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HomeMy WebLinkAbout17-18829 CITY OF ZEPHYRHILLS / 5335-8TH STREET / (813)780-0020 1 -`829 BUILDING PERMIT -PERMIT INFORMATION LOCATION-INFORMATION Permit Number: 18829 Address: 5335 8TH ST Permit Type: DEMOLITION ZEPHYRHILLS, FL. Class of Work: 636-DEMOLITION Township: Range: Book: Proposed Use: COMMERCIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-13400-0010 Improv. Cost: 25,100.00 _ OWNER INFORMATION Date Issued: 9/18/2017. Name: CITY OF ZEPHYRHILLS LS#6 Total Fees: Address:/IIn� �1' 1 5335 8TH ST Amount Paid: 1 ZEPHYRHILLS, FL. 33542 Date Paid: Phone: Work Desc: DEMOLITION CITY HALL-FEE WAIVED CONTRACTORS APPLICATION FEES PAW MATERIALS INC FINAL Ins ections Required 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 performed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES 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 Fax-813-780-0021 -- . Building Department Date Received Phone Contact for Permitting ( 813 ) 927 -- 734::::j Owner's Name City of Zephyrhills Owner Phone Number Owner's Address 5335 8th St;Zephyrhills, FL 33542 Owner Phone Number Fee Simple Titleholder Name City of Zephyrhills Owner Phone Number Fee Simple Titleholder Address 5335 Sth Street;Zephyrhills,FL 33542 JOB ADDRESS 5335 8th St;Zephyrhills, FL 33542 LOT# SUBDIVISION PARCEL ID# 11-26-21-0010-13400-0200 (OBTAINED-FROM PROPERTY TAX NOTICE) WORK PROPOSED =NEW CONSTR REPAIR DD/ALT =SIGN DEMOLISH INSTALL PROPOSED USE =SFR =COMM =OTHER Municipal TYPE OF CONSTRUCTION BLOCK =FRAME =STEEL = DESCRIPTION OF WORK Demo existing City Hall BUILDING SIZE I SO FOOTAGE 17500 HEIGHT BUILDING $ 25,100.00 VALUATION OF TOTAL CONSTRUCTION(DEMOLITION ONLY) ELECTRICAL $ AMP SERVICE PROGRESS ENERGY = W.R.E.C. =PLUMBING $ IT =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION l =GAS ROOFING Q SPECIALTY = OTHER. FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER �� COMPANY AD Morgan Corp SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address 716 N. Renellie Dr.;Tampa, FL 33609 License# CGC044502 ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Address License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# OTHER COMPANY PAW Materials, Inc. SIGNATURE Ala6 REGISTERED Y/ N FEE CURREN Y/N Address 6640 SR 52;Bayonet Point, FL 34667 License# LDE-09451 RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans; (1)set of Energy Forms;R-O-W Permit for new construction, Minimum ten(10)working days after submittal date. Required onsite,Construction 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 Forms.R-O-W Permit for new construction. Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster.Site Work Permit 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 application 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 Attorney(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (copy of contract required) Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/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 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 undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and 90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the "owner", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the"owner" prior to commencement. CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/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-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 W" 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 OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT(F.S.117.03) OWNER OR AGENT CONTRACTOR 4A Subscribed and sworn to(or affirmed)before me this Subscribed and sworn to(or affirmed)before me this 2. `T ya9 by QyG 2.v11 by G,AA Ic X4 A ✓F• Who is/are personally known to me or has/have produced Who i re ersonall known to me o as/have produced as identification. as identification. Notary Public ��� �s Notary Public Commission No. Commission No. 7i7i .C �^ +L4-1I TERRY LILLING Notary typed,p p ry typed,p p ,,'�„"„I Notary Public-511819 oFlorida Name of Nota t ed,printed or stamped Name of Not t ed, rin ed or sta •a Commission#FF 227642 My Comm.Expires May 5,2019 l • f�;in Bondedttro*National Notary Assn. CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 18833 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 18833 Address: 5335 8TH ST Permit Type: COMMERCIAL ZEPHYRHILLS, FL. Class of Work: NEW CONST/COMM Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-13400-0010 Improv. Cost: 7,284,327.00 OWNER INFORMATION Date Issued: 9/27/2017 Name: CITY OF ZEPHYRHILLS Total Fees: � f,1 , Address: 5335 8TH ST Amount Paid: C�`�Il/ ZEPHYRHILLS, FL. 33542 Date Paid: Phone: Work Desc: CONSTRUCT NEW CITY HALL 19,622 SQ FT W/ PARKING FEE WAIVED CONTRACTORS APPLICATION FEES AD MORGAN CORPORATION ALL PHASE ELECTRIC & MAINTENANCE SAMPLE PLUMBING INCj FRENCH'S AIR CONDITIONING INC j\ Ins ections Required FOOTER 2ND ROUGH PLUMB MISC INSULATION 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 performed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. A------ &_�, �� 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 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact for Permitting ( 813 ) 927 7346 Owner's Name City of Zephyrhills Owner Phone Number Owner's Address 5335 8th St;Zephyrhills, FL 33542 Owner Phone Number Fee Simple Titleholder Name City of Zephyrhills Owner Phone Number Fee Simple Titleholder Address 5335 8th Street;Zephyrhills, FL 33542 JOB ADDRESS 5335 8th St;Zephyrhills, FL 33542 LOT# SUBDIVISION PARCEL ID# 11-26-21-0010-13400-0200&11-26-13400-0010 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED PRNSTALL NEW CONSTR =ADD/ALT =SIGN =DEMOLISH REPAIR PROPOSED USE =SFR . =COMM OTHER Municipal TYPE OF CONSTRUCTION FX_X_1 BLOCK =FRAME OSTEEL DESCRIPTION OF WORK Construction of New City Hall BUILDING SIZE 118'-8"x149'-7" SQ FOOTAGE 19622 HEIGHT 35'-0" =BUILDING $ 6,180,747.00 VALUATION OF TOTAL CONSTRUCTION FX7XELECTRICAL $ 609,970.00 AMP SERVICE 1000 am PROGRESS ENERGY 0 W.R.E.C. FXY�PLUMBING $ 85,100.00 MECHANICAL VALUATION OF MECHANICAL INSTALLATION $ 408,510.000 =GAS 0 ROOFING = SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS 88 75 FLOOD ZONE AREA =YES BUILDER /f //�J COMPANY AD Morgan Corp SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address 716 N.Renell' Dr.;Tampa,FL 33609 License# CGC044502 ELECTRICIAN COMPANY All Phase Electric&Maintenance,Inc. SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address 4301 W South Ave.;Tampa, FL 33614 License# EC0001749 PLUMBER COMPANY Sample Plumbing Inc. SIGNATURE REGISTERED Y/ N _J FEE CURREN Y/N Address 03 W.San Rafael St.; ampa, FL 33629 License# CFC1425683 MECHANICAL COMPANY French',Air Conditioning, Inc. ASIGNATURE I��- REGISTERED Y/ N FEE CURREN Y/N Address 3818 N.40th St.;Tampa, FL 33610 License# CACO 57826 OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Address. License# Odom RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans; (1)set of Energy Forms; R-O-W Permit for new construction, Minimum ten(10)working days after submittal date. Required onsite,Construction 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 Forms. R-O-W Permit for new construction. Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster.Site Work Permit 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 application completely. Owner&Contractor sign back of application,notarized If over$2500,a Notice of Commencement is required. (A/C upgrades over.$7500) Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (copy of contract required) Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact for Permitting ( 813 ) L? 79t& Owner's Name Gl T of u PH ym I L,v Owner Phone Number 5335 Owner's Address J ST" I,i'ZEPNyiZ&LGT,JCL 33Syt Owner Phone Number Fee Simple Titleholder Name G 1 T oC iJAqYJ?RJ1_LrOwner Phone Number Fee Simple Titleholder Address 5335. 8'".r+; 2,'P14Y914ILLf, FL 335'12- JOB ADDRESS 53.3 s 8TH1 S 5338 7?H IT• �)rP�l y RH+LLS ICL 33s LOT# 1l-Z�-21-00lD-13HOu- aolu Ti-2(o-Yl-Dale-ISjOo ao/0 SUBDIVISION PARCEL ID# +1-Lb-21.0aro-I YO-0200 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONST ADD/ALT = SIGN ® DEMOLISH B 1 STAL REPAIR PROPOSED USE SFR Q COMM = OTHER I M UJVI G/ 4 L TYPE OF CONSTRUCTION = BLOCK © FRAME = TEEL DESCRIPTION OF WORK IV 6W C 17y N L.L 0 PAtz/4,�G BUILDING SIZE �l$!$`+t 1`1J'7� SO FOOTAGE �9i lOZ2 _ HEIGHT EZTBUILDING S VALUATION OF TOTAL CONSTRUCTION ELECTRICAL s AMP SERVICE 1000 P = PROGRESS ENERGY = W.R.E.C. EZ�PLUMBING S MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION =GAS ® ROOFING = SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS 88•7 S FLOOD ZONE AREA DYES NO BUILDER /n/ COMPANY A-a- A11,1X(1N GoQP• SIGNATURE / \ REGISTERED I Y/ N FEE CURREN I Y/N Address 716 N• PL.'TAIWPA Fi 33(oa9 License# LAC �Iy ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Address License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN L11 N Address License# OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN LILN Address License# RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, Minimum ten(10)working days after submittal date. Required onsite,Construction 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 Forms.R-O-W Permit for new construction. Minimum ten(W)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster.Site Work Permit 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 application completely. Owner&Contractor sign back of application,notarized If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500) Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (copy of contract required) Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/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 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 undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of use in existing buildings, or expansion of existing buildings, as specified in -Pasco County Ordinance number 89-07 and 90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the`owner", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the`owner" prior to commencement. CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,Water/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-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"W 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 OBTAIN FINANCING'-CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT(F.S.117.03) OWNER OR AGENT CONTRACTOR Subscribed and sworn to(or affirmed)before me this Subscribed and sworn to(or affirmed)before me this r by *416T b Who is/are personally known to me or has/have produced Who is/a rsona ly n to me or has/have produced as identification. as identification. Notary Public r L. k- Notary Public Commission No. Commission No. Z auur Name of Notary typed,printed or stamped Name of Notary typed,printed o sty ��� Notary Public-State of Florida s' = Commission 0 FF 227642 My Comm.Expires May 5,2019 �ur ■_-w l Bonded"• ,,�,National l�ID<ary�11. 8/4/2017 11-26-21-0010-13400-02001 Pasco County Property Appraiser Data Current as Of: Weekly Archive - Saturday, July 29, 2017 Parcel ID 11-26-21-0010-13400-0200 (Card: 001 of 001) Classification 82 - Forests, Parks, recreational areas Mailing Address Property Value CITY OF ZEPHYRHILLS Ag Land $0 5335 8TH ST Land $19,600 ZEPHYRHILLS FL 33542-4312 Building $0 Physical Address Extra Features $9,200 5338 7TH ST ZEPHYRHILLS, FL 33542 Just Value $28,800 Legal Description (First 4 Lines) Assessed (Non-School Amendment 1) $28,800 See Plat for this Subdivision TOWN OF ZEPHYRHILLS PB 1 PG 54 Taxable Value $0 LOTS 20 21 22 23 &24 BLOCK 134 OR 4995 PG 320 Jurisdiction City of Zephyrhilis Land Detail (Card: 001 of 001) Line Use Description Zoning Units Type Price Condition .Value 1 1200 STORE COMB TCBH 7,000.00 SF $2.20 1.00 $15,400 ...2 1200 .STORE COMB TCBH 10,500.00 : SF $0.40 1.00 Additional Land Information Acres 0.40 Tax Area , 30ZH FEMA AE Commercial Code M7ST9AA Code Building Information - Use 00 - Unimproved (Card: 001 of 001) Unimproved Parcel 00 - Unimproved Extra Features (Card: 001 of 001) Lin_a Description Year Units Value 1 CANOPY 2006 1 $1,813 2 PAV ASP 2006 9,500 $6,021 3 PAV CON 2008 720 $1,366 Sales History Previous Owner: STOKES GRACE V Month/Year Book/Page Type DOR Code_ Condition Amount 06/2002 4995 / 0320 Warranty Deed Improved $170,000 http://search.pascopa.com/parcel.aspx?sec=11&twn=26&mg=21&sbb=0010&blk=13400&Iot=0200&limit=FromMap 1/1 8/4/2017 11-26-21-0010-13400-0010 1 Pasco County Property Appraiser . i Data Current as Of: Weekly Archive - Saturday, July 29, 2017 Parcel ID 11-26-21-0010-13400-0010 (Card: 001 of 002) Classification 89 - Other Municipal Mailing Address Property Value CITY OF ZEPHYRHILLS Ag Land $0 5335 8TH ST Land $38,600 ZEPHYRHILLS FL 33542-4312 Building $1,985,800 Physical Address - See All 4 Extra Features $21,290 addresses (First shown) 5335 8TH ST Just Value $2,045,690 ZEPHYRHILLS FL 33542-4312 Assessed (Non-School Amendment 1) $2,045,690 Legal Description (First 4 Lines) See Plat for this Subdivision Taxable Value $0 ZH MB 1 PG 54 LOTS 1 TO 19 INCL BLK 134 AKA CITY HALL CITY LIBRARY&CITY PARKING LOT Jurisdiction City of Zephyrhills Land Detail (Card: 001 of 002) Line Use a D_escription 'Zoning 'Units Type_ Price Condition Value 1 8900 MUNICIPAL TCBH 7,000.00 SF $2.20 1.00 $15,400 2 8900 MUNICIPAL TCBH 58,000.00 SF $0.40 1.00 $23,200 Additional Land Information Acres 1.49 Tax Area . 