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HomeMy WebLinkAbout08-8335 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 8335 Permit Number: 8335 Permit Type: TEMPORARY SALES Class of Work: SPECIAL EVENT Proposed Use: COMMERCIAL Square Feet: Est. Value: Improvo Cost: Date Issued: Total Fees: Amount Paid: Date Paid: Work Desc: Address: 7839 GALL BLVD ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 34-25-21-0010-01700-0010 9/19/2008 6.00 6.00 9/19/2008 Phone: TEMP SALE SPECIAL EVENT - SEPTEMBER 20-22 Name: MICROTEUJAMM HOTELS,LLC Address: 7839 GALL BLVD ZEPHYRHILLS, FL. 33542 ~[o~ 2~ Z-?roS C(I REINSPECTlON FEES: Reinspection fees will comply with Florida Statute 553.80 (2)( c) when extra inspection trips are necessary due to anyone of the following reasons: a) wrong address b) condemned work resulting from faulty construction c) repairs or corrections not made when inspections 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. 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, state agencies or federal agencies. The payment of inspection fees shall be made before any further permits will be issued to the person owning same "Warnin to owner: Your failure to record a notice of commencement may result in your paying twice for improv ents to your property. If you intend to obtain financing, consult with your lender or an attorney before our 0 Oce of commencement." TRACTOR GNATURE PERMIT OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER , " " ~ e~~~)T~ry, ~.rtifica~e: ~f ~~glstratjon' fOr . ' , Secon ,~and:,De~lerISei:~n~ary .Metals: R~cycler ... " D PARTMEN .Q ,REVSNU ;, I I ,; . ~' :' Se~teUib8i' 19~ '2008 "~.' .... .,. "nUo~G-LL(;:~' .;:" . Ti '&1"8 BuyeJ;s Rvad,bv 0 . 78' ,Gi:DBlvd .., ;" 0 Ze yrhills, FL J3541! ;" . i ' . . .. '... ~. '..': . . ... -"'.0.... ..... ..\ .'. '" ~_.. :.... .', it.",_:,,:::,. ", ~ .:. . ... ~ . ,I,., ..:.',.,:. ,.""': ~. ':B," e.!I. ~OC,i\Ii~D: 78~9:, '~'o~d,','zep~Yrhill'~ fL ~35~,1 . . , .,' i Ex . atioD,Diate: ~eeelnbe 19,2008' , , r. "De r Appll?~nt: , , , I ,"W ha\te:re~l~ed yoJr'B Pr~ic~tl~h'~r:iegbtr8~)o'n' ~s ~i'se~o'n~~a;n~',DeaJer/~ cO dary , M~ 15 R8Cybler,'. Priqr to" 'ceiving your,'Offi~ja' Certifica1~ 01 Registration (F~ R-. ,11" ), you c~lf presenttpi ~tter't(i anY,I~~ ~nfo.rcement officer 'a8 a.4thorlt'y'to co ~uct ' ,bu ,n~ss,as a.Secondhan ~Oea'e.r or ~econdary Metals Recycler in th~ State f larida. Y6' to~l~a(CeTtif!~t..~f '~g'9t;.atl~n,(~omiDR-1.1S')Wlllb~8entto~u'~I?O' "" ., co pletlon of proce$~lng 1: t~e b~.ckgro:un~ Investlgation(. This TemporarY ,ert f1cate of . ',Re is:tration, is, only valid, ritll the expirati<?n ~~~e IIste~ above. ." '. , '. ' : '-,:If, ' u"have a'ny q~e'stl,~~s 'p'le~se, co'ntact ~Lir omcli at 850/414-1999, ': I ' ~ . ' i . : ~ .:' .1 .-1- ~:"l- . .: . ~ . , \ .,'. '. FI ida Department ofRe enue' ' , , ' . . " Ac ., unt Man~gementlS,e qn'dha~d Dealer Unit': ' , ,', All a' 0; Jones ' , . i : , ...,,, ,. ..'..Re'enue:Sp.eclalfst 11[. , " !. . ,:'." . :': . ..-....., , , .. ,'. , '.'50 'WTeiinessee:Si'Bi' ,1'E_1'" , " ,. :.:::::::~~~. ~~~;~~~~~~5~.:':-.::;:.i:;:,;: :,):,::,.:,;;.'-:;..::-:::;~~~ ~; ;;~~~~;~.i; ~. 04106' I. . I' ". , '!alJ'~~~s ,~, ,~!o'rida 32,3~9~"OO, ~'.~~~,ri~~,:~m~~or,. .' '. . ; :. . '. .'. . . . . . '.' \ .:T ~ ., ", ./ -~..-r..:.:...-z.~~-=..,,:,..:..~_.