HomeMy WebLinkAbout08-8257
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
8257
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost: 1,450.00
Date Issued: 8/29/2008
Total Fees: 95.00
Amount Paid: 95.00
Date Paid: 8/29/2008 Phone:
Work Desc: INSTALL SIGNAGE ON FASICA FOR RENT MAX
8257
SIGN
WALL SIGN
NOT APPLICABLE
Address: 7346 ALL BLVD
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 35-25-21-0010-08800-0000
T W RETAIL LLC
725 CONSHOHOCKEN STATE RD
BALA CYNEWYD PA 190042102
888 777-3557
(i/laY
~ / q.- J
ELECTRICAL ROUGH
FINAL
REINSPECTlON FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection
trips are necessary due to anyone 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 SIG TURE PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Site:
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS . --:J
. , . ;yr~~t' (bVVf(ljlC
~kk~'4-k 3jn 0 SV0 .
8 - z,$ -Jfj
73lf ~ ((;fi-/( ,;1/ tlo
i7isla-d S~r eJ/eKl5hn1 ~ft.c0Gdn laS"c~
ContractorlHomeowner:
Date Received:
Permit Type:
Approved wino comments~
Approved withe below comments: 0 Denied withe below comments: 0
en sheet shall be kept with the permit and/or plans.
r)b-~$
Date Contractor and/or Homeowner
(Required when comments are present)
813-780-0020
# S2h/1
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
Owner's Name
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
Date Received
WORK PROPOSED
NEW CONSTR
INSTALL
I]LVp
I
B
~ COMM
D
ADD/ALT
REPAIR
(OBTAINED ~ROPERTY TAX NOTICE)
SIGN ~ MOVE D
DEMOLISH
JOB ADDRESS
SUBDIVISION
D
B
PROPOSED USE D
TYPE OF CONSTRUCTION ~ BLOCK
DESCRIPTION OF WORK I /NS,4L.l..-
13~#y 7svl
It Lf S-() -<o<j ~
I
I
I
D
SFR
FRAME
D
D
D
CJrJ
I
OTHER
STEEL
I
D
OTHER I
BUILDING SIZE
Sf w-J.4('rL:
sa FOOTAGE I Lf, OOe)
,
I C.-,s ( C/1-
HEIGHT I .,3S r
BUILDING
1$
1$
1$
1$
D
I:ItWm
VALUATION OF TOTAL CONSTRUCTION
D
ELECTRICAL
AMP SERVICE
D
PROGRESS ENERGY
o WREC
D
D
GAS
ROOFING
SPECIALTY D
FLOOD ZONE AREA
OTHER
DYES
DNO
PLUMBING
D
MECHANICAL
VALUATION OF MECrlANICAL INSTALLATION
Address
COMPANY
IA.4A.tJIJ~,1", SIC~ ~,a/:.VluL
1@ N I FEE CURRENT ~
r (':-l- I - . ~
/'" Ct..r'!'Ucense# Iz.s/~Ooc:.;(;o:2..
I ~~~M2
~ FEE CURRENT ~
License # I
FINISHED FLOOR ELEVATIONS
BUILDER
SIGNATURE
ELECTRICIAN
SIGNATURE
COMPANY
REGISTERED
Address
PLUMBER
SIGNATURE
COMPANY
REGISTERED
~ FEE CURRENT
~
Address
MECHANICAL I
SIGNATURE .
Address I
OTHER I
SIGNATURE
Address I
License #
COMPANY
REGISTERED
Y I N FEE CURRENT
~
License #
COMPANY
REGISTERED
Y I N FEE CURRENT
~
License #
RESIDENTIAL
,
Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction,
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans wi Silt Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsllarge projects
Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new construction.
Minimum ten (10) working days after submittal date, Required onsite, Construction Plans, Stormwater Plans wi Silt Fence installed,
Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirerr.ents must meet compliance
Attach (2) sets of Engineered Plans.
....PROPERTy SURVEY required for all NEW construction.
