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110 Holloway Ct; 18-4145; RE-ROOFr CITY OF Sk 4FORD M.y. DEPARTMENTFIRE OCT 0 3 2018 Building & Fire Prevention Division PERMIT APPLICATION Application No: / 7 41 5 Documented Construction Value: S 6559.00 Job Address: 110 HOLLOWWAY CT Historic District: Yes No Parcel ID: 33-19-30-515-0000-0060 Residential Commercial Type of Work: New Addition[] Alteration Repair Demo Change of Use[] Move Description of Work: REMOVE AND REPLACE ROOF SHINGLES Plan Review Contact Person: Title: Phone: Fax: Email: Property Owner Information Name JODY MASTERJOHN & STEVEN LANGHOFF Phone: 7728126343 Street: 120 NE TWYLITE TER City, State Zip: PORT ST LUCIE Resident of property? : NO Contractor Information Name PRO ROOFING AND ASSOCIATES Phone: 4075425903 Street: 2895 S ORLANDO DR City, State Zip: SANFORD, FL 32773 Name: Street: City, St, Zip: Bonding Company: Address: Fax: 4078077102 State License No.: CCC1328416 Architect/Engineer Information 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: 6' 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. I1 I_ , .t' . I i Pr' t),wne e is Name 10 1 1 Signature o o dry -State of Florida Date r' ovt! P&e S Ange! Wdem State of Florida y < My Commission Expires 03h512019 NM aCo erssonOwner/Agent is N9y Known to Me or Produced ID Type of ID r 1 nPs 6,4 --- Signature of Contractor/Agen Date int Contractor/Agent's Name ate ROSAM. EXPOSITO MY COMMISSION # GG 179751 i' EXPIRES: January 28, 2022 f or ace" Bonded Thru Notw PueGc underwriters Contractor/Agent is Personally 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: Total Sq Ft of Bldg: Occupancy Use: Min. Occupancy Load: New Construction: Electric - # of Amps. Flood Zone: of Stories: Plumbing - # of Fixtures Fire Sprinkler Permit: Yes No # of Heads Fire Alarm Permit: Yes No APPROVALS: ZONING: UTILITIES: WASTE WATER: ENGINEERING: COMMENTS: FIRE: BUILDING: Revised: January 1, 2018 Permit Application Grant Maloy, Clerk Of The Circuit Court & Comptroller Seminole Countyy, FL Inst #2018113112 Book:9222 Page:1660; (1 PAGES) RCD: 10/3/2018 3:07:09 PM REC FEE $10.00, CERTIFIED COPY GRANT MALOYp!` CLERK OF THE CIRCUIT COURT AND COMPTROLLER.. _: NI-FLORIDASEPAihdOLECl3 CLERK BY Permit Number: Daie = Folio/Parcel Identification Number• 33-19-30-515_nnnn_OID60 Prepared by: EDRIEL RODRIGUEZ Return to: PRO ROOFING & ASSOCIATES, INC. 2895 S ORLANDO DR SANFORD FL 32773 NOTICE OF COMMENCEMENT State of Florida, County of SEMINOLE The undersigned hereby gives notice that improvement(s) will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the followin information is provided in this Notice of Commencement. 1. Description of property legal description of the property, and street address if available) LOT 6 PAMALA OAKS,110 HOLLOWAY CT. SANFORD, FL 32771 2. General description of improvement(s) REMOVE AND REPLACE ROOF SHINLGES 3. Owner information Name: JODY MASTERJOHN & STEVEN LANGHOFF Interest in Property OWNER Address M20 NE TWYLITE TER, PORT ST LUCIE, FL 34993 4. Fee Simple Title Holder (if other than owner shown above) Name: N/A Telephone Number: Address 5. Contractor Name: PRO ROOFING & ASSOCIATES, INC. Telephone Number: 407-542-5903 Address 2895 S ORLANDO DR SANFORD FL 32773 6. Surety (if any) Name: _V/A Telephone Number: Address Amount of bond $ 7. Lender (if any) Name: Telephone Number: Address N/A 8. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by §713.13(1)(a)7, Florida Statutes. Name: N/A Telephone Number: Address 9. In addition to himself or herself, Owner designates the following to receive a copy of the Lienor's Notice as provided in §713.13(1)(b), Florida Statutes. Name: _N/A - _____Telephone Number: Address 10. Expiration date of notice of commencement (the expiration date is one 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 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. Verification pursuant to Section 92.525, Florida Statutes: 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 my knowledge and belief. Sigriato Piinted Na.,..e/+rtt ./Office, or Owner's Authorized Officer/Director/Partner/Manager§713.13[i][d]) II II l This document was acknowledged before me this day of ! e r , 2018 by Fet oL who is Aerona cr own or produced li:Wr%%Ja Jr%VeIS `( edSeas identification. AT PN MgelCordero Sate of Florida of t Public —State of Florida y4" AIMFFF0395019I'9 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 F code compliance by personal inspection. CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DATE: I xr i SkNFO hx Y CITY FIREDEPARTMEN PERMIT # Building & Fire Prevention Division RESIDENTIAL RE -ROOF SCOPE OF WORK STRUCTURE TYPE: Cal SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM RE -ROOF TYPE: C REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) O RE-COVER NVW ROOF INSTALLED OVER EXISTING ROOF DECK TYPE (PLEASE SPECIFY: PLEASE NOTE: ONL Y 100 SQUARE FEE7 OF THE EXISTING DECK IS PERMITTED TO BE REPLACED ROOF VENTILATION: D OFF -RIDGE O RIDGE O SOFFIT OPOWERED VENT SKYLIGHTS: O YES NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: MAIN ROOF AREA ROOF SLOPE: O LESS THAN 2:12 O 2:12 - 4:12 412 OR GREATER O TURBINES TYPE OF ROOF MANUFACTU ER FLORIDA PRODUCT APPROVAL 0"14/HINGLE FL# O METAL FL# O MODIFIED BITUMEN FL# O TORCH DOWN FL# OINSULATED FL# O TILE IS rs FL# Q OTHER: v `p 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# 0 OTHER: FL# I'• SEMINOLE COUNTY and /or CITY OF SANFORD DATE: 10/3/2018 I hereby name and appoint: Osp, A, &I an agent of: PRO ROOFING & ASSOCIATES, INC. 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): O All permits and applications submitted by this contractor. The specific permit and application for work located at: 110 HOLLOWAY CT,- SANFORD FL 32771 Job Site Address) Expiration Date for This Limited Power of Attorney: DECEMBER 31 2018 License Holder: ELMER A. CAMPOS State License #: CCC1328416 Signature of License Holder: State of Florida County of S ari.',uol z The foregoing instrument was acknowledged before me this 3 day of OC+• 20 1$ by ELMER A. CAMPOS who is personally known to me and did not take an oath. WITNESS my hand and official seal this 3 SigAofNota4ublic — State of FI rida _ 1•' "' ObEI }iERNANDEZ ro Ng"ry Public -State of. Florida Commisslon # FF 990343 My comin. Expires May 9. 2020 NOTARY SEAL Rev.12/13 day of oCA • , 20 i , Printed Name.) Commission No. State of FL. County of S m;nsci My Commission expires: S 9 Am.,,., SCPA Parcel View: 33-19-30-515-0000-0060 Page 1 of 2 jro dJolmsat,crA Property Record Card AfP R Parcel: 33 19 30 515 0000 0060 re c g6wry r >r x,A Property Address: 110 HOLLOWAY CT SANFORD, FL 32771 Parcel Information Value Summary F I W Parcel 33-19-30-515-0000 0060 Owner(s) LANGHOFF, STEVEN A - Joint Tenants with right of Survivorship MASTERJOHN, JODY A - Joint Tenants with right of Survivorship Property Address 110 HOLLOWAY CT SANFORD, FL 32771 Mailing 120 NE TWYLITE TER PORT ST LUCIE, FL 34983-1247 Subdivision Name Tax District PAMALA OAKS PH 2 S1-SANFORD DOR Use Code 01-SINGLE FAMILY Exemptions 4 + 40 40 40 40 40 40 dF1 T 40 40 40 40 40 40 40 Legal Description LOT 6 PAMALA OAKS PH 2 PB 