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HomeMy WebLinkAbout08-8264 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 8264 BUILDING PERMIT Permit Number: 8264 Address: 4330 20TH ST Permit Type: COMMERCIAL ZEPHYRHILLS, FL. Class of Work: ADD/ALT COMMERCIAL Township: Range: Book: Proposed Use: LIGHT INDUSTRY Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 13-26-21-0070-08900-0020 Improv. Cost: 236,000.00 ; Date Issued: 9/19/2008 Name: NESTLE WATERS NA, INC Total Fees: 1,600.00 Address: 4330 20TH ST Amount Paid: 1,600.00 ZEPHYRHILLS, FL. 33542 Date Paid: 9/19/2008 Phone: (813)783-1959 Work Desc: MEZZANINE EXTENTION CLOSE IN PARTS ROOM KEENER CONSTRUCTION INC BUILDING FEE 1,125.00 ELECTRICAL FEE 35.00 WYATT-FITZGIBBONS SHEET MTL IN MECHANICAL FEE 35.00 FIRE PLAN REVIEW FEES 405.00 PATTIE ELEC.&REFRIGERATION -i -o 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 yo notice of commencement." (J q o�g ONT C OR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 8264 BUILDING PERMIT Permit Number: 8264 Address: 4330 20TH ST Permit Type: COMMERCIAL ZEPHYRHILLS, FL. Class of Work: ADD/ALT COMMERCIAL Township: Range: Book: Proposed Use: LIGHT INDUSTRY Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 13-26-21-0070-08900-0020 Improv. Cost: 236,000.00 Date Issued: Name: NESTLE WATERS NA, INC Total Fees: 1,600.00 Address: 4330 20TH ST Amount Paid: ZEPHYRHILLS, FL. 33542 Date Paid: Phone: (813)783-1959 Work Desc: MEZZANINE EXTENTION CLOSE IN PARTS ROOM ááWRIPI 19 KEENER CONSTRUCTION INC BUILDING FEE 1,125.00 ELECTRICAL FEE 35.00 WYATT-FITZGIBBONS SHEET MTL IN MECHANICAL FEE 35.00 FIRE PLAN REVIEW FEES 405.00 PATTIE ELEC.&REFRIGERATION 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 02/17/2009 11:58 8638596818 KEENER CONSTRUCTION PAGE 01/02 Date: 2/17/2009 To: Ze h rhills Building Dept. Attention: Jackie Fax: 813-780-0021 Telephone: 813-780-0020 From: Jamie/ or Jack Keener, Jr. C 0 V E R Paps: 2, includin this cover page. Re: Nestle Waters Permit #8264 & #8265 S H EEr Cleared Check or ees paid$100.00 ❑For Your Review 11 For Your Use O For Pricing C]Please Respond ❑0rlginal Mailed KEENl R • Uq■se#C0C 9125 3336 N. Galloway Rd. Lakeland, FL 33810 Phone:863.859.3126 Fax: 863.859.6818 Emalt: JamleLalkeener-const com Webslte;www.keener-coneLcom 02/17/2009 11:58 8638818 KEENER CONSTRUCTION PAGE 02/02 : 596 ,Me► N�'�'r+ww..w»Wr.�w^n+!wl.wrw ,,,�y 01�1010d eOllMa ,�' '/0Yf TAOpreeO r>r lMMalp 6bhyrM rrMOo� 42s/,?s�253. I ►wb°.,9L 3"n FOND&2; a4i710atSrI;:00p(lOtNae1,370 Ck#40123 ""'° .Rmlowl 11/06 $448.20 0ah013eiu Iros;ai4 Ck#40139 KEENCR�TN,INC, eer 0 s a /0- ^'� ° o►nva� „►raeP ,Aom KaIrjNcOWSTRuamtj INC. MMy'I0JM eeq�N107"�•...+...»a... .S •'re'7o � 40 �1�11�Me1HnlMo •~' �.�-. ..,... wr....»..w.. O br1eWO Leo°PSI C°e pyp � —�� 1eoaLRL a1s�61oa -z6-& . - o'O�OIeYE ti063i42►R2�:100:D0iI,IBl,39r ' Ck#40125 11/12 : $98.39 "4tioiNEr 11/0 zi I- KEENER CONSTRUCTION,INC. SuNJasT. ;,:. :, Ck# .40145 11/04 ��M pow o p,7eYp� KEENER CON a Ie1Cdn � — �M9TRUGTION,1NC a / O Rio '0'.Q2?r N06310a152�1100aoDS�t8N390 Y°'° Ck#40127 P�rArral:,ev.Ieo„"" °" 'r�00o0003hi6,� nhBE r:06310@ISz�:i 11/19 $34.16 Ck#40146 11/06 Kr;[N6R CONSTRUCTION,INC, 401321 d>QHpI ewrow,e AebreOl q KENER� I4,INC a»Meahe►uf bne�nerywe - ---��$ "aee� 1C5LP� N2 Woos. rlem� n►. sree°fe reoa 10If ytILJI,,11iVJtI1AllI9a doawcR°oM, Arv.be,,dl M:S.R Ir.11ydorr�.+'" /rtcub,(,r IweK on.�+e+raa usooa.,ar�rmoo ~o013t• GOi910r15?�t1000____Rh39F Ck#40132 '°'°'t°'""Lo'a� 11/03 $156.93 nh01TM 706>110t162�230 j • Ck#40147 11/06 MMNER OONSTRUCTION INC. 401 M �M�i o�+nna ,•aao�i o Z°p'r^kcwor lol "'NCRe CONSTR1IaT10N,INC. , :ZWhpNlh,Cry b _ ..« mina Jeaw D.Rpyr 6176 rn&. Pmn:Rye rl�r0„ E MNaee DYy AkMN 9NIOo.•••w. /°nne M•0206 M Mp,p°rR.w.i.F� 7ur IOW Re. 0040138E i:DG3i0tL9t�:100000S 6437E : Fl.3rel0 Ck#40138 ?000go 140000 r"�°4 ►erwrra►O�rmrr.,�NIg000 11/05 $100.00 °'o�o►�,aE 4o431oa1se�:ioc Ck#40148 11/06 224224 Member FDIC 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#: 08-138 Project: Nestle/ZBW Revision(chemical room and mezzanine) Number of Pages: 8 Date: October 29,2008 I have reviewed the plans for the revision dealing with the interior remodel and all items have been addressed.There are no additional items requested at this time therefore this project can continue moving forward. Paying for the permit acknowledges the contractor agrees to the items below. Should anyone have any questions,please do not hesitate to contact the Fire Marshal's office. Inspections will remain as stated from initial plan review date 9/18/08. Y BARNETT, 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. 