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Home My WebLink About10-10713 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 10713 BUILDING PERMIT Permit Number: 10713 Address: 38 5TH AVE 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: g Parcel Number: 11- 26-21-0010-16800-0010 I mprov. Cost: x Date Issued: 8/13/2010 k Name: HELP PROPERTIES LLC Total Fees: 67.50 Address: 38530 5TH AVE Amount Paid: 67.50 ZEPHYRHILLS, FL. 33542 Date Paid: 8/13/2010 Phone: (813)788 -7026 Work Desc: INSTALL 72 X 24LLUMNATED WALL SIGN- CLASS B -SEE NOTES AN Ls • === • R, € ' /6_16 c) Pe)( •i R 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 improvements to your property. If you intend to obtain financing, consult with your lender or an attorney before recording your notice of commencement." M i•, PO �� CONTRACTOR SIG TURE PERMIT OFFI FR PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 08/10/2010 15:33 7279429799 ANCLOTE SIGN CORP PAGE 01 PCVY ANCLOTE SIGN CORPORATION 817 Riverview Lane Tarpon Springs. Fl. 34689 Phone # 727 -938 -5943 Fax # 727 -942 -9799 Anclotesigncorp. com August 10, 2010 RE: Permit #1 0713 To whom it may concern: This letter is to inform the building Dept, That Anclote Sign Corp will not be providing the electrical power source for the wall sign located at Class B 38530 ? Ave. Zephyrhills, El. Customer has hired a licensed Electrical contractor, whom will be obtaining an electrical permit. S incerely, Patrick A Gipson CEO /Owner Anclote Sign. Corporation, Pasco County Parcel: 11- 2 6 -21- 0010 - 16800 -0010 001 Page 1 of 1 I Data Current as Of: II Weekly Archive - Monday, July 05, 2010 I I Parcel ID II 11- 26 -2 0010 - 16800 -0010 (Card: 001 of 002) I Classification II 11 - Retail Stores, One Story, All Types I Mailing Address Property Value HELP PROPERTIES LLC Ag Land 38530 FIFTH AVE $0 ZEPHYRHILLS FL 33542 -4318 Land $54,250 Physical Address Building $493,917 38530 5TH AVE Extra Features $11,445 ZEPHYRHILLS FL 33542 -4330 Market Value $559,612 Legal Description (First 4 Lines) Assessed (Non School Amendment 1) $559,612 See Plat for this Subdivision.2" CITY OF ZEPHYRHILLS Taxable Value $559,612 PB 1 PG 54 LOTS 1 -5 INCL BLOCK 168 OR 7093 PG 360 Land Detail (Card: 001 of 002) I Line II Use IIDescriptionI Zoning II Units II Type I 1 II 1100 IISTORE iFLRII 00C2 II 7,000.00 II SF II Price II Condition H Value 10 II 10,500.00 SF (I $5.41 II 1.00 II $37,870 I 2 II 1100 IISTORE 1FLRII 00C2 I 5000 II $1.56 II 1.00 II $16,380 0 Additional Land Information I Acres II 0.40 II Tax Area H 30 ZH F EMA Code X II p IlCommerical Codell M5AV2AB I Building Information - Use 11 - Retail Stores (One Story) (Card: 001 of 002) Year Built 1969 Stories 1.0 Exterior Wall 1 Concrete or Cinder Block Exterior Wall 2 Common Brick Roof Structure Rigid Frame w /Bar Joist Roof Cover Interior Wall 1 Built -Up Tar and Gravel Drywall Interior Wall 2 Wood Panel or Custom Flooring 1 Cork or Vinyl Tile Flooring 2 Carpet Fuel Electric Heat Forced Air - Ducted A/C Central Baths 6.0 I Line I Description II Sq. Feet 1 II BAS II Repl. Cost New I 2 4,800 II $449,280 II CAN II 1,305 II $36,691 Extra Features (Card: 001 of 002) Line II Il Description I Year II Units U Value 196 1 VAULTDR I 1969 if 1 0 $0 2 II VAULT I 1969 II 438 