HomeMy WebLinkAbout09-8787 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 8787
PLUMBING PERMIT
Permit Number: 8787 Address: 7838 GALL BLVD
Permit Type: PLUMBING ZEPHYRHILLS, FL.
Class of Work: IRRIGATION Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 35-25-21-0010-00700-0000
Improv. Cost: 184,283.00
Date Issued: 2/02/2009 Name: PRIMERICA GROUP ONE
Total Fees: 735.00 Address: 3629 MADACA LN
Amount Paid: 735.00 TAMPA FL 33618
Date Paid: 2/02/2009 Phone: (813)933-0629
Work Desc: LANDSCAPE & IRRIGATION INSTALLATION
CORNERSTONE TREE FARM INC PLUMBING FEE 735.00 ii iiiiidó 1ST ROUGH PLUMB
2ND ROUGH PLUMB
SEWER
WATER
FINAL
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 a 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
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances
OR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received
Phone Contact forPermitting I 1 I _
Owner's Name Zephyr Commons LLC 813-933-O629
Owner Phone Number
Owner's Address 3629 Madaca Lane,Tampa FL 33618 Owner Phone Number
Fee Simple Titleholder Name n/0-
Owner Phone Number
Fee Simple Titleholder Address n/a
JOB ADDRESS 7788 Gall Boulevard,Zephyrhills,FL 33541 n/0-
LOT
SUBDIVISION n/a PARCEL ID# 35-25-21-0010-00700-0000 and 26-25-21-0000-00300-0000
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW CONSTR ADD/ALT = SIGN MOVE = DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK = FRAME STEEL OTHER
Landscape and irrigation installation
DESCRIPTION OF WORK
BUILDING SIZE n/a SQ FOOTAGE n/0- HEIGHT n/0-
= BUILDING $ VALUATION OF TOTAL CONSTRUCTION
= ELECTRICAL $ AMP SERVICE PROGRESS ENERGY
PLUMBING $ 184,283(Irrigation System)
= MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
GAS = ROOFING = SPECIALTY = OTHER 111
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES =NO
BUILDER COMPANY
SIGNATURE REGISTERED I Y/N FEE CURRENT Y/N
Address
License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N I FEE CURRENT I Y/N
Address
License#
"- - Cornerstone Tree Farm
PLUMBER // __ _ COMPANY
SIGNATURE / J 7 REGISTERED I Y/ N I FEE CURRENT Y/N
Address 14620 Bellamy Brothers Boulevard,Da City,FL 33525 License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N
Address
License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N I FEE CURRENT Y/N
Address I
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 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.
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 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 AN ATTORNEY BEFORE RECORDING YOUR NO ICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117.03) GG//
OWNER OR AGENT CONTRACTOR _ ` G+�
S s 'bed and swo to( rrne r is S bed and swo (o d)before me this
bY by
'
to me or haç4A ave produced Who is/ar�ersonalty known to me or h shave produced
as identification. as identification.
Notary Public
^ KK/I,�,� {{�� Notary Public
Commission No. DD LI 5 • 4J- Commission No. C
ki'rrdcFüi i 1 ono v Ste i}-h
Name of Notary typed,printed or stamped Name of Notar
y rinter IRICA FAULKNER SMITH
MIR;— s.iA FAULKNER"; SMITH NOTARY I UBLIC—STATE OF FLORIDA
NOTARY 'UBLIC—STATE OF FLORIDA C °v":1iSSION#DU566524
C..'","1MISSION#DD566524 MY COMMISSION EXPIRES AUG.21,2010
MY CO ON EXPIRES AUG.21.2010
Cornerstone=M
14620 Bellamy Brothers Boulevard Dade City, Florida 33525 (866)617-2235 fax (352)588-2154
www.cornerstonetreefarm.com
TRANSMITTAL SHEET
DATE: February 2, 2009 SENT VIA:
0 HAND DELIVER
TO: Building Department ❑ FED EX
COMPANY: City of Zephyrhills ❑ COURIER
ADDRESS: 5335 8th Street ❑ PICK UP
Zephyrhills, FL 33542 ❑ USPS (Regular Mail)
❑ FAX
❑ OTHER:
TELEPHONE: 813-780-0020
FAX: 813-780-0021
EMAIL: n/a
REFERENCE: Zephyr Commons Irrigation Permit
Quantity Description
tion
1 City of Zephyrhills Permit Application
1 Principal / Agent Authorization Letter
1 Notice of Commencement
1 City of Zephyrhills-Contractor Certificate
1 Copy of contract between Primerica Group/Zephyr Commons LLC & Cornerstone
1 Cornerstone Check #4181 ($735.00) for permit fee
1
COMMENTS:
Please contact me with any questions.
