HomeMy WebLinkAbout110 Gleason CoveCITY OF SANFORD
AIR 2 6 2018 J BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: I S- ,q'OO6
Documented Construction Value: $
I
Job Address: 110 C' ka5on 1.DV'e- SCAy4ord F. 3Tl I Historic District: Yes ❑ No,9
Parcel ID: — I a30 Residential Er Commercial ElType of Work: New ❑ Addition ❑ Alteration ❑ RepairM Demo ❑ Change of Use ❑ Move ❑
Description of Work: kzr()1 - Tyr 09 :0( IIna !� OLQ C `e— Wl L L,
wo f, .
Plan Review Contact Person: E ? Title: -ec--V-
Phone: 3 "'(G1�Fax: Email: Vl C
Property Owner Information
Name &4A �HA_ .Q Phone: `10 — q/S , 5 3O S
Street: I �C1 Ita on ('Q�te_ Resident of property?
City, State Zip: 5cldo,r(A F(- 33"1"j i
Contractor Information
Name covcnan VICA Phone:
Street: IL Fax: �
I b F,�� � Sa - apt
City, State Zip: State License No.: CCC
Architect/Engineer Information
Name: Phone:
Street: Fax:
City, St, Zip: E-mail:
Bonding Company: Nlortaaae Lender:
Address: Address:
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEtLMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMtVIENCEMENT 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
COVINIENCEMENT.
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. l 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: 51h 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 wilt 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.
WA ' M...
fnature o C Owner 'Agent Date
Print till � (/���i!•1� r
•
Skmantre of Notary -State of Florida Date
Owner/Agent is Personally Known to lvle or
Produced M Type of ID
Print Contractor/ A,encs Nan
I a,�e-
Si� re of Notary-Sta e f Florida Date
LINDSAY DUCKNAM
c� �: Commission k FF 172210
s+ +=
My Commission Expires
Oot r 8, 2018
Co own to NIe or
Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building ❑ Electrical ❑ vlechanical ❑ 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: June 30, 2015 Permit Application
Limited Power of Attorney
Date `
I hereby name and appoint tAbf (_ of Covenant Roofing
and Construction, Inc. to be my lawful attorney in fact to act for me and apply to
for a reroof permit for the following address:
IN
'0150
E
Sworn to and subscribed b 45e me this day of , 20.
By Joseph E. Rayl who is 4 personally known to me or _ produced
My Commission expires:
LINDSAY DUCKHAM
Commission # FF 172210
1,0`�
My Commission Expires
''•f...... II.0"K°,
October 28. 2018
PII
laiU'JD W b v r'1G/�1) M
After recording, return to:
Covenant Roofinq
1410 Emerson St. Leesburq, FL 34748
lti i_v i . ;:i �.I�t._ t'..J .,I. .� J, t i i
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C:ul'll'' I ftfiLi..E.f:
120-1
CLERK'S g... 2018044021.
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Permit No.: Notice of Commencement
Tax Folio No.: �— •^G�fb —S �— (� — �� �� State of Florida
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.
1. Description of the Property: (legal description of the property and street /address if available)
Legal Description: e� 1.�3 PiG� Cr U �bC�r7J P�
Street Address: _110 (� �c.�aun 601/e- 5c,/) �or r/ F L 3� 7 7/ CERTINED GORY GRAN --tom z;=
2. General Description of Improvement CLERK Of THE CIRCUIT COURT ra
Ct
V AND GOf1 PT GLLER
3. Owner's Information or Lessee information if the lessee contracted for the improvement: t t
Name: Y
Address: //f) /r-/r& cnv, /tnl fe S,- n C., A C! -4n%7 / Dana_ n Qn
Interest in Property: 0 t,-.,,n t-('
Name & Address of fee simple titleholder (if different than owner):
4. Contractor Information
Name: Covenant Roofinq & Construction, Inc. Phone No.: 352-314-3625
Address: 1410 Emerson St. Leesburq, FL 34748
5. Surety (if applicable, a copy of the payment bond must be attached):
Name
Address:
6. Lender Information:
Name:
Address:
Phone No.: _
Amount of Bond: $
Phone No.:
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section
713.13(1)(a)7., Florida Statutes:
Name:
Phone No.:
Address:
8. In addition to himself or herself, Owner designates of
to receive a copy of the following Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes: I Phone No.:
9. Expiration date of notice of commencement (the expiration date will be 1 year from the 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 HE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO
OBTAIN FINANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE COMMENCINS WORT{ OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Sldnatuhfof Owner or Lessee, or Owner's or Lessee's Authorized OfricedDirectorlPartnerlManager
P) JAW ,—
Signatory's Title/Office
The foregoing instrument was acknowledged before me this CZ inday of 20_Zg, by�����N �/�% as
for who
Type of authority (i.e. officer, trustee, attorney in fact) Name of party on behalf of whom instrument was executed
is personally known or produced FL OL 60" 7 b 0 XZ! 2Z2 J as type of identification.
