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Home My WebLink About09-9138 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 9138 • BUILDING PERMIT Permit Number: 9138 Address: 7780 GALL BLVD Permit Type: COMMERCIAL ZEPHYRHILLS, FL. Class of Work: NEW CONST /COMM Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 35-25-21-0130-00000-0060 Improv. Cost: 485,718.39 ? ,, Date Issued: 7/07/2009 Name: ZEPHYR COMMONS LLC Total Fees: 89,681.59 ,A6•�',� Address: 3629 MADACA LN Amount Paid: 89,681.59 TAMPA FL 33618 Date Paid: 7/07/2009 Phone: (954)596 -6883 Work Desc: CONSTRUCT NEW ' C 1 A BANK 4,437 SQ FT BRADANNA, INC BU I LDING FEE 1,730.76 ELEC FEE 368.55 RAECO F OCALA INC PLUMBING FEE 245.70 MECHANICAL FEE 171.99 THERS A/C NTROLS INCA RADON 44.37 SEWER CONNECTION COMMERC 5,351.03 A ERICAN ELECTRICAL SRVCS OF TAM WATER CONNECTION COMMERC 1,706.47 WATER METER RES 3/4" 220.00 BUSTO PLUMBING SERVICES INC FIRE PLAN REVIEW FEES 270.00 POLICE IMPACT FEE 723.23 FIRE IMPACT FEE 776.48 PUBLIC SAFETY 5% 74.99 " /1 TRAFFIC IMPACT FEES 99% COM 77,218.04 TRAFFIC IMPACT FEES COMM 779.98 , � Ok. 3.� a Med ei oks 4w dhcf : � ca• r f/ / �r a- 2c t �C{ 14 (� Fi1T• L F t� S Cc.Q e Am� p %.4_1' Iz 7 9 fi g FOOTER 2ND ROU PLUMB MISC INSULATION CEILING FOOTER BOND DUCTS INSULATED SEWER MISC. ROUGH ELECTRIC LINTEL MISC MISC. 1ST ROUGH PLUMB PRE -METER INSULATION WALL MISC. DUCTS INSTALLED WATER MISC DRIVEWAY PRE -SLAB SHEATHING MISC. MISC. CONSTRUCTION POLE FRAME MISC. MISC. REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection trips are necessary due to any one of the following reasons: a) wrong address b) condemned work resulting from faulty construction c) repairs or corrections not made when inspections called d) work not ready for inspection when called e) permit not posted on job site f) plans not at job site g) work not accessible. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that pray 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." i& le..., Cs ,--r OR SIGNATURE PERMIT OFFI FR PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 1 • Zephyrhills Fire Rescue 6907 Dairy Road, Zephyrhills, FL 33542 Fire Marshal Bus (813) 780 -0041 Kerry Barnett Fax (813) 780 -0044 E -mail: kbarnett@fire.zephyrhills.fl.us Plan Review #: 09 -032 Project: Wachovia (New Construction) Number of Pages: 39 w /new cover page Note: Civil and Landscaping not included as noted on cover page. Added electrical roof plan page. Missing High roof pages (n/a) Date: May 18, 2009 I have received and reviewed the plans for the new Wachovia building located at Zephyr Commons. This project will be allowed to move forward with comments made below. Paying for permit, contractor acknowledges complying with the following items below. Should anyone have any questions, please do not hesitate to contact the Fire Marshal's office. 1. Secondary exit door shall have panic hardware. 2. Install smoke detectors, hardwire with battery backup, at the following locations: outside restroom area, tele /data area, bank equipment rm and work room area. These smokes shall be tied together. 3. Place signage on door of electrical room "NO STORAGE" 4. Extinguishers, size and type, shall comply with NFPA 10 and be located within 75' of travel and in a visible location. 5. Address on main door (6" in height) Inspection Required: ` ..3 0_ 1. Final ,L c5a4 , 7c1141/e KERRY B silk , FIRE MARSHAL 4,0.. Ctep ** *Please be advised this review of plans submitted is a cursory rev compliance with applicable fire safety codes. This review is not inte 4 /� liC2 '1)1 submitted plans. It is the contractor's sole responsibility to ensure th 1 � �� — with all applicable NFPA codes and local ordinances. In the event th o </ i inspection reveals areas of non - compliance, it shall be the contractor • `',['/J C �� Gl 7' expense to bring those areas in compliance. The City assumes no rest �� O T' ►UV uj� � to be in compliance with all applicable NFPA codes and local ordina �,{ �r�"" " /? .7 Zephyrhills Fire Rescue 6907 Dairy Road, Zephyrhills, FL 33542 Fire Marshal Bus (813) 780 -0041 Kerry Barnett Fax (813) 780 -0044 E -mail: kbarnett@fire.zephyrhills.fl.us Plan Review #: 09 -068 Project: Revision Number of Pages: 19 August 24, 2009 I have received and reviewed the revised plans for the construction of the Wachovia Bank located at Zephyr Commons and will allow this to move forward. Obtaining permit, the applicant acknowledges complying with the items listed below. The items listed below will replace those listed on the May 18, 2009 review. Should anyone have any questions, please do not hesitate to contact the Fire Marshal's office. 1. Secondary exit shall have panic hardware. 2. Install smoke detectors, hardwire with battery backup, at outside of restroom area, tele /data room, bank equipment room, atm room, and electric room. These smokes shall be tied together. 3. Place signage on door of electrical room stating "NO STORAGE ". 4. Extinguishers shall be within 75' of travel distance. Install additional fire extinguisher on opposite side of room. 5. Address on main door (6" in height). 6. Any HVAC 2000 cfm's or greater shall have duct detectors with key reset. Inspections Required: 1. Final KE ' ' BARNETT, FIRE MARSHAL ** *Please be advised this review of plans submitted is a cursory review to assist the contractor in compliance with applicable fire safety codes. This review is not intended to be a final approval of the submitted plans. It is the contractor's sole responsibility to ensure that the plans are in complete compliance with all applicable NFPA codes and local ordinances. In the event that further examination or site inspection reveals areas of non - compliance, it shall be the contractor's sole responsibility, at their sole expense to bring those areas in compliance. The City assumes no responsibility for the contractor's failure to be in compliance with all applicable NFPA codes and local ordinances. 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.: f Plan No.: — d G,Y Contractor: � Business Name: �14 1/0t/lil Billing Address: S'rg J` i h c Business Address: -7,0h ye- l . os.s jc � ,C.- Business Phone No.: Billing Phone No.. ?.4 S' g_..3 Business Fax No.: Billing Fax No.: Contact: Contact: PLAN REVIEW FEES INSPECTION FEES _ PERMIT FEE _ FALSE ALARM FEE Site Plan , Sprinkler $ Annual N/C _ Sprinkl50 _ 1st Alarm N/C Multi - Family/Commercial • . 1st Re- inspection N/C _Standpipes $50 _ 2nd Alarm N/C A (Minimum Charge $25.00 I II 2nd Re inspection $100 _ Fire Pump $50 _ 3rd Alarm N/C Plan Revisions I BL . ■ 3rd Re- inspection $250 _ Hoods $50 — 4th Alarm $100 II 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 STANDPIPE SYSTEM Hydro Undergrounds $45 _ Sparklers $100 0 Per Riser $50 Hydrostatic Test $65 per system _ Fire Works $500 FIRE PUMP Acceptance Test $45 per system _ Camp Fire $25 0 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 _ — g $50 Annual _ Dry $50 _ Fire Wall /Smoke Wall $15 per wall Generator < KW $100 CO2 $50 _ LP Gas $25 per tank _ Generator >30 KW 150 Other $50 _ Natural Gas $25 per system Bio -Hazard Waste $100 Annual KITCHEN EXHAUST _ Fumigation Tenting $50 0 Hood/Ducts $50 _ Tent 10'x10' or greater $15 per 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 0 Natural Gas Installation $50 _ Re - inspection DBL (Per System) (other than annual) _ ❑ Spray Booth $50 El Inspection scheduled DBL and cancelled less than _ _ 24 hours _ Construction Insp. N/C _ Emergency Vehicle Ac' $50 FALSE ALARM PLANS TOTAL INSPECTION TOTAL PERMIT TOTAL TOTAL GRAND TOTAL Comments: Date: 79Z'7/0 . Insr ctor: 67 g11 gilie474. / • 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 lNo.: Plan No.: i."9-e32._ - Contractor. L5re n ,. Businss NaFne: t ag-Cliek a q Billing Address: :-.•• ..«o - • Business Address: �a0'Ji.� / . Busin ss Phone No.: Billing Phone No.: Busin ss Fax No.: Billing Fax No.: Contact: Contact: i I PLAN REVIEW FEES _ INSPECTION FEES _ PERMIT FEE _ FALSE ALARM FEE Site Khan 1 N /C _ Annual N/C — Sprinkler $50 — 1st Alarm N/C 0 0/ uIti f amil y /C mmerbial sf _ 1st Re inspection N/C _Standpipes $5D _ 2nd Alarm N/C (Minimum Charge $25. — 2nd Re- inspection $100 — Fire Pump $50 _ 3rd Alarm N/C El Plan Revisions DBL — 3rd Re- inspection $250 _ Hoods $50 ` 4th Alarm $100 — i 4th Re- Inspection $500 Fire Alarm $50 5th Alarm $150 _ SPRINKLER SYSTEMS (Business closed until _ LP Gas $50 6th Alarm $200 0 - 2� Heads ; $50 violations corrected) _ Natural Gas $50 _ NON COMPLIANCE $150 26 plus Head $100 _ SPRINKLER SYSTEMS — Fuel Tanks - per tank $50 STANDPIPE SYSTEM _ Hydro Undergrounds $45 _ Sparklers $100 0 Per Riser I $50 _ Hydrostatic Test $65 per system — Fire Works $500 FIRE P MP _ Acceptance Test $45 per system _ Camp Fire $25 El Per Plump $100 — Hydrant Flow $75 — Controlled Bum $100 _ FIRE ALARM SYSTEM _ Hood/Duct $50 — 0 - 25 Devices 550 _ FIRE ALARM SYSTEM — Place of Assembly 550 Annual _ 26 plus Devices $100 _ System Acceptance $50 _ Fire Protection $25 SUPPR SYSTEMS — Recall Acceptance $50 _ Flammable Application $50 Annual _ Wet $50 — OTHER _Waste Tire Storage $50 An _ Dry $50 _ Fire Wall/Smoke WaII $15 per YAM Generator < KW $100 — CO2 $50 _ LP Gas $25 per tank ` Generator >30 KW 150 Other $50 Natural Gas $25 per system Blo-Hazard Waste $100 Annual KITCHEN EXHAUST _ — Fumigation Tenting $50 I] Hood/Ducts $50 ` Tent 10'x10' or greeter $15 per tent _ Torch Pot/Applied $50 — OTHER — Fire Pump $45 Haz. Materials $100 Annual LP Installation p tank $ 50 _ Fire Suppression $30 _ Fuel Tank Inst $50 System Acceptance Per Tnk) $50 Exhaust Hood/Duct $30 EI Natural Gas In I anation $50 El Re- inspection DBL ( er System) (other than annual) _ El Spray Booth $50 11 Inspection scheduled DBL and cancelled less than _ 24 hours e Construction Insp. N/C Emergency Vehicle At) $50 FALSE ALARM PLANS TOTAL' _ INSPECTION TOTAL! PERMIT TOTAL TOTAL GRAND TOTAL I .2:76 = I Comments: . Date: ,5- f ` - , _ Inscgctor: I -Cr ✓ 1 CITY OF ZEPHYRHILLS ZEPHYRHILLS, FLORIDA WATER ACCT. NO. DATE %/ /O -0 7 OWNER/ JJ, �il/. � ..�� / - RENTER �I (J� • • MAILING a g )0 5 -- ksa hWeriZ-46.11-Age • 4 / SERVICE ADDRESS / / / ! g '&1-pee ❑ WATER SHUT OFF SERVICE ❑ TURN ON SERVICE ❑ SEWER INSTALL METER ❑ GARBAGE READ METER ❑ IN CITY CHECK METER ❑ ❑ OUT CITY J No. OF UNITS OTHER ❑ DEPOSIT AMOUNT i p AMOUNT LAST BILL DATE MISC. CHARGE METER: full irrigation WORK COMPLETED BY ORDER TAKEN BY & DATE COMPLETED ORDER GIVEN BY 1 1V/C-446A/10 4 - Retain white form in office at all times. Send pink & yellow forms to Water Service Dept. Water Service Dept. to sign yellow form & return to office. 1 Professional Service Industries, Inc. j A 11Information 16550 Scheer Blvd, Suite Hudson, FL, 34667 aTo Butld On Phone: (727) 868-9526 Engineering Fax: (727) 868 -0094 ee resting Re No:DFR:0390 Daily Field Report Issue No:1 Client: BRADANNA CONSTRUCTION, INC CC: HENRY This report shall not be reproduced, except in MI, without the mitten approval 2805 SOUTH HORSESHOE DRIVE FERNANDEZ Thes a^ eonlytot e nspectedortested. SUITE 12 NAPLES, FL 34104 Engineering Certificate of Authorization 3684 Project: WACHOVIA BANK - ZEPHYRHILLS Approved Signatory: James Kenney (Branch Manager) Date of Issue: 10/14/2009 CW TESTING SERVICE 7860 Stoneleigh Drive Land 0' Lakes, FL 34637 813 -996 -1191 CLIENT: Professional Service Industries, Inc. DATE: October 7, 2009 REPORT No: 905 PAGE NO: 1 of 1 PROJECT: Wachovia Bank INSPECTOR: Raul Mafia CONTRACTOR: .N /A ARCII/ENG: Decaro Willson. VISUAL WELDING INSPECTION ta► _ . DESCRIPTION/L OCATION: Visual welding inspection perform on the roof level between column lines A -J/ 1 -15 On tube steel welding to columns@ north, south, east and west side of the bldg. DRAWING NO: S -3 DATE: 1 11/26/08 1 REV: 1 0 WPS: N/A WELDER: T On files CERTIFICATION NO: INSPECTION RESULTS WELDING CHECK LIST ACCEPT REJECT NOTES . • MATERIAL TYPE: A -36 JOINT TYPE FILLET .. 4 WELDING PROCESS: SMAW 14 ELECTRODE: E7018 1r FINAL VISUAL /SIZE?: 1,4 " . f REMARKS: Also a visual bolting inspection was performed. All component evaluated were found acceptable. No reproduction of the above data is permitted without the written permission of CW Testing Services. CW Testing Servioes accepts no liability fbr work executed by others. • Page 2 of 2 Professional Service Industries, Inc. _ Informatio 16550 Scheer Blvd, Suite 1 Hudson, FL, 34667 1 i . !iTo Build On Phone: (727) 868 -9526 Engineering • • Fax (727) 868 -0094 Daily Field Report Report No:DFR:0390175 -1 Issue No:1 Client: BRADANNA CONSTRUCTION, INC CC: HENRY This report shall not be reproduced, except in full, without the written approval of Professional Service Industries, Inc. 2805 SOUTH HORSESHOE DRIVE FERNANDEZ These results relate only to the items inspected or tested. SUITE 12 NAPLES, FL 34104 -;''-'''.- Project: WACHOVIA BANK - ZEPHYRHILLS Engineering Certificate of Authorization 3684 Approved Signatory: James Kenney (Branch Manager) Date of Issue: 10/14/2009 Date: 10/7/2009 Technician: As requested, a representative arrived on site as scheduled to perform a Visual Welding Inspection. The results of the findings are presented below. Page 1 of 2 Wachovia Bank (4,437 sq. ft)- 7780 Gall Blvd- Bradonna Inc. Permit # 9138 SQ. FEET PRICE MAIN OR LIVING: 4,437 $ 109.47 OTHER AREA UNDER ROOF: - $ 91.00 OTHER: - $ - VALUATION $ 485,718.39 FEE SHEET $ 1,638.00 ADDRESS $ 30.00 DRIVEWAY $ 30.00 BUILDING: $ 1,730.76 ELECTRICAL: $ 368.55 PLUMBING: $ 245.70 MECHANICAL: $ 171.99 SUB -TOTAL $ 2,517.00 RADON: $ 44.37 TOTAL $ 2,561.37 SEWER: $ 5,351.03 WATER: $ 1,706.47 IRRIGATION: $ - TOTAL: $ 7,057.50 WATER METER: $ IRRIGATION METER 220.00 1(1) 3/4 meter n/a FIRE DEPARTMENT FEES PLANS TOTAL: $ 270.00 INSPECTION TOTAL: PERMIT TOTAL TOTAL: $ 270.00 PUBLIC SAFETY IMPACT FEES POLICE $ 723.23 FIRE $ 776.48 5% $ 74.99 TOTAL: $ 1,574.70 SUB -TOTAL $ 11,683.57 I PARK IMPACT FEES $ - I n/a SIF'S: $ - 100.0% $ - 1.0% $ - TOTAL: $ - n/a T 1 F 'S : $ 77,998.02 25% Tif $ 19,499.51 + $11,683.57 = $31,183.08 (due for permit) 99% $ 77,218.04 1% $ 779.98 break down enter (99% of $19,499.51) $19,304.51 /// 1% of $195.00 = 19499.51 Tif TOTAL: $ 89,681.59 I Balance 75% due before pre -meter given - $58,498.51 * ** k aoa 0 SQ. FEET PRICE MAIN OR LIVING: 4,437 $109.47 OTHER AREA UNDER ROOF: - $94.00 OTHER: - $- VALUATION $485,718.39 FEE SHEET $1,638.00 ADDRESS $30.00 DRIVEWAY $30.00 BUILDING: $1,730.76 ELECTRICAL. $368.55 PLUMBING: $245.70 MECHANICAL: $171.99 SUB -TOTA $2,517.00 RADON: $44.37 TOTA $2,561.37 SEWER: $ - WATER: $- IRRIGATION: $- TOTAL: S- I WATER METER:I $220.00 IRRIGATION METE W $- FIRE DEPARTMENT FEES PLANS TOTAL: INSPECTION TOTAL: PERMIT TOTAL TOTAL: $- PUBLIC SAFETY IMPACT FEES POLICE $723.23 FIRE $776.48 5% $74.99 TOTAL:I $1,574.70 SUB -TOTAL $4,356.07 I PARK IMPACT FEES $- SIF'S: $- 100.0% $- 1.0% 5- TOTAL: T I F 'S : $8,0221.10 99 °/ $ 1°/ $80.22 TOTAL: $12.378.17 0 7 7 , 7 t-S 9 , • „ 21.).R 69 975 - . SQ. FEET PRICE MAIN OR LIVING: 4,437 $109.47 OTHER AREA UNDER ROOF: - $94.00 OTHER: - $- VALUATION $485,718.39 FEE SHEET $1,638.00 ADDRESS $30.00 DRIVEWAY $30.00 BUILDING: $1,730.76 ELECTRICAL: $368.55 PLUMBING: $245.70 MECHANICAL: $171.99 SUB -TOTAL $2,517.00 RADON: $44.37 TOTAL $2,561.37 SEWER: $ - WATER: $- IRRIGATION: $ - TOTAL: $- I WATER METER: $220.00 3 I IRRIGATION METE $220.001 $- I FIRE DEPARTMENT FEES PLANS TOTAL: INSPECTION TOTAL: PERMIT TOTAL TOTAL: $- PUBLIC SAFETY IMPACT FEES POLICE $723.23 FIRE $776.48 5% $74.99 TOTAL: $1,574.70 SUB -TOTAL $4,356.07 I PARK IMPACT FEES $- I -MA SIPS: $- 100.0% $- 1.0% $- TOTAL: $- Ik T 1 F 'S $77,998.02 99 °/ $7 1 $779.98 TOTAL: $82.354.09 City of Zephyrhills Water and Sewer Impact Fee Calculation Land Use Type: Office No. of Square Feet 4437 Impact Fees Within City Limits Outside City Limits Water Distribution System $1,706.47 $2,133.09 Wastewater Collection System $3,430.01 $4,287.50 Wastewater Treatment Plant Capacity $1,921.02 $2,401.28 TOTAL $7,057.49 $8,821.87 Jacqueline Boges From: Jacqueline Boges Sent: Friday, August 28, 2009 3:10 PM To: 'Iinda @bradanna.com' Subject: W -9 form Attachments: im3510_20080810_132449.tif im3510_20080810_132449; Hello Linda, I am sending over a w9 form to be filled out by your company so we can set up an account to have a refund returned that was over charged on permit #9138 for transportation impact fees . The amount that was paid is $77,998.02 but due to the developers agreement we should have only charged $8,022.10 which gives a difference of refund to your company of $69,975.92. So if you could get the above attachment form filled out and emailed over to our purchasing department attention Karen miller her email address is kmillerOaci.zpehvrhills.fl.us and she will set the account for you so that I can request the check. Thank you, Jackie Boges Code support specialist Jacqueline Bodes From: Jacqueline Boges Sent: Friday, August 28, 2009 3:13 PM To: Karen Miller Subject: w9 will be sent to you Greetings Ms. Karen, IA company by the name of Bradanna Inc will be sending to you via email a w9 form filled out . I will to request a refund for their company. I just email the young lady by the name of Linda so you may not get it today. Just giving you the heads up. Thanks Jackie Boges Code Support Specialist ext. 35 1 $1) BRADANNA, INC. August 25, 2009 City of Zephyrhills Attn: Building Department 5335 8 Street Zephyrhills, FL 33542 PERMIT NUMBER: 9138 REGARDING: Change of Sub - Contractors This letter is to inform you that there is a change of sub - contractors on Permit Number 9138. From: Brothers A/C & Controls, Inc. 2307 Bruner Lane #6 Fort Myers, FL 33912 Tele: 239 - 340 -2108 Fax: 239 -542 -3707 To: r /AcuTemp Mechanical Services t2)( 6260 Hatcher Road Lakeland, FL 33811 Tele: 863 - 619 -5688 Fax: 863 - 701 -0174 From: American Electrical, Inc. 13720 N. Nebraska Ave. Tampa, FL 33613 Tele: 813- 977 -5991 Fax: 813- 632 -9708 To: V Batets Electric 7901 Hopi Place Olt " Tampa, FL 33634 Tele: 813- 888 -7050 Fax: 813- 888 -8066 If you have any questions of concern feel free to call me at the number listed below. Respectfully, Brad W. teinmann Vice President and Qualified License Holder • 2805 South Horseshoe Drive, Suite 12, Naples, FL 34104 (239) 455 -8891 Fax (239) 417 -1249 State Certified General Contractor CGC1507312 "''''Aug. 26. 2009 ` 3 :19PNi' `BATES ELECTRICLui n, r .A na. 01J- sou -uutl No. 5458 P. 1'1 /uul 013- 78o -002o D D 2 gi City of Zephyrhills Permit Application Fax -813.7e0 -0021 x'' j 1 3 .5 Building Department • Date ReGeiVed 5 '. ' b phone Contact for Permli I I 1 •.•• _ H'ffli'I't it TtF', • iLMF. JS3!,tttM h.CICL4.I 1 Owners Name ,r • ' . r .. A j Owner rI•oric Numb ,r __I Owners Address 1 Owner Phone Number [ • Fre Simple Titleholder Names 1 Owner Phone Number 1 ' • Fee Simple Titleholder Address I • JOB ADDRESS 1 - '7 7X O. . i .W ^. - - - I. .LOT* [--- _ — I • SUBDIVISION ' . ( . PARCEL IDYL I. . .. . (OBTAINED PROM PROPERTY TAX NOTICE) WORK PROPOSED . NEW CONSTR ADD/ALT . SIGN MOVE • Q DEMOLISH • I INSTALL • ':REPAIR . , PROPOSED USE ' . FT SFR - . 1 • i COMM = OTHER 1 i TYPE OF CONSTRUL T ONt • r' BLOCK : F ' FRAME. ' . I i • STEEL u ' 'OTHER { - • 1 DESCRIPTION OF WORK 'I • • _ AUILDIN ems I I gQ FOOTAGE [ I HEIGHT I.. 1 [] BUILDING $ VALUATION OF TOTAL CONSTRUCTION ' Q ELECTRICAL $ AMP SERVICE r PROGRESS ENERGY Q W,R.E.C, r PLUMBING I$ 1 6 -M/m / Q . MECHANICAL *$ VALUATION OF MECHANICAL INSTALLATION • , , . Q GAS Q ROOFING n SPECIALTY 'OTHER FINISHED FLOOR ELEVATIONS I . • FLOOD ZONE AREA J r1NO • BUILDER COMPANY SIGNATURE RECISIeRED I . J' Y/ N 1 FEE CURRENT i ll/ N 1 I Address 1 . • . . License Y EA ' _ I - _ - • 1 1 / �/ / ELECTpIcIAN �� / / �/ Q PILr!Y ® D 12.5 L \ f i- A ok �0 ! ( SIGNATURE ..,,14.1P pam •rEECUMEN ' • T - t ( ' \\ Addr -, , a, • iW �r ll Ucense0 • [t ~ -- Cad 1 bg i ' f • , PLUMBER , . •COMPANY 1 1 SIGNATURE REGISTERED 1 Y/ N i TEE CURRENT 1 Y/ 1' Address I Eleanor it i i MECHANICAL 1 COMPANY I - - - — w J • SIGNATURE REGISTERED ' 1 • Y / N j' • . 