The URL can be used to link to this page

Home My WebLink About15-16150 ! ' CITY OF ZEPHYRHILLS 5335-8TH STREET : , (813)780-0020 150 I BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATIO Permit Number: 16150 Address: 5910 GALL BLVD Permit Type: ADDITION/ALTERATION ZEPHYRHILLS, FL. _ Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26=21-0010-00200-0010 Improv. Cost: 9,360.00 OWNER INFORMATION Date Issued: 4/22/2015 Name: YOUNG GROUP INC THE Total Fees: 127.50 Address: PO BOX 578 Amount Paid: 127.50 ZEPHYRHILLS FL 33539-0578 Date Paid: 4/22/2015 Phone: 813-912-1156 Work Desc: ADDITIONAL CONNECT TO SANITARY SEWERLINE WASH CARS CONTRACTOR S APPLICATION FEES I UNI ER AL O TIO S N BUILDIN FEE 127.50 N � � . ! f �a � Ins e.ctions Re uired FOOTER 2ND ROUGH P UMB MISC NS LAT N E L NG FOOTER BOND DUCTS INSULATED SEWER MISC. I ' ROUGH ELECTRIC LINTEL MISC MISC. i 1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC. DUCTS INSTALLED WATER MISC DRIVEWAY PRE-SLAB SHEATHING MISC. MISC. I CONSTRUCTION POLE FRAME MISC. MISC. 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 county, and there may be additional permits required from other governmental entities such as water management, state agencies or federal agencies. "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." Complete Plans,Specifications Must Accompany Application.All work shall be performed in accordance with City Codes and Ordinances. IVO OCCUPANCY BEFO C.O. �� C�,� CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CITY OF , � e � BUILDIN�1 ZEPi�YR�ILL.S DEPARTMENT O� ADDITION OR CORRECTION � • • - • ADDRESS DAT PERMIT�, � [ � G�� . ��1� � � 2,y � ��l�'� THIS JOB H�4S NOT BEEN COMPLETED. Th�following additions or corrections shcll be made before the job will be accepted. l � t I��T ��' tl�� l , v� T t��iD �`� �" '� �1+� Cg � e�.� F�vJ t►� c�.rV��oJ � ��g2�f��. . It is unlawtul tor any Carpenter,Contractor,Builder,or other persons,to AFTER CORRECTIONS ARE MADE CALL cover or cause to be covered,any part of the work with flooring,lath,earth 780-0020 FOR RE-INSPECTION or other material,until the proper inspector has had ample time to approve the installation. OFFICE HOURS 7:30 AM-5 PM MON:FRI. INSPECTOR��" �'�'�� 813-780-0020 City of Zephyrhills Permit Application Fax-813- -0021 Building Department � .Date Received r s I L,Z p�� _ �+`7 0 J �� Phone Contactfor Permitting _ -r�Trrrrr - ----rrrr ` °' l,• 11'.SZ Owner's Name T�G �v�^ �(`(��1�w \ �. Owner Phone Numher � �' �� Owner's Address �V ��j'�x J�O Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Tifleholder Address JOBADDRESS � Gr � `�'�. LOT# � /�l� SUBDIVISION PARCEL ID# 0' Z�`2� � ��'" �V�-�`��L d` ` � (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e NEW CONSTR� ADD/ALT 0 SIGN � 0 DEMOLISH � INSTALL REPAIR PROPOSED USE � SFR � COMM 0 OTHER TYPE OF CONSTRUC110N � BLOCK Q FRAME � STEEL Q DESCRIPTION OF WORK � � � �� !� ��t1�' :. t.T� G.J/�n �-`,'1 I O BUILDING SIZE � SQ FOOTAGE �^�-J� HEIGHT � BUILDING �^; ! ` VALUATION OF TOTAL CONSTRUCTION \^, �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY 0 W.R.E.C. �, �PLUMBING $ ��,,,�, � �I�n - / � � (/ ' ,� OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �� (- I OGAS Q ROOFING Q SPECIALTY � OTHER � � `(p I �.� � ��e/��tST�� C� `'`��i'�v�' FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA YES NO j� V f r l ` l _ BUILDER � )�� COMPANY �^ i V L!'� '\ \ T 1 n Z SIGNATURE U � REGISTERED Y/ N FEE CURRE� Y/N Address R �3 � t�n•C . C . License# t � �Z� � li�� ELECTRICIAN CO M PANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# 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 CURREP Y/N ' Address License# , 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 1 I 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;('I)set of Energy Forms;R-O-W Permit for new construction, Minimum ten(10)working days after submittal dale. Required onsite,Construction Plans,Stormwater Plans w/Sill Fence installed, Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsllarge projects COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Pertnit for new construction. Minimum ten(10)working days aker submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facililies 8 1 dumpster Site Work Permit for all new projects.All commercial requiremenls must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. ""PROPERI'Y SURVEY required for all NEW construclion. Directions: Fill out applicalion complelely. Owner&Contractor sign back of applicalion,notarized If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) " Agent(for lhe contractor)or Power of Attorney(for the owner)would be someone wilh notarized letter from owner authorizing same OVER THE COUNTER PERMIT'fING (Front of Application Only) Reroofs if shingles Sewers Service Upgrades A!C Fences(PIoUSurvey/Footage) Driveways-Not over Counter if on pubiic 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 wili 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 described document and promise in good faith to deliver it to the"owner"prior to commencement. CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction,zoning and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to� - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,Water/UVastewater 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 fiil,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 Q1R� ATT EY BEFORE RECORDING YOUR N ICE OF COMMENCEMENT. FLORIDA JURAT(F.S.11� � r` OWNER OR AGENT � } CONTRACTOR ubs ribed and sworn tq�(or affir ed)before me this ubs bed and sworn t or' i�ned fore e this 7j 't. S by�K'ST WC�`ir S 2S by_ �1� l-. �sc� o i larepersonally known to me or has/have produced o is! re parsonally kAOwn to me or has/have produced as identification. L, �C`v tr L �'c�1 C as identification. �' j�- SOg. .��s o Notary Public Notary Public Commission No. Commission No. Name Name ot N ' ry��yd or stamped,�AN6 ASMCRAFT :"��"' JANE ASHCAAFT ?�°• .`�•; Notary Publlc•St�te o1 Norid� o��pr n�e(• :• �� Nof�rY PubliC•Stafe oi FIOr(d� _'• �'=My COmm.Expires Jun te,2018 '�� '� "�' °=� Commi:slon�FF 1179Z9. :N, �r��Comm.E�pi►es Jun ta,201e '•:'FO��.