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HomeMy WebLinkAbout09-9529 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 9529 BUILDING PERMIT Permit Number: 9529 Address: 7323 GREENSLOPE DR Permit Type: COMMERCIAL ZEPHYRHILLS, FL. Class of Work: ADD /ALT COMMERCIAL Township: Range: Book: Proposed Use: COMMERCIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 34- 25 -21- 0000 - 00300 -0081 Improv. Cost: 24,000.00 E; Date Issued: 9/14/2009 Name: RAMAPPA, DR. G.M. Total Fees: 405.24 Address: 7323 GREENSLOPE DR Amount Paid: 405.24 ZEPHYRHILLS, FL. 33542 Date Paid: 9/14/2009 Phone: (813)818 -9696 Work Desc: BUILD OUT SPACE MEDICAL 670 SQ FT UNIT 102 • A I = N I• NAL I B I LD E 225.00 L - I L 35.00 DAVID HARVEY ELECTRIC CO INC PLUMBING FEE 35.00 MECHANICAL FEE 35.00 ABSOLUTE AIR SYSTEMS INC FIRE PLAN REVIEW FEES 60.24 FIRE INSPECTION FEES 15.00 OLIVER PLUMBING LLC ij F•• - 2 • - •U 'L - MI IN ULA •N EILIN FOOTER BOND DUCTS INSULATED SEWER MISC. ROUGH ELECTRIC LINTEL MISC MISC. 1ST ROUGH PLUMB PRE -METER INSULATION WALL MISC. DUCTS INSTALLED WATER MISC DRIVEWAY PRE -SLAB SHEATHING MISC. MISC. CONSTRUCTION POLE FRAME MISC. MISC. REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection trips are necessary due to any one of the following reasons: a) wrong address b) condemned work resulting from faulty construction c) repairs or corrections not made when inspections called d) work not ready for inspection when called e) permit not posted on job site f) plans not at job site g) work not accessible. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management, state agencies or federal agencies. The payment of inspection fees shall be made before any further permits will be issued to the person owning same "Warning to owner: Your failure to record a notice of commencement may result in your paying twice for improvements to your property. If you intend to obtain financing, consult with your lender or an attorney before recording your notice of commencement." ? CONTRACTOR SIGNATURE PERMIT OFFI •T'R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER mil IA rin , 41 1 _ ����/ 11111111{ IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII11111IIIIIIII _ - - ?; ziri —i^�1 - D�e ..1_1.6 ... -. N OF - 2009129776 • aAeda ) 8.33913 Permit No. r .._ Rcpt: 1263383 Roc: 18.50 DS: 0. IT: 0.00 Property Identificati No 09/ 14/09 Dpty Clerk 34' 2V- .2 ( oa,®oo 00 ep 3 $ . - THE E UNDERSIGNED hereby be informs you gl y that the improvement will be made to certain real property, and in accordance with Section 713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT. 1.Description of property (legal description:) `. •y .• a) Street Address:. � — _ ' � ' � Ai 2. General description of improvements: • - : `� • a. PIMA ileIPTERF 3.Owner Information ( (oG - i' r, a) Name and address: - 0 . 1 la : . v %IN • b) Name and address of fee simple titleholder (if other than owner) �`�T��AP./�+ ` i • c) Interest in property • 6 ., . Ar / ' • ' 4.Contractor Information - a) Name,and address: S , Fa ft" D0,' .�( ` l G 2 f S' A0 ,� � (q tA __�} b) Telephone No.: � 5.Surety Information ' �� f 23 Fax No. (Opt.) � - o .1 ? 3 - a) Name and address: u • . .. b) Amount of Bond: c) Telephone No.: • Fax No. (Opt.) 6.Lender ! t -0 a) Name and address: Phone No. CD a u, 7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served: i x F o a) Name and address: o' . . / —. ► , . _.,..54 "• v - b) Telepone No.: 1713 4 /r/R Kt - S c F '[1Q Fax No. (Opt.) ' 03...T. 8.kn addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section (M n 713.13(1)(b), Florida Statutes: , a) Name and address: -u_ , d - . .., , • L 21St So t tfi �.... • t ��, �a ae i o b) Telephone No.: • - .Fax-No. l 9.Expiration date of Notice of Comm' cement (the expiration date is one year from the date of recordin different date is ~ xi specified): o 0. • WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF N F COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, . I - 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 YOUR LENDER OR AN ATTORNEY BEFORE O COMMENCIN CE. OF COMMENCEMENT. _ Pubic - S TATE of FLO • n . �, , Notary Pubic of flalda / COUNTY OF PASO! � CAmanatbn ExpYea.Da224; 2010' i c omm i ss i on # DD 1 , fits •'- epgod Thlplyh NSW M pajy am11. 