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City/ Of Zephyrhilis PERMIT NUMBER
5335 Eighth Street
- Zephyrhills, FL 33542 BNC-000529-2020
Phone: (813)780-0020
F Issue Date:
Fax: (813)780-0021
•
Permit Type: Building New (Commercial)
Property Number Street Address.
19 26 22 0010 00000 0130 3771 Correia Dr
Owner Information Permit Information Contractor Information
Name: CHANCEY PARTNERS LLC Permit Type:Building New(Commercial) Contractor: CARR CONTRACTING SVC!
Class of Work:Shell Building INC
Address: 35310 State Road 54 Building Valuation:$75,000.00
ZEPHYRHILLS,FL 33541-1901 Electrical Valuation:$0.00
Phone: (813)997-2477 Mechanical Valuation:$0.00
Plumbing Valuation:$0.00 24
Total Valuation:$75,000.00 `l 1
Total Fees:$3,634.20
Amount Paid:$3,634.20
Date Paid:8/14/2020 11:39:15AM
Project Description
CONSTRUCT SHELL ONLY*""7,200 SQ FT
Application Fees
Driveway Fee $45.00 Plumbing Permit Fee $45.00
Plumbing Plan Review Fee $22.50 Public Safety Impact Fee(Non-Res)-Fire $1,400.00
Building Permit Fee $455.00 Public Safety Impact Fee(Non-Res)-Police $1,304.00
Public Safety Impact Fee(Non-Res)-Admin $135.20 Building Plan Review Fee $227.50
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
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: CANL-
Date Received: 2 2�
Site: ��`
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Permit Type:
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.
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Bill Burgess B ding Official ate Contractor and/or Homeowner
(Required when comments are present)
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Square Feet ount
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Valuation - &-Z
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Electric
Plumbing
Mechanical
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Connection Fees:
Sewer
Water
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Transportation Impact Fee:
PASC
COUNTY FLORIDA
OPEN SPAcris, 1/111PANTPIACE-S.
August 10, 2020
Chancey Partners, LLC
35310 State Road 54
Zephyrhills, FL 33541
NEW ADDRESS ASSIGNMENT NOTIFICATION FORM
PROPERTY OWNER INFORMATION
PROPERTY APPRAISER'S PARCEL IDENTIFICATION NUMBER: 19 26 22 0010 00000 0130
Dear Property Owner,
In order to ensure emergency response to your home or business,the County is notifying you of
your newly established address.
If an address is assigned to a structure, and after construction the structure does not face the road
to which the address was assigned;or,the site plan changes at a later date and structures no
longer references the original addressing plan;the address(es) may be subject to change.
New Address: 3771 Correia Drive
Zephyrhills, FL 33542
• - this notification with your important records and s •
If you have any questions,please contact our office at(727)815-7154.
Sincerely,
GIS Addressing
GIS ADDRESSING/INFORMATION TECHNOLOGY DEPARTMENT
(727)815-7154 1 West Pasco Government Center 18731 Citizens Drive, Suite 3511 New Port Richey, FL 34654
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
r ' Building Department
Date Received 7 2:?� -,—> 0 Phone Contact for Permitting 13 a,,. — l,-" '6
Owner's Name Owner Phone Number
Owner's Address
I ()V ) S ,�—q &IS Owner Phone Number 513— 9 q.7 6
Fee Simple Titleholder Name w Owner Phone Number
Fee Simple Titleholder Address �I_ �}
JOB ADDRESS 3 0�• (1�z( ��= 2-e k G rld I 3 11 LOT# 3 dU
SUBDIVISION F PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR a ADD/ALT = SIGN = = DEMOLISH
E� INSTALL REPAIR
PROPOSED USE = SFR 0- COMM = OTHER
TYPE OF CONSTRUCTION L12 BLOCK Q, FRAME E� STEEL =
DESCRIPTION OF WORK � � I�s � �— ��`Z'J✓�'
BUILDING SIZE 1 I SQ FOOTAGE Zak HEIGHT l� �s L
E:9bUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP RVICE = PROGRESS ENERGY = W.R.E.C.
='LUMBING
=MECHANICAL $ VALU 0 OF MECH A NSTALLATIO
=GAS = ROOFING Q SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY l�.4-r- 4"
SIGNATURE REGISTERED N FEE CURREN /N r p�
Address 3 S 33S(tZ ` ' License# C�t'l G'"�ii
ELECTRICIAN COMPANY
SIGNATURt REGISTERED Y/ N _J FEE CURREN Y/N
Address License#
PLUMBER '` COMPANY
SIGNATURE -5"?,; 4 REGISTERED / N FEE CURRE� /N
Address �� License# 5L�I caw-"
-"
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN LXLN
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
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/Slit 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. (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(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 contractors)-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 1 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 applyto the use of fill:
Use of fill is not allowed in-Flood.Zone"V"unless.expressly permitted.
If the fill material is to. be used' in 'Flood Zone "A",,it is. understood that a drainage plan addressing a
"compensating volume" will be.submitted at-,time of-permitting which-is prepared by a professional engineer
licensed by the State of Florida.
If the fill material is to be used .in Flood.Zone"A" in connection.with a permitted building using stem wall.
construction, I certify that fill will be used only.to fill.thearea.within the stem wall.
If till 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.theattaclied permit application, for lots less than one (1)
acre which are elevated byfill, 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
---.—W1THy0UR_LENDER.OR AN ATTORNEY BEFORE RECORDING.YOUR NOTICE O COMMENCEMENT.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to(or affirmed)before me this Subscribed.and Wo-m to(or affirmed)before me this
by by
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 Notary Public
Commission No. Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped