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Home My WebLink About00-9588 ~/? . /J g:;;ry ..... ~/ <;b&, BUILDING PERMIT ELECTRICAL CITY OF ZEPHYRHILLS (813) 788-6611 - ~5 PLUMBING Permit 09588 , BUILDING /,'1 ;l.7D' J'" !tJ-V MECHANICAL Date 7-S'-ou ~.. Property Owner: Job Address: Parcell.D. # ~ J/ - ,4' Zoning: ~ 1+<2 ~~ 5D-rt.. ;ale FI 11!t7/01) L04.iJP ':D~ .+,. ""o-H>,r ut:J/"L <;.'de P. j~A/<>> Li-1c1o.. 9 : n NO OCCUPANCY BEFORE C.O. FINAL Complete Plans, Specifications and Fee Must Accompany Application. C.O. All work ShAll be, p~rf.9rf!l,d in accordance with City Codes and Ordinances. p v:.....A ~~ 1"L~20 "De> -s-e. Inspector DATE S' Valuation or Contract Price 4> 0 ~ I f1 () () Permit Fee &~ .... ElECTRICAL..&20 ~ I PLUMBING:l7.y...s MECHANICAL ~ 7-14 Tp~ Servo SlB Rough In Tub Set Meter Can Water Const. POle(G)r;-/2,t)~ Sewer Pool Final Pre-Meter 1/-1 '7-/)e) 91<" ~12 - t 2. -005 e. Final r~~, q"..k-cl..Jj ?_/v.'iJf)2/C ~l ~ \~-l9-0'C)9'\C. ~0..0 wait ((- r- p) IO..-$-oeJ $' R... 4 - / REINSPECTION FEES: When extra inspection ~riPs are necessary due to anyone of the followin r s" s, a charge of Fifteen and 00/1 00 Dollars ($ 25.001 shall be made for each trip for each trad~ / ~~6I,)Ufll!..F: ~t:~J. Fpbl( l%uCZ) a. Wrong Address _ fS '1-.6-00 b. Condemned work resulting from faulty construction. q- 111/1/J,e'"lJ TO t)w)JE' Cii~ c. Repairs or corrections not made when inspection called. ~ ~ ,. I . d. Wor~ not ready for in~pec~ion when called . en ~ _~_. " ~ I 6~ L L - Do 3 !L e. Permit not posted on Job site. Tv -'-'VT '"\..0<-- ... f. Plans not at job site. \ 0 - 2O....f)6 5' fZ g. Work not accessible. Ftr. Pre SlB lintel Breakers Ducts Insl. Compressor Final FRM. Insul. Cl WL The payment of inspection fees shall be made before any further permits will be issued to the person owning same. I I , I , I r I I I I CONTRACTOR t: l' NAME: CLnVTON JENK7NS CONSTRUCTION /' AODR: 37~a,3752 corEL AND DR I C/ST1 CTTY OF ZEYPHRHILLS · :CUTI"'I\I. prmUTTJ'HG PASCO COUNTY, FLORIOA DOTr: 11/27/0~ TIME: 14:17 PAGEr 1 OF 1 Issue orFIcr-: () RECEIPT NUMBR: 00475676 OFFIce: DAnr CITY ror~ : SOLID 14ASTF~ FEE CI :rn( 41' ~j"'4 r:'!tCCNT 11,4 TOT t~L AI-jOUNT! COMPNY ACCOUNT CENTER 0450 - 363000 - 2 359.10 AMOUNT DESCRIPTION/PERMT DATA DR/CP 359.10 ****** SOLID WASTf Frr 60 EECEII,'FP 1::'1' -Q-4b~~-----~------------- z;ra 39t1d >t(jt1W Tlt1 t66Z;986Et8t 8t:Et rararaZ;/LZ;/Z;t C"i'-\ \ 0 ''em'lll,l)r:t ~. Hf 1111-" /:- "j . () 1<' \ \1 ,> PASCO COUNTY, FLORIDA Date Permitted _ 9J-<;q 15 . 7-.5-0 U Permit No. ___ Builder Name/Owner Name ~ G)O /.3 Addre!>s/Localion~ ClassiflcationlType of Use Subd. 1I~'.s[ How Determined TR^NSPORTATION IMPACT mE CALCULATION EXEMPT 0 tmrllc:t Fee: AmOllnt $ \y.hy?' /,- .-/ /"~ Zone No. ~ ~ /' ~---" ~ Rate $ Ot~O Sq. FlIUnit __ The ahove impact fee en established pursuant to the Pasco Cou Transportation Impact Ordinance as adopted by the Board of Pa$CO unty Commissioners. ThIS amount is payab RIOR to the issuance of a Certificate of Occupancy or utilization e permitted structure. ..,,-..-' RE EXEMPT 0 R F.S JOFNTt A L, NONRESIDENTIAL No. Units ./ ./' RaIL' ~5~()O,IY~ar nr SO,142/D.ay Gross Sq. Ft. (GSF) c2~ 000 ERU Assign No, "\:-':-'L"'Jll~'nl- (~(\, Unibl x 1$().J~2) \ ,Nn. Da~~) As~essmcnt ~ I GSF.!. x IERLJ) x (O.1~2l x (Nn, ()ay~1 100 TOTAl. FEE $ 'fOT AL FEE $ _. ~() CERTlJo"ICA.lE Of OCCLJt'A.Nt:Y UK fiNAL POWER RELEASE WILL BE ISSllED UNTIL THE AMOUNTS liSTED HAVE RU':~ PAID ASD RECEIPTED FOR BY A CENTRAl. PERMITTISG OFFICE OF PASCO COUNTY. Acknowicdgernem below d~~ not imply acceptan(~ of concurrence. hut simply rCL:Cipl of a copy of Ihis form. placing the huilding permit {IWner on notice of this assessment and Ihe conditions (If pllymC'1ll for same. _J.I~1 ,00 Date Qqj, b~:>ed BJ ~ . . . - - -... -.. - - - - - . .-- - -- -- - --- -- - ...--- _", ......- ----------------- --- --. .....------ --... -~........... -'--... --- -........ ""---... -- --".. ----- ---....... - -... -- - -... -- -. - ---- --........... --- - - -- -...... OFFICE l.'SE ONLY l'R.~NSPORTATION REC. NO. RESOl.:RCE RECOVERY REC, NO, ~/S616 DATE DATE , ,- ci) '" Oc:J BY BY =~~_== wn,Ce A.ppllCant Canary Tra"s/Finance Canary AR/Finance Plnlc OMice Green aldgllnsp loo"ol'(;c PC93113094/D E0 39\1d >1~\1W 11\1 t66G986Et8t 8t:Et 000GILG/Gt ~~. C-=-'f; - T. CLAYTON JENKINS CONSTRUCTION COPELAND DR. SQ. FEET PRICE MAIN OR LIVING AREA 24,000 $ - OTHER AREA UNDER ROOF 675 $ - OTHER VAlUATION $ 606,800.00 FEE SHEET $ 1,884.00 ADDRESS $ 20.00 DRIVEWAY $ 20.00 BUILDING: $ 2,866.00 CREDIT: $ - BUILDING LESS CREDIT: $ 2,866.00 ELECTRICAL: $ 270.64 PLUMBING: $ 85.00 MECHANICAL: $ 150.00 RADON: $ 246.75 TOTAL $ 3,618.39 T IF'S: $ 99% $ 1% $ 5,751.00 1,575.00 350.00 7,676.00 SEWER: $ WATER: $ IRRIGATION: $ TOTAL: $ 2 - WATER METERS: $ 2 - IRRIGATION METERS $ 360.00 360.00 1)';: 1~,!:J, f #JI1)q1~ . (j;uJ1l (!jl..4 J b 9,576.00 9,480.24 95.76 TOTAL: $ . ~ ..,~,t7'<(:, " \'(~ ~~~. \ ~>' V-~ W\ ).' . ~ G-lAi-r.:.,i~ ~'i'iN~\N";) (ON -)"C:- . (0 pLLAN:~ iNl)\J)'f- (Mk... SQ. FEET, PRICE MAIN OR LIVING AREA Jf[) OF OTHER ! . I, /:;5, 32 fo~i 'SOO;~ ~ C ; ~J, ~ -. j. z-: _/ c.N\~ (Zl~ J roofO I 'bOO. c,c -. 34; """ 5 on:.. CiJCf-.1<. W-" BUILDING: ELECTRICAL: PLUMBING: MECHANICAL: RADON: CREDIT: ;J )11 ,,0/(,, = (p SEWER: J .1\ \i:.. = i-.. '5lN'v-S -, ='-t WATER: l)i~\M)Vfl\ -= '2... .~( - 3;q II TOTAL: wA'lthfL M~ ,I o.j~lo\. T.LF~S Cf ~7 fe. ~.~ I, I , ... <l ~.\ ~~~ Q C'l :0 Z -l (J) (J) ~ ~ :J: m (J) c :J: m :J: m ~ ~ :0 C m C'l z' -l ~ r= ~ ;~ :0 " l:: F 01 0 Z m ., l:: m l:: z ::l C'5 G> JJ 'f m n! m (J) m ~ ~" n! :0 -l m (J) > mC'l m ~ m 8~ :0 :0 ~ 0 () C'l 0 :-l l::'ll m C'l JJ Z m 'llln ~t ~~ m 0 Inn! (J) nlo . ~ (J) OlD ~ ill -< D~~ :JJ ~ .~ D D D ~ ~ . z ~S 0 0 ~ m ~ , N:::j III ~. m< ~ ~O Z m 8l ~. ~~ ;j-n 'll :!iN Jl ~~ 8 ~ c " -% ~ ~ ~ '" ;n< z 0::1:1 p 0 :2% .. :0 0 gr:: ~ m :0 r- ~ en i m ~ O)€f 0 z D 0 ~ ~ I I I I I I ~ ~ CD g Z ~ (J) m i:i m ~ .:.. -l Q ~ 0 !I: c ~ c ~ C'l -l ~ ~ Ui ~ "' ~ -< :0 n 0 C! 0 m i c: C (R ,. (') z /A -l ~ c '--'l E i ~ z ;j /., "' 0 ~ /' !!! c z /' 1= -l ~ ;~~. ~ ~ ~ C'l ~ Z ~ (J) (J) JJO ~ :J: (J) :J: m m ~ :0 ~ m=E m C'l z ~ Zz ~ ~r :0 " l:: 0 0 rrim m l:: m l:: z ::l () JJ ,~ >." ~ m n! m (J) m JJ~ ~ .., nl :0 -l m (J) > mC'l ~ m ~ m :0 :0 ~ 0 () ~~ ~ ~ C'l 0 ~ :-l ~ In '-" m m JJ Z t~ m 0 nl& ~ ~ (J) . r (J) o~ il! ~ J<:)( Jl ~ D D D D ~ ~<t ~ z \i~ 0 0 m l ~~ III C (f) ~. ~O z ! ~ \ ~\~ ;j-n 'll :!iN Jl 0 r-m 0 - Ji)"tJ c 0 ~ ~ .,,% .UI 6< z ::u::l:l p -% .. gr:: ~ ~ i CD -, I I I I I I r--~ )a:- D D 0 ~ ~ CD ::::> z ~ (J) m ~ ~ C'l m ~ 0 -, !I: ~ ~ C ~ C'l =t ~ ~ Ui "' =t -< :0 ~ ~ n iii 0 C! ~ -< m '" c (') z (R ~ \r-., ~ -l =t c L3 i :1>0 Z :II ;j G) !I: "'" "' g ~ OJ z 6 ~ -l D- ~ ~), -' - City of ZephyrhillS Receipt N~ Physical Address <;,;>'.:7 ':/: '- ::' -~i7~~:; /'I:'~"j~-,. ~'.l:,...., ,:. ~{ 5335 Eighth Street · Zephyrhills, Florida 33540 (813) 788-2313 Date .