HomeMy WebLinkAbout14-14830 CITY OF ZEPHYRHILLS
� 5335-8TH STREET
(813)780-0020 14830
BUILDING PERMIT
Permit Number: 14830 Address: 4330 20TH ST
Permit Type: COMMERCIAL ZEPHYRHILLS, FL.
Class of Work: ADD/ALT COMMERCIAL Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 13-26-21-0070-03900-0020
Improv. Cost: 184,000.00
Date Issued: 1/07/2014 Name: NESTLE WATERS NA INC
Total Fees: 1,581.90 Address: 4330 20TH ST
Amount Paid: 1,581.90 ZEPHYRHILLS, FL. 33542
Date Paid: 1/07/2014 Phone: (813)783-1959
Work Desc: REMODEL EXISTING LAB AT PLANT 1,140 SQ FT
5 .5 L 24 .
MARTIN ELECTRIC PLUMBING FEE 112.50 MECHANICAL FEE 577.50
DOLPHIN PLUMBING CONTRACTORS INC FIRE PLAN REVIEW FEES 68.40
SONNY'S DISCOUNT APPLIANCES ;�O
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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.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your properly. 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
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
CONTRAC RE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
. , �
NORTH AMEflICA
Page 1/4
Change to Purchase order: 4545276011 Date: 11/25/2013 Printed: 12/09/2013
Vendor Number: 100726483 Terms of Deliv.:
Ryman Construction of Florida Inc Currency: USD United States Dollar
36413 State Road 54 Delivery Date: DEC 30 2013
Pasco
Zephyrhills,FL 33541-2275
United States
Tel: 813 7820825 Fax: 813 7886773 Our Reference:
e-mail: mterry@rymanconstruction.com Purchasing Contact:
NW Engineer FL CA
Your reference: Trong Nguyen Tel:
For the attention of:Ric McCarty Fax:
TRONG NGUYEN@ WATERS.NESTLE.COM
Deliver To: Invoice To:
US PL NW Zephyrhills Factory Nestle Waters NA
US PL NW Zephyrhills Factory P.O.Box 7049
4330 20th St Troy,MI 48007-7049
PASCO
Zephyrhills,FL 33542-6703
United States
The Nestle Supplier Code:
The Nestle Supplier Code establishes non negotiable minimum standards that we expect our suppliers to adhere to. The Code
can be viewed on�l^-�^-�,nP�rlP��m/�,yy�li iPrc.
By acceptance of this purchase order the Supplier commits to the requirements stipulated in the Code.In case of non-compliance
with or rejection of a requirement,the Supplier is obliged to notify the Nestle buyer.
INCLUDE NESTLE CONTRACT AND PURCHASE ORDER NUMBERS ON ALL INVOICES,SHIPPING PAPERWORK AND CORRESPONDENCE.
ALL INVOICES WITHOUT A PURCHASE ORDER NUMBER WILL BE RETURNED. "TOTAL NET ITEM VALUE"BELOW EXCLUDES SALES
TAX.VENDOR'S INVOICE SHOULD INCLUDE SALES TAX WHEN APPLICABLE.
Terms of Payment:
Due on Receipt
Item Material No. Vendor Mat.No. Description
Quantity Unit Delivery Date&Time Price/Unit Net Value
10 90001436 **QA Lab Construction Services
194,216.00
Projecr.Zephyrhills Laboratory Renovations
Changed PO amount from$183,855 to amount$194,216
***PO quantity changed***
***Text chan ed***
This order is subject to all printed and written
terms and conditions appearing in this document
NORTH AMERICA
PO No/So PO/Date:4545276011/11/25/2013 Page 2/4
Item Material No. Vendor Mat.No. Description
uan � n� e very a e �me rtce nt e a ue �
Total net item value 194,216.00
Total including tax 194,216.00
PO approved by
Charles Deem 11/26/2013 16:53:56 CET
Michael Guilmette 11/25/2013 21:55:28CET
CITY OF ZEPHYRHILLS
5335-8TH STREET
(si3)�so-oozo 14830
BUILDING PERMIT
Permit Number: 14830 Address: 4330 20TH ST
Permit Type: COMMERCIAL ZEPHYRHILLS, FL.
