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HomeMy WebLinkAbout2853 Empire Pl (2)-CITY OF aPR 2 6 Building & Fire Prevention Division OR PERMIT APPLICATION IRE D P RTMENT y._ Application No: 1 9 q Documented Construction Value: $CSp Job Address: Z%53 �tMa;,e_ Pl= Historic District: Yes❑NoW Parcel ID: 6& - 20 - 3l - 5-65 - pE po - 65zc Residential Commercial[—] Type of Work: New❑aAddition❑ Alteration❑ Repair ❑ Demo ❑ Change of Use❑ Move ❑ Description of Work: (ice- �LOoA Plan Review Contact Person: I�1�;�. 11iASw�i\ Title: Phone: I LAu'1� Sty; - Fax: Email: do .cow. Z Property Owner Information Name C LA yyVln', o- L � �swti _ Phone: Street: Z9�5 3 Fmionve. L- '\"AX-\ c\ FL 3-z I--4-3 Resident of property? City, State Zip: _ ,p<,r&,A FL Contractor Information Name Phone: 5L .S - 2 Z 1 c Street: 3--91 Fax: City, State Zip: ('j \ ,nd o F L 32SC)°� State License No.: ('.CC 133 G C� Architect/Engineer Information Name: Phone: Street: Fax: City, St, Zip: A E- 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: 61' 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. � 4 (3 Q( Signature f Owner/Agent I Dark Signature of Contractor/Agent a Print O r/ nt's Name Si e of o ry- tate of florida,,Date L Print Contra nt's 19 If) Si a e of -State lor' ate Owner/Agent is Personally Known to Me or Contractor/Agent is i/ Personally Known to Me or Produced ID \/ Type of ID 'Z> . i. I Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building ❑ Electrical ❑ Mechanical ❑ Plumbing❑ Gas ❑ Roof ❑ Construction Type: Occupancy Use: Total Sq Ft of Bldg: 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 Propeft Record Card Parcel: 06-20-31-505-OE00-0320 Property Address: 2853 EMPIRE PL SANFORD, FL 32773-5279 + { ; AR, Value Summary i 2018 Working 12017 Certified l Values Values Valuation Method ._....._............... Cost/Market Cost/Market Number of Buildings 1 <....................................................... 1 j n.............. ...... ......... ............................................................. Depreciated Bldg Value $60,731 .,,,_____, .................... .......... ....... ... $57,302 __...n_...._......_..._.__._._.._...........;....., Depreciated EXFT Value Land Value (Market) ____...._..........__..................................................... ._.._....;._..__....._.___....__........_........; $15,120 $15,120 ....................................... ................t Land Value Ag _. ............................................................................:......._...._._.._....._.__._._................._................._......................, Just/Market Value $75,851 $72,422 .,,.,Ponability,Ad"j..........................._...........,.._a....................................................._;,.........................................._...........€ Save Our Homes Adj _...... $30,237 ..._.............................. ........:..........._......._........ $27,74fi j ...... I............... _.._.......................................................................... Amendment 1 Adt $0 P&G Ad/ .............. ............................ _........._._...;._......_...._.._......._...._._._ $0 ............. $0 ;........_........._..__........................ Assessed Value $45,614 $44,676 Tax Amount without SOH: $623.34 2017 Tax Bill Amount $374.66 Tax Estimator Save Our Homes Savings: $248.68 * Does NOT INCLUDE Non Ad Valorem Assessments Seminole County CIS ......... __... ._._. „_....... _.._ ........................ Legal Description ._.._......_._ ................. _._ ............... __.............................,.......,......... _„ _................ _...... _._.__ _........ ........_..........................,................. _..... __ _......_. _. LOT 32 BILK E WOODMERE PARK 2ND REPLAT PB13PG73 _.._........_..___._......... ............__.............._...._ Taxes ........... ................ ................. ............_. _.__. _. Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund $45,614 $25,000 $20,614 .................................................................................................................................................................................._