__ --,." ----- -- . ~~ -- -- - --- - -- 9rrZtL9L2l 6u~peJl lLaquns vw)i wd"u:iO-gOOZ-61-das 1/1 SEP/19/2007/WED 01:36 PM ZEPHYRHILLS BUILDING FAX No. 813-780-0021 P. 002 '~empo~aJY tSales',Check1i~t . .City of Zephyrbllls '5335 811L Street . , -ZephyrhUls. Fl. iJ-3542. , , ,Pbope; 813M780..0WO IFax: 813~780-0011 REQUJREMENTS ~ .l?lot-Plan showing s~ oflocation. '" Ct cf'vl-fr 6l C~ ~ Notarized letter from-property owner stating their approval. !\) f+ 'A flame retardant certificate is Tequiroo'1F a ~t is 'in~olV'ed.l1:u>pecti9n'iS ~ed ~nc~ tent , -- ",., is erected and prigx: to opening for b~iness. . . jJ t1- ~ppro"\l"ed cert:i:fiedfire exfu~P~NFPA 10. , ,J-A No SUlQk:ing signs ~1l8t be placed ~sidO' en~e.s. . AI 4, m th~eris a wire ;felice or chaW. ~ fencing must ha:vo at ~ 5 Ft setback from tent arid at least 2 exits. ' ,N it IF tent has si.cks. the sides shall be in the up position mUess there is inclement weather, . then 2 sides must bem the up position. . ' . .' . :WORK REQUIREMENTS - (In addition to the above) oof of State License. Proof ofLia'Qility :insurance. List of itOlll8 -to be sold at site. ~y ofDriye:m License and Social Security Number of ~ personnel dealing with the sale of fireworks at the tent location.. . . FEEs " ~ 8::- $ 30.00 ~ cIty Regi,stration (1fRegulated.by,DBPR - Fee is Waiv~) $500.00 - FireworJis fee - Fire Department fee ' '$ 5'.00 - Temporary Sales Fee for 1 sC two days $ '1:.00 - Tempo1'81'Y Sales Fee per day fo.r eaclt consecutive day thereafter, not ~o , exceed duration of 30 consecutive days arid no more than one oCcurrence , per wendai' year per Ordinance #408. ' . ~' $ 50.00 - Tent Fee (35.00IBD, 15.00*/FD) -{*$15.oo waived for Firewmks) $ 35.00 - Elect:cical Fee (if appliCable) ':k ' Property ow:o.~ : ' Applicant: 7 D c.--,ec, ~'/l'1 ue. --;;::;'a.. 77eciIu~ A'-j t'",s ~ dfk00 ~c=:~~~ . ~I .. . . . =:-:=:: ~ ~- ~~. .<1_~~ /fJ>3<J CJ;::;1Z2/~ . ,,' ~.S fr\, ' ~L 33-9-1/ Ordimw.ce No. 408 dated 1/26/1987 (for additional requirements) , .1' ..... ~ I . CENTR~l REGISTRATION FaK:B50-922-5938 Sep 19 200B 13:36 P.Ol , I . . ' . . ' . . Tery,p~rar:y, Certificate: of ,~egistration for _ Secondhand ,DealerlSecondaryM~tals Recycler ...... " D P,",RTMEN o ,RE'IENU S8ptember 19~ 1008 . '.lD :TRADING-LLC' ',' . Tr sure Bayers Roadsbo : I .' ~. 783, GaDBJvd :-' ! : ., . . I ZephyrhiUs, n. 3354.l, i . .' ::'.:::::D~:~~~1:':ZePbyr~ FL33541 , De r Appli~ant: [, : - ~-:, j. , i " ! , , ,We have received yo~r a[J.Ii~tion for'registratio'n as,c.:i"Seco~dha'nd,DealerlS~condary Met Is RecyCler. ' Prio,r to eceiving your official Certificate of Registration (Form DR- , 1 ), you ~n present thi letter t~ any I~w enforcement officer 'as a~thoritY toicOfduct bu ness as a,Secondhan : Dea!er or Secondary Metals Recycler in the State of lolida. . ' I.... . .' .: '., I Yo t official Certificate OfFneQistration (Form DR-11 $) will be sent to you UP01 co pletion of processing f the backgro:und investigations. This TemporarY ,ertlficate of Re istration is only valid ~til the expiration date listed above. 1 If y u have any qu~sti,ons please contact our office ~t 850/~14-1999, i I ' ' , I ' , I J . . {A-",l- : , ~ ,I , , . ~. ,ida. D~partr.nent ~~ Re1~nue' :, ." ". ',. . . ' Ac 'UlJt ~anagementlSe~qndhand Dealer Unit AliCIa b~ Jones' ; . "Re~ertlJe'SpecjaliSt "~It. ; ,. 'SO:, . W T eriri'essee 51 81' I. E.-1' , ...,... ,;..,... ....,. ,.-: "- ."....., - - '...'.. ., ~. . .,.. " . ...Ta ',h~s~ee,FI32399tq1. q .",--;., .4.";:- ;~_. ~.'.'~",'" _, .'.1':'" ";'." ". :':.~. ..,' .:r: ".: .'