Loading...
HomeMy WebLinkAbout05-4790 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 4790 --- Permit Number: 4790 Permit Type: ADDITION/ALTERATION Class of Work: ADD/AL T COMMERCIAL Proposed Use: COMMERCIAL Square Feet: Est. Value: Improv. Cost: Date Issued: Total Fees: Amount Paid: Date Paid: Work Desc: Address: 5821 GALL LVD ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 11-26-21-0010-01200-0070 24,950.00 8/15/2005 302.50 302.50 8/08/2005 Phone: INTERIOR RENOVATIONS PER CONTRACT AGREEMENT Name: GHANI, ABDUL Address: 5821 GALL BLVD ZEPHYRHILLS, FL. 33542 MARTIN ELECTRIC CHRIS BAHR PLUMBING PLUMBING FEE 35.00 DUCTS INSTALLED PRE-SLAB CONSTRUCTION POLE 2ND ROUGH PLUMB DUCTS INSULATED LINTEL PRE-METER WATER SHEATHING FRAME MISC SEWER MISC INSULATION WALL MISC MISC. MISC. INSULATION CEILING MISC. MISC. MISC. DRIVEWAY MISC. MISC. REINSPECTlON 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 The payment of inspection fees shall be made before any further permits will be issued to the person owning same "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. n Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances NO OCCUPANCY BEFORE C.O. /~~~~ ~~ ONTRA OR SIGNATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CITY OF ZEPHYRHILLS PERMIT A~~~~~^~~U" BUILDING DEPARTMENT 5335 8TH St, ZephyrhillS, FL 33542 . 813-780-0020 FAX: 813-780-0021 DATE RECEIVED ?-I-()~ PHONE CONTACT FOR PERMITTING OWNER'S NAME g'l d -+OLDV\ C \j;lI\.) C( A.lo~t C~Q1i'()'... JOB ADORE S S ..5 ~ .9- L Ga.-U R \ I) d PHONE. ql~ 1. <gf:J-<:;s-;;;.1 LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 10 # WORK PROPSED: 0 NEW CONSTRUCTION (OBTAIN FROM PROPERTY TAX NOTICE) o ADDITION OALTERATION ~ REPAIR o INSTALL o SIGN o MOVE o DEMOLISH PROPOSED USE: OSGL FAMILY DWELLING -..g) COMMERCIAL OMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER DESCRIPTION OF WORK o RESTAURANT & HEALTH DEPARTMENT APPROVAL 3~ (L. --i.+o--J,J. BUILDING SIZE SQUARE FOOTAGE HEIGHT RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTIO~ ~ ~ "" f- f+.N.~ J - o BUILDING $ o ELECTRICAL AMP SERVICE 0 W.R.E.C. o PLUMBING o MECHANICAL $ VALUATION o GAS o ROOFING o SPECIALTY 0 OTHER TYPE OF CONSTRUCTION: 0 BLOCK 0 FRAME 0 STEEL o OTHER /1 FINISHED FLOOR ELEVATIONS IS PROJECT r~ . ~ (~I I t'lJu LDER /. A' . COMP~,"L- -..J<>,"<-.-<1 '-< ",g nT"r 1-~/sIGNAT~t /;u/}"'l1./~ . S.TA~E ~~RJ)lR REGIST i cceosif.r1$) _ /_\ _ HHHH"H'H'HHH'HHHHHHH~I~dP.f{.<.f.~61t.<6t.. 1~'! :::::::AN J4 lv, /3~ :::::N:E::~:~~ iE~c;~~~~!3 p 3 *****************************************************~************ i)~~=:RE {~JJ 4-/ '---~HANICAL COMPANY OI/2.is I3A-I~1( fLa.IJ1/J,'pt, STATE CERT OR REGIST # (!. Fe- I St2.;b lfgoJ... *******************************~*****************************~**** . COMPANY SIGNATURE STATE CERT OR REGIST # ***************************************************************** OTHER COMPANY SIGNATURE STATE CERT OR REGIST # pedwe~s ~o pe~uT~d 'pedl~ eweN pedwe~s~o pe~uT~d 'pedl~ eweN ~uem6~elMou~oe 6uT~e~ uos~ed JO e~n~eu6TS ~uewe6pelMou~oe 6uT~e~ uos~ed JO e~n~eu6TS 4~eo ue e~e~ lOU PT~ PTP[] 04M pue (uoT~eoTJT~uePT 10 edA~) peonpo~d se4. oqM [] ~o 'ew o~ UMOU~ llteuos~ed sT 041] (pe6pelMou~oe uos~ed JO eweu) lq Ol ' JO lep- sT4~ ew e~oJea pe6pelMou~oe seM~uemn~~sut 6uT06eJoJ e4~ Jlo X.LNOOJ Va1HO~~ ~o 3~V~S '4~eo ue e~e~ (uoT~eaTJT~uePT JO ~ou PTPO PIP []O~M pue edA~) peonpoJd se4 04MO ~o 'em o~ UMOU~ llleuos~ed sT 04MO (pe6peTMou~oe uosied JO eweu) lq -In I JO lep ----- sT4~ ew eJoJsa pe6peTMou~ae seM ~uewnJ~suT 6tiT06e~oJ e4~ ~o XJ.NOOJ va1HO~~ ~o 3.LV~S HO.LJVH.LNOJ :3HO.LVN~1S .LN3~V HO H3NMO ;3HO.LVN~1S '".LN:ltW3JN3WWO;) ~o 3J1.LON" V.LSOd aNV aHOJ3H O.L a3:i1N .LON oa 30~V1\ NI'OOg'lS H3aNO saar '.LN3W3JN3WWOJ ~O 3J1.LON HOaX ~N1aHOJ3H 3HO~3a X3NHO.L.LV NV HO H3aN3~ HOaX H.L1M .L~OSNOJ '~N1JNVN1~ N1V.LaO O.L aN3.LNI nox ~I 'X.LH3dOHd HOaX O.L S.LN3W3AOHdW1 HO~ 3J1M.L ~N1XVd ~OOX NI .L~OS:lt~ XVW .LN:ltW3;)N3WWOJ ~o 3;)I.LON v aHoj3~ O.L:lt~O~IV~ goox :~:ltNMO O.L ~NIN~VM . 'peuopueqe peJaPTsUoo eq IlTM ~oe~oJd e4~ JO 'poT~ed 4~uow xTs 40ee 6UTJhp pe6601 eq ~snw uOT~aedsur peAoJdde UV 'leToTJ10 6UTPITna e4~ o~ 6UT~TJM uT pe~senbe~ eq lle4s uOTsue~xe e4.L 'OO'gTS JO e6Je40 eeJ 4~TM ~TWJed e4~ ~OJ peMolle eq lew eillTl JO uOTsuelxe lep 06 auo 'peouewmoo sT ~~OM e4~ emT~ e4~ Je~Je s4~uom xTs JO pOTJed ei~OJ peuopueqe ~o pepuedsns ST ~TwJed e4~ lq pezTJ04~ne ~~OM JT JO 'eouenssT JO S4~UOill XTS uT4~TM peauewmoo sT ~TwJed 4ans lq pezTJ04~ne ~JOM e4~ sselun PTleAuT emoaeq lle4sJPenssT lTillJad AJ8A3 'epoo lue JO s~oTletoTA JO 'UOTl6nJ~suoa 'suetd uT SJOJJS JO uOT 08JJOO e 6uTJTnbeJ Je~JeeJe4~ illOJJ t~ToTJJO 6uTPITna e4~ ~uaAeJd ~TillJed e JO eauenssT tt 4s JOU 'sepoo teoTu408~ 