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Home My WebLink About12-13502 CITY OF ZEPHYRHILLS � ' S335-8TH STREET (si3)�so-oo20 13502 BUILDING PERMIT Permit Number: 13502 Address: 7860 GALL BLVD Permit Type: COMMERCIAL ZEPHYRHILLS, FL. Class of Work: ADD/ALT COMMERCIAL Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: ZEPHYR COMMONS Est. Value: Parcel Number: 35-25-21-0130-00000-0140 Improv. Cost: 25,000.00 Date Issued: 10/08/2012 Name: SF ZEPHYR COMMONS LP Total Fees: 14,623.47 Address: 2851 JOHN ST STE 1 Amount Paid: 8,306.20 MARKHAM ON CANADA L3R 5R7 CANAD Date Paid: 10/08/2012 Phone: (352)521-1569 Work Desc: BUILD OUT 1,400 SQ OFFICE FOR (1) DOCTOR L '�'e��-25� �'LUMBING FEE 60.00 MECHANICAL FEE 60.00 BROTHER'S PLUMBING INC FIRE PLAN REVIEW FEES 420.00 TRAFFIC IMPACT FEE 99% 8,223.14 ALEXANDER AIR CONDITIONING 8 HEA TRAFFIC IMPACT FEE 1% �----•-63' QMMERC 1,324.38 ��(�ne_ �� - (.�� (� SEWERCONNECTIONCOMM 4,152.89 �� l�'I S�I I v�- b`� .. �C � _«_�.�,, �� 1 � r��4 /Y �.�/ �� L! �7 t;k.� (0-{6-t. � , �Fvt�e `r=��`��.-Z._ �'`.¢ --P �� -��q� ��{�' ( � � � �' /t�6�1�°' � �_ ��{�2- �- z� -�a- c:�ha�, �E acf�.+.e� �.,�s�.�� s�I�..T- � ��- � '� �-r.ce. �2-�5�-�Z �,j z� C._? ' '�c.�C.'f�.f�'{l 5 L�' i cs `�' � t. �% l� '{ vl a�C 1 �S � i n� SC��:c-�• � l G 2 y-/�-'�-t�C `.�'.� -l�i-I'Z ELECTRICAL FINAL DUCTS INSTALL �1 FIRE WALL FRAME FINAL PLUMBING INSULATION CEILING 2ND ROUGH PLUMB PRE-METER 1ST ROUGH PLUMB MECHANICAL FINAL INSULATION WALL REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80(2)(c)when extra inspection trips are necessary due to any one of the following reasons: a)wrong address b)condemned work resulting from faulty construction c) repairs or corrections not made when inspections called d)work not ready for inspection when called e) permit not posted on job site f) plans not at job site g)work not accessible. 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 permits 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,oonsult with your lender or an attorney before recording your notice of commencement." Complete Plans, SpeciFcations Must Accompany Application. All work shall be pertormed in acoordance with Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O. / � L-��.---�' TRACTOR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER ""�'°"""""' c;iry at[ephymilis Permit Application Fax-813-7B0-0021 Bufiding Department ''''�� `"� Date Received 9 �c�' �� Phone Contact for Permittin `!� ��C� __ (�rJ �� Owner's Name �(,aSC_v 2.e�- ,�v.c,1C� /�(t��`CC,� C��'�e`/ Own '�,-,2 �_ % �rrt�r S l�� Owner's Address � �.�3�� ,' -„� �r'" Owner Phone Number Fee Simple Titleholder Name Owner Phone Number � Fee 3imple Titleholder Address J08 ADDRESS J�� G G I I C�/(,�� LOT� � SUBDIVISION PARCEL ID# (OBTAINED FR�OM PROPERTY T�TiCE)DEMOLISH UVORK PROPOSED NEW CONSTR ADD/ALT C� SIGN INSTALL 8 REPAIR PROPOSED USE Q SFR Q COMM � OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME �� STEEL Q DESCRIPTION OF WORK ��-�r 0 ��'�-F- �>„�• Il/I` a� � O(J S �� BUILDING SIZE a� x 7 v � gp FOOTAGE �;J�� HEIGHT �V � Q BUILDING S - �,/b VALUATION OF TOTAL CONSTRUCTION�,3�j��U �f �T-` ��.; QELECTRICAL $ ��/ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.0 3 .33�'v . /� QPLUMBING a , s ��.