Class of Work: ADD/ALT COMMERCIAL Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 13-26-21-0070-03900-0020
Improv. Cost: 184,000.00
Date Issued: Name: NESTLE WATERS NA INC
Total Fees: 1,581.90 Address: 4330 20TH ST
Amount Paid: ZEPHYRHILLS, FL. 33542
Date Paid: Phone: (813)783-1959
Work Desc: REMODEL EXISTING LAB AT PLANT 1,140 SQ FT
I 5 .5 0.
MARTIN ELECTRIC PLUMBING FEE 112.50 MECHANICAL FEE 577.50
DOLPHIN PLUMBING CONTRACTORS INC FIRE PLAN REVIEW FEES 68.40
SONNY'S DISCOUNT APPLIANCES
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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� 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 pertormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
��
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
. ZEf�HYR�ILLS F1RE DEP�RT{�Et�T
6907 Dairy Road, Zephyrhiils, FL 33542
FIRE SERVICE USER FEES
Occupancy No.:
Plan No.: Contractor:
Business Name: �,, ,rs 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 Mnual N/C Sprinkler $50 1stAlarm N/C
Multi-Famlly/Commeroial .06 sf 1st Re-inspection WC Standpipes �50 2nd Alarm N/C
(Minimum Charge a25.00 2nd Re-inspection �100 Fire Pump 350 3rd Alarm N!C
� Plan Revisions DBL 3rd Re-inspection �250 Hoods a50 4th Alarm $100
4th Re-Inspection �500 Fire AIaRn 550 5th Alarm $150
SPRINKLER SYSTEMS (Business Gosed until LP Gas 550 6th AlaRn $200
0-25 Heads $50 violaUons coRected) Natural Gas S50 NON CAMPLIANCE �150
26 plus Heads $100 SPRINKLER SYSTEMS Fuel Tanks- Perwnic a50
STANDPIPE SYSTEM Hydro Undergrounds $45 Spa�iclers $100
� Pe�Riser $50 Hydrostatic Test $65 Per sys�em Fire Works 5500
FIRE PUMP Aoceptance Test a45 per system Camp Fire �25
� Per Pump $100 Hydrant Flow $75 Controlled Bum 3100
FIRE ALARM SYSTEM Hood/Dud $50
8 0-25 Devices $50 FIRE ALARM SYSTEM Place of Assembly $50 ann�,ai
26 plus Devices $100 System Acceptance $50 Fire Protectio� $25
SUPPRESSION SYSTEMS Recall ACceptance $50 Flammable Application a50 Mnual
Wet $50 OTHER Waste Tire Storage $50 nnnuai
Dry S50 Fire WalUSmoke Wall �15 perwau Generator<KW 5100
CO2 $50 LP Gas $25 per tank Generator>30 KW 150
Other $50 Natural Gas $25 persystem Bio-Hazard Waste 5100 �rmuai
KITCHEN EXHAUST Fumigation Tenting $50
� Hood/Ducts $50 Tent 10k10'or greater $15 per tent Toroh PoUApplied S50
OTHER Fire Pump a45 Haz.Materials 5100 �nnuai
8 LP Installatlon per ta�k $50 Fire Suppression �30
Fuel Tank Installation S50 System Acoeptance
(Per Tank) S50 E�d�aust Hood/Duct $30
�Natural Gas Installation $50 Re-inspection DBL
(Per System) (other than annual)
�Spray Booth �50 � Inspection scheduled DBL 8
and cancelled less than
24 hours
� 8 Construction Insp. N/C
Emergency Vehlcle A� $50 FALSE ALARM
-- - -PLiWS TOTy4i-�E3 1NSPfCT10N-�flfi4L�- flEftM1��'�i'�1t�- __---i'flfii11.�
GRAND TOTAL
Comments:
Date: � � l �
Inspector: �� �
nin
.
