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Home My WebLink About103 Cobblestone Way; 16-3440; RE-ROOFJob Address: / 0 CITY OF SANFORD BUILDING & FIRE PREVENTION Application No: PERMIT APPLICATION 3 c-/(/ d Documented Construction Value: S a/ I ) (D Parcel ID: 33 30 e)" ado — Historic District: Yes No — Residential Commercial Type of Work: New Addition Alteration Repair Demo Change of Use Move Phone: o70 ' W6:2Fax: Property Owner Information Name % om/m CA_ / r/-vt+O./c. Phone:f i —J4;z— 3 Street: f0y ! /'S I,RJ i Resident of property? : ,Ye 5 City, State Zip: G'42/ - -7Contractor Information Name / f dr Street: Itoiv e a City, State Zip: 1Y) Pt - .3 a- % % 1 Name Street: City, St, Zip: Bonding Company: Address: Phone: J / rt 7 _ 77 5- r 0 Fax: 3.-Y - o?-n ` O V3 7 State License No.: W e Otto 75Z?L Architect/Engineer Information Phone: Fax: E- mail: 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 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. z FBC 105. 3 Shall be inscribed with the date of application and the code in effect as of that date: 5" Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application 1 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 co ruction an i Signature of Owner/Agent Date S ature of Contractor/Age Date 1G l (C /J` k . Print Owner/Agent's Name Print Contractor/Agent's Name Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID ignature of DEBBIE BLANTON MY COMMISSION 8 rF 178646 EXPIRES: February 25, 2019 Bonded Thru Notary Public Underwriters Contractor/Agent is Personal l Known to Me or Produced ID Type of ID -F% L 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—S l? Revised: June 30, 2015 Permit Application SCPA Parcel View: 33-19-30-508-0000-1160 Page 1 of 2 Property Record Card CN1 Parcel: 33-19-30-508-0000-1160 Owner: RICHMOND THOMAS C Property Address: 103 COBBLESTONE WAY SANFORD, FL 32771-3681 Parcel Information Parcel 33-19-30-508-0000.1160 Owner RICHMOND THOMAS C Property Address 103 COBBLESTONE WAY SANFORD, FL 32771-3681 Mailing 103 COBBLESTONE WAY SANFORD, FL 32771- Subdivision Name MAYFAIR MEADOWS Tax District S1-SANFORD DOR Use Code 01-SINGLE FAMILY Exemptions 00-HOMESTEAD(2013) 40 40 40 50 0 1a 40 40 i 40 a 40 ifs 50.27 O Semi no a ounty Value Summary 2017 Working Values 2016Ceffed Valuation Method Cost/Market j Cost/Market Number of Buildings Depreciated Bldg Value i $92,915 89,491 Depreciated EXFT Value Land Value (Market) Land Value Ag 24,000 24 000 Just/Market Value " 1116,915 113,491 Portability Adj Save Our Homes Adj 30,080 P I $27,260 _ Amendment 1 Adj P&G Adj 0 0 Assessed Value —--$86,835 I 86,231 — Tax Amount without SOH: $1,461.64 2016 Tax Bill Amount $915.19 Tax Estimator Save Our Homes Savings: $546.45 Does NOT INCLUDE Non Ad Valorem Assessments Legal Description i LOT 116 MAYFAIR MEADOWS 11jPB29PGS31TO33 Taxes — y Taxing Authority Assessment Value Exempt Values Taxable Value City Sanford $86,835 1 $50,000 36,835 SJWM(Saint Johns Water Management) _ T — $ 86,835 1 $50,000 1 _ $36,835 County Bonds — j $86,835 50,000 36,835 County General Fund $86,835 50,000 36,835 Schools $86,835 25,000 61,835 Sales I Description Date Book Page Amount Qualified Vac Limp WARRANTY DEED 12/1/2012 07944 i 1770 108,000 I Yes Improved WARRANTY DEED 8/1I1990 02211 11329 900 1 Yes Improved— WARRANTY DEED 4/1/1985 01632 0662f, 641 rv— V 62,700 1 Yes p Improved Find Comparable Salesi i Land Method Frontage Depth Units Units Price Land Value LOT 0.00 0.00 i 1 $24,000.00 I $24,000 Building Information t Description Year BuiltFixtures Bed Bath Base Area Total SF Living SF I Ext Wall Adj Value Repl Value AppendagesActual/Effective t SINGLE 1985 6 I 31 2.0 1,314 1,647 1,3141 SIDING i $92,915 1 $108,041 FAMILY GRADE 3 Description AreaI III 48.00I http://parceldetail.scpafl.org/ParcelDetailInfo.aspx?PID=33193050800001160 12/20/2016 Please Print CONTRACT Phone: (407) 774-2158 Commercial & Residential Toll Free: (800) 309-5667 Home of the FREE Roof Inspection" Fax: (321) 207-0437 www.alansroofinginc.com LICENSE NO. CCC046942 nl f (a ' l'7 -7, 1 NAME t o m r `c. c .& e PHONE (7 4l— 3 w l l DATE ADDRESS CITY /' c .2 ZIP '7 9C 7 SALESMAN t lfty (` NTA T Hf NF I %;LG n,'a,'.'*=.... tkz.,,w^^,..afS^ `r"."'?' as roi`.Y..,rr'r;..a.::a,.g M. HOME HOUSE r)TWF:P Irintl i k>T-:,"^4,..-'T"-"a'"'s r BRANDAND DESCRIPTION II OF PRODUCT t S 66%,,rth- %C, Q/¢ 'r+u COL (y%/ e jt/y PITCH L 1 r1d Si 1. PULL A CITY OR OUNTY PERMIT ' SQ. RENAIL WOOD TEAR OFF: SQ. OF OLD SHINGLES --- SQ, OF FLAT ROOF SQ. OF OLD TILE REINFORCED FIBERGLASS UNDERLAYMENT !