-". ":'1' "-. " -. .." ..,: ,."., '..1'. =i ...........:..-. P.. 4":. ~~..,:~T~Po~;y.R~gi. ~~~ .: certifi:a,;:':':':~.~:'~~":~' ~', R. 04/06 r .. i. , . I . . . TiiUahass :. Florida 3Z399~0100, wV{W.in~oridtLcOin/dor : " .... .. '; - . ,'. -. '-. ,.. ',; , ' " ~'d ~9098L9LU ~ll OIOn.lSH~.l'v'M d9~:~0 gO 6~ des L9-aL .. FAX No, 813-780-0021 i~73S p, 002 'f.)eJ.' J)#:~,fW. ReJ,Ji5-/-. (j/-. O~ FL. U. . ~~ ~- /htd /../a. 'bYU~ SEP/19/2007/WE~ 01:36 p~ ~PHYRHILLS BUILDING ",' . . ''lieDqJOI:aJ.'Y asa1es'Chee~ . .CUy af ZephyrldUs '5335 aIL BtrRt . . .zephyl'Jdlll. Jl,. SS542 . , .PIJOJl!l; 8U..7BO..oO;JO ['Fox: m-"'JSO..OlDl .' ,~~ ~ . .Plot'Plan ~m.g fJ~ oflocsticm. . . "-.s Notaiized letter ~-prapGrty 0WJl<< ~taiiq thejr ~ C (/Yl1r ~ ct - ~ . ,'. I\JA 'A flame reta:riiaut oertificate is -reql.1im11F a tetrt is ~o1ved.lPspcoti9J1 i~ re~a ~ tent. .. . -, .' is erected andmm: to opming:furb~... '.' , . '. .' '. . 5 7--' - 0010 JJ t:" ~Qmtaea~e~.p.~~A~O. " /0" 3tf/v / .;' ovlU . JJ-A No StnQ1cinJ B:lgD8 :tzD18tbc-placed ~de ~. _ .D I: 1 Of) , . AlA JI ~'lB a wiJ:c;fat1co or cbainlirik t.must ~o at ~ 5 Ft setbaok:ltom tent arid at least '.: , 2 ems. . . . N tt m tcmt has ~. tiw side$ shall'be 3D. the up position U11laa8 ~c is inclem.clllt weat1w, . then2 sic1e8 numtbeln.bup ~~. ' WORXImQUIREMBNI'S - (In addition to the above oof of State License. Proof ofLial;lllity iDsurance. . -:.-....:. List of itemsio be ac1d at :rite. . . y of'Drl~ llcCD86 and. SoQial SecmityNtJmbor of all parSODIllil (1.ea1ing . . with the sale of moworJo; at the t=1t loaati();1).. . . . I. : FEEs I, 1" <t' , $ 30.00....City~tkm(tfRegu1ated.by.DBPlt-Feeis Wai'Y'O!i)' . -- ~OO.OO-FiroworJi.efee~FirE ~~. '" . ? '. $ 5'.00 - Tempmary Sales F two ~ - . :, kJ. ,S 1,00 - ~ Sa\OIl'oo - oiioh ~ dayfhmoll:ol-.",ot", exceed c1matiQ11 of SO COIlBeoutive days arid no mm-e tlwl one oCcurrence . . , per calea~year par arcunane8 #408. . . ~ ~ - $,50.00-TClI1tFec(35.0OJBD, lS.00*1FD)-{.CU.OOwa\VedforPirewmktl) ~.~,' \ .::::= $S5.00-Electrl.cmlFee(ifappliCable) l)' <, . . -' ,. , ~~ ==::::.'r;;- . .~r~~s /}~~,<j~~~~~ '. . .'. ~.$ m. ' . - ~L 33SV/ o~eNo. 408 dated 1/26119B?: (far adQit5.ou1~) . . . . lll2 . , . . '0..-..---..--.....---. ,...._. " 9ttltL9aL fiu~peJl llaquns ~;~" It:l~ f;~~l.;~":Hd;~'" 0000003 " OEPAATMENT OF REVENUE Certificate of Registration for Secondhand Dealer or Secondary Metals Recycler Issued Pursuant to Chapter 538, FlorIda Statutes DR-11S R. 04/06 07/17/08 IDC TRADING. LLC 3596 ULMERTON RD CLEARWATER FL 33762-4200 Here is your Certificate of Registration, Issued pursuant to Chapter 538, Florida Statutes. This authorizes the certificate holder to engage in the business activities of a secondhand dealer. RECEIVED JUL 2,~ ~~~B This certificate: · Must be conspicuously displayed at your business location. . Is valid only through the expiration date listed. . Is valid only for the person/business and location named and cannot be transferred or assigned to another entity, person, or business location. · Cannot be used for multiple locations. If you are operating at another location, you must complete a separate application for registration (Form DR~ 1 S). You must notify the Department of Revenue whenever th~re Is a change of ownership, corporate officer, general partner, or stockholder/director with a controlling interest. If you need more information, call Account Management at 850-488-4772. " oePARTMENT