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HomeMy WebLinkAbout118 W 19 St 12-2187 HVACS �C A SII Y E AUG 13'2012 �' 1} i BY: CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: tot ' i a Documented Construction Value: $ t4,$00 • b Job Address: 118 1-D- )9 `'4_ . Historic District: Yes ❑ No 0, Parcel ID: `� 1�} - 30 - S� o CA00 - O�?e0 Zoning: Description of Work: W M" Plan Review Contact Person: Ji fY) ., Title: 5geTSa- n Phone: L-) 02 - W41 -2X0 Fax: 407' QS` 9q 3V1 E-mail: &:fv i�� L jeg%f co CQfn Property Owner Information Name A)_W rte an Yb.Sm Phone: 776 - 2-1 3- "09 Street: )1'2� LD . 1QIV'h S)I- . Resident of property? : 642rrl- City, State Zip:.t�� Contractor Information Name Phone: 240)- 8zll - 3�31a Street: 14-111 S. ©ro,,nop $1®nncm-Tyo„l Fax: 140)-yaS- 9324 City, State Zip: ©r \01r&6 , EL. S;)2o5 State License No.: CMQ a4931a Name: Street: City, St, Zip: Bonding Company: Address: Building Permit ❑ Square rootage: No. of Dwelling Units: Electrical ❑ New Service — No. of AMPS: Architect/Engineer Information Phone: Fax: E-mail: Mortgage Lender: Address: PERMIT INFORMATION Construction Type: Flood Zone: No. of Stories: Plumbing ❑ New Construction - No. of Fixtures: Mechanical 0 (Duct layout required for new systems) Fire Sprinkler/Alarm 11 No. of heads: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY 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 WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. 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 districts, state agencies, or federal agencies. Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law. FS 713. The City ol' Sanford requires payment of a plan review fee. A copy of the executed contract is required in order to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the plan review fee based on past permit activity levels. Should calculated charges exceed the documented construction value when the executed contract is submit4dcj'edr,,.,,v.,'l l be applied to your ermit fees when the permit is released. tii_i o )�cncrlAgent ate eitracton'Agent Date Ill it 0%\ ner/Ase it's Name ` i �to-Ak tiig is e of Notary -state of * on( a Date '00MPersonally te of Plorido ' ms EE 176411 oa Poi16 Owner/Agentis Personally Known to Me or Produced ID Type of ID APPROVALS: "ZONING: ENGINEERING: COMMENTS: Rev 11.08 UTILITIES: FIRE: MRISTY N. NEW S®ME Y COMMISSION $ EE113119 , EXPIRES ju 17, 201E 7.;t 3640753-.—.._.. .con Contractor/Agent is Personally Known to Me or Produced ID Type of lD WASTE WATER: BUILDING: r�� 141 VS. ORANGE BLOSSOM TRAIL i --' 407 841-3310 ORLANDO, FLORIDA 32805 7 Z Westbrook FAX (407) 425-9934 YOUR TOTAL SERVICE SOLUTION www.westbrookfl.com r4 PLUMBING AIRCONDmONING A Glu State Lic. CMC1249312 L eLi crnluL COMFORT AGREEMENT , Proposal Submitted T . PREMIUM DELUXE STANDARD SEER/ HSPF/COP ARI RATINGS Date: ' Street � (Billing Address) Street: (Job Location - if iffere ) g IAI 5k; Indoor Unit Model Add $295.00 City, S e, Zi ode ❑ Variable ❑ Non -variable ❑ Variable ❑ Non -variable ❑ Variable on -variable City, State, Zip Code O �I Add $295.00 Phone J(OZ Q �p Add $795.00 Add $795.00 Add $795.00 Work: Cell: Fax: TOTAL COMFORT SYSTEM NEW EQUIPMENT MANUFACTURER PREMIUM DELUXE STANDARD SEER/ HSPF/COP ARI RATINGS year Comfort Club Agreement ❑ S stem ❑ Air Handler ❑ Condenser ❑ Packa e ❑ Heat Pum ❑ St -Cool ❑ Heat Pump ❑ St -Cool eat Pum ❑ St -Cool Outdoor Unit Model Tons 13 Indoor Unit Model Add $295.00 Fan -Coil Blower Type ❑ Variable ❑ Non -variable ❑ Variable ❑ Non -variable ❑ Variable on -variable Capacity Cooling / Heating Btuh O Heat Strip Size / Breaker Size Add $295.00 COMFORT PRODUCTS new4ff Thermostat Type year Comfort Club Agreement Healthy Climate Filter Mery 10 Add $225.00 Add $225.00 Add $225.00 Healthy Climate Filter Mery 16 Add $295.00 Add $295.00 Add $295.00 Healthy Climate Germicidal UVC Lamps Add $295.00 Add $295.00 Healthy Climate Pure Air Add $795.00 Add $795.00 Add $795.00 EXTENDED WARRANTY AND SERVICE 10 vear Darts and labor warrant year Comfort Club Agreement Included Included Included Standard Manufacturer's Warranty — Compressor — Parts _ Condenser Coil _ Compressor Q Coi(ppressor — Parts — Condenser Coil lWarts Aaondenser Coil Westbrook Labor Warranty 1 Year 1 Year 1 Year COMFORT SYSTEM PRICING a,r Comfort System Price Less Manufacturers Rebate 170 Less Incentives Sub Total After Credit Total for added options Final Comfort System Price Less Utility Rebate AIR DISTRIBUTION ❑ New insulated platform with 3/4 plywood top and sides Add $350.00 Cap existing stand with 3/4 plywood and re -insulate �SkReconnect supply plenum ❑ Add return flex runs Add ❑ Increase supply flex runs Add econnect return plenum ❑Add supply flex runs Add ❑ Increase return flex runs Add New return riser Add ❑ Replace existing duct system Add ❑ Other ❑ New supply riser Add ❑ Replace return air grill Add CONTROLS AND ELECTRICALI�/j •f2un low Add �{ ❑ Reuse existing low voltage wire CX-euse existing high voltage wire new ��]] Run new voltage wire AMP high voltage circuit Add 0 n Kill nstall new disconnect Add ❑ Upgrade electrical service Add ❑ Install new zone system Add ❑ Replace AMP breaker Add ❑ Install new zone dampers Add ❑ Other ❑ Install new thermostats Add PIP G Supplementary drain pan with fail-safe condensate float switch ❑ New chase cover with outca.P ft. Add 11 Connect to existing refrigerant lines P NN refrigerant line set. Siza Add ❑kew polypipe drain Add L ew chase cover with cap _/_Q ft. Add -- F Condensate drain hook-up with clean out tee & In -Line safety T-SMU. MISCELLANEOUS moval of the existing equipment from premises L�eY�_ recast concrete condenser pad. Size Lel N w equipment platforms will be painted with white mastic. �er *NOTE: Electrical wiring, circuit breakers, We DAbose hereby to E All work to be performed in a neat and professional manner by journeymen class technician. Sweeping, dusting and vacuumin� will be accomplished at the conclusion of each day's work and all ns removed from the premises. All work done in accordance with existing codes and required pern irilles, condensate pump, float switch, etc. have a One -Year Part and Labor Warranty. for the sum of.• ($ ) Payment terms will be7l*Jpon Completion`❑ Credit Card ❑ Check ❑ Finance per month (approx.) BUYER'S RIGHT TO CANCEL -YOU THE BUYER MAY CANCEL THIS TRANSACTION PRIOR TO ANY WORK BEING INITIATED WITHOUT PENALTY OR OBLIGATION ANYTIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAYAFTER THE DATE OF THIS TRANSACTION. As further conditions to this estimate, it is understood that we will not be responsible for delays caused by conditions beyond our control; that this proposal may withdrawn by us if not accepted within days from this day, that any alteration or deviation from the above named items or either of them will become an extra charge over and above the sum quoted above. All warranty work will be done during regular business hours. I have authorit to order the w as o tlined above and agree furthermore to pay a service charge of 1 112 (18%A.P.R.) on t unpaid balance beyond terms stated. I also agree to pay all ce att ey fees uld lection efforts ever become necessary.I herut rize the rk tlined above using the equipment liste in: PREMIUM LUXE' TANDARD Signature Date (CO ANY PRESENTATIVE) (CUSTOMER) r I Signature Date W54529 I (05/11.) (CUSTOMER) SEMINOLE COUNTY MULTI JURISDICTIONAL LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: _�' 14 -1-A I hereby name and appoint: J� 2-wl i G''(1f1S an agent of: 2.O�Irf100i2. SVCS.. Gbf'O . (Name of Company) to be my lawful attorney-in-fact to act for me to apply for, receipt for, sign for and do all things necessary to this appointment for (check only one option): All permits and applications submitted by this contractor. ❑ The specific permit and application for work located at: (Street Address) (Parcel Identification) Expiration Date for This Limited Power of Attorney: 1a - 30 — i.a License Holder Name State License Numb( Signature of License STATE OF FL COUNTY OF D e_ �� The foregoing instrument was ack dged befor me this l I day of AuLa ws 20 , by VfLJ� T le S S who is perso ally known to me or ❑ who /has produced did (did not) take an oath. as identification � � C�1a-�. � s`t�1 1� • N �ws��-lt of Notary Print or type Notary name Notary Public - State of Commission No. .