HomeMy WebLinkAbout08-6866 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 6866
BUILDING PERMIT
a. . UiI__ Mii11iPermit Number: 6866 Address: 38130 PRETTY POND RD
Permit Type: COMMERCIAL ZEPHYRHILLS, FL.
Class of Work: SITE WORK Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 35-25-21-0010-07100-0000
Improv. Cost: 68,368.05
Date Issued: 4/29/2008 Name: KAPLAN MILLS DEVELOPMENT GROUP
Total Fees: 356.00 Address: 145 FROELICH FARM BLVD
Amount Paid: 356.00 WOODBURY, NY 11797
Date Paid: 4/29/2008 Phone: (516)496-1505
Work Desc: SITE WORK- BENTLEY COMMONS
THE DOUGLAS COMPANY SITE WORK 356.00
, i997
1-2 O
FOOTER 2ND ROUGH PLUMB MISC I(t lease S``�'�
FOOTER B DUCTS INSULATED SEWER
ROUGH ELECTRIC LINTEL 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
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Y ! FEE SHEET COMM RES
6i- i - j)Zk
Square Feet: V Rate Computed At:
Valuation: (Use System Calc for Fees)
Radon:
LO
Connection Fees: T �
Sewer:
Water:
Water Meter: Size Current 6/11/07
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:
Park: Public Safety:
Page 1 of 1
I1 0 S
s2ti
Jacqueline Boges
From: Todd Vandeberg
Sent: Monday, July 14, 2008 1:30 PM
To: Bobbie Swetland; Jacqueline Boges; Kalvin Switzer
Cc: Bill Burgess
Subject: Bentley Commons
Good afternoon. As discussed earlier, I spoke with a representative regarding the Bentley Commons project. I
was informed that they had amended their plans pursuant to comments received by SWFWMD. These changes
have not apparently been made on the City's approved site plan. I instructed them today to resubmit a revised
site plan with the necessary changes for review and approval. I also told them that the Building Department
would also need to place a hold on their permit unitl we review and approve the revised plans. I did indicate that it
may be possible to begin some ground clearing only and that could probably be approved by the Building
Department. Let me know if you have any questions and I will keep everyone advised.
Todd Vande Berg
Director of Development
City Of Zephyrhills
813-780-0006
813-780-0005(FAX)
tvandeberg@ci.zephyrhills.fl.us
7/25/2008
Southwest Florida 2379 Broad Street, Brooksville,Florida 34604-6899
(352)796-7211 or 1-800-423-1476(FL only)
� �r e o 1yFN Water Management District SUNCOM 628-4150 TDD only 1-800-231-6103(FL only)
CE asp On the Internet at:WaterMatters.org
An Equal Bartow Service Office Lecanto Service Office Sarasota Service Office Tampa Service Office
Oppob er ay 170 Century Boulevard Suite 226 6750 Fruitville Road 7601 Highway 301 North
EfnP Y Bartow,Florida 33830-7700 3600 West Sovereign Path Sarasota,Florida 34240-9711 Tampa,Florida 33637-6759
(863)534-1448 or Lecanto,Florida 34461-8070 (941)377-3722 or (813)985-7481 or
1-800-492-7862(FL only) (352)527-8131 1-800- 0.3503-�Ft only)., 4-800836-0797(FL'only)
SUNCOM 572-6200 SUNCO 53 l'6 TOO {( t j a 'JUFICOMa578 0791
88 !
I)) ' ' ' �lI
Talmadge G."Jerry"Rice June 22, 2007 r�a i, `I U r, 23 2007
Chair,Pasco ,,_) I \Judith C.Whitehead ,/J
L'
Vice Chair,Hernando
Nell Combee
Secretary,Polk
Scott M. Pittman
Jennifer E.Closshey
_�. -_.__ ..._ my._n....Tv.._.. ._._...,.
Treasurer,Hillsborough Adventist Health System Sunbelt, Inc.
Thomas G.Dabney 7050 Gall Blvd
Sarasota Zephyrhills, FL 33541
Patricia M.Glass
Manatee Subject: Final Agency Action Transmittal Letter
Heidi B.McCree
Hillsborough ERP General Construction
Sallie Parks Permit No.: 44032266.000
Pinellas Project Name: Bentley Commons at Zephyrhills
Todd Pressman
rssm an County: Pasco t1 IPlnel
Sec/Twp/Rge: 35/25S/21 E 1
Maritza Rovlra•Forino
Hillsborough
Patsy C.Symons Dear Mr. Pittman:
Desoto
This letter constitutes notice of Final Agency Action for approval of the permit referenced
above. Final approval is contingent upon no objection to the District's action being
David L.Moore received by the District within the time frames described below.
Executive Director
William S.Bilenky You or any person whose substantial interests are affected by the District's action
General Counsel regarding a permit may request an administrative hearing in accordance with Sections
120.569 and 120.57, Florida Statute, (F.S.), and Chapter 28-106, Florida Administrative
Code, (F.A.C.), of the Uniform Rules of Procedure. A request for hearing must: (1)
explain how the substantial interests of each person requesting the hearing will be
affected by the District's action, or proposed action, (2) state all material facts disputed
by the person requesting the hearing or state that there are no disputed facts, and(3)
otherwise comply with Chapter 28-106, F.A.C. Copies of Sections 28-106.201 and
28-106.301, F.A.C. are enclosed for your reference. A request for hearing must be filed
with (received by) the Agency Clerk of the District at the District's Brooksville address
within 21 days of receipt of this notice. Receipt is deemed to be the fifth day after the
date on which this notice is deposited in the United States mail. Failure to file a request
for hearing within this time period shall constitute a waiver of any right you or such person
may have to request a hearing under Sections 120.569 and 120.57, F.S. Mediation
pursuant to Section 120.573, F.S., to settle an administrative dispute regarding the
District's action in this matter is not available prior to the filing of a request for hearing.
Enclosed is a "Noticing Packet"that provides information regarding the District Rule
40D-1.1010, F.A.C., which addresses the notification of persons whose substantial
interests may be affected by the District's action in this matter. The packet contains
guidelines on how to provide notice of the District's action, and a notice that you may use.
The enclosed approved construction plans are part of the permit, and construction must
be in accordance with these plans.
JUL 162 ': 7
Permit No.: 44032266.000 Page 2 of 2 June 22, 2007
If you have questions concerning the permit, please contact Robin R. Coburn, at the Brooksville Service Office,
extension 4320. For assistance with environmental concerns, please contact Leonard F. Bartos, P.W.S.,
extension 4352.
