HomeMy WebLinkAbout19-22191 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 22191
BUILDING PERMIT /
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 22191 Address: 5632 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: 11-26-21-0010-05700-0254
Improv. Cost: 17,500.00 OWNER INFORMATION
Date Issued: 1/17/2020 Name: BANK OF AMERICA
Total Fees: 1,432.50 Address: 6700 LAKEVIEW CTR DR
Amount Paid: 1,432.50 TAMPA, FL. 33619
Date Paid: 1/17/2020 Phone: (813)225-8173
Work Desc: INSTALLATION ATM DRIVE UP W/ ELECTRIC
CONTRACTORS APPLICATION FEES
SPARTAN CONTRACTING CORPORATION BUILDING FEE 1,185.00
SHORE COMMERCIAL INC ELECTRICAL FEE 247.50
n �
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.
CO RACTO NATURE PERMIT OFFI R
PER MT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-76W20 City of Zephyrhills Permit Application Fax-813-760411(121
Building Department
Date Received PhoneConflctfnr,PcrmhUn� 813 380 6930
-
ownse,Name Bank of America NA Owner Phone Number 813.624.45't2
Owvoes Address 101 N Tryon St,Charlotte,NC 28255 Owner Phone Number
Feu Simple Titleholder Name Owner Phone Number
Fee Simple TtdahoiderAddress
JOB ADDRESS 5632 Gall Blvd.,zephyrhills,FL 33542 LOT III [ J1
SUBDIVISION CityofZephyrh(ilsp PARCEL to# 11-28-2i-0OiQ-05700-0254
(OBTAINED FROM PROPERTY(TAX NOTICE)
WORK PROPOSED e NEWCONSTR.B ADDIALT �� SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR 0 COMM r--j OTHER
TYPE OF CONSTRUCTION = BLOCK = FRAME E= STEEL = _
DESCRIPTION of WORK lnstalfat)on of new drive up ATM on existing island with associated lighting as needed.
BUILDING SEZE �� So FOOTAGE dill� HEtGHT 1 FI44r
yy I BUILDING S 150000 VALUATION OF TOTAL CONSTRUCTION
dt
=ELECTRICAL $25000 AMP SERVICE Q PROGRESS ENERGY Q• W.R.E.C.
OPLUMBING $
+ 1 1
=MECHANICAL (S � VALUATION OF MECHANICAL tNSTALtATiON IiL W
=GAS = ROOFING 0 SPECIALTY OTHER ct` N Art 0 j/�J"
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO f J ig
'T YJII'��
BUILDER COMPANY Spa(tan Contracting COCA. f _d
SIGNATURE REGISTERED Y/.N FEE CURREN Y/N
Adder 12160 RdC@ Track Road,Tampa,FL 33626 Ucense# Ct3C1259035
ELECTRICIAN Ic
COMPANY l "nVjeo �M/YC24.141 Molt
SIGNATURE REGtsTEREo YIN FEEcura v YIN
Address ®Jd.� SO/V - Ar45�N - Ltoense# �13A0 S�ip.f
ti •
PLUMBER COMPANY
SIGNATURE RMWERED 1 11 N FEECURRR`E'N ' Y'!N
Address License#L
MECHANICAL COMPANY .
SIGNATURE REGISTERED —CY/N FEEcu(R'R'EN I YIN
Address License 9
OTHER COMPANY l
SIGNATURE MCASTERED I Yt N FEE CURREN
Address Lloonse# i
tlttlit/Itllttlltilitltttilltiltltltllttl!!1! 1l1111l/1181t11lIIIIfi!
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-0-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onste,Construction Plans,Stornwater Plans wit Silt Fence Instatod,
Sanitary Faculties&1 dumpsler,Site Work Permit for subdlvislonsilerge projects
COMMERCIAL Attach(2)complete sets of Butding Plans plus a WE,Safety Page;(1)set of Energy Forms.R-O-W Permit for new construefioh.
MWInum tan(10)working days after submittal date.Re(Wvad onshe,Construction Plans,Stomrwatm Plans wl Sift Fence installed,
Sanitary Fecllitiea&1 dumpster.Site Work Permit for all new projects.AI Commercial requirements must meet Compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
PROPERTY SURVEY required for all NEW constructicn.
