HomeMy WebLinkAbout16-17979 CITY OF ZEPHYRHILLS
5335-8TH STREEI�
; - .' (813)780-0020 17979
BUILDING PERMIT
_ PERM(T INFORMATION L.00ATlON INFORMATION
Permit Number: 17979116998 Address: 6627 FORT KING RD
; Perrrq�it Type: SWIMMING POOL COM. ZEPHYRHILLS, FL.
Class �f Work: POOLlNEW Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
� Squa�e Feet: Subdivision: SUMMERSET
Es . Value: Parcel Number: 03-26-21-0010-03500-0000
Impr v. Cost: 120,000.00 QWNER lNFORMATIQN
Date Issued: 12106/2096 Name: SUMMERSET APARTMENTS LIMITED PA
Tot I Fees: 937.50 Address: 3550 S TAMIAMI TRL STE 301
Amot�nt Paid: 937.5Q SARASOTA F� 34239-6014
D te Paid: 12/06/2016 Phone: 941-929-1270
Wo k Desc: SWIMMING POOL& DECK
CONTRACTOR S APPLICATION FEES
A & G CONCRETE POOLS INC BIJILDING FEE 817.50
TRI-CIT�'ELECTRiCAL CONTRACTORS ELECTRICAL FEE 60.00
A & G ONCRETE POOLS INC PLUMBING FEE 60.OQ
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Ins ections uired
PO L ST EL �
PQOL DE�K&FOOTER
POOL EL CTRIC BOND
POOL PL MBING(PRESSURE_
FINAL
REINS�PECTION FEES: (c)With respect ta Reinspection fees will comply with Flarida Statute 553.80(2)(c)the
tocal government shaEl impase a fee af four times the amaunt of the fee imposed for the initial inspectean ar
I first reinspection,whichever is greater,far each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there maybe additional restrictions applicable to this property that
may be found in the pub(ic records of this caunty, and there may be additianal permits required from other governmental
� entities such as water management, sCate agencies or federal agencies.
"Wa��ning to awner: Yaur failure ta recard a notice af commencement may result in your paying twice for
impr vements to your property. Tf you intend to obtain financing,consult with your lender or an attorney
6efore recording your notice af comrr�encement."
Compl'ete Plans, Specifcations Must Accompany Application.All wark shall be performed in accordance with
Ci Cades and Ordinances. NC3 OCCURANCY BEFORE C.O.
I NO OCCUPANCY BEFORE C.O.
�,.
CO TRA TOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN fi MUNTHS INITHOUT APPRt3VED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PRUTECT CARD FROM WEATHER
UT/13/�017 9:01 A�I FA� A&G POOLS f� ObO�/U004
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RE: _���� �,�G��----- '
# C��' PA�ES lN�LUDIN� CC�V�R: ���_
CQNFIQEAl77ALRY N07'E:
THE r[�r-pRMA�'fO�t ConrrqintEo IN THtS�aCSrM��1s EFGAu,Y PRI1r1�.F�Ep q�fp C4NF�D�tn4L, .
INTEMDED ONLY FOR THE USE OF THE EN�tVIDt1Al.OR Ef�Cf[7Y NAMEp A80VE. !F Yp�l HqV�
R�C.�11/ED Tl�IIS FAX IN�RROR,8LEA5E NO'i'IPY tJ5(MM�DWTELY 8Y PNf�N�AT THE MUMB�R ltST'ED
B�dW.
PLEA5E CONTACT THE QFFtCE IF TFi1S TRpaNS(u�IgSfON 1S f!lEG1Bt..�O�t�1Q`r RECEt1/�p pR�jp�,Y,
��MMENTS_.
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U7/13/ 017 9:01 A�t FA$ A&G POQLS �] 0002/�004
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4�0 SAEGER AVE.,Fp�t'�'pIERCE,FLORiD,r#34982
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A�G '�'I�:AN�MZ'�'TAL
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JULY 13, 2017
RE: SC�'MMERSE�.A�"ARTMENTS COM112ER.CIAL �UOL
6�27 FOR'��N'G}ROAD
P�RMIT# 17979�/ �C99g
. . . .�: • ;i•. ..1. ..,r•, �.4r.. y , �:;r .�`..:r,.I �, � .x. }.+, ..1:
. ... �4I,.,i.;r .V�• v V�Y� N;�i. yf..: �. ` • � ...r1•�•
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W�x�e we were requesting our permit to be firiaxed ou�, � were told that r�e ."
�eeded a Ietter�`xom.the Departx�e�t of�ealth rega;rdiz�g the fact thax�.e�re was
no AI7A Li�it�stalled an this�aol,
I emaai�ed Miranda Uliv�r wit.�the Dept. af�ea��fh and she said tl�at t�� D�H
really doesn't;e�t involved with;t�� .A,D�1 respc�nsibi��ties. (I am attacI�xz�g a caFY
af her email ba��to m� �,
She suggested going to the�?�pt. ofTustic�AD;A�.webpage (who k�a�ndles the
.A.I�A jurisdictzozzal aspe�t).
� I have attached a eo�a�o;f what was on tha�webpage regarding Caz�c�xnuniiy pools
that are associated with �'nvat�Residential Cozxumunities ttiat shor�crs tha.t they are
not co�r��r�d by the ADA accesszk�i�ity requirements.
Fl�ase l�t me know wha��ls�you will need frox�n us in regards �►Glosing out this
Poal �'ermit.
nk Y'ou fQ�r your att�ntion to �uis mat�er. � �
raeey . cGh+ee
�xe�utive Adma�isirator
A 8� G Conc�re� �'ools, Iuc.
�z�ra� 0�7 s:oz �t F�x ��� �ooLs � oaaaiava�
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Tra McGhee • �
F� � Oliver, Mirand� B tMiranda,�livet'C�flhealth.gov>
� �e� Wedrtesdayr luly�2,2p�7 4.39 PM
Ta: Trecy McGhee
. Sub,� ct� Ft�:C�ty ofi Zep�tyrhills .
G�t Dept of jus�ice AbA webp�ge and c�il them. Th�A��t itsetf s#ates where it is jurisdic�ianal. Heatth department
does 't g�t much involvQd with ada ather than clearance b�hind the ada lift.
Sent rom mY iF �ne p ase excuse�ny typos/errorsj
Mira(da t�liver,Engineer�ng 5peciaEist 1�t
Water Programs, �u�eau of Environmental Nealth
nivisi n of Dise�se fantr�l and Nealth Protection,F1c�rida Qept.af Heatth
Cel! hane:(850�274-2�2�,pf�te phdne:(407)245�0335.Fax:(4Q7)317-?328
Ma31i g Address:4Ud W Robinsnn St.r Su�te 5-827 �rlando FI.�2���,
Emait:Miranda.Qiiverro7�Lheatth�oy,
W�b age:htt : _www.filaridah�alth.�c�vlheaithv-environments index�►trrtl •
Visio :To 8c the Healthiest St�te ia Che t�ation
Missi n:Tq prot+e+ct,promflte and improve the hea�th of ail peapie in Fiorid�through integrat�d SWt�,caunty and
corn unity effoCCs.
Flnrid h�s�bro�d public re�qrds iawwhicM includ�s written cpmmunic�tians.