Agwpu c MICHAEL H. REAMES
M, MY COMMISSION # GG 129505 Signature of ary Pu tic -"State of Florida (print, type or stamp commissioned name of Notary Public)
`�iFoF�` EXPIRES: July 30, 2021
Notice of Commencement - BF29 (Updated 8.19.16) Astatula, Clermont, Eustis, Fruitland Park, Howey in the Hills, Groveland, Lady Lake,
Lake County, Leesburg, Mascotte, Minneola, Montverde, Mount Dora, Tavares, Umatilla
PERMIT #
City of Sanford Building Division
Residential Re -Roof Scope of Work
JOB ADDRESS:
STRUCTURE TYPE: ® SINGLE FAtVIILY RESIDENCE/TOWNHOUSE O MOBILE HOME O .APARTMENT/CONDO:�ILNIU�I
RE -ROOF TYPE: ® REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY):
**PLEASE [VOTE: 01VL Y l 00 SQUARE FEET OF THE EXLSTLVG DE K IS PERiWTTED TO BE REPL.-ICED * *
ROOF VENTILATION: D OFF -RIDGE ® RIDGE OSOFFIT OPOWERED VENT
SKYLIGHTS: O YES ®NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
-----------------------------------------------------------------------
MAIN ROOF AREA
ROOF SLOPE: O LESS THAW 2: 12 O 2: 12 - 4:12
® 4: 12 OR GREATER
OTURB(lNES
TYPE OF ROOF
INIAYUFACTURER
FLORIDA PRODUCT APPROVAL
®SHINGLE
Ca44rjftRCd
FL# SCMO
O iNIETAL
FL#
O iVIODIFIED BITU-N[EN
FL#
OTORCH Dow -I
FL#
O INSULATED
FL#
O TILE
FL#
O OTHER:
FL#
ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **LFAPPLICABLE**
ROOF SLOPE: O LESS THAN 2: 12 O 2: 12 -4: 1 2 O 4: 12 OR GREATER
TYPE OF ROOF
INIANUFACTURE R
FLORIDA PRODUCT APPROVAL
O SHINGLE
FL#
O METAL
FL#
O MODIFIED BITUMEN
FL#
OTORCH Dower
FL#
O INSULATED
FL#
OTILE
FL#
0OTHER:
FL#
CITY OF
SkNF®RD Building & Fire Prevention Division
z 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) SIGNAT t DATE:
Contract Price $ _.W 73, 00
do not want the goods or services and must be delivered or postmarked before midnight of the third business day after you HOm IOn
sign this agreement. us Total from Item No. 3 above)
8. Both worker's compensation and public liability insurance are carried by the Seller and they are applicable to the work to be
performed. UPON COMPLETION
9. It is understood and agreed that the buyer hold harmless, Covenant Roofing & Construction, Inc., for any damages that may
occur to the buyer's driveway(s) during delivery of materials and/or removal of the work related debris that may be required
to perform this home improvement contract. Furthermore, the buyer herein gives permission for typical delivery vehicles and
typical waste removal vehicles to enter said driveway(s) for the purpose of expediting this sales contract:
10. Contractor will coordinate removal and reinstallation of roof related Peripherals such as out not limited to)lsolar units, skylights,
T.V. dishes and air conditioners, etc. The cost for such work will be in addition to contract price and approved by homeowner.
11. Covenant Roofing & Construction, Inc. shall not be held responsible for damage to electrical lines, waterlines, refrigerant lines
or other mechanical components that have been improperly installed near roof decking and may be damaged while performing
installation of roofing materials. Covenant Roofing & Construction, Inc. shall not be responsible for any additional costs due to
roof decking that may have old materials adhered in such a way that requires redecking of structure.
12. Construction Industries Recovery Fund payment may be available from the CIRF if you lose money on a project performed
finder contract, where the loss results from specified violations of Florida law by a state -licensed contractor. For
information about the recovery fund and filing a claim, contact the Florida Construction Industry Licensing Board at the
following telephone number and address: 7960 Arlington Expressway, Suite 300, Jacksonville, FL 32211-7467 or call (904)
727-6530.