Directions:
Fill out application completely.
Owner&Contractor sign back of applice lon,notarized
If over$2500.a Notice of Commencement is required. VVC upilmdes over$75013)
-' Agent(for the Contractor)Or Power of Attorney(for the owner)would be someone with notarized letter from owner aulhorb Mg same
OVER THE COUNTER PERMITTING (ropy of contract required)
Retools If shingles Sewers Service Upgrades AIC Fences(PiatfSurveyiFootage)
Uriveways•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 Permittina 813 380. 6930.
owner's Name Bank of America NA Owner Phone Number 813.624.4512
t
Owner's Address 161 N Tryon St,Charlotte,NC 28255 Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
.JOB ADDRESS 5632 Gall Blvd.,Zephyrhills,FL 33542 LOT#
SUBDIVISION City of Zephyrhills PARCEL lD# 11-26-21-0010-05700-0254.
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR a ADD/ALT 0 SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION = BLOCK _ 0 FRAME = STEEL =
DESCRIPTION OF WORK Installation_.of-new drive,up ATM on existing island with associated lighting ae needed.
BUILDING SIZE. . SQ FOOTAGE 4018. HEIGHT 1 FIOOr
=BUILDING $
` 1 150000 VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $25000 AMP SERVICE = PROGRESS ENERGY = W.R.E.C.
=PLUMBING $ -
Id q1
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION IS 2
=GAS = ROOFING Q SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
- - - - - - - - - - - - - - - - - - - - -
BUILDER COMPANY. Spa rtan.Contracting Corp. p
SIGNATURE REGISTERED I.Y/:N - FEE CURREN . Y/N - exf
_O
Address 12160 Race Track Road,Tampa,FL 33626 License# CBC1259035
t�ELECTRICIAN' 010 C COMPANY
` SIGNATURE v REGISTERED I Y/ N FEE CURREN I YIN
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED I Y/.N FEE CURREN - YIN.
-
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED I Y/ N- FEE CURREN Y/N'
Address License,#
OTHER COMPANY
SIGNATURE REGISTERED I Y/ N 'FEE CURREN 1 ,YIN
Address License#
11111111.1111111111111111'ill'1111111111111111111111111'111'111'111111111
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,Stornwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivistons/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,Stornwater 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 C.Ommencement 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: 1 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 FAJLURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR PR TS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LEN ORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F. 7
rg
OWNER OR AGENT CONTRACTOR
Subscribed and sweto r affirmed)byre me this Su cdb d and b�om trso� rmed)�efore �h
Who is/are persona 1x known to me or hasihave prdduced Who is/are personal) kno o me or has/have produced
as identification. as identification.
Notary Public Notary Public
-77
Commission No.��a Commission No. `
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
jy'?µY P Catherine APerez -
.ppv'P0, LUCY GUTIERREZ-MATOS Notary Public,State of Florida
Notary Public State of Florida
Commission N GG 222092 y. a1 My Comm.Expires May 31,2021
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• „oFF`,;,•• My Comm,Expires Jun 1,2022 ''L�oQ•;no�' Commission No.GG109789
Bonded through National Notary Assn.
INSTR#2019208906 OR BK 10019 PG 1627 Page 1 of 1
12/10/2019 08:32 AM Rcpt:2115533 Rec:10.00 DS:0.00 IT:0.00
Nikki Alvarez-Sowles,Esq.,Pasco County Clerk&Comptroller
Permit No. Parcel ID No 11-26-21-0010-05700-0254
NOTICE OF COMMENCEMENT
State of Florida Cormtyot Pasco
THE UNDERSIGNED hereby gives notice that unprovenant wig be made to certain real property,end in accordance with Chapter 713,Florida Statutes,
the following Information is provided In this Notice of Comme ce 2 21 0010-05700-0254
1. Description of Properly.,Parcel Identification No.
Streeinddreae: 5632 Gall Blvd.,Zephythills,FL 33542
2. General Description of Improvement Installation of new drive up ATM on existing island With associated fighting as
LU
needed. I - LU � W
¢ U O J
3. Owner Information n or krfonnatlon if the Lessee contracted for the Improvement (n W LL rn J U
Bank of America NA Ur 5O Q a
10i N Trvon St Suite 20n Charlotte NC V Z U N Q (N d.
