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HomeMy WebLinkAbout10-10243 CITY OF ZEPHYRHILLS J 5335 - 8TH STREET (813)780 -0020 10243 BUILDING PERMIT Permit Number: 10243 Address: 7928 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: ZEPHYR COMMONS Est. Value: Parcel Number: 35- 25 -21- 0130 - 00000 -0140 Improv. Cost: 68,388.00 ..:: . °.; ,.; : x MittnanZ Date Issued: 3/17/2010 Name: ZEPHYR COMMONS LLC Total Fees: 544.50 Address: 3629 MADACA LANE Amount Paid: 544.50 TAMPA FL 33618 Date Paid: 3/17/2010 Phone: (813)933 -0629 Work Desc: 1st -BUILD OUT 1200 SQ FT - GREAT CLIPS -BLDG B :Y. FT L R - - M LIN - •N T :UIL. N E 195.00 L - I AL •0.00 LIGHT EMOTIONS DESIGN LLC PLUMBING FEE 75.00 MECHANICAL FEE 82.50 DYSER PLUMBING CO FIRE PLAN REVIEW FEES 72.00 FIRE INSPECTION FEES 30.00 ABSOLUTE AIR SYSTEMS INC 0 8 (01 a bi2_p C si r is • 1 ' I 14 , . -> ; nq' -, ,;. f< - r f' fa w x,i i -...:,._ : y w "� s,, ' F. • R 2ND RS H PL MB MI IN ULA IsN ILI FOOTER BOND DUCTS INSULATED SEWER MISC. ROUGH ELECTRIC LINTEL MISC MISC. 1ST ROUGH PLUMB PRE -METER INSULATION WALL MISC. DUCTS INSTALLED WATER MISC DRIVEWAY PRE -SLAB SHEATHING MISC. MISC. CONSTRUCTION POLE FRAME MISC. MISC. REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection trips are necessary due to any one of the following reasons: a) wrong address b) condemned work resulting from faulty construction c) repairs or corrections not made when inspections called d) work not ready for inspection when called e) permit not posted on job site f) plans not at job site g) work not accessible. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management, state agencies or federal agencies. The payment of inspection fees shall be made before any further permits will be issued to the person owning same "Warning to owner: Your failure to record a notice of commencement may result in your paying twice for improvements to your property. If you intend to obtain financing, consult with your lender or an attorney before - cording your notice of commencement." i 44,.,, I" . C'I TRACTOR SIGNATURE PERMIT OFFI rR PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER f.m. uNER License # CBCO 11812 (813) 949 -0428 Fax 949 -5447 CONSTRUCTION, 24160 STATE ROAD 54, UNIT 1 • LUTZ, FLORIDA 33559 Inc. E -mail: Liner. construction) @verizon.net City of Zephyrhills Building Dept. 3 -25 -10 To Whom It May Concern, We are requesting to change our electrical contractor on permit #10243 from Light Emotions Design LLC to K.W. Morrow & Sons Electric, Inc. Thank you, F.M. Liner, Sr. President ti AO O% R. MARK WILLE1T ,_400111t , ��` •� .- Commission DD 722666 ..- i= Expires December 8, 2011 ',„.--4.. ` &Med Thtu Troyfan loam arce 8063857019 1'. M. Liner onstructin, Inc. - . 11,00 7R 7 1 - . M348O.0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department 4rioq3 Da4r Reodved y .. ,.� — I _ [J II. - , !� .. ` Friona Contact for Plrmlttiry I • Owne?s Nance! 2 �P/ / 3 Y/ CaladW i. L L G j Owner Phone Number .5 ? -,?..?-6.6017 l Owner's Address I i/ *9 t# I Owner Phone Number j I Fee Simple Titleholder Name' 2er/*'r aweR,1 t5, 4 G c 1I AI Owner Phone Nttmaer I Q 1 Fee Simple Tittehoider Address 1 343 / SW f "frP�IJ L � V 1 fi r 41 i "el X 3�6 // JOB ADDRESS 1 / /02/ [ (6 Lam / ) Z'f�i or7 , Y/s /Tr' J ,, - 0. 1 LOTH I SUBDIVISION 1 2 whim [ evoli 1C 1 PARCEL 11:41 ;5 LS 21 0150 ®4a D0 G /¢O 1 (OBTAINED FROM PROPERTY TAX NOME) WORK PROPOSED NEW CONSTR ADIYALT EJ SIGN IL {t MOVE D r3EMOL)SH „ RI INSTALL REPAIR PROPOSED USE L SFR COMM J' OTHER j I TYPE OF CONSTRUCTION Eg3 BLOCK Q FRAME Q STEEL Q OTHER i j DESCRIPTION OF WORK " I VCk.tJ 1 L(.0• - B ine r t {w 1 t be, v 7 (i- AJ-Tiv es 6-,ewr CG/ /Q s I ammo we 1 J f.6 4 1 SG FOOTAGE 1 tad t' 5. r. 1 W=IGHT 1 itP ” (4 1 1 f3i3tLDtr;G A I - e, e) . VALUATION OF TOTAL CONSTRUCTION 32 6 11' , I 0 IRT ELECTRICAL 1$ S, L a 4 , O D 1 AAtP SERVICE 2 O0 e l PROGRESS ENERGY Q WRE.C� / � PLUMBING 1 3 206.0 I •`�1Q,r(„f)w ` i 7 1 �� ,� MECHANICAL 3 t ` , 46 1 VALUATION OF MECHANICAL INSTALLATION t � �} ) [� OAS #—} ROOFING (� 8PFC)ALTY [� OTHER Pt 1s t U (�Q4 l• FiNiSHEFINISHED FLOOR ELEYATIOti3 '-r. O 3REA uYES DNO s . 3 > self y' 1, \ BUILDER V 4.. COMPANY . v1. 1.... . t A.) - C.0 4 K. . ('J6. "� � SIGNATURE � � 1 :_ 1 REGISTER ® I:EE CURRENT raga Address v ' T (z)C1 I- . L . 54 ek „n ` 0 License* 1 SJ A� ��-u. c ro � a Z.2-6 441- AND � , j�/ [' /'/ R I Y/ N I FEE CURRENT CURR CURRENNT Y J N I Address {ZL S C I t H /Q(.t S , JV • t 'f' 3 � /o Licence # `t` T I /e, 4 /q1J 7 / 1 ,,. a, 2) c=at 1 /J 1 - ..J C0-2- . 'll ( 4,- I !►ATURE V "� -t✓J! - `. 61 STEREO ME FEE CURRENT i Address & 1' License j _ CAC 0 / 0 //y o u >tl. 1 449St) tale. /W S � .5 — �/ ttlAW 4.d -' �,. / .