Of REVENUE Certificate of Registration for Secondhand Dealer or Secondary Metals Recycler Issued Pursuant to Chapter 538, Florida Statutes This certificate is for a secondhand dealer. DR-11S R. 04106 Certificate Number: 62-8014869378-8 FEIN: 37-1568599 Effective Date: 07116/08 Expiration Date: 09130/09 lOC TRADING. I.LC 3696 ULMERTON Fie CLEARWATER FL 33762-4200 · This business has complied with the required provisions of Chapter 538, Florida Statutes, and Is authorized to engage in approved business activities. · This certificate is nQt transferable. · It must be posted in a conspicuous place. Location address: 3696 ULMERTON RD CLEARWATER FL 33762-4200 2I101 9tt2tL9L2L fiu~peJl lLaquns ~ Wd tt:20 S002-SI.daS Corporation - A person or group of people who Incorporate by receiving a charter from their state's Secretary of State Oncludes professional service corporations). Check one: 0 C-corporation OS-corporation o Not-for-profrt corporation Umlted liability company - Two or marl! entitles (or Individuals) who file articles of organization with their state's Secretary of State. Check one: 0 Single-member LLC "'8Multi-member LLC o Check here if you elected to be treated as a corporation for federal income tax purposes. If the business is a partnership, corporation, or limited liability company, provide your fiscal year ending date: 1LIt2]/~[l] month day If the business is incorporated. chartered or otherwise registered to do business in Florida, provide your document/registration number from the Florida Secretary of State: G 0'8 f l.? -;t'i' 0 00 3S '1" 10 I \ 1m lIlI\ 1\\1 \\ I III 111111 9. o o Type of ownership and legal organization (check one): Sole proprietorship - An unincorporated business that is 0 owned by one individual. Partnership - The relationship existing between two or more entities or individuals who join to carry on a trade or business. This includes a business jointly owned/operated by a husband and wife. Check one: 0 General partnership o Limited partnership ;g o Joint venture o Married couple 10. 11a. Provide the date of incorporation, charter, or authorization to do business In Florida: QJ[f]/[]~/ ~@]El[!] month day year 11 b. If the business is incorporated in another state, provide the name of the state: 12. If the business is a corporation, provide the resident agent's contact information: Resident agent's name: Resident agent's street address: Resident agent's City/StateIZIP: Resident agent's telephone number Onclude area code) DR-1 S R.07/08 Page 3 Note: If y.ou are not incorporated, chartered or registered to do business in Florida, you may . be requlred to do so. For more . Information, go to the Florida Department of State's Intemet site at www.sunblz.org or call 850-488-9000. 13. PersonneVPartner Infonnatlon: Provide the full name, title, FEIN or SSN (if an FEIN is not required for your 'ousiness entity, the SSN of the owner Is required), and address and telephone number of each corporate officer, owner, general partner, stockholder and/or director with a controlling Interest. Make copies of this page if additional space is needed. Name Street address CIty/State/ZIP or Foreign Coun' IPostal Code SSN or FEIN TItle o 3t.f- tJ~,~s;- Ol-r' /o~U-.JIa,d.w 6/uJ r'L 3?f71c'2- PO!3DJt. L7JL/? _ CluJ R- 337/2- bllt:73-31- QeYI Telephone number (Z~L) ~?7?:- '] ~rt' x. IB.S'" (]}J.) ~?'"'