HomeMy WebLinkAbout15-16184 CITY OF ZEPHYRHILLS
�. 5335-8TH STREET
� (sis��so-oo20 1618
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16184 Address: 6948 GALL BLVD
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: 02-26-21-0010-00800-0130
Improv. Cost: OWNER INFORMATION
Date Issued: 4/16/2015 Name: BANE, CONSUELLA KATHLEEN TTEE
Total Fees: 75.00 Address: 506 N ALEXANDER ST
Amount Paid: 75.00 PLANT CITY, FL 33563-3036
Date Paid: 4/16/2015 Phone:
Work Desc: DEMOLITION INTERIOR
CONTRACTOR S �►PPLICATION FEES
TURNER BUILDING CONT C ORS LLC DEMOLITION 75.00
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Ins ections e uired
F I NAL
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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 fi) 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 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 performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
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CO RACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
o,�-�a�-uUtu City of Zephyrhills Pecmit Application Fax 813-780-OU21
Buitding Qepartment
Date Received J -- ��p� .,� pi�pne Contact for Permitting ~� -
Owner's Name � Owner Phone t3umber ""? J� ��
Owner's Address ��� �C !G. 7"vwner Phone Number
Fes Slmpfe Tltlehaldsr Name � �� Owner Phane(dumber _,_,__
Fee Sfmple Tftledatder Address
JOB ADbRESS l.OT# �
SUBDiVIS10N �_ � PARCEL ID#
(OBTAINED FROM PROPERTY TA?C NOTICE)
WORK PROPQSEp e NEW CONSTR 8 ADdlAIT �J SIGN Q C] DEMOLfSN
INSTA�I. REPAIR
PROPOSED USE Q SFR Q COMM �� OTHER
tYPE OF CONSTRUCTION Q BLQCK Q FRAME � STEEL Q
DESCRIP710N OF WORK � �
Bt3lLDiNG SIZE � � Sti FOOTAGE�� HEIGHT �
QBUILDING � T_� VALUATION dF TOTAL CONSTRUCTIQN
QELEC7RlCAL (;� � AMP SERVICE Q PROGRESS ERtERGY [� W.R.E.C.
L ('�� ,�
[�PLUMBING $ ��U �.. ,� �yM.i��iG�-
� <,'u_. w�.,},
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QMECHANiCA� $ VALUATION 4F MECHANICAL lNSTALLATION �t t,� Wu�
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_ �_
QGAS Q ROOFWG � SPECIALTY � OTHER y �
=1NfSHED FL04R E1.EVATit?R!S �� FIOOD ZOIVE AF2EA QYES NO
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9UILDER r.�- � _ COMPANY �c�d'yL�t' �tr t ` ��e.C�C`}Y'.S
31GNATURE REGiSTERED Y! N FEE CURRE� Y/N
Address �,, , �''t� License# C,.,_�C �7s'�r�'&�.. '�
cLECTRICIAN COMPANY
tIGMATURE REGTSTERED Y I N FEE CURRE� Y/N
Addr�ss �yT� ' License# �yy_`��
�WMBER � COMRANY
iIGNATURE RE�tSTEREO Y! N FEE CURREfi Y/N
Address License# �i ' i�
�ECHANiCAL. ` COMPANY
iIGNATURE ,_,�_, RE6ISTERED Y I N FEE CURREM1 Y J N
Address "_�— License# � y' �
iTNER COMPANY
�tGNATURE REGlSTEREQ Y! N FEE CURRER Y J N
Address License# �� ' '�
;E5IDENTfAi. Aftacfi(2}Plat Ptans;(2}sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit for new constructlon,
Minimum#en(18}working days after submittal date. Requtred onsfte,ConstruoGon Plans,5tormwater Plans w!Silt Fence instaited,
Sanitary FaciliUes&1 dumpster;5lte Wark Permit for subdivisionsllarge proJects
OMMERCIAL Attach(3)comp�eke sets of Building Plans plus a Life Safety Page;(1}set of Energy Forms.R-O-W Permit tot new construction.
Mi�imum ten(10)working days'after submittal date. Required onslte,Construcflon Plar�s,Stormwater Pians wJ Siii Fence instafled,
Sanifary Faciltties&1 dumpster.Site Work Pem►(t far all new proJacts.�411 commercia!reqvlremenES must meet comptiance .
IGN PERMiT Attach(2)sets of Engineered Plans.
"~"PROPERTY SURVEY required for all NEW constructlon.
Irecttons:
Fili out application completely.
Owner&Contractor sign back of application,notarized
If over�2500,a Notics aE Gommenaement is required. {A/C upgrades aver yT500)
Agent(for the contractor}or Fower of Attomey�(for the owner)would be someone with notarized letter ftom owner autharizing same
VER THE COUNTER PERIV�lTTlNG (Front,of Applicatian Qnly}
eroofs if shingles Sewers Servlce Upgrades AtC Fences(Plot/Survey/Footage}
Drlveways-Not over C+ounter If on public roadways..needs ROW
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NOTICE OF DEED RESTRICTIONS: The undersigned under.stands°that this:permit.may be subJect to"deed" restrictfons"
which may be:more restcictive than County regulatlons. �The undersigned assumes responsibility for compliance with any
applicable deed restrictfons.