Sincerely,
Henry Robert Lue, P.E., Director
Brooksville Regulation Department
HRL:RXC:LFB:mej
Enclosures: Approved Permit w/Conditions Attached
Approved Construction Drawings
Statement of Completion
Notice of Authorization to Commence Construction
Noticing Packet(42.00-039)
Sections 28-106.201 and 28-106.301, F.A.C.
cc/enc: File of Record 44032266.000
Ram A. Goel, Ph.D., P.E., Northside Engineering Services, Inc.
Housh Ghovaee, Northside Engineering Services, Inc.
SOUTHWEST FLORIDA WATER MANAGEMENT DISTRICT
ENVIRONMENTAL RESOURCE
GENERAL CONSTRUCTION
PERMIT NO. 44032266.000
Expiration Date: June 22, 2012 PERMIT ISSUE DATE: June 22, 2007
This permit is issued under the provisions of Chapter 373, Florida Statutes, (F.S.), and the Rules !
contained in Chapters 40D-4 and 40, Florida Administrative Code, (F.A.C.). The permit a utob�b i2es the
Permittee to proceed with the construction of a surface water management system in accotdance with the
information outlined herein and shown by the application, approved drawings, plans, specifications, and
other documents, attached hereto and kept on file at the Southwest Florida Water Management District
(District). Unless otherwise stated by permit specific condition, permit issuance constitutes certification of
compliance with state water quality standards under Section 401 of the Clean Water Act, 33 U.S.C. 1341.
All construction, operation and maintenance of the surface water management system authorized by this
permit shall occur in compliance with Florida Statutes and Administrative Code and the conditions of this
permit.
PROJECT NAME: Bentley Commons at Zephyrhills
GRANTED TO: Adventist Health System Sunbelt, Inc.
7050 Gall Blvd
Zephyrhills, FL 33541
ABSTRACT: This permit authorizes the construction of a new surface water management system to
serve a proposed multi-family residential development within a total land and project area of 5.96 acres
known as Bentley Commons at Zephyrhills. The project is located at the southwest corner of Pretty Pond
Road and Dairy Road in the City of Zephyrhills, in Pasco County. Adjacent properties include Zephyr
Lakes (Environmental Resource Permit No. 43028765.001) to the northeast currently under review.
Information regarding the surface water management system is contained within the tables below.
OP. & MAINT. ENTITY: Adventist Health System Sunbelt, Inc.
COUNTY: Pasco
SEC/TWP/RGE: 35/25S/21 E
TOTAL ACRES OWNED
OR UNDER CONTROL: 5.96
PROJECT SIZE: 5.96 Acres
LAND USE: Commercial
DATE APPLICATION FILED: December 19, 2006
AMENDED DATE: N/A
Permit No.: 44032266.000 Page 2 of 4 June 22, 2007
I. Water Quantity/Quality
POND AREA TREATMENT TYPE
NO. ACRES @ TOP OF BANK:
1 0.20 On-line Retention
2 0.12 On-line Retention
3 0.09 On-line Retention
4 0.10 On-line Retention
TOTAL 0.51
A mixing zone is not required.
A variance is not required.
II. 100-Year Floodplain
Encroachment Compensation Compensation Encroachment
(Acre-Feet of fill) (Acre-Feet of excavation) Type* Result**(feet)
0.00 0.00 NE [ X ] . Depth [ N/A
*Codes [X J for the type or method of compensation provided are as follows:
NE = No Encroachment
MI = Minimal Impact based on modeling of existing stages vs. post-project encroachment.
N/A= Not Applicable
**Depth of change in flood stage (level) over existing receiving water stage resulting from
floodplain encroachment caused by a project that claims MI type of compensation.
Ill. Environmental Considerations
No wetlands or other surface waters exist within the project area.
A regulatory conservation easement is not required.
A proprietary conservation easement is not required.
SPECIFIC CONDITIONS
1. If the ownership of the project area covered by the subject permit is divided, with someone other
than the Permittee becoming the owner of part of the project area, this permit shall terminate,
pursuant to Section 40D-1.6105, F.A.C. In such situations, each land owner shall obtain a permit
(which may be a modification of this permit) for the land owned by that person. This condition shall
not apply to the division and sale of lots or units in residential subdivisions or condominiums.
2. Unless specified otherwise herein, two copies of all information and reports required by this permit
shall be submitted to:
Brooksville Regulation Department.
Southwest Florida Water Management District
2379 Broad Street
Brooksville, FL 34604-6899
The permit number, title of report or information and event (for recurring report or information
submittal) shall be identified on all information and reports submitted.
Permit No.: 44032266.000 Page 3 of 4 June 22, 2007
3. The Permittee shall retain the design engineer, or other professional engineer registered in
Florida, to conduct on-site observations of construction and assist with the as-built certification
requirements of this project. The Permittee shall inform the District in writing of the name, address
and phone number of the professional engineer so employed. This information shall be submitted
prior to construction.
4. Within 30 days after completion of construction of the permitted activity, the Permitt� eshall submit
to the Brooksville Service Office a written statement of completion and certification by a registered
professional engineer or other appropriate individual as authorized by law, utilizing the required
Statement of Completion and Request for Transfer to Operation Entity form identified in Chapter
40D-1.659, F.A.C., and signed, dated and sealed as-built drawings. The as-built drawings shall
identify any deviations from the approved construction drawings.
5. The District reserves the right, upon prior notice to the Permittee, to conduct on-site research to
assess the pollutant removal efficiency of the surface water management system. The Permittee
may be required to cooperate in this regard by allowing on-site access by District representatives,
by allowing the installation and operation of testing and monitoring equipment, and by allowing
other assistance measures as needed on site.
6. The operation and maintenance entity shall submit inspection reports in the form required by the
District, in accordance with the following schedule.
For systems utilizing retention or wet detention, the inspections shall be performed two (2)years
after operation is authorized and every two (2) years thereafter.
7. For the areas shown on the construction drawings as future, a permit modification shall be
obtained for any construction in this/these areas. As a requirement of the permit modification for
this/these areas, the Permittee shall submit a Statement of Completion and as-built drawings.
8. If limestone bedrock is encountered during construction of the surface water management
system, the District must be notified and construction in the affected area shall cease.
9. The Permittee shall notify the District of any sinkhole development in the surface water
management system within 48 hours of discovery and must submit a detailed sinkhole evaluation
and repair plan for approval by the District within 30 days of discovery.
