HomeMy WebLinkAboutCity of Tamarac Resolution (151)11
June 7, 2002 - Temp Reso #9801 1
Revision No. 1 — June 7, 2002
CITY OF TAMARAC, FLORIDA
RESOLUTION NO. R-2002-151
A RESOLUTION OF THE CITY COMMISSION OF
THE CITY OF TAMARAC, FLORIDA,
APPROVING THE REGIONAL ROAD
CONCURRENCY AGREEMENT BETWEEN
BROWARD COUNTY AND THE CITY OF
TAMARAC AND J. RUSKIN HOLDINGS, INC. (A
FLORIDA CORPORATION) FOR ROAD
CONCURRENCY RELATING TO THE
"FAGERSTROM PLAT" LOCATED AT
UNIVERSITY DRIVE AND COMMERCIAL
BOULEVARD (CASE NO. 1-AP-02); PROVIDING
FOR CONFLICTS; PROVIDING FOR
SEVERABILITY; AND PROVIDING FOR AN
EFFECTIVE DATE.
WHEREAS, a Delegation Request to amend the restrictive note on the "Fagerstrom
Plat" (attached hereto as Exhibit 1 ") was approved by the City Commission of the City of
Tamarac on November 8, 2000; and
WHEREAS, the Board of County Commissioners of Broward County denied the
aforementioned Delegation Request on April 2, 2002 due to noncompliance with Broward
County regional transportation concurrency; and
WHEREAS, the Broward County Code of Ordinances requires that the regional
transportation network be adequate to serve the reasonably projected needs of proposed
developments; and
WHEREAS, the parties desire to enter into this Agreement to satisfy concurrency
requirements for impact areas relating to the "Fagerstrom Plat" as described in Exhibit "A"
June 7, 2002 - Temp Reso #9801 2
Revision No. 1 — June 7, 2002
(Regional Road Concurrency Agreement — County Project and the City of Tamarac and J.
Ruskin Holdings, Inc. [a Florida Corporation] for Regional Road Concurrency relating to the
"Fagerstrom Plat"); and
WHEREAS, the Director of Community Development recommends approval; and
WHEREAS, the City Commission of the City of Tamarac, Florida deems it to be in
the best interests of the citizens and residents of the City of Tamarac to approve the
Regional Road Concurrency Agreement between Broward County and the City of Tamarac
and J. Ruskin Holdings, Inc. (a Florida Corporation) for Road Concurrency relating to the
"Fagerstrom Plat" located at University Drive and Commercial Boulevard.
NOW, THEREFORE, BE IT RESOLVED BY THE CITY COMMISSION OF THE
CITY OF TAMARAC, FLORIDA:
SECTION 1: The foregoing "WHEREAS" clauses are hereby ratified and
confirmed as being true and correct and are hereby made a specific part of this Resolution.
SECTION 2: That upon recommendation of the Director of Community
Development and the City Manager, the Regional Road Concurrency Agreement between
Broward County and the City of Tamarac and J. Ruskin Holdings, Inc. (a Florida
Corporation) for Regional Road Concurrency relating to the "Fagerstrom Plat" (attached
hereto as Exhibit "A"), is HEREBY APPROVED.
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June 7, 2002 - Temp Reso #9801 3
Revision No. 1 — June 7, 2002
SECTION 3: That the appropriate City Officials are hereby authorized and
instructed to execute said Regional Road Concurrency Agreement.
SECTION 4: That the City Clerk is hereby authorized to record said
document in the Public Records of Broward County, Florida.
SECTION 5: All resolutions or parts of resolutions in conflict herewith are
hereby repealed to the extent of such conflict.
SECTION 6: If any clause, section, other part or application of this Resolution
is held by any court of competent jurisdiction to be unconstitutional or invalid, in part or
application, it shall not affect the validity of the remaining portions or applications of this
Resolution.
SECTION 7:
passage and adoption.
June 7, 2002 - Temp Reso #9801 4
Revision No. I — June 7, 2002
This Resolution shall become effective immediately upon its
PASSED, ADOPTED AND APPROVED this 12th day of June, 2002.
ATTEST:
MARION SW NSON, CMC
CITY CLERK
I HEREBY CERTIFY that
have approved this
RESO6UTION as to form.
