HomeMy WebLinkAbout509 Plumosa Dr (2)Building &-.Fire Prevention Division
PERMIT APPLICA T10A1
Application No: k-f J Ll(�
Documented Construction Value:,S 14,150.00
!fob job Address: 509 PLUMOSA DR SANFORD, FL 32771 V(
.Parcel ID: 31-19-31-507-0800-0040 Historic District, Yes[]No,n
Residenti'a][21 Coninlie'reiall—I
Type of Work: Ne-14:1 AdditionR Alteration Z Repair R Demoo Change of UseFlmoveFl
Description of Work: RESIDENTIAL REROOF
Plan Review Contact Person: LAURA HODGES OFFICE MANAGER
Title:t
Phone: 407-650-0013 Fax: 321-972-8839 Email. LHODGES@HODGESBROTHERS.NET
Property Owner Informati6n
Name ANNETTE D WAMLEY AND ELMA YOUNG
Phone: 407-535-0134
Street: 509 PLUMOSA DR SANFORD, FL 82771
Resi'dent of property? - YES
City, State Zip:
Contractor Information
N.'ame ROTHERS INC. UAHL G. HODGES -650-0 , 013,
Phone: Ph -407
Street- 501 HAVES AVENUE Fax; 1 P21-1972-8839
City, State Zip; ORLANDO, FL 32805 No, - CCC042845
State License ll
ArchitecVEngineer 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 I IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NO" B
TICE OF COMMENCEMENT MUS'l E
RECORDEDA,ND POSTED ON TILE JOB SITE BEFORE THE FIRS1' INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING' YOUR NOTICE OF
CO.N'IMENCEMLNT.
Ap[ilication is hereby trade to obtain a pern9it to do the work and I 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,
diction, I understand that'a separate permit must be secured for electrical work, plumbing,5igns, I wells, pools,
furnaces, boilers, heaters, tanks, and air conditioners, etc.
ITC 105.3,Miall be inscribed with the (lateof,at)i)l;cation,aild,ti". C()d,-,in eff-cl �J�s ofth:lt date: I 61h Edition (2017) FlorjdA Buildiiig Code
Ruvised. JailUaf'y 1, 2018
Pumit Application
NQ=:, 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 perinits required from other aOvernmental entities such as water
management districts, state agencies or federal agencies.
Acceptance of permit
is verification that twill notify the o-Wile" Of the Property Of the requiretwrits 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 thue of'submittal.
I lie actual construction value will be figured based Oil the Current ICC Valuation `['able ' in effect at the time the permit i I s 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 peril it 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.
4
3/13/18ianturc o0%ertAgent Date Signature of ContraQorh'Wentv
Date
VANESSA R'EIKER
Notary Public -State " ofFloricla
Comm:ssion GG 1353,25
,Mj Comm. Expires Aug 16,2021
Owner/Agent is, PersonallyWit
'1�fio i to M
_e 0r
1,1roduced'i D _ �4_ Type ofID -AW 1 '16-1)0
Carl Curtis Hodges
f�rint Co9inactor/1' gcntls Name
3/13/18
Date,
LMJRA L, POD40ES
k"Y CU' JWSSICN 4 FF 33342r)
EXPIFIES: May 1, 2020
Contrae , tor/Acrent is: X Per§Cinal ly' Known to Me ol.
Produced ID TyPe of '11)
BELOW IS FOR OFFICE USE ONLY
Permits'Reijifired Bulldiri Electridal F] Meclianical 17 Plunibin-E] Gaistr_j Roof
Construction Type: Occupancy Use: Flood Zone:
Total Sq Ft of Bldg: Min. Occupaincy Load:
4 of .Stories;
New Construction: Electric - kof Amp's Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes El No n -I'r-' of Heads — Fire Alarm Permit: Yes F1 NoFj
APPROVALS: ZONING: UTILYHES: WASTE WATER:
ENGINEEE �RING:
COMMENTS;
Red i,icd . hlffiUt V I . 20 18
FIRE:
BUILDING
Peinut Application
888 Bonita Avenue
New Smyrna Beach, FL 32169
CCC042845 / CGC1518169
PROPOSAUCONTRACT
Date
Estimate #
11 /3/2017
1962rev2
Proposed Work Location
Attention:
Annette Wamley
Joe Sandley, Construction Project Manager
509 Plumosa Dr
Community Development Division
Sanford
Seminole County
PH: (407) 535-0154
534 West Lake Mary Blvd.
Sanford, FL 32773
Description
Qty
Rate
Total
Trim overhanging tree limbs from roof. Photos attached
Existing a/c equipment to be removed by Hodges Brothers in order to
install the new roof. The homeowner will be without a/c for up to
two days. Homeowner is responsible for the reinstallation of the a/c
equipment.
Materials cost to complete roofing work
3,674.00
3,674.00
Factory Trained and Certified Roofer
60
64.00
3,840.00
Regular Hours
Roofer Apprentice — Regular Hours
60
42.00
2,520.00
Roofer Helper — Regular Hours
98
42.00
4,116.00
Payment due upon completion.Credit card payments will incur a 2.25% fee. Not responsible for cracks in ceilings. Quote is based on our vehicles
ability to back up to building; however, we are not responsible for cracks in driveway. There will be an additional charge if we are unable to utilize
driveway. A finance charge of 1.5% per month (18% annum) will be added to unpaid accounts 30 days from date of invoice. Should collection
action be necessary, customer agrees to pay reasonable attorney's fees and courts costs, including any appeal costs. This proposal is subject to
acceptance within 60 days. We do not accept or undertake any liability herein for delay or inability to perform due to fire, strikes, Acts of God, of the
elements, or of the public authorities. nor do we accept or undertake any liability for damage or loss of materials on work performed due to acts or
omissions of third parties. Any roof penetrations made after completion of contract will void all warranties.
This contract is valid when signed and accepted.
Please sign and return proposal contract to us:
total $14,150.00
ACCEPTED BY:
Phone #
Fax #
E-mail
Web Site
407-650-0013
321-972-8839
info@hodgesbrothers.net hodgesbrothers.net
www.hodgesbrothers.net
Page 2
THIS INSTRUMENT PREPARED BY:
Na., HODGES BROTHERS, LAURA HODGES
Address: 501 HAMES AVE OFiLAND , FL A9R05
NOTICE OF COMMENCEMENT
State of Florida
County of Seminole
Permit Number:
Parcel ID Number: 31-19-31-507-0800-0040
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 the property and street address 0 available)
LOT 4 BLK 8
SAN LANTA
PB 3 PG 80, 509 PLUMOSA DR SANFORD, FL 32771
GENERAL DESCRIPTION OF IMPROVEMENT:
OWNER INFORMATION:
Narne: ANNETTE D WAMLEY AND ELMA YOUNG _
Address: 509 PLUMOSA DR SANFORD, FL 32771
Fee Simple Title Holder (if other than owner) Name:
CONTRACTOR:
Name: HODGES BROTHERS INC.
Address: 501 HAMES AVENUE, ORLANDO, FL 32805
Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served
as provided by Section 1.13.13(1)(b), Florida Statutes.
Name:
In addition to himsclt, Owner Designates
Section713.13(1)(b), Florida Statutes.
of
_ To receive a copy of the l.ienor's Notice as Provided In
Expir itfon Date of Notice of Commencement (The expiration date is 1 year from date of recording unless a
different date is specified)
WARNING TO OWNERANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMFNT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTFR 713, PART I, SECTION 713.13,
FLORIDA STATUTES. AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A
NOTICE OF COMMENCEMENT MUST BE REQORDED 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 1 have read the foregoing and that the facts stated in it are true
to th est of my. kkpowledge and belief.
Ownari Signature Owners Printed Name
Florida Statute 713.130)(g): `Tire owner rnust sign the notice of rartimencement and no one eke may be pennitled to si_ i his or her stead
State of nix tCCN County at C-1.