0 Sine of Owner or Owner's 0 .. car/Director/Partner/Manager • • • Print Name ee , ffreg ing. instrument was acknowledged before me this 1 �( day of pe 20 on , by I'�i P ( n " , ��t as f)tst • in fact) for ��a (type of authority, e.g. officer, trustee,' attorney 1�� (name of party on behalf of whom " e executed). Personally Known OR Produced Identification V . Notary Signature • Type of Identification Produced CI oaCk4 brllrM ( . Name (print) - Verification pursuant to Section 92.525, Florida Statutes. Under penalties of perjury, I decl: . .. I have read the- going and that the facts stated in it are true to the best of my knowledge and belief. AO' • Signature ofNatural Person Si r •ng Above FORMSMOC,nsd2007 .. t'HULP, J. U'N1=IL, L;LLKK & COMPTROLLER r BY ,,/ i • / i : / ' . 1 0 DEPUTY CLERK 813 - 780 -0020 City of Zephyrhills Permit Application 44,0( 5 Fax- 813- 780 -0021 Building Department 1 • Date Received -' - Phone Contact for Permittin . • I 0 -- • •' _____ —Owner's Name ✓ a'M •RA>►AiWp - ze:',,A; ItMCs; . 064T k wner Phone 064 Number (727) t(,gryA 33 t 2 3.G Ct bI LC s - f - Dn� 1r s sd. o' Owner's Address .� �� �'d7 66-wner Phone Number o Fee Simple Titleholder Name 'ai C r i'3 >� � ' O ner-P hon�e Number t 2 -r 1 2.53%1 Fee Simple Titleholder Address J � JOB ADDRESS 7 .3 , _ `� / & ÷ IO2-____ LOT # SUBDIVISION PARCEL ID# S j �- .2S`-'21-000450 +5 • R 00 000 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD /ALT # 1—I SIGN 1 I MOVE n DEMOLISH INSTALL REPAIR - PROPOSED USE I I SFR 1 1 COMM 1, [" OTHER 1 I TYPE OF CONSTRUCTION 1 1 BLOCK 11 FRAME � STEEL 1 1 OTHER 1 I DESCRIPTION OF WORK B (r 4 1/t4 QI M -e .. 1 61cA • BUILDING SIZE SQ FOOTAGE , t. S • 1 HEIGHT BUILDING $ 2 4 f ex90 VALUATION OF TOTAL CONSTRUCTION il F ELECTRICAL $ AMP SERVICE 1 I PROGRESS ENERGY 1 I W.R.E C. 1 1 PLUMBING $ � J / (K 61.-- f- I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 1' e /I `C 1 1 GAS I I ROOFING 1 1 SPECIALTY 11 OTHER 0 N Cw FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 1YES FIN. 4S v BUILDER .0„, � • , t COMPANY i 1 ` ' �� SIGNATURE \ . . 1 REGISTERED Y/ N I FEE CURRENT 1 Y / N 1 Address 2_1 t 1 CO'.* M O i Je Lqs. , Likigad FL OgR License # c .'SDg2 ELECTRICIAN COMPANY j/ ,I4'/D /1/ -? )I/ � / r SIGNATURE sl Ali a�i ,/AreoL t V..2.... REGISTERED Y / N I FEE CURRENT I Y / N I Address 1 !! , , License # PLUMBER S . COMPANY V 0 L(VL /, 'Li n mi a. 1 -L C- SIGNATURE / CCCC / �.. A REGISTERED I Y/ N 1 FEE CURRENT 1 Y/ N 1 Address ' t b License # CFC fY & -7 2 - 7 P .' PAECHANICAt e 0 r � ' COMPANY SIGNATURE ' T''-' v i U' ` � REGISTERED 1 Y/ N j FEE CURRENT I Y/ N 1 x 4' Address 1 License # I 441 OTHER COMPANY SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT 1 Y/ N 1 Address License # (- RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R -O -W Permit for new construction, Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions /large projects COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R -O -W Permit for new construction. Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance SIGN PERMIT Attach (2) sets of Engineered Plans. * ** *PROPERTY SURVEY required for all NEW construction. Directions: Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (A/C upgrades over $5000) ** Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades A/C Fences (Plot/Survey /Footage) Driveways - Not over Counter if on public roadways..needs ROW NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR . RESPONSIBILITIES: 'If the owner has hired' a contractor or contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the Pasco County Building Inspection Division — Licensing Section at 727 -847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION IMPACT /UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of use in existing buildings, of 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 COIV1MENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER WAN ; • - EY BEFORE RECORDING YOUR NOTIC `OPCO1NCEMENT. FLORIDA JURAT (F.S. 117.03 V ‘• OWNER OR AGENT CONTRACTOR Subscribed and sworn to (or affirm b • ore �. - is Subscribed and sworn to (or affirmed)) before me this by 13 00,4 Tl b y IPM firrEL Who is /are personalty known to me or has/have produced Who Is /are personally known to me or has /h ve produced as identification. as identification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped 09/12/2009 09:21 8137889189 ABSOLUTE AIR SYSTEMS PAGE 01/01 SEP /11/2008/THU D1:Z0 PM ZEFRYRH1LLS BUILDING FAX No, 1313 - UU'll 1 f, 01 /UUl ' !18- 71110020 City of Z ph � Application 5 j VI . Fax- M8- 7'eo•ooxt ' Date Reeeked • . iv, ..0 i, PUOaa e.m.r.t ttlr Pa ,.