HomeMy WebLinkAbout03-2510
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
2510
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Pennit Number: 2510 Issued: 11/14/2003
Pennit Type: GENERAL BUILDING PERMIT
Class of Work: ELECTRIC SERVICE/NEW
Proposed Use: COMMERCIAL
Sq. Feet: Est. Value:
Cost: Total Fees: 70.00
Amount Paid: 70.00 Date Paid: 11/14/200
Address: 5230 6TH ST
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
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Name: ADVANCED POWER TECHNOLOGIES,INC
Addr: 2200 NW 15TH AVE STE.A
POMPANO BEACH,FL. 33069
Phone: Lic: Phone:
Work Desc: INSTALL 3-30 CONCRETE LIGHT POLES
Name: SOUTH TRUST BANK
Address: 5230 6TH ST
ZEPHYRHILLS, FL. 33542
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PRE-SLAB CONSTRUCTION POLE 2ND ROUGH PLUMB DUCTS INSULATED
LINTEL PRE-METER WATER FINAL MECHANICAL
FRAME MISC SEWER MISC
INSULATION WALL MISC MISC. MISC.
INSULATION CEILING MISC. MISC. MISC.
DRIVEWAY MISC. MISC. FIRE DEPT. FINAL
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Thirty-Five Dollars ($35.00) shall be made for each trip for each trade:
(a) Wrong address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when
inspection called (d) Work not ready for inspection when called
(e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
"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. "
NO OCCUPANCY BEFORE C.O.
~'~ ~
~ ~l^-
O. CTORS NATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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. 11/05/2003 16: 18
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APT
PAGE 04
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WOb PJ\OPSEDI Dm:W CONSTRUeT!ON
OStGN
PROPOSED OSt: OSGL f'AHIl.1' CW!:LLIl'lG
If! c<:JMMtRCIAL
(O.~tnT VAll'" PROPJ;:~y TAll _TCltI
o MOInON
CAI.Tl!:lAtlON
[j REPAIR J"XNSTALL
o MOVE 0 DEMOLISH
OMUL'1'I-rAMIL'i Dt Or UNITS
o INDOSTP.1A1 CI SWIMMINQ POOL
o MO&IlJI: HOME
o OTKEl\
D~SCIl);i-'II;l;OJJ or lfOlUC
r:::::::J ~P.ANT . IlEALTH DJ;:PJutTHtN'1' APPROVAL
ht.,2. 3 - 30 I C.,.,ere.r~ L';hr ~/&1 w.!aftJtIlJ 6;,
S\lnDING SUE
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HEIGHT
RllSIDIilNTJ:Alll M'TACR (2) PLOT PLANs .. (2) SETS 011' aOILDING PlJINS & (1) SET rNl:!.1:Y FORMS.
(:OMHERCIl\X.! ,ATTACK (3) SETS 011' BUILDING PLANS " (1) SET 1!:!tlt!\GY FOaMs.
PROl"l!;R'1':l SURVEY UOUI1U:D Toa ALL NJ;:P/ CONSTJtUCTlON.
>>Dta!l'S UlQUJIS!l'BD
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VALtlATION or '1'OrA7. CONSTRUCTION
AMP SERVICE
o W.R7r;:n)57f-191'7
VT\Ll,lA'rION OF ~CllANCIA1. INS1'M.U'1'ION ~
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FINISK~O FLOOR kLrVA'I~9
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P.. NOTICE or OCtD 1l.ES'1'lUC'l':tONS
The under~i;n.d UQderatands th~t this pftrMit may be sQbj.ct to ~deed z..tr1ctionc" which
o1lay be IIlOre l:QllItrict.l.ve than City requbt.:lonl. Th. undl!!!I;s1qn.~ lI!UIUI'I.e. re~onsib111ty ~or
=~l~Ance with ~ny .ppliaa~lQ dQQd ree~~iotionl.
a. UNLICENSED COlUMCTORS AND CONr~p' RBSPONSIBILITIES
It the owner ha~ hired a contr4etor or ccntzactor, to und.rtake work, theV may be requi~d
to be ~1cenl.d in acoordanoo witn .tat9 and local regglat~~.. I! tn. contr~ctor 1s not
H.Cen.ad a. zeqy;i.lCed by law, both tho Owne:t and OOntraOtor mAY be cited for a m1a~aI\O:Z:
,telat1cn under ~tet. law. I~ thc owner oz ,j,atended contractor are uncertain ao to What
.L.l.~nsing ;reql.\.i.tement~ 1IIa'y :)pply fox the intended ,",ozolc. they a~ I(\"i..d to Clontaot the
c~.I.tl oS: Z"pbyrh.nl~ BUllcSing DtI~artment, 8:1.3-780-0020.