� . �-� Z)S-e..f-s . �3 ��-�— QMECHANICAL $l, ,,/►- VALUATION OF MECHANICAL INSTALLATION � `, �`' . � C� ��c / ^ QGAS Q ROOFING Q SPECIALTY � OTHER � �� +S,r,, ,5'G{f�J � 7'� FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES N BUILDER � �� SIGNATURE .��- �� COMPANY �V�?/,< �/�j C,,;�o�/L•t��i�n� _ REGISTERED Y/ N FEE CURRE� Y/N -� Address - ----— -- - - _- License# 2 S�� r '",�c ELECTRICIAN � � COMPANY G-�W!1't e�v (� ��c�f(;`t w J y hSIGNATURE � fl'"� � REGISTERED Y/ N FEE CURRE� Y/N � �ti�� '� Address License# .----------- -- _- /7 - l2�LY'1MBER ��P � o COMPANY /J r�7'f,rr s P I t t�-. L-,��--�. -- - �;,SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N � � � Address License# ' MECHANICAL �J� � �� COMPANY Q I�t'�G I�c'�f,/ ,�• L , ��G,�l�� 1 O - SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N 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 aRer submittal date. Requfred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Fadtltles 8 1 dumpster;Site Work Permit for subdivisionsAarge proJects COMMERCIAL Attach(3)complete sets of Buflding Plans ptus 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,Constructfon Plans,Stormwater Plans w!Silt Fence installed, Sanitary Facilitles&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 requlred for all NEW construction. Direct(ons: Fill out application completely. Owner&Contractor sign back of applicatlon,notarized If over S2S00,a Notice of Commencement is required. (AIC upgrades over=7500) " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owne�authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage) Drivewaya-Not over Counter if on public roadways..needs ROW NOTICE OF DEED RESTRI�;TIONS: The undersigned understands that this permit may be subject to"deed" restrictions" which may be more restrict' �e than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restriction�.. UNLICENSED CONTRA�CTORS /1ND 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 misdemyanpoPyiolation under state law. If the owner or intended contractor are unce�tain as to what licensing requirements ma a I for the intended work, they are advised to contact the Pasco County Building Inspection Divisfon--Licensing Section at 727-847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the conUactor(s) sign poriions 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 entiNed to permitting privileges in Pasco County. TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understan s that Transpo�tation Impact Fees and Recourse Recovery Fees may apply to the const�uction of new buildings, change of use in existing buildings, or expansion of existing buildings, as spec�ed in Pasco County Ordinance number 89-07 and 90-07, as amended. The undersigned aiso unde�stands, 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 "ce�tiflcate of occupancy" or final power release. If the p�oject does not involve a certificate of occupancy or final power release, the fees must be paid prior to permit issuance. Fu�thermore, if Pasco County Water/Sewer Impact fees are due, they must be paid prior to permit issuance in accordance with applfcable 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 Depa�tment 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'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 applicabie 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, l�Itering 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 express�y 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 prope�ties. 