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HomeMy WebLinkAbout19-22120 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 2212 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 22120 Address: 38421 5TH AVE 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: 11-26-21-0010-15300-0130 Improv. Cost: 450,000.00 OWNER INFORMATION Date Issued: 12/03/2019 Name: FRATERNAL ORDER OF EAGLE Total Fees: 4,261.52 Address: 4149 NEW RIVER RD Amount Paid: 4,261.52 ZEPHYRHILLS, FL 33542 Date Paid: 12/03/2019 Phone: (989)284-3406 Work Desc: RENOVATION 10,332 SQ FTE/ INTERIOR DEMOLITION CONTRACTORS APPLICATION FEES STINE CONSTRUCTION INC BUILDING FEE 2,626.49 ROWLAND ELECTRIC CO.,INC. ELECTRICAL FEE 579.38 WARD'S HEATING &AIR CONDITIONIN PLUMBING FEE 386.25 PIPE PROS INC MECHANICAL FEE 270.38 FIRE PLAN REVIEW FEES 24.00 FIRE INSPECTION FEES 375.02 Ins ections Required F OTER 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. C NTRACTOR 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-813-780.0021 Building Department po Date Received Phone Contact for PermittingP 13 3.13 ?#,? } CrG a 1,/ Owner's Name F01971fari t. Diepe't O/' Eo4C.tnf Owner Phone Number g#9- 7'$T'3'!pG Owner's Address 4/T ,t W 1101t fV 19Ol ZA tt �?�t S Owner Phone Number 8 13- 340 Fee Simple Titleholder Name I Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS 364 1 ZE tt tti/tLS1 Ft- 33S'l3 LOT# SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e NEW CONSTR 8 ADDIALT SIGN 0 [ DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR COMM 0l OTHER TYPE OF CONSTRUCTION BLOCK = FRAME STEEL Q DESCRIPTION OF WORK �tjTIE Q,Io it SE LIEC11d E DEP►o BUILDING SIZE I SO FOOTAGE r<G 3 �• HEIGHT BUILDING $ �t'd0� VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL Is 7 1 AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. =PLUMBING �1$ —1 =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION =GAS Q ROOFING = SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA =YES NO BUILDER COMPANY I ST I N+E rh Jsl IL%)G11 O a r 1'J t - SIGNATURE YiGr r ' REGISTERED �I Y/ N I FEE CURREA Y/N Address TV C'R£l.IL Q9. 33541, License# CSC ELECTRICIAN COMPANY = I SIGNATURE REGISTERED I YIN FEECURRED YIN Address r License# PLUMBER I COMPANY SIGNATURE ( REGISTERED I Y/N FEE CURRED Y/N Address License# MECHANICAL COMPANY _ SIGNATURE REGISTERED I Y/ N I FEE CURBED Y/N Address I License# OTHER COMPANY SIGNATURE REGISTERED I Y( N FEECURREEN IN_' Address License# I 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,Stgrmwater Plans wl Slit Fence installed, Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionstlarge 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/Sift 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. (A/C upgrades over$7500) Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authoriizing 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 c 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,WaterM/astewater 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.117.03) /�'l OWNER OR AGENT CONTRACTOR J G1 11 Y�e 0Q n'QiK14C f,0V)2-V C Subscribed and sworn to(or affirmed)before me this Subscribed and sworn Vor affirmed)bGf rr� a his by by e?,VIV1 /rrEt1C)J Who is/are 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 aH7Ar�-Notary Public Commission No. Commission No. PAMELA H.SMITH Name of Notary typed,printed or stamped -Name of Notary typed,printed`drfAr� :(fed MY CO EXPIRES:March 12,2020 �= o. Bonded Thru Notary Pubfi Underwriters 813.780.0020 City of Zephyrhills Permit Application Fax-813-780.0021. Building Department Date Received9' Phone Contact for Permitting i �� ) 3� - 6 �! �-i��4�- 3�/oG Owner shame /C Y�i riR1A 4 ®eJ"zt� /y �,4-t,S Owner Phenol umhor tl e Owner's Address Ii/�Ed I�d1lig 100.0,Zoe/}-O toll L6S Owner Phone Number 01�� 3G0� ��67 Fe©Simple Titleholder Name Owner Phone Number r . Fee Simple Titleholder Address JOB ADDRESS 3�7 5T+'� ZFC d iZ��1LLs '�L. LOT SUBDIVISION —� PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) - WORK PROPOSED B NEW CONSTR ADDIALT = SIGN = 0 DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR COMM OTHER TYPE OF CONSTRUCTION BLOCK Q FRAME STEEL = DESCRIPTION OF WORK 1t01 � QA#A*VA11 ON BUILDING,SIZE SO FOOTAGE �3� HEIGHT- Shot BUILDING $' �p ®00 VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. =PLUMBING =MECHANICAL I$—� VALUATION OF MECHANICAL INSTALLATION =GAS = ROOFING Q SPECIALTY Q OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO ............_.. BUILDER . . COMPANY �TINTC COQJST`e1.0 TI®eJ =w12. SIGNATURE REGISTERED I Y/ N FEE CURREN I Y/N Address SO -rLJ C 1F-J N¢Ea if X11 >t1aJf C l ty sUi License#. C d c wowqll ELECTRIciAN COMPANY SIGNATURE REGISTERED Y/ N J FEE CURREN Y/N. Address License#_i '� PLUMBER r ;' COMPANY �Y'� rp S 1 V- `'. SIGNATURE ° REGISTERED ( Y NI FEE CURREN Y/N-_l Address 7a ,.Q�s. vto/ �Pe f=1335tea . License# `,FC 1 4 Z1 y Z!o MECHANICAL COMPANY SIGNATURE REGISTERED I Y/ N- FEE CURREN' I Y/N Address License.# OTHER COMPANY SIGNATURE REGISTERED 1 Y/ N ME CURREN Y/N Address License# 1•'IIQII.IIIIIIIILLIIItl11 / 1111111tIB1111111111.111111.11IQIIIIIIIIIIAtI RESIDENTIAL Attach(2)Pict Plans;(2)sets of Building Plans;(1)set of Energy Forms:R•O-W.Permit for new construction, Minimum ten(10)Working days after submittal date. Required onsite,Construction Plans,Stormwatee Plans w/Sift Fence installed,. Sanitary Facilities&1 dumpster,Site Work Permit for subdivisionsilarge projects COMMERCIAL Attach(2)complete:sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for.new construction. Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Storm:vater Plans w/Silt Fence installed, Sanitary Facilities&.1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of.Engineered Plans. ""PROPERTY SURVEY required for all NEW construction. :ate:.:.�„�•_s • . • 1 t-1 i.ia' •.. . • . 1 1 1 . t . . . .d • lit`1 h t�.i.:`-•i Directions: Fill out application completely. Owner.&Contractor sign back of application,notarized If over$iSOO;a.Notice of-Commencement Is required. (A/C upgrades over$7500) Agent(for the contractor)or Power.of Attorney(for the owner)would be someone:with notarized letter-from owner authorizing same OVER THE COUNTER PERMITTING (copy of contract required) Reroofs if shingles Sewers Service Upgrades A/C Fences(PloUSurvey/Footage) ,Driveways-Not over Counter if on public roadways..needs ROW 813-78"020 City of Zephyrhills Permit Application Building Department Date Received 69—2 7 Phone Contact for Permitti It I ng Owner's Name Ax'sylillION, VA"Ift (2E EA44A-.(-- Owner Phone Number 1/, -2 A611— V-�q Alf, A0,90 OPIHLIJ�"t Owner Phone Number 1,96— 3610— V&Y 11 Owner Address 91j]?F 9 Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS 1 335113 LOT# SUBDIVISION PARCEL IDN I (ORTMED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH R INSTALL REPAIR PROPOSED USE Q SFR COMM OTHER TYPE OF CONSTRUCTION BLOCK Q FRAME STEEL F--1 DESCRIPTION OF WORK =/,D,3U3/F BUILDING SIZE SQ FOOTAGE HEIGHT 4,eo,.60 VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL D AMP SERVICE Q PROGRESS ENERGY W.R.E.C. =PLUMBING Is :1 =MECHANICAL VALUATION OF MECHANICAL INSTALLATION =GAS Q ROOFING M SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS ---] FLOOD ZONE AREA =YES NO . . . . . . . . . . . . . . . . . . . . . If 11 ; It I I ll� BUILDER COMPANY 1-114111 Cv,437ILVC TI0fJ, 37.4 SIGNATURE EN I Y REGISTERED I YIN FEE CURRIN Address 1$0C) "110911111 ceetv to. FLV%14T 335" License lticGIC /U0011,C) ELECTRICIAN COMPANY E fe SIGNATURE REGISTERED Yl N FEIE CURREN I YIN Address mg�bwp License# PLUMBER COMPANY SIGNATURE REGISTERED YIN FEE CURREN I Y/N Address License# MECHANICAL COMPANY SIGNATURE REGISTERED YIN FEE CURREN LiL-N-j Address License#r OTHER COMPANY SIGNATURE I REGISTERED YIN FEE CURREN LY/N T Address License III 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,Slormwater Plans