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Home My WebLink About21-3261City of Zephyrhills 0k, 5335 Eighth Street '12,�2111111\ Zephyrhills, FL 33542 BAC-003261-2021 Phone: (813) 780-0020 Fax: (813) 780-0021 Issue Date: 11/29/2021 10 34 25 21 0110 00000 0010 M# itY. ),122,gsa m f26 E. Name: WAL MART STORES EAST LP Permit Type: Add/Alter (Commercial) Class of Work: Add/Alter Commercial Address: 7631 Gall Blvd ZEPHYRHILLS, FL 33542 Phone: Building Valuation: $70,000.00 Electrical Valuation: $10,500.00 Mechanical Valuation: $8,500.00 Plumbing Valuation: $1,000.00 Total Valuation: $90,000.00 Total Fees: $939.00 Amount Paid: $939.00 Date Paid: 11/29/2021 12:02:53PM INTERIOR REMODEL RESTUARANT - CHARLEYS 7631 Gall Boulevard SEPTIC INC Building Permit Fee $390.00 Plumbing Permit Fee $45.00 Electrical Plan Review Fee $46.25 Electrical Permit Fee $92.50 Mechanical Permit Fee $82.50 Plumbing Plan Review Fee $22.50 Fire Plan Review Fee $24.00 Mechanical Plan Review Fee $41.25 Building Plan Review Fee $195.00 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. CONTRA" �RSIGNATU�. PEJAIT OFFICE() PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT C1RD FROM WEATHER 813-78D-om City of Zephythills Permit Application Fax-b • r- t,.:. Re., e Ph-t 69 ! , :• t. i 1k M#F rp.. /#Mtt f JOB ADDRESS LOT WORK PROPOSED NEW COMM AODIALT El INSTALL REPAIR SIGN DEMOLISH PROPOSED USE SFR COMM OTHER TYPE OF CONSTRUCIPON BLOCK E STEEL A i MWRVMM OF x Tenant fm�euam t for a Restaurant - No Chenge of use FOOTAGE jjj3Rj tMOMT PV�BUILDIINGS VALUATION OF TOTAL CONSTRUCTION C"�RICJii 5 AMP S VICE 550 PROGRESS ENERGY W I .E.C. tP. ING ICAL GAS 5W S VALUATION OF M 9C AL INSTALLATION ROOFNG E:::] SPECIALTY OTHER e� d "MISHED FLOOR ELEVATIONS E== FLOW ZONE AREA M k IIIIVMWI!WFMI 11 s iA P .. .> t t •_. Permit x- sn —PROPERTY. t W SO ba, x x LA wlkc��-- t •. r t r e ! a:'A ! • .. ! ♦ ♦ry Y: ' - s ._::...,. f +�if lt.. + :+ s « ♦. f.rw {. .. S + r; 'ils« t,... +._ + .r. + .a .; 7 .;;, , mum take to be In cornphance, Such agmin JoOuft but are not %Y*ed Im - Deportnent of Environmental Pmtection-Cypress Beyheads, Welland Areas and Environmentally Sensitive - Southwest Florida Water Managernent Wrld-Wells, Cypress Baybeads, Wertland Are,", Aftering ♦ _ Corps- Army of ! Docks,cwi DepartmentofHeaKb &Rehabilitativec t.. Septic Environmentalg!' s Aviation- Federal !Use of fAl is not allowed In Rood Zone 'W unless expressly permitted. It the fill matedel Is to be used In Flood Zone 'A", it is understood that a drainage plan addressing a 'compensating,vokirrie will be submitted at time of permitting which Is prepared by a professional engineer licensed by e t« It the fill material Is to be used in Flood Zone 'K in connection with a permitted building using stem wall construction, that fill will be Used only fill the area within the stem wall. adverselyIt III) material is to be used in any area, I certify that use of such M will rwt ptopertimIf useof foundM adversely affect adjacent properties, owrw, may is cited or vioiating whichthe conditions of the building permit issued under the attached peffnit application, 1Qr Jols less then one (1) aae are elevated 0engineered drainage ♦ u w t ♦'♦: t,OMMM!:f M. i tt'. 4 •.+-. a r� +:w .. ai.. .- +vae +..::i ♦.. I k:'t a+R Y •+ tk+ ANOw! ONWR IOR AGI!T% rJa ; e ak yQk .jx 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 It Building Department Date Received Phone Contact for Permitting L( �51 �66 6 9 _4762 Owner's Name Maged Ebied Owner Phone Number 1(909)446-6565 Owner's Address 7600 Debeaubien Dr. Orlando, FL 32835 1 Owner Phone Number Titleholder Name Fee Simple T Aq!