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Home My WebLink About16-17532 CITY OF ZEPHYRHILLS . 5335-8TH STREET � (813)780-0020 17532 BUILDING PERMIT PERMIT INFORMATION � LOCATION INFORMATION Permit Number: 17532 Address: 39441 TABETHA 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: SIXTH AVE Est. Value: Parcel Number:� 12-26-21-002B-00500-0000 Improv. Cost: 2,000.00 OWNER INFORMATION Date Issued: 6/30/2016 Name: SIXTH AVE LLC C/O MHC OPERAT LTD � Total Fees: 75.00 Address: 2N RIVERSIDE PLZ 39441 TABETHA 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 �/C � � 1 � Ins ecfiions 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 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 BEFORE C.O. NO OCCUPANCY BEFORE C.O. C NTRACT ATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhills Permit Application Fax-8�3'�BO-002� Buflding Department ' ' Date Received phone Contact for Pertnitting !� �O — (!�/ oZi - 1 1 1 1 1 1 1 1 1 1 1 i 1 � Owners Name � � Owner Phone Number �` �� Owners Address 1 I � C � �I...Owner Phone Number Fee Simple Titleholder Name Owner Phone Number �� Fee Simple TfGeholder Address JOBADDRESS �� '_ Q�C� I•V ` LOT# � SUBDIVISION k LM�� D� PARCELID# Ia��1i D� -��0'l/WO (OBTAINED FROIN PROPERTY TAX NOTIC WORK PROPOSED e NevU CONSTR B ADD/ALT 0 SIGN Q E DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM Q OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q� n..t. DESCRIPTION OF WORK D��1(�y'1 / R�-III�V V� �VW , BUILDING SIZE ��' � �6 S�FOOTAGE �� HEIGHT �rr BUILDING $ v� VALUATION OF TOTAL CONSTRUCfION Z oov./ QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. QPLUMBING $ �� QMECHANICAL $ VALUATION OF MECHANICAL INSTAILATION � f QGAS Q ROOFING Q SPECIALTY Q OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO BUILDER COMPANY Q�/ IIJLLa `� RJ�ICLJJ SIGNATURE REGISTERED N FEECURREt� N Address / �VJ� � �G7 License# u`-l_��7S � ELECTRICIAN COMPANY SIGNATURE rtEoisrer�o Y! N FEE CURRE� Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Addreas License# MECHANICAL COMPANY SIGNATURE REGISTERFD Y/ N FEE CURRE� Y/N Address License# OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# Illllllllllllllllltllllllllllllllllllllllllltllllllllllllllllllllll RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit tor new consWction, Minlmum ten(10)woriting days after submfttal date. Required onsite,Construction Plans,Stortnwater Plans wl Spt Fence installed, Sanitary Fec(litlas 81 dumpster;Sfte Wark Pertnit for subdivisionsAarge projec4s COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construction. Minimum ten(10)working days after submittel date. Required onsite,Constructian Plans,Stormwater Plans w/Silt Fence installed, Sanitary Fadljtles&1 dumpster.Site Work Permit for all new proJects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. ""PROPERTY SURVEY required for aIl NEW construction. Dlrections:• Fill out applicaUon completely. Owner&ConVacto�slgn back of application,notarized Ii over 52500,a Notice of Commencement is required. (AIC upgrades over S7500) " Agent(for the cantractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMIITING (copy of conVect required) Reroofs if shfngles Sewers Service Upgrades A1C Fences(Plof/Survey/Footage) Drlveways-Not over Counter(f on public roadways..needs ROW PfOTICE OF DEED RESTRICTIONS: The undersigned understands that this pertnit may be subjed to`deed'restrictions" which may be more restrictive than County reguladons. The undersigned assumes responsibility for compGance with any applicable deed restrictlons. ' UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBIL(TIES: If the owner has hired a wnVactor or contractors to undertake work,lhey may be required to be 6censed in accordance with siate and local regulations, if the conVactor is not Bceased as required by law,both the ovmer and contractor may be cited for a misdemeanor vioFation under state law. If the owner or intended cantraotor are uncertain as to what licensing requirements may apply for the intended wortc,they are advised to contact the Pasco County Building Inspection Division—l�censing Section at 727-847- 8009. Furthertnore, if.�he owner has hired a contractor or contradors, he is advised to have the contra�tor(s)sign portions of the'contractor Block`of this appfication for which they will be responsible, if you,as the owner sign as fhe contrador,that may be an indiption tfiat he is not properiy Iicensed and is not en6Ued to permitGng ptivileges in Pasco County. TRANSPORTATtON IMPACT/UTILITIES iMPACT AND RESOURCE RECOVERY FEES: The understgned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of use in exis6ng 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,�vili be identiFied at ihe time of permiiting_ It is further understood fhat Transportation Impaet Fees and Resource Recovery Fees must be paid prior to receiving a"certifrcete of occupancy"or tinai power release. If the project does not invo{ve a cert�pts ot occupancy or final power release,the fees must be paid prior to parmft issuance. Furthermore,if Pasco County WatedSewer Impact fees are due,they must be paid prior to permit issuance in accordance with app�icable Pasco County ordinances. • CONSTRUCT(ON LIEN LAW(Chapter 713,Fionda Statutes,as amendedj: If vafuatlon of work ts 52,500.00 or more,I certify that 1, the appiicant, have been provided with a copy af the "Fiorida Consfruction Lien Law—Nomeowners Protection Guide"prepared by the Florida Department of Agriculture and Consumer Aftalrs, tf the applipnt is someone olher than the"owneP,l ceri;fy ihal I have obtained a copy of the above described document and promise in good faith to deliver ft to the"owne�'prior to commencement CONTRACTOR'S10WPJER'S AFFIDAVtT: I certify that al!the information in this applicatinn is accurate and that a(t work will be done in compfiance with all applicable laws regufa6ng canstruction,zoning and land development. ApplicaUon is hereby made to obtain a pertnit to do work and inslallation as indicated. 