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 AGEN7 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 �ot specifically included in the application. A pe�mit 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 IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCNT, CONSUL7 W{TH YOUR LENDER�R AN ATTORNEY B FO RE ORD NG Y U T FLORIDA JURAT(F.S. 117.03) OWNER OR AGENT CONTRACTOR Subscrlbed and swom to(or affirmed)before me thfs Subscribed and sworn to(or afffrmed)before me this by bY Who is/are personally known to me or has/have produced Who Islare personally known to me or ha as ide tlficadoen as identlficatlon. Notary Public Notary Public Commissfon No. Commission No. ed, rinted or stamped Name of Notary typed,printed or stamped Name of Notary typ p Sep 26V 12 12:45p Soundwaves 863-648-4667 p,� o�riower�u 09l26f2012 12:28 NQ20 P.001/007 �Lm'�<GeP�YmlRS Permft qPppcetlon e�d►�awo.wn.n! Faa�a•naaarz� we.re.o.�,�.a 9 s.Y �.�. rh°�" '`°` Y�0� .. 69 Y,�i a.�.r.wm. P � ..��r 3�. owa.rs�re �1 ��=5-��. �s E 9 �,=�M�d;�-'.�"7�"r. �{- r Fe�lh��TlNypp�rN� �lha»�r ' ��M If�Mnar � F«�In�W 71tlMdd�rAdrYy� ` J � S � -�--._• .ws�oo�ESS 7�'6o Ga!/ lf%yo� snso�s� � wT a � ----�� PARC�IDi► �� 1�KNNrn rlt� r�ODE0118E � ��B RE�P�qT � 8lfiN [��tr�Q p�YtOUSH flTF OR COMdT�{►�� Q �p� L� FR/M1E O OTFfER �TIONOF110AIC /,�o fp.- � S7EQ Q � a�:� ,�;,.�a- a aa s rau��ro smE a�x 7 0 ' sa�nor� /�<� '✓ Nea�r. /�' ��U o� � ` �]EteCiwcaL ,f � ^ �� v�rroHOSror�ooNS�rcnow�3b�opp � :) !ta . � �s�� Q PR06RE38 ENERCiY QplUM81NCi C� W.R.E.C. : � � ��S .� ,x.'"'v• � ` O��NIC.AL �, .� .� VqLWTfONOF�CHANIGq�WSTALLR710N O� � I�OFlNG Q gpECW,7�, �/"bG FINISFI�PLOORELEVMIONS �� O�FIE^�_ ��IS�� L..J T� g11N.HElt � SIfiNA71MlE -�'t.t-� +�� OON111NY �!/l��. �� ' sisdib.t.�is,v RERlfli� wd�llts Y� FQ QlRI�I T/N . 2� - - - - _ uosne.• IC1AM -�.. �� L�u,n.�, Ei��t�,.��,i �-at^•L/ _ 16q�►EjED Y%N R�ECYRRB. Y/N \ wea�.. �. � �-•�. � �„�4 Fl. 33�r�' � �� u�... �M�� O 13 � s�aw►TwtE � co�v�unr /�rur�:�re P I., _..._ .,� JlORIER� ! M.�:w. . � Y/N r�q�y�, Y!N �C1IAMCJII L�e� aw�n►ae carrwm► A/rxG��,.Lr ,Q.L, neas�eem ri N �wde�, Y/N Aa+r.ss O�R - Uanse A s10NA?11RE COIMPAl11� Addlys �� Y/M uos�ee� �O�'�� ►t�d+Rl t+bt Pl�tu�R}��b ar 9ullartq Ar�(�)a.t d MNihNna 1en(fU)�!'o!�D d�7s aR�r Wbnlpal d�6s. �rYN Famr,R4.W p�nnit la nsw eorr�ucUa�. R�ed�Nh,CC�buelbn Plaro.8lonnwarer V I�n�a�w cn�c.....�,.