- 2y{d (---)-------- (___L___-____ APPh'tcanlll t Slignature _ This application cannot be processed if not signed by an owner, officer partner director or stockholder with a con ro ng nterest. ' , 53una.der the penalties of perjury, I declare that I have read this application and that the facts stated in It are true. [ss. 92.525(2) 09, . and 837.06, Florida Statutes] , ml III , 11111 1I1\llltlll , Illtlll II All applicants MUST answer Questions 1 through 7. 1. Are you a secondhand dealer as defined in section 538.03(1), F.S.? A secondhand dealer engages in the business of purchasing, consigning, or trading sec?3Endh nd goods ftom a fixed location. ........................ 0 Yes No 2. Are you a secondary metals recycler as defined In secti 538.18, F.S.? A secondary metals recycler has facilities for performing the manufacturing process by which ferrous metals or nonferrous metals are converted into raw material products consisting of prepared grades and having an existing or potential economic value, other than by the exclusive use of hand tools, by methods Including, without limitation, processing, sorting, cutting, classifying, cleaning, baling, wrapping, shredding, shearing, or Changing ~ physical form or chemical content thereof... 0 Yes ~o 3, Do you agree to comply with the record keeping requirements of Chapter 538.04, F.S. (secondhand dealers) ~~.~~~:.~~~.~~~:~~:.~.~:.~~~~.~.~.~~~.:~~~I.~:rS)?o No 4. Do you agree to allow for inspection of your records, property, and premises as required by Chapter 538.05, F.S. (secondhand dealers) or Chapter 538.20, ~S.Jsecondary metals recyclers)? ...................................~yes 0 No 5. Do you agree to comply with the holding period requirements as provided In Chapter 538.06, F.S. (secondhand dealers) or Chapter 538.21, ,c.Syecondary metals recyclers)? .....................................~Yes 0 No 6. Has your business paid all the sales and use tax owed to the Department of Revenue as required by s. 538.09, F.S. (secondhand dealers) or 538.25, F.S. (sec~ metals recyclers)? ......N.Gr.ler.-:........................~~ 0 No 7. Are you 18 years or older? .........................~s 0 No DR-1 S R. 07/08 Page 4 Secondhand dealers MUST answer Qumrtions 8, 9, and 10. Secondary metals recyclers should skip to Question 11. 8. Within the preceding 10 years, have you or other owners, officers, partners, directors or stockholders with a controlling interest been convicted of, or entered into a plea of guilty or nolo contendere to, a crime committed against the laws of this state or any other state or of the United States involving theft, larceny, dealing in stolen property, receiving stolen property, burglary, embezzlement. obtaining property by false pretenses, possession of altered property, any felony drug offense, ~tIly violation of s. 812.015, F.S., or any fraudulent or dishonelst dealing? ....................................................................0 Yes ~ 9. Have you ever made a misrepresentation cr false statement to, or concealed any essential or material fact from, any ~~~~~.~~.:~~.~.~..~.~~~~~~~.~~.~.~~~.~~.~~~.~~d~:;~;? 10. Have you ever had a final judgment entered against you In civil action upon grounds of fraud, embezzlement misrepresentation, or deceit? ....................... 0 Yes ~o Secondary metals recyclers MUST answer Question 11. 