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HomeMy WebLinkAbout10-10581 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 10581 BUILDING PERMIT • Permit Number: 10581 Address: 38045 MARKET SQUARE DR Permit Type: COMMERCIAL ZEPHYRHILLS, FL. Class of Work: ADD /ALT COMMERCIAL Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 02- 26 -21- 0010 - 03900 -0020 Improv. Cost: 32,500.00 ' 7-17 ' t� r F Date Issued: 6/16/2010 Name: FMC MARKET SQUARE INC Total Fees: 406.54 Address: 38135 MARKET SQUARE Amount Paid: 406.54 ZEPHYRHILLS, FL. 33542 Date Paid: 6/16/2010 Phone: (813)782 -8829 Work Desc: INTERIOR RENOVATIONS 734 SQ FT "M„7 ' 'EST F 292.50 L - AL E 35.00 TRI- COUNTY ELECTRIC,INC. MECHANICAL FEE 35.00 FIRE PLAN REVIEW FEES 44.04 AIRCO MECHANICAL CONTRS INC A)6 1 ) 2 LD or- BA RE WALL • :< ELECTRICAL FINAL ELECTRICAL ROUGH FINAL MECHANICAL REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection trips are necessary due to any one of the following reasons: a) wrong address b) condemned work resulting from faulty construction c) repairs or corrections not made when inspections called d) work not ready for inspection when called e) permit not posted on job site f) plans not at job site g) work not accessible. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management, state agencies or federal agencies. The payment of inspection fees shall be made before any further permits will be issued to the person owning same "Warning to owner: Your failure to record a notice of commencement may result in your paying twice for improvements to your property. If you intend to obtain financing, consult with your lender or an attorney before recording your notice of commencement." c r • NTRACTOR SIGN PERMIT OFFI �R PERM ■ IRES IN 6 MONTHS WITHOUT APPROVED INSPECTION L OR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER Zephyrhills Fire Rescue 6907 Dairy Road, Zephyrhills, FL 33542 Fire Marshal Bus (813) 780 -0041 Kerry Barnett Fax (813) 780 -0044 E- mail: kbarnettnfire.zephyrhills.fl.us Plan Review #: 10 -062 Project: Interior Remodel Number of Pages: 8 June 8, 2010 I have received and reviewed the plans for the interior remodel located at 38045 Market Square Drive 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. No storage can be located where electric panels are located. 2. If fire alarm and/or fire sprinkler system is affected by the remodel plans shall be submitted by the contractor showing the changes to obtain a permit to perform the work. Inspections Required: 1. Final. KERRY 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.: Plan No.: /V.) -04 Z Contractor: le..c%\—. VN 1 Business Name: AZ 71, p ei 21,63e Billing Address: 23eO e03 c. - I � Business Address: r /�i lyP �, 1'4— Cc- RL 34zsl Business Phone No.: Billing Phone No.: " Business Fax No.: Billing Fax No.: Contact: Contact: PLAN REVIEW FEES _ INSPECTION FEES _ PERMIT FEE FALSE ALARM FEE Site Plan N/C _ Annual N/C _Sprinkler $50 _ 1st Alarm N/C '1 Multi - Family /Commercial .06 sf 1st Re- inspection N/C _ Standpipes $50 _ 2nd Alarm N/C — !! (Minimum Charge $25.00 _ 2nd Re- inspection $100 _ Fire Pump $50 _ 3rd Alarm N/C 0 Plan Revisions DBL ^ 3rd Re- inspection $250 _ Hoods $50 _ 4th Alarm $100 _ 4th Re- Inspection $500 _ Fire Alarm $50 5th Alarm $150 SPRINKLER SYSTEMS (Business closed until _ LP Gas $50 6th Alarm $200 0 - 25 Heads $50 violations corrected) _ Natural Gas $50 _ NON COMPLIANCE $150 26 plus Heads $100 _ SPRINKLER SYSTEMS _ Fuel Tanks - per tank $50 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 Burn $100 FIRE ALARM SYSTEM _ Hood /Duct $50 — 0 - 25 Devices $50 — FIRE ALARM SYSTEM _ Place of Assembly $50 Annual _ 26 plus Devices $100 _ System Acceptance $50 — Fire Protection $25 _ SUPPRESSION SYSTEMS — Recall Acceptance $50 _ Flammable Application $50 Annual — Wet $50 _ OTHER _ Waste Tire Storage $50 Annual ,_ Dry $50 _ Fire Wall /Smoke Wall $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 El 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) 0 Spray Booth $50 El