Copies To:
Chloe Fireba h Cornerstone File
Commercial Landscape Division Coordinator
cfirebaugh@cornerstonesolutionsciroup corn
813-253-9430 (cellular)
PRINCIPAL /AGENT AUTHORIZATION LETTER
Please be advised that Peter Klinkenberg of Cornerstone Tree Farm is an agent of
Zephyr Commons LLC and Primerica Group One, Inc and is hereby authorized to apply
for permits and/or inspections for the Zephyr Commons project on behalf of the owner.
l L
Owner Name
kXQV
Position
Signature
EFIN or FEDTAX ID#
STATE OF FLORIDA
COUNTY OF PASCO
The foregoing instrument was acknowledged before me this 2fl day of
2009 by L as or
S
They are jsonaIIy known to me or produced
as identification.
No ary ignatu
MIRA='� st FAULKNER SMITH
NOTARY E !BLIC—STATE OF FLORIDA
COMMISSION #DD5S6524
MY C0MM0N EXPIRES AUG.21,2010
SEP-30-2008 09:23 CORNERSTONE TREE FARM P.01/01
° CITY OF ZEPHYRHILLS .
CONTRACTOR CERTIFICATE
5335 8TH ST.
ZEPHYRHILLS,Fl. 33542
PERIOD COMMENCING OCT. 1, 2008 TO.SEPT.30, 2009
License: PASCO Expires: 9/30/2009 Type: SPRINKLER SYSTEMS UVDOORRhr=:a '.:_
Ph: (352)588=2235
Insurance: 0 w" Expires: 3/30/2009
Workers Comp: 2023296 Expires: 9/01/2009 Fee.Paid: 30.00 9/29/2008
CORNERSTONE TREE FARM INC r;'
410 WARE BLVD
TAMPA FL 3 611 NAG
-:T_, NAG
This registration expires each year on Sept≥ A4 r
TOTAL P.01
JAN-20-2009 10:24 CORNERSTONE TREE FARM P.01
Corporate Headquarters
_•�.���.��� 14620 Bellamy Brothers Blvd PROPOSAL
Bade City,FL 33525 Date Proposal No.
Cornerstone 352.588.2235 telephone 12/16/2008 0434-LC
352.588.2154 facsimile Address
Zephyr Commons
Name/Address Revised 1/09/2009
Primerica Group
Attn: Adam Robinson Lot Number
3629 Madaca Lane
Tampa, FL. 33618
Work Requested By:
Adam
Qty IDescription Total
Cornerstone Tree Farm Inc. proposes to furnish all labor, materials, equipment
and supervision necessary to construct, as an independent contractor, the
following described work:
Landscape and irrigation installation proposal. See attached bid package for 552,145.66
details
One year maintenance(to be billed monthly) 49,800.00
A down payment of$0 is required to initiate contract. Periodic invoices will be
rendered as project progresses with Final Invoice upon completion of project.
No Finance Charge will be imposed if the total of such purchases is paid in full
within 45 days of invoice date. If not paid in full within 45 days, Then a
FINANCE CHARGE will be imposed from the invoice date on the balance of
purchases at a periodic rate of 1 1/2% per month (18%Annual) until paid and
Cornerstone Tree Farm Inc., shall have the right to elect to stop work under this
Contract until all outstanding amounts, including Finance Charges, are paid in
full. Payments will be applied to the previously billed Finance Charges, and
thereafter, in order,to the previous invoices and finally to the New Invoices. In
the event any or all of the amounts due under this Agreement are collected by or
through an attorney,the Purchaser/Owner agrees to pay all reasonable
attorneys'fees.
This Estimate is open for acceptance by Client for 30 days from the date printed Total $601945.66
above,after which it will be withdrawn by Cornerstone Tree Farm and may be
subject to re-negotiation.