- , CM . 11Si •- MPS ' - •Ofotara Nam v 4.14 • Roik4 A- .Zeploiti A.t M c s � mi ooaw� P11aa NWnbsr , «• arrmr,i Addru,,i t2 i. 'cc'b4a1-0si•Di7,e, 9i - i} , +GD.�r, Pewe. tiii ibili I ` 1 Pea Stimda Tloedeair Nowt b► C. ' G/P/44 ' •• • • I of re>.ee�r a Falrr�9r . aww Nualta.r '? 2'Y .' l ,. 4,"2 Vt 1 • Fee Unpin TitleheklrAddrees • I I • l • r JOiADDIIfIi _ • r�r - Vert i . ,• LOT 1 .1 RREER EKIN, •• . �� . PARCEL IDS .-- 0 a o o C e de • ; f' • . bennu®rwob • MO77AXIMMQ . WORK P Oao9eD NEW cONSTR • .ADDIALT,P ••DD . MMON . D MOVED DEMOLISH .. INSTALL • B REPAIR - • PROPOSED USE' D . SFR • I • r 1 - COMM.i, 13EK OTHER 1 • ' l'YPE OP comintuCTooN 'ID SRot* Q 'FRAME . Cr BTREE D OTHER I' t • DESCRIPTION OP MARK, .I l Z 71 t 1r ca • • M.244 ( . e• j . • I cumin • r • •• • . 1.: saPIOarA rr V f .1: O BUUOI i ." ewe • VALW1lONOPTOTALCONSTRUCTION • D • ELECTRICAL . $ . , • . .. AMP BERYICE .. ,Q . PROORES$ ENRRG,Y D MLR, r c Q . macHANICAL Is . 1 : •WALUATION OF MEOHANIUAL INSTAUATIcN • A/6 • OS " - • ; • • ED p • .: Itool • ' D . 'SPECIALTY M OTHER lur F INISH ED FLOOR ELEVAYID '. I FL OOD ZONE AREA • • . QYES . Q iird.i t __!...,_ . _ ' r ' Waataar BUIIDHt Q� .00M►ANY- f►a�_ +11y� $16NATURE W it • • r * 11 / ' tiwlateneo iIA - - = cursor ' Nu - • Addroap ! 2,-)1I 4• -4e», GA' 1.84y 44 1• - Oita . .... teased, • _ 212tt" !!!}SdMp fi�olaldlEO ff w�) N 11 1 . taaatis�: I. . - I • aoor.aa I • . ; ' PLUMP dR � j SIGNATURE • L' . . ' • • • . • ' // • no 1 . • •I .Y! N • I - Nalanw�r . I Y IN I I . Adrrsa . License. icenee [ I i t r A� a �T.N Maximo I; y l N 1 nnE rumor I •Y al I. . 00 • Lioalaatl' OTHER . I • MONA(tINE egpo .J Y1 N 1. reacuram 1 Y!N ( _ • . Address I . • • " ' , I ' • owls $ I . I • - lonamonriAL mom (2) PIo P►nar (2) nolo of ttuedklp Plaion Moot al 9rmr0y Patna: R Panne lot row eennueben, Manknum,ten (10) wooing days Mar 'Monad date. Romkod Oland, Goon Plum 8lonneeter Pam vd Mt Fonoo'klatalkd, Sankey FedIN es AT AlltnpetaRSNa Welk Poen* tr eadmonanoroi mock • L • , AItad complota all cf Mang Plans PIue, a Ule 9M ay Pope: (1) mg Dittmar/ Pamma. R-O:'W Permit Tor now mrwtru Ion .: MAIImum Nn (19) wodlno drm Om aualafdM Ante, Required NM, CaMkuGeon Plane. 810mlwaler Plum w! tit Pam MINN* emery mime a 1 aunpaIar. NM Work Pam* Etall neworaieeb. M ounurmedel nttOMMI *snalinsetcoIopMlalcp Gm ' S Femur moo (Z) sox or Elykwwed Pure! . . • • °iYPROPERTY SURVEY required /or as NEW damaueaon, • ME . •, . • • m No !equhed. WC upt err $INNq '" . Agent (tor Eho moruramr) or Power of Altonpy (tor dm Manor) ward be amoaale rrllh rtotaiamd killer from owner autormna tame • •ovfad THE COUWT R reaw1nINC "mat Amalealon ONTO) Reeds • SW l is Sarnia. UME= NO' Pawed (PtoVSiare do$10a) . • . Drlvarrye- Not over Canter It on pull° roeewayo.:neode ROW ', . • • 1 TRANSACTION REPORT P.ol /ol SEP /11/2008/THU 01:21 PM FAX(TX) # DATE START T. RECEIVER COM.TIME PAGE TYPE /NOTE FILE 01 SEP /11 01:20PM 97889189 0:00:45 1 OK ECM 9289 813- 780 -0020 City of Zephyrhills Permit Application 401 674 . Fax - 813 -780 -0021 • • Building Department Date Received Fig.- 'f0 A' Permitting Phone Contact for L , � ' 9 ) , `rm _ . . ...Owner's Name V ' M • RAMAPPA- Z ep+yi ; Its Medi • 1 &* a Phone Numbe ( 727) /a 6 si 1 A. g$ ' v Owner's Address 12 34 Co bb.Lt - - lv*i1•e DY1 3 er Phone Number I I Fee Simple Titleholder Name[ L'i't : b� ' 11 . � E Nuttier I • C 1 B w nerPhone Number (� 0../ • - r 1 � 2.•$ $'� Fee Simple Titleholder Address I JOB ADDRESS ' . 1 I ►_, ti ed - r /- i 0L2L--- L LOT # 1 I SUBDIVISION, • .I .. . PARCEL ID# f T. ,2s ?1.-- O A 0 O 0 a do 000 (OBTAINED FROM PROPERTY TAX NOTICE) • WORK PROPOSED NEW CONSTR . ADD /ALT- 1:::1 . SIGN J MOVE L_._J DEMOLISH • . . INSTALL . • • REPAIR, PROPOSED USE • .• r 1 SFR n : COMM • I q OTHER I . 