30ZH FEMA Commercial Code ', M8ST9AA Code Building Information - Use 89 - Municipal Buildings (Card: 001 of 002) Year Built 1958 Stories 1.0 Exterior Wall 1 Concrete Block Stucco Exterior Wall 2 None Roof Structure Rigid Frame w/Bar Joist Roof Cover Built-Up Tar and Gravel Interior Wall 1 Plywood Panel Interior Wall 2 Drywall Flooring 1 Cork or Vinyl Tile Flooring 2 Carpet Fuel Electric Heat Forced Air - Ducted /C Central Baths 6.0 Line 'Description Sq. Feet Re_pl. Cost New 1 BAS 13,583 $1,485,301 2 CAN 188 $6,124 3 FOP 9 $328 Extra Features (Card: 001 of 002) Line Description Year Units Value 1 PAV ASP 1958 111000 $3,218 Sales History Previous Owner: N/A Month/Year Book/Page Type DOR Code Condition Amount 01/1971 0575/ 0636 Improved $18,000 http://search.pascopa.com/parcel.aspx?parcel=2126110010134000010&showcards=001 1/1 Uty of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contracto /Homeowner: 9> C'c Date Received: Site: r � Permit Type: Approved w1no comments:❑ Approved w/the below comments: Denied w/the below comments: ❑ 1-3k J This comet t sheet shall be kept with the permit and/or plans. B' Burges —B ' ding Official Date Contractor and/or Homeowner (Required when comments are present) Jacqueline Boges From: Jacqueline Boges Sent: Wednesday, June 27, 2018 11:21 AM To: Duke Energy(floridamunicipalities@duke-energy.com) Subject: release power permanent needed Hello, Jackie, here in the City of Zephyrhills and I am requesting that permanent power be released for the address of 5335 81h St by#18833. Please acknowledge receipt of this email as power release given as this will be a part of the permit file. Thank you s_ s -f f _ + r/aekle Boges 813-780--0020 ext 3513 "A rule I have had for years is:to treat the Lord Jesus Christ as a personal friend. His is not a creed,a mere doctrine,but it is He Himself we have."Dwight L. Moody Florida has a very broad public records law. Electronic communications regarding most City of Zephyrhills business are public records and available upon request. Your e-mail communications may therefore be subject to public disclosure. If you received this message in error, please do not read, forward, copy, etc. and delete immediately. 1 111111IIIIII11111IIIllillliilliifliilli{lllliill{iiiliill�ll 2017142162 Permit No. Parcel ID No ll-Z6-2.!' 0010^'13`i00-OLOO NOTICE OF COMMENCEMENT State of F:L OIL l0h County of THE UNDERSIGNED hereby gives notice that Irnprovement W.9 be made to certain real property,and in awotdenr�vAm Chapter 713,Florida Stables, the fogm'Ang Information is provided in this Notice of Cammeneemeni: s. OasMpbonciProperty:PercetidardtraagonNo. tt-�rD"2t-.DOJO- t3NtT0=AtOa Street Address: ru,lT. { ZFGN YRHr Lo,}'y 3.3.$"`f7- 2. General Description oflmpraemeni NC r- Gl T V A4AL,, _ 6 SttC l�P2e✓�� err 3. Owner Informatlon w Lessee mfonnation if the Lessee wntraded for the Improvement Cf?Y bfc okY2HtcaJ S33S' r s^ 260NY Hwc f Address Ciy State lateness In Property: c.rL Name of Fee Simple Titleholder. of different from Demur listed above) Address City State 4. cantrader. A D Molte.4i COMP. ' '21 ,,, Z'/Zer+e_eajE D WA JCL Address //�� �r / City Stme C-Insclofs Telephone No.: 'q i+sQ=^T(�b tf o 5. Surety: Lit3EtLT,� NiVlUAL JIJ.Iv2Adat e47M— JAL Namo Jflbl Hr_ r+ __t1v��_f�trE 1700 SF771.E A dress City Sala , Amount of Bond:Sh+ ys0a-`iyir.CPO Telephone No.: a. Lender: Name Address City Slate Lat defa Telephone Na.: T. Persons vrither the State of Florida designated by the ovner upon wham noires or other documents may ire served as provided by Section 113.13(1){a)(7J,Florida Statutes: Name i Address City Sfa".a Telephone Number or Designated Person: E. In addition to ttimsab,the ovner designates to receive a wpy of the Lfenofs Notice as provided In Section 713.13(i)(b),Florida StabAes, 1 Telephone Number or Person or Entity Designated by Owner: 9. E,#rv6oh data of Notice of Commencemom(the eawiration date may not be before the completion of wnsWdian and%ol payment to life conbador,but veg be one year from the date of recording unless a ddferent dab is sP.Med)t DA C f_/lC E/V,,W CA t Z O/Q WARNING TO OWNER:ANY PAYMENTS MADE BY THE OVINER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART 1.SECTION 713.13,FLORIDA STATUTES AND CAN ' RESULT IN YOUR PAYING TWICE FOR IMPROVEtAENTS TO YOUR PROPERTY. A NOTICE OF COt7,tFENCEfi!EtTI'b!UST 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 COIAMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Under penalty of perjury.I deeare that,i have road me foregoing notice of wrnmancemera and that the fads stated theman are true to the best i TA� f m Wedge end belief. �\"`/j�' C o lrrr�i v .Gp�Mh11SSJO' '9i/r��r, Signature of Omer or Lessee,orOvmefs orit,essoes Authorized �`;,l Vtdgaf 73 y i O�cerrt]ired�ofrlPennLerRlanage�r,,y)�}� _ ) Signatory's T wOrk edged Is fore me this ZT say+ r jtt ',by (type of authority,e.g..wficer,Imstae,attorney in fad)for )� "+t ,/,�,�_ _{name of Da on DPhelf otvhom Ylsbinnantwa5 errecuted). Persaf/(6H IdenillovA❑ Notc7 Signature _ V Type of Identification cation Produced Name(print) Z yr-z', Rcpt:1893175 Rec:. 10.00 PRULA S.0'NEIL,Ph D.PASCO CLERK Is COMPTROLLER DS: 0.00 IT: 0.00 09/07/2017 10111arn 1 ofq 1�g 09/07/2017 J. R_, Dpty Clerk _ OR 8K 960 PG Z LrG� ,vpdstal6es/nohcaconmencemenl11e053e4a , CITY OF ZEPHYRHILLS 5335-8th Street (813)780-0020 19204 _ ELECTRICAL PERMIT PERMIT INFORMATION - LOCATION INFORMATION Permit#:19204 Issued: 1/19/2018 Address: 5335 8TH ST Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL. Class of Work: ELECTRICAL MISC Township: Range: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Sq. Feet: Est. Value: Book: Page: Cost: Total Fees: Subdivision: CITY OF ZEPHYRHILLS Amount Paid: Date Paid: Parcel Number: 11-26-21-0010-13400-0010 CONTRACTOR INFORMATION OWNER INFORMATION Name: JCI SECURITY SOLUTIONS Name: CITY OF ZEPHYRHILLS Addr: 10500 UNIVERSITY CNTR DR STE 275 Address: 5335 8TH ST TAMPA, FL. 33612 ZEPHYRHILLS, FL. 33542 Phone: (180)028-9264 Lic: Phone: Work Desc: CCTV- CAMERAS APPLICATION FEES INSPECTIONS REQUIRED ROUGH ELECTRIC CONSTRUCTION POLE PRE-METER I FINAL / l 2 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 may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management, state agencies or federal agencies. "Warning to owner: Your failure to record a notice of commencement may result in your paying twice for improvements to your property. If you intend to obtain financing,consult with your lender or an attorney before recording your notice of commencement." Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. Ake, CONTRACTOR PER OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received 1 Phone>ContactforPerniittln Owner's Name (11 1 ` t Z 6 W` e iG t•5 Owner Phone Number Owner's Address 3 ���`� Z d ` �( :Owner PhonwNumber • Fee Simple(Titleholder Name Owner Phone Number �- Fee Simple;Titleholder Address JOB ADDRESS LOT# SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED _NEW CONSTR ADDIALT' [ SIGN` �. 0 DEMOLISH i e. INSTALL 8 REPAIR PROPOSEDUSE Q SFR 'COMM OTHER TYPE OF CONSTRUCTION 0 BLOCK " : FRAME :�_]' '.:STEEL 'Q. -71 DESCRIPTION OF WORK "� C T ✓�=' BUILDING SIZE SQ,FOOTAGE ,HEIGMT._. � P, =BUlLDING $ VALUATIONrOFTOTAL CONSTRUCT{ON ` =ELECTRICAL � � AMP SERVICE Q PROGRESS ENERGY Q. W.R.E.C. =PLUMBING $ =MECHANICAL $ VALUATION OF,MECHANICAL INSTALLATION =GAS 0 ROOFING :0 SPECIALTY_ OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA [ ]YES. N.O BUILDER COMPANY SIGNATUR REGISTERED FEE CURREN Address License#`` ELECTRICIAN: _ COMPANY SIGNATURE REGISTERED Y/ N FEE'CUkkE ','! Address - License-# { PLUMBER '= COMPANY SIGNATURE' REGISTERED.; Y/•N,' ;,:-..;FEE CURREK Y/N t Address License,# � :. MECHANICAL. .. COfdP ,ANY SIGNATURE REcisrEREo,, Y./ N. . -_:; FEECURREI%z Y/N•. .. Address;';_ :� Ucense# OTHER ;COMPANY SIGNATURE. REGISTERED Y/ N 4„.., .,FEE CURRE)\ ., Address P . ,.:.. _••. .•_. ' .. License#;l � RESIDENTIAL',;•,.Attach`{2},P-...lofti?laris;{2}sets;ofiBullding3'Plans;{:1)'se#of'Energy>farms;R-O=W Peririitfor oew constnacticri, IMlinlmum ten°(>1.0),workingdays;after;`subinittal datea;Requl�ed onsife,Constniction Rians;Stormwate�`Pians w/Sitf Fence installed, " • Sanitary Facllltiest&s,1.�,dumpster,Site�Work,Permit forsubdivislons/largeproject's;;._�:':.r;' _ COMMERCIAL Attach{3166mplate sets i -Building Plans plus a,Life Safety Page;(1)set of Energy Forms.R-OW Permit for new construction. Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster.Site Work Permit for all new,projeots:All commercial requirements.must meet compliance SIGN PERMIT Attadf(2)sets of"Engiiieered;Plans.;,.::_ ;= "'"PROPERTY SURVEY required for all,NEW ,ganstruction.,. Directions: :.. . , Fill out application completely. Owner&Contractor sign back of application,notarized If over$2500,a Notice,of Commencement Is required. (AIC upgrades over$7500) Agent(for the contraator)'or'Power of Attorney(fog file owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER.PERMITTING... ...,-{Front-of�Applicaton-Only} Reroofs If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) Driveways-Not over Counter if on public roadways'..need§ROW Notice is hereby given that a low-voltage alarm system project has been completed at the address specified above.I certify that all of the foregoing information is true and accurate. 10/1/13 section 553.793 FS City of Zephyrhills City of Zeph ' hills Uniform Notice of a ow-Voltage Alarm.Sys em Project '/, Uniform Notice of a Low-Voltage Alarm System Project Owner's/CustomerName /7'!/C�`S #19&4ZT Owner's/CustomerName # Address S-33,5 _ Address City 05 St Zip 2— City St Zip Phone . E-mail Phone E-mail Contractor itSAYt "Ul Ylc.# 15fb0060 76 q Contractor Lic.# Address- .S� (,(fllmsiki Address City St Zip (7/Z City St Zip Phone _gap� DateProjectComplete Phone DateProjectComplete Scope of Work (t� Scope of Work Signature: Signature: _ Owner or tenant or contractor or authorized representative Owner or tenant or contractor or authorized representative Notice is hereby given ihaf a low-volfage alarm system project has been completed at the address Notice is hereby given that a low-voltage alarm system project has been completed at the address- specified above.I certify that all of the foregoing information is true and accurate. specified above.I certify that all of the foregoing information is true and accurate. 