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HomeMy WebLinkAbout16-17461 % �_,_, :,, , CITY OF ZEPHYRHILLS 5335-8TH STREET , (813)780-0020 174 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION � Permit I;Jumber: 17461 Address: 5655 19TH ST Permit Type: DEMOLITION ZEPHYRHILLS, FL. Class of Work: 636-DEMOLITION Township: Range: Book: i Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-10900-0010 ' Improv. Cost: 500.00 OWNER INFORMATION Date;Issued: 6/10/2016 Name: NEAR PENNY Total Fees: 75.00 Address: 5655 19TH ST Amount Paid: 75.00 ZEPHYRHILLS, FL. 33542 Date Paid: 6/10/2016 Phone: 813-778-4495 " Work Desc: DEMO HOME 22 X 32 ' 1 CONTRACTOR S APPUCATION FEES � HOMEOWNER DEMOLITION 75.00 � �(� I Ins ecti�ons R uired FINAL I I 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 I 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. CO � TOR SIGNATURE PERMIT OFFI R _ � PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED � PROTECT CARD FROM WEATHER � I i � ,, 81•M�ao-oozo City of Zephyrhills Permit Application Fax 813-780-0021 y+w`.,--,i, Butlding Departrnent I� .� - I Date Recelv�d , � �P.hone-Contacf�for`•Permiltin�``" ' _ _ � Owner's Na Ime s � (� �� Owrner Phone Plumber O I 3 " 7 7�: �` �QS, �_ Owner's Adl ress �� !�'�1=�'s�' • ' ' O,wner-Phone-Number _ � = ` ,' ,. �': Fee Simple TltleholderName��� � ' Owner.Phone Numbe�`'_ � „ . . , _ i. �jlpt, — - ., . � �a'� - , . _. . . .: . . .. . •ri ti Fee Stmple.,Tiaehoiaer_�►aare:s � � _. � JOB ADDRESS LOT#_ � SUBDIVISI�N = � . PARCEL'ID# � - , ` - � �' '(OBTAINED'FROIN=PROPERTYTAXNOTICE)' WORK PRO�P_OSED ' � , =" �= NEW CONSTti � ° `'� ADD/AL"•T � SIGN '`Q � DEMOLISH - , � -,. B . > INSTALI. - �8' � =�REPAIR'• �_ ,. -. ,.. __ . � - PROPOSED�:USE � [��� SFR [� COMM~' �Q OTHER` ' I ,.r. TYPE OF C�NSTRUCTION.; ' Q ' `BLOCK�' 'Q', ';FRAME. -�] ;STEEL_ . Q ._. . -• w DE3CRIPTION"OF WORK� `��i' ` (� ' ' L{S.Q/ . a�o`� X �. - • .. - „ , - , :. _. . BUILDING 51ZE;' •c�. ' _$Q.FOOTAGE.�� .. ; � „HEIGHT-. , . . B ILDING "'-'�;;�`;.�' `"='''�^: � � � ^ $"SDO. D� VALUATIOI�"aF'TOTAL"CONSTRUCTION . `� , QE�ECTRICAL $ AMP SERVIGE ` Q' PROGRESS ENERGY [� �;W.R.E.C. , QP�UMBING $ � :. _ ` � �- I ; ; . - r , .� . =_ `� ����� OMECHANICAL ' $ `VALUATION:OF,MECHANICAL;INSTALLATION � � r . . . ,, .�, � (/ 7 ,� , QGAS _ Q, ,- ROOFING:��Q SP.ECIALTY' Q� OTHER� <` � � FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES. , , NO . � : � - _ - BUILDER � COMPANY " ' r . . SIGNATUtt� REGISTERED Y/ N. " �E CurtRE�' Y/_N;�. ' ,. . . .