HomeMy WebLinkAbout16-17678 �
CITY OF ZEPHYRHILLS ,
; '' S335-8TH STREET '
(813)78o-oozo �17
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit N'umber: 17678 Address: 7209 GREENSLOPE DR
Perm;t Type: SIGN ZEPHYRHILLS, FL.
Class of Work: WALL SIGN Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Squar�Ie Feet: Subdivision: CITY OF ZEPHYRHILLS
EstL Value: Parcel Number: 34-25-21-0000-00300-0091
Impro�r. Cost: 1,975.00 OWNER INFORMATION
Date 'ssued: 8/29/2016 Name: CASELNOVA, MICHAEL &ANGELA
Tot�l Fees: 67.50 Address: 11335 FORT KING RD
Amot�nt Paid: 67.50 DADE CITY FL 33525
Da�e Paid: 8/29/2016 Phone: (813)788-0411
Wo k Desc: INSTALLATION WALL SIGN 43.75 PANEL
CONTRACTOR S APPLICATION FEES
INTERNATIONAL C & C CORPORATION SIGN 67.50
. � � I
/
Ins ections Re uired
FOOTER I '
ELECTRICPL ROUGH
FINAL I
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local �overnment shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,for each such subsequent reinspection.
NOTIC : In addition to the requirements of this permit, there maybe additional restrictions applicable to this property that
may b�found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
"Wa�ning 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."
Complete Plans,Specifications Must Accompany Application. All work shall be pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO.00CUPANCY BEFORE C.O.
a -
CO T CT IGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
�",. �. .'�.
i
. s��-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permitting —
1 1 1 1 1 1 1 1 1 1 1 1 1 ,
Owner's ame ��'yit�E�9�.r/��s1 �/9'✓"EZ'✓�'v'9 Owner Phone Number
� �j /�
Owner's ddress ���{ r /�G�D/,//l'iJE�/l ,� � Owner Phone Number
Fee Simpl' Titleholder Name ����r Owner Phone Number
Fee Simpl Titleholder Address
JOB ADD ess o20 G/z�'�/.f'<df'� /Z Zt��j/j'i2/t��1S`'L• .�3 � LOT# �
SUBDIVIS ON PARCEL ID# � "P��a��vdv'�/v���- Oa9�
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK P OPOSED e NEW CONSTR e ADD/ALT � IGN � � DEMOLISH
INSTALL REPAIR
PROPOS D USE 0 SFR � COMIVI 0 OTHER
NPE OF ONSTRUCTION Q BLOCK FRAME � STEEL � -
DESCRIP ION OF WORK '����T��'�^t��� ��L'r��! ��y��dKr �✓�� ��� L'"
BUILDIN SIZE SQ FOOTAGE %'��� HEIGHT
T-r rr�rrl"rrr�—�rrr'rr
UILDING $ � VALUATION OF TOTAL CONSTRUCTION
s,� y7
� LECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
� LUMBING $ ,^��J�
l ' /��� �
� � �
ECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
0 AS Q ROOFING Q SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO
���� 1-�1-1� 1-�1� 4-�1���1--F����C�'-'ri--i-� �
�\.J �lT�'i� QTIO� /
BUILDER � COMPANY /fl�/X L�-S'
SIGNATU E REGISTERED N FEECURRE� Y!N
Addr ss ���� /���f�Ls'� � �d .�7 � License# �`s/a00d y�
ELECTRI�IAN COMPANY
SIGNATU E REGISTERED Y/ N FEE CURRE� Y/N
Addr ss License#
PLUMBE COMPANY
SIGNATU�E REGISTERED Y/ N FEE CURRE� Y/N
Address License#
MECHAN CAL COMPANY
SIGNATU E REGISTERED Y/ N FEE CURRE� Y/N
Addr ss License#
OTHER COMPANY
SIGNATU E REGISTERED Y/ N FEE CURRE� Y/N
Add ess License#
1111 � 11111111111111111111111111111111111111111111111111111111111111
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
_ Sanitary Facilities&1 dumpster;Site Work Pertnit for subdivisions/large projects
COMME CIAL Attach(2)complete sets of Building Plans plus a Life�afety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PE MIT Attach(2)sets of Engineered Plans.
**PROPERTY SURVEY required for all NEW construction.
—l..�4d� I�.h��1..1..�1..4.i�'�.+'�.i—r�1..����1..�1..1..��1��1..��:..:..rC..'r�� . . . .