�;•' =;jE �P•'� Comml�alon#�fF 117129 ''4""",,•• �d m►o�h 1�tiaai Not�r 1�;sn. ''�°��`� ' eo"°b TMw�t+wuoial I�at�rr�. i - :��_ „�w_ . i n nc. ou os � �� - - Engineers,Scientists,Enuironmental Consultants 8339 Stone Run Ct. Tampa,Florida 33615 � [8131639-1241•Fax[8131639-1622 March 24,2015 Enterprise Rent-A-Car 5910 Gall Boulevard Zephyrhills, Florida 33614 Subject: Washwater Collection System Enterprise Rent-A-Car Zephyrhills Facility 5910 Gall Boulevard Zephyrhills, Florida Dear Plans Reviewer, The Enterprise Rent-A-Car facility is located at 5910 Gall Boulevard, Zephyrhills, FL and is in the business of providing rental automobiles to the general public. Returned vehicles are hand , washed under a canopy at the rear of the property. Approximately 20 to 30 vehicles are washed � per day, 5-1/2 days a week (open until noon on Saturday). Each vehicle is cleaned using approximately five (5) to seven (7) gallons of city supplied water using a low volume pressure washer (2.3 gpm). It is estimated that approximately 210 gallons per day of water is generated on average (30 vehicles/day x 7 gallons/vehicle). The proposed modification is intended to help keep the area neat and orderly, and to comply with FDEP requirements to keep the wash water from migrating off site. � Absolutely no auto mechanic work or fluid changes are conducted on-site, and only tlie exterior of the vehicles are washed. All mechanical work is performed off-site at a dedicated automotive repair facility. Furthermore, the vehicles are fairly new and are typically in excellent overall condition. Since no oil changing or automotive work is conducted on site, no accumulation of oil is anticipated. However, the oil-water separator will be checked regularly for proper operation, potential presence of accumulated oil, and for the removal of sediments. A washwater sample collected on March 16, 2015 indicated a TSS concentration of 62 ppm (attached). If you should have any questions regarding this permit application, please contact me at(813) 639- 1241. Thank you for your time and consideration. Sincerely, UNI SAL Solutions,Inc. . ��_� Keith Ford, PE, CBC Project/Construction Manager Attachments - - ---- - � 'T o � . • �Q . . (.f3fStt1� ��" 1 '.` i ��.., `��, . City of Zephyrhills BUILDING PLAN REVIEW COMMENTS � Contractor/Homeowner: 1j�,`2,ve��- I �s Cu. GYL�S�c Date Received: 3�� Site: J�� C� C�I-� � �� J .Permit Type: � yq/t��G=+- ' ��rl�-� C�t.n�c�� Approved w/no comments:� Approved w/the below comments: Denied w/the below comments: ❑ ' ��'�P � � �-e--�� l G , � ,� This comment sheet shall be kept with the permit and/or plans. /�-�/s� Kalvin Switzer s Examiner Date Contractor and/or Homeowner (Required when comments are present) Ja�quelihe Boges From: John Bostic Sent: Tuesday, April 07, 2015 10:37 AM To: Jacqueline Boges Cc: Mike Perry Subject: RE: 5910 gall blvd Sorry it's taken this long but after reviews by Mike and myself we do not have any problem moving forward with permitting this project. There should be no cost (capacity fee) because it all should have been paid upon original construction and this is not adding anything other than what was expected. I would like for you or the department to let us know when they are complete so we can take a look before it is covered up. I know your people will be inspecting it also but we would like to take o look. Thanks for being patient. John Bostic III, Utilities Director City of Zephyrhills 5335 8th Street Zephyrhills, FL 33542-4312 Office - 813-780-0008 Fax - 813-780-0613 Cell - 352-267-8344 Einail -jbostic(�a,ci.zephvrhills.fl.us PLEASE/VOTE: Florida has a very