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Home My WebLink About14-14730 I --- CITY OF ZEPHYRHILLS 5335-8TH STREET �si3��8o-oozo ` 1 30 BUILDING PERMIT Permit Number: 14730 Address: 7780 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: 35-25-21-0130-00000-0060 Improv. Cost: 390,000.00 Date Issued: 2/12/2014 Name: SF ZEPHYR COMMONS LP Total Fees: 2,284.80 Address: 2851 JOHN ST STE 1 L3R 5R7 Amount Paid: 2,284.80 MARKHAM ON CANADA Date Paid: 2/12/2014 Phone: (813)933-0629 Work Desc: EXTERIOR WALL RENOVATION OF BUILDING (WELLS FARGO) ,0 .5 5 . �� ✓ � , � , � � b �- , �� ,�,, � FOOTER BOND DUCTS INSULATED SEWER MISC. ROUGH ELECTRIC LINTEL MISC MISC. 1ST ROUGH PLUMB PRE-METER �NSULATION 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 properly 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 pertormed in accordance with Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O. CONT T R SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 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 813780.0021 Building Department �� j�� c�. Date Received �� _. �_ Pho�e Contact for Pertnittin Owners Name Wells Far O OwnerPhone Number 904-391-7830 Owners Addreas 10401 Deerwood Park Jax FL 32256 Owner Phone Number Fee Simple Titleholder Name SF Zephyr Commons LP p�er Phone Number —� FeeSimpleTitleholderAddress 1851 John Street Suite 1, Markham, Ontario L3RSR7 JOBADDRESS 7780 Gall Blvd.Zeph r Hills FL 33541 LOT# C� SUBDIVISION —� pq�EL IDIf �OBTAINED FR�OM PROPERTY 7AX�NOTICE)DEMOLISH WORKPROPOSED B NEwCONSrRB ADD/ALT Q SIGN INSTALL REPAIR PROPOSED USE Q SFR Q COMM � OTHER TYPE OF CONSTRUCTION Q BLOCK � fRAME � STEEL Q (�----� DESCRIPTION OF WORK Exterior wall renovation BUILDING SIZE Branch Bank SQ FOOTAGE 4,025 HEIGHT � QBUILDING $ rt'�, � ��.3 VALUATION OF TOTAL CONSTRUCTION QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. QPLUMBING $ QMECHANICAL �� VALUATION OF MECHANICAL INSTALLATION �� QGAS Q ROOFING Q SPECIALTY � OTHER I�� FINISHED FLOOR ELEVATIONS FLOOD Z E AREA �YES NO � _ 3ZS°� � � BUILDER COMPANY Marand Buiiders SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address 2426 Mayport Rd. uite ,Altantic Beach FL 32233 CGC#1515920 —� License t ELECTRICIAN COMPANY —� SIGNATURE REGISTERED Y! N FEE CURRE� Y/N Address � License i PLUMBER COMPANY —� SIGNATURE REGISTERED Y/ N FEE CURREI. Y/N AddreES � License� MECHANICAL � COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Addreas License f —� OTHER COMPANY � SIGNATURE REGISTERED Y/ N FEE CURRE� V/N Address License# —� Illllltllllilllllllllllllllllllllllllllllllllilllllllllllllllllllll RESIDENTIAL Attach(2)Pbt Plans;(2)sets of guilding Plans;(1)set of Energy Fortns;R-O-W Permit for new construction, Minimum ten(10)working days after submittal date. Required onsite,ConsWction P�ans,Stortn�ter Pians w/Sitt Fe�ce installed, Sanitary Faalities 6 1 dumpster,Site Work Pertnit for subdivisionsAarge projects COMMERCIAL Attach(3)complete sets of 8uilding Plans plus a Life Safety Page;(1)set of Enerpy Fortns,R-O-W PermR for new construction. Minimum ten(10)worlting days after submittal date. Required onsite,ConsWqion Plans,Stortnwater Plans w/Sik Fence installed, Sanitary FadlRies&1 dumpster.Site Work Pertnit for all new projeas.