HomeMy WebLinkAbout117 Hays Dr - BR18-004248 - REROOFI/
r
u, rCITY OF
Job Address:
Parcel ID:
Type of Work• New
Building & Fire Prevention Division
PERMIT APPLICATION
Application No: I/
Documented Construction Value: $ ( 12o t LITO
A /
3L771 Historic District: Yes No
Residential Commercial
Demo Change of Use Move El
Description of Work: p D
Plan Review Contact Person:
Phone: A U1 4W 01 FS -), Fax:
Name
StreetCity, State Zip:
Title:_, KI CQ * b PQ ,
Email:
j Property Owner Information
i 7) ( L-5-1)4 / - _ Phone: 310 - OS'_r
0
Resident of property? : 40
ont actor Information
Name Phone: StreetCity, State Zip: Fax:
State License No.:LOCI
Arch itectlEng 1 neer Information
Name:
Phone:
Street: Fax:
City, St, Zip: E-mail:
Bonding Company: Mortgage Lender:
Address
Address:
WARNIM 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 1053 Shall be inscribed with the date of application and the code in effect as of that date: 611 Edition (2017) Florida Building Code
Revised: January 1, 2018 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: 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 Own gent Date
v
Print Owner/Agents Le T
Signature
of No -State of FloridaDate Owner/
Agent is Personally Known to Me or Produced
ID Type of ID E1 A ROWL010 4,
LZ _ ,a MY commissI0N # GG 0462n EXPIRES:
November 29, 2020 0OF
tvo 60 eona.a Thn+ audas No4i1 B Mac Signature
of Contractor/Agent Date N
0 S d, Print
Contractor/A ent's Nam Signature
of Notary -State of Florida Date A
v,,& lot(( It S Contractor/
Agent isPersonally 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:
Occupancy Use: Flood Zone:
r ,
Total Sq Ft of Bldg: Min. Occupancy Load: # of Stories:
New Construction: Electric - # of Amps Plumbing - # of Fixtures
Fire Sprinkler Permit: Yes No # of Heads Fire Alarm Permit: Yes No
APPROVALS: ZONING: UTILITIES:
ENGINEERING: FIRE:
COMMENTS:
WASTE WATER:
BUILDING:
Revised: January 1, 2018 Permit Application
10/11/2018
r
SCPA Parcel View: 35-19-30-522-OA00-0010
s r:
s , s
Parcel Information Value Summary
Parcel 35-19-30-522-0A00-0010 2019 Working 2018 Certified
Owner(s) DIEMER, JACK Values Values
DIEMER, BEVERLY Valuation Method Cost/Market Cost/Market
Property Address 117 HAYS DR SANFORD FL 3277'1-4114 Number of Buildings 2 2
Mailing 920 S OLEANDER ST LONGWOOD, FL 32750-5419 Depreciated Bldg Value $57,128 55.713
Subdivision Name Depreciated EXFT Value $1,348 1,432
Tax Distort S1-SANFORD Land Value (Market) $14,500 14,500
DOR Use Code 01-SINGLE FAMILY Land Value Ag
Exemptions 72.976 71,645
Portability Ad
i Save Our Homes Adj $0 0
Amendment 1 Adj $0 S4,685F-+- I P&G Adj 50 50110t;
Assessed Value $72,976 66,960 Tax
Amount without SOH. 51,286.37 a
P i i i1 $1,286.37 Save
Our Homes Savings: $0.00 Does
NOT INCLUDE Non Ad Valorem Assessments Legal
Description LOT
1 BILK A COUNTRY
CLUB MANOR UNIT 3 PB12PG75
Taxes
Taxing
Authority Assessment Value Exempt Values Taxable Value County
General Fund 72,976 $0 72,976 Schools
72.976 $0 72,976 . City
Sanford 72.976 $0 72,976 SJWM(
Saint Johns Water Management) 72,976 . $0 72,976 County
Bonds S72,976 $0 72,976 Sales
Description
Date Book Page Amount Qualified Vac/Imp WARRANTY
DEED 3/1/2013 _-t - .2- 30000 Yes Improved Land
Method
Frontage Depth Units Units Price Land Value LOT
0.00 0.00 1 S14,500.00 14,500 Building
Information 4
Description Year Built Fixtures Bed ', Bath Base Area Total SF Living SF Ext Wall Adj Value Repl Value Actual/Effective Appendages 1
SINGLE 1960 5 972 1,546 972 CONC BLOCK $52,649 $87,749 Description Area FAMILY
OPEN._.
