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213 Marathon Ln - BR17-003103 - ROOF1` Job Address: 213 Parcel ID: coM 1 " 1 '— j CITY OF SANFORD BUILDING & FIRE PREVENTION PERMIT APPLICATION Application!No: 00 Documented Construction Value: $ b0 1 - aM0 _ ZS Type of Work: New Ad)ditiioon Alteration Repair Demo Description of Work: Plan ReviewContactPerson: Jub Phone•' l."{ Fax: I N -A Property Owner Information Name ( 00 t 00 Phone: _ Street: Zl 1 I IR? ) I T 10/ l,Iyl t ((' ) Resident City, State Zip:SROW , R., 32I ) h, Contractor Information Name V-1.y ji ,, I 1 I __ L rV t Phone: 9 0 1 tJ A 1 _ Fax: . Street• c City, State Zip: Jl 1(I C WUD I f " C) 3? State Lice Architect/ Engineer Information Name: Phone: Street: Fax: toric District: Yes No lidential - Commercial Change of Use Move Title: Om5 property?: l J No, City, St, Zip: E-mail: Bonding Company: NIA. A. Mortgage Lender r: G CcI\' C12/ ome Address: Address: a: 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 electricat!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°i Edition (2014) Florida Building Code Revised: June 30, 2015 Permit Application r NOTICE: In addition to the requirements of this permit, there maybe additional restrictions` applicable to this property that may befoundinthepublicrecordsofthiscounty, and there may be additional permits required from gther governmental entities such as water management districts, state agencies, or federal agencies. f! Acceptance of permit is verification that I will notify the owner of the property ofthe requirem, ents ofFlorida 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 e'f(eet 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. I OWNER'S AFFIDAVIT: I certify that all of the foregoing information is laccurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. zee- - Signature fOwner/Agent Date Signature ofContractor/ ent Date U_ w J Jw I Omani rI 1 ' 4 YI °,..' a c CO .e Print Owner/Agent's N me Print Contractor/Agent's Ngmc ¢ W Si ature of Notar -State of Florida eSignatureofNo -St LUISA CARDONA "' ' Commission # FF 083843 F 083843 Expires March 2, 2018r r,•ui r Bonded ThmTroyfan lnsuranre800-385.1019 ';'• q;S Bonasn ri i;r -sa",;o.900385.701& Owner/ Agent is Personally Known to Me or Contractor/Agent is I' Personally Known to Me or Produced ID _ Type of ID TOL, Produced ID Y i Type of IDt]2/ l BELOW IS FOR OFFICE USE ONLY a; Permits Required: Building. Electrical Mechanical Plumbing Gas Roof Construction Type: Occupancy Use: Flood Zone: Total Sq Ft of Bldg: Min. Occupancy Load: # of Stories: New Construction: Electric - # of Amps Plumbing - # of.Fixtures Fire Sprinkler Permit: Yes No # of Heads APPROVALS: ZONING: ENGINEERING: COMMENTS: UTILITIES: FIRE: Fire Permit: Yes 0 No ASTE WATER: BUILDING: Revised: June 30, 2015 Permit Application s 1 w n r Y+.-7d, f, ddr if'^t U', a 3Y } F-.a- .