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08-8184
CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 8184 BUILDING PERMIT Permit Number: 8184 Address: 6011 GALL BLVD Permit Type: COMMERCIAL ZEPHYRHILLS, FL. Class of Work: NEW CONST/COMM Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 03-26-21-0010-11200-0041 Improv. Cost: 213,045.00 Date Issued: 8/22/2008 Name: MPG GEIGER LTD Total Fees: 21,825.63 Address: 6011 GALL BLVD Amount Paid: 7,889.51 ZEPHYRHILLS, FL. 33542 Date Paid: 8/22/2008 Phone: (800)385-4748 Work Desc: BUILD OUT RETAIL SPACE 3,500 VERIZON ED SEIFRIED CONSTRUCTION INC BUILDING FEE 898.43 ELECTRICAL FEE 184.95 ESTAR ELECTRIC INC PLUMBING FEE 123.30 MECHANICAL FEE 86.31 GILL PRECISION PLUMBING RADON 35.00 SEWER CONNECTION COMMERC 1,266.30 PENINSULAR MECHANICAL CONTRACT0 WATER CONNECTION COMMERC 403.83 FIRE PLAN REVIEW FEES 216.00 FIRE INSPECTION FEES 30.00 TRAFFIC IMPACT FEES 9%COM 18,395.69 TRAFFIC IMPACT FEE 1% 185.82 3-19 9 ou9q o% i. - l 3 g, 3 7 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." CONTRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER Rx Date/Time JUG-17-20@8(THU) 15:48 P. 001 FROM :BONNELL, INC FAX NO. Jul. 17 2008 04:25PM P1 ,f ILr 1111f r 1 }.. ' 2.; 1 11 $u � 1��1 �'Wi1 �7+/V 1 Illli 1 ..'r 1 I (•. '( I: 1 T -�I,� r ,I' 4 " d!,� 1( 1 i1M hl i1 11 } �` tA' �1�'�''�Ir.'Ir:v:. 1...111 ��• Mi �"'#�11'i�e ll 11 Ili i Il 11:1 I II I �1 :N_4^�:.; 'I �� 1 �t7�;,f' 1 n � "N�!M:-' 'en f� 11Ye1{(, r,, lly i�h'11 sr n .II 11 I 1 i Vlhll ll li 1 1"I � Ihl��p{ll 2f' 1111111 1�Y 1 M 1 1 -' tl lj(11 1 Iq r Ii 114N1 i dp {II - i ItlI + 1` f� ' 1 FI4- i1 I ; ,' -LpJ111 1 'd{1111 ( !l 1111 ll .111 111E{I a,b'h r l ul i1 hf .illl ( I 1 u�1.x..1!121>• 7 I I y. _ f lll. }1141 I .. ..1......... ......._ :- d ..111. 'r rr 1.. I 1 I 1 PROJECT SUMMARY Short Desc: VWC Description: Verizon Wireless Owner: Addressl: Geiger Road City; Zephyrhills Addresa2: State: Fl Zip; 0 Type: Retail Class: New Finished building Jurisdiction: HII,.I.,SBOR.OUGII COUNTY,HILLSBOROUGH COUNTY,FL(391000) Cond Arca: 3600 SF Cond&UnCond Area: 3600 SI" No of Storeys: 1 Area entered from Plans 3600 SF Permit No: 0 Max Tonnage 7.7 If different,write in: 7/9/2008 EnergyGauge Summit v3.10 incorporating Florida Energy Code Version-FLA/COM 2004 v2.5 I Rx Date/Time JUL-17-2008(THU) 15:48 P. 002 FROM :B0NNELL, INC FAX NO. : Jul. 17 2008 04:26PM P2 Compliance Summary Component Design Criteria Result Gross Energy Use 5,556.4 5,603.3 PASSES LIGHTING CONTROLS PASSES EXTERNAL LIGHTING PASSES I-IVAC SYSTEM PASSES PLANT' None Entered WATER HEATING SYSTEMS None Entered PIPING SYSTEMS None Entered Met all required compliance from Check List? Yes/No/NA IMPORTANT NOTE: An input report of this design building must he submitted along with this Compliance Report. 7/9/2008 EnergyGauge Summit v3.10 incorporating Florida Energy Code Version- FLAICOM 2004 v2.5 2 Rx Date/Time JUL-17-2@@8(THU) 15:48 P. 003 FROM :BONNELL, INC FAX NO. : Jul. 17 2808 04:26PM P3 CERTIFICATIONS I hereby certify that the plans and specifications covered by this calculation are in compliance with the Florida Energy Code Prepared By: j4'Iti-0-37i — Building Otlicial: / _ — Date: t t3JuLI 2cv$ Date: _— I certify that this building is in compliance with the Florida Energy Efficiency Code Owner Agent: Date: If Required by Florida law, I hereby certify(A)that the system design is in compliance with the Florida Energy Efficiency Code Architect: Reg No: Electrical Designer: - Reg No: Lighting Designer: Reg No: - Mechanical Designer: - - Reg No: _ Plumbing Designer: _ Reg No: ( ) Signature is required where Florida Law requires design to be performed by registered design professionals. Typed names and registration numbers may be used where all relevant information is contained on signed/sealed plans. 7/9/2008 EnergyGauge Summit v3.10 incorporating Florida Energy Code Version - FLA/COM 2004 v2.5 3 Rx Date/Time JUL-17-20@8(THU) 15:48 P. 004 FROM :BONNELL, INC FAX NO. : Jul. 17 2008 04:26PM P4 Project: VWC 71tle: Vetiznn Wireless Type: Retail (WEA File:Tampa.tmy) Building End Uses Design Reference Total 99.16 1(10.0() $5,556 $5,603 ELECTRICITY(MBtu/k 99.16 100.00 Wh($) 1.10246 111177 $5,556 $5,603 AREA LIGHTS 23.00 23.50 25590 26125 $1,290 $1,317 MISC EQUIPMT 11.70 1.1.70 13001 13001 $655 $655 PUMPS&MISC 0.05 0.05 52 52 $3 $3 SPACE COOL 32.89 29.30 36563 32579 $1,843 $1,642 VENT FANS 31..52 35.44 35040 39420 $.1,766 $1,987 Credits & Penalties (if any): Modified Points: =99.16 PASSES 7/9/2008 EnergyGauge Summit v3.10 incorporating Florida Energy Code Version-FLA/COM 2004 v2.5 4 Rx Date/Time JUL-17-2008(THU) 15:48 P. 005 FROM :BONNELL, INC FAX NO. : Jul. 17 2008 04:26PM P5 Project:VWC Title; Verizhn Wireless Type: Retail (WEA File:Tampa.tmy) External Lighting Compliance Description Category Allowance Area or Length ELPA CLP (W/Unit) or No.of Units (W) (W) (Sgft or Pt) F.xt Light 1 Canopies(freestanding,attached 1.25 75.0 94 60 and Overhang;) .Design: 60(W) PASSES Allowance: 93.75 (W) Project:VWC Title:Vetizon Wireless Type: Retail (WEA File:Tampa.tmy) Lighting Controls Compliance Acronym Ashrae Description Area No.of Design Min Cnmpli- Il') (sq.ft) Tasks CP CP ance PrOZo I Sp I 3 Storage&Warehouse-Bulky 1.654 1 4 1 PASSES Active Storage Pr0Zo2Sp1 ,001 Sales Area 1.946 1 6 1. PASSES PASSES 7/9/2008 EnergyGauge Summit v3.10 incorporating Florida Energy Code