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Home My WebLink About18-19254 CITY OF ZEPHYRHILLS � ' S335-8TH STREET (813)780-0020 19254 BUILDING PERMIT PERMIT INFORMATION -- � LOCATION INFORMATION � Permit Number: 19254 Address: 7909 GALL BLVD Permit Type: MECHANICAL ZEPHYRHILLS, FL. Class of Work: A/C CHANGEOUT Township: Range: Book: Proposed Use: COMMERCIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 34-25-21-0010-00100-0000 Improv. Cost: 13,804.45 OWNER INFORMATION Date Issued: 3/16/2018 Name: NATIONAL RETAIL PROPERTIES LP Total Fees: 160.00 Address: 450 S ORANGE AVE STE 900 Amount Paid: 160.00 ORLANDO FL 32801-3339 Date Paid: 4/12/2018 Phone: Work Desc: A/C CHANGE OUT (1) 8.5 TON & (1) 12.5 TON-RUBY TUESDAY CONTRACTOR S APPLICATION FEES TWC SERVICES INC A/C CHANGEOUT 110.00 K&K ELECTRIC INC ELECTRICAL FEE 50.00 _ I r � � � Ins ections Re uired DUCTS INSTA LED DUCTSI ULA�T�D FINAL �r' `f�� ' . ��-��: � �: � � c�� 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 requir.ed from other governmental entities such as water management, state agencies or federal agencies. "Warning to owrner: 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. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. CON CTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER � From: 04/09/2018 15:41 #788 P.002/009 ' � K�� 7^u _-��=�ys e�a-�eo-0o2o City of Zephyrhiils Permit ApplicaBon a�c•8�3'�6�4z� Buflding Deparlment Date ReceFved pl�One Contact for Permittin �! �v �`�' '1(TrY'rrr�- — Owner'e Name f '(� Ownet Phone Number Owner's Add�rtso ��. /U Ownor Phone Numher �,2�ci.nQ�. fee Slmple 7lqehotdnr Name 1 �� pwnor Phone Numbor �..�.i�.c.rv i n a i i. � � � ��. i i J08ADDRES3 c� �, t vr � wr� i i sus�ms�oN � � Pa+sc�.ws •�•�/- Q�tD• �0 6 U, �G� � (OHfAPffD FROM PRDPERiY TAX HOTICE� WORK PRBPOSEp e NEW CONSTR 8 ADOlALT � 910N Q Q DEMOLISH INSTALL REPAIR ��C� PROPOSEG USE Q SFR � COMM � OTHER Trre o�cons�xucnorr Q BLOCK p Fw,�u+� � srE� p DFSCRIPiION OF WORK ,� � �r� i �'.S n�- r ! •5'�� BUII.DING S¢E SQ FOOTAGE� HEIGHT � r • �C�Q�t C Q� ( 2�L� 1 �i'��,�,• , QBUILOING $ VALUATION OF TOTAL CONSTRUCTION �1 CJ� �..C i!G�Q�Q Q� QELECTRICAL a j J �• G` AMP SERVICE Q PROORE83 ENFACiY Q W.R.E.C.`f_ ��"""'—1 Q / l0 '�'E, �r�a �� PLUMBlt3fl $ QMECHAN�CAL $ VALUATION Op MECHANICAL INSTAUATION i QGAS Q ROOFINC3 Q SPECIAL?Y Q OTHER , FINi3HE0 FLOOR ELEVA710NS FtOOD 20NE AREA QYES NO BUILOER C061PANlf , SIGNATURE qEC�sTBtFo Y!N �cunt�r. Y!N i Addresa Llaense# —` �: o (`.� / � 1 �� ELECTWCIfW COMPANIf ^C ' � C � SIGNATURE RE61S�n Y!N FEECURRH. Y/N Addreee Lksnse# � V IPLUMBER � � Cqh1PANY ISIGNANRE f�cisT�n Y!N p�curut�n YfPI Address Llcense q IMECHANICAL COMPANY 81GNATURE f�a�rer�n Y/N �cura�n Y1N Addrcss Ucense# OTMER COMPANY �� S16Nq7I1RE NEnqTEaEA Y!N FEECURREh Y!N Aaidr¢ss License# IIIIIIi11111tIt111 � 1111111111111111t { lilill � lllllllll � lllll11111111 RE81DEN7'U1L Attach(2)Plot Pfans;(2)sets ot 6u�ding Plarm;(1)set of Enarpy Fprma;(i-0-V1I Pmmtt iw new con9truCtion, Mlnlmum ten(10)working days efter suhmitlal date.Required ansite,CanstrucUon Plans,Srormwater P�ns w!S�I Fence histailed, Senitary FeciHties&7 dumpsfer,Ske Work PermRtasubdMsb�flerge�eaJacte � CO�MBtC1AL Attech(2)comptete sats of Bullding Plens plus a Llfe Safety Pege;(1)set af Energy Forms.R-0.W Permk for new canstrudbn. Minimum len(t0)working deya efter aubmittal date.Requlred rnsite,Constnxtlon Plerm,Stormweter Plans w/Stlt Fanca Uis[aNed, Sankary Fac�7'ities&1 dumpster.Site Work Permit for atl new pro�eds.Atl cammerdei requirements must meel compffence SIGN PERIYIIT