1785 Selva Marina Dr 2013 kitchen remodel NOTICE OF COMMENCEMENT
Tax Folio No.
State of Florida
County of __DU_VAL
To Whom It May Concern: s will be made to certain real Property,and in accordance with Section 713 of
The undersigned hereby informs YOU that improvement
the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT-
Legal Description of property being improved:
Address of property being improved:_ 1785 Selva_MMarnina DTive
General description of improvements: KLtchen Remode�--
Owner: Jason Rodriguez_Address: 1785 Selva Marina Drive-----------
owner's interest in site of the improvement: 100%
F Simple Titleholder(if other than owner):
Name:
o actor: Mike Philli s Philji
Address: f-0 &?�l Vx-) AAQ V N ctP
Telephone No.: Fax No:
Surety(if any) Amount of Bond$
Address:
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the improvements
Name:
Address:
Fax No:
Phone No: himself,designated by owner upon whom notices or other documents may be
Name of person within the State of Florida, other than
served: Name:
Address:
Fax No:
Telephone No: to receive a copy of the Lienor's Notice as provided in Section
in addition to himself, owner designates the following Person
713.06(2)(b),Florida Statues. (Fill in at owner's option)
Name:
Address:
Fax No:
Telephone No: is one (1)year from the date of recording unless a different date is
Expiration date of Notice of Commencement(the expiration date
specified): USE ONLY ER
THIS SPACE FOR RECORDER'S Sign : - Date: I S t
this day of in the County of Duva, ta e
Before i ly appeared
YOLANDA NEGRON Of Floi' person
Nolef y public-Stet of ftwidda Notary Pu lic at Large,State f F1 ida,County of Duval.
.2016 �/UuMz
my Comm.Expires W 1?.2016 MY commission—F11 or
CatmWegion#EE 190435 Personally Known:
-- Produced Identification:
C#2014003042.OR E3K 16652 Page 93
mber Pages: I
corded 01/06/20114 at'03:10 PNI,
nnie Fussell CLERK CIRCUIT C-01-IRT DUVAL
)UNTY
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00003661 Date 12/02/13
Property Address . . . . . . 1785 SELVA MARINA DR
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 10000
----------------------------------------------------------------------------
Application desc
kitchen remodel
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
RODRIQUEZ, JASON PHILLIPS BUILDERS LLC
1785 SELVA MARINA DR. 12SO SELVA MARINA CIRCLE
ATLANTIC BEACH FL 322335638 PHILLIPSBUILDERSOCOMCAST.NET
ATLANTIC BEACH FL 32233
(904) 349-2999
--- Structure Information 000 000 KITCHEN REMODEL
Occupancy Type . . . . . . RESIDENTIAL
----------------------------------------------------------------------------
Permit RESIDENTIAL ALT/OTHER
Additional desc . .
Permit Fee . . . . 100 . 00 Plan Check Fee 50 . 00
Issue Date . . . . Valuation . . . . 10000
Expiration Date . . 5/31/14
----------------------------------------------------------------------------
Special Notes and Comments
need noc
2010 FLORIDA BUILDING CODE, 2008 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 100 . 00 100 . 00 . 00 . 00
Plan Check Total 50 . 00 50 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 1S4 . 00 154 . 00 . 00 . 00
PERMIT IS APPROVED ONLk' IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
Job Address: Jbli(41 -;�74.je,*Ax_ ;4r Permit Number:
Legal Description Floor Area of S q-.T T.— Parcel 9 Sq.Ft
Valuation of Work$ ZQ 0 op 10 Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s)(circle one): Commercial Residential
If an existing structure,is a fire sprinkler system installed? (Circle one): Yes No N/A
Florida Product Asproval#
For multiple pro ucts use product approval form
Describe in detail the type of work to be performed: re,A -73 Tf mg L
9,r5 &a:S ft 74545 .17-&
Property Owner In pormation:
I ) -7 8 A- S M D&.
Name:,3AjzCr,4 Address:
city StatefA.Zip3 �93 Phone 3 -3'? '91-N8
E-Mail or Fax#(Optional)
Contractor Information: CONTRACTOR EMAIL ADDRESS:
Company Name: P14 tower-c L-ur- Qualif
k LkAo Ok;, ying Agent:
Address: /?-S- AWra& C-1,& State Fl-, ZiF22�
6 rSoo-lapr city P&>
Office Phone At9-2.," ja P*414-a4wl— — Fax
State Certification/Registration# C A C r,01IR%elom co
Architect Name&Phone# Ulff,
CITY 01, XrLANTj 49
Engineer's Name &Phone 4 v,-mcu t NONE
Fee Simple Title Holder Name and Addres NEEMKMITS FOR ADDITIONAL
RE()UfRz1V1E1N IS AjND-MND1rU0 Rawsm WWI
Bonding Company Name and Address NS.