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Enpineered Plans. ""PROPERTY SURVEY required for all NEW construcUon. Directions: Fill out application completey. Owner&Contractor sign back of applicadon,notarized If over 52500,s NoUCe of Commencement is required. (A/C upgrades over:7500) " Agent(for the conVactor)or Power of Attomey(fw the owner)would be someone with notarized letter from owner authorizing same OVER TNE COUNTER PERMITTING (Front of Application Only) Reroofs if shingles Sewers Service Upprades A/C Fences(PIoVSurvey/Footage) Driveways-Not over Counter if on public roadways..needs ROW • �; ��,� .:. �� City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: �(� r- (',c,�� (,{�I L(,��-S Date Received: 1 Q�– �S— �3 Site: � � l�D � � C ( �( �� Permit TYPe� �X��,C�r W�V� ��IJiL�� Approved w/no comments:❑ Approved w/the below comments: ❑ Denied w/the below comments: ❑ This comment sheet shall be kept with the permit and/or plans. Kalvin Switzer–Plans Examiner Date Contractor and/or Homeowner (Required when comments are present) Z�PHYRHELL� FIRE DEP�RT(t��NT 6907 Dairy Road, Zephyrhills, FL 33542 FIRE SERVICE USER FEES Occupancy No.: Plan No.: , Contractor: Business Name: ,��„� ,�ti� Billing Address: Business Address: 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 Annuat N/C Sprinkler $50 1stAlarm N/C MuRi-Family/Commercial .06 sf 1st Re-inspection N/C Standpipes $50 2nd Alarm N!C (Minimum Charge$25.00 2nd Re-inspection $100 Fire Pump $50 3rd Alarm N/C � Plan Revisions DBL 3rd Re-inspection �250 Hoods $50 4th Alarm 5100 4th Re-Inspection a500 Fire Alarm $50 5th Alarm 5150 SPRINKLER SYSTEMS (Business closed until LP Gas $50 6th Alarm $200 0-25 Heads $50 violations corrected) Natural Gas $50 NON COMPLIANCE �150 26 plus Heads $100 SPRINKLER SYSTEMS Fuel Tenks- pertank $50 STANDPIPE SYSTEM Hydro Undergrounds a45 Sparklers $100 � Per Riser $50 Hydrostatic Test $65 per system Fire Works $500 FIRE PUMP Acceptance Test $45 per system Camp Fire $25 � Per Pump $100 Hydrant Flow $75 Controlled Bum a100 FIRE ALARM SYSTEM Hood/Duct $50 0-25 Devices $50 FIRE ALARM SYSTEM Place of Assembly $50 Mnual 26 plus Devices $100 8 System Acceptance $50 Fire Protection $25 SUPPRESSION SYSTEMS Recall Acceptance $50 Flammable Appucation $50 av�uai Wet $50 OTHER Waste Tire Storage $50 Annual �rY S50 Fire WalUSmoke Wall $15 per wan Generator<KW a100 CO2 $50 LP Gas $25 per�a�k Generator>30 KW 150 Other $50 Natural Gas �25 per system Bio-Hazard Waste 3100 amuai KITCHEN EXHAUST Fumigation Tenting $50 � Hood/Duds $50 Tent 10k10'or greater $15 per tent Torr.h PoUApplied $50 OTHER Fire Pump a45 Haz.Materials $100 Mnual LP InstatlaUon pertank $50 Fire Suppression $30 Fuel Tank Installation $50 System Acceptance (Per Tank) $50 8 E�aust Hood/Duct $30 �Natural Gas Installation $50 Re-inSpeCGon DBL (Per System) (other than annual) �Spray Booth �50 � Inspection scheduled DBL and cancelled less than 8 24 hours Construction Insp. N/C Emergency Vehicle A� $50 FALSE ALARM PLANS TOTAt� INSPEC�fON TOTAL� PERMIT TOTAL� �O�q�� GRAND TOTAL Comments: Date: G_ 3U :�.c i� 1 Inspector: R.L'-�- �� ,�A 0 b nin � e�s-�eaoo2o City of Zephyrhilis