Attech(2)sefs of Enyfneered Plar�. •^•PROPERTY SURVEY required iw ell NEW construction, Directlonsj - FlII out eppflcaUon comqetely, I Owner&Contracror sign 6ack of appGwUan,notarized H ova SZ500,a NoNce o1 Commencemeht fa required. (I11C upytedee over�7300) " Agert(for the conkactw)or Power oi Attamey((w the ovmer)would be someane wiih notar¢ed tetter irom awner authoriang sama OVERTNECOUNTERPERMI7TING (copyofoontradrequired) RerooTs If shingles Sewera Servke Upgrades A/C FencPs(PbUSurvaylFoatage) OHvewaya-No!aver Countet M on pub6c roadways..needs ROW From: 04/09/2018 15:41 #788 P.001/009 . � rvq i 1- 2517 Country Club Road,Sanford, FL 32771 i Voice: (407)323-6300 x. 2026—FAK: (407)323-6206 ; ; Andrea@kkelecfric.com � I � � I � To: Jackie From: Andrea Cheek � F� 813-780-0021 Pages: � Phone: 813-780-0020 Date: April 9�',2018 i Re: Electrical Permit for Ruby Tuesday's(attach to TWC mechanical 19254 � ❑for Review ❑Please Comment ❑Please Advise � � Comments: Dea�Jadcie, Attached is the electricai permit application with updated contractor registration information. I will be sending Jesse Eubanks to pay for the permit and pidc it up. Please call once ' complete so i can have a check amount. If yau have any questions, please call me at 407-323�300 x.2026 or email me. Thank you, l ��c�� . , Andrea Cheek \15enretlAndrealTAL Fax CVR.doc j From: 04/09l2018 15:42 #788 P.003/009 I , ' 'I 3 � i , ; � Pege 1 of 1 ' . Electric, Inc. PROPflSAL: '�Q�� 2697 Country Club Rd 5anfortl,FL 32771-d{}58 (407)323-6300 (4Q7)323-8206 fax � canstruc�ian{c�kkeEectria.aom � To TWC Florlda Bevera e aZ-rN Ned TrQlde DATE 1131t2a18 � ' Ao�RFss aos t+�� Ru Tuesda ' '� LACA'ftON 7909 Gall Blvd. � �; Fttoue 813»777-5888 �1�t Ze h rhllts�FL 33549 WE HEREBY pROPOSE 70 FURIVISH MATERIALS AND LABOR N�CESSARY FOR THE COMPLETION OF � RTl! disconnec�rgplaaement i 1 Eteatrlaal Scope As Followa: ! 2 K&K ta supply and lnetal!('i}100atnp 3ph 2�4v Nema 3#2 diacanr�ect wtth(3}SOamp fuses S 3 K&K to supply and install(i)60amp 3ph 240v Nema 3R disconriect with(3) SOamp ft�ses � , 4 K&k to e�dend ex�stl�tg 140amp dreuit from the curb epening to reach new disconnec! � 5 K&K to e�sfend exis�ng 60amp circuit fram the curb opening to reach new disconnact � B t , 7 lnatuaions:Etac.frical,Dlvlstan 48,to Ins[ude; � 8 1'ermit � 9 1Q Exciu�onec 11 K&K ElecMc not responslbfe fnr IVotice af Commencement 12 Any trade wodc nat men8oned tn the abava scope af wark under the heading"inatustons"pius b�nde,petmif f�as(other than � ' electrical),surveying endlor measurement benchmarks,dewatertng,utility consurnpaon fees,asphalt,concrete,brioic paver andlor � sod work not e�ressly(ncluded sbove,equipmertt pade,eroaion contral,pallutton pteventlan rnesaures and hazsrdous waste � dlsposal.Temparary paw�r and temporary povuer genera�on. Inshumentatton and be3em�+Control Panets. t�eneretar and transfer switch,fllel tank and piping, { CQNDITIOPfS IN VIOI.ATION OF MEC CIUTSIDE OF TH{S SCt7PE FOUND OtlRWO�LECTRICAL IN6PECTIOI�tS AR@ j�j,Q,'�, G01(ERED!At TIi13 BID PRtCE ANMD WILL BE FtEPAIRED ON A"TlAiIE A�tQ MA'iERlNL"BASfS WE PROP08E herobY ro tumieh maW�i and labw-complets In accardane�wll�ebwe apeolficattons tar the aum oh �nc�u�es r�: ane Thousar�d, Si�c Hundred Twenty Five, and t}OMOfl ,,�„ $ 'I,fi25,tt0 f Poyment made ee . A Rrtance e 1.6 Mo ee AS#�R COMTRAGT AND�CR#�ftGHAS$CRQEE� 1tdd�t ta A�►y unpnld eniatue Over sa bayrs NO'TE: Due ta sudden fluctueticuls I�W�Ces oi Capper 8�Steet-the btd pdce la vaiEd for 15 days. 8ubseqtietltiy It wifl be hsuiored for sn siddtSlone!30,hut wfth eny tnatadai price ue . hteTea6e8 knpRatiAg ot.