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HomeMy WebLinkAbout10-11026 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 11026 BUILDING PERMIT Permit Number: 11026 Address: 7800 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: 35- 25 -21- 0130 - 00000 -0060 Improv. Cost: 3,800.00 Date Issued: 12/07/2010 Name: ZEPHYR COMMONS LLC Total Fees: 122.50 Address: 3629 MADACA LN Amount Paid: 122.50 TAMPA FL 33618 Date Paid: 12/07/2010 Phone: (954)596 -6883 Work Desc: CHANGE FACE WACHOVIA /WELL FARGO WALL (3) INSTALL W/ ELECT 52.3 SQ FT L US SIGN & MILL CORPORATION PO ti9 V • 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." 6eig •■ CONTRACTOR SIGNATURE PERMIT OFFI �R 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 r0 r �" • Building Department tir-A- 2--L i C Date Received 0 . - / Z7 31 9 J C ' -- 9 (s "([ / Phone Contact for PertnlCln • �i- A C. Owner's Name � p 1MR� y g aim MA, i L (} /� 1 Owner Phone Number fJ / _933 6 f Owner's Address 3 624 _ / /v 4b AG 4 Ln / r �i�'Fi Owner Phone Number pf/t 0 2 1!J Fee Simple Titleholder Name SA M •� Owner Phone Number Fee Simple Titleholder Address SA t / e / O JOB ADDRESS 7749'0 (/7 ' G` . - ( t /J 2 Cp1iV/ AbL /s H. LOT# 1 / SUBDIVISION 1a E.}p/"Ty4 l(7Wnf:4 T PARCELID# 35'-25-2-1 -013o - o'coft - - // a (OBTAINED FROM PROPERTY TAX NOTICE) — WORK PROPOSED L NEW CONSTR ADD/ALT SIGN n DEMOLISH H INSTALL REPAIR PROPOSED USE I I SFR 0 COMM 1 I OTHER I I TYPE OF CONSTRUCTION n I BLOCK I FRAME I STEEL I-1 I DESCRIPTION OF WORK rACe t C.14 4 #75. i - Tr! bfA t 1.44 -.. 0 ) 1 COX- BUILDING SIZE 11 Pk) ) SQ FOOTAGE HEIGHT 1BUILDWG $3 v a8jr'(2 �-/'., VALUATION OF TOTAL CONSTRUCTION 1 (ELECTRICAL $ c/c/ AMP SERVICE 1 I PROGRESS ENERGY = W R.E.C. I 'PLUMBING $ I 'MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION T GAS I ROOFING 1 SPECIALTY I i OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA nYES NO BUILDER COMPANY SIGNATURE REGISTER�� I Y/ N I FEE CURREN I Y/ NI I Address y License* ELECTRICIAN mr / / , m / } � v p SIGNATURE �� / / OMPANY f Pw L L R,G °V/ C- � � � ISTERED I Y/ N I FEE CURREN I Y/ N I Address .Ni — 7 0 e(1 O License* 1 EC b y /S y PLUMBER COMPANY SIGNATURE REGISTERED 1 Y/ N I FEE CURREN 1 Y 1 N I Address License # MECHANICAL COMPANY SIGNATURE REGITED 1 Y/ N I FEE CURREN I Y/ N I Address I 1C License # OTHER VS COMPANY 5 1 C 7 oiQ- , SIGNATURE REGISTERED I Y/ N 1 FEE CURREN Y 1 N I I Address 79 f(1614- , A.14.=. azy, erM I$ ,f•439a- License# I (6c or a6 7 j 11111111111111111111111111111111 11111 111111111111111111111111111111 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, Stomiwater 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, Stonmweter 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. ... •.••••••••••••1••1 1 1•••1•• Directions: Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (NC upgrades over $7500) 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 if shingles 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 and 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, 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 (90) days and will demonstrate justifiable cause for the extension. If work ceases for ninety (90) consecutive 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 OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT (F. S. 117.03) AA / I OWNER OR AGENT CONTRACTOR Subscribed and swam to (or affirmed) before me this Subscribed a • ed) - fore roe this — — 44' 0 Who is/are personally known to me or has/have produced • wn • me o ha ave produced as identification. as identification. • Notary Public � At ' A.