Inspection scheduled DBL and cancelled less than 24 hours Construction Insp. N/C ri II Emergency Vehicle Acs $50 FALSE ALARM PLANS TOTA 1 iri' INSPECTION TOTAL I I PERMIT TOTAL I I TOTAL I GRAND TOTAL 1=f—rel" Comments: Date: � ' Fj / Ins qctor: Pasco County Parcel: 02- 26 -21- 0010 - 03900 -0020 001 Page 1 of 2 Data Current as Of: . I Weekly Archive - Saturday, June 12, 2010 I Parcel ID 02 26 - 21 - 0010 - 03900 -0020 (Card: 001 of 010) Classification 0 19 - Professional Service Building Mailing Address Final 2009 Value FMC MARKET SQUARE INC Ag Land $0 38135 MARKET SQUARE Land $650,894 ZEPHYRHILLS FL 33542 -7505 Building $3,760,491 Physical .._ Address _.. See All .__ 10 . addresses (First Extra Features $144,652 Shown) 38045 MARKET SQUARE DR Market Value $4,556,037 ZEPHYRHILLS FL 33542-7504 Assessed (Non - School Amendment Legal Description (First 4 Lines) 1) $ 4 ,556,037 ZEPHYRHILLS COLONY COMPANY LANDS PB 1 PG 55 POR OF TRACTS Taxable Value $4,556,037 39 40 41 & 42 DESC AS COM AT SW COR OF NW1 /4 OF SEC TH Land Detail (Card: 001 of 010) Line II Use I Description Zoning 1 Units II Type II Price II Condition II Value 1 II 1900 II PROF.BLDG II 00C2 0 12,000.00 II SF it $7.32 II 1.00 II $87,840 I 2 I 1900 I PROF.BLDG (I 00C2 II 38,000.00 II SE (I $ II 1.00 H $184,680 I 3 H 1900 II PROF.BLDG II 00C2 II 50,000.00 II SF 11 $2.75 II 1.00 (I $137,500 ( 4 II 1900 0 PROF.BLDG II 00C2 1 229,404.00 SF I $1.05 II 1.00 II $240,874 I Additional Land Information Acres II 7.56 II Tax Area 0 30ZH II FEMA Code 0 X IlCommerical Code I M3012AP Building Information - Use 19 - Offices Professional or Medical (Card: 001 of 010) Year Built 1984 Stories 2.0 Exterior Wall 1 Concrete or Cinder Block Exterior Wall 2 Concrete Block Stucco Roof Structure Rigid Frame w /Bar Joist Roof Cover Built -Up Tar and Gravel Interior Wall 1 Drywall Interior Wall 2 None Flooring 1 Ceramic Clay Tile Flooring 2 Carpet Fuel Electric Heat Forced Air - Ducted A/C Packaged Roof Top Baths 6.0 Line I Description 11 Sq. Feet I Repl. Cost New 1 ( I CAN (I 2,814 II $87,354 2 (I BAS 11 26,068 II $2,698,038 3 11 AOF __JI 7,000 II $724,500 Extra Features (Card: 001 of 010) Line I Description Year Units Value 1 I PAV ASP 1975 194,147 $39,315 2 I LIGHTSM 1975 15 $9,563 3 II D ELEVATR 1 2002 1 $18,960 4 SPRNKFP 2002 33,068 $39,268 5 II CANOPY I 2000 420 $1,139 6 I CANOPY 2000 480 $1,302 7 II CANOPY 2000 660 $1,790 8 I CANOPY 2002 576 $1,663 Sales History Previous Owner .. NOW-MARKET SQUARE HOLDINGS BV I. Year II Month I Book /Page II Type II Amount http: / /appraiser.pascogov. com/ search /parcel. aspx ?sec= 02 &twn= 26 &rng =21 &sbb= 0010 &b... 6/14/2010 Pasco County Parcel: 02- 26 -21- 0010- 03900 -0020 001 Page 2 of2 I 1993 II 11 II 3228 / 0293 II WD 1987 I) 12 I 1676 / 0198 II p II $0 I 1987 II 1 2 II W 1703 / 1337 II WD II $ I http: / /appraiser.pascogov. com/ search /parcel. aspx ?sec= 02 &twn= 26 &rng =21 &sbb= 0010 &b... 6/14/2010 Pasco County Property Appraiser - Physical Address List for: 02 - 26 -21- 0010- 03900 -0020 Page 1 of 1 Welcome : Records Search : Parcel Details : Physical Addresses Physical Address List for Parcel: 02- 26 -21- 0010 - 03900 -0020 Displaying 10 records View in groups of: 10 25 50 100 500 Street Number Street Name * Unit 38045 MARKET SQUARE DR 38051 MARKET SQUARE DR 38101 MARKET SQUARE DR 38103 MARKET SQUARE DR 38105 MARKET SQUARE DR 38109 MARKET SQUARE DR 38111 MARKET SQUARE DR 38113 MARKET SQUARE DR 38115 MARKET SQUARE DR 38117 MARKET SQUARE DR Pasco County Property Appraiser Page Layout Modified: 2/17/2009 1:10:37 PM The Local Time Is: 6/14/2010 11:34:54 AM http: // appraiser. pascogov. com /search/physadd.aspx ?parcel= 2126020010039000020 6/14/2010 t V is( 6 . City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: ID ; u' Date Received: 0.