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HomeMy WebLinkAbout128 Wood Ridge TrlCITY OF SANFORD OCT (Vol 20% BUILDING & FIRE PREVENTION PERMIT APPLICATION 13Y: Application No: Lo - Documented Construction Value: S J0b Add, 1Yj jigtoriclDistrict', Yes, El N6 [I Parcel ID: Residential P' Commercial F] Type of Work: New 11 Addition-D Alteration El Repair El Demo El' Change of Use El Move El Description of Work: Street: Resident of property Street... Fax: City, st, Zip: E-mail: BondingCompany; od*,,, 4, Address:, 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. ANOTICE OF COMMENCEMENT MUST BE RFCOItDED AND POSTED ONTl-)F. JOB SITE BEFORE, THE FIRST INSIPF,CTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT LTWITH THYOUR LENDER OR, AN' ATTORNEY BEFORE RECORDING VOURI, NOTICE OF COMMENCEMENT. Appliptior,' is- hereby made to obtain a permit to do the work and installations as indioAted. I certify that no work 'ins tallation has commenced, prior tothe 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, tanIcs, and air conditioners, etc. F9C 1053,.Shall-be inscribed with the date of application and the code in effect as oUthat date: 5"' Edition (2014) Florida Building Code Revised: June 3.0, 2015 Perynit 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. fie 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 0wn&r/Agent's Name" Signature of Notary -State of Florida Date Sign ture o ontractor/Agent Date J 'PEFge v . Print Contractor%Ageni'Oi ame 0 Owner/Agent jsPersonally Known to Me or Contractor/Agent is V 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 1VMechanical , 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 APPROVALS: ZONING COMMENTS Plumbing - # of Fixtures of Heads Fire Alarm Permit: Yes No UTILITIES: ENGINEERING: FIRE: WASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date,; 09;-27-2016 I hereby name and appoint,- L-y-nnGiesenhagen an agent of: JTO Contracting, LLC Name of Company) to be my lawful attorney -in -fact to act. for me 'to` apply for, receipt for, sign for and do all things necessary to this appointment for (check only, one option): The, :specific permit and, applicationation for work located, at-, 129 Wood, Ridge Trail Sfiief Address) Expiration -Date, for This Limited Power of Attorney:. 09,-2T2017 License Holder Name:. Manley -Jefferson Hood State License Signature of -I STATE OYFLORIDA COUNTY OF, I Seminole The foregoinginstrument was acknowledged before me this 27thday of 'September, 2002,016, by Manley Jefferson Hood who is Xpersondlly,knQwrt to mc,oru who has prouc identification, and: who did Notary Seal) 4-err vl,ta 'fa Print or type name LETfCIA M 7WESNQtaryPub6c - State of Florida Notary Public -State of Florida n CommissionNo. =0 5 p 017 My'Gom,m. Expires Sep 22 2017 r 6 0 6406CommissionFr054My Commission Expires:,Cfi-,4j',, W 7 Rev_ 0812) it 11111 11111JI111 ylij 1111 illy THIS INSTRUMENT PREPARED BY: emin,e ounty y i:,: 6 ', 'r - Name. jTO CONTRACTING, LLC 3. urn 1-i-Ei. iljt] Address: 106 COMMERCE STREET, #103 3 LAKE MARY, FL 32746 201.6096251, NOTICE'OF COMMENCEMENT Permit Number- Parcell!) NUmber: 32-19-30-5GS-0003-0150 The undersigned hereby gives notice that improvement will be made to certain real property, and In accordance with Chapter 713, Florida Statutes', the followinginformMion is provld6dAin this Notice ofC.ornmencement. 1., DESCRIPTION OF PROPERTY', (Legal description of`the.prqpert and street addtess"if appliqlablip,) LOT 15 KAYWOODREP LAT-BP30 PGS 27,&,28 j 2. GENERAL DESCRIPTION OF IMPROVEMENT: 3. OWNER iNFORMAVION,,011 LESSEE INFORMATION IF THE LESSEE CONTRACTED;.FOR'THE IMPROVEMENT. Name and address: SHOEMAKER ALAN, Q TRUSTEE F130 ALANI IDSHOEMAKER W Ihter6st in,pnpperty,: OWNIER. UJ Fee-SirnpIaTitI6 Hdlder%(ifoiher than 6wher'llist6d,,abbve),NamO': 4 CONTRACTOR: Name-., JTT .0 CONTRACTING LLG Phone Number: Address: 106. COMMERCE STREET #163, -LAK'EMWRy_ FL42-746 5,.