� ,: x �;, Address • ' ` Llcense# - � , . . �;: ,. -> ; F � , ELECTRICU�W�.-3� , �.• �' COINPANY, . . . _� SIGNATURE ' REGISTERED Y/ N FEE 6URREK '" Y:/N ' � Addre�s ` . - ." , _ , r.License�#: . . � . PLUMBER.� .. , ` - , COMPANY� ., � ` ' � � " _. ' SIGNATURE _ - ,�REG�S.7ertEp�- � ��,:.; �:Y/-�N': _ - .. �F.EE CURRFJ�•" , X/'N:� Addre� ,� � ,Y . .' - • ..License#; _- . � IWECHANICAI:.'_ ,. . .�. . . - . �; . .. =�: � : - . , : • :._ k. ,: • . _. . . . � : :COMPI�NY., . <;; . ; ;;� ..:: „',;.; , SIGNATURE � . ' ' , - - ` " �� � Re�is.rEri��:�� ,>Y.:/:N- , ,�e:CuwtEn ._ Y �- • :. - . . „ /-N i.��� , - Add�s�� . .f;. _ � r. ��. � „� ,,,-._ . , - . ` ' ' � ` . �s.:Ligense#-, " . . .,, t>. � _ - OTHER � , . __., .. ., . .. . ' , . _COII,APANY.= _ -.. -, ,. � -... .. , - _F. , ., ,., � ' � , �. :. . . � _ , - - - SIQNATURE i . _ . - `' ` .REGISTERED Y/ N•.., �FE�'G.URREA .r�: ::Y.�I;N;.�.. - ' ` . - � _.. ,.. _ ,: �,�,.';_' - :.., - , ,.. . _n ,. .. ° � Addre� �.7-` �s:' z*�� - "�.' 'ry" � " ��L•icense'# t " ;..:; . , ...,. ..._,,,.z<,. _ -- _ s��,=�-:�...�-,;. �'.:�.;:t��-�-.. - . ... ... .,.. ., � y^_ - .�;, _ r.• _;;�„ - 5:�: ax^ a�::�`<=�:;�i ,: -- RESIDEWTIAL..=b�::Attach:2';Plot�Plan's•.2`sets�of;8'ulldfn •Plan's;i�1`sefof�Ene ��Forms;�R=O-W�Pertriit.for�.ne con tnicUon;�. . ..�,.< . _._...„�..)..�.. . �.� )_ .-,: ,..,:- _9_ ..C..),. r9Y ,.w,l...:. ,��; - - <Mlnimum7tens 410`workin =:d'a"'s"a�ter"s`utimiltaliilafe:>�R �uited onslte;-Conatrucdon>Plans;vSto"rmwa4e.r.�Plans w/:SIIt.Fence,instelled,. . , . �.�;,, .��,,,,.)�,. ...,9>...Y..�- . -.eQ;,. �. t - � - , , 6`Sanita <Feci itl� �&�1`+ u' ste���Si e� nrk�Pe t, "r:sutidivislansAa`e`�ro ectss.�::%;;,�,�:��';`:�'.�' . .- ` . . ,•.- ;=•°v ^ , ,, ,.: .; ,. ;: . ;. ;r , ry �,�...I,:..@S,.,.;,.�d..!�!p>,•�.t�:.:�.�:�W,�_.R:::����,,_..;._ ._•.:-.,.::�...,r9�P..,:1,,...,.. .: ., - - .. CORA9NERCIAL �4ttach(3j c;oenplete`sets of'Bu7lding Plans plus a'Life Safety Page;(1)set of Energy Forms.R-0=W Permit for neW constructlon: ! Minimum ten(10)worktng days after submittal date. Requlred onsite,ConsUucdan Plans,Stortnwater Plans w/Sllt Fence installad;, -, , - � SanitaryqFadlides.�8�.1�dumpster..Site,Work.Permlt-for;�11`neinr'projQot's:All'commerdal.cequlrements mu�t meet.compllance -SIGN PERA�IT AttacFi(2)sets o�fiEn"gineer ;Plans;�~..�=�r�{'�;..;:-~:`-::. _.��", �� _ , .Y: ' . � - _. � .�� l,� .LSi _ � .. .. -� " ••`•PROPERTY._SUR�/EY required;fo��aII:NEW;conshuctlo�:.._,_�• _..,�,� ..; �. .- . Dlrectlon�•� :ky..