Directions:
Fill o�t application completely.
Own r&Contractor sign back of application,notarized
If ov�r$2500,a Notice of Commencement is required. (A/C upgrades over$7500) ,
"* Age t(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER TH COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driv ways-Not over Counter if on public roadways..needs ROW
.
.� � �
MOT�CE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed" restrictions"
which may be more restrictive than Counry regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
cont�actors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
unde�r state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
inten�ded work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009�. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
cont�actor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TR�4�ISPORTATION IMPACTIUTILITIES IMPACT i4ND RESOURCE RECOVERY FEES: The undersigned understands
that �Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-0 as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
per itting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
recei ing a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees,are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CO STRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended): If valuation of work is$2,500.00 or more, I
certi� that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Prot ction Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
othe�than the"owner', I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owner" prior to commencement.
COi�TFZ4CTOR'S/OWNER'S AFFIDAVIT. I certify that all the information in this application is accurate and that all work
will e done in compliance with all applicable laws regulating construction, zoning and land development. Application is
herei y made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
com�enced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certi�y that I understand that the regulations of other government agencies may apply to the intended work, and that it is
my r sponsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
US Environmental Protection Agency-Asbestos abatement.
Federal Aviation Authority-Runways.
I un erstand that the following restrictions apply to the use of fill:
Use of fill is not allowed in Flood Zone"V" unless expressly permitted.
If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida
If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction, I certify that fill will be used only to fill the area within the stem wall.
If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plurr�bing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
set side any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requ ring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six(6) months after the time the work is commenced. An extension
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
justif able cause for the extension If work ceases for ninety(90)consecutive days, the job is considered abandoned.
WA�NING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAY`NG TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTO BEFORE RECORDING Y UR NOTICE OF NCEMENT. '
FLOF'IDA JURAT(F.S.1 7 0 )
OWNER GENT , CONTRACTOR I
Subscribe a wom to o affirme befase me this S bscribed nd snrom to(or affirmed)bef e this
-�bY !.�!/u�/.�rn ', Cr2�.r� -,�/s�� by G✓ t�s
ho is/are ersonall i <nov�n to me or has/have produced V�Iho's/are ersonally known to or haslhave produced
as identification. as identification.
I
NotaryPublic Notary Public
Comr�ission No Commission No
Name of Notary typed,printed orstamped Name of Notary typed,printed orstamped �
GAflY HICK3 "'"
SiR�A"Y'P�e�,,� r n"�• GARY HICKS I
,qtiiF:..YP��•,
�: MY COMMISSION#FF 16e587 ;t '';;-: MY COMMISSION#FF 16e587
���','�; EXPIRES:January 10,2019 :�;�:;�; EXPIRES:January 10,2019
'•:,��,j��o�;�• Bondnd Thru Notary Public Underxriters •�'�,',�pd��'R' Bonded Thru Notary Publie Underxriters
� . o lS'`ianiun..
"V y�--�-ra"."�
.,r9,r`;
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� City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contrac or/Homeowner: ����*�`� �
Date Re eived: �� ��—` l'
� Site: ??—O 9 �p•'�� �l�
Permit i ype: �4`/ �-!' ,F'y�
ApprovEd w/no comments: ' Approved w/the below comments: ❑ Denied w/the below comments: ❑
This co ent sheet shall be kept with the permit and/or plans.
�� � �
Kalvin� w tzer—P Examiner Date Contractor and/or Homeowner
(Required when comments are present)
i. � . l
Archi ectural Identification Incorporated
Corporate Office Purchase Order No. 0616510-01
1170 Claycraft Road
Gahanna�OH 43230 DATE June 29, 2016
Telephone(614) 868-8400
Telecopier/ Fax(614) 868-8590 DATE REQUIRED µ�����"On or Before July 21,µ2016 � � �
1-800-992-2131 . -- -.-. _—.-_._...._. _ -, --
SHIP VIA INSTALL
TO: International Sign Company ]OB REFERENCE BHMG Family Practice(7209 Green Slope Drive)
10831 Canal Street
Largo, FL 33777 INSTALL AT BHMG Family Practice Zephryhills
Attn: Joe Russell 7209 Green Slope Drive
Zephryhills,FL 33541
PR E PER AM U
1 Sign #1-42"x12'-6" Panel w/Vinyl Graphics $ 650.00 ea $ 650.00
1 Sign #1 -Temporary Banner while panel is being permitted $ 100.00 ea $ 100.00
1 Sign #2-Door Vinyl $ 50.00 ea $ 50.00
1 ESTIMATED PERMIT COST $ 875.00 ea $ 875.00
***RENDERINGS ATTACHED***
MATERIALS $ 1,675.00
INSTALLATION $ 300.00
Ir TOTAL 1 975.00
1.This Qurchase order number must be shown on all related invoices,delivery memoranda,bills of lading packages and
correspondence. Responsibility will not be accepted for goods delivered unless covered by a signed purchase order.
