HomeMy WebLinkAbout22-5369 (2)5335 Eighth Street
Zephyrhills, FL 33542
Phone: (813) 780-0020
Fax: (813) 780-0021 1
BAC-005369-2022
Issue Date: 04/04/2023
REINSPECTION FEES: (c) With respect to Relinspection 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,
WE 1; 111111111 illl:llll 111, 11111,11,11 Jill: I 1 111 1,,, 1 1 1 111 111 1 111 Iiiiiiii III III III I'll I I I
-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
IT OFFICE
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone �Contact Contact for 239 4436178
Owner's Name KIVID HOTEL GROUP III LLC Owner Ph.. Number (813) 762-2000
Owner's Address WELLINGTON FL 34877 Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOBADDRESS 6$15 GALL BOULEVARD, ZEPHYRHILLS, FL 33542 LOT #
ZEPHYRHILLS COLONY
SUBDIVISION COMPANY LANDS PARCEL
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED
NEW CONSTR
ADDIALT
X
SIGN DEMOLISH
11
INSTALL
REPAIR
PROPOSED USE
SFR
COMM
OTHER
TYPE OF CONSTRUCTION
BLOCK E]
FRAME
STEEL [K]
n�tall wall to separate a double gUeSt Ut1it into a Single guest Uni#-6 locations
DESCRIPTION OF WORK
MBUILDING
KIELECTRICAL
=PLUMBING
=MECHANICAL
a
M 1
M.-
VALUATION OF TOTAL CONSTRUCTION /
AMP SERVICE ��7P S ENERGY W,R.E.C,
5 bo
VALUATION OF MECHANICAL INSTALLATION
=GAS ROOFING = SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS = FLOOD ZONE AREA =YES NO
4111
oIUNA I UK=REGISTEREDLJJLN _J
Address 54Q1 S Kirkman Rd Suite 310 QrlandoLicense #
ELECTRICIAN COMPANY �
SIGNATURE REGISTERED FEE CUIRREN���
;;
Address License #
PLUMBER COMPANY
SIGNATURE REGISTERED Y �/N �FEE CUR�REN YIN
Address License #
MECHANICAL COMPANY ;;; �FEE CUR�REN���
SIGNATURE REGISTERED
Address License#
OTHER COMPANY E
SIGNATURE REGISTERED �Y/N �EE50URII�.NIN��
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 & I clumpster; 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, 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. (AJC 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
,2,-'Vvy
813-780-0020 City of Zephyrhills Permit Application Fax s13-780-0021
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—LicensingSectionat 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 property 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 Lion 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'StOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that ail work willbe 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 purl 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 wail,
- 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.
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to (or affirmed) before me this Subscribed and sworn tor affirmed) before me this
Nov 302022 by Davish Patel Nov 30 2022 by Amy Lawler
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. HH122585 Commission No. HH122585
Chris Haywood Chris Haywood
Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped
City of Zephyrhilis I
Water and Sewer Impact Fee CalculatioX
Land Use Type:
Hotel and Motels
6
No. of Self Service Laundry Machines
Impact Fees Foy"I%y'-pe A
ithin City Limits
Water Facilities Capacity Fee i 1$ 5,652.89 $
Wastewater Facilities Capacity Fee / $ 11,900.83 $
moms=
No. of Rooms
No. of Self Service Laundry Machines
Impact Fees For Type B
Within City Limits Outside City Limits
Water Facilities Capacity Fee $ $
Wastewater Facilities Capacity Fee $ $
TOTAL $ $
J -C�-Q
11/18/22, 10:47 AM Mail - Jackie Boges - Outlook
Quality Inn Documents
Jackie s <j i. yr it s.fl.us>
Fri 11/18/2022 10:47 AM
To: Bill Burgess rg ss ct.zephyrhills fl u ;cha d5612@gmail.com <cha ood5612C gmail.com>
receive set ofpl its yesterday 11/17 but no application was attached you must submit application with a
contractor i ned can and register with our office.
you may obtain apphCation,on our website ci.zephyr ills.fl.us go to ov®dept -building and you need
permit application.
