HomeMy WebLinkAbout02-1377
Sewer Conn Itl 3 904 d'f}
Water Conn: /, -g '7 s" (;J"O
Property Owner: S ha.fL,Ov'\ '-p ..i1':~ I ~ 0' Water Meter: ' & 5 tJ. ,,0
Job Address: "3 '11'30 c'! lA.l1c,Q hlv&.4 T,I.F.'s: ~7.'3:;;'. P"f)
Parcel 1.0, , 0.3 ~~, ~:;) J -OOIO~ 1:l:J- p--O- 00 ~o t II T~ _ 'Y ~~::i:'
Zoning: Energy Code: Radon Gas: ?S.:( (, t~n. 11<;
OescriDtionofWork (JJnI1~~, (,"-Vt.J~ ('~I fr~sh en0"$l/r-!i'~~;:Z;~
F':P, 1"/1)4,,111--&'-"::>' ~?j.,;y; I r....K'
_ FINAL ;2- ~7- 0.2
NO OCCUPANCY BEFORE C.O. TE
~~ p~/,;2 - ;l '7 - e; CJ.-
Fi~IJL e.t>. 1- g~l).3
Inspector e e' ,Rt. If
BUILDING PERMIT
I CITY OF ZEPHYRHILLS Parmi: N! .
(813) 780-0020
10 7. ~o /15-' ,'PO
PLUMBING MECHANICAL
1311
1,1.0;)'1,[(0
~
3:lI'O'"
ELECTRICAL
Date
7-3/"'o~
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances.
City License Registration #
State Certified License#
~?93
Permit Fee
~ignature
Company
Address
)'Telephone# 7~ 7- '1M . tftJ.3 C,
Valuation or ~I OJ 'I
Contract Price . I ~. 0
,
(jJ L6~ Ilt/(1iJn.a.u
MECHANICA 0.
Breakers
Ducts Insl.
Compressor
Final /'1;;2 -;;1. 7-02. /i'To
.lent of inspection fees shall be made before any further permits will be issued to the person owning
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OWNER'S NAME
.s hu,O!...." P e...+i lh,
JOB ADDRESS -3 r"} 13Cl E; \ Cll1d Bou i e..vo.ict
L-Q.QQ,L
LEGAL DESCRIPTION: LOT (S).5eL A+tod'll.cl U BLOCK
APPLICATION FOR PERMIT
CITY OF ZEPHYRHILLS -7 __ ~ _ ~
BUILDING DEPARTMENT Il.. DATE RECEIVED / g.
~r) LABS REWEW FEE
l~' --
PHONE (S13 ') 89'1- 8535
SUBDIVISION
PARCEL ID # 03 - 2.<0 - 2.1 - 0010 - 12'2.00 - OOZ.O
(OBTAIN FROM PROPERTY TAX NOTICEl
WORK PROPSED: ~EW CONSTRUCTION
DSIGN
o ADDITION
DALTERATION
o REPAIR
o INSTALL
o MOVE
o DEMOLISH
PROPOSED USE: []SGL FAMILY DWELLING
P(COMMERCIAL
DMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK t tu
2.~1 )( 4<0' - c.o.\"WUo~h" 11152. F
BUILDING SIZE .y(01 ~ 'l<oI_'tJ" C:-~Ton.. SQUARE FOOTAGE 3.50.(, Sf
3(0' ~ e'l~ ~" C.c.l"\oll'y 3.150 ~f
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
STO\"V.~~ To.f'\~
n II .. vl"\J
17 F+-
HEIGHT '1.2...1:4-
2-D r-I-
PERMITS REQUESTED
,.-'
- -'3 / ~5Crd!~
OJ, .Af"V
o ~;R:~~#f ~b-{)Z/
'I'\~ .. /'L~1~~
I / I, :;At I '
INSTALLA~Jl1,~ . ,- 1>
i {J /;,L
, ,/
.IX( BUILDING
b( ELECTRICAL
~ PLUMBING
)ij'MECHANICAL
$ (0(;,3:000
VALUATION OF TOTAL CONSTRUCTION
c.-Store. - '2>00
en ~ We...., h, - 0.00
AMP SERVICE
p(
FLORIDA POWER
$ Lfo lOOt')
VALUATION OF MECHANCIAL
o GAS
~ ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: P( BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS C.-"5TOre... - '1S.s0R-
c.c.rllJ()~I')_ '15.0D H
IS PROJECT IN FLOOD ZONE AREAD YES )t NO
BUILDER ~
[ ,
SIGNATURE
SIGNATURE
Ih:- I~
MECHANICAL
SIGNATURE 1O~
Oe.;~ilV'\~
**~**************************************************************
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
OTHER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*****************************************************************
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRIC~T~NS
The ul1dersigned understand .hat this permit may bl~
Inay be more restricti'fre than City regulations. The
compliance 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 ~equi~ed
to be licensed in accordance with state and local regulations. If the contractor is not
licensed as required by law, both the owner and contractor may be cited for a misdemeanor
violation under state law. If the owner or intended contractor are uncertain as to what
licensing requirements may apply for the intended work, they are advised to contact the
City of Zephyrhills Building Department, 813-788-6611.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
contractor(s) sign portions of the "Contractor Sections" of this application for which they
will be responsible. 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 contractor wishes
you to sign as contractor that may be an indication that he is not properly licensed and is
not entitled to permitting privileges in the City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida'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 the above described document and promise in good faith to deliver
it to the "owner" prior to commencement.
E. CONTRACTOR' S/OWNER' S AFFIDAVIT
I certify that all the information in this application is accurate and that all work will
be done in compliance with all applicable laws regulating construction, zoning, and land
development.
Application is hereby made to obtain a permit to do work and installation as indicated. I
certify that no work or installation has commenced prior to issuance of a permit and that
all work will be performed to meet standards of all laws regulating construction, City
codes, zoning regulations, and land development regulations in the jurisdiction. 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 must 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 Treatment
*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
Altering Watercourses
*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
*Department of Health & Rehabilitative Services, Environmental Health Unit-Wells,
Wastewater Treatment, Septic Tanks
*U.S. Environmental Protection Agency-Asbestos abatement
I also certify that, if fill material is to be used in Flood Zone "A" or "A,etc.", it is
understood that a drainage plan addressing a "compensating volume" will be submitted which
is prepared by a professional engineer registered in the State of Florida prior to permit
issuance.
A permit issued shall be construed to be a license to proceed with the work and not as
authority to violate, cancel, alter, or set aside any provisions of the technical codes,
nor shall issuance of a permit prevent the Building Official from thereafter requiring a
correction of errors in plans, construction, or violations of any code. Every permit
issued shall become invalid unless the work authorized by such permit is commenced within
six months of issuance, or if work authorized by the permit is suspended or abandoned for a
period of six months after the time the work is commenced. One 90 day extension of time
may be allowed for the permit 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 COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
$2 500 IN VALUE DO NOT N TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
, ~
~fi~~
C:::-' STATE OF FL RIDA ': ll/."" TI" 0 ~
COUNTY OF f:1ll...!. u v u..~
The foregoing i~st~ument w ac nOWlerge~j ~,J
Before me this ~day 0 , ~
by ,
(name 0 person acknowledged)
is personally known to me, or
subj ect ) "deed restrictions" whi-,;h
undersigned assumes responsibili~y for
STATE OF FLORIDA
COUNTY OF
The foregoing ins~~ent wa
Bef me his diY 0
by an
~ (name of person acknowledged)
~who, is personally known to me, or
o who has produced
~ (type of identification)
~did ,t take an oath.
owled~d
, / ~'J..IX) ;;L
~o
o who has produced___
(type of identification)
d t take an oath
~ nature person taking acknowledgement
,>l" ~ JENNIfER L DEEM
M UVCOUMISSION 'DO 113527
Name typo; rint~l,2ttamped
"'~'l'CI F\.O~ Bonded nvu Budget Not8l'Y $erviCeS
~ JENNlfBl L DEEM
Name typed,.. t.e<!1"~~ll821
~'u EXPR!S: May 1, ZXI6
~0If\."- _TlwvIlodgolNalaly .......
LEGAL DESCRIPTION
SLCTIONS 3, TOwNSHIP 26 SOUTH, RANGL 21 LAST, PASCO COUNTY, FLORIDA.
