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HomeMy WebLinkAbout21-1356 City of Zephyrhills ERnn nnB R 5335 Eighth Street Zephyrhills, FL 33542 BNC-001356-2021 Phone: (813)780-0020 Fax: (813)780-0021 Issue Date: 01/15/2021 Permit Type: Building New (Commercial) Prop�eirty Number Street Address 35 25 210130 00000 0070 7642 Gall Blvd Ownera Information IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII1lllR7er Information NNEELO— .,o or Informmatlon Name: SF ZEPHYR COMMONS Permit Type:Building New(Commercial) Contractor: ICONSTRUCTORS LLC OUTPARCEL LP Class of Work:Shell Building Address: 100-2851 John Markham On L3R Building Valuation:$533,149.00 55RR,7�pS,tt Electrical Valuation:$83,957.00 lts�s)5uz Phone: -1550 Mechanical Valuation:$18,200.00 Plumbing Valuation:$3,610.00 �_ I Total Valuation:$638,916.00 Total Fees:$6,514.05 Amount Paid:$6,514.05 Date Paid:1/21/2021 8:18:17AM Project Description CONSTRUCT SHELL CHIPOTLE RESTUARANT 6,430 SQ FT A plication Fees Building Permit Fee $2,695.74 Mechanical Permit Fee $131.00 Public Safety Impact Fee(Non-Res)-Admin $118.30 Plumbing Permit Fee $58.05 Driveway Fee $45.00 Building Plan Review Fee $1,347.87 Mechanical Plan Review Fee $65.50 Public Safety Impact Fee(Non-Res)-Police $1,141.00 Fire Plan Review Fee $192.90 Electrical Plan Review Fee $229.89 Electrical Permit Fee $459.78 Plumbing Plan Review Fee $29.02 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 SIGN A RE PE IT OFFICE PERMIT EXPIRES - -6 ONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 7 - 1 otstructors integrity in construction January 20, 2021 City of Zephyrhills Building Department bdept@ci.zephyrhills.fl.us Contractor's Authorization Letter I, David T Smith , license holder for iConstructors, LLC authorize the following people to apply/sign for permits under my license number CGCO04190 . Please allow ONLY the person(s) listed'below to sign. This letter supersedes.all others.- Marta Smith Kevin Murphy Gregory Kelly Richard Katz Jason Reese Joshua Philip Douglas Lang Billy Ashley SIGNATURE Date 1/20/2021 .(CONTRACTOR) STATE OF FLORIDA; COUNTY OF HILLSBOROUGH Sworn to (or affirmed) and subscribed before me by means of.® physical presence or ❑ online notarization, this -D day of Q ,20 LI , by ^S�aV I -T-db - N (Name of person making statement) They are yk Personally Known OR ❑ Prod'uced Identification"Type of ID Produced Signature:of Notary �/Uxrbjh IdQ� Print,Type or Stamp oZpRy Kimberly D.Hoffa NOTARY PUBLIC One Tampa,City Center _ !STATE OF FLORIDA 201 North Franklin Street,Suite 200 =Comm#GG220449 Tampa,FL 33602 s�Hce tie�� Expires 6/13/2022 P:813.287.9000 1 F:813.287.9010 iConstructors.com 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact for Permitting i ) Rx"S!!d EEli! _ Owner's Name I SF Zephyr Commons Outparcels,LP Owner Phone Number 561-578-8700 Owner's Address 400 Clematis St,Suite 201,West Palm Beach,FL 33401 Owner Phone Number Fee Simple Titleholder Name I SF Zephyr Commons Outparcels,LP Owner Phone Number Fee Simple Titleholder Address 400 Clematis St,Suite 201,West Palm Beach,FL 33401 OT# JOB ADDRESS Parcel? SUBDIVISION Zephyr Commons PARCEL ID# 35-25-21 0130 0000D-0070 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED ® NEW CONSTR e ADD/ALT = SIGN 0 0 DEMOLISH INSTALL REPAIR PROPOSED USE = SFR ® COMM = OTHER TYPE OF CONSTRUCTION 0 BLOCK Q FRAME ® STEEL = CC,r,�, - - ---J ;'7,,,-�,y '��•n ,e.py mil- I�1�111'i-!U�DESCRIPTION OF WORK � 1�Q Y-�Ftf/L .