1 TYPE OF CONSTRUCTION ( BLOCK r FRAME • , t STEEL n OTHER I I DESCRIPTION OF WORK I B 1.4 &4 4 (Alf- - , M l • BUILDING SIZE I Q I S FOOTAGE i. S • s - HEIGHT 0 I I BUILDING r / j' �O VALUATION OF T O TA L CO . n ELECTRICAL $ AMP SERVICE F PROGRESS ENERGY • [•'] W.R.E C• n PLUMf31N0 • 3 (i ,<, e ,....v ` yL q -d-O! I I . • . > e = MECHANICAL $ MECHANI• VALUATION OF MECHANICAL INSTALLATION I M ( /� l I I G • E] GAS ROOFING SPECIALTY n OTHER NO CYq I ` r- FINISHED FLOOR ELEVATIONS '. FLOOD ZONE AREA =YES _ , • 5 . i 5 • • BUILDER ' s. r COMPANY • M� I, � i "� SIGNATURE , REGISTERED MEM FEE CURRENT ' Y / N Address .7-1V1 au )ft Ucense # 1 Is0 / , E ELECTRICIAN _ girl „ ° COMPANY 1 Y. /91Y/O �Y/geth .✓ � S �� REGISTERED • I Y / N • I FEE CURRENT . I Y / N S Address I 9 LICen6e #.• PLUMBER . COMPANY SIGNATURE • . . REGISTERED .. I .Y / N . I FEE CURRENT . I YIN Address ( 1 L icense # 1 P1z ( ECHANICCA III Al. ' • • ' ' COMPANY I 5 t .StGt!ATI / REE RE GISTERED • 1 ' Y / N �� I FEE CURRENT 1 Y/ N I • • f - ,� ��'Address l 1 • . License # • 1 I 09/11/2009 11:39 8137889189 ABSOLUTE AIR SYSTEMS PAGE 01/04 37325 Kossik Rd. Zephyrhills, FL. 33541 Absolute Air 813 779 0101 Fox 813 788 9189 steveegetcoldair.com • Systems Inc. Fax tb: U vt kils l a i *: Steve DeRalf 13 78-0 off)..► irett Gvver PhOnIC g 7 g'O W Dote: 9— // Re: rut,`o' cc: Absolute Air Systems Inc. ❑ Urgent For Review 0 Please Comment ❑ Please Reply 0 Please Recycle QrenQrCLI L cab; I.4t 44 i Cf .,l -e., L ►11 b2 -0- 4 b ®u. , • fLL �- SEP - 11 - 2009 FRI 12:04 PM P.002 — A CERTIFICATE QF1 B r1TrINs p-ANCF —DATTE(MIIDD/YYYY)— ,, r n Tx.. _ A.. slaIll N- Ab- A- 1111X1- 1•G11-Ur IRkUMEA- HUNT — — Swofford Insurance Svcs. Inc. ONE tND NFERS -- Ne - RIGHTS UPAN-T+1E- BERTIFICATE — 5B46 BEarsy�4yr. — HOLDER THIS CERTIPICA I'E AMEND- EXTEND - OR — — Tampa, FL 33618 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIL # INSURED INSURER A; Hartford Casualty Ins. Co. Absolute Air Systems, Inc. INSURERS: 37325 Kossik Rd. INSURER C: Zephyhllls, FL 33541 INSURER 0: I 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 1S SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR AWL POLICY NUMBER POLICY EFFE VE POLICY spur TR NSBD TYPE OP INSURANCE ,_DA IMMIDII DATE RAW DATE LIMITS GENERAL LIABILITY EACH OCCURRENCE • S 1,000,000 X COMMERCIAL GENERAL LIABILITY 01 SBM AK4046 06/12/09 06/12/10 �F REE T D ,ence) S 300,000 _ A I CLAIMS MADE © OCCUR MED EXP (My one perann) $ 10,0 — PERSONAL & ADV INJURY - S 1,000,000 — GENERAL AGGREGA s 2,000,000 GEN'L AGGREGATE UNIT APPLIES PER: PRODUCTS - COMP/OP AGO $ 2.000,000 — 1 POLICY I7 IFP T I 1 LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT _ ANY AUTO (Ee occident) S — ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per parson) S — — HIRED AUTOS BODILY INJURY $ NON -OWNED AUTOS (Per acdder* — — PROPERTY DAMAGE (Par acddenU GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ R ANY AUTO - OTHER THAN EA ACC $ AUTO ONLY: AGG S EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE _ $ OCCUR 0 CLAIMS MADE AGGREGATE 5 5 DEDUCTIBLE H $ RETENTION $ WORKERS COMPENSATION AND I TORY 1 IMITS, mRN- EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE EL EACH ACCIDENT S OFFICERIMEMBER EXCLUDED? E.L. DISEASE -EA EMPLOYEE S Ifyyp dasaibeunder SPEGML PROVISIONS below E.L DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS /LOCATIONS / VEHICLES / EXCLUSIONS ADDEO BY ENDORSEMENT SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION City of Zephyrhills SHOULD ANY OF The ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Building Dept. DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO 30 SHALL 5335 81h Street IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR Zephyrhills, FL 33542 REP At ATIVES. AUT . R D REPRESENTATIVE I / ACORD 25 (2001/08) 0ACORD CORPORATION 1988 SEP - 11 - 2009 FRI 12:04 PM P. 003 IMPORTANT If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does It affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 26 (2001/08) SEP - 11 - 2009 FRI 12:04 PM P. 001 Allstate Insurance Co. 3046 W Bearss Ave Tampa FL 33618 Phone: (813) 962 -3381 Fax: (813) 963-2468 d "e`! =s'SRl y "f i 1•Y a " %,.yk•i ^ - " *` • .I " ' d, ir: "$l l; r "�:S' «., .7:1 ^.,�...,q. •n . t . : ; ,x: ti..h t %! 'i J�'v�.: r4 �s:t1; Tel: r ,'YC, M. r. 7 : , 40., ;.. -..,.... a. ' W • ' . l�:!4� :;r1 `,��'r�'4.: r�• � aa i: - � :a,�kY,.t •,,:�i,�fa� ��i:� � !i r.' �T.i � � n.l:�r✓ � -a+ •: I ., t { F ::, : v'' 1r ; 1'. ; :'' � f � , '•:- ry e 4 t K 1 r $ � ,.,f c�� ^ t Y tv a r'd, t: P'+'r, cr r } } f : V , . Vii ;i r r : a. '1 1 { 4 RI F :' •-i� • �a y ' ., r d;i rc. a • 1, , 14 T t: ' :� H A. A .� r ' v 4 �t �; �;a (,� ,rk r.. i.,i t�oj"`. ;5`;�i 4. a .