�;_.�,��,��.;._ � , ...... ... _. _.. _ ._. ... � FIII out epplicadon completely, Ovuner&ContracMr sign back.of applfcatlon,notarized If�over�52500,a�Notice,of:.Commencament is.�equfred.��(AfG-upgrade"s over s7500)_ _ e� , - -. . , •<rs':�,t�:;�':,:c:;�,.. -c,_ ....b,�..:._..-�s:::- . ,,.._... . ._. —� ._. _ � a t•.- . ....... _. ., _� ,_,. . _.... '" Agent(�or ttie contractor)�6r`Powe�of Attoiney(fo�iFi'e'owner),would'be someone with no,tarized letter from owner autho�izing same-, .. -- .. - _ DVER'THE' �. ... .,. � : : .,:,..:......��on, �. . - -- - , -- , -•- c .,. _,.. . .,. . . �OUNT�R.PERMITTINti=='._=.::(Front ofiApplicatian=0nly)�� '.:, " - � , Reroofs if stiingles Sewers Service Upgredes AJC� Fences(Plot/Sunrey/Footage) _� .... - �� �� � - � - .. �-� I _ ' ' '"" _' '3"_ i"'" _ ' ' . �. . � , �T�. ... .�iL�'�.:� �. - 't� ,. ., -�.. -. -. "_�.- . - �.'.�` .. - � . , v, r � , , , . Drivevriays-Not over Counter if ornpublic roadwiays:.needs ROW' -- - - � - - - -�- .-.. •• ' ` - • ` . � • ... � .. , , - ` %�� _ '" ..... .. " �t.,i'.�:;: ��.. OTiCE OF DEED.REB.T.RICTIONS: The=undersigned�4ndergta,ndsw�#h�t;this�p;rm1�.: " " ':'����' "` � •:may:be„subJe.ct..to.,.:deed».�rest�ictions.�;., _ _ - _ .y��. _ ,.a,:� �: ;,s, _ :..2.,y.�1r,S:i,.,�Y'_�"`y..,.�w„ ^r.:' - =`st_e�c,r �IF '�-.: . - - �hich may�:be°more��restrictive:�t���•C�unfy��i�g�ilatfor�is:��17he°,undere"Igned'�a��uine�,resp�n�sibility�:for�cori�ipliance wi'th:any PPHcatile-deed::resMc'tions. .,�,..,::;,;::..-;•_.,,.�;.: � ` � - - - - - - -' °,.,.;.,�:�:::.:. , ._ NLICENSED`�CONTRAC�ORS��`AND'CONTRACTOR��RESPOW�I�ILITI�S'::=::'I�°�he�Toviinec��ti:as�.hi�etl�"a�'i�ftitractor or �ntractors to undertake,wo�k,;the �ma :�be r,.�q�fred�to:t�.e�lice�sed:'In:accordance�wtth�state;and:local_:r,e ulallons�:���lfktt�ie-�- • == - _ . Y.:�Y.._ .� , . . ,.,- „ -r<:�:.i-ta a:i:S.�....+.�pss., .'_,,vt h...: ,r...�, .9.:,.� -- mtractor..`:is�.not�ltcensed-as'�cequlred:.tiy laiiv;:tioUi�'�the'own�r ahd�conUaoto��may��b��clt�dffo������misdemeeiio�vlolatlon nder state law. If the oHrner or intend:edT-contr.actgr�ere;�uncertaln as:to wF�at licenstng..requtrements:;rinay�;appl�'fo�;'the,-r�:�4�=-9yY,���'° , a :. e,.o.. ;t, p: . _.., r.,e:•r�„..., � _:,,• ,,.,:: .� . .�'. :..:rS �. .� : , tended�work,�they�are,advised"to�contact"the:Pasco:.County,Building;InspecElon;;Dl'vlslon=,=Ltcensing Section et 727=847- __ ._ ,-.;. ..._.._........M,�-- •- <•.: , ._. .. ,..,.;,....�,.:...,...:. ...�.,,:::,,,.. z.�.. , , ...._:,.. .. _ ,_, �. .