HomeMy WebLinkAbout94-4301
BUILDING PERMIT
CiTY OF ZEPHYRHILLS
(813) 788-6611
No
Permit '.
4301/'1
~-/.s-9Y
BUILDING
.:J..-O /' 0()
~TRIC~
P,"perty Ow,"" }1- If ~
Job Address: .3 ?--S.......'1 -::5...... ~
PLUMBING
~-:5___ c:Jt) Date
~ANlc~sew", Cone
Water Conn:
Water Meter:
T,I.F.'s:
Parcell.D. #
Zoning: . _ ~ergy Xode: Rad~ Gas:
Description of Work~~ <-fr ~
NO OCCUPANCY BEFORE C.O,
FINAL
10-/"--9
DATE
Complete Plans, Specifications and Fee Must Accompany Application. C,Q.
All work shall be performed in accordar('e with City Codes and Ordinances.
Inspector
City License Registration #
State Certified License#
7/0
Pe,m;l Fee Gx,~~~
S;gna,",~ dM./ 10-
Company
Address .
Telephone#-40tJ- (CJ~t-g!?...~ ~
Valuation or
Contract Price ~ I. d-.9 y: era
-
BUILDING
K-+:k ~.-A,.
Jk3
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PLUMBING
Tp. Serv.
Rough In
Meter Can
Const. Pole
Pool
Pre-Meter
Ftr.
Pre SLB
Lintel
FRM.
Insul. CL
WL
SLB
Tub Set
Water
Sewer
Final
Breakers
Ducts Insl.
Compressor
F~
t1 --O-v ~~'f
1'J ~~
1 ->0 4r
Driveway
Final
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~' ,!, l> ~ f t
Si..M ~rpm.. ~k.
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REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction.
c. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
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'sOUTHUlHO
CORPORATION
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CONSTRUCTION AGREEMENT
11t:.~t:'veD
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MARKET AREA & PROPERTY ~U!,1BER:
1551-16533 .
LOCATION 38544 5th Avenue
7.ephyr Hills. FL
CONTRACT NO. 9416533
APPROPRIATION NO. 171627
AGREEMENT dated
June 22
. 19 94
. between The Southland Corporation.
a Texas corporation. 2828 North Haskell Avenue. Dallas. Texas ("Owner") and
P,E.C. Omega
~l02 Overland. Apopka, FL
(' 'Contractor")
Owner and Contractor agree as follows:
ARTICLE I
THE WORK
1.1 The Contractor shall perform all work. furnish all equipment and purchase all materials. other than the equipment
and materials to be pro\'ided by Owner and shown on the drawings and specifications. necessary for the construction and
completion of new Envirof lex lines, new MPD blenders , OF/OS, Autogas, Vapor
II piping and all related site work
(" Project"'). as described in the Contract Documents.
ARTICLE II
CO;\;TRACT DOCCME!'\TS
2.1 This Agreement is intended to be read in conjunction with the Contract Documents described below. To the
extent that definitions. terms. or conditions of the Contract Documents conflict with the Agreement. the Contract Documents
will control.
2.2 The Contract Documents consist of:
2.2.1
Drawings numbered and dated.
Gl-G, G2-G9, Vr-lA, ID-l, AG-l
2.2.2
Specifications dated
3/10/94
2.2.3 General Conditions.
2.2.4 Insurance Specifications.
2.2.5
Cost Breakdown form National Gasoline
Bidsheet
dated
3/1/94
1;
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ARTICLE III PROJECT SL'M
THIRTY ONE THOUSAND TWO HUNDRED NINETY EIGHT & 00/100
3.1 Owner shall pay CorHractor the sum of
co
. ..3~ .:2 q E3 -
(" Project Sum"").
form 4400157 11188
Page 1 01 6
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3.2 Ownce shall makc paymc[ of 'he PmjeCl Sum to ConteaCloe as SCI fonh be/ow,
The General Contractor shall invoice The SOuthland CorpOration's Invoice
Affidavit of Contractor and Subcontractor, form 8200047 (supplied by Owner
Payment request received should reflect work place to date of invoice. TI
net amount earned is th" total amount completed to date minus 107. retainag,
Draw Requests shall be Submitted to the Dwner on a tim.l~ basis. Final Dr,
Request shaU be submitted immedi.tdy foU",'ing date of Completion and Fi,.
Inspection and receipt of all Waivers of Lien. .