84~ JO SUOTSTAOJd lue sPTse ~es JO 'Je~te 'teouea 'eletOTA o~ A~TJ04~ne se lOU pue ~JOM s4l 4lTM peeooJd o~ ssu80Tt e eq Ol penJlsuoO eq tte4s penssT ~TillJed V 'eauenSST lTmJsd o~ JOTJd ePTJot~ JO elelS e4l uT p~ielST6aJ JSeUT6ue leuoTsseJoJd e lq peJedeJd si 40T4M pe~~Twqns eq tlTM "eillnloA 6uTlesuedwoo" e 6UTsseJppe Uetd e6eUTeJp e :j.e4l pOO~SJepun sT ~T '"'a~e/v,, JO "V" SUOZ pooT~ UT pesn eq o~ ST TeTJe~eill TTTJ JT '~eq~ ~JT~JeO oSTe I ~ueme~eqe so~seqsv-lDue6v uOT~oe~oJd te~ueWUOJTAU3 'S'O. s~ue.L aT~des '~Ueill~eeJ.L Je~eMe~seM 'SlleM-~Tuo 4~leeH te~uemUOJTAU3 'SeaTAJes eATle~TtTqe4eH ~ 4lteeH JO lUeill~Jedea. sleM~e~eM elqe6TAeN 's~ooa 'sTTeMeeS-SJeeUT6u:lt JO sdJo;) lw~V. sesJnooxe~eM 6uTJellV 'seeJV puel~eM 'spee4Aea sseidA;) 'slleM-~OTJ~STa ~uewe6euew Je~eM epT~ol~ ~seM4~nos. luewleeJ.L ~eleMelseM/Je~eM 'spue~ eAT~Tsues Atte~uemuoJTAU3 pue seeJV pUetleM 'spee4Aea sse~dA;)-UOTleln6eH le~uewuoJTAu:lt JO lUewlJedea. :Ol pelTwTl 'loU eJe ~nq epnloUT seToue6e 4ans 'soUeTtdwoo uT eq ol.e~el lsnw I suoTlbe le4M AJT~uepT Ol AlTt1gTsuodseJ AW sT IT ~e4l pue '~JOM pepueluT e4l ol' Aldde Aew seToue6e telUeWUJeA06 Je4lo JO suoT~eln6eJ 84l lE4l puelsJepun I le4l AJTlJSO oste I 'uoT~OTPsTJn~ e4l uT suoTleln6eJ luewdoleAep.puel pue 'suoTleln6eJ 6UTUOZ 'sepoa AlT;) 'uoTlOnJ:j.suoo 6uTleln6eJ SMet tte JO spJepUelS leew Ol pewJoJJed eq IlTM ~JOM lIe le4~ pue lTwJed e JO eouenssT o~ JOTJd peouewmoa seq UOT~El1e:j.suT ~o ~JOM OU ~e4+ AJT+~eo I 'pe:j.eo1puT se uOTlettelSuT pue ~JOM' op O:j. :j.TwJed e uTe:j.qo Ol epew AqeJe4 sT uOTleaTtddv ':j.ueWdOteAep puel pue '6uTuOZ 'uoTlOnJ~SUoo 6uTletn6eJ sMet etqeOTtdde tIe 4+TM eaue'rldwoa uT euop' eq ItTM ~XOM tte le4l pue elexnooe sT uOT:j.eoTtdde sT4+ uT uOT+ewxoJuT e4+ tte +e4:j. AJT:j.Jeo I .LI1\VaI~~V S/~:ltNMO/S,~O.LJVH.LNO;) .~ '+ueweoUewmoo o:j. XOTxd "JeUMO" e4l 0+ :j.T JeA11ep 0:+ 4:+TeJ po06 uT eSTmoJd pue luewnaop peqTJasep eAoqe e4:+ JO Adoo e peuTe+qo eAe4 I +e4:+ AJTJeo I I"JeUMO" e4:j..+e4:+ Je4:j.0 euoewos sT :j.ueoTldde e4:j. JI 'sJTeJJV JeumsuoJ pue e~n~tnaTJ6V JO ~uew~xedea ePTJOl~ eq~ Aq pexede~d "epTnD uOT+oe+oId s,xeuMoawoH - Me~ ueTt UOTlOnJ:+suo;) s,ePTxol~" JO Adoa e 4+TM pePTAOJd ueeq eAe4 ':j.ueoTldde e41 'I :j.e4~ AJT:j.Jeo I (a3aN3WV SV 'S3.LO.LV.LS vaIHO~~ 'EIL H3.LdVH;)) MV~ N31~ NOIO.LJO~.LSNO;) . 'a . S33~ N01.LJ3NNOJ X.L1~1.LO aNV S33j .LJVdW1 N01.LV.LHOdSNVH.L 'J . StH4JA4deZ JO knJ eq~ uT se6eHApd 6unnwJed o:j. petn:j.ue lOU sT pue pesueOTt AIXedoJd ~ou ST e4 ~eq~ uOT~eoTPuT ue eq Aew ~eq~ ~o~oex+uoo se u6TS o~ nOA Se4sTM iOlOeJlUOO e4l J1 '~JOM e4~ JOJ elqTsuodse~ exe 'Jo~oex~ubo eq~ ue4~ xe4~ei 'nol +e4:+ 6uT~eaTPuT exe no~ 'io~beJ~Uoa e4~ SE su6Ts xeUMO e4~ se 'noA J1. 'elqTsuodsex eq 111M leq~ qOTqM ~oJ uOT~eoTldde sT41 JO "suOT~oes xo~ae~~uoJ" e4~ JO SUOT~~od u6TS (s)~o~oe~~uoo e4~ eAeq o~ pes.Ape sT e4 I.SJo:j.aeJ~uoo XO JO:j.oeJ:+uoo e pe.:rT4 se4 xeUMO a4~ JT 'a~owxa4:+~n~ , ,'~ ~OlOO-08L-E18 '~uew~xedea 6UTPITna sllTq~A4dez JO A~TJ e4:+ ~ae:+uoo ol peST^pE eJe le4:j. '~JOM pepue:j.uT e4:+ XOJ Aldde lew s:+uewe~Tnbex 6UTsUeoTl +e4M 0:+ se uTe:j.JeOUneJe xo~aeJ~uoo pepue:+uT ~o .:reUMO e4:j. J1. 'Mel e:+e:+s .:repun UOT:+eloTA xoueewepsTw e'JoJ pe:+To eq Aew ~o~oex:+uoo pUe xeUMO eq:+ q:+oq 'Mel Aq pe~Tnbex se pesueoTl ~ou sT xo:+oex~uoo eq~ J1 'suoT~eln6ex leool pues:+e~s q:+TM eouepxoooe UT pesueoTl eq 0:+ pe.:qnba~ eq Aew Aeq:+ '~.:rOM e~e:+xepun 0:+ sxo:+Dex~uoa ~o xo:+aex:+uoo e pexT4 se4 xeUMO e4:+ J1 . S3I.L1~IaISNOdS3H HO.LJVH.LNOJ aNV S~O.LJVH.L~O~ a~SN:ltJI~NO 'a 'suoT:+oTx:+sex peep etqeoTldde Aue 4:+TM eoueTldwoo xOJ A:+TITqTsuodsex sawnsse peu6Tsiepun e4.L 'suoT:+etn6ex A:+TJ ue4:+ eAT:+oT.:r~se.:r e.:row eq ~ew qOTqM "sUoT~oTx:+sex peep" o~ ~oe~qns eq lew :+Twxed sTq~ :+eq:+ spue~sxepun peu6Ts~epun ~~ . SNOI.LJI~~S~~ a~~a ~O 3;)I.LON V PROPOSAL I CONTRACT AGREEMENT Jackie LeMaster (813)917-1148 March 16, 2005 MIDTOWN CLINIC Abdul Ghana, M,D Gloria 5821 Gall Blvd. Z-Hills Fl. 33541 813-788-5524 1) Jackie LeMaster hereby proposes to furnish all materials and perform all labor necessary for the construction and improvements located at the above address. Work will be done according to the general construction specifications and codes, All work to be performed will be from the original work order, (attached) 2) All material will be warranted and to be of good quality, free from faults and defects for a period of one (1) year from the day of work completion, The work will be performed and completed in a substantial and workman like manner for the sum of twenty-four thousand nine-hundred fifty dollars and no cent~ (24,950,00). Payment schedule will be as follows 50%'""{12,475,,p0) will be due to start job and 50% will be due on 8~.k.....~l.ctt completion.Qne.c{l, 3) Jackie LeMaster bond will start pulling permits necessary and hav an electrical inspection within three working days after first draw to begin, Jackie LeMaster will begin work immediately after acquiring all necessary permits, 4) Owner will carry fire, theft and other necessary insurance on building to protect materials, tools and work from any unforeseen circumstances. Jackie LeMaster will carry public liability insurance and workman's compensation on all employees 5) Jackie LeMaster and its employees will keep a clean, safe workplace cleaning up after each day. 6) Owner will allow Jackie LeMaster to have a construction dumpster on job site, 7) Owner will give access to job site to any of Jackie LeMaster employees or subs of J~e~~~~ 8) Any extra work not listed on the work order performed must be authorized by owner and Jackie LeMaster and a change order or work order will be signed by both parties, The will be an additional charge for any work not listed on the work order and monies due for extra work will be paid prior to starting work. 9) If the owner has any problem or concerns with work being performed or any of the employees or subs he will notify Jackie LeMaster and we will take immediate action to correct any problem that might arise. 10) The owner may cancel contract with Jackie LeMaster within three days of signing contract for a full refund (minus any accrued expenses), Cancellation must be in writing and a refund disbursement will be made within three business days, ...................................................................... The persons signing this agreement represents he/she is the owner of address above and takes full financial responsibility for any monies due *Upon signing contract Jackie LeMaster will acquire a bond in the amount of Thirty- thOUsand. /. - Owner ~,<.- C?~ Date 7 - :2 '(-tZS WORK ORDER / "'- .I"(..;;ol c;.- ~tff .~~ .(to> (P~ Jackie LeMaster will provide an inspection on electrical service Jackie LeMaster will provide all material and labor for described work below Room #1 . Hang ~ drywall on ceiling . Texture ceiling (popcorn) . Paint Ceiling (to match existing) . Paint W alls (to match existing) . Install existing lighting . . Install existing electrical Switc~ . Install existing electrical receptacles . Run HV AC vents from existing duct work "" Room #2 " . Hang W' drywall on ceiling . Texture ceiling (popcorn) . Paint Ceiling (to match existing) . Paint walls (to match existing) . Install existing lighting , · Install existing electrical switches ( · Install existing electrical receptacles · Run HV AC vents from existing duct work Room #3 · Hang ~" drywall on ceiling . Texture ceiling (POpcorn) · Paint Ceiling (to match existing) · Hang~' drywall on walls · Texture walls (orange-peel) · Paint wall (color to match existing) . Trim around door/window · Install bottom base trim . Install existing lighting · Install existing electrical switches . Install existing electrical receptacles · Run HV AC vents from existing duct work cYJ.d;)cY~ . Y'l..1.-1-..1'-- '11'1- ~ c.]\ ,.., I c.:;;f}'\..\ . .. (') n _\.At.T . ,t. P'Y ~ {1~~ -<_,1\ . /'l N~ '-" \ . . . L C':'r" (\I\liA )~ t L~) tlf.,.ll~i Room #4 . Hang W' drywall on ceiling . Texture Ceiling (popcorn) . Paint Ceiling (color to match existing) . Hang W' drywall on walls . Texture walls (orange-peel) . Paint walls (color to match existing) . Trim around door/window . Install existing lighting . Install existing electrical switches · Install existing receptacles LO of} )~ . Run HV AC vents from existing duct work C7""".....<...~ Room #5 . Hang W' drywall on ceiling . Texture ceiling (popcorn) . Paint ceiling (color to match existing) . Hang 1/2' drywall on walls . Texture walls (orange peel) . Paint wall (to match existing) . Trim around door/window . Install existing lighting . Install existing electrical switches · Install existing electrical r:c~ptacles l/J ? /J )~ · Run HV AC vents from eXlstmg ducts C7~ Room #6 . Hang ~' drywall on ceiling . Texture ceiling (popcorn) . Paint ceiling (to match existing) · Hang ~' drywall on walls . Texture walls (orange peel) · Paint walls (color to match existing) . Trim around window/door . Install exiting lighting · Install existing electrical switches · Install existing electrical receptacles . Run HV AC vent from existing duct work · Install existing sink and peplum Corridor . Hang drywall on ceiling . Texture drywall (popcorn) . Paint ceiling (to match existing) . Repair drywall on walls . Hang missing drywall . Texture to match existing . Paint all walls (paint to match existing) . Installl repair any trim . Install! repair any wall base trim . Install existing lighting . Install