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HomeMy WebLinkAbout16-17531 CITY OF ZEPHYRHILLS 5335-8TH STREEf , • (813)780-0020 17531,� BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 17531 Address: 5548 ANNETTE 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: SIXTH AVE Est. Value: Parcel Number: 12-26-21-0026-00500-0000 Improv. Cost: 2,000.00 OWNER INFORMATION Date Issued: 6/30/2016 Name: SIXTH AVE LLC C/O MHC OPERATE LT Total Fees: 75.00 Address: 2 N RIVERSIDE PLZ 5548 ANNETTE Amount Paid: 75.00 CHICAGO IL 60606 Date Paid: 6/30/2016 Phone: Work Desc: DEMOLITION 12 X 48 MOBILE HOME CONTRACTOR S APPLICATION FEES MOBILE WORLD OF BREVARD INC DEMOLITION 75.00 � n / ` , Ins ections Re uired FINA 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. N CT ' -���"I�T�TURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER a13-7so-oo2o Clty of Zephyrflills Pemlit AppliCatiorl Fax-613-780-0021 Buliding Departrnant 1 ' 2 D:M�f�ecelved PhoneContactforPermNtln� ' � �lJ�— ���� � 1 � 1 � 1 ! � Q.� pu,r�p��o � Owner Phone Plumber p I ������ Ovmors Addroea� /�/� Iv0 �� � -yl Owner Phorte Number Fm:timpb Tidehalder Neme � Owner Phone Number Fae.3�Imple Tffl�holder Address � JQE�ADDRESS �r� IZP � LOT# �J SUFIDIVISION `u�' S I � � PARCEL IDA� 1 •ab i�l•D � �0 D �ner�n+m Frm�rnoreaTr r�x konc� WOItKPROPO3ED NEW�:ONSTit ADD/ALT Q SIGN Q Q�OEMOlISH B INST.4LL 8 REPAIR PIROI�OSED USE [� SFR Q COMM Q OTHER TtP'�OF CON9TRUCTION Q BLOf:K Q FRAME Q STEEL Q� / D�lIL'RIPTION OF WORK �I�� IL � v ���� ���� BUII.DiNG 81ZE (Z x �� SQ FOOTAt3E� HEIGHT �� '7'7'• '�"r'�'�"PfTI' BUILD�NG 8�,��� v� VALUATION OF TOTAL CONSTRUCTION r DELECTRICAL �� AMP SERVICE Q PROCiRESS ENERGY Q W.R.E.C. QPLUMBIfVt3 �� ' ' � ��f OMECHANICAL �� VALUATION OF MECHANICAL INSTALLATION �� �, �r,qg Q ROCFlNG Q SPECIALTY � OTHER �J � I FINI.�iHED FLOOR ELEVATIONS � FLOOD ZONE AREA QYES NO � � �iNl BUILDER � COMPANY Q�� GVU� a�rdP�l��l� $IGI IIATURE REu�srErtED ' Y 1 N r'EE cuRREn Y 1 N Addrvsa 7 7 Il�1��4� ��1CL 329 Z� lrcense# C 1Z.0 132.�}S��Z7 �L�f�CTRICIAN � COMPANY P�1GI NATURE �f r�ois7eRen Y 1 t3 FEE cURREn Y/N Address � License# PLIIMBER � COMPANY Fi1Q IVATURE Reols�o Y f N FEe cur�en Y/N �dn� Licansa# ME!I:HANICAL � COMPANY 2NIi�P1ATURE r�cisTeaeo Y! N r�cuartEn YIN Address Llcense fF t)1'FIER � COMPANY !lII;iNANRE RECii3TERE0 Y/N FEec�aitEn Y/N Addres� � License# II111111111111111At111111111111111111111111f1t111t111111IfIt111It11 REi;{IDENTIAL Attech(2)Plot Plens:(2}sats ot Buflding Plarts;(9)sat of Energy Fortns;R O-W Permk for�rew wnsUucUon. Mlnimum ten(10)xrorking duya efter submittel dete. Requhed o�site,Conshuction Plena,Stortnwater Plans w!SAt Fence insmlled, 3enHery FacIIIGea&1 dump�ter,Sfte Work P�rrnft for subdivislonsAarge proJects �C(;�MMERCIAL Attach(2)complete sets of Iluilding Plens plue a Llfe Safery Paga;(1)set af Energy Fortns.R4W Parmit for new constructla�• Mlnimum ten(10)woAcing di�ys efter aubmftte�date. Required anslte.Construotlon Plens,3tortnwater Plans w!311t Fence instelled, Sanitery FadllUea&1 dumpsteu SRe Work Permit for ail new proJecffi.All commercial requlremaMs must meet compllence SIIiN PERMIT Attech(2)sets of Englneerei Plans. •"'pROPERTY SURVEY re quirsd for all NEW conatructfon. .�i� - �iroctlono:' FlII out eppllcatlon cnmplately. Owner&ConVeCtor aign back oi epplicatfcn,notarized It over S250D,e Not�ee of Commeneement Is►equtred. (A!C upgmdaa over i75oo) '• Agent(for the contractor)or Power of Atto�ney(for the ovmer)would be someone with notarized letter fiom owner authorWng same O'I�ER THE COUNTER PERMITTING (copy of contrecl required) R�,i�oois If shingles 8ewers Servlce�Jpgrades A!C Fances(PIof/SurveylFootage) ��Iveways-Not over Counter Ii on publlc madways..needs ROW NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may 6e subject to"deed"restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICEfi15ED CON7RACTORS APiD COPITRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work,they