- 2' l d Site: f _ _ Ma rk-r� �� e Permit Type: Ali i Cr /eeA4 A am 31( st, C -1-- Approved w /no comments: Approved w /the below comments: ❑ Denied w /the below comments: ❑ This comment she t shall be kept with the permit and /or plans. C7 it 1 - 0 J L/2- Kaivin witzer ans Examiner Date Contractor and/or Homeowner (Required when comments are present) 813- 780 -0020 City of Zephyrhills Permit Application /'� Fax- 813 - 780 -00)1 • Building Department.. I i / In i Date Received / _2 -w ' P hone Contact for Per fitting tI) , S -- O 4 Owner's Name , � /, ; �[ ET S . Owner Phone Number i1 ` >Z r c9 IISAy Owner's Address , • /35 /77/914-k & t SQ 4 t>fn 7--6 Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS 34h 4i/7/2 -a % '$ I -i - -, LOT # SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD /ALT 11XL SIGN 1 1 I 1 DEMOLISH INSTALL REPAIR PROPOSED USE 11 SFR COMM 1 1 OTHER I 1 TYPE OF CONSTRUCTION I 1 BLOCK I 1 FRAME 1 1 STEEL 1 I 1 1 DESCRIPTION OF WORK in) J I-► Oil- Re vJOUI io,J 5 BUILDING SIZE SQ FOOTAGE `7341 HEIGHT (BUILDING $ 3g 5-00 VALUATION OF TOTAL CONSTRUCTION ELECTRICAL $ AMP SERVICE 1 I PROGRESS ENERGY 1 I W.R.E.C. (PLUMBING $ 6 1•10C (MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION di- ; ( � \ 0 Su 6 S IGAS 1 I ROOFING 1 SPECIALTY 1 I OTHER _ Z 40 FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 (YES NO t _ ' ' l , * 7 Z. D5/"6--A1 / T . . I e.� ti i : ,'.� BUILDER e COMPANY I w ) ) SIGNATURE REGISTERED I�YY N 1 FEE CURREN 1 Y/ N 1 Address 630 6 . , 3 C. /44-km Ct1'1 F L License # C(1 C / , / 5 3 LECTRICtAfsl COMPANY • SIGNATURE ) REGISTERED 1 Y/ N 1 FEE CURREN I Y/ N 1 fikY � ,_ e ' - �`' 3 . Address License # ;''PLUM R ' . , COMPANY \ ______§ URE I REGISTERED 1 Y/ N 1 FEE CURREN 1 Y / N I ddress License # MECHAN L ' ‘(1) COMPANY SIGNATUR ✓ ` REGISTERED I Y/ N 1 FEE CURREN 1 Y/ N 1 I f G " 4Xddress License # 03 OTHER COMPANY SIGNATURE REGISTERED 1 Y/ N j FEE CURREN 1 Y/ N I Address License # RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R -O -W Permit for new construction, Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions /large projects COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R -O -W Permit for new construction. Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance SIGN PERMIT Attach (2) sets of Engineered Plans. * ** *PROPERTY SURVEY required for all NEW construction. 1111111111111 IIIIIIItIIIIIIIIIIIIIIIItIIIIIIIIIItIIIIIIIIItltlltltlllllllllt11111111Itlllllltllllltlllilllllllllltltlllitttttlltlltltlltlllll Directions: Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is requ (A/C upgrades over $7500) ** 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 if shingles Sewers Service Upgrades A/C Fences (Plot/Survey /Footage) Driveways -Not over Counter if on public roadways.. needs ROW NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the Pasco County Building Inspection Division — Licensing Section at 727 -847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION IMPACTIUTILITIES 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 de OWNER OR AGENT —4/' . _ — — CONTRACTOR 9 �—` Subscribed and sworn • • • - iefore me this Subscribed and swo ,f,affirm�d) p fo a me this _ by -- •% r - : . n-77— by . r ) P e Who is /are personally known to me or has/have produ ed Who is /are personally known to me or has//havv ce as identification. Notary Public otary Public Commission No. Commission No. Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped JUN 02 - 2010(WED) 13:37 Tri- County Electric, Inc. (FAX)7277917396 P. 001 /001 JUN /02 /2009 /TUE 01:39 PM ZEPHYRHILLS BUILDING FAX No, 913 - 0021 P.001 /001 a13aeo -002o • City of Zephyrhills Permit Apt • . • • ....,, Fiel eisae' • • 1 ' .B Depsrtmeri • Dale Received -.i't : • ' Phan. Contact for ittl Mr - O,'4f Owner's Nine M /� I _dIY h , •' - : �''. ; = • Owner's Address •. G/ / Z..4 ,v/i . 4, - Se c i.)gdia • •' " Ownei Paine Number 1 • • Fees $Imp!. Tltteholdpr Nems ( 1 Owner Phone Number ' ! ' . • • • Pee Simple Titleholder Addrea I JOB ADDRESS I . 3 805 �I9 �/r s �frf a .' . I .. LOT r,, 1 . ". • • SUBDIVISION . . PARCEL IDO 1 ... .. . - • • ' (08TAINao PROM MODEM TAX NOTICE) . WORK PROPOSED . . , . R , NiW CONSTR ADD/ALT ^[ , SIGN Q ' ' MI • OEMOLIBH . , INSTALL 8 • ' REPAIR ' PROPOSED USE • 0 ; SFR , J p oy COMM ' (-i.: • OTHER 1 TYPE OP CONSTRUCTION Q • BLOCK • D � FRMAE , = STEEL 'Q l 1 • DESCRIPTION OF WORK . ' .Z te.R I O'fL /c . eW w fi7 0 - '/1J 5 . I • • BUILDING SIZE I 18 • FOOTAGE! 