HomeMy WebLinkAbout15-15930 CITY OF ZEPHYRHILLS
5335-8TH STREET
�si3��so-oozo 159 0'
� - � B ILDING PERMIT
PERMIT INFORMATION ; LOCATION INFORMATION
Permit Number: 15930 Address: 5111 19TH 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: 11-26-21-0010-20100-0090
Improv. Cost: 7,073.00 OWNER INFORMATION
Date Issued: 1/21/2015 Name: LOPEZ ANDREW C
Total Fees: 75.00 Address: 5111 19TH ST
Amount Paid: 75.00 ZEPHYRHILLS FL 33542-2168
Date Paid: 1/21/2015 Phone: 813-312-7971
Work Desc: REROOF SHINGLE
CONTRACTOR S APPLICATION FEES
MILBAR ROOFING IN REROOF RESID NTIAL 75.00
I
In ect' ns Re uired
DRY IN ROOF INSP
TAPE JOINTS OOF INSP�
FINAL
REINSPECTION FEES: Reinspection fees will omply with Florida Statute 553.80 (2)(c)when extra inspection
trips are necessary due to any one of the fol owing reasons: a)wrong address b) condemned work resulting
from faulty construction c) repairs or corre ions not made when inspections called d)work not ready for
inspection when called e) permit not po � ed on job site� plans not at job site g)work not accessible.
NOTICE: In addition to the requirements of this p rmit, 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 m�anagement, 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 int�nd to obtain financing,consult with your lender or an attorney
before recordi g your notice of commencement."
Complete Plans, Specifications Must Accom any Application.All work shall.be performed in accordance with
City Codes and Or inances. NO OCCUPANCY BEFO C.O.
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 M NTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPE ION - 8 HOUR NOTICE REQUIRED
PROTE �T CARD FROM WEATHER
' �813-78�-0020 City of Zephyrhills Permi�Applicatian �aX-s�3-�so-oa��'�t
' Bui!'rling Depadment
, '
Date F2eceivc:�d Ph ne Contact for Permitting --
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er`s i�ame t...L� �2„ � 1 Owner Phone Number � 1 - 7��
Owner's Address Owner Phone Number
Fee Simpie Tiflehotder tVame Owner Phone Number � ��
Fee Simple TitleholderAddress �
JflB AODRESS � �' c1 i° �... z .J''� �. LQT# �
SJBDIVISION � PARCEL ID#
{OBTAtNEA FROM PROPERTY TAX NOTICE}
WORK PROPOSED � NEW GONSTR AQD/ALT Q SIGN Q MOVE � DEMOLISH
INSTALL REPAIR
PROPdSED USE � SFR COMM �� C}THEft E.-GL
TYPE OF CONS'i'RUCTION � BLOCK FF2AME � BTEEI Q C}THER
DESCRIPTION OF WORK � � (.? s'!'�� Y"�` 1�
� BUILDlNG SlZE C�___� 5Q FOOTA E _�'1� � HEIGHT [��
i���011utlllN�l"�B'��i�d�'2iiomi�veoae u ap^�m�aGO�N�ROO�nnim�oa�p�mm¢� �gg�a�VIN�B�011V,", � �� �
[�/ � BUILDING �� � 3 ��� VALUATION OF TOTAL CONSTRUCTION
0 ELECTRICAL $ � AMP SERVICE � PRO�RESS ENERGY O W.R.E.0
L� PLUMRING $
�^ �
[� MECHANICAL ($ � VALUATION OF MECHANICAL(NSTALLATION
�
� GAS � ROOFING SPECIALTY Q dTNER
FINISHED FLOOR�LEVATIONS F1.00D ZONE AREA �YES �NO
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BU{RDER I COMPANY 0 111\ lJc�L 6 l l�au�9CA �YI�_ —
SIGNATURE REGISTERED i I N FEECURft_NT Y 3J (
Address ��R11 t,1� �� �d2 �,.i �1 33�5a3 License# �C,.�., �3��v��,�
ELEGi'RlGIAt� COMPANY
SIGNATURE REGISTERED Y I N FEE CURRENT Y I N ,
Address License# �— �
PLUMSER COMPANY
. SIGNATURE ' REGISTERED Y/ N , FEE CURRENT Y I N
Address l.icense# � �
�nECHANICAL COMPANY
ihIATURE REGISTERED Y/ N FEE CURRENT Y/N
Address , L.icense# �— �
OTHER COMPAPIY
..�'iiuldH I�.JE'G i�EC7��T.EF:�D L'i ht FEE CUP.R�NT Y 1�
Address License# � �
�6 9I!g� i�g"'u..���N,."�"u�p@fl91���V � � I�I�ll&91I��88� �" V91�III��V6EVV�9�IG�WI�V@J9VBVV9
REStDENTIAL Attuch{2)Plot Plans;{2)sets of Building lans;(1)set of�neryy Forms
Minimum ten(10)working days after submittal date Required onsife,Consfrucfion Pians,Sanifary Faciiities&1 dumpster
COMMERCIAL Attach(3)sefs of Building Pians,{1}set of Energy Forms.
, - Minfmum ten(10}working days after subri�itta!date.,Required ansite,Construction Plans,Sanitary Facilities&1 dumpster
� All commercial requiraments must m'eet ci mpliance. �
SIGN PERMIT Attach(2)sets of Engineered Plans.
'"""`PROPERTY SURVEY required for a(1 EW cons#ruction.
'°"°�H��N�VI � � � �� �r VP�IMt09'' '' ' V9VI� ' 99�9!1VC91�V�IW�I�VV�91IV�1�99�69CVV800VV9VVV�VII�V�a�pVmi"•ui�,'�II�Np91'IN�lll�g
rections:
Fiii aut applicafion complefely � ,'
4wner&Contractar sign back of application,nntarized
If aver$2500,a Notice of Commencement is required. (A/C upgrades over$5000)
.� "" Agent(for the contractar)or Power of Attorney(for the owner)would be sameone with notarized letter from owner aufhorizing same �
OVER THE COUNTER PERMITTING (Fronf of Application Only)
Reroofs Sewers Service Upgrades A/C Fe�ces(PIoUSurvey/Footage}
Driveways-Rlot over Counter if on pui�lic roadways..need RQW
�
� NOTtCE OF DEED REST'RtCTlONS: The undersigned uncEerstands that this permit may be subject to"deed" restrictions"
which may be more restrictive than i:ounty regulatior�s. The undersigned assumes responsibility for compliance with any
applicabl�dead restrictions � �
URILtCENSED C4IVTRACTOR� AND CC7NTRAC OR RESPONSiB�LiTIES: (f the owner has hired a contractor ar
contractors fio undertake work, they may be required to be licensed in accardance with state and local regulations If the
contractar is not licensed as required by lau,r, both he owner and contractor may be cited fior a misdemeanor violation
under state law. If the awner or intended contracto are uncertain as to what licensing requirements may apply for the
intended work, #hey ara advised to cantact the Pasc� County Building inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a can�actar or contractors, he is advised fo have the con#ractor(s} sign
portions of the "contractor Block" of this applicatian or which they will be responsible. If you, as the owner sign as the
cantrac#or, that may be an indication that he is not �roperly licensed and is nat entitled to permitting priviieges in Pasco
County �
TRANSPORTATlON ![itlpACT/UTlLIT1ES tMPACT ND RESOt1RCE RECOVERY FEES: The undersigned understands
that Transpartation Impact Fees and Recourse Rec very Fees may appiy to the construction of new buildings, change of
use in existing buildings, ar expansion of existing b ildings, as specified in Pasca County Ordinance number 89-07 and
90-07, as amenc3ed. The undersigned also tanderst nds, #hat such fees, as may be due, will be identified at the tirr�e o€
permi#ting. It is further understaod that Transportati n Impact Fees and Resource Recovery Fees must be paid prior to
receiving a °certifcate of occupancy" or final power eEease. !f the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to �ermit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due, they must be paid prior ta permit issua`ce in accordance with applicable Pasco Caunty ordinances.
