HomeMy WebLinkAbout2309 East Lisa CtCITY OF
SANFORD
FIRE DEPARTMENT
Building & Fire Prevention Division
PERMIT APPLICA q
TION
/Application No: Ik�a
Documented Construction Value: $ 7j 5`5_` -IK-1
Job Address: c�,/ "3 YCG Qv Historic District: Yes❑No❑
Parcel ID: Cq-nff�a d�7��eF
esidential❑ Commercial
Type of Work: New❑ Addition❑ Alteration❑ Repair Change of Use❑ Move El
Description of Work:
Plan Review Contact Person: Title:
Phone:
Fax:
Email:
Property Owner Information'
Name li_�9"�. Phone: �dD 7
Street: G 7 Resident of property?
City, State Zip:
Contractor Information
/ , l ° '?.
Name cc� /`� �(./ oi Phone:`-_ �..�.7"_- &
Street: �o%a Fax:
City, State Zip:—%S� State License No.: G
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: 6'h Edition (2017) Florida Building Code
Revised: January 1, 2018 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. Shoyld 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 Date Signature of Contractor/Agent Date
✓_
GARTor2 9 - P CL C v C-n.
Print Owner/
Date
/O - r ik
L
ERNESTO REYES
%
MY COMMISSION # FF981EXPIRES June 18, 2020 FtorfdeNota ssfor .Com
Owner/Agent is Personally Known to Me or
Produced ID Type o
Print Contractor/Agent's Name
Signature of Notary- e o Florida Date
" DESEIE8WT(A
EXPIRES: February 25, 20?9
Bonded Thru Nctzry Publir, IJndenvriters
L. - - J1
Contractor/Agent is Personally Known 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 ❑ # of Heads
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
UTILITIES:
FIRE:
Flood Zone:
# of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes ❑ No ❑
WASTE WATER:
BUILDING:
Revised: January 1, 2018
Permit Application
SCPA Parcel View: 36-19-30-544-0000-0320
Page 1 of 2
Cold CFA Property Record Card
P Parcel: 36-19-30-544-0000-0320
ttnaxxstxx..avrv.ra.tst3ran Property Address: 2309 E LISA CT SANFORD, FL 32771
Value Summary
............
2018 Working
..........
2017 Certified
Values
Values
Valuation Method
Cost/Market
Cost/Market
Number of Buildings
1
1 i
Depreciated Bldg Value
$51,818
$44,075
Depreciated EXFT Value
Land Value (Market)
$15 000
$12,000
Land Value Ag
Just/Market Value "
$66 818
i
? $56,075
Portability Adj
Save Our Homes Adj
............
j $0
.
$0
Amendment 1 Adj
$5,135
—
$0
P&G Adj
$0
$0
Assessed Value
$61,683
$56,075
Tax Amount without SOH: $1,067.75
2017 Tax Bill Amount $1,067.75
Tax Estimator
Save Our Homes Savings: $0.00
Does NOT INCLUDE Non Ad Valorem Assessments
Legal Description
LOT 32
TWENTY WEST
PB16PG36
Taxes
Taxing Authority
Assessment Value
l Exempt Values
Taxable Value
County General Fund
$61,683
$0
$61,683
Schools
_.
$66,818
......
$0 '!'
_
$66,818
City Sanford
_...
$61,683
_
$0
$61,683
...
SJWM(Saint Johns Water Management)
$61,683
..........
$0 f
$61,683
County Bonds
$61,683
$0
_
$61,683
Sales
-
Description
Date
Book
Page
Amount
........
r Qualified
Vac/Imp
QUIT CLAIM DEED
5/1/2010
07383
0592
$100 No
Improved
_............ ...
WARRANTY DEED
) 8/1/1986
01762
0264
$42,200 Yes
Improved
QUIT CLAIM DEED
9/1/1981
01357
1129
$100 No
I Improved
WARRANTY DEED
4/1/1981
i 0,1331
1340
..
$36,500 Yes
Improved
....