— I LAYER; ' 2 LAYERS PEEL & SEAL 4. INSTALL: `— GALV. VALLEY METAL LF SELF ADHERING VALLEY LINER LF METAL OVER RIDGE LF I'INSTALL: ALUM. DRIP EDGE LF --61EEL DRIP EDGE LF I• "— PAN FLASHING LF — L. FLASHING LF COLOR 6. INSTALL REPLACE: LF OF R.V. PLUGS COLOR FT. VENT SURE REPLACE: 1 1/2 IN. 2 IN. 3 IN. LEAD BOOTS 4 IN. GRV'S __ 10IN GRV'S--ELEC. RISER STARTER ROLL STARTER STRIPS CIRCLE ONE 9. LAY SQUARE OF 'L L NEW FIBERGLASS SHINGLES t Z60LCAP 3 — TAB / PERF 1 HIP & RIDGE 10. INSTALL: `" SM. DEAD VALLEY -" LG. DEAD VALLEY _ MODIFIED LIBERTY 11. INSTALL: TPO LAYER OF INSULATION TBAR / SEAM TAPE 12. NINISTALUREPLACE: 2 X 2 2 X 4 4 X DOME4SKYLIGHTS ACRYLIC sFA FIXED GLASS DOMES CM CLASSIC 3 13. HAUL OFF ALL TRASH AND RUN MAGNET AROUND GROUNDS 14 ALL WOOD WORK WILL BE EXTRA PER ATTACHED WOOD BILL ALAN'S ROOFING HAS MY PERMISSION TO CONTRACT WITH AN ENGINEER OF IT'S CHOICE TO 15. CONDUCTANY OR ALL INSP . IONS THAT MAY-8 REQUIRED UNDER LOCAL OR STATE LAW 16. SPECIAL INSTRUCTIONS(It- _ I Cs- G gI ! Sr G TOTAL CONTRACT AMOUNT Price is good for 30 days DEPOSIT ACCESS: Customer agrees to allow access to the property and reafizes that heavy equipment Is being used. Contractor shall not be liable for, without limitation, damage to driveways, sidewalks, lawns, sprinkler systems, gardens, septic systems and any BALANCE DUE UPONotherstructuresthereof, as a result of rooftop or job deliveries. DAMAGE ETC.: Customer shall be responsible for removal, reinstallation and recalibration of satellite dishes. Should customer become aware COMPLETION Df damage to property by Contractor, his agents, or employees during the course of installation of the roof, said damage shall be brought to the attention or me t:onuaaor intoinsumeorpaymentrotmeTomquesuon. IT customer cans to noury t.onuactor or saiu admaye, vnmur u r working days of occurrence, then shall waive all rights against Contractor concerning said damage. Alan's Roofing is not responsible for roofing nails penetrating A/C lines In the attic. Customer agrees to secure and protect their assets including shelves, ceiling fans, tools and other valuables to avoid damage from vibration, breakage and/or detachment of parts, etc. DELAYS, ETC.: Hereby acknowledges that Contractor may be subject to delays occasioned by Inclement weather, labor disputes, and material supply shortages or other causes which are beyond the control of the Contractor and hereby accepts delays occasioned by one or all of these circumstances In the installation of the roof. PAYMENT OF CONTRACT: Customer hereby agrees that all amounts due for this work shall be paid upon completelion of installation. Any amounts unpaid will bear interest at a rate of 1 1/2% per month. Contractor shall be entitled to all costs of collection including aftomeys' fees. RIGHT TO CANCEL: If this is a Home Solicitation Sale, and if you do not want the goods or services, you may cancel this agreement by providing written notice to the seller in person, by telegram, or by mail. This notice must indicate that you do not want the goods or service and must be delivered or postmarked before midnight of the third business day alter you sign this agreement If you cancel this agreement, the seller may not keep all or part of any cash down payment. IF THIS IS NOT A HOME SOLICITATION CONTRACT: Once It Is signed, you are bound to It by the laws of the State of Florida. If in the event you breach or attempt to cancel this contract, the Contractor shall be entitled to all lost profits from the contract. ACCEPTANCE PROPOSAL: The above prices, specifications and conditions are satisfactory and hereby accepted. All contracts are subject to Alan's Roofing. Inc. management approval. Customer agrees to allow Alan's Roofing, Inc. to use photos, letters of recommendation, satisfactions forms, etc. to be used for advertising purposes. In case any one or more of the provisions contained herein shall be Invalid, illegal or unenforceable in any respect,the validity, legality and enforceability of the remaining reemmaining provisions and o r application thereof shall not in any way be affectedyor Impparied. SALESMAN SIGNATURE . CUSTOMER SIGNATURE V DATE • MANAGEMENT APPROVAL onstruction Industries Recovery Fund: Payment may be available from the construction industries recovery fund if you lose money on a project performed under contract, where the sss results from specified violations of Florida Law by a State Licensed Contractor. For information about the Recovery Fund and filing a claim, contact the Florida CILB at the following elephone number and address: 850-487-1395. Florida Construction Industry Licensing Board, 1940 N. Monroe Street, Tallahassee, FL 32399. 16-01 Florida Building Code Online p n', Jl Page 1 of 2 i 11 1 IIII, uNw ICI x k1 Jr v, I qI'"- I -. V I' I iw I , I 'i' I Ilt E- h'a. . tl tl ;ti µ,II Vi I I IN)II GI I oii a fjl u I II „ a,ll I III{ i h' hell 4 i III N •+ Ilo i I I41S 1 h,w,{ +..' ' i"'?ri4.. BCIS Home Log In User Registration Hot Topics Submit Surcharge Stats & Facts Publications FBC Staff BCIS Site Map Links Search Busines Professional SIUSER:P'°d" a' cUserPublicUser Regulation Ii09iiaYgI. Pfpd= Approval Menu > Product or Application Search > Apolication List > Application Detail FL # FL17420-R2 Application Type Revision Code Version 2014 Application Status Approved Comments Archived Product Manufacturer Owens Corning Address/Phone/Email One Owens Corning Parkway Toledo, OH 43659 740)404-7829 greg.keeler@owenscorning.com Authorized Signature Greg Keeler greg.keeler@owenscorning.com Technical Representative Address/Phone/Email Quality Assurance Representative Address/Phone/Email Category Roofing Subcategory Underlayments Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer 6 Evaluation Report - Hardcopy Received Florida Engineer or Architect Name who developed Zachary R. Priest the Evaluation Report Florida License PE-74021 Quality Assurance Entity Quality Auditing Institute Ltd. Quality Assurance Contract Expiration Date 12/31/2020 Validated By Locke Bowden Validation Checklist - Hardcopy Received Certificate of Independence FL17420 R2 COI OCR14004.2 201.4 FBC Eval Reoort ProArmor FINAL.odf Referenced Standard and Year (of Standard) Equivalence of Product Standards Certified By Sections from the Code 1507.2.3 1507.2.8 Product Approval Method Method 2 Option B httnc•//www flnririnhililrlino, nra/nr/nr nnn rltl acnx?nnrnm=-,xi(:FVX(l-.xrfT)nWT TC'("—;C1;-A o/1)1)i11)1 C Florida Building Code Online Page 2 of 2 Date Submitted 04/19/2015 Date Validated 04/20/2015 Date Pending FBC Approval 04/22/2015 Date Approved 06/23/2015 Summary of Products FL # Model, Number or Name Description 17420.1 ProArmor Synthetic underlayment for use with asphalt shingles in steep slope roofing Limits of Use Approved for use in HVHZ: No Approved for use outside HVHZ: Yes Impact Resistant: N/A Design Pressure: N/A Other: See evaluation report for limits of use. Installation Instructions FL17420 R2 II OCR14004 2 2014 FBC Eval Report ProArmor FINAL.Ddf Verified By: Zachary R. Priest 74021 Created by Independent Third Party: Yes Evaluation Reports FL17420 R2 AE OCR14004.2 2014 FBC Eval Report ProArmor FINAL.Ddf Created by Independent Third Party: Yes Back Next Contact Us :: 1940 North Monroe t Tallahassee FL 32399 Phone: 850-487-1824 The State of Florida is an AA/EEO employer. Copyright 2007-2013 State of Florida :: Privacy Statement :: Accessibility Statement •: gerund Statement Under Florida law, email addresses are public records. If you do not want your e-mail address released in response to a public -records request, do not send electronic mail to this entity. Instead, contact the office by phone or by traditional mail. If you have any questions, please contact 850.487.1395. -Pursuant to Section 455.275(1), Florida Statutes, effective October 1, 2012, licensees licensed under Chapter 455, F.S. must provide the Department with an email address if they have one. The emails provided may be used for official communication with the licensee. However email addresses are public record. If you do not wish to supply a personal address, please provide the Department with an email address which can be made available to the public. To determine if you are a licensee under Chapter 455, F.S., please click here-. Product Approval Accepts: z=' CreditSCArik httns://www.floridabuildiniz.oriz/nr/nr ann dtl.asnx?naram=wGF.VXOwtT)ntCTTC-Favi li-76 4/1)1)/InIs r ionua tsunaing uoae unune qA) ((- Yage 1 of 2 rfj°il illy I I IuIW r IIII 1 f+. l.lgp7nlill liiri r tllll I(Id tll , till lflllII ilili" . 1 td I11111117111 i1111 u I I IIi!'iiMMrq a — "° I ' rr', ,Iq1 smirl a PI ,. tlldvUV l f Vlu.s.' a.uw 7`i lvu2 u..n '` Illl l lll.w'wuuu'f uV u 1 " r BCIS Home Log In User Registration Hot Topics Busines5,(,, Product Approval Professional USER: Public Userr4114'NWC h u 1 - u ire Iliul lll llll llo lll l!I_, I„Illllult, 'p'ii Submit Surcharge Stats & Facts Publications FBC Staff BCIS Site Map Links Search AYi1LiY'tlL'i110 Product Annroval Menu > Product or jgp g'jtiorl Search > gl7plication List > Application Detail B6Sx,.A' ' ,. „,, FL # FL17420- R2 Application Type Revision Code Version 2014 Application Status Approved Comments Archived Product Manufacturer Owens Corning Address/Phone/Email One Owens Corning Parkway Toledo, OH 43659 740) 404-7829 greg. keeler@owenscorning.com Authorized Signature Greg Keeler greg.keeler@owenscorning.com Technical Representative Address/Phone/ Email Quality Assurance Representative Address/ Phone/Email Category Roofing Subcategory Underlayments Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer J Evaluation Report - Hardcopy Received Florida Engineer or Architect Name who developed Zachary R. Priest the Evaluation Report Florida License PE-74021 Quality Assurance Entity Quality Auditing Institute Ltd. Quality Assurance Contract Expiration Date 12/31/2020 Validated By Locke Bowden Validation Checklist - Hardcopy Received Certificate of Independence I I,y.,l_iiy Referenced Standard and Year ( of Standard) Equivalence of Product Standards Certified By Sections from the Code 1507.2.3 1507. 2.8 Product Approval Method Method 2 Option B https://www.floridabu1lding.org/ pr/pr_app_dti.aspx?param=wGEVXQwtDgtCUGgvj Qiz6... 9/22/2015 1vilua "U11u111r, wuc vnnne Page 2 of 2 Date Submitted Date Validated Date Pending FBC Approval Date Approved FL # I Model, Number or Name 17420.1 ProArmor Limits of use Approved for use in HVHZ: No Approved for use outside HVHZ: Yes Impact Resistant: N/A Design Pressure: N/A Other: See evaluation report for limits of use. 04/19/2015 04/20/2015 04/22/2015 06/23/2015 Description Synthetic underlayment for use with asphalt shingles in steep slope roofing Installation Instructions FL17420 R2 II OCR14004 2 2014 FBC Eval Report ProArrnor FINAL odf Verified By: Zachary R. Priest 74021 Created by Independent Third Party: Yes Evaluation Reports FL17420 R2 AE OCR140Q4 2014 FBC Eval ReportProArinorFINALDdf Created by Independent Third Party: Yes Back Next Contact Us :: 194o North Monroe Stre Tallaha c FL 32'+QQ Phone: 850-487.1824 The State of Florida is an AA/EEO employer. Coovrioht 2007-2013 Stara of Florida.:: Privacy St atement :: Accessibility statement :: Refund s-te,., nt under Florida law, email addresses are public records. If you do not want your e-mail address released In response to a