1011113 section 553.793 FS 10/1113 section 553.793 FS y 1(' 1. _ ATE AC"R"® CERTIFICATE OF LIABILITY INSURANCE D01/22/2018DIrYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Marsh USA Inc. NAME: 411 E.Wisconsin Avenue PHONE FAX No): Suite 1300 E-MAIL Milwaukee,WI 53202 ADDRESS: Attn:JCI.Certrequest@marsh.com INSURERS AFFORDING COVERAGE NAIC# 011077--5-17-18* INSURER A:Old Republic Insurance Company 24147 INSURED INSURER B:ACE Property and Casualty Insurance Company 20699 Johnson Controls,Inc. Tyco International Holding S.a.r.l. INSURER C: SimplexGrinnell LP (see attached Acord 101) INSURER D 5757 North Green Bay Avenue INSURER E: Milwaukee,WI 53209 INSURER F: COVERAGES CERTIFICATE NUMBER: CHI-008600186-03 REVISION NUMBER: 1 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE ADDL SUER POLICY NUMBER MM/POLDD/YYYY CY EFF MMIDDY� LIMITS A X COMMERCIAL GENERAL LIABILITY MWZY310897 10/01/2017 10/01/2018 EACH OCCURRENCE $ 10,000,000 CLAIMS-MADE M OCCUR DAMAGE TO RENTED 10,000,000 PREMISES Ea occurrence $ X Contractual Liability MED EXP(Any one person) $ 50,000 X XCU Included PERSONAL&ADV INJURY $ 10,000,000 GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 30,000,000 X POLICY PRO ❑ LOC PRO- JECT PRODUCTS-COMP/OP AGG $ INC INGENAGG OTHER: $ A AUTOMOBILE LIABILITY MWTB310896(Excludes New Hamp) 10/01/2017 10/01/2018 COMBINED SINGLE LIMIT Ea ccident $ 7,500,000 a A X ANYAUTO MW713310898(Primary NH$250k) 10/01/2017 10/01/2018 BODILY INJURY(Per person) $ A OWNED AUTOS ONLY SCHEDULED MWTB310899(Excess NH$7.25mm) 10/01/2017 10/01/2018 BODILY INJURY(Per accident) $ AUTOS HIRED NON-OWNED Excess NH Auto is Follow Form PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident Ito Primary NH Auto $ X UMBRELLA LIAB X OCCUR G28162509 002 10/01/2017 10/01/2018 EACH OCCURRENCE $ 5,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000 DED 7 RETENTION$ $ A WORKERS COMPENSATION MWC 310893 00(AOS-see page 2) 7 10/01/2018 X PER oTH- AND EMPLOYERS'LIABILITY STATUTE ER A ANYPROPRIETORIPARTNERIEXECUTIVE YIN N MWXS 310894(OH&WA) 10/01/2017 10I0112018 5,000,000 OFFICER/MEMBEREXCLUE N N/A E.L.EACH ACCIDENT $ (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 5,000,000 If yes,describe under 5,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) See attached Acord 101 for additional information including Additional Insured,Primary/Non-contributory,Waiver of Subrogation and Notice of Cancellation provisions. CERTIFICATE HOLDER CANCELLATION City of Zephyrhills SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 5335 Eighth Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Zephyrhills,FL 33540.4312 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Manashi Mukherjee �Cauao► @ 1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD CITY OF ZEPHYRHILLS 5335 -8TH STREET / (813)780-0020 188 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 18832/18829 Address: 5335 8TH ST Permit Type: COMMERCIAL ZEPHYRHILLS, FL. Class of Work: SITE WORK Township: Range: Book: Proposed Use: COMMERCIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-13400-0010 Improv. Cost: 523,954.00 OWNER INFORMATION Date Issued: 9/18/2017 Name: CITY OF ZEPHYRHILLS LS#6 Total Fees: Address: 5335 8TH ST Amount Paid: Lt(1_U1q ZEPHYRHILLS, FL. 33542 Date Paid. Phone: Work Desc: SITE WORK FOR NEW CITY HALL FEE WAIVED CONTRACTORS APPLICATION FEES COMPLETE DEVELOPMENT INC C Ins ections Required FOOTER 2ND ROUGH PLUMB MISC INSULATION 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 performed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES 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 Fax-913-760-0021 Building Department Date Received Phone Contact for Permitting 813 ) 927 — 7346 OtvneYs Name City of Zephyrhills Owner Phone Number Owner's Address 533.9 eth St;Zephyrhills,FL 33542 Owner Phone Number Fee Simple Titleholder Name City of Zephyrhills Owner Phone Number Fee Simple Titleholder Address 5335 eth Street;Zephyrhills,FL 33542 JOB ADDRESS 04 6Bi Sh Zephyrhills,FL 33542 LOT# SUBDIVISION PARCEL IDN 11-26.21-0010-13400-0200 and 11-26-21-0010-13400-0010 )(X Sltework (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED EWCONSTR8' ADWALT REPAIR SIGN = = DEMOLISH e PROPOSED USE = SFR Q COMM- = OTHER F—Municipal TYPE OF CONSTRUCTION BLOCK FRAME = STEEL = DESCRIPTION OF WORK {dew SiteWOrk fOr City Hall BUILDING SIZE —� SO FOOTAGE HEIGHT I I ®BUILDING $ 523,954.00 VALUATION OF TOTAL CONSTRUCTION(SITEWORK ONLY) =ELECTRICAL S AMPSERVICE Q PROGRESSENERGY 0 W.R.E.C. =PLUMBING Is �J v =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION =GAS' = ROOFING 0 SPECIALTY = OTHER f7d f I VVV FINISHED FLOOR ELEVATIONS FLOOD.ZONE AREA =YES NO BUILDER COMPANY AD Morgan Corp SIGNATURE (Y REGISTERED. I Y/ N FEE CURREN Address 716 N.Renellie Dr.;Tampa,FL 33609 License# CGC11 2 ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/N FEE CURREN Y/N J Address License f# PLUMBER COMPANY SIGNATURE REGISTERED Y/N FEE CURREN I Y/N Address License 0 MECHANICAL COMPANY SIGNATURE REGISTERED ' Y/N 'FEE CURREN Y/N Address _411License# OTHER COMPANY Complete Development.Inc. SIGNATURE REGISTERED I Y/ N FEE CURREN Address coy 301;Tlmnolosassa,FL 33592 License# CUC1224107 RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans col Silt Fence installed, Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large projects COMMERCIAL Attach(2)complete sets of Building Plans plus a'LNe Safety Page;(1)set of Energy Forms.R-O-W-Permit for new construction. Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans wl Silt Fence installed, Sanitary Facilities&1 dumpster.Site Work Permit 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 application completely. Owner&Contractor sign back of application,notarized If over S2500;a Notice of Commencement is required. (AIC upgrades over$7500) Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER RERINITTING (Copy or Conuaar required) Reloofs If shingles Sewers Service Upgrades A/C Fences(Plot/Survey/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 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 undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and 90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the "owner", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the"owner" prior to commencement. CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,Water/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-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"W 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 OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT(F.S. 117.03) OWNER OR AGENT CONTRACTOR Subscribed and sworn to(or affirmed)before me this Subscribed and sworn to(or affirmed)before me this 2. P oA y uF by v4 tvn U r >s� Who is/are personally known to me or has/have produced Who is/ a ersonall known to me r has/have produced as identification. as identification. Notary Public Lam— �' �' �� Notary Public Commission No. Commission No. 2_-7?(�`�Z ALL ..•""" •• MRY LILLING Name of Notary typed,printed or stamped Name of Not ry typed,printed or st b N"y Puetk•State of Florida • Commission•FF 227642 My Comm.Expires May 5,2019 ,� •��ii Y`' Bonded tl m*Nattanal Notary Assn. CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 18831 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 18831 Address: 5404 8TH ST Permit Type: COMMERCIAL ZEPHYRHILLS, FL. Class of Work: SITE WORK Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-13500-0210 Improv. Cost: 78,878.00 OWNER INFORMATION Date Issued: 9/18/2017 Name: CITY OF ZEPHYRHILLS Total Fees: � Address: 5335 8TH ST Amount Paid: ' Cjj(,�,U� ZEPHYRHILLS, FL. 33542-4312 Date Paid: Phone: Work Desc: SITE WORK PARKING LOT ACROSS FROM LIBRARY FEE WAIVED CONTRACTORS APPLICATION FEES COMPLETE DEVELOPMENT INC c ,/J Ins ections Re uired F OTER 2ND ROUGH PLUMB MISC INSULATION 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 performed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-760-MO City of Zephyrhills Permit Application Fax-813-780.0021 Building Department Data Received Phone Contact for Permitting 1 813 927 — 7346 Owner's Name City,of Zephyrhills Owner Phone Number Owner's Address 53M Btti St Zephyrhills,FL 33542 Owner Phone Number Fee Simple Titleholder Name City of Zephyrhiils Owner Phone Number Fee Simple Titleholder Address 5404 6th Street,Zephyrhills,FL 33542 JOB ADDRESS 5404 8lh St;Zephyrhills,FL 33542 LOT SUBDIVISION PARCELID# 11-2621-0010-13500-0210 Xx Sitework (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e NEW CONSTR 8' ADD/ALT lJ SIGN = DEMOLISH INSTALL REPAIR PROPOSED USE = SFR COMM u OTHER. Municipal TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL = DESCRIPTION OF WORK New sitework for perking lot across the street from the library BUILDING SIZE SO FOOTAGE HEIGHT ®BUILDING $ 7B,878.00 VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. =PLUMBING $ =MECHANICAL is VALUATION OF MECHANICAL INSTALLATION 1 =GAS = ROOFING 0 SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO V BUILDER COMPANY AD Morgan Corp SIGNATURE REGISTERED I Y/ N FEE CURREN Y/N Address 716 N.Renville Dr.;Tampa,FL 33609 License# CGC044502 ELECTRICIAN COMPANY .I — SIGNATURE REGISTERED Y/N J FEE CURREN Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED �N FEE CURREN Y/N Address License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN YIN Address License# OTHER COMPANY Complete Development,Inc. SIGNATURE REGISTERED Y/N FEE CURREN Y/N Address N.Hvry 301;Thonotosassa,FL 33592 License# CUC12241D7 REST TIAL Attach(2)Plot Plans;(2)sets of Building Plans:(1)set of Energy Forms;R-O-W Permit for new construction, Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwatar Plans wl Sift Fence Installed, Sanitary Facilities&1 dumpster;Site Work Permit for subdivislons/large projects COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. Minimum ten(10)working days after submittal data. Required onsite,Construction Plans;Stonnwater Plans w/Silt Fence Installed, Sanitary Facilities&1 dumpster.Site Work Permit 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: FIII out application completely. Owner&Contractor.sign back of application,notarized, If over$2500,-a Notice of Commencement Is required. (A/C upgMdas over$7500) Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorl ing same OVER THE COUNTER PERMITTING (ray or crmlrRcl-quid) Retools If shingles Sewers Service Upgrades A/C Fences(PloVSurvoy/Foolago) Driveways-Nol over Counter if on public roadways..needs ROW i NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "contractor Block" of this application for which they 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 undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and 90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the"owner", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prior to commencement. CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,Water/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-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 W" 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 OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT(F.S. 117.03) OWNER OR AGENT CONTRACTOR Subscribed and sworn to(or affirmed)before me this Subscribed and sworn to(or affirmed)before me this 21!r Dy y of by Ay4 ,LJ67 by G146r-Nkr: ,- 0✓F� Who is/are personally known to me or has/have produced Who Is/459 personally mown to me or has/have produced as identification. �� as identification. Notary Public L,�f�j-/' Notary Public Commission No. Commission No. rf�Z2�L 4 TERRY LILLINO Public We 01 a Name of Notary typed,printed or stamped Name of otary typed,arinted or stampe14C Commlaalon 0FF 227642 o;= My Comm.Expires May 5,2019 °` Bonded throw me"Notary Asarl. 871812017` 11-26-21-0010-13500-0210 1 Pasco County Property Appraiser Data Current as Of: Weekly Archive - Saturday, August 12, 2017 Parcel ID 11-26-21-0010-13500-0210 (Card: 001 of 001) Classification 82 - Forests, Parks, recreational areas Mailing Address Property Value CITY OF ZEPHYRHILLS Ag Land $0 5335 8TH ST Land $18,200 ZEPHYRHILLS FL 33542-4312 Building $0 Physical Address - See All 3 Extra Features $0 addresses (First shown) 5404 8TH ST ZEPHYRHILLS, FL 33542 ]ust Value $18,200 Assessed (Non-School Amendment 1) $18,200 Legal Description (First 4 Lines) See Plat for this Subdivision Taxable Value $0 CITY OF ZEPHYRHILLS PB 1 PG 54 LOTS 21-24 INCL BLOCK 135 OR 4182 PG 867 ]urisdiction City of Zephyrhills Land Detail (Card_ : 001 of 001) Line_ Use Description Zoning Units Type Price Condition Value STORE COMB. TMUH 7,000.00 SF $2.20 1.00 $15,400 1.00 2 1200 STORE COMB TMUH 7,000.00 SF $0.40 .. $...,,.,..,.._.... $2,800 Additional Land Information Acres 0.32 Tax Area 30ZH FEMA X Commercial Code M8ST9AA Code Building Information - Use 00 - Unimproved (Card: 001 of 001) Unimproved Parcel 00 - Unimproved Extra Features (Card: 001 of 001) Line Description Year Units Value No Extra Features Sales History - See All S sales Previous Owner: BURROWS GRACE M Month/Year Book/Page Type DOR Code Condition Amount 07/1999 4182 / 0867 Warranty Deed Vacant $57,200 01/1997 3683 / 1816 Certificate of Title Vacant $0 07/1993 3176 / 0736 Warranty Deed Vacant $58,000 http://search.pascopa.com/parcel.aspx?sec=11&twn=26&mg=21&sbb=0010&blk=13500&lot=0210&limit=FromMap 1/1 8/30/2017 10: 12 AM FROM: 8139869101 TO: +18137800021 P. 4 �0!U E Irk Site Prep 0 Earth Moving Undargraund Utilities 0 IN Clearing E Excavation jCD1 to Paving N$Ie !.ic.