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HomeMy WebLinkAbout08-6854 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 6854 BUILDING PERMIT Permit Number: 6854 Address: 6830 GALL BLVD BLDG B Permit Type: COMMERCIAL ZEPHYRHILLS, FL. Class of Work: NEW CONST/COMM Township: Range: Book: Proposed Use: COMMERCIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 02-26-21-0010-02400-0010 Improv. Cost: 307,125.00 , Date Issued: Name: ZEPHYR PLACE LLC Total Fees: 5,184.66 Address: 1135 SOUTH PASADENA AVE STE 327 Amount Paid: 5,184.66 SOUTH PASADENA, FL 33707 Date Paid: 2/20/2008 Phone: (727)504-0256 Work Desc: COMMERCIAL BLDG 5,850 SQ FTl SHELL ONLY =DESIGN IT BUILD IT INC BUILDING FEE 1,186.08 ELECTRICAL FEES TRI-COUNTY ELECTRIC,INC. PLUMBING FEE 248.40 165.60 MECHANICAL FEE 115.92 PASADENA PLUMBING INC RADON 58.50 WATER METER RES 3/4" 1,100.00 AIRCO MECHANICAL CONTRS INC FIRE PLAN REVIEW FEES 234.00 POLICE IMPACT FEE 953.55 IMPERIAL ROOFING CONTRACTOR, INC FIRE IMPACT FEE 1,023.75 PUBLIC SAFETY 5% 98.86 n V myo 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." AOR4ACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER Page 1 of 1 JacquaIine:Boges - From: Karen Miller Sent: Monday, February 18, 2008 2:32 PM To: Jacqueline Boges Subject: FW: Zephyr Place/Ci Ci's FYI wren!filler City of Zephyrhills -Building Dept 813-780-0020 ext. 3513 813-780-0021 Fax kmi11erAci.zephyrhills fl us From: Todd Vandeberg Sent: Monday, February 18, 2008 2:28 PM To: Karen Miller Cc: Billy Poe Subject: Zephyr Place/ Ci Ci's Karen, Please be advised that I have reviewed our file for Zephyr Place (Ci Ci's Pizza)and it appears that all site plan review items have been satisfactorily addressed. Two approval conditions shall need to be complied with and addressed prior to issuance of a CO— 1.) Provide copy of FDOT permits and 2.) provide a blanket utility easement to the City. I will also need to coordinate with Billy Poe tomorrow to ensure the landscape plans have been completed. Please feel free to proceed with a site work permit. Let me know if you have any questions. Todd Vande Berg Director of Development City Of Zephyrhills 813-780-0006 813-780-0005(FAX) tvandeberg@ci.zephyrhills.fl.us 2/18/2008 813-780-0C 20 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received -U 7 Phone Contact for Permittin q.j - - 'r� Owner's Name .� ft LL L Owner Phone Number I 1c ) —St X4 Owner Phone Number - 13�,( {1O Owner's Address Sl Fee Simple Titleholder Name ZrCA R L L- L. Owner Phone Number Fee Simple Titleholder Address 1113S - 'k S 3t> sOti 1 P- JOB ADDRESS O -A" L.jU 't3 LOT# II SUBDIVISION PARCEL ID# - (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD/ALT Q SIGN Q MOVE DEMOLISH INSTALL REPAIR PROPOSED USE 0 SFR COMM Q OTHER TYPE OF CONSTRUCTION BLOCK Eli FRAME Q STEEL OTHER DESCRIPTION OF WORK 5 H -' - a ' - z ,-- "t? >1 BUILDING SIZE aiX of. SQ FOOTAGE IS50 HEIGHT I iy ' i i liii II uI•'IuI'IIIII''1111111111•IuIII'IIIIII''IuIuIIlIIIl uulIIuIlIII lIltulIllIll II''11111111'IIII'IIIIIIt 11111''It'll II''Il'IIIIIIIII 1111111-I-I-I-I BUILDING I (4' cJ VALUATION OF TOTAL CONSTRUCTIONEZj ELECTRICAL $ AMP SERVICE PROGRESS ENERGY Q W.R.E.C,Do PLUMBING $ i o oo I (} L «,�"`f> MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ` � ' GAS 9- ROOFING 0 SPECIALTY Q OTHER p 1Z / FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES ENO u\tc y BUILDER COMPANY [pj J I3z.D SIGNATURE `n r- REGISTERED N FEE CURRENT Y/N 1\ Address O SC. T� G f L3ti�C 1 License# C& 1. ELECTRICIAN � COMPANY 7l -(L)4 /- .)C SIGNATURE REGISTERED I Y/ N FEE CURRENT" Y/N Address (;S ( / ti V(A4T J `/ " 's≤' License# Cam'' O), fci I PLUMBER es Jo pa;upd'pedA;tie N OWBN pedwe;s Jo pe;upd'ped/4 AUe;oN;o aweN N �„ ' ��1lfi Z� •,,1:( WWO yc ru.,j6r :,,�:. 16T O '' S3n 3Nn3noo�r ��'•'' ollgnd�t.Ie;°N ollgnd tie;°N uopeogguaplse vol;eo8l;uapl se �t euos'ia a_els!_ oyAA euos� d aje/sl_LIM paonpad aney/sey�o W o;unnou� II Aq paonpad an y/sey�o aW o;unnou�(III �q 'Y` W�� ° �onns pue pagposgns .1 3 W s pue pagposgnS sly l a,o}aq(pa 1N30V 21O113NMO � �sly; a�o;aq(powi 21O1Ot1211NOO £0 I• flf VQI OIJ 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 hl;ed a dontractor 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 ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. 813-780-0[2U ldty UI£- "Y u..� rr••__.._.. Building Department Date Received U Phone Contact for Permittin V7 c�c� Owner's Name Z FJI�G� LL C Owner Phone Number . Owner's Address L. Ar) OwnerPhone Number i — Fee Simple Titleholder Name 2 r V !2 L L C Owner Phone Number �ti t 3a7 Fee Simple Titleholder Addressp • �� JOB ADDRESS �+O 3 V . C U "G LOT# PARCEL ID# j SUBDIVISION (OBTAINED FROM PROPERTY TA%NOTICE) WORK PROPOSED NEW CONSTR e ADD/ALT Q SIGN Q MOVE Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR ® COMM Q OTHER TYPE OF CONSTRUCTION ® BLOCK Q FRAME Q STEEL OTHER DESCRIPTION OF WORK QG)'L ► ' J .CLt - . - _ia BUILDING SIZE a'x XO . SO FOOTAGE HEIGHT 1 N BUILDING I',.P of L�® AMPUSERVICEATION F TOTAL CON CTIPROGRESS ENERGY Q W.R.E.C. ELECTRICAL $ 4Cv Soo 1'0xOO NGC PLUMBING $I_10OOO �,--ygrniic VALUATION OF MECHANICAL INSTALLATION 102112'T� MECHANICAL $ 300 r�� 'S GAS ROOFING Q SPECIALTY Q OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA AYES IZNO BUILDER COMPANY SIGNATURE *CX0'C_'M&- REGISTERED N FEE CURRENT Y/N Address '1�3 d License# ]L(≤1 �Q1 •/ ELECTRICIAN COMPANY _I L IG SIGNATURE REGISTEREDG Y/ N FEE CURRENT Y/N Address L1 11 'J _'t7 "r3 Y License# ' oa S� PLUMBERP COMPANY SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N License# 40; a..- COMPANYI�t�- REGISTERED Y/ N FEE CURRENT Y/N Address License# OTHER COMPANY SIGNATURE REGISTERED Y/ NI FEE CURRENT Y/N Address License# I_I 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)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/Slit 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 813-780-0020 City Ot Lepnynun,rcnn"r '-" Building Department Date Received Phone Contact for Permitting 4t QLNGt Li,-C- ownerPhoneNumber O \'��14--0 Owners Name �� Owner's Address 1 Ja S Qs^^ �j�scG 4 Owner Phone Number �a y3� Z 4p l2 P ._t_L IIIIOwner Phone Number Fee Simple Titleholder Name S' Q sem )t P4 FU.33 Fee Simple Titleholder Address ) S• " y t Q LA)c $may - LOT# C� JOB ADDRESS SUBDIVISIONLIII (OBTAINED FROM PROPERTY TAX NOTICE) NEW CONSTR a ADD/ALT = SIGN = MOVE = DEMOLISH WORK PROPOSED INSTALL REPAIR PROPOSED USE = SFR COMM = OTHER = OTHER Lull TYPE OF CONSTRUCTION BLOCK = FRAME/� STEEL DESCRIPTION OF WORK H<C,L L Rite CL� 13u �F L BUILDING SIZE S a X i30. ] (a� SQ FOOTAGE W , HEIGHT - rrThmr BUILDING oO.Q VALUATION OF TOTAL CONSTRUCTION PROGRESS ENERGY = W.R.E.C. ELECTRICAL $4 OQ AMP SERVICEDc hZ St PLUMBING $ iQ DamIII1 Cc �-c"c* MECHANICAL $ VALUATION OF MECHANICAL INSTAL TION µWy' o0 t iooF S Q� ) j=SJ\.F SJ C.l.Sc1L GAS ROOFING = SPECIALTY OTHER , A'.1-cxczrr�� FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YESO S '�r f7� COMPANY V Q � BUILDERSE REGISTERED & N� FEEMURRENT Y/N SIGNATURE _ c _ Addressj O3O License�# C/G�)�y �� COMPANY /�v�� Gt} i `iC !