HomeMy WebLinkAbout03-2420
..
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
2420
Permit Number: 2420
Permit Type: COMMERCIAL
Class of Work: NEW CONST/COMM
Proposed Use: COMMERCIAL
Square Feet:
Est. Value:
Improv. Cost: 198,153.25
Date Issued: 10/14/2003
Total Fees: 27,665.10
Amount Paid: 27,665.10
Date Paid: 10/14/2003
Work Desc: CAR WASH
Address: 6911 GALL BLVD
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
Name: AMERIWASH
Address: 6911 GALL BLVD
ZEPHYRHILLS, FL. 33542
Phone:
i FORCE ELECTRIC INC ELECTRICAL FEE
HUNSBEGER PLUMBIN{J 0 INC. 1.18 PLUMBING FEE
- 6!,,___s F:J- - ') _fJ;J TRAFFIC IMPACT FEES 99% COM
1!J ~.5 I l5'/4' !TfScJ
1/~ ~4(Jlo '? f/fQ L/jI\~~(/N./ filu. ((-IC,-05 (Ct.,! rf1ft-o 1<.t). C/P1I~""~ I f'f{ ~<<f 11-2) 0
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. oyS t-L( (J~5 -- VI-lo-03 ROt ,yHJ'{) ,JI'
t:1J II-Ll, _.312L'1 : sWo (~) 12/2'1~.S flL ~ 7-- (,10 i~ F'
f-}JJ 11-/2-03 Rl~d-!l)O. 10(31)(03 1,?-- I
t-J,.]f /2 - / - 0 3 ?LLf ;- f.(f(; :
WATER CONNECTION COMMERC
WATER METER RES"" 2J'
TRAFFIC IMPACT FEES COMM
FOOTER
PRE-SLAB I 2ND ROUGH PLUMB . DUCTS INSULATED
L1NTELII-Jo - 0 c.{ ftCSO WATER , FINAL MECHANICAL
FRAME SEWER MISC
INSULATION WALL MISC MISC. I MISC.
INSULATION <;~ILlNG MISC, MISC. : MISC.
~RIVEW~YV(--;)O-f)L.( ttoo, MISC. : MISC. . : FIRE DEPT. FINAL __.
REINSPEcnON FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Thirty-Five Dollars ($35.00) shall be made for each trip for each trade:
(a) Wrong address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when
inspection called (d) Work not ready for inspection when called
(e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible
. Ihe pa,{!l1~l1t of in_sp.ection f~.s shall be.made before anyJurther permits will be issued to the person owning same
"Warning to owner: Your failure to record a notice ofcommencemenfmay result in your paying tWice for---
improvements to your property. If you intend to obtain financing, consult with your lender or an attorney I
b~_forE!.!t!c:~rding your notice of commencement." I
Complete Plans/ Specifications and Fee-Must AccompanyApplication:--------- H-j
~11_work~~~~~p_erforl11~.<~Un acce>.~clc)nce ~~th CitcC~des anclQrdina!!c~~____ __
NO OCCUPANCY BEFORE C.O.
~
PERMIT OFFI
CALl FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
..
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8th Street, Zephyrhills, FL 33542
813-780-0020 FAX:813-780-0021
DATE RECEIVED 7/'0103
Ji!.LANSMv I ";W WE
--;.k .3. 7.po7 A??;(.vl.t) If'5lJ,!lr~5
PHONE .8/'o/'Ah~7Q '5"3
tP 9/1 (; dI 61vtfl.
OWNER'S NAME
JOB ADDRESS
F. y, M. +-lOL.DlNt;~
(~
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID #
03 - 2h- '2.( - 0010 "Olr;,co -00)0
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: ~NEW CONSTRUCTION
o ADDITION
o ALTERATION
o REPAIR
o INSTALL
OSIGN
o MOVE
o DEMOLISH
PROPOSED USE: OSGL FAMILY DWELLING
J21'COMMERCIAL
OMULTI-FAt1ILY
o INDUSTRIAL..
0# OF UNITS
O ".~..'
. .; _ .SWIMMING<.:~OL.
1i>>.... . ..
.. I
, 0 MOBHE HOME
.' ., 'I~"'"
)0')'
'., OTHE~
DESCRIPTION OF WORK
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
CAR ""A~H
130" K 2.7 '.4!'
SQUARE FOOTAGE
.37a,'2-
... 't:L."
HEIGHT ~.2
BUILDING SIZE
RESIDENTIAL:
COMMERCIAL:
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REQUESTED
J:]A3UILDING
~~ECTRICAL
$
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
o FLORIDA POWER
o
W.R.E.C.
~UMBING
o MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAO YES
o NO
BUILDER COMPANY RAtIlOI\( i' ~JM~
STATE CERT OR REGIST # CGCO+980A
SIGNATURE~. CITY PROCESSING #
* * * * * * * ~*.. * ~ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *.,*'" * * * * * *
ELECTRICI~AN~' COMPANY r;, ro~. Ele..c-f;r,' C
" ~ ~_ S>TATE CERT OR REGIST # Ec. 060 l1-rc.
SIGNATURE CITY PROCESSING #
******************************************************************
PLUMBER . ~_~ ~
SIGNATURE/, '<:;/ fy .
COMPANY../' f!Uk5/J8/2.6c/2" O(U fr'BW6
STATE CERT OR REGIST #)( ~.
CITY PROCESSING # LJ __~
*************************************************************
MECHANICAL Li2 COMPANY
v.4 . STATE CERT OR REGIST
SIGNATURE l2 ~___~ CITY PROCESSING # .
****(*******************...****************************************
OTHER V R . ur I N G-- COMPANY Karw C-on. L Lc... .
/j / . ~ STATE CERT OR REGIST # c....~05 '3d.-3 t.