II $0 Sales History Previous Owner I HILFERDING ROBERT.] REVOC TR Year Month I Book /page II Type II Amount II 0 2006 I II I 7093 / 0360 II wD II $0 I 2006 I 6964 / 1698 $0 1993 I I 04 II VVD 07 ( 3196 / 1505 I WD II $ http: // appraiser. pascogov .com /search/parcel.aspx ?sec =11 &twn= 26 &rng =21 &sbb= 0010 &b... 7/12/2010 y I J - I UV'VVLV lriiy UI LCpi IyI I i i i i J r C l I I IR /1)JpIIUdUUI l a I GA - U IJ VV - VVL I - Building Department 0/07/ ?J- Date Received Phone C ontact for er Permitting ) - 1 1 1 1 1 1 1 1 I 1 1 1 ii.., 11111111 [111111 1 1 1 1 1 Owner's Name E y 1C' 1--1, i r( reil n 9 Owner Phone Number Owner's Address 3C.7 530 5 � Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address C� JOB ADDRESS J S2D /� J ✓ P. LOT # SUBDIVISION PARCEL ID# I ( -7 - ? I ._66\ l O - / ( C 3 ( -- C o I 0 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR u ADD /ALT 1 1 SIGN n DEMOLISH INSTALL n REPAIR PROPOSED USE n SFR n COMM I I OTHER TYPE OF CONSTRUCTION 1 1 BLOCK IT FRAME I ( STEEL L= �� l�'' � f / y � �j � / 7(� DESCRIPTION OF WORK �L7i S /// / ( t ) -�A /ZC %La/GeC U/"` `--� C 91) r s/ BUILDING SIZE SQ FOOTAGE HEIGHT C2 BUILDING $ ZI 'lGj�`,° 0 VALUATION OF TOTAL CONSTRUCTION ELECTRICAL L165 J65 AMP SERVICE 1 1 PROGRESS ENERGY n W.R.E.C. PLUMBING $ T ]MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 1 GAS 1 I ROOFING [] SPECIALTY 1 1 OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I 1YES NO • 1 1 1 BUILDER COMPANY SIGNATURE REGISTERED 1 Y/ N 1 FEE CURREN 1 Y/ N 1 Address v License # ELECTRICIAN )I 1 COMPANY Y I �►V�Q / V / � 70 SIGNATURE 'C y t REGISTERED N FEE CURREIN Y/ N 1 � ? ' / ,may � ,,,/) /"� �/� Address s f r i V C1 V LQ - T S i (J q ' 9 License # "&. .. ,.t PLUMBER COMPANY SIGNATURE REGISTERED 1 Y/ N I FEE CURREIN 1 Y/ N 1 Address License # MECHANICAL COMPANY SIGNATURE REGISTERED 1 Y/ N I FEE CURREN 1 Y/ N 1 Address fl" License # OTHER �, ` C OMPANY / h V d b J /qAJ (� /U SIGNATURE Yc4rfri REGISTERED e N FEE CURREN 1 Y/ N % Address 17- f ?w c 1 co(a, l -J ) G/ 8 7 License# *E-S W2)�� 1111111111111111111111111111111111111111111111111111111111111111111 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 -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 PFD Attach (2) sets of Engineered Plans. * ** *PROPERTY SURVEY required for all NEW construction. Directions: Fill out application completely. Owner & 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 Attorney (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs if shingles Sewers Service Upgrades A/C 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 I, 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 descri ocu 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 thi i urate and that all work will be done in compliance with all applicable laws regulating construction, zoni d lopment. Application is hereby made to obtain a permit to do work and installation as indicated. I ork or installation has commenced prior to issuance of a permit and that all work will be performed t meet ds 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. 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, 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, 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 ill&Oays and will demonstrate justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is onsidered 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 OR AN ATTORNEY BEFORE RECORDING YO NOTIC OF COMMENCEMENT. FLORIDA JURAT (F.S 17. 3) ' OWNER OR AGENT - '0 11 CONTRACTOR , b P _A A Suu pp sgqrribe�d and swor�gtq (or affirmed) before this Su criped and sworn o (or Iffirmed).before is by VQi'fiiCK. (1) PSfY l 11 III ° by PO'}r)(JL (-4 Wh is' /Ake ersonally.known t me or has /have produced Who i1�/ @@re erspnally known oae or has /have produced L l� \rs LiCQf' - . as identification. 1-(, r'1 UCT5 A as identification. (-9--']!i1 ) Notary Public N Y Notary Public Commission No. Commission No. ..t ..!. RENEE Ga180 Name of Nota low+ �� ." `�' Name of Notary typed, printed • MY COMiYISSION # e ' ' ' n # DD 816374 : DD 816374 -.'41',V0 •:�-:•. EXPIRES: August 20, 2012 EXPIRES: August 20, 2012 .r tie Bonded thru CNA Surety Bonded "�� "� - -___ __ .____ ______ -- City of Zephyrhills Dept. of Community Development Date: (/ U RE: ClassB 38530 5th Ave Zephyrhills, FL 33542 To Whom It May Concern: , owner of the property at the above referenced address, do hereby authorize Anclo Sign Co rp to obtain a permit for and to install signage on the above referenced property. ' 2 (_ r Property Owner Address: 3 �� Q J Signature i ate (›// Notarized: STATE OF FLORIDA The foregoing instrument was signed before me this 4 day of 2010 by Erg L , I- 6,,01, O property owner. Not. Public y � � 1�NM��1� 1w11 � �► � •�:• I li tu. , 5s �, Lsc.a aS • M Met (Print Name) awe MOM mmille • 010111110 .811011 l i S !stye I • ,..., „.: t - •-•' , ' ` .., . • . ' . • r•' , „.. --... .. .0' CI ' .2t ?..,■ .. ■ 4 • °:' . - A.4 •-,', — --= • . __,„. -S• ,,,, - -• -- ... • . , . ., / _ -iii c° , r . ,.. : • - . .. .,.-- . . 4 . a •,, . *.,., .„ • , .- - : • • . .1 ' !?.!•• ' , . .,....,:.,:t '1 . -.. ,.....- ' . . . f ' - . moramommin • '''' ...'.. - ...""*".". 111.111111kTP0 7- ",)-,'-• . .. . ............. . ' - - • .---.• ';• 4 -- - , -. N •• 1 ,,,,, ,c, / ii . .' =-1 - • '' '• -. :,-- . . it-iit 'A . . • 1 1 ' 1 c) c ;,o•c) w r` X r cn cp .• o 1 no m ,--- k_i-. — 2:-. 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M ,, SIC d > u, cc a. , as s d e u V VI E 23 V p Z F-F+z W= 1g_22= Z LL .91- O a. W o ° W W h u. it ? N ut.- C 0 U o � n''a v = p c u. w w p z a Q V P a. y , ° ;, E ,., au o 1---- W tL w m c t fn < 'Ac# :: 8 8 7 4 6 5 ' . _ STATE OF FLORIDA DEPARTmENT OFBUSINESS AND PROFESSIONAL - .ELECTRICAL CONTRACTORS 4xclersmoq BpARp ,-._ ,..:,_ „;..„.,,:. . - - - Sea LO '. !immailmizal _ WCENSN NBR - ---, 08/01/2008 .088020485 88800 0 3 73-- .---'----.-' - The SPECIALTY ELEcTKICAL CONTRACOR Named below IS CERTIFIED Under the provisions of Chapter 489 PS- Expiration date: AUG 31, 2010 AS A SIGN ELECTRICAL SPECIALIST-HH. GIPSON, PATRICK ALBERT ANCLOTE SIGN CORPORATION 817 RIVERVIEW LANE TARPON SPRINGS FL 34689 CHARLIE CRIST CHARLES-M. GOVERNOR SECRETARY DISPLAYASIREQUIREDBYLAW ita PINELLAS COUNTY CONSTRUCTION LICENSING BOARD THIS CERTIFIES THAT Patrick Albert Gipson DBA Anclote Sign Corporation STATE CERT # I-ES0000373 HAS FILED HIS/HER LICENSE AND PROOF OF REQUIRED TY AND WORKERS' COMPENSATION INSURANCE WITH THIS BOARD. I IN GOOD STANDING UNTIL September 30, 2010 ES0000373 - i DA, TE Of S'St , A NCR 07/22/2009 t GiPS0-7, P 4 ;',%: ; ' Ble;r;Sk! CTil :MI. iicense along fines '--.:''''.:7,,?,:7.,•:'.:K'"').'',.S'Mt';',7"',.',-;.'"a''.:''''''''''.?5,S,F.,V.::,"?