HomeMy WebLinkAbout15-16306 1
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` - CITY OF ZEPHYRHILLS
5335-STH STREET
�sis��so-oo20 6306
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16306 Address: 4623 CHARTER 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: EDGEWOOD
Est. Value: Parcel Number: 14-26-21-0270-00000-0290
Improv. Cost: 600.00 OWNER INFORMATION
Date Issued: 5/27/2015 Name: PBJC INC
Total Fees: 75.00 Address: 38638 SOUTH AVE
Amount Paid: 75.00 ZEPHYRHILLS, FL. 33542
Date Paid: 5/27/2015 Phone: 813-363-6798
Work Desc: DEMO 24 X 60 MOBILEHOME
CONTRACTOR S APPLICATION FEES
OWNER DEMOLITIO 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 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,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.
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ONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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`�' 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Recelved Phone Contact for Parmitting -
Owner's Name � ��� Owner Phone Number
Owner's Addr s � � /�- �
Owner Phone Number
Fee Sienple Titleholder Name �- Owner Phone Number
Fee Slmple Titleholder Address
JOB ADDRESS LI � G�-e � ��� '`/ � ^ � LOT# �
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED , B NEw CONSTR e ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q ' SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q
DE3CRIPTION OF WOR�K � �
��
BUILDING SIZE SQ FOOTAGE HEIGHT
46UILDING $ /,'�1O VALUATION OF TOTAL CONSTRUCTION
VU
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
� � �03��
QPLUMBING $ �� � f �J(�-�
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
�f�' �� � �,
QGAS Q ROOFING Q SPECIALTY Q OTHER � �
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO -'� �� �` ���'�� �
���"J ����\���
BUILDER COMPANY ��`�
SIGNATURE �- REGISTERED Y/ N FEE CURRE� Y/N � "��
Address Llcense# " ►°- ��
ELECTRICIAN COMPANY
��
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/iV
Address License#
OTHER COMPAtdY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
RESIDENTIAL Attach(2)Flot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minlmum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary FaciliUes&1 dumpster;Slta Work Permit for subdivisions/large projects
COMMERCIAL 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,ConsUuction Plans,Stortnwater Plans wl Silt Fence installed,
_ ---- - - - Sanitary FaciliUes&1 dumpster.Site Work Permit for all new projects.Ail commercial requlrements must meet complfance
V 51GN PERMIT Attach(2)sets of Engineered Plans.
"•'PROPERTY SURVEY required for all NEW construction.
Dlrections:
FIII out applicaUon completely.
Owne�8 Contractor sign back of applicatlon,notarized
If over 52500,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 owner authorizin,g_same...w>�. "
OVER THE COUNTER PHRMITTiNG (Front of ApplicaGon Only) , -' - ` . ,, _
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) . -- "'' "� '� • , • �:,
: ...:
Driveways-Not over Counter if on public roadways..needs ROW � „,,, ., ��• ��� '° ��
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NOTtCE OF DEED RESTR1CT10NS: The undersigned under�tands th�t th#s.per:mit.may.be,subjeat to°deed°restrictions°
which may be:more rest�tctive than Gounty regulations. �The undersigned assumes re�ponslbility for compliance with any
applicab#e deed restrlctions. �
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSMBiI.IT1ES: If the owner has �hired a cont�actor or
contractors to undertake work, they may be requlred-ta be:llcensed (n accordance.with state.and•4ocal regulatlans. !f the
contractor is not !{censed as required`by lavir, both the owner and cantractor-may be cited for a misdemeanor violation
under state law. If the owner or Intendedi contraetor are uncertaln as to what Iloensing.requirements may apply�for the
intended work,they are advlsed#o contact the Pasco Courtty Building tnspect#on Dtvistan—l:icensing Section at 727-847-
8008. Fu�thermore, if the owner has hlred a contraator or contractors, he is advised to have the cantracto�(s) slgn
portions of the "contractvr Block° of thts appllcatian for which they will be .tespanslble. If yau, as.#he owner sign as th�
con#rac#or, that may be an ind�catlon that�he Is not.properly licensed and Is not entitled to permitting privlleges in Pasco
County.
TRANSPORTATItiN.IMPACTIUTIl.�1'!ES IMPAGT AN�!RESDURCE RECO�►ERY FEES: Tfi�e underslgned understands
that Transportatfon impact Fees and.Recourse Recove.ry.Fees may�:apply�#o.the oonstructlon of new buildings, change of
use in existing buildings, or�expansion��of�e�istin,g'�buildings, as speclf[ed.in Pasco County Ordinance number 89-47 and
90-07, as amended. The undetsigned also understands, fha�t such fees�.as�may�be�due„will be tdentified at the tirne of
permitting. It Is further understood thet Transportation Impact Fees and"Resouroe Recovery Fees must be pald priar to
receiving a "ce�ti�cate af�occupancy"or finai power=release. :If the proj�ct does ttat involve a certificate of occupancy ar
final pawer release, the.fees must be paid prior#o permit Issuanca, Ft�rthermo�e;if Pasco,County 1Nater/Sewer Impact'
fees are due�they�must be-pafd pNor ta permii-issuanae-In accordance with appltcabte Pasco�County ardlnances.
