HomeMy WebLinkAbout18-20394 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 20394
BUILDING PERMIT 51(
PE MIT INFORMATION LOCATION.INFORMATION
Permit Number: 20394 Address:' GALL BLVD
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: 10-26-21-0020-00000-0050
Improv. Cost: OWNER INFORMATION
Date Issued: 10/31/2018 Name: ZEPHYR If LLC
Total Fees: 100.00 Address: 7162 READING RD STE 730
Amount Paid: 100.00 CINCINNATI, OH. 45237-3845
Date Paid: 10/31/2018 Phone:
Work Desc: COST W/SHELL BP#20392 - BUDDY DEMOLITION TENANT SPACE
CONTRACTORS APPLICATION FEES
VARI CONSTRUCTION LLC DEMOLITION 100.00
4A
FINAL Ins ections, a uired
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there maybe 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
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE 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
Jacqueline Boges
From: Bill Burgess
Sent: Tuesday, October 16, 2018 1:49 PM
To: Mark Ayer
Cc: Jacqueline Boges
Subject: RE: pizza but
Good Afternoon Mark,
The following fees include demo and shell permits for Dollar General and Buddy's...Build-outs will be additional.
Dollar General: $865.00
Buddy's: $400.00
If you could please have your contractor stop by and register and sign for permit at our office...Thanks, Bill
From: Mark Ayer<ayermark@gmail.com>
Sent:Tuesday, October 16, 201811:16 AM
To: Bill Burgess<bburgess@ci.zephyrhills.fl.us>
Cc:Jacqueline Boges<jboges@ci.zephyrhills.fl.us>
Subject: RE: pizza but
Bill,
As we discussed the estimate for front facade and demo for DG and Buddy's is approx.$ 125K. Please email me what I
owe on the permit and will get a check mailed here ASAP.
Thanks,
Mark
From: Bill Burgess<bburgess@ci.zephyrhills.fl.us> ^ ��
Sent:Thursday, October 4,2018 2:57 PM
To: Mark Ayer<ayermark@gmail.com>
Cc:Jacqueline Boges<iboges@ci.zephyrhills.fl.us>
Subject: FW: pizza but
Mark,
Attached please find the fees as requested....As we both know the CRA Board granted you the waiver of Transportation
Impact Fee...Your total due will be the sub-total of....$3,950.24..Thanks, Bill
From:Jacqueline Boges
Sent:Thursday,October 04, 2018 2:40 PM
To: Bill Burgess<bburgess@ci.zephvrhills.fl.us>
Subject: pizza but
Per your request Bill see the attached for pizza but
1
CITY OF ZEPHYRHILLS
5335 -8TH STREET
(813)780-0020 20392
BUILDING PERMIT
PERMIT INFORMATION LOC TION INFORMATION
Permit Number: 20392 Address: 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: 10-26-21-0020-00000-0050
Improv. Cost: 31,250.00 OWNER INFORMATION
Date Issued: 10/31/2018 Name: ZEPHYR II LLC
Total Fees: 300.00 Address: 7162 READING RD STE 730
Amount Paid: 300.00 CINCINNATI, OH. 45237-3845
Date Paid: 10/31/2018 Phone:
Work Desc: BUDDYS SHELL ONLY*************'TENANT SPACE NO MEP
CONTRACTORS APPLICATION FEES
VAR[ CONSTRUCTION LLC BUILDING FEE 300.00
Ins ections Required
FOOTER 2ND ROUGH PLUMB MISC INSULATION CEILING
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: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there maybe 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
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CO TRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
011-fuu-uuz-u uny or cepnyrnuis vermit Hpplicauon rax-nis-rau-uuci
Building Department
Cite Received Phone Contact for Permitting —
Owner's Name �e �..� Owner Phone Number J5( 6 3j
Owners Address 1 Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address 4pyii e
JOB ADDRESS 6ekwrf �rJ� LOT#
SUBDIVISION PARCEL ID#
_ (OBTAINED FROM PROPERTY T�ncEf DEMOLISH
WORK PROPOSED NEW CONSTR ADD/ALT SIGN
El INSTALL REPAIR SNLIy
!,&ROPOSED.USE = SFR Q COMM = OTHER
- TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL =
�J DESCRIPTION OF WORK b15 ' 1 N
UILDING SIZE 1 3 3 SO FOOTAGE HEIGHT
BUILDING $ . /O ��� VALUATION OF TOTAL CONSTRUCTION / d
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C.