+ x s ' + e.. '6'' N N:e lsr:je{^rY+ w ': 2 S. .tcm i4-"'^ Wro" , •' : ',. sr' t F A u F s . - tj 'xr+ <a ,i ,s ,,,a X Yt"' ,".4 .'u. +`?> 4 2 r?I"•: t •!- hJ4r•x». " r g ") I r a >" r 7 r t i - v ++ i r - p1'' I, TF_' 44,`s<,`1'y mi t$ ?yi*s e ],W-^ -- : C -r ' ha ;,,ya+-r. r,G .re++a 'f x`I Ru ji k'. ax v.£x r ..fir._ a , •2x+ ' n r ;,,. -' P•. mav , At r s P fl b v Sit T a NIT y°a., , ,n 1 ,...,t•,h '9'F. r 'y"-+s ?i3 la t'" fi' s '` { <,c, ill", U'' ' ,:7. x tM 4 r:Fr A 7kSi t! ((,.,,dg 1 i ;• x' n"a 'I `,'F yp+ . RS"t. L ,f r. JLA CUNSTMICYOUNCr CGC'1 Orlando, October 18, 2017 CONTRACT BETWEEN: GUIDO YEPEZ AND JLA CONSTI PROPERTY LOCATED: 213 MARATHON LANE,SANFORD, F Job Description: ROOF: Reroof 29 sgft HD Architectural shingles Replace roofing underlayment Replace drip edge . Replace 3 off ridge vent Replace 1 gooseneck 6" Replace (3) 2" led booth Dumpster and clean up Included: Labor, materials and construction clean up. 20% Penalty fee if invoice is not paid as agreed in 250.00 dollars' fee for change orders on the cc labor, after being signed. Permit fees included Contract #201508 CTION OF FLORIDA 32771 rat schedule area. plus material and Not included: Anything that is not included in this contrhct. Note: Make Checks payable to JLA Construction of Mori a Inc. Any changes that may generate extra costs will be e. change is accepted in the written order. Jla Construe responsible for the specifications in this contract, all our Florida Codes. The above work to be performed in accorc and specifications submitted for above work and com workmanlike manner for the sum of $7,000.00 6690 Millay Dr, Orlando, F132809 Phone: 407 495 5095 / 407 535 0497 Jla_constructionfl @yahoo.com cuted only when the on of Florida is only bs are done under the rice with the drawings eted in a substantial r CC G 1 2-568 Payment plan: 1st Payment $3,500.00 1.50% down deposit when contract signE 2nd Payment $3,500.00 50%when job is completed. TOTAL $7,000.00 Respectfully Submitted Acceptance, 0 Julio M,dntoya Guido JLA Constructio t of Florida Print Name (Iq Yl'iW Print Nam 6690 Millay Dr,.Orlando, F132809 Phone: 407 495 5095 /. 407 535 0497 J14_constructionfl @yahoo.com CITY OF i 04FORD Building & Fire Prevention Division FIRE DEPARTMENT Re -Roof Permit Card PERMIT NO. ~ ,,,3 I ISSUE DATE: / CONTRACTOR: JLA Cotm%hrac*'m JOB ADDRESS: c_' 3 M ar4*it , h cowm TYPE OF WORK: C d IP PROTECT FROM WEATHER Post this Permit and all required documents in a conspicuous place outside Digital Photographs are required - please follow re -roof policy and procedures guide All trash, debris and dumpsters must be removed from job site at final inspection Permit expires six (6) months from date of issue ROOF INSPECTION TYPE APPROVED REJECTED INSPECTOR FINAL ROOF FAILURE TO FOLLOW THE RESIDENTIAL RE -ROOF POLICY & PROCEDURES WILL RESULT IN A FAILED INSPECTION, A RE -INSPECTION FEE AND MAY REQUIRE AN AFFIDAVIT, SIGNED AND SEALED, FROM A REGISTERED FLORIDA DESIGN PROFESSIONAL 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. 