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358 11TH ST - DRIVEWAY i>3 L�1 rjv�_ . 11, CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD .5 ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 DRIVEWAY PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 17-DWAY-3581 Job Type: DRIVEWAY Description: replace concrete driveway with crushed granite Estimated Value: $4,750.00 Issue Date: 4/24/2017 Expiration Date: 10/21/2017 PROPERTY ADDRESS: Address: 358 11TH ST RE Number: 170083-0000 PROPERTY OWNER: Name: HAMILTON, ROBERT C & ETHEL, * Address: 358 11TH ST PERMIT INFORMATION: UTILITY DEPT.: PUBLIC WORKS: Ensure all meter boxes, sewer cleanouts and valve covers are set to grade and visible. A sewer cleanout must be installed at the property line. Cleanout must be covered with an RT1 concrete box with metal lid. Cleanout to be set to grade and visible. All concrete driveway aprons must be 5" thick,4000 psi, with fibermesh from edge of pavement to the property line. Reinforcing rods or mesh area not allowed in the right-of-way. (Commercial driveways- 6" thick). Full erosion control measures must be installed and approved prior to beginning any earth disturbing activities. Contact the Inspection Line (247-5814) to request an inspection from Public Works for Erosion and Sediment Control Inspection prior to start of construction. All runoff must remain on-site during construction. Roll off container company must be on City approved list (Advanced Disposal, Realco Recycling, Shapell's Inc.). Container cannot be placed on City right-of-way. Full right-of-way restoration, including sod, is required. BUILDING c0D ES. v I CITY OF ATLANTIC BEACH - si 800 SEMINOLE ROAD J< ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Must leave concrete apron in right-of-way. FEES: Fence/ROW $35.00 Total Payments: $35.00 PERMIT IS APPROVED ONLY IN ACCORDANCE wrili ALL CITY OF ATLANTIC BEACH ORDINANCES AND TIIE FLORIDA Ill 1II.DING CODES. �SSI A yri.f City of Atlantic Beach flECEJvE APPLICATION NUMBER J ,,,�, Building Department (To be assigned by the Building Department.) A i 800 Seminole Road MAR 2 8 2017 �� �r Atlantic Beach, Florida 32233-5445 1 — 'Ow �� Phone(904)247-5826 • Fax(904)285845 Mr_ E-mail: building-dept@coab.us ------- __ Date routed: 3161-1(- City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: s J 'V - - s+ Department review required Yes No Building Applicant: Ot-J(\ LI Planning &Zoning Tree Administrator Project: ( Q_Qk Q LQ ci(v J LJ 1")\ u uS\VLt <Public Werk1 Public Utilit s) 5t o`\A L Public Safety Fire Services 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 Reviewing Department First Review: 'Approved. ❑Denied. di y-f1'/7 (Circle one.) Comments: fee Maid 64144BUILDING ! ` PLANNING &ZONING Reviewed NA;_(,,,e4 /11,64,04.., Date: y��f �j TREE ADMIN. Second Review: ❑Approved as revised. ['Denied. // PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: GIDC QCn\iirsres • • Review: DA, Vig h , Oil ° e vents: L�i�i14 04 2.-02 r'// f 4, oa 4.,,, - ,t,t,„,,,, 4,41 if•,..5.10 Coax440y-0(444Date: R a— 4 Ae okt- �t.=�',./'"r, City of Atlantic Beach APPLICATION NUMBER rY >&\ Building Department (To be assigned by the Building Department.) 