Version-FLA/COM 2004 v2.5 S Rx Date/Time JUL-17-2008(THU) 15:48 P. 006 FROM :BONNELL, INC FAX NO. : Jul. 17 2008 04:26PM P6 Project:VWC Tific: Verizon Wireless Type; Retail (WFA File;Tampa tmy) System Report Compliance Pr0Syl. System 1. Constant Volume Air Cooled No.of Units Split System<65000 Btu/hr I Component Category Capacity Design Eff Design IPLV Comp- Eff Criteria IPLV Criteria fiance Cooling System Air Cooled<65000 Btu/h 13.00 13.00 8.00 PASSES Cooling Capacity Air Handling Air Handler(Supply)- 0.80 0.90 PASSES System-Supply Constant Volume Pr0Sy2 System 2 Constant Volume Packaged No.of Units System I Component Category Capacity Design Eff Design IPLV Comp- Eff Criteria IPLV Criteria lance Cooling System Air Cooled 6.5000 to 135000 10.30 10.30 8.00 PASSES Btu/h Cooling Capacity Air Handling Air Handler(Supply)- 0.80 0.90 PASSES System-Supply Constant Volume PASSES fl Plant Compliance Description Installed Size Design Min Design Min Category Comp No Eff Eff TPLV IPLV fiance None Water .Heater Compliance Description Design Min Design Max Comp Type Category Eff Eff Loss Loss liance None 7/9/2008 EnergyGauge Summit v3.10 incorporating Florida Energy Code Version- FLA/COM 2004 v2.5 6 Rx Date/Time JUL-17-20@8(THU) 15:48 P. 007 FROM :BONNELL, INC FRX NO. : Jul. 17 20@8 04:27PM P7 Piping System Compliance Category Pipe Din Is Operating Ins Cond Ins Req Ins Compliance [inches] Runout? Temp I.BBtu-in/hr Thick 1101 Thick[in] [F] .SF.F] None Project:VWC 'Title:Verizon Wireless Type:Retail (WEA File:Tampa.tmy) Other Required Compliance Category Section Requirement(write N/A In box if not applicable) Check Infiltration 406.1 Infiltration Criteria have been met System 407.1 NVAC Load sizing has been performed Ventilation 409.1 Ventilation criteria have been met ADS 410.1 Duct sizing and Design have been performed 11,&13 410.1 Testing and Balancing will be performed Motors 414.1 Motor efficiency criteria have been met Lighting 415.1 I.,ighting criteria have been met O&M 102.1 Operation/maintenance manual will be provided to owner Roof/Ceil 404.1 R-19 for Roof Deck with supply plenums beneath it N�LtSI Roport 101 Input Report Print-Out from EnergyGauge PlaCom attached? 7/9/2008 EnergyGauge Summit v3.10 incorporating Florida Energy Code Version-FLAICOM 2004 v2.5 7 Jacqueline Boges From: Bobbie Swetland Sent: Tuesday, February 24, 2009 11:47 AM To: Jacqueline Boges Subject: FW: Red Rabbit Store @ US 301 & Geiger Road FDOT Permit#2006-A-798-70 Attachments: Red Rabbit US 301.pdf Thank you. Bobbie From: Martin, Suzy [mailto:Suzy.Martin@dot.state.fl.us] Sent: Tuesday, February 24, 2009 11:04 AM To: jamesplace@verizon.net Cc: aimee.boulet@avidgroup.com; cothron@tampabay.rr.com; Bobbie Swetland; Kilkenny, John R; Parrish, Lee; Dewey, Michael; Sharp, Debra; Prescott, Randell Subject: Red Rabbit Store @ US 301 &Geiger Road FDOT Permit #2006-A-798-70 Mr. Wiggers, Our FDOT inspector has visited this site in follow-up to the FDOT's Conditional Acceptance dated November 10th, 2008. To date, outstanding punch items have not been addressed or corrected. There are severe erosion issues which are beginning to undermine the sidewalk and cause drop-off hazards along the sidewalk. In addition to erosion issues there is sand, silt and debris within and around the side drain pipe and mitered end sections which must be removed. (see attached site pictures) The FDOT cannot issue a final acceptance or release the performance bond for this project until outstanding issues have been corrected. When will these items be corrected? Thank you, Suzy Martin * Access Mgmt./Connection Permits Florida Department of Transportation * District 7 Brooksville Maintenance Office 16411 Spring Hill Drive * Brooksville, FL 34604 352-797-5700 * FAX 352-797-5709 Mail Station 7-1260 suzy.martin(c�dot.state.fl.us Comments and/or recommendations are not intended to be inclusive and/or binding. It is the applicant/representative/engineer's responsibility to comply with the Florida Administrative Code, Design Standards&Plans Preparation Manual etc, when submitting documents,plans and permit applications etc. This communication is a public record and is subject to disclosure per Florida's Public Records Law(Sunshine Law). 1 xr a J r s . b e i 1 f d z r 9 a r � e ak Y ss .�� 4 wr-• 5 S, a , iPW , r a1 h R � Y} 4h � ,. a, � P v3 gs e� $ � tt _ � A 3xy I S� 3 { �4 � Ate'- f Tom+ 5i } y y¢d'¢ ffi k-F Y ,sYs K qx tyg"' °- �.W �. mss`` 4 s Jacqueline,Boges 'From: Martin, Suzy[Suzy.Martin@dot.state.fl.us] Sent: Thursday, March 19, 2009 7:22 AM To: Bill Burgess Cc: Jacqueline Boges; Bobbie Swetland; 'cothron@tampabay.rr.com; 'jane.caldera@avidgroup.com; Kilkenny, John R; Prescott, Randell; Dewey, Michael Subject: RE: Update Red Rabbit US 301 Zephyrhills Good morning Bill, My email from 2/24 was never even acknowledged by the contractor or the EOR. Technically, the connection to US 301 is in violation because the punch items were never completed (within 30 days of Conditional Acceptance). We are trying to avoid issuing a violation notice and/or revoking their permit for the US 301 driveway but that may be our only option at this point. If FDOT acceptance is needed for Verizon to get their Certificate of Occupancy, we cannot issue a Final Acceptance until the punch items have been corrected and recommend the C of O be withheld until the Red Rabbit's permitee/developer make corrections as