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Home My WebLink About15-16694 CITY OF ZEPHYRHILLS ; , '' S335-8TH STREE7 � (si3)�so-oo20 16694 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 16694 Address: 39119 PARK DR 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: 12-26-21-0030-00100-0090 Improv. Cost: 2,495.00 OWNER INFORMATION Date Issued: 10/27/2015 Name: LUCKEY, SHERMAN &ALISE Total Fees: 105.00 Address: 39119 PARK DR Amount Paid: 105.00 ZEPHYRHILLS, FL. 33542 Date Paid: 10/27/2015 Phone: (813)783-2322 Work Desc: DEMO SINGLE FAMILY HOME CONTRACTOR S APPLICATION FEES DESMOND ROWDEN LLC DEMO ITION 75.00 CONTRACTOR CERT F ATE 30.00 r o� Z `2 � _ � ��— �� Ins ections Re uired FINAL REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or first reinspection,whichever is greater,for each such subsequent reinspection. NOTICE: In addition to the requirements of this permit, there maybe 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 BEFORE C.O. NO OCCUPANCY BEFORE C.O. �� CON CT SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER i p /'� ^ �jj�'� 'T � } V�� 3. V� ��AMA��,1��}.a..1� . Q J � "`�" "City of Pure Watex" Building Department ' �` 5335 Eighth Street•Zephyrlulls,Flarida 33542-4312 (813)780-002Q•Fax(813}78Q-0021 W.A.`Bill"Burgess Director of Building Licensing&Zoning Contractor Asbesto� Nonfication Statement Per Florida Bt,Wdin�Code 105.9 As6estos. The enforcin�;a�ency.shall rec�uire each buildin�nesmit for the demalition or renovatian of an existing structure to contain an asbestas notificatian statement which indicates the owner's or operator°s responsibilitv ta camplv with the provisions of Section 469A03 Florida Statutes,and to notifv the T►epartment of Environmental Protection of his or her intentions to remove asbestos.when annlfc�bte,in accordance with stat+e and federal law. 4b9.OQ3 License Reqmirecl– 1. No person may conduct an asbestos survey,develop an operation and maintenance plan, or monitor and evaiva�e asbestos abatement unless trained and licensed as an asbestos cansul�ant as required by this chapter. 2.(a) No person may prepare asbestos abatement specifications unless trained and licensed as an asbestos consultant as required by this chapter. (b) Any person engaged in the business of asbsstos surveys prioz to October 1, 1987,who has been certified by the Department of Labor and Employznent Security as a certified asbestos surveyor anc!wha has complied with the training requirements o:f S. 469.013(1)(b},may pravide swrvey services as described in S.255.553(1),(2)and{3}. The Department of Labar and Employment Security may,by rule,establish vialations, disciplinary pracedures,and penalties for certified asbestos suzveyors. F � 3. Na person may conduct asbestas abatement wark unless Iicensed by the department under this chapter as an asbestos contractor,except as otherwise pzovided in this chapter. I certify that I have read and understand and will comply with the pravisions of this asbestos notification statement and that 1 will comply with all state and fecleral regulations pertaining to asbestos. i �4 � � , -�� Li nse o r o actor Signature � Date ! a �.- �-- C.-.- �' �.-L� ��--� � -a �t �-I '1� ' License Halder/Cantractor rinted Name t License Nunnber j � � � �l � { � �aU ��i � � � i � Address of Construction Site ' � ri �� X �� R; Permit Number � � . �� . 4' � ., � __. —_ �-oozo City of Zephyrhills Permit Application Fax-813-780-0021 � r Building Department . �� - - �ed Phone-Contact for PermiBin �s Name � �J � L's LL � Owner Phone Number � � , . �ner'�Address Owner Phone Number ' i / fee Simple Titleholder Name � Owner Phone Number / Fee Simple Titleholder Address JOB ADDRESS �Ct-� , LOT# � SUBDIVISION � � PARCEL ID# (OBTAINED FROM PROPERTYTAX NOTICE) WORK PROPOSED NEW CONSTR ADD/ALT Q SIGN Q � DEMOLISH B INSTALL e REPAIR PROPOSED USE � SFR � COMM Q OTHER TYPE OF CONSTRUCTION Q BLOCK R Q FRAME Q STEEL Q DESCRIPTION OF WORK L�� ,� 6. BUILDING SIZE SQ FOOTAGE� HEIGHT QBUILDING $ TJ VALUATION OF TOTAL CONSTRUCTION _ QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. OPLUMBING $ QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ��%l�� QGAS Q ROOFING Q SPECIALTY Q OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO BUILDER COMPANY L_-S Y��I� �. � �� °� SIGNATURE W1' REGISTERED Y/ N FEE CURRE Y/N Address License# ELECTRICIAId � 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 REGIS7ERED Y/ N FEE CURRE� Y/N Address� License# OTHER - ,COMPANY � SIGNATURE REGISTERED Y/ N.. FEE CURRE� Y/N Address ` �-`C�..� License# l� L �- t(S RESIDENTIAL �Attach(2),Plot Plans;(2)sets�of�Building"Plans;(1)set of-Energy�Porm`s;R-0=W Permit for new construction; Minimum,ten_(10)_woricing iiays:after,submittal date:-Requtred onsite,ConsUuction-Plans;SMrmwater Plans w/Stlt Fence installed, SaNtary Facilides.&°1,dumpster,-Slte Work•Permit-for subdivislonsAarge proJects COMMERCIAL Attach(3)comPlete"seCs of Building Pla'ns plus a Ufe Safety Page;(1)set of Energy Forms.R-O-W Permit for new consUucUon. Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilitles&1 dumpster.Site Work Permit for.ail neuv projects.All commercial requlrements must meet compliance SIGN PERMIT Attach(2)°sets of'Engipeered Plans.�a � t ,•••PROPERTY SURVEY required for all NEW constructlon. Directions: " Ffll out applicatlon wmpletely. Owner 8 Contractor sign back of applicatlon,notarized If over 52500,.a Notice of Commencement is required. (AlC upgrades over 57500) " Agent(for tFie contractor)or�Povirer of Attomey(for the owner)would�lie someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING;,-.'�;`(Front of Appl,icatiori:;Only)"� ;; Reroofs if shingles Sewers � '' Seniice Upgrades'A/C :Fences(Plot/Survey/Footage) ' . _ ...�:. ...>�.,.._ .. , . .i� Driveways-Not over Counter if on public roadways..�eeds ROW 'i .� NOTICE OF DEED RESTRlCTION&. The underslgaed undergtands��;that thisap�rmlt:may.be.sub�ect,to.mcteed"resUlctEons° which may be:more=res#iictNe=than Gounty=-r�gr�latians:�The-.undersigned assumes'responsibility-.for�compiianee`'witti`'any appNcable deed rest�ictlons. • , � UNLICENSED GONTRACTQRS AND Ct?NTRAGTC)R RESPBNSIBi1:IT1ES: �Ef the owrier-has� hirecl:a�t�n#rac#or vr contractors to undertake work, they rnay.be requlr�d�:to�be,licensed In aacardanae wlth state.and�la�cal cegulations: (fi�the• � contractor Is not ltcensec! as�requtted'6y I�w; both the owner ani!