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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`; s' ��_ �� � 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 � , ' ;,..,., ,� - . � ; ` - : �.:.�"r�!� I �� � �� � — i� _,,,���,� easyseals.co m 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. 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N � 'x '� `' �, e �i�, ��.:� .b x �,,,�. � �r w� �,,� r`sti Ex ��� �,3�' !' � �' ' +,a� � � ��,���.�.� �, a��� ��� ��; ✓�� �'�Y����;,�*�'�,f { ��� ,� -�� �� � �� � �� -�*,��� �`�� �� ��{,�'• �..,��,�. it., ��:. �;�. � -�s„r m . . � }v..��. , .c . .�,'�� � S} t N' � � � \�, � ������ ����� �����a�� 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