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HomeMy WebLinkAbout288 Clydesdale Cir (2)CITY OF SANFORD Wg&1-Az "m %K'01 Application No: _ I k - -'- 12 -CO> Documented Construction Value: $ - 1,? 13 Job Address: Historic District. Yes EINaQ Parcel ID: Residential Commer,cial Type of Work: New ❑ Addition El Alteration 3- Repair E) Demo R Change of Use El move 0 Description of Work. Plan Review Contact Person:Ill�Vj Title: ?�- 61 PhoneA x-,,c7 F. Email:Illu Ilf t3ii 1 /1' Property Owner Information ljg Ce (y) Name Phone: 4orvA, tv ;?I street 3`32 V-Qd 1 A) rX -LI Resident of 1r1perty9: City, State Zip: &ntraetor Infonnation Name'—mna ��ff& ezvoRNO, Flione: 4n Qiio r3i i p Street F= Name: Street. City, St, Zip: Bonding'Comparty: Address: rchitect/Engineer Information -Phone: Mortgage Lender - 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 INSPEC'nON. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMNU&NCEMENT. 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 jUTISIffiCtiOn. I understand that a separate permit must be secured for electrical work, plumbing, -eigms, wells, pools, furnaces, boilers, heaters, tanks, and air conditioners, etc. FoC 1053 Shall be inscribed with the date of application and the code in effect as of that date: 51D Edition (2014) Florida Building Code, Rcvistd-. June 30,2015 PennitApofimtion +• • s r r i •� • • arr tI 11.t districts,management agencies, or ♦agencies. •• r t • • r •t a rI'llia. r . a . �III � .• a , . , °""t r � ° �' 6u�M1i s Permits Required.- Btfflding[] Mectricl Mechanical[] Plumbingo Gas[] Roof CoustrucCion Type: OccupancyFlood Zone - Zone- Total SqofDld s i f •' # •s New Construction: Electric - 9 of Ajnps Plumbing - ## of FUtures Fire Sprinkler Permit: Yes 0 No [] 9 of Heads Fire Alarm Permit.- YesEl o 11 APPROVALS: 'C(J FNTS Revised; June 30, 20t3 Permit Appiaation 4L BREUARD COUNTY OFFICE 321-452-9223 ORANGE & SEiVIIiVOLE COUNTY OFFICE 407.960-3810 UOLUSIA COUNTY OFFICE 386-233-3244 NAME: Ef.. S E vt s' h DATE STREET' a 5 t,-.r2 . CCC1330489 CITY/STATIEJZiP; HOME PHONES 7, (=`tux %i 2 t( CELL PHONE: EMAIL: i s..alL'i k?'{l.�+i:Yf�r4$7$ti. m:,'5#"4 w`[ rv1..3°34�Riv..��L'f irl2`. Ui�!�✓iTdx a r. y!'it'J: ROOF Due core taken to protect home exterior, shrubs and landscaping. In Ludes labor to remove existing roof and haul off, 4nciudes Dumost9r. Rc4l oif dvmpster for paver drhreways. Includes inspecting decEfor damage eon renailing to code with 80 ring shank nails. includes saving grinders, soffit, fascia on existing home isome damage may occurin construction). Includes replacing ridge vents, �. t Includes tepfacingex! tingdrip edgejnchoice ofcalor. DRIP EDGE COLOR lnctudes 1 1/4 roofing collated nails. Own- I'eludes insta,ltngnew shingles inchoice ofoo�r. SHINGIJ<COLOR. I�r'#-s�.c�I�#,�., tNL,) Includes replacing all lead boots and grose vents (does not include gas related vents). includes new galvanized metal in ail valleys. Includes Starter Shingle and Ridge Cap per Code. includes obtaining and posting permit with locai jurisdiction. Includes magnetically sweeping job site cleaning out gutters and hauling away debris: MATERIAL y,AR6HITiRd@iAi, Asp" 'A2'i'ClFE7iiirh="SNt'�tlG�C Sj ! Y3CiMPH�' UNDERLAYMENT REEE8rSTtCK JOiSfEUT 1Ltl.EELT-A-_57afl f5 r'T- Ur'v°t i;'*::s-/ MISC INCLUDES LABOR AND DUMPST€R TO REMOVE ( LAYER(SI