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Home My WebLink About95-5047 ,,,.~-,,~~.- BU'llDING PERMltc CITY OF ZEPHYRHILLS Permit 1IC? . (813) 788-6611 .. --5047 S - -.- Date 6' ;J. 3 - y...)- J .-!:> '0 J vi. 'l.~- ELECTRICAL 7".;.2 ....s '-z> PLUMBING /tn.tIlJ MECHANICAL - ~ ~~ Property Owner:/ , "1 Job Address: -..J"'- 3> ,.u. ~ Parcell.D. # / / - d. 6 --9...1 L3.s-r L /-..).-..3- y-J----" Zoning: Energ~ " Radon Gas: t; ~ Description of Work '-f'1./--A..-t~ I?~ -4~ Sewer Conn Water Conn: BUILDING -' Water Meter: T,I.F.'s: 'Sj Y t b . ;;0 NO OCCUPANCY BEFORE C.O. FINAL C.O. Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. O:mst-p:>le FPC (Betty) Nancy 07/26/95 10:15 A.M. <<!l11 T '__ TI ~ ,__ ~ . _ Ll", . II Valuation or Contract Price ~/,--~ 9 rg- tfO o DATE_ /-/;J. - ~ DATE Inspector City License Registration # J.3 Y.-.S- State Certified License# Address Telephone# 1- R/3 . 920 . //11 6r-~P/L M~ At4~~F ~J~ ~ -.?: u (j 9'./ V ELECTRICAL 'tJ r PLUMBING - Tp. Serv. /" SLB h nr - q 5 8, LL Breakers Rough In V8"-lb...q~5o~ Tub Set ~4)1o- <is g JLL Ducts Insl. ?'-JIo~l1lS8~e Mete, Can 6~.r Water Const. Pole. 7 -2-1.:: "If P>.l>Sewer Pool L' Final V' .Pre-Meter ~ €.qw Cj..<)...~ FinalV' ~~-///J/C- MECHANICAL /6,..2.. 7J~#&:jl BUILDING Ftr. LJ 1"4'';- ~\ U- Pre SLB,!,/, - 2(J:lf /)ll "- Lintel ,,} -51. <q ":::::; EI LL FRM. ~~'-llD ~'1S' 81 LL Insul. CL WL Compressor FinalV' Driveway '... M.-N'\ r3ji,..~f -It. t[ \ t5(U- ~~~_'-~SB,U- REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade: a. Wrong Address 2Ja:4Z. ~~~ 1'-J......7f-r-S- b. Condemned work resulting from faulty construction. 1 v11 - / 1:t c. Repairs or corrections not made when inspection called. ~ 1 100 . '. ~U/ ~ d. Work not ready for inspection when called. . ~ ~ui.\ e. Permit not posted on job site. ~.' ~'.' 7 ") f. Plans not at job s~te. H -811 ...11/,:}3 Cl fI-9- g. Work not accessible. 'l,S/3 .'/1'" ~ I ~ v~ r The payment of inspection fees shall be made before any further ';l:!J~~::!rIo the pe~n.owning same. \3ulL.C>IN& EUiL11l. \L.- itu~ f)\ ~fWllAl.- 6\JB1C "ifr L Uli-i)tT . 70 T-Itl- ~&J~ WitT f-:R. M~ lbTfl L ~ \ sc. ov,J I f\lYI <J ~L0 BWD, Vf\Wt\-r,DN: 21 bi qq1 ',210.50 }(!)/I '75 t./2-~o IDO.uD - /7lo .,100 ~N[q1w F~6 ~fr~ 6f6 k2,DOU8f. foO.t~ '). cb .::) (0 1. ,,JDJ Ft)Cl ud5 2 LAV~ 2 WIL- 7~6jJoa.rfYT7~ tmma fiJ-_s ~g-~b. 70 99% 0/ % . :: .. ,.. -'-,' .""",.. '-' ~~- .,..".. .... ~:r-' "7>"""'-' '. x 611 ~ 3 6{, fT: ~,\ VIN 6- 61. F~ oTI11UL 1Zi\~1""l~O- ~' .. 8"f-'Cv~ fO ~ U1-{{V iT I __ . . 'I 8-/ ~O, '/.. " ,...... -- .,.,,-, .__.,_____ ' / if /1'. 6 f:, .... , ...~-'...-.._~.,...~.._-~.._~ .._-~. . Lj' &-66. /0 I ,... . .......... .-...,.. .......- .... . .... ~ .' APPLICATION FOR PEBKlT CITY OP ZEPIIYRBILLS BUILDIRG DEPARTKBRT OWHER'S RAIlE DiS~LJl.)I..j r /::>.uTO f?Af2 ,S ** s4 f2- PHONE f313j667 - () 2. ZC; OWNER'S ADDUSS 4CJOO FRor-J TAc:.E. t2DAD LA.VE'LA.ND; ~L 3380 \ JOB ADDRESS ~~ ~ g 7 L!f ~ 6? (J.d . '- LEGAL DESCRlP'rI.OR: LOT(S) B~SUBDIVISION PARCEL I.D.' (OBTAIN FROM. PROPERTY TAX. NOTICE) WORK PROPOSED:...K....Rew Construction -----Addition ~teration ___epair _Install _Sign ~ve _Deao1ieh PROPOSED USE: _Single Faai1y ----1f./F _' of Units ~.IH -$.,...eo-ercial . _Indust. _Swia. Pool _Other ---Restaurant & Health Departaent Approval DESCRlP'rI.ON OF WORK: I\lt::W ~e... ,po.. \ L ,o.UTO P~fZ.. T S sTi:>~E. BUI.LDIRG SIZE:.JIJ X IOf), (.,OOO Square Peet, /ltJ' Height RESIDENTIAL: ATTACH (2) PI.O:l' PLANS &(2) SETS OP BUI.LDIN,G PLANS ~ '(1) SET QERGY PORMS. COMMERCIAL: ATTACH (3) SETS OF BUILDIRG PLANS & (1) SET ER.ERGY FORMS. PROPERTY SURVEY REQUIRED ,FOR ALL NEW CONSTRUctION. ...f...-y.UILDIRG X RI.RC'l'RICAL $ PERKITS REOUESTED /60,O{J{) Valuation of Total Construction , 400 AIIP Service Plorida Power Corp. W.R.E.C. -2UmCIIABICAL .1-PLUtlBDiG $ 7200 Valuation of lIecbanica1 Installation GAS x ROOFING SPECIALTY TYPE OF CORSTRucnON: -2L...Bloclt _Fraae _Steel Other PIIIISIIED FLOOR ELEVAnOIiS: Fr. IS PROJ~cr IR FLOOD ZOBE AREA! YES NO ..................:a.~..................... Signature 1/m' . ~~ /1 / " ",.,r-/--- COKPAIIY WtJ Hi t..L LON S TRU'::" T ION ~,0 V State Cert. or lle8ist. . <..c..c.. OI~SO'5 .' , City License Registration . /-3 S .......................................... BIITT.DRR RI.RCTlUCIAIi COMPANY "Bn'~.p K... E...L Iii' ~ c 2. ~e.- ' I, /J t~/l/' State Cert. or Regist. 'U oa-o ?$L9? SiA'flAture ~~ If. /Yl 'L.-. . i/-fl. City License Registration' ~3 ~ '-I ~ .. ..................................... . PLUMBER ~ CllIlPAn ~ ""!.Lon ~ -r Pil ~ 1M blr\~ I\~ /]\ . State Cert. or Regist.' r:-CO 'I;). ~ Signature l.A..f)I)..Q_~,J..J~}.~~ City License Registration' , \ .........\jr.............................. HECllAHlCAL k ~ANY CCN-IAJZ..\ Al J2. CON D I T IoN I N G- .d ~ -- State Cert. or Regist. . C-AC- 0 z.. 70 2- f, Signature _~ City License Regietration f /6;L .......................................... Signature ~ CllIlP.un: m/..I>tll a.1V~"<.(10N. IA! '- , ~. St:ate Cert. or Regist.' R(/JlJC,521t:; . City License Registration' 'J..7 .......................................... nTRRR APPLICATION APPROVED BY '11 ~A~ )11--~ PERKIT OFFICER. -,..."....,..... -'c, -"''''''.''::->'''''''~~'''''ftI'"~~"~,,,"," CONDITIONS OF PERMIT AFFIDAVIT .A. 'NOTICE OF DEED RESTRICTIONS , !lie undersigned understands that tbis pertit Jay be subject to "deed restrictions I whieb Jay be lOre restrictive than City regulations. !he undersigned asSUle& responsibility for cmpliance witb any applicable deed restrictions. 'l ."'C"'!'f''''r..,..:.,:"""",''l_''',,,,,,,,.;....:,,''.''