HomeMy WebLinkAbout07-6930
....
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6930
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees: 9,855.39
Amount Paid: 9,855.39
Date Paid: 8/16/2007 Phone:
Work Desc: SLEEP CENTER NEW CONSTRUCTION
6930
COMMERCIAL
NEW CONST/COMM
NOT APPLICABLE
361,000.00
Address: 6233 ABB A ION DR
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 03-26-21-0200-00000-00BO
CAMBRID
PO BOX 48155
TAMPA FL 33646
813 788-6257
A E
FIRST CLASS ELECTRIC INC
COLBY JAYNES PLUMBING INC
CHRIS' AlC CO.
PLUMBING FEE
RADON
WATER CONNECTION COMMERC
WATER METER COMM 1"
FIRE IMPACT FEE
FIRE PLAN REVIEW FEES
216.00 MECHANICAL FEE
36.81 SEWER CONNECTION COMMERC
1,388.41 IRRIGATION CONNECTION
320.00 POLICE IMPACT FEE
609.00 PUBLIC SAFETY 5%
147.24 FIRE INSPECTION FEES
151.20
4,196.88
266.00
567.24
58.81
45.00
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FOOTER BOND DUCTS INSULATED SEWER MISC.
ROUGH ELECTRIC LINTEL MISC MISC.
1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC.
DUCTS INSTALLED WATER MISC DRIVEWAY
PRE-SLAB SHEATHING MISC. MISC.
CONSTRUCTION POLE FRAME MISC. MISC.
REINSPECTlON FEES: Reinspection fees will comply with Florida Statute 553.80 (2)( c) when extra inspection
trips are necessary due to anyone of the following reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspections 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.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
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."
OR TURE PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
City of Zephyrhills Permit Application
Building Department
-If p13~
Phone Contact for Permitting
813-780-0020
Date Rec~ived
Owner's Name
Owner's Address
Fee Simple Titleholder Name
Fax-813-780-0021
SUBDIVISION PARCEL 10# I
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED eg NEW CONSTR ADD/AL T D SIGN D MOVE D DEMOLISH
INSTALL REPAIR
PROPOSED USE D SFR COMM D OTHER
TYPE OF CONSTRUCTION IXJ BLOCK FRAME D STEEL OTHER I
DESCRIPTION OF WORK Ctyv\ fV\R.-y I' C <<P
BUILDING SIZE SQ FOOTAGE I 3"?>1 HEIGHT
00 BUILDING 1$ gOO/COO
rKJ ELECTRICAL 1$ :J~ I ()1J7)
00 PLUMBING 1$ It, dlfD
00 MECHANICAL 1$ ( 7, oD'D
D GAS rn ROOFING D
FINISHED FLOOR ELEVATIONS ~~~. KL 9~.D
AMP SERVICE
VALUATION OF TOTAL CONSTRUCTION
WR.E.C.
00
D
PROGRESS ENERGY
VALUATION OF MECHANICAL INSTALLATION
SPECIALTY D OTHER
FLOOD ZONE AREA DYES
BUILDER
SIGNATURE
ELECT~N
SIGNAtyjiE
Address
PLUMBER
SIGNATURE
Address
MECHANICAL
SIGNATURE
OTHER
SIGNA TURE
COMPANY
REGISTERED
Address
Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster
Attach (3) sets of Building Plans; (1) set of Energy Forms.
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster
All commercial requirements must meet compliance.
Attach (2) sets of Engineered Plans.
****PROPERTY SURVEY required for all NEW construction.
RESIDENTIAL
COMMERCIAL
SIGN PERMIT
License # I c...& c. j -;. t; I- () '1 (J.
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License # I ~ 1l};).G: ~I ~
~(. !:LS", lb7~
License # I ~ c.. D~ IQ ~lS
I
I
I
I
I
Y I N
FEE CURRENT
Y/N
License #
Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement is required. (A/C upgrades over $5000)
Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs Sewers Service Upgrades AlC Fences (PloUSurvey/Footage)
Driveways-Not over Counter if on public roadways.. needs ROW
NOTICE Of DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be required to be licensed in accordance with state and local 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 Pasco County Building Inspection Division-Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law-Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the "owner", I certify 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.
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, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other government 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 Protection-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.
US Environmental Protection Agency-Asbestos abatement.
Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
Use of fill is not allowed in Flood Zone "V" unless expressly permitted.
If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction, I certify that fill will be used only to fill the area within the stem wall.
If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. 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 codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is 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 N ATTOR EFORE RECORDING YOUR NOTICE OF COMM NCEMENT.
FLORIDA JURAT (F.:..1.1,\03) ....... // r----.,
OWNER OR AGE.tlT " . . ~ .J::.' /--..L CONTRACT
Subscribed ant;wor~~~~~~!the this Subscribe and ~wo tJ:A~tc.";d) ~~'fhthis
Who is/are personally known to me or has/have produced Who is/are p onally known to me or has/have produced
- as identification. as identification.
1maJUJAJand
Notary Public
j)alUlIrl . {JiJd
Notary Public
Commission No.