73 / 1 HEIGHT 1 - : —.. ..,• 11!11111 11,1 lil,n.t .,,11111.,.1,..1111111 11111 111111111 (=BUILDING 10 J OZ, Sp ' VALUATION OF TOTAL CONSTRUCTION •. . • =ELECTRICAL s AMP SERVICE ' • Q ' PROGRESS ENERGY : Q ; , W.R.E.C.. ' =PLUMBING . S. . 1 • ' • 6 C • • • QMECHANICAL 18 1 VALUATION OF MECHANICAL INSTALLATION . 3 P =0" Q ROOFING Q SPECIALTY Q OTHER FINISHED FLOOR ELEVATIONS . ( FLOOD ZONE AREA , .• OYES .' • NO BUILDER " COMPANY ! P O O A P N I ' t T. , ' a I)1 I ' D I YI .Z- I SIGNATURE . �q • '� �1 —was' rmalneRfo • • J tee =Ms l Y / N ( . Address MZ!*�:71iru !!� a E L .. , ' Lb .& enu0 I CC I 574°15-6- • . I . COMPANY ' ! / °Z G"or C tlJer I . SIGNATURE ' /'7 • Re01eTERED " I N 1 . reECuam 11• YIN J, Wei La •' • l ! N cMP A • ?..'7eb/ LieenesI I © 64- -I . � - , r COMPANY ! • RE • , • RES15Tepreo L Y/ N . 1 FOR COMMA, J Y I W 1 nee I Llcerfas 0 I I COMPANY } . Arocromm . ,. 1 YIN 1 : • Ira y:4mm ' J Y / N l , <rs s ( 1: LINT..: I ,,ate r : 1. OTHER COMPANY' ' SIGNATURE . warm= ' • Y / N J PEE CURws :'1 Y N I Addnes 1 i License I ' 1 RESIDENTIAL Mesh (2) Plot Plans; (2) ate of SuNdblg Plans; (1) set of Energy Fors;. R-O-W Permit for new canstruadon, • Minimum In (10) working days after submittal dale. Required melt, Construction Plena, Edna* NM w/ SIN Pence bwtelled, ' Senitery Faraillea 8 1 dumpeter, 8Ne Work Pena tor .0 vlloMIlrge pmjeefs • : • ' COMMERCIAL Attach (3) complete sets of Building Plans plus a LIfe.Bafsty Pegs; Meet of Ena►gy Pones. R.O.W Plonk for new oonettuarbn. ' • ' Minimum In (10) wallop days slier submittal date. Rsqulmd onsets, Construction Plena, Stomewler Plans w/ Sit Pena Installed. • Sanitary Facilities 81 dumpeter. Site Woitc'Petmf for all now projects. All oommardsl requirements must mest'rampISn0s • YIGN PPRMR Allah (2) alts of Engineered, Plano, . . •"•PROPERTY SURVEY rpulmd for bet NEW Panivueu0n. . . • . • • . . Direction: • • Fill out spoliation completely. • ' Owner a Oonfractor an beck of eppliostlen, notated • . If ever 63500, a Notice of Commencement Is requ INC upgrades over 81500) ' ` • Agent (for the eontsator) of Power ofAttorney (for IPs owelsO•would be goinoan° wan nolsrtead khan from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) . • Ramble If mangles Sawa ' Berets Upgrades' NC • Fences (PleNBuvay/Footage) ' • , ; ' DMewsys -Not over Counter If on public roadways..neede ROW I . • 1 . 06/02/2010 13:38 727 - 547 -9754 AIRCO MECHANICAL PAGE 01/01 JUN /02 /2C09.'TUE 01:4 FM ZEPHYRHILLS BUILDING FAX No.813 780 - 0021 P. 001 /001 e13 -7B0-0020 City of Zephyrhills Permit Ape • - . '. • - • -, - -.„, Fax-m- 780.0..., Building Departmen Oats ReoeNied , . , —2 -101 . Phone contest for P Ran. ' _ O J _' Owner's Name M Owner Phone Number wl - ',i,'. ` j . Owner's Address F S J ?,5- 0 kFa '& thq -t • Owner Phone Number '( ' I • Fee tlimplo TRIenOider:Name 1 Owner Phone Number • I Fee Simple T)tlenolderAddreas .. .. • JOB ADDRESS • 3 ' 1, 35 /11,4724e..:7" • Sy-1 F - . . LOT*. . SUBDIVISION • 1 • ' J PARCEL IOW • ... •• . .. . • (OBTAINED FROM M OPM :Tr TAX NOTICE) • WORKPROPOSHD • NCW CONsTst ADD)ALT • 1::g1;• SIGN. II ,. ' 0 • . DEMOLISH • INSTALL ' I7�1 REPAIR . PROwoieD USE Q 'FR Jay`. COMA ' r7 ... OTHER' ( . 1 TYPE OF CONBTRUCTION• d , BLOCK FRAME • 7"1 STEEL = I 1 • DESCRIPTION OF WORK . rN - rem -, c7.1L, . /C.e...+.JOUN•T'?On.► . S • BUII DING SIZE 3Q POOTAt]C L7vy I HRIGHT. ' 1 =BUILDING $ . 301, 6 0 d VALUATION OF TOTAL CONSTRUCTION . • =ELECTRICAL • , Is • AMP SERVICE •. ' • • f=21 . PROQRESS ENERGY . • WILE C. • EZ3PLUMBIpG > , • .. • • • OMECHANICAL 11 VALUATION OF MECHANICAI INSTALLATION �-- i -" -1:.5 41, ,'' © 5j s `"' =GAS = ROOTING D SPECIALTY E OTHER FINI5HED FLOOR ELEvAT1oNS . 