Date /" ! -2? Signature
JAN-20-2009 10:24 CORNERSTONE TREE FARM P.02
0 0 888 O o 8 8 0 0 0 R 8 8 8 O N N C O n g 8`-' � a• $0
p o NO pry N1¢1C4 r-4 00 p
OBS�M ��43 tp��1N8V aO�Dp �t�p7� SPA ��pp ppf�Cl iiiiNO�NNsf ppI��Y Cep
M NM � yN Hy NHNNN� HNhNMK N �W
U, O
m
O
Q N
z c'1
s 'c
G C C
.2 2
a C
° o o � 88888pa8��o88 $8 88 00 8g e
Swg oc cao �$$ S$
'r.'�olNNNtl/HH�NNNN NO �H�NN PNNN�w�N �, � -. ^�
Y C
0000 00000000o E S
( CD m G 010 1001010 OG CG p 100 --f—tin C'lON O��0 c2 �p
E � mm
$ la m ~F'e �Oa�aaa
Pg :: � j�y2� 41(/IMNtlSO sx8p,
4U c�v y �iaox,!a?ix�x-���� @ I riLLP
'wy abNNiel YIi- ��F 00 r6 �dr6 � _ C
x x x x P= U
d to tjs daVVe �� A NNe Gfi55 _
4 W C1 Q � N �(9�YV
•' 'G j 41 8 O$$ OIMH
C C ' 888
pp hi I ___ P
W ae r�
Ix •r
N ae
W g EE . v� 5E
hi
LL c C
LU
PA - LL
Z o � fl
IO�NI'��O bt7 MaO� Hl'PJ ODNOfIfl 1� ?� Vim$ rN
� PP 1
JAN-20-2009 10:24 CORNERSTONE TREE FARM P.03
.►i��a Corporate Headquarters Sarasota/Bradenton Branch Jacksonville Branch
14620 Bellamy Brothers Blvd 2712 63rd Avenue East 980 Roland Avenue
Dade City,FL 33525 Bradenton,FL 34203 Green Cove Springs,FL 32043
Cornerstone— -817-2235 telephone www.cornerstonesohnionsgroup.com
866-929.6998 fax
IRRIGATION PRICING SHEET
Job Name: Zephyr Commons-Hunter Two Wire System Date Created: 12/15108
Item Price Item Per Job Total Item Price
-Zone $234.00 0
1 $0.00
2-Zone
$348.00 0 $0.00
24-Zone $552.00 0 $0.00
2-Zone $964.00 0 $0.00
Hunter ACC Pedestal Clock-Includes Concrete Pad $2651.00 1 $2,651.00
1 inch $345.00 2 $690.00
1.5 inch $380.00 4 $1520.00
inch $405.00 81 $32805.00
3 inch $460.00 0
$0.00
$0.00
inch s "7".00 0 $0.00
inch spray $36.00 2,090 $76,240.00
12 inch spray $50.00 0 $0.00
Rotor-POP,PGJ $88.00 20 $1360.00
Rotor-I Series $85.00 0 $0.00
Drip-Netafrm per square foot $0.60 0 $0.00
Bubblers $29.00 640 $18,560.00
.25 inch $1.80 0 $0.00
.5 inch $2.00 0 $0.00
2 inch $2.15 12.640 $27,176.00
2.5 Inch $2.45 3480 $8,477.00
3 inch $3.80 0 $0.00
4Inch $4.50 0 $0.00
inch $6.75 $0.00
inch $1.80 0 $0.00
3 inch $1.80 1,155 $2,079.00
4 Inch $1.80 0 $0.00
Inch $1.80 0 $0.00
04(3WIre,Two Wire Double Strand,In Plastic Conduit $0.85 13 $11,475.00
*5.0HP, phase 4"well $10500.00 0 $0.00
*EIWWrkel"cownwftne for timers n 100'P.O.C. $750.00 3 $2,250.00
NOTE:Ailpdc.s am ."Materials and labor are included and maybe used for change order purposes or for estimation. Prices ibr mainline,
sleevfng and wfre includes all necessary fittings and connectors. Valve prices include valve boxes and solenoid connection to wke,connection to
mainline and decoders.
