY OF 1 01 �
{� � � PAULA S.O'NEIL, CLERK CC�MPTROLL�R
• t88 ;��•�^� __ --- - -
�'�Q'rF + � ,����}�'r` BY � ` .DEPUTY CLERK
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Parcel ID#:
Address: 6329 GALL BLVD.
ZEPHYRHILLS, FL
To whom it ma.y concern:
As the owner of the above referenced property, I hereby authorize CB Sign Service, Inc
Inc. to apply for permits and to install signage at this property.
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Owner's Si ture Owner
� ~ +—_ � � ��G °V7 �� GZ' !�-i��1 0�[[•
��-��-�- � , K�z.�'�iiy► r� � �' �l� r
Print Owner's Name " Owner's Addre�s
�,������1� ��L��35y�Z
, Owner's City/ State/Zip Code
��� �'�-��������
Owner's Telephone number
Sworn to and subscribed before me this � day of /�(q L, , 201^f
-
' Notary blic
���,;,,,,,� CHERYL K.BOYS,.
;=��"Y P�B�s NOtary Pdbli Qt�lOf� a
�, �c�4?�g���,�»
= . • :My Comm�.Expires�A
_•� ''- �FF-011898
�(� / ,(� ':,• `oe;. Comrtiission r:
" —e� ` "-- � � �'%F °�`` Bonded`Th�augli National Notary Assn_
� OF FL`�
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Print Notary's Name ,�_.�.�
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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
k.
�
Date Received � ! Phone Contact for Permitting � ! � -
Owner's Mame ��+� �� Owner Phone Number �3 " ,0 �, ��
Owner's Address f � ' Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Tftleholder Address
JOB ADDRESS �� LOT# �
SUBDIVISION PARCEL ID#
(OBTAINED FROM P OPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR e ADD/ALT Q SIGN Q DEMOLISH
iNSTALL REPAIR
PROPOSED USE Q SFR Q COMM Q OTHER
TYPE�F CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q
DESCRIPTIOId OF WORK G'K/ �OIl
/
BUILDING SIZE SQ FOOTAGE L HEIGHT -
QBUILDING `� $ D0� VALUATION OF TOTAL CONSTRUCTION t o
DELECTRICAL $ AMP SERVICE., Q PROGRESS ENERGY Q W.R.E.C.
OPLUMBING $ �
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ����
- ��
OGAS Q ROOFING Q SPECIALTY 0 OTHER \\ '
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAM �A� p��,�' COMPANY
SIGNATURE ��� r ' ! ►r'v�V REGISTERED Y/ N FEE CURRE� Y/N
Address License#
PLUMBER COMPAPIY
SIGIdATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# -�
MECHANICAL COMPANY
SIGNATURE REGISTERED�� Y/ N FEE CURRE� Y/N
Address � License#
OTHER COMPANY �J-' S�<
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
RESIDENTIAL Attach(2)Plot 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 w/Silt Fence installed,
- - __.— �_—Sanitary_Facilities 81 dumpster;Site Work Permit for subdivisionsflarge projects
COMMERCIAL Attach(3)complete sets of Building Plans plus-aZ.ife Safe yf Pa`ge;(1)set of Energy Forms.-R-O=W-Permit-for-new construction.-- -_--.-__
Minimum�ten(10)working days after�su6mittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanita.ry,Facilities&1 dumpster.Site Work Permit for ail new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)setsbf Engineered Plan,s; . • ,
""PROPERTY SURVEY required for all�NEW consVucBon.
Directions:
Fill out application compietely.
Owner&Contractor sign back of application,notarized
If over a2500,a Notice of Commencement is required. (A/C upgrades over E7500)
" 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 Applica6on Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/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"restrictior.s"
which may be more restrictive than County regulations. The undersigned assumes responsibility for.compliance with any ;
applicable deed restrictions. ' ' � '_ � `
UPILICENSED CON7'RAQTORS,AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor ar
contracfors fo undertake work, tFtey may be required to be I�censed in acco�clance with state and local regulations. tf fhe
contractor is not licensed as required by law, both the owner and co�ptractor may be cited for a misdemeanor violation
under state law. tf the owner or intended contractor are uncertain as ta urhat licensing'requirer�ents��may appiy for the
intended work, #hey are advised to contact the Pasco County Buitding Inspection Divisian—Licensing Sectian af 727-847-
8009. Fu�thermore, if the owner has hired a cantractor or contractors, he is advised to have the contractar(s) sign
portions of the "contracto� Block" of this app}Ication far which they will be responsible. If you, as the owner sign as the
� cantractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
Caunty. ..-. . .