stated in the Conditional Acceptance (and in my email of 2/24). If you need additional information, please let me know and also, please let me know how you decide to proceed. Thanks very much, Suzy Martin *Access Mgmt./Connection Permits Florida Department of Transportation * District 7 Brooksville Maintenance Office 16411 Spring Hill Drive * Brooksville, FL 34604 352-797-5700 * FAX 352-797-5709 Mail Station 7-1260 suzy.martin@dot.state.fl.us Comments and/or recommendations ore not intended to be inclusive and/or binding. It is the applicant/representative/engineer's responsibility to comply with the Florida Administrative Code, Design Standards&Plans Preparation Manual etc,when submitting documents,plans and permit applications etc. This communication is a public record and is subject to disclosure per Florida's Public Records Law(Sunshine Law). From: Bill Burgess [mailto:bburgess@ci.zephyrhills.fl.us] Sent: Wednesday, March 18, 2009 3:43 PM To: Martin, Suzy Cc: Jacqueline Boges; Bobbie Swetland Subject: Update Red Rabbit US 301 Zephyrhills Can you please provide us an update of the issues below. Verizon Stores a project connected with this site is requesting a final inspection and subsequent Certificate of Occupancy. Thank you! Bill Burgess Building Official City of Zephyrhills Mr. Wiggers, Our FDOT inspector has visited this site in follow-up to the FDOT's Conditional Acceptance dated November 10th, 2008. To date, outstanding punch items have not been addressed or corrected. There are severe erosion issues which are beginning to undermine the sidewalk and cause drop-off hazards along the-sidewalk. In addition to erosion issues there is sand, silt and debris within and around the side drain pipe and mitered end sections which must be removed. (see attached site pictures)The FDOT cannot issue a final acceptance or 1 release the performance bond'for this project until outstanding issues have been corrected. When will these items be corrected? Thank you, Suzy Martin Access Mgmt./Connection Permits 2 RED RABBIT-6011 GALL BLVD-BUILD OUT-PRMT#8184 ED SEIFRIED CONSTRUCTION SQ. FEET PRICE MAIN OR LIVING: 3,500 $ 60.87 OTHER AREA UNDER ROOF: - $ 91.00 OTHER: - $ - VALUATION $ 213,045.00 FEE SHEET $ 822.00 ADDRESS $ 30.00 DRIVEWAY $ 30.00 BUILDING: $ 898.44 ELECTRICAL: $ 184.95 - PLUMBING: $ 123.30 MECHANICAL: $ 86.31 SUB-TOTAL $ 1,293.00 RADON: $ 35.00 TOTAL $ 1,328.00 SEWER: $ 1,266.30 WATER: $ 403.83 IRRIGATION: $ - TOTAL: $ 1,670.13 WATER METER: Pd @ shell IRRIGATION METER $ - FIRE DEPARTMENT FEES PLANS TOTAL: $ 216.00 INSPECTION TOTAL: $ 30.00 PERMIT TOTAL TOTAL: $ 246.00 PUBLIC SAFETY IMPACT FEES POLICE credit given prmt#6384 FIRE credit given prmt#6384 5% $ - credit given prmt#6384 TOTAL: $ - SUB-TOTAL $ 3,244.13 PARK IMPACT FEES $ - SIPS: $ - 100.0% $ - 1.0% $ - TOTAL: $ - T I F'5: $ 18,581.50 25%-$4,645.38 99% $ 18,395.69 $7,810.62 -- $ qs'? ,g3 1"3�13\O0 1% $ 185.82 $78.89 $3,244.13 l3 7% 7(e -- 71 *x.'12 . $4,645.38 TOTAL: $ 21,825.63 J 39 /4' '**Total due for permitting purposes- $7,889.51 J w ro�G1A MKP-10 M co rNHH W t' 00 CD w o O m 0~H -J MH Ht2O 04M Q o „ (71 Itiq wmoz 01 O H po 'fir O H q cr 4 to A a� via mHq '� i f'1O r 10 p0 Di ZG HC pmHHH to ?� woo 3 t1rnd� t-l-► OZ oa N CO D w o A m No Q� r n yr � An V! Z K 0 O Td Wd£Z:b0 6002 81 'qad 1008-826 LZL 'ON Xtid ON I HW17ld NO I S 1338d -1-119 : W021d City.of Zephyrhills BUILDING PLAN REVIEW COMMENTS. d Contractor/Homeowner: Date Received: g O8 Site: ç 1I t( Permit Type: . - J4 'T' ' A oved w/no comments:❑ Approved w/the below comments: Denied w/the below. comments: O P l) pp SAL! dA, CAIJL This comet t;sheet shall be kept with the permit and/or plans. Kal ' Switzer ans Examiner Date..` ntractor and/or Homeowner equired when comments are present) P . 01 /01 TRANSACTION REPORT AUG/ 14/2007/TUE 00 : 08 PM FAX (TX) # DATE START T. RECEIVER COM.TIME PAGE TYPE/NOTE FILE 01 AUG/14. 00:08PM 817273435763 0:00:25 2 OK SG3 7305 City of Zephy�rhills• :.:.. 1, ..............::: g Departments ti:y , .Phone: (813)-780-0020 Fax: (813)-780-0021 { TO: Ed Se1fiied Const r-_^ FROM: Jackie 1 1 FAX#:727=343-5763 FAX#: 1 1 DATE:8-13-08 #OF PAGES including cover sheet: 2 1 ' MESSAGE: Attached is the fee sheet showing the amount of 25%of of fee due. 1 1 Any questions give us a call. 1 1 Thanks Jackie 1 1 , 1 1 1 1 I 1 1 1 r '• 1 1 • 1 •r , 1 1 ,• 1 � 1 1 1 ' I . . . • • 1---_ --_«_---_---- -- - -..-a City of Zephyrhills: Building Department Phone: (813)-780-0020 . Fax: (813)-780-0021 TO:� EdSeifriedConst ---�_ FROM: Jackie I € FAX#:727-343-5763 FAX#: DATE:8-13-08 #OF PAGES including cover sheet: 2 MESSAGE: 4 r Attached is the fee sheet showing the amount of 25% of of fee due . 