1 1 FLOOD.ZONE AREA.., . DYES NO • • • GUILDER COMPANY FD,cS/6 -,v a T. i r 14. I I LN'C,. SIONATURE _/ Reorsrcae0 N 1 FEECURREk . ( Y /N' 1 Ad dress 03 C re3 ,6tg lef,,,tq. CAT? F � : ' , • Licease0 I. C C / 6/ 1 dS6 — l • " MPANY I ° " lam COMPANY /M1Y 91 � - . • .. REWST[Reo 1 Y f N 'I • FEE Curtner 1 Y/ N I 450 ISe' d uwnae>e • *PLUM URE R C r I RE . / N • red OURRCr, 1 Y IN 1 Ogress 1 • • uce0ae A I • Ilit MECMANI «L ....COMPANY AIR. �C;p4FIN1C.PL.• • SIGMA - • �/ • . . REOreTEREO. . IMI0 • PeeCUME• • I1 • y g0 d • dare s^. 1 uaanaa it (t:-.J'1l l.L_.7 2 3 0 OTHER '. COMPANY • ' SIGNATURE . . REGISTeRED 1 •Y/ N 1 • FFECURRCn •1 YIN 1 Address 1 . License. • I RESIDENTIAL Ansch 2 Plot Pl ana; (2) s ets or Building Plena; (1) set of ( ) g Energy Forma;,R.O•W Pem1R for new coneWcuon, Minimum ten (10) world g days litter submittal tale. Required onehe, Construction Plain. Slomnvater.Plens wr Ent Fence installed, ' eenlrery Facilities A 1 demi/sten Otte Watt Permit for subdivisions/erge protects COMMERCIAL Attach (e) mmplete sets of 6ullding Pions pluz a Life Sefaly Page; (1) Bet or Energy Fore. R - O-W Permit for hew construction, Minhnum ten (10) working days after submittal Bete. Required melts, Censbuatlon Plane; 5lormweter Plans W/ Sat Fence installed, Sanitety YedlMes A 1 dumpete, 3Ne Work•Parll for ell new projects. All oommerdal requirements must meel'OOmpliance SIGN PERMIT Attach (2) nets of Engineered Rene. . • ""`PROPERTY SURVgV required for all NEW construction. . Direcdona: Fill out applioation completely. Owner 6 Contractor sign bath of etwlioallon, notarzed . If over3150o, a Notice of Commencement Is requ (A/C uDprades over 'MOO " `• Agent (For ine conusctor) Or Power at Meansy (tor the owner) would be Someone with notarized lettertrom owner eutherfeIng same OVER THE COUNTER PERMITTING (From of Application Only) Raman if chingies Sewers - Service Upgrades' NC Fence" (PIoUSUrvey/Poeteye) . Driveways - Not own Counter iron public roadwayc..nesd. Ateit TRANSACTION REPORT p. o1/01 • JUN /02 /2009 /TUE 01:40 PM FAX(TX) , # DATE START T. RECEIVER COM.TIME PAGE TYPE /NOTE FILE 01 JUN /02 01:39PM 817277917396 0:00:34 1 OK SG3 0645 • 813- 780-OD20 • City of Zephyrhills Permit Ap• atia�i '" " -- -----, Building Departmen �` Date Received 2 - Phone Contact for Pe , ittin_ L/) S -- 69 Owner's Name // C; /49ieer Sv Owner Phone Number ,ey.��07"8 ` Owner's Address 38 / ?6 1 11 ke-r V Owner Phone Number , • . Fee Simple Titleholder : Name Owner Phone Number Fee Simple p TitleholderAddre JOB ADDRESS ' 3 136' /2jl-p4Ei7 • • .. LOT #. SUBDIVISION PARCEL MN '. I • (OBTAINED PROM PROPERTY TAX NOTICE) . WORK PROPOSED . . i NEW CONSTR ADD/ALT L SIGN n • DEMOLISH . INSTALL REPAIR PROPOSED USE SFR COMM 1 OTHER I • TYPE OF CONSTRUCTION n BLOCK • In FRAME . 1 1 STEEL n DESCRIPTION OF WORK . I • _N 7.R-4 OA.: . Re..",)00p1-ti 5 . BUILDING SIZE SQ FOOTAGE '737' HEIGHT • r.ltlI1111 1.1111111111 IIIIIIIIIIH.rr milliillilty .. t 111111.r1rrr1111111t 111111111rrrillitlltl []BUILDING $ 3, S'p 0 . • VALUATION OF TOTAL CONSTRUCTION i J ELECTRICAL . • $ • AMP SERVICE ` • n PROGRESS ENERGY : (i - . W.R.E.C. . n PLUMBING $ 6 /' c • []MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION .k,0 " 411""°-.. !- 5u- []GAS n ROOFING r SPECIALTY 1 1 OTHER FINISHED FLOOR ELEVATIONS . FLOOD ZONE AREA • , []YES . NO , • —' - 13 UILDER / COMPANY D 5 % 6 '" r Z 0 t CD l 1 1 Lr� C.- SIGNATURE . - / REGISTERED cr N FEE CURREI Y / N 1 Address 0 3 6 (0 3 ‘ 241 ' i. . /evok e cri l C L . • Ucense # l C...CT C / rJ / 1 LECTRIC! ''' COMPANY SIGNATURE �/ REGISTERED " 1 • Y / N 1 . FEE CURREN l • Y / N • : FA-N6 ��o p21 l ��3 -"1 ass • License # l PLUM R 1 COMPANY • RE REGISTERED I Y l N 1 FEE CURRE6 1 Y / N 1 • ddress - • 1 License # MECHANI L •..COMPANY _ I PnI�P SIGNATU REGISTERED . 