Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
08-8541
CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 8541 BUILDING PERMIT Permit Number: 8541 Address: 6042 GALL BLVD Permit Type: COMMERCIAL ZEPHYRHILLS, FL. Class of Work: ADD/ALT COMMERCIAL Township: Range: Book: Proposed Use: COMMERCIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: Improv. Cost: 55,000.00 Date Issued: 1/16/2009 Name: MCDONALDS USA, LLC Total Fees: 492.50 Address: 6042 GALL BLVD Amount Paid: 492.50 ZEPHYRHILLS, FL. 33542 Date Paid: 1/16/2009 Phone: Work Desc: INTERIOR REMODEL OF 265 SQ FT PUTTING IN MCCAFE COFFEE BAR-MCDONALDS STANSELL PROPERTIES&DEVELOPMEI' BUILDING FEE 397.50 ELECTRICAL FEE 35.00 ACE ELECTRICAL SYSTEMS,INC PLUMBING FEE 35.00 FIRE PLAN REVIEW FEES 25.00 MCNATT PLUMBING COMPANY INC FOOTER_________________ 2ND ROUGH PLUMB MISC INSULATION CEILING 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 any one 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." CON7 C OR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CITY OF ZEPHYRHILLS 5335-STH_STREET C (813)780-0020 8541 BUILDING,PERMIT Permit Number: 8541 Address: 6042 GALL BLVD Permit Type: COMMERCIAL ZEPHYRHILLS, FL. Class of Work: ADD/ALT COMMERCIAL Township: Range: •Book: Proposed Use: COMMERCIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: mprov. Cost: 55,000.00 Date Issued: 1/16/2009 Name: MCDONALDS USA, LLC Total Fees: . 492.50 Address: 6042 GALL BLVD Amount Paid: 492.50 ZEPHYRHILLS, FL. 33542 Date Paid: 1/16/2009 Phone: Work Desc: INTERIOR REMODEL OF 265 SQ FT PUTTING IN MCCAFE COFFEE BAR-MCDONALDS STANSELL PROPERTIES& EVELOPMEP BUILDING FEE 397.50 ELECTRICAL FEE 35.00 ACE ELECTRICAL SYSTEMS,INC PLUMBING FEE 35.00 FIRE PLAN REVIEW FEES 25.00 MCNATT PLUMBING COMPANY INC FOOTER 2N RUJGH PLUMB IS INSULATION CEILING FOOTER BOND ACTS INSULATED SEWER MISC. ROUGH ELECTRIC I JTEL_________________ MISC MISC. 1ST ROUGH PLUMB RE-METER INSULATION WALL MISC. DUCTS INSTALLED WATER MISC DRIVEWAY PRE-SLAB SHEATHIN MISC. MISC. CONSTRUCTION POLE FRAME JI7 fA5 MISC. MISC. REINSPECTION FEES:Reinspectioh fees will comply with Florida Statute 553.80(2)(c)when extra inspection trips are necessary due to any one 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." CO CTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CITY OF / / BUILDING ZEPHYAHILLSt1 01 1 C DEPARTMENT OF ADDITION OR CORRECTION ADDRESS DAT PERMIT y/, I 1002- 1W L-\. . THIS JOB HAS NOT BEEN COMPLETED. The following additions or corrections shall be mode before the job will be accepted. v E J"' -f41+9s 'ii) ALL It is unlawful for any Carpenter,Contractor,Builder,or other persons,to AFTER CORRECTIONS ARE MADE CALL cover or cause to be covered,any part of the work with flooring,lath,earth 780-0020 FOR RE-INSPECTION or other material,until the proper inspector has had ample time to approve the installation. OFFICE HOURS 7:30 AM-4:30 PM MON.-FRI. INSPECTOR______________________________ Zephyrhills Fire Rescue 6907 Dairy Road,Zephyrhills,FL 33542 Fire Marshal Bus (813)780-0041 Kerry Barnett Fax (813) 780-0044 E-mail: kbamett(gfire.zephyrhills.fl.us Plan Review#: 08-142 Project: McDonald's Number of Pages: 7 Date:November 8, 2008 I have reviewed the plans for the interior remodel for a coffee station located at 6042 Gall Blvd therefore allowing this project to continue with permitting. Paying for permits acknowledges the contractor agrees to the items required below. Should anyone have any questions,please do not hesitate to contact the Fire Marshal's office. 1. Permit/planes required to relocate pull station for ansul system. Plans will show the new layout. Acceptance test required for prior to giving a building final.No cooking will be performed when the system/pull station is not functional. 2. New assembly pennit is required due to the removal of seating and new floor plan in remodeled section. Permit may be obtained at the building department. Current assembly permit expires in December anyway. 3. Install Knox Box at side of front door at a height of 6'. This is a new AHJ requirement due to the ansul system located inside. Application for Knox Box can be obtained at Zephyrhills Fire Rescue at address above. 4. No storage in front of new electric panel. Inspections required: 1. Acceptance test for ansul system 2. Final o remodel KERB ETT,FIRE MARSHAL ***Please be advised this review of plans submitted is a cursory review to assist the contractor in compliance with applicable fine safety codes.This review is not intended to be a final approval of the submitted plans.It is the contractor's sole responsibility to ensure that the plans are in complete compliance with all applicable NFPA codes and local ordinances.In the event that further examination or site inspection reveals areas of non-compliance,it shall be the contractor's sole responsibility,at their sole expense to bring those areas in compliance.The City assumes no responsibility for the contractor's failure to be in compliance with all applicable NFPA codes and local ordinances. y p City Cit of Zehrhills Permit Application ( Fax-813-780-0021 813-780-0020 ,� Building Department IDate Received I r Phone Contact for Permitting / ItII[III[EUtkEEEEEEEEICtltEEFtlEE1 Cp/� f�cr1�... �,/ /� Co �/ Owner's Name ! PI�N�6C- 1 FAL Y �b(XU S /O lASK-lm Co• Owner Phone Number /%Fx0 SSiYE �CV• l� Owner's Address '/908 W. N4SS4U ST IArn ,33100'7 Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS Mt L ON )S"'3'/76c ) Owit v/� ,L-L-BLVD. ZL�PNyI(u1LL5 FL. s, q) LOT# I SUBDIVISION PARCEL ID# D3+,Z(/-Al-00/0 /I300-ccoo (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR LT SIGN MOVE DEMOLISH INSTALL REPAIR PROPOSED USE SFR '® COMM fl OTHER TYPE OF CONSTRUCTION BLOCK FRAME STEEL OTHER o -ff7O QE 0,C )c. - t 7 K, Ti DESCRIPTION OF WORK /'U N /N A M°CfFE° (oFFEE 8,q R BUILDING SIZE I SQ FOOTAGE i ` � . HEIGHT lfEEEKEIEtEEE UtllEEEEEEEii[tEEEEEEEEEEkE fFEEEEEIttt#iFEFFEF"Ittwtutt att t `" atEEEEEHststaattw EEEFNNFtNkfEFFEEfkFFFFfFfFkiEfEHiFtFEE BUILDING 7' VALUATION OF TOTAL CONSTRUCTION ELECTRICAL $ 7 o�SQ.eo 100 AMP SERVICE PROGRESS ENERGY W.R.E.C. PLUMBING $ MECHANICAL $ __ / VALUATION OF MECHANICAL INSTALLATION , $' GAS ROOFING SPECIALTY OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES EEIktEEEEEEEEEEEEEtEEEEIEffE#E#EEEIEEfEEEEEffEftEtEEEEEf#EEEt1FEEEEEtEE EEE�EtEE�ktEEEE�iEEEEEf TJ�� BUILDERCi1 1Q c\ COMPANY S' 'f al I �vPcx' QS L�-C. SIGNATURE REGISTERED Y/ N FEE CURRENT IY/N Address I License# I2c.. ('a I Q I LECTRICIAN c�C� COMPANY IGNATURE REGISTERED Y/ N FEE CURRENT Y/N Address License# ,: U-QQ1;?c PLUMBER Ui COMPANY SIGNATURE REGISTERED Y/ N FEE CURRENT I Y/N Address I License# MECHANICAL COMPANY SIGEdd�ress RE I REGISTERED Y/ N I FEE CURRENT Y/N ILicense# OTHER COMPANY SIGNATURE I REGISTERED Y/ N I FEE CURRENT I Y/N ^Address License# EfE€€ft[[E[FFEFFEFItFi EtltE[""f�Ftt�EI€[EEIER EI4f4fFftiEEEE�EE"^F FF�i{R{F& kk_'`'('c' '^R�EE7FfEfiUEE&R•'FtT EfpP'EEFtEEEttrc rtER uururrr'uuuFrrrrr.F�Fa.•rEssrrsmsaEuamur'Fcr.^'^srF'tr r.;••••^^^••••;rr• n••,••••••^r'[u.'r^^^'^^^" 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. .............[._RRR[.,.t.C7Riff rC•['s ...... .,.C.[•[.:'R^F .,.[.r..0•C't ..[.i...j......r TT..rrC._.. rr C FFFE&FH4F.Erh'FFiFrFcEEF.Er6FffFcEcEcFcfi[rfc EEFFEEEh.aEcFcfh�E.hc"aEFndr& EEFrf'dd.�f:EEr'a6cliF,{E[ ,}F,( .[ �n'r{( F�['^ava'ciarfdd,fE66FLfifiEcfiEiFdiE&Er,fcEca{s�Fc4EFcFc:cirEkEErfa€R�Er'r1tt?I≤E<:aEF"[ifRUErF'c[`� [F� Ft 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 A/C Fences(Plot/Survey/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 çnay 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 O AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT(F.S.117 OWNER OR AGENT CONTRACTOR Sub cribed and swor r affirmed)be ore me this Subscribed and sworn to(or affirmed)before me this 1I/3/b ' by. K1fl/ W._PO3T1Z by Who is/ personally known to me has/have produced Who is/are personally known to me or has/have produced identification, as identification. • ✓ Notary Public Notary Public Commission N S — Commission No. 2 — C N e of Notary typed,printed or stamped Name of Notary typed,printed or stamped �+�SPR:•:�8�% KATHRYN A.FAEDO * * MY COMMISSION#DD 424953 EXPIRES:September 3,2009 ��'9TFOF F�pt��P Bonded Thru Budget Notary Services Stansell Properties & Development, LLC December 4, 2008 Letter of Authorization Business Name: Stansell Properties&Development, LLC Owner's Name: Harold Stansell Business Address: 4532 W. Kennedy Blvd#326 Tampa, FL 33609 Contractor Name: Harold Stansell Type of Contractor: Certified Building Contractor State Certification Number: CBC1251604 Re: I,the above named qualifying contractor for the above named business hereby allow the following person(s)to pull permits in my absence,and submit all related information, including license registration,etc: Authorized Signer Name: Carey Kline Authorized Signer Name: John D. Stansell Authorized Signer Name: Martha"Mo"Driggers Authorized Signer Name: James"Mark"Tilton I further c ' hat the above information is true and correct to the best of my knowledge. Sig ure of Qualifier(Contractor) STATE OF FLORIDA COUNTY OF PASCO Subscribed and sworn to before me this day of 008 by Harold E.Stansell who has produced Florida Driver's License# on file as identification. +F % LONNA C.DOZIER-, ' �MY CO SSION# DD 54N2^ for F� EXPI,d.,, anuary 10,2010 1-800-3-NOTARY AM;otary Discount Assoc.Co. Sig tuts Lonna C. Dozier Notary Public(print) (seal above) 4532 W. Kennedy Blvd.#326•Tampa, FL 33609•(727)372-0781 •Fax(727)372-0366•Lonna@StansellConstr.com — a � I IIIIIIIIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIII IIII 2009005272 NOTICE OF COMMENCEMENT Rcpl: 1221512 Ree: 18.50 'Permit No. DS: 0.00 IT_0pp00 Clerk @1/13/09 Tax Folio No('i'3 Z L Z 1 D D I 0/i 3 00.ODD O PAULA S O'NE I L PASCO CLERK & COMPTROLLER 010R3BK9� 1PGc �� THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property,and in accordance with Section 713.13 of the Florida Statutes,the following information is provided in this NOTICE OF COMMENCEMENT. 1.Description of property(legal descri Lion): C' PA;10 1 34'7S 5 e 41? L filed a)Street(job)Address: 1CL 2.General description of improvements: 3.Owner Information L�r�SPj6AS A 'L / 337 a)Name and address: Cd T�1 !A �S %/ cT� rjljrjt7A �L b)Name and address of fee simple titleholder(if other than owner) c)Interest in property 4.Contractor Information a)Name and address: 7l '/c3&Wf ' b'(4r3dfa /VJP b)Telephone No.: '7 D 1 _ l > ax No (np*)_??')-31 --O3 5.Surety Information a)Name and address: _l/ b)Amount of Bond: c)Telephone No.: Fax No.(Opt.) 6.Lender a)Name and address: Phone No. 7.Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served: a)Name and address: E" DS7 D W. I (.4.r rp / 5 1,, fl'G 3U6e 7 b)Telephone No.: — Z Z'3 ) Fax No.(Opt.) So 8.In addition to himself,ow 'er designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes: a)Name and address: b)Telephone No.: Fax No.(Opt.) 9.Expiration date of Notice of Commencement(the expiration date is one year from the date of recording unless a different date is specified): ,2 — 3g.