312 • ; n ` a 8R.`e E c ..7' u4..}r.4.. '✓V l 1ks, FL 3542 e !� a..' d .r us (C 1 3)7S0-004 x.Fa (U 1 3'7:30 3Li 4ti lie, rawit:. 'L taIlls FIRE SERVICE USER FEES Occupancy No.: /� Plan No.: Contractor. �� [ i r Business Name: LsS ` t4E -kCVJ Billing Address: Business Address Business Phone No.: Billing Phone No.: Business Fax No.: Billing Fax No.: Contact: Contact: PLAN REVIEW FEES INSPECTION FEES PERMIT FEE FALSE ALARM FEE Site Plan N/C Annual N/C Sprinkler $50 1st Alarm N/C Multi-Family/Corn me .06 sf 1st Re-inspection N/C Standpipes $50 2nd Alarm N/C �Lffinimun(t:�!�W2nd Re-inspection $100 Fire Pump $50 3rd Alarm N/C Ian Revisions 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 0-25 Heads $50 violations corrected) Natural Gas $50 ION cotaauANCE $150 26 plus Heads $100 SPRINKLER SYSTEMS Fuel Tanks- per tank $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 HoodlDuct $50 8 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 Wall/Smoke Wall $15 per wall Generator<ION $100 CO2 $50 LP Gas $25 pertank Generator>30 KW 150 Other $50 Natural Gas $25 per system Bio-Hazard Waste $100 Annual KITCHEN EXHAUST Fumigation Tenting $50 Hood/Ducts $50 Tent 10x10 or greater $15 per lent Torch Pot/Applied $50 OTHER U Fire Pump $45 Haz.Materials $100 Annual LP installation per tank $50 Fire Suppression $30 Fuel Tank Installation $50 System Acceptance (Per Tank) $50 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 Ace $50 FALSE ALARM PLANS TOTAL INSPECTION TOTAL II PERMIT TOTAL TOTAL L� GRAND TOTAL Comments: Date: lns ctor 12/02/2008 10:18 8638596818 KEENER CONSTRUCTION PAGE 02/02 4 �____________ :h!F 1iD ' ciI ! - __ cMV 51 C o iii ' ____ I TI) 'ir N1WONi ___ J -J- • rA .r0. I �k4 :9A,�d1.5 Lox Ktl• ^ h lx PA W4 1 , r z y �o P . 01 /O1 TRANSACTION REPORT DEC/03/2007/MON 11 : 56 AM FAX (TX ) # DATE START T. RECEIVER COM.TIME PAGE TYPE/NOTE FILE 01 DEC/03 11:55AM 818638596818 0:00:58 2 OK ECM 7911 _12/02/2008 16:18 8638596818 KEENER CONSTRUCTION PAGE 81/02 Date: 12/2/2008 Qw� . or Zephyrhills Building Dept. Attention: .Bill Burgess • -Fax: 813-780-0027 Telephone: 813-780-0020 em Jamie/for Jack.Keener, Jr. C C VERPages: 2, including°this cover page. Re: Nestle Waters Permit#8264 SHEET ______________ 0 For Your Review 0 For Your Use O For Pricing O Please Respond Doriginal Madod • 25ee4s1SfrlM1 Dear Mr.Burgess, • Please-find herewith my sketch.of a set of stairs that will work for the mezzanine on the north end. I believe-this-to'be the only configuration of a stair • that will physically work at this location. .I ask that you look over and advise me of any concerns that • you might have and if this arrangement looks �HOBW a OCU o acceptable, '3336 N.Galloway Rd.. Lakeland,FL 33810 Respectfully, Jack Keener, Jr. Phona:863.8668�Zs Keener-Construction, Inc. Fax:863.859.8818 • km$h laml Msenre. teem W.balte:www.keane, onst.com (+ e. /4! /1!•,V4 y .� .ice 12/02/2008 10:18 8638596818 KEENER CONSTRUCTION PAGE 01/02 ____ V Date: 12/2/2008 �;e..oy►� . ZZephyrhills Building Dept. Attention: Bill Burgess Fax: 813-780-0021 Telephone: 813-780-0020 Faemlf' Jamie/for Jack Keener, Jr. COVER _ Pages: 2, including this cover page. Re: Nestle Waters Permit #8264 SHEET _______________________ �, lk O For Your Review O For Your Use O For Pricing O Please Respond DOriginal Mailed Dear Mr. Burgess, Please find herewith my sketch of a set of stairs that ______________________ will work for the mezzanine on the north end. I believe this to be the only configuration of a stair that will physically work at this location. I ask that xIENR you look over and advise me of any concerns that you might have and if this arrangement looks tken�e �o�z573 acceptable, 3336 N. Galloway Rd. Lakeland, FL 33810 Respectfully, Jack