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HomeMy WebLinkAbout19-21500 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 21 000 BUILDING PERMIT P =RA�1:1 INFO �b�L�N �*' a a FORS �i•� Permit Number: 21500 Address: 7344 GALL BLVD Permit Type: SIGN ZEPHYRHILLS, FL. Class of Work: WALL SIGN Township: Range: Book: Proposed Use: COMMERCIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 35-25-21-0010-07200-0000 Improv. Cost: 2,450.00 ,NORMW .-0 Date Issued: 8/12/2019 Name: LCGR 7344 GALL LLC LEON CAPITAL Total Fees: 82.50 Address: 3500 MAPLE AVE STE 1600 Amount Paid: 82.50 DALLAS, TX 75219, Date Paid: 8/12/2019 Phone: 217-540-8216 Work Desc: INSTALLATION WALL CHANNEL LETTERS CONT .1C OR SP C�ATIO�I`TF GULF STATE SIGNS SIGN 82.50 FO_ TER ELECTRICAL ROUGH FINAL REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80-(2)(c)the local government 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. NOTICE: In addition to the requirements of this permit,there maybe 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, 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. 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 performed in accordance with City Codes and Ordinances.NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. CONTRACTOR SIGNATURE PERMIT OFFItYR PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 ?It v t— ) Bulltling Department Lam/ r� Date Received 2 C/§Phone Contact for Permitting ( L' Vi t77 r _ «L� Owner's Name �—�� a���. 75`r ( ��� � t-L— Owner Phono Numbor 5 r Owner's Address ✓ t\1'1'-9L—= /r'j� 0/t� owner Phone Number J )a /3`1 � r2OQ ` /. u 11 0 Fee Simple Titleholder Name I Owner Phone Number � oow a Fee Simple Titleholder Address �� c ri. Q Z.v�� JOB ADDRESS T /' �� -�� )l2 T+` LOT# per- ®�Qr n J .� SUBDIVISION r7 v-��l 1Pi ��RCEL ID# , z a �� J~ L1-'-3 L -G of U C ® pg (OBTAINED FROM PROPERTY TA.NOTICE) CA rb WORK PROPOSED NEW CONSTR ADD/ALT IGN = = DEMOLISH CO e INSTALL a REPAIR PROPOSED USE = SFR Q COMM = OTHER 'elI TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL a y DESCRIPTION OF WORK �+ W V vti ) C1 L J 14 vl VI,C—t_ i_C� s SC-r res� Lu U_ {` w BUILDING SIZE Z 3'� �� 1" 5Q FOOTAGE HEIGHT r BUILDING $ 11-.' VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $�_,�j S t_S. I AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. =PLUMBING $ f.1 1-'r- l�_L� ' _1 �'` O 56 ! �J S �5 =MECHANICAL $ fJ�,>, VAL �t9N'OF"'MECHAN1AL INSTALLATION �� J I ��� =GAS = ROOFING Q SPECIALTYJ� OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER 11 ' COMPANY 1610 L1j�z �"Jx'rlk` S. G)j'� SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N Address I License r—� ELECTRICIAN ✓I 1 } COMPANY SIGNATURE (I REGISTERED Y/ N FEE CURREN Y/N Address I License' PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREK Address License# MECHANICAL --- COMPANY SIGNATURE REGISTERED Y l N FEE CURREN YIN Address I License# OTHER COMPANY SIGNATURE REGISTERED I Y/ N FEECURREK Y/N Address License# IIIIIIIIIIIIIIIIIIIIIII11111111111111111111111111.1111111111111.11111 RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(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 subdivisionsAarge projects COMMERCIAL, Attach(2)complete sets of Building Plans plus a Life Safety 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,Stormviater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. —PROPERTY SURVEY required for all NEW construction. ..Directions: Fill out application completely. /3•r �L•J G �--��•)�)��• Omer&Contractor sign back of application,notarized If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) Agent(for the contractor)or Power of Altomey(for the owner)would be someone with notarized letter from owner authorizing same x OVER THE COUNTER PERMITTING (copy of contract required) , `Reroofs it shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW he uc;,�ef signr-,tjnd1v1(s"2 rid's fl-rat this pe,i-ni"m-ay'be subjec"to, ,villich may L,­more restrictive than Cou-n!"., T!lc undersic`r:ad asZ-1.uMZ­_:Csponsibility For ccmlpiiance with arly aopkeble dc-_d r,stric-tions. C.CINTFR,,'_,�CTC,;VS AND Dhe Gv.,rei inai, hlTed COWMr-t0is to Undt2ift-3ke they rnav be rsqk&e.^ao lip liceilsed In sn-cordan-ce wilh state and local ',he ocin''r-ictcK is not lioen5ed-'is requiTlad by !aw� �-,th the ov,,riec and C-onff-ziotcr rn�_y be c:lted for a vnibdery,&�,rior violatv3ri urfdi�r SW'te !I c,&7nor corl'u.3-c-lor re Lmcen33rz as to what! IiQensing requiremenlz,rr;cq apply for the irtler"Jed worK,'hey are alvised !0 CCnt@Ct'U!';,P2S­'C COUtItY BUildtnC inspection Se:^bon at 727-b47- 80ri10. Ru^Me-rcriorG, it the o%vn,�r hired a coriracior or conlracklrs, he is Fdvised to have the contmcicr,,,,�) sign ri Portios elf the 5icic; �,F kits applit�-.yn io Z'Q� thay Mfl ifyou,as the sign a -11w, contractor, that Mly be art indit'.ation Mal c.`M is not,prcPpst-ly ilic*nSoo and is rtc4 to permittiri,.. pviv;i,2ge-s ir, P-Zisco zr Ul CO & 't, flMPA;:;T AND RE-3OUIRCIE.RECOVERY FEEES: Ths u-ndle-rsigr(z urtdei,silar.d, Cr- 2,ccY -4 f� ,hat Transpertaxion lrnp2rt Fees and Recourz_�: Pecovery res.s may apply to the cnnszruczion of ric-ov buii-aings,chieng,-ct' (__ =W,_ in-exir,Iing bUilding5,or ey..p2nsion of ewiFiting lbuiiclincz, as zipel M cd it-, PaPascoCOUMV Ordi[W.N,ce number 81M7 ar.d to wi z3K 4� n2y zl.�_due: b,-- a4 the Zirne r,0407, as -e LjndaTe;-..',�n-M also thial such feals.as 0 -0 Z5-Z In RVA rRarmjtti:C, 11 is further urde.-stcc�d 'tiat Impaot clses anri Re�^.Gvenl Fees Must t­_ 'p3id pnor to & r, receiving ;,"cpilnf`i.,at,,�. of&x:uppency"or final release. If the p,oiect does not involve a certificate of occupancy or :inai po%p,�S, reie Sp.the 1:.ec muz-, be Paid prior',3 periniz iss,,:ance. Futlthe-rtnoie, H Count-.,, impa-,t C2 2A feS5 7110 cue,ltl�,;Must C-c-paia prior to pernnit i,,s,�,ance in "mith?Ppllca�,Ie ppaz!