public -records request, do not send electronicmalltothisentity. Instead, u have any questions, please contact 850.487.1395. -Pursuant to contacttheofficebyphoneorbytraditionalmail. If yo Section455.275(1), Florida Statutes, effective October 1, 2012, licensees licensed under Chapter 455, F.S. must provide the Department with 9 email address if theyhaveone. The emails provided may be used for official communication with the licensee. However email addresses are public record. If you do not wish to supplyapersonaladdress, please provide the Department with an email address which can be made available to the public. To determine if you are a licensee under Chapter455, F.S., please click here . Product Approval Accepts: ON in iCred tj ArFEhttps: Hvwww.floridabuilding.org/pr/pr app_dtl.aspx?param=wGEVXQwtDatCi0/1)1)/nf%,r TOR I NITY ER IF, EVALUATION REPORT Owens Corning One Owens Corning Parkway Toledo, OH 43659 EXTERIOR RESEARCH & DESIGN, LLC. Certificate of Authorization #9503 353 CHRISTIAN STREET, UNIT#13 OXFORD, CT 06478 PHONE: (203) 262-9245 FAX: (203) 262-9243 Evaluation Report 035470.12.10-112 FL14299-R2 Date of Issuance: 12/16/2010 Revision 2: 04/22/2015 SCOPE: This Evaluation Report is issued under Rule 61G20-3 and the applicable rules and regulations governing the use of construction materials in the State of Florida. The documentation submitted has been reviewed by Robert Nieminen, P.E. for use of the product under the Florida Building Code and Florida Building Code, Residential Volume. The product described herein has been evaluated for compliance with the 5th Edition (2014) Florida Building Code sections noted herein. DESCRIPTION: Owens Corning Roof Underlayments LABELING: Labeling shall be in accordance with the requirements the Accredited Quality Assurance Agency noted herein. CONTINUED COMPLIANCE: This Evaluation Report is valid until such time as the named product(s) changes, the referenced Quality Assurance documentation changes, or provisions of the Code that relate to the product change. Acceptance of this Evaluation Report by the named client constitutes agreement to notify Robert Nieminen, P.E. if the product changes or the referenced Quality Assurance documentation changes. Trinity IERD requires a complete review of this Evaluation Report relative to updated Code requirements with each Code Cycle. ADVERTISEMENT: The Evaluation Report number preceded by the words "TrinitylERD Evaluated" may be displayed in advertising literature. If any portion of the Evaluation Report is displayed, then it shall be done in its entirety. INSPECTION: Upon request, a copy of this entire Evaluation Report shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This Evaluation Report consists of pages 1 through 3. Prepared by: Robert J.M. Nieminen, P.E. Florida Registration No. 59166, Florida DCA ANE1983 The facsimile seal appearing was authorized by Robert Nieminen, P.E. on 04/22/2015. This does not serve as an electronically signed document. Signed, sealed hardcopies have been transmitted to the Product Approval Administrator and to the named client CERTIFICATION OF INDEPENDENCE: 1. TrinityJERD does not have, nor does it intend to acquire or will it acquire, a financial interest in any company manufacturing or distributing products it evaluates. 2. Trinity) ERD is not owned, operated or controlled by any company manufacturing or distributing products it evaluates. 3. Robert Nieminen, P.E. does not have nor will acquire, a financial interest in any company manufacturing or distributing products for which the evaluation reports are being issued. 4. Robert Nieminen, P.E. does not have, nor will acquire, a financial interest in any other entity involved in the approval process of the product. 5. This is a building code evaluation. Neither Trinity IERD nor Robert Nieminen, P.E. are, in any way, the Designer of Record for any project on which this Evaluation Report, or previous versions thereof, is/was used for permitting or design guidance unless retained specifically for that purpose. ROOFING COMPONENT EVALUATION: 1. SCOPE: Product Category: Roofing Sub -Category: Underlayment Compliance Statement: Owens Corning Roof Underlayments, as produced by Owens Corning, have demonstrated compliance with the following sections of the Florida Building Code through testing in accordance with the following Standards. Compliance is subject to the Installation Requirements and Limitations / Conditions of Use set forth herein. 2. STANDARDS: Section 1507.2.3, 1507.5.3, 1507.7.3, T1507.8, 1507.8.3, 1507.9.3, 1507.9.5 TAS 110 3. REFERENCES: Entity ERD (TST6049) ITS(TST1509) ITS (QUA1673) 4. PRODUCT DESCRIPTION: Pro a Standard Year Physical Properties ASTM D226 2006 Accelerated Weathering TAS 110 2000 Examination Reference Date Accelerated Weathering 037S20.08.11 08/19/2011 Physical Properties 100274639COQ-001B 11/29/2010 Quality Control Service Confirmation 03/23/2015 4.1 Deck Defense— High Performance Roof Underlayment is a synthetic sheet -type underlayment comprised of a woven core coated on both sides with a polymer coating. S. LIMITATIONS: 5.1 This is a building code evaluation. Neither TrinitylERD nor Robert Nieminen, P.E. are, in any way, the Designer of Record for any project on which this Evaluation Report, or previous versions thereof; is/was used for permitting or design guidance unless retained specifically for that purpose. 