LEGAL DESCRIPTION: (AS FURNISHEDBY CLIENT)
A PORTION OF TRACTS 119, 121 AND 122 OF ZEPHYRHILLS COLONY COMPANY LANDS
SUBDIVISION OF SECTION 3, TO\.INSHIP 26 SOUTH, RANGE 21 EAST AS SHO\.lN ON THE
PLAT THEREOF RECORDED IN PLAT BOOK L PAGE 55, PUBLIC RECORDS OF PASCO COUNTY,
FLORIDA. BEING FURTHER DESCRIBED AS FOLLO\.lS: FOR A POINT OF REFERENCE COMMENCE
AT THE SE. CORNER OF THE S\.I. 1/4 OF THE S\.I. 1/4 OF SECTION 3, TO\.INSHIP 26
SOUTH, RANGE 21 EAST, PASCO COUNTY, FLORIDA: THENCE N. 01 10'47'\.1., ALONG THE EAST
BOUNDARY THEREOF, A DISTANCE OF 25.01 FEET TO THE NORTH RIGHT-OF-\.IAY LINE OF
GEIGER ROAD: THENCE N. 89 34'57'\.1. ALONG SAID RIGHT-OF-\.IAY LINE A DISTANCE OF
365.03 FEET FOR A POINT OF BEGINNINGj THENCE CONTINUE N. 89 34'57'\.1., A DISTANCE
OF 188.04 FEET j THENCE N. 00 25'03'E., A DISTANCE OF 50.00 FEET j THENCE N. 38
11'32'\.1., A DISTANCE OF 224.65 FEET TO THE SOUTHERLY RIGHT-OF-\.IAY LINE OF
ZEPHYRHILLS BY-PASS \.lEST; T-HENCE ALONG SAID RIGHT- OF \.lAY LINE AND ALONG THE
ARC OF A CURVE TO THE LEFT, A DISTANCE OF 291.00 FEET, (SAID CURVE HAVING A
RADIUS OF 1530.00 FEET, DELTA OF 10 53'51', CHORD BEARING AND DISTANCE OF N. 46
21'32'U: THENCE DEPARTING SAID RIGHT-OF-\.IAY LINE S. 49 05'23'E., A DISTANCE OF
23746 FEETj THENCE S. 20 05'19'\.1., A DISTANCE OF 124.64 FEETj THENCE 117.74 FEET
ALONG THE ARC OF A CURVE TO THE LEFT (SAID CURVE HAVING A RADIUS OF 335.00
FEET, DELTA OF 20 08'12', CHORD BEARING AND DISTANCE OF S. 10 01'13'\.1., 11713')j
THENCE S 00 02'53'E., A nIST ANCE OF 40.55 FEET TO THE POINT OF BEGINNINCi
"I- ~.;..:s
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I 'pa4e~lpul se uOT~eTTe~sul pue ~.:rOM op o~ 4Twaad e uTe~qo o~ apem hqa.:raq sT uOT~e~l'ldd'\l
'~uamdolaAap
pueT pue 'fiul'uoz 'u01~~n.:r~suo~ 6ul~eTn6e.:r sMeT eTqe~lIdde TIe q~lM e~uelTdmo~ Ul euop aq
IlTM ~~OM lIe ~eq~ pue a4e~n~~e sTuoT~e~Tldde STq4 UT uOT~ewaoJuT aq4 lIe ~eq4 AJl~~a~ I
J.1A'\101.3.3'\l S,~:!INM.0/S,~0J.;)~J.N00 '3
'4uama~uawwo~ o~ ~oT~d "~aUMO" aq~ o~ ~l
.:raATlap o~ q~TeJ pOOD uT aSTWo.:rd pue 4uamn~0p' paqT.:r~sap aAoqe aq~ JO Ado~ e paule~qo aAeq
I ~eq4 hJl'.:ra~ I '".:raUMo" aq~ ~eq~ .:raq40 auoamos sT 4ue~lTdde aq~ J1 .s.:r1eJJV .:ramnsu00 pue
a~n4Tn~1.:r6'\l JO ~uam4.:redao ep1~oT.3 aq~ Aq pa.:reda.:rd uapTn~ uOT~~a~o.:rd s,~aUMoamoH - Me'I uaTl
u01~~n.:r4su00 s,ep1.:roT.3" JO hdo~ e q~TM paP1Ao.:rd uaaq aAeq '~ue~TTdde aq4 'I ~eq~ AJT~.:ra~ I
(030Nawv SV 'saJ.nJ.'\l~S '\la1~O'I.3 'ETL ~:!IJ.d'\lH0) M.'\l'I N31'I NOln~;)n~J.SN00 .0
S:!I3.3 N01J.;):!INNO;) XJ.1'I1~n ONV Saa.3 ili0'\ldW1 N01ili'\lili~OdS~ili ';)
'SllTq.:rhqdaZ JO h4T0 aq~ uT safialTAT.:rd DU1~~TW.:Iad o~ pal~l~ua ~ou
sT pue pasua~Tl A1.:rado~d ~ou sT aq ~eq~ uOT~e~lpuT ue aq Aem ~eq~ ~04~e~~uo~ se UDlS 04 nOA
saqsl'M .:r04~e.:r~uo~ aq~ J1 .~.:rOM aq~ .:rOJ eTql'suodsa.:r a.:re '.:r04~e.:r4uo~ aq~ ueq4 .:req~e.:r 'nOh
~eq~ 'DuT~e~TPuT a.:re nOA '~o~~e.:r~uo~ aq~ se su6TS ~aUMO aq~ se 'nOh JI .alqTsuodsa.:r aq 11TM
E.aq~ q~TqM .:rOJ u01~e~T1dde sTq~ JO "suoT~~as .:r04~e~~u00" aq~ JO SUOT~~od UDTS (s)~o~~e.:r~uo~
aq~ aAeq 94 paSTApe 8T aq 's~0~~e.:r4uo~ ~o ~04~e~~uo~ e pa~Tq seq ~aUMO aq~ 1T 'a~om~aq~~n.3
.1199-88L-EI8 '4uam~.:redao DUTPTlng s11Tq~Aqdaz JO A~l;)
aq~ 4~e~uo~ 04 pas1Ape a.:re haq~ '~.:rOM papua~u1 aq4 ~oJ hldde hem s4uama.:r1nba.:r DUl'SUa~l'l
4eqM o~ se uTe~~a~un a.:re ~o~~e.:r~uo~ papua~ul ~o ~aUMO aq4 J1 .Mel a4e~s ~apun uOl~el01A
~oueamapsTW e ~oJ pa~l~ aq hem ~o~~e~~uo~ pue ~aUMO aq~ q~oq 'Met hq pa~lnDa~ se pasua~Tl
40U s1 .:r0~~e~4uo~ aq4 J1 .suOT~elnDa~ Te~ol pue a~e~s q4TM a~uep.:ro~~e u1 pasua~Tl aq 04
pa~1nba~ aq hew Aaq4 '~~OM a~e4.:rapun 04 s.:r04~e.:r~uo~ .:ro .:r04~e.:r4uo~ e pa.:rl'q seq .:reUMO aq4 11
S31J.1'IIg1SNOdS3~ ~OJ.;)~iliNO;) ONV S~0J.;)~~N00 03SN:!I0I'INn .g
'suol'~~T~~sa.:r paap alqe~11dde hue q~l'M a~Uel'ldmo~
.:rOJ h~TITqTsuodsa~ samnsse pauDTs.:rapun aqili 'suoT~elnDa~ h4T;) ueq~ aAT~~l~4sa~ a~om aq Aem
q~rqM "SUOT~~T.:r~sa.:r paap" o~ 4~a~qns aq hem ~Twaad STq4 4eq4 spue~s.:rapun pau61's.:ra,pun aq~
SN01J.;)1~iliSa~ 0330 .30 :!I0I~ON .V
J.1A'\lOI.3.3V ili1~ad .30 SNOIJ.ION00
Tana=o Service Station
37130 Eiland Blvd.
SQ. FEET PRICE
STORE 3,526 $ 54.00
CAR WASH 1,152 $ 27.00
GAS CANOPY 3,156 $ 27.00
II ~l,~ 'Il u.~o
VALUATION $ 341,998.40
FEE SHEET $ 1,196.00
ADDRESS $ 20.00
DRIVEWAY $ 40.00
.'
BUILDING: $ 1, .' ~
CREDIT: $ -
BUILDING LESS CREDIT: $ 1,854.00
ELECTRICAL: $ 321.02 V~
PLUMBING: $ 107.50
MECHANICAL: $ 175.00
RADON: $ 35.26
TOTAL $ ~? 4A-9;7J[ r..---
....,
r;().~
"
.;0..
SEWER: $ 6,390.00
WATER: $ 1,375.00
IRRIGATION: $ -
TOTAL: $ 7,765.00
~'
STORE WATER METER $ 650.00
IRRIGATION METER $ v'
SUB-TOTAL $ 10,907.781
SIPS'I $
97,5% $
2.5% $
- I
TI F'S: $ 24,732.00 12 - Pumping stations
99% $ 24,484.68 @ $2,061.00 per
1% $ 247.32 station
fouL.
z 2-5: "'"~
... 16 \u~ /L.
? I'r 11- v-
(, 71 t'?-
( ~)~.
TOTAL: $ 35,639.78 I -
.., ~
-.-,.:2>-- .,
~~-:i;:;;;;~-~-'~)"-'-
'-.....::::==:.-.:::::-::.:::: . "
L- f2:;')
FLORIDA DEPARTMENT OF
John O. Agwunom, M.D., M.B.A.
Secretary
Jeb Bush
. Governor
HEALT
Pasco County Health Department
Environmental Health Division
4135 Land O'Lakes Blvd.
LandO'Lakes, FL 34639
(813) 558-5173; voice
(813) 558-5190; fax
August20,2002
Bill Burgess
Building Official, City Of Zephyrhills
5335 Eighth Street
Zephyrhills, FI 33540
RE: Shell Service Station, Eiland Blvd. & Geiger Road, Zephyrhills, FI
Dear Mr. Burgess:
The department has reviewed plans for the proposed petroleum storage tank system for
the above mentioned facility. The department has no objections to the installation of (2)
underground storage tanks (15,000 & 12,000), dispensers and piping at the above
referenced location.
Storage tank systems, including the tank, integral piping and release detection
components (equipment) shall be constructed in accordance with the applicable
referenced standards, Rule 62-761.210, F.A.C., and be approved by the Florida
Department of Environmental Protection. This facility appears to be connected to public
water and sewer, however if this is not the case, then all potable well and construction
setbacks must be met.
If you have any further questions concerning this matter, please contact me at the
above stated telephone number or address.
Sincerely)/") _
//r~
David Hansen
Environmental Specialist II
Cc : Richard Hernandez, Progressive Development, 4929 Bayshore Blvd., Tampa, FI .
33611
file
Pasco County Health Department
Marc J. Yacht, M.D., M.P.H. - Director
10841 Little Road. New Port Richey, FL 34654-2533
(727) 869-3900 . SunCom 55'1-7720
Rug 20 02 10:40a
___~0~/2e;2002 16:12
Progress~ve Dev.Group Inc
(813) 902-09.53
p.2
8135585190
ENVHEAL Tf-LOL .
