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Home My WebLink About11-12157 . - CITY OF ZEPHYRHILLS 5335 - 8TH STREET r � (si3)�so-oozo 12157 BUILDING PERMIT Permit Number: 12157 Address: 7345 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: 34-25-21-0000-00300-0020 Improv. Cost: 3,125.00 Date Issued: 8/09/2011 Name: MERCHANTS STATION LLC Total Fees: 135.00 Address: 7345 GALL BLVD Amount Paid: 135.00 ZEPHYRHILLS, FL. 33542 Date Paid: 8/09/2011 Phone: (813)382-8501 Work Desc: INSTALL CHANNEL LETTER 99.65 SQ FT (HIBBETT SPORTS) 75. . UNIFIED ASSOCIATES SIGN SERVICE �� I� 1 � i � ,� z.�q 3 ELECTRICA ROU 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 � 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 rnunty, 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 re�cord 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 commenceme " � CO TRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER � at�as CORPORATE HEADQUARTERS NORTFIEAST DIVISION S/ GS N N � U S T R/ E S �o�� West Blue Heron Blvd., West Palm Beach, Flonda 33404 707 Commerce Dnve, Concord, North Carolina 28025 PHONE: (561) 863.6659 / 800.772.7932 FAX: (S81)863.4294 PHONE: (704) 788.3733 / 800.772.7932 FAX: (704) 788.3843 FLORIDA I NORrH CAROLINA I OEORGIA www.atlassignindustries.us August 4 2011 To Whom It May Concern: SUBJECT: Hibbett Sports 7345 Gall Blvd Zephyrhills, FL 33541 This letter is to inform the City of Zephyrhills that we have been contracted by our client, Hibbett Sporting Goods to manufacture and install all signage for the above location. This letter is also to inform of authorization for Unified Associate Signs to utilize the sign specifications in the drawings submitted for necessary sign permits for installation at the above location. The requested information for the signage reading Hibbett Sports is as follows per drawings submitted- Manufacture (1) set of 36" Remote channel letters flush mounted to facade- $2125.00 Instal l(1) set of 36" Remote channel letters flush mounted to fa�ade -$1000.00 Please advise is you need any further information. Thanking you in advance for your assistance. , , ms Atlas Sign Industries 704-788-3733 x 2005 Office i iiiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiiii iiii i�ii � I hi. .pair Lrr u.c b� 1 ICr6 �,f 111C 1 iri uii � uuit nnh 2011123668 r Rcpt:1382434 Rec: 10.00 DS: 0.00 IT: 0.00 08/09/11 K. Garcia, Dpty Clerk �OTIC�F. �)F C�U��IF„��F ��E 1T pqULA S 0'NEIL,Ph D PRSCO CLERK & COMPTROLLER -�:-�-� ��, „�.�- 08/09/11 01:12 m 1 of 1 _ � , , •,, �►�F��S='IT=DiSL`�- np3G�D-�DO�D OR BK �5�� P� 21,3� 1 hr unJtnignrd hrrcM e��r. nnuc� that impr�.�emen�. w di trr maJe to cen�in rtrl prnperh and u� eiu wrth �cahnn '13 1 i n( �he Flnnda �tanrtr�. ihr f d�uwm� infnro�atinn i. pr��ded in �he \i) I N F Uh < 11�1�iF.\t t.�it.\ I � �. ��. ,,. .:.�� . _ .. _ _ l n '3 " I ( V " �' �) -�� j � � �� s� � V �-�`�,�-_ _=-�S_"�1�3 � � y _�-._- � i� � ��-��___F�s+h E►� t�l- --- �- ----- n r la�`b' �=��;,.:,o.or`�5 �'",Sd � �,�,,,.