�cdnUactoT may°be%afted�fiar a�°tnlsdemeanor violation under state iaw. if the ovwner or lntended�contractor are_uncertaln as to what Ilcensing.requirem�nts�`onay;�appiy.:�fars the- . ,... intended work, lhey are advised to:aantact'the Pasco County Bullding�Inspection�Dtvislan--l.lcensl�ng Section at 727-847- 8tt48. Fur#hermore, If the�owt�er`Fi�s hii�etf a ciintracto� ot confi�actbrs, he is advised to have the canfraator{s}, sign portions of the "cantractor Block" of,,this application for„whlch they wlll be.r,e,sponsible.. If..you�.•a�..�he owne�'sign'a's''tiie - contractor� that may be an indPcatlon that�he fs noY.properly licensed and Is°riat'enUt#ed�to"permittOng�privlleges tn Pasc� Couhty. ' . . � TRANSPORTATION;IMPACTIUTILITIES-�MPACT�AI�b RESOIJRCE RECOVERY�FEES:�-Theundersigned unders#ands that Tcar�sportatton impact Fees and.Recourse Recove.ry.Fees�rtay:•�pply;to=t#�e consUuction of new_buitdings,�change af' - � use in existing buildings, or.:expanslons.of��ezistin��6uildings, as specifled in Pa�scv Caunty Ordinance number 89-07 and saa7, as amended.,.The undet�si�ned afso�unde�stands, that such fees.;as:ma}r be�due;;.w;ill,be tdent�f�eci at tite#ime�of� permitting. It 1s fur'tiie�unders�ood that Transportation Impact Fees and°Resource�Recovery�Fee�..mus# be paid prior to receiving a°certiflcate.of occupancy°' or flnal pawer:celease. :lf-#he project:,daes not invotve,a-.cert�icate of occupancy ot final powerrelease; the fees mu�t be pald pcior to permit is�uance, Fu�thermare;if Pasc�r.Couniy�NVater/Sewer-:lmpact � fees a�e due, they�must.be-paid_pNor to,permiE-Isstlance,In accordance witlf appllcable:Rasco County'ordlnances, CQNSTRUCTtQN LIEN E.A111t(Cliapter 713� E1orl�a Statutes,a�amend�d}: if valetallon of r+vork is$2,5QO.00:ar more; 1- - certify that I, the appHcant, .have.b.een provided- with� a copy of the "Florida �Construction Llen .Law:-Homeowner's Protectfon Guide" prepared by the'Florida Departmenf of Agric.ulture and Consamer�Affairs. 1f th� appEtcant is someone ather than the°owner", 1 certify that I;h�ve,obhained�a=copy.of.#he:above..described docurnent�and:promise in,good faikh to deliver it to..the�"owner".prior:#o>commencement:'� - , , � ` : , � CONTRACTQR'SlOWNER'S AEPIDAVIT: 1 ce�l;�y;:tha#�all.the�;lnf�rmation.In:thl�appltca#lan is accurate and that all work will'be done in compliance with all.applicable laws'regulati�g construction, zontng and�•land-devel�pment. Application is hereby made to abtain .a permit to:do_.wcark.a and �Instaflation as indt�afed:.� '1 ceh;ify tfiat no wock Yar tnstaltatton has commenced p�ior #o issuance of'a permit`and #hat':�all work will be perFormed to meet standards of._ail laws regula�ing- construction, County and City codes, zoning regulatians, and land development regulattons-in�the juclsdiction. ! aiso cer�fy that 1 t�c�derstand#hat the regulatlons of other governm�nt agencles may�apply�#o the inten�ed wark, and that it is my responsibility#o idenkiry�what,actions I must take.to be,in:.aarr�pliance, Such agencies include but-are.;not Iimlted ta: - Depa�tmen# ofi,Et�vironmentaltProtectfari-4"'�rpres's.°Bayheads,��Netland Areas and Envfronmentally Sensi#ive Lands�Water/Was#ewater Treatmen#. - Southwest Florida W�tet Management�..Districk-We#!s� Gypress. {Bayheads; Wetlsnd Areas, Altering Watercourses. . � - Army Corps of Engtneers-Seawalls, Docks, Navigatile Waterways. - Department of Heal#h-� ReFaabtl3tative ServiceslErnitot�men#al Flealth llitit Welis, Wasteuuater Treatment, Septic Tanks. � ` - - US Environmental Protectton Agsncy Asbestos abatement. - Federai Aviation Authori#y-Rumvays. I understand that the follawing.