'F¢ ' •J . Y / N , 1 , Address :.Ucense#' 1 OTHER COMPANY SIGNATURE. , iu= clsTeMED 1 Y/ N 1 Feicunemrr 1 Y/ N J Address I ] - L lcense fi I ' • . • VP T.rft! g rlrlgT -ITT TIT1Stozr7LII LIT it T RESIDENTIAL . Attach (2) Plot Plane; (2) sets of Buiding Plans; (1) set of Energy Fonts: R -O -W PCnnlr Io new con ^Mlol '\, Minimum kin (TO) Working days efter submittal date- Requred onsne, Construction Plane, Stonnweter Plane w/ Sill Pence installed, • • Sanitary FadNties & 1 dumpster; SIbt Work Permit for subdlvtsions/large projects COMMERCIAL Altaoh (3) complete sets of Building Piens pip a Life Safely 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 Fenos Installed, Sanitary Facltities & 1 dumpeter. Site Work Permit for all new projects. AO commercial requirements must meet 910N PERMIT . Attach (2) sets of Engineered PIsne _ 'PROPERTY SURVEY requirod fur all NEW construction. ' Directions: . • Fill out application completely. • • • Owner.& Conoacior sign be of application. notarized If over 52600, a Notice of ¢ommenoemenl is required, (NC upgrades over 56000) . • ' • " Agent (for the cgnlredor) or Power of Attorney (for the owner) would be someone with notarized leper from owner authorizing same • OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs Sewers Service .Upgrades A/C Fences(PlotSurvey /Footage) ,. i . . • OHvrweys - Noe ever Counter Ir on pursue roaaweye. ROW _ • • 1 08/26/2009 16:18 8637010174 ACCU TEMP PAGE 01/02 RECEIVED 08/26/2089 11:39 8637010174 ACLU TEMP • AUG /Z6 /2008 /TUB 11:58 AM ZEPHYRH1LLS BUILDING PAX No. B13- 780 -D021 P.001 /001 e13-7800020 - City of Zephyrhills Permit Application . . Fax-e13-Teo-ooxl • • Buid % Oeperfaent • , • Date Recalled • .. e • • — • phone Cenr ter Pe�aNlln_ Omen) Min Illiff; L i re s 'Owner PhoneNumtkr -' ' • . Owdcrs AdMesa I • ---- - • - ' • • I . • , Ownai Phano Nu,etie'I I , .. . , • I Fw simple TwshollkrHomel 1 .. • • • ' I'. O*urf Phone Numti t1 • II • . Fee simple Igehe derAddrelie I / • • ! � . /7 . • • • . • - • • • • - • 1 - JOB ADDRESS • I 7X /y CJ (>' /7C-1�. E .LOTS I• • • SUOINV151ON. • • •. - I . /• y • . .I.. ARC MI .. • . I . • , . • . (..reeMEP PPM PROPERIYTAX NoTICe/ WORK PROPO;ED NEW CONS ADD/ALT • ED • • SION 0 MOVE • DEt!IOLI$l1 • , e . INSTALL -• E. •.REPAIR . • PROP.O!!!D Uag • .. . I= ` SFR - I • ` COMM •• ©• : O THER I .. • . ' . . • . 1 • TYPE OP C0N$TRUCTION - 1=1 : ' BLOCK - • • = •' FRAME '• • .1=1 • • STEEL r i : OTHER I • • • I DFACRIP1ION OF WORK 1 . • - • • • BUILDING MU 1 • '''EQFOOTAGE(' • - I HBONT L . '' . 1 • • n Bl1LLDIN0 (I • I , VALUATION OF TOTAL GONSTRUCTIBy - . 1-'-j. I ELECTRICAL I; -.. I, AMP SERVICE. Q PROGRESS ENERGY • Q W.R,E,a [] PLUMBING , p 1 • MECMAt(ICAL � I 1 VALUATION OF MECH/WICAL'INSTALLATION . • � vv , J GAS- ' • ' • ` • ' Q ` • ROOTING • . . r--1 SPECIALTY p• " OTHER . ' ` ' -. • • . FINISHED 1T,OORELEVATIONS - - . . • . FLQODZONG .. QYEs dnv • BUILDER ( -- • COMPANY : • SIGNATURE pEOISTERED ( ' I V l N .1 MO Came+T / N • • *Wee! I • • • I .. LJCenea f ' . 3I('aNATURE ( RtserTEa4D, •1 Y /•N i • •Recermetr . I Y/N 1 I • 6IGNATURE - . . .- . aeler EKED I 1 Y l N 7. Fim cURRBa 1 YIN 1 I . Addims I • • I • Mena 0 I C.Ivnc / Zi(9947,1 CIN ✓ - , • ICNANICAL0� �/ '/ ' COIIIPANY • f �( ` ,� ^-reef r�L r✓ • I,7 C�,7 • SIGNATURE • I! / /.li� C �. - - ease mo .. ` ' 1 Poe Y.'/ N . I '• -. , . - - i �aKe la.�i'4-1. 33 €lf cIMPANV • ' - • .. - - ' ' 7 • alewivRE Roei1 j Y/ N 1 : PEE CUmpArr .1 YIN ( - • AIldreae • .• • • • .• I ' • • t7 CeT;e.TI 1 'RESIDENTIAL Almdr (2) Plot Pere; (2) sets of Building Plena; (1) set of Energy Fa.mm,R- O••Pemtluor new oompvcron, ' P nimum.len (10) YYOrMIIIg dew alter *Warne date. Required onele. Ooeuoucdon Plane, 9lonnwater Plane M 81i Fence Iealaled, BaNtsly Feclllee 61 duemoton, 91te Went,Permlt for GIGGSGbnsAalee ptojecls wL ' COUMERC • . Amen (2) complete sets or Budding Plane Mus e Life Se* Page; (1) set of Energy Fenno. RAW Pawner new wtlebudoe. M►rllltam tall (10) WOIWng days after subrhdla! date, Requited oroae. COenvucdon Plans, atonowerer Piero w/ alt Fence Inetslled. adder/ FadHMe 61 d elpeler. seta Wont Peden for aE Tee pro/eds. All ommon:Se raeukenients must meat compbaws ' MON PEf W R Alfadl (2) sale of lieyfneered Reeve. • ' • ""PROPERTY SURVEY rep(eed tor NEW coma /men. . - - ... • • . • . S; . Ise out applIpMen Compost*. . . Oer$ atr Coad or d bed(of epeOCBbon, notanzed • wn • N over 32533, a Nptlee'of Gamm.nosm.dl le men een. (AMC upgrades over $60001 • r ' 1 Agedt (for1ra oordraelor) or Power of Altomey (ter Ore Costar) would be eomeane wish notarized latter *Om owner aubetTmg same • • OVER THE COUNTER PERMITTING (Front of Apple lOen Only) Remora sewers S.Mce Upgradee NC ' Fences (PbVSurvey/Feetade) _ • • ' Ddvsways.Not over Counter d on puMlo roadways. :needs ROW - • e $1) BRADANNA, INC. City of Zephyrhills August 25, 2009 Attn: Building Department 5335 8 Street Zephyrhills, FL 33542 Permit Number: 9138 Job Address: 7780 Gall Blvd, Zephyrhills, FL POWER OF ATTORNEY As the Qualified License Holder this letter is to serve only as authorization to apply, pick up and receive permits for the above mentioned permit This does not allow the appointed to sign the permit application. Know all men that I, Bradford W. Steinmann do hereby constitute and appoint Paul Plamondon my true and lawful attorney -in -fact to apply for /receive from the City of ..-phyrhi. . Building Department to sign for the above described building permit. Qua' icense Holder State of Florida, County of NO‘ pc- 5 A n Sworn to and subscribed before me this Q5 day of k_ig 2009, by Bradford W. Stei Aar • , who is personally known to me. k L ,;•, M058 Sig ture of N •A ry Public Seal EXPIRES: October 18, 2009 •-, o ., °, , Bonded Thru Notary Public Underwriters I, Paul Plamondon am the duly authorized attorney -in -fact as set forth in the Power of Attorney as stated ab ve. K US-- 1\ )C(/\&/0 Affiant's Signature State of Florida, County of ��,_ Sworn to and subscribed before me this °S day of ALP.S 2009, by Paul Plamondon, who is personally known to me. , ,t:: "; -V._ LINDA Y. PATE re of Not Public Seal = *: "` 1* MY COMMISSION #DD483058 ■ ; P EXPIRES: October 18, 2009 1 ; F; Bonded Thru Notary Public Underwriters 2805 South Horseshoe Drive, Suite 12, Naples, FL 34104 (239) 455 -8891 Fax (239) 417 -1249 State Certified General Contractor CGC1507312 813 -780 -0020 City of Zephyrhills Permit Application Fax- 813- rou -uuz1 Building Department / Date Received 22 ! Phone Contact for Pemtlttin e I • Owner's Name IA/ P4Ch tiV ; /3o N k Owner Phone Number 954' 594– g C / x,11 S ;ete 7Th" - .2I� p k_ Owner Phone Number Owner's Address L L1 ee "C w /�� Fee Simple Titleholder Name Owner Phone Number ____ Fee Simple Titleholder Address JOB ADDRESS 716 0 6 4(1 1 LOT # SUBDIVISION ZP,Idi et-- uw S PARCEL ID #r q 5 z-5-24 —0130 ' -06 1 0 00 66 (OBTAINED FROM FROPERTy TAX NOTICE) WORK PROPOSED N NEW CONSTR ADD /ALT 1 1 SIGN 1 MOVE 1 1 DEMOLISH INSTALL REPAIR PROPOSED USE F 1 SFR COMM L I OTHER I 1 TYPE OF CONSTRUCTION 1 1 BLOCK FRAME VI STEEL [] OTHER F ASA i &AM- 3 ' / DESCRIPTION OF WORK Alf w Rc ,...1 /4- ifu t /4 r, v , ( / idw6c i Zia 7/ • J BUILDING SIZE t i, S U SG FOOTAGE i i/ 5 HEIGHT , iT`°1"1 7 4 . T=LL '!MCCT ••• an •■ ••• -- • • •al - •uu•w• 000 • I 1 BUILDING $ V0 000 C AR. VALUATION OF TOTAL CONSTRUCTION 1 1 ELECTRICAL $ AMP SERVICE [ 1 PROGRESS ENERGY n W.R.E.C. C e p h ogif 2.3q- 253 - 9373 PLUMBING 1$ ,44-Li@ horsiztzuguk 1 1 MECHANICAL $ f VALUATION OF MECHANICAL INSTALLATION �/j 1 - ' Cr' I 1 GAS 1 1 ROOFING 1 1 SPECIALTY [T OTHER 2J FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 (YES 1 INO i a - 44•s•444.4••4•441M111 • 4444 I f ,! --�Z2' COMPANY �/`U d0'�'eo ' - jaG RUJLGER SIGNATURE ( �/'� FEGiSTEF E ; Y / N 1 FEE CURRENT ( l' ! N 1 Address MT S. /C./F..3r54 -r /1°,`-'r' ,vo,-'Cs4r f ---1 . License# 1 ELECTRICIAN COMPANY SIGNATURE L' REGISTERED NM. FEE CURRENT Y I N Addrase License # _ PLUMBER COMPANY • t G G . U ► S WI! SIGNATURE .4.' REGISTERED Y / N F E CURRENT MEN I Address 11(9L /U f LF - "$4U' •1 O t,� .3zSZS Ucense# F(-- 0 7 002.0 MECHANICAL_ COMPANY V 1 SIGNATURE :_2.-"'' REGISTERED Y / N 1 FEE CURRENT - J I ' i N 1 Address L ( u...5.# I ! OTHER COMPANY SIGNATURE REGISTERED 1 YIN 1 FEE CURRENT 1 Y N 1 Address 1 License # 1 01Si ■•4 ■444 44••/4 . 4444 4444 4.4• 004 i•• - ••a■ ■•44 . . RESIDENTIAL Attach (2) Piot 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 onslte, 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 onslte, Construction Plans, Stormwater Plans w/ Silt Fence Installed, Sanitary Facilities & 1 dumpster. Site Work Permit for all new protects. All commercial requirements must meet compliance SIGN PERMIT Attach (2) sets of Engineered Plans. "PROPERTY SURVEY required for all NEW construction. '1111itI1I11I111111I1 1111111l 11i1111111I11f11 fffi H 1 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 $$000) Agent (for the contractor) or Power of Attomey (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 WC Fences (Plot/Survey /Footage) Driveways -Not over Counter if on public roadways..needs ROW ACORD rM CERTIFICATE OF LIABILITY INSURANCE DATE(MM /DD /YYYY) S/4 /2009 Pi(ODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Lassiter - Ware Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE of Orange/Seminole, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR PO Box 940159 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Maitland, FL 32794 - 0159 (407) 6 3441 fax: (888)883-8680 INSURERS AFFORDING COVERAGE NAIC# — INSURED A Catapano Plumbing, Inc. — INSURER A: North Pointe Insurance Company 277' INSURERB: Hanover American Ins. Co. 3601 I 1406 N. Chickasaw Trail r • Orlando, FL 32825 -5235 INSURER C: North River Insurance Company 211' INSURER D: Florida Hospitality Mutual Ins 106 INSURER E: Progressive Express Ins. Company , COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD' Ia - -. -.. _-- — -- --- -- - -._ - -_ _._ POLICY EFFECTIVE POLICY LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE (MM /DDIYY) DATE TE (MM /DD /YY) IMM /DDIYYI LIMITS GENERAL LIABILITY 2094119739 09/18/2008 09/18/2009 EACH OCCURRENCE 1$ 1,000,000 DAMAGE TO It X 1 COMMERCIAL GENERAL LIABILITY PREM SES ((Ea RETE occurence) i $ CLAIMS MADE X i OCCUR ' MEDEXP (Any one person) S 5,000 i I A I I PERSONAL &ADV INJURY I 5 1,000,000 GENERAL AGGREGATE S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: I - -- PRODUCTS- COMP /OP AGG S 2, 000,000 ' —_- PRO POLICY r iX I JECT - r 7 LOC AUTOMOBILE LIABILITY AZJ071782001 09/18/2008 09/18/2009 COMBINED SINGLE LIMIT X ANY AUTO (Ea accident) $ 1,000,000 — ALL OWNED AUTOS - j I BODILY INJURY SCHEDULED AUTOS (Per person) $ B X HIRED AUTOS 1 BODILY INJURY LX NON - OWNED AUTOS ', (Per accident) $ , PROPERTY DAMAGE Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT I $ ANY AUTO EA ACC I S AGG S AfTRYN _ - -i ' AUTO O ONLY: E EXCESS/UMBRELLA Y: LIABILITY 5530915737 09/18/2008 1 09/18/2009 EACH OCCURRENCE $ 2,000,000 X OCCUR 1 CLAIMS MADE AGGREGATE 15 4,000,000 1 , s DEDUC TIBLE_ - -- - - - - - -- $ IX RETENTION $ 0 $ WORKERS COMPENSATION AND WCO53466 01/17/2009 01/17/2010 X WC STATU- X OTH- TORY LIMITS ER EMPLOYERS' LIABILITY —_ - -- -- - - -- D ANYCER /MEETOREXCLUER /EXECUTIVE E.L. DISEASE - EA EMPLOYEES 500,000 E.L. EACH ACCIDENT OFFICER /MEMBEREXCLUDED? $ 500,000 If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT SOG,OGG OTHER WC306-0020401-2009 01/25/2009 01/25/2010 Combined Single $1,000,000 E Auto Liability i DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Blanket Additional Insured including Products and Completed Operations are included in General Liability as required per written contract with respect work being performed by the insured for Certificate Holder. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION CITY OF ZEPHYRHILLS DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 5335 8th Street REPRESENTATIVES. Zephyrhill s, FL 33542 AUTHORIZED REPRESENTATIVE fax: (813) 7800005 Ron Brown - ACORD 25 (2001/08) © ACORD CORPORATION 1988 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 25 (2001/08) Earl K. Wood, Tax Collector -- Local Business Tax Receipt d � T This local business tax receipt is in addition to and not in lieu of any other tax required by law or municipal ordinan a Businesses are su Orange ti County he Flo d o h September p t lawful authorities. This receipt is valid from October 1 throu Se er 30 of receipt year. Delinquent penalty is added October 1. ***ORIGINAL`** . 2008 EXPIRES 9/30/2009 1803 PLUMBIN $30.00 10 EMPLOYEES: 1803- 0050556 TOTAL TAX $30 CATAPANO ANTHONY PREVIOUSLY PAID $30.00 TOTAL DUE $0.00 A CATAPANO PLUMBING INC CATAPANO ANTHONY P 0 BOX 678521 1406 N CHICKASAW TL (MOBILE) ORLANDO FL 32867 -8521 U - ORLANDO, 32817 PAID: $30.00 99- 401671 8/18/2008 This receipt is official when validated by the Tax Collector. AC# 327275`0 STATE OF FLORIDA_ DEPARTMENT of BusnesS e AND PROF sSS a2 AL BGUL TIOI+t CONSTRUCTION INDUSTRY L EN ING =BOARI HEQ# L07062700517 ' LICENSE NBR 06/27/2007 060778030 QB0010279 The BUSINESS ORGANIZATION Named below IS QUALIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2009 (THIS IS NOT A LICENSE TO PERFORM WORK. THIS ALLOWS COMPANY TO DO BUSINESS ONLY IF IT` HAS `A QUALIFIER.) A CATAPANO PLUMBING INC ORLANDO 678521 FL 32867 CHARLIE CRIST HOLLY BENSON - GOVERNOR DISPLAY AS REQUIRED BY LAW SECRETARY ACS - STATE OF FLORIDA DEPARTMENT OF BINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BO IM SEQ#L0007010070 JaTE BATCH NUMBER LICENSE NBR 07/01/2008 088000311 CFC040020 „ The PLUMBING CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter X89 FS. Expiration date: AUG 31, 2010 CATAPANO, ANTHONY F A CATAPANO PLUMBING INC 1406 N CHICKASAW TR ORLANDO FL 32825 CHARLIE CRIST CHUCK DRAGO GOVERNOR INTERIM SECRETARY DISPLAY AS REQUIRED BY LAW 08/19/2009 10:50 FAX R007/007 gllaaamzB City of Zephyrhllis Permit Application ►.wte•ral►aunl • Imam D•pubiNGI WO ow e.wla.a r Nino M.looI (.r ,M� l.,!11 wlr 1,—. - mimes Nom W�hANI l l'• • rI K ••• Omer Moog Emir !.S"d/— SO( -Ldd? l °woo.. AMdwaa I /f5° )d A s /M. °71" a �� A . `e'd I owner Plum NwM 11 ar { Pas SMpM 11MUa.ldiur Nna114 1 Mole Photo PIN AMr 1 _I Pea Slop* TMetoburiodises I 1 JOS MOMS I ?I AD 6 4I LOT II I S UINDERIPON 1 te rn, 4)..., s 1 PARCa. a]Pl 0 5 Z5-24- 0130 064" od (e b I MINNne **tail NIKINATTTAXMOIKA wank PROPOSED Ei IO Md BTCONBTR E =ma gm p p B MOVE OEMOUON PROPOSED E Q SA4 caw p OTHER r • I rrPs or cogwr*IDnION p BLOCK MANE iil STEEL 153 OTHER ME +y S DESCRIPTION OPWOW New /loaf& /•sat M r 1r 00016ci 41174 suILDMMO NEE I 1 /1 51, L 1 so FOOTAGE 1 d eo 5 DO J wow E 1 Q .uw.OWo 11 v 000 VALUATION OPTOYAI. CONSTAUCT10N c, � EC,RICAL 11 ' J I Ape °EmVICE C] PROGRESS ENERGY D w.R.E.C, Q PulM•Mfo 15 j ce (j''(2S3 -8373 p Med,ANICAL Is j VALUATION OF MECHANICAL INSTALLATION Qi1d A0./W.. • C3 ea p ROORNS Q SPECIALTY p OTHER N NISNEb FLOOR ELEVATIONS r 1 R� axe AREA C=1111 DPP I COMPANY 1 °I'D'41 Al N.. ,r144- 1 11101 TWIN IAONISAND 1 Y N l — FEB ll e [ Y!A r mean 1 a cos S • get.xs4e 4 6e4.4 rw / 1 UMINOs 1 1 iuNATLRE L '' Rummear � j Yr N l All anon* I Y 1 . 1SNATIRIE Uranus ( 1 • Mime 1 FuNR L. . 11 IV 1 S NTNr►T 1 Y/ N 1 Peet men 1 Y7 Address AT1RIE • CDNw Jr E/ �� 1 1 SERNIANICAL ,�^ _ worms' 1 YTFI 1 MOCUIl 'T 1 YJN l AAEwa. f IMAMS 1 1 �9' • iC e4 / r r mops= 1 Ad^ NX MtU , Sr►G %!� /� a>,AFnallaD ! Y/ N J rsiatwelT I YIN 1 Mdidinma 1 a to -gofq 10Y1 el r• A-t $ 33945 • Uwno M 1 CCCC0 .214 /" 1 RESIDENTIAL Mach ( 2 ) P l o t Plum 1 2 1 eau leEWEN Plant; (1) gel of GAME room R-0•W P.MIIt Its new at+m U II. MMus Iwt ( ai dale ear submIONI IMS Ravilud GINIYI. CurSuolrn Plrr, Sumerlw Plena w 511 Puna* Smiled. SMNUT hen. a 1 Amnpalut Slr Wets Pl1Aa Sr WINMLbIIa1N0a P cCIIMflICIAL AIWA p) awnnplau ante AT S*MA Pane pip a UN Sally Pap: (1) ad of Ett.W PaAIr. Row Penult br mw a nebu4rl. MnMmAI a n (10) wallop Llso sONT ulmilli dab- Raalbal was CosI nNSaA PSae. SSmeamarPSMg w SM FAIN Ssr6d. 11../INNy Ful lea 11 diunpalr. ale WM Pane Ix IS NAT peldn. N awweer lle woldnwnnMw newt eel to mamme 51gr1 PERMIT much mule of INSNAINANI Pita. - -PROPeRTY SURVEY irtgwePordtNEwa l Pw+. DMeetlona FS evtappk.Sor a ers4sIMy, Amur a OenVeNar bra of AppaeaSan, Malaita M owe wok a Metlm al CwirmasnowN Y woudneP. (NC upgrading aver SneSS) AMrd (kr 1u =escort 0r Pow of AMPAwy (fa►1r orwM) said tw neawwn, WO Alragd Mar MA goner .ngerfNnY nano ovum THE COUNTER PPJNIIT TNd (PRIM alAFFMatle4 Cub) Aaeeu Boron semen UFpedis NC Funs I gouge) OAaomagyo M over Caowr If on p blit eisevow..neode ROW Aug 06 09 09:45a Dee Morales 407 - 273 -6030 p.1 •• ; Illy / 4 1 4 ,,, ,J. A CATAPANO PLUMBING `. P.O. Box 678521 Orlando, F 32867 ' ✓t -,-)/ ' , (407) 273 -8300 fax (407) • 73 -6030 l � ` E -mail acatapano @bell - outh.n t Fax rutr-v- To: ZEPHYRHILLS BLD DEPT From: ANGELINA Fax: 8 i 3- 730 -0021 Pages: a 5 Phone: Date: 84109 Re: CONTRACTOR CERTF CC: X Urgent ❑ For Review Please Comment ❑ Please Reply ❑ Please Recycle Aug 06 09 09:46a Dee Morales 407 - 273 -6030 p.5 r � A CATAPANO PLUMBING, INC. _:,-- P. O. Box 678521 Orlando, FL 32867 407 -273 -8300 fax 407- 273 -6030 f� `� ' a -mail acatapano©bellsouth.net Date:_8i 5/09 LETTER OF AUTHORIZATION To Whom It May Concern: This letter is to authorize _Kris McCracken to pull the plumbing and /or gas permit for the following project and this project only: PROJECT NAME: Wachovia Bank PROJECT ADDRESS: 7780 Gall Blvd GOVERNING MUNICIPALITY: The City of Zephyrhills This authorization is given by ANTHONY F CATAPANO, for A. Catapano Plumbing Inc. Thank you, afAINOW Ant w ily F Catapan President CFC040020 State of Florida, County of Orange Sworn to and subscribed before me this b day of _ 204 Know me personally or produced. ID '1 l7 '( - �Nf /17�� : 4 --- Notary Public x fL�l MORALES .0"'',4 . }ARl,r • • ao'"!oes My commission expires: al .:r< !.' ' ...ft 0,201 u a, Aua C. Aug 06 09 09:46a Dee Morales 407 - 273 -6030 p.2 Earl K. Wood, Tax Collector Local Business Tax Receipt _ Orange County, Florin This local business tax receipt is in addition to and not in lieu of any other tax required by law or municipal ordinance. Businesses are subject to regulation of zoning, health and c lawful orities: This receipt is valid from October 1 through September 30 of receipt year. Delinquent penalty is added October 1. ORIGINAL 2008 EXPIRES 9/30/2009 1803- 0050556 1803 PLUMBING 530.00 10 EMPLOYEES! TOTAL TAX 830,00 CATAPANO ANTHONY PREVIOUSLY PAID $30.00 TOTAL DUE 50.00 A CATAPANO PLUMBING INC CATAPANO ANTHONY • P 0 BOX 678521 1406 N CHICKASAW TL (MOBILE) ORLANDO FL32867 -8521 U - ORLANDO. 32817 PAID: 530.00 99-401671 8/18/2008 • This receipt is official when validated by the Tax Collector. AC># 3? 72 7 5 l STATE OF FLORIDA: D EPARTMENT O BUSINESS - AND PROFESSIONAL REGULATION: • _ • CONSTRUCTION INDUSTRY LI-�CENSSNG HOARD S LICENSE NR _ - B >• 06/27/2007 060778030 _Q00010279 . . The BUSINESS ORGANIZATION - Named below IS QUALIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, COMPANY (THIS O ONLY IF WORK. IT HAA QUALIFIER.) A CATAPANO PLUMBING INC P 0 BOX O 678521 FL 32867 CHARLIE GRIST =MOLLY BENSON _ G DISPLAY AS REQUIRED BY LAW SECRETARY ACS ,-. -; � � ; := STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL CONSTRUCTION; INDUSTRY LICENSING BOARD SE..... 701 DATE BATCH NUMBER LICENSE NBR 07/01/2008 088000311 CFC040020 The PLUMBING CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter-48a FS. Expiration date: AUG 31, 2010 . - CATAPANO, ANTHONY P A CATAPANO PLUMBING INC 1406 N CHICKASAW TR ORLANDO FL 32825 - • CHARLIE GRIST CHUCK DRAGO GOVERNOR INTERIM SECRETARY - DISPLAY AS REQUIRED BY LAW'" Aug 06 09 09:46a Dee Morales 407 - 273 -6030 P.3 M( ACORD ,,., CERTIFICATE OF LIABILITY INSURANCE I DATE (111DD/YWYt M AV PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Lassiter - Ware Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE of Orange/Seminole, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PO Box 940159 Maitland, FL 32794 - 0159 ►NSURERS AFFORDING COVERAGE NAIC# fax: (888) -8680 — - -- -- NSURE 3441 --- -- I __ — NSURED IN SURER A: North Pointe Insurance Company 277 A Catapano Plumbing, Inc. INSURERS: Hanover Americ Co. 360ft 1406 N. Chickasaw Trail INSURERC: North River Insurance Company 211,. Orlando, FL 32825 -5235 INSU ?ERD Florida Hospitality Mutual Ins i06 F SURERE: Progressive Express Ins. Company . COVERAGES THE POLICIES CF 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 PE RTAIN. 