- SURETY (If,apolidablel, 4copy ,df,the payment bond is attached): Name: Address: Amount 6. LENDER: Name:, Phone: Numbar: Persons wiffil rj, the State of Florida by Owneruodh whom not c;6,or other documents maybe served as-provided"by-,tecticin 713. 13(i)(a17 .,,Florida -Statutes. Phone' Number -APY 8. In addition,,. Owner designates of to receive a copy oftheLienor's Notice As brovidedii Se6ti6n 71313(1)(115), Flibnda"-Statutes- P n -'rwrnber: 9, Expiratiprj Date df'Nbtice= of Cbmthencemlefrt (The expiration is I year from :date:cf recording unless a different,date is spetified) WARNING TO OWNER: ANY "PAYMENTS 'MADE BY, THE OWNER •AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED - IMPRbpERPAYMENTS UNDER CHAPTER, 713, PART 1, SECTION 713j3„ FLORIDA STATUTES:, AND; CAN RESULT IN YOUR; R OPERTY A NOTICE Of"COMMEN WICE, FOR IMPROVFMENTS, TO PR CEMENT MUST BE'RECOkbED AND,POSTED ON THE' PAYINGTYOUR: JOB SITE BEFORETHE FIRST, (INSPECTION., IF YOU :INTEND TO OBTAIN FINANCING, CONSULT WITH IYOUR LENDER OR. AN ATTORNEY' HBEFORE ' COMMENCING 'WORK OR -''RECORDING YOUR ,NOTICE .OF COMMENCEMENT. Under penal , iies,of perjury declare that I have read the foregoing and that the facts stated in it are true to the best qf'myk,nowtqdge belief. SignatureofOWhef of Lbssee or Owner's or Lessee's S Authorized Officer/Director/ Partner/Manager) State of FLORIDA County, of 'SEMINOLE The foregoing, instrument was ackn Owledg( by - Print Name , and , Provide Si§fiatory'§ Tit[4/0ffice) before me this - Aaydf 2016 Who Is'personall' y known to me E) OR Narnebf Person making staternent who has'produqed! identification n, typeof ldentification'produced' DRIVER'S LICENSE.All I- X111 TmA -NIFY J,, HOOD z P P-1 - Iz, NE:<p .IpE: jiM624,20'19 7or T City of Sanford Building & Fire Prevention Division Re -Roof Permit Card PERMIT NO. I ID a 6 6 5 LSSUE DATE: 10! 3 —' to TYPE OF WORK: n Cr01 Ti i Post this Permit in a conspicuous place outside PROTECT FROM WEATHER Approved plans must be posted with permit for inspection Leave all work uncovered until inspected Permit expires six (6) months from date of issue or last approved inspection A ROOF DR Y-IN INSPECTION IS REQUIRED * * * For Inspection procedures, please refer to the re -roof inspection guidelines provided to you when the permit is issued. The Mitikation Affidavit will not sufflce as an alternative to receiving a dry -in inspection. ROOF INSPECTION TYPE APPROVED REJECTED INSPECTOR MISCELLANEOUS INSPECTION TYPE APPROVED REJECTED INSPECTOR ROOF DRY -IN MITIGATION AFFIDAVIT FINAL ROOF 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. 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, FBC 105.3.3 REVISED: October 2014 Inspection Line 855.541.2112 Permit #, Project Location Address 128 Wood Ridge Trail, Sanford, FL 32771 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 1;714,.5, More information about Statewide- Product. Approval can: be ,obtained at www floridabuildJno.oEg The following information must be ava able on the iobsite for inspections: This entire product approval form 2., A copy of the manufacturer's installation detains and requirements: for .each product. Gategaryf Subcategory Manufacturer Pr©duct Flonda,Approval # Description _ (include decima)' 1.. Exterior 6ors Swin in Slidin Sedional Roll U Automatic Other 2. Windouvs Sin lO,Hun Horizontal Slider Casement Double Hun FiXed Awning Pass Throu .h Projected Mullions VVlnd Breaker Dual.Action Other June 2614 1 Category / Subcategory Manufacturer Product Description Florida Approval # including decimal) 3. Panel Walls Siding Soffits Storefronts Curtain Walls VVa- II Louver Glass -block Membrane Greenhouse E.P.S Composite Panels Other A. Roofing Products As hait Shingles CertainTeed Landmark. Premium FL5444-R9 Und.erla ments SDP Inc. Palisade FL5325-R6 Roofing Fasteners - Nonstructural Metal Roofing Wood Shakes. and' Shin - les Roofing tiles Roofing Insulation Waterproofin Built up roofing stem Modified Bitumen F 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 Florida Approval # Description (include decimal) 5. Shutters Accordion Bahama Colonial Roll u . Equi, merit Other 6. Skylights Skylights Wbz4-. W-I(- i7LI 2-111-tl L. Other _ 7. Structural Applicant's Signature Applicant's Name - rf Jay,l Please Print)' June 20 Y4 3, 1,06 Commerce Street, Suite 103 Lake Mary, FL 32746 FL Roofing License CCC 1330K5 - FL Brii1der's License CBC060138 Office 407-732-7500 EIN 46-5492888 • wwwJtocontracting,com BUILD CONTRACT Homeowner I)eA-0 k,S6d&r1A.4e_4 Street /J_ city ,*,a FL Zip County CERTAINTEED SHINGLES and RIDGE COLORS Landmark Burnt Sienna Landmark Pro Hi-Def Charcoal Black Other Cobblestone Gray Colonial Slate DRIP EDGE 2.5" White Tan ROLL ROOFING VENTILATION Base L-` Ridge Vent LF LJ cap W OFV ite "I ck — 'Brown Color Wg 6' q UNDERAYME SKYLIGHTS eS ntheticA, 2x2 Qt Y:<4a_s70,,--- Felt, 30# 2x4 Qty S.T Z is' 4x4 Qty Agreement/Contract Date t / /? /2016 Home Cell Work Email Driftwood Mojave Tan GeorgetownGray D Pewter Heather Blend Moire Black f Resawn Shake I _J Silver Birch Brown VALLEY 4,.,ce & Water Shield 4-etal 26 Gauge I'll , Closed Open SOLAR PANELS Detach/Reset Detach/Dispose Replace "New" Black BOQT JACKS 1.5" Lead Qty Lead X Lead SATELLITE Detach/Reset Detach/Dispose Calibrate Qty w Qty Color Sunrise Cedar Weathered Wood ce,,J -C ve s- GOOSE NECKS 6" j i 0 " Dryer GUTTERS Detach/Reset Detach/Dispose Li Replace "New" Reroof Specifications: Remove existing Shingles, Felt,. and Vents. Inspect Sheathing and replace up'to 2 sheets. Re-n6il Sheathing,as per code. Install Ice and Water Shield and/or Valley Metal in Valleys, Underlayment, Drip Edge, Lead Boot Jacks, Goose Necks, Ridge Vents, and CertainTeed Landmark Architectural Shingles. Furnish all permits and cleanup upon completion including removal of roofingdebris from roof, gutters, and planter beds, and magnetic sweep of planter beds, walkways, and driveway. Other Specifications! Breakdown: Total charge for the above -listed work Payment due $ a 3 ) (,7 -C Balance due upon roof completion Recoverable depreciation amount due S Check# Check # Check 9 Check # Check # JTO Contracting, LLC has the right to supplement the insurance company for any and all additional damages or missed items. If supplements are approved, Homeowner agrees to pay these monies to JTO Contracting, LLC. Homeowner(s) Initials This CONTRACT'is part and parcel withihe existing Agreement/Contract. The work listed above is to be performed under the same conditions as specified in the original Agreement/Contract unless otherwise specified. JTO Contracting, LLC is not responsible for damage to concrete, brick/paver, or other surfaces including but not limited to curbs, sidewalks, driveways, etc'. Homeowner acknowledges the explanation of Florida Supplier Lien Rights letter (see back of Contract) HoWowner(s) Initials A ACCEPTED BY HOMEOWNER(S) ON: Date 6 / 16 /, / BY: ACCEPTED BY HOMEOWNER(S) ON: Date —I —/— By: fi t., We hereby agree to furnish labor and materials complete in accordance with the above specificatio t the above -stated price. Y_ JTO AUTHORIZED REPRESENTATIVE: Date . !r By -1 NOTICE TO OWNER/PRELIMINARY NOTICE WARNING! FLORIDNS CONSTRUCTION LIEN LAW ALLOWS SOME UNPAID CONTRACTORS, SUBCONTRACTORS, AND MATERIAL SUPPLIERS TO FILE LIENS AGAINST YOUR PROPERTY EVEN IF YOU HAVE MADE PAYMENT IN FULL. Ina "Iff1mallazymennom HSI.0401223 Lilmno-mi-.a 1111111111 1 11 11111 iiilj Jl a 31 Q11W10 . To: (Homeowner at Homeowner's_Address) The undersigned hereby informs you that he or she has furnished or is furnishing services or materials as follows: ROOFING MATERIALS, BUILDING MATERIALS, AND/OR SPECIAL FABRICATED MATERIALS For the improvement of real property identified as: Under an order given by: JTO CONTRACTING, LLC Florida law prescribes the serving of this notice and restricts your right to make payments under your contract in accordance with Section 713.06, Florida Statutes. Under Florida's laws, those who work on your property or provide materials and are not paid have a right to enforce their clairn for payment against your property This claim is known as a construcfillien. If your contractor fails to pay subcontractors or material suppliers or neglects to make other legally required payments', the people who are owed money may look to your property for payment, EVE I N IF YOU HAVE PAID YOUR CONTRACTOR IN FULL, RECOGNIZE that this Notice to Owner may result in a lien against your property unless all those supplying a Notice to Owner have been paid. LEARN more about the Construction Lien Law, Chapter 713, Part 1, Florida Statutes, and the meaning of this notice by contacting an attorney or the Florida Department of Business and Professional Regulation, CUSTOMER JTO CONTRACTING, LLC 106 COMMERCE STREET, SUITE 103 LAKE MARY, FL 32746 CERTIFIED ROOFING CONTRACTOR CCC! 330825 U116y IYu111VG1. VL.Z_UU 0E)U ffective Date: January 1, 2016 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CONTRACTOR'S BLANKET ADDITIONAL INSURED ENDORSEMENT This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE FORM Named Insured Agency Issuing Company Ruby Builders, Inc. Bowen, Miclette & Britt of Florida Amerisure Mutual Ins Co 1. a. SECTION II - WHO IS AN INSURED is amended to add as an insured any person or organization: 1) Whom you are required to add as an additional insured on this policy under a written contract or written agreement relating to your business; or 2) Who is named as an additional insured under this policy on a certificate of insurance. b. The written contract, written agreement, or certificate of insurance must: 1) Require additional insured status for a time period during the term of this policy; and 2) Be executed prior to the "bodily injury", "property damage", or "personal and advertising injury' leading to a claim under this policy. c. If, however.- 1) "Your world' began under a letter of intent or work order; and 2) The letter of intent or work order led to a written contract or written agreement within 30 days of beginning such work; and 3) Your customer's customary contracts require persons or organizations to be named as additional insureds; we will provide additional insured status as specified in this endorsement. 2. SECTION II -WHO IS AN INSURED is amended to add the following: If the additional insured is: a. An individual, their spouse is also an additional insured. b. A partnership or joint venture, members, partners, and their spouses are also additional insureds. c. A limited liability company, members and managers are also additional insureds. d. An organization other than a: 1) Partnership; 2) Joint venture; or 3) Limited liability company; executive officers and directors of the organization are also additional insureds. Stockholders are also additional insureds, but only with respect to their liability as stockholders. e. A trust, trustees are also insureds, but only with respect to their duties as trustees. Includes copyrighted material of Insurance Services Office, Inc. CG 70 48 0913 Pages 1 of 3 I VII I 4111VVI. JLLVVVVVJ Effective Date: January 1, 2016 3. The insurance provided under this endorsement is limited as follows: a. That person or organization is an additional insured only with respect to liability arising out of: 1) Premises you: a) own; b) Rent; c) Lease; or d) Occupy; or 2) Ongoing operations performed by you or on your behalf. If, however, the written contract, written agreement, or certificate of insurance also requires completed operations coverage, we will also provide completed operations coverage for that additional insured. b. Premises, as respects paragraph 3.a.(1) above, include common or public areas about such premises if so required in the written contract or written agreement. c. Additional insured status provided under paragraphs 3.a.(1)(b) or 3.a.(1)(c) above does not extend beyond the end of a premises lease or rental agreement. d. Ongoing operations, as respects paragraph 3.a.(2) above, does not apply to "bodily injury" or `property damage" occurring after: 1) All work to be performed by you or on your behalf for the additional insured(s) at the site of the covered operations is complete, including related materials, parts or equipment (other than service, maintenance or repairs); or 2) That portion of "your work'' out of which the injury or damage arises is put to its intended use by any person or organization other than another contractor working for a principal as a part of the same project. e. The limits of insurance that apply to the additional insured are the least of those specified in the: 1) Written contract; 2) Written agreement: 3) Certificate of insurance; or 4) Declarations of this policy. The limits of insurance are inclusive of and not in addition to the limits of insurance shown in the Declarations. f. The insurance provided to the additional insured does not apply to "bodily injury", "property damage", or personal and advertising injury" arising out of an architect's, engineer's, or surveyor's rendering of, or failure to render, any professional services, including but not limited to: 1) The preparing; approving, or failing to prepare or approve: a) Maps; b) Drawings; c) Opinions; d) Reports; e) Surveys; f) Change orders; g) Design specifications; and 2) Supervisory, inspection, or engineering services. Includes copyrighted material of Insurance Services Office, Inc. Page 2of3 CG70480913 r-U11Uy NUIIIUCI. ULLUUUJO.V Effective Date: January 1, 2016 g. SECTION IV— COMMERCIAL GENERAL LIABILITY CONDITIONS, paragraph 4. Other Insurance is deleted and replaced with the following: 4. Other Insurance. Coverage provided by this endorsement is excess over any other valid and collectible insurance available to the additional insured whether: a. Primary; b. Excess; c. Contingent; or d. On any other basis; unless the written contract, written agreement, or certificate of insurance requires this insurance be primary. In that case, this insurance will be primary without contribution from such other insurance available to the additional insured. h. If the written contract, written agreement, or certificate of insurance as outlined above requires additional insured status by use of CG 20 10 11 85, then the terms of that endorsement, shown below, are incorporated into this endorsement to the extent such terms do not restrict coverage otherwise provided by this endorsement: ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS (FORM B) This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART. SCHEDULE Name of Person or Organization: Blanket Where Required by Written Contract, Agreement, or Certificate of Insurance that the terms of CG 20 10 11 85 apply If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of your work" for that insured by or for you. Copyright, Insurance Services Office, Inc., 1984 CG 2010 11 85 If the written contract, written agreement, or certificate of insurance as outlined above requires additional insured status by use of an Insurance Services Office (ISO) endorsement, then the coverage provided under this CG 70 48 endorsement does not apply. Additional insured status is limited to that provided by the ISO endorsement. Includes copyrighted material of Insurance Services Office, Inc. CG 70 48 09 13 Pages 3 of 3 CITY OF SANFORD BUILDING SERVICES Residential Re -Roof Hurricane Mitigation Inspection Affidavit Permit #: 1, M &P -0\I hereby acknowledge that I personally inspected 6 1 Roof deck nailing and/or E(Secondary water barrier work at 1Z& Woaa `FiL6E, j, E;isqAjrp2't,, R_ 3277 ( 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. Signatur f Contractor M44=w c.Sm-;A 4qg_' Printed N me of Contractor Date License # License Type: General Building Residential Goofing Contractor or any individual certified in accordance with F.S. 468 to make such an inspection. STATE OF FLORIDA COUNTY OF Sworn to (or affirmed) and subscribed before me this i day of C Mb , 20 1 &, , by ME'" -jzpc , who is personally Known to me or has Produced (type of identification) as identification. SEAL) Signature f Not" ot ry Public State f orid L. M', GIESENHAGEN MY CON WSSION # M44146 Print ype/S p Name .',-` EXPIRES: A=24, 2019 of Notary Pt&ic