�'oifered bId p�iaa• u„ twa on or de rom abave apeatftcatbns I» ng an apon ttnn ,a ecorne an e�dra upe ovmr ea6rt�ate.AA apceeme�s c�ntksyent npon str[kes.ecdrter�#a ardetays bayond�r cantmE.C7erner ta caRyr att�eceseaty k�surar�m.Our warkers are tutiy aavered tty Wrnkmen's CompenaeNon Insurartce.11►s pertlea W tldi cr,�mct ogroe Umt arry acumi broueM to canswe or entrne fhts oaMraat ahaq be brouDht tn a wurt of oor�etent JurladicHon wf� venue lylnp eoleiy end e�dueWely In Seminde Guunb,Florlda The Prevafdng parly In atry edlon brouehl ta ca�We or eMoroe the term►ot Fhia egreemant almli be en81�d roaoYer(tsaitoma�fafeea,txaSsanda�sa�. ACCEPTANCE OF PROPOSAL The etboVe pflp9s,epecHlc�►tbna ood candRkan6 ere saUsfeotory and 0ro hereby aeeepled.You are authotiud to do ihe Wofk et apedtied Ptklted N�ne/F�le' ' #'ayrtwntw&be made aa tslltlkted�7�"`C7 ••� � Date d'Aacepmnce:- �� 8lgnntura ��"y"� . �'/M!'�",r F Page 1 of 1 i� II CITY OF ZEPHYRHILLS � ' S335-8TH STREET (813)780-0020 9254 BUILDING PERMIT PERiVIIT INFORMATION � -- - - LOCATION INFORMATION - Permit Number: 19254 Address: 7909 GALL BLVD Permit Type: MECHANICAL ZEPHYRHILLS, FL. Class of Work: A/C CHANGEOUT Township: Range: Book: Proposed Use: COMMERCIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 34-25-21-0010-00100-0000 Improv. Cost: 13,804.45 OWNER INFORMATION Date Issued: 3/16/2018 Name: NATIONAL RETAIL PROPERTIES LP Total Fees: 110.00 Address: 450 S ORANGE AVE STE 900 Amount Paid: 110.00 ORLANDO FL 32801-3339 Date Paid: 3/16/2018 Phone: Work Desc: A/C CHANGE OUT (1) 8.5 TON & (1) 12.5 TON CONTRACTOR S A LICATION EES TWC SERVICES INC A/C CHANGEOUT 110.00 , �� uo Ins ections Re uired DUCTS INSTALLED DUCTSINSULATED FINAL 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 properly 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. C TRAC ATURE PERMIT OFFI R ' ERMI XPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhills Permit Application F�-s��-�so-ooz� . Building Department • Date Recelved 3�-48" Phone Contact for Permitting O�i /l03 - Q�Q� Owner's Name l � Owner Phone Number Owner's Address `'Q �•Q( �y � Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple TiUeholder Address JOB ADDRESS �-1 O� l�R�� V�. LOT# � SUBDIVISION � PARCELID# �`"�'LS'21-��1��u�\l7O-O�O� (OBTAINED FROM PROPERTY TAX NOTIC� WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM � OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q DESCRIPTION OF WORK `\\ c `�`�-� �`C�(� ��f„� (,� g•S�of� � \��Z..S j p BUILDING SIZE SQ FOOTAGE� HEIGHT � QBUILDING $ VALUATION OF TOTAL CONSTRUCTION QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. OPLUMBING $ QMECHANICAL $ ��.� VALUATION OF MECHANICAL INSTALLATION QGAS Q ROOFING Q SPECIALTY � OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO BUILDER COMPANY SIGNATURE REC�ISTERED Y( N FEE CURRE� Y I N Address License# � ELECTRICIAN �� COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# PLUMBER COMPANY SIGNATURE ��isrEaEo Y/ N FEE CURREA Y/N Address License# MECHANICAL COMPANY ��7C ��1�-s� SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address �3�3� �1►-anr ��J�. License# OTHER COMPANY SIGNATURE REGISTERED Y I N FEE CURREA Y/N Address License# 1111111111111111111111111111111111111111111111111111111111111111111 RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construcdon, Minimum ten(10)working days after submittal date. Required onsite,ConstrucGon Plans,Stormwater Plans w/Silt Fence installed, � Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large projects COMMERCIAL