How re we doing?
htt : � ad �na sdQh35.c#c�h.state.fl us Ct�rtt�ctils F�t3HF�etSbac[c.as � ait�Enviror�rnentalFEealth doh.st�ate.fl.us&Ctf
fice= ur a OfEnvirc�mm �t81 ith
�r��u 12,20�.7,at�:53 PM,Tr�cy McGi�ee�ctmc itee �n ols,�c�m>urrote:
Hi Mir�nda,
I hate to bqiher ynu but the G"tiy of�ephyrhiNs is requir'sng�s to submit svm�thittg frc►m t�e DQN stati�g
that ther��s nc,requirement fofthe 5urnmerset A�t poat tQ have an AQA l.ift. !was online and can't
seem ta find something#hat states that or�the uv��s�te.J knovu it t�as something to do vuith Tra�nsient&
NOt1'�t�(i5i�'i1t fi��i�ICdtIdtlS.
Can yc�u ple�s�direct tt�e tp whc�rrtever E wputd n��d to speak ta dbcru#either gettittg a letter or
dir�ctPng me to the prope�place or�i�ne where i can pririt the cules t�give to thern?
I truly ttate to bother you buC I don't knaW Where eise t4 go.
Tvace,� w.lrtc�Htt '
Executtve ASsistartt
77�-�7$775�
tmcghee c�jgt�a,pjS•c�m
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U'�/13/ 0�,7 9:4Z .Allt FA�C �&G POQLS [�j 0004/OOp4
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, 9. C�o��a c+�rnmunity p+�a►i have tt� pr�vide an accessible means o#exit arrd
- entry?`
-' Com�ur�ty�oc��s th�t ar��ssoc�a��d wi�h a�rivat�r�s�den�ial ec�mmu�,ty
and�;x�limited to the�zclusiv�use of residents and�heir gu�sts�ar�not�o���recl
�y t�e AD.A�accessibility requxrem�nts. C1n tlae oth��hand,if a sw�trr►rnian,g
p+ao�/clu�located in a xe�idential cc�mxn,unf#y is made avax'Iabl�tn the public�c�r
rental a�e use,i�is cov�re�d under T'itte II�of t�,e�AI�►A. I£a com�n.auiiy pa+�l is
�wned ar�p�rated by�st�.te�r l�o�al go�rernme�zt�ntity,rt is cove��d�►y Z'itle�T -
a���h+�AD.A,w�:�cl�rec�u�res"prc�g�r�m ac+;�ssibility.°' See
�;�i/�'�nrw.�da.�ov/�,�Zs 2o�fl, �m.
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City of Zephyrhills
BUILDIlVG PLAN REVIEW COA�IlVIENTS
Contracto /Homeowner: ; ��� �%�/����'(Q
Date Rece ved: �'�- `���j—/�j
Site: �F� �7 �-� (Cc
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Permit Type: - L�i%J'�m.�� rj / � ��'
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
This commen sheet shall be kept with the permit and/or plans.
_J
�alvin S e' — 1 Examiner Date Contractor and/or Homeowner
(Required when comments are present)
••11.121/20 G 2;37 P1f Fe1J:
A&G POOLS �_ 000210002
aa3aao•onzo Clty of xephyrhips Pe�mlt Appticat'ton F�x-a:sasaooz�
�. , • BuAalrsg Deparlmant
0���„TR°��T 1 r ��/ Ppo�e Cantnat ta�Portnirtin `Z T t,lq _�/r,)�-
t ^j'7CCI�7C�.T:CC3.7
, Ownors Namo �3 '� ,S �, ��'����' }
OWnaraAECrose FJ �Q � ��� S��'r;����
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� poaStmple'ttt2qhotCarMama OwnetPhoeeNumeer �
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Foo 5lmpin?tt�ehvtder Addresa
� ao9nooRB5s � . �� � �otu �_.,..J
$�SDIViStON rnYY�rP�'1�P.1 !T PARCELlDMr�tj fN()'(.(� 1!D�� 4^''�.�/C•1 'OO�� tf�' "��"t.�-'�U�� • �
So$;q1N606RORfPRORER'tYTAkNOTiCRf � Q�i+!"1
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WaRK PRoa05ED (w`V!'�_,.rtEW CONSTR 8 ADD/ALT [� SIGN �„] � DEMOL49N
�f� tNSTAt.t, R�PAIR
AROPpSEo USE [� SFR [� C�MM [„� QTHER
I TYPE OF CONSTRUCT{ON [� BLOCK [� FkAME [�''r STE�I. [�
� �ae �
DeScRiPnoN OF WORK -�. � � � v�;l �
BUtL[]!NG SlZE SQ F40TAGE� HBIONT
[_�Uti,DING S � �yt'� �'� VAt,UATiON OF T07AL CONSTRUGTION
��t.4J,i�
�ELECTRtCAt, 5 AMP SERVICE [� PROGRE55 ENERGY [� W,R.P.C�
�PlUM81NG �� ��
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�MECHANlCAI s VAtUA7fON OF MEC3iANtCAt 1NSTALtATtOk " � ��"���`�%"' �
� ��� 1,, 4,�p,� �G���_
(�GAS (� ROOFlN�i [_] SPE�IAl7Y [,� 4TNER _ nr��(�i��°"��'
F�KlSHED�GboR ELEvAndNS FLoOp 2dN6 YES NO ��� �,�� �j�
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8Ul�oER OMP 4' '.:�
SIGNATURE - isi�RNo -- Y/N Ff0 GURR�11 Y/N
_ �� !�'������ '�
Addross �... 6iwnae sl
ELECTRlCWf�„ -
'— � CQMNANv "�c��.' C:�'� ri�-.t�:��. C'.r-,.� _�C"�'9�,3`�--
SIC�NA7'UF2E _ �J`� RfiGtSiEa Y 1 N TEE CupR[A ,,,Y/N
aad��� ��'-�4�4,�.����=_�?� '�-`l.'�.;-�. =c �.��. '�4'l u�r,��R '�L.�C��-,rt�,,'1 �
PLUMa�R ,� PANY �—�TS_,(�TH'1t�i'�tX D��.4./ U�,9
SIGNATURH R�ae7easn Y 1 N I T ��Cvaa� Y J N
Address Z.. Uceneef#�1.�:..J�(/L'-,-1
MECHANICAL - COMPANY �-' [
SiGNA7i3i2E �Cl,-rEa� Y/N FPGCU�aEt� Y!N
Address Ucense� � �
I OTHER � COMPAt�1Y ��— �
SIQNA711RE RE¢�.YeaEo Y!N FEE CUAREA Y/N
I
Addresa Liceatse�
ti / t1 � tltlttliltlt11II11111I111lIltlll ! { l1 � 11l � 1lStt11t1t12tiici � tt
ftE,51UENTIAL Atleeh(2)Plol pleno,{2)ce�s of 6ulldinp Plans;{i)set o!EnerpY Fotms;R-4-W Fermit for nawconaWctivn,
Minimunt ten(t0)workln8 days aRer;ubmit4al date. Requlred onsl�e.Conawctlan Ptaos.Sto,Zrywste�Plans wt S{tt Fenoe(nsteited, �
Sanl[ary Fae111U6s&1 durnp,tet;Sila Wntk PeM7(t far 9ubtlivie'(o�eflarge pmJects
contM�ncia� AttaCh(2}complete a'ot9 oFBulltlinQ AlanB plus a Lifc 58(ely PpqB;{t)�Qt o!Enarpy Fortna.R•O-W Fkmrit tar nawconairc,ctton.
