HomeMy WebLinkAbout15-16744 �
�`` � CITY OF ZEPHYRHILLS
' y 5335-8TH STREET
�sis��so-oo20 1674 :���
BUILDING PERMIT �
PERMIT INFORMATION. LOCATION INFORMATION
Permit Number: 16744 Address: 5506 LAURA 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: 12-26-21-002B-00500-0000
Improv. Cost: 2,450.00 OWNER�INFORMATION
Date Issued: 11/13/2015 Name: SIXTH AVENUE LLC C/O MHC OPERATI
Total Fees: 75.00 Address: 2 N RIVERSIDE PLZ STE 800
Amount Paid: 75.00 CHICAGO IL 60606-2682
Date Paid: 11/13/2015 Phone:
Work Desc: DEMO MH W/ FL RM 12 X 36
CONTRACTOR S - APPLICATION FEES
AR IE BROWNS HAUL N DEMOLIT DEMOLITI N 75.00
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� '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 recordin our notice of commencement."
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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.
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ONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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s�,��-�ao-oo�o City af Zephyrhills Permit Application Pax 813-780-0021
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BuElding Department .
Date ReGelved Phone•Contact for Permtftin —
Qwner's Name '`� 1� /�V "�= �--�--G Qwner Phone Numbar /.3 -^ �!r
Owner's Address � N `�-��`°'S�� 1'4-L (:��� Ga OwnQr Phane Number ����
Fee Simple Titleholder Name � � Owner Phone Number � �
Fee Simple Tltleholder Address
JOB AbQRESS ���ls �Q-r✓"��4 S"�" LOT# �_�
SUBDiVISION � —� PARCEL tD# Z �'�G`�� � �� ��''���'~�O�
(QBTAINEp FROM PROPERTYTAX NQTICE)
W4RK PROP03ED NEW COtVSTR ADD/ALT � SIGt�F Q Q DEMOLISH
INSTALL REPAIR
PRQPOSED.USE Q SFR � COMM Q CJTHEF2
TYPE QF CONSTRUCTION Q BLOCK " [� FW4ME � STEEL [�
DESCRIPTIOW OF WQRK � � � .�� � 3 � + � i
BUILDING 31ZE �+�� 3�+ �.SQ FOOTAGE 3� HEIGHT � 'Z- �
QBt11�DiNG � � r�-„ ac� VALliA710N�-CIF`T'OTA�CONST'RUGTION
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QE�ECTRICA� � � AMP SERVECE Q PROGRESS ENERGY [� W.R.E.C.
[�PLtJMBING ��
QMECHANtCAI ��� �VALUATiON OF MECNANIGAL ENSTA�IAi'!ON ��
[�GAS Q RC7QFING Q SPECIAt,TY �] OTHER "
FINISHED FLOOR ELEVATIONS �_.� FLOOD ZQNE AREA QYES. NO
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8UILDER "� �. ,�� COMPANY C�+��.•� �+rC�-�../�S �� `'�` �`1j.�
SIGNATURE I' REGIS7ERED Y/ N FEE CURRE� Y/N
Address «C3-�� �����-�-s--G �. License# �y �
E�ECTi21C1AN COMPAt�tY
$IGNATURE � REGIS7ERED Y/ N FEE CURRE� Y/N
Address License# �� �
SIG AT URE � R O�ST�� Y/ N FEE CURRE� Y/N
Address License# � �
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address ticense# � �
OTHER COMPAt�Ilt
SIGNATURE � REGISTERED Y/ N . FEE CURi2E� Y/N
Address � - License# �- -�
RESIDENTtAl: Attach{2},Pibf Plans;{2)sets af Bullding'Plans;{1}se#of Energy Fonns;R O-W Permit for new canstruction,
Minimum,ten;.(10)working,°days after�submittal date. Requlred onsite,Constniction Plans,Stortnwater Pians w/Silt Fence installed,
Sanitary FaciltUes,&�.1>dumpste,r,Slte Worlc�Rertnit for subdfyislonS/large projects
COMMERC1Af. Attach(3}comptete sets�of Buildirig Plaris ptus a I.ife Safety Page;{1}set of Energ}r Farms.R O•W Permit far new construc�on.
Minimum ten(10),warking days after.submittal date. Required onsite,CanstrucUon Pians,Stormwater Pl�ns w/Silt Fence installed,
Sanitary FaciliUes&�1�dumpster.Site-Work Bermlt far alt�new proJects:All commerciai requiraments must meat compllance
S[GN P�RMIT Attacti{2)sets of Engineered•.Rlans..:.
""PROPERTY SURVEY required for all NEW consWctlon.
D}rections:
Fiil out appHcatlon completely.