.'4'"''^ :V-::"'''\",":" B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If tbe owner has hired a contractor or contractors ' to undertake work, they lay be required to be licensed in accordance witb state and local regulations. If tbe contractor is not licensed as required by law, botb tbe 0III1eI and contractor JaY be cited for a lisdeteanor violation under state law. If tbe owner or intended contractor are uncertain as to what licensing requiretents Jay apply for tbe intended work, they are advised to coa.tact tbe City of Zepbyrhills Building DepartJent, (813) 788-6611. FurtbertOre, if the owner has hired a contractor or contractors, be is advised to have tbe contractor(s) sign portions of tbe "Contractor Sections" of tbis application for whieb tbey will be responsible. If you, as tbe owner sign as tbe contractor, you are indicating that you, rather than the contractor, are responsible for the work. If tbe contractor wishes you to sign as contractor that Jay be an indication that he is not properly licensed and is not entitled to pertitting priVileges in tbe City of Zephyrhills. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, bave been provided Ifitb a copy of "Florida's CODStruction Lien Law - BcIIeoImer's Protection Guide" prepared by tbe Flori4a DepartJent of Agriculture and COIISUIer Affairs. If the applicant i8 tDeODe otber than the "owner", I certify that I have obtained a copy of tbe above described docutent and prOlise in good faitb to deliver it to tbe "owner' prior to C08enCetellt. E. CONTRACTOR'S/OWNER'S AFFIDAVIT I certify that all tbe infortation in tbis application is accurate and that all work will-be done in COIIpliance witb all applicable laws regulating construction, loning, and land develolEDt. Application is bereby lade to obtain a pertit to do work and installation as indicated. I certify that no work or insWlation has cc.I8I1ced prior to issuance of a pertit and that all work Ifill be perfOtJed to teet standards of all laws regulating construction, City codes, loning regulations, and land developteDt regulations in the jurisdiction. I also certify tbat I understand tbat tbe regulations of other 9OYerJIIl!DW agencies Iilf apply to the intended IfOIk, and that it is ., responsibility to identify what actions I lUSt take to be in COIpliance. Sueb agencies include but are not lufted to: t Departtent of BnviIOlll8lltal Regulation - Cypress Baybeada, Wetland Areas and Bnvirontentally Sensitive Lands, Water /Wastewater IreatJent t Southwest Florida Water Hanagetent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses t AIIf Corps of Engineers - Seawalls, Docks, Ifavigable Waterways t DepartJent of Hea1tb i Rehabilitative Services, BnvirOJlleJ1tal Healtb Unit - Wells, Wastewater Ireatlent, Septic lanks t US BnviIO.lllenW Protection Agency - Asbestos abatl!llent I also certify that, if fill Jaterial is to be used in Flood Zone "A" or "A, etc. ", it is understood tbat a drainage plan addressing a "COIIpeDSating volute" will be subaitted whieb is prepared by a professional engineer registered in the State of Florida prior to peIlit issuance. A ~it issued shall be construed to be a license to proceed Ifitb tbe work and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor sball issuance of a pertit prevent the Building Official fI(ll thereafter requiring a correction of errors in plans, constructiOD, or violations of any code. Ivery pertit issued sha11 becme invalid unless the work authorized by sueb pertit is ~ced Ifitbin slllODtbs of issllaDce, or if work authoriled by the pertit is snspended or abandoned for a period of sillODtbs after tbe tite the 1fOI1 is cc.I8I1ced. One 90 day eltension of tite, lay be allowed for tbe pertit witb fee charge of $15.00. !he eltension shall be requested in writing to the Building Official. An approved inspection lUSt be logged during eaeb sil IODtb period, or the project will be considered abandoned. IlARlfIIfG 10 OIlIER: YOUR FAILURE 10 RECORD A lforICI OF aJIMBICIIIDI HAY RESULI 1M YOUR PAYIMG !lIICI FOR ,IIfPROVIIIIftS 10 YOUR PROPERlY. IF YOU IImD 10 OBIm FIJIBCIIG, COBSULI WIIH YOUR LBJIDIR O~RftORDY BiFOHB BICOIDIIG YOUR IfOIICI OF llIIlIIICIIIlIl. JlIIIIIIIIIIJI '2.500 II VILIlIl 00 lOr III/J 10 RmD lID POll! ~ . ~.. K,~ c/:- /6:~ . , /ill ~_.:- . SIGIA'fURB: OIIID OR AG.DI Sfl : COIIRACfOR SIAIE OF FLORIDA COUNIY OF HILLSBOROUGH The foregoing instrument was acknowledged before me this June 12 , 19~ by SIAlE OF FLORIDA COUNIYOF HILLSBOROUGH The foregoing instrument was acknowledged before me this. .Tune 12 , 19..22....- by D. SCOTT BASTING who is personally known to me or who has produced Pp.rsonallv Known to Me. as identification and who did~ot' ~an oath. t7 j -' I", . n( L"e '-./). l'y-6pell~ (Si ature) () J~ KIE G. HAGEN ~~~ (H~e Typed, Printe~ ~ HOTARY PUBLIC ;f ':j...;;''''\SSIO;e;...~ ~ ~ ...:.. ~...~~ 22.,~ '%.... \ = : ~ ~ ~ ~~ = =*: -.. :*= ::z . . _ ::;S?~ #CC374464 :i!J~ ~"J!:. ~ .s~ \, ~.:..~<;- o~l/ed \'fII" ~ ... ~ ~ ~ A~..:~i2;1~~~':..~~':~ 'I'~~f/llIC. ST"i~~~,,~ fllll/", III \1111\\ KF.VIN L. SULLIVAN who is personally known to me or who has produced Personally Known to me as identification and who did~ ~ oath. OA c/.lu IS. ~+~ :::.:n . .~~ (Name Typed, Printed 9.fi",&b~) nntARY PUBLIC :.", ~\~ G, HA'-' illl. Nv.l. ~ ~'V .........<1(C;,~ ,$ 'S ..~,\lI\SSIDN ,c~.;: ~ ~ . ~.,... """toC). ~ ::: .....<.J ~~" 22, 1.9~ ~.. ~ i i~ ~ (/l: E =*: ..... .*= ~;t.ot ICC 374464 J ~~ ~ ;A. -9f::: ~'f\)~../;.o 6'ondect \~\'i> ~v'(,....ss~ ~... ..J.- /' ..'Y F.Jin.ln'\\\~..c.. <( ~ '-:', "'~/."."....... C)'\ ~ ..,,~)U(, ST"\~ ",,'l "'Ii 1/ 1/1111\\\\\\ DUNHILL CONSTRUCTION OF FLORIDAll INC. POST OFFICE BOX 271120 TAMPA, FLORIDA 33688 PH: (813) 920.1177 FAX: (813) 920.0439 June 7, 1995 City of Zephyrhills Building Department 5335 - 8th street zephyrhills, Florida 33540 Re: Discount Auto Parts store #54R North Gall Boulevard Zephyrhills, Florida Dear Sirs/Hadams: This letter shall verify that PEDRO PEREZ has the Power of Attorney to act in my full capacity with all rights and privileges (by authority of Chapter 489, Part One of the Florida statutes) of my Florida state Certified General Contractor License Registration Number CGC19505 to obtain permits and/or licenses required for the above referenced project by the local building authorities having juriSdiction over the above referenced project. sincerely yours, By: DSB SWORN TO AND SUBSCRIBED TO BEFORE HE THIS 7TH DAY OF JUNE, 1995. D. SCOTT BASTING IS PERSONALLY KNOWN TO HE. r--. , Hy Commission Expires: l ,\\\11\11111111/11. ","'r:.v..