broad public records law Electronic communications regarding most City of Zephyrl�ilis business are public records and available upon request. Your e-mail communications may therefore be subject to public disclosure.]f you received this message in error,please do not read,fo�ward,copy,etc. and delele immediately From: Jacqueline Boges Sent: Monday, April 06, 2015 8:58 AM To: ]ohn Bostic Subject: RE: 5910 gall blvd Good morning John, Did you have an opportunity to check on this? If so would there be an additional charge for the additional connection charge? Contractor is wanting to pu the permit. Jackie Boges- SCSS 813-780-0020 ext 3513 Faith makes things possible...Love makes all things easy Dwight L. Moody From: John Bostic - Sent: Wednesday, April 01, 2015 1:05 PM To: Jacqueline Boges Subject: RE: 5910 gall blvd I Why are they putting another connection in? I� i ; _, PaceAnalytical Services,Inc. /{,, ° 5460 Beaumont Center Blvd-Suite 520 CZCPrfi1ICII�ICCZI Tampa,FL33634 www.pecela6s.com (813)881-9401 March 23, 2015 I Keith Ford Universal Solutions 8339 Stone Run Court Tampa, FL 33615 RE Project: Zephryhills Enterprise Pace Project No � 35179608 , Dear Keith Ford I � Enclosed are the analytical results fo,r sample(s) received by the laboratory on March 16, 2015 The results relate only to the samples included in this report. Results reported herein conform to the most current TNI standards and the laboratory's Quality Assurance Manual, where applicable, unless . otherwise noted in the body of the report. If you have any questions concerning this report, please feel free to contact me. Sincerely, �--a-��/ � , Mike Valder mike valder@pacelabs com Project Manager Enclosures cc: Accounts Payable,Universal Solutions .p'�P� ��'� I_�` REPORT OF LABORATORY ANALYSIS � � ,,,. t� This report shall not be reproduced,except in full, .(` without the written consent of PaceAnalytical Services,Inc. Page 1 of 10 qeo _,��'. Pace Analyticai Services,Inc. � 5460 Beaumont Center Blvd-Suite 520 � aceAnalytical Tampa,FL 33634 w�w�pacelabs.00m (813)881-9401 I CERTIFICATIONS Project: Zephryhills Enterprise Pace Project No.: 35179608 Ormond Beach Certification IDs 8 East Tower Circie,Ormond Beach,FL 32174 Missouri Certification#�236 Alabama Certification#�41320 Montana Certification#�Cert 0074 Arizona Certification#�AZ0735 Nebraska Certification:NE-OS-28-14 Connecticut Certification#�PH-0216 Nevada Certification:FL NELAC Reciprocity Delaware Certification:FL NELAC Reciprocity New Hampshire Certification#�2958 � Florida Certification#�E83079 New Jersey Certification#�FL765 Georgia Certification#�955 New York Certification#�11608 I Guam Certification:FL NELAC Reciprocity North Carolina Environmental Certificate#�667 Hawaii Certification:FL NELAC Reciprocity - Pennsylvania Certification#�68-00547 Illinois Certification#�200068 Puerto Rico Certification#•FL01264 Indiana Certification:FL NELAC Reciprocity South Carolina Certification:#96042001 Kansas Certification#•E-10383 Tennessee Certification#�TN02974 Kentucky Certification#�90050 Texas Certification:FL NELAC Reciprocity Louisiana Certification#•FL NELAC Reciprocity US Virgin Islands Certification:FL NELAC Reciprocity Louisiana Environmental Certificate#�05007 Virginia Environmental