— o 9 WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART I,SECTION 713.13, FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST sr r- TO OBTAIN FINANCING;E•QNSIJ1PH FO NEY BEFORE COMMENCIN O Mt8S #1 RDING YOUR NOTICE OF COM ENCEMENT. STATE OF FLORZA �eR`bor iq` -% COUNTY OF HI1 f3ROt .1J. ?o9u': 10 NDD 59949t Signature of Owner or Owner's Authorized Officer/Director/Partner/Manager :9� aeetnNo� kenn��h F0 Vt - �,/�A�„�.��MYc Print Name /tt6a�t 1 111 N0�\' th The foregoing instrument was acknowledged before me this 12.. day of 4ltuane 20 Q—,by O.St er- as L v- V Ce P1 i c,W ( e of authority,e.g.officer,trustee, attorney in fact)for ' ,0 tt i y (name of party behalf of whom instrumelt was executed). Personally Known ≥L OR Produced Identification Notary Signature jJ 2 . Type of Identification Produced Name(Print) ;o1- I I Verification pursuant to Section 92.525,Florida Statutes.Under penalties perjury,I Clare that I have read the foregoing and that the facts stated in it are true to the best of my knowledge and belief. FORMS/NOC,msdzoo7 aLQi Signature of Natural Person in line#10.)Above OR BK 7999 PG 710 2 of 2 LEGAL DESCRIPTION FOR PROPERTY ID: 03 26 21 0010 11300 0000 PAGE 01 OF 01 SC TP RG SUB BLOCK LOT ZH COL SUB PB 1 PG 55 POR TR 113 LYING E OF US 301 DESC AS CON SE COR SEC TH NOODG 25MIN 50"W 497.30 FT TO PT ON WLY R/W LN FORT KING RD TH N25DG 39MIN 30"W 137.85 FT FOR POB TH W 177.53 FT TH S23DG 19MIN 56"E 135.82 FT TH $65DG 25MIN 48"W 242.20 FT TO PT ON CV ON ELY R/W LN US 301 TH ALG CV CONCAVE TO ELY ON ARC OF 268. 29 FT BAD 1031.21 FT CHD 267. 53 FT BRG N07DG 11MIN 58"W TH E 358.32 FT TO PT ON WLY R/W LN FORT KING RD TH S25DG 39MIN 30"E ALG R/W 44.38 FT TO POB AKA MCDONALDS OR 796 PG 1777 STATE OF FLORIDA,COUNTY OF PASCOA THIS IS TO CERTIFY THOF AT THE FOREGQING I$$A TRUE AND CORRECT PUBLIC RECO�T ON FILE OR OF OFFAL Sg4;TH1 WITNESS MY HAND ,3fk- pAY OF C PA�O'NEIL,C ERK /� DipI,TYK c BY cam' City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: / J Date Received: 1/-$-C) Site: (�j} 4 l/ /5/ ' Permit Type: Approved w/no comments Approved w/the below comments: ❑ Denied w/the below comments: ❑ This cor7nent sheet shall be kept with the permit and/or plans. JF /7oS Kal Switzer—Ila#sExaminer Date Contractor and/or Homeowner kJ (Required when comments are present) P . 01 /01 TRANSACTION REPORT JAN/ 14/2008/MON 03 : 56 PM FAX (TX) # DATE START T. RECEIVER COM.TIME PAGE TYPE/NOTE FILE 01 JAN/14 03: 55PM 812176367903 0:01 :32 9 OK SG3 8105 • X+ 1 City Of:zeph;bills: . .Y.- *i;;!�k�ri::isl:. txi:[iy� i• :[ffif^:�:............. ..::rF=.x.4� ........... ..... Building Department ;.zz% ``� Phone: (813)-780-0020 +H'�• � ��' �.< Fax: (813)-780-0021 TO: Kristen FROM: Jackie 743 i FAX#:217-636-793& FAX#: DATE: 1-13-09 #OF PAGES including cover sheet: 7 i MESSAGE: I have attached the information you requested for your company to register with usand, information you need to pay for this permit.If you have any questions please do not hesitate to call me at 813-780-0020 ext 3513. Jackie r ' '---------------------------------------------------------------- • A?1Jan • 13 . 2009 3:45PMY ZEPHYHHILLS BUILDING FAX No, 813-780-0021 No . 2539 P . 002 / i, ��i•U t J 313.780.0020 City ei Zephyrhlils Permit Application 44 t Fexat -lapoo21 Bulldktp DIPatlmant Data RaColvad �,— 7� �rppone OniuL/for PefnlHfirg — Owner,.Name FRJNc,NJ WaY DarlA(DS /O Q4s,'-Ies""•• Owner Phone NiNlib r /`Pfa6 &Y •!/RVr P Owner e Adoreee i{90� Nl slau S7 /Anr 3�IoD"7 owner Plwna N,tmber C�13)5'D5—©5/� Pee Simple Titlehold.r taros Owner Phone Numbar Fee Slmpb Tl3onaid.vAddd;.I.� ,C5A017RE89 M,r�agALDs ,3V'15o G.-A t3(.VD,.ZgrMYR(I FLJ ft LOTS •SUBDIVISION PARCr11D1( O5`NI-..J +^ ll�O'� IO5TA1(!D FROM PAOPNRTYTAX SOTICq WORK PROPOSE e INSTALL NEWCONSTR I .�q .-diet) 5I $ MOB © pEMOLISM PROP0390 Uat; Q EFR, I� COMM 0 OTHER TYPE OF coNSTRUcTION BI.00K �f FRAME Q STEEL 0 OTHER_____��1 ^' DE:tcEIPTION OF WORK /d /Y N A '&PF _ PJ B R BUILDING SQE i SC FOOTAGE[ ? ' J HEIGHT Q 9WLDING d/r 5m, �v'fVALUATIONOFTp•TALCONSTRUCTICN ELECTRICAL S T V w! C/ AMP 8ERVTCE Q PROGRESS ENERGY Q W.R.EC. PLUMBING MECHANCAL _. /6,, VALUATON OP MECHANICAL INSTALLATION ^'y IwoNO FF £PCWLTY OTHEER o GA9 � p C� C� FIMSNEDFLOdR vATIONa FLOOD20NENZEA JYES•1-► ' BUILDER • COMPANY SIGNATURE REOGTEREO T VTW I REcuRRbr TY/N - Add.. F LECTRICIAN [� rIL. COMPANY l 16NATUFF: C�C�W REOISTEAEO !N ft a RIE W Y O N �f�'PLUMBSr, �,/� C"If COMPANY I�t'^�•' �•� . SIGNATUrtE RF.cuerEREO ., N cg2CURReM/1'j /N Address _eV Ucenaci MBCIWN1CAL. COMPANY EIGNa RE Irt pt'Tta(W Y/jjJ RE Cupnprr Y I N Neeresa Lkanees _ _ OYNER COMPANY SIONA 128 • RF5ISTt7�0 TY1W1 g CURPEI(f�/N] - /Aeaf-ryes¢: Lkema• 1 RESIDENTIAL Attvdt(2)Plot PISA6;.R)aete of Euidap PMrte.(i)ee o1 Enemy Form:ti R-O-W Permit or new nsVUE00fl. Minimum tan(10)woddn((Wye a(*subnlb5)date.Requked onake,Constn,cUon PWw,StoaewWr Plane w/Si!Fsnee Inaleesd, SaM mN FecJWee&t dumpeter,8Ib Want Pemdttor eubdNbb0s/Wpe Pmla COMMEKCIAI. Apedh(3)coslple a sets or Bulldi Pura PWs 0 Life safety Pays;(Ileac O(l!W Y(fore.A-O•W Parmltlor new cooBSVedon, Minimum ten(10)wofating days pAer wbmkd date,Required onaus,C muucdon Plane,GbtmwprerPUUt'.W/S*Fence Insedud, Sanity FSNA1a A 1 dumps' Site W.•(k Parmlt ler all now yroJooe.All eorrenerekl,egUlnmenls must meet emepeence SIGN PERMIT Aapol(Z)eels o(Ehgpleeted Plans, "—PROPL-RTY SURVEY required torsi NEW consotrclbn, • DI►oetlone: FIll out appiicallon completely. Owner S Conwawtor oleo back of eppIidol I.nolarted It evdr 42500.a Notice of Comm mbornetet M required.