✓C ELECTRICIAN REGISTERED Y/ N FEE CURRENT Y/N SIGNATURE rJ J—T Address 1V1% /l rr/t'T I) �� b/ License# G 0 0 PLUMBER T ] COMPANY REGISTERED I Y/ N FEE CURRENT I Y/jj SIGNATURE N License# T COMPANY m *MECHANICAL REGISTERED Y/ N FEE CURRENT TIN SIGNATUR SQL License# ddress OTHER I COMPANY SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N License# Address RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Farms;R O W Permit for new consWction, Minimum ten(10)working days after submittal date. Required onslte,Construction Plans,Stormwater Plans wl Silt Fence installed, Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects COMMERCIAL Attach(3)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&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$5000) '• Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades A/C Fences(Plot/Survey/FOotage) Driveways-Not over Counter if on public roadways..needs ROW 09/04/2007 11:02 813-926-8750 IMPERIAL ROOFING CON PAGE 01/02 SEP/04/2007/TUE 10:34 AM ZZEPHYRHILLS BUILDING FAX No, 813-780-0021 tl?378�ttt11 ,tty Vt.cNnyuuu y r _.__. u,.,,,.. P. 002 BufdingDepartmen( . Osieitivelved .—c Phone Contactfor•Pertnluln fr1 OwnseS Owner PhorrR Number 1 !) .$b'4-.. Owners Addlesa f f 3s t0-Ti1� TT Owner 't d")- .Lq',II] Fee ShnplTINeh0ldef Nanm 1c L L C Owner Phone Number Fee Simple Tllsbolde,Add►eee -�sr�t,�yz'�"„ 9") LJ 10B ADDRESS LaO I .A_ c.uU48u wtannl•-'t3 r) sualnVlatoN 11 PARCEL Idt1 • . ' pbtAlNtID vaowPaOFaarT TAX rortCE) WORKPROPOSED ® NNWCON3TR . ADIJIALT Q' 310N'' Q, MOVE © . DFMOUSH,. PROPOSED USE Q. SFR. COMM Q. OTHER L 1T1 TYPE OF,CONSTRUCTION BLOCK Q •. FRAME © 3TEEL '� OTHER DESCRIPTION OF WORK ""` �lzL:iar J " •�tuLtaNc 3tzt • 'J(i►a.1alo .sa FOOTAO : "4 I i . BUILDING VALUATION OF TOTAL CONSTRUCTION• ELECTRICAL j Sd� AMP SERVICE •. PROGRESS eNERGI Q WRE.C • - : tpD©•PLUMBING (n ' Q d� t•:tr✓1my dr Gi' MECHANICAL -I; OQ ) VALUATION of MECHANICAL INSTALLATION GAS ROOFING Q SPECIALTY= OTHER . ritO FINISHED FLOOR ELEVATIONS `�� FLOOD ZONE AREA QYt [ ND �g4i�l 8UILDER. 'COMPANY 0SS-6Alrt)1�i) (3t4 D�.A.,yVC` 910NATURR Rgu, D N I. FEECuaRENT • Y!N Mdrreq ASSt t.tcenses ____________ ELECTRIt'1AN COMPANY l-Gv L'Zf:(.r L+G I1/E SIGNATURE' nE aslsnEo , Ft?6 cuanmir LY±tjJ Addduee '9 iCJ J. G(AivfJ r' t)arlE,r>: ' C t7 ?� • : . . PLUMBER COMPANY, SIGNATURE apgSTEHEO'• I . I FESctwneIT . LYLN � . . _ ..1•11aet1wi LCHANICAI 1If''f��, COMPANY �IGNATUR I l(Jt (� 3i� L��( REoie'RA® N FEE pMaaNY•'. N - .. . Address• LIc ngo 5 ,:. 9KiNATOTHER COMPANY: . URE r? ' n5 WIRREo N veE CuenE%T Y N Adda.s; r, Kes FC e7 LlcanselC o9s-g5 RESIDENTIAL •Aexh(2)Plot Plane:(2)sets of Bwtdbtg Plant(f)set or tuterpy Forms R.Q•W Permit far new aogewcdm, Iwntmum tan(10)working dare Baer sLemltld date. Rogvked snake,Cormtnlalon Plane,8tonmvwter plain"w/Bit Fora tneteded, Sanitary Pedhe&!dump$*;See Work PatmitlwatmdMe cnjfsrgs er*q a •COMMBRCIIIL. Ailach f3)net.of G.11dnp Wawa(Y)wt of 6nwpy Fonts.R-OW Pertdll for niw sraielfut dorl, Minimum Nn(10)worNng days atlarauba itmi 0E1s. Requkgd onalte,CorMmoyon Plan.,Sbmlwster Plena w)at Rena.Instated. Sanitary Faolillrie a 1 dtanpwar,.BIiI.Wot(t PensIf for ae new pmlects.•Nl commardal rettuMelttdo(a mist meet compaerux '913N PERMIT : ,AlfACh(2)teta of Ergetee sd Plans PROPERTY BURWEY re ad-lor all NEW mnwuugbn: eetlane:Wr ONvter a CmtleetoraI a bade of applicaon,no*Mrad if over$2500:a NatMe of ComineneNnent M requited.( I arale ever$5000) :'( .. .'.•.. .. .. •Agent(for the Cttrttrectnr)or Porter Of AtaIney(tcrl1, Owner)would bs someone Wm noterhad lepei aero owner audtorkbp eea1q .. OVER THE COUNTER PERMWFjKG (Fmi nor Appiratlom Only) Rereelq Sewlro ,>:orvitmllpgrarlee' AIC':.: Femcea(P lok3avay/Foola0e) •.• . Drlewaye•Not over Count.,lion PuNb raMweye..n.eda ROW' ' 08/31/2007 16:23 727-547-9754 AIRCO MECHANICAL PAGE 01/05 At1G/3h,/z007/flI 04:31 PM ZEPHYRHILLS BUILDING FAX No, 813-780-0021 P. 002 • DWNdin70eParMnent '• Dale Rat ell/od ' T - ' -' ? J Phone Cotllact for peml) n y .. • 1'L G LC jOlener Phone Nmnber m r)-rJ �l ownerm 1Wwle � . • ll3S' •S •. ewnsrPheneNumber 111-2(,14(0 - . OMOrS Addr"M Fee Slmpb Ttttepolder Name�� .L K- Owner Pnane Ntteher • Feaelmpk-ndehdderAderqus SL LOT* .. PARCELIDd __I—ø { 1 SUBDIVISION 101TA"um Fear rmopEiZYtTAXW110E) WORICPRDPOeED tZI NOWOON$IR ADD/ALT Q •SIGN' t 1 MOVE L_J . DEMOLISH , INSTALL • e., REPAIR PROPOSED VSE Q' SFR. 9MW C, f !R • TKPR•OFCONSTRUCTION LOCK • ,' , �Py'FRAME, .• [ 3 STFEL (S�. 07FER ongCRIPTsom OF WORK . HL'` .YC J•' _(LIZ f}1NLDINO CIZE eQ FOOTA_E �T !y ___I_ __ _ _ . • RUM"No . VALUA ION OFTOTAL•cON5TJ UQT1ON . ELECTRICAL• . !ii O ANA 9ER\MOC: 'PRONRC89 ENEwGY p W.C. PLUMBING _O oOEI 1�n�[`�►°raC�1���I — MECHANICAL is VALUATION OP MECHANICA.INST'A.1.ATIDt4 • . F • . GAS • • •ROOFING Q. GP1rCIALIY• OsrER • . ay}t�ntU�Crvv�� FINISNGOFLOORLI.EVATIONS FLOODZONEARIiA pYt23 �NO• BULLDEA . COMPANY �1.LsN /l "jQ ZA• & C BWNATURB. _ nBCl91>?xen FEECt1 RM l Addrecr cK�t �t� Q IJcerlss* IS4f1 •ELECTRICIAN 1 COMPANY L: � ►! &4 SOGNATURE reeiC7iaco , tEe 0IINN.ut. . Address 11 c.l tLiwv. a__ k. z1 -- . . uceroes c 1704) J� PLUMBER CONIrANY ` 91DNANRE pa 'ww7T Y LN I NE cuwtalr Y!N \V\ 1laonsele 910NAT // DTNEft I. COf01+ANY • BtONA1LR& q.r.rr IoM': '(IN FR r A Rarr N •• • . _ Addr00a Lioeree# � . Al.. ARmeh(2)Plot Phne;(?a,ee6 of BY00Ino Plans,(1)let ovefw v PomIrr.'R•O.W Pennlf for nevi eenslnm4on. • - . Mirdm%lm ten(10)wolldng days eft er mtbl.glq sale,.R.4Wted writ,cansiruoli0n Plane.519mymw Plane wd Alit Fence metaled, • - aeMler)r F.OII1lss-A I dulepstlf;SIIe Wak Pall for alhdlgblcnef alga W*}cts •• Cpµws0cln4,., Attscn(3)sets d BIMd1tg PI.nE(1)setof Enelpy..RgSt..H.O.W PeIm)tfor new amslruolan- • - • • • 'MNmum tan(1t1)Wo1Mne Wye ester @Leon*date.'RMtdrp4 ale.Q,,wuuddon Plane.Stonnwelcr PWnew/all Pone Inabled. SenIlely FadAkles 8.1 ddropeler.Silo W el Pemlkiorrl new pnøeots.Al mmmpeW nMulremwdu,m &must mmNIeece . • . • •511111 PBRMR Altadh(2)eels of Ertprwerdd • . • • •- ""PROPLRTY eUfINEY ne 4vea for all NEW co(WMW tan. .•l Mllnpploalmn minp161ib'- • • • • • • • • Owner d Confraakr.inb.Ok Of ennlrauen,notedaod • • • • • If over$4800,P Nolks of Celmnsnoe.tl:nt le required.:• ( NC upgrade*evil'S009) Agent(for the canlraelor)or PewereIAMemay the-tlm owner)would be someone t tSt.rebrmed Ietter*zl owner Wltoddng mama • 'OVER THE COUNT RpSitiwr TMo (Front of Applrat on Orly) ':.. •• -. . .. .. . . . Pgroofe • Sewers • •3ervkm Uona.e. . AJ - Fenws(Plel/5urvey1Feelege) 1• orbew4re-Not over Counter II on PuW10 romdvrmyo..fleede ROW 06/25/2007 16:15 9413226170 DIBI PAGE 01/02 Design It, Build It, Inc. 26030 63rd Avenue East Myakka City, Florida 34251 941-322-0842 (.F) 941.322-6170 CBC 1254974 Send to: Karen Miller From: Jeffery Faulkner Attn: Zephyrhills Bldg.Dept Date: 6/26/07 Office Location: Subject: 6834 Gall Blvd Fax Number. 813-780-0021 Fax Number: 941-322-6170 ❑ Urgent ❑ Reply ASAP q Please comment O Please Review ❑ For your information Total pages,including cover. (2 ) Comments: Karen, Here is the notarized copy of the authorization for Zephyr Place. The 1/200th scale drawing is being printed and I will mail them both to you tomorrow. Jeffery Faulkner DIBI,Inc. (m) 941-725-1562 Parcel Information for: 02-26-21-0010-02400-0010 Card: 001 Page 1 of 2 Search Again Show Map Generalized Building Schematic Estimate Taxes See Tax Collector Information -Current/Delinquent Taxes Frequently Asked Questions Parcel IDII 02-26-21-0010-02400-0010 (Card: 001 of 001) Classification II 17- 1 Story Office Mailing Address Assessment(totals) ZEPHYR PLACE LLC Ag Land $0 1135 S PASADENA AVE STE 327 Land $264,711 SOUTH PASADENA, FL 337072887 Building $40,297 Physical Address Extra Features $6,088 6834 GALL BLVD ZEPHYRHILLS, FL 33542-2512 Total Assessment $311,096 Legal Description (First 4 Lines) Save Our Homes $0 ZEPHYRHILLS COLONY COMPANY Taxable Value $311,096 LANDS PB 1 PG 55& PB 2 PG 1 NORTH 2/5 OF TRACT 24 LESS RD R/W Land Detail (Card: 001 of 001) Line Use Description Zoning Units Type Price Cond Value 1 1700 1 STORY OFF 00C2 12,000.00 SF 7.32 0.80 $70,272 2 1700�� 1STORY OFF 00C2 1138,000.0011 SF 4.86 0.80 II$147,744 3 1700 1 STORY OFF 00C2 1121,225.0011 SF 2.75 0.80 $46,695 Additional Land Information Acres 1.64 1 Tax AreaII 30ZH Fema Code Comm Code M3012FP Building Information - Year Built 1948 USE 17-Offices (One Story)(Card: 001 of 001) Ext Wall I Concrete or Cinder Block Ext Wall 2 None Roof Str Rigid Frame w/Bar Joist Roof Coy Built-Up Tar and Gravel Int Wall 1 Plywood Panel Int Wall 2 None Flooring 1 Asphalt Tile Flooring 2 Carpet Fuel Electric Heat Forced Air- Ducted AC Central Baths 3.00 Line Description Sq. Feet Repl. Cost New 1 AOF 1,080 $85,536 2 BAS 700 � $55,440 3 UST 350 $11,088 Extra Features (Card: 001 of 001) Line Description Year Units Value 1 CANOPY 1989 864 $2614 2 CLFENCE 1985 8,120 $2862 3 PAV ASP 1989 3,020 $612 Sales History Previous Owner SUBURBAN PROPANE L P Year Month Book!Page Type Amount 2007 02 7386/ 1496 IN $475,000 http://appraiser.pascogov.com/search/offline tca.asp?Sec=02&Twn=26&Rng=21&Sbb=O... 6/25/2007 Karen Miller From: Andrea G. Morrow[amorrow@pascocountyfl.net] Sent: Thursday, June 28, 2007 4:43 PM To: Karen Miller Subject: RE: Addressing Assistance Karen, Building A is 6834 and Building B is 6830. Let me know when you find out how many suites to assign and I'll add them in also. Gail Morrow Pasco County Survey/Addressing Dept. 7530 Little Road, Suite 230, NPR 727.847.8140 (Ext. 8370) -----Original Message----- From: Karen Miller [mailto:kmiIler@ci.zephyrhills.fl.us] Sent: Thursday, June 28, 2007 4:21 PM To: Andrea G. Morrow Subject: RE: Addressing Assistance Gail: My mistake. I picked up the wrong parcel. I had caught it earlier, thought I had corrected the email but apparently I didn't.....sorry. Address: 6834 Gall Blvd (correct) Parcel: 02-26-21-0010-02400-0010 (corrected) Just let me know which Building (A or B) has 6834 and what the new numeric will be. When we get the interior build outs we can get with your for the suite numbers. Thank You. Karen :) -----Original Message----- From: Andrea G. Morrow [mailto:amorrow@pascocountyfl.net] Sent: Thursday, June 28, 2007 4:11 PM 1 To: Karen Miller Subject: RE: Addressing Assistance Karen, 6834 Gall Blvd's parcel # is 02-26-21-0010-02400-0010. The parcel you have below has an address of 6848 Gall (Home Theatre of Zeph). You can let me know which one is correct. I'll probably address the buildings and assign suite #'s such as 101, 102 etc. since they usually change their minds. Gail Morrow Pasco County Survey/Addressing Dept. 7530 Little Road, Suite 230, NPR 727.847.8140 (Ext. 8370) -----Original Message----- From: Karen Miller [mailto:kmiller@ci.zephyrhills.fl.us] Sent: Thursday, June 28, 2007 2:24 PM To: Andrea G. Morrow Subject: Addressing Assistance <<IMAGE.TIF>> Gail: It's me again. When you get a chance could you advise us on the below. We have a commercial piece of property which had an address of 6834 Gall Blvd. The existing building will be removed. They will be building two buildings. Both buildings will go up as shells first. Bldg A will possibly hold 3 units and Bldg B will hold approx. 5 units at time of their interior build outs. How do you want to address these initially? I have attached a copy of the layout. The driveway faces Gall Blvd. Parcel #02-26-21-0010-00900-0020. Commercial Type. 2 Thank you. Karen City of Zephyrhills - Building Dept 813-780-0020 813-780-0021 (fax) kmiller@ci.zephyrhills.fl.us 3 2008-05-15 15:28 8137798081 8137798081 >> 813 780 0021 P 1/1 H DIBI OE91GN IT IWILD IT MIc. lift.aaalWwwrrrrlsoa firiw�rrts�rrrrl�s . l 3Y U *cidv May 14,2008 Randy Hall Design It,Build It, Inc. 26030 83i°Ave. E. Myakka City, FL 34251 (941)302-4771 Cell (813)779-8081 Office City of Zephyrhills Building Dept. 5335 8 Street Zephyrhills, FL 33542 (813)780-0020 Re:Zephyr Place Project Dear Jackie, As per our conversation, I am providing this letter to advise the City of Zephyrhills that our original roofing subcontractor(Imperial Roofing)needs to be removed from both building permits(6855& 6854). The new roofing subcontractor of record for Building A&B will be Eagle Roofing, Inc.As we discussed, they have already paid their fees and can be added to our permit If you need any additional Information or have any questions, please don't hesitate to call me at(941)302-4771. Thanks for your help. Sincerely, Randy Hall DIBI Project Manager ai63rq''ARwL 14k t1ry'1l'3Q51 Ir W1 tZE FugI13B6i Mlril:le? ba eij� iltN Karen Miller From: Andrea G. Morrow[amorrow@pascocountyfl.net] Sent: Thursday, June 28, 2007 4:43 PM To: Karen Miller Subject: RE: Addressing Assistance Karen, Building A is 6834 and Building B is 6830. Let me know when you find out how many suites to assign and I'll add them in also. Gail Morrow Pasco County Survey/Addressing Dept. 7530 Little Road, Suite 230, NPR 727.847.8140 (Ext. 8370) -- _ 45O?) City of Zephyrhills BTJ LDING PLAN REVIEW COMIVIENTS Contractor/Homeowner: Date Received: Site: Permit Type: ments: enied w/the below comments: ❑ Approved w/no comments:❑ Approved w/the below com ►R' D v°ppLcAeth This comment sheet shall be kept with the permit and/or - eIiSwitExaminer (ft ate ntra.ctor and/or Homeowner equired when comments are present) `ZEP_HYRHILLS 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.: Contractor_ i t4— Business Name: Billing.Address: ?,(o b3O - Business Address: �2S1 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 '≤U U Multi-Famiy/cornmercial .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 Revisions BL 3rd Re-inspection $250 Hoods $50 4th Alarm $100 l 4th Re-Inspection $500 Fie Alarm $50 5th Alarm $150 SPRINKLER SYSTEMS (Business dosed until LP Gas $50 6th Alarm $200 8 0-25 Heads $50 violations corrected) Natural Gas $50 NON COMPUANCE $150 26 plus Heads $100 SPRINKLER SYSTEMS Fuel Tanks- pertank $50 STANDPIPE SYSTEM Hydro Undergrounds $45 Sparklers $100 Per Riser $50 Hydrostatic Test $65 perm 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 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 Applimtion $50 Annual Wet $50 OTHER Waste Tire Storage $50 Annual Dry $50 Fire WalVsmoke Wall $15 per wall Generator<KW $100 CO2 $50 LP Gas $25 parts i Generator>30 KW 15D Other $50 Natural Gas $25 per system Bio-Hazard Waste $100 Annual KITCHEN EXHAUST Fumigation Tenting $50 Hood/Ducts $50 Tent 117x10'or greeter $15 portent Torch Pot/Applied $5D OTHER Fire Pump $45 Haz Materials $100'Annual LP Iraiarlation per tank $50 Fire Suppression $30 Fuel Tank Installation $50 System Acceptance (Per Tank) $50 Exhaust Hood/Duct $30 Natural Gas karauation $50 Re-inspection DBL (Per System) (other than annual) Spray Booth $50 0 Inspection scheduled DBL and cancelled less than 24 hours Construction lnsp. N/C Emergency Vehicle Ac i $50 FALSE ALARM PLANS TOT INSPECTION TOTAL= PERMIT TOTAL TOTAL ( J GRAND TOTAL LO, 1 .� Comments: Date: 9 • lnsqgctor. Zephyrhills Fire Rescue 6907 Dairy Road, Zephyrhills, FL 33542 Fire Marshal Bus (813) 780-0041 Kerry Barnett Fax (813) 780-0044 March 12, 2008 I have reviewed and approved the revised plans for a construction of a mercantile building (shell—Building "B") located at 6834 Gall. I have attached the comments for the plan approval. If there are any questions please contact my office at 813-780-0041. 1. Install knox box on front of building at a height of 6'. Previous height was 7'. Location can be determined once construction is near the end by contactor and Fire Marshal. An application has been provided. 2. Install panic hardware on rear exit doors. 3. Ensure exit lighting is properly located above each egress door. 4. Address on front units shall be 6" in height. Address rear doors also. Numbers may be 3" at this location. Inspections Required 1. Shell Final NOTE: City ordinance (#986-07)now requires any commercial building over 5000 sq ft to have a sprinkler system. It is greatly recommended that this building have a sprinkler system. F.EE SHEET COMM RES Square Feet: Rate Computed At: Valuation: _-.I2a (Use System Calc for Fees) Radon: Ste:' Connection Fees: Sewer: lx Water: 1 [ l Water Meter: Size Current 6/11/07 S %" 180.00 220.00 All Residentials 1" 250.00 320.00 1 .5" 650.00 725.00 2" 875.00 990.00 3" & 4 Contact Louie for Quote Irrigation Connection: 175.00 266.00 Plus Meter Charge Above Based on size Impact Fees: School: _ _ Transportation: Fire- ID23.75- Park: Public Safety: ZEPHYRHILLS FIRE DEPARTMENT 6907 Dairy Road, Zephyrhills, FL 33542 Bas (813) 780-0041 Fax (813) 78O, Fire Chief Robert Hartwig O044 FIRE SERVICE U F 1 Occupancy No.: Plan No.: ______ Billing Address: _ Business Name: r Business Address: 3 Business Phone No.: Billing Phone No.: �Business Fax No.: Billing Fax No.: Contact: Contact: PLAN REVIEW FEES INSPECTION FEES PERMIT FEE FALSE ALARM FEE 1st Alarm N/C Site Plan N/C Annual N/C Ti 2nd Alarm uilding Plans sf 1st Re-inspection $25 N/C 3rd Alarm N/C Revision 2nd Re-inspection $50 4th Alarm $25 3rd Re-inspection $125 5th Alarm $50 STANDPIPE SYSTEM 4th Re-inspection $250 6th Alarm ❑Per Riser $25 ❑ 5th Re-Inspection $500 $75 7th Alarm $100 Construction $15 8th Alarm $150 Commercial $25 9th Alarm $200 SPRINKLER SYSTEMS SPRINKLER SYSTEMS SPRINKLER SYSTEMS 10th Alarm $250 0-25 Heads $30 Hydro Undergrounds $45 ❑ Automatic $15 Non Compliance $150 "Affidavit of Service/Repair' 26 plus Heads $60 Hydrostatic System $45 Wet Acceptance $30 Dry Acceptance $45 Hydrant Flow $25 Hood/Booth $30 FIRE PUMP Grease Duct $15 FIRE PUMP ❑Per Pump $100 ❑ Fire Pump $15 FIRE ALARM SYSTEM FIRE ALARM SYSTEM FIRE ALARM SYSTEM ❑0-25 Devices $30 ❑ System Acceptance $50 ❑ Detection $15 26 plus Devices $60 Recall Acceptance $50 SUPPRESSION SYSTEMS OTHER OTHER Wet $35Ti Fire Wall/Smoke Wall $15 LP Gas $45 Dry $35 LP Gas $25 Natural Gas $45 CO2 $35 Natural Gas $25 Fire Works $25 Li Other $35 Fuel Tanks $25 Li Fuel Tanks $45 Tent $15 GREASENENTILATION GREASENENTILATION ❑Hood/Ducts $35 ❑ Hood/Ducts $15 . ?/} Kitchen Suppression $15 FALSE ALARM TOTAL r PLANS TOTAL INSPECTION TOTAL= ❑ ❑ C❑PERMIT TOTAL GRAND TOTAL Comments: Date: _J1_L _ DiBi-6830 Gall Blvd-Unit B Shell SQ.FEET PRICE MAIN OR LIVING: 5,850 $ 52.50 1/2 of required$105.00 Merchantile OTHER AREA UNDER ROOF: - $ _ OTHER: - $ - VALUATION $ 307,125.00 FEE SHEET $ 1,104.00 ADDRESS $ 30.00 DRIVEWAY $ 30.00 BUILDING: $ 1,186.08 ELECTRICAL: $ 248.40 PLUMBING: $ 165.60 MECHANICAL: $ 115.92 SUB-TOTAL $ 1,716.00 RADON: $ 58.50 TOTAL $ 1,774.50 SEWER: $ - Applicable at Build Out WATER: $ Applicable at Build Out IRRIGATION: $ _ TOTAL: $ _ WATER METER: $ 1,100.00 5 @ 220.00/each IRRIGATION METER $ - FIRE DEPARTMENT FEES PLANS TOTAL: $ 234.00 INSPECTION TOTAL: PERMIT TOTAL TOTAL: $ 234.00 PUBLIC SAFETY IMPACT FEES POLICE $ 953.55 FIRE $ 1,023.75 5% $ 98.86 TOTAL: $ 2,076.16 SUB-TOTAL PARK IMPACT FEES $ - Not Applicable IIII SIPS: $ - Not Applicable 100.0% $ - 1.0% $ j TOTAL: $ _ T I F'S:1 $ Applicable at Build Out .� 99% $ TOTAL: 5,184.66 I U City of Zephyrhills BUILDING PLAN REVIEW COMMENTS 'ontractor/Homeowner: 1 fJ -- )ate Received: -c 7 ite: e- c:; i 1 - 'ermit Type: kproved w/no comments:❑ Approved w/the below comments: Denied w/the below comments: ❑ t11 _, ?'Pk'710 � ¼. e: l` T�Ti(�1.= /c>5 ' `�; Fr- TstfL ) t i rD ' )T5 2 Pck This comment sheet shall be kept with the permit and/or plans. B Burgess Building Official Date (WqZred ctor and/or Homeowner when comments are present) Zephyrhills Fire Rescue 6907 Dairy Road, Zephyrhills, FL 33542 Fire Chief Bus (813) 780-0041 Keith Williams Fax (813) 780-0044 July 12, 2007 I have reviewed and approved the plans for a construction of a mercantile building(shell —Building"B") located at 6834 Gall. I have attached the comments for the plan approval. If there are any questions please contact my office at 813-780-0041. 1. Install knox box on front of building at a height of 7'. Location can be determined once construction is near the end by contactor and Fire Marshal. An application has been provided. 2. Install panic hardware on rear exit doors. 3. Address on front units shall be 6"in height. Address rear doors also. Numbers may be 3"at this location. Inspections Required 1. Shell Final 4�r 6 07/17/2007 11:55 9413226170 DIBI PAGE 01/01 Design It, Build It, Inc. 26030 63rd Avenue East Myakka City, Florida 34251 941-322-0842 (F) 941-322-6170 CBC 1254974 Send to: City of Zephyrhills From: Jeffery Faulkner Attn: Karen Miller Date: 7-17-07 Office Location: Subject: Fax Number: 813 780 0021 Fax Number: 941-322-6170 O Urgent O Reply ASAP O Please comment O Please Review A For your Information Total pages,including cover: (1 Comments: Karen, Our outgoing a-mails is down so we're faxing at the moment. To answer your question, the irrigation will be utilized from a well and not city water. If you need additional information, please call me at 941-725-1562. Thanks, Jeff Faulkner JFsf Ei PERFORMANCE BUSINESS PRODUCTS,INC.813-719-8008 FAX 813-719-7919 CITY OF ZEPHYRHILLS ZEPHYRHILLS,FLORIDA WATER ACCT.NO. DATE ' d MAILING 5PA7-SadeAk /4e Sy- 327 5I45adejtL q-L 33767 SERVICE ADDRESS ((J u 3y l l , / t"-) /D WATER SHUT OFF SERVICE ❑ ry ❑ SEWER TURN ON SERVICE L`� / ❑ GARBAGE INSTALL METER Lid' -4'CITY READ METER ❑ ❑ OUT CITY CHECK METER ❑ No.OF UNITS OTHER ❑ DEPOSIT AMOUNT /i/ `" j AMOUNT LAST BILL DATE MISC.CHARGE WORK COMPLETED BY ORDER TAKEN BY &DATE COMPLETED ORDER GIVEN BY Retain white form in office at all times. { Send pink&yellow forms to Water Service Dept. Water Service Dept.to sign yellow form&return to office. �, �� �. r � �, Fes. PERFORMANCE BUSINESS PRODUCTS.INC.81&719-80o8 FAX 813719_7919____________ , CITY OF ZEPHYRHILLS �� ZEPHYRHILLS,FLORIDA WATER ACCT.NO. DATE OWNER/ 2 ,L7RENTER �" /ee MAIUNG V t � G� 02F3z7 SERVICE ADDRESS 3d �� ���� AL /� 7 � SHUT OFF SERVICE ❑ (Z"WATER L TURN ON SERVICE I�' ❑ SEWER INSTALL METER O GARBAGE fREAD METER ❑ 9 IN CITY CHECK METER ❑ ❑ OUT CITY OTHER ❑ 1 No.OF UNITS 3 I DEPOSIT AMOUNT / AMOUNT LAST BILL DATE MIS C.CHARGE WORK COMPLETED BY &DATE COMPLETED ORDER TAKEN BY OR GIVEN BY Retain white form in office at all times, I Send pink&Yellow forms to Water Service pt. Water Service Dept to sign yellow form&return to office. PERFORMANCE BUSINESS PRODUCTS.INC.813-719.8008 FAX 813-719-7919 CITY OF ZEPHYRHILLS ZEPHYRHILLS,FLORIDA WATER ACCT.NO. DATE 22 - OWNER/ RENTER ZeyAv- PIac LL MAILING l(3 Pa -?27 eA a X11 33 7 ? SERVICE ADDRESS J / N ` 12J 2' WATER SHUT OFF SERVICE ❑ ❑ SEWER TURN ON SERVICE ❑ GARBAGE INSTALL METER CITY READ METER ❑ ❑ OUT CITY CHECK METER ❑ No.OF UNITS OTHER O DEPOSIT AMOUNT 3/q n1d€- AMOUNT LAST BILL DATE MISC.CHARGE { WORK COMPLETED BY ORDER TAKEN BY &DATE COMPLETED 0 R GIVEN BY Retain white form in office at all times. Send pink&yellow forms to Water Service De Water Service Dept.to sign yellow form&return to office. I -- PERFORMANCE BUSINESS PRODUCTS.INC.813-719.8908 FAX 813-719-7919 CITY OF ZEPHYRHILLS ZEPHYRHILLS,FLORIDA WATER ACCT.NO. DATEZ� ` RENTER/ T &e 'hC MAILING 1(35 Sksde&i 4 ' 22 3.376 SERVICE ADDRESS_L -3 ' f , /"D IL) SHUT OFF SERVICE ❑ MATER TURN ON SERVICE l_.7' ❑ SEWER INSTALL METER [� u GARBAGE READ METER ❑ IN CITY CHECK METER ❑ ❑ OUT CITY ❑ No.OF UNITS OTHER DEPOSIT AMOUNT 3/4L AMOUNT LAST BILL DATE MISC.CHARGE WORK COMPLETED BY &DATE COMPLETED ORDER TAKEN BY RDER GIVEN BY Retain white form in office at all times. Send pink&yellow forms to Water Service Water Service Dept.to sign yellow form&return to office. PERFORMANCE BUSINESS PRODUCTS,INC.813-719-8008 FAX 813-719-7919 CITY OF ZEPHYRHILLS ZEPHYRHILLS,FLORIDA WATER ACCT.NO. DATE OWNER/ A Al'?ee LL//llRENTER (/ MAILING 5' Q Sg eA3Z 32- 7 $ 6? -s,det 33707 SERVICE ADDRESS_ 3y (D/¢`/ io1 y E MATER SHUT OFF SERVICE ❑ TURN ON SERVICE (61/ ❑ SEWER r}� ❑ GARBAGE INSTALL METER L777 LY IN CITY READ METER ❑ CHECK METER ❑ ❑ OUT CITY L No.OF UNITS OTHER ❑ DEPOSIT AMOUNT;jf'/ ni AMOUNT LAST BILL DATE MISC.CHARGE yI WORK COMPLETED BY ORDER TAKEN BY &DATE COMPLETED a e RDE IVEN Y Retain white form in office at all times. Send pink&yellow forms to Water Service Water Service Dept to sign yellow form&return to office. r : :: I ii I II 6j61I liii i 111111 11 I I Ii 111111 I I i 11111 I I I IH 1111111 11111 lull1111111111 lill1IIII IIIII liii 11111liII fill • • PREPAREP.BY(AND RETURN TO:) 2007164238 John I.Van Voris,Esquire GRAY ROBINSON,P.A. Rcpt: 1132469 RI : 27.00 P.O.Box 3324 DS: 0.00 I T T: 0.00 10/01/07 Tampa,Florida 33601-3324 _ Dpty Clerk JED PITTMAII PASC0 COUNTY CLERK 10/01/07 $:15am 1 of 3 OR BK 7647 PG 1542 Reserved for Clerk Parcel ID No. 02 26 21 0010 02400 0010 NOTICE OF COMMENCEMENT STATE OF FLORIDA COUNTY OF PINELLAS 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: (legal description of the property, and street address if available). The North 2/5 of Tract 24, in Section 2, Township 26 South, Range 21 East, ZEPHYRHILLS COLONY COMPANY, according to map or plat thereof recorded in Plat Book 1, page 55, public records of Pasco County, Florida; LESS AND EXCEPT road right of way. Street Address: 6834 Gall Boulevard (U.S. Highway 301), Zephyrhills, FL 33541 2. General description of improvement: Construction of a 6,795 square foot retail building (Building No. 1) and a 5,850 square foot retail building (Building No. 2) on a 1.64 acre tract of land. 3. Owner information: a. Name and address: ZEPHYR PLACE, LLC, a Florida limited liability company, 2220 34th Street South, St. Petersburg,FL 33541 b. Interest in property: Fee simple owner c. Name and address of fee simple titleholder (if other than Owner): - 1 -. 4. a. Contractor: (name and address) OR BK 7647 PG 1543 2 of 3 Design It-Build It,Inc. 26030 63`d E. Myakka City, Florida 34251 b. Contractor's phone number: (941) 322-0842 5. Surety a. Name and address: None b. Phone number: c. Amount of bond: $ 6. a. Lender: (name and address) Synovus Bank of Tampa Bay 32845 U.S. Highway 19 Palm Harbor, FL 34684 Attn: Carol Sabau b. Lender's phone number: (727) 451-4308/Fax (727) 785-7783 7. a. Persons within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(l)(a)7., Florida Statutes: Lisa M. Bertrand 2220 34th Street South St. Petersburg, FL 33541 b. Phone numbers of designated persons: (727) 209-0233 8. a. In addition to himself or herself, Owner designates John R. Braumuller of Synovus Bank of Tampa Bay to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. b. Phone number of person or entity designated by owner: (727) 835- 0135. 9. Expiration date of notice of commencement (the expiration date is 1 year from the date of recording unless a different date is specified) WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713 PART I SECTION 713.13 - 2 - OR BK 7647 PG 1544 3 of 3 FLORIDA STATUTES AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. ZEPHRY PLACE,LLC, a Florida limited li bility company B Name: Lisa M. Bertrand (Signature of Owner or Owner's_Authorized Officer/Director/Partner/Manag_er) Title: Member-Manager (Signatory's Title/Office) The foregoing instrument was acknowledged before me this day of September, 2007, by Lisa M. Bertrand as Member-Manager for ZEPHYR PLACE, LLC., a Florida limited liability company. '�•�pLISSIONF.9�S��®� v'l�-�. °,�e 17-10,°9� ignature Notary Public #DD 423748 , d /C1 C1G � �••y (Print Notary Name) ��</°�B ''•°•°' My Commission Expires: AFFIX i, +'` TAMP Commission No.: ❑Personally known, or O Produced Identification Type of Identification Produced VERIFICATION Under penalties of perjury, I declare that I have read the foregoing and that the facts stated in it are true to the best of my knowledge and elief. (Signature o Natural Person Signing Above) STATE OF FLORIDA COUNTY OF PASCO THIS IS TO CERTIFY THAT THE FOREGOING IS A TRUE AND CORRECT COPY OF THE DOCUMENT ON FILE OR OF RUIIILIC RECORD iN THIS OFFICE.WITNESS MY HAND AND OFFICIAL SEAL THIS. DAY OF \490072\22-#1026222 vi - 3 - JED PI N,CL R OF CIRCUIT COURT SY a &PDEPUTY CLERK Page 1 of 1 Karen Miller From: Karen Miller Sent: Friday, July 13, 2007 1:50 PM To: 'Jeffery Faulkner' Subject: Plan- Update Jeffery: Just wanted to let you know that the review of your plans is complete. Listed below are the outstanding issues: - Notice of Commencement - Subcontractors to sign on permit and be completely listed in our system ■ We can try to do this via fax if they are out of town, just let me know. - Site work permit - Question: On Building A, will there be irrigation? If you could, please give me a day's notice before you come in so I can finalize the paperwork. The site work permit can be faxed to me ahead of time so I can have it ready when you come in. Thank you. 2 wren 9Vliffer City of Zephyrhills - Building Dept 813-780-0020 ext. 3513 • 813-780-0021 Fax kmiller@ci.zephyrhills.fl.us 7/13/2007 Pal Karen Miller From: Karen Miller Sent: Tuesday, June 26,2007 2:27 PM To: 'jefferyf@mailmt.com' Subject: Dumpster Info-DIBi -6834 Gall Blvd Jeffery: ster permit ur ess, Building Official, he has advised methe du o psite work w In speaking to Bill B g permit. A permit will be included in the overall site derelOPmt fee ocess is still continuing f or the construction. need to be applied for. The review pr et/Sanitation Manager, who reviewed the plans for the I spoke to Norm Graham, Fle dumpster enc losure. Mr. Graham and Bill have the below comments: �- rovided in the inside dimensions. 1 A 10 foot clearance must be p Crash ballards are required on the interior luuhere the gates swing ope 2. parking 3. Possible elimination of the two p spaces Thank¶kczufl City of Zephyrhills - Building Dept 813-780-0020 ext. 3513 813-780-0021 Fax kmiller@ci.ze h rhills.fl.us 06/25/2007 16:15 9413226170 DIBI PAGE 02/02 TO: The City of Zephyrhills FROM: Giorgio Bertrand DATE: Junc 25,2007 RF: Permits for Zephyr Place LLC Please tillow Design It,Build lt,Inc.to aot as an authorized agent in securing all permits necessary for the following location: Zephyr Place LLC, 6K34 Gall Blvd. Zephyrhills,PL 33542 Signature: owner's Name: r7Z4t> s l® Sworn to(or a#Ii ed)and subscribed before me this'(.day of .-Q_O 7 hY i9 c(who is jj &n to me or produced __asicnti on. Signature of Notary fi Printed Name of Notary; s a 7%,-d SEAL: JEN. 1.16,E uerUto Con mision# � dr MYCOMM15510Nsomm, �3 U'3�3 a NIM.iwro,Iwo Merles �•M+Merry wee,,, Exp, Date; 1 ' -/C) @9/14/2007 06:06 9413226170 DIBI PAGE 02/02 4 Manatee County Occupational License (Manatee County does not issue occupational license(s), Bradenton does.) City Clerk's Office- located In City Hall 101 Old Main Street Bradenton, FL 34205 Phone: (941.) 708.6200 ext. 258 Fax: (941) 708-6256 09/14/2007 06:06 9413226170 DIBI PAGE 01/02 DESIGN IT, BUILD IT, INC. FAX COVER SHEET 26030 63`d Avenue E. Myakka City, Florida 34251 (941)322-0842 (office) (941)322-6170 (fax) SENDTO:TO: FROM: __ ATTN: -d (cd DATE: .__ 9 -W-0 7 FAX#: � 1 7 O -CD ( TOTAL PAGES INCLUDING COVER: COMMENTS: RE: Zephyr Place (occupational license for contractor) Bobbie: Please find attached reference to Manatee County's occupational licenses. At this time, our county does not issue these licenses. Please call me at 941-322-0842 with any questions. Thanks, Shirley Faulkner V4J1 C.4l1 LVVI 1T- - _.- ' Inc 26030 53rd Avenue Kam Myakka City, Rond1a 34251 )3 2(office) 1611 fir) (941)725.1 fro t,moray Fa"tkner,do rte,yallMOrLw FA��n'~ ; J 1/ ti £ ' or• r£ �r to am as my merit in securing permits mUnderstand that I, as the wed quak , °b'a*W by my ag ,sj, am sole ►eeponssibre for any permit submI1 ed or a;ono s Signeiu►se- Name UMJUn ReBaatioron r cha ff�o p Perron($)to act on my brh,aff in securing permlte and State making all Coumy cif: Mqn fee. ant was ac an ,n , ubefo,em this UcS by c�11 irtc� � ( day of 1�J'j pmduca t who rs ° ftYJcarbme or who has Notary Sign: acrd °did nat was an oath. +'nnc I*t We Name:- �—My Commjse ,n""r'"a�,; tames Sxptr>as "- -- 1/ �nn7_nR_2n 1R•7R FAHI KNFR SHIRI E 9413226170 Page 1 TO: The City of Zephyrhills FROM: Giorgio Bertrand DATE: June 25, 2007 RE: Permits for Zephyr Place LLC Please allow Design It, Build It, Inc. to act as an authorized agent in securing all permits necessary for the following location: Zephyr Place LLC 6834 Gall Blvd. Zephyrhills, FL 33542 Signature: Owner's Name: ,,1) 125724iiJt) Sworn to (or affi ed) and subscribed before me thisc7c ' day of O 7 by, ors , j %Jwho is personally known to me or produced as identif tion. Signature of Notary• Printed Name of Notary: f cc) SEAL: r y MY COMMISSION#DD570393 Commision# ��l EXPIRES:July4,2 (407 39MI53 Flodde Notary Senloe.com Exp. Date: I r (7-%y 08/31/2007 16:23 727-547-9754 AIRCO MECHANICAL PAGE 05/05 CITY OF PINELLAS P.i4 ''.f' 4,.. PINELLAS PARK, ;gym .,:��,• ,-�� �M��` STATE LICENSE: #. ;.� L.iCEN. I.ER" -_ ''ti' OTHER LICENSE 4 s✓ACu 24?6 v ...,.........�_-___.... ...r._.�,... ..--.........-.r.��.���«.�:��,��w::;z- "•ir..-:-�.,. `:yu.:^ i3�'. .4,::r: IL.A ...i4�C BUSINESS NAME:, OWNERS NAMc`. ;f:k :=; . AND MAILING ADDRESS OR OWNERS NAME AND LOCAL ADDRESS AIRCO MECHANICAL CONTRS INC AIRCO MECHANICAL CONTRS- INC HEFFELMIRE — PRES TIM 6334 118TH AYE ATTN; TIM !, HEFFEL MIRE — PRES 6334 118TH AVE N LARGO f-L 3 377_5-3726 LARGO FL 33773- - —__, ._---- _.—_.__,-=: =� �_�������:�M��—�= __ -._=_�;—,_M�w,s —�,.— _THE ABOVE NAMED PERSON, FIRM OR CORPORATION IS LICENSED TO ENGAGE IN THE FOLLOWING BUSINESS ACTIVITIES; CODE DESCRIPTION 1711/ HEATING AND AIR CONDITIONING CONTRACTOR FEE SEATS UNITS PENALTY AMOUNT SUM OF LICENSE 80.00 FOR PERIOD COMMENCING; AUGUST 10,2'006 AND ENDING, SEPTEMBER 30 2007 CERTIFIED PAID WHEN PRINTED THIS LICENSE DOES NOT PERMIT THE HOLDER TO OPERATE IN VIOLATION OF ANY CITY LAW OR ORDINANCE AND IS NOT AN ENDORSEMENT OF COMPETENCE OR BUSINESS PRACTICES. ANY CHANGE IN LOCATION OR OWNERSHIP MUST BE APPROVED BY THE THE CODE ENFORCEMENT DIVISION, SUBJECT TO ZONING RESTRICTIONS. ØC I( Jj pp �-' Gt1 •gt7 4 • alu g A.•n . . I, .- . 01 C'p •+ m ( °• W WrenOZ QrnH 'i1H t� w O Fit: .: .. .:•: C O• r ,fa w H c� z ° t� cn W O N O vi 7r H. 7' ;1u OD W ':met: _ I'a'>.. • -flW•• .ii ________ iii • m� . g.• O 6M1H to O • 'JO H .... w W Da w1 • . 0. Cl. • t� Q ` tee c! �4p1 n d • -n, •�'w( ► •`• ~:may -.�" pa 014:.; w... e •O CD M.09"fu .'a O G Er G r ,. fry.,,. 0 Z .` .v r : . • •t tyl Ti• b •• � p C tr'. • • 90/t'0 3E d 1v3INCH03W OD Id b5L6-Lb5-LZL 6Z:9T L00Z/TC/80 08/31/2007 16:23 727-547-9754 AIRCO MECHANICAL PAGE 03/05 POWER OF ATTORNEY Contractor: i4Ii2,C.O ! 1- /L 4L- Permit Number: Owner's Name: ?7M t} ('& fv!//?E Job Address: Whenever the qualifier of a company wishes to designate a regular salary employee to represent him in the application of a building permit or in the issuance of a building permit,the following Power of Attorney must be properly executed. Qualifier's Affidavit II KNOW ALL MEN that I - JIM !- f do hereby constitute and appoint bBtj 4ui4TEE... my true and lawful attorney-in-fact to apply for/receive from the City of Boynton Beach Building Department to sign for the above described mechanical permit_ Please remove Timothy Beck from your records. Sig ature-of Qualifier State of Florida, County of PI it eL.LA S rn t and subscribed before me this aday of AM 6 200 , by7AA L.1-tE TLM IRS, who is ersonally known to me r has produced as identification. ignature, Notary Public—State of Florida CAR0LE L a 9ERNAROO COMMISSION#00 675983 o L•1)/ R o �' ' EJCPIRES:June 22,2011 • n"` eOfWeG TAN NMly PYEMo UndMW1119% Printed, Typed, or Stamped Name of Notary FEB-20-2008(WED) 10: 40 Tri-County Electric. Inc. (FAX)7277917396 P. 001/002 TRI-COUNTY ELECTRIC,INC. STATE CERTIFIED ELECTRICAL CONTRACTORS.EC0001258 27837 US Highway 19 North, Unit D.Clearwater,FL 33761 TELEPHONE(727)723.3400.FAX(727)791.7396 Fax Cover Sheet DATE: February 19,2008 COMPANY; City of Zephyrhlils FAX: 813-780-254 ATTN: Jackie PHONE: 4'l;-?40 --a 0. FROM: Robbie Colannino ADDITIONAL INFORMATION Updated Occupational license for Tri-County Electric Inc.( EC0001266) Number of pages Including cover sheet: FEB- 0-2008(WED) 10: 40 Tri-County Electric. Inc. (FRX)7277917396 P. 002/002 City of Dunedin, Florida Original Local Business Tax Receipt Conduct of any burliness subject.to zoning restriction. The issuance of this Local Business Tax Receipt does not authorize the taxpayer to operate In violation of any City ordinance, law or regulation. Any change in location or ownership must be recorded with the City's Local Business Tax Section. Issuance of the Local Business Tax Receipt is in no way intended as an approval or disapproval of the taxpayer's competence or skill. POST IN A CONSPICUOUS PLACE. NON REFUNDABLE. Nuraivam ruinA . TRI C,CIJNTY NLBCTRTC INC Ctl nbr : 2198 Phaia number . (727) 723•-34M Wcnticn addr . O()T of CTTX LIM176 ric• Nbr/C1Hss . r 08 00002484 CONTRACTOR; TlLBcWIC (R) Taaue date r 9/04/07 Rxpiration date 9/30/08 Lac-Few. . 10.00 DSPR stJ00U1256:,I .. 8/3.i/08 PccLQ ,.:. r. 4Cd00t25F Ii W$/° .:. Total , iO 0Ei JJ TRI CO(JNTY RUMTRIC INC 27037 U5 WN a,9 N #D cawkmuc' Ronsi27: N .. CTARRWATIZR FL 337ui C! er 09/04/2007 10:54 813-926-8750 IMPERIAL ROOFING CON PAGE 01/01 09/04/2007 TUE 10:26 FAX 321 725 7856 J W EDENS & COMPANY 0001/001 ACORD. CERTIFICATE OF LIABILITY INSURANCE OP ID D DATE(MMIDDPIYI'Y)IMR001 09 04 07 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION • J.W. Edens & Company ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE • Commercial Ins of 8revard, Inc HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 325 Fifth Avenue, Suite 108 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Indialantic FL 32903 Phone:321-725-7000 Fax:321-725-7856 INSURERS AFFORDING COVERAGE NAIL# INSURED INSURER A: Canal Indemnity Coepany INSURER 6: Imperial Roofing Contr. Inc. INSURERC: 4117 Cox Drive INSURERD: Land O'Lakes FL 34639 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 CLANS. LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE M DATE MID LNATS GENERAL LIABILITY EACH OCCURRENCE $1,000,000 A A COMMERCIALGENERALLIABIUTY CL90321 12/31/06 12/31/07 $50,000 41 CLAIMS MADE Q OCCUR MED EXP(Any one penman) $5,000 PERSONAL&ADV INJURY 51,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMTAPPLIES PER: PRODUCTS-COMPIDP AGG S 1,000 000 POLICY J LOC AUTOMOBILE LIABILITY COMBINEDSINGLE LIMITS ANY AUTO ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (pKpeson) $ HIRED AUTOS BODILY INJURY NON.OWNED AUTOS (Peraa,denI) PROPERTY DAMAGE $ (Peraecidem) GARAGE LIABILITY AUTO ONLY-FA ACCIDENT S ANYAUTO OTHER THAN EAACC $ AUTO ONLY: AGG S EXCESSIUMBREUA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE S S DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND TORY LIMITS ER EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNERlEXECUTNE E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? EL.DISEASE-EA EMPLOYS E ayes dE aIbe under SPEGAL PROVISIONS below E.L.DISEASE•POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION CITYZEP SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE"OLDER NAMED TO THE LEFT,BUT FAILURE 100050 SHALL City o f Zephyrhi 11 s IMPOSE NO OBLIG OR LIABILITY OF KIN E INSUAGENTS RER,ITS OR 5335 Eighth Street Zephyrhills FL 33540 REPRESENTA AUTHORIZED Theresa C. O'Brien ACORD 25(2001/08) ®ACORD CORPORATION 1988 09/04/2007 10:02 813-926-8750 IMPERIAL ROOFING CON PAGE 02/02 iMl=1 L=l ci Z-8 r ak Ohi CCC111111 O1 •vt�t�t r m ©n a K Os" O t O OA-H00 �O i Nwrn O „a ib.'Z'i 7aC77[17� 'r7 0 7a o w tli. oz O 2 Om.Hy y w o o ('OH; ' r u+ z CAn V Nrn n H OZ �Q �, n Z ( �., ;: x a'w G to cn. ;17 a QI T' t+i a9 I ►i cn br i „-1 ` y (®A: coin ►•..� ►P F 7� .` ' t My �i � � � '�' 3 � ! ` !F'.� 'n•1 tea . rr SU-1 .HO ago o-C zz , v =_0 o-o M rn rn or)- z o ran /'1 fit' o .- 1 •.ot r X z v'n mm I..t O'ID Boa oc oo & H � N 0C) 70. 70 Z O m rn am ac ►•� Wx y . i' N -i.N 30 .H .. - .. A.. _4E t3f . .. I ►C H Cr't=] CITY OF ST. PETERSBURG, FLORIDA LOCAL BUSINESS TAX RECEIPT ACCOUNT NO. DATE 2008 9792 August 06, 2007 EXPIRES 9/30/2008 /ice BUSINESS: st.petersburg www.stpete.org PASADENA PLUMBING INC 6961 1 ST AVE N SAINT PETERSBURG FL 33710-8303 08-00004131 DESCRIPTION OF OCCUPATION,PROFESSION,OR BUSINESS PLUMBING CONTRACTOR 233.00 #ICFCO44182 0.00 080307 233.00 0917016 TOTAL 0.00 MAIL: PASADENA PLUMBING INC 6961 1ST AVE N SAINT PETERSBURG FL 33710 ---------------------------------------------------------------------------- This local business tax Changes in business name, address, mailing name or address, as well as receipt does not allow the additions to the business activity, may require additional applications, holder to violate any city Please contact this office before making changes or if the description on law, ordinance or this receipt does not reflect your entire business activity. Additional regulation. It is not an activities may require additional taxes. endorsement, approval or Failure to renew before the expiration date may result in penalty fees being disapproval of the holder's assessed. skill or competence or of Display this receipt conspicuously at all times in the place of business, the compliance or non- If there is no place of business, this receipt must be presented to any compliance of the holder police officer or officer of the city upon their request. with other laws, regulations Many business taxes are transferable from one owner to another, or one or standards. location to another.To transfer this receipt, contact our office for information and price, and fill in the following. I, hereby assign all my rights, title and interest in local business tax receipt # to (name of new owner) (signature of previous owner) Office hours= Monday through Friday, 8:00 a.m.to 4:00 p.m., and Wednesday, 8:00 a.m.to 3:00 p.m. Phone=727-893-7241 ACOR CERTIFICATE OF LIABILITY INSURANCE DATE(MMlDD/ - 07 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Work Comp Specialists HOLDER. AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 9435 , I ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Panama City Beach, FL 32417 850-234-3197 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: BUSINESS FIRST PASADENA PLUMBING,INC. INSURER B: 6961 1ST AVENUE N INSURER C: ST PETERSBURG, FL 33710 INSURER D: 727 381-7969 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. I•LTR D'L POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS DAT D/YY DATE MMIDD/W GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED j!!7ERCIAL GENERAL LIABILITY PREMISES Ea occirence $ LAIMS MADE OCCUR MEDEXP(Anyoneperson) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY PRO LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANYAUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY $ NON-OWNEDAUTOS (Peraccident) PROPERTY DAMAGE $ (Peraocident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANYAUTO OTHER THAN EAACC $ AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE S OCCUR El CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ A TH- WORKERSCOMPENSATIONAND X TORY LIMITS EMPLOYERS'LIABILITY ANYPR0PRIET0R/PARTNI3iIEfECUTIVE 0521-1022-0 08/31/07 08/31/08 E.L.EACH ACCIDENT $ 100,000 A O W FFFIICERIMEMBER EXCDED? E EA E.L.DISEASE- EMPLOYE $ 100 000 If F SPECIAL PROVISIONS below E.L DISEASE-POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONS!LOCATIONS/VEHICLES!EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION PASADENA .PLUMBING DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL10 DAYS WRITTEN 6961 1ST AVENUE NORTH NOTICE TO THE CERTIFICAT OLDS D TO THE LEFT,BUT FAILURE TO DO SO SHALL ST. PETERSBURG, FL 33710 IMPOS O GATION B NY KIND UPON THE INSURER,ITS AGENTS OR REPR NT AUTH NTA IVE FAX: 727-344-2151 ACORD26(2001108) OAC0RD CORPORATION 1988 • '?ass aclena fflhttttffit4� Sac. 6961 Ji t auenue No,%th * St. J ete 8wccc, vdda 337W phrase (727)381-7969 * faux (727)344-2151 June 29, 2007 ATTN: PERMITTING/BUILDING DEPARTMENT To Whom It May Concern: I,ROBERT C. BRIZZI II, THE QUALIFYING CONTRACTOR FOR PASADENA PLUMBING, INC., HEREBY ALLOW THE FOLLOWING PERSONS TO PULL PERMITS IN MY ABSENCE: AUTHORIZED SIGNEE NAME: MICHAEL C. BRIZZI AUTHORIZED SIGNEE NAME: ROBERT C. BRIZZI SR. AUTHORIZED SIGNEE NAME: JAMES L. KIDD JR I FURTHER CERTIFY THAT THE ABOVE INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. ROBERT C. BRIZZI II SIGNATURE OF QUALIFIER SWORN TO AND SUBSCRIBED BEFORE ME THIS .Z9-y DAY OF Jtr,1i= 2007. STATE OF FLORIDA COUNTYOF PINELLAS NOTARY PUBLIC NOTARY PUBLIC.STATE OF FLORIDA Ronald M. Rainey ,I„'"••`Commission#DD647576 '• Expires: APR.09,2011 BONDED TI J AE'MNTIC DONDING CO.,INC. STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487-1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 BRIZZI,PASADENARPLUMBINGOBERT AINCS ��"` � � r 6961 1ST AVE N ST PETERSBURG FL 33710-8303 ins► ' , I STATE OF DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CFC044182 6/22/06 05$08868,3 CERTIFIED ANC CONTRACTOR BR"IZZI, ROBERT.ARLESPASADENA PLUMBING INC IS CERTIFIED under the P ctai as o Ch $9 g& axpirgeioa 4ac, AUG 31., 2008 1.060 62200758 DETACH HERE G# -26I25SO 2 = STATE OF FLORIDA ' DEP RTMNT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY ICENSIN O RD S Q# 068622007 B a ` LICENSE NBR Iy1TIW l'„Jlryl }F ql ;i1 'lli ;. :- it I The 'PCONTRACTORLUMBING . Named fir+ IS '°CERTIFIED Under the ' rovi:e ons of Chapter 48 :,FS.. Expiration date: AUG 31, 2`0"QB BRIZZI, ROBERT CHARLES PASADENA PLUMBING TM 6961 1ST''AVE'N ST PETERSBURG FL 33710-83O3 JEB BUSH" SIMONE MARSTILLER 60 RNOR =-_-- --- -_-. ..- ---- -- - SECRETARY SEP-05-2007 WED 12:44 PM FEDERATED CPU FAX NO. 15074444822 P. 03/03 ..,. :,...,..y,.;:• ,•. ,. •:,.n•'r.,pi• •• ;.,..,:igg;;4n:Y; rizh+ }?:{;' 'li T+p0xi:Y;:}'i;�;:1;,{::��•�..,.w.,........ � ;, .. rti9r: ..•;i••R:r:S:, ..:�. :iX�r,>.. a.Yi•. :{ry {:{:k:;r �:•`,'+,�{'1.. } ,vf„ <rr: a;t. xoR^rti; x"•, f ;i•:.s `gy'?o, 'f. a.Y:r; 4`';•.:•::` :fa#i". DATEIMMIDOIYY) ; ' .�;r: :;ter x ,a, ����'�.; •s.. .r•f,•r:y, :xr,r..a� is. M.tiz:y,;x. •r� .,'a:a:.:....:w•i:,.t,.,v.,x..:.:•h•, ACORD y ..w iw+o-;,:•r:•x:•r:rs:.�;nSh4:4a:�}Iol:>$ISM•�'.���i•Swl�$.'.�.`'..•�1,^.,fly"y :cYfi„':�,3.x,.':kr;•rk•s : !fw.x•r.X�r:.. .. .. ..,.. .. PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE FEDERATED MUTUAL INSURANCE COMPANY I HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Home Office: P.O. Box 328 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Owatonna, MN 55060 COMPANIES AFFORDING COVERAGE Phone: 1-888-333-4949 COMPANY FEDERATED MUTUAL INSURANCE COMPANY OR A FEDERATED SERVICE INSURANCE COMPANY INSURED 130-777-6 COMPANY PASADENA PLUMBING INC 8 6961 1ST ST AVE N ST PETERSBURG FL 33710 COMPANY C COMPANY D . .. .r� t, ..2•r•i ,•� .. .,� ..,:i•:<.•...,•..-.';:;: ��rr"''•r, 2�iwrYrs:'#iM�.`+;�?mrs,:C•Y i .•x;;• '•�'..r.'+CY', .. i rh;�.� .�.•` .rY• : ,`+•iu.^l Y: fY.irf .V. ;.y.h ^!.riS% �Ti„ :../.r. t.:#:�:4it;:i.:.r�'"'.•..,???T r;;C'Rt...:.v., si:a 'n�:{l:?',. ;`�":,yi•:t�:�> 55',,.{: ,,.•.,. .R, „ •S:y.%•,, ' .•C�,,. rn n"g.;.•'i +..". ..:ca,.y.,:ai£.. ,,+, 'r2:k:w, y.,:3�.,,,#'r`•' sx..fa•"i,.:,:::•''" .y:;2,o.4�.:a•. .r`'$:`w•�i.«c,::;rY^s:;.r>..:x,,: :,r.sw>:xw>. .r• ,..,¢ 2•;rv:��'�� • .n•Y:.n:ln+t>�r n, .•v�Y••'{:'F.v�..Nh.v.LQ�:r:l:�:'.•rT.�r.:s THIS IS TO CERTIFY THAT 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER DATE MM p VV) PRAT IMMID07lYV1 LIMITS LTR GENERAL AGGREGATE 6 2 000 000 GENERAL LIABILITY COMMERCIAL GENERAL-L-I1ABILITY PRODUCTS•COMP/OP AGG 0 2,000,000 A CLAIMS MADE I X i OCCUR 9289819 10!04/07 10/04/08 PERSONAL&ADV INJURY 0 1,000,000 OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE 0 1 000000 X BLISINEBGOWNER'B POLICY FIRE DAMAGE 1Am ono fire) 0 50,000 _ MID EXP IAny one person) 0 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 0 1,000,000 X ANY AUTO ALL OWNED AUTOS BODILY INJURY 0 A SCHEDULED AUTOS 9289820 10/04/07 10/04/08 IP•r person) X HIRED AUTO$ BODILY INJURY 0 IPor accident) X NON-OWNED AUTOS PROPERTY DAMAGE 0 GARAGE LIABILITY AUTO ONLY-EA ACCIDENT 0 ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT 0 AGGREGATE 0 EACH OCCURRENCE e 1 000000 M`UMS`,AEsLlLu.TyFO,. A 9289821 10/04/07. 10/04/08 AGGREGATE 0 1 000000 OTHER THAN UMBRELLA FORM WC 6TATU- 0TH->::z ;C WORKERS COMPENSATION AND EMPLOYERS'LIABILITY EL EACH ACCIDENT 0 THE PROPRIETOR/ INCL EL DISEASE-POLICY LIMIT 0 PARTNERS/EXECUTIVE EL DISEASE•EA EMPLOYEE 0 OFFICERS ARE: EXCL OTHER DESCRIPTION OF OPERATIONSIIACATIONSIVEHICLES/SPECIAL ITEMS JOB:ZEPHYR PLACE .. .. ...... .. .. ...:.::....: :...:::..:.:.:...... .,,..,n;rr:...:•>x;.'.•.':z••l c',<a..:':qx:4.rs•:#i r."' Hifr+{'*,Yir,..:a: ,.:.y:.,. r.,rN:Y,,;�•.. ,.y .i. '•n• .K,.3. ff'r.>?.. tx:•:'?nl'':y�.,-, .Cn•..:�i n.� ,�•Y,.:ty., vp•.•:;c':��;�:4kr, .s.,. ,,; ^.:y� :..rs.:f :':•h+ •y"Cii :a{.r: >r<"�.�.;•0.^.r. 7.s .+S!:,ix,:.�'..',f aL,.....tip y{::: "�`•<::i••r:; :;'f•.^,•L.:i'rs,,.a::•.;.,, .y•.s .ra:*.k'.•. •i:v...:a. •r^....K.i..:.'r.... ,>:r,..•�\::�"n'`7.`,•r`.":X.'s.i#:ra:;:o:,::yF .�'ra•.c:•:v r. ::.:� .. ..,:... ... •.,,;>.r:5ia:a:5^e,y1. r...r:.,;!' f.�{. yy„s�3;.r.,;�r';� ,•,. :�a+��!:��` R..1xi�;i+F::':.. ����'�.�3..F;b;xr�;`�,."^�°.oSi��:�ie•''�;','s.>#•'`�;'r.::�:t;'}•",:d�;'�`:....:•w:�h.',:,,, .•.:�'��,l.:r:Y.�e!•.i,'��r7!,. .,,,•.,•.r.:^,f.c,::rr,..,...'�.`n".isw,r•.,,...r...,..�,'a: • /0 CITY OF ZEPHYRHILLS OF ZEP� PHYRHILLS - BUILDING •`93 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE DEPT EXPIRATION rL� PATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR 70 MAIL 5335 8TH STREET JS DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. ZEPHYRHILLS FL 33542 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR UABIUTY OF ANY KIND UPON THE COUP ITS AG OR REPRESENTATIVES. AUTHORIZED REARESENTATIV •.s• ^x••ra^• :RS:'"'.y '>'2::n ;wF :r.�'µq;'i.^;Y;��+<.•Ya..r:••':�'•:�P;PIT"". ..�•: N�•.v.•rtnpstpp•:.. ..:.....,.:rrr.rrn..,..,...,.�.^•.,+v;,;:+•,ro•a.r.yx:.vnf:,>r;i;..,;'•Xr•.,•. ..... ^..:'• .'.r`,Si' .:�r"....g'::1'iri::: d. :.+.e•„ ...c. 1y�ruel �w� >.�. ;+.sir. , ..o . :+xj..rr; '"S..b',.,. .Yr, .•'x:.r•a:`rG.• .r.i.: ; .fir•, .Y`a,'r., ;:i. ..s:i;xi:• ^ ',.Rfi7.i',:�.b?!artr .s,.ti01. .. ;� •. � �:^„r:r:�6..•, .>.,.,.... ,.r�:n.. r.:. ,, v'ry�, ;oE;�.;v�.�w3�F:cs.r �yr.:;.y{S,�',,•�i•.,i���!v.:s.Rti� 'a,Y''4�,.•r.>.. ..•ye':si:`A`r,.... SEP-05-2007 WED 12:44 PM FEDERATED CPU FAX NO. 15074444822 P. 01/03 FEDERATED MUTUAL INSURANCE COMPANY AEVERAtf FEDERATED LIFE INSURANCE COMPANY FEDERATED SERVICE INSURANCE COMPANY HOME OFFICE:OWATONNA,MN 55060-2401 INSURANCE FACSIMILE COMMUNIC{�TIONS COVER SHEET I ) Date 09/05/07 Number of pages sent _s' (Including cover sheet) To: Name KAREN MILLER From: Name CLIENT CONTACT CENTER Company CITY OF ZEPHYRHILLS - BLDG Fax No. FaxNo. 813-780-0021 Ext.No. Telephone No. (888) 333-4949 NOTE: If any of the pages are not legible,or you do not receive all the pages,contact Federated at the above telephone or fax number. Account Name: PASADENA PLUMBING INC Account Number. 13O-777-6 Contact Into: MIKE BRIZZI (INSURED) 727-381-7969 Message: CERTIFICATE OF INSURANCE Printed in U.S.A. MM-29(c) Ed.5-90 City of Zephyrhills — Building Department �. 5335 8th Street PH: 813-780-0020 Zephyrhills, Florida 33542 FAX: 813-780-0021 Date: 9-5-07 TO: Pasadena Plumbing FROM: Karen Email: kmillerCc�ci.zephyrhills.fl.us FAX #: 727-344-2151 # PAGES: 2 Message: Mr. Brizzi was in our office this morning. We have all the paperwork except for the General Liability which would be faxed later today. We received at 10:32 a.m. another copy of the worker's compensation and NOT the general liability. Unsure if it will be sent or if the worker's compensation was sent in error. Appreciate your assistance in this matter. I have attached the copy we were sent via fax. Thank you. P . 01 /01 TRANSACTION REPORT SEP/05/2007/WED 01 : 53 PM FAX( TX) # DATE START T. RECEIVER COM.TIME PAGE TYPE/NOTE FILE 01 SEP/05 0P:51PM' 817273442151 0:01:09 2 OK ECM 5277 City'ofZephyrhills — 'Building :Department 5335 8th Street PH: 813-780-0020 :Zephyrhills, Florida 33542 FAX 813-780-0021 Date -9-5.07 TO: Pasadena Plumbing. .FROM: 7(aren Email: ikmillerQci.zephyrhills.fl_us FAX #: 727-344-2151 # PAGES: 2 Message: Mr. Brizzi was in our office this morning. We have all the paperwork.except forthe • General liability which would.be-faxed later today. We'received at 10:32 a.m. another copy of the worker's compensation and NOT the general liability. Unsure if it will be sent'or-if the worker's compensation was sent in error. • Appreciate your assistance in this matter. I have attached the copy we.were sent via " -fax.* Thank you. - . - u_F....1 i ! uIIIIq E ! I i I I u1.J = I El ulrflhllllq El Uiiiiiii El I __ El k__ El = 1 s L