;~!I;tl\ellllore, i( 'the owner has hi1:ed I OOl\tzoactor Dr e,;n\1:J:lllctorll, b. is IdvislflCl to have el\e
I,ontraetoz(ft) s1gn po~1:~~ of ~h. ~Co~traator S.ctiODSW ot th~~ applic&tion tor Hb1ch they
w~ll bO ~.pon.ible. If you, a& thQ owner a19n, a. the oontk5ctor, YOU oze inalcatinq ehat
~'ou, rather than the contro=eor. are r.~pon.;\.ble tor the work. If the oont!l;actor W1$h~.
1fQU to .~9ft as aontraetor. t~lt may b. an 1ndlea~ton thee ho 1. ~ot proPezoly lioeneed and 111
not .nU~l.d to perlftitt.l.n; privl1.gu ill thlll City or ZlRphll'rbill,.
I:. rMNSPOIl.'rJl,UON IMPACT nES AND UT.ILITY CO\QlUK;fION FIlEs
I). CONSTlilUC'1'OION t.IEM 'LAW (CRAPTEl 713, nOIl.,tDA STM'UTES, AS NiENDIO)
l: ".rti1:y t:hAt l:. the ~liC41M., nil... baen p;ro"id.ed with a Ciopy of "Florida'1I cOnStruction
:.1en Law - HOmeowner' 8 ~rot~tion Quj,c1l1" preparad .by the Florida Dllputllont ct 1I.qriWltuze
llnd Con.~e~ Affairs. If the 4ppllcant i. someone Othor that tb. "owner", I cerify that I
ilaVil ebtalned IS OOPY of the a~ov~ deQorlbllCl dOaulll$nt Md prOlllisIIl io good f::llth to deU.er
j.t to the "own"'r" prior to Clllllllllm09lllent.
.:. CONTRActOl\' S/~R'S At1'%DAvIT
l: cert.tfy that all the intOJ:IM.tion j,n t)lh appJ,1e..ti.ol'l is l!Ieourate and tl!.:l.t dl -~l( ".1.11-
~l' <lOne .l.tl COl\\Plianee !fith all appUoablll la.." :r:equlat.l.n<:r conctrl.lct:l.on, ZO!llf19, enll land
el'\"eloPftl~t .
Appl1~ll.tiDft is h~reby IlIAde to obt.~.tl ill perm.l.t to (\0 work ..,ad 1nlt&11a:ion _; 1nd.i.catad. I
e,trtity th..t DO wo~k or instillation haa commenced pzio~ to is,uano.. of I perm1t and thllt
~-ll wo;rk will be perfOrm8d to meet Btaft~r~. of all la,,:!' n1GUlllt1n; construction, CUy
CodA", zooing ~..~lation~, and lend dovelopment requlll~ion, io the ~ur1.diot~Qn. I .110
cert:l.t1 thlt I ~nderstllnd that the ~oqUlat~Oft~ of oth.~ governmcnt~l .genQ~Os may apply to
tl'le .l,nhl>4ed work, and that it 18 my r<l>GS>onll.1.])l1.l.ty to .l,del\tify what IlCltionll 1 IlNst take to
he in ocmplilll'lc~. SUch ~genciell 1nclude but O~ oot 11~~ted to: .Cepllr~t of
Env1ronmAntlll Ae9Ulation-Cyproa. 8ayheada, WetlAnd At~a~ ..nd Environmentally Sens1tlve
L.n~, W.t.~/Haete..ater Treatmont
.So~thwa.t rlo~:l.da W.t~r ~anl;omant 01.trlct-~.ll., Cyprel!l~ BaYhead.. Watlaod ~....~,
~lt.r1n; Watercourses
+Army COrp. ~~ 2n<<ineor~-S.aNall., cook.. ~.v~9ab1e "a~~rw~Y8
+Cppartment ~t.aea~t~ 5 Rehab1lit.~1ve ~eOV~ClI., &nv:l.~o~ent'l ~~.lth 00n1t.Wells,
W~stDwAtQ~ Tr..~cnt, Sept1c r~~ks
.~.s. ~V~r&fta.ntal Protect1on \;.ncY-Asbes~&. ~tem.nt
I alao cllr~ify that, if fill material 10 to be uocd 1~ ~lood Zone ~AN or ftA,etc.", 1t 10
u~derGtood that a draina9Q ~l.n Iddroa8inq I ftcompenBfttift9 ~l~H w~ll be aubmi~t.d Which
i~ prep.red by . prof~~e10nal en9in.er reqlstered in the Seat. of Flori~ prior to PQrmit
:I.~lIl1ano..