AUswo rn statements should have proper backup and suppa n i ve documentation
A genetal contractor's'Partial WaVier of Lien should be submitted (properly
endorsed and sealed) cOvering the total amOunt currently requested for
payment. Waivers of Lien must be submitted for each sub-contractor prior
to release of~he final Draw Request. No fin.l P'y.ent eequests will b,
processed unless properly executed waivers accomp.ny the invoice affidavit.
ARTlCLE IV
GUARANTY BOND
4. I COOle.Cloe ldmUl< (shall nOI) ob'ain a peefoemanee Oe suec,y bond ,n fon" acccp"blc '0 OwncL
OWNER SHALL NOT OBTAIN BUILDERS RISK INSURANCE.
ARTICLE V
ASSIGNMENT
5. I Ownee has se/eered Comea., oc 'S geneeal COnleaClOe foc the PmjeCl bccau", 0 f Con teacroe' span icuiae abi,
(he Agreemem.
to pefoem the Woek. Theeefoee. Comeacro; shall not be peemiued to assign, oe'bcokee, its dmies and obligations u
ARTICLE VI
6.1 The Work shall be commenced 10 days of commence-and completed
ment letter
TIME OF COMMENCEMENT AND C01\1PLETlOl\
14 days
IN WITNESS WHEREOF. Owner and Contrac(or have execu(cd (he Agreement (his
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day
OWNER:
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By
AUes(
form 4400157 11188
Page 2 01 6
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GENERAL CONDITIONS
ARTICLE I
CONTRACT DOCUMENTS
1.1 The intention of the Contract Documents is to include all labor. materials. equipment and other items as provided
in Paragraph 3.2 necessary for the proper execution and completion of the Project and the terms and conditions of payment
therefor. and also to include all Work which may be reasonably inferable from the Contract Documents as being necessary
to produce the intended results. ,
1.2 The Contract Documents shall be signed in not less than duplicate by Owner and Contractor. By executing
the Agreement, Contractor represents that he has visited the site and familiarized himself with the local conditions under
which the Work is to be performed.
1.3 The term work. as used in the Contract Documents. includes all labor necessary to produce the construction
required by the Contract Documents, and all materials and equipment incorporated or to be incorporated in such construction
("Work").
ARTICLE II
OWNER
2.1 Owner will provide general administration of the Agreement until issuance of the final payment.
2.2 Owner shall at all times have access to the Project to review the Work wherever it is in preparation and progress.
2.3 Owner will have authority to reject Work which does not conform to the Contract Documents.
2.4 If needed to complete the Project. Owner shall secure and furnish all surveys.
2.5 If needed to complete the Project, Owner shall secure easements for permanent structures. or permanent changes
in existing facilities.
ARTICLE III CONTRACTOR
3.1 Contractor shall supervise and direct the Work. using his best skill and attention. The Contractor shall be solely
responsible for all construction means, methods. techniques, sequences and procedures and for coordinating all portions
of the Work under the Agreement.
3.2 Unless specifically noted in the Agreement, Contractor shall provide and pay for all labor, materials. equipment.
tools. construction equipment and machinery. (water. heat. utilities) transportation. and other facilities and services necessary
for the proper execution and completion of the Work.
3.3 Contractor shall at all times enforce strict discipline and good order among his employees. and shall not employ
on the Project any unfit person or anyone not skilled in the task assigned him.
3.4 Contractor warrants to Owner that all materials and equipment incorporated in the Project will be new unless
otherwise specified. and that all Work will be of good quality. free from faults and defects and in conformance with the
Contract Documents. All Work not so conforming to these standards shall be considered defective.
3.5 Contractor shall pay all sales. consumer. use and other similar taxes required by law and shall secure all permits.
fees and licenses necessary for the execution of the Work.
3.6 Contractor shall give all notices and comply with all laws. ordinances. rules. regulations. and orders of any
public authority bearing on the performance of the Work. and shall notify Owner if the Drawings and Specifications are
at variance therewith.
3.7 Contractor shall be responsible for the acts and omissions of its employees and all Subcontractors. their agents
and employees and all other persons performing any of the Work under contract with the Contractor.
3.8 Contractor shall review. stamp with his approval and submit all samples and shop drawings. as directed for
approval of Owner, for conformance with the design concept and the information given in the Contract Documents. The
Work shall conform to the approved samples and shop drawing.