MITCHELt-S. KW'
CITY ATTOR EY
JOE SCHREIBER
MAYOR
RECORD OF COMMISSION VOTE:
MAYOR SCHREIBER Ave
DIST 1: V/M. PORTNER Aye
DIST 2: COMM. MISHKIN Aye
DIST 3: COMM. SULTANOF Ave
DIST 4: COMM. ROBERTS Ay.
F]
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EXHIBIT lff TEMP RESO #9801
November 3, 2000 - Temp. Reso. #9173
Revision No. 1 -- November 1, 2000
CITY OF TAMARAC, FLORIDA
RESOLUTION NO, R-2000- 3Qo
A RESOLUTION OF THE CITY COMMISSION
OF THE CITY OF TAMARAC, FLORIDA, TO
APPROVE A DELEGATION REQUEST TO
AMEND THE RESTRICTIVE NOTE ON THE
FAGERSTROM PLAT' FROM 3,960 SQUARE
FEET OF COMMERCIAL USE (NO
RESTAURANTS) TO 12,500 SQUARE FEET
OF COMMERCIAL USE (NO RESTAURANTS)
AND TO REMOVE THE DE MINIMIS NOTE,
SPECIFICALLY TRACT "A' OF THE
"FAGERSTROM PLAT" ACCORDING TO THE
PLAT THEREOF AS RECORDED IN PLAT
BOOK 164, PAGE 46 OF THE PUBLIC
RECORDS OF BROWARD COUNTY,
FLORIDA; LOCATED AT THE NORTH SIDE
OF COMMERCIAL BOULEVARD, WEST OF
UNIVERSITY DRIVE; CASE NO. 8-P-00;
PROVIDING FOR CONFLICTS; PROVIDING
FOR SEVERABILITY; AND PROVIDING FOR
AN EFFECTIVE DATE.
WHEREAS, the City Commission has examined the application and staff
recommendation dated November 8, 2000; and
WHEREAS, the City Commission has determined that the application i6 in compliance
with all elements of the Comprehensive Plan for the development that Is thesubject of the
application; and
WHEREAS, the property owner desires to amend the restrictive note on the plat from
3,960 square feet of commercial use (no restaurants) to 12,500 square feet of commercial use
(no restaurants) and to remove the de minimis note, specifically Tract "A" of the "Fagerstrom
Plat" according to the Plat thereof as recorded in Plat Book 164, Page 46 of the Public Records
of Broward County, Florida; located at the north side of Commercial Boulevard, west of
University Drive; Case No. 8-P-00; and
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November 3, 2000 - Temp. Reso. #9173 2
Revision No. 1 — November 1, 2000
WHEREAS, the Director of Community Development recommends approval; and
WHEREAS, the City Commission of the City of Tamarac, Florida deems it to be In the
best interests of the citizens and residents of the City of Tamarac to approve this Delegation
Request.
NOW, THEREFORE, BE IT RESOLVED BYTHE CITY COMMISSION OF THE CITY OF
TAMARAC, FLORIDA:
SECTION 1: The foregoing "WHEREAS" clauses are hereby ratified and
confirmed as being true and correct and are hereby made a specific part of this Resolution.
SECTION 2_ That the City Commission hereby approves the Delegation
Request to amend the restrictive note on the plat from 3,960 square feet of commercial use
(no restaurants) to 12,500 square feet of commercial use (no restaurants) and to remove the
de minimis note, specifically Tract "A" of the "Fagerstrom Plat" according to the Plat thereof
as recorded in Plat Book 164, Page 46 of the Public Records of Broward County, Florida;
located at the north side of Commercial Boulevard, west of University Drive; Case No. 8-P-
SECTION 3: All Resolutions or parts of Resolutions in conflict herewith are
hereby repealed to the extent of such conflict.
SECTION 4; If any clause, section, other part or application of this Resolution is
held by any court of competent jurisdiction to be unconstitutional or invalid, in part or application,
it shall not affect the validity of the remaining portions or applications of this Resolution.
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SECTION 5:
passage and adoption.
November 3, 2000 -Temp. Reso. #9173 3
Revision No. 1 — November 1, 2000
This Resolution shall become effective immediately upon its
PASSED, ADOPTED AND APPROVED this
ATTEST:
12
s{�¢,A WOPS-$�W NSON, CMC
C,} 11C�ERK
QtTIFY that
ha v_ y..app Q t
n IhtA to rm. ,
MITGNELL S. K
CITY ATTOW
comm dev\u:\\pats\userdata\wpdata\res19173reso
1
Ft4_ day of)014-*C4W, 2000.
