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Home My WebLink About13-14389 CITY OF ZEPHYRHILLS 5335-8TH STREET ,� (sis)�so-oo20 , 5 1 BUILDING PERMIT Permit Number: 14389 Address: 38421 5TH AVE Permit Type: DEMOLITION ZEPHYRHILLS, FL. Class of Work: 636-DEMOLITION Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-15300-0130 Improv. Cost: 2,000.00 Date Issued: 7/23/2013 Name: TAK PROPERTIES LLC Total Fees: 75.00 Address: 13010 US HWY 301 Amount Paid: 75.00 DADE CITY FL 33525 Date Paid: 7/23/2013 Phone: Work Desc: DEMOLISH DRIVE THRU ONLY OLD WACHOVIA BUILDING � —� L�� ,� ,� � � - - � 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. "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." Complete Plans,Specifications Must Accompany Application.All work shall be performed in accordance with Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O. CONTRAC R IG URE PERMIT OFFI R PERMIT E PIRE N 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received 6/17/2 013 Phone Contact for Permittin 813 7 8 3 -- 16 8 8 � � � � � � � � � � � � � Owner'sName TAK PROPERTIES, LLC OwnerPhoneNumber 813-783-1688 Owner's Address 13 010 U S HWY 3�1 Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOBADDRESS 38421 5TH AVENUE LOT# � SUBDIVISION ZH MB PARCELID# 11-26-21-0010-15300-0130 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED B NEW CONSTR e ADDlALT 0 SIGN 0 � DEMOLISH INSTALL REPAIR PROPOSED USE 0 SFR Q COMM 0 OTHER TYPE OF CONSTRUCTION � BLOCK 0 FRAME � STEEL � DESCRIPTION OF WORK DEMOLISH DRIVE THRU ONLY BUILDING SIZE SQ FOOTAGE 8�� HEIGHT �BUILDING $ VALUATION OF TOTAL CONSTRUCTION DELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. OPLUMBING $ � /� � �MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �` OGAS � ROOFING Q SPECIALTY 0 OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO BUILDER � COMPANY SIGNATURE ~ REGISTERED Y/ N FEE CURRE� Y/N Address License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# MECHANICAL COMPANY SIGNATURE REGISTERED Y( N FEE CURRE� Y/N Address License# OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# IIItI11111111111111111111111111111111111111111111111111111111111111 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. 1 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 A/C Fences(PIoUSurvey/Footage) Driveways-Not over Counter if on public roadways..needs ROW NOTI�CE OF bEED 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 FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT(F S 11�03) OWNER OR AGENT '` � CONTRACTOR C. � ` Su i d and swor to ed bef e is ' �,� Sub ' and s r r aff'med e ore hi by b Who is/are p nally o me o as/have produce ho is/are pe onally no to me or has/have oduced id ntification. as id tification. t Notary Public 1��! � Notary Public Com ission No. Commis ion No. ��y p�� KIMBERLY A.HILLEN ��1P�+y PV'• N '°s� UB`�� ' - rida =��• «��'. Notary Public-State of Florida Name of Notary type ,=p t s�Q�mm. Expires Jun 27,2015 Name of Notary typed, � omm. Expires Jun 27,2015 ;�v.� �`�:' Commission #EE 96377 ':;�f P; Commission #EE 96377 r ��p`�` i�Uf Fl�� ,� Bonded Through National Notary Assn. "��""� Bonded Through Nationat Notary Assn. STATE OF FLORIDA DEPARTMENT OF BUSINBSS AND PROFPSSIONAL R$GULATION CONSTRUCTI�N INDUSTRY LICENSING BOARD (850) 487-1395 1940 NORTH MONROE STREET � •��• TALLAHA83EE FL 32399-0783 � I I HISTON, CLYDE ALAN CROSS ENVIRONMENTAL SERVIG�S INC PO HOX 1299 CRYSTAL SPRINGS FL 33524 � - � _.__,_.________--------T_____—___�_.�_.._._.__. ST'ATE OF FLORIDA AC# 6 2 ?�4 9 ? 