•� Notary Public Commission No. Commission No Name of Notary typed, printed or stamped Name of Notary typed, printed or stampe • • • • 1 1. O • ' N # D0 64 ,n it MY COMMISSION tt DD 847269 '.a EXPIRES: January 22, 2013 t,: Bonded Thru Notary Public Underwriters P City of.Zephyrliills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: Y'S Sk-rH ` /* 7 Ge Date Received: J 36 - /d/0, ei/ ,kj & - ' `/ Site: 7 7 hO 64-1( cs Permit Type: X/ a # 3 3 ' 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. /i K vin witz - Plans Examiner Date Contractor and/or Homeowner (Required when comments are present) 1 . - 1 1,L inli ti .,, ,A1 , 1,14, . ."- .41.0.44.41,*, N i, LL el N1 :E • v �� N ti N n r 0 4 ( N ^ c it; IA ,,,,, It N tr, c► Ir VD W > m C Mr ti a N N ,— r €.12 T 3 g— a E itt lY)— co .., 0 '" ., t1 ,, ::, y x x x X x ..., a ' ' m '1 W O as . - op N / � O ad (` / , V z a H G IvnJ To ` O 2 N o • cc V ` 3 MIAMI 0\ X C I ei C CD C5' a ri I • C.) - if R ■ m . 1 R �° N - sNOisin3 a v y o E ; as °' Q ` ch "ix lor U o " Y L ca v- ,x . m. - M r E lo o C N s T- y J c c U o = cp C 0 C .4.74 2 �. .+�rwMYt U. j l- � k it as L C p r te. ■Q � } c • • O Z X z p Cd '�. i U E t • I.. 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STANBRA, PE STRUCTURAL CONSULTING ENGINEER JOB 4JSLS M/ 60 24 s-r eAcckev1 260 - /o Florida Professional Engineer No. 35303 / .30,V/t.�/ 44944- f0 CIS S / / 6.) 7 NILL Key West Professional Centre J / 1342 Colonial Blvd., Suite 81 SHEET NO. 6//� ! OF `7 Fort Myers, Florida 33907 Ph: 239) 275 -4475 Fax: (239) 275 -6883 CALCULATED BY Z)G-S DATE ' r2-e / —1-- J ES /61c? 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D a _. .. _ __ __ l 4{ ) __/6 1 <?fr - i_ (17t/0 _ 4 liCTEX_ ' AMIll NS OJT?A}/ w X 2 �� 3 ., � Q N G pA/6 4 C - _ _ .i _ N _ /fi S S. x / /2_ i, SClLEu/S �T7T21 II - - vv - vsE & scnt25 ), 063 1( ,466- 077 I - USE Ssc wJ- 7981 Mainline Parkway A" S/G � Fort Myers, FL 33912 �. , (239) 936 -9154 L IL CORPORAT Fax (239) 936 -2899 e -mail: jenny @ussignandmill.com SUBJECT: Power of Attorney and Authorized Agents to submit, drop off and pick up, SIGN permit applications in th City/ ounty of 7707).0 1; ) )S . POWER OF ATTORNEY to sign applications, submit and receive, ,sp„ tis2r 6 , v ecS _a (2&u:<-, printed name s' ure r c.rif5 d l eS cke c f printed name si ature i' c rev k I Jx;Aic i 1 1 c taWM � L171,d14 1 -1--- printed name signatur Authorized agents to drop off and pick up only, sheveAv R D, Ai e / printed name x signature I understand that I am responsible for all work done by my Power of Attorney and all Agents. License Holder: Thomas P ick Quinn G.19632 Signature: 4 ._,t....,,,,,......v....___ Sworn to and subscribed before me this 2L1 day of 1 , 20 1 Q Seal below Signature of notary CIL, C21 P' 1 , , s 4 �p Y %••4 " ALAN W. THOMPSON i• ttt ': Notary Public - State of Florida My Comm. Expires Jun 17, 2014 „ „ 4 Commission it DD 990900 " "•' � Bonded Through National Notary Assn 1 . ..._, ,,,.. ,.....?„,,, gitill0F (219i-936-9/S4 FILI: (239)-936-2899 MILL CORPORATION cell (239i325-7371 CGC019632 E-1-1:717.:1(ii,,:iliSSI.gilaittlitilli.c.oin / )ale: q 12_1 10 I' - b)_ntlet . 50-Ze-MCL tl , OveriApem ol ......,...--. c.,:?,..; . ..c.i Si , (! `,1i.i 10 1 , ,ii, .dild lf,,:: i: s: : S , , ;: , 2!. •, ,--/ 7 ',1 c .. .56 r , ( S. :_; t , :--;;,:. T i.• ...:7,i2,11.Ca7lis:.: . Sincerel.y, ____C)■KALP ner / Av..ent .............. i / S • t i ■ i . ig./// EM .