Address City state (A0 2 w O W
Interest In Property: 100% Q W O F— (n U Q .
a � LuzJ 06
Name of Fee Simple Titleholder: N/A LL O = ¢ S or different from Owner fisted above) d LL_ U 0::Address (j
4. CoMrador. Spartan Contracting Corp. Crry state Z � UL U+
12160 RacemPrack Road Tampa Q (/j
Address p Q 0 W
Contractors Telephone No.: 813-481-5778 cityState (,� J ZQ J -
s. Surety: N/A A LU � Z O O
Name Q i U_ = Q nJ
Address city state J U OU O } 0
Amount of Bond:b Telephone No.: LL
LL O O O
6. Ladder. WA p z w ¢
Name LLI (n ¢ J.W _-
Address city Stale H _ � Z ~ , •� } -.
Lender's Telephone No.:
tp F- I— O � Z m-
7. Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by '
Section 713.13(1)(a)(7),Florida Statutes:
Lisa Drees
Name
1000 S Federal Hwy.Suite 200 Deerfield Beach FL
Address Cgy Stale -
Telephone Number of Designated Person: 813-624-4512
a. In addition to himself,the owner designates of
to receive a copy of the Uerwrs Notice as provided In Section 713.13(1)(b),Florida Statutes. ,
Telephone Number of Person or Entity Designated by Owner. '
9. Fxpinelon date of Notice of Commencement(the expiration date may not be before the completion of constnretion and final payment to the
contractor,but will be one year from the date of mcormng unless a different date is spedfied): e jK -
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT i
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION 713.13 FLORIDA STATUTES, AND CAN
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WRH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT, j�� O
Under l�attY of Pedu I declare that 1 have read the foregoing Vpodl�and that the fads staled therein arm true to the befit of rtry knowledge and belief. ?. QO Sy.
N.
STATE OF FLORIDA
� v
COUNTY OF PASCO
Sign of Owner a Lessee,o Owrxer's or Lessee's Authorized /
ORcadDiractor/PerbredManager o C/
Agent for Bank of America NA
'�+� Signatory's TiedDffice �t-
The foregoing instrument was admowledged before ma ilP=day of}M� 200by G A,0A —0 Ley�� •7'�'�• ,
as IXT (type of authority.e.g.,officer,buirte%Iftorney in fad)for
J (name of mattv an be w+g bmtn ant was executed),
Personally Known M Produced Identification❑ Notary Signs �t���_4•r�—�t�7
Type of Identification Produced Name(Prim) Z..
Sv��ti. Lt1CY 6Ilfil€€R€€-MkFd§
'?F: . Notary Publi€_§Iafr3 di#lorfda
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wpdatafbcshwdaacommencement�53048
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: S ,_f -\4
Date Received: /01- / )0
Site: S613d, (a#11
Permit Type: TOM ) 4W Prsa v)n A�0-7
Approved w/no comments:�( Approved w/the below comments: Denied w/the below comments: n
This comment sheet shall be kept with the permit and/or plans.
f
Kalkiffift-S-wii&V-Jammer fDate -Contractor and/or Homeowner
(Required when comments are present)
CITY OF ZEPHYRHILLS, FLORIDA
5335 8TH STREET
CONTRACTORS COMPLETION
NAME: Spartan Contracting Corporation DATE: February 24, 2020
ADDRESS : 5635 Gall Blvd Zephyrhills 33542
PARCEL I.D. 11-26-21-00100-05700-0254 SUBDIVISION : City of Zephyhrills
TYPE OF BUILDING : Drive Up ATM w/ Electric _
PERMIT(s) by#22191 Final: 2/24/2020
REMARKS :
BILL BURGESS BUILDING OFFICIAL/ JB q0gh�!�
City of Zephyrhills
Uniform Notice of a Low-Voltage
Alarm System Project /
Owner's/CustomerName &tI k
Address 3 Z49f y a
city h,s/Is st FL zip 335 2�
Phone E-mail
Contractor At s `G Lic.#-Mt��
Address j} 7
City Q an" 01,1/e St F—L zip 32,2�Pll
Phone 9(&.416'5-6(1515DateProjectCno_mplete
Scope of Work: PU/I Call r- p (l1--tacip r,
i
Signature
O r or tenant or contractor or authoriud representative
Notice isherebygiventhat aloes-voltage alarm system project has been completed at the address
specified above.I tertify that all of the foregoing information is true and accurate.
