HomeMy WebLinkAbout16-17638 CITY OF ZEPHYRHILLS
- ' � 5335-8TH STREET
'" (813)780-0020 1 638
BUILDING PERMIT � �
. �
PERMIT INFORMATION . � ' LOCATION INFORMATION .
Permit N�mber: 17638 Address: 38402 4TH AVE
Permit Type: DEMOLITION ZEPHYRHILLS, FL.
Class o Work: 636-DEMOLITION Township: Range: Book:
Propos d Use: NOT APPLICABLE Lot(s): Block: Section:
Squar Feet: Subdivision: CITY OF ZEPHYRHILLS
Est Value: Parcel Number: 11-26-21-0010-18500-0011
Improi. Cost: 9,870.00 OWNER INFORMATION ' �
Date ssued: 8/05/2016 Name: LOPEZ MORRIS C/O LT INVEST GP IN
Tot I Fees: 75.00 Address: 13701 N NEBRASKA AVE STE 102
Amou t Paid: 75.00 TAMPA FL 33613-3303
Da e Paid: 8/05/2016 Phone:
Wor Desc: DEMOLITION 2800
CONTRACTOR S ' APPLICATION FEES -
CROSS NVIRONMENTAL SERVICES INC DEMOLITION � 75.00
� n
� l
/ •-` Ins ections.Re uired � - �
FINA
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 property 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."
Complete Plans,Specifcations 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.
CONTRAC R 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�13-780-0021
' , t Building Department
�
Date Received I 813 783 1688
Phone ContactforPermittin
owners Name I LOPEZ MORRIS C/O LT INVEST Owner Phone Number
Owner's Address I 13701 N NEBRASKA AV STE 102 TAMPA Owner Phone Number
Fee Simpte Titleholder Name Owner Phone Number
Fee Simple Titlehol er Address
�os aooRess 38402 4TH AVE �or a �
SUe�IviSION NA PARCEL ID# 11/26/21/0010/18500/0011
(OBTAINED FROM PROPERTY TA7(NOTIC�
WORK PROPOSED e NEW coNSTR e ADD/ALT Q SIGN Q � DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM 0 OTHER
TYPE OF CONSTR CT10N Q BLOCK Q FRAME Q STEEL Q
DESCRIPTION OF oRK COMPLETE DEMOLITION
BUILDING SIZE SQ FOOTAGE 2800 HEIGHT 2 STORY
QBUILDIN $9S7O.00 VALUATION OF TOTAL CONSTRUCTION
QELECTRI AL $ AMP SERVICE 0 PROGRESS ENERGY � W.R.E.C. �
QPLUMBIN� $ � � �� �
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
� /
QGAS Q ROOFING Q SPECIALTY 0 OTHER
FINIS FLOOR I EVATIONS ROOD ZONE AREA QYES NO
� , i
� CROSS ENVIRONMENTAL SERVICES,INC
BUILDER OMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Addres P•O.BOX 1299,C YSTAL SPRINGS,FL License# CGC062981 ,
TRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRFh Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREt� Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address License#
IIIIIilllIlltllllllllllllllllllllllllllllllllllllillllllllllllllllll
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Buiiding Plans;(1)sel of Energy Fortns;R-0-W Pertnit for new construction,
inimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
anitary Facilities&1 dumpster;Site Work Pertnit for subdivisions/large projects
COMMERCIAL �ttach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-0-W Permit for new construction.
II Minimum ten(10)working days after submiltal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
anitary Facilities 8 1 dumpster Site Work Permit for all new projects.All commercial requirements must meet compliance
� SIGN PERMIT ttach(2)sets of Engineered Plans.
� "PROPERTY SURVEY required for all NEW construction.
I
Directions:•
Fill out applica on complelely
Owner 8 Contr ctor sign back of application,notarized
If over 32500, Notice of Commencement is required. (A/C upgrades over 57500)
" Agent(for the ontractorj or Power of Attorney(for lhe owner)would be someone with notarized letler from owner authorizing same
OVER THE COU R PERMIITING (Front of Applicalion Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PlotlSurvey/Foolage) ,
Driveways-No over Counter if on public roadways..needs ROW
I '
i
NOTICE OF DEEa 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
applicable de�d restrictions.
UNLICENSEp CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors t�undertake work,they may be required to be licensed in accordance with state and local regulations. If the
contractor is�ot licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state I�w If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended wor ,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 conVactor(s) sign
portions of tt�e"contractor Block"of this application for which they will be responsible. If you,as the owner sign as the
contractor,that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County. I
TRANSPOR7ATION 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 arr�ended. The undersigned also understands,that such fees,as may be due,will be identified at the time of
permitting. I is fuRher understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a"�ertificate 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 I 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 th owne�',I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to t e`owne�'prior to commencement.
CONTRACT R'S/OWNER'S AFFIDAVIT I certify that all the information in this application is accurate and that all work
will be done n compliance with all applicable laws regulating construction,zoning and land development. Application is
hereby mad to obtain a permit to do work and installation as indicated. I certify that no work or installation has
commenced rior to issuance of a permit 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 nderstand 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
Lands,Water/Wastewater Treatment.
- �outhwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
atercourses.
- drmy Corps of Engineers-Seawalls,Docks,Navigable Waterways.
- Qepartment of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
�eptic Tanks.
l�S Environmental Protection Agency-Asbestos abatement.
ederal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
se of fill is not allowed in Flood Zone"V"unless expressly permitted.
- I 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
I censed by the State of Florida.
- I the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
onstruction,I certify that fill will be used only to fill the area within the stem wall.
- I fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
roperties. If use of fill is found to adversely affect adjacent properties,the owner may be cited for violating
t e conditions of the building permit issued under the attached permit application,for lots less than one(1)
�cre which are elevated by fill,an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER,I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit�prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, si ns, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issue shall be construed to be a license to proceed with the work and not as authority to violate,cancel,alter,or
set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building Offcial from thereafter
requiring a cbrrection of errors in plans,construction or violations of any codes. Every permit issued shall become invalid
unless the H1ork authorized by such permit 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. An extension
may be req ested,in writing,from the Building Official for a period not to exceed ninety(90)days and will demonstrate
justifiable ca se for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
WARNING YO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TVVICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUI�LENDER OR AN ATTORNEY BEFORE RECORDING YOUR N ICE OF COMMENCEMENT
FLORIDA JU�T(F.S.117.03)
OWNER OR A ENT CONTRACTOR
Subscribed and�swom to(or a�rmed)before me this Subscribed and swom to(or a ir d ore me this
ty
Who is/are per onally known to me or has/have produced Who is/ar ersonally known to m r haslhave produced
as identificalion. as identification.
Notary Public f lic I
� �.���������, MELODY KAY MORTON
Commission N . Commissi N �P4'�i
3 g-; o ary u
.
Name of Nota typed,printed or stamped Name of N _ r' o la ped
� �y�omm.Explres May 5,2019
,':;��°F���`°,, Bonded tluough National Notary Assn.
Pasco County Building Schematic �Page 1 of 1
Generalized Building Schematic
11-26-21-0010-18500-0011
Card: 001
3�:5
I 5 �i€tF"' 6 5
34i5 , ,
40
' �� <^'"i�� Z ra
40
40
� WF 8
4�]
' � Pasco County Property Appraiser
Page Layout Modified: 9/6/2013 8:36:26 AM
The Local Time Is: 7/22/2016 11:29:17 AM
http://appraiser.pascogov.com/search/traverse/traverse.aspx?parce1=212611001018500001... 7/22/2016
Pasco County Property Appraiser-Map Page 1 of 1
, , I
� �
Pasco County, Florida
Section 11, Township 26, Range 21, 0.1 miles S of Zephyrhills
Prepared by the Office of Mike Wells, Pasco County Property Appraiser. �
Map Created on 7/22/2016 at 11:30:41 AM.
... _ �q�i��l i ,�--..d.-^.•••.� ......_..-•r----"-^.-.-�,
. �,I .'" ' ���� ��
�' , � �'�'; •t.,.,e,o����' ~g:
.
10a0. � ��
x,y� - i �p� �*s I -�..
�i' �t� � .` " , �' �
Im;;;� _. �i:'` ' .i3�. +.0 �,,,• .. _;, ",� ' ��.�;r
•j _ "��' " - `v4�:,:' .i � �
�.
�, — i" ,
. - �; ' � ,t;
, ,
.{ '°� `
_ � �:�,'
�� `�g.;�.
" _ 010
� � ::}
I ^'' � <
r,�� �a>i•,�' N°i15�•t. ��`
,j� nt�„ ,;'�
� F. ,, 'x' '0011 '' �'� ��"' "$
f, - - } J� ,�-�e ::£'��'t�
'k p��5 _ ,€� t��, -_��;:..�,3^' .� '`,�
' � � ,v� '.�^l i s,^� , . { ��-
j p �� �'.!' ,Y � �s 17:`� , ��: I
�.��, '. , �1 ,y�_J �=��:� ffi.
' - '`���� ,� ��~� hy' 0�0�� ..�
0215#.: '^ ' _ . .�..
$.._ ;�;,a, _.
� „�p i, _
�
f - ��
�'1 N,
� �
�,� '
�
.;,
�� '
?�� ,!'l.t•�si '` �"V I� �1 �~ ;�t.. (F
�RS t� , ;-i�l
��t��}' ' ��'�� � `,y?�PYF W''$�� �
`-N `��� �,� �d7�1 �
�, Y �;�2" ,�� � �=~ �'���{ �
I �V II� .2
1�0 �'+ +f` �9�p� , �
,x ...,Y'r?l`� j" ., _ __.e ...,.,'.i.��.AS:...:....r�' ��
htt //maps.pascogov.com/maps/print.asp?img=/mapdata/422211292243811.jpg&id=U2Vj... 7/22/2016
_ �.