GO�STRUCTION L�IEN L,AV41(Chapter 713, Florida{Statutes,as amended}: If valuatipn of wark is$2,50d.04 a�more, 1
certify that I, the applicant, have been provided � ith a copy of fihe "Florida Construction Lien Law—Homeowner's
Pratectian Guide" prepared by the Fiorida Departm�nt of Agriculture and Consumer Affairs. If the applicant is someor�e
otl�er than the"owner", I certify that I have abtained a capy of the abave described document and pramise in good faith to
deliver it to the"owner" prior ta commencement.
COPlTRA,CTtJR'S/OWNER'S AFFIDAVIT: ( certify hat all #he infarmation in this applieation is accurate and that ail wark
will be done in compliance with all applicable laws egulating construction, zoning and land d�velopment. Application is
hereby made ta obtain a permit to c3a work and �nstallation as indica#ecl. 1 certify that no work ar installation�has
commenced prior ta issuance af a permit and that all work will be performed ta meet standards of all laws regulating
construcfiion, County and Gity codes, zoning regulations, and land development regulations in the jurisdiction. 1 also
certify that I understand that the regu(ations of othe� government agencies may appiy ta the intended work, and that it is
;�ny responsibility to identify what actions I must take o be in campliance. Such agencies include but are nat limited fio�
- C}epartment of Environmentai Protectia -Cypress Bayheads, Wetland Areas and Environmentally Sensitive
L,ands, Water/Wastewater Treatment.
- Southwest Florida Water Managem�nt District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps af Engineers-Seawalls, Daaks, lVavigable V1(aterways.
- Deparfiment of Health & Rehabilitative) ServiceslEnvironmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmenta! Pratectian Agency-Asbestos abatement.
Federal Aviation Au#hority-Runways.
1 understand that the fallawing restrictions apply to the use of fiil:
- Use of fil� is not allowed in Flood Zone"� " unless expressly permitted.
- If the fill material is to be used in Fl�od Zone "A°, it is understaod that a drainage plan addressing a
"compensating volume" will be subm�tt d at time of permitting which is prepare d by a pro fess iana( engin e e r
licensed by the Sta#e of Florida.
- If the fli materia! is to be usad in Flo d Zone "A'" in connection with a permit�ed building using sfiem wall
construction,.I certify that fill will be use only to fill the area within the stem wall.
- If fi!! material is to be used in any a ea, I certify that use of such fill will not adversely affect adjacent
praperties. If use of fi11 is found ta adv rsely affect adjacent properties, the owner may be cited for vioiating
the conditions of the building permit is ued under the attached permit application, for lots less� than one (1)
acre which are elevated by fill, an engin ered drainage plan is required. ,
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditians set forth in
this affidavit prior to commencing construction. 1 u derstand 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 roceed with the work and nat as authority to violate, cancel, alter, ar
set aside any provisians of the technical cades, nor shali 'tssuance of a permit prevent the Buiiding Official from thereafter
;equiring a correction of errors in plans, constructiaI or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is comrt'�enceti within six months of permit issuance, ar if work autharized by
the permit is suspended or abandoned for a period �f six(6) manths aft�r the time the work is comm�nced. An extension
may be requested, in writing, fram #he Building Otf cia! for a period not to exceed ninety {90) days and wil! demonstrate
just.ifiabie cause for the extensian. if wark ceases f r ninefy t901 cansec�.�ti�.�e�ay�, th�;ob is cc^�?��red abar,�on�d.