3.9 Contractor shall at all times keep the Project free from accumulation of waste materials or rubbish caused by
its performance of the Work. Upon completion of the Project. it shall remove all of its waste materials and rubbish from
and about the Project as well as all tools. construction equipment, machinery and surplus materials and shall clean all
glass surfaces and leave the Project "broom clean" or its equivalent. except as otherwise specified.
3.10 Contractor shall indemnify and hold Owner and its agents and employees harmless from and against all claims.
'damages. losses and expenses including attorneys' fees arising out of or resulting from the performance of the Work.
provided that any such claim, damage. losses or expenses (I) is attributable to bodily injury. sickness. disease or geath.
. ~or to injury to or destruction of tangible property. Other than the Project. including the loss of use resulting therefrom.
and (2) is caused in whole or in part by any negligent act or omission of the Contractor, any Subcontractor. anyone directly
or indirectly employed by any of them or anyone for whose acts any of them may be liable" regardless of whether or
form 440015711/88
Page 3 of 6
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not it is caused in part by a party in(mnified hereunder. In any and all c1aims~ainSl Owner ~;. any of ils
employees by any employee of Contractor, any Subcontractor, anyone directly or indirectly employed by an
~r ~ny~ne for whose acts. a~y <?f them may be liable, the indemnification obligation under this paragraph sh
!tmIted In any way by any !tmltatlOn on the amount or type of damages, compensation or benefits payable by or for (
or any SUbcontractor under worker's compensation acts, disability benefit acts or other employee benefit acts. The a
of Contractor under this paragraph shall not extend to the liability of Owner, its agents or employees arising I
the preparation of maps, drawings, opinions, reports, surveys, change orders, designs or specifications, or (2) j
of, or the failure to give, directions or instructions provided such giving or failure to give is the primary cat
injury or damage. ,
3. II Contractor shall submit for approval a certificate of Substantial Completion when the work is sufficiently
so that Owner can occupy or utilize the work for its intended use, and an application for final payment when
has been totally finished.
3.12 Contractor warrants that no gift or gratuity or any promise of gift or gratuity, has been given, offered
to, or for the benefit of any employee or agent of Owner for the purpose of influencing the selection of Co
Furthermore, Contractor certifies that no gift or gratuity or any promise of a gift or gratuity will be offered
to, or for the benefit of any employee or agent of Owner as a result of Contractors receiving the Agreement
3.13 At the time of Contractor's submittal of the certificate of Substantial Completion, Owner and Contracl
at Owner's option, jointly inspect the Project and compile a list of defective work.
ARTICLE IV
SUBCONTRACTS
4.1 A Subcontractor is a person who has a direct contract with the Contractor to perfonn any of the Work on the
4.2 Unless otherwise specified in the Cqntract Documents or in the instruction to bidders, Contractor, as
practicable after execution of the Agreement. shall furnish to Owner in writing a list of the names of Subcontractors p
for the principal portions of the Work. Contractor shall not employ any Subcontractor to whom Owner may have are.
objection. Contractor shall not be required to employ any Subcontractor to whom he has a reasonable objection. C
between the Contractor and the Subcontractor shall be in accordance with the terms of this Agreement and shall
the General Condition insofar as applicable.
ARTICLE V
SEPARA TE CONTRACTS
5.1 Owner reserves the right to award separate contracts in connection with other portions of the Project (
work on the site under these or similar general conditions.
5.2 Contractor shall afford Subcontractors and Owner's other contractors, if any, reasonable opportunity
introduction and storage of their materials and equipment and the execution of their work, and shall properly c
and coordinate his work with theirs.
5.3 Any costs caused by defective or ill-timed work shall be borne by the party responsible therefor.
ARTICLE VI
ROYALTIES AND PATENTS
6.1 Contractor shall pay all royalties and license fees. Contractor shall defend all suits or claims for infrin~
of any patent rights and shall save Owner harmless from loss on account thereof.
ARTICLE VII ARBITRATION
7. I All claims or disputes arising out of the Agreement or the breach thereof shall be decided by arbitra
accordance with the Construction Industry Arbitration Rules of the American Arbitration Association then obtaining,
the parties mutually agree otherwise. Notice of the demand for arbitration shall be filed in writing wi~h the otheJ
to this Agreement and with the American Arbitration Association and shall be made within a reasonable time af
dispute has arisen. The award rendered by the arbitrators shall be final. and judgment may be rendered upon it in acco
with applicable law in any court having jurisdiction thereof.
