HomeMy WebLinkAbout18-19922 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 , 19922
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 19922 Address: 6930 GALL BLVD
Permit Type: COMMERCIAL ZEPHYRHILLS, FL.
Class of Work: ADD/ALT COMMERCIAL Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 02-26-21-0010-00800-0050
Improv. Cost: 102,000.00 OWNER INFORMATION
Date Issued: 7/09/2018 Name: COMMUNITY NATIONAL BANK
Total Fees: 945.00 Address: 6930 GALL BLVD
Amount Paid: 945.00 ZEPHYRHILLS, FL. 33542
Date Paid: 7/09/2018 Phone: (813)783-8122
Work Desc: INTERIOR RENOVATIONS - CENTERSTATE BANK
CONTRACTORS APPLICATION FEES
FLORIDA CONCEPTS INC BUILDING FEE 585.00
TRI- COUNTY ELECTRIC,INC. ELECTRICAL FEE 292.50
BAHR'S PROPANE GAS &A/C, INC. MECHANICAL FEE 67.50
n �V �
l
Get 00
Ins ections Re uired "
FO TER 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.
40
i&9-
'CONTWACTOR 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-813-7BU021
Building Department ], '1 L
Date Received Phone Contact for Permitting ( 2 J 7 7 6
Owner's Name CenterState Bank OrmerPhoneNumber 813-783-8122
Owner's Address 1 6930 Gull Boulevard Owner Phone Number Same
Fee Simple Titleholder Name I CenterState Bank Owner Phone Number Same
Fee Simple Titleholder Address 1 6930 Gull Boulevard
JOB ADDRESS 6930 G411 Boulevard LOT# N/A
SUBDIVISION I N/A PARCELIDB 02-26-21-0010-00800-00-50
(OSTAINED FRO!d PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR 8 ADDIALT ® SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM = OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q
DESCRIPTION OF WORK Minor Interior Alterations
BUILDINGSIZE 1 6909 SQFOOTAGE 1 6.904 HEIGHT N/A
=BUILDING $70 s 000.00 VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL s 31 r 000.00 AMP SERVICE Q PROGRESS ENERRGY (�Q W.R.E.C.
=PLUMBING S 0 -r( Z�—
=MECHANICAL S 1,000.00 VALUATION OF MECHANICAL INSTALLATION TV
44V&WV
=GAS Q ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES No
(� J 0OFloridaConcepts,' 1
BUILDER \ Q� COMPANY Fl C ' Inc.y
SIGNATURE JJJ ftP.GISTERED I Y/ N FFECURREN I YIN
Address 804 N Belcher Rd z' O U eater License# CBd057256
,
ELECTRICIAN !� - ''~ _ OMPANY Tri Count Electric . dd
SIGNATURE ! `"i h :i� `''
IS7ERED I Y/N FEE CURREA I Y!N
Address 108 Doulas Ave. , Dunedin. d L License
PLUMBER COMPANY
SIGNATURE REGISTERED I YIN FEE CURRFA Y/N
Address tr Licenseff p MN =i
MECHANICAL /� J I-01OMPANYSIGNATURE `���1 REGISTERED YIN FE cuRREn 'Y 7
Address £+ License# D ,J
OTHER COMPANY
SIGNATURE I Y 1 N I FEE CURREA YIN
Address License
I111111111111111 ! { 1111IIIIIIIIIItIIIIIIIII11111I11»[ 1 / 1111IIIIIIIIII
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,Stormwrater Plans vd Slit 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 at Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onstte,Construction Plans,Stormwater Plans wl Silt Fence Installed,
Sanitary Facirilies&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:
F11 out application completely_ `
Owner&Contractor.sign back of application.notarzed
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 vcilh notarized letter from owner authorizing same '
OVER THE COUNTER PERMITTING (eepy of contract required)
Retools 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 ig24 — 4+
Owner's Name CenterState Bank Owner Phone Number 813-783-8122
Owners Address 6930 Gull Boulevard Owner Phone Number Same
Fee Simple Titleholder Name I CenterState Bank Owner Phone Number Same
Fee Simple Titleholder Address 1 6930 Gull Boulevard
JOB ADDRESS 6930 G 11 Boulevard LOT# N/A
SUBDIVISION N/A PARCEL ID# 02-26-21-0010-00800-00-50
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR e ADD/ALT L�bL l SIGN Q = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR = COMM L� OTHER
TYPE OF CONSTRUCTION = BLOCK Q FRAME 0 STEEL Q
DESCRIPTION OF WORK Minor Interior Alterations
BUILDINGSIZE 1 6909 1 SO FOOTAGE 6904 HEIGHT N/A
=BUILDING $70,000.OO VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ 31)OOO.00 AMP SERVICE Q PROGRESS ENERGY [� W.R.E.C.