�1��+-+K-Lr T7YV r^'ry, (�� y�r°� BUILDING SIZE 1 Story SO FOOTAGE 6,430 HEIGHT 24'-8' =BUILDING $! / VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL S AMP SERVICE PROGRESS ENERGY Q W.R.E.C. =PLUMBING S I fJ/JJ�/ ��J] 5� =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION c�// L/ =GAS = ROOFING Q SPECIALTY = OTHER �� // FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER COMPANY �e- SIGNATURE REGISTERED Y N r FEECURREN�+� Y/N Address AI �' Sil%YG�Dd f�7`JL 33 SZic�ense# cT�0� 19 ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/N FEE CURREN I Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/N FEE CURREN I Y/N Address License# MECHANICAL COMPANY SIGNATURE REGISTERED I Y/N FEECURREN YIN Address License# F OTHER COMPANY SIGNATURE REGISTERED YIN FEE CURREN I Y/N_ I Address License# fflEitlEIllE#l�EE3EElEEIE!!!■EEElE!lIEE!!!!!!!lEEI!!ElEEEliEllEtiE!!E1 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 subm ittal date.Required onsite,Construction Plans,Stornwater Plans w/Sill Fence installed, Sanitary Facilities&1 dumpster;Site Work Permit for subdivisionsllarge 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,Slornvrater 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(far 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 Gaunter If on public roadways..needs ROW 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department 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 stale 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,9 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 forwhich they will be responsible.If you,as the owner sign as the contractor,that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION IMPACTiUTILITIES IMPACT AND RESOURCE RECOVERY FEES:The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of use in existing buildings,or expansion of existing buildings,as specified in Pasco County Ordinance number 89-07 and 90-07,as amended.The undersigned also understands,that such fees,as may be due,will be identified at the time of permitting.It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a"certificate of occupancy'or final power release.If the project does not involve a certificate of occupancy or final power release,the fees must be paid prior to permit issuance.Furthermore,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 1,the applicant, have been provided with a copy of the"Florida Construction Lien Law—Homeowners Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs.If the applicant is someone other then 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 ServicesiEnvironmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. - Federal Aviation Authority-Runways. I understand that the fallowing restrictions apply to the use of fill: - Use of fill is not allowed in Flood Zone'V'unless expressly permitted. - If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a "compensating volume"will be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. - If the fill material is to be used in Flood Zone 'A" in connection with a permitted building using stem wall construction,I certify that fill will be used only to fill the area within the stem wall. - If fill material is to be used in any area, 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 FO OVEMENTS TO YOUR PROPERTY.IF YOU INTEND TO OBTAIN FINANCING,CONSULT FLORIDA JURr OWNER ORA ENT CONTRACTOR Subscribed and m i be me this Subscribed ands (o ed) afore met s icm¢o20 by Jett .Preset by Who Islare personal) n know me or has/have produced Who Were personally known to me or has/have produced me aas identification. as identification. .