�-Qd,c,x� ,�-��x�e----�---- � ilt r _' � 1�11: �� y�--{.L- �{ M� c�' �� {�/ /�/ �yT=-:- �'�J ` /1 _' __-- /y / , ��,�. .�vJ':. � t1-�a1._r,L�h I K ' ! f G �,�,1� �-�r� " P�t 1 •n _ _ _ � , � �,<<,�. . � _,. . � .: . t ,. � ;,,:;� � �•�s .,.,i�. „� , . . , , , . l��Iq ---- - t.:,;�, . � � �,.�,�;.,.<<, �.,,�,. Unified Associate Siqns Inc (Charlie Deal) ^ ��_ � ��:„ 2610 US Hwy 92 E. Plant City FL 3356_6__ _ r�i:,.� _ (813) 752-1505 • :, . �.,� a�__--- --- - - -- . .., , . � ,.. ---- --- � . ---- ...,-..� — - --- - ,_. ,, � •.l. - \.,�.�:�_�fj -- - - - - - ---- - -- - ' --- � �,:.. , ---- — - - ` - -- --- -- " h_ .,�. cit�r ;h; �:3!� , , f „. i _. ..i... � � . � „-. � _----------- _ ,.. . .. � !.,, , , ,.. . . _! .� . � .;.� �, �::ur . <i q.:' f � ..�� a �. �.ttT. _ �� _ __ �....". t��.� . \ ....�, . ^_ _ � �'1 .1.:..i,i, i. .. . � � � I�.\"_ .., :f_. , ii. � i� . _ ' _ _""'__"" "" '__ l - � _ � .�. . . ' 1 . � . � �.� ,� ,�.\ �,�. ' ,,. �� . .. �1' , . ..� �' �,.. \ , _ar79 — - \�... r�,�,�,,.,,,.— ----- , r .`ti .� I , �Ll � II1 , l �: _"�. . � : \^ . ., � r ....i. i �i. � . :1" � i , .l.f;. � .. i. I _ ..f . ♦ .1 � :ICf:`fi' ...i.. . ��k\1\�.It��l��\F12. \\TI"�1�IF\T��t1pFH1 iHF�1N\4 1FfFRilIPF\PIR1rl(1\(liiNF\(1TI�P��F tU\111t.\t(�It\I�Hk(�1\�IUfRtJ� IPHUPlNI'\1\IF.\1� DEH(II\PI N'I31'\Rll.�f(II/l\'13.IS.lIURIU\ �I\IIIF�.\\pC�\RF�11T111U1 P �1\(.T\�I(4�4(IRI ��t T IU\I/IRPRf)PfRil \\n"fl(FOF c r)��►IF.�c l.��F:�I �11 �I Bt Rt.� ��RH U\UPr��lEpn� !I .I(�R�1 F _ fHP F ♦ I\�pF.(llt)♦ tt \tal I\TF'\n7nnAT1f\FI\\\tl�f..(l)\♦ 11151�11\t>IKIF\ r1H\ �I ) tl�i k(1H1(t)\I�I►�(1\(,Nt1R6OR Nhrt�NDl\t.ti�11H�nTf�Fnf��)\t�IF � �lh�l ♦1 �lf OF b -'.r �,,��, , � \ ,, .._� �. !i P�r°,r\1. , . 'd_, t I11 \T1 f)F �,. � / , _-�-�Y� `�:e�� lei�.� �, �� '�` �� - � , o . ,� ^ � , , , , �'� ��'�o�. ..., ��, . ��D�� .�-ayb-si�-�='�� . , � - -- - , � — - �.r . ALEXA D. FOWLER • - •� -�� _ - . � Notary Publlc, State of Flqrida � � Commission#DD773166 �!y :z�r� �� farch 27, 2012 5TA7E OF FLORIDA, COUNTY OF PASCJ� � �•- TMI� IS TG CERTIFY THAT THE FORF�Sa01NG 1;� ° TRU� AND CORRECT COPY �F T. I+ I'� QLICUMENT �N FILE QR OF PUBLIC REC�RD itd'�HIS �FF10E WITN MY HAND AND OFFICIA SE'�� THIS �� DAY OF ? pAULA S.O' FIL. CL R • OMPTRO R ,�� " DEPIJTY G1ERK � " _ __� _. � __ �.,....�.�:�....�,�..�,--- 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received � �/� Phone Contact for Permittin � �� J -� D� Owners Name i� � n'� J �F--li Owner Phone Number � 3'� � /,, i Owners Address I V� { Q �� I Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS 3 • C� I I Y � LOT # � SUBDIVISION PARCEL ID# �- d�� I�D �UJ� OD (OBTAINED FROM PROPERTV TAX NOTCE) WORK PROPOSED NEW CONSTR ADD/ALT � SIGN � � DEMOLISH e INSTALL 8 REPAIR PROPOSED USE Q SFR � COMM � OTHER TYPE OFCONSTRUCTION Q BLOCK Q FRAME � STEEL Q DESCRIPTION OF WORK .1 �j (� (7n C�Qnh� � �L� �� ' N sa8� r 5 Po� BUILDING SIZE SQ FOOTAGE �j , HEIGHT BUILDING $� f1 /v�1 VALUATION OF TOTAL CONSTRUCTION ,Vl.tJr [�LECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W R.E.0 � �MECHA CAL $ VALUATION OF MECHANICAL INSTALLATION � � �� GAS Q ROOFING � SPECIALTY � OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO BUILDER �� - I COMPANY I � o U. �j 1 n �f � � E � �'� ()n �nL � SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/ N Address .