",: "u6l- Dana M. ward
. .~ ., ~(Hi;
Name of Notary typed, .r~ tE!d)(pw~eguIY 14, 21AI~ .,
.', J ~ rMY Fam . Insurance. InC. ~~=:.~
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City of Zephyr bills i
'BUlLDlliG PLAN REVIEW COlvIlv.IEN'TIS
Site:
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}..1eeJ Urrwnen'cJ (!i3>~
Appro~ed withe below comments: .~ Denied wIthe below comments: 0 '
Contractor/Homeowner:
Date Received:
Permit Type:
Approved wino comments:D
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This c6mment sheet shall be kept with-the pemUt and/or plans.
andlor,Romeo-wner
. eel when ccmiments are present)
COMM ./ RES
F.EESHEET'
~~?? A006/'l ~15t-ll~4"
Square Feet:
Valuation:
Radon:
Connection Fees:
Sewer:
Water:
Water Meter:
7
~..gc;-
Rate Computed At: ~ ~~ ~ ~ ~
~se System Calc for Fees)
.if. Itt \t) ~ b ~
, I
O~ ..i-I
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Size
%"
1"
1.5"
2"
3" &4"
I rrigation Connection:
Impact Fees:
'School:
Park:
Current $. 6/11/07 $.
180.00 ' -22MlO
250.00 ,C320.0"b
'650.00 725.00
875.00 990.00
Contact Louie for Quote
~8
All Residentials
Plus Meter Charge Above
Based on size
Transportation: ~ SlD{~c)~':>
~'\f' '->~ ~r-1
Public Safety: 4 '1'7-~ & oS
1'/5". : ~ X ~! '+'6 -; <oe-~" ~ 7.>
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SLEEP CENTER-VILLAGE SQ 6233 ABBOTT STATION DR PERMIT
#6930
SQ. FEET PRICE
MAIN OR LIVING: 43.290 $ 0.85
OTHER AREA UNDER ROOF: 3,681 $ 104.00
OTHER: - $ -
VALUATION $ 419,620.50
FEE SHEET $ 1 ,440.00
ADDRESS $ 30.00
DRIVEWAY $ 30.00
BUILDING: $ 1,528.80
ELECTRICAL: $ 324.00
PLUMBING: $ 216.00
MECHANICAL: $ 151.20
SUB-TOTAL $ 2,220.00
RADON: $ 36.81
TOTAL $ 2,256.81
SEWER: $ 4,196.88
WATER: $ 1,388.41
IRRIGATION: $ 266.00
TOTAL: $ 5,851.29
WATER METER:I $
IRRIGATION METER $
320~00 1_
FIRE DEPARTMENT FEES
PLANS TOTAL: $ 147.24
INSPECTION TOTAL: $ 45.00
PERMIT TOTAL
TOTAL: $ 192.24
PUBLIC SAFETY IMPACT FEES
POLICE $ 567.24
FIRE $ 609.00
5% $ 58.81
TOTAL: $ 1,235.05
1 'C
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SUB-TOTAL $ 9,855.391
PARK IMPACT FEES I $ I N/A
SIF'S: $ -
100.0% $ -
1.0% $ -
TOTAL: $ -
N/A
TI F 'S 'I $
99% $
1% $
: I N/A-5llVEROAKS PROVISION
TOTAL: $
9,855.39 I
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PASCO COUNTY, FLORIDA
Permit No. 6 9 ~
Date Permitted f';;-I(, -0 7
Builder Name/Owner Name ~I~e S$uP..,.e~ti::ft..s.control # ' ,
County Parcel No. 03-2f,-zl-D2.Do -600o<.rbOBD SubDiv: 2>lverba.k-.S
Address/Location & 23:' Mb D ~+ uk--h' l) " Dr-
~MU; ctLO (Sle.e.p (en-.kr )
Classification/Type of Us,?
TRANSPORTATION IMPACT FEE.
Rate:
Sq Ft Unit:
Exempt 0 Yes 0 No
How Determined
Impact Fee Amount $
n
TAl:
Zone No.
SCHOOL IMPACT FEE
Account (056) Single-Family Detached House
(057) Mobile Home
(058) other Residential
J.:123) Collection Fee
Exempt U Yes 0 No' How Determined
Amount $
o
PARKS AND RECREATION FEE'
Land Account Land Credit
Land Total
Recreation Account
Recreation Credit
Recreation Total
Zone
TOTAL AMOUNT
$
o
Exempt 0 Yes 0 No
LIBRARY FEE
Land Account
How Determined
Land Total
Land Credit
Facility Account
Facility Total
Facility Credit
Exempt 0 Yes 0 No
Total Amount
How Determined
RESOURCE FEE ERU
TOTAL AMOUNT ()
Prep"ad By (~_ K;E'- ~ Checked By
NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION
PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE
BEEN PAID AND
RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY
Acknowledgement below does not Imply acceptance of concurrence, but simply receipt of a copy of thll! form, placing
the building permit owner On notice of this assessment and the conditions of payment for same.
DATE
RECEIVED BY
RECEIPT NO.
DATE
BY
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PERFORMANCE BUSINESS PRODUCTS. INC. 813-71\1-8008 FAX 813-719-7919
CITY OF ZEPHYRHILLS
ZEPHYRHILLS, FLORIDA
WATER ACCT. NO.
/-7--06
DATE
~i:~ y; Il~~ S~f'
MAILING ~ l <.t-<-t Ot+- ~ "21h ~b /
2e fut r- hJ t Is Cf-L
SERVICE ADDRESS C, 2-~3 :3 cfJbb() V:=f- (,)~ i < tfY\ ~
~ATER
6111 rS
SHUT OFF SERVICE
o
TURN ON SERVICE
[iI/
~
o SEWER
INSTALL METER
o GARBAGE
~CITY
READ METER
o
CHECK METER
o
o OUT CITY
-L No. OF UNITS
OTHER
o
_ DEPOSIT AMOUNT
3/1-' I f't')jct.~ ~ ~
t€Jt0'\l '+ * fa 930
_ AMOUNT LAST BILL
_ DATE
_ MISC. CHARGE
WORK COMPLETED BY
& DATE COMPLETED
ORDER TAKEN BY
.J
Retain white form in office at all times.