=PLUMBING $
J I '; WiTn,
tom-
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
-Z=GAS = ROOFING 0 SPECIALTY = OTHER 40
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License#'
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address I License#
MECHANICAL COMPANY
SIGNATURE, REGISTERED Y/ N FEE CURREN Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N I FEE CURREN
Address License#
11111111111111111111'11111111111111111111111111111111 '111111111111111
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(2)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 wl Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
`*"PROPERTY SURVEY required for all NEW construction.
. . . . . . . . . . . . . .
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (AIC 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 (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended): If valuation of work is$2,500.00 or more, I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the`owner", I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the`owner" prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
US Environmental Protection Agency-Asbestos abatement.
Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
- Use of fill is not allowed in Flood Zone"W 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
S bscribed and sworn o(or affi d efo a me this C7- Subscribed and sworn to(or affirmed)before me this
S . a-01 K b ( e_yt by
ho ar ersonally known to me has/have produced Who islare personally known to me or has/have produced
as identification. as identification.
otary Public Notary Public
Commission No. &, a 3T 1 3 Commission No.
Name oE'l
49,2 edNp1$nt8�trlh c�lorlde Name of Notary typed,printed or stamped
Marcia A My CommisNon GG 123473
Expires 013/1112021
COMcheck Software Version 4.0.8.1
Envelope Compliance Certificate
Project Information
Energy Code: 2017 Florida Building Code, Energy Conservation
Project Title: Buddys Shell
Location: Zephyrhills, Florida
Climate Zone: 2a
Project Type: New Construction
Vertical Glazing/Wall Area: 11%
Construction Site: Owner/Agent: Designer/Contractor:
Mark Ayer Lee Manske
Zephyr LLC L.B. Manske Architecture&Design,
7162 Reading Road Inc.
Cincinnati,OH 2422 N.Rutgers Court
ayermark@gmail.com Wichita,KS 67205
316-149-5873
Additional Efficiency Package(s) Ibmanske@lbmanske.com
High efficiency HVAC.Systems that do not meet the performance requirement will be identified in the mechanical requirements checklist
report.
Building Area Floor Area
1-total net area(Retail) :Nonresidential 3352
Envelope Assemblies
Assembly Gross Area Cavity Cont. Proposed Budget U-
or R-Value R-Value U-Factor Factor(.)
Perimeter
Floor 1:Slab-On-Grade:Unheated,[Bldg.Use 1 :total net area](c) 166 -- — 0.730 0.730
Roof 1:Attic Roof with Steel Joists,[Bldg.Use 1 -total net area] 3352 38.0 0.0 0.035 0.027
EAST
Exterior Wall 3:Concrete Block:8",Solid Grouted,Medium Density, 768 0.0 5.7 0.111 0.151
Furring:Wood,[Bldg.Use 1 -total net area]
Window 1:Metal Frame with Thermal Break:Fixed,Perf.Specs.: 87 -- -- 0.500 0.500
Product ID WA,SHGC 0.25,[Bldg.Use 1 -total net area](b)
Window 2:Metal Frame with Thermal Break:Fixed,Perf.Specs.: 41 -- — 0.500 0.500
Product ID WA,SHGC 0.25,[Bldg.Use 1 -total net area](b)
Window 3:Metal Frame with Thermal Break:Fixed,Perf.Specs.: 41 -- --- 0.500 0.500
Product ID N/A,SHGC 0.25,[Bldg.Use 1 -total net area](b)
Window 4:Metal Frame with Thermal Break:Fixed,Perf.Specs.: 80 — -- 0.500 0.506
Product ID WA,SHGC 0.25,[Bldg.Use 1 -total net area](b)
Door 8:Glass(>50%glazing):Metal Frame,Entrance Door,Perf. 43 — --- 0.500 0.830
Specs.:Product ID N/A,SHGC 0.25,[Bldg.Use 1 -total net area](b)
SOUTH
Exterior Wall 1:Concrete Block:8",Solid Grouted,Medium Density, 768 0.0 5.7 0.111 0.151
Furring:Wood,[Bldg.Use 1 -total net area]
Door,1:Insulated Metal,Swinging,[Bldg.Use 1 -total net area] 21 -- — 0.350 0.610
Door 2:Insulated Metal,Swinging,[Bldg.Use 1 -total net area] 21 — — 0.350 0.610
Door 3:Insulated Metal,Swinging,[Bldg.Use 1 -total net area] 21 — — 0.350 0.610
Project Title: Buddys Shell Report date: 09/20/18
Data filename: D:\Dropbox li\Dropbox\LBM2018-ZH_Dollar-FL-Zephyrhills-WF\Buddys Shell.cck Page 1 of 10
Assembly Gross Area Cavity Cont. Proposed Budget U-
or R-Value R-Value U-Factor Factor(a)
Perimeter
WEST
Exterior Wall 2:Concrete Block:8",Solid Grouted,Medium Density, 1136 0.0 5.7 0.111 0.151
Furring:Wood,[Bldg.Use 1 -total net area]
(a)Budget U-factors are used for software baseline calculations ONLY,and are not code requirements.