- IlItI:". h-_,~ ---
COMMERCIAL
SIGN PERMIT
fIlII:ftft---
Directions:
Fill out application completely,
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement is required. (AlC 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 Ale
Driveways-Not over Counter if on public roadways..needs ROW
Fences (PloUSurvey/Footage)
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work, they are advised to contact the Pasco County Building Inspection Division-Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contrilctors, 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 pian is required.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT (F.S, 117.03)
CONTRACTOR__._____ ______________________
d~~~d and ~worn t r rm beforeme this -<-
whoTSt~r~~so:aiIY no~nto;ne;;r ha~~~e-p~~---------
----,----- ---- ----- as identificatiOn
-----~-R - ~~_LNotary Public
C ission:*~~" ;;\ Com~D 621833
1~;':- -::~-Bplres Dtll,;tllllbel'12-,-2&ffi-------
______________...,,"... 00,,0;",-_ B~ Thru Troy Fain Insurance 8oo-385-70t9
Name of Notary typet~~d or-st~m-p-ed---------------------------
OWNER OR AGENT .______ _____
~"~rt"..2I8db sworn to (or , ~orf' me th~
~hois/~repers~naTiYkno,;ntom{;;rhas/hL;_v~od~ceT-
-----_ _______________ ____as Identification
~~~
REAL ESTATE lAW DEPARTMENT
August 4, 2008
Via First Class Mail
Mr. Darren Brock
Rent Max, LLC
2901 W. Busch Blvd, Ste 701
Tampa, FL 33618
Re: 7342 Gall Blvd, Zephyrhills, FL; Letter of Authorization
Store No. 2352
Dear Mr. Brock:
Please be advised that your proposed signage, as depicted on Exhibit "A" (attached) for
the Subleased premises at 7342 Gall Boulevard in Zephyrhills, Florida, is hereby
approved by Walgreens. Also, please accept this letter as notice that Timothy Lage,
AAA Wholesale Sign & Service, is hereby authorized to apply for and obtain any and all
permits needed for the installation of signage on or at our property listed above on
behalf of RentMax.
If you have any questions, please contact me.
Very truly yours,
WALGREENS
Pjilf;
D'Jibril Young
Attorney
DY/lm
Enclosures
(Notary page to follow)
Walgreen Realty Resources, LLC CORPORATE OFFICES 104 WILMOT ROAD MS 1420 DEERFIELD, ILLINOIS 60015
PHONE (847) 315-3206, FAX (847) 315-4825; EMAIL: D'JibriI.Young@walgreens.com
08-24-2008 20:49 FROM-OAKES AND ASSOCIATES INS
:.:. . ~~,C!~~": .-. ::9~:~)JrH~~n:r~::~Yr}~~~~9~~P!::J::;~:.:71~~;~~~~:.~~:~:~~:~~~~s:;~~:\~~~~ F~:~42S/0S
PROOlJCER THIS CERTIFicATE IS' iSSUED AS'A. MATreR OF iNFORMATION
ONL. Y AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR
AI. TER THE COVERAGE AFFORDED BY THE POLICIES eEI.OW.
COMPANIES AFFORDING COVERAGE
Oakes & Associates Insurance
4111 Land O' Lakes Blvd. #108
Land 0' Lakes FL 34639
Phe,\eNo, 813-996~4111 FaNe.
INSuRED
COMPANY
A Southern Owners Insurance Co.
COMPANY
B Auto Owners Insurance Co.
D T :I Sign Group, Inc. dba COMPANY
AM. Wholesale Sign & Service C
1936 Bruce B Downs Blvd. # 302 COMPN<<
wesley Chapel FL 33543 D
.cq.ye~M~::.:: ::::::: .' :::'::::;:;'::::::.:':":;::,: ::;:;.::- :.:.:::::'::;:.:::::: ::::.::::::::::::;.:';::::.:.::::;:;:; ;:::;:;:;:::::::::::.:::;:;';:::::::::;:::::::;:::;:::;:;.::::::::::::::;:;,;:;'::;::::::.;';:::.:::::::;::::::;::;:;:::<:::::::: ::;:::::::;::::::::
THIS IS TO CEfl.T1NTHA1 T~'E' POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSuRED NAMED ABOVE'FOR nlE POLICY PERIOD' .. ' ", '.
INDICATED, NO'l'WlTI,ISTANDING AI'lY REQUIREMEPolT. TERM OR CONOITION OF ANY CON1AACT OR OTHER DOCuMENT W1'1'H RESPECT '1'0 WHICH THIS
CERTIFICATE MAY BE ISSUIID OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO All THE 'l'ERMS,
ExC~USIONS AND CONDITIONS OF SUCI'i POLICIES. LIMITS SHOWN MAV HAvg BEEN REDUCED BY PAID ClAIMS.