�. P Q �� p� License# �J�.t/d�� b � � �. �" . : ` a��.-�o ` ELECTRICIAN COMPANY �I�II � ( • � �� SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N Address .�• �J�7 5 'Q yL r 33g�3 License # � r PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N Address License # �� MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N Address License # OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N Address License # 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 RESIDENTIAL Attach (2) Plot Plans, (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Pertnit for new construction, Minimum ten (10) working days after submittal date Required onsite, Construdion 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 8 1 dumpster Site Work Permit for all new projects All commercial reqwremenls must meet compliance SIGN PERMIT Attach (2) sets of Engineered Plans. ""PROPERTY SURVEY required for all NEW constructwn Directions: Fill out application completely Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (AIC upgredes over E7500) " Agent (for lhe contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same bVER THE COUNTER PERMITTING (Front of Application Only) Reroofs if shingles Sewers Service Upgrades A/C Fences (PIOUSurvey/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 invotve 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 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 ail 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 inciude but are not limited to - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, WaterlWastewater Treatment. - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetiand 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 fiil 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 shail 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 Buiiding 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 COMMENC MENT. FLORIDA JURAT (f.S. 117.0 ) OWNER OR AGENT i�-�^^- ,��.✓l CONTRACTOR ��t—��` /i � Su cri ed and sworj� t4(or affi 5rr�ed) b�fpr e this Sub cri ed and sworn� �or �a�ffi(�ed) b� @fore� e thi� l2 11 by \ J(�IJ�A. 1U .�� 0'1 �� bY �Ua]Lt N. 11� a S� Who is/a e�,��nnallv known to me or has/have produced Who is/ re personall known to me or haslhave produced v� as identification '?✓� as identification � - . \ ��61i1lltfllll � J A \ ��\1�1111111lj�// / � / � -fC, ` � ��. �:GA�iCi<!s, \ , ,� Notary \,��NpY 8 . • ( ?�7�� /��/ •, $� /i t'�' .