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11-11371
CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 11371 BUILDING PERMIT Permit Number: 11371 Address: 7326 GALL BLVD 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: 35- 25 -21- 0010 - 08800 -0000 Improv. Cost: 25,000.00 Date Issued: 1/28/2011 Name: TOWNVIEW RETAIL LLC Total Fees: 375.00 Address: 725 CONSHOHOCKEN STATE RD Amount Paid: 375.00 BALA CYNWYD PA 190042102 _ Date Paid: 1/28/2011 Phone: (610)667 -5800 Work Desc: DEMISING OF EXISTING SPACE /INSTALL FIREWALL - TJMAXX . -• -'.1 .7 -.1 1 :1. • 1 •1.11 - ' ... ' ,1.11 JOHN RYAN COMPANY INC PLUMBING FEE 40.00 FIRE PLAN REVIEW FEES 25.00 GULF TO BAY BUILDERS LLC FIRE INSPECTION FEES 30.00 AM ea f art 4 j1's;"" - .,--- 3-2-5--it ,,, .. ,. -.. - 17: 7 • . I. . • FOOTER BOND DUCTS INSULATED SEWER MISC. ROUGH ELECTRIC LINTEL MISC MISC. 1ST ROUGH PLUMB PRE -METER INSULATION WALL MISC. DUCTS INSTALLED WATER MISC DRIVEWAY PRE -SLAB SHEATHING MISC. MISC. CONSTRUCTION POLE FRAME MISC. MISC. REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection trips are necessary due to any one of the following reasons: a) wrong address b) condemned work resulting from faulty construction c) repairs or corrections not made when inspections called d) work not ready for inspection when called e) permit not posted on job site f) plans not at job site g) work not accessible. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management, state agencies or federal agencies. The payment of inspection fees shall be made before any further permits will be issued to the person owning same "Warning to owner: Your failure to record a notice of commencement may result in your paying twice for improvements to your property. If you intend to obtain financing, consult with your lender or an attorney before recording your notice of commencement." PO :% CON ■' CTOR SIGNATURE PERMIT OFFI �R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER Jacqueline Boges From: Jacqueline Boges Sent: Wednesday, March 23, 2011 9:17 AM To: Kerry Barnett Subject: RE: inspection done Thanks I will close permit. Also great expression dropped off some inserts for the dental office project they are in your box. One more thing do you have the a copy of the life safety page requirements, tells what you are looking for on this page? From: Kerry Barnett Sent: Wednesday, March 23, 2011 9:10 AM To: Jacqueline Boges Subject: RE: inspection done yes From: Jacqueline Boges Sent: Wednesday, March 23, 2011 8:08 AM To: Kerry Barnett Subject: inspection done Kerry the tj maxx project have you done an inspection on the fire wall ? Is it finaled? Jackie Boges Code Support Specialist ext. 3513 1 813- 780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 J f 2 l '1 I Building Department / Date Received 12 L b a I a 954 -7 0e- 946 �— � V Phone Contact for Permitting 3 9a1 _ Owner's Name t O4•41/I/L4 A/ Re 1 j I..I. Owner Phone Number IO" CO 7- 51 Owner's Address 7a s c,,A5 1,40_(4.0 iefia &4 r ner Phone Number ICI /' d ,n- down Fee Simple Titleholder Name I Owner Phone Number 1 fir- 7.31- 473 � •{I Fee Simple Titleholder Addres ` JOB ADDRESS '�74 -1 '7 6-0.1\ (� r/' 1/el • 2e? (V;) Is FL 33591 LOT # _ SUBDIVISION PARCELID# - - ( 3S_ 2S- 2-- I- botO- 688°6.. l ) t (OBTAINED FROM PROPERTY TAX NOTICE) vOOQ WORK PROPOSED NEW CONSTR (ADD /ALT I ,/ SIGN n n DEMOLISH INSTALL R PAIR PROPOSED USE n SFR COMM I OTHER I TYPE OF CONSTRUCTION BLOCK FRAME - I � STEEL n I I DESCRIPTION OF WORK VQM1 z 7 ; O4 e xl ' ' s po..e t- / kite - Mace - � k " `- - 'M 0� /, iy i +'% ) '_ o 1' , BUILDING SIZE y 3 Goo SQ FOOTAGE a s f3' Q 11. HEIGHT Okb E1BUILDING $ 5 O00 VALUATION OF TOTAL CONSTRUCTION 4 a 5000 . , o r 1 ELECTRICAL $ �1 W > MP SERVICE $0O I I PROGRESS ENERGY n W.R.E.C. V 1 PLUMBING $ Ia- ' , o00 5 - (4) 0 [ _. � I Z ' 17 -tO / / , • ,: n CD MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION I, / O I IGAS n f ROOFING 0 SPECIALTY I 1 OTHER "r /✓ je , V //""�� _ ^ - FINISHED FLOOR ELEVAT ONS FLOOD ZONE AREA I IVES N • ` �,yJ� / ' /)y ` I • ~ r l / Q y � � 1 y LArli L q OT 1) - , ■ 3 1C—(6)1(1 8" / Y►NCtrrH NlA t 0 BUILDER ,� REGISTERED I Y/ N I FEE CURREN I Y/ N I ,.on - COMPA t C. v Z Vv L SIGNATURE Tyr ,.1 n_ • Address 5• Wag �- - License # V 70443 e �` J `'v AttA LECTRICIAN 4, COMPANY �•°'t �,JUttt4 ��7 Ifl 0 � � � IGNATURE e REGISTERED I Y/ N I FEE CURREN I Y/ N I // C ( 56 Address License # I A Al, BER i i'r'k C. PANY I are 4 tri 1 „� { " SIGNATURE �%/' REGISTERED I Y / N I FEE CURREN I / N I ��� ���/// Address I 1 License # MECHANI L COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I S t /� 1 Gx Address License # llw i �i OTHER Se e_ r„ 1 M �"` 4 � �� SIGNATURE • °` REGISTERED I Y / N I FEE CURREN I Y / N I Address License # 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 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. •., 11 1 11•••• •1••• 111 ••••1•••1121•11•14•••2•.1••••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 $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 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. 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 ' • ILUR TO RECORD A NOTICE OF CO MENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPRO - ENTS YOUR PROPERTY. IF YOU INT : ND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER •R •.- • - N Y BEFORE RECORDING YO ∎Jt.� E OF COMMENCEMENT. FLORIDA JURAT (F.S. 1 , .F - 00 OWNER OR AGEN ' lmb CONTRACTOR , J1 Subs..ed and s to (or affirme•1 •ef• - me this Subs '• d affirmed) before e this r ,..A_ by �1 .e• an wo , - . V a _ L. I.. 0201 o Who i - are •0 • u • a .r has /have produced Who is/are • ersonally own o > or has/have produced as identification. as identification. Notary Public : i N • - u• cAQMMO BNEALTH OF PENNSYLVANIA Commission No. 1 Notarial Seal or Jar @ Name of Notary ty.. •, ? stant9Ot ry Public State of Florida Upper Darby Twp., Delaware County Barbara „ail C My Commission Expires Dec. 5, 2011 , .� � cP 1, M1yy Cornmission DD848888 Member, Pennsylvania Association of Notaries OF pro' Expires 01/05/2013 • 'From: 01/27/2011 14:43 #136 P.001/001 • 1113 -7 O.002o City of Zephyrhills Permit Application Fe*11U348O4OZ1 j (Z'1' Building Department f�' ( j I J Date Re efved Z e (. — ra Phone Contact ler Pervade • f 8 3 921 _ al - DC 194- Ice - *143 Owes$ Nome Iii&IPTIMMIAIIPM111111 Owner Plume Number p'" 617- row Owner% Address l77r C.A.StietwAritswel•kee.a 4.4 trollIBIeer Pam* Number I6i fl- yfv/ 1 Fee Simple Tl11.Mlder Name 1 I Owner Phone Number 1 to -7.71- (/ 3 l I Fee Simple Tideadder Addreas I JOB ADDRLas ( 'f � 6 u1\ Q4d1• 2e?V ,:11 a 339111 LOT I I� SUBDIVISION PARCEL 1061 U ` S 7,S- 2. 