The foregoing instrument was acknowledged before me this 17-5, day of tt t fj' 0 .)
by Who's personae known to me ❑
Name of person making slat
OR who has produced identification pe of identification produced: j
••,i.::;�••..
f: =` _ VANESSA M. 0KER -
,UrSs'N. Notary Public -State of Florida t Signature
S>•r•' Commission R GG 13532S
••.,•r;_ My COMM. ExpAug6, 2021
'res 9
CT'
GRANT MALOY, CLERK OF CIRCUIT COURT SEMINOLE COUNTY FL
CLERK'S # 2018027444 BK 9090 Pg 0571: (1pg) E-RECORDED 03/13/2018 08:52:29 AM
10.00
SANF____
5FIRE DEPARTMEt'14
PERMIT NO. / ® •
Building & Fire Prevention Division
ISSUE DATE:
Re -Roof Permit Card
CONTRACTOR: tT_0d4C s 1JMMeoira3
JOB ADDRESS: So )o®-
TYPE OF WORK:
Q
PROTECT FROM WEATHER
• Post this Permit and all required documents in a conspicuous place outside
• Digital Photographs are required - please follow re -roof policy and procedures guide
• All trash, debris and dumpsters must be removed from job site at final inspection
• Permit expires six (6) months from date of issue
ECTION TYPE
AL ROOF
APPROVED REJECTED INSPECTOR
FAILURE TO FOLLOW THE RESIDENTIAL RE -ROOF POLICY & PROCEDURES WILL RESULT IN A FAILED INSPECTION, A RE -INSPECTION
FEE AND MAY REQUIRE AN AFFIDAVIT, SIGNED AND SEALED, FROM A REGISTERED FLORIDA DESIGN PROFESSIONAL
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. FBC 105.3.3
REVISED: 4-17 Inspection Line 407.792.6069 or 855.541.2112
TO SCHEDULE AN INSPECTION:
• Dial 407.792.6069 or 855.541.2112
• Provide the items�requested during the message
• The type of inspection requested must be scheduled under the appropriate permit type
• Follow the prompts
PLEASE NOTE: Inspections scheduled by. 5:00 p.m. will be conducted the
next business day. If you experience difficulty, please call 407.688.5150
Monday - Thursday 7:30 am - 5:30 pm for assistance.
AUTOMATED INSPECTION SYSTEM CODES
Final Roof Inspection Code 111
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
REVISED: 04-17 Inspection Line: 407.792.6069 or 855.541.2112
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: 6 DATE: 3/13/18
.I SkNyo
, FORD
DEPARTMENTFIRE
PERMIT #
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
JOB ADDRESS: 509 PLUMOSA DRIVE, SANFORD, FL 32771
STRUCTURE TYPE: (2) SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: g) REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY: 1 /2" Plywood
**PLEASE NOTE: ONL Y 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED
ROOF VENTILATION: OFF -RIDGE O RIDGE OSOFFIT OPOWERED VENT
SKYLIGHTS: O YES ((NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
-----------------------------------------------------------------------------------------------------------
MAIN ROOF AREA
ROOF SLOPE: (R LESS THAN 2:12 O 2:12-4:12 O 4:12 OR GREATER
O TURBINES
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
O SHINGLE
FL#
O METAL
FL#
MODIFIED BITUMEN
Certainteed Flintastic
FL# 2533-R19
OTORCH DOWN
FL#
O INSULATED
FL#
O TILE
FL#
O OTH ER:
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#
O INSULATED
FL#
O TILE
FL#
O OTHER:
FL#
FIRE INSPECTIONS
CITY
OF SANFORD
407.562.2786
BUILDING & FIRE
PREVENTION
BUILDING INSPECTIONS
300
N PARK AVE
855.541.2112
SANFORD FL 32771
DRIVEWAYS -SIDEWALK 407.688.5080
----------------------------------------------------------------------------
Page 2
Application Number . . . .
. 18-00001346
Date 3/19/18
Property Address . . . . .
. 509 PLUMOSA DR
Parcel Number . . . . . . .
. 31.19.31.507-0800-0040
Application description . .
. ROOFING APPLICATION
Subdivision Name . . . . .
. SAN LANTA 1ST SECTION
Property Zoning . . . . . .
