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109 Pine Isle Dr - BR18-002942 - REROOFyL BUILDING• PERMIT APPLICATION Application No: Documented Construction Value: $ O.Soo Job Address: ly l F I n/c T Ve S"' / -Historic District: Yes No Parcel ID: Residential 4 Commercial Type of Work: New 0 Addition ® Alteration Repair Demo Change of Use Move Description of Work: l-P, _ rzz)DIP Plan Review Contact Person: lire /, R'* nA - Title: C Phone: Liyr) 3 /0 — 79 T b Fax: Email: 111A li Property Owner Information Name A/ UNe— M AA ve /i7 C Cd011V Phone: ztf 07 yq)` - Q (0 01 Street: iy 1 ei rve- 15/e D2 • SA V ' 1 Resident of property? : Yi s City, State Zip: SM 6-0 7'}-7 I Contractor Information Name L e A 3 1` 4^ n Phone: D7 31 o Street: 1' Fax: City, State Zip: C a-w,e/%r+^ State License No.: 'C C" bl 3-71 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 lawsregulating 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. Revised: June, 2018 Permit Application FBC 105.3 Shall be inscribed with the date ofapplication and the code in effect as of that date: 6;" Edition (2017) Florida Building Code NOTIC An addition to the requirements of this permit, there maybe additional restrictions applicable to this property that maybe 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 Signature of Contractor/Agent Date e /) &-& j Pal.. Print Owner/Agent's Name Print Contractor/Agent's Name Signature of Notary -State of Florida Date Owner/Agent is Personally Known to Me or Produced ID Type of ID Signature of Notary -State of Florida Date 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: Occupancy Use: Total Sq Ft of Bldg: Min. Occupancy Load: Flood Zone: of Stories: New Construction: Electric - # of Amps Plumbing - # of Fixtures Fire Sprinkler Permit: Yes No # of Heads APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: FIRE: Fire Alarm Permit: Yes No WASTE WATER: BUILDING: Revised: June, 2018 Permit Application ircel View: 10-20-30-511-0000-0970 http://parceidetaii.scpafl.org/ParceiDetaillnfo.aspx?P]D=l 020305110... txn Prooerty Record Card PPWUSER Parcel: 10-20-30-511-0000-0970 ' sE,..eaaoo,srrKwona„ Property Address: 109 PINE ISLE DR SANFORD, FL 32773 Parcel Information Parcel 10-20-30-511-0000-0970 Owner(s) SINGH, RAVI SINGH, ANNE M Property Address 109 PINE ISLE DR SANFORD, FL 32773 Mailing 109 PINE ISLE DR SANFORD, FL 32773 Subdivision Name STERLING WOODS Tax District Sl-SANFORD DOR Use Code 01-SINGLE FAMILY Exemptions 00-HOMESTEAD(2005) 50 50 95.84 9:5 9s • 62.62 Seminole County GIS Legal Description L WOODS 93 THRU 95 es ue Summary 2018 Working Values 2017 Certified Values Valuation Method I Cost/Market I Cost/Market Number of Buildings I 1 I 1 Depreciated Bldg Value 1 $148,168 : $135,729 Deprecated EXFT Value 1 $400 ! $434 Land Value (Market) 1 $35,000 ' S25,000 Land Value Ag Just/MarketValue" 1 $183,568 1 $161,163 Portability Adj Save Our Homes Adj I S68,448 I S48,411 Amendment 1 Adj 0 P&G Adj 0 0 Assessed Value $115,120 112,752 Tax Amount without SOH: $2,280.00 2017 Tax Bill Amount $1,359.00 Tax Estimator Save Our Homes Savings: $921.00 Does NOT INCLUDE Non Ad Valorem Assessments Taxing Authority Assessment Value Exempt Values Taxable Value County General Fund Schools 115.120 115.120 50,000 25.000 1 65,120 90,120 City Sanford _ —_ SJWM(Saint Johns Water Management) 115.120 115,120 50.000j 50,0001 65.120 65.120 County Bonds 115,120 50,000 65,120 Sales Description Date Book Page