&! r 1 I REGISTERED 1 Y/ N i FEE CURRENT I Y/ N I Address OMIIII a W2%f! %0 1 Licenses 1 eA /0370 / 1 OTHER COMPANY 1 1 SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I YIN Address I 1 Licenses I RESIDENTIAL Attach (7) Plot Flans. (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Pam* tor new a netrucnon, Minimum ten (10) working days after submittal date. Required tins**, Construction Pans, &tornmratsr Plans vw Silt Fawn Installed, Sanitary facilities & 1 dumpeter; Site Worst Permit for subckvenorratiarge projects COMMERCIAL Attach (S) aompiete Sots of 8tulding Plans plus a Life Safety Page; (1) set of Energy Forms, R-O-W Permit for new construction, ktinins3mte : 00) working days after submittal date. R.q.d ed crisis, Construction Ptara, Stornauster Plans •rill Sit Fence installed, Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance SKIN PERMIT Attach (2) seM of Engineered Pions, ****PROPERTY SURVEY required for ail NEW construction. Directions: Fla out application completely. Owner & Contractor sign back of application, notarized !foyer $2500, a Notice of Commencement is required. (NC 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 Ony) Reroofs Sewers Service Upgrades NC Fences (Plot/Survey /Footage) Driveways-Not over Counter if on public roadways.. needs ROW NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to °deed" restrictions" which may be more restrictive than County regulations, The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNUCENSED 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 cod 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 lion 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 o nstruction of rev builcarigs, 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: 1 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. t 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 regulator* 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- Cyprees Bayheads, Wetland Aseae and Environmentally Sensitive Lands, WaterNVastewater Treatment. - Southwest Florida Water Management DiSrict- Welts, Cypress Bayheads, 'Aland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls, Dods, Navigable Waterways. - Department of Health 8 Rehabilitative Services/Environmental Health Unit - Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency- Asbestos abatement. - Federal Aviation Authority-Rutw'ays- i understand that the following restrictions apply to the use of fill: - Use of fill is not allowed in Flood Zone °i!' 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 1 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. 1 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 oeristraed to be a license to prod 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) month after the time the work is commenced. An ex ension may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate justifiable cause teethe 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 , ins •i_I: _ 437i!.1 1 A s - 3 : 3 • i. R_ • - • iii Y •i : Olt. '. _ • , •I ,: _ ,,L NT_ ''r'' IDA JURAT (F,5-. Arl •' , L. C VNEt OR AGENT 1 / .0 ., / CONTRACTOR / � t4 bas s . J� �i. 0• J�i by r s a • • • ma this 1{Rb�raomly known to or Ms/haw produud N o a ■ • T ma or hassMva produced as lddRtinte ort. - se rdar a8os. ■ 0 _ % � 7L!<__ i —. Notary Pub 0„ � i 1 b Notary Public � 103Q start No -- - - - - - , r;or zrlaasic o, ! es ;, R MARK WILLETT Name of N.` en UU /'LL t` CAROL SMIDDY - � ' a Ex December 8, 2011 � : P* % ? Notary Public - State of Florida I • s fs:0' Bonded ThruTmy Fain lreurance89 !385-7919 • ` My Commission Expires Aug 13, 2011 ii ses �� � Commission # DD 703271 ) ' ��' 'F , , F ` ° Bonded Through National Notary Ase i. 0 • MAR /26 /2UU9 /THU U8:36 AM ZENHYRRILLS BUILDING FAX No. 3I3 P.001/001 • $ 13:71104030 . • - • • city OflepbyAWYS -Perna, Applcatiori . . Faa..ls.iuo.0011 • • eaOAlV 061101lIr1I • , � � �0 '" (>1 • I'm. ...d • .. . ®- • • . • o .rw Nom Illa�J�.t i �% '0411WPIW M N�.n..r ' I 0 7 — 3 1- - 1 1 • PO. Simple lidolicald01 1 10 100 1 • , • Omar 1 o.r .11.N. NerldNr,1 1 . J/.OFYAIGN ( .1 • ti,HoRI I I. . • ID!1M EI flew 'rommero eto11C i • Wald( � - o' . U 0 n OEMCI;6H . 8 : NEw c INSTALL .. • ( • - ANWAe1 ADDlALY . • , . Pwo► USE : • J SPFi • p • • COMM caw D. ant* . J • oaeo _ .1 • . TYPE orcotiom11Ciloll C J BLOCK [1 FIWIE, 1; .6M O • mina . . • mammon poi V4018( 111111R2 • suLowoeue . I • .. 1 , ,W room I • . 1 twilit 1 • - • . 1 • 6UKOM1a I' . . I • • VALUATION oltYO on • rAL CONennuon . • • Q • ELECTRICAL IS • . : 1 � mama .r rao�ESS A>av • © Wx.E.C. - Q • • r1Eaalecu Is . • _ • 1 ViY.uAT1oN or NEaUMGAL NSTALLA?ION • • • q G11e Q ROOFING .. n • SPECIALTY p . OT1011 . • i PINIONGO FLOOR ELEVATIONS 1 1 . HOOD ZONE AREA . Calla .QNO • � YNOIR colr�NV ( . 1 • D1IMIA11Ml - ' INM1M10 1 ri N 1 IMgwMO 1 Y/N 1 � ' .,. y :, .. LbMMNt 1 ,{ 00-2, S � 1 1 8t 3- ieo � ` ' .