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HomeMy WebLinkAbout20-486 ED r nnrorr} City of ZephyrhillspERM IT, NUMBER x 5335 Eighth Street. _ Zephyrhills, FL 33542 BNC-000486-2020 Phone: (813)780-0020 Fax: (813)780-0021 Issue Date: 11/12/2020 Permit Type: Building New (Commercial) Property,Number Street Add ess,,; = - 34 25 21 0000 00300 0081 7323 Green Slope Drive Unit 105 Owner lnfolrmation Permit Information Contractor Information Name: TEJAS ENTERPRISE LLC Permit Type:Building New(Commercial) Contractor: NATIONWIDE Class of work:New Construction CONSTRUCTION & INVESTMENT COR Address: 17812 Saint Lucia Isle Dr Building Valuation:$120,000.00 TAMPA,FL 33647-2714 Electrical Valuation:$15,000.00 Phone: (813)995-4000 Mechanical Valuation:$8,000.00 Plumbing Valuation:$30,000.00 Total Valuation:$173,000.00 Total Fees:$30,064.40 Amount Paid:$30,064.40 Date Paid:11/12/2020 3:49:45PM Project,Description BUILD OUT OFFICE SPACE 3,027 SQ FT Application Fees <" Electrical Permit Fee $115.00 Wastewater Impact Fee $2,662.00 Transportation Impact Fee $23,494.68 Mechanical Plan Review Fee $40.00 Mechanical Permit Fee $80.00 Water Impact Fee $1,324.38 Electrical Plan Review Fee $57.50 Building Plan Review Fee $315.00 Building Permit Fee $630.00 3/4 Water Meter Residential Connection Fee $732.71 Fire Plan Review Fee $90.81 Plumbing Plan Review Fee $95.00 Plumbing Permit Fee $190.00 Transportation Impact Fee-City $237.32 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 subsequent reinspection. 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 permit 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 add fee 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 PE IT OFFICE PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER • Bi;3;�tiat?ozo,,, G'" .of.Ze,ti'fiills°Ferr�iit;4Eplication Faz-s���eo-oozl ° ' Build'mg:D,epariment ' Date.RecbWed Phone Cantad-for"Oenrnitiing'Doom I=- Owners Name "e S, ,Lr ;Gr.- .�Z;�. '.a C.1,I�T �5 r-_� -,OwnenP,hotiejN , ,own erPhone'Numbei:` r- , oeetifn id holder=Name -.._ .,,...P .-...,_-.. .._.. ' c� .a. Owner`Phorre Numbec`" Fee SbnpleA'dlehoMe{'ArJdress • , JOB ADDRESS o�3: ;�GcGv- S'j d' T {;. AfAl s -3 _ LOT SU6DMSIQN. '' _ P-ARCEL-ID#i . _IoerAINEUMOU rrwaEc Y111 NOTICE) `.. y WOI2K,PROPOSED,' _�" - _ :NE1N.C,O,NSTR;:..-.<- J ADD%AL`T',,.Q- ';SIGN.` 'Q;-:`. ;Q. DEMOLISH.':':'�';_'-•. e INSTALL- REPAIFj:. PROPOSED USE 0r SFR Q COMM TYPE OF.CONSTRUCTION Q 13L06K DESCRIPiION'OFINORK' 'N'�G""(':fGr !`�=.I'O�'?=OJ3•��it,Aa' T!?\`-L%: •a:°' -:hr�/7.:�f�. - _ : 1 - BUILDING;SIZE=. ��� p�iFOOT GE�� IiE1GHT`c - -sscs�,<?c=�;=i =-z'c,z,3c i zi-c�zx7CX3L?LjL t{z�wT; -Ic'�c-czs��;cr?e� ��?E''i'?r�?cr �:'an: VALUATION'QF.TOTALCONSTRUCTION:•/.".. D r•3/' QELECTRICAL QPLUMBING $', r' __. % , .AAAPSERVICE. �e ":PROGRESS"ENERGY,.,'Q :W.REd. MECHANICAL Q-- ,_ _ $'" - - VALUATION OF MECHANICAGINSTALLATION.. ,- _ ` aSEC9LlRQOFING'. OTHER::_) FlNISIiEOFLOORELEVATIONS`° FLOOpZONE - ARF11 OYES Q.'NO,: r BUILDER- '' 1' dG' d'`x/K` - SIGNATURE' r REci:TEREo ;FEE cuRREN ;'yY/N- Address ELECTRIC44N. SIGNATURE".'' ,_..