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HomeMy WebLinkAbout100 Donna Cir - BR18-002612 - REROOFf CITY OF SANFORD BUILDING & FIRE PREVENTION JUN 11 2018 PERMIT APPLICATION D J Application No: Documented Construction Value: S 14,250.00 Job Address: 100 Donna Cir. Sanford FL 32773 Historic District: Yes No Parcel ID: 10-20-30-509-0000-310 Residential Commercial Type of Work: New Addition Alteration Repair 0 Demo Change of Use Move Description of Work: Tear off existing and replace with new shingles Plan Review Contact Person: Lindsay D Title: Office Admen Phone: 352-314-3625 Fax: Email: Lindsay@covenantrnc.com Property Owner Information Name Jose E Diaz Street: 100 Donna Cir City, State Zip: Sanford FL 32773 Name Covenant Roofing Street: 1410 Emerson St City, State Zip: Leesburg FL 34748 Name: Street: City, St, Zip: Bonding Company: Address: Phone: 401486-1164 Resident of property? : Yes Contractor Information Phone: 352-314-3625 Fax: State License No.: CCC1329936 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. FBC 105.3 Shall be inscribed with the date of application and the code in effect as of that date: 5t1 Edition (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 ofpermit 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. Signature of Owner/Agent Date Print Owner/Agent's Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID Zate__' kLg1L'g> Signature of Contractor/Agent Date rZo &-r Print Co r ctor/Agent's Name r ^ I aria of Notarv-State of lori Date LAURA WESTMAN Commission N GG 100690 MV Commission Expires May 02. 2021 Contractor/Agent is eTsMM y ITOW,to Me or Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building Electrical Mechanical Plumbing[] Gas[] Roof Construction Type: Occupancy Use: Flood Zone: Total Sq Ft of Bldg: Min. Occupancy Load: # of Stories: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes No # of Heads APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: FIRE: Plumbing - # of Fixtures, Fire Alarm Permit: Yes No WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: I hereby name and appoint: ldG-stZi 1C5 ti an agent of. covenant Roofing Name ofCompany) 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): D The specific permit and application for work located at: 100 Donna Cir Sanford FL 32773 Street Address) Expiration Date for This Limited Power of Attorney: License Holder Name: Joseph Rays State License Number: CCC1329936 Signature of License Holder: STATE OF FLOMA COUNTY OF Lake The foregoing instrument was acknowledged before me this ;day of c . , 20(, by f?V&-Pl-i' #&IZy AjC— who isXpersonally known to me or o who has produced as identification and who did (did not) take an oath. Q VV'C Signature Notary Seal) wun"4 LAURA WESTMAN Commissions GG 100690 s My Commission Expiresrz14MI.; May 02. 202111A"S': a Rev. 08.12) Laura Westman Print or type name Notary Public - State of Florida Commission No. C-I C'-1 jA()(,za p My Commission Expires: pa ( City of Sanford Building and Fire Prevention Product Approval Specification Form Permit # Project Location Address 100 Donna Cir Sanford FL 32773 As required by Florida Statute 553.842 and Florida Administrative Code 9N-3, please provide the information and product approval number(s) on the building components listed below if they are to be utilized on the construction project for which you are applying for a building permit. We recommend that you contact your local product supplier should you not know the product approval number for any of the applicable listed products. Be aware that windows, skylights, and exterior doors must be tested in accordance with the Florida Building Code, Section 1714.5. More information about Statewide Product Approval can be obtained at www.floridabuildinQ.or4. The following information must be available on the jobsite for inspections: 1. This entire product approval form 2. A copy of the manufacturer's installation details and requirements for each product. Category / Subcategory Manufacturer Product Florida Approval # include decimal 1. Exterior Doors Description Swinging Sliding Sectional Roll U Automatic Other 2. Windows Single Hun Horizontal Slider Casement Double Hun Fixed Awninci Pass Through Projected Mullions Wind Breaker Dual Action Other June 2014 Category / Subcategory Manufacturer Product Description(including Florida Approval # decimal 3. Panel Walls Siding Soffits Storefronts Curtain Walls Wall Louver Glass block Membrane Greenhouse E.P.S Composite Panels Other 4. Roofing Products Asphalt Shingles Certenteed landmark 5444 R12 Underla ments Roofing Fasteners Nonstructural Metal Roofing Wood Shakes and Shingles Roofing tiles Roofing Insulation Waterproofing Built up roofing System Modified Bitumen Single Ply Roof Systems Roofing slate Cements/ Adhesives / Coating Liquid Applied Roofing Systems Roof Tile adhesive Spray Applied Polyurethane Roofing E.P.S. Roof Panels Roof Vents Other June 2014 Category / Subcategory Manufacturer Product Description Florida Approval # include decimal 5. Shutters Accordion Bahama Colonial Roll u Equipment Other 6. Skylights Skylights Other 7. Structural Components Wood Connectors / Anchors Truss Plates Engineered Lumber Railing Coolers/Freezers Concrete Admixtures Precast Lintels Insulation Forms Plastics Deck / Roof Wall Prefab Sheds Other 8. New Exterior Envelope Products Applicant's Signature C Applicant's NameW c Please Print) June 2014 t VENANT err r I 1410 Emerson Street, Leesburg, FL 34748 a State Roofing License: CM 329936 a License: CGC037504 Phone: 352-314-3625 a Toll Free: 855-314-3625 a Fax: 352-240-3439 a www.covenantrnc.com SALES CONTRACT Covenant Roofing 8 Construction, Inc. agrees to fumish all materials and labor necessary to do the modernization work at the following address: Name --) G 07_ Phone N07' y' 6Ai Phone (w) Address Ad!6_ .713 e` Date city State — zip Email In accordance with specifications given below: REROOF: A. SHINGLE ROOF 1. REMOVE OLDROOF TO WORKABLE SURFACE. 2. RENAIL ROOF DECK WITH RING SHANK HAILS n 3. REPLACE ANY ROTTED IdOOD WITH STANDARD SHEATHING 0 S PER FOOT AND S 70 PER SHEET OF PLYWOOD, IF nitial) 4. INSTALL 7 1 C UNDERLAYMENT OVER ENTIRE ROOF. 5. INSTALL FHANA EAVES DRIP. COLOR + 6 INSTALL NEW VALLEYMETAL AND FLASHINGSASNECESSARY. "rA . J.- i. 7. INSTALL NEW LEAD BOOTS OVER VENT PIPES AND RESEAL VEN[S. 6 INSTALL YEAR FIBERGLASS SHINGLES. COLOR aP4 •Jn% 9. INSTALL FEET OF FUDGE VENT AT464)aAER COT. COLOR 2hlaSJ n 10. CLEAN-UP JOB SITE OFALL WORKDEBRIS ANDHAUL AWAYALLRELATED DEBRIS ANDLEAVE JOB SITE4. It. CONTRACTORWILL COORDINATE REMOVAL AND REINSTALLATION OF ROOF RELATED PERIPHE SU UT NOT LIMITED TO) SOLAR UNITS, SKYLIG . TV. DISH AND AIR CONDITIONERS, ETC. REMOVE AND REINSTALL DUSTING SOFFIT AND FACV10 $425 PER W IN N TO CONTRACT PRICE, IF REQUIRED. SUCH WORK WILL BE INADDITION TO CONTRACT PRICE ANDHEREIN APPROVED BY HOMEOWNER ni ial) 12. ALL WORK COVERED BY A5 YEAR WORKMANSHIP WARRANTY. Contract Price $ --_ -'yr Z so -- 1. Contract Documents Thiscontractconsistsof thisdocument, e>ftwwk&VWau6loirdaliMdany. anddpaym hereunder aretobefinanced, d financingdocuments. Nopromisesother thanthoseSpecifically $et forth in the coranacldoairnentsshagberecognizedbyeaherpartyTheentireWerstandnpandagreementofthepartiesiscontainedinthe e>ontr4cl do mrds 2. 11is understood and agreed do Ws contract shag not became binding upon Covenant Roofing a Construction, Inc. until it isduty approred, accepted, signed and witnessed by an officer or officers o1the Scher. 3. Wok on the job described in the eras will canmence onappreximatety AGAG and be completed on approximately The reeled dates are approromatiom and are subject to schedulingdifficultiesofSeger, laborand/ormaterialshortages, actsof Godandother eventsnotforeseen bySeger. Sege reserves theright toemployany sub -contractor forthecompletionofthework daabedinthecontractdoarmras. 4. Covenant Roo" a Construction, Inc. reserves the right to substitute materials of equal or greater value and W. Any required mate jab such as fire retrdarht plywood, tong aand groove board, etc. wil be bled on a time and nnatenal basis. All overdwdpesregwedbyNewJusdktiaWCodeEnfaaarNMLawsmayresultinaddliaWchrges. 