\E G. It/l ~/111l ,s-" ~~ ..........,G'~ ~ ~ ...~~~\SSION ;';'.:1- ~ i' . d-,c:.i#l"?' ::Yo 1$1- ~ -.~ '3;l:r:e:-., ~*: ~~: i :%: ..... :*= ';'3 \ ICC 374464 !:!rei ~ ~ . /.: Q. .~;:: ~ '9,t. .0 "Oy o"ded \,,<'l~ ... ~ $ ~ 4...J:"in'lnsul~...<<..s>*, ~/"~llr.....~ ()~ ~ 'III/. ....51llli.. ",... ~1111/1tl1l'\I\" PARCEL I: Lots 1, 2 and 3, Block 58, CITY OF ZEPHYRnJLLS, acoordin~ to the plat thereof on file in th~ Offioe of the Clerk of the circuit Court, in and fo~ PBOCO County. Florida, recorded in Plat Book 1, page 54, said lands situate, lying and being in Pasco County, Florida_ P~RCEL 11: Lote 4, 5 and 6, Bloak 58, CITY OF gEPHYRHILLS. according to the Plat thereof on file in the Office of the Clerk of the Cirouit Court, in ftnd for. Pa~co County, Flor.ida, ~~cor.ded in Plat book 1. page 54: said lands situate, lyinv and beinq in Pasco County, Florida. . ~ $ DUNHILL CONSTRUCTION OF FLORIDA, INC. POST OFFICE BOX 271120 TAMPA, FLORIDA 33688 PH: (813) 920-1177 FAX: (813) 920-0439 June 12, 1995 City of Zephyrhi11s Building Department 5335 - 8th street Zephyrhi11s, Florida 33540 Re: Discount Auto Parts store #54R North Gall Boulevard Zephyrhi11s, Florida Dear sirs/Madams: This letter shall verify that FRANK PRESBER, has the Power of Attorney to act in my full capacity with all rights and privileges (by authority of Chapter 489, Part One of the Florida statutes) of my Florida state Certified General Contractor License Registration Number CGC19505 to obtain permits and/or licenses required for the above referenced project by the local building authorities having jurisdiction over the above referenced project. Inc. By: DSB SWORN TO AND SUBSCRIBED TO BEFORE ME THIS 12TH DAY OF JUNE, 1995. D. SCOTT BASTING IS PERSONALLY KNOWN TO ME. ( ~\\,"""f1"",,~ ~"" ~\E G. UA ~ ~ ~"t-'\J ......;~G'~ ~ ~ ...~.>A\SSION;...."" ~ ~ .. C\""'.. :J;.... ~ .::" ...~u .."''''( l'l, '9. ~.. So : :~ ~ ~ ~~ ~ :*: ... !*= -;l!:' · 1 ~~~ #CC374464 ::$ .....~. ~ .~ ~ ~,.t.....-?~ Ond'd \'t\\~ ...~ ~ ~ .4, ~";'in.'nsU\..~ <,,'V ~ ~-'l </81 .....~ \J' ~ rt/,~ ~/C. SUi\\. ~".. ~"""''''''''\, My Commission Expires: i i ~,!I tr6'V/5fb ri;to,. ~/ n;e it rSc!&Jt1f /lulo II 6(cc;JJ f7' )( II /, ~ 9 I, o~ iJe r r; CJoo rf r II -== /fD, I Vb, GJ 3/l."Lztj' >( I {07(,~p-~t{[Of' I '- i - - 62-79',30 i ~ ~S~,.W Whole Building Performance Method for Commercial Buildings FC)l'''m ll.OOPI.....94 ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION Florida Department of Community Affairs FLA/COM-94 Version 2.1A PF;:OJECT i'.,I('~ME"..,Di<::;'C(,:H..lnt {~ut.o P,,':\rtt'; , /"7/" ADDRE~:;E3 ~ ...,.Zf::'phy r"hi 1 1 s .S63'7..X/J /1~,~, _...F' ,,:,\ ':::, co [: c u n t y, F 1 .,...,....,_......................,.........,............. OWNER: Disccunt Auto Parts Inc. (~(3 E: !'...J T :: ,.................................~..M_....._..._..........................__..........._..___.............................._._..............._....._... PERMITTING OFFICE: ..,... Z e p 1"'; '/ 1''' h ill s _..........,.."..................................,.,.......................,....................., C L I 1'1 (:, ''I'" E Z 0 !,.j E =..,..4,...._........... , ,..........,........... ............... F'E F;: 1'1 I"'" I\J 0 : ~(2..~~............L3............,.. J U I:;: I ~:3 D I C T ION NO: ...../:.;..1 .1 \~\ 0 0 ....,.......'.,................... B l...! I 1.... D I 1"1 U T \/ P E : ,..,,1'.1 F!! I" C i::t n t. i 1 E.' (R E~ t. ail ) ..,...................................,_...... CONSTRUCTION CONDITION: New ccnstruction D E: E:~ I (7) !',J C o 1'1 F' L f.::: T I C) 1....,1 : ...,.F in ish e d Fiu, i 1 din (:.I........,................................................ CON D I T I D 1\1 E D F::-I..., (J 0 R (.~ I::;: E {~: ,.....600 0 ...............,..................................,.,..................,......,.,............................,....... N U M B E:: P (] F::- Z 0 f\.1 E:3: .t M tl X. ''I'" C) I'j N (~(3 E C) FED LJ I P 1'1 E 1'...1 T P E F;: E:; Y ::::: 'f E: 1'/1 : ~S,.................................,............._...,......,.........,........,.......,............,.,_........,...... L. I (:31-.1 T I 1',1 (71 EXTERIOR L.IGHTINU 140.00 LIGHTING CONTPOL PEQUIPEMENTS H~./()C EDl...! I pr1ENT CDOLING EQUIPMENT 1. ~~~R 10.00 HEATING EQUIPMENT AIR DISTRIBUTION SYSTEM INSULATION LEVEL 1. Conditioned Space 0.00 WATER HEATING EDUIPMENT PIPING INSULATION REDUIREMENTS COMPLIANCE CALCULATION: METHOD (~ A. WHOLE BUILDING PRESCRIPTIVE PEDUIREMENTS: DEE:; I [iN C:F: I TEF: I {~ F:ESUL.T 4. -7 . 6t..~: 100.00 P(~Sf.;ES 1 7~,i. 00 P{.)Sf;EE:; P(.:~f.';SE~:3 9.70 P('.)SHFS 0.00 r...I/A COMPLIANCE CEPTIFICATION: _M_.________.._.___________.___...____._._________._.._.___._________._____.__...._____..__..___.___________.______.__________.__ I hereby certify t.hat the plans and specifications covered by this calcu- laticn are in cr wit. I t.he I='lor":i. d Ei EI"'j f~ 1"( :/ F'F;:E'F'{.~PFO B"{: D (.~ "1" E:: ~ "',."..,..,...,;,,=_~...~...:~ .~~:~:~"",..,..,'_,.......,.."..,',..:.:::.....,..:...:,.,::,~:~::::::.~.~~:::.::.:~.::,:.:~.~~:.:.~:,:=,~~:::~::::::~~. I hereby certify that this building is '- "_ c~m p ~ i:,," ~:' <t1tJZ t h;e F 1" '?: En em) y E...tt.1L,lel,C,,/ L~..'dL. ~ CJ\..<JI\IE:~F;: / tlE:iENT : ( D {~T E : ,._,.,...............,....~";~,;.~~""""',:,",:::::.,',::'::.:~~..:::::::::~:::'.:~:=:~::,~::.::,:::::::~:~::::::::~:::= F:eview of the plans and specifica- t.ions covered by this calculation indicat.es compliance wit.h the Florida Energy Efficiency Code. Before construction is complet.ed, this building will be inspected for compliance in accordance with q e' ('" 't l' 0 r" '=, r.:; ..:: q ('IC; '~,::, I "1' ('I'" c'' .t '" .t. , l .t (-, ,- ,... ... - ... ".. ,......,.. " '.' \...., " "!';)!;J, ' ,.::;..' 1..< <"'''' \. .", '....\ L "::':::!'r'!"" BUILDING OFFICIAL: ~ D(~ T E : ..,....~,...~...~,..:..'t~........,.:::,:..'