• JAN-2b-2009 10:24 CORNERSTONE TREE FARM P.04
Corporate Headquarters Sarasota I Bradenton Branch Jacksonville Branch
14620 Bellamy Brothers Blvd 2712 63rd Avenue East 980 Roland Avenue Dade City,FL 33525 Bradenton,FL 34203 Green Cove Springs,FL 32043
(866)617-2235 telephone www.comerstonesolutionegroup.com rsCN7ll�l'St011e
(866)929-6998 fax LNI
Supplemental Conditions of Contract
1. Scope: Cornerstone Tree Farm shall furnish all materials, tools, equipment and labor necessary to
execute the installation shown on the applicable drawing (s) by Avid Group labeled Zephyr
Commons Landscape and Irrigation t� dated 5/21/2008 detailed on the accompanying material list
labeled Zephyr Commons Bid Sheet. Irrigation modifications may be necessary due the existing
locations of the wells and sleeves as per verbal agreements with project manager. These irrigation
modifications are included in the scope of work of this contract. It is understood by Cornerstone Tree
Farm, Inc. and Primerica Group One, Inc.that changes or substitutions in the landscape may occur at
Primerica's Group One. Inc.'s approval;at such a time,unit prices will prevail.
2. Time of Completion: Cornerstone Tree Farm shall complete the installation of the scope of work of
Phase One (area around Publix) forty-five (45) days from the commencement of work, contingent
upon grade availability.
3. Workmanship: All operations shall be completed in a substantial and workmanlike manner.
Drawings and details are to serve as a guide and shall be followed as close as practical but minor on
site adjustments may be made.
4. Revision: This proposal is subject to revision after 30 days as the availability of many materials is
not constant. This proposal is based on the current price of labor and materials and can be adjusted
for any unanticipated increases in same.
5. Concealed Contingencies: This proposal is subject to extra charge for concealed contingencies such
as rock,debris,poor drainage situations,etc., not readily apparent in estimating the material and work
specified.
6. Soil Conditions: Cornerstone Tree Farm's contract is based on all grades being within one tenth of
one foot of finish grade.Plant material to be installed in plant ready soil provided by purchaser.
7. Guarantee: All plants shall be guaranteed to be in a satisfactory growing condition and to live for a
period of 365 days from planting except plants receiving mechanical damage,plants damaged by acts
of God, plants subjected to extreme weather conditions not typical of the area, or for annuals. All
seeding and sodding areas shall be guaranteed to show satisfactory growth with no bare spots larger
than one square foot for a period of 60 days from seeding or sodding. Major erosion or washouts are
not the responsibility of Cornerstone Tree Farm. The irrigation system shall be guaranteed to be free
from material defect and craftsmanship for a period of 365 days from installation date except systems
or portions of systems receiving mechanical damage or damage from acts of God. If landscape and
irrigation maintenance is contracted by Cornerstone Tree Farm, Inc., the warranty period will be
extended throughout the life of the maintenance contract with Cornerstone Tree Farm, Inc.
8. Replacements: All plants that fail to survive under the guarantee shall be replaced once at the end of
the guarantee period with the same type and size as originally specified.
JAN-2b-2009 10:24 CORNERSTONE TREE FARM P.05
9. Maintenance: Cornerstone Tree Farm shall begin maintenance immediately after each plant is
planted and shall continue until the installation of any one area is complete. Cornerstone Tree Farm
shall give sod areas their initial application of water. Owner shall begin maintenance of plants and/or
turf immediately after the installation is completed in an area. It is the owner's responsibility to
water, to weed, to provide insect and disease treatment, fertilization, mulching, and pruning as
necessary for the continuous vigor of the plant or turf. Failure to provide adequate maintenance by
owner shall void guarantee and replacements.
10. Materials: Cornerstone Tree farm shall supply all materials as specified but shall have to right to
substitute materials of equal of greater value when necessary.
11. Unavoidable Interruptions: Cornerstone Tree Farm shall not be held responsible or liable for any
loss, damage, or delay caused by weather conditions, strikes, vandalism or lack of adequate time or
by any other cause beyond the contractor control.
12. Property Lines: Owner shall be responsible for the location of all property lines and corners.
l3. Damage: Owner shall locate and Cornerstone Tree Farm will not assume responsibility for damage
done to any type of underground object, including gas and water lines,electric and telephone wires or
conduit or to sidewalks or drives or other objects unless designated prior to the beginning of work on
appropriate drawings. Theft of plants or materials after they are placed on site will be the owner's
responsibility.
14. Permits: All zoning, building, and construction permits necessary shall be obtained and paid for by
the owner.
15. Sod Field Measurements: Sod will be field measured to determine square footage for billing.
I (we) hereby acknowledge receipt of the Supplemental Conditions of Contract, Summary Sheet, and
applicable drawings.