existing electrical switches . Install existing electrical receptacles . Run HV AC vents from existing duct work . Install existing sink and re-plumb ___- Examination room in main doctor's office . Remove existing lighting fixtures (save to reinstall) . Remove all water damaged drywall . Remove insulation . Check for any mold . Hang new drywall on ceiling . Tape, texture and paint to match existing as close as possible Bathrooms 1& 2 . Check plumbing for any leaks and repair . Remove toilet and replace wax ring . Replace any damaged tile Flooring · Replace broke or cracked tile to match existing as close as possible Entrance · Remove existing awnings X a · Replace with new white aluminum with gutter (4"x 4" posts- l' X 3" pans) X a S"\&'lyl",r(~^ __o'G ~. L- ~/V'J'I\ J'> _'~ .r\ ~ ~-1. jr\TV" ( \ ---.J Other WO~sted to be included . ~ ~ ' _ _-I :" . ~~~~ ~ L:is;)~ . j~ : ~~JY&:::;)E:: PROPOSAL I CONTRACT AGREEMENT Jackie LeMaster (813)917-1148 June 15, 2005 MIDTOWN CLINIC Abdul Ghana, M,D Gloria 5821 Gall Blvd, Z-Hills Fl. 33541 813-788-5524 1, Jackie LeMaster hereby proposes to furnish all materials and perform all labor necessary for the improvements at the above address, Work will be done to general construction specifications and meet local building codes, All work to be done is listed below in work order 2, All material and labor will be warranted to be of good quality, free from faults and defect for a period of one year from the date of completion, The work will be performed and completed in a substantial and workman like manner for the sum of three- thousand two hundred dollars and no cents ($3,200,00), Payment schedule will be as follows, 50% will be to start project and the remaining will due at substantial completion, WORK ORDER 1, Remove all water damaged, rotted T -1-11 wood on gable ends, 2, Remove all rotted trim on gable ends, 3, Replace with new T -1-11 wood and trim 4, Paint and caulk any exposed wood or trim (pain to match existing) 5. Pain and existing T-1-I1 that is exposed to the ~.r (.ro.OI fin~ eo. installed) 6. Other work not mentioned in work order . ~~ Contractor ~ ~~ Owner?,? y~ 7-017-05 / SEMINOLE FORM 408 Fl:A. 1977 LAWS FS 713.13 NOTICE OF COMMENCEMENT 'PREPARE IN DUPLICATE) State of Florida } County of I The undersigned hereby informs all concerned that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statutes. the following information is stated in this NOTICE OF COMMENCEMENT. Description of property . .'S:~~~. ..~\.\.~\~.c!.. .-:.. .~.~~~... ~~~~ .~................................... . . . . . . . . . . . . . :1./... . .2. b . . . ~.L. . . . (? PI. Q. . . . a.f ;t 9 q. . . . '. . . G'. .S? ~.Q 1111111111111I11111I11I1111111111111111111111I1111111111111I 2005162785 . . . . . . . . . . . . . . . . . . . . . . . . . . ~ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . :.;". ,. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . R Gen".1 d"cr'p.;on of hnp,"vem.n.. . .tIti~:;rMt.,... .~~~~(lO). i-.r~~ -:.. ~ .~ Owner.. . . . . . . . A .l? ~".t. . . . ~ h.~~.~. .l. ~ ...~ ... . . . .. . . . . . . .. .. ... . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . Address...... .~~.~.... ~~~ .~~~~..... ?~~~r~~.I.~.. .~.~ fi1f.................... .~.... Owner's interest in site of the improvement. . . . . . . .OW N~. . . . . . . . . . . . Rcpl: 911347 Rec: 10.00 Fee Simple Title holder (if ether than owner) DS: 0.00 IT: 0.00 08/09/05 Dpty Clerk Name........f) Ij/J UL... Gdf1.N ~.. m.~7).~........................... :~~~~.................. Add,." ......58. OJ I.. .GIlib ~()tJJ.JIV /.li?I) t 2EfJllfi!;/;11.J; EL 3:v'l~ Contractor... ~a....c..k.\:.e.. ..t.;e ./I/.1..t;::t.J,T.<:;:. .Y................................ .............................. Address..... ..?..~ ./.0.(j.... {-:-:} J:'c.,.kc,.)dr.. t.OCl./l..... .?.~.r~... r. /..."1 ~>: ~.f...................... Surety (if any) .................................................................................................................. Address ...................................................................................... Amount of bond $ . . . . . . . . . . . . . . . Any person making a loan for the construction of the improvements: --' Name ...... .......................................................................... JED PITTMAN~ PASCO COUNTY CLERK 08/09/05 0~ : 32pm 1 of 1 OR BK 6521 PG 931 Address ......................................................................................................................... Person within the State of Florida designated by owner upon whom notices or other documents may be served: Name ....~~~\A~...~................................................................................ Address ..