~OMOBILE I.IIIDILITY
A ..!.. ANY AUTO
_ ALL OWNED AuTOS
SCHEDULED AUTOS
f--
~ Hlfl.ED AU10S
X NON-OWNED AuTOS
f--
46-603-563-00
POLICY EFFECTIVE pOLICY EXPIRATION UMrTS
DATE (MMIDDIYY) DATE (MMIOO/VV)
GENERAL AGGREGATE $ 1000000
OS/OS/08 08/05/09 PRODUCTS-COM~OPAGe $ 1000000
PERSONAL & ADV 'NJURY 51000000
EACH OCCURRENCE ~ 1000000
FIRE DAMAGE (Any one foral S 50000
MED EXP (Any one pelton) $ 5000
02/22/08 02/22/09 cOMBINED SINO~E LIMIT 5300000
BODILY INJURY $
(Per pet8on)
BODILY INJURY $
(Per sCl:idanl)
PROPERTY DAMAGE $
&0,., TYPE OF INSuRAI'lCE POLICy NUMBER
~NERA~ LIABILITY
A X COMMERClALCENERALLlA81LITY 032312-20698408-08
...... , CLAIMS MADE [!J OCCuR
. _ OWNER'S & CONTRACTOR'S PROT
-~
THE PRQPRIE'l'Ofl.l
PARTIIIERS/ExECUTIVE
OFFICERS ARE:
OTHER
RINCL
EXCL
AUTOONLV-~ACCIDEflIT S
. ..... ... ....... ..
OTHER THAN AlITO ONLY: :::'::::::::. :::::,:.::::::-::::::::::,:
EACH ACCIDENT $
AGGREGATE S
EACH OCCURRENCE S
AGGREGATE $
S
-rOl~- ::::;:::::::;:;:;"::;:::' .::::::::.::
S
$
$
IWC STATU.:_I
TOR'/' LIMITs
EL EACH ACCIDENT
EL DISEASE - POLICY LIMIT
EL OISEASE -l!A EMPLOyEE
GARAGE LIABILITY
-
A1>lY AUTO
~
1-
EXCess LIAllI~ITY
~ UMBAel.~ FORM
II OTHER THAN UM8RELLA FORM
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
DESCRIPTION OF OPERATlOPolSILOCATlONSNEHICLESISPEClAL ITEMS
: ~~RT:If.!~f.'iT~::H~~P'~~:: :::-: :;:::::::::: ::::::::::.:.:.; ::;::: :::::.:.: :>::::;::.:::.::: :;'::: ::::::.;:::::::: :::::::;. :::Clj.~!:!~p:.;AT!Q~:::;:: .:: ;::: ::::: ::::::.: :;:: ::::::::::.:.:. :::::::::: ::: ::;:;:: :.:;::';:: :;:;:;.;:;:;.; .:::: :::::::. :::::::::
ZEPRDX SHOULD ANY OF THE ABOVE DesCRIBED POLICIES BE CANCELL.I!O BEFOAE "HE
exPIRATION DATE THEReOF. THE ISSUING COMPANY WILl. ENDEAVOR '1'0 MI~L
.ll.- DAYS wRITTEN NO'l'lce TO THE CERTIFICATE HOLDeR NAMeD TO THE LEFT,
Ci ty 0 f zephyrhill S BUT FAII.Ufl,E TO MAIL SUCH NOTICE SHALL l~posE NO 08uGATION OR LlA8ILITY
5335 8th serest
zephyrhi 118 PL 33540 OF ANY KIN!) uPON TWE eoUPANY, ITS ACENTS OR RePRES~TAT1VE5,
1Jdml};rANE
:A.CORP.:~~:H~i:::::' ;:.::::::>;.:,:::::::::.;::.::::::.,::::;:;::'::::::;:::>::::::::';:;:::::::::::'::::::;<:: ::.::::::::::::::::.:::::::::::::::::::::::::::::l?i19r:::::::::;:;::'::~::;oj~P~P:QlZl~I?!,-~n.(.)N:~~.!{I(::
~ 8/25/2008 09:52
Lion Insurance
Lion Insurance Company"CITY OF ZEPHYRHILLS
1/1
CERTIFICATE OF LIABILITY INSURANCE Date
8/25/2008
Producer: Lion Insurance Company This Certificate Is l5Sued as a matter of Information only and confers no rights
2739 U.S. Highway 19 N, upon the Certificate Holder. This Certificate does not amend, extend or alter
the coverage afforded by the policies below.