PAGE Ell
J~b Bush
Governor
I~
O=~O-77,OC~
John O. Agwunobi, M.D:!. M.B.A.
_. :secretary
Pasco County Health Department
Environmental Health Division
4135 land O'Lakes Blvd.
Land 0' Lakes, FL 34639
(813) 558.5173; voice
(813) 558.5190; fax
411 !j 11 .
~
August 20, 2002
Bill Burgess
Building Official, City Of Zephyrhllls
5335 Eighth Street
Zephyrhills, FI 33540
RE: Shell Service Station, Eiland Blvd. & Geiger Road, Zephyrhills, FI
Dear Mr. Burgess:
The department has reviewed plans for the proposed petroleum storage tank system for
the above mentioned facility. The dep~rtment has no objections to the instaDation of (2)
underground storage tanks (15,000 & 12,000), dispensers and piping at the above
referenced location.
Storage tank systems, induding the tank. integral piping and release detection
wmponents (equipment) shall be constructed in accordance with the applicable
referenced standards, Rule 82-761.210, F.A.C., and be approved by the Florida
Department of Environmental Protection. This facility appears to be connected to public
water and sewer, however if this is not the CBse, then all poiable well and construction
setbacks must be met.
If you have any further questions concerning 1hls matter, please contact me at the
above stated telephone number or address.
sincere..b,
David Hansen ~
Environmental Specialist II
Cc : Richard Hernandez. Progressive Development. 4929 Bayshore Blvd.. Tampa. FI
33611
file
Pasco County He.altlt Dep.utmeftt
Mere J. Yacht. M.D., M.P.H. - Director
10841 Linle Road. New Port Richey, FL 34554-2533
(721) 869.3900 . SunCom S5Z-7720
AaORD~ CERTIFICATE OF LIABILITY INSURANC~~l I DATE (MM/DDNY)
i 07/17/02
,
I PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
I ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
IHockman Lackey Insurance, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Ip.o. Box 22668 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Tampa FL 33622 INSURERS AFFORDING COVERAGE
!Phone:813-636-4000 Fax:813-289-4561
,
j INSURED INSURER A: Zuri::h
I INSURER B: FCCI
I Commercial Maintenance Systems
i Inc. INSURER C: The Travelers
4929 Barshore Blvd ---
j Tampa F 33611 INSURER D:
t I INSURER E:
COVERAGES
~ THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
1 ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
; MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
i POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR TYPE OF INSURANCE POLICY NUMBER ~OLlf~ EFFECT~YE P~k,t~'(&~rdlW~?N LIMITS
, LTR DATE MM/DDNY
l GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
IA -
X COMMERCIAL GENERAL LIABILITY SCP39370078 12/08/01 12/08/02 FIRE DAMAGE (Anyone fire) $300,000
I I CLAIMS MADE ~ OCCUR
, MED EXP (Anyone person) $ 10,000
,
, PERSONAL & ADV INJURY $ 1,000,000
I GENERAL AGGREGATE $ 2,000,000
I GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COM PlOP AGG $ 2,000,000
I
i II i[PRO- n
POLICY 'JECT LOC
l AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
I f-- $ 1,000,000
Ic ~ ANY AUTO I810997H9876-IND-01 12/08/01 12/08/02 (Ea accident)
; --
l f.- ALL OWNED AUTOS BODILY INJURY
I $
SCHEDULED AUTOS (Per person)
: f.-
X HIRED AUTOS BODILY INJURY
f-- $
i ~ NON-OWNED AUTOS (Per accident)
I PROPERTY DAMAGE $
( (Per accident)
i GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
, R ANY AUTO
OTHER THAN EA ACC $
I AUTO ONLY: AGG $
i EXCESS LIABILITY EACH OCCURRENCE $ 5,000,000
'A ~ OCCUR D CLAIMS MADE SCP39370078 12/08/01 12/08/02 AGGREGATE $ 5,000,000
1 $
I
1 R DEDUCTIBLE $
. RETENTION $ $
, WORKERS COMPENSATION AND ...-'--"--'~ X I TORY LIMrrS I IUEFt
iB EMPLOYERS' LIABILITY
001-WC02A-46053 04/14/02 ~4/1~ E.L. EACH ACCIDENT $ 100000
. - - "f""L DISEASE - EA EMPLOYEE $ 100000__
---
E.L, DISEASE - POLICY LIMIT $ 500000
OTHER
A Inland Marine SCP3937007 12/08/01 12/08/02 100,000
leased/rented equp 500 deducti
I DESCRIPTION OF OP~IVEA ~ENDORSEMENT/SPECIAL PROVISIONS
IOn behalf . : ~!~_~~=_l!;_=~.~..:~_ctrical) ~ Timothy Bauer(general contractor)
Cancellat1on: 30 days Workers--CO-mp,"'1:-o--aay all other
I
!
CERTIFICATE HOLDER I N I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION
i SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
I ZEPHBUI
DATE THEREOF, THE ISSuiNG INSURER WILL ENDEAVOR TO MAIL XXX DAYS WRITTEN
! Zephyrhills Building NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
i Department
I 5335 8th Street IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
I -,
l Zephyrhills FL 33540 REPRESENTATIVES. .---
I Georae W. .k /
i ,
ACORD 26-5 (7/97) '" @A TION 1988
",'
LAW OFFICES OF
HILL, WARD & HENDERSON
ROSALIND K. 8AK
THOMAS W. BLACK
MARtE ATTAWAY BORLAND
GREGORY P. BROWN
MICHAEL P. BRUNDAGE
ROCCO CAFARO
JOHN C. CONNERY. JR
MARK J, CRISER
LAUREN S. CURTIS
KAREN A. DEAN
SCOTT W. DISBS
DAVID S. FELMAN
ROY.J. FORD. ,JR.
TIMOTHY C. FORD
S. KATHERINE FRAZIER
DONNA J. FUDGE
TROY A. FUHRMAN
ROBERT M. FULTON
ROBERT 8. GOUGH, m
JOHN B. GRANDOFF. ill
WILLIAM C. GUERRANT. JR.
LINDA O. HARTLEY
J. MtCHAE:L HAYES
LYNN C. HEARN
THOMAS N. HENDERSON. m
BRADLEY P. HERNDON
HtLARY C. HIGH
BENJAMIN H. HILL. m
K. TYLER HILL
JOHN L. HOLCOMB
STEPHEN M HUDOBA
PROFESSIONAL ASSOCIATION
(813) 221-3900
TIMOTHY A. HUNT
C HOWARD HUNTER
JONATHAN P. JENNEWEIN
ROBERT E..V. KELLEY. JR
DAVID T. KNIGHT
TARA B KOCH
MARGARET .), LARGUIER
LUIS MARTINEZ-MONFORT
R CRAIG MAYFIELD
CONNOLLY CLARK McARTHUR
DOUGLAS P. McCLURG
SCOTT A. McLAREN
BRETT J PRESTON
PATRICK J RISCH
R. JAMES ROBBINS. JR
ROBERT A. SHIMBERG
W. LAWRENCE SMITH
DAVID W. STEPHENSON
KEVIN H. SUTTON
LARA J. TIBBALS
DAVID R TYRRELL
DENNIS P. WAGGONER
DAVID E WARD. JR
STEVEN A. WILLIAMS
3700 BANK OF AMERICA PLAZA
101 EAST KENNEDY BOULEVARD
TAMPA, FLORIDA 33602-5195
TELECOPIER (813) 221-2900
MAILING ADDRESS
POST OFFICE Box 2231
TAMPA, FLORIDA 33601-2231
WWW.HWHLAW.COM
July 30, 2002
ANDREW J. LUBRANO
(1952.1999)
MARTIN L. GARCIA
.~,... _,........- > ,. -'.,)-~'-~-l OF COUNSEL
~::~l~g @[~ U \;"~. .
;\: D r . ----!!; \ ':i
I .~ I, ' I ' ;
I . I '1 " ; \ ; J I \
.JU L~~~-~;tj \
l ' . ,t.. '.. -~. . - \ I \
.........:..:.:...~." ___-,._-1
Mr. Wilson R. Abreu
Progressive Development Group, Inc.
4929 Bayshore Boulevard
Tampa, Florida 33611
Re: Colonial Bank
Loan to S&P Resources, Inc,
Our File No.: 2558-36
Dear Mr. Abreu:
Enclosed for your file is the certified coPY of the Notice of Commencement recorded in Official
Records Book 5020, at Page 1182, of the Public Records of Pasco County, Florida.
Please call me at (813) 222-3158 with any questions.
Sincerely,
HILL, WARD & HENDERSON, P.A.
/l-lCCili / /1 /
,~ , \........
\
('" LI.' ( , / c\
, u,-,C .L0 } \_
\."
/'7' /'
'" .............
Allison Reed
Legal Assistant
ARlntm
Enclosure
cc: Jonathan P. Jennewein, Esq.
Mr. Dean Petite (via U.S. Mail, w/enclosures)
G:VP J\colonial bankls&p resollrces\CORRESPONDENCE\Progressive 07 -30-02.doc
...;...1i~:if~~"lX..,,~,..I"~I!!!'.!I!UlLbdl, - -
lb.' ~~~'h~D1"Jilijl_f."~.m_..L'_._I____ 4-t"-",~~:]'''.'1';'\''''1'll~''_~4..-st~:1';I.'"'''f:~i~!'.i:.it!!_~(,_-'';~'li')f~::"":.
~- '.
:c~'
" ~
.: ~
Thi3 Instrument Was Prepared By:
and Should Be Returned To:
Jonathan P. Jennewein, Esq., of
Hill, Ward & Henderson, P .A.