11 . Within the preceding 24 months, have you or other owners, officers, partners, directors or sto,::kholders with a controlling Interest been convicted of, or entered a plea of guilty or nolo contendere to, a felony ccommltted against the laws of the state or of the United StatE~S involving theft, larceny, dealing In stolen property, receiving stolen property, burglary, embezzlement, obtaining proper~( by false pretenses, possession of altered property: or any felony drug offense or of knqW}')Q~ or intentionally violatin~ ~, laws of the state? ...4.lr..(......................... 0 Yes ~o (lFD/dA TItle ( ry/OLjOi "" /111111111111 ~tllllllllllllt ~6:J 9 ~ Cb\l /:j <. . 11ft I,e Q--r, U'-- {;f --fk,/s ~/f~ ~ U5ual/1r (;re-~ +~ DR-1S l( ..' "- ct/Yt(.J>L.-It !te!-fr' R.07/08 ~, f!., d' Page 2 bu.-+ + .s ct I ~ fJ! ~~ () L; .fa elf) S Lv::> iJJl 0 ~c SJl..OEJit;;l-TV/'- a.a:~ ZU~ Se,o-l-~qd--l)d..::: 1. This application is for a: ,BSecondhand Dealer o Secondary Metals Recycler 2. This application is for a (check one): o New business ~ Additional location List current secondhand dealer registration number ~ BJ-[]@][UtI] [RlW ~~ru~ - ~ : ~ ... ~ ell (3 .... c .t: c.. ... o ell Q. t::: ell Ul III ell c:: . . 3. Legal name of corporation, individual owner, limited liability company, partnership, or other. Owner telephone number. ::LD c. n A);), r-.JG L L c.. (1;)7 )5'7~-7Q..'5 g X I P- 4. Trade or fictitious name (d/b/a) (If different than #3 above): Business telephone number. ..l:::~D --rR<i: AS v~ f- .6 U~ ~e..s ..e OA 0.5 1-1 Ow ( 7~1)51C).-0~ 5. Complete physical address of business. Home-based businesses and non-permanent flea markeVcraft show vendors Fax number. must use your home address. Ustlng a post office box, private mailbox, or rural route number is not permitted. IY) ,'[,ro-f-eJ .:r/J/\ ~$lJl '-J-eJ 7tj39 ::r~/I/3lud. (r;J.7) 5rt 3 - ;;)...33 f..o Street: City/StateJZIP: cof'Qs L.D -z.. e.p h l..f { ~- 11.( ~0 33 '5l-JJ 6. Contact name (business owner C<:designe~ Contact telephone number. R116YldA.- 5 f~cU c.YD / c.-Ptt ( 1')-1 ) 51 ()... '1 d.-S 8' :x. JdSj Mailing address [If different than physical address): Street: S Q r,-.....Q.. City/StatelZlP: I E-mail address: S Q..fY1 12.- rS + Q (Y\ CL S <Q. ; 10-1- cL \ 0.. . c...o /)A.. 9 7. Is your business registered to collect sales and use tax? g] Yes 0 No If yes, enter your sales and use tax certificate number: ~ ~ - ~[9 W ~ [j3 [ZJ [11 ~ GJ [1l- W 8. Social Security Numbers are used by the Florida Department of Revenue as unique identifiers for the administration of Florida's taxes. Social Security Numbers obtained for tax administration purposes are confidential under sections 213.053 and 119.071, Florida Statutes, and not subject to disclosure as public records. a. Federal Employer Identification Number (FEIN): ~ [7] - D ~ ~ ~ ~ ~ [I ~~cial Security Number (SSN) of owner: 000 -00 - 0000 Of you are required to have an FEIN but have not yet been assigned one, you may cali the Intemal Revenue Service at 800-829-4933 to request one.) b. FOR OaR USE ONLY D Approved D Denied By: (User 10) DDDDD Date DO/DD/DD month day year Business Partner No. DDDDDDD DDDDDDDD Contract Object (La) 4PM No.1132 P. 2 Sep, 18, 2008 1: 4 . r2..hof'1Clo.- , -, L I _ '.)13 _ ,;ri33 U:, MEETING ROOM FUNCTION SHEET l MEETING NAME: ~urzc:: \?U'/eJ2.S tzoA-DSHotAJ MEETINGDATE/S: "::€Pr 20':'Z2,1-ooB MEETING TIMES: lO~-".pM 20121- NUMBER OF PEOPLE ATTENDING: VA-f2.l~5 l2..l'm-5PM "2-1 ROOM CHARGE: SETUP STYLE: CLASSROOM (max 24) ~ATRE (max 37) CONFERENCE (max 24) -/' U..sHA?E (max 17) ADDITIONAL ITEMS NEEDED COMPLIMENTARY UNLESS OTHERWISE NOTED: TVNCRlDVD COMBO FLIP CHART! DRY ERASE BOARD SCREEN / WATER STATION COFFEE SERVICE $1.00 PER PERSON CLIENT INFORMATION: NAME: ~1?