Loading...
1503 Summerlin Ave; 17-2356; ROOFw f' Documented Construction Value: $ Q,5 n Job Address: 1.50 -; , r fK!oofo 10 .6U L Historic District: Yes No R Parcel ID: -3!- 1-I - J 1- 601 - Moo — 01 9 V Residential Commercial Type of Work: New Addition Alteration Repair o Demo Change of Use Move Description f Work: 1., 0) Plan Review Contact Person: 100 (p Phone: IU%p.jQ > Fax: CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application No: f J -AS-L Title: 0 . Email: Property Owner Information Name Jcna4btan A Elba U44o Phone: qo -7UA — LfO Street: L `0) -J • 5U (nerl I n 4V0 Resident of property? City, State Zip: 60VI-Co f'a- FC Contractor Information Name I 1 lip Phone: goo aI Jai I,7 Street: 0 8 T C Fax: Y1'l ip w1 n (0) C-'- / - rr. o ( nCity, State Zip: o- u r'l Zi State License No.: 0 (/gq 9't(f Architect/Engineer Information Name: Street: City, St, Zip: Bonding Company: Address: 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: 51 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 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 Owner/Agent Date Print Owner/Agent's Name 10,0J) #0 0 4 . 'Pill 11'1:1 S - )r) Signature of Notary -State of Florida ate Zgu4, V_ ( )-WI Signature of Contractorr// Agent Date 0 Print Contractor/Agent's Name L J,_- U .,7n " i " Signature of otary-State offlorida- I Date o taY Pu ROBERTV. MALONEYp0.'P BGO DORENE L PENHALIGON ? .•, ;' MY COMMISSION # FF 221832 * * MY COMMISSION FF 917403 EXPIRES; June 24, 2019 EXPIRES: October 12, 2019 N'" ', oP`O! Bonded Thru Budget Notary Services Bonded Thry Budget Notary Servkea Owner/Agent is Personally Known to Me or Contractor/Agent is Personally Known to Me or Produced ID Type of ID FJX_ Produced ID Type of ID BELOW IS FOR OFFICE USE ONLY Permits Required: Building Electrical Mechanical Plumbing Gas Roof Construction Type: Total Sq Ft of Bldg: Occupancy Use: Min. Occupancy Load: New Construction: Electric - # of Amps Fire Sprinkler Permit: Yes No APPROVALS: ZONING: ENGINEERING: COMMENTS: Flood Zone: of Stories: Plumbing - # of Fixtures of Heads Fire Alarm Permit: Yes No UTILITIES: WASTE WATER: FIRE: BUILDING: Revised: June 30, 2015 Permit Application j Property Record Card pParcel: 31-19-31-501-OD00-0180 , Owner: LITTON JONATHAN D & ELBA I SENCNOLZCOUNTY FLOFUDA Property Address: 1503 SUMMERLIN AVE SANFORD, FL 32771-3928 Parcel Information Parcel 31- 19-31-501-OD00-0180 Owner LITTON JONATHAN D & ELBA I Property Address 1503 SUMMERLIN AVE SANFORD, FL 32771-3928 Mailing 1503 S SUMMERLIN AVE SANFORD, FL 32771-3928 Subdivision Name BUENA VISTA ESTATES Tax District S1-SANFORD DOR Use Code 01-SINGLE FAMILY Exemptions 00- HOMESTEAD(1994) 8 a z J Seminole County GIs Legal Description LOT 18+ N1/2OFLOT I9 ------- ------_-...__ BLK D BUENA VISTA ESTATES PB3PG1 Taxes Value Summary 2017 Working 2016 Certified Values Values Valuation Method I Cost/Market Cost/Market Number of Buildings 1 1 1 Bldg Value - r $ 37,488 36,558 Depreciated Depreciated EXFTValue j $1,466 1,466 Land Value (Market) ? $ 13,519 j $13,519 Land Value Ag Just/Market Value** 52,473 51,543 Portability Adj Save Our Homes Adj 2,612 i $2,708 Amendment 1 Adj- P&G Adj !- J- -- 0 0 Assessed Value 49, 861 I $48,835 Tax Amount without SOH: 512.81 2016 Tax Bill Amount 477.79 Tax Estimator Save Our Homes Savings: 35.02 Does NOT INCLUDE Non Ad Valorem Assessments Taxing Authority Assessment Value Exempt Values Taxable Value SJWM(Saint Johns Water Management) 49,861 25,000 24,861 County Bonds 49, 861 25,000 ! 