�-� - n,s-�au-uuzu Ciry of Zephyrhills Permit Appiication Fax-B13-7B0-00T7 Bullding Department Date Reeelved Phons CoMaet for p�rmlttl� Owner's Name Owrier Phona Number Owne►'s Addrcss Owner Phone Number Fee Simple Titlaholdar Nems � Owner Phone Numbe� Fee Simple Tkleholder Address JOB ADDRESS LOT! �� SUBDIVISION PARCEI IDA (OBTAINEp FpOM PROPERTY TAX NOTICE) MfORK PROPOSED B NEW CONSTR 8 ApD/ALT Q SIGN Q Q DEMOLISN INSTALL REPAIR PROPOSED USE Q SFR Q COMM [_] OTHER TMPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL O DESCRIPTION OF WORK BUILDING SIZE SQ FOOTAOE�� MENiHT QBUILDING s VALUATION OF TOTAL CONSTRUCTION QELECTRICAL S AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. QPLUMBING s QMECHANICAL s VALUATION OF MECHANICAL INSTALLATION QGAS Q ROpFING Q SPECIALTV � OTHER FINISHED FLOOR ELEVATIONS F�OpD 20NE AREA QYES NO BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREI. Y/N Addreas Ucense# ELECTRICIAN �COMPANY O�^ L� �� ' � SIGNATURE EGISTERED Y/ N FEE CURREI. Y/N Addrcss License� _�_�j�(, /��` PLUMBER COMPANY SIGNATURE REOISrenEO Y/ N �E curtnen Y!N Address ucense# MIECHANICAL COMPANY SIGNATURE REGISTERED Y! N FEE WrtREn Y I N Addrc�s U�86# OTHER COMPANY � SIGMATURE reEC�s�aeo Y/ N F��treEn Y/N Addross � Ucense!1 RESIDENTIAI Attach(2)plot plans;(2)seta of Bullding Plans;(1)tet of Energy Forms;R-O-W Permit ta new construction, Mlnimum ten(10)wakirp days after aubmlttal date. Requlred onake,ConsWdion Plans,Stortnwater Plans w/Silt Fence instalied, Sanitary FadNtles 6 7 dumpater;Slte Wak Pertnit for subdiWSionsllarge proleets COMMERCIAL Atlach(3)compiete sels of Buildlrg Plans plua a Life Safery Page;(1)set ot Enetgy Forms.R-O-W Pertnit fa new construcflon. MiMmum ten(10)working days afler aubmiHal dafe. Requlred onsite,Conatructlon p�ans,Stormwate►Plans w/Sllt Fence installed, SanHary FadliNes 8 1 dumpster gite Wak perm�t for all new projecfs.A11 commerdal requirements must meet compliance SIGId PERMtT AHach(2)sets ot Erqineered Plans. ""PROPERTY SURVEY roqulrod for all NE W consWeflon. ---�r rrr�,.�� DlrocHons. Fitl out applicatbn completey Owner 3 Conhador sign back oi appNcation,rwterized H ovar f2500,a Notlee o/Comm�npmeM Is nquired. (AIC upgndes owr f7500) " Agent(for lhe contractor)or Power oi Altomey(for the owner)would be someone wilh notarized lefter irom owner autlwrizfng same OVER THE COUNTER PERMITTIN(i (Front of Applieatlon Only) Reroois il shingles Sewers Servlce Upprades A/C Fences(PbVSurvey/Footage) Drivevinys-Not over Counter ii on puWic roadways..needs ROW a7riarweo Cil[y Of!„epryy�q5 PARRI!Applics(jpp ' B�^D�n.nt _- _—��aa�, o.e.R.�e � z'� /.1�. a f.. r�on.c�w.ec re. t�p R - 6 9 Y3'.-•' bMIMhNwns �GlCA �R�rbv� /��'GG.� CL»'�c✓ _,-�I_/S�F9 owr�s►sned�s 3 1.t3: .f?�to�,'s.l. /Jr. � °i'y►��Num6a F�s�hnPla TkNholen Mrna � OMeter?I+oM NurbM �� F��+ph TNN1�et1l�r Ap�p� JO��1Op� ��'bc Gal! lfiv WTN �� SUBOIVIg�pp PARCg y� WORR PROPQ�EO �""7 B I�TIM�Fw0YM1ClORYTAY Np}I�q 1� IN�sTA�� I�PaaT � '�" � 0 oEl�OUSn • �ED U9E YYPB OF Cp1��pN Q �K Q FRAME � oiMER � �� , o�*ron oF woat �c�O r o FF:•ct h;�,ld- a OU S atribwo sq� a o ic 7 0 ' sq r�oOTi►ee� !' � �0• . 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LJCBIIie! s� _ �.r 1• c��rn ...q/{x a��.�r Q.C•, {.t �i 1 , .. ��' �6N71flD Y/N �� Y/N �� ---`- ucen�.r�— O'rll��c �� r � � Y RlOINOI� YJN ��• � �R aesaENrw. ,uncn a)�+ot P►�!�ae�a eueano w�ft)a.e or ei�ryp r+a�,�wo.w n�,�aa n.w a�r„dp�, �R�m Nn(to)waNYq e�ys alb.ra+�lYr aats. iMq,rbe o�ry.,ton.