4a1D'� . � (eeTltNEOPROSPROPERTYTAIrpflce �(' v00o WORK PROPOSED F ...Mara ADD/ALT -" I J SJGN Q [� DEMOLISH F INSTALL AIR PROPOSED USE Q SFR cow NM OTHER i 1 TYPE OF CONSTRUCTION Q BLOCK FRAME 7 . STEEL Q L 1 ` _ DESCRIPTION OF WORK 9A ,s„ T e 1 - - 5 • a.0 ir 's i 1 SCI FOOTAGE(ax,3 1 . HEIGHT 1 a b ' 1 5rW -o IcrFA I S• (naXX BUILDING SIZE y 3 000 QBLILDING VALUATION OF TOTAL CONSTRUCTION '"- a as >Ja ELECTRICAL �= I �QO SEnvicti$'bO n PR ENERGY n W-R.E.C. i [;�PLUt1eINC � t 7 _� z 77 -�v ,'A - MECHANICAL /// x • v y ' r r° ,� ,-- 0 is + VALUATI CAL INSTALLATION ' t " 'as ' '-' ., !' "' A ?' ~, • / 1 I ON OF b1ECHANI ���1 � Y+Y'�I' ` , / r s A z t.:t ,, u /, �: nOAS ROOFING Q SPECIALTY F OTHER 1 14ati `'`te�,' •y,. ,. ' �"1, ;,� • C FINISHED 3008 ELEVA ONS r I FLOOD ZONE AREA AYES N `-` 1�.. "" F ?' , "'' a j 3 ri.fiy • •• .I. • •tt. i°..5't =•1• "• ;h .F , I BUILDER ‘• SIGNATURE REESTSPEO I YI N 1 FRS CURREN I Y/ N I +:", -a •••: Address 15611 5 • S4Ecie. Ka -7 * +b7 SlaviQ Rt- 133 Licata. 1 C!r 15b Pi 30 I ' , _j , fw` ' „ ''" " 'i _ .. It s . .. COMPANY r''3fGNA7LAE''' } "� ^• a REG1P1ERED I Yr N I FM GUNMEN I Y/N I Address I 1 L ` `y, License If 4LSl ±F:,.as: T a �L Yip4H. F e!:�:L' iV.`LA. r SKifMTl)REr 3k ^r M,., _,: ,. ..:.. COMPA.YY 1 11 REG PTERED 1 Y/ N I peg Cameo I Y/ N J Address - I Licenses 1 MECHANICAL COMPANY SIGNATURE REGISTERED I Y./ N I •EECDRREir I VIN 1 • Address I St Licenser j OTHER � 1 co 1 6T a{ l LAIC I-1.-c:- SIGAURE .tif t � L � REOImm° I Y/ N 1 FEE CUretER 1 Y/ N I a , � � t s N T j Z t 06 a e t s i D Z , t g t o 4 i . F L 33 License* («lC i 2Z 3 Li I • Address 111111 11111111 11111111111 1111111,(11111 1 111 f 11111111111411111111111 RESIDENTIAL ARDOR (2) PIN Pt ens: (2) eeiz GIeteEIRD PIMP (I) wI of Energy Forms: R-O-W Permit tar new oor..bmcdoi, • Minimum ten (10) working dims after submiaal dale. Requital omits. ConabmcIoa Plans Stormwster Plena w/ Sat Fence installed. • Sanitary Fem cos a 1 dumpsw: Site wort Persil for aubGeryfondlerge projects COMMERCIAL Allah (3) oemplets sets of Building Pans plus a Lie Safety Pamm; (1) set of E'targy Forms. R-O-W Permil for newcoesinrion. einimu m ten (1O) world% days e5er submittal Cale. Required muse, Constnaion Plane. Slotmwater Plans 4511 Fence initialed. Senaery Fadities 01 a 1 dumpsite. Site Walt Penn! for a1 nrmwprojects. Al commercial requirements must meet compliance SIGN PERI I Attach (2) ) sets of Engineered Plans. ••• PROPERTY SURVEY required Iora1 NEW construction. Clrecdone: - FII our app11oaeen completely. Owner a Contactor sign back of application. notarized If over $2500. s Notice of Commencement le required. INC upgrades over S75» •• Agent pa like contractor) or Power of Attorney (kr DIP owned. would be someone .Nth notarized leiter from awmer eulwribMg same OVER THE COUNTER PERMITTING (From W Application Orly) Remote If shingles Sewers Service Upgrades A/C Fence* (P41/Suauey/F.ot.ge) Driveways -Not over Counter 1 on public medways.meads ROW L. dZg :Z0 6I LZ Lief TX Result Report P 1 01/27/2011 14:44 Serial No. AOEDW11001438 TC: 9109 Addressee Start Time Time Prints Result Note 92533552 pp pore- g 01- 27 , 00:0 OK 0 1:02 001/001 C tC g g C Eras TX. Note BND oe 2 Re ed B in d ing p rec SP1 e S p ecie pre in FC F TX. • Result OK: Communication OK, S -OK: Stop Communication, PW -OFF: Power Switch OFF, TEL: RX from TEL, NG: Other Error, Cont: Continue, No Ans: No Answer, Refuse: Receipt Refused, Busy: BUSY, M- Full:Memory Full, LOUR:Receiving length Over, POVR:Receiving page Over, FIL:File Error, DC:Decode Error, MON:MON Response Error, DSN:DSN Response Error. G12- 220-0020 City of ZephyrRine. Psrmlt Appllostion Fee. ta1eo -00sl "i'T r J - / / 21 f Buedk.. 12epartment 0••• R.aa.a 1111WIWIEM221M■ _. . - for Peon . FI xy -7Ca', Q•S• Owner. Mona _ - 7. _ ^ Owner P2.2. N.....wr I ._.7 k - rTr owner. Aeon.. I7.5 le A4 11119fiore•/lerr.0 4 cjl , 1gtff.er enema , ......, L 6 1 1 VOW" I P« MrnpN TI.I.MW.r Nara. I 1 o..n.. .none Nunes.• 1 ` y∎ 73f- a ', 3 f I PN 0.1mp.. T(Nao1Y.r A0d.0. ., 7 S I A .101 OORtJi � - - a-AN Et t✓ - - 1. LOT . I . 1 0.91/3.2.0 O U0.OIV1610N I PA.RClL 112111 - _ (enr/..�F.aYPwwNr. - rA. l.wpal 1 �'S 7.4- a _O 000 •- WORK r.lOP'0000 1=1 N1W aware ADOIA.LT 1:::5 5100 Q r1 Oss1OUBM IN STALL - - - 112 01.00.!12 11O0. I OFR r R orl -,.n 1 ✓ epo or w(fToro -000 Q BLOCK ■ �r�r erne, f 1 I s • oorePttoN of wo212 I - . - @ _ - _ . e. fr...., _ — - • ,1 1 . fe2'kt+►�r .u,aNO scut 1 93 000 I so roorwo= Las VA.. f -' ._ Nomrr 7c6 Sfs'✓ -o 1.:1 `� -3 . P•0--$)(- 1=12,111-1211120 I. p 0,0,, VALW1lON Or TOTAL CONGTRUCTON a SOOO / /y I l/ IeLECTRICAL �0. 1 / �' I eliMCE I= 1RoOREss ENERGY r W.R.E... r 0 �/ ZS r 000 AG,1k__se- �f z- 7 -b ` /a c. f Pw �l PLUMOINO I2 y o� / ` G; y 121ECf.ANIGL IS I VALUATION OF MECHANICAL INOTALLATION ( /_a VO ��r a J -AA" Dori C 500.110 Q seECIALTY Q OTHGR �////� ` - I` CT P 2011!0 .,1205 GLBVA onto I I F � ONE AREA AYES _ A _' ���� � I 2121.2212 ` COMPANY I %AC Acci-Z.t - .w("1._ J _.,.. 7 0.1r.WATVSE = OO wF. 1 \ S''4Md:o CJ � 1 V/ N ) Y/N 1 1 - •-vase. I -Solt 5 - 542.40- IiCA .7 #1s C s•Aai>F4_ 3331y ....n.... o X1 1 A- . � OO.a M..... .nANY 1 �_ 1 / Y N 1 1 Y t ` . IL* 1 1 4-*. I I . . i � Nw i l asl R ! I NIMII STORI •. 1 Fee1 I �\/ 7 V/ N 1 L Y/ N I RARARR e 1 I Lla.n.. a I I ▪ OCNANICAL I : 1 I 0)014*T1)5! I Y N i ran 1 Y/ N 1 0Bs� �7 s°1111=lsRS C 1 l v/ N I wee 1 v/ w 1 I 5E11200N2W_ Atteo0 (2) Plot Plan.: (2) .e1. M BU.aknp Plena; (1) ..1 of G..etO. Farm.: R-0 -W Pennit for new 001 210001. Lpnl.nu.n tan (10) we lketp doom after 0/2021001 dole. Reputed orlete. C0.Wnblw. P..n., Blo.n..eter P1.rw W sal Pons 10.1.11.0. s...IWy Fee.11ls 21 1 a.e.lp.lar: Bite WOY Permit for aubdk.Iskoneaors projects COYN.RcIAL Ares (a) snlpNN set. or 13.101r. 01.0. plu. a Ilea 0.10(0 Pepe: (1) e.1 of Energy Form.. I2-O-W Psrm210, .Nw 0o..e1.l.0000. PS.krlum ten (10) weNnp 02/s ma eubMtal tlo20. R.qul.ad on.1N. C52.0000.. Otero, 8*001 e2.r Plane sere BM Pace. In.telt.d, OenlWy ram.. i 1 al.mpeter. e110 Werk Pan+et for r new bojeMe. AM srlrrrrulel es,* n.et ..eet ....liens MOM PBRNT 20.e.1r (2) POP or 12102.M.0 Plena. ......1.2011.12..../ e i �.wU nak St/F2/21/ St/FSt/F2/21/ W St/F2/21/ ra tual Ter e. NE ooneepctlan. • '" 0:= C..1Weot akin a of .PPas.N MS rl. no0 If over 22.00.. 0. m.. 0pe of Ce....e1.ent to r.qul..a (2/0 up01.0.. over 27400) - "pent (for the 0011b0.1nr) or Paver of Anawl.y (1b Ins ewer) wooed km someone WW1* W k.0.1 from owner .u01o.(ana ears OVOR 102 OOl)NTER P0RNITT1NO (Front of App.slb.. t$y . RO N al.e 0O If el.0 s 0... .. 0.rv40. Uppredeo F * (PI0Veurvey/.00t.pe) )MVorwaye -Not oror Counter If nn 1..x110 loedwa*.._nsd. ROW 11 5 3 5q.71a /� . '41ty of Zs • hyfnths Warm Application Ka1.6ea'fer 5 y 8w,dr.0 CtmAnAmm CNN NOMMond — , pket»4:. asorpi „1atV% 817 717 286T_(Lesrke Ford) C W aor,plrpn4 >41,44441 owned, 114tInrioi Ntlfivn'"7f" PA tifjp•_ Mill *ow phogeN4u,rbor 0e0 Swpte 1 1 t)wrlar P14on444w4hvr L 4 JOS"MESS 1 34 a Oa Blvd Zephyrhflts. - 33844 1 Lay tl 1 1 $uua■aacn+ •CH.Dili -r 0 ,— 400" 0100 ta4rAar14vwor•rltmeenr,vul nOnC14 WOW P'ROPOINO >•....4 ...mMPa 5 • L1'.,, T = SiG1■ = © OF01411811 1143r4 NR Ty4L OF GO4 5TRtICTW1 D 6kOGIC CO . - LP S7eEl. © ..J uesc raN o4t woRtt Re$ o l Uon of existing: --ace to L18CQ41ts 8 Td Maixx retail stOte• . mamma ame .