thank you
From: Bill Burgess <bburgess@ci.zephyrhills.fl,u
Sent: Thursday, November 17, t
To: Jackie Boges <jboges@ci,zephyrhills.fl.us>
Subject: FW: Quality Inn Documents I
FYI- not sure what this is ... Thanks
From: chaywood5612 mail.com <chaywood5612 gmail.com>
Seat; Thursday, November 17, 2022 8:34 AM
To: Bill Burgess <bburgess ci,zephyrhills.fi.us>
Cc:'Mike arona' <crmcmike{ yahoo.com>; Omar 1.laque <primeinstall.omar@ mailcorn>
Subject: duality Inn Documents
EXTERNAL EMAIL
We have send via Fed Ex drawings for approval, they were signed for by C.Carlos
We are trying to get a permit number for tracking purposes.
F
Thank You
Christopher Haywood
239.443.6178 Cell
561.463.3178 land Line
Bill Burgess
Building Official
City of Zephyrhills
5335 8th Street
Zephyrhills, FL 33542
813-780-00 0 Ext. 3511
Disclaimer: Fla, Star. 668,6076 "tinder Florida law, e-mail addresses are public records. If you do not want your e-mail
address released in response to a public -records request, do not send electronic mail to this entity. Instead, contact this
https://outlook.office.com/mail/inbox/id/AAQkADQ1YWEzOGFkLTZiZGltNGFhMi1hNjJILTVIMTJm jhjNGNhZQAQAGRFj2UEGkq%2BgddOnx9WjGE.., 1/2
TRANSMITTAL ]� /\
Enclosed are 2 sets of plans for review,
prpiWit! \cam«
Convert 6 double guest rooms into single rooms,
Add plumbing as shown.
Add a non -load bearing dividing wall to match existing interior wall construction.
an tions Plea5edo not hesitate to contact me
is Haywood
Permit Na. C-- o !Zj -1�73 &'� - ZD2- -2- Parcel ID No oe6 ,IG - '2,1 - C) 0 10 - 0) 7 & 0 , 0 0 r�z-'D
(,-(r-,ONQ- I -D,4 NOTICE OF COMMENCEMENT phsco
State of County of
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes,
the following information is provided in this Notice of Commencement: - I , a - - A - A I" A
1. Description of Property: Parcel loan
Street Address;
General Description of Improvement
Owner Information or Lessee information if the Lessee contracted for the improvement: - - - - - - - -
TEYANO) 03"! 157-1m-�D "src
m t
UD-9M-A P- F
Address Cit State
ILLS 3S4-o
Name of Fee Simple Titlaholdar:
(If different fr w er listed above)
Address
4. Contractor:C^, LM 71,,A]
0 Name A
Address
Contractor's Telephone No.:
5. Surety:
Name
Address
Amount of Bond:
6. Lender:
Name
Address
Lender's Telephone No.:
City
State
0 �LLA IVZO Pt -
City 9-t—ate
Telephone No.:
City
State
State
7, Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by
Section 713,13(1)(a)(7), Florida Statutes
Name
Address r State
Telephone Number of Designated Person,
8, In addition to himself, the owner designates of
P-11 L to receive a copy of the Lienor's Notice as provided in Section 713,13(1)(b), Florida Statutes,
Telephone Number of Person or Entity Designated by Owner:
9. Expiration date of Notice of Commencement (the expiration date may not be before the completion of construction and final payment to the
contractor, but will be one year from the date of recording unless a different date is specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION 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 INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDMG-YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury, I declare that I have read the foregoing notice of comqfoncerTent hat tlorfad , �ac� stated therein are true to the best
of my knowledge and belief. A
STATE OF FLORIDA
COUNTY OF PASCO
III
- -y--y, --u—
The foregoing instrument was acknowledged before me this 'day of Uki 20 by V (,?� IV 'I J <;
as (type of authority, e.g,, dflicer, trustee, attorney in fact) for
(name of r rx cr) 1.pahal a whom i r1stro A was executed).
Personally Known C] OR Produced Identification Notary Signature
Type of Identification Produced f- tA ck ct i Name (Print) 4 a
RIM- , ,Ay
DEANNA HARMER
Notary Pubtfic
State of Florida
Commission # HH 131600
my Comm, Expires May 20, 2025
wpdata/bcs/noticecomi-nencement-pcO53048
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