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Permit Remodel 294 Poinsettia 2011 (....,`A CITY OF ATLANTIC BEACH ` ) 800 SEMINOLE ROAD J r ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 Application Number 11- 00002807 Date 10/24/11 Property Address 294 POINSETTIA ST Application type description RESIDENTIAL ALTERATION Property Zoning TO BE UPDATED Application valuation . . . 2800 Application desc repairing deck and drywall Owner Contractor SHOWCASE MODEL HOMES BEAT CUSTOM CONTRACTING INC 294 POINSETTIA STREET 10175 FORTUNE PARKWAY STE 201 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32256 (904) 730 -5617 Permit RESIDENTIAL ALT /OTHER Additional desc . Permit Fee . . . 65.00 Plan Check Fee 32.50 Issue Date . . . Valuation . . . . 2800 Expiration Date . 4/21/12 Special Notes and Comments NEED NOC *2007 FLORIDA BUILDING CODE W/2009 REVISIONS NATIONA1 ELECTRIC CODE *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. Other Fees STATE DCA SURCHARGE 2.00 STATE DBPR SURCHARGE 2.00 Fee summary Charged Paid Credited Due Permit Fee Total 65.00 65.00 .00 .00 Plan Check Total 32.50 32.50 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 101.50 101.50 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 1, . • • •,* r Ni3H0 LI`J1 'e INOOI:111Hlt/S Yajve'ss, �{ b m �j�,� dh ' 4 --, - am.+;/ 11- s /,9 on - - ,j sr { d_ d *ldrit'PaiFn - _ 'e,n'wrl W-d GI( _ : — •om/ ex•s*' r Ad xyy rd - - - -- f - I b, t —r - 7 ..r ,you.. ), 6.1 z r vlw ('Nn/ 1 1 ,i -'ei aryl { ! - -_ .tom 1 '0 R. � ` f —;$14, . 0 „Iii ' AS7S - 79V d3l�1d N y who' - .0 /r1� — N �y�p "'-' . .— ' _ �,,� �..m��o� ..o � I , — ^.•,,A' ' /'��`ras^ ./" �F"11� ._. -y y35 - •T., -.• I L �u1 i'= 4£ I� y I "'' ""°+ 1 •,+►1a • 1�, 4]Md .,,,,, .sr,-1-44i en.:dXil N _� i., . ii.--- lia,.mi m �+ try axal .- 1 �� r in jil. „___.....,_____,, 0 = I _____4. , 1 ; = itr� rn ro --a. —�xyw T 1 k! 1 I ft/1 .�. 94 WSW Jill { , — ,. . -.. .4Mg _) _ II . , 6J,Y , I f an I�i���� `"� k. -'0 1td3Z' W - 'QOU7 •rsV c$30 L1 'e'rJ- ) • .. . 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AI IMO/MANI .1P I L COP/ • _ • • , v,. y Ordered B I c mnat 5,n st ' . qr F K V..y� , S • g.1) aid' nlimited ,.„, er v N PROPERTY ADDRESS 294 POINSETTIA STREET ATLANTIC BEACH, Florida 32233 55 SURVEY NUMBER FL1110.0555 FIELD WORK DATE: 10/13 /2011 REVISI ON DATE(S): (rev.1 10/13 /2011) � •_ . �° _ „, ti FL 1110.0555 BOUNDARY SURVEY DUVAL COUNTY TABLE: L I 5 25 ° 00'00" W 25.10' (D) 5 24 ° 23'59" W 24.52' (M) L2 N 25 ° 00'00" E 25. 1 (D) O.P.B. 12936 N 24 ° 49'26" E 25.05' (M) PG 377 �'� 1/2" FIP 0 NO ID ° s' o 0.K.5. 1 1 1 34 p I/2" FIP F / .S S 6 s O p PG 1052 • / NO 0. R. B. 1 1 7 1 2 6 t' Bc. PG 644 / ' ° p Op v / r R �1S "1 /0 o= z 0C) / ' NORTH 25.1 0' OF 6 ° /2" 45 I. LOT 539 • -0i3O / ., #I048 � �� O.R .6. 66 � �� PG 055 oL O / / o 3 H / / . O 2• 'CS / • / / / / SOUTH 24.90' OF N R F S 2 4 ° ���p� / / LOT 539 N S p F RHg F Cp O 1/2" F11" / (NOT INCLUDED) DS O p 0 0 „ B •o' � A� R #1040 '.��\ •If / p 0 . p fP • X3 • R Nr 2' c�<< v ∎` 4, 0 � "!c / 1 I ,a � �\` DiW `} NO ID • 4 � LOT 540 � � " / /, / / /(N / /! GD / " LOT APPEARS TO DE SERVICED DY CITY WATER AND SEWER `, / �� / / \' FENCE OWNERSHIP NOT DCTERIMIINED ■ ... \� s', 2S 0 / k./ 3 \ -.. / r \ �C • I hereby certify that this Sketch of Survey of the hereon described � C:::) proped) has bean made under my direction, and to the best of my knowledge and belief, it is a true - r entation of a survey that meets the minimum tech '..•i • the Florida Board Of Professional Land Surve .. 