Loading...
HomeMy WebLinkAbout108 Country Club Dr 17-375 RoofCITY OF SANFORD r 0 ZQ BUILDING & FIRE PREVENTION PERMIT APPLICATION gy. D - 7 Application No: I I —315 Documented Construction Value: S 4000 Job Address: 108 COUNTRY CLUB DR SANFORD, FL 32771 Historic District: Yes No Parcel ID: 35-19-30-520-OF00-0160 Residential Commercial Type of Work: New Addition Alteration Repair Demo Change of Use Move Description of Work: modified bitumen re -roof Plan Review Contact Person: Jared Conte Phone: 407-453-2222 Fax: 321-296-7571 Name LUZ E & JOHNNY SCOTT Title: Contractor Email: jared@roofingpioneers.com Property Owner Information Street: 2105 AMELIA AVE SANFORD, FL 32771 City, State Zip: Phone: Resident of property? : Contractor Information Name Roofing Pioneers, LLC Phone: 407-453-2222 Street: 1945 West County Road 419, Suite 1 141-216 Fax: 321-296-7571 City, State Zip: Oviedo, FL 32766 State License No.: Architect/Engineer Information Name: Street: City, St, Zip: Bonding Company: Address: Phone: Fax: E-mail: Mortgage Lender: Address: CCC 1329030 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 MUS"r 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. FRC 105.3 Shall be inscribed %vitb the dale of application and the colic in effect as of Thal date: 5" L•'dilion (2014) Florida Building Code Revised June 30.2015 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: 1 certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Signature of Owner/Agent Date Print Owner/Agent's Name Signature of Notary -State of Florida Date Q k 2/7/ 17 gnat re of Contractor/Agent Date Jared Conte Print Contractor/Agent's Name 2/7/ 1 7 Signature o o a - f Honda Date WALIM 0. RUFo'P W coA/ttlaMOFFY7N"! DARES:11> ataJ 9o Ofiotlt tltttt ltMo Owner/Agent is Personally Known to Me or Contractor/Agent is X Personally Known to Me or Produced ID Type of ID 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 Fire Sprinkler Permit: Yes No APPROVALS: ZONING: ENGINEERING: COMMENTS: of Heads UTILITIES: FIRE: Flood Zone: of Stories: Plumbing - # of Fixtures, Fire Alarm Permit: Yes No WASTE WATER: BUILDING: Revised: June 30, 2015 Pcrmn Application Roofing Pioneers, LLC 1945 West County Road 419, Suite 1141-216, Oviedo, FL 32766 9FMFlorida Certified Roofing Contractor License #CCC1329030 i Office: ( 407) 453-2222 Fax: (321) 296-7571 www.roofingpioneers.com ACCREDITED BUSINESS Customer Name: LUz E & JOHNNY SCOTT Date: Feb 2, 2017 Job Address: 108 COUNTRY CLUB DR SANFORD, FL 32771 Phone: Email: Fax: Roofing Pioneers proposes to supply labor and material necessary to install your roof system as described below: 1) Roofing Pioneers will provide all required permits and dispose of existing roof in a proper manner. 2) Protect building, shrubs, and yard with appropriate protection where needed. 3) Remove 1 layer of existing roof and underlayment. (If required, add $25 per square for each additional layer removed) 4) Clean and inspect existing decking and fascia for rotten wood. Additional cost to replace wood is: $55 per sheet of plywood and $6 per linear foot of 1" plank board and fascia. Additional cost to repair truss is $5 per linear foot. 5) Re -nail entire wood decking to meet the current Florida Building Code requirements with 8d ring shank nails @ 6"oc. 6) Supply and install 26 gauge galvanized metal drip edge along entire perimeter of roof (color) 7) Supply and install attic vents (type/color: ) according to manufacturer's specifications. 8) Supply and install lead plumbing boots and painted galvanized exhaust vents to match roof color. 9) Supply and install modified bitumen flat roof according to manufacturer's specifications (type/color) Certamteed Flintastic GTA Modified Bitumen 10) Upon completion, magnetically sweep the jobsite for loose nails and clean up all roofing debris. 11) All work Includes (10) year workmanship warranty. Comments: The above work shall be performed in a professional manner submitted by Jared Conte for the sum of 4000 due upon completion of job plus the cost of any additional work as stated in line items #3 and #4 above. ADDITIONAL TERMS AND CONDITIONS 1. Workmanship Warranty is not guaranteed until contract is paid in full. 2. Should default be made in payment of the contract, charges shall be added from the date thereof at a rate of two (2%) percent per month and if placed in the hand of an attorney for collection all attorney's fees and legal and filing fees shall be paid by owner accepting said contract. 