- ., .- --:: <~..i~ / .'/\ Amount Due -~ ",'r-S''ss- i .......,i. ,J ( ( ) Paving Assessment ) Other Tax Parcer ID # >':1 ,l /1 . -_..-~ t ---::'1'- //':.'T7-r-" ,f i --- -...,..",,:" ..........- -.......... .....;.;.L.; /1 Name.. " / / ,~ ~,1' /~'-:j l -;:~ . ,.; ;;...;: -,~.> /t~.' -f~,/ /J / ~ '"--. ~. ,:>?"":1:"S, .L ::"'~..i~:, ",m,( "/ ;\ ~~- ,< i~"}-S, "- Street No. City, State, Zip NOTICE: All assessments are due and payable within (30) thirty days after date and will." bear interestat the rate of9% per annum thereafter. Please send postagefornitui-n ~pt. .., ;", , ,>1. 0;:1: ..;'; :;.;. . : '~~':'" HILLSBORO BANK 509 WEST ALEXANDER ST, PLANT CITY. FL 33566 6656 T. CLAYTON JENKINS CONSTRUCTrON INC 4009 MIDWAY RD. E 813-752c4449 PLANT CITY, FL 33565 63-1441/631 1 Memo: PAY One Hundred Forty and 0/100 Dollars 6656 DATE Oct 23, 2000 AMOUNT *********$140.00 TO THE CITY OF ZEPHYRHILLS BLDG DEPT ORDER OF liB 0 0 b b 5 b liB I: 0 b ~ . . L. L. . 21: <(f~ 10 lS ~ l"'O I . ,. . i86758 -= o PERFORMANCE BUSINESS PRODUCTS. INC. 813-719-8008 FAX 813-719-7010 WATER ACCT. NO. CITY OF ZEPHYRHILLS otJ -3 r;? ~ ZEPHYRHILLS, FlORIDA 7"'3 DATE~/OO ~~~~R~ 'I. c t l'A.y 4-0.'\ Je~ k; .~ s MAJUNG ~00'j 1k,;J<..Jj; R...J &s + ~+ L.I~ ~ _t.. 3') ~ 105' I . SERVICE ADDRESS:37Lf'SJ Lo/Jfl fa.", " D.,. . L." 5f" u c.f: 0.., SHUT OFF SERVICE 0 TURN ON SERVICE ~ INSTALL METER ~ READ METER 0 CHECK METER 0 OTHER 0 ~TER o SEWER o GARBAGE ~ITY o OUT CITY ----L- No. OF UNITS _ DEPOSIT AMOUNT - AMOUNT LAST BIll J /..., If WQ. t-EY' j'v\rI-.f-.er _ DATE _ MISC. CHARGE WORK COMPLETED BY & DATE COMPlETED ORDER TAKEN BY Retain white form in office at all times. Send pink & yellow forms to Water Service DePt. IJI.o8ter Service Oept to sign yellow form & return to offICe. J.~-:u~ r. *== PERFORMANCE BUSINESS PRODUCTS. INC. 813-71l1-8OO8 FAX 813-719-791D EJ -;\""- CITY OF ZEPHYRHILLS ZEPHYRHILLS, FLORIDA dtl-3 Lj~7 7-3 DATE iiJ;:;o/OO WATER ACCT. NO. ~~iER~ T. LICl-Y fo" Je., 1<,' "5 ~;dWCA-Y PJc,rt.l- L,'~ I (:-L r"{~ t.~ SERVICE ADDRESd7'1;? (CfJ~ Ia.... d Dr ~'" s..f /'~{..J:~.., MAIUNG 40 () c;. ({flu J E:. s -I- SHUT OFF SERVICE 0 TURN ON SERVICE ~ INSTAlL METER ~ READ METER 0 CHECK METER 0 OTHER 0 ~TER o SEWER o GARBAGE ~ITY o OUT CITY --1- No. OF UNITS _ DEPOSIT AMOUNT _ AMOUNT LAST BILL '7/..., /1"-, . . ,) .y I'" /'. 504-. t)., ~W _DATE _ MISe. CHARGE WORK COMPLETED BY & DATE COMPLETED ORDER TAKEN BY " Retain white fonn in office at all times. Send pink & yellow forms to Water Service . 'Nater Service Dept. to sign yellow form & return to office. 'PL-~U'~ -= E3 PERFORMANCE BUSINESS PRODUCTS. INC. 813-710-8008 FAX 813-719-79111 CITY OF ZEPHYRHILLS ZEPHYRHILLS, FLORIDA {J()~JLj ?3- 7-;3 DATE ~I 00 WATER ACCT. NO. ~~~~ -.:J. L (CA,Y +D"\ J €A k ,'" ~ MA/UNG 40aQ IYt ;JWo..t ~OC&.J P \Ctl'\-\. Cd' +y I J:.c. > "3 S'" , 5' SERVICE ADDRESS ..3 /! .s-.:2 CapeJCl""J La" 5/ r.....t.+;~.., ~ Dr. SHUT OFF SERVICE 0 TIJRN ON SERVICE g--- INSTAll. METER ~ READ METER 0 CHECK METER 0 OTHER 0 ~TER o SEWER o GARBAGE ~CITY o OUT CITY -1- No. OF UNITS _ DEPOSIT AMOUNT 7/ (f__ ) 4 JI'I':~. fl1 (lJ ~ _ AMOUNT LAST BILL ~ _ DATE _ MISC. CHARGE WORK COMPlETED BY & DATE COMPLETED ORDER TAKEN BY b(30 10{) Retain white form in office at all times. Send pink & yellow forms to Water Service DePt. Io'I8ter Service Dept. to sign yellow form & return to office. U. ~7&~ ~ EJ ,~, PERFORMANCE BUSINESS PROOUCTS. INC. 813-718-8008 FAX 813-719-79111 CITY OF ZEPHYRHILLS ZEPHYRHILLS, FLORIDA 00-3iYi . DATE J 00 WATER ACCT. NO. ~~~E~ -r Clo..yfow'\ j~k.'...s ~r1\fruG~~'~ t11:dwe..y ~oad PI4"'+ Lt'~ 1 fL ~3 >6" SERVICE ADDRESS .s -7.5 ,:L ( o()Q k... d , MAlUNG 40Do, r;:.~~,;.. SHUT OFF SERVICE 0 TURN ON SERVICE ~ INSTAlL METER 19"" READ METER 0 CHECK METER 0 OTHER 0 nt". lB"'WATER o SEWER o GARBAGE ~ CITY o OUT CITY ---1- No. OF UNITS _ DEPOSIT AMOUNT 3/ '1 It Vev-\e.r All fv - AMOUNT LAST BILL _ DATE _ MISC. CHARGE WORK COMPlETED BY & DATE COMPLETED ORDER TAKEN BY to/so! 00 Retain white form in office at all times. Send pink & yellow forms to Water Service Dept. Water Service Oept to sign yellow form & return to office. U11U',~~ 5335 Eighth Street City of ZephyrhiIls Building Department Zephyrhills, Florida 33540 (813) 788-6611 July 6, 2000 Wm. A. "Bill" Burgess Director of Building, Licensing, & Zoning Ed & Karen Bornstine P.O. Box 290560 Tampa, FL 33687 Re: Resource Recovery Form For Permit 9588B Dear Mr. & Mrs. Bornstine: The enclosed form must be taken to the Pasco County Building Department for payment. They will calculate the fee due based on the square footage stated on the form. Their phone number for further detailed information is (352)521-5144, Dade City, Florida. At final inspection approval, we must have a copy of the paid receipt before we can issue a Certificate of Occupancy. If you have any questions, please do not hesitate to give us a call. Sincerely, G~' Bobbie Swetland Licensing Official City of Zephyrhills Bs Enclosure: Pasco County, Florida Resource Recovery Form Jul-19-00 07:36A z < {3 ffi z :t :t ~ trl w 'Ii ~ ~, tit ~\l,-~,- : , I .i!.g r T' :: (7l ~l ~ ~ ~ \~ ~ cG - ~ ~ ~~ v ~ ~ ~.J 'i ] &_ O ~ ~'7 '\ a~ H 1d J~'i :: ~: ~ ~' f- ~ >-. 'L ..~\ I ' #J' ~ i ~ ~ i " ;; I-lit" V {"~ [ d ! I..JI I ...: .~ .... ,[O"d ~ ill a: N w I C) ::l c( o a: <( w ...J (.) ::) z ;,~ I II tiE 'Go IE '8 ez .a~ Q, VI UJ ~ Q .. 1; r c .! !i ~ f ,~ il o o ~. z c 1 '" o ~ ~ I!~ ~ ~ 2 !.! o ~ A i ~I i ii. u.. l5 .'='- , ~~ ,~ ~ ,.. jl ,to I I cS..! c!' ! f Ii ,~ Q .. ~ J- f Ii Q \.. \I ' ~. ~ 8E69 65L ElB ;;, .I w .L., ~~\j. '1'\ fJ" ~ , ~ ~ \~ - "< I ~Ai i,-. ~ ~'~ ~I ~~ 0 ~ ~I ~ . ~.._- ~ "\ ~. '" N 'ooij . '\l "'" . ...-,. ~, ~. .... () ::::. ~, '" rS\ I ..... ~. ... f'. I - ... ,~I - " ~ ...... ~ ~ I \ I~ ~,}- I . " ~ ' I - J, ~ _ 1- I I ~ ~j "H "i -. ~ I 'J i&i w' w r-- :i w :Ii J! w ~ it. ;-.....~ " . ~, It-.. c' .... \j' ~ ~ 'lJ' I ::-~ <.; ~ - ~ V'\ 0-.. <9, ......, t "'l ..... i II ;1 I 1 .