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
/Homeowner:
Date Received: �- �� - ��
s�te: ��.�� — � ���'
�
Permit Type: �--G����
;,
Approved w/no comments ' Approved w/the below` omments: ❑ Denied w/the below comments: ❑
This comm�t sheet shall be k t with the permit and/or plans.
/,�-3-/�
Kalvi tz Plans Examiner Date Contractor and/or Homeowner
(Required when comments aze present)
i iiiiii iiiii iiiii iiiii iiiii���iii iiiii iiiii�iiii�i���iiii�i��
• 2013207996
Rcpt:1568340 Rec: 18.50
D5: 0.00 IT: 0.00
Effective: October 1,2011 12/10/13 B. McBee, Dpty Clerk
Retum to:
PRULA S.0'NEIL:Ph D PASCO CLERK & COMPTROL �
NOTICE OF COMh�NCEMENT 12�10/13 04��+„ lP�°i�2�Q 0
OR BK � � .S v
State of Florida Permit No. .
County of_j�r�i Tax Folio No._�3�Ll�-�l• �.�"�i 7t:-G 7�-�-- UC�
The undersigned hereby gives notice that improvement will be made to certain real property,and in accordance with
Chapter 713,Florida Statutes,the following information is provided in this Notice of Commencement: �,��,�,_ �;,rTq�N�
1. Description of Property: (legal description of property and street address if available). �35 t; ��%'� S�. ,��FF��.�11u5
�-�^vR.tAA �3.'�:i42
2. General description of improvements:�7chlG�I� �X�•3�r�, �-P�l''�
3. Owner Information or Lessee information if the Lessee contracted for the improvement:
a. Name and Address: I�T� �'n'l�`a N��� ���t a ,�t�=-
'�3�.°5� '?.��'�Sr. a��i?ItYkH�►� ,�i-. 3�5`F2
b. Interest in Property: UW t.1f�R
c. Name/address of fee simple titleholder(ifdifferent from Owner listed above):
£�E+.1,�1�
-,4. Contrartor:
"� a. Name and Address: ��yN�AI'� ��t'�1`-�`M-u1-L�Gn9 �-t= �i.a7�►Q11 c St�f:.
�-,�,. 3�:.�-113 �, b�l� ���4-'.N��+l ,�-, �.3541
b. Phone number. �,�-�,J•� -�,�-�.��
5. Surety(if applicable,a copy of payment bond is attached):
a. Name and Address: 'v�
b. Phone number:
Amount of bond: $ N 1'!
6. Lender:
. a. Name and Address: N A
b. Phone number:
7. Persons within the State of Florida designated by Owner upon whom notices or other documents may be
served as provided by Section 713.13(1)(a)7,Florida Statutes:
a. Name and address: N�
b. Phone numbers of designated persons:
8. a. In addition to himself or herself,Owner desigr►ates of
to receive a copy ofthe Lienor's Notice as provided in Section 713.13(1)(b),Florida
Statutes.
b. Phone number of person or entity designated by owner:
9. Expiration date of notice of commencement(the expiration date may not be before the completion of
construction and final payrr►ent,but will be 1 yeaz from the date of recording unless a different date is specified)
WARNIIVG TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS LJNDER CIIAPTER 713,PART I,SECTION 713.13,
FLORIDA STATIJTES,AND CAN RESULT IN YOiJR PAYING TWICE FOR IlvIPROVEMENTS TO YOUR PROPERTY.