••'':y r =., + (�® ,( My Commission Ex ''� MYlMgMM18S _E11��19 ' . , EXPIRES July 1y, 2015 KEA Parcel View: 36-19-30-506-0000-0860 EUP Parcel: 36-19-30-506-0000-0860 PRERTY Owner: MASON THURMAN JR & CATHY / Property Address: 118 W 19TH ST SANFORD, FL 32771 SECOIXJTY, FLORIDl1 < Back I < Previous Parcel I Next Parcel > I Save Layout I Reset Layout New Search Parcel: 36-19.30.506.0000.0860 Value Summary Property Address: 118 W 19TH ST Owner. MASON THURMAN JR & CATHY Mailing: 118 19TH ST W SANFORD, Fl. 32771 Subdivision Name: SANFORD HEIGHTS Tax District: Sl-SANFORD Exemptions: 00 -HOMESTEAD (2008) DOR Use Code: 01 -SINGLE FAMILY X �� 10 1tiM Map I Aerial I Both I Footprint I + Extents Center Larger Map I Dual Map View - External Legal Description LEG LOT 86 SANFORD HEIGHTS PB 2 PG 63 Tax Details Tax Amount without SOH: 51,204 2011 Tax Bill Amount $1,204 Tax Estimator Save Our Homes Savings: SO Does NOT INCLUDE Non Ad Valorem Assessments 2012 Working 2011 Certifled Page Values Values Valuation Cost/Market Cost/Market Method City Sanford $92,393 $50,000 $42,393 $215,000 Number of 1 1 Buildings County Bonds 592,393 550,000 $42,393 1280 Depreciated S77,693 584,627 Bldg Value 01/1997 03188 Depreciated 5600 5600 EXFT Value WARRANTY DEED 03/1990 Land Value 514,100 515,510 (Market) Yes WARRANTY DEED Land Value Ag 02165 0464, Just/Market 592,393 $100,737 Value .. 08/1988 ami Portability Adj S48,0001 Improvedl Save Our Homes so SO Adj Amendment 1 Adj Assessed Value S92,3931 S100,737 Tax Amount without SOH: 51,204 2011 Tax Bill Amount $1,204 Tax Estimator Save Our Homes Savings: SO Does NOT INCLUDE Non Ad Valorem Assessments I I Sales Deed Taxing Authority Assessment Value Exempt Values Taxable Value Book Page County General Fund S92,393 $50,000 $42,393 Vac/Imp Qualified Schools 592,393 525,000 $67,393 10/2005 05986 City Sanford $92,393 $50,000 $42,393 $215,000 Improved SJWM(Saint Johns Water Management) $92,393 550,000 542,393 WARRANTY DEED 04/2002 County Bonds 592,393 550,000 $42,393 1280 I I Sales Deed Date Book Page Amount Vac/Imp Qualified WARRANTY DEED 10/2005 05986 1928 $215,000 Improved Yes WARRANTY DEED 04/2002 04369 1280 $90,000 Improved Yes WARRANTY DEED 01/1997 03188 0549 S69,000 Improved Yes WARRANTY DEED 03/1990 02165 0465 $49,600 Improved Yes WARRANTY DEED 03/19901 02165 0464, $44,9001 Improvedi Yes WARRANTY DEED 08/1988 ami 25-111 S48,0001 Improvedl Yes Find Comparable Sales within this Subdivision I I Land Method Frontage Depth I Units Unit Price Land Value FRONT FOOT & DEPTH 60 127 .000 250.00 514,100 Building Information Page 1 of 2 http://www.scpafl.org/ParcelDetails.aspx?PID=36-19-30-506-0000-0860 8/9/2012 Application No: �:_:,PCJE1VED AUG 13'2012 Bl. CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Documented Construction Value: $ 4C+0 - eD Job Address: iii &D. )q l-"' 5�- • Historic District: Ves ❑ No 0/ Parcel ID: -lq• so - SQ- 0000 - caeO Zoning: 59n -b&& Ue.;Q61S Description of Work: Plan Review Contact kerson: Title: Stpely;aa- Phone: 4)07-&4] -'3310 Fax: li0i- LIaS-4g,,_ E-mai1:5evjc_0ZLje&, rcoL> '1. ems, Property Owner Information Name C_ct-41a0 � ` ff(ron rrnnj�21 Phone: ?70 - 8N& Z1909 Street: ll$ LO. l9" Sr�• Resident of property? City, State Zip:1pL Contractor Information Name &y -,1C. Phone: Lid? - 8.11- 331 is Street: 12411 S . (:aaz4U_ 91©S2,�7r Fax: Li0? • NaS -99,M City, State Zip: �r'�0.n�0 FL 3�$C35 State License No.: 8Q1Q 1-14P4 Name: Street: City, St, Zip: Bonding Company: Address: Building Permit ❑ Square Footage: No. of Dwelling Units: Electrical ❑ New Service - No. of AMPS: Architect/Engineer Information Phone: Fax: E-mail: _ Mortgage Lender: Address: PERMIT INFORMATION Construction Type: Flood Zone: No. of Stories: Plumbing ❑ New Construction - No. of Fixtures: Mechanical 11 (Duct layout required for new systems) Fire Sprinkler/Alarm 0 No. of heads: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for electrical work, plumbing, signs, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY 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 WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. 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 districts, state agencies, or federal agencies. Acceptance of permit is verification that I will notify the owner of the property of the requirements of Florida Lien Law. FS 713. The City of Sanford requires payment of a plan review fee. A copy of the executed contract is required in order to calculate a plan review charge. If the executed contract is not submitted, we reserve the right to calculate the plan review fee based on past permit activity levels. Should calculated charges exceed the documented construction value when the executed contract is submitted, credit will be applied to your permit fees when the permit is released. kA ,j"\ gl- 16 Signature of ( M ner/Aunt Date 1 UK/1'j'J,4,A) AAA S o -4) I�\—nt'- J Signatti of Notary -state of Florida Date Notary n WilliamsState of Florida Stephen Wi c My Commission EE 176411 OF �a Expires 03/0612016 3 0\aner/Agent is Personally Known to Me or Produced ID Type of ID APPROVALS: ZONING: ENGINEERING: COMMENTS: Rev 11.08 UTILITIES: FIRE: Signature of Contractor.'Agent Date re %a ll-oniRISTY N. NEWSOME MY Co"ISSION # EE113119 EXPIRES July 17, 2015 .•-,.,.—FI°rld°NoyrYSavbacom � ..._._ i Contractor/Agent is w Personally Known to Me or Produced ID Type of ID WASTE WATER: BUILDING: `0 /'- 1411 S. ORANGE BLOSSOM TRAIL o�---' (407) 841-3310 ORLANDO, FLORIDA 32805 Westb/ , FAX (407) 425-9934 www.westbrookfl.com l� -,--AIR CONDITIONING G ,,- A As I YOUR TOTAL SERVICE State Lic. CMC1249312 1 � ELERRICAL PLUMBING COMFORT AGREEMENT a Proposal SubmittedT . PREMIUM DELUXE STANDARD Date: StreetM 4- (Billing Address) Street: (Job Location - if ffere ) ,g . 5 �� Outdoor Unit Model Tons City, S e, % City, State, Zip Code Healthy Climate Germicidal UVC Lams Fan -Coil Blower Type Phone n Q Capacitv Cooling / Heating BtuhAloou Home: !© 1 work: Cell: Fax: TOTAL COMFORT SYSTEM NEW EQUIPMENT MANUFACTURER PREMIUM DELUXE STANDARD SEER / HSPF/COP ARI RATINGS 11.0 ❑ System El Air Handler ❑ Condenser ❑ Package_ ❑ Heat Pump ❑ St -Cool ❑ Heat Pump ❑ St -Cool eat Pum ❑ St -Cool Outdoor Unit Model Tons Add $295.00 Add $295.00 Indoor Unit Model Healthy Climate Germicidal UVC Lams Fan -Coil Blower Type ❑ Variable ❑ Non -variable ❑ Variable ❑ Non -variable ❑ Variable on -variable Capacitv Cooling / Heating BtuhAloou Add $795.00 Add $795.00 Heat Strip Size / Breaker Size 1 Year COMFORT PRODUCTS 11.ne,4401-f% Thermostat Type Healthy Climate Filter Mery 10 Add $225.00 Add $225.00 Add $225.00 Healthy Climate Filter Mery 16 Add $295.00 Add $295.00 Add $295.00 Healthy Climate Germicidal UVC Lams Add $295.00 Add $295.00 Healthy Climate Pure Air Add $795.00 Add $795.00 Add $795.00 EXTENDED WARRANTY AND SERVICE 10 vear arts and labor warrant year Comfort Club Agreement Included Included Included Standard Manufacturer's Warranty — Compressor —Parts — Condenser Coil — CompressorCo�rtpressor —Parts —Condenser Coil]6dParts ondenser Coil Westbrook Labor Warranty 1 Year 1 Year 1 Year COMFORT SYSTEM PRICING 1— Comfort System Price Less Manufacturers Rebate ty- LessIncentives Sub Total After Credit Total for, added options Final Comfort System Price Less Utility Rebate AIR DISTRIBUTION C1 New New insulated platform with 3/4 plywood top and