ARTICLE VIII TIME
'~
8.1 All time limits stated in the Contract Documents are of the essence to the Agreement ("Time Limits
8.2 If the Contractor is delayed at any time in the progress of the Work by changes ordered in the Work, by
disputes, fire, unusual delay in transportation, unavoidable casualties, causes beyond the Contractor's control. or t
cause which Owner and Contractor may mutually determine justifies the delay, then Time Limits shall be extend
change order for such reasonable time as Owner and Contractor shall mutually determine.
form 4400157 11/88
Page 4 of 6
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ARTICLE IX
PA YMENTS
9.1 Payments may be withheld on account of (1) defective Work not remedied, (2) claims filed, (3) failure of Contractor
to make payments properly to Subcontractors or for labor, materials, or equipment, (4) damage to another contractor.
or (5) unsatisfactory prosecution of the Work by Contractor.
9.2 Final payment not due until contractor has delivered to Owner lien waivers covering material and his labor
included in the work, as well as lien waiver from all subcontractors, and major material suppliers for all material and
labor. or shall post a bond pursuant to the provisions of Article X. If any lien remains unsatisfied after any payments
have been made, Contractor shall refund to Owner those sums, when combined with the outstanding unpaid Project Sum.
necessary to discharge all liens, including all costs and reasonable attorneys' fees.
9.3 The making of final payment shall constitute a waiver of all claims by Owner except those arising from (1)
unsettled liens, (2) faulty or defective work discovered after the date of Substantial Completion, (3) failure of the Work
to comply with the requirements of the Contract Documents, or terms of any special guarantees required by the Contract
Documents. The acceptance of final payment shall constitute a waiver of all claims by Contractor except those previously
made in writing and still unsettled.
ARTICLE X
MECHANICS AND MATERIALMENS LIENS / B01'\D OF INDEMI'IFICATION
10. I Contractor shall obtain a payment bond in form and from a corporate surety. mutually acceptable to Owner
and Contractor. whenever any lien is affixed, attempted to be affixed, secured or claimed against the Project. Such bond
shall be payable to the lien claimant, describe the Project refer to the lien with sufficient clarity to identify the lien and
be of a dollar value equal to the amount claimed under the lien.
10.2 Contractor shall not allow any proceeding to be brought against the Project to establish. enforce. or foreclose
any lien, or claim of the lien, referred to in the bond.
10.3 This Article shall not be construed as a general waiver of lien rights against the Project by the Contractor,
or any Subcontractor, or materialmen. for the benefit of Owner.
ARTICLE XI
PROTECTION OF PERSONS AND PROPERTY
II. I Contractor shall be responsible for initiating. maintaining and supervising all safety precautions and programs
in connection with the Work. Contractor shall take all reasonable precautions for the safety of, and shall provide all reasonable
protection to prevent damage, injury or loss to (l) all employees on the Project and other persons who may be affected
thereby. (2) all the Work and all materials and equipment to be incorporated therein. and (3) other property at the project
site or adjacent thereto. Contractor shall comply with all applicable laws, ordinances, rules, regulations and orders of
any public authority having jurisdiction for the safety of persons or property or to protect them from damage, injury or
loss. All damage or loss to any property caused in whole or in part by Contractor, any Subcontractor or anyone directly
or indirectly employed by any of them. or by anyone for whose acts any of them may be liable, shall be remedied by
Contractor, except damage or loss attributable to faulty Drawings or Specifications, or to the acts or omissions of Owner
or anyone employed by it or for whose acts it may be liable but which are not attributable to the fault or negligence of
Contractor.
ARTICLE XII OWNER'S LIABILITY INSURANCE
]2.1 Owner shall be responsible for purchasing and maintaining its own liability insurance and, at its option. may
maintain such insurance as will protect it against claims which may arise from operations under the Agreement.
ARTICLE XIII BUILDER'S RISK COVERAGE
13.1 The Owner shall purchase and maintain builder's risk coverage or elect to self-insure the Project as follows:
13. I . ] Coverage: All risk of direct physical loss or damage from any external causes except as excluded.
13.1.2 Perils not insured: Wear, tear, deterioration. rust, rot. mold, vermin or insects; loss of market. loss
of use: mechanical failure, delay, faulty workmanship. latent defect; settling. shrinkage or expansion: infidelity or dishonesty.
mysterious disappearance, inventory shortage; earthquake; surface waters, and flood waters. freezing. electrical failure.
error or omission in design, plan or specification; War Risks; radioactive contamination or nuclear damage, all as defined
. in the master policy and such other exclusions specified in the master policy.
