HomeMy WebLinkAbout15-16112 CITY OF ZEPHYRHILLS
5335-8TH STREET
(sis)�so-oozo 1�2
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
PERMIT INFORMATION - LOCATION INFORMATION =
Permit#:16112 Issued: 3/24/2015 Address: 5551 5TH ST
Permit Type: GENERAL BUILDING PERMIT ZEPHYRHILLS, FL.
Class of Work: 636-DEMOLITION Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 2,400.00 Total Fees: 75.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 75.00 Date Paid: 3/24/2015 Parcel Number: 11-26-21-0010-06000-0040
CONTRACTOR INFORMATION OWNER INFORMATION
Name: EVANGELISTO CONSTRUCTION LLC Name: NATO HOLDINGS LLC
Addr: 1303 TOM WATSON RD Address: PO BOX 566
LAKELAND, FL 33801 ZEPHYRHILLS FL 33539-0566
Phone: (863)409-6985 Lic: Phone:
Work Desc: DEMO 5551 ONLY(564 SQ FT )NOT 5549 THIS HOME WILL REMAIN
APPLICATION FEES
DEMOLITI N 75.00
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� Ins ections Re uired
FOOTER 2ND ROU H P UM MIS I LATIO CE LING
FOOTER BOND DUCTS INSULATED SEWER MISC.
ROUGH ELECTRIC LINTEL MISC MISC.
1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC.
DUCTS INSTALLED WATER MISC DRIVEWAY
PRE-SLAB SHEATHING MISC. MISC.
CONSTRUCTION POLE FRAME MISC. MISC.
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 properly 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 properly. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans,Specifications and Must Accompany Application.All work shall be pertormed in accordance
with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
RACTORS SIGNATURE PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER '
��r,���� city of Zephyrhills Permit Application Fax-a�aaeo-oo2�
Building Department
Date Rsceived `7j 1,`� ) �(�3 c. v — (��jS ,
/ _..r
� Phone Contact for Permitting / �
Owner's Name ,J�✓��� ��� �� �� �L C-- Owner Phone Number t�
Owner's Address Owner Phons Number � � �
Fee Simpis Titleholder Name � � Owner Phone Number �
Fee Simple Titleholder Address
JOB ADDRES3 �S�J j ��h 5� LOT# ��
susaiuis�o�v � ��c���o#
(OBTAINEQ FROM PRdPERTY TAX NOTIGE}
WORK PROPOSED e NEW CONSTR 8 ADD/RI.T 0 StGN Q Q DEMOLISH
INSTALL REPAIR
PROPQSED USE Q SFR [� COMM �] OTHER i
TYPE QF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK 'v'°z�'^�'a i
UILDING SIZE ���� SQ FOQTAGE�� HEIGH7 � ..��
BUILbING $2r ff� � � VAt.I}ATION OP TC3TAL COtdSTRUCTION
%
� QELECTRICAL ($ ` � AMP SERVICE Q PROGRESS ENERGY W.R.E.C.
'i �,..._„�_ �
QPLUMBING $
C,_-,__� � �� ,�'
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � �
QGAS Q ROOFING Q SPECIALTY [� OTH�R
I
FINISHED FLOOR ELEVATIONS �_--� FLOOD ZdNE AREA QYES NO
BUILDER � i ` COMPANY �J�G? 1 S � t�}'1 S�f�., •�°/1-�
SIGNATURE yL � ,�j�,,,�,� � REGIS7ER8D Y/ N FEE CURRE� Y!N
s�--..
Address / v� T� �iyG�f�k�•.� /Zy� lioense# �— �
ELECTRICIAN COMPANY
SIGNATURE _ REGISr�rteD Y/ N FEE CURRE� Y/N
Address License# �— �
PLUMBER � � R OMPE� Y/ N FEE CURRE� Y/N
SIGNATURE
i
Address Cicense# � �
� MECHANICAL � CdMPANIf
I StGNATURE REGisTERED Y/ N FEE CURRE� Y/N
' Address License# � �i ��
OTNER Cpayp/►Hy
StGNATURE REGiSTERED Y J N FEE CURRE� Y/N
Address License# C� i' �
RESIDENTtAL Aftach(2)Rlot Plans;(2)sets of Buitding Plans;(1)set of Energy Forms;R-O-W Pertnit for new canstruction,
� Minimum ten{1Q)working days after submtttal date. Required onsite,Construction Plans,Stormwater Plans w/Si�t Fence installed,
Sanitary Faciltties&.1 dumpster;Sfte Work Permit for subd#visionsAarge proJects _ __ �__.—
�COMMERCiAL _Attach(3)cbmple±e_sets of$uilding°lans-plus a Lifa-3��e"ry Page;(1)set of Energy Forms.R-O-W Permit for new construcUon.