� egNNU11a, y •Yr N J Fee �mlAmtr 'YIN 1 ; V /►661.4 , • • . 1 • (bum f • 1 • 1 • PLt/11OeR . • . SIONATURS _ • atosmtma®, [ . J Y 1 N 1 IVE MIMI! • 1 Y /14 1 1 • Addle. ( .. U4mIM • N 1 1 . • :. 11 J . ,1 Y,N j:. . • ':nddr111.1 • .. .• , • • . • • Lis �,; • OIONAIIMFN I .. , I mom= = ( • 1• Y/ N 1 • • Iit. Caemmlr' • j Y/11 1 1 • A04e01 • ( • . , Lkatm6O .: 1 I . • NeelorlITIAL A1ut (2) PM Rang (2) w a asSS jMila ell NI etIMMOV ra1NK r1*O w rga for saw sandaat bm ' • • 1411ntanlsa 110) void*" d pu Mr Mowed des. 11e0a11Ne mak CorlMtdon rlaw, strroarar Pro w/ =Fume lidded • . SosOarlr AWNS.' d 1 duryrlri iI Molt Pupils for dobeAdIli lroe pmIs1N C1 CIAO Mocha) eontiMls sale daNYp Pim pW 14 L 3* Pow (11 km d enow Pone. R•OW m Puma tar new asns4�rsMon. • • . bedeasa lot (10) 01010 llr• •Rr ■EialEOl dole.. flog and 40016. oosawraon Nssa. Plana wf SIN Foos roared, So Ikok Porno A 1 dumpdr. 91, Woo OWEN kw 11 nwil•ba All C 11111Mdj aptdrommIo emotasootemoplonsa • • ' *ON PeNWV AI NAI 171 d e•1rae.red Plow • . ' PROPiR1YSURVNY*Mi1MNN for MNEW4t Wi101. • • • • . dlr.atana • • rill da appMNOi eagaeldr. : - ' - .. • • . Atw . • or.1. Conlrad*obe book (E Epperson: na • • • • • • • • . • . w ova E1100. a Neee•or Qeersarnr0wt0t I. nMired. (NC tipll•dsa trgl WOO) • • • • • • • AOertt III* M wltadot) orPaisor a Alloniopmno wadei4m. mlertsAnoliltrad MINT hen most NA111arai ts sam4. . - • . . • . •OVdt Tarr CCIN1Tl 1 N91MR11NO • MOM of AoolLMen Otly). • ' • Rrook Balm, . Smdlp/o a.ldo . • A/C OR= (PIoYSireopFoaleoe) . . • Othntlsa��► bt ever Om6Mr BOP PMbN.0aeye.arraed.IN01M . ' - 1/1 d 1200 08L £l «9LL0966£18 )181)313 MO2121O1N M)I LZ :St 9Z - £0 - 6002 • to z / iv > z r co › n z tzi z w ca r 0 tii 4 o d C C Z CA) 00 id 01 0 P r 0 N 0 d 0 U' r z 0 0 N r 1 O r PJ c) z o z ,, r o - 0 o 0 o O 0 c- r . 3 0 q III b 0 o d 0 m m 1-3 CA �� r W N ril m Z „ O D m 0 0) W 0 A q m = C \ �d o /-3 Z Z > d xi z 0 Zr xi < m < N ' m m 12 C 71 r- til `l7 V v � V z ° Z rl C� 'fi *D r 4 z 0 q d 4 o 0 �d PC CD > 1 4 z CI CI � a 0 > 01 4 z 70 N W U) col vi _ W r C = 0 m O 0 p m 0 0 H N Z x r CITY OF ZEPHYRHILLS OCCUPANCY NO.: FIRE RESCUE INSPECTION DEPARTMENT 6907 DAIRY ROAD ZEPHYRHILLS, FL 33542 (813) 780-0035 Administration: (813) 780 -0041 �.. ************************************************************************************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** FIRE SAFETY INSPECTION Business Name: 6, 04 % � L )"S Business Owner: Building Name: { �_ v �e ., Telephone: Street Address: 7.2g 6 / Building Owner: Suite: Telephone: City:, la Zip 7 Emergency Contact #1: Manager: Telephone: Telephone: Emergency Contact #2: Occupant Type: Telephone: ************************************************************************************ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** TYPE OF INSPECTION CONDUCTED Annual: Reinspection: Commercial: Code Violation: Qtly: Fire Protection: Sprinkler: Gas: Suppression: Other: L/' Approved: Conditionally Approved: j' Not Approved: **************************************************?**************************\*********** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Comments: .irC- l x,12' /—S''! " ZSL; / '' iL 04.4 04 %ns" r'c. ir , ees *�- >te. > �P✓ 14. '/ 7� %�r�s / G !.Gtl/J f / ! C/ ,/ e-CCI !� ! .. 7 s --40- , J ` ,,. c, // , 'Gr°c s` et."7 A.a 5e m c / ?� 47 / / - � " / ere" 704 This building had been assessed by the Zephyrhills Fire Department. Utilizing the Codes and Standards of, NFPA Minimum Standards, the State Fire Marshal Uniform Fire Safety Rules and other local fire safety codes. Code violations specified in this report, if not corrected could cause or contribute to the spread of fire, or prevent safe egress during fire. Your immediate attention to the correction of these violations shall be required, failure to comply is a violation of the City of Zephyrhills Fire Prevention Code. * * * * * * * * * * * * * * * * * * * * * * * ** * * ** ***************************************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Inspection Date: /3/ /° Re- Inspection Date: Inspector Name: (Print) >'° Inspector I.D. #: /4 -7.11r: - Inspector Signature: Occupancy Representative Signature: Title: Computer Entry: Pre -Fire Plan on File: Page of r W ++ w ��+ � +4 rl n K a rt ° a ' �, f1 HWtJ7 m cr D H _ m Oq OfD - a . O :ti H� �- of ,q '� O z ap Ali H #s! w i 0 0 - 1-i a , T. ' ' H � ' � w01'1 ∎' �I,p I 0 it_14,,,,,,,„,,c1m, a LT] , (A,__ ..,_4„,,,,,, ,11=.i 1 il R,,,,,„W I 4 i t0 � � 4 4 *4'44- w C T ' I ' ! a �. . - ' �� i, t � I � :��' i I a � `*k ! 4 : K' I' hb': ,,,,,:s-,.