Barnett Plaza, Suite 3700
101 East Kennedy Boulevard
Tampa, Florida 33602
1111I11111111111I111111111I1111I111111111I1111I111111111111I
2002116498
Rcpl: 606613
OS: 0.00
07/29/02
Rec: 19.50
IT: 0.00
Dpty Clerk
JED PITTMRN4 PRSCO COUNTY CLERK
07/29/02 0 :32pm 1 of 4
OR BK 5020 PG 1182
NOTICE OF COMMENCEMENT
The following notice of commencement is given pursuant to Section 713.13, Florida Statutes:
(a) The real property to be improved (the "Property") is located in Pasco County,
Florida, and is described as follows:
(1) Street address: 37130 Eiland Boulevard, Zephyrhills, Pasco County, Florida
(2) Legal description: See Exhibit A attached hereto and made a part hereof.
(b) A general description of the improvements to be constructed on the Property (the
"Improvements") is as follows:
Construction of a gas station/convenience store, parking and all related apppurtenances
(c) The name and address of tht~ O\\-1ler of the Property as defined in Section 713.01 (12),
Florida Statutes (the "Owner"), is as follows:
S&P Resources, Inc.
3408 Valley Ranch Drive
Tampa, Florida 33549
The interest of the O\\-1ler in the Property is fee simple.
The name and address of fee simple title holder if other than such Owner is as follows:
(d) The name and address of the contractor constructing the Improvements is as follows:
Progressive Engineering
4929 Bayshore Boulevarad
Tampa, Florida 33611
(813) 839-0616
-
-
OR BK 5020 PG 1183
2 of 4
(e) The name and address of the surety on the payment bond under Section 713.23,
Florida Statutes, if any, is as follows: N/ A
The amount of such bond is as follows:
(f) The name and address of the lender making a loan for the construction of the
Improvements is as follows:
Colonial Bank
400 N. Tampa Street, Suite 2500
Tampa, Florida 33602
Attn: Noreen Bell
(g) The name and address within the State of Florida of a person other than the Owner
upon whom notices or other documents may be served and service upon whom shall constitute
service upon the Owner is as follows:
(h) The name and address of persons, in addition to Owner, who are to receive a copy of
lienors notice as provided in Section 713.06(2)(b), Florida Statutes, are as follows:
WITNESSES:
S & P RESOURCES, INC., a Florida
corporation
,
'fL.~~i~
Name: ' 'EN~ CAVrS-€1'f
(Print or Type Name)
!" ".--~~
By(-Y; 7/l y n~"~);'T (/1 '.-, ~ /- I
, Name: ~1-fr+{2o./!./ -:p; iL 7 72-
Title: -'.P,2~5 I D'? (';T
.
1{ 1
(. r "'c'. r-
(Print or Type Name)
(Corporate Seal)
Name:
-.
-
-
STATE OF FLORIDA
OR BK 5020 PG 1184
3 of 4
COUNTY OF HILLSBOROUGH
The foregoing instrument was acknowledged before me this Jiz day of July, 2002 by
Sharon J. Petitte, as Pre~ P RESOURCES, INC., a Florida corporation, on behalf of the
corporation. She is per~wn to me or has produced
as identification.
& /)1. ~7
Notary PubJ~, Gina M Harber
* l\ilJr * My C, ommlssion CC803062
"~4""'-
~"".. <:Aplres January 19. 2003
(Print, Type or Stamp Name)
My Commission Expires:
- 3 -
-~--
- _1
1111111 1111111111 11111 11111111111111111111 11111111111111 1111
2002116498
-;::
'~-"
.~5:\
Thi:; Instmment Was Prepared By:
and Should Be Returned To:
Jonathan P. Jennewein, Esq., of
Hill, \Vard & Henderson, P.A.
Barnett Plaza, Suite 3700
101 East Kennedy Boulevard
Tampa, Florida 33602
Rcpl: 606613
OS: 0.00
07/29/02
Rec: 19.50
IT: 0. 00
Dpty Clerk
JED PITTNAN4 PASCO COUNTY CLERK
07/29/02 0 :32pm 1 of 4
OR BK 5020 PG 1182
'. .
NOTICE OF COMMENCEMENT
The following notice of commencement is given pursuant to S~ction 713.13, Florida Statutes:
(a) The real property to be improved (the "Property") is located in Pasco County,
Florida, and is described as follows:
(1) Street address: 37130 Eiland Boulevard, Zephyrhills, Pasco County, Florida
(2) Legal description: See Exhibit A attached hereto and made a part hereof.
(b) A general description of the improvements to be constructed on the Property (the
"Improvements") is as follows:
Constmction of a gas station/convenience store, parking and all related apppurtenances
(c) The name and address ofth,~ O\\11er of the Property as defined in Section 713.01 (12),
Florida Statutes (the "Omler"), is as follows:
S&P Resources, Inc.
3408 Valley Ranch Drive
Tampa, Florida 33549
The interest of the Owner in the Property is fee simple.
The name and address of fee simple title holder if other than such Ov.;ner is as follows:
(d) The name and address of the contractor constructing the Improvements is as follows:
Progressive Engineering
4929 Bayshore Boulevarad
Tampa. Florida 33611
(813) 839-0616
OR BK 5020 PG 1183
2 of 4
(e) The name and address of the surety on the payment bond under Section 713.23,
Florida Statutes, if any, is as follows: N/ A
The amount of such bond is as follows:
(f) The name and address of the lender making a loan for t1ie constmction of the
Improvements is as follows:
Colonial Bank
400 N. Tan1pa Street, Suite 2500
Tampa, Florida 33602
Attn: Noreen Bell
(g) The name and address within the State of Florida of a person other than the 0\\11er
upon whom notices or other documents may be served and service upon \vhom shall constitute
service upon the Owner is as follows:
(h) The name and address of persons, in addition to Ov.mer, who are to receive a copy of
lienors notice as provided in Section 713.06(2)(b), Florida Statutes, are as follows:
WITNESSES:
S & P RESOURCES, INC., a Florida
corporation
, '
,- "
f \-
Name:
. /- /,;:-:-;;(,. &
// ~
/i E/.' ~ c'~, v;r SF r!
(Print or Type Name)
. / -,.' ,~,
By{'--V/7/t y P/~' '7.tl2:7;L.<.-'
. Name: ~~H+12C:> -=t"2; i't 7 7 f:
Title: Pl..! ~,{ ~ I uS> : -,/ T
)Jjc/
(Corporate Seal)
Name:
STATE OF FLORlDA
OR BK 5020 PG 1184
3 of 4
COUNTY OF HILLSBOROUGH
The foregoing instrument was acknowledged before me this iliz day of July, 2002 by
Sharon J. Pctitte, as Pre?~~~ P RESOURCES, TNe., a Florida corporation, on beholf ofthe
corporation, She is per~<vn to me or has produced
as identification.
~1k /)1. kh-~ 1
Notary Publ~c,
..'n"o, Gina M HarDt:
*li:"J: *M)' CommiSSion CC803062
~W....
''>"....'' .Explres Janu3,y 19 2003
(Print, Type or Stamp Name)
My Commission Expires:
- 3 -
OR BK
5020
4
PG
of 4
1185
EXHIBIT A
LEGA1, DESCRIPTION
A portion of Tracts 119, 121 and 122, of ZEPHYRHILLS COLONY COMPANY LANDS SOBDlVlSION, of
Section 3, Township 2.6 South, Range 2.1 East, as per plat thereof recorded ill Plat Book 1, page 55, of
the public records of Pasco County, Florida, being further described as follows: For a point of reference
commence at the SE corner of the SW 1/4 of the SW 1/4 of Section 3, Township 26 South, Range 2.1
East, Pasco County, Florida; thence N. 01010'47" W., along the East boundary thereof, a distance of
25.01 feet of the North right-of-way line of Geiger ROod, thence N. 89034'57" W., along said right-of-way
line, a distance of 365.03 feet for a point of beginning; thence continue N. 89034'57" W., a distance of
188.04 feet; thence N 00025'03" E., a distilnce cf 50.00 feet; thence N.18011'32" W., a distance of
224.65 feet to the Southerly right-of-way line of the Zephyrhills By-Pass We.c;t; thence along said right-of-
way line and along the arc of a curve to the left, a distance of 291.00 feet (said curve having a radius of
1530.00 feet, delta of 10053'51", chord bearing and distance of N. 4602.1'32" E., 290.56 feet); thence
departing said right-of-way line, S. 49005'23" E., a distance of 237.46 feet; thence S. 20005'19" W., a
distance of 124.64 feet; thence 117.74 feet along the arc of a curve to the left (said curve having a
radius of 335.00 feet, delta of 20008'12", chord bearing and distance of S. 10001'13" W., 117.13 feet);
thence S. 00"02.'53" E., a distance of 40.55 feet to the point of beginning.
. ,-~..T C :'!F F:I.J~:IL;' r'""\,\
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a
'~
PERFORMANCE BUSINESS PRODUCTS. iNC. 813-719-8008'FAX 813-719--7919
CITY OF ZEPHVRHlllS
ZEPHYRHIlLS.; FlORIDA
~:J..-1'lqr-
./
WATER ACCT. NO.
DATE
7-3/-~
OWNER/ /? ~ /} ~ ,0 +. ~-);, ,/
RENTERC~AnM~ ///4U?1~~ .-;?-.tf:~_.
MAIUNG ~,;Z9 ~~J6'i(<;;(EJ
V ~fJCa..1 F..<- ..3~(P/1
SERVICE ADDRESS $7/ 30 ;::Lt14;'~ (;;;.P'~:
~ WATER
SHUT OFF SERVICE
o
TURN ON SERVICE 'R
INSTALL METER ~
READ METER 0
CHECK METER 0
OTHER 0
o SEWER
o GARBAGE
);{' IN CITY
o OUT CITY
~ No. OF UNITS
- DEPOSIT AMOUNT
I"
/1. ~ tJ;:h
b--
~
- AMOUNT lAST BILL
_ DATE
- MISC. CHARGE
WORK COMPlETED BY
& DATE COMPlETED
ORDER TAKEN BY
Retain white form in offICe at all times. '_
Send pink & yellow forms to Water Service Dept.