sides Add $350.00 Cap existing stand with 3/4 plywood and re -insulate Reconnect supply plenum ❑Add return flex runs Add ❑ Increase supply flex runs Add MIReconnect return plenum El Add supply flex runs Add ❑ Increase return flex runs Add 11 New return riser Add ❑ Replace existing duct system Add ❑ Other ❑ New supply riser Add ❑ Replace return air grill Add CONTROLS AND ELECTRICALi� Add C ❑ Reuse existing low voltage wire reuse existing high voltage wire Run new low voltage wire �Run new AMP high voltage circuit Add 0 n &'f stall new disconnect Add ❑ Upgrade electrical service Add ❑ Install new zone system Add ❑ Replace AMP breaker Add ❑ Install hew zone dampers Add ❑ Other ❑ Install new thermostats Add PIP�►JG Supplementary drain pan with fail-safe condensate float switch ❑ New chase cover with out ca ft. Add ❑ Connect to existing refrigerant lines P N refrigerant line set. SIZ Add w polypipe drain Add ew chase cover with cap ft. Add - condensate drain hook-up with clean out tee & In -Line safety T switcf MI�CELLANEOUS [�T�moval of the existing equipment from premises Ldp' recast concrete condenser pad. Size M N w equipment platforms will be painted with white mastic. Q,ether *NOTE: Electrical wirir We D ose hereby to circuit breakers, piping, grilles, condensate ® All work to be performed in a neat and professional manner by`� journeymen class technician. Sweeping, dusting and vacuumint` will be accomplished at the conclusion of each day's work and all ns removed from the premises. All work done in accordance with existing codes and required permi for the sum of: float switch, etc. have a One -Year Part and Labor Warrant ($ ) Payment terms will be Vpon Completion`,❑ Credit Card ❑ Check ❑ Finance per month (approx.) BUYER'S RIGHT TO CANCEL - YOU THE BUYER MAY CANCEL THIS TRANSACTION PRIOR TO ANY WORK BEING INITIATED WITHOUT PENALTY OR OBLIGATION ANYTIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAYAFTER THE DATE OF THIS TRANSACTION. As further conditions to this estimate, it is understood that we will not be responsible for delays caused by conditions beyond our control* that this proposal may withdrawn by us if not accepted within days from this day, that any alteration or deviation from the above named items or either of them will become an extra charge over and above the sum quoted above. All warranty work will be done during regular business hours. I have authorit to order the w as o tlined above and agree furthermore to pay a service charge of 1 1/2 (18%A.P.R.) oAtunpald balance beyond terms stated. I also agree to pay all court a all ney fees uld lection efforts ever become necessary.I here ut rize the rk tlined above using the equipment liste in: REMIUM rTANDARD A _ Signature , — I I Date (COANY PRESENTATIVE) (CUSTOMER) ' Signature Date W54529 1c (05/11) (CUSTOMER) LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: ?3- ) O -) D I hereby name and appoint: SkP) Qn Jam; )1; a ms an agent of: S' V C . cor . (Name orCompany to be my lawful attorney - in - fact to act for me to apply for, receipt for, sign for and do all things necessary to this appointment for (check only one option): ?✓All permits and applications submitted by this contractor. `? The specific permit and application for work located at: (Street Address) Expiration Date for This Limited Power of Attorney: 10- 31-)Q License Holder Name: L:f State License Number: &-Q30114404 Signature of License Holder: STATE OF FL I COUNTY OF NA z �n e The foregoing '1 trument 20�e�, by ri G a to'm-or.? who has produced identification and who did<U , ;s►" CHRISTY N. NE0 WMYCOMMISS*N#FPE113_,119 (N=Pytfsal� 17, 2o15 (Rev. 3/27/07) acknowledged before me this I day ofA wv who is ?-Person v known as not ake an oaA Print or type Notary Public - State of _ ,'''•°'''; CkIR[STY N. NEVY30ME Commission No. = YCOMMISSION#EE113119 My Commission Expires: I EXPIRES July 17,2015 a�sasa— Flaaagomryservke.com