Keener, Jr. Phone: 863.859.3126 Keener Construction, Inc. Fax: 863.859.6818 Email: Jamie keener-conat.com Website:www.keener-congt.com £7.0. I /t 11/18/2008 09:58 8638596818 KEENER CONSTRUCTION PAGE 02/02 Nov .,17 , 2008 6:42PM WINSLOW PEARCE No.4155 P. 1 WINSLOW ENGINEERING gds GROUP , INC . November 17, 2008 Keener Construction Post Office Box 8066 Lakeland, Florida 33802 Attn: Jake Keener RE: 2ephyrhills Bottled Water Project No.: 08-078 Dear Mr. Keener: Pursuant to your request we performed a visual review of the welds on November 12, 2008. The purpose of our review was to verify the welding for the prefabricated steel stairs and the attachment of the steel joists to the weld plates at each end of the floor framing. The design documents indicate a 1/8"weld x 1" long weld at each joist. The field welds are in accordance with this specification. Inca ly, omas Winslow, P.E. Principal TW/nec 08-078Nov17,08 WINSLOW ENGINEERING GROUP,INC. 316 EAST PINE STREET,LAKELAND,FLORIDA 33801 PHONE(863)682-1848 POST OFFICE BOX 2414,LAKELAND,FLORIDA 33806 FAX(863)686-4015 11/18/2008 09:58 8638596818 KEENER CONSTRUCTION PAGE 01/02 !t ' Date: 11/18/2008 To: Zep rhills Building Dept. I 4t1 Attention: Bill Burgess Fax: 813-780-0021 Telephone: 813-780-0020 From: Jamie/for Jack Keener, Jr. C0 V E R Pages: 2, including this cover page. Re: Nestle Waters Permit #8264 SHEET _ ____ Cl For Your Review Q For Your Use ❑For Pricing ❑Please Respond ❑Original Mailed Welding Certificate As Requested. Please find the attached letter from our structural engineer and threshold inspector, Tom Winslow attesting that the welds are as specified. IKE AR Respectfully, Jack Keener noels#066 012513 3336 N. Galloway Rd. Lakeland, FL 33810 Phone:863.859.3126 Fax: 863.859.6818 Email: Jamletakeaner.constcorn websits:www.ka"ner-const.com City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contracto omeowner: Date Received: 6 /- Site: O Permit Type: Approved w/no comments:❑ Approved w/the below comments: O Denied w/the below comments: ❑ 41( wI ,;i fr iidd , çU This comment sheet shall be kept with the permit and/or plans. Kal witzer—Pl xaminer Date Co tra for and/or Homeowner ( equ ed when comments are present) ort. A IA t I 210 9 i Y• 4l1fCZJ►ltc.�� C9�rlY c94 ( i.AA1O$ PIt3� QC^) RMc.55S` T co C (`• 'N 5r to RC,oF TP+'* 73g R -.�-aa ► ► .7 2���� Il 11111 11111 11111 Hill 11111 11111 1111 1111 200812594 NOTICE OF COMMENCEMENT Rcpt: 1199082 Rec: 10.00 DS: 0.00 IT: 0.00 08/21/08 — ____Dpty Clerk PERMIT#__________ JED PITTMIN, PASCO COUNTY CLERK TAX FOLIO # 08/21/08 03:00 m 1 f STATE OF FLORIDA OR BK 7909 PG f8 1 1 COUNTY OF PASCO THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement. 1. Description of property 4330 20th ST., ZEPHYRHILLS FL #1326210070074000000 2. General description of improvement: MEZZANINE CLOSE—IN & CHEMICAL ROOM CLOSE-IN 3: Owner information: NESTLE WATERS NA.� a. Name & Address: 4330 20th ST., ZEPHYRHILLS, FL 33542 b. Interest In Property: c. Name & Address of Fee Simple Titleholder (other than Owner): 4. Contractor's name & Address: KEENER CONSTRUCTION, INC. 3336 N. GALLOWAY P.D. LAKELAND, a. Phone Number: 863-859-3126 b. Fax Number: 863-859-6818FL 33810 5. Surety Information: NA---- a. Name & Address: b. Phone Number c. Fax Number d. Amount of Bond: 6. Lender's Name & Address: NA---- a. Phone Number: b. Fax Number: 7. Person within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by 713.13 (1)(a) 7, Florida Statues: a. Name & Address: DALE KIBBY 4330 20th St., Zephyrhills, FL 33542 b. Phone Number: 813-783-1959 c. Fax Number: 813-715-0784 8. In addition to himsZrAtk)CAto f, Owner designates R4 LA A . k)S of IJ-5nLE Wg n,S wa_+ receive a copy of the Lienor's Notic as provided in Section 713.13(1)(b), Florida Statutes. a. Phone Number: b. Fax Number: 9. Expiration date of Notice of Commencement (the expiration date is oine (1) year from the date of recording unless a different date is specified): (Signature of Owner) TIbcL1 / d7 ' Sworn to and subscribed before me this 2day of \ Notar : " Ck€Je.. i-)9e Known Personall .D. Shown My commission expires: •N"'? s AMYMK IB.EHOOE I�� MY corwu�,IssloN t DD 38924, EXPIRES:Febni9ry 26,2009 NOTICE 10/99 ' eatdad ilau Notary Pd*Undawfts STATE OF FI_Or ;,A COUNTY OF PASC O THIS IS TO CERTIF" rHAr THE FOREGOING IS A TRUE AND CORRECT COI Y U`- i`1 DOCUMENT ON FILE OR OF PUBLIC RECORD !N -ID OFF I ITNESS MY HAND AP FFICIAL. Se Ni`' DAY OF J P1T1 K OF CIRCUIT C BY DEPUTY CLERK 813-780-0020 City of Zephyrhiils Permit Application Fax-813-780-0021 Building Department /.r 2L, '9Date Received 863 859 - 3126 ly.