HomeMy WebLinkAbout3416 Whippoorwill CtCITY OF
y SkNFOXk"
FIRE DEPARTMENT
Building & Fire Prevention Division
PERMIT APPLICATION
Application No: I 8 - D '4q
Documented Construction Value: $ I0, 060, o-b
Job Address: 3416 WHIPPOORWILL CT SANFORD, FL 32773 Historic District: Yes❑No❑
Parcel ID: 07-20-31-512-0000-0140 Residential Commercial❑
Type of Work: New❑ Addition[] Alteration❑ Repair❑ Demo❑ Change of Use❑ Move❑/
Description of Work: Roof Replacement — (-e�1vl"t ( tary4 yfi'c FARO A02 �17 �f KA/A�le1
Plan Review Contact Person: Stephanie Williams Title: Office Manager
Phone:386-456-6500 Fax:
Email: stephanie@nolandsroofing.com
r , I ` Property Owner Information
Name �y . o UC <<� �'t-C_ Phone: Ll 61 `Oq t/
Street: 3416 WHIPPOORWILL CT Resident of property? : yes
City, State Zip: SANFORD, FL 32773
Contractor Information
Name Noland's Roofing, Inc.
Street: 1512 S. Volusia Ave.
City, State Zip: Orange City, FL. 32763
Name: n/a
Street:
City, St, Zip:
Bonding Company: n/a
Address:
Phone: 386-456-6500
Fax:
State License No.: CCC057611
Architect/Engineer Information
Phone:
Fax:
E-mail:
Mortgage Lender: n/a
Address:
PAYING TWICE OWNER:ING TO FOR IMPROVEMENTS TO YOURE TO PROPER Y. A NOTICE OF COMMENCEMENT A NOTICE OF COMMENCEMENT NTMUST
IN UR
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" Edition (2017) Florida Building Code
Revised: January I, 2018 Permit App4ation
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 pen -nit 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.
LF
ature of Owner/Agent Date Signatur Contractor/Agent Date
Print Owner/Agent's Name
Signature of Notary -State of Florida Oate
Q\VotaRvgSIP Oo NOTARRYIPUBL PUBLIC
STATE OF FLORIDA
y = Comm# GG071247
Owner/A tSb_ igPiggoprlgjkNnown to Me or
Produced ID _� Type of ID L
Gr-Z /lld /AA�
Print Contractor/Agent's Name
OSA natureLefAN} Rt�ry,Nate of Florida ate
ss tKK E PAGLIAZZO
o� °c 1vUTARY PUBLIC
o o STATE OF FLORIDA
Comm# GG071247
Expires 2/8/2021 X
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.
Flood Zone:
# of Stories:
Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes ❑ No ❑ # of Heads Fire Alarm Permit: Yes ❑ No ❑
APPROVALS: ZONING: UTILITIES: WASTE WATER:
ENGINEERING:
COMMENTS:
FIRE:
BUILDING:
Revised: January 1, 2018
Permit Application
Noland's Roofing Inc.
Customer. JOHN OUELLETTE
Date: 512112018
Policy Number. 000722365197A
Phone: 407-463-8094
Email: OUELLETT.JONA0ATT.NET
Job Address: 3416 WHIPPOORWILL CT
Sales Persons Name: MATTHEW HOUSEHOLDER
Job Description: RE -ROOF
ACCORDING TO FLORIDA'S CONSTRUCTION LIEN LAW (SECTIONS 713.001-713.37, FLORIDA
STATUTES), THOSE WHO WORK ON YOUR PROPERTY OR PROVIDE MATERIALS AND SERVICES
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, THOSE PEOPLE WHO ARE OWED MONEY MAY
LOOK TO YOUR PROPERTY FOR PAYMENT, EVEN IF YOU HAVE ALREADY 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. TO PROTECT
YOURSELF, YOU SHOULD STIPULATE IN THIS CONTRACT THAT BEFORE ANY PAYMENT IS
MADE, YOUR CONTRACTOR IS REQUIRED TO PROVIDE YOU WITH A WRITTEN RELEASE OF
LIEN FROM ANY PERSON OR COMPANY THAT HAS PROVIDED TO YOU A "NOTICE TO OWNER."
FLORIDA'S CONSTRUCTION LIEN LAW IS COMPLEX, AND IT IS RECOMMENDED THAT YOU
CONSULT AN ATTORNEY.