CONSTRUCTiON LIEN LAW(Chaptsr 713� Ftor��la Statutes�as amended�: If va{uatton of work is$2,50d.00 or more. I
' certify that I, the applicant, have.been provided wtth a copy of the aFlorida Construction� Llen Law—Homeowner's,
proteatlon Guide" prepared by the Fbrida Departmenf af Agrlcutt�re and ConsumerAffairs.- If the applicant Is someane
other than the°owner", I certify that I have.obtalned a capy,of#he abave..des.cribed=docur�ent�and.p�omise in,good;fai#h to
deliver It to the°owne�'p�ior to•commencement. '
CANTRACTOR'S/�WNER'S AFFIDaViT: i certlfy that atl#he inf.ormatton in this appliaation is accurate and that all work
will'be done in compliance with all.applicable laws regulating constructlon, zmning and land develapment. Applicatton is
hereby macfe to obtaln .a perm�t Co do work.and lnstallatlon as ind[cafed: 1 certify tha# no work or tnstallatton has
commenced pr(or to Issuance af a permit and that all work will be perFormed to meet standards of all laws regulating-
cansfructior�, County and City codes, zonfng reguEations, and land devebpr�ent tegulations-in the jueisdlction. t alsa
' certify thaf I understand that the regutations of other gavernment agencles may�apply�to the intended wark, and that it is
my respon�ibility to Idenk6lf�r_what,act(ons I must take to be�in..corrtpllanae. S.uch agsnctes include buk�are._not Ifmited to:
i - Departmen# of Ettvironmental Protectian=Gypress.8ayfiead�, W�tiand Areas and Environmentatly Sensitive
L.ands, Water/Wastewater Treatment. _
- Southvrest FtarRda Water Management .Distrlct 1Nelis, Cypress. Bay.heads; We#land Areas, Altering
Watercourses.
- Army Corps af Engineers-Se�wa!!s,Docks,Navigatite Waterways.
- Department of Hea{th & ReF�abiiitative Services/Environmen#al F#ealth Unit Well.s� Wastev�rater.Treatment,
Se�tic Tanks. � .
- US Environmentai Protectlon Agency-Asbes#as aba#ement,
- Federal Avlation Authority-Runways.
' 1 undefstand that the follawing:res#�!c#ions appty to the use of flll:�
- Use of fiH is not aiiawed in Fload 2one"Va unless expressty permitted.
- If the flll material Is to be used In Flood Zone. "A", it. is understood that a drainage pla� addressing a
°campensating volume" will be submltted at time of petm�fting wfilch is prepared by a professional engineer
Iicensed by#he Sta1e-of FMorida.
- !f the fill materiat fs to be used !n Ftood �one "A" In=cannec�ior��wlth.a �ermltted bttliding us�ng stem wall
� construction, I certifiy that fitl<wlll:be used only.to fili the area withtn the stem wall.
- If tfll material is to be usad in any area, I cartify that use. of such flN wiA not adversely affect ad�acent
propet#les. If use of fitl is fannd to adversely��ffact ad)a�eat'prapertles,.the 0uvner may be cited for violating•
the conditions of the buililing�:permit Issued under the.atEached permit application, for lots less than one (1)
acre whleh�are elevated�by�11,a�t engineered drainage pian€s requlred. .
If 1 am the AGENT FOR THE QWNER, I,�promise In good faith to inform the owner of�the permitting condikions set forth in
this affidavit prior to commencing constructlan. ( understand that a�.separate petmlt may be requfred for etectrtcai work,
plumbfng, signs, welis, poats; air candifioning, .gas, ar athec installatlans no�.speclficalty inc{uded�in.fhe appiication. A
permit Issued shall be construed to be a Itcense to proaeed valth the work and not as:authority to.vlalate, cancel. alter, or
sei aside eny pravisions of the technical cades; nor shall issuance�of a.pecmit.ptevent tha Buildlrig OfficlaE from therea#ter
requiring a correciion af eROrs in pia�s, constructlan or violations of any codes. Every perrnik Issued shall becon�e invalid
unless the work authortzed_by such permit.�ls-comtnenced wEthln sUc months of permlt tssaance. or 1f wark au#horizecf by
the permit is suspended ar.abanda�ed for a:perlad af-si�r f8)mont�s.after tt�e time�the�work is commenced. An extension
may be requested, In wrtting, ftom the Bullding.Official for � pertod�not ta exceed ninety(90) days and will demonstrate
�ust�iable cause far.the extens�on: If wo�lt ceases.for nlnaty{90)consecutive days,.-the�ob�is considered aba�daned.
WAttNlNG TO OWNER: YOUR_�A1l.URE-TO,REGtI�tD A N4TiGE.OF�COMMEMCEME�tT�MAY RESUl:T fN YCftlR
PAYiNG TW10E.FOR IMPROVEMEN'�S TCi YOUi��:PRC�PERTY.-IF YO.U�IN�END'TC1�OBTAIN�FINANCING;�CONSULT
WIT U D O AN TTO NEY� FORE�� , ECO fl G:� OU = O � 'O ° �' � E E �
Fi.OR10A JURA'�(F.S.1.'1 .03j �- � .
PJVIINNER OR AOENT _ �_ CONTRACTOtt -__ _ -- - - - .._ _ ---)
Su���ed e�,d.sv�om (ar lirmed} efare me thls Subscribed acui'swam to{ot�fltrrtted)�befora me'fti(�
f/�b �bY
Who is/are per�o Ily known to.me or has/have prgduced Who ts/ere p.enaonally knovm kai-me or haslhave�produced �
as Identl�ca8on. as iden�ftcaUan.
. �
Nofery Publia _ Nofary Public
Ca iss! �«, CommisslonNo. '
� �4�; QUECiNE BOGES .
�s"` f�" �•= Commis
Name a/ _�r_ �g�' �� ,201$ Name af NatarY h+P�d,pdnted ar sfamped
- �f,F,�„�,. 8anded7hruTroyFehitnsurance8043&570�9
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