~ ~'.t.p.p....~~.. .~P.~..... .k~.~." .~k.. .~~.~.5.7............................... In addition to himself. owner designates the following person to receive a copy of the Lienor's Notice as provided in SectiorL/ 713.13 (1) (hI. Florida Statutes. (Fill in at Owner's option). \I Name. .............. ~... .,.,...,.._..._..-..~_.... ........... ..... ... ...... ...... .................. ... ... ........................ STATE OF FLORIDA COUNTY OF PASCO THIS IS TO CERTIFY THAT THE FOREGOING IS A TRUE AND CORRECT COpy OF THE OOCUMENT ON FILE OR OF PUb..IC RECORD IN THIS OFFI~.~llNESS MY HA D AND OFF,iCIAL SEAL THIS.:11H. DAY OF 2005 Of ClflCUIT COURT DEPUTY CLERK Sworn to and subscribed bef e me this f.,..r-l..................... mmmdayof .. .tZt"'f.L<.d................... .='?$.f'~ ,.&.tk.t(n(~j!t). .A/Lt't.:c;-J:z,I.............. Address ........................................................................................ THIS SPACE FOR RECORDER'S USE ONLY ,\\'I~UI"" Not~ry Public ~~-<f.l.r>:~ Katherine M Brewer ~;i"~"d MY COMMISSION # DD064104 EXPIRES \~~~"" October 1 0, 2005 ""'.9f..r..~"" BONDED THRU TROY FAIN INSURANCf, INC 2?05 07/15 FRI 09:30 FAX I4J 0011007 M~~r2~~AL~!~IC .' Abdul Gh..mi, M,D. ,,,,....1 M"';ane " [);abet", Ah~ FACSIMILE TRANSMISSION U ~ 1?fMJ1 COVER SHEET ~i;Ub ~~ ., TO: ATTN.: FROM: DATE: PAGES (includin~ COVer sheet) '. n; ZT rltrDAr rB2' a I . . ,. ; rHIS.INFORMATION IS CONFIDENTIAL. IT IS 'NLY FOR THE USE OF THE INDIVIDUAL NAMED ABO.vE. IF THE BEADER IS NOT ~E INTENDED RECIPIENT,. YOU ~ KEARBY NOTlFIED THAT ANY DISSEMINATION, 015- rRIBUTrON OR COpy OF THIS MESSAGE IS STRICTLY PRD- iIBITEO. IF YOU HAW REcrEVED THIS IN ERROR, PLEASE ~OTIFr us. " 5821 Gall Boulevard · Zephyrhills. FL 33541 . (813) 788-5524 . Fax (813) 780-6472 38184 Medical Cenler Avenue' Zc~hyrhil15. PI. 33540. (813) 782-3399 2Q05 07/15 FRI 09:31 FAX I4J 0021007 '~~d.\Z'WN ~\\'~;~ \\c~d ~ PROPOSAL I CONTRACT AGREEMENT eM CONSTRUCTION CORP. 30518 Scott St. SanAntomo FI. 33576 352-588-2095 813-477-7801 (Leons Cell) March 16,200S MIDTOWN CLINIC Abdul Ghana, M.D Gloria 5821 Gall Blvd. Z-Hills FI. 33541 813-788-5524 1) CRS CONSTRUCTION CORP. hereby proposes to furnish all materials and perfbrm all labor necessazy for the construction and improvements located at the above address. Work will be done according to the general construction specifications and codes. All work to be performed will be from the original work order. (attached) 2) All material will be warranted and to be of good quality, free from faults and defects for a period of one (1) year from the day of work completion. The work will be performed and completed in a substantial and workman like manner for the sum of twenty-four thousand nine-hundred fifty doll8!'S and no cents (24,950,00). Payment schedule will be a.c; follows 50% (12,475.00) will be due to start job and SOO.!a will be due on substantial completion. 3) CRS bond will start pulling permits necessary and have an electrical inspection within three working days after first draw to begin, CRS will begin work immediately after acquiring all necessary permits, 4) Owner will carry fire, theft and other necessary insurance on building to protect materials, tools and work from any unforeseen circumstances, CRS CONSTRUCTION will cmry public liability insurance and workman's compensation on all CRS employees 5) CRS and its employees will keep a clean, safe workplace cleaning up after each day. 6) Owner will allow CRS to have a COnstruction dumpster on job site. 7) Owner will give access to job site to any of eRS employees or subs of CRS 2005 07/15 FRI 09:31 FAX 1m 003/007 8) Any extra work not listed on the work order perfo.rmed must be authorized by owner and a CRS represenitive and a change order or work order will be signed by both parties. 'Ibe will be an additional charge for any work not listed on the work: order and monies due for extra work win be paid prior to starting work, 9) If the owner has any problem or concerns with work being performed or any of CRS employees or subs be will notify CRS office and we will take immediate action to correct any problem that might arise, 10) The owner may cancel contract with CRS CONSTRUCTION CORP. within three days of signing contract for a full refund (minus any accrued CRS expenses). Cancellation must be in writing and a refund disbursement will be made within three business days. ~..................................................................... Tbe persons signing this agreement represents helshe is the owner of address above and takes full financial responsibility for any monies due .Upon signing contract CRS CONSTRUCTION will acquire a bond in the amount of =-:~~ Contractor 