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Home My WebLink About22-54635335 Eighth Street Zephyrhills, FL 33542 Phone: (813) 780-0020 Fax: (813) 780-0021 1 BNC-005463-2022 Issue Date: 01/27/2023 vnmmz' wns"M.'1112m r: INNER IN iiiiiiiiiiiiiiiijill 11111!1111111111111 111 = �Ml 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 OFFICEf I 11 v PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION 813-780-0020 City of Zephyrhilis Permit Application Building Department Fax-813-780-0021 Date Received Phone Contact for Permitting '813 543 5610 Number er � Owner's Name SF ZEPHYR COMMONS OUTPARCELS LIT Owner Phone Number 678-977-3362 3 60 S Roserairy S1 #400 Owner's Address WE STPALM BEACH, FLORIDA, 33401 Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS LOT # SUBDIVISION PARCEL I D# [3:5::2�5 2 �10 13 0 - 0 0 �OO 0 - 0 0 4 �O�� (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD/ALT = SIGN DEMOLISH 13 INSTALL REPAIR PROPOSED USE SFR COMM OTHER "k TYPE OF CONSTRUCTION BLOCK FRAME STEEL. contruchor, o re � 1, f 14<1, L DESCRIPTION OF WORK BUILDING SIZE SO FOOTAGE l51 HEIGHT =BUILDING 1000 VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL AMP SERVICE PROGRESS W.R,E.Cl L22_,()0_0J =PLUMBING r26'000 27 6V -,),sT =MECHANICAL VALUATION OF MECHANICAL INSTALLATION Ei= =GAS ROOFING SPECIALTY = OTHER ZZ-4,40 . — "I FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA X YES NO ca -#-" BUILDER COMPANY iConstructors LLC SIGNATURE REGISTERED Y/N FEE CURREN Y/N Address License# [�(�,GC0041�90�� ELECTRICIAN COMPANY E;;;;; SIGNATURE REGISTERED EE.IIERENY i N�� Address I License # PLUMBER COMPANY SIGNATURE RE.I.TERED Y 1 N �IEE..RREN Y N� Address License # MECHANICAL COMPANY SIGNATURE REGISTERED E;;;;,,,� CURENRYIN Address License #E=:�� OTHER COMPANY E;;;� SIGNATURE E= REGISTERED EE..RR.11Y t N�� Address License # RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-OW Permit for new construction, Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans G,, Silt Fence installed, Sanitary Facilities & 1 dumpster: Site Work Permit for subdivisionsilarge 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, Storm eater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster, Site Work Permit for all nevv projects. All commercial requirements must meet compliance SIGN PERMIT Attach (2) sets of Engineered Plans, *-PROPERTY SURVEY required for all NEW construction. Directiorno 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 notanzed letter from owner authorizing same OVER THE COUNTER PERMITTING (copy of contract required) Reroofs if Shingles Sewers Service Upgrades A/C Fence,; (Plot/SurveyiFootage) Driveways -Not over Counter if on public roadways..needs ROW jcm aowr 813.780-0020 City of Zephyrhilis Permit Application Fax-613-780-0021 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 maybe cited for a misdemeanor violation Linder tate 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 he responsible. If you, as the owner sign as the contractor, that maybe 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 ImpactFres and Recourse Recovery Fees mayapplyto the construction of view buildings; change of sefn existing buildings, or expansion of existing buildings, as specified In Fusco County Ordinance number 89-07 and 90-07, as amended, The undersigned also understands, that such fees, as may be due, writ 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 "cantticate of occupancy" orfinal '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 WatedSewer Impact fees are due, they must be paid poor to permit Issuance In accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): It valuation of work is $2,600,00 or more, I certify that 1, the applicant, have been provided with a copy of the "Floods Construction Lien Caw- Homeowners -Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. It 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"SIOWNEWS 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 laud 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 Rayheads, Weiland Areas and Environmentally Sensitive Lands; WaterWastewater Treatment. - Southwest Florida Water Management District -Wells, Cypress Bayheads, Weiland 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: µ Use of fill is not allowed in Flood Zone "V" unless expressly permitted. If the fill material Is to be used In Flood Zone 'W' 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 Mate 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, panic, air conditioning, gas, or other installations not specifically Included In the application, A permit Issued shalt be € onstrued to be a license to proceed with the work and not as authority to violate, cancel, alter, or set aside any provisions of technical codes, nor shall Issuance of a permit prevent the Building Official from thereafter requiring a correction of orrote in plans, construction or violations of any cozies. 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 prime Is suspended or abandoned for a period of six i(g months after, the time the work is commenced. An extension may be requested, to writing, from the Building Official fore 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 PAYING TWICE FOR IMPROVE as Notary Public Commission No GG932233 Elizabeth Nasuti _..__. Name of Noaay typed, printed or stampe 4 �a CONTRACTOR � x..�... Sus `be and. o (or affrme before this Who Istare personal, known to me or has/have produced ps identification. k�_n.L �b Notary Public Commission No._ IlNotary Public r 813-780-0020 City of Zeighyrhil(s Permit Application Fax-81 3-780-0021 Building Department 3 Ivy Date Received PhoneContact for Permittin 813 543 5610 E T a 0 a $1- a I rp I tat it �r P an I her a 678-977-3.316221 Owner's Name SF ZEPHYR COMMMIONS OUTPARCE�L.SLIP Dome 8 he.. Nrin!b tilt, 360 S ImsenraiT St #400 Owner's Address WEST PALM BEACH, FLORIDA, 33401 Owner Phone Number Fee Simple Titleholder Name [_ = Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS LOT # SUBDIVISION PARCEL [D#[3�5-2-5�21-0130-0�OO�10'-004�O I08TAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADDIALT SIGN DEMOLISH 1� INSTALL REPAIR PROPOSED USE SFR COMM OTHER TYPE OF CONSTRUCTION BLOCK FRAME STEEL FHE PROJECT CONSISTS OF A ONESIORY SHELL UNSPRINKLERED BUILDING, -LANDSCAPING, SITE AND Civil, DESCRIPTION OF WORK TO PROVIDE FOR GRADING, DRAINAGE, UTILITIES AND PARKING ASSOCIATED syrai THE NE 7BUILDIN =========�G [�M46�� [�= BUILDING SIZE SQFOOTAGE HEIGHT =BUILDING L690,000___] =ELECTRICAL =PLUMBING =MECHANICAL 0.00 VALUATION OF TOTAL CONSTRUCTION AMP SERVICE PROGRESS ENERGY = W, R, E, C, S VALUATION OF MECHANICAL INSTALLATION rep =GAS ROOFING =.X SPECIALTY = OTHER a"91 , oa— FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA X =YES NO ch"IK's BUILDER COMPANY iConstructors L1,C , Ec� "IT"t"' I']'( - SIGNATURE REGISTERED Y/N FEe cuRREN Y/N Address 1:2:01 �NlFran�khnSt, Suite 200 Tam a �F,1,336U]2 License # [C�(�C00419�0� ELECTRICIAN COMPANY E ;;; �Cl SIGNATURE REGISTERED FEE IRREN Y / N� Address License # PLUMBER E== COMPANY E �IU.U�RREN�� SIGNATURE REGISTERED Address License# MECHANICAL COMPANY E �IEE SIGNATURE REGISTERED CuDIRENY i N�� Address License # OTHER ?