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859 Ocean Blvd ROOF21-0035 Mod Bit RoofOWNER:ADDRESS:CITY:STATE:ZIP: MURPHY ALISON J 859 OCEAN BLVD ATLANTIC BEACH FL 32233-5429 COMPANY:ADDRESS:CITY:STATE:ZIP: TURNKEY CONSTRUCTION 5991 Chester Avenue #105 JACKSONVILLE FL 32217 TYPE OF CONSTRUCTION: REAL ESTATE NUMBER:ZONING:BUILDING USE GROUP:SUBDIVISION: 170246 0010 ATLANTIC BEACH JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK: 859 OCEAN BLVD ROOF NON SHINGLE MODIFIED BITUMEN ROOF $2980.00 FEES DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT BUILDING PERMIT 455-0000-322-1000 0 $65.00 BUILDING PLAN CHECK 455-0000-322-1001 0 $32.50 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL: $101.50 LIST OF CONDITIONS Roll off container company must be on City approved list . Container cannot be placed on City right-of-way. 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. 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. MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION. ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES . ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY. 1 of 2Issued Date: 5/28/2021 PERMIT NUMBER ROOF21-0035 ISSUED: 5/28/2021 EXPIRES: 11/24/2021 ROOF NON SHINGLE PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 2 of 2Issued Date: 5/28/2021 PERMIT NUMBER ROOF21-0035 ISSUED: 5/28/2021 EXPIRES: 11/24/2021 ROOF NON SHINGLE PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 DESCRIPTION ACCOUNT QTY PAID PermitTRAK $101.50 ROOF21-0035 Address: 859 OCEAN BLVD APN: 170246 0010 $101.50 BUILDING $65.00 BUILDING PERMIT 455-0000-322-1000 0 $65.00 BUILDING PLAN REVIEW $32.50 BUILDING PLAN CHECK 455-0000-322-1001 0 $32.50 STATE SURCHARGES $4.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL FEES PAID BY RECEIPT: R15946 $101.50 Printed: Friday, May 28, 2021 1:25 PM Date Paid: Friday, May 28, 2021 Paid By: TURNKEY CONSTRUCTION Pay Method: CREDIT CARD 461065784 1 of 1 Cashier: CG Cash Register Receipt City of Atlantic Beach Receipt Number R15946 ~+; CENTRALSQUARE Final Plumbing Final Electrical Final HVAC CC Final Final Building* Swimming Pool Steel Swimming Pool Safety Electrical Grounding & Bonding Swimming Pool Final (Bldg) Swimming Pool Final (PW) Formed Columns/ Beams* Masonry Cell Fill Structural Steel* OTHER: OTHER: OTHER: OTHER: OTHER: Power Pole Silt Fence Piers/ Stem Walls Underground Plumbing Underground Electric Foundation/ Footing Slab** Retaining Wall Footing Driveway Sewer (Building Dept) Sewer Tap (Utilities Dept) Rough Electric* Rough Plumbing/ Top Out* Rough Mechanical* House Wrap Wall Sheathing Roof Sheathing Tie-down Framing Connections Rough Framing Roofing In Progress Window/Door In-Progress Insulation Ceiling Insulation Wall Exterior Lath Stucco Scratch Coat Exterior Siding In-Progress Brick Flashing & Ties Early Power Gas Rough Gas Final* * When all rough electric, plumbing, mechanical are complete but before any work is covered up. * When all gas piping is complete and wallboard is installed but before gas is attached to any appliance. All outlets must be capped and pipe pressurized at a minimum of 15 lbs. * For new living space: When all construction work including electrical, plumbing, mechanical, exterior finish, grading, required paving and