WARi�ING TO 01oltttVER: YOUR FAI�.URE TO R�CORD A �I01'!CE �F C0�11lt�€E�tC�MENT l�IAY RE�ULT 1R1 YOUR
PP�YING TINICE FOR IMPROVEMENTS TO YOU12�PROPERTY. IF YOU INTEND TO OBTAIN FINANCIfVG, C(JNSULT
W4�'H YO��I� !_��!!"���n►�A�!�'??�?o*t�Y 3�=^F���C�.".vV��G1Y3�"v�:iti�i tt:.� u� i.v�ctii���ivC:�i�iE�ifi.
FLORICIA JUF2A'I"(F.S '117 03}�
0�lVNER OR AG�NT G�.�`c'��_�� CONTRACTOR __�1����""'" _
Subscribed an�svf n ta(or ffirmed} efore me fhis Subscribed and swom ta(ar a�rmed}before me this
L'3 b Q _�Mb' f °�a_�Y �
Wlio i ona y nown to 7e or hasthava produced W is a - c�rfafip'K1TOwr�-a me ar haslhava produced
/ as identification. as identificatian.
Notary Public Notary Public
Commission No. ��{Y{�A,�}Y$� Commissio No. ��Vl�A.�.OVB�
Notary pubNc, o ry u ,State af Florida
, �.
Name of tVotary t , Name af Notary type ,pr n e s
Com.No. EE828129 m.No. EE828129
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15911 lJ.s. 301, Dade City, FL 33523 • State Cert Rnafer#CCC1329092
' �h: ���/562-2393 Fax: 352/567-4454 RCI Reg Rnof Cnnsuitant #0149 � ��
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(��OF P �P���� a e 1 of 2
DATE. 01/09l�15 � •��'0�• l
TO• LOPEZ,ANDREW . PH� 813I312-7971
5111 1.9T"STftEET devildoq51391 cr,�ahoo.com
ZEPHYRHILLS, FL 33542
JOB� SINGLE FAMILY RES(DENCE
5111 19T"STREET
- ZEPHYRHILLS, FL 33542
SHIN LE I��-ROOF
1 Tear off and haul away existing two-layer shing e roofing system.
2. Re-fasten the existing plywood roof deck in ac rdance with the Florida Bui�ding Codes.
3. Provide and install two layers of new 15 Ib. sat rated felt paper(ASTM D-226)secondary water barrier in
accordance with the Florida Building Codes ( oof slope is 3�12; on 3.12, Florida Bldg Code requires the
15 Ib or 30 Ib felt be lapped 19"resulting in two ayers of felt.)
4 Provide and install new algae-resistant fibergla s shingles; Owner to choose shingle color from manufacturers
standard colors. Provide manufacturer's limite shingle warranty Please see options on page 2.
5. Replace all valley flashing and re-flash roof penetrations.
��. '1�,�'` 1
6 Provide and install new I�ad boots for the plum ing vents. U1i������ ,�,� J�a��=��
Add kitchen vent on roof
7 Provide and install new pre-finished aluminum avedrip(white r brown)
Replace existing ridge vent with 30 I.f. of new p e-finishe a uminum ridge vent.
8 Repair/Replacement of any rotten or damaged ood (deck,fascia,trim,framing, etc ) will be completed on a cost-
plus basis above and beyond the contract price ($55.50 per 4'x8'x112"sheet CDX plywood replaced,labor&materials)
9. MilBar Roofing, Inc. to provide a 5-year workm nship warranty to the original purchaser ti�at covers shingle roof
leaks;exclusions. storm damage, work done or damage by others, tree damage. and/or structural damage to roof
deck.