A NOTICE OF COA�QvIENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIItST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE COMIvvtENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. _�
Under penalties of perjury,I declare that I have read the foregoing Notice of Commenceme and that the facts�stated in it aze
true to the best of my knowledge and belief. � V l
< ` /
(Sig�ature o ssee,or er's or L,essee's
Authorized OfficedDirectodParinedManager)
Signatory's Title/Office:. A, n
STATE OF�f"��0/,',�a- �'�G��;tT I y1,p(��'SC�1�-
COUNTY OF /��
The foregoing insWment was aclrnowledged before me this ��day of �c 20� by� as
for �
ti "„ N� N A ARtEYYNCffiTEqRY
Personally Known OR Produced Identification :'+t' .`��: Notary Public-5tate Of Florida
Type of Identification Produced • ••i My Comm.Expites Apr 4,2016
'N'1 ` IS�C11�1IpiIG11 1
,��'��°�:��`�� Bonded Th�ouph Notiaul Noluy Atin,
_' �,Zc:�i— . OR BK ��6� 2� 32�1
�� ��y �.��� �,�,�y ��,p��y L��o�
�t� �.. � �-� �T��� �� , ��- , ��7 , � �� �..x�
� 1G � �� �TR� `73 � �� �rco ��'R °7 l ►�-r.c�
S�i ��- �I(�LA� �� ��o
13-26-21-0070-07400-0000 � Pasco County Property Appraiser Page 1 of 2
Mike Wells Pasco County Property Appraiser
Data Current as Of: Wee_k.ly Acchive.-�atur��y,_September 21, 2013
ParcelID ` 13-26-21-0070-07400-0000 (�ard: 001 of005)
Classification ---v���eweries, Wineries, etc.
Mailing Address Property Value
NESTLE WATERS NORTH AMERICA Ag Land �p
INC
PO BOX 120029 Land $466,006
STAMFORD CT 06912-0029 Building $16,186,297
Physical Address Extra Features $845,029
4330 20TH ST
ZEPHYRHILLS FL 33542
Leaal Descriution (First 4 Lines) ]ust Value $17,497,332
ZEPHYRHILLS COLONY COMPANY Assessed (Non-School Amendment 1) $17,497,332
LANDS PB 1 PG 55 TRS 73 74 87
&88 EXC W 10 FT OF TRS 73 &
88 &TR 71 &S1/2 OF VAC 15Ff Taxable Value $17,497,332
Parcel Demarcation
City of Zephyrhills •
Land Detail (Card: 001 of 005)
Line Use Description Zoning Units Type Price Condition Value
1 4500 BOTTLER OOLI 12,000.00 SF $1.42 1.00 $17,040
2 4500 BOTTLER OOLI 38,000.00 SF $0.66 1.00 $25,080
3 4500 BOTTLER OOLI 1,394,620.00 �F $0.40 0.75 $418,386
4 4500 BOTTLER OOLI 550,000.00 � $0.01 1.00 $5,500
Additional Land information
Acres 45.79 Tax Area 30ZH FEMA X Commercial Code IZAP4FA
Code
Buildina Information - Use 17 - Offices (One Story) (Card: 001 of 005)
Year Built 1990 Stories 1.0
Exterior Wall i Tilt-Up Exterior Wall 2 EIFS
Roof Structure Rigid Frame w/Bar Joist Roof Cover Built-Up Tar and Gravel
Interior Wall i Drywall Interior Wall 2 None
Flooring 1 Ceramic Clay Tile Flooring 2 Carpet
Fuel Electric Heat Forced Air - Ducted
A/C Central Baths 4.0
Line Description Sq. Feet Repl. Cost New
1 Q 14,958 $720,976
2 � 216 $4,145
Extra Features(Card: 001 of 005)
Line Description Year Units Value
1 LFEN E 1990 13,200 $4,950