~ · IIN I~ C .5! - i oJ I ~... I I '" .!! ., D III -'l i I ~ ~ t ~: I ,.:, I . , iLl P.02 I. "E Q .. III " ~ .. '" c:: :~ ~ o. ~ ~ ~ ~ " III ,~ ~ ~ "-, ~ . ~ ~ I~ ~ !! ,Ii; ,II) E. .,; .... ... ~ ~ lU ~ <;0 '" 0 li i ~ ~ , ~ III t : ~ !~ a: ! l I ~ I ,Ii ! E _ ~ e 8fl ..... \'. fii j ~ .:3 = 1! '" ! ~ s o! ~ .~.8 :. .~ -"l! '" 51! .. .. .3..... Uj -~UI 'S~M ~O~:60 OO-Zl-Lnp ----j ~i ...... ~ ~ C7' .:t ~ I -I I I I I I ! -~ t- I II~ i:el II . . Jul-l9-00 07:36A P.Ol DATE: 2-/9,.-00 "7-. lETTER OF TRANSMITTAL PAGES; (INCLUDING TRANSMfTIAl SHEET) FAX# - FAXED ONLY I MAilED I PICKED UP I HAND DELIVERED 1-- <:;J/,;----,:ij-3Z9'j FROM: T. CLAYTON JENKINS CONSTRUCTION CO., INC. 4009 MIDWAY RD EAST PLANT CITY Fl 33565 OFFICE (613-752-4449) FAX (813-754-7769) TO: c:.-(f11 rJF ?€~(ly;1dtLL5 6L[)c, UtEri.. RE: fl)(J((t-JS II f\Jff. P,r~(?cqL71 E=:::, I , 7 '1f- Cc(/Et-,a/\JP Me... (l6-rtMf/ -&/ 9~8B WE ARE SENDING YOU ATTACHED THE FOLLOWING: ) SUBMIDALS I J SUBCONTRACT AGREEMENT J SHOP DRAWINGS [] PLANS r ] SPECIFICATIONS I J CHANGE ORDER [ ) COpy OF LETTER ] OTHER: THESE ARE TRANSMITTED FOR: J YOUR APPROVAL ~YOUR USE r ) YOUR REVIEW & COMMENT [ ] FOR BIDS DUE REMARKS: ~/VfL V04_ , SIGNED f4~ OFFICE2.FAX10 , " HP Fax Series 900 Plain Paper Fax/Copier Fax History Report for City of Zephyrhills (813)788-3293 lun 142000 11:03am Last Fax ~ Time ~ Identification Duration faw &mh lun 14 11:02am Sent 99862991 0:48 1 OK Result: OK - black and white fax / T H "E AMERICAN INSTITUTE o F ARC HIT E C T S AlA Document A 101 Standard Form of Agreement Between Owner and Contractor where the basis of payment is a STIPULATED SUM 1987 EDITION THIS DOCUMENT HAS IMPORTANT LEGAL CONSEQUENCES; CONSULTATION WITH AN A TTORNEY IS ENCOURAGED WITH RESPECT TO ITS COMPLETION OR MOD/FICA T/ON The 1987 Edition of AlA Document A201, General Conditions of the Contract for Construction. is adopted in this document by reference, Do not use with other !/,eneral conditions unless this document is modified. This document has been approved and endorsed by The Associated General Contractors of America, AGREEMENT made as of the 2~rd ~1l~UXimt 2000. BETWEEN the Owner: (Name and address) day of MAY in the year of and the Contractor: (Name and address) ED AND KAREN BORNSTINE P.O. BOX 290560 TAMPA, FL 33687 T. CLAYTON JENKINS CONSTRUCTION COMPANY, INC. 4009 MIDWAY RD. E. PLANT CITY, FL 33565 The Project is: (Name and tocation) BORNSTINE OFFICE AND WAREHOUSE The Architect is: ENGINEER OF RECORD TOWSON - ROGERS ENGINEERS INC. 5514 7tb ST. ZEPHYRHILLS, FL 33540 The Owner and Contractor agree as set forth below. (Name and address) Copyright 1915. 1918, 1925, 1957, 1')51, I')'>H. 19(,1, 19(,,~, 1')()7, 197'/. 1')77. @1')H7 hy The American Inslltute of .\rLill' teets, 1755 New York Avenue, N,W" Washington, D,c;, 20()06, Reproduuion of the materi;11 herein or suhslamial quolation of Its provISIons wllhout wrmen refllllSStOn of the AlA violates the copyrighllaws of the United Slales and will he sub/eu to legal prosecution, AlA DOCUMENT A101 · O\l;-'NER-CONTRACTOR AGREEMENT. TWELFTH EDITION. AlA" . @1987 THE AMERICAN INSTlTCTE OF ARCHITECTS, 17:\5 NEW YORK AVENCE. N,W., WASHINGTON, [),C. 20006 A101.1987 1 ARTICLE 1 THE CONTRACT DOCUMENTS The Contract Documents consist of this Agreement. Conditions of the Contract (General, Supplementary and other Conditions). Drawings, Specifications, Addenda issued prior [0 execution of this Agreement, other docull1ellts listed in this Agrl'l'Il1l'11t ,llld Modifications issued after execution of this Agreell1ent; these form the Contract, and are as fully a part of the Contract ;LS if attal.'l1cd to this Agreement or repeated herein. The Contract represents the entire and integrated agreement between the panies hereto and supersedes prior negotiations, representations or agreements, either written or oral, An enumeration of the Contract Documents. other than Modit1cations, appears in Article 9, ARTICLE 2 THE WORK OF THIS CONTRACT The Contractor shall execute the entire Work described in the Contract Documents, except to the extent specifically indicated in the Contract Documents to be the responsibility of others, or as follows: 1. ANY CHANGES TO THE PLANS OR SPECIFICATIONS AS REQUIRED BY THE BUILDING DEPARTMENT OR ANY OTHER PERMITTING AGENCY IS NOT A PART OF THIS CONTRACT. 2. SPECIAL ATTENTION IS HEREBY CALLED TO THE ATTACHED SCOPE OF WORK FOR ITEMS SPECIFICALLY INCLUDED AND EXCLUDED FROM THIS CONTRACT. ARTICLE 3 DATE OF COMMENCEMENT AND SUBSTANTIAL COMPLETION 3.1 The date of commencement is the date from which the Contract Time of Paragraph 3,2 is measured. and shall he the dale of this Agreement, as first written above, unless a different date is stated below or provision is made for the date to be fixed ill a !lotin' to proceed issued by the Owner, (Insert the dalc) of (."ommell((:'menl. If it differs frum the "(ill' Of tI'l.\ .~~re(Jmelll ur, ~l aiJ/Jliran/e, state that the dale tri/l be jixcd In a flulin' to /)r(Jct'e//.) WITHIN 14 DAYS OF THE LATER, PERMIT ISSUE OR NOTICE OF COMMENCEMENT FIT.ED BY THE OWNER AND, RECORDEP AT THE,COURT HOUSE. , Unless The Gate of commencement IS estanhsheu Oy a notice to proceed Issued by the Owner, the Contractor shall notify the Owner in writing not less than five days before commencing the Work to permit the timely filing of mortgages, mechanic's lien" and other security interests. (Insert tbe ('alel/du,. elal(' ul' """,her (~l((/h'""(/" days 0//1"- (hI' dtl/(' III (unlln('/Ii ('nIt'''' .1/'11 nl.'I',,{ (1111- 1'('t/tore'lI/t'ftl" /111' ('(O'lft"",,'Js(/jJlflttl (,('1I111J/('(f( III I IIi 1"- loill portiulls u/I"e H"utA.', i) lIul slalcl! ,,/'1,'('11'''<<'1"(' IN (hI' ('/JI/(rfld l)u(uh/t'II(\) 3.2 The Contral'tm sh;tll achieve Sunstantial COll1plt.tioll of the entire Work not later [hall (160) ONE HUNDRED AND SIXTY CALENDAR DAYS AFTER DATE OF COMMENCEMENT, ESTABLISHED IN 3.1 ABOV,E." , subject to adjLI.~tl11ents of this Contract Time ;\S pl'o\'ided in thl' Contran Documents, (Insert prw'isiulIs. il OilY. lor IIl/uidared damages J'L'ltllill,J.!, lu IOI/ure Iu OJ/fil'/ell" UII lime.) AlA OOCUMENT Al0l . ()WNEI<CO.'1TIlACTOI< Molll',I\II',';'1 . 1'\\'1':/1''1'1' 1',llITIO.'1 . A'A'. I'lli' THE AMERICAN INSTI'I'lTE OF AIlC/lITITrs, 17.