#COC1224107 2A-G- ENT'AUTHORIZXTION, FORM PMW ALL lNP_0_W_*'n0N IS TO W WPM-OR LgGIBLY PRINTED (Contractors Nme) NOT COMPANY NAME (Contractor's License No.) hereby authorize the following to act as my agent(s) in obtaining permits for the City of Zephyrhills. Name of&Wnt Driver's License No. v�Ant�� ES N ECG or,13 'T#�ian#�rria:sa��er.�e� a��:pt��aus�ty..��i�iimii�edl:f�tber�s��=ae�t�ior�zal�on, Tit .' t ita>i i `a irili:t ritaiiit ^+I� �t i#Ii STATE OF rLCI !c&=_ "nimfled iin vi►ritiha' bite und&W§h Irc�anse hOid@II'. COUNTY OF 4t(ls- �c cc; Sworn to (or afrlrtned) and subscribed before me this ,.c,.:,T.._, day of t t�Jc.(Z, �. 2017 ( edrrypas!name or LfcBMW r:otdv MaIdog 13tatemaai) License tiolder'S.Skpature NOTARY PQBf. C � .7 KRISTIN HAMILTON : •..7u{; MY COMMISSION 9 FF987762 sipnxtu:a or o ry; iN EXPIRES May 01.2020 tool>st=aa�ss PtorM2NoteYssnice.mm Personally Known 14338 N US HWY 301. Thonotosassa, FL 33S92 P(813)986-2901 F(813)986-9101 www.completedevelopment.com 8/30/2017 10: 12 AM FROM: 8139869101 TO: +18137800021 P. 1 - Complete Development , Inc . Site Prep Earth Moving Underground Util. Land Clearing 6 Excavation Paving J Lic. # CUC1224107 PROJECT : ZEPHYRHILLS CITY HALL CDI PERSONNEL CONTACT INFORMATION FIELD CONTACTS : Neal Poe, VP, Superintendent Pipe Crew & Emergency Contact neal@cdisite . com Cell : 813-267-1714 Larry Perkins, Superintendent Earthwork perkins@cdisite . com Cell : 813-267-3311 Pipe Foreman: Dennis Helton 813-267-7760 Pipe Foreman: Joshua O' Brien 813-267-7780 ' OFFICE CONTACTS : Office phone : 813-986-2901 Fax: 813-986-9101 Mailing address : PO Box 450 Thonotosassa FL 33592 Jason Poe, President Cell : 813-267-8466 iason@crdisite . com Estimating Dept : Suzanne Noyes estimating@cdisite . coin Accounting: Kristin Hamilton of-ice@cdisite . com General Inquiries : Allee Norman help@cdisite . com P.O. Box 450 Thonotosassa, FL 33592 (813) 986-2901 www.completedevelopment.com DATE: ! �/ CrrY OF ZERI OF-WAY USE PE DEPARTMENT .PERMIT#�� No construction under ground or above ground of any facility shall be accomplished on any City Rights of Way without written approval from the City Building Department Any application for approval of construction operations on any City owned Rights of Way shall furnish a detailed drawing showing the complete scope of the proposed work in triplicate to the office of the Building Official for approval prior to the commencement of any Work.A copy of this permit is to be kept readily available at the site of the work it all times. PARCEL LD.# 11-26-21-0010-13400-0010 CITY ROAD 301 - DATE 09/06/2017 LOCATION(Legal Description): ZH MB 1 PG'54 LOTS 1 TO 19 IN L B K 134 AKA CITY HALL CITY LIBRARY&CITY PARKING LOT ASSESSED IN SECTION 11 TOWNSHIP 26 SOUTH RANGE 21 EAST OF PASCO COUNTY FL Permissionisherebygranted to JASON POE of. -COMPLETE DEVELOPMENT,INC. for the construction and maintenance of: 1 driveway connection 7th Ave.&7th St and driveway connection and storm connection at 7th St.&6th Ave.. ._subject to the following conditions: - - 1. The construction and maintenance of such utility shaft not interfere with the property,and rights of a prior occupant. . 2.All work shall be done in keeping with the standards of the City Streets Department and under the supervision of the City Building Official,who will be notified at least one day prior to commencement of construction. 3. All materials and,equipment shall be subject to inspection by the City Building Official. - 4. During construction All safety regulations of the Department of Transportation shall be observed and the City shall be relieved of all . . responsibility from damage of any,nature arising from this permit Subjecf to the same terms and rnnditians,the permit bolder may take suchsafety measures,including placing and display of caution signs,as it may deem necessary in conduct of construction and soaintenancework hereunder.It is the " responsibility of the permittea to???? S. All private and all City properly shall be restored to its original condition as far as practical in the opinion of the City Building Official. 6. All underground crossing installations shall be laid at such depth as may be specified by the City Building Official, 7. The sketch covering the details of this installation shall be shade a part of this permit.This permit is granted with the understandingthat the. applicant has notified all other utility users in the area covered by the permit and takes full responsibility for any damage incurred by prior installations as a result.of his operations in order that they may.safe guard their,interests. - & It is expressly stipulated that this permit is a license for permissive use only and that tho,placing of facilities upon public property pursuant to this permit shall not operate to create or to vest any property right in said holder. 9. Whenever the City decides to further exploit the City Rights of Way,any or all said poles,wires,pipes,cables,or other facilities and appurtenances authorized hereunder,shall be immediately removed from said Rights of Way,or reset or relocated thereon as required by the City Building ' Official at the expense of the holder of this permit ' .. .. ' 10.The holder shall save and keep the City harmless from any and all damages,claims,or injuries that may occur by reason of the construction, maintenance,and operation of said facility. - - - - 14 The holder shall complete the requested work within 'days or this permit shall become null and void.In the event the work 'requested is not completed upon the expiration date of this permit,the City;hall have the right to complete such work and to charge the holder of the permit .. for all costs incurred in completing said work. - 12.The holder shall post a cash orsurety bond with the City Manager in the sum of S dollars to guarantee performance of the " - obligations herein,and to guarantee maintenance of the right-of--way described herein for a period of one(1)year following completion of the requested ' 'installation.In the event a surety bond is posted,the surety bond shall be made payable to the,City and shall obligate the surety to hold the City harmless in the event the holder of this permit should fail to meet any of its obligations hereunder.The bond shall also indemnify the City for all court costs and reasonable attorneys fees in the event legal action is required to collect on said bond. SUBMITTED BY: .. - (Permittee) Jason Poe o -- veto Ment Ina: - Address 1433 .U w�Fi 3 — Signature&Title President 01,Th6notosassa,.FL33592 . p .$13-986-2901 . .. APPROVED BY: . CITY OF ZEPHYRurt LS t (Date:' ingOfficial d Utilities Supervisor , 'Date--. < A` ry Public Wor Gs.�f7 ' ^� �'fakYS Date_ .. . . '.•"1- �� X t4LKE�} Zo S'RSoA) *06E otV ifi�of�? City:Managerr-- www.invarion.corn FOR OVERVIEW PURPOSE ONLY DRAWING NOT TO SCALE Legend NOTE: ®Work Area THIS M.O.T.IS BASED ON MUTCD&THE FLORIDA DEPARTMENT OF TRANSPORTATION ROADWAY AND DESIGN STANDARDS.ALL TRAFFIC CONTROL DEVICES MUST BE SETAND PLACE BY PERSONS CERTIFIED IN TRAFFIC CONTROL DEVICE PLACEMENT AND PLANNING. N \ ir; 1 W .E �t Table Device Spacing G _ May-Distance Between Devices(M) SPEED (mph) caws w Budad®r°r4tmcd f '�R�, v N6tlr6tarRers prnda arduae T-am I T Tmnm W 25 25 50 25 1 50 �"e g 30 to 45 25 1 50 30 50 \ w 6r 50 ro 70 as 50 so tog DISTANCE BETWEEN SIGNS SPEED Spacing R A 6 C 40 mph or less 200 200 200 A \ 45 mph 350 350 950 50 mph 500 500 500 Q ` '55 mph or greater 2640 1640 1000 FO This Certifies that -• �-,-•a+ JASON W.BROWN Hea ComdFlordaDeparment of Tenporteto ApoManc of Traffic(MOT)Advanced Course seZephyrhIIIs New City Hall 12699 \ ftsh tcy DtnO'COMOr FDOTPm Werl 37 \ ATSSA !i Phone: 640.368.1701 Dxraneroa: Complete Development,Inc. er ERED Suzanne Noyes 16 Riverside Parkway ste.100 LOCATION: 6th Ave pxoxE 813-986-2901 \ Fredericksburg,VA,FL www.: \ a sTATEZEPHYRHILLS,FLORIDA donna.clark8ats sa.c0m 'tlfEi iOdDtAYE 11YE8 °" couxv DAM' 09/14/2017 llllll I(III IIIII I(11(IIIII II III IIIII IIIII Illll IIIII IIII II II 2017142162 Permit No. PacelTDNa t 1-z6-7.1-0010—154yo)—ozoo NOTICE OF COMMENCEMENT Stoical !"4 e7 Caunyof_ /� SG THE UNDERSIGNEDhorabygivasratite that improvar end W1 be made to eeralerealproperty,andin—danrevAth Chapter713.Florida Statutes, (he follMng Information is provided In this Notice of Commencement 1. DO&WpbonofProperty..Parcel Identification No. �1-2,CO-21-.0010- 13s/00-0200 Street Address: 53.YS 14ru f?. i a.EF/•IYJZA0&4,.rf. Fd� 2 Ganaml Description of tmprovomaM G p p.t SfL K G7J 0� O A /V t4!:LAL 7 Y Al AI c - tJ .r I7E IM PRN✓f/'tC YTS _3. Owner infonnalbn or Lessee information ff the Lessee contracted for the improvement: _�rh df �'6J�IfYlL,4tce.J sass s- z�purttNl4tf Address Cty Stale Interest In Property: DWJ✓rr h+ Name of Fee SInlple Tdleholden (if differeent from Ov.-ser135tad above) Address C}y state 4. Contractor.-4.D. IAoX46)rJ eoR,IP r k �eN Rierp_cwa DR rr7J%aAA Contras p� City Stele Cantradtvrs Tefep!wne No.: CLIP��' �S6-�Qi AD 0 5. Steay: 4116—c R.Tr /AtJfisA4. Name IOCv.t yrx Lac. to a t7oa S pvn,E _ stale Amount of Bond:S Y7 1 11 00 Telephone No.: 6. Lender: _ Name Address city State Lender's Telephone Nw 7. Persons vritcn the Sure of Florida designorod by the of upon wham Wk-aS of MIMI`doctMala may be seined as provided by Section 713.13(l)(9)(7),Fiodda Statutes: Name Address City Stale Telephone Number M Designated Person: S. In addnten to timseif,L'le Owner design was of fo receive a copy of the Lience.Notice asprcrldsd inSeeman 713.1Nf3(b),F}adda Stattdes. Telephone Number at Person or EMiy Designated by Omar. 4, Exp'.rabon data of Notice of CommcaoamsM(din e)p�rrikn date may ra'be before it.e complason of cons:.rewff�on rand fall payment!a the _ contractor,b Wt9•d be ors yearhem Lha date of rawrdug� urtass a dYferent date Is spacdedf: Dt e C A Ya..JEA 11.,g9a YlARNiNG TO OWNER:AM'PAY"d N7S MADE SY THE OVA.ER AFTER THE F_;tPiRATION OF THE NOTICE OF C01A!AENCEN.EN7 ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713.PART 1,SECTION 713.13 FLORIa STATUTES,AND CAN MUST BE F.ECORDED,SUIT IN YCNOD PPOSTED ON T,PAMC tiE JO$SI ITE$o%THE FIRST TO N5PEC I.71,F YOU iNTEhD TO O$OF U FINt3t NC(NAG,CONStICT 1'1}FH YOUR LENDER OR AM ATTORNEY$EFORE COAMENCING WORK OR RECORDING YOt1.R NOTICE OF CO7AM.NCEkfENI. UnderPmtety of perjury,I declare VMV have read the forcong notice ofwmalwoemsnt and that the facts slated mem}r,arc true to the best ofw edge and Wef. ltN{���Ifllllr! {KJi � GpTffvllfJ/�� 5gnatuea arcriesse o OemeassaeV`sali�todzed .:•F��tlSt 1� .: OMaarlD;renarlPaMtr.'htsnagsr g S(gnafarys Ti:letOb' = �Jdmf+ur eM.,asndln�edged b;a a me to s �iay wgtl2� _l.�f�G . � 4type of euthodty,e.g.,aYcer,tnufae,aaemay at foot)tar - (rwmeC�pXedd oln OehaYof7v�v!�ront tnstrrma,.ntv�ras e�eaoted}. _ Pert • IderY•fi, n❑ Notary Signature—'—.C�e:.fi�_�7 ...:�/_J.tr/liJ Type et Iderditcaffan Produced Name(Pdnp i Rcpt:1$93175 Ree:. 10.00 PAULA S.O'NEIL,Ph.D.PASCO CLERK & COMPTROLLER CIS: 0.00 IT: 0.00 09/07/20I 0:11em 1 aof 1 09I07t2027 J. R., Dpty Clerk V OR npdaUlbastnollceeommancemeniycOS30ae .' i . 'Jt�r3ieimc'.rt'�P.+a:(r9 ,�^�.�... .r.,.:__-,...r-..�. . <.c :s..,.'."♦„�;,�a . "".r"�^L�}4'+jf�fy y-tja aYPJYt:�fTf�tiYViQ�fJ:�„ RICK SCOTT;GOVERNOR KEN LA SON,.S'1=CR'ETAR_ - STATE OF FLORIDA INDUSTRY -'DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION COt�STRUGTIOI � '. ;nn w :1 -�.' 2 CUC1224107 "lr� `�>` " s9 -The UNDERGROUND UTILITY&•EYCAVATiON ; Named below IS CERTIFIED "a` Linder the provisions"d Chapter 489"Fs. Expiration date: AUG 31,2016 POE,JASON B COMPLETE DEVELOPMENT lNC, 1271.3 ST. FRANCIS LN: THONOTOSASSA - i`L 33592 ISSUED: 07/28/2014 DISPLAY AS REQUIRED BY LAW SEQi# L1407280001173 416E T� Site Prep 0 ��► Earth Moving Underground Utilities land Clearing E Excavation V Paving �f�4N3�$ Lic.