1 10/1/13 section 553.793 FS
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2,2-
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ct
MILLEA BLlCTlIIO OOM�ANY
Powering the Possibilities
MILLER ELECTRIC COMPANY CREDIT PROFILE
Mailing Address: P O Box 1799 Jacksonville,FL 32201-1799
Street Address: 6805 Southpoint Parkway Jacksonville,FL 32216
T.(904)388-8000 Toll Free:(8o0)554-4761 F.(904)389-8653
Website:httt0/www.ntccniai x.co
GENERAL INFORMATION:
• Miller Electric Company was established in 1928.
• The Corporate office is located in Jacksonville,FL,with regional offices throughout the Southeast.
• Incorporated iri the State of Florida:12/29/53 Florida Electrical Contractor License#:EC-ii
• Taxpayer ID#: 59-0361850 D&B#:oo-583-4205 D&B Rating:4A2
• SIC Code#:1731 NAICS#:238210 UNSPSC#:721022 CAGE Code: 85700
• Purchase Order Number or Job Number Is Required on EVERY Invoice
• Ship-to address should be verified with the person placing an order.
PRINCIPALS: Henry K.Brown,CEO&President
Susan A.Walden,Exec.Vice President&Secretary-Treasurer
BANK REFERENCES: Wells Fargo Bank,NA
Contact:Theresia Skidmore One Independent Drive 25th Floor,Jacksonville,FL 32202
llreresia.Skidntoretnvellsfargo.cont. T.(904)351-72$3
Contact: David Davis BBVA
da vid.davis ,hhhva.cont l006o Skinner Lake Drive,Jacksonville,FL
T.( o )564 86 o
MAJOR SUPPLIER REFERENCES:
Graybar Electric World Electric Supply Anixter
P O Box 1350 1802 Dennis Street 8021 Phillips Highway,Suite 4
Jacksonville,FL 32201 Jacksonville,FL 32204 Jacksonville,FL 32256
Contact:Hector Berroteran Contact:Connie Jackson Contact:Tina Gassaway
T.(904)380-3419 T.(904)378-4028 T.(904)730-2703,ext.42023
Email credit reference requests Email credit reference requests to: Email credit reference requests to:
to:Hector.Berroteran r, ra,bar cQm Connie.Jacl(son R worldclectriesupply.gm ci stalxaty in R) pixter.cont
Consolidated Electrical Rexel/GEXPRO Sunbelt
Distributors 14951 Dallas Parkway PO BOX 409211
14499 North Dale Mabry Highway Dallas,TX 75254 Atlanta,GA 30384-9211
Tampa,FL 33618 T.(972)725-1168 T:4o7-816-1591
Contact:Mike Lundberg Email credit reference requests to: Email credit reference requests to:
T.(813)968-o02o guadalupemdla Otrexelusa.com s'heMyl.chambers( sttnbeltrentals.com
Email credit reference requests to:
'ustin.ti yc ced.
HOTEL REFERENCES:
Comfort Inn Holiday Inn Express Red Roof Inn Fairfield Inn&Suites by Marriott
226 Summit Parkway 9o9 Moye Blvd P O Box 849800 Titusville Kennedy Space Center
Birmingham,AL 35209 Greenville,NC 27834 Dallas,TX 75284-9800 4735 Helen Hauser
T.(205)916-0464 T.(252)754-8300 T.(614)225-5159 Titusville,FL 32780
F.(205)g16-0298 F.(252)754-8301 T.(321)385-1818 F.(321)385-1818
The references listed above are authorized to provide the information required to determine the credit capabilities of
Miller Electric Company.