\N Public Signature 4 0 . • cqit} 11 IIxra.t* F„,.,,..... CAROL SMIDDY Notary Public - State of Florida My Commission Expires Aug 13, 2011 • State nf_ Commission # OD 703271 V:OF ...a ... Bonded Through National Notary Assn. Commission Expires 2 I • — 111.111 - ■ ll:• kkOrld 1;1::Ne t.1::(}n corni fax back to me. then mail or Ced-C\ or arran...:e or rick up. to the a' _address or reler numt — Thank Jim Gicsecke Fermi; Di\ ision -. STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION I_ =? CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487 -1395 coo *i`` TALLAHASSEEMONROE STRFLT32399 -0783 t- 'i ,e)r -r'1�p - r amrr ±LNc• 1 "0 -,Cr.t, QUINN, THOMAS PATRICK US SIGN AND MILL INC 7981 MAINLINE PARKWAY ". FORT MYERS FL 33912 x ,. OC4 ++IQM M t 441?> _ gINN�tsnr rnr d.,a ; &•2y* , wasa Congratulations! With this license you become one of the nearly one million : STATE OF FLORIDA ; L = f ? Floridians licensed by the Department of Business and Professional Regulation. DEPARTMENT OF BUSINESS AND Our professionals and businesses range from architects to yacht brokers, from PROFESSIONAL REGULATION boxers to barbeque restaurants, and they keep Florida's economy strong. CGC019632 07/02/10 108000619 Every day we work to improve the way we do business in order to serve you better. For information about our services, please log onto www.myfloridalicense.com. CERTIFIED GENERAL CONTRACTOR There you can find more information about our divisions and the regulations that QUINN, THOMAS PATRIC impact you, subscribe to department newsletters and learn more about the US SIGN AND MILL INC Department's initiatives. Our mission at the Department is: License Efficiently, Regulate Fairly. We constantly strive to serve you better so that you can serve your customers. ` t Thank you for doing business in Florida, and congratulations on your new license! Is CERTIFIED udder the pravi aiont o! FS irat:oe date, AUG 31, 2012 L100702011420114 2 DETACH HERE STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD SEQ# L10070201142 DATE BATCH NUMBER LICENSE NBR 07/02/2010 108000619 CGC019632 The GENERAL CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. O PI? Expiration date: AUG 31, 2012 QUINN, THOMAS PATRICK US SIGN AND MILL INC 7981 MAINLINE PARKWAY • FORT MYERS FL 33912 CHARLIE CRIST CHARLIE LIEN GO 'ERNOR IN"'"ERIM SE iE.RETARY DATE(MM/DOmrr) ACORD., CERTIFICATE OF LIABILITY INSURANCE OPID FR USSIG -1 08/31/10 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Lykes Insurance, Inc . - FTM HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 60043 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Fort Myers FL 33906 -6043 Phone: 239- 931 -5600 Fax: 239- 931 -5604 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: FCCI Insurance Company 10178 INSURER B: U.S. Sign & Mill Inc. INSURER C: 7981 Mainline Parkway INSURER D: Fort Myers FL 33912 INSURER E. COVERAGES THE POLICIES OF INSURANCE LSTED 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 HEREt'1 IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. WW1 WUU•L POLICY EFFECTIVE POLICY EXPIRATION LTR INSRC TYPE OF INSURANCE POUCY NUMBER DATE (MM/DDYY) DATE (MMlDDVY) LIMITS GENERAL LIABILITY EACH OCCURRENCE S1000000 A X COMMERCIAL GENERAL LIABILITY GL0005425 05/01/10 05/01/11 PREMISES (Ea ocalence) $ 100000 CLAIMS MADE X OCCUR MED EXP (Any one person) $ 5000 X Contractual Liab PERSONAL BADVINJURY S 1000000 GENERALAGGREGATE $ 2000000 GEN'L AGGREGATE LIMIT APPLIES PER• PRODUCTS - COMP /OP AGG $ 2000 000 7 POLICY X jE T LOC — AUTOMOBILE UABIUTY l COMBINED SINGLE LIMIT A X ANY AUTO CA0004430 05/01/10! 