�c County clrwn�nces. W rb �CNSTRUC,TIOM LIF_M LAW(Chlapier 713,Florida as If-vattiation of is',32..Y_,C,.U1_ur mon- 1 CO-A 'i ­­;,_ E r. !IaVa oroVids`d 'vvi"', a Of "PIc-,"'da &DnsJru`_-t';Cni -Lion in(p) ru Protel,',iori Guide"prepa.ed bv the Florida Depart"l-,ant of Aqncuit.i.re-i:tnc onsumer Affar;­. it'tho an sir;-ieio,no ne: rQ CAC we other than the !?!C', I c_rtity that 1 have obtakned a cony of the above dsscriibcd dcrumcrtt and promise in good f`s;th'Lo W dever;t to the'ov,,ner'pik:,r rcG Commienl_enieril`. a d af! vni r.) Ce­,ify tha:Pit tie info,rnation in this aPplicazlow is 2ccurare n, hz t z Lj vAll he done in con-c'c11'lnce with all appik*bl�laws rsgulsting conrtruciion.zoni,ng and!.aria;dlevolopr�len Arplica�icn w::l:14 and in ted. 1�yat no V.; herv,.by niacie to oi�,ia:n F. permT to 0Tk of rls;2ilaukln nas C,opnrqsn2aj� Prior to issuancle Ql a perni;r and �'haf a!! will ,e pe.-forincd 'o Mee" 0?a!, ConztRACutioil, COLInty a!V11 Lily' CDdcs. zf fining rcgulat'Qns, and land devolopmont in the jLt;;sdi&i0T1. 1 0,100 ;iE- y thZ11 ! U,71 rs'and I'hat Gf r:ither gove-,irin­_-n+agsn,-iez,nlay app; to the ln'ended, exr,i. and,that tt Is my rezpons;Gi:)Ft to identify v!hzl,'ast;cns 1 ni;S!,"m"k,to Le in cornp(iance. Such cios incbidc bLtt cu.-no:kinitlad Ux De-Partment of Erivionnirmal B2%,hepds, 'Phrt!iand Aseps?r,.d Env:,on-mantally Senz:111lVe 4e, ev af=, j,7 l::,,24 Ea V'Vat-or cry >Sg 1,`VeU2n-d1 eas, Altering Army Corp-,of DorKs, Ducpaninent oi HeaIlh & Rel­iaoil(�alive Health Unit-Wel;s. c-.Ptic Tanks, US P;ciz-don Agencv--.-ks,'­_sa5s at0aternsn-L Federal Av•i:�-I*i-r 1 understand t`;at*Ih8 follov-,,Inga re:tric,donz apr",V In, U11C usct-,,f ill[: U­e Of fi!ifs nlOt a'iowzl�l in Fool one`V`unlesz.C­.,Pre-zsly perrr,;,46d. e M.fi.! material 1)o used in Flood Zone W, ri, ,s undorst000 that a drainagz twan addressing a 'compensating vofum!"will lx:l suAmlticd at time of permitting which is pr-:!pzircd by") profe-,.sional anginmer 'by One State of Ii the fill maten l is?n be used in Rood Zone "A" in connscliOn%,.,4fh 2 perms,.­_d ouilcii�ng a,sing stam,,jail construcl'ion,I c9aily that ill!v-41f?1-a uszo,Only to'51i the area vithill the Stan,,1"'all. if materiel is to be used in FnY parep, 1 C.ertlfy that use Of su.3h f1i; %%W not ad,!erj�eiy &Hec:t adiacent -_T0PerVeS. if U2z'j Of fill is found to adversely aftec,arjjacent properties;'he Gv.,ner mi�v--e cko,­for vio!w;ng the condiiotis of flie buitdin,: permit issued under the wtached parrnii'application, for lots lsz3s than ona (1) vVh;c:h nnz 7 eisvl,;d`oy Tiii,an enginea.-_d -tainage- I U e 0. plan is, q7 iic­q If I am the PkCIEN T OR THE OVVNER. i Pr Z-rnfse m coo' fTh to afo m lie ta ' nT i oe coni-di'llins sei t�efth m this-affidavi! ,orior w con-irriencing uonsiruction. I �rndemlartrj that a S_�Zarotc peurtit may be rccluired''or vjwlt, Plumbing, sign= weiis, wool.`-., air co,.�,dftloring, o2s, or other irlst2l"ati4ns rloi specificaGy inc,!uded In tine A pern'd irruOcl shall be consuued to ba". license lo proceed wi,i thie wciiir and, not Fs authority Irc.Vicla za' Cancel, or r z asid c�a nf provisions of the teCll 11 icp I cc.d 2 C,no 7-Mali issu aq ne r,Of 2 Ir,a r..r,it prevp n't t he'65 u I id ing.G fro,n there a 110 r requiring z cy"e,ro'-s i,-.pi-ims,cons-lnuC'ion or viciatiol-s of any--odus. Every P2im;t lsski,­1 s;"31;Deroime ir:vaiid unicsft,e ,�i k aulhorizec )'v such oen-ni4 aornrnen�ed v,ifninm :T e7-j- or a_4l-ojjZer! bv the pF.n?ii is 2us7lencled or sitondQt-;A tor a per;od of six 16)n-torttl-is after the jm,y"he Le`.•rk t-s-,orirnc.nced. 'in eXtrun.110H 17ja%. GE reques-ed. in%vrking. frorn iihe Bui;dwc 0,'hc;ai for a period not to exceed n:nr-tv(90; Clays and -,uisl dic,ncjn;_;'ra e ju:301213NG CSU--C for-rle extcnvon. if wot�k ceases ic nine-Ty conce-cuivia day,,the joa is cortsi0cred abanocned. VVARNING TO 0`iN'N-ER: I-OUR FAILUTRE TO PE-CiRD i`l Y40TIGE Z'fz CO?VRNHENCEMENT RESULT IN YoLM, PANTING TOOCE FOR ROPRCVE��-!EMITS TO YOUP PROPERTY. ItrF V 1 f4l 1)TO C IN N C I N,G.c 0 N S U1 L T OR AM-ATT ORN-HY BEFORl-RECE VVM-;1 YOUR L=y DER R, '!3_111ZA.",iz S.!i 7.03) 00NITRAC.cl- �j ri 0 '5) p- 7, 10'p'w pp` Notary Public State of Fk ride Darleen K Anthony My COmmissIon GG 095667 OF F%P'p EXPIres 04/18/2021 - - - - - - - - - - - - - - - - i - ---- - - ----v ---r--v --rr------- v. Parcel ID 35-25-21-0010-08800-0010 (Card: 1 of 1) Classification 02300-Financial Mailing Address property Value LCG2R 7344 GALL LLC Ag Land $0 LEON CAPITAL GROUP LLC Land $249,861 3500 MAPLE AVE SUITE 1600 Building $396,054 s� DALLAS, TX 75219 Extra Features $28,043 Ln Physical Address zW, Z 7344 GALL BOULEVARD Just Value $673,958 Assessed (Non-School Amendment 1) $673,958 p ZEPHYRHILLS, FL 33541 !,q Legal Description (First 200 characters) Pion-School Taxable Value $673,958 School District Taxable Value $673,958 See Plat for this "n , Subdivision ZEPHYRHILLS COLONY COMPANY T W. LANDS PB 1 PG 55 POR OF TRACTS , 73 &88 DESC AS FOLL: COM AT NW COR OF SW1/4 OF SEC TH ALG NORTH LINE OF SW1/4 S89DEG 51' 40"E 15.00 FT TH SOODEG 07' 20"W 517.86 FT TO A POIN[...] Jurisdiction CITY OF ZEPHYRHILLS Land Detail (Card: 1 of 1) Line Use Code Description Zoning Units Type Price Condition Value 1 2300C 2AC-1 Financial 0OC2 11,000.00 SF $8.10 1.00 $89,100 2 2300C 2AC-2 Financial 0OC2 22,965.81 SF $7.00 1.00 $160,761 Additional Land Information Acres Tax Area FEMA Code Res Code Com Code Condo Code 0.78 30ZH -- OPAR OPAR OPAR View Sketch Building Information - Use 2300-Financial Institutions (Card: 1 of 1) Year Built 1991 Stories 1.0 Exterior Wall i Common Brick Exterior Wall 2 None Roof Structure Flat Roof Cover Built-Up Tar and Gravel Interior Wall 1 Drywall Interior Wall 2 None Flooring 1 Carpet Flooring 2 Quarry or Hard Tile Fuel Electric Beat Forced Air - Ducted /C Central Baths 2.0 Line Code Description Sq. Feet Value 1 BAS01 LIVING AREA 4,230- .$353,366 2 CAN01 CANOPY 1,704 $42,688 Extra Features (Card: 1 of 1) Line Code Description Year Units Value 1 CPAVASP PAVING ASPHALT 1991 22,630 $6,619 2 CSWC SIDEWALK CONCRETE 1991 1,230 $554 3 CDRINWIN DRIVE-UP-WINDOW 1991 1 $1,763 4 CPNEUTUB PNEUMATIC TUBES 1991 2 $8,262 5 CVAULT VAULT 1991 220 .$2,046 6 CNITEDEP NIGHT DEPOSIT 199.1 1 $1,941 7 CVAULTDR VAULT DOOR 1991 1 $6,858 http://search.pascopa.com/parcel.aspx?parcel=2125350010088000010 6/18/2019 M-SOUTH I AAASIGNAGE ELEVATIONS 7344 Gall Blvd, Zephyrhills, FL 33541 71 822.00 in 215.50 in J (68 ft bin) (17 ft-11 Vz in) =75SgFt ' y1r_--I''j.