�.�.. � )09. Funhermore;-�if the�owner Fias"�hired�a'con"tractor`or contreators; 'lie�is adv(sed�to-have;.the .cor�tra,ctor�s);sign__,._ ,F,.,,;_ •�, �rtions of'the:'contractor Block°..of.`thie appifcatlon,for whlch.they wlli.�be.r.e.sp.o�slhle.,�df,you;��as:__the`;o``wne�"'stgn as'`the'� �� `"`�'"�� mtractor,-tliat��►iay be�an Indtcatlorn-that he�is=not".propeHy-llcen"sed�`and"is'not'�en�itied�b�pertnit�ing privileges�in Pasco, , • , , .:: �:,,r._,,,r;..v..,,. . •. ounty. . . ' ,. ,,. .... ,- - .- :�:.,.,n .:.. .. :- . .�_ �; : RANSPORTATION�IMPACTIUTIL�TIES:IMRl4C'��A(�6`-1�ESOUt�CE RECON�RY-FEES:��The��undersl�iied�vr�derstands � at Transportation Impact Fees�and.Reco.urse Recovery.Fees.may;apply�<#a tF�e constr.uctlon.�of new�b.uildtngs;,�change"°of��'`°'°'�=�''�� �' �,_...: _�.�_�-� - - � -� --= - - - :e in existfng�buildings;~qr.�expa�isi�:r�rr.of;}ezlsN�;�btiltifi�igs;'as�specifled.ln Pasco County Ordinance number 89=07 and )-07, as amended.;r.:'�h�undersigned alsaFurtderstands� th�f��suoh fees;�:as�tna�r`�e:.<.d�e;3will7be iden�ified at the'time��'of�='•��'��`r�"'�'� ;'; �rmiBing. It Is hirtfier understood that Tran�portation:Impacf`Fees and��Resourae Recoaery��Fees,must be pald prior to _ ceEvtng a:"certHicate..of,vccupancy"��or flnal-.power�release. :if'the.proJect�,does:no��involve�a:.certiflcate of occupancy�-o�=:���-��`�=�' , ial power,�release;�the�;fees�:mu�it��be:pald�pctor to:permit IsS�ence. ?F�i�tk�enmore;�°t�:�Pescmf•County:V�later/Sewer.,�lmpact:;,° .-- . , . , es are due,.,they.must,tie;�pafd,.pi�or to..�pe.rmit�lssuance.in,accord'ance:wit�;appllcatite�Pasco'•County�ordlnances. ONSTRUCTION'L`IEN"LA1N(Chapter 713�FloNda�Statutes,�am�nded): if valuation of:work is$2�500:OOzor•mor.e, I� °� ,. _ �rlify that �I,.,�the.,applicant,.,.:t�ave::been:��proWded:�:,with--a�copy�of-_�the:�-"Florida°-Constructlon"-�Lien�°�Law--Homeowner's . ._ __....,-_.. . . �oteotion Guide" prep�red.by tMe Fio�ida"Depertmer�t�of Agric.ulture and ConsumsrAffairs. If the �ppitcant Is sotneone � ,. -�-�:6,.� her ihan the"owner"� I certffy.:that::l:have:�.obfaine�=�`copy.of.the:above.,.described�d'ocu�entand;p.r.o�ii,se�;in;gQod;faith to - _x. aNver it to;the�' ' � a�; .. ._ z-.. .. _ , _..... . �.. ,,::,- _ . . owner"�:prio��to��comitienaemerit:`� OMTRACTOR'SIOWNER'8 AFFIDAVIT: I.ce�tifyqtkt�t°alt°th�-:Infonnation�in�thi�;applicatlon is accurat�:and that all work iil'be done in compl(ance witFi all.applicable'laws�regulatlng�construction, zonin8 and�land�development. Appllcatton is :reby made to. obtain�:a.permlt.