—i 1RFOOYAGe' " 141414ltT' ', . i.AJSl9LL" rf o I` 272 1300 I VA; ' 404 QV TOTAL Ce.dkOirRl4i;'rlGN MEI, s A, !s 33.282 1 Amp ... `ta el acv (, W a E c :Lg..... s f 4 9 ''/ i br i • , 5,798 / �'. g , asewal: v L 4G. 996 ..m .cu ...t.% of t ;usr i..LArtoN 'v im ,, p =43145 E aOOrtlt, = ' . CraL7Y = MAR - ' -. FNIWE D4ZCQ4 ELEVATCO4 ` 1 ` COO ECM: AREA =TvE►S NO (c \/ 1t.r1\% • 01.41-001 t : GOM►g4t1Y t 0 .% r f',4O . P .10 ,,e„,:. ! A M ' 01 . 44tNATlfRE 6=k d.1 Amo►1dr51'J — V 24cuPAIA f Vs F 1 *stops (0 1 • t11v,(l+ f'' r«ll . t•+mrrtW C 1 ,....1g1:& .. I y tx i ........i. OQ1AI+14lY + e i_ „-..<eiL" wx.. _ _ ' . r a tile rY i � , kATURe w � w"Z ;_ ' 4i ► gl5� „'Lt 4114 � �, Ad ar`3Z . _ : rL - 1 GatiuloY Rdrl.' ow ! ' , to M , ,ii, � ( IP GOI KL.%4.SDt: 1 aev !4ri U M A r � 1"%l: SOWN i r(� I 1., a _ _. . Y '_ . - - - l ow v' V4 00 - - I V' 1 `, rAcciii Mt4 Al =MOW( I' '.:. • :1112_,ua� lAY:S . commas 44141 rl4ta + m • WADE - 4441013: l A.. rei irk _ -ate► IIIIKI !!!lK. 33'7bw :�emuo r/ ;..... OTNER I • COMPANY 51GWAVVRE ,, „ I • 44w11444 , 'Y? N ..] wlea:Amp •14E1.311 A. ....., ........ 4ddeddri _ _ Lamina 4 . 4 144$4'411410 114441411411411444, 4111414441114111111111444411444 NNESI001 VANS! (d. Nit OWE 0 !ASV 414114140 VIVA , 1 WA et EaKGW' F.wrrlltl ROW Peaatl fat Abu c14rosmak0. noholln tea 11M L.444104 44)4 atelut4.1'dlta44. alau44441tila.taastivaion P10 Sio w or 1 4 1415 wf Sal Canrx»statad, 44146y f4G1l111e 1 : 645 WOM4 1111 w11d:AalOn,Aato1 pAects of e F r 4 Potata R.arr pentYl,OrrNW cor ueaan Co4114MCLt1. t4140 t4140 s. wtnpola sow d ■twldla� Pt= p445 4 144 444446 xQ1. I C aitt Envy oti mlen Po OM W*' Ie0 dap! VW r.4 4tt14144 - , RC4044d OWN. C4V,$klr;:ta5 MOM. C' Nand w' 611 F4A1e oist4rt00. 'Sttt00ri Paa44C. 4 f 4Alr4p44 644* W414 isv tpr 00 mom. 44144(44 w441 C44 111 SIGN MUM Awes (2 14e4t of 61444440ud Win ' ""01U)V:RTY Su.P$ 6r toRANa Na !ANEW • • C.•414 444 4.6 a0t41ream1 m r aiAll'ty O marA Ce+v+rla sot POP Ip d 4wr42404, a Netkeorcommoaawrwnf 1.4 worked. - 4Pg1sdls N4$l 474043 ” Astor (tat 140 contrect4441r Pav04r W Adlaine'd P rtnr ma) 4 W xaaw:wr,1444 5444 4444 44444* Pm P.m(' wtWOdturC 44614 OVCIi Pt COUN4Vt PCRA101114 •744,5 OF AOTArdlhn 0 ' 4 110+44 d Sv4VI a: 6a4ma $ow NC - win PlogSwveyrCe14410Y 3 1 TO /T0 39t/d OiSf1S 8E6EEGZ£t8 Et 1TOZ /8t /Z0 J RC • • J OHN RYAN C O PkP1 � INC. 888.230.9650 Toll Free 508.732.4135 Fax January 27, 2011 City of Zephryhills Building Dept 5335 8 St Zephryhills FL 33542 813- 780 -0021 fax 813- 780 -0020 To Whom It May Concern: This letter serves as permission for Ted Londos to apply, sign for and pick up any building permit for John Ryan Co Inc under Don Skow's contractor license. Any questions can be directed to my office at 888 - 230 -9650 Regards, Don Skow Notary Public 4./m Patrick Duffin I My notary expires 3/29/ 14 County of Plymouth ,y pump State of Massachuse �A1M101MIFx OF - *Commission Expires March 29, 2014 149 Camelot Drive • Plymouth, MA 02360 - 5500 South Tampa Ave. • Orlando, FL 32839 www.johnryanco.com )4 lOrt • 1, stio.c,A.e404 • k ' 3 4,4100,Cr) ' , • --siewilowipmer.erVir-A 2010 -2011 HILLSBOROUGH COUNTY BUSINESS TAX RECEIPT EXPIRES 9 - 2011 FOLIO NO i PACIUTIES OR MACHINES I ROOMS SEAT$ EbtPLOYEE3 0 0 0 2 RENEWAL I 202559.0000 OCC. CODE BUSINESS TYPE �' TAX SURChiARGE 201 1 090.010 GENERAL CONTRACTOR - 40.00 18.00 090.030 UNDER TOR 18.00 BUSINESS 360 BLANCA AVE LOCATION TAMPA 33606 NAME MOURTOS KENNETH A MAILING GTB BUILDERS LLC ADDRESS 1706 LARABIE CT BRANDON FL 33511 BUSINESS TAX RECEIPT DOUG BELDEN, TAX COLLECTOR PAID -19941 -85 4AS HEREBY PAIOAPRtve.tGETAXTOENGAGE 813 -635 -5200 08/11!2010'"' 76.00 IN BUSINESS, PROFESSION. CR OCCUPATION OPECFJE0 HEREON. THIS BECOMES A TAX RECEIPT WHEN VALIDATED. • FF:- s*�t -i�{ 12 -08 -2009 ALEX SINK STATE OF FLORIDA CHIEF FINANCIAL OFFICER DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW * * CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 12/08/2009 EXPIRATION DATE: 12/08/2011 PERSON: MOURTOS KENNETH A FEIN: 208870779 BUSINESS NAME AND ADDRESS: GTE BUILDERS LLC 360 BLANCA AVENUE TAMPA FL 33606 SCOPES OF BUSINESS OR TRADE: 1- REMODELING 2- CERTIFIED GENERAL CONTRACTOR 3- EXCAVATION 4- CERTIFIED UNDERGROUND UTILITIE IMPORTANT: Pursuant to Chapter 440 . 05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certlllett* of election larder this section nay not recover benefits or compensation ender this chapter. Pursuant to Chapter 440.051121, F.S., Comilicutes of election le be exempt... apply ally within the scope el the business or trade listed on the malice al election to be exempt. Persian! to Chapter 440.05(13). F.S.. Notices of election to be exempt and certificates of election to be exempt shell be subject to revocation if, at any time after the tiling of the notice or the issuance of the certificate, the person rented Si the notice or certificate no longer meets the requirements of this section ter isseace of a certificate. The department shall revoke a certificate at any time tar fa flare of the person named ON the certificate to meet the requirements of this setafon. QIJESTIONS7 (850) 413 -1609 DWC -252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09-06 bd d8ZZ0LLLZUef • PS/ American Safety Indemnity Company 100 Galleria Parkway SE, Atlanta GA 30339 800 -388 -3647 FAX 770955 -8339 E&S Fax Number (770) 955 -6163 AmERtairtSvErrhisurma THESE DECLARATIONS, TOGETHER WITH THE COMMON POLICY CONDITIONS AND COVERAGE FORM(S) AND ANY ENDORSEMENT(S). COMPLETE THE ABOVE NUMBERED POLICY. Endorsement Effective: 12/21/2010 Countersigned By: Named Insured: GTB BUILDERS LLC (Authorized Representative) IN CONSIDERATION OF THE PAYMENT OF THE PREMIUMS, AND SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF THIS POLICY, WE AGREE TO PROVIDE THE INSURED WITH THE INSURANCE AS STATED IN THIS POLICY. THESE DECLARATIONS TOGETHOR WITH THE COMMON POLICY CONDITIONS, COVERAGE FORM(S) AND ENDORSEMENTS ISSUED TO FORM A PART THEREOF, COMPLETE THE ABOVE REFERENCED POLICY. Page3of3 L d6Z :Z0LlLZue American Safety Indemnity Company 185/ 100 Gaferia Parkway SE, Atlanta GA 30339 800 - 388 -3647 FAX 770 -955 -8339 EIS Fax Number (770) 955 -6163 AmERicarabwrrhystouwa ALL PREMISES YOU OWN, RENT OR OCCUPY LOCATION NUMBER: ADDRESS OF ALL PREMISES YOU OWN, RENT OR OCCUPY 1 360 BLANCA AVE Tampa FL, 33606 As on file with application dated: a .. CLASSIFICATION AND PREMIUM LOCATION CLASSIFICATION CODE PREMIUM RATE PREMIUM NUMBER NO BASE Prom Prod/Com Prom Prod/Com Ops Ops Ops Ops 1 Contracrors- Executive supervisors or executive 91580+ $33.400 28.13 Included $940.00 Included superintendents 1 I