1 Y/ N i • FEE CURREN 1 Y/ N l ' • I I I TRANSACTION REPORT P.01/01 JUN /02 /2009 /TUE 01:41 PM FAX(TX) , # DATE START T. RECEIVER COM.TIME PAGE TYPE /NOTE FILE 01 JUN /02 01:40PM 817275479754 0:00:25 1 OK SG3 0646 • 813-780 -0020 • City of Zephyrhills Permit Ap • - - • t'It - --' - --- --- . Fax -813 -780-0 1 Building Departmen • Data Received . , .....2 -1 Phone Contact for Pe lain! y) • ', S - 6 9//5 J ' Owner's Name �;� Owner Phone Number ,�4, _2E - p • Owner's Address e/ ifi kEir 8 . , . Owner Phone Number . • , • l Fee Simple TltleholderName Owner Phone Number Fee Simple Titleholder Address - • JOB ADDRESS 13 3 135" /-)9,412-4E...7 cSl .,, . LOT #. - SUBDIVISION I PARCEL ID# ' ti (OBTAINED FROM PROPERTY TAX NOTICE} . WORK PROPOSED .. ' - NEW CONSTR I I ADD /ALT SIGN • DEMOLISH INSTALL • REPAIR O PROPOSED USE SFR pgi COMM • 1 1 OTHER l TYPE OF CONSTRUCTION n , BLOCK n FRAME 11 -STEEL n I I • DESCRIPTION OF WORK . __Z . U / >e-4 O'fL. . /G. n wJoL;r * lO , J . 1 BUILDING SIZE f J SQ FOOTAGE , 1 7,5y HEIGHT Mt 11111111f1 lllfllll.“ A.11rflllflffl h .Hill. 1 .. iii1111I■i. 11If11111l.i fll BUILDING •. r$ 1 3� S0 0 . VALUATION OF TOTAL CONSTRUCTION • I 1ELECTRICAL . ' 1 ' AMP SERVICE ' • 71 PROGRESS ENERGY 8 W.R,E,C. • EPLUMEIING -$ C . [MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION - '� 5 e - - e I w 5 (EGAS n ROOFING 0 SPECIALTY 1 I OTHER O s FINISHED FLOOR ELEVATIONS . 1 FLOOD ZONE AREA , EYES NO ' • EIUILDER - I SIGNATURE . � / COMPANY � , � � 5 � r�'">�1 1 `f � , j il 1 f✓ 17 f � � Lru' 'L. �` REGISTERED I/ Y y N I FEE CURRE6 1 Y / N ( Address 03 O ‘3 t'. i , .� , C.IT 4-- �� License # I . C-6 / 6/0 c?Y-/ L --.,,� 3Ydri I ECTRIeIp_� COMPANY SIGNATUR / / REGISTERED I Y/ N ) . FEE CURREN I Y / N 1 �d 1. . foe r013�7 C Tess License # PLUM R-- COMPANY URE REGISTERED - I Y/ N I FEE CURREN I Y/ N I ddress License # • MECHANI L - •.. COMPANY I • I � IG ATUR . • REGISTERED . I Y/ N 1 FEE CURREn I Y / N 3 . I I s ' DESIGN IT. BUILD IT INC Commercial, Industrial, & Iliagoos& Imaging Specialists 3 3 FLORIDA MEDICAL CUNIC 38135 MARKET SQUARE 1, -* , * ZEPHYRHILLS, FL 33542 G.E. SIGNA 1.5T HDe MRI UPGRADE G.E. PLANS DATED 5 -3 -10 SCOPE OF WORK /COST BREAKDOWN MAY 19, 2010 • ARCHITECTURAUENGINEERING DESIGN $ 2,950 - Mechanical - Electrical - Life Safety Systems • GENERAL CONDITIONS $ 8.750 Local permit fee ($750 allowance), project management/ Supervision, liability insurance, daily /final cleaning, Dust control, dumpsters, fire extinguishers, drawing/ Printing fee, minor equipment rental, temporary toilets. • SELECTIVE DEMOLITION $ 1,200 - Walls, floors, ceilings, block wall. and finishes as required - Temporary plywood/board for MR[ egress opening • ELECTRICAL $24,207 - Demolition as required - Rework scan room ceiling as required for magnet installation - Replace 200 amp 480 volt main breaker with a 225 amp panel - Replace wire to and from meter with new 4/0 copper wire - Replace 480 volt panel with new 175 amp sub breaker (Largest breaker that could`be installed in existing was 150 amp) - Install/Wire. GE supplied M. DP - Install /Wire GE supplied maint bypass switch - Install /Wire GE supplied EPO buttons - Wire GE supplied UPS and battery compartment - Wire magnet monitor receptacle and trough - Supply /Install 3" conduit from equipment room to console next to existing 2" Nt • - Supply /Install troughs far equipment room - Supply /Install pvc .duct for scan room - Supply /Install lighted countdown timer with pilot light for exhaust fan switch See Alt. #1, 2, and 3. Excludes UPS maintenance by -pass panel x " CGQ514055 °; ; a 2603063 "Avenue E . IAyakka City. Ft .34251 dL 43528 Office: 9413220842 Fax 941.321.6170 Mob11e:9117251562 DIBI• DESIGN IT. DUILD IT. INC. CammeatiaL Industrial, & Diagnosllc Imaging Spedalis(s 4MM+a r • MECHANCIAL $ 7,550 Demolition as required - Remove refrigerant from chiller & properly dispose of unit - Install new chiller & piping, fill with glycol & start up unit (chiller furnished by GE) - Install new 8" quench vent through roof per GE specifications - Test /Balance system - Furnish new roof curb for quench vent • ROOFING $ 500 - Install/Flash (1) new 16" x 16" roof curb for quench vent pipe Note: Old quench vent is not up to specifications/requirements. - Allowance • CONCRETE/MASONRY $ 950 - Replace concrete block at MRI egress opening - Remove /Block in (1) old 3070 door - Install (1) 4070 door frame and