w/S#1 Fence Installed, Sanitary Facilities&I dumpster,Site Work Permit for subdivisionsilarge 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 ton(10)working days after submittal date.Required onsite,Construction Plans,Stormwaler Plans w!Sift Fence installed, Sanitary Facilities&I 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. Direction.: Fill out application completely. Owner&Contractor sign back of application,notarized It aver$2500,a Notice of Commencement is requlred. (AfC upgrades over$7600) Agent(for the contractor)or Power of Attorney(for the owner)would be someone wM notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (copy of contract required) Remolls If shingles Sewers Service Upgrades A/C Fences(Plol/Survay/Footaga) Driveways-Not over Counter if on public roadways-needs ROW sta raD ao2a City of Zephyrhills Permit Application Fa=elsatw Graz, Butidmg'Departmeni Date Reeet red l. Phan contact for,Portwillnl Rd f 3 13�3 ts+.•r�7 j -rrrt-r•rt-T• .....111SS5777S�'������� rr..-=Frr T"4 d ��ft/ - Owner's Homo I Rq�s/R FidAtr ORntS.a oFF EAet6-S Owner Phone Numhu w�;�„j,�/`D7. 3yoGr OwnoCs Addrasa 7 VFW k' ill 606-0 ZlE "ll"S'tl tt Jr Owner Phdne Nomhor �f.�- ��Q- srrr•sY� k Fos Sio Plo Thloholtlor Nstno I I Owner Piwna Numkrer Fee Simple Titleholder Address loGADDRESB I S k N ttliTLt x R. $3S't13 LOTO.' SUBDIVISION PARCEL IOF r-----I IOWAPAW iRPN PROPERTY TAX NOTICF) WORK PROPOSED e NEW[ON5TA® r AbLVALT SIGN t--.i CD DEMOLISH INSTALL REPAIR + PROPOSED USE _ SFR COh1M �.J OTHER TYPE OF CONSTRUCTION ® BLOCK 1l(� FRAME Q STEEL [� . DESCRIPTION OF WORK IDr a31F' QRyOVFj�,I j h BUMDINO SIM C�SO FOOTAGE �3� HEIGHT s r>7 e MBUILDING, S 5610 p0 VALUATION'OF TOTAL CONSTRUCTION =ELECTRICAL r�...—...J AMP SERVICE Q PROGRESS ENERGY © "WJLE.C- pPLUMBI:�IG 17i'� QMECHANICAI (($� VALUATION OF M.ECkANlCAI.INSTALLATION =GAS = Roopmo = SPECb►LTY Q OTHER i FINIS1+O FLOOR ELEVATIONS FLOODIONEAREA =YES NO BUILDER py� COMPANY 1?i ffSk +*oniST¢JCToorj t TILE. SIGNATURE • F`� R 13MRm I YIN I FU GURRO, LyjN AddressS+s 7'UKKn't C¢E$r KQ•ftaaTGlt. 7�3Stfo LicenseM Cige 1X60!•l9 ANY SIGNATURE RE NGISITJM0 YIN FCECUIM . v N SIGNATURE ' Address ti"..' PLUMBER COMPANY SIGNATURE REb1Sttat[t1 I YIN I rce AIRR-- Ly 1 N Address t.ldunse d F MEC1WitCAtGMPfufY SIGNATURE j Y Nt FEE a7RRFn YfNT Address CY' �VCf�• '�E�lM+}[tF"t�3� lJoemeN ICAGo5�1�33-1 OTHER i COMPANY SIGNATURE I REU'svvwo YIN Address UPense ll [tt/[tit[Itittt[[ttiilttiit Yllrti tti[tl iitt tiirttilttititltt ifitttt RESIDENTIAL Arach(2)Plot Plans:(2)sets of Building Plans;(1)set of Emily Fortes;R•O-W Permit for tithe WMIrWIDII, Metimum ten(10)txaking days after sutan"tol dolo.Required onsho.CormWtUon Flans.Stotmwater Plans wl Sin Fence Mataned, SaMtary Facrities&1 dumpster.Suit Wes Permit for eubdMsioc N po prrteas COMMERCIAL Attadr(2)complete seta of Building Plans qua a Ufa Safely Pago;(1)set of Emiry Fomu.R-O•W Pemh for new mrstrrution. Mrtimum tan(10)working doys after submittal date,Required onshe,Cornlmdion Flans,Stonnwater Mom wI Sift Fence Installed, So,Jtary Foe tiea 8 t durn"r.Site Wax Perm"for all nA pros.All commercial requiters"most meol Compliance' SIGN PE"rr Auadr(Z)sots of Engindorod Plans. —'PROPERTY SURVEY required for W NEW coristructron. •i t i f t i •a s.i•.t.t' '-'•.hi i i i F.E •i.i.SZL.F i F.ia.a.i i- DinGUons: ' 'Fill Out aWpoation coptplefefy. Omer&Contractor Sign back of spWuratloo,notarized N ovor S2l!" a Notice of Commancemont Ia mqulrad. (AIC upp-des over$7500) Agenl(tor the contractor)or Power of Attorney(for the owner)would be aenmone,With rWtanZed tester from O After authorWnq same OVER THE COUNTER PERMITTING (copy of contract mquired) Rnmtits if Oimglos Sewera Sorvice Upgrades A/C Forces(PIoVSu,v y1Fcotogo) OrivewaysJlot over Counter if on poWic rdadways-needs RoIV INSTR#2019196866 OR BK 10008 PG 861 Page 1 of 2 11/19/2019 12:26 PM Rept:2109718 Rec:18.50 DS:4095.00 IT:0.00 Nikki Alvarez-Sowles, Esq.,Pasco County Clerk&Comptroller Prepared by and return to: Jon L.Auvil,Esq.,For Meridian Title Company,Inc. 37837 Meridian Avenue Suite 100 Dade City,FL 33525 352-567-1241 File Number: 19-06-66JAM SALES PRICE:$585,000.00 [Space Above This Line For Recording Data]. _ Warranty Deed This Warranty Deed trade this f day of November; 2019 between TAK Properties, LLC, a Florida limited liability company whose post office address is P.O. Box 1299,Crystal Springs,FL 33524,grantor, and Fraternal Order of Eagles Zephyrhills Aerie #3752 Inc., a Florida not for profit corporation whose post office address is 4149 New River Road,Zephyrhills,FL 33543,grantee: (Whenever used herein the terms "grantor" and "grantee" include all the parties to this instrument and the heirs, legal representatives,and assigns of individuals,and the successors and assigns of corporations,trusts and trustees) Witnesseth,that said grantor, for and in consideration of the sum of TEN AND NO/100 DOLLARS ($10.00) and other good and valuable considerations to said grantor in hand paid by said grantee, the receipt whereof is hereby acknowledged, has granted, bargained, and sold to the said grantee, and grantee's heirs and assigns forever, the following described land, situate,lying and being in Pasco County,Florida to-wit: Lots 5 and 6; the West 21 feet of Lots 13,14 and 15; the East 114 feet of Lots 13, 14 and 15 and all of Lots 16, 17, 18 and 19, Block 153, A MAP OF THE TOWN OF ZEPHYRHILLS, according to the map or plat thereof as recorded in Plat Boot:1,Page 54,Public Records of Pasco County,Florida. Parcel Identification Number: 11-26-21-0010-15300-0130 and Parcel Identification Number: 11-26-21-0010-15300-0050 Together with all the tenements,hereditantents and appurtenances thereto belonging or in mywise appertaining. To Have and to Hold,the same in fee simple forever. And the grantor hereby covenants with said grantee that the grantor is lawfully seined of said land in fee simple; that the grantor has good right and lawful authority to sell and convey said land;that the grantor hereby fully warrants the title to said land and will defend the same against the lawful claims of all persons whomsoever; and that said land is free of all encumbrances,except taxes accruing subsequent.to December 31,2018, zoning and/or restrictions imposed by governmental authority, and easements, restrictions and reservations of record, if any, however this reference.shall not serve to reimpose same. DoubleTinneO OR BK 10008 PG 862 Page 2 d 2 Ili Witness Whereof,grantor has hereunto set grantor's hand and seal the day and year First above written. Signed,sealed and delivered in our presence: TAK Properties, LLC,a Florida limited liability company Pri d 'tness Name V161 By: ' 1/1,e Clyde n,Manager Witness: /4 o Printed Witness Name State of Florida County of Pasco The foregoing instrument was acknowledged before me this day of November, 2019 by Clyde A. Biston, Manager of TAK Properties, LLC, a Florida limited liability company, on behalf of the limited liability company. He [j is personally known to me or[X]has produced a driver's license as identification. [Notary Seal] tNPPblic Printed Name; Notary Puft Stato of Flodda Ellen Morgan Morison My Commission Expires: �aa My CommissW GG 003220 pfp6° >=xpires081141202d H'arrantj,Deed-tap 2 DaubleTime'P INSTR#2019206444ORBK10017 PG212 page iofl 12105/2019 08:37 AM Rcpt:2114230 Rec:10.00 DS:0.00 IT:0.00 •S/H Njkki*kg_pe_z-_SowIes,Esq.,Pasco County Clerk&Comptroller STATE OF FLORIDA,COUNTY OF PASCO THIS IS TO CERTIFY THAT I HE FOREGOING IS A TRUE AND CORRECT COPY OF THE DOCUMENT ON FILE OR OF PUBLIC RECORD IN THIS OFFICE WITNESS MY HAND AND OFFICIAL SEAL,THIS DAY OF U.C9:n-bQ<2 L9—_ �HERK&COMPTROLLER ]LO-1 NOTIp NT BY DEPUTY CLERK permit No. A0,11, Property Identification No. d- 16-2(-00/0 -/5,300 —01,30 THE UNDMSTOMD hereby give hillbrins you that the improvement will be made to certain