3. FLORIDA HOMEOWNERS' CONSTRUCTION RECOVERY FUND: PAYMENT, UP TO A LIMITED AMOUNT, MAY BE AVAILABLE FROM THE FLORIDA HOMEOWNERS' CONSTRUCTION RECOVERY FUND IF YOU LOSE MONEY ON A PROJECT PERFORMED UNDER CONTRACT, WHERE THE LOSS RESULTS FROM SPECIFIED VIOLATIONS OF FLORIDA LAW BY A LICENSED CONTRACTOR. FOR INFORMATION ABOUT THE RECOVERY FUND AND FILING A CLAIM, CONTACT THE FLORIDA CONSTRUCTION INDUSTRY LICENSING BOARD AT THE FOLLOWING TELEPHONE NUMBER AND ADDRESS: (850) 487-1395, 1940 N. MONROE ST., TALLAHASSEE, FL 32399-0783, WWW.MYFLORIDALICENSE.COM. 4. STATUTORY WARNINGS LIEN LAW: 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 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. 5. CHAPTER 558 NOTICE OF CLAIM: ANY CLAIMS FOR CONSTRUCTION DEFECTS ARE SUBJECT TO THE NOTICE AND CURE PROVISIONS OF CHAPTER 558, FLORIDA STATUTES. ACCEPTANCE OF CONTRACT AND ALL AB9Vf TEF2 S AND CONDITIONS: I Signature of Customer: 64 a W A Date of Contract Acceptance: Feb 2, 2017 APPRAISER a Wrw. fl la Cla Y. Parcel Information Property Record Card Parcel: 35.19-30.520-OF00-0160 Owner: SCOTT LUZ E S JOHNNY Property Address: 108 COUNTRY CLUB DR SANFORD. FL 32771 Parcel 35-19-30-52O-OF00-0160 Owner SCOTT LUZ E 8 JOHNNY Property Address 108 COUNTRY CLUB DR SANFORD. FL 32771 Mailing 2105 AMELIA AVE SANFORD, FL 32771.4319 Subdivision Name COUNTRY CLUB MANOR UNIT 1 Tax District S1-SANFORD DOR Use Code 01-SINGLE FAMILY Exemptions Legal Description LOT 16 BLK F COUNTRY CLUB MANOR UNIT 1 PO 11 PG 35 Taxes Value Summary 2017 Working Values 2016 Certified Values Valuation Method Cost/Market Cost/Market Number of Buildings 1 1 Depreciated Bldg Value 31.548 30.764 Depreciated EXFT Value Land Value (Market) 10,500 10.500 Land Value Ag JusUMarketValue" 42,048 41,264 Portability Adj Save Our Homes Adj 0 0 Amendment 1 Adj 0 0 P&G Adj 0 0 Assessed Value 42,048 41,264 Tax Amount without SOH* $827.16 2016 Tax Bill Amount $827.16 Tax Estimator Save Our Homes Savings $0.00 Does NOT INCLUDE Non Ad Valorem Assessments Taxing Authority Assessment Value Exempt Values Taxable Value SJWM(Saint Johns Water Management) 42,048 0 42,048 County Bonds 42.048 0 42,048 County General Fund 42.048 0 42.048 Schools 42,048 s0 42.048 City Sanford 42.048 0 42.048 Sales Description Date Book Page Amount Qualified Vac/Imp WARRANTY DEED 11/1/2004 05528 0337 98,400 Yes Improved WARRANTY DEED 8/1/2004 05434 0238 65,900 Yes Improved WARRANTY DEED 1/1/2003 04715 0001 55.900 Yes Improved OUIT CLAIM DEED 2/1/1997 03212 1960 100 No Improved QUIT CLAIM DEED 9/1/1988 02008 0386 100 No Improved WARRANTY DEED 5/1/1988 01964 1286 40.500 Yes Improved WARRANTY DEED 3/1/1983 01444 9 31.500 No Improved WARRANTY DEED 7/1/1978 Ot 178 Q}QQ 15.000 Yes Improved QUIT CLAIM DEED 1/1/1977 01134 043¢ 100 No Improved Find Comparable Sales Land Method Frontage Depth Units Umts Price Land Value LOT 0.001 0001 1 10.500 00 10.500 Building Information t Description Year Built Actual/Effective Fixtures Bed Bath Base Area Total SF Living SF Ext Wall 1 I SINGLE 1958 3 3 I 10 1 720 1,159 841 j CONC FAMILY BLOCK Permits Ad1 Value I Repl Value I Appendages 31,5481 $53,699 Description Area BASE 12100 CARPORT 1B7.00UNFINISHED OPEN PORCH FINISHED 65.00 UTILITY 6600FINISHED Permit # Description Agency Amount CO Date Permit Date 01931 FASCIA & SOFFIT _ _ SANFORD $600 7/29/2013 03014 I ADDITION - RESIDENTIAL I SANFORD $3,751 9/1/1996 Extra Features Description Year Built Units Value New Cost SHED -NO VALUE 11/1/1985 I 1 0 THIS INSTRUMENT PREPARED BY: Name: Roofing Pioneers, LLC Addroee: 1945 West County Road 419, Suite 1141-216 Oviedo_ FL 327B6 NOTICE OF COMMENCEMENT State of Florida County of Seminole Permit Number. Parcel ID Number. 