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Home My WebLink About2506 Mellonville AveCITY OF yy Sk� FIRE DEPARTMEN x} Building & Fire Prevention Division PERMIT APPLICATION Application No: Documented Construction Value: $ L000 Job Address: asoG /ale llamiz le- Ave, C6 ,R? 7ZI Historic District: Yes❑No[0""' Parcel ID: 06 00 - 3 1 - 0o / - WOo - Type of Work: New❑ Addition❑ Alteration ❑ Repair Description of Work: f F-9-- A skhd t ResidentialElAr!*0mmercial❑ emo ❑ Change of Use ❑ Move ❑ Plan Review Contact Person: tr-i c Title: Phone: Fax: Email: Property Owner Information Name ✓ y f_VLA_ re w v%- Phone: 714'7 Street: 206 ✓✓<<_��d Kvi��c- y4vt Resident of property? : l 1 S City, State Zip: SaV4a . F� �a-77/ Contractor Information Name o (ZL Phone: VO - .S el - �) d 7 Street: / 5" Fax: City, State Zip: Sit K 2/ 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: 61h 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. 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 Signature of Contract Date /Agent Print Contractor/Agent's Name � S ignature of —4$,tate DEBBIE BLANTON X: MY C+DNJ1%A1SS!ON it FF 178648 EXPIRES: February 25, 2019 Gonded Thor Notay Public Underwriters Contractor/Agent is Personally Known to Me or Produced ID Type of lb. 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: # of Heads UTILITIES: FIRE: Flood Zone: # of Stories: Plumbing - # of Fixtures Fire Alarm Permit: Yes ❑ No ❑ WASTE WATER: BUILDING: Revised: January 1, 2018 Permit Application 4/27/2018 SCPA Parcel View: 06-20-31-501-0000-0830 cra Property Record Card Parcel: 06-20-31-501-0000-0830 8eumwrxiOGu�rrvFtArat Property Address: 2506 MELLONVILLE AVE SANFORD, FL 32773-5238 Parcel Information Parcel 06-20-31-501-0000-0830 Owner(s) ADAMES, MYRNA Y Property Address 2506 MELLONVILLE AVE SANFORD, FL 32773-5238 Mailing 2506 S MELLONVILLE AVE SANFORD, FL 32773-5238 Subdivision Name OAK HILL Tax District S1-SANFORD DOR Use Code 01-SINGLE FAMILY Exemptions 00-HOMESTEAD(2013) 132 83 a 13� Seminole Countv GIS i Legal Description LOT 83 OAK HILL P63PG86 Taxes Value Summary 2018 Working 2017 Certified Values Values Valuation Method I cost/Market Cost/Market Number of Buildings 0 1 1 Depreciated Bldg Value W 55,384 $45,125 Depreciated EXFT Value $200 $200 Land Value (Market) $13,613� $10,395 Land Value Ag j -Just/Market Value $69,197 $55,720 Portability Adj $4,110 --- Save Our Homes Adj Amendment 1 Adj ; $16,503 $0�~ _ P&G Adj $0 $0 Assessed Value i $52,694 $51,610 Tax Amount without SOH: $513.00 2017 Tax Bill Amount $486,00 Tax Estimator Save Our Homes Savings: $27,00 Does NOT INCLUDE Non Ad Valorem Assessments Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund $52,694 ; $27,694 $25,000 Schools i $52,69-^- $25,000 $27,694 City Sanford $52,6 4 —�— v__..$52,694 $27,694 i $25,000 --$25,000 SJWM(Saint Johns Water Management) $27,694 County Bonds $52,694�--__.___._.__-.-_- $27,694 $25,000 Sales Description Date Book Page Amount Qualified Vac/Imp WARRANTY DEED j 7/1/2011 i 07601 1217 i $50,000 d No Improved WARRANTY DEED 12/1/1991 i 02368 j 1412 $52,500 Yes Improved QUIT CLAIM DEED 11/1/1991 02368 1411 $100 No Improved $49,900 Yes Improved WARRANTY DEED 2/1/1985 01615 i 1221 WARRANTY DEED 1/1/1983 i 01431 0286 _ $37,000 ;Yes Improved WARRANTY DEED 1 8/1/1979 01237 1265 $100 No 1 Improved QUIT CLAIM DEED 1/1/1975 01045 ! 1800 j $100 No Improved Find Comparable Sales Land Method Frontage Depth Units Units Price Land Value FRONT FOOT & DEPTH 50.00 j 140.00 ! 0 1 $275.00 1 $13,613 http://parceldetaii.scpafl.org/ParcelDetail lnfo.aspx?PI D=06203150100000830 1 /2 -AGREEMENT JNtiEo s 4 e .» 