13. 1.3 Property Excluded: Contractors' and / or Subcontractors' equipment of every description. Automobiles
or other vehicles designed for highway llse. watercraft. aircraft. Machinery. tools, equipment and property of similar
nature not destined to become a permanent part of the instalfation of structure. Money, notes. securities, plans, blueprints.
specifications. and other similar papers. Trees, grass, shrubbery or plants.
form 4400157 11/88
Page 5 of 6
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13.1.4 Deductibles: Fi~e. extended coverage. vandalism and malicious mischief and all other perils. $500.00.
Any and all deductible losses shall be borne by the Contractors in the same portion that the amount of each Contractors
loss bears to the total loss to all contractors on the Project. Uninsured losses shall be borne by each contractor individually.
13.1.5 This insurance shall include the interests of the Owner, the Contractor, Subcontractors, and
Su b-subcontractors.
13.2 Any loss insured under Paragraph 13.1 is to be adjusted with Owner and made payable to the Owner as trustee
for the parties. as their interests may appear.
.,. I. '.,.
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ARTICLE XIV CHANGES IN THE WORK
14.1 Owner, without invalidating the Agreement, may order changes in the Work consisting of additions. deletions.
or modifications, the Project Sum and the Time Limits being adjusted accordingly. All such changes in the Work shall
be authorized by written change orde't signed by Owner.
14.2 The Project Sum and the Time Limit may be changed only by change order mutually acceptable to Owner and
Contractor.
14.3 The cost or credit to Owner from a change in the Work shall be mutually acceptable to Owner and Contractor.
ARTICLE XV CORRECTION OF WORK
15. I Contractor shall correct any Work that fails to conform to the requirements of the Contract Documents where
such failure to conform appears during the progress of the Work. and shall remedy any defects Que to faulty materials,
equipment or workmanship which appear within a period of one year from the date of Substantial Completion of the Project.
or within such longer period of time as may be prescribed by law, or by the terms of any applicable special guarantee
required by the Contract Documents. The provisions of this Article shall apply to Work done by Subcontractors, as well
as to Work done by direct employees of Contractor.
ARTICLE XVI TERMINATION BY CONTRACTOR
16.1 If. through no fault of Contractor. Owner fails to issue payment pursuant to the provisions of ArtiCle 111 of
the Agreement within 30 days of the date payment shall be properly payable. Contractor may. upon seven days' written
notice to Owner, terminate the Agreement and recover from Owner payment for all Work executed and for any proven
loss sustained upon any materials, equipment. tools. and construction equipment and machinery, including reasonable
profit and damages. .
ARTICLE XVII TERMINATION BY OWNER
17.1 If Contractor fails to abide by any provisions of the Agreement. or defaults in its obligation to perform the
Work in accordance with the Contract Documents. Owner may. after seven days' written notice to Contractor and without
prejudice to any other remedy it may have. make good such deficiencies and may deduct the cost thereof from the payment
then or thereafter due Contractor or. at its option, may terminate the Agreement and take possession of the site and of
all materials. equipment. tools. and construction equipment and machinery thereon owned by Contractor and may finish
the Work by whatever method it may deem expedient. and jf the unpaid balance of the Project Sum exceeds the expense
of finishing the Work. such excess shall be paid to Contractor. but jf such expense exceeds such unpaid balance. Contractor
shall pay the difference to Owner.
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form 4400157 11/88
Page 6 of 6
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AP1JLlCATIOIf POll PEIIKlT
CITY OP ZIPBYRBILLS
BUlLDIIIG DIPARTMlIIT
OWHIR t S 11.lHR~ i
OWIBR t S
JOB ADDRISS
LEGAL DISCRIP'rIOI: l.OT(S)
BLOClt
SUBDI.VISION
PARCEL I.D.' (O,TAUJ PROM Pmpon TAX ~Q'tm~)
...,JUt PItOPOSBDI____ew Ooaatruetion ---Addition ---Alteration --Jlepair _lnatall
--1Jian --.JIove --Peaolish
PROPOSED USI: ~lna1o Faaily --"IF _' of Units --Jt/a
/eo..erCla1 _Induat. _SWUI. Pool _Other
Restaurant & Health Departaent Approval
DBSCIIP1'IOII or tIOB.. tJAofw/YYI.) ~~~
IUllJ)1JIG SlZIt X Square Feet. Beiaht
USIDDTlAL: AftACIl (2) PLOT PLANS & (2) SETS OF BUlLDIBG PLANS & (I) SBr DEROY PORKS.