//' f Phone Contact for Permittin Owner's Name NESTLE WATERS NA OwnerPhoneNumber 813-783-1959 Owner'sAddress 4330 20th ST. ZEPH. FL 33541 Owner Phone NumberNA---- Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS 4330 20th St., Zephyrhills, FL 33542 I LOT# SUBDIVISION I PARCEL ID# 13 26 1 0070 7 0000 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED B NEW CONSTR ADD/ALT O SIGN Q Q MOVE DEMOLISH ® INSTALL REPAIR PROPOSED USE SFR ® COMM Q OTHER TYPE OF CONSTRUCTION ® BLOCK ® FRAME Q STEEL Q OTHER DESCRIPTION OF WORK MEZZANINE EXTENTION/ION CLOSE-IN PARTS ROOM BUILDING SIZE EXISTING SQ FOOTAGE EXISTING7 HEIGHT IEXISTING [ BUILDING $ 190,000 VALUATION QCTOTAL CONSTRUCTION $236,000.00 ELECTRICAL $ 20,000 AMP SERVICE J PROGRESS ENERGY a W.R.E.C. El PLUMBING $ - MECHANICAL 26,000 VALUATION OF MECHANICAL INSTALLATION Q GAS El ROOFING SPECIALTY [J OTHER FINISHED FLOOR ELEVATIONS EXISTING FLOOD ZONE AREA =YES NO S IINATURE COMPANY TtFF1�TT±R ('fl TCTRTT('TiON, 'T L' REGISTERED EE RRENT / Address F33 6N.N. Galloway Rd., Lakeland, L 33810 License# CGC 73 ELECTRICIAN /— J� —�. COMPANY SWI SIGNATURE �/ , / (/q REGISTERED N FEE CURRENT Address PO BOX 3251 PLANT CITY, FL 3356 License# PLUMBER / COMPANY vi SIGNATURE I ( �`A REGISTERED I_Y/NI FEE CURRENT Y/N Address License# MECHANICAL COMPANY WYATT FITZGIBBONS SHEET MET SIGNATURE E,F JJ REGISTERED CURR�ENNT Address 905 STRAIN BLVD., LAKELAND, FL 3815 License#- l Ms CO33526 OTHER COMPANY SIGNATURE REGISTERED Y/ NI 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 w/Silt Fence installed, Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsllarge 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 onsile,Construction Plans,Stormwater Plans wl 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(PloUSurvey/Footage) Driveways-Not over Counter if on public roadways..needs ROW NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work,they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the"contractor Block"of this application for which they will be responsible. If you, as the owner sign as the contractor,that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of use in existing buildings,or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and 90-07,as amended. The undersigned also understands,that such fees,as may be due,will be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a"certificate of occupancy"or final power release. If the project does not involve a certificate of occupancy or final power release,the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,500.00 or more,I certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the"owner",I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the'owner'prior to commencement. CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction,zoning and land development. Application is hereby made to obtain a permit to do work and installation as'indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other government agencies may apply to the intended work,and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,Water/Wastewater Treatment. - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. - Federal Aviation Authority-Runways. I understand that the following restrictions apply to the use of fill: - Use of fill is not allowed in Flood Zone"V"unless expressly permitted. - If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a "compensating volume"will be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. - If the fill material is to be used in Flood Zone "A"in connection with a permitted building using stem wall construction,I certify that fill will be used only to fill the area within the stem wall. - If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent properties. If use of fill is found to adversely