10. The District, upon prior notice to the Permittee, may conduct on-site inspections to assess the
effectiveness of the erosion control barriers and other measures employed to prevent violations of
state water quality standards and avoid downstream impacts. Such barriers or other measures
should control discharges, erosion, and sediment transport during construction and thereafter.
The District will also determine any potential environmental problems that may develop as a result
of leaving or removing the barriers and other measures during construction or after construction of
the project has been completed. The Permittee must provide any remedial measures that are
needed.
11. This permit is issued based upon the design prepared by the Permittee's consultant. If at any
time it is determined by the District that the Conditions for Issuance of Permits in Rules 40D-4.301
and 40D-4.302, F.A.C., have not been met, upon written notice by the District, the Permittee shall
obtain a permit modification and perform any construction necessary thereunder to correct any
deficiencies in the system design or construction to meet District rule,criteria. The Permittee is
advised that the correction of deficiencies may require re-construction of the surface water
management system and/or mitigation areas.
Permit No.: 44032266.000 Page 4 of 4 June 22, 2007
GENERAL CONDITIONS
1. The general conditions attached hereto as Exhibit"A" are hereby incorporated into this permit by
reference and the Permittee shall comply with them.
uthorized Signature
HENRY ROBERT LUE, P.E.,DIRECTOR
I3ROOKSVILL4E REGULATION DEPARTMENT
TPt Southwest Florida 2379 Broad Street, Brooksville, Florida 34604-6899
x. 3 (352) 796-7211 or 1-800-423-1476(FL only)
ater anagement District
SUNCOM 628-4150 TDD only 1-800-231-6103(FL only)
"a ors° p7k �S�' On the Internet at:WaterMatters.org
AGE
An Equal Bartow Service Office Lecanto Service Office Sarasota Service Office Tampa Service Office
Opportunity 170 Century Boulevard Suite 226 6750 Fruitville Road 7601 Highway 301 North
Employer Bartow, Florida 33830-7700 3600 West Sovereign Path Sarasota,Florida 34240-9711 Tampa, Florida 33637-6759
(863)534-1448 or Lecanto, Florida 34461-8070 (941)377-3722 or (813)985-7481 or
1-800-492-7862(FL only) (352)527-8131 1-800-320-3503(FL only) 1-800-836-0797(FL only)
SUNCOM 572-6200 SUNCOM 531-6900 SUNCOM 578-2070
Talmadge G."Jerry"Rice NOTICING PACKET PUBLICATION INFORMATION
Chair,Pasco
Judith C.Whitehead PLEASE SEE THE REVERSE SIDE OF THIS NOTICE FOR A LIST OF
Vice Chair, Hernando
Neil Combee FREQUENTLY ASKED QUESTIONS (FAQ)
Secretary,Polk
Jennifer E.Closshey The District's action regarding the issuance or denial of a permit, a petition or qualification for
Treasurer,Hillsborough an exemption only becomes closed to future legal challenges from members of the public
Thomas G.Dabney ("third parties"), if 1.) "third parties" have been properly notified of the District's action
Sarasota regarding the permit or exemption, and 2.) no "third party" objects to the District's action
Patricia M.Glass within a specific period of time following the notification.
Manatee
Heidi ll McCree Notification of"thirdparties" isprovided through publication of certain information in a
lillsborough g
Sallie Parks newspaper of general circulation in the county or counties where the proposed activities are
Pinellas to occur. Publication of notice informs "third parties" of their right to challenge the District's
Todd Pressman action. If proper notice is provided by publication, "third parties" have a 21-day time limit in
Pinellas which to file a petition opposing the District's action. A shorter 14-day time limit applies to
Maritza Rovira-Forino District action regarding Environmental Resource Permits linked with an authorization to use
Hillsborough Sovereign Submerged Lands. However, if no notice to "third parties" is published, there is no
Patsy C.Symons time limit to a party's right to challenge the District's action. The District has not published a
Deto
notice to "third parties" that it has taken or intends to take final action on your application. If
you want to ensure that the period of time in which a petition opposing the District's action
regarding your application is limited to the time frames stated above, you may publish, at
David L.Moore our own expense, newspaper general copy
Executive Director A Agency Action the District uses for and for publishing oareencluded in
Notice of
William S.Bilenlcy g y publication guidelines p 9
General Counsel this packet.
Guidelines for Publishing a Notice of Agency Action
1. Prepare a notice for publication in the newspaper. The District's Notice of Agency
Action, included with this packet, contains all of the information that is required for
proper noticing. However, you are responsible for ensuring that the form and the
content of your notice comply with the applicable statutory provisions.
2. Your notice must be published in accordance with Chapter 50, Florida Statutes. A
copy of the statute is enclosed.
3. Select a newspaper that is appropriate considering the location of the activities
proposed in your application, and contact the newspaper for further information
regarding their procedures for publishing.
4. You only need to publish the notice for one day.
5. Obtain an "affidavit of publication" from the newspaper after your notice is published.
6. Immediately upon receipt send the ORIGINAL affidavit to the District at the address
below, for the file of record. Retain a copy of the affidavit for your records.
Southwest Florida Water Management District
Records and Data Supervisor
2379 Broad Street
Brooksville, Florida 34604-6899
,Note: If you are advertising a notice of the District's proposed action, and the District's final
action is different, publication of an additional notice may be necessary to prevent future
legal challenges. If you need additional assistance, please contact us at ext. 4360, at the
Brooksville number listed above. (Your question may be on the FAQ list).
42.00-039(Rev 04/07)
FAQ ABOUT NOTICING
1. Q. Do I have to do this noticing, and what is this notice for?
A. You do not have to do this noticing. You need to publish a notice if you want to ensure that a "third
party" cannot challenge the District's action on your permit, exemption, or petition at some future date. If
you choose not to publish, there is no time limit to a third party's right to challenge the District's action.
2. Q. What do I need to send to the newspaper?
A. The enclosed one page notice form entitled "Notice of Final Agency Action (or Proposed Agency
Action) By The Southwest Florida Water Management District." You must fill in the blanks before
sending it.
3. Q. Do I have to use the notice form, or can I make up my own form?
A. You do not have to use our form. However, your notice rnust contain all information that is in the
form.
4. Q. Do I send the newspaper the whole form (one page) or just the top portion that has blanks?
A. Send the full page form which includes the NOTICE OF RIGHTS section on the bottom half.
5. Q. Do I type or print the information in the blanks? Or will the newspaper fill in the blanks?
A. You are required to fill in the blanks on the form before sending it to the newspaper. Contact your
selected newspaper for instructions on printing or typing the information in the blanks.
6. Q. The section 50.051, F.S. (enclosed) proof of publication form of uniform affidavit has blanks in the
text. Do I fill in these blanks and send that to the newspaper?
A. No. That section shows the affidavit the newspaper will send you. They will fill in the blanks.
7. Q. If someone objects, is my permit or exemption no good?
A. If you publish a notice and a "third party"files a request for administrative hearing within the allotted
time, the matter is referred to an administrative hearing. While the case is pending, generally, you may
not proceed with activities under the challenged agency action. When the hearing is complete, the
administrative law judge's (ALJ) recommendation is returned to the District Governing Board, and the
Governing Board will take final action on the AL 's recommendation. There is no time limit for a "third
party" to object and file a request for administrative hearing if you do not publish a notice.
8. Q. I don't understand what I should put in the blanks on the Notice form?
A.
1. County, Section/Township/Range, application No., permit No., proposed permit No., petition
No., Exemption No., or permit inquiry No. is on your Permit, Petition, Exemption, or Denial
document.
2. Permit Type or Application Type is Environmental Resource Permit, Water Use Permit, Work of
the District, etc.
3. #of Acres is the project acres. This is listed on the Environmental Resource Permit documents.
For Water Use Permits, Exemptions, etc., you may put "Not Applicable" if unknown.
4. Rule or Statute reference (Exemptions only). The rule and/or statute reference is at the top of
page one in the reference line of the Exemption. For all others, put"Not Applicable" in this
blank.
5. Type of Project describes your project activity. Environmental Resource Permit = Agriculture,
Commercial, Government, Industrial, Mining, Road Projects, Residential, Semi-Public or Water
Quality Treatment. Water Use Permit = Agricultural (if irrigating, state that it is irrigation and
specify what is being irrigated), Industrial Commercial, Recreation Aesthetic, Mining Dewatering,
or Public Supply. Work of the District = pipeline, etc.
6. Project Name is the name of your project, if applicable. If there is no project name, put "Not
Applicable" in this blank.
42.00-039(Rev 11/06)
NOTICE OF FINAL AGENCY ACTION BY
THE SOUTHWEST FLORIDA WATER MANAGEMENT DISTRICT
Notice is given that the District's Final Agency Action is approval of the
on acres to serve known as
The project is located in County, Section(s)
Township South, Range East. The permit applicant
is whose address is
The permit No. is
The file(s) pertaining to the project referred to above is available for inspection Monday through
Friday except for legal holidays, 8:00 a.m. to 5:00 p.m., at the Southwest Florida Water Manage-
ment District (District)
NOTICE OF RIGHTS
Any person whose substantial interests are affected by the District's action regarding this permit
may request an administrative hearing in accordance with Sections 120.569 and 120.57, Florida
Statutes (F.S.), and Chapter 28-106, Florida Administrative Code (F.A.C.), of the Uniform Rules of
Procedure. A request for hearing must (1) explain how the substantial interests of each person
requesting the hearing will be affected by the District's action, or final action; (2) state all material
facts disputed by each person requesting the hearing or state that there are no disputed facts;
and (3) otherwise comply with Chapter28-106, F.A.C. A request for hearing must be filed with
and received by the Agency Clerk of the District at the District's Brooksville address, 2379 Broad
Street, Brooksville,FL 34604-6899 within 21 days of publication of this notice (or within14 days for
an Environmental Resource Permit with Proprietary Authorization for the use of S"overeign Sub-
merged Lands). Failure to file a request for hearing within this time period shall constitute a
waiver of any right such person may have to request a hearing under Sections 120.569 and
120.57,F.S. -
Because the administrative hearing process is designed to formulate final agency action, the filing
of a petition means that the District's final action may be different from the position taken by it in
this notice of final agency action. Persons whose substantial interests will be affected by any
such final decision of the District on the application have the right to petition to become a party to
the proceeding, in accordance with the requirements set forth above.
Mediation pursuant to Section 120.573, F.S., to settle an administrative dispute regarding the
District's final action in this matter is not available prior to the filing of a request for hearing.
42.00-039(Rev 03/06)
CHAPTER 50, FLORIDA STATUTES
LEGAL AND OFFICIAL ADVERTISEMENTS
50.011 Where and in what language legal notices to be published.
50.021 Publication when no newspaper in county.
50.031 Newspapers in which legal notices and process may be published.
50.041 Proof of publication; uniform affidavits required.
50.051 Proof of publication;form of uniform affidavit.
50.061 Amounts chargeable.
50.071 Publication costs;court docket fund.
50.011 Where and in what language legal notices to be published.t
Whenever by statute an official or legal advertisement or a publication,or notice in a newspaper has been or is directed or permitted in
the nature of or in lieu of process, or for constructive service, or in initiating, assuming, reviewing, exercising or enforcing jurisdiction or
power,or for any purpose,including all legal notices and advertisements of sheriffs and tax collectors,the contemporaneous and continuous
intent and meaning of such legislation all and singular,existing or repealed,is and has been and is hereby declared to be and to have been,
and the rule of interpretation is and has been, a publication in a newspaper printed and published periodically once a week or oftener,
containing at least 25 percent of its words in the English language,entered or qualified to be admitted and entered as'second-class matter at
a post office in the county where published,for sale to the public generally,available to the public generally for the publication of official or
other notices and customarily containing information of a public character or of interest or of value to the residents or owners of property in
the county where published,or of interest or of value to the general public.
History.-s. 2, ch.3022, 1877; RS 1296; GS 1727; s. 1, ch. 5610, 1907; RGS 2942; s. 1, ch. 12104, 1927; CGL 4666,4901; s. 1, ch.
63-387;s. 6, ch. 67-254.
'Note.-Redesignated as"Periodicals"by the United States Postal Service, see 61 F.R. 10123-10124, March 12, 1996.
Note.-Former s.49.01.
50.021 Publication when no newspaper in county.-
When any law,or order or decree of court,shall direct advertisements to be made in any county and there be no newspaper published in
the said county,the advertisement may be made by posting three copies thereof in three different places in said county,one of which shall be
at the front door of the courthouse,and by publication in the nearest county in which a newspaper is published.
History.-RS 1297;GS 1728; RGS 2943; CGL 4667;s.6, ch. 67-254.
Note.-Former s.49.02.
