HomeMy WebLinkAbout08-7530
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
7530
Permit Number: 7530
Permit Type: ADDITION/ALTERATION
Class of Work: ADD/AL T COMMERCIAL
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost: 2,397.50
Date Issued:
Total Fees: 87.50
Amount Paid: 87.50
Date Paid: 2/22/2008
Work Desc: INTERIOR REMODEL MINOR
Address: 37301 APEL HILL LP
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: SILVER OAKS VILLAGE
Parcel Number: 03-26-21-0010-10200-0010
PA C MCA
37301 CHAPEL HILL LP
ZEPHYRHILLS, FL. 33542
Phone:
~(~t U~
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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.
REINSPECTION 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
befor recording your notice of commencement."
CONTRA 0 SIGNATURE PERMIT OFF I
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner:
Date Received:
Site:
Permit Type:
Approved wino comments?
Approved wIthe below comments: 0 Denied wIthe below comments: 0
Contractor and/or Homeowner
(Required when comments are present)
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· PROPERTY SOLUTIONS, INC_
· 35215 STATE ROAD 54 WEST
· ZEPHYRHILLS,FLORIDA 33541
· (813) 779-1200
City of Zephyrhills, Florida
RE: Obtaining Permits
To Whom it May Concern:
I, Brian Johnson, authorize Chuck Skolnik to represent me in obtaining permits in the City
of Zephyrhills.
Signed
Date:
Notary Public:
\
I, \, 0; <::J ~,c. ~,-e " , a notary in the state of Florida
personally known to me is Brian Johnson whose signature I am notarizing.
~'n~
--_.~ ' .
Itot~ry :~bIiC
~,,,,,.~ LOIS G. GAINES
.lJAt~ MY COMMISSION # 00650899
~ EXPIRES: March 14,2011
lo!Of:NOTARY PI. NOlIry DilllOllI1t AUoo. 0:
Yvw,- \11 ~O\\
My commission expires
r-rom: unay Jonn80n At: carlisle Fields & Company Fax'D: 727-725-3663 To: Jackie
Date: 2/2112008 04:53 PM Page: 20f2
. ACORD. CERTIFICATE OF LIABILITY INSURANCE OP ID c~ DAlE (IIMIDDIYYYYI
ELITE-l 02/21/08
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
carlisle Fields' company, Inc HOLDER. THIS CERTFlCATE DOES NOT AMEND, EXTEND OR
P.O. Box 7910 At TER THE COVERAGE AFFORDED BY THE POUCIES BELOW.
Clearwater FL 33758-7910
Phone: 727-797-0441 Fax: 727-725-3663 INSURERS AFFORDING COVERAGE NAlC#
tllURED INSURER A: Auto 0Wne~. ~ CCIII'U'J' 18988
INSURER B:
El~te pr9P8rty Solutions, Inc. INSURER c:
Br1an Jo~son
34704 Wr yht Lane INSURER 0:
Zephyrhil S FL 33544
INSURER E:
COVERAGES
TME POLICIES OF INSURANCE L1STEO BELOW HAVE BEEN ISSUED TO TIE INSURED NAMED ABOVE FOR THE POLICY PERIOD IICJICATEO. NOTWITIlSTANDING
AHY REQUIREMENT, TERN OR CONOITION OF IW'f CONTRACT OR OTHER DOCUMENT WITlt RESPECT TO WltICH TMIS CERTIFICATE loIAY BE ISSUEO OR
MAY PERTAIN, THE INSURANCE AffORDED BY THE POLICIES DESCRIBED IEREIN IS SUBJECT TO ALL THE TERNS, EXCLUSIONS AND CONOITlONS OF stICH
POLICIES. AGGREGATE LIMITS SliCJ'M.lloIAY HAVE BEEN REDUCED BY PAID ClAIloIS.