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. — — '— . — — - -------- �- -- -- -' — — POLICY EFFECTIVE POLICY EXPIRATION LIMITS I NSRD POLICY NUMBER DATE IMMIDOfYYI DATE IMMMDO/TY1 LTR NSRD TYPE OFINSURANCF GENERAL 2 094119739 09/18/2008 09/18/2009 EACH OCCURRENCE 5 1, COO, 000 — 0ATAAGT:TOREI TED X I COMMERCIAL GENERAL LABILITY : PREMISES IEao ctrenceJ . — CLIMSMDE X OCCUR. X person) _ _ ..�_. . 1. 0.00,000 A PERSONAL &AONIVJLRY $ —_.. — — 2 00 GENERAL AGGREGATE , 0,000 G -A _.._._ z, ooD, 600 PRODUCTS- CDMP;OP AGG — __ —,•— GEN'L AGGREGATE LIMI'A�PLIES PER: - -- -- - -' -` " —` - - - 1 POLICY iX I pi I - - - 1 LOC AUTOMOBILE LIABIUTY AZJ071782001 09/18/2008 09/18/2009 COMBINED SINGLE LIMIT S 1,000,000 (Ea accident) X ANY AUTO ALL own EDAUTOS BODILY.NJUR" $ eerpersonl SCHEDULEDA'JTOS - ..... - .. _- ...---'- ---- B X 1 HIRED AU BODILY IN. URY 5 .._ (Per accdenl) X NON -OWNED AUTOS .. _.... ._. _._..--- . - -... __. PROPERTYDAIMGE ' 5 _. .._. -..._. __. _ ..... .... .... __....- (Per accident) GARAGE LIABILITY ' AUrOONLY • EAACCICENT S 1 ANY AUTO OTHER THAN ACC AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABIUTY 5530915737 09/18/2008 09/18/2009 EACH OCCURRENCE $ 2,000,000 X l OCCUR r C LAIMS MADE AGGREGATE $ 4,000,000 c I J $ . 111 , DEDUCTIBLE — -- •—.__— ___.5.. —. —. X DENTIB S 0 5 _._ — . _ Y•JCSTATU- O T H- a U WORKERS COMPENSATION AND WCO53466 01/17/2009 01/17/2010 X j W C IMU ... _._.._ _.___.._ —.._ -- EMPLOYERS' LIABILITY E.L EACH ACC DENT _ S 503,000 D ANY PROPRIM8EI EXCLUDED? ARTNERIEXECUT VE OFFX:ERIrEMBER E E.L. . DISEASE - EA. EMPLOYEE s SCO, 000 -- -- -- -- - C0 - -'- 8)ea•descr0euncer E.L. DISEASE -POLICY LIMIT 1 $ 500,000 SPECIAL PROVISONS below OTHER WC306- 0020401 -2009 01/25/2009 01/25/2010 Combined Single $1,000,000 E Auto Liability t DESCRIPTION OF OPERATIONS (LOCATIONS I VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Blanket Additional Insured including Products and Completed Operations are included in General Liability as required per written contract with respect work being performed by the insured for Certificate Holder. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE EXPIRATION CITY OF 26PHYRHILLS DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE 10 00 SO SHALL IMPOSE NO OBLIGATION OR LIA3IUTY OF ANY KING UPON THE INSURER. ITS AGENTS OR 5335 8th Street REPRESENTATIVES. AUTHORIZED REPRESENTATIVE _ Zephyrhills, FL 33542 Ron Brown fax: (813) 7800005 • ACORD 25 (2001/08) 0 ACORD CORPORATION 1988 Aug 06 09 09:46a Dee Morales 407 - 273 -6030 p.4 • IM PORTANT 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 25 (2001/08) JUL -07 -2009 23:43 From: To:813 780 0021 P.1/1 • c0 0 'b A 0 w C/) N O C o ,-• 4 ED 8 m z r m D n ij ' p � b O ? z a S 7 a r° In R h W C G) p N m .,.4 S !. or �Cpp >' OO ° 2 y „ 2 ^ ' 0 a CD g CD 'a Ro m 'm f" S' • O , o —_co a ' - cr CS -+ -. v -� - N ,= CD P 9' C V)) H o Fri g r -, --,,d; -o`a' D m n a ' � : co C) CD o o cr . . ,, ua x . X r- mg m g O- O m 5 , O o . ^N . Oa G n i s g ') w 23 z. ut O 0 O At CD 1 . ,'I', ° c snT m A -1 E _ E. C G �. XI 4.1 . � to b fn ti CJ o Fn O rn Oa m a) o C o s z g c...3 ? � p G) co 4 - o - x z m _ 2 y a C co pj r' E; r C 1 CD n co cA cm 0 o c en o y � o cD A m r) z �br �` x = co 0 6- a mm G 0 (.4 00 C17 MI ,� 0 O p ] •7 T d Z m C O■ r" Z n S 0 n -. 9 C) Pot ` ei "3 Q b en �,. 8 �yy z rm z m g� opOby ° e 9-_, ``t v, yD rr , ; , o co VI e A X o rm -a co a c. ;.' �r . ,. o m P . iD' .0 co ^ Y S y w y ;. _ ... ./. .�7 'b r... Q. t� N ry -a t+ ,J. • ••,-,: m 5 A. G CD . .. C • . T c a ti ,,,,, m �•ni a ,, ft. 2 r m .T: 1 H ' } 1 , P 55 no . A Q Fn R CA x CO co i 0 co v 5 - - T m CD b U ; y I � - co Do ^ t .--P, r '0 m K F M.. rc ' C. in C Z 3 f d .14, P ^f --. .. 4: z , � i r C � co N+ k, _ � , 0 '� v R h c .5i Ftr 05 4 ~ •r. lc O P.01 /01 TRANSACTION REPORT AUG /14 /2008 /THU 09:30 AM FAX(TX) --- # DATE START T. RECEIVER COM.TIME PAGE TYPE /NOTE FILE 01 AUG /14 09:28AM 93140345 0:01:08 2 OK ECM 9148 • City of Ze hy+Bill • : Building Department ..... , B .... :; ; :: :::: • Phone: (813)- 780 -0020 Fax: (813)- 780 -0021 TO: Shana Foster FROM: Jackie FAX #: 813 -314 -0345 FAX #: DATE: 8 -14 -09 # OF PAGES including cover sheet: 2 MESSAGE: Attached is the permit for the Wachovia Bank that you requested a copy of . • I ' Thank you Jackie Boges Support Specialist J 3 fi 7 Rua Y S . fir "�� # y ► City of Zephyrhills: p w . Building Department Phone: (813)- 780 -0020 Fax: (813)- 780 -0021 TO: Shana Foster FROM: Jackie 8 € FAX #: 813 - 314 -0345 FAX #: DATE: 8 -14 -09 # OF PAGES including cover sheet: 2 S � 4 � I � 4 ' MESSAGE: Attached is the permit for the Wachovia Bank that you requested a copy of . Thank you a � Jackie Boges Support Specialist B � P � � I d � I E 1 1 I 1 1 t 3 � - \V 1 t-, _..„„..„ ' tibia - -- , ''ilia a ., E' � €" — ter.. :.® (..ire dz, ce_ cas ,,,,,,, City of Zephyrhills (,0 �� BUILDING PLAN REVIEW COMMENTS lett,1.-_, Contractor/Homeowner: 6callein. a Q X 'i puyil - ftql 5 Date Received: J7 9 Site: 77e0 CA- /f R! L"L) t Permit Type: Rd i sin-, 6,,,,I< Approved w /no comment Approved w /the below comments: El Denied w /the below comments: ❑ This comme s -et shall . - kept with the permit and/or plans. Kalvin ' tz — P1. ; i /r Examiner Date Contractor and/or Homeowner (Required when comments are present) \■#7 * ., �,j / 1;•. ELEMENTS ,,,, .A;, F c:?s . N?F2ic,R n , sip- -ties August 14, 2009 To: City of Zephyrhills Building Permit Office Re: Wachovia Bank at Zephyr Commons — revisions to drawings To Whom it May Concem: Please find below a listing of the changes contained within the accompanying revised drawings for the above referenced project. • Elimination of interior offices, converting the space to an 'open plan' office layout. • Addition of a walk -up ATM machine near the front doors. • Elimination of the bank vault. • Addition of a teller station in the lobby. • Addition of an on -line banking desk in lobby. • Relocation of the drive- through ATM from adjacent to the building to the last drive- through lane. • Conversion of a copy room to a conference room. Drawings from the original permit set submitted that have been revised are: Al, A2, A4, A6, A8, A9, A10, All, Al2, M0.1, M1.1, M1.2, E0.1, E0.2, E0.3, E1.1, E2.1, and E3.1. Sincerely, ELEMENTS by: e fo41111111 low . Nick Puglisi, AIA ‘WAY117. 11. 41C ELEMENTS F,�?C;HiTFC'S • iNTER!ORDESiCNERS August 14, 2009 To: City of Zephyrhills Building Permit Office Re: Wachovia Bank at Zephyr Commons — revisions to drawings To Whom it May Concern: Please find below a listing of the changes contained within the accompanying revised drawings for the above referenced project. • Elimination of interior offices, converting the space to an 'open plan' office layout. • Addition of a walk -up ATM machine near the front doors. • Elimination of the bank vault. • Addition of a teller station in the lobby. • Addition of an on -line banking desk in lobby. • Relocation of the drive- through ATM from adjacent to the building to the last drive - through lane. • Conversion of a copy room to a conference room. Drawings from the original permit set submitted that have been revised are: Al, A2, A4, A6, A8, A9, A10, Al 1, Al2, M0.1, M1.1, M1.2, E0.1, E0.2, E0.3, E1.1, E2.1, and E3.1. Sincerely, ELEMENTS by: Nick Puglisi, AIA _ • 4 1.5-31,-. PERFORMANCE BUSINESS PRODUCTS, INC. 813- 719 -8008 FAX 813- 719 -7919 ,se C tt'l t , CITY OF ZEPHYRHILLS ZEPHYRHILLS, FLORIDA , y 7- 7 -0 9 ` 1 �,` - WATER ACCT. NO. DATE . \� \ RENTER ! J e / 4 Q ©L n n o. 2 c o y MAILING 1 9 5 a 14; 1 L S bbrO 8 1 lib 2/ z N I: , i '('- ii a.ey--R__161 p42_arii ---7-t. SERVICE ADDRESS 1' S b G4 1 g 1 1 b R WATER SHUT OFF SERVICE ❑ TURN ON SERVICE ❑ SEWER ❑ GARBAGE INSTALL METER I, IN CITY ` --,_ READ METER ❑ CHECK METER ❑ ❑ OUT CITY 1 No. OF UNITS OTHER ❑ DEPOSIT AMOUNT i I AMOUNT LAST BILL 3)4 e DATE MISC. CHARGE METER: full irrigation WORK COMPLETED BY ORDER TAKEN BY & DATE COMPLETED 9 r .. . , ,, 24.) , 0. O R GIVEN BY Retain white form in office at all times. Send pink & yellow forms to Water Service Dept. Water Service Dept. to sign yellow form & return to office. 07/07/2009 12:18 2397758523 I. k0- , /01 From: 2395425527 Page: 1/2 Date: 6/3/2009 1:58:20 PM ■ :11" i_ _Rz, CERTIFICATE OF LIABILITY INSURANCE OP ID sX OATE(Mr PRODUCER EROTN -3 06/03/09 — DawsoA of F3,orlda ; Cape Coral ONLY AND COWERS NO � A UP PO ON THE CERTIIN FIC TE Dawson of Florida , LLC dba HOLDER. THE CERTIFICATE ODES NOT AMEND, EXTEND OR FO Box 100099 ALTER THE COVERAGE AFFORDED BY TFIE POLICIES BELOWM. Cape Coral 3"4 33910 MODRE D e : 239 - 542 -1533 INSURERS AFFORDING COVERAGE NAIL 0 NISUICNA: i.vb.c. e,.. :•. sw..rwwo. ob. 10190 INSURER >'Irotbarri AC i Controls, Inc. ec INSURER C: Bruce O Boxx-L'618 MUM D: �.. INSURER E COVERAGES 1 TIE rOU01G:1 or IN8U ,WIDE UB713 5R40W HAW BEEN NNIuED To lilt INSVNto r wtp ABOVE FUR nE POLN7Y PER= BDICATEo N07VIrtTNSTANDINO — 7 *N7 « M'I:0', MGR C?'O OTH D000AENTwIInNewew It) WW1611 rns cER IFICATEIAAVBE=MOOR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO AIL THE TERMS. VSCLUB*ONS AND CONOmONS OF SUCH POLICIES, AGORE0ATE wars SHOWN MAY NAVE BEEN REDUCESaY PAID CLATNI9. 1NPN LT11 I TYPE OF N 3U INCE POLICY NUMBER pA�� qim� POULTSPE UNITS GENERAL LNUT+Lrn EACH OCCURRENCE 31,000,000 A d COMMeRCIAL GENERAL LIADP.rr, 20718974 04/29/09 04/22/10 Pk ^ ,) .800,000 c& i,.q •mos 0 smug MT:D DP IAIry oats wnen> 110 , 000 PERSONAL S ADU INJURY 11, 000, 000 MI 9P.NBRALAOOne0AT! + 2, 000, 000 GsN'L A00RE$AT6 LIMIT APPLIES PER fl LOC PRODUCTS - GOMPfOP AOQ S Z O , 000 ....„ 7 AUTOM00Ln Lawn' -- III ANYAUro eeZtlenp INLN E LIMIT S in ALL OWNED AUTOS worn� v 1N �v 1.1 BMOC= Autos �`\ (Pot {NOM) I ■ MIRED AUTOS ■ NON•OwNEDAUTOS /LQYGINJURY S III IN 1 ‘ (PermeleeN) _ GApsoo UADILI V 1 %V AUTO oNw• IInAC,ylUEirr ; ANY AUTO Tut EA ACC 5 ■ 11 M1TO ter. A10 i Ni Art III OCCUR 1 cLAsAss wog in ! n ,i - > al RETENTION S $ s 1111111 • Ori INAPLCNIRS LIABILITY //ma�Nyy pp LITIYE Q.1) 1 LL EACH ACCIDENT 5 OFpN'.ERILB'JYTBER E x NTNSW 9 ^ �y� ^ EL DISEASE - PJIQNPLON6S 6 bPC7: f I Mdsw CL D172K7e•FG::c.: win 1 7 - .._..--- • . mai DESCRIPTION OF OPERAATIONP/ LOCATN7MS / VTOBCL= l ERCL11E0r1$ ADDED BT ❑ 1 SPECIAL PROMISE NS Project: Wachovia Orange City 182216 1 +10 day notice of oanaelial:1on rox non - - ,. et. 0 �� PQ-- e Y' CERTIFICATE HOLDER CANCELLATION -_ _,. ,,,'•- .. "^- ._... - - _ . A — W % SHOULD ANV Or ABOVE DeIDC�[ mimes mimes ee eaame .ee Berme The OR , - , ,� - DATE THEREOF, R C ISSUING INSURER WILL, ENDEAVOR TO Pam 1 30 UAW INpATEN \' NOTICE TO TIE CEA TIPICAT E NDLDeR NAMES TD THE LEFT, BUT FAILURE To no NO SNALI. ' - -- 1 ' s r 3 . H ast . al• ora Y2LC eaboe Dr. Un.t 12 wrest NO OD116A7 70N oN I.IAealrr OF ANY um UPON TN! IT nL ArnQNTS OR �`. 2805 Naples FL 34104 REPRC$RNTATIV68. M RD 5u► (1001100) � ........ w iwvia0 CriiiaPOR�1TiOFl 99x8 - This fax was received by G FI FAXmaker fax Server. For more information, visit http:!lwww.gfi.com From: unknown Page: 1/1 Date: 7/1/2009 2:55:08 PM 0� E7� V VI. Vl 1._VVJ LL- • I , I V111• 813-7110-1920 City of Zaphyrhiflt Permit APPS► 1 a1ptl rwre .rc, f ulkkv Oeperined 0 • TOaM " ' --22- e 1.III *rase rea sa for - — Mill ownar fhwe :_ Ownw "am Number 15 -59 ;— 603 1 Own «tiIldmesaa ' 1 1+lc 1 5 /f qr• �A► • #ara ts► -•c, tamer Phone : truPhNumbs. Fee Ali TTEelreider flank --J Owner Phase Nl I 1 Fe• gimp* Mims aldMims 1 JON ADORES, L116_0 6 4(1 1 Lars 1 I suscwI ON F 4.4.,,,:s —1 PARCEL lD#1 14 = 2-5-24 -0130 «..000.06 4. ammo vwarcRTY TA,ItWPM WOlaa~MOM u NEW 1ADIMSTA E ALINALT I1 SIGN Q MOVE 0 flE#IOLISN INSTALL REPAIR PROPOSED USE i3 SPR M Gam Q 471NEM i TYPE of cONSTHUCTION Q BLOCK FRAA1E B'r[•E1- ® OTHER j Ai•. Ad. "^e`V.S onscitoro0N OF woo( r N ", /34 mkt- /itss ha r1 T..l b a 1 ._I • MU v. 5 ---7---- b I 1 Oa POMACE r y tea .: 1 1413" _.1 L Emma Is 'pc, o00 4. VALUATION OF TOTPL CONSTRUCT so u ELECTRICAL Is 1 AMP MIMIC [J prowess MOWN C] Witte PLUMSSiG 1 C�� '� X9373 MECHANICAL 1 — I vALUATICNI NICAL WSTALLATION /yuda_si tbk. • EJ cAS Q ROCFe10 M $PEI LTY 1 onset e rr FINISHED FLOOR I;L VATiONS I 1 FLOOD ZONE AREA rYESI C71,40 I DUILDFR *..-_____ ( COrr/WY L �'A° `jbar0., .Tl+ SWARM [ Y N 1 RE rw ! YIN j Addv . �C/�x3kc` rstt�. ✓ +'tw if-01 __,I ��' ELE 1� -- .. Ft /. - KO. ► Nail C c tA MONA i C �1 �/_. Ilnmi ' , e , Cab FEEOtiourr MLA' 1 ., Albinos 1. IYI+ f . r1 [ l /11; iii r'7 i,' Mf /11 NGeiMe * PLUMBER 1 COMPANY , ' finflAT%ME [__ 1 Y N NlE� ONFIENr N L _ Lca ne• I I • MECHANICAL. cUWANY V I ____] matuMURE .',f NeaBIr,l® 1 Y 1 N 1 Nis comma i Y! N I Adana 7 � _... I Ins r 1 oT oik COMPANY I • - _ 1 SIGNATURE _ Iles eeer o 1 Y 1 N 1 RE rir Y 1 N 1 Addeo* License* L , szumzuz REIw N11A4 moot ( POI PWna: l2) um of woo mom 11) set of eewsy Fonmi fF0-W Fan* kw maw m amoral, immure on two emetic ewe _ admit* delr Require anew cansevelonftsne. s om,rpN* Pins eaf del Fenno inswilwl, &Wars 'AMEN R 1 duNds1u Mlle Walk Pool for eikdhl Ia1e11e me plasele COMMERCIAL. AIM* Of oompllio oolo of amiss Rom pees LIM Weld Pap; (1) set o f E w e r fawns. R-04Y P fl for new rasrreMen. Mt ehool No 410) weddes die east atrial 10 NHL Required anew, CoflslnIfinl walk $enntatr PEI * SR RPM IIIWI d. mammy FaeiNsa • 1 dlgldw. lb WIA Peuk for el new pgede. As aePwaQei Ngegameles mean mart aopliiNnee SIGN MOW Amon Iz1 um of PigNewed PWw. '*"PROPERTY SURVEY rerpe ed ler a NEW oonuiPm0Oon. Vl 111111 444414 ►1.11-1+# 444441144.1 441+414 i 44+4+4 sa ad onor & Cunuedor Nee Wee of wpm*" , mired } O S oar Mak a MAIM W CAM le mulled INC Upgrades over MOM ABMM Mir re ool haler) or Power or *Mere y for the anion Now Do =mom AIM omfoloed Mar pals mowaImeflein0 sane • OVER THE =omen PEfsiilrI Q (Front o(? vt t - ally) *woofs S$wwe Wiles Unwell NO Font (P4O OVS 1Fooloso) DriVOWap. -4444 or.r aouNee If en NM reedware. awed: NOW This fax was received by GFI FAXmaker fax server. For more information, visit http: //www.gfi.com Page 1 of 1 City of Zephyrhills _ ,,, : ., ' --vi''''''''1 7 .:,,„ — - '''''':: , ::: : , 7 e h� FLORIDA g .. „ Silly, Ls x pp Mayor W. Cliff McDuflie _.._. _._ May 19, 2009 Home _ _ departments = building dept ' Commercial Permitting Checklist TOO About Zephyrhllls .._ COMMERCIAL D departments D depot museum CHECKLIST FOR NEW CONTRUCTION PERMITTING ; D History of Zephyrhills CITY OF ZEPHYRHILLS • search / site mao Oakside Cemetery 5335 8 Stree • Job Listlna@ Visit Zenhvrhills bias — �. Zephy rhills , F 33542 Activities press releases About Zep hyrhllls search / site map contact us site Plan Review re ....._..._._....._......_. ,..___.___-___.,_..„,,._,..- quitements ■atiafied fi approved - I FAQs date: • Site Plan Information: Article VII & Article VIII City Manager Notice of Commencement certified copy 5335 8th Street Zephyrhllls, FL 33542 Application completed in its ENTIRETY. 813- 780 -0000 Fax 813 780 Check if contractor & subs are currently registered. ✓ Florida Energy Efficiency Form completed. a/ / THREE SETS of Engineered Building Prints with Electrical, Plumbing sad Mechanical diagrams and Life Safety /Fire Protection. If Business Classification is State Regulated, approval must be on engineered building prints. CITY R -O -W Use Permit, if applicable. Pasco County R -O -W Permit, if applicable. Department of Transportation R -O -W Permit, if applicable. Southwest Water Management Permit Enviramental Permit from DEP Elevation Certificate, if applicable. Verify Water & Sewer Service. _ Sower & Water Connection Fees & Water Meter Fee paid prior to or at time of permit issuance. Transportation Impact fees may be paid 259 at time of permit - issuance, with 75% of balance due prior to C.O. Pasco.County Resource Fee must be paid prior to issuance of Certificate of Occupancy. Public Safety Impact Fees may be paid prior to C.O. * * * ** SEE LINK BELOW REGARDING CERTIFICATE OF OCCUPANCY CHECKLIST. Certiflcate Of Occupancy Checklist Under Florida law a -mail addresses ar public records. If you d o not want your a -mail address released i r esponse to a public- records request, do n ot send electronic mall to this en tity . Instead contact this office by ph o in writing. 5/19/2009 http: / /www.ci.zephyrhills .fl.us /Comme12208131959.asp STATE OF FLORICA, COUNTY,QF PASCO 1I�1II�111111111111111I�III11111111111111111111111 1/111111 THIS IS TO CERTIFY THATTi4tORE ' - IS A TRUE AND CORRECT COPY O7' THEISOCU ' " T 2009088424 ON FILE OR OF PUBLIC RECORD IN THIS,OF _, VV T E _S - MY HAND A► SEALTHIS Rept: 1250395 Rec: 10.00 • _ C' �1 A DAY OF � .ra► -.'. DS: 0.00 IT: 0.00 PAUL' S. O NEIL, CLE' K & OdA 06/25/09 Dpty Clerk 4 141 EPUTY CL tK ,' A % BY / 44 4141 �► - ` NOTICE OF COMMENCEMENT oC. Permit No. q I . � PRULR 5. 0' NEIL, PASGO CLERK & COMPTROLLER 35- 25- 21- 0130 - 00000 -0060 06/25/09 BK 8 11 4 pEn 1 PG 4 35 Property Identification No. DR BK i THE UNDERSIGNED hereby gives notice that improvements 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 :) Zephyr Commons Phase 1 PB 65 PG 132 LOT 6 a) Street Address: 7780 GALL BLVD, ZEPHYRILLS, FL 33541 2. General description of improvements: New Rank w/ llrive through 4,5 s 3. Owner Information a) Name and address: Wachovia Bank NA 4899 Belfort Rd #100 Jacksonville Fl. 32256 b) Name and address of fee simple titleholder (if other than owner) c) Interest in property 4. Contractor Information a) Name and address: Bradanna, Inc 2805 S.Horseshoe Dr. #12 Naples, Florida 34104 Q ( ° b) Telephone No.: Fax No. (Opt.) 5. Surety Information a) Name and address: N/A b) Amount of Bond: c) Telephone No.: Fax No. (Opt) 6. Lender a) Name and address: N/A Phone No. 7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served: a) Name and address: b) Telephone No.: Fax No. (Opt.) 8. In addition to himself, owner designates thg following person to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),FloridaStatutes: Gil Veliz Wachovia Real Estate 1950 Hillsboro Blvd. #212 a) Name and address: Deerf ield Rah FT,. 13442 Ph 994- 596 -6RR3 b) Telephone No.: Fax No. (Opt.) 9. Expiration date of Notice of Commencement (the expiration date is one year from the date of recording unless a different date is Specified): WARNING TO OWNER: ANY PAYMENTS MADE BY THE 1 WNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYM :1 S UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES AND CAN RESULT IN YOUR PAYIN TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED A D POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, C r NSULT YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE 0 ^ COMMENCEMENT. STATE OF FLORIDA COUNTY OF PASCO Signat •. of Owner or Owner's uthorized Officer/Director/Partner/Manager 47) VeLl% Print Name l The foregoing instrument was acknowledged before me this ?A day of 7 &4I' C. , 20 ". by G t Vet + g- as 6 / P. Cpnp s4•rr f f `‘.:.)/&/-E (type of authority, e.g. officer, trustee, attorney in fact) for 1,v04 t r : v � A5c yv (name of party on behalf of whom instrument was executed). Personally Known i/OR Produced Identification Notary Signature Type of Identification Produced Name (print) / �vl [) ' .J 1C1.l'vf1`4C 7. Verification pursuant to Section 92.5 5, or'.. .1 - • • r penalties of perjury, I declare that I have read the foregoing and that the facts .. • ..,�. - f1 ,.I - an. lief. /// ' ' ; , Notary Public - Stab d FIN* FORMSMOC41 f- • - cornaildon A41 w � 1 20110 Signature of Natural Person Signing Above X :' r Bonded M • M 813 -780 -0020 City of Zephyrhills Permit Application Fax-813-780-0021 Budding Department Will Date Received 1 1 - 27 Phone Contact for Permitting - Owner's Name Vl/4C ()\i ' /30_ N K Owner Phone Number 9-5y` 594 - bd' .P.? Owner's Address a k- t - t :. pi. � c S U /1' /I S its G 73ty d . #, . :2 / geo .E fci Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS 7180 6 � mac! `f ( 1 LOT # SUBDIVISION Ze " et W' S PARCEL ID# ,S- z-5-24-0/30 ,...06600 - od 66 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD /ALT n SIGN n MOVE 1 1 DEMOLISH INSTALL REPAIR PROPOSED USE n SFR 1142 COMM 1 1 OTHER TYPE OF CONSTRUCTION ( 5 BLOCK I 1 FRAME STEEL 1>G OTHER 1 /4..5A 6oi4■.cis /JGA DESCRIPTION OF WORK /V g w /3a ^ ' K /fa ` lcl t A l ," f "do rk-k i 'y Ls )1 /, BUILDING SIZE % ' S 0 SQ FOOTAGE ii, TOO HEIGHT BUILDING $ WC/ COO 4 " VALUATION OF TOTAL CONSTRUCTION ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY n W.R.E.C. a(( z3 253 - '/373 PLUMBING $ C C l l & ��K� 6541 5 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 5� Gi4 IYA�` GAS ( ROOFING 1 1 SPECIALTY n OTHER er veV FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYEs []NO BUILDER - -r COMPANY e/ `� 4dA '�� -�� SIGNATURE i REGISTERED 5 Y/ N 1 FEE CURRENT ( Y/ N 1 Address oZ C-CC r S . / S f' $ k /-0., o. .v<, /_< License # ELECTRICIAN COMPANY 1v SIGNATURE L REGISTERED I Y / N l FEE CURRENT 1 Y/ N 1 Address I License # PLUMBER COMPANY i/ SIGNATURE ' REGISTERED 1 Y/ N I FEE CURRENT 1 Y/ N 1 Address License # I MECHANICAL COMPANY V SIGNATURE , REGISTERED I Y/ N 1 FEE CURRENT 1 Y/ N 1 Address 1 License # OTHER COMPANY SIGNATURE REGISTERED 5 Y/ N 1 FEE CURRENT I Y 1N l Address I 1 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/ Sift 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 may be more r DEED RESTRICTIONS: R a County g nty r ulat o responsibility ns. The undersigned assumes i which m ay fo compliance with any which m applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the Pasco County Building Inspection Division — Licensing Section at 727 -847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89 -07 and 90 -07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water /Sewer Impact fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law — Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the "owner ", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prior to commencement. CONTRACTOR'S /OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: Department of Environmental Protection - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment. Southwest Florida Water Management District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. Army Corps of Engineers - Seawalls, Docks, Navigable Waterways. Department of Health & Rehabilitative Services /Environmental Health Unit - Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency- Asbestos abatement. Federal Aviation Authority- Runways. I understand that the following restrictions apply to the use of fill: - Use of fill is not allowed in Flood Zone "V" unless expressly permitted. - If the fill material is to be used in Flood Zone "A ", it is understood that a drainage plan addressing a "compensating volume" will be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. - If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall construction, I certify that fill will be used only to fill the area within the stem wall. If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating the conditions of the building permit issued under the attached permit application, for lots less than one (1) acre which are elevated by fill, an engineered drainage plan is required. If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS 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) OWNER OR AGENT CONTRACTOR /- Subscribed and sworn to (or affirmed) before me this Subscribed nd sworn to or affirmed) before me thi- by 1 2 O'7 b �{ ,. 5. f��r 1 Who is /are personally known to me or has/have produced Who is/arp {ae� o known o me or has /have produced as identification. as identification. Notary Public �L 1'e° Notary Public • JACQUELINE BOGEY. C ommis ' •@. •!f:� Commicsinn nn R21F Commission No. "' Expires December 12, 201 '4 ; r y,h'ie Bonded Trim Troy Fein Insurance 800 - 384701 Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped 813a80 -0020 City of Zephyrhills Permit Application rax -8 i - eau -uu' 1 Building Department eq1313 Date Received if-2; Phone Contact for Permitting - Owner's Name w�K h �v ` J O r Owner Phone Number 5Y 5 ( - cc'`P`; 50 ) 9 - h j /I S fit, a '3fv J - /A r` id Owner Phone Number Owner's Address �� u H fi Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address '� / - JOB ADDRESS F] [) o 41/ LOT # PARCEL ID# SUBDIVISION .7e MI e , :;., s 4 5-- 2-5-2-1- 0 1 3o �-- 0600 --• Od b (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED M INSTALL W CONSTR ADD/ALT ' r—I SIGN n MOVE 1 I DEMOLISH PROPOSED USE I 1 SFR q2 COMM 1 1 OTHER 1 TYPE OF CONSTRUCTION I I BLOCK 1 1 FRAME 1(1 STEEL I < 1 OTHER / -C4' PO-^eYS DESCRIPTION OF WORK AJ- w Ra t J.Su z 1 r 1,• („i4c -k i ",,y 1st/ ° BUILDING SIZE 11, 5 - 0 0 SQ FOOTAGE 41, 5-0 HEIGHT I 1 BUILDING $ Toe, 000 c%X VALUATION OF TOTAL CONSTRUCTION I I ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY n W.R.E.C. PLUMBING $ 0[14 /4121 2-3 '1 - 153 3 73 r ICJ I ( MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION bad a i1 FIA., ` 64 e,,ra,f GAS 1 1 ROOFING 1 1 SPECIALTY 1 OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I 1YES =NO BUILDER COMPANY �liO d'3 ti j;"-le: SIGNATURE 4� REGISTERED L Y/ N I FEE CURRENT I Y/ N I Address a f;�$- S. /- (RA)e : /./`,.,,.,`_ .vC,. /(�' Pi. License# I I ELECTRICIAN Z COMPANY j7 SIGNATURE ti REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address License # l- PLU COMPANY �% PLUM R �p SIGNATURE ' "` Vim- • " I REGISTERED ( Y / N 1 FEE CURRENT I Y / N 1 Address I 1 License # I I MECHANICAL COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N I /Ores) I License # I t1ER �. I1�f � 1 - "I COMPANY SIGNATUR R EGISTERED I Y/ N 1 FEE CURRENT I Y/ N I Address I V 1 License # I RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R -O -W Permit for new construction, Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions /large projects COMMERCIAL Attach (3) 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 ti Jacqueline Boges From: Andrea G. Morrow [amorrow ©pascocountyfl.net] Sent: Wednesday, April 22, 2009 4:26 PM To: Jacqueline Boges Subject: RE: need address Thank you Jackie - It's certainly been a pleasure working with you also (you've been very patient with me). I need all the blessings I can get!! t atf Morrow Otaresrin j From: Jacqueline Boges [ mailto :jboges @ci.zephyrhills.fl.us] Sent: Wednesday, April 22, 2009 4:29 PM To: Andrea G. Morrow Subject: RE: need address Thanks so much, YOU ARE LEAVING!! Well blessings to you and your continue journey, you are always a pleasure to work with. WILL GREATLY BE MISSED! THANK YOU FOR ALL YOUR ASSISTANCE. jACKI E From: Andrea G. Morrow [mailto :amorrow @pascocountyfl.net] Sent: Wednesday, April 22, 2009 4:21 PM To: Jacqueline Boges Cc: Janet A. Tinsley; Jeremy R. Edwards Subject: RE: need address Hi Jackie, I've given it 7780 Gall Blvd. Just to let you know, my last day here is Friday (24 If you need help for addressing, you can contact either Janet Tinsley (itinslev @pascocountvfl.net) or Jeremy Edwards (iedwards@pascocountvfl.net). I'm sending them this request also so they'll have your name. They will be sharing the addressing work until along with what they already do - so they'll appreciate your help as much as possible. You've been great to work with Jackie & if there is anything I can do for you today or tomorrow, let me know. Take care. C7ai(Morrow Addressing From: Jacqueline Boges [ mailto :jboges @ci.zephyrhills.fl.us] Sent: Wednesday, April 22, 2009 3:55 PM To: Andrea G. Morrow Subject: need address Hello Andrea, I need an address for Zephyr Commons LLC parcel ID # 35- 25 -21- 0130 - 00000 -0060 (lot 6) phase 1. Thanks Jackie Boges Code Support Specialist ext. 3513 2 - C1TY - OF ZEPHYRHILLS = BUILDING DEPARTMENT RIGHT -OF -WAY USE PERMIT DATE: PERMIT #: q /3g No construction under ground or above ground of any facility shall be accomplished on any City Rights of Way with..t written approval from the City Building Department. Any application for approval of construction operations on any City owned Rights of Way shall fumis a detailed drawing showing the complete scope of the proposed work in triplicate to the office of the Building Official for approval prior to the commenceme of any work. A copy of this permit is to be kept readily available at the site of the work at all times. 2,5. Z) -v) 3v b000 - Dbtoo PARCEL ID #: e1al,n (n s-tr•L '# 6 CITY ROAD 6/1 /1 6 vb 7730 LOCATION (Legal Description): 35-- 25 -Z/- v /30 - ODL O d -o As ‘ad- A se5 ed &.c kir•Uvt 7 sh5 5 Sex kii ietur , I C a.s / • { f A6 5 c d e'n.•t /7-7 �3 v Permission is hereby granted to `? of Z e h y ,t -_ 1 r` SI For the construction and maintenance of: f I Gic . ; AG _,,, K ,, c� Ci c • J / I Subject to the following conditions: 1. The construction and maintenance of such utility shall not interfere with e property and rights of a prior occupant. 2. All work shall be done in keeping with the standards of the City Stree Department and under the supervision of the City Building Official, who will be notified at least one day prior to commencement of construction 3. All materials and equipment shall be subject to inspection by the City r. uilding Official. 4. During construction all safety regulations of the Department of Trans • ortation shall be observed and the City shall be relieved of all responsibility from damage of any nature arising from this permit. Subject to the = me terms and conditions, the permit holder may take such safety measures, including placing and display of caution signs, as it may deem ne•-ssary in conduct of construction and maintenance work hereunder. It is the responsibility of the permlttee to ? ? ?? 5. All private and all City property shall be restored to its original co . ition as far as practical in the opinion of the City Building Official. 6. All underground crossing installations shall be laid at such depth =s may be specified by the City Building Official. 7. The sketch covering the details of this installation shall be ma e a part of this permit. This permit is granted with the understanding that the applicant has notified all other utility users in the area cove - d by the permit and takes full responsibility for any damage incurred by prior installations as a result of his operations in order that they may safe guard their interests. 8. It is expressly stipulated that this permit is a license for permi . ive use only and that the placing of facilities upon public property pursuant to this permit shall not operate to create or to vest any property righ in said holder. 9. Whenever the City decides to further exploit the City - •hts of Way, any or all said poles, wires, pipes, cables, or other facilities and appurtenances authorized hereunder, shall be immediate) removed from said Rights of Way, or reset or relocated thereon as required by the City Building Official at the expense of the holder of this p' It. 10. The holder shall save and keep the City harmless from ny and all damages, claims, or injuries that may occur by reason of the construction, maintenance, and operation of said facility. 11. The holder shall complete the requested work within days or this permit shall become null and void. In the event the work requested is not completed upon the expiration date of this permit, 1 e City shall have the right to complete such work and to charge the holder of the permit for all costs incurred in completed said work. 12. The holder shall post a cash or surety bo • with the City Manager in the sum of $ dollars to guarantee performance of the obligations herein, and to guarantee maintenance of the right -of -way described herein for a period of one (1) year following completion of the requested installation. In the event a surety bond i posted, the surety bond shall be made payable to the City and shall obligate the surety to hold the City harmless in the event the holder of th' - permit should fail to meet any of its obligations hereunder. The bond shall also indemnify the City for all court costs and reasonable attorneys ees in the event legal action is required to collect on said bond. SUBMITTED BY: (PERMITTEE) Signature & Title / h Cf Address BYO 7 — S: /fiat Sicc !i` /oi .4F�t -=s � 3 /Oi/ APPROVED BY: CITY OF ZEPHYRHILLS Building Official Date Utilities Supervisor Date Public Works Date City Manager Date Jacqueline Boges From: Jacqueline Boges Sent: Wednesday, May 20, 2009 8:40 AM To: 'Henry Fernandez' Subject: permitting information still need for the wachovia bank Attachments: Wachovia Bank -7780 gall blvd.xls Hello Mr. Henry, We have currently completed the plan review for the project Wachovia Bank, but I still need paperwork to be turned in for the new construct of Wachovia bank here in Zephyrhills located at 7780 Gall Blvd. I need ; 1. Drive way application submitted you can obtain that off our website @ www. ci.zephyrhills.fl.us - -- go to the building department drop down and click on commercial you need drive way application. 2. Subcontractors registered and signatures on permit application 3. Notice of Commencement 4. Detail drawing of scope of work to be done for the right of way permit application so I can get signatures from department heads. 5. Detail design of dumpster pad area so it can be turned in to the public works office. 6. The above attachment is the fee sheet showing amount due for permit. Have option of paying entire permit or paying permit cost and only 25% of Transportation impact fees. Contact me with questions, thank you. Jackie Boges Code Support Specialist 813- 78o -002o ext. 3513 1 PERMIT=APPLICATION -72-1 " _ 'DRIVEWAY PERMIT:APPLICATION CONSTRUCTION WITHIN .PUBLIC ;RIGHT-OF-WAY All information must be filled -in completely ;City oflephyrhills 5335 8 Street, Zephyrhills,'FL 33542 "Telephone 813 780 0000 Fax 813.780.0005 s c-l.al �f 1101 f s" �. `� a " � �C x s --pp�� u "t ty Bi le a olu I _ - -. u af;. PRO]ECT /]OBSITE: PROPERTY-OWNER Address: Name: Unit #: Address: Unit: Parcel Identification Number: City, State, Zip Phone: Fax: :CONTRACTOR: Company: Name: Contractor's License #: E -Mail: Phone: Cell: Fax: ARCHITECT /ENGINEER: Name: Firm Name: Address: City: State: Zip: State License #: Phone: Cell: Fax: pescriotion of Proiect TYPE OF DRIVEWAY LENGTH OF DRIVEWAY CULVERTS NEEDED RESIDENTIAL DRIVEWAY WIDTH OF DRIVEWAY ( ) REINFORCED CONCRETE. COMMERCIAL DRIVEWAY R O.W. EXCAVATION () CORRUGATED MATERIAL _PUBLIC ACCESS DRIVEWAY DEPTH LINEAR Fttt ( ) BOX CULVERT ( ) OTHER (EXPLAIN) CONSTRUCTION MATERIAL CURB CUT REOUIRED ASPHALT YES NO CONCRETE HEADWALL REQUIRED? YES NO NOTICE TO APPLICANT: If actual work exceeds scope of this description, additional permits or drawings will be required. UTILITY LOCATIONS REOUIRED: CALL BEFORE YOU DIG: 1.800.432.4770 Page 1of3 + P.ERMIT.APPLICATION `UTILTIIES'_LOCATE CONFIRMATION - NUMBER; :PROVSDEISKETCHIN 'THIS ! AREA, IF ,ADDITIONAL 'SPACE IS'REQUIRED,. ATTACH - .TO - THIS APPLICATION. • • • • AFFIDAVIT: Application is hereby made to obtain a permit to do work and Installations as indicated. I certify that, all foregoing information is accurate and that all work will comply with all applicable codes_ . S understand these codes shall take precedence over all approved construction documents, and issuance of this permit Is verification thatl will notify the property owner of Florida Lien Law req., F.S. 713. The Issuance ofthis permit does not ensure compliance with .deed restrictions and I understand that additional deed . restrictions may applyto this property. All work.shall comply with the current Florida Building Code, Public Works Design ,Manual and'FDOT Design • Standards-(11 applicable). (Public Works Design Manual online Zink: www.ci.zephyrhills.Thus/public_worksasp) APPLICATION IS VOID UNLESS SIGNED WITH PROPER IDENTIFICATION AND WITNESSED BY A PERMIT TECHNICIAN OR 'NOTARY PUBLIC. NOTE The City of Zephyrhills is not responsible for maintenance or repairs of driveways. Driveways shall not alter / interfere with existing stormwater treatment and / or conveyance. PROPERTY OWNERS:. By signing this application: I certify that I have read and understand the owner /builder disclosure statement. (please initial) • Applicant Print Name Applicant Signature Date • Permit Technician Signature (or) Notary Signature Date Applicant is ( ) personally known to me or produced as identification. (type of identification) Page 2 of 3 PERMIT APPLICATION OFFICE ISE Concrete (min. 6") Y N Asphalt Base (min. 6") Y N Asphalt (min.:1)/2") Y N Length (min. 19') Y N Width (1.0' min-2O' max) Y N Existing sidewalk. Y N New sidewalk. Y N ADA compliant Y N Expansion material required. Y N Contiguous parking pad. Y N Triangular (3W x 7'L) Y N Visibility triangle o.k.? Y N Side set back (3' min. R.O.W.) Y N Plan Review Fee Permit application approved by: Date: Page 3 of 3 Wachovia Plan Review Comments : 1. F.F.E. shall be a minimum 8" above road elevation or to the engineered site plan. 2. Tie -in survey required before pre -slab inspection to show elevation. 3. Compaction test required. 4. All setbacks shall be met. 5. All property markers to be exposed before first inspection. 6. Drainage Plan Requirements must be made before pre -slab inspection.: Ordinance #974 -07 Section 6.. 7. All glazing requirements to be met per chapter 24 of the F.B.C. 8. All means of egress are to be per chapter 10 of the F.B.C. 9. No plumbing, mechanical, electric, or framing shall be cover with inspection first. 10. Dumpster enclosure shall be inspected and signed of by Public Works Dept. Inspection and approval shall be done before any concrete is poured. 11. R.O.W. use permit required for all driveways and all driveways to include expansion materials. 12. All handicap and A.D.A. codes and requirement shall be met. 13. All welds, if any, shall be inspected by an independent engineering company, and a copy of their report shall be given to the building department. 14. All Architectural plans must be approved by the Planning Department. 15. All plumbing, mechanical, and electric shall be separate from unit to unit. This shall include underground plumbing and electric. 16. All signage shall require separate plans and permits and be done in accordance with Ordinance No. 870 -04 F.F.E. — Finished Floor Elevation F.B.C. — Florida Building Code R.O.W. - Right Of Way A.D.A. - Americans With Disabilities Act ARCHITECTURAL ENGINEERING INCORPORATED 3442 EAST LAKE ROAD, SUITE 320, PALM HARBOR, FLORIDA 34685 -2406 VOICE 727/784 -1472 FAX 727/789 -1470 E -Mail: AEIFL @aol.com LETTER OF TRANSMITTAL February 19, 2009 Mr. John Prokop ELEMENTS ARCHITECTS, INC. 600 South Magnolia Avenue Suite 150 Tampa, FL 33606 Re: Wachovia — Zephyr Commons -- - 7 - 7t3o / A 6 / 419 EA Project No.: 07 -071 AEI Project No.: 08126 The following is attached for your use: 1. Three signed and sealed sets of M /E /P Drawings, each dated 2/5/09. 