~_J'j(.l'/Ell2& ~ONE: 1?-1 '51~~ ADDRESS: ~h l;{LM.E1Z..WN ~' ~~ ----!1_ PAYMENT INFORMATION: (circle one) CASH CHECK CREDIT CARD CREDIT CARD NUMBER AND EXPDATE: (pLEAllT::NOTEA CREDlTCUlD~~~ OJ;l,'FJ/EJUCK OF m.TS FUNCTION SHEE1) CLIENTSIGNATURE~(~ ~ DATE: C?-IFd6 ~,~~ Lv ~~ So ) ) v ~~. OCQ( . 0000003 " Certificate of Registration for Secondhand Dealer or Secondary Metals Recycler Issued Pursuant to Chapter 538, Florida Statutes DR-11S R. 04/06 07/17/08 DEPARTMENT OF REVENUE IDC TRADING. LLC 3696 ULMERTON RD CLEARWATER FL 33762-4200 Here is your Certificate of Registration, issued pursuant to Chapter 538, Florida Statutes. This authorizes the certificate holder to engage in the business activities of a secondhand dealer. RECEIVED JUL 2 ~ ~~:U This certificate: · Must be conspicuously displayed at your business location. · Is valid only through the expiration date listed. · Is valid only for the person/business and location named and cannot be transferred or assigned to another entity, person, or business location. · Cannot be used for multiple locations. If you are operating at another location, you must complete a separate application for registration (Form DR-1 S). You must notify the Department of Revenue whenever thl3re is a change of ownership, corporate officer, general partner, or stockholder/director with a controlling interest. If you need more information, call Account Management at 850-488-4772. " Certificate of Registration for Secondhand Dealer or Secondary Metals Recycler Issued Pursuant to Chapter 538, Florida Statutes This certificate is for a secondhand dealer. DR-11S R. 04/06 DEPARTMENT OF REVENUE Certificate Number: 62.8014869378-8 FEIN: 37-1568599 Effective Date: 07/16/08 Expiration Date: 09/30/09 IDC TRADING. LLC 3696 ULMERTON RD CLEARWATER FL 33762-4200 · This business has complied with the required provisions of Chapter 538, Florida Statutes, and is authorized to engage in approved business activities. Location address: 3696 ULMERTON RD CLEARWATER FL 33762-4200 · This certificate is not transferable. · It must be posted in a conspicuous place. ******************************************************************...***....********************* I, to charge my: , authorize Microtellnn & Suites - Zephyrhills, FL American Express Mastercard Other Card Number~ 0 ill 0()02 t5fttxpiration Datecel (I V Visa Discover To pay for the reservation above. * This card will cover ~ Room and Tax only 4-lrolda-t\~ +-\A1G Room, Tax and Intemationall Operator Assist Phone Calls __ Room, Tax and all Incidentals . NOTE: THE CREDIT CARD LlSTEO Will BE CHARGED FOR THE FULL AMOUNT OF THE AUTHORIZED CHARGES AT CHECKIN OF THE GUEST. ANY ADDIT10NAl ROOM NIGHT or INCIDENTAL CHARGES MUST BE AUTHORI,ZED BY THE COMPLETION OF AN ADDITIONAL CREDIT CARD AUTHORIZATION.. . * In order for us to use the informali ~~ou must return the form to us before check-in. It can be faxed to - N: Front Desk. The form must be filled out in its entirety, and contain an authorized signature. WE ALSO NEED A, PHOTOCOPY OF THE CREDIT CARD - FRONT AND BACK - SHOWING THE AUTHORIZED SIGNATURE, CARD NUMBER, AND EXPIRATION DATE. (The best way to copy the card is to set your copier to the lightest setting.) Please print the name that appe Authorized Signaturel -