Send pink & yellow forms to Water Service Dept
Water Service Dept. to sign yellow form & retur 0 office.
r
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PERFORMANCE BUSINESS PRODUCTS. INC, 813-719-8008 FAX 813-719-7919
~
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CITY OF ZEPHYRHILLS
ZEPHYRHILLS, FLORIDA
WATER ACCT. NO.
OWNER! ~ /2.
RENTER f."lIII!iIlI: \S1"l\o.<;] ~)(:".. ~ 0 'o[d\""s
MAILING l.D 14 4 (l ~\r~ ~ '"'be t* 10 \
"2e(->h.y'Chl \\s.
~
n
n
'f'
1')-~78Cc
DATE \ \- (0-07
L.o(~12-07) ..y
SERVICE ADDRESS
(6~)
lD~3~ ~bbo* 5\..r1n.UY'\ ~
WWATER
SHUT OFF SERVICE
D
TURN ON SERVICE
if
~
INSTALL METER
READ METER
D
D
D
CHECK METER
OTHER
\nw~ ~
t1~m'\.\- &,0'30
METER:
full
irrigation
WORK COMPLETED BY
& DATE COMPLETED
ORDER TAKEN BY
ORDER GIVEN BY
Retain white form in office a1 all times.
Send pink & yellow lonns to Water Service Dept.
Water Service Dept. to sign yellow lonn& return to office.
-f No tJOcn'L C~ ~~~
Cc.eo:t:Ju:'""_~ ~. o. C~ l q (P{G7.
D SEWER
o GARBAGE
GV'IN CITY
D OUT CITY
---1- No. OF UNITS
_ DEPOSIT AMOUNT
_ AMOUNT LAST BILL
_'DATE
_ MISC. CHARGE
J
p~> )(\
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SOUTHWEST FLORIDA
WATER MANAGEMENT DISTRICT
NOTICE OF
AUTHORIZATION
TO COMMENCE CONSTRUCTION
Silver Oaks Village - Phase I
PROJECT NAME
Residential
PROJECT TYPE
Pasco
COUNTY
3/26S/21E
SEC(s)/TYP(s)/RGE(s)
Smith Cattle & Grove, Inc.
PERMITTEE
Application No. :
441102.09
DATE ISSUED:
May 12, 1997
THIS NOTICE SHOULD BE CONSPICUOUSLY
DISPLAYED AT THE SITE OF WORK
(10/92)
CITY OF
ZEPMYRHILLS
"NOTICE"
OF ADDITION OR CORRECTION
BUILDING
DEPARTMENT
DO NOT REMOVE
PERMIT ",.
~~~~ b~~~
THIS JOB HAS NOT BEEN COMPLETED. T~e following additions or corrections sholl be mode before the job
will be accepted.
..5J"
Ml N)IVI-J ,vi L.Y:"If of ~U'H)J- '7T~F- L.
ADDRESS
s~'-\.. ~1?
~
25(N~~<? 5'1~a.AL \3.1\1 &lN~ sr\t7LL
-f y\'r,J"" '\ D )2 r2-O-f~ \ R \) B:TY4 \ L 6 yL L\5- '~Jo..... c f
t'1C-L-~'1J'9N c.. P. .
OFFICE HOURS 7:30AM -4:30 PM MON.-FRI.
AFTER CORRECTIONS ARE MADE CALL
780-0020 FOR RE-INSPECTION
INSPECTOR~\.J ~~
It is unlawful for any Carpenter, Contractor, Builder, or other persons, to
cover or cause to be covered. any part of the wor\( with flooring, lath, earth
or other material, until the proper inspector has had ample time to approve
the installation.
Zephyrhills Fire Rescue
6907 Dairy Road, Zephyrhills, FL 33542
Fire Chief
Kerry Barnett
Bus (813) 780-0041
Fax (813) 780-0044
August 15,2007
I have reviewed and approved the plans for a medical office located on Abbott Station
Dr. I have attached the comments for the plan approval. If there are any questions please
contact my office at 813-780-0041.
1. Install knox box on front of building on either side of the front door at a height
of 6 feet. Application is provided.
2. Doors in fire rated rooms (laundry and dirty rm) shall also have a fire rating
inline with the walls.
3. Add emergency light in bathroom between pt room I and pt room 2.
Emergency lights not required in pt rooms or tech areas.
4. Install panic hardware on rear exit doors.
Inspections Required
1. Fire wall and ceiling inspections, both screw and fInal.
2. Building final.
Fire Chief Robert Hartwig
ZEPHYRHILLS FIRE DEPARTMENT
6907 Dairy Road, Zephyrhills, FL 33542
Bus (813) 780-0041 Fax (813) 780-0044
FIRE SERVICE U~~~ ,,/' ,
Occupancy No.: cl. t-I~ ~
Plan No.: 07-~"~. Billing Address: ~ - a
Business Name: <t::1, V/ /O~
BusinessAddress: .. ~ ~htflt'h f-.r7 t53~
Business Phone No.: Billing Phone No.:
Business Fax No.: Billing Fax No.:
Contact: Contact:
PLAN REVIEW FEES INSPECTION FEES PERMIT FEE
~ite p,,, N/C Annual N/C
?t#) uilding Plans .04 sf 1 st Re-inspection $25
Revision .06 sf 2nd Re-inspection $50
3rd Re-inspection $125
STANDPIPE SYSTEM 4th Re-inspection $250
o Per Riser $25 5th Re-Inspection $500
Construction $15
Commercial $25
SPRINKLER SYSTEMS
o 0 - 25 Heads $30
o 26 plus Heads $60
FIRE PUMP
o Per Pump $100
FIRE ALARM SYSTEM
o 0 - 25 Devices $30
o 26 plus Devices $60
SUPPRESSION SYSTEMS
~ Wet $35
Dry $35
C02 $35
Other $35
GREASE/VENTILATION
o Hood/Ducts $35
PLANS TOTAL L/ff:! ~
Comments:
GREASENENTILATION
o Hood/Ducts $15
~ 0 Kitchen Suppression $15
INSPECTION TOTA~ PERMIT TOTAL!