50.031 Newspapers in which legal notices and process may be published.-
No notice or publication required to be published in a newspaper in the nature of or in lieu of process of any kind, nature,character or
description provided for under any law of the state,whether heretofore or hereafter enacted,and whether pertaining to constructive service,
or the initiating,assuming,reviewing,exercising or enforcing jurisdiction or power,by any court in this state,or any notice of sale of property,
real or personal,for taxes, state, county or municipal, or sheriffs, guardian's or administrator's or any sale made pursuant to any judicial
order,decree or statute or any other publication or notice pertaining to any affairs of the state,or any county, municipality or other political
subdivision thereof,shall be deemed to have been published in accordance with the statutes providing for such publication,unless the same
shall have been published for the prescribed period of time required for such publication,in a newspaper which at the time of such publication
shall have been in existence for 1 year and shall have been entered as 'second-class mail matter at a post office in the county where
published,or in a newspaper which is a direct successor of a newspaper which together have been so published;provided,however,that
nothing herein contained shall apply where in any county there shall be no newspaper in existence which shall have been published for the
length of time above prescribed.No legal publication of any kind,nature or description,as herein defined,shall be valid or binding or held to
be in compliance with the statutes providing for such publication unless the same shall have been published in accordance with the provisions
of this section. Proof of such publication shall be made by uniform affidavit.
History.-ss. 1-3, ch. 14830, 1931; CGL 1936 Supp.4274(1);s.7,ch.22858, 1945;s.6, ch.67-254;s. 1,ch. 74-221.
'Note.-Redesignated as"Periodicals"by the United States Postal Service, see 61 F.R. 10123-10124, March 12, 1996.
Note.YFormer s.49.03.
50.041 Proof of publication; uniform affidavits required.-
(1)All affidavits of publishers of newspapers(or their official representatives)made for the purpose of establishing proof of publication of
public notices or legal advertisements shall be uniform throughout the state.
(2)Each such affidavit shall be printed upon white bond paper containing at least 25 percent rag material and shall be 81/2 inches in width
and of convenient length, not less than 51/2 inches.A white margin of not less than 21/2 inches shall be left at the right side of each affidavit
form and upon or in this space shall be substantially pasted a clipping which shall be a true copy of the public notice or legal advertisement for
which proof is executed.
(3) In all counties having a population in excess of 450,000 according to the latest official decennial census, in addition to the charges
which are now or may hereafter be established by law for the publication of every official notice or legal advertisement,there may be a charge
not to exceed$2 for the preparation and execution of each such proof of publication or publisher's affidavit.
History.Vs. 1, ch. 19290, 1939; CGL 1940 Supp.4668(1);s. 1, ch. 63-49;s.26, ch. 67-254;s. 1, ch. 76-58.
Note.vFormer s.49.04.
50.051 Proof of publication;form of uniform affidavit.V
The printed form upon which all such affidavits establishing proof of publication are to be executed shall be substantially as follows:
42.00-039(Rev 11/06)
NAME OF NEWSPAPER
Published(Weekly or Daily)
(Town or City) (County) FLORIDA
STATE OF FLORIDA
COUNTY OF
Before the undersigned authority personally appeared , who on oath says that he or she is of the , a
newspaper published at in County,Florida;that the attached copy of advertisement,being a in the
matter of in the Court,was published in said newspaper in the issues of
Affiant further says that the said is a newspaper published at ,in said County,Florida,and that the said
newspaper has heretofore been continuously published in said County, Florida, each and has been entered as
'second-class mail matter at the post office in in said County, Florida,for a period of 1 year next preceding the first
publication of the attached copy of advertisement;and affiant further says that he or she has neither paid nor promised any person,firm or
corporation any discount,rebate,commission or refund for the purpose of securing this advertisement for publication in the said newspaper.
Sworn to and subscribed before me this day of , 19_, by , who is personally known to me or who has
produced (type of identification)as.identification.
(Signature of Notary Public)
(Print, Type, or Stamp Commissioned Name of Notary Public)
(Notary Public)
History.-s. 2, ch. 19290, 1939;CGL 1940 Supp.4668(2);s. 6, ch. 67-254;s. 1,ch. 93-62; s.291, ch. 95-147.
'Note.1Redesignated as"Periodicals"by the United States.Postal Service, see6l F.R. 10123-10124, March 12, 1996.
Note.-Former s.49.05.
50.061 Amounts chargeable.v
(1)The publisher of any newspaper publishing any and all official public notices or legal advertisements shall charge therefore the rates
specified in this section without rebate, commission or refund.
(2) The charge for publishing each such official public notice or legal advertisement shall be 70 cents per square inch for the first
insertion and 40 cents per square inch for each subsequent insertion, except that:
(a) In all counties having a population of more than 304,000 according to the latest official decennial census,the charge for publishing
each such official public notice or legal advertisement shall be 80 cents per square inch for the first insertion and 60 cents per square inch for
each subsequent insertion.
(b) In all counties having a population of more than 450,000 according to the latest official decennial census,the charge for publishing
each such official public notice or legal advertisement shall be 95 cents per square inch for the first insertion and 75 cents per square inch for
each subsequent insertion.
(3)Where the regular established minimum commercial rate per square inch of the newspaper publishing such official public notices or
legal advertisements is in excess of the rate herein stipulated,said minimum commercial rate per square inch may be charged for all such
legal advertisements or official public notices for each insertion,except that a governmental agency publishing an official public notice or legal
advertisement may procure publication by soliciting and accepting written bids from newspapers published in the county,in which case the
specified charges in this section do not apply.
(4)All official public notices and legal advertisements shall be charged and paid for on the basis of 6-point type on 6-point body,unless
otherwise specified by statute.
(5) Any person violating a provision of this section, either by allowing or accepting any rebate, commission, or refund, commits a
misdemeanor of the second degree, punishable as provided in s. 775.082 or s. 775.083.
(6) Failure to charge the rates prescribed by this section shall in no way affect the validity of any official public notice or legal
advertisement and shall not subject same to legal attack upon such grounds.
History.-s.3, ch.3022, 1877;RS 1298;GS 1729; RGS 2944;S. 1,ch. 12215, 1927;CGL 4668;ss. 1,2,2A,2B,ch.20264, 1941;s. 1,
ch.23663, 1947; s. 1, ch. 57-160;s. 1, ch.63-50; s. 1, ch.65-569; s. 6, ch. 67-254;s. 15, ch. 71-136;s. 35, ch.73-332;s. 1, ch.90-279.