6p15- Date rz-~/6,;J~ / Date 2005 07/15 FRI 09:31 FAX I4J 0041007 WORK ORDER eRS will provide an inspection on electrical service eRS will provide all material and labor for described work below Room #1 · Hang ~ drywall on ceiling · Texture ceiling (popcorn) · Paint Ceiling (to match existing) · Paint Walls (to match existing) · Install existing lighting · .Install existing electrical switches · lnstaI1 existing electrical receptacles · Run HV AC vents from existing duct work Room #2 · Hang W' drywall on ceiling · Texture ceiling (popcorn) · Paint Ceiling (to match existing) · Paint walls (to match existing) · Inslall existing lighting · Install existing electrical switches · Install existing electrical receptacles · Run HV AC vents from existing duct work Room #3 · Hang ~., drywall on ceiling · Texture ceiling (popcorn) · Paint Ceiling (to match existing) · Hang W drywall on walls · Texture walls (orange-peel) · Paint wall (color to match existing) · Trim. around door/window · Install bottom base trim · Install existing lighting · Install existing electrical switches · Install existing electrical receptacles · Run HV AC vents from existing duct work 2Q05 07/15 FRI 09:31 FAX I4J 005/007 Room #4 · Hang W' dtywa1l on ceiling · Texture Ceiling (popcorn) · Paint Ceiling (color to match existing) . Hang W' drywall on walls · Texture walls (orange-peel) · Paint walls (color to match existing) · Trim around door/window · lnstall existing lighting .. Install exi~1ing electrical switches · Install existing receptacles · Run HV AC vents from existing duct work Room #5 · Hang W' drywall on ceiling · Texture ceiling (popcorn) · Paint ceiling (color to match existing) · Hangll2' drywall on walls · Texture walls (orange peel) · Paint wall (to match existing) · Trim around door/window . Install existing lighting · Install existing electrical switches · Install existing electrical receptacles · Run HV AC vents from existing ducts Room #6 · Hang ~. drywall on ceiling · Texture ceiling (popcorn) · Paint ceiling (to match existing) · Hang ~' drywall on walls · Texture walls (orange peel) · Paint waIls (color to match existing) · Trim around window/door · Install exiting lighting · Install existing electrical switches · Install existing electrical receptacles · Run IN AC vent from existing duct work · Install exi~1ing sink and peplum 2q05 07/15 FRI 09:31 FAX I4J 006/007 Corridor · Hang drywall on ceiling · Texture drywall (popcorn) · Paint ceiling (to match existing) · Repair dryw-dll on walls · Hang missing drywall · Texture to match existing · Paint all waIls (paint to match existing) · Installl repair any trim · Install! repair any wall base trim · Install existing lighting · Install existing electrical switches · Install existing elec1rlcal receptacles · Run HV AC vents from existing duct work. · Install existing sink and re-plumb Examination room in main doctor's office · Remove existing lighting fixtures (save to reinstall) · Remove all water damaged drywall · Remove insulation · Check for any mold · Hang new drywall on ceiling · Tape, texture and paint to match CJristing as close as possible Bathrooms 1& 2 · Check plumbing for any leaks and repair · Remove toilet and replace wax ring · Replace any damaged tile Flooring · Replace broke or cracked tile to match existing as close as possible Entrance · Remove existing awnings · Replace with new white aluminum with gutter (4"x 4" posts- l' X 3" pans) Other work not listed to be included · L~~AIl {)jlD~ (Jlo.\-lf R~~lm2'~ ~ ~cr- \~ · Q l'E> ~ i O(\(""~""''1r~ CE=C. ""'~ . . . 2Q05 07/15 FRI 09:~1 FAX I4J 007/007 c..' c>>-.. *" PROPOSAL I CONTRACT AGREEMENT cas CONSTRUCfION 30518 Scott St San Antonio Fl. 33576 352-588-2095 813-477-7801 June 15,2005 MIDTOWN ~{NIC Abdul Ghana, M.D Gloria 5821 Gall Blvd. Z-Hills Fl. 33541 813~ 788-5524 }, CRS CONSTRUCTION hereby proposes to furnish all.mat.eria1s and perform all labor necessary for the improvements at the above address. Work will be done to general construction specifications and meet local building codes. All work to be done is listed below in work order 2, All material and labor will be warranted to be of good quality, fTee from faults and defect for a period of one year from. the date of completion. The work will be performed and completed in a substantial and workman like manner for the sum of three- thousand two hundred dollars and no cents ($3,200.00). Payment schedule will be as follow~, 50% will be to start project and the remaining will due at substantial completion. WORK ORDER 1. Remove all water damaged, rotted T -1-11 wood on gable ends. 2. Remove all rotted trim on gable ends. 3. Replace with new T -1-11 wood and trim 4. Paint and caulk any exposed