13. Chapter 558, Florida Statutes contains important requirements you must follow before you may bring any legal
action for an alleged construction defect in your home. Sixty days before you bring any legal action, you must
deliver to the other party to this contract a written notice referring to chapter 558 of any alleged construction defects
and to consider making an offer to repair or pay for the alleged construction defects. You are not obligated to accept
any offer which may be made. There are strict deadlines under this Florida Law which must be met and followed to
protect your interests.
Executed in triplicate, one copy of which was delivered to, and receipt is hereby ackn.owlectged by Buyer,
this -GK 0 day of , 20 _.
Approved and Accepted: NO
a.
b.
CONS.TRUCTIO'
1410 Emerson Street, Leesburg, FL 34748 • State Roofing License: CCC1329936 • License: CGC037504
Phone: 352-314-3625 • Toll Free: 855-314-3625 • Fax: 352-240-3439 • www.covenantrnc.com
SALES CONTRACT
Covenant Roofing & ))Construction, Inc.
agrees to furnish all materials and labor necessary /to do the modernization work at the following address:
Name )(�—P2�,) ,p Aale Phone b�Phone (w)
Address ,[�` -M CID h 6,ye Date 3 o?k
,
City rRn � e EW State % Zip 22 % 72
Email
In accordance with specifications given below:
REROOF:
A. SHINGLE ROOF
1. REMOVE OLD ROOF TO WORKABLE SURFACE.
2. RENAIL ROOF DECK WITH RING SHANK NAILS.
3. REPLACE ANY ROTTED WOOD WIT14 STAND S EATHING ® $ _-2— PER FOOT AND $ -2-O PER SHEET OF PLYWOOD, IF ANY. (Initial)
4. INSTALL UNDERLAYMENT OVER ENTIRE ROOF. 801X
5. INSTALL FHANA EAVES DRIP. CO 0
6. INSTALL NEW VALLEY METAL AND FLASHINGS AS NECESSARY.
7. INSTALL jj�__L
8. INSTALL NEW LEAP
ERGLASS SHINGLES. COLOR OVER VENT PIPES AND
VENTS.
9. INSTALL Z'Q._- FEET OF RIDGE VENT VWWRW. COLOR cJ
10. CLEAN-UP JOB SITE OF ALL WORK DEBRIS AND HAUL AWAY ALL RELATED DEBRIS AND LEAVE J B SITE CLEAN.
CONT CT R WIy
ORDINI�T)yfEMOVAL�EINSTAL TI OF ROO�ED PERIPHE L CH AS (BUT NO L ED TO) SOIZITS, SKYLIGHT , H
AND AIR NDITIS, ETC MOVE AND INSTALL EXI NG SOFFIT FACIA ®$4.25 P FOOT IN ADDITION NTRACT PR EQUIRED. COST FOR
SUCH WILN ADDI IO TOCONT12. ALL W RK OVEY A 5 YEAR WORKMANSHIP WARRANTY
1. Contract Documents. This contract consists of this document, extra work/wood authorizations, if any, and if payments
hereunder are to be financed, all financing documents. No promises other than those specifically set forth in the contract
documents shall be recognized by either party. The entire understanding and agreement of the parties is contained in the
contract documents.
2. It is understood and agreed that this contract shall not become binding upon Covenant Roofing & Construction, Inc. until it is duly
approved, accepted, signed and witnessed by an officer or officers of the Seller.
3. Work on the job described in the c!51A do ments will commence on approximately and be
completed on approximately The recited dates are.approximations and are subject to scheduling
difficulties of Seller, labor and/or mite'riarsfiortages, acts of God and other events not foreseen by Seller. Seller reserves
the right to employ any sub -contractor for the completion of the work described in the contract documents.
4. Covenant Roofing & Construction, Inc. reserves the right to substitute materials of equal or greater value and kind. Any required
materials such as fire retardant plywood, tongue and groove board, etc. will be billed on a time and material basis. All other
changes required by New Jurisdictional Code Enforcement laws may result in additional charges.
5. Interest at the rate of eighteen It 8%) per cent per annum will be charged on all balances not paid as per the terms specified
above. Reasonable attorney's fees will be charged to the Purchaser if it is necessary to Place this contract in the hands of an
attorney for collection, and this charge becomes a part of the contract and obligation of the Purchaser to pay.