& Z 0 Owner Phone Number Fee Simple Titleholder Address IrU PQk bUJ k-/ I VQYXNi%1\F_ A I/ I t_ t I I JOB ADDRESS 7631 Gall Blvd Zephyrhills, FL 33541 LOT III SUBDIVISION PARCEL ID# [)up — cyg)w — wo (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW C0NSTRF___1 ADD/ALT F_V� SIGN DEMOLISH 11 INSTALL = REPAIR PROPOSED USE SFR VVN71 J Comm O OTHER TYPE OF CONSTRUCTION BLOCK FRAME STEEL I TT DESCRIPTION OF WORK Tenant Improvement for a Restaurant - No Change of use BUILDING SIZE S '160TAGE HEIGHT =BUILDING =E LECTRICAL =GAS __—fE1----_kOOFING FINISHED FLOOR ELEVATIONS Address ELECTRICIAN SIGNATURE VALUATION OF TOTAL CONSTRUCTION AMP SERVICE 0 PROGRESS E G( 2 VALUATION OF MECHANICAL INSTALLATION SPECIALTY = OTHER FLOOD ZONE AREA =YES COMPANY 1AAA Plumbing and Septic, Inc REGISTERED Y/N FEE CURREN I Y/N _133357/ 5,,t,,,,:,,- 4 1 License# I CGC1527800 COMPANY Kangaroo Electric �= REGISTERED I Y/N FEE CURREN Address F_ License# JEC13001583 PLUMBERf f COMPANY =AA��lumbing and Septic, Inc SIGNATURE REGISTERED L FEE CURREN I Y/N Address_' License# ICFC1429904 MECHANICAL COMPANY =JiffyHeating and Air Conditioning SIGNATURE REGISTERED Y / N FEE CURREN Address License #Fc—AC1819068 OTHER COMPANY = SIGNATURE REGISTERED Y/N FEE CURREN L_ILN 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/ 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-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. (AIC upgrades over $7500) Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing qme 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 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-4021 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 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 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 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. FLORIDA JURAT (F.S. 117.03) OWNER OR AGENT CONTRACTO b, hed d sworn (o r i e efore e this Subscnb d swornsworn tt. (or affirmed) a irmed) before me this ` >,/Z by (o .v <� G }. by Ce �1 t '° r W is/are personally kno e . to me or has/have produced Who is/are personally known o me or has/ha produced E fi q C2 C-P�Cert x2 as identification. ¢ 1,' as identification. aw . Notary Public s krCj Notary Public i- Commission No. ti � � t�Commission No �f f ?`tt � t�tt-I 4%"i Name ofMgt] Expm Name of Notary typed, printed or tames ped 813-78"020 City of Zephymills Permit Application Fax-8 13-IW0021 Building Department Date Re i I Phone Contact for Permitting 1( 516 669 -4762 -T7 - r Ownees Narn, [Maged Ebied Owner Phone Number '(909) 446-6565 Ownees Add,,,, 17600 Debeaubien Dr. Orlando, FL 328351, Ovme, Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS 17631 Gail Blvd Zephvrhills, FL 33541 LOT SUBDIVISION PARCEL 10# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NIEW CONSTR ADDIALT SIGN DEMOLISH INSTALL REPAIR PROPOSED USE SFR COMM OTHER TYPE OF CONSTRUCTION BLOCK FRAME STEEL F_ DESCRIPTION OF WORK Jeriant Improvement for a Restaurant - No Change of use BUILDING SIZE SQ FOOTAGE HEIGHT _9 J"WWTI 9WWWW" K 11 WAL Xw 9 919 9-4 X a IWXXX XX xx WWW'Ww IIEW-1 ww'79,W-0 =BUILDING VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL 1, AMP SERVICE PROGRESS ENERGY W.REC, PLUMBING =MECHANICAL VALUATION OF MECHANICAL INSTALLATION =GAS ROOFING SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO . . .......... BUILDER -- — ---------- COMPANY !AAA Plumbing and Septic, Inc SIGNATUREREGISTERED _,-t_,__,_ Address 3 License A &661527 ELECTRICIAN COMPANY [�Kangaroo 6ectric SIGNATURE RFOSTERED Y/N I FEECURREN Address Lirense# [13001583 PLUMBER I COMPANY 1AAA Plumbing and Septic, Inc SIGNATURE