Attach(2)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 after submittal date. Required onsite,ConstrucGon Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities 8 1 dumpster.Site Work Pertnit for all new projects.All commercial requirements must meet compliance SIGN PERMIT AMach(2)sets of Engineered Plans. ""PROPERTY SURVEY required for all NEW construction. Directlons:• Fill out appliration completely. Owner&Contractor sign back of application,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 PERMI7TING (copy of contract required) ' Reroofs if shingies Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) Driveways-Not over Counter if on public roadways..needs ROW ' NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS-AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work,they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign i 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 IMPACTIUTILITIES 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(Cnapter 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—Homeowne�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/Wastewater 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-Welis, 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. i - 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 TINICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT o ,� N � WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. LL S � � ,� FLORIDAJURAT(F.S.117.03) a o � � A= OWNERORAGENT CONTRACTOR v � LL � c S bscribed and sworn to� r affirtne o2 me thls Subscribed and sworn to(or affirmed)before me this � y ik ` � � 3 \� by .�a r�\:c\c�s•'L- by a ' � a z Who is are personal to me or has/have produced Who is/are personally known to me or has/have produced � � as identificalion. as identification. 7 � .fn �x = � 7 . � T E E z 0 9 o v v � Notary Public Notary Public a Z � m ,��„�� mmission No.� Commission No. :c0`•*'•o/da�: _� ' Name of Notary typed,printed or stamped Name of Notary typed,priMed or sTamped I a.� o= :ro'�s ��: , .��ti 'S,`�. J „ „ / HVAC ` �� REFRIGERATION � � KITCHEN E�UIPMENT, TiYC SERY/CE8 ICEMACHINELEASING BEVERAGESYSTEMS PERMIT AUTHORIZATION DATE: Januarv 30, 2018 FROM: Michael A. Aliotta - COMPANY NAME: TWC Services, Inc. RE: SIGNATURE OF AUTHORIZATION I, Michael A. Aliotta, contractor license number CAC1818119, hereby authorize the fol- I lowing to act as my agent in obtaining permits in the city of Citv of Zephvrhills �� CAC1818119 �igna u�e°License o er a e icense um er egis ered Michael Alan Aliotta January 30, 2018 ype rin ame— icense o er a e Juan Valdez–Agent - Celeste Valdez–Agent Louisa Carfi –Agent Sworn to and subscribed before me this 30th day of January, 2018 Michael Alan A 'otta who is personally known. ,,��',�a;;?'y'e�c' LISAA.BARNES w: Commission#FF 9329E"� N Signature �;�'�= Expires March 2,zozo ��P,f:��,, BadodThuTroyFanlnsuraica6:)::�;a7u19 My commission Expires: March 2, 2020 I/ � 2601 Bell Avenue � / 855-698-9224 Des Moines,lowa/50321 I� www.twcservices.com - J From: 04/09/201$ 15:55 #766 P.009l009 �� a � ,. . � �c�; .. Electrxc � Z517 CODN'tRY G`LUB RQAD SANFt?RD. FLORII�A 32??3 . � +kD7/923-6300 ' 907/323-62Q6 E'AX serv.�ce�klce2ectr3c.com � Pt�WEP OF ATTORNEY I here�y appvfnt�Jesse Eubanks Q,f'K c�c I�Eleetric, Inc. tt�be my ZawfuZ attorney in fact to act for me and apply%sign for any work to be perf'armed in the City af Ze�ahyrhiZts Building.De�artm�nt in ZephyrhilZs, Fto�idu inciuding petnnitting. . Please call mv offtce if vou have anv aue.stian�nr cnnrernc Thanlr vnt�fnr�rn��r u3ax�uui�c. _ Sinc e y �� Christopher N.Ferrara,EC0001650 STATE UF FLURIDA CUUNTX QF SEMINOLE Sworn to amd subscribed befare me by Chri�topher Ferrara,wha is persoz�ally known to rne and who did nat take an oa#�this��`'o�`�� ,2U1$. ' Notary Public: � Signature. ..'