Mnlmum ton(10)working daya eRer su0tnikal tlata. Required onsile,CanaN,ctlon PWns.Stomivratar Fisne wt 51it Pertw inataued,
Sanitery F�ciillies&i duMpste�.51le Wark Pctmlt[nr g!!new proJecLs.A!I commerdel ccQuftamenta mus�rnae!camR�ianm
IGN PERMIT Attach(2}cets of 8npinaered Plans.
""PROP�R7Y SURVEY requlred for�p NEW cOnsWction.
ircct�ons:
F11t out appiics6on aomplctaiy. I
OP.ner&CnnirIIcior etgn beek oi Hppllt�tian,nolarizetl �
navarS�5o0,uNo4ceorCommenwmontrmraqWmd. (n/Cupgmdosover575ou�
Agent(fnr tha canlrac[o�or ppw9t oFAtiomey(tpr the owner)v,outtl 6e:aameono wiiti notatized(atter Rvm ovmer autharizing sama
V�R THE CouNTER PERMITTiNG (caDy oi cqnlract roqul�ed�
eroat5 if shingics Sowers Sarvlce Upptades A/C Fences{Plad5urvoylFactape}
Ddvewnys-Not ovor Coqntor�t on pubttc roadways..ncods ROW
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NOTICE OF DEED RESTRICTiONS: The undersigned understands that this permit may be subject to"deed"restrictions"
which may be more restriclive than County regulations. The undersigned assumes responsibility for compliance uvith any
applicabte deed restrictions.
• UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILIIIES: If the owner has hired a contractor or
contractors to undertake work,they may 6e 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 violalion
under state law. If the owner or intended contractor are uncertain as to what ticensing requirements may appty for the
intended work,they are advised to contact the Pasco County Building Inspection Division--Licensing Section at 727-847-
8009. Furlhermore, if the owner has hired a conVactor or contractors, he is advised to have the contractor(s) sign
portions of the"contractor BIocK'of this applicatlon for which they will be responsibie. If you,as the owner sfgn as the
. contractor,that may be an indication that he is not properly licensed and is not entiUed to permitting privileges in Pasco
County.
TRANSPORTATION IMPACTNT1LITiES IMPACT AND RESOURCE RECOVERY FEES: The undersfgned 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 Couniy Ordinance number 89-07 and
90-07,as amended. The undersigned also understands,that such fees,as may be due,wiii be identfied at the Gme 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 pertnit issuance. Furthertnore,'rf Pasco County WatedSewer Impact
fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordfnances.
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 ConstrucUon Lien Law—Homeowners
Protection Guide"prepared by the Fiorida Department of Agricutture and Consumer Affairs. If the applicant is someone
oiher than the"owner",I certify that I have obtained a copy of the above described document and promise in good faith to
deliver ft to the"owner'prior to commencement.
CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify that all the information in this appiication is accurate and that all work
will be done in compliance with all applicable laws regulating construction,zoning and fand development. ApplicaGon 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 wiil be perFortned to meet standards of all laws regulaling
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 govemment agenaes may apply to the intended work,and fhat it is
my responsibiiity to identify what actions I must take to be in compliance. Such agencies indude but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,WatedWastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Aftering
Watercourses.
- Artny Corps of Engineers-Seawails,Docks,Navigabte Watenvays.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wetls, Wastewater Tteatment,
, Septio Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-RumNays.
I understand that the foliowing restrictions apply to the use ot fill:
- Use of fill is not allowed in Flood Zone"V"uniess expressly permitted.
- If the fiil material is to be used in Fiood Zone "A", it is understood that a drainage plan addressing a
" "compensaGng volume"wili be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
- If the fiil meterial is to be used in Flood 2one"A°in connection with a permitted building using stem wall ,
construction,I certify that fifl will be used only to filt the area within the stem wall.
- If fill material is to be used in any area, I certify that use of such fiil will not adversefy affect adjacent
properties. If use of fili Is found to adversely affect adjacent properties,the owner may be cited for violating
the condiiions 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 1 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�ommenang construction. I understand that a separate pertnit may be required for electrical work,
plumbing, signs,welis, poals,air conditloning, gas, or other installations not specifically included in the applica6on. 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 irom 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 miting,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 ECORD A NOTiCE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO Y R PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSU
WITH YOUR LENDER OR AN A7TOtiNEY B RE RECORDING YOUR NOTICE OF COMMENCEMENT.
F ORIDA JURAT(F.S.717•03)
OWNER OR AGEd�� 1 � r'--- CONTRACTO �,�-� CO�,ty,�"
Subsaibed en bswom lo(oratfi d before me s �GS
Y � P�
o a rsona hasAi ve produ e pe�o ma w haslh ve p u
as identiHca[lon, as(deMifim6on.
_���� ;i,/ �CEY W MCGHEE
Notary Public i�. � ���,�8'�wn._Notary Public
Commission No. � Co t n N
FF241935
Name af Notary typed, rinte or stamped Name of Notary or���10/2019
^,����k�, 1'AMMY F�ADILIA
'� `= MY�QMMI6�ION#�90�2214
`•.,�a ,•`' �kPl���Jun�14i 20�A
(4071SG8�Otd3 �{qtid Mo�.ry�gtv{f�:€�m
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PERNIIT#
Commercial Swimming Pools,Spa and Not Tab Safety Act
AFFIDAVIT OF COMPLI.ANCE
I ( e) acknowledge that a new swimming pool, spa or hot tub has been constructed or installed at(Print
str et address) 66�7 ,Cj, ��,�vs ,�j, , and hereby affirm that the following
met od will be installed prior to the fina�pool inspection to meet the requirements of Chapter 515,Florida
Sta tes and 2004 Florida Building Code(FBC) with 2Q06 supplements effective December 8,2006.Please
che�k your choice of compliance.
Co mercial swimming pool safety feature options; "
ln 'rder to pass final inspection and receive a certificate of completion, a commercial swimming pool must
me t the following requirement relating to pool safety features:
(a) he pool must be isolated from outside access by a fence that meets the pool barrier requirements of FBC ,
42 .1.3.1.9
42 .1.3.1.9 A minimum 48 inch(1219 mm) in height fence. The fence shall be continuous around the
per meter of the pool area that is not otherwise blocked or obstructed by adjacent buildings or structures and
sha I adjoin with itself or about to the adjacent members.Access through the barrier other than from doored
exi of adjacent building(s)shall be through self-closing,self-[atching lockable gates of 48 inch(1219 mm)
mi imal height with the with the latch located near the top.
* S fety covers that comply with ASTM F 1346 do not satisfy this requirement.
I u derstand that not having the above installed ai the time of final inspection,or when the�pool is completed
for contract puiposes,will constitute a violation of Chapter 515, F_S. and wilt be considered as commrtting a
mi demeanor of the second degree,punishable as established in the Florida Statute.
ll �� `�
CO T OR' 8c DA"I`E ��G OWTdE 'S SIG &D TE �
.
'J
If
NO A P I ,STATE OF FL. NO ARY PUBLIC, A OF FL.