24,861 County General Fund 49,861 25,000 24,861 Schools 49,861 25,000 24,861 City Sanford 49, 861 - ------ 25,000 24,861 Description Date Book Page Amount Qualified Vac/Imp QUIT CLAIM DEED 6/1/1991 02310 1801 17,800 1 No Improved Find Comparable Sales Land E Method Frontage Depth Units Units Price Land Value FRONT FOOT & DEPTH 75.00 150.00 0 $175.00 $13,519 Building Information Is Bed/Bath count incorrect? Click Here. Description Year Built Fixtures Bed Bath Base Area Total SF Living SF Ext Wall Adj Value Repl Value Appendages Actual/Effective 1 SINGLE 1956 3 2 1_0 720 1,812 1,088 ' CONC $37,488 ' $66,646 Description Area FAMILY BLOCK WINDOWS & CONSTRUCTION INC. AGREEMENT 208 Teakwood Court Lake Mary, FL 32746 LICENSED AND INSURED # CCC 057886 Date of Estimate: Customer Name: It - Job Address: City, State, Zip: 4' Proposal for the Following: Remove existing Shingle Roof /-F-la#-Ree# Haul off all roofing debris Remove and place the following items: A. New , ly felt B. New plum ing boots C. New kitchen vents Sales Rep Name: Sales Rep Phone: Cust Phone #: — Cust Cell #: Cust Fax #: Phone (407) 265-2215 Fax (407) 323-3217 D. 90 lb rolled roofing in valley E. New 26 gauge Eve drip F. New ridge vents / off ridge vents 1 n d G. Re -nailing decking Replace any unforeseen rotten wood, materials plus $45.00 per hour, per man, 2 man max Replace 2x2 skylights / '2x4 skylights Re -flash Chimney Build Cricket New Chimney Cap $ Install new roof Year Architectural 3_.ab Shingles Color Manufacturer - Will cement all edges of roof and valleys MJP is not responsible for removal and re -installation of solar panels 3 year labor warranty Permit Included Flat Roof A. lb Base Sheet B. Smooth Modified Bitumen C. Granulated Modified Bitumen D. Aluminum Fiber Coating E. Modified Awaplan 170 Cold Process If payment is not made under the terms and conditions of this contract. MJP reserves the right to place a lien on the above mentioned property and a finance charge of 5% per month will be added to the unpaid accounts 30 days from the date of the agreed payment of this contract. Should collection be necessary, the person on this contract shall pay all court costs, attorney fees and appeal fees (if any). This contract is valid from one month from the date of acceptance and approved by MJP. The state of Florida has a construction recovery fund. We propose to furnish the above complete in accordance with the above terms for the sum of: Accepted:L unDate: Customers Signature Approval: Date: MJP Windows & Construction, I6r, Authorized Signature BUYER'S NOTICE OF RIGHT TO CANCEL 1. The law provides that either party to a home improvement contract may cancel the contract. The Buyer can- cel this contract without penalty of obligation, in writing, by certified or registered mail, by midnight of the third business day following the execution of the home improvement contract. If the contract is cancelled after the aforementioned period then the Contractor is entitled to ten percent (10%) of the contract price. If Contractor is required to institute legal proceedings to collect any amounts due under this contract, owner agrees to pay Contractor the costs of collection including, but not limited to, attorney's fees and court costs. 2. CHANGE ORDERS: No Alterations or extra work shall be done under the terms of this contract without a writ- ten order from owner, accepted by contractor, which shall expressly state the cost of such alteration or extra work. 3. UTILITIES: Owner shall provide power and water to or near the construction site for contractor to make those connections necessary to accomplish the work contemplated by this contract. 4. SURVEY: Prior to the commencement of construction owner shall provide contractor with a boundary survey of the property upon which contemplated by this agreement is to be constructed, which survey shall define and delineate the boundaries of such property, and show the location of utility easements and setback lines which may affect the use of the property. Contractor assumes no responsibilities for the construction of any improve- ments which may encroach upon easements of setback lines not disclosed upon such survey or otherwise brought to its attention by owner. 