#CUC1224197 ROW PERMIT APPLICATIONS ( 3 ) The following items are included in this package for the City Hall and 7th Ave parking Lot project: 1. Notice of Commencement for project 2. Copy of Contractor License and Driver' s License 3. Plan page with highlighted areas of work (driveway connections, utility connections, trench) 4 . ROW permit application for work on 6th Ave with MOT plan and FDOT indexes 5. ROW permit application for work on 7th Street with MOT plan and FDOT indexes 6. ROW permit application for work on 8th Street with MOT plan and FDOT indexes Please contact our office if you have any questions . Sin e ply, Kristin Hamilton Office Manager 14338 N US HWY 301 Thonotosassa, FL 33592 P(813) 986-2901 F(813) 986-9101 www.completedevelopment.com office@cdisite.com CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 18084 FIRE ALARM SYSTEM PERMIT PERMIT INFORMATION -LOCATION INFORMATION _ Permit Number: 18084 Address: 5335 8TH ST Permit Type: FIRE ALARM SYSTEM ZEPHYRHILLS, FL. Class of Work: FIRE ALARM SYSTEM Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-13400-0010 Improv. Cost: 61,035.00 OWNER INFORMATION Date Issued: 3/23/2018 Name: CITY OF ZEPHYRHILLS Total Fees: 0 r Address: 5335 8TH ST Amount Paid: 0. 0 �` � ZEPHYRHILLS, FL. 33542 Date Paid: 3/23/2 18 Phone: Work Desc: INSTALLATION FIRE ALARM - CITY HALL-FEE WAIVED CONTRACTORS APPLICATION FEES ALARM&COMMUNICATION SYSTEMS IN FIRE ALARM 50.00 FIRE ACCEPTANCE Final Ins actions Required FIRE ELEVATOR RECALL Chapter 633, Florida Statutes,authorizes the City to charge and collect user fees to pay for the costs of fire prevention and protection related activities such as inspections, plan review, administrative fees,and other costs related to the aforementioned. Complete Plans, Specifications and Fee Must Accompany Application. Commencement of work without written approval of the Fire Department's Fire Marshal or required permits or opening up for commercial activity without an approved final inspection shall be charged double permit fee per day of operation or a minimum of$100.00, whichever is greater. All . work shall be performed in accordance with City Codes and Ordinances. "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 COMME ENT.." CONTRACTOR SIGNATURE PERMIT OFFICtA PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOURS NOTICE REQUIRED ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041 813-780-0020 City of Zephyrhills Fire Fax-813-780-0021 Permit Application Date Received Phone Contact for Permit / e Owner's Name ( (� i Owner's Phone Number Owner's Address Fee Simple Titleholder Name Titleholder Phone Number Fee Simple Titleholder Address Job Address Lot# Sub Division Parcel# Bio-Hazard Waste Storage-ANNUAL Fumigation Tent Comm Exhaust Kitchen Hood/Duct Hazardous Material(Tier II or RQ Facility)ANNUAL Controlled Burn Hood Installation Emergency Generator<30 kw LP/Natural Gas-Installation Emergency Generator>30 kw LP/Natural Gas-ANNUAL Sale El Fire Protection Maintenance-ANNUAL Places of Assembly-ANNUAL tryl P—em—il ®n ter Sprinkler ❑ ❑ ❑ Recreational Bum Fire Alarm ❑ ❑ ❑ Sparklers Hood Cleaning ❑ ❑ ❑ Sprinkler System Installations Hood Suppression El ❑ ❑ ❑ Standpipes(Sprinkler Sys) Fire Alarm Installation Torch Roofing/Tar Kettle Fire Pumps Waste Tire Storage ANNUAL Flammable Application-ANNUAL -( Valuation of Project 0 Fuel Tanks Other: Contractor Company a Y rV1_ C 0 M .'c Aa-1 a\ S'-1 rtC Signature Registered Y/N Fee Current Y/N Address License# FEE-- A O b1- S-6 ELECTRICIAN Company Signature Registered Y/N Fee Current Y/N Address License# PLUMBER Company Signature Registered Y/N Fee Current Address License# MECHANICAL Company Signature Registered Y/N Fee Current Y/N Address License# OTHER Company Signature Registered Y/N Fee Current Y/N Address License# Directions: Fill out application completely. Owner&Contractor sign back of application,notarized(Or,copy of signed contract with owner) If over$2500,a Notice of Commencement is required(Mechanical work over$5000) Supply two(2)sets of drawings with applicable documentation Allow 10-14 days for review after submittal date. Parcel#-obtained from Property Tax Notice(http://appraiser.pascogov.com) NOTICE Qr 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 viith state and locaregulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for o misdemeanor violation under state law. |f the owner m intended contractor are uncertain nmm what licensing i memumoyopply for the intended work,they are advised mcontact the Pasco County Building Inspection Division—Licensing Section at7o7'84r' 0000. Furtmannoro, if the owner has hired a cvmmoxof or contructum, he is advised to have the contractor(s) sign portions vx the"contractor o|udW'm this applicatinnfor which they will bo responsible, |f you, uo the owner sign mothe nnmrado,,that may beon indication that ho is not properly licensed and is not untitled m permitting privileges in Puuup County. TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Recourse 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 Waterlsewer 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 1, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the"owner",I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the"owner"prior to commencement. CONTRACTOWSIOWNER'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. Sovmvwxd Florida Water Management o/mNuM^m/m. Cypress ooyhaouo. Wetland /remu. AJmhng Watercourses. - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. ' Department of Health m noxam|Vatwn sonxons/emxmnmantal *ou|m Unit-vvo|o. Wastewater Treatment, Septic Tanks. ' US Environmental Protection Agency-Asbestos abatement. Federal Aviation |understand that the fo||owiing restrictions apply m the use offill: Use m fill is not allowed m Flood Zono'V"unless expressly permitted. ' If the 0| material is to be used in pNnd Zone 7r, it is understood that u drainage | odUsmamg a .compensating volume"will be submitted at time of permitting which is prepared b9a professional engineer licensed oy the State vfFlorida. ' If the m| material is to be used in r|nvu Zone'Yr in connection with a permitted building using stem wall construction,icertify that fill will be used only tv fill the area within the stem wall. ' If fill mmaha| is to be used in any area, | certify that use of such fix will not adversely affect adjacent properties. n use of fill}o found m adversely affect adjacent properties,the ma cited for violatling 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 O OMM oEM T MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU.11NXEND-TO_O NANCING,CONSULT NTH YOUR LENDER OR AN ATTORNEY BEFORE RECORQIKQ:L��R NOTICE 0,�=J*E�_NCEMENT. OWNERORAGENT CONTRACTOR Subscribed_'— m to-^-_---'before-'-is Subscribed— _ _'--n to(or_-- before me this Who is/are personally known to me or has/have produced Who is/are p!p9naUXJ90 yn to me or has/have produced as identification. asidenfification. Notary Public Commission No. o 111111111111111111i1{I IINI IfiII iIIII Niil lull ill{I 11111611 2011142162 Permit No. PdreellDNo �''�NJ^�•� �0/p�1�y�`��� NOTICE OF COMMENCEMENT State of 4L,Di21DA County of Pxre J THE UNDERSIGNED hereby gives route 0'at irnprovemont vAa be mode to certain roof property,and in eccordarce with Cr ipter 713.Florida SlaWas, the f0mirg information is provided In this, of Commencement 1. Dasmp6on of Property.,Parent Iden9ficatkn No, 11•ZrI xl DO/O` l340a'OaOG' Straa:Addrass: 533J $rN J'Tz�'yflraH+s-b„� 2. General Dos Vionofimprovement lt -1 Lf 8-e s iT5 /A4 pprg 1rd^ ur r 3. Omar hfommat on"Lessee information d the Lessee contracted for the Improvement: G1.7_f dv �EAd+9tL►t+c.a.J Na S�3S 8r�r.j'+. 2EPNY/LKwcdr AdaraSo ciry state Interest in Pmperry: W N$!Z Name of Fca ShVe TrIahotder. (If different from Omer gated above) Atldress City SW* <. con7sam: A.b. /++loRdA+J GO>iP. 7L1t.�rn�r,ec�tE Dt2, rtfrvlAA Address Csy State Coruna Lets Talopnone Noy Stsey: L!ffiE2T4 MtltvA( !/�J vRAr+`F ��z_MAga+�r Nems Address r'S /Roo S A?7'L City state Amountoffond:5 pr,S/Sa�6'1t7e0.O9 - Teleph3ne No.: 6, Lender: _ Name Address City Slate Landau Telephone No.: 7. Persons wftNn ft State of FWAda designated by tea Omar upan v..,bom nonces m ocher d—morts may ue served as P-'Omded by Ssducn 713.1311)(al(7)•Florida Statutes: Noma i Address City 5t81s Telephone Nurncer of Designated person: a. In addition to Kmseb,Na Omer doslgnatcs a(_ is roceive a copy of Na Cenofs Net=as provided In Section 713.13(i)(b),Florida Satimes. Telephone Number of Parson or En:sy Designated by Owner: 0. Expliation date of Notre of Commercemsm(fee emire9on date may not be Ware Me completion of construebon and final payment to the con riud".bu!vAB be one yea-frcm the data of recording untess s dirrerem date is sperfied): b rt CIE AW—eA I t,Zola WARNING TO OWNER ANY PAYMENTS MADE BY THE OWNER AFTER TH'E EXPIRATION OF THE NOTICE Op CC?AfA'cNCEMENj" ARE CONSIDEREDAMPROPER PAYMENTS UNDER CHAPTER 713.PART 1. SECTION 713A3,FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TAKE FOR IMPROVEMENTS TO YOUR'PROPERTY. A NOTICE OF COh114SNCEMENT 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 RECCRDING YOUR NOTICE OF COMMENCE ENT. Under penaly of perjury.I declare that}have read the foregoing notice of wmr>oncement and that the facts stated 0—ir,are Uve 10 to best armvtedga ono bet:ef. /y<, stp�F11fY�i��ttl!/t/y �t�lJ � (}� `"•` p" Signature of O+merdr Lessee,or Ommefs _eoil' s5cesAutrarzad ' jeti P�gtlst ij r,,+ i OtF.cer/Difeciod?arnerffdanager =2� q�ctie mm� StgruatiloNs Tifer) ant%8 edged tare me Na (tinn of..Lh.rity.e.g.,o,Yicer,Snsiea,atui—y in tea)far - (name of pa an banal of ftro triarrumen was em ecuted). Pont oYt'r 1 po fdentflw n❑ Notary Signature Ty of IdeMMaao'on Produced Name(Prim! f/'9/'% - fi/!%/> a /✓ Rcpt:1893175 Rec.. 10.00 PAULA S.O'NEIL,Ph,D.PASCO CLERK 86 COMPTROLLER DS: 0.00 IT: 0.00 09/07/201 0:11am 1 f 1 09/07/2027 J. R., Dpty Clerk OR BK ®+1 pD + i 4�Crfvp svpdetatcs!noSCecmmmsncamenkycg53b4a ti ` u Q u�aniun fi City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: k1^1d C&M,Vvt.(,Q.nc'C` j �1r� Date Received: 3-1 9. ! 8 _ p Site: ��� , B V Permit Type: Approved 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. AC— --.;. Nq - IF Gene Brown—Fire Safety Officer Date Contractor and/or Homeowner (Required when comments are present) j 813-780-0020 City of Zephyrhills Pelmit'AppliGation Fax eta-7e0-0021 Building Department 2 DateRecelved PhoneGontactforPermittin .J _ orOwners Name City-of Zephyrhills OwnsrPhon.Number Owners Address 5335 8th Street Zephyrhills Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS 5335 8th Street Zephyrhills LOT# SUBDIVISION I PARCELID# ll-26-21-0010-13400-0200 . . (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW coNsTR ADDlALT SIGN; -Q Q DEMOLISH e INSTALL rl REPAIR PROPOSED USE SFR = COMM = OTHER TYPE OF CONSTRUCTION. ® BLOCK-- = FRAME _ STEEL = DESCRIPTION OF WORK .D a,.D a,{"Access Control. BUILDING SIZE 1 SO FOOTAGE C� HEIGHT =BUILDING VALUATION OF TOTAL CONSTRUCTION " =ELECTRICAL ffi AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. 61,035.00 =PLUMBING =MECHANICAL 1$ . VALUATION OF MECHANICAL INSTALLATION =GAS Q ROOFING. Q . SPECIALTY,.= OTHER - FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO BUILDER COMPANY " SIGNATURE REGISTERED Y/ N PEE cuRREn t Address License# I- ELECTRICIAN - 1 COMPANY SIGNATURE REGISTERED I Y/N FEE cuRRFA I YIN Address UcensePLUMBER # I 'i. IS.SIGNATURE �' "REGISTERED- I Y/,N : FEECURREn LILIN J . .� Address. License#. MECHANICAL COMPANY SIGNATURE REGISTERED :Y 1 N 'FEE CURREtt ' Y/N - Address ..