[/ .7[ ,rj • Notary Public Notary Public Commission No. GG932233 Commission No. Elizabeth Nasuti Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped � ELIZABETH NASttTI MY COMMISSION#GG 932233 EXPIRES:Feblvary 28,2024 odin?. Bonded Thru Notary pubric Underwri(ers 813-780 oozo City of Zephyrhills Permit Application FaX-813-780-0021 Building Department Date Received `� ^ 0 Phone Contact for,Permitting — a"aaa�•iEaa aa,aaa Owner's Name SF Zephyr Commons Outparcels,LP 15 78-8700 Owner Phone Number Owner s Address "400'Clematis St,Suite 201,,West PaIrn.Beach,FL 33401 Owner Phone Number Fee Simple Titleholder Name SF Zephyr Commons Outparcels,L:P Owner Phone Number Fee Simple Titleholder Address 400 Clematis St,S"uite"201;West Palm Beach,FL 33401 Q JOB ADDRESS Sect• ship 25 South,Range 2t Parcel 7 `//1VJf�l� LOT# SUBDIVISION ?ePhyf Commons PARCEL ID# 35-25-21 0130-00000=0070 "(OBTAINED FROM PROPERTY TAX NOTICE)- WORK PROPOSED NEW CONSTR.. ADD/ALT _. SIGN = 0 DEMOLISH ®" " INSTALL e. REPAIR " PROPOSED USE _ SFR ' . .Q COMM• = OTHER TYPE OF CONSTRUCTION- .FT-1 BLOCK Q FRAME STEEL DESCRIPTION OF WORK 1 Story 6,430 sf sptirtkierad commercial building and,site-vu ri,agand tandseaping-- BUILDING SIZE 1 Story SO FOOTAGE 6,430, HEIGHT BUILDING $ t� VALUATION OF TOTAL CONSTRUCTION ELECTRICAL $Q2 q�I r uD. AMP SERVIC —/7/ Q PROGRESS ENERGY Q W.R.E.C. - Ef:rPLUMBING $�✓ /� NOTE:"Owner'responsible for gad d•dd ' responding to all."comments" QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ' =GAS' =I ROOFING Q SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO I`J V n BUILDER COMPANY y SIGNATURE• REGISTERED .Y/N FEE CURREN /r Y/N Address DI 4 ,J S iaT /~,,-w .'License# (�!(_ C ELECTRICIAN +y� COMPANY J up LZ—:CM l� SIGNATURE V��' REGISTERED. Y/N . FEE CURREN I Y/"N Address License# y7 PLUMBER ��i7 n fK►� COMPANY. ' j� I'L.I.I R11,61IU ' SIGNATURE REGISTERED I Y/N FEE CURREN Y/N 7. Address License# MECHANICAL COMPANY S�'(L(til� �t�tylCrrlL /w9,q{J�A•� SIGNATURE (.�� REGISTEREDI Y'/N ' FEE CURREN I Y/N v Address n' License#' OTHER i� n !L COMPANY IVT!10 SIGNATURE REGISTERED I YIN FEE CURREN Y/N Address License# asa(aaaa1,aI19.9a1[1,aalaaa'1.aaaalt[a1.ilaalaa[laIIIaaIIIIaaa9.8aaIaIa111aCI1 RESIDENTIAL "Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-0-W Permit for new construction, Minimum ten(10)working days after submittal dale.Required onsite;Construction Plans,Slormwater 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-0-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 INVOICE1111 4. : FOR OF • BILLING CONTACT DAVID SMITH i ICONSTRUCTORS LLC ONE TAMPA CITY CENTER STE 200 TAMPA, FL 33602 V INVOICE NUMBER INVOICE DATE INVOICE DUE DATE INVOICE STATUS INVOICE DESCRIPTION INV-00002468 01/15/2021 01/15/2021 Due NONE REFERENCE NUMBER FEE NAME TOTAL BNC-001356-2021 Building Permit Fee $2,695.74 Building Plan Review Fee $1,347.87 Driveway Fee $45.00 Electrical Permit Fee $459.78 Electrical Plan Review Fee $229.89 Fire Plan Review Fee $192.90 Mechanical Permit Fee $131.00 Mechanical Plan Review Fee $65.50 Plumbing Permit Fee $58.05 Plumbing Plan Review Fee $29.02 Public Safety Impact Fee(Non-Res)-Admin $118.30 Public Safety Impact Fee(Non-Res)-Police $1,141.00 7642 Gall Blvd Zephyrhills, FL 33542 SUB TOTAL $6,514.05 REMITTANCE INFORMATION TOTAL $6,514.05 City of Zephyrhills 5335 8th Street Zephyrhills, FL 33542 January 15,2021 5335 8th Street,Zephyrhills,FL 33542 Page 1 of 1 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department 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 stale 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 understate 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 is 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 usein 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 olher,than the"owne",l.