-0"'c'''''F.',„7.:,`,7", ". ' ""..,.:. 7 7. i , tig' , ';: ,,,,, WW,;*-444 - 4 a '''' .,.. .,„ clry OF mportm 9 4 , 444 , 4 14 , 444. 4 4 4 4 *4 4444' 324 EAST PINE STREET , L $ t 7 / 4-fas :\ ) TARPON SPRINGS, FLORIDA 34689 9:1 • . " .W 0, K." TAX REs'EIPT NI t>0 --z_. ki 'N..Lt...';' . , BUSINESS ADDRESS: 817 RIVERViEw LN LrcENsp. FEE- 36.90 LICENSE NUA. 10-00047168 PENALT1 : 0.00 64 Fi SIGN ERECTOR - C . 1 OTAL PAID 36.90 io , COMMENTS: , W . RESTRICTIONS: ' 11 ! --,:., 70 ANCLOTE SIGN CORPORATION PATRICK A CUPSON ( f , '4 81 7 RFVERVIEW LN E 17 RIVERVIEW LN t .14 TARPON SPR.ThiGS H. 34689-4119 TARPON SPRINGS FL 34.689 q; .... PLEASE POST IN A CONSPICUOU PLACE '' ig tb --- 11,' 11T -I 17 '------f- Expirc.--s SLTAernbcr 30 oi i ear , iotatet, in tAcense Number n 06/29/2010 15:41 7279426087 PAUL FERRARO INS PAGE 01/02 ACORD CERTIFICATE OF LIABILITY INSURANCE DATEIMM/OD/YYYYI PRODUOER 727.937.5171 FAX 727.942.6087 - 06/29/2010 . o - a TE .- ; 'fit _ • AS A MA __ - Or INFO 7 TION Paul Ferraro Insurance ONLY AND CONFERS NO RIGHTa UPON THE CERTIFICATE 536 East Tarpon Ave. , Suite 2 HOLDER. THIS CERTIFICATE NOT ANEW EMEND OR Tarpon Springs, ALTER THE COVERAGE +�Feup® Ny T POLICIES BELOW. P p ngs, FI. 3'4689 INSURERS AFFORDING COVERAGE NAIL iR INSURED Anclote Sign Corporation IN8URERA: First National Insurance Co. " ' 817 RIVERVIEW LANE INIMERtt RLI Surety TARPON SPRINGS, FL 34689 c INSURER D; 1 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 wrni RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO AU. THE TERMS, EXCLUSIONS AND CONDrlIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED IN PAID CLAIMS, LTR INSR • TYPE OF INSURANCE POUCY NUMBER D A • , - { ' , 4 , ?7J u: :•`-- � oe IERAL UABIUTY 01 -CH- 4066561 -4 02/08 010 02/0. 011 EACH(oommtt slce s 1,400,00C X COMMERCIAL GENERAL LIABILITY 7� CLAMS MADE X OCCUR M t6A 1 S 200, 000 A Me8 EXP (Any an pawn) - $ 10 00C PERSONAL a ADV Nam $ 1,000,00C =NERALMCREGATE s 2,000,000 GENL AOOREGATE L$41T APPLIES PER PRODUCTS - C OMP/OP AGO $ 2,000,00C X POLICY n n LOC AUl o MOBILE LIABILITY ANY AUTO a SINGLE LIMIT s AU. OWNEb AUTOS •• SCHEDULED AUTOS pa, I(I )I $ _ HIREb AUTOS wove INJURY _ NONOWNED 9 PROPERty DAMAGE s GARAGE UABIUTY ANY AUTO AUTO ONLY. EAACCMENT 9 OTHER THAN EA ACC 8 ALRO ONLY; AGG 9 EXCESS 1 UMBRELLA UABRRY EA H OOOUR'REPIfx s 7 OCCUR C CLAIMS MADE AGGREGATE $ iiii OEOUOTIaLE $ RETENTION $ s WORKERS COMPENSATION 9 AND EMPLOYERS' LABILITY I at a; I I O L ANY PROPRETORMARTNER/ExEcunvc EL. EACH ACCIDENT 9 OFFICER/NE WER EXCLUDED? IMnndMroryInnNH) - , 1lffyaa, da arxba Mulder E.L. OXI MASS • EA EMPLOYEE $ 8PECIAL PROVISIONS below EL DISEASE - POLICY LAST t H borough County 8568004372 11/29/2009 11/29 /2010 85000 B Hernando County LSM0019487 09/10/2009 09/10/2010 85000' DESCRIPTION OF OPERATIONS / LOCATIONS / VENICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECK!. PROVISIONS CERTIFICATE HOLDER CANCELLATION sN0UL0 ANY OF TREMENS OBSCRB® POLICE BE CANCELLED BEFORE THE EXPIRATION DATE TNBRWOF, MEWING INNER WILL BOEAW II TO MNL 10 pays WIMTTEN