HomeMy WebLinkAbout2237 Tulip Valley PointCITY OF
�� Building & Fire Prevention Division
FORD PERMIT APPLICATION
FIRE DEPARTME I� -�f `5q-S
Application No:
Documented Construction Value: $ 1( 19 •2- • 38
Job Address= • �C' Historic District: Yes[] No
Parcel ID: 32- IS `--3 1-S20 - n000 'O 140 Residentialn Commercial[]
Type of Work: New❑ Addition❑ Alteration ❑ Repair ❑ Demo ❑ Change of Use[] Move ❑
Description of Work:���
Plan Review Contact Person:
Phone: Fax:
Email:
Title:
1 _ Property Owner Information
NameO \2 Phone:
Street: agan A Resident of property? : ye S
City,State Zi
P`
Contractor Information
Name Phone: 4 0 7' 9 60 - 59 33
Street: Fax:
City, State Zip: �StoK� �1.__ 3'�-'i�i State License No.: CCC to
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
Architect/Engineer Information
Phone:
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: 6"' Edition (2017) Florida Building Code
Revised: January 1, 2018 Permit Application $2 K3
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that rpay 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
`,t "W n� r2M44�� a 4f/p0/8
Signature of Contractor/Agent Date
Print Contractor/Agent's Name
C
i)
:� �'J -
Signature of Notary -State of Florida Date
ANNETTE M BLAND
'a Notary Public - State of Flodda
.� COmrissior. # GG 170900
? Nly Comr. Expires Jan 16.2022
Conti own to Me or
Produced ID Type of ID
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
Fire Sprinkler Permit: Yes ❑ No ❑
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
Flood Zone:
# of Stories:
Plumbing - # of Fixtures
# of Heads Fire Alarm Permit: Yes ❑ No ❑
UTILITIES: WASTE WATER:
FIRE:
BUILDING:
Revised: January 1, 2018 Permit Application
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Dateate
I hereby name and appoint: t%,-2S 1 :L1 in Cr( Pr& ZWA
an agent of: X RC L LC
(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):
❑ The specific ermit and application for work 1 at:
(Street
Expiration Date for This Limited Power of Attorney:
License Holder Name:
State License Number:
Signature of License H
STATE OF FLO1R,I_D_ A`- -
COUNTY OF`Q%
The foregoing instrument was acknowledged before me this day of
20k&_, by )D�'A _.L who is)4ersonally known
to me or ❑ who has produced as
identification and who did (did not) take an oath.
(74t�rM V t d
Signature
(Notary Seal)
RUTH-ANN RUBIN
NOTARY PUBLIC
5 STATE OF FLORIDA
Comm# GG159793
Expires 11/13/2021
(Rev. 08.12)
iY\�U`O�Y)
Print or type name
Notary Public - State of
Commission No. GG ngcl3
My Commission Expires: 11 1 a0a 1
THIS INIW
Name: R_ _ eb
Address: t
N®TIC
State of Inc
County of 5
Permit Number,-
BY:
OF COMMENCEMENT
GIIriT 20f rI�
urr►
11 9kS'C1RCUTT COLETcE000IYI
SY 117870gpgsPTRO�L�L�EfR
RECOF '10607
�DED/5013 �1:110)g u v2 P11
RECORDING FEES $10.00
RECORDED BY Jsr_ktanro
Parcel ID Number: 32-18-31-524_0000�0140
The undersigned hereby gives
Chapter 713, Florida notice that Improvement will be made to certain real property, and In accordance with
Statutes, the following information is provided in this Notice of Commencement.
LV�114I r��(�A
et address if available)
I
a
�� OQESCRIPTION OF IMPROVEMENT:
1 III
OWNER INFORMATtnu.
Address: 2237 fiuli Valle Point, Sanford, Florida 32771
Fea Simple Title Holder (if other than owner) Name:
Address: i
CONTRACTOR:
Name: XRC, LLC
Address: 4019 W�1st Street, Sanford, Florida 32771
Persons within th`elState of Florida Designated by Owner upon whom notice or other documents may be served
as provided by Section 713.13(1)(b), Florida Statutes,
Name:
Address:
In addition to himself, Owner Designates
77-1 To receive a copy of the Lienor's Notice as Provided of
Section 713.13(1)(p), Florida Statutes.