PORCH
140.00 UNFINISHED
CARPORT
294.00 http://
parceldetail.scpafl.org/ParcelDetaillnfo.aspx?PID=351930522OA000010 1/2
t
4-vtr-1! 12 TlF'lLcL7
AM-049=P
HOU.STON* ORLAND0 •
PALM COAST • MIAMI o
Date: 09 / 24/ 2018
G&A hereby proposes to perform and furnish the labor, materials, insurance,
supervision, equipment, and warranty in accordance with the specifications
described below for:
Client: Jack Diemer
Address: 117 Hays Dr. Sanford, FL 32771
Project Name: Home Roof Replacement
Telephone: (407) 310 0885 Email:
Lic#CCC.1331.059 Roofing Proposal/Contract
G&A Certified roofing is pleased to submit this proposal to Jack and we thank you
for the opportunity to bid on your upcoming project. G&A Certified Roofing is a
licensed and insured roofing contractor in the state of Florida and is uniquely
positioned to handle a Turnkey Project of this magnitude. Upon signing a contract,
G&A will provide all supervision, labor, material, equipment and tools to meet your
specification. The Site Supervisor will have authority to make decisions on behalf
of G&A Certified Roofing as it relates to the above referenced project.
G&A Certified Roofing has the proper combination of resources, skills and
experience required to successfully integrate, procure the materials required for
installation and technically supervise the installation of the specified roofing
material in a clean and professional manner. We base this on a long history of
successful projects. G&A Certified Roofing Inc. pulls all permits and files a Notice
of Commencement.
Our preliminary inspection revealed several issues that are responsible for the
water intrusion. There were also some installation defects_and _inadequate attic
ventilation that will be corrected with the new roof installation. The roof is 21
squares with 10% waste, a 1/12 pitch and for attic ventilation there are 2 dryer
vents.
vya csrrr rEo
ROOFING
Corporate Office o 3500 Aloina .Ave suite G-50 o Winter park., FL 32792 • Phone (321) 663-7447 • Fax (407) 673-4242
Houston Office . 13131 Fallsview Lane ft 1029. Houston, TX 77077. Phone (713) 540-3369
yir-L! 4[=A9—=7/r T//CIE_AE;W
Payment Terms: 40% at signing of the contract,
60%-upon completion of -the -project. - -
Contract Stun Base Offer, Main bldk.: $6,720.00 (Six thousand Seven Hundred Twen4,Dollars)
AlEMBRANE TYPE. AND COLOR
METIAL COLORS_
DRIPEDGE COLOR
SPECIAL INSTR L'CTIONS
Conditions:
1. PUNCH OUT 48 HOURS AFTER JOB COMPLETION. DAMAGE AFTER PUNCH OUT IS NOT
UNDER WARRANTY.
2. G&A WILL PROVIDE A 2-YEAR WORKMANSHIP WARRANTY FROM THE COMPLETION DATE
FOR THE COMPLETE RE -ROOF. MATERIALS HAVE A 25 YEAR WARRANTY
3. SHOULD YOU HAVE ANY QUESTIONS OR COMMENTS, PLEASE CALL US.
4. PLYWOOD REPLACEMENT (PRICE INCLUDES 2 SHEETS) AT AN ADDITIONAL CHARGE OF
65.00 PER SHEET (4X8). ALL NAILS AND NAIL PATTERNS TO MEET CODES. PLYWOOD
CLIPS SHALL BE USED AS PER CODES.
5. REPLACEMENT OF DAMAGED OR ROTTEN 6"FASCIA $3.40 PER LF. SUB FASCIA AND
RAFTERS ARE AN ADDITIONAL $5.25 PER LF.