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 limiledto: 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"V"unless expressly permitted. If the fill material is to be'used in.Flood Zone "A";-it is understoodthat 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.wilhin 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 FO OVEMENTS TO YOUR PROPERTY.IF YOU INTEND TO OBTAIN FINANCING,CONSULT EQRE4%EJd6RDINKj YOUR NQTICE OF COMMENCEMENT, FLORIDAJU (F.S.117.03)' OWNER OR A ENT CONTRACTORTBD �� T\ Subscribed and s e be a me this Subscribed and swornTo affrmed)before me this 10rz7/2020" by Jeff .Presto by Who is/are personall known me or has/have produced Who is/are personally known to me or haslhave produced .Na aas identification. ., as identification. .. 61�tiC�Notary Public Notary Public Commission No. Go932233 Commission No. Elizabeth Nasuti Name of Notary typed,printed or stamped Name of Notary typed;printed:or stamped ELIZABETHNASUTI . *; ,; MY COMMISSION#GG 022M =;;� P;o`• -EXPIRES:Febluary 28,2024 Bonded Thlu Notary Public Underwriters 813 7 0 0020 City.of ZephyrYiifl Perrxtit ApplipitioR Fax$43,70402l ' Hpiidirtg DeparlmenL 3s a#-!6 ... Date Received - Photle Contactfor Permitting, i � ...:..... '..'fE=t.: .. .. .:TtL[fl5':.:. : �Z.7",'�... SF Zephy( olniT,orls 0utparcefs,Lf' Sfi17$87.U OwnePs Name ........: ... .. ......... Owner Phone Num er : 4qL+Ctcmati;S1,Si:7?e 201.West Palm 13:=ads.FL 33461, Owlfers,Atldress_ .. "� OwTkgfPhoneNum 7qr SF Zephyr�!}rlinl0(iS�lliparcels,LI' � Fee SimpleTitleholtlerName owner.Phone Num r' ..--...... ... I .... .-.- . ...... ... .......... ..... .. FeeSimple•fitiehotder Address $CC7 Clemait5 SI;'4..Qe 201,West: Palle Seactt,FL 33°f 1 .. .. .. .. - - .. ...... ... .... ctioli 3B,Tavnshiip:25 South,,Range 21 East: JOB ADDRESS ... .. SUBDIVISION Zephyr COInIYIGf1S PARCEL IDII.�5-25 21=01.34 OC 0 CC7f3 (OriTAINEtt FROM PROPS_RTYTAXN6"n4E) ' WORK PROPOSED NEW CONSTA ADD?ALT SIGN a i DEMOLISH IN$TALL 8 REPAIR � O PROPOSED.USE Q SFR Q CQMM OTHER TYPE;OF.CONSTRUCTiOR Q BLOCK FRAME STEEL .. .. .........:....... .. . ........... DES.CRiPTiDNOF.WORF( 1 StJry6,A30s[°.s{�tinklered emmt rcial bu;tding and,sit�.}y;paving and tends pi g: B.UILDIN(8'S17E0 3CrFOOTAGE s'` C HEIGHT "$ 'STG(JL—�G�t`!CL.. '�1 yAI_1*TtONOF TOTAL CO STRU(mON =ELEOTRICAL jt�S_ AMP SERVICE: PRO 3RESSENERGY i wJ.R.EE., I =PLUMBINGg: .. ... :..... =MECHANICAL VAl_UATiO,N OF MECHANICAL INSTALLAT( N` =GAS = -ROOFING Q SPECIALTY u OTHER FINISHERFLOOR ELEVATION$ FLOOC ZONE AREA. OYES NQ _ :.... .. .4 a..: .: 0 - #0 .. - ....- ........... .I. :BUILDER COMPANY :' -::•. '.. SIGNATURE REGISTERED - ': .YJN...." EE9uRREN I..Y;f.. Address Liclef.e#i_ i....:..... ... ELECTRICIAN COMPANY. .. .. .... .SIGNATURE .. -gEolsr o -:r.YtN ,,Ecu . .RAEN Y[� .' . Address Lice�e#.; ...... PLUMBER COMPANY SIGNATURE REdlssstEp Y4N: EeciiRri Y;f .Address ( .. .... .. ...... Licer 5a n.: . :MECHANICAL � � COMPANY � \�-t►-� � SIGNATURE ' _ _, ..... ... F*kq'owe EO�: :.Y'f N E=cuRRET+" '11f Addressr.�`� Ca�rn �F1.ciY(,`^c�1tY+"c Licenl eq: l9VJ 'OTHER I COMPANY SIGNATURE , f N .,.x'IN FE .. .. ..... .. i ... GISTEREO. Y .. ... .. Address .. ... .. .. . ..... ..... Ucen_e:>r ..... ... :. it[isfttltl:# '1:4:l:lif3lF3.f!' ,lI>!'T�t1<ftlilE�IrA-T!'l'ii,t,I'li- tt .i�.rrt-3Q;ilFi' RESIDENTIAL Attach(2):Plct PlaAs�(2)sets of Building Plans;(1)set oi:Ene,-gy pDrma;R-O-W'pe'intil tp{6eW corititRtcGa�S,j Minimum ten(.1(1).working days affersutmi(tal-date..Requ(red.onsi(e�CorsLti tiort:Plart3, tggmvatet PiarSs.yd/Si(Fe,co installed, Sanita FscilitiesR i dum-ter;Site Wo PeFri(K for':Ildii�isignsA e ; ' ry pe rf( Su arg prbjeoL COMMERCIAL =AltaCti(2j:c6ritpletesEisct.8uitdingPlap;plusaLifeSofoiyPage:(i)seto(-EitergyPonn..R-OVRermttfo�he c