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an'u`n City of Zephyrhills PERMIT N,�IJ.MB_ ER
t 5335 Eighth Street
' Zephyrhills, FL 33542
'��-,`' '�•� BAC-000977-2020
Phone: (813)780-0020
' Fax: (813)780-0021 Issue Date: 12/02/2020
77,
Permit Type: Add/Alter (Commercial)
Prope'ty':Number ;,� .. Bey; . _�> mPSt�eefAcliiress„
1126 210010 16900 0080 38544 5Th Avenue
Ownelr Information'.`, :PermitJM6r ation` .,° '` .. 'r '=;Contractor Information_`" "
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Name: BEACH REALTY GROUP LLC Permit Type:Add/Alter(Commercial) Contractor:AEC SERVICES
Class of Work:Add/Alter Commercial
Address: 4007 Merrick Rd Building Valuation:$2,000.00
ZEPHYRHILLS,FL 33542 Electrical Valuation:$1.00
�.,
Phone: Mechanical Valuation:$0.00 r /I
Plumbing Valuation:$0.00
Total Valuation:$2,001.00
Total Fees:$99.00 I /
Amount Paid:$99.00
Date Paid:12/2/2020 10:22:16AM
Project�Descci,ption `. ' `x na�:,.,,� � 1V-W .
FUEL DISPENSER REPLACEMENT W/CARD READERS-7-11
ApplicationFees
Building Permit Fee $50.00 Building Plan Review Fee $25.00
Fire Plan Review Minimum Fee $24.00
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
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received 2� 7 ) 23 — 613 Phone Contact for Permitting 2� r
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JB=eachOwner's NameRealty Group LLC Owner Phone Number
Owner's Address 14007 Merrick Rd,Ste 5,Seaford, NY 11783 Owner Phone Number
Fee Simple Titleholder Name I Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 1 38544 5th Ave,Zephyrhills, FL 33542 LOT#
SUBDIVISION PARCEL ID# 11-26-21-0010-16900-0080
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR Q COMM = OTHER
TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL =
DESCRIPTION OF WORK Fuel dispenser replacement
BUILDING SIZE I SQ FOOTAGE HEIGHT
BUILDING $2,000 VALUATION OF TOTAL CONSTRUCTION �1
ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C. v
=PLUMBING $ j� l LATIfIN�
=MECHANICAL $ VALUATION OF MECHANICAL INSTAL ` � Op r f \
l..
=GAS = ROOFING Q SPECIALTY = OTHER GO
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER --_COMPANY AEC Services Inc
SIGNATURE `!.�/' y� T- -- f REGISTERED Y/N FEE CURREN Y/N
Address'-"]_1 616 Allison Woods Lane,Tampa, FL 33619 License# I PCCO56811
ELECTRICIAN ; 1 g_ COMPANY AEC Services Inc
SIGNATURE W &n �:] REGISTERED Y/N FEE CURREN I Y/N
Address 1616 Allison Woods Lane,Tampa, FL 33619 License# I EC13009380
PLUMBER COMPANY
SIGNATURE REGISTERED Y/N I FEE CURREN Y/N
Address I License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address I License#
OTHER COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address License#
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RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortes;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 subdivisionsnarge 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.
Drrectrons:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required.(AIC upgrades over$7500)
Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Drive ays-Not over Counter if on public roadways..needs ROW
N�
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department ,
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i
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 contactor is not licensed as required by law,both the owner and
contractor may be cited for a misdemeanor violation under state law.If the owner or intended contractor are uncertain as to what licensing requirements
may apply for the intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-8009.