5 Congratulations! With this license you become one of the nearly one million DEPART`M�N'� OF BU3INE38 AND Floridians licensed by the Department of Business and Professionai Regulation. . pRO�'ES3�QN$1I; �RSGULAT�ON �. Our professionals and businesses range ftom architects to yacht brokers,from _ boxers to barbeque restaurants,and they keep Florida's economy strong. � - µ � CGC06298]� ,,s , 0;$/i`6'./�2 128042418 Every day we wark to improve the way we do business in order to serve you better ' ,� `,:: :_;,;, � -. . ��=. For information about our services,please log onto www.myfloridalicense.com. CERTIF:IE�i�'��L+'-C�NTRACTOR� There you can find m�re information about our divisions and the regulations that BISTt7N; G�r'��°;�+;L�. ` ' impact you,subscribe to department newsietters and leam more about the GROSS ENVYR�IQM��a'r��R'V`TC�S .INC DepartmenYs initiatives. . -.�:z.'�= �. Our mission at the Department is:License Etficiently,Regulate Fairly.We i constantly strive to serve you better so that you can serve your customers. =S C$RTIFT�D ,�nae= th0 pzovisiotis.of Ch.4H9 Fs - Thank you for doing business in Florida,and congratulations on your new license! ;' i ��iration dat�i �AUG°; 31� 2�14 L120�1601788 �' L�......w.......,_..��...,........_.__......�,W'__._.....,_..__.�...�._—.._.�._.�__ � �-_� - DETACH HERE .. . .- . : •. . •.•- � • � AC�` 6.�7 4��J � STATE O� FLORIDA . � DEPARTMCO�S'I�RUCTI��E.�ND STRYRLICENSINGLSO�TION , SEQ#Liaosi6oi�ss LICENSL NBR��; �Q:$�.16. ..20=�2 *28042418. =�GC062981`:.:;�.;° . - � The GENE�i.AL Ct�NTR.ACTOR ',r �,.� , . •Named� be�oxa T3 C��'T`IFI�I� ` ;::'� "'(,�: _.:. ., ♦ � , � ', TJridar the provisions of� Chapt�r€::`�E"9�:�gS,:, _ - �,,,.�� Expiration date: AUG 31, 20141;;�zi �;�::< , _ , _ _ !'.�'t, � , , '`' ,+,'� ,r.. . ` . � - , ;;": .: '";�_t; ; ' . . BISTON, . CL'iCDE ;�LAN . - � .�°. . CR03S $NVIRONMSrt'iiAL .SERiTICFsS TNC - '` °`.`` 39646 FIG AVEN[7E • � CRYSTAL SPRI1�iGS FL .33524 '� ", _ '"_ R�CIC $COT� - ° KEN LAW30N GO'V'ERNOR S ECRETARY �--�---�_--�--�__.�___�_...____,_.._� D�PL�AS R.�QUIRED BY LAW �----- ---------- - -- --------- - - - — - f PASCCJ C(lLT1�TTY BUSIT�T�SS TAX R�C�IPT �01� -l�► Issued pursuant and subject to.Florida Statutes and Pasca Caunty prdinances. issuance does not certify compliance with zoning ar pther laws. Th�s receipt must tre posted conspicuously in place ot business. Expires September 30. Mike Olson � ACCOUNT NOs 007647 TA�i'C�I,I,,��OR. TYPE OF BUSINESS� SIC CODE� 1522 pnr�,nt-;�jUNTIr I�I_,ORIDA �ENERpL CONTRACTOR �'�*�'E�''•, LOCATION ADDRESS� CR05S ENVIRONMENTAL SERVICES I :� �.'• 39646 FIG AVE PO BOX 1299 ;� ZEPHYRHILLS CRYSTAL SPGS FL 33524-1299 � ' .�, �'•.��`.••' DATE RECEIPT AMOUNT �••• 08�31/12 607111 207.50 E��rlli�lli��lll�lr��,•i�uih�u��dll�il��l��u��hi�l��tl� .. , ; ; j �� p"Q�R� Florida Department of DEP Fortn 62-257.900(1) t Environmental Protection Effectivel0-12-08 = Page 1 of 2 �a s �' � FLOA A ' Division of Air Resource Management NOTICE OF DEMOLITION OR ASBESTOS RENOVATION TYPE OF NOTICE(CHECK oNe oN�v): � ORIGINAL ❑ REVISED ❑ CANCELLATION ❑ COURTESY TYPE OF PROJECT(CHeCK orve oN�v): � DEMOLITION ❑ RENOVATION IF DEMOLITION,IS ITAN ORDERED DEMOLITION? ❑YES �NO IF RENOVATION: IS ITAN EMERGENCY RENOVATION OPERATION7 ❑YES ❑NO IS iTA PLANNED RENOVATION OPERATION? ❑YES ❑NO I. Facility Name Former Wachovia Bank 5'"Avenue CES Job#13-0237D Address 38421 -5`"Avenue City Zeahvrhills State FL Zip 33542 County Pasco Site Drive-Thru Buildina Consultant Inspecting Site Apollo Environmental. Inc. Buiiding Size 1.000 (Square Feet) #of Floors 1 Building Age in Years unk Prior Use: ❑ School/College/University ❑Residence ❑Small Business �Other Commercial Present Use: ❑School/College/University ❑Residence ❑Smali Business �Other Vacant II. Facility Owner Clvde A.Biston/TAK Properties Phone(813) 783-1688 Address 13010 US Hiqhwav 301 City Dade Citv State FL Zip 33525 III. Contractor's Name Cross Environmental Services.Inc. Phone(813)783-1688 Address P.O.Box 1299 City