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 accordan�e.with state.and•local regulations. !f the
cont�actor is not licensed as required by law, both the owner and contractor may be clted for a misdemeanor violatfon
under state law. If the owner or Intended contractor are uncertaln as to what Iicensing.requlrements may appiy�or the
intended work, they are advised to contact the Pasco County Building Inspection Diviston—Licensing Section at 727-847-
8009. Furthermore, (f the owner has hired a cont�actor or contractors, he is advtsed to have the contractor(s) sign
portions of the "contractor Block" of this appllcation for which they wlll be responstble. If you, as.tha 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 IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery_Fees may appiy to the constructton of new buiidings, change of
use in existing buildings, or.expansion�of ezistin,g buildings, as specifled 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 iurther understood that Transportation Impact Fees and Resource Recovery Fees must be pafd prfor to
receiving a "certificate of occupancy" or flnal 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 Vlfater/Sewer.Impact
fees are due, they must be paid prlor to permit-issuance-in accordance with applicable Pasco County ordinances.
CONSTFtl1CT10N LIEN LAW(Chapter 713� Florlda 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 Agricuiture 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'SlOWNER'S AFFIDAVIT: I ce�tify that.all the Information in this appltcation is accurate and that all work
will�be done in compliance with all applicable laws regulating constructlon, zoning and land development. Application is
hereby made to obtain .a permit to do work,and installation as indicafed. '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, Caunty and City codes, zoning regulations, and land development regulattons-in the jurisdictfon. 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 Ifmited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentaily Sensitive
Lands, Water/Wastewater Treatment.
- Southwest Florida Wate� Management .DisUict-Welis, Cypress. Bay.heads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navtgable Waterways.
- Department of Health & Rehabilitative Services/Environmenfal Health Unit:Wells, Wastewater Treatment,
Septtc Tanks. � .
- US Environmental Protectfon Agency-Asbestos abatement.
- Federal Aviation AuthoriBy-Runways.
I understand that the following restrictions apply to the use of flll:�
- Use of fill Is not allowed in Flood Zone"V"unless expressly permittod.
- If the fill material fs to be used in �Flood Zone "A", it is understood that a drainage pian addressing a
"compensating volume" will be submitted at time of pe[mitting which is prepared by a professional engineer
Iicensed 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 wlthin:the stem wall.
- If flll material ts to be used In any area, I certify that .use. of such flll will not adversely affect adjacent
p�operties. If use of flll is found to adversely.affect adjacent properties,.the owner may be clted 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 flil, aFl engtneered drainage plan is requtred.
If I am the AGENT FOR THE OWNER, I,promise in good faith to inform the owner of the permitting conditions set forth fn
this aKdavit�prior to commencing construction. I understand that a:separate permit may be requtred for electrical work,
plumbfng, signs, wells, pools; air cond(tioning,.gas, or other installattons not specifically included in the application. .A
permit issued shall be construed to be a Iicense 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 Bulldirig Official from thereafter
requiring a correction af errors in.plans, construction or violations of any codes. Every perPnit issued shall become invalid
unless the work authorized.by such permit�is.commenced�withln sGc months of permit issuance, or if work authorized by
the pe�mit is suspended or abandoned for a period of six(8)months after the time the work is commenced. An extension
may be requested, tn writfng, f�om the Building.Official for a perlod not to exeeed ninety(90) days a�d•will demonstrate
justifiable cause for-the extension. If work ceases,for ninety(90)consecutive days,..the job�is considered abandoned.
iNARNING TO OWNER: YOUR.FAILURE�TO.RECORD A NOTIGE OF COMMENCEMENT MAY RESULT IPI YOUR
PAYING TWICE.FOR IMPROVEMENTS TO YOUR:PR�OPERTY. IF YOU�IN�END' OBTAIN FINANCING;�CONSULT
WITH YOUR LENDE �O AN ATTORNEY�B FORE>RECO DING YOU °OF C M NT�
FLORIDA JURAT(F.S.1.17.03) .
-.�y�.�;�,,R��n�;���i - CONTRACTO
— —-✓ - —
Subsctibed and swom to(or aflirmed)before me this Subscrlbed and swom tp(o�a rmed)before me tFits
by a!/��.S— �by
Who Islare personally known to.me.or has/have produced Who Is/a.�e personally I�novm to me or has/have produced
as Identlflcatlon. �� i�2rl�e,✓S (.�CectiS's� as idenBficaUon.
Notary Public . � Notary Public
„� •�t
,,�,;r•n�:"H:;:�;.: JACG!JE�fi E BOGES
Commisslon No. Com { slon
t;'pM=a�;�� Erp�;es December 12,2013 �
.�'��•' aII.,
Name of Nota �a o3ae:;v�e
Name of Notary typed,printed or stamped ►Y�'� ,�,�,