\5 NI,W ,( Jill' An:Nl'E, N.W WASIIIN(,'/'()N. ()(, ~II()()(> A101.1987 2 ARTICLE 4 CONTRACT SUM 4.1 The Owner shall pay the Contractor III cum:nl funds for tht, Contractor's p~rfornl;1lKe of the Contract the Contract SUIll ul SIX HUNDRED FORTY THOUSAND EIGHT HUNDRED AND 00/100 ----------_ ])ullars ($ *640,800.00* ), subject to additions ~ll1d deductions as provided in tlK' Con, tfact Documents. 4.2 The Contract Sum is based upon the followingA1k:.IIJlJ!);,'X.KRIJ'A'<<bj.,x~'lK~~~and are hereby accepted by the Owner: (State tbe numbers or (Jlber identIfication of an:e/lted a/(en/Cites ~/ deCISIONS UII (Jlher alter1Wles are tu he mad(J hy the ()u'ntlr suhsequent to the executioN (If this Agreement, attach tl schedule of such olher allenl({((',- Sh(l1l'lllg the tlr/IUIUll for eacb (/1/d !he elate /inti/which thaI amount is {'aUd) 1. THE CONTRACTOR SHALL PAY FOR THE BUILDING PERMIT FROM THE CITY OF ZEPHYRHILLS. THE OWNER SHALL PAY ALL OTHER FEES FOR THE CITY OF ZEPHYRHILLS, D.O. T.., SWFWMD, OR ANY OTHER PERMITTING ENTITY. 2. THE OWNER SHALL PAY ALL IMPACT FEES & UTILITY FEES. 3. THE OWNER SHALL PROVIDE ALL SURVEYING IF REQUIRED BY BANK OR CITY. 4. THE CONTRACTOR WILL PROVIDE BAHIA SOD OVER THE ENTIRE SITE WITHIN THE LIMITS OF CONSTRUCTION EXCEPT IN THE BOTTOM OF RETENTION POND. 5. THE OWNER SHALL PROVIDE ALL PAVEMENT MARKINGS, WHEEL STOPS, AND WATER METERS. 6. THE CHAINLINK FENCE IS NOT INCLUDED IN THIS CONTRACT. 4.3 Unit prices, if any, are as follows: AlA DOCUMENT Al0l . OWNEK-CONTK:\CTOI( Al;J(J':I':,\lI,':\T . T\\EI.FTII 1'1!ITIO:\ . AIA~ .", l'iH' THE AMEKICAN INSTITl 'TE OF AKCHITECTS. 17.\'; NE\\ Y< JI<" ..\\'1::\['1':. :\.\\ , \\'..\SIII~l;T()N, IH,. .!Iltllll< Al01-1987 3 ARTICLE 5 PROGRESS PAYMENTS 5.1 Based upon Applicltions for P;Jyment submillnl to tlie Arclllll'CI bl the COl1lr;IC(()f" and Cl'!'t1tkates fur Payment issued h\ Illl' Architect, the Owner shall m:lke progress pa\'menls (,n aCl'ounl of the Contract Sum to the Contractor ;lS provided Ix'low and elsewhere in the Contract Documents, 5.2 The period covered by each Application for Payment shall be one calendar month ending on the last day of the month, ur ;lS follows: 5.3 Provided an Application for Payment is received by thl' Architect not later than the TWENTY FIFTH day of a month, the Owncr shall make pavmcnt to the Contractor notlatl'!' than the TENTH day of the FOLLOWIN(gonth, If an Application for Payment is rc'c'l'ived by the Architect after the application date tlxed abovc', payment shall be made by the Owner not later than days after the Architect receives the Application for Payment. 5.4 Each Application for Payment shall be hased upon the Schedule of Values submitted by the Contractor in ;Jccordancl' with the Contract Documents, The Schedule of Values shall allocate the entire Contract Sum among the various portions of the \X/ork and be prepared in such form and supported b\' such data to substantiate its accuracy as the Archit('('t may requirl' Thi.s Schnlult, unless objc'l'ted to by the Architect, shall be usnl as a b;l.S1s for reviewing the Contra('!()f"'.s Applicltions 1<,,' P;iyml'llI 5.5 Applications for Payment shall indicate the percentage of completion of each portion of the Work as of the end of the pel'lod covered by the Application for Payment, 5.6 Subject to the provisions of the Contract Documents, the amount of each progress payment shall be computed as f()lIows' 5.6.1 Take that portion of the Contract Sum properly allocable to completed Work as detennllled by multiplYlflg the pelu'nta).(l' completion of each portion of the Work by the share of the total Contract Sum allocated to that portion of the \\'ork In till' Schedule of Values, less retainage of TEN lX'l'l'l'nl (10 IX,), Pending tlnal determin:ltion of cost to the Owner of changes in the Work, alllou:lts not in dispute 1ll;1\' bl' included as provided in Subparagraph 7,5,7 of the (ienl'!'al Conditions even though the Contract SUIll has not yet been adjusted b\ Change Order; 5.6.2 Add that portion of the Contract Sum properly allocable to materials and equipment delin:red and suitably stored at the site for subsequent incorporation in the completed construction (or, if approved in advance by the Owner, suitably stored off tile site at a location agreed upon in writing), less retainage of TEN percent ( 10 %); 5.6.3 Subtract the aggregate of previous payments made by the Owner; and 5.6.4 Subtract amounts, if any, for which the Architect has withheld or nullified a Certificate for Payment as provided In PaL,' graph 9,5 of the General Conditions 5.7 The progress payment amount determined in accordance with Paragraph 5,6 shall be further modified uncler thl' fo!l()willg circumstances: 5.7.1 Add, upon Substantial Completion of the Work, a sum sufficient to increase the total payments to ONE HUNDRED percent ( 100 %) of the Contral'[ Sum, less suc'h amounts as the Architect shall determine for incomplete Work and unsettled claims; and 5.7.2 Add, if tlnal completion of the \';-'ork is tllL'l'e;li'ter lllaterLilly delayed through no fault of the Contractor, any addillonal amounts payable in accordance with Suhparagr;iph <),1 (),5 of the General Conditions, 5.8 Reduction or limitation of I'etainage, If anv, shall he as follows: (If i/ is in/ended, pl'iol' /0 Subs/alllia/ Com/J/elioll oJ Ihe elllll'e U""I'.(>. (() I'eel//((' (II' /1/11I1 Ibe I'('/aillal<e I'es//ltilll< /ml/1 Ibe fiene/ltal<es illsel'!ed 1/1 ,'//1)/1(//'(/ graphs 5.6. J and 5.6.2 abOl'(!, and tlJls is nut e.\/JItJiJ/ed l'Isi'lrher(' ill the CUIl/rael 1)()(:ume1l1s, iusert here pnwismlls lor SIK/) redUCl/(1fI or 11mila/IUN } UPON (50%) FIFTY PERCENT COMPLETION RETAINAGE WILL BE REDUCED TO (5%) FIVE PERCENT. AlA DOCUMENT Al0l . OWNI:H-CONTRACTOR A(;HH~IENT . TWHFTII UlITIO:-; . AlA"' . (( I\.lH' TIlE AMERICAN INSTITUTE OF ARCIIITECTS, 1755 NEW YURK AVENUE, NW, WASlIlNUrUN, D.l. 2(Jll(X) A101.1987 4 ARTICLE 6 FINAL PAYMENT Final payment, constituting the entire unpaid balance of the Contract Sum, shall be made by lhe OWIlLT 10 lhe COlllractor wl1el1 ( I) the Contract has been fully performed by the Contraclor except for the Contractor's respollsibility to correct nOIll'ol1forl1llllg Work as provided in Subparagraph 12.2,2 of the (;eneral Conditions and to s~ltisfv olher requirl'ments, if any, which necessanil survive fmal payment; and (2) a final Certificale for Payml'nt has been issued by the Architect; such final payml'nt shall be made bv the Owner nO! more than 30 days after the issuance of lhe Architccl's final Certitkate for Payment, or ;lS follows: ARTICLE 7 MISCELLANEOUS PROVISIONS 7.1 Where reference is made in this Agreement to a provision of I he (jeneral Conditions or another Contract !)O<.'lllllt'llt. llw I'd erence refers to that provision as amended or supplemented by other provisions of lhe COl1tract !)O<.'l1l11eIltS 7.2 Payments due and unpaid under the Conlract shall bear interest from lhe dale paymellt is due at the raIl' ,sutnl bel()\\'. <ll' III the absence thereof, at the legal rate prevailing from time to lime at the place where the Project is located. (Insert rate of ill/erest agreed "pm.. ,f allY.) (Usury laU's and requirements under/be Federa' Trulh in renclin,e:. Act, similar st(lle and local COilS toner 'Ttlelit lalc, and other r(,""lilati(lus at the ()U?ler ',\ (illt( Contractor 's prillC1jJ(I'/Jlm,:es of busiNess. the localiuN u/ th" 1)1'(~f('(/ Clllclcls(,fdwr(' may (~/](Jcllhe I'ulidil.l' nllhis !)f'(w;st'nn j.f!!