AS O CONTRACTOR AS TO 0 WNER
PE ONALLY KNOWN v PERSONALLY KNOWN � �
PR DUCED ID RpC�H►,p�GHEE PRODUCED ID
'rv E: NOTARY PUBLIC rYrE�
_STATE OF FLORIDA
. Cpnm#FF241835
� � E�ifes 81t0/2019 ' °�qp��Y PADILLA
:��'4:�. AA
±� ' ;': MY COMMISSION#GG002214
EXPIRES June 14,2020
••'����`,` FIuWallota Sorvice.can
407�398-0153 �Y
�
�'"� ��.�
• • : rri,, 'f�
Miss on: �:;�;;�:`y����:��`' Rick Scott
To protect,promote&Improve the health �'i ������
��,«::.�. Govemor
of ell p ople in Florida through fntegrated �H.�
state, nty&community efforts. �EALT�i CeSurgeon Gen'eral andS ecre ry
Vision:To be the Healthlest State In the Nation
� November 17, 2016
Sum erset Apartments
6627 ort King Road
Zeph rhills, FL., 33542
RE: Receipt of Application for Public Swimming Pool Operating Permit
, Summerset Apartments
6627 Fort King Road, Zephyrhills, FL., 33542
Dear ummerset A artments
pp �
This i to acknowledge receipt of an application for an operating permit for the above referenced public
swim ing pool on November 17, 2016. You have rnet the prekiminary submittaf requirements of
Chapt r 514,03(1), Florida Statutes (FS), and may file an application for a public pool construction
permi�with your local building authority. The departmenf will review your application for completeness
and n Ltify you and the local building aufhority of any critical health and safety code inconsistencies
found in your proposal that must be addressed before an operating•permit can be issued. Pfease note
.. that th�e Florida Department of Health (FDOH) may request additional information within 3Q days.
Pleas provide us with any changes to the application or plans that have been submitted. After
consfr�ction is complete and before the facility is open for use, the FDOH must conduct an initial
inspe tion. Please provide at least 5 working days' notice to schedule this initial inspection. Prior to
' being ssued your operating permit allowing you to open to the public, you must have submitted the •
followi g: •
1. A s t of plans and specifications as approved for construction by the local building authority,
2. A c�py of the fina{ inspection from the local building authority as defined in section 553.71, FS,, R-
3. The annual operafing permit fee.
Thank yau for your cooperation in this matter. Please contact Mr. George Rizos
(georgle.rizos@flhealth.gov) or Ms. Mary Mooney (mary.mooney@flhealth.gov) at the FDOH in Pasco
Coun at (727) 841-4425 option 5, if you have any questions.
Sincerely,
_ ���
Ken Maguire, CEHP
Environmental Superviso� II
Copy: ile
�larida Department of Health In Pas�o Cou»ty
Environmeptal Health Services
5640 Maln Street,New Port Rlchey,Fladda 34652 �Accredited Health Department
DLCHD510STDSPermltUng@8healfh,gov ' ' - Public Heafth Accreditation Board
PHONE:7 841-4425 Opt 5�FAX 727 484-3866
Florlda ealth.gov
y " - �._.
` I IIIII�IIII�IIIII I�III II�II II�II III�I IIII��IIII IIIII II�I IIII
. ' 2015288637
Rept,:1728520 Reo: 120.50 ,
DS: 0.@0 IT: 0.00
Prepac+ea-By ana R�nTo: ii�i8/20i5 J. R., Opt,y Clerk
HeatherM.TOfC,ESq. PAULii S,0'NEIL,Ph.D.PR5C0 CLERK 6 COMPTROLLQe
Broad and Cassel ' 11/18/2015 2•38 m 1 of 1�j
390 Nortb Orange Aveaue OR BK 9�8'� PG 55�J
• Saite 1400
Orlando,Florida 32801
� Permit No.
Tax Identification Numbers:03-26-21-0010-350a-0000 and 03-26-21-0010-3600-0000 -
i NOTICE OF CO1VIlViEI�iCEMENT
STATE OF�ORIDA
COUNTY OF SARASOTA
TI� 11NDERSIGNED hereby gives no6ce Wat improvement wiD be made to o�rtain teal progerty, and in
acwrdenca with Chapter 713, Florida Stamtes, the following informadon is pzo�ided in this Notice of
Commencement
1. DE3CRIPTION OF PROPERTY:
Legal Descr.g�ea: Sw nxhibit"A"attached heieto and mcorporated heiein by this referenca .
Stceet Addross: Summerset Apartments,Fort King A'ig6way,Zephyrhills,Florida �i
2. GENERAL DESCRIPTTON OF INiPROVEMEIVT:'
Conseruction of a four(4)story mu16-family apartment building consisting of niaety-siz(9�residentia�units with
parldng. The apartment bu�ding will include a lobby, leasing area,club6ouse,conference mom, laundry mom
along with building services. External improvements and amernties will include. withont limitaaon, sidewalks,
landscaping,site ligh6ng,pool;signage and other site amcnities.
3. 9WNFR INFORMATION OR LESSEE INFORMATION IF Tf�LESSEE CONTRACTED FOR TI�
A�PROVEMENT• '
Name: SIJMMERSET APARTN�NTS LIIvIITED PARTNERSHIP,a Florida limited
P��P
Address: 3550 South Tamiami Trail,Suite 301
Sarasota.Florida 34239
, � Interestin Property: Fee Simple
4. SONTRACTOR: ,
Name: CORE Consuuction Services of F7orida,LL.0 .
Addiess: 8027 Cooper Creek Blvd.,Suite 110
University Park,Florida 34201•
Attn:Brent Elliott •
Phone: (941)343-4300
�awe�ie��.�
swsaoin w�c� � I
I
,
' OR BK 9287 P� 551
. • 2 of 14
5 SURETY(IF APPLICABLE.A COPY OF T[�P�►YMENT BOND IS ATTACH�DI:
a�e: Travelers'Casualt.y and Surety Company of America
ddress: 940 WestPartPlaza,Suiie 270
Maryland Heights,Missouri 63146
� ount of Bond: 59,523,710.00
6 LENDERS:
JPMorgan Chase Bank,N.A. JPMorgan Chase Bank,N.A.
Commercial Real Estate Loan Administration fxgal Department
700 N.Pearl Street,Dept TX1-2625,13m Floor 237 Pazk Avenue, 12th Floor
Dallas,Texas 75201 Mail Code NYl-R065
Attention Mario Mazruffo,Constrvcdon Administrator New York,New York 10017
Attention:Michael R Zients,Executive
Director and Assistant General Counsel
Florida Community Loan Fund,Inc. Pasco County Community Development
501 N.Magnolia Avenue,Suite 100 5640 Main Street#200
Orlando,Florida 32801-1364 New Port Richey,FL 34652
, Attention: Susan Holtrey
7. Persons within the State of Florida designated by Owner ugon whom notices or other documents may be
sarveu as p;ovided by Section 713.13(lxa)7.,FIorida Statutes: NONE � -
8. In addition to itsel� Owner designates the following persons to receive a copy of the Lienor's Notice as
p vided in Section 713.13(lXb},Florida Statutes:
Broad and Casset
390 North Orange Avenue
Suite 1400
Orlando,Florida 32801
Attn:Randal M.Alligood,P.A.
