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HomeMy WebLinkAbout102 Morrison Ave__.. _ -_ ._ -_-CI.T_Y_OF- SANFORD- BUILDING & FIRE PREVENTION PERMIT APPLICATION r Application No: I �— 9(0 Documented Construction Value: $ Op Job Address: 0 Z (AD Fl 32-73 Historic District: Yes ❑ No Parcel ID: j %iJ ��, S"I I (��L' pr,61KOResidentialp",Commercial ❑ Type of Work: New ❑ Addition ❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use ❑ Move ❑ Description of Work: I_F_ erak Plan Review Contact Person ,J Phone:_Fax: M Title: Email: Property Owner Information Name .E ff, ,%7jYd 5-FZ- ZL Phone: Street: L 2 b mc,,�a��,` �;`C 6 Resident of property? a City, State Zip: Zt� vv� 37—01p-1 1 Contractor Information Name 61-b. f.� .lo O JYL C✓1� �n Cps i LL(� Phone: Street: 13`/d I;•: C i w� �1 ►Ziil Fax: City, State Zip: V_11vA QXI. ' F� ��U7 State License No.: C C-133109 i1 Arch itect/EngineerInformation 66 r (':A01/0 Name: r/ I,—1 v 76 /04 Phone: Street: City, St, Zip: Bonding Company: Address: Fax: E-mail: Mortgage Lender: Address: 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. 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. FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 5'h Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application 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 at the time of permit submittal. A copy of the executed contract is required in order to calculate a plan review charge and will be considered the estimated construction value of the job at the time of submittal. The actual construction value will be figured based on the current ICC Valuation Table in effect at the time the permit is issued, in accordance with local ordinance. Should calculated charges figured off the executed contract exceed the actual construction value, credit will be applied to your permit fees when the permit is issued. 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. Signature of Owner/Agent Print Owner/Agent's Name Date Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID Date Print Contract/Agent's Name Signature ofNota -- ey° DEBBIE BLANTON =t:A;: MY COMMISSION # FF ?786'8 a= EXPIRES: February 25, 2019 `' Bonded Thru Notary Public underwriters Contractor/Agent is Personall own to Me or Produced ID Type of ID � 1 BELOW IS FOR OFFICE USE ONLY Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing❑ Gas❑ Roof ❑ Construction Type: Occupancy Use: Flood Zone: - Total Sq Ft of Bldg: Min. Occupancy Load: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes ❑ 'No ❑ # of Heads APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: # of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes ❑ No ❑ WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application SCPA Parcel View: 12-20-30-511-0000-0880 Page 1 of 2 rrpili-�Oii fam, cFA R 3Cn9rxx.y: Gtxxrrv: r-�t:t,7�'�'an. Property Record Card Parcel: 12-20-30-511-0000-0880 Property Address: 102 MORRISON AVE SANFORD, FL 32773 M P minole CountyIS Legal Description LOT 88 MONROE MEADOWS PB46PGS16&17 Value Summary 2018 Working 2017 Certified Values Values Valuation Method CI ost/Market Cost/Market Number of Buildings 1 1 — Depreciated Bldg Value $99,300� $93,626 — Depreciated EXFT Value Land Value (Market) u $20,000 — $20,000 Land Value Ag Just/Market Value "' $119,300 $113,626 Portability Adj Save Our Homes Adj $0 $0 Amendment 1 Adj --$6,913 — $11,456 P&G Adj $0 $0 Assessed Value $112,387 $102,170� Tax Amount without SOH: $2,020.00 2017 Tax Bill Amount $2,020.00 Tax Estimator Save Our Homes Savings: $0.00 Does NOT INCLUDE Non Ad Valorem