2522 Poinsetta Ave; 17-2444; ROOFCITY OF SANFORD
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No: I _ a
ra a
Documented Construction Value: $ (a 1 bV_-'
Job Address: a p se,4+5t Historic District: Yes No [('
Parcel ID: p ( - a(g- j( ?[Z Residential []Commercial
Type '`of Work: New Addition Alteration Repair Demo Change of Use Move
Description of Work: r ewDn 5 i n jeS
Plan Review Contact Person: Hey, 616 RoAgle Title:
Phone: =1. b 1- .- ():&—Yax: Email: 18 HOD ES3 f. cCL ,Ry?. (-dm
Property Owner Information
Name L L L P Phone:
Street: ? b , bo), q-T'% Resident of property? : NO
City, State Zip: tnkcv' Pdt k F (, ;97 qv
Contractor Information
Name rcco. r CpY\5Phone: MR- 3.lj-301 Street:
414 W . DSCcy Fax: City,
State Zip: Mao nep(q rL, 3 4 -1 State License No.: CCC 13 Z) —IIS Architect/
Engineer Information Name:
Phone: Street:
Fax: City,
St, Zip: E-mail: Bonding
Company: Mortgage Lender: Address:
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: 5' Edition (2014) Florida Building Code Revised:
June 30, 2015 Permit Application
Aug 0917 09:16a , ' 407-862-5480 p.2
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 in
tmation
is aceur a nd that all work will be
done in compliance with all applicable laws regulating co tr ,ction anyF on g. x
x- k a ql Signature
of owner/Agent Date 11/
I Az;- Ill 0(2y l / Si
MY
COMMISSION # FF222706 EXPIRES
April 21, 2019 Owner/
Agent is Personally Known to Me or Produced
ID Type of ID of
Agent'
s JOANN#.
JOHNSON MY
COMMISSION Ii FF 956264 EXPIRES:
March 23, 2020 Bonded
Thru Notary Public Underwriters Tate
v-
1'7 Contractor/
Agent is - Personally Known to Me or Produced
ID Type of ID P/D L--. BELOW
IS FOR OFFICE USE ONLY Permits
Required: Building Electrical Mechanical PIumbing 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 APPROVALS:
ZONING: UTILITIES: ENGINEERING:
FIRE: COMMENTS:
of
Stories: Plumbing - #
of Fixtures Fire
Alarm Permit: Yes No WASTE
WATER: BUILDING:
Revised:
June; ?0, 2015 Permit Application
PERMIT #
City of Sanford Building Division
Residential Re -Roof Scope of Work
JOB ADDRESS: _ Q Soda 1' 0 t n ScR-q A or -
STRUCTURE TYPE: DINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: V PLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY): 0 W'.5 '
PLEASE NOTE: ONLY 100 SQU E FEET O HE EXISTING DECK IS PERMITTED TO BE REPLACED * *
ROOF VENTILATION: OFF -RIDGE O RIDGE OSOFFIT OPOWERED VENT OTURBINES
SKYLIGHTS: O YES O NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 (Pr'25.I2 - 4:12 O 4:12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
SHINGLE L FL# 1 V o;- 1> >-
O METAL FL#
O MODIFIED BITUMEN FL#
O TORCH DOWN FL#
OINSULATED 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#
Aug 09 17 09:16u 407-862-5480 p.1
THIS INSTRP14ENT PREpAiZEp By:
Name: r 6 i Cl Fl
Address: r v-
rzr li—f:i.: 3 all ON
NOTICE OF COMMENCEMENT
State of Florida
County of Seminole
Permit Number:
GRANT MALOYr SEMINOLE COUNTY
CLERK OF CIRCUIT COURT & COMPTROLLER
SK 8969 Ps 1108 (1f-`ss)
CLERK'S T 2017081016
RECORDED 08/10'12:117 1.11.22"Oi PM
RECORDING FEES $,1C .00
RECORDED 8Y jeck:ent a
Parcel ID Number:
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.