*...,,,, � 0 I li, 'J - 1 . ` 1 1 C !9'l D Mtn HO ZZ C" IZJO r tl1r H' H 0 Eli H E N z M En ID �C el 42: Pi r • 00 i O ■ O 01 ■ 0 0 a 01 ■ 03/01/2010 10:02 FAX 8139495583 COML INS SPECIALISTS a001/001 �BQn. CERTIFICATE OF LIABILITY INSURANCE 3/1/20 o PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Commercial Ins . Specialists , Inc - ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 17738 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Tampa, Fl. 33682 813 - 949 - 0481 INSURERS AFFORDING COVERAGE NAIC# W INSUREO JOHN LINER & INSURER A• AUTO- OWNERS INSURANCE CO. F.M. LINER CONSTRUCTION, INC. INSURERS 24160 STATE RD . 54 , Unit #1 INSURER C. I LUTZ, FL. 33559 INSURERO — I 813 949 -0428 _ INSURER E COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS Gt P OLICY N UMBER POLICY EFFECTIVE POLICY EXPIRATION L LTR NSRD TYPFOFINSURANCE DATE(MM /OD/YY1 DATEIMM/DDIYY GENERAL LIABILITY EACH OCCURRENCE L S 1 r 000,000 X COMMERCIAL GENERAL LIABILITY PREE SES Eb eccurence) ` S 300,000 1 CLAIMSMADE CI OCCUR MEDEXP (Any one person) _ S 10,000 A 20689453 01 -01 -10 01-01 -11 PERSONALIADVINJURY - $ 1, 000,000 GENERAL AGGREGATE $ 1,000,000 GE AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP /OP AGG S 1,000,000 I POLICY 7 JEC — LOC , AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Esesucke) s 500,000 X I ANYAUTO _ ALL OWNED AUTOS BOOILYINJURY S _ SCHEDULED AUTOS (Per person) A X MIRED AUTOS 46- 422 - 028 -00 01 -0110 01 -01 -11 B004YINJIIRY X NON -OWNED AUTOS (PereCcleare) 3 PROPERTY DAMAGE S (ParaccideM) GARAGE LIABILITY AUTO ONLY -EA ACCIDENT 3 ANY AUTO OTHER THAN EA ACC $ AUTO ONLY AGG S EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE S _I OCCUR Li CLAIMS MADE AGGREGATE 3 $ DEDUCTIBLE 3 RETENTION 3 __ $ — I wcsTATU- MI WORKERS COMPENSATION AND X TORYIIMITS I I EI EMPLOYERS'LIABILrry 20690788 01 -01 -10 01 -01 -11 I EL EACH ACCIDENT S 5 500,000 ANY PROPRIETORIPARTNERAXECUTIVE A OFFICER/MEMBER EXCLUDED/ E L. DISEASE - EA EMPLOYEE S S00,000 I(yyaa desaibbunder SPE CIALPROVISIONS below E L DISEASE - POLICY LIMIT I $ 500,000 OTHER 1 DESCRIPTION OF OPERATIONS I LOCATIONS /VEHICLES / EXCLUSIONS AUUEO BY ENDORSEMENT/ SPECIAL PROVISIONS JOAN LINER LIC #TBD CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF 1)4E AOOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION THE CITY OF ZEPHYRHILLS DATE THEREOF, IHE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN 5335 8TH STREET NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL ZEPHYRHILLS , FL. 33542 IMPOSE NO OBLIGATION OR LIABILITY OF ANY RIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES AUTHORIZED REPRESENTATIVE 'FAX: 780 -0021 ` .301108) ® ACORD CORPORATION 1988 & 2 G w D $ Z r 03 y m t� N m Z Z c P 2,,, Yt O O0 oo • -0 o A o p > -. z < O n `� m rNr rN ° n N 2 '-� 8 �f c� ca o o 2 r N, r Nom N o m (A m I o m r(Tl Wm _ Do z w -:U to m Q � cmi m C�7i �A O Q itgAti - C r rn z Z _ rn n k .t m o0 o 1 N -CI z 7] ts, if Ill 1 0 x —I Eh 1:0 r co 0 ::-.*, n 0 ul • m ., 0 0 r co m , D 0 0 CT n 1 N x `� m 0 0 '::.:a ^ 'r, m • r oc r '. d z n $ O -= 0 O xi a m P M X o v m '0 N � D u, o-4 CO 0 • O 0 W c ;� A m ? O N CO 0o o I a' O ou o 0 i 0 m rri s O W CO W O O p - i O Z o �` 0. . 0 I ,l1v�n . ., .-q 4 - }- AiRj° 7 I ., , . City of Zephyrhills BUILDING PLAN REVIEW COMMENTS C CNt+ I,, Contractor/Homeowner: M o L 1 A ea-r . "I' C— Date Received: \ 1' 1 0 Site: q 9 Z 5 GA- t( - B\ i"J Permit Type: Pj (' LA — Q L + ac 2ea� ct' PS i o© g, c Approved w /no comments: Approved w /the below comments: ❑ Denied w /the below comments: ❑ I This comment sheet s. . be kept with the permit and /or plans. 'l.. 2I4 3-9 -f Kalvin S ' 1 r er — • 1...% Examiner Date Contractor and/or Homeowner (Required when comments are present) O3/26/2O1O A Receipt No. 0165907 CR 15,OO _ Tot 15.00 Cash; 0.00 Check: 15.00 t42: Other: 15.Oi, ~l Change: O.00 " 42004 Customer 05O0O ^ ~ ~=� Coshier: bobbie St CASH1 813-780 -0020 City of Zephyrhills Permit Application FaX- 813-780 -0021 -1 1 �_ Building Department + -T (.7 k- - � , l Date Received Phone Contact for Pernittin. — fI♦11 Owner's Name r , � Owner Phone Number Owner's Address Owner Phone Number , Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address /t /� JOB ADDRESS 7, l2',i- 1, �/ I 10 LOT # SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED n NEW CONSTR ADD /ALT n SIGN n MOVE n DEMOLISH INSTALL REPAIR PROPOSED USE SFR I I COMM n OTHER I I TYPE OF CONSTRUCTION n BLOCK I 1 , FFRAME / n STEEL n OTHER I i DESCRIPTION OF WORK I 5 I `e' 1 2 11 4 ' 3(.( t d- C' 'E-t i f C It 19 BUILDING SIZE SQ FOOTAGE HEIGHT n BUILDING $ VALUATION OF TOTAL CONSTRUCTION I I ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY n W.R.E.C. F PLUMBING $ n MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION F GAS n ROOFING I I SPECIALTY n OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IVES [1 N0 BUILDER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 License # 1 ____ ���;�q._X1 (k O L .S e ,.