800 Seminole Road w ;;r Atlantic Beach, Florida 32233-5445 MAR 1811— 'OW —3S S I Phone(904)247-5826 • Fax(904)24 - 845 2017 ° 05110 E-mail: building-dept@coab.us BY. Date routed: la 4-1 City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Property Address: Jv ` S* • Department review required Yes No Building Applicant: 0On Li Planning &Zoning Tree Administrator Project: ( tpp kik ctA Lis) OAk W\ uSh,(/i Publi cork Public UtilitiesT Public Safety Fire Services Review fee $ 2 _S 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 Reviewing Department First Review: I VjApproved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING & ZONING 3/2-7/17 �� 17 Reviewed by: Date: TREE ADMIN. Second Review: A roved as revised. ❑ pp ❑Denied. C % C WORKS Com nts: PUBLIC UTI TIES 7 LIC SAFETY SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ['Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 05/14/09 40 feet RM/ KF ie-IDUI i0G-- loco co 84.00 feet ^ P i, \iii„, `+Vp ..,,, ` vu`- feet to Watcorner-> t .,:r �� /� till i•r- * * V) aW � 1� rCY) r �� L '� • �.� :.*���r .1 feet �'t,f`�`-�r a.: ��� covered Er) ` 6 foot wood fence 44.4' P El Wc.rs earma. ard Rte. 2.9' I war 1. .......11, / overed cv iill .914 J lam wvnsn — r (r)N O F.,,M� �j gid) O '-I' Q 18.0 feet `„ .,.'s .Y 25.3' �,,� o ,���%� - <'Chain link Fence 4 Gass I.— AA,► ` .010.._ �tl°�"""is Covered co 15a) IM ,�Aril 1 illkIL.31 IMI to j/ Concrete I. ,/ �' Lot 25 Lot 29 West 16 feeta. ) Pool (in ground r , r , s a Ott' a) O. K 0 cNote: All fences are 4'chain link except .... as shown. O O < CO 0) N- 0.1 N / `.'' ^ Concrete Deck Cal Lot 30 . Lot 28 ' Lot 26 40 feet RAN G/AV,,ii /qGG REG'192E_ 84.00 feet11" ©7 )JPq .51-2 ' ,.. i I/ 030 feet to 1� ' �` ' * comer-> ✓. •/v1/4- • Tv a) • [� �, .1 feet (%..)Y� �:aX� „�,� covered :Ur)). "�'�' 6 foot wood fence 44.4' 1P c();A 1 Kr,..,...Rovn Bs Ran p,,,,Rr, tZ r � 2.9'/[ overed a N T r1 i `�— �J .�_ .Ran JT-- (C ) 8 -,� .!� , _ �,. r 25.3' 18.0 feet o WAN' 'C Chain Im(Fence&Game 2 ...v.-- Jpki 1 p Covered .r 6 :' �'3' �I� ' o0 (0,6Plyl rr Lot 25 Lot 29 West 16 feet Pool (in ground �P, j, `s� C a) K 0 41;,4 I Note: All fences are 4'chain link except ..+ i as shown. 0 0 co C i N- N N ---.N __1 --.1 `....rlp 4;/ ;E Concrete Deck ID IQ Cle 0` Lot 30 Lot 28 iLot 26 e, /e, 0/94 40 feet R/W // / 84.00 feet 1 Coo s9 /- ie, f WII,.: �`\//// C 6: cl 11 Wate ever I tiow r► . • i0 r .t"b �, moi.,, ,.. IV +tf!' tit cu co i f *CW.COC: -14 AP -y v 1 feet t`.)Y`- ").,. "A.. J i covered 6 fol 1.6 44.4' IP -. ill Bea aor, B..aen, D..,,Ra.n 2.9' a) Mir �t� ( overed a N '* : j _ 18 J .11 1 W LaR _ o -��\ \ � et wa Q 25.3' �Y^ 18.0 feet o •_`�• f a 9' 4'Chain link Fenn 8 Gate �atl ne NteeM l II 91'4 Covered lb' L ,.3. . .4 ci to Concrete.. ., ozep. r i Lot 29 West 16 feet • Pool (in ground; (z.-.17) (,: ) ` ' x S a) K O o Note, All fences are 3 4'chain link except .a.,.. as shown. O 0 Co o r- N N `I / O O c i. I. b. joilipo.' �` . ' Concrete Deck/ Ilitit:.: 17.:2:::sCrP, ID (AR/ r C1 Igo 517, , 3/y /hof l6,97 40 feet RNV 84.00 feet 1f'2 Biu,,,; `*p,,e fur,,,, e: Wate eter �� iriefa �II -"liffilli� 961 �. rel 1111a. ��- Dd _i ,`� .�_,��� SC�37 io 'k/�°' +� leilk 1I Op I. 011.111‘ 40- I 06 - :• _ Cr) s '11- 11. 6..ri ` ...").-%-Z &) cared 1 fe-t 6 fol .. ..... a -..' j 44.4' in Bn Row, BM Resin . pry,Rey, T- 12/X7° 2 X ° 2.9' a) r Ell Ell minommon T ( Covered a cv r 1 VO I.W Rem v�) -\ ,� _', 25.3, �, 18.0 feet 3 4'Chain link Fence&Gate p FP,' Co ...e°a'manfie" kliii..A1a� Covered ," L.4 -:gi I my'3 11 A .. o 444 c:i // 46. to concrete.. r t `ot2ewes"Brea` Pool (in ground) r`j, j, `j' 2 AP a) o CNote All fences are 4'chain link except r.. as shown. Q O CD C) N- NN \I / J J ,, ... 