HomeMy WebLinkAbout17-18442 CITY OF ZEPHYRHILLS ' ' ;
5335-8TH STREET
' V (813)780-0020 18 2
BUILDING PERMIT
� � - PERMIT INFORMATION =� LOCATION INFORMATION
Permit Number: 18442 Address: 7333 GALL BLVD
Permit Type: COMMERCIAL ZEPHYRHILLS, FL.
Class of Work: ADD/ALT COMMERCIAL Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 34-25-21-0000-00300-0020
Improv. Cost: 45,000.00 OWNER INFORMATION
Date Issued: 5/12/2017 Name: MERCHANTS STATION LLC
Total Fees: 475.00 Address: 11501 NORTHLAKE DR
Amount Paid: 475.00 CINCINNATI, OH. 45249-1669
Date Paid: 5/12/2017 Phone:
Work Desc: REMODEL SPACE FOR T-MOBILE
CONTRACTOR.S APPLICATION FEES
BLUE OX CONSTRUCTION LLC BUILDING FEE 390.00
HIGHTOWER ELECTRIC LLC ELECTRICAL FEE 60.00
FIRE PLAN REVIEW FEES 25.00
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Ins ections Re uired
F TER 2ND ROUGH PLUMB MISC IN ULAT N CEILING
FOOTER BOND DUCTS INSULATED SEWER MISC.
ROUGH ELECTRIC LINTEL MISC MISC.
1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC.
DUCTS INSTALLED WATER MISC DRIVEWAY
PRE-SLAB SHEATHING MISC. MISC.
CONSTRUCTION POLE FRAME MISC. MISC.
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,for 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 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 pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CO TRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
e�aasaoozo �� City of Zephyrhills Permit Application Fax-B73-78d0021
� +�p,��s'� Building Departmenl
�Y VI
� Date Received � phone Cantact for Permittin y
—f"'TiTf
Owners Name TB Tampa Real Estate LLC Go BDE FL LLC py,rner Phone Number soe-4o7-so�a
Owners Address 31 B5 Ainvay Hve-Ste.C2-Costa Mesa,CA 92626 pwner Phone Number
Fee Simple 7itleholder Name Owner Phone Number
' Fee Simple Titleholder Address . �
JOB ADDRESS 733 afl Blvd-Suite 7335 -Zephyrhilfs,FL 33547 LOT� �
ISUBDIVISION PARCEL ID# 34-z5'2�-�0��-��3��-��5� �
(oB7AINED FROM PROPERtt 7A)C qOTiCE) �
WORK PROPOSED e MEW CONSTR B AODlALT � SIGN Q O DEMOLISH
INSTALL REPfVR
PROPOSED USE Q SFR � COMM � OTHER
7YPE OF CONS7RUC710N Q BLOCK Q FRAME 0 STEEL Q
oescRianorv oF woRK I Tenant interior remodel of an existing building
� SUILDlNG 512E SQ FOOTAGE� HEIGHT � I
I OBUILDING S '
VALUATION OF TOTAL CONSTRUCTION
�ELECTRICAL S AMP SERVICE � PROGRESS ENERGY Q 1N.R.E.C.
OPLU11161NG $
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION (`��. !'` ,�/
� ' ,(�v
17 y�� 1
OGAS Q ROOFING Q SPECIALTY 0 OTHER ��(/
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES N
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SUILDER COUiPANY Lee Carrol -Blue Ox Construction LLC/
SIGNATURE REGISTEREA Y I N FEE CURREA Y!N f
Address 3i 01 b Parkwa -Ste 4-Atlanta,GA 30339 ��nse# CGC1523486/�
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ELECTRICIAN COMPANY � ��"'LSlGULy� G�G'H�JC. G�,[.,
SIGNATURE ��'`'� REGISTERE� /N FEECURREA Y/N �
address /:SI /��ne. �.cs-y� �` ��dw ,�7�� �icense; �L) e��179G
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PLUMBER COMPANY '
� SIGNATURE REGISTERED Y/ N FEE CURRE� Y I N
Address License# �
II
MECHANICAL COMPANV
SIGNATURE REGISTEREO Y/ N FEE CURREA Y/N
iAddress License«
OTHER COMPANY �
SIGNATURE REGISTERED Y 7 N FEE CURREI. Y/N -
Address license n
17Gl�9��990LiAlfD�til�OB[B�I�68I9f�Itile9f!@Q6fYf98S �tY�l �7t6Yt09i0
RESIDENTIAL Attach(2)Plot Plens;(2)sets of Bu�ding Plans;(1)set of Energy Forms;R-O-W Permit for new oonstruclion,
Minimum ten(10)working days after submfttal date. Requlred onsite,Construction Plans,Stormwater Pians w!Siit Fen�Installed.