51 PG 15 2018 Working 2017 Certified Values Values Valuation Method . Cost/Market Cost/Market Number of Buildings 1 1 De11 preci11 at11 ed Bldg Value $ 111,464 96,514 Depreciated EXFT Value $ 238 250 Land Value (Market) $ 30,000 23,500 Land Value Ag Just/Market Value" ! $ 141,702 120,264 Portability Adj Save Our Homes Adj $0 0 Amendment 1 Adj $ 9,412 0 P&G Adj $ 0 0 Assessed Value $132, 290 120,264 Tax Amount without SOH: $2,290.00 2017 Tax Bill Amount $2,290.00 Tax Estimator Save Our Homes Savings: $0.00 TRIM Notice Help Does NOT INCLUDE Non Ad Valorem Assessments Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund 132,290 0 k $132,290 Schools 141,702 0 $141,702 City Sanford 132, 290 I 0 $132,290 SJWM(Saint Johns Water Management) 132,290 0 $132,290 County Bonds 132, 290 0 $132,290 1 Sales Description Date Book Page Amount Qualified Vac/Imp WARRANTY DEED 7/ 1/2003 04925 0741 $119,900 No Improved PROBATE RECORDS 7/ 1/2003 04907 1279 $100 ` No Improved PROBATE RECORDS 4/ 1/2003 04781 1862 $100 . No Improved WARRANTY DEED 5/ 1/2002 04432 0272 $106 500 Yes Improved WARRANTY DEED 12/ 1/1997 03356 1163 $82 400 Yes Improved Find Comparable Sales] Land Method Frontage Depth Units Units Price i Land Value LOT 1 $30, 000.00 ' 30,000 Building Information Is Bed/Bath count incorrect? Click Here. Description Fixtures Bed Bath Base Area Total SF Living SF Ext Wall Adj Value Repl Value Appendages http://parceldetail.scpafl. org/ParceiDetailInfo.aspx?PID=33193051500000060 10/3/2018 ivF uciri! l f,A„N 11,,trr. ;,AN ff1) Cee°tf#rede,t f111tli,l, rYh tk!N.it 2895 SoWh Or( an do Or Sanford, FL 32773 e; 407.94t d90! F: e07 807.1101 PROPERTY ADDRESS 10DY MASTERIOHN 110 HOLLOWAY CT SANFORD, FL 32771 Countv: SEMINOLE R09F TEAR -OFF: 2 Layer Shingles i1LayerShinglesGravelRoofgSingfePlyFlatRoof ' Other FeltUnderlayment - - O i LON RACC" iiK: rt1[ S'. jt t a,.= I, tr00FIN.: Cr,>vr ta,j c r t)uj vc C.- 1;26416 88"17- 6787 www- c f proroofin w.. con VISA Iei7Ridgewood A- ve Stec) Daytona Beach. Fl. 32117 PROPOSAL NUM: - PRO-771284019529 Date: 9/ 21/2018 Phone: R44) 812-6343 Cell: (71A Email: MASTER10HN1@HOTMAIL. COM ALUMINUM SOFFITS & FASCIA: Aluminum Fascia Aluminum Soffit I Fascia Inciuced In Price '.': Soffit Included in Price Entire Roof Perimeter Soffit &F s ' C i WOOD REPAIR: * N07INCLUDED INTOTALPRICE a.cla oor.-.._ i Fascia installed Only on: Inspect Roof Deck for Damaged Sheathing i Re - Nail Entire Roof Deck Up -To Code Soffit Installed Only On: _. Plywood sheathing replaced at $So.ao per sheet. Price i ROOF VENTILATION: 1 1 `Fascia and wood boards will be replaced at j 1 Aluminum Ridge Vent, ft. Color: 5.00 $ p per linearfoot. • Cedar 9,00 er linear foot Baffled Shingle over Ridge Vent ft. Other: Off -Ridge Vent(s): 1'I 4 ft. City:_ Color: FLAT ROOF SYSTEfdh Torch Down 2 Ply 1175 Ibs riberglass Underlayment POWER VENT: I , 6 ft, Qty Color: a COLD SYSTEM. f ' Self Adhered Modified Bitumen Roofing System Electric Exhaust Fan: Qty: Price Solar Powered Exhaust Fan: Qty: Price: T Peel & Stick Underlayment A— elcct0ratwork not mcilitferi.i -- TAPERED SYSTEM: CHIMNEY AREA: AREA:, FI Flat Roof Pitch Change New flashing _ I Replace existing flashing if needed. I ISO Cold Polyisocyanurate Roof insulation 1 I Build Chimney Cricket Price: NEW ROOF FLASHINGS: 1 1 I Remove Chimney Price: 16" Flashing on: I.'? Roof Valley(s) I SKYLIGHTS: 1 ! New Skylight I. Reuse existing Skylight Plumbing Vent Boots: 1.5" 2 2" 1 3" 1 _ 4" - - 1 Boot Guards Color: I 2 x 2: 4 x 2. ` Price: Price: -- i--.