2. Three signed and sealed copies of the Florida Energy Efficiency Code, dated 2/19/09. REMARKS: A. This information has been forwarded via Courier. ARCHITECTURAL ENGINEERING INCORPORATED iiler>/c4Aii W. Ronald Mcllveen, P.Ei Project Engineer WRM /dh Pasco County Parcel: 35 -25 -21 -0130- 00000 -0060 001 Page 1 of 1 Search Again Show Map Building Schematic Unavailable Frequently Asked Questions Estimate Taxes Other Agency Data: Tax Collector School Board Supervisor of Elections I Data Current as Of: II Weekly Archive - Saturday, May 16, 2009 Parcel ID 1 35- 25 -21- 0130 - 00000 -0060 (Card: 001 of 001) I Classification IL_ 10 - Vacant Commercial Mailing Address Property Value ZEPHYR COMMONS LLC Ag Land $0 3629 MADACA LN Land $178,254 TAMPA, FL 336182048 Building $0 Physical Address Extra Features $0 7780 GALL BLVD ZEPHYRHILLS, FL 33541 Market Value $178,254 Legal Description (First 4 Lines) Assessed (Save Our Homes) $0 ZEPHYR COMMONS PHASE 1 Taxable Value $178,254 PB 65 PG 132 LOT 6 OR 7413 PG 0626 I Land Detail (Card: 001 of 001) Line II Use II Description 1I Zoning II Units 11 Type II Price II Condition II Value I 1 II 1000 IICOMMERCIALII MPUD 1111,000.0011 SF 11 $9.00 11 0.50 II $49,500 I 2 II 1000 IICOMMERCIALII MPUD II 31,791.0011 SF 11 $8.10 II 0.50 11 $128,754 I Additional Land Information I Acres 11 0.98 11 Tax Area 1I 30ZH 11 FEMA Code 11 -- 11Commerical CodeII OPAR9EC I Building Information (Card: 001 of 001) Unimproved Parcel 00 - Unimproved Extra Features (Card: 001 of 001) I Line IF Description 11 Year II Units II Value I No Extra Features I Sales History I Previous Owner 11 N/A I Year 0 Month 1 1 Book /Page 11 Type (1 Amount 1 2007 1 02 1I 7413 / 0626 11 WD 1I $ 0 I 2006 06 11 7017 / 0395 11 QC 1I $0 I 2006 1II I 05 II 7026 / 1139 11 WD 11 $0 Search Again Show Map Building Schematic Unavailable Frequently Asked Questions Estimate Taxes Other Agency Data: Tax Collector School Board Supervisor of Elections http: / /appraiser.pascogov. com/ search /parcel. aspx ?sec =3 5 &twn =25 &rng=21 &sbb= 013 0 &b... 5/19/2009 Florida Energy Efficiency Code For Building Construction Florida Department of Community Affairs FLA/COM 2004 v2.5, Effective Dec 8, 2006 -- Form 400A -2004R Method A: Whole Building Performance Method for Commercial Buildings PROJECT SUMMARY Short Desc: WACHOVIA ZEPHYR COM. Description: WACHOVIA ZEPHYR COP Owner: WACHOVIA Addressl: GALL BLVD City: ZEPHYRHILLS Address2: State: FL Zip: 33541 Type: Office Class: New Finished building Jurisdiction: ZEPHYRHILLS, PASCO COUNTY, FL (611600) Conditioned Area: 4429 SF Conditioned & UnConditioned Area: 4429 SF No of Stories: 1 Area entered from Plans 4500 SF Permit No: 0 Max Tonnage 4 If different, write in: EnergyGauge Summit® v3.14 Incorporating Florida Energy Code Version - FLA/COM 2004 v2.5 Effective Dec 8, 2006 2/19/2009 Page 1 of 8 Compliance Summary Component Design Criteria Result Gross Energy Cost 3,594.2 5,101.3 PASSES LIGHTING CONTROLS PASSES EXTERNAL LIGHTING PASSES HVAC SYSTEM PASSES PLANT None Entered WATER HEATING SYSTEMS PASSES PIPING SYSTEMS PASSES Met all required compliance from Check List? ar o/NA IMPORTANT NOTE: An input report of this design building must be submitted along with this Compliance Report. EnergyGauge Summit® v3.14 Incorporating Florida Energy Code Version - FLA/COM 2004 v2.5 Effective Dec 8, 2006 2/19/2009 Page 2 of 8 CERTIFICATIONS 1 hereby certify that the plans and specifications covered by this calculation are in compliance with the Florida Energy Code 7k7" Prepared By: .V.R 1A. D cILVEEN Building Official: yy d'`r Date: _ Date: F.1 i I certify that this building is in compliance with the FLorida Energy Efficiency Code Owner Agent Date: If Required by Florida law, I hereby certify ( *) that the system design is in compliance with the FLorida Energy Efficiency Code Architect: ELEMENTS Reg No: Electrical Designer: W.RONALD McILVEEN Reg No: FL PE 30270 Lighting Designer. W.RONALD McILVEEN Reg No: FL PE 30270 Mechanical Designer: W.RONALD McILVEEN Reg No: FL PE 30270 Plumbing Designer. W.RONALD McILVEEN Reg No: FL PE 30270 ( *) Signature is required where Florida Law requires design to be performed by registered design professionals. Typed names and registration numbers may be used where all relevant information is contained on signed /sealed plans. EnergyGauge Summit® v3.14 Incorporating Florida Energy Code Version - FLA/COM 2004 v2.5 Effective Dec 8, 2006 2/19/2009 Page 3 of 8 Project: WACHOVIA ZEPHYR COM. Title: WACHOVIA ZEPHYR COMMONS Type: Office (WEA File: Tampa.tmy) Building End Uses Design Reference Total 70.74 100.00 $3,594 $5,101 ELECTRICITY(MBtulkWhl$) 70.74 100.00 71456 101016 $3,594 $5,101 AREA LIGHTS 9.28 20.13 9371 20345 $471 $1,027 MISC EQUIPMT 19.26 19.26 19466 19466 $979 $983 PUMPS & MISC 0.09 0.09 74 79 $4 $4 SPACE COOL 21.00 22.65 21216 22880 $1,067 $1,155 SPACE HEAT 0.29 0.41 303 401 $15 $20 VENT FANS 20.82 37.47 21026 37845 $1,058 $1,911 Credits & Penalties (if any): Modified Points: = 70.74 PASSES EnergyGauge Summit® v3.14 Incorporating Florida Energy Code Version - FLA/COM 2004 v2.5 Effective Dec 8, 2006 2/19/2009 Page 4 of 8 Project: WACHOVIA ZEPHYR COM. Title: WACHOVIA ZEPHYR COMMONS Type: Office (WEA File: Tampa.tmy) External Lighting Compliance Description Category Tradable? Allowance Area or Length ELPA CLP (W/Unit) or No. of Units (W) (W) (Sqft or ft) Ext Light 2 Canopies (freestanding, attached Yes 1.25 1,670.0 2,088 1,008 and Overhangs) Tradable Surfaces: 1008 (W) Allowance for Tradable: 2087.5 (W) ( PASSES All External Lighting: 1008 (W) Project: WACHOVIA ZEPHYR COM. Title: WACHOVIA ZEPHYR COMMONS Type: Office (WEA File: Tampa.tmy) Lighting Controls Compliance Acronym Ashrae Description Area Design Min Compli- ID (sq.ft) CP CP ance OFFICE ,001 Bank/Office Banking Activity Area 1,369 9 1 PASSES TELLER ,001 Bank/Office Banking Activity Area 1,296 8 1 PASSES LOBBY AREA ,001 Bank/Office Banking Activity Area 1,764 4 1 PASSES PASSES EnergyGauge Summit® v3.14 Incorporating Florida Energy Code Version - FLA/COM 2004 v2.5 Effective Dec 8, 2006 2/19/2009 Page 5 of 8 Project: WACHOVIA ZEPHYR COM. Tale: WACHOVIA ZEPHYR COMMONS Type: Office (WEA File: Tampa.tmy) System Report Compliance AHU 0 AHU 0 Constant Volume Air Cooled No. of Units Single Package System < 1 65000 Btu /hr Component Category Capacity Design Eff Design IPLV Comp - Eff Criteria IPLV Criteria liance Cooling System Air Conditioners Air Cooled 13.00 13.00 8.00 PASSES Single Pkg < 65000 Btu/h Cooling Capacity Heating System Electric Furnace 1.00 1.00 PASSES Air Handling Air Handler (Supply) - 0.50 0.90 PASSES System - Supply Constant Volume Air Distribution ADS System 6.00 PASSES System AHU L AHU L Constant Volume Air Cooled No. of Units Single Package System < 1 65000 Btu/hr Component Category Capacity Design Eff Design IPLV Comp - Eff Criteria IPLV Criteria liance Cooling System Air Conditioners Air Cooled 13.00 13.00 8.00 PASSES Single Pkg < 65000 Btu/h Cooling Capacity Heating System Electric Furnace 1.00 1.00 PASSES Air Handling Air Handler (Supply) - 0.50 0.90 PASSES System - Supply Constant Volume Air Distribution ADS System 6.00 PASSES System AHU T AHU TELLER Constant Volume Air Cooled No. of Units Single Package System < 1 6.5000 Btu /hr Component Category Capacity Design Eff Design IPLV Comp - Eff Criteria IPLV Criteria liance Cooling System Air Conditioners Air Cooled 13.00 13.00 8.00 PASSES Single Pkg < 65000 Btu/h Cooling Capacity Heating System Electric Furnace 1.00 1.00 PASSES Air Handling Air Handler (Supply) - 0.50 0.90 PASSES System - Supply Constant Volume Air Distribution ADS System 6.00 PASSES System EnergyGauge Summit® v3.14 Incorporating Florida Energy Code Version - FLA/COM 2004 v2.5 Effective Dec 8, 2006 2/19/2009 Page 6 of 8 PASSES Plant Compliance Description Installed Size Design Min Design Min Category Comp No Eff Eff IPLV IPLV Iiance None Project: WACHOVIA ZEPHYR COM. Title: WACHOVIA ZEPHYR COMMONS Type: Office (WEA File: Tampa.tmy) Water Heater Compliance Description Type Category Design Min Design Max Comp Eff Eff Loss Loss Iiance Water Heater 1 Electric water heater <= 12 [kW] 0.93 0.92 PASSES PASSES Project: WACHOVIA ZEPHYR COM. Title: WACHOVIA ZEPHYR COMMONS Type: Office (WEA File: Tampa.tmy) Piping System Compliance Category Pipe Dia Is Operating Ins Cond Ins Req Ins Compliance [inches] Runout? Temp [Btu -in/hr Thick [in] Thick [in] [F] .SF.F] Domestic and Service Hot Water 0.75 True 110.00 0.28 1.00 0.50 PASSES Systems Cooling Systems (Chilled Water, Brine 0.50 False 43.00 0.28 1.00 0.50 PASSES and Refrigerant) PASSES EnergyGauge Summit® v3.14 Incorporating Florida Energy Code Version - FLA/COM 2004 v2.5 Effective Dec 8, 2006 2/19/2009 Page 7 of 8 Project: WACHOVIA ZEPHYR COM. Title: WACHOVIA ZEPHYR COMMONS Type: Office (WEA File: Tampa.tmy) Other Required Compliance Category Section Requirement (write N/A in box if not applicable) Check Infiltration 406.1 Infiltration Criteria have been met System 407.1 HVAC Load sizing has been performed Ventilation 409.1 Ventilation criteria have been met ADS 410.1 Duct sizing and Design have been performed T & B 410.1 Testing and Balancing will be performed Motors 414.1 Motor efficiency criteria have been met Lighting 415.1 Lighting criteria have been met O & M 102.1 Operation/maintenance manual will be provided to owner Roof/Ceil 404.1 R -19 for Roof Deck with supply plenums beneath it I��4 Report 101 Input Report Print -Out from EnergyGauge F1aCom attached? EnergyGauge Summit® v3.14 Incorporating Florida Energy Code Version - FLA/COM 2004 v2.5 Effective Dec 8, 2006 2/19/2009 Page 8 of 8 ❑❑❑ O 0 O L � „ ¢ r�i N r r. 7:1 L=, C/p F .xi a) v) L . 6J 0. - - - • v N O • o Z 0. 4-1 • � b R O 0 0 C� o ( o .5 N CA . 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Palm Harbor FL. 34685 784 -1472 Thursday, February 19, 2009 • Chvac - Full Commercial HVAC Loads Calculation Program Elite Software Development, Inc. Architectural Engineering Inc. WACHOVIA ZEPHYR COMMONS Palm Harbor, FL 346.85 -2406 Page 2 Building Envelope Report Envelope, Report Usin U- Fa ,. ._> '. - - .: - ' 4 z -. .. Material Gross Glass Net �, U Area x Average' a k - Area" , Area -, ! Factor ! U r ' Fact U Ty .: . Roof 1 5,153.0 0.0 5,153.0 0.050 257.650 0.050 Tot. Roof 5,153.0 0.0 5,153.0 N/A 257.650 0.050 Wall 1 3,546.4 416.0 3,130.4 0.130 406.952 0.130 Tot.Wall 3,546.4 416.0 3,130.4 N/A 406.952 0.130 1 Glass 1 416.0 N/A 416.0 0.280 116.480 0.280 Tot.Glass 416.0 N/A 416.0 N/A 116.480 0.280 Totals 8,699.4 781.082 0.090 Wa I1 , Wall Glass , Wall Net WN, aIIi vg ,, GIass Air• Glass Avg Direction ? t� r Area .4p =Are i �3 Area aU�.Factor . 41J- Factor Shd.Coef 1 N 1,742.4 272.0 1,470.4 0.130 0.280 0.640 NE 0.0 0.0 0.0 0.000 0.000 0.000 E 455.0 36.0 419.0 0.130 0.280 0.640 SE 0.0 0.0 0.0 0.000 0.000 0.000 S 712.0 36.0 676.0 0.130 0.280 0.640 SW 0.0 0.0 0.0 0.000 0.000 0.000 W 637.0 72.0 565.0 0.130 0.280 0.640 NW 0.0 0.0 0.0 0.000 0.000 0.000 1 Totals 3,546.4 416.0 3,130.4 0.130 0.280 0.640 I • I II I \ \Server \engineer \ELITE lobfiles \08126 WACHOVIA ZEPHYR COMMONS\AHU- L, T, O.CHV Thursday, February 19, 2009, 11:16 AM Chvac - Full Commercial HVAC Loads Calculation Program Elite Software Development, inc. Architectural Engineering Inc. 1 I WACHOVIA ZEPHYR COMMONS PaIm Harbor; FL 34645 -2406 - Page 3 Air Handler #1 - Acu 0 - Summary Loads Zn 4 j Descnptlon „ `� Area H Loss1 w Sen Gain ,Lat,Galn " Htg O A , C[g Q No t F Peak , Tlrne f�Peop e . Htg ? CFM ° .,,Clg CFM 'S Exh Req CFM Req G , �F� � & - olu me. f , .CFM/S q t CFM /Sgft , W:Exh: °Act.CFM ,. Act CFM 5 Mens 56 785 1,234 0 Direct Direct 5pm August 0 36 60 0 11 11 504 0.65 1.07 0 18 11 Runout duct size: 4 in. dia, Diffusers: 1, CFM /runout: 60, Velocity: 685.1 ft/min, Pressure drop: 0.527 in.wg. /100ft The above zone occurs 2 times throughout this air system. 8 Break Rm 140 966 6,778 682 Direct Direct 8am August 4 45 328 0 27 27 1,260 0.32 2.35 0 22 59 Runout duct size: 6 in. dia, Diffusers: 3, CFM /runout: 109, Velocity: 557.4 ft/min, Pressure drop: 0.199 in.wg. /100ft 9 Copy Wrk Rm 243 1,645 4,408 0 Direct Direct 6pm August 0 76 214 0 47 47 2,187 0.31 0.88 0 37 38 Runout duct size: 6 in. dia, Diffusers: 2, CFM /runout: 107, Velocity: 543.8 ft/min, Pressure drop: 0.189 in.wg. /100ft 11 Office 109 154 935 2,823 171 Direct Direct 6pm August 1 43 137 0 30 30 1,386 0.28 0.89 0 21 24 Runout duct size: 6 in. dia, Diffusers: 1, CFM /runout: 137, Velocity: 696.5 ft/min, Pressure drop: 0.309 in.wg. /100ft 14 Corridor 75 428 664 0 Direct Direct 5pm August 0 20 32 0 14 14 675 0.26 0.43 0 10 6 Runout duct size: 4 in. dia, Diffusers: 1, CFM /runout: 32, Velocity: 368.8 ft/min, Pressure drop: 0.155 in.wg. /100ft 15 Waiting 300 2,137 6,966 682 Direct Direct 6pm August 4 99 337 0 58 58 2,700 0.33 1.12 0 48 60 Runout duct size: 6 in. dia, Diffusers: 3, CFM /runout: 112, Velocity: 573.0 ft/min, Pressure drop: 0.210 in.wg. /100ft 16 Women 80 1,425 1,225 0 Direct Direct 7pm August 0 66 59 0 15 15 720 0.82 0.74 0 32 11 Runout duct size: 4 in. dia, Diffusers: 1, CFM /runout: 59, Velocity: 680.3 ft/min, Pressure drop: 0.520 in.wg. /100ft 22 108 Office 196 1,937 3,567 171 Direct Direct 6pm August 1 90 173 0 38 38 1,764 0.46 0.88 0 44 31 Runout duct size: 8 in. dia, Diffusers: 1, CFM /runout: 173, Velocity: 495.1 ft/min, Pressure drop: 0.106 in.wg. /100ft Zone Peak Totals: 1,300 11,042 28,899 1,705 Total Zones: 9 10 511 1,400 0 250 250 Unique Zones: 8 11,700 0.39 1.08 0 250 250 Main trunk duct size: 17 in. h x 16in. w, Velocity: 791.9 ft/min, Pressure drop: 0.066 in.wg. /100ft i t \\Server\enqineer\ELITE iobfiles \08126 WACHOVIA ZEPHYR COMMONS\AHU- L, T, O.CHV Thursday, February 19, 2009, 11:16 AM Chvac Full Commercial HVAC Calculation Program Elite Software Development, Inc. Architectural Engineering Inc. WACHOVIA ZEPHYR COMMONS Palm Harbor, FL '346:5 -2406 1 Page 4 Air Handler #1 - Acu 0 - Total Load Summary Air Handler Description: Acu 0 Constant Volume - Sum of Peaks Supply Air Fan: Draw -Thru with program estimated horsepower of 0.74 HP Fan Input: 65% motor and fan efficiency with 2.2 in. water across the fan Sensible Heat Ratio: 0.95 - -- This system occurs 1 time(s) in the building. -- Air System Peak Time: 5pm in August. Outdoor Conditions: 92° DB, 79° WB, 129.65 grains Because of the diversity in zone, plenum and ventilation loads, the zone sensible peak time in August at 6pm is different from the total system peak time, hence the air system CFM was computed using a zone sensible Toad of 26,224. Summer: Ventilation controls outside air, Winter: Ventilation controls outside air. Zone Space sensible loss: 11,042 Btuh Infiltration sensible loss: 0 Btuh 0 CFM Outside Air sensible loss: 7,557 Btuh 250 CFM Supply Duct sensible loss: 0 Btuh Return Duct sensible loss: 0 Btuh Return Plenum sensible Toss: 0 Btuh Total System sensible loss: 18,599 Btuh Heating Supply Air: 11,042 / (1.000 X 1.08 X 20) = 511 CFM Winter Vent Outside Air (48.9% of supply) = 250 CFM Zone space sensible gain: 25,544 Btuh Infiltration sensible gain: 0 Btuh Draw -thru fan sensible gain: 1,891 Btuh Supply duct sensible gain: 0 Btuh Reserve sensible gain: 2,660 Btuh Total sensible gain on supply side of coil: 30,094 Btuh Cooling Supply Air: 30,775 / (1.000 X 1.1 X 20) = 1,399 CFM Summer Vent Outside Air (17.9% of supply) = 250 CFM Return duct sensible gain: 0 Btuh Return plenum sensible gain: 0 Btuh Outside air sensible gain: 4,673 Btuh 250 CFM Blow -thru fan sensible gain: 0 Btuh Total sensible gain on return side of coil: 4,673 Btuh Total sensible gain on air handling system: 34,767 Btuh Zone space latent gain: 1,705 Btuh Infiltration latent gain: 0 Btuh Outside air latent gain: 10,947 Btuh Total latent gain on air handling system: 12,652 Btuh Total system sensible and latent gain: 47,419 Btuh C heck Figures 4 f. , Act `` � ,� _ & � Paz,, e � ' ' Total Air Handler Supply Air (based on a 20° TD): 1,399 CFM Total Air Handler Vent. Air (17.87% of Supply): 250 CFM Total Conditioned Air Space: 1,300 Sq.ft Supply Air Per Unit Area: 1.0764 CFM /Sq.ft Area Per Cooling Capacity: 328.9812 Sq.ft/Ton Cooling Capacity Per Area: 0.0030 Tons /Sq.ft Total Heating Required With Outside Air: 18,599 Btuh Total Cooling Required With Outside Air: 3.95 Tons \ \Server\engineer\ELITE jobfiles \08126 WACHOVIA ZEPHYR COMMONSWHU- L, T, O.CHV Thursday, February 19, 2009, 11:16 AM -- Chvac. Full ,Commercial HVAC Loads Calculation Program Elite Software Development, inc. Architectural Engineering Inc. WACHOVIA- ZEPHYR COMMONS Palm.Harbor,;FL 34685-2406 , 1 Page 5 Air Handler #2 - Acu T- Summary Loads xZn £ De h , ; Area; y HtgliLoss Sen £ Gain I �Lat Gain Htg O a !g O'A ' to Pea Time £ People ' 1 HtgrCFM ` ,` Cl CF S s ,- Req CFow Req C - k 44 K ,' Volume 2 CF /S ':CFM /Sgft ' W E xh ,- A ct C FM Act CFM 7 Teller 441 1,818 9,132 1,364 Direct Direct 6pm August 8 84 442 0 84 84 3,969 0.19 1.00 0 81 93 Runout duct size: 6 in. dia, Diffusers: 4, CFM /runout: 111, Velocity: 563.3 ft/min, Pressure drop: 0.203 in.wg. /100ft 10 Atm 111 80 728 1,868 0 Direct Direct 9pm August 0 34 91 0 15 15 720 0.42 1.13 0 32 19 Runout duct size: 6 in. dia, Diffusers: 1, CFM /runout: 91, Velocity: 461.0 ft/min, Pressure drop: 0.137 in.wg. /100ft 17 Teller Wrk Rm 140 736 1,838 171 Direct Direct 7pm August 1 34 89 0 27 27 1,260 0.24 0.64 0 33 19 Runout duct size: 6 in. dia, Diffusers: 1, CFM /runout: 89, Velocity: 453.6 ft/min, Pressure drop: 0.132 in.wg. /100ft 18 Ahd Rm 70 732 875 0 Direct Direct 7pm August 0 34 42 0 13 13 630 0.48 0.61 0 32 9 Runout duct size: 4 in. dia, Diffusers: 1, CFM /runout: 42, Velocity: 485.7 ft/min, Pressure drop: 0.267 in.wg. /100ft i 19 Elec 50 806 1,001 0 Direct Direct 8pm August 0 37 48 0 10 10 450 0.75 0.97 0 36 10 Runout duct size: 4 in. dia, Diffusers: 1, CFM /runout: 48, Velocity: 555.5 ft/min, Pressure drop: 0.348 in.wg./100ft 20 Tel / Data 70 108 5,241 0 Direct Direct 5pm August 0 5 254 0 13 13 630 0.07 3.63 0 5 54 Runout duct size: 6 in. dia, Diffusers: 2, CFM /runout: 127, Velocity: 646.6 ft/min, Pressure drop: 0.266 in.wg. /100ft 21 Nw Lobby 462 711 4,607 682 Direct Direct 5pm August 4 33 223 0 88 88 4,158 0.07 0.48 0 32 47 Runout duct size: 6 in. dia, Diffusers: 2, CFM /runout: 112, Velocity: 568.3 ft/min, Pressure drop: 0.206 in.wg. /100ft Zone Peak Totals: 1,313 5,639 24,561 2,217 Total Zones: 7 13 261 1,190 0 250 250 Unique Zones: 7 11,817 0.20 0.91 0 250 251 Main trunk duct size: 16 in. h x 14in. w, Velocity: 849.3 ft/min, Pressure drop: 0.088 in.wg. /100ft i I \ \Server \engineer \ELITE jobfiles \08126 WACHOVIA ZEPHYR COMMONSWHU- L, T, O.CHV Thursday, February 19, 2009, 11:16 AM • Chvac - Full Commercial HVAC Loads, Calculation Program - Elite Software Development; Inc. Architectural Engineering Inc... I WACHOVIA ZEPHYR COMMONS 9 � Palm,Harbor% FL 346$5- 2406 Page 6 Air Handler #2 - Acu T - Total Load Summary Air Handler Description: Acu T Variable Air Volume Supply Air Fan: Draw -Thru with program estimated horsepower of 0.63 HP Fan Input: 65% motor and fan efficiency with 2.2 in. water across the fan Sensible Heat Ratio: 0.92 -- This system occurs 1 time(s) in the building. - -- i Air System Peak Time: 5pm in August. Outdoor Conditions: 92° DB, 79° WB, 129.65 grains Because of the diversity in zone, plenum and ventilation Toads, the zone sensible peak time in August at 6pm is different from the total system peak time, hence the air system CFM was computed using a zone sensible load of 24,476. Summer: Ventilation controls outside air, Winter: Ventilation controls outside air. Zone Space sensible loss: 5,639 Btuh Infiltration sensible Toss: 0 Btuh 0 CFM Outside Air sensible Toss: 7,557 Btuh 250 CFM Supply Duct sensible Toss: 0 Btuh Return Duct sensible loss: 0 Btuh Return Plenum sensible Toss: 0 Btuh Total System sensible loss: 13,197 Btuh Heating Supply Air: 5,639 / (1.000 X 1.08 X 20) = 261 CFM Winter Vent Outside Air (95.7% of supply) = 250 CFM Zone space sensible gain: 24,326 Btuh Infiltration sensible gain: 0 Btuh Draw -thru fan sensible gain: 1,602 Btuh Supply duct sensible gain: 0 Btuh Reserve sensible gain: 0 Btuh Total sensible gain on supply side of coil: 25,928 Btuh Cooling Supply Air: 26,078 / (1.000 X 1.1 X 20) = 1,186 CFM Summer Vent Outside Air (21.1% of supply) = 250 CFM Return duct sensible gain: 0 Btuh Return plenum sensible gain: 0 Btuh Outside air sensible gain: 4,673 Btuh 250 CFM Blow -thru fan sensible gain: 0 Btuh Total sensible gain on return side of coil: 4,673 Btuh Total sensible gain on air handling system: 30,601 Btuh Zone space latent gain: 2,217 Btuh Infiltration latent gain: 0 Btuh Outside air latent gain: 10,947 Btuh Total latent gain on air handling system: 13,163 Btuh Total system sensible and latent gain: 43,765 Btuh ti 1Check Figtires 4 F z , x,:. Total Air Handler Supply Air (based on a 20° TD): 1,186 CFM Total Air Handler Vent. Air (21.08% of Supply): 250 CFM Total Conditioned Air Space: 1,313 Sq.ft Supply Air Per Unit Area: 0.9031 CFM /Sq.ft Area Per Cooling Capacity: 360.0173 Sq.ft/Ton Cooling Capacity Per Area: 0.0028 Tons /Sq.ft Total Heating Required With Outside Air: 13,197 Btuh Total Cooling Required With Outside Air: 3.65 Tons \ \Server\engineer\ELITE jobfiles \08126 WACHOVIA ZEPHYR COMMONS\AHU- L, T, O.CHV Thursday, February 19, 2009, 11:16 AM Chvac - Full Commercial HVAC Loads Calculation Program Elite Software Development, Inc. Architectural Engineering Inc. WACHOV1A ZEPHYR COMMONS Palm Harbor, FL 34685 2406 _ Page 7 Air Handier #3 - Acu L - Summary Loads Zn , , Descnptlon 1 }- '� ea4 `„Htg Loss ,' en Galn� �� y- La Galri * tg 0 �� = Clg O A No Peak �lnie rpeopJe� \, Htg CFM Cog CFM A ,-S Exh eq CFM Req.CFM , i= Vol `: , CFM /Sgft CFM /S - � ` ` W:Ext� �a ` ., Ac t GFM cdAct.CFM 1 Lobby 858 1,321 7,099 1,364 Direct Direct 5pm August 8 61 344 0 129 129 7,722 0.07 0.40 0 44 66 Runout duct size: 6 in. dia, Diffusers: 3, CFM /runout: 115, Velocity: 583.9 ft/min, Pressure drop: 0.218 in.wg. /100ft 2 Coupon Booth 103 53 357 729 171 Direct Direct 7pm August 1 17 35 0 8 8 477 0.31 0.67 0 12 7 Runout duct size: 4 in. dia, Diffusers: 1, CFM /runout: 35, Velocity: 405.0 ft/min, Pressure drop: 0.187 in.wg. /100ft The above zone occurs 2 times throughout this air system. 