<al adl'lt.(' shuuld hl' IJhfrln!t'd with respect to {/(Jle(ifl1/s or m()tI~'(ic:tlti()I1"', (/Nd alsu r(!,~((rdln,1.!, 1'l'(!"irem(,flts slic:h as written (/I...c:/I),,,,,,.('s fir ff'(ill'('r... ) 7.3 Other provisions: ARTICLE 8 TERMINATION OR SUSPENSION 8.1 The Contract may be terminated by the Owner or the Contractor as provided In Article 14 of the General Conditiolls 8.2 The Work may he suspended by the OWlll'l' ;IS prO\'itled III Article 1'1 of lhe C;l'lll'l'al COllditiollS. AlA DOCUMENT A101 . OWNER-CONTRACTOR M;REEMFNT . TWEI.FTH FlJIllON . AlA'" . (e' 19H~ THE AMERICAN INSTITUTE OF ARCHITECTS, 17j5 NEW YORK AVENUE, N.W, WASHINGTON, DL 2()()()() A101-1987 5 ". ARTICLE 9 ENUMERA TION OF CONTRACT DOCUMENTS 9.1 The Contract Documents, except for Modil1cltions issued after execution of this Agreement, are enumcraletl as follows 9.1.1 The Agreement is this executed Standard Form of Agreement Between Owner and Contractor, AlA Document A I 0 I. 1987 Edition. 9.1.2 The General Conditions are the General Conditions of the Contract for Construction, AlA Document A2tJ I, 1987 Edition 9.1.3 The Supplementary and other Conditions of the Contract are those contained in the Project Manual dated , and arc as follows: Document Title Pages RIA Section 9.1.4 The Specifkations are those Contalnl't1 in the I'rojeCl Manual dalcd as III Suhp;iragraph 9.1.:\, and are as follows (Hitl.wr 1i.,'1 (he ,V)('q/IUi!/UIIS h('n' UI' r('le',. If) (01 t'.\'J1/h/l Iilh/t)lt'd III 1/lls ..I,~n'l'ml'''1 ) Title Pages RIA AlA DOCUMENT A101 . ()\V~ER.<.()t\TRA<'T()H ,~\"{U',,\II'.:\ I . 'I'\\TI.I'TII I'DIT!()!'; . AlA'. I'm" TIlE AMERICAN INSTITUTE OF ARClfITEClS. I ~.~5 :\1.\\ YOHI\ A \'E"l 'E, "W.. WASlfI:\(;TON, D.<. ~()()O() Al01-1987 6 -. unless a different date is shown below: 9.1.5 The Drawings are as follows, and are dated (Eltber IIsttbe Drawi"gs b('re or refer to an exbibit (/1/(/cI.>!'d to Ihls AWW'!I/('nl.) Number SITE PLANS ,. Title 1 COVER SHEET 2 GENERAL CONDITIONS 3 DETAILED SPECIFICATIONS 4 SITE, UTILITY AND LANDSCAPE PLAN 5 PAVING, GRADING, DRAINAGE PLAN 6 GENERAL DE~AILS SECTION 7 ZEPHYRHILLS WATER DETAILS 8 ZEPHYRHILLS SANITARY SEWER DRAWING PLANS 1 COVER SHEET 2 FLOOR & FOUNDATION PLANS 3 NOTES, SECTIONS & BOLT LAYOUTS 4 SECTION A & B 5 DETAILS 6 FLOOR PLAN AREA 1 7 FLOOR PLAN AREA 2 8 OFFICE PLAN AREA 1 9 OFFICE PLAN AREA 2 10 ELEVATIONS 11 PLUMBING PLANS P 1 12 PLUMBING SCHEDULES & 13 ELECTRICAL PLAN AREA 14 ELECTRICAL PLAN AREA 15 Alc PLAN AREA 1 16 Alc PLAN AREA 2 17 DOOR & WINDOW SCHEDULES 18 ROOM FINISH SCHEDULE Date 12-29-99 12-29-99 12-29-99 12-29-99 12-29-99 12-29-99 12-29-99 DETAILS 12-29-99 CHECKED DATE 4-10-00 4-10-00 4-10-00 4-10-00 4-10-00 4-10-00 4-10-00 4-10-00 4-10-00 4-10-00 3-27-00 3-27-00 3-27-00 3-27-00 3-27-00 3-27-00 3-27-00 3-27-00 DETAILS P 2 1 E-1 2 E-2 9.1.6 The Addenda, if any, are as follows: Number Date NIA Pages Portions of Addenda relatinj.\ to bidding rcqUJl'l'nll'llts :Ire not part 01 thc Contracl DocUlllcnts unlcss thc bitklillt4 rcquIl'cllIl'lllS :lIl' also enumerated in this Article 9, AlA DOCUMENT A101 . OWNEK.C:ONTKACTOH M;I<I'EMENT . T\1('El.FTII EDITION' AlA'" . (~) I<JH" THE AMERICAN INSTITUTE OF ARCHITECTS, 17~S NEW YUI<K ,In:Nt11', N.W., WASIIINC;TON, D.C: LOOIJ{> Al01-1987 7 9.1.7 Other documents, if any, forming part of the Contract Documents are as follows: (List here any addiliolla/ documents ,d}ieh (Ire intended h, Jorm !J(Jrf uf the Co"lract /)uoune1/ls. 71.J(' (;""('1'01 C( nul1tt()llS /Ir()/ "de thaI IUe/dINg 1't'l{uir('1!1('1lI\ Sill ;l as adl'ertisemenl or i"I'Oalio1l to hid, Instructions Iv llidclers, ,WUN/J!e forms (/1ld tbe C'ulllfYK/ur's IJid are not parI OJ Ib(' (-'untrod /)UdOlll'flfs Ulll('s,~' efllinh'''O(l'd in this Agre'>meTlI. They sbould be lisled bere only If in/ended to be /Jarl oj fbe C01ltract [)oounents.) PROPOSAL AND SCOPE OF WORK ATTACHED. This Agreement is entered into as of the day and year first written above and is executed in at le;lst three original c()pk:s of which one is to be delivered to the Co1ltractor, ont> to the Arcllilect for Lise jn the ;ldministraliol1 of lht: Co1ltract, and the remainder l() lilt' Owner, OWNER f-oo ~ - ( c1.A M-f (fl 1 A AL/JI P ) ~Q~ (Prin/ell mune Will /il/e) T. CLAYTON JENKINS, PRESIDENT (I'I'/I//I'(/II(/II/e !II/(/III!e) ---------~._----_._--- .----.--..",.--- AlA DOCUMENT A101 · OWNEH.CONTRACTOH AGHEEMENT . TWELFTH EDITION. AlA'" . @1\lH7 THE AMERICAN INSTlTL'TE OF AHCllITECTS, 17.\<; NEW YOHK AVENUE, NoW, WASIIINGTON, D.C. 2IJOlK, A101.1987 8 /' /' . . ~[fi)~ ' ,( CONSTRUCTION CO., INC. 4009 MIDWAY ROAD EAST 0 PLANT CITY, FL 33565 0 OFF: 813.752.4449 0 FAX: 813.754.7769 May 4, 2000 . Bornstine Property . : P.O. Box 290560 . T~pa, FL 33687 ' . . "1' .