Expiration Date of Notice of Commencement (The expiration date is 1 year from date of recording unless a
different date Is sPecified)
WARNINGTO OL�INFQANY PAYMNTS MADE BY THECOMMENCEME— N�TI ARE CONSIDERED IM ROPER PAYME TSEUNDERECHA TER 711THE 3,TPART01, STHE ECTION 713. 3F
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 CO ING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under s of p® ufy, I declare that I have read the foregoing and that the facts stated in it are true
to th y �kno ledge and belief.
� u
Fbrlda Statute 713.130)(9): • The owner must sign the notice of commencement and no one else may 1)9 Permitted to sign in his or her stead."
I
i
State ofCounty of �Q
The foregoing Instrument was acknowledged before me this
day of
by OName of parson maWng statement • Who is personally known to me ❑rc
v
OR who has produc®d Identification type of identification produced.'. =eh�S , W
I
�-
j MUTH ANN RUBIN a a
NOTARY PUBLIC v
,,,• , STATE OF FLORIDA Z !
Orrll V GG159793 Notary Signature
s
Expires 11/13i�m� w,., a _
v—
O
CV
2/21/2018 SCPA Parcel View: 32-19-31-520-0000-0140
n rot�wa,,cra Property Record Card
P� Parcel: 32-19-31-520-0000-0140
Property Address: 2237 TULIP VALLEY PT SANFORD, FL 32771
Parcel Information
Parcel 32-19-31-520-0000-0140
Owner i TISDALE, ROBERT L
TISDALE, RACHAEL A
I
Property Address 2237 TULIP VALLEY PT SANFORD, FL 32771
Mailing 3 2237 TULIP VALLEY PT SANFORD, FL 32771
Subdivision Name TUSCA PLACE NORTH
Tax District S1-SANFORD
DOR Use Code 01-SINGLE FAMILY
Exemptions 00-HOMESTEAD(2012)
IN
0
Seminole County GIS
Legal Description
LOT 14
TUSCA PLACE NORTH
PB 72 PGS 69 - 70
Taxes
Taxing Authority
Assessment Value—
Exempt Values
Taxable Value
— _
County General Fund
—1 —
$176,343
$50,000 i
$126,343
Schools
$176,343
(
$25,000
$151,343
City Sanford
$176,343
;
$50,000
$126,343
SJWM(Samt Johns Water Management)
$176,343
$50 000
$126,343
-
County Bonds
-
$176,343
$50,000 I
$126,343
Sales
Description Date Book Page Amount Qualified
Vac/Imp
WARRANTY DEED j 3/1/2011 07552 1854 1 $190,000 ; Yes
Improved
—
WARRANTY DEED i 2/16/2010 1 07336 0652 j $1,500,000
Vacant
Find Comparable Sales I
Land
Method Frontage
Depth Units
Units Price Land Value 1
LOT
1 $33,000.00 $33,000
Building Information
Is t5eo/t5am
count incorrect!
DICK riere.
#
Description
Year Built
Actual/Effective
Fixtures
Bed
Bath
Base Area Total SF Living SF
Ext Wall
Adj Value
Repl Value Appendages
1
SINGLE
FAMILY
( 2011
10 4 2_5 1,163 3,353 2,694 CB/STUCCO $165,112
I FINISH
$170,219 I i
Description Area
http://parceldetail.scpafl.org/Pa rcel Detail Info.aspx?PID=32193152000000140 1 /2
_ CITY OF
Building &Fire Prevention Division
SkNFORD RESIDENTIAL RE -ROOF POLICY & PROCEDURES
FIRE DEPARTMENT
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 PROVIDED BY A FLORIDA DESIGN
PROFESSIONAL (ARCHITECT OR ENGINEER), CERTIFYING FBC CODE COMPLIANCE BY PERSONAL INSPECTION.
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: ��--�� �� DATE: �� 18
1�
CITY OF
Y
DEPARTMENTSkNFORD
FIRE
JOB ADDRESS:
PERMIT # 1 U —15q
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
STRUCTURE TYPE: 0 SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: I&REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY):
* *PLEASE NOTE: ONLY 100 SQUARE FEET-WF THE EXISTING DECK IS PERMITTED TO BE REPLACED"
ROOF VENTILATION: DOFF -RIDGE RIDGE OSOFFIT OPOWERED VENT
SKYLIGHTS: O YES I4NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2:12 — 4:12
0 4:12 OR GREATER
OTURBINES
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
SHINGLE
wanFL#
14
O METAL
FL#
O MODIFIED BITUMEN
FL#
OTORCH DOWN
FL#
OINSULATED
FL#
O TILE
FL#
O OTHER:
FL#
ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **IF APPLICABLE**
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#
OTORCH DOWN
FL#
OINSULATED
FL#
O TILE
FL#
O OTHER:
FL#
_V59t)
I�
XRC Xtreme Roofing &
Construction LLC
4019 W 1 st Street (SR-46)
Sanford, FL 32771
(407) 960-5933
Mathew Appell
(407) 960-5933
Mathew.Appe lloXRC FL.com
Invoice
Contact: Rachael Tisdale
Job #52521 - Rachael Tisdale
2237 Tulip Valley Pt
Sanford, FL
Invoice No: 1831
Invoice Date: 1/24/2018
Due Date: 2/8/2018
Eagleview Report Eagleview Report. Site visit. Inspection report.
