HomeMy WebLinkAbout1405 W 16 St (2)t CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: /0_ �(? ?
Documented Construction Value: $ } SD , C)2).
Job Address: I q(� f la++-) �fff`t Historic District: Yes ❑ No
Parcel ID: ?)5 —1 9. 30' S1 C7 2_V0°' oc�40- Residential [!]Commercial ❑
Type of Work: New ❑ Addition ❑ Alteration u Repair ❑ Demo ❑ Change of Use ❑ Move ❑
Description of Work: +IV t) 0. (%] . � . mg i `4 der r S KVV .
Plan Review Contact Person:
Title:
Phone:
Fax: Email:
Property Owner Information
�,,,^
��ar ice Name ) On I 1
L —0, Phone:
Street: DS� ,- , L)L
cc' A Resident of property?
City, State Zip:
Contractor Information
Name
Phone: L�zyl �2 Loy
Street: 1'5 1 2- E
Fax:
City, State Zip:
State License No.:
Architect/Engineer Information
Name:
Phone:
Street:
Fax:
City, St, Zip:
E-mail:
Bonding Company:
Mortgage Lender:
Address:
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" Edition (2014) Florida Building Code
Revised: June 30, 2015 Pennit 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.
�) E-% Ir
Signature of Owner/Agent Date Signature ontractor/Agent Date
6 C71 \q r�s
Print Owner/Agent's Name Print Contracto Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
Produced ID Type of ID
Afi.
S ature of tary-State, fFlorida
�\� �•,Jtil~ FLU i�,
��� ��:•' siO/V
�GG� GH 10,
?i"-,Q
P N
Contractor/Agent is `+&—�Pyerwnaln to:leer
Produced ID I'�`�`• ��
rsos.s11c Ueda• • O¢�>
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing❑ Gas[] Roof ❑
Construction Type:
Total Sq Ft of Bldg:
Occupancy Use:
Min. Occupancy Load:
New Construction: Electric - # of Amps.
Flood Zone:
# of Stories:
Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads Fire Alarm Permit: Yes ❑ No ❑
APPROVALS: ZONING: UTILITIES: WASTE WATER:
ENGINEERING:
COMMENTS:
FIRE:
BUILDING:
Revised: June 30, 2015 Permit Application
SCPA Parcel View: 35-19-30-513-0200-0040
Page 1 of 2
fp,2`11
�son.CFA
nsttrx.r-txar..anrrY.Fti
Parcel Information
Property Record Card
Parcel: 35-19-30-513 0200-0040
Property Address: 1405 W 16TH ST SANFORD, FL 32771
_..
Value Summary
—— -- - -- _... — -- ..._............ . _
Parcel 35 19 30 513-0200-0040
Owner RANCH MALL LLC
Property Address ( 1405 W 16TH ST SANFORD, FL 32771
Mailing 325 S ORLANDO AVE WINTER PARK, FL 32789-3608
Subdivision Name PINE LEVEL
Tax District S1.SANFORD_
DOR Use Code 01-SINGLE FAMILY
Exemptions
Seminole County GIS
8 Working 2017 Certified
,2-1
Values Values
Valuation Method
Cost/Market Cost/Market
Number of Buildings
1 1
Depreciated Bldg Value
$46 612 $43 967
Depreciated EXFT Value
Land Value (Market)
$11,025 $11,025
Land Value Ag
Just/Market Value "
$57,637 $54,992
Portability Adj
Save Our Homes Adj
( $0 $0
Amendment 1 Adj
$0 $0
P&G Adj
; $0 $0
Assessed Value
( $57,637 $54,992
Tax Amount without SOH: $1,047.00
2017 Tax
Bill Amount $1,047.00
Tax Estimator
Save Our Homes
Savings: $0.00
Does NOT INCLUDE Non Ad Valorem Assessments
I Legal Description____.