05/01/11 (Ea accident) $ 1000000 ALL OWNED AUTOS _ BODILY INJURY $ SCHEDULEDAUTOS (Per person) X HIRED AUTOS BODILY INJURY $ X NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE (Per accident) GARAGE LWBIUTY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ _ AUTO ONLY AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE _ $ 1000000 A X l OCCUR CLAIMS MADE UMB0002233 05/01/10 05/01/11 AGGREGATE $ 1000000 — DEDUCTIBLE X RETENTION $ 10,000 $ WORKERS COMPENSATION AND X TORY L I ER A EMPLOYERS' LIABILITY 001WC09A57779 04/01/10 04/01/11 E.L. EACH ACCIDENT $ 500000 ANY PROPRIETOR/PARTNER/EXECUT1VE OFFICER/MEMBER EXCLUDED? yes, decribe rxler E.L.DSEASE - EA EMPLOYEE $ 500000 K S PECI ALsPROVuSIONS below E.L. DISEASE- POLICY LIMIT $ 5500000 OTHER A Inland Marine CM0003052 05/01/10 05/01/11 Leased /Re 100,000 ( Leased /Rented Equi DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS No exemptions are listed on the workers compensation policy. CERTIFICATE HOLDER CANCELLATION C1TY533 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL City of Zephyrhi 11 s IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 5335 8th Street REPRESENTATIVES Zephyrhills FL 33542 A,i!'T2,i R SE An _ Jw➢ J ACORD 25 (2001 /08) G/ © ACORD CORPORATION 1988 OCT /01 /2010 /FRI 12:25 PM US Sign FAX No,239 936 2899 P, 002 Vim` Lee County Tax Collector sut>co:ae Tax Nor 2480 Thompson Street Fort Myers, Florida 33901 ° www.leetc.corn Tel: (239) 533 -6000 Looel Business Tax Account: 0507100 Dear Business Owner: Your 2010 -2011 Lee County Local Business Tax Receipt Is attached below. The receipt Is non - regulatory and is issued using the information currently on file with our office. It does not signify compliance with zoning, health or other regulatory requirements nor is It an endorsement of work quality. Annual account renewal notices are mailed in August to the address of record at that time; to ensure delivery of your annual notice, mailing addresses may be updated online at www.leetc.com. If there is a change in the business name, ownership, physical location or If the business is being closed, please follow the instructions on the back of this letter to transfer or to close the account. I hope you have a successful year. Lee County Tax Collector ()Mach and display bottom portion and Wee upper portion for your records LEE COUNTY LOCAL BUSINESS TAX RECEIPT Tax Co for _ 201 . 0 201 f • ACCOUNT. NUMBER: 0507100 ACCOUNT EXPIRES SEPTEMBER 30, 2011 ay enpag in ' 5 - location CERTIFIED GENERA- CONTRACTOR 79 1. MMNUNE PKWY FT MYERS FL 83012 THIS LOCAL BUSINESS TAX RECEIPT IS NON REGULATORY US SIGN &MILL CORP QUINN THOMAS PATRICK THIS IS NOT A BILL - by NOT PAY 7981 MAINLINE PKWY FT MYERS FL 33812 PAID 282003 -166 -1 0W2W2010.02:31 WEB $50.00 OCT /01 /2010 /FRI 12:25 PM US Sign FAX No, 239 936 2899 P. 001 • 7981 Mainline Parkway A S/CA Fort Myers, FL 33912 (239) 936-9154 - CORPORATION Fax (239) 936 -2899 e - mail: jenny @ussignandmill.com To: Jackie From: US Sign & Mill Corp. Company: City of Zephyrhills Pages: 2 [including cover sheet] Phone: Date: October 1, 2010 Fax: 813 - 780 -0021 CC: File Jackie To follow is the updated Lee County Business Tax Receipt Please let me know if there is anything else you need. Thank you, Jennifer Rivers Permit Coordinator Jacqueline Boges From: Jenny [jenny @ussignandmill.com] Sent: Tuesday, November 16, 2010 4:17 PM To: Jacqueline Boges Subject: RE: permits submit for review Hi Jackie Yes that is correct. Wall Color change only. Thank you so very much for all of your assistance. I hope you have a wonderful night. Jenny Rivers US Sign and Mill 7981 Mainline Pkwy Fort Myers FL 33912 Office- (239) 936 -9154 Fax- (239) 936 -2899 From: Jacqueline Boges [ mailto :jboges @ci.zephyrhills.fl.usl Sent: Tuesday, November 16, 2010 3:57 PM To: Jenny Subject: RE: permits submit for review Greetings Jenny, If you are only speaking about the color being changed and not the size for the wall sign than it will not affect your permits at this time nothing additional will be needed. If you are changing the size or square footage than that would affect the permits. I hope I answered your question. From: Jenny [ mailto:jenny @ussignandmill.coml Sent: Tuesday, November 16, 2010 3:38 PM To: Jacqueline Boges Subject: RE: permits submit for review Good Afternoon Jackie ® I hope you are doing well today? I am in need of your assistance on this one more time. Our customer would like to change the color of the wall fascia and I need to confirm this will not effect our permits. If additional paperwork or fees are indeed required can you tell me what you will require as the square footage and the sign standards are still the same. Thanks, I look forward to hearing from you soon. Jenny Rivers US Sign and Mill 7981 Mainline Pkwy Fort Myers FL 33912 Office- (239) 936 -9154 Fax- (239) 936 -2899 1 • From: Jacqueline Boges f mailto:jbogesCa ci.zephyrhills.fl.usl Sent: Wednesday, October 27, 2010 8:29 AM To: Jenny Subject: RE: permits submit for review Good morning, Yes MGM is current and permits are available for you to pick today hours are until 12:00 noon we close for lunch open back up at 1:OOpm until 4:30pm . I can not release permit number to you, you do not need the permit number for the notice of commencement. Jackie .... . ............................... From: Jenny [ mailto :jennyOussignandmill.coml Sent: Wednesday, October 27, 2010 6:23 AM To: Jacqueline Boges Subject: RE: permits submit for review Good Morning Jacqueline O MGM has stated they have updated their license. Can you confirm we are good to pick up permits please? Can you also give me the permit numbers so that we can record the Notice of Commencements prior to the pick up? Thank you, I look forward to hearing from you soon. Jenny Rivers US Sign and Mill 7981 Mainline Pkwy Fort Myers FL 33912 Office- (239) 936 -9154 Fax- (239) 936 -2899 From: Jacqueline Boges fmailto:jbogesCa ci.zephyrhills.fl.usl Sent: Tuesday, October 26, 2010 8:09 AM To: Jenny Subject: RE: permits submit for review Good Morning Jenny, The permits for wells fargo are out of review. Cost for permits are $520.00. The electrician is not still current in our files see attachment for you to get information on what is needed to register his company. Once the electrician is current then you may pick up the permits need noc also. Our office hours are 7:30am -12:00 noon, 1:OOpm — 4:30pm Thank you Jackie 2 From: Jenny f mailto:jennyOussignandmill.coml Sent: Tuesday, October 26, 2010 6:30 AM To: Jacqueline Boges Subject: RE: permits submit for review Good Morning Jacqueline O I am just following up to check on the status of the 2 locations in the City of Zephyrhills? Per your email the review takes approx 7 -10 business days. Can you please give me an update? Thank you I look forward to hearing from you soon. Jenny Rivers US Sign and Mill 7981 Mainline Pkwy Fort Myers FL 33912 Office- (239) 936 -9154 Fax- (239) 936 -2899 From: Jacqueline Boges f mailto :jbogesOci.zephvrhills.fl.usl Sent: Monday, October 04, 2010 9:15 AM To: jennyOussignandmill.com Subject: permits submit for review Greetings Jenny As per our conversation on October 4, 2010 there are sign permits in review submitted on September 30, 2010 by US Sign Mill and corp. for addresses of 5230 6th Street and 7780 gall blvd . We have up to seven to ten business days to review plans and have ready for you to pick up. Thank you Jackie Boges Code Support Specialist ext. 3513 No virus found in this message. Checked by AVG - www.avg.com Version: 10.0.1152 / Virus Database: 424/3219 - Release Date: 10/25/10 No virus found in this incoming message. Checked by AVG - www.avq.com Version: 9.0.856 / Virus Database: 271.1.1/3175 - Release Date: 10/03/10 14:33:00 No virus found in this message. Checked by AVG - www.avg.com Version: 10.0.1152 / Virus Database: 424/3219 - Release Date: 10/25/10 3 No virus found in this message. Checked by AVG - www.avg.com Version: 10.0.1152 / Virus Database: 424/3221 - Release Date: 10/26/10 No virus found in this message. Checked by AVG - www.avg.com Version: 10.0.1153 / Virus Database: 424/3259 - Release Date: 11/15/10 4 OCT 26-2010 TUE 0 4 : 0 0 PM TALLEY M E FAX No. 8136439556 P. 002 ACOR'D, CERTIFICATE OF :LIABILITY INSURANCE DATE(MMIDD/YYTY) 10/26/2010 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Charles D Talley, Jr. Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1335 Oa k f D. e 1 d Dr. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Brandon, FL 33511 PH: (813) 685 --9393 F: (813) 643 -9556 INSURERS AFFORDING COVERAGE NAIC# INSURED MGM ELECTRIC, INC. INSURERA: NATIONWIDE PROPERTY INS INSURER B: NATIONWIDE PROPERTY INS 13805 GOOD LIFE RD INSURER C: TAMPA, FL 33618 INSURER 0: 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. mm mm - POLICY EFFECTIVE PO 1111 WSW TYPF OFINSURANCE POLICY NUMBER DA EIMMIDDTM DATE( MMIDDIYY► LIMITS GENERAL UABIUTY EACH OCCURRENCE $ 2, 0 0 0, 0 0 0 X COMMERCMLGENERAL LIABILTY DAMAGE O RENTED PREMISES HEe Oc Menoel $ 10 0 x 0 0 0 CLAIMSMADE © OCCUR MED EXPIAnycl.pereon) 35, 0 0 0 A X ACP 5909600826 10/18/10 10/18/11 PERSONALEAOVI,IJURY _ .2,000,000 GENERAL AGGREGATE 32, 000, 000 1 GEN1 AGGREGATE LIMIT APPLIES PER: PRODUCTS- COMP/OP AGG 32,000,000 policy n jOT 1 LOC AUTOMOBILEUABILITY ANYAUTO CO SINGLE LIMIT $ ALL OVINE() AUTOS BOINLYINJURY S _ SCHEDULED AUTOS (Pape/son) HIRED AUTOS BODR.YINJURY — NON- OWMEOAUTOS (Perooddenp PROPERTY DAMAGE 3 (Pereooedenl) GARAGEUABIUIY AUTOONLY.EAACCIDENT $ ANYAUTO — OTHER THAN EAACC S AUTOONLY: AGO $ EXCESSNMBRFILA LIABILITY EACH OCCURRENCE $ 3, 0 0 0, 0 0 0 OCCUR CLAIMSMAOE AGGREGATE . 77CU8627933001 05/26/10 05/26/11 $ B X R DEDUCTIBLE RETENTION 3 ( $ EMPLOYER UAB EN ATTIONAND I TORVLNNIYS 1 ID a ANY PROPR'ETORPARTNER.EXEGUTNE E.L. EACH ACCIDENT 3 OFPICERMEMIER EXCLUDED/ nee, dI C lbeunder E.L. DISEASE - EA EMPLOYEE 5 SPECIAL PROVISIONS below E.L. OISEASE - POLICY LINT $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/ 3XCLUSIONSADDED BY ENDORSEMENT /SPECIAL PROVSIONS • CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXP IRATION CITY OF ZEPHYRHILLS - BUILDING DEPT DATE THEREOF, THE 188UING INSURER WILL ENDEAVOR TOMAIL DAyS wRITTEN 5335 $ TH ST NOTICE TO THE CERTIFI HOLDER NAMED TO THE , UT FAILURE TO DO SO SHALL Z E P H Y RH I L L S , FL 33542 IMPOSE NO OBLIGA • NOR , 9IUT / OF ANY KIND , pO/L E INSURER, ITO AGENTS OR REPRESENTA IVES. AUTH • ihihs R • NE I ACORDZS(2001l08) ®ACORD CORPORATION 1988 10/26/10 12:53 FAX 813 968 4876 MGM ELECTRIC INC 001 . Vr2:(■j:Si./C;L}—)L-' A4G44 E October 26, 2010 AUTHORIZATION .LETTER City of Zephyrhills Building Department Contractors .Licensing Department I, Mark G. Marchese, contractor license number #EC0003154, hereby authorize the following to act as my agent in obtaining permits in City ofZephyrhills: Mariann Marchese M622- 557 -59 -628 -0 Frank Scalise 5420- 264-51 -008 -0 Dan Mead M300- 172 -62 -167 -0 Pippin Haseman H255- 668 -53 -946 -0 Mike Vanike V520- 293 - 58404 -0 Jameson Bechtel B234- 432 -76 -229 -0 Shelley Ayala A400 796 - 542 - Thus orization is to i . •• . ' . in effect indefinite, unless canceled by me in writing. czi X Contractors lignature Sworn to and subscri • • to . . • •. a this 26th day of October by Mark G. Marchese_ .., who i • onally known • • • e or has produced as identification and who • • • • no va - an oath. - 1- - /0.r .ice / 1 / � e I i • M f C01 �D — l .. _ Imo... , e EXPIAre ' � u w � Pn • L c 1 10i0 " " • Commiss Expires: Feb. 24.2013 I 13805 Good Life Road Tampa, FL 33618 Ofc: (813) 960 -4876 Fax: (813) 968 -4876 