GRAND TOTAL i 9 eZ ;ZJ/
SPRINKLER SYSTEMS
Hydro Undergrounds $45
Hydrostatic System $45
Wet Acceptance $30
Dry Acceptance $45
Hydrant Flow $25
Hood / Booth $30
Grease Duct $15
FIRE ALARM SYSTEM
o System Acceptance $50
o Recall Acceptance $50
OTHER
Fire Wall/Smoke Wall
LP Gas
Natural Gas
Fuel Tanks
Tent
$15:t5
$25
$25
$25
$15
SPRINKLER SYSTEMS
o Automatic $15
FALSE ALARM FEE
1 st Alarm N/C
2nd Alarm N/C
3rd Alarm N/C
4th Alarm $25
5th Alarm $50
6th Alarm $75
7th Alarm $100
8th Alarm $150
9th Alarm $200
10th Alarm $250
Non Compliance $150
"Affidavit of Service/Repair"
FIRE PUMP
o Fire Pump $15
FIRE ALARM SYSTEM
o Detection $15
OTHER
~ LP Gas
Natural Gas
Fire Works
Fuel Tanks
$45
$45
$25
$45
FALSE ALARM I
TOTAL
~(/~ ~
I 1'7 6vvl-- 1M
Date:
Inspector:
r),' r! i
DATE:
--f /3 J Iff1
CITY OF ZEPHYRHILLS - BUILDING DEPARTMENT
RIGHT-OF-WAY USE PERMIT
PERMIT# G f go
No construction under gronnd or above ground of any facility shall be accomplished on any City Rights of Way without written approval from the
City Building Department. Any application for approval of construction operations on any City owned Rights of Way shall furnish a detailed drawing
showing the complete scope of the proposed work in triplicate to the office of the Building Official for approval prior to the commencement of any work. A
copy of this permit is to be kept readily available at the site of the work at all times. f\
PARCEL I.D. # D ~ ' ~lo, ~, ~ O'jDO.... DCroO - DD&fl CITY ROAD ~7T:; 7irnOI-J tJl2 "
DATE 7/;'/0/
LOCATION (Legal Description) :
- S~ ,-VtiL ~~ V, I-~'~ - P~t DrJL
ffi ~S P6-~ los, (p 1 TflAQ ~ DRfoo1SP6 49/0
"'m'''" I. '~b"m'kd to 1-mJtt S' H roM- ~
for the construction and maintenance of -A1l0jTIi)~ft1.. ~ t\J6r
of
Vtl-,..~Stt~ ~\ ,~C.
_subject to the following conditions:
I. The construction and maintenance of such utility shall not interfere with the property and rights of a prior occupant.
2. All work shall be done in keeping with the standards of the City Streets Department and under the supervision of the City Building Official, who
will be notified at least one day prior to commencement of construction.
3. All materials and equipment shall be subject to inspection by the City Building Official.
4. During construction all safety regulations of the Department of Transportation shall be observed and the City shall be relieved of all
responsibility from damage of any nature arising from this permit. Subject to the same terms and conditions, the permit holder may take such safety
measures, including placing and display of caution signs, as it may deem necessary in conduct of construction and maintenance work hereunder. It is the
responsibility of the permittee to ????
5. All private and all City properly shall be restored to its original condition as far as practical in the opinion of the City Building Official.
6. All underground crossing installations shall be laid at such depth as may be specified by the City Building Official.
7. The sketch covering the details of this installation shall be made a part of this permit. This permit is granted with the understanding that the
applicant has notified all other utility users in the area covered by the permit and takes full responsibility for any damage incurred by prior installations as a
result of his operations in order that they may safe guard their interests.
8. It is expressly stipulated that this permit is a license for permissive use only and that the placing of facilities upon public property pursuant to
this permit shall not operate to create or to vest any property right in said holder.
9. Whenever the City decides to further exploit the City Rights of Way, any or all said poles, wires, pipes, cables, or other facilities and
appurtenances authorized hereunder, shall be immediately removed from said Rights of Way, or reset or relocated thereon as required by the City Building
Official at the expense of the holder of this permit.
10. The holder shall save and keep the City harmless from any and all damages, claims, or injuries that may occur by reasou of the construction,
maintenance, and operation of said facility.
11. The holder shall complete the requested work within days or this permit shall become null and void. In the event the work
requested is not completed upon the expiration date of this permit, the City shall have the right to complete such work and to charge the holder of the permit
for all costs incurred in completing said work.
12. The holder shall post a cash or surety bond with the City Manager in the sum on dollars to guarantee performance ofthe
obligations herein, and to guarantee maintenance of the right-of-way described herein for a period of one (1) year following completion of the requested
installation. In the event a surety bond is posted, the surety bond shall be made payable to the City and shall obligate the surety to hold the City harmless in
the event the holder of this permit should fail to meet any of its obligations hereunder. The bond shall also indemnify the City for all court costs and
reasonable attorneys fees in the event legal action is required to collect on said bond.
Address
f2, I t;:,{;-A) j
IL ilOI
(Permittee
APPROVED BY:
B\JILDINCi SHALL COMPLY WITH
A~L APPLICABLE CITY OF
:'tBP'HYRInLLS ORDll,'lA.NCE.