6. ESTIMATED TIME OF COMPLETION WILL BE 14 DAYS UPON RECEIPT OF PERMIT,
EXCLUDING SUNDAY AND WEATHER DAYS.
Summary: A review of our overall bid and experience will demonstrate the overall value of working
with G&A Certified Roofing on your project. G&A possesses extensive experience in roofing options
which enables us to recommend the most appropriate application for your specific project to help
achieve your end goal.
G&A Certified roofing appreciates the opportunity to continue working with you. If you have any
questions regarding the information presented here please feel free to call us at the contact
number below.
This agreement is subject to revision or withdrawal by G&A until signed and accepted by Client and executed by an Officer of
G&A Certified Roofing Inc. This is the complete agreement between the two parties. No prior of contemporaneous oral
agreements, and no other written agreements; excepfas listed above, shall -be bin ing_ - — - — --
The undersigned hereby accepts this Agreement and agrees to be legally bound by all the terms and conditions set forth on the
terms and conditions page. This Agreement shall be governed in accordance with the laws of the state of Florida. Any action
arising under this Agreement shall be brought in the County where G&A's principle office is located.
Client Signature
GGA CERTIFIED
ROOF/NO
Date
Corporate Office o 3500 Alonm Ave suite G-50 o winter park, FL 32792 o I'hone (321) 663-7447 o Fax (407) 673-4242
Houston 011iee . 13 13 1 Fallsvie", Lane - 1029. Houston, TN 77077. Plhone (713) 540-3309
Grant M41oyy, Clefk Of The Circuit Court & Comptroller Seminole County, FLInst #2018118218 Book:9231 Page:500-501; (2 PAGES) RCD: 10/15/2018 11:42:44 AM
REC FEE $18.50
s
CERTIFIED COPY GRANT NIALOY
CLERK OF THE CIRCUIT COURT
AN CON'lPrR0
SE INOI U' Y, F R,;'
BY r f 18
NOTICE OF COMMENCEMENT
Permit Number Parcel ID Number (PID. 5 - 1 q - 30 - CAM — 0010
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 ofCommencement
OF PROPERTY (legal 4escription of the property, and street address
V
2. GENERAL DESCRIPTION OF IMPROVEMENT: (9 1 WE
3. OWNER INFORMATI-ONa:
lam, -- Name and address: U. c..r r J d C
Interest in property: t)1A)Y)PC
Name and address of fee simple titleholder (if other than owner):
5. SURETY:
Name, address and phone number: i0l
Amount of bond $
6. LENDER: (name, address and phone number): T
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as
provided by section 713.13(1)(a)7., Florida Statutes: (name, address and phone number):
8. In addition to him/herself, Owner designates of to receive a copy of the
Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes.
9. Expiration date of notice of commencement (the expiration date is 1 year from the 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 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 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.
STATE OF FLORIDA COUNTY OF SEMINOLE
Book 9231 Page 501
Instrument# 2018118218
OWNER URE OWNERS PRINTED NAME
The forego' ngJnstrument was owledged before me this day of QL 20 by
j F, Who is personally known to ma CAR who has produced
Identification •type IdentMcation produced
VERIFICATION PURSUANT TO SECTION 92.525, FLORIDA STATUTES.
UNDER PENALTI PERJURY, LA THAT 1 HAVE READ THE FOREGOING AND THAT THE FACTS STATED IN IT ARE TRUE TO THE
BEST
077
F MY GE AND B IEF.
077 (seal)
SIGITATURAL PEWON SIGNING ABOVE
SAY u PAMEIAROWUWD
MY COMMISSION # GG 0"M i —
EMRE$.N0v@MW29,2020
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date:
I hereby name and appoint:
an agent of: 4n,
to be my lawful attorney -.in -fact to act for me to apply for, receipt tor, sign for and do all things
necessary to this appointment for (check only one option):
C All permits and applications submitted by this contractor.
or
The specific permit and application for work located at:
sired Addf--'„)
Expiration Date for This Limited Power of Attorney: I \ \ q
License Holder Name:
State License Number: C.C. W
Signattu-e of License Holder:
STATE OF FLORIDA
COUNTY OF V j a
The foregoing instrument was acknowledged before me this W day of f
201_L, by, — -- who isrsonally known
to nee or.e who has pr uced as
identification and who did (did not) take an oath.