10 Owner to. provide access to roof for delivery tr ck for loadinglunloading of roofing materials; access to electricity
11 MilBar Roofing, Inc.to provide General Liability and Worker's Compensation Insurance($2,000;000 limit)and re-
roofing permit. "
We proparse to furnish material and labor,complete in accordan�ce with above specificati�ns for the Contract Sum of' ^
As stated in Options on Page 2. -• ��
�r ,
Payment to be made as follows: Due Upon Completion I �''
=---------------- ---------------------------------
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15911 lJ.�. 301, oaa� c�ty, FL 335Z3 • 5tate Gert Roofer#CCCI329�92
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Ph:���/562-�393 Fax: 352/567-4454 RCI Reg Roof Cnnsultant #0149
r�il6arLearthlinit.net
ROOF P OPOSAL. a e z ot z
DATE: 01/09/15
TO• LOPEZ,ANDREW • PH: 813/312-7971
5111 19T"STREET devildoq51391(c�yahoo com
ZEPHYRHILLS, FL 33542
JOB� SINGLE FAMILY RESIDENCE
5111 19T"STREET
ZEPHYRHILLS, FL 33542
OPTtONS
1 ATLAS"GlassMaster" 30- ear 3-tab shin le ................................................................Contract Surr►$6,725.65
Provide and install new ATLAS"GlassMaster"30-year 3-ta algae resistant fiberglass shingles.
Provide ATLAS'30-year Ii4nited shingle warranty
Select color from standard colors.
C� IKO"Camhrid e"dimensional shin les......................................................9................ Contract Sum 7 072.13 �, �5
Provide and instail new 1K0"Cambridge" laminated dimen ional algae-resistant fiberglass shin les. � �;� J+�"
Provide IlCO's Limited Lifetime siiingle warranty l3��l�0��5 '
Select colorfrom standard colors. ��(�,Z,-�-h��LV��
;�� 14�,.�J
AUTNORIZEDSIGNATURE. �Ql�/C�/C, �6GQ D�1TE.01/09l15
DAVID R.ABLA, PRES
ACCEP7ANCE OF PROP�SAL.: The above prices,specific tions and conditions are satisfactory and hereby accepted.MilBar Roofmg,Inc.�s
au[horizad to do the work as specified. Payment witl be made as outlin above invr.iced amounts not paid in accordance with the paymenf terms shali be considered
delinquent,such as aitomey fees,court costs,etc.for collection of delinquesnl i voices including int2rest Owner;o car,ry fire,iornado and oiher necessary,nsurance. Our
workers aro fully covered by Workmen's Compenstioan Insurance. PRICE GO D FOR 30 DAYS.
SIGNATURE: i�^�--• ,�--,�^—,/ DATE._(i��7 — I�
PRINTED� �.,�J.�ti :..� G t..�'Z•
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' � 11111flfllillfllilfllilllfllNlll11111iflflllillllllllllllll �
i NOTICE OF COMMENCEMENT ; z015008502
I MRI# 9'1�t
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PermiC No. _
Taac Falio No I 1-26-21-0410-20I00-0090 " �
THE UNDERSIGNED hereby gives notice that impravements il!be made to certain rea!property,and in accordance with Section
� 713.13 of the Florida Statutes,the followina inforroation is pro ided in thisNOTiCE OF COMMENCEMENT.
' 1.Description of property(tegaf descriptlon)TOWN OF ZEPHYR !l.ls PB 1 PG 54 1075 9 14&11 BLOCK 201 OR 5766 PG t702
, 11-26-21-0010-201U -009b
� Address: 51 t 1 19TF'STREET,ZEPIiYRH1LLS,FL 335 2 •
2.General description of improvements:ROOFING� • �
3.Owner information
a)IJame and address:ANDREW C LOPEZ;5111 19T" TREET,ZEPFtYRHilLS,Fi.33542
b)Name and address of fee simple title ho7der(if othe than owner):NiA Rcpt:1554586 Rec: 10.00
c}Interestinproperty: OWNER � DS: 0.00 IT: 0.0@
�Q.Cantractor lnformation 01I20/2015 E. M. , Dp�,y Cierk
' ��� a)Name and address: MILSAR ROOFING 1NC,. 15911 U.S.HWY 301 DADE CITY FL 33523
b)TelephoneNo.: 352/56?-6047 � " Fax No.(Opt.)
