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HomeMy WebLinkAbout09-9037 CITY OF ZEPHYRHILLS 5335 — 8T1 STREET (813)780 -0020 9037 BUILDING PERMIT �� p s t .. ... : s € ``� `� kit x? Permit Number: 9037 Address: 6011 GALL BLVD Permit Type: SIGN ZEPHYRHILLS, FL. Class of Work: WALL SIGN Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 03-26-21-0010-11200-0041 Improv. Cost: 21,000.00 ; ..r a I, . HI Date Issued: 4/24/2009 Name: MPG GEIGER LTD Total Fees: 237.50 Address: 6011 GALL BLVD Amount Paid: 237.50 ZEPHYRHILLS, FL. 33542 Date Paid: 4/24/2009 Phone: (800)385 -4748 Work Desc: INSTALL WALL SIGN W/ BACK PANEL W/ ELECTRIC INTERNATIONAL S IGN & DESIGN SIGN 202.50 ELECTRICAL FEE 35.00 \ —0 •111 4ft FOOTER ELECTRICAL ROUGH FINAL REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection trips are necessary due to any one 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 "Warning to owner: Your failure to record a notice of commencement may result in your paying twice for im . rovements to you property. If you intend to obtain financing, consult with your lender or an attorney be - recording you notice of commencement." 6 6g-- 4 4 44, CONTRAC OR SIGNATURE PERMIT OFFI �R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER . __ ....... , ....--- City of Zephylls BUILDING PLAN REVIEW COMMENTS ---- - N, .---- C loiT.a.-tortiflomeowner: -----)--(f./e ic-7/74 e,='lli.- , ItA- Date Recei-ved: Site: --/ Permit Type: Approved wino conaments: Approved w/the below comments: 0 Denied w/the belo comments: 0 This comment she shall be kept with the permit and/or plans. K.al • • Swi r er flans Examirter Date _ Contractor and/or Homeowner - (R.eq-uired when comments are present) • GD INTERNATIONAL SIGN & DESIGN This Document, as a quotation, is firm for 30 days. When signed by both parties and an officer of ISD Corp., this document becomes a valid contract. International Sign License #: FL ES0000003, AL BC -S /E -S 41690. This CONTRACT, made and entered into this Date of 2/18/09 by and between International Sign and Design Corporation, Largo, Florida, hereinafter called Seller and Verizon Wireless Hereinafter called Buyer. WHITNESSETH: In consideration of covenants and agreements hereinafter contained on part of the Buyer and in accordance to terms and specifications on REVERSE side hereof which are hereby incorporated and made a part of this contract, Seller agrees to furnish as per approved drawings the following described Signage: Project Location Address: 6009 Gall Blvd Zephyrhills, FL Red Rabbit Retail Center To manufacture and install as follows: One set of Illuminated LED channel letters with black backing facia panels Drawing #G08244 -50R2 21,000.00 Plus any applicable permitslsecural fees /engineeringlinspections. TERMS: 50% DUE W/ SIGNED CONTRACT /BALANCE DUE UPON RECEIPT INTERNATIONAL SIGN & DESIGN CORP IS NOW ACCEPTING MCNISA/AMEX Accepted for Seller: Accepted by Buyer: International Sign and sign Corporation By: ! B J SALES ‘ / BRYAN D. VAUGHN -VP OF SALES BY:PRINT:&j w't,, --- A Ls,-.