Amount Qualified Vactimp WARRANTY DEED QUIT CLAIM DEED 12/1/2003 12/1/2003 05146 05195 0885 1955 162,500 100 Yes No Improved Improved QUIT CLAIM DEED 9/1/2001 04201 2114 100 No Improved SPECIAL WARRANTY DEED 1/1/2000 03787 1779 108,700 Yes Improved WARRANTY DEED 10/1/1999 03745 0389 315,000 No Vacant Find Comparable Scales Method Frontage Depth Units Units Price Land Value LOT 1 $35,000,00 $35,000 Building Information BeIsd/Bath count incorrect? Click Here. 1 of 2 6/21/2018, 5:24 PM 44Z20 Nash Construction, Inc. 20241 Oberly Pkwy Orlando, FL 32833 CONSTRUCTION, INC. Representative: Ken Barber: 407-310-8856 PROPOSAL / CONTRACTDate: 5/30/18 Submitted to:Annmarie McCoon Email: a. annmariemccoon 9yghoo. com Phone.407-792-9608 Job Location:109 Pine Isle Sanford, FL 32773 Re: Shingle Roof Replacement WE PROPOSE to provide pH supervision, labor, material, dumpster to install those in accordance with the State and Local Building Codes to the above referenced site as follows: S.hing/e_Roof.Repjacernent 1.Tear Off shingles to the decking Re -nail Decking as per Florida Code 2.Apply Rhino Synthetic Roof Underlayment on Entire Roof 3.lnstall New Drip Edge New Lead Boots and Ridge Vents 4.lnstall 25 yr. 30 yr Dimensional Shingles (6 Nail) as per Florida Code Replace rotten wood up to 2 sheets of plywood included in price. Any additional wood will be an extra charge.) Grand Total: $ 11,7500.00 Florida Certified Building & Roofing Contractor • Residential Commercial - Lic.# CBC1258616-#CCC1329378 - Provide Dumpster, clean up and disposal of all debris created by the above scope of work. Walk perimeter with a roll magnet. Nash Construction, Inc will make every effort to avoid damage, but cannot be held responsible for minor peripheral damage to grass, plants, driveways, sprinklers, items inside home, pictures, falling items,etc. Nash Construction, Inc will provide a five (5) year warranty on workmanship from completion date. Roofing materials will be covered by applicable manufacturer's warranties. License, insurance, and obtaining necessary permits are included in price. Any deviation from the above specifications may incur additional charges above the original estimate. CO,NiR,A-MtiTIANO:U.NT11 We hereby propose to furnish material, equipment and labor in accordance with above specification for the sum of: $ 11, 7500.00 We propose a Deposit of 12 down of.• $5.875.00 to be paid at signing of contract. The remaining balance of $5,875.00 is due upon the completion of the work and satisfactory final inspection with the Building and Safety Division municipality that issues the building permit per building. This proposal will expire 30 days from date. After 30 days, Nash Construction, Inc. reserves the right to revise our price in accordance with costs in effect at that time. All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Workman's Compensation and General Liability Insurance Certificates are to be provided upon request. We appreciate the opportunity to offer our services to Lou. ACCEPTANCE OF PROPOSAL / CONTRACT: The above prices, specifications, and conditions are satisfactory and are hereby accepted. Payment will be made upon terms of invoice. Invoices not paid within 30 days of bill date will accrue interest at the rate of 1.5% per month. Please sign below if you have read and agree to the above terms and specifications stated: 7I Authorized Signature / ACCORDING TO FLORIDA'S CONSTRUCTION LIEN LAW (SECTIONS 713.001-713.37, FLORIDA STATUES), 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 SUBCONTRACTORS, SUB -SUBCONTRACTORS, OR MATERIAL SUPPLIERS, THOSE PEOPLE WHO ARE OWED MONEY MAY LOOK TO YOUR PROPERTY FOR PAYMENT, EVEN IF YOU HAVE ALREADY PAID YOUR 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 A SUBCONTRACTOR MAY HAVE FAILED TO PAY. TO PROTECT YOURSELF, YOU SHOULD STIPULATE IN THIS CONTRACT THAT BEFORE ANY PAYMENT IS MADE, YOUR CONTRACTOR IS REQUIRED TO PROVIDE YOU WITH A WRITTEN RELEASE OF LIEN FROM ANY PERSON OR COMPANY THAT HAS PROVIDED TO YOU A "NOTICE TO OWNER." FLORIDA'S CONSTRUCTION LIEN LAW IS COMPLEX AND IT IS RECOMMENDED THAT YOU CONSULT AN ATTORNEY. Initial r':.'!• THIS INSTRUMENT PREPARED BY: Name: Nash Construction, Inc / Allison Nash Address: 20241 Oberly Pkwy, Orlando, FI 32833 NOTICE OF COMMENCEMENT GRANT MALOYr SEMINOLE COUNTY CLERK OF CIRCUIT COURT & COMPTROLLER BY. 9166 P9 190 QP9s) CLERK'S T 2018076684 RECORDED 07/03/2018 11:34:18 AM RECORDING FEES $10.00 RECORDED BY hdevore Permit Number. Parcel ID Number. 10-20-30-511-0000-0970 The undersigned hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, thefollowinginformationisprovidedinthisNoticeofCommencement. 1. DESCRIPTION OF PROPERTY: (Legal description of the property and street address if available) LOT 97_ STERLING WOODS PB 54 PGS 93 THRU 95 2. GENERAL DESCRIPTION OF IMPROVEMENT: Re -roof 3. OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR THE IMPROVEMENT: Name and address: RAVI SINGH ANNE M SINGH 109 PINE ISLE DR SANFORD FL 32773 Interest in property: Owner Fee Simple Title Holder (if other than owner listed above) Name: N/A Address: 4. CONTRACTOR: Name: Nash Construction, Inc Phone Number. 321-201-4300 Address: 20241 Oberly Pkwy Orlando, FI 32833 S. SURETY (If applicable, a copy of the payment bond is attached): Name: n/a Address: Amount of Bond: 6. LENDER: Name: n/a Phone Number. Address: T. Persons within the State of Florida Designated by Owner upon whom notice or other documents may be served as provided by Section713.13(1)(a)7., Florida Statutes. Name: n/a Phone Number. Address: 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) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARECONSIDEREDIMPROPERPAYMENTSUNDERCHAPTER713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOURPAYINGTWICEFORIMPROVEMENTSTOYOURPROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THEJOBSITEBEFORETHEFIRSTINSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEYBEFORECOMMENCINGWORKORRECORDINGYOURNOTICEOFCOMMENCEMENT. CERTIFIl Y GRANT MALOY r CLERY. CUP" F T;4F C!,r,CLr'T COURT , ,-.'%' ' 1 p JJ SEMINI r t A; Slgnature of owner )rLessee, or rs «Lessee's (Print Name and Provide Signatory'sTine/ ) Authodzed DmoerlDlrect«/Partn«IManager) BY F' RK fI 11 Date State of —!V l ACL County of nd 05— V W The foreggILoing instrumentdayof .AL- 11 . AA Iq . _.t. 20 Nonn megng statement who has produced id Lt 111; P ,IbWPi(4'j Zof Identification produced: QC••jSS10 • F: c y i a tFF 145749 . Q I J,••• Boed O t . O Who is personally known to me O OR 9 6 LIMITED POWER OF ATTORNEY Altamonte Springs, Casselberry, Lake Mary, Longwood, Sanford, Seminole County, Winter Springs Date: (P 12-1 J ' hereby name and appoint: i e prLl/ I> V J( an agent of: I\Jt cs t (', rL-oaLc. 