COKKBRCIAL ~ ATTACH (3) SBTS OF BUILDING PLtafS II (1) SBT ENERGY PORHs.
PIIOPBRTr StJRVBY R8QUIRBD FOR ALL NBW CONSTRUCTION.
---JUlLDDIG
$.3 l)~q8,oo
rEPKlTS REOURSTIm
Valuation of Total Construction
1a.RC1"BICAL
AIfP Service
Plorida Power Corp.
N.R.I.C.
---.JIBCIIAftCAL
--..PIAMIUG
*
Valuation of tleclum.ical Installation
GAS
ROanNG
SPBCIALTY
Other
TIP! OF COIISr:aucrtOI. -Block -Prue _Stee!,
nII.SIIBD I'I..OOa BLBYATIOIIS ~
-FT.
IS PROJECT 111 FLOOD ZONE AlIA,
..........................................
YES NO
f.\QNTRACTflll SEcrION .2...5 ""3 -. c.rV
~. tnfpAft \AIUJfoWVYl )~{I'fP. - ~tJlP i)
State Cert. or a.aist. I L!.(! 7J
Sisnature , City License Registration .
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RI.RCTJlTI!U". . COMPANY Y- // E j E c.. HI C!.- c..t:J
~/ ~ State Cert. or Reatat.' ...C/2,?100-9'?1Z
Sfonature .~ City Licana8 ~81etratiOD'
........................................
IlJTl.no.
PUDlRp
COKPANf
State Cert. or Reatat. .
City Licenae Registration .
..........................................
St.aoature
IIRCIWIT CAJ.
r llt L .4
cotIPANY
State Cert. or ReSist. .
City License Regietration, ..,
..........................................
Stanature
O'I'RD
CO!tPAHY
State Cert. Of' 1lo81et. .
City tlcen.e Registration .
..........................................
Sisnature
APPLlCAnOll ArPI.OVBD BY '-1!a /It,(' A.-1 ill Ih9 j}~1
CJ Q
PBRMlT OPPIClIt.
COHV.i:... ~:ONS Or' PERMITi\FFIDAVIT
A. NOTICE OF DoSED RESTRICTIONS
!be Ulidertlg0e4 WllJeratlDtJa that thia panJt lay be eubjtct to "deed restriction." ..hieb 1M' be lOr. rutrlctlve than City
regulltlD. !be nDdenigDld aaBUlBl reaponalbilitl for COIpliance Ifith any applicable deed rutdctl00e. .
B. UNLICKNSRP CO~RACTORS 1~ CONTRACTOR RESPONSIBILITIES
If the _'I bu hired a contractor or contractors to undertake JOrk, they say be required to be Uceaa84 In tCtlOrdance with
state aDd local regWatiODl. If the contractor is Dot Hcenaed as require(! by In, both the OlDer IJld CODtrletar Ill' be
cited for a 118dB1eanor violation under state law. If tbe owner or intended contractor are uncertain 18 to "bat llC8D8Ing
requlr-.ntJ .,apply for the Intend84 JOd, they are advised to COIItact tile City of ZepJ!yrhi1l8 BuUdfDg DtPIItIMt, (813)
788-6611.
Furt.bermra, if the owner baa bired a contractor or contractors, be i8 advised to Mve the contractor(.) 11911 portion. of the
'Coatllctor 8ectJoaal of tilil appUcaUon for which they "ill be responsible. If you, at the ower alvn II the cat1tractoI,
you are iodicatlog that rou, rather than the contractor, ilre responsible for tba .oct. It the contractor .i8bq you to 8ivn
u coauactor tbet laY be an indication that he is not properly Heensad aM i. not ent.1Ued to Pll'litting pdvillgu ill the
City of lepbrrhilla.
c. ~RANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certIfy that I, the applicant, have been prodded lith a copy of 'Floridat, Construction Lien Law . ~8I". Protection
GuidI- prepared br the Florida Daparuent of Agriculture and Con8U18t Affairs. If lbe applicant il aeone otbu tban the
"OIIIIell, I certify tJlat 1 ba'B obtained a copy of the above deaeribed dOCUlent and prClli8lJ ia good faitb to 4eH,er it to the
"owner' prior to ~c_t.