1,. ,,, ,,,, .. ,. J/ C tie �\AX,f;.. .-::\` concrete Deck '14:<.411.-'!"--- .., .,n: �hr_ Building Permit Application i _, ., City of Atlantic Beach ,1,...: 800 Seminole Road,Atlantic Beach, FL 32233 '��,t"` Phone: (904) 247-5826 Fax: (904) 247-5845 �} I S�( 3-S-8 //"S/ R7 /., /�j4 /�/� Permit Number: l - ��J ' `�1 "� Job Address: ll��,, � Q Legal Description ham/ t'7 f 3 4 ' 0 C.4f AOT g [ RE# Valuation of Work(Replacement Cost)$ 9, 9.0 Heated/Cooled SF Non-Heated/Cooled • Class of Work(Circle one): New Addition Iteration Repair Move Demo Pool 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 • Submit a Tree Removal Permit Application if any trees are to be removed or Affidavit of No Tree Removal Describe in detail the type of work to be performed: £HO via-7A of eXPS7/,JA €owinee re ,,,e/UF 4.49,k,- Xe .49)./Xe Pt gerAtie.v%u,/7/1 eXt4fh' 'l c' 9'',/ Florida Product Approval# for multiple products use product approval form Property Owner Information Name: ;'o8 ' ( /1:411N/C70w Address: are /I'� s%,.Ef City r97LAdt,T/e 13,47e A, State FF Zip 3227 3 Phone 9O S/-9 T-J/Y/ _ E-Mail R"#fI j 317?@ /P/%. i../A-7 Owner or Agent(If Agent,Power of Attorney or Agency Letter Required) Co awls X Contractor Information Name of Company: /, /ehe y //A40d'( Sf#(v/CEQualifying Agent: Address City State Zip Office Phone Job Site/Contact Number State Certification/Registration# E-Mail Architect Name&Phone# Engineer's Name&Phone# Workers Compensation Exempt/Insurer/Lease Employees/Expiration Date 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 the standards of all the laws regulationg 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. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. 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 RECORDI G YOUR NOTICE OF CO MENCEMENT. (Signature of Owner or gent including Contractor) (Signature of Contract6r) Signed and sworn to(or affirmdd) •efor: m- this Z day of Signed and sworn to(or affirmed)before me this day of Z017,by ,by - -._.riMall...11lb , 1--„,4,.;;;::„: TONI GINDLESPERGER Signature o ot.ry) ii (Signatureof Notary) .4A)�' MY COMMISSION#FF 924951 • ,o= EXPIRES:October 6,2019 ,t:fj'i¢' Bcuded Thru Notary Public Urderwrters [ ]Personally Known OR [ ]Personally Known OR [ ]Produced Identification (� .7 `�/ J [ )Produced Identification Type of Identification:_ J- ` tO --)- ` (L 7 Type of Identification:___ w �; , CITY OF ATLANTIC BEACH ,. CONSTRUCTION PERMIT VVITHIN CITY RIGHTS OF WAY AND EASEMENTS _ r. _. t - -r _i. -- ...... -weft_,-__ ■J , I i 800 Seminole Road 904-247-5800 ••:,`,iw>- Atlantic Beach,Florida 32233-5445 Fax 904-247-5845 PLEASE SUBMIT(2)COMPLETE SETS OF PLANS WITH APPLICATION. PERMIT# Date /9.4e0/V �i 31 ZO/�' ISSUES BY THE CITY Job Address 3 5 8 // S1 , 42&, /e A�' E-mail rO444T 35:61' Q47/%, ive j Permitee: /ho/3F.(T #..q.rii[7Q,/-; Telephone# 905/- 9s S^/, V/ Permitee Address: 3$? 1/9-54 flT'. 13C/( 1:1,19 } Requesting Permission to Construct: Location: (Reference to Cross-Street) 1. Applicant declares that prior to filing this application he has ascertained the location of all existing utilities, both aerial and underground and the accurate locations are shown on the sketches. A Letter of Notification was mailed to the following Utilities I Municipalities: CR 4LF I Jacksonville Electric Authority Yes ( ) No ( ) Date: 3- 30h/ .O/7 Bell South Telephone Company Yes ( ) No ( ) Date: 3- toff/ zoi7 Ferrell Comcast Gas Yes( ) No( ) Date: 3- 7o/3/ ?e/7 Yes ( ) No( ) Date: 2. Whenever necessary for the construction, repair, improvement, maintenance, safe and efficient operation, alteration or relocation of all, or any portion of said street or easement as determined by the Director of Public Works, any or all of said poles, wires, pipes, cables or other facilities and appurtenances authorized hereunder, shall be immediately removed from said street or easement or reset or relocated hereon as required by the Director of Public Works, and at the expense of the Permitee unless reimbursement is authorized. 3. All work shall meet City of Atlantic Beach or Florida Department of Transportation Standards and be performed under the supervision of (Contractor's Project Superintendent) located at Telephone#: 4. All materials and equipment shall be subject to inspection by the Director of Public Works or his designee 5. All city property shall be restored to its original condition as far as practical, in keeping with city specifications and the manner satisfactory to the city. 6. A sketch of plans covering details of this installation, as well as, a copy of a recent survey shall be made a part of this permit. Calculations showing any increase in impervious area on owner's lot or in the city Right of Way are to be included with this application. 7. This permittee shall commence actual construction in good faith with days. If the beginning date is more than 60 days from date of permit approval, then permittee must review the permit with the Director of Public Works to make sure no changes have occurred in the area that would affect the permitted construction. 8. It is understood and agreed that the rights and privileges herein set out are granted only to the extent of the City's right, title and interest in the land to be entered upon and used by the holder, and the Holder will, at all times, assume all risk of and indemnify, defend, and save harmless the City of Atlantic Beach from and against any and all loss, damage, and cost of expenses arising in any manner of the exercise or attempted exercises by the holder • of the aforesaid rights and privileges. 9. The Director of Public Works shall be notified twenty-four(24) hours prior to starting work and again immediately k upon completion. K. OWNERi: / / • `/ Si.ned: • . '" �s Date:3"20/Before me this �3 day rF of fj L '. in he Count o Duval, State Of Florida, has personally appeared Tom ,..v.... .t-ryPublic at Large, State of Florida, County of Duval. My Ltf MY COMMISSI • :' IOn I "141. ��� 1 Personally Known: . �J:. EXPIRES:Ortoh�"R.�ntn Produced Identification: -.'74',-.,--:.:‘,. 9onded Thr.No,ay Pubic U;:cernnta`` <,: ` Revised 7129115 NOTICE OF COMMENCEMENT State of /5O/1/j,/7r County of PLI v/q 4 Tax Folio No. 1 0 0 8 3 -0 0 OO To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Legal Description of property being improved: ho r 274- % , F Arr.Arr. 3,1 9T o <o/ 29 /?/OCji /3 5 f3 Owls',odi ''A.. ,P7‘494,Tie NA('I/ ?ze $oo x _. 