HomeMy WebLinkAbout16-16974 CITY OF ZEPHYRHILLS
5335-8TH STREEE"
. � ' (8].3p8o-0o20 16974
BUILDING PERMIT
PERMIT INFORMATIQN LOCATION INFORMATION
Permit Number: 16974 Address: 5440 11TH ST
Permit Type: DEMOLITION ZEPHYRHILLS, FL.
Class of Work: 636-DEMOLITION Tawnship: Range: Book:
Proposed Use: `NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHlLLS
Est.Value: Parcel Number: 11-26-21-0010-93800-0150
Improv. Cost: 1,OQ0.00 OWNER INFORMATlON
Date lssued: 112612016 Name: VINCENT BARBARA J ESTATE OF ,
Total Fees: 112.50 Address: 5440 11 TH ST
Amount Paid: 912.5Q ZEPNYRNILLS FL 33542-4314
Date Paid: 8/05/2016 Phone: 813-713-1141
Work Desc: DEMC7 SHED 12' X 20 '- reinstate bp one time exp 2/4/17
CONTRACTOR S APPLICATI(3N FEES
HQMEOWNER DEMOLITION 75.0�
RE-INSPECTION FEE 37.50
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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 gavernment shali impase a fee of four times the amounfi of the fee imposed for the initiai inspection or
first reinspection,whichever is greater,for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit,there maybe additianal restrictions app(icable to this property that
may be found in the public recards af this cc,unty, and there may 6e additianai permits required from ather governmental
entities such as water management, state agencies or federal agencies.
"Warning to awner: Your faiture to record a notice of commencement may resuit in your paying iwice for
improvements to your property. If yau intend to obtain financing,consult with your lender ar an attorney
before recording your notice af commencement,"
Complete Plans, Specifications Must Accompany Application. All work shall be pertormed in accordance wi#h
Ci Cades and Ordinances. NC?OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
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ONT CTOR SIGNATURE � PERMIT OFFI R
PERMIT EXPIRES IN fi MUNTHS WITHOUT APPR4VED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS
5335-8TH STREEI"
� ' ' (8�3)780-oozo 16974
BUILDING PERMIT _
PERMIT INFORMATION LOCATION INFORMATION
Permi#Number: 36974 Address: 5440 11TH ST
Permit Type: DEMOLITION ZEPHYRHIL.LS, FL.
Glass of Work: 636-DEMO�ITlON Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: ClTY OF ZEPNYRHILLS
Est.Value: Parcel Number: 11-26-21-0010-13800-0150
Improv. Cost: 1,000.00 OWNER INFORMATIQN
Date Issued: 112612016 Name: V[NCENT BARBARA J ESTATE OF
To#al Fees: 75.00 Address: 5440 11TH ST
Amount Paid: 75.00 ZEPHYRNILLS FL 33542-4394
Date Paid: 1/26/2016 Phane: 813-713-1141
Work Desc: DEMO SHED 12' X 2Q '
CONTRACTOR S APPLICATION FEES
HOMEOWNER DEMOLITION 75.00
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Ins ectians Re uired
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REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local government shall impase a fee of four times the amaunt of the fee imposed for the initial inspection or
first reinspection,whichever is greater,far each such subsequent reinspection.
NQTICE: In addition to the requirements of this permit,there maybe additianal restrictiorts applicable to this property that
may be found in the pu6lic recards of this county, and there may be additianai permits required from other governmentai
entities such as wafier management, state agencies or federal agencies.
"1Narnieg to awner: Your failure ta record a notice af commencement may result in your paying twice for
improvements ta your property. If you intend to obtain financing,consult with your lender or an attorney
before recording yaar notice of commencert�ent."