.........._..._...........::.........,...,................._.............. I hereby certifY(*l that t.he syst.em design 1S in compliance with t.he Florida Energy Efficiency Code. SYHTEM DESIGNER F:EGISTF:ATION/STATE / ~~ {\F:C:H I 'T:ECT Ef"~{'. iL~,:l.Li:.;.l:'..L...--::..,......................................................,....................,.....:................, .,.. ..,.............,..,..........,..., ........... '''''' ..,.........., ,.................. ..:.........,..~.. ..,. r1 E C H ti \',,1 IC {~i L. =....,.....,.........."",. .,.,..,......................,...,..,......'"'...........,,,'..................,.....,...............................,......,.............,..,...,..........................................."......, ..,...............,.........,."...,...........,......,..,...........,.....,.,........,....,......,.............................. F' L.,t,'! 1"1 B I r 1 Li ,..............'..'"""" .,...,., ',..,......".""..,'.',..........,.......",.."",...."",.,..,..,',...,..".,....",.".."'..".""'..,,.........,,.......,....,..,.....'........,....,..........................."..,.."..""",..',..,...'..,",...."............,......""....,....",..,........,..",.....,...",.........,..,...,..................,................... E: 1...,1::: c:: "1" F: I C Pi I.,.. =.......,...........""",.". ,'""..,..'",.",..",...............,...,..,.."..",..",....""..,.................'..............,'......................,....",.,................."....................,.....,."""..""""...,..,.",..,.............,..,...............'.,..,"",.,',..,"""...........".......'..'.."..",...............",............,........ L., :r G I...' T :r 1\,1 n...""...""........,...., ',...'...'...,.......'",.........,.,.."............,'................,,'..,.........,...........'........,...........,........'.....".."...................,..,..,....."",..........,..,........'......',...','",..,..,'....,..,..,..'.'",..,....,",."", """',...,"'..........,......,.....,....".,......,........,............................... (*l Signature ~= required where Florida law requires design to be performed by registered design professionals. Typed names and registration numbers may be used where all relevant information is contained on signed/sealed plans. ---.--------------.--.....-.---------.-------------..--------.-.----.-----------..-----------------.------------- ---....--------...-..-----.-.......-.---.-------....--..-------.-....---.--...--.-..----.-.----.---.-.--.-......--.----------...---.....--....---...--------- 401.------GLAZING--ZONE Elevation Type BUILDING INFORMATION COMPLIANCE CHECk 1--------------------------------------------____v_ U SC VlT Shading Area(Sqft) : ----.------.-- ---....------...----.-.-.- East North Northeast -------.---------- ---.---------..- Commercial Commercial Commercial 1.1 0.95 1 1.1 0.95 1 1.1 0.95 1 Total Glass Area in lone 32: 7~1 ~~I ~~l ~I~, 1 = 96: 96: 402.------WAlLS--ZONE Elevation Type Total Glass Area = ---.----.----.,. ----.-.---..------------------------.-..----...-- ------ -.----.-- --.---.---..-.--..-: 1---------------------___________________________:___ U Added R Gross(Sqft): North South West East Northeast 8 " Blk CORE . 8 !l Blk CORE . ~ " Blk CORE \~ . 8 " ELK CORE . q " BLK CORE ~J . FOAM FIl 0.06 0 750: FOAM FIl 0.06 0 900: FOAM FIl 0.06 0 1500: FOAM FIL 0.06 0 1350: FOAM FIl 0.06 0 225: Total Wall Ar'ea in Zorle 1 - 4725: Total Gross Wall Area - 4725: 1----------------------__________________________:___ U Area(Sqft): 403.------DOORS--ZONE Elevation Type West West -------..-- ------.--.--------.-..-.--.-----------.---------...------------.-.--- ------- ---------------: METAL ROLL-UP 1.0 64: 1-3/4 Steel Door-Paper Honeycomb core 0.56 21: Total Door Area in Zone 1 = 85: Total Door Area = 85: 404.------ROOFS--ZONE 1---------------------___________________________:___ Type Color U Added R Area(Sqft): --'M'..-_____.__.._..___M_________.________._._______.____ ____..____ .-------..- .--------.-.----: STEEL SHEET W/R-30 BATT INSUL. Medium 0.03 0 Total Roof Area in Zone 1 = Total Roof Area = 405.------FlOORS-IONE Type 1.,--.-..-.....----.-.----------.-----_....._______..____.._.__.____.__.___.__.___.____._._:____ R Area(Sqft) : 6()()O: 60E)O: 6()OO: --------.-..---.-.-..-.-.---------------.--...--.----.------.____.._M'__._.._._____._ Slab on Grade/Uninsulated 0 6000: Total Floor Area in Zone 1 = 6000: Total Floor Area = 6000: 406.------INFILTRATION-----------_______________________________________:___ :CHECk: Infiltration Criteria in 406.1.ABC.l have been met. 407.------COOlING SySTEMS-----------------______________________________:___ Type No Efficiency IPLV Tons: -----.-.--.---.----.------..-.----.-------- ------.------- --.---- ------------_..___1 , 1. Single Package 2 10.0 0 5.00: 408.------HEATING SySTEMS--------------_________________________________:___ Type No Efficiency BTU/hr: -----..---.-------------------------.-----.-- 1. No Heating System 0 0 0: 409.------VENTILATION--------___________________________________________:___ :CHECk: Ventilation Criteria in 409.1.ABC.l have been met. 410.-----AIR DISTRIBUTION SySTEM--------------__________________________:___ AHU Type Duct location R-value: -..-.--------- --------------------, I 1. Conditioned Space ----.---..-.-.....------.--.--------..--------.-.-.-------.--- --.------------.-.--.--.----.-----.-..- nl ~'l 411 . ...,..c..,'............F'l..IMF'~:; ~:)ND PI F' II\I[:,''''ZClNE T '/ r:! E~ 1 ..... ..... ".. "." "". ".., ,".' ..,,, ..", "... ..,,, ...., ,.",...,. ,.". "'... ....' ";' .,.,. .,... ..... ..... ..." ".., ,,- "," ..". ...., ...., ..... ..,.. ..... ..... ,........ ...., ,... ...., ..... : ...,.... ....: R-value/in Diameter Thickness: ____.M__.______ ____.____.. ----.-..______1 I 412.-----WATER HEATING SYSTEMS-ZClNE 1-------------------------------___:___ Type Efficiency StandbyLoss InputRate Gallons: --.-------.---......---...-..........-..-----.---.------- ------------.- --.--.---.-----.-. .-....-.-.---.-.--..-- ....--------.--.-----: 413,---""-ELECTRICAl F'ClWER DISTRIBl..ITIClN---------------------------_______:___ : L:HE:C:::I<: Metering criteria in 413.1.ABC.l have been met. Transformer criteria in 413.1.ABC.2 have been met. 414.