#, _ • t_. T �� "1 00 (j EL CTRICIAN • COMPANY } ( l SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y/ N I L Address I License # PLUMBER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address I License # I MECHANICAL COMPANY SIGNATURE - REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address License # OTHER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address I 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 wl Slit Fence installed, Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance SIGN PERMIT Attach (2) sets of Engineered Plans. ****PROPERTY SURVEY required for all NEW construction. Directions: Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement Is required. (A/C upgrades over $5000) " Agent (for the contractor) or Power of 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 Zephyrhills Fire Rescue 6907 Dairy Road, Zephyrhills, FL 33542 Fire Marshal Bus (813) 780 -0041 Kerry Barnett Fax (813) 780 -0044 E-mail: kbarnett(%f re.zephyrhills.fl.us Plan Review #: 10 -019 Project: Interior Buildout Number of Pages: March 2, 2010 I have received and reviewed the plans for the interior buildout located at 7928 Gall Blvd and will allow the project to move forward. Please note that this review does not eliminate any further requirements as the project continues moving forward. By receiving permit, contractor acknowledges to comply with the items listed below. Should anyone have any questions, please do not hesitate to contact the Fire Marshal's office. 1. Sprinkler modifications will require plans to be submitted by fire sprinkler contractor for review and permit. 2. Fire alarm modifications will require plans to be submitted by alarm contractor for review and permit. (fire alarm will need to be re- programmed) 3. Install additional emergency light in new restroom. 4. Add certified fire extinguisher at front entrance. 5. Address shall be located on both front and rear doors. 6. Key will be needed for knox box located near front entrance. 7. Firewalls shall be labeled in several area stating "FIREWALL DO NOT PENETRATE" and firecaulked at roof deck. 8. Penetrations made to firewall shall be a UL listed method. • 2 Inspections Required: 1. Firewall screw inspection 2. Firewall final 3. Buildout final // KERRY BA r ETT, 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 , USERFEES Occupancy No.: . �j� Plan No.: lit - 8 /qj Contractor: / J O/Vz/2._ Business Name: Qr,1 07 C.&1-C Billing Address: 0 Business Address: 792- R ez;,a --of Business Phone No.: Billing Phone No.: � ' —® Business Fax No.: Billing Fax No.: Contact: Contact: . PLAN REVIEW FEES _ INSPECTION FEES _ PERMIT FEE _ FALSE ALARM FEE i tiii Site ite Plan N/C _ Annual N/C _Sprinkler $5D _ 1st Alarm N/C uni -Famiy /commercial .06 — 1st Re inspection N/C — Standpipes $50 ` 2nd Alarm N/C (Minimum Charge $25. ' = 2nd Re- inspection $100 Fire Pump $50 3rd Alarm N/C 0 Plan Revisions DBL _ 3rd Re- inspection $250 _ Hoods 550 _ 4th Alarm $100 _ 4th Re- inspection 5500 _ Fire Alarm 550 _ 5th Alarm $150 SPRINKLER SYSTEMS (Business closed until LP Gas 550 6th Alarm $200 _ _ 0 - 25 Heads $50 violations corrected) Natural Gas $50 _ NON COMPLIANCE $150 26 plus Heads 5100 _ SPRINKLER SYSTEMS _ Fuel Tanks- per tank 550 STANDPIPE SYSTEM _ Hydro Undergrounds 545 _ Sparklers $100 0 Per Riser $50 _ Hydrostatic Test $65 per system _ Fire Works $500 FIRE PUMP _ Acceptance Test $45 pe system Camp Fire $25 0 Per Pump $100 _ Hydrant Flow $75 — Controlled Bum $100 FIRE ALARM SYSTEM _ Hood/Duct $50 0 - 25 Devices 550 _ 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 550 Annual — Wet $50 OTHER , 2 _ Waste Tire Storage $50 Annual _ Dry $50 Fire Wall/Smoke Wall 47 per wall _ Generator < KM/ $100 _ CO2 $50 LP Gas $25 per tank — Generator >30 KW 150 Other $50 Natural Gas 525 persystem Bio-Hazard Waste $100 Annual — KITCHEN EXHAUST _ Fumigation Tenting $50 — 0 Hood/Ducts 550 _ Tent 10'x10' or greater $15 p er tent — Torch Pot/Applied $50 OTHER _ Fire Pump $45 — Haz. Materials $100 Annual LP Installation per t ank $50 — Fire Suppression $30 Fuel Tank Installation 550 _ System Acceptance (Per Tank) $50 _ Exhaust. Hood /Duct $30 • 0 Natural Gas Installation $50 _ Re - inspection DBL (Per System) (other than annual) _ 0 Spray Booth $50 El Inspection scheduled DBL _ and cancelled less than _ _ 24 hours Construction Insp. N/C _ Emergency Vehicle Act $50 _ FALSE ALARM PLANS TOTAL '— INSPECTION TOTAL PERMIT TOTAL TOTAL �- -} GRAND TOTAL 1 /O Z.