5.2 This Evaluation Report is not for use in the HVHZ. 5.3 Fire Classification is not part of this report; refer to current Approved Roofing Materials Directory for fire ratings of this product. 5.4 Owens Corning Roof Underlayments may be used with any prepared roof cover where the product is specifically referenced within FBC approval documents. If not listed, a request may be made to the AHJ for approval based on this evaluation combined with supporting data for the prepared roof covering. 5.5 Allowable roof covers applied atop Owens Corning Roof Underlayments are follows: avn at a 3.'rr, sir' x3 _ s Asphalt Foam -On Wood Shakes Underlayment Nail -On Tile Metal Slate Shingles Tile Shingles Deck Defense- High Performance Yes No No Yes Yes Yes Roof Underlayment 5.6 Exposure Limitations: 5.6.1 Deck Defense" High Performance Roof Underlayment shall not be left exposed for longer than 180-days after installation. 6. INSTALLATION: 6.1 Owens Corning Roof Underlayments shall be installed in accordance with Owens Corning published installation requirements subject to the Limitations set forth in Section 5 herein and the specifics noted below. 6.2 Re -fasten any loose decking panels, and check for protruding nail heads. Sweep the substrate thoroughly to remove any dust and debris prior to application. 6.3 Deck Defense` High Performance Roof Underlayment: 6.3.1 Install in compliance with manufacturer's published installation instructions and the requirements for ASTM D226, Type I and II underlayments, respectively, in FBC Sections 1507 for the type of prepared roof covering to be installed. Exterior Research and Design, I.I.C. Evaluation Report 035470.12.10-R2 Certificate of Authorization #9503 FL14299-R2 Revision 2: 04/22/2015 Page 2 of 3 7. 8. 9. TRINITY l ERD 6.3.2 Always lay Deck Defense'" underlayment parallel to the eaves. 6.3.3 Mechanical attachment of Deck Defense— underlayment is limited to roofing nails with minimum 1-inch diameter plastic or steel caps. 6.3.4 Slopes of 4:12 or greater: Starting at the eaves, lay Deck DefenseTM, lapping each course minimum 3-inches (horizontal lap) and with minimum fl- inch end (vertical) laps. End (vertical) laps in a succeeding course shall be staggered from those in preceding course by minimum 6-feet. Lap Deck DefenseT" a minimum of 6-inches from both sides over all hips, ridges and valleys. Secure with 1-inch diameter plastic or steel cap nails placed in the printed nail areas located on Deck Defense", as detailed below. 4. b '5f 3 K !• mC a r f R `Ly NN: Fq 01.- 1jCL tOOF UN0 UTNFNT a ^3ksA „t kt t CY 7777 1N3HAY i HII ,i00i 3 IIYHi Wtl3iX'JIN',q a•"', View of Standard Securement,12-inch o.c. at laps 6.3.5 Slopes of 2:12 to less than 4:12: Double layer application; begin by fastening a 25-inch wide strip of Deck DefenseT" placed along the eaves. Place a full - width sheet over the starter, completely overlapping the starter course. Overlap succeeding courses by 25-inches. Minimum 12-inch end (vertical) laps shall be staggered from those in preceding course by minimum 6-feet. N n f Yltl1a OOF 3J H OfA N °,j It 25" uuia03SUGM-0 i X uiln/w n ooa wtln ga ,, ro View of Low -Slope Overlapping, 25-inch Secure each course with 1-inch diameter plastic or steel cap nails placed in the nailing area every 6-inch o.c. at the overlap and 12-inch o.c. in the center of the sheet. Secure end laps with 1-inch diameter plastic or steel cap nails spaced 4-inch o.c. BUILDING PERMIT REQUIREMENTS: As required by the Building Official or Authority Having Jurisdiction in order to properly evaluate the installation of this product. MANUFACTURING PLANTS: Contact the named QA agency for information on production locations covered by F.A.C. Rule 61G20-3 CA requirements. QUALITY ASSURANCE ENTITY: Intertek Testing Services NA Inc.-ETL/Warnock Hersey— QUA1673; (604) 520-3321 END OF EVALUATION REPORT - Exterior Research and Design, LLC. Evaluation Report 03S470.12.10-R2 Certificate of Authorization #9503 FL14299-R2 Revision 2: 04/22/2015 Page 3 of 3 THIS Name: NsrRU NT PWARED 1,111111 "l 11101111 ill.11111111111 P11111111 Address: aF:i'li`ii i'ii=;i_IJ`r's 13011:CIT)LE" (::001TY i', C:01 i i:C)L.i_ER NOTICE OF COMMENCEMENT CI_.Er,t; r 201.70001.7 i;i C:I1GG(i) ii.;'iC;;' li 7ail :1.1i."its MJINrff Permit Number. Parcel ID Number: Q / (e 0 The undersigned hereb gives once that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the followinginformationisprovidedinthisNoticeofCommencement. 1. DESCRIPTION OF PROPERTY: (Legal description of thQprope y and sjreet address if available) r _ , 2. GENERAL DESCRIPTION OF IMPROVEMENT: 3. OWNER INFORMATI04R LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE /IMPROVEMENT: /- Name and address: l l`C`7liG1p ( Yl i/Yt I-5 t 3 (O/2.3/ f ftJyGL UV/!-cs (;?-A kilCl Interest in property: U ' . ,6el,4 Fee Simple Title Holder (if other than owner listed above) Name: Address: 1 4. CONTRACTOR: Address: —//( Phone Number: 5. SURETY (if applicable, a copy of the payment bond is attached): Name: Address: Amount of Bond: 6. LENDER: Name:—'---- Phone Number: 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. Address: 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 Owner or Lessee, or O er's or Lessee's (Print Name and Provide Signatory's Title/Office) Authorized Officer/Director/Pariner/Manager) State of 0 County of -S7 /l.. The foregoing (Instrument was acknowledged before me this day of J ci /z, , 20 11 by 1 a,13 (<rGln M4cQ C Who is personally known to me OR Name of person making statement who has produced Identification type of identification'prc DAVID T MURA MY COMMISSION #FF039243 2017 fEXPIRES July 24. 