~::~~.,o~~~~q
Utilities Supervisor cor'
Date: t'"~
Public Works ' ~,~
;~~"'" *g~--
CITY OF ZEPHYRHILLS
J/I
BUILDING SHALL COMPLY WITH
ALL '\PPUCABLE BUILDING
13LECTRfCAL, PLUMBING ANn
\1.J3'C'H!",NIiC!:J. CODES,
~ fU!tC: MtlD(~
e>/7/17 -
ele~lt~i ~ B-f,-c'1
PERMIT APPLICATION
.
DRIVEWAY PERMIT APPLICATION
CONSTRUCTION WITHIN PUBLIC RIGHT-Of-WAY
All information must be filled-in completely
City of Zephyrhills
5335 8th Street, Zephyrhills, FL 33542
Telephone 813.780.0000 Fax 813.780.0005
PROJECT I JOB SITE:
I
CONTRACTOR:
~ I-Qf't4. c:.. I/~L.
Zi:
Fax:
DescriDtion of Proiect
C~NSTRUcnON MATERIAL
_ASPHALT
_CONCRETE
HEADWALL REOUIRED? _YES ~ NO
LENGTH OF DRIVEWAY
]Q:WIDTH OF DRIVEWAY
R.O.W. EXCAVATION
DEPTH f'L..-.UNEAR FEET
~4. "i'-'t V~
CURB CUT RE~ED
_YES NO
CULVERTS NEEDED
( ) REINFORCED CONCRETE
( ) CORRUGATED MATERIAL
( ) BOX CULVERT
( ) OTHER (EXPLAIN)__
TYPE OF DRIVEWAY
RESIDENTIAL DRIVEWAY
X COMMERCIAL DRIVEWAY
_PUBLIC ACCESS DRIVEWAY
NOTICE TO APPLICANT: If actual work exceeds scope of this description, additional permits or drawings
will be required.
UTILITY LOCATIONS REOUIRED: CALL BEFORE YOU DIG: 1.800.432.4770
Page 1 of 3
PERMIT APPLICATION
. .
UTILmES LOCATE CONFIRMATION NUMBER:
PROVIDE SKETCH IN THIS AREA, IF ADDITIONAL SPACE IS REQUIRED, ATTACH TO THIS
APPLICATION.
("
tp
AFFIDAVIT: Application is hereby made to obtain a permit to do work and installations as indicated. I certify that all foregoing
information is accurate and that all work will comply with all applicable codes. I understand these codes shall take precedence over all
approved construction documents, and issuance of this permit is verification that I will notify the property owner of Florida Lien Law
req., F.S. 713.
The issuance of this permit does not ensure compliance with deed restrictions and I understand that additional deed
restrictions may apply to this property.
All work shall comply with the current Florida Building Code, Public Works Design Manual and FOOT Design
Standards (if applicable). (Public Works DE!sign Manual online link: www.ci.zephyrhills.f1.us/public_works.asp)
APPLICATION IS VOID UNLESS SIGNED WITH PROPER IDENTIFICATION AND WITNESSED BY A PERMIT
TECHNICIAN OR NOTARY PUBLIC.
NOTE: The City of Zephyrhills is not responsible for maintenance or repairs of driveways. Driveways shall not alter I
interfere with existing stormwater treatment and I or conveyance.
PROPERTY OWNERS: By signing this application: I certify that I have read and understand the owner/builder disclosure
statement. (please initial) J
"~a /~ ,SM r-rr\ ,/~l> b'7
Applicant Print Name Date
Permit Technician Signature (or) Notary Signature
Applicant is (4ersonally known to me or produced
(type of identification)
Page 2 of 3
.PERMtt APPLICATION
, ~ )..
OFFICE USE ONLY
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Y N
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N
Existing sidewalk.
8-.0
Length (min. 19')
Width (10' min - 20' max)
New sidewalk.
Y
Contiguous parking pad.
ADA compliant.
Expansion material required.
Triangular flare (3W x 7'L)
Y N
<&> "'" III\.Gtlel
l~ I f<.
Visibility triangle o.k.?
N
Side set back (3' min. R.O.W.)
Y N
&.I
Plan Review Fee
'iAdditional\descri" 6ontof~worK:as;:aetinedili;';;!Pu6Iic'WorksjDireaor::and[oj'1'desi
nee::
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Permit application approved by:
Date: 8
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Page 3 of 3
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STORM INLET
GRATE ELEV A TlON=9US'
SOUTH\oIEST INVERT=S7.90'
/ "" ",",,"S,7',7, ,0",/
L 6,00' LANDSCAPE
"""""j/ BUffER EASEMENT &r1J'
15.00' DRAINAGE 0...; J
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: TOP ELEVATION 91.6
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. PERMIT APPLICATION
....-..............................-..'..
c.:~ ".'0.. _
.'.' -.",
DRIVEWAY PERMIT APPLICATION
CONSTRUCTION WITHIN PUBLIC RIGHT-Of-WAY
All information must be filled-in completely
City of Zephyrhills
5335 8th Street, Zephyrhills, FL 33542
Telephone 813.780.0000 Fax 813.780.0005
PROJECT/JOB SITE:
Address:
Unit #:
Parcel Identification Number:
u
CONTRACTOR:
~ ~(}f:tt. ~ , I#.)L.