Complete Plans, Specifications Must Accompany Application. All wark shall be performed in accordance with
City Codes and Qrdinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
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CONTRACTOR �IGNAT PERMIT OFFI R
PERMIT EXPIRES IN fi MUNTH5INITH{)UT APPRt�VED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM 1NEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
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Date Received Phone Contact for Permittin —
Owner's Name C� � �J 1� T Owner Phone Number � —� " � �
Owner's Address � � � Ovvner Phone Number
Fee Slmple Titleholder Name Owner Phone Number
Fee Simple Titieholder Address -
JOB ADDRESS v r� "v LOT# �
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTYTAX NOTICE)
WORK PItOPOSED NEW CONSTR ADD/ALT Q SIGN Q DEMOLISH
B INSTALL e REPAIR
PROPOSED USE .Y Q SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION _ Q q BLOCK ' Q FRAME Q STEEL Q
DESCRIPTION OF WORK �V�� ` r " l�/� �
BUILDING SIZE SQ FOOTAGE� HEIGHT .
[�BUILDING $ �OG �� VALUATION OF'TOTAL CONSTRUCTION ,
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
OPLUMBI[�IG $ �n�
�t_ �
QMECHANICAL $ , VALUATION OF MECHANICAL INSTALLATION � V
QGAS Q ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER _.__----- COMPANY D�n��-
SIGNATURE i — �� REGISTERED Y/ N FEE CURRE� Y/N
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Address License#
ELECTRICIAN -, COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Addre�s License# �
PLUMBER COMP,ANY
SIGNATURE ReGIS7EREo Y/ N FEE CURRE� Y/N
Address Llcense#
MECHANICAL COMPANY
SIGNATURE REGIS,7ERED Y/ N FEE CURRE� � Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N.
Address License#
RESIDENTIAL. Attach(2)Plot Plans;(2)sets of:Building'Plans;(1)set of Energy Forms;R-O-W Permit fo�new construct(on,
Minimum.ten-(10),working:days.after.submittal date: Requlred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilitles&�1..dumpster SIte�Work-Pertnit for subdWisionsAarge projects _
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new consUucUon.
Minimum ten(10)woiicing days'after submittal date. Required onsite,Construc8on Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilides 8 1 dumpster.Site Work Pertnit for ail new"proJects.All commercial requlrements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.. • �
"'•PROPERTY SURVEY required for all NEW construction.
Directions:
FIII out applica8on completely.
Owner 8 Contractor sign back of applicatlon,notarized '
If over a2500,a Notice of Commencement i�requlred. (AIC upgrades over 57500)
" Agent(for the contractor)or Power of Attoiney_(for the.owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of.Application Only) , �-
Reroofs lf shingles Sewers � Service Upgrades A/C � Ferices(PIoUSurvey/Footage)
Drlveways-Not over Counter if on public roadways..needs�ROW �' �
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NOT'ICE QF DEED RIESTRlCTIO�tB: The understgraed understands:ttt�t#hls,p.�rmft.may be.subject,tov"deed"t�es#rictions"� • ._�,
which may be�more�rest�icttve=tfial�Counkjr"regulations:�The`underslgned�esstimes responsltiiltty�forycompitance'witFi any "
appNcable deed resMctlons.
UNl.ICENSED CONTRACTORS�AND .CONTRACTOR RESP8NSt81l:iTiES. 1f the awner-has hired a contracfor or
contractars to undert�ke work, they may be:r�qutred._to be,Ilcensed In accordance.with state.and•Iocal regulatlons, ylf the ' "
con#cactor is nat:ltcensed:as`requlred"by law, bat#� #he owner and.cont�ctor�may tie-cltad-for a��r»Is�femeanar vlola�on
under state law. If the owner or Intended'.contractor;;are,�uncerta(n as M what Iicensing.requlrements:may�=applya:�Far,the -
9ntended"work,they are advlsed to contact the.Pasco Gounty Bulliling'Inspectlon D!v#slon—t.icensing�ectlon at 727-847-