5 Int at the rate of eighteen 18%)per cam per arum will be charged on ail balances not paid as per the tern specified above Reasonableattaneyb leea w0 be charged to the Purchaser da Isnecessary to this con red in the twos of en attorneyforcollection, and thisderge becomes a pan ofthecomae and obligation of npurchaser to pay. 6 Parties lire be broughtStale d Fl cor ell .... ing to the laws of the State of Floridanddawry action brought thenor mayinthehe* agreed to bein takeCouay Florida. 7BUYERS RIGHT TO CANCEL (SOUCITED SAIFS ONLY) "you do not went the goals or services, youcencd ft epeerner qprovidig wratsnnnotbeto theseller ihper sal byaq mat This notice mate tint you do nod wormthegoodsacesswvandmatbedeliveredapos>kedmiddpnt ofthe M eeriness day agar yousothis agreement. 6. Bothwakst compensation and pudic liability issuance we rI - I by the Seger and they are appbpbleto the work to be9. Itis uderstood and agreed that the buyer hold harmless. Covens Roofing a Ccinstrudio n. ic., for any damages that may acw a thebuyerE d way( s) daigderNery of matrlols and/or mnoval of thewok recited dells thatmayfierequsee to 1leaiomd ihb homeinprovenneM oonbacl. FunUhrnnora, lM buyer Inerr d gives prmiscnorh la typed delivery vehiclesand lypid waste renhohel wpJlides a earsaiddmreaey(s) fa thepeapose olexpeddiig udLq sales contract 10. CaNaetawen exladnate removal and resstaAatbn ol rodrooted perpinrab seenes(artnorgmaedlo) saeeau, skyiphts, T.V. dishes andorb cordalorners, etc. The cost la wen work wi be n addaien booread prdoa and ajlpnoved q Idanha0rrnher. n Covenam Rooanp a Cansbugxah, tent. streL nil beNd mhaople b elecbcal lines wdea rm 6ros, relrgrent fines err CorRo ofennp8 Corstnrctgn Inc. shag notberesPas+ble fa arty eddaiorolaatstorod dedeiig that maylove oWmalrialsadherednwenswaygatrequiresredeckigolStnrctue. 12. Censtrudion tend abdes fleoovey Fullpaymentbeoval" fromtheCIRF it youlose money on e projectperformedunder cantracl wherethelossmullshorn specifiedvidatraso1Floridalawqaable-6cased contractor. For information about therecovery had and Beepaclaim. contacttheHonda ConstructionIrduaUyLiters" Board at theto" telephoneamberand address: 7960ArlingtonExpresswaySidle3D0, Jxlsonv9bacall FL 32211.7467 (9D0) 7227-MM. 13Chapter558. Florida Statutes containsimportantrequirements you must follow before you may briny any tooaction for an alleged construction defect In yourhomeSlatydaysbeforeyoubnnganylegalaction, you must defionstruction claims and to consider an offer torepairaoItotheotherpartytoftc~ a writtennotice def s:13 You ato chapter 558 of any obligatedto accept any offer which maybe made. Thee are strict deadlines under Oft Portia Law which must be met and followed to protect your interests. Homeowner Portion S Plus Total e UPON COMPLETION Executed in triplicate, one copy of which was delivered to, and receipt is hereby acknowledged by Buyer, this -4- day of 12—t . , 20 L' . Approved and Accepted: NOTICE TO OWNER a. Do not sign this home improvement contract in blank. b. You are entitled to a copy of the contract at the time you si . Kee tt t rote our rights. Seal) (Seal) Dealer -Seller) (Purchaser tign Here) BY W (Seal) Title) (Purchaser Sign Here) SALESMAN FORD PRESS, INC. 352.787- 4550 (mike) I I11lII fillf Illfl tllil III!! 11111 !!1! Ifll Permit Number: GRANT MALOYr SEMINOLE COUNTY Folio/Parcel ID #: - - - - CLERK OF CIRCUIT COURT & COMPTROLLER Prepared by: 8K 9148 P9 1783 ( 1P9s ) CLERK'S : 2018065301 RECORDED 06/08/2018 11:00. RECORDING FEES $10.00Returnto: Covenant Roofing & Construction Inc. 1 = 3 1410 Emerson St. RECORDED BY hdevore Leesburg, FL 34748 e NOTICE OF COMMENCEMENT State of Florida, County of 0" t'. The undersigned hereby gives notice that improvement will be made to certain real prop g d`I t n e with Chapter 713, Florida Statutes, the following information is provided in this Notice of c 1. Description of