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City Of Zephyrhilis PERMIT NUMBER 5335 Eighth Street Zephyrhills, FL 33542 BNC-001295-2020 Phone: (813)780-0020 Fax: (813)780-0021 Issue Date: 03/16/2021 Permit Type: Building New (Commercial) Property Number Street Address 24 26 210000 00100 0013 3752 Copeland Drive Owner Information Permit Information Contractor Information Name: COPELAND FAITH PARTNERS LLC Permit Type:Building New(Commercial) Contractor: GREATER BAY INC Class of Work:New Construction Address: 5025 Hartford St Building Valuation:$60,000.00 TAMPA,FL 33619 Electrical Valuation: Phone: (813)340-1787 Mechanical Valuation: Plumbing Valuation: Total Valuation:$60,000.00 Total Fees:$570.00 (f Amount Paid:$570.00 Date Paid:3/16/2021 11:10:29AM Project Description SLAB FOR LOADING DOCK/METAL ROOF Application Fees Building Plan Review Fee $190.00 Building Permit Fee $380.00 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. A/7 CO CTOR SIGNATURE PE IT OFFICE PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION . CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER D Q City of Zephyrhills PERMIT NUMBER 5335 Eighth Street Zephyrhills, FL 33542 BNC-001295-2020 :-- ` Phone: (813) 780-0020 Fax: (813) 780-0021 Issue Date: 03/16/2021 Permit Type: Building New (Commercial) Property Number Street Address 24 26 21 0000 00100 0013 3752 Copeland Drive Owner Information Permit Information Contractor Information Name: COPELAND FAITH PARTNERS LLC Permit Type:Building New(Commercial) Contractor: GREATER BAY INC Class of Work:New Construction Address: 5025 Hartford St Building Valuation:$60,000.00 TAMPA,FL 33619 Electrical Valuation: Phone: (813)340-1787 Mechanical Valuation: (/X Plumbing Valuation: Total Valuation:$60,000.00 Total Fees:$570.00 Amount Paid:$570.00 Date Paid:3/16/2021 11:10:29AM Project Description SLAB FOR LOADING DOCK/ Application Fees Building Plan Review Fee $190.00 Building Permit Fee $380.00 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 VIT OFFICE PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER INSTR#2021052548 OR BK 10301 PG 2793 Page 1 of 1 03/16/2021 12:02 PM Rcpt:2273753 Rec:10.00 DS:0.00 IT:0.00 Nikki Alvarez-Sowles,Esq.,Pasco County Clerk&Comptroller NOTICE OF CONIIV MEMENT Permit No. f 9 5� _ Property Identification N e 7 di+ a+G� ooj o Q 0013 THE UNDERSIGNED hereby give informs you that the improvement will be made to ctrtain real property,and in accordance with Section 713.13 oftbe Florida Statutes,the following information is proyvided in PiO/TICE OF COMME77-j 1.Desccriptionofproperty ftal rr:J c%�bv' / "/ �!`/Sn• p��p S- �7Q a)Shea Address: 4�- ✓ . 2.General description of improvements: 117 Owner ah mformso 7 p a nvo � /c Nmn nd b)Name and address of fee simple titleholder(if other than owner) 5 c)Interest in property 4.Contraeot Intornration I n)Neese and address: � /!1 nTVr / N G b)Telephone No.: _'!1 3/ f Fax No.(OPL) 5.Suety information a)Name and address: b)Amount ofBond: c)Telephone No.: Fax No.(Opt) 6.I.ender a)Name and address: Phone No. 7.Identity of person within the State of Florida designated by owner upon whom notices or other dommerrts may be served: a)Name end address: b)Telephone No.: Fax No.(Opt) 8.Im addition to himself;owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes: a)Name and address- -b)Telephone No.: Fax No.(Opt) 9.Exptmttoa date of Notice of Commencement(the expiration date Is one year frost the date of recording unless a dlffetent date is mod): WARNING TO OWNER: ANY'PAYMENTS MADE BY THE OWNER AFTER THE MIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART I,SECTION 713.13, FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU DrMD TO OBTAIN FINANCING,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. gf ATE OF FWRMA MUM OF PASW crowm aes Otaar/D� .J . �f 'MAThe�}'�going instnun��__w__as�edms ",pg�thrs�day of 20 u by O J��I 1 —m t-.V� (type ofauthorit�e.g.officer,trustee,attorney in fact)for (name of party on behalf of whom Instrument was executed) Ily Known OR Produced Identification_ Notary Signature Type of Identification Produced Name(print) e— Verification ptnaoant to Section 92.525,Florida Statutes Under penalties of pcdwy,I declare that I have read the foregoing and that the facts stated in it are true to the best of my imowledge and beliet, . Slgoane dWamnt Pardo Slpft Above FowrS00C.neaW v .''