~ ~e; Proposal- Bornstine Office & Warehouse Gentlemen: We are pleased to submit this Proposal for your new Office & Warehouse. This Proposal is based on the plans from Towson - Rogers Engineering, Inc., and the attached Scope of Work. . . BASE BID ................................................................................, $ 640,800.00 Respectfully Submitted, WORD/PROPOSAUBORNSTINE COMMERCIAL CONSTRUCTION & RENOVATION 0 CLASS "A" STATE CERTIFIED CGC 022712 SCOPE OF WORK FOR BORNSTINE PROPERTY OFFICE AND WAREHOUSE 75' x 320' x 20' EAVE 24,000 SF WETHERINGTON SITE FENCING DUMPSTER FENCE 2EA BY OWNER INCLUDED PLANSCAPE TREES/SHRUBS/MULCH IRRIGATION SOD 78,235 SF 6"X8' BOLLARDS 10 EA FLORIDA PREFAB INDUSTRIAL CONSTRUCTION DEW-WELL INDUSTRIES ENERGY BLANKET WALLS ROOF 16,400 SF 24,320 SF R - 30 BATTS - CLG R - 11 SOUND BATTS SCREEN ROOMS MATERIAL BIFOLDS 5 EA TYPE B 1 H 10 EA TYPE B 1 EA TYPE C 5 EA TYPE E 4 EA TYPE E 2 H 4 EA TYPE E 1 H 1 EA PR4080 1 PR AMERICAN ROLL-UP 5 ea PROFESSIONAL GLASS INTERIOR GLASS 6'6"X3'4" ALLOWANCE OF 2,400 CHAMPION DRYWALL FLOORS BASE 442 SF 200 ' CASTLE CARPET 3,510 SF VCT CASTLE CARPET 1,080 LF DOSHIER PAINTING HC GRAB BARS FIRE EXTINGUISHERS NOORDAM PLUMBING DAMRON REFRIGERATION & AIR WILSON 2_2" PVC ONLY TYPICAL EXCLUSIONS: IMPACT FEES SURVEYING BURIED ITEMS UTILITY FEES SOIL BORINGS I30b Youmans 788-5262 06/01/2000 08:20:07 AM P.1 APPLXCA'rlmr ra. n.I1'r Clft ~ UI'IIDlBrLLe BUIUlx.l ~ DAD Uf2%V&D-~ --12 -e r/) PLAJIII ~.....'.. .^-.... T. CLAYTON JENKINS OWNER'S NAME CONSTUCTION CO. INC. JOB ADDRESS COPEL COPELAND INDU ",- PHONE 813-752-4449 -- ~ - ) ~ ~EGAL DESCRIPTION: LOT IS) BLOCK SUBDIVISION SEE ATTACHED P~LID# 74 76 71 0000 00100 001~ rORTATN f'ROM PRnPRR'I'V 'TAX JlDTYCk\ WORK PROPSED: DfElf CONSTRUCTION OSIGN o ADDITION OALTERM'ION o DDfO~ISH o REPAIR o INSTALL C6ttCi~ ~ o HOVE PROPOSBD USE: OSGL FAMI1.Y DWELLING AOMHERCIAL oMULTI_PAHlLY o INDUSTRIAL 0, Of' UNITS DSlfIMmlG POOL o MOBILE HONB DomER o Rl!:STAUllANT , HEALTH DEPARTMENT APPROVAL DESCRIPTION Of' WORK MRTAL RUTI.nTNe: WTTH WARRROUSR BUILDING SIZE 75' x 370' :SQUARE FOOTAGE 24.000 SF AMP SERVICE o FLOlUM POWER o RESIDENTIAL: ATTACH (2) PLOT PlJ\JfS " (2) SETS OF BUILDING PLAIIS " (11 SET CtM4ERCUU.: ATTACH ( 31 SETS OF BUILDING PLANS , (1' SET ENERGY FORMS. PROPERrY SURVEY REQUIJU:D FOR ALL NEW COIlSTRUCTION. PENaTS UQUBS"BD :m BUILDING III EL&CTRICAL ji PLUHBING iii MECHANICAL $ 640.000 V1IWATION OF TOTAL CONSTRUCT 1011 $ VJU.UATION OF KECHANCIAL INSTALlATION o OTHER o GP.S 0 ROOFING 0 SPECIALTY TYPE OF CONSTRUCTION: 0 BLOCK o FRAHE xx STEEL o OTHER FIN:ISHED FLOOR ELEVATIONS 7Q? ':.) IS PROJECT IN !"LOOD ZONE AR!'AO YES :II NO ZONE C ~PNNT. CLAYTON JRNKTNS CONSTRUCTION CO. STATE CERT OR RBGXST' ('~~ O?? 71 ? CITY PROCESSJ:NG I t2. ~ ~ . .................=::.G~~~..t:\~..AJb..a~lltOL. ~0Ujs STATE CERT OR REGIST . ~o~~. ,/ SIGNATURE CITY PROCESSING I dZ()61 ~/ (),Jt . __ ........................::::w:ii:~.:..i\E.;;i:.....'o; ^~ _, · ~'d. - 4-' d /~d/ ~ STATE CBR'J' OR REGIST I_C. 04821 IS ~6ft..~ 8IGNATURE~~~~ /P' b~# CITY PROCESSING I ,;2 7~/g L/ ............... ..*..... ............................... .,......,...."..0.... ............... ::- IIIICIUIIttCAL [) COMPAIN n MR N RF.FRTe:F.RATTON-,~ C tC. I If j STATE CERr OR REGIST II CA - C029429 SIGJlATITRB ~ L - v ~~ CITY PROCESSING' c:< ~ '1J.,,- .......*....**..........***...................................... ~!Lt:~4~s~ t?;;TL7 emma COMPANY STATE CERT OR REGIST . CITY PROCESSING I SIGNATURE .-..-.-...*...---_~.4~~~~~_~~~.~A~*.*~***.*.+*..**...*.*+~~..*~.~ .. -1 !oumans '/88-5262 06/01/2000 08:20:07 AM CONDITIOHS OF PERMIT An'1:DA.VIT A. NOTICE OF DEED RESTRICTIOHS The undersigned understands that thia pe.nni.t may be subject to ~deed restrictions'" wh;t.c;h may be more restrictive than City requ~ations. The undersigned assumes reapon8ibi~ity for comp~iance with any applicable deed restrictions. B. UHLICI!:II:9ED COHTRACTQRs AND CONTRACTOR RESPONSIBILITIES I? the owner has hired a contractor or contractors to undertake work, they..y be required to be licenaed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor 1lIlIY be cited for a msdemeanor violation under state law. It the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the City of Zephyrhi11s Building Department, 813-788-6611. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractorla) Sign portions of the ~Contractor Sections'" of this appLication for which they Hill be responsib~e. If you, as the owner signs as the contractor, you are indicating that you, rather than the contractor. are responsible for the work. If the contrector wish.. you to sign as contractor that _y be an ind.1catlon that he 1s not properly licensed and is not entiUed to permitting privi~eqes in the C:::ity o~ Zepbyrhi~ls. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FBE5 D. c:oJISTRUCTUION Lr.F.Jil LAW (CJlAPTER 713, FLOIUM STATUTES, AS J\M.I!:IIDED1 I certify that I. the app~i.CIInt, have been p.rovlded with a copy of .Florida's Const:ruction lien Law - Homeowner's Protection Guide'" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant 1s aomeone other that the .owner-, I eerify that I have obtained a copy of the above described doc:ument and prDllise in goocl faIth to deliver it to the .owner- prior to eomaencement. E. COIfTAACTOR' S/OIfNER' 5 AFI'IMVIT I ceruty that al~ the information in this application 1s accurat:e and that all. ...rk will be done in compliance with all applicable laws regulating construction, zoning, ang land develDplll8llt. Application i. botr.by _de eo obtain a perm1.t to do work and in.callation as indicated. I certify that no work or installation ha. comn.nced prior to issuance of a perMit and that al~ work will be perfoxmed to meet standarda of all law. regulating construction. City codea, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other gover~ntal agencies ..y apply to the intended work, and that it is ~y responsibility to identify what actions I muat take to be in compliance. Such agencies include but are not IJ.m1ted to~ .Department of Environmental RegUlation-Cypress BayneadB. Wetland Areas and Environ.entally Sensitive Landa, Water/wastewater TreaLneut .Southwest Florida Water Manaqenent District-Well.s, Cypress Bayheads, Wet~and Areas, Altering Wateccou~ses "Army Corps of Engineers-Sea_lls, Docks, Navigeble Water:ways .Department of Health ~ RehabilitatIve Services, Environmental Health Unit-"l~s, Waatewater Treat:ment, septi.c Tanu +U.s. Enviro~ta~ Protection Agency-Asbestos abat_nt I also certify that. if ti~l material Js to be used in FLOOd Zone .A- or -A,ebe.