SIGNATURE~I ~ CITY PROCESSING # J/
/ O,!'..... V 0 ~
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PERFORMANCE BUSINESS PRODUCTS. iNC. 313-719-8008 FAX 313-719'-71<19
o~~- '1 If / I
CITY OF ZEPHYRHILLS
ZEPHYRHILLS, FLORIDA
WATER ACCT. NO.
DATE /O/liD-3
(eKJ1% )
"'" . ""
~,":~ ,q(1/Jle-rJ f ;1';"'MY{ , cJAfC
MAIUNG 5/09 cjf'<7iSd th-
'--1 t/vn'l /} a F /...5 a Iv 0.3
/ /"?,, /1
SERVICE ADDRESS 6 9 / / J:i,J 1- ,~.
SHUT OFF SERVICE 0
TURN ON SERVICE ~.
INSTALL METER ~
READ METER 0
CHECK METER 0
OTHER 0
~ WATER
o SEWER
o GARBAGE
~ IN CITY
o OUT CITY
~ No. OF UNITS
_ DEPOSIT AMOUNT
_ AMOUNT LAST BILL
~
II.-/-; ;'
t<.J~ /JY1'~
_ DATE
_ MISC. CHARGE
WORK COMPLETED BY
& DATE COMPLETED
ORDER TAKEN BY
Retain white form ,n office at all times.
Send pink & yellow forms to Water Service Dept.
Water Service Dept. to sign yellow form & return to office.
/'
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RANlON 1= ~IMENEZJ~
GENERAL CO'ITRACTORS 0 CONSTRLCTION MANAGERS
5109 NORTH HOWAPlJ AVENLE 0 TA~A. FLORIDA 33603
813-872-2725 0 FAX 813-87&2502 0 CGC049809
~[}={](Q)[~rtr ~(Q)~M
~QJl~~(Q)~If~~~1f
TO: Ramcon LLC
8973 Palm River Road
Tampa. FL 33619
JOB:
Ameriwash
6911 Gall Boulevard
Zephyrhills, FL 33542
Subcontract No. Date Job No.
--1------------- t-----.-----+------~--.
Job Name
570303
10/13/03
5703
Ameriwash Carwash
Description _
Your proposal for the work described below has been accepted. The terms and conditions of this subcontract agreement are
described on the back of this form.
Amount
All work necessary or incidental to complete the ROOFING work for the project in strict accordance
with and reasonably inferable from the Contract Documents and your proposal dated May 19. 2003.
$19.000.00
GRAND TOTAL
$19,000.00
SIGN AND RilURN BOTH COPIES TO OUR OFFICE FOR EXECUTION. ONE ORIGINAL WILL BE RETURNED TO YOUR OFFICE
FOR YOU: V]i' PLEASELIST SUBCONTRACT NO. ON ALL INVOICES. :&, R,., ~
BY /...(, ~_. _~~.. BY -t1&5&,--- ....
Ramcon LLC Carlos B. Ranon, President
'--
./
SUPPLEMENTARY CONDITIONS TO SUBCONTRACT
ARTICLE 1 - SERVICES PROVIDED BY CONTRACTOR
1.1 The Contractor shall cooperate with the Subcontractor in scheduling and performing the Contractor's Work to avoid conflicts or interference
in the Subcontractor's Work. As soon as practicable after execution of this Agreement, the Contractor shall provide the Subcontractor
copies of the construction schedule and schedule of submittals to enable the Subcontractor to plan and perform the Subcontractor's Work
properly.
ARTICLE 2 - CONTRACTOR'S REMEDIES
2.1 If the Subcontractor defaults or neglects to carry out the Work in accordance with this Agreement and/or falls behind in scheduled work
more than three (3) working days, due to the lack of performance on the part of the Subcontractor, Ranon & Jimenez may, upon twenty-
four (24) hour written notice, supplement the subcontractor's labor, supervision, materials and equipment to reinstate the scheduled work.
All costs associated with all supplemental labor, supervision, materials and equipment by Ranon & Jimenez shall be deducted from the
Subcontractor's contract.
ARTICLE 3 - SUBCONTRACTOR
3.1 The Subcontractor shall review all of the Construction Documents(Drawings and Specifications) for any additional requirements, in order
to provide a complete scope of work.
3.2 The Subcontractor shall cooperate with the Contractor in scheduling and performing the Subcontractor's Work to avoid conflict, delay in
or interference with the Work of the Contractor, other subcontractors or Owner's own forces.
3.3 The Subcontractor shall promptly submit Shop Drawings, Product Data, Samples and similar submittals required by the Subcontract
Documents with reasonable promptness and in such sequence as to cause no delay in the Work.
3.4 The Subcontractor shall give notices and comply with laws, ordinances, rules, regulations and orders of publiC authorities bearing on
performance of the Work of this Subcontract. The Subcontractor shall secure and pay for permits and govemmental fees, licenses and
inspections necessary for proper execution and completion of the Subcontractor's Work, the furnishing of which is required of the
Contractor by the Prime Contract.
3.5 The Subcontractor shall comply with Federal, state and local tax laws, social security acts, unemployment compensation acts and worker's
or workmen's compensation acts insofar as applicable to the performance of this Subcontract.
3.6 In the performance ofthis work scope, the Subcontractor shall protect all pre-existing, adjacent conditions from damage. Upon completion
of this work scope, the Subcontractor shall protect the new work from damage. Replace all materials damaged as a result of the
performance of this work scope.
ARTICLE 4 - SAFETY PRECAUTIONS & PROCEDURES
4.1 The Subcontractor shall take reasonable safety precautions with respect to performance of this Subcontract, shall comply with safety
measures initiated by the Contractor and with applicable laws, ordinances, rules, regulations and orders of public authorities for the safety
of persons or property.