~ 'TYPE OF tI~E POlICY NUIIIIER DAlE(IMDOIYY) DAlElMMXlM') UIIITS
GEIERAt LIAIlIJTY EACH OCCURRENCE I 1000000
I- 2065002207 04/01/07 04/01/08 I PREu'iSEs (Ea ~'j;ence) I 100000
A ~ COhllllERCIAL GENERAL LIABILITY
tJ ClAIMS MAllE [!J OCCUR MED EXP (Any one person) I 10000
I--
PERSOIW. & ADV INJURY 11000000
l- 11000000
GENERAL AGGREGATE
I-
GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COIIPfOP AGG .1000000
Iil POLICY D ~T n LOC
AUTOMOBILE UASlIJlY COMBINED SINGLE LIMIT
I-- 04/01/07 04/01/08 (E. 8ccillenl) I
A ..!... IW'f AUTO 4498413800
ALL OWNED AUTOS BOlJIL Y INJURY I 100000
.- (Per petSoo)
SCHEDULED AUTOS
.-
~ HIRED AUTOS BOlJIL Y INJURY I 300000
X NON, OWNED AUTOS (Par aeeillenl)
'-
- PROPERTY DAMAGE 1100000
., (Par aeeidel()
GARAGE UAIIILllY AUTO ONLY, EA ACCiDeNT .
~ ANY AUTO ., EA ACe I
OTHER THAN
AUTO ONLY: AGG .
EXCESSI\JMBRELlA UAIlllITY EACH OCCURRENCE I
t=J OCCUR o ClAIMS lIAOE AGGREGATE .
$
R DEDUCTIBLE $
RETENTION . $
WORI<ERS COMPENSATION AND lroFiY LIMITS I IVER-
EMPLOYERS' LIABILI1Y EL EACH ACCIDENT .
IW'f PROPRJETORfPARTNERlEXECUTIVE
OfflCERlMENBER EXCLUDED? E.L DISEASE, EA EUPLOYEE S
If yes, describe lI'lder E.L DISEASE, POLICY LIMIT $
SPECIAL PROVISIONS below
OlltER
DESCRIPllON OF OPERAl1ONS / UlCAllONS f VEHIClES f EXCLUSIONS AODEO BY ENOClR_T / 8PECIAl PROVISIONS
CERTIFICATE HOLDER
CITYOFZ
CANCELLATION
IIHOULD NfY Of TIE ABOVE DESCRIBED POLICIES BE CANCElLED BEFORE TIE EXPIRAllON
DAle ltEREOF, TIE ISlIUtIG..SURER WILL ENDEAVOR 10 11M. ~ DAYS WRlTlEN
N011CE 10 TIE CERTlFICA lE HOLDER NAIlED TO TIE LEFT, BUT FAl.URE 10 DO SO SHALL
MOOSE NO OIllJGAllON OR LIA8lUTY Of NfY KIlO UPON TIE "SURER, ITS AGENTS OR
REPRE8eN'mTIVEL
AlI1HClIlIZED
PORATION 1988
City of Z8phyrhills
Licensing Division
Jackie
5335 - 8th st
Zephyrhills rL 33542
ACORD 25 (2001108)
-ACORD CERTIFICATE OF LIABILITY INSURANCE I DATE~
JIf lGPKQGV6 11/13/2007
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Lighthouse-Programs, LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
301 E. Pine Street HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Suite 350 ALTERTHE COVERAGE AFFORDED BYTHE POUCIES BELOW.
Orlando, FL 32801
INSURERS AFFORDING COVERAGE . NAlC#
INSURED INSURER A: SUA Insurance Company
First Financial Employee Leasing, Inc.
