HomeMy WebLinkAbout11-11495 CITY OF ZEPHYRHILLS `�
' 5335 - 8TH STREET
(si3)�so-oo20 11495
' � BUILDING PERMIT
Permit Number: 11495 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: 352,083.00
Date Issued: 3/02/2011 Name: TOWNVIEW RETAIL LLC
Total Fees: 16,419.45 Address: 725 CONSHOHOCKEN STATE RD
Amount Paid: 16,420.35 BALA CYNWYD PA 190042102
Date Paid: 3/02/2011 Phone: (610)667-5800
Work Desc: REMODEL SPACE FOR TJ MAXX 25,117 SQ FT 2ND BUILDOUT
,, . � .
B.C.D. AIR CONDITIONING & HEATIN PLUMBING FEE " 186.60 MECHANICAL FEE ` 130.62
NORTH RIVER BUILDERS 8 PROPERTY SEWER CONNECTION COMMERC %9,087.33 WATER CONNECTION COMMERC '' 2,898.00
HF PLUMBING 8� PUMP CO INC WATER METER 1.5 �� 1,031.10 FIRE PLAN REVIEW FEES '� 1,507.02
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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."
� CTOR ATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
�ontra /Homeowner: ' ` /" i! 5 ��K�-----
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Date Received: �' .� � '� � '�'�� �� �_
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Site: �c� �c�.� ��--�
Per��it Type: _ � j.: —� / � �`�`�
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Approved w/no comments: ❑ Approved w/the below comments: ❑ Denied w/the below comments: ❑
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This comment sheet sha11 be kept with the permit and/or plan .
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Kalvin Switzer P s Examiner Date Contractor and/or Homeowner
(Required when comments are present)
,
NOTICE OF DEED RESTRIC i iONS: The undersigned understands that this permit may oe subject to "deed" restrictions"
wtiich 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
ceRify 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
certiiy 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 8� 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 a�davit 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 requ sted, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
justifiable ca f extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned.
WARNING TO E: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWI OVE ENTS TO YOUR PROPERTY. IF YOU INTEN TO OBTAIN FINANCING, CONSULT
',7 {J�� ,, ��p WITH YOUR LE RNEY BEFORE RECORDING YOUR OT OF COMMENCEMENT.
t (ht�IiJ\C�y �w'V'�'-�lJ� FLORIDAJURA F.
s�- htn Li,,�,s , OWNER OR AGENT (/� CONTRACTOR
�� �_ y�� � _�.Subscri�s o �r ed) b fore me this � Subscribed and s om or affi e efore this
� cu 0 p� y by�..�[ ���QBU,�/e
Who is/are ersonall kn wn r has/have produced Who is/are personally nown to me or haslhave pr duced
"�-�' identification. as identification.
.0 � Olh�'r.1.07n Notary Public •� ""��. Notary Public
--�— ? COmtniSek�1 # E� b40520
Commission No. Co ' 'o
1? eonaeanr� �nffru�ar�eo9o0�3e8a019
Name of �4LafF�Q�¢TENNSYLVANIA Nam
IVorarial Seal
Sbephanie Althouse�otz, Nohary Pub�cc
UPPer Darby Twp., Deieware County
MY �nmission E�ires Dec. 5, 2011
Manber, Pennsyfvania Assac�ation of Notaries
813-760-0020 City of Zephyrhills Permit Application Fax-813-780-0021
� Building Department
Date Received Phone ConWct for Pertnittin $� 7 717 2867_ (Leslie Ford)
� owners Name Townview Retail, LLC pwner Phone Number (610) 667-5800 ext. 10
ons o oc en tate
Owners Address Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOBADDRESS 7236 Gall Blvd Zephyrhills, FL 33541 LOT# �
SUBDIVISION PARCEL ID# �� — 2� 2 I �` � U O" D B V W� � v� v
(OB7AINED FROM PROPERTY 7AX NOTICE)
WORK PROPOSED B NEW CONSTR 8 ADD/ALT � SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR � COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK Renovation of existing space to become a TJ Maxx retail store.
BUILDING SIZE SQ FOOTAGE 25 ,117 HEIGHT ��
�BUILDING $ 2T2�OOO VALUATION OF TOTAL CONSTRUCTION
�ELECTRICAL $ 33 292 AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
�PLUMBING $ �j ,796
�MECHANICAL $ t�O VALUATION OF MECHANICAL INSTALLATION
�GAS Q ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER �O � ��_�`�� � COMPANY
SIGNATURE L\ s� �� l..C. REGISTERED Y/ N FEE CURREN Y/ N
Address License #
E�ECTRICIAN �Q� �'�/�.!/� � COMPANY �
SIGNATURE �� T�`�� \ REGISTERED Y/ N FEE CURREN Y/ N
Address License # �—�
PLUMBER /� , � � COMPANY A��-T� J ��i� ��L � �`� ��
SIGNATURE ���L�� REGISTERED Y! N FEE CURREN Y/ N
Address �� /�-N ��t.� L7 License# CF�Q.'.5�bas
MECHANICAL COMPANY (,r(/ f}l�C��U �
SIGNATURE REGISTERED Y/ N FEE CURREN Y! N
Address N � • License #
C�.E CTR.1 t.1.1 1 ,
g�}r ,�, S COMPANY �A'� Qi1�N ��GC'S�1 �4L �T�R✓1G'G
SIGNATURE 'Y�� REGISTERED Y! N FEE CURREN Y 1 N
Address �' � � � � �' � ��� License # �- ��Z� �Z
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 I 1 1 1 1 1 1 I 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 Fortns; R-O-W Permit for new construction,
Minimum ten (10) working days after submittal date. Required onsite, Construdion Pians, Stormwater Plans wl 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 construclion.
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities & 1 dumpster Site Work Permit for all new projects. All commercial requirements must meet compliance
SIGN PERMIT Attach (2) sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out application completely
Owner & Contractor sign back of application, notarized
If over 52500, a Notice of Commencement is required. (AIC upgredes over E7500)
" Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERM�ITING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences (PIoUSurveylFootage)
Driveways-Not over Counter if on public roadways..needs ROW
. TJ MAXX- 7236 GALL BLVD REMODEL 25,117 SQ FT- NORTH RIVER
' BUILDERS & PROPERTY MANAGERS LLC
�
SQ. FEET PRICE
MAIN OR LIVING: 25,117
OTHER AREA UNDER ROOF• -$ 88.00
OTHER: - $ -
VALUATION $ 352,083.00
FEE SHEET $ 1,244.00
ADDRESS $ 30.00
DRIVEWAY
BUILDING: $ 1,298.88 ... ppplre4'�a � � �
ELECTRICAL: $ 279.90
PLUMBING: $ 186.60
MECHANICAL: $ 130.62
SUB-TOTAL $ 1,896.00
TOTAL ; 1,896.00
SEWER: $ 9,087.33
WATER: $ 2,898.00
IRRIGATION: $ - N/A
TOTAL: S 11,985.33
p 2a5/�z
WATER METER: $ 1,031.10 1'1/2 METER j
IRRIGATION METER $ - N/A t�'����
FIRE DEPARTMENT FEES
PLANS TOTAL: $ 1,507.02
INSPECTION TOTAL:
PERMIT TOTAL
TOTAL: E 1,507.02
PUBLIC SAFETY IMPACT FEES
POLICE
FIRE
5% $ -
TOTAL: S - N/A
SUB-TOTAL $ 16,419.45 —� �, O 3 I. �(�
PARK IMPACT FEES N/A
SIF'S:
100.0% $ -
1.0% $ -
TOTAL: NIA
TIF'S: N/A
99% $ -
1% $ -
TOTAL: $ -�-6;��3 � �:�. � L� 3 � 7� 4 �
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MAR-02-2011 11:43 From: To:7800021 P.1�2
acoRqM �ERTIFfCAT� OF LIABILITY INSURANCE °"�`�°°'"�'
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THIS CER7IFICATE tS 13SUED AS A AAATiER OF INFORMATION ONLY AND CONFERS NO RIG1�tTS UPON Tf1E CERTIFICATE MOL�ER. THIS
GER7IFICATE DOES NO'I' AFFIRIiIATIVELY OR NEGATIVE�Y AMEND, EXTEND OR ALTER THE COV�R/LGE AFFORDED 9Y THE POLlC1ES
BELOW, TFtIS CERTIFICATE OF INSURANCE DOES NOT CON5T17U1'E A CONTRACT BE7W�EN THE 13SUING INSURER(S), AUT1i0R�ZED
REPRESENTATIVE OFi Pfl00UCER, AND THE CERTIFICATE HOLDER.
IMPORTANI': If tho c�tlflcate holdrr I� an ADDITIONAL INSURED, tM0 poNcy(ies) must be endorsed. If SUB �GA ON IS WAIVEQ, sub�ect to
the terms and condiUona Ot tM6 pollcy, certsin qoltCles may r�qulro an endaroem9nt. A sta�ement on Mla cortiflcate dooe n0t confer riqhte to tha
cortNk�te h01d�r In Nsu of auch endoraament(s).
nnoouc�
Insurance dffice of America� Ync. NoE.,� :(813)637-8a77 �(813)637
4915 W. Cypress St�eet ��„ • . .. _
Taiepa, FL 33b07 ROD ,� _ _
WSUR61q8) AFFOKDI COVERAGE , N�',.!
q�9UpE0 _ p�� p�p� ; ��� � Auta-Own 10190
American Electrica7 Services of Tampa B�y, Inc INWIRERB
6408 W. Lieebaugh Avenue IN SUNERC ; _„
Suite loZ 0 0UN6RD :
Tampa, FL 33625 M,y�r�ne: .. .�
MWRERF:
COVERAQE5 QEF1'I'iFICATE NUMBER: 11-12 Master Cert FiEVl510N NUIYIBER:
THIS IS TO CERTIFY THAT 7HE POLIC�ES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE IN5URE0 NAMED ABOVE FOR THE POLICY PEfiIOD
INDICATEO. NOTWITNSTANGINp ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BH 15SUED OR MAY PER7AIN, THE INSUFiANCE AFFORDED BY THE POLICIES DESCAIBED HEREIN IS SUBJECT TO ALL TNE TERMS,
�XCL USIQNS AND CONDIT14 OF SUCH POLIC�ES. LIMITS SHOWN MAY HAVE 6E6N REDUCEO BY PAID CLAIMS.