real property,end in accordance with Section 713.13 of the Florida Statutes,the following information Is provided in this NOTICE OF COMMENCEMENT. I.Deacription of property(legal dacrtd,,. o)SftetAddrcsa- 12421 <714 A%XN_Vl`L rip"POiW.S , L. 339 2.0eacral description of improvements,- Q& aOV AT)VtJ 2,Sjp 3.0wuer Wormation 8)Name and address:LIWE"A t- 0 FI> OF r-S 3 0 4;1 5-ft' AVE00 Uaftladj" b)Name and address of fee simplatitle-holder(if otherthim owner) 5,14re -r ilaoic- C)Interest fn property eery fj%4%., kCantractare,)Nam ore,Infmstion and addmm 51'1 tj r zm, ep � enotj:rwe, ek 3 3:5& li)Telephone ft: SL?--7Sa-22g - —Fox No.(Opt) S.Surtty Infarmillon a)Name and address: b)Amount of Bond: 0)Telephone No.: --- Fax NO.(Opt) 61eader a)Nam and address: Sor-PrIWT 130101(- 001 0 /94 A, /I&A(9LAru.5 13PO %A* hPJ4 J&Jj. FA4M AWAAAA Q 6f how No. f 1,k offm do0 7-6 0 7 2 7- at 7.Identity ofperson within the State of Florida desipsted by owner upon wbom,notices orctliments;may bt served: a)Name and address: b)Telephone No.: Fax No.(COL) 1.1n addition to himself,owner designates the following person to receive iscopy of the Lienoe.Notice as provided in Section 713.13(l)(b),Florida Statutes- , 6Y 2.3 a)Name and add,,,,: 2-3 OT—Ifu"'A X C)A 4,41,f $17(4"H CAP 11 e C, X O)TelephcneNc,: c Tax No.(OVL) 9.Expiration date of Notice of Commencement(the a iretion date Is one year ftona the date of recording unless a jiffetrat date is sPecifieft.. jb o 0'94!; 0 4 r ;hy 1I 20ao WARNING TO OWNER. ANY PAYMMS MADE BY THE OWNER AFTER THE MMIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED EWROPER PAYMENTS UNDER CHAPTER 713#PART 1,SECTION 733.13, FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR IMMOVEMNTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST IINSPIXTIION IF YOU INTEND TO OBTAIN FINANCING,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. STATZ OF FWIUDA QS COILIVITTOFFASCID /V U swwwa 61ZO AP-9 25 The foregoing Instrument was acknowledged before me this day of�eQM 20..Ll by -f 4.&yl:s as tM 19160 (We of authority,eg.officar,trustee,attaracy in fact)for (name of party an behalf ofwlwm Instrument was exacut4. Personally Known r OR Produced Ideafificatio. Notary Signature Type. of1dentificadonProduced_R, QL Name(print) Verification pursuant to Section 92.52S,Florida Statutes.Under Ptafiltice OfPmjwy,I decIRM that I have read the foregoing and that the facts stated in it are true to the bad of my knowledge and belief 2&%y F&1, ANDRES RIOS Notary Public-State of Florida Commission A GG 363898 My Comm.Expires Oct 29.2023 Bonded through National Notary Assn. • O fltLq `c r• j City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: 1�e �Gs�lec :r Date Received: ( Site: Permit Type: Approved w/no comments:❑ Approved w/the below comments:`' Denied w/the below comments: ❑ col VV � �o �' c � t� 1�•1 S t( 6uw �L— �1.-11-vul>,�- 9,il L,)i-4C cz- c-i i s f n#;-�7 This comment sheet shall Ve kept with the permit and/or plans. e —Plans Examiner bate Contractor and/or Homeowner (Required when comments are present) 11-26-21-0010-15300-0130 1 Pasco County Property Appraiser Page 1 of 1 Parcel ID 11-26-21-0010-15300-0130 (Card: 1 of 1) Classification 01100-Stores Mailing Address Property Value FRATERNAL ORDER OF EAGLES Ag Land $0 ZEPHYRHILLS AERIE 3752 INC Land $63,805 4149 NEW RIVER RD Building $227,552 ZEPHYRHILLS, FL 33543 Extra Features $2,179 Physical Address 38421 5TH AVENUE, Just Value $293,536 ZEPHYRHILLS, FL 33542 Assessed (Non-School Amendment 1) $293,536 Legal Description (First 200 characters) Non-School Taxable Value $293,536 See Plat for this School District Taxable Value $293,536 Subdivision ZH MB 1 PG 54 LOTS 13 THRU 19 BLK 153 OR 8025 PG 729 Jurisdiction CITY OF ZEPHYRHILLS Land Detail (Card: 1 of 1) _ Line Use �9AB-l ode Description Zoning Units Type Price ConditionjValue 1 1100C Store 1 Floor OOSD 7,000.00 SF $5.41 1.00 1 $37,870 2 1100C ( 9AB-3 Store 1 Floor