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SGN-11-1875Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 165422 Permit Number: SGN -10 -11 -1875 Scheduled Inspection Date: January 19, 2012 Inspector: Bruhn, Norman Owner: , SHORES SQUARE INVESTMENTS Job Address: 9005 BISCAYNE Boulevard Miami Shores, FL 33138- Project: <NONE> Contractor: ATLAS SIGNS OF LAKE WORTH INC Permit Type: Sign Inspection Type: Final Work Classification: New Phone Number Parcel Number 1132060110060 Phone: (561)863 -6659 Building Department Comments INSTALL WALL SIGN ON NORTH ELEVATION OF NEW BANK. Inspector Comments Passe Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. January 18, 2012 For Inspections please call: (305)762 -4949 Page 4 of 23 Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 BUILDING PERMIT APPLICATION FBC 20 LE EIVED OCT 1220II Permit No. �� I 1 —18 l' Master Permit No. Permit Type: BUILDING ROOFING OWNER: Name (Fee Simple Titleholder): S/ i21 .56/0/f/1C //1/1it ?77Ei+/if LL C Phone#: Address: 370 /3 MO g0 S 7E �G{? city: /11 / MI State: FL Zip: �� /S�� Tenant/Lessee Name: "1-D q./14C jJ. A • Phone#: q5 4 -53s-c:-.14 I Email: JOB ADDRESS: 100S" /31SCAYNC 13 LVi9 City: Miami Shores County: Miami Dade Zip: 37117 Folio/Parcel #: 1 I — 30 b Co -- ©(( — cv(pCO Is the Building Historically Designated: Yes NO / Flood Zone: `' a.1 1 L..� K. tt. Crefit i t t CONTRACTOR: Company Name: A TL /5 Sl d /+/ .1 VOIiJ J Phone#: a (-- g6f 6`f y Address: 107, I,/ 117 131 of / /Enof 1 Lk City: tiV .37 /' 42tt f$ lik Cy State: FL Zip: 73 //6,> Qualifier Name: UE fitfY ,4A14'41Pt Phone#: S�i�l^ I' 3 - 66r9 State Certification or Registration #: LS 00002 0 N Certificate of Competency #: Contact Phone #: rot- 3 ` 4-(7/ Email Address: d(NW 1 i? @ 01/fJ' J1 P' ltidd 7/ ea. IT DESIGNER: Architect/Engineer: -Mt 00Oil F' MCl4N1if Phone#: $7/ WI/ Value of Work for this Permit: $ z f SquarelLinear Footage of Work: /1)- Type of Work: DAddition Alteration ,,,,�� ,pp % C1New ORepair/Replace DDei olition Description of Work: -' '� tA.J d L C S I l.J 0 i Vet- ******** * * * * *** * *** *** *** *** * * * * * * * *** *p + x************* ************* * * ****** ***e***** Submittal Fee $50 1 10 Permit Fee $ /C 7 a °-' CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL i hk. NOW DUE $, Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for RLRCTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, BEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WWARNING 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." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged l�Signature till The foregoing instrument was acknowledged before me this r day of 'lip ,20ti , by —174.--- , me or who has produced who is personally kno,.