__......._ Other: Price: Gooseneck Vents: 4" 1 6" _ 10" ____ Color. TYPE OF SKYLIGHT NEW GALVANIZEDDRIPEDGE: I 21/ 2 inch Face installed around entire perimeter of roof I _1 Self Flashin g 1 Curb Mounted Other.- Color: - .- 1 Insulated Glass ( i Polycarbonate. Dome ALUMINUM SEAMLESS GUTTERS: j SOLAR TUNNEL: 1_.IAluminumSeamlessGuters1GuttersIncludedInPricejI110" Price: Gutter Price Quotes - Gutter Feet: Down Spouts: i ------ -- 14" Price: 1 122' Price:. -------- AdditionalGutterswillbe: pet linear foot. i BUILDING JURISDICTION: i..iCounty f!lCity Additional Downspout will be: each. HOME OWNERS ASSOCIATION REQUIREMENTS: PROPOSAL NOTES: I YES i _' NO Contact: This proposal Is for a Limited Lifetime Architectural shingle, rated at 130 MPH. We propose to tear -off your old root to the wood deck and replace all vents, lead'podts, flashing and damaged wood, Wood repairs price is listed above. AS layer protection system Is used around peripherals penetrating yourroof deck Including a "Peef & Stick" felt on all places checked below. A fiberglass reinforced fell, "Peel & Stick will be used which is stronger than a 30 lb felt. All taxes and permiting fees are included.' Pricesubject to. change onDifferent] Special Wood orders if needed Standard Pitch Roof Asphalt Architectural Shingles CertainTeed Landmark Limited lifetime Synthethic Underlayment 3 YEARS Weatherproof with "Peel & Stick" in the following areas: Eves i Chimney Area Roof Valleys `f Skylights 1Vent Pipes Low Slopes r' Kitchen & Bath Vents Wall Flashing Other: ei ENTIRE ROOF DECK RENAILED Packet Total: Gold Package Total: $ 6,554.00 Pro Roofing & Associates, Inc. will clean roof debris from gutters in addition to magnetically sweep entire perimeter of job she. All roofing debris will be hauled away and is Included as part of our service_ All materials are guaranteed as specified. We will obtain all city or county permits necossary for the completion of the fob. All work will be tonipleted according to standard roofing practices and current building codes, Any alteration or deviation from above specifications Involving extra costs will be executed only upon written order and will become an extra cha rye Item over and above Ihis agreement. Any leaks occurring during the warranty period will be repaired per our written warranty, This proposal may br withdrawn by us it not accepted within 1S days. ACCEPTANCE OF PROPOSAL: The above specifications, prices and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined herein, If payment is not received within 5 business days after completion of job there will be a 3% late fee added to the balance due. Any payment recieved by a credit card is subject to a convienence fee Payment Schedule __-__ UPJon Completion__ Start Date: _ _ . _ _-- Completion Date: 4 - i_ 4, Ct 1 ,-,. Eli ter ._._ _.---.- 912112018 choir dd S gl lure Date Pro Roofing & ASsodales Date City of Sanford Building and Fire Prevention RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT #: 18 ' 1"I I l- I S ADDRESS: 110 NQ I iowo ,) C'T 140fd r t- I E I mey' Co mpos , 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 #: C CC 1 32 8 4 "o COMPANY / CONTRACTOR: CONTRACTOR SIGNATURE: MUST BE SIGNED BY LICE Pro i 3 A so 4e.s f DATE: v L INSEOLDER6ROWNEiUILER A FI L OOF 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/1'JDIe Sworn to and Subscribed before me this day of 20 IS by: Who is Personally Known to me or has 0 Produced (type of identificatio as identification. TE Rr/// Signat a Public cjo' \SS2*Eto' State of Florida407V; e 4+e Or+L) iOGG2y 178567 Print/Type/Stamp Name of NotaryPublic 1e n cuOeathy, C` AlicUndB, 1 0