4.2 The Subcontractor shall furnish Material Safety Data Sheets on all products containing hazardous materials at least seven (7) calendar
days before introducing these products to the job site.
4.3 The Subcontractor shall comply with all OSHA safety requirements.
4.4 The Subcontractor shall provide hoisting and marshaling of materials and equipment within this scope of work. Remove and replace any
safety rails and/or barricades, as necessary, during the work process or during deliveries of materials and/or equipment.
ARTICLE 5 - CHANGES IN THE WORK
5.1 The Subcontractor, prior to the commencement of such changed or revised Work, shall submit promptly to the Contractor written copies
of a c1aim- for adjustment to the Subcontract Sum and Subcontract Time for such revised Work consistent with the attached (if
any)procedure.
ARTICLE 6 -INDEMNIFICATION
6.1 For the specific consideration of Ten Dollars ($10.00) and to the fullest extent permitted by law, the Subcontractor agrees to indemnity and
hold harmless the Contractor, the Owner, the ArchitecUEngineer and all of their agents and employees from and against all claims,
damages, losses and expenses, including but not limited to attorney's fees, arising out of or resulting from the performance, or failure in
performance, ofthe Subcontractor's Work under this Subcontract, provided that any such claim, damage, loss or expense (1) is attributable
to bodily injury, sickness, disease, or death, or to injury to or destruction of tangible property (other than the Work itself) including the loss
of use resulting therefrom, and (2) is caused in whole or in part by any negligent act or omission of the Subcontractor or anyone directly
or indirectly employed by him or anyone for whose acts he may by liable regardless of whether it is caused in part by a party indemnified
hereunder. Such obligations shall not be construed to negate, abridge, or otherwise reduce any other right or obligation of indemnity which
would otherwise exist as to any party or person described in the Paragraph 2.
6.2 In any and all claims against the Contractor or any of his agents or employees, by the Subcontractor, any employee-of the Subcontractor,
anyone directly or indirectly employed by him or anyone for whose acts he may be liable, the indemnification obligation under this
Paragraph 2 shall not be limited in any way by any limitation on the amount or type of damage, compensation or benefits payable by or
for the Subcontractor under Workers' Compensation acts, disability benefit acts or other employee benefit acts.
6.3 The obligations of the Subcontractor under this Paragraph 2 shall not extend to the liability of the ArchitecUEngineer, his agents or
employees, arising out of (a) the preparation or approval of maps, drawings, opinions, reports, surveys, Change Orders, designs or
specifications, or (b) the giving of or failure to give directions or instructions by the ArchitecUEngineer, his agent or employees, providing
such giving or failure to give is the primary cause of the injury or damage.
ARTICLE 7 - INSURANCE AND BONDS
7.1 Prior to starting Work the Subcontractor shall procure and maintain in force, Workers' Compensation Insurance, Comprehensive
Commercial General Liability Insurance and Automobile Liability Insurance. Proof of such insurance must be provided prior to the
commencement of any work. Any tier of subcontractor you intend to bring on the job must also provide proof of insurance.
7.2 The Contractor and Subcontractor waive all rights against each other and against the Owner, The ArchitecUEngineer, separate contractors,
and all other subcontractors for damages caused by fire or other perils to the extent covered by Builder's Risk, Installation Floater or any
other property insurance, except such rights as they may have to the proceeds of such insurance.
ARTICLE 8 - ARBITRATION
8.1 Any controversy or claim between the Contractor and the Subcontractor arising out of or related to this Subcontract, or the breach thereof,
shall be settled by arbitration.
ARTICLE 9 - PAYMENT PROCEDURES
9.1 The period covering each application for payment shall be one calendar month ending on the date(s) scheduled by the Owner.
9.2 Applications for payment must be submitted on AlA documents G702 and G703, or similar documents pre-approved by Ration and
Jimenez, Inc.
9.3 Final payment will not be made until any and all warranties and/or guarantees, as-built drawings, operations & maintenance manuals,
etc.(as required by the Contract Documents) and Final Waivers of Lien have been submitted.
ARTICLE 10 - CLEANING UP
10.1 On a daily basis, provide cteanup of work areas and place waste materials, rubbish, and debris(generated by operations performed under
this Subcontract) outside of building in trash containers provided by Ranon & Jimenez, Inc.. Separate materials designated for recycling
and place into appropriate recycling containers. .
10.2 In the event a Subcontractor fails to provide adequate clean-up within 24 hours of written, faxed or e-mail notification by Ranon & Jimenez,
Inc. clean-up will be done by Ranon & Jimenez. In the event a Subcontractor fails to respond immediately to a hazardous or unsafe
condition, Ranon & Jimenez, Inc. will act accordingly to remedy the condition, without a notification period. 'In both cases, the subsequent
costs will be borne by the subcontractor.
NOTICE OF COMMENCEMENT
State o'r FLORll?t\
County of ~S'CO
THE UNDERSIGNED hereby gives notice that improvement will ?e n~ade to ceFtail~ real pl~opert.Y'
and in accordance with Chapter 713, Florida Statutes, the followll1g mformatlOn IS provIded 111
this Notice of Commencement:
1. Description of Property: Pat'cel No, C>~ - '2.<0 -'2.. J-=--OOIO -OlGDO - DOlO
(Legal description of the property and street address if available)
2. Ge n eral Dese ri pti 011 of 1m pro v e m en t CAR WA StJ ~~~JII~II~l~11111111111111111111111111II1111111I1I1
Rcpt:723996
os: 0.00
10/13/03
Rec: 6.00
IT: 0. 00
Dpty Clerk
3. Owner Information: Name F: Y M. HOLl?lNG~
Address .8S:Q5 POIerME:" AV~ City _~PA
Interest in Property: _--1A1\IOe.R. CoIV-r~(:..,. 10 At~CHJt~
Name of Fee Simple Titleholder: BILL ~ A/'JOtlea.. Ny/;
(If other than owner)
State FL. 33<d+7
Address J.j'l'f7 COATS RoAD
City Z6PHVR HILL,s
State FL 3ES'l1
R4.
