134 Sand Pine Cir 17-316 RoofEmail:
ECEIVE CITY OF SANFORD
FEB 2O1%
BUILDING & FIRE PREVENTION
PERMIT APPLICATION
Application No:
Documented Construction Value: S 41. 7c.*o
Job Address: 1,04 SA"d I",NNe CT2 Historic District: Yes No B
Parcel ID: Residential Commercial
Type of Work: New Addition Alteration Repair Demo Change of Use Move
Description of Work: Re i?mL ns w i iH f:46 $ d 62c f & s
Plan Review Contact Person: 1 eZ, 2 Title: d a,* 22
Phone: 35-2- 223-6763 Fax:
Property Owner Information
Name L e L Phone: Z 701/ ,2,aS3
Street: S G Resident of property? :
City, State Zip:
Contractor Information
Name 1C ve,` Phone: 35 - 2'Z 3 -(,o 74_,1
Street LX s 7-7Fax:
City, State Zip:yJ State License No.: f!LLl3 3 43 03
Name:
Street:
City, St, Zip:
Bonding Company:
Address:
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. 1 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 mby 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
Signature of Notary -State of Florida Date
Signature of Contractor/Agent Date
Print Contractor/Agent's Name
Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or Contractor/Agent is 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 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
APPROVALS: ZONING:
ENGINEERING:
COMMENTS:
of Stories:
Plumbing - # of Fixtures
Fire Alarm Permit: Yes No
UTILITIES: WASTE WATER:
FIRE: BUILDING:
Revised: June 30, 2015 Permit Application
NOTICE: In addition to die 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.
Adceptance or permit is verification that I will notify the owner of the properly 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 floured 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 AFFIT)AVIT: 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.
Si ircnf .Nat /.1 .rat 1)a1 Si Aare t't tract I po$ Date
Ji1 Gt,
RAMON NAVARRO
4I Notary Pub1IC • State of Florida
Commission • 66 036705
y My Conan. Ettpres Oct 6.2020
P,,
6ottdW dttesol IYtloesl Ilttarr Assn.
Print :wt:rsrrt ecttt's Fame
iM1Jt'L1ti 04. 0 1 / 0)
signature of tJota -Stag of Florida mate
DEBBIE BIANTONN 0 FMYCOWISSIOF t;tM
EXPIRES: February 25.2019
t %; tom•'' vWW Taro Wta y POW UMenmiteers
Owner/Agent is .% I crsonal y mown tot o Contractor/Agent is 1'crsonall own to Me or
Produced II) Type of ID Produced IDType of ID 4—.b
S >>
BELOW IS FOR OFFICE USE ONLY
Permits Required: Building oectrical Mechanical Plumbing[] Gas hoof
Construction Type: Occupancy Use: Flood Zone: _
Total Sq Ft of IlIdg: Min. Occupancy Load:
New Construction: Electric - # of Amps
Fire Sprinkler Permit: Yes Nu // of I leads
APPROVALS: ZONING: U1,11.l11ES:
ENGINEERING: .FIRE:
COMMENTS:
of Storics:
Plumbing - # of .Fixtures
Fire Alarm .Permit: Ycs No
WAS'I'L'• WATER:
BUR DING:
CONTRACT for Roofing Servicessman1a , ,
MAXSON ROOFING WOW:
P a M 1 L 1' 0 w E U 41,10 U P G R•A T L"0 3594i PiJ1000K COVE OR. EU5T15, n 12716 TEL: 407-701-6008 : CELL: 352423-6703
Sold To: Jeremy Caryl Dale Sold: 1-20,17
Billing Address:
Job Location: 164 Sand Pine Cr Sanford, FL Job Contact/Phone: 407-791-2053
Only if different from billing address, of blank, location is billing address)
Terms: 1000/. after final inspection by counrv/city _If Blank: 2$% Deposit. ill Sums Due upon Completion)
The Following is an Estimate for Services and MaterialsfThis Document Becomes a Binding Contract upon Execution
THIS DOCUMENT SHALL SERVE AS A CONTRACT AND AN INVOICE FOR FINAL PAYMENT IN
FULL UPON COMPLETION UNLESS OTHERWISE NOTED HEREIN.
Estimate/Contract does not include rotten wood replacement or other hidden damage. Prices are as followed and subject to change at any time.
Not PT wood 1 x6, Ix 8, Ix 10 are $7.50 per foot, Plywood is $65.00 per sheet, and 2 x 4 are S7.80 per foot. This includes labor and material.