Mortgage Lender Name and Address
DRY.
DATE.
4pplication is hereby made to obtain a permit to do tfzp it_; 'Imm tallation has commencedprior to the
issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in thisjurisdiction. This permit becomes null
and vqid ty'work is not commenced within six(6)months, or if construction or work is su ended or abandonedfor a period of six(6)months at any time after
work is commenced I understand that separatepermits must be securedfor Electric.;PWork, Plumbing,Sikns, Wells,Pools, Furnaces,Boilers,Reaters,
Tanks andAir Conditioners,etc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR 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.
I here certify that I have read and examined this.a plication and know the same to be true and correct. Allprovisions of laws and ordinances governing this
type 111work will be co -'i e e hereinornot. The granting of a permit does not presume to give authority to violate or cancel the
0
provisions ofany 'ther;Mp ral,stat r oca aw re ulating construction or the pe�formance of construction.
Signature of Ow Signature of ContractAEiD45�,Qi Q�
V
Print Name Z_- PrintName
Beforq Befo
t s Day -77016_� th*
hi f 20 /3 2 .
f477777777777777��
it-�AM
m!4=
)U
Notary Public SION ""J14 1 ICSHIR RAM
ru 2Q14
y COMMISSION#D P COM 16N�o DD 7760
�xPIFITS U'
February14,
IES. P , "de_,de_
N",;"y u EXPIRE IV's
aryFubllcUnderwr�e's 5:February 14,
d Thru NO
Bond evised 01.26.10
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445 z-3 - 2&
Phone(904)247-5826 - Fax(904)247-5845 Date routed:
r It E-mail: building-dept@coab.us Lal
City web-site: http://www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: �QepAftment review required Yes JfNo
-aual&g _'�:> L'�- I
Applicant: Planning &Zoning
Tree Administrator
Project: TCA '-&OLC 0 PublicWorks
Public Utilities
Public Safety
Review fee $ Dept Signature
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
[]Denied.
Reviewing Department First Review: P-Approved.
(Circle o:e
n Comments:
B U I�LQ
PLANNING&ZONING Reviewed by: Date:-//—/
TREE ADMIN. Second Review: FlApproved as revised. E]DenWd.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: [_�Approved as revised. []Denied.
Comments:
Reviewed by-.- Date:
Revised 07/27/10
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00003661 Date 12/30/13
Property Address . . . . . . 1785 SELVA MARINA DR
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 10000
-- -------------------------------------------------------------------------
Application desc
kitchen remodel -----------------------
-----------------------------------------------------
Owner Contractor
------------------------
PHILLIPS BUILDERS LLC
RODRIQUEZ, JASON 1250 SELVA MARINA CIRCLE
178S SELVA MARINA DR. MCAST.NET
ATLANTIC BEACH FL 322335638 PHILLIPSBUILDERS@CO
ATLANTIC BEACH FL 32233
(904) 349-2999
--- Structure Information 000 000 KITCHEN REMODEL
occupancy Type . . . . . . RESIDENTIAL ------
----------------------------------------------------------------------
Permit . . . . . . ELECTRICAL PERMIT
Additional desc - -
Sub Contractor . . OCEAN ELECTRICAL CO. , INC. . 00
Permit Fee . . . . 71 . 00 Plan Check Fee 0
Issue Date . . . . Valuation . . . .
Expiration Date . . 6/28/14 --------------------------------
--------------------------------------------
Special Notes and Comments
need noc
2010 FLORIDA BUILDING CODE, 2008 NATIONAl ELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY. -----------------------
- ------------------------------------------EC DCA SURCHARGE 2 . 00
Other Fees . . . . . . . . . STATE EL
STATE ELEC DBPR SURCHARGE 2 . 00
------------------ -------------------------------------------------- ------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 71 . 00 71 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 75 . 00 75 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL pERMtT APPLICATION
CITY OF ATLANTIC 13EACH
800 Seminole Rd, Atlantic Beach,FL 32233.
Ph(904)247-5 826 Fax(904) 247-5.845
111111,111 PERMIT
0 1-4ev , ,"
JOB ADDRESS: 00,1?