E 17 FT OF LOT 4 + ALL LOT
5 BLK 2
PINE LEVEL
PB6PG36
( Taxes
Taxing Authority Assessment Value Exempt Values Taxable Value
County General Fund $57,637 I $0 $57,637
Schools $57,6371 $0 $57,637
City Sanford $57,637 ; $0 $57,637 1
SJWM(Saint Johns Water Management) $57,637 $0 $57,637 1
County Bonds $57,637 $0 $57,637 1
Sales
Description Date Book Page Amount Qualified Vac/Imp
QUIT CLAIM DEED 7/1/2017 08961 1510 $100 No Improved
QUIT CLAIM DEED 3/1/2017 08876 0337 $66,200 : No Improved
CERTIFICATE OF TITLE 10/1/2016 08784 0058 $30,500 ' No Improved
WARRANTY DEED 2/1/2001 04016 0752 $70,000 Yes Improved
SPECIAL WARRANTY DEED 1/1/2001 03990 1460 $37,300 : No Improved
CERTIFICATE OF TITLE 5/1/2000 03859 " 0644 $100 No Improved
� Find Comparabl8 Sales
http://parceldetail. scpafl.org/ParcelDetaillnfo.aspx?PID=3 51930513 02000040 1 /22/2018
Detail by Entity Name
Page 1 of 2
Florida Department of State
rorgat it sJ f� r a psi
Department of State / Division of Corporations / Search Records / Detail By Document Number /
Detail by Entity Name
Florida Limited Liability Company
RANCH MALL, LLC
Filina Information
Document Number
L09000005121
FEI/EIN Number
26-4052212
Date Filed
01/16/2009
Effective Date
01/15/2009
State
FL
Status
ACTIVE
Principal Address
325 S. ORLANDO AVE.
WINTER PARK, FL 32789
Mailing Address
325 S. ORLANDO AVE.
WINTER PARK, FL 32789
Reaistered Aaent Name & Address
LINARTAS, JOSEPH J
325 S. ORLANDO AVE.
WINTER PARK, FL 32789
Authorized Person(s) Detail
Name & Address
Title MGR
LINARTAS, JOSEPH J
325 S. ORLANDO AVE.
WINTER PARK, FL 32789
Title MGR
LINARTAS, PAUL
325 S. ORLANDO AVE.
WINTER PARK, FL 32789
Title MGR
LINARTAS, JURA
DIVISION OF CORPORATIONS
http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entity... 1 /22/2018
CONDITIONIN
G
rAIR
INC.
�A
HEATING & AIR CONDITIONING
1512 E. GARY RD
LAKELAND FL 33801
ORLANDO 407-COOLING-TAMPA/LAKELAND 863-940-9800
1/09/2018
Dalton Building Group
1405 W 161e Street HVAC
Sanford FL 32771
• Split electric system 2.5 ton (R-410A)
• The air handler was stolen
• The AC was stolen
• The existing refrigerant lines are underground, and will need to be replaced to ensure that all potential leaks are
removed from the refrigerant circuit
• Will need to build a new return stand and supply plenum to fit and support the new indoor unit
• Ductwork is in fair condition
• 150 Amp panel
2.5-ton HVAC system includes the following: Goodman Equipment
2.5-ton outdoor unit 14 SEER with R-410A refrigerant
2.5-ton air handler with 5KW heat strips
Digital Thermostat
Ductwork (tie into existing)
Low & high voltage (tie into existing)
Whip & Disconnect combo
Safety float switch installation
Mastic seal joints at system
Remove existing & discard
Hurricane Pad for outdoor unit
Hurricane tie downs
Includes all labor & material to complete job
Mechanical permit (electrical permit not included)
Costs:
Above system $3,550.00
Refrigerant lines $300.00
Supply plenum $150.00
Air handler stand $150.00
Total: $4,150.00
Quotes Department
Air Conditioning Experts
Office: (407) COOLING
Prepared by and return-fo:
Old Tampa Bay Title,'LLC
607 W Bay Street
Tampa, FL 33606
813-402-2266
File Number: 1'711-012Raneh
(Space Above This Line For Recording Darn]
Warranty Deed
This Warranty Deed made this 3-(9 day of November, 2017 between Ranch Mall, LLC, a Florida limited