L�p � 1YpE OF R19URAMCE p�gp y V0 POLICY IWYBER . ' p MlD YYrr ��
coi�u u�auvr BGL3301314462 0?J01IZ011 o2ro1/2012 GCM 0(iCt1MNENCE s 1, 000 � DO
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DEDUCTIS�E S
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Limit: 530,000
OESGRIPTION OF OPEfiA1'IONB / GOCATIONS ! VEMICLEB (Atuch ACOfiD 107, AOtlipon�l RMna�k� 6cMduk, II n�0►a ap�a �� nqulnd)
CERTIFICATE HOLO�R CANCELLATION
SI10UlD ANY OF TME ABOYE OE9CRiBED POI.ICIES 6E CANCEL�ED 9EFpRE
TME EXPIRATION DATE Y'HEREOF, NOTICE WILL BE DELIVERED IN
ACCOROANCE WI7?I TNE POLIC� PROVISIONS.
City of tephyrhills AUTMORREDRFFnE6ENTATNE C �
5335 8th 5treet
Ze hyrhills, FL 33542 Ro er Perkerson ]ONESK
m 1 gB8.2009 ACQRD CORPORA7tON. All rights re9erved.
ACORD 25 (2009l09) Tha ACORD name a�d logo are ragistared mark9 of ACORD
MAR-02-2011 11:43 From: To:7800021 P.2�2
DpC. Date Amt in Ix.cur
950933024 200649 11/12/2010 -261.45
102756413 952418�55 2Q0649 02/14/2011 - 396.45
140$051622 CK# 3153 200649 0211 SI2011 -96.03
851127057 7728-WINN DI JP8434309 11/23/2010 -687,78
951277538 7708-W1NN DI JP8434309 12/03/2010 -141 95
951355828 GASH AM�RICA JP$446303 12/08/2010 -454.23
951$03$12 7$B7 & 7868 JP84463Q3 01/Q8/2011 -896.30
951803811 7867 & 7868 JP8446303 41/06/2011 25.00
952257656 CASH AMERICA JP8446303 02/03/2011 136.98
952394351 7867 & 7868 JP84463a3 02/11l2011 - 214.p0
s5��a33a5 WALMART JP8449765 01/Q3/2011 104,58
951743343 Sl' PETE WALM JP8449765 01/03/2011 5.33
951743342 ST PETE WALM JP8448765 01/03/2011 56.43
951740059 WALMAR7 S7 P JP8449765 01/03I2011 962.56
951774673 WALMART ST. JP8449785 01/04/2011 9,803.13
951758708 8074 JP8A49765 01/04/2011 -379,16
951758708 WALMAR7 ST P JP8449785 01/04l2011 127.45
95175$704 WALMART ST P J P$449765 01/04/2011 10.28
951756830 WALMART ST, JP8448765 01l04/2011 689.74
951779859 WALMART ST, JP8449765 01/05l2011 -26.08
951779856 WALMART#4690 JP8449765 01/05/2011 62.13
951779853 WALMART ST. JP8449765 01/05/2011 13.06
951803810 WALMAR7 ST. JP8449765 01/06/2011 531,61
951803809 WALMART ST. JP8449765 01/0B/2011 551.B8
951827222 WALMART 469a JP8449765 01/07/2011 118.25
951827221 WALMART 4690 JP8449765 01107/2U11 44.75
951$27223 WALMART JP8449765 01/07/2011 124 69
951851185 WALMART J P8449765 01/10/2011 218.03
951890490 WALMAR7 ST P JP8449765 01/12/2011 219.86
951907545 WALMART ST P JP8449765 01/1?J2011 2,479.82
951912722 8074 JP8449765 01/13/2011 379.16
951829067 WALMART 5T P JP8449766 01/13/2011 67 67
951912728 WALMART ST P JP8449765 01/13/2011 519.92
95/912730 WALMART#4690 JP8449765 01/13/2011 116.28
952021859 WALMART ST P JP84a9765 01/19/2011 5,472.01
952004552 WALMART JP8449765 01/19/2011 381,93
952027427 WALMART ST P JP&1497fi5 01/20/2011 729,99
952027426 JP8449765 01/2012011 295.28
952053358 WALMAI�T ST P JP8449765 01/21/2011 9.74
952074281 WALMART JP$449765 01/24/2011 151.93
952117856 WALMART ST P JP8449765 01/25/2011 144.80
952124331 WALMART ST. JP8449765 01/26/2011 334,44
952124330 WALMART ST P JP8449765 01/26/2011 42,8�F
21317.78
03/02/2011 WED 11:52 FAX 813 637 8484 IOA_TAMPA �001/001
~`""'�`.'�"' CERTIFICATE OF LIABILITY INSURANCE DATE(MMAD/YYYY)
03/02/2011
THIS CERTIFlCATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFlCATE DOES NOT AFFlRMATiVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BEL'OW. THI$ CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFlCATE HOLDER.
IMPORTANT: if the certlficate holder Is an ADDI170NAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and condkions of the policy, certain policies may require an endorsement A statemer�t on this certlflcate does not confer Hghts to the
certiflcate holder in Ileu of such endorsement(s).
PRODUCER NAME:
Insurance Office of America, Inc. a � E , : (813)637-8877 A , �
4915 W. Cypress Street A DRESS.
Tampa, FL 33607 cus :
INSURER(3) AFFOHDING COVERAGE NAIC M
INSURED INSURER A Auto-Owners 10190
American Electrical Services of Tampa Bay, Inc �NSUIiERB
6408 W. Li nebaugh Avenue �nsur�e c
Suite 102 INSUHERD
Tampa, FL 33625 INSURERE
INSURER F .
COVERAGES CERTIFICATE NUMBER: 11-12 Master Cert REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PERIOD
INDICATED. NOTUVITHSTANDING ANY REQUIREMENT, TERM OR CONDRION OF ANY CONTRACT OR OTHER DOCUMENT WffH 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 CONDffIONS OF SUCH POLICIES. LIMRS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR TYPE OF INSURANL� A �� g � R POLICY NUMBER POLI Y EFF POLICY EXP ��
LTR INSR NND MNDlYYY M D1YYY
GEPERALLIABILITY BGL1101314462 0�1/2011 �2/��/Z��2 EACHOCCURqENCE $ 1 �00 ��
X COMMERCIAL GENERAI LIABILITY PREMISES Ea occurrence $ IOO � OO
CLAIMS-MADE � OCCUR MED EXP (Arry one peraon) $ S� OO
A PERSONAL & ADV INJURY $ 1 OOO OO
GENERAL AGGREGATE $ Z� OOO � OO
GEN'L AGGREGATE LiM1T APPLIES PER: PRODUCTS - COMP/OP AGG $ 2� OOO � OO
X POLICY jE�,^�7 LOC $
AUTOMOBILE LIABiLITY BAL1101314462 OZ/��/20� 1 0��/20�2 C�BINED SINGLE LIMIT $
�ea e��a�,q 1 000 0
X ANY AUTO BpDILY INJURY (Per person) $
ALL OWNED AUTOS
BODILY INJURY (Per accitlent) y
A SCHEDULED AUTOS PROPERTY DAMAGE
X HIREDAUTOS (P�e���� $
X NON-OWNED AUTOS $
a
UMBRELLA LIAB )( ��R BUL1101314462 OZ/O�/ZO� � OZ/O�/ZO� �L EACH OCCURRENCE $ Z� OOO � OO
EXCE33 LIAB �q�MS-MADE AGGREGATE $ Z OOO OO
B
DEDUCTIBLE $
RETENTION $ $
WORKERS COMPENSATION W TATU- TH-
APD EMPLOYERS' LIABILITY Y/ N
ANY PROPRIETOR/PARTNER/EXECUTIVE� E.L. EACH ACCIDENT $
OFFICERlME6,6ER EXCLUDED? Nt A
(Mandelory in N1) E.L DISEASE - EA EMPLOYE $
Itye s, deacribe untler
DESCRIPTION OF OPERATIONS below E.l. OISEASE - POLICY LIMIT $
A nland Marine BIM1101314462 02�01/2011 02/Ot/2012 Leased/Rented Equipment
Limit: 530,000
DESCRIPTION OF OPERATIONS � LOCATIONS / VEHICLES (Amch ACORD 101, Additlonal Remarks Schedule, it more epace k required)
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCF�BED POLICIES BE CANCELLED BEFORE
THE EXPIRATON DATE THEREOF, NOTICE WILL BE DEIJVERED IN
ACCORDANCE WITH THE POUCY PROVISIONS.
Ci ty of Zephyrhi 11 s A�OPo2ED REPFESENTATIVE ����
5335 8th Street
Ze hyrhills, FL 33542 Ro er Perkerson ]ONESK
� 1986-2009 AGORD CORPORATION. All rights reserved.
ACORD 25 (2009109) The ACORD name end logo ere registered merks of ACORD
MAR-1-2011 22:47 FROM: T0:18137860021 P.1�1
Ay SARASOTA COiJNTY LOCAL BUSINESS TAX RECEIPT AccouNr No.
2 O 1 O� 1 1 THIS TAX DO�.i NA7' ARAtJRh QUAI.ITY (1N WnRK QR CpNKINM TH�T REGOLATORI' OR ��001010243�
��NtNG RrQUIRRMENTS HAVL� 9L�N MCT. �T �9'Cd� OWNEx'8 tt68PONSIB(LITY TO ENFURr C�Mr1.tnNC�,
i #AACFiIN�S�..._ �_ . __ ._ -�ROOMS ".- . _._... . ..g�Af6",. _. - .. .. ��IiAPL'Q�YEE3. . . _.. ,. . r . . - _ _ _ _ . . _ .,. .... -
� � CONTRACTQR - CERTlFIED
t .
4346 NID�EN RNER kD ' ` �
�� SAFtAEOTA uninc; 1'L 3a240 ' ' ' PAfD-1.L1,3G. N19 03/Q2/2011 11.09
f
, HARQLA J FE1'T LI.0 ' � .
�346 HIDDEN RIVER RD
I SARASOTA, FL 34240
� . � . .AC r iV� , `
. .N �
� BARBARA FORD•COATES, TAX COLLECT�R
MYJS'Y' BT DI��C�,�V �g� PLAC� ��- �'+�� t01 S. WASHINCaTON BI,VD., SARASOTA, FI, 34238•6893
(941) 861-6�00
www.Sa�a�ota'TlaxCollactor.com • InfapSara9ota'ilaxC011ector.COm
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INFORMATION ONLY REMOVE OR FO�D 9�MiNq BEFOq� pOS'nNG A�C�IP'P
TNIS RECEIPT IS FUANISH�D PIJR$UANTTQ CNAPT�R x�5 I,.AW$ QF FLpRIpA
ANQ SARASOTA COUNTY ORdINANC� 91-084, AS 4M�Np��
The law requires this receipt to be displayed conspicuously at the place of business so tMat it is ppen W the view of the pubtic and
available for inspection. Upon failure to dp so, the business shall be subject to the payment af another full tax br the same business,
prafession or occupation.
Paymer�t is due each year by Septembsr 30�. Payment after September 3pth is delfnqusnt and subject to a penalty of 10�%� for tMe
month of October, plus an additfonal 5� penalty for each mQnth thareafter. 7he total delinquency penalry shall not exceed 25°k of
the tax. A 25� penalty is imposad �n any person ongagod in any now busin�ss, pccupm�on or profession without first p�ying s
Sarasota County 8usiness Tax.
This recefpt is for a busine�s eax o, n�. It does not permft the pBrsoNbusiness ta violate any existing regulatory or mning laws of the
state, county, or cities, nor does it exempt the business from licenses or permits that may be required by 1aw. This receipt does not
assure quality Of work,
All businesses in Sarasota County are responsible for complying wiih tl�e Sar�sot� Cnunty mandatary recycling ordinance.
Locai Husiness Taxes are subject to change ac�ording to law,
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�Cen�d bryt ihe St�te oi FTOC�da.
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�'1SbtKYiOn, ! Cdti�Y tt+d! 11i wiA bE or�y ta rn tr�e area v�n cne soem �an
�s �1M matena� ts to be tr�ed m arry ss. � cxrl►�}' sh�t ua�e of stirli tu� wiM rnot acl+reisety alFect ad�oe++t
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aca�e wtdth are eleva�ed by 6�f an ed dr�age plan �s re�uired
,� s�n the AOENT F4R 7HE QYYNER. 1 promise gaod f,�th io irrf�xm tt�e awner vt ttror pemr�tting cor�dtt�c,ns set k�rth ur
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pem�et rsau�ect shan be cAns�ued to 'Ae a hc�errse t D�uc�ee4 vwtn the wv►ic and not as etAharlty :a �'�a6e, ca�noel, aMes. ar
se�t aside en9r pmvisiorts a� the tcc�u+icai codes, n stsab isstrance oi a PerrnR O�avarrt ti�e BuNd�t�Q O�al hom thereaRer
r�quk�ng a c�neCtlon af Brrors �+ pians, cx vk�latbns ot arxy c�des. Every Perrr�t tsaued ahaN h�eco+ne r�tva�d
unlebs the wotk atA4Ror�zesrJ by suCh pernit ts nced wf4'tin si�c mcintha Ot permit issU�+�Ce� or if wD�k 81Rho►izEC by
the �m�l f5 Stn�t�erxf�Bd tyt a08ruloned trx e of sac d8> mc�fths after t►+e 1Mne 1a�C Nrork Is oammelfoed An exte�ors
m�7/ Oa nequested �n wrl�, i'rom tfie BtalAirsg ►aI !vr � periocl net W cxoeeQ ni�a?y (90) c�nyS ar+d wiD domorrstratr
;usTsltaWe cauyse i'o� the c�+s�o�+ �i w�ark ceases nmdy (99} cansewllve days, tt�e joD �a cann�tdRKed aCandcxied.
WARMtHG TO •' YOUR PAILURE TO CQRD A NOTtC.E OF COMMENCEIiENT INAY RESULT Iti YOl?R
PAYINt3 TWlCE ENTa TO Y PROPERTY. tf YOtJ INTEffO TQ OQTAIN FlMANCIAlD. CONSULT
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TJ MAX
SQ. FEET PRICE
MAIN OR LIVING: 25,117 VA
OTHER AREA UNDER ROOF: -
OTHER: - $ -
VALUATION $ 352,083.00
FEE SHEET $ 1,244.00
ADDRESS
DRIVEWAY
BUILDING: $ 1,268.88
ELECTRICAL: $ 279.90
PLUMBING: $ 186.60
MECHANICAL: $ 130.62
SUB-TOTAL $ 1,866.00
buildin surchar e $ 376.76
TOTAL S 2,242.76
SEWER: $ 9,087.35
WATER: $ 2,898.00
IRRIGATION: $ -
TOTAL: S 11,985.35
WATER METER: $ 693.11 1 inch
IRRIGATION METER $ -
FIRE DEPARTMENT FEES
PLANS TOTAL.
INSPECTION TOTAL:
PERMIT TOTAL
TOTAL: E -
PUBLIC SAFETY IMPACT FEES
POLICE
FIRE
5%
TOTAL: S -
SUB-TOTAL $ 14,921.22
PARK IMPACT FEES S -
SIF'S: $ -
100.0% $ -
1 0°/a $ -
TOTAL: S -
TIF'S:
99%
1% $ -
TOTAL: $ 14,921.22
Zephyrhills Fire Rescue
6907 Dairy Road, Zephyrhills, FL 33542
Pi�•e Marshal Bus (813) 780-0041
Kerry Barilett Faa (813) 780-0044
E-maiL• kbarnett@fire.zephyrhills.fl.us
Plan Review #: 11-007
Project: Interior Renovation
Number of Pages: 17
February 4, 2011
I have received and reviewed the plans for the interior renovation for a Class B Mercantile
located at 7236 Gall Blvd and will allow the plans to move forward. By paying for permit
contractor acknowledges to comply with the items below. Should anyone have any questions,
please do not hesitate to contact the Fire Marshal's office.
1. Building shall be in accordance the Florida fire Prevention Code 2007 edition. In
areas where life safety is involved, the FFPC will supersede the building code.
2. During renovation, safe practices shall be used. Fire extinguishers shall be present
throughout area.
3. Plans will be required to obtain a permit for both the fire alarm and fire sprinkler
system. Calculations, cut sheets, details, etc... shall be submitted with the plans.
Fire alarm shall be addressable.
4. Fire sprinkler system shall be added in the rear canopy. There can be no storage in
front under walkway area unless sprinklers are added there.
5. Duct detectors shall be tied into fire alarm. Air Handler #9 does not show one and
shall have one. Ensure the units are labeled/numbered on roof top.
6. No certified fire extinguishers are shown on plans. Extinguishers shall be located
within 75' of travel distance. Also locate an extinguisher by the trash compactor.
7. All exit doors shall have panic hardware.
8. Ensure address is located on front and rear doors.
9. Ensure all electrical to this address is labeled as such.
10. Install a Knox Box. An application can be obtained from this authority.
11. Label all rooms.
12. Label door to riser room in rear as such.
13. Install exit/emergency light combo at north exit. One was not indicated on plans.
14. Additional emergency lights may need to be added based on the lighting and
location of those shown on the plans.
2
Inspection Required:
1. Final
2. Inspection ire alarm and fire sprinkler will be noted their plan review
KERRY B , / 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.
• ' Z����YR�ILL� FIRE DEPART'lVtENT'
69Q7 Dairy Road, Zephyrhills. FL 33542
FiPe Chief.Keiii� Vllil►iams Bus (813)780-0041 ax (813)7$0-0044
FIRE SERVICE USER FEES
Occupancy No.: � D
Plan No.: f/- f.�l - 7 Contractor: ���� �'�' �.-
Business Name: "�' r/ZX r Billing Address: �' lf2
Business Address: '7,�?� ��lt c,;,,v� L�.
Business Phone No : Billing Phone No.: `� - Ga
Business Fax No.: Billing Fax No.:
Contact: Contact: ��- f )
PLAN REVIEW FEES INSPECTION FEES PERMIT FEE FALSE ALARM FEE
/\ B Site Plan N/C Annuat N1C Sprinkler S50 1 st Alartn N/C
��� � MuNi .06 Sf 1 st 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
� Plan Revisions DBL 3rd Re-inspection $250 Hoods $50 4th Alartn $100
4th Re-Inspection $500 Fire Alarm $50 5th Alarm $150
SPRINKLER SYSTEMS (Business closed until LP Gas $50 6th Alarm $200
8 0- 25 H�ds $50 violations corrected) Natural Gas $50 NON COMPLIANCE $150
26 plus Heads $100 SPRINKLER SYSTEMS Fuel Tanks- �.a�k g50
STANDPIPE SYSTEM Hydro Undergrounds a45 Sparklers $100
� Per Riser $50 Hydrostatic Test �65 per system Fire Works �500
FIRE PUMP Acceptance Test $45 �sy�m Camp Fire $25
� Per Pump �100 Hydrant Flow $75 Controlled Bum $100
FIRE ALARM SYSTEM Hood/Duct $50
0- 25 Devices $50 FIRE ALARM SYSTEM Place of Assembly $50 n �ai
26 plus Devices $100 System Acceptance $50 Fire Protection $25
SUPPRESSION SYSTEMS Recall Acceptance $50 Fhammable Application aS0 n uai
Wet $50 OTHER Waste Tire Storage �550 n ��i
Dry $50 Fire waWSmoke Wau $15 per wau Generator < KW $100
CO2 350 LP Gas $25 Per�,k Generator >30 KW 150
Other $50 Natural Gas $25 � 5 BiaHazard Waste a100 A ual
KITCHEN EXHAUST Fumigation Tenting $50
� Hood/Ducts $50 TeM 10'x10' or greater $15 per n�t Torch PoUApplied a50
OTHER Fire Pump a45 Haz. Materials $100 A ual
LP ►ns�auation per tank a50 Fire Suppression �330
Fuel Tank Installation $50 System Acce�ance
(Per Tank) $50 E�aust Hood/Duct 330
� Natural Gas Installation a50 Re DBL
( Per System ) (other than annual)
� Spray Booth $50 � Inspection scheduled DBL 8
and cancelled less than
24 hours
Construction Insp. N/C
Emergency Vehicle Ac $50 FALSE ALARM
PU4NS TO � INSPECTION TOTAL � PERMIT TOTAL � TOTAL �_�
�'�.,5"p 7 � Z
GRAND TOTAL Q 7� ��
Comments:
Date: o � �
Insq��ctor: G'/ �
Jacqueline Boges
To: Leslie Ford
Subject: RE: TJ Maxx - 7326 Gall Blvd Zephyrhills, FL 33541
Attachments: tj max fee sheet.pdf
Good morning,
See attachment for fee sheet amounts.
You are welcome Leslie.
From: Leslie Ford Lmailto:leslie.ford@tenantbuildinc.coml
Sent: Tuesday, February 22, 2011 9:35 AM
To: Jacqueline Boges
Subject: TJ Ma�oc - 7326 Gall Blvd Zephyrhills, FL 33541
Good morning Jackie,
Per our conversation this morning, could you please send me the breakdown for the permit fee of $15, 387.45? We
need to let the landlord know exactly how much he is responsible for.
I appreciate your help.
Thank you,
Leslie Ford
, = i[t+��"'
d J
4_ .
7604 Baker Blvd
Richland Hills TX 76118-5904
817-717-2867
817-717-2868 fax
1
9/79/9n11 1 �AY OnA�RACn90 rAYpACS A�NK AFrFNrV
From: orth River Builders €Fax: (904) 6832748 To: City of Zephyrhills BuAd Fax: '+1 (813) 760-0021 Page 2 of 2 2l22/2017 1025 � 001 / 001
, t � (
17� , ,�`�
. 2'�� la
City of Zephyrhills
Building Department
5335 8"' Street �
Zephyrhills, FL 33542 //
813-780-0020 �
To Whom It May Concern,
Please allow this letter to serve as authorization for Ryan Scott to act as a representative of
North River Builders and Property Managers LLC as it pertains to signing and pulling the building
permit for the TJ Maxx located at 7326 Gali Blvd Zephyrhills, FL 33541.
Please feel free to contact me with questions.
Thank you,
1 ogan�
North River Builders and Property Managers, LLC
STATE OF <State> COUNTY O� <Courity�, ss.:
On this day, personally appeared before me
i�� _ �
to me known to�be the person(s) described in and who executed the within and fore oing
B
instrument, and acknowledged tfiat he/she signed the sarne as his/her voluntary act and deed,
for the uses and purposes therein mentioned.
tness my ha and official seal hereto affixed this �_ day of `' � T.
Notary Public in and for the State of '�'Ic�r� c1�
My commission expire��i,�r, 1l� r`��
�IMF@I K Irff
M1r COd�N�01�1 � OD S.i' 1J90
E�iPpF3' .IMrw�r U. ?fll A
,;af�;
From: North River Buildsrs e Fex: (904) 683274B To: City of Zephyrhills Buildi Fax: +7 (813) 780.0021 Page 1 of 2 2J2212011 10:25
FAX
Date: 2/22/2011
Pages including cover sheet: 2
TO: City of Zephyrhills From : North River Builders and
6771 Shindler Dr
Jacksonville
FL 32222
Phone phone +1 (904) 838-9179
Fax Number +1 (813) 780-0021 Fsx Number (904) 683-2748
•
Please see attached form for permit pickup for TJMaxx job. Please add
to my file.
Thank you,
Josh Hocan
Mar B1 2811 EST FROM� F2M/47982245812 MSG� 746BZ598-987-1 PAGE 883 OF BB3
A ��� LSF
CERTIFICATE OF LIABILITY INSURANCE R054 037EO1/DZO11
TFiIS CERTIFICATEIS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS ND RIGHTS UPON THE CERTIFICATE HOLDER, THIS
CERTIFICATE DOES NOTAFFIRMATIVELYOR NEGATIVELY AMEND, EXTEND OR ALTEii THE COVERAGE AFFORDED BY TNE POLICIE5
BELOW. TMIS CERTIFICATEOF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN TNE ISSUING INSURER{S}, AUTNORI2ED
REPRESENTATIVE OR PROdUCER, AND THE CERTIFICATE HOLDER,
IMPORTANT: If the cartificata holda� is an ADDITIONALINSURED, tha policy(ias) must ba endorsad, if SUBROGATIONIS WAIVEd, subject ta
the terms and conditions of the policy, certain policies may require an endorsement, A statement on this certificete does not canfer rights to the
ificate holder in lieu of such endorsement s.
PAaDLCER
NAME�
PAYCHEX INSURANCE AGENCY INC a�NN ��; i"c,NO� (888) 443 -6112
210705 P:()- F:(888}443-6112
PO BOX 3 3 015 ADDR SS:
SAN ANTONI O TX 7$ 2 6 5 C S70MER ID 0:
INSUREFS�9) APFORDINO COVERAGE NAIC il
' INSURER A: TWlIl Cit Fire Iri� Ca
HAROLD J. FETT LLC IN9URER B ;
4346 HIDDEN RIVER RD IN9URERC
SARASOTA FL 3 4 2 4 0 INSURER D:
INSURER E :
IN9URER F 7
COVERAGES CERTIFICATE NUMBER; REVISION NUMBER;
TNIS IS TO CERTIFY TNAT TFIE POUCIES OF INSURANCE LISTED BELOW NAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATEO. NOTWITHSTANDING ANY REDUIHEMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RE5PECT TO WHICH THIS
CERTIfICATE MAY BE 155UED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCU1310NS AND CONDITIONS OF SUCN POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
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GENERAL AGGREGATE 9
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG !
POLICY JECT CI LOC o
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Tho�e usual to the Insured's Operations.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLEO
BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE
CITY OF ZEPHYRHILL$ DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS,
5 3:3 5 8 TH S T AI/1flOp�?!D R!/plSdN►Af/12
ZEPHYRHILLS, FL 33542 ��� "��/__, _
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ACORD 25 (2009/09) The ACORD name and logo are registered marks of ACORD
Mar 01 11 12:51 p Teromac Corp 9417062370 p.2
DBPR - FETT, HAROLD 3; Doing Business As: HF PLUMBING & PUMP CO INC, Ce... Page 1 of 1
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�.'s�er�se� E�etai��
Licensee Infarmatioa
Name: FE7T, HAROLD ] (PrimaryName)
HF PLUMBING & PUMP CO 1NC (DBA Hame)
Main Address: 4346 FIIDDEN RIVER RD
SARASOTA Florida 34240
Cou�ty: SARASOTA
Ucense Malling:
LicenseLocation :
�icense Informatian
License Type: CertiEied Piurnbing Contractor
Rank: Cert Plumbing
License Number: CFCO57625
Status: Current,Active
Utensure Date: 10/li/20Q0
Exp ires : 08/ 31/ 2012
Special Qualifications Qualification Effective
Constrvctien Bc�siness 10/14/2008
Fingerprint (Construction
Industry Licensing 10/14/2008
Board)
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Contact t7s :: 1�a° Morth Monroe Street Tatlahassae FL 32399 :: Ca�1.Center�dbor.aWte.fi.us :: CusWrner ConWct C�nter
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From: North River Builde�s eFax: (904) 6832748 To: Fax: +1 (813) 780-0021 Page 2 of 2 3/1/2011 12:20
February 23, ?011
City of Zephyrhills
Buitdir�g Depar�m�nt
5335 8� Str�et
Zephyrhills, �4. 33542
813-780-Q0
7o Whom it May Concern,
Please a!!ow this letter #a serve as author ation � Sam Haa to act as a representative o�
Narth River Bui�d�rs and Rrc�perty Manag rs LLC as it pertains to sig�ing and puiling ihe buitding
permil: far the TJ Maxx iocated at �326 G 11 Bivd Zephyrhills, Fl 33541.
Please feei free to contact rr►e with quest ns.
Tha�k you,
Jo o a �
North River Builders and Property Mana rs, LLC
STATE OF <State>, COUI�TY �?F <Cpur�tY ss.:
an this day, personalfy appeared befare e
.�—x
d5�u� � �
to rr+e knawrr to be the person(s) descrk d in and wha executed the within and #Qreguing
instrument, and ackno�nriedged that he/ e signed the same as his/her vol�ntarY act ar�d deed,
fior the uses and purpases tk�erein rnenti ned.
Wi ess . y hand and af#icia eal heret affixed this � day of -�'' �� � �
� _
c�
uf s�, L_ �rs-�'S
Notary Public in and far the State Qf �-f �? �`
Mq commiss'ran expires � �� —� � '"" �p�E t D+�
lfqqirg P�Ak �N,1�112l1,� .
' � 1�fi �. �
Ca� �' OD 6�
From: North River BuilderS eFax: (904) 69&2748 To: Fax: +7 (873� 7840021 Page 1 of 2 3/1/2011 12:20
F ` ' � Date: 3/1I2011
Pages including cover sheet: 2
TO From : North River Builders and
6771 Shindler Dr
Jacksonville
FL 32222
Phone Phone +9 (904) 838-9179
Fex Number +1 (813) 780-0021 Fax Number (904) 683-2748
•
Please update my permit pick-up information with the following
attachment. My original request was for Ryan Scott to be authorized
to pick up any of my permits, and I am changing that to Sam Hoover.
Thank you.
Joshua Hogan'
North River Builders and Property Managers, LLC
904-838-9179
RE: TJ Maxx - Zephyrhills Florida
FEB-28-2011 13:51 From: To:7800021 P.1�2
DEP.ARTM�N'� OF SUSINESS AND PROFESSIONAL REGULATION
ELECTRYCAL CONTRACTORS LICBNSING BOARD (850) 487-
��• TALLAHA3 EEMONROE STRFLT32399-0783
PHILLIPS, ROOER D
AMERICAN ELBCTRICAL SVCS OF TAMPA BAY INC
6408 W LINEBAUGH AVE STE 102
TAMPA FL 33625
.s��;r� o� ��a► A� � ��� 7��
C�ngrdtulations! With this license you become one of the nearly one miNion " ��'��:��;' '�,�g� ��,;,'=,,''';
Floridians licensed by the Depertment of Business and Professional Regu{ation. '�,?, �p�;.�'_: �,
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Our professionals and businesses range from architects to yacht brokers, from �; Y....: �:. w � •;; ���'�'�Y.:,;� ,. ,
boxers to barbeque restaursnts, and they keep Florida's economy strong. �•,;��0� 'a. � `�� �:��¢.����'
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�very day we work to improve the wsy we do business in order to serve you better ,�=��7:. .��. •�
For informaUon about ou� services, please log onto www.myflorldalicense.com. �g�x�� • •R����t'rRA�."�'OR ,.
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Th@ra you can find more informati0n about our divisions end the regulations that �'°:;'� �t,3i�`$'�.�� �,�"';. �' ��•
impact you, subsrxibe to department newsletters and learn more about the ,�BR�,C'�►1�.�►,��,IC 7.'R� ��i�Q'S ^0F 1"�1kP";;
DepartmenYs initiatives. � �� i.'� . "! �
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Our mission at the Department is: Licenso Efflclently, Regulate Fairly, We � � ,. �:;, y ;, ,, w � "
constanily strive to serve you bettar so that you Can serve your customers. xsr �� „� ti � �,,;;�„ o � ,: �,,, s �e� .,, �
Thank you for doing business in Florida, and congratulations on your new license! :: •�• ��� ?•' •" * .
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FEB-28-2011 13:51 From: To:7800021 P.2�2
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HILLSBOROl1GH COUNTY BUSINESS TAX RENEWAL INSTRUCTiONS
Chapler 205,0535 (5} Florida Statutes requires one of the following:
FEDERAL EMPLOY�R IDENTIFICA710N NUMBER OR SOCIAL SECURITY NUMBER
9. SIGN and return entire form in enalosed onvelope. Your validated Business Taz receipi will be returned to you.
2. Business �'ax recoipts expire midnight, September 30th. Faflure to dispiay a valid Businesa Tax receipt after
September 30th is a violation of Hillsborough County OrdinanCe 95-4, as amended by 02-5.
MAKE CHECK PAYABLE T0:
DOUG BELDEN, TAX CO�,I.ECTOR
P 0 Box 172920
TAMPA, FL 33872-0920
2010•2G11 HILlS80ROUGM COUNTY BUSINESS 7AX RECEIP7 EXPIRES 9-30 -Z011 rrouo►�o.
° +� k�� J ! "��- ��� � p� " �p TRANSFER 236400 M
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BUSINESS TAX y Y ��
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DOUG BEtDEN, TAX COL.LECTOR "' �° p �' "` "" " � °
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w�s Mr.�ov ouo � armn�E�G YNC To EwG�e 813�Z6-5400 "'
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Mar 01 11 12:50p Teromac Corp 9417062370 p.1
F
X�
�V
ER S
HEET
Hcrrold J. Fett
CFCO57615
4326 Hiddert River Road
Sarasota, F134240
CeU (942)313-1404
Fax(941)322-1404
h�plumbing@juno.com
March 1, 2011
This two page facsimile should complete the necessary documentation required to
plumbing labor and material for Tenant Build Incarporated at 7326 Gall Boulevard,
Zephyrhiils, Fiorida.
Additionally your department shoulcf have also received iwo other faxes. The first
regards workers compensation and the second is a general liabiiity certificate of
insurance with the City of Zephyrhills named as the certificate holder.
Please contact me shauld you require any further.
Regards,
Harold J. Fett
� �` �
/��
7604 Baker Blvd.
� "!' �; ���1 � f"i' Richland Hills, TX 76118
� r1 r r �,,,!..
817-717-2867
C O N S T R U C T I O N g 17-717-2868 (fax)
Date:
Re: TJ Ma�oc
7326 Gall Blvd
Zephyrhills, FL 33541
To: City of Zephyrhills
Building Department
Attn: Bobbie Swetland
5335 8th Street
Zephyrhills, FL 33542
813-780-0020
We are sending you:
_X Plans
Punchlist
Fixture Layout
Other:
Qty. Date Item T pe Revision
3 Signed/Sealed CD Sets
1 Building Permit Application
1 Building Envelope Compliance
Enclosed are all documents for building permit submittal. Please feel free to
contact me with questions.
Thank you,
Leslie Ford
Tenant Build, Inc.
leslie.ford@tenantbuildinc.com
TJ MAX
SQ. FEET PRICE
MAIN OR LIVING: 25,117 VA
OTHER AREA UNDER ROOF: -
OTHER: - $ -
VALUATION $ 352,083.00
FEE SHEET $ 1,244.00
ADDRESS
DRIVEWAY
BUILDING: $ 1,268.88
ELECTRICAL: $ 279.90
PLUMBING: $ 186.60
MECHANICAL: $ 130.62
SUB-TOTAL $ 1,866.00
buildin surchar e $ 376.76
TOTAL S 2,242.76
SEWER: $ 9,087.35
WATER: $ 2,898.00
IRRIGATION: $ -
TOTAL: S 11,985.35
WATER METER: $ 693.11 1 inch
IRRIGATION METER $ -
FIRE DEPARTMENT FEES
PLANS TOTAL:
INSPECTION TOTA�:
PERMIT TOTAL
TOTAL: S -
PUBLIC SAFETY IMPACT FEES
POLICE
FIRE
5%
TOTAL: E -
SUB-TOTAL $ 14,921.22
PARK IMPACT FEES 5 -
SIF'S: $ -
100.0% $ -
1.0% $ -
TOTAL: E -
TIF'S:
99%
1% $ -
TOTAL: $ 14,921.22
� 7X Result Report P �
' 02/17/2011 11:52
SeYldl N0. AOE�11001438
, '�'�: 11361
Addressee Start Tine Time Prints Result Note
919046832748 02-17 11:51 00:00:35 001/001 OK
NOte MIXe T1i�zed � DirectiailiSP �OFprE^d��PCcroadPeC-HTXe Re-TX.
BNDs Double- a y�p: SI� Fax. IPADR: ZP Address Fax.
RLY � RC1 ay� I�BX s CO�lfidBlitiel . BUL �� BU11B i�l .
I-FAX: Internet FaX
Result 01(: Cosnunication OK, S-01(: Stop Co�munication, P41-OFF: Power Switch OFF,
TEL: Rx from TEL, HG: Other Error, Cont: Continue, No Ans� Ho Ans�er,
Refuse: Receipt Refused, Busy: BusY, M-Fu11:MemorY Full,
LOUR�Receivin9 len9th �er, POUR�Receiuing pa9e Ouer, FIL:File Error,
DC:�code Error, MDN:MDN Response Error, DSN:DSN Response Error.
Rrvn: Npw RN�r �u�tlw �ra: (YG�) M�2140 Te: Fo�: �1 pt � 700-00�1 P�a 1 M 4 1/17/l0� 1 10:41
� A X oat.: Zi� �i2o� �
� � `� Ps�es includinp covar shsst: 4
A�l (jiC:J+ 4
.
O' Frpx�: North RNsr Buildsra and
677'1 Shindlar �r
J acKSOrnri Ils
FL 32222
Phon• Phon• +� t904) 838-9l79
F�r Numb�� �'/ (8�3) 780-002� F�x Nur�sb�r (904) 683-2748
Pleaea rwview the following documanta for contractor ragi�tration
RE- TJ Maxx locatad at 7326 Ga11 B1vd - Zeghyrh1119� FL 33541
1 - Copy o f S t at a 1 1 can � a
2 - Worlcare Comp Cart.
3 - H v i a na a e Tax Rac iapt
4 - Copy o f Ganer a1 L i abi 1 i ty h aa a lraa dy b aen � en t v i a tax a a of
2/16/11
Compa ny 2 n Po Ha1 ow:
Nor t h Ri v a r Hu 1 1 dar a a nd P roparty Ma n a gwr a� S.LC
67 7 1 S h i nd1 a r �ri va
Ja c kaon v 1 1 1 a� FL 3 2 22 2
Oirica - 909-839-9179 � �- 1��J�
Fax - 904-683-2746 !' v_ --
J ���
Thazilc you� � _ w , �_
iir��i� � �
Jo s hua Hog an i �� n �
Vioe Praaidarit v � L.�� � �-
�C! �a �l�
From: North Rrver Builder3 eFax: (904) 68&2748 To: Fax: +1 (813) 780-0021 Page 1 of 4 2H7/2077 10:41
F � � Date: 2/17/2011
/' - Pages including cover sheet: 4
� �� Ja��� �
.
�� From North River Builders and
6771 Shindler Dr
Jacksonville
FL 32222
Phone Phone +1 (904) 838-9179
Fax Number +1 (813) 780-0021 Fex Number (904) 683-2748
•
Please review the following documents for contractor registration
RE: TJ Maxx located at 7326 Gall Blvd - Zephyrhills, FL 33541
1- Copy of State license
2 - Workers Comp Cert.
3 - Buisness Tax Reciept
4- Copy of General Liability has already been sent via fax as of
2/16/11
Company Info Below:
North River Builders and Property Managers, LLC
6771 Shindler Drive
Jacksonville, FL 32222
Office - 904-838-9179 � -
Fax - 904-683-2748
i �
Q � �
Thank you, /� /� p , �
�/V K-- �
Joshua Hogan � r '�� C���S
Vice President �-�/ ) ��,�,
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From: North River Builders fFax: (904) 683-2748 To: rFax: +1 (813) 7840021 Page 3 of 4 2l17l2011 10:41
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CEIt1y1��E� �!;GT10N T0.6� EX�wIPT FRCI�! 1"LqRlDA � undar ihis :sactien- inaY. noi recaver 6anefi23 or. comPenSaticn pqdeP thiS
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BUSiNESS �iAt141E: AN� ADCtFiESS:
NqRTH.RIYER BlllLq�ftS'AND PROPERTY M,IrNAGEAS LLC ��� �d ��tEf;'!��Q'fl5{�3�, F,$ !Yo#�c�s v� tu:ba.exe�t
. • an� Gart3�#icatqs. of eiecticn to •�e �xainµt•;�,2u�lt .�ie subjact .to. ravocdtian .
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the •ra4�!irameet; a:f t�is aec4ipr� fn� i�s.uenee :o# a�� certif.ic�ate•. The
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QI�ESTIONS?. I8;5D? ,41�-:1fi09.
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DWC-252 CEf�TtfilCATE 0� fLECTION TO �E EXEMP7 I3E1lE3ED. 09°06
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. Florida Energy Efficiency Code For Buiiding Construction
Florida Department of Community Affairs
EnergyGauge Summit� Fla/Com-2008, Effective: March 1, 2009 -- Form 400B-2008
Method B: Prescriptive Compliance for Renovations, Occupancy Change, etc.
PROJECT SUMMARY
Short Desc: TJ Msixx Description: TJ Maxx
Owner: TJ Ma�cx
Addressl: Townview Shopping Center �tY� �PhY�s
Address2: 7326 Gall Blvd. State: Florida
Zip: 0
1�pe: Retail Class: Renovation to existing buil '�
Jurisdiction: ZEPHYRHII.LS, PASCO COUNTY, FL (611600)
Conditioned Area: 25245 SF Conditioned & UnConditioned Area: 25245 SF
No of Stories: 1 Area entered from Plans 25251 SF
Permit No: 0-- Maz Tonnage 12.5
If di�erent, write in:
EnergyG�ge Summit� FlalCom-2008. Effective: March 1, 2009
1/20/2011 Page 1 of 8
Compliance Summary
Component Design Crl�teria Result
RENOVATED ENVELOPE PRESCRIPTIVE PASSES
LIGHTING POWER 16,445.0 42,916.5 PAS5ES
LIGHTING CONTROLS PASSES
EXTERNAL LIGHTING None Entered
HVAC SYSTEM PASSES
PLANT None Entered
WATER HEATING SYSTEMS PASSES
PIPING SYSTEMS PASSES
Met all required compliance from Check List? Yes/No/NA
IMPORTANT MESSAGE
Info 5009 -- -- -- An input report of this design building must be submitted along with this
Compliance Report
EnergyGauge Summitl9 FlalCom-2008. Effeotive: March 1, 2009
1/20/2011 Page 2 of 8
� CERTIFICATIONS
I hereby certily that the plans and specifications covered by this calculation are in compliance the -
Florida Energy Code �
Prepared By: The Purdy Consultants Building Officisl:
/�• �� _�_
Date: Date:
I certify that this building is in compliance with the FLorida Energy Efficiency Code
Owner Agent: Date:,
If Required by Florida law, I hereby certify (') that the system design is in compliance with the FLorida
Energy Efficiency Code
Architect: Rogue Architects Re No:
Flectrical Designer: James Purdy � � g ,
Lighting Designer: Iames Purdy Reg No:
Mechanical Designer: James Pardy Reg No:
Plumbing Designer: James Purdy Reg No:
{') Signature is required where Florida Law requires design to be performed by registered design
professionals.
Project: T71�taa
T'itle: TJ Maa
1�pe: Retail
(WEA File: FL_TAMPA_INTERNATIONAI.�IP.fm3)
_ Prescriptive Envelope Compliance
Item Zone Description Design Criteria Meet Req.
Glass ZONE-1 Pcrceat glass Max allowed .000 50.000 Yes
S li ts ZONE-1 Peaccnt S li Max allowed .000 5.000 Yes
Meets She11 Envelope Reqnireme�ts -- PASSES
EnergyGauge Summit� FIa1Com-2008. Effecdve: March 1, 2009
1/20/2011 Page 3 of 8
External Lighting Compliance
Description Category 1Y�adable? Allowance Area or I,ength ELPA CLP
(W/[Tnit) or No. of Units (� (VV)
(Sqt�t or flt)
None
Project: TJ Ma�
11t1e: TJ Ma�
Type: Retail
(WEA �le: FL_TAMPA_INTERNATIONAI.�P.t�n3)
Lighting Power Compliance
Space Ashrae Description Area Height No. of Design Effective Allowance
ID (s9.ft) (ft) Spaces (�'P) (�'1') (�
AI.L 25,OO1 Sales Area 25,?�15 10.0 1 25830 16445 42,917
Design : 25830 (VV) � PASSES
Effective: 16445 (VV)
Allowance: 42916.5 (�
Passing requires Design to be at most 100% of Criteria
Projed: TJ Ma�
Title: TJ Ma�
Type: Retail
(WEA �le: FL_TAMPA_INTERNATIONAL_AP.hn3)
Lighting Controls Compliance
Acronym Ashrae Descript�on Area Design Min Compli-
ID (sq.tt) CP CP ance
AT •1. 25,001 Sales Area 25,245 l0 3 PASSFS
� PASSES
EnergyGauge Summil� FlalCom-2008. Effective: March 1, 2009
1/20/2011 Page 4 of 8
Project: TJ Ma�
' Title: TJ Ma�
Type: Retail
(WEA File: FL_TAMPA_INTERNATIONAL_AP.�3)
System Report Compliance
RTUl / System 1 Constant Volume Packaged No. of Units
RTUS System Z
Component Category Capadty Design Eff Design IPLY Comp-
Eff Criteria lPLV Criteria liance
Cooling System Air Conditioners Air Cooled 13.00 12.23 8.00 PASSES
< 65000 Btu/h Cooling
Capacity
Heating System Electric Furnace 1.00 1.00 PASSFS
Air Handling Air Handler (Supply) - 0.56 0.90 PASSES
sySc�m -su�iy consc�c voi�ne
Air Distribution ADS System 5.00 3.50 PASSFS
System
RTU-2 System 2 Constaut Volume Packaged No. of Units
System 1
Component Category Capacity Design Eif Design IPLV Comp-
Etf Criteria IPLV Crlteria liance
Cooling System Air Conditioners Air Cooled 13.00 12.23 8.00 PASSES
< 65000 Btu/h Cooling
Capacity
Heating System Electcic Furnace 1.00 1.00 PASSES
Air Handling Air Handler (Supply) - 0.46 0.90 PASSES
System -Supply Constant Volume
Air Distribution AD5 System 5.00 3.50 PASSFS
System
RTU3,4,6,7 System 3 Constant Volume Packaged No. of Units
System 4
Component Category Capadty Design Eff Design IPLV Comp-
Etf Crlteria lPLV Criteria liance
Cooling System Air Conditioners Air Cooled 11.00 9.70 8.00 PASSES
135000 to 240000 Btu/h Clg
Capacity
Heating System Electric �rnace 1.00 1.00 PASSES
Air Handling Air Handler (Supply) - 0.45 0.90 PASSFS
System -Supply Constant Volume
EnergyGauge Summit� FlalCom-2008. Effective: March 1, 2009
1/20/2011 Page 5 of 8
RTU-S System 4 Constant Volume Packaged No. of Units
System 1
Component Category Capacity Design F.ff Design IPL� Comp-
E� Criteria lPLV Criteria liance
Cooling System Air Conditioners Air Cooled 11.00 10.30 8.00 PASSES
65000 to 135000 Btu/h
Cooling Capacity
Heating System Blectric Furnace 1.00 1.00 PASSFS
Air Handling Air Handler (Supply) - 0.38 0.90 PASSES
sysc�m -su�iy conSc�c vai,�e
Air Distribution ADS System 5.00 3.50 PASSES
System
RTU-9 System 5 Constant Volume Packaged No. of Units
System 1
Component Category Capacity Design Eff Design IPLV Comp-
Eff Criteria IPLV Criteria liance
Cooling System Air Conditioners Air Cooled 13.00 12.23 8.00 PASSES
< 65000 Btu/h Cooling
Capacity
Heating System Electric Furnace 1.00 1.00 PASSES
Air Handling Air Handler (Supply) - 0.31 0.90 PASSES
System -Supply Constant Volume
Air Distribution ADS System 5.00 3.50 PASSFS
System
PASSES
Plant Compliance
Description Installed Size Design Min Design Min Category Comp
No Eff E� IPLV IPLV liance
� None
EnergyGauge Summit� Fla/Com-2008. Effecctive: March 1, 2009
1/20/2011 Page 6 of 8
Project: TJ Ma�
' 'l�tle: TJ Ma�
1�pe: Retail
(WEA File: FL_TAMPA_INTERNATIONAL_AP.tm3)
Water �Ieater Compliance
Desct3ption Type ��gory �sign Min Design Max Comp
Eff Eff Loss Loss liance
Water Heater 1 Electric water heater <= 12 [kW] 0.99 0.91 PASSES
PASSES
Project: TJ Ma�
Title: TJ Ma�c
Type: Retail
(WEA File: FL_TAMPA�iTERNATIONAL�IP.t�)
Piping System Compliance
Category Pipe Dia ls Operating Ins Cond Ins Req Ins Co
[inches] Runout? TemP [Btn-in/hr Thick [in] Thick [in]
[FJ .SF.Fj
Domestic and Service Hot Water 0.50 Fatse 110.00 0.28 1.00 0.50 PASSES
Systems
PASSES
EnergyGauge Summitt9 FlalCom-2008. Effective: March 1, 2009
1/20/2011 Page 7 of 8
Project: TJ Maxx
� � Title: TJ Ma�
Type: Retail
(WEA File: FL_TAMPA_IlVTERNATIONAL AP.tm3)
Other Required Compliance
Category Section Requiremeat (wi3te N/A in boz if not applicable) Check
Report 13-101 Input Report Print-Out from EnergyGauge F1aCom attached �
Operations Manual 13-102.1, Operations manual provided to owner �
13�10, 13-413
Windows & Doors 13-406.AB.1.1 Glazed swinging entrance & revolving doors: max. 1.0 cfim/ft�; all �
other products: 0.4 cfin/ftz
Joints/Cracks 13-�06.AB.1.2 To be caulked, gasketed, weather-stripped or othetwise sealed �
Dropped Ceiling Cavity 13-406.qB.3 Vented: seal & insulated ceiling. Unvented seal & insulate roof & �
side walls
System 13-407 HVAC Load sizing has been performed �
Reheat 13-407.B Electric resistance reheat prohibited �
HVAC Efficiency 13-407, 13-408 Minimum efficiences: Cooling Tables 13-407.AB.32.1A-D; �
Heating Tables 13-407.AB.3.2.1B, 13�07.AB.3.2.1D,
13-408.AB.3.2.1E, 13�08.AB.3.ZF
HVAC Controls 13�07.AB.2 Zone controls prevent reheat (exceptions); simultaneous heating �
and cooling in each zone; combined HAC deadband of at least 5°F
(ezceptions)
Ventiladon Controls 13-409.AB.3 Motorized dampers reqd, except gravity dampets OK in: 1) exhaust �
systems and 2) systems with design outside air intake or exhaust
capacity <_300 cfm
ADS 13-410 Duct sizing and Design have been performed �
HVAC Ducts 13-410.AB Air ducts, fittings, mechanical equipment & plenum chambers shall �
be mechanically attached, sealed, insulated & installed per Sec.
13-410 Air Distribution Systems
Balancing 13-410.AB.4 HVAC distribution system(s) tested & balanced. Report in �
construction documents
Piping Insulation 13-411.AB In accordance with Table 13-411.AB.2 �
Water Heaters 13-412.AB Performance requirements in accordance with Table 13-412.AB.3. �
Heat trap required
Swimming Pools 13-412.AB.2.6 Cover on heated swimming pools: Time switch (exceptions); �
Readily accessible onloff switch
Hot Water Pipe 13-�111.AB.3 Table 13-411.AB.2 for circulating systems, first 8 feet of oudet �
Insulation pipe from storage tank and between inlet pipe and heat trap
Water Fixtures 13-412.AB2.5 Shower hot water flow restricted to 2.5 gpm at 80 psi. Public �
lavatory fixture how water flow 0.5 gpm max; if self-closing valve
025 gallon recircularing, 0.5 gallon non recirculating
Motors 13-414 Motor efficiency criteria have been met �
Lighting Controls 13�15.AB Automatic control required for interior ligt►ting in buildings >5,000 �
s.f.; Space control; Exterior photo sensor; Tandom wiring with 1 or
3linear fluuorescent lamps>30W
EnergyGauge Summit� FlalCom-2008. Effeotive: March 1, 2009
1/20/2011 Page 8 of 8
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City of Zephyrhills
Water and Sewer Impact Fee Calculation
Land Use Type:
Retail
No. of Square Feet ��� q�
Impact Fees
Within City Limits Outside City Limits
Water Distribution System $ 2,898.00 $ 3,622.50
Wastewater Collection System $ 5,824.98 $ 7,281.21
Wastewater Treatment Plant Capacity $ 3,262.35 $ 4,077.95
TOTAL $ 11,985.33 $ 14,981.66
I -
' ` � � r � r
� PERFORMANCE BUSINESS PRODUCTS, INC. 813-719-8008 FAX 813-719-791C
� ������
�� CITY OF ZEPHYRHILLS
ZEPHYRHILLS, FLORIDA
WATER ACCT. NO. DATE � -L/ _�/
OWNER/� p�
RENTER ! �J I.V n V� � L--IA i ���
MAILWG � � � ��5� cS � Z � ��1�-Q�J ��
��. l a� � �� � � � � �- 1 `��� 2��
i ( 2 SERVICE ADDRESS � /'i'� � � � � ✓
, ��'� � t( � � 3Z � �
WATER
�� � SHUT OFF SERVICE �
� � ��
,,�/� TURN ON SERVICE ❑ ❑ SEWER
a� �
� ❑ GARBAGE
�✓� Ao�,� I � INSTALL METER
` I� �N CITY
READ METER ❑ /
� 3v
` � / CHECK METER ❑ � �UT CITY
� - � �'J � No. OF UNITS
/}'�,Q,, on�eR ❑
/, ` DEPOSIT AMOUNT
� � �3���
�� � � AMOUNT LAST BILL
1 r f` �� .
7 � VV
� '� L�- , � r � �`� � I l l L'�I DA7E
V � / � � MISC. CHARGE
., . � � ��
��'� �
�� i�t��s � , � � � �
WORK COMPLETED BY ORDER TAKEN BY
& DATE COMPLETED �
ORDER GIVEN BY
� � �%�
Retain white form in office at all times.
Send pink & yelbw forms to Water Service Dept.
Water Service Dept. to sign yelbw form & return to office.
' i '.�
�z �
ls.�, ��(p)
,(,�� � City of Zephyrhills -� � � C/ °�
,�� `.� - ` , �
� BUILDING PLAN REVIEW COMMENTS �
// {��,�,/ j� ,
ContractorlHomeowner: l `� �r�'" � /�iV� �Ll� /G���'s ` "
Date Received: 7"� lD' l� �
. /�� �.�� �' �
Site: �3Z� �� l� �l �.J �
� ��
Permit Type: �( C�'? �/C�C�-L- /
�
Approved w/no comments: Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comment sheet shall e kept with the permit and/or plans.
����
Kalvi witze lans Examiner Date Contractor andlor Homeowner
(Required when comments are present)
Zephyrhills Fire Rescue
G907 Dairy Road, Gephyrl�ills, I 335��
I�irc Marshal L3us (813) 78U-OQ41
Kercv r�,e1 _____... —�``���.. �� Faa (81;) 780-00�1�1
, �._
--- - �� E-mail: kbarnett(a;fire.r_ephyrhills.fl.us
Plan Review #: ] 1-038 ��.___... ...�.....__ ..__._..___�,_.._._......_,� _„� .
Project: Revision - Electrical
Number of Pages: 4
ril 12, 201 I
1 have received and reviewed the electrical revision for the building renovation located at 7326
Gall Blvd and will allow the project to move forward. There have been no additional
comments/requirements made. The item listed below was placed on the main plan review and
was not shown on this revision. Any comments noted on the main review will remain in effect.
By paying for the permit, contractor acknowledges to comply with the item below. Should
anyone have any questions, please do not hesitate to contact the Fire Marshal's office.
1. Install exibemergency light combo at north exit. One was not indicated on plans.
f „_. -
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 shatl be the contractor's sole responsibility, at their sole
expense to bring those areas in compliance. The City assumes no responsibility for tlte contractor's failure
to be in compliance with all applicable NFPA codes and local ordinances.
Z���Yf�HILLS FIR� DEP�►R°Tl�AEN°T
' 6907 pairy Road, Zephyrhills, FL 33542
i=��e Ch��f Keoth Wiliiams Bus (893)78Q-0041 �ax (8'13)780�•UUd�
FIRE SERVICE USER FEES
Occupancy No.:
Plan No.: �/--c� ? � Contractor: r `� � ,,� >S
Business Name: �" � ���C Biiling Address: • ��,,
Business Address: '7'� Z.G�= �� ��i r��S�c<� �� %/C—' `'"r__
Business Phone No.: Billing Phone No.:
Business Fax No.: Billing Fax No.:
Contact: Contact:
PLAN REVIEW FEES INSPECTION FEES PERMIT FEE FALSE ALARM FEE
SitePlan N/C Annual N/C Sprinkler $50 1stAlarm N/C
MuNi I 06 sf 1 st Re-inspection N/C Standpipes y50 2nd Alarm N/C
(Minimu harge $25 2nd Re-inspection a100 Fire Pump $50 3rd Alarm N/C
�lan Revisions DB 3rd Re-inspection $250 Hoods $50 4th Alarm $100
4th Re-Inspection $500 Fire Alarm E50 5th Alarm $150
SPRINKLER SYSTEMS (Business closed until LP Gas $50 6th Alarm $?Op
0- 25 Heads $50 violations corrected) Natural Gas 350 NON COMPUANCE $150
26 plus Heads $100 SPRINKLER SYSTEMS Fuel Tanks- �r r�r,k $5p
STANDPIPE SYSTEM Hydro Undergrounds �445 Sparklers 5100
� Per Riser $50 Hydrostatic Test $65 �r sysum Fire Works y500
FIRE PUMP Acceptance Test b45 per system Camp Fire $25
� Per Pump $100 Hydrant Flow $75 Controlted Burn $100
FIRE ALARM SYSTEM Hood/Duct $50
8 0- 25 Devices $50 FIRE AIARM SYSTEM Place of Assembly $50 nnnuai
26 plus Devices $100 System Acceptance $50 Fire Protection $25
SUPPRESSION SYSTEMS Recall Acceptance $50 Flammable Application 350 Annual
Wet $50 OTHER Waste Tire Storage $50 Annual
Dry $50 Fire WatUSmoke Wall $15 perwau Gener2ltOr < KW $100
CO2 $50 LP G8s $25 pertank Gellefetor>30 KW 150
Other $50 Natural Gas a25 �� 5y�m Bio-Hazard Waste 3100 Annual
KITCHEN EXHAUST Fumigation Tenting $50
� Hood/Ducts $50 Tent 10'x10' w greater $15 per �ent Torch PoUApplied S50
OTHER Fire Pump $45 Haz. Materials $100 Annual
LP Instatlation per tank $50 Fire Suppression $30
Fuel Tank Installation y50 System Acceptance
❑ {Per Tank) $50 8 Exhaust Hood/Duct $3U
Nalural Gas Installation $50 Re-inspection DBL
(Per System) (other than annual)
� Spray Booth $50 � Inspection scheduled DBL B
and cancelled less than
24 hours
8 Construction Insp. N/C
.� Emergency Vehicle Ac� $50 FALSE ALARM
PLANS TOTAL ��� INSPECTION TOTAL C� PERMIT TOTAL (_ J TOTA� (___ I
GRAND TOTAL !'"��
Comments:
Date: / //�
i
Insq��ctor , •?/ �c ,�° /'c'''
� �
. �
I IIIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII III�I IIIII IIII IIII
2011032256
Rcpt:1354147 Rec: 18.50
D5: 0.00 IT: 0.00
IYOTICE OF COMMENCEMENT 03/03/11 A. Giard Dpty Clerk
Permit No.
— � — � — ��°� �^i (J
Property Identification No.�_ � ' - / �} - Z / - C � �i j (`� -- P...7� �C�
THE [JNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Section
713 13 of the Florida Statutes, the followin info n is pr vided in tt�is NOTICE OF COMMENCEMENT
. � � � .s h•� �= �- �'`�Ac.P�.-{ c t_ -
1 Description Vf'property (legal description :)
a)StreetAddress: 7326 Gall Blvd Zephyrhills FL 33541
2.Generaldescriptionofimprovements� Renovation of existinq buildinq to become TJ Maxx
retail store.
3.OwnerInformation Townview Retail, LLC
a)Nameandaddress: 725 Conshohock n at Rd Bala Cynwyd PA 19004
b) Name and address of fee simple titleholder (if other than owner)
c) Interest in property
tractorInformation North River Builders and Prop. Managers, LLC
a)Nameandaddress: 6771 Shindler Dr. Jacksonville, FL 32222
b) Telephone No. 9 0 4— 8 3 8— 917 9 Fax No. (Opt. )
5 Surety Infortnation
a) Name and address: PRULR S 0'NEIL, Ph D PqSCO CLERK & COMPTROLLER
b) Amount of Bond: _ 03/03/ 11 10 : 39am 1 of ���
c) Telephone No. Fax No. (Opt.) _ � BK �5�� PG 7
6 Lender ♦ r
a) Name and address:
Phone No.
7 jdentity of person within the State of Florida designated by owner upon whom notices or other documents may be served:
r ,� a) Name and address:
b) Telephone No. Fax No. (Opt.)
8. In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713 13(1) (b), Florida Statutes:
a) Name and address:
b) Telephone No. Fax No. (Opt.)
9 Expiration date of Notice of Commencement (the expiration date is one year from thE date of recording unless a different date is
Specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UND CHAPTER 713, PART I, SECTION 713.13,
FLORIDA STATUTES AND CAN RESULT IN YOUR PAYING T CE IMPROVEMENTS TO YOUR PROPERTY.
A NOTICE OF COMMENCEMENT MUST BE RECORDED AND D N THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CON QU LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOUR NOTI;E E EN . •
STATE OF FLORIDA �
COUNTY OF PASCO
Signature of Owner's Authonzed OfficedDirectodPertnedManager
S t �
Print N e �
The foregoing inshument was acknowledged before me t is� day of �Q , , 20�, by ST 17
+ � � a (ty of authority, e.g, officer, rustee, attomey
in fact) for •�'p n1(1 P�aj (name of party on behalf of whom instrument was executed).
Personally Known � OR Produced [dentification _ Notary Signature ����� ��,.�7(jx ���'7
���° "�--
Type of Identification Produced Name (pri ��+�I �'��e—��_
Verification pursuant to Section 92.525, Florida Statutes. Under penalties o ecla e th I h ead the foregoing and that
the facts stated in it are true to the best of my knowledge and belief.
Signature of at erso Signing Above
FORMSMOC,rvsC2007
COMMpNWEALTH OF PENNSYLVANIA
Notarial Se�a1 `
steRriarre aa►ouse-wotr, Nohary Public
�PP� ��Y T�P•. Delaware County
MY Commissiort E�ires Dec. 5, 2011
Mamber, Pennaylvanla Asexlallon of Notarles
J' PASCO COUNTY BUILDING PERMITS DATE: 03/03/11
+iVt`��"� �AND ADDRESS FOR PROPERTY ID: 35 25 21 0010 08800 0000
PA.itCEL ?S LOCATED IN CITY ZH SC TP RG SUBD BLOCK LOT
NAME 1: TOWNVIEW RETAIL LLC NAME 2:
ST LNl: C/0 STOLTZ RE PARTNER LLC ST LN2: 725 CONSHOHOCKEN STATE RD
CITY: BALA CYNWYD STATE: PA ZIP: 19004-2102 TIFZN: 3
-------------LEGAL DESCRIPTION FOR PROPERTY---------------------------------
ZEPHYRHILLS COLONY CO LANDS PB 1 PG 55 POR TRS 73 88 & 89 &
POR OF LOT 8 PASCO MEDICAL ARTS CENTER PB 23 PG 24 BEING
MORE PARTICULARLY DESC AS: COM AT NW COR OF SW1/4 OF SEC 35
TH ALG N LN OF SAID SW1/4 S89DEG 51' 40"E 15.00 FT TH
SOODEG 07' 20"W 514.86 FT TO PT ON W BDY OF TR 73 FOR POB
TH S89DEG 50'57"E 188.54 FT TH SOODEG 09' 03"W 16.33 FT TH
S89DEG 50'S7"E 3a5.23 FT TH SOODEG 9' 3"W 65.00 FT TH
S89DEG 50'S7"E 154.33 FT TO E BDY OF TR 73 TH S09'3"W
433.51 FT TH N89DEG 55'34"W 50 FT TH S09'03"W 117 FT TH
N89DEG 55'34"W 200FT TH S09' 3"W 109 FT TH N89DEG 55'34"W
259 FT TH S09'3"W 205.36FT TO N R/W LN OF N MEDICAL AVE TH
N89DEG 56'33"W 133.84 FT TO E R/W LN OF US HWY 301 TH CV
CONCAVE TO W RAD 57395.80 FT CHD NOODEG 4'19"W 747.11 FT TH
S89DEG 50'S7"E 171.18 FT TH NOODEG 7'20"E 197FT TH N89DEG
50'57"W 173.54 FT TH NOODEG 7' 20"E 3 FT TO POB;OR 7642PG342
NEXT-FUNCTION: LD
OR BK �52@ PG '1���
2 of 2
�RTA7� C}F �LORIDA, COUNTY OF PASCO
TMI� I� TQ (:ERTIFY THAT THE FOREGOING IS A
TRUE Rt�l� CORRECT COPY OF THE OOCUMENT
ON FILE OR OF PUBLIC RECORD IN THIS OFFiCE
WIT SS MY HANDAND g FFICIAL EALTHIS
DAY OF �/I
PAULA . IL, CLE OM RO ER
gY CLERK