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, FBC 105.3.3 REVISED: 4-17 Inspection Line 407.792.6069 or 855.541.2112 TO SCHEDULE AN INSPECTION: Dial 407.792.6069 or 855.541.2112 Provide the items requested during the message The type of inspection requested must be scheduled under the appropriate permit type Follow the prompts PLEASE NOTE: Inspections scheduled by 5:00 p.m. will be conducted the next business day. If you experience difficulty, please call 407.688.5150 Monday - Thursday 7:30 am - 5:30 pm for assistance. AUTOMATED INSPECTION SYSTEM CODES Final Roof Inspection Code ill 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 REVISED: 04-17 Inspection Line: 407.792.6069 or 855.541.2112 CITY OF iURSkNIFD FIRE DEPARTMEOT i Buda RESIDENTIAL RE-R61 I PERMITTING REQUIREMENTS - NO PLAN REVIEW RI THIS DOCUMENT (SIGNED) ALONG WITH AN ACCURATE, AND COMPLETED RESIDENTL REQUIRED TO BE SUBMITTED AS PART OF YOUR PERMIT.APPLICATION. THE SCOPE OF WORK MUST INCLUDE ALL APPLICABLE FLORIDA PRODUCT APPROVA COMPONENTS THAT WILL BE. INSTALLED ON THE, PROJECT. A PERMIT WILL NOT BE ISSUED WITHOUT THESE DOCUMENTS. COPIES WILL BE MAD] PROJECTS LOCATED IN.THE SANFORD HISTORIC. DISTRICT WILL REQUIRE PLA SANFORD:HISTORIC PRESERVATION BOARD INSPECTION POLICY &.PROCEDURES Fire Prevention Division POL CY & PROCEDURES QUIRED i L RE -ROOF, SCOPE OF WORK ARE NUMBERS'. FOR ALL ROOF ITO POST ON THE JOB SITE. A FINAL ROOF INSPECTION IS THE ONLY INSPECTION REQUIRED FOR RESIDENTIAL (SI 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 ;;. REVIEW AND APPROVAL BY THE i I FAMILY, TOWNHOUSE, COMPLETED RESIDENTIAL RE -ROOF SCOPE OF: WORK COMPLETED AND NOTARIZED INSPECTION AFF:IDA.VIT ALL FLORIDA PRODUCT APPROVAL AND CORRESPONDING INSTALLATION INSTRUCTIONS PRODUCT APPROVAL SHALL MATCH WHAT IS ON THE SCOPEAF WORK) DIGITAL PHOTOGRAPHS (MUST INCLUDE THE PERMIT NUMBER OR ADDRESS IN EACH PICTURE) 1 o EACH PLANE OF.THE ROOF, SHOWING THE UNDERLAYMENT INSTALLED o ROOF DECK NAILING PATTERN & S,PACING (INCLUDING A MEASURING DEVICE OR RULER) o ROOF DECK NAILS USED (INCLUDING.A MEASURING DEVICE OR RUL 4. R SHOWING SIZE OF NAILS) o UNDERLAYMENT PATTERN & SPACING (INCLUDING A MEASURING DEVICE OR RULER). it o DRIP EDGE&VALLEY ATTACHMENT.(INCLUDING A MEASURING.DE'YICE 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 AFFID.AVI PROVIDED BY A FLORIDA DESIGN PROFESSIONAL (ARCHITECT OR.ENGINE ER), 1. CERTIFYI N.G;_FBC.0ODE .COMPLIANQEBY PERSONAL INSPECTION. CONTRACTOR. (OR OWNER/BUILDER) S.IGNATURE: DATE: 7-T I i urr ## I ing & Fire Prevention Division RE -ROOF SCOPE OF WORK JOB ADDRESS: L13 I IAMT"0 uAWC-i ch 11 JJ 1 90o fL 52 1 ! it STRUCTURE TYPE: 0 SINGLE FAMILY RESIDENCE/TOWNHOUSE O MOBILE HOME RE - ROOF TYPE: 0 REPLACEMENT (TEAR OFF EXISTING ROOF AND REPLACE WITH NEW COMPONE] O RE-COVER (NEW