� License# OTHER COMPANY larm & COmmunication Systemil SIGNATURE REGISTERED Y/N FEE CURREK A0017503 ucensa# EC-Address 01 W AveT� a -� 11111111111111111'111�111111111.111.11111'IIIIL1111111111111111'IIIIIIIII •. RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, Minimum ten(10)worldng days after submittal date.Required onsite,Construction Plana,Stoirawstei Plans wl Slit Fance installed, Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsllsige projects COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page:(1)set of Energy Forms.R-O-W Permit for new construction. Minimum ten(10)working days after submittal date.Required onsite,Construction Plane,Stormwater Plans w/Sift-Fence installed, , Sanitary Facilities&1 durnpster."Site Work Permit for aH new projects.Ali commercial requirements must meet compliance SiGN PERMIT Attach(2)sets of Engineered Plans, . -PROPERTY SURVEY required Wall NEW construction. Directions: Fill out application completely. j Owner&Contractor sign back of application,notarized " It over$2600,a Notice of Commencement is required. (AtC upgrades over$7500) Agent(for.the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (copy of contract required) Retools tf shingles - Sewers Service Upgrades A/G Fences(PlotfSurvey/Footage) Driveways-Not over Counter ft on public madways..needs ROW ZEPHYRHILLS FIRE DEPARTMENT 38410 6th Ave Zephyrhills,FL 33542 FIRE SERVICE USER FEES increase 1/1/2018 Occupancy No.: Plan Noy Contractor- Business Name: Billing Address: Business Address: Business Phone No.: Billing Phone No.: Business Fax No.: Billing Fax No.: Contact: Contact: PLAN REVIEW FEES INSPECTION FEES PERMIT FEE Annual- Education,healthcare,De tentionBCorrectional Public Assembly,Business, schools, Storage,Mercantile and Churches Site Plan N/C Industrial. no charge Sprinkler $50 Multi-Family/commerclal .03 sf' up to 800 sq ft $ 24.00 Standpipes $50 (Minimum Charge$24.00 801-1,500 sq ft $ 34.52 Fire Pump $50 Plan Revisions DBL 1,501-2,500 sq ft $ 60.02 Hoods $50 2,501-3,500 sq ft $ 90.02 Fire Alarm $50 SPRINKLER SYSTEMS 3,501-5,000 sq ft $ 127.52 LP Gas $50 0-25 Heads $50 5,501-7,500 sq ft' $ 187.52 Natural Gas $50 26 plus Heads $100 7,501-10,000 sq ft $ 262.52 Fuel Tanks-per tank $50 STANDPIPE SYSTEM 10,001-15,000 sq ft $ 375.02 Sparklers $100 Per Riser $50 15,001-20,000 sq ft $ 525.02 Fire Works $500 FIRE PUMP 20,001-30,000 sq ft $ 750.02 Camp Fire(recreation' $25 ❑;Per Pump $100 30,001-40,000 sq ft $ 1,050.02 Controlled Bum(15da� $100 FIRE ALARM SYSTEM 40,001-60,000 sq ft $ 1,500.02 Hood/Duct $50 0-25 Devices $50 60,001-80,000 sq ft $2,100.02 Place of Assembly $50 Annual 80,001-($2,100.02)per 26 plus Devices $100 add 1'000sq ft $ 0.06 Fire Protection $25 SUPPRESSION SYSTEMS (Business closed until Flammable Application $50 Annual Wet $50Hea violations corrected) Waste Tire Storage $50 Annual Dry $50 SPRINKLER SYSTEMS Generator<KW $100 CO2 $50 Hydro Undergrounds $45 Generator>30 KW $100 Other $50 Hydrostatic Test $65 per system Bio-Hazard Waste $100 Annual KITCHEN EXHAUST Acceptance Test $45 per system Fumigation Tenting $50 Hood/Ducts $50 Hydrant Flow $75 Torch Pot/Applied $50 OTHER Haz.Materials $50-Annual HLP Installation per tank $50 FIRE ALARM SYSTEM Fuel Tank Installation $50 System Acceptance $50 h (Per Tank) $50 Lj Recall Acceptance $50 (, ❑Natural Gas Installation $50 OTHER (Per System) Fire WaIl/Smoke Wall $15 perwall r/ Spray Booth $50 LP Gas $25 pertank Natural Gas $25 per system a/Sci Tent 10'x10'or greater $15 per tent S Fire Pump $45 Fire Suppression $30 �] System Acceptance Exhaust Hood/Duct $30 1JJ Re-inspection DBL (other than annual) Inspection scheduled DBL and cancelled less than 24 hours Construction Insp. N/C Emergency Vehicle Acce $50 PLANS TOTAL INSPECTION TOTAL PERMITTOTAL= GRAND TOTAL Comments: Date: Inspector: nm 0 City of ZephyrD] Uniform Notice o a ow-V01 e Alarm,Sys em roject Owner's/CustomerName c Address 7 City f— t `� St TU—Zip Phone N3—IbOOMmail //�� Contractor i i r ic.# K�i�T(�� Address 3 b v City bc- St Zip - Phone — 3' w )ateProjectComplete Scope of Work: I Signature: ., Owner or tenant or contractor or authorized representative Notice is hereby given that a low-voltage alarm system project has been completed at the address specified above.I certify that all of the foregoing information is true and accurate. 1011/13 section 553.793 FS i CITY OF ZEPIn RHILLS-BVILDING DEPART1iE1'T DATE: 12-22-17 RIGHT-OF-NYAY USE PERMIT PER\iIT No construction under ground or above ground of any facility shall be accomplished on any City Rights.of Tar widrout m inen nppt oval from the C in•Building Department.Any application for approval of construction operations on any City owned Rights of War shall furnish a derailed drawing showing the complete scope of the proposed wo k in triplicate to the office of tiie Building Official for approval prior to the Commencement of any work.A copy of this permit is to be kept i eadily available at the site of the work of all times. PARCEL I.D.9 11-26-S-21-E cm-ROAD 7TH ST DAT£ LOCATION(legal Description): AERIAL CROSSING OF 7-ST,44'SOUTH OF 7-AVE Permission Is hereby granted to DARRYL FOSHEE of DUKE ENERGY for'the construction and maintenance of— PLACEMENT OF 2-45'WOOD POWER POLES Eq ST 10ACE !V QF subject to tite following conditions: 1. The construction and maiutenaure of Stith utility shall not interfere with the property and lights of a prior occupant. 2. All work shall be done in keeping with the standards of tare(icy Srreets Department and under the supervision of the City Building Official,who will be notified at least one day prior m commencement of cousnucrion. 3. All materials and equipment shall be subject to inspection by the City Building Official. a. During construction all safety regulations of the Departmem of Transportation shall be observed and the City shall be relieved of all responsibility from damage of any nature arising from this permit.Subject to the same terins and couditions,the permit holder may take such safety measures.including placing and display of caution signs,as is may deem necessary in conduct of construction and maintenance work hereunder.It is the responsibWrr of flit permittee to^^'. S. All private and all City properly shall be restored to its original condition as far as practical in the opinion of the City Building Official. G. All underground crossing installations shag be laid at such depth as may be specified by tit City Buid)ng Official. The skettb covering the details of this installation shall be made a part of this permit.This permit is u'ranted with the undet;taudutg that the applicant has notified all other urilin.users In the area covered by the permit and takes full responsibility for any damage inured by prior installations as a result of his operations In order that,they may safe guard their interests. 8. Ir Is expressly stipulated that this permit is a license for permissive use-only and that the placing of facilities upon public property pursuant to this permit shall not operafe ro create or to vesrany property right in said holder_ 9. Whenever the City decides to further exploit the City Rights of Way,any or all said poles,wires,pipes,cables,or other facilities and appurtenances authorized hereunder,shall be immedhirely itwoved from said Rights of Way,or reset or relocated thereon as required by the City Building Official at fire expense of the holder of this permit. 10.The holder shalt save and keep the City harmless from any and all damages,claims,or injuries that may occur by reason of flit counruction, maintenance,and operation of said facility. 11.The holder shall complete the requested workwithlu 60 days or this permit shall become null and void.In the event the work requested is not completed upon the expli ation dare of this permit,the City sbail hart flit fight to complete such work-and to charge the holder of the permlt for a►t costs incurred in completing said work 11. The holder shall post a cash o-Buren bond aith the City Manager in the sum of 5 NA dollars to guarantee-performance of the- obligations bemin,and to guarantee maintenance of the right-of-war described herein for a period of one(1)year following completion of the requested iusmlLirion.In the event a surety bond is posted.the-surety bond shall be made payable to the City and shall obligate the surety to hold the City harmless in the event the holder of this permit should fail to meet any of its obligations hereunder.The bond shall also indemnify the City for all court costs and reasonable attorneys fees in the event legal action is required to collect on said bond. :B-HITE Y: (Permittee) DAR O$ Siguaturf.S.Tide !! T Address 4121 ST LAWRENCE DR,NEW PORT RICHEY,FL 34653 APPROVED BY: CITY OF ZEPHYRHILLS Building Official Date: L'tihrits Sapen isor Date Public Works Date- (ay-Manager Date: r(� �'] CITY OF ZEPHYRHILLS-BUILDING DEPARTMENT ���t� DATE: [ �/ � t RIGHT-OF-WAY USE PERMIT PERMIT#� !f No construction under ground or above ground of any facility shall he accomplished on any City Rights of Way without written approval from the City Building Department,Any application for approval of construction operations on any City owned Rights of Way shall furnish a detailed drawing showing the complete scope of the proposed work in triplicate to the office of the Building Official for approval prior to the commencement of any work.A copy of this permit is to be kept readily available at the site of the work at all times. PARCEL LD.# 11-26-21-0010-13400-0010 CITY ROAD 301 DATE 09/06/2017 3 LOCATION(Legal Description); ZH MB 1 PG 54 LOTS 1 TO 19 INCL BLK 134 AKA CITY HALL CITY LIBRARY&CITY PARKING LOT ASSESSED IN SECTION 11,TOWNSHIP 26 SOUTH,RANGE 21 EAST OF PASCO COUNTY,FL Permission is hereby granted to JASON POE of COMPLETE DEVELOPMENT, INC. for the construction and maintenance of- 1 driveway connection 7th Ave.&7th St.and driveway connection and storm connection at 7th St.&6th Ave. _subject to the following conditions: 1. The construction and maintenance of such utility shill not interfere with the property and rights of a prior occupant. 2. All work shall be done in keeping with the standards of the City Streets Department and under the supervision of the City Building Official,who will be notified at least one day prior to commencement of construction. 3. All materials and equipment shall be subject to inspection by the City Building Official. 4. During construction all safety regulations of the Department of Transportation shall be observed and the City shall be relieved of all responsibility from damage of any nature arising from this permit.Subject to the same terms and conditions,the permit holder may take such safety measures,including placing and display of caution signs,as it may deem necessary in conduct of construction and maintenance work hereunder.It is the responsibility of the permittee to???? 5. All private and all City properly shall be restored to its original condition as far as practical in the opinion of the City Building Official. 6. All underground crossing installations shall be laid at such depth as maybe specified by the City Building Official. 7. The sketch covering the details of this installation shall be made apart of this permit.This permit is granted with the understanding that the applicant has notified all other utility users in the area covered by the permit and takes full responsibility for any damage incurred by prior installations as a result of his operations in order that they may safe guard their interests. S. It is expressly stipulated that this permit is a license for permissive use only and that the placing of facilities upon public property pursuant to this permit shall not operate to create or to vest any property right in said holder. 9. Whenever the City decides to further exploit the City Rights of Way,any or all said poles,wires,pipes,cables,or other facilities and appurtenances authorized hereunder,shall be immediately removed from said Rights of Way,or reset or relocated thereon as required by the City Building Official at the expense of the holder of this permit. 10.The holder shall save and keep the City harmless from any and all damages,claims,or injuries that may occur by reason of the construction, maintenance,and operation of said facility. 