landscaping is complete and the building is ready for occupancy, but before being occupied Additional inspections may apply to your project if your project contains these elements: INSPECTIONS REQUIRED FOR BUILDING PERMITS To verify compliance with building codes, inspections of the work authorized are required at various points of the construction. The following inspections are typically required for residential projects: Date: Initial: Date: Initial: _____________________________________________________ Permit Type ____________________________________________________ Permit No. __________________________________________________________ Job Address ____________________________________________________ Contractor POST THIS CARD WITH PERMITS AND PERMIT DOCUMENTATION IN FRONT OF BUILDING Construction Hours per City Code: 7am—7pm Weekdays; 9am—7pm Weekends Building Department Public Works/Utilities Fire Department Phone: 904-247-5826 Phone: 904-247-5834 Phone: 904-630-4789 Fax: 904-247-5845 Fax: 904-247-5843 Fax: 904-630-4203 * When forms and reinforcing steel, anchor bolts, sleeves and inserts, and all electrical, plumbing and mechanical work is in place, but before concrete is poured. * When all structural steel members are in place and all connections are complete, but before such work is covered or concealed. ** FORM BOARD ELEVATION CERTIFICATE MUST BE ON-SITE FOR SLAB INSPECTION IN fE'1r l@N l lN E~ ~I@ ~1-iM Musr CAIi. BY 4PM PREVIOUS DAY FOR NIEXI' DAY INSPECIION ROOF21-0035 ou11u111K rt:r rnn. "'PPIICi:ltton City of Atlantic Beach Building Department 800 Sem inole Road, Atlantic Beach, Fl 32233 Phone: (904) 247-5826 Email : Building-Dept@coab.us [$ecd--i 3ZZ33 Updared 10/9/18 ••ALL INFORMATION HIGHUGHTED IN GRAY IS REQUIRED. Job Address: ~+-lt"~Nr· • ~· 'L.. · mber: Legal Desc r iption !,~.~~~,.,...L.-.!:,,,f:'.--,~~-:=~~~,ml7'1H·•~p,y.--.u...._.13~~~::::-4,~""'""' E# ..i....-~~;;.._-=c..=....:....,,_,__ Valuation of Wo n ost .Jj_ , '!'=' / /2.()t> • Class of work: □New □Addi tion A teration" ~epair □Move □Demo □Pool □Wind Do ~ AY 2 5 2021 • Use o f exi sting/proposed structure(s): □Commercial ~ntial • If an existing structure, Is a fire sprinkler system installed?: □Yes ~ BY:. _____ _ Tre Remov I P rmf □No Owner or Agent (I f Agent, Power of Attorney or Agency letter Required) __________________ _ Contractor Information b Si State Certification/Registration # .:.=-:.i..::~"'"-'~"'-- Architect Name & Phone# ________________________________ _ Engineer's Name & Phone #--,-----=,---~-------------------,,.-,----r-.......,,........,,~-x. ..... •Mai,..J1.-1-11.,,1.1~~~....,.~~z:...L;::;;.;....:..ua..,._..._._...._.__ __ _ Workers Compensation Insurer bfSWI)._._ ~fQ!;l)C) OR Exempt a Expiration Date8µ_$u5£ 2,~(;),c)... 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 o f a per mit an d that all wor k will be performed to meet the standards of all the l aws regulating construction In this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBI NG, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and AIR CONDITIONERS, etc. NOTICE : In addition to the r equirements of this permit, there may be additional restrictions app licab le to this property that may be found In the public records of this county, and t here may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies. 