5. PAYMENT TO CONTRACTOR: Upon Substantial completion of the work contemplated by this contract. 6. DEFAULT BY OWNER: All monies not paid when due hereunder shall bear interest at the legal rate in force and effect at the place of the project. Should contractor employ an attorney to collect any sums due it under this agreement or otherwise enforce its rights hereunder, contractor shall be entitled to collect its reasonable attorney's fees and costs of court. 7. CONTRACTOR'S WARRANTY: Contractor guarantees that the work completed under the contract and any charge orders thereto shall be in accordance with the plans and specifications therefore, and shall be free from poor workmanship or materials and contractor shall repair at its own expense for a period of THREE YEARS from the date of substantial completion of the project all of the work covered under the contract. 8. CONSTRUCTION INDUSTRIES RECOVERY FUND: The 1993 legislature created a Construction Industries Recovery Fund for persons who have been adjudged by a court to have suffered monetary damages caused by a contractor, or to whom a licensee has been ordered to make restitution, which violation occurs after July 1, 1993. The recovery fund is to be funded out of a one half cent per square foot surcharge on building per- mits, and any surplus of monies collected from fines imposed by the board. The limit of recovery under the fund $25,000 per transaction, regardless of the number of claimants. Payments for claims against one cer- tificate holder shall not exceed $50,000 in agreements. Upon the payment of any amount from the fund, the license of the certificate holder is automatically suspended and shall not be reinstated until the amount paid from the fund is reimbursed including interest. The statute says that bankruptcy does not discharge the penal- ties and disabilities of the law. 9. MJP is not responsible for any cracked concrete due to delivery of materials. 10. MJP is not responsible for plumbing in attic that is not to code. 11. Warranty is based upon norrnal wear not warranted from any acts of God such as hurricanes, etc. 12. Owner may transfer the warranty one (1) time during the first two (2) years of the installation date. ACCORDING TO FLORIDA'S CONSTRUCTION LIEN LAW (SECTION 713.001 713.37, FLORIDA STATUTES), THOSE WHO WORK ON YOUR PROPERTY OR PROVIDE MATERIALS AND ARE NOT PAID IN FULL HAVE A RIGHT TO ENFORCE THEIR CLAIM FOR PAYMENT AGAINST YOUR PROPERTY. THIS CLAIM IS KNOWN AS A CONSTRUCTION LIEN. IF YOUR CONTRACTOR OR A SUBCONTRACTOR FAILS TO PAY SUBCONTACTORS, SUB -SUBCONTRAC- TORS, OR MATERIAL SUPPLIERS OR NEGLECTS TO MAKE OTHER LEGALLY REQUIRED PAYMENTS, THE PEOPLE WHO ARE OWED MONEY MAY LOOK TO YOUR PROPERTY FOR PAYMENT, EVEN IF YOU PAID THE CONTRACTOR IN FULL. IF YOU FAIL TO PAY YOUR CONTRACTOR, YOUR CONTRACTOR MAY ALSO HAVE A LIEN ON YOUR PROPERTY. THIS MEANS IF A LIEN IS FILED YOUR PROPERTY COULD BE SOLD AGAINST YOUR WILL TO PAY FOR LABOR, MATERIALS, OR OTHER SERVICES THAT YOUR CONTRACTOR OR SUBCON- TRACTOR MAY HAVE FAILED TO PAY. FLORIDA'S CONSTRUCTION LIEN LAW IS COMPLEX AND IT IS RECOMMENDED THAT WHENEVER A SPECIFIC PROB- LEM ARISES, YOU CONSULT AN ATTORNEY. N. I liiill 1i1111i1111d111 II(l iill(aili ilel THIS INSTRUMENT PREPARED BY: Name. INSTRUMENT PENHALIGON A cfr re- EItfiARY`FL'1T4b NOTICE OF COMMENCEMENT State of Florida County of Seminole Permit Number: GRANT MALOYr SEMINOLE COUNTY CLERK OF CIRCUIT COURT & COMPTROLLER BK 8965 F'3 390 (095 ) CLERK'S 2017078360 RECORDED i i8/l -/ )01.7 10. 