�i:;' :∎", : ::.ar :.e �.,, C! ii:hr_it`1kr.:i�� ...• 4• . ti� AL.,� . * � , :Y^�.� � .. ? .• .:�. • u _ ....an!' � . ::e. . ri -t:i: �.' _- �.; s : o. .. '24''''''''; �^� . �L..�r� _ • =' ti��F J",� , _ � •rw:i:::. . f; • r : �. .v 414N c�.INCi le04% �ra ig .': : `k :, . , :. • vg 9 ] .tS f 4 ' s;`:a� i. •a : . ; :rt i! V e al"'! s i :As.B �, arn s I . r.s;l:r. ` .z ' .-.+ i.ral'"� '' ee..>� . � il��t ` ti:>wiw:+i�` ' ii:,4f ^ t�„'d�. 4di�i:: ' • �k r; {'' ., :Y'i,:d To: Fax: 780 -0021 From: Aillen Vargas Date: 9/11/09 Re: Certificate Of Liability for Pages 3 including Absolute Air cover. Policy #: • __.— ..---- ._.------ -__❑•v nt - -- • --- - ❑ - FarRevt - -----•❑ Pt Comment - - - •C1 Please Re 1 - •D Please p Y Recyc - - -- • - - - .. • • • • • • • • • • • , •yvi. `::7;1 °k ''`:.. � 4i4� j:i;:iyjt.No ^ jf i ;n"1{;,:1q- 75:i-bg- ;-Q.y, � ,�, �,`.. , ;-r_„ rrgpfl;,., < a. .i�, i.rr•;rd5.[ < °^�'�f+(;v.". ,1! 3tiS }` SF'tiiai^ ,;,. i '�i {' �r Sv;F;; .ngc. HiSY:t;' : 1 ; .;jk� , .(e s . .�;;!i,,:e.f.;�.ti . "'�: ^� : .��`rn g . i �!':{'' { .��;�J;. ;ii.;;.J �Ia�.. 'i��� .:r. C'" ^ ^:. .,u. ,. ,, �: �L:.:. ;to- .. ,z y '-,_ ,.`4� • } ;4viS .,�.F� V'� {:• �, ,� :, 7�4 ' .i : �� %$a�'', °� °;i { ;I}:f � rP;i �?f aS C�,I T{�' 1:3'%w: m v._.d � . - ��rr n•�. t ;'i.;A;'. � .r"fy -• , :;ierAk r ...: "'' trill ." :i t' y si9:.J - •,! r., i' i i 3kj 5 > .i ` , +r' ;- r.�1�:i: ` k f'a:1i?;' t 4 .,kl ;!. 1 : :- 1:::,.a.(s ; ?e, ft:: ...t N., �' g r � ^ 40 ., ;= '1 : . N ki l I N ^ i 'i': r. t:. a�, ?i,.;: ��. 3'.' i •sll:r.':::�•:q,'iie�.:�it .!r? : : :i i �y i 'ji � ; i l .:''' .vk��y` ?,.:.�y';i.� = t4i,� ■ . ;; " t • { ,,. ? , i,. >'i 09/11/2009 11:39 8137889189 ABSOLUTE AIR SYSTEMS PAGE 04/04 PASCO COUNTY •.BUSINESS TAB • RIPT 2I!Q IsSued put5Uant and subject to Florida Statutes and Pasco County Ordinances: Issuance•does not certit abinpliance with: '.. '.: zoning or other laws. This receipt must be pasted conspicuously In place of business, Expires Septernbor.30. ; . • Mike Olson' • TAX COLLECTOR . ACCOUNT NO r 053460 --�- --- TYPE OF BUSNf55 =: •SIC CODE:— 1711 PASCO COUNTY FLORIDA :.. AIR.•CONDITIQNI'NG • . • - - ••. CONTRACTOR'- CL•A55 A - 'RR B' . ••� tpr � -•. LOCATION AD RESS W� t ! '��4 S t 37325 KOS5I1 RD * : :: ZEPHYRHILLS, , :, . - ABSOLUTE:. AIR ' SYSTEMS INC 37325 .1103SIK RD qC ' ZEPHYRHILLS FL 33541 -7641 «•. DATE RRCEIP1'; : .AMOUNT 09/03/09 574393 ' : `; :31;25 . • • STATE of FIpRm A ACe 1 1-' ' 0R IMPARTMENT STALE OF FWRIQA A :� ! !!� ` • {DBP OF' .BUSINESS AND DEPART_''' :OF' `'$U'SI1#E�6S ;A10D. : `` ,. ?i - *.: :•PROFESSIONAL REGULATION OP'3PxONAL` .Rt3aIAtQ1a .:Q4227701- : `,07/23/0 090046965 09.00469fi `„A C18i37i9g - � '�'�1R�yid'0 - �G'88i0`4.5626 R 4IIALIFIED BUSINESS OOI►NIZATION „ • CERTIFIED' *R ° C OND ' �C� Nit ABSOLUTE AIR SYSTEMS, 7MC ' (NOT A LICENSE SOLUTE. A E SYS� `.. ZNC ALLOWS COMPANY T .•t o 'IP IT<.:HAS A LICENSED QUALIFIER.) IS:;QDALIFIBD under the proviesee. of . Ch 489 vs 18 CERTTF I$D ue c�fe dat AUG '3 Q�r : , provi.ridlels of R'h:•489, -11'B m 9?s c `: . 090 1 2411 � • J.Z1ao6S3, ; spas.eioae doe.! `AG ;.4x, 2A,10 t.48o42$0139I:. 09/11/2009 11:39 8137889189 ABSOLUTE AIR SYSTEMS PAGE 03/04 • • ,•; 11 ^17 -2008 ALEX SINK STATE OF FLORIDA CHIEF FINANCIAL OFFICER DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW * * CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 11/17/2008 EXPIRATION DATE: 11/17/2010 PERSON: DEROLF STEVEN C FEIN: 181880168 BUSINESS NAME AND ADDRESS: ABSOLUTE AIR SYSTEMS /NC 37325 KOSSIK RD ZEPHYRHILLS FL 33641 -7041 SCOPES OF BUSINESS OR TRADE: 1— CERTIFIED AC CONTRACTOR IMPORTANT: normal to Chapter 440. 06(14), F.S., •n •slier (11 n corporation who elects exemption from this chapter by !map a cacti/teeth of electi•o under this seetlon may net recover benefit: or cenpeesation Wader this copier. Puissant to Chapter 440.05(121, P.S., Certificates of election to be exempt.. apply ally within the scope of the business or (rode listed oe the notice of election to be eanotpt. PWrseam to Chapter 440.06113), F.S., Notices of el.ctl.o to be exempt mod certificates el election to be exempt shall be subject to revoeoue, i1, el any time after Me filing el the notice or Me issu•ace of the certificate, the person awned en the notice or certflicote no Ionger meets the requirements of this sestina for Isswence of e certificate. The deportment shell revoke a certificate et eey time lot faller. el the person 0x14 on the certificate to meet the) regeir•mgnt: of MI section. QUESTIONS? 