3 Fcm 117 545 1,549 171 Direct Direct 6pm August 1 25 75 0 18 18 1,053 0.22 0.64 0 18 14 Runout duct size: 6 in. dia, Diffusers: 1, CFM /runout: 75, Velocity: 382.3 ft/min, Pressure drop: 0.095 in.wg. /100ft 4 Office 107 121 1,299 6,284 171 Direct Direct 5pm August 1 60 304 0 18 18 1,089 0.50 2.52 0 43 58 Runout duct size: 8 in. dia, Diffusers: 2, CFM /runout: 152, Velocity: 436.1 ft/min, Pressure drop: 0.083 in.wg./100ft 6 Vault 104 168 987 1,381 0 Direct Direct 7pm August 0 46 67 0 25 25 1,512 0.27 0.40 0 33 13 Runout duct size: 6 in. dia, Diffusers: 1, CFM /runout: 67, Velocity: 340.8 ft/min, Pressure drop: 0.075 in.wg. /100ft 12 Office 106 130 794 5,962 171 Direct Direct 5pm August 1 37 289 0 19 19 1,170 0.28 2.22 0 26 55 Runout duct size: 6 in. dia, Diffusers: 2, CFM /runout: 144, Velocity: 735.6 ft/min, Pressure drop: 0.344 in.wg. /100ft 13 Office 105 169 1,843 3,243 171 Direct Direct 3pm August 1 85 157 0 25 25 1,521 0.51 0.93 0 61 30 Runout duct size: 8 in. dia, Diffusers: 1, CFM /runout: 157, Velocity: 450.1 ft/min, Pressure drop: 0.088 in.wg./100ft Zone Peak Totals: 1,669 7,504 26,978 2,387 Total Zones: 8 14 348 1,307 0 250 250 Unique Zones: 7 15,021 0.21 0.78 0 250 250 Main trunk duct size: 17 in. h x 16in. w, Velocity: 739.4 ft/min, Pressure drop: 0.058 in.wg. /100ft \ \Server \engineer\ELITE jobfiles \08126 WACHOVIA ZEPHYR COMMONS\AHU- L, T, O.CHV Thursday, February 19, 2009, 11:16 AM Chvac - Full Commercial HVAC Loads Calculation Program Elite Software Development, Inc. Architectural Engineering Inc. WACHOVIA ZEPHYR COMMONS Palm Harbor, FL 34685 -2406 Page 3_ Air Handler #3 - Acu L - Total Load Summary Air Handler Description: Acu L Constant Volume - Sum of Peaks Supply Air Fan: Draw -Thru with program estimated horsepower of 0.70 HP Fan Input: 65% motor and fan efficiency with 2.2 in. water across the fan Sensible Heat Ratio: 0.92 - -- This system occurs 1 time(s) in the building. - -- Air System Peak Time: 5pm in August. Outdoor Conditions: 92° DB, 79° WB, 129.65 grains Summer: Ventilation controls outside air, Winter: Ventilation controls outside air. Zone Space sensible loss: 7,504 Btuh Infiltration sensible loss: 0 Btuh 0 CFM Outside Air sensible loss: 7,557 Btuh 250 CFM Supply Duct sensible loss: 0 Btuh Return Duct sensible loss: 0 Btuh Return Plenum sensible loss: 0 Btuh Total System sensible Toss: 15,061 Btuh Heating Supply Air: 7,504 / (1.000 X 1.08 X 20) = 348 CFM Winter Vent Outside Air (71.9% of supply) = 250 CFM Zone space sensible gain: 26,864 Btuh Infiltration sensible gain: 0 Btuh Draw -thru fan sensible gain: 1,765 Btuh Supply duct sensible gain: 0 Btuh Reserve sensible gain: 105 Btuh Total sensible gain on supply side of coil: 28,734 Btuh Cooling Supply Air: 28,734 / (1.000 X 1.1 X 20) = 1,307 CFM Summer Vent Outside Air (19.1% of supply) = 250 CFM Return duct sensible gain: 0 Btuh Return plenum sensible gain: 0 Btuh Outside air sensible gain: 4,673 Btuh 250 CFM Blow -thru fan sensible gain: 0 Btuh Total sensible gain on return side of coil: 4,673 Btuh Total sensible gain on air handling system: 33,408 Btuh Zone space latent gain: 2,387 Btuh Infiltration latent gain: 0 Btuh Outside air latent gain: 10,947 Btuh Total latent gain on air handling system: 13,334 Btuh Total system sensible and latent gain: D 46,741 Btuh tI@Ck F a es r 1 8 . S, �b�u ,. Nf ✓.r t RS t f'; Total Air Handler Supply Air (based on a 20° TD): 1,307 CFM Total Air Handler Vent. Air (19.13% of Supply): 250 CFM Total Conditioned Air Space: 1,669 Sq.ft Supply Air Per Unit Area: 0.7828 CFM /Sq.ft Area Per Cooling Capacity: 428.4873 Sq.ft/Ton Cooling Capacity Per Area: 0.0023 Tons /Sq.ft Total Heating Required With Outside Air: 15,061 Btuh Total Cooling Required With Outside Air: 3.90 Tons \ \Server \engineer \ELITE jobfiles \08126 WACHOVIA ZEPHYR COMMONS\AHU- L, T, O.CHV Thursday, February 19, 2009, 11:16 AM Chvac =Full Commercial HVAC Loads Calculation Program K Elite Softw Development, Inc. Architectural Engineering Inc. 1" WACHOVIA ZEPHYR COMMONS Paim,Harbor; FL 34685- 2406 "Page 9 , Air System #1 (Acu 0) Psychrometric Analysis System Lead Analysi ",," . atent Grains. , Sensible ,..: , , T , .4 Y CF VI, Leaving Coil Condition 62.870 55.000 Draw -Thru Fan 1,891 1.229 86 Misc Load on Supply Side 0 0.000 0 Supply Air Duct 0 0.000 0 Zone Loads 1,705 1.792 26,224 17.043 1,192 Sensible Reserve 2,660 1.729 121 Zone Condition 1,705 64.663 30,775 75.000 1,399 Return Air Duct 0 0.000 Return Air Plenum 0 0.000 Misc Load on Return Side 0 0.000 Vent Air 250 CFM 10,947 11.508 4,673 3.037 Blow -Thru Fan 0 0.000 Entering Coil Condition 12,652 76.171 35,448 78.037 1,399 General Fsyclhromettic Equat,ons Jsed.In Analysis .. , " , J , " f 4 PR = (Barometric pressure of site / Standard ASHRAE pressure of 29.921) ' TSH = PR x 1.10 x CFM x (DB entering - DB leaving) TLH = PR x 0.68 x CFM x (Grains entering - Grains leaving) GTH = PR x 4.50 x CFM x (Enthalpy entering - Enthalpy leaving) TSH = 1.000 x 1.10 x 1,399 x ( 78.037 - 55.000 ) = 35,448 Btuh TLH = 1.000 x 0.68 x 1,399 x ( 76.171 - 62.870 ) = 12,652 Btuh SUM = 48,100 Btuh GTH = 1.000 x 4.50 x 1,399 x ( 30.653 - 22.950 ) = 48,489 Btuh Total System Load = 47,419 Btuh Chilled nd - lot Watenflow Rates and =.Refit trement l= ° <y * 4 k �s t x i,. ,' `, Cooling GPM = 48,489 / ( 0.00 x 500 ) = 0.0 GPM Heating GPM = 18,599 / ( 0.00 x 500 ) = 0.0 GPM Steam Req. = 18,599 / 0 = 0.0 lb./hr Eritetiti41 oali6g COiltandltlor is , gtittr1rag seating Coll Conditions , * 4 ; Dry bulb temperature: 78.04 Dry bulb temperature: 61.31 Wet bulb temperature: 65.96 Relative humidity: 53.11 Enthalpy: 30.65 Btu /Ibm k LaV,%ngCoolin Coil Condition i u . 9. - ' � � , _ .LOavirlgtHe*ing CollCoriditioris .:� t .04, Dry bulb temperature: 55.00 Dry bulb temperature: 95.00 Wet bulb temperature: 54.62 Relative humidity: 97.68 Enthalpy: 22.95 Btu/lbm \ \Server \engineer \ELITE jobfiles \08126 WACHOVIA ZEPHYR COMMONSWHU- L, T, O.CHV Thursday, February 19, 2009, 11:16 AM Chvac Full Commercial HVAC Loads Calculation Program Elite Software Development, Inc. Architectural Engineering Inc. " 1 I WACHOVIA ZEPHYR COMMONS Palm Harbor, -FL= 34685 -2406 Page 10 Air System #2 (Acu T) Psychrometric Analysis Syste1 1 oad 0:0lysls : , f Latent Grains Sensible il :Temp CFM: Leaving Coil Condition 61.914 55.000 Draw -Thru Fan 1,602 1.229 73 Misc Load on Supply Side 0 0.000 0 Supply Air Duct 0 0.000 0 Zone Loads 2,217 2.750 24,476 18.772 1,113 Sensible Reserve 0 0.000 0 Zone Condition 2,217 64.664 26,078 75.000 1,186 Return Air Duct 0 0.000 Return Air Plenum 0 0.000 Misc Load on Return Side 0 0.000 Vent Air 250 CFM 10,947 13.581 4,673 3.584 Blow -Thru Fan 0 0.000 Entering Coil Condition 13,163 78.245 30,751 78.584 1,186 GeneraIRSychrometne EquattOt* sect in Anal 0M Vit , " PR = (Barometric pressure of site / Standard ASHRAE pressure of 29.921) " TSH = PR x 1.10 x CFM x (DB entering - DB leaving) TLH = PR x 0.68 x CFM x (Grains entering - Grains leaving) GTH = PR x 4.50 x CFM x (Enthalpy entering - Enthalpy leaving) TSH = 1.000 x 1.10 x 1,186 x ( 78.584 - 55.000 ) = 30,751 Btuh TLH = 1.000 x 0.68 x 1,186 x ( 78.245 - 61.914 ) = 13,163 Btuh SUM = 43,914 Btuh GTH = 1.000 x 4.50 x 1,186 x ( 31.112 - 22.802 ) = 44,325 Btuh Total System Load = 43,765 Btuh Chilled ;a ; d.Hot ater low #atesand:SteamRe • uire�meritA Cooling GPM = 44,325 / ( 0.00 x 500 ) = 0.0 GPM Heating GPM = 13,197 / ( 0.00 x 500 ) = 0.0 GPM Steam Req. = 13,197 / 0 = 0.0 lb./hr Enfe IirCollondltl Entein Healn COI)U nclitio n S," Dry bulb temperature: 78.58 Dry bulb temperature: 48.20 Wet bulb temperature: 66.55 Relative humidity: 53.55 Enthalpy: 31.11 Btu /Ibm Lea Ing Coo(Ing Coll Goriditions " , ".F . .. . i-eai ing'l= leating Coil:Conditroijs x .. Dry bulb temperature: 55.00 Dry bulb temperature: 95.00 Wet bulb temperature: 54.38 Relative humidity: 96.21 Enthalpy: 22.80 Btu /Ibm II \ \Server \engineer \ELITE iobfiles \08126 WACHOVIA ZEPHYR COMMONS\AHU- L, T, O.CHV Thursday, February 19, 2009, 11:16 AM ArChvac ch - Full En Commercial gineering Inc. �1 HVAC Loads Calculation Program Elite WACHOVIA Software DeveloZEPHYR pmentCOMM, ONS lnc. Architectural Palm Harbor FL ,3468 -2406 Page 11 — — — — - Air System #3 (Acu L) Psychrometric Analysis SystemzLoad Analysis .e .- ;, Latent Grains . Sensible Temp CFM Leaving Coil Condition 61.976 55.000 Draw -Thru Fan 1,765 1.229 80 Misc Load on Supply Side 0 0.000 0 Supply Air Duct 0 0.000 0 Zone Loads 2,387 2.688 26,864 18.699 1,222 Sensible Reserve 105 0.073 5 Zone Condition 2,387 64.664 28,734 75.000 1,307 Return Air Duct 0 0.000 Return Air Plenum 0 0.000 Misc Load on Return Side 0 0.000 Vent Air 250 CFM 10,947 12.325 4,673 3.253 Blow -Thru Fan 0 0.000 Entering Coil Condition 13,334 76.989 33,408 78.253 1,307 General Psychrometric Equations Used In Analysis PR = (Barometric pressure of site / Standard ASHRAE pressure of 29.921) TSH = PR x 1.10 x CFM x (DB entering - DB leaving) TLH = PR x 0.68 x CFM x (Grains entering - Grains leaving) GTH = PR x 4.50 x CFM x (Enthalpy entering - Enthalpy leaving) TSH = 1.000 x 1.10 x 1,307 x ( 78.253 - 55.000 ) = 33,407 Btuh TLH = 1.000 x 0.68 x 1,307 x ( 76.989 - 61.976 ) = 13,334 Btuh SUM = 46,741 Btuh GTH = 1.000 x 4.50 x 1,307 x ( 30.834 - 22.812 ) = 47,152 Btuh Total System Load = 46,741 Btuh Chilled and :Hot WaterpFlow;Rates -and Steam Requirement Cooling GPM = 47,152 / ( 0.00 x 500 ) = 0.0 GPM Heating GPM = 15,061 1( 0.00 x 500 ) = 0.0 GPM Steam Req. = 15,061 / 0 = 0.0 lb./hr Enter lggooling °MCoi1 Conditions trASEiitering Heating Soil Conditions .. , Dry bulb temperature: 78.25 Dry bulb temperature: 54.86 Wet bulb temperature: 66.19 Relative humidity: 53.29 Enthalpy: 30.83 Btu/lbm Leaving - Cooling Coil - Conditions , , ;--Leaving Heating_Coil ;Conditions Dry bulb temperature: 55.00 Dry bulb temperature: 95.00 Wet bulb temperature: 54.40 Relative humidity: 96.34 Enthalpy: 22.81 Btu /Ibm I ' \ \Server \engineer \ELITE jobfiles \08126 WACHOVIA ZEPHYR COMMONS\AHU- L, T, O.CHV Thursday, February 19, 2009, 11:16 AM • 4 ARCHITECTURAL ENGINEERING INCORPORATED 3442 EAST LAKE ROAD, SUITE 320, PALM HARBOR, FLORIDA 34685-2406 VOICE 7271784-1472 FAX 727/789-1470 E-Mail: AEIFL@aol.com May 11, 2009 Mr. John Prokop ELEMENTS ARCHITECTS, INC. 600 South Magnolia Avenue Suite 150 Tampa, FL 33606 Re: Wachovia — Zephyr Commons EA Project No.: 07-071 AEI Project No.: 08126 Dear Mr. Prokop: This letter confirms the Mechanical, Plumbing and Electrical Engineering designs for this project presently comply with the 2007 Florida Building Code with 2008 Supplement. Please contact me if you have any questions. ARCHITECTURAL ENGINEERING INCORPORATED rx x xx i i, 7,/ W. Ronald McIlveen, P.E. Project Engineer WO WRM/dh ALI;" 1"(-- SIINI D vG ' ciaC POO' liNLELS t ioCES KTIO s 010 cODB, -- 1 1.01111 CIV a REVIEW DATE CITY OF ZEPHYRHILLS, PLANS EXAMINER, / 41 / /lc/ • Date: March 25, 2009 To: City Manager, Mayor & SPR Committee From: RJ Keetch RE: Site Plan Review Committee Attendance: David Shears, Shane Le Blanc, David Henderson, Steve Spina, Cliff McDuffie, Bill Burgess, Todd Vande Berg, RJ Keetch, 1. Wachovia Bank at Zephyr Commons — Site Plan Review Wachovia Bank submitted plans for a 4550 square foot bank building located in the Zephyr Commons shopping complex. The outparcel site is approximately 1 acre. The applicant's representative, Mr. John Prokop of Elements Architects, was present at the meeting and responded to the below conditions. Clarifications are in italics. The SPR Committee recommends approval with the following conditions: General Comments: i) Provide sheet with applicant's, owner's and landscape contractor's contact information to include email addresses. The applicant stated that a landscape architect has not been hired yet. ii) Provide a letter or email from Zephyr Commons master developer stating that they have reviewed Wachovia's plans for compliance with their overall shopping center design standards. iii) Provide elevations /renderings for proposed monument sign. The applicant will work with the City Planning and Building department staff to address design and placement. iv) Impact fees shall be paid according to the terms of the Development Agreement (City of Zephyrhills & Zephyr Commons, LLC) v) Provide detail on dumpster design. Design per Public Works Design Manual. Coordinate with City Public Works to field locate dumpster. vi) Provide an engineer's inspection letter upon completion of site. Landscaping & Parking Comments vii-)Provide landscaping maintenance plan and schedule per LDC 7.06.03. or po ibly viii) Per code, landscaping shall commence within six months of permit issuance or owner must apply for an extension. ix) Resubmit landscape plans. Show how Wachovia landscaping matches up with overall Zephyr Commons landscaping. le} Provide sidewalk connection to master developer sidewalk grid. xi) According to staff calculations thc site requires 23 spaces as opposed to thc 38 spaccs The applicant explained that Wachovia Bank requires a certain number of parking spaces and that any reduction in spaces would impact Wachovia's ability to use this site. xii) Provide a certificate of compliance from the landscape architect prior to issuance of Certificate of Occupancy. xiii) Provide truncated domes proximate to handicapped parking spaces on the west side of the property. 2. Letter from Zephyr Masonic Lodge Public Works will coordinate with the Masonic Lodge to finalize a long term lease for the Lodge to use the property (Parcel ID No. 11 -26 -21 -0010- 02100 -0190) for parking. It was agreed that the lodge should provide proof of insurance and mow /maintain the property as needed. 3. Discussion of the Future of the Celtic Festival The organizer of the Celtic Festival may move to a different city. Parking, fencing and the lack of a stage are issues at the current location. Other issues raised by the organizer include; 1) the lack of spectator accommodations, 2) lack of financial assistance from the City, 3) lack of sponsorships from businesses in Zephyrhills, 4) onerous fire code requirements, and 5) that the Celtic Festival organizer is treated as a "for profit" entity. The Committee discussed the above issues. The general consensus was that the City has provided ample support (insurance & staff time) to the Celtic festival. In an effort to address some of the above issues, Krusen Field and the Airport were discussed as other prospective locations for the event. The Mayor and City Manager will set up a time to meet with the Fire Department to clarify the fire code issues. The Mayor and City Manager will also meet with the organizer of the Celtic Festival in the hopes of resolving the other issues mentioned above. 4. Discussion of Administrative Fees Review fees for Traffic Studies, Drainage and Final Plat's will be passed along to applicants. The Committee generally discussed raising fees for some applications /permits. The City Manager requested that staff research fees that other City's are chargin before bringing the proposed new fees to City Council. dd 46th- Cie. I J Date: March 18, 2009 To: City Manager, Mayor & SPR Committee From: RJ Keetch RE: Pre -Site Plan Review Committee Attendance: David Shears, Shane Le Blanc, David Henderson, Steve Spina, Cliff McDuffie, Bill Burgess, Todd Vande Berg, RJ Keetch, Kerry Barnett 1. Saturday Nite Cruise — Special Event Application Update (March 28, 2009) Main Street will host a car show with a car enthusiast group from Emerald Point on March 28, (4pm to 9pm). Turn lanes on 301 will be closed. 5 Avenue will be closed with cars and vendors on 5 Avenue between 7 and 10 Street. Additional cars will park on the side streets off of 5 Avenue. There was discussion about future events. The car group(s) would like to have monthly events. The Committee asked Brenda Welcher from Main Street to check with downtown businesses to see if they want a monthly car show. The Committee discussed possible ways to offset the overtime the City needs to pay employee(s) to help setup these events. The Pre -SPR Committee recommended approval. 2. First United Methodist Church Easter Egg Hunt — Special Event Application (April 4, 2009) The First United Methodist Church will host an Easter Egg hunt on Saturday, April 4, 2009 at 38635 Fifth Avenue on the front and side lawns. Public Works will "stage" the barricades for needed street closures. The Pre -SPR Committee recommends approval. 3. Wachovia Bank at Zephyr Commons — Site Plan Review Wachovia Bank submitted plans for a 4550 square foot bank building located in the Zephyr Commons shopping complex. The outparcel site is approximately 1 acre. The Pre -SPR Committee recommends approval with the following conditions: General Comments: i) Provide sheet with applicant's, owner's and landscape contractor's contact information to include email addresses. ii) Provide a letter or email from Zephyr Commons master developer stating that they have reviewed Wachovia's plans for compliance with their overall shopping center design standards. iii) Provide elevations /renderings for proposed monument sign. iv) Impact fees shall be paid according to the terms of the Development Agreement (City of Zephyrhills & Zephyr Commons, LLC) v) Provide detail on dumpster design. Design per Public Works Design Manual. Coordinate with City Public Works to field locate dumpster. vi) Provide an engineer's inspection letter upon completion of site. Landscaping & Parking Comments vii)Provide landscaping maintenance plan and schedule per LDC 7.06.03 or possibly incorporate into master developer's plan. viii) Per code, landscaping shall commence within six months of permit issuance or owner must apply for an extension. ix) Resubmit landscape plans. Show how Wachovia landscaping matches up with overall Zephyr Commons landscaping. x) Provide sidewalk connection to master developer sidewalk grid. Possibly eliminate 2 parking spaces on the east side of the site for sidewalk. xi) According to staff calculations the site requires 23 spaces as opposed to the 38 spaces provided. Consider additional landscaping in — lieu of parking. xii) Provide a certificate of compliance from the landscape architect prior to issuance of Certificate of Occupancy. xiii) Provide truncated domes proximate to handicapped parking spaces on the west side of the property. 4. Letter from Zephyr Masonic Lodge Shane would like to be notified once the lease agreement with the Masonic Lodge is final. The city is currently mowing the property and will stop once the agreement is signed. 5. Discussion of the Future of the Celtic Festival The organizer of the Celtic Festival may move to a different city. Parking, fencing and the lack of a stage are issues at the current location. Krusen Field and the Airport were discussed as other prospective locations for the event. 