liability company whose post office address is 325 Orlando Avenue, Winter Park, FL32789, grantor, and'CerberusSFR
Holdings, L.P.,.a Delaware Limited Partnership whose post office address is 1850 Parkway Place, Suite 900, Marietta,
CA30067, grantee:
(Whenever used herein the tcmu 'grantot" and "banatec" include all the Duties to this instrument and the heira, legal representatives, and aemigns of
Individuals, and the successors and assigns ofeorporatiens, trots and tructcas)
Witnesseth, that said grantor, for and in consideration of the sum of TEN AND NOl100 DOLLARS ($10.00) and other
good and valuable considerations to said grantor in hand paid by said grantee, the receipt whereof is hereby acknowledged,
has granted, bargained, and sold to the said grantee, and grantee':, heirs and assigns forever, the following doscnbed land,
situate, lying and -being in Scminoe County: Flortaa to -Wit:
Lot 5.and the Last 17 feet of Lot 4, Slock.2, PINE LEVEL, according to the map or -plat thereof as
recorded in Plat Book 6, Pages 36 and 3^.,.Public .Records of Seminolo County, Florida.
Parcel Identification Number; 35-19-30a513-0200-0040
Property Address; 1405 W.16tb Street,.Sanford, l'L 32771
Together with all the tenements, heredimments and appurtenances thereto belonging or in anywise appertaining.
To Have and to Hold, thesame in fecsimpleforever.
And the grantor hereby covenants with said grantee that the grantor is lawfully seized of said land in fee simple; that the
grantor has:good right and lawful authority to sell and convey said land; that the grantor hereby fully warrants the title to said
land and will defend the same against the lawful 'claims of all persons' whontsoevet; and that said land is free of all
encumbrances, except.taxes accruing subsequenttoDecember 31, 2016'.
Double'rimea
HUD-1 U.S. Department of Housing
A. Settlement Statement and Urban Development
B. Type of Loan
OMB No. 2502-0265
Q 1. FHA Q 2. FrnHA
Q 3. Cony. Unins.
6. File Number
7. Loan Number
8. Mortg. Ins. Case Num.
Q 4. V.A. Q 5. Conv, Ins,
( 1711-012 Ranch
ID:
C. NOTE: This form is furnished to give you a statement of actual settlement costs. Amounts paid to and by the settlement agent are shown. Items
marked'(p.c.c-r were
paid outside the closing; they are shown here for Informational purposes and are not included in the totals.
D. NAME OF BORROWER:
Cerberus SFR Holdings, L.P., a Delaware Limited Partnership
Address of Borrower:
1850 Parkway Place, Suite 900, Marietta, Georgia 3D067
E. NAME OF SELLER:
Ranch Mall, LLC, a Florida limited 8abilitycompany
Address of Seller.
325 Orlando Avenue, Winter Park, Florida 32769 TIN:
F. NAME OF LENDER:
CASH TRANSACTION
Address of Lender:
G. PROPERTY LOCATION:
1405 West 16th Street, Sanford, Florida 32771
H. SETTLEMENT AGENT:
Old Tamps Bay Title, LLC TIN:87-4703627
Place of Settlement:
607 W Bay Street, Tampa, Florida 33606 Phone: 813402.2266
I. SETTLEMENT DATE:
11/30/17 DISBURSEMENT DATE: 11/30117
101. Contract soles price
124,500.00
401. Contract sales price
124,500.O0
102. Personal property
402. Personal property
103. Settlement charges to borrower (Line 1400}
2,765.50
403.
iD4.
404_
105.
106. Ci"crwn taxes
405.
4D6. City/town taxes
107. County taxes from 11/30/17 to 12/31/17
89.05
407, County taxes from 11130117 to 12131/17
69.05
108. Assessments
408. Assessments
109.