(b) Fenestration product performance must be certified in accordance with NFRC and requires supporting documentation.
(c)Slab-On-Grade proposed and budget U-factors shown in table are F-factors.
Envelope Compliance Statement
Compliance Statement. The proposed envelope design represented in this document is consistent with the building plans,
specifications,and other calculations submitted with this permit application.The proposed envelope systems have been
designed to meet the M.7 Florida Building Code, Energy Conse ation requirements in COMcheck Version 4.0.8.1 and to comply
with any applicable mandatory requirements listed in the Insp ion Checkl' t.
26
Name-Title Sigrhature Date
Project Title: Buddys Shell Report date: 09/20/18
Data filename: D:\Dropbox ll\Dropbox\LBM2018-ZH Dollar-FL-Zephyrhills-WF\Buddys Shell.cck Page 2 of 10
.Jacqueline Boges
From: Todd Vandeberg
Sent: Monday, September 24, 2018 2:34 PM
To: Jacqueline Boges; Bill Burgess
Cc: Mark Ayer; Gail Hamilton; Craig Cornelison
Subject: Zephyr Plaza
Bill,
To follow-up our meeting today. Planning/CRA are ok with interior renovations proposed for the two new locations in
Zephyr Plaza and it would not be necessary from our end to perform[sign a commercial check. I spoke with Mark Ayer
and he said to get these to the appropriate individuals,signed and return would be time consuming. If Building is ok
with review of the plans I will inform Craig's office to resubmit the interior plans to the Building Dept.
Mark,On a side note we do need to know the timing/schedule of the remainder of the site improvements(ie perimeter
buffer and parking lot enhancements,etc.)
Thanks,
re) .
Zephyrhills
0
dl �dYt
2Jocld . -Vance Berg
Director of Planning
Planning Department
City of Zephyrhills
5335 8th Street
Zephyrhills, FL 33542
Phone: 813.780.0006
Fax: 813.780.0005
vandebere@ci.zephvrhills.fl.us
"It's not the Plan that's important.... it's the Planning"
1
Jacqueline Boges
From: Mark Ayer<ayermark@gmail.com>
Sent: Tuesday, October 16, 2018 11:16 AM
To: Bill Burgess
Cc: Jacqueline Boges
Subject: RE: pizza but
Bill,
As we discussed the estimate for front fagade and demo for DG and Buddy's is approx.$ 125K. Please email me what I
owe on the permit and will get a check mailed here ASAP.
Thanks,
Mark
From: Bill Burgess<bburgess@ci.zephyrhills.fl.us>
Sent:Thursday, October 4,2018 2:57 PM
To: Mark Ayer<ayermark@gmail.com>
Cc:Jacqueline Boges<jboges@ci.zephyrhills.fl.us>
Subject: FW: pizza but
Mark,
Attached please find the fees as requested....As we both know the CRA Board granted you the waiver of Transportation
Impact Fee...Your total due will be the sub-total of....$3,950.24..Thanks, Bill
From:Jacqueline Boges
Sent:Thursday, October 04, 2018 2:40 PM
To: Bill Burgess<bburgess@ci.zephyrhills.fl.us>
Subject: pizza but
Per your request Bill see the attached for pizza but
daekle BOges
913-790-0020 ext d513
"A rule I have had for years is:to treat the Lord Jesus Christ as a personal friend. His is not a creed, a mere doctrine, but it is He
Himself we have."Dwight L. Moody
Florida has a very broad public records law. Electronic communications regarding most City
of Zephyrhills business are public records and available upon request. Your e-mail
communications may therefore be subject to public disclosure. If you received this message in
error, please do not read, forward, copy, etc. and delete immediately.