�\ ��• •��` �� i Commission No M�S ON cu�,' ,�orr�ssion No Q � �� ,M►��Ory • � � � � ��t ��i5 .. ±� � � , 2p �n A9 � ' ' �� f �� 18 ' `�i„ �•� s Name of Nota ryped, printed or stampe�' � � ��_ ��Nota typed, print or stamped _ . �, cn . � - " '• #DD 966376 � �? � a�� % �Q�' 8�83�g � * ° .. �,� : � �, : . � % - 0 �, : O Q� ''`/ i!-' �.9 ` ltd� .rft"�i� � �� • _� ° �� p�lJ 1� i �Q � v� .;R.�blicU�de�:• ti ��` O� .�NCUn4P;•' �, ��, Il s; ` ° ' vR ClC STA�EQy��\ ° i�' ��!/ •....• FF �� "��lliltl{N11 r{8 �� fl II{11110��\\\ rr,�� c� l� Zt _ `�,�:.�, n !�-� . i3 1 r � s ' ��nn�lt �(�Y�?) A � � � � S� � w. City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: � iP� �.SS�C�' � �yC Date Received: � / 9 ( � Site: �7 3 � J`� � � l � �j � � Permit Type: _ �i�41 � �'1P �2� �� P�� q9.�s Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑ This co sheet shal e kept with the permit and/or plans. �"�s � Kalv' Switzer lans Examiner ate Contractor and/or Homeowner (Required when comments are present) � Unified Associates Sign Service & Installation, Inc. COMPANY: Uni�ed Associates Sictn Service � Installation, Inc 2610 US Hwy. 92 E. Plant City, FL 33566 Ph.:813-752-1505 Fax:813-752-0936 QUALIFIER: Charlie N. Deal LICENSE # ES0000110 TRADE: Electrical-Sign Saecialtv I, Charlie N. Deal, hereby authorize Citv of Zephvrhills FL - Buildinq Department to issue permits to Linda Turner or Larrv Bovd who are acting as agent to secure license/permits for me and/or the company I qualify in the designated construction trade I understand as qualifier, I take full responsibility for work approved under the permit and all work is to be performed by me and/or the company I qualify. This authorization is valid for all permits until it is revoked by the qualifier. � G� �_�� Signature of Qualifier STATE OF FLORIDA COUNTY OF HILLSBOROUGH The foregoing instrument was acknowledged before me this 1� day of , 20 /� , bY x� 1 � � N�szay , who is personally know to me or has produced � 4 � � � �-�tiu�1'� as identification. � ��uiu�i�� B. GRIFF ��ii �� 0 , ...... �c1' �i � y,� : �JSSION �,' ��i • � � �o�� 2p�� 9�,� � � � �� (SEAL) _* � �� g6637 : o� � y =. �DD �,� ; e� i ° l� ' �or eaiaea'�'" ' �°� O \ /,,///9 � ��i 1111111 �� \ \``\ Mailing: P O Box 3265 (Shipping: 2610 US Hwy 92 E) Plant City, FL 33563 Phone: 813-752-1505 Fax: 813-752-0936 Email: signs@unifiedassociatesigns.com A CERTIFICATE �F LIABlI,.ITY INSURANCE ��2oii ' THIS CER71FiCA7E IS lSSUED AS A MATTER �F INPC7RMATION ONLY AND CONFERS NO RlGH7'S IfPON THE CERTIFICATE HaLDER. TNIS CERTIFICATE DOES NOT AFFIRMATlVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFOROED 8Y 7HE PqLlCIES BELOW. 