407) 398.0153 FloridallotaryServicc.com POWER OF ATTORNEY Date: _ v I, ic ! , do hereby authorize to J r2 pull the q permit for. Zd 3 Type of Permit Job Address — Signature No ture Personally known to me or driver's license # State of Florida, County of day of Al- , 20 ] . DAVID T MURA tMY COMMISSION #FF0392a3 o- : EXPIRES July 24. 2017 U 7,398.0153 FloridallotaryService.com RECORD COPY Page 1 of 2 BCIS Home Log In User Registration Hot Topics Submit Surcharge Stats & Facts Publications FBC Staff BCIS Site Map Links -',, Search Or@ Product Approval USER: Public User Product Approval Menu > Product or Application Search > Application List > Application Detail FL # FL12626-R5 Application Type Revision Code Version 2014 Application Status Approved Approved by DBPR. Approvals by DBPR shall be reviewed and ratified by the POC and/or the Commission if necessary. Comments Archived Product Manufacturer Address/Phone/Email Authorized Signature Technical Representative Address/Phone/Email Quality Assurance Representative Address/Phone/Email Category Subcategory Compliance Method Certification Agency Validated By Referenced Standard and Year (of Standard) Equivalence of Product Standards Certified By Product Approval Method Date Submitted No Sun-Tek Mfg 10303 General Dr Orlando, FL 32824 407) 859-2117 jfeudner@sun-tek.com James Feudner engineering@sun-tek.com James Feudner 10303 General Dr Orlando, FL 32824 engineering@sun-tek.com PEVIEWED PORCODE COMPLIANCE PLANS EXAMINER i 19': DATE James Feudner SANFORD BUILDING DIVISION 10303 General Dr Orlando, FL 32824 A PERMIT ISSUED SHALL BE CONSTRUED TO BE A 407) 859-2117 Ext 111 LICENSE TO PROCEED WITH THE WORK AND NOT AS engineering@sun-tek.com AUTHORITY TO VIOLATE, CANCEL, ALTER OR SET ASIDE ANY OF THE PROVISIONS OF THE TECHNICAL Sky Lights CODES, NOR SHALL ISSUANCE OF A PERMIT PREVENT THE BUILDING OFFICIAL FROM THEREAFTER Skylight REQUIRING A CORRECTION OF ERRORS IN PLANS, CONSTRUCTION OR VIOLATIONS OF THIS CODE Certification Mark or Listing National Accreditation & Management Institute National Accreditation & Management Institute Standard AAMA/WDMA 1600/I.S.7-2000 AAMA/WDMA 101/I . S.2/ NAFS-02 Method 1 Option A 01/18/2016 16-3440 LD Nc Year 2000 1SANFORD20028 1/5/2017 Page 2 of 2 Date Validated Date Pending FBC Approval Date Approved Summary of Products FL # IModel, Number or Name 12626.1 1 CMGII Limits of Use Approved for use in HVHZ: No Approved for use outside HVHZ: Yes Impact Resistant: No Design Pressure: +90/-90 Other: max rough opening 46.5 x 46.5 inch 01/19/2016 01/22/2016 Description Curb mounted glass skylight Certification Agency Certificate FL12626 R5 C CAC CMGII2018 NI006289B-R5.pdf Quality Assurance Contract Expiration Date 09/30/2018 Installation Instructions FL12626 R5 II 7.8.09 CMGII Approved Instructions.Ddf Verified By: James D. Wells, Jr. P.E. 53616 Created by Independent Third Party: Yes Evaluation Reports Created by Independent Third Party: 12626.2 FGC Fixed glass self flashing skylight Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL12626 R5 C CAC FGC2018 NI006222-R8 (2).Ddf Quality Assurance Contract Expiration DateApprovedforuseoutsideHVHZ: Yes Impact Resistant: No 04/30/2018 Design Pressure: +60/-60 Installation Instructions Other: max rough opening 46.5 x 46.5 FL12626 R5 II Master Install Instruc FGC 1 8 14 Approy.pdf Verified By: James D. Wells, Jr. P.E. 53616 Created by Independent Third Party: Yes Evaluation Reports Created by Independent Third Party: 12626.3 TG Tall glass self flash skylight Limits of Use Certification Agency Certificate Approved for use in HVHZ: No FL12626 R5 C CAC TG2018 NI006300-R7.pdf Approved for use outside HVHZ: Yes Quality Assurance Contract Expiration Date Impact Resistant: No 02/28/2018 Design Pressure: +60/-60 Installation Instructions Other: max size rough opening 46.5 x 46.5 FL12626 R5 II 5 9 09 TG Approved Instructions (2).pdf Verified By: James D. Wells, Jr. P.E. 53616 Created by Independent Third Party: Yes Evaluation Reports Created by Independent Third Party: Back Next Contact Us :: 2601 Blair Stone Road, Tallahassee FL 32399 Phone: 850-487-1824 The State of Florida is an AA/EEO employer. Coovriaht 2007-2013 State of Florida.:: Privacy Statement :: Accessibility Statement :: Refund Statement Under Florida law, email addresses are public records. If you do not want your e-mail address released in response to a public -records request, do not send electronic mail to this entity. Instead, contact the office by phone or by traditional mail. If you have any questions, please contact 850.487. 