---a.: —.- _------_,-.-_ rit e�i�ritb r Y"/N;C; "FeEcuRriErr, Address J•ac 6l'V .'; _64 _ vi o PLU646ER . COMPANY' SIGNATUREF 7 REPISTERED Y 7 N FEE CURRMN' uY/N._ 0 .. .- rZ _ . A3 > . , sAddress a d MECHANICAL COMPANY Q .;�!"/ • - i:7K.- Vr'... f „,e, ':i�irn SIGNATURE' F77 :_......"_ :_- _, .:.",._ REGISTERED I Y/-N N. _^. tEE CU+RRENe Address 3 ;6 -,+/t":f'Li!!, J H'rs'�! ../'"b�� 06erise# 6 OTHER_ ..' ;COMPANY ` - - .. SIGNATUREF k6lo TEdEo :Y/N FEE curiRFii Y/N: Address, License#',,..,,- RESIDENTIAL Attach.(2)Plot Plans (2)sets of Bmlding Plans;(1)set of Eriergy.Fonns;R-O 1N,Permdiar new construetioii 'Minimum ten'(70)*diking days aftersubmrthal date.Regdired onsite;'Conntiuotion Plans,Stonmirater Piads'w/Silt Fence tnstbAd'd Sanitary Farlleies..8`1 dumpste�Site Work'PenniGfor sulidNisionsllarge projects COMMERCIAL- Attach(2)complete sets of Bwldng,Plans plus a;Life, afetyiPage;(1)Setof,Energy Fogtis;.R-0 W,Pertni4;for new con5tructionj ...,„'. Minimum ten.(1.0)working days afte'r.submitfal ired date.Requ bm;ite,Construction"Plans;Stoiinw i Plans w1.Silt Fence histalled; Sanitary FacpiUes.8,,1 dumpster:Site WdrkPenriR'for all oeW projects.Ali commerdatrequaements must-meet compliance SIGN PERMIT Aiti6lb(2)sets of Engineered Plans.' "PROPERTY SURVEY ieq'uued for all NEW,construction." --=-----------mi-- Directions: --------------- -�_ k.out application completely. Owner$Contractor sign baok.of application,notarzed If-over 525110,)f Notice of C'oinmencemeniis required.(A!C'upgmdes over$7500) Agent(for the contractor)or Power:ofAttomey(for-the owner)Would be someone with notarized letter from owner authorizing same 'bVERTRECUUNTER''PERmrfTING (6.6 'bf-contraclrequWad) I2eroofs if shi0gles,.: Sewers Servide.UPgrades A/C Fences(Plot/Survey/Footage) i- Driveways=N6foJerrCouritei'ifon:puhlio roadways..needs ROW City of Zephyrhills Water and Sewer Impact Fee Calculation Land.Use Type: Doctor or Dentist Office No. of Practitioners 1 No. of Employees per 8hr Shift Impact Fees Within City Limits Outside City Limits Water Distribution System $ 1,324.38 $ 1',655.48. Wastewater Collection_System. $ 2,662.00 $ 3,321.50 Wastewater.Treatment Plant Capacit y . . . . .. $ 1,490.89 . $ . 1.,863.62 TOTAL : $ .. 5,477.27 $ . - 6,846.59 j fm�;-1--:Iq (-WO 011:rJ)',-XLV-.131 r—'Id)0 LT=Jm 3MXD llkcV - -------- -------------- Nrt-ft. l jo 0 q-w onsaRm I r4214*2 I ftR"fpr-q'-4#I Lot tnts"Wa wwamo 1XVIr-f"V)2)3 ira MAKIdt)WIP'WhIpye�"?jRJ tml=wm-.pm Pw.rcoH r7tmrK i;qn Q(Tv tuwjA(at)tgl ulrullivj ex 152;ssstvml 9111tv tax a an 15 txxx Is I's tx as$Irrss r) y,4 RA [V.