OOSD 16,625.00 SF $1.56 1-1.00 $25,935 Additional Land Information _ Acres Tax Area FEMA Code Res Code Com Code Condo Code 0.54 30ZC I M5AV I M5AV I M5AV View Sketch Building Information - Use 1100-Retail Stores (One Story) (Card: 1 of 1) Year Built 1973 Stories 2.0 Exterior Wall 1 Concrete Block Stucco Exterior Wall 2 Precast Panel Roof Structure Rigid Frame w/Bar Joist Roof Cover Built-Up Tar and Gravel Interior Wall 1 Drywall Interior Wall 2 None Flooring 1 Carpet Flooring 2 None Fuel Electric Heat Forced Air - Ducted /C Central Baths 4.0 Line Code IDescription _iSq. Feet Value 1 BAS01 _ _ LIVING AREA _ 4,930 $136,012 2 BAS02 { LIVING AREA 3,290 $90,767 3 CAN01 �� CANOPY 94 $772 _ Extra Features (Card: 1 of 1) Line Code Description Year Units Value 1--I CPAVASPI PAVING ASPHALT —1973 7,450 $2,179 Sales History Previous Owner: TAK PROPERTIES LLC Month/Year_ Book/Page Type IDOR Code ,condition tion Amount 11/2019 10008 / 0861 I Warranty Deed i 05 Improved —$585,000 02/2009 8025 / 0729 _ I _Warranty Deed 05_ Im_pro_ved_.!---$0 --- _ 03/2008 7807 / 0762~ Warranty Deed �_�� _ Improv_ed �$0 05/2007 _j 7513 / 0621 _ Warranty Deed Improved $0 01/1972 0581 / 0256 — Vacant $0 https:Hsearch.pascopa.com/parcel.aspx?parcel=2126110010153000130 12/5/2019 Stine Construction-38421 5th ave- interior renovation 10,332 sf Column Es SO. FEET PRICE MAIN OR LIVING: 10,332 $ 49.00 OTHER AREA UNDER ROOF: - $ 88.00 OTHER: - $ - VALUATION $ 506,268.00 FEE SHEET $ 2,575.00 ADDRESS DRIVEWAY BUILDING: $ 2,626.50 ELECTRICAL: $ 579.38 PLUMBING: $ 386.25 MECHANICAL: $ 270.38 SUB-TOTAL $ 3,862.50 TOTAL $ 3,862.50 SEWER: $ - credit given$12,956.33 WATER: credit given$5,050 IRRIGATION: $ - TOTAL: $ - WATER METER: IRRIGATION METER $ - FIRE DEPARTMENT FEES PLANS TOTAL: $ 24.00 INSPECTION TOTAL: $ 375.02 PERMIT TOTAL TOTAL: $ 399.02 PUBLIC SAFETY IMPACT FEES POLICE FIRE 5% $ - TOTAL: $ - credit SUB-TOTAL $ 4,261.52 PARK IMPACT FEES SIPS: 100.0% $ - 1.0% $ - TOTAL: $ - T I F'S: credit 99% $ - 1% $ - TOTAL: $ 4,261.52 Eagles 4 o umn ts SO. FEET PRICE MAIN OR LIVING: 10,332 $ 49.00 OTHER AREA UNDER ROOF: - $ 88.00 OTHER: - $ - VALUATION $ 506,268.00 FEE SHEET $ 2,575.00 ADDRESS $ 30.00 DRIVEWAY $ 45.00 BUILDING: $ 2,701.50 ELECTRICAL: $ 579.38 PLUMBING: $ 386.25 MECHANICAL: $ 270.38 SUB-TOTAL $ 3,937.50 TOTAL $ 3,937.50 SEWER: Cred it WATER: Credit 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 $ 3,937.50 PARK IMPACT FEES SIF'S: 100.0% $ - 1.0% $ - TOTAL: $ - T I F'S: Credit 99% $ - 1% $ - TOTAL: $ 3,937.50 0" 5-16 Pfv, Square Feet Dollar Amount Valuation Building Electric cz Plumbing > Mechanical Radon Connection Fees: Sewer Water Meter Srimoimpact Fee: Transportation Impact Fee: '-37, Y- f71 S?j f�60� V City of Zephyrhills Water and Sewer Impact Fee Calculation Land Use Type: Banquet Hall No. of Seats 150 Impact Fees Within City Limits Outside City Limits Water Facilities Capacity Fee $ 5,050.00 $ 6,312.50 Wastewater Facilities Capacity Fee $ 10,450.SM, $ 13,062.50 TOTAL $ 15,500.00 19,375.00 a��7 - *je City of Zephyrhills Water and Sewer Impact Fee Calculation Land Use Type: Office No. of Square Feet 1033Z Impact Fees Within City Limits Outside City Limits Water Facilities Capacity Fee $ 6,261.19 $ 7,826.49 Wastewater Facilities Capacity Fee $ 12,956.33 $ 16,195.41 TOTAL $ 19,217.52 24,021.90 I/ ZEPHYRHILLS' FIRE DEPARTMENT 38410 6th Ave Zephyrhills; FL 33542 FIRE SERVICE-USER FEES increase 1/1/2018 Occupancy No.: Plan No:: Contractor: Business Name:_ C A y c ir—S Billing Address: Business.Address: 311y� �"' � GR<L-nt lz� Business Phone No.: 4191 - ,:9f?4 - 3Yoc- Billing Phone No.:, Business Fax No.: Billing Fax No.: Contact:' Contact: PLAN REVIEW FEES INSPECTION FEES PERMIT FEE .Annual- Education,healthcare,De tentionBCorrectional Public Assembly,Business, schools, Storage,Mercantile and Churches 'Site Plan N/C Industrial. no charge Sprinkler $50 Multi-Family/Commercial .03 sf up to 800 sq ft $ 24.00 