Permit Application Fax-813-780.0021 ' Building Department �� `��` �.r., Date Received phone ContactforPermittin •�� _ �'�' Owners Name W@IIS F8f O Owner Phone Number 904-391-7830 Ownels Address 10401 Deen�vood Park Jax FL 32256 owner Pnone Number Fee Simple Tideholder Name SF Zephyr Commons LP Owner Phone Number �--� FeeSimpleTitleholderAddress 1851 John Street Suite 1, Markham, Ontario L3R5R7 JOBADDRESS 7780 Gall Blvd.Zeph r Hills FL 33541 LOT# � SUBDIVISION �- � PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW coNSrR ADD/ALT Q SIGN Q Q DEMOLISH INSTALL e REPAIR PROPOSED USE Q SFR Q COMM � OTHER TYPE OF CONSTRUCTION Q BLOCK � FRAME Q STEEL Q DESCRIPTION OF WORK E�erior wall renovation BUILDINGSIZE Branch Bank SQFOOTAGE 4,�25 HEIGHT � �BUILDING S � '�� VALUATION OF TOTAL CONSTRUCTION QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. QPLUMBING $ QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION QGAS Q ROOFING Q SPECIALN Q OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO BUILDER COMPANY Marand Builders -� SIGNATURE REGISTERED Y/ N FEE CURREA Y/N Address 2426 Mayport Rd. uite ,Altantic Beach FL 32233 License# CGC#1515920 ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address -� License# PLUMBER COMPANY SIGNATURE REGISTEREO Y/ N FEE CURREI. 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# � II11111111111111111111111111111111111111111111111111111111111111111 RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit for new consWdion, Minimum ten(10)working days after submittal date. Required onsite,Construdion Plans,Stortnwater Plans w!Sitt Fence installed, Sanitary Faalities&1 dumpster;Site Work Pertnit for subdivisions/large projects COMMERCIAL Attach(3)complete sets of Building Plans plus a L'rfe Safety Page;(1)set of Energy fortns.R-O-W Pertnit for new construction. Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed, Sanitary Fadlities 8 1 dumpster.Site Work Pertnit for all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. ""PROPERTY SURVEY required for all NEW construdian. Directfons: Fill out applicatlon compleley. Owner 8 Contrador sign back of application,notarized If over 52500,a NoUce af Commencement ia required. (A/C upgrades over=7500) " Agent(for the contrector)or Power of Attamey(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs'rf shingles Sewers Service Upgrades A/C Fences(Plat/Survey/FOOtage) Drivewaya-Not over Counter'rf on public roadways..needs ROW NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work,they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the"contractor Block"of this application for which they will be responsible. If you, as the owner sign as the contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and 90-07, as amended. The undersigned also understands,that such fees,as may be due,wili 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 certiflcate of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County WaterlSewer 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 certiTy 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 pertormed 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 fiil 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 