-, it is understood that a drainage plan addreSSing a .compensating volume- will be subBdtted wbiah i. prepared by a professional englneer registered in the State ot Florida prior to perMit i.suance. A pe.nni.t i..ued .hal~ ba construed to be a license to proceed with the NOrk and not as authority to violate, cancel, alter, or set aside any provisions of the technical cod.., nor shall issuance of a permit prevent the Build1nq Official froa thereafter requiring a correetion of errors in plans, construction, or violaticma of any code. Every pe~t issued shall beCCllM inval1.d unless the work authorized by such pe.a.it 1. ~ced within si.. months of issusnce, or l.f _rk authorized by the peaait 1s suspended or abancl.oned fOr a peri.od of six IlIOnths after the ti_ the work i8 cca.enced. One 9D day exteneion of tu- may be allowed for the pe.nni.t with fee charge of $1.5.00. The extension shall be requested in writing to the Building OffIcial. An approved inspection must be 1099ed c1uring each ..;Lx IIIQnth period, or the project will be considered abandoned. 1UlIINING TO OlIfNER~ YOUR FAIWRE TO RECORD A NO'l'YCE OF COMNI!:IICElvoMT MAY RESULT IJf YOUR PAYING 'I"lfICE roR IMPROVDIENTs TO YOUR PROPERTY. IF YOU IJlTEND TO 08'1'AIH FIIIl'INCIIrG, COIISULT WITH YOUR LENDER OR All ATTORNEY Bl!:l'ORE RECORDINC YOUR Horl OF COIIMBNC&M8NT. JOBS URD8R $2,50D IN VALUE DO NOT HEED TO RECORD AND POST A .MorICE ~J/n lfJ . (~~ Xl --:tz;n.~ S GJlATURE: OWIfZR OR AGENT STATE OF """JlIDA COUNTY OF I(L 5.Aoe DUb /) The foc:egQ1ng instZ:Ulllent _a acknowledged Before IDII th1s~ day gf ~tj~~ .2eOO by I'l.4R~ Ai nIt.N->r. u,c ~ In_ of persOl1 acknow~edgedl ~WhO i.personally known to _, or o who baa proclllced ~ [type ,A.did n lif.~'if,Y'r~ Tomaro James N i"~ MY COMMISSION # CC77oo59 EXPIRES ~..:"U AugUS124,2002 ..:tP.r..ii-~" BONDED TH~U TROY FAIN INSUI1ANCE, fNC STATE OF no COUIlTY OF The foregoing inatr~t:. _s acknowledged Before ... thi8 ~y of . 2080 by T rT.~ V'l'O .T~IIf~ (n_ of peUOD acknowledgedl D.", is peraonaJ.ly known to _, or C who ba. prodUced .. Jtype of identificooUon) IlDd who Cd1d ,au.d not talle an oath ~~c.~ \~ Signature of pe1:1OOn taldn9 a J.~t; ~\\o.. L. ~...",:> Name typed, printed Or staaped . STELlA L DAVIS co.\ftAlSllON , CC917752 EXPE JlIIl10 20CW ICNIlID 1MlClUlIH 1\1 ~CXliMMNY P.2 Bob Youmans 788-5262 06/01/2000 08:20:07 AM P.2 CONDlTIOII'S OF PERMIT AFFIDAVIT A. NO'l'ICI!: OF DEED RESTRICTIONS The undersigned understands that this pe~t may be subject to ~deed restrictions" which may be more restrictive than City regulations. The undersigned assumes responsibility for complianoe with any applicable deed restrictions. B. 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 .-eguiations. If the contrac:tor 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 City of Zephyrhills Building Department, 813-788-6611. Furthermore, if tbe owner has hired a contractor or contractors, he is advised to have the contractor Is) Sign portions of the "Contractor Sections. of this application for which they will be responsible. If you, as the owner siqns as the contractor, you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to slgn as contractor that may be an indication that he is not properly licensed and is not entitled to permittinq privileqes in the City of Zepbyrhills. C - TRANSPORTATIOH IMPACT FEES AND UTILITY CONNECTION FI!:ES D. CONSTRUCTUIOH LIEN LAJI' (CHAPTER 713, FLORIDA. STATUTES, AS AM!:NDI!:D) I certify that I, the applicant, have been provided with a copy of ftFlorida's Construction lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other that the .owner", I cerify that I have obtained a copy of tbe above described document and pronise in good faith to deliver it to tbe .owner" prior to commencement. E. CONTRACTOR'S/OWNER'S AYFlDA.VIT I certify that all the information in this application 1. accurate and that all work will be done in coropliance with all applicable laws requlating 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 ha. commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws requlating construction, City codes, zoning regulations, and land development .-egulations in the juriediction. I also certify that I understand that the regulations of other governmental agencies may apply to the intended work, and that it is my responsibility to identify what actions I ~st take to be in compliance. Such agencies include but are not limited to: *Department of Environmental Regulation-Cypress Bayheads. Wetland Areas and EnvirOnMentally Sensitive Lands, Water/Wastewater Treat-mellt *Southwest Florida lIater Management District-Wells, Cypress Bllyheads. Wetland Areas, Altering Watercourses *Army Corps of Engineers-Seawalls, Docks, Navigable Waterways *Department of Health ~ Rehabilitative Services, Environmental Health Unit-Wells, .aatewater Treatment. Septic Tanks *U.S. Environmental Protection Agency-Asbestos abat~nt I also certify that, if fill material is to be used in Flood Zone ~A" or -A,etc.w, it is understood that a drainage plan addressing a ftcompensating volume- will be submitted which is prepared by a professional engineer registered in the state of Florida prior to permit .1..uance. A permit issued shall be construed to be a license to proceed with t~e work and not as authority to violate, cancal. alter, or set aside any provisions of the technical codes, nor shall issuance of a permit pravent the Building Official from thereafter requiring a correction of errors in plans, construction, or violations of any code. Every pe~t issued ahall bec~ invalid unless the work authorized by such pe.-.dt i. commenced within six months of issuance, or if work authorized by the permit is suspended or abandOned for .. period of six months after the time the work is commenced. One 90 day exteneion of time may be allowed for the pe~t with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An approved inspection must be logged during each six month period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMEHT MAY RESULT 1M YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, OClIISULT WITH YOUR. LENDER OR AN ATTORNEY BEFORE RECORDINC YOUR NOTIC OF COMMENCEMENT. JOBS UlfDZR $2,500 IN VALue DO NOT NEED TO RECORD AND POST A -NOTICE 3IGNATURE: OWNER Ok AGENT STATE Of' FLORIDA COUNTY OF The foregolng instrument was acknowledged Before me this _ day of ,2000 by \n~ of person aeknowledgedl o who is personally known to me. or o who bas produced ttype of identification) and whoO did Odid not take an o..th. Siqnature of person taking acknowledgement Name typed, printed oc stamped STATE OF no COUNTY OF The foregoing instrument was acknowledqed Before llIe this -Pay of . 1000 by T C"T.AVTON .T'J;"UX:IW<<; (n_ of person acknowledgedl lCIho is personally known to me, or o who bas produced ~type of identific.lluni and who [Jdid ~id not take an oath ~~('~ ,~. Signature of person taking ac owledcJ-nt CS\e...