Find Comparable Sates E
• Land
-
......
--... .... -. __. ---. .. ..
Method Frontage
.-_ 7
I
......-.. ..
Depth
_
Units
..._ r . __
Units Price
_
.........
_
..._..................................
Land Value
.....
_.......... ._....
LOT €
_—.—..._
0.00
_...._.. ... _._..--
_.....,_ _..
0.00
------ ..- --,
.... _......_. .------
1
` ...--._._
_ . _
$15,000.00
-----....
_.- ....... .
__—
$15,000
Building Information
__..
_..
.
Year Built i
Description Fixtures Bed Bath Base Area Total SF i Living SF Ext Wall Adj Value Repl Value Appendages
Actual/Effective
.�._.._...__..._ _..- ......... __....... k._ ._..._._.... -
-_ _ _ ___�-...._........ _a........_...._. -_—___ _.__......... .._.;�.. ___...._.____. --- _.
http://parceldetail.scpafl.org/ParcelDetailInfo.aspx?PID=36193054400000320 5/10/2018
RONA D WEST ROOFING, :LLCM
225 Swoope Ave. Suite 106 Maitland FI. 32751
Email: ronaldwestroofing@yahoo.com
www.ronaidwestroofing.com
'Member: State Certified
B B E: Phone: 844- •RON-WEST Lic. #'ccc 057776
844- 766-9378 Lic. # RC 0065002
ACCREDffill)Since 1991
BBB.
PROPOSAL.- CONTRACT
PROPOSAL SUBMITTED TO
D TE
•
HOME PHONE
i'
WORK PHONE
H
FAX #
NAME - .'
JOB NAME
EMAIL
STREE—h 7
STREET
REFERRED BY
CITY
ZIP
STATE
CITY
ZIP
STATE
FL
We herob, sbbmit specifications and estimates for:
1. ❑0131emoval of existing shingle roof. ❑ Removal of existing tile roof. ❑ Removal of existing double layer.
❑ Removal of existing flat roof. ❑ Removal of existing wood shake roof. ❑ Removal of
❑,�N' oiling over existing roof. El Nailing on new roof:
2. 0� �FR✓eepair decayed or defective rafters, facia, and sheathing at an additional $50.00 per man. -hour plus materials.
3. ❑�1'Install new shingle roof as follows: Secure ❑ AII-Weather Peel `& Stick,,E]#1:5, i�ortp�sphalt-saturated shingle felt to deck as dry
in and shingle underlayment. NAIL shingles with galvanized roofing nails in accordance with manufacturer's written instructions.
U11, s allwalleys using new galvanized valley material and closed cut shingle method.
4. Lead Plumbing Vent Shields ❑ Fungus Resistant (if available) ❑ Ridge Vents ( )
El Galvanized Kitchen & Bathroom Vents ❑ Turbines ( ) ❑ Off -Ridge Vents ( )
W -❑
F/Galvanized Metal Eaves Drip with Baked -on Enamel Finish: ❑Brown E Black
0 Install 25-Year Warrantied Fiberglass Shingles ❑ Rebuild Chimney
❑ Install 30-Year Warrantied Architectural Fiberglass Shingles ❑ Skylights
❑ Instalf 35-Year Warrantied Architectural Fiberglass Shingles
00'Install"Limited Lifetime Architectural Fiberglass
5. ®,Renail Wood Decking using 80 Ringshan k Nails:
a
6. ❑ WORKMANSHIP WARRANTED AGAINST LEAKS AND DEFECTS FOR FIVE (5) YEARS FROM DATE OF COMPLETION.
7. ❑ LEAK REPAIR: Consisting of:
We hereby propose to furnish labor and materials --complete in accordancewith the above specifications for the sum of
Plus any supplement money approved by insurance;
� z
dollars ($' ` ) with ,payments to be made as
' • l� ' '1 V S z- � dwy -
, x
follows:
All material is guaranteed to be as specified. All work to be completed°in a workmanlike manner according to standard practices. Any alteration or deviation from above
specifications involving extra costs, will be executed only upon written orders and will become an extra charge over and above the estimate. All agreements contingent
upon strikes, accidents or delays beyond our control. We will not be responsiblefor driveway cracks: Price is based on our trucks being able to backup to the building.