6. Discussion of Administrative Fees The Committee generally discussed raising fees for some applications /permits. Review fees for Traffic Studies, Drainage and Final Plat's will be passed along to applicants. 07/06/2009 21:10 12395423707 BROTHERS AC PAGE 02 r i •> fir •,,-'.. r`.,•ti._ j,�' 1 '.' - :',.?- i.j ", ,1 ,-4 trite ,.r.-.- , . . • 1 :. - , e, , . • , (-A . 0 . .1 •� I - �: a ••" • { , , .� , N .J' I •Y. � r, ~ ' f l. ,rkl'. - ` • 011v ,/ 7 : l 91h : - �. - \ • •+:+/A , S.: \ + lii t '''. / C _ MI L. •Y .4f • "C _:03 1 ":".W . W : v" lair.' 'Fv .. _,. , 7; 4 -...), c J . )I :, : 11 • , q I+M1��:, fi 1 t: rr. I ,,_ K. _ . J 1„5.,,,,,...;:a ot ..... .,.. 7C . � ,1 '6 ,6:11 I h�Q.' '1: ��itc`.n 1 . y ' ~ " " Y \ . Y I I"' I i y am) i` C7; ' ' ^ 'oi y: I II! r i_ . .! ` :a ' 0 ;) l rr�,.;! a 5i. !Y.r,- ., •1,1P-'' II!! ...... y • +...ti ." • li • 1' ;, , ; . : ., � j r ? `,. "•' 111 J . �. � � ',''� a ^ ?. 4.. . • -,... ,, .... 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STATE OF FLORIDA} • Personally appeared before me, this ' day of , 2009, &-u ankcy who being duly sworn on oath s s he /she is Pk- S' CL . r of -IrS 4 . 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THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Tarpon Springs, FL 34689 ALTER THE CO VERAGE AFFORDED BY THE POLICIES BELOW. Phone (727)942.9363 Fax (727)943 -0022 INSURERS AFFORDING COVERAGE NAIC # INSURED Brothers A/C & Controls Inc INSURER,A: -, P 0 Box 61848, 2307 Bruner Lane, #8 INSURER B fax: 2 3 9 -542 3707 Ft Myers, FL 33906- .INSURER,:. .., , ..... _- _____....._... INSURER 0: I INSURER E: rst Commercial Insurance Co COVERAGES THE POLICIES OF INSURANCE LISTED HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REOU1REMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY NAVE BEEN REDUCED BY PAIO CLAIMS, _•_ -_ . - -- m96] ADD'L POLICY EFFECTIVE I POUCY EXPIRATION LTR: INSRD TYPE OF INSURANCE POLICY NUMBER DATE LMMID2! YY1 DATE (MMIDOIYYYY) _ _ LMITS GENERAL LIABILITY _ EACH D OCCURRENCE 17 C AMA tit T6 RENTED COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence) ❑ 0 CLAIMS MADE ❑ OCCUR MED EXP (Any one person) - -- ❑ n PERSONAL & ADV INJURY — ❑ GENERAL AGGREGATE • GEN'L AGGREGATE LIMIT APPLIES PER: PRODU S - COMP/ OP AGG ❑ POLICY 0 PROJECT ❑ LOC : AUTOMOBILE LIABILITY I COMBINED SINGLE LIMIT . El ANY AUTO . - (Ea accident ❑ ALL OWNED AUTOS BODILY INJURY B ❑ ❑ SCHEDULED AUTOS & person) ❑ HIRED AUTOS - BODILY INJURY ❑ NON OWNED AUTOS ! (Per accident) ❑ —.. -_ _- ' PROPERTY DAMAGE 0 - -- — - (Per accident) GARAGE LIABILITY i AUTO ONLY . EA ACCIDENT ❑ ❑ ANY AUTO OTHER THAN EA ACC I ❑ AUTO ONLY AGG _ EXCESS / UMBRELLA LIABILITY EACH OCCURRENCE — ❑ OCCUR ❑ CLAIMS MADE AGGREGATE ❑ 0 DEDUCTIBLE ! ❑ RETENTION $ WORKERS COMPENSATION AND R WC STATU- ❑ 0TH- EMPLOYERS' LIABILITY riN WC20573 -4 06/20/2009 06/20/2010 TORY LIMITS ER_ E ANY PROPRIETOR! PARTNER! EXECUTIVE E.L. EACH ACCIDENT 1,000,000 OFFICER / MEMBER EXCLUDED? - (Mandatory in NH) E.L. DISEASE • EA EMPLOYEE 1,000,000 If yes, escribe under EL_ DISEASE - POLICY LIMIT 1,000,000 SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION _ _ -- SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL City of Zephyrhills Building Department 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO 5335.8th Street THE LEFT, BUT FAILURE TO DO 90 SHALL IMPOSE NO OBLIGATION OR LIABILITY i Zephyrhills, FL 33542 OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. ---.. REPRESENTATIVE fax: 813 -780 -0021 � 7 ACORD 25 (2009/01) QF ®1988.2009 A55RD CORPORATION. Ail rights reserved, The ACORD name and logo ore registered marks of ACORD • ___, • 07/06/2009 21:10 12395423707 BROTHERS AC PAGE 01 07/08/2009 87:48 7279430022 RAM INSURANCE PAGE 01 ' DAmpinwro AC ' • CERTIFICATE OF LIABILITY INSURANCE 1 07/02/09 1 -- nia CERTIFICATE OS ISSUED AS A MATTER OF INFORMATION • PRODUCER Rem In:wince Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 21013 Pinellas Avo 0 195 HOLDER. THIS CERTIFICATE DOB NOT AMEND, EXTEND OR Tarpen Springs, FL 546119 ' ALTER THE .OPY.EIMPA eMaLIFILOY. THE POIX.IFPLIL 6 . 0 Phone (727)942-9353 Fax (727)943-0022 . .. _INSURERS AFFOREERG COVERAGE Tale ft • INSURER A INSURED Brothers NC 13 Controls Inc INSURER 0: far 20:0 --...."......... P0 Box 819411, 2307 Bruner Lane, !El • WSPRER E: - ---- -- . ..„......_ .____. - .. ... . . ... — --_____ . Ft Myers, FL 339013- PI.S.V.RER.D; ... - INSURER Et; First Commercial In Co . .._.... ____ _ . . . .-- COVERAGES • THE 'POI.a..for INSURANCE LISTED HAVE BEM ISOUED TO TtE INSURED NAIAD ABOVE FOR THE POUCY PERIOD INDICATEO, NunrATHRTANDWO ANY REGUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR CMIER DOCUMENT INTTH RESPECT TO WHICH THIS CERTIFICATE WY BE ISSUED DR NIP( PERTAIN. TEE INSURANCE WORDED VINE POLICIE9 DESCRIBED HEREIN IS SUBJECT TO ALL INC TERMS, EXCLUSIONS AND coNDmONS OP SUCH POUCIEE, AGGREGATE umrrs SHOWN MAT NAVE BEETIREDUCED BY PAD CLAMS. 'no Aso% 1 .... PPM— TYPE of INSuRANCE GEPIERid. IJABILITY 0 COMMERCIAL GENERAL uABILrry 00 CLAIMS MADE occult . 1:1 0 . . .. . _ ._ ...... . .. ° ow. AGGREGATE LIMIT APPLES PER CI Y p PROJECT 0 LOC AUTOMo tiLE unEni.rrY : 0 ANYAUTO poucr ePFLOPPAS POLICY SPIPIRATION POUCY . NUIIMEX 4 ot wwoorren1 BATE_ _ _ Li r.. /8 . . - ---- . ' • E MED EXP (Any one perm) PERsoNAL & MN INJURY • GENERAL AGGREGATE "kiiiiiicis . cokiiiipAlo POLICY ._.., . ... ..., .... _.._ _ wcuRRENc-E. COMBINED SINGLE LOX . ..,._- -.; . (gi - - . . .". . 0 ALL OWNED AUTOS . . BODILY imufry B ED D semsotruumtrros (Pr r) El MIRED AUTOS : BODILY INJURY 0 NON OWNED AUTOS (Per suAcono CI --.._. ..... .. PROPERTY DAMAGE (Per accUE11) . _ . .......—..-- __--.....- -- ... _ ., GARAGE LAASILTIY , AUTO My • EA AcciDENT . ... El 0 ANY AUTO crrmEyi THAN BA ACC I 0 AUTO ONLY: AGO ........, ' - . .. - _ ____......-• ... —..•••■■■•■•■ . • EIONOMMIMMELLALIABLITY ' _EACH OCCURRENCE ., , ., . . .. . ...... 0 OCCUR 0 CLASPS MADE AGGREGATE- 0 CI DEDUCTIBLE -, 0 RETERRON $ . . ____ - rvoRKEES COMPENSATION AND EMPLOYERS' LIABILITY WC20573.4 06/2012009 5E,TOWL5e. tl', Y oe0512012010 o E ANY PROPRIETOR / PARTNER 1EXECUTIvE M OFFICER /MEMBER ammo? E.L. EACH ACCIDENT 1 000 000 r aster/ In NMI E.Loseeme - EA EMPLOYEE 1,000,000' SAAL beim EL, OrBiAlE - PoucY umrr 1,000,000; WHIR . osscournoti OF OPRRATIONS1LO 11 offs rvEtecuts / excLu ADDEO BY ENDORSEMENT / SPECIAL PROVISIONS '`-*" "."-- • - ' ! , • .• ._.__. . . . . . . ._. . ......_. .. cERTIFICATEI4OLD _ ER CANCELLATION I SHOULD ANY OF INC ABOVE DESCRIBED POLICIES RE cANCELLED BEFORE THE Cy of ZephyrhMs Buld Depament 1 OLDER N EXPIRATION DATE TWERBor, THEO:WINO INSURER WILL ENDEAVOR TO MAIL ing rt 30 DOM ImuTTEN NoncE To THE ciurnwcATE HAMED TO 1 TN LITITT. our FAILURE TO DO SO SHALL IMPOSE No osuRATIoN OR Lmen.rry 5335 - Sth street Zephyrhaks, FL 33542 OF ANY KIND UPON INC INSURER, ITS AGENTS OR REPREsErownvEs. - AurNoitizED REVRETWITATIVE _. _ ... . . Iftuc: 813.780 /a•wrApt..4 ACORD 25 (20011/01) CIF _„.,..._ ... _. .__. ..... .. . . ID 1Bes-ieos ACORD CORPORnMON. Ah The ACORD mime and Togo are registered Marks of ACORD 06/06/2009 14:51 3522374358 RAECO PAGE 02 JUL /01/2008/TUE 10:39 AM ZEPHYRRILLS BUILDING FAX No,813-780 -0021 P.002 4041e0• d ZepApAills Paoli DwMtM to , wwinommmo Ilabe erlam Th. ,IIIs;, 31111M - s 1111 . .. . • Owenilao EldiZifill a rlien ..lworr 1 . Pieseiviviilookliirtasegt,--L- .1 w ap� norrloa NW[ 1 118.10,1./00e«.r Jor amoo Exliip _ ltT • 1 N alammon . _ __. iesit.5........—.1 IalAalkaMM — 12*244.e13e. ] minaarma.irn!aamaaill +oo�crlloMoes+ In 8 D a°" ® Q e morale Mt p MIR C7 i ' ' eoreera�ellrcnett p Ode' w� Mg annt OTIMN e sglwttoa Nom' AIWA& ,deoM' w "sokr,8 LS e u min 1 4 6 fl b 1 awl y, 1 viiiigr _.. CZ 1 TM .. 9r4 ►,iowor,vrM.aowr mul• ' C:, el+anciort. r 1 rr rae�wia ED. se r D w.isa . 1 Ce i i.'M- z$.3 - .93 73 • = MOCIPONPAL I,. 1 , WW nnROFMIOwe *Nr7TKLA110M 4UIAib as o Kama , o a,oht„► c=1 mien misoinsatesoviao 1 Ko00ZONariln Cale OW • Man a eaw►TMw . Mk= r a s ' . � , rw� thyme o eowt�,. • • 1 ees kr. 1 • �� ammo ` ' Y7 a 1 waamow MOM . amworom I . aaaaaa. coos ww . �rawwiw ni - � 'Mimi:. f ....,J u upplO L 1 e�atalwtr - "�a"""1QAt I � , , I ,a,a,r, . .u:a. • MaL111 • u..w.r • ele1Y11alIM Patel apl;1 T/ . A µ ms- • Wwrpo .alAwrd FMaalgatMinurRowe11 .41ewnRNrlra�arwrM• l is r: Mima4.4mplo.Meape isomolala. Poseprouli3OwsRmlin mak stewporwpapo Wal Moo urMlrl. MAMA M1 .MMwa Ca Aa.wA LWIMI iaMlrw. baWrflrha e Ines�m C.Nea rpsmir.APOseeel '000wrwwa►w+wsa atamM rpfterMap lOwabMdtrl II. 1Mw_ 1aiNM Vow mal Nrd waw.dlig•Ae MMP.wnM a' • pant *MMP' AIMI artw SYltE ~ apw / traa.Iiewslo n. ^ . a�im.� .t.Aane..m.rd• awrpnpamw ipwift aroma wlIl.mM/. Mwwa•s++ agralliNi • WSW Pea1t1MrPPPOPRIPIO a.NW Por Ike owe, wrMMa iw wrwrnara.lP rkmvolo rala..lap mob I r1 Mwlasrji r � ,..r.04,,,, Aw4q ' • • Se - MN- 07 BSEdLEZUE T8:60 • 680Z/90/98 06/06/2009 14:51 3522374358 RAECO PAGE 01 JUL/01/2008/TUE 10;39 AM ZEPHYBHILLS BUILDING FAX No.813-780-0021 P.001 • . PAP Wye , , PO IN 770140 Omie. Finkle 3‘677 . , 311124:174429 , RaeCv 303 fei , - - .., . , 5VICP‘ C • Ire% lialinlidal . ' rp\egfre's' „pc,1 • 0 .'"e AA i 11,,„,. o6 LL a . . -vr • .r,pkva--.5-.144--- 4 , 4 :61 ' dt-. . Pages: 4, 1 • Roo , CC; • Ci II IVOR X' FOr Review 0 Iliesem Comment 0 Pleone Reply Ci Room Reny le • PitS Z s j ... . L . . 1 Ce 4 1510y. _ reic „ i 01 ac. k ' /7trk cik, cr. . • • 3 qY) 5,140 ci:74 ik r • • 6' . c oilcilrie - 31eigi• ., . '• • • . . • .....„,, ij F vot, 1444; 4 k__Lis, ,re,s . . ,. . i f • _ • Te 39Vd , 003VM 9SEPLEME 19:60 600Z/90/90 07/01/2009 03:18 8132533938 BUSTO PAGE 01/02 • • . • Serving Tampa Bay Since 1969 • ' Facsimile Transmittal ' Phone: Company: Fax: Zep\ jr , t 15 `7 - Coal Sheet: Attentloa: City, Elate, Zlp: J00 e • • • • • • • • • • Notes: Pages ' Including Cover Page: • 1702' Saint Louis Stre • Tampa, Florida 33607 • 813.251.1061 • Fax 813.253.3938 07/01/2009 03:18 8132533938 BUSTO PAGE 02/02 L ,,uensing rortai - I .iccnce search Page 1 Of 1 3:15:01 PM 7/92009 Data Contained In Search Results Is Current As Of 07/01/2009 03:15 PM. Search Results Please see our glossary of terms for an explanation of the license status shown in these search results. For additional information, including any complaints or discipline, click on the name. Name License License Type Name Number/ Status /Expires Type Rank Certified Plumbing BUSTO PLUMBING SERVICES DBA CFC1427600 Current, Active Contractor INC Cert Plumbing 08/31/2010 Main Address *: 1702 W SAINT LOUIS ST TAMPA, FL 33607 -2043 Certified Plumbing GUSTO, JASON R Primary CFC1427600 Current, Active Cert Plumbing 08/31/2010 Main Address *: 1702 W SAINT LOUIS ST TAMPA, FL 33607 -2043 WSW/ CM * denotes Main Address • This address Is the Primary Address on file. Mailing Address - This Is the address where the mall associated with a particular license will be sent (If different from the Main or License Location addresses). License Location Address - This is the address where the place of business Is physically located. I Terms of Use 1 1 Privacy Statement I ACORD 'CERTIFICATE OF LIABILITY INSURANCE QZJYTZE6 07/0 /200 YI PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Matrix Insurance Agency, Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P: 904 -519 -5868 F:904- 674 -2120 HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 9016 Phillips Hwy ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Jacksonville, FL 32256 INSURERS AFFORDING COVERAGE NAIC # INSURED Matrix Employee Leasing, Inc. INSURER A: Guarantee Insurance Company 9016 Philips Hwy INSURER B: National Indemnity Company A++ 02429 Jacksonville, FL 32256 904 - 739 -2722 or 886 -453 -2722 INSURER G: INSURER D. INSURER 6: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR AOD'I. POLICY EFFECTIVE POUCY EXPIRATION LTR 1NSRC TYPF OF INSURANCE POLICY NUMBER DATE IMM/DD /YYI DATE MM/OD/YYI LIMITS GENERAL UABILITY EACH OCCURRENCE $ IU COMMERCIAL GENERAL LIABILITY PREMISES (HENIEU (Ea occurence) $ I CLAIMS MADE n OCCUR MED EXP (Any one person) $ PERSONAL 8 ADV INJURY $ _ GENERAL AGGREGATE $ GENII_ AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $ — 1 POLICY n X0 n LOC AUTOMOBILE LIAWUTY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY _ SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY NON -OWNED AUTOS (Per accident) $ PROPERTY DAMAGE (Per accident) GARAGE LIABILITY AUTO ONLY- EA ACCIDENT $ ANY AUTO EA ACC $ OTHER THAN AUTO ONLY. AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ • OCCUR n CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ A WORKERSCONPENSATION GPE0170000001 -109 01/01/2009 01/01/2010 X F ITORVIIMITSI � R EMPLOYERS'UABILITY 3333333 -01 (EL only) ANY PROPRIETOR/PARTNER/EXECUTIVE E.L EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? E.L.DISEASE - EAEMPLOVEE $ 1,000,000 If yes. describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 OTHER • DESCRIPTION OF OPERATIONS / LOCATIONS /VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Coverage is extended only to the insured employees who are leased to the alternate emp •y- : Bettin Construction L C # 0601132- Effective 12 -4 -06 DISCLAIMER: Coverage is not extended to any employee of t e ternate employer who is 'lot leased from the insured or to any leased employee for which the alternate employer is ...t reporting payroll hours to the insured. This certificate remains in effect provided the alternate employer's acc••• t is in good standing th the insured. Please contact the insured at 904- 739 -2722 or toll free at 666- 453- 2722/for • cation.lJf oyees leased to the alternate employer by the insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POUCI ES BE CANCELLED BEFORETHE EXPIRATION DATETHEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO • THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURETO DO 30 SHALL IMPOSE NO OBUGATION OR UABIUTY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. City of Zephyrhills Building Department 55335 8th St Zephyrhills, FL 33542 AUTHORIZED REPRESENTATIVE FaxN 813 - 780 -0021 Page 1 of 1 I_�;,�„� ACORD 25 (2001/08) © ACORD CORPORATION 1988 07/01/2009 00: 01 8132533938 BUSTO PAGE 06/06 M13maO•tlV2o City of ZephylhiII6 Perna Application 1 M'M13.11MM+na1 Wig • D.MResalvSrl IIINIW 111.111 Phan MOM tetras , . - Orwne • N..r. IIIEMSCOMMINIMIMI Omer Phone)Muniwr 95 - 596• 647 Own Addis*. I / CYO Mil "14" ,rAva . .t,"laafA_ Or IPhena Neanwr I 1 Poe Bbnp,.TUNheldsrName( � 1 Owner PMmnNumber 1 _ I Fee llmpl• m haI r Address [ / 1 .NOG ADDRESS 1 7'I B o 6 i t I 1 Lot'. l ( 811IDIVfSION [ 7 i LD.w.,.s,,: s 7 PARCEL o.LJ5' 2-5 -0130 f-6 00 ib1 MorMIOb FROM PROPmTYTAKMINN WORK PROPOSED FEW COHEIR e ADD/ALT Q SION [D LOVE [3 DEMOLFSN INSTALL REPAIR PROPOSES DBE C:1 SFR g COMP [] OTHER 1 I TYPE OF CON$?IRIcfCW [,D BLOCK PRAM6 Wj STEEL am OTHER Mg,1t' .= S DESCRIPTION OF WORK I , ,. as p'M. tha a lib try y„ / ootark riv Ga 7t: , I BUILDING SIZE I d i , CD I/ 1 SQ FOOTAGE I, L b 51 " ( HEIGHT 1 I NicoMaitiREEIR=TEEEEERCII=Cla. '123322 BUILDING IM WA O %If. vALIIATION OF TOTAL CONSTRUCTION CD ELECTRICAL (S mama 1 AMP mama PROGRESS ENERGY W.R.E.C. [, PLUMBING 1 Ce( P NSFµ( 2S3 73 Q MECHANICAL I; ! vALUATION OF MECHANICAL INSTALLATION U , ft" p OAS p WOOFING L J SPEOIALw [=I OTHER eft* FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA AYES MHO UUILOER /" COMPANY I deAs4G ,2 ' • I 61fMNA Tl111E / ReciaMnlD I Y I N I FEE CURRENT J Y f N J Am.. L a. cos -S- Kewxslat " rm:trccr Pt 1 Limns,* ELECTRICIAN ' COMPANY SIGNATURE L- necusfa.m MAIM am awnEMr Gum Addross I 1 Lhterrsg 91111 PLUMNE'R Wr COMPANY - c ' + 1 SIGNATURE memo= I mamma ma •"; Adam* ,:„/ - LLL /// TIGIWANY SIGNATURE ?�� _ esmomee i Y1 14 J PRECURRIMr L YIN J Address I 1 Wound I I OTNE'R COMPANY SIGNATURE nemunmed maim r+ER =MPH i1L Addem.0 • I Mansell l 1 RRNDEKIIM. Mach (2) PI.1 Plow (2) GA of Sulllrrg Prw+r, (1)••( Meow Pow ROW Pseud to new mnsVucJon, M I,drrum len (1O, ewAleg day; der =familial eels Rwdadd anrMe, C.rabodlon Plrns, 8bnenolm Plow IN/ M B Renee IneleNed, Sedum P a r i s e a 1 d o w n e r ; B b * Parch be su NNnsMgs p OGI COMMERCIAL AhNSS (I) oem ubr dealing Phan Op a Lie BdIINp Paget (1) ea of Sim Fem. ROW P mMI for new owelm Mari. NA im ITNI WM WIGS. do a OOa►oLSTIA l dale. Rsg.Ared stole. Oor.buaIun Pions, Bl nswiter Piro w MN Fence MIMbd. Sander) A 1 dampater. BIM Wass Pandl for DI new pre)eel& Ad eammmen l rquNaMwlb mien meet nonmil•nea SIGN PERMIT AAGdr Meals of EnuM•mod P. ""PROPERTY SURVEY moulted for el NEW oonelmoMerr- Dlroeuom • FS GS arPNeMMon comMetery. Owner a Carbadersgn bode et app leelba n•l•da.d If over GUNK • Make of C•••••••••nl In mama (ANC u•Mradas war UNTO) " Agent (Ibr OwcanIneedm) erPoway. of AMSn.y Mr Mee await) would be so ma e s alb MINIM Wet Mom emnerwMeddng seas OVER The COUNTER PERMImNG (FnMd n( APpUa•bn MG) Rsroofe Swop eeM• Upglnaes MC Fanc.. (PbdSunouMFm•ga) Ddr.way••el awry CourderV en publle mediwaya..nssde ROW 07/01/2009 00: 01 8132533938 BUSTO PAGE 02/06 -) STATE OF FLORIDA + DEPARTMENT OF BUS • S ARD PROFESSIONAL REGULATION - ' . ': `•'• CONSTRUCTION INDU T''' LICENSING BOARD (850) 487 -1395 4 ' • m 1. TALLAHASSEE MONROE r.' S- FL T 32399-0783 BUSTO, JASON R BUSTO PLUMBING SERVICES INC 1702 W SAINT LOUIS ST TAMPA FL 33607 -2043 Congratulations) With this license you become one of the nearly one million x , • rl' : _•:. +,< c. Floridians licensed by the Department of Business and Professional Regulation- .,. �, M - .' 1 - _, ; `�; • t Our professionals and businesses range from architects to yacht brokers, from '� -f ., : i ` d f i N . e . '; v "^ '3'' . ' �? boxers to barbeque restaurants, and they kee Florida's econo strop a�' � ! .,. " F or nformation work to about our services, please log onto e www,myflorldalic nse.co :4 koo-,a : ) `fs �," ' '0 it a , :' -•" ' . ii , Y ' R T *: �) There you can find more information about our divisions and the regulations that i,B' -^ ■ ti o : , . ,3 • r m •)x�": impact you subscribe to de artment newsletters and learn more about the --, ..a cy i r : ' n Q •, partment s Initiatives. � : ' Ill, -;' :�; 1..,,V.;„;,.." � � • • M r ?�tiij` ; ' .i .�' � Ia • �fia;d. � � +- - Our mission at Department is License Efficiently, Regulate Fair) We (i '•� [ 1,-.4-.----:,-',-,..,- � " " )-Ti i%;'�j. • I•.; "' • 1 " ' . .,; y *. ,. .vi " the De a y. „ _ constantly stove to serve you better so that you can serve your customers. • • 1 . .. • r - „_ } . l ° 7 , ,,, '' 'r> ' - �r + • 4 , i . d .. : ' . • •+ t i wa `: • � r i 1 ti"171h A I r , �.�. i n� •r , • , : ; :t•:575!...: ,. 1f. Sy Thank you for doing business In Florida, and congratulations on your new license! :.q �Z',' rw , LrS ( .eu.Rl �• ' �Y�CI; Cr I 7:77. �( y_. , • : % F); i.: x '11,`; - ::1151. Iti 5 ft ' DETACH HERE • • .∎ + l Y i ,_ ),: r k ill•° r { yy l � � 1' -' '� . ` ; +/y J .� u ✓ \. �. r J�.��Y ra - • \_r• ?,‘-‘!.-:• _ ,.... _ y. K 1 y, a . x ' G l ., , ' -' :,` 7 __ ,� V� ; � - 'r :rr l "a , eJ , •� , n :Jc ,_�:, ;1c, . _ .,. ,,a : �1 7,),!.......,,s,..,. : ..._( •0 1 , ' v mpk'f ,. � � , . ' r �' .Y r ti v :.�,r 1 , . i • .F) \'r � 1 � I ,. p . �/ � t a i \i � ; )mf � -?•! `LS F ' �;, 0 !; _ ' --- '2 . . ti; 9 ,, , - . i' . • : :i � -j ;.i'.13 i y y • • °a .• Er -441 - ,. ) • , } }.:' +. ,•x - r. ,:•.% . 4 .! -r .z• . P; DA . E Ei ", NUM D.- i' 4 j71 „t li 7C 1, '' � L ; a' ', . . Q[r!� 9 7.., •aa' t 1� dC. y t . Slil7, _ — , . ;, �,* i 1, ' { ' ' j • G) • rC : :s) - , •. ; C.} ,l +� ;VA ., c ! 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(+ I z i "� 4 5 51' r, ,i r V y r :,1 + '�` 1 �' •;. :.� -\'~ '�.' � v•• . 1 � , �'�r •- � + �;�f •`,� ..: '_`•``J�•�'�.' x'::- •: + f r ,��' "�'- �'.y.�. �. :' .'�Yl�l, ., {r I �•`� �. ('`. k p -' _ e.. :N-., 1 ;�� 7 � �.. C �' l_�1 'f`,•r. ,a. r. M, 1 . `' ,.J .� ':: , Irf , i '*r '—, .1- .'J).' . ' .. '''(',''' It! •;'1':'r.' %)1, :; �� ; h: , '�S • 7: ' : . - , - G 1 *!....• i :i7� ., -.:' gi . • . 1'.5..tr .fr^iI.' �.r{!