withtractong subcontracted recontruclien, repair or 91583 I $200.000 1.91 7.46 5382,00 I S1,492.00 erection - one or two family dwellings I PREMIUM SHOWN IS PAYABLE: STATE TAX OR OTHER (if applicable) $173.79 POLICY FEE (if applicable) $35.00 TOTAL PREMIUM (SUBJECT TO AUDIT) $2,814.00 AT INCEPTION 100% AT EACH ANNIVERSARY IF POLICY PERIOD IS MORE THAN ONE YEAR AND PREMIUM IS PAID IN ANNUAL INSTALLMENTS AUDIT PERIOD (if applicable) J 19 ANNUALLY 1 ❑SEM- ANNUALLY 1 ['QUARTERLY 1 ❑MONTHLY ENDORSEMENTS ENDORSEMENTS ATTACHED TO THIS POLICY: ASI CLAIMS, ASI SIGNATURE PAGE, OCCURRENCE DECLARATIONS PAGE, ASI 0001 0906, IL00 03 09 07, ASI 3000 09 06, ASI 3001 09 06, AS1 3002 09 06, AS1 30x3 09 06, ASI 3004 09 06, ASI 3005 09 06, ASI 3006 09 06 ASI 3024 09 06, ASI 3026 09 06, ASI 3027 09 06, ASI 3028 09 06, ASI 3029 09 06, AS1 3030 09 06, ASI 3031 09 06, ASI 3032 09 06, ASI 3033 09 36, ASI 3034 09 06, ASI 3035 09 06, ASI 3036 09 06, ASI 3038 04 08. ASI 3040 05 08, CG 03 00 01 96, CG 21 6712 04, CG 21 46 07 98, CG 21 47 07 98, CG 21 55 09 99, CG 21 96 03 05, CG 22 24 07 98, CO 21 86 12 04, CG 22 31 07 98, CG 22 34 07 98. CG 22 43 07 98, CG 22 79 07 98, CG 21 90 01 06, IL 0017 11 98, IL 00 21 05 04, CG 00 67 03 05 , CG 02 2012 07, COL 17 07 07 02, ASI 3063. ASI 3064 06 10, ASI 3084 07 10, ASI 3081 07 10, ASI 3082 0710, ASI 3083 0710, ASI 3087 07 10, ASI 3080 07 10, ASI 3086 0710, ASI 3085 07 10 IN CONSIDERATION OF THE PAYMENT OF THE PREMIUMS, AND SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF THIS POLICY, WE AGREE TO PROVIDE THE INSURED WITH THE INSURANCE AS STATED IN THIS POLICY. THESE DECLARATIONS TOGETHOR WITH THE COMMON POLICY CONDITIONS, COVERAGE FORMS) AND ENDORSEMENTS ISSUED TO FORM A PART THEREOF, COMPLETE THE ABOVE REFERENCED POLICY. Page 2 of 3 9'd d6Z :Z0 L L LZ ref ZS/ American Safety Indemnity Company 100 Galleria Parkway SE, Atlanta GA 30339 8004884647 FAX 770 -955 -8339 �,,, E&S Fax Number (770) 955 -6163 AMENC.APISAFETYINSURANCE .: .. .1Si . e l ,: s u`yiiKAr LIChC ';:lirri*fg ttta POLICY uc.n Yr . NUMBER: 156AUI 84657 -00 ` •:;; rxia'I ` }t 'i'n' Cl COMMERCIAL GENERAL LIABILITY DECLARATIONS Broker - Appalachian Underwriters, Inc. Producer - INSURANCE SOURCE COM 1Nt: Named Insured: GTB BUILDERS LLC Mailing Address: 360 BLANCA AVE, Tampa FL 33606 Policy Period: From: 12/21/2010 To: 12/21/2011 At 12:01 A.M. Time at your Mailing Address Shown Above IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS POUCY, WE AGREE WITH YOU TO PROVIDE THE INSURANCE AS STATED IN THE POLICY. ti LIMITS OF INSURANCE Each Occurrence Limit $ 1,000,000 Fire Damage Limit - Any one fire $ 100,000 Medical Expense Limit - Any one person $ 5,000 Personal & Advertising Injury Limit - Any one person or organization $ 1,000,000 General Aggregate Limit $ 2,000,000 Products/Completed Operations Aggregate Limit $ 2,000,000 DESCRIPTION OF BUSINESS FORM OF BUSINESS ❑Individual CD Partnership ❑Joint Venture p Limited Liability Company ❑ Organization, Including a Corporation (but not including a Partnership, Joint Venture or Limited Liability Company) Business Description: GENERAL CONTRACTOR IN CONSIDERATION OF THE PAYMENT OF THE PREMIUMS, AND SUBJECT TO ALL THE TERMS, CONDITIONS AND EXCLUSIONS OF THIS POLICY, WE AGREE TO PROVIDE THE INSURED WITH THE INSURANCE AS STATED IN THIS POLICY. THESE DECLARATIONS TOGETHOR WITH THE COMMON POUCY CONDITIONS, COVERAGE FORM(S) AND ENDORSEMENTS ISSUED TO FORM A PART THEREOF, COMPLETE THE ABOVE REFERENCED POLICY. Page 1 of 3 g'd d6Z :Z0 L L LZ uef • • AC# 5095996 STATE OF FLORIDA • • • DEPARTMENT OF- BtTSINESS•• AND PROFESSIONAL . REGI)LATION CONSTRUCTION INDUSTRY LICENSING :BOARD' SEQ# L�.00 DATE BATCH NUMBER LICENSE "NBR 08/15/2010 100046008. • CGC150.947.1 The GENERAL'CONTRACTOR 1 Named below. IS CERTIFIED Under' •:the - provisions of: ::Chaster. 489 :3'3 Expiration date: AUG 31, 2012 •• MOURTOS, KENNETH A GTB BUILDERS LLC 1706 'LARABIE.:.COURT • BRANDON FL 33511 • . CfrARLIE: CRIST • CHARLIE LXEN GOVERNOR CR .. . � SS $TARY ; g1SPLY. AS .REQUIRED'BY LAW AC# STATE OF FLORIDA, DEPARTMENT OF:'BUSiNESS r AND PROFESSIONAL :REGULATION C ONSTRUCTION INDUSTRY LICENSING HOARD • SE( Lro.. •• oi$2 •LICENSE `' NCR ` := • :. •,;. .: • - 08:/15/20:10 _100.Q:45989 The UNDERGROUND UTILITY & EXCkVATION CO . Named; below : =S `.CERTIFZEB' ` • Under :>Vhe provisions of. 'Chapt'er 489 &'S Expiration. date; AUG 31, • 2.012 MO.URTOS, : KENNBTB A GTB BD'ILDE tS :':I LC 17 •COURT • BRANDON FL 3 CHARLIE CRIST CHARLIE DIEM • GOVERNOR, SECRET .. D1SPLAYASREQU.IRED:B( - ._�..- FLORIDA. - : • . DEPARTMENT OF.'BUSINESS AND PROFESSIONAL; REGULATION • CONSTRUCTION INDUSTRY LICENSING :BOARD.: SEQ# L1o:o7270ag7x DATE r�ATCH NUMBER LICENSE' -NBR . " • 07/27/2010 1000.4.6007-.... CCC1329385 The ROOFING:. CONTRACTOR •Named below'. IS.CER.TIFIED Under the` •provisions of _;Chapt_er = Expiration date.: AUG 31, 2012 • ! MOURTOS KENN .TH A GTO .BtLtLDERS ::LLC 3 6..0 • °BLANCA;:AVENUE ' • TAMPA • FL 33606 • O-V CHARLIE CRIST CHARLIE LIEM.' GBRNOR. .: • SECRETARY D.f.SPLAYAS REQUIRED LAW :; £.d d8Z :Z0 L L LZ Uef Office 813.253.3555 ' ig �4 ,1 =.> Fax 813.253.3552 C � ♦♦ � ?� �� �� 2108 W. Bristol Ave. Tampa, FI. 33606 • r �. _" _ ' � • Cortr act or IicwseCGC1509471, O.C1224364 Fax Cover Sheet To: Jackie Date: 1/27/2011 Company: City of Zephyrhills — Building Department From: Ken Mourtos Fax Number: 813- 780 -0021 Re: City Certification Here is my information,1 hope it works. Please call me with any questions, Ken Mourtos. (813)927 -4868 Thank You, Ken Mourtos d8Z:Z0 . l LZ Uef �� Office 813.253.3555 , � il � ►± s4 � :114 ' , . ' � �� Fax 813.253.3552 lk ... is ��+ g� �` 2108 W. Bristol Ave. Tampa, FI. 33606 R 7 _ �T � � _ NIP CZntr act or Iiceise0GC1509471,GJC1224364 N4 .:r 1/27/2011 City of Zephyrhills — Building Department 5335 8th Street Zephyrhills, FL 33542 Dear Sirs: This is to authorize Kenneth Mourtos (license holder) is approved to sign and pick up permits. Business Name: GTB Builders, LLC Business Add: 2108 W. Bristol Ave. Tampa, FL 33606 Phone: 813 -253 -3555 Fax: 813 - 253 -3552 Signature: , ,, , PSI • Kennet Mourto STATE OF FLORIDA COUNTY OF pitLsbatin* t Swom to (or affirmed) and subscribed before me this Z1 day of 141) , 20 r I , by (name of person making statement). `�"" - KaTHYRIVERA Notary Si ature MY COMMISSIION! r DD 902593 • ` EXPIRES: July i1, 2013 ja, %Wed Thu Notary Public UMenomen Personally Known X OR Produced Identification Type of Identification Produced Z.d d8Z :Z0 L 6 LZ Uef STATE OF FLORIDA cfr '� ?'° DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION F ' ' 4t4ic t - t? ELECTRICAL CONTRACTORS LICENSING BOARD (850) 487 -1395 'a` t .: • 1940 NORTH MONROE STREET coo ; � TALLAHASSEE FL 32399 -0783 . ` �_ Mo-X RYAN, JOHN S JOHN RYAN COMPANY INC 149 CAMELOT DRIVE PLYMOUTH MA 02360 Congratulations! With this license you become one of the nearly one million * r t �, 7 .: Floridians licensed by the Department of Business and Professional Regulation. =+ ^� a � - M ` ` . 