Certification#�460165 Maryland Certification:#346 Washington Certification#�C955 Massachusetts Certification#�M-FL1264 West Virginia Certification#�9962C Michigan Certification#�9911 Wisconsin Certification#•399079670 Mississippi Certification:FL NELAC Reciprocity Wyoming(EPA Region 8):FL NELAC Reciprocity REPORT OF LABORATORY ANALYSIS This report shall not be reproduced,except in full, without the written consent of PaceAnalytical Services,Inc. Page 2 of 10 , , � I Pace Analyticai Services,Inc. ° 5460 Beaumont Center Blvd-Suite 520 aceAnalytical Tampa,FL 33634 wwwpacelabs.com (813)881-9401 SAMPLE SUMMARY Project: Zephryhills Enterprise . Pace Project No. 35179608 Lab ID Sample ID Matrix Date Collected Date Received 35179608001 Zephyrhills Enterprise Water 03/16/15 11 47 03/16/15 16:20 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced,except in full, without the written consent of Pace Analytical Services,Inc. Page 3 of 10 Pace Analytical Services,Inc. ° 5460 Beaumont Center Bivd-Suite 520 � aceAnalytical Tampa,FL 33634 wwwpacefabs.com (813)881-9401 SAMPLE ANALYTE COUNT Project: Zephryhills Enterprise Pace Project No.� 35179608 Analytes Lab ID Sample ID Method Analysts Reported 35179608001 Zephyrhills Enterprise SM 2540D WMW 1 REPORT OF LABORATORY ANALYSIS This repoR shall not be reproduced,except in full, without the written consent of PaceMalytical Services,Inc. Page 4 of 10 � . PaceAnalytical Services,Inc. i � aceAnal,y�ical� saso seaumont center e�vd-suite e2o ! Tampa,FL 33634 www.p2Lela6s.cam (813)881-9401 � 1 ANALYTICAL RESULTS Project: Zephryhills Enterprise Pace Project No.. 35179608 Sample: Zephyrhills Enterprise Lab ID: 35179608001 Collected: 03/16/15 11 47 Received: 03/16/15 16:20 Matrix:Water Parameters Results Units PQL MDL DF Prepared Analyzed CAS No. Qual 2540D Total Suspended Solids Analytical Method:SM 2540D Total Suspended Solids 62.0 mg/L 5.0 5.0 1 03/19/15 14�00 REPORT OF LABORATORY ANALYSIS This report shall not be reproduced,except in full, Date:03l23/2015 03:55 PM without the written consent of PaceMalytical Services,Inc. Page 5 of 10 I PaceAnalyticai Services,Inc. ° 5460 Beaumont Center Bivd-Suite 520 � aceAnalytical Tampa,FL 33634 www.paCela6s.com (813)881-9401 ! QUALITY CONTROL DATA Project: Zephryhills Enterprise Pace Project No. 35179608 QC Batch: WET/29836 Analysis Method: SM 2540D QC Batch Method: SM 2540D Analysis Description: 2540D Total Suspended Solids Associated Lab Samples: 35179608001 METHOD BLANK. 1160930 Matrix: Water Associated Lab Samples: 35179608001 Blank Reporting Parameter Units Result Limit Analyzed Qualifiers Total Suspended Solids mg/L 5.0 U 5.0 03/19/15 14:00 LABORATORY CONTROL SAMPLE: 1160931 Spike LCS LCS %Rec Parameter Units Conc. Result %Rec Limits Qualifiers Total Suspended Solids mg/L 100 91 0 91 90-110 SAMPLE DUPLICATE. 