-----MClTClRS-------------------------__________________________:_____:___ Motor efficiencies in 414.1.ABC.l have been met. 415.-----LIGHTING SYSTEMS-ZONE 1------------------------------_________:___ Space Type No Control Type 1 No Control Type 2 No Watts Area(Sqft): -------------- -..--.---.--.--..----- -.---------------.--- --.-..---..- -------.-.------.--.-: Ty pE::: [) ( UE?n Toi 1 E't. <"nd 1 4 On lOt 'f On/Off Ii.. 1,..; (]n/CJi:'f None Tot,::\l lAJ,;:\.tt,:", '.1' t ] .. o :,';'1.. nr'.e':l ~j 11700 o 400 5~~~()() : i:ol'" ZonE::: l ,.... for- Zc)ne 1 ..- 'r C.1 t. a 1 l.\J .~:~ t t. ~::. -.. ! otEll (~r"E~,3. 144: 12.1.00: ~5:::VI.4 : 12100: 5:~:;44 : :CHECK: Lighting criteria in 4l5.1.ABC have been met. ____.____.__N._._________.__._____._.____._____.____.________.___.._._______....._.__._____._._.._.._.__1__.____1____ I , 16. HVAC load sizing has been performed. (407.l.ABC.1) -----.-----.--.-...--..-----.-.----------.--.------------------.-.---------.-------------.-..------______1_-____,______ , I 17. Duct sizing and design have been performed. (410.1.ABC.1.2) ----.--...-----.-------.--...-..-------------------------..-------.---.------...-----___._...._______1______._1_.__ I I 18. Test.ing and balancing will be performed. (4l0.1.ABC.4) ----.--.....-..--...-----.--.---...---..........--.......------..--.--.-........---.--.-....---.--.---...-.....-.-......-.---.-----..----.---.....-__.______.._...---.---.,-______1___- , , 19. Operation/maintenance manual will be provided to owner.(102.1): ---.......---.--.....---..---.----.-....-...-.--.---.--.------.------.--.------.--...--..-.-.--.---.-------....----------.-----------------------.-. ARCHITECTURAL TECHNOLOGY & DESIGN INC. 5540 Cyril Dr;vel Dade C;tYI Fla. 33525 (904) 583-5200 July 12, 1995 Building Official City of Zephyrhills 5335 8th St. Zephyrhills, Fl. Re: Discount Auto Parts To whom it may concern: This letter will serve as our authorization to use No.2 stranded ground wire in lieu of No 2/0 single strand ground wire on the above project. No. 2 stranded wire is approved under the Natimlal Electric Code, section 250-23B 9~~nCer JfY; , ,./ " ',:" _J.!" $ '" ,{--/;,r 5:d4~~-t~;,/L~ 7?:'ed Schlotterlei.n President ARCH ITECTUR~L TECHNOLOGY 3. DESIGN 5540 Cyrl1 Dr1\1!e, Dede City, Flo. 33525 (904) 563-5200 INC. July 21, 1995 Building Official City of ~lls 5335 8th. Street Zephyrlrl.lls. Fl. i I BE, D1a<ount Aut<> PT' To ~ it lTlI.y concerfl: I This letter will $eIV~ as our authorization and approval to substitute Fiber Mesh Reinforcement in all concrete slate on grade in lieu of Welded Win Mesh Reinforcer.mt in the con.stroction of the above project. I i ~; ~~in President JUL-21-1995 09:19 BF:DI.&.J TEST I t'.J[j LABS., I NC 1 813 886 5377 P.02 DRown 'TI-STlnG. lADS., Inc MATERIAL TESTING & ENGINEERING DO BOX 15718 TAMPA, rLORJDA 33684 (813)884-0755/(813)733-9347/(813)846-1703 \ \ , \ MAX DRy DENSITY 113.0 1\ \ opn MU~ MOl STURE: 10.0 \ , \ TY>'( TE:;T ~ I>-1557 i\ CLA$SIF [CATlON lnwl fire SAN) wI tn!'C.eS of 10'5 1\ \ , \ \ clay, rc.dG & ro::.ts 1\ _\ spe;c IF Ie GRAvITy \ , \ 120 \ , I I , 1\ I ~ \ , I I I , \ 1\ , 115 I \ l\ I A \ , , I r\.' \ 1\ I 1/ ! i\ , ,\1 \ 110 , I " .\ , i J i I \ i\ .... ! i\ .\ .... 0< \ [\ W Q. I i\ '" "" 105 , I \ ~ Z :J ! r\ \ 0 0.. I 1 " \ I ! .... :r: I I\. , ~ ~ - w I ! I !\. , > 100 1 I l I I \ 1'\ ,... a: Q I I " \ ~ I " \ I I '\ '\ : I I \. 95 ! I I I I " \. \ I I I I \ I\. I\. I ! I i , I cz: rn '\. I I ; , I I I '.c ::z lJ' I i I I U ,sf!] 90 , , i "- , \. ; : J ! I t '\ I I I , i I \.. , i "\ \. "" I I 1 , I'\. 85 0 5 10 \5 dO 2S 3C 35 VATER CCNT[NT Z BY ~(!GHT . LAlI. NO.~ 4Xl> DATE 7-1&95 .JOll - 'I(J , lI:HJ TECH D.E. . p~OJ._b S637 Gill m'\d.. ~ CLI;;:NT City of ~_ D:p:. LOCATIONS'5 + 5' Wast: of m Cblrr,-QIlI:er of IHi,- 5' Nrth + 5 '.East; of 3J Q:ne:- SAMPLC FROM l\rilmrg I8:J BT.101 TOTAL P.02 -~ ,# ARCHITECTURPAL TECHN'OLO.GY'& DESIGN INC. 5540 Cyril Dri .....e, Dade City, Fl a. 33525 (904) 583-5200 July 21, 1995 Building Official City of Zephyrhills 5335 8th. Street Zephyrhills, Fl. RE: Discount Auto Parts: To whom it may concern: This letter will serve as our authorization and approval to substitute Fiber Mesh Reinforcement in all concrete slabs on grade in lieu of Welded Wire Mesh Reinforcement in the construction of the above project. Yours truly; ~/. ~~l~ LL4J' ~~, ~~,aI'"A~~ /~p~,' ",.,,-. ." ~ Fted Schlotterlein President 09/01/1995 15:02 ::::1::::'3424174 ~;PRIHG Et~;.; THe PAGE 01 SPRING ENGINEERING, INC. ENGINEERING · LAND PLANNING. ARCHITECTURE ::. FAX NO. (BIg) 942-4174 EACSIMn.F. COVRR SHEET DATE: September 1. 1995 TIME: 3:&Jo/?m. PAGE ....L OF -L PAGES TRANSMrlTED TO: ATI'ENTION: City of Zephyr hills Mr. 'William Burgess FAX NO.: (813) 788-3293 FROM: Clarence E. Brinkley, Pf(~ect Manager PROJECT NAME: SEI PROj. NO.: COMMENTS: Discount Auto Parts - Store #54--R 9504 This is to confinn Our phone conversation today regarding a Certificate of Occupancy for the above referenced project, SWF\VMD final approval and paving of the alley on the west side will rot prevent Discount Auto Parts from obtaining their Certificate of Occupancy Or at least a temporary Certificate of Occupancy as long as all other items are deemed acceptable including road work being permitted by F.D.QT. -. If you do not receive all ~sheets, or if you have any questions, please call (81 ~) 938-1516. 301<4 U.S. Highway 19 Holiday, Aorlda 3-4691 (813) 938-1516 fax: 942-4174 --- - .- --- ....:..~... .,.._ ~",."L.,~.,,""I_',. ....~ :, ~_"',__' .,~.. "',::~. /.,/-1 .,/7,'/' / Emergency Contact Phone "f ZEPHYRHILLS:;;FIREDEPT. ,; Zephyrhills Florida 33540 (813) 782-8184 FIRE CODE INSPECTION Business Name I) /<;. /' /' ,/ 4.- ,~7:-... ;;. 7 ~~'/1 // , Classification Owner/Manager r (:4 . .l,,' Address Business Phone Occupancy L<?ad Alarm Monitoring Co. Phone #' '.., ~,<'.-;:)., TYPE OF INSPECTION CONDUCTED ~'APPROVED /",." /),,' r o COMMERCIAL CHECK <x? FINAL o OTHER o NOT ,APPROVED o ANNUAL o BITANNUAL o QUARTERLY ORE-INSPECTION .