4.,741-0-,_,,11, r� ' ; .r °c�.` , 1 `� r . F ' , Our professionals and businesses range from architects to yacht brokers, from boxers to barbeque restaurants, and they keep Florida's economy strong. . - ..., „. - a s - ov 1 , ,� - ' J > j_ Every day we work to improve the way we do business in order to serve you better.: j ,i ` . ,_ ,„ f `! ' - For information about our services, please log onto www.myfloridalicense.com. ,.t i ± ` '- fr : ,3 ▪ „ `r A .` 6,`)T There you can find more information about our divisions and the regulations that N , - , al ar impact you, subscribe to department newsletters and learn more about the ( rx r� r}' � , ; ; I! , � ,, r x f, , } Department's initiatives. + ti r d ,it „„A Ir t r 'r'i ; j � r )tYty7 rr x* t ' r 1 z.,4_ t �. Our mission at the Department is: License Efficiently, Regulate Fairly. We Y ` �, r . -� ; t,# ti , � , � c � ”` r s � � .,, -' .�.� 1 constantly strive to serve you better so that you can serve your customers. ` -} h--r � ° b WE t . . `'' ��k>/; Thank you for doing business in Florida, and congratulations on your new license! �,� a , - i r , , ,, t es '- tt z!.,64,-..i....,,,,,..,‘,',4 G�Rt nt � Y._ ��t � F : ,.x.. �`jY,;'e, .. �.tj:.' ;., i t . ,r . ,. r a y v ,r ,. y DETACH HERE { t g,- '''Li-61.;.:t. t- f', 3yk1 - - - J' � 4 ..W3_, ) l fi+1: 3r '+ii1' �'i • of .t�� '`ly,� ' . �, t‘�Y� t 4 , f „ , \��, �If te. 'rlrr ` r flc r`'` , �J 4�'s'y ,� � !�+� ^ �l v a, 1+ - !-v'`J x i t i`' ('� l�'Jf��" <��, „ _ ;... , l, $.' ti k r i- ,. , " , a' ,.+ °1� 'C ! T v r E ? a �' •c etil • f .,'i, t 't w L , q i . } ' g ' i .. `�,}�tr }} % ` = l '� i _ WI . a� C ® •F �,>t r „� ' t# *? �rt�r. ads` } t )j 3 ; )31, � 1# )` T- ?,,".��` . a: r Y � . ", V ' � ,n-A," •ry.. 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JOHN RYAN C O A A , INC. 888.230.9650 Toll Free j�/ ` 508.732.4135 Fax January 27, 2011 City of Zephryhills Building Dept 5335 8 St Zephryhills FL 33542 813- 780 -0021 fax 813 - 780 -0020 To Whom It May Concern: This letter serves as permission for Ted Londos to apply, sign for and pick up any electrical permit for John Ryan Co Inc under John Ryan's electrical license. Any questions can be directed to my office at 888 - 230 -9650 Regards, 4an nt • ary Pubh . LA. �'� _ , 1 Patrick Duffin My notary expires 3/29/ 14 County of Plymouth , t .. , pia State of Massachusetts ) thi Commission boos 14 149 Camelot Drive • Plymouth, MA 02360 - 5500 South Tampa Ave. • Orlando, FL 32839 www.johnryanco.com ,t, Atitct .144:Aeziam suoiltatatio00 4,4fx 7.7 'AO „ _ arl K. Wood, Tax Collector Local Business Tax Receipt Orange County, Floric s 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 01 iful authorities. This receipt is valid from October 1 through September 30 of receipt year. Delinquent penalty is added October 1. ** *ORIGINAL * ** 2010 EXPIRES 9/30/2011 1802- 0613329 1802 CERT ELECTRICAL CONTRACTOR $30.00 1 EMPLOYEE : 5000 BUSINESS OFFICE $30.00 1 EMPLOYEE TOTAL TAX $60.00 RYAN JOHN PREVIOUSLY PAID $60.00 TOTAL DUE $0.00 JOHN RYAN COMPANY INC 149 CAMELOT DR PLYMOUTH MA 02360 1801 CLACTON DR (MOBILE) U - ORLANDO, 32837 PAID: $60.00 99- 486536 9/20/2010 arl K. Wood, Tax Collector Local Business Tax Receipt Orange County, Floric s 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 01 ,ful authorities. This receipt is valid from October 1 through September 30 of receipt year. Delinquent penalty is added October 1. ** *ORIGINAL * ** 2010 EXPIRES 9/30/2011 1802 - 0613329 1802 CERT ELECTRICAL CONTRACTOR $30.00 1 EMPLOYEE : 5000 BUSINESS OFFICE $30.00 1 EMPLOYEE �6E Cp j RYAN JOHN vi, r TOTAL TAX $60.00 0 1� PREVIOUSLY PAID $60.00 TOTAL DUE $0.00 / ;" IliCk ( / j14°91-1 N RYAN COMPANY INC CAMELOT DR PLYMOUTH MA 02360 1801 CLACTON DR (MOBILE) 4 U - ORLANDO, 32837 L ORIV PAID: $60.00 99- 486536 9/20/2010 This receipt is official when validated by the Tax Collector. 1 ,. STATE OF FLORIDA . •F DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION , . µ .4, - '' -- CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487 1395 • '" 1940 NORTH MONROE STREET "o +"'°~ TALLAHASSEE FL 32399 -0783 SKOW, DONALD R JOHN RYAN COMPANY INC 149 CAMELOT DRIVE PLYMOUTH MA 02360 • Congratulations) With this license you become one of the nearly one million �' ,i�.• „ #,, • ,�, f } p c� . � ;t Floridians licensed by the Department of Business and Professional Regulation• !..,,.t:,,,:, '' d _ - . .,,_` , . }. :+ r,; Our professionals and businesses range from architects to yacht brokers, from � t' •.. , = qtr ' " ; boxers to barbeque restaurants, and g e keep Florida's economy 'r .c`�c YP: • w'I'- �. 'a . y ' '0 '� ° '�' �" 1 � : 4 1 c tit t q nd th y k p n mY strong. ,,� i 1 - 1' t _ _'.. - - �' �``' l}� : �i; Every day we work to improve the way we do business in order to serve you better r ' -- j.; ,° ' { ' a ; ; , : �gir ,' For Information about our services, please to on www.myfloridalicense.com. ; :- _ -'- : - � ' "`� '"' ` There ou can find more information about our divisions and the re ulations that t '•- • ' t , ,- H 's� . $ ` 4 , , . . , 1`. ! " , , ; , , i w (' i< impact you, subscribe to department newsletters and learn more about the '417 - at • . , , ,. ., , Lil l'I ' ` a +' '} �A' fI , x ' t c Department's initiatives. r.;' (; `.� 0'.1 ' '5 4 ' • Y til� i {l , ; 60 )A f! e r - ' '‘ , 1 ' zl-�, 1,,11); : _• k1 - • Our mission at the Department is: License Efficiently, Regulate Fairly. 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Pasco County Parcel: 35 -25 -21 -0010- 08800 -0000 001 (� U Page 1 of 2 2� 0 t I Data Current as Of: II Weekly Archive - Saturday, January 22, 2011 Parcel ID II 35- 25 -21- 0010 - 08800 -0000 (Card: 001 of 018) I Classification II 16 - Shopping Center Community Mailing Address Property Value TOWNVIEW RETAIL LLC Ag Land $0 C/O STOLTZ RE PARTNER LLC Land $2,314,335 725 CONSHOHOCKEN STATE RD Building $2,673,902 BALA CYNWYD PA 19004 -2102 Physical Address - See All 20 addresses (First Extra Features $133,656 Shown) Market Value $5,121,893 7252 GALL BLVD Assessed (Non - School Amendment ZEPHYRHILLS FL 3354 - - - -- 1)i $5,121,893 Legal Description ' (First • 1 s) -- ZEPHYRHILLS CONY CQ N It PB ---- xable Value $5,121,893 t b 1 A 1 PG 55 POR TRS 73 :8 & 8 & POR OF LOT 8 PASO MEDIC L \ 7 ARTS CENTER PB 23 'G 24 BEI G // I Land ' - tai Card: 001 of 018) Line II Use I Descriptio 1 Zoning 1 �fy Type ` 1 Price 0 Condition II Value 1 1600 SHOPRNG 00C2 ,00 ` MIM $305,000.00 1.00 $1,525,000 CT SHOPNG 2 1600 CF43 00C2 Mil - AC $305,000.00 0.65 $789,035 3 1600 SHOPRNG 00C2 30,000.00 SF $0.01 1.00 $300 CT I Additional Land Information I I Acres II 9.67 II Tax Area II 30ZH II FEMA Code II X ',Commerical Codell SITE2C2 I I Building Information - Use 16 - Shopping Center