Uwnar&Contractor sign back of applicaflon,notarized
if over�250d.a Notice aE Cammencement is requEred. (A!C upgrades over�T50d}
'" Agent(for the cantractor)ar Power of AY#amey(fo�the owner)would be sameone with notarized letter from owner autho�izing same
OVER THE GOUN'fER PERMI'i"EING �(Front af:Application Only)...;,;� j�
Reroofs if shingles Sewers ServicerUpgrades,A%C,;,.; Fences(PIoUSurvey/Footage)
;;; . i- .._ .: - �.' ..- ..
Drivaways•Not over Counter if ari,public roadways..neads�F2tiW�� -• ,
< .,.,:..� ,. . .. .,,,. ., .�,,�.--, ... ...,.. ,
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NOTICE OF DEED RESTRICTIONS: The undecsigned under�tands�th�t:this:�ermit.may.be.subject to"deed"restric#tons"
which may be;more-r.est�icttve-than County-regulatlons.� TYie�:undersigned assurries"responsitilltty for compllance V+►ith'any
appllcable deed rest�ict(ons. � � -_ • -- . - _ � ,
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBIL'=1TIES: -•If the owner has hired a contractor or
contractors to undertake work, they may.be;requlred.:to:�be;ltcensed In accordance:witti'state�:and�•local reg'ulations: .if the �
cont�actor.is not licensed as�required'by law, both the owner and conUaator�may be=cited-for a�misdemeanor violatton
under state law. If the owner or Intended�contr,actor;:are.runcertaln as to what Itcensing.requirements may�apply���for-:the
intended work, they are advised to contact�tFie Pasco County Building"Inspection Divlsion—Licensing Sectfon at 727-847-
8009. Funhermore, �If the owner' has hired a conhacto� o� contractors, he is advtsed to have the contractor(s), sign
portions of the "contractor Block° of thls applicatlon for which they will be.,responslble. . If.you, as,#he ovirne� sign�a"s the
contractor, that may be an indication Ehat�Fie is not.properiy Iicensed and is not entitled to permitting privileges in Pasco
County. '� '- ' '
TRANSPORTA710N:IMPACTlUTILITIES IMPAC�'ANb RESOURCE RECOVERY�FEES: The�undereigned understands
that Transportation Impact�Fees and.Recourse Recove.ry:Fees�may��apply:to�the construction of new bulldings,,change of � -
use in existing bulldings, or:expansion�.ofjexistinga6ulldings, as specifled in P�scv County Ordinance number 89-07 and
90-07, as amended. The undersigned alsaunderstands, th�t:�such fees,-,asrtnaybe�:.due;�wlU��be identifled at the•�time�of
permftting. It Is further understood that Transportation Impacf Fees and Resource Recovery`Fees mu'st be paid prior to
receiving a "certificate.of occupancy" or flnal-powec�.release. :If�the project;does not tnvolve:a.certificate of occupancy�or
final power release;the#ees must�be paid prior to permit Issuance. Ft�ithermore;�if:Pasco.County-Water/Sewer Impact
fees are due,.they�.must be-paid prlor to permit-issuance�in accordance with:applfcable.Pascv�.County ordinances,
CONSTRUCTION�L"IEN LAHV(Chap�er 773� Flor�da Statutes,�s �m�nded): If valuatlon of work Is$2,500.00 or more, I - .
certify that I, the applicant, have�been provided with a copy-of the "Florida Construction�tien..L"aw=Homeowner's
Protection Guide" prepared by the Florida Departmenf of Agric.ulture and Consumer Affairs. If the applicant (s someone �
other than the"owner", I certify.that I have.obtained'a copy.of,the aboVe.described docutr�ent�and p.r.omise in.good faith_to ..
deliver it to..the,'owner"prior to;commencement: ` ' � .
CONTRACTOR'SIOWNER'S AFFIDAVIT: I.certify that all.the.inf.ormation In this appllcation is accurate and that all work
will�be done in compliance with all applicable�laws regulating construction, zoning and�land devetopment. Application ts
hereby made to obta(n .a permit.Co do. work; and Installation as indicafed: °I certifjr that no wark:or installatton has
commenced p�io� to Issuance�of'a permit and that.all work will be pertormed to meet standards of all laws regulating�
construction, County and City codes, zoning regulatiQns, and land development tegulatlons�in�the jurisdtctlon. I al'so
certify that I understand that the regulations of other government agencies may�apply�to the intended work, and that it is
my responsibility to(dentify�what.actions I must t�ke.to be�in:.compliance: Such agencles-include but�are:not Ilmlted to:
- Department of E�v(ronmental Protection-Cypress. Bayhead�, Wetland Areas and Envlronmentally Sensitive
Lands,WatedWastewater Treatment. ,_
- Southwest Florida Water Management District Wells, Cypress. Bayheads; Wetland Areas, Altering
Watercourses.