1160932 35179419002 Dup Max Parameter Units Result Result RPD RPD Qualifiers Total Suspended Solids mg/L 122 178 37 20 SAMPLE DUPLICATE: 1160933 35179422002 Dup Max Parameter Units Result Result RPD RPD Qualifiers Total Suspended Solids mg/L 40 0 48.0 18 20 Results presented on this page are in the units indicated by the"Units"column except where an altemate unit is presented to the right of the result REPORT OF LABORATORY ANALYSIS This report shall not be reproduced,except in full, Date:03/23/2015 03:55 PM without the written consent of Pace Analytical Services,Inc. Page 6 of 10 Pace Analytical Services,Inc. ° 5460 Beaumont Center Blvd-Suite 520 � aceAnalytical Tampa,FL 33634 www.pacela6s.00m (813)881-9401 QUALIFIERS Project: Zephryhiils Enterprise Pace Project No. 35179608 DEFINITIONS DF-Dilution Factor,if reported,represents the factor applied to the reported data due to dilution of the sample aliquot. ND-Not Detected at or above adjusted reporting limit. MDL-Adjusted Method Detection Limit. PQL-Practical Quantitation Limit. RL-Reporting Limit. S-Surrogate 1,2-Diphenylhydrazine decomposes to and cannot be separated from Azobenzene using Method 8270.The result for each analyte is a combined concentration. Consistent with EPA guidelines,unrounded data are displayed and have been used to calculate%recovery and RPD values. LCS(D)-Laboratory Control Sample(Duplicate) MS(D)-Matrix Spike(Duplicate) DUP-Sample Duplicate RPD-Relative Percent Difference NC-Not Calculable. SG-Silica Gel-Clean-Up U-Indicates the compound was analyzed for,but not detected. N-Nitrosodiphenylamine decomposes and cannot be separated from Diphenylamine using Method 8270. The result reported for each analyte is a combined concentration. Pace Analytical is TNI accredited.Contact your Pace PM for the current list of accredited analytes. TNI-The NELAC Institute. ANALYTE QUALIFIERS U Compound was analyzed for but not detected. REPORT OF LABORATORY ANALYSIS This report shall not be reproduced,except in full, Date:03/23/2015 03:55 PM without the written consent of Pace Analytical Services,Inc. Page 7 of 10 . � Pace Analytical Services,inc. m 5460 Beaumont Center Blvd-Suite 520 � aceAnalytical Tampa,FL 33634 wwv�paCelabs.com; (813)881-9401 QUALITY CONTROL DATA CROSS REFERENCE TABLE Project: Zephryhills Enterprise Pace Project No.. 35179608 Analytical Lab ID Sample ID QC Batch Method QC Batch Analytical Method Batch 35179608001 Zephyrhills Enterprise SM 2540D WET/29836 II , - �I , REPORT OF LABORATORY ANALYSIS This report shali not be reproduced,except in fuli, Date:03/23/2015 03:55 PM without the written consent of PaceMalytical Services,Inc. Page 8 of 10 I ��, _�,._..�.��,+, ._ �_...�.._..��..��._.�_�_..._____ y .._, , ' } . � . -. ..��:�`�t;��"��-� . . ��+,r./^� `` " _ > ;; �;�DY/Analytical Request Document � ',,PaCeMatytical • i �� t` I 1{j E I � ., � '�EGAL DOCUMENT,Ail relevant fields must tie completed accurately. �--. ,r .:��F�.��F��l(��a�?��i�r;��(��`�i��"�t�� - , . . { . � � � °'-9608't •` ` - . I �o�a , ':351�, . . . . { � : ' ..� , �ired Client Information: °-°^�--��'�'°°'"" `"""""rtequ➢retl"�r67""ecl`intormatlon�"`��'��Invoice Information: Pa e: t C)f 1 }8^Y Universat SoWtions �Port Ta� Keiih Ford tlention: :ss: $339 Slone Run Court opy To: ompany Name: �a,FL 33G15 ddress: -,-r<c�,,...; ,....., -. ,.... ._ ... ; ,.-�...Re u'lafo�:A'�'enc A, �� kford usienvironmentai.com urchase Order#: y� ace Quate: e� NONE Fax: roject Name; Tgg Pace Projecl Manager mike.v8lder@pacelabs.com, ��:��Sfate=/�locaEioli'.�.."��.=;'�; �%�"+.... iesled Due Date: rojocl#: ace Pmfile n� FL - "'Re��ues�#ed'Ahal'�i�Fil2sCed;.YfN� � - : F. , .> � :t a_.