may be required to be licensed in accordance with stafe and local regulations. If the contractor Is not lice�sed as required by law, bath the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work,they are advised to contact fhe Pasco County Building Inspection Division—Licensing Section at 727-847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the"contractor Block"of this application for which they will be responsible. If you, as the 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 IMPACTiUTILITlES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and f2ecourse Recovery Fees may apply to the construction of new buiidings,change of use in existing buildings,or expansion of existing buildings,as specified 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 ai the time of pertnitting. It is further understood that Transportafion impact Fees and Resource Recovery Fees must be paid prior to receiving a"certificate of occupancy"or finai power release. if the project does not invoive a certificate of occupancy or final power release,the fees must be paid prior to permit issuance. Furthermore, if Pasco County WatedSewer Impact fees are due,they must be paid prior io permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION UEN LAW(Chapter 773,Fiorida 5tatutes,as amended): If valuation of work is$2,5QO.Od or more,I certify that I, the applicant, have been provided with a copy of the "Flo�ida Construction Lien Law—Homeowner's Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. !f the applicant is someone other than the"owner",I certify that I have obtained a copy of the above describad document and promise in good faith to deliver it ta the"owner'prior to commencement. COPlTRACTOR'S/OWNER'S AFFIDAVIT• I certify that all the information in this application is accurate and that ail work ' will be done in compliance with all appiicable Iaws regulatinc�construc6on,zoning and land developmenf. Application is hereby made to obtain a permit to do work and installation as indicated. 1 certify that no wark or installation has commenced prior to issuance of a permit and that ail work wiil be performed to meet standards of all laws regulating construction, County and City codes, zaning regulations, and land development regulations in the jurisdiction. i also certify that I understand that the regulations of other government agencies may appiy to the intended work,and that it is my responsibility to identify what actions i must take to be in compliance. 5uch agencies include but are not limited to: - Department of Environmentai Protection-Cypress Bayheads, Wetiand Areas and Environmentaily Sensitive Lands,WaierM/astewater Treaiment. - Southwest Florida Water Management District-Welis, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls,Docks,Navigable Waterways. - Department of Health & Rehabilitative Services/Environmental Health Unit-Welis, Wastewater Treatment, Septic Tanks. - - US Environmental Protectian Agency-Asbestos abatement. - Federal Aviation Authority-Runways. ' I understand ihat the following resUictions appiy to tfie use of(ill: - Use of fill is not allowed in Flood Zone"V'unless expressly permitied. - if the fill maierial is to be used in Flood Zone "A", it is understood that a drainage plan addressing a "compensating volume"will be submitted at time of permitting which is prepared by a professional engineer � licensed by the State of Florida. - If the fill materiai is to be used in Flood Zone "A" in connection with a permitted building using stem waii construction,I certify that fill will be used only io fiil the area within the stem wall. - if fiil material is to be used in any area, 1 certify that use of such fill wi0 not adversely affect adjacent ', properties. If use of fili is found to adversely affect adjacent properties,the owner may be cited for violating the conditions of the buiiding permit issued under ihe attached permit application, for lots less than one(1) acre which are