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Home My WebLink About16-17275 CITY OF ZEPHYRHILLS ; 5335 -8TH STREET � (813)780-0020 17275 r` BUILDING PERMIT ' - PERMIT INFORMATION - - ' � � , -�LOCATION 1NFORMATION � ' - Permit Number: 17275 Address: 5449 12TH 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: 11-26-21-0010-13800-0080 Improv. Cost: 500.00 � � - � OWNER INFORMATION Date Issued: 4/21/2016 Name: POTWIN ANTHONY& CHARLENE DALE Total Fees: 75.00 Address: 5549 12TH ST Amount Paid: 75.00 ZEPHYRHILLS, FL 33542 Date Paid: 4/21/2016 Phone: Work Desc: DEMOLITION CARPORT � CONTRACTOR S � ` APPLICATION FEES • - HOMEOWNER DEMOLITION 75.00 \ n r � ._._ � " Ins ections Re uired. � - I AL 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 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 pertormed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. NO OCCUPANCY BEFORE C.O. a � CONTRAC OR SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION — 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER \ / '� „ ' s�s-�eo-oo2o City of Zephyrhills Permit Application FaX e�sa8aao2� Buliding Qepartment Date R�€►celved Phone Coirttacffor Penrttttin • �---- Owner's Name � cA � GzJ , �^ / � Owner Phone Num6ar xwner's Address . l� --' ..S f �z G'I •�-S Owrner-Phone Number �— � Fee Simple Titleholder Name �— �� Owner Phone Number � , � ,_t . Fee 3lmple Tltleholder Address "° -�JOB 14DDRESS �� LOT# �� SUBDIVISION �— � PARCEL IR# - �(OBTAINBDFROM'PROPERTVTAXNOTICE�, - WQRK PROPOSED `• NEW CONSTR : ADD/AlT � SIGN -Q Q pEMOL.ISH - INSTALL �, REPAIR PROPOSED-U3E � SFR Q COMM C,] OTHER" TYPE QF CONSTRUCTION � BLOCK " Q FRAME � STEEI. Q, DESCRIPTI4N OF WORK� BU��Ci1NG S�z� � � S4 FOCiTAGE�� HEIGHT ��y� QBUI�QING �:, $ � o�T �...v_��, �-. _ ' . �� VALUATION`�FTO`fAt CONSTRUGTION QELECTRICAL � � AMP SERVECE � [� PROGRf55 ENERGY Q W.R.E.C. QPLtlMBIfYCa �$�� QMECHANICAI � � Vi4�UATlOt�i OF MECHA(�lICAI tNSTfU.LAi'lOiV � i _ .7 z,:�- , [�Gms o �o��N� .o SPEClAI.TY � QTHER �� FINISHED FI.QOR ELEVATIONS FLOOD ZQNE AREA C]YES. NO , BUt�DER '`�, Y y�, �_/,� COMPAt�tY ��1"!�.�. SIGNATURE l�`� REGISTERED Y/ N FeE cu�te� Y/.N• , Address LiCense# I � E�ECTRICIAN CBMPANY SIGNATUItE � REGI$TERED Y/ N FEE CUFtRE� Y/N Address • -.License# �—� � PLUMBER , Cp�pqHy - SIGN�ITURE , REGIST.ERED ,Y/.N � FEE CURREA Y/N. Address " License# j � MECHA,I+flCAI: � , .,COMPANY _ SIGNATURE � � , REGI37ERED .Y;/ N FEE CURRE� Y/N • Address ` � ` t ' License# � � OTHEl2 � . COMPAPlY ,� SIGNA7URE - ' - REGISTERED '�Y 7 N,. � FEE CURRE� < Y L-N�.. Address , . _ . `r.t`;- � - . : ' -"Cicense#"� � ,,... , ,�, , �.,., -��c- ��:< . RESIDENT�AI: -Attach{2).P1ot•P.<lans;.(2)sets.of=Bultdtng�Riaits;-(1)•sef af�Erieigy`�Faiiiis;'R-0=W_Permit:for nev+r;canstriic�on, ; MinimumF.ten:(.10);working�;days,afte�;'submittal:dafe:�:Requlred onsite;Ginstruc�ori�Plans;�Storrnwafe�Plans w/Sflt Fence tnstalled, � '8anitary�Facillyes��l:dumpster,t�Ite,Work:Permltfor.sutidi4lslonsllarge'proJects; , . .�. _ � - " � ,_.:,,. ..:_.�. . _��..._.�: :,:w- ;.- COMMERCIAL Attach{3}eonnplete sets'of Sulldin'g"'P1ans ptt�s a L.ife Safety Page;(4}set of Energy Fatrns.R-C?-W Permit for neW construction: Minimum ten(10)working days after submittal date. Requlred onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilitles&1 dumpster.Site Work Permtt for alPnew°proJects:All commercial.requiremenGs must meet complfance SIGN FERMlT Attacli{2)"set"s of°Etigineer,ed:,P.iaris;;�:�;:'s�'� ... .