3745 Tamiami Trail INSURER B:
Port Charlotte, FL 33952 INSURER C:
INSURER D:
INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABCM: FOR THE POliCY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDmON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POliCIES DESCRIBED HEREIN IS SUBJECT TO AlL THE TERMS, EXCLUSIONS AND CONDmONS OF SUCH
I ~~ES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ~~
POLICY Nl*BER UIo1ITS
~ LIA8/UT'/' EACH OCCURRENCE $
COMMERCIAl GENERAL LIABn..rrv PREMISES EB occurence\ $
I ClAIMS MADE 0 OCCUR MED EXP (Any one person) $
PERSONAl. & ArN INJURY $
-
- GENERAL AGGREGATE $
~N1.AGG~n UMrr n PElt PRODUCTS - CCMPIOP AGG $
POLICY P,:g: LOC
~UAIIIUTY COMBINED SINGlE UMrr $
(Ea accident)
- ANY AUTO
I- AU. OWNED AUTOS BODILY INJURY
(Per person) $
I- SCHEDULED AUTOS
I- HIRED AUTOS BODILY INJURY
(Per ac:cidenI) $
I- NON-OWNED AUTOS
PROPERTY DAMAGE $
(Per accid8nl)
~Y ::rrv AUTO ONLY - EA ACCIDENT $
OTHER THAN EA ACC $
AUTO ONLY: AGO $
EXCESSlUllBRELlA LIABILITY EACH OCCURRENCE $
::J" OCCUR 0 ClAIMS MADE AGGREGATE $
$
~ DEDUCTIBLE $
RETENTION $ $
A WORKERS COMPENSATION AND WSLTHPE 000066 03 12/31/2007 01/01/2009 X I we STATu... I IW"H-
EMPlOl'ERS' LIA8/UT'/' $ 1,000.000
ANY PROPRlF.TORlFWUNERlEXECUTlVE E.L. EACH ACCIDENT
OFFlCERlMEMBER EXClUDED? E.l. DISEASE - EA EMPlOYEE $ 1,000,000
~~~beIow . E.L. DISEASE - POLICY UMrr $ 1,000,000
OTHER
DESCRIPTION OF OPERATIONS' LOCATIONS 'VEHIClES' EXCLUSIONS ADDED BY ENDORSEMENT' SPECIAl. PROVISIONS
Coverage is extended to the leased employees of alternate employer (Florida Operations Only): Elite Property
Solutions, Inc. client #2434 (Effective 1.01.2006) DISCLAIMER: The Certificate of Insurance does not constitute a
contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does
it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
CERTIFICATE HOLDER
CANCELLATION
SHOULD NI'I OF THE ABOl/E DESCRIIED POUCES BE CANCElLED BEFORE THE EXPIRATION
DAT1!THEREOF, THE ISlIu.IG INSURER WILL ENDEA_lO MAIL 30 DAYSWRITTEN NOrlCElO
THE CERTFlCAT1! HOLDeR NAlEDlOTHE LEFT, BUT FAI1.URElO DO so SHALL ~ NO
OBI..IGATION OR UAIIIUTY OF NI'I KIND UPON THE INSURER. ITS AGENTS OR
REPRESENTA1IVES.
Elite Property Solutions, Inc
35213 Sr 54 West
Zephyrhills, FL 33541
ACORD 25 (2001/08)
AIITHORIZED AEPRESENTATNE
Page 1 of 1
~
@ACORD CORPORATION 1988
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813-780-0020
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
Date Received
Owner's Name
JOB ADDRESS
LOT#
SUBDIVISION
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE D
DEMOLISH
WORK PROPOSED
B
D
D
NEW CONSTR
INSTALL
SFR
BLOCK
ADD/AL T
REPAIR
COMM
FRAME
D
D
D
OTHER
STEEL
I
D
PROPOSED USE
TYPE OF CONSTRUCTION
OTHER I
D BUILDING 1$
D ELECTRICAL 1$
D PLUMBING 1$
D MECHANICAL 1$
D GAS c=J
FINISHED FLOOR ELEVATIONS I
ROOFING
I
I
I \ ( ( ,.."fol---
(1\ I ~f' Cf/"..'tf.ruc
I VALUATION OF MECHANICAL INSTALLATlor0 l-Ji (bfOS'J.