~ permit 1DaQed shall be construed to ~e a lican.. to procecd With ~hc work an4 not a.
a11thotlty to violate, oancel, alt..:-, or .et alll:Lde any prgviaionll of the ttllCihnlc.l eQd..,
"lOr ahall :L..uance of ~ permit p!I;pvent t~e a~11dinq Official ~tcm th're&~t.r rQqul~:Lng a
e,)rrllCtAO" of error::! 1n plana. conn.~otion, or "lolat:l.ons of any coci.. l!:"Afl' ptIm.1t
1'1'\1~ .hall become in....Ud unleu the WOl:k l\lthorhoo:l by 8uch pcmit is ClOlllmlilno.d w:Lthin
~~x months of iS$\1~n~~, or it work aut~Q~~~ed by the permit i8 ~uapandod or <<ban~oned for 'a
p,.ricd of d~ Il\gnth. artc~ the tiAo the werle 11 CDlllllAI).<:l8(\. One 90 day oJltlllUli.on ot t1lle
~\y be allo~ed tor ~h. ~erm1t with ~Q' oh.~9. or $15,00. The exten.ion ah&11 bc ~qua.ted
ill wriHn9 to th~ iu,udinq OUia1.1. An .appr~(\ 1nspee1:ion must be .loClged dtlr;lnq e.lll\ six
IlKlnth patied, o~ tone pro:lect .,ill be considertd III:llnd"necl,
IfJJ{)U/IJG TO OlfNEP.1 YOInt !'A.l:Lll'RE '1'0 IU:l:(I.P.D A MOna; or C<Mft:NC!IMl!:IfT Ml'Y RESOLT IN YOU1<.
i'l,yrNl: '.l'WICIl FOil J:~P.OVJ:HsNTS '1'0 'rooR Pll.OP~"1'Y. IF YOtl ;l;1il'l'EMD TO OB'l'AIllI FJ:NAlIC:l:MG, COtlSOLT
wn'R YOUR, LENDER all. AN ~TTOIUf!Y erroR.! UCQRDIN<; YOup' NonCE or COMM!lt"...ma:N'l'. .;rOA Uli'DEa
$~ . :;00 ;J;W VALUZ DO NOT m:zn '1'0 lU:COW AND POST A ~!IIO'1'Ia: OF COHH!l~Ift".
~~-LZ-
'~
11/05/2003 16:18
7275714377
SIGlfA'1'OU.
0IftIl-='Il OR AC;~
STATE Or JUO~;Z;OA
COONTY 01'
'1'he rozollgo1n~ lD.trum'~t ~aa acknowledged
Safore III. tb1. _ MY of , 2ll-
by
(n8me O{ par80n aCknowledOedl
1:1 who 10 plIX'80ftl-lly ltQOWII to me, or
CIWhO haa produe.<I
(type Or identilicat10nl
..n~ .,1;,,0 did Od.l.d not t:l!lke IItI oath.
9~?ft~turo of pa~Don taking aCknowledgement
~~~ tYPOd, pri~te~ or .t.~d
_ _Z . d
6m-ON
APT
~~
SIGNA I ONrllAC'ro~
$'l'JI,TIi: OF n.aRIDA
COUNTY Of
Th. foregoillg .
1I.~ore III
by
, 1~~
...~ ANA LASA6A
\. Notary Public - State of FIarlda
Ij My~~1eOOe
:: CommIssion' DO 107958
Bonded By N8fIonaJ Notary Aun.