elevated by fill,an engineered drainage plan is required. if I am the AGEIdT FOR THE OWNER,I promise in good faith to inform the owner of the permitting conditions set forth in this a�davit prior to commencing construction. I understand fhat a separate permit may be required for elecirical work, plumbing, signs, wells, pools, air conditioning, gas, or other instaliations not specifically included in the application. A permit issued shall be construed to be a license to proceed wiEh 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 Buiiding O�cial from thereafter requiring a correciion of errors in plans,construction or violations of any codes. Every permit issued shall become invalid uniess the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by the permit is suspended or abandoned for a period of six(6)monihs after tho 6me the work is commenced. An extension may be requested,in writing,from fhe 8uiiding Official for a period not to exceed ninety(90)days and will demonstrate justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMEIVCEMENT MAY RESULT IN YOUR PAYING TYUICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INT OBTAfN FIIdA ING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR TIC OF ENT. FLORIDA JURAT(F.S,t 17.03 OWNER OR AGENT"'� • j .}, �'^----^"' CON'fRACTOR Su scrib d and sw�rii tq{or affrmed)Ue ore�i('e this Subscnbod and swor � affirmed)b ore thi Z� � b 2"t2o�lby tSttt{p •. py � W o is/ar rsonally no �r has/hava produced 4Vho Islare perso �known to me or haslhavp produced� i en ification. as identification. .,-'� � , e �,.,: �'�.�!�'.^-c.. ' U—'���Wai�lolary Public �.�.J� Notary Public Commission No. Cammi 'on No. f.� �A � Na of Np,�t�jl�yjf/printed j p�ame o(No ary ryped,printed or slamped r w os Notary Public-State oi Florida ' ; _My Comm.Expires Oct 28,2oi6 g��c+e�, JACKIEFORSYTH ='.��T F op�; Commission#EE 842759 `'`��"'""• ° MY COMMISSION#FF 159315 '`��°;;�•�` eonded Through NaUonal PJoiary Assn. � � EXPIRES;October 15,2018 ���OFF���o! Bonded711NBu�eiNatarySecvices ��'���cle ��������:���'�� 3737 N. US Hwy 1 Cocoa, Fl. 32926 ' 321-302-9960 Fi•ank 321-636-5565 office 321-636-5796 fax DutQ: 6/12/16 This agreement is made between Mobile World of Brevard, Inc. (hereinafter referred to as M. B.) with offices as 3737 N. U.S Hwy 1, Cocoa, Fl. 32926. And.� ELS Crystal Lake Heights Attent: Kate Russo mgr 813-71 S-1 SOOph 813-715-1326 fx katharinerusson,equitvlifestvle.com Project location: 5548 Annette St. Lot 53 Zephyrhills, Fl Shall be in effect, upon acceptance of this AGREEMENT for M. B. to perform the following described demolition work at the above named project. • Demolish and remove mobile home. We are not responsible for incidental slab or road damage occurring during removal. • All utility disconnects to be responsibility of owner. EXCLUSIONS:Environmental not�cations or monitoring; dewatering; site initials ,� � � e restoration;grubbing;saw cutting; backfill; compaction;patching and/or repair or adjacent surfaces. 1. Customer shall pay the sum of.• $2,000.00 plus permit costs. Said sum shall be payable upon completion. 2. All delinquent payments shall bear interest of l.S%per month (18%per annum)from when due. In the event that M. B. is required to use an attorney for collection of delinquent payments against its'contf-act, owner shall pay reasonable attorney fees incurred. i 3. All scrap and/or rights of material attached to or contained with the building(s) at the time site inspection for quotation shall upon acceptance of this p�oposal become the property of M. B. Prices quoted are based upon an allowance for it and price adjustment will be made if owner causes salvage to be removed or its condition changes between the date of the estimate and the start of work by M. B. Upon execution, this proposal becomes a legal and binding contract. Submitted by: Proposal accepted by: John Hoskin Pres. � Mobile World of Brevard. � Signature ��e�2u:�s� Print name � initials