� Sanitary Facilitles 81 dumpster.Site Work Pertnil(or su6divisionsJlarge projects
COMMERCIAL Attach(2)camplete sets of Building Plans plus a Life Safety Page;(1}set of Enetgy Forms.R-O-W Pertnit far new construction.
� Minimum ten(10)vrorking days afler submittal date. Required ansite,Constnidion Plans,Startnvrater Plans wl Silt Fence installed,
Sanitary FaGlilies&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
� SIGN PERMIT Atlach(2)sels of Enginaered Plans.
•"'PROPERTY SURVEY required forall NEW canstruction.
� ��' 'ii�.�i.di6 Q i.4�!" '6.if i ' 'i�AFad.d iLB i i! i` ��it"
Dtrections:
Fill aut appGcalion completely.�
Owner&ConVactarsign back of apptication,nofarized
If over 52500,a Notice of Commencement is required. (A/C upgrades over 57500) .
" Agent(for the contrador)ar Power of Atlomey(for fhe awner)v�ould be someone vrilh noterized letter Gam owner euthorizing same
OVER THE COUNTER PERMITfING (capy of conl2ct required)
Reroofs ff shfngles Sevrers Setvice Upg�ades A/C Fences(PIoVSurvey/Footage)
Driveways-Not over Counterif on public roadvrays..needs ROW
e��-�aaoozo � City of Zephyrhills Permit Application Fax-813-780-0021
�+�p a. � Building Department
� /V�
� Date Received �
Phane Contact for Permitting
Owners Name TB Tampa Real Estate LLC cJo BDE FL LLC owner Phone Number 608-407-9078
Owners Address 3185 Airway Ave-Ste.C2-Costa Mesa,CA 92626 Owner Phone Number
Fee Simple Titlehoider Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 733 all Blvd-Suite 7335 -Zephyrhills,FL 33541 LOT# �
SUBDIVISION PARCEL ID# 34-25-21-0000-00300-0050
(OB7AINED FROM PROPERN TAX NOTICE)
WORK PROPOSED e NEW CON57R B ADD/ALT � SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR � COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q
DESCRIPTION OF WORK Tenant interior remodel of an existing building
BUILDING SIZE SQ FOOTAGE� HEIGHT �
QBUILDING $ ' VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION f��� /1
� �
FINISH�ED FLOOR ELEVATIONS� ROOFING 0 FLOOD Z N� OTHER ��
O AREA QYES N
BUILDER � COMPANY Lee Carrol -Blue Ox Construction LLC
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
address 3101 Cobb Parkwa -Ste 124-Atlanta,GA 30339 Li nse# CGC152348
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ELECTRICIAN �J ���-0V� COMPANY }�"�' `^``�'� �'�.
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N v
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y! N FEE CURRE� Y/N
Address License#
�����t������������������������������ �� ��� �� �����t�l� ��� �� ����t���� �
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit for new constniction,
Minimum ten(10)working days after submittal date. Required onsite,Construdion Plans,Stormwater Plans w/Silt Fence instatled,
Sanitary Facilities 8 1 dumpster;Site Work Pertnit for subdivisions/large projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permi[for new consWction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Facitities&1 dumpster Site Work Pertnit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out applicafion completety.
Owner&ConUactor sign back of applica6on,notarized
If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500)
" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMI171NG (copy of contrad required)
Reroofs if shingtes Sewers Service Upgrades A/C Fences(PIoUSurveylFootage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
� dvhich may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work,they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
' intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the"contractor Block"of this application for which they will be responsible. If you, as the owner sign as the
contractor,that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The unde�signed 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
i 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 appiicant 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 pertormed 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 reguiations of other govemment 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,WateNWastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
- Department of Health & Rehabiiitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
- Use of fill is not allowed in Flood Zone"V"unless expressly permitted.
- If the fill material is to be used in Flood Zone "A°, it is understood that a drainage plan addressing a
"compensating volume"will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
- If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction,I certify that fill will be used only to fill the area within the stem wall.
- If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties,the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill,an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs,wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate,cancel,alter,or
set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six(6)months after the time the work is commenced. An extension
may be requested, in writing,from the Building Official for a period not to exceed ninety(90)days and will demonstrate
justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAI ANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOT ENC ME
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CO T CTOR
Subscribed and swom to(or affirmed)before me this s ' ed and swom o(oer aff d)�ef�r me this
by by e
Who is/are personally known to me or has/have produced '/are personal known to me or has/have produced ""�'
as identification. as identification. `,`�\1�NA�1//�'''
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Commission No. mission No.