1
CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 20778
BUILDING PERMIT
PERMIT INFORMATION LQPffION INFORMATION
Permit Number: 20778 Address: 6939 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: 10-26-21-0020-00000-0050
Improv. Cost: 53,000.00 OWNER INFORMATION
Date Issued: 2/07/2019 Name: ZEPHYR II LLC
Total Fees: 404.73 Address: 7162 READING RD STE 730
Amount Paid: 404.73 CINCINNATI, OH. 45237-3845
Date Paid: 2/07/2019 Phone:
Work Desc: BUILD OUT BUDDY 3,400
CONTRACTORS APPLICATION FEES
VARI CONSTRUCTION LLC BUILDING FEE 311.10
REESE ELECTRICAL INC ELECTRICAL FEE 68.63
FIRE PLAN REVIEW FEES 25.00
0sl q
4-4
90
Ins ctions Required
FOOTER 2ND ROUGH PLUMB misc INSULATION CEILING
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: (c)With respect to Reinspection fees will comply with Florida Statute SS3.80(2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there maybe 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
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CONTRACTOR SIGNATURE PERMIT OFF16VR
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
5953 Gall Blvd
Column
SQ. FEET PRICE
MAIN OR LIVING: $ 112.65
OTHER AREA UNDER ROOF: - $ 88.00
OTHER: - $ -
VALUATION $ 53,000.00
FEE SHEET $ 305.00
ADDRESS
DRIVEWAY
BUILDING: $ 311.10
ELECTRICAL: $ 68.63
PLUMBING:
MECHANICAL:
SUB-TOTAL $ 379.73
Public Fee 1%
TOTAL $ 379.73
SEWER:
WATER:
IRRIGATION: $ -
TOTAL: $ -
WATER METER:
IRRIGATION METER $ -
FIRE DEPARTMENT FEES
PLANS TOTAL:
INSPECTION TOTAL:
PERMIT TOTAL
TOTAL: $ -
PUBLIC SAFETY IMPACT FEES
POLICE
FIRE
5% $ -
TOTAL: $SUB-TOTAL $ 379.73
PARK IMPACT FEES
SIF'S:
100.0%
1.0% $ -
TOTAL: $ -
TIF'S:
99% $ -
1% $ -
TOTAL: $ 379.73
INSTR#2019021442 OR BK 9855 PG 3394 Page 1 of 1
02/07/2019 01:22 PM Rcpt:2026852 Rec:10.00 DS:0.00 IT:0.00
Paula S. O'Xei�Ph.D., Pasco County CCerk&Comptroller
Permit No. Parcel ID No
NOTICE OF COM eNCEME�A�'
state of county` '� l
THE UNDERSIGNED hereby gives notice that Improvement n All be made to certain reel property,and In accordance with Chapter 713.Florida Stathdes,
the following Irfomnation Is provided N this Notice of Commencement
1. Description of Property:P Iden ration -0 r
straelAddress: 1 lrl��i/ 1 r J' 4Z. 3 S a2-
2. General Description of Improvement I/fin ti Vt
3. Owner Information or essee Information if the Lessee contracted for it*Improvement:
ze � r LLG
'730
Address �w�f City State
Interest In Property
Name of Fee Simple Titleholder.
Of different from Owner listed above) i
Address C a'} , ,. City State
4. Contractor.--+
Address Stets
nhadoes Telephone No.: /✓3 j City
Co
5. Surely:
Name
Address City State
Amountof Bond:S Telephone No.:
6. Lender.
Name
Address City State
Lenders Telephone No.:
7. Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by
Section 713.13(1)(e)(7),Florida Statutes:
Name
Address City state
Telephone Number of Designated Person:
9. In addition to himself,the owner designates al—
to receive a copy of the Uenoes Notice as provided In Section 713.13(1)(b),Florida Statutes.
Telephone Number of Person or Entity Designated by Owner.
9. EWrstion date of Notice of Commencement(the a)Viretion date may not be before the oomplegon of construction and funs!payment to the
contractor,but will be one year from the data of recording unless a different date Is speefMd):
WARNING TO OWNER: ANY PAYMENTS 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 PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT•MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION.IF YOU INTEND TO OBTAIN FINANCING CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEWENT.
Under penalty of perjury,I declare that 1 have read the foregoing notice of temmencern and that the fads staled therein are true to the best
of my Wno%Udge and belief.