Assessments Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund $112,387 $0 $112,387 Schools $119,300 $0 — $119,300 City Sanford $112,387 $0 $112,387 SJWM(Saint Johns Water Management) i $112,387 $0 $112,387 County Bonds $112,387 $0 $112,387 Sales Description Date Book Page Amount Qualified VaGlmp WARRANTY DEED 1/1/2018 09061 0236 $170,000 Yes Improved _. WARRANTY DEED 6/1/2005 05797 11744 m $175,000 Yes Improved WARRANTY DEED 11/1/1999 03759 1 0125 $92,000 Yes Improved WARRANTY DEED 9/1/1999 03729 11093 $67,000 No Improved SPECIAL WARRANTY DEED 9/1/1999 103729 1 1091 �— $68,300 No Improved _ SPECIAL WARRANTY DEED 16/1/1999 i 03681 0477 $100 No ~� Improved CERTIFICATE OF TITLE 4/1/1999 03629 1280 $90,800 No Improved WARRANTY DEED 12/1/1995 03003 1096 $83,100 Yes Improved Find Comparabja 5a1as Method Frontage Depth Units Units Price Land Value LOT 0.00 0.00 ? 1 $20,000.00 $20,000 Building Information http://pareeldetail.scpafl.org/ParcelDetailInfo.aspx?PID=l2203051100000880 2/14/2018 Detail by Entity Name Page 2 of 2 Detail by Entity Name Foreign Limited Liability Company FIREBIRD SFE I, LLC Filing Information Document Number M16000000544 FEI/EIN Number 38-3985091 Date Filed 01/19/2016 State DE Status ACTIVE Principal Address 5001 PLAZA ON. THE LAKE, SUITE 200 AUSTIN, TX 78746 Mailing Address 5001 PLAZA ON THE LAKE, SUITE 200 AUSTIN, TX 78746 Registered Agent Name & Address CAPITOL CORPORATE SERVICES, INC. 515 EAST PARK AVENUE 2ND FL TALLAHASSEE, FL 32301 Address Changed: 08/16/2017 Authorized Person(s) Detail Name & Address Title MGRM FIREBIRD SFE EQUITY OWNER, LLC 5001 PLAZA ON THE LAKE, SUITE 200 AUSTIN, TX 78746 Annual Reports Report Year Filed Date 2017 04/21/2017 Document Images 04/21/2017 -- ANNUAL REPORT View image in PDF format 01/19/2016 -- Foreign Limited I View image in PDF format Florida Department of state, Division of corporations http://search. sunbiz.org/Inquiry/CorporationSearchISearchResultDetail?inquirytype=Entity... 2/ 14/2018 File: 17061033-Z Please return after recording to: BCHH, INC.,181 Montour Run Road, Coraopolis, PA 15108 Tax ID: 12-20-30-511-0000-0880 Mail tax statement to: FIREBIRD SFE I, LLC, 5001 Plaza on the Lake, Suite 200, Austin, TX 78746 This Instrument Prepared By: jarrod Turner, Esquire* WARRANTY DEED This Warranty Deed is made by and between Saj ad jaffer and Rehmat Chandoo, husband and wife, whose address is 1043 Via Como Place, Lake Mary, FL 32746, ("Grantor(s)"), and FIREBIRD SFE I, LLC, whose address is 5001 Plaza on the Lake, Suite 200, Austin, TX 78746 ("Grantee(s)"). Grantor, in consideration of the sum of $170,000.00 and other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, has herby granted, bargained and sold to Grantee(s) the following described real property in Seminole County, Florida: LOT 88, MONROE MEADOWS, ACCORDING TO THE PLAT THEREOF, AS RECORDED IN PLAT BOOK 46, PAGES 16 AND 17, OF THE PUBLIC RECORDS OF SEMINOLE COUNTY, FLORIDA. Being the same property conveyed to Grantor(s) by instrument recorded on 7/7/2005 at Book 5797, Page 1744 in the records of Seminole on Commonly n as: 102 Morrison Avenue, Sanford 773. This address is provided for informational purpo s only. Sub , reservations and restrictions of record, governmental regulations and real p er _year: Grantor hereby covenants with Grantee(s) that the property is free of all encumbrances made by Grantor and that Grantor does hereby warrant and defend the title to the property against all lawful claims. TO HAVE AND TO HOLD the above the Premises, together with all and singular the rights and appurtenances thereto in anywise belonging