11.The holder shall complete the requested work within days or this permit shall become null and void.In the event the work requested is not completed upon the expiration date of this permit,the City shall have the right to complete such work and to charge the holder of the permit for all costs incurred in completing said work. 12.The holder shall post a cash or surety bond with the City Manager in the sum of$ dollars to guarantee performance of the obligations herein,and to guarantee maintenance of the right-of-way described herein for a period of one(1)year following completion of the requested installation.In the event a surety bond is posted,the surety bond shall be made payable to the City and shall obligate the surety to hold the City harmless in the event the holder of this permit should fail to meet any of its obligations hereunder.The bond shall also indemnify the City for all court costs and reasonable attorneys fees in the event legal action is required to collect on said bond. SUBMITTED BY: (Permittee) Jason Poe o velo ment Inc. Signature&Title President Address 1433 .U vvy 301,Thonotosassa,FL 33592 p .813-986-2901 APPROVED BY: CITY OF ZEPHYRIJILLS (Building Official ate: i Utilities Supervisor Ain Date: Public Work cfl 3-S J>Ays k)DT(CE R,v2 CO (1VAM k1 CAE Date: r SAs)N /0bE oR1 "p�%? -City,Manager__ www.invarion.com FOR OVERVIEW PURPOSE ONLY DRAWING NOT TO SCALE Legend ®Channalfzed Devices NOTE: THIS M.O.T.IS BASED ON MUTCD&THE FLORIDA DEPARTMENT OF ®Work Area TRANSPORTATION ROADWAY AND DESIGN STANDARDS.ALL TRAFFIC CONTROL DEVICES MUST BE SETAND PLACE BY PERSONS CERTIFIED IN TRAFFIC CONTROL DEVICE PLACEMENTAND PLANNING. N r- W- -je • fir"" .� Table I SFr Device Spacing y Max.D/aMenee Between Devices(k) SPEED ryes I w7yps II (rope) cones� M n.dc d aww,°w Prods orDmms WAW T Tin f Rf r t 25 25 50 25 50 30 r0 45 25 50 30 50 440; SO to 70 25 80 50 100 • DISTANCE BETWEEN SIGNS SPEED Spacing^) �yS •• Zb, ti� A B c- M• F" � 40 mph or less 200 200 200 45 mph 350 350 350 50 mph 500 500 500 1 •55 mph or greater 2640 1640 1000 \ O FO T This Certifies that JASON W.BROWN ' Has Completed•Florida Department of Transportation Ze p h yrh i I I s New City Hall ��' � Approved Melntenanee of Traffic(MOT)Advanced Course DL1eE>pirer toneaoes latlit�ma 1ZG98 \ Inewctor DanO'connor FDO11imWelS 37 \ AT SA G Phone: 640-368.1701 cofmNAc— Complete Development,Inc. ° D Suzanne Noyes ® '� 16 Riverside Parkway Ste.100 LOCATION: 7th St Ptlone 813-986-2901 \ Fredericksburg,VA,FL www.atssa.com 87A�°, ZEPHYRHILLS,FLORIDA coum,, PASCO ® \ donne.clark@atsse.com dAFE1 d1ADdrdAYE LIVES �°� DACE 09/14/2017 wwminvarion.com FOR OVERVIEW PURPOSE ONLY Legend DRAWING NOT.TO SCALE ®Work Area NOTE: e THIS M.O.T.IS BASED ON MUTCD S THE FLORIDA DEPARTMENT OF TRANSPORTATION ROADWAYAND DESIGN STANDARDS.ALL TRAFFIC CONTROL DEVICES MUST BE SETAND PLACE BY PERSONS CERTIFIED N IN TRAFFIC CONTROL DEVICE PLACEMENT AND PLANNING. Art is a' Table 1 Device Spacing Max Distance Between Devices(M) SPEED 7yp•I r 1t (mph) cooear aame�dmarrV&r W tuDl9r Makm Panda-Do- 7 Us., t 25 50 25 50 Zs so 1 30 50 50 50 100 ay DISTANCE BETWEEN SIGNS 1 SPEED Spacing(tL) A I B C t 40 mph or less 200 200 200 .. \ ,N 45 mph 350 350 350 � 50 mph 500 500 r 500 4A •55 mph or greater 2040 1640 1000 FDO This CertMes that ^� \ JASON W.BROWN t • ; He a Coat a Fbdtla Oepertrnent of Trenaportstion Z e p h y rh i l l s New City Hall \ , Approved Meintenanee o}Traffic(MOT)Advanced Course � DeteExpiree 100019 Cedlicatap 12598 \ ImbLi r Dan D'Cor or FOOTWWarl 37 \ ATSSA Phone: 640.365-1701 eoNmnoroR: Complete Development,Inc. eY.eERw Susanne Noyes , 16 Riverside Parkway Ste.100 ATSM toeanON. $tit St PNONe 813-986-2901 \ Fredericksburg,VA,FL \ www.a ae ZEPHYRHILLSr FLORIDA ccumv, PASCO donne.clark@ats sa.com IAFEI IIIItaAYE IWEt JOB• DAM. 09/14/2017 SYMBOLS GENERAL NOTES ® Work Area 1.Route pedestrian traffic around work areas when construction 7. Provide a 5'wide temporary walkway,except where space restrictions warrant activities encroach on the sidewalk for more than 60 minutes a minimum width of 4'.Provide a 5'x 5'passing space for temporary walkways ■ Channelizing Device(See Index 600) using the devices and remedies shown on this Index.Use project less than 5'In width at intervals not to exceed 200'. []� Work Zone Sign specific designs for scenarios not included on this Index. 8. Provide across-slope with a maximum value o/0.02 for all temporary Required Locations For Either Temporary 2.For spacing of traffic control devices and general TCZ walkways. CR Or Permanent Curb Ramps. requirements refer to Index 600. The maximum spacing between barricades,vertical panels,drums or tubular markers is 25'. 9.Temporary walkway surfaces and ramps must be stable,firm,slip resistant,and Lane Identification+Direction of Traffic kept free of any obstructions and hazards such as holes,debris,mud, Pedestrian Longitudinal Channelizing Device(LCD)with 3.Use delineators on longitudinal channelizing devices separating construction equipment and stored materials. the work area from vehicular traffic. Mounted Work Zone Sign or separate Work Zone Sign 10.Remove temporary walkways immediately after reopening of the sidewalk,unless H Pedestrian Longitudinal Channelizing Device(LCD) 4.Cover or deactivate pedestrian traffic signal otherwise noted in the plans. display(s)controlling closed crosswalks. 11.Meet the requirements of Index 304 for temporary curb ramps. 5.Post mounted signs located near or adjacent to a sidewalk must have a 7'minimum clearance from the bottom of sign to the 12.Place pedestrian longitudinal channelizing devices)across the full width of the surface of the sidewalk. closed sidewalk.For temporary walkways,similar to the Sidewalk Diversion, place LCD's to delineate both sides of the temporary walkway. 6.When construction activities involve sidewalks on bath sides of the street,stage the construction so that one sidewalk Is in service at all times.If this is not feasible and both sidewalks must be closed,as determined by the Engineer,provide a detour to guide pedestrians around the construction zone. a _ CR � ,r1 n n y! 3H3H SSOHO DETOUR I ~Otl3HV � 03SOlONNM301S 8 7 ano�a � a 11 p 03S01.7 uai DETOUR N F e � ry ' CR �NVM�S3�3d _ is 4 )IlVM301S m w Y ><� y ROAD 43SO�0 3:C/) � )Ilt/M301S o LU 0 Q c �U 3 dl �] SIDEWALK a a CLOSED ^ ` R PEDESTRIAN b CR N n ■ N ti taJ CR `WALKWAY ~ DETOUR 4� V anOV130 SIDEW,=tAo� anol3a any O to `YUSE OTHER SIDE Yl CR EA-4 I� f� 7r—,-4 1 0 j V Il ROAD t3 1� .��1 WORK BOOR-I( AHEAD AHEAD CROSSWALK CLOSURE AND SIDEWALK DETOUR SIDEWALK DIVERSION PESESTRIAN DETOUR LAST 0 DESCRIPTION: INDEX SHEET REVISION __[�F O� FY 2017-IS PE][DESTRHAN CONTROL FOR CLOSURE OFSXDEWALKS NO. No. 11101116 DESIGN STANDARDS 660 1 of 1 ROAD WORK AHEAD 200' 2001 400' CONDITIONS J ` l ` • l ` / �_ WHERE ANY VEHICLE,EQUIPMENT,WORKERS OR THEIR ACTIVITIES ENCROACH ON THE PAVEMENT REQUIRING THE CLOSURE Of ONE ■ ■■ ■■ • TRAFFIC LANE,FOR WORK AREAS LESS THAN 1 • ■ Work Area • 200'DOWNSTREAM FROM AN INTERSECTION 0' 40d � 20d 2� FOR A PERIOD OF MORE THAN 60 MINUTES. ' Less Than ROAD WORK ROAD AHEAD WORK AHEAD 200' 400' CONDITIONS WHERE ANY VEHICLE,EQUIPMENT,WORKERS < OR THEIR ACTIVITIES ENCROACH ON THE PAVEMENT REQUIRING THE CLOSURE OF ONE ■ ' ■ b TRAFFIC LANE,FOR WORK AREAS 200'OR ■ ■ ■■ Work Area • MORE DOWNSTREAM FROM AN INTERSECTION FOR A PERIOD OF MORE THAN 60 MINUTES. 4400' Sd■ zod z0d ROAD More Than 2 WORK 0D' AHEAD DURATION NOTES SYMBOLS GENERAL NOTES ® Work Area 1.Work operations shall be confined to one travel lane,leaving 5.The FLAGGER legend sign may be substituted for the symbol sign. 1.ROAD WORK AHEAD sign may be omitted if all of the following the opposing travel lane open to traffic. conditions are met, ■ Channelizing Device(See Index No.600) 6,The maximum spacing between devices shall be no greater than 25.' 2.When vehicles in a parking zone block the line o1 sight to TCZ a.Work operations are 60 minutes or less. Work Zone Sign signs or when TCZ signs encroach on a normal pedestrian 7.For general TCZ requirements and additional information,refer to b.Speed is 45 mph or less. walkway,the signs shall be post mounted and located in Index No.600. c.No sight obstructions to vehicles approaching the work area for accordance with Index No.17302. a distance of 600 feet. Flagger 8.The two channelizing devices directly in front and directly at the d.Vehicles in the work area have high-intensity,rotating, 3.If work area is confined to an outside auxiliary lane,the work end of the work area may be omitted provided vehicles in the work flashing,oscillating,or strobe lights operating. b Lane Identification+Direction o/Traffic area shall be barricaded and the FLAGGER signs replaced by area have high-intensity rotating,flashing,oscillating,or strobe e.Volume and complexity of the roadway has been considered. a ROAD WORK AHEAD signs.Flaggers are not required. lights operating. 4.Flaggers shall be in sight of each other or in direct 9.Use Temporary Raised Rumble Strips In accordance with Index 603. communication at all times. Placement of Rumble Strips and additional signs should begin at R FLAGGER sign location. LAST DESCRIPTION; INDEX SHEET REVISION FY 2017-18 NO. NO. 07/005 W DO nT DESIGN STANDARDS TWO-�"ANF' TWO-WAY, WORK NEAR ]INTERSECTION 605 1 of 1 GENERAL NOTES SYMBOLS ® 1.Route pedestrian traffic around work areas when construction 7. Provide a 5'wide temporary walkway,except where space restrictions warrant Work Area activities encroach on the sidewalk for more than 60 minutes a minimum width of 4'.Provide a 5'x 5'passing space for temporary walkways. a Channelizing Device(See Index 600) using the devices and remedies shown on this Index.Use project less than 9 in width at Intervals not to exceed 200'. specific designs for scenarios not included on this Index. 0i Work Zone Sign 8. Provide a cross-slope with a maximum value of 0.02 for all temporary Required Locations For Either Temporary 2.Par spacing of traffic control devices and general TCZ walkways. CR requirements refer to Index 600. The maximum spacing between Or Permanent Curb Ramps. barricades,vertical panels,drums or tubular markers is 25'- 9.Temporary walkway surfaces and ramps must be stable,firm,slip resistant,and b Lane Identification+Direction of Traffic kept free of any obstructions and hazards such as holes,debris,mud, 3.Use delineators on longitudinal Channelizing devices separating Construction equipment and stared materials. Pedestrian Longitudinal Channelizing Device(LCD)with the work area from vehicular traffic. Mounted Work Zone Sign or separate Work Zone Sign 10.Remove temporary walkways immediately after reopening of the sidewalk,unless H Pedestrian Longitudinal Channelizing Device(LCO) 4.Cover or deactivate pedestrian traffic signal otherwise noted in the plans. display(s)controlling closed crosswalks. 11.Meet the requirements of Index 304 for temporary curb ramps. 5.Post mounted signs located near or adjacent to a sidewalk must have a 7'minimum clearance from the bottom of sign to the IZ Place pedestrian longitudinal Channelizing device(s)across the full width of the surface of the sidewalk. closed sidewalk.For temporary walkways,similar to the Sidewalk Diversion, (� place LCD's to delineate both sides of the temporary walkway. �} 6.When construction activities involve sidewalks an both sides of j the street,stage the construction so that one sidewalk is in service at all times,if this is not feasible and both sidewalks must be closed,as determined by the Engineer,provide a detour to gulde pedestrians around the construction zone. tea= DETOUR (1V3HV � 03SOlO NltlM301S �faJ anotk ft o " CR •/AVtJJ1TdM 0� p m o is I Q XLU g0�5]1` )41VM901S t y � w aRO�EAADo D OUR �I N o }S{Q1IDtl�EMSWQ3AL1SK CLOSED ` NtlIaLS303d G— PEDESTRIAN _G==_ -• � ti o CR �WAUtWAY DETOUR _ Q att0.1.�0 SIDEWALK CLOSED an0130 a t341 USE OTHER SIDE '� - CR ROO ROAD WORK WORK AHEAD AHEAD ROAD ;a 5� AHEAD 'f CROSSWALK CLOSURE AND SIDEWALK DETOUR SIDEWALK DIVERSION R PESESTRIAN DETOUR LAST DESCR1PT10N: FY 2017-18 INDEX SHEET REVIsroN FDOTT T PEDESTRIA CONTROL FOR CLOSURE OF S11DEWALKS No. No. ii/ol/76 w DESIGN STANDARDS b60 1 of 1 o_ GENERAL NOTES SYMBOLS ® 1.Route pedestrian traffic around work areas when construction 7. Provide a S'wide temporary walkway,except where space restrictions warrant Work Area activities encroach on the sidewalk for more than 60 minutes a minimum width of 4'.Provide a 5'x 5'passing space for temporary walkways ■ Channelizing Device(See Index 600) using the devices and remedies shown on this Index.Use project less than 5'in width at Intervals not to exceed 200'. specific designs for scenarios not included on this Index. Work Zone Sign 8. Provide across-slope with a maximum value of 0.02 for all temporary Required Locations For Either Temporary 2.For spacing of traffic control devices and general TCZ walkways. CR Or Permanent Curb Ramps. requirements refer to Index 600. The maximum spacing between barricades,vertical panels,drums or tubular markers is 251. 