� ,��.Q.�.. Sealed �� Frinted Name of Natary� ��,�,..' � � 'C'� 6�"� �¢ �o p�uc�K.�t� r` 1�tW of Pfo� "' Co�inpyasion�FP 9p94S� �'•, ��Y Co�nm.Expirdi ttov t6.t�! , f��"�L" 9ondea throu�t�tlonU � �� l � , . , , . � IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIII � ',, I , 2018043414 _ , �I , Pertnit No. Parcel ID No -2 -�1- �y�-�S OO - (� I NOTICE OF COMMENCEM_ NT , �0� . � sr��e��lo�i��. c��r P s co w u'� , ... ' TF3E-UNQERSIGNEO� ptuvaiieri�vnll te made to certaln real ' � ��e+. - --- ._ . 9nres hotf'ce fhat"vri' �o ,and in accordance with Cha ter 713.Florida Statutes, \• �-+ the fdloviuig infortnation is provided in lli�s Np(jre o{�m P ��.� m m W �. �o-��so��Prop�:"�i ra�ii�,�ia --�1-�--S<.Z -o a�. _ b��Oc�-- � ,.,, StreetAdd2ss: �`.V � Li2 �� I . � - �- - �. • � �-(f1► 2 General Description af Improvemerri � .5! QR • Ll N � ,2...5Ton • -i�- . .. ,� 3• Owner Infflrtnation or Lessee information if the Lcssee contracted for the improve nt• 0�n `o �1 1" � 'p � , 5 p Neme (� ��~ � C7 V �Cta(\n� ... ^1 � �(lL�� Q� K m m �Address �t-- n B Interest in Pmperty: � ry State � B Z Z � Name of Fee Simple Tifleholder. � (If drfFererit iran pwne�lisied above) Address , 4. Contractor. � Sfate N me ' �.�g�� -lyC1M r Ri�.,r, � B v , `C o � � $� pW � � Contractor's Telephone Na:_p�3 -�S�—OO�j� �3� ��n 5. Surety: W�u' Name 7�� z N m Address AApp .• C State «�r r Amount o(Bond: $ T ephone No.: �w� 6. Lender ��o , Name w♦p�v Address �v�� N I � Stale � o i Lenders Telephone No: � � " �r+r 7• Persons within ihe Sfate of Florida designeted by.the owner upon whom nod or other documents may be served as provided b m Sectlon 713.13(1)(a)(�,Florida Statutes; Y f_,� � y��s� Name N�� 3 V --I Address �� /_f o W Telephone Number of Designatetl Person: r - � m 8. , In add�tlon to himself,the ovmer desfgnates � of tn receive a copy of the Llennrs N 'ce as provided fn Sec6on 713.13(1)(b),Florida Staiutes. Telephone Number of Person or En[ity Designated by Owner. 9. E�iration date of Notice of Commencement(the expiration date may nol be befo the compietion of construction and final payment lo the . conlraGor,but will�be one year from lhe date of recording untess a ddferent date is s eafied): WARIJING TO OWMER AM'PAYMENTS MADE BY THE OWNER AFfER THE PIRA770N OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENiS UNDER CHAPTER 713, PHRT 1, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROP RTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE 7}{E FIRST INSPECTIO IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR R RDING YOUR NOTICE OF COMMENCEMENT. Under penalty of perjury,I declare that I have read the foregoing notice oF comrtienc errt and that the facls stated ihe2in are true to the best of my Imowledge and belief. STATE OF FLORIDA � COUNTY OF PASCO _ � Signature of Owner or e�ssee,or wners or Lessee's Aulhorized Officrs/DirecrodPartnerfl lanager SignatoysTitle/Office The foregoing insWment was ecknowledg�tl before me�his�"day of�,z0�b K�2v�v► ('k v�►2 n u P� as e p of authority,e.g.,officer,trus/tee,.atlomey in facl)for li (na a onbehalfqf+ytyQm'�ns}�Grffentwase cuted). ��9 �O��>/�� Personally Known�OR Produced Identification❑ Nolary Signatur' 1%l �j '� ,, , ,(2�i� ' •. � �i Type of Idenlificalion Produced Name(Prinl) � ` � ;� .�� end ��0�= �c �c� o�laolzoz� _ ; 1� d10N � ' � - � ¢ : 33S 3NN31 ; �` _ . _ �0 _ % �v0•. �i 1 S •.