6. Parties agree that this agreement shall be construed according to the laws of the State of Florida and any action brought
thereon may be brought in the State of Florida. Venue is hereby agreed to be in Lake County Florida.
T. BUYERS RIGHT TO CANCEL (SOLICITED SAES ONLY) If you do not want the goods or services, you may cancel
this agreement by providing written notice to the seller in person by telegram or b mail This notice must Indicate that ou
TICE TO OWNER
Do not sign this home improvement contract in blank.
You are entitled to a copy of the contract at the time you sign. Keep it t pr ec y ur r' ts.
(Seal) (X) (Seal)
(Dealer -Seller) (Purchaser Sign Here)
BY A�X)
(Tit
ALESMAN
(Seal)
(Purchaser Sign Here)
FORD PRESS, INC. 352-787-4650 (mike)
(F City of Sanford
Building and Fire Prevention
RESIDENTIAL RE -ROOF IYSPECTIO " AFFIDAVIT
NAILING, SHEATHI:NG, DRY -EN, FLASHING, .�_D ALL FPSAL ROOF COVERINGS
PERLNUT I#: I's — ADDRESS: ( I�-1 (n(, wn CngC. 5udom
I I , AS A(N) GEY;ER.),L, BUfLDfNG, RESfDFNT1.AL, OR
ROOFING CO`iTRAC R, ENGINEER, ARC ITECT, OF F.S. CHAPTER 463 BUILDING INSPECTOR, I HEREBY' AFFIRM, THAT ALL OF THE
FOREGOING fNFORMATION IS TRUE A.ND ACC'UR-\ rE AND THAT ALL ROOFING COMPONENTS LISTED ON THE SCOPE OF bkORK AT THE
ABOV E REFERENCED ADDRESS HAVE BEEN INSTALLED Ili ACCORDANCE WITH THEIR PRODUCT APPROVALS \V D .-\LL APPLICABLE CODE
REQUIREMENTS — SPECIFICALLY FLORIDA BUILDING CODE. EXISTING BUILDING. IV .ADDITION I CERTIF`r THE INSTALLATION MEETS ALL
REQUIREMENTS FOR SECOND.-\R`r' WATER. BARRIER AND NAILING OF THE ROOF DECK, INi \CCORDANCE WITH THE HURRICANE RETROFIT
MANUAL REQUIRENIENTS (BASED ON F.S. CHAPTER 5 3.3-4-4).
LICENSE #:
COMPANY/ CONTRACTOR:
CONTRACTOR SIGN.�TU RE:
(MUST BE SIGNED BY LICENSE HOLDER
A FINAL ROOF INSPECTION IS REQUIRED:
DATE:
THIS SIGNED AND ..NO'r:\RI7_ED . ID.A\,IT MUST BE PROVIDED :\T THE JOB SITE :\T THE THE OF THE FINAL ROOF INSPECTION,
ALONG WITH DIGITAL PHO GRAPHS OF EACH PLANE OF THE ROOF SHOWING IN DETAIL ALL COMPONENTS (DECKING,
UNDERLAY NIENT, FL:\5 NG, DRIP EDGE ATTACH�[E.NT) WITH THE PERMIT NUMBER OR ADDRESS CLEARLY M:\RKED ON THE DECK
FOR EACH INSPECTIOiN. 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 POLICYAND INSPECTION PROCEDURE
P.APERYV'ORK FOR FURTHER EXPLANATION OF ALL REQUIREMENTS.
**FAILURE ,rO FOLLOb1 ALL REQUIREMENTS WILL RESULT IN _\ FAILED INSPECTION, A RE -INSPECTION FEE AS
`b ELL .AS REQUIRING A DESIGN PROFESSIONAL (.ARCHITECT OR ENGINEER) TO CERTIFY, BASED ON PERSONAL
INSPECTION, TH-E INS'rALLATION OF ALL ROOFING COMPONENTS.
STATE OF FLORIDA COUNTY OF Lou.
Sworn to and Subs ed before me this ' I day of 20[ bv:
NVho is�Personally Known to me or has = Produced (type of
i "'��
e 'ation) as identification.
Sig jure of i`iotar)'(jblic .
t e of Florida ��JJ p,`RYIp4 LINDSAY DUCKHAM
Commission # FF 172210
°� My Commission Expires
�o%af�o�•• October 28, 2018 Print/TypeiSta p , "ame .„�,.M�`
of Notary Public