4 I Any questions give us a call . Thanks Jackie I € r € 3 € I € i E E I I € t € E € r € I € I € E € r € € E f € I I 7 I 1 I & r € I I € r r I I I € I € E € E € r I I E I E g € 4 From:Peggy Brim At:Brown&Brown of Florida Inc. FaxID:Brown Brown Insurance To:Jackie Date:8/12/2008 09:24 AM Page:1 of 2 Brown&Brown of Phone: (352)796-8200 ext. 16 Fax: (352)799-1399 Fax From: Peggy Brim To: Jackie Pages: 2 Fax: 18137800021 Date: 8/12/2008 09:23:17 AM Phone: ( ) - Subject: COI to Insd & City of Zephyrhills Message: CONFIDENTIALITY NOTICE: The information contained in this communication,including attachments is privileged and confidential. It is intended only for the exclusive use of the addressee. If the reader of this message is not the intended recipient, you are herebynotified that any dissemination,distribution or copying of this communication is strictly prohibited. Insurance coverages cannot be bound,amended or changed via an e-mail message without knowledge or consent from the insuring camer. If you have received this communication meerror please notify us by telephone immediately at 352-796-8200 Thank you. From:Peggy Brim At:Brown&Brown of Florida Inc. FaxID:Brown Brown Insurance To:Jackie Date:8/12/2008 09:24 AM Page:2 of 2 ACORD CERTIFICATE OF LIABILITY INSURANCE OPID P DATE(MM/DD/YWY) PENIN-1 08/12/08 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Brown & Brown of" Florida, Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P O Box 548 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 273 North Broad Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Brooksville FL 34605-0548 Phone: 352-796-8200 Fax:352-799-1399 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A. Westfield Companies 24112 Peninsular Mechanical �P Contractors Inc. INSURERS FEIN 59-1874132 INSURER C James Spears CACO10371 P.O. Box 8116 INSURER D: Madeira Beach FL 33738 INSURER E COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE 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.SR W_ POLICY EFFECTIVE ,OUCY EXPJeATION LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE(MM/DDM') DATE(MM/DD/W) LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000 A X COMMERCIAL GENERAL LIABILITY TRA3435001 07/01/08 07/01/09 PREMISES(Eaoccurence) $150,000 CLAIMS MADE jj OCCUR MED EXP(Any one person) $10,000 X Mold Sublimit 10,000 AGG. PERSONAL&ADVINJURY $1,000,000 Contr/Brd.Form PD GENERAL AGGREGATE 82,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $2,000,000 POLICY X jECTfl LOC P.D. Ded. 1,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT A X ANY AUTO TRA3435001 07/01/08 07/01/09 (Ea accident) $1,000,000 ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ X HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY. AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $1,000,000 A X OCCUR ❑CLAIMS MADE TRA3435001 07/01/08 07/01/09 AGGREGATE $1,000,000 DEDUCTIBLE X RETENTION $0 $ WORKERS COMPENSATION AND TORY LIMITS ER EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? E .DISEASE-EA EMPLOYEE $ If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ OTHER Rented/Leased TRA3435001 07/01/08 07/01/09 ACV 30,000 Equipment Ded.500 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS GL- Additional Insured-Owners,Lessees or Contractors- Automatice Status when Required in Construction Agreement Forms GC2033 07 04 & CG7087 01 05 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN City of Zephyrhills NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL 5335. : Jackie IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR 5335 8th St. Zephyrhills FL 33540 REPRESENTATIVES. A OR D REPRESENT VE ACORD 25(2001/08) ©ACORD CORPORATION 1988 PASCO COUNTY, FLORIDA Permit No. y / / Date Permitted (� Builder Name/Owner Name t� �p,frr' (�Jri��. Control# County Parcel No. ____________________________ SubDiv: Address/Location �j l r},14 /'/ z 'l/9 Classification/Type of Use ( i'►1.t r) _ ! TRANSPORTATION IMPACT FEE Rate: Sq Ft Unit: f Exempt fl Yes No How Determined Impact Fee Amount $ / , 5 /, u`0 Zone No. TAZ: SCHOOL IMPACT FEE Account (056) Single-Family Detached House Amount $ (057) Mobile Home (058) Other Residential 123) Collection Fee Exempt Yes LI No How Determined PARKS AND RECREATION FEE Land Account Land Credit Land Total Recreation Account Recreation Credit Recreation Total Zone TOTAL AMOUNT $ Exempt LI Yes No How Determined LIBRARY FEE Land Account Land Credit Land Total Facility Account Facility Credit Facility Total Exempt J Yes No How Determined Total Amount RESOURCE FEE ERU TOTAL AMOUNT Prepared By Checked By NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY Acknowledgement below does not imply acceptance of concurrence,but simply receipt of a copy of this form,placing the building permit owner on notice of this assessment and the conditions of payment for same. DATE RECEIVED BY RECEIPT NO. DATE BY RED RABBIT-6011 GALL BLVD-BUILD OUT-PRMT#8184 ED SEIFRIED CONSTRUCTION SQ. FEET PRICE MAIN OR LIVING: 3,500 $ 60.87 OTHER AREA UNDER ROOF: - $ 91.00 OTHER: - $ - VALUATION $ 213,045.00 FEE SHEET $ 822.00 ADDRESS $ 30.00 DRIVEWAY $ 30.00 BUILDING: $ 898.44 ELECTRICAL: $ 184.95 PLUMBING: $ 123.30 MECHANICAL: $ 86.31 SUB-TOTAL $ 1,293.00 RADON: $ 35.00 TOTAL $ 1,328.00 SEWER: $ 1,266.30 WATER: $ 403.83 IRRIGATION: $ - TOTAL: $ 1,670.13 WATER METER: Pd @ shell IRRIGATION METER $ - FIRE DEPARTMENT FEES PLANS TOTAL: $ 216.00 INSPECTION TOTAL: $ 30.00 PERMIT TOTAL TOTAL: $ 246.00 PUBLIC SAFETY IMPACT FEES POLICE credit given prmt#6384 FIRE credit given prmt#6384 5% $ - credit given prmt#6384 TOTAL: $ - SUB-TOTAL $ 3,244.13 PARK IMPACT FEES $ - SIF'S: $100.0% $ - 1.0% $ - TOTAL: $ - T I F'5: $ 18,581.50 99% $ 18,395.69 1% $ 185.82 TOTAL: $ 21,825.63 813-780-0020 City of Zephyrhills Permit Application Fax-813a: 'j(I / Building Department Date Received Phone Contact for PermiCin Owners Name I Owner Phone Number l 800 38S-4748 I Owners Address Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS t1I5 US Hwy 301 LOTS 7 SUBDIVISION PARCEL ID/ (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED B NEW CONSTR B ADD/ALT = SIGN = MOVE = DEMOLISH INSTALL REPAIR PROPOSED USE = SFR = COMM = OTHER TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL = OTHER DESCRIPTION OF WORK BUILDING SIZE I SQ FOOTAGE I 3600 HEIGHT = BUILDING $ Ci .7 Cv VALUATION OF TOTAL CONSTRUCTION = ELECTRICAL $ 6 5y≤ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. PLUMBING $ D G = MECHANICAL $ ///t ' VALUATION OF MECHANICAL INSTALLATION = GAS = ROOFING = SPECIALTY = OTHER Jl FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES QNQ BUILDER COMPANY Ed Seifried Construction _ SIGNATURE REGISTERED I Y/ N FEE CURRENT I Y/N Address Q License# It27 ELECTRICIAN COMPANY E-Star Electric SIGNATURE . REGISTERED Y/ N FEE CURRENT I Y/N Address License if PLUMBER COMPANY Gill Precision Plumbing SIGNATURE REGISTERED I Y/ N I FEE CURRENT Y/N I l �(J Address License# y, ,E..K MECHANICAL fr4 COMPANY Peninsular Mechanical Contr. c. SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N Address License S CA C O I03 `.i I OTHER COMPANY I SIGNATURE REGISTERED I Y! N FEE CURRENT I Y/N Address License att 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&I 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) Reroofa_ 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 A ORNEY BEFORE RECORDING YOUR NOTI COMM CEMENT. FLORIDA JURAT(F.S.117.03 OWNER OR AGENT CONTRACTOR Subscribed nd sworn to r affirmed)b fore e t Subscribed and swo to(or affirmed)before me this `��; �Y b Flo i e pe Wally wn to me or has/have produced Who is/are personally known to me or has/have produced as identification, as identification. Notary Public Notary Public sion _— Commission No. Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped Tlne M Zvll�f My Commi�tt�� ç1) Expires 071211 � City of Zephyrhills: Building Department Phone: (813)-780-0020 Fax: (813)-780-0021 ttII444ttIrt\ zt TO: ED FROM: JACKIE - - FAX#:727-344-4450 FAX#: DATE:8-11-08 # OF PAGES including cover sheet: 2 k € r ' € E MESSAGE: r r FOR YOUR VIEWING FEE SHEET BREAK DOWN OF FEES TO BE PAID. k € 1 € r k THANKS JACKIE ! E E ! I € 3 k € i I E ! ! r r E i k E P E r € I € r € E r E € E k r r E € E E r ! r r E € F € r r k € ! r E r E € i € r r E E E € TRANSACTION REPORT P - 01 /01 AUG/ 12/2007/SUN 02 : 10 PM FAX ( TX ) # DATE START T. RECEIVER COM.TIME PAGE TYPE/NOTE FILE 01 AUG/12. 02:09,PM 817273444450 0:00:42 2 OK ECM 7291 S pu mow. �City'of Zephyrhills: y: 3 Building Department yy r rWWEQ V1.ri Y.i�4 •w+` r 'r�y'ate :..................r.,... _v !y:':";ii i:ii:;::i i::• Phone: (813)-780-0020 Fax: (813)780-0021 '• TO: ED FROM: JACKIE FAX#:727-344-4450 FAX#: DATE:8-11-08 #OP PAGES including cover sheet: 2 •MESSAGE: FOR YOUR VIEWING FEE SHEET BREAK DOWN OF FEES TO BE PAID. 1 1 1 THANKS JACKIE • 1 1 , , •• 1 I . 1 $ 1 1 1 t , .1 l , , 1 1 1 , 1 • 1 1 • t 1 _ 1 • , • I I......--_-...-r _ ___..----------_ _---_ --_-__ - -___--_-_---A 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact for Permitting Owner's Name Owner Phone Number Owner's Address Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS LOT# SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED B NEW CONSTR a ADD/ALT Q SIGN Q MOVE Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM Q OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q OTHER DESCRIPTION OF WORK BUILDING SIZE SQ FOOTAGE HEIGHT BUILDING $ VALUATION OF TOTAL CONSTRUCTION ELECTRICAL r AMP SERVICE PROGRESS ENERGY Q W.R.E.C. PLUMBING $ MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION GAS Q ROOFING Q SPECIALTY EJ OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES =NO II'''''Flll'IIII''IIIIIIIIIIIIIIIIIIIIIIlI I'II' JF' BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N Address License# ELECTRICIAN COMPANY 6Twz. 1J41F'V SIGNATURE ♦ /�I REGISTERED Y/ N FEE CURRENT+ Y/N 4 Address 3 1Jt AU I*i(,�1 z"?( f�IQ 3-14x? License# @,. t3♦�7--i PLUMBER COMPANY SIGNATURE REGISTERED Y/ N f FEE CURRENT I Y/N Address License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/N FEE CURRENT Y/N Address License# OTHER COMPANY SIGNATURE L 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 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/Sift 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 bads 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 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact for Permitting Owner's Narrtq I Owner Phone Number Owner's Address I I Owner Phone Number I I Fee Simple Titleholder Name I Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS I LOT# II SUBDIVISION I PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED ® NEW CONSTR e ADD/ALT = SIGN = MOVE = DEMOLISH INSTALL REPAIR PROPOSED USE = SFR = COMM OTHER TYPE OF CONSTRUCTION = BLOCK = FRAME = STEEL = OTHER DESCRIPTION OF WORK BUILDING SIZE I SQ FOOTAGE:1 HEIGHT = BUILDING $ VALUATION OF TOTAL CONSTRUCTION = ELECTRICAL $ 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 =NO BUILDER COMPANY SIGNATURE REGISTERED I Y/N I FEE CURRENT I Y/N Address I License# I ELECTRICIAN COMPANY _- SIGNATURE REGISTERED Y/ N I FEE CURRENT I Y/N Address License# I PLUMBER COMPANY FR EC)S)o U j d1 SIGNATURE REGISTERED �i N FEE CURRENT Y N 3 I Address I� D +h Y+, Aft eR FL. 3'T6$3 License# CF 0 13 MECHANICAL COMPANY SIGNATURE REGISTERED I YIN I FEE CURRENT I Y/N Address I License# OTHER COMPANY SIGNATURE I REGISTERED I Y/ N I FEE CURRENT 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 City of Zephyrhills Water