E. CON'.l'nCTOR t S/OWNER' S AFFIDAVIT
I cartSf, that III the inforlation In thie application il accurlte and that all work will be Gone in COIPllance with all
applicable 1118 regulating construction, laning, and land 4evelopl8llt.
AppUcaUaa I, bIIrtbr Jade to obtain a (lIrait to do work and installation as indicated. I certify that no lOr. or
il1ltaUatloo hBI co.encld prior to i8suance ot a perlit and that all wor' will be perfol'lld to lilt 8Wdarde of all law.
requlltlng COOItrucUon, City codes, Boning regulati()ng, and land dQveloPlUt regulatloDl in tile 1urllcUCtiOll, I al80
certIfy that I UDderatand that tlle regulations of other go'e.ruental aglllleJu JaY app1r to the btude4 IOrt, and that it is
If reapooaihUity to identify wbat acUona I lUst tate to be in COIpl1ance. Sucb allendu include but are not lilite4 to:
t DepartJut of Invlronaental Requlation . Cyprea8 Bayheada, Wetland Areas and Envit'ODllentallr Sensitive Landa,
Ifater/llaateliJtur treatElt
I Southwat Florida Water KanaOM8nt District - Wells, Cypru8 Bayheads, Wetland Aleu, Altering IMtercouraea
I AmJ CURt of lDcIineera .. SUIIlls, .Docks, Navigable Waterway.
I ~t Df !ea1tb i RebabUltati,e Services, EnvirtmlMtaI Health Unit - Ve118, Wastewater 'reabent, Septic ranka
I US 1Zl1i.roa.ta1 ProtectlOD Agency - bbestos abatuent
I dIG certlfJ tIIIt, it till IIterill i8 to be used in Flood ZOne "A" or "I,atc.., it is underetood that a drainage plan
addreulDg a Icmpenalltlng lOI.- Ifill be sw.itt84 lIbith Is prepared bl a professional engineer registered in th, State of
Florida prior to petllt issuance.
A petitt baaed lUll be conatrued to be a lic8I1Se to proceed with the wort and not sa authority to violate, cancel alter, or
set a8ide anr plO,iBIOD1 of tbe technical codel, nor shall issuance of e petl1t prevent the Building Official ftal thereafter
requir1Dg I correcUOIl of errors in plana, conatructlon, Of YiolatiOll8 of any code. ifary P8lIU i81t1ec1 allallllecxlle invalid
unlea. the IIOr. autboriled by such penit is ~ced withill six IOnth. of liau.ance, or lfwork autborlled by the penit is
Suspended or abaDc100ea for a perJod of ail IOllths after the tile the lor. is ~C8d. One 90 day IItBDIion of tile, -J' be
allowed for lbI petllt 11th fee Charge of '15.00. !ho eatenslon ahall be requeated in writing to the Building OffIcial. An
approved 1DIpectllll IUIt be 109984 during each sil .:lnth period, or the project will be COIIIldered abandoned.
WIG ro (lOR: YOOR PAILURJ fO RECORD A NOTICI OP ctIIMBNCEMiJIJ MAY RESULt 1M YOOR PIYIIfG !VIa fOR 1JfPROVBIlu1'8 to YOUR
PROPERtY. 11 YOO II'fDD to OBtW PIKAlCIIG, COMBUL! 11110 YOOR WDBR OR AIr AnoRUY BIPORI RiCOfIDIHC YOUR lOtICS OF
COIMDCDIBft. Jt1I8 l1IDIR $2,500 1M VALUB 00 lot mn to RiCORD AND POSr I 'NotIC! 0' Cl1IHDCim1I.
~~/ &~"6~
Stan or PLCIllDl
coam OF O~ ANO c
The foregoing 1Datrument was acknowledged
before .. this ~~mS'R'f+19~ by
~f'3t:>R.F\- S\'t,q uE.12
who 11 p'@I'8ooalll' known to me or who has
produced
as identification and who did/did not
take an oath ~ " .