Local (Card: 001 of 018) I Year Built 1990 Stories 1.0 Exterior Wall 1 Concrete or Cinder Block Exterior Wall 2 Common Brick Roof Structure Steel Frame or Truss Roof Cover Built -Up Tar and Gravel Interior Wall 1 Drywall Interior Wall 2 None Flooring 1 Carpet Flooring 2 None Fuel Electric Heat Forced Air - Ducted A/C Packaged Roof Top Baths 2.0 Line II Description II Sq. Feet II Repl. Cost New I 1 II 480 II $40,147 I 2 I) SDA II 2,320 q $388,090 I 3 I� CAN II 320 II $16,059 Extra Features (Card: 001 of 018) Line I Description 1 Year Units I Value 1 ( SPRNKFP I 1990 2,800 I $3,325 2 I PAV ASP 1 1990 229,400 I $46,454 3 I CLFENCE I 1990 4,353 I $1,535 4 I DWC 1 1990 12,579 1 $4,717 5 LIGHTDM I 1990 6 I $4,320 6 I LIGHTSM I 1990 3 I $1,913 7 I 12BW 1 1990 720 1 $1,110 8 I PAV CON 1 1990 11,200 1 $4,200 9 ( SWC I 1990 4,290 I $1,609 http: // appraiser. pascogov. com / search /parcel.aspx ?sec= 35 &twn= 25 &rng =21 &sbb= 0010 &b... 1/24/2011 Jacqueline Boges To: Richard L. Johnson C j �— Subject: ADDRESS VERIFICATION I) It- J (/ L HELLO RICHARD, MY NAME IS JACKIE I WORK AT THE BUILDING DEPARTMENT INSIDE CITY OF ZEPHYRHILLS I AM VERFIYING THAT AN ADDRESS WAS GIVEN FOR THE PARCEL # OF 35- 25 -21- 0010 - 08800 -0000. THERE IS ARE MULTIPLE ADDRESS CURRENTLY AT THIS LOCATION THE ONE ADDRESS I AM REFERRING TO IS 7320 GALL BLVD THERE WILL BE TWO SEPARATE BUSINESSES AT THE LOCATION A SAVE 0 LOT AND TJ MAXX. NEED TO KNOW THE ADDRESS FOR TJ MAXX. THANK YOU 1` ..� y C Jackie Boges Code Support Specialist f ext. 3513 `Z � O L LIAP 113 3 26 (,4I/ a.D Client#:635450 JOHNRYAN2 ACORDT. . CERTIFICATE OF LIABILITY INSURANCE DATE 01/27/20 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. 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). PRODUCER CON (ACT NAME: USI Insurance Svcs of NE, Inc. PHONE 603 625 -1100 FAX PO Box 6360 ac, NoIL , Exl►: (ac, No): -MA ADDRESS: Manchester, NH 03108 -6360 PRODUCER CUSTOMER ID #: 603 625 -1100 INSURERS) AFFORDING COVERAGE NAIL # INSURED INSURER A: Liberty Mutual Fire Insurance C 23035 John Ryan Co. Inc. INSURER B : Marketing Application Only 9999 149 Camelot Dr INSURER C Plymouth, MA 02360 -016 INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMBS LTR INSR NVD POLICY NUMBER (MM /DD/YYYY) (MM/DD/YYYY) A GENERAL LIABILITY Y Y YY2Z11259309039 12/23/2009 06/23/2011 EACH OCCURRENCE $1,000,000 DAMAGE TO X COMMERCIAL GENERAL LIABILITY PREMISES Ea ence) $1,000,000 CLAIMS -MADE X OCCUR MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $2,000,000 — 1 POLICY X WI : LOC $ A AUTOMOBILE LIABILITY Y Y AS2Z11259309029 12/23/2009 06/23/2011 COMBINED SINGLE LIMIT (Ea accident) $ 000.000 X ANY AUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE $1,000,000 X HIRED AUTOS (Per accident) X NON -OWNED AUTOS $ _ A UMBRELLA LIAB X OCCUR Y Y TH2Z11259309069 12/23/2009 06/23/2011 EACH OCCURRENCE $5,000,000 EXCESS LIAB CLAIMS -MADE AGGREGATE $5,000,000 DEDUCTIBLE $ X RETENTION $ 10000 $ B WORKERS COMPENSATION Y WC7Z11259309019 12/23/2010 12/23/2011 X WC STATU- N OTH- AND EMPLOYERS' LIABILITY TORY LIMITS FR ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? © N/A (Mandatory In NH) E.L. DISEASE - EA EMPLOYEE $1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Zephryhills ACCORDANCE WITH THE POLICY PROVISIONS. Building Dept 5335 8th Street AUTHORIZED REPRESENTATIVE ZEPHYRHILLS, FL 33542 - 41 © 1988 -2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009/09) 1 of 1 The ACORD name and logo are registered marks of ACORD #S5259185/M5121419 DJPCA 35 LEGAL DESCRIPTION FOR PROPERTY 'ID: 35 2 5 5 2 1 1 0 01 0 01 0 0 001 1 I illlll 01110111 Hill1110IIUI 0111 01111111101111101111 * ** 2011014218 ZEPHYRHILLS COLONY COMPANY LANDS PE 1 PG 55 PART OF TRACTS '72 a 73 DESC AS COM AT NW CORNER OF SW1 /4 TH S89DG 51' 40 "E 663.35 FT TH SOODEG 09' 03 "W 25.00 FT TO SOUTH R/W OF PRETTY POND RD FOR POB TH SOODEG 09'03"w 571.33 FT TH Rcpt : 1348011 Rec : 10.00 N89DEG 50'57'W 154.33 FT TH NOODEG 09'03 "E 65.00 FT TH N89DEG 50'57"W 305.23 FT TH NOODEG 09'03 16.33 FT TH DS: 0.00 I T : 0.00 N89DEG 50'57 "W 188.54 FT TO WEST LINE TRACT 73 TH NOODEG 01/28/11 C. Cook, Dpty Clerk 07' 20 "E 329,86 FT TO A POINT 185.00 FP SOUTH OF NW CORNER OF SW1 /4 TH 089DEG 51'40 "E 200.00 FT TH NOODEG 07'20 "E 160.00 FT TO SOUTH R/W LINE OF PRETTY POND ROAD TH S89000 51' 40 "E 448.35 FP TO POB AKA KMART *3761 LEASE PARCEL SUBJECT TO AN EASEMENT FOR PUBLIC UTILITIES PER OR 1928 PG 1570 & OR 1808 PG 676 OR 7642 PG 342 PAULA S.O'NEIL,Ph.D.PASCO CLERK & COMPTROLLER NOTICE OF COMMENCEMENT 01/28/11 02:06 m 1 of 1 OR ex 3507 PG 3379 Permit No Property Identification No. '35 - 25- Z, i - ao w -072.00-000 g �0 THE UNDERSIGNED hereby v 4 es 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. T.. 1. Description of property (!» . ;} a} Street Addaess: . . * --. 01 M111.11[011 ,1 911FAMTIMINUMPSIM. 2. General description of mtpmvemeats: 'caw( Up v'F' .>F pvw swat e - rw. a to ., a f- cast-11 3.Owner Information a) Name and address; h,LItAYIe;#4 l _ LI r 7?r Cc.nrLoLuckw _ Shit . 84.6 Cnyw P. b) Name and address of fee simple titleholder (if other that owner) c) Interest in property Owner WON R 4. Contractor Information 94 CAM &c..0 1 04, a) Neme and addrestrTO 14 I RYAN C,oNIPAr(Y S ol L r (DOlU C *A/) �j .(M o rrl4 Nra- , 01.340 b) Telephone No.: c _ Ir e _14 I " ' 0 Fax No. (Opt-) 5 73 z - `(13 S 5. Surety Information a)Name and address: b) Amount of Bond c) Telephone No.: Fax No (Opt) 6. Lender a) Name and address: t' ((s Fr-,. r /'T AT W,'i!r✓ /�.-r, A.- 4 . iv. '4 .7(P 1 re "Awed , r.. r�9es ' a Phone No 7. Identity of person within the State of Floridadesignated by owner upon whom notices or other documents may be served: a) Name and address: Cr- PerSf - Pryev..cr re ✓vi c e b) Telephone No.: Fax No (Opt) 8. In addition to ttimaelt owner designates Ibe following person to receives copy of the Lien' 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 (thee expiration date is one year from the date of reconfing 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 CRAFTER 713, PART 1, SECI101' 713.13, FLORIDA STATUTES AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND PO''' ED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCIN a ... OUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE O +�` ` MT. STATE OF napalm ? 4 - c . oautcrroP.RtseO rytN. a ..+ 7 Si ,.. •,t'''.