2. Fo 'ard an acknowledgement of this order with scheduled ship date.
3. Fo ard invoices in duplicate. If shipment is made by freight or express,the original bill of lading properly receipted
shal accompany invoice.
4. Matgrials,supplies,or services required by this order shall be subject to inspection and tested upon receipt,and if
reje�ted shall remain the property of the vendor.
5. Sho�ld a price discrepancy occur from the amount indicated on this order,notify us prior to processing the order. No
, invo�ce will be paid in excess of the amount indicated on this order without prior written authorization.
Autho�ized by: Brandon M. Eckfeld
, ..- ��
��nXP��
SERVICE• INSTALLATION
International C&C Corp. d.b.a Sign X Press
10831 Canal St. Largo, FL. 33777
PH. 727 541-5573 FAX 727 544-7745
' FROM: WILLIAM H. GRIFFIN
INTERNATIONAL C & C CORP. DBA SIGN X-PRESS
' 10831 CANAL STREET
LARGO, FLORIDA 33777
I HEREBY AUTHORIZE KEITH LADOGANA TO SUBMIT PERMIT
APPLICATIONS, MAKE CHANGES•AND INITIAL CHANGES TO
APPLICATIONS AND PLANS, SIGN FOR AND PICKUP PERMITS, AND
OBTAIN ALL LICENSES FOR CITY OF ZEPHYR HILLS
I CERTIFY THAT THE ABOVE AUTHORIZED PERSON IS ACTING ON
BEHALF OF INTERNATIONAL C & C CORP. DBA SIGN X-PRESS AND
UNDERSTAND THAT I AM FULLY RESPONSIBLE AND LIABLE FOR ALL
ACTS PERFORMED UNDER SAID PERMITS.
DATE: �'/� , 2016
VV�
SI ATURE OF QUALI R
WILLIAM H. GRIFFIN
LICENSE # ES12000419
STATE OF FLORIDA
' STATE OF FLORIDA
COUNTY OF PINELLAS
SWORN TO AND SUBSCRIBED BEFORE ME THIS �S DAY OF , 2016
by William H. Gri ' who is personal known to me r produced I
as identification.
NOTARY PUBLIC
MY COMMISSION EXPIRES
=���"•`�:�;, GARYHICKS
=;:� .+'= MY COMMISSION#FF 16E587
y,'a: EXPIRES:January 10,2019
'�;p,f��4P'� Bonded Thru Notary Public Underwriters
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140
DESIGN CALCULATIONS
FOR
[3/�YFRONT HE/�LTH IVIEDIC/�L GIZOUI�
W/�LL-�VIOUI�JTED SIGNS
7209 Green Slope Dr—Zephyrhills
GENERAL OTES: I
1. Desig`is in accordance with the Florida Building Code 5th Edition(2014)for
use w thin and outside the High Velocity Hurricane Zone(HVHZ).
' 2. Wind��oads have been calculated per the requirements of ASCE 7-10 as
showr�herein.
3. These engineering calculations pertain only to the structural integrity of
those systems, components,and/or other construction explicitly specified
herei and/or in accompanying engineering drawings. The existing host Index:
struct re(if any)must be capable of supporting the loaded system as P i Cover
g
verifi d by building department or architect/engineer of record. No pg Z wind�oads
warra ty,either expressed or implied, is contained herein.
Pg 3 Anchor Design
4. Syste components shall be as noted herein. All references to named
comp�nents and installation shall conform to manufacturer's or industry
speci cations as summarized herein.
