HomeMy WebLinkAbout15-16278 I CITY OF ZEPHYRHILLS
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BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16278 Address: 5855 5901 11TH ST
Permit Type: DEMOLITION ZEPHYRHILLS, FL.
Class of Work: 636-DEMOLITION Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-02300-0030
Improv. Cost: 14,237.50 OWNER INFORMATION
Date Issued: 5/15/2015 Name: WHITWORTH CLAY&TOD& RANDY&
Total Fees: 75.00 Address: 5855 AND 5901 11TH ST
Amount Paid: 75.00 ZEPHYRHILLS, FL 33542
Date Paid: 5/15/2015 Phone:
Work Desc: DEMOLITION 520 SQ FT (COUNTY PROJECT)
CONTRACTOR S APPLICATION FEES
CROSS ENVIRONMENTAL E VICES INC DEM LITION 75.00
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Ins ections Re uired
FINAL
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� 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,consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans,Specifications Must Accompany Application. All work shall be pertormed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
/ � �
C NTRACTOR SIG ATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
� CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
s�s-�so-oozo City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permitting $13 783 _ 1688
, -r�-r-i-I--�-�-r - - -- -- - - - - - 1-�-�-��.
Whitworth Clay, Todd, Randy
Owner's Name Owner Phone Number
Owner's.Address 9901 Kingmere Road Owner Phone Number I�
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 5855 11 th Street LOT# �
SUBDIVISION PARCEL ID# 11/26/21/0010/02300/0030
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW CONSTR e ADD/ALT 0 SIGN 0 � DEMOLISH
INSTALL REPAIR
PROPOSED USE � SFR Q COMM 0 OTHER
TYPE OF CONSTRUCTION � BLOCK Q FRAME 0 STEEL 0
DESCRIPTION OF WORK COMPLETE DEMOLITION of SFR for Pasco Co Community Dev
BUILDING SIZE SQ FOOTAGE 520 HEIGHT
0 BUILDING $ VALUATION OF TOTAL CONSTRUCTION
�ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY 0 W.R.E.C.
OPLUMBING $
�MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ����
�GAS 0 ROOFING Q SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO
��-1-d-1-1-�1-FI�1-�1-�1-�-1--1--f-1-�i-1-F-1-i-1�-1-�1-d-1-1--1-F-1�-FI--1--FI--F-�1-1�-1--f-4-�i-F-�-1-1--f�-f-1-1-�I-�1-1-I�f-f-FE-1-
BUILDER ��� / COMPANY CROSS ENVIRONMENTAL SERVICES, INC
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address P.O. BOX 1299, CRYS L SPRINGS, FL �icense# CGC062981
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
PLUMBER COMPANY I
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
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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
- � COiVIMERCIAL Attach(3)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.
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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 (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
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
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final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County WateNSewer 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"V" unless expressiy 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.
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.
FLORIDA JURAT(F.S. 117 03)
OWNER OR AGENT CONTRACTOR ��
Subscribed and sworn to(or affirmed)before me this Sub cri ed and sworn to(o ffirmed)before me this
by 6 '�'i b Cl
Who is/are personally known to me or has/have produced Who is/a er onally known t` o roduced
as identification. � tification.
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Commission q FF 209719
;r�o� MY Commission[xpires
Notary Public �"'F °;��' March 15, 2019 ry
%,, �F•� Nota Public
Commission No. Commission No. F a o��� -1
Nflrrn� L;v�clo� AacA;rr�
Name of Notary typed,printed or stamped Name of Notary typed,printe r stamped
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11-26-21-0010-02300-0030 � Pasco County Property Appraiser Page 1 of 2 �I
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, . �
Mike Wells Pasco County Property Appraiser
Data Current as Of: Weekly Archive- Saturday, May 2, 2015
Parcel ID 11-26-21-0010-02300-0030 (Card: 001 of 002)
Classification 08 - Multi-Family- Less than 5 units
Mailing Address Property Value
WHITWORTH CLAY&WHITWORTH TOD Ag Land $0
WHITWORTH RANDY& Land $13,720
SURRATT KARI WHITWORTH
9901 KINGSMERE RD Building $70,277
DADE CITY FL 33525-0833 Extra Features $275
Phvsical Address-See All 2
addresses�F��Scsnow��
5855 11TH ST Just Value $84,272
ZEPHYRHILLS FL 33542-3717 AsSessed (Non-School Amendment 1) $53 013
Legal Descri�tion (First 4 Lines) '
See Plat for this Subdivision
TOWN OF ZEPHYRHILLS PB 1 PG 54 Non-School Taxable Value $53,013
LOT 4 LESS NORTH 2O.0 Ff School District Taxable Value $84,272
THEREOF AND LOTS 5 &6 BLOCK Warning: A significant taxable value increase may occur when sold
23 Click here for details and info. regarding the posting of exemptions
Jurisdiction
Citv of Zeohvrhills
.�_______.._---,---�-----
-
Land Detail (Card_ 001 of 002)
7----;---
Line � Use Description� Zoning Units � Type Price �Condition Value
1 00 MULTI FAMT1 OOR2 9,800.00 { SF $1.40 ^ � 1.00 $13,720
--�^_.-----
_..._....y._Additional Land Information
----____.�.----....___.----------------�-----_.. . - - - � - - � • --
Acres � 0.23 � Tax Area � 30ZH � C de � X � �Residential Code ZHLHLPI
f
Building information - Use 08 - Multi Family (4 or less Units per Building) (Card: 001 of 002)
Year Built 1978 Stories 2.0
Exterior Wall 1 Concrete Block Stucco Exterior Wall 2 Above Average
Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
Interior Wall 1 Drywall Interior Wall 2 None
Flooring 1 Carpet Flooring 2 None
Fuel Electric Heat Forced Air - Ducted
A/C Central Baths 4.0
_� _ .Line � ( Description Sq.,Feet Repl. Cost New
_ .__---��.�____ _____.._..� __ �.____.._..._._
_.._._. 1 __.___.----€ -.---_._.BAS __ __._._.._959_� ��__.__�46,377
__._..-� _. .__
Z ----____ �---__..__--._ FGR_____.___---------- ----600_.._------------_..1_�----------�11,606__.____..�
---------------�--� --
3 FOP 384 ; $3 724
------------_.____..__--_____._____--_---------- -----------------------—
- -- - --__--------------
_ 4 � UDU � 1,080 j $15,669
_ ,_._ - -__
5 UCP i 1,116 � $5,416
------�___.._..._..__.._._..______..__----._._._,._..___�—.____..__.....- - -_._....._W...._._� __....._.-__._...____
6 FUS � �^�w� 1,056 � �v$51,068
___-_____..._._�.___.._._, __._�__.__,__._...._Extra Features (Card: 001 of 002)
__ Line � Description Year �_� __ Units T Value
1� DWSWC 1978 �� � 667 ���-u -
__� ---- ��......._.._._ i $275
Sales Historv
Previous Owner: WHITWORTH DORRIS C EST OF
- -__ � _..._...__--___-�__ -- - ._.._.. _ ...._..--
Month Year Book Pa e T � �
� � 9 ype DOR Condition Amount
�_.._.__
Code �_ __(_._._._.
� Order � ��
03/2007 i 7435 / 1749 determining
� Homestead Real` Improved $0
�.__._...._�..___._.__.�......._._._.�__��__.___._..____.___.....�...__...,.,..�_..__._._..__..__...._
12/2006 � 7328 / 1879 Personal �.���.�'Improvedu._..._.____ �O .._._._.
� Representative'sf �
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11-26-21-0010-02300-0030 � Pasco County Property Appraiser Page 2 of 2
� Distributive �
Deed �
07/1976 �� 0848 / 1030 � Vacant $6,300
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Pasco County Building Schematic Page 1 of 1
Generalized Building Schematic
i1-26-21-0010-02300-0030
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Pasco County Property Appraiser
Page Layout Modified: 9/6/2013 8:36:26 AM
The Local Time Is: 5/5/2015 1:44:54 PM
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Pasco County Property Appraiser - Map Page 1 of 1
� Pasco County, Florida
Section 11, Township 26, Range 21, 0.7 miles N of Zephyrhills
Prepared by the Office of Mike Wells, Pasco County Property Appraiser.
Map Created on 5/8/2015 at 10:00:25 AM.
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