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 RECORD V,""' ...... ..-. .... T MMENCEMENT. -~-~A----.--~-- (Signature of Contractor) · ned and sworn to (o/ affirmed before me this il.!/_ day of H-~~~~-~:;:..,,.. l.fL,f/LL..:::f----' dl?c.21_, b L v ' •• , t-VlOlET~t:.~~,....~i-L-:P,.-L.t...d-.a:.....L...-==......,..~ .. . "' _.,._,..,cmmnSeplembe(20,2024 .,._NocaryNIWSMIDll~lllllllll'IOI y Known OR tl-O?'~J8QW9ldlS~ ( ] Produced Identification ~0£tt0 HH t UO!ff1WI.Do:) Type of Identification: A003113W3:U.310IA ROOF21-0035 specified, complet e sheet metal f lashing lnstalla tlon using cut PlyBase or MldPly flashing collar s at a ll flashing details. All cap sheet flashings Installed to t ransitions that overlap onto miner al surface must be set in a uniform troweling of FllntBond" trow el grade a d hesive. Appllc atlon o f FllntlastJc SA C a p (or S A Cap FR) Before installing Flintlastlct SA Cap or SA Cap FR, sweep the underlying anchor sheet or base ply to remove any d ebris that could interfere with adhesion. To Install Flintlastic SA Cap (or SA Cap FR), s tart at the low point of the roof w ith an appropriate roll width to offset sldelaps from the underlying membrane a m inimum of 18". Work with manageable lengths for proper handling. Position SA Cap (or SA Cap FR) with selvage e d ge release strip at high side of roof. Install In weather-lapped fashion, with no la p s against the flow o f water. Once positioned, 11ft and fold back {lengthwise) the lower half of the membr a n e . R e move the spilt release film and press firmly Into place. Then repeat with the other (hiQh s ide of the roof) half of the membrane. 5 Follow the same layout and spilt release film procedu res as for MidPly (or PlyBase), but overlap sldelaps 3 ' and endlaps 6 ". Use a weighted roller over the entire surface of Fllntlast jc SA Cap (or SA Cap FR) to secure I t in place and prevent voids, working outward from the center of the sheet . As subsequent membrane lengths are Installed, remove the selvage edge release strip just prior to overlapping to keep the adhesive area protected and clean. Cut endlaps at opposing d iagonal corners at an angle approx. 3 ' by 5 -1/2 " from the corners to minimize T-seams. FllntBond trowel grade Is required on the e ntire s• widt h of each endlap prior to overlapping. App ly a uniform 1/8 "-1/4 " troweling of the Fl lntBond on the entire width of the endlaps to the underlying membrane. Install the overlapping s h eet. Always apply FllntBond (exte nd beyond underlying lap m in imum 1/4 ') on the entir e width of any overlap w h en applying SA Cap (or SA Cap FR) over another m ineral surface such as the SA Cap (or SA Cap FR) endlap. At all vertlcal and other flashing points, apply FllntBond trowel grade wher ever there Is an overlap onto m ineral s urfacing. Once the membra ne has had a chance to bond, check all laps and Joints for full adhesio n. If the membrane c an be lifted at any area It ls not p roperly adhered. A seam probing tool can be helpfu l to check tor small voids at laps. If necessary, use appropriate h and-held hot a ir weldihg tool and seam roller or an appllcation of FllntBond to seal small unbonded areas i t they exist. Cons truction Details Included In t his manual are a few common construction details. Please refer to CertalnTeed's standard details or the NRCA for details not found within this manual. Important to note with all details, all metal must be primed and set in FllntBond• trowel grade adhesive and all overlaps over mineral surfacing must utilize FllntBond trowel grade adhesive. The Prope r T-Seam Detail • Before adhering Fllntlastic• SA PlyBase or M ldPly. Cap (or SA Cap FR) endlaps , trim the underlying sheet's lower comer at the end o f the roll. ,._tr f'llN~ NII Moclt- llluffl!ln~---~ .. ~ '° ll•full .......... -l-.0111Q __ ,.eu,_I • Follow with the overlapping sheet, trimming the upper outside corner. • Corners should be trimmed on a diagonal angle 5-1/2" long from end of roll to outside edge. • Width of trim should be equal In width to the sldelap specified (3• for Fllntlastlc SA Cap [or SA Cap FR] and 2' for Fllntlastlc SA MldPly [or PlyBase)). • Trimmed comers should be completely covered by application o f succeeding courses. • Note: If using Flfntlastlc SA PlyBase or MldPly, apply quarter-size dab of FllntBond at T-seam area. II using Fllntlastlc SA Cap (or SA Cap FR), the endlap should be completely set In trowel grade FllntBond along the entire 6" lap width. 6 R a ke Edge Detail • Cut selvage area at an a ngle at all rake edges. • Apply a bead of FllntBond caulk along cut edge to ellmln a te mole holes. Typical Construction Details -Flintlastic1i> SA 2-Ply System Vent Pipe Collar Detail Drain Detail \~~f'atlll IID11':d ~O. -,,. 'll!Wll\!r •~ ' • ltl!:tlat£1'.AC:;v.l'l!'ll . It' - Inside Corner Outside Corner G. MHd Cnr.n1 I P 7 Typical Construction Details -Flintlastic@• SA 2 -Ply System Wood P a r a p e t W a ll O etall l w.m, r.0:11111 1 n.,11:1.!.llt M-lli•fllt!M r ftimat o,..,, VN111:ll Vlll! 7'; ~ __ Scuppe r Deta il lll'l 111'"'11117,...lnh. ~-~ ...,..._,,.,itt!r.., 8 C o n c r ete W a ll T e rmi n a tion w ith Surface Mount Flashing _,....,... ____ ....,,...,.. ,. !hlr: M11JI tnl13!i't',smi, ----!r"----,~--rCrn...--mtnl!W~ ,-----4. 1:-nl!mll ho-,,•I lifooul 11mcm11 1!~11U11e1~ l . flmul c :;A fl1!1lW i!f "11>1t .rlftl -1. 1'11111 CtfD'N tvo:rGJ M\:I ~trliAI Sori.l(t, .u. fi.tJ;li1JN !i,l Edge D e t a il w i th Ins ulation ,n,,,1'rro, -" u»'JIDINlt IK»r."D'W W flJIIU'~I •.~SA c.«l.fiftl 2-Ply System Specifications SPECIFICATION: SA-N-2-S Flintlasllc" SA NallBaso, nailed. Flintlastic SA Cap (FA), self-adhered. For use over nallable deck s 4• End Lap--1 : Eno Laps Stijggo rod 3' Apart (mio) ' . . . . . .. : t 39¥,' 3; L~p ! I) 6• I SA-N·2·S End ·~ Lap ,[ . l · .. I ! Note: Flintlastic SA MidPly, FlintBon d Trowol Grade and FlintBond Caulk Grade are needed lor flashing domlls and mineral sur face membrane overlaps. FlintPrime (SA) is needed for surfaces that requlro priming. Cants Jn angles o l roof deck and vertical surfaces, the roofing contractor shall furnish and Install an approved cant strip with a minimum 3' face. 9 SPECIFICATION: SA-C-2-S Fllntlastlc SA NailBaso, applied usfng hot asphalt, or Fllntlastic SA PlyBase or MfdPly, self-adhered as base p ly . Fllntlastlc SA Cap (FR), soll-adhored. For use over non-nallabl e d ecks or approved insulatlon (Flintlastic SA Base required over insulation} f;"Endl..dll Entllnpt Slaooowd 3 Aparl (m,n) •• j 3 " Lap ; . 