• S.Surety Information . �
a)Name and address: I •
b)Amount of Bond: ;
c)Telephone Na.: R Fax No.(Opt.)
6.Lender 4
a}Name and address: ' '
� Phone Na.
�.Identity of person within the State of Florida designated by owner npon whom notices or other dacuments may be served,-
a)Name and address:
b}Telaphone Na.: Fax No.(Op[.� ,
$.ln addition to himself,awner designates the foilowing person to receive a copy of the Lienor's Natice as provided in Section
713,t 3(1)(b},Fiorida Statutes: �
a)Name and address: 1 '
b)Telephone No.: � ' Fax No.(4pt.)
9.Bxpzration date af Notice of Cammencement{the expiratio date is one year from the date of recording unfess a'
different date is specified}: � �
WARNING TO OWNER:ANY PAYMEN"i'S M�ADE SY T E C7Wi�fER AFTER 7'HE EXPlRAT10N OF THE NOTICE OF
Ct3MMENCEMENT•ATtE CONSIDBRED IMP120PER PA MENTS UNDER CiiAPTEtt 713,PAitT 1,SECTIC}N'713.1 S,
� FLORIDA STATUTES,AND CAN RESULT IN YOUR P YING TWICE FOR IMPR(?VEMENTS TO YOUR PROFBRTY.A
NOTtCE OF COMMENCEM�NT MUS"['BE RECORDED ND POSTED ON THE JOB SITE BEFORE THE FiRST
INSPECTION.tF YOU INTEND TO OBTAIN FiNANCM ,CONSULT YOUR LENDER OR AN ATTORN£Y BEFORE
COMMENCING WORK OR RECORDING YOUR NOT1C OF CQMMENCEMENT. "
1
STAT�dF Fl.ORtDA /,(� t%� rr'
COUN7'Y OF ��1►C� " � O. t/" � �- •
7;l� � $ig ature of Owner or Otivner's Autharized t'�fticerlDirectorlPnrineclManager
. „11�'1rJr^ct W t.. �..Dx''G�.��QWYI�?'"
' , Pri t Name a»d Title ,
The fotegoing insh}�ment was acknowte ed be�ore e thi ��day of ,20,�,by
!U �C.. a's �6� (type of a ority,e.g:o cer,trustee,attorney in fact)far
� �y��� � (name of p�tty on beh f of w}iom instrument was axecuted)
Personaity Knawn ^OR Pradaced ldentification� Not ry Signature��'-�----_�1.�.�g�.11parl--,�-�.,:
Type of ldentification Produced D/t�,�w.. + .�e.��,�_ ame(print)
--AND �'`;���:;'�t� MOttYS,WAt!„At'�
Verifieation pvrsuant to Section 92.525,Florida Statates. ndsr penalties of� lec��l�i��t�d tfie foregoing and that �
the facts stated in it are true to the best of my knowledg a eiief. �'r����M���17 � �
I
. �� �
• 1 ignatare of Naturat Person Signing(ifr 1 c tl ! Above '
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F4RtiS/FtOC.wrd2D07 � '
! � PpULA 5.0'NEIL,Ph.4.PRSCO CLERK & COMP7RO�LEh
� � 01I2012015 11:03am 1 af 1
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STATE OF FLORIDA, COUfdTY�F P�SC� �s,� ° � ` Q ���
THIS IS T0�CERTIFY THAT THE FOREGOING.IS A ��° �
TRUE AND CORRECT COPY OF THE DOCUMENT - •
ON FILE OR OF Pl�1BLIC RECORD IN THIS OFFICE � . ' - �` °
WITNESS MY'HAND AND OFFICIAL SEAL THIS J�t�'�=��ve rrusr � �
�DAY OF�C,� 2� � ' ���� ,.,� s
*
PAULA 5 O'NEIL, CLERK TROLL R � ` °
1887� a�
BY TY CLERK �'�°��,������e��+