=PLUMBING $ 0 �&�^
=MECHANICAL $ 1 y OOO.007 VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING 0 SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER J COMPANY F��rida Concerts, IT1C.
SIGNATURE REGISTERED I Y/ N FEE CURREN I YIN
Address 804 N� Belcher Rd #200 Clear ater License#I CBC0572566�
1 Tri Count Electric
ELECTRICIAN �!)vL �C i }-11r„ �j �M�ANY 1 ctric
SIGNATUREREGISTERED Y 1 N FEE CURREA I Y 1 N
Address 108 Douglas Ave, Dun 1 License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address p Q '] License# �� IL
COMPANY
SIGNATURE MECHANICAL I `--' `� �j' i t PREGiST RED Y/ N FEE CURREA 'Y 1 N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED I Y/ N FEECURREt Y/N�
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 wt 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/SurveyiFootage)
Driveways-Not over Counter if on public roadways..neads 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 IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands,that such fees, as may be due,will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a"certificate of occupancy'or final power release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(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"V"unless expressly permitted.
- If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume"will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
- If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction,I certify that fill Will be used only to fill the area Within the stem wall.
- If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties,the owner may be cited for violating
the conditions of the building permit issued under the attached permit application,for lots less than one(1)
acre which are elevated by fill,an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER,I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel,alter, or
set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six(6)months after the time the work is commenced. An extension
may be requested, in writing,from the Building Official for a period not to exceed ninety(90)days and will demonstrate
justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER WtAN ATTORNEY BEFORE RECORDI QT
JR20F COMMENCEMENT.
FLORIDA JURAT(F.S.1 �� )
OWNER OR AG CONTRACTOR
Subscribed an s tt (or�jfOre�i)�erfore me this Subscribed an —sworn-to(or affirmed)before me this
AIIl L) r__
i/ r e oW7Notary
Who is/are personally known o me / a e p u e yF)WItl`CPP7 Public Notary Public
o i ion o. C m Sion N�
Sy Name ofiNota jiL'nt
Notary Public-State of Florida : ° _ Notary Public-State of Florida
Commission#FF 188416 Commission#FF 188416
%,;�o t...a My Comm.Expires Jan 11,_2019 ;o My Comm.Expires Jan 11,2019
Q
r1;�A1AA
0„a............r_-yam
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Cantractor/Harneowner:
VO ri I;& Gicep
Date Received: ^2- 9— IS
Site: ( 3C) A�( D
Permit Type:
Approved Who comments:❑ Approved w/the below comments: O Denied w/the below comments: ❑
This comment sheet shall be kept with the permit and/or plans.
Bill Burgess—Building Official Date Contractor and/or Homeowner
(Required when comments are present)
I llllll lull lull illll lull lUli ll(Il Illll�llil Illll Ills(Ill
2018113437
Return to: Florida Concepts,Inc.
PO Box 5026 ___ _ __
Clearwater,FL 33758-5026 Rapt:1S71614 Rec: 10.00 —�—�
DS: 0.00 IT: 0.00
Prepared By: Florida Concepts,Inc. 07/06/2018 K. R. M. , Dpty Clerk
PO Box 5026
Clearwater,FL 33758-5026
NOTICE OF COMMENCEMENT
Permit No. Tax Folio No.02-26-21-0010-00800-0050
State of Florida
County of Pasco
The undersigned hereby gives notice that improvements will be made to-certain real property,and in accordance with chapter 713 of the
Florida Statutes,the following information is provided in this NOTICE OF COMMENCEMENT.
Legal description of property(include Street Address,if available):ZEPHYRHILLS COLONY COMPANY LANDS PB 1 PG 55 POR OF
TR 8 DESC AS COM AT NE COR OF NW`/a OF NW'/a OF NW V4 TH S 25.04
Street Address:6930 Gall Boulevard,Zephyrhills,FL 33542 07/ /201IL:P9:40 m Ct£RK & GOMcT— RaL�Et�
General description of improvements: Minor interior renovations 07/06/2018 09:40am 1 of 1
Owner's Name:CenterState Bank OR BK 9752 pG 1503
Address: 1951 8d'Street NW,Winter Haven,FL 33881 Phone: 863-551-5194 Fax: 863-551-5302
Owner's Interest in site of the improvement:
Fee Simple Title Holder(if other than owner):N/A
Address:N/A
Contractor:Florida Concepts,Inc.
Address: 804 N.Belcher Rd.,Suite 200,Clearwater,FL 33765 Phone:727.447.6776 Fax:None
Surety: N/A Phone:NIA Fax:N/A
Address: N/A Amount of bond$N/A
Lender's Name:N/A
Address: N/A Phone: N/A Fax:N/A
Persons within the State of Florida designated by owner upon whom notices or other documents may be served as provided by Section
713.3(1)(a)7,Florida Statues.
Name:N/A
Address:N/A Phone: NIA Fax:N/A
In addition to himself, owner designates N/A
Of N/A Phone: N/A Fax:N/A
To receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes.
Expiration date of Notice of Commencement(the expiration date is 1 year from the date of recording unless a different date is specified).
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713 PART I SECTION 713.13 FLORIDA
STATUTES AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY A NOTICE OF
COMMEN EMENT ST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU
INTEND TO OBT l CING CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR
RECORDING Y UR NbTIdE OF COMMENCEMENT
CenLrStateB
Tim Pierson,EVP
Signatur Printed Name of Owner
The foregoing instru r .—u gM� day of J y 2018,by Tim Pierson,who is personally known to me and
did not take an oath. BRENOA t.BtlCNiitiAt9
Notary PuMic-Stalo of Florida t `---
Seal: • .Commisslon-0 fib 057133 Notary Signature
,ut ; My Comet.Expires Jan 31,2021
Printed Name of Notary
Und penalties perjury eclare that I have read the foregoing and that the facts in it are true to the best of my knowledge and belief
(Se 'on 92.525 F1ori to tes). _
By;
Tim Pier
STATE OF FLORIDA,COUNTY OF PA$CO
THIS IS TO CERTIFY THAT THE FOREGOING IS A -
TRUE AND CORRECT COPY OF THE DOCUMENT
ON FILE OR OF PUBLIC RECORD IN THIS OFFICEe
JJ{T �S_S MY HAND A OFFICIAL SEAL THIS/ ` IMPG "We7nut
-- DAY OF 2 0Lr p Q
�
PAULA S.O'NE ,C RK& OMPTROLLER A ;) ,�
BY DEPUTY CLERK
OF
wE;.
APPENDIX CA
FORMS 1
1
1
FLORIDA SUILDING:CODE,ENERGY CONSERVATION I
CHAPTER,C4=COMMERCIAL ENERGY EFFICIENCY
Form C402 2617,ALTERATIONS;RENOVATIONS and BUILDINGS SYSTEMS 1
Climate Zone: 2A 1
Project hamne: CenterState Bank-Zephyrhills O anc e; 1
p y tyP Office-Bank
Addiuss: 69fGall . Alteration IR Renovation d' building System❑C1ty,Z1p Code: Ze 33542 Building Permit No.: l ZZ 1
Builder: .��_.`.._.-. PemmitNngOlflce: Ci 1
Owner: 1
BUILDING ENVELOPE INFORMATION(Where changed) 1
Requirement Efficiency 1
Envelope Component Description _ 1
Location Unit Required Installed
Roof type Table.C402.1.4 or U-factor ar 1
N/A-Existing Table C402.1.3 >_R-value
Roof retlectanowEmittance Table C402.3 �t Solar re
(low N/A-Existing Thermal
ill a c
{ pa roofs)' 9 _Thermal emittance 1
Wall type,above grade N/A-Existing 1
grade / Table C402.1.4 or Table C402.1.3<U-!actor or
Wall,below
g N/A-Existing �A-value 1
Floor type N/A-Existing 1
Vertical fenestrations N/A-Existing <U facto 1
<SHGC 1
Table C402.4 _
<U-factor 1
Skylights N/A <SFtGC 1.