and Sewer Impact Fee Calculation Land Use Type: Retail No. of Square Feet 3500 Impact Fees Within City Limits Outside City Limits Water Distribution System $403.83 $504.79 Wastewater Collection System $811.70 $1,014.62 Wastewater Treatment Plant Capacity $454.60 $568.25 TOTAL $1,670.13 $2,087.66 SQ. FEET PRICE MAIN OR LIVING 3,500 $60.87 OTHER AREA UNDER ROOF - $94.00 OTHER - $- VALUATIOI $213,045.00 FEE SHEET $822.00 ADDRESS $30.00 DRIVEWA $30.00 BUILDING $898.44 ELECTRICAL: $184.95 PLUMBING: $123.30 MECHANICAL. $86.31 SUB-TOTAl $1,293.00 RADON $35.00 TOTA $1328.00 SEWER WATER $- IRRIGATION $- TOTAL: WATER METER: $- IRRIGATION METE RI FIRE DEPARTMENT FEES PLANS TOTAL INSPECTION TOTAL PERMIT TOTA TOTAL. $- PUBLIC SAFETY IMPACT FEES POLICE FIR 12.50 5° $5J5 TOTAL $1242. SUB-TOTAL $2,570.15 PARK IMPACT FEES $- SIF'S $- 100.0°/ $- 1.0°/ $- TOTAL: $- T1TIFSJ $18,581.50 990/ $18,395.69 1°/ $185.82 TOTAL: $21.151.65 Zephyrhills Fire Rescue 6907 Dairy Road,Zephyrhills,FL 33542 Fire Marshal Bus (813)780-0041 Kerry Barnett Fax(813)780-0044 Plan Review#: 08-088 Project: Verizon August 5,2008 I have reviewed and approved the plans for build-out of a shell for Verizon located at 6011 Gall Blvd. I have attached the comments for the plan approval. If there are any questions please contact my office at 813-780-0041. 1. A Knox Box System was required during the original review of the entire plaza. Install knox box on front of building at a height of 6' on either side of the front door. An application can be obtained though Zephyrhills Fire Rescue at the address above. 2. Address on front shall be 6"in height. Address rear doors also. Numbers may be 3"at this location. 3. Firewalls shall be fire caulked at roof deck and down sides. Firewall shall be stenciled/labeled"FIREWALL—DO NOT PENETRATE"in several locations on each side. All penetrations shall be properly sealed. NOTE: These walls were to be inspected during original construction.No inspection has been performed as of this date.If walls are constructed, they will have to be opened up in several locations to inspect or 3'd party may be required to sign off on walls. 4. Duct detectors are required on units with 2000 CFM's or greater. These shall be resettable detectors. Key switch is allowed. 5. Rear exit doors shall swing in the direction that allows the occupant to egress down the rear sidewalk without any obstructions(A/C units, etc...),per previous meeting with building department. Inspections Required 1. Firewall Inspects (to ensure firewall is intact after build-out) 2. Build-out Final KERRY ,FIRE MARSHAL ZEPHYRHILLS FIRE DEPARTMENT 6907 Dairy Road, Zephyrhills, FL 33542 Fire Chiel Keith Williams Bus (813)780-0041 Fax (813)780-0044 FIRE SERVICE USER FEES Occupancy No.: �� Plan No.: d -8 Contractor: Business Name V� Billing Address: A). Business Address: /,L1/ 14 - Business Phone No.: Billing Phone No.: 77-c/3'2.—O(c,≤ Business Fax No.: Billing Fax No.: Contact: Contact: PLAN REVIEW FEES INSPECTION FEES PERMIT FEE FALSE ALARM FEE Site Plan Annual N/C Sprinkler $50 1st Alarm N/C Multi-Family/CommercialP.06sf 1st Re-inspection N/C Standpipes $50 2nd Alarm N/C (Minimum Charge$ 2nd Re-inspection $100 Fire Pump $50 3rd Alarm N/C Plan Revisions DBL 3rd Re-inspection $250 Hoods $50 4th Alarm $100 4th Re-Inspection $500 Fire Alarm $50 5th Alarm $150 SPRINKLER SYSTEMS (Business closed until LP Gas $50 6th Alarm $200 B0-25 Heads $50 violations corrected) Natural Gas $50 NON COMPLIANCE $150 26 plus Heads $100 SPRINKLER SYSTEMS Fuel Tanks- pertank $50 STANDPIPE SYSTEM Hydro Undergrounds $45 Sparklers $100 Per Riser $50 Hydrostatic Test $65 per system Fire Works $500 FIRE PUMP Acceptance Test $45 per system Camp Fire $25 Per Pump $100 Hydrant Flow $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 System Acceptance $50 Fire Protection $25 SUPPRESSION SYSTEMS Recall Acceptance $50 Flammable Application $50 Annual Wet $50 OTHER Waste Tire Storage $50 Annual Dry $50 Fire WalUSmoke Wall 1 I Generator<KW $100 CO2 $50 LP Gas $25 pertank Generator>30 KW 150 Other $50 Natural Gas $25 per system BHazard Waste $100 Annual KITCHEN EXHAUST Fumigation Tenting $50 fl Hood/Ducts $50 Tent 10x10 or greater $15 pertent Torch Pot/Applied $50 OTHER U Fire Pump $45 Haz.Materials $100 Annual LP Installation per tank $50 U Fire Suppression $30 Fuel Tank Installation $50 System Acceptance ❑ (Per Tank) $50 8 Exhaust Hood/Duct $30 Natural Gas Installation $50 Re-inspection DBL (Per System) (other than annual) 0 Spray Booth $50 Inspection scheduled DBL and cancelled less than 24 hours Construction Insp. N/C Emergency Vehicle Ac. $50 FALSE ALARM PLANS TOTAL. INSPECTION TOTAL[ F PERMIT TOTAL TOTAL GRAND TOTAL Comments: Date: to� lnscctor: 1- } I 111111 11111 11111 11111 11111 11111 11111 11111 111111111111111111 2008111424 Rcpt: 1195104 Rec: 35.50 DS: 0.00 IT: 0.00 07/30/08 Dpty Clerk Prepared By and Return To: MPG Geiger, Ltd JED PITTMAN. PASC0 COUNToYf CL4ERK 0 138 107`h ave#331 OR BK 78 m 94 PG 5@8 Treasure Island, FL 33706 Parcel Id.Nos.: 0326210010112000041 Permit No. 0326210210000000010 0326210210000000020 0326210210000000030 0326210210000000040 J SGT qtr �` 0326210210000000050 cif 0326210210000000060 q y /b -r- )1' 0326210210000000070 0326210210000000080 0326210210000000090 Pi- -- 0326210210000000100 7�t 7 _ y; _ ?Cc, 3 0326210210000000110 0326210010128000020 NOTICE OF COMMENCEMENT STATE OF FLORIDA ) COUNTY OF PASCO ) THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property situated in Pasco County, Florida, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement: 1. DESCRIPTION OF PROPERTY: See Exhibit"A"attached hereto STATE OF FLORIDA COUNTY OF PASCO Street Address: 6009 Gall Blvd.,Zephyrhills,FL 33542 THIS IS TO CERTIFY THAT THE FOREGOING IS A TRUE AND CORRECT COPY OF THE DOCUMENT ON FILE 2. GENERAL DESCRIPTION OF THE IMPROVEMENT: OR OF PUBLIC RECORD IN THIS OFFICE. TNESS MY HAND O Or CIAL SEAL THIS DAY OF 2 Interior Improvements to suite 400,500&600 JED MAN ERK F IRCU T C URT g EPUTY CLERK 3. OWNER INFORMATION: a. Name: MPG Geiger,Ltd. b. Address: 1803 Brian Creek Blvd. Safety Harbor,Florida 34695 Phone: 727-669-7412 Facsimile: 727-799-7940 c. Interest in Property: FEE SIMPLE TITLE HOLDER d. Name and Address of fee simple title holder(if other than Owner): N/A STP:758505:1 OR BK 7894 PG 509 2 of 4 4. CONTRACTOR: a. Name: Ed Seifried Construction, Inc. b. Address: 6985 First Ave.North St. Petersburg, FL 33710 c. Phone Number: 727-347-3333 d. Fax Number: 727-343-5763 5. SURETY: NONE. 6. LENDER: a. Name: Synovus Bank of Tampa Bay b. Address: 32845 US Highway 19 North Palm Harbor FL 34684 c. Phone Number: 727-451-4310 d. Facsimile No.: 727-785-7783 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)(7), Florida Statutes: a. Name: Not Applicable b. Address: c. Phone Number: d. Facsimile Number: 8. In addition to himself or herself, Owner designates the following to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes: e. Name: Svnovus Bank of Tampa Bay f. Address: 32845 US Highway 19 North Palm Harbor FL 34684 Attn: Carol Sabau g. Phone Number: 727-451-4310 h. Facsimile No.: 727-785-7783 9. Expiration date of notice of commencement(the expiration is one(1)year from the date of recording unless a different date is specified): STP:758505:1 OR W( 7894 PG 510 3 of 4 �-- N WITNESS WHEREOF, the Owner has caused these presents to be executed this c day of .J( �5/ , 2008 MPG GEIGER,a Florida limited partnership By: MPG GEIGER, a Florida corporation By: 1Q _. _ Ira Waitz,President STATE OF FLORJI , / COUNTY OF Y/4 c//a..5 The foregoing instrument was acknowledged before me thi V day of Ji' 2008, by Ira Waitz, as President of MPG Geiger, Inc. ne al partner o Geiger, td. He is personally known to me or(_)has produced tification. otary Public Print Name: My Commission Expires: "'•'"" ;: JULIE A. PEFFER MY COMMISSION#DD630974 EXPIRES January 18,2011 (407)388.0153 FloddalloteryServlce.00m STP:758505:1 OR BK ?894 PG 511 4 of 4 EXHIBIT LEGAL DESCRIPTION COMMENCE AT THE SOUTHWESY CORNER OF THE SOUTHEAST '/4 OF THE SOUTHEAST '/4 OF SECTION 3, TOWNSHIP 26 SOUTH, RANGE 21 EAST, PASCO COUNTY, FLORIDA; THENCE SOUTH 89°08'22" EAST ALONG THE SOUTH LINE OF SECTION 3, ALSO BEING THE CENTERLINE OF GEIGER ROAD, 602.23 FEET, THENCE NORTH 40.00 FEET TO THE NORTH RIGHT-OF-WAY OF GEIGER ROAD, THENCE 89°80'21" WEST, 6.00 FEET TO THE POINT OF BEGINNING; THENCE DEPARTING SAID NORTH LINE NORTH 00°51'24" WEST, 342.71 FEET; THENCE NORTH 89°58'29" EAST, 71.62 FEET; THENCE NORTH 80°0745" EAST, 71.21 FEET TO A POINT ON THE WEST RIGHT-OF-WAY LINE OF U.S. HIGHWAY 301, SAID POINT BEING ON A CURVE CONCAVETO THE EAST WITH A RADIUS OF 1231.21 FEET, A CHORD OF 382.46 AND A CHORD BEARING SOUTH 20°21'05" EAST, THENCE ALONG SAID CURVE AND RIGHT-OF-WAY 384.02; TO SAID NORTH RIGHT-OF-WAY OF GEIGER ROAD; THENCE NORTH 89°08'22" WEST ALONG SAID RIGHT-OF-WAY 269.45 FEET TO THE POINT OF BEGINNING. STP:758505:1 PASCO COUNTY, FLORIDA Permit No. Date Permitted Builder Name/Owner Name G( 'e, )1 Control # County Parcel No. -Z/,dO jQ ,f j20 0 (// SubDiv: Address/Location 40//_ s4 1/' ,4(K r Classification/Type of Use C /h�hC�I�7 I6�E=a,�tr 2, TRANSPORTATION IMPACT FEE Rate: __ 8_____ Sq Ft Unit: Exempt [] Yes [] No How Determined Impact Fee Amount $ / , 6/, 6≥) Zone No. TAZ: SCHOOL IMPACT FEE Account (056) Single-Family Detached House Amount $ (057) Mobile Home (058) Other Residential 123) Collection Fee Exempt Yes [] No How Determined PARKS AND RECREATION FEE Land Account Land Credit Land Total Recreation Account Recreation Credit Recreation Total Zone TOTAL AMOUNT $ Exempt Yes [] No How Determined LIBRARY FEE Land Account Land Credit Land Total Facility Account Facility Credit Facility Total Exempt ] Yes ] No How Determined Total Amount RESOURCE FEE ERU TOTAL AMOUNT Prepared By Checked By NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE BEEN PAID AND RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY Acknowledgement below does not imply acceptance of concurrence, but simply receipt of a copy of this form,placing the building permit owner on notice of this assessment and the conditions of payment for same. DATE RECEIVED BY RECEIPT NO. DATE BY City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: ed Date Received: 2 ) - O Site: L c2 t aIV� Permit Type: Qk) t I ' E /OAt '""" 51 8f A proved w/no comments Approved w/the below comments: ❑ Denied w/the below comments: ❑ P This comm t s et s be k t with the permit and/or plans. K vin Swi r— Examiner Date Contractor when comments Homeowner present) • raze esign, nc. Frank Fraze,AIA, NCARB Fl. Lic.AA26000585 February 16,2009 Building Inspector City of Zephyrhills REViEWDATE 5335-8`h Street CITY OF ZEPHYRHILLS Zephyrhills,Florida PLANS EXAMINER_ /LT Re: Verizon build-out 6011 Gall Road Zephyrhills,Florida