Date Ow ' '
Date Con actor
Poge 2 of 2
Cornerstone RFP Documentation
•
JAN-20-2009 10:25 CORNERSTONE TREE FARM P.06
A CORD TM. CERTIFICATE OF LIABILITY INSURANCE DATE(M
PRODUCER Phone.(81g8e-1210 Fax 813998oeee THIS CERTIFICATE IS ISSUED AS A MATIER OF INFORMATION
ASSOCWTES AGENCY,INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
PO BOX 1816E HOLDER, THIS CERTIFICATE DOES NOT AND, EXTEND OR
11470 N.63RD ST.
TEMPLE TERRACE FL 33687
INSURERS AFFORDING COVERAGE j NAIC 9
I
LidY.R0017W I
INSURED INSURER k SOUTHERN OWNERS INSURANCE CO. 10190
CORNERSTONE TREE FARM,INC. INSURER B: AUTO OWNERS INSURANCE CO. 18888
14620 BELLAMY BROTHERS BLVD, INSURER C:
DADE CITY FL 33526
INSURER D:
INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NO1Y,TII4STANDING
ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TONMICH 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 UNITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LLTTRR! TYPE OF INSURANCE POLICY NUMBER POUOY zn%QTNE FOUDYIx►aIATwN _
uMBTe
GENERAL LIABILITY 20708980 04!08/08 04108/09 EACH OCCURRENCE _ 1,000,000
X COMMERCIAL GENERAL LIABIUTY MFAE Fj 1 300,000
1! CWMSMADE OCCUR MED.EXP(Any OAE prwn) S 10,000
�
A —_.— PERSONAL a ADV INJURY l 1,000,000
GENERAL AGGREGATE $ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTSCOMPIOPAGO S 2,000,000
POLICY PRO LOC
AUTOAAOBLEUABRITY 4758379500 03/29108 09/29109 COMBINED SINGLE UMIT
$ 1,000,000
ANY AUTO I
ALL OWNED AUTOS SOCILY INJURY
B SCHEDULED AUTOS (P-P ++) $
X HIRED AUTOS BOCILY INJURY
NON-OWNED AUTOS (Perxdd" 1
PROPERTY DAMAGE $
GARAGE UABWTY AUTO ONLY.EA ACCIDENT $
ANY AUTO OTHER THAN •EA ACC $
AUTO ONLY: AGG s
EXCESS I UMBRELLA LIABILITY 4762904801 04105/08 04/06/09 EACH OCCURRENCE s 2,000,000
JAI OCCUR CLAIMS MADE AGGREGATE 5 2,000,000
B I $
DEDUCTIBLE ;1
RETENTION S 0 $
WORKERS ODMPENSATION AND ,TO Awn onat
EMPLOYERS'LIABILITY
ANY FR0�11lTOIRNITNaPWjC CYTN[ EL EACH ACCIDENT S
ON40111 MIMSIR IXCLUDIO?
adro,W�v,Wp
E DISEASE.EA DISEASEA EMPLOYEE S
U Y .
SPECIAL.PROVIl10Ni OUow EL DISEASE-POLICY LIMIT 1
OTHER:
DESCRIPTION OF OPERATIONS/LOCATIONS!VEFNCLESIEXCLUSIONS ADDED BY ENDORSEMENT!SPECIAL PROVISIONS
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE
EXPIRATION DATE THEREOF.THE ISSUING INSURER WILL ENDEAVORTO MAIL 10 DAYS
Primerica Group One,Inc. DDO$WRITTEN
$HA L�IMPOa NO OBLE IGATION ON OR UTE TABILTTY OF DER OF ANY KID UPON THE NTTHHE IIS UT FAILURE
9829 Madece Lem AGENTS OR REPRESENTATIVES.
Tampa,Fl 33918 AUTHORIZED REPRESENTATIVE
Attention: 935.3420
ACORD 25(2001108) Certificate 0 1663837 CACORD CORPORATION 1988
JAN-20-2009 10:25 CORNERSTONE TREE FARM P.07
From:unknown Page:2/3 Date:12/19/2008 4:22:18 PM
ACORD, CERTIFICATE OF LIABILITY INSURANCE OPID D DATE(MWDDIYYYY)
PRODUCER CORN-01 I 12/19/08
Bouchard-Clearwa ter THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
101 hard-Cast Drive ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
P 0 Box 6090 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Clearwater FL 33758-6090
Phone;727-447-6481 Fax:727-449-1267 INSURERS AFFORDING COVERAGE
INSUREDNAIL#
INSURER A ZJuraOc,CO 23396
Cornerstone Tree Farm Inc INSURERS
rnerstone Hardsca�1�eess Inc,
O Accord HR of 11 rie a C:
R 0 Ware Blvd Ste 716
Tampa FL 33614 IN__RERD:
INSURER E:
COVERAGES
THE POLICES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO TI-E INSURED NAMED ABOVE FOR 11E PCLICV PERIOD PDICATED.NOTWITHSTANOT(G
ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN.THE N5LRANCEAFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.EXC.USIONS AND CONDITIONS OF SUCH POLICIES.AOGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LTR is R TYPE OF IPMURANCIS POLICY NUAOBER OATS 7E I LFMRTi
GENERAL LIABILITY EACH OCCURRENCE $
COMMEKLAL GENERAL LIABILITYI,lICU
PREMISES a occLclnc. $
CLAMS MADE OCCUR MED EXP(My orw puma) $
PERSONAL B ADV INJURY $
GENERAL AGGREGATE $
GENT.AGGREGATE LIMIT APPLIES PER. PRODUCTS-COUPAOP AGO $
POLICY JECi LOC
AUTOMOBILE LIABILITY
my ICING
COMBINED SINGLE LIMIT
fEa eociderq
ALL OWNED AUTOS
SCHEDULED AUTOS fBPOODLL W a
HIRED AUTOS
NON-OWNED AUTOS BODILY INJURY $
(Per ecoldeM
PROPERTY DAMAGE
I :PeracMeM $
GARAGE LIABLITY AUTO ONLY-EA A CIENT $
ANY AUTO
OTHER THAN EAACG $
AUTO ONLY AGG $
EXCECBNMBRaLLA LIABILITY EACH OCCURRENCE $
OCCUR CLAIMS MADE AGGREGATE $
i
T=E
S
a
$
WORKERS COMPENSATION AND TaC ER u ER _A EMPLOYS'LIABLLRY
ANY PROPRETOIaaARTNEw CUTIVE WC2023296 09/01/08 09/O1/09 E.L.EACHACCIDENr $1,000,000
OFFICER AMEM BER EXCLUDED?
If yes,wcaiGe,r*Ner E.L.D_SEJUSE-EA EMPLOYT $1,000,000
SPECIAL PROVISIONS bola.. EL.DISEASE-POLICY LIMIT $1,000,000
OTHER
DE6Cl1Nor OPERATIONS S LOCAncws VE4IC 1$I ECI.UUON$ADDED BY EOORER PITI ECTAL PROIIRIONB
FAX: 813-935-3420
CERTIFICATE HOLDER CANCELLATION
PRIl4ERI SHOULD ANY OF THE ABOVE OftCREEO POLICES BE CANCELLED BEFORE THE EXPIRATION
DATE THISREOF,THIS 155(910 IMBURBR MILL EMDQAYOR To MAIL 30 DAYS WIQTTEN
FRI14ZRIC L GROUP ONE INC NOTICE TO TILECERTFICATEHOLDERNAMEDTOTH LSE T.
3 629 H ADAri LA 1E BPOSE NO OBLIGATION OR LIABILITY OF ANY WIND UPON THE LASH EN.ITS AGENTS OR
TAMPA 1% 33618 REPR ►T TIVEIL
ACORD 25(2001108) O ACORD CORPORATION 9988
This fax was received by OFI FAXmaker fax server.For more information,visit http:/&ww.gfi.corn
; JAN-20-2009 10:25 CORNERSTONE TREE FARM P.08
From: unknown Page:313 Date:12/1912008 4:2218 PM
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy, certain policies may
require an endorsement.A statement on this certificate does not confer rights to the certificate
holder in lieu of such endorsement(s).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form 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.
ACORD 25(2001/08)'
This fax was received by OFI FAXmaker fax server.For more information,visit http:/fwww.gfi.com
TOTAL P.08
111111 D I I 11111111111111111111111111 11111 11111 11111 I I I I I I I I
2009014553
Rcpt:1224581 Rec: 27.00
DS: 0.00 IT: 0.00
02/02/09 Dpty Clerk
PAULA S. 0'NEIL, PASC0 CLERK & COMPTROLLER
02/02/0980 5f 1 °1353
NOTICE OF COMMENCEMENT OR BK PG
Permit No.
Property Identification No.