grout frame - Install (1) new 4' precast pre - engineered lintel opening for door • RF SHIELDING $ 6,500 - Pretest room to establish RF effectiveness - Modify openings to new layout for GE specifications - Install (1) 8" quench vent penetration - Install (1) 1e" penetration for injector cable - Final RF test/report See Alt. #4 for new RF door. • FRAME & DRYWALL/INSULATION� $ 2.100 - Patch /Repair drywall from MRI egress & RF shield work - Framing as required - Install insulation to code - ?' CIW1514055 CCCI517108 26030 63" Avenue l< M9akka City }'L. 34251 CCC1328420 Al 43528 011ice: 941:322.0842. Fax:941.372.6170 • Mobile: 041.725.1562 S � DIBI DESIGN IT. BUILD 1T. INC Commercial, IndusUtalIt Diagnostic Imaging Specialists • ACOUSTICAL CEILINGS $ 950 ti — Patch /Repair aluminum grid — Replace grid /tile for equipment room (tile to be vinyl coated) — Tile to match existing for MIRE exam See Alt. #5 • DOORS, FRAMES, AND HARDWARE $ 795 — (1) 4070 door and frame (reuse hardware) — Installed • PAINTING $ 1,600 — Paint exterior block wall and new door — Paint interior MRI exam and equipment room • RAISED ACCESS FLOOR $ 1,950 — Construct non — ferrous raised platform at rear of Mil for GE cables and water lines Sub — Total: $58,002 Overhead & Profit 4,640 Estimated Total: $62.642 ALT #1: Install dimmable light controller for scan. Add: $ 4,500 #0 ALT 2: Install (4) MRI safe track lights with (4) heads per track. Add: $ 1.750 OIL „ 4 'N- F'. =moss cis 8 26030 6' Avenue E Mlakka Op F6 34251 Al, 43528 0fGce: 941322.0842. Fax 941322.6170. Mobile:941725.1562 6 N D DIBI ESIGN IT, BUILD IT. INC Cammerfial, 1pdustrial. & Diagllosuc lmaQiu6 Specialists s s ,4 r i ALT #3: Furnish UPS maintenance bypass panel shown on plans to be provided by contractor. Add: $ 8,700 ALT #4: 5P'N V L t Furnish/Install (1) 4070 left-hand in -swing RF Shielded door. Door to have a stainless steel gasket (no fingers). Includes shipping, installation, and drywall repair. Add: $ 7,700 �t . 0 1v1 ALT #5: ��' p Replace existing tile in MRI exam with Armstrong Optima #3152 sound tile. Add grid tees to make 2' x 2' grid. Add: $ 1,100 Excludes: - Removal /Reinstallation of injector system - New A/C system for MRI equipment room (reuse old unit) - Call system - Phone /computer systems /cabling - Security systems - Comments /building department requirements - Impact fees - Costs above allowances - Fife system(s) /furniture - Appliances - blinds /window treatments gn g - si a e k - Cabinets - Flobring (by owner) CCCI514055 CW1428428 26030 63 Attune E.. MpakkaiCil9 F} 34251 AI,4 528 Ofbcr 9413220842• Fat 941 .322.6170• Mobile:941.725.1562 SR T{ _ a x... . ,‘„,..,„ • , DIBI DESIGN IT. 9UILQ IT. INC. Commercial, Industrial. & Diagnostic Imaging Specialists 8 ' $+h am ; j ^pr 9 ` Payment terms: $ - 10% down payment with acceptance - Progressive payments monthly based on completed work, Biked on 25`" to be paid by 10 ' of the following month. - 95% due (total) upon substantial completion. - 5% due upon completion of punch list. -4, , ACCEPTED BY: A 'i TITLE: f O-0 DATE 1 l u 1( Q DESIGN IT, BUILD IT, INC. COMPLIES WITH FLORIDA STATUTE 558 WHICH CONTAINS IMPORTANT REQUIREMENTS TO FOLLOW BEFORE YOU MAY BRING ANY LEGAL ACTION FOR AN ALLEGED CONSTRUCTION DEFECT AT YOUR BUSINESS. SIXTY DAYS BEFORE YOU BRING ANY LEGAL ACTION, YOU MUST DELIVER TO THE OTHER PARTY TO THIS CONTRACT A WRITTEN NOTICE REFERRING TO CHAPTER 558 OF ANY CONSTRUCTION CONDITIONS YOU ALLEGE ARE DEFECTIVE AND PROVIDE SUCH PERSON THE OPPORTUNITY TO INSPECT THE ALLEGED CONSTRUCTION DEFECTS AND TO CONSIDER MAKING AN OFFER TO REPAIR OR PAY FOR THE ALLEGED CONSTRUCTION DEFECTS. YOU ARE NOT OBLIGATED TO ACCEPT ANY OFFER WHICH MAY BE MADE. THERE ARE STRICT DEADLINES AND PROCEDURES UNDER THIS FLORIDA LAW WHICH MUST BE MET AND FOLLOWED TO PROTECT YOUR INTERESTS. g ',-', E x a 1 4'7 , e, fi m� CGCI5WU55 CGC1 MOB 26030 63" Avenue E. Myakka city, FL. 34251 GCLWII42B A1.435/11 OfMte: 9413220842. Fax: 94i322.6170. Mobile 941115.1562 . iii • 1111111 Ili 11111111111111111111111111111111111 iiiii 11111111 2010084781 This Instrument Prepared 13y Name: 3.1LS . z t9 D ' , a a x • Address: (of ' i;1 r t, L _ tT C ; 01 H 0 t a 7-c)10-al-06i0 , oar �� „13 VY1rs � G. �1/4. mac. 35(lty ` 'Tax Folio No: , X3 r+ n r+ es. Permit No.: i CP m CA 63q,(../•• 0 3 0 03 NOTICE OF COMMENCEMENT m z ' m m i-e Slate of C co- D GI County of ?Va. S c0 CD _ . f_' v 01 Chapter THE UNDERSIGNED hereby gives notice that improvement(s) will be made to certain nail property, and in accordance w ��� .. .p ”" ? 