~ " 1'l.,:.,J. . +, f,[~.. :""'~' .'\ Listed below are items which must be complied with before this occupancy..can,be approvedby~the,.Fire" , Department. ' f'.;:~t;,;", i' ; ,:~,,-,; -. ':t"-~'_>;:, :;" .;-~ i.);:"> .Rl (/I ,", .' .'. ';":'{'" o CODE VIOLATIONS ;;,~,,')t:,'~tI,n,::,;,,&;,',,:,>l;';';;/"';:':'\;;,k: . . " " ":.' ::'.. ~ ..': ,1 ::i .:';::/,:-~</v~;tr;-,,-};;~t!/ !~\;.-: '.., ;~,"iJ,{t~;,:..:~~_.:i:.\i:i~ ,\~':,:>~>.;,-(:.r. ': This inspection report specifies code vjolation(s) whichif,not corrected could:~use'.~fire"::CC>I"I~ribut~,!g4hej{;;;,;:~;, spread of fire, ,or prevent safe egress during a fir~. YourJrnmediateiattention to!he':correctjon::otJhest:t'\;!t;,,\,"";:i'i' violations shall be required, as ,failure to do, so is "a yiolation'. of" tl:le~city;oof",ZepI1Y~bilJ~'fi~ePJeventiol1;,Code/':.",.,1';,.'; .' ,:\,......' ", " ..!,,:<;>:':<,jj;<();~.~{,.(t~;~~p}S,;~\:t~,;~,~,:ny.:~,~::\};~,':.,t~':j;~t, '::j..,Ar':.',;/ii:\1::$:;'~R~~:~;~;t;~:(, ;,\/;~~:':I:;~1;i ,,:::: .' ': :;;<i't~.,:.~;i':"'~c~ " :;'...\%'.)j-'.,:~f<:~~j;;'(~~:".\",...:;ir.;. ,~, '/.. ",.,'/, '"\,. Aj:"",;tj'7:ji./'."h'c;~ "(,.,, .,.,..'.\',.,..."',.. . '. . r .,. ,~ ~ /#.'1 ," ' ~ :-;~.- '.' 7Z ,l' ~.; ) ';. /J / ... ...;/l p,/;l ~ ,; '--;~, .., / '. j" 1/",4.,.<>;'.- /)~r'~,~t; , . (. ..,~- '~v:.,':' f",~< ~", ~.',,-::' "" (i' I J " 'i~"l.: I..:" ,',,;;.. /~/~.: ..... 7 , -' f'1 J..IC ./,.' J --,F /....- 1/1..') " . -'l' ~:. ,.,,", ---'" N) // l. jr " -//1 ,,1 .J, .- . /' I., /'7 ;:;<~'i.t t~.~ ,:.: ," ~.:~;:>,l;\s:,' ;", ~. ,>'~~~,'4'; . " ," . ~; . ,\ ,.:,::,:../,:'~ :"::~"';" ~,' - '~~:',,~ _~., .,' j':.:~:~:':;:':,~~-;?~,':,'I,-~f.~~,:::',~;'>"~,':~'~'~>.<.::,':' I." ~. - ;-', ','" " - . -- . - / .' 1/ /,"" ;1// /' T , '~.. ., ., j'-\,:~~-'.:Y-':~;~~.'~ f:::.-;/.:':':':,:'J~"":',, . .:. .' ",'" i ~ ;.;'- .-~' ..,.'';; '-"-':-' :,':'~,+:,~','>:,~ ,.',:, ,~, ":'\~~f,t,;,_,c ,'. .,... ,.~ ';" '. ~" >1' . ....'~ t~' - ", :,J~i.":':'.t;,'~'" -.'j" ~'" ,:' .;,'-; 'It; ',':''',,,,,,-'''-..,,, '~;\ ':",' }:' ,'; < .; i., ",:;:~,</ t~iv'~:'~ '~:}~,: ,. ~;',,; ~ ",:':~"; ",~ ',', ,'"',,,, .',:vi ';'.',;:...--' ,- ;""'- .,,~. I"sped. Date I7It;,! />,' Insped. TIme /J?? ~n' di;:':'"i~:~:';:i~;;:~=~;~~ Re-Inspect. Date Inspectors Name ,~.' l//V ~:;;;:._":> ,',' '," ';"", ' . ,',~ ""1," OwnerlManager Signature lS-tf'- Pt/;i,/~." , TOle, · ' '. '.'. , 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.; , WhIle Copy . File Yellow Copy . BId. Dept, Pink Copy . Bu81ne8s , , ..',. '~J:r" ~"'..::' !::;:{~S ~~~;:':,~:Si::':~: ~~"~:\rJ 'i:;j~tt::s~~:?:,~~{~~; :".~::.>::~?::,~:~ ' ZEPHYRHILLS FIRE DEPT Zephyrhills Florida 33540 (813) 782-8184 FIRE CODE INSPECTION Business Name t l .; Classification v/:.I,.. , (, ,'\ " Address'~) (' /_~~ (' Owner/Manager /:." ,~.' /~ , r Business Phone '. ;r c, Emergency Contact Phone Occupancy Load Alarm Monitoring Co. Phone # TYPE OF INSPECTION CONDUCTED o QUARTERLY ORE-INSPECTION o APPROVED W' FINAL 0 ANNUAL o OTHER 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. l i' i :'" ,/ /~ ( .. 1--- " " . ! j ....~. , . Inspect. Date Re-Inspect. Date Inspect. Time Inspectors Name Fire Oept. 10 # Owner/Manager 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. While Copy . File Yellow Copy . Bid, Depl. Pink Copy - Business All Eqlh11 OpporflllllfV Emp/over Roy G. Harrell, Jr. Chairman, St. Petersburg Joe L. Davis, Jr, Vice Chairman, Wauchula Curtis L. Law Secretary, Land 0' Lakes Sally Thompson Treasurer, Tampa James L. Allen Bushnell Ramon F. Campo Brandon James L. Cox Lakeland Rebecca M. Eger Sarasota John P. Harllee. IV Bradenton James E. Martin St, Petersburg Virginia S. Roo Tampa Peter G. Hubbell Executive Director Mark D. Farrell Assistant Executive Director Edward B. Helvenston General Counsel Excellence Th rough Qualitv Service Southwest Florida Water Management District 2379 Broad Street. Brooksville, Florida 34609.6899 . 1-800-423-1476 (Florida Only) or (352) 796-7211 . SUNCOM 628-4150 . T.D.D, Number Only (Florida Only): 1-800-231-6103 7601 Highway 301 North Tampa, Florida 33637-6759 1-800-836-0797 or (813) 985.7481 SUN COM 578-2070 115 Corporation Way Venice, Florida 34292-3524 1-800-320.3503 or (941) 486- 1212 SUNCOM 526-6900 2303 Highway 44 West Inverness, Florida 34453.3809 (352) 637-1360 170 Century Boulevard Bartow, Florida 33830-7700 1-800.492-7862 or (941) 534- 1448 SUNCOM 572-6200 June 14, 1996 City of Zephyrhills Arthur T. Pollard 5335 Eighth Street Zephyrhills, FL 33540 SUBJECT: TRANSFER TO OPERATION PHASE Project Name: Discount Auto Parts - Store No. 54R Permit No. : 4313268.01 Sec/Twp/Rge: 11/26S/21E County: Pasco Dear Mr. Pollard: The request to transfer the permit referenced above to the operation phase has been approved and the appropriate documents are enclosed. This transfer is based upon information and plans provided. The District reserves the right to inspect the project at any time pursuant to District rules. The Permit may contain conditions requiring future periodic inspection and maintenance requirements. Such inspections are usually required every 18 or 24 months and must be reported to the District on the form entitled "Statement of Inspection for Proper Operation and Maintenance," (copy enclosed). Refer to the permit conditions to determine when this form should be filed. Your participation in the regulation process will help protect and conserve our water resource. If you have questions, please contact Kenneth R. Barrett, P.E., Enforcement Engineer in the Brooksville Service Office, extension 4320. APD:mjs3744 Enclosures: Statement of Completion signed by District Representative Permit As-Built drawings Inspection Form No.25.03-15.1-9/87 cc: File of Record Samir J. Sebaali, P.E., Sr. Professional Engineer S. El Kholi, P.E. Spring Engineering, Inc. STATEMENT OF COMPLETION AND REQUEST FOR ., TRANSFER TO OPERA nON ENTITY SOUTHWEST FLORIDA WA TER MANAGEMENT DISTRICT '~~ ol ~13268. ~ 2379 BROAD STREET. BROOKSVILLE, FL 34609-6899 (904) 796-7211 OR FLORIDA WATS 1 (800) 423-1476 Within 30 days after completion of construction of the surface water management system, the owner or authorized agent must submit the original plus one copy of this fonn and two complete sets of certified as- built drawings for the surface water management system structures and appurtenances. Upon receipt, this Statement of Completion will be reviewed and the system may be inspected for compliance with the approved pennit and as-bullt drawings. The operation phase of this pennit is effective when the Statement of Completion fonn is signed by an authorized District representative. 