�,,; . «e�4i t6llla6 if aced aIQTARY U LIC ������e an oath. � • j Comm# EE063019 As identification and who did take an oath. NOTARY 2015 Sign: ' " L A,, Print: - n�''L") My Commission Expires: ********* ************************+ x********** ******* ********** * * *******pa n * ** ******************* ** * ** * *** APPROVED BY 1/L/ /91 Plans Examiner Structural Review (Revised 07 /10 /07)(Revised 06/10/2009XRevised 3/15/09) /V17 '�/ Zoning Clerk 1 1 1 EXISTING COMMERCIAL BUILDING ZONE: B-2 40 MALE FEET LEGEND TRAFFIC PATTERN DIRECTION (NOT A PAVEMENT MARKING) VEHICLE OUT1NE FOR DRIVE -111R11 STACKING er t I I PROPOSED CONDMONS N ••• 2e•.al0000 Name of Development 70 BANKNA Way Swat Laurel NJ 08054 112 Rank-9005 Bieaama Blvd 8000* of 41am5 Shore. J'raww.J Use Zoning DI.Not Flnenabl Insamlbn Bonk Commercial 5 -2 BUSINESS Section. Township. Rance No. of 5te4 le./ Room 5-013. T -53. R-42 1 Stem Flood Eleedtien Zoa AE (Ewa. B) FIRM Map: 120 11C 0308E (8/18/82) CODE COMPLIANCE CODE REQUIRED PRDWDED PARKING AOA PARKING 1 SPACE / 280 5O FT =18 24 1 -25 STALLS w 1 Apt STALLS GREEN SPACE 205 203 DRIVE -THRU STACKING 4 SPACES 4 SETBACK FRONT 28 FT 74.1 FT SIDE (WEST) 5 FT 45.0 FT SIDE (EAST) 5 FT 17.7 FT REAR 5 ET 40.8 FT IA BUFFER FRONT B FT 5 FT SIDE (EAST) 5 FT 5 FT SIDE (WEST) REAR 5 FT 0 FT 5 FT 5 F AREA a EAXDOWN FEET TOTAL 0.83 27,720 PE881005 0.15 8880 23.738 IMPERVIOUS 0.48 21,148 70.273 04UZ4ln5 0.08 3.884 14.303 Vehicular Use 0.37 18.135 58.103 Sidewalk 0.02 1.048 3.753 PARKING COSTING SHOPP240 CENTER 43.538 5Q. FT. 251 SPACES. INCLUDING 10 H.C. PROPOSED PARKING (REQUIRED) (433338 50. FT. - 8.431.57 50. FT. + 3,854 5Q. FT.) 1250 165 SPACES, INCLUDING 7 FLC. PROPOSED PARKING (PROVIDE) 245 SPACES. 24CLUDOG 10 H.C. SPACES LAND USE DATA EXISTING USE RET2L (FORMERLY A BLOCKBUSTER STORE) PROPOSE° USED 3.884 SF FL PROTOTYPE 3 REAR ATTACHED DRIVE -110J LANES (8AKK) FOISTING ZONING B -2 TRANSIENT BUSINESS PROPOSED ZONING B -2 TRANSIENT BUSINESS VOTE& 1. ROOF TOP MECHANICAL RAWEST IS TO SE SCREENED PER aTY CODE 2 ALL ELEVATIONS 5H0B! ARE IN OEFEIENCE TO RR BENCHMARK AND MUST BE VERIFIED SY THE GENERAL CONTRACTOR AT OiWNO®SAK 1 BUILDING WESSON'S SHOtl4 ON DIE CVO_ EINGNEER10 PLANS A5E FOR REFER PURPOSE ONLY. 111E14 LATINO OUT THE PROPOSED 8.002240 FOUNDATION. THE CONTRACTOR SHALL USE THE ARCHITECTURAL PLANS FOR EXACT BUILD240 DIMENSIONS 4. 55NAGE REQUSES SEPARATE 4GNAGE MST. 8. 1100845 LEVELS WSL NOT E10CEED 0.5 FOOT CANDLES ALONG IFaff41UAL AREAS. LEGAL DESCRIPTION OF SHOPPING MUSTER WHERE SUBJECT PROPERTY IS LOCATED, (PER O710AL RECORDS BOOK 24432, PAGES 4515 -4518, 11-2.CK) LOT 5 LESS THE EAST 30 FEET AND ALSO LEA THE NORTH 25 FEET THEREOF. AND LOTS 5, 7, AND 8, LESS THE NORTH 28 FEET O SAME. AND ALSO THAT PART O ITT 8 NOW ENO USED AS PUS1C 11011VAT MOWN AS FEDERAL HIGHWAY ALSO KNOWN AS BISCAYNE BOULEVARD AND THOS PMTS 07 EACH LOTS 8, B, 10 AND 11 WHICH LE SOUTH OF FEDERAL HI01WAY ALSO KNOWN AS BECAME BOULEVARD, ALL OF SAID 4.0111 BEING 24 ASBURY PARK, ACCORDING TO THE RAT THEREOF. M RECORDED W PLAT BOOK 4. PAGE 110, OF THE PUBLIC RECORDS 07 MIASI -DADS COUNTY. FLORIDA. LEGAL DESCRIPTION OF SUBJECT PROPERTY AUTHORED SY STONER & ASSOCIATES, 240., WITHOUT THE BENEFIT OF A TITLE SEARCH AND BASED ON FOUND PROPERTY CORNERS AND SHORT VERSION LEGAL DESCRIPTION SHOWN IN MIAMI -DADE PROPERTY APPRAISERS WEBSIT7 FOR PROPERTY FOLIO N0. 