�restrictlons apply to the use of fllk• - Use af�li Is no#allawed in Flood�Zone"V"unless expressly permitted. - If the fill materfa) is to .be used. in �Flood Zone. "N", it. is understood that a drainage plar� addresstng a °compensating valume"wfEt be submttted at t�me of permttting w6ich is prepared by a profassianal englneer Ilcensed by#he-State of FMorlda. - - If ihe fiA materlal.ts.to be us.ed tn Flaod �one °A" 1n�connec�ion wlth.a �ecmltted building using stem wal# canstructior�, I certify#hat fill-�ullt.�b.e used aniy.to fill the area withln the�stem�wa1i. - If fl�il materiai is to be used in any area, I �certify that use. of such flll will not adv�arsely affect adjacent propeKies. If use of fitl ls founcf to adverseEy:affect ad�acent propertfes,.the owner may be clted for vtolating the�canditions of the building-.permit Issued�under the at�ached permlt application, for lots less than one (1) acr$whfch are elevated by fllt,a�t engfneered draPnag�pian fs requlred. . If i am fhe AGENT�OR THE CIWNER, i,�promise in good faifh to inform the•owner of-#he perm(tting aonditions set.forth tn this afFidavit�prior to commencing constructlon. 1 understand that a�separate permlt may be requlred for electNcal wark, plumbing, signs, wetls, poofs, a!r candif�oning,.gs�s� or o#hec InstalE�iti6ns not.spect�calty Inc#uded�in.the apptication. .A permit Issued shail'be construed to be a°Iicense to p�oceed with tFie�rork and not as.authority to.violate,.cancel; alter, or seE aslde any provisfons af the.#echnlcal codes; nor shai!fssuance�af a.permtt.pcevent#he 8ulldirig.t�tictaf from Ehereafter regulring a correctian.af eITOrs in.ptans;aonstruction or violations of any codes. Every permi#I.ssued shall beconne invalid unless the work authorized by such permik�{s-commenced�wtthtn sGt months of permlt issuanoe, or 4f wark authorized by _.�Ehe-perra�tit ts��pencl�d-a�:a6anda��d-fc,r-��p�r�ad��f��lac{�}months aft��4he time tt�s�wa�k-�s commenced:-Ati extension may be requested, In wri#ing, from the Building.Offlcia) for a period�not to exceed nlne�ly(80j days a�d•will demonstrate �ust#fiable cause ior.the exfensfon: It work ceases<for ninety�90}cons.ecutive days�..th��ob��s consfdered abandone�. WARNING TO OWNER; YOUR.FAILURE�TQ.,R�E.CO�tD.A NQTIGE OF•COMMENGENlENT.MAV�RESULT IN YUUR PA1tING TWICE.�'OR�IMPROVEMENTS�T�7�fOUR;PI�L�PERTY. 1�°YO.U�INTE�D`TQ'GBTAIN��FINAN�ING,�CONSULT WITH U DE A TTO N � FC)RE� � CO � �}YOU ' � ��E'CI z •' � E f F�oR�da Jur�►�r t�,s.�.�T,os� . OWNER OR AOENT CONYRACTO � � Subscribed and swom to(or at�rrnedj befare me lhts Subscribed �s to{at af�nned` re m lttts bY /�9-�1� .�1�y ty�r^:rr�r .��,_ 6�,.� Who is/are pe►sanally knovm to.me or has/have produced VNho Is re p o al noy�ttx me or s/h ve�produced • as identlflca8on _ -, �r r�e-r- Lt c¢f� as tden8fica�on. ,� Notary Pubttc . C ^��' /Z2. K�1 U Notary Pub((c CommisslortNo:,�. Comrt�ls o - o1�Y��;, �ACQUEUN BOGES :�: :�. :��: :;<; Expires December 12,2018 lVame oC Notary typed,printed or stamped Name qf Notary typ , or