Note.yFormer s. 49.06.
50.071 Publication costs;court docket fund.V
(1)There is established in Broward,Dade,and Duval Counties a court docket fund for the purpose of paying the cost of the publication of
the fact of the filing of any civil case in the circuit court in those counties by their counties by their style and of the calendar relating to such
cases.A newspaper qualified under the terms of s.50.011 shall be designated as the record newspaper for such publication by an order of a
majority of the judges in the judicial circuit in which the subject county is located and such order shall be filed and recorded with the clerk of
the circuit court for the subject county. The court docket fund shall be funded by a service charge of$1 added to the filing fee for all civil
actions,suits,or proceedings filed in the circuit court of the subject county.The clerk of the circuit court shall maintain such funds separate
and apart,and the aforesaid fee shall not be diverted to any other fund or for any purpose other than that established herein.The clerk of the
circuit court shall dispense the fund to the designated record newspaper in the county on a quarterly basis.The designated record newspaper
may be changed at the end of any fiscal year of the county by a majority vote of the judges of the judicial circuit of the county so ordering 30
days prior to the end of the fiscal year, notice of which order shall be given to the previously designated record newspaper.
(2) The board of county commissioners or comparable or substituted authority of any county in which a court docket fund is not
specifically established in subsection (1) may, by local ordinance, create such a court docket fund on the same terms and conditions as
established in subsection (1).
(3) The publishers of any designated record newspapers receiving the court docket fund established in subsection (1)shall, without
charge, accept legal advertisement for the purpose of service of process by publication under s. 49.011(4), (10), and (11) when such
publication is required of persons authorized to proceed as insolvent and poverty-stricken persons under s.57.081.
History.-s. 1, ch. 75-206.
42.00-039(Rev 11/06)
EXHIBIT"A"
All activities shall be implemented as set forth in the plans,specifications and performance criteria as approved by
this permit.Any deviation from the permitted activity and the conditions for undertaking that activity shall constitute
a violation of this permit.
2. This permit or a copy thereof,complete with all conditions,attachments,exhibits,and modifications, shall be kept
at the work site of the permitted activity. The complete permit shall be available for review at the work site upon
request by District staff. The permittee shall require the contractor to review the complete permit prior to
commencement of the activity authorized by this permit.
3. For general permits authorizing incidental site activities,the following limiting general conditions shall also apply:
a. If the decision to issue the associated individual permit is not final within 90 days of issuance of the
incidental site activities permit,the site must be restored by the permittee within 90 days after notification
by the District. Restoration must be completed by re-contouring the disturbed site to previous grades and
slopes re-establishing and maintaining suitable vegetation and erosion control to provide stabilized
hydraulic conditions. The period for completing restoration may be extended if requested by the permittee
and determined by the District to be warranted due to adverse weather conditions or other good cause. In
addition,the permittee shall institute stabilization measures for erosion and sediment control as soon as
practicable, but in no case more than 7 days after notification by the District.
b. The incidental site activities are commenced at the permittee's own risk. The Governing Board will not
consider the monetary costs associated with the incidental site activities or any potential restoration costs
in making its decision to approve or deny the individual environmental resource permit application.
Issuance of this permit shall not in any way be construed as commitment to issue the associated individual
environmental resource permit.
4. Activities approved by this permit shall be conducted in a manner which does not cause violations of state water
quality standards. The permittee shall implement best management practices for erosion and a pollution control to
prevent violation of state water quality standards. Temporary erosion control shall be implemented prior to and
during construction,and permanent control measures shall be completed within 7 days of any construction activity.
Turbidity barriers shall be installed and maintained at all locations where the possibility of transferring suspended
solids into the receiving waterbody exists due to the permitted work. Turbidity barriers shall remain in place at all
locations until construction is completed and soils are stabilized and vegetation has been established. Thereafter
the permittee shall be responsible for the removal of the barriers. The permittee shall correct any erosion or
shoaling that causes adverse impacts to the water resources.
5. Water quality data for the water discharged from the permittee's property or into the surface waters of the state
shall be submitted to the District as required by the permit. Analyses shall be performed according to procedures
outlined in the current edition of Standard Methods for the Examination of Water and Wastewater by the American
Public Health Association or Methods for Chemical Analyses of Water and Wastes by the U.S. Environmental
Protection Agency. If water quality data are required,the permittee shall provide data as required on volumes of
water discharged, including total volume discharged during the days of sampling and total monthly volume dis-
charged from the property or into surface waters of the state.
ERP General Conditions
Individual (Construction, Conceptual, Mitigation Banks), General,
Incidental Site Activities, Minor Systems
Page 1 of 3
41.00-023{03/04)
6. District staff must be notified in advance of any proposed construction dewatering. If the dewatering activity is
likely to result in offsite discharge or sediment transport into wetlands or surface waters, a written dewatering plan
must either have been submitted and approved with the permit application or submitted to the District as a permit
prior to the dewatering event as a permit modification. A water use permit may be required prior to any use
exceeding the thresholds in Chapter 40D-2, F.A.C.
7. Stabilization measures shall be initiated for erosion and sediment control on disturbed areas as soon as
practicable in portions of the site where construction activities have temporarily or permanently ceased, but in no
case more than 7 days after the construction activity in that portion of the site has temporarily or permanently
ceased.
8. Off-site discharges during construction and development shall be made only through the facilities authorized by
this permit. Water discharged from the project shall be through structures having a mechanism suitable for
regulating upstream stages. Stages may be subject to operating schedules satisfactory to the District.
9. The permittee shall complete construction of all aspects of the surface water management system, including
wetland compensation (grading, mulching, planting), water quality treatment features, and discharge control
facilities prior to beneficial occupancy or use of the development being served by this system.
10. The following shall be properly abandoned and/or removed in accordance with the applicable regulations:
a. Any existing wells in the path of construction shall be properly plugged and abandoned by a licensed well
contractor. -
b. Any existing septic tanks on site shall be abandoned at the beginning of construction.
c. Any existing fuel storage tanks and fuel pumps shall be removed at the beginning of construction.
11. All surface water management systems shall be operated to conserve water in order to maintain environmental
quality and resource protection;to increase the efficiency of transport, application and use;to decrease waste;to
minimize unnatural runoff from the property and to minimize dewatering of offsite property.
12. At least 48 hours prior to commencement of activity authorized by this permit, the permittee shall submit to the
District a written notification of commencement indicating the actual start date and the expected completion date.