- Army Corps of EngineersrSeawalls, Docks, Navigable Waterways.
- Department of Health 8 ReY�abilitat(ve Seniices/Environmental Health Unit-Wells� Wasteuuater Treatment,
Septta TanKs: � . _ "
- _. ,_US Environmentai Protectlon Agency-Asbesto's abatement. , , � ,
- Federal Aviatlon.Authority-Runways. � --� � � �
I understand that the following,restrictlons appiy to the use of flll: .
- Use of fill Is not allowed in Flood Zone"V"unless expressly permitted: - - '
- If the fill materfal•is to be used:in-�Flood Zone. "A", It. Is understood that a drainage plan addressing a
"compensaNng volume" will be submitted at#ime of permittfng which (s prepared by a professfonal engineer
licensed bythe�State=of;Flor(da:
- If the flll materlal.is.-:to ,be used in Flood Zone °A" in�connec�lon wlth��a permitted building using stem wall
constructton, I certify th.at fill:wlll�b.e used only.to.fiii the area within the stem•wall.
- If flil material is to be' used in any area, I certify that .use of such flll will not adversely afiect adJacent
propertfes. If use of flll is found to adversely:�ffect adJacent��propertles,.the owner may be cited for violating
the conditions of the-building:permif issued under the.attached�permit application, for lots less than one (1)
acre which are elevated�by flll, an englneered dralnage plan is required. .
If I am the AGENT FOR THE OWNER, I;�promise in good faith to inform the�owner of�the permitttng conditions set forth tn
this affidavit��prior to commencing constructlon: I understand that,a:separate permit may be requlred for electrical work.
plumbing, signs, wells, pools; alr conditioNng,.ga.s, or other installattons not,spec�ically included-in the application. .A �
permit issued shall be construed to be a license.to_proceed with ttie work and not as:authority to.vlolate,cancel, alter, or
set aside any provistons of the technical codes; nor shall Issuance�of a.permit.prevent the Bulidlrig Offlcial from thereafter
requlrtng a correction af errors In.plans, construction or vlolat(ons of any codes. Every pemtit issued-shall become invalid
uniess the work authorized.by such permit�is-commenced within sf�c months of permit issuance� or if work authorized by
the permit is suspended or.abandoned for a�:period.of�six(6)montFis.after the time the�work(s commenced. An extension
may be requested, In wrltfng, from the Building Official_for_a_p�riod_not_to_exce�d_ninety-�(9�j-ilays-aFld--will-demonstrate- - ---
justifiable cause for.the extension�. If work ceases:for ninety(90)cons.ecutive day.s,..th�)ob�is considered abandoned.
WARNING TO OWNER: YOUR..FAILURE-TQ.,REC.ORD A NOTIGE OF•COMMENCEMENT�NFAY�RESULT IN YOUR
PAYING TVYICE;FOR�IMPROVEMENTS TO,YO.UR.PR�OPERTY. �IF YO.U�INTEND`T��OBTAIN��FIRFANCING;�CONSULT
WIT OUR END O� AN ATTORNEI(�B FORE-RECOR� G�YOUR� 'OF �' E CE E T�
FLORIDA JURA��(F.S.1.17.03) _ � ' " -
OWtdER OR AOENT COMTRACTOR �� --/�
Subscribed and swom to(or aflirmed)before me this S� scribed and'swom-to(ot afflrmedpbefore me tFiifi
by ��3�j ,.
WFio is/are personally knovm to.me or haslF�ave produced Who Is/are . rsona knovm�to me,or has/have�produced •
as IdenUflcatlon. as Identlflcadon.
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Notery Public _ � ��- Notary Public
. Commisslon No": Com slon
:�'s� y�� Commission#FF 150422
Name of Notary lyped,printed or stamped Name ot No • �
'•„od���. BondedTlwTroyFeminsuraneeB003B5•1019
.CI.TX OF / / I I BUILDIN�
ZEPHYRHILLS DEPARTMENT
OF ADDITION OR CORRECTION
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ADDRE55 D TE PERMIT�,
�j C� �� �� ! I �=1� � �
THIS JOB HAS NOT BEEN COMPLETED. The following additions or corrections shall be made before the job
will be accepted.
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It is unlawtu�tor any Carpenter,contractor,Builder,or other persons,to AFTER CORRECTIONS ARE MADE CALL
cover or cause to be covered,any part of the work with flooring,lath,earth 780-0020 FOR RE-INSPECTION
or other material,until the proper inspector has had ample time to approve
the installation.
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OFFICE HOURS 7:30 AM-5 PM MON.-FRI. INSPECTOR � �l�J .� _