Standpipes $50 (Minimum Charge$24.00 801-1,500 sq ft $ 34.52 Fire Pump $50 El.Plan Revisions DBL. ,1,501-2,500 sq ft $ 60.02 Hoods $50 2,501-3,500 sq ft $ 90.02 Fire Alarm $50 SPRINKLER SYSTEMS 3,501-5,000 sq ft $ 127.52 LP Gas $50 0.n 25•Heads $50 5,501-7,500 sq ft $ .187.52 Natural Gas $50 26 plus:Heads $100 7,501-10,'000 sq ft $ 262.52 Fuel Tanks- pertank $50 "STANDPIPE.SYSTEM 10,001-15,000 sq ft $ 375.02 Sparklers $100 �`.Per.Riser $50 15,001-20,000 sq ft $ 525.02 Fire Works $500 FIRE'PUMP 20,001.30,000 sq ft $ 750.02 Camp Fire(recreation: $25 0'Per.P.ump $100 30,00140,000 sq ft $ 1,050.02 Controlled Burn(15da; $100 FIRE ALARM SYSTEM 40,001=60,000 sq ft $ 1,500.02 Hood/Duct $50 0-25 Devices $50 60,001-80,000 sq ft $ 2,100.02 Place of Assembly $50 Annual 80,001-($2,100.02)per ,26 plus Devices $100 ea add 1;000sq ft $ 0.06 Fire Protection $25 SUPPRESSION SYSTEMS (Business closed.until FlammableApplfcation $50 Annual Wet $50 LjvlolaUons corrected) Waste Tire-Storage $50 Annual Dry $50 SPRINKLER SYSTEMS Generator<KW $100 CO2 $50 ..,.'•Hydro Undergrounds $45 Generator>30 KW $100 Other $50H.Acceptance Hydrostatic Test $65 persystem Blo-Hazard Waste $100 Annual KITCHEN.EXHAUST Test $45 per system Fumigation Tenting $50 'Hood/Ducts $50 Hydrant,Flow $75 Torch Pot/Applied $50 .OTHER Haz.Materials $50 Annual 8 LP Installation per tank $50 FIRE ALARM.SYSTEM Fuel Tank Installation $50: System:Acceptance $50 (Per Tank) $50 B.Recall Acceptance $50 Natural Gas Installation $50 OTHER : (Per System) ' Fire Wall/Smoke Wall $15 per wall Spray Booth $50 ;LP Gas $25 par tank `Natural Gas. $25 per system Tent 10'x10'or greater $15 per tent Fire Pump $45 1.Fire Suppression $30 ,System "Acceptance Exhaust Hood/Duct $30 Re-inspection DBL !(other than annual) Inspection scheduled. DBL and cancelled less than 24 hours Construction Insp. N/C Emergency Vehicle Acce $50 PLANS-TOTAL INSPECTION TOTAL 3? PERMIT TOTAL GRAND TOTAL — Comments: Date: '7 i Inspector: see.back nlh IY'.i3-�'*....ri,?3`�'�.--5�^^_.-t;<'YF.^�'^=:�.'r'.';srY4r:,"C'•T�'.'i}':.�-;m.•.•a^�:;«.-:.a.rc:'-':t.^�.•._,r--c-W.'vS..^:nrvs.-..�—.�:r<c..-•:.a�e�ar^.r�.�t7se-•,eae.,.......•rraa.A..�.....n...,,d»._.+.a..._..-v,.v�,.,.....,...-.,s..-.....-..--.._ i FALSE ALARM FEE 1st Alarm N/C 2nd Alarm N/C 3rd Alarm -N/C 4th Alarm $100 5th Alarm $150 6th Alarm $200 NON COMPLIANCE $150 Cont.-Annual Inspection Fees 3-11 Units price per unit $ 5.36 12-25 Units price per unit $ 4.82 26-50 Units price per unit $ 4.29 51-100 Units price per unit $ 3.75 100 or more Units price per unit $ 2.68 Fire Safety re-inspection f types First Re-inspectioi N/C Second re-inspect, $75 Third re-inspectior $ 125.00 Inspectiomscheduled but cancelled24°hrs $ 50.00 TOTAL. AM vN 1 1 v1 LL-1-I I I I%I uLw- w�Lv�rvV uCr/1R w�C�V RIGHT-OF-WAY USE PERMIT DATE:, J-�� Z� PERMIT#: Z7— l Z-D No construction under ground or above ground of any facility shall be accomplished on any City Rights of Way without written approval from the City Building Department. Any application for approval of construction operations on any City owned Rights of Way shall furnish a detailed drawing showing the complete scope of the proposed work in triplicate to the office of the Building Official for approval prior to the commencement of any work. A copy of this permit is to be kept readily available at the site of the work at all times. PARCEL ID#: /A P-6'ZI'00/0 ^15300 •0130 CITY ROAD 38 4Z 1 5" Ave LOCATION (Legal Description): �364-21 5-r" Ave. ZcamYie ILL - . Ft- 33 54-3 A/,-" Cnv°aa OF &-r Amy .Miv cwa Permission is hereby granted to of For the construction and maintenance of: Subject to the following conditions: 1. The construction and maintenance of such utility shall not interfere with the property and rights of a prior occupant. 2. All work shall be done in keeping with the standards of the City Streets Department and under the supervision of the City Building Official,who will be notified at least one day prior to commencement of construction. 