D SPECIALTY c=J OTHER ~ ~ ~ '- ....b ~
V"ll~S' I~
I FLOOD ZONE AREA DYES DNO 0 ;/
I
I
AMP SERVICE
D
PROGRESS ENERGY
D
W.R.E.C.
BUILDER
SIGNATURE
COMPANY
REGISTERED
I 6fl $'
Y/ N
~~'"1 ~()lvnor-? (;c".; <-
r FEE CURRENT I Y / N I
License # ICGCISV8Jt ~
Address I
ELECTRICIAN
SIGNATURE .
Address I
PLUMBER I
SIGNATURE
Address I
MECHANICAL I
SIGNATURE .
Address I
OTHER I
SIGNATURE
Address I
11I1111111I111111111111111111111111111111111111111111111I11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction,
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects
COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new construction.
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance
SIGN PERMIT Attach (2) sets of Engineered Plans.
....PROPERTY SURVEY required for all NEW construction.
1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I11111111111111111111111I111111111
Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement is required. (A1C 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 (Plot/Survey/Footage)
Il C rL 3'.3 ~ "'3
6\)1
JO'
COMPANY
REGISTERED
I
License #
~~vl
/'1247 '7 -LL S' f "4t 1'52
COMPANY
REGISTERED
Y/N FEE CURRENT
License #
Y/ N FEE CURRENT
License #
Y/N FEE CURRENT
License #
Y/N
COMPANY
REGISTERED
Y/N
COMPANY
REGISTERED
Y/N
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 obtain~d 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 ~nstallations not specifically in~luded. in the application. A
permit issued shall be construed to be a license to proce~d With the work a~d not as authorl~y ~o vlol~t~, cancel, alter, or
set aside any provisions of the technical codes, nor shall Issuance of a permit prevent the B~II,dlng OffiCial from the~eaft~r
requiring a correction of errors in plans, construction or violat~o~s o~ any codes. EveI!' ~ermlt 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) mo~ths after the time th? work is commenced., An extension
may be requested, in writing, from the Building Official for a period not t~ exceed n1n~ty (.90) da~s 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 AN ATTORNEY BEFORE RECORDING YOU OTICE COMMENCEMENT.
FLORIDA JURAT (F. . 1 ,0)
otary Public
Notary Public
Comm
Name of Notary typed. printed or stamped
Name of Notary typed, printed or stamped
FEB-22-2008 10:23R FROM:
TO: 7800021
P:2/2
ELITE PROPERTY SOLUTIONS, INC.
BRIAN JOHNSON
35215 SR 54 WEST
ZEPHYRHlLLS, FL 33541
LIC. # CGC1508272
OFFICE,813-779-1200 FAX 813-779-1001
CELL 813-598-3669
.EMAIL ELITEPROPERTY2(wAOL.COM
February 14,2008
PROPOSAL FOR: Minor Interior Remodel
JOB SITE: YMCA 37301 Chapel Hill Loop, Zcphyrhills,FI. 33541
A TTF.N'J'ION: Jon Silvers
We propose to furnish and install the following for Conference Room remodel.
Drywall repair
Four new outlets
lnstaJl new 36" interior door
Install new sink base and bar sink, to existing plumbing
Repair ceiling grid and install ncw ceiling tile
Install new carpeting
Install new base trim
Customer to do all painting
Cost for above work--------
----------------$2.397.50
cJlM
Chuck Skolnik
F.1ite Property Solutions. Inc.
d(II/(OY
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Jen ~vers
Executive Director
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ACCOUNT NOt 059244
SIC CODE: 1522
Mike Olson
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TYPE OF BUSINESS:
GENERAL CONTRACTOR
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DATE
09.1'21.1'07
RECEIPT
5349'0
AMOUNT
31.25
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LOCATION ADDRESS:
35215 STATE ROAD 54 W
lEPHYRHILLS
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ELITE PROPERTY SOLUTIONS INC
35215 STATE ROAD 54 N
ZEPHYRHILLS FL 33541-1989
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