PAGE 05
APT-TAMPA BAY
12651 44TH ST NORTH
CLEARWATER, FL 33762
Service Work Order
Number:
33237
1-888-278-8518
Customer: SOUTHTRUST BANK
ZEPHYR HILLS OFFICE
5230 6TH STREET
ZEPHYR HILLS. FL 33541
Entered: 6/27/2003
Job#: SOUT-TA0175
Map:
Call Type: PROJECTS - CONTRAC *"* Fixed Price Job ***
Lead Source: CALL IN Quoted Price: $13,654.34
PO#:
Contacts: JERRY MCNALLY
Estimated Hours:
(727) 954-2120 Priority:
Scheduled:
0.00
Normal
6/27/2003 TAMPAlST PE
Scope of Work:
TF
-SUPPLY &.INSTALL (3) THREE 30' MOUNTING HEIGHT CONCRETE POLES WITH (1) ONE 400 WATT
METAL HALIDE FJXTURE ON EACH. TWO (2) NEAR ATM AND (1) ONE NEAR NIGHT DEPOSIT.
-SUPPLY & INSTALL (3) THREE 250 WATT METAL HALIDE WALLPACKS ON THE DRIVE-THRU CANOPY.
-SUPPLY & INSTALL (1) ONE 250 WATT METAL HALIDE WALLPACK ABOVE NIGHT DEPOSIT.
Parts: Code #: Parts: CClda #: Labor:
~:-"
Description of Work Performed:
Special Instructions:
Tech:
Truck #:
Date:
Lamps supplied by: APT
Ballasts supplied by: APT
Other material: APT
Specify:
Customer
- Customer
Customer
Store Stamp: Yes
Stamp:
No
Customer Signature:
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30-0ct-03
FILE:
.xIs
Job Name: SouthTrust Bank
~
ACCORD
INDUSTRIES
400 I Forsyth Rd
Winter Park, FL 32792
Customer: Advanced Power T ecbnologies
Item: 1
Design Wind Speed: 140 mph
Ph. (800)477-7675
Fax (407)671-7676
General Pole and Loading Information
Pole Length
B~ Deoth
Height Above Ground
Wind Pressure
Drag Factor
Net Wind Pressure
Equivalent Wind Speed
Outside Taper
Tip Dia.(in.)
Percent P-A
35.0 ft.
60 ft
29.0 ft.
58.60 psf(includes oIf)
1.40
92 psf on pole
151 mph
O.162"/ft. VoidDia.
4 1.5
23.71%
{.;tlculatt": Nallr.lll Frp.qJJf"nt":)' hy Ralp.ie)t'( F.n~py Mp.thotf
1= 1.0
Exposure Categmy: B
Kz= 0.753
Kzt= 1.000
G= 1.140
Load Factor- 1.600
Kd(pole)= 0.950
Kd(fixtures)= 0.850
Void Taper G. L. Width Butt Width Butt Area
0.000 0.0 9.7 3.17
",.=(kIm)"'
where k=spring constant(lbs./in.)~P/y
and m=mass(slugs)
k= 49.04 lbs./in.
and m= 49.71 slugs
so w.= 0.993 cycles/sec.
Design Code ASCE 7-98 or AASHTO LTS-4 with Load Combinations per ASCE 7-98 2.3
Pole Loads and Resulting Moments
EP A No. of Transverse Dist from
S . Ft. Loads bs Pole T
2.0
Groundline
Pole wind
Total Applied Loads
Vert.DL fixt.
DL pole a.g.
Total vert ld
C.G. fixt Ill,
C.G. all Ids.
4.5
]407 Ibs.Total
],716 Lbs.
1,601 Lbs.
3,317 Lbs.
28.0 ft.
15.4 ft.
Dist. off CIL ->
Fix DL moment ->
Moment Due to Wind=
Total Applied Moment=
DEFLECTION CALCULATIONS:
Deflection(before rotation) 34.1 in.