~.~ ~\.A )A. Q \) \. 0l ~ D
(S1gnatur
(Hue Typed, Printed or StUlped)
NOTARY PUBLIC
sun OF
coom OP
The foregoing in twas a~~OWledged
before me this , 19 by
..::i1s ~~r~~~_to IDS or who bas
produced
as identification and who did/did no~
take ~ oetb,l ~
(Signat~;~Y'l'l.~ ~ITh:j
(Name Typed. Printod Or St-.ped)
NOTARY PUBLIC
CONNIE L BAILEY
Notary Public, State of Florida
My oomm. expires March 14, 1997
Comm. No. CC265919
"~^~-t>
*~*
d'.il"lf1A~
"~Off\.Il"".
DESRE J WU.LIAUS
My ComrnI88IoR CC3a8073
Expires Aug. ur, 1998
80nded ~ HAl
800-422-1555
.,
. ELEVEn
.@
September 14, 1994
Petroleum Equipment Contractors
P.O. Box 608166
Orlando, FL 32860-8160
RE: 7-ELEVEN LOCATION #16533
38544 5TH AVENUE @ S. R. 54
ZEPHERHILLS, FL
TO WHOM IT MAY CONCERN:
This is to verify that Petroleum Equipment Contractors have been
authorized by Southland Corporation to do the petroleum upgrade on
the above referenced location.
Should you have any further questions, please call.
Sincerely,
7-ELEVEN FOOD STORES
~I~
Sandra Shaver
Area Real Estate Manager
SH/chw
author:16533
( "DIVISION OF 7 -Eleven Stores / Florida Division
~:) b~~~g~~~itNND 1300 Lee Road / Orlando, Florida 32810/ Phone (407) 295-3076
ZEPHVRHILLS FIRE DEPT
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Zephyrhills Florida 33540 (813) 782-8184
FIRE CODE INSPECTION
Business Name
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Classification
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Address _:'., <( t....
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Owner/Manager . .7/ /""-';
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Business Phone
Emergency Contact Phone
Occupancy Load
Alarm Monitoring Co.
Phone #
TYPE OF INSPECTION CONDUCTED
o QUARTERLY
ORE-INSPECTION
@ APPROVED
o FINAL 0 ANNUAL
9> OTHER (,--I, /i,-, /.;: 7~:,' ,C /
o NOT APPROVED
OBI-ANNUAL
o COMMERCIAL CHECK
Listed below are items which must be complied with before this occupancy can be approved by the Fire
Department.
o CODE VIOLATIONS
This inspection report specifies code violation(s) which if not corrected could cause a fire, contribute to the
spread of fire, or prevent safe egress during a fire. Your immediate attention to the correction of these
violations shall be required, as failure to do so is a violation of the city of Zephyrhills Fire Prevention Code.
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OwnerlManager Signature
Title
This building has been checked by the Zephyrhills Fire Dept. under the codes & regulations of the NFPA minimum
standards, the State Fire Marshall's Uniform Fire Safety rules and other local fire safety codes.
White Copy. File Yellow Copy. Bid. Depl. Pink Copy. Business
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ZEPHYRHILLS FIRE DEPT
Zephyrhills Florida 33540 (813) 782-8184
FIRE CODE INSPECTION
Business Name
7- Ii
Classification //:/i.C/-/"> 7- /JL
Address
,'. '
/' .'
--
/'-. ~.t
Owner/Manager
~/ /_i ft...-
-
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Business Phone
Emergency Contact Phone
/~! -~! */~,
Occupancy Load
Alarm Monitoring Co.
Phone #
TYPE OF INSPECTION CONDUCTED
o QUARTERLY
ORE-INSPECTION
o APPROVED
o FINAL 0 ANNUAL
o OTHER
o NOT APPROVED
OBI-ANNUAL
o COMMERCIAL CHECK
J,
Listed below are items which must be complied with before this occupancy can be approved by the Fire
Department. .
o CODE VIOLATIONS
This inspection report specifies code violation(s) which if not corrected could cause a fire, contribute to the
spread of fire, or prevent safe egress during a fire. Your immediate attention to the correction of these
violations shall be required, as failure to do so is a violation of the city of Zephyrhills Fire Prevention Code.
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Re-Inspect. Date
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Inspect. Time
Inspectors Name
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Fire Dept. ID #
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Owner/Manager Signature
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Title
This building has been checked by the Zephyrhills Fire Dept. under the codes & regulations of the NFPA minimum
standards, the State Fire Marshall's Uniform Fire Safety rules and other local fire safety codes.
White Copy - File Yellow Copy - Bid. Dep!. Pink Copy - Business