Romani THE OGRTIFlCATE FOLDER NAMED TO THE'LQ•T, OUT FAILURE TO DO SO SMALL INP096 NO OSUGATION OR LIABILITY ICPO wow TIE INSURER, mg AGENTS OR City of Zephyrhills - Building Dept. AINPREESNTA 5335 8th Street AUTHORIZED AIME Zeghyrhiils, FL 33542 R009l01 `^` Lad., ACORD 25 l ) FAX : 813.780.0021 1 988.2069 77.7-4- • - TION. AI rights reserved. The ACORD name and logo are registered marks of ACORD 06/29/2010 15:41 7279426087 PAW FERRARO INS PAGE 02/02 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the poficy(les) must be endorsed A went on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the poly, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER This Certificate of Insurance does not constitute a contract between the issuing insurer(s) authorized representative or producer, and the certificate holder, nor does it aRimtatively or negatively extend or alter the coverage afforded by the policies listed thereon. amend, ACORD 25 (2009/01) 102I S C• L i1 ON O • Anclote Sign Corporation 817 Riverview Lane Tarpon Springs, FI. 34689 Date: June 29, 2010 RE: Letter of Authorization TO : City of Zephyrhills This letter authorizes Shari L.Gipson & Mark L.Gipson to Obtain Permits or to sign on any documents pertaining to Anclote Sign Corporation. NOTARY INFORMATION State Of Florida The Foregoing Instrument was acknowledge before Me this Day of a 1 2010 By (� B Q�� - � `") + P`�� who is Personally Known to me or (Name Of Person Acknowledging) Produced F L D'('r{. 1Xf j L1 (Type Of Identification) I / 1_. (Signature Of Person Ackn • e dging) (NOTARY) - p i i'N. ::;:*, e , RENEE WOO MY COMMISSION 4 00 !{18974 ;, ,AT EXPIRES: August 20, 2012 "° / Bonded thtu CNA Surety (STAMP) A Alf`' nTC Q1f2h1 l`fOOfDATIrAI City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: /4 . 1 k J n U Date Received: 7 1 ` to Site: 3 3 Ni Permit Type: -!" , `S /G(' 11 wet (1 s` t Approved w /no comments: Approved w /the below comments: ❑ Denied w /the below comments: ❑ S C IS 7c)`X p - /aSz, ° This comment shee • shal be kept with the permit and/or p1 //( i 7 -/ 2-fp r%'�� A.A.... K vin Switzer — • �'. Examiner Date Contractor and/ Homeowner (Required when comments are present) All Wind Loads Meet 2009 Supplement with the 2007 Florida Building Code 11.9 SF LED, ILLUMINATED Reverse lit Channel Leiters 22 D 0 D ._ SIDE VIEW wall 1 2 volt LED ship disconnect switch 71.875" lo / Letter Attachment to wall 1 Attachment: Per Engineer specs low voltage Trans tanner Electrical Specifications 1) Transformer : 12 volt 2) Primary: 120 V 3) Amps: 3.52 el- 4) 4.73ffcndl of light. @ 6hrs of Illumination Acrylic Faces with 5) 1/4" drain holes @ bottoms Jewel !Re mm of all letters. • Jr 6) 120V disconnect switch / 7) All LED components shall Be UL approved and listed .063 Aluminum Returns rY 71 Customer : Class "B" Date Drawn: 6/24/2010 Designer: SG Drawing #: 7116 -06E Anclote Sign Corporation 38530 5th Ave C 817 Riverview Lane Zephyrhills, FL. 33542 Tarpon Springs , FL 34689 This Drawing Is The Property Of Anclote Sign Corporation SCALE: 3/4 " =1' Office: 727 - 938 - 5943 All Rights To It's Use For Reproduction Are Reserved For na {1N Fax :727- 942 -9799 Wall Type: Br Anclote Sign Corporation Only. 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