DESCRIPTION OF PROPERTY: (L al description of the property and street address If available)
a5aDL Poinse4-io e1jP LOT 2-1, (6).1( 3 Pa IM T-errafe P8
u P& J6a GENERAL
DESCRIPTION OF IMPROVEMENT: r
Prnvt' OWNER
INFORMATION: Name:
Her cuIP.4n LLL _ Address:
2.17. A.x `d-1r6 Wtnfcr P4r 3a cfo Fee
Simple Title holder (if other than owner) Name: Address:
CONTRACTOR-
U -
7-1b-q Name: r G " f? Address:
It 14 W, 0- (r ,(JIGt E Persons
within the State of Florida Designated by Owner upon whom notice or other documents may be served as
provided by Section 713.1311)(b), Florida Statutes. Name:
In
addition to himself, Owner Design e ' ff A of To
receive a copy of the Lienor's Notice as Provided in Section
713.13(1)(b), Florida St es. Expiration
Date of Notice of Common come (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 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 r BEFORE COMMENCING
WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT, r Under penalties
of perjury, 1 declare that 1 have read the foregoing and that the facts stated in It are true c to the
best of my knowledge and belief. C t Owners
Si
lur'e Owner's P d Name n Florda Statute
713.13t1I(g): ` e owner must sign the notice of commencement and no one else may be permitted to sign in his or her stead.' I. r'
Lp
d
State
ofortCountyof trlb J t- A The foregoi
g I trument was ackn edged befo a me this day of , 20 rr p
EE
lj-, by
c
c Q >rv` Ily known to me Name z
v ;
0 of statementV
011<0
s produced identification type of identification produced: w Q=
t—
b L HAROLD
H HODGES JR 0` MY COMMISSION #
FF222706 b x o 1 EXPIRES April2l,
2Q19 gnature i4crl.3gao
53 FloridallotaySmice.corrr, Z"iv¢°;
8/9/2017 Detail by Entity Name
DIVISION OF CORPORATIONS
3i fI Jf
a++mcs7 tI!! {tff%S"!f! `iP!!dP ttf %:!J!{r?'r f aid+''
G '
Department of State / Division of Corporations / Search Records / Detail By Document Number /
Detail by Entity Name
Florida Limited Partnership
HERCULEAN LLLP
Filing Information
Document Number A04000001167
FEI/EIN Number 20-1402293
Date Filed 07/14/2004
State FL
Status ACTIVE
Last Event CONTRIBUTION CHANGE
Event Date Filed 01/25/2005
Event Effective Date NONE
Principal Address
1882 Prospect Ave
Orlando, FL 32814
Changed: 04/28/2016
Mailing Address
1882 Prospect Ave
Orlando, FL 32814
Changed: 04/28/2016
Reaistered Aaent Name & Address
KITOGRAD, Marta
1882 Prospect Ave
Orlando, FL 32814
Name Changed: 04/28/2016
Address Changed: 04/28/2016
General Partner Detail
Name & Address
Document Number P03000047060
IBK @ WINDSONG, INC.
1882 Prospect Ave
Orlando, FL 32814
http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=EntityName&directionType=Initial&searchNameOrder=HERCULE... 1 /2
8/9/2017 Detail by Entity Name
Annual Reports
Report Year Filed Date
2015 04/08/2015
2016 04/28/2016
2017 04/28/2017
Document Images
04/28/2017 -- ANNUAL REPORT View image in PDF format
04/28/2016 -- ANNUAL REPORT View image in PDF format
04/08/2015 -- ANNUAL REPORT View image in PDF format
04/18/2014 -- ANNUAL REPORT View image in PDF format
04/13/2013 -- ANNUAL REPORT View image in PDF format
03/19/2012 -- ANNUAL REPORT View image in PDF format
04/24/2011 --ANNUAL REPORT View image in PDF format
04/18/2010 -- ANNUAL REPORT View image in PDF format
04/15/2009 -- ANNUAL REPORT View image in PDF format
04/02/2008 -- ANNUAL REPORT View image in PDF format
05/10/2007 -- ANNUAL REPORT View image in PDF format
04/27/2006 -- ANNUAL REPORT View image in PDF format
04/21/2005 -- ANNUAL REPORT View image in PDF format
01/25/2005 -- Contribution Change View image in PDF format
07/14/2004 -- CORAPSTQUL View image in PDF format
07/14/2004 -- Domestic LP View image in PDF format
Florida Department of State, Dmsion of Corporations:
http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResu ltDetai I?inquirytype=EntityName&directionType=Initial&search NameOrder=H ERCU LE... 2/2
Product Approval Specification Form
Permit #
Project Location Address a Saa, Pot n Sa:Ja
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.floridabuilding.org.
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
Description
Florida Approval=,#:.