` 1 Comments: • Date: 2 / — 40 InsA l gctor: r d 1 111111 11111 11111 11111 11111 111 11 11111 11111 11111 11111 1111 1111 2010036829 Rept:1294348 Rec: 18.50 DS: 0.00 IT: 0.00 03/17/10 K. Garcia, Dpty Clerk PAULA S. O'NEIL, PASCO CLERK & COMPTROLLER 03/17/10 12:5 m of 2 OR BK 82 9 4 1 PG 1911 NOTICE OF COMMENCEMENT Permit No. Property Identification No. 357- 0- 2 5 - -,/ - Or 3e> - 00000 - a/yp 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 :) a) Street Address: 6- GL Vp 2 & , PL 835- 2. General description of improvements: O vGTitJN F 7 1/4M/, GR��9 -T CL, s DIV i i' 3. Owner Information a) Name and address: ZE�/f y,E Cowl t'aoNS G - 3` 99 , f •� (-4/, T, f ty,�� fL 334p b) Name and address of fee simple titleholder (if other than owner) c Interest in property F2 4. Contractor Information G a) Name and address: i • Gam. Z./NER C,vNSrnt/c nom, , tip. a Wt o S/ sy t),r, r' u Tz f2 b) Telephone No.: 0"/ 3 ) fie,- ©r1ae' Fax No. (Opt.) 5. Surety Information FiDEzi> vf Aa l os /eY/4 -3/a /te'Sr.•i a) Name and address: C�FSffft:4,— �/ p /N'- y IDA,e /j4i n 'uo & r D b) Amount of Bond: / y 7577. m o c) Telephone No.: (9p.7) y - 4 y,/ Fax No. (Opt.) 6. Lender s � a) Name and address: A "GG ! 1 4L7 ,B/¢N /t / ON L I SS6 ✓•4cl� Cr 7. Identity of person within the State of Florida desi nated by owner upon whom notices or other documents m y be a) Name and address: ()4Le" ,.7t , V j, — 3ga q M4 D4 1 lti / T ,4 /2 e served: b) Telephone No.: (ft3) 93 3 - O‘ Fax No. (Opt.) 8. In addition to himself, ow er designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13(1) (b), Florida Statutes: a) Name and address: 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 OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF ' 1 MMENCEMENT. STATE OF FLORIDA t _n • COUNTY OF 4 \ tS LOrz..O 1.4.4" �i �/ � , 1, A 000 i g n a re of 0 e r o • er's A .. r. cnce l irector/PartnerlManager Print Name The foregoing instrument was acknowledged before me this e�J day of 20(0 , byJ (eV). �nh n SO >■ aster ttecto2 (type o uthority, e.g. officer, trustee, attorney in fact) for (name of p on behalf o whom instrument was eecuted). Personally Known Z Produced Identification Notary Signature LaA _ Type of Identification Produced Name (print) m (4CAS/ Verification pursuant to Section 92.525, Florida Statutes. Under penalties . f perjury, I declare that I have read the foregoing and tha' the facts stated in it are true to the best of my knowledge and belief. � / Signa r o Ural Person A iov FORMS/NOC,rvsd2007 • • 1 014 CAROL SMIDDY � 1tRY �' B pi r 1 `M+? Notary Public - State of Florida ' a • to My Commission Expires Aug 13, 2011 ` �oF ,e Commission # DD 703271 Bonded Through National Notary Assn. OR BK 8289 PG 1912 2 of 2 • LEGAL DESCRIPTION Parcel A: A portion of Tracts 7, 10, 23, 26, 39, 42, 55 and 58, together with Tracts 8, 9, 24, 25, 40, 41, 56 and 57, Zephyrhflls Colony Company Lands Subdivision as recorded In Plat Book 1, Page 55 of the Public Records of Pasco County, Florida, all lying within Section 35, Township 25 South, Range 21 East, Pasco County, Florida, and being more particularly described as follows: Commence at the Northwest comer of Section 35, Township 25 South, Range 21 East, Pasco County, Florida; thence along said Section line South 89 °59'50° East, 15.13 feet to the Point of Beginning; thence continue along said line South 89 °59'50" East, 1,000.05 feet; thence leaving said section line, South 00 °09'45" West, 2,618.58 feet to the North Right of Way line of Pretty Pond Road; thence along said North Right of Way line the following three (3) courses: 1) North 89 °53'13" West, 351.59 feet 2) South 00 °09'48" West, 5.00 feet; 3) North 89 °53'13" West, 532.38 feet thence leaving said North Right of Way line, North 01 °01'48" West, 633.10 feet; thence North 89 °54'52" West, 102.90 feet; thence North 00 °09'45" East, 1,988.73 feet to the Point of Beginning. Less and Except: The North 15' thereof platted as Road Right of Way. Also Less and Except The North 290.0 feet of the South 515.0 feet of the East 150.0 feet of the Southwest 1/4 of the Southwest 1/4 of the Northwest 1J4 of Section 35, Township 25 South, Range 21 East, leaving a portion of Tracts 56 and 57 Zephyrhills Colony Company Lands Subdivision as recorded in Plat Book 1, Page 55, Public Records of Pasco County, Florida. STATE OF FLORIDA, COUNTYQ ,MASCO THIS IS TO CERTIFY F THAT THE TRUE AND CORRECT CQY OF. DOCUrdeNT ON FILE OR OF PUBLICI ECURD IN THIS OFF1cE .. WITNE�SSS Y HAND AND OFFICIAL SEAL THIS • /'2 - DAY OF 4 . 0/0 PAULA S. 0' ■ IL, CLERK & c3bMP*OL6ER • BY , �' DERU OL`ERK j J . 1 • Florida Energy Efficiency Code For Building Construction Florida Department of Community Affairs EnergyGauge Summit@ FIa /Com- 2008, Effective: March 1, 2009 -- Form 400A -2008 Method A: Whole Building Performance Method for Commercial Buildings PROJECT SUMMARY Short Desc: 206319.0.11 Description: Retail Zephyr Commons Owner: Primerica Group One, Inc. Addressl: Kossik & US HWY 301 City: Zephyrhills Address2: RETAIL B8 State: FL Zip: 0 Type: Retail Class: New Special class building Jurisdiction: ZEPHYRHILLS, PASCO COUNTY, FL (611600) Conditioned Area: 1200 SF Conditioned & UnConditioned Area: 1200 SF No of Stories: 1 Area entered from Plank Permit No: 0 Max Tonnage 4 If different, write in: Ci::::111111111111111. 