'MIter Service Dept. to sign yellow form & return to office.
. ,
'0p,~1
f; / ~~
()1/$O g~ . .
jJ~"fl1"€.Ij i u€
DEVELOPMENT GROUP, INC.
April 20, 2001
,4929 Bayshore Boulevard
Tampa, FL 33611
Tel (813) 805-0512
Fax (813) 805-0313
Mr. Bill Burgess
Director of Building
City of Zephyrhills
5335 Eight Street
Zephyrhills, FL 33540-4312
RE: Submittal of Building Plans
Texaco Service Station
NEC of Eiland Boulevard and Geiger Road
City of Zephyrhills, Pasco County, Florida
Dear Mr. Burgess:
On behalf of our client Sharon Petitte, Progressive Development Group, Inc. is resubmitting the
following documents for your staff's review and approval.
. Three (3) sets of signed and sealed building drawings for Convenience Store, Canopy
and Carwash.
. Three (3) Copies of Building Energy Calculations.
. One (1) Building Permit Application.
. One (1) Commercial Checklist.
. PDG Check #5701 for Payment of Building Submittal Fee
Should you have any questions or require any additional information, please do not hesitate to
contact me at 813/805-0512.
Sincerely,
PROGRESSIVE DEVELOPMENT GROUP, INC.
~l .
L-8--
Kevin Busse
Permit Coordinator
030-77.00}BldgsubmittaI041901,KMB
. ,
COMMERCIAL
CHECKLIST FOR NEW CONTRUCTION PERMITTING
CITY OF ZEPHYRHILLS
x
Site Pl~ Review requirements satisfied & approved -
date: 2/28/01
Notice of Commencement certified copy -
~ Application completed in its ENTIRETY.
To be Check if contraotor & subs are currently registered.
- ~ined.
1 t d Energy Calculations attached.
x Florida Energy Effioienoy Form camp e e .-
x THREE SETS of Engineered Building Prints with Eleotrical, Plumbing
and Meohanioal diagrams.
~ If Business Classification is State Regulated, approval must be on
engineered building prints.
--NLA CITY R-O-W Use Permit, if applioable.
N/A Give Elevation Certifioate, if applioable.
~ Verify Water & Sewer Servioe.
Sewer & Water Conneotion Fees, Transportation Impaot Fees & Water
Meter Fee paid prior to or at time of permit issuance.
Annual Solid Waste Assessment Fee must be paid prior to issuance
of Certifioate of Ocoupanoy. DATE PAID
---7E-
Plans Review Fee ($.03/sq. ft. - $15 min.)
Amount Paid $
Date
Received by:
. "
APPLICJ).TlqN ,FOR PERMIT
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT
if / Zo I 0 I
DATE ~CEIVEQ ~ -
PLANS REVIEW FEE
OWNER'S NAME Sharon Petitte
JOB ADDRESS NEe Eiland blvd. & geiger Road
PHONE813-889-8835
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID # 03 7h 71 0010-17700-0020
{OBTAIN FROM PROPERTY TAX NOTICEl
WORK PROPSED: ~NEW CONSTRUCTION
o ADDITION
DALTERATION
o REPAIR
o INSTALL
o SIGN
o MOVE
o DEMOLISH
PROPOSED USE: DSGL FAMILY DWELLING
~ COMMERCIAL
DMULTI - FAMI L Y
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
D RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK to construct new convenience store, canopy, carwash, and underground
stor~ge tanJ<:s with associated piplng and dlspensers.
BUILDING SIZE 4n' x 7n'11" SQUARE FOOTAGE 3,526 HEIGHT 22;
RESIDENTIAL:
COMMERCIAL:
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENER~Y FORMS.
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
:Kl BUILDING
$ 800,000.00
PERMITS REQUESTED
(See attached letter)
VALUATION OF TOTAL CONSTRUCTION
fJ ELECTRICAL
B PLUMBING
AMP SERVICE
QJ FLORIDA POWER
o W.R.E.C.
:KJ MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS
lliI ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: f9 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES
o NO
BUILDER
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
******************************************************************
ELECTRICIAN
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
******************************************************************
PLUMBER
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
* * * ** * * * * * *.** * * * ** * * ** * * *** * * * * * * * * ** * **** * **** * ** ****************
MECHANICAL
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*****************************************************************
OTHER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*****************************************************************
-
CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigneq understands that this perndt' may be subject ~o "deed restrictions" which
may be more restrictive than City regulations. The undersigned assumes responsi9ilit~ for
compliance wi'th 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 slale and local regulations. If the contractor is not
licensed as required by law, both the owner and contractor may be cited for a misdemeanor
violation under state law. If the owner or intended contractor are uncertain as to what
licensing requirements may apply for the intended work, they are advised to contact the
City of Zephyrhills Building Department, 813-788-6611.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
contractor(s) sign portions of the "Contractor Sections" of this application for which they
will be responsible. 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 contractor wishes
you to sign as contractor that may be an indication that he is not properly licensed and is
not entitled to permitting privileges in the City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida'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 the above described document and promise in good faith to deliver
it to the "owner" prior to commencement.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the information in this application is accurate and that all work will
be done in compliance with all applicable laws regulating construction, zoning, and land
development.
Application is hereby made to obtain a permit to do work and installation as inQicated. I
certify that no work or installation has commenced prior to issuance of a permit and that
all work will be performed to meet standards of all laws regulating construction, City
codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other governmental agencies may apply to
the intended work, and that it is Iny responsibility to identify what actions I must 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 Treatment
*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
Altering Waterc6urses
*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
*Department of Health & Rehabilitative Services, Environmental Health Unit-Wells,
Wastewater Treatment, Septic Tanks
*U.S. Environmental Protection Agency-Asbestos abatelnent
I also certify that, if fill material is to be used in Flood Zone "A" or "A, etc.", it is
understood that a drainage plan addressing a "compensating volume" will be submitted which
is prepared by a professional engineer registered in the State of Florida prior to permit
issuance.
A permit issued shall be construed to be a license to proceed with the work and not as
authority to violate, cancel, alter, or set aside any provisions of the technical codes,
nor shall issuance of a permit prevent the Building Official from thereafter requiring a
correction of errors in plans, construction, or violations of any code. Every permit
issued shall become invalid unless the work authorized by such permit is commenced within
six months of issuance, or if work authorized by the permit is suspended or abandoned for a
period of six months after the time the work is commenced. One 90 day extension of time
may be allowed for the permit 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 COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
SIGNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _ day of
by
acknowledged
19_
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _day of
by
acknowledged
19
(name of person acknowledged)
Dwho is personally known to me, or
(name of person acknowledged)
[J,ho is personally known to me, or
o who has produced
(type
and whoD did Ddid not
of identification)
take an oath.
o who has produced
(type of identification)
and who Ddid DUd not take an oath
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Nallle typed, printed or stamped
..
Whole BUildfng Performance Method for Commercial Buildings
. .
form 400A-97
ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
Florida Department of Community Affairs
FLA/COM-97 version 2.2
PERMITTING OFFICE:
_Zephyrhills
CLIMATE ZONE: _4
PERMIT NO:
JURISDICTION NO:_611600
PROJECT NAME_ZEPHYRHILLS CONVENIENCE STO
ADDRESS: _EILAND BLVD & GEIGER RD.___
_ZEPHYRHILLS, FLORIDA
OWNER: _SHARON PETITTE
AGENT:
BUILDING TYPE: _Service Establishments
CONSTRUCTION CONDITION: New construction
DESIGN COMPLETION: _Finished Building
CONDITIONED FLOOR AREA: _3496
MAX. TONNAGE OF EQUIPMENT PER SYSTEM: _
COMPLIANCE CALCULATION:
NUMBER OF ZONES: 1
18
METHOD A
DESIGN
CRITERIA
RESULT
A. WHOLE BUILDING
PRESCRIPTIVE REQUIREMENTS:
LIGHTING
LIGHTING CONTROL REQUIREMENTS
HVAC EQUIPMENT
COOLING EQUIPMENT
1. EER 9.90
IPLV 9.90
HEATING EQUIPMENT
1. Et 1.00
AIR DISTRIBUTION SYSTEM INSULATION REQUIREMENTS
1. Unconditioned Space 4.20
REHEAT SYSTEM TYPES USED
NO REHEAT SYSTEM is USED
WATER HEATING EQUIPMENT
1. EF 0.92
PIPING INSULATION REQUIREMENTS
1. Non-Circulating 0.75
64.72
100.00
PASSES
PASSES
8.50
7.50
PASSES
PASSES
N/A
4.20
PASSES
0.88
0.60
PASSES
PASSES
COMPLIANCE CERTIFICATION:
I hereby certify that the plans and
specifications covered by this calcu-
lation are in compliance with the
Florida Energy Efficiency Code.
PREPARED BY:
DATE:
b . 4Jtrl-/e/" ,
I here y cert1fy that th1s bU1l ng 1S
in compliance with the Florida Energy
Efficiency Code.
OWNER/AGENT:
Review of the plans and specifica-
tions covered by this calculation
indicates compliance with the
Florida Energy Efficiency Code.
Before construction is completed,
this building will be inspected
for compliance in accordance with
Section 553.908, Florida Statutes.
BUILDING OFFICIAL:
DATE:
DATE:
I hereby certify(*) that the system design is in compliance with the 'Florida
Energy Efficiency Code.