TRANSPORTATION IMPACTlUTILI7IES IMPACT AND RESCIURCE�RECGVERY FEES: The,undersigned understands
that Transpo�tation tmpact Fees and Recourse Recovery Fees may apply to�the construction 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 identified at the time of
permitting. It is fucther undersfaod that T�ransportafion lmpact Fees and Resource Reaovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power release. If the praject does not involve a certi�cate of occupancy or
final pawer release, #he fees must be paid prior ta permit issuance. Furthermore, if Pasco County WaterlSewer Empact
fees are due, lhey must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTl�N L.IEN LAW{Chapter 793, �lorida Statutes, as amendedl:,,If valuation of wark is$2,500AU or more, !
certify that I, the appiicant, have been ,provid�d with a copy-�af the "Flarida Constructiom lien L.aw—Homeawner's
Protection Guide" prepared by the Florida Department of Agricult�re and Consumer Affairs. If the applicant is someone
o#her tFtan the"awner", 1 certiFy fhat-1 Mave obtained a copy af the above described document and promise in good faifh to
deliver it to the uowner" prior to cammencement.
Ct)NTRACTOR'S/OWNER'S AFFIDAVlT: I certify that all the information In this applicatian is accurate and that a!I wark
will be done in compliance with all applicable Iaws regulating construction, zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indlcated. 1 certify that no wark or installation has
commenced priar to issuance of a permit and tha# all work wifl be pertarmed ta meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land develapment regulations in the jurisdiction. I also
ce�fify that 1 understand fhat the regulations of other government agencies may apply to fhe intended wo�k, and fhat it is
my responsibili#y to idenfify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Department of Envfronmental Protectian-Cypress Bayheads, Wetland A�eas and Environmentafly �ensitive
Lands,WaterM/asfewater Treatment.
- Sauthwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercaurses.
- Army Corps af Engineers-Seawalls, Docks, Navigable Waterways.
- Departmen# af Health & Rehabllitative ServiceslEnvironmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
� - US Envlronmental Protection Agency-Asbestos abatement.
- Federal Aviation Authorify-Runways.
1 understand that the following restrictions apply to#he use of fill.
- Use af ftll is nok allowed in Fiood Zone"V"unless expressly permitted.
- If the fill material is to be used in Flaod Zone "A", it is understoad tha# a drainage plan addressing a
"compensating volume° will be submitfed at time of permitting which is prepared by a professional engineer�
licensed by the Sfate of Florida.
- !f the fill materia! is #o be used in Flood Zone "A" in connectian wi#h a permifted building using stem wall =-
construc#ion, t certify that fiN will be used only,fo fitl the area�within the stem walt. + `
- If fill material is to be used �in°any area, I certify that use of such fill will not adversely affect adjacent
properfies. If use of f1t is founci to adversely affect adjacent properties, #he owner may b.e cited for violating
the conditions of the building per.mit issued under the attached permit application, for lots less than one (1)
� acre which are eEevated 6y fill, an engineered drainage plan is required.
' If I am the AGENT FOR THE OWNER, 1 promise in good faifh to infarm fhe owner of the permi#ting conditions set forth in
', this a�davit prior to commencing cons#ructian. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air canditioning, gas, or other instaliations not spec�catly included in fhe 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 Buildirig O�cial from thereafter -'
requiring a correction of errors in plans, constructian or violations of any codes. Every permit issued shall become invaiid
eanless the wotk au�ttorized by-such permit is commenced within six months of permtt issuance, or if work,autharized by .
the permif is suspended o�ab�ndonec!for a period af six(6)months after the.time the work is coinmenced: An�;extensibn
may be requested, in writing, from the Building Official far a period nat to'exceed�ninety (90).days�and.will demonstrate,°.;"� .
justi�ab#e cause€or the extension. If work.ceases for ninety(90}consecutive days,the job is cansidered,abandoned: "`'�,;�;;F j��'F y-,
5, -
WARNtNG TD OWNER: YOUR EAIE.URE TO RECQRD A NUTICE QF COMMENCEMENT AY��RES�ULT fN YQUR ��"
PAYING TWICE FOR IMPROVEMENTS�TO YOUR PROPERTY. IF YOU,,iN, ND TO OBT N F NANCING, CONSUL.T
WI`CH YClUR�ENQER OR AN ATTORNEY BEFORE RECORDING YOUR� OTlCE OF C ME CEMENT. ,
FLORIDA JlIRAT(F.S.117.03} . . - '�r � _- , , .
�
OYUNER Oft AGENT � CONTRACTO " ' - �'
Subscribed and swom fo(or afftrmed}.before me'this = Subscribe d `q z affirm }6e me this:�
by �� �= - :: ,S2a,�l�,. ��:::�.,.> AT�/ � � t�� , - .
Who islare personally knawn to me or has(havs produced. r= Who (ate�e son y�lcnown:ta e or has/Fiaye produced
_ ._ as identifrca�on. � , • �Ori _ �'' = Zi` ''•`"k •t, , s tdenfiScafion. , .
� Notary Public .� . `� Notary Public
Commtsstan No. � � Ca ssSon o. , - �
Name of Nokary typed,printed or sfamped Name of Nofary typed,p�rited ar stamped �
. � �