Contractor: Name --RANON3 JIMENEZ
Address -.2109 t-LHOWAAD -AYE
City __TAMPA
State FL 3~.s
S. Surety: Name
Address
City
State
Amount of Bond: $
i~91~J~!~~:er~sC01CO~NTl CLERK
OR BK 558 r PG 583
6. Lender: Name SoU-r'HTte.UST BAAlI<..
Address 200 CAST KC/JI\l'- DY 8..VJ:L City ~M PI}
___State_EL 33-&02.
7. Persons within the State of Florida designated by Owner upon whom notices or other
documents may be served as provided by Section 713,13 (1) (a) (7), Florida Statutes:
Name R, c tf,.,.~o G-PtRV B'IftJ)
Address ~52.r Poa7"'~ AI/oCt. City 7';,..tn.PIr _ State FL sll'iJ
8. In addition to himself, Owner designates Rc)(S'e,tT r l6r\1,Jo~
of-.K~13 P04.~AI1t., 7/1tYl\PR-,EL'111.1./7to receive a copy of the Lienor's Notice as
provided in Section 713.13 (1) (b), Florida Statutes,
9, Expiration date of Notice of Commencement (the expiration date is 1 year from the date
of recording unless a different date is specified.)
Signature of Owner:') {A )-9-~ / a~ /-#=
William F. Nye Andrea Nye ,
Sworn to and subscri91d before me this 10th day of July
~;/ , /,
Notary Public: ./ l~ e_ e e't.. :;(. J~-?U"76
~_1,
7
, 2003 _
My Commission Expires:
"...
: ...~,~..~1II'1'!1,... i",_......LCCA L. VINING
~ f~?y,~<;)% Co;r.;,'!ssion Ii CD0139756 :
: ~ f Fy.rir~J. ~:'6/2006 !
: ....., ",lfOUgh .
5 (8~~i..,-::.~:'. I ; /.~:sn.. Inc. !
......................... -....................... ........ .........
r........ 11 1J..~-eV1NiNG....~
PC93053048/ A
.
\~OF'" = ~oc::s i
. ~^~~';I~"~?~ FIorid8 Notary Assn., Inc. :
> ,,J_~, _ ,1....................................
Ranon & Jimenez
Gall Blvd.
SQ. FEET PRICE
MAIN OR LIVING: 3,762 $ 47.00
OTHER AREA UNDER ROOF: - $ 25.00
OTHER: 25,105 $ 0.85
VALUATION $ 198,153.25
FEE SHEET $ 777.00
ADDRESS $ 30.00
DRIVEWAY $ -
BUILDING: $ 1,195.50
CREDIT: $ -
BUILDING LESS CREDIT: $ 1,195.50
ELECTRICAL: $ 167.35
PLUMBING: $ 120.50
MECHANICAL: $ -
RADON: $ -
TOTAL $ 1,483.35
SEWER: $ 16,968.00
WATER: $ 4,399.50
IRRIGATION: $ -
TOTAL: $ 21,367.50
WATER METER:2" $
IRRIGATION METER $
875.00
?,oCfl. i(,
qq,% /_ 3Q,'C;
1%-
~ ro-~~
I
I
~3q, J-J
',?) cf,ow Yl -::: 3 I /
.) 5 {tl '1?
} . ' ~_ \ t ~ 11 '
;;t UJ \
r.] 5'?b ;'fq, 51
$ 39,482.85 I q q 1P "! I',
f '?d ~ 11f;., 8'
: I
SUB-TOTAL $ 23,725.85 f
SIF'S:I $
97.5% $
2.5% $
TI F'S: $ 15,757.00
99% $ 15,599.43
1% $ 157.57
TOTAL:
RANlON I: .JIMENEZJ~
July 10, 2003
City of Zephyrhills
5335 8th Street
Zephyrhills, FL 33542
Re: Carlos B. Ration
To Whom it May Concern:
I, Carlos B. Ration, contractor license number CGC049808, hereby authorize the
following to act as my agent in order to obtain permit(s) in City of Zephyrhills.
George C. Goggans
Driver's License No. G252-303-50-423-0
This authorization is to remain in effect indefinitely, unless cancelled by me in writing.
Sincerely,
Ration Jimenez, Inc.
~ ~~ /~
Carlos s' Ranon ~
President
Signed to and subscribed to before me this 1 Qth of Julv by Carlos B. Rarion
personally known to me.
,who is
,"\;yF~!!'" !Ween Exum
f'?>-;&~'~~ CClIIltl1iJllion # DD 059549
~::1\A/~: Bxpires March 9, 2005
-;"?..........._~..~~ Bonded 1bru
"'~~~I;~~'" Atlantic Bonding Co., Inc.
GENERAL CONTRACTORS 0 CONSTRUCTION MANAGERS 0 CGC049BOB
5109 N. HOWARD AVE.C:: TAMPA. FL 336030813-67227250 FAX 813-8762502
rill RANJON == JIMENEZJ ~ [L~lFU~~ @[P
GEi\Ei'W. cx::N11'lACTCFS 0 CO\STRLCTIQ'Il MANAGERS lJ~~~[Mt]OlfU ~[L
5108 NJ\TI-l r:ONAffJ A'IO'it..E 0 TAN'PA, Fla:\lDA 33SJ3
813-872-2725 n FAX 813-87&2502 n CGCQ.Il.ClEn3
;. .;;.