By: Rochelle Bailey Price Rev.Sept 16,2019
MILLER ELECTRIC COMPANY
t ® Powering the Possibilities
P.O.Box 1799(32201)
2251 Rosselle Street,Jacksonville FL.32204
Valued Supplier:
Ina continual effort to improve efficiencies 1ve are requesting that all invoices and statements,in PDF format be sent via email to:
anini nicctil��mrroiax.cmn:.If the project manager or achnin has requested a copy,you can cc them on the email. If you do not have
the capability to send an email of your invoice you may send the invoice by regular mail to:
Miller Electric Company Or fax to:904-389-5632
Attn:Aceounts Payable
PO Box 1799
Jacksonville,FL 32201
Important things to know:
• We can only accept attachments in PDF format,an embedded link will not work with our system.
• All invoices must have a job number or PO number in order to be.routed to the appropriate project manager. Not having
this information on the invoice will delay payment as much as two weeks. Our job numbers are nlways three letters
followed by five numbers,for example:ABC123456,or one letter and three numbers T123.Our PO numbers are six
numbers followed by the job number 123456-ABC1234
• Sending a monthly statement will help us keep your records up to date and payments on time.
• The email account is for invoices and statements only. Correspondence,such as questions or requests,should be sent to
the appropriate vendor specialist.
•, Based on the first letter of your company s name,please contact your assigned vendor specialist from the list below.Your
assigned vendor specialist can assist you with inquiries,account balance information,statement reconciliations,retainage
or payment information.
A-C Laura DeArmas email:IdearmasCa rneenlax.cnnl phone:go4-98i-o246
D-Ii Carla Johnson email:ciolinson a meeninumn phone:904-98L-a256
I-Q Mary Ellen Mow email:mmm.o0meeaiax.eom phone:9o4-981-o216
R-Z Renee Grandgerard email:mrandnerardCu)ntecoiaxxom phone:904-981-4512
Not getting the assistance you need?Please call our Accounts Payable Manager,Beryl Benton, and she will be happy to assist you in
any way. Her contact information is:phone 9o4-360-4507 or email:bhentou tat inmoiax.com
Our relationship with our vendors is very important to us. Our number one goal is to efficiently and accurately document all
information needed to pay within our payment terms.
Thank you,
Rocbelle Bailey Price
Senior Director of Finance and Administration
2251 Rosselle St.
Jacksonville,FL 32204
Phone:go4-981-o293
Email:rtnicc unlor.niax.cunt
V01312018
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Toll Free:800.554.4761 Fax:9D4.389.8653
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813.780.0020 City of Zephyrhills'PermitApplication Fax-813.780-0021
Building.Department
E2hone:Contact for:Pertntttin
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,Ow ers Address: LU n®r-Phori :�ilmbat�'�(�
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771
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PROPOSRD�USE
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:TYPE'-O CbNStRU�TION' �'9LOCK - 71 FRAME:^:• ':STEEL''•:=
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EECRIPTIONOPWIRIG. V ' �Cc Yi •. ;(�ft�f
BUILDING SIZE :SWOOTAGE HEI.G/
BUILDING
. VALUATION L:CONSTRUCTION-"
" ELECTRICAL.... :$. AMP.',SERVICE DUKE?EfVERGY`: a VC/R;EC:.
=PLUMBING.. .. V.
=MECHANICAL $ VALUATION)OF.MECHANIC AL•ANSTALtAT,ION
=GAS ROOFING.;•�._�, ;;rSPE4IAIT�Y Q OTliEI2:._.
F.lWHED'FLOOR:ELEVATION5
BUILDER z� COMPANY:
SIGNATURE z ti- i.FiEGI$ RE� :`Y'1{d*: >.FfIECUftREfis•t,,:! ;�[s�( N)=r q•'
Address`
'ELECTRICIAN' COMP :,^r
SIGMAtrURE' REGIST9A9O: Y`/ .=i FEE`,CURRE�;:'" '"' • Y:f/_''N;i:
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Atldress tiinse'•.#
PLUMBER' ;COMPANY".
SIGNATURE. i.: :.�,::••. xx.