�'dl �rti :41i• •. F/ r� ��x .1� ;- . - b.. S {�:.q.i-....•.F.h k.,_ -.h,_ .1 � •Z'_' . . 5:.., - .. e > .inY•' h .*:•. ;,.r,...v , 4,44 \1.: , , , ri ir, __,e.„.,,,�I. la�...,r l:sa r' \\ _,errs 07/01/2009 00:01 8132533938 BUSTO PAGE 03/06 BUILDING SERVICES DIVISION CERTIFICATE OF COMPETENCY CERT PLUMBING CONTRACTOR CFC1427600 09/30/2010 Certificate Number License Expiration Date Issued to: BUSTO JASON Dba: BUSTO PLUMBING SERVICES INC Workers' Comp. 06/21/2000 6 6i t C3 Issuing Officer DESCRIPTION AMOUNT Registration Fee $0.00 Renewal Fee $0.00 Delinquency Fee $0.00 Reciprocity Fee $0.00 Replacement Fee $0.00 Total Charges $210.00 Type Method Amount Paid Payment Check 210.00 Receipt No. Cashier ID Date/Time R001271 FRANCISN 08/28/2008 /03:40 PM I 07/01/2009 00:01 8132533938 BUSTO PAGE 01/06 tB PLUMBING — Serving Tempo Bay Since 1969 City of Zephyrhills Contractor Services June 30, 2009 To Whom It May Concern, i, Jason Busto, authorize the following persons to obtain permits in the City of Zephyrhills on behalf of Busto Plumbing Services, Inc., 1702 Saint Louis Street, Tampa, FL 33607 on Busto Peter N. Busto ��,, - , 1'(__ 44.. ^ / / Paul Morales IS-. 0 4 ‘Sj--6.?_,44CA-tacW )ivAA S7`/9 - eta J 7/i EA LYNDA STARKWEATHER a��Y. 'k, r+` Comm* 0130747435 I ' • % Expires 2/21/2012 y ' i- Florida Noun Aeon., Ins 1 1702 Saint Louis Street • Tampa, Florida 33607 • 813.251.1061 • Fax 813.253.3938 www.bustoplumbing.com 07/01/2009 00:01 8132533938 BUSTO PAGE 04/06 • • • HILLSBOROUGH COUNTY BUSINESS TAX RENEWAL INSTRUCTIONS Chapter 205.0535 (5) Florida Statutes requires one of the following: FEDERAL EMPLOYER IDENTIFICATION NUMBER OR SOCIAL SECURITY NUMBER 1. SIGN and retum entire form in enclosed envelope, Your validated Business Tax receipt will be retumed to you. 2. Business Tax receipts expire midnight, September 30th. Failure to display a valid Business Tax receipt after September 30th is a violation of Hillsborough County Ordinance 95-4, as amended by 02 -5. MAKE CHECK PAYABLE TO: DOUG BELDEN, TAX COLLECTOR P 0 Box + TAMPA, FL 33672 -0920 2008 -2009 HILLSBOROUGH COUNTY BUSINESS TAX RECEIPT EXPIRES 9 -30 -2009 FOLIO NO 0 .. 0 H. wAGTE OCC, CODE BUSINESS TYPE SURCHARGE TAx 090.020 CONTRACTOR - MASTER PLUMBER 40.00 18.00 . —i ecV rr r -, M el {_I W C-M' c to P"• LT n l47 •a• "is, C? +l^m n, r". •• r>c I^- CI.-1 fD _. n a IJ y Q CO Q BUSINESS :�1 704AT L0id:IS ST;:<.,:, K ,;,;, "' -i x LOCATION •' VArq / ':::• M y :•. in a+ = ITI NAME U T ` J/ SQ s N p Q: ` ICJ /bBA iI1 T Jw (,JJI�191A G EI %SIG S dNC r. M = a, L MAILING L : 1702SAIltl7 dtii'$ ST „.,. , a r ,;: :,; AObRESS TAMPA FL 33607 -2016 a. Y °� m 0 N -^ V.74 C erP� 1 • BUSINESS TAX � r� FINS HEREeY PAID A PRIVILEGE TAX TO ENGAGE DOUG BELDEN, TAX COLLECTOR A� c _ � 813. 636 -6200 • IN BUSINESS, PROFEs ION OR OCCUPATION SPECIFIED HEREON, nits 9ECOMES A TAX RECEIPT WHEN VAUDATEP• e,+. ti' .q U riL.•p A M..1 Y t --, 4211A nrl17AQnnnni nnnni onno nnnnr mi..", c 1�1 07/01/2009 00:01 8132533938 BUSTO PAGE 05/06 JUN-30 -2009 14: 51 HOCKMRN LACKEY 1NUI1RNUE 813 281 1006 P.02 ACPRD, UtK 1 Ir IL A I t vr LIA131L1 1 1 IIV0UKiIIVt•G 7STIe=i - 1 06/30/09 PRObuoER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION : , ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE ' ; , :Y• Noakm Inodrance Agency, Inc • HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ,;,k; 3436 Colwell, Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW , -.,�: Nampa PL 33614 '! p'„ Phone:813- 636 -4000 Pax:813 -281 -1086 INSURERS AFFORDING COVERAGE HNC • " ' AI INSURED INNURERA: Travelers Indemnity Co. ' , + 7 : INSURER It Bridgefield Employers In Cc 1 ' Bu to Plumbing Service, TAO. INSURER C: F • I 01 ' , 1 L 6i7 Street 'INsuP RD; :,• INSURER E COVERAGES ' ,,(';• THE POLICIES Or NeURANcE USrED Below NAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLIOV PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR corIDITIDN OP ANY CONTRACT OR OTHER pXCUMENr WITH RESPECT 70 WHICH THIS CERTIFICATE MAY BE ISSUED OR ', MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED meow IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH ' .' POLICIES. AGGREGATE LIMITS SNowN MAY NAVE BEEN REDUCED BY PAID CLAIMS, LTR� IN TYPE OF INSURANCE POLICY NUMBER pA E!M NDorY+� ATE ( °► UMITS GENERAL LU TTY w EACH 3 1,000, 000 1 , X COMMERCIAL GENERAL LIABILrrY DTC0749713507TCT 05/01/09 05/01/10 ra6E6oEa ryro�+2 s 300,000 • , }4: atom woe © OCCUR MED EXP tMy we WSW) s 10 , 0 0 0 ' '', .":11' $1000 Dnd PERSONAL &ADVINJURY e1,000,SI Q' - j1 GENERAL AGGREGATE S 2,000,000: ,'1 I , — GEN'L AGGREGATE LIMIT APPUEB PER PRODUCTS • COMP/OP Ass S 2,000 000', ' 'e POLICY all !IP Imo �I f AUTONM)BILQ UATNNTY coMDINP.D BMGLE LIMIT Q 1 , 000 , 0 T 'I • A X ANY AUTO DTE107497507C0S 05/01/09 05/01/10 fEo ALL OWNED AUTOS ' INJURY N f (Per person) ; A SCWEDuLED AUTOS , ; , X HIRED AUTOS BODILY INJURY X NON•OWNe.DAUTOS (Pereceleenq 3 —,,,, PROPERTY DAMAGE s ,c (Per eoUdenl) ri N ■ OARARR LIABILITY AUTO ONLY • EA ACCIDENT $ _ ■ 'i:' R ANY AUTO pip EA ACC II •,;< I ' AUTB ONLY tl .4 AC6 a f !XCRReIUMeRELLA U*UJTY EACH OCCURRpNCA 3 • ;`,. • OCCUR n CLAIMS MADE AGGREGATE S _ DEDUCTIBLE $ 1 F RETENTION 3 1 ', '' (.. . CIE MERSCOMPENSATIONAND ITOR Vir I X ER ••' • EmPLOYEME LIABLE) ANY PRO RTDRIPARRTNERIEXECUTIVE 83032489 06/21/09 06/21/10 El. EACMACCIDLNT 11,000 +` , OPFICER/MEMEOR EXCLUDEDT E.L. DISEABe - EA RMPLmo& 31,000, 00 , , ,'; , % Iryyaass d$M$te U"eer �' SPECIAL, PROVISIONS below EL, DISEASE • POLICY LIMN s 1 , 000 , GOOE, • + ±I, OTHER ) i'' A Loose /Rent Equip QT66074789799PHX 05/01/09 05/01/10 Limit $5,000 All Rick Ded $1,000 . DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT f SPECIAL PROVISIONS ' e• r t 1t ,Ni y CERTIFICATE HOLDER CANCELLATION „ , C•1•Y°•.alig SHOULD ANY OF THE ABOVE DAMARA Ep POUpE9 BE CANCELLED Wan TA ► • ,: .. ' DATE THEREOF, me MONO INSURER WILL ENDEAVOR To MAIL 30 oav r ' { Thn City of 2iirphsyhi118 NOTICE To THE CANTO:a ATE MOLDER NAMED TO THE LER'T, BUT FAILURF TO DO AO � I ,. 0BUGATION OR L "►" Building p /Aa FARAR1t IMPOSE No UTAILITY OF ANT KIND UPON THE INSURER, $'OIr ; , 5335 91:11 h S , • • ITS AGONT R•, Zephyrhills P!. 33542 REpResE NTATIVES. • , ' • AUTIICgIi6D RE'PRFSENT Ron Beckman / L I � 01RM /T"b dlailleiw` : ACORD 25 (2001108) MSACORD CORPORATION 7: ' TOTAL P.02 Martz Schad PO Box 770119 .' acad. Florida 34477 352- 237 -1225 RaeCo 352 - 237 -4358 fax � y t'I Maitiffinigal ,,.../. ,Q , �� 5 . \ ,`L r:, c'ye:ig6,; r y oe,Y--, It F Mark Schad "'" Fax: Pages: `'t 14\4( b" Phone: Date: --/ — D ? Re: CC: O Urgent X For Review ❑ Please Comment ❑ Please Reply 0 Please Recy• le n e-o.s 7 ;; I , r e d Cc 4,. L G e h 5 ; co( ' 4/7 7 —47 r..4._ A/z.,y- -, ( - 5 G , c , 4 c'- U 5 0 g 3 C774 . • . , , . 6, / g / , 35 -). 3 0)S . . Fx 3 )3)- 4(. _7 F L,4G 1 1 i - 9 40 il e 7 L 5 /---e e F 1/4.c., ../ aked Oaternme TO 39Vd 0O3Vel BSEILEZZSE TO:60 600Z/90/90 11a- 700-e02o Cit of Zephymills Permit Application fr ftlu • Busing OIPWI WO Dal. Received Illigi AMII Phee. Canted for PenMtlM . — owners ;.m. 1 440 , 1 e V : h fro, N k Omer Phan Number FEMECINMEM Owners Address (/ SI fs 1 ° ' it $ Bile 77 4 .:d . e 1 Omer Phone WNW I 11 P.. a.Pl. 7ltlenoldu Ndel r Phoe owner u Number 1. 1 Pe. simple Tlllehaldsr Address , / 1 1 JOB ADDRESS 1 ? / [' a (4 I i LOT* 1 SUBDIVISION 2 & /eh cb..k.b, =s ( PARea.IDS( 5 2-52.I -0 ..a)D Dd (id I tOaTJnNIla rem pg0►lRTY TAX rr0lleq WORK PROPOSED El INSTALL CONSTR e AE Q C1AL1 SKIN a MOVE E] DEMOUSM PROPOSED USE SFR COIN OTHER TYPE OF CONSTRUCTION Q BLOCK ((1 Q FRAME STEEL ® OTHER r. S.u� e..w S DESCRIPTION OF WORK 1 1•10%. act /JUL J j L' hl rrl wt , .tirk i i 1 Ga . "um" WA 1 y. Sb 6 1 SQFOOTAUE 1 Y. TOO 1 MIGHT 1 . Q BUILDING S 'gJ, G Ci7 P, ( VALUATION OF TOTAL CONSTRUCTION (= ELECTRICAL `S 1 AMP SERVICE Q PROGRESS ENERGY Q W.R.E-C• I 1 Ce[� ljeidi( Zak 253 Q PLUMBING . f i fleAr 1 b Q MECHANIC& Ls ( VALUATION OF MECHANICAL INSTALLATION 1 Qk��/IA.' Cfr v^' C�, Q GA8 Q ROOFING r, SPECIALTY Q OTHER FINISHED FLOOR ELEVATIONS ( FLOOD ZONE AREA YES LINO cui p A Ny BUILDER �'�.��, / Y / N [ FEE CunneNT � Y 1 N I RECNTEnist SIGNATURE �� Address 1 a tor -s- / 0144. f Lc "NW" /o/cr r 1 LJeaws av 1 1 COmPANY SIGNATURE r f G �Y / N ] NE cunalea I Y/ N I J SIGNATURE 4 Address 1 1 manse it 1 PLUMBER . SIGNATURE i'' • ,, OM IEG167na.a V $ N net WMINT WEN , Address 1 1 Licenser 1 ( MECHANICAL COMPANY SIGNATURE f !. nE.Kr1Al0 YI N roe Menem ICA© License N I 1 \ COMPANY ( 1 R.,67k ,.......... n ( Y/ N ( Eta wawa I YIN I SIDNA Uganda * S kr R SMIDENTIAL Mach (2) PIM Plans: (2) ANN of Building Plans: (1).a of FrnerNI Forme: R-O W Forme: * la new eenaauadan. r Mkdnlom In (10) waking *IN INN wbn N I I doh R.4Wm.d ensile. Genstuolen Plan. SWlmwster Pons w/ 5Nl Fence Inured. V "( Sandlny Peamasa a 1 dem:~ SNS Ware Pemdl kw sUbMvMlenglergs P' COMMERCIAL mach (3) wmplele +Isle or Building Plans Pkre s UM Safely Page•. (1) sal el Energy Forms. R-0-W Penns lot new can,Dudron. Mlnknum ten (10) world ng days NW submittal den. Required angle, ConeIrudlon Plans. SIamnulW Plana w/ SIN Pence OrlaNed. Sanibel FedlUes 11 dnnpela. Nu Wont Pan, tar .N now prehadis MI asremadal r grkema s must meet compUNNri SIGN PERMIT Math (2) ems et Engineered Plans. ""PROPERTY SURVEY rammed for all NEW wnsYU011on• Dlr.elbns: Fal oil eppgosgon completely. Owner & Con Nan WA o1 uppataaon, rrrlarhed N aver NSW, rl Nduse of Canmwlaans l Is required. (NC upgrades over SSW) •• Aged (Ier Om renewed) or Power d ANsm.y (far the moor) would be semen, dgn mucked IOW from saner suUnonZJng ware OVER THE COUNTER PERMITTING (Paint of P,p YOn ) Fences (PWYSrawylF..laga) Remote Soma Save* Upgrades Drrvew.ye.Net ever Counter N on pupae roadwsys..neede ROW S0 39t7d 003t78 8SEtLEZZSE TO :60 600Z/90/90 CSR SP DATEIMMIDDIYYYY) ACORD.. CERTIFICATE OF LIABILITY INSURANCE RKECOOF 07/01/09 PRODUCT THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Brown & Brown Inaurance MOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 47 9W 17th Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Ocala FL 34471 -8141 Phone; 352 -732 - 5010 Fax: 352 -732 - 5344 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: American Economy YnrEUrence 19690 _.. INSURER B: Century Sure Company Raeco of Ocala Inc. INSURER C: Mrldp.ti.ld _ ateleyer. Ins. Co. . P. O. Box 770159 , ~ -- Ocala FL 34477 . oaen.sr:. Ana 2ndn.°ry nu. Co INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED SELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITYISTANOING ANY REOUIREMANT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY SE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED EY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED SY PAID CLAIMS. INSRIABOT I POLICYEPPP_CTIIIETPOLICYEiD+IRwrioN` I.TR WSW TYPE OF INSURANCE _ POLICY NUMBER DATE (MMIDDIYYI DATE (NUIDDIYY LWITB GENERAL LIABILITY EACH OCCURRENCE S 1, 000, 00 B X COMMERCIAL GENERAL LIABILITY CCP601929 06/11/09 06/11/10 PREMIs Eslnce)_ 650,000 CLAIMS Mutt u OCCUR MED EXP (Any one person) 55,000 PERSONAL B ADV INJURY E 1,000,000 — - - -.._ ..._ . . .. GENERAL AGGREGATE 62 , 000 000 GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS- COMP/OP AOC 62, 000,000 I POLICY IX I PLg 1 I Loc Emp Ben. 1,000,000 AUTOMOBILE LIABILITY A X ANY AUTO 02CE1412023 09/14/08 09/14/09 COMBINED8INGLEUMIT 31,000,00 — _ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS IN/ person) S HIRED AUTOS BODILY INJURY S NON-OWNED AUTOS (Pm Acc100nl) PROPERTY DAMAGE S (Pet .c dun') GARAGE LIABILITY AUTO ONLY • EA ACCIDENT S ANY AU OTHER THAN EA ACC S AUTO ONLY: AGO S EXCESSIUMBRELLALIABILITY EACH OCCURRENCE S 1, 000, 000 E ii - 1 occuR n cLAIMSMADE 8E053821063 06/11/09 06/11/10 AGGREGATE $ 1, 000, 000 _ $ 7 OEOUCTIBLE S RETENTION $ .... -- ._— .. WD STATTH. WORKERS COMPENSATION MD X IY 1=11Y LL ¢ I I EMPLOYERS' LIABILITY C 830 -32715 05/18/09 09/16/09 E.L. EACH ACCIOENT I S 1, .. ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? E.L. OIBEAN - EA EMPLOY $ 1, 00 0 , 000 If yew, Oda*. under/ SPECIAL PROVISIONS below E.L. DISEASE - POLICY UNIT E 1, 000, 000 OTHER DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLBS / EXCLUSIONS ADDED BY ENDORSEMENT l SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION ZEPE L!RH SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED ED BEPORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN City O f Zephyrhille NOTICE TO THE CERTIFICATE HOL08R NAMED TO THE LEFT, BUT FAILURE TO DO 50 SHALL Building Dept. MIPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER. ITS AGENTB OR 5335 Eighth Street Zephyrhille FL 33540 REPRESENTATIVES. AUTHO RES NAVE ACORD 25 (2001108) (/ /� ® ACORD CORPORATION 1988 ZO 39Vd 003Vd 89EVLEZZ9E TO :60 600Z/90/90 1 .1 CITY OF OCALA • QUALIFIER FOR BUSINESS CERTIFICATE OF COMPETENCY i SCHAD, MARK P.O. BOX 1270 • OCALA, FLORIDA 34478-1270 (352) 629-8421 2008-2009 EXPIRES 940-2009 CATEGORY REGISTRATION* CERTIFICATION FEE ROOFING CCC57211 20.00 Paid 03/17/2009 RAECO OF OCALA INC 3927 SW 89TH AVE OCALA, FL 34481 • • • • .• • • ' • ' • • : • • .. • • AC# • 3 8.55.aza.,,,_ _ .." " " ' .• • :•••• . FLORIDA • : ''• ....• • • . 4.. • • ••• • • • • .•• . • • _ W I ONAL-" REGtThATION • LICENSING ‘SOARIE: : • . . • .• . • , . -1: . 7- . attri46•1404N- 9.4 Z:"2 : . • °ATE BATCH NUMBER LICENSB:::X8/340:"-- • '• • • • • . • • • • 7: " . . • 7 • 0.88'�0..1498 CCCO5•121. • The • - : . ,. • - - . : • • *. L- rider • the* : -; • , Exp ira .: •ATIG : 3 .34:=. • :; • : r • :;••••.": • r" ..• • • • : . , • • • Q1‘. . • • . • *. :•-• • • • *- -,••=%- Tv' .•••:'." . . RAEC.0: oF O CALA . INC. 444-,.54::.:,: • . .. . - • • • , . . E. . - 7."7 7 • " ' • 411 •.77- 3927 • SW 8 STIr AVE . • • - •-• • ••!: OCALA • : • . - - ;. •• • • • • : : • • '. : . -• *;• ~.• ' CHARLIE' .CRIST • 1 / 4 ' • ' • :-'.• • " • - ...CHUCK " • • • GOVERNOR ' : . • • . • • • • Ul RED: BY LAW — • INTERIM SEQRETAR '7 . • 60 39Vd ODBV8 89EVLEZZSE T0:60 600Z/90/90 Page 1 of 1 Gmall Calendar Documents Pho106 Ro;rder Sites Web more • eehedmegmaa.com 1 Seuings I Older version 1 Help 1 Sign out , i M -ry a . Swap M4y • Seercn ale •rob ' S4.Y - •.w,i li uylwi,: • ti" " "' v t ' "' Gmail rune faster In Gooete Chrome. I Wont it, toll me morel Dismiss Compose Mall Want Contractor Lu ds9 - webvi Bible .u,ndCunlr.,ct(ngeustoe'le.s Gut Customer Wnu Need Contracting Help to Csponsoran Link e Back t0 Oinking" RIPON spwn . Detate More l0 Lob Ms aata Mateaelion. �' -- -..... I t Newer 7 of 2723 Older inters (5) Sisrrod New Project Wachovla Zephyrhllls wow x New wirodow 1 Henry Fernandez (0 me $hew details 12:24 PM (20 noun ago) I __ Root, Pont S Chats Sponsored Links Mark, 1 have a new Weehovia Branch project that requires me to Get sub Contractors for Bid On Contractor Jobe the permit in the City Of Zaphyrhills in Pasco County, Are you registered wit the City of 50w or our lase baranw twtimeus, Sent Moll ZephyrhWa 7 If not can you register with them ASAP. Attached is the Information to 1 out 4 aony.ctms book the M0 register with the City of Zephyrhilis and It can be faxed to them, M you ere already CalllyderContrttaors.aoseLiaub registered please let me know, I need also you to complete the permit application under the electrical portion of the form end tau it beck to my office. Let me know ASAP when you Open Construction aids Drafts .(1) can this completed. Get 5 Free Leeds NOwi Got In Oh Prolstaa In The gent now wvvw.OMfe.twm : onaVUCUOn Leeds The plans are not ready for bidding and should be ready In couple weeks and you I will give All Mail you last look for the rooting scope 01 work The anticipated Start dale is in about a month, Construction Bid Thanks Search 1000'8 of salve wmmergal w Spam (579) r w a .Ri Co clioo stem Yours Truly Henry S. Fernandez �osall GOAalructi0n Jobs Pointing, tangiest Trash Project Manager Free Soaas BusMINIS Community www.loevw,a,com ara<leaa,9 bac 280S South Horseshoe Drive Unit #12 did On Construction Naples, Florida 34104 Lookup for Construction Laada9 Contact* Ph (239) 455.8891 Fax (239) 417-1249 w v . o m ra � to 61tl1 Email • henryabredanna.com About these links Chet • south, add, or invite -- •._ -- - ....__ . _ - - • Mark Schad Sub contractor Information Zaph,pdf Bram Schad 112K Viwwv Download spikes Ada Contact haply Forward Labels Eot iobois Invitee friend u Back to InbOx Archive Rayon wont O.tw : Move to L MY I More aceons i i Newer 7 of 2723 Older • Give Gmall to: — — • - - - -- - 9ane1n11e go left wo•ww ut�44 Coogie Checkout: Sign up for feeler and safer shopping, You are currency using 2104 MB (28%) of your 7343 MB, tau account activity: 8 minutes eoo.t this IP (86.89.14.71). Details *non view: mamma I hum on eha iwk2Illeti. Laammam 02009 Googl. • Zaela • etbasy.Peasy - Swale Homo httn_ / /mail_QnnQle_cnm /mail / ?ui= 2 &view=bsn &ver =1 avenegurkovv 7/1/2009 90 39 d 003Va 8S£tL£ZZS£ TO :60 600Z/90/90 P.01 /01 TRANSACTION REPORT JUL /01 /2008 /TUE 10:40 AM FAX(TX) # DATE START T. RECEIVER COM.TIME PAGE TYPE /NOTE FILE 01 JUL /01 10 813522374358 0:00:49 2 OK ECM 8919 • Mark Schad PO 80477011g Ocala. Florida 34477 352-237-1225 Ra e C o • 352-237.4358 fax • mammal 9 • icrPL -19 lgc(f f h Oex /'. P P411r Mark Schad Fax: Pages: Cp 44t`4 Phone: oat« ` l —(^ D Re: CC: D Urgent X For Review 0 Please Comment 0 Renee Reply 0 Plesse Recy' 1e PI e d� k1 57 � Wat4.- Gek9)c GCk jh5 c t op leace 4C 3 y 5, 6 ..4 cr-t- /h. r Oc- 3L(4, / a'crit'tte 3 5 - I 3 - V o c ci /G1 F J ` K S . / 813 -180 -0020 City of Zephyrhills Permit Application Fax-al a- / nwn,n t �, bn Building Deparent 1 Date Received 2Z 0 Phone Contact for Psrmlttln • � - Ownae'a Name 14 n V ; t^ Jo N L Owner Phone Number 9J $94- 64"pz Owners Address 1 - yin 5 mete 27/v d , .ref ..2 1 a i e cC Li p1 Owner Phone Number Fee Simple Titleholder Name_ Owner Phone Plumber Fee Simple Tltleholder Address Q JOB ADDRESS 7 / 8 0 6 4(1 C C LOT 0 f SUBDIVISION •• /I eb- - - PARCEL ID #r � j� j J -- 2-5 -2- r —01 � ,-.015000..... od &a (OBTAINED FROM PROPERTY TAX NONCE) WORK PROPOSED p NEW CONSTR ( ( ADD /ALT = SIGN = MOVE = DEMOLISH INSTALL REPAIR PROPOSED USE El SFR R23 COMM n OTHER 1 I TYPE OF CONSTRUCTION t I BLOCK 1 I FRAME VI STEEL En OTHER F AS4.41.0xd' t - VS DESCRIPTION OF WORK r NE w R.,,,,_ / k /d en j L., / yak r - , y t a ) • BUILDING SIZE i t' 5-0 0 SO FOOTAGE y) 5-°0 HEIGHT 1 BUILDING $ .7 O1'1000 C Acx VALUATION OF TOTAL CONSTRUCTION F ELECTRICAL $ AMP SERVICE 1 PROGRESS ENERGY E1 W.R.E.0 i t cell t , f R,.t -M- 253 -9373 El PLUMBING I$ ItenrtiQ h {y 1 ///}}} MECHANICAL I $ ! VALUATION OF MECHANICAL INSTALLATION & AAA.' &P' n GAS n ROOFING n n Q./rail OTHER FINISHED FLOOR ELEVATIONS { FLOOD ZONE AREA =YES nN0 BUILDER 4----'-' ��!,� - - COMPANY SIGNATURE 6�/to AO Nt0.. TJ' - --- REGISTERED Y 1 N 1 FEE CURRENT I Y/ N I Address Or S. ,64.) 5!-cC /•■r. .•+o /G:r /=! I license ` COMPANY SIGNATURE L REGISTERED 1 Y/ N 1 FEE CURRENT i Y 114 1 Address 1 1 License # 1 COMPANY SIGNATURE L REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I Address License # L MECHANICAL t COMPANY V D7Wa4 AIL N- C'o S .41/G. .41/G. , L z. SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT Y/ N 1 Address V 6ICvA/lf"Z < M ' Fr /0./i/ K4 519/4 License# r I OTHER 1 COMPANY SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y IN I Address L License # I RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R -0 -W Permit for new construction, Minimum hen (10) working days after submittal date. Required malts, Construction Plans, Stomlwater Plans w/ Slit Fence installed, Sanitary Facilities & 1 dumpster, Site Work Penult for subdivisions/large projects COMMERCIAL Attach (3) complete sets of Bullding Plans plus a Life Safety Page; (1) set of Energy Forms. R -0-W Permit for new construction. Minimum ten (10) working days after submittal dale. Required onslte, Construction Plans, Stonnwater Plans w/ Slll Fence Installed. Sanitary Fadlities & 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: FIII 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 Attomey (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