'i 'I 39 ;•• • 6 ,I ' ' Ef)d -: • : lop .1 1 ' l ' . l . I Note: Flln tlastic SA M ldPly, FlintBond Trowel Grado and FllntBond Caulk Grade are needed for flashing details and mineral surtaco membrane ovor1aps. FllntPrime (SA) is needed for surfaces that require priming. Cants In angles of roof deck and vertical surfaces, the roofing c ontractor shall furnish and Install an approved cant strip with a minimum 3· tace. R oof System Vontllatlon Roof system as shown requires ventilation as per NRCA recommendallons. Typical Construction Details -Flintlastic~· SA 3-Ply System Vent Pipe Collar Detail Drain Detail Edge Detail 10 3-Ply System Specifications SPECIFIC ATION: S A-N-3-S Flinllastlc~ SA NailBase, nailed. Fllntlastlc SA PlyBase or M idPly, self-adhered. Fllnllastlc SA Cap (FR), sell-adhered. For usa ovar nalla bla decks SA•N-3-S Eno Laps Sl1t99e11'0 '.3 Ap...1,1(01111.1 (j' ' End • Lap i: . 1· .. :• Note: Flintlostic SA MidPly, FlintBond Trowel Grade and FlintBond Caulk Grado are needed ror nashlng do1ails and mineral surface membrane overlaps. FlintPrime (SA) Is needed for surfaces that require priming. Cants In angles of roof deck and vertical surfaces. the roofing contractor shall furnish and Install an approved cant strip with a mini mum 3" face. 11 SPECIFICATION : SA-C-3-5 Fllnt1as11c SA NallBase, applied using hot asphalt, or Fllntlastic SA Ply8ase or MidPly, self-adhered as base ply. Fllntlastlc SA PlyBase or MldPly, selr-adhered. Flintlastic SA Cap (FA), self-adhered. For use over non-nallable deck s or app roved insulation 4~ t::n1 ► Lnti , .. ' 1 E"'H •~• S1~_:m1,1 11d ~A,,.tn t~:J I 1'l•lP r, Eoo ~ • I Lop ' • ·.1 ! SA·C ·3-S Note: Fllntlastic SA MldPly, FlintBond Trowel Grade and FlintBond Caulk Grade are needed tor flast1ing details and mineral surface membrane overlaps. Flfr11Prlme {SA) is needed for surfaces that require prlmlng. Cants In angles of roof deck and vertical surfaces, tho roofing contractor shall furnish and Install an approved cant strip with a minimum 3' face. Fln!nstx;• SA Nnllla.oe Flintlas!ic• 6A PlyBMO Fll'lllAotic" SA MldPly Flnt!ru,t;c• SA Cap Flintta.,,tic" SA Cop FR &16'k39-3/8' 64'6' x 30--:l,,lt 321 • " 39-3,'lt 3Z1 I' x 39-:J/8' :)Zt r ,c 39-:W- 1.5mm 1.5 rm, 2.0n,m 4 .0mm 3.2mm ---- 82 lbs BG lbs G31be 05 lbs 88 Ibo.. ------------- 2 SQU!ln)s 2 Sq,1ivos 1 SQl."'10 tS(llmro ISqunro --------------------- PunnnllOnt F 1.tr-n Porrnunont Fein, Porrn:K'Ont F'tln, M•,mnl Mennrl'llJ Snnd AomoYablo Aoloaao FIim Romovablc Rolonso Fdm Romov:lblo Rolooso FIim Romovnblo Roloaao FIim F'ibo,oinso; Mnt Fiborgto"" Mot F'oborolasaMn1 Non.WOl.'On Poiyoalor Mat Honvy QJly ~ Mm 651•0 (MO,CO) 65140 IMDICO) 7S/50{MOJCOJ 85,'67 (MOJCO) 64/!iO (MOCO) ·----·-----------· --------------. ·---- G.'&CMO,-COI G/5 <MO.COi Cil!I/MO.tml 61166 (MOCOl 414 (MO.'COl PAiietized. Bnnds lndMduaJ Cnrtons lndillldual Ca,io, 111 lndMdval CMoru ~ldMdual Curtons. 20 Roll• Por Pollot 20 Aoll9 Pm Pnllot 20 Rolls Por PnU0 1 20 Rolls Por Pnllot 20Ao116PorPnht 1 2 ROOF21-0035Permit No. _________ _ Tax Follo No. 170246-0010 NOTICE OF COMMENCEMENT State of FLORI DA County of~d=u~v=a~I ___ _ The u ndersigned hereby gives notice that improvement will be made to certain rea l property, and In accordance w ith Chapter 713, Florida Statutes, t he following information i s provided in this Notice of Commencement. 