1 certify that no work or installation has commenced prior to issuance of a pertnit and that all work will be perf'ormed to meet standards of all laws regula6ng construction, County a�d City�odes,zoning regulations, and land development regulations in the jurisdiction. 1 also certify that I understand that the regulaGons of other govemment agenaes may apply to the intended work,and that it is my responsibifi(y to identify what actions I must take to be in compliance. 5uch agencies include but are nat timited to: - Departrnent of Environmenhal Protection-Cypress Bayheads,Wedand Areas and Environmentally Sensitive Lands,WaterNVastewater Treatment. - 5outhwest Florida Water Management District-Wells, Cypress Bayheads, Welland Areas, Aliering Waterzourses. - Artny Corps of Engineers-5eawalls,Oocks,Navigable Watenvays. - Oeparlment of Health 8� Rehabifrtative ServiceslEnvironmental Heallh Unit-Wells, Wastewater Treatrnent, Sep6c Tanks. - US Environmental Protection Agency-Asbestos abatement_ - Federal Aviation Authoriry-Runways. � � 1 understand ihat the following resUictions apply to the use o(filh - Use of fill is not allowed in Flood Zone"V"unless expressly permiHed. - If the fill maierial is to be used in Fload Zone 'R', it is understood that a drainage plan addressing a "compensa6ng volume"ren71 be submiited at time of permitting which is prepared_by a prnfessional engineer licensed by the State of Florida. - If the fiA material is to be used in Flood Zone A"in�onnedion vrith a permitted building using stem wall construction,I certify tnat fill will be used only io fill the area within Ihe stem wall. - If fiU material is to be used in arty area, ! certify that use of such fill wilt not adveisely affect adjacent properties. If use of fill is found ta adversety affect adjacent properties,the owner may be cited for vielating the conditions of ihe building permit issued under the attached permit applicaUon,for lots less than one(1) acre which are elevated by fill,an engineered drainage plan is�equired. If I am the AGENT FOR TH�OWNER,I promise in good faith to in(orm!he owner of the pertnitting conditions set forlh ia this affidavit prior to commenang consirvc6on. I undersiand that a separate pertnit may be required for electrical wark, plumbing,signs,wells,pools,a'v conditioning,gas,or ofher instatlaBans not specifiqlly included in the appfiptlon. A permit issued shall be construed to be a license to proceed with the work and not as authorlty to violate,cancel,alter,or set aside any provisions of the technical codes,nor shall issuance oi a permit prevent the Buildfng Official from thereafter requiring a correclion of errors in plans,construction or violations of any codes_ E�ery pertnit issued shall become invalid unless the work authorized by such permii 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)months after the time the work is commenced_ F+n extension may be requested,in wridng,from the Buitding Official for a period not to exceed ninety(90)days and will demonsUate justifiable cause for the extension. If work ceases for ninery(90)consecutiva days,the job is considered abandoned. WARNING TO�WNER: YOUR FAILURE TO RECORD A NdTICE OF COMMEAICEME(dT MAY RESULT IN YOUR PAYIPJG 7W10E FOR IMPROVEMENTS TO YOUR PROPER7Y. !F YOU INT OBTAIN FI(VA ING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR TIC OF ENT. FIORIDA JURAT(F.3.717.03 OWNERORAGENT. �� CONTRACTOR rn a+W sw,S�m tp(or affirmetl)bc orc riio Ihis Subscnbnd artd swo affirmed) fore [h' �� h 2"1 ZClbby t'Sr{� P� • by �i is/ rsonally n �A'tOYn�r haslhave produced Who ishare perso •Iv�o�m ro mo or hastheve produced� idsnification. as identification. �•`�...t�G��:�s--T7otary Pu6Gc W��✓ Notary Public � Canmission Pio. Comml 'an No. V�� N of N��+�9�1,printed N�mo of Mo ry typed,prinlea or slamped '_°� ,`�: Notary Public-State oi Florida _•'�; =My Comm.Expires Oct 28.201fi ��e{rg�� p�FORSYM =;; �o�= Cnmmission#EE 842759 `` •• ' p�1(CQMM{SSION#FF 158315 �OC"°`' � EXpIRES:�ber 15,2018 .,,,,,. Bonded Thraugh National Noiary Assn. * �°�oFFl.�'��t BondedThNB+d9ethu�tY�e�s �'��6� �'�� C�� 3737 N. US H��y 1 Cocoa, Fl. 32926 321-302-9960 Fi•ank 321-636-5565 office 321-636-5796 fa.x Date: b/12/16 This agreement is made between Mobile World of Brevard, Inc. (hereinafter referped to as M. B.) with o�ces as 3737 N. U.S. Hwy 1, Cocoa, Fl. 32926. And:ELS Crystal Lake Heights Attent:Kate Russo mgj- 813-71 S-1 SOOph 813-715-1326 fx katha�inerusso(a�equitvlifes le.com Project location: 39441 Annette St. Lot 96 Zephyrhills, FZ 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�esponsible 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 . • , Yesto�ation;grubbing; saw cutting; backfill; compaction;patching and/or repair or adjacent surfaces. 1. Customer shall the sum o : $2 000.00 lus ermit costs. Said sum PaY .f � P P shall be payable upon completion. 2. All delinquent payments shall bear interest of 1.5%per month (18%pe� annum)from when due. In the event that M. B. is�equired to use an attorney for collection of delinquent payments against its'contract, owner shall pay reasonable attorney fees incurred. 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 proposal 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. . � C� Mobile World of Brevard. Signature G.'� . 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