inGuded 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 ninery(90)consecutive days,the job is considered abandoned. WARNING TO OWNER: YO R A TO RECORD A NOTICE OF COMMENCEMENT Y RESULT IN YOUR PAYING TWICE FOR I P TO YOUR PROP YOU�NTEND T FINANCING,CONSULT WITH YOUR LENDE EY BEFO ORDING YOUR OF MENCEMENT FLORIDA JURAT(F.S. 3 OWNER OR AGENT ' CONTRACTOR Subscribed and swom 6 (or aff b e me t , Subscribed and swom to(or affir fore th' by S'S� by Who is/are persona Iv known to me or has/have pro ced � Who is/are personally k own to or has ve produce as identffication. identification. i--� t /� �' ��otaryPublic � \ - G Notary Public � �mmission No. � � 1�SJ�j�cj� Commission No � SpRY P�B C�� N�nc�C„ Name of Notary type rint r st �'�'°°ww4s �f9FL�MMiSSION t DD 969899 Name of Notary typed,printed starnppdu�� 't i` ��µr�w��% SHERRY A.HENRY s�� o� EXPIRES:APril 28,2014 � ��'i Notar Public-State of FlorWa �TFOF FIaP BOIIABE TMU BU�M NOI71y SCMClS • • Y �y �My Comm.Expires 5ep 20,2015 ti.�,�� Commission A�EE 117�60 'M�L..,y.AR�.wm�!K:. .W..,..... ,. 4Y..:,� .. . . ....Y ..,.. � . .. . � . ... ' . • .. �.. ... . . . � i.. �•�� .. . � ��.,:�M°'°°��....��:..�{aY�"'.��vn r'� .:...:...w+.s ._.....,<...� . ��y~ www.marandbuilders.com � �� .��...��,� �v - >.�. 2426 Mayport Road Suite 1 ";�E Atlantic Beach, FL 32233 T 904.247.3211 MARAN�; D F 904.247.3212 CGC1515920 � u� E i. 57 .. �i ._ October 24, 2013 City of Zephyrhills-Building Department 5335 8`h Street, Zephyrhills, FL 33542 I, Nathan Haves, do hereby authorize the following to act as my agent, in submitting permit applications and obtaining permits. Agents Name: James Vandercrake. Infinitv En�ineerin� Hernan Eceiza, Marand Builders Scott Kramer. Marand Builders Tim Kellev, Marand Builders Paul Bostic Marand ' er Contractor's Signature State of Florida, County of Duval Sworn on this day October 24, 20 3, b athan Hayes Notary- Sherr�Henry Signature of Notary `��NI�P I��4 . � �•, SHERRYA.HENHY _ := Notary Public-State of FIwWa �y, "My Comm.Expires Sep 20,2015 ��%?of.��. Commission#EE 117480 �,nn,a ..a....aw.,r�.ax..:.,�r�..�..�..�s...�..��..a , ;' ,.;.t " h .. . ..� � +� . ' &��pf�±�,9 , ��•� i ' . C.�� -.. s -n ... � .�,. ... .. _ .:� iiiiiiiii��iiiii�im�iiuiiu�iiiu�uiiii«iii�iiioiiiii 2013183532 Repl:1659048 Rse: 10.00 O5: 0.00 IT: 0.00 Cls�k 10/23/13 D. Bonllla, Dpty NOTICE OF COMMENCEMENT Pertnit No. . _- - - - _- PAULN 5.0'NEIL,Ph.D.PR5C0 CLERK � COMPTROLLER PropertyldwtificationNo.�'�-1'z-I'O��tl�OO�oD—oCtot� 10/26/13 3• 1 of 1 OR BK �g� � 44 _ THE iJNDERSIGNED hercby givcs notice that improvements will be mado to artain real properry,and in accordance with Section 713.13 of the Florida Statutes,the following information is provided in the N01'!CE OF COMMENCEMENT. 1. Description ofproperty(legaldeseripNon;) ZEPHYR COMMONS PHASE 1 PB 65 PG 132 LOT 6 OR 8496 PG 817 a) Street Address: 7780 Gall Blvd.Zephyr i s 2. Genera]description of improvements Roof and exterior wall repair. 3. Owner Information a) Name and address: Wells Fargo.10401 Deerwood Park,Jacksonville FL 32256 b) Name and address af fee simple tideholdez(if other than owna) r' S L c) lntcrest in pmpary L � a�n r� �BSI yGT- t �o . Gontractor Informatioo / Name and address: Mara�d Builders Inc.2426 Mayport Rd.Suite 1,Atlantic Beach,FL�23�m/ �`��i�'3Q�7 Telephone No.: 904-247-3211 Fex No.