2 PAV CON 1990 60,000 $27,000
3 SPRNKFP 1995 7,200 $7,920
4 LIGHTSM 1990 7 $4,463
5 LIGHTDM 1990 8 $5,760
6 PRNKFP 2001 7,758 $11,734
7 PAV A P 1995 122,500 $32,156
8 PAV A�P_ 2008 150,630 $125,211
9 PAV CON 2008 35,700 $50,873
10 LIGHTFM 2008 5 $11,963
Sales History
Previous Owner: ZEPHYRHILLS CORP
Month/Year Book/Page Type Code Condition Amount
http://www.appraiser.pascogov.com/search/parcel.aspx?parce1=2126130070074000000 9/25/2013
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received ��3 '�i _ ��1 I
Phone Contact for Permittln
Owner's Name '`��`���-� �'�� N�� �►���-�1 c=N� Owner Phone Number ��� �77'�}—���
Owner's Address "t�� �'� �TP�-OC� �.�H �1 V—S Owner Phone Number
Fee Simple Titleholder Name . Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS ��� �U� �� � �{i.l,..,_L '�'3-��"Z
LOT# ��
SUBDIVISION �•'���i� C�:,wNy C.cs�,qp , PARCEL ID# �����'�'�Z� • �f''Z'� ' ���%° ��i
C� (OBTAINED FR�OM pROPERTY Tnx�NOTlcel DEMOLISH
WORK PROPOSED B NEW CONSTR 8 ADD/ALT SiGN
INSTALL REPAIR
PROPOSED USE• Q SFR � COMM � OTHER
TYPE OF CONSTRUCTION �'] BLOCK Q FRAME �] STEEL Q
DESCRIPTION OF WORK N'LZ•D�l„ ���Si'�nik: i.:Q�� {�T (.�1���,��
BUILDING SIZE ���X ���� �Y.a1. SQ FOOTAGE � ��� HEIGHT �� I
[�BUILDING $ ����.� � VALUATION OF TOTAL CONSTRUCTION � 1�'t,�►�• C�
�ELECTRICAL $...� AMP SERVICE �7 PROGRESS ENERGY
���GC�.C�; � �AJ Q W.R.E.C.
�PLUMBING $
�?j C7���;GG
�MECHANICAL $ �— VALUATION OF MECHANICAL INSTALLATION
�1�,c�'�' �'�:` - � �.�;3 c
�GAS Q ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES �(NO
��
SIGNATURE � ��� COMPANY � M� ��`�TR�-Ti�� GY= ���+Rah�A, ��t�-
REGISTERED Y/ N FEE CURRE� Y I N
Address SR�y', ��1►yR.N�'y.S,k �`3.��-i License# �L l�l"�"�Z'Z
ELECTRICIAN COMPANY 1�A��'1!� �>�kC�2-t1�:- + �NC- � ✓
SIGNATURE REGISTERED Y! N FEE CURRE� Y/N
Address �'�'� l IG`tN_�. ��rEk�.+ +�l 3`�°�Z�y License# �.�-�3�� �5�� � 17^,`=
PLUMBER ' COMPANY �L'-��� ���"ti0�►��s- C�v�i`t1�Q+��Q� �-J t�_, ���
SIGNATURE REGISTERED Y/ N FEE CURRE� Y!N
Addres �� �X �c'vQ. ��i�►�C:,h�- �t-�-- 3`tl>11
License# C��`�Z-� Z-v`�^
MECHANICAL '► COMPANY ���`�=� ��u��' '���U�� t��-
51GNATURE � . REGISTERED Y/ N FEE CURRE� Y/N
Address �a �1 4{�ti ���,��(�i
� . `?S�'s:i�.5 Llcense# C'IY�s� �Z'�`.J 3�.+G .
JTHER COMPANY
iIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address
License#
tESIDENTIAL Attach(2)Plot Plans;(2)sets of Bullding Plans;(1)set of Energy Forms;R-O-W Permit for new constructlon,
Minimum ten(10)working days after submittal date. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed,
Sa�itary FaciliUes 8 1 dumpster;Site Work Permit for subdivisions/large projects
:OMMERCIAL 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 instaNed,
Sanitary Facilities& 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
tIGN PERMIT Attach(2)sets of Englneered Plans.