(A(C upgred'-ever ad000) Agent(W the cvf"Clor)or Power of Atkmey(for Up owner)would b0 n meone w*ti notenzod bdertfam owner aWlorlanp tern. • OVRR THE tiOUNTER PERMITTING (Front of AppikaU.n Only) _, ••- • 'Rerooi: 6ewete 9av(po Uppmaes PIC Fence..(PbuSui ley legs) • crNva eys.No(over Counterifan p OaaMtyl:Meds ROW 6907 Dairy Road. ZephyshiUs. FL .,W_ .... .The Chiei Keith 11'VUliuiil:a Bus. ;.$1 O780-004: ' -'i;: (81 'lOi FIRE SERVICE USER FEES Occupancy No.: Plan No.: O 6'r-4/4Z Contractor. Business Name: Billing Address: ST Business Address: "°"-. Business Phone No.: Billing Phone No.: Business Fax No.: Billing Fax No.: Contact: Contact: PLAN REVEW FEES ■ISPECTI0N FEES PERMIT FEE FALSE ALARM FEE Plan WC fl Arwood N/C SP*N r $50 let Aisne WC sf U let Re-kmpedion NIC 8tendpipes $50 2nd Alum N/C (L *min $25.00 2nd Re#mpecdon $100 Fire Pump $50 3id Alum WC p Pion K 'd Re4nspso ion $250 Hoods $50 4th Alum $100 4th RskmpectIon $500 Fin Alum $50 61h Alum $150 SPRINKLER SYSTEMS (Buskmes closed is I LP Gee $50 9th Alum $200 80-25 Heeds $60 violetlorm collected) Nlud Gee $50 NON oomKom E $150 25 pka Heads $100 SPR KLER SYSTEMS Fuel Taft-per lei* $60 STAtDPPE SYSTEM Hydro Undergrounds $45 Spaldsrs $100 pPer Riser $50 J Hydroetaflc Test $65 pers* m .File Works $500 FIRE PUMP J Acc.IAui s Test $45 per.y wm Camp Fke $25 0 Per Puny $100 UHydrant Flow $75 Conkobd Bum $100 FIRE ALARM SYSTEM HoodOu.t $50 LI 0-25 Devices $50 FIRE ALARM SYSTEM Place of Assamby $50 Anwar 29 pkis Devices $100 0 System Accephrnce $50 Fire Protection $25 ction SUPPRESSION SYSTEMS URecall Aco p once $50 FNnnwble Appowthn $50 Annual Wet $50 OTHER Waste Tke Storage $50 Annual Dry $60 Fke Wet mom Was $15 px wee Generator<KW $100 LI CO2 $50 U LP ties $25 pert.* Generator a30 KIN 150 otfmr $50U Natural Gas $25 par.y rem Bic.Hemerd Waste $100 Annual IOTCHiEiI EXHAUST Funigftn Ter f<ng $50 p HoodlDuds $60 Tait 1Ok10 or 9mdw $15 perms Torch Pot/Appbd $50 OTHER Fke Pump $46 He .MdWW $100 Annual LP YrrtrreYon per tern $50 File Suppeaion $30 Fuel Tarts InddkMan $50 System Aooeplanoe (Per Tank) $60 Erdmuet HoodlDuct $30 pNr4ret Gee b_-_ m $60 Re-Inspection DBL (Per ) (otharthana •) p Spray Booth $50 p kmpadlon achednrled DBL and canceled celed lees than 24 ham's 8 Construction kmp. N/C Emugency Vehkte Ac' $50 FALSE ALARM PLANS TOTAL I__ NSPECTION TOTAL� PERM IT TOTAL� L TOTAL GRAIID TOTAL ace Comments: Date: __11,_ inswctor. 1�D 1�Q.lJ'L!!Q a���Q ors 4�a��o�ad 9oTWELOPf�lH VGROUP, X C 5205 South Lois Avenue, Tampa, FL 33611 DATE November 3,2008 _JOB NO. Phone (813)805-0512 ATTENTION Attn: Jackie, Permits Fax(813)805-0313 RE: McDonald's#3475 6042 Gall Boulevard TO City of Zephyrhills Building Department Ze h rhills, FL 33542-2543 5335-8th Street Zephyrhills, FL 33542 Commercial Plan Review PHONE NO:(813)780-0020 WE ARE SENDING YOU the following items: O Shop Drawings flSpecifications Samples DP1ans flProposal Copy of Letter Invoice Change Order n SENT TO YOU VIA: o First Class Mail 0 Federal Express QAirborne Express OCourier 0 Delivery in person COPIES DATE NO. DESCRIPTION JOB NUMBERS 1 11/3/2008 1 Building Permit A lication 3 11/3/2008 2 Site Plans, rolled THESE ARE TRANSMITTED as checked below: For approval UFor your use flAs requested flAs requested by �x For review and comment 0 For bids due REMARKS This submittal is for plan review only. No contractor has been selected yet. Should you have any questions or require any additional information, please do not hesitate to contact us. COPY TO SIGNS ��i✓ Ralf D. Por PE file If enclosures are not as noted, kindly notify us at once. Rev.08/04 PDG Transmittal 11/3/2008 Ace Electrical Systems 727 375 2675 01/12/09 12:37P P.001 Ace Electrical Syslems, tue. IJOti) ( h:dlcn►1'crAve. Odtsa, FL. 33.556 r.' t'hgnc(727)1J6 GGa7•(R13)7).().17(10•1•ax(l.)I).17.- (i)) tiunt of firoala 1(' 13lKtl.11c(. 1�Fax r' , Ta_�J. _ �,C -- • —• From C ` CC: l 1 UnlrrrR Cl For Review IJ PIe:rcr_ Comment Cl PIe,s.e Rc ply M Please Recycle lylelee " e 1pe 7 . 7j j. Ace Electrical Systems 727 375 2675 01/12/09 12:37P P.002 e�i�eo•On2o City ofZephyfhill9 PermftApplicatlon vy t P.e.E137BP0021 0.iI1n0 OeMltment Dea R10&ved �(� W1��i.awr rJPI/wrRre�Cww�e ff br i3 p_ {jä fl Owners life"F - A`!I wwr`+r� /o U�r [.O. Owes*Phone Nwnbr /a/fp6AS, 6Y, P Own.V AdMee �70s i - N 3 t 7 bw 33,•rd0� ownerPben.Numeer (t15)8o5'�6/J, Pee BImpw TMaaoleur N.tnt Own.V Mona IYeober _ 'aG Mee Sp le TNbNetdsr MA,rrecs J06 ADDRESS I! ONr)eos 3�715W o(A GAfZBl.,VD. ZKMYCMAa5JLJ *9r LOTd PARCEL too .A&-At,-Al-QO/o•+1J3p0��^J aU11DNIyION IOCYAMep rnoM ne0e1m,YM NWERI WORN PROPOSED CON5Tk 4t/ O £ION Q MOVE Q OEh OU5H R'; PROPO]!D USE CO.rbe 4IThP 1 rr��tt RTL O1HEH TYPE OP.CONSTRUCTION ULOCK FRAME trI OESGNNPTNOM OFWORK CAI ` FFL 6' h�- N AUNO6SIZE SO FOOTAGE 3 p 99p HEIGHT TI r] BUILDING F./i. p VALUATION OF TOTAI.CO„STRUCTION E11 .ECTRICAL G y V AMI'9RV1C6 © PROOREDS ONCROY aso PLul+od5o.°M LJ MECHANICAL VALUATION OF MECHANICAL IN.^.TALLXIION OA3 [] NOOFINO Q SPECIALTY Q OTHER ® ft) PINI3hED FLOOR ELEVATIOgb' j rLOOD fe�r+adfllitel\' n I� BLNLOER 1 CCFIWANY SIGNATURE AB61110 Eo YIN. I ma cuenew LYIN.J 1 AJJne• Llanw>s COMPANr CY' G/fi�'e•!'_� S' „�s' A,rI. l CYIUCIAN Iklt16TFAEp .,,.T y fwcuMb+T f N f. 71aNATURE t�. Address �� r1��I//rf7� C (4 &,'t �'S 1.11:911096 L-C / CIS 5 f ,.4yCR COMPANY çJ s10NATURG ttiTilWr I!L- I Vi N I reecuwu->.TT Alkkese �.•• 111111 Llo.ewe N 1( I MECHANICAL COMPANY SIONA RF _ neOIPIFwa YINLJ s TDCINEAY I VIM ~A�se I Lu enw Y omen COMPANY 910NA IRR AiOhervr® Vi N Frd CIWIFMT �Ad ,, LirAneee :OMMERGIAIL d910ENTIAL Aleach(1)Pbt PIA.'.:N.)W.a of Oviteho PIN1i;(1)got o(ErnegOy FOAM;R.O.W Penn?4y m w tOnsit IUUenSM9.AOO IAGauenSAMlery,.PaQMMeI It 1 oWnpewi 9Nd work PemMt for.UMeIIsfonolkl5e peotoom Ateoh(?)eompkte eet Or 0%&InO PIOIW Pklo o Id.SMIIN Pig';II)Sol of Enemy Pines,R.O-W r'umwl tar now c uednn• MWMUI)t less(1 0)wondnp days ofWr duWldIOl We.Regltre d omke.Cmrseealal Mm,.aim Pt.....f ON F....W W1ed. 5.nNarl(0101*..i I dmnpsw.SNd WOIk POMer sue new p1WUJ5.A0 t mnwrcW raqulmm,pt,mull Mtol d0Mpoarde SIot1 P RMn' ANncu(0)set of Erronseted P WW, 'PROPERTY"VCY required for Cl NEW ooeletntdbn OI,.CUae.1 FR out Aftoksllbl eompletey. Owner L Coneaoter.fin book Or sWkcolfon.marked It over 0Ii00.N HOMO.of Con nsDcw wvt Ia a.qulred.(AIC vpprldss dads*$5000) ti •• Ay.rd(for ele kaem a nr Power of AN.mey Us trio owner)wdule be*051011111th ewtuiled rider(mm awner OWnwtdmf willed r OVER T E COUNTER PER*(NTTNNO (Promu(APpe CN Ony) •ReroeN AneAys 9srvIce L%VFDO. NC PonOse(PIOYSun•7JPoolsoe) orNw*WvNo(rr lrCOUnleI on peak rwewwsneede ROW P . 01/01 TRANSACTION REPORT JAN/ 13/2008/SUN 11 : 53 AM FAX (TX) # DATE START T. RECEIVER COM.TIME PAGE TYPE/NOTE FILE 01 JAN/13 11:52AM 817273752675 0:01:03 2 OK ECM 8080 I 'City of.;Zs: =:i:::, y vl4 �3i4'��a� F R;'r "`•':,.`:i,„, ....... .............. Building DepartAient �' ; x .Phone: (813)-780-0020 :Fax: (813)-780-0021 i 1L ------ �• TO: Lorraine FROM: Jackie - FAX#: 727-375-2675 S .FAX#: DATE:1-12-09 #OF PAGES including cover sheet:2 MESSAGE: • Hello Lorraine I have attached the permit application for the Mcdonalds restaurant project please have the contractor sign in the electrical contractor signature box place address of • business,license number and company name.Fax this back to the 813-780-0021 to my attention. ' Jackie '-------------- ------------------- -------------.----- •------ City of Zephyrhills: Building Department Phone: (813)-780-0020 Fax: (813)-780-0021 E TO: Lorraine FROM: Jackie FAX#: 727-375-2675 FAX#: DATE:1-12-09 #OF PAGES including cover sheet: 2 E I I S 1 3 MESSAGE: I ! Hello Lorraine I have attached the permit application for the Mcdonalds restaurant project please have the contractor sign in the electrical contractor signature box place address of business, license number and company name. Fax this back to the 813-780-0021 to my attention. E E 1 E I 1 E I Jackie E 1 E I E I & l f I s i a E E 1 I I E i E t 1 3 1 I 1 I € J [ i 1 f 1 1 f I I [ f [ 1 1 i ! E } 1 i Ace Electrical Systems 727 97S 267S 01/12/09 11:OSA P.001 Ace Electrical S'ysteiirs, Inc. )()S I ( Imllc•.nr.cr Ave. C)dc:ss:c,IA..z•1s,( Phpna( 17)1)l.(.b(i•(lil 1)9)11 a7(I0•1•oa(7)7)J7S- G7y 1(alr.of I IanJa 1i.'-t itJ.C• Fax To: J/ ( Fnmfr17 ___ Fax: -6L�2 Payee.: Pt..r.>C: Date: Ice: CC: U] Unjent L7 For Review iJ Plet,ce Comn,e„t O hleace Reply O Please Racycle • Comment -- _ Pie r e , ,P nw e I . (- O/ /1i Ace Electrical Systems 727 375 2675 01/12/09 11:05A P.003 DATEIMMIDDIYYYY) ACORD� CERTIFICATE OF LIABILITY INSURANCE i1/12/2009 PRODUCER (813)949-2708 FAX: (813)200-2120 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION CGB Insurance, LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 17894 US Hwy 41 North ALTER THE COVERAGE AFFORDED 13Y THE POLICIES BELOW, Lutz FL 33549 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A:-FCCI Ace Electrical Systems, Inc. INSURER B:FFVA •w Michael Fugate INrVNF.FI c- 11051 Challenger We INSURER 0: Odessa FL 33556 INSURER C: OVERAGES THE I'OLICIES OF INSURANCE LISTED DCLOW HAVE BEEN ISSUED TO THE INSURED NAMED AIOVC FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING AN REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH TI.11S CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. • v.SMI RFDUCFO BY PAID CLAIMS. INSR ADL POLICY EFFECTIVE TYPE OF INSURANCE POLICY NUMBER DATE MMIOD/W POLICY DATE MMIIDOIY ) N s LIMITS GENERAL LIABILITY CAcH.oCctJnRFNr-F $ 1,000,000 COMMERCIAL GENERAL LIABILITY DAMAGE o RpEc ,mnro $ 100,000 A }..JCLAIMS MADE I^ I OCCUR CPPOOOO1131 04/01/08 04/01/09 MEDEXP An one enon S 5,000 PFRSONAL A V INJURY S 1,000,000 GENERALAGCREC_ S 2,000,000 OEN'L AOOHtGATE LIMIT APPLIES PER: try,pDUCTS-COMPIOP AGG S 2,000,000 POLICY PRO II L0C AUTOMOBILE LIABILITY COMRINFO SINGLE LIMIT S 1,000,000 X ANY AUTO (EaecO d,,, A AI,LOWNEDAUTOS CAOO104541 04/01/08 04/01/09 0ODILY INJURY IParporon) $ SCHEDULED AUTOS X HIREO AUTOS DODIILYYIIN^URY f X NON-OWNED AUTOS P c tI PROPERTY DAMALE _ IPar accident) GARAGE LIABILITY AUTO ONLY-CA ACCIDENT $ ANY AUTO OT11CR THAN .SAG S AUTO ONLY; ACIt S EXCESSNMBRELLA LIABILITY 4QCCURRCNCE S 1,000,000 X OCCUR Q CIJUM$MADE ACCRFCATE S__1 000 000 S A R0T15000065051 04/01/08 04/01/09 RETENTION 10 000 WORXFRS COMPENSATION ANO X IAlU- I lom. EMPLOYERS LIABILITY T,Vf ANY PROPRIFTOR/PARTNER/C(CCUTNE C.L.EACH ACCIDENT S 500,000 B OFFICERIMEMBERCXCLUOE07 20043 04/01/08 04/01/09 Vrl E.L.DI$FAEF.FA EMPLOYE S 500,000 II n 09ect in undo, SPECIAL PROVISIONS eMaw I.L.DISEASE•POLICY LIMIT S 500,000 OTHER DESCRIPTION OF OPERATIONSILOCATIONSNENICLCSIEXCLUSIONS ADDED BYENOORSEMENrISPECIAL PROVISIONS •ry CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE City of Zephyrhills EXPIRATION DAYS THEREOF. THE ISSUING INSURER WILL ENDEAVOR YO MAIL 5335 8th St 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT Zephyrhills, FL 33542 FAILURE 100050 SMALL IMPOSE NO OBLIGATION OR LIABILITY OF AMY KIND UPON THE INSURER.ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Kraig 131ancher/AUDRA �7 i4" ""�'� ACORD 25(2001108) 5 ACORD CORPORATION 1988 Ace Electrical Systems 727 975 2675 01/12/09 11:05A P.002 PAS c O -Cou'N BUSES _, TAx RECEIPT 20 -O9 Issuud pursuant and subject to Florida$tatutew and Pasco County Ordinancos. Issuance does not certify compliance with zoning or other laws. Th,i license must be posted conspicuously in place of business.Expires September 30. Mike Olson_ ACCOUNT NO: 048786 TAX COLLECIOR TYPE OF BUSINESS; SIC CODE: 17$1.02 ELECTRICAL CONTRACTOR IiL�iCO C:OL1 lY L�I.()RII)A LOCATION ADDRESS: •• � NAT ,�` _- 11051 ODESSA CHALLENGER AVE ACE ELECTRICAL SYSTEMS INC 11051 CHALLENGER AVE s`v ODESSA FL 33556-1000 `• +, DATE RECEIPT AMOUNT ••lI•••IIuh•I,•kInllnu•IIhIn•1,u.tIu„I,Iu •IIDuIII 08/25/08 552887 53.75 v AC# 3866695 M . STATE-OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION, . ELECTRICAL; CONTRACTORS LICENSING BOARD SEQ#L0807210069 .• - LICENSE..NR:: : L07/21/2008 0880125.86 EC13001386' `' The BLECTRICAL..:•C0NTRACT0R Named.below' IS CERTIFIED Under the proviaione of Chapter,x#:8.9:;..FS. Expiration date: AUG 31, 2010 ': . FUGATE, MICHAEL DARE ACE ELECTRICAL SYSTEMS IN ;'. 11051 CHALLENGER' AVE .ODESSA FL 33556 CHARLIE CRIST CHUCK DRAGO GOVERNOR INTERIM SECRETARY I SPLA)(AS-REQUIRED BY LAW„ _ P . 01/01 TRANSACTION REPORT JAN/ 14/2008/MON 02 : 07 PM FAX (TX) # DATE START T. RECEIVER COM.TIME PAGE TYPE/NOTE FILE 01 JAN/14 02:06PM 99750410 0:00:37 2 OK SG3 8096 No 2504 P. 1. • Jan13 200.9 i0 45A 5800 E.:BROADvVAY A I ENUE. • ?AMA FLORIDA33B19 In ,: CFC046185 (813)971-e100 • (813)975:041.0 FAX S. Fax1 City of.ZephyrhlAs Dlana'Rego Feva 780.0021 pages:.Ff Phone: -Date: January. 13,2009 • Registration CC: p llrgept X"For Roview O Please Comrmnt ❑PIusse try D Pbe:se Recycle • •e Comments: The above is the info you needed for our ecompany, u nce nad me, o I iievs hne# following are a copy of our state license,occupational license, a letter of authorization for pulling permits when we puU permit. 1 Any question,please call our office, Thanks,Diana(Dee) •' • • 4cav1 * Jan . 13 . 2009 10:45AM No.2504 P. 1 5800 E.BROADWAYAVENUE TAMPA FLORIDA 33819 CFC045185CO., (813)971-6100 (813)975-0410 FAX Fax . City of Zephyrhills F.wl, Diana Rego Fax: 780-0021 Pages: 2 Phone: Date: January 13,2009 Re: Registration CC: O Urgent X For Review O Please Comment O Please Reply O Please Recycle 0 Comments: The above is the info you needed for our company,name,address and phone#. The following are a copy of our state license,occupational license,and certificates of insurance. I will have a letter of authorization for pulling permits when we pull permit. Any question,please call our office. Thanks,Diana(Dee) Gee * Ym jn ci`uy\- his cr sea&i tea( Cv4 &j � l � 813-70-0020 City of Zephyrhills Permit Application . f ps 1( Fax-813-780-0021 Building Department Date Received �'- �Q Phone Contact for Permitting Bi3 235 - !w Owner's Name I f rv-N•CUISE I F/1QY'n rbl�laos %I.ffsP `EIts o• Owner Phone Number /v PR0&iP=1A15 (Y. l° Owner's Address R9�P NPr 5RU ST l Ark A 33/O1 Owner Phone Number (2/3)805—©5/A Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address/ ,/ C JOB ADDRESS M'LON,ko5'.3V76(I? 04iZ �7-AU BLVD, ZBPNVrt:►//u5 FL LOT# �� SUBDIVISION I PARCELID# 0.3 _A/-WHO^ 11300- --i�{{��� (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW IJ REPAIR CONSTR SIGN 0 MOVE Q DEMOLISH INSTPROPOSED USE SFR ' COMM OTHER TYPE OF CONSTRUCTION BLOCK Q FRAME Q STEEL Q OTHER c x. n as xi rft DESCRIPTION OF WORK PU /Y IN ..M`G4FEN GOFF6E • BUILDING SIZE I I SQ FOOTAGE 3/�9a HEIGHT nu BUILDING I5 q/' VALUATION OF TOTAL CONSTRUCTION ELECTRICAL $ 7 V�r+7 AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. PLUMBING $ ,[75O•oo MECHANICAL $ ' / -- VALUATION OF MECHANICAL INSTALLATION GAS Q ROOFING SPECIALTY Q OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA YES N� 431, BUILDER COMPANY (\1' SIGNATURE REGISTERED Yl N FEE CURRENT IYIN Address License# {pLECTRIC.AN L �" cac COMPANY \ SIGNATURE .e. REGISTERED YIN FEE CURRENT I Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED I Y/N FEE CURRENT I Y/N Address I License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/N FEE CURRENT Y/N /Address License# OTHER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N Address License# 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 wl 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. 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 A/C Fences(Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW `Jan , 13 . 2009"110:45AM' "O1o'v'cvglu No .2504: 2.P , 4 ACORD, CERTIFICATE OF LIABILITY INSURANCE I DATEIISIs/ODryYr' 01/12/09 PRODUCER 1-727-797-4190 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Arthur J. Gallagher Risk Manageaant Services, Inc, ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 2600 McCormick Drive HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Suite 300 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Clearwater, F1. 