JOE SCHREIBER
MAYOR
RECORD OF COMMISSION VOTE
MAYOR SCHREIBER
DIST 1: COMM. POIRTNER
DIST x COMM. MISHKIN
/ Y
DIST 3: COMM. SULTANOF
DIST 4: VIM 11108101ITS
FAGERSTROM PLAT
CASE NO, &P-00 w TEMP RESO #.9173
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November 8, 2000
City of Tamarac
J. C,hzjj�= KOV 7525 RW Seth Ave, Ta-mrv. Florida 33321-2401
0 Teiephww (954) 724-1292
Delegation Request Coimo* DoWomwi Focairmlo! 724-2453
DESIGNATION OF AGENT
FOR QUASI-JUDICIAL PROCEEDINGS
DATE:
CASE NO.. _9_?_v0 ..
IN THE MATTER OF:
ANY PERSON APPEARING ON YOUR BEHALF, IN YOUR ABSENCE, MUST BE
DESIGNATED AS YOUR AGENT ON THIS FORM OR SUCH PERSON WILL NOT BE
ENTITLED TO SPEAK AT THE QUASI-JUCIDIAL HEARING AND THE MATTER
MAY BE DETERMINED WITHOUT THE BENEFIT OF THEIR TESTIMONY.
1. - �••.,�� �r� 2r I c ., WILL ATTEND THE QUASI-JUDICIAL
(insert name of Agent)
HEARING TO BE HELD ON IN MY ABSENCE. IN ADDITION,
?-L. cE i_,e..»,��e,a rt� . ► u L HAS MY PERMISSION TO ACT AS MY AGENT IN
ALL MATTERS RELATING TO ANY PROCEEDINGS RELATED TO
FA 4,ese..s r1r^- c�.S��7E�r'x.»m �cr.fc. RALJo., w. nf= VA: 0.44�R.a Ory I)O.,u
(Address of subject property)
THIS FORM MUST BE RETURNED PRIOR TO THE QUASI-JUDICIAL HEARING.
SIGNATURE OF OWNER: NAME/ADDRESS AND PHONE NO.
OF DESIGNATED AGENT:
(Print Name of Owner) Print Name of Designated Agent)
S 8-I .Un,4 r ii A D
v^v2 is r-L . s 3 S
Phone: 57z, 7-7-7 Fax: 6-2z 1 -Y 7
STATE OF FLORIDA: o
COUNTY OF BROWARD: c 71
The foregoing Instrument w s Zacknowl god -before me this aay
by owner of property, whorls 3<
pers'onally known to-m"b or has roduced identification ( nor -
(type of identificatio
who -(did/did not) take an oath. o m
N Public State of Florida
My Commission Expires:
I. JANE STORMS �Oc n eJ-rrn,5
. MY COMMISSION ! CC 79M -
EXPIRES: DeambM242002 (Type or print name of Notary)
Return recorded document to:
Development Management Division
115 S. Andrews Avenue, A240
Fort Lauderdale, FL 33301
Document prepared by:
PULICE LAND SURVEYORS, INC.
5381 NOB HILL ROAD
SUNRISE, FL 33351
REGIONAL ROAD CONCURRENCY AGREEMENT -
COUNTY PROJECT
This is an Agreement, made and entered into by and between: BROWARD
COUNTY, a political subdivision of the state of Florida, hereinafter referred to as
"COUNTY,"
AND
J. RUSKIN HOLDINGS, INC. A FLORIDA CORPORATIONitS successors and assigns,
hereinafter referred to as DEVELOPER,
[AND IF THE PROPERTY IS LOCATED WITHIN A MUNICIPALITY]
The City of TAMARAC , a municipal corporation, created and
existing under the laws of the State of Florida, its successors and assigns, hereinafter
referred to as "CITY."