Crvstal Sprinas State FL Zip 33524 Is the contractor exempt from licensure under section 469.002(4),F.S.? ❑ YES � NO IV. Scheduled Dates:(Notice must be postmarked 10 working days before the project start date) Asbestos Removal (mm/dd/yy) Start: Finish. Demo/Renovation(mm/dd/yy) Start:07/25/13 Finish:07/28/13 V. Description of planned demolition or renovation work to be perFormed and methods to be employed,including demolition or renovation techniques to be used and description of affected facility components.Wet demolition of drive thrus. Procedures to be Used(Check All That Apply): ❑ Strip and Removal ❑ Glove Bag � Bulidozer ❑ Wrecking Baii � Wet Method ❑ Dry Method ❑ Explode ❑ Burn Down OTHER: VI. Procedures for Unexpected RACM: Stop work immediatelv. Contain. Notifv DEP immediatelv VII. Asbestos Waste Transporter: Name N/A Phone�) Address City State Zip VIII. Waste Disposal Site: Name Anqelo's Recvcled Materialsl Class III Address 41111 Entemrise Road City Dade Citv State FL Zip 33525 IX. RACM or ACM: Procedure,including analytical methods,employed to detect the presence of RACM and Category I and II nonfriable ACM. Survev&PLM Amount of RACM or ACM� X. Fee Invoice�II Be Sent to Address in Block Below:(Print or Type) square feet surfacing material CROSS ENVIRONMENTAL SERVICES, INC. linear feet pipe cubic feet of RACM off facility components P. O. Box 1299 square feet cementitious material Crystal Springs, FL 33524 square feet resilient flooring square feet asphalt roofing "Identify and describe surfacing material and other materials as applicable:NO ACM I certify that the above information is correct and that an individual trained in the provisions of this regulation(40 CFR Part 61,Subpart M)will be on-site during the demolition or renovation and evidence that the required training has been accompli,hed y this person will be available for inspection during �rmal business hours. ` � � ��t�— ��L�l„ U7'1 `'� j t �� (Print Name of OwnedOper for) (Date) ' ' ' �G� ��O��cS�`�"-� � r r 13 (Signature of Owner/Operator) (Date) DEP USE ONLY PostmarWDate Received ID# � ' - , N��l�AP �emalitior� Asbesto� �urvey Former Wachovia Bank Drive-Thru Building 38421 5t`'Avenue Zephyrhills, Florida June 25, 20?3 Prepared for� � Mr. Charles Gray • Cross Environmental Services, lnc. 39646 Fig Street PO Box 9299 Crystal Springs, Florida 33524 � Date '7 8 �3 Victor Rivera Florida Certified Inspector Date �'��3 Dr. Robert D. Mitchel( ,B.�.�� LAC# DD 0000007 � � AD#31�45 Prepared by: APDLLO EIVVII��NMEN��IL INC. P.O. Box 239 �` �'�� Gibsonton, Florida 33534 (800) 348-318 9 �'able of Contents Scopeof Work. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Executive Summary. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Asbestos Containing Materials Summary Table.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Recommendations. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Location and Analysis Summary Table. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Site Characteristics.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Asbestos Survey Protocol.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 GeneralConditions.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Appendix 1 Drawings - Sample Locations and ACM Locations Appendix 2 Sample Analysis Sheets Appendix 3 Survey Certifications APOLLO ENVIRONMENTAL, INC. E-maiL•info@apolloenv.com P.O.Box 239 TEL:813-671-3999 Gibsonton,Florida 33534 FAX.