8009. Furthermore, tf-the owner has hi�ed a cantractor ci��oonfractors, he is advised to have the contractor(s), sign.
porkions af the °aontractor 81ock" af thl� appllcation for which they will be.r.esponsible. .If you, as,the awiier sign�a's the ' '
contractor, that rnay be an Indication that�he is naY.properljr licensed and Is nat enti�ei3 to pemtitt�ng privlleges in Pasca
County. �
TRANSPtJRTATION-IMPACTNTlL.ITIES lMPAC'C�ANb RESOURGE RECOVERY�FEES;�The undersigned understands
that Transporta#ion Impact Fees and.Recourse Recove.ry.Fees may':appty;ta�tfie construction of new bt�ilding�,.change of` � �
use in existing buildings� or.exparrsion of:iexis#in,g`buildings� as specifled.in PascQ Caunty Ordlnance �umber 89-07 and
9U-07, as amended.. The understgned atsa;understands, #hait:-such fees,,as;may:be�due,;w111.;6e identif�ed at f�e{tirrie•of•` � .
permitting. It Is furtiier understood that Transportatian Impact Fees and Resource Recovery�Fees must be paid pr(or to
rece6v�ng a °ce�#I�cate-of=occupanay"oc finaf power=Eelease. :4fthe pro��ct,,does_not invoive a cettificake of accupancy or� � .
finai power retease;,the�.fees,must be paid prior to permit Issuance. Ft�tthermore;ff:Pasco County�lNater/Sewer•.Impact �
fees are due,fhey:.mu�t.be�pald..priar to,permit-lssuaric�-In accordance with appltcable.Pasco�County o�¢llnances.
�ONSTRUCTtCtN LIEN"1.AW(ChapteT 713, FtaMda Statutes,as arr�ended�; if vatuation of wark is$2,500.00-or more;I ,
cerkify that I, lhe applicant, have.been provided `with a copy af the "Florida Canstruction� Lien L�w—Homeowner's
Protectian Guide" prepared by ttie Fiorlda Department of Agrlcuttt�re and Consumer Affalrs. If the appllcant is someone , �
other than the"awner", i cerkify,that I have.obtained�a copy.of.the.above..described document°and promise in,good fefth to ...
deliver it ta.the_°owner�.pdo�korcommenaemerit: .
CCINTRACTOR"StBWNER'3 AFFIDAVIT: 1 cerEify fFiat all#he{nformatit�n in thi�appticatian is aacura#�and that all work Y
will'be done in compllance with all applicable'laws regulating construction� zantng and=land developm�nt. Applicatlon is
hereby made tn obtain .a.permit Co do work,and tnstallation as �ndlcatedl `# certi�y that no wor�C'ar tnstallation has
commenced prlo� to Issuanae of a permit1'antl that.aU work will be pertormed to meet st�ndards of �II laws regulating�
constructlon, County and City codes, zanfng regulattnns, and land devetopment cegulattons�in the �urtsdictlon. 1�also•
cerEify that t understand that the regu(atians of other govemment agencies may�appiy�to tfie lntended wrork, and that it is
my responsibility to identify�vuhat,acttons I musk take:to be�ln:,compllance. S.uch agencles include but-ar�.not Iirnited.ta:
- �epartmen# of Et�viranmental�Protection-Cypress.Bayheads, Vlte�and Areas and Environmentally Sensitive
Lands,WaterMlastewa#er Treatment.
• Southwest Ffarlda Water Management ,Dtstrict Vltetts, Cypress.� Bay�ieads; Vitefland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks,Navigable Waterways,
- Department of Health 8 ReF�abiti#aflve Services/Ernironmentat Nealth Uitit WeEts� Wastewater�Treatment,
Septic Tanks. .
- US Environmental Protection Agency-Asbestos abatement.
- Federai Avlatlon Authority=Runways. ,
I understand that the fo!lowing.restcictlons appfy to the use af flik•
- Use of fiA is not aqawed in F1aod Zane"V"unless expressly permitte�d.