Zi:
Fax:
DescriDtion of Proiect
TYPE OF DRIVEWAY
RESIDENTIAL DRIVEWAY
>< COMMERCIAL DRIVEWAY
_PUBUC ACCESS DRIVEWAY
~ LENGTH OF DRIVEWAY
~WIDTH OF DRIVEWAY
R.O.W. EXCAVATION
DEPTH 1"'L-UNEAR FEET
~~'-.e ~
CURB CUT RE~ED
_YES NO
CULVERTS NEEDED
( ) REINFORCED CONCRETE
( ) CORRUGATED MATERIAL
( ) BOX CULVERT
( ) OTHER (EXPlAIN)
C~NSTRUCTION MATERIAL
_ASPHALT
_CONCRETE
HEADWALL REOUIRED? _YES )C. NO
NOTICE TO APPLICANT: If actual work exceeds scope of this description, additional permits or drawings
will be required.
UTILITY LOCATIONS REOUIRED: CALL BEFORE YOU DIG: 1.800.432.4770
Page 1 of 3
PERMIT APPLICATION
UTILITIES LOCATE CONFIRMATION NUMBER:
PROVIDE SKETCH IN THIS AREA, IF ADDITIONAL SPACE IS REQUIRED, ATTACH TO THIS
APPLICATION.
tp
AFFIDAVIT: Application is hereby made to obtain a permit to do work and installations as indicated. I certify that all foregoing
information is accurate and that all work will comply with all applicable codes. I understand these codes shall take precedence over all
approved construction documents, and issuance of this permit is verification that I will notify the property owner of Florida Lien Law
req., F.S. 713.
The issuance of this permit does not ensure compliance with deed restrictions and I understand that additional deed
restrictions may apply to this property.
All work shall comply with the current Florida Building Code, Public Works Design Manual and FOOT Design
Standards (if applicable). (Public Works ~sign Manual online link: www.ci.zephyrhills.f1.us/public_works.asp)
APPLICATION IS VOID UNLESS SIGNED WITH PROPER IDENTIFICATION AND WITNESSED BY A PERMIT
TECHNICIAN OR NOTARY PUBLIC.
NOTE: The City of Zephyrhills is not responsible for maintenance or repairs of driveways. Driveways shall not alter I
interfere with existing stormwater treatment and I or conveyance.
PROPERTY OWNERS: By signing this application: I certify that I have read and understand the owner/builder disclosure
statement. (please initial) )
^~a A .SM r-rM ., /~i:> c/7
Date
Applicant Print Name
Permit Technician Signature (or) Notary Signature
Applicant is (~ersOnaIlY known to me or produced
(type of identification)
Page 2 of 3
PERMIT APPLICATION
.
OFFICE USE ONLY
~<iLl: c:cc:::,,!;"''f
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,'iT:'!" :j:: 1: ,: ~:f: 'i: i. U
Concrete (min. 6'') Y N
Asphalt Base (min. 6'') Y N
Asphalt (min. 1 V2'') Y N
Length (min. 19') Y N
Width (10' min - 20' max) Y N
Existing sidewalk. Y N
New sidewalk. y N
ADA compliant. Y N
Expansion material required. Y N
Contiguous parking pad. Y N
Triangular flare (3W x 7'L) Y N
Visibility triangle o.k.? y N
Side set back (3' min. R.O.W.) y N
Plan Review Fee
i:AaClltion'ar~ClesGriDtionr:of~iwoil"~as'jCleti'nea~r!IiYBPuf:Jlia~WorlCSijDirectOtltianaljo~jaesianee: "" ':f::;;,c;:::;t! '.'_n ~i:fi:;:n<
C"".,.'":;:;',"; ;'T"';"'~'i:;: ;.,.,...,........ .. "',c
Pe rm it a p pi i cation a p proved b y: Date
Page 3 of 3
Florida Energy Efficiency Code For Building Construction
Florida Department of Community Affairs
FLAlCOM2004v2.5 -- Form 4008-2004
Method B: Envelope Trade~Off Compliance for Commercial Buildings
PROJECT SUMMARY
Short Desc: SLEEP
Owner:
Address1:
Address2:
Description: SLEEP LAB BUILDING
Type: Healthcare-Clinic
Jurisdiction: ZEPHYRHILLS, PASCO COUNTY, FL (611600)
Cond Area: 3488 SF Cond & UnCond Area: 3488 SF
No of Storeys: 1 Area entered from Plans 3488 SF
Permit No: 0 Max Tonnage 4.8
If different, write in:
City:
State:
Zip:
Class:
ZEPHYRHILLS
FL
o
New Finished building
7/30/2007 EnergyGauge Summit v3.10 incorporating Florida Energy Code Version - FLA/COM 2004 v2.5
Compliance Summary
Component Design Criteria Result
ENVELOPE 302.3 347.0 PASSES
LIGHTING POWER 2,992.0 3,332.8 PASSES
LIGHTING CONTROLS PASSES
EXTERNAL LIGHTING None Entered
HV AC SYSTEM PASSES
PLANT None Entered
WATER HEATING SYSTEMS PASSES
PIPING SYSTEMS None Entered
Met all required compliance from Check List? Y es/N o/NA
IMPORTANT NOTE: An input report of this design building must be submitted
along with this Compliance Report.
7/30/2007 EnergyGauge Summit v3.1 0 incorporating Florida Energy Code Version - FLAlCOM 2004 v2.5 2
CERTIFICATIONS
I hereby certify that the plans and
Florida Energy Code
Date:
Date:
I certify that this building is in compliance with the FLorida Energy Efficiency Code
Owner Agent:
Date:
If Required by Florida law, I hereby certify (*) that the system design is in compliance with the FLorida
Energy Efficiency Code
Architect:
Reg No:
Electrical Designer:
Reg No:
Lighting Designer:
Reg No:
Mechanical Designer:
Reg No:
Plumbing Designer: Reg No:
(*) 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.