(Opt.) 904-247-3212 . Surety Information `a) Namc and address; N/A' b) Amount of Bond: c) Telephone No.: Fa�c No.(Opt.) 6. Lender a) Name and address: N!A 1. Identity of persan within the State of�lo�ida designated by owner upon whom notices or othw documents may be servcd; a) Name and address. �[ 1 !�' b) Telephone No.: Fax No.(Opt.) 8. In addition to himself,owner designates the following person to receive a copy of the L�enor's Notice as provided in Section 713.13(1)(b),Florida Statutes: a) Narne and address:_ f`-�'� b) Telephone No.: Fax No.(Opt.) 9. Expiration dato of Nohce�Commtncement(the expiration daze is one year from the date of recording unless a diflbrent date is spxified): ��1 7�1� WARNING TO OWNER:ANY PAYMEIVTS MADE BY THE OWNER'AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART 1,SECTION 713.13, FLORiDA STATUTES AND CAN RESULT IN YOUR PAYIIVG TWICE FOR IPROVEMENTS TO YOUR PROPERTY.A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIILST INSPECTION.IF YOU INTEND TO OBTAIN FINANCING,CONSULT YO DER OR A ORNEY BEFORE COMMENCING WORK OR RECORDING YOU NOT[CE OF COMMENCE STATE OF ALORIDA � COUN'fY OF PASCO � Si � Owner or Owner's t6oriz 0 a/D'veeior/PUmu/Msw :.Priot N�me- Ae forogoing instrument was acknawled before mq�}��s,��Cey of r��J ,Zo�3 ,yy�Tona�n a��..h n0 c �� i L I/�n o:ti0 i.,� (tvoe of authority,e.g.o�ar,huatee,attomey in fact)for � � �� C �.� (neme of party on behelf hom inshuma�t was.executed). Personal)y Known V OR Produced Identificauon_ Notery Si ature �� Type of ideniification Produced Name(print) \J Q � � Verification pursvant to Section 92.525,Floride Slptutes.Under penaltiw of perjury declare e read fo ing end thet the facts slatcd in it are hve to Uie beat of my knowledge and belief. FOPMSMOC.rvtd7007 Y v ��,�"•�¢4 JMIEII.IOAJD$EN Stpuv<of Si�i�eA6we » .,I�IYC�IWISSON�ODA�lB9 EXPIRES:AprO 26,2014 '4anA� Baid�dllruludqttNaW►dnlee� t �`�NUD�C� :2�t �. r,�� ''r!4r'�.� 40�;��'X�F PA�CC� � � , � �� fl� l� i.��, � '('- Y ��'��r 1�'1�F�iR�L7�fi`�� IS�'i � � 'P� �R!��?.��.i� ��,(,,,�'t:�, , C;C��'t"0�'�i i-i� DC1GdJMERIT � OP; FILF i;K� P��r�i iC i�r,GORD IN THlS OFFICF * ' 'n:y�„�hE T • j �TNE�,�.' N�Y r�riiJC �ar�u GFFICEkL S�HL THI�� Ur ��__, DAY �F ^' -, C� * r ' �.* PAULA S O`NEI�, CL_ ,K& COMPTROLLER 4��*, ,�88�� ` ° ♦ � `�DEPUTY CLE�K -, `�`.�„�LORID�► _. � 1 INFL]� �4' Transmittal /� INFINITY L'NGINGERING Date: October 25,2013 `'R"�'�� Project No: 35-IS�.00 .�'ITN: Building Dept. RE: Wells Fargo Bank Ci1y ojZephyrhi!!s Zephyr Commons 5335 8th Street, 7780 Gall Road Zephyrhills,FL 33542 Zephyrhil/s,FL 33541 81�.780.0020 Item No. ! Date Descriptioa Copies 1 10/24/13 Building permit application ' � 2 10/24/13 :Agent Authorization � 3 10/25/13 NOC : 1 4 10/24/13 Plans 2 Remarks: The attached apptication and plans are submitted for repairs to the e.xisting bank structure. Signed James Vandercrake PAt�" "�' '�au�.a.�,�.r��ot � �.:,.- _,. ,�a,�-.`" __ - .` ,,..,. - � .__. — �,,.,�.. � ...w._ _. � �p° w.«w �' .� �w>:-..�.� . _�'"�_ w . � � . �,�:,.....,.<., , °_.�.,