1395. *Pursuant to Section 455.275(1), Florida Statutes, effective October 1, 2012, licensees licensed under Chapter 455, F.S. must provide the Department with an email address if they have one. The emails provided may be used for official communication with the licensee. However email addresses are public record. If you do not wish to supply a personal address, please provide the Department with an email address which can be made available to the public. To determine if you are a licensee under Chapter 455, F.S., please click here . Product Approval Accepts: Credit Card Safe 1/5/2017 Engineer of Record: James D. Wells, Jr.,"P.E. Florida Professional. Engineer No.53616 J"& L Wells Consulting LLC 1345 Unity Court Casselberry, FL 32707 407) 496-5489 Cent ificate.of Authorization No. 27162 CLEANING YOUR SKYLIGHT. STS 1000 Caulk- Use only between decking and underside ofskylightflange on Use a mild soap. and water or glass cleaners only. Fresh paint splashes, glazing Classic Series. compound, etc. May removed. by Tubb ng,lightly wftha soft cloth or cotton ball soaked in.mineral spirits. ACCESSORIES:. Step Flash Kit-.Pre-forrnedlprecut flashingeliminates need for Flashing on self built SkylightShades- a variety of Sizes are available: and are easily installed. Contact your curb. Use with Selected sizes Model .CMG. Note: . Step flash kitdesigned for use with building materials dealer or Sun-Tek Manufacturing fordetails. curbs constructed of 2 x 4's only. LIGHTTUNNEL INSTALLATION INSTRUCTIONS For homes with an attic, it is necessary to build a tunnel between skylights.and ceiling: The tunnel walls may be straight or Flared for extra light and architectural appeal. It's very easy to increase the tunnel size along the length of the ceiling. joists. As long as no roof -supporting members are cut, no special framing Is needed. While iris possible to flare the tunnel In directions, if support members are cut: special framing will be required for structural support. In this case you must consult a qualifiedbuild ing.professional to insure proper and safe results. 1 After roof and ceilingtopenings have been framed, measure: distance (at each corner of roof opening) between" rafter/truss and ceiling joist: 2 Using these four measurements;cut 2 x 4 lumber for vertical support members (two per comer). 3 Ideach corner, nail vertical support members into (place at right angles to each other: 4 measure, cut, and nail tunnel walls into place. Suggestionsfor lining tunnel: use drywall, tape comers,and paint wh(te using regular or texture paint. (Texturepaint alone will hide and fill untaped,joints, but in time, cracks may appear in comers.) use. omfinish'ed paneling with molding in corners. line the tunnel with cedar, pine, or a wood to coordinate with your decor:. for special effects,.try paintingtthe tunnel a'striking accent color, or use mirrors or wallpaper on tunnel walls. 5 Caulk the slight gap between the tunnel walls and skylight base. 6 Finish off tunnel at ceiling, with molding; or blend edges into ceiling with texture paint. 7 Be sure to wrap the rexterior of the tunnel withinsulation for energy:savings. Sun Tek® Suh-Tek Manufacturing, Inc. Gneral CS OrlaOndoeFL 32824ve l' r 407 / 859-2117 wwwsun-[ek. com i W customerservice@sun-tek.com Size Code Roof Opening e Finishedop,ming IDrywall Dimension) Model CMG OnlyCurbOutside Dimension. Fits onCenterSpacing FfF sten'iSchedu, Fastener Per Top& BottomFastener Per Side d414':?I115,x11h'? Q10h5xAO1Y, 77, 47.54h'777777al6rkFr'd 77777w o'33%FFr 1422 1Ilk". 191/." 10h 18h' 14h x22'h" 16 3 3 0430, 1446 AL1'n x2Th'€ 11h• x43' h' 1Dh.x261W I01h'x421/,' 141h' x 46' h' 161. 3 4 6,:172S N7454'x2255'.:-T7316 x2IYx'-=1. llh •x+25'fila a= ,i16'u-t.--r.-."3,-..:-.3.:. 1733 14y 30h 13h 291W 17'h x33 " 16 3 3 077$9s Tt4'h x746h i 13S z45WiM 17Y x49Yt P a! s16 r a13" a t4 h 2222 19'h 19/ 18h 181h" 221Wx 22/" 24 3 3 sr22301_ p19W-271h ± 4-'1& SIx263h 32-Wx3C)We. r24'4, 93cT is" 3_x. 2246 191A'x 43Y,- 181A- x42h" 22h-x461h' 24" 3 4 42269a•-119hx'667Y- 7845'zb5h" 2236,x'945%L.. i[324-,tE .s':§z9N/A: SIN/A4:77 2525 22'h"x 22' h" 21'/e"x.21W 25'h"x 251/1" 24' 3 3 Z25331 Q2ytx30h-n-- 1Wi29WO 5Sh; xJi;Z77 sr a2eT- 17573: 775' ° 2549 22%.x461h' 1 21' h'x45V," 25h'x49h" 24" 3 4 3030 k2572<sN f43W.jc' 43364 69h" 92Trr' P21 z68 . ffi 26h xMIA" 25h Z72W s 30h"x 30h' 24::"-j -. NW N/A- 16'or 32' 3 3 30769 4315'1:=26h,x42h'»?, 30K'z46h',$"t''"ti761ore32' ei^;c'7P3a=a k.t4,v."fe 3069: 66'h' 26W'x. 65h" 301A x691W 16"or 32' N/A'- N/A 3333'_ 30'h" t29h•,rt 29Ya' `. 33,A*433 ' i i+ 116E8 2 3 3349 46h' 29h'x 45%' 33h'x49'h" 16'or 32. 3 4 4646w43h't^%:aZy.,,x'42h'°.=: 46h:z'46h`=116.or,44'o`r48'.. 4669:x66'h" 42'h' x65'h' 46h'x 69h' 16'or24'or48' N/A'. N/A 46'h' 494i;A6'dr24" or'48nt5576 73'h" 51h"x 72h" SSh'z 73h" 1 N/A I N/A INSTALLATION INSTRUCTIONS GLASS SERIES MODEL CMG" Use on any type roof ( curb required) Fn sh_..'_.• Openi Roof opeorg "- You willneed:: hammer -sealant/ mastic keyhole saw • tape measure skill saw • chalkline or straight edge.. nails - • trowel or caulk gun drily • utility knife 2x4's For LlghtTunnel: RECOMMENDED SEALANTS: 8 or 10penny nails Non - hardening roof cement plywood or Butyl rubber sealant/ caulk STS I000 (Sun-Tek exclusive)' FAILURE TO FOLLOW RECOMMENDED INSTALLATION PROCEDURES MAY VOID WARRANTY thecklocal;building codes for -glass requirements.. Please read instructions completely before: beginning. • Deck and.roofing felt should already by installed. • Interior wood liner should be stained or painted before installation. To properly position skylightbetween trusses/ rafters,locate the roof opening: from the underside of the decking. ( if this area:is not accessible, locate the ceilingjoists-from inside the house, mark opening_ in ceiling (a-c), and cut ceiling'opening. Then followsteps below for roof opening.) a) measure distance between. trusses/rafters and mark center point,. b) to center skylight, measure one-halfofappropriate roofopening to each sideofcenter ppoint.and mark. c) using, the side marks asa.guide, mark corners by drilling holes or driving nails through roof. 2 Remove shingle's 6- 8"out fromroof opening. 