0150) 413-1609 DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09 -06 • • 09/11/2009 11:39 8137889189 ABSOLUTE AIR SYSTEMS PAGE 02/04 • • Absolute Air Systems Inc. 37325 Kossik Road- Zephyrhills, FL 33541 813 779 0101 Fax 813 788 9189 Email stevedgetcoldair.cor . CAC 1813789 CITY OF ZEPHYRHILLS 5335 - 8TH STREET ' (813)780 -0020 9529 BUILDING PERMIT F . �.;�nv s ° , , ',14 ^ :7 , `' . f 000-:: 3 D: -1.11777'737177 $ . t x. Permit Number: 9529 Address: 7323 GREENSLOP E DR Permit Type: COMMERCIAL ZEPHYRHILLS, FL. Class of Work: ADD /ALT COMMERCIAL Township: Range: Book: Proposed Use: COMMERCIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 34 25 - 0000 - 00300 - 0081 Improv. Cost: 24, 000.00 O€h A * : 77::0 Date Issued: Name: R AM A PPA, DR G. Total Fees: 405.24 Address: 7323 GREENSLOPE DR Amount Paid: ZEPHYRHILLS, FL. 33542 Date Paid: Phone: (813)818 - 9696 Work Desc: BUILD OUT SPACE MEDICAL 670 SQ FT UNIT 102 • U H A 1 N INT - A l• N I BI LU I N E 225.00 L T I AL E 35.00 PLUMBING FEE 35.00 MECHANICAL FEE 35.00 FIRE PLAN REVIEW FEES 60.24 FIRE INSPECTION FEES 15.00 b. 1000 ....,, , C . _516 K )" 1 Z—I dV‘ Celeini p @k (''( -f( 9—q—oct If ..r1 y a t on: 3 s .. o aro: i d r to t 3 S a 7= s ; ,R & z x a 4 I�,O�. I ll ' FOOTER 2 ■ R■U H PLU MI 1 ULATI•N EILI FOOTER BOND DUCTS INSULATED SEWER MISC. ROUGH ELECTRIC I 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." 6 0 g— % iitP - CONTRACTOR SIGNATURE PERMIT OFFI FR PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION — 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER City of Zephyrhills BUILDING PLAN REVIEW COMMENTS , �. Contractor/Homeowner: Zf :r ii 71-(Y- ` �-/1c Date Received: 9 -- / Q 9 Site: 732-3 lms op Llir ) O tt Permit Type: 4/0-694 MM '/ , CQ Approved w /no comments Approved w /the below comments: ❑ Denied w /the below comments: ❑ This co -nt eet sh. .e ept with the permit and /or plans. Ale - y- Kalv n S er — �'` Examiner Date Contractor and/or Homeowner (Required when comments are present) Sep 11 2009 10:50AM HP LASERJET FAX p,4 SEP /11 /20C8/THU 11:10 AU ZEPHYRHILLS BUILDING FAX No. 813-780-0021 P. 001/001 4134e0402o City of Ze yrhllle Petmh Application , S ?I/ 1n Fea�7B0 OOt1 Doe Maned • swim -' � .� M ,• dJ • ..0.42d. Nance .Orin»*Phwi: •, Lan r i - - Owner. mime i Pew NU;; . ' • Pee Simple 710eheld,r Wm - 'ai Cla i t. ' Q ' ' • bi t01M N • • No amp nS.eukl.r Address . I r doll AbaR/N LOT 0 1 • I ' AUSDNMION.• . • I , . 1 , . •I • ' PARO1L001 •3 a5•: ��"O >'Da . , . � gTMMBn erns ila par111 TNf NOT1 O.o 010 WORK Pe e OPt111D INSTALL EV SN9N MOVE n LAMOWN PRINCE= NEE ' ' '.• Q . '!PR' ' . IN • ` COMM 3, • [Er. 1 ' i • Wee OF CONeTpuCTIpN p SL,OCK . Q , (IANA0 , ', _ I , t1ISEL Q On1Ia 1 1 DESCRIPTION OP WORK" . '.' Y ' . ...' • j I . ,1 - • mist . ' ' s i x 'I • • ., . • ; I • • w PQOTApi �k1 ' ' .. B611AIN0 '1 i d �; • HALUA110W OPTD7A ' r �^I O � , ' 11 • . •• I AMP8ERV10E . , . J .PRO eseENewoly ' p W. e. I] • PLU1AaINO .. , i• 1 • { q -�,� K r 0 McCN ANItJ11.' Ie � • VAItlAT10N OP hSiOHA6NCAL Ni61'ALLATION • • 0 6946 I 1 ROOFIke ' ,Q, ; $P1r.lr1LTY •[] OMER N' tn ►i +' • PwIBI1EO FLOOR ELEVATIONS I I 1 FLOOD ZONE AREA. , . •=iris ,. Q l ' . r+• •.I ONAntlRE � 'i1 ` � 1 a . 11141111R ' Weer : 1 w E LECTRICIAN /d b ' ' t S COMPANY• ' yw 10 r 0 /i�/ • 1 ' • P.01111 IT • .. . . . • , . lWNESR ' ; • • ,. f commie/. I • • 1 • . eaMA7u11e I IIB.a Yrrf. 1 • RiapYlR • 1 YIN AMisu , . • . , - • 87 52.2.02 2 I 11 NleC i&tobm. ', ; '0121•42N2 1 . ' . I ,. sionATwor eiRlsi.eao - ..I'M/ N 1 'OneuuVNT 1 Y 1' Adbew.1 1' . .• .. :Bher:eY►' 1 1 • 0111111 . . • 1NNfi11111e • tt..aed D I .f Y I N 1 FEE cuwcw1 1 Y114 1 . Addnd 1 ' . • . Lkane.r 1 • • • - IIamemm. ADedl (2) Ploi Plwle (e) ea ei Owen Plate) (1) mutat Romer Fae.11 ROW rimy.' new,eprmInrgSen, MMYMR..En (101 wd iw Sees OW enw anal, A rnn�Pken• Ble n el r Pane "of all Fenn i MWMed, tl.nllay FeaNAIN A1 Oil. VASE hnIN Iol aasArS. CON16BIWIAC , , Alfnefl (a).Nnplde EulldInp Pleas owe a we mew new (1) let renew RRO W PASMIt TOT ISw mn6Y■21lon. Mnl Sum len (19) *g rift der. Mb Well11111tlen. Rewind ANAL caslnrrien mow slPnnh.ler Pl.e w1 ale Psis (pow, • anitify noon t. I &moor. mu wont Paoli NT M Rwv ROWEL NI teMmirrM reeiMir . rk mud meer amPN sae • pat PERM fl Mire. “rret a rw eeneO for ell New ionstnpEon. .. . . , . • arse . ON eu.pprleau2n admpleW Own6 ConbeelD sISn b.