B'M V-IAA v
Signature
Notary Seal) EI
Print or type name
Notary Public -State. of _ .a Pty Notary Public State of Florida
Emily S DelvaileC;or11m1SSron NO. My Commission GG 066275
My Commission Expires: ''o a Expires01124/2021
Rev. Sf061/13 )
CITY OF
Building & Fire Prevention DivisionS.A NFORD RESIDENTIAL RE -ROOF POLICY & PROCED URES
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 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.
op
CONTRACTOR (OR OWNEPIBUILDER) SIGNATURE: DATE: f ! /0
PERMIT #
City of Sanford Building Division
Residential Re -Roof Scope of Work
JOB ADDRESS:
STRUCTURE TYPE: c(SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: PLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY): 1_ _Sl((04 _ e
PLEASE NOTE. ONLY 100 SQUARE FEET OF THE kXISTING DECK IS PERMITTED TO BE REPLACED
ROOF VENTILATION: D OFF -RIDGE \Ll EDGE OSOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: O YES q NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: 0 LESS THAN 2:12 O 2:12 - 4:12 O 4:12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
6 SHINGLE S? C- ! ! c f FL# 4 T4
O METAL FL#
O MODIFIED BITUMEN FL#
O TORCH DOWN FL#
O INSULATED 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#
CITY 0#=
x
N Bitildin I & Fire Prevention DiVlslO/1
REMDENTIAL RE -ROOF AFFIDA VIT
rii 1 ;vFA s N,T
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, J)RY-IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT : — I U _. ADDRESS: —Al—L Ha.k—
kRW-,iN`7CONTRAAS
A(N) GENERAL, BUILDING, RESIDENTIAL, OR CT0
GINEER, CHITECT, 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 A13OVE
RI:;F'I RI NCLiD ADDRESS HAVE BLA N INS'TALLI:D IN ACCORDANCE WITH THEIR PRODUC"T APPROVALS AND ALL. APPLICABLE CODE R13QUIR1_
MI NTS- SPECII=ICALLI' FI.ORID.4 {3UILDINCI C ODT:, LXIS'I'ING 13lJII.DINc:). IN ADDITION I C1=Rl"ILY -1.1-I I.: INSTALLATION MEETS ALI_ REQUIR17MI_
NTS FOR SECONDARY WATF-.R BARRIER AND NAILING OFTI-117 ROOF D17C'K, IN ACCORDANCI, WITH THE I-IURRICANF RETROFIT MANUAL
REQUIREMENTS (BASED ON F.SS.. CHAPTER553.844). LICENSE #: _
COMPANY /
CONTRACTOR:`]-'3' CONTRACTOR
SIGNATURE: — - I --_—_--------__._-- —. DAT17: MUST
13F. SIGNED BY L.ICENSIi I IO9-()R( I::R/I1tJII.I_ I.R) A
FINAL ROOF INSPECTION IS REQUIRED: THis
SIGNED AND NOTARIZED AFFIDAVIT MUST BE PROVIDED AT THEJOB 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) NVITH THE PERMIT NUMBER OR ADDRESS CLEARLY MARKED ON THE DECK FOR EACH
INSPECTION. THE I'HO'f OGRAPilS !NIUS"I" INCI-.UDE 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
FURI'I-HER 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 fSef)0kM W_.1 Sworn to
and Subscribed before me this i day of OL ` bUf 20 Q by: Who is
ersonally Known to me or has 1. 1 Produced (type of identification) _.._ Signature
of
t119tary Public State of
Florida Print/Type/
Sta np Name of Notary
Public as identification.
Notary Public
State of Florida Emily S
Delvalle y My
Commission GG 085275 y4or r4
Expires 01/24/2021