....._..................,......,,.......,.....,................,......_.._......,.,.,,,,.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,....._....>.............................................................._,..._..................,,,;,,,,,,,,,,,,,.,,,,.,.......__....._.................,......,,,......................, Schools $45,614 $25;0OO $20,614 _......................................._.........,.............. _.._..._......,.,,....,,,.,................._................ City Sanford .................. ._........................................... �.................................................,_.__..._........................_....._......___,, ........................._. $45,614 ................................._. $25,000 ` _._,._._............ $20,614 ..............__....................... .......___................... ,.......... _—_______.._.............................................................. SJWM(Saint Johns Water Management) ............ ........._........_..........____..___............_v..................,.......,..........................._............_......----......._ $45,614 ...................................................,.....,..,. $25,000 _.....;....._ ............._.............................................................._1 ... ..............< $20,614 j County Bonds .......... — — _. _. _._. $45,614 ! $25,000 $20,614 Sales Description Date Book Page ..._...._................................................................................................................... Amount Qualified Vac/Imp WARRANTY DEED 7/1/1998 03466 1327 $56,500 Yes tt Improved ....._....�.................._.__...._... WARRANTY DEED .__..........................................__. 9/1/1988 _._ ,,,...,................................__ 02007 __... 1055 _ _.._,_.,,,,,____,_,_„_,,, $51,900 3 Yes _ 1 Improved __.._._,_..,_,,, j WARRANTY DEED __.._._....____........................___.........__....._ 12/1/1986 01800 .._.....................................__. 0850 _....._._.... _..............,,.,..,,,,,.,,,_____._ $45,000 Yes ... _........ _... Improved e WARRANTY DEED 9/1/1986 01770, 1227 $28,000 No Improved 3 ......................................................................_._.._...................................................._...................,,,,,,,,.,.,........,..........._,.._....,..,:..,,,,,,,,.;;,;;,,,,,,,,,,.,,,,,,,, ................................................. ...,,,,.._........................................... WARRANTY DEED 8/1/1978 01185 1637 $24,300 Yes Improved Find Go»tparable SaleB ....... _.... _... _..... _.... Land ........................ ..... ...._._........................ n.._......... ................................................... Method _...... ....__._........_..... ............ ,.................................... ...............-........._....-------- _.................................................................................. Frontage Depth ................... _................ Units Units Price ,..... ,,.,.,,,,,...,........................................... ----- ..,.,....,.,,,,,,,,,,,.................. Land Value FRONT FOOT & DEPTH ( 60.00 118.00 ( 1 $280.00 ? $15,120 Building Information # Description Year Built Fixtures Bed Bath Base Area Total SF Living SF I Et Wall I Adj Value Rep[ Value Appendages Actual/Effective ! I Ridge Masters 3800 Shadowind Way Gotha, FL 34734 407-565-2210 Roofing, LLC chris@ridgemasters.com www.ridgemastersroofing.com State Lic# CCC1330651 Customer: Cindy Lyndsay Date: February 26,2018 Job Location: 2853 Empire Rd Phone: 407-417-0405 Sanford F1 Terms: 50% deposit and balance upon completion The Following is an Estimate for Services and Materials/This Document Becomes a Binding Contract Upon Execution THIS DOCUMENT SHALL SERVE AS A CONTRACT AND AN INVOICE FOR FINAL PAYMENT IN FULL UPON COMPLETION UNLESS OTHERWISE NOTED HEREIN. Estimate/Contract does not include rotten wood replacement or other hidden damage. Prices