wood or trim (pain to match existing) 5. Pain and existing T -1-11 that is exposed to the weather (roofing co. installed) 6. Other work. not mentioned in work order Contractor ~~..s- Licensing Portal - Complaint Filing Page 1 of 2 . Public Services Search for a Licensee Apply for a License View Application Status Apply to Retake Exam Find Exam Information File a Complaint AB&T Delinquent Invoice & Activity List Sea rch . User Services Renew a License Change License Status Maintain Account Change My Address View Messages Change My PIN View Continuing Ed Term Glossary Online Help DBPR Home Online Services Home I Help I Site Map 10:32:37 AA Complaint Filing ReQistar una Queja To file a complaint, please select the professional category from the dr, down list in the field below. If the professional category does not appei the list, please contact (850)487-1395 to ascertain whether or not the Department of Business and Professional Regulation has jurisdiction 0\1 the profession. Most complaints against regulated professionals or their establishment: confidential. We are prohibited from discussing a confidential complain with you pursuant to Section 455.225(10), Florida Statutes. For compl; filed against unlicensed persons, Community Association Managers, an complaints made with the Division of Hotels and Restaurants, Florida statute provides that any information contained in the complaint is put record. In any event, you will be advised regarding the status of your complaint. Please understand that the Department's disciplinary authority is administrative in nature. This means that the primary objective of any discipline against a professional licensee is the imposition of fines, and, suspension or revocation of licensure, It is recommended that you con~ an attorney regarding any civil remedies that may be available to you, to address any matters regarding financial damages, To file a complaint regarding an issue involving a condominium or cooperative; a mobile home park; a timeshare; a yacht and ship broke and/or salesperson; click on the Division of Florida Land Sales, Condominiums, and Mobile Homes, in the box below, for access to complaint forms and to other information relative to the Division, Generally, and with limited exceptions, Division investigations are publ records available to anyone under the provisions of Chapter 119, Floric Statutes, known as the Florida Public Record Law. DIREcnONS FOR FILING A COMPLAINT: Select the professional category from the drop-down list below and click Continue. You may ei type in your information, print the completed form and sign OR print tt blank form, type/write in your information and sign. The completed for cannot be saved to your PC, In order to make a legal evaluation, any and all supporting documenta regarding the allegations must be in the Department's possession. The https://www.myfloridalicense.comlentercomplaint.asp?SID= 07/15/2005 Licensing Portal - Complaint Filing Page 2 of2 complaint must also be signed by the complainant where indicated. In most cases, if supporting documentation and signed complaint is not received within 30 days, the complaint will be dismissed. Mail your completed form and supporting documentation to DBPR at th address on the last page of the complaint form. Select I .11- View solutions if you are encountering difficulties displaying th Complaint Form. * "Registered" contractors have been issued a license by a local government agency, wherea~ "Certified" contractor has been issued a license by the state. Complaints against registered contractors should be directed to the local building department in the county or municipality, the work was performed. * Florida Board of Professional Engineers and Florida Engineers Management Corporation (FEMe) regulates professional engineers; and the law firm of Smith Thompson, Shaw & Manausa, P. A., investigates and prosecutes the professions of architectu and interior design. To file a complaint against an engineer, access FEMC's site here. *To file complaint pertaining to architecture or interior design, please visit the site of Smith, Thomps( Shaw & Manausa, P. A. here. .... I Terms of Use I I Privacy Statement I https://www.myfloridalicense.comlentercomplaint.asp?SID= 07/15/2005 CRx:f- ) CG~1'\ ([ Re'S )<; f:: VI ~\ D \J ~ \\\ Co ~'S\J (j d ( c:J ~ li <~4l Df\Y'P(OWL;;Q &U. ~ wts ItEr C[iJt Pl[ 1'; 3 3s 4L3 213-?14- 3r90 C-OT'l1"lei' C,AL ~ 'R~s [,-AMJt-5 TEl< ColiS/RUe /.DJA( N~P7 FI . COM Med~ : A-l ~ Re) ~ /3 - '7-1 1] ~ r) 4 '3 11 3\';')"'1 Tkat>t~3 T HtlfrJl6tV' lJJ [Jesf/'1Ch1;J/e <e}J 99) ~ 970 V -4 Joe D{Ke0 r C h-f'\f\)ce'7 Rd 2. - H " \ Cs ~ 8o~ , 14 } TRANSACTION REPORT JUL/15/2005/FRI 04:00 PM P.Ol/Ol RECEIVER 97800059 TYPE/NOTE OK SG3 PASCO :CouNrr- OCClJPATIONAL.LiCENSE~ '2004-05"" ,. 