8S des in , • _ 5J -17 of the Lim' Florida Administrative Cod 20 0 10 20 a Tlmot TBoe / © GRAPHIC SCALE (In Feet) ) slate," 'ride Prote33onalSurveyora • -' per 1 inch = 20' ft. n �� , �, V t< FLORIDA �. �/ � tr License No.4889 , / °Nit 3URV063- Use of This Survey for Purposes other than Intended, Without Written Verification, will be at the User's Sole Risk and Without Liability to the Surveyor. Nothing hereon shall be Construed to Give ANY Rights or Benefits to Anyone Other than those Certified. POINTS OF INTEREST NONE VISIBLE FLOOD INFORMATION: By performing a search with the local governing municipality or www.fema.gov, the property appears to be located in zone A. This Property was found in THE CITY OF ATLANTIC BEACH, communit number 120075, dated 04/17/89. CLIENT NUMBER: DATE: LARA HOFFMAN, REALTOR® ' BUYER: SHOWCASE MODEL HOME , VI�� • , WWW.LARAHOFFMAN.REMAX.COM L LARAREALTOR @YAHOO.COM SELLER: GERARD VERMEY ■ ►__ (904 465 -3140 Unlimited , CERTIFIED TO: SHOWCASE MODEL HOME; OSBORNE AND SHEFFIELD TITLE SERVICES; FIRST AMERICAN TITLE INSURANCE COMPANY www.surveystars.com Land Surveyors, Inc. P 866 -735 -1916 • F 866- 744-2882 '• This is page 1 of 2 and is not valid without all pages. LBa 7337 12220 Towne Lake Drive, Suite 55 • Ft. Myers, FL 33913 i /5" I 1 0 4- )" 1--1(6 - !ll!ti! • `' A. Settlement Statement OMB A rov ement pp al No. 2502-0265 B. Type of Loan 0 1. FHA 2.E _ B. HS 3. 1 CONV UNINS 6. File Num. r: 7 L o an Number: - - -- 4. F I Mortgage Insurance Case Number: _J VA 5.11 CONV. INS. 011 -755 ' C. Note: This form is furnished to give you a statement of ac ■al settlement costs. Amounts paid to and by the settlement agent are shown. Items marked "(p.o.c.)" were paid outside the closing; they are shown here for information- .urposes and are not included in the totals. D. Name & Address of Borrower: - - - -- E. Name & Address Showcase Model Home, Inc., a Florida Gerard Name ess of single F. Name & Address of Lender: corporation Gerard Vermey, a sgle man 2353 St. Johns Bluff Road South 422 South 3rd Street i Jacksonville, Florida 32246 Jacksonville Beach, Florida 32250 G. Property Location: 4 Poinsettia Street H. Settlement Agent: i 24nt Beaca, Florida 32233 Osborne & Sheffield Title Services, LLC I. se obe r 1 , ate: 2 290 - - 4776 Hodges Boulevard, Suite 206 October 17 2011 N 25.10 Ft Lot 539, Section 3, Saltair, Duval Jacksonville, Florida 32224 County, Florida 904- 641 -8401 fax: 904 -645 -0005 Place of Settlement: -- - - - - - -- ___ _ Osborne & Sheffield Title Services, LLC 4776 Hodges Boulevard, Suite 206 Jacksonville, Florida 32224 Phone: (904) 641 -8401 of J J. Summary Buyers Transaction K. Summary of Seller's Transaction 100. Gross Amount Due From Buyer: 101. Contract Sales Price 400. Gross Amount Due To Seller: - - - 102. Personal Property 55,000.00 401. Contract Sales Price _ 103. Settlement Charges to Buyer (line 1400) _ 402. Personal Pro•ert 55,000.00 Adjustments for Items Paid by Seller in Advance: 4,833.50 403. - _- --____ _ Adjustments for Items Paid by Seller in Advance: - -- 106. City / Taxes 406_ City /Town Taxes 107. County /Parish Taxes - - - - 108. Assessments - -- 407. County/ Parish Taxes - - - - -- 120. from Buyer: 408. Assessments Gross Amount Due fro _ 0. 5 9,833.50 420. Gross Am ount Due to Seller: - 200. Amounts Paid by or in Behalf of Buyer: - -.- 55000.00 , 201. Deposit or Earnest Money 500. Reductions in Amount Due to Seller: 202. Principal Amount of New Loan -- - 1,000.00 501. Excess Deposit (see instructions) - -- 203. Existing Loan(s) taken subject to 502. Settlement Charges to Seller (Line 1400) 3,355.69 503. Existing Loan(s) taken subject to 204. Daily interest credit 504. Payoff of First Mortgage Loan - none per -- 205. seller /none •er title. 