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): vl The specificSermit and application for work located at: 1 fl q ti nee S 1-p- S 3ry- , Street Address) p r Expiration Date for This Limited Power of Attorney: License Holder Name: rl tks0 (3 t130191+ State License Number: `JCC, ('; 2a 3 7 Signature of License Holder: STATE OF FLORIDA COUNTY OF 6 The foregoing instrument was acknowledged before me this 2J day of 200 l, by At .Wn i}0S Nt who is rsonally known to me or o who has produced as identification and who did (di j,notjt Le an oath. Notary Seal) DANA DENISE PICONE Notary Public - State oI FloridaCommission # GG 12782 fOr F%. My Comm. Expires Jul 18. 2020MOBondedlhrouhNgalionalNotaryAssn. Rev. 08.12) Signature Print or type name Notary Public - State of q04Cd-a--, Commission No. GC,- 1-1-7 g My Commission Expires: 1 g" "'Lo CITY OF SANFORD Building &Fire Prevention Division RESIDENTIAL RE -ROOF POLICY & PROCEDURES FIRE DEPARTMENT 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 INSPECIION IS THE ONLY INSPECTION REQUIRED FOR RESIDENTIAL (SINGLE FAMILY, TOWNHOUSE, MOBILE HOME, APARTMENT AND/OR CONDOMINIUM) RE -ROOF PERMITS. THE FOLLOWING 1S 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) DIGITAL PHOTOGRAPHS SHOWING ALL INSTALLATION COMPONENTS, PER FL PRODUCT APPROVAL 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 OWNERIBUILDER) SIGNATURE: ( A C OIJAL- 1\ DATE: La CITY OF SkNF0R!) FIRE DEPARTMENT JOB ADDRESS: 10 PERMT # Building & Fire Prevention Division RESIDENTIAL RE -ROOF SCOPE OF WORK 2 STRUCTURE TYPE: INGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME 0 APARTMENT/CONDOMINIUM RE -ROOF TYPE: LACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONENTS) O RE-COVER (NEW (IROOF INSTALLED OVER EXISTING ROOF) DECK TYPE (PLEASE SPECIFY): &I oc) k PLEASE NOTE: ONLY I00 SQU FEET OF THE EXISTINCDECK IS PERMITTED TO BEREPLlCED** ROOF VENTILATION: OFF -RIDGE O RIDGE OSOFFIT OPOWERED VENT O TURBINES SKYLIGHTS: O YES O IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL M MAIN ROOF AREA ROOF SLOPE: O LESS THAN 2: l 2 O 2:12 - 4:12 Q4:12 OR GREATER TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL G ' HINGLE t4/ 11' lcC FL# O ME AL FL# O MODIFIEDBITUMEN FL# O TORCH DOWN FL# OINSULATED FL# O TILE FL# OTHER: 11. LOME I d-O—S 1 Q FL# ROOF EXTENSIONS (PORCHES.YATIOS, ETC.) **IFAPPLICABLE** ' ROOF SLOPE: O LESS THAN 2: l2 O 2:12 - 4:12 O 4: 12 OR GREATER FA TYPE OF ROOF MANUFACTURER FLORIDA PRODUCT APPROVAL O SHINGLE FL# OMETAL FL# O MODIFIED BITUMEN FL# O TORCH DOWN FL# OINSULATED FL# O TILE FL# O"OTRE : F City of Sanford Building and Fire Prevention RESIDENTIAL RE -ROOF INSPECTION AFFIDAVIT NAILING, SHEATHING, DRY -IN, FLASHING, AND ALL FINAL ROOF COVERINGS PERMIT #: ` v - 2 / ADDRESS: /y Pr &,z-- -7x/ip- b't , I k e 17,071 04"J%4— , AS A(N) GENERAL, BUILDING, RESIDENTIAL, OR ROOFING CONTRACTOR, ENGINEER, ARCHITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR,%] 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 C ( 10/ % 6 COMPANY / CONTRACTOR: colyf1_k bh / /V V CONTRACTOR SIGNATURE: MUST BE SIGNED BY LICU HOLDER OR OWNER/BUILDER) A FINAL ROOF INSPECTION IS REQUIRED: DATE: 7- -1° /I 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 5?= Mi rA6k-QL Sworn to and Subscribed before we this ID day of 20 & by: t` tf\ 0- :N &A ber . Who is D Personally Known to me or bas O Produced (type of identification) L as identification. Signature of Notary Public State of Florida Afn & SZT- PrinVrypeJStamp Name 1*+ HEIDI SCOTT 2CoMMjS% jon#GG21439D Public . State of Florida m. Expires May 6, 2022 of Notary Public