1 7 1// 4? EnergyGauge Summit® Fla /Com -2008. Effective: March 1, 2009 1/21/2010 Page 1 of 7 1 5 ° (.3 \\\\ 114\;11 • Compliance Summary Component Design Criteria Result Gross Energy Cost (in $) 1,616.0 1,772.0 PASSED LIGHTING CONTROLS PASSES EXTERNAL LIGHTING None Entered HVAC SYSTEM PASSES PLANT None Entered WATER HEATING SYSTEMS None Entered PIPING SYSTEMS None Entered Met all required compliance from Check List? Yes/No/NA IMPORTANT MESSAGE Info 5009 -- -- -- An input report of this design building must be submitted along with this Compliance Report EnergyGauge Summit® Fla/Conn-2008. Effective: March 1, 2009 1/21/2010 Page 2 of 7 • CERTIFICATIONS I hereby certify that the plans and specifications covered by this calculation are in compliance with the Florida Energy Code Prepared By: Tracey Brady Building Official: ,11 Date: Date: -715 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: Reg No: Electrical Designer: Reg No: Lighting Designer: Reg No: Mechanical Designer: JOSEPH F. KEENE Reg No: FL 60322 Plumbing Designer: JOSEPH F. KEENE Reg No: FL 60322 ( *) Signature is required where Florida Law requires design to be performed by registered design professionals. EnergyGauge Summit® Fla /Com -2008. Effective: March 1, 2009 1/21/2010 Page 3 of 7 Project: 206319.0.11 Title: Retail Zephyr Commons Type: Retail (WEA File: FL_TAMPA_INTERNATIONAL_AP.tm3) Building End Uses 1) Proposed 2) Baseline Total 109.30 141.50 $1,616 $2,085 ELECTRICITY(MBtulkWhl$) 109.30 141.50 31999 41447 $1,616 $2,085 AREA LIGHTS 23.00 37.60 6741 11020 $340 $554 MISC EQUIPMT 17.60 17.60 5146 5146 $260 $259 PUMPS & MISC 0.10 0.10 16 15 Si Si SPACE COOL 36.10 42.50 10581 12454 $534 $626 SPACE HEAT 0.20 0.40 62 118 $3 $6 VENT FANS 32.30 43.30 9453 12694 $477 $639 Passing requires Proposed Building cost to be at most 85% PASSES of Baseline cost. This Proposed Building is at 77.5% EnergyGauge Summit® Fla /Com -2008. Effective: March 1, 2009 1/21/2010 Page 4 of 7 • External Lighting Compliance Description Category Tradable? Allowance Area or Length ELPA CLP (W/Unit) or No. of Units (W) (W) (Sqft or ft) None Project: 206319.0.11 Title: Retail Zephyr Commons Type: Retail (WEA File: FL_TAMPA_INTERNATIONAL_AP.tm3) Lighting Controls Compliance Acronym Ashrae Description Area Design Min Compli- ID (sq.ft) CP CP ance RETAIL B 25,001 Sales Area 1,200 2 1 PASSES PASSES Project: 206319.0.11 Title: Retail Zephyr Commons Type: Retail (WEA File: FL_TAMPA_INTERNATIONAL_AP.tm3) System Report Compliance RETAIL RTU -4 ton Constant Volume Packaged No. of Units B8 System 1 Component Category Capacity Design Eff Design IPLV Comp - Eff Criteria IPLV Criteria liance Cooling System Air Conditioners Air Cooled 13.00 12.00 13.00 PASSES < 65000 Btu /h Cooling Capacity Heating System Electric Furnace 1.00 1.00 PASSES Air Handling Air Handler (Supply) - 0.80 0.90 PASSES System - Supply Constant Volume Air Distribution ADS System 6.00 PASSES System PASSES EnergyGauge Summit® Fla /Com -2008. Effective: March 1, 2009 1/21/2010 Page 5 of 7 Plant Compliance Description Installed Size Design Min Design Min Category Comp No Eff Eff IPLV IPLV Iiance I None I Water Heater Compliance Description Type Category Design Min Design Max Comp Eff Eff Loss Loss Iiance I None I 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] I None I EnergyGauge Summit® Fla /Com -2008. Effective: March 1, 2009 1/21/2010 Page 6 of 7 Project: 20631 0.0.11 Title: Retail Zephyr Commons Type: Retail (WEA File: FL_TAMPA_INTERNATIONAL_AP.tm3) Other Required Compliance Category Section Requirement (write N/A in box if not applicable) Check L Report 13 -101 Input Report Print -Out from EnergyGauge FlaCom attached Operations Manual 13- 102.1, Operations manual provided to owner d 13- 410,13 -413 Windows & Doors 13- 406.AB.1.1 Glazed swinging entrance & revolving doors: max. 1.0 cfm /ft all other products: 0.4 cfm /ft Joints /Cracks 13- 406.AB.1.2 To be caulked, gasketed, weather- stripped or otherwise sealed Dropped Ceiling Cavity 13- 406.AB.3 Vented: seal & insulated ceiling. Unvented seal & insulate roof & side walls System 13 -407 HVAC Load sizing has been performed Reheat 13 -407.B Electric resistance reheat prohibited HVAC Efficiency 13 -407, 13 -408 Minimum efficiences: Cooling Tables 13- 407.AB.3.2.1A -D; Heating Tables 13- 407.AB.3.2.1B, 13- 407.AB.3.2.1D, 13- 408.AB.3.2.1E, 13- 408.AB.3.2F HVAC Controls 13- 407.AB.2 Zone controls prevent reheat (exceptions); simultaneous