5. Wher site conditions deviate from those noted herein,revisions may be Enginee'r�'�'�sb�r��t�ree�ild�seal valid
requi ed or a separate site-specific engineering evaluation performed. ,.`" t}�-� �f.j�
o`,of0�'�R2���lV'S�''�—
6. Alumi um components in contact with steel or embedded in concrete shall � �°�•' ���a
be pr'�tected as prescribed in the 2010 Aluminum Design Manual, Part 1. � �: ��.�� � o �
Steel�omponents in contact with,but not encased in,concrete shall be = �: :� e
coate ,painted,or otherwise protected against corrosion. e ; ; -
e
7. Engin er seal affixed hereto validates structural design as shown only. Use � : ��'°T .' ��
of thi�specification by contractor,et.AI,indemnifies and saves harmless ;� '•.� JUI 2, ��1,6: �,�
this engineer for all costs&damages including legal fees&apellate fees Chi'iS�a'Fi�� � � °��f���67382
�oo. 1 o�a
result ng from deviation from this design. Eesy Seel9�►aoo� tt°�$uth#31124
1200 N Federal hlwy,#200 �`
Boca Raton,FL 33432 �Qsy Jea�.COIYI Page 1
�
� �� C/�LCUL�TIONS FOR W/�LL-MOUNTED SIGNS
` ��� ��Seal�
`1��� earyseals.com
��` /�SCE 7-10 Design VNind Loads
11VALL-M � UNTED SIGNS
Building pecs
V= 140 mph Basic wind speed ASD Load Combo Coeff: 0.6 -
Exposure; C
Calculati ns
' a= .5 3-sec gust speed power law exponent Kd= 0.85 Directionality factor
zg= 00' Nominal ht. of atmos.boundary layer Kzt= 1.0 ;Topographic factor �
Gcpi= 0 Internal pressure coeff '�
� A= 10 sq ft Tributary area
140 mph - Exp "C"
WALL-MOUNTED SIGNS
ASD WIND PRESSURES
SIGN CENTER ; CORNER
u a a
HEIGHT (Zone 4) ; (Zone 5) v Y QZ � � � ,;,
15 ft 23.9 psf ; 30.4 psf 0.85 36.2 -1.10 -1.40
20 ft 25.4 psf : 32.3 psf 0.90 38.5 -1.10 -1.40
25 ft 26.6 psf ; 33.9 psf 0.95 40.3 -1.10 -1.40
30 ft 27.6 psf ; 35.2 psf 0.98 41.9 -1.10 -1.40 �
' 35 ft 28.6 psf ; 36.4 psf 1.01 43.3 -1.10 -1.40
' 40 ft 29.4 psf � 37.4 psf 1.04 44.5 -1.10 -1.40
45 ft 30.1 psf ; 38.3 psf 1.07 45.6 -1.10 -1.40
50 ft 30.8 psf ; 39.2 psf 1.09 46.6 -1.10 -1.40
55 ft, 31.4 psf ; 40.0 psf 1.12 47.6 -1.10 -1.40
60 ft 32.0 psf ; 40.7 psf 1.14 48.5 -1.10 -1.40
70 ft 27.0 psf � 54.1 psf 1.17 50.1 -0.90 -1.80
80 ft 27.8 psf ; 55.6 psf 1.21 51.5 -0.90 -1.80
90 ft 28.5 psf ; 57.0 psf 1.24 52.8 -0.90 -1.80
100 ft 29.1 psf ; 58.3 psf 1.27 54.0 -0.90 -1.80
110 ft 29.7 psf � 59.5 psf 1.29 55.1 -0.90 -1.80
120 ft 30.3 psf � 60.6 psf 1.32 56.1 -0.90 -1.80
130 ft 30.8 psf ; 61.6 psf 1.34 57.0 -0.90 -1.80
140 ft 31.3 psf ; 62.6 psf 1.36 57.9 -0.90 -1.80
150 ft 31J psf ; 63.5 psf 1.38 58.8 -0.90 -1.80
175 ft' 32.8 psf ; 65.6 psf 1.42 60J -0.90 -1.80
! 200 ft 33.7 psf � 67.5 psf 1.46 62.5 -0.90 -1.80
250 ft 35.3 psf ; 70J psf 1.53 65.5 -0.90 -1.80
; Page 2
i
1 �
` ����� �, ��a� CALCUL/�TIONS FOR W/�LL-MOUNTED SIGNS
/� � earyseals.com
` Wall 5 gn /�nchor Design
Structure Dimensions & Loading
140 Design wind pressure: P= 35.2 psf
Sign type: ' Cabinet
�I Sign size: A= 43.8 sqft (entire cabinet)
� W811 m8terl8l: � Wood ;CDX or equiv,thickness to match Min Embed ,
Anchor type/size: #14 SMS
Ref: APA E830E Fastener Loads for Plywood
Min Embedment: 0.5"
Min edge dist: 2" Min Spacing: 2"
Anchor tensile capacity: Tcap= 112.0 Ib (per anchor)
Check A chors for Pullout
Total Reaction: Rt= 1540 Ib ...=P*A (entire cabinet)
o.of anchors req'd: n= 13.7 total anchors ...=Rt/rcaP I
Total anchors required: 14 total anchors balanced over cabinet
OK,critical anchor option shown.