are as followed and subject to change. Lumber (ie 1 x6, 1x 8, 2x4) are $6 per foot, Plywood is $60 per sheet. This includes labor and materials. Scope of Work: (continue on reverse/additional sheets if needed) Remove and replace approximately 20 squares of asphalt shingles, starter and cap. Replace all rotted wood and re -nail the sheathing if necessary as per Florida law. Install upgraded synthetic underlayment. Replace all drip edge with new. Black, white brown or beige. Replace all ridge vents, roof vents and pipe jacks with new. Install Certainteed Landmark shingles, color to be determined. Remove and dispose of all debris. Price: _$6,800.00 PRICE: Subject to all the provisions herein, Ridge Masters Roofing (RMR) agrees to perform and complete the above described work for the total Contract amount plus wood and hidden damage LIMITED WARRANTY: Unless voided, all work performed by RMR is guaranteed against faulty or defective workmanship for a period of 5 yrs). This warranty begins upon work completion and activated after payment is received in full. Conditions that void warranty: (1) 80+ mph winds, (2) Hail storm damage, (3) Subsequent roof work/repairs not performed by RMR (4) Failure to pay invoice/contract in full within thirty days of completion, (5) Fixtures subsequently attached to the roof, (6) Tropical Storms, or () Returned checks PERMITS/CHANGE ORDERS: Unless otherwise stated, RMR shall! be responsible for obtaining applicable permits. COMPLETION: RMR will use its best effort to complete the work within a reasonable time taking into account available supplies/materials and weather conditions, but does not guarantee completion dates unless specifically stated herein and initialed by all parties. DISPUTE/LAW/VENUE: If judicial relief is sought to enforce this contract or any matter related to, arising out of, or in any way connected with this contract or the work to be performed, the prevailing party shall be entitled to attorneys' fees and costs incurred (including on appeal) from the other and THE PARTIES HEREBY WAIVE RIGHT TO JURY TRIAL in any such action or counterclaim. This contract is governed by Florida law and the parties consent to venue in Orange County, Florida (lien foreclosures will be filed in the county of the property). STATUTORY NOTICE: ACCORDING TO FLORIDA'S CONSTRUCTION LIEN LAW (FLORIDA STATUTES § 713.001-713.37), THOSE WHO WORK ON YOUR PROPERTY OR PROVIDE MATERIALS AND ARE NOT PAID IN FULL HAVE A RIGHT TO ENFORCE THEIR CLAIM FOR PAYMENT AGAINST YOUR PROPERTY. THIS CLAIM IS KNOWN AS A CONSTRUCTION LIEN. IF YOUR CONTRACTOR OR A SUBCONTRACTOR FAILS TO PAY SUBCONTRACTORS, SUB -SUBCONTRACTORS, OR MATERIAL SUPPLIERS OR NEGLECTS TO MAKE OTHER LEGALLY REQUIRED 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 OTHER SERVICES THAT YOUR CONTRACTOR OR A SUBCONTRACTOR MAY HAVE FAILED TO PAY. FL,OR ,IDA'S CONSTRUCTION LEEN LAW IS COMPLEX AND IT IS RECOMMENDED THAT WHENEVER A SPECIFIC PROBLEM ARISES, YOU CONSULT AN ATTORNEY. This contract read, understood, and agreed to, by: Owner/Agent:` Print Name: If not the Prope�rty If not the Property O ner, state the basis of authori Sold by: Print Name: Scott Snyder MAKE CHECKS PAYABLE TO: Ridge Masters Roofing, LLC. V, lliilll iilll iliil illii I�I�i i�l�� Idyl #��I After recording re tu to: _ s 3- 1 511 uc.v 'S 1,4►� cq �Y1wKdc ; Ft. .?SO i— Permit No: Tax Folio No: OCo -2U 31 _5uva-o60o -032o NOTICE OF COMMENCEMENT GRANT MALOYP SEMINOLE COUNTY CLERK OF CIRCUIT COURT & COMPTROLLER BK 9117 P9 1082 {1P913) CLERK'S r 2018045368 RECORDED 04/26/2018 09:02:29 AM RECOiR:DING FEES $10.00 RECORDED BY tsmith 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 property: Legal Description: (legal description of the property, and street address if available) Street Address: 2. General description of improvement: 4 - �1 o 4 3. Owner's Information: Name: 6.: c „n Address: 225 3 r �; r� PL Sn� sc\ ° F� T-2 7 Interest in Property: p.J,,sY Name and Address of fee simple titleholder (if other than owner): 4. Contractor Information: Name: _ Address: Telephone 5. Surety