*Aoo A?MMIW so—am r"A r 5111. AWMO 0 NMMQ=M" r_�tjjA 3MUVW,)M -A A--------491 CD r4UaIW--OW r110.1 j4D P4611VOTIA 2'a V3 V'A v 10 Ih AIN-* VO.s-v3k 0.31 Ik VD-10 10 31.1k"k I lb N 'a. ---7 39ftelsocklud E:31 C3 SSUMMeW Isa4m lmaq-m-o"T NU. a—m TI s it 14 3=' Z2UMLO lb it *Au4w5mffu, Ar-9 tacouiscls> uo4WOdvVWJM%F.41kqdoZ 10 A%-* owaop&cm s13 yea-0oio'. City.ofZepfijirFiills:Pe"R^ppli on t3uHitirig'Departinent NOTICEOF DEED'RESTRICTIONS°Thetinders.gnetl understands that this_peimif may be siibjdd to'deed"iestric ions'whieh m-ay:be.more'restiicfiw ttiari°°county regulations The�mdersigned assumes_responsibility for oompLance�sntFr:arry appUcabie deed restncbors UNLICENSED CONTRACTORS AND CONTRACTOR,RESPONSiPlpnES Iffhe ownerhas hired a contractor or corilractors to undertake work;they crnoanyybe ' : '• , " state : ce b w lbicens tihne'orwiei�reemnd geijie`r_d stracoc7ay,be cite dedor'afnisd'emeanor violatonunr lwIfttieovmer'or it nded'cortiacorarenriertln'astowhat may'apply,tot.theinf endedwork,4f",are;a- v6dto co'ntec3the_Pasco,Cainly6uikfnglnspedtionDivisi°n-icensing,Section_at727847 8009.: Fuithengore„it.the�vme`has hired;a;contractrir-orcontradors_he,is advised W.have the"contragtur(s);sign-poitians otfhe+contiacfor:Block'otth appllcallonbfar which,they w�be respor>slble If you,as tare owner sign as tire contrador that may be e n_indication that Ire rs naproperiy licensed and is tint ant_led to pert utling priinleges m Pasco,Gounty. -_ - TRANSPORTATION'IMPACTRMLITIESAMPACT AND,RESOURCE RE-COVERY FEES:Ttie undersigned uridbi;§ands* :. that',Transportation'lmpact;Fees,and Recourse Recovery Fees majr:applyEto the,6oristructi6n of riew,tiugdings;•.ctiange,of usein epsting bufldlogs,or• expansion of e)d lUng�bu8dmysl as specifled4n'Pasco County Oidinande.number 88-07 and 90.07,as amended The undersigned also understands.-Vial• sudl,fees as maybe due wipe mtified,at thetime of pegnMirig;It is fiirther urtderstoodthat Transportatwn Impact Fees and Resource Recovery, Fees midst be pafd;0d6rtb receiv g:a'ge{tificat"of' 'or fmai pbvrer,release:Iffhe.'projed`does:rmlinvolve a ceitifrcato of occupancy or-fi-1 - - o pa ..,, nce q#o'County Wator/Sewer,lmpadrfees are due,.tliey must be patd,prloi... _ p wergglease;ahe fees musgbe id:prior-to'permitissuance:Furthermore;iF:P,-- A w- -,• „ to.pe'rinitlssuance'iin'accordaiice with applile.Pasco County ordinances,_ CONSTRUC iON LIEN LAW_(Chapter 713,Florida:Statu{e's;.as.amerided);If iraivation ofwork-is,t1,6dd.g0 grmore,,l art fy that f the applicant;- have,bebfi provided ft,ei,�pyof fhe'Florida Cdestrucdon'L1en Law—Homeowcer's iSia'tion'Guide.,prepared bythe:Flooda'Departnient'af _.. AgdcuHure'and;Constm�orAffafrs.,1f the applicant is,saneona.otherihan fhe'owner;I certify thah,l haye'otitained a"copy..of lheabbve descnbed document and promise to good faith to deliver d to fire ovmer'pnor tb commencement CONTRACTOR SlOWNERS'AFFIDAVIT t ce that aft the information,In thls,applicahon rs accurate and that all work wi0.tie done m compliance wflh , al)'applicable'laws,-regutadngcoristniction;;zanmg:arid.land,debe10 meat:Appfcatioriis-iiereby',`made'toobtaln�;&perm to.dowork d;mstallatioo2s:' [ndlcated I certify thatno.work-or Iristalfabon tug canmenced'pnor to issuance of a, and thafail,vvork w31 be perfoirned to meet standardsbf all �. Pew.