�K ,� �—' .Z, _'% �£ — , m a , �� g o COLLEC7ED Pre"servatives ��"; ``" �� M1WTRiX C�6c " � Z T�., Rnn�xfrgWater DW a U � `:i� ,�`.iq WPf WT a m �U ' ��11 WuSlo WDler WYJ `' Z SAMP�.E ID �� ' } sowsa� si � �°_ on a� „ i? START EN� F � .'f: � One Character per box. nirw P.R w w a � `�y� o (A•Z,0-9/,^) au�e� oi � a � � � ?`.v�i � ; Sample Sds musT be unique T��e Ts c.� � j z v Q Q .}+ m lr a a � � O M 2 y ro a� �'C; v � a ¢ ¢ O c cNV �Z �U '�ro m w t +'Q: uNi d � m DATE TIME OAT[ TIME m � � x x x z z � O ', . r � .:,; •�, �,, �,.,.1�� ., ,��f t� � � �i t i� :3 i� 11`i�� >:` { ;.; {-: t;. �:.'' i:'= i;��' t'` __-,.. ..,..,, �...,.. .. ,.... „_ : . ,,; ,:. �., :..ry,... ....:. .. ..�.,: -: �. _ :_.�,:,:..:..Y.; � ..� - - . - ��'' ` LI� N?` � �-OATE� ' �7i�Ei , �T:SAf�XPCE�6t7N41T12�3NS:.-,z ,-ADdtT10NAt`'`CtlMMENTS'� = '��REUNQtl15HED:8Y;i.AFFitciAT10N�,t� ••s?DATE�?:s"° ��TIM�' :ACCEP.TEDBY,=7AFFi A710 M,.. ,.. , . .>..:._•;.. „ . .. ,T°'., e - .. := - > ,._,. . . . . :� •., =z :u»;� �'%l:i , r .:.. �.;.- ... - ._ ,d. , ::��.. ,'� . �- , :.e .. . .. .-..... .. . �... . ._. 3:'. . .-. .. ..._ :;....: Fn .s: .:='�. - <. "i � . ._. . .. . . . ,., ,�., c ^, . . _ ;. . . .::. ... .,.,-:,:.�. -. ,... ,±.. ... .., .. . ,c � 3•. •.� -. -. .1 .. . . . ._ .. .. ..... .. ...... .... ........ ...... �:.........:v.,<r:., :..--,.. ....... .. .....t:..............s... a..... !,'� CB•a"/-�f�t5 .sc. ,/�' �`�S�"'{S—L3�t5� ` 3 r 3'�b,j ��"l� `-.'.�--7 ' 3 f�� ' c� � /�C� � t C 6� � Z(� ttMPlEE2'NAA3E'AND;SIGNAI'URE'r ` - _ _�y`" _ _ °-,,%�.��'�'�;`' � m m PRINT^Name of SAMPLER: '!'� � a T y a {�'1+v t,S`,/` °' v } SiGNATURE of SAMALER• �,ss,,,�.� OATE Si ned: d �"' s *� ��, �t� � a;, cic�> v��a e9o€1Q ocumen arne: ocumen ewse : � aCeArrdfytiCal' Sample Condition Upon Receipt Form August 1�,2014 f ,,,,:.,.,,,.a, ocumen o. ssumg u on y: ( FFL-C-007 rev.06 Pace Florida Quaiity Office � ' • • � �• - � • Table Number� Client Name: �a;p1�(� ��S . Project# �'rJ��Og Courier: � Fed Ex ❑ UPS❑ USPS❑ Ciient ❑ Commercial t/t Pace ❑ Other T Tracking# Custody Seal on CoolerBox Present: ❑ yes � no Seals intact: �yes ❑no Date and Initials pf pe son examining contents ��+,� Packing Material: 0 Bubble Wrap �Bubble Bags �None �Other '�,+� Thertnometer Used �pJ �� Type of Ice: Wet' Blue None Q (Temp shoWd be above freezing to 6°C). If below 0°C,then was CoolerTemperature'C 3� t� (Visual) � (CorrectionFactor) i {pctual) sampiefrozen? OYes �No Receipt of samples satisfactory: �es pNO Rush TAT requested on COC: if es,then all conditions below were met: If no,then mark box 8�describe issue use comments area if necessary): Chain of Custody Present ❑ � Chain of Custody Filled Out ❑ Relinquished Signature&Sampler Name COC ❑ Samples Arrived within Hoid Time ❑ Sufficient Volume ❑ Cbrrect Containers Used ❑ Containers Intact ❑ Sample Labels match COC(sample IDs&date/time of collection) ❑ No Labels: � No Time/Date on labels: � All containers needing preservation are found to be in � compliance with EPA recommendation. No Headspace in VOA�als(>6mm): ❑ Client Notification!Resolution: Person Contacted: Dateffime: Comments/Resolution(use back foP additional comments): Project Manager Review: Date� Finished Product Information Only F_P.samPie i�: Size&Qty of Bottles Received x 5 Gal P�oduction Code: x 2.5 Gal x 1 Gai �ate/Time Opened: x 1 Liter � x 500 mL m � Number of Unopened Bottles Remaining: x 250 mL o x bther: o Extre Sampie in Shed: Yes No i o -� -� � - i iirii,iiiii iiiii iii�i iiiii iiiii fiiii iiiii iiiii iiii�iiii iiii 2015062938 Pertnit No. Parcel ID No �\� ��' � �°`� dJt �— ��Z'��' u�t� • NOTICE OF COMMENCEMENT � , pm� State of ��`'�C �� Counry of,��C.i� �N n \ •• 'G c+� THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and in accordance with Chapter 713,Florida Statutes, , N B" the following infortnation is provided in lhis Notice of Commencement: �' � N m� 1. Description of Property� Parcel Identification No. i �� Street Address: •J�� R,� �� ph� f'�n>>l S �. �n � ��iZ��►�� uPll�'s.�,��1s� �'J .:�@��`r�c �s,J�f', r � � 2. General Description of Improvement , I r-� � N -��7 I . (p I 3. Owner Info1rmation or Le�ssee inf/oyrtnation if the Lessee contracted for the improvement. � n E,n'f'�t/' (J C i it °;C�L�'1+ CJ S\d.r��.S � �.. Name f� �� 3SC�,a �. �!'�1n"3O��Y G>> �a.,/+�p� � , Address Ciry State i (7 m I Interest in Property "" � i ` fD i Name o(Fee Simple Titleholder ��+G ��n � Cs r��,A�\��.� F (If different from Owner li d above) Address ¢ � � ` - �t 4. Contractor v�'�J�S�C.\ o\ �40 v�,��1�J C�ry State Nam �33� ��-�,,.�. j��n c,�= 'T�.,�.r��. � Address 1 City Stale Contractors Telephone No. ��'��` l�� D 5. Surety• � � Name � ►J D N � _ Address Ciry State � p i �N Amounl of B nd: $ Telephone No.. B m 6. Lender � ��r= ' Name ` ��N � f+�' Address Cily State �� o Lenders Telephone No. �(,,)D N N 7 Persons within the Stale of Florida designated by the owner upon whom notices or other documents may be served as provided by � � o Sectionf713.13(1)(a)(7),Florida Statutes: � � �r+ � Name � '1..10 " �� Address City State i� � Telephone Number of Designated Person: ��~3 n /�� %� YJ�� 8. In addilion to himself,the owner designates of � — o to receive a copy of the Lienors Notice as provided in Section 713.13(1)(b),Florida Statutes. m Telephone Number of Person or Entity Designated by Owner A 9. Expiralion date of Notice of Commencement(the expiralion date may not be before the completion of construction and final payment to the contractor,but will be one 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 CHAPTER 713, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING IWICE FOR IMPROVEMENTS TO YOUR PROPERN 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 OF COMMENCEMENT. Under penalty of perjury,I declare that I have read the foregoing nolice of c and that t e facts stated therein are true to the best of my knowiedge and belief. I STATE OF FLORIDA COUNTY OF PASCO Signature of Owner or Les e,or Owners r Lessee's Authorized Office dD irectodPartnedManager Signato�ys Tille/Office ('�,�� '`�� r The foregoing instrument was acknowledged before me this�day of1-11A t 1 ,2C�Sby �� as (type of authority,e.g.,officer,trustee,attomey in fact)for (nam of party on be I of m instr ne as execuled). Personally Known OR Produced Idenlificalion❑ Nolary Signature Type of Identification Produced Name(Print) Q� ��rP�syy JANE ASHCRAFT s�'�' �� Notny Publtc-St�te ot Florida z.�• .• Ml�CBmm.Expires Jun 18,2018 N Co�nmfsEfon�Ff 111129 ;iyl �, ,,��I�jNN�� I�MI/��$1�. wpdatalb cs/noticecommenceme nt�c053048