""PROPERTY SURVEY required for all NEW construction.
iirections:
Fill out application completely.
Owner 8 Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is requi�ed. (A/C upgrades over 37500)
' Agent(for the contracto�)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
�VER THE COUNTER PERMITTING (Front of Application Only)
eroofs if shi�gles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on pubiic 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 Ifcensed 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 contractvr are uncertain as to what licensing requirements may apply for the
intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges,in Pasco
County.
TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power release. If the project does not involve a.certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, ff 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 mor�, 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 ail 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 � Rehabititative 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, t certify that use of such fill will not adversely affect adjacent
properties. If.use of�II 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 LEN R OR AN ATTORNEY BEFORE RECORDING YO NOTICE OF C ENCEMENT.
FLORIDA JURAT(F.S. 17.03)
OWNER OR AG CONT O
Subscribed and swom to mBtlrtiefore me thls Subscrib n to(or a ed)before me this
b
Who islare personally knovm to me or has/Fiave produced Who onally known to me or ha as identlficatlon.
as tdentlficatlon.
�
Notary Public
� �� �� Notary Public
Commission No. Com `�ti„ , *z �mmiss��#���452�
,
Name of Notary typed,printed or stamped Name of � �, �-�ois
•�P,����.
Page 1 of 2
Mike Fasano
TAX COLLECTOR > PASCO COUNTY > FLORIDA
"Thank you for allowing us to serve you."
BUSINESS TAX RECEIPT ACCOUNT
DETAILS
BUSINESS NAME:RYMAN CONSTRUCTION OF FLORIDA INC
ACCOUNT:50277
STATUS:PAID
BUSNIESS TYPE:BUILDING CONTRACTOR
BUSINESS ADDRESS:36413 STATE ROAD 54 W, ZEPHYRHILLS FL 33541 2275
PHONE:
OWNER NAME:RYMAN KEVIN
OWNER ADDRESS:36413 STATE ROAD 54 W, ZEPHYRHILLS FL 33541 2275
SIC CODE:1541, NO. OF EMPLOYEES: 11
OPEN DATE:04/17/03
Receipt Date Paid Amount Paid
060039 07/06/12 $42.50
058879 07/20/10 $42.50
043016 05/30/03 $44.75
043989 09/08/03 $42.50
045681 08/12/04 $42.50
047763 08/10/05 $42.50
051025 09/14/06 $42.50
052524 07/17/07 $42.50
054786 07/16/08 $42.50
057279 08/19/09 $42.50
061427 07/10/13 $42.50
060938 08/09/11 $42.50
---__ -- _ _-- ------_ -- --___--------- —_._ _ __--- ----- _.__.
•CURRENT AS OF:12/18/2013 18:55:54•
http:/lsearch.pascotaxes.com/search/OCLTAX.aspx?ACCOLTNT=50277 12/19/2013
Page 1 of 2
Mike Fasano
TAX COLLECTOR > PASCO COUNTY > FLORIDA
"Thank you for allowing us to senre you."