affect adjacent properties,the owner may be cited for violating the conditions of the building permit issued under the attached permit application,for lots less than one(1) acre,which are elevated by fill,an engineered drainage plan is required. If I am the AGENT FOR THE OWNER,I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas,or other installations not specifically included in the application. A permit issued shall be construed to be a license to proceed with the work and not as authority to violate,cancel,alter,or set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of permit issuance,or if work authorized by the permit is suspended or abandoned for a period of six(6)months after the time the work is commenced. An extension may be requested, in writing,from the Building Official for a period not to exceed ninety(90)days and will demonstrate justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TOY UR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTO Y ORE RECORDING YO R NO ICE OF OMMENCEMENT. FLORIDA JURAT(F.S.117.0 ) OWNER OR AGENTf,.'JfJ CONTRACTOR( Subscribed and (or a it afore_$e this Subscribed and sw rn o for affir 1 a me this t l� eeheC Who is/are ersonally known me or ha ave produced Who is/are p rsona y of„oa.. __ as identifi lion. as identification. l Notary Public / (J'� Notary Public Commission No. I D Commission No._______________________________________O I I Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped MY C0MMISSI0N#OD 389241 ?► r MY COMMI X41 EXPIRES:February 26,2009 }'�b�L EXPIRES:February 26,2009 Rf,rt Homed Thru Nahry pubk Undsrw mm '+l, B~Thru N„ otary PubNc tMiderwrNon -FROM WFSM <THU>JUL 31 2000 16:21/ST. 16:20/No.7626077028 P 4 @7/31/2008 12:31 8638596818 KEENER CONSTRUCTION PAGE 02/02 eta 7aD-0a2D C' of Z APR City ENEI)/!'ll�)I.4 PE3rRtit liCRtiOII Fex-e13.790-0021 BWtdng DapaAment Oeq Reghrod Pheae ConcacI rp 83 1 L1- 126 ownee'smame NESTLE WATERS NA ow.n•rPnenANumher 813 .783-1959 owner'sA"mos 4330 20th ST , PH. Omer Phmae Number Pea Sknple TIWholdar Name Owner Phone pi1e116er Fes 41"Wh Tlll"dor Adams JOB ADDRESS 4330 20th St., zephy>chills, FL LOTH [—�1 SUBDIVISION PARCEL IDs 1 26 21 0070 07400 0000 WORK PROP03ED I�1 IDeTA II1 ee UApeI Tsy#*MEI LE_J{ I NEW CON3TR ® ADDAALT SIGN efSTAL RHPAIR MOVE J DEMOLISH PROPOSED LINE fJ SFR TYPE OF CONSTRUCTION BLOCK Co- OTHER ® LJ STEEL OTHER DEOCRfpTm OP WORK OOM BUILDING SIZEEXISTING 150 FOOTAGE IIiX1STGJHEIGHT IS NG BUILDING jj 190,000 1 VALUATION OF TOTAL CONSTRUCTION $236,000.00 ELECTRICAL 20,000 AMP SERVICE PROGRESS ENERGY ) W.R.E.C. PLVMSING MECHANICAL 1 26'000 VALUAT10fl OF MECHANICAL INSTALLATION EJ Cab Q ROOPNG Q SPHCIALTy CM OTHER FINISHED FLOOR EUJATP tSTIrtG FLOOD ZONE AREA JYF.S IMNO BUILDER r COMPANY SIG NATURE --•- _ J REGISTERED I FUonN I / LJ Address 33 6 IL Galloway Rdtke1and,Jl 3381.0 uan:e: CGC01273 ELECTRICIAN 1 COMPANY SWILLEY JOHNSON ELECTRIC SIGNATURE 1aFCt1'nrREp 1kIjj.jFm cues T I Y/ Addrma PLUMLR SIGNATURE COMPANY REOIa1ERID IY/N FEE c11mmr Y/N Address I—� ueerue e I4ECHA Or. WYATT �'ITZGIBBONS :SHEET MET M&CA MIC COMPANY ecopmee ij Re cURRENrI Y/NJ Addr,j 905 STRAIN BL/D., LAKELAND, FL 3815 Llenrlse to OTHER SIGNATURE COMPANY REI:ISTFED LiL N MR CVINENT LY/ License d RESIDENTIAL Altept(2)Plot Plans;(2)ped of Wlldlflg Pbm:(1)Set of ERet5y F Mlrsmum Ian(10)WOINIW day$afar lUhrllllel dale. R eked O1nC.RJJ-w Peml11 for meW Wn r PI3ry 1 Senhsry Fedk las a 1 t um _ as mnslte,Cmnslrucimn PlMna 31dmIw9ler Plain wr Sill Fence tnslaNed, COMMERCIAL Alleeh(3)campge lab WWIp I Pie pfue cur.Safety PIo a(I)a prof Mlntmuttl hen(10)working days afar supatltW dale. RequMea snafe,Conetrvc0ct or �ol�Plane 3gmmwegy Pout', w Permit �r Pbru w/301 Fence r+smlkd, SIGN PERMIT pAnkery Fadgthe£1 dwnpeler.Site Went Permit for AN new projeco met -AU earns4R rs4ulnmenls much noel eenpllsrlce Mad+(2)sets or Erpdneerld Plane. PROPERTY SURVEY regtrkad/or se NEW eonatn/ctien. Dlrocuone: FM out 9pp&a1On cmmpletety. Owner R CmeeadOr sign back Of appllCallon nolarltdd If aver 1230.■Nedce of COrnmMmoernr h requlne. (A/C upgrades over$a000) Agent(for the cOntradOr)or power of Albany((alhe owner)would De someone with nolarlzad letter from owner aueonzing same OVER THE COUNTER PERMITTING (Front OfAp lOatten 0nfy) Retomfe Sewers 3eMce UpWadp A C D"wewaye.Not over Cownlerlfon puhlle Renew lPlov5urveyiFoolapel twdways•.necd$ROW • 07/31/2008 14:24 8136500717 SWILLEY JOHNSON ELEC PAGE 01/03 07/31/2008 12:45 8638596818 KE'EPIER CONSTRUCTION PAGE 02/02 eta-�tiaaoZn City of Zephyrhillo Potmlt Appilcation Fax aia Teo oorl sullalrs Down mm DDW*cilr.d IPt,n.Cc ctforP,nriic 863 8 .. 3126 own.reNeww NESTLE WATERS 11(A I OwnarPhoneNusnbsr 8137831959 Ownsr'iAddraes 4330 20th 5T. bZEPR. FL o,norPhwmNw,bvf - r9e abvw TWshotder WPM Y Owner Phoas NoNry.r I Fes BNnple TAkhoh(erAdgroea JOBAOORESS 4330 20th St., Zephylrhilla, FL 33542 CdT P BUBDMDDN Pnfect�tete W 13 26 21 007007400 OpciO iT-FJ GO FkOM hROPETTT TMt Nome, WORK PROPOSED NEW CONSTR A$WALT D SIGN Q MOVE © 0EMouE►+ tt+{STALL R®PAIR PROPOSED USE © SIR LM COMM Q OTHER me OP CONttTRUOTTQN ® pLppK FRAME Q 59 ', © oTMER paicipirnwopwQt✓rl( N G — a"DINo5IZELEXISTING I sQFOOTAOE TX S G j STING BUILDING 190 00)x0'' I� VALUATION O LeoTO1A CONSTRUCTION $236,000.00 ELECTRICAL 20,U00 E Q � AMP S RVICE PRQGREBa ENERGY� W.R.t?.c. PLUMWN0 MECHANICAL VALTrATI¢n Or MROl1ANIoAL INSTALLATION RQOFINd © SPEct4LiY[ OTHb1q FINFtE6FWOR VAT4? 9 EXISTIN FLOoo20NcARCA ©YE* JNo dU1LDlR 1 COMPANY S10NATUR6 � t o NCTt?rrr_mTnnT rrtn Address 3336 N. G,I<.l.Xawey Rd., La eland, 33810 , �E--pr �lotAet L v CptnrANY SWTLI.}rY JOHNSON SLl?CT'ltIC1 paNAft1H8 RMMTLW ,¢ +t4f Adds P $OX 325 a T C ITY, FL 3 uNotne u -___- J PLUMovit SOMPANY EJCNATOGFi £EGETERm Y FFS tlllgRENT Y/ Address Lleensep SIGNA1NIRAl ] e4MPANY WYATT P tTZ0mBONS SEBET ME StQNATURE 1 "`�a PEGIEtFNEo MZ OI MNT Y!N Adaress 905 STRAIN BLJD., _LAND, FL 3815 L"M&* MrnaaR O?HEIf-_i_COMPANY 916NArLRE cli'rRACD N CURRENT Y I n Attsi t2)N W ri kh Yale d BW mo Plans.()set of Energy Fetal*R-aw Pemrtt 2r nsw Ems-W.Mg,em ten(10)A I slu dare after�+bmtllei date.R drWpl,CvnNiWlan Pisrs�,Stormwater Planf w<8Nt Pella.NeleMpa, S-qh()A k is S 1 OtlmpsiN(8lla Work Psrmlt j-IldlrLS wMarDe wnjmh COMM can.. Amax+(a)0(10) .W of Sys A Ptane Nus a Ufa Swab Pape;(1)sat N1 Energy PNmif.R.O.w Patios for new mnsbudlon. Mln enm Wes(10)wa i5n days Eller eubn$ttet dale.iRaqulr onaUa,Conohudlao Peens.SIormr,mter Piero,W 55*Panne N ih SIGN PERMIT Akoch(2)sM!d Fttp WaRt poMW for alt new ProlAdn AN oomnNKW f(pu ywnwft m1a t meetCwMNAM —'PRQPARTv BVRVEY raquired for4 NEW ar e1n1dign. D(raetbllK Pie Out*ppbpeygd aoMpleesy. t7wTta a pomp ton wtlr or wolcouon.naterked r over izttoq a NNttee of ComeleaNatrlork tr nadred (arc 4ra',dos over!)8aoo) Agent(tor th.cmbactor)Or Power of Attorney(b Pie awn r)would be someone with nalerled letter floe,aener ffttgen name OVOR THE eOUNTZR PCNe,flt (Flan DI Appoeetlw Only) OrhrswaYe.Na counter N Ones Nporadea A/C Fangs USE fwbllensdwaya.needr ROW 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.: 0 — O°U.p Contractor: k'EiX Business Name: ZJ1 KLBilling Address: 3 l Business Address: '-k33O L& Lrkt - 33' L Business Phone No.: Billing Phone No.: Business Fax No.: Billing Fax No.: Contact: Contact: PLAN REVIEW FEES INSPECTION FEES PERMIT FEE FALSE ALARM FEE � Site Plan N/C Annual N/C Sprinkler $50 1st Alarm WC 1 1 Multi-Family/Commercial .06 sf 1st Re-inspection N/C Standpipes $50 2nd Alarm N/C (Minimum Charge$25.00 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 e0-25 Heads $50 violations corrected) Natural Gas $50 NON COMPLIANCE $150 26 plus Heads $100 SPRINKLER SYSTEMS Fuel Tanks- par tank $50 STANDPIPE SYSTEM Hydro Undergrounds $45 Sparklers $100 flPer 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 80-25 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 Wall/Smoke Wall $15 per wall Generator<KW $100 CO2 $50 LP Gas $25 pertank Generator>30 KW 150 Other , $50 Natural Gas $25 per system Bio-Hazard Waste $100 Annual KITCHEN EXHAUST Fumigation Tenting $50 0 Hood/Ducts $50 Tent 10x10 or greater $15 portent Torch Pot/Applied $50 OTHER Fire Pump $45 Haz.Materials $100 Annual 8 LP Installation per tank $50 UFire Suppression $30 Fuel Tank Installation $50 System Acceptance ❑ (Per Tank) $50 Exhaust Hood/Duct $30 Natural Gas Installation $50 Re-inspection DBL (Per System) (other