�`�: '-,,,/ti�1.-, ...1��a\\.. wpdata/brslno(icecommencemeM�c053048 �/ � �� IIII11 O��°��'�� •JO . . �, , ,� l,�� STl�TE QF FL��'@�A, C6�ElfvTY�F P.4:�� THIS IS TO'C�RTIFYTHATTHE FOREGOING ISA • � TRUE AND CORRECT COPY OF THE DOCUMEt�T �� : ON FILE OR OF PUBLIC RECORD IN THIS OFFICE . .,_: ?�t � � o �Pnyoc��e ;�p9j•., � WITf�F�SS MY HAND RND O FICI SEAL T�g�, `� � �`DAY OF 2 � � K � PAULA S. 'NEIL, C RK&CO�PTROI.Rv , �• .;..�r3�'1 � �� r��dQQ� BY �FI�UTY CLERK � Commercial ' EPA Certified Refrigeration State Certified Air Canditioning CFESA Certified Heating Systems �� Established in 1906 Kitchen Equipment 24hr Emergency Service Ventilation Systems TbYC SER Y/CES Parts and Equipment Sales Beverage Equipment Ice Machine Sales and Leasing PROPOSAL Customer: Ruby Tuesday Corp(241466) Date: 1/25/2018 Ruby Tuesday#7178 TPA(7178) Quote#: 53068.1 7909 Gall Bivd. Zephryhills, FL 33541 Customer PO: 92659172 Work Order: 5910402 Project: Replace RTU 3& RTU 4gas packs with Is Equipment Running: Partially client supplied equipment. Age of Equipment: 14 Condition of Equipment: Recommend Replacement We propose to furnish the materials and/or perform the work described below: RTU 3 YSC102A3RLA1 LBOAOA2A000B0, serial 449101443L, 8.5 ton gas pack, and RTU 4 YCD150D3LOBB, serial 450100899D, 12.5 ton gas pack. Our technician found these RTUs have failed gas heating components, are in poor condition, and recommends that they be replaced. We will remove the old equipment for disposal, install the new client supplied RTUs, install a new supply smoke detector(per unit), return smoke detector(per unit)and key station (per unit), install tie downs, startup, and test for proper operation. The existing equipment has internal disconnects -this quote includes an electrical subcontractor to install a new external disconnect on each unit.The new equipment disconnects will be connected to the existing main electrical runs and main breakers.The new equipment will be connected to the existing control wiring, thermostats, and gas supply. Quote includes mechanical permit, electrical permit, crane rental, electrical subcontractor, freight for materials, labor, startup, and final inspection. Non specified electrical upgrades, site upgrades, roofing work, and mechanical drawings required to pull a permit or pass inspection are not included in this quote.The diagnosis is included in this quote. Note:This quote is priced to install both units same day with three techs on site.This will be a long day incurring round trip charges. We have included the following: • All labor during regular business hours • Delivery of materials and equipment to the job site • Final adjustment and calibration of equipment • Crane rental • Electrical subcontractor-2 disconnects • Permits &final inspection. • Both units installed same day. We have not included: • Any work not specifically stated in the proposal • Next day or Express shipping is not included • Fire alarm panel work • Circuit breakers • Mechanical drawings • Each unit installed on separate days. All for the sum of: thirteen thousand eight hundred four dollars and forty-five cents $13,804.45 This quote is good for 30(thirty)day(s). Quote#53068�Revision#1 13937 Lynmar Blvd'Tampa,FL 33626'Phone(813)884-0037'www.twcservices.com � Page 1 of 2 I Purchaser's Acceptance: Respectfully Submitted: � Ruby Tuesday#7178 TPA TWC Services, Inc. ��/J��,l 1l25/2018 � ,s��- Signature Date SignaMe Date Ned Troide Prirrted Narne Primed Name Quote#53068�Revision#1 13937 Lynmar Blvd'Tampa,FL 33626`Phone(813)884-0037'www_twcservices.com Page 2 ot 2