Boeat~ SWe-TLAND , DATE: 7/'V03
TO:
crty dF "Z.!:t"HV~~tLl...S' REF: AM~(WASH CAR WASH
533S ern ST 'Z.EPM'C~HIU.S" , ~'-
'Z~~f{nJ.s( t:L 53540
~M: Gf't'RG E" ~
TRANSMITTED VIA: ~Mail o Fax 0 Courier ~ 0 Hand Delivered 0 Other
ARE THE FOLLOWING ITEMS:
QTY. I DATE I DESCRIPTION I STATUS
I -
I I It / 4lo~ i CERTtFlCATE: Ot=" LrAetL.[TY INS'VRANCc I
I !
I
; .:t'Z.O i
r i 7/!...tj03 , <::'HE"'CK ~07[Cf, !
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-------------- ---- ----.----------- ---.--.------
!
, ,
------------- -- -+- -----. --- ---- --
i ;
,
I
------------
STATUS CODES
~ - For Your Use AS - Approved As Submitted RJ - Rejected FA - For Approv:=r
AR - As Requested A.~ - Approved As Noted RR - Revise & Resubmit OT - Other.
REMARKS
-- _. ---_. --.----- --- "-------- .... - - - --.--...----_______________.... __..__0. __ u_ __ h_~ _.
. --.-.--.--------.----. - .. .--.-------- ----,.-;-- -_._- . -..--. ----.--
---------.---- .- -- - -. - - --- --. ._------~-- .--.------ .-..--. -.
- - -- - - ---.-.----- - .- - - . .. ---..---.---- - .--.---.-- -- - ._--
-------- -----~- - ------ - - .-- .--.- - - ... -~._-----_._--_..--_._-_.__._- --.-
---- --- ------------..------------. .. .... . .- --.---.-----.------
- -------------- ..-- - . ------ - ----.---.---
COPIES: File
101.09/2003 16:25
8138667253
RG BYRD
PAGE 01
F.V.M Holdings, Inc.
8525 Portage Ave
Tampa, FI 3647
Fax
'RR George Goggans
Fax: (813) 876-2502
FNIIII R. Gary Byrd
P...- 5 (mcluding cover)
.......
DIdec 101912OO3
Rec SWFWMD Permit
cC:
[J lJrIent X IFor RevIew [J ...... CoInIINI.It [J ...... Reply [J ...... RecJicIe
. Notei;
George,
Here is a copy of the SWFWMD Pennit for AmenWash1 in Zephyrhills as we
discussed.
Thanks,
~....i....-..
. ... .
l~..
10/09/2003 16:25
8138667253
RG BYRD
PAGE 02
SOUTHWEST FLORIDA WATER MANAGEMENT DISTRICT
ENVIRONMENTAL RESOURCE
GENERAL CONSTRUCTION MODIFICATION
PERMIT NO. 44023664_001
I Expiration Date: October 9, 2008
I PERMIT ISSUE DATE: October 9,2003
This permit is issued under the provisions of Chapter 373, Florida Statutes (F.S.), and the Rules contained
in Chapters 40D-4 and 40, Florida Administrative Code (FAC.). The permit authorizes the Permittee to
proceed with the construction of a surface water management system in accordance with the information
outlined herein and shown by the application, approved drawing(s), plans, specifications, and other
documents, attached hereto and kept on file at the Southwest Florida Water Management District
(District). All construction, operation and maintenance of the surface water management system
authorized by this permit shall occur in compliance with Florida Statutes and Administrative Code and the
conditions of this permit.
PROJECT NAME:
GRANTED TO:
Ameriwash - ZephyrhiUs
F.Y.M. Holdings, Inc.
8523 Portage Avenue, South
Tampa. FL 33647
ABSTRACT: This permit is for the construction of a new bUilding with associated paving and storm sewer
infrastructure which connects to an existing pond previously constructed under Environmental Resource
Permit No. 44023664.000. The project area is 0.75-acres within a total ownership 015.06 acres. The
project site is located on the west side of US 301 In ZephyrhlllS in Pasco County. Adjacent property
includes the aforementioned permit. The drainage area the existing storm water system serves is 4.40
acres and this parcel is a part of that basin. No objections to this permit application have been filed at the
District office to date. There are no wetlands within the project area.
F.Y.M. Holdings. Inc.
Pasco
3/265/21 E
5.06
0.75 Acre
Commercial
DATE APPLICATION FILED: July 17,2003
AMENDED DATE:
N/A
10/~9/2003 15:25
8138557253
RG BVRD
PAGE 03
, Permit No.: 44023664.001
October 9,2003
Page 2
I. Water Quantity/Quality
Ponds constructed under previous Environmental Resource Permit No. 44023664.000.
A mixing zone is not required.
A variance is not required.
II. 100-Year Floodplain
Encroachment Compensation Compensation
(Acre-Feet of fill) (Acre-Feet of excavatlon)T *
N/A 0.00 NE
Encroachment
Result*"'(feet)
De th [ N/A
*Codes [ X ] for the type or method of compensation provided are as follows;
NE = No Encroachment
MI = Minimal Impact based on modeling of existing stages vs, POSt-project encroachment.
N/A = Not Applicable
-Depth of change in flood stage (level) over existing receiving water stage resulting from
floodplain encroachment caused by a project that claims MI type of compensation.
III. Environmental ConsideratJons
No wetlands or other surface waters exist within the project area.
Watershed Name: Upper Coastal Drainage
A regulatory conservation easement is not required.
A proprietary conservation easement is not required.
SPECIFIC CONDITIONS
1, If the ownership of the project area covered by the subject permit is divided, with someone other
than the Permittee becoming the owner of part of the project area, this permit shall terminate,
pursuant to Section 4OD-1.610S, F.A.C, In such situations, each land owner shall obtain a permit
(which may be a modification of this permit) for the land owned by that person. This condition shall
not apply to the division and sale of lots or units in residential subdivisions or condominiums.