11 -3208 -011 -0080 CONENCE AT THE SOUTHEAST CORNEA OF LOT 5, ASBURY PARK, ACCORDIN0 TO THE PLAT THEREOF. AS RECORDED IN PUT BOON 4, PAGE 110, CF THE PUBLIC RECORDS OF OSNO -DABS COUNTY. FLORIDA; TEND 50117H 8798'21 WEST. ALONG THE SOUTH IRE O SAD ASBURY PUT AND ALONG THE NORTH RIGHT OF WAY UNE OF N.E. 8Oh STREET. A DISTANCE O 475.01 FEET TO TIE POINT O BEGNNO1 THRICE CONTINUE SOUTH ST5811 WEST, ALONG SAID SOUTH UNE OF SAID ASBURY PLAT AND ALONG SAID THE NORTH RIGHT OF WAY LINE O N.E. EOM 5111ET. A DISTANCE O 218.07 FEET: THRICE NORTH 029498' WEST, A DISTANCE O 12.20 FEET TO THE SOUTHEASTERLY RIGHT OF WAY LANE O 86CAYNE BOULEVARD (STATE ROM N0. S - US MITHWAY N0. 1); THENCE NORTH 392789' EMT. ALONG S10 SOUTHEASTERLY RIGHT O WAY LINE OF BISCAYNE BOULEVARD (STATE ROAD No. 5 - U.S. HIGHWAY N0. 1). A DISTANCE OF 210.53 FEET: THENCE NORTH 876871' EAST. A °IBTM¢ O 8613': THENCE SOUTH 0298'02" FAST, A DISTANCE OF 177.00 FEET TO 114E PONT OF BROWNING. 0 II 4 Y r 13- 0 cn z 1X m< U) P FLTco a g o DATE 01 -04 -2010 PROJECT NO 042701308 SHEET SUMTR C -105 Align 5' -7 3/4° 22 -1/4° 4-7/8° 33 -3/4° Bank E02 Scale: in =1' -0" ILLUMINATED LETTER SET: 1" = 1' -0" Square Footage: 41° Allowable Formula and Calculation Proposed 71M-Olgq35 OCT 1 2 2011 Channel Letter Building Identification at 1.85' x 5.66' = 10.47 Total Square Feet =71( S (ONi 11 Miami Shores Village APPROVED BY DATE ZONING DEPT LDG DEPT SIJR,1FCT TO COMP( IANCE WITH Al . I_ FFDFRAL STATE AND CO(JN r`! (MUTTS AND f7FG(1) Al7DNS atlas SION INDUSTRIES RAMA I oEae°w 52- CORPORATE HEADQUARTERS 1017 West Blue Heron Blvd., Wesl Palm Beach. Florida 33404 P000E: (561)863 6659 / 800.772.7932 FAX: (561)863.4294 — NORTHEAST DIVISION 707 Commerce Drive. Concord; North Carolina 20025 PHONE: (704) 788 3733 / 800.772.7932 FAX (704) 788,3843 www.atlassignindustries.us 1 V TD Shield Construction .040 Aluminum Backs and Returns Painted PMS 361 Green / Returns 5" Deep Faces 1/8" LD 7328 Ught Diffusing White Acrylic with Negative Cut 3M 3632 -5830 Translucent Light Green Vinyl Graphics Retainer Aluminum L -Type Retainer painted PMS 361 Green and Secured with No.8 Pan Head Screws Illumination Permlight EL -Plato 747 -WHT El Plato 6500K LED Modules Mounting 3/8" Off Wall On Spacers With All Electrical and Wiring Concealed Behind Facade / See Detail Sheet A1-P Bank Letter Set Construction .040 Aluminum Backs and Retums Finished Gloss White Enamel Paint / Retums 5" Deep Faces 1/8 LD 2447 Ught Diffusing White Acrylic with 3M Dark Green No. DN0023 Perforated Vinyl Overlay (White at Night) Trim Cap 1" Gem Brand Trim In Hunter Green No. 2162 Secured with No.8 Pan Head Screws Illumination Permlight Nitro 777 -WHT 6500K LED Modules Mounting 3/8" Off Wall On Spacers With All Electrical and Wiring Concealed Behind Facade / See Detail Sheet A1-P 18'-9 1/2" Equal Equal Bank • • NORTH ELEVATION : 118" =1'-0" UNDERWRITERS LABORATORIES INC. IblooNimom LISTED utunioialoaran Mader Raton Ossdplinn BY BD 1 ganged s dlze 8artounartg Into JM 4/1Zlt ■ • • , 1 8 1 1 1 1 1 1 1 Wend ur 1::]APPRIAWAS Dol OWES= /D NODS 'Date O WEST &RESEW 07/29/2010 °°°'"' 424848 rs° J. Abreu As Shown r B. Hodge 1 t t 9005 Biscayne Blvd, Miami Shores, Florida Racestrlpe Construction .040 Aluminum Backs And Aluminum Returns Painted PMS 361 Green / Retums 5" Deep Faces 1/8" LD 7328 Light Diffusing White Acrylic with 3M Light Green No. 3632 -5830 Vinyl Overlay Retainer Aluminum L -Type Retainer painted PMS 361 Green and Secured with No.8 Pan Head Screws Illumination Permlight 747 -WHT El Plato 6500K Led Modules Mounting 3/8" Off Wall On Spacers With All Electrical and Wiring Concealed Behind Facade / See Detail Sheet A1-P 18'-9 1/2" Equal Equal Bank • • NORTH ELEVATION : 118" =1'-0" UNDERWRITERS LABORATORIES INC. IblooNimom LISTED utunioialoaran Mader Raton Ossdplinn BY BD 1 ganged s dlze 8artounartg Into JM 4/1Zlt ■ • • , 1 8 1 1 1 1 1 1 1 Wend ur 1::]APPRIAWAS Dol OWES= /D NODS 'Date O WEST &RESEW 07/29/2010 °°°'"' 424848 rs° J. Abreu As Shown r B. Hodge 1 t t 9005 Biscayne Blvd, Miami Shores, Florida N E02 5' -7 3/4° PANELBOARD LP -SP BUS LOAD FOES NO'S C AMPS POLS LOAD AMPS A BAI�SC 10 OFFICE LIGHTING 20 1 u,12 20 1 OFFICE RECEPTACLES 7 7.5 10 " " 20 3111/14 20 1 " 9 7 CORRIDOR/R.R, LIGHTING 20 5 8 20 1 " ` 7 7.5 8.3 OFFICE LIGHTING 20 7 1„' 1„18 1„11 20 1 7 7.5 10 20 9 20 1 R.R. GFI'S 2 12.9 WAREHOUSE LIGHTING 20 111„'1 20 1 OFFICE RECEPTACLES 9 12.9 20 1 20 1 REFRIGERATOR 10 12.9 1 20 151„11. 1„114 20 1 BATH. (GFI) 3 75 WAREHOUSE RECEPTACLES 1 20 1 1n. 20 1 OFFICE RECEPTACLES 6 7.5 " 1 20 1911111" 20 211'11 • 20 1 " 7.5 9 1 30 2 WATER HEATER 24 „ .. , ,1881:f4 1 1 1 24 12 SIGN LIGHTING 1 20 2'1%11,;) SPARE 1 7 ]14N LI4HIINI, 1 49 "� 1 81 SPARE SIGN LIGHTING 1 WI 29111 20 ,3111)'1 20 3 SPARE SIGN LIGHTING 1 SPARE 12 EXHAUST FAN 3 11)1)1tt 1'111 11111 SPARE 12 A/C WALL UNIT 3 20 3" SPARE SPARE ,3 3910110: it SPARE SPARE SPARE SPARE 41 -2 SPARE Scale: 1" =1' -0" ILLUMINATED LETTER SET: 1" = 1' -0" 0 SECTION @ TD SHIELD 41° Anchor Points SPECIFICATIONS: 1: All elements constructed of .040 aluminum backs and returns . 2: Flexible trim retainers chemically bonded to faces and fastened to unit with no.8 pan head sheet metal screws. 3: 1/8" Thick acrylic faces with vinyl overlays. 4: All sign elements secured to fascia with no.12 x 2" wood screws four (4) per letters and logo. 5: Low voltage LED internal illumination in all elements. 6: 1/2" UL Listed and approved Sealtite connector with ground lug and ground wire. 7: 1/2" UL Listed and approved Sealtite sleeve thru wall and letter to letter behind wall. 8: No.12 x 1 -1/2" Wood screws four (4) per can behind wall. 9: UL Listed and approved 2" x 4" weather proof bell box with 20amp / 120vac disconnect switch mounted to wall. Exact location to be determined. 