N�a ��:� otr`�r • .-
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Name of Notary typed,printed or stamped Name of Notary ryped,printed or s amped ��: J�B�.� �; ��
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May 1, 2017 � ;
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Re: Permit Authorization CONSTRUCTION MANAGEMENT, LLC
To whom it may concern:
I, Lee Carroll, am the License Holder of Blue Ox Construction, LLC, doing business
in the City of Zephyrhillis, Florida, License Number CGC1523486, and hereby
, authorize the following person/persons to act as my agent and, in my absence, give
authority to sign for permits on my Company's behalf: �
Alex Branch
� Glen Aderholdt
This authorization will remain in effect until a new permit authorization is executive
and submitted by the license holder to the City of Zephyrhillis.
�_...__. ._-�- - -�,1�
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Lee Carroll
Manager
STATE OF GEORGIA
COUNTY OF FULTO(J
I HEREBY CERTIFY that on this �5+ day of.�l �, 20��, before me, personally appeared
[.e e ('.ra rrn 1 I ,the License Holder of record for the above referenced company,who is
personally known to me, or who produced dYi verc /i G�nSe. as identification,and who did/did ,
' not take an oath. i
��1���������� NOTARY PUBLIC
�.�`GP �A<<F'��i
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3101 Cobb Parkway � Suite 124 � Atlanta, GA � 30339 � 678.649.3639
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March 28,2017 �
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State Permits,Inc. '
ATTN: Katie Getz �
319 Elaine's Court
DodgeviIle,WI 53533 �
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Re: Letter of Authorization ?
T-Mobile—Tenant�nprovement—7333 Gall Blvd �
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To Whom It May Concern: �
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I (we); RCG-Zephyrhills, LLC ("Owner"), hereby authorize State Pei7nits, Inc. to submit plans ,
for permit and are aware of the tenant improvemeuts being made by GP Mobile 2,LLC d/b/a T-
Mobile {"Tenant") at Merchant's Square shopping center located at 7333 Gall Blvd, Suite 7335,
Zephyrhills,FL 33541. '
If you have any questions,please contact me at(404)665-1144 oz•at the email listed below.
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Sincerely, (
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Sara Ordonia �
Assistant Project Manager
sarao(a)rc�ventures.c om
RCG Ventures,LLC
a/a/f RCG-Zephyrhills SPE,LLC !
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3460 Peachtre.e Raad NVJ ■ Sulte A00 ■ Atlania,Georgia 30305 � t,4041816,54s4 R 1.A04/$16.54d5 ■ wK�tv.rcq�eentures.com �
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' � State Permits,Inc.
�'� £ �319 Elaines Court•Dodgeville,WI 53533
�.� ������ '608/319-2096•fax:608/319-2011
=� wwwst8.com
To: City of Zepllyrhills—Build'u1g Deparhnent
5335 8"' Sfreet
Zephyrhills,FL 33542
Re: Blue Ox Consfruction—GC Registration ,
To Whom It May Concern,
Attached is the required paperwork and fee for the Confractor Registration of
Blue Ox Consfruction, LLC.
6111 Peachtree Dunwoody Road
Building G, Suite 202
� Atlanta, Georgia 30328
404-500-5411
They will be completing work for the T-Mobile project at 7333 Gall Blvd—Ste.7335.
Please let me know if you have any quesiions or concer�ls.
Sincerel
Y.