*,,opeaset's.AuthoriseelOISesuDirectortattneriNgasafer Stephen Lewis, AtithaizeciperlS011 The foregoing instrument was acknowledged before me this of yJOSl 2Oj j by n as r3�1J (types trthority,e,g,offtcer. attorney in fact) for t (name of party on behalf . . ' ,- !LAW, , was Personally Known x OR Produced Identification Notary Signature l $ • . R , ? •--- �i�i7 0 Type of Identification Produced Name (grin .1 riiiirc _ . & A 0 a Verification pursuant to Section 92,525, Florida Statutes. Under penal `: \ . ,1 declare that I have red the foregoing and that are the facts stated init atruetothe best ofmy knowledge and belief ` � j ST.; • F FLORIDA, COUNTY OF PASCO � _ ► TIFY THAT THE FOREGOING IS A tommanc..mi' Signature . " New; ' Si r ' a • ' •' • • THE DOCUMENT NOTARIAL SEAL ON FILE OR OF PUBLIC RECORD IN THIS OFFICE SALEETA LEWIS -POPE JJ MY HAND ' ND OFFICIAL SEAL THIS+ Notary Public _ - k • DAY OF I , 2 0 // LOWER MEMOS TWP ., MONTGOMERY COUNTY PAU S. O'NEIL, #LE K & CO PTROLLER My Commission Expires Feb 22.2014 BY 1 A.,,_ C D1 Pu - I " Y CLERK Jacqueline Boges To: Sandy Errington Subject: RE: CHECK No have not received the NOC. I also gave Ted a NOC to file. Thank you for getting back with me From: Sandy Errington fmailto :sandy Sent: Thursday, January 27, 2011 4:52 PM To: Jacqueline Boges Subject: RE: CHECK Hi Jackie, Yes, you can still go ahead and use that check to cover the permit expenses. Can you also advise if the NOC was submitted to you yet. I asked our permit runner to bring it there a couple of days ago. Let me know at your earliest convenience. Thanks, Sandra Errington Project Manager Barr Architectural Studio The Design -Build Company Architects /General Contractors 5011 South State Road 7- Ste 107 Davie, FL 33314 Cell # (954) 708 -8663 Fax # (954) 212 -2962 Original Message From: Jacqueline Boges fmailto :jboges(aci.zephyrhills.fl.usl Sent: Thursday, January 27, 2011 3:25 PM To: Sandy Errington Subject: CHECK HELLO SANDY, MY NAME IS JACKIE I'M HERE IN THE BUILDING DEPARTMENT OF CITY OF ZEPHYRHILLS AND I HAVE A CHECK YOU MAILED TO US FOR A PERMIT FOR TJ MAXX . Check # 6102 amount of $375.000 My Understanding is that another contractor will be taking over the job who is John Ryan . Now do I still use this check to pay for the permit even though this other company is taking over the project? Jackie Boges Code Support Specialist ext. 35 1 Jacqueline Boges To: Sandy Errington Subject: RE: CHECK Greetings Sandy, I just got off the phone with your runner this morning and explained to him that I could not use the NOC that your company have. I thought about it upon leaving to go home last night after I got off the phone with you. Now we have John Ryan Co on the permit he would need to pull a NOC showing his company on the NOC as the contractor. Sorry for the inconvenience . Thanks Jackie From: Sandy Errington [ mailto :sandy@barrarchitecture.coml Sent: Thursday, January 27, 2011 5:04 PM To: Jacqueline Boges Subject: RE: CHECK I just called the permit runner too in reference to getting you the NOC. I left a voicemail. I'll call you back in the morning to let you know when he will be coming to drop that off. Thanks for your assistance! Sandra Errington Project Manager Barr Architectural Studio The Design -Build Company Architects /General Contractors 5011 South State Road 7- Ste 107 Davie, FL 33314 Cell # (954) 708 -8663 Fax # (954) 212 -2962 Original Message From: Jacqueline Boges f mailto :jboges @ci.zephyrhills.fl.usl Sent: Thursday, January 27, 2011 4:56 PM To: Sandy Errington Subject: RE: CHECK Thank you for getting back with me From: Sandy Errington (mailto :sandy @barrarchitecture.coml Sent: Thursday, January 27, 2011 4:52 PM To: Jacqueline Boges Subject: RE: CHECK Hi Jackie, Yes, you can still go ahead and use that check to cover the permit expenses. Can you also advise if the NOC was submitted to you yet. I asked our permit runner to bring it there a couple of days ago. Let me know at your earliest convenience. 1 Thanks, Sandra Errington Project Manager Barr Architectural Studio The Design -Build Company Architects /General Contractors 5011 South State Road 7- Ste 107 Davie, FL 33314 Cell # (954) 708 -8663 Fax # (954) 212 -2962 Original Message From: Jacqueline Boges f mailto :jboaesCaci.zephvrhills.fl.usl Sent: Thursday, January 27, 2011 3:25 PM To: Sandy Errington Subject: CHECK HELLO SANDY, MY NAME IS JACKIE I'M HERE IN THE BUILDING DEPARTMENT OF CITY OF ZEPHYRHILLS AND I HAVE A CHECK YOU MAILED TO US FOR A PERMIT FOR TJ MAXX . Check # 6102 amount of $375.000 My Understanding is that another contractor will be taking over the job who is John Ryan . Now do I still use this check to pay for the permit even though this other company is taking over the project? Jackie Boges Code Support Specialist ext. 35 2 01/27/2011 16:58 508732 4135 JOHN RYAN COMPANY :5315 P.001/001 Abbreviated Form of Agreement Between Owner and Contractor For Construction Projects of limited scope where the basis of payment is the Cost of the Work plus a Fee with a Guaranteed Maximum Price THIS DOCUMENT HAS IMPORTANT LEGAL CONSEQUENCES; CONSULTATION WITH AN ATTORNEY IS ENCOURAGED WITH RESPECT TO ITS COMPLETION OR MODIFICATION. This document included abbreviated General Conditions and should not be used with other general conditions. It has been approved and endorsed by The Associated Contractors of America AGREEMENT Made as of the 12 day of January, in the year of Two Thousand and Eleven. BETWEEN • The Owner: Townview Retail, LLC 725 Conshohocken State Road Bala Cynwyd, PA 19004 • and The Contractor: John Ryan Company, Inc • 149 Camelot Drive Plymouth, MA 02360 The Project is: TJ Maxx Start Date is: 1/17/2011 The Architect is: Zephyrhills Fire Rescue 6907 Dairy Road. Zephyrhills, FL 33542 Fire Marshal Bus (813) 780 -0041 Kerry Barnett Fax (813) 780 -0044 E -mail: kbarnctt@tirc.zephyrhills.fl .us Plan Review #: 10 -155 Project: Fire Rated Wall Number of Pages: 4 December 21, 2010 I have received and reviewed the plans for the fire rated wall separating the two tenants located at 7320 Gall Blvd and will allow the project to move forward. Paying for permit, contractor acknowledges complying with any comments listed below. Should anyone have any questions, please do not hesitate to contact the Fire Marshal's office. 1. Only 4 pages were submitted out of the plan index, therefore no other construction shall take place other than the rated wall. Inspections: 1. Screw inspection shall be conducted prior to tape and mud 2. Final , KERRY 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. ZEPIYRHILLS FIRE DEPARTMENT 6907 Dairy Road, Zephyrhills, FL 33542 1 ite Chief belch Williams Bus (813)780 -0041 Fax (813)780 -0044 ARE SERVICE USER FEES Occupancy No.: Plan No.: / /S1S' Contractor: ,-r- 'Q,, h,- /ec7k r- 5) , Business Name: • 7" /Y1ia k V' Billing Address: ie // S, flaic , 7 9 /D 7 Business Address: 732 e,;o 4v , e , f-.. 