heating and cooling in each zone; combined HAC deadband of at least 5 °F (exceptions) Ventilation Controls 13- 409.AB.3 Motorized dampers reqd, except gravity dampers OK in: 1) exhaust systems and 2) systems with design outside air intake or exhaust capacity <300 cfm ADS 13 -410 Duct sizing and Design have been performed HVAC Ducts 13- 410.AB Air ducts, fittings, mechanical equipment & plenum chambers shall be mechanically attached, sealed, insulated & installed per Sec. 13 -410 Air Distribution Systems Balancing 13- 410.AB.4 HVAC distribution system(s) tested & balanced. Report in construction documents Piping Insulation 13- 411.AB In accordance with Table 13- 411.AB.2 Water Heaters 13- 412.AB Performance requirements in accordance with Table 13- 412.AB.3. Heat trap required Swimming Pools 13- 412.AB.2.6 Cover on heated swimming pools: Time switch (exceptions); Readily accessible on /off switch Hot Water Pipe 13- 411.AB.3 Table 13- 411.AB.2 for circulating systems, first 8 feet of outlet Insulation pipe from storage tank and between inlet pipe and heat trap Water Fixtures 13- 412.AB.2.5 Shower hot water flow restricted to 2.5 gpm at 80 psi. Public Er lavatory fixture how water flow 0.5 gpm max; if self - closing valve 0.25 gallon recirculating, 0.5 gallon non recirculating Motors 13 -414 Motor efficiency criteria have been met Lighting Controls 13- 415.AB Automatic control required for interior lighting in buildings >5,000 Er s.f.; Space control; Exterior photo sensor; Tandom wiring with 1 or 3 linear fluuorescent lamps >30W EnergyGauge Summit® Fla /Com -2008. Effective: March 1, 2009 1/21/2010 Page 7 of 7 El cu '7, c> L' O «� Q w O > U H F F et U a> V a L 1) d - _ ., t = O z Z F - L iH y o a "Ft co j L o w on :+ Q E"I — 4) O N a y 0 V Z E CI a ev E - L., as o e ~ A` la A 0 a vp tu a� N cz bin •O am W a w U E ° z,, �' F' O 44 E 3 0 U E- CI o 0 U co C7 c 1--- a) c N Ce 44 Ch `' i fi, o a a - i ¢ _ u E- U E = ' - cu i A W a z u �, N o cn - 0.) b 0 v co cc '� G. �, = ;. L. Q w Q o O N 0 Z '� Z _ N El El El ❑ El y N = Q: r- 0 M M cet O O N t L �p M z y 4,:, Q 4 4 . • V 4.: Ct ry r o _ p c t j � ? o o a c6 ca. 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O E et `. et N CO O Z — Z Z X o © v, kO N N Z O Z O Z O N • ❑ ❑❑❑ • 0z co N C � � A — R 0. 4= O U — a� — = 0 0 0 0 0 0 0 u 0 0 0 R R O O O L � LL 6> C � R L% � S O 1 p O U — M O O w M co ‘.0 O k '= O O O E a L O z z R O y U CU) 1:4 al 00 • C Z U C7 0 0 o c ° � Y R ? O O -� 7 on ,0 N W cC Z U N cL 4=. O L O N M C� R .--� a) m z 2 o 0 O N z 0 Mar 17 10 10:17a p. 2009 -2010 HILLSBOROUGH COUNTY BUSINESS TAX RECEIPT EXPIRES 9 -30 -2010 FOLIO NO. FAGl1TTE R MACH ES ROOMS SEATS EMPLOYEES 0 0 0 10 RENEWAL 61035.0000 OCC. CODE BUSINESS TYPE N. HASGE TAx SURCHARGE 090.020 CONTRACTOR - PLUMBING 40.00 18.00 s i � S ,, y' BUSINESS 4312 OAKHURSTTER LOCATION TAMPA 33618 NAME DYSER RONALD L DBA DYSER PLUMBING CO MAILING 4312 OAKHURST TERRACE ADDRESS TAMPA FL 33618 -8625 BUSINESS TAX RECEIPT DOUG BELDEN, TAX COLLECTOR PAID - 21927 - 85 ►ws HEREBY PAID A PRIVILEGE TAX TO ENGAGE 81.3 - 63.51-5520 08117/2009 58.00 N BUSINEss. PROFESSION. OR OCCUPATION SPECIFIED HEREON. THIS BECOMES A TAX RECEIPT WHEN VALIDATED. t om _ L ir.- U3 BTI -08 Law requires this business lax receipt to be displayed conspicuously at the place of business in such a manner that it can be open to the view of the public and subject to inspection by all duly authorized officers of the County. Upon failure to do so, this business shall be subject to the payment of another business tax for the same business, profession or occupation. Pursuant to state law, all business tax receipts shall be issued by the Tax Collector beginning July 1st of each year and shall expire on September 30th of the succeeding year. Those business taxes renewed beginning October 1st shall be delinquent and subject to a delinquency penalty of 10% for the month of October, plus an additional 5% penalty for each month of delinquency thereafter until paid; provided that the total delinquency penalty shall not exceed 25% of the business tax for the delinquent establishment. After 150 days you may be subject to a penalty of up to $250.00. A 25% penalty shall be imposed on any person engaged in any new business, occupation, or profession without first obtaining a Hillsborough County Business Tax Receipt. This receipt only represents payment of a business tax for the privilege of operating a business in Hillsborough County and does not constitute competency. It does not permit the business to violate any existing regulatory or zoning laws of the state, county or cities nor does it exempt the business from any other taxes, licenses or permits that may be required by law. Business taxes are subject to change according to law.