Holiday, FL 34691
Insurers Affording Coverage NAIC 41
Insured: South East Personnel Leasing, Inc. Insurer A: lion Insurance Company 11075
2739 U.S. Highway 19 N. Insurer B:
Holiday. FL 34691 Insurer c:
Insurer 0:
Insurer E:
Coverages
The poliCies 0 Insurance Ilsled below have been Issued to the Insured named above lor tile policy perIOd Indlcaled Nolwltllslandlng any reqUirement, term or condition 01 any conhacl or other document WltIl respect to which
tillS cenificale may be issued or may penain, the insurance aWorded by the policies descnbed herein IS subJect to allhe terms, exclusions, and conditions 01 such poliCies, Aggregale IfTlilS shown may have been reduced by
paid claims,
INSR ADDL Type of Insurance Policy Number Policy Effective Policy Expiration Date Limits
LTR INSRD Date
(MMIDOIYY) (MMIDOIYY)
GENERAL LIABILITY Each Occurrence $
- Commercial General Liability Damage 10 rented premises (EA
: :J Claims Made 0 Occur occurrence) $
- Med Exp $
- Personal Adv In~ry $
General aggregate limit applies per
:J Policy o Project o LOC General Aggregate $
Products. ComplOp Agg $
"UTOMOBILE LIABILITY Combined Single Umlt
- lEA Accident) $
Any AUlO
I- Bodlt; InJUIY
All Owned Autos
I- (Per Person) $
Scheduled Autos
I- Hired Autos Bodlt; Injury
- Non-Owned Autos (Per ACCIdent) $
- Property Damage
(Per ACCident) $
EXCESS/UMBRELLA LIABILITY Each Occurrence
q Occur o Claims Made Aggregate
Deductible
A Workers Compensation and we 71949 0110112008 0110112009 x I WC Stlllu- I 10TH-
Employers' Liability tON Limits ER
Any proprietor/partner/executive officer/member E.L. Each Accident $1,000,000
excluded? EL Disease - Ea Employee $1,000,000
If Yes, describe under special provisions below. E.L. Disease. Poticy Limits $1.000,000
other Lion Insurence Company is A.M. lest Complll1Y reted A- (Excellent). AMI # 12616
Descriptions of OperallonslLocatlonsNehlcleslExcluslons added by Endorsement/Special Provisions: Client 10: 29-60-024
Coverage only applies to active employee(s) of South East Persomel Leasing, Inc. that are leased to the following "Client Company":
011 Sign Group, Inc. dbe AAA Wholesele Sign end Service
Coverage only applies to injuries incurred by South East Personnel Leasing, Inc. active employee(s) , while working in Florida.
Coverage does not apply to statutory employee(s) or independent contractor(s) of the Client Company or cny other entity.
A list of the active employee(s) leased to the Client Company can be obtained by faxing a request to (727) 937-2138 or by calling (727) 938.5562.
FAX 813-907.9774 & 813.780-0021/ISSUE 06-25-08 (TO)
......n Dale 1 /2 /2008
CERTIFICATE HOLDER CANC ELLA TlON
CITY OF ZEPHYRHILLS Should any 01 the above described pOlicies be cancelled belore tile expiralioo date tIlereof, tile ISSUing .nsurerwill
endeavor to mail 30 days written notice to the certificate hotder named to the left. but failure to do so shall impose no
BUILDING DEPARTMENT obligation or habibty of ally' kind upon the insurer, its agents or represematives.
5335 8TH STREET ~ ~,-..
ZEPHYRHILLS FL 33542
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August 22, 2008
Municipality of City of Zephvrhills
. Building Department
To Whom It May Concern:
I, Tim Lage, State License ES 12000602 hereby authorize,
Len Stemple
to pick up and sign for the following permits:
7342 Gall Blvd, Zephyrhills, Rent Max
Please contact me with any questions.
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Phone: 813-907-6777, Fax: 813-907-9774, 1936 Bruce B Downs Blvd # 302, Wesley Chapel, FL 33544