ttiction, .Minimum,te,7(1Q)working days.aftecsut}mittal date.Required onsite,.CbnslruCtiOhPtery,, tamurater Plans I t.Fp.q instaled, Sanitary Facilli s8l dumpster.Site Work Permit forall new projects,All cejehmerbi2)'feq Rerd0. RSust rtlee- pli eta SIGN PERMIT Attach(2)sets of Englheered P(8rs: `"'PROPERTY SURVEY requiree(or.kit NEW.cbnstruotlb'n, Directions: 'Fill o'S1 aFplkcatton Completely. Owner 6 Gontractocsign back of appGration,notarized if:over WOO,a'Notibe o(Commeetement iS regtiired.,(A!C'ujigrad0s og8r S75Uo) " Agent(for theconitactor)or Peiverof Altbrney(forthe.owner)wnpld.uo sameonewHh nbtar120d leiteriro n owgeroolhorizingsa ne. OVER 7HE-(�OLtNTER PERMJT7ING (tbpg o(tgntrat;t tequirad) � Rerooisiishingles Sewers SeviceUpgrades A(C: Fences{PloVtau veylFaotaga). briveways-Not over•Counterl(on pubtic.cbadl+ay's..neecs.ROW i I i 813-780-0020 City of Zephyrhills Permit Application Fax-813-78MO21 Building Department Date Received Phone Contact for Permitting ( 1 e111ltaAa tt[tt ifBZ Owner's Name SF Zephyr Commons Outparcel5,LP Owner Phone Number 561-578-8700 Owner's Address 1 400 Clemalis St,Suite 201,West Palm Beach,FL 33401 Owner Phone Number Fee Simple Titleholder Name I SF Zephyr Commons Outpa,rcels,LP Owner Phone Number Fee Simple Titleholder Address 1400 Clematis St,Suite 201,West Palm Beach,FL 33401 JOBADDRESS Section 35,Township 25 South,Range 21 East LOT# Parcel 7 SUBDIVISION Zephyr Commons PARCEL ID# 35-25-21-0130-00000-0070 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED ® NEW CONSTR 8 AODIALT = SIGN Q = DEMOLISH INSTALL REPAIR PROPOSED USE = SFR ® cOMM = OTHER TYPE OF CONSTRUCTION © BLOCK = FRAME © STEEL = DESCRIPTION OF WORK 1 story 6,430 sf sprinklered commercial building and site w/paving and landscaping BUILDING SIZE1 story SO FOOTAGE 6,430 HEIGHT 24-8 %.4- EILJMCXEIL BUILDING S VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL S AMPSERVICE = PROGRESSENERGY = W.R.E.C. =PLUMBING is =MECHANICAL 15 VALUATION OF MECHANICAL INSTALLATION =GAS = ROOFING Q SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS I� FLOOD ZONE AREA =YES NO BUILDER COMPANY SIGNATURE ( REGISTERED I YIN FEE CURREN YIN Address I License# ELECTRICIAN COMPANY SIGNATURE REOISTEREo LY±N__j FEE CURREN 1 Address (_ License# PLUMBER ?, �.� CCOGMPAAN£YY JM PlumbEECURREN Y/N SIGNATURE (� rr'' r L N p� Ad''. CJ-�05— [lam yL W" �- I— License# MECHANICALF COMPANY SIGNATURE 'REa1sTEREo YIN FEE CURREN Y/N Address I License# f OTHER COMPANY SIGNATURE I REGISTERED YIN FEECURREN YIN Address License# tttiititillt3ititlttitttgttittilt;[IttttittYttiE[titlittttlEttttttti RESIDENTIAL Attach(2)Plot Plans;(2)sets or Building Plans;(1)set of Energy Forms;R-0 W Permit for new construction, Minimum ten(10)working days after submittal date.Required onsite,Construction Plans,Slormwater Plans w/Sill Fence installed, Sanitary Facilities 8 1 dunWer;Site Work Permit forsubdivisions/large projects COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-0-W Permit for new construction. Minimum ten(10)working days after submittal dale.�Required onsite,Construction Plans,Slornwater Plans w/Silt Fence installed, Sanitary Facilities 8 1 dumpster.Site Work Permit for all new projects.All commercia(requirements must meet compliance SIGN PERMIT Attach(2)sets of Engfneered Plans. —PROPERTY SURVEY required for all NEW construction. Directions: Fill out application completely. Owner 8 Contractor sign back of application,notarized If over$2500,a Notice of Commencement is required.