& d eppew tr len, oN a� and . • II eve► REIM a Netts. ee Senemurolment le 'equine: INC epndei sv r 05Q5 - • ' • " Aoent (kr•QM, Ogntne mi a Power diq miy ?AVID ?ARNO weuld Os wnuors vAIA nosrked Icier fvom timer wSiatr+np eenr. - • OVUR ita ea *tin re tArrrnNO tlrmrI of MMams+ Ordt . Amok Bewd'e - SOMoepporAdse • • A/O P Is (Plol vaYtp2Mw. . • DrlvewIY.• Not .ver Dealer pen pualre roeawaya,.nside rtbw • • • I•: '-' V!Y 1 utin ' 11 itCS4Ue 6907 Dairy Road, Zephyrhi_lts, r L 33542 Fire Marshal tus (813) 780 -0041 Kerry Barnett Fax (813) 780.0044 - triad: kb amettWfire.zephyriiills_t us Plan Review #: 09 -072 Project: Interior Build -Out Number of Pages: 2 September 8, 2009 I have received and reviewed the plans for the interior build -out located at7823 Greenslope Dr and will allow this to move forward. Obtaining permit, the applicant acknowledges complying with the items listed below. Should anyone have any questions, please do not hesitate to contact the Fire Marshal's office. 1. Fire rated barriers /walls shall remain intact. Any penetrations shall be done so in accordance with a UL listing to m maintain the rating. 2. Doors that have designated exit signs above shall swing in direction of travel to egress, Door swings shall swing in out in those areas (conference room). 3. Certified fire extinguishers shall be installed in accordance of NFPA 10 for office use. Install one at each exit door (front and back). 4. This building has a fire alarm system. Fire alarm system shall be modified to accommodate additional business. Plans shall be submitted by alarm contractor to obtain permit to perform this task. Fire alarm devices shall be addressable to that location (business). Zone map also will have to be modified. 5. Ensure unit is addressed properly on main door. Inspections Required: 1. Final 2. Other inspects will be required from permits to be obtained from other r i i rs. ,rte • * =j + � `I ', FIRE MARSHAL ** *Please be advised this review of plans submitted is a cursory review to assist the contractor in compliance with applicable fire safety codes. This review is not intended to be a final approval of the submitted plans. It is the contractor's sole iebponsibility to ensure that the plans are in complete compliance with all applicable NFPA codes and local ordinances. In the event that further examination or site inspection reveals areas of non - compliance, it shall be the contractor's sole responsibility, at their sole expense to bring those areas in compliance. The City assumes no responsibility for the contractor's failure to be in compliance with all applicable NFPA codes and local ordinances. ZEPHYRHILLS FIRE 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.: 'IV —07Z Contractor: Stein 6.I451"‘te5 ` Business Name: ae2e Billing Address: 2_1 5 1 Jp ©irz L', Lx.) Business Address: 7'23 6n ierts ler_ Z-44: .JZC 1 /mL 33tt3 Business Phone No.: Billing Phone No.: Business Fax No.: Billing Fax No.: Contact: Contact: PLAN REVIEW FEES _ INSPECTION FEES _ PERMIT FEE _ FALSE ALARM FEE S ite Plan N/C Annual N/C _ Sprinkler $50 1st Alarm N/C 0 Multi- Family /Commercial .1 — 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 El Plan Revisions DBL — 3rd Re- inspection $250 — Hoods $50 _ 4th Alarm $100 4th Re- Inspection $500 — Fire Alarm $50 _ 5th Alarm $150 SPRINKLER SYSTEMS (Business closed until _ LP Gas $50 _ 6th Alarm $200 — 0 - 25 Heads $50 violations corrected) _ Natural Gas $50 _ NON COMPLIANCE $150 26 plus Heads $100 _ SPRINKLER SYSTEMS _ Fuel Tanks - per tank $50 ri STANDPIPE SYSTEM _ Hydro Undergrounds $45 _ Sparklers $100 Per Riser $50 — Hydrostatic Test $65 per system _ Fire Works $500 FIRE PUMP _ Acceptance Test $45 p er system _ Camp Fire $25 Per Pump $100 _ Hydrant Flow $75 _ Controlled Bum $100 FIRE ALARM SYSTEM Hood /Duct $50 — — 0 - 25 Devices $50 — FIRE ALARM SYSTEM Place of Assembly $50 Annual 26 plus Devices $100 — System Acceptance $50 _ Fire Protection $25 SUPPRESSION SYSTEMS _ Recall Acceptance $50 _ Flammable Application $50 Annual Wet $50 OTHER — Waste Tire Storage $50 Annual — Dry $50 Fire Wall /Smoke Wall rwall --- Generator < KW $100 — CO2 $50 LP Gas - rtank _ Generator >30 KW 150 — Other $50 Natural Gas $25 per system Bio-Hazard Waste $100 Annual KITCHEN EXHAUST _ — Fumigation Tenting $50 E l Hood/Ducts $50 _ Tent 10x10' or greater $ 15 p er tent _— Torch Pot/Applied $50 .