�ellen va�,c,samw'a.r Pirn wr sYt FenW►�aiMed� S�nifaeY Fae#�as i 1 du�q�r;'�b YYbrk Pamk kr�o�dsaas �� ^�^��D�wbnlNbl d�N. ��Ip s�l��Farm�.RO W PamN+o►mw aornYUClbn. s�)aEwY►rr Aaa�a► FedAws l t 0una��a wbrk P«nat br ap nsw p�q�,Ap oommwaN�'esquMan�es n�t�meet��'� (2>u�k a Ergln..r.e awis. ��ERTY S{JI�YEYlp{rllO IOFl�NE1N QO�IOi011C/Ofl. 011lCN0116: �Ot7�7PO�IC�1101100111p161lIyl. M o�ver�2i��`d�O�albn.roEenzeA �a narr.d, puc aaor+�+awr rsoo� � 1�OMIt(i0►f�!�Or POWK 0(Atlpl1ElY M�o►tl�e piMN�M'01l10 D!l0111lMt!NiM IIOf�lzW klfr 6am pwyr ayNpy�g IqiM! R�OO�S SNfl�B6 �Sbvlps(Ip�M��Fl11E�l1(PIO�qv�y�pp�� a+�lot wer Counla M on PubNe ro�ervays..nea0s ROW aooiaoo'd Obp� tb:o� z�oa�zoro� �Nxewn�d s,a�,i,aas :uo�j Z0/Z0 39�7d rJNISWf11d S,�13Hl0agR �s:r.r 7.TQ7./7.plpY „�„T�.,�„ Z0 9Z�0Z ZZOZ/Z0/0Z A�ER RECORDING-�T RN r0• s�H � I IIIIII IIlII IIIII IIIfI IIIII{IfII IIIII IIIII IIIII IlIII IIII IIII 2012168446 � - - - - - PERMIT NUMBER. NOTICE OF COMMENCEMENT The undersigned hereby gives notice that improvement will be made to certain real property,and in accordance with Chapter 713, Florida Smtutes,the foilowing information is provided in this Notice of Commencement. I DESCRIPTION OF PROPF.R7'Y(L,egal description of the propcRy&strcet address,if availflble�TAX FOLIO NO.:j S `��2I —a/3 a -o��-o�`�0 SUBDIVISfON Z,e�V(�-�Q��!y��h� BLOCK TItACT LOT BLDC UNIT 1'^'T^- ��ol� �all Blva � •,�„�L,�L Rcpt:1465778 Rec:-10.00 - 2. CENER.4L DESCRIPTION OF IMPROVEMENT: IDS: 0.00 IT: 0.00 �10/04/12 C. Cook, Dpty Clerk -. 3 OWNER INFORMATION OR LESSEE INFORMATION IF THE LESSEE CONTRACTED FOR TNE IMPROVEMENT ' a.Nameandaddress:�Q,$(b 1'leQj�(�p� � r� rQn�-�� 13�Op �Ork KI/10 �. ��Cj}y��,, b.lnterestinproperty� p(1Qn 335as c.Name and address of fee simple ti[leholder(ifdillerent from Owna li9ed above); a a.coNrRncroe'S NwME:Evanpelisto Construction LLC �o�,«a��o��58d�CSS: 1303 Tomwatson Rd Lakeland fl b.Pho��,b« 863-409-6985 � SURF.TY(ifepplicable,a copy of the payment bond is attached): a.Name and address: � LiULA S 0'NEIL,Ph D PRSCO GLERK & COMPTROLLER b.Phane number: c.Amount af bond:;10I04�iZ 04:25 m 1 of 1 t.a.LENDER•SNwntE: �\ OR BK $��4 PG 25g7 ` - — - ---- - — ---- - - - --� Lender's address: b.Phone number: 7 Yersons within the 3tate of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 7t3.13(1)(a)7.,Florida Statutes: e.Namc and address:�[ ( M � � C --��LCt ._�`1a3S___�irn.l.�ri�l3 l.�dc Ci�y , �C. b.Phone numbers of designated personr. ��,7 p1" sp�' — Tna �7U'1(74L�O�V 33sas 8.a.[n addition to himself or herself,Owner designates a� to receive a copy of the Lienor's Notice as provided in Section 7]3.I 3(1)(b),Florida Stututes. b.Phonc number o(person or entity dcsignated by Owna. 9 Expira�ion dxte of notice of commencemenl(the expiration date may not be before the completion of construction and final paymenl to the conlractor,but will be I year from the date of recording unless a different date is specified):__ Zp WARNAIG TO O R ANY PpyMENTS MADE BY TFIE OWNER AFTER THE EXPIRATION OF Tl-IE NOTICE OF COMMENCEMENT' ARE CONSIDERED U,iPROPER PAYMENTS�m?nFR ruarTRn�ia neom r ec�..... RLSULT W YOL�PAYIIVG TW[CE FOR IMPRnVF�.+F1�r1'c Tn vn�ro nn�.ntr.....� .��3'� FLORinA CTp �C q�CAN SECORi)ED A1JI�p0 TED ON TFIElOB SITF RFF(1RF TT�G ctnem nicocrri.�..