NEW SERVICE ElOverhead F-1 Underground El Underground u.p Pole
OResidential(Main) Service
00-100 amps [1101-150amps 0 151-200amps 0 --�amps 4f ofMeters
0 Commercial(Main) Service 0 151-200amps _amps OCT Service amps
00-100 amps 0101-150amps
Conductor Type_—. Size
0multi-Family Main) Service of Unit Meters
00-100 amps 0101-150amps 0 151-200amps 0 ---amps
OTemporary Pole 0— s 0 CT Service_amps
SERVICE UPGRADE .0 _.amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
amps OCT Service amps
0100amps 0150amps 0200amps 0 X —
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: Z0 .0-30amps —31-100amps 101-200amps
Appliances: _j,2,__0-30ampS ___t_31-100amps —101-200amps
A/C Circuits: —0-60amps _61-100amps
Heat Circuits: # circuits @ kw
Number of Lig s, Including Fixtures:
,,hting Outlet
OTHER ELECTRICAL PROJECTS OTransforrners KVA OMotors hP
E]Swimmingpool OSign OSmokeDetectors—Qty
FIRE ALARM SYSTEM (Requires 3 sets of plans &Fire Alarm Checklist)
Qty volts/amps VALUE OF WORK$
REpAIRS/MISCELLANEOUS
OReplace Burnt/Darnaged Meter Can 0 Safety Inspection OPanel Change OOH to UG
00ther:
Rhin is suspended or abandoned for six months. I hereby certify that I have
period or work with whether
permit becomes void if work does not commence wi a sm month complied
read this application and know the same to be true and correct All provisions of laws and ordinances goverrung this work will be
specified or not The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of
construction. Phone Number
Property Owners Name /.&-e office Phone—�W--?//.;!- Fax,-24��//�
Electrical Company
ss:c2���I�Vy, _State.4�Zip
Co.Addre City 4 Z 45�h_4
License Holder (Print): State Certification/Regoistration#
NO r tap�re
,jzgd,jig�lr _ '2flicense Holder 3 d of 20 /3
JAMES L.GRIZZARD om,and subscribed before me this
State of Florida
Notary Public
My Comm.Expires Sep 17,1201 e of Notary Public
commission#EE 100515
Bonded Through National Notary Assn.
CITY OF ATLANTIC BEAWI,
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
�0 lit
Application Number . . . . . 13-00003661 Date 1/06/14
Property Address . . . . . . 178S SELVA MARINA DR
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation 10000------------------------------
---------------- --------- - - - - -----
Application desc
kitchen remodel ------------------------------
---------------------------------------------
Owner Contractor--------------
----------
------------------------ PHILLIPS BUILDERS LLC
RODRIQUEZ, JASON 1250 SELVA MARINA CIRCLE
1785 SELVA MARINA DR. LDERS@COMCAST.NET
ATLANTIC BEACH FL 322335638 PHILLIPSBUI
ATLANTIC BEACH FL 32233
(904) 349-2999
--- Structure Information 000 000 KITCHEN REMODEL
occupancy Type . . . . . . RESIDENTIAL -----
----------- ----------------------------------------------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc INSTALL 2 FIXTURES C
Sub Contractor EMERGENCY REPAIR PLUMBING IN
69 . 00 Plan Check Fee . 00
Permit Fee . . . . Valuation . . . . 0
Issue Date . . . .
Expiration Date - - 7/05/14 ---------------- --------------
-- --------------------------------- -------
Special Notes and Comments
need noc
2010 FLORIDA BUILDING CODE, 2008 NATIONAl ELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY. --------------- -------
----- -- - --- --
---------- -------------------------STATE PLBG DCA SURCHARGE 2 . 00
Other Fees . . . . . . . . . STATE PLBG DBPR SURCHARGE 2 . 00
---------- -----------------------------------------------------------------
Fee summary Charged Paid Credited ----Due---
----- ----------- ---------- ---------- ---- -- - 00 . 00
Permit Fee Total 69 - 00 69 . 00 . 00
Plan Check Total . 00 . 00 . 00
4 . 00 4 . 00 . 00 . 00
Other Fee Total 73 . 00 73 . 00 . 00 . 00
Grand Total
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
PLUMBING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845 PERMIT
JOB ADDRESS:
NEW OR REPLACEMENT INSTALLATION: Project Value$
TYPE oF FIXTURE QTY TYPE oF FiXTURE QTY
Septic Tank&Pit
Bathtub Shower
Clothes Washer Shower Pan
Dishwasher Slop Sink
Drinking Fountain Three Compartment Sink
Floor Drain Toilet
Floor Sink Urinal
Hose Bibs
Kitchen Sink Vacuum Breakers
Laundry Tray Water Connected Appliances
Lavatory Water Heater
other Fixtures Water Treating System
RE-PIPE: TYPE oF FIXTURE QTY TYPE OF FIXTURE QTY
Septic Tank&Pit
Bathtub Shower
Clothes Washer Shower Pan
Dishwasher Slop Sink
Drinking Fountain Three Compartment Sink
Floor Drain Toilet
Floor Sink Urinal
Hose Bibs Vacuum Breakers
Kitchen Sink Water Connected Appliances
Laundry Tray Water Heater
Lavatory Water Treating System
Other Fixtures
MISCELLANEOUS: se Interceptor(Trap) gallons(Requires 3 sets of plans)
Ei Sewer Replacement El Back Flow Preventer 0 Grea Ei Well
o Lawri Sprinkler System-Number of Heads
SJRWD Well Completion Form. Complete&—form to be submitted to the—Building Department for final inspection."