Ref anchor schedule for other anchor options.
Page 3
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DATE: 7/12/16 I
TO WHOM IT MAY CONCERN:
This letter authorizes INTERNATIONAL C & C CORP. DBA SIGN X PRESS and their
agents to manufacture, service and install or remove signs and/or awnings at the
following location: It also grants authorization for William H Crriffin; President and
qualifier for International C & C Corp. DBA Sign X Press to sign the permit application
on behalf of the owner.
I,ocation: 7209 Green Slope Drive
Zephyrhills, F�33541 ,
INTERNATIONAL C & C CORP. DBA SIGN X PRESS or subcontractor is authorized
to secure permits and variances by the local governing body.
NAME:
�� L � �'� �2�12� �-���1
J �h
TITLE: Ow�ier
,� `l�. �.,c�f.� ��..-��
Notary Public: � +��- �-,�°'",L ��`',/""��`" �"!
� �� �
, County of: Pasco
, State of: Flonda
My Commission Expires: ���`�1��c.�v 'I
��.Q��p�+��'"a E�t�iy�PE�&C��SB288 o�fo or cia ;�;
` G��'a[tti�sibn���9da�54 �
".`� `,` ��G�t€aD6id.�ugas'd�P��s 97,202t;�'
- ��°�o��C es``''� Qg��c'�'��P�fd��d E�w6'eIS�u��M1:IIici�l�1Ssr �f�
.�-�l.�i) i�Q�.i i+J(it� �ii�ai�°�)���.'—s�.�4l1, ?J�.:?�F2�
r r�: :spv�e 5�,
�yaG"Jj.`°elGCY n f.>+�`'..a�IYPQ�������e';'a��i9.��.��.9S�:rb
---�` �
�
��� ��'��������6°�� ����B�Q`�6���0�9� �d'����°��C�����
� Corporatei0ffice P�srchase t)rde�R��. 0616510-Oi
� 1170 Clay�raft Road
Gahanna,OH 43230 83A�'� �une 29, 2016
Telephone�(6f4}86$-8400
. __._. ._.. _ .. _ . __._._.. _ _
Telecopier/ Fax(614}8b8-8590 �ATE �dEQ49IRED ,- On or B�fore.Jia�ji 21; 2t�16 . ;
1-800-992�2131 . _ �. - -
�HIP VIA INSTALL
TO: nternafiana!Sign Comg�any ]�QB IREFERENCE BHMG Family Praetice(7209 Green Siope Drive)
1�0831 Cana!Street
�argo, FL 33777 INSTALI A1' BHMG Famity Practice Zephryhilts
ttn: Jae Russell 7289 Green Stope Drive
Zephryhitls,FL 335�41
� PRI E PER AM NT
� i. SIign #1-42"x12'-6" Panel w/Vinyl Graphics $ 650.00 ea $ 650.04
1 S+'gr�#1-Temporary Bartner while pane! is being perrrtitted� $ foo.aa ea $ i00.00
'� 1 S�gn #2- Daor Viny) $ 50.00 ea $ 50.00
1 E�TIMATED PERMIT COST $ $75.00 ea $ 875.QQ
***RENDERINGS ATTACNED***
�i .
MATERIALS $ 1,675.00
INSTAL(ATION $ 300.00
Tt3TAL 1 975.00
1.This pur hase order number must be shawn on atl related invoices,delivery memoranda,bills of lading packages and
corresp�ndence.Responsibiiity will not be accepted for goods deiivered unless covered by a signed purchase order.
2. Forwar an acknowledgement of this order with scheduted ship date.
3. Forward invoices in dupticate. If shipment is made by freight or express,the original bill of lading properly receipCed
shall accompany invaice.
4. MateriaMs,supplies,or services required by this order shali be subject to inspection and tested upon receipt,and if
rejectec�shail remain the property of the vendor.
5. Should�price discrepancy occur from the amount indicated on this order,notify us prior to processing the arder. No
invoice�nritl be paid in excess of the amount indicated on this order without prior written authorization.
f
Authorize� by: Brandon M. Eckfeld