844-ROOF-PPG Fax 681-235-7001 l Roofing Consultant: 1, � l -7 x yelp►�. Website`: www.PPGROOFING.com Phone:. _ `mil C OWN DATE EMAIL ADDRESS ��- rollo 2s /� r br�U STRF�FT Ct#F O�N� V' { WORK PHO E 091`7 L� CITY Sn n (%r ZIP�� HOLEOON`7�J��/ CQ / We hereby submit scope of work for: Wejiereby submit scope of work for: ear off all layer of deckin C EAN ALL GUTTER DEBRIS of squares 3 24A OFF CONSTRUCTION DEBRIS .PieR�e over roof with Lifet'me l rn er lNff h 2OLL MAGNET THROUGH YARD �Shi gle/color Gbr G a LIEN WAIVERS PROVIDED UPON FINAL PAYMENT Protect Property_as Needed Daily ❑ SIDING SPECS (Circle One) ing ert B ❑ CDX ❑ Other # of squares Off of squares On nderlayment ❑ 15 30 lb 24ther n Type: Vinyl Aluminum Other a -Metal Edge Color �GZG Size: D4 D4.5 D5 Other ❑ Valley Closed ❑ Open Profile: Dutch Lap Straight Lap P-4ip and Ripe _ tandard ❑ Enhanced Color: Trim Coil Color: N '' / ra'❑ Open Eaves House wrap or Insulation Board rlpp*iPe Flashings (k - ❑ 3/1 Lead ❑ GUTTER SPECS - Linear Feet r�V ntilation ❑ Box o-fidge ❑ Other Gutter. Size: 5" .6" Color er Seal around all vents, pipes, and fiashings Downspout Size: 2 x 3" 3 x 4" Color ee'& Water Shield to local code ❑ Gutter Screens or Helmet Style Furnish all materials, labor and necessary permits ❑ 'MISC. SPECS ❑ Delivery Instructions: ❑ Left ❑ Right ❑ Others • Expected Start Date is: 40 Limited Lifetime within two weeks of insurance approval weather permitting. EN Workmanship Warranty . Work to be completed within 4 days of starting date. • All checks MUST be made to PPG. Terms: This agreement is contingent upon insurance company price and approval. This Agreement does not obligate the Customer or Company in any way unless it is approved by Customer's Insurance Company and accepted by Company. Customer's signature below also signifies acceptance of all terms and conditions of this Agreement, including all terms on the reverse side hereof. In situations where supplements for additional work are necessary outside the original scope of work (ex. additional layers or mismeasurements). Company will seek approval from insurance company. Customers out of pocket expense not to exceed deductible plus upgrades for non -insurance related claim items. Payment Method: Payment Upon Completion of each Trade, Payment for each Trade collected at the completion of each Trade. Roofing Estimate $ CD 1,060 Siding Estimate $ Gutter Estimate $ Misc. Costs for: Additional Upgrades or Non -Insurance Related Items Overhead & Profit for the Complexity of Multiple Trades Total Cost (tax included) n A _ _ Accepted by Owner B, Representative Signature: Date: ZS Date: ACCORDING TO FLORIDWS CONSTRUCTION UEN LAW (SECFIONS 713.001-713.3T FLORIDA STATUTFSI THOSE WHO WORII ON YOUR PROPERTY OR PROVIDE MATERIAL AND SERVICES AND.ARE NOT PAID IN FULL HAVE A RIGHT TO ENFORCE CLAIM FOR PAYMENT AGAINST YOUR PROPERTY. THIS CL M IS IINOWN AS A CONSTRUCTION LEM. IF YOUR CONTRACTOR OR A SUBCONTRACTOR FAILS TO PAY SUBCON- TRACTOR ., SU]MEVEN BCO U HAVE ALREADY SU CONTRACTOSE R IN�FUL L IF YOU MIL TO PAY YOUR COPLE WHO ARE OWED IVIONEY MYNTRACITO� CONTRACTOR ROPERTY FOR PAYMENT., EVEN ff YOU HAVE PAID YOUR CONTRACTOR MAY ALSO HAVE A LLIN ON YOUR PROPERTY. THIS MEANS IF A LEM IS FILM YOUR PROPERTY COULD BE SOLD YOUR WILL TO PAY FOR LABOR, MATERIALS, OR OTHER SERVICES THATYOUR CONTRACTOR OR A SUBCONTRACTOR MAY HAVE FAILED TO PAY. TO PRO- TECT YOUASELE YOU SHOULD STIPULATE IN THIS CONTRACT THAT BEFORE ANY PAYMENT IS MADE YOUR CONTRACTOR IS REQUIRED TO PROVIDE YOU iffi A WRITTEN RELEASE OF Lim FROM ANY PERSON OR COMPANY THAT HAS PRO biil TO YOU A "NOTICE TO OWNER." FLOAIDA'S-CONST UMON LIEN LAW IS COMPLEX. AND IT RECO1Y ENDED THAT YOU CONSULT AN ATTORNEY. l\4 THIS INS UM T PREPAR�p BY.: Name: dLr C �lix e(l' Address: C-7 SSr 5 L52-771 Permit Number: Parcel ID Number: 2-1-- 3 - Sol - 0000- 0;?30 / f � 1►.yLi.' 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. DES R-sC)QN OF 2. GEfGAL DESO( 3. OWNER INFORMA Name and address: Interest in property: OF OR LESSEE of the property and street address if available) 0� IF THE CLERK'S u 201ti 04.7025 Fee Simple Title Holder (if other than owner listed above) Name: r =: Add-- 4. CONTRACTOR: Address: 170 5. SURETY (If applicable, a copy of the payment bond is attached): Name: Phone Number: Address: 6. LENDER: Name: Phone Number: Amount of Bond: Address: 7. Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section 713.13(1)(a)7., Florida Statutes. Name: Phone Number: Address: 8. In addition, Owner designates Of to receive a copy of the Lienor's Notice as provided In Section 713.13(1)(b), Florida Statutes. Phone number: 9. Expiration Date of Notice of Commencement (The expiration is 1 year from 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 I, 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 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. (Signature caner or Lessee, or 0 er's or Lessee's (Print Name and Provide Signatory's Title/Office) Autho d Officer/Director/Partner/Manager) State of `gym` Countyof The forecoino Instrument was acknowledged before me this 2: day of A EV I \ , 20 by. WY Y\ C-\ V-y auJr-1 Name of person making statement who has produced identification O type of Identification produced: 'o,B:,. ANGELA M DE LA CRUZ Notary Public - State of Florida • a; Commission M GG 191344 r�°e' My Comm. Expires Mar 18, 2022 """Bonded through National Notary Assn. 1. CITY OF r Ski!4FORD DEPARTMENTFIRE Building & Fire Prevention Division RESIDENTIAL RE -ROOF POLICY & PROCEDURES 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. DATE: d CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: � PERMIT # City of Sanford Building Division Residential Re -Roof Scope of Work JOB ADDRESS: oZ L Ah A"'111 - Alv . 50L,44: JPJ_ Ft! __11>x7 STRUCTURE TYPE: e SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM RE -ROOF TYPE: EPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) O RE-COVER (NEW ROOF INSTALLED OVEREXISTING ROOF DECK TYPE (PLEASE SPECIFY): C. b/\ N w 040%sAt. ,-k. N * *PLEASE NOTE: ONLY IOO SQUARE FEET OF THE EXISTING DECK IS PERMITTED 7eIBE REPLACED * * ROOF VENTILATION: DOFF -RIDGE IDGE OSOFFIT OPOWERED VENT OTURBINES SKYLIGHTS: O YES (3'N0 IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: ----------------------------------------------------------------------- MAIN ROOF AREA ROOF SLOPE: O LESS THAN 2:12 :12 - 4:12 O 4:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL HINGLE FL# O METAL FL# O MODIFIED BITUMEN FL# O TORCH DOWN FL# O INSULATED 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# O INSULATED FL# O TILE FL# O OTHER: FL# SEMINOLE COUNTY MuLTI%URISDICTIONAL Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: 3 J I hereby name and appoint: V— tzIi. C- y • 101TNSr Lj an. agent of: t" YY,L,L-U (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): Er All permits and applications submitted by this contractor. Or ❑ The specific permit and application for work located at: (Street Address) Expiration Date for This Limited Power of Attorney: 3 3 License Holder Name: State License Number: Signature of License Holder: STATE OF FLORID , , COUNTY- < ' 1 V\0 W_ The fore oing instrument was acknowledged before me this day of 20, by &'CA V\ d -4A ,Scol+ To // Q h who is ❑ personally known to me or ,i6l,who has produced i� b G- as identification and who did (did not) take an oath. SI, ure of Notary Z Noteiy Ablic State of Florida Brittany Barker My commission GG 161030 Eatpires 02/04/2022 Print or type Notary name Notary Public - State of Commission No. My Commission Expires: City of Sanford Building and Fire Prevention RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT #: ' p — 20 Ip � ADDRESS: .2g) Ave—_ ye— FL .3X771 I K1,",1 / zz 4 , 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 #: CCC /,3 31 3_516 COMPANY / CONTRACTOR: Pr4SS6d10I.!% .S 10fO tt.D . CONTRACTOR SIGNATURE:H Z (MUST BE SIGNED BY LICEN O DER OR A FINAL ROOF INSPECTION IS REQUIRED: DATE: p 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 - ) UO ` -10(`" Sworn to and Subscribed before me this i l O day of rlco. 20 t`6 by: r t\ar IOL^ Who is (personally Known to me or has ❑ Produced (type of ideni i Ica ion) as identification. Sign ture of Notary PublW State of Florida ::0. vya °. ; d ,,ANGELA M DE LA CRUZ � Notary Public - State of Florida �� Commission N GG 191344 j`1 fn v, 1- %'f�F ' My Coinin. Expires Mar 18, 2022 Print/type/Stamp ame �o? Bonded through National Notary Assn. of Notary Public