Scope of Work: (continue on reversdadditionsl sheets if needed)
JOB:
I ) Remove old shingle roof from property
2) Re -nail roofing deck per coda
3) Apply synthetic felt for new underloyment
4) Replace all lead boots. Drip edge and any roof vents with new
S) Apply 3 tab shingle with similar color as the condo on the beside
6) One shed of plywood is included in the roof quote
RI : Subject to a0 the provisions herein, Masson Roofing, Inc. ("MRI") agrees to perform and complete the above described work in a workmanlike
manner for the total Contract Amount of: S 4.700.00 (which Is due on completion)
LIMITED WARRANTY: Unless voided, all work performed by MRI is guaranteed against faulty or defective workmanship for a period of 5_
if blank, 1 yes.). This warranty begins when full payment is received, if received within thirty (30) days of completion of work. After 30 days Interest
changes apply.
Condltiona that void warranty: (1) 60+ mph winds, (2) Hall storm damage, (3) Subsequent roof work/repairs not performed by MRI, (4) Failure to pay
invoiecitontroct in fail within thirty days of completion, (5) Fixtures subsequently attached to the roof, (6) Tropical Storms, or (7) ISF checks returned.
PERMITS/CHANCE ORDERS: Unless otherwise slated, MRI shall be responsible for obtaining applicable permits.
COMPLETIONISUBCONTRACTORS: MRI will use its best effort to complete the work within a reasonable time taking into account available
supplies/materials and weather conditions, but does not guarantee completion dates unless sped6colly stated herein and initiated by all parties. MRI shall
determine in its sole discretion which subcontractors it uses to complete the services ordered.
DISPUTEMW/VENUE If judicial relief is sought to enforce this contract or any matter related to, arising out of, or in any way connected with this
contract or the work to he performed, the prevailing parry shall be entitled to attorneys' fees and cats incurred (including on appeal) from the other and
THE PARTIES HEREBY WAIVE RIGHT TO JURY TRIAL in any such action or countercbbn. This contract Is governed by 1-lorids low and the parries
consent to venue in Orange County. Florida (lien foreclosures will be filed in the county of the propeny).
DISCLAIMERS: MRI hereby disclaims any liability or responsibility for damage caused to gutters, down spouts, drains, solar panels, lightning rods. AC
units, screen eadesures, satellite dishes, weathervanes, or any, other fixture upon the roofer eves of the horse, as a result of the services performed. MRI Is not
responsible for file color Wend or shingle color blend, double roofs. Unless otherwise stated. MRI is not responsible for satellite reinstallation, bunk -up. set-
up. siKnal, or reception of any acme. Although precautions Will be taken to avoid damages, MRI is not liable for any water damage or mod of any kind.
damages to screen enclosures, driveways, lawns, curbs, and laudsmiting.
STATUTORY NOTICE: ACCORDING TO FLORIDA'S CONSTRUCTION LIEN LAW
FLORIDA STATUTES § 713.001-713.37), THOSE WHO WORK ON YOUR PROPERTY OR
PROV`1DE MATERIALS AND ARE NOT 1'.AIA IN FULL HAVE A RIGHT TO ENFOARCE
THEIR CLAIM FOR PAYMENT AGAINST YOUR PROPERTY. THIS CLAIM IS KNOWN
AS A CONSTRUCTION LIEN. IF YOUR CONTRACTOR OR A SUBCONTRACTOR FALLS
TO PAY SUBCONTRACTORS, SUB -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, EVEN IF
YOU HAVE; PAID YOUR CONTRACTOR IN' FULL. IF YOU FAIL TO PAY YOUR
CONTRACTOR, YOUR CONTRACTOR MAY ALSO HAVE; A LIEN ON YOUR PROPERTY.
T1[IS 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 A SUBCONTRACTOR MAY HAVE FAILED TO PAY. FLORIDA'S
CONSTRUCTION LIEN LAW IS COMPLEX AND IT 1S RECOMMENDED THAT
WHENEVER A SPECIFIC PROBLEM ARISES, YOU CONSULT AN ATTORNEY.
This contract read, understood, and a r ed to, by:
Owner/Agent: Sold by:
Print Namr: Print Name. Jeff Maxson
N
THIS INSTRU))IIENT PUP¢tED EfJGt
I NGName: 14 ar lJ jGlJrj _
Addrase: _AJ ._S.. _
NOTICE OF COMMENCEMENT
State of Florida
County of Seminole
rr r r rr rrr iiri r6RANiir 11111111
CLERY. OFLCrFCUITINOLECOURT
C UCOMPTROLLERBY8854Ps1259 (1P9s) CLERK'S T 2017011389
RECORDED 02/01/21017 11:08:56 AMRECORDINGFEES $10.00 M1
RECORDED BY hdevore O
Permit Number: Parcel ID Number:67 0309S70Cwt o 07/0
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.
W CO
ciLLCJ
GENERAL DESCRIPTION OF IMPROVEMENT: -L'
e.