(AIC upgrades over$7500) Agent(for the contractor)or Pourer of Attorney(far the owner)would be someone with notarized totter from owner authorizing same OVER THE COUNTER PERMITTING (copy of contract required) Reroots,U shingles Sewers Service Upgrades AIC Fences(Plot/Survey/Footage) Driveways-Not over Counter if on public roadways-needs ROW 813-760.0020 City of Zephyrhills Permit Application Fax-813-780.0021 Building Department k Date Received I Phone Contact for Permitting h - a Jr a[4 I!!i I 1 Owner'sNama 5F Zephyr Commons C)ulparcels,LP OwnerPhonoNumbe, 61-578-8700 400 Clematiz St,Sufte 201,Wosl Palm Powh,FL 33401 I I Owner's Address Owner phone Number 1 SF Zephyr Camluorrs Outparceis,LP 1 Faa simple Titleholder Name �_,_____•�_,- ! Owner Phone Number I i Fee Simple Titleholder Address 400 Cferrlatis St,Suite 201,West Palm Beach,FL 33,101 JOB ADDRESS SzCtlon 35,Township 25 South,Range 21 East LOT Parcel 7 SueniViSloN Zephyr Commons PARCEL inlf 35-25-2 1-0 1 30-0000D-0070 I JOI TAIX6O FROM PROPERTY TAX NOTICE) WORK PROPOSED X(� NEWCON5TR� AODIALT Q SIGN [� (� DEMOLISH o INSTALL REPAIR PROPOSED USE = SFRZI 00MM [_] OTHER TYPE OF CONSTRUCTIbN 0 BLOCK ::I FRAME ! 7 STEEL Q DESCRIPTION OF WORK 1 story 6,430 st spririklered commercial building and site tiv/pavinrd.and landscaping BUILDING SIZE I T story j SO FOOTAGE r(i,43G HEIGHT 1C rK t =BUILDING VALUATION OF TOTAL CONSTA UC TION =ELECTRICAL tr_ AMP SERVICE PROGRESS ENERGY = W.R.E,C. =PLUMBING S =A.tECHANICAL 15 VALUATION OF MECHANICAL INSTALLATION =GAS 0 900FING = SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER _--� COMPANY SIGNATURE nEoisrEREo V/N ( FEEcuRRErr Y/N Address I 1 License rr ELECTRICIAN 1 COMPANY SIGNATURE REC 6TMED —[_Y/N FEE cumREN Y/N Address Litensep PLUMBER COMPANY COM SIGNATURE ( REoI PANT 1 FeEcjp, rEw 7 V1N Address 1 --Y Utanse MECHANICAL COMPANY SIGNATURE ��J REGISTERED L-1 Y/tJ fEscuRREu V%N Address r�l License A OTHER ' COMPANY tJ ��IStr �`�*!t _�TTJ+FLFr�till SIGNATURE ti,,, ? 7�ReoiaTERE0��L."" 7Y N Ps�cu(RRasN/ l2N7 Address ISHZ4 {Sl-14,M Irma , {!{u�• DAAA �37Tr-3 LlcenseA I c�Lif ✓7�t'_� J [SI[4[IfIaif a a aSgit![l1IfaIa r iaaIaaaI[Q'4 [IaVIaIaaaIflCQaaaaIIZI[4g4151 RESIDENTIAL Attach(2)'Ptot Plans;(2)sets d.Building Pions;(1)set cf Energy Forms;R=O-W`Permil for now construction, Minimum ton(10)>vorking days titter submittal data.Required onsite,Construction Plans,Stormwater Plans 0 Slit Fence installed, Sanitary Facilities$1 dvmpster,Site Work Permit forsubdivisioWarge prefects COMMERCIAL Alta tti(2)c implzto sots of Building Plans plus a Life Safety Page;(1),W of Energy Forms.R-o-W Permit for new construction. Minimum ton(10)working days sitar submittal del.a.Required onslte,Construction Pans,Stoudwater Pent wt Slit Fence insiafled, Sonliery Facitilios a I dumpslor.Site Wom Pennlrfor all no�v pra)ects.Jul dommcrclzl rtqulremonla muol matt eompnanio SIGN PERMIT Atloch(2) We of Englneared Plans. •—PROPERTY SURVEY required for all NEW construction. Olreetlons: Fill out application completely. Owrie 8 Contiector stgii back of application,notarized If over$2500.a Notice of Commonoemont is mquired.(AtC upgrades over$7500) Agent((or the dontraclor)or Power of Altorney(for the owner)%vould be someone vdlh notarized letter from oy.mr authorizing same OVER THE COUNTER PERMITTING (copy of conlradt*uired) fteroafs N shingias sewers Service Upgrades A/C Fences(PlotlSurvoy/Foolage) Driveways-Not over Counter It on public madwoys,Aeeds ROW' Wonstructors integrity in construction January 5, 2021 City of Zephyrhills Building Department bdept@ci.zephyrhills.fl.us Contractor's Authorization Letter I, David T Smith , license holder for iConstructors. LLC authorize the following people to apply/sign for permits under my license number CGCO04190 . Please allow ONLY the person(s) listed below to sign. This letter