� - , � _ ••`"PROPERTY SURVEY regulred forall WE1N construction.. � Dlrectlo�s: ..,.z-. _ � , Fill out appflcatlon compietely. Owaer&Cantractor stgn back-of appltcatton,notatized if aver S2S00,a Notice raf Gommencement Is required. (A/C upgrades over;�so0) •-;�r�;z>r;:_, `• Agent(for the�contiractor)'ar:Power of Attortiey(fo��tFie owner)wauld be someone with natarized letter from owner autharizing same t}VER THE CCIUNTER.PERMi'fTING-�- �- jFront.af Applica#ion Onty} Reroofs lf shingles Sewers Serolce Upgrades A/C Fences(Plat/Survey/Foatage) � DNveways-Not over Counter if on pubflc roadwrays.:needs ROW � DISCLOSIIR.S STATEMENT FOR 04�R + � CITY OF ZF�PHYRFIILLS BUILDING DEFARTl+�NT I, have read and fully uaderst�and and agxee to the provisions of this instrumeat. The uadersigned states and affi.sms that h� or she is desirous of constsuetiag, reaovatiag, addiag ta or reroo�iag his ar her ovan domicile, that he or she actually occupiesr or will occupy bg said domicile, aad same is ao� for reat, Iease or sale. That he ar s�t� shall comply with the followiag conditioas: I. That the owaer and he or she alone shall aet as the builder for all phases of construotioa. 2. Tha� the owaer will comQly with all provisioas of the City of Zephyrhills ordinances and cades pertineat to the buildiag. 3. That in the event variaus phasee of construcCion are eubcoutracted, he will engage only propezZy liceased subcosltraa�ors aad will persoaally supervise such work. 4. That ia the event the Buildiag Inspectar sha32 require correctians �o be made, the owaex will as�ume £ull reapausibility to insure they are made, and upon " com,pletiaa will ca11 for a reinspec�ion before proceediaag with the buildiag. 5. Tha� the owner shaZl assume full responsibility tar th� constru`ctiaa and will aot expect supervisiom of his work from the City o� Zephyrhills` Suildiag Departmeant. 6. That prior to fiaal iaspec�ion aay additional feea, inaludiug reinspectio,a fees, must be paid ia full. A writtea request from this office shall constitute aa official aotice ta pay adda.tioaal fees. 7. Tha� the owner shall comply with all City, State and Federal laws ia regard to socia2 security, workman's compensation, lien laws, ete. , where applicable. 8. Tha� the owner sha11 aamply with a1Z the safety codes issued by the Florida Industrial Cammiseioa. 9. Stat�e law requires cone�truatioa to be doae by Iiceased contractars. You b.ave applied for 'a permit uader aa e�eemp�ion to that law. The exemptioa allows you, as the awaer af your pzo;serty, ta act as yaur ovm contractar with ce=tain res�rictioas evea though yau do uot have a license. Yon must provi8e direct onsite supervisian of the constxuetioa yourself. Yov. may build or imgrav� a ! oae-family or two-family resideace or a farm outbuildiag. You may also build � or improve a commexcial buildiag, provided your costs do ao� exc�ed $75,000, The building or residenee must be for your ow�n use or occupancy. It may aot ; be built or substantially improved far sale ar leaae. If yau sell or lease a buildiag you have buil� or substaatia3.ly improved yourself withia 2 year after � the construction is complete, the law wiZ1 preaume tha� you built or � subetantiaZly improved if far sale or lease, which is a vialatian of this �emptioa. You may aot hire au unlicensed person to act as your con�ractor or , to aupervise people warkiag oa yaur buildiag. It is your respoasibility to make sure that geopl.e emp3oyed by you have liaenses required by state law and by couaty or muniaipal liceasiag ordiaances. You may aat delega�e the respoasibility for supervisiag work ta a liceased cantractor who is aot licerxsed to perform the work beiag doae. Any persaa workiag on your building who is aot licensed muet waxk wnder your direct supervisioa and must be employed by gau, which meaas that yau must deduct F.I.C.A. and wa,thholding ta�c and provide workers' campensation far that employee, a11 as pre�aribed by Iaw. Your coastruc�ioa must comply with a17. apglicable la�rs, ordinauces, building codes, aad zouing regulatiaas. -�. owr�R=s s�cri�v� Gr� Dpa� �/ --Z I -- 2..c9/� ADDRESS ,J G' �'h PHONS � GVITNESS PERMIT #