FDI Project# 0819.00 ALL WORK SHALL COMPLY WITH ALL To Whom It May Concern: PREVAILING CODES,FLORIDA BUILDING CODE,NATIONAL ELECTRIC CODE AND This letter is to inform you that the 18-gauge metal studs called for per the g)W1'i (M tb 1M1VANCES been substituted for 20-gauge metal studs. Please accept this letter in lieu of revised drawings. If any additional information is requested please do not hesitate to call me @ 727/328-3608. Thank you for your cooperation in this matter. Sincer y ra raze,A.LA.,NCARB Pre dent Fr e Design,Inc. 1750 Central Avenue St. Petersburg, Florida 33712 Phone: 727.328.3608 Fax: 727.328.3609 Studio: 727.821 .8355 Email: fdi@frazedesign.com Zephyrhills Fire Rescue 6907 Dairy Road,Zephyrhills, FL 33542 Fire Marshal Bus(813)780-0041 Kerry Barnett Fax(813)780-0044 E-mail: kbamett@fire.zephyrhills.fl.us ..........._.... .. Plan Review 4: 09-011 Project: Verizon-Revisio�y Number of Pages:,.0"2, Date: February 24,2009 I have received and reviewed the revised plans located at 6011 Gall Blvd and will allow this project to move forward with comments made below. Should anyone have any questions, please do not hesitate to contact the Fire Marshal's office. 1. All comments from original review dated August 5,2008 remain in effect. 2. Columns located within firewall shall be wrapped to the same rating as the wall. Inspections Required: 1. Firewall Screw Inspect&Final (each layer) 2. Overall Final KERRY TT, FIRE MARSHAL ***Please be advised this review of plans submitted is a cursory review to assist the contractor in compliance with applicable fire 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. • Zephyrhills Fire Rescue 6907 Dairy Road,Zephyrhills,FL 33542 Fire Marshal Bus(813)780-0041 Kerry Barnett Fax(813)780-0044 Plan Review#: 08-088 Project:Verizon August 5,2008 I have reviewed and approved the plans for build-out of a shell for Verizon located at 6011 Gall Blvd.I have attached the co m>ents for the plan approval. If there are any questions please contact my office at 813-780-0041. 1. A Knox Box System was required during the original review of the entire plaza. Install knox box on front of building at a height of 6' on either side of the front door. An application can be obtained though Zephyrhills Fire Rescue at the address above. 2. Address on front shall be 6"in height. Address rear doors also.Numbers may be 3"at this location 3. Firewalls shall be fire caulked at roof deck and down sides.Firewall shall be stenciled/labeled"FIREWALL—DO NOT PENETRATE"in several locations on each side.All penetrations shall be properly sealed.NOTE: These walls were to be inspected during original construction.No inspection h been performed as of this date.If walls are constricted, they will have to be opened up in several locations to inspect or 3 party may be required to sign off on walls. 4. Duct detectors are required on units with 2000 CFM's or greater.These shall be resettable detectors.Key switch is allowed. 5. Rear exit doors shall swing in the direction that allows the occupant to egress down the rear sidewalk without any obstructions(A/C units,etc...),per previous meeting with building dept Inspections Required 1. Firewall Inspects(to ensure firewall is intact after build-out) 2. Build-out Final KERRY ,FIRE MARSHAL ZEPHYRHILLS FIRE DEPARTMENT 6907 Dairy Road, Zephyrhills, FL 33542 Fire Chief Keith Williams Bus (813)780-0041 Fax(813)780-0044 ✓ FIRE SERVICE USER FEES Occupancy No.: Plan No.: L?'—G0// Contractor._ J - : Business Nakne: Billing Address: 7 Business Address: /ars j/ -LL_ cr __ Business Phone No.: Billing Phone No.: Business Fax No.: Billing Fax No.: Contact: Contact: PLAN REVIEW FEES INSPECTION FEES PERMIT FEE FALSE ALARM FEE HSite Plan N/C Annual N/C sprkhkier $60 1 st Alan N/C Multi-F _ sr 1st Re-inspection N/C Standpipes $50 2nd Alarm N/C (M Charge$25.00 2nd Re-inspection $100 Fire Pump $50 3rd Alarm N/C Ptah R DBL 3rd Re-inspection $250 Hoods $50 4th Alarm $100 4th Re-Inspection $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 NOH co iPUAwcE $150 26 plus Heads $100 SPRINKLER SYSTEMS Fuel Tanks- per tank $50 STANDPWPE SYSTEM Hydro Undergrounds $45 Sparklers $100 Per Rpser $50 Hydrostatic Test $65 per system Fire Works $500 FIRE PUMP Acceptance Test $45 per syelem Camp Fire $25 Per Ptrnp $100 Hydrant Flow $75 Controlled Burn $100 FIRE ALARM SYSTEM Hood/Duct $50 8 0-25)Devices $50 FIRE ALARM SYSTEM Place or Assembly $50 Annum 26 phis Devices $100 System Acceptance $50 Fire Protection $25 SUPPRESSION SYSTEMS Recall Acceptance $50 Flammable App$ lion $50 Annual Wet $50 OTHER Waste Tire Storage $50 Annum Dry $50 Fke WaWSmoke Wall $15 pervwa Generator<KW $100 CO2 $50 LP Gas $25 pertank Generator>30 KW 150 Other $50 Natural Gas $25 per sysoem Blo-Hazard Waste $100 Annum KITCHEN EXHAUST Fumigation Tenting $50 Hood/Ducts $50 Tent 10x10 or greater $15 per tent Torch Pot/Applied $50 OTHER Fire Pump $45 Haz.Materials $100 Annum LP kasilation liar tw* $50 Fine Suppression $30 Fuel ijank Ins apa ion $50 System Acceptance Per Te nk) $50 Estust Hood/Duct $30 Natural Gas ksIaNation $50 Re-Inspection DBL (Per System) (other than annual) Spray;Booth $50 Inspection scheduled DBL and canceled less than 24 hours 8 Construction insp. N/C Emergency Vehicle A0 $50 FALSE ALARM PLANS TOTAL' INSPECTION TOTAL= L L PERMIT TOTAL____ TOTA GRAND TOTAL IP ≥7 Comments: f r C'— Date: ll Insractor: �j ..__