1. SURFACE WATER MANAGEMENT SYSTEM INFORIIAnON: Pennlt No.: 't 3 /3 26 go .. 0 I County: P4-s co Project Name: 0 tscov~ 4-ur-o (7A-rf.1> - S/OfL-€ #- S;f.{ t< Pennittee: C try of 'Z--rl'ffYfL.l-il(.(S Address: 5 3$> [lG-Hrl~ ~TMr;-?- City, State, Zip: '2.-?fW""'/c-l-ftus F L '3 '7 5'10 Telephone: ( j' ''It 7 g- f! - b {. II ~A. I HEREBY CERTIFY THAT (please choose accurately and initial only one box): At the time of final Inspection, the surface water management system was completed substantially In accordance with the pennitted construction plans and infonnation. Any minor deviations from the pennitting plans and specifications will not prevent the system from functioning in compliance with the requirements of Chapters 400-4, and 4OD~, or 400- 45, F .A.C. (The as-built drawings and infonnatlon submitted to the District shall confinn this certification. ) B. At the time of final Inspection, the Bystem was not completed In substantial confonnance with the pennltted construction plans and Infonnatlon. (The registered professional engineer shall explain in writing, and with confinning depiction on the as-built specification. In this case, the professional engineer shall complete, but not sign and seal, the Statement of Completion.) This certification shall be verified by TWO COPIES of attached "as-built" drawings (as-built drawings must be signed, dated and sealed by a Registered Professional Engineer or Land Surveyor, as required by State Law). By: ~.. Signature of Engineer of Record " SA MHI E L k.lfoc../ Name (p/fNlse type) S P I2.J IV&. E'IV 6r1W; S tL4 ~ J Company Name '301 L{ &5 Company Address 1-1 G> L I r?.4., F L City, State, Zip 1012 4f ~6 2- FL P.E. No. l~ Date: -AFFIX SEAL- U/S/9C 1/ '-., /9. fV~91 4. By: 3. N01:JFlCATION OF COMPLETION: The District Is hereby notified that constnlction of the surface water manageJ!lent system Is completed, and the Permittee requests that the surface water management permit be transferred to the ,legal entity (Individual owner or corporate) responsible fo' operation and maintenance (O&M) as named in Section 4. An authorized agent must submit a lett.. of authorization from the permittee authorizing him or her to execute this Notification. [ L"P? a~ ~ L Signature of Permittee or Authorized Agent Lf3 13 ')..(~ . 0 I Permit Number By: A rt.TijU~ T POLLArLl? (A~-T) Name and TItle (p/etlse type) 5ffLfrv'- E" N&t/l\/tt~f~". {we Company Name SO/ 'I V~ Company Address HOLlPAT 'FL City, State, Zip Hwr /9 J Lf cCrt AGREEMENT FOR SYSTEM OPERAnoN AND MAINTENANCE RESPONSIBILRY: The below-named legal entity responsible for O&M agrees to operate and maintain the surface water management system In compliance with all pennlt conditions and the provisions of Chapter 400-4, and 400-40 or 400-45, Florida Administrative Code (F .A.C.). An authorized agent must submit a letter of authorization from the owner or other legal entity authorizing him or her to execute this agreement. ~~~L.LL. O&M Entity or Authorized Agent A rL T t+VfL T tb L..L 14fl.-Y? (Au-or) - Name and TItle (p!lHIse type) 43/32.&9'-01 Permit Number C I r'f of 2 f.f'U ~H IU S Name of Owner or Other Acceptable legal Entity for O&M 53] ~ z',-"Uru ST' Address ~f'H71f-I-l{t.c..S ' City, State, Zip (ffl3) 7 gg - "r; 1/ Phone FL 3J>~o ~11>/9' Date RESPONSIBilITY FOR OPERATION AND MAINTENANCE MAY BE TRANSFERRED TO ANOTHER ENTITY ONLY UPON WRITTEN NOTICE AND APPROVAL BY THE DISTRICT IN ACCORDANCE WITH RULE 400-4.351, F .A.C. AGENCY,USEONLY " ": .- ~T" , -... '. OPERATION AUTHORIZATION: .'aa.d'uponthe certIIIcIdIon'by'theEngl.-.of:'RKordln.SectIon2.andthenotlce fJI completion In SectIon 3., the .-ponsIblllty,for operation, and....nIeI..lC8ofthe 'sysWnlstra........... to the",1 entity named In sectlon 4., and on phase or this' pennIt'lserrectlveon the dIIbt'lndlcatedbelow. SO A. P-AULDESMARAIS, P.E.. DjRECTOR BROOK.SVILLE REGULATION DEPARTMENT JUN 1 41996 Pennft:NwnlW;~32~ Date FORM 547.271SOC(8-94) Rule 400-1.659, FA.C. ~\ ( ( SOUTHWEST FLORIDA WATER MANAGEMENT DISTRICT ENVIRONMENTAL RESOURCE STANDARD GENERAL FOR MINOR SURFACE WATER MANAGEMENT SYSTEMS PERMIT NO. 4313268.01 I DP%RA.T%OIf OARI January 2, 2001 I PERMIT ISSUE DATE: January 2, 1996 TRANSFERRED TO OPERATION PHASE This permit, issued under the provisions of Chapter 373, Florida Statutes and Florida Administrative Code Rule 400-40 authorizes the Permittee to perform the work outlined herein and shown by the application, approved drawing(s), plans, and other documents, attached hereto and kept on file at the Southwest Florida Water Management District (District). All construction, operation and maintenance of the .,surface water management system authorized by this permit shall occur in compliance with Florida Statutes and Administrative Code and the conditions of this permit. PROJECT NAME: Discount Auto Parts - Store #54R GRANTED TO: City of Zephyrhills 5335 Eighth Street Zephyrhills, FL 33540-5056 OP. & MAINT. ENTITY : Discount Auto Parts PROPERTY LOCATION: Pasco County SEC/TWP/RGE: 1l/26S/21E TOTAL ACRES OWNED: 0.46 PROJECT SIZE: 0.06 Acre LAND USE: Commercial DATE APPLICATION FILED: October 23, 1995 AMENDED DATE: N/A SPBC%P%C COHD%TIONS 1. In order to ensure that the person who will construct the proposed work is identified as required by 373.413 (2) (f), Florida Statutes, once the contract is awarded, the name, address, and telephone number of the contractor will be submitted to the District prior to construc:tion referencing Permit Number 4313268.01. 