�Co::do:,woti�;,and�1listallatlon as indlcefed:•:,�::I. certffy'tFiat no work=;or. Installatlon`fia`s `� ►mmenced�prlor'to'Issuance of`a�;pen'rllt.�and thaf:all'"work will be perFormed�to meet�:standerds_.of;all laws regulating- mstruction, County and City codes, zoning regul�tlans� and land development regulations�In�tFi�e�;ju�lsdtctlon::��t;al'sa , .: ��if�that I uaderstand thaf the regulatlons of other government agencles may�apply:to the,intended:work, and that it is . y responsibiNty to identiiy•what.acttons I.must�take;to be,in:.corrlpilance.:Such�agencieg�incl�de-but�are;,not Iimited:to:� , - Depa�trtient of E�lvironmental��Pr+ote`:cti�irt-`Gypress:�Bayh'ead�;�`Wetl'and�Areas and E�vironmentally Sensitive ; Lands�WatedVtlastewater�Treafinent. - � ' �� '� - Southwest FloNda Water Managemen�'�.:I�is[rlct-Wells; ��Cypress•�.:Bay���ads�;. �WeQand Areas, Altering� �� � Watercourses. . - . � - - - . • � � �;;� - Army Corps.of Englneers=Seawall"s;Dock's, �lavlgatile Waterways. - Department., of,Health::&,ReMabilitatWe;ServlceslEnvitonmen#al�.,Health�Unft-Wells;,:Waste.water��Treatment, Septic Tanks: ` ' . , �� ' � ' - • � � . ._ - U3 Environmental Protection Agency-Asbestos abatement. - - Federal:Avlatlon Authority;;Rur�nnra,ys���: ,.�, - -, . . � nderstand thaf,the.foll�owarig;cest�ictions�apply to�'the�use of flIL•• - - � - Use of fill is not allowed 1n:Flood:<Zone"V"unless expressly.permitted. - If�the flll��mateNal-�is�to"be:::used:�Cn.:f.lood-.Zone. "A", ICis�understood°that a drainage��plan addressing a "compensating volume"wlll.be submitted at time of permitting wliich ts prep�red by a professional engineer �Iicensed�by�#he<�tate�of'Flotlda: `� � .- -� �� � . - if_ihe.fill:mate�lal•`.1�-to-:be�used�In �lodd �one 'A" ins connection�with:a�permitted building ustng stem,wall � conatrvctto,n, I,certifythatfilG;vuall:ti�e:�sedonly.to.fillthe�area._within�the�stem�wall. - - � �1f flll"riiafe�lai`�`Is��t"o'��tie��used-°in��°any area;'I'��certify that .use. of such`"flll will not adversely affect adjacent , propertles. ;If u5e:of flll,is found�to adversely.,�ffecf�'ad)a'cent��:properties,.the owner may be'clted for vioCating , the�condltions�:of`tFie.ti�iilaing��iernitt issued:'under tfie°attacfied..permit_�ppQcatioFl;•for�:lots less�than:one (1) acre which are'elevafed'tiy�f�ll;_.