41 with epte r 713, Florida Statutes, the following information is provided in this of Commencement S U'01 , 12� t .C` i t S -'4 t, a • '' I . , f scri tion of property (legal description of property �t .a R 1 strut address); �p p N a �" � " ∎N r- h , \\C . C 11 S 2. ; I_ c.. .�ffi S. s m ( '; .5, r� o. m �j o . 2. Cierunal description of improvemem:_ 1, 1't.. +.. 03 r ^-e -Y Ju d ^ i C O P eD 3. Owner Intimttatiot: a) Name mI'anentoto a s: YN\ C A,ti \(,e,,e S41 .t)l G `3 a k l.J p.A�"{..� 4 - S t s ° 0 b) Interest m property: -4 lei - {� W o •.• c) Name and address of Fee Simple Tula H lder (if other than owner): 4 I tA, A -e x z 0 P, ; Contractor Information: �� t � - l� V — C-KC- m :' a) C: completeaddr-ss. as b) Phone =tibia �k 3Z C Fax Number: )lv G 3C:, to . e - � /tt�'. l S. Surety. \ 3 7 - 5 - -5 a) Name and complete address: t''' b) Amount of Bond: $ c) Phone number: Fax Number: 6. Lender: �,1) N a) Name and complete address: b) Phone number: Fax Number. 7. Persons within the State of Florida designated by Owner upon whom notices or other documents may he served as provided by in Section 713.13(1 Xa)Z„ Florida Statutes: a) Name and complete address: tit ik h) Phone number. Fax Number: 8. In addition to himself, Owner designates the following personta) to receive a copy of the Lienor's Notice as peovidtxi in Section 713.13(1)(b), Florida Statutes: a) Nance and complete address: N t A b) Phone number: Fax Manlier. 9. Expiration date of Notice of Cotnmtmcemenl (the expiration date is 1 -vicar from the date of =outing, unicss a different date is specified): J - 1 , - I C ( WARNING To OWNER: ANY PAYMENTS MADE BYTIEE OWNER AFTER THE II:PIRATIONOFTIDE. NOTICE CW COMMENCEMENT .4RE'CONSIDERED IMPROPER PAYMENTS UNDER CHPATER 713, PART 1, SECTION 71113, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF CO?tDIENCEMI:NT MUST BE AND POSTED ON THE JOB SITE BEFORE THE EMT INSPECTION. IF YOU LNTEND TO OBTAIN-FINANCING, CONSULT WITH TOUR LEND R OR AN ATTORNEY BEFORE. COMMENCING WORKOR RECORDING YOUR NOTICE OF C MENCE1 . II'' • Signature of Owner or Owmr uthotized Officer/Direetor/Partner Mangers n /� taary'a Title/Office cece 6 IY The foregoing tustrym w acknowledged before me this. I ,_ tik 0 • ' r --.. 2U D. , b t�CLS 1 i o r (name of person) ag, he ( - (types: of authority,..e.g. officer, trustee, attorney in fact) for T INCA (name of party on behalf of Wm instrument was eatecuted). -A ._ ., 2 1 -:*" ") Signature of Notary , f )ic - State of Florida t Ms Print, Type, or State • ommissioned Name of Notary Dykes Wary Public Olds of Florida Public/Commission Worr 00 611022 PerumallyKnown �(_ or Produced 1D...... ___ sees eor ti, 2010 Expiration Date Verification Pursuant to Sexlion 92,525. Florida Statutes Under penalties of perjury, I declares that 1 have read the foregoing and that the f stated in ' e to the text of my • • knowledge and belief, STATE OF FLORIDA, COUNTY OF PASCO Signature of Owner or tvner'sA xrrized O Off icer/Dirtx tor/Partner/Manrger THIS IS TO CERTIFY THAT THE FOREGOING ISA TRUE AND CORRECT COPY OF THE DOCUMENT ON FILE OR OF PUBLIC RECORD IN THIS OFFICE - WITNESS MY HAND AN II OFFICIAL SEAL THIS L DAY OF . _4 € 2 (....)j 0 PAULA,9'JO�N IL,C _ &COM -' •. ER BY A ll t i P' CLERK If ir 0 0 N n N 0 1 CO z 0 �+ W N fs'W a o E- H W E- E- "- O o : H 0 0 z a w x N 5 H C4 w Z C)9 0 O cn to -D � o N U w 1 1 in E. z p z A s. 0 0 0 H 0 o 0 co 0 0 '" o o a a A O U as W 0 ciS E. 4, o 0 Q 0.) N 0 z A co In In o C7 a H o z M M 0 oo A C/) C MI W Ca Cn Q a w a Q U 0 a co a z Q a