•813-677-3422 Scope of Work At the request of Mr.Charles Gray of Cross Environmental Services, Inc.,Apollo Environmental, Inc., conducted a NESHAP, Demolition, Asbestos Survey of the Drive-Thru Building at the Former, Wachovia Bank, located at 38421 5th Avenue, Zephyrhills, Florida. Executive Summary On June 25, 2013, Mr. Victor Rivera, Surveyor/Inspector for Apollo Environmental, Inc., conducted the survey of Drive-Thru Building. Upon inspection of the site, 15 Homogeneous Areas (HA's)were identified as suspect, asbestos-containing materials and 32 samples were collected. Polarized light microscopy (P.LM) analysis found none of the HA's to be asbestos-containing materials (ACM). ASBESTOS CONTAINING MATERIALS SUMMARY TABLE HA Location Material Description Approx. NESHAP Friable # (ACM layers in bold) Area Category or Non- Friable No asbestos was detected in any of the samples. Recommendations 1. Notification is required bythe Department of Environmental Protection(DEP)Southwest District (813-632-7600 ext. 116) 10 business days prior to demolition activities. 2. A copy of this survey and any previous survey reports should be on site during renovation/demolition activities. 3. If suspect materials are found, other than those detailed in this report, analysis of these materials are required prior to disturbance. CES/Former Wachovia Bank Drive-Thru July 5,2013 AD#31145 � 3C:IApollo-FranklAsb.SurvICESIFormerWachoviaBankDrive-Thru,Zephyihills.wpd APOLLO ENVIRONMENTAL,INC. E-mail:info@apolloenv.com P.O.Box 239 TEL:813-671-3999 Gibsonton,Florida 33534 FAX.�813-677-3422 Location and Analysis Summary of Homogeneous Materials HA Sample Location Maferial Description Approx. ACM Type Condition # #(s) Area and Content 1 1,2 roof rolled roofing 1,800 sf None Detected Fair 2 3,4 edges of roof perimeter flashing 350 sf None Detected Fair 3 5,6 roof black mastic around roof 2 sf None Detected Fair penetrations 4 7,8 foyer,teller line,video 2'x 2'ceiling panels 370 sf None Detected Fair room&bathroom 5 9,10,32 throughout wallboard with surfacing 900 sf None Detected Fair 6 11,12 foyer 12"tan floor tile over glue 10 sf None Detected Fair 7 13,14 bathroom 12"beige floor tile with specks 110 sf None Detected Fair over glue 8 15,16 teller line&video room multi-colored carpet over glue 185 sf None Detected Fair 9 17,18 throughout cove base and glue 60 sf None Detected Fair 10 19,20,21 exterior walls exterior stucco 800 sf None Detected Fair 11 22,23 drive-thru lanes 2'x 4'sheetrock ceiting panels 1,200 sf None Detected Fair 12 24,25 exterior walis block and mortar walls S00 sf None Detected Fair 13 26,27 roof deck&drive-thru concrete roof deck and 1,600 sf None Detected Fair lanes columns 14 28,29 floors throughout&curbs concrete slab 1,200 sf None Detected Fair 15 30,31 pavement around bidg. asphalt 8,000 sf None Detected Fair CES/Former Wachovia Bank Drive-Thru July 5,2013 AD#31145 2 3C:IApolfo-FranklASb.SurvIC E SlFormer Wachovia Bank Drive-7hru,Zephyrhills.wpd APOLLO ENVIRONMENTAL,1NC. E-mail:info@apolloenv.com P.O.Box 239 TEL:813-671-3999 Gibsonton,Florida 33534 FAX.•8?3-677-3422 Site Characteristics General: Former Wachovia Bank Drive-Thru Building is a one story, concrete block building with a flat roof. Roofing: The building has a flat roof with a concrete and wood deck. The following suspect roofing materials were identified and sampled: HA 1: rolled roofing HA 2: perimeter flashing HA 3: black mastic around roof penetrations HA 13: concrete roof deck and columns Ceilings: There is batt insulation above the ceilings. The following suspect ceiling materials were identified and sampled: HA 4: 2' x 2' ceiling panels HA 11: 2' x 4' sheetrock ceiling panels Walls: The exterior walls are concrete block. The following suspect wall materials were identified and sampled: HA 5: wallboard with surfacing HA 10: exterior stucco HA 12: block and mortar walls HA 13: concrete roof deck and columns � Floors: The floors are concrete slab. The areas around the building are paved. The following suspect floor materials were identified and sampled: HA 6: 12" tan floor tile