EC0003154 10/26/10 12:53 FAX 813 968 4876 MGM ELECTRIC :INC lit 02 _!fiq " H DEPARTMENT OF DVSINESS AND :PROFESSIONAL "REGULATION :1 _ •ELECTRICAL CONTRACTORS - LICENSING BOARD `'.s. 1940 NORTH MONROE STREET (850) 4 87 -1395 TALLAHASSEE FL 32399 -0783 MARCHESE, MARK G MGM ELECTRIC INC 13 GOOD LIFE :RD FL 33618 c --- Congratulationsl With this license you become one of the nearly one million yo STATE OF FLORIDA ACS 1 19860 Floridians licensed by the Department of Business and Professional Kegulalion. • DEPARTMENT OF . BUSINESS AND Our professionals and businesses range from architects to yacht brokers, from PROF>QS REGULATION boxers to barbeque restaurants, and they keep Florida's economy strong, =0003154 0e/040 0991721: Every day we work to improve the way we do business in order to serve you better For information about our services, please log onto www There you can find more information about our divisions and the regulations that �C • MA G2 .'• CONTRACT07 impact you, subscribe to department newsletters and learn more about the C ELECTRIC M - I NC Department's initiatives. MGR ZAYC. C ;, • Our mission at the Department is: License Efficiently, Regulate Fairly. We =instantly strive to serve you better so that you can serve your customers. Thank you for doing business in Florida, and congratulations on your new Iicensel 28 C13RTIFZ>� _ �s• yrwiaieea of 499 2 scat:aei•n data, . a, AUG 31. 2012 1•10060600125 DETACH HERE • AC# 4 9 R 6 0 R 3 STATE OF FLORIDA DEPARTMENT OP BUSINESS AND PROFESSIONAL REGULATION ELECTRICAL CONTRACTORS LICENSING BOARD ca E BATCH NUMBER L CENSE NBA . SEQ#L100606001: 06 06 2010 098172127 EC0003154 The ELECTRICAL CONTRACTOR • Named below'IS CERTIFIED Under the provisional of Chapter•.489 'FS. ' • • Expiration date: AUG 31, 2012 . MARCHESE, MARX G MGM 13805 A LSD I LIFE C RD • FL 33618 • CHARLIE GRIST C30vERlTOR INTEERIMLIECRETARY DISPLAY AS REQUIRED BY LAW 10/26/10 12:53 FAX 813 968 4876 MGM ELECTRIC INC Q03 2010- 2011 HILLSBOROUGH COUNTY BUSINESS TAX RECEIPT EXPIRES 9-10-2011 Faso la. isai rams% an mamas moue 0 0 0 aPvr® 10 1 RENEWAL 1 1266.0000 I OCC. CODE .BUSINESS TYPE H. WWI TAN Stattawmig 090.008 CONTRACTOR 2 - MASTER ELECTRICAL 16A0 0 BUSINESS 13805 GOOD LIFE RD LOGA11ON TAMPA 33618 mum MARCHESE MARK G/ M 13 M ELECTRIC INC MAILING 13805 GOOD UFE ROAD ADORES$ TAMPA FL 33618 BUSINESS TAX RECEIPT DOUG BELDEN. TAX COU.ECTOR PAID -1884 -85 II�5 RIORINVIAID A PWYLROCTAX 70 MORO! 8134364200 07/082010 •" 18.00 1N &iRB6 PROFS:MK OR OCCUPATION SPEWED MOM THIS YECOMES A TAX RECEIPT WHEN VALIDATED. 10/26/10 12:53 FAX 813 968 4876 MGM ELECTRIC INC IJ 05 a , , ACORD CERTIFICATE OF .LIABILITY INSURANCE °'� "�'°°"�"^ 922SPXGP 10/26/2010 PRDSUCE* THIS CERTIFICATE 1S ISSUED AS A MATTER OF INFORMATION • Risk, Transfer Programs, LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1 us wn Liviagccou serest HOLDER.THIS CERTIFICATE GOES NOT AMEND. EXTEND OR Orlandio, ML 32801 • PRONE: e65-451 -9363 ALTER THE COVERAGE AFFORDED BYTHE POUCIES BELOW. __�, _._. , - , , , __ _ _ INSURERS AFFORDING COVERAGE �C imam • ' ^.' INSURERACasciePOlnc Iationsl Insurance Co. 40134 Global Employment Solutions' MO II, Inc - G 3350 Suet/mood Park Drive M18UR6RA: Suite 200 Tampa, PL 33618 INSURER C: - PLSURER D: _ INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED eELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FORME POUCY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BYTHE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND COMMONS OF SUCH POUCIES AGGREGATE UMITS SHOWN MAY HAVE BEEN REDUCED BY PLAID CLAIMS - Ig e TYPE OPMBu ANLTc POUCY POUCY =- -r PTAUIY GATEIODORTM DATE lYWO01Y1(1 urns GIBIEBAL UABIIV EACH OCCURRENCE 5 II II COMMERCIAL GENERAL UABILnY 1 emat S MANIAS MADE ED OCCUR MED i]IP (Any RR ONION) 3 PENSONALAADVMUURT S GENEAALAGGREGATE 5 — ■ GENL AGGREGATE UMITA PPUESPER PRODUCTS- COI/PMDPAGX, 5 _ ' n . fl ANTTONOB .P LMMJTV i III ANY AUTO IQ SINGLE LIMIT AIL OWNED AUTOS — 11. • ED scHULED Arras m RY s ' III M IREDAUTOS - .