7HIS CER7IFICAT� OF INSURAWC� DOES NOT CONSTITUTE A CONTRACY BE'CWEEN THE ISSUING iNSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. lMPORTANT: If the certiftcate holder is an ADQtTiONAL INSURED, the policy(ies) must be andorsed. If SUBRQGATiON 1S WAIVE�, subject to the tenns and conditions of the policy, certain polic(es may require an endorsement. A statemanf on this certHicate does not confer rights to the certiflcate holder in EFeu of such endorsement(s). PRODUCER N T JASSSC8 Morneault -> 561-578-6667 PrimeGroup Tnsurance Services, Tnc. �� N ��, (813) 890-0415 jnArxc �813)865-4312 5440 Beaumant Center 81vd. E � ^ � L morneault@ rime rou ins.com anortESS: ] P 9 P � Suite #445 PRODUCER p0003981 CUSTQMER 10 N. .. Taaipa �� 33634 INSi/RER(St AFFpR�MG COVERACaE NAIC N IN5UREP IldSI1REqA:BT3t10A1� Trust x.tl$ll��,�AC@ ;2Q1Q� Unified Associates Sign Service iNSURERB�Guarantee Insurance Company, 11398 & Installation, Tnc, iNSUR�c• P.O. Hox 3265 iNSURes n: INSURER E : P7.ant City FI, 33563 iNSU�e�: COVERAGES CERTIFICATE NUMBER:CL7.07.23008376 REVISiOId NUMBER: Tli1S IS TO CERTIFY THAT THE POL{C(ES OF INSURANCE LISTED BELOW HAVE BEEN ISSUEO TO THE lNSURED NAMED ABOVE FOR THE POLICY PERtOD INDfCATED IdOTWFTHSTANDING ANY REQUfREMENT. TERM OR CONDITtON OF ANY CONTRACT OR OTHER DpCUMENT WITH RESPECT TO WHICH 7HlS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE IMSURANCE AFF�RDEQ BY THE POLICIES DESCRlBED ME12EIM1! IS SUBJEGT TO ALL 7HE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWF! MAY HAVE BEEN REdUCED BY PAID CLAIMS. 1NSR . �UL;$11BR? i POLICY EFF � pOLICIf EXP � iTR '. TYPE Op INSUR/WCE POLICY NUMBER � MNUODIYYYY AAMlDOlYYYY UM17S GENERALLlA&LETY : � ; I i j EACH OCCURRENCE � S 1, 000, 000 j DMIU4GE TO R�N�ED X' COMMERCIAL GEN6RHl LIABfLITY j ' ; � PREMISES (fa ocwrrerroe) � S 100 , 000 A; iCi.AIMS-!JlADE ;}C:OCCUR ; GL0009743-02 `1/8/2011 3j8/2012 MEDEXP(Myoneperson} $ 5,009 � � � � � PERSONAL 8 ADV INJURY S I r OOO � OOO �X Contractual LiabilitV � ' �GENERqLnGGREGATE _g 2,000,004 � G£N'4 AGGREGATE LIMIT APPLIES PER: � : � PRODUC7S - COMPIOP AGG i$ 2 i OOO � OOO X� POLICY , X PRd LOC $ ; AUTOMOBILE LIABiLITY ' COMBINED SINGLE LIMIT ,_ � � ANY AUTO (Ea accider�l) ' BOpItY INJURY (Per person) ; ALL OWNEO AUTOS , ' � BODILY INJURY (Per accident} ; 3CHEDULEO AUT03 � � i PROPERTY DAMAGE ; HIREDAUTdS � ! (Peraocident) $ ; NpN-OWNED AUTOS � g i $ X UMBREI.IA UA6 ; X OGCUR ; EACH OCCURREPICE i 2� OOO � OOQ ' EXCESS LIAB C�q�S-�p�� AGGRfGA7E ; S ? DEDUCTIBLE � { �S A i 3t � RETENTION a 10 00o i �0010089-02 i/s/soii �/oe/zoiz ; s � 11N(1RKERSCUMPEN8ATION i � � : X �JpF{YL IM.tiS..� X� eR j_ , AND EMPIOYERS' UABIi.ITY Y � N � ; _ ANY PROPR�70RIPARTNERIEXECUTIVE I � E-L EACH AGCIDENT �.S 1 � dOO l QOO OFfIGERIMEMBER EXCLIJOED? �lA �y,fQ/Q012 (Mandatory in NN) Gi�IC301001555-117. 1/2/201i 1 E,t. 01SEASE - EA EMPLOYfiE� $ 1 QQfl QQO If yes, dascribe under � � DESCRIPT101J OF OPERA�'IONS betow E.L DISFISE -POtICY lq�A17 � S �. OOO OOO DESCRiVT10N pF OPERATIONS! LpCATlONS! VEHICLES (AKach RCORO 101, Additlonal Remarka Schedule, H mwe space is requlred} "Charlie Deal - 5800001I0.�� CERT�FlCATE HOLDER CANC�LLATION (813} 7@0-0021 SHOULD ANY OF THEA80VE DESCRIBEp POL1ClEH 8E CANCELLED BEFORE THE EXP[RAFiON DATE THER�DF, NOTICE WILL BE DELIVERED I1J City of Zephyrhills ACCORDANCE WiTH THE POLICY Pi20VISI0NS. Buiiding Dept. 5335 8th Street AU7HORIZEDREPRESENTATIVE Zephyrhills, FL 33542 E Ellsasser #A077167/ ��.