. SINGLE FAMILY
Permit . . . . . . RESIDENTIAL ROOFING PERMIT
Additional desc . .
Phone Access Code 1037803
Permit pin number 1037803
----------------------------------------------------------------------------
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
----------------------------------------------------------------------------
1000 111 BL03 FINAL ROOF _/_/_
Building & .Fire.Prevention Division
RESIDENTIAL RE-ROOFAFFIDAVIT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: 18-1346
ADDREss: 509 PLUMOSA DRIVE,
SANFORD, FL 32771
1 Carl nt=q _ _ , AS A(N) GENERM., BUILDING, RESIDENTIAL, OR
ROOFING CONTRACTOR, ENGINEER, ARCHITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, I HI3REBY AFFIRM, THAT At..[.. OF THE:
FOREGOING INFORMATION IS "[RUE AND ACCURA'['Ei AND "['I-1A'I' AL,I.., ROOFING COMPONL N'[S LISTED ON TLIE SCOPE: OF WORK AT T] IE
ABOVE REFERENCED ADDRESS HAVE BEEN INSTALLED IN ACCORDANCE WTTEI THF.LRPRODUCT APPROVALS AND ALL APPLICABLE CODE
R.EQUIR1 MI NTS —SPECIFICALLY FLORIDA BUILDING COI:)F.., EXISTING BUILDING. IN ADDITION I CI: R"FIFY TILE INSTALLATION MEETS AL,L,
REQUIREMENTS FOR SECONDARY WATER BARRIEIR AND NAILING OF THG ROOF DI-:CK, IN ACCORDANCE, WITH THE HURRICANE RETROFIT
MANUAL. REQUIREMENTS (BASED ON F.S. CHAPTER 553.844).
LICE,NSI: #: CCC 042845
COMPANY / CONTRACTOR:
CONTRACTOR SIGNATURE: DATE: 312J
�%
11
(MUST BE SIGNED BY LICENSE IIOLDL R OWNE :R
A FINAL ROOF INSPECTION IS REQUIRED:
TH15 SIGNET) AND NOTARIZED AFFIDAVIT MUST CBE PROV11)ED AT TFIF, J013 SITE, AT THE TIME OF THE FINAL, ROOF INSPECTION,
ALONG WITH DIGITAL PtIOI'OGRAPHS OF EACII PLANK; OF TIIE ROOF SIIOWING IN DETAIL Al. L COMPONENTS (DECKING,
IINDERLAYIMENT, FLASHING, 1)RIP EDGE ATTACH MEN'T) WITH TTIE PERMIT NUMBER OR ADDRESS CLEARLY MARKED ON TII1 1)ECK
FOR EACII INSPECTION. TFLF, P'IIOTOGRAPHS MUST INCLUDE. A RULER OR MEASURING: D'EVIC E TO CONFIRM ALL NAIL SPACING AND
OVERLAPS, INCLUDING DRIP EDGE AND VALLEY FLASHING. PLEASE REFER TO THE RL:-ROOF POLICY AND INSPECTION PROCEDURI
PAPERWORK FOR FURTHER EXPLANATION OF ALL REQUIRENIENTS.
**FAILURE TO FOLLOW ALL REQUIREMENTS WILL RESULT IN A FAILED INSPECTION, A RE -INSPECTION FEE AS
WELL AS REQUIRING A DESIGN PROFESSIONAL (ARCIIITECT OR ENGINEER) TO CERTIFY, BASED ON PERSONAL
INSPECTION, THE INSTALLATION OF ALL ROOFING COMPONENTS.
STATE OF FLORIDA COUNTY OFF✓_
Sworn to and Subscribed before me this day of fYVA-✓CC 20 jL by:
Who ' ' Personally Known to me or has ❑ Produced (type of
identification)
1gn ture of Notary Pu c
State of Florida
):ri1)A a,, ,l_ 1-1n,,<1
Print/Type/Stamp Name
of Notary Public
as identification.
ep. LAURA L HODGES
MY COMMISSION # FF 953420
y. *°I.SI'E.EXFIRES: May 3, 2020
a:
Bonded Thru Notary Public Underwriters