als
Ei Other
Permit becomes void if work does nollcommence within a six month period or work is suspended or abandoned for six months.I hereby certify that I have read
this application and know 1 e tor!,tyue and correct. All provisions of laws and ordinances governing this work will be complied with whether specified
'Ile s the performance of construction.
or not. The permit does not givMe 'th to violate the provisions of any other state or local law regulation construction or
Phone Number
Property Owners Name Office Phone P FaiQXM
Plumbing Company CL�'r 9\14�m�
State Ete_Zip
City �5
Co. Address: Vs Y-.,--
License Holder(Print): G1%"-A tate Certification/Registration# C��
Notarized Signature of License older 10 C)—?jot f)
'_T kd_N 20 LA
my JENNIFER WAIM Before me this ay of
OMMISSION#FF 011480
PIRES:Apdl 24,2017
EX
BoDded Thru Notary Public Unaerwriters Signature of Notary Public
A.,
S CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00003661 Date 1/07/14
Property Address . . . . . . 1785 SELVA MARINA DR
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 10000
----------------------------------------------------------------------------
Application desc
kitchen remodel
----------------------------------------------------------------------------
Owner Contractor
------------------------
------------------------
RODRIQUEZ, JASON PHILLIPS BUILDERS LLC
1785 SELVA MARINA DR. 1250 SELVA MARINA CIRCLE
ATLANTIC BEACH FL 322335638 PHILLIPSBUILDERS@COMCAST.NET
ATLANTIC BEACH FL 32233
(904) 349-2999
--- Structure Information 000 000 KITCHEN REMODEL
Occupancy Type . . . . . . RESIDENTIAL
----------------------------------------------------------------------------
Permit MECHANICAL HVAC PERMIT
Additional desc DUCT WORK AND AIR HANDLER
Sub Contractor HOKE KELLER HEATING & AC INC . 00
Permit Fee . . . . 95 . 00 Plan Check Fee
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 7/06/14
----------------------------------------------------------------------------
Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 NATIONAl ELECTRIC CODE
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . STATE MECH DCA SURCHARGE 2 . 00
STATE MECH DBPR SURCHARGE 2 . 00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 95 . 00 95 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 99 . 00 99 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
MECHANICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845
JoB ADDRFSS: 12?! .5,e to q o In PERMT# 13-S6�1
PROJECT VALUE$ AAI REQUIRED
_�Air Handling Equipment Only Air Handling Unit & Condenser Condenser Only
NEW AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity BTU's Per Unit Seer Rating
Duct Systems: Total CFM REQUIRED
REPLACEMENT AIR CONDITIONING & HEATING SYSTEM INSTALLATION
Air Conditioning: Unit Quantity Tons Per Unit
Heat: Unit Quantity I BTU's Per Unit Seer Ratin
Duct Systems: Total CFM 1000 REQUIRED
Manual J documentation required on residential change out
FUM PREVENTION
Fire Sprinkler System Quantity (Requires 3 sets of plans)
Fire Standpipe Quantity (Requires 3 sets of plans)
Underground Fire Main Value (Requires 3 sets of plans)
Fire Hose Cabinets Quantity (Requires 3 sets of plans)
Commercial Hoods Quantity (Requires 3 sets of plans)
Fire Suppression Systems Quantity (Requires 3 sets of plans)
FIRE PLACES MISCELLANEOUS:
Prefabricated Fireplace Qty_ Automobile Lifts
Gas Piping Outlets Boilers BTU's
Elevators/Escalators
�LL OTHER GA� PIPING Heat Exchanger
Quantity of Outlets Pumps
Vented Wall Furnaces Refrigerator Condenser BTU's
Water Heaters Solar Collection Systems
Tanks (gallons)
Wells
)TH-ER: . cQoaef k'II0,14 C.,19 00-LAj
=it becomes void if work does not commence within a six month period or work is suspended or abandoned for six months.I hereby certify that I h�averead
is application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or
it. The permit does not give authority to vio e the rovisions of any other state or local law regulation construction or the performance of construction.
roperty Owners Name 0-4 Phone Number
lechanical Company 44 &tA Office Phone Fax
:). Address: �[—1�3 14-9 0 6q)"C CityJ&101ts/4— Stat4'- Zipi-301,—�'D
icense Holder(Print): jknj�,� �4 /Slate Certification/Registration#CQCi2 S-7&q
44--� k—�
JANET OCKAY
JaRj o rQ 20
MY COMMISSION#EE038767 3efore me this day of
EXPIRES November 01,2014
(407)398-0153 RoMallotaryService.com ignature of Notary Public