„.._ International Sign and Desi oration SI , • Approved this Date - Approved this Date — At LARGO, FL Corporate Office /Manufacturing Monroeville OtficelManufacturing 10831 Canal Street 267 Industrial Park Dr. Largo, FL 33777 Monroeville, AL 36460 Phone: (727) 541 -5573 www.intlsgn.com Phone: (251) 575-3981 Fax: (727) 544-7745 SALES-INSTALLATION-SERVICE Fax: (251) 575-3047 EnCon Services, Inc. Sign Design Calculations Job Description PREPARED BY: EnCon Services, Inc. Verizon Wireless 2272 Jaudon Road Dover, FL 33527 Zephyrhills, Florida 813 - 655 -3373 Verizon Wireless letters F 813 - 655 -9814 Design per 2007 Florida Building Code, 2009 supplement, Section 16 Wind Load ASCE 7 -05 Aaron Biedenbach, P.E. Design Specifications I FL PE #52949, FL EB 9394 Importance Factor 1 OH PE 60756, OC #01893 Kzt 1 KY PE #20281, P #2463 Exposure Factor B IN PE #PE 19600322 Kd 1 FL CBC #060535, QB #22527 Kz 0.7 V 110 mph GCp -GCpi 1.28 Zone 4, h < 60 Wind Pressure 27.8 (psf) Sign Information per Letter Height 1.34 (ft) Width 1.34 (ft) Thickness 1.00 (ft) Distance grade to top 30 (ft) Wind Sheer Force 37.19 (Ib) Weight of Sign 18 (Ib) Total Sheer Force = 0.00 (Ib) Total Tension Force = 49.84 (Ib) Required Provided Fastener size (Nominal) #12 -14 #12 -14 Minimum number of fasteners per letter 4 4 Sheer Force per fastener (Ib) 0.0 300 Tension Force per fastener (Ib) 12.5 125 Combination Tension and 0.10 <1 O.K. Sheer ratio FASTENER TO BE #12 -14 SELF DRILLING SCREW INTO METAL WALL PANELS. 4/2/2009 Verizon Wireless Zephyrhills 16in LTR5 Pasco County Property Appraiser - Map Page 1 of 1 Pasco County, Florida 1.0 miles NNW of Zephyrhills Prepared by the Office of Mike Wells, Pasco County Property Appraiser. Map Created on 4/8/2009 at 7:29:08 AM. ,021 0.0100.07 ' '. 6 21 0210 00300 042003.26 21 0210.00300.0 "ff' ' .326 2102101000'. 3242 J n210.0 ? 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RED RABBIT, LLC DATE: August 11, 2008 TO WHOM IT MAY CONCERN: This letter authorizes INTERNATIONAL SIGN & DESIGN CORPORATION to manufacture and install signs and /or awnings at the following location: G ocp Cam.. 4.. ,k1 , 2II al•II $ y .../ -.-' � INTERNATIONAL SIGN & DESIGN CORPORATION is authorized to secure permits and variances required by the local governing body. N � _ Title: itZeiiii is( 4,, Notary Public: •7,. . Nobly PabIc - SW 01 Floddr County of: � tit,--1.., • ComwMonE a, 2010 1 `: Con�niion $ DO 5319C State of: BnKNd By Wool Mab A ssn. / My Commission Expires: \. ;//eQ� —e— 3/;-3 /9- 0 / 0 sa 1,--e /kr F ' S `c 138 107 AVENUE #331 TREASURE ISLAND, FL 33706 Phone: 7 Fax: 727-367 -1139 A L L Q 0t5 rI' 1 3 > II I - kin awl. ' 4 V r `` n i1 t • Mr ��6111�6��� 114 I. • -.r. 4 1 y f 1 + l j{R 7 b 1 I ,____1:), i ,....., z ----, . 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O O - 4 13 Z mr m - , m m r m - . m O �mm TI �� m �(nc - o .Z 0 7 0 � 0�c cn0 m 0 crn -IC mm m - n2 m cz �� p ' - � i 813- 780 -0020 City of Zephyrhills Permit Application i" C(631 Fax-813-780-00 21 Building Department Date Received 'O x - 0 Phone Contact for Permitting 7027 MI - 73 f- Owner's Name/91/4 66-76-6-?..- GTE Owner Phone Number '7 d 76 ' / W ci Owner's Address �d C S %1- � 2 /74 / ,- 9J I Owner Phone Number I - I Fee Simple Titleholder Name Owner Phone Number I I Fee Simple Titleholder Addr s , 74 I / / I LOT # I JOB ADDRESS I � r -GL. A i.--/23 9 SUBDIVISION I PARCEL ID# 6.7.--0 - 04/V "'/id dQ -0 Gy / (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED El NEW CONSTR I ADD /ALT SIGN u MOVE I DEMOLISH INSTALL REPAIR PROPOSED USE I SFR I COMM I I OTHER I TYPE OF CONSTRUCTION I I BLOCK J A I FRAME n STEEL n OTHER WORK N.S t 0020c1/,/ ,/ /G -1 �i9rE,A"�/i-Zj% "C-j T C"`7( if 7, DESCRIPTION OF ,� / ,4-2.6-- c. BUILDING SIZE SQ FOOTAGE 5 t7 • 7,5 7 HEIGHT J BUILDING $ (C) 9 CC) a' VALUATION OF TOTAL CONSTRUCTION ELECTRICAL $ Q' ` ..,C AMP SERVICE 1 1 PROGRESS ENERGY El W.R.E.C. V C fit e- 1 IP' reP 7 1 I PLUMBING $ 1 I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION I I GAS [I ROOFING I I SPECIALTY n OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES I /,-• or r ► " ' /;47Z- "A //Mc/A/� ria i Bf; / C,/ eao P BUILDER + �J// rellipl B., COMPANY SIGNATURE REGISTERED Y N j FEE CURRENT 6,, I Ga 5 License # eJ O'c c) Address �(�OJ �( ?�?� Sr, � �Gd / � ��7� ' I,. I/,,r7a�./r, a. ,-, SiE -V ct V63 ,6,r /,ppl ELECTRICIAN I l ,' ti - COMPANY ' y � SIGNATURE - �' �� REGISTERED L! FEE CURRENT a N 4 Address /c2j]1 ,/ z .f N 446o 33777 License# �J 0 0 0 006Z-2 I PLUMBER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 Address License # I MECHANICAL COMPANY SIGNATURE REGISTERED I Y1 N I FEE CURRENT I Y/ N I Address License # OTHER COMPANY SIGNATURE REGISTERED I Y / N I FEE CURRENT 1 Y/ N I Address License # , 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 subdivisions /large projects COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R - - 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 PERMIT Attach (2) sets of Engineered Plans. * ** *PROPERTY SURVEY required for all NEW construction. «,halt , D irections: Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (A/C upgrades over $5000) ** Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades NC Fences (Plot/Survey /Footage) Driveways - Not over Counter if on public roadways..needs ROW NOTICE OF DEED,RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions" which may be more restrictive than County 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 contractors 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 under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended 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 contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION IMPACT /UTILITIES IMPACT AND 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 -07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving 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. CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I certify that 1, the applicant, have been provided with a copy of the "Florida Construction Lien Law — Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other 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. CONTRACTOR'S /OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced 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 certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is my responsibility 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 understand 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, fot Tots 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, plumbing, 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 aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring 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 justifiable cause for the extension. If work ceases for ninety (90) cgnsecutive days, the job is considered abandoned. 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 Q AN ATTOI NE BEFORE RECORDING Y NOTICE OF C , ' ENCEMENT. ! FLORIDA JURAT (F.S. 1 7 ) ` ) OWNER O AGENT - - CONTRACTOR _� - ubscribed an §wo rn to o r affi es befj re me if Subscribed and sworn to (or affirmed) •'- i this _ - LL«L i 1 _ _ ( ft t L / 9 =Q by Gc)/ / C i/1 = t. (/- -- Who is /are .ersonall known to e or has /have produced Who is/ ersonally known to me or has / av- produced as identification. identification. \--ri otary Public 1 _ .