REGISTERED Addr4r; 11 License# FC1429904 MECHANICAL COMPANY SIGNATURE Address Ucense# ICAC1819068 OTHER COMPANY SIGNATURE REGISTERED Y F------- . . ........... Address License It RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-0-W Permit for new Construction, Minimum ton (10) working days after submittal date. Required onsfle, Construction Plans, Stormwater Plans w/ Sift Fence installed, Sanitary Facilities & I dumpster, Site Work Permit for subdMsionsfiarge projects COMMERCIAL Attach (2) compete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new construction. Minimum ton (10) working days after submittal date. Required onsite, Construction Plans, Stonrevater Plans earl Silt Fence installed, Sanitary Facilities & I dumpster. Site Work Permit for all now 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. (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) Ddveways-Not over Counter if on public roadways -needs ROW 813-750-0020 City of Zephyrhills Permit Application Fax-813-7M0021 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 deedl 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 to and local regulations. If the contractor Is not licensed as required by low, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor am uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the Pasco County Building Inspection Divislor—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 "ons 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 80-07 and 90-07, as weendecL 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, it 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 Statufts, 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 —Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the'owner. I certily that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner' prior to commencernent. COT RACTOR'SIOWNER'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 car" that I understand that the regulations of other government agencies may apply to the intended work, and that it is my responsibility to identify at actions I must take to be in compliance, Such agencies Include but are not limited to: - Department of Environmental Protection -Cypress Bayheads, Worland 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 the the following restrictions so* 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 "N', 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 commending construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pods, 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, after, or set aside any provisions of the technical codes, nor shalt 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. mlywl FLORIDA JURAT (F,S. 117,03) . . .... OWNER OR AGENT M CONTRACT!) rb but.. me this forepe this Subscribtao it sworn to ,ri and sworn 4 a or. rr . re or this JJ, It '4- " z 03-1-J. by--`l -!j.l, L Who isfare personally wi* to me or hasihave produced Who islare personally kho to me or hastheie produced as identification. i S a as identification, d Notary Public Notary Public Commission No. Commission No.l—/ 'UP-1 12� Noms—of otary typed, printed or'strimped From: ]acqudineBooes (� � /LJ 7�y°�~-/ Sent: Thursday, October 2E\2U21 922A�� / ' To: 'kwrght@chadeys.com' ` Subject: RE: permitting zephyrhiUs Attachments: contractor certificat.docx Lauren In a jiffy heating is registered sorry about that but AAA plumbing and septic is not Please let the companies that will need to register with me know to put in the email subject line the addres s and name of the project or you may use this email to send me the info. I will attached everything I need