property (legal descri tion f the roperty, and street address if available,w 2. Geperalde gription of improvement 4 c - f- 3. Owner information qr Lessee information if the Lessee contracted for the improvement Name Address loo na C,-- Interest in Propertya6an___ Name and address of fee simple titleholder (if different from Owner listed above) Name Address 4. Contractor Name Covenant Roofing & Construction, Inc. Telephone Number 352-728-8818 Address 1410 Emerson St., Leesburg, FL 34748 5. Surety (if applicable, a copy of the payment bond is attached) Name Telephone Number Address Amount of Bond $ 6. Lender Name Telephone Number Address 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by §713.13(1)(a)7, Florida Statutes. Name Telephone Number Address 8. In addition to himself or herself, Owner designates the following to receive a copy of the Lienor's Notice as provided in §713.13(1)(b), Florida Statutes. Name Telephone Number Address 9. Expiration date of notice of commencement (the expiration date will be 1 year from the date of recordingunlessadifferentdateisspecified) 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 1, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED A OSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT ikVITIj,YOUR ND OR AN AVQRNEW BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. r v v - ignature of Owne r Lessee, or Owner or essee's Authorized Officer/Director/Partner/Manager Signatory's Title/Office The foregoing instrument was acknowledged before me this _2 day of 0 / by ^ JvS e E Ihgz as yJV1a-/ mont ear name of person for 0 w ncs Type of authority, e.g., officer, trustee, attorney in fact Name of party on behalf of whom instrument was executed 7 i r oI Nola Public — State of Florida Print, type, or stamp commissioned name of Notary Public Personally Known ------OR Produced ID Type of ID Produced c6 - N -le(o - --1?y-O ;A` `'a; : JONATHAN L HOLIDAY MY COMMISSION N FF228443 EXPIRES May 16, 2019 14071728 C'59 kru"Nowysu me tmr Form content revised: 01/23/14 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 ompliance by personal inspection. CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: 12 DATE: Y/ PERMIT # City of Sanford Building Division Residential Re -Roof Scope of Work JOB ADDRESS: 100 Donna Cir Sanford FL 32773 STRUCTURE TYPE: O SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM RE -ROOF TYPE: O REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) ORE -COVER (NEW ROOF INSTALLED OVER EXISTING ROOF) DECK TYPE (PLEASE SPECIFY): 1/4 Plywood PLEASE NOTE: ONLY 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLACED ** ROOF VENTILATION: OOFF-RIDGE O RIDGE OSOFFIT OPOWERED VENT OTURBINES SKYLIGHTS: OYES ONO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN ROOF AREA ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 (9) 4:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL SHINGLE certenteed FL,#5444 R12 O METAL FL# O MODIFIED BITUMEN FL# TORCH DOWN FL# OINSULATED FL# O TILE FL# O OTHER: FL# ROOF EXTENSIONS (PORCHES, PATIOS, ETC.) **1FAPPLICABLE** 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# TORCH DOWN FL# OINSULATED FL# O TILE FL# 0 OTHER: FL# City of Sanford Building and Fire Prevention RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMITM lS —ausl - ADDRESS: 100 Donna Cir Sanford FL 32773 Joseph Rayl 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 #: CCC 1329936 COMPANY / CONTRACTOR: Covenant CONTRACTOR SIGNATURE: _ MUST BE SIGNED BY LICENSE A FINAL ROOF INSPECTION IS REQUIRED: THIS SIGNED AND N%OdED AFFIDAVIT MUST BE PROVIDED AT THE JOB SITE AT THE TIME OF THE FINAL ROOF INSPECTION, ALONG WITH DIG 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 LzLilke Sworn to and Sub cribed before me this day of— 20 Q by: Who istPersonally Known to me or has 0 Produced (type of t'djtification) \ as identification. ature of o ary Public tate of Flori 1 LINDSAV DUCKHAMa:®^'tc Commission N FF 17?210 Print/Type/Sta p ame Nv Commission Expires of Notary Publi October 28. 2018