\ \0... L. ~...~ Name typed, printed or stamped ---. STELlA L. DAVIS COMMISSION' CC917752 EXPIIES JUN 10 ~ IONlID 1tIlClUlIH au ~CDNIIH'I 11 06/01/2800 1J:06 8139862991 DESCRIPTION For 0 Point of Ref orance commence at the Northwest corner of Section 24. Township 26 South, Range 21 East. Pasco County, Florida: Thence N. 89048'05- E.. along the North boundary of the Northwest 1/4 of said Section 24, a distance of. 885.58 feet: Thence S. 25026'35- E.. 0 distance of 926.42 feet for 0 POINT OF BEGINNING: Thence N. 64033'25" E.. a distance of 300.00 feet: Thence S. 25020'35- E.. 0 distance of 699.80 feet: Thonc& S, 64-33'25- W.. a distance of 300.00 feet: Thence N. 25026'35" W.. a distance of 699.80 feet to the Point of Beginning. Said land containin9 4.82 acres more or less. SUBJECT TO 0 draina9& easement over and across the North 20,00 feet thereof. TOGETHER WITH a non-exclusive easement for ingress - egress and utilities over and across the following described land. For 0 Point of Reference commence at the Northwest corner of Section 24. Township 26 South, Range 21 East. Pasco County. Florida: Thence N, 89048'05" E.. along the North bounda,"-y of the Nortnwest 1/4 of said Section 24, 0 distance of 885.58 r eet; Thence S. 25026'35- E.. 0 distance of 926.42 feet for 0 POINT OF BEGINNING: Thence continue. S. 25026'35- E.. 0 distance of 1539.58 r eet: Thence 58.57 feet along the arc of a curve concave to the Northeast ( said curve having a radius of 50.00 feet. delta of 78034'25", chord bearing and distance of S. 64043'47" E.. 63.32 feet ) to the Northerly Right-of -Way line of Zep-hyrhill$ By-Pass East ( also known 0& Chancey Rood ): Thence S. 75.59'00 W.. along said Right-of-Way line.. a distance of 163.24 r eet: Thence deporting said Right-of -Way line. 88.51 feet along the arc of 0 curve concave to the Northwest ( said curve having a radius of 50,00 feet. delta of 101025'35". chord bearing and distance of N. 25016'13- E.. 77.40 feet: Thence N. 25026'35 W" 0 distance of 1507.24 f e8t: Thence N. 64033'25- E.. a distance of 60.00 feet to the Potnt of Beginning. C{,\'3E 04 I. PREPARED BY : m.~.~'-j..JJl. WA~, w.. BEALL Prot~",=Of FIorido, , :,...,. <4281 '. I IIWI illi! mil ftlJI IfIli WI! i'''' ilUi filii I'ffl IW1W . 20000J25d5 I . , PREPARED BYIRETURNED TO: L. Cabanisas The Terrace Bank of Florida P.O. Box 16828 Temple Terrace, FL 33687 Rcpt: 419853 OS: 13 0t) 06/1:l/00 Rec: 113,513 IT: 0 , 00 Dpty (:1,,'''' Ii Permit No. Tax Folio No.2426 210000001000013 JED PIlrM~N, PRSCO COUNTY CLERK 06!12/0~ 1029am 1 of 2 OR BI<. 4382 PC 1760 NOTICE OF COMMENCEMENT State of Florida County of Pasco THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statues, the following information is provided in this Notice of Commencement: . (I) The description of the real property to be improved: (Legal Description and Street Address) See Exhibit "A" attached hereto and made a part hereof. Alk/a a vacant lot in Copeland Industrial Park offHwy 39, Zephyrhills, FL (2) A general description of the improvement to be commenced: Construction of a commercial building! warehouse (3) The fee simple titleholder's name and address is: Eddy A. Bomstine and Karen E. Bomstine, husband and wife (4) The contractnr's name and address is: T. Clayton Jenkins Construction Co., Inc. 4CX)9 Midway Rood E Plant City, FL 33565 (5) There is a payment bond in the amount of$ N/A and the name and address of the surety is: (6) The name and address of the construction lender is: The Terrace Bank ofFlodda 5140 E. Fowler Ave" Tampa, FL 33617 (7) The name and address of persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13 (I) (a) (7), Florida Statues: nuu,c.e Ul. l.UJIIEllCerreIlL furrm-.er: Eddy A. fumstine, Karen E. Bornstine :Lenc1ei: The Terrace Eank of F ida Lean~: $100.00 Lean rate:' 'June 9, 2CXD JI? HI- 4382 PC 116.1, 2 wI '2 EXHIBIT "A" PaI"'cel 1: For a Point ot Reference commence at the Northwest corner: of Section 24, Township 26 South, Range 21 East, Pasco County. Florida: Thence N. 89-48'05" E.. along tho North boundary of the Northucst 1/4 of said Section 24, a distance of 885.58 recti Thence S. 25926'35" E., a distance of 926.42 feet {or a POINT OF BEGINNING; Thence N. 6.P33'2S" E., a distance of 300.00 teet; Thence S. 25"26' 35" E., Ii distance or 699.80 teet; Thence S. 64"])'25" W., a distance of' 300.00 f@eti Thence N. 25-26'35" W., a distance of 699.80 teet to the Point of Beginning. SUBJECT TO a drainaqe easenent over and across the North 20.00 feet thereor. TOGETHER WITH a non-exclusive easement for ingress - egress and utilities over and across the followinq described land. For a Point of Reference co_ence at the Northwest corner of section 24, Tovnship 26 South, Range 21 East, Pasco County, Florida; Thence N. 89-48'05- E., along the North boundary of the Northwest 1/4 of ~aid Section 24, a dl&tance of 885.58 feet; Thence S. 2S-26'3S~ E., a dls~ance or 926.42 feet for a POINT OF BEGINNING; Thenoe continue S. 25-26'35" E., . dis::tancQ of 15]9.58 feet; Thence 68.57 feet along the arc of a curve concave to the Northeast (said curve having a radius of 50.00 feet, delta of 78-34'25", chord bearing and distance of S. 64043'47" E., 63.32 feet) to the Northerly Riqht-of-Way line of zepllyrhl11s By-Pass East (also known as Chancey Road); Thence S. 75-59'00" W., alonq said Right-ot-way line, II distance of 163.24 feet; Thence departinq said Right-of-Way line, 88.51 teet along the arc of a curve concave to the HorthwCiI&t (said curvo having a radius at 50.00 feet, delta of 101124'35., chord bearinq and distance or N. 25016'13" E., 77.40 feet); Thence N. 25-26'35. W., a distance of 1507.24 feQt; Thence N. 64-33'25. E., a distance of 60.00 feet to the Point oC Beqinning. Parcel 2: For a Point of Reference COlllJllenCe at the Northvel:t corner at section 24, Township 26 South, Ranqe 21 East, Pasco County, Florida; Thence N. e9-48'05" E., along the North boundar.y of the Northwest 1/4 of said Seotion 24. ~ distllnce at: 885.58 feet; Thence S. 25-26'35" E., . distance of 926.42 Ceet; Thence N. 64-JJ'25" E., a distance of 300.00 feet for a POINT OF BEGINNING; Thence S. 25-26'35. E., a distance of 699.80 Ceet; Thence N. 6.-))'2S" E., a distance or 50.00 feet; Thence N. 25-26']5" W., a distance of 676.2] reet; ThancQ S 8'-48'05", a dlstonce or 55.28 teet t.o the Point ot 8Q9innin9. Said land SUBJECT TO a drllinage easement over and across its entirety.