Address: .Li
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MECHANICAL. ., `COMPANY .:
ARE";• �REGI3TE_til2D:�� "Yf;:N FEE'CfJRREK'�;� :,. ..Y.:/.N
may;
-
Address,
OTHER>; CQAIIPANY:
a.
'j -D` SY i°Dt s FEE'CURREN'• ,"' ,i/iN•.,.e
SIGNA7'UItE'. RI CSIERE.
License.# .'�- «..
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�AttacFi'�'��ot�.fe §�•�.`•$e[$.6;� i �..(-)' !'9Y. ,,,,.. w: :+�..:,
RESInE�IYIAt ' ,., .�. .4!, �r!t!'R1j{
..c�t'wt:y" :d?.a W,t 7 i F� ,,'c•1t Yp"' G'3dli� din:.i1.'n,tk,:-:•:u,w4f" liJ' `:�. e,.1.-
mAll�r1'f(Fiuiftifen{1.0)' orkiigg!days;.afta�stlbil'date::F26�rewnsiC�;;(:onstrGdatt•Paarrs Sorr� aterPrii";ur:Slit=ilcf.frJsfaltsd
• Sanitary;Facilities°:,8�;;dumpster,,,5ifu.WorkPertnit�r.•subdt�iPston�/I�.Kj��proj�ets
COMMERCIAL :Attach:.(2)corrtplete:sts:ol;Bu.Iftling Planseptus�iiifef;tyPage,(1)'rsOt°of+Energy,Forms:;R-O W t�ennit forynew�cggOfction.
n Mlriimil " Italdea ;Rt rmten0wokin!d be f,
.r+e�' :.n.site;Cchsfructfon;a!f"nsr�S3onnwntrsO4mV' Anwpojecs Alfcmaleet°OmrvuGs{t`niiise:wet/`c:oiYL_tiiplef&nnceaSanitary aClie ine Gil gtalted'
_
SIGN PERMIT AtEacfi'(2)sets;ofngineeedf'IiriS:
•••`PRbF;GYhSijFVE .`requtfed for'aIrNE'IA/.cctistniction: t',,' -
Directions'
:Fill.out application completely.
Ownof�8s'Co'i�fr ctorsig0**,of��appltcation;notarized . .
'If"over.s2W0;,:Notice:of'Corrimencemaht la required:. (A/C upgrades over-$7500)
•• Agent'.(for•_the.-contractor)'or Power of:,iAttomey;(fbr;the owner):anrduldIie.somAbrre..wlth notarized;letter frdm-6wnet-authdriiing• ame:
OVER;TME;COUttTERiPERMir—nNG; ..__.. (copy of contr*,required):. . .
Reroofsafstitngles 'Sewers Servlc�Uprstis' �PtoUSurvey/Footage)
Driveways-Not over Counter if on public roadways-needs ROW
NOTICE OF DEED RESTRICTIONS: The uridetsigried and rstands that-this permit-may be subject to dead"restrictions"
which-may_:be-metre:restrictive-than Countty=reguiations. The undersignedrassumes-,responsibiliWfo�-c*ompllan with any -
applicable deed restrictions.
ill.Gl4't ENSEI T3RrACfORV, e, hired',a`contraci"or or
contractors to undertake_work, th@,v.<t> ube required to be licensed in:aecor.darice with;state.a d,laoaG regptatiotls if the
contractor-.is raot licensed'as required by law, both the,owner-arid coin r"acti�r=itiay�tie°dife"d for -misdemeanor violation
under state law, if the owner:4r.it tendeµd;;ctaritractor.
are.
- � are•unertain as=to_what:icensfi -r ftlay EOppt.ykfv the" ga l
Jntendedwork�te--we:advised to contact the'Pasco-County%Buildn Iris coon"DlVlsldh;=4 Icensing Section at•727-847-
8009. -Furthermore, if the owr%er;;taasighjr 4d,,P=conttactor or contractoW— is a ed;_to, have the contractor(s) sign
portions:of.the-wcontractor'-Block,,of.this.:appUcation.for.w.hich.'they.will;,0aresponsible.-,;,If you, as the.owner sign as the
contractor, that may be an•indication"thaf he is not.properly licensed-and is not entitled.,to•permitting-privileges in Pasco
County,;:.