„�COMPANY E rRIEN�� SIGNATURE REGISTERED FEE 01 Address License # 111##4111111111 141[tillittl[Ill tstatt#tlttttg 1*9#111914ttl t##111 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, StermAster Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpater; 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, Storm eater 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 $7500) - Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (copy of contract required) Reroofs if shingles Sewers Service Upgrades A/C Fences (Plot.'survey/Footage) Driveways -Not over Counter if on public roadways, -needs ROW 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received PhoneContact for Permitting Owner's Name Owner Phone Number Owner's Address Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS LOT # SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR F__1 ADD/ALT = SIGN DEMOLISH 11 INSTALL 0 REPAIR PROPOSED USE SFR E:] COMM OTHER TYPE OF CONSTRUCTION BLOCK FRAME STEEL DESCRIPTION OF WORK BUILDING SIZE So FOOTAGE HEIGHT = X_X_3rx_) =BUILDING VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL =PLUMBING =MECHANICAL r== 1$ AMP SERVICE PROGRESS ENERGY = W.R.E.C. VALUATION 017 MECHANICAL INSTALLATION =GAS ROOFING 0 SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER COMPANY E SIGNATURE L REGISTERED � �FESCURR�111�� Y N Y/N Address q�License # ELECTRICIAN% COMPANY IA�J,C a &LLTI D SIGNATURE REGISTERED Y/N FEE CURREN Y/N�N � Address Av 6 VA M N j:3 GI =P 1 c o n a a # 1—c—f3: =S PLUMBER COMPANY �1. IR�1111Y SIGNATURE REGISTERED Address License 4 MECHANICAL COMPANY E� SIGNATURE REGISTERED , E OUIR�ENY / �N Address License# ,F REGISTERED E N OTHER COMPANY SIGNATURE C,11�111Y Address License 4 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, Storrnwater Plans w/ Silt Fence installed, Sanitary Facilities & I 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, Stormaiater Plans w/ Silt Fence installed, Sanitary Facilities & I durupster, 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) Reroofls if shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage) Driveways -Not over Counter if on public madways,,needs ROW 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact for Permitting 813 543 5610 Owner's Name SF ZEPHYR COMMONS OUTPARCELS LP Owner Phone Number 678-977-3362 1,100 CLEMATIS STREET SUITE 201 Owner's Address L�LL_ T �PALNI BFACH, F�ORJDA,33401 Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS LOT # SUBDIVISION E==== PARCEL to# 35-25-21-0130-00000-0040 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR e ADD/ALT SIGN DEMOLISH L11 INSTALL REPAIR PROPOSED USE SFR COMM OTHER TYPE OF CONSTRUCTION BLOCK FRAME STEEL HE PROJECT CONSISTS OF A ONE STORY SHELL UNSPRINKLERED BUILDING, LANDSCAPING, SITE AND CIVIL DESCRIPTION OF WORK ITH THE NEW BUILDING BUILDING SIZE SQ FOOTAGE 23oQo HEIGHT [24'= 4EAL V,V-Ar x -CIL CIE oult7v VAt x 'Cir cicx' lux -JUIL-V VV_C_W ALAL-V4 =BUILDING ' 1VALUATION OF TOTAL CONSTRUCTION 690,000 1 =ELECTRICAL ,r�Tt AMP SERVICE PROGRESS ENERGY W.R,E,C. 199,000 =PLUMBING $ 26,000 =MECHANICAL E00 VALUATION OF MECHANICAL INSTALLATION = GAS ROOFING [K] SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA X DYES NO BUILDER COMPANY SIGNATURE REGISTERED FEE O.RRENY / N� Address License # m� ELECTRICIAN COMPANY SIGNATURE REGISTERED 111.111R.N Address License # PLUMBER COMPANY Premium Plumbing SIGNATURE REGISTERED E� �Y/ �NFEE Plumbing �Y N�� Address 4402 W. Crest Ave., Unit C Tampa, Fl. 336141 License# MECHANICAL EY� FEE �CIIRRFN�� SIGNATURE = COMPANY REGISTERED Address License # OTHER COMPANY E SIGNATURE E=::= REGISTERED ;;;�IEF CuRREN�� 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, Stonnwater 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, Stonrnwater 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 813-7MG020 City of Zephyrhills Permit Application Fax•813"780-OD21 Striding Department Grate Received for Pemutting t 813 1 543 - 5610 �Pha�oaContact owner's Name ,SF ZEPHYR C:QIVL 1QLS IT OwnerPhoneNutntier 678-9 i-3362 d£FUCL.El IA 'I,C'�'TIZEETSUTr ZoI Ownees Address WEST PALM StiACli. Fld RILI A. titOl Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple'fitiehotder Address JOBADDRESS LOT # SUBDIVISION _ P PARCELID# 3S-?"