Nllnimum ten(16)working days after submittal dafe. Required onsite,Construction Pians,Stormwater Piens w/Silt Fence installed,
� Sanitary Faoilitles&1 dumpster.3ite Wark Permit for afl new proJects,Ai!commerclat requlrements must meet compHance
SIGN PERMiT Attach(2)sets of Engineered Plans.
*"'PROPERTY SURVEY required far atl NEW conshuction.
Dlrections:
, Fitl aut apptication completety.
Owner&Contractor sign back of application,notarized
If over a2500,a Natice of Commencement ts required. (AIC upgrades over a750Q)
'" Agent(for the contractor)ar Power of Attomey(for the owner)would be someone wikh notarized letter from owner authoriz(ng same
DVER THE COUNTER PERMIITING (Frant of Application Only)
Reraofs if shingtes Sewers Service Upgrades �A/C ;Fences(Plat/Survey/Footage)
Driveways-Not over Counter ff on public roadways..needs ROW `
� . » _ ._<. .,_„. ...-. ,..
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�OTICE OF DEED RESTRICTIONS: The undersigned under.�tands��that this.p�rmit.may be subject to"deed"restricttons"
vhich rr�ay be:more.restrlctive than County regulatlons. �The undersfgned assumes responsibiltty for compliance with any
ipplic�ble deed restrictions.
)NLICENSED CONTRACTORS AND-�CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
;ontractors to undertake work, they may be required.to be:llcensed in accordance with state.and•local regulations. If the
;ontractor is not Ifcensed as required-by law, both the owner and contractor may be cited for a misdemeanor violatfon
inder state law. If the owner or Intended contractor are uncertaln as to what Ilcensing requirements may apply.for the
ntended work, they are advised to contact the.Pasco County Bullding Inspection Dlvislon—Ltcensing Section at 727-847-
{009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
�ortions of the "contractor 81ock° of this appltcation for which they will be responsible. If you, as.the owner sign as the
:ont�actor, that may be an indication that he is not.properly licensed and is not entitled to permitting privileges in Pasco
�ounty.
�RANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES; The undersigned understands
hat Transportation Impact Fees and.Recourse Recove.ry.Fees may apply to the construction of new buildings, change of
ise in existing buildings, or.expansion•of�existing'buildings, as speclfied in Pasco County Ordinance number 89-07 and
�0-07, as amended. The undersigned also understands, that such fees�.as;may�be�due,.wlll be identified at the time of
�ermitting. It is further understood that Transportation Impact Fees and"Resource Recovery Fees must be paid prior to
•eceiving a "certificate of�occupancy" or flnal power release. :If the project does not involve a certificate of occupancy or
•inal power release, the fees must be paid pr(or to permit issuance. Furthermore; If Pasco County WatedSewer Impac4
`ees are due, they�must be�paid prior to permit Issuance-in accordance wlth applicable Pascv County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713, Florlda Statutes, as amended): If valuatfon of work is$2,500.00 or more, I
�ertify that I, #he applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Departmenf of Agric.ulture and Consumer Affairs. If the appl(cant is someone
�ther ihan 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'SdOWNER'S AFFIDAVIT: I certify that all the information.in this appllcatlon is accurate and that all work
�ritl�be done in compliance with all appltcable laws regulating constructlon, zoning and land development. Appltcation is
hereby made to obtain .a permit to do work-and installatlon as indicafed. :I certify that no work or Installation has
commenced prior to issuance of a perm(t and that.all work will be pertormed to meet standards of all laws regulating�
construction, County and City codes, zoning regulations, and land development regulations�in the jurlsdtction. 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 agencles include but are.not limited to:
- Department of Er�vironmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive ,
Lands, WatedWastewater Treatment. ',
- Southwest Florida Water Management .District-Wells, Cypress. Bayheads; Wetland Areas, Aitering '
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterinrays.
- Department of Health & Rehabilitative Serv(ces/Environmenfal Health Unit-Wells� Wastewater Treatment,
Septtc Tanks. .
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
I understand that the following restrictions appiy to the use of flil:�
- Use of fill is not allowed in Flood Zone°V"unless expressly pe�mitted.
- If the fill material-is to be used in �Flood Zone "A", it. Is understood that a drainage plan addressing a
"compensating volume" w111 be submitted at time of permitting which is prepared by a professional engineer
Iicensed by the State of Florlda.
- If the fill material is to be used in Flood Zone °A" in�connection�with a permitted building using stem wall
� construction, I certiry that fill�wlll: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 fiil wili not adversely affect adjacent
properties. If use of fiil is found to adversely:affect ad)acent properties,_the owner may be c(ted for violating
the conditions of the building:permit issued under the attached�permit application, for Iots less than one (1)
acre which are elevated by flil, an engtneered drainage plan Is required. .
If I am the AGENT FOR THE OWNER, I,:promtse 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 permlt may be requtred for electrical work,
plumbing, signs, wells, pools, afr condttioning, .gas, or other installations not spec�ically included-in the application. .A
permit issued shall be constcued to be a Iicense to proceed with the work and not-as.:authority to.violate� cancel, alte�, or
set aside any provisions of the technical codes; nor shall (ssuance�of a permPt.prevent the Bulidirig Offlcial from thereafter
requiring a correction af errors in.plans, construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit.�is-commenced withln siX months of permit issuance, or if work authorized by
the permit is suspended or.abandoned for a period of six(6)months afte�the time the work is commenced. An extension
may be requested, Pn writing, from the Building.Official for a period.not to exceed ninety(90) days and•wiil demonstrate
justifiable cause for.the extension. If work ceases�for ninety(90)consecutive days,..th�job is considered aba�doned.
WARNING TO OWNfR: YOUR FAILURE TO,RECORD A NOTIGE.OF COMMENCEMENT MAY-RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS�TO YOUR•.P.ROPERTY. IF YOU�INTEND'TO OBTAIN•FINANCING,�CONSULT
WITH l�IA�JR L�NDER Ott AN A�TORNEY_BEFORB�RECORDING�YOUR�NOTICE`OF CdI11�MENCEMENT�__ __ __ _��____�. _
FLORIDA JURA�(F.S.117.03)
OWNER OR A(iENT CONTRACTO
Subscribed and swom to(or aflirmed)before me this S crib d an s om to r affirmed)�before e this
by �
Who Islare personally knovm to me or has/have produced Who Is/are ersor�aN own t me or has/have produced •
as Identlftcatlon. � as fdentlfication.
Notary Public . �� Notary Publlc
Commisslon No. Co mis
,,,���,,, •
,zqti'•"•:'�:��: JACQUELINE BOG
Name of Nota ed, rinted or stam ed Name o a d �6P t�Fn�!{22
ry�' P P ' _ � Pires December 12
�:�•••••oP� ,2018
P,;;;�•`� Banded ihru 7ray Fain Insursnce 800.385-
7019
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' ,.�0 ��
" _.."�'�.. �`City of Pure Wa�er" :�
Buitding Department -
'� '' S335 Eightl�Street•Zephyrhills,Florida 33542-4312
� (813)780-Q020•Fax(813)780-0021
,
W.A."Bili"Burgess
Director of Building
L'zcensing&Zoning
�ontractor Asbestos Notification Statement
Per Florida Buildins Code�05.9 Asbestos. The enforcin�agencv shall reauire each buildin�aermit far
the demolitian or renovation of an existin�structure to cantain an asbestos notification statement which
indicates the owner's or operatox's respansibilitv ta com�ly with the provisions of Section 469.003,
Florida Statutes,and ta notifv the Denartment of Environmental Protection of his or her intentians to
re�move asbestos,wlien�n�►lic�ble.in accorciance�vitla state�nd federal law.
469.003 License Reqtai�red—
1. Na person may conduct an asbestos survey,develop an operarion and maintenance plan,
or monitor and evaluate asbestos abatement unless trained and Iicensed as an asbestos
consultant as required by this chapter.
2.(a) No person may prepaze asbestas abatement specificarions unless trained and licensed as
� an asbestos consultant as required by this chapter.
(b) Any person engaged in the business af asbestos surveys prior ta October 1, 19$7,who
has been certified by the Department of Labor and Employment Sectuity as a certified
asbestos surveyor and who has complied with the training requirements of S.
459.Q13(1)(b),may provide survey services as described in S.255.553{l),(2�and(3).
The Department of Labor and Employment Security may,by rule,establish vialations,
disciplinary procedures,and penaltias for certified asbestos surveyors.
3. No person may conduct asbestos abatement work unless licensed by the department
under this chapter as an asbestos contractor,except as otherwise pravided in this chapter.
I certify that I have read and understand an.d will comply with the provisions of this asbestos notification
statement and that I will comply with a11 state and federal regulations pertaining to asbestas.
' .� � �s �
icense er/Contractor Signatuxe Date
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