SYSTEM DESIGNER REGISTRATION/STATE
ARCHITECT :
MECHANICAL :
PLUMBING
ELECTRICAL:
LIGHTING :
(*) Signature is 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 ENVELOPE SYSTEMS COMPLIANCE
. CHECK
1------------------------------------------------v-
U SC VLT Shading Area (Sqft)
402.------WALLS--ZONE
Elevation Type
1,13 1 1 None 168
Total Glass Area in Zone 1 = 168
Total Glass Area = 168
1------------------------------------------------
U Insul R Gross (Sqft)
West Commercial
--------- -------------------------------- ----- ------- -----------
North
South
East
West
8"BLOCK w/ IN/OUT AIR FILM .2 5 644
8"BLOCK W/ IN/OUT AIR FILM .2 5 644
8"BLOCK W/ IN/OUT AIR FILM .2 5 3496
8ICMU/3/4"ISO Btwn 24"oc/5/8"Gyp 0.151 4 3496
Total Wall Area in Zone 1 = 8280
Total Gross Wall Area = 8280
403.------DOORS--ZONE 1------------------------------------------------
Elevation Type U Area (Sqft)
--------- -------~---------------------------------- ----- ----------
West .25 GLASS DOOR 1.13 42
East 1-3/4 Steel Door-Polyurethane core (24 0.20 21
Total Door Area in Zone 1 = 63
Total Door Area = 63
404.------ROOFS--ZONE 1------------------------------------------------
Type Color U Insul R Area (Sqft)
------------------------------------ ------ ----- ------- ----------
BAR JOIST/BUILT UP
405.------FLOORS-ZONE
Type
Light .0714 14 3496
Total Roof Area in Zone 1 = 3496
Total Roof Area = 3496
1------------------------------------------------
Insul R Area (Sqft)
Slab on Grade/Uninsulated 0 3496
Total Floor Area in Zone 1 = 3496
Total Floor Area = 3496
406.------INFILTRATION----------------------------------------.----------
I CHECK
Infiltration Criteria in 406.1.ABCD have been met.
MECHANICAL SYSTEMS
CHECK
--------------------------------------------------------------0----1-----
HVAC load sizing has been performed. (407.1.ABCD)
407.------COOLING SYSTEMS-------------------------------------.----------
Type No Efficiency IPLV Tons
1. Air Cooled ( >= 65,000 Btu/h 1 9.9 9.9 17.50
408.------HEATING SySTEMS-------------------------------------.----------
Type No Efficiency BTU/hr
1. Electric Resistance 1 1 156998
409.------VENTILATION-----------------------------------------.----------
I CHECK
Ventilation Criteria in 409.1.ABCD have been met.
410.-----AIR DISTRIBUTION SySTEM----------------------------------------
CHECK
- - - -~~... - - - - - - - - - -...... - - - - - - - - -... - - - -... - - -......... - - - - - - -...... - - -...... - -... - -... -... - - -. - -'-1-... -... -1- -...., ..~".~<."'
----------------------------~____.----------------------------~---IT----
. Duct siting and design have been performed. (410.1.ABCD) .
ABU Type Duct Location R-value
1. Air Conditioners Unconditioned Space 4.2
CHECK
~----------.:------------------------------------------------------1-----
Testing and balancing will be performed. (410.1.ABCD)
411.-----PUMPS AND PIPING-ZONE -----------------------------------------
Basic prescriptive requirements in 411.1.ABCD have been met. I
PLUMBING SYSTEMS
411.-----PUMPS AND PIPING-ZONE 1---------------------------------------
Type R-value/in Diameter Thickness
1. Non-Circulating 6 .75 .75
412.-----WATER HEATING SYSTEMS-ZONE 1----------------------------------
Type Efficiency StandbyLoss InputRate Gallons
1. <=12 kW .92 0 4.5 40
ELECTRICAL SYSTEMS
CHECK
413.-----ELECTRICAL POWER DISTRIBUTION---------------------------- -----
Metering criteria in 413.1.ABCD have been met.
414.-----MOTORS--------------------------------------------------- -----
Motor efficiencies in 414.1.ABCD have been met.
415,-----LIGHTING SYSTEMS-ZONE 1---------------------------------------
Space Type No Control Type 1 No Control Type 2 No Watts Area(Sqft}
Type E(Foo
lOn/Off
5 None 0 6840
Total Watts for Zone 1 =
Total Area for Zone 1 =
Total Watts =
Total Area =
3496
6840
3496
6840
3496
CHECK
Lighting criteria in 415.1.ABCD have been met.
16. Operation/maintenance manual will be provided to owner. (102.1)
Whole Building Performance Method for Commercial Buildings
ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
Florida Department of Community Affairs
FLA/COM-97 Version 2.2
.Form .400A-97
PROJECT NAME_ZEPHYRHILLS CONVENIENCE STO
ADDRESS: _EILAND BLVD & GEIGER RD.___
_ZEPHYRHILLS, FLORIDA
OWNER: _SHARON PETITTE
AGENT:
PERMITTING OFFICE:
_Zephyrhills
CLIMATE ZONE: _4
PERMIT NO:
JURISDICTION NO:_611600
BUILDING TYPE: _Service Establishments
CONSTRUCTION CONDITION: New construction
DESIGN COMPLETION: _Finished Building
CONDITIONED FLOOR AREA: _3496
MAX. TONNAGE OF EQUIPMENT PER SYSTEM: ____
COMPLIANCE CALCULATION:
NUMBER OF ZONES: 1
18
METHOD A
DESIGN
CRITERIA
RESULT
A. WHOLE BUILDING
PRESCRIPTIVE REQUIREMENTS:
LIGHTING
LIGHTING CONTROL REQUIREMENTS
HVAC EQUIPMENT
COOLING EQUIPMENT
1. EER 9.90
IPLV 9.90
HEATING EQUIPMENT
1. Et 1.00
AIR DISTRIBUTION SYSTEM INSULATION REQUIREMENTS
1. Unconditioned Space 4.20
REHEAT SYSTEM TYPES USED
NO REHEAT SYSTEM is USED
WATER HEATING EQUIPMENT
1. EF 0.92
PIPING INSULATION REQUIREMENTS
1. Non-Circulating 0.75
64.72
100.00
PASSES
PASSES
8.50
7.50
PASSES
PASSES
N/A
4.20
PASSES
0.88
0.60
PASSES
PASSES
--------------------------------------------------------------.--------------
COMPLIANCE CERTIFICATION:
I hereby certify that the plans and
specifications covered by this calcu-
lation are in compliance with the
Florida Energy Efficiency Code.
PREPARED BY:
DATE:
/zJ rJ I
I hereby certify t ar this uilding is
in compliance with the Florida Energy
Efficiency Code.
OWNER/AGENT:
Review of the plans and specifica-
tions covered by this calculation
indicates compliance with the
Florida Energy Efficiency Code.
Before construction is completed,
this building will be inspected
for compliance in accordance with
Section 553.908, Florida Statutes.
BUILDING OFFICIAL:
DATE:
DATE:
I hereby certify(*) that the system design is in compliance with the Florida
Bnergy Bfficiency Code.
SYSTBM DBSIGNER RBGISTRATION/STATB
ARCHITECT :
MBCHANICAL:
PLUMBING
BLBCTRICAL:
LIGHTING
(*) Signature is 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
West Commercial
402.------WALLS--ZONE
Elevation Type
BUILDING ENVELOPE SYSTEMS CO~PLIANCE
CHECK
l------------------------------------------------v-
U SC VLT Shading Area (Sqft)
1.13 1 1 None 168
Total Glass Area in Zone 1 = 168
Total Glass Area = 168
1------------------------------------------------
U Insul R Gross (Sqft)
8"BLOCK w/ IN/OUT AIR FILM .2 5 644
8"BLOCK W/ IN/OUT AIR FILM .2 5 644
8"BLOCK w/ IN/OUT AIR FILM .2 5 3496
8"CMU/3/4"ISO Btwn 24"oc/5/8"Gyp 0.151 4 3496
Total Wall Area in Zone 1 = 8280
Total Gross Wall Area = 8280
403.------DOORS--ZONE 1-------------------------------------..----------
Elevation Type U Area (Sqft)
North
South
East
West
West .25 GLASS
East 1-3/4 Steel
404.------ROOFS--ZONE
Type
BAR JOIST/BUILT UP
405.------FLOORS-ZONE
Type
DOOR 1.13 42
Door-Polyurethane core (24 0.20 21
Total Door Area in Zone 1 = 63
Total Door Area = 63
1------------------------------------------------
Color U Insul R Area (Sqft)
Light .0714 14 3496
Total Roof Area in Zone 1 = 3496
Total Roof Area = 3496
1------------------------------------------------
Insul R Area (Sqft)
Slab on Grade/Uninsulated 0 3496
Total Floor Area in Zone 1 = 3496
Total Floor Area = 3496
406.------INFILTRATION---------------------------------------------------
I CHECK
Infiltration Criteria in 406.1.ABCD have been met.
MECHANICAL SYSTEMS
CHECK
-------------------------------------------------------------------1-----
HVAC load sizing has been performed. (407.1.ABCD)
407.------COOLING SySTEMS------------------------------------------------
Type No Efficiency IPLV Tons
1. Air Cooled ( >= 65,000 Btu/h 1 9.9 9.9 17.50
408.------HEATING SySTEMS-----------------------------------------------
Type No Efficiency BTU/hr
1. Electric Resistance 1 1 156998
409.------VENTILATION---------------------------------------------------
I CHECK
Ventilation Criteria in 409.1.ABCD have been met.