- hrwsinigulating cgrtstruction,;County;'600 ty;cbdes;.zoning reguiations;and laird development,regulations in,theJurisdiction:,l"also.,ce¢Iiy that l_ understand thattlie-regulatio'ris of other government agencies may apply to-the intended work,and that it a my responsifi�ty to identify what actions I' must.talie to;be in,comprianae.Such agencies include but are not limited tot ' °, Department of Environmental Protection Cypress Bayheads;'Wetiand•Areas and Environniih aliy°Serisitive:� . �-Lands;�]Nater/Vllastewater�T,reatriierrt;- : ' -. : L� ,:- -; ;,, :; '•.- - -; - Southwest= Florida' Water. ;Management; 'District-1Nells;. Cypress Bayheads...V1►etland Areas; Altering Watercourses:: Engir%eers Seativalls,Dock_s,NeNigabie':Waterways:.', _ Depaitrn"enf,;of Heaftti R Rehabilitative Services.EnVir'onmental';Health Unit-VVeifls; Wastewater Treatment, Septic,Tanks:. _ - _ _ US Envkontnbn%I Protection'Agency-Asbestos abatement -: FederalAviation Au4tiority-Runways:. , ry = _. lundeistaniittiatlfe.following'resirictioris„applytotFreiise`offilY- _.. .. _ � - - ui6 of fill'is:ii6t allowed iin,Flood Zone'"U"unlm,expra*perii,itt6d' if the'fill material is.to-,be,used:_in:Flood Zone;.wi it,is,understood,that,,a;drainage plan-addressing a "Compensating volume will.lie submitted at time of pemiitting''whtctr•is prepared:by a professional;enginee�'. 1ligensed:by,ttie Stae.of Florida:-,. -• • - _ .� _ .- ff the.fiilriiatetiaf is'to be used:in,Flood:Zone'A.in,corinection:witFi,a permilte_d.building using stem uvall. construction';I certify thatfill4enil be used only to:fill the area wrthm-the e.ter[iwa11 =a _ If fill material:is.to be used.Ain,any'area 1 certify that use of;such fill wt71 not;adversely affect adtal�nt: _ `pfogerties If+use.:of fill,is found-to adversely affect adjacentlproperties.the.owner may-be cRed'for violating;- the conditionsTofahe building permit issued under the attacfied permlt appiicatton-:for lots less than one(.1-) acre which are'elevated by;fi11 an engineered drainage_plan is regmred if.l arn,the'IIGENT FDR'TFIE OWidER;l;pmrAi;in,good faith to inform the owner.of the,peimitting conditions set forth ,this:affidavit prior to co min encmg,constructiom'j,understand tFrat a separate permit may lib"iqulred for electncal work;piumbing;sgns,,wells-pools.air candihoning,,gas,or ode►,installations;not-s-pedficallyindude_d in.the:appfcation A permit issued'shail'.be constnied to tie-a license to pcoceeb.witti.ttie`iuork and.notas` ' " auttioHty to,vlol'ate,cancel;alter or set aside any,,provisrori5 oftfie technical codes riot shall rsstiance of a'pemift prevent:the Bufiding'Officiaiiram ' ttrereaRer regwnng.a i�irection of eiioasln plans:i onstruc8on orviolations;,6f,bh codesy Every,"p'emutlssuedshall beeorrie-lh}ralid unless work autlionied_by such permit,lscom'mencgd wdhi" months,cf permft issuance,or 0 w'i authdHW4 by the pemrit fs,stisperided ar abandoned for a period:of six(6)months-after;the time the work4s;commenced.An exienslon,may be requested;in writing fr�rr the Buflding,0ific of for a perfod'not'to exceed Wriety.