The proposal is subject to acceptance within days and is void thereafter at the option of the undersigned. Ronald West Roofing, LLC is not responsible
for nail damage. In the event of a dispute or litigation arising out of this Agreement, the prevailing party shall be entitled to recover all attorney's fees and court'costs, in
• conjunction with mediation or action in the State, Courts; including all appeals.
Authorized Signature: ✓ . 144
The above prices, specifications and conditions are hereby accepted. You are authorized to do the work as specified. Payment will be made
as outlined above.
ACCEPTED:
Datet / Signature�-
Florida Statute: 2004 Chapter 489.1425 — Duty of Contractor to notify residential property owner of recovery fund. — Payment may be made available from the
construction industries recovery fund if you lose money on a project performed under contract, where the loss results from specific violations of Florida:Law by a
state -licensed contractor, for information about the recovery fund and filing a claim, contact the Florida Construction Licensing Board.
ACCORDING TO FLORIDA'S CONSTRUCTION LIEN LAW SECTIONS 713.001.713.37. FLORIDA STATUTES , THOSE WHO WORK
ON.YOUR PROPERTY OR PROVIDE MATERIALS AND A E NOT PAID IN FULL HAVE A RIGHT TO ENFOR E THEIR CLAIM FOR
PAYMENT AGAINST YOUR PROPERTY. THIS CLAIM IS KNOWN AS A CONSTRUCTION LIEN. IF YOUR CONTRACTOR OR AI SUB-
CrONTRACTOR FAILS TO PAY SUBCONTRACTORS, OR MATERIAL SUPPLIERS OR NEGLECTS TO MAKE PAYMENTS, THE PEOPLE
WHO ARE OWED MONEY MAY LOOK TO YOUR PROPERTY'FOR PAYMENT, EVEN IF YOU HAVE PAID YOUR CONTRACTOR IN -
FULL. IF YOU FAIL TO PAY YOUR CONTRACTOR,, YOUR CONTRACTOR MAY ALSO HAVE A LIEN ON YOUR PROPERTY. THIS
MEANS IF A LIEN IS FILED YOUR PROPERTY COULD'BE SOLD AGAINST YOUR WILL TO PAY FOR LABOR, MATERIALS OR OTH-
ER SERVICES THAT YOUR CONTRACTOR OR A SUBCONTRACTOR MAY HAVE FAILED TO PAY. FLORIDA'S CONSTRUCTION LIEN
LAW IS COMPLEX AND IT IS RECOMMENDED THAT WHENEVER A SPECIFIC PROBLEM ARISES, YOU CONSULT AN ATTORNEY.
V
UM T PREP ED 8
Au,
N E OF CO
MENCEMENT
State of Florida
County of Seminole
Permit Number:
Parcel ID Number.?�
The undersigned hereby gives n
tice 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.
DES QRIP g1P0§0F PROPERTY- 1:Le
zz
if availabI
spwa ?e)
,7s
GENE"ESCRIPTIIOMF IVIPROVEMFNT:
i.
61
4
t?
OWNER In
Name: 69
,
Address:
Fee Simple Title Holder (if other I
ian owner) Name:
Address:
CONTRACTOR:
P
Name: Voa7neU�2
Address:
52
Persons within the State of Flor
Ja Designated by Owner upon whom notice or other documents maybe served
as provided by Section 713.13(1)(b),
Florida Statutes.
Name:
Address:
r r. RTIF 11D COPY
In addition to himself, OwnerbesiC
4--c
^
nates +k
To receive a copy of the Lienor's Notic A
Section Zl3. 1 3(l)(b), Florida Statues.