-.f-kMSPORTATION IMPACT/UTILrtits'iM''O T AND.RESOURCE RECOVERY FEES: The undersign.d,!sr414 ads
-thaf Trartsportatli ra Impact i=ees and_Recoarse Recovery Feesyrnay�apply-ta-the constructicin rof'rrew buildings;ci arige of
_ . . .. , ,
.. .
use in,existing•�tiuildings,'or ezpanslon•dfdi0 ing'buildings, as.specified�in Pasco'County Ordinance--number..8.9-07 and
.90-07., as.a atso ur derstantls.tFiat;such fees,,a%-:mayJb:e=.due; wi&be,4d6ntfied at�the`tune of
permitting. it rsfuistherYunderstoidtfirasporta#ion:impact Fees and,Resource Recovelry Fees must be paid•prior to
receiving 2 e+�rtific te:of.occapairt j r fiii'ai poulrer:rdiease~•if prtije'ctsd es r►ot lnvotvexa certificalJ6406cdi'3pa,cyror
final,power release. the fees.must.be pall.prior to permit isaciaiioe. F-urthei,66 Pas cio�ounty Water/Sewer impact
feessare:due;,theymtist-tie�pefdFeiorftospttxli issuance in accordance• i3tF appltcatita Pa`scounty ordinances: ' `t
COIfSTitUCT10Ns1:1EN'CAV(i'-{Charr7 , ..01 a tatut"MASKarnended): t1l slt atiar`'ofinrork is$ F500 Opaor;more, i
certify:thety l. :-the=:�applCcarxt,.-:ha�ie. b'ee ptov.eid-a�ilth:a:,copy=of-.Ahe� "�iorida Constl -tii n•Lien Law Homeowner's
Protection Guide°prepared-by the:•Florida;'.Qepartment of Agriculture,.and•:Consum!.er'Affairs.;:if:thepopptic a Vk,4-tso one
r M-
other than;the�°owner� :t�.certtfyr<#h to aiytalried a opyt of::ttie atio a de�scrtf3 i oe iit�eat•-anelfipromise'in good faith to
deliver-It to-the°owride-prior
.. . y to°comtm�99,gf ,egf
O'�S I •' :. . . . <. .
hl'CQNTRACT
oa`s, tr aaddtaatawork
vil!'bedofiemew .
epb�e laws.regulating cQns#ruction; zoring.artd landed'eveiopmQnt_r,� pRiication is
hereby made to obtain a permit to do i o ridE-�ihst iila"tio /as'andicated� i certify that no work or.installation has
commenced,pdpr to issuance:.ofi aperrnit;,°and.:thatatl work uvi{l:be,performao.towriieet;;standards of all l ws,regulating
cortA"iction';i6ounty�an i ^ t od� ;4zotal g?regulations, ar it tai'd development regulations in the-juiis iictlon:-- also
certify that i understand:that the regulations-of other government:agencles:rmay apply4o-Ahelintended work,-and:that.it Is
my responsibility,to identify what actions l:must-take compliance. Such agencies,Include but aremote'limited to:
Department of Environmental°Protection-Cypress Bayheads, Wetland..Areas�.and=Environmentally Sensitive
-Lands,WaterlWasteK,!A ent..:_.
Southwest Florida Wiftf' -Management DistrictVells, Cypress. Bayheads, ?aWetland Areas; "Altering
Watercourses.
Army Corps,of.Engineers-S.eeuxislls;:Docks.Navigable Waterways.