2. The Permittee shall immediately provide written notification to the District upon beginning any construction authorized by this permit. 3. The Permittee shall retain the design engineer, or other professional engineer registered in Florida, to conduct on-site observations of construction and assist with the as-built certification requirements of this project. The Permittee shall inform the District in writing of the name, address and phone number of the professional engineer so employed. This information shall be submitted prior to construction. ( ( '" .... ~f~ 'U1aq~ q~l" AtdwOO tteqs aa~~l~ad aq~ pue aoua~a1a~ Aq ~l~ad slq~ o~ul pa~e~o~ooul Aqa~aq a~e u~u ~lqlqxa se o~a~aq paqoe~~e SUOl~lPUOO te~aua6 a~ --- .'t SROI~IClROO 'IYDIDft) 'ula~aq S't 'ON NOI~IaNO~ ~ o~ ~a1a~ "9 .a~ls uo papaau se sa~nseaU1 aoue~slsse ~aq~o 6ul"Otte Aq pue '~uaU1dlnba 6Ul~0~lu0U1 pue 6ul~sa~ 10 uOl~e~ado pue uOl~ette~sul aq~ cUl"Otte Aq 'saAl~e~uasa~da~ ~ol~~sla Aq Bsaooe a~ls-uo 6ul"Otte Aq p~e6a~ slq~ ul a~e~adooo o~ pa~lnb.~ aq AeU1 aa~~l~ad altL 'U1a~sAs ~uaU1a6etreUl ~a~e" aov1~ns aq~ 10 Aoualol11a teAOWa~ ~ue~nttod aq~ Bsasse o~ qo~easa~ a~ls-uo ~onpuoo o~ 'aa~~~ad aq~ o~ aOl~ou ~Ol~d uodn '~q6l~ aq~ Ba~asa~ ~ol~~Bla a~ 'S .te~~lwqns uOl~eOltdde uOl~eol1lPoU1 slq~ ul pal;l~uapl ea~e ~oa~o~d aq~ X"fUO s~oa;;e pue '00' S9ZE'tSt 'ON ~l~ad uOl~otu:~suoo panssl AtsnOlAa~d 10 aseqd e ~01 sl ''to'S9ZE'tEt 'ON ~~ad uOl~otu:~suoo 'uol~eol1lPOU1 Bl~ .t Z HtS# a~o~s - s~~ed o~n~ ~unooBla 'to'S9ZE'ttt a6ed :aU11!N ~oa~o~d 'ON ~l~ad STATEMENT OF INSPECTION FOR PROPER OPERATION AND MAINTENANCE SOUTHWEST FLORIDA WA TER MANAGEMENT DISTRICT 2379 BROAD STREET. BROOKSVILLE, FL 34609-6899 (904) 796-7211 OR FLORIDA WATS 1 (800) 423-1476 Within 30 days after completion of the inspection for proper operation and maintenance, the operation and maintenance entity or its authorized agent must SEND THE ORIGINAL PLUS ONE COPY OF THIS FORM to the Southwest Florida Water Management District, 2379 Broad Street, Brooksville, Florida 34609-6899. Upon receipt, the District will review this statement and may inspect the system for compliance with the approved permit and as-built drawings. (1) SURFACE WATER MANAGEMENT SYSTEM INFORMATION: Permit No. Project Name: Permittee: Address: City State Zip Telephone: (_) (2) I hereby certify that an inspection of the above-referenced system was performed on and further certify based on my observations that all above-ground facilities are being operated and maintained as authorized by the Southwest Florida Water Management District. I further state that it is my opinion based on my observations, knowledge, experience and any other available information that the below-ground facilities are being operated and maintained as authorized. County By: Signature of Engineer Name (Please Type) FL P.E. No. Company Name Company Address (Affix Seal) City, State, Zip Phone: ( ) Date: Form No. 25.03-15.1-9/87 Attach documentation showing petitioner's legal or equitable interest in the property, or if petitioner has the power of eminent domain, please indicate, on attached sheets, by what authority petitioner has such power. Attach a legal description of the property for which this determination is sought. In order for your petition to be deemed complete, the Southwest Florida Water Management District (SWFWMD) must receive five copies of the verified delineation either in the form of certified surveys, depiction on rectified aerial photographs, geo-referenced images, or GPS depiction on aerial photographs of the surveyed delineation. I understand that I have to provide any additional information that may be necessary to complete this petition. I am familiar with the information contained in this petition and to the best of my knowledge and belief, such information is true, complete and accurate. I further certify that I possess the authority to petition for a formal wetland determination in accordance with Section 373.421, F.S. or am acting as the duly authorized agent of a person with such authority. I understand that to knowingly making any false statement or representation in this petition is a violation of Chapter 373.430, F.S. Typed! Printed Name of Petitioner or Agent Corporate Title, if applicable Signature of Petitioner or Agent Date AN AGENT MAY SIGN ABOVE ONLY IF THE FOLLOWING IS COMPLETED: I hereby designate and authorize the agent listed above to act on my behalf as my agent in the processing of this petition for formal wetland determination and to furnish, on request, supplemental information in support of the petition. I am familiar with the information contained in this petition and to the best of my knowledge and belief such information is true, complete and accurate. I further certify that I possess the authority to petition for a formal wetland determination in accordance with section 373.421, F.S. I understand that knowingly making any false statement or representation in this petition is a violation of Chapter 373.430, F.S. Typed! Printed Name of Petitioner Corporate Title, if applicable Signature of Petitioner Date PERSON AUTHORIZING ACCESS TO THE PROPERTY MUST COMPLETE THE FOLLOWING I either own the property described in this petition or I have legal authority to allow access to the property, and I consent to a formal determination being made on the property as described in section 40D-4.042, F.A.C. I authorize representatives or personnel from the SWFWMD, after prior notification, to enter the property as many times as may be necessary to make the wetland determination and I will provide access throughout the property sufficient to perform the determination. I will attach to this petition documentation demonstrating that I am the owner of the property or that I have legal authority to allow access to the property. Typed! Printed Name Corporate Title, if applicable Signature Date FORM 547.27/FJDS (8-94) Rule 400-1.659, FAC. Page 3 of 3