10: Drain holes two (2) per letter as per NEC 600-8. 11: Parapet wall is stucco over 5/8" plywood on stud frame 16" oc. 12: Metal can with removable cap mounted behind wall. 13: Low voltage LED power packs as needed. See electrical data for total amps and quantity. 14: 1/2" UL Listed and approved Sealtite housing all branch wiring. 15: UL Listed and approved customer supplied junction box per NEC 300 -14A one per circuit with UL Listed and approved 20amp snap switch disconnect. 16: Primary electrical to junction box in approved electrical conduit by others to within five feet of sign area. ANCHOR SCHEDULE: TD Shield = (4) - #12 x 2" wood screws Bank Letters = (4) - #12 x 2" wood screws per letter Stripe = (6) - #12 x 2" wood screws TOTAL LOAD- 28700 VA TOTAL Alm LOAD = 80 AMPS SIGN LOCATED @ NORTH ELEVATION �IIIIIIII inure 11 0 SECTION @ BANK AND STRIPE EL CTRICAL DATA Volts 120 Total AMPS 1.9 Circuits Vlslble Dlsconnocts Power Supplies 2 95.95 Amps Each ELECTRICAL NOTES 1. All materials and fasteners meet 3004.4 2. AO electrical components are UL fisted and approved. 3. Sign grounded according to NEC 6007.7 4. Signs manufactured and listed NEC 600.3 and marked per NEC 600.4. 5. All branch circults per NEC 600 .5(6).1 or (B)2. 6. All Signs controlled by photocell or time clock per FBC 13-415. (ABC).1.4. 7.One visible 20 amp disconnect per sign per ctrcult per NEC 600.6(A).1 OWNER: TD Bank, Miami Shores - North Elevation Logo 9116111 Logo is largest area for minimum four fasteners Logo to Building: mounting: Four (min) #12 x 2" wood screws Allowable withdrawal tension: W = 2850DG2 #/in; D= dia.; G = sp.gr. Plywood sp. Gr. = 0.5 (conservative #12 screw: D = 0.216 "; embedment: 12" plywood assumed W= 2850x0.216x.25= 154# n)x.5 " =77 #allowable Wind loading: 77# x 1.33 =102# allowable pullout per Tapcon Wind load per ASCE 7 -05, method 1, components and cladding V = 146 mph (Miami -Dade Code) Roof height 15' Least horizontal dim. =18.8'; Zone 5 = 3' from corner (Fig. 6 -3) Sign located in Zone 4; 6.6' > 3' from corner Effective wind area < 10 sf Wind pressure away from wall: P 30 = 41.62 psf (Fig 6 -3) Lambda =1.21 (Fig 6 -3); P' =1.21 x 41.62 = 50.4 psf A " =1.85x 1.67= 3.09 sf F = 50.4 psf x 3.09 sf = 156# withdrawal on logo Pullout load / TA =156# / 102#4 1.5 fasteners Four (4) - #12 x 2" wood screws - OK Code Provisions for Sign Installation 10 5 tft a 31 Z 0 a 2 1 I� a 0 Code Edition: 2007 Florida Building Code, Revised 2009 1 Wind Load perASCE 7 -05, (Florida Building Code 1609.1.1) Exposure C Occupancy Category II: (Table 1 -1) Importance Factor 1: (Table 6 -1) Wind Speed 146 mph (3 sec. gust): (Fig. 6 -1 B) As witnessed by my seal, I certify that the sign or letter attachment method meets or exceeds the requirements of the 2009 FBC for 146 MPH wind load. 1 CONTRACTOR: ATLAS SIGN INDUSTRIES 2290 AVENUE L WEST PALM BEACH, FL. 33404 (561) 863 -6659 UC. #ES0000204 ENGINEER INFORMATION