33759 INSURERS AFFORDING COVERAGE NAIC# INSURED .A-1 Contract Stalling Group INSVRERA:Zurich American Its Co 16535 3829 Coconut palm Dr, INSURERS: INSURER C! Tampa, FL 33619 INSURERO; IN5UR5R E; COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FORTHE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IHER 0o'LJ LTR YP NC POLICYNUMBER POLICYEDA'TEIMMr5 E VE POLICY EXPIRATION LIM GENERAL LIABILITY ITS EACH OCCURRENCE S COMMERCIAL GENERAL LABILITY ISES apew ce $ CLAIMS MADE OCCUR MEDeXP(Anyonepereon) t PERSONAL d ADV INJURY $ GENERALAOOREGATE S GEN'L AGGREGATE LIMITAPPUES PER POUCY PRO- LOC PRODUCTS-COMP/OPAGO ; AUTDM OBILt LABILITY ANY AUTO (E ; dFOSINGLELIMIT (E ; d $ ALL OWNED AUTOS SCHEOULEDAUTOS BODILY NJURY (Per person) HIREOAUTOS NON-ONeIED AUTOS e BODILY IjU Y (PN'acddnl) $ PROPERTY DAMAGE ( ereco nt) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EAACC S AUTO ONLY: A00 S EXCE!LUMBRELI.A LIABILITY EACH OCCURRENCE 5 OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE S RETENTION $ - C A WORKERSCOMPENSATIONAND WC343479606 $ 01/01/09 01/01/10 g WC TATU- X EMPLOYERS'LIABILITY OTH- ANY PROPRIETOR/PARTNER/D(ECUYIVE E.LEACHACCIDENT $1,000,000 OFFI CBRMEMBER EXCLUDED? If deawiWuncier E.L.DISEASE-EA EMPLOYEE $1,000,000 SPECIALPROVISIONS LMlow OTHER DISEASE-POLICYT 51,000,000 DESCRIPTION OF OPERA71ONaI LOCATIONS/VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PRO VISIONS Mc$latt Plumbing Co., Inc. is en alternate eogloyar. Coverage is for contracted employees o; A-1 Contract staffing not subcontract labor. Joel MCNatt # CPC045185 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE ExpIRATION C ityf 2ephyrhd lla DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DepartmentDAYS wRITTeN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO P050 SHALL 5335 Bab, Street IMPOSE NO OBLIGATION OR LAB!LTY OF ANY FOND UPON THE INSURER ITS AGENTS OR REPRESENTATIVES. ZgDhyrhille, FL 33542 AUTHORIZEDRMPRESENTATIVE � IISA ACORD 25(2001/08)bctraik 10678523 ®ACORD CORPORATION 1988 01Jan . 13 , 2009: 10:46AM13-977-0181 INSURETEK INSURANCE No .2504 P. 5 02/02 ACCORD„ CERTIFICATE OF LIABILITY INSURANCE 0p 1D sR 01/12/09_ PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE INSUJRETEK INSURAI:TCE ASSOC INC HOLDER THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 3333 m KENNEDY BLVD, STE 103 a-TER'HE COVERRAGE AFFORDED BY THE POLICIES BELOW, TAMA FL 33609 Phone: 813-911•-0000 INSURERS AFFORDING COVERAGE NAIC0 INSURED PLUNGING CCBfPANZ, MsURERA: HID CONTINENT/FSBTA 2NCORPo ATED JOEL M NPTT CE'C045185 INSURER s 5RCtT INSURANCE GROUP TTN OLE REGO INSURER C: FAX• 813-975-043.0 5800 E BROADW AVE INSURER D: TA14PA FL 33619 INSURER E; COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN I85UED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMEM WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 19 EUBJECTTO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF EUOM POLICIES,AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED DY PAID CLAMS, ID. POLICY crnv , T EXPIRATION -. LTR TYPE OP INSURANCE POLICY NUMBER OATS DATE LMITS GENERAL LIABILITY EACH OCCURRENCE Al 000,000 '¼ IVMO?IJtU A X $ COMMMERCIALGENERALLIABILITY 04GL000737563 11/15/08 11/9.5/09 PREMISES Eooceuience $100,000 CLAIMS MADE Q OCCUR MID EXP(Any one pereon) $F.BCL X $5000 DED PERSONALaAOVINJURY $1,000,000 PER CIJ fl"i GENERAL AGGREGATE s 2,000 000 GEUTL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIDP AGO $2,000 000 POLICY X j R LOG AUTOMODILQ LIABILITY COMBINED SINGLE LIMIT B R ANY AUTO FLC7014131 10/07/08 10/01/09 (EAeeddeAO I►000,000 ALL OWNED AUTOS BODILY INJURY X SCHEDULED AUTOS IPer p.rion) $ HIRED AUTOS FL NO FLT: $10001 I BODILY INJURY 9 NON-OWNED AUTOS BSoo cosy. a COMP SIISCT (Pereeelden) PROPERTY DAMAGE $ (Pereeddem) GARAGE UADIUTY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHR THAN EA ACC S AUTO ONLY: AGG $ EEXCEULmublitEU-A LIAABJTY EACH OCCURRENCE $1,000,000 A X X occuR O CLAIMSMADE 04-XS-00001544492 11/15/08 11/15/09 AGGREGATE 51,000,000 3 RETENTION EDUCTIBLE x s3.0,000 B WORKERS COIUPENSATIoN AND WC BIAIUI 10TH. TORY I.IM •I I ER FJAPLOYERe LIABILITY El E.L.EACH ACCIDENT $OFFFIY OERNEMBERREEXCLUDEO7 E.L.DISEASE EA EMPLOYEE $ If y dyplee yrlenr SPECIAL PROVISIONS E/low E,L DISEASE.POLICY LIMIT I OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES,Ia7ECLUSION9 ADDED BY ENSOREMlNT I II/ECIAL PROVISIONS CERTIFICR!rE BOLDER IS ADDED AS ADDITIONAL INSURED ATI14A CERTIFICATE HOLDER CANCELLATION CITYOFZ SHOULD ANY OF TUB ABOVE PE$C TEED POLUOIEM BE CANCELLED BRORA THE EXPIRATION OATS THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE MOLDER NAMED TO THE LEFT,BUT PAILURCTO DO SO SHALL CITY OF 0- ILLS FAT[ 813-79790-0020021 MOO%NO OBLIGATION OR LUABWTY OP ANY KIND UPON THE INSURER,ITS AGENTS OR 5335- 8 STREET RNPRESENTAT VEB ZEPNYRHTZLS FL 33566 AUTHORIZER REPRESENTATIVE [RdLcbaxd P1 Lane CICJ AAI ACORD 25(2001/08) S ACORD CORPORATION 1988 4�':i-7 •Ml��F-r;'�Ti'f' e;r:_ „`.•red, +^r. `. ;�y;,r;'":lii^'}hri,tV-�pp., ,. k, . . 'a4+l ' `;,fA" - •==:..,.rte:::.' �.-:.:i�•C:Y�- . fTI H. ;, w • a '::'��� �n• ��ei� ''f1.11^tj h:�:rf "2.57 - N� .h'; fir• S3�r' :y,:� ,:;., "die•-<�M ;i.�i , -:a{'":f'i�Z�r"i"r.;.,r .e,ir.7. lIr p fir^ 'fiq r•1.I r rte, 4;+ ,y ,_ w fit:` ,' 4. 4J ,: , 19 j?1nri�rfS_ y�1 s, k d VOSZ' °N NVSV: o f soot •s 1 ' per 8 0 N � Q IQJi W O a oCI 00 p o o � Q O 8 2 w ao X w W m a Ooo XN� W Z x W�t4- ui W Q e0 g CD cm H Q m zm a ~ � o � a a m z W O z w III v y 2 z z } m}D X T 0 c3 o m o . ob W< _ O s V m 'mom WQ QWQ LU N rA Z +�� Cb W O 0 C1) O z� wj c 8 d VO °N Mt:01 soot ' S l l uer Jan . 13 . 2009 10:45AM No. 2504 P . 1 5800 E.BROADWAY AVENUE TAMPA,FLORIDA 33619 CFC045185 (813)971-6100 (813)975-0410 FAX Fax City of Zephyrhills Fri: Diana Rego Fax: 780-0021 Pages:.Er 2 Phone: Date: January 13,2009 Re: Registration CC: ❑Urgent X For Review ❑Please Comment O Please Reply O Please Recycle • Comments: The above is the info you needed for our company, name, address and phone#. The following are a copy of our state license,occupational license, and certificates of insurance. I will have a letter of authorization for pulling permits when we pull permit. Any question,please call our office. Thanks,Diana(Dee) ' " L t �" Lrbr c5' £2 a lace CIS Uc ' fr , adc' a,# d Cpj * z ? ck 3Mi 'r .. . 