3. All materials and equipment shall be subject to inspection by the City Building Official. 4. During construction all safety regulations of the Department of Transportation shall be observed and the City shall be relieved of all responsibility from damage of any nature arising from this permit. Subject to the same terms and conditions,the permit holder may take such safety measures, including placing and display of caution signs,as it may deem necessary in conduct of construction and maintenance work hereunder. It is the responsibility of the permittee to???? 5. All private and all City property shall be restored to its original condition as far as practical in the opinion of the City Building Official. 6. All underground crossing installations shall be laid at such depth as may be specified by the City Building Official. 7. The sketch covering the details of this installation shall be made a part of this permit. This permit is granted with the understanding that the applicant has notified all other utility users in the area covered by the permit and takes full responsibility for any damage incurred by prior installations as a result of his operations in order that they may safe guard their interests. 8. It is expressly stipulated that this permit is a license for permissive use only and that the placing of facilities upon public property pursuant to this permit shall not operate to create or to vest any property right in said holder. 9. Whenever the City decides to further exploit the City Rights of Way, any or all said poles, wires, pipes, cables, or other facilities and appurtenances authorized hereunder, shall be immediately removed from said Rights of Way, or reset or relocated thereon as required by the City Building Official at the expense of the holder of this permit. 10. The holder shall save and keep the City harmless from any and all damages, claims, or injuries that may occur by reason of the construction, maintenance,and operation of said facility. 11. The holder shall complete the requested work within days or this permit shall become null and void. In the event the work requested is not completed upon the expiration date of this permit,the City shall have the right to complete such work and to charge the holder of the permit for all costs incurred in completed said work. 12. The holder shall post a cash or surety bond with the City Manager in the sum of$ dollars to guarantee performance of the obligations herein, and to guarantee maintenance of the right-of-way described herein for a period of one(1)year following completion of the requested installation. In the event a surety bond is posted,the surety bond shall be made payable to the City and shall obligate the surety to hold the City harmless in the event the holder of this permit should fail to meet any of its obligations hereunder. The bond shall also indemnify the City for all court costs and reasonable attorneys fees in the event legal action is required to collect on said bond. SUBMITTED BY: c7 Cr(PERMITTEE) �y 0M.S A-U.e-T! R/ I41 C, Signature&Title 723 `(�( ?• �°Z7�/` Address 26r0 2 7'lJ�� Ck-egx AD. �1,4wr C.,ty., FL- APPROVED BY: CITY OF ZEPHYRHILLS Utilities Supervisor �,��[ Date Public Works l M4 Date Zrt'2at.LED,,%,�144L-r, 84TC�( tISTI G►�4nE�• Building Dept Date City Manager Date .. ,fi6 •1.3 6 �^ i.1 t_ti• M'. Pasco i. .""JC1�!:::1',F = : nlift� is•.lp :'.�Si �c: f.s'�tk":i.�t3�'' - - ,�-? seise c^i �Ss.pas ccip .=ci�if>:trsct�l� Si.0 ti,nc,?4ARE-.•, � � ��n:?t_. Pi;'',i wain �-' PG: rarmin ,cn ;st 'Saint lr•�J Niner Pasco County Prop,ertl Appraaiser ' ..., ^..:_•r,"" �:-, .....,..-: - '",�t ... x.,,....__ �i(�:' r...;,,�<_'r;•.- ..-ems n 8 - �n sI - ,t:•. 3_7r_f': t_�ill45.X s I,�'-.. (, a - b .2tb=" - , ,,� - )i kx U tz" _ t. - 7 {�r ue• t - - .ti - a t�9 ;t 2 A' I� ,t 3 mod. 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