ROOF INSTALLED OVER EXISTING ROOF) DECK TYPE (PLEASE SPECIFY): L, PLEASE NOTE. ONL Y 100 SQUARE FEET OF THE EXISTING DECK IS PERMITTED TO BE REPLA ICED ROOF VENTILATION: DOFF -RIDGE Q% RIDGE OSOFFIT OPOWERED VET SKYLIGHTS: O YES ($)NO IF YES, PLEASE PROVIDE FLORIDA PRODUCT APPROVAL #: j Y MAIN ROOF AREA ROOF SLOPE: O 'LESS THAN 2:12 T'2.12 —4:12 O 4:12 OR GREATER O APARTMENT/ CONDOMINIUM TURBINES. TYPE OF ROOF FL,.ORIDA PRODUCTAPPROVAL SHINGLE MrA NUUF] A,,CTURERR ( Vl K.I /'lIN 1 CCU!-O `' FL#F O METAL FL# O MODIFIED BITUMEN FL## OTORCH DOWN I FL# OINSULATED FL# O TI LE iFL# O OTHER: FL# ROOF EXTENSIONS ( PORCHES, PATIOS, ETC.) **IFAPPLICABLE** ROOF SLOPE: O LESS THAN 2:12 0 2:12 -4:12 O 4:1.2 OR GREATER I TYPE OF ROOF. MANUFACTURER FLORID, I O SHINGLE FL## i O METAL FL O O MODIFIED BITUMEN FI Q TORCH DOWN FL# 0INSULATED FL# QTILE FL# O OTHER: APPROVAL DEPARTMENTCITY OF 0S., p I I FIRE RESIDENTIAL RE -ROOF INSPECTION A.F. NAILING, SHEATHING., DRY -IN, FLASHING, AND ALL FI PERMIT #: ADDRESS: Z AS A(N) GE ROOFING CONTRACTOR, ENGINEER, ARCHITECT, OF F.S. CHAPTER 468 BUILDING INSPECTOR, FOREGOING INFORMATION 1S TRUE AND ACCURATE AND THAT ALL ROOFING COMPONENTS LIS ABOVE REFERENCED ADDRESS HAVE BEEN INSTALLED IN ACCORDANCE WITH THEIR PRODUCT REQUIREMENTS -SPECIFICALLY FLORIDA BUILDING CODE, EXISTING BUILDING. IN ADD.ITIOI REQUIREMENTS FOR SECONDARY WATER BARRIER AND NAILING OF THE ROOF DECK, IN ACCOI MANUAL REQUIREMENTS(BASEDBASEED ON%%F..S. CHAPTER 553.844). LICENSE #: C0 C I 1pt 5(o COMPANY / CONTRACTOR: CONTRACTOR SIGNATURE: MUST BE SIGNED BY LICENSE HOLDER OR M N 9M UILDER) Fire Prevention Division RE. ROOFAFFIDAVIT 4AVIT r ROOF COVERINGS j tbN CN RAL, BUILDING, RESIDENTIAL, OR EREBY AFFIX M, THAT.ALL OF THE 1) ON THE SCOPE OF WORK AT THE PROVALS AND ALL APPLICABLE CODE CERTIFY THE INSTALLATION MEETS ALL kNCE WITH THE HURRICANE RETROFIT ut C) tj ( j DATE: i A FINAL ROOF INSPECTION IS REQUIRED: THIS SIGNED AND NOTARIZED AFFIDAVIT MUST BE PROVIDED AT THE JOB SITE AT THE TIME OF THE FINIAL 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 DEVI E 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. j 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) TOO CERTIFYI BASED ON PERSONAL INSPECTION, THE INSTALLATION -Of ALL ROOFING COMPONENTS.. STATE.OF FLORIDA COUNTY OF Sworn to and Subscribed before me this day of (' 2`0 by: Jr(an M` qCIMMA " Who is Personally Known tome or has Produced (type of identification) asidentification, l i Signature of Notary u c State of Florida 41 G, Teruo [..Perez I Commission # 6600i'333 Expires: JUNE 14, 2020 Print/ Type/Stamp Name 'ru; „v`Bonded thru Aaron Notary. of Notary Public I FIRE INSPECTIONS CITY OF SANFORD 407.562.2786 BUILDING & FIRE PREVENTION BUILDING INSPECTIONS 300 N PARK AVE 855.541.2112 SANFORD FL 32771 DRIVEWAYS -SIDEWALK 407.688.5080 Page 2 Application Number . . . . . 17-00003103 Date 10/24/17 Property Address . . . . . . 