1. Description of property: (legal description of the property, and street address if available).,_: ______________ _ 5-69 16-2S-29E .21 ATLANTIC BEACH PT HOTEL RESERVATION RECD O/R 9884-1271 859 OCEAN BLVD Atlantic Beach Fl 32233 2. General description of improvement: ...;R:...:e.::.•..:..R.:.:oc::oc:...f _______________________________ _ 3. owner (name and address):_B_o_b_M_u-'rp_h..:.y ______________ 85_9_O_ce_a_n_bl_vd ______________ _ Atlantic Beach Fl 32233 a. Owner's Int erest in property:_F_e_e-_S_im.....:....pl_e _________________________________ _ b. Name and address of fee simple titleholder (if other than Owner):. _______________________ _ 4 . Contractor: (name and address).:...: ---=-T-=U:;..::R=N=-=-=-K=E=Y..;;._;;R=O=-=O:;..::F'-"l=N~G=-O~F-=F'-"L=O=-=-R=l-=D--"-A""','-'l=N-"--C=-=-. __________ _ 9521 SHELLIE ROAD UNIT 1 JACKSONVILLE FL 32257 a. Contractor's phone number: _,(""'9~0...,_4.,__} .,,_90,,,_0'°--'1.,,,0""6.,,_9 _______ _ 5. Surety (name and address): _____________ _ a. Surety phone number: _______________ _ b. Amount of bond: $ _________ _ 6 . a. Lender: (name and address): ____________ _ b. Lender's phone n umber: _________ _ Doc# 2021132976, OR BK 19738 Page 521 , Nu mber Pages: 1 Recorded 05/25/2021 04:35 PM. JODY PH ILLIPS CLERK CIRCUIT COURT DUVAL COUNTY RECORD IN G $10.00 7 . a. Persons within the State of Florida deslgnated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a) 7., Florida Statutes: .uCn'""a""m-'--""e.,,_a'-"nd=ad.,,d.,r_,,e"'ss"-)'---------------------------- b. Phone numbers of designated persons: ______ _ 8. a. In addition t o himself or herse lf, Owner designates _______ of _______ to receive a copy of the Lienor's Notice as provided in Section 713.13(l)(b), Florida Statutes. b. Phone number of person or entity designated by owner: _______ _ 9. Expirat ion date of notice of commencement (the expiration date is 1 year from the date of recording unless a d ifferent date is specified): _______ _ WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATIO N 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 NOTIC E 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 COMM E N CING W ORK OR RECORDIN G YOUR NOTICE OF COMMENCEMENT . . /:;~ Owner's Signature: Print Name: Bob Ml!!..!! ~ Title/Office:______________ /J-... rl h . The foregoing instrument was acknowledged before me this~ day of /JI /'J, .L/'\ • 20~ by r;;J;...)flR) / K_,U/lp L{/ as (type of authority, e.g. officer, trust ee, attorney In fact)-------~---~ for (name of party on b alf ~f whom In r ument ;-J executed) ___________ who (check one)_ is personally known to me or _ who produced .,r--=-~~~,,....,--~ The signer personally appe~f ,before the Notary at the t ime of the notarization by physical presen~ communication t echnology~ and wl').Q_ affirmed ~IJ.a t all the i!Jbove statements are true and correct. e b '-.J-er, ~,•co...i-1 .,,,,..__ ~ ...--, ~ VIOlEfftM\\l~~'(' ' I-:-:::-/ --,, ~ ~.:.. _.,.,,.... Commllllontt\"M~~1 Signature of Notary: ~ ~ ; ; ExpiruSll)ltmbit ill ,iQ2¾ -2 O ,..z "~oFf\.o'<> BondedThNMlt\NllfY ~•~ My Commission Expires: ______ ...._ ________ _ Location of the Notary at the t ime of notarization. ______ _