Katie tz
State Permits,Inc
608-407-9078
katie@permit.com
�E��YR�d��6�� ��RE ��PA�T'�EI�T
' 3841 Q 6th Ave Zephyrhills, FL 33542
4
FIFtIE �E����� �d�ER �EES
Occupancy No.: /1/�� f 1� 1����7�r=1'l��
Plan Na.: Contracfar: {{�� (� t, �1�,.�
Business Name: Billing Address:
Business Address: ,�..�
Business Phane No.: 8illing Ptione No.:
Business Fax No.: Billing Fax No.:
Contact: Contact:
PLAN REVIEMI FEES It�SFECtiON FEES , PERMIT FEE PALSE ALARNi fEE
�Site Plan N/C Annual N/C Sprinkler $50 1stAlarin N!C
t�iulti-FamitylCommerciai .0&sf 9st Re-inspection N/C Sfandpipes $50 2nd Pdarm td/C
(Minimum Charge$25.00 2nd Re-inspectlan $100 Fire Pump $50 3rd Alarm N/C
�Plan Revisians DBL 3rd Re-lnspec#ian $25d Hoods $50 4th Alarm $90d
4th Re-Inspection $500 Fire Alarm $54 5th Alarm $150
SPRINKLEi2 SYSTEMS (Business closed un6! _ LP Gas $50 $th Alarm $200
�0-25 Heads $50 violations correctedj ; Natural Gas $50 NON COMPWWCE $150
26 plus Heads $100 SPRINKLER SYSTEMS Fuel Tanks- per�enx $5U
STAh4DPIPE SYSTEM Hydro Undergraunds $45 Sparklers $10d
�Per Riser $50 Hydrostatic Test $65 per system Fire Works $500
F1RE P{1MP Acceptance Test $45 persystem Camp Fire $25
�Per Pump $100 Hydrant Flow $75 Controlled Bum $10p
F(RE ALARNJ SYSTEM Hood@uct $50 • ,
0-25 Devices $50 FIRE ALARflA SYSTEAA Place of Assembly $50 nnnuei
26 plus Devices $900 Systerri Acceptance $50 Fire Profeckion $25
ec
SUPPRESSIO�d SVSTEMS Recall Acceptance $50 Flammable Appltcation $50 Mnuai
Wet $54 OTHER Waste T]re Storage $5U Mnuat .
Dry $50 Fire Wa11/Smoke Watl $15 Per wan Generator<KW $100
CO2 $50 LP Gas $25 Per tank Generator>30 KW 150
Other $5Q Naturat Gas $25 persystem Bio-Hazard Waste $90O Annuai
KITCHEN EXHAUST Fumigation Tenting $50
�Haod@ucts $50 TenE i0x1Q'orgreater $15 �erteat Torch PotlApplied $50
OTiiER Fire Pump $45 Haz.Materials $100 ,nnnuai
8!P tnstalfatton per tank $50 Fice SuppressiOtt $30
Fuei Tank Instatlation $50 System Acceptance
(Per Tank} $50 Exhausi HaadlDuct $34
�Naturai Gas tnstatiation $5Q Re-inspection DBL
(Pe�System) (other than annual) �
�Spray Baoth $50 �inspection scheduted D8L e
and cancelled less than
�a no�,�
Canstructlon Insp. N/C
Emergency Vehicie A� $5Q FALSE ALARM
PL/WS TOTl4L. '; j IWSPECTION TOTAL PERiN1T TOTAL TOTAL�
GR/WD TOTAL ����
Camments:
Date: '�• j � •i "}
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Inspectar: �=''�--,�
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City�of�Zephyrhills ��
BUILDING PLAN REVIEW COMMENTS
Contract r/Homeowner: / �l� � �� �7�
Date Rec ived: � � ��� /,.�� �
Site: � — ����
Permit T e: ,L ��� f� ���
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Approve w/no comments:❑ Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comment sheet shall be kept with the permit and/or plans.
) �� �l_ "'3 '3�•�.�
Gene Bro n—Fire Safety Officer Date Contractor and/or Homeowner
(Required when comments are present)
�------�_____- n � _ . .. �._� __�.,��-:--=-��:�=--�....�-----_��_...— _ - �
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2017064013
Pertnit No. Parcel ID No 34-25-21-0000-00300-0050 �
NOTICE OF COMMENCEMENT ���
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State o( Florida co�nry or Pasco �m�;,
N B�
THE UNDERSIGNED hereby gives no6ce that improvement will be made lo certain real property,and in accordance with Chapter 713,Florida Statutes, B B�
the following information is provided in this Notice of Commencement: � �
1 D05CflPli011 0(PfoPERy: PafCel IdeflilflCeflOfl NO. Com at a Point on West Right o1 Way Line of US Hxy 301 at Interesection o1 the NoM Btly of Spanish Trails Vllage �
6.� B
sveet Address: 7333 Gall Blvd-Suite 7335'Zephyrhills,FL 33541 •
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2. General Description of Improvement Interior Tenant Imqrovement ` -1�
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3. Owner Information or Lessee infortnation if ihe Lessee contraded for lhe improvement: �B r+
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GP Mobile 2 LLC •
3318 Forest Lanee Suite 200 Dallas TX `" �
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Address City State 7
Interes[in Property: Tenant �
Name of Fee Simple Titleholder �
(If different fram Owner listed above)
Address City State
a. Conuactor• Blue Ox Construction LLC
Name
6111 Peachtree Dunwoody-Bldg G-Ste 202 Atlanta GA
Address City State
Contractor's Telephone No. 334-546-4737
5. Surety:
Name
Address City State
Amount of Bond: $ Telephone No..
fi. Lender
Name _
Address City Slate
� Lenders Telephone No..
7 Persons within lhe State of Florida designated by the owner upon whom notices or other documents may be served as provided by
��(q� Section 713.13(1j(a)(7),Florida Statutes:
+� �� Name
� � YJ
� '�-( � Address City State
� v Telephone Number of Designated Person:
8. In addition to himself,lhe owner designates of
.��� � to receive a copy of the Lienors Notice as provided in SecGon 713.13(1)(b),Florida Statules.
�� Telephone Number of Person or Entiry Designaled by Owner.
� �' 9. E iration date of Notice of Commencemenl the e iration daie ma not be before lhe com le6on of consWction and final a
� ,` � ( xp' y p p yment to the
� � wntraclor,but will be one year(rom lhe dale of recording unless a differenl da[e is specified): I
� WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
' A R E C O N S I D E R E D I M P R O P E R P A Y M E N T S U N D E R C H A P T E R 7 1 3, P A R T 1, S E C P O N 7 1 3.1 3, F L O R I D A S T A T U T E S, A N D C A N
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
�� �� RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT
� Under penalty of peryury�I declare lhat I have read lhe foregoing noGce of cammencement and that the facts slated lherein are W e to the best
of my knowledge and belief.
STATE OF F�RFBA ���CQ-S
` COUNTY OF @A6C6�\�I� �Of e Var 8S-
\�� b-J � Signature of Owne or Les ee,or 0 er's or Lessee's Authorized
OfficerlDireclodPa ner/M nager
� G? �
� Signatory's TitlelOKce
The foregoing instrument was acknowledged bef e/�n�e lhis�day of�20,�b �1�
as �l/ (type af uthori ,e.g.,officer,trust ,attomey in fact)for
(name of a o behalf of wh instrument was executed).
Personally Known Produced Identification❑ Nolary Signature
Type of Identificatio Produced Name(Prinl)
�PqULA S 0'NEIL,Ph D PRSCO CLERK & COMPTROLLER �„����,,,, CYNTHIA NEDA
04/28/2017 11•32am 1 of 1 ,,;,,�,�,�',,,
P� ��� =r;' Notary Public,State of Texas
OR BK g533 :j��:�,: MyCommissionExpires
�`'`;`'�"�F�''� March 19, 2019
''%,��5����"
wp data/b cs/n oti cecommen cemenl�c053048
l,ity oi Gepriyttulls
BUILDING PLAN REVIEW COMMENTS
' � - -���lf
Contractor/Homeowner: ���. �� �.0�7'�c� � -����= . --
�
_ �,. y�.t��_ :,
Date Received: � r2 f�—.� -�s �
� ��
Site: 7�j JU (�j���� �(/� 4�
Permit Type: �1�2�yZ�"e/ /�'I��'y'
Approved w/no comments:❑ Approved w/the below comments: Denied w/the below comments: ❑
P '
.� U�'�� �4
� �� .��� ,' , � ic �� �
�
� � C� �L�� 14 ����,�
This comment sheet shall be kept wi ermit and/or plans.
�o-��
Bill Burg - uil Date Contra or and/or Homeown �
(Required when comments are present)
s
�
�
ITY OF ZEPHYRHILLS, FLORIDA
5335 8TH STREET �-
CONTR.ACTORS COMPLETION �
NAME: Blue Ox Construction LLC DATE: June 12, 2017
ADDRESS 7333 Gall Blvd Zephyrhills, FL 33542
PARCEL I.D. 34-25-21-0000-00300-0020 SUBDIVISION : City of Zephyrhills
TYPE OF BUILDING`: Commercial
PERMIT'(s) 18442
REMARKS :
Final Inspection : 6/8/2017
BILL BURGESS BUILDING OFFICIAL/ JB ' � '
/�'' - -
CITY OF / / / / BUILDING
ZEPHY�FIIL'LS DEPARTMENT �
.���`""
�-� OF ADDITION OR CORRECTION
�l
� � � � �
ADDRESS D TE PERMIT f
1 ! \�.i" ' ���r � l �� �
THIS JOB HAS NOT BEEN COMPLETED. The following additions or corrections shall be made before the job
will be accepted.
A 1�-- ' t�l.,�i z�� � ' �� (�3�—
`�� �1�� c'���-5���y —
� Ct2.LL. �'z -��'C�
�
, ')� ' ��
�, �V� i r�t5� � t�v.� � _ � ,
��
It is unlawFul tor any Carpenter,Contractor,Builder,or other persons,to AFTER CORRECTIONS ARE MADE CALL
cover or cause to be covered,any part of the wortc 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 L ►C �