Furthermore,if the owner has hired a contractor or contractors,he is advised to have the contractor(s)sign portions of the"contractor Block"of this
application for which they will be responsible.If you,as the owner sign as the contractor,that may be an indication that he is not properly licensed and is
not entitled to permitting privileges in Pasco County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES:The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of use in existing buildings,or
expansion of existing buildings,as specified in Pasco County Ordinance number 89-07 and 90-07,as amended.The undersigned also understands,that
such fees,as may be due,will be identified at the time of permitting.It is further understood that Transportation Impact Fees and Resource Recovery
Fees must be paid prior to receiving a"certificate of occupancy'or final power release.If the project does not involve a certificate of occupancy or final
power release,the fees must be paid prior to permit issuance.Furthermore,if Pasco County Water/Sewer Impact fees are due,they must be paid prior
to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended):If valuation of work is$2,500.00 or more,I certify that I,the applicant,
have been provided with a copy of the"Florida Construction Lien Law—Homeowner's Protection Guide"prepared by the Florida Department of
Agriculture and Consumer Affairs.If the applicant is someone other than the"owner".I certify that I have obtained a copy of the above described
document and promise in good faith to deliver it to the"owner'prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT:I certify that all the information in this application is accurate and that all work will be done in compliance with
all applicable laws regulating construction,zoning and land development.Application is hereby made to obtain a permit to do work and installation as
indicated.I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all
laws regulating construction,County and City codes,zoning regulations,and land development regulations in the jurisdiction.I also certify that I
understand that the regulations of other government agencies may apply to the intended work,and that it is my responsibility to identify what actions I
must take to be in compliance.Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
- Use of fill is not allowed in Flood Zone"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[am the AGENT FOR THE OWNER,I promise in good faith to inform the owner of the permitting conditions setforth 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 AY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.IF YOU INTEND O OBTAI FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING Y
FLORIDA JURAT(F.S.117.03) i
OWNER OR AGENT CONTRACTOR OAT
Subscribed and swom to(or affirmed)before me this Sub cribed and sworn to(or affirmed)before me this
by O V by Eh r:_11
Who is/are personally known to me or hasihave 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,piinted or stamps
'AY.P.&.1", ALESSANDRO D KOBLEUR
?°• �� Notary Public•State of Florida
®�= Commission#GG 208365
of P"" My Comm.Expires Apr 17,2022
Bonded through National Notary Assn.
10/12/2020 11-26-21-0010-16900-0080 1 Pasco County Property Appraiser
Parcel ID 1 11-26-21-0010-16900-0080 (Card: 1 of 1)
Classification 01100-Stores
Mailing Address Property Value
BEACH REALTY GROUP LLC Ag Land $0
4007 MERRICK RD STE 5 Land $46,606
SEAFORD, NY 11783-2831 Building $96,431
Extra Features $1,536
Physical Address
38544 5TH AVENUE,
ZEPHYRHILLS, FL 33542 3ust Value $144,573
Assessed (Non-School Amendment 1) $144,573
Legal Description (First 200 characters)
See Plat for this Subdivision Non-School Taxable Value $144,573
CITY OF ZEPHYRHILLS PB 1 PG 54 LOTS School District Taxable Value $144,573
8 9 &10 BLOCK 169 OR 9449 PG 2897
3urisdiction
CITY OF ZEPHYRHILLS
Land Detail (Card: 1 of 1)
Line Use Code Description Zoning Units iType Price Condition Value
1 1100C 9AB-1 Store 1 Floor TCBH 7,000.00 SF $5.41 1.00 $37,870
2 1100C 9AB-2 Store 1 Floor TCBH 5,600.00 SF $1.56 1.00 $8,736
Additional Land Information
Acres Tax Area FEMA Code Neighborhood Code(s)
0.29 30ZC -- MSAV
View Sketch Building Information - Use 9500-Convenience Stores (Card: 1 of 1)
[nterior
ar Built 1973 Stories 1.0
terior Wall 1 Concrete Block Stucco Exterior Wall 2 None
af Structure Flat Roof Cover Asphalt or Composition Shingle
Wall 1 Plywood Panel Interior Wall 2 None
oring 1 Terrazzo Monolithic Flooring 2 None
Fuel Electric Heat Forced Air- Ducted
/C Central Baths 2.0
Line ;Code �lDescription ;Sq. Feet _ _ Value
1 SDA01 SERVICE DISPLAY AREA 2,100 v - $70,168
2 SPA01 SERVICE/PRODUCTION AREA 600 $17,041
3 CAN01 CANOPY 480 $4,812
4 �CSC01 CONV STORE CANOPY 660 $4,411
Extra Features(Card: 1 of 1) _
Line Code Description _ --�- ear Unitsalue��
1 1 CPAVASP PAVING ASPHALT I 1973 5,250 k $1,536 ~0
Sales History
Previous Owner: ]APAGE PARTNERSHIP
Month/Year Book/Page Type DOR Code ',Condition A om unt
10/2016 _ 9449 / 2897 Warranty Deed 40 Improved $944,000
11/2001 4776 / 0996 Trustee's Deed Improved $0
08/2001 __ __4718 / 0188 Warranty Deed Improved $285 000
01/1974 0739/ 0342 —] - � � ��� _ Improved �j $79,500
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