(90).days and_{gill ddmorislrate justifiable cause for,the extension.If.worit'cgases'for ninety.(80)'conseaitive days,the job is considered abandoned:: • - _ _ .. . WARNING-TO.OVVNER's XOf�Rt FAILURE TO.F2ECQRp A.NOTICE''.OF,COMMENCEMENT MAY.RESULT IN`YOUR' PAYING;TWICE FQR:IMPRQVENIENTS;TO.YOUf2yPRQPERTY:IF YOti INTENI)'TOr�OPT, FINANCING;CONSULT OF „ OWNER'UR AGENT,;�,C9:Y.:� 2•t�V..r� ;.CON_TRACTO ._ y �, •-- -...�: _ _ syvra .to P _ a and al knovm to or fieas/ha4e t Wh::.•.a ersonall'' °... ) ,_" or affirmetl before me this- Sugsrn - _,.. �i to me or hasAiave'`rbtluced' Whq�sl ,t�erson �y` ' Produced -c. /.l Lt 2p`�f .as.idenfification. i-�C i_�l'\y_ Al yy?e as ldentiBca1iorL - Notary Public Bqtpry P Coriimcssion No: -. ... Commf�ssi"or�i'No. - - Name of Notary typed,rprinted ocstarriped'`- ame ofNotary typed;pnnted orstampedz ' • Ep ti Iuty USA A:COLON COMMISSION#GG'979032' .Fti� EXPIRES:April t5:2024 N10a spaau"e/mmpeol oggnd uo p 1a1unw)lano:otd-.Aemanua (aBelood/AnnlnSAold)saouad 0/V sapajBdn oopuas m as sal5u14s p sloop.a (pa:rnbai wwluoa Jo Ado.) 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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: 34-25-21-0000-00300-0081 Improv. Cost: 680,563.00 i Date Issued: 5/31/2006 Name: RAMAPPA, DR. G.M. Total Fees: 8,574.78 Address: 7323 GREENSLOPE DR Amount Paid: 8,574.78 ZEPHYRHILLS, FL. 33542 Date Paid: 5/30/2006 1 Phone: 813 818-9696 Work Desc: PROFESSIONAL OFFICE BUILDING SHELL ONLY j a BUILDING FEE 3,093.00 SOUTHEAST DESIGN I ELEC C 368.60 DAVID HARVEY ELECTRIC CO INC PLUMBING FEE 35.00 MECHANICAL FEE 570.00 OLIVER PLUMBING LLC RADON 108.53 FIRE PLAN REVIEW FEES 434.12 SPI MECHANICAL \� FIRE INSPECTION FEES 120.00 POLICE IMPACT FEE___.- 1,763.68 _\ FIRE IMPACT FEE 1,896.75 PUBLIC SAFEyY 183.12 Au AN 011 '0' FOOTER BOND FOOTER ROUGH ELECTRIC 1ST ROUGH PLUMB DUCTS INSTALLED PRE-SLAB CONSTRUCTION POLE 2ND ROUGH PLUMB DUCTS INSULATED LINTEL PRE-METER WATER SHEATHING FRAME MISC SEWER MISC INSULATION WALL MISC MISC. MISC. INSULATION CEILING MISC. MISC. MISC. DRIVEWAY 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 govemmental entities such as water management, state agencies or federal agencies. The payment of inspection fees shall be made before any further permits will be issued to the person owning same "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." NO OCCUPANCY BEFORE C.O. CONfAACTOR SIGNATURE PERMIT OFFI14--111 CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER I y City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: CO-Y\ s'��U C4("bI,, /V" i Vn4�1 C-,M lb-Y\S Date Received: ef � �/,),'°o-).