to the Grantee(s), Grantee's heirs, executors, administrators, successors and/or assigns forever; and Grantor(s) does hereby bind Grantor(s), Grantor's heirs, executors, administrators, successors and/or assigns to WARRANT AND FOREVER DEFEND all and singular the Premises to the Grantee(s), Grantee(s)'s heirs, executors, administrators, successors and/or assigns, against every person whomsoever claiming. Dated: day of v i [Signature Page Follows] File Number 17061033-Z GRANT MALOY, CLERK OF CIRCUIT COURT SEMINOLE COUNTY FL CLERK'S # 2018007082 BK 9061 Pgs 0236 - 238; (3pgs) E-RECORDED 01/19/2018 03:08:04 PM 27.00 DEED DOC 1,190.00 G TOR(S): r J ajjad a � WitnessR.i�S��,L Witness ACKNOWLEDGMENT STATE OF RA-fL1d,0— COUNTY OFF n .e ACKNOWLEDGED AND EXECUTED BEFORE ME, the undersigned authority, personally appeared Saj ad Jaffer and is the person who executed the foregoing instrument. Witness Whereof, I have hereunto set my hand and affixed my official seal this 1 L% ' day of e Notary blic ,MEN UE BERGMy Commission Expires:63 l / j14State of Florida # FF 204193After recording, please return to: nes Mar 6, 2019 . BCHH, Inc. 181 Montour Run Road Coraopolis, PA 15108 (412) 275-3720 Prepared without benefit of title review. 'Me preparer has not had any contact with the parties, and did not provide legal advice to either party. The prep— is not respomIle for any typed or hand-wrium additions made to this deed after its preparation. For any questions regarding this deed, please contact BCHH, Inc. at (412) 275-3720, 181 Montour Run Road, Coraopolis, PA 15108. CFN# 2018007082 OFFICIAL RECORDS 0 DOC TYPE D BK 9061 PG 237 PAGE 2 OF 3 GRANTOR(S): 4Vehmat Chandoo C Witn ss fitness ACKNOWLEDGMENT STATE OF` COUNTY OF ACKNOWLEDGED AND EXECUTED BEFORE ME, the undersigned authority, personally appeared Rehmat Chandoo and is the person who executed the foregoing instrument. I Witness Whereof, I have hereunto set my hand and affixed my official seal this , day of i Notary ublic �`�'<= ".R* a' RENE'SUE BERG �= Notary Public - State of Florida My Commission Expires: U3 i / f (;��, Commission # FF 204t 93 l ' ! ,;a . My Comm. Expires Mar 6. 2019 CFN# 2018007082 OFFICIAL RECORDS 0 DOC TYPE D BK 9061 PG 238 PAGE 3 OF 3 Invoiced to Contract Remaining Contract 0.00 8,400.00 Property Name %.01 Description 102 Morrison Ave Roof Repair/Replacement THIS INSTLf3UME PREP RED BY: Name: -/�2 7 ERRED ►1 t r, [,V CL kv% Address: _ 1 ` W C !! V" L/ Sh G�. w>` %�Z1I�1 NOTICE OF COMMENCEMENT State of Florida County of Seminole Permit Number: GRANT NAI_.OY e CIIINOLE coiffl-ry C:L..ERi;OF CT RC:LJI'T COURT & ' ONI'TROLLEI" r.. i. , " t:LERK' S v 2018Ij?214 9 hE_yOhI.,ED >_l i2;'; 2 I.E.; I_I.L''3el_I„ ►.. i REta')RD114G IFEG: ; RE RECORDED BY .jecl.-I-enro Parcel ID Number: % Z�-Z6 — 36 '-57! 6o6 Q •- Q ,990 The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. DESCRIPTION OF PROPERTY: (Legal description of he rorty and street address if av 'I ble) �"6Z m6cri.•56,U �vE. Sa xe F�- y> to`r SJ<jQA ca e- e o 5N7i t GENERAL DESCRIPTION OF IMP RO EMENT: - c e") OWNER INF�•-ORMATION' 5 �� Name: t- i C f Ri G'r� Address: -*> U(31 rttA L a- 6,/, Fee Simple Title Holder (if other than owner) Address: Persons within the State of Florida Designated by Owner upon whom as provided by Section 713.13(1)(b), Florida Statutes. Name: 'fJ `-M FL other documents may be served In addition to himself, Owner Designates of To receive a copy of the Lienor's Notice as Provided in Section 713.13(1)(b), Florida Statutes. Expiration Date of Notice of Commencement (The expiration date is 1 year from date of recording unless a different date is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN 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 COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true to the best o my knowledge and belief. 