supersedes all others. Marta Smith Kevin Murphy Gregory Kelly Richard Katz Jason Reese Joshua Philip Douglas Lang SIGNATURE Date 1/05/2021 (CONTRACTOR) STATE OF FLORIDA, COUNTY OF HILLSBOROUGH Sworn to (or affirmed) and subscribed before me by means of Kphysical presence or ❑ online notarization, this Jr' day of c,�� ,20, _1 , by �60 i cl (Name of person making statement) .They areK.Personally Known OR ❑ Produced Identification Type of ID Produced Signature Print, Notary Print,Type or Stamp�� w� One Tampa City Center ;PPYP�a" JUSTYNEWHITE 201 North Franklin Street,Suite 200 . 2 Commission#GG 275827 Tampa,FL 33602 ; Po= Expires November 16,2022 Bonded Thru Troy Fain Insurance$00-385.7019 P:813:287.9000 1 F:813.287.9010 iConstructors.com - :x;w SOUTHWEST FLORIDA WATER MANAGEMENT DISTRICT � --,' ENVIRONMENTAL RESOURCE PERMIT (ERP) MODIFICATION SHORT FORM SUBMIT AN ORIGINAL AND TWO COPIES OF THIS FORM AND OTHER RELATED INFORMATION TO ONE OF THE DISTRICT OFFICES LISTED BELOW. NO FEE REQUIRED. PLEASE PRINT OR TYPE ALL TEXT.To qualify for a modification using this modification short form,the permittee must submit sufficient information with this application so that a request for additional information is not required to verify compliance with the permit rules and threshold qualifications for modification,and a separate Statement of Completion and As-built is not required to verify compliance with the permit. 10/27/2020 Date Bartow Regulation Brooksville Regulation Tampa Regulation Sarasota Regulation 170 Century Blvd. 2379 Broad St. 7601 US Hwy 301 6750 Fruitville Rd. Bartow,FL 33830-7700 Brooksville,FL 34604-6899 Tampa,FL 33637-6759 Sarasota,FL 34240-9711 Subject: Request for Modification of ERP No. 4432080 001 (rev#) Project Name: Zephyr Commons Outparcel 7 County/City: Pasco County /City of Zephyrhills Total Acreage/Project Acreage: 0.87 /0.87 Sec(s)/Twp(s)/Rge(s): 35 /25 South /21 East To Whom It May Concern: This is a request to modify the above-referenced District approved ERP construction permit pursuant to Section 40D-4.331(2)(b)1.-6.,Florida Administrative Code(F.A.C.). The requested modification does not:(1)expand or substantially alter the permit authorization(substantially alter means a change to the project that affects either the system design,construction or operation,which is reasonably expected to lead to substantially different water resource or environmental impacts and requires detailed permitting review and evaluation),(2)increase the authorized off site discharge,(3)impact the environmental features of the project,(4)decrease the required retention/detention,(5)decrease the required flood control elevations for roads or buildings,or(6),decrease pollution removal efficiency.Attached is documentation(plans,drawings, calculations,etc.)which addresses these requirements and supports the request for a modification.The undersigned Engineer certifies that the engineering features of this surface water management system have been: designed by me or under my responsible charge, (check one) _reviewed by me or under my responsible charge, and in my profe ion t ' s tem conforms with sound engineering principles and all applicable rules and specifications. Charlie Potter, P.E. 84516 Signature of Own Applicant) Engineer's Name FL Reg.No. or Authorized Agent` SF Zephyr Commons Outparcels, LP Affix Seal Owner/Permittee(Applicant)Company Name/Title(if applicable) 400 Clematis St., Ste 201,West Palm Beach, FL 33401 Owner/Permittee(Applicant)Address,City,State Zip (561 )578-8700 Owner/Permittee(Applicant)Phone No. Engineer Signature Date Jeffrey W. Preston, Manager (561 )578-8700 Avid Group Contact Name(for owner)and