409.
110.
410.
111.
411.
112.
412.
120. Gross amountdua from borrower.
127,354.55
420. Gross amount due to seller.
124,589.05
201. Deposit or earnest money
1,000.00
500� Reductions in amount due to.seller.,
501. Excess deposit (see instructions)
202. Principal amount or new loan(s)
502. Settlement charges to seller Vine 1400)
9,900.72
203. Existing loan(s) taken subject to
503. Existing loan(s) taken subject to
204. Principal amount of second mortgage
504. Payoff of first mortgage loan
205.
505. Payoff of second mortgage loan
206.
805. Deposits held by seller
207. Principal amt of mortgage held by seller
507. Principal amt of mortgage held by sailer
208.
508.
209.
210. City/town taxes
509.
510. Cityltown taxes
211. County taxes
511. County taxes
212.Assessments
512. Assessments
213.
513.
214.
514.
215.
515.
216.
516.
217.
517,
218.
518.
219.
519.
220. Total paid by/for borrower.
301. Gross amount due from borrower
(fine 120)
1,000.00
127,354.55
520. Total reductions In amount due seller:
601. Gross amount due to seller
(line 420)
9,900.72
124,589.05
302, Less amount paid bylfor the borrower
Vine 220)
(1,000.00)
602. Less total reductions in amount due seller
(line 520)
(9,900.72)
303. Cash( +Q From ❑ To ) Borrower:
126,354.55
603. Cash( Q To From ) Se0er.
114,688.33
Substitute Form 1099 Seller Statement: The information contained in blocks E, G. H, and I and on One 401 Is important tax information and Is being
fumished to the IRS. If you are required to fie a return, a negligence penalty or other sanction will be imposed on you if this Rem is required to be reported and the IRS
determines that it has not been reported.
Seller Instructions; If this real estate was your principal residence, file Form 2119, Sale or Exchange of Principal Residence, for anygaln, with your tax
return; for other transactions, complete the applicable parts of Form 4797, Form 6262 andlor Schedule 0 (Form 1040),
DcubleTlmoV
HUD-1 i U.S. Department of Housing and Urban Development Page 2
700. Total Sales/Brokers Com, based on pace S124,500.00 C 6.0000 % = 7,470.00
Paid from
Borrowers
Paid from
Sellers
701. 3,735.00
3.0000 /, b Rock Springs Realty, LLC
Funds at
Settlement
Funds at
Settlement
702. 3,735.00
3.0000 % to Southcrest, LLC
703, Commission paid at settlement
7,470.00
704, Technology Fee
:t
801. Low origination fee
to Looking Glass Investment Technologies, LLC
%to
1,245.00
602. Loan discount
% to
803. Appraisal fee
to
804. Credit report
to
805. Lenders inspection fee
to
$05. Mortgage insurance application fee to
807. Assumption Fee
to
808.
to
809.
to
810.
to
811.
rrpaid
901. interest from '
to
in
to @
ar 6r
tday
902. Mortgage insurance premium for
months to
903, Hazard insurance premium for
years to
904. Flood insurance premium for
year. to
905.
rrr066
1001. Hazard insurance
years to
months @
per month
1002. Mortgage insurance
months @
per month
1003. City property taxes
months @
per month
1004. County property taxes
months @
per month
1005. Annual assessments
months @
per month
1006. Flood insurance
months @
pet month
1007.
months@
per month
1008.
months @
per month
1009. Aggregate accounting adjustment
rr
1101. Settlement or closing fee to Old Tampa Bay Title, LLC
450.00
450.00
1102. Abstract or title search
to Old Republic National Title Insurance Company
125.00
1103. We examination
to
1104, Title Insurance binder
to
1105. Document preparation
to
1105. Notarytees
to
1107. Attcmet/s Fees
to
(includes above item numbers;
)
1108. Title insurance
to Old Republic National Tide Insurance Company/Old Tampa
697.50
(includes above item numbers:
)
1109. Lenders coverage (Premium):
1110. Owners coverage Premium :
$124,50D.00 ($697.50)
1111. Endorse:
1112.