THE UNDERSIGNED hereby gives notice that improvement 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 description): PID:35-25-21-0010-00700-0000 and 26-25-21-0000-00300-0000 `t+7 Q ( J(
a)Street Address: 7788 Gall Boulevard,Zephyrhills,FL 33541
2.General description of improvement(s): Irrigation and landscape installation
3.Owner Information
a.Name and address: Zephyr Commons LLC,3629 Madaca Lane,Tampa FL 33618
b.Name and address of fee simple titleholder(if other than owner):
c.Interest in property: Owner/Developer
Contractor Information
a.Name and address: Cornerstone Tree Farm,Inc.,14620 Bellamy Brothers Boulevard,Dade City FL 33525
b.Telephone No.: 352-588-2235 Fax No.(Opt.)352-588-2154
Surety Information
a.Name and address: N/A
b.Amount of Bond: N/A
c.Telephone No.: N/A Fax No.(Opt.)
6.Lender
a.Name and address:
b.Phone No.:
7.Idenity of Person within the State of Florida designated by Owner upon whom notices or other documents may be served:
a.Name and address:
b.Telephone No.: Fax No.(Opt.)
8.In addition to himself,Owner designates the following person(s)to receive a copy of the Lienor's Notice as provided in
Section 713.13(1)(b),Florida Statues:
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):
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 1,SECTION 713.13,FLORIDA STATUES,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 INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,
CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING
YOUR NOTICE OF COMMENCEMENT.
STATE OF FLORIDA
COUNTY OF PASCO
DATE: 02/02/09 PASCO COUNTY PROPERTY APPRAISER 14 : 18 :49
O N - L I N E PARCEL PRINTOUT
PARCEL-ID: 26 25 21 0000 00300 0000 TYPE : STATUS : A DLA: 071508
SC TP RG SUB BLOCK LOT TRACK: 032800
PARENT: DATE-SPLIT: 000000/VGL CLASS : 12
NOTES : 2005 ANNEX RES NO 882-04 OR 6162 PG 47 ; 05 Z/C LETTER CD-
ORD #04-883 COMBINED 0-5-0 HERE OWNER CHG-
NAME : ZEPHYR COMMONS LLC 3629 MADACA LN
/ADDR
FS119 CODE : TAMPA FL 336182048
PREV OWNER: ZEPHYR LAKES LLC
STREET ADDRESS :
VALUE & TAX INFO: EXEMPTION I N F O: SOH HX APP
LAND AG: NUM CD H W D V T PCT HX-OVRD YEAR DATE S YR DVD.
-MRKT: 158125 ** NO EXEMPTION (S) ON FILE **
BLDG:
XFOB :
------------ OR BK8011 PG 1359
APPR: 158125 2 of 3
SOH:
RPG:
EXEM:
--------------------
--------------------
B TXBL: 158125
S DVD:
S TXBL: 158125
AREA: 30ZH ACRES : 2 . 53 SPEC HX:
ADD EX:
C DVD:
C TXBL: 158125
PRIOR YR VALUE: 158125
PRIOR YEAR MKT: 158125
HX VAL: 0 NON-HX: 158125 MKT DIFFERENCE : 0
MKT CHG HX: 0 NON-HX: 0 PRIOR HX VALUE : 0
MC LAND HX: 0 NON-HX: 0 PRIOR HX PCT:
PHYS HX: 0 NON-HX: 0 PRIOR NON HX: 158125
S A L E S :
YEAR MON BOOK PAGE SALES-AMT INST XFER QUAL ST LIFE I/V TOI
2006 02 7413 0626 WD 1 CD I N
2006 06 7028 1064 FS AP I
2006 09 7203 0113 4300 WD I M
2006 09 7203 0115 36800 FS I M