206. _ 505. Payoff of Second Mort•a•e Loan -- - 506. Purchase Money Mortgage Adjustments for Items Unpaid by Seller - - Adjust Adjustments for Items UnpaidSeller: 210. Cit /Town Taxes 510. C / Town Taxes 2011 County / Parish Taxes NOTE: PER -- _ -- - - - - - - - -_ 211. CONTRACT, BUYER TO PAY ALL OF 2011 2011 County / Parish Taxes - NOTE: PER TAXES /NO PROBATIONS. 511 • CONTRACT, BUYER TO PAY ALL OF 2011 212. Assessments - - - -- TAXES /NO PROBATIONS. 512. Assessments 220. Total Paid by /for Buyer: -- -- - -- - - -- 1,000.00 520. Total Reductions in Amount Due Seller: 300. Cash at Settlement from / to Buyer: 3,3555 69 301. Gross Amount due from Buyer (line 120) 600. Cash at Settlement to /from Seller: - 302. Less Amount Paid from Buyer (line 2 120) 59,833.50 601. Gross Amount due to Seller (line 420) (line 520 1,000.00 602. Less Reductions Amount due Seller 55,000.00_ ( 520) _ -_ 3,355.69 303. Cash From Buyer: $58,833.50 603. Cash To Seller: - -- - $51,644.31 The Public Reporting Burden for this collection of information is estimated at 35 minutes per response for collecting, reviewing, and reporting the data. This agency may not collect this information, and you are not required to complete this form, unless it displays a currently valid OMB control number. No confidentiality is assured; this disclosure is mandatory. This is designed to provide the parties to a RESPA covered transaction with information during the settlement process. 4, Jate: October 17, 2011 File Number 2011-755 Settlement Charges Paid from Paid from T(Ttiliges/ Brokers domr ii, 5 010 0 - - - - - ---- ----- - - Buyer's 1 Seller's Division of Commission (lin_e_Nal as follows Funds at Funds at iCii 65Cr. 0 a)miiimi te o ----- ------------ Settlement Settlement _____ __. ________________________________ _______________. _ 702. 1,650.00 to Re/Max Unlimited __ _ _ _ ____ _ __ ___ 7 03. Commission Paid at Settlement - 3,300.00 --- 1-671tems51yatin-do nnecticin witiiii-oari-:- ------- ' __ ________________ _______ l)1. Our origination charge (from GFE #1) $0.00 _._ . 302. Your credit or charge (points) for the specific interest rate chosen (from GFE #2) $0.00 303. Your adjusted origination ch_arg_es - 304._ A Fee -- -- - -- 1-0-5-. CreditReport 106.--fai-gervice ------------- 07. Flood Certification )0 s Reqired Itemu by Lender to be Paid in Advance: _ 01. Daily interest - NONE ____ _ kfrom GFE 9) o ____ ___ 02. Mortgage Insurance Premium (from GFE #3 ______ _ ______ 03. Hmeowner's Insurance _(from GFE #11 00. Reserves Deposited with Lender: 01. Initial deposit for your escrow account from GFE #9 02. Homeowners Insurance 03. Mortga,ge Insurance 04. _ PropertyTaxes - ______ )0. Title Ch_arges: _ __ _ ___ _ _ _ _ _ ___ A , . Title services and lender's title insurance (from GrE #4) 390.00 - Search Fee to First American Title Insurance Company $85.00 _ - Post Closing/Courier Fee to First American Title Insurance Com an _ _ $45.00 _ )2. Settlement or Closing Fee to Osborne & Sheffield Title Services, LLC $260.00 __ _____ _____ 33. Owners Title Insurance (First American Title Insurance Company) (from GFE #5) to Osborne & Sheffield Title Services, LLC (Risk Rate Premium: $316.251 350.00 )4. Lender's Title Insurance (First American Title Insurance Company) - Lenders Premium $ )5. Lenders Title Polic_y Limit $ _ )6. Owner's Title Policy Limit $55,000.00 )7. Agent's Portion of the Total Title Insurance Premium $245.00 )8. Underwriter's Portion of the Total Title Insurance Premium $105.00 O. Government Recording and Transfer Charges: II FTecording Charges_ __(f_rom GFE #7 18.50 _ 2. Deed $18.50 Mortgage$0.00 Releases $0.00 J3. Transfer Taxes ___ /from GFE #8)_ 385.00 4. C/Coun ps ty_tax/stam D .00 eed $0 Mortgege$0.00 _ _ _____ _________ _____ 15. State tax/stamps __ Deed $385.00 Mortgage $0.00 76 . Intangible Tax - 7. Other Tax 2 --- _____ _ ______ O. Additional Settlement Charges: _ _ 1,__Required services that you can shop for (from GFE #6) ___ 2. 