Phone:(407)839-4Z00
9. Expiration date of notice of commeucement (the expira6on date may not be before the completion of
c truction and final payment to the contractor,but will be one year fi�om the date of recording of this Notice of
C mmencement,unless a different date is specified:
ARNIlVG TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER T�EXPIRATION OF
NOTICE OF C�ONII►�NCEMENT ARE CONSIDERED ll1�ROPER PAYMENTS UNDER
C R 713,.PART I, SECTION 713.13, FIARIDA STATUTES, AND CAN RESULT IN YOUR
P�YIIVG TWICE FOR I148ROVEMENTS"TO YOUR PROPERTY. A NOTICE OF COMII�NCEMENT •
� ST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIItST INSPECTION.IF YOU '
TEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE ,
MMENCING WORK OIt RECORDING YOUR NOTICE OF CONIlViENCEMENT.
� [Signature page W follow]
i
aes s�ie.ae�is 2
]20 l0187R7Kck
, �
� OR BK g2�'� FG 552 � .
3 of 14
Under peaalty otperjury,I deolanethat I 6ave r�ead the toregoing Notice otCommencement snd t6at tbe - � '
lacts stated t�ereIn 5ro trne to thebesE oLmylmowkdge and 5eltef. ;
i
• SIJIV�Y�ERSET APARTII�NTS LIIKITED i
• PARTNERSaiP,a Florida limited parmership �
' I
' • By: Stimmerset GP � a Flo:ida limited liab�7ity _ !
. � compan,y,its pazmer . i
�
, B�. !
• eld .Paxton,Manager ;
STATE OF FLO,�tIDA . - � • I
� OOUNTY OF �lfG�d ' . _ . I
The foregomg instrumeat was acknowledged 6efore me t6is�day of {�v V• .20I5,by Donald '
W. Psxban, as Manager of Sammerset GP LI.C, a Fta�ida l�ited lieb�ity compaay, the General Parmer of �
Summerset Apartmems Limited Partnership, a Florida Innited p�meiship, on behaif of the company and the
�rmeishiP. -
.. . • - . of Notary Public-Smee of�laaida . � '�
�.,�r�. �:vari HORrr . �. �ati Krr r�
_:' •r_ Commission#EE 145945 print,Type,or St�p Commissiaaed Name •
b Expire5 FebNary 19,2096 of Nomry Public �
�.P, �4� 9adod'nwTroyFatn6mraceeoa3Bs7otQ
�u.•
, Persoaally Kaawn [ ••OR Produced IdentifiScation . .
Type of Iden6fic�tion Prodaced
saar��.an.i . 3 � .
�a�s� '
. . OR BK 92�� PG 553
4 of 14
EXHIBIT"A"
Le�al Descriation
PORTION OF TRACTS 36, 45, AND 46, OF ZEPHYRHILLS COLONY COMPANY
LANDS,IN SECTION 3, TOWNSHIP 26 SOUTH, RANGE 21 EAST,ACCORDING TO THE
OR PLAT THEREOF AS RECORDED IN PLAT BOOK 2, PAGE 6, OF THE PUBLIC
CORDS OF PASCO COUNTY, FLORIT)A, BEING MORE PARTICULARLY
� ESCRIBED AS FOLLOWS:
OMMENCE AT THE SOUTHWEST CORNER OF THE NORTI-�AST 1/4 OF SECTION 3,
OWNSHIP 26 SOUTH, RANGE 21 EAST, PASCO COUNTY, FLORIDA; THENCE
00°03'13"W, 658.68 FEET ALONG THE WEST LINE OF SAID NORTHEAST 1/4 OF
. ECTION 3 TO THE SOUTHWEST CORNER OF SAID TRACT 45; THENCE ALONG THE
' • OUTH LINE OF SAID TRACT 45, S89°46'30"E, 501.79 FEET TO THE POINT OF
� BEGINNING; THENCE LEAVING SAID SOUTH LINE, NORTH, 261.05 FEET; THENCE
� bVEST, 265.00 FEET; TI�NCE N45°00'00"W, 47.OU FEET; THENCE N15°00'00"E, 243.00
� EET; THENCE S79°59'S5"E, 149.05 FEET; TI�NCE S00°OS'43"E, 173.00 FEET TO A
` OINT ON THE SOUTH LINE OF TRACT 36; THENCE ALONG THE SOUTH LINE OF
AID TRACT 36 AND ALONG THE SOUTH LINE OF TRACT 35, S89°47'17"E, 757.01
�'EET TO THE WEST RIGHT-OF-WAY LINE OF FORT KING HIGHWAY; THENCE
ALONG SAID RIGHT OF WAY LINE, S25°23'36"E, 329.86 FEET; TI�NCE LEAVING
AID RIGHT OF WAY LINE S00°OS'12"E, 32.94 FEET TO THE SOUTH LINE OF TRACT
6 OF SAID ZEPHYRHILLS COLONY COMPANY LANDS;'THENCE N89°44'42"W, 810.27
F,EET ALONG TI� SOUTH LINE OF TRACTS 46 AND 45 TO THE POIIVT OF
$EGINNING.
�e a��s-oea.� ,4
�2 svo�n nnc�t
I
• • ' OR BK �Z�'� PG 554
'3 of 14
EX�IIIBIT KB"
' Pavment and Performance Bonds
4e o-a»e.oaat.� 5
32 1/71tJK rlr� �
� I
� , , OR 8K gZg7 p� 555
' s of 14
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i 5'� .�e�P !7i1:a�1� ����n.4t: .�.�' . ._ Y- �q. rC{};•
' • � � �eq�iiu.alenttar'�he'qonil�issyec��ori 4he GonstlrU6tioi�,��bn�a'ct,°�nd'pa�!'+1.4 thg•,O�wr,►pt"f}ye�mourit of�dar�age�a�:des�ri���ii�
I Sectin.rr�in:txcess•d�fbe I�aEance ofl�te.�ontractPiicetii►QurreilYhy3ht�OW na:�s ff:re'su��of tIie:i�ijutc�tor�efaq'�gi
� = ,.�
; ��5.4;�'W,a��e.;iis•righi;�to;perfornr:and.:comple�e_�amsngG for�completion;_:a'r.:a'b'tafn�a�new�'caniiactar.'�and'wi.�h;;�easona�tile
'.PtAmpiness�ad'ert�e ciiau�nsiancesr . . .. .
• r�•..
`' �� >7; ;A�ftsr�3pv.es�i�ai�on;�dete�in��he amouni for:which�ii;may,beaia6le;da;t�e.Owner•and�as:�sobn'as::praoticabl�;
� aRei�fhe;�aiiionn�i"s.��fetet`tq,i�►ed,:inake.gayment�;io�he'Owne,.o.r.
i ; ; ,�: �I�e."r.'�=1'i.z��i:;ify'i�i��Iiol'e';c�ir?in"p�k.�ii�•rioir,f,y:ttie:t3vener.,:citin�.ttic:reasans.�fordenial.