NAME: Theodore M. McAnlis, P.E. ADDRESS: P.O. Box 14724 North Palm Beach, Florida 33408 E -Mail: ted.mcanlis @hotmail.com LICENSE No. 19239 Lf 9/204 arias SIGN INDUSTRIES FLORIDA NORTH CAROLINA 1 GEORGIA CORPORATE HEADQUARTERS 1077 West Blue Heron Blvd.; West Palm Beach, Florida 33404 PHONE: (561) 863.6659 / 800.772.7932 FAX: (561)863.4294 NORTHEAST DIVISION `' 07 Commerce Drive. Concord, North Carolina 28025 P000E; (704) 788.3733 /800.772.7932 FAX (704) 788.3643 www.atlassignindustries.us • UNDERWRITERS LABORATORIES INC. LISTED m[1] ,41unsari A Fan Approved =APPROVED As MOWN =APPROVED As &ono Osamu T & misusrarr 9005 Biscayne Blvd. Miami Shores; Florida 09/16/11 J. Abreu B. Hodge a3. A24846 -P As Shown Al -P TD Bank/Miami Shores, FL/9005 Biscayne Blvd. ANNE M 101,t1 P.O. Box 3353, West Palm getth, FL 334024353 MiereMitaxii ceiutorei www.thccollectorptic.com Tel: (561) 355-22?2 ermarivPaira anal Canary **LocATED AT'* 2290 AVENUE L RIVIERA BEACH, FL 33404-0000 TYPE OF 131.7.SINESS 23.0107 (W El-rFCTRIC$0P1!EqlkiTY.. 1 . .1 58 OWNER CERTIFICATION CERTI1CATION# RECO:IDATE PAID I AMT PAID BILL AT/INOLFE.JEFFERY 234000204 1.111.01097-MM12111 3204.60 0 8400827 TfilsdOcUment is valid only When.recelMed by the Tax totes Office. ATLAS SIGNS OF LAKE WORTH INC ATLAS SIGNS OF LAKE WORTH INC 1077 BLUE HERON BLVD W WEST PALM BEACH, FL 334044221 Dear Business owner STATE OF FLORIDA PALM BEACH COUNTY 2011/2012 LOCAL BUSINESS TAX RECEIPT LBTR Number: 200303879 EXPIRES: SEPTEMBER 30, 2012 •hlt redelpt drags not constitute a franchise, arjreeMetit, parritssibtr of authority to perform the SeTviciat or opatate the business described herein When a franchise, agreenient or Miter county cOrtireilsitiOn, state Or federsil permission of authority Is Mquiidd by totmty, state Of federal Your new local business tax receipt is on the reverse side. Verify this information and display it conspicuously at your place of business, open to the view of the public. This receipt is in addition to and not in lieu to any license required by law or pity ordinance and is subject to regulations of zoning, health and any other lawful authority (County.Oixiinance Number 72-7) '• Receipts may be transferred to a new.owner when evidence of a sale is proVided, the original receipt is suns:0e* and a transfer fee is paid. Receipts may be transferred to a new location when proof of zoMrtg•approval.M provided, the original receipt is surrendered and a transfer fee • is paid. • Business name change requires a new Local Businest Tax Receipt.Therefore a new LOCAL BUSINESS TAX APPLICATION, (PBCTC FORM #65), proof of business name change registration With the state.and proper fees would be required. .• This receipt expires on September 30, 2012. Renewal notices are sent at the end of June. if you do not receive a notice by the end of July, please contact our office. I hope you have a successful year. akocc. ilitA/soteJt.> Constitutional Tax Collector, Serving Palm Beach County