—,....._� - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1.,;,;, f i ROOFLINE 101.50 in per elevation (8ft-5 /zin) J� - - - .�'",.•.'#.+'•.! _ nd A3o IF 222.00 in -...;ilLJ_':(U.. FM'( ce - µ<; - OF 5LVf I dimensions ., ' I I ront-Lit- -- h Applied Vinyl Cftvojrz S 2- 1 1044.00 in 75 ns (87 It-0 in) 296.50 in ( 4ft-81/21n) can Blue 1 4 2757t PMS �""..- ii,r_-,r_•_.,_ ,L91a13er.y,_sev-,,;,,, 1 -aua:ean v� (PMS278c) - -._.-.---.---------------.--------- -------------._-- :FLt� n.��+.u.uau wa a _ 1.�`�D`ENTA C[�f�)<:: ; 101.50 in .a�... W.a wn re. -t; .. : a�Pretty Pond "(afar s.�/z i� can Blue(PMS 2757c) - 222.00in (18ft-6in) - - - - -- -.. - M> 1•i9•t► V.Cd•cr Np RiS l ' ..� �w:+.�. .Cam, n�••.avr '3y- ��mwv, ',r�, �j -._'- .. "°"': Ram +]Q t r. Revision Date:06/03/19 Rev.Details:Revise color palette 1201 Wiley Rd,Ste 150 190258 • . 7344 Gall Blvd,Zephyrhills,FL 33541 1305 42 nd street Schaumburg,IL eot73 a1l�rrr WINTER HAVEN,FL 0: 847.301.0510 • 05/30/19 Lauren Zook -+-,•.��". 33880 F: 847.301.0518 863-967-0659 -. alrw4tlft ideas@identiti.net 001 Josh Sprecher ES12000238 0 F�A�1 D1i City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Co ntractor/Homeowner: Date Received: Site: .? 7 GAA 00-6 Permit Type: �--S Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑ This comment sheet shall be kept with the permit and/or plans. K lA ' z — lans Examine Date Contractor and/or Homeowner (Required when comments are present) IDENTITI Purchase Order I Issue Date P.O.# Required Completion/Delivery Date Revision# Revision Date 611312019 190258 6/18/2019 Contact Information • P.O.Issued by: Stephanie Morgan -Failure to comply with below contract terms may Send Invoice to:SMorgan@identiti.net result in non,partial and/or delayed payment. Direct Contact:847.238.8343 -Any deviation from scope(defined in PO description) Partner requires Identiti approval prior to works completion. Gulf State Signs 1305 42nd Street -If work can not be completed as listed,Project Winter Haven,FL 33881 Manager is to be notified immediately. Ship To Address/Project Location -All information listed as required in PO description Dental Care at Pretty Pond must be provided in order for PO to be approved for (Heartland Dental Care) payment. 7344 Gall Blvd Zephyrhills,FL 33541 DESCRIPTION QTY UNIT COST AMOUNT PROCUREMENT 1 475.00 475.00 Please file for all permits required by municipalities within 48 hours of this purchase order's receipt. Once filed, notify the project manager by the end of that business day. -If you are missing any piece of information to proceed with permits(engineered drawings, approval letters, etc.)please contact the applicable project manager immediately. -If you have everything you need please notify project manager once approved. NTE$475 without additional approval PERMITS 1 0.00 0.00 Permits are billed at cost and will not be paid until copy of permit and receipt of payment has been provided. Engineered Drawings 1 220.00 220.00 Invoice must be received within(5)business days of works completion and/or product