to
1113.
rr
1201. Recording fees
to
Deed $16.50 Mortgage($)
Releases
18.60
1202. Citylcountytax/stamps
Deed Mortgage(s)
1203. Stem tWstamps
Deed $871.50 Mortgage(s)
871.50
1204. E-Recordfng
to Simplifile
4.50
13,50
1205. LLCAffidaAt
tr
1301, Verification Fee
to Simplifde
to R2 Residential, LLC
• -
45.00
10.00
1302, Pest inspection
to R2 Residential, LLC
60.00
1303. Lien Search Fee
to Elite Property Research, LLC
120.00
1304. Estoppel Search Fee
to Elite Property Research, LLC
60.00
1305. 2017 Property Taxes
to Seminole County Tax Collector
1,015.72
1306. Notice of Termination
to Simplifile
10.00
1307.
to
13D8.
to
1309.
•I+
Enter on Ones 103 Section J and 502 Section K
2,765.501
9,900.72
DoubleTtme®
HUD-1 SETTLEMENT STATEMENT ADDENDUM
Fite Number: 1711-012 Ranch
I have carefully reviewed the HUD-1 Settlement Statement and to the best of my knowledge and belief, it is a
true and accurate statement of all receipts and disbursements made on my account or by me in this transaction.
I further certify that I have received a copy of the HUD-1 Settlement Statement.
Borrower(s)
Cerberus SFR Holdings, L.P., a Delaware Limited Partnership
By: Cerberus SFR Holdings GP, LLC, a Delaware limited liability company
By:�
Ddniel P. Hu es"
(Corporate Seal)
SelIer(s)
Ranch Mall, LLC, a Florida limited liability company
By:
Joseph J. Linartas
Member/Manager
Settlement Agent
The HUD-1 Settlement Statement which I have prepared is a true and accurate account of this transaction. I
have caused or will cause the funds to be disbursed in accordance with this statement.
Old Tampa Bay Title, 1jLC -
By: - (WVWL--
Date:
WARNING: It is a crime to knowingly make false statements to the United States on this or any other similar
form. Penalties upon conviction can include a fine and imprisonment. For details see: Title 18 U.S. Code
Section 1001 and Section 1010.
uoumo smear
HUD-l. SETTLEMENT STATEl ETNT ADDENDUM
Fite Number. 1711-012 Rand)
I. have carefully reviewed the,HUD-'l Settlement Stateitlent and to the best of -my knowledge and belief, It is a
true and accurate statement of all receipts and disbursements made on my account.or by me In this transaction.
I further certify that I have received a copy ofthe HUD-1 Settlement Statement.
Borrower(s)
Cerberus SFR Holdings, L-.P., a Delaware Limited Partnership
By: Cerberus SFR Holdings GP, LLC, a Delaware limited liability company
By:
Daniel P.-Hughes
(Corporate Seal)
Seller(s)
Ranch Mall, LLC, a Florida limited liability company
r r
Al
Jo ph JO . f ' 'rtas
M e /Mari' er
Settlement:Agent
The HUD-1 Settlement.:5tatementwhich I have prepared is a true and accurate account of this transaction: I
have caused or will cause the funds to be disbursed'in accordance with this statement.
Old Tampa Bay Title, LLC
By:
Date: l
WARNING: It is a crime to knowingly, make false statements to the United States on this or any other -similar
form. Penaitles upon ;conviction can Include a.fin.e and imprisonment. For details see: Title 18.U.S. Code
Section 1DD1 and 5e6on'1010.
DoubleTimep
In Witness Whereof grantor has hereunto.sct grantor's band'and seal.the.day.and'y.= first above written.