1ssued pursuant end BU~to Rorida 51a\UteS and Pasco CoUJ1\Y 0Mlnance$.. IssuanCe doe& not ce!1Ify COlJlPIi8nce wftb . zoning or ~ laws.. "this r~ must ba posted conspIcU~Usly '!' place of ~~.ExpIres S~teimb8r 30.' . . . . - A~COUNT NO: 54394 -S:IC .CODE~ 1.?B9-:0'S LOCATJ:ON ADDRE'SS:: . . . 30S18'SCOTT STREET'...... . SAM .AN'lONIO .. . " . DATE RECE:Ipi.. : :A~OU.~.:. 12/17./04 .47071.6" 1'6..:5,0. I 1 I I I \ I 1-15;~~; ~~. . \~J \~ -~.' - - -----.. ----'..--- ~--- .._-_.._..~~~. '. ~ cfis .~ .CO.nstriiction ~~~~ . .. New Horne ..~merci.Jll . · AdcIIons Ie RemodeJ - ( · Bull 0UIs · Gara.ges a Shed& · Office RanovaIIons .. Abninwn StIuctures . tIandicap Access .. Insurance CfCl/ms .. Steel UcIng . RnancIaJ AIIIIIonceA . Malntencmce ~:_~~~_3) 4~!.-780~.__.Offi=il58a.~09S -_...... r PASCO COUNTY OCCUPATIONAL LICENSE 2004-05 Issued pursuant and subject to Rorida Statutes and Pasco County Ordinances. Issuance does not certify compliance with ' zoning or other laws. This license must be posted conspicuously in place of business. Expires September 30. ACCOUNT NO: 54394 SIC CODE: 7389.05 Mike Olson' TAX COLLECIDR PASCO COlTh."TY FLORIDA ,TVP.E. ,OF BUSINESS,; SERVICE lOCATION ADDRESS: 30518 SCOTT STREET SAN ANTONIO DATE 12/17/04 RECEIPT. 470716 . AMOUNT. 16 .5.0 /',01' L 1/10 -rftJ~ q?({:Jo ~II. 0~ .~ -.----...-.----~ "\ / // ~-t~~ Resldeq~nstruction- . New Home . Commerclqf . Adc:ItIons Be Remodel l . Build Outs · Garages Be Sheds . 0ftIce Renovations . Aluminum Structures . Handicap Access . Insurance Claims . Steel BuDdIng . ':t . MaIntenance rinanclal AssIstance Available leon: (813) 477-7801 Office: (35~ 588-2095 i / / / ,// -- / ---~ Licensing Portal- Search Results Page 1 of 1 Public Services Search for a Licensee Apply fora License View Application Status Apply to Retake Exam Find Exam Information Find a CE Course File a Complaint AB&T Delinquent Invoice & Activity List Search User Services Renew a License Change License Status Maintain Account Change My Address View Messages Change My PIN View Continuing Ed . Term Glossary . Online Help DBPR Home I Online Services Home I Help Site Map 10:15:15AJ Search Results Please see our glossary of terms for an explanation of the license status shown in these search results. Name License Status/ License Type Name Number/ ( Type Rank Expires Certified LUCAS, CBC058850 Null & Void Building THERESA Primary Cert. 08/31/2000 LAKI Contractor MARIE Building 7_- -/::t -O~ .3 f(;~. --- - ~ {l&~ J6;1~ c---- . '1~~~- 0~ .fA .uH()J. /J JM ~ e.a:5 J.dJC .uJ.k ~. /L.@' . L)~U ?~ M~cr~ e~.j;#i ~~ #: j~ -ti.l tA~ 2 ~.;P ~f,~~' fi~i:;~{~~ "I BOBBIE S, SWETLAND Certified Licensinj; Official Sr. Code Support Specialist Ci!)r of ZephyrhiJls {J. y.. 'l R/f/( rI ~~.~. ~, .. '. ."'< "'.J i-.'::' r.JJ l'l i\l. \ ,-- 5335 EIGHTH STREET Zephyrhills, Fl 33540-4312 TEl. (813) 780-0020 FAX (813) 780-0021 SUNCOM: 514-9620 Email: bswelJond@ci.zephyrhills.ft.us httos:llwww.mvfloridalicense.comllicensing/w112. isp~isessionid= ECNJPGDDMKNBkKi... 07/15/2005 P.01/01 TRANSACTION REPORT JUL/15/2005/FRI 11:34 AM RECEIVER 97806472 Licensing Portal- :Search Results P.ubflc'Servlces 'Search1or.a Licensee Apply for a License View Application Status Apply to .RetakeExam . Find Exam lnformation . Fin.d a CE Course File a Complaint. AB&T O~linquent1nvoice & Activity ~ist Search . UserServi.ces Renew.a License Change LIcense Status Maintain Account Change My Address View Messages Change My P1N View Continuing Ed - ..-.... ..... Term Glossary . Online Help I I ! TYPE/NOTE OK FILE SG3 1410 P8:ge l.ofl .;c: 'I~' "'."1"'~-'ctl" ,"".. :[!'-n' """ ,.-"" .-'" tI!' .. ~ " -, ~ .' Itf ' ." .~~ .,...... I ..... ,,\#~ .. ." . , 0" ,. .,.. ..,.. ""'~. l"" , ~" - " ~. I ~ .......~ ,r- '- ~;l.. ~ ' [". L; ::->;:::: ,=. N L ~.!::: S E R '.' ' -: ::= s DBPR-Home'l 'OnlineServices-Home I.Help I Site:Map 10:"15:15Al SearCh'Results 'Please 'see our glpssary of termsior an' explanation of1he license status shown in -these search results, 'Name 'Ucense . 5tatu~/ License Type Name 'Number/ ( Type 'Rank 'Expires ,Certifi~d' lUCAS~ CBC058850 Null & Void .Bulldlng THERESA Primary Cert. 08/31/.2000 LAKI Contractor ~ARIE "Building L 7-/-S ":"405""" ;rJ-t&-- J/J~ ~ i~~~~.-: \ w& ~ea-15 -' :ii \ ~. 1L~J1?' . /J1f.L, R,f)1' '. ~ II.~~ I .1-.1.6 ~~ . . ~'- ~ . #: ~. ~ ~jv . . ~-r;;- i .f~-u;;a.. . J;j;.i;~~~. "1 - . . ,'..--.-----..--.'-- -.. BOBBIE S', SWETLAND Certified Licensing Official Sr, Code Support Specialist CiD' of Zephyrhills ,; , i ..v~'{"~/j/<<( 'Wj... ~'~~...1i t~::.. .,:P -:. -~-- -::: ~ ~ ::: r~/'-"~, ~: '':.. 5335 EIGHTH STREET '7__...........:11.... r1 "J':t~..n ""'11'\