BUSINESS TAX RECEIPT ACCOUNT
DETAILS
BUSINESS NAME:DOLPHIN PLUMBING CO
ACCOUNT:26268
STATUS:PAID
; BUSNIESS TYPE:PLUMBING CONTRACTOR
BUSINESS ADDRESS:18737 CRAIG LOOP, HUDSON FL 34667 6206
PHONE:
CORPORATION NAME:DOLPHIN PLUMBING CONTRACTORS INC
OWNER NAME:DOYLE JAMIE C
OWNER ADDRESS:PO BOX 3238, SPRING HILL FL 34611 3238
SIC CODE:1711.03, NO. OF EMPLOYEES: 10
OPEN DATE:02/16/98
Payment History Receipt Date Paid Amount Paid
061327 09/21/11 $31.25
057235 08/14/09 $31.25
037172 08/07/00 $31.25
039316 08/14/01 $31.25
041209 08/08/02 $31.25
043954 09/05/03 $42.50
045545 08/09/04 $42.50
048135 08/19/05 $42.50
050499 08/18/06 $42.50
053409 09/18/07 $42.50
033198 02/20/98 $3125
033573 08/07/98 $31.25
035529 08/18/99 $31.25
http://search.pascotaxes.com/search/OCLTAX.aspx?ACCOUNT=26268 12/19/2013
COMcheck Software Version 3.9.2
Interior Lighting and Power
Compliance Certificate
90.1 (2007) Standard
Section 1: Project Information
Project Type:Alteration
Project Title : 12386-NESTLE ZEP
Construction Site: Owner/Agent: DesignerlContractor:
Epstein
600 W Fulton
Chicago,FL
Section 2: Interior Lighting and Power Calculation
A B C D
Area Category Floor Area Allowed Allowed Watts
(ft2) Watts/ft2 (B x C)
ANALYTICAL LAB(Common Space Types:Laboratory) 731 1.4 1023
MICRO LAB(Common Space Types:Laboratory) 288 1.4 403
Total Allowed Watts= 1427
Section 3: Interior Lighting Fixture Schedule
A B C D E
Fixture ID:Description/Lamp/Wattage Per Lamp/Ballast Lamps/ #of Fixture (C X D)
Fixture Fixtures Watt.
ANALYTICAL LAB(Common Space Types:Laboratory 731 sq.ft.)
2X2 RECESSED LINEAR FLUORESCENT:22"T5 HO 24W:Electronic: 2 19 50 950
MICRO LAB(Common Space Types:Laboratory 288 sq.ft.)
2X2 RECESSED LINEAR FLUORESCENT:22"T5 HO 24W:Electronic: 2 8 50 400
Total Prop,,s� �{t��'�►p�Sp
� � �• '� �:
Section 4: Compliance Statement � :
-,�''�1'h'�"1'' � =
Compliance Statement: The proposed lighting design represented in this document is consistent with�je bdilding plans, ecifications a#i=
other calculations submitted with this permit application.The proposed lighting system has been desigrtp�meet�,�Ed:�(�Q7)St�1�r�
requirements in COMcheck Version 3.9.2 and to comply with the mandatory requirements in the Require���9,CJ�ecklist. � ���:
P::� `
1111c�.a�,S����ie� ���ckv;tq� � f�rer �/�.,� ,i� ,'.,�fS'•• a p,.���.�.`
. , �
. " � �.
Name-Title Signature Dafb�r�>,,,,,�14`�
Section 5: Post Construction Compliance Statement
Record Drawings and Operating and Maintenance Manuals:
� 1. Construction documents with record drawings and operating and maintenance manuals provided to the owner.
Lighting Designer or Contractor Name Signature Date
_ __ _ _ __ _ _
____. . __ _._._ . _ _. --_ _ __
Project Title: 12386- NESTLE ZEP Report date: 09/17/13
Data filename: P:\Projects\12000\12386\DISCIPLINE\MEP1SupportWnalysis\12386-Comcheck.cck Page 1 of 1
COMcheck Software Version 3.9.2
Inspection Checklist
Requirements: 0.0% were addressed directly in the COMcheck software
Text in the"Comments/Assumptions"column is provided by the user in the COMcheck Requirements screen. For each requirement,
the user certifies that a code requirement will be met and how that is documented,or that an exception is being claimed.Where
compliance is itemized in a separate table, a reference to that table is provided.