3 Cut roofopening (snap a chalkline from corner to comer, or draw line with a straightedge.) 4 'Frame roof opening: a) cut two 2x. 4' stofit the actual distance between trusses/rafters and nail into place. NOTE: Size 2525, 2549, 3333, 3349, 4949 Skip step "b"proceed to "c" b) cut two 2 z 4's to the exact length of the roof opening and nail to the trusses/rafters. c), if applicable, cut ceiling opening and build tunnel framing. ( See "Light Tunnel Installation Instructions".) s D 5 Build curb:: a) Construct curb with 2 x4s,.2.x 6,'s; etc. (depending on height desired or building code requirements). Curb should be minimum 34/2" high. Be sure inside measurement of curb is the same as roof:opening.measurement. b) Secure curb to roof. 6 Shingle roof up to bottom ofcurb 7 Flash curb (sizes 2525, 2549, 3333, 3349, 4949 can be usedwith Sun-Tek's preformed, pre-cut Step Flash Kit with one-piece head and sill): Use galvanized, sheet metal, aluminum, or copper. Metal should extend a. minimum of4'over shingles (on bottom side), then up sides of curb. Flashing should be flushwith curb top. Shingle up sides: and across the top. 9 Position the: skylight over the curb with the" THIS EDGE. DOWN'label at lowest side ofthe curb. Center the skylight. over the curb making': sure the foam gasket: is In -contact with'the top:of the curb. As the fasteners, (see fastener schedule); are being -attached rtothe curb, push down on the frame -just above the fastener to insure the gasket is compressed to form a good.seal. Use the '1:3/Vspiral ring shanked nails,provided-Continue attaching the remaining fasteners in the -same manner. All fastener'installation holes provided mustbeused. j tau. ct J & L Wells Consulting LLC 1345Unity Court Casselberry, FL 32707 407)496- 5489 Cer"tirrcate ofAuthorization No. 27162. Engineer of' Record:. James D. Wells, Jr.,.P.E. Florida ProfessionalEngineer' No. 53616. EXTRUDED A" LUMINUM FRAME i 49, 49 OUTBOARD GLASS. TEMPERED) ARGON FILLED SPACE INBOARD GLASS TEMPERED) WOOD M _ BYETHESHIRS) DESIG PRESSIJRE RATING F. T RATED lCx2' COARSE THREAD: SCREW CURB BY 'OTHERS) 1/ 412 PITCH r CITY OF SANFORD BUILDING SERVICES Residential Re -Roof Hurricane Mitigation Inspection Affidavit Permit #: i (e- ,3 3'11 ? I, Vr i S 1-4j A, W I h a hereby acknowledge that I personally inspected XRoof deck nailing and/or Secondary water barrier work at 4 e oS e l4 ' // Tr n 4r% FL and have determined that the work Job Site Address) was done according to the Hurricane Mitigation Retrofit Manual. (based on 553.844 F.S.) I certify that my statements herein are true and accurate to the best of my belief and that I fully understand that making any false statements in writing with the intent to mislead a public servant in the performance of his or her official duty shall constitute a misdemeanor of the second degree pursuant to Section 837.06 F.S. Signat6e of Contractor Date ertS121-1 Printed Name of Contractor C C C 1 3 1,(79 License # License Type: General Building Residential YRoofmg Contractor or any individual certified. in accordance with F.S. 468 to make such an inspection. STATE OF FLORIDA COUNTY OF ale Sworn to (or affirmed and subscribed before me this 'Lday of CC _ , 20 j i by i/ r i ' 4" ,who is'Personally Known to me or has Produced (type of idend i ation as identification. SEAL) Signature of Notary Pu c State of Florida Print/ Type/Stamp Name of Notary Public O . 3Orir`^H FLYBON MY X}'; FES: e: b n i Sri F!ou. F.iolic Uncle ..._ i CITY OF SANFORD BUILDING SERVICES Residential Re -Roof Hurricane Mitigation Inspection Affidavit Permit #: (0 ` Ll I,ll 1`c ldl hereby acknowledge that I personally inspected E' oof deck nailing and/or e` condary water barrier work at and have determined that the work Job Site Address) was done according to the Hurricane Mitigation Retrofit Manual. (based on 553.844 F.S.) I certify that my statements herein are true and accurate to the best of my belief and that I fully understand that making any false statements in writing with the intent to mislead a public servant in the performance of his or her official duty shall constitute a misdemeanor of the second degree pursuant to Section Signature of Contra for Date AL.,11- . Gia (_ C-C-c) `P L-/ L/ Z. Printed Name of Contractor License # t License Type: General Building Residential m oofing Contractor or any individual certified in accordance with F.S. 468 to make such an inspection. STATE OF FLORIDA COUNTY OF Sworn to r affir )subscribed before me this _ - day of a o_ , 20 ("1 , by vY , who is Personally Known to me or has oduced (type of Went' i ation) as identification. SEAL) Signature of Notary Public State of Florida Print/Type/Stamp Name of Notary Public DAVID IrMYCOMMlssp MVRA EXp RE3 N # FF039243 uly 24, 17FloridaN. __ - 20