Phone No. Engineer Company Name SF Zephyr Commons Outparcels, LP 2300 Curlew Rd.,Ste 201 Palm Harbor,FL 34683 Operation&Maintenance(O&M)Entity Engineer Company Address,City,State Zip Jeffrey W. Preston (561 )578-8700 (727 )789-9500 O&M Contact Name and Phone No. Engineer Company Phone No. "Attach a signed letter of authorization from the owner,except for corporate officers. Form LEG-R.013.02(08/11) Page 1 of 1 Rule 40D-4.331(2)(b),F.A.C. RULE 14-86.004,F.A.C. STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION 850-040-06 DRAINAGE CONNECTION PERMIT ROADWAY DESIGN 10108 Page 5 of 8 PART 3—Certification by Applicant I hereby certify that the informati t ubmittal is complete and accurate to the best of my knowledge. Applicant's Signature: Date: 10/27/2020 Name(Printed):Jeffrey W. Title and Company: Manager and SF Zephyr Commons Outgarcels, LP Address:400 Clemantis St. Ste 201,West Palm Beach FL 33401 Phone Number: 561-578-8700 Email address �wprestonCc�nadg.com PART 4—Owner's Authorization of a Representative I(we), the owner, , do hereby authorize the following person, or entity, as my representative: Name(Printed): Title and Company: Address: Phone Number: E-mail address: Part 5—Affidavit of Property Ownership or Control and Statement of Contiguous Interest 1, Jeffrey W. Preston ,certify that I own or lawfully control the following described property: Parcel 7 of Zephyr Commons, Parcel Number 35-25-21-0130-00000-0070 Does the property owner own or have any interests in'any adjacent property? ❑ No ® Yes If yes, please describe. The property owner owns all of the commercial development,Zephyr Commons of which Parcel 7 is'a part of. Zephyr Commons is 63.39 acres and partially developed. Owner's Signature required for Parts 4 and/or 5 We will not begin on the drainage connection until I receive the Permit and I understand all the conditions of the Permit. When work begins on the connection, I am accepting all conditions listed in the Permit. Name(Printed): Jeffrey W. Preston, Manager Address: 400 Clematis St. St 01 West Palm Beach FL 33401 Phone Number: 56 - 0 Signature: Date: 10/27/2020 I i I City of Zephyrhills IIIIIIIIIIIgg�m iT E `? 5335 Eighth Street Zephyrhills, FL 33542 SITE-001357-2021 }� Phone: (813)780-0020 fI Fax: (813)780-0021 Issue Date: 01/15/2021 Permit Type: Site Permit Property Number Street Address 35 25 21 0130 00000 0070 7642 Gall Blvd Owner Information Permit Inform tion Cont ae or Information Name: SF ZEPHYR COMMONS Permit Type:Site Permit Contractor: ICONSTRUCTORS LLC OUTPARCEL LP Class of Work:Commercial Address: 100-2851 John Markham On L3R Building Valuation:$381,262.00 5R7S,tt Electrical Valuation:$0.00 Phone: $ spIp%-1550 Mechanical Valuation:$0.00 Plumbing Valuation:$0.00 Total Valuation:$381,262.00 Total Fees:$1,936.31 Amount Paid:$1,936.31 Date Paid:1/21/2021 8:18:17AM Project Descr'ption SITE WORK RESTAURANT CHIPOTLE Application ees Building Permit Fee $1,936.31 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 SIGN TURE PE IT OFFICE - - PER EXPIRES ONTHS WITHOUT APPROVED INSPECTION - -- CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER INVOICE1111 4• • ' CITY OF BILLING CONTACT ` DAVID SMITH II ICONSTRUCTORS LLC ONE TAMPA CITY CENTER E 200 TAMPA, FL 33602 INVOICE NUMBER INVOICE DATE INVOICE DUE DATE INVOICE STATUS INVOICE DESCRIPTION INV-00002461 01/15/2021 01/15/2021 Due NONE REFERENCE NUMBER FEE NAME TOTAL SITE-001357-2021 Building Permit Fee $1,936.31 7642 Gall Blvd Zephyrhills, FL 33542 SUBTOTAL $1,936.31 REMITTANCE INFORMATION TOTAL $1,936.31 City of Zephyrhills 5335 8th Street Zephyrhills, FL 33542 January 15,2021 5335 8th Street,Zephyrhills,FL 33542 Page 1 of 1