2EPHYRHLLS {IMFa E fi yEF A. R E 6907 Daily Road Zep ty tills FL 66547 Chi--f Keith \hfilsia'11 54. l 1 3765004 (61376004._. FIRE SERVICE USER FEES Occupancy No.: Plan No.: 2 Contractor. Business Name: _ ,. Billing Address: lJ .¢cl S?� Business Address: ®S/Zrd-7? "7� ,vdc3G� 7 Business Phone No.: Billing Phone No.: Business Fax No.: Billing Fax No.: Contact: Contact: PLAN REVIEW FEES INSPECTION FEES PERMIT FEE FALSE ALARM FEE Its Plan WC Annual N/C Sprinkler $50 let Alarm N/C sf let Re inspection N/C Standpipes $50 2nd Alarm WC (Minimum $25.00 2nd Re-inspection $100 Fire Pump $50 3rd Alarm WC fl Plan R BL 3rd Re-inspection $250 Hoods $50 4th Alarm $100 4th Re-Inspedbn $500 Fire Alarm $50 5th Alarm $150 SPRINKLER SYSTEMS (Business closed until LP Gas $50 6th Alarm $200 8 0-25 Heads $50 violations corrected) Natural Gas $50 NON COMPLIANCE $150 26 plus Heeds $100 SPRINKLER SYSTEMS Fuel Tanks- par tank $50 STANDPIPE SYSTEM Hydro Undergrounds $45 Sparklers $100 Per Riser $50 Hydrostatic Test $65 per ayetam Fire Works $500 FIRE PUMP Acceptance Test $45 parsyatem Camp Fire $25 Per Pump $100 Hydrant Fl $75 Controlled Bum $100 FIRE ALARM SYSTEM Hood/Duct $50 0-25 Devices $50 FIRE ALARM SYSTEM Place of Assembly $50 Annual 26 plus Devices $100 8 System Acceptance $50 Fire Protection $25 SUPPRESSION SYSTEMS Recall Acceptance $50 Flammable Application $50 Annual LI Wet $50 OTHER Waste Tire Storage $50 Annual al Dry $50 Fire WalUSmoke Well $15 parwan Generator<KW $100 CO2 $50 LP Gas $25 pertank Generator>30 KW 150 Other $50 Natural Gas $25 per.yam Bio-Hsxard Waste $100 Annual KITCHEN EXHAUST Fumigation Tenting $50 Hood/Ducts $50 fl Teat 10x10'or greeter $15 per tan Torch Pot/Applied $50 OTHER U Fire Pump $45 H .Materials $100 Annual LP NNstalatlon per tank $50 J Fire Suppression $30 Fuel Tank Installation $50 System Acceptance (Per Tank) $50 Exhaust Hood/Duct $30 flNatural Gee katalaaon $50 Re-inspection DBL (Per System) (other than annual) Spray Booth $50 Inspection scheduled DBL and cancelled less then 24 hours Construction Insp. N/C Emergency Vehicle Aa $50 FALSE ALARM PLANS TOTAL[ INSPECTIONTOTAL� PERMIT TOTAL____ L TOTA GRAND TOTAL I_I Comments: Date: d� Inspgctor: L7 .LZ4 ?V `i/Jan . 13 ' 20096 3 : 05PM ZEFHYFHILLS BUILDING FAX No. 8I3-780-0021 No , 2532 P._11 No 2504 P. 1 Jan 13 .200.9. 10:45AM seoo BRDADWAY'AVENUE i , • , ?NMPA,FLORIDA33B1G , I .CFcro46�a5 � - ' (813)9r1- 100 . • (813)975.441D FAX • City'Of•Ze hyrtiNs Diana Rego 'Feoc 780-0021 Phew& , Phenol Date.. ' Janualyl3,2009. - Re- Registration cce X'Fvr Re+riew O Please Gomromt D.please Repty 'O-Plst Reryde ,•tarnrnorlh+.. The above is the htfo you needed'(or,our tympany,name,address and phone# The • • following are a copy of our slate lioens0,occ upatlonal license,and certificates oFlnsuranoe, I vAI have a letter of authottm6on for pulling pemd4s when we pull permit. • • Any Quosdon,please call our office- Thanks.Diana(Dee) . . . l�f c/7 �U 1ti '1` •• • JAN/1J3:__02 3 :05PM ZEPHYRHILLS BUILDING FAX No, 813-780-0021 No • 2532 pP__2 i J Few et3.79P 00ZI City ofZep yd II PtrnIt AppI1c8t on Dsle ReCelved ; t/" Y � ConlaeltaPermlTaea I� 35 - 6 flEALTY pIr Elts L O'r Owner Pno a Nwllber Ovrn.rs N.me FRF�cNcsE A�Os GIST Owner r Aooreee y90P N .Sr 1A11►p4. owned p oneNwllbor (,p1 ©5/a, owner Phone Number LIII 11 Fee SbAple Ti11MWdoe Name , Fes slrrlo►eT10enWaer Address L 77SV LOT rr. rl5CD 0q G�- '- .•2 rNYANAss F JOB ADDRESS � Nr9trs '-� SVBDNc91ON (oaTAerdb FR0N FaoFrlrrY7Alt Me'fiCG --� 5 QN MOVE Q DEMOLISH WORKPROPosBb • NEW:QONSTR INSTALL G,QMM OTHER PROpoeeo USr: Q SPn O STEEL Q OT' LL iii tjLOCK [] FRAME [� TYPE OF tONSTRUCT1oN t7rj OF.SGUIPTION OF WORK / /Y BUILDING SIZE ' salroorno6 9 S9�sF HdOHT � , Q BUILDING $,�/_i JLm VALUA•t1ONOpTt2TALCON9TKUG'11ON . Y' AMP BERVIt Q PROGRESS ENERGY Q w, C' GJ ELecr�ICAt s ,y d60."u C7 PLUMBING �{ 5 ?`r ' ICAL WSTAI.L1T1tN1 �I,S �•: Q A(ECHAMCAL _. / VALUATION OF M6GHAN S�IA J;• . r--. GA • ROPPINo p HPWIALTY OTHER FFIINIISH D FLOOR SLCVA11ONS PLOOO ZONE AREA AYES COMPANY t> r YIN 1 BUILDER p q5 ED V/N SIGNATURE Lleep ,i 1111111 �(d FCTRICIAN � Lr nE9r5rEaw f N FEECtinl¢rrf V/N GNATURE E Llceaae AOOrax /J� LIII TI PLUMBER C"V ww � Y N F11EClIpa�NT ��j SIGNATURE � goatees E UeensoA••MHCHANICAL. C ANY CIIPREW V/N SIGNArryyRE ;L N/A Lroerro• Agresa OTNtR REyTgbp Y/N rtg:tklfelElrY 916NAj11R8 LIee1GC Aderasa Krrf.ID£NTIAL AI(2)Plot Plans;.(3) or BuildA9 rtww(4)eel of Eneror Forms.R.O-W Pernllt(or new WM1WWWOUA Milteoum in,(10)wtettMg OaYcaltar eubn Ia*date.Rq*0d mwke,Canree(va�ewl0on PPIA',9tomwaler plane WI SW Fen ce urNaWd. Sanitary Fadlitea&1 elanpeter,BlIo Welk PCrmlt(er + iubdMabnslhu9asl o(P.norOV Forrflo.R-0W Pandtior nett conShvlrbon- COMMCKCIAL Atla I(3)comPbb seta of Bulldny PMrrs pWa a LYe 5afeq Pays;() Minimum ten(10)woyklug days erler eubw"dale,RAOulree OHM-Cr111"C'9a Plane.ClermwowrPlons wr SE Fence lnsllled• Swtbry Fact s&1 dumpslar.Sits work pemlkrorae nowW0)aols• rnmel All 00ceel I-qulrernnnts ewer meal ea'npNwroe SIGN PERMIT Aaaeh(2)eela of Erlgpleered Rare. ^PROPERTY SURVEY required for all NEW eontht adon. Ofrecdone: i Fill Out appfr"Uon compNtelY. Owner&Coruracw In beak o(applkalan,nowled• over 10000) ' Irover42500.a Notice of Corllmehtament N fequbed.(NC upgfadea •• Agent(wt the C0NraCW)or PaMer s(A osney(for the antler)would be eomoone wkh naeltza0 beer from pwnpr aelkertilnp esrta OVER THE COUNTER PERMITTING (Franc of Appilnebn Dn i • • .Ra,ea1; Sewers Serv(C6 UPOmoes NC Fences(PblrSuNNIY%00LW6) odwavelys.Not over Counter IS on publicToaowaya..naeaa ROW