�
1 �I High Impact(Tier 1)__ 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: 12386-NESTLE ZEP Report date: 09/17/13
Data filename: P:\Projects\12000\12386\DISCIPLINEIMEP\SupportWnalysis112386-Comcheck.cck Page 1 of 4
90.1(2007) p{$n Review Complies7 CommentstAssumptians
Standard
4.2.2 Plans,specifications,and/or calculations ❑Complies
[PR4]' provide all information with which ❑Does Not Comply
compliance can be determined for the ❑Not Observable
lighting and electrical systems and
equipment and document where exceptions �Not Applicable
to the standard are claimed. Information
provided should include interior lighting
power calculations,wattage of bulbs and
ballasts,transformers and control devices.
8.4.1.1, Plans,specifications,and/or calculations ❑Complies
8.4.4.2 provide ali information with which ❑Does Not Comply
[PR6J2 compliance can be determined for the �Not Observable
electrical systems and equipment and
❑Not Applicable
document where exceptions are claimed.
Feeder connectors sized in accordance
with approved plans and branch circuits
sized for maximum drop of 3%.
Additional Comments/Assumptions:
� High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) �
Project Title: 12386-NESTLE ZEP Report date: 09/18/13
Data filename: P:1Projects112000\123861DISCIPLINE\MEP\SupportWnalysis112386-Comcheck.cck Page 2 of 4
90.1 (Z007) Rough-In Electrical Inspection Co lies?
$tandard mP Comments/Assumptions
9.4.1.1 ;Automatic controls to shut off all building ❑Complies
[EL1f� lighting installed in buildings>5,000 ft2. ❑Does Not Comply
❑Not Observable
____ ___ ❑Not Applicable
9.4.1.2 Independent lighting controls installed per ❑Complies
[EL2J2 approved lighting plans and all manual ❑Does Not Comply
controls readily accessible and visible to ❑Not Observable
Ioccupants.
__ ___ ❑Not Applicable
9.4.1.4 Separate lighting control devices for specific ❑Complies
[EL4]' uses installed per approved lighting plans. ❑Does Not Comply
❑Not Observable
_ ___ __ __ ❑Not Applicable
9.4.2 Ballasted one and three lamp fixtures with ❑Complies
[EL5]3 >30 Wllamp have two lamp tandem wired ❑Does Not Comply
ballasts when>=2 fixtures in same space �Not Observable
on same control_ ❑Not Applicable
9.4.3 Exit signs do not exceed 5 watts per face. ❑Complies
[EL6j' ❑Does Not Comply
❑Not Observable
_ ❑Not Applicable
9.6.2 Additional interior lighting power allowed for ❑Complies
[EL8]' special functions per the approved lighting ❑Does Not Comply
plans and is automaticaliy controlled and �Not Observable
separated from general lighting. ❑Not Applicable
Additional Comments/Assumptions:
i 1�High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)
Project Title: 12386-NESTLE ZEP Report date: 09/18/13
Data filename: P:\Projects\12000112386\DISCIPLINE\MEP\SupportWnalysis\12386-Comcheck.cck Page 3 of 4
90.1 (2007) Finai Ins ection Com lies?
'Standard p P Comments/Assumptions
8.7.1 Furnished as-built drawings for electric ❑Complies
[FI16]3 power systems within 30 days of system ❑Does Not Comply
acceptance. ❑Not Observable
_ ❑Not Applicable
8.7.2 Furnished O&M instructions for systems ❑Complies
[FI17]3 and equipment to the building owner or ❑Does Not Comply
designated representative. ❑Not Observable
___ __ __ ❑Not App�icable
9.2.2.3 Interior installed lamp and fixture lighting ❑Complies See the�nrerior Lighring fixrure schedule for values.
[FI18]' power is consistent with what is shown on ❑Does Not Comply
the approved lighting plans,demonstrating �Not Observable
proposed watts are less than or equal to �Not Applicable
allowed watts.
Additional Comments/Assumptions:
�1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3)—�
Project Title: 12386-NESTLE ZEP Report 09l17/13
Data filename: P:\Projects\12000\12386\DISCIPLINE\MEP\SupportWnalysis\12386-Comcheck.cck Page 4 of 4