STRUCTIJRE DEFLECTIONS:
depth of rotation:
foundation rotation:
Tip deflection:
Fixture Deflection:
Defl. pole c.g.:
Percent P-Della to ult:
Oft.
o degrees
34.1 in. (inc!. rotation)
32.9
9.5
23.71%
264
1.00 1716.0 0.10 0.5
2.00 0.8
4.00 1.5
6.()() 2.4
8.00 3.4
10.00 4.6
]2.00 5.9
J4.()() 7.5
16.00 9.2
18.00 11.1
20.00 13.2
22.00 ]5.6
24.00 18.2
26.00 21.0
2UJO 24.1
30.00 27.4
29.00 25.7
Moment Due to Wind= 17.9
1,716 Ibs. 25.7
264 Ibs.
0.27 ft.
469 ft.lbs.
I 7,884 ft.lbs.
25.7 ft.kips
Mu=Mom. + P-A=
Equivalent tip load=
Applied Torque-
A lied Shear-
31.8 ft.kips
1.18 kips
0.08 kip-ft.
1,671 Ibs.(P)
,pMn=
Mu/tPMn=
OLF=
uiv.B =
Deflection approximations:
Assume Fc cy].
Modulus of elasticity =
12000 psi
6,244,037 psi
Tn.
34 ft.kips
93.6%
1.60
19.1 ft.(h)
.~
~
.:::J
'J
A= 1.22
so
Select Soil Type (1-5): 3
Sl~ 800 psf
d-
d'- 6.0
T otalload incl pole wind
Centroid from gnd, LI
L2=H-L1 ~
1,67] lbs
28.0 ft
1.0 ft.
d'1d.. I.OS5
Burial Depth OK, per UBC Method
Diameter of excavation: 30 in.(b)
T .ru!Irk crlr'r or lilt?
(Input:O ~ crk, I ~ ult.)
5.69 ft.
Table 18-I-A --Allowable Latera] Pressure
Class of Material
I Bedrock
2 Other rock
3 Gravel
4 Sand
5 Clay
6 Muck
7 Bad Muck
--'-'=Ilelta:.
Fixtures
Pole(A.G.)
Total
4.703 ft.kips
1,399 ft. kips
6,103 ft.kips
Total Deflection ...
9.79"10 of pole height
1200
400
200
150
100
50 (Added)
25 (Added)
Sheet 2
~.
South Trust
-
J
I
I
,
....
....
0
I I
....
LD
n
.---- ..d
......... I
a... I-
~ 0
<( Z ,
I- W
Vl .....J
lL.. t..J
0 I-
a... <(
0 (:)
I-
...........
a...
c.o :::E
I <(
I-
a (/) I
..-
CONCRETE VOLUME = 0.44 C.Y.
POLE WEIGHT: 1 32 LBS
CONCRETE F' C = 6500 PSI
ULTIMATE CAPACITY @ 2' = 1.2 ki s
CAST IN 2"~ 1'1
GALV PIPE 12" N . .
LONG. WRAP W / ~ -:.r + <t
HARDWARE ClOlH /'0"
. .
," EMT x 30" .
~
This pole will support 11g" ~" 116"
II 7
G' I. 3 8"
4.5 5~.ft. epo. in c:.~
(l 140 Mfrh wind II r; n- TI P EN D
er AASH 0 L TS -4. VIEWED FROM BU TT
1'1
10"
II I' 'I
(TOP FACE)
1"~ P. V.C. <t
I
III -..) . .
.
~1O
~~ <t
CAST IN 2"x 5" 0> +
H /H & COVER II
TOP & BOTTOM 1,1 /'oN
FACE. REINFORCE -.r ~'"
. --
'Mill (4) #4 x 20" 11 5 3
416" 316" >>
R AR ~ 3
98"
(2) , '/4" PVC BUTT END
WITH COUPLINGS
VIEWED FROM BUTT
CAST IN 3" x 8"
............ ~SLOT THRU POLE
w
z REINF. W/(4) #4
-.J x 20" REBAR.