to register them JackiuB0gcy b6A _` 813-730-0020ox|3513 "Arule | have had for years is: htreat the Lord Jesus Christ auupersonal friend. His ianot ocreed, mmere doctrine, but dinHe Himself we have." Dwight L, Moody Florida has a very broad public records law. Electronic communications regarding most City of Zephyrhills business are public records and available upon request. Your e-mail communications may therefore be subject to public disclosure. If you received this message in error/ please do not read/ forward/ copy' etc. and delete immediately. From: Jacqueline Boges Sent: Thursday, October 28, 20219:11 AM To: lwright@charleys.com Subject: permitting zephyrhills | need companies toregister Kangaroo electric Jiffy heating and air Jackie Boaes ° 813-780-0070ux(3513 "Arule | have had for years is: totreat the Lord Jesus Christ as a personal friend, His is not a creed, a mere doctrine, but it is He Himself we have." Dwight L. Moody � m� INSTR# 2a22®21645 OR BK10536 PG 1 952 Page 1 of 1 01/24/2022 12:24 PM Rcpt: 2407700 Rec: 10,00 DS: 0.00 IT: 0.00 Nikki Alvarez-Sowles, Esq., Pasco County Clerk & Comptroller Permit No. Parcel ID No 31.25-21-0110.00000-0010 NOTICE OF COMMENCEMENT State of Florida County of PaS'-O THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property. and in accordance with Chapter 713. Florida Statutes, the fogrnv(ng information is provided In this Notice of Commencement: i. Description of Property- Parcel identification No. ZEPHYRHILLS SUPERCENTER•A REPLAT PR 42 PGS 58-59 LOT I Street Address: 7631 Gall Blvd Zephjnills. FL 33541 2. General Description of Improvement Tenant Improvement 3. Owner Information or lessee information if the Lessee contracted for the improvement: Walmart Stores East LIP Po sox aoso Name Bentonville AR Address City State Interest in Property: Fee Simple Tide Holder Name of Fee Simple Titleholder: (If ditf ent from Owner listed above) , r% A Address 11 f1 _/' city T Stale �, I 4. Contractor. /� y—d-0 °1 Nam ..t! '�%r_j iY J Address of City State Contractors Telephons No. 1Y Y t` ,,t r 5. Surely; ' ) Name Address city State U t c Amount of Bond. S Telephone No.: t 7,5 '0 1 6. Lender:-, 1,, .+ Name ° �, D ` n Address City Slate t' Lender's Telephone No.: ?. Persons within the State at Florida designated by the olmer upon whom notes of other documents may be served as provided by eta Section 713.13(1)(sN7). Florida Statutes: Name c Address City Stale Telephone Number of Designated Person: 8. In addition to himself. the owner designates of to receive a copy of the Uenor's Notice as provided in Section 713.13(1)(b), Flordo Slat ° Telephone Number of Person or Entity Designated by Owner: a 9. Expiration date of Notice of Commencement (the expiration dale may not be before the completion of concoction and final payment t �+ t is contractor, but will be one year from the date of recording unless a different date is specified): c T Under penalty of perjury, i declare that I have read the foregoing notice ofcgooti?eemont and a tact$ slidejWherein are true to the best of my knowledge and belief, STATE OF FLORIDA COUNTY OF PASCO ature of Owner or L $see, or -Owner's or Lessee's Authorized tficertDirect arnerlManag�f r 0 a s itle The foregoing instrument was aodmolwledged before ma this day of , 2Q 1y A 8S (type at authority, e.g.. oncer. sta ey in fad) for t a i- n� set parry aen ct ! was exited). Personally Kn�Produced identification Q Notary SignsLM Type of identification Produced Name (Print) d tegwnNit; Q� � QZlo IOt1seajdx3 uolss4wo0 AW sesueyi1v `AlUno0 ualue6 alland At3Vi%I r InNdtliViSAV0 wpd atatbcshi oticecomm enumenl_pcD5XW 8