213 MARATHON LN Parcel Number . . . . . . . . 29.19.31.501-0000-2530 Application description . . . ROOFING APPLICATION Subdivision Name . . . . . . Property Zoning . . . . . . . SINGLE FAMILY Permit . . . . . . RESIDENTIAL ROOFING PERMIT Additional desc . . Phone Access Code 1008457 Permit pin number 1008457 Required Inspections Phone Insp Seq Insp# Code Description Initials Date 1000 111 BL03 FINAL ROOF / / 1 so rs illllf iillllllllNlliil l il IV THIS INSTRUSJENT PR.Nq^ll0 6Y GhraNT f1AiL1i I, 'F.lfIFfOLE COMITYname: JLA CON5TRUCT'ION OE FLORIDA L'r'RK OF C litCUTT COURT & (fIMPTROLL.ERAanlrnss4jWL—U_JA9R.SANICLOUI) El34772 RI{ QI)IU I3 1746 (1i'4s) CLERK r S f 2017106502 f2L"CIA-DED 10124/2017 fit 1 r8+t) u r'11NOTICEOFCOMMENCEMENTh¢Corfs;f u cFs 41•'.fjsr Arr;lr'I' r :_rf hdrvrrr State of Florida County of Seminole Parcel ID Number: _ 2-19-31-501-0000-2530 Permit Numlxr- Toe •..RCersignect hereby giw_s notice Ihs' improyament wil ee make to certain roil property :rod In arluurdance w:li1Chapter713, Florida Statutes, the fcJlrNing informaiiun Is provded n this Notice of Cominenvnment. DESCRIPTION OF PROPERTY: (Ix4 desr.nPden of it* prlx;e1ly and r>L•eet address 6 available) LOT 52 RY-iiEY PB-L4 PCS a5.96 - GENERAL DESCRIPTION OF IMPROVEMENT REROOF - OWNER INFORMAT10Nt Nam, GUIDO YE:PEZ Addrrs-, 113 MARATHON LN, SA_NFORD, FL 32771 Fee Simple Title Holder (it other than owner) Name- NIA A<fkYress: NIA CONTRACTOR: Narre: JULIO MONTOYA _ A0d1et3a: 9280 LUNA DRIVE, SAINT CLOUD, FL 34772 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 NIA _ - ----- — - Actdress: NIA_ _ - - In;add:lion b7 himself, 0%,nrr 17,-sianates _ JULIO MONTOYA - _ of JLA CONSTRUCTION OF FLORIDA _ To recir,we a copy of the Lieror's Nolica as Provided in Se thin 713.13(1)(b), %ride SwNtes. Expiration Date of Notice of Commencement (The expiration date is 1 year from data of recording unless a different date is xpecified) 1 D119001A_.__ WARNING iO OWNC& ANY PAYMENTS IJADE BY THE O- NER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARF. CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713-13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR INIPROVENIENTS 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. CUNL]I.T 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 10 le C and belief. t rig GUIOO YEPE"L OwnK'a Syiblun t}nn&'sn!Inl: J %Ife Fbnea %Wlute !t J.1311,(g) ' Ths o•rw rntisl sgn the nvIKs of cunurw.eon ant and ro one'Ale rnsy be osnmmnd oo ego in hs v hgr ytisd.' State of 'jBYIU Q County of S e1 llab f - f The foregoing I/ 4{GI mInstrument was acknowledged before me this day ofp) 24 1 T by_ 9u 1 Gt C L who Is personally known to me n Nacre f p_ron m:Jnrg S1 I )0.,1 J ffORwhohasproducedidenhicatlontypeofIdentificationproduced: driver !l anse e' JJSHJA L. JESSIF Malary I'utlx - State El Relish e My COMM. Exa:res ,un 5, 2GI5 C01misslo,i ,a FF 120056