�lt7tlgf}-il }ft6 (OBTAINED MOM PROP€"TAX HOME) WORK PROPOSED NBY CONSTR [-I ADUJALT SIGN DEMOLISH INSTALL REPAIR PROPOSEDUSE SFR ] COMM LATHER TYPE OF CONSTRUCTION BLOCK C3 FRAME STEEL I T.ik' PROJE{;T IJ',.t3kAClESTOC'k'S isl, a11VSPF2\.Ki.RELm BGIL I4U„f.r'4i fJ;f(:..lk'Ltiti.SC ER\ 4" •' DESCRIPTION OFWORK Si'U4LCTUPEf3LTIDlhrC'�rtG[2zi.UI`t3.Z�FthibS.A.{3E.tY1'SSCF`it:S:��UPA3ih�tiGhS.'ICIC:YA'!'Ri7itiS'lti.i'HENEtiYBUILDIN BUILDING SIZE SQFOOTAGE HEIGHT BUILDING VALUATION OF TOTAL CONSTRUCTION ELECTRICAL I AMP SERVICE PROGRESS ENERGY W R,E.C, PLUMBING S�l) MECHANICAL S 0,.00., � VALUATION OF MECHANICAL INSTALLATION GAS F2CiGF1NG ® SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS F — FL{lODZONEAREA X =YES NO BUILDER COMPANY SIGNATURE € Fc�sreRro Y Z N reF rta�ecla Y 1 N Address License# ELECTRICIASIGNATURE COMPANY L?M SIGNATURE neu Y 1 N FFF rtalnr.Tr, Y 1 N Address License # E PLUMBER COMPANY SIGNATURE REGISTERF0 ,s.nuriRFu YtN Address License # MECHANICAL � � COMPANY SIGNATURE r� it REi Y 1 N � rfC euRRrA Y l N �� Address License OTHER ��% ~� COMPANY �aINATURR _,__ Rs�srFaera Y t N nF�cUnR,F�N^ Yt N Address +'�,�",++� .r�c.�A`., t.lid 's,:l" "'7�•�-' ... + 1.��Ece�n.�r-.0 RESIDENTIAL Attach (2) Not Plans, t2) sets of Suilding Plans, (1) set of Energy Foans. R-€I W Permit for new construction, Minimum ten t1U) working days after submittal date. Required orisite, Construction Flares, Storarivitcr Plans wl Silt Fence irsaalied- Sanl lty Faidliries & I durnpti cr. SAO Work Permit for Stkidivisloost rge projects COMMERCIAL Attach f2) cornplate set., or Building Plans plus a Liras Safety Page; (1) set or Energy Forms, R.O-W permit tree new construction. Minimum ton (TD) work" days after submittal date. Required onsltc, Construction Plans, Stermwaw Plans Iw $14 Fence installed, Sanitary Facildos .& I dumpster. Site Work Permit for all new projoce. AN commercial requirements nts must miner compliance SIGN PERMIT Attach (2) Stt$ of EnginlIered Plarts. --PROPERTY SURVEY required for all NMI construction, Dira;ctlons, Fill out application tompleteiy. Owner & Contractor sign track of application, notarized- If over $2500, a Notice of Commencement is required, (AIC upgrades over $7600) .. Agent (for the contractor) or PInver of Attorney (for the canner) would be swraonc with notarized letter from owner suthorinng satmo OVER THE COUNTER PERMITTING (copy of contract required) Rc e Fs if shin ies Sewers Scwice Upgrades AJC Fe xes (Floc SwvegtE x (age) Driveways -Not over Counter if on public roadwa ..nceds 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, it 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 property licensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION IMPACT/UTiLIT1ES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of now buildings, change of use in existing buildings, or expansion of existing buildings, as specified In Pasco bounty Ordinance number89.07 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 (sea are due, they must be paid prior to permit Issuance In accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW (Chapter713, Florida Statutes, as amended): If valuation of work Is $2,50DM or more, I certify that 1, the applicant, have been provided with copy of the "Florida Construction lien Law --Homeowner's Protection Guide' prepared by the Florida Department of Agriculture and Consumer Affairs, If the appiicantIs 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 to 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 Installationhas 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 Identity what actions I must take to be In compliance, Such agencies Include but are not limited to; Department of Environmental Protection -Cypress Rayheads, Wetland Areas and Environmentally Sensitive Lands, WatenWastewater Treatment. - Southwest Florida Water Management