__Notary Public Commission No. Commission No._ - - «� r «, GARY WC K3 - Name of ' „ �A1rL IRIf� 609574 Name of Notary typed, print " = dlrlYC MMISSION# DD 609574 EXPIRES: January 10, 2011 EXPIRES: January 10, 2011 ' �?, . _ • r Bo Tin Notary Pubic Underwriters 8f.h Banded Thru Notary Pubic Underwriters ACORD CERTIFICATE OF LIABILITY INSURANCE OPID DF INTE -17 DATE(MMIDDIYYYY) 04/23/09 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Brown & Brown of Florida, Inc . HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P . O . Box 15519 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Tampa FL 33684 - 5519 Phone: 813 226 - 1300 Fax: 813 226 - 1313 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURERA: ZENITH INSURANCE CO 13269 International Sign & Design Corp & International C & C INSURER B: AUTO OWNERS INSURANCE 18988 Corp DBA Sign X Press & Intl g Linear Matrix Corp INSURERC: st. Paul Fire c Marine Ins.Co. 24767 10831 Canal Street INSURER D: Southern Owners Insurance Co. 10190 Largo FL 33777 -1696 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR AMYL POLICY EFFECTIVE POLICY EXPIRATION LTR INSRC TYPE OF INSURANCE POLICY NUMBER DATE (MM/DD/YY) DATE (MM/DD/YY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000 D X COMMERCIAL GENERAL LIABILITY 20718180 (FL) 04/15/09 04/15/10 PREMSES(Ea $100,000 CLAIMS MADE X OCCUR MED EXP (Any one person) $5,000 B X $1,000 Ded PD 20718181 (AL) 04/15/09 04/15/10 PERSONAL &ADV INJURY $ 1, 000, 000 GENERAL AGGREGATE $2,000,000 GE 'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 2,000, 0 00 POLICY x PRO LOC JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT B X ANY AUTO 9669517502 (AL) 04/15/09 04/15/10 (Ea accident) $1,000,000 ALL OWNED AUTOS 9669517500 (FL) 04/15/09 04/15/10 BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY NON -OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $5,000,000 C X OCCUR CLAIMS MADE QK06803212 04/15/09 04/15/10 AGGREGATE $5,000,000 $ DEDUCTIBLE _$ X RETENTION $ 10, 000 $ WORKERS COMPENSATION AND X TORY LIMITS 01 A EMPLOYERS' LIABILITY 2067917204 (AL) 09/15/08 09/15/09 E.L. EACH ACCIDENT $ 1000000 ANY A OFFICER /MEMBER EXCLUDED? ECUTIVE 2830005722 (FL) 09/15/08 09/15/09 E.L. DISEASE - EA EMPLOYEE $ lOOOOOO If yes, cribe undr e SPECIAL des PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 100000 OTHER D Installation 20718181 04/15/09 04/15/10 Inst Floa $50,000 D Rental Equipment 20718181 04/15/09 04/15/10 Ren Equip $50,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION ZEPHYRH SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 030 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL City of Zephyrhills IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 5335 Eighth St REPR SENTATIVES. Zephyrhills FL 33542 A • : • ED ESENTATIVE YR O ACORD 25 (2001/08) © ACORD CORPORATION 1988 11111111 a 111111111111111111111111111111 a 111111111111111111 2009051312 Rept:1237827 Rec: 35.50 DS: 0.00 IT :0.00 04/15/09 Dpty Clerk Prepared By and Return To: MPG Geiger, Ltd PRULR 5. O'NEIL, PR5G0 CLERK o GO 04/15/09 5bg of 138 107 ave #331 OR BK Treasure Island, FL 33706 Parcel Id. Nos.: 0326210010112000041 Permit No. 0326210210000000010 0326210210000000020 0326210210000000030 0326210210000000040 0326210210000000050 0326210210000000060 0326210210000000070 0326210210000000080 0326210210000000090 0326210210000000100 0326210210000000110 0326210010128000020 NOTICE OF COMMENCEMENT STATE OF FLORIDA ) COUNTY OF PASCO ) THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property situated in Pasco County, Florida, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement: 1. DESCRIPTION OF PROPERTY: See Exhibit "A" attached hereto Street Address: 6009 Gall Blvd., Zephyrhills, FL 33542 2. GENERAL DESCRIPTION OF THE IMPROVEMENT: Sign Installation for suites 400,500& 600 3. OWNER INFORMATION: a. Name: MPG Geiger, Ltd. b. Address: 1803 Brian Creek Blvd. Safety Harbor, Florida 34695 Phone: 727 - 669 -7412 Facsimile: 727- 799 -7940 c. Interest in Property: FEE SIMPLE TITLE HOLDER d. Name and Address of fee simple title holder (if other than Owner): N/A STP:758505:1 OR BK 8062 PG 489 2 of 4 4 R4. CONTRACTOR: a. Name: International Sign & Design, b. Address: 10831 Canal Street Largo, FL 33771 c. Phone Number: 727 -541 -5573 d. Fax Number: 727 -544 -7745 5. SURETY: NONE. 6. LENDER: a. Name: Synovus Bank of Tampa Bay b. Address: 32845 US Highway 19 North Palm Harbor, FL 34684 c. Phone Number: 727 - 451 -4310 d. Facsimile No.: 727 - 785 -7783 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)(7), Florida Statutes: a. Name: Not Applicable b. Address: c. Phone Number: d. Facsimile Number: 8. In addition to himself or herself, Owner designates the following to receive a copy of the Lienor's Notice as provided in Section 713.13(1Xb), Florida Statutes: e. Name: Synovus Bank of Tampa Bay f. Address: 32845 US Highway 19 North Palm Harbor, FL 34684 Attn: Carol Sabau g. Phone Number: 727 - 451 -4310 h. Facsimile No.: 727 - 785 -7783 9. Expiration date of notice of commencement (the expiration is one (1) year from the date of recording unless a different date is specified): STP:758505:1 OR BK 80►2 of PG 490 3 4 a IN WITNESS WHEREOF, the Owner has caused these presents to be executed this, day of , 2008 MPG GEIGER, a Florida limited partnership By: MPG GEIGER, a Florida corporation By: h Ira Waitz, President STATE OF FLORIDI. COUNTY OF rim. II AS The foregoing instrument was acknowledged before me thisa day of hait4.34 , 2008, by Ira Waitz, as President of MPG Geiger, Inc., general partner of MPG Geiger, Ltd. He is ( ) personally known to me or ( ✓) has produced as identification. JO Atikhrk N. pOf ciev) Notary Public Print Name: T(R lr) itin a M. beck, r grot 0 44, Notary Public State of Florida My Commission Expires: 111 Tabitha M Decker y p it My Commission 1)D778017 ' o F, Expires 04/06/2012 STP:758505:1 OR BK 8062 PG 491 4 of 4 EXHIBIT A LEGAL DESCRIPTION COMMENCE AT THE SOUTHWESY CORNER OF THE SOUTHEAST '/4 OF THE SOUTHEAST 'A OF SECTION 3, TOWNSHIP 26 SOUTH, RANGE 21 EAST, PASCO COUNTY, FLORIDA; THENCE SOUTH 89 °08'22" EAST ALONG THE SOUTH LINE OF SECTION 3, ALSO BEING THE CENTERLINE OF GEIGER ROAD, 602.23 FEET, THENCE NORTH 40.00 FEET TO THE NORTH RIGHT -OF -WAY OF GEIGER ROAD, THENCE 89 °80'21" WEST, 6.00 FEET TO THE POINT OF BEGINNING; THENCE DEPARTING SAID NORTH LINE NORTH 00 °51'24" WEST, 342.71 FEET; THENCE NORTH 89 °58'29" EAST, 71.62 FEET; THENCE NORTH 80 °07'45" EAST, 71.21 FEET TO A POINT ON THE WEST RIGHT -OF -WAY LINE OF U.S. HIGHWAY 301, SAID POINT BEING ON A CURVE CONCAVETO THE EAST WITH A RADIUS OF 1231.21 FEET, A CHORD OF 382.46 AND A CHORD BEARING SOUTH 20 °21'05" EAST, THENCE ALONG SAID CURVE AND RIGHT -OF -WAY 384.02; TO SAID NORTH RIGHT -OF -WAY OF GEIGER ROAD; THENCE NORTH 89 °08'22" WEST ALONG SAID RIGHT -OF -WAY 269.45 FEET TO THE POINT OF BEGINNING. STATE OF FLORIDA, COUNTY OF PASCO THIS IS TO CERTIFY THAT THE FOREGOING IS A TRUE AND CORRECT COPY OF THE DOCUMENT •N F •F PUBLIC RECORD I THIS OFFICE J NESS MY HAN* f ,i OFFICIA SEAL THIS `. DAY 0. „b 2 CD c1 S. O'NEI I f & COMPTROLLER STP:758505:1 =11 /I &Le � 4 ' D •UTY CLERK