� . ;: �:G3f't'�~e;Sut,e�j7'_dpe�'riot'.pm�g'ed.a's,.,�a.v+�ed;ia;Secfio,n��;w'�ih'�nab.i'e:p"t�►rnP��..,�t�ie$:vre'ty sha�Lbe:i�e�ased fa���e in
'. �efault'4`��i thi�;.Bond'sr"�:,yed;�days:.aRef i;cce+pt of_sil•acTt�+tional wi n,r�giice'fr�"'.ih�.,,.. -�o ��etjt:�emaoi'IjA lhai:the:
,_�, ,, e1t��, ,,. '.►T!. •�'ti'ICn�'. �14 G ,�:
' �Sliret,y�eifom;t;a,ts•tit�ligatio'rifi,,under`tfii�;'B:onc�,�„a�d.��the;Q.w'�le"r;�ba�l'b�e�ih'�le,,d'f,6;en�`,o,"t'c�_ai'ry"''"remeay avafl'a6ile�toithe,"Q.Wiier,
� ' 7'f•ihe Suret�'pr�ac�eds as groi+s,'ded�in Sect��rn�4;.as�¢,fhr;Q��er c��uses,�t�,►��}sa_.S:�ent:b�_Qle.$we�:ha's,;d�tiiec�;liabi��ty,in
� 3VfiDCerotinp�rt��'riih�iut•f'urth�r•rioiic,��'..��e.�+,nersh�,l,iie:eritit�ed.toe,�tfgr:ce;,arijr'i�,e,rtjed"y".avaifablexpthe;Qi�n�i'i
. . �`7�If.ttie S.us:e�;'electst[o�eL:nnd'e���tition:��y;�..2�:Ut:�:3.,L�itien:#li�te;jfosEsib�ities zi�{he:;5isc`,�ty:to zlie O%y�ei;s,�iall:�i3;;lig;
, gnealecittian�hose�of`fhe•C'onicactot>unid'er'the�CbnnructianiCt�n3racT�anti�tlst'itisponsr�il�[ies.aft�ie•filWner-tqit�ie;5,u'r.'�ef}+'siia�l:
•not�qe�reafer.�ihan ihQse uf.`tk;e t7wner:up8er:'fhe hbnsu:uc�ian�Gont►�el.:�uisjeci'�tQ�tl�c,commi'tmeiit:b�:t�1e:lJw„iiec to'�pay:the;:
' :�a��si�•9fth�:t?on�rac.�=�ice,.�he:Svrc"�y.is:a�bliga'ted;wi�houYduplicaiion,.�for.• .
.1; �e�F'e'sponsibili,#iCs���ttie:;C'dn'tr,icfoa;fo.r.c.oqecr•ion.o.f;':defecG�e:wcck.andsaampleiion•:of':tne:Consfruaiom
;�en'tis'ct�
• ..z: aaa��on�'.l'eg�l;:it�sign�co.fes�sioiia:i;af��:d�lay�o;�sre'spttipg-iiam:fh�.,"C`aarifracfar".,'s.flefauti�•and.resutiing:from.
''tli$actii#fis'8�fg'il'ufe tii;�ct,ijf,the',SuR!ety:t�itdeF�5,gg_n"nn S'afid;
:3+ Ji:q,uzdateii,,`daii�ages,�.;o�::,i,f�ag lsguidateStyd�ii3age's',.ac��;js"�cif�1==i�i`•�Ise'i�oii`sf�it�ionv�C¢ntr.act;�sc��1`•dama�ges•
� ����,b��a�t�e;p;e'Sfc►r,m�nc�:pr_ab�pci�'oi�iaii��nf;f,}i�;Coritracfor ' .
. r...,.�:_ :,....
• .§$lftlie�ur'ei�:elects'to�actvnitei;�ectscin�;�y.�'�or�5:4;.Y�se<Suretp'�;lisbi[ii}r'�s�:mited.to:tli'e,"_:a�si�u�t;of-itii's,-;8ii��_.
. .. , ., - .... . . ....: �- ...
;§�7'fre�urery.�shall`ndf'!is liabie to:t`Fie•O.wner=.ofottiers forob!'sgations;�aEthe�f�inttacta�t�fiat.are.�rirefated°to:the:Goitst,'r,ucison; ,
�G'onftact;�and.the Balazte�:gfi�te'�:baitaci:P:�tc�e:s`�i�It�nat�li�;r�dn�e3 8r..'s�t:off-'oa>�'cCou�t:4f an��.s�ch.iu,u,cigteii o`litigatinn"s':�i;
�
�rip}i�:ci£ac�ion�shall acarue on:tliis.Sond.tos7►�:persontor:eriiity.oitiertnamNie OWneror iislheiis_:ekgeutor�;�3a��inistiatqis;;
' � sncx�so�:and:assi:gns:. .
' §�10'Tfi,c Suretr�,6erg�i,.yF�wai.y.es�lot�ce,oF;eliy�chapge, induaiqg ctianges:af'time;tat]ie.C:onslr•udtian:Gonirace':�oP'4ci':retaied� �
"_sei6caitit,�acts,;pii.�chase�rdg'r,�':and^o�er o,�.�iS�fions:. �
�;'11 A:n.j?•prioc�ed`mg,�'egal _'o,E;,eiyuitabl�;:�rider thi's?Bopd�(rta,y h,e�tii�sfituted;iri.:� .�our,[of�co e"t,enZ."urisdicEibn in t�he� .
TMY'... mP.. .7:
;[ot�atioi�iin w;bieb,'th�e ivorfc�,�S�;`p`�:�f',';!}ae�i�ti:'=is:toraie�:aelt�;SEta�#`�iii�tlt���thiri:�?�+tt'ye„�r's:-a.��r°a..dectexafEan:=of
�;�,aritrdctoi•Defau7.Y,o�wi�hin;tvY¢�year���fte�:t�ic_�onYsactor',',�u*.'�¢'.inrar,k�,fig:orw.�ihi�fi;`tyqq:years.,afie`r•th�.Suiety.i�efuses�ar:feils-
�Ff'ict�`o',inpas�`ciecut�'�g`�i��isat3•pQ"f,u,eti�s'thstf�js�otii�iien�fio��'oi?mS�.AtnesacsitTiis4#pfgotA�chittxts•�a�cumeuts -
'A3:T2;�0]O,editioii; '� 2': .
�
r
, L OR BK 92$? ig 557
to pe�ortn�iLs�otili�a:tions;und'er ihis�ond,�Wfi�cheve�occurs:fir.st"•..If�e;propasions'of'tiiis Patap�apli eie:�iid:or,'prohilii[ed•b_y:
7aw;fhem�aimum.period.o�]i�tiietionav�i•la�ye:io sur�tiesas.a;defense m.�t�ajurisdiction�ofiitie•suiishal{�6e'�{rp;licable:
•§�2 Ni�tice,to tFie Suie�y,;tfierOvy,ne_r�o�'fhe Cont'racto'r;s'.$all;'be�m�iled�or:d'el�ver�d•�o_•the_-aildress.��iown on.��e.pag�:on'whicJ►
� their;sigiiatu,r.e;ap�ars'_
� . . . �
. ;§13'VVlic.n,,,fhis Bontl:fia5�bgen�fyFriis�ied:io;com •with a�s(afuio or otheF;le 1 qi�e e't;.i :th"'•f cati
. •, :� < -.__ P1y . �J'' ,.� _ Sa.�n9. �il� ,�► �: o Qn wliere•�the
• ;eons'1�iiEi�od,;�as-to'be gerfoYme��ny;pio,y'i'sion�in�ihi�..BoM.d,'2o��lictifig tiyitfi,said:s[atui�o'ry'-;or..lggal:requtr+emen�.shel.l_;be`.