� `• •�� N EMENT M ! T BE ^'YOjj�E2JD TO OBTAIN F1NAN rJ� �ON ULT W fi7i YOUR LENDER OR AN ATTORNEY BEFOR�COMMENCQ�(G_WORK OR RECORD[N,YO NOTIC' OF COb1A4ENCEMENT. Under of pequry,1 declare thnt 1 have read lhe foregoing notice of commencement and that the facts stated therein are true to th s F knowledge an IieL (Si natur of Owner or[,essee,or Owner's or Lessee's / �, ��n Authorized Ofticer/Director/Partner/Manager) (prmt Nsme nnd Provide Signatory's Tit[e/Office) State of � � d �/�� County of The forcgoing instrumcnt was aclmowledged before me this__�___ :.S d8y�f C�I�/� 20�-� � . bY ,as ��U � (namc nfperson) (type ofauthority,. e.g,officer,Vustee,attomey in fact) for 0 r- (name of party on be of whom instrument was executed) Personally Known or Producod Identification Type of Identifica'on Produced ��ke, Nolary PuWic SWte of Florida �� f` Tabatha T Wallace iU�� t r�, +�� My Canmiaaion DD875222 �fof�� Exprsa 03129l2013 (Signature of Notary Public) (Print,Type,or Stamp Commissioncd Name of Notary Public) . c r �J�,G�•�I�C� STATE OF FLORIDA, COUNTY OF PASCO � ' �� THIS IS TO CERTIFY THAT THE FOREGOING IS A �j • ', .�c 1"f<<t�.,AND CORRECT COPY OF THE DOCUMENT ,N,Q�,.,,.sr . 0'�� iLE OR OF PUBLIC RECORD IN THIS OFFICE * . rn GoQ ,` ,,.. ♦r ��,!ITt�� S MY HAND A 0 FICIAL SEAL TH4S � s� • � DAY OF � � � �/ � ** 1887 P �,�� t� � t�'NE,IL, C RK&COMPTRO�LER , � � �� j � /,,� �� DEPUTY CLERK �� w �'�t /( ////)�FIAAA t✓�/-�'/�7��.�. �� RASC4 COUNTY, FLORIDA Permft No. �b Z Date Permitted %b �ff�(�- 8ullder Name/�Jwner Name �V�q2 LI�S� �-(9�JT'�-�oTffrol# T County Parcel No. ��'ZS-Z-(--�� 3U'��•��Z`d SubDiv: � � r �c�S Address/Location (�S(4(� �g 14� � 3� �y Classification/TypeofUse �dDWtMe��(�/ ��j}(� S'�' � -�� t�pL��•- (��(�_ TRANSPORTATION IMPACT FEE , Rate: � Sq Ft UNt; I `�"� Exempt � Yes [� No How Determined � Impact Fee Amount $ ��v�` �'b Zone No. TAZ: SCHOOL IMPACT FEE Account (056) Single-Family Detached House Amount $ JV�� (057) Mobile Home (058) Other Restdential 123) Collection Fee Exempt Yes [] No How petermined PARKS AND RECREATION FEE Land Account Land Credit Land Total Recreation Account �_ Recreation Credit Recreation Total Zone TOTAL AMOUNT $ /!}/!� Exempt (� Yes [] No How Determined LIBRARY FEE Land Account Land Credit Land Total Facility Account 1_ Faciljty Credit Fac(lity Total Exempt � Yes (] No How Determined Total AmounE N/f+- -�_ RESOURCEFEE ERU TOTALAMOUNT Prepared By Checked Sy NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTIpN PERFORMED UNTIL THE 70TAL AMOUNTS LISTEp HAVE RECEIPTED FOR BY q CENTRALE ERMI IT1'N(3 OFFICE OF pASCO COUNTY Acknowledgement below does not Imply acceptance of concurrenoe,but slmply recelpt of a copy of this form,placing the building parmlt owner on notice of ihis assessment and th�condltlons af payment for same. QATE R�CEIVEQ BY RECEIPT NO _�_ pATE �_ BY � t``F"►117f'K�•I!.� r'.�•f�.a..p.Y:....�:, :.—____._�—— ._.— — — --- — � � � � � ' , I ; ,�s_i „ , , , , i' , `��"�:rlf , t. 1 � ,� ��. � � ,� . ' '� ` �I , ' . � � �f.i�, i 1� i+ �i ' ' ' ' i II'�i ,!it � � ,1 j} 1 "� � ' t � � � , I i i �' ' � � � , , r. � { �! i . . , �, , � , � • „ i.rr . � � i� '� � ,. , � ' ' „ '' ' ' �y !I •I i � " 1 ' �" ' ` � , ?.d,� s j.{�. 1 , i � � {. � � s: .i � 4; i. ��r i i : � I� i 1fT"tl.)