than annual) Spray Booth $50 U Inspection scheduled DBL and cancelled less than 24 hours 8 Construction Insp. N/C Emergency Vehicle Ac' $50 FALSE ALARM PLANS TOTAL INSPECTION TOTAL= PERMIT TOTAL� TOTAL GRAND TOTAL 1S Comments: Date: D ZZ �Q Ins jctor: —'9¼. 09/09/2008 15:28 8638596818 KEENER CONSTRUCTION PAGE 01/07 L __ _______ Date: 9/9/2008 To: Zephyrhills Bldg. Dept. Attention: Bobbie or Jackie Fay 813-780-0021 Telgpblone: 813-783-1959 x 364 From: Jamie/for Jack Keener, Jr. C O V Pages: 7, including this cover page. Re: NESTLE WATERS A.K.A. ZEPHYRHILLS S H E ET BOTTLE WATER ❑For Your Review O For Your Use ❑For Pricing ❑Please Respond 00riginal Mailed 1. Change electrician from Swilley Johnson to Pattie Electric. 2. Wyatt Fitzgibbons Lic. "EAR 3. KCI's Current Lic. Ucsuss#CSC.mia 3336 N.Galloway Rd. Lakeland, FL 33810 Phone: 863.859.3126 Fax: 863.859.6818 Email: lamle0lkeener-cant com Webalte:www.keener-conMt.com 09/09/2008 15: 28 8638596818 KEENER CONSTRUCTION PAGE 02/07 C17f 1741 L170d I u: I n M1+4Mh 4IM I M K6'f:WCfi Cf1WCTP N'TTr J D11fS aZ/017 2008-09-05 15:20 PATTIE ELECTRIC 8137BB4904 > 8638596018 P 2/5 City e1 Zrf gApP ceW a.4aaraooy, eM.R•..MI..I [863 I IIi1 312i11 """' NESTi.B W& 13,9 NA ow•.HM.InNrM.. 8t3.783-1 OWgftA•rw, L433o 20r4i ST. O..wPNwwMl.l�� PINIMAMT .SM.N.IM O.•Mr6s..M.I.Y.. s..sM�»TNLhels.r Ar.l•u Io.AOYNQ• 43Jö 20th St., Zee yxh:U a, 8L 33 �IN•NN1a..r• " ••ONK PR019 a I . 1RT Q Mpyr Oe110NIM ONOIIeC 0 O.R cm COMm 0 Ow! • PU a sOMp11U IQN J aocK CD PRAIE Q bTita OTNM RUCRIPgON oP MIOIIR 04RrY10 eaeI 10 POoI'A6ezxistiiiiJ MT knsTING 1 1 0 000 236,000.00 Es e�ec(A m 20,00 AW O PROORE.9�e>+e�or Q w.R.P.G. d PUiMewo r- - - -] NW ` 28,000 ] 11AuuAT.a.OF MFONAWI;11L r1eTAW1'�oN CI f Q wpm [] e,eclKTr�] m►NR PR.(sNED FLOOR CIaNATM71e F►OOO Z011e AR/1 [,, it No eUM.eeq1 COWARr 71ONATUMM _• •. RMw_ Aa..a 36 N. .Gaw oaa f3.. Li an , 33810 r u..l..r l + AtoN.• 1 74 {1 PATTTR Uri ZZM MEL _ 540 'b.M./ kc -v�1:tGfr � X31 PWMelR 14' NIO MTINQ N.OMIIT Ad-... WYATT PITZGI$B0N8 M T AI_.__. awwr Arr,w 5 STRAIII EVE'., Fx. 3815 OTWUAF MNATURt 1�MPANr �IIIOlOI YIN IN1IQ 1 AOe1rM. ((M IUN1W A�1q> maser*"*Pip)ara6N.p�11 MIIIIRO.WMINMbaa.eme+. . MMMMIMNNap o1 M1�•P••MN r1.ar rw.NOIb1 pup..CNllrwkn•M•.4____ _PMl.alw l0 P•Ile.k1.1/K, Co•uMCRC*, P•lNY�l awM.� .lNrll►w11MM NAA.IMNLAr� .AaI lal..OM1M••w a srMR,u PIwPIN•III.IW.d Pip•(11..IaOn.lOrPaln..N.ON Pe.IM N..A.PMNMMOMOM. liftsN IRI(tat A l r...•M..IIAMM oft Rsq .u MM,O.Wlldrr�Pf..w NaINNM1.MMM wl*Pu a .I.b/, eMMwrF.IdN,.a,rr1lPl- .e..wwMMMMMr.en.,►rraR+ AMen...,erllNMwwrIr.rM..Ia.ell•w >r�1I► �N.n pD.weaeMrwN P*Is �"1D�R7YAI1Rwri OM firmNewem.ou.m, oM NOarMrl W. RsMPe$O,nNbI s�srC Nijlj. NCrrwe..Mr piji rOVI1N ECOUI�'"'•MMIrPay.taAM"'N/IMrI�wIIMM)wl.d er l.IlwMIw1INMYs..Iw.an wNlrMrlp�gwllll. PeR1YYi'INIO M (P101M YA�pllar.n C.IIM 2008-03.04 15:58 8638596818 Page 3 09/09/2008 15:28 8638596818 KEENER CONSTRUCTION PAGE 03/07 meiawinaae +w.+e nrnnvnrn+n X 2008-09-05.15.20 PATTIE ELECTRIC 8137884904 >> 8638596818 P3/5 Nenw�e.. C;b of Z Mp Pumt Ap"011 n m4MIIIMa U O.a eomw M LI 'w'"' AR W TS 1ZA ow.a.wrw.N..r.r 813-78 —1959 lY o. ... . [A3302oti ST..ZPfi. Pt rNM TNIMAM/Mw..I _ I • �..Akwp.TiO M.B Ad*... OA*Ig 4330 2 th St., Zephyrhille, FL 335 2 MNOaIe.aci L. 1PAM%10. 2b 21 0070 07400 0000 I.rna�I.enwM m�u.en HOOK► Oa.oMOVE Q DEMOLIUM MO/OUO In Co �8 FRAae O p on�e� eUCW,or or wow de n.O1M0 ees s4.oQ►AM LT7j1 ,l 6ISTmQJ U►owo 138 000 vNmA71Qy or TcOA`eeMrnurnou $161,000.00 S.000 jAks emse Q I'qoaRew wwvtor C7 •t.UW*G r "" ME t N C i 9,000 j VA VAmm or MB[IS*M AL N1VAUAroft FM/lelllD Ft OA atVATl01q ri 000 c. MI/* [mete eewAwr 36 H. Galloway [(p1, a 33820 i,w,—, [ C o12573 .. '/ u c u d �r,�,,-,.t.�� awl rwr LATTIE ELECTRIC c . ".'... 1 39111 XAT-'Ts*_2fl -. Z H, FL 33540 nue.,Ie (*) �UNDE'dERMINED - JIOrAT' 'OM►Altll .owe=. ddl.0 MAN$ TUIi 0MPAw„ IYATT FITZGIB ONS .SHEET ME etenl.e. .eea.Iellr .. l9 5 STRA LVD, LAK , FL 3815 „ . 