410.-----AIR DISTRIBUTION SySTEM----------------------------------------
CHECK
Whole BUilding Performance Method for Commercial Buildings
ENERGY EFFICIENCY CODE FOR BUILDING CONSTRUCTION
Florida Department of Community Affairs
FLA/COM-97 Version 2.2
Form AOOA-97
PERMITTING OFFICE:
_Zephyrhills
CLIMATE ZONE: _4
PERMIT NO:
JURISDICTION NO:_611600
PROJECT NAME_ZEPHYRHILLS CONVENIENCE STO
ADDRESS: _EILAND BLVD & GEIGER RD.___
_ZEPHYRHILLS, FLORIDA
OWNER: _SHARON PETITTE
AGENT:
BUILDING TYPE: _Service Establishments
CONSTRUCTION CONDITION: New construction
DESIGN COMPLETION: _Finished Building
CONDITIONED FLOOR AREA: _3496
MAX. TONNAGE OF EQUIPMENT PER SYSTEM: _
COMPLIANCE CALCULATION:
NUMBER OF ZONES: 1
18
METHOD A
DESIGN
CRITERIA
RESULT
A. WHOLE BUILDING
PRESCRIPTIVE REQUIREMENTS:
LIGHTING
LIGHTING CONTROL REQUIREMENTS
HVAC EQUIPMENT
COOLING EQUIPMENT
1. EER 9.90
IPLV 9.90
HEATING EQUIPMENT
1. Et 1.00
AIR DISTRIBUTION SYSTEM INSULATION REQUIREMENTS
1. Unconditioned Space 4.20
REHEAT SYSTEM TYPES USED
NO REHEAT SYSTEM is USED
WATER HEATING EQUIPMENT
1. EF 0.92
PIPING INSULATION REQUIREMENTS
1. Non-Circulating 0.75
64.72
100.00
PASSES
PASSES
8.50
7.50
PASSES
PASSES
N/A
4.20
PASSES
0.88
PASSES
0.60
PASSES
--------------------------------------------------------------.--------------
COMPLIANCE CERTIFICATION:
I hereby certify that the plans and
specifications covered by this calcu-
lation are in compliance with the
Florida Energy Efficiency Code.
PREPARED BY: N. Ie. . Go ~
:A:::eby certi;tf~~tOlhi~ building is
in compliance with the Florida Energy
Efficiency Code.
OWNER/AGENT:
Review of the plans and specifica-
tions covered by this calculation
indicates compliance with the
Florida Energy Efficiency Code.
Before construction is completed,
this building will be inspected
for compliance in accordance with
Section 553.908, Florida Statutes.
BUILDING OFFICIAL:
DATE:
DATE:
I hereby certify(*) that the system design is in compliance with the Florida
Energy Efficiency Code.
SYSTEM DESIGNER REGISTRATION/STATE
ARCHITECT :
MECHANICAL:
PLUMBING
ELECTRICAL:
LIGHTING
(*) Signature is 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
West
Commercial
402.------WALLS--ZONE
Elevation Type
t-
BUILDING ENVELOPE SYSTEMS
c.,
"--..
1------------------------------ .~ '=~
U SC VLT ~~~~~~~------- ~~~llSXB-~~-lij~--
1.13 1 1 None r
Total Glass Area in Zone 1 =
Total Glass Area = 168
1------------------------------------------------
U Insul R Gross (Sqft)
L.....
tJ
--------- -------------------------------- ----- ------- -----------
8"BLOCK W/ IN/OUT AIR FILM .2 5 644
8"BLOCK W/ IN/OUT AIR FILM .2 5 644
8"BLOCK W/ IN/OUT AIR FILM .2 5 3496
8"CMU/3/4"ISO Btwn 24"oc/5/8"Gyp 0.151 4 3496
Total Wall Area in Zone 1 = 8280
Total Gross Wall Area = ~280
403.------DOORS--ZONE 1--------------------------------------.----------
Elevation Type U Area (Sqft)
North
South
East
West
--------- ------------------------------------------ ----- ----------
West .25 GLASS
East 1-3/4 Steel
404.------ROOFS--ZONE
Type
DOOR 1.13 42
Door-Polyurethane core (24 0.20 21
Total Door Area in Zone 1 = 63
Total Door Area = 63
1------------------------------------------------
Color U Insul R Area (Sqft)
BAR JOIST/BUILT UP
------------------------------------ ------ ----- ------- ----------
405.------FLOORS-ZONE
Type
Light .0714 14 3496
Total Roof Area in Zone 1 = 3496
Total Roof Area = 3496
1------------------------------------------------
Insul R Area (Sqft)
Slab on Grade/Uninsulated 0 3496
Total Floor Area in Zone 1 = 3496
Total Floor Area = 3496
406.------INFILTRATION---------------------------------------.-----------
I CHECK
Infiltration Criteria in 406.1.ABCD have been met.
MECHANICAL SYSTEMS
CHECK
-------------------------------------------------------------------\-----
HVAC load sizing has been performed. (407.1.ABCD)
407.------COOLING SySTEMS------------------------------------.-----------
Type No Efficiency IPLV Tons
1. Air Cooled ( >= 65,000 Btu/h 1 9.9 9.9 17.50
408.------HEATING SySTEMS------------------------------------.-----------
Type No Efficiency BTU/hr
1. Electric Resistance 1 1 156998
409.------VENTILATION---------------------------------------------------
I CHECK
Ventilation Criteria in 409.1.ABCD have been met.
410.-----AIR DISTRIBUTION SYSTEM-----------------------------.-----------
CHECK
----------------------------~---------------------------------:---I~----
Duct sizing and design have been performed. (410.1.ABCD) . .
ABU Type Duct Location R-value
1. Air Conditioners Unconditioned Space 4.2
CHECK
----~~;~i~~-;~~-b;i;~~i~~-~iii-b~-~~~f~~~~~-(~~~~~~~~~)----..----1-----
411.-----PUMPS AND PIPING-ZONE ------------------------------------------
Basic prescriptive requirements in 411.1.ABCD have been met. I
PLUMBING SYSTEMS
411.-----PUMPS AND PIPING-ZONE 1----------------------------------------
Type R-value/in Diameter Thickness
1. Non-Circulating 6 .75 .75
412.-----WATER HEATING SYSTEMS-ZONE 1-----------------------.-----------
Type Efficiency StandbyLoss InputRate Gallons
1. <=12 kW .92 0 4.5 40
ELECTRICAL SYSTEMS
CHECK
413.-----ELECTRICAL POWER DISTRIBUTION-----------------------..---- -----
Metering criteria in 413.1.ABCD have been met.
414.-----MOTORS----------------------------------------------.----- -----
Motor efficiencies in 414.1.ABCD have been met.
415.-----LIGHTING SYSTEMS-ZONE 1----------------------------.-----------
Space Type No Control Type 1 No Control Type 2 No Watts Area(Sqft)
Type E(Foo
lOn/Off
5 None 0 6840
Total Watts for Zone 1 =
Total Area for Zone 1 =
Total Watts =
Total Area =
3496
6840
3496
6840
3496
CHECK
Lighting criteria in 415.1.ABCD have been met.
16. Operation/maintenance manual will be provided to owner. (102.1)
-----------------------------------------------------------------------------
f .~v.: -"ROGRESSIVE DEVELOPMENT OROUP;.
JJJldll~f!!!.!!ne.ROUP' DIe.
813 8050313;
MAY-25-01 10:26;
PAGE 1
"
"
4929 ~ayshore eoule~ld
Tampa, Florida 336111
Tel (813) AOfi-0512
Fax (813) 805-0313
L
FACSIMILE COVER SHEET
J
TO: Robert Youmans
COMPANY: Zephyrhills Building Department
FAX NUMBER {813)780-0021
fROM: Ralf Porsch,PE
RE:
DATE:
5/2~/0 1
NUMBER OF PAGES (Including cover): 2
..
COMMENTS ::
Please see tollowina letter addre~ina your c;OlT!.mcnt3 ,on olcctricol sheets for the 030-077_00- TAx:u".o ',i
',:
"
Service Station-37130 eiland Blvd.project. .,
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If YOU have any Questions olease olve me a call. ,
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B UMBER: 030-77.00
JO N
4929 Bayshore Bo . evard
Tampa, FLj 3611
Tel (813) 80 ~ -0512
Fax (813) Mo~-mn::J
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SENT BY: P~OGRES?IVE DEVELOPMENT GROUP;
B13 B050313;
MAY-25-01 10:26;
7JJlIJ"JI~.I.I i /I~
DEVELOPMENT GROUP, INC.
May 25,2001
Robert L. Youmans
City Zephyrhills, Florida
Building Department
RE; Electrical Comment Responses
Texaco Service Station
Eiland Blvd. & Geiger Rd.
Dear Mr. Youmans:
This letter is to address your Review Comments. for the above-mentioned project. We beHeve
that this letter will address your concerns for this project.
.,
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Listed below are thE:: comments on the electrical sheets with a bulleted narrative response below .'.1,
each group of comments.:
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Page E-1
Fixture schedules calls for site and canopy lighting to be 120v
paae E-6
Panel"L" has the same lights as 208v
. Sit. {Pole} Ught Fixtures shall be wired at 208v as shown in Panel "L ", Sheet
E-6
Pace E-4
Has the equipment grounding conductor for the Car Wash service as a #3
Page CE-1
Has the equipment grounding conductor for th~ Car Wash service as a #1/0
. The electrode grounding conductor for the Car Wash shall be #1/0 as shown
on sheet CE-1
PAGE 2/3
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7JJld{fJl€SSitJ€
MAY-25-01 10:3e;
PAGE 1/1
Pace E-4
'I
. 4929 Bayshore Bo~levard
Tampa, Ft;l 33611
lei (813) 8d~-0512
Fax (813) 8<$-0313
,
DEVELOPMENT GROUP, INC.
The service for the Car Wash is being fed from "MDP"
Page CE-1
It references that the feeders for the Car Wash needs to be coordinated with the power
company, this gives the appearance of it being fed directly from the power company
· Delete statement on riser keyed note 1, sheet CE-1 indicating to coordinate ..
with Power Company. The Car Wash wilt be fed from Panel "MDP" as indicaretJi
on Sheet E-4.
:1
Should you have any questions or require additional information, please do not hesitate to
contact me.
Sincerely,
PROGRESSIVE DEVELOPMENT GROUP, INC.
Ratf Projeot, PE
Director of Electlical Engineering
;7U//~
cc: Brett Nevaril, PROGRESSIVE DEVELOPMENT GROUP, INC.
File:
030-77.00l03077Zephbldgdeptcomments1.doc
4929 Bayshore Bo ,evard
Tampa, Fl; 361 1
Tel (813) , -0512
Fax (81:3) ~'-U::l1::1
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~ENT BY: PROGRESSIVE DEVELOPMENT GROUP; 913 9050313;
MAY - 25 - 01 1 0: 26;
J}JlIJ (f JI~.f.f' 0 ~
DEVELOPMENT GROUP, INC.
May 25,2001
Robert L. Youmans
City Zephyrhills, Florida
Building Department
RE: Electrical Comment ~esponses
Texaco Service Station
Eiland Blvd. & Geiger Rd.
Dear Mr, Youmans:
This letter is to address YOlJr Review Comments. for the above-mentioned project. We believe
that this letter will address your concerns for this project.
'ii
Usted below are th~ comments on the electrical sheets with a bullated narrative response below :!I
each group of comments. if
:1
':1
Page E-1 '/
~i
Fixture schedules calls for site and canopy lighting to be 120v ',1
~~ ~
Panel "L" has the Game lights as 208v
. Sit. (Pole) Ught Fixtures shall be wired.t 20Bv as shown in Panel "L", Sheet
E-6
Pace E-4
Has the equipment grounding conductor for the Car Wash service as a #3
Page CE-1
Has the equipment grounding conductor for tt16 Car Wash service as a #1/0
. TIte electrode grounding conductor for the Car Wash s"" be #1/0 as shown
on sheet CE-1
PAGE 2JS
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DEVELOPMENT GROUP, INC.
May 25, 2001
,4929 Bayshore Boulevard
Tampa, FL 33611
Tel (813) 805-0512
Fax (813) 805-0313
Robert L. Youmans
City Zephyrhills, Florida
Building Department
RE: Electrical Comment Responses
Texaco Service Station
Eiland Blvd. & Geiger Rd.
Dear Mr. Youmans:
This letter is to address your Review Comments, for the above-mentioned project. We believe
that this letter will address your concerns for this project.
Listed below are the comments on the electrical sheets with a bulleted narrative response below
each group of comments.
Paqe E-1
Fixture schedules calls for site and canopy lighting to be 120v
Paae E-6
Panel "L" has the same lights as 208v
· Site (Pole) Light Fixtures shall be wired at 208v as shown in Panel ilL", Sheet
E-6
Paae E-4
Has the equipment grounding conductor for the Car Wash service as a #3
Paae CE-1
Has the equipment grounding conductor for the Car Wash service as a #1/0
· The electrode grounding conductor for the Car Wash shall be #1/0 as shown
on sheet CE-1
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~ DEVELOPIIENT GROUP,llIe
, .
I1~W~~ @[? lf~&OO~[1VA]DW&11
4929 Bayshore Blvd., Tampa, FL 33611
Phone (813) 805-0512
Fax (813) 805-0313
DATE July 17, 2002 IJOB NO. 030-77.00
ATTENTION Bill Burgess
RE: Service Station
NEC Eiland Blvd. & GeiQer Rd.
Zephyrhills, FL
TO City of Zephyrhills
5335 Eigth Street
Zephyrhills, FL 33540
WE ARE SENDING YOU 0Attached
DShop Drawings o Prints
DUnder separate cover via
Hand Deliver the following items.
o Plans
DSamples DSpeclflcatlons
DCopy of Letter
DChange Order
o
COPIES DATE NO. DESCRIPTION
1 07/17/2002 1 City of Zephyrhills Building Permit Application
3 07/17/2002 2 24"x36" Sianed and Sealed Buildina Drawinas (C-Store, Trash Enclosure, Car
Wash, Underground Storage Tanks, and CanoDv)
1 07/17/2002 3 Signed and Sealed Energy Calculations
1 07/17/2002 4 Proaressive Devlepment Group. Inc. Check for Building Submittal Fee
THESE ARE TRANSMITTED as checked below:
DFor approval
DFor your use
DAS requested
DApproved as submitted
DApproved as noted
o Returned for corrections
o Resubmit
copies for approval
DSubmlt
o Return
copies for distribution
corrected prints
0For review and comment 0
DFor bids due
19
o Prints returned after loan to us
REMARKS Bill,
If you should have any questions or require additional information
please do not hesitate to contact us.
COPY TO File
SIGNED
Brett Nevaril
If enclosures are not as noted, kindly notify us at once,
PDG Transmittal 07117/2002
CITY OF ZEPHYRHILLS
ZEPHYRHllLS, FLORIDA' ,
c~ --t(:,\~y ~
WATER ACCT. NO.
DATE
" - .....2 A "i
I .,L -"::.../'- f./ -'-
OWNER/
RENTER
r) , /J -Jv1' ""/"'
(,-%/J1f'Y'1,y~ // ~~r~ ...,t-hc_
MAIUNG
~
.3 '7130 Z> ,/~~ }Ivl.
~R
SERVICE ADDRESS
SHUT OFF SERVICE 0
TURN ON SERVICE W
INSTAlL METER rn/'
READ METER 0
CHECK METER 0
OTHER 0
o SEWER
o GARBAGE
[J.A:I CITY
o OUT CITY
I
_ No. OF UNITS
_ DEPOSIT AMOUNT
_ AMOUNT LAST BILL
it
I
-.c~RO . ~r
_ DATE
_ MISC. CHARGE
WORK COMPLETED BY
& DATE COMPlETED
ORDER lJI.KEN BY
t.J. -;2.3 -0.2. if
ORDER GIVEN BY
\ ",. ---- /7
.x:' ~ \../ - ~":-'l"/--- --/~
Retain white form in office at all times. ",/
Send pink & yellow forms to Water ServICe Dept.
Water Service Dept to sign yellow form & return to office,
SENT BY: PROGRESSIVE DEVELOPMENT GROUP
813 805051~;
JAN-3-03 16:36;
PAGE 1/1
jJJlIJ fI?:~!-!~~!'NC
" ,
January 3, 2003
4929 Bayshore Boulevard
Tampa, Fl33611
Tel (813) AOS-0512
Fax (813)805-0313
City of Zephyrhills
Buildin~ Department
5335 8 Street
Zephymills, Florida 33542
RE: Site Improvements Cenificatlon Letter
NEe of Eiland Boulevard & Geiger Road
City of Zephyrhllls, Pasco County, Florida 33542
PDG #030-77.00
To Whom It May Concern:
I hereby certify that the site improvements including water, sewer, paving, and sidewalk for this
project have been built in substantial compliance with the construction plans and specifications
as approved by the City of Zephyrhills and that any minor deviations will not prevent this project
from functioning In compliance with the requirements of the City of Zephyrhills. These
determinations have been based upon the site observations of construction scheduled and
conducted by a representative under my direct supervision, All reasonable and required
inspections, tests and physical measurements have been made to determine that this work has
been done in accordance with all applicable City of Zephyrhills Standards.
Sincerely,
" .
PROGRESSIV~ rn;,\i~oe_MENT GROUP, Inc.
C~~~
U~.esr;-~nt~: r:.E. --- /
FIQrida Registration}t18~~3
....
cc: File
030-77.0Q}Gily of Zephyrhills Site Gert 010203JMW
~OM :CMS
:::rRACTOR #::
AME:: S ~. t;:' ~ I:::ESfJURCES, INC -
DDR:: :5408 VALL.EY RANCH DRIVE
/ST: LUTZ, rL 33549
'. ,
~... __..Ja,:,:" 03 2003 02: 11PM P1
PAGE:: 1 elF :I.
ISSUE OFFICE.:: '7)
RECEIPT NLlM~r.:.:,::. 00601144
OFFICE: DADE CITY
FAX NO. :8137807580
l.,/:.Pl I I' HI- I" 1-1 \1'1,1. I 1.1.1"1 \oJ
PASCO COLJNTY,! FLORIDA.
OR::
CHE",CI( #- 10:l6
RESOUI:;:CE RECOVERY FEE ON f~ERMIT .. 1377
,ceNT
114
TOTAL AMOUNT::
COMF"NY ACCOUNT CI:::NTER
Ec450 - 363000 .- 2
7:2.4..58
AMOUN1' DL=~SCRIPTION/PERMT DATA DRieR
724.58 ****** oOL:~D OOA5TE FEE 60
~ECEIVED BY ___.L~_._----_._-_._._-_._....
J}"t1 {f !~!!~'!o!INC
. "J ...
January 3, 2003
4929 Bayshore Boulevard
Tampa, FL 33611
Tel (813) 805-0512
Fax (813) 805-0313
City of Zephyrhills
Buildin~ Department
5335 8 Street
Zephyrhills, Florida 33542
RE: Site Improvements Certification Letter
NEC of Eiland Boulevard & Geiger Road
City of Zephyrhills, Pasco County, Florida 33542
PDG #030-77.00
To Whom It May Concern:
I hereby certify that the site improvements including water, sewer, paving, and sidewalk for this
project have been built in substantial compliance with the construction plans and specifications
as approved by the City of Zephyrhills and that any minor deviations will not prevent this project
from functioning in compliance with the requirements of the City of Zephyrhills. These
determinations have been based upon the site observations of construction scheduled and
conducted by a representative under my direct supervision. All reasonable and required
inspections, tests and physical measurements have been made to determine that this work has
been done in accordance with all applicable City of Zephyrhills Standards.
Sincerely,
PROGRESSIVE DEVELOPMENT GROUP, Inc.
~te~
Florida Registration #18313
CC: File
030-77.00}City of Zephyrhills Site Cert 010203.JMW