delivery.Invoices will not be paid until all required information in provided.Invoices are paid net 30 from when they are entered as Total $695.00 approved for payment 1201 Wiley Rd, Ste 150, Schaumburg IL 60173 Main:847.301.0510 Fax:847.301.0518 D E N TA L CA R E at Pretty Pond PROJECT# 190258 FL 33541 . . . S!TE ANALYSIS (�7 SCOPE OF WORK SITE PLAN RLFM-7NCE Uj ------- -- -- < D DEMOLISH EX 1,750 SF CANOPY AND EX CONCRETE CURBS& rl ZONAG NOI,S P LANES. REPLACE AREA WITH U) PROPOSED ZI NEW FULL DEPTH ASPHALT SECTION. RESEAL THE EXISTING z DI—NTAL 11M SIP PARKING LOT& < ±4.M90 SF* MIAL RE-STRIPE TO MATCH EXISTING a: 132 PARKING SPACES C) ix > S2-1 w a) ------- Sl-1 O 2 12 6' U11—�=\'A=Sis --EMIILI�H EX-t""o S'CAMPY AND E_CONCRETE CURBS. LA. Co. C WITH - REPLACE 4 N.PULL DEPTH ASTALT SECTION RESEAL THE EXISTING 7 -FRA-Fl- p SIGNAL N W�� E SUL S Architectural Site Plan Revision Date:No Rev. Rev.Details:This page is from the original draft. 1201 Wiley Rd,Ste 150 E1907258 . ,W. 7344 Gall Blvd,Zephyrhills.FL 33541 Schaumburg,IL 60173 0: 847.301.0510 06/30/19 Lauren Zook F: 847.301.0518 ideas@identiti.net 000 '.Sh fosh Sprecher LCG2R 7344 Gall, LLC 3500 Maple Avenue,Suite 1600 Dallas,TX 75219 June 6, 2019 State of Florida,City of Zephyrhills RE: Dental Care at Pretty Pond 7344 Gall Blvd Zephyrhills, FL 33540 To Whom It May Concern: LCG2R 7344 Gall, LLC acknowledges its ownership of the business building at 7344 Gall Blvd in Zephyrhills, FL,that is presently leased to Heartland Dental. LCG2R 7344 Gall, LLC has seen the proposed sign package and approves all signage if it comports to city/county code. Landlord authorizes Identiti and their agents to obtain all necessary permits for signage, as well as install all approved signage at 7344 Gall Blvd in Zephyrhills, FL 33540. Landlord LCG2R 7344 Gall Gall, LLC by LCG2 Investments Manager, LLC, Manager Rob Pivnick, Authorized Signatory Date 3500 Maple Avenue,Suite 1600 Street Address of Landlord Dallas,TX 75219 City,State,&Zip Code of Landlord STATE OF: Zwa.n COUNTY OF: QUILIS The fore oing instrument was acknowledged before me this /0�day of 2019. i91she is personally known to me or has produced as identification. /(. My commission expires: a(j Nota Public: � NEDRA LEACH nr r„ _ ' ^Notary Public,state of Texas Comm. Expires 06-07-2020 Notary ID 6988708 Aga I William F. DeHaven give permission to the following Gulf State Signs Inc. employees ,to pick up. any and all permits on my behalf, from any and all Towns, Cities, and Counties. -Christopher M DeHaven -Pablo Robles -Jacob Tidwell -Michael A Stewart -Daryl DeBadts -Richard Dildine -Jon Phillips William F. DeHaven Presi ent Dat STATE OF FLORIDA COUNTY OF Polk_ The foregoing instrument was acknowledged before me this day of , 20�,by(William I DeHaven. Darleen K.Anthony lic State of Florida y thony sion GG 085067 W2021 Personally Known ) OR Produced Identification Type of Identification Produced . 1305 42nd St., N.W. • Winter Maven, FL 33881 863-967-0659 • Fax 863-967-7235 Visit Us At: www.gulfstatesigns.net E-mail: SIGNMAN@gulfstatesigns.net