Expirailon Date of Notice of Con
imencement (The expiration date is . I year from date of recording A
different date Is specified)_
Date
WARNING TO OWNER: ANY PA
I(MENT!f�MADE BY,"=THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CC;hSI1
FLORIDA STATUTES, ANDItAN
EREDIMPROPER PAYMENTS UNDER CHAPTER 713,. DART J;,,SECTIONJMV,13,
IESUL-T:IN YOUR PAYING"TWICE FOI IMPRO MEN � R PROPWX-A
fV 0 Yft
NOTICE OF COMMENCEMENT
UST BE RECQRDED AND POSI!io;)N T-4VE
4E JgB,%ITE T-&bRE THE-,A)T
INSPECTION. IF YOU INTEND
-0 OBTAIN FINANCING, C014SW�EWITH YOUR ILEKDER-'QR' AN 6 TTCiRNtY
BEFORE COMMENCING WORK
R RECORDING YOUR NOTICE OF COMMENCEMENT:
under , �p6nalties of perjury, I d
iclare that I have read the foregoing and that the facts stated init are true
tio ilib'best of my knowledge -
A belief.
R.re Ctre47
N Owner's Printed Name
Owner's SIgnqNre
Florida Statute 713.13(l)(g): *Ttr n
3r must sign the notice of commencement and ntFft7@ie maybe permitted to sign In his or her stead.'
State of County
of_ Sezf/poelt:,
The foregoing'in�strument was acknowledged
before me this —Z.,a -1-aly of Al A f 20
by FAgeow 16. PIC
ef-rEg- Who Is personally known to me
Name of person maki
ig statement
OR who has produced Identifica
on El type of Identification produced:
"-A AN. ERNE
L
TO REYES
MY COMMISSION
MAN
# FF986230
= EXPIRES
June 18, 2020
_(4p7).398-0153 FWMsNrAry8@r*A,wm
Notary Signature
crcrd — 0 -3'� QV
7
c —& S -7:?7 (a
'31-17-151
GMNI MALM
ru I, COOT
DEPUTI CLERY,
}`
CITY OF
Building &Fire Prevention Division
SkNFORD
RESIDENTIAL RE -ROOF POLICY & PROCEDURES",
FIRE DEPART&4ENT
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 - ..F
• 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)
0 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:
-=�
v
CITY OF
D, S&N ORD
FIRE DEPARTMENT
JOB ADDRESS:
PERMIT #
Building & Fire Prevention Division
RESIDENTIAL RE -ROOF SCOPE OF WORK
STRUCTURE TYPE: QS GLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: PLACEMENT (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 OF THE EXISTING DECKIS PERMITTED TO BE REPLACED'"
ROOF VENTILATION: O OFF -RIDGE O RIDGE O SOFFIT OPOWERED VENT
SKYLIGHTS: O YES (3440-11F YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL 0:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2:12-4:12
OR GREATER
O TURBINES
TYPE OF ROOF
MANUFACTURER
LORIDA PRODUCT APPROVAL
HINGLE
`s /
O METAL
FL#
O MODIFIED BITUMEN
FL#
O TORCH DOWN
FL#
OINSULATED
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#
CITY OF
. &k�ORD
Building & Fire Prevention Division
RESIDENTIAL RE-ROOFAFFIDAVIT
FIRE DEPARTMENT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NA/IL�IING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF
COVERINGS
c
PERMIT #: / O o� ADDRESS:
s
I go_y L V 'AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
ROOFING CONTRACTOR, ENGINEER, 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 #: C CC
COMPANY / CONTRACTOR: oo I
CONTRACTOR SIGNATURE:Az� DATE: DZ04
(MUST BE SIGNED BY LICENSE 40LDER OR OWNER/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,
UNDERLAYM ENT, 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
Sworn to an S bscribed befo a me this 3CL—day of 20 by:
Yi Q.zS Who is ❑ Personally Known to me or has ❑ Produced (type of
i ntifica 'on) as identification.
Signature of Notary Public
State of Florida' No=Matthews
f Florida
`p� LisI�isExmy 43t02Ex
Print/Type/Stamp Name
of Notary Public