2. The discharges from this system shall meet state water quality standards as set forth in Chapter
62.302 and Section 62-4,242, F.A.C., for class waters equivalent to the receiving waters.
3. Unless specified otherwise herein. two copies of all information and r:eports required by this permit
shall be submitted to:
Brooksville Regulation Department
Southwest Florida Water Management District
2379 Broad Street
Brooksville, FL 34604-6899
The permit number, title of report or information and event (for recurring report or information
submittal) shall be identified on a/l information and reports submitted.
*
10/09/2003 16:25
8138667253
RG BYRD
PAGE 04
"
Permit No.: 44023664.001
October 9,2003
Page 3
4. The Permittee shall retain the design engineer, or other professional engineer registered in
Florida, to conduct on-site observations of construction and assist with the as-built certification
requirements of this project. The Permittee shall inform the District in writing of the name. address
and phone number of the professional engineer so employed. This information shall be submitted
prior to construction.
5. Within 30 days after completion of construction of the permitted activity, the Permittee shall submit
to the Brooksville Service Office a written statement of completion and certification by a registered
professional engineer or other appropriate individual as authorized by law, utilizing the required
Statement of Completion and Request for Transfer to Operation Entity form Identified in Chapter
400-1, F.A.C., and signed, dated and sealed as-built drawings. The as-built drawings shall identify
any deviations from the approved construction drawings.
6. The District reserves the right. uPon prior notice to the Permittee, to conduct on-site research to
assess the pollutant removal efficiency of the surface water management system, The Permittee
may be required to cooperate in this regard by allOWing on-site access by District representatives,
by allowing the installation and operation of testing and monitoring equipment, and by allowing
other assistance measures as needed on sIte.
7. The Permittee shall notify the District of any sinkhole development in the surface water
management system within 48 hours of discovery and must submit a detailed sinkhole evaluation
and repair plan for approval by the DIstrict within 30 days of discovery.
8. The District, upon prior notice to the Permittee, may conduct on-site inspections to assess the
effectiveness of the erosion control barriers and other measures employed to prevent violations of
state water quality standards and avoid downstream impacts. Such barriers or other measures
should control discharges, erosion, and sediment transport during construction and thereafter.
The District will also determine any potential environmental problems that may develop as a result
of leaving or removing the barriers and other measures during construction or after construction of
the project has been completed. The Permittee must provide any remedial measures that are
needed.
9. Refer to GENERAL CONDITIONS No. 15 herein.
GENERAL CONDITIONS
1. The general conditions attached hereto as Exhibit. A n are hereby incorporated into this permit by
reference and the Permittee shall comply with them.
,1I1l09/2003 16: 25
8138667253
RG BYRD
PAGE 05
~...
.
.
PROFE$SIONAL CERTIFICATION*
FOR THE ENGINEERING EVALUATION REPORT
MSSW/ERP Permit Number:
44023664.001
Date Application Received:
July 17,2003
F,Y.M, Holdings, Inc.
8523 Portage Avenue, South
Tampa, FL 33647
Ameriwash - Zephyrhills
Permittee's Name:
Address:
Project Name:
Project Description:
Commercial
Project Size:
0.75 Acre
Activity:
Section (s)/T ownship/Range:
Construction
31265/21 E
I HEREBY CERTIFY that the engineering features described in the referenced application to construct and/or
operate a surface water management system associated with the indicated project have been evaluated regarding
provision of reasonable assurance of compUance with Part IV, Chapter 373. Florida Statutes, and Chapters 4OD-4,
40D-40 or 400-400, Florida Administrative Code (F.A.C.), as applicable. I have not evaluated and do not make
any certifications as to other aspects of the proposal.
Ie -~-c,
Monte G. Ritter, P.E. # 38801
Senior Professional
Brooksville Regulation Department
Southwest Florida Water Management District
(Seal)
... When required by Subsection 61G15-26.001(1), FAC., a professional engineer's seal, signature and date (I.e.,
"Professional Certification") means that the work indicated has been conducted under the responsible supervision,
direction or control of a person licensed by the State to practice engineering, who by authority of their license is
required to have some specialized knowledge of engineering. Professional Certification is not a guaranty or
warranty of fitness or suitability, either explicit or implied.
.
~
~
.
.
.
.
.
.
.
.
.
~~;~~
;>EP,rORMANCE 8USINESS PRODUCTS. INC. 313.719-8008 f"AX 813-719-7919
3 LI t '.'-' '"
(:) ........, l~ 5 '
CITY OF ZEPHYRHILlS
ZEPHYRHILLS, FLORIDA
WATER ACCT. NC,.
DATE /1" Ie -(.,,3
OWNER/
RENTER
~. -"2 .
. I (p1 L-J'r t ,,~ k-
~
d-' f"1 5 ,: t) r- ~ -r;-; /1
~ J ......._,tv"-'(.,~./
MAIUNG
~
............)
C-~1...--P
V
_ 4
-~
SERVICE ADDRESS
45((
--r- '/
I I "1-" k)~ L.... ~7'
/jJT 2'7
SHUT OFF SERVICE
o
~ATER
o SEWER
TURN eN SERVICE
~
[J/"/
o GARBAGE
iNSTALL METER
READ METER
o
0" IN CITY
CHECK METER
o
o OUT CITY
i
I
~ No. OF UNITS
OTHER
o
_ DEPOSIT AMOUNT
-7 '
'/0 I(
, ,\ -fl- ~
L......' "t.14y ,.."}"'-C..~V
_ AMOUNT LAST BILL
_ DATE
_ MISC. CHARGE
WORK COMPLETED BY
& DATE COMPLETED
ORDER TAKEN BY
(( -IT; - c 3 Z/r--
ORDER GIVEN BY
y .....I\......(.. ,.j_
Retain wnite form in oifice at all times.