'oieotne�e wwe L-_11111 exwrAnr """' Lr uaw . MMMI.YIb..n N.Iwak�I.d.M.Iy�.II.iIl11.d,.., eUa�fl1lr:I�GW hMlle w til.e.Aeti.oeen, Oaf r..inw, 1 a■IrM.'al.ww Caen Mh NNI�M�M►PM.IF If lM feel wwN� "''� Aw..ntata.swawasrF�„rra..urNaMrttl�aGlrar►,u�..Aows.,,wl.n..eanln.eeM,, owl....,,Iaot..rkwle.r..M►wwmom.raw" re..cook..sew,.,s>r...MM R..../S11..II..MI.1.1.6 aor. T AIF ~•6 , M.p�MM..wVMM11.M...IIARLY1.eM.lrrll.11wrl.rles�ll..p. TY_p0 WttMM We .Yy.e.. O.,,.14pIMU.....yIN� W.wre noMrtl (NC IIANM..w..eI1Fw) AasM lei eN NM1� N He�M M M�ww/le7tlh...n.A.a.f� 'e..al.wRt nN. .IGVtnii Mw eelo.rllM �M...MOOVN?t Py11NUP A4C 0 aMM.Ir.O.MI ft"m M CLAIM►K wAft w.Mr�n.M.gow hnaw(C1.y.Iy./R.u.p) 2008-09.04 15;58 8838596818 Page 2 09/09/2008 15:28 8638596818 KEENER CONSTRUCTION PAGE 04/07 200'8-O9-OS•15:21 PATTIE ELECTRIC 8137864904 )> 6638596818 P 4/5 L? �' wC - • d„ a `.f fl•" ,`!' . .. ., , ._.i --'3 .71:.. nSS,-...�-�:«:'. ! ACCOUNT NO: 073476 ' - TYPE OF DUSINESS: SIC CODE' 1541 -, BUILDING CONTRACTOR LOCATION ADDRESS' 39111 PATTIE RD ZEPHYRMILLS PATTIE ELECTRIC & REFRIGERATIO : - 39111 PATTIE RD ` ZEPHYRHZLLS FL 33540-3143 YF _,'.' DATE RECEIPT AMOUNT 08/11/D8 551465 31.25 .o✓: -' xr%tlrr•;_ ^"�5 _ v^. ?-_ - O9.g '.99'.F^•;e• •F�.�. 'r- .... _ .... ACCOUNT NO: 003623 = -- RS SIC CODE' 1711 -- - A OF BUSINESS �'., . ..' :.. _. - _ AIR CONDITIONING •; CONTRACTOR-CLASS A OR I LOCATION ADDRESS: s:�%• — 39111 PATTIE RD ` = ZEPHYRNILLS PATTIE ELECTRIC S REFRIO 39111 PATTIE RD ZEPHYRNILLS FL 33540-3143 DATE RECEIPT AMOUNT 08/11/08 551471 31.25 I..II...11.,l.l.d..III.....II....II�I.J..II....11..�ll.d.11 09/09/2008 15:28 8638596818 KEENER CONSTRUCTION PAGE 05/07 2008-09-05 15:21 PATTIE ELECTRIC 9137884904 >> 8638596818 P 5/5 ACt 3 8 5 x;4 STATE OF FLORIDA ?DEPARTMENT OF Z E9 AM P.AOFESSIONAL ?ION CONSTRUCT O X,Nbp$TAY LICENSING B SE00 X.0807310126 LICENS 107/31/2006 1080067493 CMC05547.6 The MECHANICAL CONTRACTOR NaXod below IS CERTIFIED under the provisions of. Chapter 489 FS. Expiration date: AUG 31, 2010 PATTIE, DONALD DAVID PATTIE ELECTRIC & REFRIG 39111 PATTIE ROAD ZEPHYRHILLS FL 33S40 CHARLIE GRIST CHARLES N. DRAGO GOVERNOR SECRETARY GISPL C'AS REQUIRED BY LAW AC* 3884601 STATE OF FLORIDA M�! DEPART10n. .. '� SNDUSTRYRLICSRSINGL,CARDAMON Z SEQAI L0807310084 r,rcENE' NbR' 07 31 2008 080067495. CBC0603O5. I The BUILDING CONTRACTOR Named below IS CERTIFIED Under the provisions o.£ •Chapter 4.89 FS. Expiration date: AUG 31, 2010 PATTIE, DONALD DAVID PATTIE ELECTRIC & REFRIGERATION 39111 PATTIE RD ZEPHYRRILLS FL 33540 . CHARLIE CRIST '•' : J ' CHARLES N. DRAGO GOVERNOR ` SECRETARY DISPLAY AS REQUIRED BY LAW AC$ 3885181 STATE OF FLORIDA DEPARx�TRICA CONT,'R�AC�TORSRLICENSINGBOARD ?ION SEQ0 X.080731014: • L CEN 07/31/200B 080067494 ZC0001268 The ELECTRICAL CONTRACTOR Named below IS CERTIFIED• Under the provieiono of 'Chapter 409 FS. Expiration dates AUG 31, 2010 PATTIE, DONALD DAVID PATTIE ELECTRIC AND REFRIGERATION 39111 PATTIE ROAD ZEPHYRHILLS FL 33540 CHARLIE GRIST " '' CHARLES N. DRAGO GOVERNOR SECRETARY ..01*P ,A .REQUIRED BY LAW 09/09/2008 15:28 8638596818 KEENER CONSTRUCTION PAGE 06/07 IMPERIAL POLK COUNTY LOCAL BUSINESS TAX RECEIPT • REMIPT iA=x 2330000029 L0CAMm: 905 STRAIN BLVD EXPIRES: 9/30/2009 $ 1 12-LAKELAND.NOT IN CITY OWNER MICHAEL ROBERT WYATT Z30170�•CONTRACTOR MECHANICAL WYATT FITZGIBBONS SHEET J ' ' METAL INC ' I 905 STRAIN BLVD LAKELAND,FL 33801 . BUS TAX TYPE: RENEWAL `' •..� RA99 TAX 55.00 ADDL FEE: '• TOTAL 65.00 Tr•IIS POLK COUNTY LOCAL BUSINESS TAX RECEPT MUST BE CONSPICUOUSLY DISPLAYED AT T}E BUSINESS LOCATION PAID-1202611.0001-0001 12 08/15/2008 55.00 - .•-�'•, �..�.. ,,, , .�;•:., . BOARD�-'; r. �.!. $EQ#L0E0826t243'S: •YA:,., `., +!r�i�'�.: ---'_ ' vr,dw'�•a'�' Vie, _ - ExpT�a�o�t',�_ fir. •�' -�:): � NN �wJ,.—+ir± . • • . .. �, ( .. . ,l Yr-.. `• t �.�1�J-�*J� t�``. v �,' rAAa�i18►�' �. :DsY�W . LAW: 09/09/2008 15:28 8638596818 KEENER CONSTRUCTION PAGE 07/07 IMPERIAL POLK COUNTY LOCAL BUSINESS TAX RECEIPT RECEIPT 1 ACCT# 2110000153 G Agg EXPIRES: 9/30/2009 e LOCATION: 3336 N GALLOWAY RD 12-LAKELAND-NOT IN CITY OWNER: JACK DEMPSEY KEENER JR 230150 CONTRACTOR GENERAL KEENER CONSTRUCTION INC JACK DEMPSEY KEENER JR 3335 N GALLOWAY RD LAKELAND,FL 33810-0677 BUS TAX TYPE: RENEWAL BASE TAX: 55.00 AOOI.FEE: TOTAL: 65.00 THIS POLK COUNTY LOCAL BUSINESS TAX RECEIPT MUST BE CONSPICUOUSLY DISPLAYED AT THE BUSINESS LOCATION PAID-1205396-0001-0001 12 08/29/2008 55.00