� 'j'.i t �� ` � I � � � ��!''#i ��ii 1 i �� l,� � � � . 1 ' f . ! i �' }�� ..sl��lf ;�.'� � �if ��. i I I ' ? .I.R.li.i , �{: }�' 1 ; V� � i t. , � , ' � � 1 i ( ��' 1 �; , i i: �i i „ � ,� � , „ -�¢�.i��}�..is..Yn)r � t �EI + I�.., , � , �: � � �� , , I ` 1: �.: ��' �; �, � � �.�,� �. � �`� ''..,.__�, City of Zephyrhills BUILDING PLAN REVIEW COMMENTS � Contractor/Homeowner: rf� `5 ��S�GC�'�� Date Received: �j – 2 �--� Z— site: __ 7 � �c� cf,'�-l/ �✓ l 1�.� Pernut Type: 1 I � 5 � -� ��-Jv2 �� Approved w/no comments:❑ Approved w/the below comments: � Denied w/the below comments: O ..J `7l►i� T�►'� tL � i 1� ' c 5�– S � _ ._�s �� - . � � �(�tl�+�� 'T� ' �'� �e ,�L � 1� �� C"� �U� ` �• �. i tz � - �tU7-.�.�T � �� ' � �j t��C]L�'� c�'...�..-� �� 'l�a►� �►ti'� C�"�' � fit'�1-xz- �?tz�l�..c�-�— C�J"��"+rt�-T�tL e "� u' � �-� ,M�-f—�� `� ��s �� rk�ti t�.h: C.� ��►�T t�S��i�T ��T � � �l 1�'�l� �l�-�T�. � S�SM L��z� �« �a��,_ This comment sheet sha11 be kept with the permit and/or plans. c � �" B 11 Burgess– 'lding Official Date I actor and/or Homeowner rt�7� )t�( 7�iT� ��luired when comments are present) � • �f�� F 7860 Gall Blvd(Doctor Office}Amount due for impact fee SQ.FEET PRICE MAIN OR IIVING: 1,400 OTHER AREA UNDER ROOF: - $ 88.00 OTHER: _ $ _ VALUATION $ _ FEE SHEET ADDRESS DRIVEWAY BUILDING: $ 240.00 ELECTRICAL: $ 60.00 PLUMBING: $ 60.00 MECHANICAL: $ 60.00 SUB-TOTAL $ 420.00 RADON: TOTAL j 420.00 pay at permit pick up SEWER: $ 4,152.89 WATER: $ 1,324.38 IRRIGATION: $ _ TOTAL: s 5,477.27 pay at permit pick up WATER METER: n/a IRRIGATION METER $ _ FIRE DEPARTMENT FEES PLANS TOTAL: a 420.00 INSPECTION TOTAL: PERMIT TOTAL TOTAL: : 420.00 pay at permit pick up PUBLIC SAFETY IMPACT FEES POLICE n/a FIRE 5% TOTAL: : . j�� ;✓� �c.cY,� C G. � 4 "7S' /e-�-��- .SUB-TOTAL $ 6,317.Z7 tUta due at permit pick up plus whatever decide to pay on iif PARK IMPACT FEES ��a (•'� I`� f�J�,S`� SIFS: Na -1 �� iC�� ` Z,('� 100.0% $ - /G'-(E'r'�2- 1.0% $ _ TOTAL: ; . T I F'S: S 8,306.20 Fee based on agreement---5933.00 per 1000 sq.ft. 99% $ 8,223.14 25%due upon permit pick w/75%due before permanent power would be given �°�0 $ 83.06 or pay in full total amount due. � , 6.55-259G permit pick up balance due 75%-S6, ?, TOTAL: $ 14,623.47 °b° ��{- 7 5 � � z-��°3/7.n ,�Q e � rv�� i Z �� 6°��.� ��.y� ��' �a-rb-1� City of Zephyrhills Water and Sewer Impact Fee Calculation Land Use Type: Doctor or Dentist Office No. of Practitioners .� No. of Employees per 8hr Shift �,,.--.. Impact Fee�� `' � Within City Limits (lutside City Limits Water Distribution System ' $ 1,324.38 $ �, 1,655.48 Wastewater Collection System / $ 2,662.00 $ `� 3,327.50 Wastewater Treatment Plant Ca aci � $ 1,490.89 $ 1,863.62 TOTAL $ 5,477.27 $ 6,846.59 f i � , � � � City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: � S� ��(�'`'S�G7-r� Date Received: 9 - 7�-� Z Site: � �� C7 �° Ca-I`4-`� �i V� Permit Type: �� (�' ► C� ��'IC�-�C(�/,�� , Approved w/no comments:❑ Approved w/the below comments: ❑ Denied w/the below comments: ❑ '`'� 7� '� � `f4� ,�i� - .' � � �KC�`� ,-. f�"� � ' 1 +'1�1 , u�. / � �� ` `� '�`4 f � 6` f��f' . � � L �i This comment sheet shall be ke 'th the permit and/or