• JACQUELINE BOGES a,• Commission#GG 276W Expires December 12,2022 8mided Ttsa Troy Fain Inwmrlce BW365.7019 State Of Florlda,County Of P09CO This Is to certify that the foregoing Is a true and correct copy of the document on file or of public record In this office. Witness my hand apd,official seat this ng'-'Wa Pri A Nikki Alva rez-so4ies,Esq.,Clerk&Comptroller 14 Pasco County, rida V . BY- Deputy Clerk Ff 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact for 2-3 q e fr Permitting. A . E 0 0 1$ 11 111 go's IIiIIII I Owner's Name a Cl rr a A/r/wers Owner Phone Number V-2 Owner's AddressF_,;;7s-;z raoe-lmj-o o, Owner Phone Number Fee Simple Titleholder Name I Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS', LOT# SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH e INSTALL REPAIR PROPOSED USE Q SFR Q COMM 0 OTHER TYPE OF CONSTRUCTION, BLOCK [0 FRAME STEEL E2r DESCRIPTION OF WORK &OAk l,-VC? A Aje-V 10401!yg )12ck BUILDING SIZE SQ FOOTAGE HEIGHT ... . . . . . . . . . . . . . . I VIBUILDING 11 , 0 0 Q i VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL 1$ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. ='PLUMBING $ /Aff P ja r, e "Af=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION Zgz I =GAS Q ROOFING SPECIALTY Q OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO 0 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I LA BUILDER COMPANY SIGNATURE 4 1 REGISTERED 1(-91 N _J FEE CUR h _J Address 4,16 1 V;5 License# Fc*'7 c Ts- ELECTRICIAN COMPANY ,SIGNATURE REGISTERED Y/ N FEE CURREN Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N I FEE CURREN LYLN_j Address License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN N Address License# OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Ly LN J Address F_ 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/-Silt Fence installed, Sanitary Facilities&1 clumpster,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 b-a-ck"of*cl"'ppji66U6h,-6otadied If over$2500,a Notice of.Commencement' 1s,requIr� '"d.:-(A1C upgrades over$7500) Agent(for the contractor)or'P6Wbiof Attorney prl would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING of,contract'requirid) Reroofs if shingles SeWbm�--?ServIW:U0grdd6e AIC' "Feinces(Plot/Survey/Footage) Driveways-Not over Counter 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 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 99-67 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 intende&work,,and thadt 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 W"unless expressly permitted. If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a "compensating volume" will be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. - If the fill material is to be used in Flood Zone "A" in connection with ampermitted 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-b�e�•used in any:area, I certify that use of such fill will not adversely affect adjacent properties:.;if use'oi4ill is,fqu'nd4o 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 permltting 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.Xpermit 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 IMP R VEMENTS TO YOUR PROPERTY. IF YOU INT TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR ORE RECORDING YOU ...... CEMENT, FLORIDA JURAT(F.S.117.03) OWNER OR AGENT CONTRACTOR Subscribed and swom to(or affi ed bef re me this Subscribed and sworn to 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 — - _°-- --- STATE OF FLORIDA COUNTY OF G �d The foregoing instrument was acknowledged before mo by means of fidphysical presence or❑online notarization,this if.day ofEca: Who Is 0 personally known to YPG° RYAN BOZA me or who has produced_r V L 0_10P Notary Public-State of Florida I� prod as identification. Commission#GG 927195 ffn,,. My Comm.Expires Oct 28,2023 (Notervstemp) (synawreofPenonrakin®edanevndagerr+aM) Bonded through National Notary Assn. h'�, or�larr�e9)