— OTHER — Fire Pump $45 _ Haz. Materials $100 Annual — LP Installation per tank $50 — Fire Suppression $30 Fuel Tank Installation $50 — System Acceptance (Per Tank) $50 _ Exhaust Hood /Duct $30 Ei Natural Gas Installation $50 _ Re - inspection DBL (Per System) (other than annual) Ei Spray Booth $50 0 Inspection scheduled DBL _ and cancelled less than _ 24 hours _ Construction Insp. N/C _ Emergency Vehicle Ac' $50 �,, FALSE ALARM PLANS TOTAL i , � INSPECTION TOTAL f, f PERMIT TOTAL TOTAL GRAND TOTAL C±M=1 Comments: Date: .� 9 Ins ctor: pigth,41 twit.- SOUTHEAST DESIGN INTERNATIONAL INC. 2151 SOUTHERN OAKS LANE, LAKELAND FL -33813 TEL: 863 -409 -6422. FAX: 863 - 648 -9069 INTERIOR BUI LDOUT CONTRACT DR RAMAPPA ZEPHYRHILLS FLORIDA. PATE: 27 AVGVSf 2009 1. The undersigned owner authorizes the undersigned builder to construct and deliver to said owner a build out as per owners plan. The project location has been identified as a parcel ID and proper address is identified as ofthe project is Located in Tel: 2. Except as proved in the paragraph dealing with allowances hereafter, the total cost to the • shall be 2i-I determined after completions of drawin• . V(`I Cr [� Q�t , �Y�-ti C ( S �C) OWNERS RESPONSIBILITIES/ Yr � Z & Q 3t3tt L ane ��e���i�..- i��J�it� :TZ�s te -. - 4r ..r�r, ..' "- Ii b ar- ssr rle s etc Construction cost on interior and the agreed amount shall be paid as follows: 5000$ deposit ofthe total fees ofthe builder based on cost of project will be paid to the builder upon dosing of construction loan and before start of construction. 7000$ at the start of contrscution. 9000$ at the time of ceiling grid installation 3000$ at the time of completion of job. f2 ems-P 3. The construction of the project shall be completed within approximately 45days from the time the permit is issued.. Severe weather conditions, unexpected changes in design by owner or city, failure of financial obligations from bank or owner or for unexpected unforeseen conditions not in control of the builder may delay the project indefinitely and such time may have to be added to the period. 4. The cost of any alterations, additions, omissions or deviations at the request of the owner shall be added to the agreed purchase price. All changes will have to be authorized via the main builder and an effort should be made to have them authorized in writing for better clarifications. Owner is requested to discuss changes with the subcontractors only after proper consultations with builder. In the event that such changes are made without the knowledge of builder and without proper paperwork, the owner 15 entitled to pay all the costs related to such changes. All checks paid by owners to material suppliers or any subcontractors will have to be processed by the builder before issuance for proper exchange of lien waivers. In view of the above situation it is recommended that the owners do not write any checks without proper consultations with the builder. Every effort will be exerted on the part of the builder to complete the construction within the period described above. However, builder assumes no responsibilities for delays occasioned by causes beyond his control. In the event of a delay of construction caused by weather, purchaser's selections, or due to change in code or inspectors interpretation etc., the period of delay will be added to the construction period allotted to builder. The owner agrees to provide Builders risk policy during the construction of the home. 5. This contract pages 1/2 shall inure to the benefit of, and shall be binding upon, the parties hereto, their heirs, successors, administrators, executors and assign. 6. This contract constitutes the sole and entire agreement to between the parties hereto and no modification of this contract shall be binding unless attached hereto and signed by all parties to the agreement. No representation, promise, or inducement to this agreement not included in this contract shall be binding upon any party hereto. The parties do set their hands and seals the day and year first above written. Sign: ate: Owner's name: 9 \\ \oe Address: Tel: Sign: ��1 Date: