137 Rockhill Dr 17-1304; ROOFI
CITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
A"
Application No:
Documented Construction Value: S
Job Address: l __Yj ?,- x; ( ( Historic District: Yes F No at
Parcel ID: 3 H - 3 o - -5-16 - Residential P"'CommercialEl
Type of Work: New D-'Addition 0 AlterationEl RepairF] DemoEl Change of UseEl 'MoveE] Description of Work:
rd () qy t-(+ _5L 61cs Plan Review Contact
Person: Qte6& V-6 bV Phone: Title: &W(
Ce
e- Email: 5a'X
a C.I> Property Owner Information
Name Phone: Street:
l 1--
d br Resident of property? City State Zip:
Contractor Information Name
Phone: L(
W) -74 0 0 Street: tj bf-
g%e flw oe'/r Fax:- qo 1-661--Ictql City, State Zip:
V____ snu-q - State License No.: 0-4C-13ZMl Architect/Engineer Information Name:
Phone: Street: City,
St, Zip:
Bonding
Company: Address: 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 insta llations 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: 511 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 l 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 "fable 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.
Signatureot`C?uncr/Agent Date
Print OvmertAgent's'Name
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me. or
Produced ID Type of ID
14 l"
SignaturAnontrac'tor/ ent Date
A i- _t
S
5/q/ r7
SONJA Ml ROBERTS
MY COMMISSION # FF970513
EXPIRES Mardi 10, 2CJ20
Contractor/Agent is Personally Known to Me or
Produced ID Type of ID
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building Electrica Mechanical Plumbing Gas Roof
Construction Type: Occupancy Use: Flood Zone:
Total Sq Ft of Bldg: Min. Occupancy Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes[-] No # of Heads
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
APPROVALS: ZONING: UTILITIES: WASTE WATER:
ENGINEERING: FIRE: BUILDING:
COMMENTS:
Rey=ise& June 30, 201 Pen -nit Application
TAG General Contractors Inc.
517 19TB Street
I Orlando, FI.32805
a Orlando 407-420-7900 Fax: 407.601.7997
a FL License CGC-061644 Roofing CCC•1328779
General Contractors Inc. WWWAngroof.corn
AGREEMENT
THIS AGREEMENT IS SUBJECT TO INSURANCE COMPANY APPROVAL OF PAYMENT
CUSTOMER (3LOQr0C7L:Z/J 11/V2L'Lt, SPECIAL INSTRUCTIONS
ck{t, i R-ice?
r.ia4N
RST PAYMENT
y
0%j ¢ a `- FI
FSECONDPAYMEh"I*SQ%
FINAL PAYMENT DUE AFTER ROOF COMPLETED
ROLL YARD WITH MAGNET ROLLER
G,PROTECT LANDSCAPE WHERE NEEDED lDRIP EDGE KEEP REPLAC - COLOR f f IT-t-_
a -W-TERMS:
STREET 13 ? (ZL)ctX HI w ppa ,
CITY SAP E a,'Z-o ST P— ZIP
CELL t 0>- 7, 2i1- 0SS---), HOME
EMAIL ADDRESS
Project Manager/
SPECIFICATIONS
6KANUFACTURER OF SHINGLE /j i L-
9 TYLE OF SHINGLE
919OLOR OF SHINGLE \3-1-k I.,e.
VALLEYS
VENTS STYLE
TEAR OFF YES LAYER (f) k QT— ,
j(PITCH m2 STORY 7
PERMIT FURNISHED ZT EPLACE ALL BOOT JACKS
SYNTHETIC UNDERLAYMENT R ICE & WATER SHIELD
YES NO)INITIAL
rag General Contractors Inc is mnsidered to be a terrified roofing contractor CCC 1319779,,and General Contractor CGC061644 THIS GONTRAC7 DOES NOT=OBLIGATE
THE PROPERTYOW'\LR OR °Tag General Contractors' Rv;ANY WAY UNLESS rT IS APPR01 ED BY,#TIE PROPF4T` !,OWNERS INSUkkNCE CO"tPAYY and or
HOMEOWNER AND ACCEPTED Bl Tag-Gcheral Contractors."yBl" SIGNING THIS AGREEIA '17 THE PROPERTY O,IihER AUTHORIZFS*'pTkG TO,PURSUE THE
PROPERTY OWNERS BEST INTEREST FOR PROPERMItEPLACEMEN'T OR REPAIR'AT'A "PRICE AGREEABLE -TO THE PROPERTY ON'NERS`[tiSURANCE
COMPANY AND TAG" WrTH NO ADDITIONAL COST TO THE PROPERTY OWNER OTHER THAN THE INSURANCE DEDUCTIBLE WHEN "PRICE AGREEABLE"
HAS BEEN DETERMINED rT SHALL BECOME THE FINAL CONTRACT AMOUNT AND THE PROPERTY OWNER AUTHORIZES "TAG` TO OBTAIN LABOR AND
MATERIAL IN ACCORDANCE WITH THE "PRICE AGREEABLE' AND SPECIFICATIONS SET OUT HER1N .AND ON THE REVERSE SIDE HEREOF 1'0
ACCONtPLISH THE REPLACEMENT OR REPAIR. THEREFORE "TAG" ACTING AS YOUR CONTRACTOR WILL BE ENTITLED TO ALL INSURANCE PROCEEDS IN
ACCORDANCE WITH THIS AGRF.ENIENT. ALL PRICES ARE SUBJECT TO CHANGE YOU, THE BUYER. MAY CANCEL THIS PURCHASE AT ANY TIME PRIOR
TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS AGREEMENT. TAG GENERAL CONTRACTORS INC.DISCLAIMS ALL WARRANTIES,
EXPRESSED OR IMPLIED W.4RR4VTY OF AIERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE EXCEPT AS SPECIFICALLY EXPRESSED ON
THE REVERSE SIDE OF THIS AGREEMENT. IF FOR ANY REASON THIS ROOF IS NOT COVERED BY INSURANCE AND THE HOMEOWNER WOULD LIKE US
TO PROCEED WITH THE WORK IT WOULD BE THE RESPONSIBILITY OF THE HOMEOWNER TO PAY IN FULL FOR THE ROOF.
SIGN BELOW II F YOU WOULD STILL. LIKE US TO PROCEED WITH THE 1VORK.,LVD YOU WILL PAY FOR 100% OF THE WORK QUOTED. By
1 4— _ _ UNDERSTAND ROOF IS NOT COVERED BY INSURANCE AND I AGREE TO PAY IN FULL FOR ROOF.
CUSTOMER HAS READ AND AGREES TO ALL TERNIS AND CONDITIONS ON FRONT & BACK O,FTH IS AGREEMENT.
ACCEPTED BY HOMEOWNER(S) ON: DATE / /
r%
BY X A..P ) A -.>:-
CO-OWNER: DATE 1 I BY X
TAG REPRESENTATIVE. DATE`-J I _/ BY F
Insurance Company Policy X Claim t Approved r Denied i Pending
Insurance Phone Email Fax
Adjuster Phone Email Inspection Date 7"ime
Deductible Mortgage Local Y/N Loan tl Phone
4 P 4, Al 111 I lIl 11IH
THIS INSTRUMENT PREPARED BY. -
Name: TAG General Contractors, Inc.
Address: 1700 Hourglass Dr
Orlando, FL 32806
NOTICE OF COMMENCEMENT
Permit Number:
Parcel ID Number: 33-0 30 '-51 G 0000 " 15250
f:, URI` 0=.t.i:iJJ:! ..f.,IIC:; .. ir1!`IF'TIiiLL_E
CLERK'S 4' 20170 3't173
iE =:0','i[ I_ar " f r ;2Il:i. , . I.
a=:-r'r;C,
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 of Commencement.
1. DESCRIPTION OF PROPERTY: (Legal description of property d street a r ss if avail le) _
boil
I'3 RU,p
2.. GENERAL DESCRIPTION OF IMPROVEMENT:
Re -roof
3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT:
Name and address: U -Ve-y6 O L 't."-Ujtoe rt— 13 / lzl—'Cf if t- Interest
in property: Vt y!'c r- Fee
Simple Title Holder (if other than owner listed above) Name: 4.
CONTRACTOR: Name: TAG General Contractors, Inc. Phone Number: 407-420-7900 Address:
1700 Hourglass Dr. Orlando, FL 32806 5.
SURETY (If applicable, a copy of the payment bond Is attached): Name: Address:
Amount of Bond: S.
LENDER: Name: Phone Number: Address:
Persons )
within the State of Florida Designated by Owner upon whom notice or other documents may be served as p gyjdeld by c 713.
13 1 a 7., Florida Statutes. Name:
Phone Number CLIM" OF THE CIRCtwlT k0'RT 8.
In addition, Owner designates 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) AY 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 BEFORETHE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING
WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. QC41 k
1,,o a.,A 60-endo 6A--(,I('i nde-( Signatureof 0*
erlar Lessee, or Owner's or Lessee's (Print Nahe and Provide Signatory's TitlelOtfice) Aulhonzed is rlDirectorlPartnerlManager) Stateof00 ( County
of t rA M e The foM40[Lil\ instrument
was
acknowledged before
me this Z A by / 40 day of & %
1 1
20It Who is personally known
to me OR Name of person making
statement who has produced identificatioA'
type of identification produced: LARRY JONES PEARSON RE
MY COMMISSION # GG005628
EXPIRES June 26, 2020
FlorldallotarySarvfce.com Notary Signature
2017
City of Sanford
Building & Fire Prevention Division
Re -Roof Permit Card
PERMIT NO. 1-7- /_J() 4 ISSUE DATE: 05. oq6
CONTRACTOR: 7r-aw 4
JOB ADDRESS: 3 ck• /
TYPE OF WORK:
PROTECT FROM WEATHER
Post this Permit and all required documents in a conspicuous place outside
Digital Photographs are required - please follow re -roof policy and procedures guide
All trash, debris and dumpsters must be removed from job site at final inspection
Permit expires six (6) months from date of issue
ROOF
INSPECTION TYPE APPROVED REJECTED INSPECTOR
FINAL ROOF F I
FAILURE TO FOLLOW THE RESIDENTIAL RE -ROOF POLICY & PROCEDURES WILL RESULT IN A FAILED INSPECTION, A RE -INSPECTION FEE
AND MAY REQUIRE AN AFFIDAVIT, SIGNED AND SEALED, FROM A REGISTERED FLORIDA DESIGN PROFESSIONAL
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: 4-17 Inspection Line 407.792.6069 or 855.541.2112
TO SCHEDULE AN INSPECTION:
Dial855.541.2112
Provide the items requested during the message
The type of inspection requested must be scheduled under the appropriate permit type
Follow the prompts
PLEASE NOTE: Inspections scheduled by 3:30 p.m. will be conducted the
next business day. If you experience difficulty, please call 407.688.5150
Monday - Thursday 7:30 am - 5:30 pm for assistance.
AUTOMATED INSPECTION SYSTEM CODES
Final Roof Inspection Code III
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
REVISED: March 2017 . Inspection Line: 855.541.2112
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 Approvalnumbers 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 (SingleFamily, 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 OWNER/BUILDER) SIGNATURE; DATE: `J
PERMIT ##
City of Sanford Building Division
Residential Re -Roof Scope of Work
JoB ADDRESS:
STRUCTURE TYPE: (DISINGLE FAMILY RESIDENCE/TOWNHOUSE Q MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY):
PLEASE NOTE: ONLY 100 SQUARE FEET bF THE EXISTING DECK IS PERMITTED TO BE REPLACED"
ROOF VENTILATION: Q OFF -RIDGE RIDGE OSOFFIT QPOWERED VENT QTURBINES
SKYLIGHTS: 0 YES (-'NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: Q LESS THAN,2:12 Q 2:12 - 4:12 (2r4 :12 OR GREATER
OF ROOF NMANUFACTURER FLORIDA PRODUCT APPROVALwaT^.
Y PP,E
HINGLE` FL# k33U: S
Q METAL FL#
Q MODIFIED BITUMEN FL#
0 TORCH DOWN FL#
QINSULATED FL#
0 TILE FL#
0 OTHER: FL#
ROOF EXTENSIONS (PORCHES PATIOS ETC i **1FAPPLIC4BLE**
ROOF SLOPE: 0 LESS THAN 2:12 0 2:I2 -4:12 Q 4:12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
Q SHINGLE FL#
Q METAL FL#
0 MODIFIED BITUMEN FL#
Q TORCH DOWN FL#
Q INSULATED FL#
Q TILE FL#
C)OTHFR: FL#
FIRE INSPECTIONS CITY OF SANFORD
407.562.2786 BUILDING & FIRE PREVENTION
BUILDING INSPECTIONS 300 N PARK AVE
855.541.2112 SANFORD FL 32771
DRIVEWAYS -SIDEWALK 407.688.5080
Page 2
Application Number . . . . . 17-00001304 Date 5/04/17
Property Address . . . . . . 137 ROCKHILL DR
Parcel Number . . 33.19.30.516-0000-1550
Application description . . . ROOFING APPLICATION
Subdivision Name . . . . . .
Property Zoning . . . . . . . PUD
Permit . . . . . . RESIDENTIAL ROOFING PERMIT
Additional desc . .
Phone Access Code 983411
Permit pin number 983411
Required Inspections
Phone Insp
Seq Insp# Code Description Initials Date
1000 111 BL03 FINAL ROOF / /
F D City of Sanford
Building and Fire Prevention
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT#: t3C ADDRESS: (3-1 E'CX-F-( br
v CC)L
I ,i "A W V(O,) (- , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
ROOFING CONTRACTO 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 #: C4 e,- 1 2— C 1
COMPANY / CONTRACTOR: V
CONTRACTOR SIGNATURE:
MUST BE SIGNED BY LICENSE
WM
LDER)
A FINAL ROOF INSPECTION IS REQUIRED:
DATE: 1
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 6C" (f --
ci
Sworn to and Subscribed before me this i day of 4 200 by:
A4,4 d(A) Who is R'Yersonally Known to me or has Produced (type of
identif ation) as identification.
Signature f Notary Public
State of F rida'• 's
SONJA M ROBERTS
M MY COMMISSION # FF970513
EXPIRES March 10, 2020
Print/T /Stamp Name MC71398-0153 MridoNu:n ySow,;e.:: i
of Notary Public