over glue HA 7: 12" beige floor tile with specks over glue HA 8: multi-colored carpet over glue HA 14: concrete slab HA 15: asphalt HVAC: The compressor, located outside, feeds the register in the Video Room. The pipes have black foam rubber insulation. No vibration isolators or ducts were present,and no suspect HVAC materials were observed. Plumb.: No water heater or plumbing insulation was found. Misc: No door frame caulk, window frame caulk, or fireproofing was found. The fire-rated door did not have a suspect filling. The following suspect miscellaneous material was identified and sampled: HA 9: cove base and glue CES/Former Wachovia Bank Drive-Thru July 5,2093 AD#31145 3 3C:IApollo-FranklAsb.SurvIC E SIFo�me�Wachovia 8ank Orive-Thru,Zephyrhilfs.wpd APOLLO ENVIRONMENTAL, INC. E-mail:info@apolloenv.com P O.Box 239 TEL:813-671-3999 Gibsonton,Florida 33534 FAX:893-677-3422 Asbestos Survey Protocol The purpose of this survey was to locate and assess the suspect asbestos-containing materials as defined in the Scope of Work. The site was surveyed for the presence of materials that are typically suspect to contain asbestos. Prior to collecting any samples, distinct homogeneous sampling areas are identified and a sampling strategy is developed. A homogeneous sampling area can be described as any suspect asbestos material that is similar in appearance and texture, having similar installation, age, use and function. Sampling locations are chosen to be representative of the homogeneous sampling area. While an effort is made to collect the samples randomly, samples are taken preferentially from as many rooms as possible, and for occupied facilities,from areas that are the least visible. As these materials were identified, bulk samples were obtained and placed into individual sample containers for transport to the Apollo laboratory. Suspect materials were sampled in an effort to obtain all representative layers that characterize their composition. All sample locations were identified by a numbered label. These numbers directly correspond with the numbers listed in the analytical results tables,laboratory analysis sheets and drawings. Each suspected asbestos-containing material was classified as either friable or non-friable. Friable materials as defined by the EPA may be crumbled, pulverized, or reduced to a powder by hand pressure when dry. Friable asbestos-containing material is usually more hazardous than non-friable asbestos-containing materials because it has greater potential to readily release airborne asbestos fibers. Materials that were hidden or not accessible were not evaluated as part of this survey. These materials should be analyzed if and when they are located during any renovation or demolition. Materials visibly identifiable as non-asbestos (fibrous glass, foam rubber, wood, etc.) were not sampled. ' The survey was performed as required by NESHAP, 40 CFR, Part 61, Subpart M. The sampling protocol/strategy is based on EPA Reg. 40 CFR, Part 763 (AHERA)with modifications. As 40 CFR, Part 763, does not address the assessment of roofing and limited exterior components of the buildings, these additional materials were added in accordance with NESHAP, Part 61, Subpart M, and assessed using the 40 CFR, Part 763 protocols. Inventory,general supplies, etc.are not included as NESHAP building components. Additionally, samples are not collected in a completely random manner(see second paragraph of survey protocol). Bulk asbestos samples were analyzed by Apollo by polarized light microscopy using dispersion staining techniques according to US EPA method 600/M4-82-020 incorporating visual estimates(area) of identified materials percentages and Apollo's NVLAP accredited procedures. Any material that contains greater than