district -Wells, Cypress Rayheads, 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 fitk Use of fill is not allowed in Flood Tone "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 wail 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 to 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 piumbing, 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, otter, or set aside any provisions of the technical codes, nor shall Issuance of apermit 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 parrmt issuance, or 9 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. tLVYtIEiH JUKNI (N.A", mm€, Jj e" �.'-- OWNER OR ANENT CONTRACTOR Subscribed and sworn to (oraffrmme bsfo a ee Su s gr d o (or affientitit before this Who are personal to me or hasthave produced Who is/are personall known to me or business produced as Identification. as Identification. m NotaryPuolie Notary Public Commission No. 932233 Commission No. Elizabeth Nasuti Name of Notary typed, p led or eta road Name of Notary- typed, printed or stamped g KIMBERLY CI. HOFFA Notary Public State Florida of 6�d Addd y r TH NAM ELIZAB_m Corr m# HH262680 Ce t � m Expires /13/2026 ap�� I >°F r r Perhdteho. 005 —t�Q a PanalIDNo 35-25-21-0130-00000-0040 NOTICE OF COMMENCEMENT state of--Elol 1&--- County., Pasco THE UNDERSIGNED barony gives nonce that Improvement foal be made to certain real property, and in accordance with Chapter 7113, Florida Statutes, the following information rs provided Aded in this Notice of Ccmmenceement, 1, Description of Property: Parcel Iderbin"clon No. Street Address! _L8 b4 Gall Blyd 2, General Description of Improver i New OTIC stoli 5116 1111sprilik1ged buildin landscaping, 3. Owner Infori or Lessee information it the Lessee contracted for the improvement: SF ZEPHYR COMMONS OUTPARCELS LP Name 360 S Roseman.. St #400 West Palm Beach Address Cdc, State Interest in Property: Name. of Fee Simple Titleholder: (It different from Owner listed above) Address City State- 4, Contractor Ic nsnuctcui �Ilc F1, Ciy State Co,urachu a Telephone No.: R13-,2ja QO 5, Smety: a A-6(— — -- --- — Address - City State Amount ofBond: Telephone No.: 61 Lender. Wells largo Bann, National Assoeiah on, c/o Wri Salem Loan Center, Loan # 1003644 Fee Ore WesI4VSi, 3rd boor Winston Solent NO 27101 Address city State Lenders Telephone No 7. Persons viti the State of Florida designated by the owner upon vitiom notices or other documents may be served as provided by Section 713.13(i)(a)(7), Harder Subdue: Name Address — Eii--- State ---- Telephone Number of Designated Person. B. In andiron to himself, the ocinar designates of to faceive a copy of the Lienors Notice as nuitirded m8ecron 713-13(1)(ur 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 construnfloi and final payment to the, cimiracka, but viiIi 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 RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED ANN POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU IN] END 10 OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Under penalty of perjury, I declare that I have read the foncr, n " .... stated "a"' mare"note the of of my knoyAodge and belief. STATE OF FLORIDA COUNTY OF PASCO a, a d�.1 Owner'sOwner's.1 .as a., a Anntical Signature Ide h"ree V,1 art a ad. a Officeida Manager, SF Zephyr C2Limuorlft Outparcels LP Signatory s Title/Office The foregoing instrument was acknowledged before me this _93_day of eceMblul'2023by_Jeli Freston _ as Mattag6r (type of authotilY• e.g.. officer, tnstee, attorney in racU far SF Zephyr Commons Outparcels, LP (name of p y on beh If of whom instument free denied). Personally Knovin 0 OR Produced Identification E] Nolay Signature Type of kneratfination Frescoed Name (Print) mycomma"013GINI= if g, EXPIRK Wwy 28,2024 u ,p,lata/bcs/noticecoinryieric,-.menl-pc053048