0 a
z I · PRESTRESS
:::::>
0 l'- #4 STRND G. W. 250K
0::: a W/18" PIG TAIL (4) 1/2" @ 14,500 LBS
'-' I c.o
'--"' CONN. TO STRANO
~ I
c.o 'to W/UCK-3 CONN.(TYP) DORMANT
I
Lf) -NONE-
TOP FACE ~ t SIDE FACE
W/CAST ~/~I W/CAST
Joseph R. Springer', _
DRW: GST CHECK: Florida Reg. No. 49806 35 I
SHT: 3 of 3 Fde: M:\QUOTES 4353\4353-01 DATE: 10-28-03
JOB# BED# ON ORDER
q#4353 QTY. 3
18W-~121-~35T I ~~6G~~~s ''''l'A
. . 4001 FORSYIH Rll 1tl1ER PAlIK, Fl 32792~
11/14/2003 09:43
7275714377
APT
PAGE 01
.
ST ATE OF FLORIDA
D1I:P1\.RTMEN'I' OF BUSINESS AND PROFESSIONAL REGULATION
..
ELECTRICAL CONTRACTORS LICENSING BOARD (&50) 4&7-1395
1940 NO~TH MONROE STREET
TALLAHASSEE FL 32399-0783
BLACKMON, ARCHIE CUltLEN JR
ADVANCED POWER TECHNOLOGIES. INC.
4340 NW 4TH COURT
cocomrr CUBit FL 33066-4365
-
. STATE or f'LDRlDA
KPAR~mNT OF BUSXRESS AND
P~OFESS~ORAL REGULATION.
ACI [] 4 II 7 7 ], 7
ECAOOt)432
06/05/02 885556347
CERTIFIED ELKCTRICAL CONTRACTOR
ISLACXMOII, AJlCH:IJ: ctJtoLDT JR
A%)VAKCED Pl)Wl:R TKCKROLOG:tES. life.
IS CJ:RTIF;l:I!D ..",II.r ~". prDYU10". of CI\.4 e9 ",I.
a.p"tfUl.......~., AOG 31. 2004 IIQ' a020fOlIOn4J
DETACH HERE
ACt 0447717
STATE OF FLORIDA
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
ELECTRICAL CONTRACTORS LICENSING BOARD SEQ#B020GOSOO?4
IQ6/::~2QQ2l::::::::;~::::::,~'
The ELECTRJ:CAL CONTRACTOR
. Named below I.S CERT:IFIED
Under the provieions of Chapter 489 FS.
Expiration date: AUG 31, 2004
BLACltMON. ARCHIE CULLEN JR
ADVANCED POWER TBCHNOLOGIES, INC.
2200 NW 15TH AVE STE. A
POMPANO BEACH FL 33069
JEB BUSH
GOVERNOR
DISPLAY AS REOUIRED BY LAW
KIM BINKLEY-SEYER
SECRETARY
JUL-23-2003 WED 03:32 PM ADVANCED POWER TECH
FAX NO, 954 984 4400
P. 03/03
ADVANCED POWER TECHNOI.OG/eS
IZ~
OOR/OUTDOOR LIGHTING", SIGN
CE SERVICES
POWER OF ATTORNl~Y
Auoa-a.nl
~n',eI5
~03
PATE
I hereby name and a:~POintLM',e.~<' an.! lohr-.
(Name)
ADVANCED PO'~ ER TECHNOLOGIES to be my lawful attorney in fact to act for
me and apply t<;' thel. p~S (0 C OU^~ Bui1din;~ Department for a
e l e C-+-< I C ~ ( permit for work to be perfor.:ned at a location described as
Section _._ Township Range _
Lot Block Subdivision
') ~Q UJr'-- ~eeA I ZijJheyL;,./ls I FL 3<0L/(
(Address of job) ~ ~
/O{ps-o __7JiAe~ Skee+ ~e. J./Or- ~.' I-L ~)?-r7-
(Owner of Property and Address)
and to sign my name and do all things necessary to this app<?intment. .
of
Archie Cullen Blackmon Jr. EC-A000432
-Type" Print = and lio.... ~'Ot
~~'7 ~
SignatiiTe icensed Contractor
Acknowledge:
As sworn to and subsc;ribed befort: me this
-1mh DaYO~.D'20~
Notary Public State of Florida
(Seal)
My Commission Expir~:s:
2200 NW. 15th Avenue. Pompano Beach. FL 33069
Tel Hf.;4-984-4' 00. Fax 954-984.4400 .ToH Free' -888-APT-851 8
WWVI. ~dvancedpowertecn.com . sales@advanceclpowertech.com
(#E C.A000432)