��' ��. ACdRd 25 (2009/09) � 19$8-2009 ACORD CQRPORA7'ION. Ali rights reserved. INS025 (2oosos� The ACORD name and logo are registered marks of ACORD � Unified Associates Sign Service & Installation, Inc. July 12, 2010 City of Zephyrhills Building Department 5335 8 Street Zephyrhills, Fl 33542 To Contractor Licensing: Listed below is contact information to register my license in the City of Zephyrhills. Contractor: Charlie N. Deal License No.: ES0000110 Mailing Address: Unified Associates Sign Service & Installation, Inc. P. O. Box 3265 Plant City, FL 33563 Telephone No.: 813-752-1505 F� No.: 813-752-0936 Mailing: P O Box 3265 (Shipping: 2610 US Hwy 92 E) Plant City, FL 33563 Phone: 813-752-1505 Fax: 813-752-0936 Email: signs@unifiedassociatesigns.com �ar� ��.�� ` � _ _ _ _ , s�,��_� �� _ - t - -- ; -. . -_ _ �� a� a�8� i� � � i��+� �r�€c� ._ �. - _ i � _ - _ _ - , ��Ri'�`L C.`�f��i�TT4�$��- �+I��:I� _ _ : - � ��. _ -=� - _ I_� -� �sR �;;.: . �:. -. - - -� - ��oga6�a�4 i � =�°r�,�.�° : � ;::==-. , - � - •�>.' _.� �:�., -�8' ,t�•� ��1Q �:fl'T�0�36tf�9: = �S$fi1.qt�f�liQ°.��,,� �-:�.��..�y�� ...;��° -- _ - - - . � ,- . � �- �e . "�C�'L''�Y' �:��!L,�. 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' _ _ ., _ " +� `� . _ j - � y fi�J: + ��#+�f-'� +s1r ��Y.V�cs D �' y ��-41i�1�- ��' = I - ��{7 Yg' ,�. ii�iaT� - �}F- ..,. _ .�..�,�;�`7 . - .: � _ � FI:�i�l"i' �T'Y FL 3�5Fb3 �'�:' , r �� '� �: - - � , . , -:-$: ` - : ��T � �� - _ _ - - -' - � -_ - � - - ,- : - -- - _ � �d��t, - -. . - • � ` .. - .- � . - C#�AR�ti�-_.f.� - � - - -, Q1�PiA�:A� E�€QU#RE£}#3Y#.A�4T--.� _ _ ,'3�CTt��3�Y' :._ a _. . , - - - - --- - -- _-� t�tLl. BOROUGH COUNTY BUSINESS TAX RENEWAL INSTRUCTiONS Chapter 205.0535 (5) Flurida Staiut�s requires one of the followirtg: FE�ERAL EMPIOYER iDENTiFICATIOtd tdUMBER i�Q' �D �I65 OR SOCiAL SECURITY NUMBER 1. SIGN and return entire form in enclosad enve[ope, Ycur vaEtdatsd Bnsiness Tax receipt wilf be returnect to you, ` 2. 8usiness Tax r8ceip� exwre m+dnight. September 3{�h. Faitura to c�splay a valid Business Tax reoei�t aft� Septembe�r 30th is a Wiolation of Hlilsborough Cour►ty �rdinance 95-�1, as amended bY {12-5. MAKE CHECK PAYABLE TO: DOUG BELDEN, TAX CL}ILECTOR P O Box 172824 TAMPA, F� 33672-0920 � 2010-2011 HiLLSBOROUGH COUNTY BUSINESS TAX RECEtPT EXPIRES 9-30 20t'l �o�w No. ��«�� Q �� o � .E,�� _� ��`°'� 8� � { 185180 N. VYAS7'E TAX 9t�CluRi� T Y ODE E 280.000 PUBLtC SERVlCE-SlGN REPAIft 8� SERV�E �.� gust�gg 2610 US NWY 92 E �� PLANT CITY 33566 Su� s �e5s "( ��a: - ±�t'�1t�� UNf,F.IEDRSS[)CIATESSi(�iSERY sc�us e�►: c s�r•ou�l i:cr«�cEts Tax .�c�i� �� P480X:�3265 �ut�c#� :a 36v 4� s.�L"�� Frez€� nno�ss PEAFtTCt'fiYFL33563 �'�r��c�. �e � ��_e�c�z g> �i�i'i.� riL`C�'.� �.��i�{E ?':t�3 t:(yt�i=: 4�.