OF SHINGLE$. I - ADDITIONAi. LAYERS WILL COSTS Sty' l PER LAYER ADDITIONAL LAYERS IN�,� '3'. Deteriorated existing decking replaced at S per, sheet of plywood 'p Z Deteriorated existing decking repFacedat$, .Per linear ft. WO'ODACKNOWLFOGMENTIN' `Doesnot induct. painting to match 'Does "I Include any stuccorepairs where deteriorated Dashin11,1110 ba raplaced. - WARRANTIES Worry -Free Gold Tyr iron-proratedWORKMAIVSHtP INCLUDED Worry -Free Platinum 15 yr n- V '. rcxrroojs entry a 7 yrr warkraanship warranty ii j "'CUSTOMER WAIVES INTERIOR DAMAGE PRE -INSPECTION- Customer Initials (Any interror damage which occars during construction trill not be covered Y 4 i, DLLS EIY,iVV 14LY.YtYI;iT4,77'11'1,3Iis.T{i�R` 'kr/a i t`Sd', ^Iy.LU 'k tin..rt"444.„,.�i ..cL° 7'ri_im# .s. 3k'{,�i�0�,ih nx_ �k s.h;r;:�,i..,pp�, .%x tlr...r"yw ., Customer wishes to participate ir,t:ie Insurance Recovery ProgramalR?j and by s W1,+Yy N+:t(iifd*ri. 5 � iA Cf cz ©('T)pN5 5AxiF t i�i 9 r' 6r3 ti (loin, so will� r,vt rt` �.trsai �? ,MDntht pdy nentr.. their project t s Omer udt der tand5a d agrees that in ord�i fa gUalify or (fie k 9 t1 r ; d€scountthe�y must nfeet With aTepresentadve to dlscu s the program prior the-af` -stof their pi0ject,. ; C�to'irier initials * PE� S?rtao,R ,s,tt0„�NFEiiES 'Through Wa11s Fargo Bank writ approved credit. 'Fhtanclag purse he rota ate pdprtostart of pralecr. r 7 � . t , USTOMER SIGNATURE DATE TOTAL:k{OME ROCIFING , DATE I I HAVE READ AND UNDERSTAND THIS PROPOSAL, THE'TERMS AND CONDI ITIONS, AND ALL DOCUMENTS REFERENCEDTHEREIN AND AGREE TO RE ROUND BY THEIR TERMS. ACCEPTANCE OF PROPOSAL. The above prices, their specifications and conditions are'satisfactory and are hearby accepted. Contractor is authorized to do the work as ,pecifie 1. fly signing Customer acedowiedges that Customer is owner of the Property where work isto be performed.. ALL PAYMENTS ARE DUE UPON COMPLETION OFTHE PROJECT. Any delay in payments may result in 1.5% interest per 30 days. , Wind Mitigations are not considered part of the project but offered as a. service to our customers through a third patty certified licensed inspection company and shalt not be used as reason for any delay of final. payment. This agreement constim:es the entire certcract.by and between contractor and owner and parties are not bound by oral.. expressions or representation by any party or agent of either party. THiS INSTRUMENT. PREPARED SYt Name: TOTAL HOME ROOFING Address: 165 W ST RD 434 Winter Springs, FL 32708 NOTICE OF, COMMENCEMENT State of Florida County of Seminole Peffntt Number. Parcel ID Number illi'llillilill'Illil]IIII"Illlllllllllll 1111 GRANT MA[. Yr SENIFIpLE COUNTY ). OF C:ifiit:UTT C:OURT At CONPTROLLER SK 9 f, "1'i !=� � �: CLERK'S r 201Sf 47758 RECORDED 05/02/. 018 12:49:44 PM RECORDING, FEE �11.I,iIi-I RECORDED Ely,ieckenlro The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following info`nmation Is provided in this Notice of Cornmencement. DESCRIPTION OF PROPERTY: (Legal description of the property and street address if avail bie) 9 7 -01q ..�►:�',i>►�� GENERAL DESCRIPTION OF re-roofONLY .• .�G!!irk:C:Ts[tip[iiTiZ �IIsC�RRiTs'C��Iif IsRi'L> ���1!![ws Fee Simple, Title Holder (if other than owner) Name Address: , In addition to himself, Owner Designates of To receive a copy of the Lienor's Notice as Provided in Section 713.13(1)(b), Florida Statutes. n Date of Notice of Commencement (The, expiration date Is t year from date of recording unless a date Is specified) QWNER. ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF ENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13, fUTES, AND CAN RESULT iN YOUR PAYING TAKE FOR IMPROVEMENTS TO YOUR PROPERTY. A OMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE. BEFORE THE FIRST 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 I have read the foregoing and thatthe facts stated in it are true to a best of my know dge and belief. 0' CJ `G t`�, %� . �� d ail ownees Signature Owner's Pfatted Name Florida Statute 713.13(T)(g):"the owner must sign the notice of commencement and no one else may be permitted to sign in his or her stead.' State of FLORIDA County of SEMiNOLE Q The foregoing instrument was acknowledged before, me this day of 1?A GF by 0 \soy`�Who is personally known to me Na ie of person making statement OR who has produced ident ficationotype of Identification produced: J I L L. iAN F, i 1',RI� Ei c S0ro# skon �rarp put" ' ,"}t'}',� l f ' i- i Notor Signature �vly comnntsS1 n E ,. l,, ,,. Juice 06, 202 1 CITY OF 'AIS FORD wilding & Fire Prevention Division FIRE DEPARTMENT Re -Roof Permit Card PERMIT NO. g ♦ ISSUE DATE: • �91 a. CONTRACTOR: � lip JOB ADDRESS: CAideas-a-go*40 TYPE OF WORK: Rez PROTECT FROM WEATHER I • 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 ROOF INSPECTION TYPE APPROVED REJECTED INSPECTOR FINAL ROOF 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 r 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 y' FORD RESIDENTIAL RE -ROOF POLICY& PROCEDURES FIRE DEPARTMENT PE,RrvIITTINc REQUIREMENTS- NO PLAN IZENIIEwREQUIRED THIS DOCUMENT (SIGNED) ALONG WITH AN ACCURATE AND COMPLETED RESIDEN'rIAL RE -ROOF SCOPE or WORK ARE REQUIRED 1-0 BE SUBMITTED AS PART 01"YOUR PERMIT APPLICATION. TREE SCOPE OF WORK MUSTINCLUDEALL APPLICABLE FLORIDA PRODUCTAPPROVAL NUMBERS I -OR ALL ROOF COMPONENTS THAT WILL BE INSTALLED ON THE PROJECT. A PERMIT WILL NOT BE ISSUED WITHOUTTHESE DOCUMENTS. COPIES WILL BEMADE TO POST ONTHE JOB SITE. **PROJECTS LOCATED IN `THE SANFORD HISTORIC DiSTRicr WILL REQUIRE PLAN REVIEW AND APPROVAL, SANFORD HISTORIC PRESERVATION BOARD INSPECTION POLICY& PROCEDURES A FINAL ROOF INSPECTION IS THE ONLY INSPECTION REQUIRED FOR RESIDENTIAL (SINGLE FAMILY, TOWNHOUSE, MOBILE HOME, APARTMENT AN'D/OR CONDOMINIUM).RE-Rooi-- PERMITS. THE FOLLOWING IS REQUIRED TO BE PROVIDE ON THE JOB SITE: • PERMIT CARD, POSTED IN CONSPICUOUS AND WEATHERPROOF LOCA-11ON • COMPLETED RESIDENTIAL RE -ROOF SCOPE OF WORK • COMPLETED ANDNOTARIZED INSPECTION AFFIDAVIT • ALL FLORIDA PRODuci'APPROVAL AND CORRFSPONifDIN6 INSTALLATION INSTRUCTIONS (PRODUCT APPROVAL SHALL MATCH WHAT IS ON THE SCOPE OF WORK) 0 DIGITAL PHOTOGRAPHS (MUST INCLUDETFIE PERMITNUMBER OR ADDRESS IN EACH PICTURE) • EACH PLANE OF `THE ROOF, SHOWING THE UNDERLAYMENT INSTALLED • ROOF DECK NAILING PATTERN & SPACING (INCLUDING A MEASURING DEVICE OR RULER) • ROOF DECK NAILS USED (INCLUDING A MEASURING DEVICE OR RULER SHOWING SIZE OF NAILS) • UNDERLAYMENT PATTERN & SPACING (INCLUDING A MEASURING DEVICE OR RULER) • DR.IP EDGE, & VALLEY ATTACHMENT (INCLUDING A MEASURING DEVICE OR RULER) • SHINGLES INSTALLED, NAIL PATTERN AND LOCATION, OF NAILS a SKYLIGHTS (IF APPLICABLE) o DIGITAL PHOTOGRAPHS SHOWING ALL INSTALLATION COMPONENTS, PER FLPRODUCT APPROVAL o DIGITAL PHOTOGRAPHS SHOWING ALL REQUIRED FLASHING, PER FL PRODUCT APPROVAL FAIT xRE"TO F"OLLOWT"ESE- SPECIFIC GUIDELINES WILL RI_UL'I INA. AFF ANAT PROVIDED BY A FLORIDA DESIGN PROFESSIONAL (ARCIUTECT OR rNGINEER)l CERTI,FYING FBC cq-0E C�0',-Ny /LIANCE BY PERSONAL INSPECTION. CONTRACTOR (OR OWNER/Bull-DER) SIGNATURE: / L' DATE: 4/30/18 CITY OF &k�ORD FIRE DEPARTMENT PERMIT # Building & Fire Prevention Division RESIDENTIAL RE -ROOF SCOPE OF WORK J013 ADDRrss: 288 Clydesdale Cir STRUCTURE TYPE: (2) SINGLE FAMILY RESI DENCE/To\NrN i-iousE: OMOBILE HOME 0 APARTMENT/CONDOMINIUM I Rt.--ROOF TYPE: (8) REPLACIMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) 0 RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF) DECK TYPE (PLEASE SPECIff): 1/2" QDX "PLEASE NOTE: DAIL Y.100SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED" ROO17VENTILATION: 00FF-RIDGE (D RIDGE OSOFFIT OPOWERED VENT OTURBINES SKVLIGII-I'S.- 0 YES E)NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: ----------------------------------------------------------------------- MAIN RooF, AREA ROOF SLOPE: 0 LESS THAN 2:12 02:12-4:12 G 4:12 OR GREATER TYPE or Roor MANUFACTURER FLORIDA PRODUCT APPROVAL 0 SHINGLr owens coming FL# 10674-R13 OMETAL FL9 0 MODIFIED BITUMEN F L r'r' OTORCI-I DOWN FL4 0 INSULATFD F L 4rf OTILE FL4 0 OTHER: FL# Row" EXTENSIONS (PORCHES, PATIOS, ETC.) **IFA PPLICABLE** ROOF SLOPE.: 0LEssTIIAN2:12 0 2:12-4:12 0 4:12 OR GRFATrR Typi.-a OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL 0SHINGLE FL9 0 M PTA 1, FL9 0 MODIFIED BITUMEN FL41 0 TORCFi DO"'N F L# INSULATED FL# -0 OTiLE FU 0 OTH F R: FL9 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 . . . . . 18-00002136 Date 5/07/18 Property Address . . . . . . 288 CLYDESDALE CIR Parcel Number . . 18.20.31.506-0000-0150 Application description . . . ROOFING APPLICATION Subdivision Name . . . . . . Property Zoning . . . . . . . PUD Permit . . . . . . RESIDENTIAL ROOFING PERMIT Additional desc . . Phone Access Code 1049154 Permit pin number 1049154 ---------------------------------------------------------------------------- Required Inspections Phone Insp Seq Insp# Code Description Initials Date ---------------------------------------------------------------------------- 1000 111 EL03 FINAL ROOF / / CITY OF x , S O Building & Fire Prevention Division RESIDENTIAL RE ROOF AFFIDA VIT FIRE DEPARTMENT RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT #: �' 13 ADDRESS: 344 Bella Rosa Cir I Robert Donovan , 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 F$ISTALLATION 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#: CCC1330489 COMPANY / CONTRACTOR: Total Home ROoflnl CONTRACTOR SIGNATURE: (MUST BE SIGNED BY LICENSE HOLDER A FINAL ROOF INSPECTION IS REQUIRED: DATE: 1 ale - 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. I STATE OF FLORIDA COUNTY OF seminole Sworn to and Subscribed before me this day of 20 I by: Robert Donovan . Who is ❑ Personally Known to me or has ❑ Produced (type of identi ation) as identification. JILLIAN S HARRIS 7F_, U.9 S' oat re of Notary Public State of Florida Notary Public S to Florida Cornrn!iss,ion # GG 1 12296 5. M Commission Expires June 06, 2021 Jillian Harris Print/Type/Stamp Name of Notary Public