one percent of any type of asbestos is considered by the EPA, OSHA and the State of Florida, an asbestos-containing material (ACM) and must be handled according to regulations. Apollo Environmental, Inc. participates in the National Voluntary Laboratory Accreditation Program (NVLAP), and other quality control programs for asbestos analysis. CES/Former Wachovia Bank Drive-Thru JuJy 5,2013 AD#31145 4 3C:IApollo-FranklAs6.SurvIC E SlForme�Wachovia Bank Drive-Thru,Zephyrhills.wpd APOLLO ENVIRONMENTAL,INC. E-mail:info@apolloenv.com P.O.Box 239 TEL:813-671-3999 Gibsonton,Florida 33534 FAX.•813-677-3422 General Conditions 1. DOCUMENTS:All documents,including but not limited to drawings,specifications, reports,field notes, laboratory test data, calculations, and estimates prepared by Apollo Environmental Incorporated (AEI) pursuant to this Agreement, shall be the sole property of AEI. Client agrees that all documents of any nature furnished to Client, if not paid for, will be returned upon demand and will not be used by Client for any purpose whatsoever. Client agrees that under no circumstances shall any documents produced by AEI pursuant to this Agreement be used at any location or for any project not expressly provided for in this Agreement without the written permission of AEI. Client agrees that reports of AEI issued pursuant to this Agreement are for the exclusive use of Client and that such reports, the name of AEI, or its insignia or seal shall not be used by or on behalf of Client under any circumstances in advertising to the general public, or in any public material or in any other manner without AEI's prior written approval. Client agrees to indemnify, defend, and hold AEI harmless from and against any claims, liabilities, loss or damage, including reasonable attorney's fees arising out of any use of the reports, name,insignia or seal of AEI without AEI's prior written approval. At the request and expense of Client, AEI will provide Client with copies of documents created in the perFormance of the work for a period not exceeding one year following submission of the report contemplated by this Agreement. This assessment has been prepared for the sole use of the client.Its contents should not be relied upon by other parties without the express written consent of Apollo Environmental, Inc., and the client. 2. The information and conclusions presented in his report are valid only for the circumstances of the sites investigated as described in this report as they existed during the time period of the investigation. 3. WARRANTIES. THERE ARE NO EXPRESSED OR IMPLIED WARRANTIES, INCLUDING THE IMPLIED WARRANTIES OR MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE, NOT SPECIFIED HEREIN. Respecting this Agreement for the equipment, documentation,reports and services to be provided hereunder, or the delivery, use, or perFormance thereof, the only warranty or guarantee made by AEI in connection with the services perFormed hereunder, is that it will use that degree of care and skill ordinarily required in the performance of the services provided. No other warranty, expressed or implied, is made or intended by AEI's services or written reports. 4. None of the information contained herein should be construed as medical advice or a call to action for evacuation. Any decision relative to medical significance should be made by a qualified physician. 5. Apollo Environmental,Inc.,evaluated the reasonableness and completeness of all relevant information, but does not assume responsibility for the truth or accuracy of any information provided to Apollo Environmental Inc. by others or for the lack of information that is intentionally, unintentionally, or negligently withheld from Apollo by others. Professional judgement was exercised in gathering and evaluating the information obtained, and Apollo commits itself to the usual care, thoroughness and competence of the industrial hygiene/environmental profession. This report is based on information made available at the time of the inspections. The opinions expressed draw upon the background, training and experience of the personnel involved in the investigation. Should additional information become available,Apollo Environmental,Inc.,reserves the right to determine the weight and impact, if any,of the new information on our opinions and conclusions, and to revise the opinions and conclusions if necessary and warranted by the discovery of the additional information. CES/Former Wachovia Bank Drive-Thru July 5,2013 AD#31145 5 3C:IApollo-FianklAsb.SurvICESIFormerWachoviaBankOrive-ThrµZephyrliills.wpd APOLLO ENVIRONMENTAL, INC. E-mail.•info@apoRoenv.com P.O.Box 239 TEL:813-671-3999 Gibsonton,Florida 33534 FAX:813-677-3422 6. After acceptance of this report, if Apollo obtains information that it believes warrants further exploration and development, Apoilo will endeavor to provide that information to the Client, but Apollo will not be liable for not doing so. 7. This report is neither a legal opinion nor"due diligence inquiry."Only legal counsel retained by the Client is competent to determine the legal implications of information or conclusions contained in this report. 8. Apollo is not responsible for any effect upon the Client or others' legal rights, obligations, or liabilities or for any effect upon the finance ability, marlcetability,or value of the property or for the occurrence or non-occurrence of any transaction involving the property based upon the information stated in this report. LIMITATION OF LIABILITY: Client agrees that AEI's liability for any damage on account of any error, omission, or other professional negligence will be limited to an amount equal to the lesser of$10,000 or AEI's fee. AEI, its agents, and employees shall not be liable for any lost profits or any claim or demand against Client by any other party. In no event shall AEI be liable for special, consequential, or exemplary damages. This provision shall supersede any other provision in this report that may be deemed inconsistent with it. No action, regardless of form, arising out of the service under this Agreement, may be brought by the Client more than one (1)year after the act or omission giving rise to a cause of action has occurred. 9. To achieve the study objectives stated in this report, Apollo based its conclusions on the best information available during the period of the investigation and within the limits prescribed by the Client. 10. SAMPLE DISPOSAL: Unless otherwise agreed, test specimens or samples will be disposed of immediately upon completion of the test or per NVLAP. 11. INDEMNITY:The Client agrees to indemnify,defend,and hold AEI,its officers,employees,and agents harmless from any and all claims, suits, losses, costs, and expenses, including but not limited to, court costs and reasonable attorney's fees arising or alleged to have arisen out of or to have resulted from the performance of AEI's work on or about the subject Project, and caused in whole or in party by a negligent, willful, or wanton act or omission of the Client. In the event that the Client shall bring any claim, suit, cause of action, or counterclaim against AEI, to the extent that AEI shall prevail upon such action, the Client shall pay to AEI the costs expended by AEI to defend against such action, including reasonable attorney's fees, witness fees, and other related expenses. 12. PAYMENT: Payment is due upon receipt of AEI's invoices. If payment is not received within thirty(30) days of receipt by Client, Client agrees to pay a finance charge of the principal amount of the past due account of two(2%)percent per month. If two(2%)percent per month exceeds the maximum allowed by law,the charges shall automatically be reduced to the maximum legally allowable. The Client agrees to pay AEI's cost of collection of all amounts due and unpaid after sixty(60)days, including court costs and reasonable attorney's fees. CES/Former Wachovia Bank D�ive-Thru July 5,2013 AD#39145 6 3C:IApollo-FranklAsb.SurvICESIFo�merWachoviaBankOrive-Thnr,Zephyrhills.wpd � � CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDM'YY) ACORL� 7/18/2013 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), AUTHORI2ED �� 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 ii , the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the i ' certiflcate holder in lieu of such endorsement s. ' PRODUCER T � NAME: Bowen, Miclette&Britt of Sarasota, LLC PHONE Fnx - - A/C No: - - 1605 Main Street E-MAIL Suite 910 ADDRESS Sarasota FL 34236 INSURER S AFFORDING COVERAGE NAIC# INSURER A: I INSURED CROSSENVIR INSURER B: I I C,fOSS EllVlf011171@Ilt8�.5@Il/IC@S, �IIC INSURERC. I I P O BOX�Z99 INSURER D: 'I Crystal Springs FL 33524 INSURER E: INSURER F: I COVERAGES CERTIFICATE NUMBER:709625344 REVISION NUMBER: I THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE WSURED 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 7ypE OF INSURANCE POLICY EFF POLICY EXP LIMITS LTR INSR NND POLICY NUMBER MMIDD/YYYY MMlDD/YYYY I A GENERALLIABILITY ECPO150718014 11/1/2012 /1/2014 EACHOCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence 5100,000 CLAIMS-MADE �OCCUR MED EXP(Any one person) $5,000 '� X MaxAgg/POlicy PERSONAL&ADVINJURY $1,000,000 Limit 10,000,000 GENERAL AGGREGATE $2,000,000 GEN'LAGGREGATELIMITAPPLIESPER� PRODUCTS-COMPlOPAGG $2,000,000 POLICY X PRO- LOC $ B AUTOMOBILE LIABILITY BAP15071791 11l1/2012 /1/2014 Ea acadent 1 000,000 � X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Peraccident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE X HIREDAUTOS X AUTOS Peraccident $ $ A UMBRE�LA LIAB X OCCUR FFX150718114 11/1/2012 /1/2014 EACH OCCURRENCE $5,000,000 �', X EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 � DED RETENTION$ $ � g WORKERS COMPENSATION CA150903614 (1/2013 /1/2014 X �STATU- OTH- AND EMPLOYERS'LIABILITY �,�N ANY PROPRIETOR/PARTNER/EXECUTIVE E L.EACH ACCIDENT $1,000,000 OFFICER/MEMBEREXCLUDED� � N�A (Mandatory in NH) E L DISEASE-EA EMPLOYE $1,000,000 If yes,describe under i DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 , '4 Contractors Pollution Liability ECP0150718014 11/1l2012 /1l2014 Each Poll Condition 1,000,000 Prof �iability(Claims Made) Each Claim 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Sehedule,if more space(s required) I� Contractors Pollution and Professional serve to reduce the General Aggregate. j When required by written contract,those Parties listed in said contract, including the certificate holder, are added as an Additional Insured with regard to General Liability as afforded by the policy and/or endorsements. CERTIFICATE HOLDER CANCELLATION , SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ' THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Zephyrhills ACCORDANCE WITH THE POLICY PROVISIONS. 5335 8th Street �' Zephyrhl��S FL 33542 AUTHORIZEDREPRESENTATIVE ' �`��- O 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD I .--i M �--i Q O ~ � � N c E N 0 a� , an a� 4- � a a� � $;�a� � -o o �.�, � ��:.x > X ' � � .� N Y 1 � � � C � a :�+ tn C .� •` �. a a� _ � a� a� � � a� y■ m � � � c N � � � O ` H � „� Y3 �•� � ��. ', a . 3' �; � � .� € � � � . � ` �� .5:� V] C�• �. � � �,,��i c��yy ,;';i+� • 9k I i�1 �� o � �� rO� . . U �� `/ �� v�s°�,. � � �` bA � ..�s O W �`j b�A �"�� c/i � ;� � � � >, � ¢ � � � N �