13. Each phase or independent portion of the permitted system must be completed in accordance with the permitted
plans and permit conditions prior to the occupation of the site or operation of site infrastructure located within the
area served by that portion or phase of the system. Each phase or independent portion of the system must be
completed in accordance with the permitted plans and permit conditions prior to transfer of responsibility for
operation and maintenance of that phase or portion of the system to a local government or other responsible entity.
14. Within 30 days after completion of construction of the permitted activity, the permittee shall submit a written
statement of completion and certification by a registered professional engineer or other appropriate individual as
authorized by law,utilizing the required Statement of Completion and Request for Transfer to Operation Entity form
identified in Chapter 40D-1, F.A.C. Additionally,if deviation from the approved drawings are discovered during the
certification process the certification must be accompanied by a copy of the approved permit drawings with
deviations noted.
ERP General Conditions
Individual (Construction, Conceptual, Mitigation Banks), General,
Incidental Site Activities, Minor Systems
Page 2 of 3
41.00-023(03/04)
15. This permit is valid only for the specific processes,operations and designs indicated on the approved drawings or
exhibits submitted in support of the permit application. Any substantial deviation from the approved drawings,
exhibits, specifications or permit conditions, including construction within the total land area but outside the
approved project area(s), may constitute grounds for revocation or enforcement action by the District, unless a
modification has been applied for and approved. Examples of substantial deviations include excavation of ponds,
ditches or sump areas deeper than shown on the approved plans.
16. The operation phase of this permit shall not become effective until the permittee has complied with the
requirements of the conditions herein, the District determines the system to be in compliance with the permitted
plans, and the entity approved by the District accepts responsibility for operation and maintenance of the system.
The permit may not be transferred to the operation and maintenance entity approved by the District until the
operation phase of the permit becomes effective. Following inspection and approval of the permitted system by
the District,the permittee shall request transfer of the permit to the responsible operation and maintenance entity
approved by the District, if different from the permittee. Until a transfer is approved by the District,the permittee
shall be liable for compliance with the terms of the permit.
17. Should any other regulatory agency require changes to the permitted system, the District shall be notified of the
changes prior to implementation so that a determination can be made whether a permit modification is required.
18. This permit does not eliminate the necessity to obtain any required federal, state, local and special District
authorizations including a determination of the proposed activities'compliance with the applicable comprehensive
plan prior to the start of any activity approved by this permit.
19. This permit does not convey to the permittee or create in the permittee any property right, or any interest in real
property, nor does it authorize any entrance upon or activities on property which is not owned or controlled by the
permittee,or convey any rights or privileges other than those specified in the permit and Chapter 40D-4 or Chapter
40D-40, F.A.C.
20. The permittee shall hold and save the District harmless from any and all damages,claims,or liabilities which may
arise by reason of the activities authorized by the permit or any use of the permitted system.
21. Any delineation of the extent of a wetland or other surface water submitted as part of the permit application,
including plans or other supporting documentation,shall not be considered binding unless a specific condition of
this permit or a formal determination under section 373.421(2), F.S., provides otherwise.
22. The permittee shall notify the District in writing within 30 days of any sale, conveyance, or other transfer of
ownership or control of the permitted system or the real property at which the permitted system is located. All
transfers of ownership or transfers of a permit are subject to the requirements of Rule 40D-4.351, F.A.C. The
permittee transferring the permit shall remain liable for any corrective actions that may be required as a result of
any permit violations prior to such sale, conveyance or other transfer.
23. Upon reasonable notice to the permittee, District authorized staff with proper identification shall have permission to
enter, inspect,sample and test the system to insure conformity with District rules,regulations and conditions of the
permits.
24. If historical or archaeological artifacts are discovered at any time on the project site, the permittee shall
immediately notify the District and the Florida Department of State, Division of Historical Resources.
25. The permittee shall immediately notify the District in writing of any previously submitted information that is later
discovered to be inaccurate.
ERP General Conditions
Individual (Construction, Conceptual, Mitigation Banks), General,
Incidental Site Activities, Minor Systems
Page 3 of 3
41.00-023{03/04)
PART II HEARINGS INVOLVING PART III PROCEEDINGS AND HEARINGS
DISPUTED ISSUES OF MATERIAL FACT NOT INVOLVING DISPUTED ISSUES OF
MATERIAL FACT
28-106.201 Initiation of Proceedings.
(1) Unless otherwise provided by statute, initiation of 28-106.301 Initiation of Proceedings
proceedings shall be made by written petition to the agency (1) Initiation of a proceeding shall be made by written
responsible for rendering final agency action. The term petition to the agency responsible for rendering final agency
"petition"includes any document that requests an evidentiary action. The term "petition" includes any document which
proceeding and asserts the existence of a disputed issue of requests a proceeding. Each petition shall be legible and on
material fact.Each petition shall be legible and on 8 '/z by 11 8 '/2 by 11 inch white paper or on a form provided by the
inch white paper. Unless printed,the impression shall be on agency.Unless printed,the impression shall be on one side of
one side of the paper only and lines shall be double-spaced. the paper only and lines shall be double-spaced.
(2)All petitions filed under these rules shall contain: (2)All petitions filed under these rules shall contain:
(a) The name and address of each agency affected and (a) The name and address of each agency affected and
each agency's file or identification number,if known; each agency's file or identification number,if known;
(b) The name, address, and telephone number of the (b) The name, address, and telephone number of the
petitioner; the name, address, and telephone number of the petitioner; the name, address, and telephone number of the
petitioner's representative,if any,which shall be the address petitioner's representative,if any,which shall be the address
for service purposes during the course of the proceeding;and for service purposes during the course of the proceeding;and
an explanation of how the petitioner's substantial interests will an explanation of how the petitioner's substantial interests will
be affected by the agency determination; be affected by the agency determination;
(c)A statement of when and how the petitioner received (c)A statement of when and how the petitioner received
notice of the agency decision; notice of the agency decision;
(d)A statement of all disputed issues of material fact. If (d) A concise statement of the ultimate facts alleged,
there are none,the petition must so indicate; including the specific facts the petitioner contends warrant
(e) A concise statement of the ultimate facts alleged, reversal or modification of the agency's proposed action;
including the specific facts the petitioner contends warrant (e) A statement of the specific rules or statutes the
reversal or modification of the agency's proposed action; petitioner contends require reversal or modification of the
(f) A statement of the specific rules or statutes the agency's proposed action;and
petitioner contends require reversal or modification of the (f) A statement of the relief sought by the petitioner,
agency's proposed action;and stating precisely the action petitioner wishes the agency to
(g) A statement of the relief sought by the petitioner, take with respect to the agency's proposed action.
stating precisely the action petitioner wishes the agency to (3) If the petition does not set forth disputed issues of
take with respect to the agency's proposed action. material fact,the agency shall refer the matter to the presiding
(3)Upon receipt of a petition involving disputed issues of officer designated by the agency with a request that the matter
material fact,the agency shall grant or deny the petition,and be scheduled for a proceeding not involving disputed issues
if granted shall,unless otherwise provided by law,refer the of material fact.The request shall be accompanied by a copy
matter to the Division of Administrative Hearings with a of the petition and a copy of the notice of agency action.
request that an administrative law judge be assigned to (4)A petition shall be dismissed if it is not in substantial
conduct the hearing.The request shall be accompanied by a compliance with subsection (2) of this Rule or it has been
copy of the petition and a copy of the notice of agency action. untimely filed.Dismissal of a petition shall,at least once,be
(4) A petition shall be dismissed if it is not in substantial without prejudice to petitioner's filing a timely amended
compliance with subsection (2) of this rule or it has been petition curing the defect,unless it conclusively appears from
untimely filed.Dismissal of a petition shall,at least once,be the face of the petition that the defect cannot be cured.
without prejudice to petitioner's filing a timely amended (5) The agency shall promptly give written notice to all
petition curing the defect,unless it conclusively appears from parties of the action taken on the petition, shall state with
the face of the petition that the defect cannot be cured. particularity its reasons if the petition is not granted,and shall
(5) The agency shall promptly give written notice to all state the deadline for filing an amended petition if applicable.
parties of the action taken on the petition, shall state with
particularity its reasons if the petition is not granted,and shall Specific Authority 120.54(5) F.S. Law Implemented
state the deadline for filing an amended petition if applicable. 120.54(5), 120.569, 120.57 F.S. History—New 4-1-97,
Amended 9-17-98.
Specific Authority 120.54(3), (5) F.S. Law Implemented
120.54(5), 120.569, 120.57 F.S. History-New 4-1-97,
Amended 9-17-98.
42.00-028(10/99)
I I I I I I I I I I I 1111111111111111111111111111111111111111111111111
2008063627
Permit Number: Rcpt:1177189 Ree: 18.60
DS: 0.00 IT: 0.00
Parcel Identification Number: Sec 35,TWP 25S, RNG 21E 04/29/08 Dpt,y Clerk
Prepared By: Dennis R. Cregan
c/o Kaplan Development Group JED PITTMAN, PASCO COUNTY CLERK
145 Froehlich Farm Blvd 04/29/08 12:10pm 1 of 2
Woodbury, NY 11797 OR BK 7823 PG 832
Return To: SAME
NOTICE OF COMMENCEMENT
State of:Florida
Florida
County of: Pasco
The undersigned hereby give notice that improvement(s)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):
LEGAL DESCRIPTION
That part of Tracts 71 and 74, ZEPHYRHILLS COLONY COMPANY LANDS, in Section 35,
Township 25 South,Range 21 East,as per plat thereof recorded in Plat Book 1,Page 55, Public Records
of Pasco County, Florida, lying West of Dairy Road, LESS AND EXCEPT the Northerly 10.00 feet of
said Tract 71 and LESS AND EXCEPT the South 154.80 feet of said Tract 74; SUBJECT TO an
easement for ingress and egress over and across the North 30.00 feet of the South 184.80 feet of said
Tract 74 LESS the East 110 feet thereof.
2 General description of improvement(s):
New construction of a three story, 108 unit 103,810 Square feet independent living
facility for seniors. Project includes building construction and all associated site
work.
3 Owner Information:
Zephyrhills Independent Living, LLC Telephone: 516-496-1505 ext 16
145 Froehlich Farm Blvd Fax: 516-496-1509
Woodbury, NY 11797 Interest in Property: Owner
OR BK 7823 PG 833
2 of 2
4 Fee Simple Title Holder: (If other than owner shown above)
Name: SAME Telephone: SAME
Address: Fax:
5 Contractor:
The Douglas Company Telephone: (407)370-2001
5401 South Kirkman Rd., Suite 750 Fax: (407)370-2005
Orlando, FL 32819
6 Surety: (If any)
Lexington Insurance Co. Telephone: 215-246-1122
c/o Marsh USA Fax: 215-246-1399
2 Logan Square Amount of Bond: $15,050,000
Philadelphia, PA 19103
7 Lender: (If any)
Name: Telephone:
Address: Fax:
8 Persons within the State of Florida designated by Owner upon whom notices or other
documents may be serviced as provided by§713.13(1)(a)7.,Florida Statutes.
Dennis Robinson Telephone: 407-370-2001 ext 311
c/oThe Douglas Company Fax:
5401 South Kirkman Rd., Suite 750
Orlando, FL 32819
9 In addition to Himself, or herself, Owner designates the following to receive a copy of the
Lienor's Notice as provided in§713.13(1)(a)7.,Florida Statutes.
Dennis R. Cregan Telephone: 516-496-1505 ext 16
c/o Kaplan Development Group Fax: 516-496-1509
145 Froehlich Farm Blvd
Woodbury, NY 11797
10 Expiration date of Notice of Commencement(the expiration date is one year from the date of
recording unless a different date is specified):
D U
Da a S' ed ,' 'nature of Owner Note: per§713.13(1)(g),
"owner must sign...and no one else may be
permitted to sign in his or her stead."
Sworn to and subscribe fore me this // date92/Y.a'PC+. ,2007 by
Who is personnally known to me OR — produced
as identification.
Signatu ary(Seal to appear below)
LINDA LUCKMAN
NOTARY PUBLIC,State of New York
No.01 LU6162202
Qualified In Nassau Coun STATE OF FLORIDA
Commission Expires March 5,yoz/— COUNTY OF PASCO
THIS IS TO CERTIFY THAT THE FOREGOING IS A
TRUE AND CORRECT COPY OF THE DOCUMENT ON FILE
OR OF PUBLIC RECORD IN THIS OFFICS, TNESS MY
HAND ND OFFICIAi SEAL 1: Lsc' 1 DAY OF
z
N,C KUFC iTC
BY CLERK
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COMMRRCIAI.. Attaotl(3)polo of Brildbrg Plana;(t)satet Enaay Femis.ROW PdllRltfar new oorabttotlmL
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