include decimal)
1. Exterior Doors
Swinging
Sliding
Sectional
Roll U
Automatic
Other
2. Windows
Single Hun
Horizontal Slider
Casement
Double Hun
Fixed
Awning
Pass Through
Projected
Mullions
Wind Breaker
Dual Action
Other
June 2014
Category / Subcategory Manufacturer Product
Description
Florida Approval #
including 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 a rra'e, FL
Underla ments A 4 t4 5 mf C6 IbZ
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
Applicant's Name G `kf b\a l y
Please Print)
June 2014
SCPA Parcel View: 06-20-31-502-0300-0230 Page 1 of 2
A*
1-1cm
sc aroot,eooun ,, A 0AW
Parcel Information
Property Record Card
Parcel: 06-20-31-502-0300-0230
Owner: HERCULEAN LLLP
Property Address: 2522 POINSETTA AVE SANFORD, FL 32773
Value Summary
Parcel 06-20-31-502-0300-0230
Owner HERCULEAN LLLP
Property Address 2522 POINSETTA AVE SANFORD, FL 32773
Mailing PO BOX 878 WINTER PARK, FL 32790-0878
Subdivision Name PALM TERRACE
Tax District S1-SANFORD
DOR Use Code 01-SINGLE FAMILY
Exemptions
23
dr
Seminole County GIS
Legal Description
LOT 23 BLK 3
PALM TERRACE
PB4PG82
Taxes --
2017 Working
Values
2016 Certified
Values
Valuation Method Cost/Market Cost/Market
Number of Buildings 1
46,099
1
Depreciated Bldg Value -
Depreciated EXFT Value
Land Value (Market) -
i
9,975 8 550-®
Land Value Ag
Just/Market Value "
Portability Adj
56,074 1 $53,031
Save Our Homes Adj 0 0
Amendment 1 Adj 0 0
P&G Adj-------^ 0 0
Assessed Value 56,074 53,031
Tax Amount without SOH: $1,063.00
2016 Tax Bill Amount $1,063.00
Tax Estimator
Save Our Homes Savings: $0.00
Does NOT INCLUDE Non Ad Valorem Assessments
Taxing Authority Assessment Value ! Exempt Values I Taxable Value
SJWM(Saint Johns Water Management) 56,074 j so! 56,074',
County General Fund i
City Sanford - ---- 56,07, 0
56074
56,074]
County Bonds 56,074 0 ; 56,074
Schools_..-.-.--------------_.-._.._f__$56,074 O f._______-_._ 56,074
Sales
Description Date Book Page Amount Qualified Vadlmp
WARRANTY DEED j 12/1/2010 07498 0547 41,000 No Improved
WARRANTY DEED 7/1/2006 06345 i 0024 ( 142,000 Yes i Improved
WARRANTY DEED 2/1/2006
11/1/2005
06120
06025
0667
1229
130,000
100
Yes
No
Improved
ImprovedWARRANTYDEED —
WARRANTY DEED
SPECIAL WARRANTY DEED
5/1/2002
9/1/2001t04198
04412 10572 (
61065 -
78,500
59,100
Yes
No
Improved
Improved-
CERTIFICATE OF TITLE 5/1/2001 04071 1530 100
i--- -
yy No I Improved
SPECIAL WARRANTY DEED t/1/2000 04099 0295 j 100 jj No Improved
WARRANTY DEED 1/1/1996 03027 1617 58,000 i Yes Improved
SPECIAL WARRANTY DEED 12/111995 103008 1790 38,500 No i Improved
Page 1 of 2 (16 items) [11 2
Find Comparable Sales
f Land j
http://parceldetail.scpafl.org/ParcelDetailInfo.aspx?PID=06203150203000230 8/9/2017
Brackert Constr , inc.
Roofmg contractor - - - -- -
1070 Martex Drive - Apopka, Florida 32703
407) 862-9030
Pape No. of Pages
PROPOSAL SOBMITTED TO' -
Re
PHONE DATE
STREET I^
J
JOB NAME
CITY. STATE AND ZI
Li
JOB LOCATION
ARCHITECT DATE OF PLANS JOB PHONE
fl a cil a61
LIMITED POWER OF ATTORNEY
Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford,
Seminole County, Winter Springs
Date:
I hereby name and appoint:
an agent of:
Name of Company)
to be my lawful attorney -in -fact. to act for me to apply for, receipt for, sign for and do all things
necessary to this appointment for (check only one option):
All permits and applications submitted by this contractor.
or
The specific permit and
asao
for work located at:
Street Address)
Expiration Date for This Limited Power of Attorney:
License Holder Name:
State License Number: Clc` /;-Z M'
Signature of License Holder:
STATE OF FLORIDA
COUNTY OF
The foregoing ins ume t was cknow edged before me this day of
201 , by - who is rsonallAWknown to
me or o who has produced identification
and who did (did not) take an oath. Notary
Seal) ASHLEY
MOORE MY
COMMISSION # FF212582 EXPIRES
March 31. 2019 IC7r ]
9A-0"S$ r1«iesNota yserwA aon Signature (
M-
e Print
or type me Notary
Public - State of Commission
No. My
Commission Expires: as
Rev.
8/06/13)
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 w' esult in a aff vit provided by a Florida Design
Professional (architect or engineer), certify n FBC co e o p iance by personal inspection.
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DATE:
City of Sanford
Building and Fire Prevention
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS
PERMIT #: 11- 2 4 4q ADDRESS: 25 a. Pom5Pi4k4 A Ve—
S
I fr ll , 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 #: Ja / 3a i 2S
COMPANY / CONTRACTOR: /j G lcle/ -,-
CONTRACTOR SIGNATURE: _0 0 DATE:
MUST BE SIGNED BY LICENSE OLDER O WNER/BUILDER)
A FINAL ROOF INSPECTION IS REQUIRED:
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 Se y-r, i r o I.
Sw
A,
orn to and Subscribed before me this % day of J> p c.2vn IDe 20 by:
11N1G Y k Who is 14ersonatly Known to me or has 0 Produced (type of
iden " ication) as identification.
v
oLgj lature of D-4dry Pu%hc,
State of Florida
Print/Type/Stamp Name
of Notary Public
o; ''•° HAROLD H HODGES JR
MY COMMISSION # FF222706
EXPIRES April 21, 2019
7U7 3D8•p'yJ Florntallo[xyService.con-