Information: 6. Lender Information: Name: Address: Telephone No. Amount of Bond: Name: Address: Telephone No. 7. Persons within the State of Florida designated by Owner upon whom notices served as provided by Section 713.13(1)(a)7.,Florida Statutes. `h Name: 8. In addition to himself or herself, . to receive a copy of the follow6p Address: Telephone No. =ax No. (Opt.) Fax No. (Opt.) _ �Fax No. t.) _ cuments may be Fax No. (Opt.) _ "ignates of Notice as Provided in Section 713.13 (1) (b), Florida Statutes: Name: Address: _ Telephone No. Fax No. (Opt.) Expiration date of notice of commencement (the expiration date is 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 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 YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOU NOTICE OF fOMMENCEMENT. Signature of O er or wner's Authorized er/Director /Flartner/Manager Printed Name & Signatory's Title/Office The foregoing instrument was acknowledged before me this 1Cday of ht f�C t 20 i4) , by C N• r^ who is personally known to me o has produced,- as identificationw?id w_ take an oath. ,4'CLIFFORD S SNYpER MY COMMISSION # FF 931019 EXPIRES October 26, 2019 Of Q�----�� Print, type or Sta p Commissioned Name of did Public �ZtFtEO EC CiRCt1�� CE Of 1�tE I�r�O N .EcCIUy_ ' srrM tax Wtc LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, bake Mary, Longwood, Sanford, Seminole County, Winter Springs, Date: "i / $ //8 I hereby name and appoint: 'A IlY swz) I an agent of: � , d qx- (-<S (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): C/ The specific permit and application for work located at: (Street Address) Expiration Date for This Limited Power of Attorney: License Holder Name: State License Number: Signature of License Holder: S STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this Jpj day of (; I , 200�, by CV640akewho is personally known to me or ❑ who has produced d as identification and who did (did not t oa 6 Si atur (Notary Seal) C G h Print or type name CLIFFORD S SNYDER MY COMMISSION # FF 931019 .� !gip EXPIRES October 26, 2019 (Rev. 08.12) Notary Public - State of Commission No. My Commission Expires: PERMIT # City of Sanford Building Division Residential Re -Roof Scope of Work JOB ADDRESS: Cµ"prr�- Sftyl ✓� �L 32�� STRUCTURE TYPE: O'SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM RE -ROOF TYPE: 4REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF) DECK TYPE (PLEASE SPECIFY: ���y�� l� --' �I - "PLEASE NOTE: ONLY 100 SQUARE FEET OF THE EXIS ING DECK IS PERMITTED TO BE R PLACED"" ROOF VENTILATION: OFF -RIDGE O RIDGE OSOFFIT OPOWERED VENT OTURBINES SKYLIGHTS: O YES dNo IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN ROOF AREA ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 O 4:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL /SHINGLE CF (� Atv� FL# O METAL FL# O MODIFIED BITUMEN FL# O TORCH DOWN FL# OINSULATED FL# O TILE FL# (OTHER: -v��cYt��� �n� 40 FL# �SZICs'�3 U ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) "YAPPLICABLE" ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 (�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# D ` City of Sanford Building Division Residential Re -Roof Inspection 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), certi ying FBC code co pliance by personal inspection. CONTRACTOR (OR OWNER/BUILDER) SIGNATURE. r vt� DATE: / a l V PERMIT #: , P'f ADDRESS: V_ O 2 1 �--fr'I'1 PJ ( Y—, 1 I aci (c r c ( 1 '. I 1 . k i- l<< .o Wes/ ' Saf� C-1 . 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#: 0C e- I'?,2o 65 i COMPANY / CONTRACTOR: a J cq { -411- CS , Roo r !!� CONTRACTOR SIGNATURE: DATE: / (MUST BE SIGNED BY LICENSE HOLDER R UILDER) 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 ©('CWf Sworn to and Subscribed before me this � day of 4 a.I 20 by: �11 If�.CCrj ZCN'� Who iKPersonally Known to me or has ❑ Produced (type of identific ti n) as identification. gnat of Notary P61iffic State of Florida _F`:"`' CLiFFOR "S�IVDER MY COMMISSION # FF 931019 '•?;a— EXPIRES October 26 2019 Print/Type/Stamp Name of Notary Public