WHEREAS, Chapter 5, Article IX, Broward County Code of Ordinances, requires
that the regional transportation network be adequate to serve the reasonably projected
needs of proposed developments; and
WHEREAS, Chapter 5, Article IX, Broward County Code of Ordinances, more
specifically requires that an application for a development permit satisfy concurrency
requirements for impact areas; and
WHEREAS, DEVELOPER has applied for approval of or an amendment to the
FAGERSTROM Plat, hereinafter referred to as "PLAT," more particularly
described in Exhibit "A" attached hereto and made a part hereof; and
CAF#369
01/01/02
WHEREAS, on FEBRUARY 15 , 20 02 , the Broward County Development
Management Division issued a Notification of Failure to Satisfy Broward County
Concurrency Standards for the regional transportation network, finding that the application
for approval of or amendment to the PLAT'does not satisfy the impact area concurrency
standards for the regional road network as stated in Section 5-182 of the Broward County
Land Development Code ("CODE"); and
WHEREAS, the COUNTY has undertaken a countywide project to install video
detection equipment at signalized intersections, hereinafter referred to as "Project"; and
WHEREAS, DEVELOPER has agreed to pay to COUNTY the sum of $25,000 which
is the cost of installing video detection equipment, as described in Exhibit "B" attached
hereto, at the intersection of UNIVERSITY DRIVE & MCNAB ROAD ; and
WHEREAS, the Broward County Development Management Division has approved
this remedial measure and finds that its concurrency requirements forthe PLAT will be met
with the execution of, and compliance with, the terms of this Agreement by DEVELOPER;
NOW, THEREFORE,
IN CONSIDERATION of the mutual terms, conditions, promises, covenants, and
payments hereinafter set forth, COUNTY and DEVELOPER agree as follows:
The above recitals are true and correct and are hereby incorporated herein.
2. CONSTRUCTION OF IMPROVEMENTS.
(a) DEVELOPER agrees to pay $25,000 which represents COUNTY's cost of
the IMPROVEMENT(S) described in Exhibit "B," hereinafter referred to as
"the Improvements." DEVELOPER agrees that payment must be made
either prior to recordation of the plat or the agreement amending the note on
the face of the plat.
(b) COUNTY and DEVELOPER agree that no security is required for the
IMPROVEMENT(S), as the payment will be made prior to recordation of the
plat or the agreement amending the note on the face of the plat.
(c) In the event that the amount of money or any portion thereof the
DEVELOPER has agreed to pay pursuant hereto becomes due and payable
as provided herein and continues unpaid for thirty (30) days or more
thereafter, the entire unpaid balance of such amount, plus costs and interest
accrued from the due date at the rate of twelve (12) per cent per annum,
shall become immediately due and payable.
CAF#369
01 /01 /02 2
(d) Developer agrees that this agreement shall be recorded in the Official
Records of Broward County, Florida, against the property described in
Exhibit "A" to put subsequent purchasers, grantees, heirs, successors and
assigns of any interest in such property on notice of the obligations set forth
herein, which shall run with the property until fully paid and performed.
However, the amount(s) set forth above shall not constitute a lien on the
property unless and until the provisions below are activated by the recording
of a "Notice of Lien."
3. CONCURRENCY COMPLIANCE. COUNTY finds that by executing and complying
with the terms of this Agreement, DEVELOPER has satisfied the adequacy of the
Regional Roadway Network requirement of the Broward County Land Development
Code for the PLAT as approved by the COUNTY.
4. If the property is within a municipality, CITY agrees not to issue a certificate of
occupancy for any development within the PLAT until CITY receives confirmation
from COUNTY that the payment required pursuant to Section 2(a) has been
received by COUNTY.
5. NOTICE. Whenever any of the parties desire to give notice to the other, such
notice must be in writing, sent by U.S. Mail, postage prepaid, addressed to the party
for whom it is intended at the place last specified; the place for giving of notice shall
remain such until it is changed by written notice in compliance with the provisions
of this paragraph. For the present, the parties designate the following as the
respective places for giving notice_
For the COUNTY:
Director, Development Management Division of Broward County
115 South Andrews Avenue, Room A240
Fort Lauderdale, FL 33301
Director of the Broward County Engineering Division
115 South Andrews Avenue, Room 321
Fort Lauderdale, FL 33301
CAF#369
01 /01 /02 3
For the DEVELOPER:
J. RUSKIN HOLDINGS, INC.
JOSHUA RUSKIN
5383 NOB HILL ROAD, SUNRISE, FL 33351
For the CITY:
CITY MANAGER
CITY OF TAMARA -
7525 NW 88 AVENUE
TAMARAC, FL 33321
WITH A COPY TO THE CITY ATTORNEY AT THE SAME ADDRESS.