-0 Site: /32--3 -Su s�e- 1 v y1 /QS 0U)'jrj0L"4 a ►Ce Syf-, Permit,Type: �Nqe}�) �'' � Approved w/no comments:❑ Approved w/the below comments: ❑ Denied w/the below comments: ❑ This comment sheet shall be kept with the permit and/or plans. Kalvin Switzer—Plans Examiner Date Contractor and/or Homeowner (Required when comments are present) 813-780-0020 City of Zephyrhiils Permit Application Fax$13-780-0021" Building Department Date Received Phone Contact for-Permitting ( — tttttttt � � Owner`s Name Owner Phone Number Owner's Address . Owner Phone Number �^ Fee Simple Titleholder Name Owner Phone Number �^ Fee Simple Titleholder Address JOB ADDRESS P/"I✓g LOT# SUBDIVISION � PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED R NEW CONSTR 8 ADDIALT 0 SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR 0 COMM OTHER TYPE OF CONSTRUCTION BLOCK 0 FRAME STEEL Q DESCRIPTION OF WORK BUILDING SIZE SQ FOOTAGE HEIGHT -IE7E'€1€3C =BUILDING $ VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL 1$ _ AMP SERVICE = PROGRESS ENERGY 0 W.-R.E.C. =PLUMBING 1$ � =MECHANICAL 1___ VALUATION OF MECHANICAL INSTALLATION =GAS Q ROOFING Q SPECIALTY OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER COMPANY SIGNATURE URE REGISTERED YIN FEE CURREN Address License# ELECTRICIAN COMPANYG SIGNATURE We v ,r REGISTERED I YIN FEE CURREN Y/N Address loe2 l tJally/,N Olf/ItG� rc 3zt�lQ License# 5E 13oo Z�3 PLUMBER COMPANY 0%\\\Q-tW). t n L. SIGNATURE � '� 1(10�� � REGISTERED N FEE CURREN N Address 5�OCIS i l�r\ J'� Z e(�1 lac 11�1�5, L 3ya License# MECHANICAL COMPANY SIGNATURE REGISTERED YIN FEE CURREN Ly I N Address License# OTHER COMPANY SIGNATURE REGISTERED Y/N j FEE CURREN Y I N Address License# F tttaAI IaIa IaaaIt"t,Xtat# aXaIalttE#atZaItsItatIt Ali a#ttllt2-9122212aaIIaaaaI RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, INSTR#2020190759 OR BK 10213 PG 2375 Page 1 of 1 I1/10/2020 11:01 AM Rcpt:2225482 Rec: 10.00 DS:0.00 IT:0.00 Nikki Alvarez-Sowles,Esq.,Pasco County Clerk&Comptroller NOTICE OF COMMENCEMENT Permit No. PDerty Identification No. THE UN DERSIGNEO hereby give informs you that the improvement will be made to.certain teal property,and in accordance with Section 713.13 of the Florida Statutes,the fallowing information is provided in this NOTICE OF COMMENCEMENT. I Mescription of property(legal descrlpdon.) a)Sheet Address: r tesl +L T 3 T Y/ Z Oenetal.descriptian ofimprovements: k0 nM rCA ca 3.Owner Information a)Name and address: ` �, 6 'T� .� b)Name grid address of fee simple eholder(if other than owner) "' T c)Interest in property 4.Contracwt Information ,p i)Nameandaddress: AA*V-Z"L"t^rye b)Telephone No.: 7— — Fax No.(Opt) Kj 9 5.Stnety Information v S vrt r� a)Name and Address b)Amount of Bond, c)Telephone No.: Fax No.(Opt.) Y 6.Lender LU w Cr a)Name and address: z O w Phone No, to tLL L 0 U 7.Identity of person within the State ofFlodda designated by owner upon whom notices or other documents may be served: C7 O f— a)Name cad address CL 0 Z U U) J N 2 � b)Telephone No.: Fax No.