Homeowner Signature: r% Date
1295 W Highway 50 Clermont, FL. 34711
'Ie'l e2)) r c.,,. 1 it .. Ain f:Cr:(1r,7F11
Noland's Roofing Inc.
PRO SHINGLE. 800.00
Page:1
Noland's Roofing Inc. proposes to supply the labor and materials necessary to apply your roofmg as follows:
A) Remove old shingles and underlayment to bare deck and dispose of properly.
B) Inspect existing decking for water damage and re -nail according to code. We will remove d r ace at a rate of $65.00 X:/7Z
per sheet of plywood or $5.00 per linear board foot. Cedar Fascia $8.00 per linear foot. X:
C) Noland's Roofing, Inc. will provide all applicable permits.
NOTE: Woodwork is not included in the price below and it is solely t e responsibility of the customer to pay.
1. Supply and install code approved CertainTeed Premium Synthetic underlayment to deck using simplex nails.
2. Supply and install code approved 2 72" galvanized painted cave drip and secure to the roof deck with�j]s�round all
eaves and rakes (Please specify drip edge color: Wk-/ fe Customer initials A�U
3. Secure the cave metal with mastic and then apply CertainTeed Starter shingles at all eaves wi the seal strip at the edge of the roof.
4. Supply and install all new flashings for plumbing penetrations.
5.Supply and install color matched kitchen and bath exhaust vents.
6.Supply and install CertainTeed Hip and Ridge shingles as required by manufacturers warranty.
7.Remove and deck over existing 4ft off ridge vents.(if applicable)
8.Supply and install code approved CertainTeed shingle over ridge vents (if chosen by customer) Customer initials A Vm
9. Supply and install code approved CertainTeed Winter guard self -adhered underlayment to all roof penetrations. /
10. Supply and install code approved CertainTeed Winter guard self -adhered membrane in all valleys.
11. Supply and install CertainTAed Landmark shingles per manufacturer's specifications fin4 l applicable building codes
Please specify shingle
Noland's Roofing Inc. will supply a full coverage warranty upon comple "
61D
A manufacturer's warranty shall be famished if called for above. The above work shall be performed in a substantial workmanlike
manner for the base price and the sum of: $ 26,292.52
Undisputed amount for claim number- 722365-026 Amount $ 19,344.62
Customer's deductible for policy number- 072-23-65
CACCEPT---
Amount 5400.00
REJECT
5-STAR WARRANTY
** 130 mph wind warranty** LIFETIME non -prorated labor and material
warranty** LIFETIME workmanship warranty- $ 675.00 Accept Reject
t
Other Trades: NEW 6" SEAMLESS GUTTERS O FT SIDE OF HOME AND ON SIDE OF GARAGE AND 2 NEW
DOWNSPOUTS FOR REAR OH HOME. $500.0 , (
�4 yLS USA l �
3 NEW 2X4 SKYLIGHTS NEW 350.00 EACH. $LO50.00 ACCEPT REJECT
4
Customer out of pocket expense limited to deductible, woodwork and upgrades.
With payment to be made as follows: 1st insurance check and deductible upon contract signing.
Balance upon completion per trade.
Date: a l a oig
Noland's itoorinL., Inc.
Page:2 of 4
1295 W Highway 50 Clermont, FL. 34711
Phnne• 359-949-4399 / Fay 359-949-4333 License No. CCCO57611
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date: 5/30/2018
I hereby name and appoint: C lS / «i� / ` t' L l
an agent of: Nolands Roofing, Inc.
(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):
❑ All permits and applications submitted by this contractor.
X The specific permit and application for work located at:
3416 Whippoorwill Court, Sanford, FL. 32773
(Street Address)
Expiration Date for This Limited Power of Attorney:
License Holder Name: Grea Noland
State License .Number:
Signature of License H
STATE OF FLORI A
COUNTY OF 11f2l US
The foregoing i}strument w acknowledged before me this _3Dday of Q
� _/ ,
200 1�, by `
p� who is personally known
to me or ❑ who has p oduced
identification and who did (did not) take an oatl(1
(Notary Seal)
DEBRA SCHREIBER
M)' COMMISSION # GG209394
�FanoP EXPIRES: April 19, 2022
(Rev. 3/27/07)
Signature
Print or type name
Notary Public - State of61'I'det
Commission No.
My Commission Expires:
as
THIS INSTRUMENT PREPARED BY:
Name: Stephanie Williams
Address: Noland's Roofing, Inc.