18.'02 All RECORDING FEES $10-00 RECORDED BY tsrnith Parcel ID Number: 31-19-31 501-000-0180 The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 7713, Florida Statutes, the folloWnngg information isids provided inthisNotice of Commencement. L& I II IION.OF171 UI- LUe I tiLK UotiUtNA VI51 A5 1 ftrf t31bLi 1 GENERAL I VCRIPTION OF IMPROVEMENT: OWNER INFORMATION: Name: JONATHAN & ELBA LITTON Address: 1503 S. SUMMERLIN AVENUE SANFORD, FL 32771 Fee Simple Title Holder (if other than owner) Name: Address: CONTRACTOR: Name: MJP WINDOWS & CONSTRUCTION INC. Address: 208 TEAKWOOD COURT LAKE MARY, FL 32746 Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section 713.13(1)(b), Florida Statutes. Name: Address: In addition to himself, Owner Designates of To receive a copy of the Lienor's Notice as Provided in Section 713.13(1)(b), Florida Statutes. Expiration Date of Notice of Commencement (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 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 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. Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true to the best of my4't'qowledge and belief. tt Owner' s Signature Owners Printed Name Florida Statute 713.13(1)(g): "The owner must sign the notice of commencement and no one else may be permitted to sign in his or her stead State of . r0t l C10 P County oftt,n The foregoing instrument was acknowledged before me this day of l'i (,r /I i + , 20 by Who Is personally known to me Name of person making statement C OR who has produced identification type of identification produced: f O L t, 0.YPCB DORENE L. PENHALIGON MY COMMISSION # FF 221832 EXPIRES; June 24, 2019 Nr r orrt e Bonded ShNPudpelNoteryServices Ael Notary Signature - —44? a dC tx :D L? C) Y V 4 p.__. vw Cam_ { WO;; V tj 1d; S JOB ADDRESS: PERMIT # / ! 01 js City of Sanford Building Division Residential Re -Roof Scope of Work STRUCTURE TYPESINGLE FAMILY RESIDENCE/TOWNHOUSE O 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) J DECK TYPE (PLEASE SPECIFY): ( I ou" 0 od-" PLEASE NOTE: ONLY 100 SQUARE FEET OF TME EXISTING DEC%IS PERMITTED TO BE REPLACED ** ROOF VENTILATION: O OFF -RIDGE 124IDGE O SOFFIT OPOWERED VENT O TURBINES SKYLIGHTS: O YES _,O'IqO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN ROOF AREA ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL SHINGLE o FL# fJ 3 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# OINSULATED FL# O TILE FL# O OTHER: FL# 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 cod compliance by personal inspection. CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DATE: i- c 3 sL' 3 MJP WINDOWS & CONSTRUCTION, INC. 208 TEAKWOOD COURT LAKE MARY, FL 32746 407-265-2215 STATE LICENSE CCC057886 AUGUST 7, 2017 SANFORD BUILDING DEPARTMENT PERMIT # 17-2356 1503 SUMMERLIN AVENUE SANFORD, FL 32 PER MY CONVERSATION THIS MORNING WITH YOU, THE HOMEOWNER IS NOW WANTING TO ADD THE DETACHED GARAGE IT IS 6 SQ THANK YOU DORENE PENHALIGON MJP WINDOWS & CONSTRUCTION, INC. Phone 407-265-221.5 • mjpwin@cfl.rr.com Res. Contractor #CRC:,t)5'525 • Roofing Contractor #CCC;057896 City of SanfordTD„ d Building and Fire Prevention RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT #: 1 : ` ADDRESS: f 503 4V Sao 62td G I M a f -h n )06)/ / J,4, / le7e ),-I . 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 #: COMPANY/ CONTRACTOR: CONTRACTOR SIGNATURE: _ MUST BE SIGNED BY LICENSE A FINAL ROOF INSPECTION IS REOUIRED: DATE: 1 r 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 FLAS,JING. 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 5(ftllI11G 1 - Sworn to and Subscribed before me this 1 day of 20 by: Ma r -h ho 11 6:'I . Who is*Personally Known to me or has El Produced (type of identification) as identification. J v j/A_C4Signature ofNotaryPubliState of Florida ROBERTV. MALONEY D * * MY COMMISSION i FF 917403 h Otbi %y. (n,+co,4 .' r EXPIRES: October 12, 2019 Print/ Type/Stamp Name '''w h4dedThruBudget Notary Servkes of Notary Public