.d�ei�ed•d�leted•1�ecefi+nin:��nd'p.nnvisions confomi�n�g:�Q siteh stafi�tory��°ott►�i�egal:�equu;e�ry'ejit;shall�e;�deemed incg_rp,;o''r�fgd
:• ..... .
;: �liere�n �?V�hensofucnfshe�,,the.�nteAtystY�attf�is:Bond�stiallbe.eonstnied��sa�tatuto�3;b:oad•2gdnotas'"acdmmbn7aw;bohd:
' ; ;�7?4�D"efin�ions
: ��1�1 ea7ance�oi'.tfie-Contr'act Pi�Fce..�'he:iotal:•arnouni;Qayabie�lfy ilie�O.w,rterio ihe:�ontracfoH:under•tfie Cohshuction�bntraat
' ' :a�erYall Qrnpen�adjiisl�nerits.,have'beea made;:i�cludin�ailowance to::it'[e!Contrac'tor of.•any�arnouri'ts a�ceia�ed or�rbe�received=
ti . . .
s' ��?;t�y.e�v_v�er;in:settle�nenx,:ef•.:ipskcarlce:•oi othcr claiiR,c:fo�damages'to,�+ifiich'�.ie.Cvniirafltora"s:'eriti�l'e.�d'.:reduced'b.'y.•all valid
'� aiid;'°to"''.; a inerit�;mad'e;to•b�.o �ie lf of;tlie;,�oniiac o unde.r•�he C�onstcuclion�ontra
+' _P�.E4!'p�'. �' � ha .1 �. c�-
� •
`§`j4;2�nnstruclibn;Cpt►Va���he agrge�ient;beiwee�:the Oyv'i�e'.'r•°and��`oritcactb�•identife�on?n4�otet page�=meludins aii'
._ �QontFaBf,Docu,r.�,e2ts.g�ti�'bliai�se's�ade�f6�tiig:agieertie�t:apcj�flte�onfra�tD;oc:ip�ents:
:�§1'A.3°Cohifactot:DefBuft�Failure bf;,tfie.Contractb�;,_wl�ich�ias got been�'r�med�ipd'•o�•ivaived;�o pp�fo�n�,aTfigru¢i's_e;tb:comPEy�
: �vith:a.�aten;$Cte�in�ofth�Constivcrioii:Ctlqfrack
=§.1�.4•QwnerDefdulL•'Pailurenfthe O.Wnec�which-ti`as not=beeti.remEdied•.ot•waive'�L;topayihe=Gontrector;�as,ieguiitd:unile�_t}�e
�Cbnsfruchon;Gonfraci.or=to.perform and:compfeie�.or compi��witlr.�eiot�'ier material'ferins of tfie:Cdn�tnrctiuniCqn;t�ac�;
.. ' �§`7'�;5':Cotrtiact Documeri!"s:EC'll�the�doFumen.�s:ffiat:camprise;tlie,agreemerit-be[►veen.fEie O.wner and:Gontracto�
;§'tS;If fhj;$:Bont}.is is��ea:for�ari.a'g"eerijeh�.;beeweep a�Coptractor•and�s[�tic.onfrac[or,the;Cetm�Contractor in.lhis B'bnd'sligll°�be':
- •deemea:to�g�iibeoritra:o,l'or�aqd;���teiiij:O�yi�et=�'hall'sbe cl'eeme�•fo.'be•Coritrsc`.'to,r..
:§'76'11�tga�c�fiori's,:tQ;thjs;bonil;a�e�a"s�oll.ows':
�(�'�ace'�is'p'r.•'ovitl'eil`�lbivfoc;'addilio"n"a`1'si�nalAFes•a,f JQiti7edPar.lies:olhe�"lf,�ron:fhos.e,ojipeor.,ing:aii.I.fie:cover�pa'g'efj
`COfVTRACTGIR:AS�PRlA1C1P.AL• ;SURETY' �
:Compaaya :j`Corpoadle S�ti)� Gompanyt+ C`nr""rare�ed, �
. ��•. P.�... ��
Sigriature: :�igltature:
�.. . .. . ......... . . . . .
. . . .. .. ,.... ....... .... ..
�ame�and=Tit7e:• TPainE:and'Tulei "' '"'"" " ' ""'
.3lddress: •Adilr�ss•
.. _..... ._ . .. ... ... .... .. ... .. .. ..• .._.......... . . .. . .. . . .
��;Iig;Compaoy;execu�ng:ihu.bQni�youc�ies-ttiat;ttiu:do�.�mgntcQnfoims•io,American-lnstitute.of�AirtufecEs,Documen�� •
:A3I2;;ZQlp edi�iqri; " 3. �
� . . �R �K �28? �� 558
• • 8 of 14
. �PA'Y11�E��OIitD:'. Tra've�ers;Casuafty:�nd�a�efy'.Compari�r�f.America
.. ���ate:anfor� li�it�oPii;��CT Ofr18�:
�-
� Baiil�No::,ib�s��v - .. . . . . .. . . . . . . .. .. .
��KNC',)1%1t'Al;l: BY TF'I�SE: PRESEN:�,','5.,;: �}1.+��'1Ne� -�EConstr.ucHbn 5crvices of�or�d'e.��G�.... ,,
` .c_.. .. . ..
calle.d ttie,�[II'1CI�1��;;and�rr8.�i��C9�oaYe�'and Siirets Giimuaot:�o?A�et'(c�a` _�t.a �onptce;�ut' ' .�orpot.c�tior�;
.r.�tied�te�Sure�ty;c'��8�1@I{I�II{f�tEii��%bOUAU1'UiltO'8dtrimei'set�Aonctiise»t`sZ3`�dted�Partncr"shta ,calted't:he:flbtig�,e.;
3fl�I'�S�1R,,1wQf.� ne.'III�n• v' �u ��'Twe'' ' - - e � dr 'Te m �: YOR . . ,.. . ... .....
:��1 : .. ._.. )�pi�t1��.:�iayrrie�;� _.�r,'eo�::sais�'�l��nci�ial:�a��Sur:ety',bind#kiems�tv�s; .
.I.�Is_.t_.........s�.s�a:�i6'.nu�..
��oiritl,y arid�ses'iei�a'tiy�;,�s:pto'vided:.�et�iin_ ... '.. -.
t7tt�-1E�,EA$:'�#1�#?+�T��f:p�l�has'e�fered:in#o�,conVact.wl����ie t�blig�e��a{ed_ :oGw-e�r ii��ois:..:._�fo,r, .