1512 S. Volusia Ave., Orange City, FL. 32763
NOTICE OF COMMENCEMENT
Permit Number:
Parcel ID Number. 07-20-31-512-0000-0140
6F r ]T I'IALO, . FWI`iIi' OI...E COWITY
Ci_I::RK. OF CIRCUIT COURT & CON!" T ROLLER
BK. 91&i3 l's 1779 (IP9si
CLERK'S x 20/8062122
R.EC(lR-EC} 05,=31/2018 A.:,, 51. .3 � ii
rtE::i.l)i. GlfJf FEES $1.0.00
RECORDED BY Ildev-7r'e
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 of the property and street address if available)
LOT 14 WHIPPOORWILL PB 40 PG 60
3416 WHIPPOORWILL CT SANFORD, FL 32773
2. GENERAL DESCRIPTION OF IMPROVEMENT:
Roof Replacement
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACT�jD FOR THE IMPROVEMENT:
Name and address: 3-O 4N b �L� ff E T�-u S Te r
Interest in property: 3416 WHIPPOORWILL CT SANFORD, FL 32773
Fee Simple Title Holder (if other than owner listed above) Name: Owner
Address:
4. CONTRACTOR: Name: Noland's Roofing, Inc. Phone Number: 386-456-6500
Address: 1512 S. Volusia Ave., Orange City, FL. 32763
S. SURETY (If applicable, a copy of the payment bond is attached): Name: n/a
Address: Amount of Bond:
6. LENDER: Name: n/a
Address:
Phone Number:
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.
8. In addition, Owner designates
Phone Number.
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 of Owrler or Lessee, or Owner's or Lessee's
Authorized Officer/Director/Partner/Manager)
State of c r i 4 County of A
(Print Name and Provide Signatory's Title/Office)
The toregoing instrument wgs�acknowledccgf�e�d before me this 9 day of /v/iAt/ 2V b
Wh II k
who has produced
Name
ig srazemenc p
of identification produced:
o rs persona y nown to me ❑ OR
NR CATHERINE PAGLIAZZ.O d
oQ NOTARY Notary Signature
of
(.• ' STATE OF FLORIDAiQ
y Ira Comm# 00071247 A Zr C1.1°. I I 2
t:
s�'tCE 19�$ Expires 2/8/2021
-MAY 8 Ua p,�._� � .,.y r._; t F s
CITY OF
Building &Fire Prevention Division
iv
Skl40RD
RESIDENTL4L 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 EACII PLANE OF TIIE 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) SIGNATURE: DATE: 5/30/2018
t
C IIT YY OF
S��FORD PERMIT #
Building & Fire Prevention Division
FIRE DEPARTMENT RESIDENTIAL RE -ROOF SCOPE OF WORK
JOB ADDRESS: 3416 Whippoorwill Court, Sanford, FL. 32773
STRUCTURE TYPE: (2 SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: 0 REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY): 1 /2" Plywood
'""PLEASE NOTE. ONLY 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED
ROOF VENTILATION: (& OFF -RIDGE O RIDGE OSOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: O YES (a NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 O 2:12-4:12 (D 4:12 OR GREATER
TYPE OF ROOF
MANUFACTURER
FLORIDA PRODUCT APPROVAL
SHINGLE
CertainTeed
FL# FL 5444-R13
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#
O INSULATED
FL#
O TILE
FL#
0 OTHER:
FL#
jrf
. a 0.
Sk
CITY OF
Building & Fire Prevention Division
40RD
RESIDENTIAL RE-ROOFAFFIDAVIT
FIRE DEPARTMENT
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: L (3_d `t Q ADDRESS: 3416 Whippoorwill Court, Sanford, FL. 32773
I Greg Noland , 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 #: CCC057611
COMPANY / CONTRACTOR:
CONTRACTOR SIGNATURE:
(MUST BE SIGNED BY LICENSE HOLD R NER/BUILDER)
A FINAL ROOF INSPECTION IS REQUIRED:
DATE: 8 ( y
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,
UNDERLAVMENT, 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
Volusia
Sworn to and Subscribed before me this day of , — 20 18 by:
Greg Noland Who is X Personally Known to me or has ❑ Produced (type of
identification) as identification.
Signature of Notary Public
State of Florida
Print/Type/Stamp Name
of Notary Public
°` DEBRA SCHREIBER
MY COMMISSION # GTG209394
����a EXPIRES: April 19, 2022