STATE OF FLORIDA
COUNTY OFPASCO
lure of Owner or Leases,or Owners or Lessee's Authorized
r/Dirodor/PeMer/Maneger/ �
Slgnat�ryaTille/Ofice ,f��
The foregoing insbnanent was acknowledged before me this day of; Y,29)jby AI7 I c ^
as 1 (type of authority,e.g.,officer,trustea,aaome to r
(name arty on bell whom InAument was executed).
' Pe e9y Kn Produced Werttification❑ Notary Signature U •
of Idengfleadon Produced Name(Print) Q
SIMON
JACQUELMEBDGES
AConlnlieeton/GG 218457
E*m December 12,2022
wd. BmdeOTlruTfbYF�hllswranmeD0�86�10fA
wildalabn1notieecemmencemenl_pM3048
STATE OUt4Ty OF PASCO
OF FLORIDA,C THE FOREGOING IS A
THIS IS TO CERTIFY THAT
RECT COPY OF THF-DOCUMENT
c COR
RUE AND R OF PUBLIC RECORD IN THIS OFFICE
ON FILE OR OFFICIAL SEALTHIS
WTNt MY HAND 2 dia—l-
DAY OF 8, C) P-TRQLLFP,
- 4 pAUL 'NAIL,C RK
DEPUTY CLERK
IF 813-780-0020 City of Zephyrhills Permit Application Fax-813-7uu-uuzi
Building Department
Date Received Phone Contact for Permitting V
�'
Owner's Name PVR C Owner Phone Number
Owner's AddressF Owner Phone Number
Owner Phone Number
JOB ADDRESS C_5A WO r LOT# C�
SUBDIVISION L PARCEL I D#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH
e INSTALL R REPAIR
PROPOSED USE SFR Q COMM OTHER
TYPE OF CONSTRUCTION BLOCK Q FRAME STEEL
,:.::>r-
DESCRIPTION OF WORK rl 6>L',(4 Ls
BUILDING SIZE SO FOOTAGE= HEIGHT C!
=BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL 1$ AMP SERVICE DUKE ENERGY 0 W.R.E.C.
=PLUMBING 1$
=MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION
=GAS ROOFING Q SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO
I I
BUILDER COMPANY
SIGNATURE REGISTERED I / N FEE CURREN
Address XA,) Crn A-- R->/,0_0 License# F_c6c
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address Z. License# I �c
COMPANY
S i` 3 "l "} _ REGISTERED Y/ N FEE CURREN L_y LN_J
Address License#
C_
MECHANIC;C , COMPANY
I -
SIGNATUR REGISTERED
Y_L N_j FEE CURREN
Address License# F-
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address
Add License# F_
HHHHa H HII III HHHHH""aff HHHHHH!I! H""""
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 wl Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(2)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.
.......... --------
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (AIC 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 (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Furthermore,. if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to.
receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. 'Furthermore, if Pasco County Water/Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the "owner", I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owner" prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation. has
commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but-are not limited to:.
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
1 understand that the following restrictions apply to the use of fill:
- Use of fill is not allowed in Flood Zone W"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 stern-Wall-.1,- !
- If:fill.,mptprial :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.117.03)
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to(or affirmed)before me this Subscribed and sworn to(or affirmed)before me this
by by
Who islare personally known to me or has/have produced Who is/are personally known to me or has/have produced
as identification. as identification.
Notary Public Notary Public
Commission No. Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
1 l 1;' fiJi1H
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: VN2A
Date Received: Z ' -1 c
Site:
Permit Type: �Ca-
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.
A, a- 9,C\/IC- z t&I
Bill Eiurgess-B &ding Official Date Contractor and/or Homeowner
(Required when comments are present)
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
CERTIFICATE OF OCCUPANCY
Address: 5915 GALL BLVD Owner: ZEPHYR LLC
ZEPHYRHILLS, FL. 7162 READING RD STE 730
Subdiv: CITY OF ZEPHYRHILLS CINCINNATI, OH 45237=3845
Parcel: 10-26-21-0020-00000-0100 Work Type: ADD/ALT COMMERCIAL
Construction Type: NOT APPLICABLE ❑ Sprinklers
Use Classification: NOT APPLICABLE
Permit Number: 20778�
Date• � 4/10/2019
IS - D BY: BUILDI OFFICIAL :
WATER MUST BE CHANGED OVER WITHIN 10 DAYS OF ISSUANCE
GARBAGE DEPOSIT MUST BE APPLIED FOR PRIOR TO ISSUANCE