3 - 3 . V , 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 Multi Family /Comm r i .06 sf — 1st Re- inspection N/C — Standpipes 2nd Alarm N/C $50 ( nimum Charge $25.0 _ 2nd Re- inspection $100 _ Fire Pump 550 ~ 3rd Alarm N/C 0 Plan Revis o 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 — r 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 El Per Riser $50 = Hydrostatic Test $65 per syste Fire Works $500 FIRE PUMP _ Acceptance Test $45 per system _ Camp Fire $25 E i 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 5100 System Acceptance $50 _ ~ Fire Protection $25 SUPPRESSION SYSTEMS — Recall Acceptance $50 Flammable Application $50 Annual Wet $50 OTHER y L ~ Waste Tire Storage $50 Annual Dry 550 Fire Wall /Smoke Wall $15" per wall ~ _ Generator < KW $100 CO2 550 LP Gas $25 per tank _ Generator >30 KW 150 Other 550 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 530 Fuel Tank Installation $50 System Acceptance (Per Tank) $50 ^ Exhaust Hood /Duct $30 — ❑ Natural Gas Installation $50 Re - inspection DBL (Per System) (other than annual) 0 Spray Booth 550 0 Inspection scheduled DBL _ and cancelled less than _ 24 hours _ Construction Insp. N/C y le _ Emergency Vehicle Acs $50 FALSE ALARM PLANS TOTAL IO2 INSPECTION TOTAL I Yu t PERMIT TOTAL I TOTAL L_ GRAND TOTAL 771 Comments: Date: /2j2/ 7/0 InsHlgrctor: t L -i v'/7 - fli OR BK 8403 PG 964 14 o f 26 ( E'XII1131T 11 TOWNVIF,W RETAIL PROPERTY . . - . ' • . , . . te 01 64 62 t° 197 4 32 4? 32 Fahlbli A A per** .1 as w ifl or Ike V L'I 0 I 1., SW 1/1 it Soda* 'Y0.11014 :1 Swig KIN' zi EA...kings; al". "anima olTra.cs 71.11. &RAO .i0!1 COLIMCY CO tan a solormroir, ag restroti NI rot Awsk 1,71, 34, Naar Maw' a si laAr• Comissi, 11./16, Wog a*. a todesat.e i, rAsr-o wwir-As.raal ttosZto. miair i• rim leo% U• l'IS 34, Oak Iterentt saxes Csam,ilarits,1**1 moor frinaloiy oriatiliaim tell■wil C4�.u' si dr rehlot fa wow 4 tioiSW Ha 4 Lair S.(111635, l'f.vilalp.ofigattlif us. L ern* T-Aaukamo. • Tao um •■ aim va o ow w in 0 tb* SW U4 at WA for0 16, du... akilawialissiev..1.44 As ...MK 41T , s ,1413 . 73 . ti ..1 S. 14 / 03 PH is 1114 frail. dita.starty Sit 'Or tan& 1.4 In . roar or a Loocroic, dams egotism & WOPI3•W.,11431.1.41.0. Wan Ivor* asli liar K. 8113 h . sr tw k s. . w. w ..it ir i rro n jiumo.: 7;witru.. to ir: oLuo sro•rrar tr, Woo ...e. er.t. ii. tr14" W.:01 tm, Amu 1., Orirlirlii., 261 ai r oe, oil di I Kant iislai-s lmay Vie 4 Keili. 1114k ii Mawr, Ilowas .1.1 old Us :I. v ii W.,113.114sti.,as *slaw t1110.1-Kay liar 4,1 it& Wilmer ,111.01,sses Awl asiii slags my, warfare ta as Wali yid 'taw sfS7SisisiiIncebsriliasits; K.lieligr W. . Titil Oiti, esalag al Aosta lata elort-ww, as &1101 1...,111,11 hal. Moon K. wt. Ir. Mai Sat *Mull 3 as1/ N. Erfrir 1,-, 113.14 lei,lese leobn 1.. id I* & 0 r- 3 64 $ 04141 14 WPita" E. 1404111 ha “ At seed* A& 4r b.r a rti Of 3 1404, , Os.ser al.* omits. 3 - lir3 C.-, 443.4 lot Is Oa 10INT Or SECK . . . „ ■ . 1 . i Toorriarx orni dist torlaLownarM sa sii lank k OW mule LIONN41.% DA IOW raaoallismm sot ratini imilehy sa11111t14.2411sils 1 asal1134, • Volts4 1.4.41137 Ca .7 My alui Cam 1 Ur., i MOLL Cwt. toil.L. . . . - . 1 Ocsceipdon: Posco,Fl- Document - Bookra go 6442.1043 Page; 32 of 32 Onler: 108888088 comment- . . A-14 m City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: i3 r rr 4' OA) `k G 1 ` r 11 ` Date Received: l 2--11 ( u Site: - 7_32-0 G /1 C B ! V D Permit Type: ,1 s c.& )ce_.Q -e —J-- ;,tp-€4--ck ce-S 50.v- 0 -1b)1- "6 j oVl )CfC ' t) Approved w /no comments: Approved w /the below comments: ❑ Denied w /the below comments: ❑ This co ent sh- , s .11 be kept with the permit and/or plans. Alle il 1° K., vin • ze Plans Examiner Date Contractor and/or Homeowner (Required when comments are present) BAR R rc h i to ctu ra l i c The Design -Build Company Admitted in; LA Lic.# 6684 NY Lic. # 032101 VA Lic.# 0401 014247 PA Lic.# RA404159 GA Lic.# RA012017 AL Lic. #6381 WA Lic. #9425 FLA Lic. #AR0016160 Date: December 15, 2010 City of Zephyrhills 5335 8` Street Zephyrhills, FL 33542 Re: Future T.J. Maxx Space Project Address: 7246 -7422 Gall Blvd. Zephyrhills, FL 33541 To: Building Department Official Please accept this document as a formal "Letter of Authorization" on my behalf. The purpose of the letter is to authorize Brian Tully to act on my behalf in terms of submitting/ signing permitting applications and paperwork associated with the above named project. He is also authorized to pull the permit once the review process is complete and the permit approved. If you should have any questions, please feel free to contact this office at the number indicated below. Sincerely, Ro ald Barr, A.I.A President Cell #: 954- 274 -9438 Fax #: 954-212-2962 Architecture • Construction Management • Planning • Interiors 5011 SOUTH STATE ROAD 7, SUITE #107, DAVIE, FLORIDA 33314 TEL (954) 418 -BARR FAX (954) 212 -2962 AR0016160 • CGC1504430 a? „. PERFORMANCE BUSINESS PRODUCTS. INC. 813-719-8008 FAX 81 371 9 -791 9 CITY OF ZEPHYRHILLS ZEPHYRHILLS, FLORIDA WATER ACCT. NO. DATE 2 if - f / OWNER / RENTER ! v w n vI &L ' 1 LLe MAILING / 2 5 ( 6 il 6 /I ° 11 o l "J -lrl ( ea. 1 a C. y a w y I -P lA- 1 9 o 21r) SERVICE ADDRESS G /'tl l 1 ! / J �J - 7 `,2' WATER (/ SHUT OFF SERVICE DP ❑ SEWER 04'6 TURN TURN ON SERVICE ❑ V / ` �� afit El GARBAGE d �\ /( I r' INSTALL METER , IN CITY �,� 7 / READ METER ❑ . l 6 v ❑ OUT CITY ., (I t / CHECK METER ❑ 4, , e ( / No. OF UNITS 't_y OTHER ❑ fil 1 o DEPOSIT AMOUNT AMOUNT LAST BILL c ( �-� / r " DATE ?eiz me MISC. CHARGE kW/ I /3� t/ / . 1n x i. 4y4t, WORK COMPLETED BY ORDER TAKEN BY & DATE COMPLETED A • . Pr...1641r / - ORDER GIVEN BY /A, 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. y i721,- -, ,; STATE OF FLORIDA , -:.. ''x'' : M DEPARTMENT OF BUSYNESS AND PROFESSIONAL REGULATION `F* � . • ' y - o'` , :' ' CONSTRUCTION INDUSTRY LICENSING BOARD (850) 487 -1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399 -0783 BUSTO, JASON R BUSTO PLUMBING SERVICES INC 1702 W SAINT LOUIS ST TAMPA FL 33607 -2043 ' ; J .,.l10 %-Seel Cr,.la- `'- :y:..�'f. , . •.!: ":,, ' < ✓. Congratulations! With this license you become one of the nearly one million � ' ` " ` ' "'" `'% ° ` . +" '�: Floridians licensed by the Department of Business and Professional Regulat ! * : ,, : h:Y '. .- - _ �, s, , v r : ' , .. ? ,; ; ' �;rg?: • Our professionals and businesses range from architects to yacht brokers, from : , b+. • `,y , , � g ' •i , ,,, i,,,.� . Ftir;•.:t'r • boxers to barbeque restaurants, and they keep Florida's economy strong. �'4 \ '' %`;: r,i: ''.a3: s, )• r y % L A i '� 9 ;,.. . '., ,/: r � 1 ,: S y Every de we work to Improve the way we do business in order to serve you better. + ;.r- ?,,., 1 . f r : . n ':_ - ,:, :;,:; For Information about our services, please log onto www.myfloridalicense'com, 1t ; N d a , =�+ „ ` Yom:. •' There you can find more information about our divisions and the regulations that '' 4 a ', • ' ;` '� : impact you, subscribe to department newsletters and loam more about the �(. �� �� 1 a • ' `I a: ". • Departments initiatives• rl'!) a , , " " , ^ -• ; ; r •; �1;7, ? ! �A ,,• J i " 1 , x.eti�� - ' . .4:, 1, t• •• _ +� iy f' i• "^ Our mission at the Department is License Efficiently, Regulate Fairly. 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