HomeMy WebLinkAbout14-15714 I 4
; " CITY OF ZE HYRHILLS
5335-8T Si'REET
�sis)�s -0020 1571
BUILDIN PERMIT
�_ ':�`� '�i PERMIT INFORMATION - LOCATION INFORMATION � ' � ' -
Permit Number: 15714 Address: 5220 10TH 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 Nu
mber: 11-26-21-0010-18100-0110
Improv. Cost: 7,670.00 OWNER INFORMATION .: '.'�', .,• t�:,_f
Date Issued: 10/13/2014 Name: CROSSROADS PENTECOSTAL CHURCH
Total Fees: 75.00 Address: 5220 10TH ST
Amount Paid: 75.00 ZEPHYRHILLS, FL. 33542
Date Paid: 10/13/2014 Phone: 813-714-3822
Work Desc: REROOF SHINGLE
CONTRACTOR S
APPLICATION FEES
MILBAR ROOFING INC REROOF RESIDENTIAL 75.00
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Ins ection e uired
DRY IN ROOF INSP
TAPE JOINTS ROOF INSP
FINAL � (i-7�I..I(,�
-�_��T�
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c when extra ins ection
REINSPECTION FEES: Reinspection fees w�ll comply ith Florida Statute 553.80 (2)( ) p
trips are necessary due to any one of the following re sons: a)wrong address b) condemned work resulting
I from faulty construction c) repairs or corrections no made when inspections called d) work not ready for
, inspection when called e) permit not posted on jo site f) plans not at job site g)work not accessible.
NOTICE: In addition to the requirements of this permit, ther may be additional restrictions applicable to this property that
may be found in the public records of this county, and ther may be additional permits required from other governmental
entities such as water manageme , state agencies or federal agencies.
"Warning to owner: Your failure to record a notice f commencement may result in your paying twice for
improvements to your property. If you intend to ob in financing,consult with your lender or an attorney
before recording your otice of commencement."
Complete Plans, Specifications Must Accompany Appl cation.All work shall be performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
_.
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS ITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - HOUR NOTICE REQUIRED
PROTECT CAR FROM WEATHER
� 813-7�80-0020 . City af Zephyrhills Pe mit Application Fax-813-780-0021 �
, Building Depa menf f��L�
"f
Date Received phone Contact for ermitting --
6� A u
er's Name ��`�S � �� �s , .� Owner Phone Number n j . �'�� - �jG�,2.
dwner's Address f��}c `��3 te S �1.. . � Owner Phane tdumber �
Fee Simple Titlehalder Name Owner Phone Number �i� �
Fes Simp{e Titteholder Address �
JOB ADDRESS �c� �l� LOT# �� L
SUBDIVISION � � PARCE ID# � -2,{u- -lk� ,� . � i �- " „�
{OSTAiNED Pft4M PROPERTY TAX fSOTtCEj
WORK PROPOSED e NEW CC}NSTR �� AL}DiAL Q SiGN � MOVE � QEMOLISH
INSTAL.L REPAIR
PROFpSED USE � SFR 0 CQMM �� OTHEFt �„-Q,
TYPE OF GO�fSTRUGTION � BLOCK O FRAME � STEEL � OTHER
DESCf31PT10lJ QF WORK � �!' : c�1� _'S.� � � � �G.� �
BUILDING SIZE C�___� SQ FOOTAGE �� HEtGHT �_�
,�IIPMp�V7B�N09CHPCiI10BOflQ�B� �
�~ BtSILDiNG � VALUATION OF TOTAL CONSTRUCTIQN
C� �
� ELECTRICAL ($ �� AMP SERVi E � PROGRESS ENERGY � W.R.E.0
�
�J PLUM[3(NG �� �
0 MECHANICAL �r� VAWATIO tJF MECHAMCAL IiVSTALkATION
0 GAS �� RQOF(NG � SPECI LTY Q OTNER
FINISHED FLOOR ELEVATIONS ��� FLOd ZONE AREA DYES �NO
II��Ofl4aG�PVNN11811d7��19II�I a n , � y�a E� " �
BUtLDER � C MPANY ��1,� V�c� ! 1�t}t�s.iiC1 •._��1c. _.
SIGNATURE �,, R GISTERED �/ N FEE CUR� Y N �
Address ��l, {..(� �) ,�Q C.i �� 3�� �icense# �,C,,,t_. (�Z4��`��
, E�.ECTRICtAt� C MPANY
StGNATUl�E R GlSTERED Y/ N FEH CURRENT Y/N
Address License# � �
PL.UMBER MPANY
.SIGA1ATUk2E R GISTERED Y! I�l ; FEE CURRENT Y/N
Address License# �� �
ftn�CNANiCAL OMPANY
�NATURE GlST�RED Y G N FEE GURftENT Y(N
Address License# � � �
07HER OMPANY
SlGivii i t7R� EGtSTER�:, � Y 1 r� i Fc�GURRLNT Y/I�
Address License# ��� �
daum��y��u��auuu9u�uu9UllL� i i ii�9�GUS�NO�6snao�p�99P9u�VVI19�u0u�C�iV9ai��"�1
RESiDENTiAL Aftach(2}Plot Plans;(2)sets of Building Plans;(1)set of neryy Forms
A.�inimurn ten(14}working days after subm3ttal date. Req :red�nsit�,Canstruction Plans,Sanitary�acilitiss&1 t�::^;rs!°�
CON1NlERGIAL Atkach{3)sets of Building Plans;(1)set of Energy Forms.
Minimum ten(10)working days after submittal date. Req ired onsite,Construction Plans,Sanitary Facilities&1 diunpster
Ali commercial requirements must meet compliance. =' �
SIGN PERNIIT Attach{2}sets of Engineered P{ans.
**"*PROPERTY SURVEY required for all NEW constructi n.
'°°�:I'u`a"'�dV�VVVCV0V�V9V9uBVyPk" �"uV�n�omiu�B�y;i���p�p a;rr. , � � �„ ;V����mqmmR�mm���.a�m„�pm�cu�ar�a WV9V�01i49HNJ9VV�V'�ll�VNi�6Vfl�26'�'�COG9110NV9VOVVBVVB��VIiNN�9��II
recfiions:
�il!out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notic�of.Gommencement is required. (AIC upgrades over$50U0j ,, , ,
� ,.";,s � f.�-!'fi_°
" Agent(for the.contractor.),or Fower of Attorney(for the owner}would be s meone with nofarized leffer,from_o'wner autfiarizsng same .
�,i�,;.• ' ',: t�.;, ;ii;��;'; .;:,�,i',
OVE�iTHECOUNTER�.P,�ERMITTiNG�:�-; (FcontofA�plicafion On(y} ;_�:,: , ;;.,�,. ;;�y, . ., ;.•; ; ,,,,
Reroofs ,;;SQw rs�_� �;Service Upgrades A/C Fen es(PiotlSurvey/Foatage} ' ""'' '`E' ' `
, �_.. u�.� .,._ , , .
Driveways-Not over Counter if on public roadways..needs ROW
� x
i�C1TiCE OF DEED RESTRfCT10NS; The undersigned understands that this permit may be subject to"deed" res#rictions"
which may be mare restrictive than County regulations The unc3ersignec3 assumes respansibility for compiiance with any
applicable deed restrictians. '
UfVLICElVSED COiVTl�CTORS A�1D CONTI2ACT�R RESPONSlB(�l71ES: ff the owner has hired a contractor or
contractars to undertake work, they may be required ta be licensed in accordance with state and loca! regulatians If the
contractor is nat licensed as required by law, bpth the owner and contractor may be cited for a misdemeanor violation
uncler state (aw. tf the owner or intended contractar are uncertain as to what licensing requirements may apply for the
intended work, they are acivised to contact the Pasco County Building Inspection Division—Licensing Section af 727-847-
8009 Furthermore, if the ov+,rner has hired a contractar or cantractors, he is advised ta have the contractor{s} sign
portions of the "contractar Block" of this application for which they wiN be responsible. !f you, as the awner sign as #he
contractar, tha# may be an indication that he is not praperly licensed and is nafi entifiled to permitting privileges in Pasco
COUII�y. �
TRANSPORTATIDN IMPACT/UTiLITiE� iMPACT AND RESOURGE R�COVERY FEES: The undersigned understands
that Transpo�#ation lmpact Fees and Recourse Recavery Fees may appiy ta the construetion af new buildings, change af
use in existing buildings, or expansion of existing buildings, as specified in Pasco Gounty C}t-dinance number 89-07 and
90-07, as amended. The undersigned alsa understands, that such fees, as may be due, wi!! be identified at the time of
permitting. It is further undersfiood that Transportation Impact Fees and Resource Recavery F'ees musfi be paid prior to
receiving a "certificate of occupancy" or�nai power release. If fihe project does not involve a certificate of occupancy or
fina( pawer release, the fees must be paid prior ta permit issuance. �urthermare, if Pasco County Wa#er/Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance with appiicable Pasco Caunky ardinances.
' CO�lS7RUC7lt?[� LtLN LAW (Ghapter 713, Florida Statutes, as atnended}, If valuation af work is$2,500.00 or mare, f
certify that I, the applicant, have been provided with a capy af rhe "F{orida Canstructian Lien Law—Homeowner's
, Protection Guide" prepared by the Florida Department af Agriculture and Cansumer Affairs. lf the applicant is someone
I ather than the"awner", I certify #hat I have obtained a capy of the above described document and promise in good faith to
Ideliver it ta the"owner" prior to commencement.
CONTRACTOR'Sl�VifNER'S AFFtDAVIT: i certify that all the information in this app(ication is accurate and that all work
will be done in compliance with alf applicable lavus regulating construction, zaning and (and deve(opment. Appiication is
hereUy made to abtain a permit to do work and installation as indicated. I ce�tify that no work or instaNation�has
commenced pric�r to issuance of a permit and that al! wark wiU be perfarmed to meet standards of al! laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. ! also
certify fhat I understand that the regulations of other government agencies may apply to the intended work, and that it is
, ��ny responsibi{ity to identify what actions i musfi take#o be in campiiance. Such agencies inc(ude but are not limited to:
' - Departrnent of Environmental Protection-Cypress 8ayheads, Wetfar�d Ar�as and Environmentally Sensitive
Lands, WaterlWasfiewater Treatment.
- Southwest Florida Water 1Vianagement District-We!!s, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks,
- US Enviranmental Pratection Agency-Asbestos abatement.
' � Federa!Aviation Autharity-Runways.
I ! understand that the fa!lowing restrictions apply to the use o€f!!:
- Use of fill is nat allawed in Flood Zone"V" unless expressly permitted.
- If the fill material is to be used in Flood Zone "A", it is understaod that a drainage plan addressing a
"compensating voiume" will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
- !f the fill material is ta be used in Flood Zone "A" in cannecfiian with a permitted building using stem waii
canstruction, I certify that fill uvi}I be used only to fi11 the area within the stem waEl.
- !f fill materia! is to Yae used in any area, ! certify that use of such fi11 will not adversely affect adjacent
properkies. If use of fill is found ta adversely affect adjacent properties, the owner may be cited far violating
the condi#ions of the building permit issued under the attached permit application, for lots less than one (1�
acre which are elevated by fil(, an engineered drainage plan is required.
If i am th�AGENT FOR TH� OWNEi2, t promise in good faith to inform the owner afi the permitting conditions set forth in
� this affidavit prior to cammencing construction. I understand thafi a separate permit may be required for electrical work,
plurnbing, signs, wells, pools, air conditioning, gas, ar ather installations nat specific�(Ey included in the application. A
permit issued shaU be construed ta be a license to pracee�i with the work �nd not as authority to violate, cancel, alter, ar
set aside �ny provisions af the technical codes, nor shall issuance of a permit prevent the Building Official from thereaftsr
;equiring a carrection of errors in plans, construction or violations of any cades. 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 permifi is suspended ar abandoned for a period of six(6} months after the time tfi�ie work is cammenced. An extension
may be requested, in writing, from the Suiiding Officiai for a period no# to exceed ninety (90} days and wiil demonstrate
_ justiFable cause.far the extensian. !f work ceases for ninety {90) cc�nsect�ti�.re uw�r�, tha;�h is 4c^�s�ered abar�oneti.
WARNING TO OWNER: YOUR FAILURE TO R�CORD ,A N0710E OF �O�IIMENCEMEN7' II!!AY F2E�UL,T !N YOUR
� PAYING T9N(CE FOR IMPROVEIUIENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONS4JLT
USJp�"i�Yt?l.��t_E!�?rl��t,r�t2 e S�! t�rr�a7*�c�r r�ccn�nc s�*.:�n.�,�.�.A....,....;� .�.,-,P.r.- .,C ,
.��� w+ r...+ v .c. .�.�vVr.:wo�v�3 i Viio a'c'v�.r tl d'l+�lli" �1Ji411iiIC1'V �i IC�I
GLORI(�11.11-.If:.4'��{i-:S 3�7 03)••. • — - -- ��:�%'��r`�
dWNER aR AGENT �/ CONTRACTOR ��`""
i Subscribed and s r�n, to or �rmed)?� fare me Ehis Subscribed and sworn to(r�(a tr ed}before me#his
�I i� by�..L)OI.Vi�_ f� Ft��Q �`�!��!",�bv _ali(;� P �"���Q
Who is9are e onally known to me r haslhave produced Wha is/ r�p rsonally known to"l�ie or has/have produced
as identifica#ian. —�-�- as identification.
--�������2r� Notary Public � '" otary Fublic
Olivia A.Lovett �' . —�-oi�a�`.�oa��
Commission No Commission Na,
o : u �c, e a o . ,
t�y Cammission Eacpires August 19,2016
Name of Nota , i ' Name of h1o#ary,typed,printed or s[amped COm.{�Q. ��$�$12�
• m. 0. �129
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✓ ' " Mi1��r �aa�i�_ ����r �" `
� 15911 LI.S. 3�1, Dade City, FL 33523 5tete Cert Roofer#CCCISx�C9Z
Ph;800/5�����9� Fax: 35�/567�4454 RCI Rag Rauf Gansultant #014a
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mll6arLearthllnk.net
ROOF PRQP L 6�e�z
DATE: O7l22/14 •
i'O; CROSSRQADS PENTEGOSTAL CHURCH OF ZEPNYRHILLS, INC. PH: 813/714-3822
ATTN: PASTQR ST�V�MCADAMS , homer33540("�a yahoo,com
P. Q, �OX 1836
ZEPHYRHILIS, FL 3354Q
JOB: CHURChi OF THE LIVING WORD
5220 14'�"5'fR��7
Z�PMYRMILLS, FL 336a2
RE-ROOF: S INGLES dNLY
(Scope af work does ot Inc►ude the flat roofs)
1. Tear off and haul away axisting one-layer shin�le ra fing system.
2. Provide and instal!�wq layers of n�w 15 Ib, saturate felt paper in accordance with tha Florida Building Cades.
Roof pitch is 3:12 and Florida Building Codes re uir that t f I r 3 I�felt be half-la ed resulting in 2
lay�rs of felt.
3. Provlde and install new algae-resistant fiberglass s in�les; Owner to chaose shingle cofor from manufacturer's
standard colors, Provide manufacturer's limited shi gle warranty. Piease see options on page 2.
4. Replaca all valley flashing and re-flash roof panatra ions,
�. Provlde and install new lead baots for the plumbing ents.
6, Provide and install naw pre-finished aluminum eav rip(white or��� �����l�t� �� �yi�}��"""'
8. Repair/f�eplacement of�ny rotten or dam�ged woo {deck, fascla, trim,framing, EtC,) will b�oomplQted on a
cost-plus basis above and beyond the eontraat pric . (�65.50 per a�xa�x»2"sheet of CDX plywood replaced,Isbor 8�materl�ls;
$27.75 per 112 sheet).
9 MIIBar Roofing, Inc. to provide a 5-year workmanship warranty to the original purchaser that covers shingle roaf
leaks;exclusions: storm damage, work done or da age by others,tree damage, and/or structural damag�to rppf
dack,
10, Qwn�r#A. provide access to roof for dellvery truck f r loading/unloading of roofing materials;acC�ess to electrlclty.
11, MilBar Roofing, Inc, to provide General L,i�bilfty an Worker's Cornpensation Insurance($2,000,000 limit)and re-
roofing permit. -
We propose to furn(sh materlal and lahor,complete in accordance (th abova epacliicatlans,for the Con�ract Sum af:
A�skatad in Options on Page 2.
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Payment to be made as follows: Due Upon Completlon, '
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I RQ PRO�PO L 8
DAT�. p7122114 •
TO: CRp�aSR�}ADS PES�TECQSTA�.CHURGN Q ZEPMYRHIL�,�,INC. �'H: 8131"114-3822
ATTN: PASTQR ST�VE MGADAMS hamer33540 c[�yaho4-c�m
� P.t3. BC�X 183�
�EPHYRHILLS, FL 33540
Jt��: CNURCH t�F THE LtV1NG 1NC�Rfl
52201 qT"STREET
' ZEPMYRHILLS, �'L�354a
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PTt N ���, . :� ,��,�,N�- - ,
� A "��as nnaster�'s - r 3- �tn tes. ........... .......... Direct purchase agreement in effect.
Provlde and Inetali new ATI..AS"GlessMaateP'30-year 3•tab 61gae sistant fib�rgla:
ProvEdeATtJ�S'8{l-y8erlitnitedshir��iew�rrsntY. R.ev Contract Sum $ 7,6��.67
5etect color from atandatd co(ar�.
� {{� e" 1 lon i s.. ..... C 1 .8
Provlde end install new IKO°Cambrldge" leminated dlmenslonai tgae-resl8tflnf fibergle�se ahingles.
Provide IKO'�LIm(ted Lif�tlme shingle warranty.
a^e(�ct cvlot ftom a#andetd Cotors.
I�ote: MIIBar Rr►ofing,Ina.tc�provide Dlrect Puranase A re�ment for Church s4 that the Church saves tha tax on
the materiais.
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AUTHORIZED SIGNATURE: �t�� 6� DAT�:Q7/2211A
UAVI��.aB1.A,PRES
A��EPTANCE QF Pft�?Pt3SR�: The abova prlces,a��aifcstRane nd cOAdltlots8 are 88t18f8Ctoty�r�d h�epby�CC9pt�d.Mi48s�R04fnig,Inc,!s
authorized to da tha work as specifled, Payment will 6e matle a9 putiined�bOv Invoiced amppnte not paW tn aacordan�e w�th ths paymtint terma ehait be eansidored
dellnquent,suah as attQrnay feee,cvurt eoeta,eta for Colleotlon of delinquesnt(nvaicae Including interaet. Owner ko cerry nre,tomatlo ena othar ne�eseery Ineurance. Our
wcrkgr�are fvtiy eaver�d b Worktq s 's�omD�r+at� �"ifS�rence. PRICE GO4�FO SO DAYS.
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2014160395
NOTICE OF COMMENCEMENT ' . �
MR(ti 4699 ` Repf.:1634864 Rec: 10.00
� D5: 0.00 IT: 0.00
PermitNo. ; 10/10/14 K. Garcia, Dpty Clerk
Tax Folio No Ii-26-21-0010-18100-0110
TH�UNDERSIGNED hereby gives notice that improvements will be ade to certain real property,and in accordance with Section
713.13 of the Florida Statutes,the following information is provided in hisP10TICE OF COMMENCEMEIYT. �
I
I.Description of praperty(legal descripiiox)C1TY OF ZEPHYRHILLS PB PG 54 LOTS 11,12&13 SOUTH 26 Ff OF LOT 14 BLOCK 181 OR
9089 PG 1309; 1\-Z(,' L l ; �
Address: 5220 IOTM STRFET,ZEPHYRHII.LS,FL 33542-5023 NpULR S.O�tdEIL,Ph D Pp5C0 CLERK & COMPTROLLER
2.General description of improvements:RE-ROOF � 100R gK 09•03am PGof�+1
3.Owner Information � 9@96 V4�
a)Name and address:CROSSROADS PENTECOSTAL CHUR H OF ZEPHYRHILLS INC, ;
P.O.BOX 1836,ZEPFiYRHILLS, 33539-1836
b)Name and address of fec simple title holder(if other than o ner):N/A �
c)lnterest in property: OWN�R i j
4,Contractor Information 1 j
a)Name and address: MILBAR ROOFING INC. 15911 U. .HWY 301 DADE CITY FL 33523 � •
b)1'elephoneNo.: 352/567-6047 Fax o.(Opt.) f
S.Surety Infonna[ion
a)Name and address: �
b)Amount of Bond: I
c)l'elephone No.. ' Fax No.(Opt.) �
6 Lender � �
a)�Jame and address: ' (
Pha e No.
7 fdentiry of person within the State of Florida designated�by owner on whom norices or other documents may be served: �
a)Name and address: � �
b)Telephone No.: � F No,(Opt.) �
r
S.In addition to himself,owner desi�nates the following person to rec ive a copy of the Lienor's Notice as provided in Section �
713 I 3(I)(b), Florida Stanites: '
a)Name and address: �
b)Telephone No.. � F Na.(Opt.)
9.Expiration date ofNotice of Com►nencement(the expiration date is ne year from the date of recording unless a j
different date is specified): i '
� ' C
WARNING TO OWNER:ANY PAYMENTS MADE BY THE O ER AFTER THE EXPiRAT10N OF THE NOTTCE OF (
COMMENCEMENT ARE CONSiDERED IMPROPER PAYMENT UNDER CHAPTER 713,PART I,SECTIOiV 713.13, I
FLORIDA S7'A"fUTES,AND CAN RESULT IN YOUR PAYING ICE FOR IMPROVEMENTS TO YOUR PROPERTY.A j
NOTICE UF COMMENCEVIENT MUST BE RECORDED AND P STED ON THE JOB SITE[3EFORE THE F1RST �
1NSPECTION. IF YOU INTEND'I'O 08TAIN FINANCiNG,CON ULT YOUR LENDER OR AN ATTORNEY BEFORE �
COMMENCING W K OR RECORDING YOUR NOT•10E OF MENC . �
Sl'ATE Ol�FLORIDA � �
o ,o. . �
COUNT\'OF ' �
Signature of wner or Owner's Authorized OtFiccdDirec�jor/ParinedManager �
;Sfe✓ � �14oG I�'►S l�1s o,— �
Print Name a TiUe j
�' e fo e� 'ng ins u e t was cknowl ed bef re m t}iis� ay of ,20�,by �
� � as � , ( pe of aut ority .g. ff r, st e, tto in fact)for �
; (name of parry o elialf of wh m instru s exec � �
Perso Ily Kn m OR Pr du d Ide tification�Notary Signa ure �
Type of Identification Prod ed Name(pri t) � °
� �
---AiVD;—
' Verification pursuant to Section 92.525,Florida Statutes.Under pen Itie of r'u , I t 1 have read the foregoing and t�at
tlie facts statcd in it arc tnic to the best of my knowledge and belie �
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STATE�F FLQRID4, CQUfVi'Y 4F PASC� ��,v��C��i��
THIS IS T�U CERTIFY THAT THE FOREGOING IS A �
� TRUE AND CORRECT COPY OF THE DOCUMENT pj�. e�A
ON FILE OR OF PUBLIC RECORD IN THIS OFFICE
WIT�S,�MY HAND AND I�L SEAL THIS - � � InGod"We7rust • '�`
Y�` QAY OF 2 Q _:�;•, �
P ULA S. O' EIL, CLERK&COMPTROLL R '� ' � . �
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BY � DEFUTY CLERK � �, 188�
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