Send pink & yellow forms to Water Service Dept. '-'
Water Service Dept. to sign yellow form & return to office.
SOUTHWEST FLORIDA WATER MANAGEMENT DISTRICT
ENVIRONMENTAL RESOURCE
GENERAL CONSTRUCTION MODIFICATION
PERMIT NO. 44023664.001
I Expiration Date: October 9, 2008
I PERMIT ISSUE DATE: October 9, 2003
This permit is issued under the provisions of Chapter 373, Florida Statutes (F.S.), and the Rules contained
in Chapters 400-4 and 40, Florida Administrative Code (FAC.). The permit authorizes the Permittee to
proceed with the construction of a surface water management system in accordance with the information
outlined herein and shown by the application, approved drawing(s), plans, specifications, and other
documents, attached hereto and kept on file at the Southwest Florida Water Management District
(District). All construction, operation and maintenance of the surface water management system
authorized by this permit shall occur in compliance with Florida Statutes and Administrative Code and the
conditions of this permit.
PROJECT NAME:
Ameriwash - Zephyrhills
GRANTED TO:
F.Y.M. Holdings, Inc.
8523 Portage Avenue, South
Tampa, FL 33647
ABSTRACT: This permit is for the construction of a new building with associated paving and stormsewer
infrastructure which connects to an existing pond previously constructed under Environmental Resource
Permit No. 44023664.000. The project area is 0.75-acres within a total ownership of 5.06 acres. The
project site is located on the west side of US 301 in Zephyrhills in Pasco County, Adjacent property
includes the aforementioned permit. The drainage area the existing storm water system serves is 4.40
acres and this parcel is a part of that basin. No objections to this permit application have been filed at the
District office to date. There are no wetlands within the project area.
OP. & MAINT. ENTITY: F.Y.M. Holdings, Inc.
COUNTY: Pasco
SECrrWP/RGE: 3/26S/21 E
TOT AL ACRES OWNED
OR UNDER CONTROL: 5.06
PROJECT SIZE: 0.75 Acre
LAND USE: Commercial
DATE APPLICATION FILED: July 17, 2003
AMENDED DATE: N/A
Permit No.: 44023664.001
: October 9,2003
Page 2
I. Water Quantity/Quality
Ponds constructed under previous Environmental Resource Permit No. 44023664.000.
A mixing zone is not required.
A variance is not required.
II. 100-Year Floodplain
Encroachment Compensation Compensation Encroachment
(Acre-Feet of fill) (Acre-Feet of excavation) Type* Result**(feet)
N/A 0.00 NE [ x ] Depth [ N/A ]
*Codes [X] for the type or method of compensation provided are as follows:
NE = No Encroachment
MI = Minimal Impact based on modeling of existing stages vs. post-project encroachment.
N/A = Not Applicable
**Depth of change in flood stage (level) over existing receiving water stage resulting from
floodplain encroachment caused by a project that claims MI type of compensation.
III. Environmental Considerations
No wetlands or other surface waters exist within the project area.
Watershed Name: Upper Coastal Drainage
A regulatory conservation easement is not required.
A proprietary conservation easement is not required.
SPECIFIC CONDITIONS
1. If the ownership of the project area covered by the subject permit is divided, with someone other
than the Permittee becoming the owner of part of the project area, this permit shall terminate,
pursuant to Section 40D-1.6105, FAC. In such situations, each land owner shall obtain a permit
(which may be a modification of this permit) for the land owned by that person, This condition shall
not apply to the division and sale of lots or units in residential subdivisions or condominiums.
2. The discharges from this system shall meet state water quality standards as set forth in Chapter
62-302 and Section 62-4.242, FAC., for class waters equivalent to the receiving waters,
3. Unless specified otherwise herein, two copies of all information and reports required by this permit
shall be submitted to:
Brooksville Regulation Department
Southwest Florida Water Management District
2379 Broad Street
Brooksville, FL 34604-6899
The permit number, title of report or information and event (for recurring report or information
submittal) shall be identified on all information and reports submitted.
PROFESSIONAL CERTIFICATION*
FOR THE ENGINEERING EVALUATION REPORT
MSSW/ERP Permit Number:
44023664.001
Date Application Received:
July 17, 2003
Permittee's Name:
F.Y.M. Holdings, Inc.
Address:
8523 Portage Avenue, South
Tam pa, FL 33647
Project Name:
Ameriwash - Zephyrhills
Project Description:
Commercial
Project Size:
0.75 Acre
Activity:
Construction
Section (s)rr ownship/Range:
3/26S/21 E
I HEREBY CERTIFY that the engineering features described in the referenced application to construct and/or
operate a surface water management system associated with the indicated project have been evaluated regarding
provision of reasonable assurance of compliance with Part IV, Chapter 373, Florida Statutes, and Chapters 40D-4,
40D-40 or 40D-400, Florida Administrative Code (FAC.), as applicable. I have not evaluated and do not make
any certifications as to other aspects of the proposal.
Ie;. - ? -0'"
Monte G. Ritter, P.E. # 38801
Senior Professional
Brooksville Regulation Department
Southwest Florida Water Management District
(Seal)
* When required by Subsection 61 G15-26.001 (1), FAC., a professional engineer's seal, signature and date (Le.,
"Professional Certification") means that the work indicated has been conducted under the responsible supervision,
direction or control of a person licensed by the State to practice engineering, who by authority of their license is
required to have some specialized knowledge of engineering, Professional Certification is not a guaranty or
warranty of fitness or suitability, either explicit or implied.