219a[ g._1 Address of property being improved: 3 Sig //°1* 9 7,te7i /q FL#44-Tie " Aye RA 32233 • General description of improvements: /tel a sy ot/A( .v; a psi c(c C DA/ve LriA7 irf A 4 et Lang 2.4 aM A,/i£ /9UC/FC.97 Owner: go 8!'4 j At ist/L7 0,1_, Address: 3f 9 fly' s7/e j-7244,7/c /3C,Y iZ Owner's interest in site of the improvement: gr$/Pt#' -t Fee Simple Titleholder(if other than owner): Doc II 2017067301, OR BK 17920 Page 1409, Name: Number Pages: 1 Recorded 03/23/2017 at 01:56 PM, Contractor: ,.2a4-7440 //��! Ronnie Fussell CLERK CIRCUIT COURT DUVAL ��-ee, "'l COUNTY Address: RECORDING$10.00 Telephone No.: Fax No: Surety(if any) Address: Amount of Bond$ Telephone No: Fax No: Name and address of any person making a loan for the construction of the improvements Name: Address: • Phone No: Fax No: Name of person within the State of Florida, other than himself, designated by owner upon whom notices or othdr documents may be served: Name: Address: Telephone No: • Fax No: In addition to himself, owner designates the following person to receive a copy of the.Lienor's Notice as provided in Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option) Name: Address: Telephone No: Fax No: Expiration date of Notice of Commencement(the expiration date is one (1)year from the date of recording unless a different date i specified): THIS SPACE FOR RECORDER'S USE ONLY OWNER Signed: �O��ic. '• �: l, sDate: 3-z 3 -24/7 Before me this Z,. day of rn q r o. in the County of Duval State Of Florida,has personally app red Ll p_S- �c ( 7 Personally Known: K . or FF 924951 4 " '` Produced Identification: cy � SF; MY COP./MISSION ONI GINDLESPERGER 1/4......--- ! E P./MISSION 1t Notary Public: ";', EXPIRES:October 6,2019 My commission expires: OA--;,. Bonded Thru Notary Pubic Underwriters . !1L I. • :),A\ CITY OF ATLANTIC BEACH ,'vy QWNER/ BUILDER AFFIDAVIT • !U:f3U' I. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 `CONSTRUCTION CONTRACTING"REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACT-ORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. 1111;EXEMPTION ALLOWS YOU,AS THE OWNER OF YOUR PROPERTY,TO ACT AS YOUR OWN CONTRACTOR EVEN TI10(1011 YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE TI•11;CONS PRl ICT ION YOURSELF, YOU MAY BUILD OR IMPROVE A ONE-OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR • IMPROVE A COMMERCIAL BUILDING AT A COST OF$25,000.00 OR LESS. TI-IL BUILT)ING MUST BE FOR YOUR USE ANI)OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE,THE LAW WILL PRESUME'I1IAT YOU BUILT • IT FOR SALE OR LEASE,WHICH IS IN VIOLATION OF THIS EXEMI'11ON. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES I.EOIJIRED BY STATE LAW ANT) BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. II. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE • PURCHASED. III. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO • OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN`OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY `CERTIFICATE OF COMPETENCY" OR THE FLORIDA 'CONTRALTORS CERTIFICATE' TO ASCERTAIN IF A PERSON IS A UCENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT(247-5826)IF IN DOUBT. • V.ACKNOWLEDGEMENT;I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE • STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. 7rd _ 1'741f1; X927. ie'/Y4 P9oV c/?-r37f ADDRESSONE / Ci?F•ti//.¢rrr/ 01.} P NTN ErAleg t2 3, 26'7 SI TURF ./ DATE Before me this 23 /�day of I9S<C/ 2017 in the county of Duval.State of Florida.has personally appeared herin by himself I herself and affirms that all statements and declarations are true and accurate. Notary Public at Large.Stale of E ( .County of JQ ( • �B I'ersondly Mem _ tucedhierwGra6oaHs .a:`•.'�&•• 70NIGINDLESPERGER ,r W r: MY COMMISSION#FF 924951 Pis; EXPIRES:October 6,2019 j 4+ Notary Signature: Y T i;°'' Bonded Thru Notary Pubic Unde'wr ters FIBLUC a),,,,,.uuilJ.r AN davit.REVISED 411620e4