BUILDING SYSTEMS INFORMATION[for HVAC,sbrvice hot Water or pool heating,lighting systems and replacement fenestration(CS01.711 1
Requitement 1
System Type(describe"system) Efflclanc 1
Location Unit Required Installed
fair-conditioning"system (2)Existing 5-ton DX AC Tabtos G403;2,3{1-3,8 8,9-i 1} S££A or££R«/£EA n/a n/a 1
Heating system Tables C403.2,3{2-6) HSPF or COP AFU2=,E or E 1
Existin Heat in AHU's r n/a n/a 1
Vontilallon/air handling system Existing Nothing over 3-HP TablesC403.2.1Z1{1-2) Fanpower{cfm) n/a n/a
f
Ducts Loc'"onUnder Insulated Roof:-TableC4t?3.29,1 R-value
4.2 6.0 1
Piping i Fluid design operating temp: Table C403.2.10 Inches n/a n/a
1
Hot teeter Table C404.2 � EF,E COP I
ExistingWater Heater 0 n/a nfa.
Ugfiling Space,typcs:Existing Lights Table C405.4.2(1 or2) Llghting power density n/a n/a I
Fenestrations;Enter Information in BUILDING ENV_ELOPE INFORMATION box above. 1
Other:
wrs,
1
P.E.156190 1.
Ct7MPIl lS BY1IATS3TASNR�AEltES1d 9U.1 2257 Twelve Oaks Way,#104 1.
(Submit alternate form or apperrd documan18 as needed). Wesley Cha
hereby,certify that the plans and.specifications covered by the calcSf�9��r�pllance wr h,the Revlaw of plans and sped/fractions covered by thfs 1
Florida Building Code,Enetgy.Consarvation. �� /� �®�" A' D�I'��® calculation indicates compliance with the Florida Building
PREPARED BY:
DATE: I �\3?ip Code,Energy Conservation.Before construction is 1
oe completed,this building will be inspected for compliance
1 hereby certify that ttiis.buftdfng is in compliance with the Flari t +rj� b" on; in accordance with Section 1
OWNERIAGENT. �� BUILDING(�Fa"LCJ
DATE: ^�" DATE-....,1'
: 1
No.
uo �
STATE OF
FLORIDA BUILDING CODE ENERGY CONSERVAT1�t�,�3�i OTC � C-101
FC1
FLORIDA CONCEPTS, INC.
May 23,2018
Zephyrhills Building Department
5335 8'Street
Zephyrhills,FL 33542
Dear Sir or Madam:
Please allow this correspondence to be authorization for Tom Corbett of Florida Concepts,Inc,to apply for and pick up
all necessary permits for work to be done at:
CenterState Bank
6930 Gull Boulevard
Zephyrhills,FL 33542
Cordially,
I ;W
r
Joseph C. Corbett,Jr.
President
State of Florida
County of Pinellas
The foregoing instrument was acknowledged before me this 23rd day of May 2018 by Joseph C.Corbett,Jr.,who is
personally known to me and did not take an oath.
Theresa A.Christensen,Notary Public
My Commission Expires:
e"""`N, THERESA A.CHRISTENSENMI MY COMSSION#FF185803
°�+�oF� EXPIRES:January 10,2019
804 N.BELCHER ROAD,SUITE 200 • POST OFFICE BOX 5026 • CLEARWATER,FLORIDA 33758-5026• (727)447-6776 •FAX(727)447-1801