Roofing CertainTeed LandMark Make it your own.
When does your house become a home? When the place
you live in begins to reflect the life you're living. When every
change, big or small, makes it more your own. Choosing a
new roof is your opportunity to make a major impact on the
look of your home- and we're here to help. So you can be
confident that your new roof will enhance and protect your
home for year to come.
Integrity Roof System
Preparation of Scope of Work: Re -roof
Time to Complete Scope of Work: 7 Days
Roof System over 5% pitch. Shingles are missing in several
locations. Remove damage roofing system. Remove drip
edge flashing. Check decking system and re -nail per code.
Install CertainTeed Shingles
Lifetime, limited transferable warranty
A. Remove existing roofing system. One Layer
B. Check the decking system, remove damaged materials
and re -nail per code. Install new material as needed.
C. Remove existing drip edge.
D. Install Underlayment is manufactured to provide best -in -
class performance in terms of both weather protection and
contractor safety.
E. WinterGuard® waterproofing shingle underlayment is the
solution for winning the battle against water penetration in
your roofs most vulnerable places.The asphalt makes it
vapor -tight, and the polymers make the asphalt elastic and
sticky. This protective barrier is able to stretch and seal
around nails driven through it.
F. Install accessories. Lead Boots, Goose Necks, ect.
G. Install starters.
H. Install Shingles.
I. Install hip and ridge.
J. Install vent system.
I. Keep a clean and safe working area
1.00 $350.00
100 ,$385.00
4
You
G
1.00 $0.00
$350.00
$0.00.
Item Name P Description,' Qty Price Amount
J. Owner to supply a staging area for: Dumpster, electric
and water hook up.
K. Contractor to supply all equipment to install to
CertainTeed specifications
L. All sq ft will be determined at start of job with a
representative from XRC.
M. 10 Year Warranty Labor *** - Manufacture Limited Life
Time Warranty ***
CertainTeed Integrity Roof System® which is comprised of
underlayments, shingles, accessory products and ventilation
all working together. The Integrity Roof System is designed
to provide optimum performance -no matter how bad the
weather conditions are.
CertainTeed Shingles Color
,;CertainTeed Shingles;(color
Roofing Demo Shingles 1 Layer
Remove Tear off Comp. Shingles
23.30
$56.37
$1,313.42
Roofing High Roof Removal
Remove Additional charge'for High Roof (2`Stones or .':° r `,
23.30 µ
$6.566 ' 1
- $15285
�..._ ..
r'KMore),wa
Roofing Synthetic Underlayment
Felt, Underlayment
23.30
$42.17
$982.56
Roofing Re'Nail Decking 7
Re -Nail Per,Code with 2 3/8".Rmg Shank Nails. Per sq.'"
23 30
=$24 33 :
$566.89
Roofing Starters
Starters
206.00
$1.73
$356.38
RoofingEave Edge .,°. D-style Eave Edge 2 1/4 26,Gauge-Color3
T
275.00.
„$3 12
$'858.00
7"
Roofing Valley Metal
All valleys in roof shall be covered with metal. Metal shall be
25.00
$6.14
$153.50
attached to the sheathing or decking.
Roofing Lead Boot 2 R & R Flashing - Pipe Jack -Lead Boot 2" 4.00 $72.97 $291.88
Roofing Vent Turtle Type Roof Vent - Turtle Type - Metal 2.00 $65.39 $130.78
Roofing Ridge Cap
Ridge Cap -' -° :'r . v ' ` 140 00" $5 75 .
; $805.00'
Roofing Vent Off Ridge 4'
Off Ridge Vent 4' - W - Br. - BI.
