HomeMy WebLinkAbout16-17636 CITY OF ZEPHYRHILLS �
� '"� � 5335-8TH STREET
(813)780-0020 1 36
' BUILDING PERMIT
PERMIT INFORMATION . � � - - LOCATION INFORMATION - `
Permit NWmber: 17636 Address: 5133 1 ST ST
Perm;t Type: DEMOLITION ZEPHYRHILLS, FL.
Class `f Work: 636-DEMOLITION Township: Range: Book:
Propos d Use: NOT APPLICABLE Lot(s): Block: Section:
Squa e Feet: Subdivision: CITY OF ZEPHYRHILLS
Est Value: Parcel Number:
Impro . Cost: 5,754.00 OWNER INFORMATION � -
Date ssued: 8/05/2016 Name: STARNS ROBERT &JENNIFER
Tot I Fees: 75.00 Address: 5133 1 ST ST
Amo nt Paid: 75.00 ZEPHYRHILLS, FL. 33542
Da e Paid: 8/05/2016 Phone:
Wo k Desc: DEMOLITION 1500 SQ FT
CONTRACTOR S � � ' APPLICATION FEES --
CROSS NVIRONMENTAL SERVICES INC DEMOLITION 75.00
Ins ections Re uired - `
FI AL -
REINS ECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local overnment 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.
NOTIC : In addition to the requirements of this permit, there maybe additional restrictions applicable to this properly that
may b 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.
"Wa ning to owner: Your failure to record a notice of commencement may result in your paying twice for
impr vements to your property. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Comp ete 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.
CON C OR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-00 0 , City of Zephyrhills Permit Application Fax-813-780-0021 ii
� Building Department I
Date Received I • 813 783 1688
Phone Contact for Permitting
Owners Name I STARNES ROBERT owner Phone Number
Owner's Address I 5250 3RD STREET ZHILLS Owner Phone Number
Fee Simple Titlehol I er Name Owner Phone Number
Fee Simple Titlehol er Address
JOB ADDRESS 5133 1 ST STREET �or a �
susoivisioN NA PARCEL ID# 10/26/21/0040/00100/0020
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW coNSTR e ADD/ALT 0 SIGN Q � DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM 0 OTHER
TYPE OF CONSTR�ICTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF YVIORK COMPLETE DEMOLITION
BUILDING SIZE S�FOOTAGE �5OO HEIGHT �
QBUILDIN $5754.00 VALUATION OF TOTAL CONSTRUCTION '
QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C.
QPLUMBI�G $ •G,�
QMECHA ICAL $ VALUATION OF MECHANICAL INSTALLATION I�� -" �
� l
QGAS Q ROOFING Q SPECIALTY 0 OTHER
FINI ED FL00 LEVATIONS FLOOD ZONE AREA QYES NO
suI�DER COMPANY CROSS ENVIRONMENTAL SERVICES,INC
SIGNATURE REGISTERED Y/ N FEE CURREI. Y/N
Address P•O.BOX 12 9, STAL SPRINGS,FL License# CGC062981
E CTRI AN COMPANY
SI RE REGISTERED Y/ N FEE CURREI. Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N �cuRaEn Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRFI� Y/N
Address License#
IIIlilllllllllllllllllllllllllllllllllllllllllllllllllllltlllllllll
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-0-W Pertnit for new construclion,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL ; Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-0-W Permit for new conslruction.
Minimum ten(10)working days aker submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence inslalled,
Sanitary Facilities&1 dumpsler Site Work Pertnit for all new projecls.All cammercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out appli alion completely
Owner 6 Co trador sign back of application,notarized
If over b2500,a Notice of Commencement is required. (AIC upgrades over$7500)
" Agenl(for t e contractor)or Power of Attomey(for the owner)would be someone with nolarized letter from owner authorizing same
OVER THE COU TER PERMIITING (Front of Application Only)
Reroofs if shingl s Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Driveways- ot over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
which may b� more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
appficable de�d restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors tq undertake work,they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both 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 wor�C,they are advised to contact the 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 tF�e"contractor Block"of this application for which they will be responsible. If you, as the owner sign as the
contractor,t at may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPOR ATION IMPACTNTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transpo ation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of
use in existi g buildings,or expansion of existing buildings,as specified in Pasco County Ordinance number 89-07 and
90-07,as a ended. The undersigned also understands,that such fees,as may be due,will be identified at the time of
permitting. I is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a" rtificate of occupancy"or final power release. If the project does not involve a certificate of occupancy or
final power r lease,the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUC ION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,500.00 or more,I
certify that , the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's ,
Protection G ide"prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than tt��e"owne�',I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owner"prior to commencement.
CONTRAC'�OR'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work
will be donelin compliance with all applicable laws regulating construction,zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
commenced prior to issuance of a pertnit and that all work will be performed to meet standards of all laws regulating
construction County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other govemment agencies may apply to the intended work,and that it is
my responsi ility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
- epartment of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
ands,Water/Wastewater Treatment.
- outhwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
�Vatercourses.
_ Prmy Corps of Engineers-Seawalls,Docks,Navigable Waterways.
bepartment of Health & Rehabilitative Services/Environmental Health Unit-Welis, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
I understan that the following restrictions apply to the use of fill:
- Use of fill is not allowed in Flood Zone"V"unless expressly permitted.
- If the fill material 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 material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction,I certify that fill will be used only to fill the area within the stem wall.
- If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties,the owner may be cited for violating
the conditions of the building permit issued under the 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 GENT FOR THE OWNER,I promise in good faith to inform the owner of the permitting conditions set forth in
this affidaviE prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, igns, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issu d shall be construed to be a license to proceed with the work and not as authority to violate,cancel,alter,or
set aside ary provisions of the technical codes,nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shall become invalid
unless the�vork authorized by such permit is commenced within six months of permit issuance,or if work authorized by
the permit i suspended or abandoned for a period of six(6)months after the time the work is commenced. An extension
may be re uested,in writing,from the Building Official for a period not to exceed ninety(90)days and will demonstrate
justifiable use 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 COMMENCEMENT MAY RESULT IN YOUR
PAYING�ICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INT ND TO OBTAIN FINANCING,CONSULT
WITH YO R LENDER OR AN ATTORNEY BEFORE RECORDING YOUR CE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117.03) "
OWNER OR�1GENT CONTRAGTOR �
Subscribed and swom to(or affirmed)before me this Subscribed and sworn to affi med)before me this
-�_by
Who islare p rsonally known to me or has/have produced Who is/are ersonally kno n to e r has/have produced
as identification. as identification.
Notary Public ,.�in'r"r'i',��.,, " MELODY KAY MORTON otary Public
o= o ary u Ilc-State ot Florida
Commission o. s' -
s
� ,� My Comm.Ex ire:
Name of Not$ry typed,printed or stamped ame type������
Pasco County Building Schematic Page 1 of 1
� ' Generalized Building Schematic
10-26-21-0040-00100-0020
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Pasco County Property Appraiser
Page Layout Modified: 9/6/2013 8:36:26 AM
The Local Time Is: 7/22/2016 11:31:38 AM
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Pasco County Property Appraiser - Map Page 1 of 1
Pasco County, Florida
0.4 miles WSW of Zephyrhills
Prepared by the Office of Mike Wells, Pasco County Property Appraiser.
Map Created on 7/22/2016 at 11:33:04 AM.
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