6. RECORDATION. This Agreement shall be recorded in the Public Records of
Broward County Florida, at the DEVELOPER'S expense. The benefits and
obligations contained in this Agreement shall inure to grantees, successors, heirs,
and assigns who have an interest in the PLAT.
7, VENUE: CHOICE OF LAW. Any controversies or legal issues arising out of this
Agreement and any action involving the enforcement or interpretation of any rights
hereunder shall be submitted to the jurisdiction of the State Courts of the
Seventeenth Judicial Circuit of Broward County, Florida, the venue sitis, and shall
be governed by the laws of the State of Florida.
8. CHANGES TO FORM AGREEMENT. DEVELOPER represents and warrants that
there have been no amendments or revisions whatsoever to the form Agreement
without the prior written consent of the County Attorney's Office. Any unapproved
changes shall be deemed a default of this Agreement and of no legal effect.
9. CAPTIONS AND PARAGRAPH HEADINGS. Captions and paragraph headings
contained in this Agreement are for convenience and reference only and in no way
define, describe, extend or limit the scope or intent of this Agreement, nor the intent
of any provisions hereof.
10. NO WAIVER. No waiver of any provision of this Agreement shall be effective
unless it is in writing, signed by the party against whom it is asserted, and any such
written waiver shall only be applicable to the specific instance to which it relates and
shall not be deemed to be a continuing or future waiver.
11. EXHIBITS. All Exhibits attached hereto contain additional terms of this Agreement
and are incorporated herein by reference. Typewritten or handwritten provisions
CAF#369
01 /01 /02 4
inserted in this Agreement or attached hereto shall control all printed provisions in
conflict therewith.
12. FURTHERASSURANCES. The parties hereby agree to execute, acknowledge and
deliver and cause to be done, executed, acknowledged and delivered all further
assurances and to perform such acts as shall reasonably be requested of them in
order to carry out this Agreement.
13. ASSIGNMENT AND ASSUMPTION. DEVELOPER may assign all or any portion
of its obligations pursuant to this Agreement to a grantee of the fee title to all or any
portion of the property described in Exhibit "A." DEVELOPER agrees that any
assignment shall contain a provision which clearly states that such assignment is
subject to the obligations of this Agreement.
14. AMENDMENTS. No modification, amendment, or alteration in the terms or
conditions contained herein shall be effective unless contained in a written
document prepared with the same or similar formality as this Agreement and
executed by the parties to this Agreement.
[THE REMAINDER OF THIS PAGE IS INTENTIONALLY LEFT BLANK]
CAF#369 5
01/01/02
IN WITNESS WHEREOF, the parties hereto have made and executed this Agree-
ment on the respective dates under each signature: BROWARD COUNTY through its
BOARD OF COUNTY COMMISSIONERS, signing by and through its Chair or Vice Chair,
authorized to execute same by Board action on the day of
signing 20 ,CITY OF b Y and
through its Mayor and City Manager, duly authorized to execute same, and DEVELOPER,
signing by and through its duly authorized to execute same.
COUNTY
ATTEST:
County Administrator and
Ex-Officio Clerk of the
Board of County Commissioners
of Broward County, Florida
CAF#369 6
01 /01 /02
BROWARD COUNTY, through its
BOARD OF COUNTY COMMISSIONERS
day of
,20
Approved as to form by
Office of County Attorney
Broward County, Florida
Governmental Center, Suite 423
115 South Andrews Avenue
Fort Lauderdale, Florida 33301
Telephone: (954) 357-7600
Telecopier: (954) 357-6968
M
Chair
Assistant County Attorney
DEVELOPER -INDIVIDUAL
Witnesses:
(Signature)
Print name:
(Signature)
Print name:
ACKNOWLEDGMENT - INDIVIDUAL
STATE OF )
) SS.
COUNTY OF )
Name of Developer (Individual)
(Signature)
Print name: —
Print address:
day of
, 20
The foregoing instrument was acknowledged before me this who
edasy of
, 20 , by
[ ]personally known to me, or
[ ]produced identification. Type of identification produced
NOTARY PUBLIC:
(Seal)
Print name:
My commission expires:
CAF#369 7
01 /01 /02
DEVELOPER-CORPORATION/PARTNERSHIP
Witnesses (if partnership):
J. RUSKIN HOLDINGS, INC.
:,� Name of Developer cor oration/partnership)
y
ignature) (Signature)
Y � Joshua Ruskin
Print name:C �f _.G;-Print name:
Title: President
signature)
rint name'.