35-15-30-520-OF00-0160 The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following informalion is provided In this Notice of Commencement. DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available) LOT 16 BLK F COUNTRY CLUB MANOR UNIT 1 PB 11 PC 35 108 COUNTRY CLUB DR SANFORD, FL 32771 GENERAL DESCRIPTION OF IMPROVEMENT: m-roof OWNER INFORMATION: Name: LUZ E & JOHNNY SCOTT Address: 2105 AMELIA AVE SANFORD. FL 32771-4319 Fee Simple Title Holder (it other then owner) Name: Address: CONTRACTOR: Name: Roofing Pioneers, LLC Address: 1945 West County Road 418. Suite 1141-216, Oviedo, FL 32766 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)(b), Florida Statutes. Name: Address: In addition to himself, Owner Designates Section 713.13(1)(b), Florida Statutes. of To receive a copy of the Lienor s Notice as Provided in Expiration Date of Notice of Commencement (The expiration date 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. Under to the State of I declare that I have read the foregoing and that the facts stated in it are true e and belief. Johnny Scott owner's Printed Name 7 141.13(tj(4: - Tt+ owner most sign the notice of oomnencement and no one else may be permitted to sign In his or her stead.' Florida County of Orange The foregoing instrument was acknowledged before me this 2 day of February , 2017 by Johnny Scott Who Is personally known to me Name of per3on making statement OR who has produced identification µy type of identification produced: FL drivers license INUO C VERA$ My COMMISSION 8 FFsstps• EXPIRES J&Wwy 21.2020 Notary c4gnalkire r10 i1166N s) h dahms S&Lft can GRANT MALOY, CLERK OF CIRCUIT COURT SEMINOLE COUNTY FL CLERK'S # 2017013000 BK 8857 Pg 0566: (1pg) E-RECORDED 02/06/2017 12:55:28 PM 10.00 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), CERTIFYING FBC CODE COMPLIANCE BY PERSONAL INSPECTION. CONTRACTOR (OR OWNERIBUILDER) SIGNATURE: DATE: Fcb 7, 2017 PERMIT # ( 1 J q/ City of Sanford Building Division Residential Re -Roof Scope of Work JOB ADDRESS: 108 COUNTRY CLUB DR SANFORD, FL 32771 STRUCTURE TYPE: Q) SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM RE -ROOF TYPE: Q REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF) DECK TYPE (PLEASE SPECIFY): wood PLEASE NOTE. ONLY 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED ** ROOF VENTILATION: DOFF -RIDGE p RIDGE QSOFFIT QPOWERED VENT QTURBINEs SKYLIGHTS: O YES (2) NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN ROOF AREA ROOF SLOPE: ® LESS THAN 2:12 Q 2:12 — 4:12 0 4:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL Q SHINGLE FL# Q METAL FL# Q MODIFIED BITUMEN Ccrtainlccd FL# 2533 QTORCH DOWN FL# QINSULATED FL# QTILE FL# Q OTHER: FL# ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **IFAPPLIC4BLE" ROOF SLOPE: O LESS THAN 2:12 Q 2:12 — 4:12 p 4:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL Q SHINGLE FL# Q METAL FL# 0MODIFIED BITUMEN FL# QTORCH DOWN FL# QINSULATED FL# QTILE FL# Q OTHER: FL# City of Sanford Building and Fire Prevention I RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT#: i _ ADDRESS: 108 COUNTRY CLUB DR SANFORD, FL 32771 I Jared Conte AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR OOFING CONTRACTOR ENGINEER, ARCHITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, I HEREBY AFFIRM, THAT ALL OF THE PURFUOING INFORMATION IS TRUE AND ACCURATE AND THAT ALL ROOFING COMPONENTS LISTED ON THE SCOPE OF WORK AT THE ABOVE REFERENCED ADDRESS HAVE BEEN INSTALLED IN ACCORDANCE WITH THEIR PRODUCT APPROVALS AND ALL APPLICABLE CODE REQUIREMENTS — SPECIFICALLY FLORIDA BUILDING CODE, EXISTING BUILDING. IN ADDITION I CERTIFY THE INSTALLATION MEETS ALL REQUIREMENTS FOR SECONDARY WATER BARRIER AND NAILING OF THE ROOF DECK, IN ACCORDANCE WITH THE HURRICANE RETROFIT MANUAL REQUIREMENTS (BASED ON F.S. CHAPTER 553.844). LICENSE #: CCC 1329030 COMPANY/CONTRACTOR: Roofing Pioneers, LLC CONTRACTOR SIGNATURE: OADATE: MUST BE SIGNED BY LICENSE HO ER OR WNE UILDER) A FINAL ROOF INSPECTION IS REOUIRED• 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 SEMINOLE Sworn to and Subscribed before me this IKday of 20 _JI_ by: Jared Conte . Who is RPersonally Known to me or has O Produced (type of identification) as identification. a, Signature o lic State of Florida r Print/ Type/Stamp Name of Notary Public EIS:101001%3ND 0; 0F eoe"Unholl t"Was"