Yo O Z
vW m
OWNER INFORMATION:/
G LName:'jt m
Address: 2"AlG LI%L S GL 2-73
Fee Simple Title Holder (if other than owner) Name:
Address:
rrnuTe erTna.
Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served
as provided by Section ?13.13(1)(b), Florida Statutes.
Name:
Address:
In addilion 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 ommenceme t e expiration date is 1 year from date of recording unless a
different data is specified) -- Z6
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 my knowledge and belief.
t=
fn ipnnlure Owners Pointed NLrnu
F dal 713.13(11(1;):' The of\T6r must tAin sic 1ovic-c (i rwwnoncenlnnl and no 9m also m&I Le puimfled to sign in hii e Iwo Maud'
State of " County of'
The foregoing instrument was acknowledged before me this ,913 day of `' ^ Ka • 20
by 0-eee Ca Ze / Who Is personally known to me
amn n! perscm making atatumunl
OR who has produced identification typo of Identification produced:
i
e rotuN IeululeN 110nodyl 1)"U09 aru,
oz '9 la0 sadidx3 V111103 Ali s ,• "•'°.,
SOLM so # u01SSIWWOo
r•011011 to ele1S • 3110nd AdejeN ;y ` ronlary s gnalwa
01111WAYN NOnyb
City of Sanford Building Division
Residential Re -Roof Inspection Policy & Procedures
PERMITTING REQUIREMENTS — NO PLAN REv1Ew 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 code compliance by personal inspection.
CONTRACTOR (OR OWNER/BUILDER) SIGNATURE: DATE:
PERMIT #
City of Sanford Building Division
Residential Re -Roof Scope of Work
JOB ADDRESS:
STRUCTURE TYPE: SINGLE FAMILY RESIDENCEMOWNHOUSE O MOBILE HOME O APARTMENT/CONDOMINIUM
RE -ROOF TYPE: LACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS)
O RE-COVER (NEW ROOF INSTA) LED OVER EXISTING ROOF)
DECK TYPE (PLEASE SPECIFY): r
PLEASE NOTE: ONLY 100 SQUARE
ROOF VENTILATION: QOFF-RIDGE
OF THEWST/NG DECK /S PERMITTED TO BE REPLACED**
DGE QSOFFIT QPOWERED VENT QTURBINES
SKYLIGHTS: O YES &NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #:
MAIN ROOF AREA
ROOF SLOPE: O LESS THAN 2:12 Q 2:12 - 4:12 4:12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
SHINGLE Mol v FL#
Q METAL FL#
p MODIFIED BITUMEN FL#
0TORCH DOWN FL#
QINSULATED FL#
QTILE FL#
0OTHER: FL#
ROOF EXTENSIONS (PORCHES, PATIOS. ETC.1 **IFAPPL/CABLE**
ROOF SLOPE: p LESS THAN 2:12 0 2:12 - 4:12 O 4:12 OR GREATER
TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL
Q SHINGLE FL#
0 METAL FL#
Q MODIFIED BITUMEN FL#
QTORCH DOWN FL#
QINSULATED FL#
Q TILE FL#
OOTHER: FL#
City of Sanford
Building and Fire Prevention
Product Approval Specification Form
Permit #
Project Location Address
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.floridabuildina.ora.
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(including
Florida Approval #
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
Underla ments V 11 MERVW L AgM-
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
Please Print)
June 2014
City of Sanford
Building and Fire Prevention
RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT
NAILING SHEATHING, DRY -IN, FLASHING, ANI) ALL FINAL ROOF COVERINGS
PERMIT #: "5 I (e ADDRESS: IIl91' ti./ I, Z,;k
AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR
OOFING CONTRACTOR, ENGINEER, ARCHITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, I HEREBY AFFIRM, THAT ALL OF THE
FOREGOIFIC 1rqP016W=0N 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 M 4 fzy.'- / ,3 d 3 d 3
COMPANY / CONTRACTOR:
CONTRACTOR SIGNATURE: DATE:
MUST BE SIGNED BY LICENSE v6LDpk OR OWNERMUILDER)
A FINAL ROOF INSPECTION IS REOUIRED:
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 MIK1&=
Sworn to and Subscribed before me this day o 20 jaby:
Who is 51;rsonally own to me or has 0 Produced (type of
identification) N as identification.
C)M4 S V a
ignature of Notary Public
State of Florida 1 ' t`!':'•1.1
INGRID E. VIUANUEVA
r W COMMISSION 0 GG 014507
Prin pe/StampName EXFIRES: August 9, 2020
of Notary Public ;"`•.«::t'P°eaaeo nw NMV Pu* U"deiw"Ias