2008 06 7877 1479 FS 1 CD I
LEGAL DESCRIPTION:
ASSESSED IN SECTION 26, TOWNSHIP 25 SOUTH, RANGE 21 EAST,
PASCO COUNTY, FLORIDA
PORTION OF SW1/4 OF SW1/4 OF & PORTION OF SE1/4 OF SE1/4 OF
SEC 26 DESC AS CON AT SW COR OF SEC 26 TH ALG WEST LINE OF
SEC NOODEG 13 ' 58"E 12 . 44 FT FOR POB TH N89DEG 59 ' 19"W
7 . 12 FT TO EAST R/W LINE OF US HWY 301 TH ALG ARC OF CURVE
RADIUS 38082 . 19 FT CHD NO1DEG 24 ' 41"E 326 . 05 FT TH N89DEG
57 ' 25"E 338 . 00 FT TH SO1DEG 25 ' 32"W 326 . 38 FT TH N89DEG
59 ' 19"W 330 . 79 FT TO POB OR 7877 PG 1479
OR 7203 PG 115 OR 7413 PG 626
DATE: 02/02/09 PASCO COUNTY PROPERTY APPRAISER 14 : 18 :36
O N - L I N E PARCEL PRINTOUT
PARCEL-ID: 35 25 21 0010 00700 0000 TYPE: STATUS : A DLA: 031507
SC TP RG SUB BLOCK LOT TRACK: 033001
PARENT: 35 25 21 0010 00500 0000 DATE-SPLIT: 000000/VGL CLASS : 10
NOTES : SURVEY IN SEC FILE LETTER CD-
OWNER CHG-
NAME: ZEPHYR COMMONS LLC 3629 MADACA LN
/ADDR
FS119 CODE: TAMPA FL 336182048
PREV OWNER: GORE ' S DAIRY SUPPLY INC
STREET ADDRESS : 38095 PRETTY POND RD ZEPHYRHILLS F
** ADDR UPDATED BY TAX COLLECTOR **
VALUE & TAX INFO: EXEMPTION I N F O: SOH HX APP
LAND AG: NUM CD H W D V T PCT HX-OVRD YEAR DATE S YR DVDa
-MRKT: 7785204 ** NO EXEMPTION (S) ON FILE **
BLDG:
XFOB-------------- 8011 1380 OR BK PG
APPR: 7785204 3 of 3
SOH:
RPG:
EXEM:
--------------------
--------------------
B TXBL: 7785204
S DVD:
S TXBL: 7785204
AREA: 30ZH ACRES : 60 . 74 SPEC HX:
ADD EX:
C DVD:
C TXBL: 7785204
PRIOR YR VALUE : 7785204
PRIOR YEAR MKT: 7785204
HX VAL: 0 NON-HX: 7785204 MKT DIFFERENCE : 0
MKT CHG HX: 0 NON-HX: 0 PRIOR HX VALUE : 0
MC LAND HX: 0 NON-HX: 0 PRIOR HX PCT:
PHYS HX: 0 NON-HX: 0 PRIOR NON HX: 7785204
S A L E S :
YEAR MON BOOK PAGE SALES-AMT INST XFER QUAL ST LIFE I/V TOI
2006 05 7002 1637 QC 1 DC V V
2006 05 7026 1139 9114000 WD V M
2006 06 7017 0395 QC 1 DC V N
2007 02 7413 0626 WD 1 CD V N
LEGAL DESCRIPTION:
ASSESSED IN SECTION 35, TOWNSHIP 25 SOUTH, RANGE 21 EAST,
PASCO COUNTY, FLORIDA
ZEPHYRHILLS COLONY COMPANY LANDS PB 1 PG 55
PORTION OF TRACTS 7 10 23 26 39 42 55 & 58 & TOGETHER WITH
TRACTS 8 9 24 25 40 41 56 & 57 DESC AS COM AT NW COR OF SEC
35 TH S89DEG 59 ' 50"E 15 . 13 FT FOR POB TH CONT S89DEG 59 '
50"E 1000 . 05 FT TH SOODEG 09 ' 45"W 2618 . 58 FT TO NORTH R/W
LN OF PRETTY POND RD TH N89DEG 53 ' 13"W 351 . 59 FT TH SOODEG
09 ' 48"W 5 . 00 FT TH N89DEG 53 ' 13 "W 532 . 38 FT TH N01DEG 01 '
48"W 633 . 10 FT TH N89DEG 54 ' 52"W 102 . 90 FT TH NOODEG 09 '
45"E 1988 . 73 FT TO POB LESS NORTH 15 FT PLATTED AS ROAD
R/W; TOGETHER WITH PARCELS B C D E & F AS DESC IN OR 7026
PGS 1140 & 1141 OR 7413 PG 626
CORNERSTONE TREE FARM,INC. 4181
• City of Zephyrhills 1/29/2009
Cost of Goods Sold:COST OF GOODS: Irrigation permit: Zephyr Commons 735.00
Main Checking Accou Irrigation permit: Zephyr Commons 735.00