- If the flll material is to be used�in :Fload Zone "A", It. ts understood�tliat a drainage pBan addressing a
"compensating valume°wltt bs submit#ed a#tlme of petm�tting which �s prepared by a prof�sslonal englneer
Iicensed by the State-af Florida. . �
- !f th� flfl materlal !s.to be used fn Plood Zone °A° tn�connec�ion�w�th.a pecmltted balidir�g using stem wali
� conatruction, I certify that fiit:wili:b.e:used anly.to,fill the area within#he�stem waii.
- if ffll material is to tie used in any area, 1-�cettify that .use. of such flll wlll not adversely affect adJacent
properties. ff use af fiti is fot�nd�to advet�sely.��f�ect ad�acent��pr�per#ie�, the awner may be cited far violating
the conditions of the biailding:permit issued�under the attached permit application, for lots Bess than one (1)
acre whlch are elevated=by fll�,an engineered dralnage pian is regufred. . .
If I am the AGENT FOR THE OWNER, l�promise In good faith to Inform the�owner of�the permitting conditlons set farth In
this affidavtt�priar to commer�Ging consfruction. funderstand that a.separate permit may be requlred fer electrtaal work,
plumbing, signs� welfs, paols;, air condi#ioning, .gas;'ar ather Instatlations not.spec�ically included-in.the apptication. .A ..
permit issued "shall be conshued to be_a Ilcense to_proceed with khe work and not as:authority ta,violate,cancel, alter, or. ' '
set as3de any provisEans of the techntcai codes; nor shalt lssuance�of a.permit.pceven#the 8ulldlrig O#flci�lfrom the�eafter
req�airing a conection af eITors in.pla�s, constn�ction or violations of any codes. Every permlt Issued shall became invalid
unless the work authorized.by such permlt�ls-ca�nmencedwithln sUc�nonths of�permit issuanceJ or if wurk authorized by
the permit is suspended or.abactda�ted for a:period of s�C(8}mont#�s`after the time the�wa�'1c is commenc�d. An extension
may be requested, in writing, from the Building,Offlcia) for a period�no#tc� exceed ninety(90) days a�d will demonstrate
' }us#Ifiable cause fior.the e�ertslan:�tf work cease�:for nlnety(90}consecutive days,..#he job��s consldefied�ba�doned.
WARNlNG TO OWNER: YOUR.�AlLURE-TO.,RE.C.QRD,A.NOTIGE;QF•COMMENGEMEI�tT-MAY=R�SURT 1N YQtlR �
PAYING 7WICE,FOR�IMPROVEMEN�'S TO Yt�UR<.PROPERTY. IF�YOU�iN�'END"T�'OBTAIN��FiNtARiCING;'CONSULT
WIT U DE � AN ATTORN � O. �� ECOR�D ��� OU '� ��C :°f�F' � � CE T�
- -FLORIQA,lURA�-{F.S.117.03}� �. __ - � - --- ' _ -- .__ __ _ ._. __ - -- -- --_---- -- -_�_.--�-
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OWNER OR AOEN1' CONTRACTO � '
Setbscribed arsd swom to(or etftrmed}before me this Subscrlbed'and' ;to•{t�`c�a�r��befors�1� t---_
by L 2G-�d ,�bY .,,,—c-- �cr •hc-�._-i �
Who is/are personaliy known to.me or has/have produced Wh (S/a Hrson Ily own�to me or hasAt&ve produced
as tdentlBcaUqn. I-�'�.•`b�1�cT�tL.ass . as tdenti�catlon.
� NotaryPubtic . G��C..i� NotaryPubilc
Commisslan Na � Com sion. �i:r'"'•�., JAGQUEI.lNE. ES ~
I :.: ':.= ommission
:�• �o: Ex ires December 12,2018
NaRte ot Ptotaty typed,Fdntet!or stamped Name af Not " °'�idnEll��t"tslklifi�Y�d'��1Ce��'�o�s
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ll� �.�,'���,� ��i���Barbara - J. Vincent - " � �ernale ' . ,
�+ 9.�A7E OF BIATH(MonN,Ory,Ywt) �a,�ae�t�n eu,w.y 6.DATE OF PEATH(Ma711L Dey,Yeal) , ,,�,
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