2010 Taxes (October amount) to Duval County Tax Collector _ _ 3,355.69 3. City Certificate from City of Atlantic Beach - Reimbursement to Osborne & Sheffield Title Services, LLC 10.00 4. Survey #FL1110.0555 to Exacta LandSurveyors, Inc. ____ ____280.00 5. Elevation Certificate #FL1116-05555EC- ------------- _ to Exacta Land Sui___-_y_e_y_qrs, Inc. 100.00 _ ____ 3. Total Settlement Charges (Enter on line 103, Section J and line 502, Section K) $4,833.50 $3,355.69 , ....,_..... _ _ r t BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road, Atlantic Beach, FL 32233 ®. 6 2( Office (904) 247 -5826 Fax (904) 247 -5845 :l ,/; Job Address: //7. I F/ Permit Num ,�'J: / ; � ' e' Legal Descrip ( zi3 06e0 Parcel # Floor Area of Sq.Ft. Sq.Ft Valuation o f heated/cooled non - heated /cooled Proposed d se Work o r Class of Work (circle one): New Addition Alteration (kepai) Move Demolition pool /spa window /door Use of existing/proposed structure(s) (circle one): Commercial installed? an existing structure, is a fire sprinkler system nstalled? (Circle one): Yes No N /A , . ��/t7 e/ ,? 4 Florida Product Approval # � Er-- For multiple products use product approval form Describe in detail the type of work to be performed: (/ }' : 1,-.,. , .: ;i�ldLL _/ :- . r�. :. .�.: � , ' — AI , . P" ' �L 4-f Property Owner Information: ~ " � �� y Name: S�'x,(�ccis -�. I' koveJ h .. Addres c: 5 JFJ V►', lS - j e l � .i.l + Pt- 322 City State _Zip Phone - , • 1 v `' '� E -Mail or Fax # (Optional) C., cx. "ki rri0 re L k Z S v Contractor Information: Company Name: 3�a1 teMe0a3 k 4 p' Qualifying Agent: a es JA 314-4 Address:) 0i "1S k.Aw )' 241 City .14-k State F lit Zip 32 Office Phone )c( )1 -$& Job Site/ Contact Nu a - .., 3 . ,7 - : __ _ - . , ' ! State Certification/Registration # o S , `- I • ti „ti , 1 0 • • 0 C 0. i Architect Name & Phone # I-0 1 A i Engineer's Name & Phone # iv L,II =Mgt ' I ' = ' ' = ' EACH Fee Simple Title Holder Name and Address , A I ' . ' lb I S Bonding Company Name and Address ofa. 0, ., • 'T.% - 11 - 911 .II ' ' 41,11 I '' II'. Mortgage Lender Name and Address , ; I .. /L 1 • . . • -al ^/f .: iluil . .. Application is hereby made to obtain a permit to do the work and j alla as ;' cjcated. • • • -, • ' • ... • • - • • . issuance ofa permit and that all work will be performed to meet t y to - •r. - .f.. tws regulating construction in this jurisdiction. This permit becomes null " and void if work is not commenced within six (6) months, or if cqq'nn w 's suspended or abandoned for a period of six 6) months at any time after work is commenced I understand that separate permits musti'b /seam. • ` •r , "` trice Work, Plumb Signs, Wells, Pools, F urnaces, Bo Heaters, Tanks and Air Conditioners, etc. WARNING TO OWNER: YO i'"`" URE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN Y I I R PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF . COMMENCEMENT. 1 hereby certify that 1 have read and examined thisplication and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other federal, state, or local law regulating construction or the performance of construction. ' / Signature of Owner . /L /6� /c..� --- Signature of Contractor�!A' AP Print Name Print Name & { t„ i2. Swor ubscribed befr }g _ �f Swon} o a s . e sc4. l3efor e this ''bay of �� —` ``�� , 20 this:- Day o ` 17 20 r ii'''46/1-4 / 1 y -0 � • �� Notary Pools, ir. DEBORAHAMANDAWHITE Notary 'ub is :, ,�..' - MY COMMISSION R EE 057349 II ,,., 7 .