71 /- 1 Owner's Signature er's Printed Name Florida Statute 713.13(1)(g): "The owner must sign the notice of commencement and no one else may be permitted to sign in his or her stead." Y .,, Cr L4 State of r ) C11'1 Countyof -BS C.v Ct,-0 CL The foregoing instrument was acknowledged before me this �t day of _r 116f u a r^u .20 0 by (C.) Who is persLnaliy known to me z v cc Name of p on making statement a ~ � OR who has produced identification ❑ type of identification produced: YP P c�• 0- a. HEATHER DAHLIN a p •': MY COMMISSION p FF945911 �.� l Q u _ EXPIRES December 22, 2019 IS 000 •'• .,o ry Signature tsATr 3ia-0+59 FlarkbMws Swvka,aom t�J lea Q W-- c t— CQ m LLJ — F D'! City of Sanford Building Division ,l Residential Re -Roof Inspection Policy & Procedures PERMITTING REQUIREMENTS — NO PLAN REVIEw REQUIRED This document (signed) along with an accurate and completed Residential Re -Roof Scope of Work are required to be submitted as part of your permit application. The Scope of Work must include all applicable Florida Product Approval numbers for all roof components that will be installed on the project. A permit will not be issued without these documents. Copies will be made to post on the job site. **Projects located in the Sanford Historic District will require plan review and approval by the Sanford Historic Preservation Board INSPECTION POLICY & PROCEDURES A Final Roof Inspection is the only inspection required for Residential (Single Family, Townhouse, Mobile Home, Apartment and/or Condominium) Re -Roof Permits. The Following is required to be provide on the job site: • Permit Card, posted in a conspicuous and weatherproof location • Completed Residential Re -Roof Scope of Work • Completed and Notarized Inspection Affidavit • All Florida Product Approval and Corresponding Installation Instructions • (Product Approval shall match what is on the scope of work) • Digital Photographs (must include the permit number or address in each picture) o Each plane of the roof, showing the underlayment installed o Roof Deck Nailing Pattern & Spacing (including a measuring device or ruler) o Roof Deck Nails used (including a measuring device or ruler showing size of nails) o Underlayment Pattern & Spacing (including a measuring device or ruler) o Drip Edge & Valley Attachment (including a measuring device or ruler) o Shingles installed, nail pattern and location of nails • Skylights (if applicable) o Digital photographs showing all installation components, per FL Product Approval o Digital photographs: showing all required flashing, per FL Product Approval Failure to follow these specific guidelines will result in an affidavit pr vided by a Florida Design Professional (architect or engineer), certifying F code compliance y personal inspection. CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: �� DATE: J' O r•• PERMIT # City of Sanford Building Division Residential Re -Roof Scope of Work JOB ADDRESS: I0 Z [Ab F 5 N i�-,J P �`� ,n�So {- L 1 3 7_7? 