Project: SLEEP
Title: SLEEP LAB BUILDING
Type: Healthcare-Clinic
(WEA File: Tampa.tmy)
Envelope Compliance
Design Load
Criteria
Zone
Heating
Cooling Heating Cooling
Building
153.40
148.90 185.70 161.30
Total Loads: Desii!D -302.3 Criteria =347
PASSES
7/30/2007
EnergyGauge Summit v3.1 0 incorporating Florida Energy Code Version - FLA/COM 2004 v2.5
3
.
External Lighting Compliance
Description Category Allowance Area or Length ELP A CLP
(WlUnit) or No. of Units (W) (W)
(Sqft or ft)
I None I
Project: SLEEP
Title: SLEEP LAB BUILDING
Type: Healthcare-Clinic
(WEA File: Tampa.tmy)
Lighting Power Compliance
Space Ashrae Description Area Height No. of Design Effective Allowance
In (sq.ft) (ft) Spaces (W) (W) (W)
PrOZo 1 Sp 1 17 Office - Enclosed 1,302 10.0 1 1024 1024 1,432
PrOZo2Sp 1 17 Office - Enclosed 926 10.0 1 768 768 1,019
PrOZo3Sp1 10,00c Patient Room (Hospital) 1,260 10.0 I 1200 1200 882
Design : 2992 (W) I PASSES
Effective: 2992 (W)
Allowance: 3332.8 (W)
Project: SLEEP
Title: SLEEP LAB BUILDING
Type: Healthcare-Clinic
(WEA File: Tampa.tmy)
Lighting Controls Compliance
Acronym Ashrae Description Area No. of Design Min Compli-
In (sq.ft) Tasks CP CP ance
PrOZo 1 Sp 1 17 Office - Enclosed 1,302 1 2 1 PASSES
PrOZo2Sp 1 17 Office - Enclosed 926 1 3 1 PASSES
PrOZo3Spl ,006 Patient Room (Hospital) 1,260 1 1 1 PASSES
I PASSES I
7/30/2007
EnergyGauge Summit v3.1 0 incorporating Florida Energy Code Version - FLA/COM 2004 v2.5 4
p"roject: SLEEP
Title: SLEEP LAB BUILDING
Type: Healthcare-Clinic
(WEA File: Tampa.tmy)
System Report Compliance
PrOSyl System 1 Constant Volume Air Cooled No. of Units
Split System < 65000 Btu/hr 1
Component Category Capacity Design Err Design IPLV Comp-
Err Criteria IPLV Criteria Hance
Cooling System Air Cooled < 65000 Btu/h 13.00 13.00 8.00 PASSES
Cooling Capacity
Air Handling Air Handler (Supply) - 0.80 0.90 PASSES
System -Supply Constant Volume
PrOSy2 System 2 Constant Volume Air Cooled No. of Units
Split System < 65000 Btu/hr 1
Component Category Capacity Design Eff Design IPLV Comp-
Err Criteria IPLV Criteria Hance
Cooling System Air Cooled < 65000 Btu/h 13.00 13.00 8.00 PASSES
Cooling Capacity
Air Handling Air Handler (Supply) - 0.80 0.90 PASSES
System -Supply Constant Volume
PrOSy3 System 3 Constant Volume Air Cooled No. of Units
Split System < 65000 Btu/hr 1
Component Category Capacity Design Err Design IPLV Comp-
Err Criteria IPLV Criteria liance
Cooling System Air Cooled < 65000 Btu/h 13.00 13.00 8.00 PASSES
Cooling Capacity
Air Handling Air Handler (Supply) - 0.80 0.90 PASSES
System -Supply Constant Volume
I PASSES I
Plant Compliance
Description Installed Size Design Min Design Min Category Comp
No Err Err IPLV IPLV liance
I None I
7/30/2007
EnergyGauge Summit v3.1 0 incorporating Florida Energy Code Version - FLAlCOM 2004 v2.5
5
Project: SLEEP
Title: SLEEP LAB BUILDING
Type: Healthcare-Clinic
(WE A File: Tampa.tmy)
Water Heater Compliance
Description Type Category Design Min Design Max Comp
Eff Eff Loss Loss Iiance
Water Heater 1 Electric water heater <= 12 [kW] 0.97 0.86 PASSES
I PASSES ,
Piping System Compliance
Category Pipe Dia Is Operating Ins Cond Ins Req Ins Compliance
[inches] Runout? Temp [Btu-in/hr Thick [in] Thick [in]
[F] .SF.F]
I None ,
Project: SLEEP
Title: SLEEP LAB BUILDING
Type: Healthcare-Clinic
(WEA File: Tampa.tmy)
Other Required Compliance
Category Section Requirement (write N/A in box if not applicable) Check
Infiltration 406.1 Infiltration Criteria have been met D
System 407.1 HV AC Load sizing has been performed D
Ventilation 409.1 Ventilation criteria have been met D
ADS 410.1 Duct sizing and Design have been performed D
T&B 410.1 Testing and Balancing will be performed D
Motors 414.1 Motor efficiency criteria have been met D
Lighting 415.1 Lighting criteria have been met D
O&M 102.1 Operation/maintenance manual will be provided to owner D
Roof/Ceil 404.1 R-19 for Roof Deck with supply plenums beneath it D
Report 101 Input Report Print-Out from EnergyGauge FlaCom attached? D
7/30/2007
EnergyGauge Summit v3.1 0 incorporating Florida Energy Code Version - FLA/COM 2004 v2.5
6
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Phone: (813}-7~~
FAX: (813)-180-0021 .' , .' ~" ' . ' i . \, ,
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DATE: 812/07 #OFPAGES:I'/!' :
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Parcel Information for: 03-26-21-0200-00000-00BO Card: 001
Page 1 of 1