�� EXPIRES: May 21 2015 Revised 01.26.10 , /)C / ? _ 1 o _� • __P _ unde rwriters � , City of Atlantic Beach APPLICATION NUMBER d Building Department (To be assigned by the Building Department.) 800 Seminole Road / !° -F� Atlantic Beach, Florida 32233 -5445 Phone (904) 247 -5826 • Fax (904) 247 -5845 /1.0 E -mail: building- dept @coab.us Date routed: City web -site: http: / /www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: c' 9 V �� 1 a- d/ Department review required Yeylo Build' Applicant: L tt' (66 O7 '? t anning & Zonin ree Adminis or Project: p / 0 C,4 e 4,-) CY Public Works 1 Public Utilities to // Public Safety Fire Services i4 - 4 ' { � ,°� L �' 4 r19N p,,, r '�,,, Other Agency Review or Permit Required Review or Receipt Date of Permit Verified By Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: ❑Approved. ❑ / Denied. (Circle one.) Comments: Fi o r pia n o T /,c' 4.1 r 6. ry Pn c r e a -1 BUILDING c < rt -Qs 7 Lo m le.t1tr� �,�. - h r oi a-, /0-.9I- IY PLANNING & ZONING Reviewed by: irk" Date: /0 1/ TREE ADMIN. Second Review: Approved as revised. ❑Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ['Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 NOTICE OF COMMENCEMENT Permit No. Tax Folio No. State of Florida, County of Duval THE UNDERSIGNED hereby give notice that the improvement will be made to certain real property in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Description of property (legal description of property and address if available): ),;ic?TyI 2.5.'c:, j%d -A-7 -4 2.Q "r _.. 3`y S,7i -714) 4 Sit s 1-1 ., .0 j 2. General Description of improvements: .2. q If / r N S ,£7Ti /0- S7'1 4-r1 -, a ,-1- , c: A.:.4c-H' / L' 3. Owner Information: .S H u 4✓ LA Y� / 2 •' 04 � k o,1L. a) Name and Address: (; d9 re /no/,;L,A-u < ':ZBis /4'7 c.,.,40 vr�r ,uL " = l74x F4-- b) Interest in property: „ w . ►',£ /; .- �- 2....' c) Name and address of simple titleholder (if other than owner): 4. Contractor Information: 64,i, a) Name and Address: 1 /„0 6 N3 7-'1., . 7 a Al /d'`T -5� v/; �' .�, / �c `�`�� b) Phone Number: c; �► S �' 3 Sao • rt. Z ° t J'"d► - » 3 1,.-> 5. Surety Information: a) Name and Address: b) Phone Number: ■'"� c) Amount of Bond: $ r„ /--- 6. Lender Information: a) Name and Address: /` b) Phone Number: 7. Person 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: a) Name and Address: b) Phone Numbers of Designated Person: 8. In addition to himself/herself, Owner designates of to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (b), Florida Statutes. a) Name and Address: b) Phone Number of person or entity designated by owner: 9 Expiration date of Notice of Commencement (The expiration da is one (1) year from the date of Recording unless a different date is specified: 4k 2 1 v i 2., 2 2.---. ' ?� 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. �=, t. The foregoing instrument was acknowledged before me this ; day of C ��`" - - --- , 20 / t • 77 - 0 L NOTARY PUBLIC, STATE, OF FLORIDA Print Name: t ,' A / Yie it,-E -w,. t'`C '/- .. ❑ Personally Known t k Identification/Type: Al 4 by 2-9 c. s , - 2 9- .3 c. 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 knowled '.e : d belief. L1oc If ` 20'i 1[28705, OR 8K 15746 Page 1893,. '. 'Signature of Property Owner Number Pages: 1 Recorded 10/202011 at 01:24 PM, JIM FULLER CLERK CIRCUIT COURT DUVAL Dp(�1pNDAYhi COUNTY" —'� RECORDING $10.00 ,: ,,, ; ,,t MY COMMISSION II EE 05 '� Bonded EXPIRES: Notary May U 015 �;,: ,h ,. r -'sed 10/1/2009