3.00
$94.25
$282.75
Gutters Detach &Reset
Gutters /Downspout -:Detach'& Reset
125.00'
$3 04
$380.00
Roofing Wood Replacement
Replacement of bad wood with owners approval as follows:
1.00
$0.00
$0.00
Plywood - $85.00 per 4x8x1/2; Board Sheeting $8:00 per
linear foot; Rafters $6.00 per linear foot; Fascia $8.00 per
linear foot. Additional layers of shingles will be $35.00 per
square foot.
Roofing Dump Fee
Debns Haul Away D`umpster,/ Trailer Code'30.°`Per 1
1:OOt
$385.00ry
r $38500
,
Note on Estimates
NOTE: Estimate are based upon what could be visually
1.00
$0.00
$0.00
seen at the time of inspection, any unforeseen damage will
result in a change order and possible additional charges.
Comments:
Sub Total:
$14,192.38
Total:
$14,192.38
Payment 2/22/2018
$8,772.38
Total Paid
$8,772.38
Balance Remaining
$5,420.00
CITY OF
SkNFORD Building & Fire Prevention Division
RESIDENTIAL RE -ROOF AFFIDAVIT
FIRE DEPARTMENT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: — ` tj ADDRESS: a �,3`1 \l1LlLo `1Q��Qu �� LY\t
I I t , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
ROOFING CONTRACTOR, ENGI E R, ARCHITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, I HEREBY AFFIRM, THAT ALL OF THE
FOREGOING INFORMATION IS TRUE AND ACCURATE AND THAT ALL ROOFING COMPONENTS LISTED ON THE SCOPE OF WORK AT THE
ABOVE REFERENCED ADDRESS HAVE BEEN INSTALLED IN ACCORDANCE WITH THEIR PRODUCT APPROVALS AND ALL APPLICABLE CODE
REQUIREMENTS — SPECIFICALLY FLORIDA BUILDING CODE, EXISTING BUILDING. IN ADDITION I CERTIFY THE INSTALLATION MEETS ALL
REQUIREMENTS FOR SECONDARY WATER BARRIER AND NAILING OF THE ROOF DECK, IN ACCORDANCE WITH THE HURRICANE RETROFIT
MANUAL REQUIREMENTS (BASED ON F.S. CHAPTER 553.844).
LICENSE#: CCC.
COMPANY / CONTRACTOR:
CONTRACTOR SIGNATURE: DATE: CY[9J Ow1
(MUST BE SIGNED BY LICENSE HOLDER OR WNER/BUILDER)
A FINAL ROOF INSPECTION IS REQUIRED:
THIS SIGNED AND NOTARIZED AFFIDAVIT MUST BE PROVIDED AT THE JOB SITE AT THE TIME OF THE FINAL ROOF INSPECTION,
ALONG WITH DIGITAL PHOTOGRAPHS OF EACH PLANE OF THE ROOF SHOWING IN DETAIL ALL COMPONENTS (DECKING,
UNDERLAYMENT, FLASHING, DRIP EDGE ATTACHMENT) WITH THE PERMIT NUMBER OR ADDRESS CLEARLY MARKED ON THE DECK
FOR EACH INSPECTION. THE PHOTOGRAPHS MUST INCLUDE A RULER OR MEASURING DEVICE TO CONFIRM ALL NAIL SPACING AND
OVERLAPS, INCLUDING DRIP EDGE AND VALLEY FLASHING. PLEASE REFER TO THE RE -ROOF POLICY AND INSPECTION PROCEDURE
PAPERWORK FOR FURTHER EXPLANATION OF ALL REQUIREMENTS.
"FAILURE TO FOLLOW ALL REQUIREMENTS WILL RESULT IN A FAILED INSPECTION, A RE -INSPECTION FEE AS
WELL AS REQUIRING A DESIGN PROFESSIONAL (ARCHITECT OR ENGINEER) TO CERTIFY, BASED ON PERSONAL
INSPECTION, THE INSTALLATION OF ALL ROOFING COMPONENTS.
STATE OF FLORIDA COUNTY OF "�jYn(2,
Sworn to and Subscribed before me this �oday of 20 $ by:
PjAq Vf Who is[Personally Known to me or has ❑ Produced (type of
identification) as identification.
(-,&-f
1PRyq RUTH-ANN RUBIN
Signature of Notary Public Q NOTARY PUBLIC
State of Florida I —STATE OF FLORIDA
R` a Comm# GG159793
u�Rnn��b,� ��NCE Expires 11/13/2021
Print/Type/Stamp Name
of Notary Public