��r engtneeted dralnage�plan ls�equired. • • - , am the AGENT..FOR.THE�OWNER;,IF�romtse`In.good falth to��inform.the-ownec:of��the,,pertnitting condftlons.set forth in °:_� 9 aifidavtt'prlor to commencing�constiuctton:�"1`�understand:thet e separate permit may be requlred for elecMcal work, , -- ;;.; imbing, signs� wells,.�poolsi,air..condltloning..,gas,_or•otMe_r...insta���lons not.specmcally included-in.the�appHcation; •A� , °:;�. y...� ,r:..a:. .. . r'�i. ....<., -o ,�.�.. . . rmit Issued�shall'tie�.conshued to�be�a'Iicense>to_p%ceed with�the'�verork and not:as.authoNty�to:.yiolate,�cancei;:alteF, or , �aslde any provisions of�the�tecfinlcal:,codes;�nor shall issuence•of�a.pe�mif.prevent the�Bulldirig Official from thereafter , . . :, ... . �uiringacorrectlon,ai;errors.in:_pfans,,eorisfr,"uctlon.orviolations�of�anycodes. ��very:-p�etmit-Issued:shall�:become�invalid � � less the work autho�zed�:by sucFi permlC���t"s-coFinmence��viritiiln_.shc.months of�permft issuance� or if work authorized by � , �.;,.�.,. _: �permit i's.suspended�.or.abar�doned,�fo�.a�:periodpf;stx:($).montf�s;.eftec�tFie time the�wor�k��s commertced. An extenslon `�', � ,�...,,�.: �: . ,� , �y be requested, In wri#ing;,;from�the�'Building�Offlciai_for a perlod::noE.to.exQeed�ntnety{90)��ays a�d wilf demonstrate '�' ; tifiable cause�for.�ihe extensionti�If�iork.ceas.es,far ninety(90)cons.ecutive:day.s...the job�ts.considered abandoned. • '";; ; . = �-� .,_„ . ,z;, :. ,� „ -._ . = " , ' 4 i 1RNING TO�OWNEI�: ��YO,UR._FAILIJRE��TC1.rR�E.C:ORI�;:A;NOTICE:OF;CCMMEMEEMEMT�IYfAY�RESULT�IN�YOUR . �`;, ; YING TWICE-FOR IMPR'OVEIIAEN�9�Tfl;YOUItR1�OPERTY. IF YO.U�I�44'.€E�Dt"Tt�•ti`iB�AiN��FIN�iVE1NG,C.ONSULT ;`;� s �H YOUR L.ENDER:OR�AN�f4TTORNEY �EF�R�} �ECORt�Iw�.�� :OUI�'�N�: ��C ��'C�IiAli11ENC�ENT:� ` � � .. .. ��. �-.,-�'� --�RID��.�l�F3�:T{F:S:.-1;1�. }-- — -- --. — -- —�.:;:,_____�___ - � _ � -- . ... _�.-- . - ----- .__ ___---��— NER OR AOENT� CONTRkGTO 1 � ealbed and swo to r atflrtned)b for me fhis' � ` Sub�crlbed'and'swor�• (ot',pflirm efo�e me.tlil& �-��-I b by��ov�h u. � l�l�v va�✓ 6-�0-/.� .b.y,�(X -C��.ra u.. �1\).��-.% � i Isla�,..per�pnelly knpym M.�or ha�/have produced Who:f ►e.pq�sopelly*nqv�t•to m.s,,or_ aslhave-ptodiiced • 1`t�d[1dC�I�-rSGi'ur�as,lden6flca84n. � "�C� �L�tivP�S Lr c�'-�`". as ldentlflcadon. 4 � .. �' . � !�-2 Not�ry Publlc . ' Notary Publlc ;�,t+�:'r�f�; JAC� INE BOGES ' imisslo Cc slon. o :•: •�: _,z�;�Y.."f,, JAC ==' �a: Expires.Decembe'r12 2p1g •:: Commission#FF 150422 '��:�F n°P•' �ondod ihru , ' ie of Nota ' -t�kpr'fl� 8f Name ot Notery , '.j;�aFF.d:`� BondedThNTrayFetnlnfunnca800�3A5•7019 