Department okHealth.4011. 'obilitativeL�:Services/E-,h vironmerital Health"'Unit=Wells;.zWastewater�-T'reatn°ent,
Septic Tanks
• t1 Enrtiii>�r�r i'ientai P�rotaptioi gonqy.Asbestov�abatementr
FederaFAiiiatron'Arilthofyir£ways:
I understand.,that ttie oil�au g,c }tt tsrie pl} tq;tize useaf ll: -
- Useryi f fll is.-WIVIIQvitie l in Moto rre"V"•uriAW`.bx'0. sslyw ermifed::... ....:.
if"tFie'#ill: material,is.to-be u5e'd in flood Zone it'is--wri ferstood that a drainage .plan addressing a
°corrapensatingavolim ' r`Nf(Ib�er�sublfted.ate#1meofperrnittnwhieh;:isprePavred icy°a;profeSsional"engineer.
licensed ay+ftie'5tate of-Florida.
lf::ti�e:fill:.=mategai�i?4ot i e� use it�i`Iood Q e"fAf '"itr connection with a permitted building using'sti r,:tnralt.
cocastrction.-i,certify"#Viet fill•.wilitrecused only;:s #ilfe:areaasithirwtfae^sten7rrwali:: ._•.. ._.
I'f••fiil:.material. fs-.to;.be,.used..In any area, C;certify,that use.of such,.fill Wwill not adversely affect,,adjacent
�properties:.: ifuse'•df i%Ilis'joutacltoWadversely afflict'adjapa } perties #Fieoltitaer may.be:cited for vidlating
the conditions of the building perr> it issued�.und -attached permitapplication,for lots-less than�an,
acr•.e�+ut ich are«eta rated<by,fiil arnengineered:tlra(h'g&.plan Is required.
if I-amrthe-A0jRNjr-*gia:�Ti�k'C?liu(+tER,t`f prtiinise-in good•faitti&nform�tfie;owt er ofthw.lydrmitUng conditions set forth In
this affidavit-prior:to,commencjng,Qonstruction. I understand.that.a.separate,permit:maybe required for electrical?,work,
piumbing;,.signs;:.wells,.5pools;.Mair-conditioning;=gas;,,or A
Permit issued shall,be.,constmed.-to.be a;license-:to:proceed�vuith the•work•and not-as authority to-violate,cancel.,»litfer,.,�rr:.
set aside anyproylsions of'tttrx echih
icabi406szt nor shallkissuance of a permlt°prevent..the,Building Ufflcialfrom•thereafter :
requiring4a;corrtction;ofiter,wt-ln plans, construction or violations�of-any"codes: Every:permit-issued`-shall°become..Invalid
unless-the-,work-author••ized:by:1such:permit-,is commenced:..within:-six:months.of�par.,roit.:�seuance,,or-i,9,work,yauthet4ie'i��by
the-permit•is-.suspended'or,abandoned`for a'p'eriod'of•six.(6)-months after'.the:timelhe:worfi is commenced:�Amextension
may. writing,:#rom.the-Building;Offic 4wrial'ferpariod not:to exceed ninety(90) days and wil
y t dem9�nstr'ate e
justifiable•cause f4;,',tfieeiexterisionr xt>f workeeosbw r ninefy> 0}donsecutiue;:days,.;the:jobhas.considered-abandon8d
WARtattNG wOlAf iER:_ .Y.Ulat Al URE TO:RECORDK�1*.NOTii-g,-QF�COMMENCE-ME1�iT A3f�.RESUL-.' ;'IN'Yiw14lR--
P/a1YINGG1fI11GE0`R 1MPitOVEIViE#V�f7f`�. JRRiD j , N r
S O EI"tY::'iF 13t INTNiD'"1'O OtT/ N:°t1.MANiT�r ::�C IILT',t
WITHYO,UR,2lEN.DEIOitflNiA�> C1RNtr1"fiE3EFOi2E4tECDlilG'�Yt�f°UA'it31.0 :>`' LOtU1lUiEiNCEiEtT.
OWNER=OR AQ0NT`. -
Subsct bed and swarrj s{(or f mied)YtiBfoie>me tfits=' 'Subsc'r'stietl;andsswo tc� r-•� fo'
(o affiFn"iedj'tii3 reirie=Uiis»
Who is/are personally known to me or has/have produced Who.istare.personally,known to me'or'Ma �ve--phcdifce&•'��
as.identlf}catlon. '-atildentiRi tion:"
Notary Public :�Notary;Public -..
Commission No. Commission No. Y
Name of Notary typed,printed or stamped ;Npme.'ofj±rotaryjyped,pc3nted