• ".Summetsei Aeatr'hnerilc"•'•nn�F'och`.'Kln¢.�oad_in�cahvrhifis:�I:> �
.... . .. .ti.... .:,_....... .T.._: .. . .. . ....:...... .. ....: .......... _. i.. . . . . . ..:. .... y{'�O(l��.!'+�'�. '
.�O.Vu;,TNE�REFORE�.���he�P�incipal;s�iali pr�omp,t�i,y;maiie:pa�merj�;ta al.�;CI'aimarits�as�j�e�e�c��fter
. de�„�i,nerF`�o;r'ail� �abo�'a�d,�;m,�tesia�;;u�e�x ;aonsum'ed :ar.l,c�ii�car�or�t`�� iri�tlie' ptr�o�niah'i�-o�`tt�e
.cori'structiari��vGor:�':und�r;th� C'a,r�t[act,:f�en ttSi�•.abli�atioi.ri'sti�ll.��be•vb�d•,.:oih�nNis�;to�'remain in::ftill
� #orc��i�d e�fe��subjeet�'Fiowe�ref;�ta xhe�fiilfawiiig.ccii�ditions:
�;. :A �,�aim�r.it,is'�defined,:as one otk�� tiian the��J�ligee:iiavirig:�iotM'(a) a eoritYact'•;Vyith the
, �- s.
�P'riric'iRal.iii':rn'r.ith�ifir,ect;siibcvptr,��or:�i�t�.P�incipal#ii supp�ji,iabar.'and�l.or:tiiat.e.riais.�iid'sa�d tab6r,
.ahcC/ar�maf�Fials..�'reactuaRy'us�d; consumed or'inco'r'po'r�tetl in'tFi�.per�br.rifa�ce•.of�the canstruction
I woSk:�undec the Cpntraci; and {ti�::an er�fi�rc�able !'ier��agains�`ihe pro,per.�y. a�n�rove�l;un�e�;��fk�� .
�Gantract ifiar. la�t•.a�nc�i�`or rnater��ts: �,�.egt;, con�sum�d oX�3ncarpq�af�d i�. #fie pe�fo��iia�i"c.�:��of 't�te .
.. •constructiQh:wQrk:uiride'r:fh'e.;�ontracrt:.
:2 'Tfie�a�iqlie�n�m.ed Piihci��,l:�nd�ureties_�h�reby joiii�l.y aild�'.v_e�all'y:ag�e.e.,'wjtli"th�'�Qbl�g�e
�that e�eiy�Cleii�iaiit�s:he.�ein:cJefine.c{:�rEio•h'a�i5ot;'beeri'�aid�n full befo'r:e;the�ezpiiatio�:of�.�a perlcid of�
ninefst.(90}�cfays'�terti`ie.late�'iif:;{a}ti�e:date�omwh'��:#hefJast-of.scich-Ctaimanf�s�,vo�ii-ar�latw��:u�as
�done ar�perforrnea�or,m�terials:uy.,e��;�'urnished�6y.:suafi,:Glaimant�,or;(6)'the dat��;the��Ciaimar�t,filed an
:en#'orc�a�`�tien;.2'�ciiay tif�rt,c���u'it o�t�ifl�bo�Ci;,P�os�r,i�e�kie�sU�t�o�in'���ud,gment:iojr�t�e��tnoiir��diie -
�unde"r.'�Claimarit's��Con��a.ct for.i�e la�io[;apd/o�rria#eria�s��upp6ed;'by: ti�e�Clattriant;`yihich.�rniere�usedi
:consum�d:o'r.•:incdrpora'fed!n�he pe�fatmafice.o�tt'ie:constiuction uior.l'c�BRd:f1�V8.:EX�C�itlOtl�tltefeana
�Tt�e Obligee�stra�)�not;be�liatr�e i�qz�:the�;paymerit:af:any;casts ar�acpenses o�'any su�ckj:•s.ui�� � � '
I ;3_.. �fo;��iit:Qt'=�ctioi�s�t�El�iie;coriim�ric�d'h��eu�id�'r'b�r�ri,y`Gl�ii�nan�:, -
�:
� �a; .�Rer�he�expir.�tio�;of�o�►e:�1:�ye�r��teril�g�day:on�•w�i�ich,fhe C�air�anf[as,;t:�uA..Alied
�._..-•-
;t�i��abpt':andlor rrratenals for�vu,�ich:t�ie,c�air��is�ma�� �f'tb:is lim�tatia�'i.�void:or prahibit8d�r�! .
�� �ia�r;#kt�ri.#h�,t�.11�irtrl�rra:pe�ot�o.f.I(mitation;av�ilabl_�to;si�[e.ties�a���defen�e.:i'r.i,tiie`j.urisdictian oN _
' °fFie,�suiti;shat!be appljc�ble f_and' ... -
fi_, 'Ot�ier�th�n irt°.a s�ata.:cou�t;of�qmpete.n#jyri'sdictio�i in fhe;co�rity,';or oth,�r po�jtical �
:"sulidixjs"ic�.n iof#he:state i�i�w€iicii:t��.�raje;c,f;.q�.:�n;�t�p�rt.tt�eteo#;,is���tuatec3;A� in:`th"e`.Uriite� �
°S'tat�;Dis'frict�Co�ti�=�fio�:tuie�disiri�an:wriicti f'fie.:project�,o'r.�any.pait 4tie'reof;.,is:situat�d;..and'nD#: •
�elsewher�: � .. .
-4�. `Th'e::�rtiount bf..;fh�s ba�r�i�'.:sb'atl.�ie te:dirced�►y�and�to.thie".exterit:�f�'ii�►payr'r'rent��oir:paymeri�"s �
� 'r2iad`e�n giaod�aith:here�r't.def� The 5�i�eties'.tiab7ifi,y-he�euride'r•,i's=lim1t+�d,s3n�[�r„_or��`n f#��e.:aggregate, �
�o�•fMe pen��.s�Fn,�o#�the bor�d se��fbrth�h�rein�;. •
'S:. ��Ibtiivi#�sta'r5cling'�riythii�g:in ffii�boh�:o�:tfi"e'.�otifr;�c�:to.the�corit"r�i�;;thiS��bo�id:i�-fiiirii�F.ted to .
�oomplfi'�ivitti•tFie:iec�uirie'r,ri�rits;a,f'�ChapCe�Ja�3,�Flbitida Sta�utes�and(w�tfaout;Bmitatidri�::the.�?i�nva's'i�ins, .
;and�,timi;�a#ons of�Sec#tort 7#�,62(�)�nd�i.1�'�3; Flor�cla�t�#utes; This��ond5:i�hereby:a�riendecJ�tq �
� .iricor�¢rat�e a11'•pm'v.isiort�:and�,�ii.n..'t�a`tiQns;.;iiic[uding cpnditloi�s�,: notiir�:aric#:'time:9ji�itations pf`t�i�
�at3,plicatit�.s't��ute*`+etliicti;a�e:ir►cor.�afat�d•laefeiri.ti,y'r•�iefererice. Aii�r::grairi'sioti:of#t�is:borici'�vi'rhi� �
, !F';a,;yfienLBoiid—"Page.10�2 �
. OR BK 92�� P:G 55�7 ` i
'` ' . _ 10 of 14
-cpnfJi�fs;v�i#li;�or';puipo�t�°tc�r grant:tiroa�er��r•:mQ�e ex�iarld`ed�;coiie�a�e°in:ezcess��f•tFie i�ninimum�
�
�equir��i►erifs;:o.f,:tii�:apailical�e?$tatlite,shal[ be.d�eiiiet�•defetetl�fror�i t�ii's:'6oni1� Ttiis�bond` ts.a�
sf�tiitoiy'Ii�nd;,a�of��co�irania:�fa3iir=bond# . � .
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