s.~Jm;.h_~gaiD Show Map Building Schematic Unavailable Estimate Taxes Frequently Asked
Questions
See Tax Collector Information - CurrenUDelinquent Taxes
I ParcellD I 03-26-21-0200-00000-00BO (Card: 001 of 001)
I Classification I 10 - Vacant Commercial
Mailing Address Assessment (totals)
CAMBRIDGE PROPERTIES LLC Ag Land $0
PO BOX 48155 Land $84,865
TAMPA, FL 336460144 Building $0
Physical Address Extra Features $0
legal Description (First 4 Lines) Total Assessment $84,865
SILVER OAKS VILLAGE-PHASE ONE Save Our Homes $0
PB 35 PGS 63-67
TRACT B Taxable Value $84,865
OR 6075 PG 488
land Detail (Card: 001 of 001)
Line II Use II Description Zoning Units T~ffiice Cond Value
I 1 II 1000 II COMMERCIAL I OPUD 11,000.00 SF .00 1.00 $44,000
I 2 II 1000 I COMMERCIAL OPUD 28,982.00 cr II ' 1.41 I 1.00 II $40,8651
Additional land Information
I Acres II 0.91 I Tax Area II 30ZH I Fema Code [~] Comm Code II MSOV8AA I
I Building Information I
I Unimproved Parcel 0 I
Extra Features (Card: 001 of 001)
line I Description I Year II Units II Value
Sales History
Previous Owner SMITH CATTLl=iVES INC
Year Month Book I Page ype Amount
2004 09 6075/0488 $100,000
1987 01 0780/0415 I WD I $0
1974 01 0780/0413 WD $0
S.~an:;t:L~gailJ Show Map Building Schematic Unavailable Estimate Taxes Frequently Asked
Questions
See Tax Collector Information - CurrenUDelinquent Taxes
http://appraiser.pascogov . com/search! offline _ tca.asp?sec=03 &twn=26&mg=21 &sbb=0200... 81212007
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NOTICE OF COMMENCEMENT
Rcpt: 1118060 Rec: 10.00
DS: 0.00 IT: 0.00
07/30/07 Dpty Clerk
STATE OF FLORIDA
COUNTY OF PASCO
JED PITTMAN1 PASCO COUNTY CLERK
07/30/07 1 : 1!5am 1 of 1
OR BI< 7583 PG 345
The undersigned, as Owner, notifies all parties that improvements will be made to certain real property and
in accordance with Section 713.13, Florida Statutes, the following information is stated in the Notice of
Commencement:
DESCRIPTION OF PROPERTY: Lot B, Silver Oaks Village-Phase One, as per
map or plat thereof recorded in Plat Book 35, Pages 63 thru
67, Public Records of Pasco County, Florida
DESCRIPTION OF IMPROVEMENTS: ~ ~~
OWNERS AND OWNERS ADDRESS: CAMBRIDGE PROPERTIES LLC
PO BOX 48155
TAMPA, FL 33647
OWNERS INTEREST IN THE PROPERTY:
Simple
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CONTRACTOR AND CONTRACTOR ADDRESS:
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Village Square Builders, Inc.
6426 Huntington Dr.
Zephyrhills, FL 33542
SURETY (if any) and SURETY ADDRESS:
N/A
AMOUNT OF BOND:
$N/A
NAME AND ADDDRESS OF LENDER, IF ANY, MAKING A LOAN FOR CONSTRUCTION OF THE
IMPROVMENTS:
Juan Cevallos
15801 Dawson Ridge
Tampa, FI 33647
NAME OF PERSON WITHIN THE STATE OF FLORIDA DESIGNATED BY OWNER UPON WHOM
NOTICES OR OTHER DOCMUMENTS MAY BE SERVED:
CAMBRIDGE PROPERTIES LLC
PO BOX 48155
TAMPA, FL 33647
EXPIRATION DATE: Julv 30. 2008
Village Square Builders, Inc.
STATE OF FLORIDA
COUNTY OF PASCO
The foregoing instrument was acknowledged before me this 30th day of July 2007, by Lance A. Smith,
President of Village Square Builders, Inc. who is personally known to me or who produced .-
as identification, and did/did not take oath.
Witness my hand and official seal in the County and State last aforesaid this 30th day of July 2007.
...'r-~'1 Pu~ Dana M. WarWOTARl PUBLIC ~ IlrJA rfl I ( ,j
!~ ~ Commission # 00440442 Ow llU'l .It.JDJ)~
~. \) g expire' July 14,2009
~ OF f'I."J!i BolldM 'tfo, 1'ilII'lnIU!tlMt, 1M, eco.-.70"
Page 1 of 1
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Jacqueline Bages
From: Jacqueline Boges
Sent: Tuesday, July 31, 20078:42 AM
To: 'Ianceasmith@tampabay.rr.com'
Subject: Need for permitting process new commerical office
Hello Lance
I need a couple more things for processing permit application fJ ' l
;~ ~ 4\..t DII ~ twp~
1. Did you do a Right of Way permit ? ~..5t-Jr{Yl V . _ _A/>_~JAI
2. On the drive way permit you submitted for Shane there was no diagram submitted. tJ!:< ~~ "'-V
3. I need a 11200' scale of property for addressing. l!ft-, 01
4. Workman comp and general liability insurance needed for Colby Jaynes Plumbing Inc I6^-
5. FYI Village Square general liability Insurance exp on August 3,2007 will need update before~
permit will be able to pu.
6. First Class Electric need to sign on permit. f}I<-
This is all I can think of for right now, I do need the 1-200' scale as soon as possible for addressing.
Thanks Jackie my ext. is 3541
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