ATTEST (if corporation):
(Secretary Signature)
Print Name of Secretary:
Address: 5383 Nob H111 Road
Sunrise, FL 33351
v2� day of 20 02.
(CORPORATE SEAL)
ACKNOWLEDGMENT - CORPORATION/PARTNERSHIP
STATE OF
SS.
COUNTY OF,6rW4
The foregoing instrument was acknowledged before me giis A3 day of
20 0 by 1OSA 00 �,/ss —, as f"� Z` of
I" , a r `d earporati" partnership, on
behalf of the corporation/ artnership. He or she is:
personally known to me, or
]produced identification. Type of identification produced -
(Seal)
My commission expires:
�: MY �vm�415SIC� 4 CC 790208
�XWIRES:December20,2002
swdad TWO Notary Public llnderwMera
u
CAF#369
01 /01 /02
1.1
NOTARY PUBLIC:
Print me: ^- /
. 7Gii�1 e J-7`�rj," S
0
CITY
(If Property is located within a City)
WITNESSES:
ATTEST:
O
City Clerk
CAF#369
01101 /02
CITY of , jr7 d L'.yl C-. � %' l D A
By
l
Mayor -Commissioner
day of
By
GIs` ity Manager
Pfl
U day of 20
EXHIBIT "A"
LEGAL DESCRIPTION
TRACT "A" OF FAGERSTROM PLAT ACCORDING TO THE E LIAT RECORDS OF
THEREOF AS
RECORDED IN P FBOOK LOR FLORIDA.
PAGE 46 O
BROWARD COUNTY,
CAF#369 10
01 /01 /02
EXHIBIT "B"
IMPROVEMENTS
Prior to plat or note amendment recordation, pay $25,000 to Broward County
for the installation of video detectors for all approaches at the intersection
of
Video detectors shall utilize ITERIS "VANTAGE -PLUS" video detector
assemblies, ECONOLITE "SOLO PRO" video detector assemblies, or
approved equivalent. Depending on the intersection conditions, the system
shall consist of three to six cameras with no more than six (6) lanes per
camera, a video detection processor (VDP) capable of processing six
wireless or wired video sources and a pointing device. The VDP shall be
housed in a durable metal enclosure suitable for shelf mounting, not to
exceed 0.58 feet height, 1.46 feet width and 0.87 feet depth. The VDP shall
be modular in construction with plug in field replaceable units (FRU's) to
minimize trouble shooting and repair time. The initial detection zones shall
be dimensioned to comply with dimensions as per the plans.
CAF#369 11
01 /01 /02
No Text
ARTICLES OF INCORPORATION
in compliance with Chapter 607 and/or Chapter 621, F.S. (Profit)
ARTICLE I NAME
The name of the corporation shall be:
J . �Ao kai r\g5
ARTICLE If PRINCIPAL OFFICE
The principal place of business/mailing address is:
loos(-o NVj 5 3 Sir o0
Sld r1 t`15 e, F L 3 3 3 5 1 q`I'F9.0 Aft
ARTICLE 1U PURPOSE
The purpose for which the corporation is organized is:
ARTICLE IV SNARES
The number of shares of stock is: 1 0 O
ARTICLE V INITIAL OFFICERS/DIRECTORS (option
The name(s) and address(es): J ps}� f? US k ► r1
10-:40 CrLACLVOL l5tanA
Foil uxuderdalc, F[.33315
ARTICLE VI REGISTERED AGENT
The name and Florida street address of the registered agent is:
Dav +d Ta c %e r
toy 1 RW 125't4rVE
Sun c %Sc, Fc. 333-'1-3
ARTICLE VII INCORPORATOR
The name and address of the Incorporator is:
.� OShuo- R uski ►7
1 o-;L.o G-ua�� s land.
Fern-- l.�u��rcia�e. � F�. 33315
`Keying beers named as registered agent to accept service of process Jor the above stated corporation at the place designated in thrc
certificate i ant familiar with and accept the appointment as registered agent and agree to act in this capaciV
Signature/Registered-Agent Date
Signature/Incorporator Date