— ._ -_ -.. _ BOOLY INJURY . (cara PROPERTV mernI DAYAGE S IMAM LIABILITY AUTO ONLY - FA ACCb6NT S El ANYA D - ■ , EAACC S AUTOPSY: AGO $ IBMINIPAXAMIELLA LIABBI Y EACH OCCURRENCE S ■ clam ❑ ciAMNG MA06 AGGREG TC . S NI DEDUCTIBLE — S RETENTION 5 - -- S A VIDISSIBIS COISPENPAsION AND WSLTHPE 000092 - 12/31/2009 01/01/2011 X 612,70441 IP°rR ANY PROPRIEIDRIPARTNERIESECURVE EL. EACH ACCIDENT 5 1,000,000 OFFICERARAMER QcLOOSOr Kyaa dsrlBswex EL DISEASE - EA EMPLOYEE 5 1, ono, 000 stN aA� oReu�glO�ug lrpn E1. DISEASE POLICY LW' S 1 000, 000 OBER 0SOCJMpIbIOPOPIAATMB I LOCATIONS/ OYSCLi9IE3(CWBI01 e001:0 Wm - 00a0EmBRt9PED*LPeom8MO$ • Coverage is extended to the leased employees of alternate employer (Alabama, Colorado, Florida, Georgia. Indiana, Michigan, Mississippi, Missouri, South Carolina, Tennessee, and Texas Operations Only):M_G -M. Electric, Inc- *4103264 (Effective 2/22/10) I I ' CERTIFICATE HOLDER CANCELLATION ' - • MOULD AM OPINE MOM DES CIVIND mumps VIE CANOELL ®ai0EMEAME3014 • DsTe911BLE0P.T1E IEELEM WILL N RVI LL POEAWR70 NAIL DJ OAYE MAIM NOTICE TO THE Camemme NOLJDBRNAemeloime L9T, evrimaumevo mo so smaii memeE mo oeusa omeL LIABaftvLFANYTOOUPCNTNEeleuMBL ,ITSAELhM?SOIL City of Zephyrhilla Building Department zemb y rb Street 01 33542 . � t Zephrhe, Pl. Page 1 of 1 ACORD ZS (2001108) 0 ACORD CORPORATION 190E 11111111111111111 111111111111111111111111111111111111111111 2010173582 This a Name: � mg P ates By: N ( 2 Cke a: Address: 7 V Pit" , f?fl J Is; F/. a: Tax Folio No: 11-2(..,- 21 -154,10'- I S 4 aD -6iet Permit No.: • r+, _ NOTICE OF COMMENCEMENT State of T ( County of S Ltti THE UNDERSIGNED hereby gives notice that improvement(s) will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. ((s 1. Description of _property (legal description of property and street address): �Y C. 64 'VD %cw 1 i7' $7 fn-si Sr - 7.F PR. y IJiJ S FL B u11 33 Y2. io1 ,i 4 -zte• 3LE is ' .s5( 2. General description of improvement: . S�/'C�7AJA -4 P c 3. Owner Information: a) Name and complete address: w$4cJ(owq, $FFnk it) 4. PO W rez_v6, ai o-At_ Ne Aft — a (fd h) Interest in property: ' 2 c) Name and address of Fee Simple Title Holder (if other than owner): 4. Contractor Information: S Si C et Al 70 i ) ky' p m j teS, ff 171. a) Company name a and com late ad�ress: b) Phone number; Fax Number: '. S(6XGf��rlv"1' 5. Surety: a) Name and complete address: Rept :1339409 Ree : 10.00 b) Amount of Bond: $ DS: 0.00 IT: 0.00 c) Phone number: Fax Number: 12/07/10 C. Cook, Dpty Clerk 6, Lender: a) Name and complete address: b) Phone number: Fax Number: 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by in Section 713.13(1Xa)7., Florida Statutes: a) Name and complete address: b) Phone number: Fax Number: 8. In addition to himself, Owner designates the following persons) to receive a copy of the Lienor's Notice as provided in,Section 713,13(1)(b), Florida Statutes: a) Name and complete address: . b) Phone number: Fax Number: 9. Expiration date of Notice of Commencement (the expiration date is I -year from the date of recording, unless a different date is specified): WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHPATER 713, PART 1, SECTION 713.13, FLORIDA STATUTES; AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE P ' COMME MENT, ,P Signature of I l wner or 1 vner's Authorized Officer/Dire or/Partner/Manager c,onatorv'sTitle/Office na v .{►`�r l(//