(Opt) O O a- 8.In addition to himself owner designates the following person to receive a copy of the Lienar's Notice as provided in Section � Q cco 0 w 713.13(1)(b),Florida Statutes: O T . Q cYj Q a)Name and address: C) i.... Q < b)Telephone No.: `- FarNo.(Opt) �� 9.Expiration date ofNotice of Commencement(the expiration date is one year from the date of recording Mess a difieteat date is = O p w specified): } u U ® < O t;,1SUU WARNING TO OWNER: ANY•PAYMENTS MADE BY THE OWNER AFTER THE MU9 RATION OF THE NOTICE OF F— 1_ 2.w. —� COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART I,SECTION 713.13,. U fl 7 Q FLORIDA STATDTES;.AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO.YOUR PROPERTY. O A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST CK � u. z INSPECTION. TF YOII INTEND TO OBTAIN FINANCING,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE (IJ O O ` Q COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT: J SPATE OF FLORMA PASCO ^ /�„ l 6f) Q J ;n <C t orrivr Y OF PASCO t J:r�IDf 1 \ . - Si err Owoa's Autboiiad OSicv/DtcedndPsitoedMswgv � 00 � � Cr PC)3O : tt�rrr®e z m The foregoing instnouneet was acknowledged before me this. day of N O' .. 20�u by as a of authari' office,trustee,attorney in fact).for game of party on behalf of +A o �, �a ••R Y'�r5 .� Personally Known_OR Produced Identification_ Notary Signature Type of Identification Produced Name(print) l7 r^ (QO. ;'d • �,y,K . �• 2 7'rLLc{ Verification,pursuant to Section 92.525,Florida Statufea,Under penalties of pedmY.I decl that I read the foregoing the facts stated in it am true to the best of my knowledge and belie( �LtLe arN 'Above •Agq t, •' ®8ps�� 4 �' bpi Nr!ie•,: CiARLOS MALDUi4ADO a.• .:Cornrftan GG 346275 o`•=Expires June 18,2023 °•.!it••'' Bm*drmTmy Fin Insw nosd00.1E5•IM9 INVOICE1111 : FOR OF • BILLING CONTACT ANDREW GORDON NATIONWIDE CONSTRUCTION &INVESTMENT CORP 14925 US HWY 19 HUDSON , FL 34667 ---- INVOICE NUMBER INVOICE DATE INVOICE DUE DATE INVOICE STATUS INVOICE DESCRIPTION INV-00001857 11/10/2020 11/10/2020 Due NONE REFERENCE NUMBER FEE NAME TOTAL BNC-000486-2020 3/4 Water Meter Residential Connection Fee $732.71 Building Permit Fee $630.00 Building Plan Review Fee F�,D� $315.00 Electrical Permit Fee `L $115.00 Electrical Plan Review Fee 7 2 u $67.50 Fire Plan Review Fee $90.81 Mechanical Permit Fee C $80.00 Mechanical Plan Review Fee $40.00 Plumbing Permit Fee ?�S $190.00 Plumbing Plan Review Fee $95.00 Transportation Impact Fee $23,494.68 Transportation Impact Fee-City $237.32 Wastewater Impact Fee $2,662.00 Water Impact Fee $1,324.38 7323 Green Slope Drive Unit 105 Zephyrhills,FLORIDA 33541 SUB TOTAL $30,064.40 REMITTANCE INFORMATION TOTAL $30,064.40 City of Zephyrhills 5335 8th Street Zephyrhills,FL 33542 November 10,2020z �m 5335 8th Street,Zephyrhills,FL 33542 r�� Page 1 of 1