plans. ��'� "�� -� / . �" ,� � Kalvin witze Plans Examiner Date Con or and/or Homeowner (Required when comments are present) , �EPHYRHILLS FIRE DEPARTMENT 6907 Dairy Road, Zephyrhills, FL 33542 FIRE SERVICE USER FEES Occupancy No.: Plan No.: Contractor: V� iST� (��CST�-j-po,( Business Name: c '�� Billi Address: 1? •� Business Address: $(e9 ��#�v�. yY� �' ��'��D n Business Phone No.: Billing Phone N .: � •- � Business Fax No.: Billing Fax No.: — Contact: Contact: ' �� ' -t, PLAN REVIEW FEES INSPECTION FEES PERMIT FEE FALSE ALARM FEE Site Plan N/C Annual N/C Sprinkler $50 1st Alarm Multi-Family/Commeroial .06 sf 1st Re-inspection N/C N/C Standpipes S50 2nd Alartn N/C � (Minimum Charge$25.00 2nd Re-inspection a100 Fire Pump $50 3rd Alarm Plan Revisions DBL 3rd Re-inspection $25p N/C Hoods $50 4th Alarm $100 4th Re-Inspection $500 Fire Afarm $50 5th Alarm a150 SPRINKLER SYSTEMS (Business closed until LP Gas $50 6th Alarm 0-25 Heads $50 violations corrected) Natural Gas $200 26 lus Heads a50 NON COMPLIANCE $�5Q P $100 SPRINKLER SYSTEMS Fuel Tanks- pe�ca�k $50 STANDPIPE SYSTEM Hydro Undergrounds $45 gpa�� $�� Per Riser $50 Hydrostatic Test $65 per system Fire Works $50p FIRE PUMP Acceptance Test $45 persystem Camp Fire $25 �Per Pump $100 Hydrant Flow $75 Controlled Bum $100 FIRE ALARM SYSTEM Hood/Duct a50 0-25 Devices $50 FIRE ALARM SYSTEM Place of Assembl 26 lus Devices Y S50 nnnuai P $100 8 System Acceptance $50 Fire Protection a25 SUPPRESSION SYSTEMS Recall Acceptance $50 Flammable Appucation $50 nnnuai Wet $50 OTHER Waste Tire Store e g $50 Mnual �rY $50 Fire WaluSmoke Wall a15 per wau Generator<KW a100 CO2 $50 LP G2S $25 per tank Generator>30 KW 150 Other $50 Natural Gas $25 Pe�sys�em Bio-Hazard Waste $100 nnnuai KITCHEN EXHAUST Fumigation Tendng a50 �Hood/Ducts $50 Tent 10k10'or greater $15 perteM Torch PoUApptied $50 OTHER Fire Pump $45 Haz.Materials 5100 nnnuai LP Installatbn per tank $50 Fire Suppression $30 Fuel Tank Installation $50 System Acceptance (Per Tank) $50 8 E�aust Hood/Duct S30 �Natural Gas Installatkn a50 Re-inspection DBL (Per System) a (other than annual) �Spray Booth $50 Inspection scheduled DBL P peC 8 and cancelled less than � 24 hours /�,� �� nstruction Insp. N/C ��G� E ergency Vehide A� a50 FALSE ALARIM PLANS TOTAL� 3PECTION TOTAL� PERMIT TOTAL i'� TOTAL� � GRAND TOTAL Comments: � �� 4�'" .�. �� ''� ,j�..�.�� r Z 1 � �`� l.� � � Date: f Z Inspector: � nin ��CU `C� �� " `'�I-� � �3sDv . J �Q� Ph: 863.617-7�00 Eva�geiisto Constructilon Fax: 866.748.4495 2�26 Eden�iekl Plac� Web:www.eva�gelisto,us Buiidirtg contraCtor CBC#12576Q6 Lak�t�ndY Ff. 33801 Roofing aantractor CCC#1329599 October 29, 2012 City of Zephyrhills, 1, Doug Evangelisfo, am the Genera{ Confr�ckor at 7$60 Galt Btvd. Zephyrhills, FI. ! am adding pnline El�ctric to sub-contrar,t the project locafed at 786d �ail Bivd. Z�phyrhilis, Fi. and removing sub- contractors Lewman Ele�tric from the project located at 7860 Gatl Bivd: Zephyrhil(s, FI: �niine Etectnc and Lewman E(ectric are both aware of the chang�and �r�both in agreement. Sincerely, .''�'��,��/� ' (� . Doug Evangel�sto l l�Z Z�OZI6Z16t Z 10 Z a6ed 1100-08L�£�8?t+ .xe� ai�oef'ol SBqY-8>L(9981�xed o3s��a6ue�a Bnop:woaj