9.Temporary walkway surfaces and ramps must be stable,firm,slip resistant,and b Lane Identification+Direction of Traffic kept free of any obstructions and hazards such as holes,debris,mud, Pedestrian Longitudinal Channelizing Device(LCD)with 3.Use delineators on longitudinal channelizing devices separating construction equipment and stored materials. , a Mounted Work Zone Sign or separate Work Zone Sign the work area from vehicular traffic. 10.Remove temporary Walkways immediately alter reopening o/the sidewalk,unless H Pedestrian Longitudinal Channelizing Device(LCD) 4.Cover or deactivate pedestrian traffic signal otherwise noted In the plans. display(s)controlling closed crosswalks. 11.Meet the requirements of index 304 for temporary curb ramps. 5.Post mounted signs located near or adjacent to a sidewalk must have a 7'minimum clearance from the bottom of sign to the 12.Place pedestrian longitudinal channelizing device(s)across the full width of the I1 surface of the sidewalk. closed sidewalk.For temporary walkways,somilar to the Sidewalk Diversion, II 4 place LCD's to delineate both sides of the temporary walkway. V 6.When construction activities involve sidewalks on both sides of the street,stage the construction so that one sidewalk is in service at all times.If this Is not feasible and both sidewalks must be closed,as determined by the Engineer,provide a detour to guide pedestrians around the construction zone. Ca _ CR b col 1 CR 3i13H SSO21D DOUR ♦py3{{y � O3SOl0 NNM301S � I anol3a QJ Q3S0�0 u�i D OUR ry F ■ ry F CR ` NtlRtLmd _ is 4 NltlM301S m w Mo AHEAD i 10 t(1 SIDEWALK aJill CLOSED R PEDESTRLW b b CR o n ■ � 'Jai CR `WALKWAY ry ti g DETOUR _ 4 to LP C�p an013a SIDEWALK CLOSED ano.t�o _ anona l t J � USE OT~D Y CR ROAD ROAD WORK WORK i (I ROAD OC I n o AHEAD AHEAD _ � WAHEAD A u CROSSWALK CLOSURE AND SIDEWALK DETOUR SIDEWALK DIVERSION R PESESTRIAN DETOUR LAST DESCRIPTION: FY 2017-18 INDEX SHEET R6vrsION FDOT FIEIIDIESTRUAN CONTROL FOR CLOSURE OF 8H DEWALKS No. ND. 17/01/16 DESIGN STANDARDS 660 1 of 1 ROAD WORK END AHEAD ROAD WORK A LY LY LY ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ tt77,, ■ • • Ly ■ • �E 8 I Taper Length=%3L Work Area See Table I1 END Table 11 ROAD ROAD WORK Taper Length - Shoulder WORK Device Spacing-Taper Device Spacing-Tangent SOD AHEAD See Table 1 See Table I Y3L(ft) SPEEDING FINES Speed Notes DOUBLED (mph) B' j0• 12' WHEN WORKERS PRESENT Shldr. Shltlr. Shldr. 25 28 35 42 Table 1 30 40 50 60 L=ws Device Spacing 35 55 68 82 60 Max.Distance Between Devices(ft.) 40 72 90 107 Speed Cones or Type I or Type it 45 220 150 160 DISTANCE BETWEEN SIGNS (mph) Tubular Markers Barricades or Drumis al P SO 133 167 200 Tapr Tangent Taper Tangent 55 147 183 220 Speed Spacing((ft.) e p - 9 60 160 200 240 L=WS ' A B 25 25 50 25 50 40 mph or less 200 200 30 to 45 25 50 30 50 65 173 217 260 45 mph 350 350 50 to 70 25 50 50 ]00 70 187 233 280 50 mph or greater 500 500 'Midway between signs. 8' minimum shoulder width Y3L= Length of shoulder taper in feet SYMBOLS GENERAL NOTES DURATION NOTES IN= width of total shoulder In feet ® (combined paved and unpaved width) Work Area 1.When four or more work vehicles enter the through traffic lanes In a one hour 1.Signs and channeNzing devices may be omitted If all of the period or less(excluding establishing and terminating the work area),the advanced following conditions are met: S= Posted speed limit(mph) FLAGGER sign shall be substituted for the WORKERS sign.For location of flaggers a.Work operations are 60 minutes or less. IN Channelizing Device(See Index No.6001 and FLAGGER signs,see Index No.603. b.Vehicles in the work area have high-intensity,rotating, flashing,oscillating,or strobe lights operating. [p Work Zone Sign 2.SHOULDER WORK sign may 6e used as an alternate to the WORKER symbol sign only on the side where the shoulder work Is being performed. Lane Identification+Direction of Traffic 3.When a side road intersects the highway within the TTC zone,additional TTC devices shall be placed in accordance with other applicable TCZ Indexes. 4.For general TCZ requirements and additional information,refer to Index No.600. CONDITIONS WHERE ANY VEHICLE,EQUIPMENT, i WORKERS OR THEIR ACTIVITIES ENCROACH THE AREA CLOSER THAN 15'BUT NOT CLOSER THAN 2'TO THE EDGE OF TRAVEL WAY. LAST JZ�DESCRIPTION: FY 2017-IS INDEX SHEET REVISION FDOTI TWO_]LANE TWO-WAY WORK Old SHOULDER NO. NO. 07101115 W �- DESIGN STANDARDS 602 1 of 1 SYMBOLS: ® Work Area ■ Channelizing Device(See Index No.600) [p Work Zone Sign Buffer pace 250 C B A ET' S ' Flogger See b Lane Identification+Direction of Traffic Table 7 D BE ONEIANE ROAD vRBvnnEo Rao wnRx ro sror wR.m o c5 a —————————————————————————————————--..-.- ——————————————————————————————————— CWork Arca b Tangent Device Spacing(See Table 1) NAPK Taper Length nA�� BE • AHEAD Axe Toys om D 50 To 100' May Be omitted if ROAD WORK AHEAD sign is installed upstream within the project limits. s A B C WITHOUT TEMPORARY RAISED RUMBLE STRIPS GENERAL NOTES: 4.When a side road intersects the highway within the TTC zone,place TABLE I 1.Special Conditions may be required in accordance with these notes additional TTC devices in accordance with other applicable TCZ Indexes. DEVICE SPACING and the following sheets: 5.The two channelizing devices directly in front of the work area may be Maximum Spacing Distance A.Railroad Crossings: p g Maximum Spacing o/ omitted provided vehicles in the work area have high-intensity rotating, Between Buffer a.1f an active length plus crossing Is located closer to the Work Area than flashing,oscillating,or strobe lights operating. Posted o/Cones ke Type 1 or Type fI Signs the queue length plus 300 feet,extend the Buffer Space as shown on Speed Tubular Markers 8arrlcades/Panels/Drums 9 Space Sheet 3. 6.When Buffer Space cannot be attained due to geometric constraints,use b.If the queuing of vehicles across an active railroad crossing cannot be the greatest attainable length,not less than 200 ft,for posted speeds On a On a On a On a avoided,provide a uniformed traffic control officer or flagger at the greater than 25 mph. Taper Tangent Taper Tangent A B C D highway-rail grade crossing to prevent vehicles from stopping within 25 20' S0 20 50' 200' 200 200 ]00' 155' de highway-rail grade crossing,even if automatic train warning 7.ROAD WORK AHEAD and the BE PREPARED TO STOP signs may be omitted if devices are!n place. B.If the Work Area encroaches on the Centerline,use the Layout for all of the following conditions are met: 30 20' 50 20 50' 200' 200' 200' 100'1 200' Temporary Lane Shift to Shoulder on Sheet 3 only if the Existing 35 20 50' 20' 50, 200' 200' 200 100'1 250' Paved Shoulder width Is sufficient to provide for an I lane A Work operations are 60 minutes or less. 40 20' 50, 20' 10, 200' 200' 200' 100'1 305' between the Work Area and the Edge of Existing Paved Shoulder. B.Speed limit is 45 mph or less. Reduce the posted speed when appropriate. C.There are no sight obstructions to vehicles approaching the work area for 45 20' 50 20' 50, 350 350 350 175'1 360' a distance equal to the Buffer Space shown in Table 1. 50 20, 50' 10 100' 500 500' 500 250' 425' 2.Temporary Raised Rumble Strips: D.Vehicles in the work area have high-intensity,rotating,flashing,oscillating, p y um p or strobe lights operating. 55 20' 50, 20' 100, 2640' 1500' 1000' 500' 495' A.Use when both of the following conditions are met concurrently: E.Volume and complexity of the roadway has been considered. 60 20' 50' 20 100' 26401 1500' 1000' 500' 570' a. Existing Posted Speed is 55 mph or greater; F.If a railroad crossing is present,vehicles will not queue across rail tracks. 65 20 50' 20 100' 2 440' 1500 1000' 500, 645' b.Work duration is greater than 60 minutes. G.AFADs are not in use. B.Use a consistent Strip color throughout the work zone. 70 20 50' 20 700 2640' 1500' 1000, 500, 730' C.Place each Rumble Strip Set transversely across the lane at locations B.See Index 600 for general TCZ requirements and additional information. shown. 9.Automated Flogger Assistance Devices(AFADs)may be used in accordance D.Use Option I or Option 2 as shown on Sheet 2.Use only one option with Specifications Section 102,990 and the APL vendor drawings. throughout work zone. 3.Additional one-way control may be provided by the following means: CONDITIONS A.Flag-carrying vehicle; B.Official vehicle; WHERE ANY VEHICLE,EQUIPMENT, 6 C.Offi vehicles; WORKERS OR THEIR ACTIVITIES D.Traffic signals. ENCROACH THE AREA BETWEEN When flaggers are the sole means of one-way control,the flaggers THE CENTERLINE AND A LINE 2' must be in sight of each other or in direct communication at all times. OUTSIDE THE EDGE OF TRAVEL WAY. LAST 0 DESCRIPTION: INDEX SHEET F®OT� FY 2017-18 TWO-LANE REVISION � _ , TWO-WAY, NO. NO. 01101116 DESIGN STANDARDS WORK WIITHIIN THE TRAVEL WAY 603 1 of 3 SYMBOLS: ® Work Area ■ Channelizing Device(See Index 102-600) C B A [p Work Zone Sign El- Flogger Yr� BE ONEIANE "250' b Lane Identification+Direction of Traffic 11 — QP� ROPD Temporary Raised Rumble Strip Set D # (See GENERAL NOTE#2) C= a b Work Area LP D LP 250' 250' 250' D Temporary Raised Rumble Strip Set (See GENERAL NOTE#2) RDAfl PUM■E STAY OEM' L*.REo NARK EDtPS INYOUR ROAD ME AHEAD A B C See Sheet 1 For Layout *May Be omitted if ROAD WORK AHEAD sign Is installed upstream within the project limits. WITH TEMPORARY RAISED RUMBLE STRIPS (When Required See GENERAL NOTE #2) ke z' p` t/\ 4`s� 2 eN\et \Ve'e 1 —�pdr. ps So/ G mbJatl\S aPe tSVP 9 eas�oG/O'•s`e 5 eet eae� d`easn�a^`Se z 0.e\\P`o9 asp N9An emu \ e_t t ?p/ / \Ne �e1 �dgaJe\e S gape pan / r eol le / / Ve ,ett Ne / Ce a\001 1y 1 REMOVABLE POLYMER STRIPING TAPE MOLDED ENGINEERED POLYMER SET RUMBLE STRIP SET RUMBLE STRIP SET OPTION - 1 OPTION - 2 TEMPORARY RAISED RUMBLE STRIPS LAST ZO DESCRIPTION: INDEX SHEET DOTT FY 2017-18 F TWO-LANE, A TWO-WAY, NO. NO. 11101117 DESIGN STANDARDS WORK W]LTHIIN THE TRAVEL WAY 603 2 of 3 SYMBOLS: ® Work Area ■ Channelizing Device(See Index No.600) [p Work Zone Sign II+ Flagger =J Lane Identification+Direction of Traffic C Taper Length Extended Buffer Space 250 C Cont.Layout 50 To 100' oo xoT Cont.Layout Z` � erov / ox v } —r-r— T. —Ti T'P R• 1 ,Wo77 rk Area; Y > 75'CIeaI(Typ.,Each Side) R/R Tracks 50 To 100 Device Spacing(See Table 71 Tangent Taper Length TEMPORARY RAILROAD CROSSING BUFFER SPACE EXTENSION Shifted Lane(11'Min.) C Taper Length Buffer Space(See Table 1) Buffer Space(See Table 1) 375' C Cont. 50 To 100' Layout Edge Of Existing Paved Shoulder(Typ.) LaoYout i — b York Area b j��i j-`/, Edge 0(Existing Travel Lane ITYPJ ENO- vice aper Lengt Device Spacing(See Table 1) Tangent 50'To 100 TEMPORARY LANE SHIFT TO SHOULDER WHEN WORK AREA ENCROACHES ON THE CENTERLINE SPECIAL CONDITIONS Cross Rererence: Z. See General Note#1,Sheet 1 for more information. P SPECIAL CONDITIONS L45T DESCRIPTION: FY 2077-18 INDEX SHEET REVISION TFS T1tTWO-LA1�TlE, TWO-WAY, No No. 01/O]/]6 'w DESIGN STANDARDS WORK W][Tf]11N THE TRAVEL WAY 603 3 of 3 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 CERTIFICATE OF OCCUPANCY Address: 5335 8TH ST Owner: CITY OF ZEPHYRHILLS ZEPHYRHILLS, FL. 5335 8TH ST Subdiv: CITY OF ZEPHYRHILLS ZEPHYRHILLS, FL. 33542 Parcel: 11-26-21-0010-13400-0010 Work Type: NEW CONST/COMM Construction Type: NOT APPLICABLE ❑ Sprinklers Use Classification: NOT APPLICABLE Permit Number: 18833 Date: 2/05/2019 0 k,0 ISSLLOD BY: BUILDI OFFICIAL : WATER MUST BE CHANGED OVER WITHIN 10 DAYS OF ISSUANCE GARBAGE DEPOSIT MUST BE APPLIED FOR PRIOR TO ISSUANCE CITY OF ZEPHYRHILLS, FLORIDA 5335 8th Street f CE�RI'I"F"ICAT'E�'.®'F OCCUPANCY NAME: DATE: ADDRESS: 53,5 . `•`F Y .. r PARCEL,I.D.#_ �l- i �?„�� ?C�?C>. r�ti7 )r`)� 6 41) SUBDIVISION: ��G ''��t'ow TYPE OF BUILDING: - PERMIT# REMARKS: `` a l C. t / ,�` !'� d � FINAL DATE: BILL BURGESS BUILDING OFFICIAL/ "IP WHITE: Contractor or Owner YELLOW: Bldg. Dept.