3 STRUCTURE TYPE: SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM RE -ROOF TYPE: O REPLACEMENT TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) O RE-COVER NEW ROOF INSTALLED OVER EXISTING ROOF DECK TYPE (PLEASE SPECIFY): 1•Z ` C o-T \ j\ j **PLEASE NOTE: ONLY 100 SQUARE FEET OF THE EXISTING DE K h PERMITTED TO BE REPLACED' ROOF VENTILATION: OOFF-RIDGE RIDGE OSOFFIT OPOWERED VENT OTURBINES SKYLIGHTS: O YES �NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: ----------------------------------------------------------------------------------------------------------- MAIN ROOF AREA ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 V ` -12 OR GREATER TYpt OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL SHINGLE �y��in S C6•!t/�tVl f QPi�2 P FL# O METAL FL# O MODIFIED BITUMEN FL# O TORCH DOWN FL# O INSULATED FL# O TILE FL# O OTHER: FL# ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) "IFAPPLICABLE" ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 O 4:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL O SHINGLE FL# O METAL FL# O MODIFIED BITUMEN FL# O TORCH DOWN FL# OINSULATED FL# O TILE FL# O OTHER: FL# F13rti(tBuilding1�i►'ereveilt iut Divicioll CITY 2f T 9 1rL.5r.Ti1=N.TjA RE-R001' �1nf1VIT. -'S '�A 12LS Dl' TIALj Rt`f ROUT 1N Pt C'rION AFt+IDAVI`r fit. CZ()C)I? COVI+'.RIItiGS •5111�,ATtt:tNC;,.U121'-tN, t+t.,�ASitt�tG,, t'�NI)� ALL ��+1N,, t ADDRE, S. [CO, vk T ' AS A(N) CiF 'ERAI„ BUILDING, IiLSIDE: N t IAL. Olt INCH GC)�11't)NEI I t S I,IS`CII) ON LI II SCUI"1; OF \VC)Rh A I' TI1F "rUR I NCIINI.I:R, it� III:C"1,OI T . CHAPTER 4,68, BUILD INSPEGIGK 1 FILRf131 Af F IKMa IHAT r\LI O{ THE ROOT"sINCY CONTRA a +'it)INC I1lI'OKR1A-I'R7N I$ TRUV: AND ACCURATE' I V: A',40� Flt\"I` A\I.L RGt� AN I A 1'ALI'r�'1 ION NEVI I9 Aft I (1RF C . D :\UI)VtI=S� IL\\ F: B I N" INS I r\! 1 LD JN AGt.!?ICI)r1NG {;tIIL 711JC1.'1NIt I'�\ jlDtl`IC?iF 1'CF RTII YS�11ND AI.I. APPLICABLE AIFtjV ltl I l )2i NC . WITH 1 IiE IIUfU ,., . KI nUIKI.`i1:N'IS SPt'dri(:ALLY FI.ORIDA BUILDING CODt.,,l \1S'l`IN R{ C IIIREh'18N'IS i"GR SI CC7NDARY \\'A'IFR BARKIER AND N \ILj\CC Ur'FFtF ROOF DL'C.K, IN fACCQ1iDANCI MANUAL REQ131}tli•4CNTS (BASED tJsl_I'.�S- CHAI'TrR �53.4441 . 1 IC L'NSL It: C` c (CiS Co`tPANYJCGN'rArc lTol:`:' ..— DA�rI:: CONTRACTOR SIGNAL t11t1.: •,,,_ (\rlt s1 Vol'sIGNFC) FiY L1CI.N5 , IIOLDER.ia t. I iNr1L Rn01 I\SF'FC-rION FS REQUIRED:; TttlS'S1GN,E1)�AND itfOFARIl:I D e\FF'IDAVI'1'��ILiSr�F3�;PRt),�?11)1 D A\ 1'.`1;IIF JQUSITr A'I" I llMr PI��I1 i1FTJF1` FIN'i1I ROOF (i`1SF k:C.'I'IC).1 iI'ONCWCI'il.l)1C:FTAIi l-IIC)'IGC1tAi'H�`OFF;ACILP[3lNEf),I'FIIEROC)h+11G)A°I\C.1`+,<t)F1A11:r1LLC01PO\EiAr5(t)M:Gi�INC:� Rl;rtiV'il1k,N'I' FI rlSlltiAC:{.DFtFP:F.DGk;.1'1"1'itiCIFV7Fi"1'��VIFIL ItIF1'ERAIL'i i1`111113E RC)R`i11}I�RFSS'CLEACthY�lr�ItKl DON'`EIIb�D:GIc" UNDA a F.[)It EACH INSPM:G1`[On:. THE PHOTO �PI1S �'IU,ST INC L UDF A RULF R QR;�IM:eASUR1NG: DEVICE TO`C CONFIRM AIL,\A1IL $IACIitC, A\i) O\'F;RI:APS, INCLUDING pRll' ED(,E ANI) VALLEY FUAS I ING PI i ,1Skr RY:FE It"TO 1ItF. RE -ROOF POL IC l' A\n INSPECTION PROCFDtJRI+; PAPER\VOih FOR FI. WrIIEl,l'EXPLANATIOcN QF` ALL ItF.Q,UIit@ ;%lFiN 'S. '`*;t+At1 IIl2l;,TO,I O1..I.;OVV ALL REQU1121 A'l1i,N'I`S,\V'1t,L, RI+,SU1.,"I' IN.A' f AIL[ I),INS1'1✓C"1`TON! A',Itl'.`A Si'l CriloN FLL r1!1 �VEI.L A'SItEQUI12ING i'% Dl SIGN PROFESSIONAI. (AltC111TEC7' OI2 El\GINFEIi.) 7 O CF'.R`rIFv,13ASED ON PERSONA, I: IINSPECT.ION, -ruiE INSTALLATION OF ALL.,ROOFING COMPONGN7'S. STATE OF,FLQRIDA COUNTY Ole' _ ►?t'e Swc►rn to.:ind Stibscrit)ecl before n1e this dayof 20 by: .{ �~► --- f �' C 4+ rth F �+1 w� 1VItc► is L7 I'crsc�nnlly fCntiwn' to n)t~ 61 h:is 1'rocl lcecl'(tyPc of idell ifir- tiorl) Gw r Lim✓tee is identific:Ftioll. SI ►I:Itl►rc"of rtslry 1'{►bl c State of 14toi icl i Print/Tylie/Sf:rnp' NaF►re of Notlar ptl'b ic. Y, t FiESAM.WEBER ? `.. MY COMMISSION # OO 1'176415 EXPIRES: Mamh 29, 2M o�'aEC,f °Fo BMW Im Notw Pu Undenatlt4ra lC