. P,ermit No.: 44023664.001
. 'October 9,2003
Page 3
4. The Permittee shall retain the design engineer, or other professional engineer registered in
Florida, to conduct on-site observations of construction and assist with the as-built certification
requirements of this project. The Permittee shall inform the District in writing of the name, address
and phone number of the professional engineer so employed. This information shall be submitted
prior to construction.
5. Within 30 days after completion of construction of the permitted activity, the Permittee shall submit
to the Brooksville Service Office a written statement of completion and certification by a registered
professional engineer or other appropriate individual as authorized by law, utilizing the required
Statement of Completion and Request for Transfer to Operation Entity form identified in Chapter
40D-1, FAC., and signed, dated and sealed as-built drawings. The as-built drawings shall identify
any deviations from the approved construction drawings.
6. The District reserves the right, upon prior notice to the Permittee, to conduct on-site research to
assess the pollutant removal efficiency of the surface water management system. The Permittee
may be required to cooperate in this regard by allowing on-site access by District representatives,
by allowing the installation and operation of testing and monitoring equipment, and by allowing
other assistance measures as needed on site.
7. The Permittee shall notify the District of any sinkhole development in the surface water
management system within 48 hours of discovery and must submit a detailed sinkhole evaluation
and repair plan for approval by the District within 30 days of discovery.
8. The District, upon prior notice to the Permittee. may conduct on-site inspections to assess the
effectiveness of the erosion control barriers and other measures employed to prevent violations of
state water quality standards and avoid downstream impacts. Such barriers or other measures
should control discharges, erosion, and sediment transport during construction and thereafter.
The District will also determine any potential environmental problems that may develop as a result
of leaving or removing the barriers and other measures during construction or after construction of
the project has been completed. The Permittee must provide any remedial measures that are
needed.
9. Refer to GENERAL CONDITIONS No. 15 herein.
GENERAL CONDITIONS
1. The general conditions attached hereto as Exhibit "A" are hereby incorporated into this permit by
reference and the Permittee shall comply with them.
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9808 N. ARMENIA AVE.
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PEl 47075
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11/7103
Feb.26. 2004 4:41PM TOWSON ROGO~ ENGINEERING
No.2206 p. I
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TOW~ON-iOG~
€1'tGlN€€RING . 1l1C
~ P!ANN1N(:' F.NJt'11lONlLENTAL l'ERM11TlNG
5514 7th smEET
ZEPHYRHILLS, FLORIDA J3540
TELEPHONE: (813) 788-C400 FAX (813) 782-4978
.
FAX TRANSl\'IITI AL
Date: 'Z- Zu,04 .
To: ~ _ (bcDCtf J~ - .
. . -
FAXNUJl1.ber: '. '?g()-~_
From:
No, of Pages: d
(Incl. Cover Sheet)
0'-:; 2A
Project No.: ~.:;) \ ; J......I
of:.
Project Name: \f\ '\Y"(:'(\ lJ.2QS"
RE: \h~c-\cd \aD S\~
o FOT Appl'oval 0 ~ Requested 0 For Review
o For Omunent
o Copies To:
o Re5pond by:
Comments:
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SOUTHWEST FLORIDA
WATER MANAGEMENT DISTRICT
NOTICE OF
AUTHORIZA TION
TO COMMENCE CONSTRUCTION
Ameriwash - Zephyrhills
PROJECT NAME
Commercial
PROJECT TYPE
Pasco
COUNTY
3/26S/21 E
SEC(s)/TWP(s)/RGE(s)
F.Y.M. Holdings, Inc.
PERMITTEE
APPLICATION NO.: 44023664.001
DATE ISSUED: October 9, 2003
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t 'tSsuing l~mh6fity .
5Jf;:~~.~';',~:.::i~_:i ,:~ i l~~ T' ~~~;~;1~~~~~1~ i R
THIS NOTICE SHOULD BE CONSPICUOUSLY
DISPLAYED AT THE SITE OF THE WORK
+1.00-075 (1019~)
SOUTHWEST FLORIDA . ~
WATER MANAGEMENT DISTRICT
NOTICE OF
AUTHORIZA TION
TO COMMENCE CONSTRUCTION
Ameriwash - Zephyrhills
PROJECT NAME
Commercial
PROJECT TYPE
Pasco
COUNTY
3/26S/21 E
SEC(s)ITWP(s)/RGE(s)
F.Y.M. Holdings, Inc.
PERMITTEE
APPLICATION NO.: 44023664.001
DATE ISSUED: October 9,2003
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BiiCGKS\'!LL:: ~~E'3~~L;;';-~::;I,~ ,:~?,;RT~v1Enr
THIS NOTICE SHOULD BE CONSPICUOUSLY
DISPLAYED AT THE SITE OF THE WORK
iI.DI)-()7:'l1 ](JN2;
Feb.26.2004 4:41PM
TOWSON ROGC~ ENGiNEERING
No.2206 p.
trc
PADf:ESGIONAL
DESIGN ARM
TOW~ON-ROG€R~
ENGINEERING. INC.
f:Nl;/~':.~~. 1'fA.~~M.~E!!!.~~NT~L p~
February 26, 2004
Mr. Todd Vandeburg
City of Zephyrhills
5335 8lh Street
Zephyrhills, Fl 33540
Re: Amerlwash
TRE Proj. No. 03130
Dear Mr. Vandeburg,
I have inspected the subject site and the construction has been completed and is in
substantial conformance with the approved plans.
If you have any QUestions please do not hesitate to contact me at (813) 788-0400.
Sincerely,
TOWSON-ROGERS ENGINEERING, INC.
,I^(Z.
Rogers, P.E.
5514 7th Stroot . Zephyrhills, FL 33542
613.788-0400 . Fax 613-782-4978
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