�� USiNESS TAX "� ��`�� f_hc��tpr 3:22r rIG�`;i�ii '��123CC'SS rea�ir s DOUGSEltiEt�t,TAXCOL.LECTOR f;ra� d2uart�a�r�� a c�i33eci s�tcial H0.8h1EAE9'fPIIOAPRPN.ECiET S�I�'�O S'�`C11P1��3 �UTA�}0P� �t �YiL� j��3CfflL� G{� w ever�sa. r�, pt occurAT�a►r �n i+a�aK. 7}�g �11E814 T/t7( REl�iP'f WFIEN V116@ATED. • � " c �3:i �u�an�5s '�c� �`��.f_�� :te�_�: jender�d; ��4.a:tt3 41�Jb 1857800Q007 000054007 OOQOQ0000 - www.sunbiz.org - Department of State Page 1 of 2 �� • � � � t � � t a ' �u • / Home Contact Us E-Filing Services Document Searches Forms Help Previous oi7 l ist Next on List Return To I.ist Entity Name Search No Events No Name History Submit Detail by Entity Name Florida Profit Corporation UNIFIED ASSOCIATES SIGN SERVICE AND INSTALLATION, INC Filing Information Document Number P06000149662 FEI/EIN Number 208010765 Date Filed 12/04/2006 State FL Status ACTIVE Principal Address 2610USHWY92E PLANT CITY FL 33563 Changed 02/24/2009 Mailing Address P O BOX 3265 PLANT CITY FL 33563 Changed 02/24/2009 Registered Agent Name & Address GRIFFIS, GREG D SR 2610USHWY92E PLANT CITY FL 33563 Name Changed 04/21/2008 Address Changed 02/24/2009 Officer/Director Detail Name 8� Address Title P GRIFFIS, GREG D SR P O BOX 3265 PLANT CITY FL 33563 US Title VST BOYD GRIFFIS, WENDY M P O BOX 3265 PLANT CITY FL 33563 US Annual Reports Report Year Filed Date http: //www. sunbiz. org/scripts/cordet. exe?action=DETFIL&in�doc_number=P060001496... 7/ 13/2011 www.sunbiz.org - Department of State Page 2 of 2 2009 02/24/2009 2010 03/23/2010 2011 06/14/2011 Document Images 06/14l2011 -- ANNUAL REPORT View image in PDF format � 03/23/2010 - ANNUAL REPORT View image in PDF format � 02l24l2009 - ANNUAL REPORT View image in PDF format�� 04/21/2008 -- ANNUAL REPORT View i mage in PDF format � 04/30/20Q7 -- ANNUAL REPORT ( View image in PDF format� 12/04/2006 -- Domestic Profit View im in P DF format Note: This is not official record See documents if question or conflict. Previous on l.ist Next or� List Return To List Entity Name Search No Events No Name History Submit ' , ,qT!E- t'(�r11rn! _y � . �.'rl�'i ...:f�n�.'� � l.I�f�U:�:fv��c'� � , �t"t"1S , i;�,;�� .�� , :�li� i:i:1 r�ri,:�.'v I�c lic.i��; ��t; t,� ��f 1 luri�i;, l�t��art.n;rnt of Stale http: //www. s�.�nbiz. org/scripts/cordet. exe?action=D ETF I L& in�do c_number=P060001496... 7/ 13 /2011 LETTER OFAUTHORIZATION To Whom It May Concern: This letter serves as authorization for Charlie Deal and/or Linda Turner with Unified Associates Sign Service & Installation, Inc to secure permits and install signage at the following location: �3� �-�� 1��, z�. h h► �� _ �'l3- 3ft� �g5'D) e s ' ature) (Telephone Number) O � Name ��s�:� �� , , - �t �'G�.� 1J�'� I s � Dk(,0 Cc� � o � 1��. �c� _ �cv��;c,u,�c. � D State of 0 County of 0 0� Before me appeared this � da of y � , 20 being personally known of having produced_ 0 as identification and who executed th foregoing instrument, and aclaiowledged to and before me that he he xecuted said ins ent for the p oses therein expressed. �, , ALEXA D. 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