Signed, sealed and delivered in our presence:
Ranch Mall, LLC, a Florida limited liabjlity company
J%inacm, ` m er/Manap�f
Stare of Florida
County of t9 jkl'o YIGx�
The foregoing instrument .vas acknowledged before me this �p day of November, 2017 by Joseph J, Linartas,
Member/Menager of Ranch Mall, LLC, a'Florida limited liability company, on behalf of the limited liability company.
l-fe/she U is personally known to me or [X] has produced e'driver's license as identification
y�c'
[Notary Seall Notary Public f
Printed Name:
:off• 7
ar;; ,• ACeERTO E. ROMERO
E Ramry Pubilc State of ftotida My Conunission Expires:
i ` Comroiaslati Y FF 086363
;' fly Comm:Ezplustdar'29,2018
Warranty Deed- Paga 2 OoubleTlmov
Mon -Foreign Certification By Entity 'Transferor
(Seller's FIRPTA Affidavit)
Transferor: Ranch Mall, LLC, a Florida limited liability company
Transferee: Cerberus SFR Holdings, LP., a Delaware Limited Partnership
Property: 1405 West 16th Street, Sanford, FL 32771
Closing Date: November 30, 2017
Before me, the undersigned authority, personally appeared the person(s) named below who, after being duly sworn, stated
as follows:
Transferor is selling that certain real property located in Seminole County, which is more particularly described as follows:
Lot 5 and the East 17 feet of Lot 4, Block 2, PINE LEVEL, according to the map or plat thereof as
recorded in Plat Book 6, Pages 36 and 37, Public Records or Seminole County, Florida,
Section 1445 of the Internal Revenue. Code provides that a transferee or a U.5. real property interest must withboid tax if the
transferor is a foreign person. For U.S. tax purposes (including section 1445), the owner of a disregarded entity (which has
legal title to'a U.S. real property interest under local law) will be the transferor o£ the property and not the disregarded entity.
To inform the transferee that withholding of tart is not required upon the disposition of a.U.S. real property interest by Ranch
Man, LLC, a Ploridn limited liability company,. the undersigned hereby certifies the following on behalf of Ranch Mail,
LLC, a Florida limited liability company:
1. Ranch Mail, LLC, a Florida limited liability company.ts not a foreign corporation, foreign parmerstiip, foreign
trust, orr foreign estate (as those terms are defined in the Internal Revenue Code.and income Tax Regulatlons);
2, Ranch Mall, LLC, a Florida limited liability company is not a disregarded entity as defined in &1.1445-
2(b)(2XM);
3. Ranch Mall, LLC, a Florida limitedliability company's 13.5. employer identification number is 26-4052272; and
4. Ranch Mall, LLC, a Florida. limited .Ilribility company's office address is 325 Orlando Avenue, Winter Park,
FL 32789,
Ranch Mall, LLC, a Florida limited stability company understands that this certification maybe disclosed to the Internal
Revenue Service by transferee and that any false statement contained herein could be punished by fine, imprisomuenti or
both.
Under penalties of perjury, l declare that I have examined this certification and to the bast of my knowiedge and belief it is
true, correct, and complete, and I further declare that ihave authority to sign this document on behalf of Ranch Mall, LLC, a
Florida limited liability company.
Ranch Ma14,.LLC, a Florida limited liabiliy company
By:- =bate {i;Ir1
e, . s; Menib dManager
boubieTimea
State of Florida
County Of
The foregoing instrument was sworn to and subscribed before me this J ..day.of , Iovember,.2OT7 by Joseph J. Unartas,
Member/Manager of Ranch Mall, LLC, a Florida limited liability company, on behalf al' the limited liability company.
HeJshe U is personally known to me or N bas produced a driver's license as identMntion,
[ notary Seat) Notary Public '
Printed name: f _ �v f 14 Aowru
c e AiBERTO E. ROMEAo
' a ' kotery Public -Stale of Florida My Conunission Expires: ,
6s+; Commtsslan I H 036363
.j�,n ,, My Comm: Explres mar29,2018
IJmr-Foreign Car nIrtcartan by Enty 7Mnsjeror - Page 2 Doubl eTlmea