HomeMy WebLinkAbout17-18192 CITY OF ZEPHYRHILLS
5335-8TH STREET (�
. a �(713)700'��20 1&1l.7�
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit fVumber: 18192 Address: 6755 16TH 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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 02-26-21-0010-03000-0040
Improv. Cost: 1,500.00 OWNER INFORMATION
Date Issued: 3/01/2017 Name: OAK CREST LLC
Total Fees: 75.00 Address: P.O. BOX 669
Amount Paid: 75.00 ZEPHYRHILLS, FL 33539
Date Paid: 3/01/2017 Phone: 813-997-5337
Work Desc: DEMO OLD BARRACKS BUILDING
CONTRACTOR S APPLICATION FEES
OWNER DEMOLITION 75.00
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�- -� Ins ections Re uired
FINA
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 recording your notice of commencement."
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.
�/7r
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
' CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
• Building Department
Date Received � �- /
l � � Phone Contact for Permitting ~ —
�Owner's Name � �� Owner Phone Number . �
�Qwner's Address 7G' / Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address �
JOB ADDRESS LOT# �
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE) �
WORK PROPOSED e . NEW CONSTR B ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL REPAIR
• PROP.,OSED USE Q SFR Q COMM 0 OTHER _
TYPE':OF CONSTRUCTION Q BLOCK �• Q FRAME 0 STEEL Q
�
DESCRIPTION OF WORK 2 �'J d � �-C
BUILDING SIZE SQ FOOTAGE�� . HEIGHT �
..a�
QBUILDING � $ �, VALUATION'OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
�•
OPLUMBING $
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
QGAS Q ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER �, 4 COMPAMY
SIGPIATURE � ������ REGISTERED Y/ N FEE CURRE� Y/N
Address License
ELECTRICIAN COMPANY '
SIGNATURE REGISTERED Y/ N �` _ FEE CURRE� Y/N.
Address License# c
� F•:.�>�_ � COM PAM! '
P,LUMBER.,.
SIGNATURE REGISTERED .' Y,�/ N� '`, FEE CURRE� Y/N
Address License# _�
- .MECHANICAC' . � COINPANY
` SIGNATURE� � REGISTERED ,' Y/ N , FEE CURRE�� ; Y/:N _
A8d'r"e'ss� License#
- �� . ,
OTHER�" `" COMPANI(
:'=SIGNATURE�,>��� ^ " � REGISTERED Y/ N FEE CURREK Y/N
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Aaa�ess:;:. _ ;, - . � -= ���r;se#
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�.�.RE$IDENTIAL;,:.�Attacfi;:(2);Plot':Plans;�'(2-)':sefs of'Building-Plans;(1�)`set'of�Energy:For'ms;B;O=W Perrtiit,fo�new.construction,�
'� .. ,,-�.r5 G;t;a:x,--:�Minimum;ten�(,1Q)working;days:afte�isubmittal:date.�Required�onsite;`Gon`struction'Plans,`Storinwater Plans w/Silt Fence installed, _._
�-t" � �` Sanita,ry Facilities&ll�dumpster•;Siter.,W.ork Permitfor`subdivisions/large`.projects'- "� - �
��-;COMMERCIAL Attach�(2)compleCe sets'of'Building Plans�plu's a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
- Minimum ten(10)working days after submittal date. Required onsite,ConstrucUon Plans,Stormwater Plans w/Silt Fence installed,
;,�`.� __ Sanitary.Fac(I(des 8�1 dumpster.Site Work Permit fo�all-new p�ojects.All commercial requirements must meet compliance
+�=SIGN;PERMIT �Atfaoh"2 sets:.of;En�ineered,Plans.���
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� *""PROPERTY SURVEY,required for.aII,NEW construction. ,
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��€DiPections: �,;�;'.•:�.� . . ,.
�s `�' Fili`:out application completely.
'� Qwner'&ContraGtor sign 6ack of application,notarized
r� If over,$2500;a Notice of°Commencement is required. (A/C upgrades over$7500) _ ,
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.. Agent�(for th'e'contracto'r)�or�Fowerof Attomey(for'tlie owner)would be someone with notarized letter ftom owner authorizing,same
;.=:OVER:THE"COUNTER;PERMIT;T,ING, (copy of-contract required) ' ��
`�'Re�oofs if sliingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
� Drfveways-Not over Counter if on public roaiiways..needs ROW
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N�TICE O�DEED RESTRICTlONS: The undersigned under.stands:that thi5;permit may be subject.ta."deed"jrestriction's"y��,,;+__
� � �.:.�.•..:. ,.�.,,:,., ,
which;may;be:;moce;restrictive=#han-Counfy regulations.�`The.unde�signetl'�assumes:responsib�Gty=for compfiance�innti� any :
appiicaibte deed�restrictions. ,. .. �. ..._ `T"t°.F ,>'�"'." .`�
UNLICEN$ED: CONTRACTORS AND CONTRACTOR RESP.ONSIBlLITlES: If=tFie�-owner�has�h�red=•°a�a:contractor .or K?
contractors to uridertake�work, they may'be tequired to be�;licensed �n accordance with.state and'focai�regulations:.Y;-lf:�the�:ur�.�<.
eantractor�is not.licensed-as required`bjr�lainr, bottt��the awc�er and'confr�ctor=ifiiay�be��cited�=for;�a�'�misdei�'teanor viaiatian� •,;r -
under state law. ff the owner or intended contractor are uncertain as to what licensing reguirements:�rriay:apply�for:;ttiea�:<;:�-'j
. :�.nS.� .{ •..: . �}+:...
intended work, they are-advised ta contact�tFie"Pasco County Building�Inspecfion�Division-=Liceiising S:e�tion at T27=847- f.
8009. Furtherrnore, if the owner has�hireclua'ccint"ractar or cont�actars, he is advised ta��have the, contractor(s,}„signa e:w.^�q"
a n ..�,� �:.�,�..:� . ..�,w.p„�.i'S,.s:'.. 9
portions of the contractar Block af this application for which they wi{I be responsibie: :If.yau, as:.,the�bwne'r'sign as-'tiie�'``�`��;, '
contractac, that may be an indication that he is not properly ticensed ancl is not entitled to permitting privileges in,i�Pasco;,Y,,,>;�
County. .. � . -' - -=, .a:�;:Q�:.:..��.:°�;
TRANSPORTATION-IMPAGT/_UTILITIES lMPACT AND RESOURCE RECQVERY�FEES: The uridersigned undecstands ; ��
that Transportation Impact Fees and Recaurse Recavery Fees may.appiy fa the construction af new._b_uiitlings, change�of�����;��'x';
use in existing buildings,,or•.expansian.of,:existing buifdings, as specified in Pasca County Ordinance number 89�U7.an;d _�4 .
90-07, as amended. The•undersigned atso understands, that such-fees, as:may:,be:dwe, wil!"tie;identified'at�th'e"�-tim`e:�of�='n�:'�-'
permitting. It is further understood that 7ransportatian impaat Fees and Ftesource`{Recovery Fees must be paid prior ta �; '
receiving.a °certificate of accupancy" or final;power release. i#the project does not mvoive a certificate of occupancy.`ar+=��.��.; :
finai power release;.the fees=must be;paid prior to permit issuance. :Furthermore,.if Pasco County WateclSewer<Impact:�_�-:� v
fees are due,tliey must.be paid prior ta permit issuance in accordance with�applicable_Pasco County ordinances.
CONSTRUGTI4N�LlEN LAV1f(Chapter 743,�Florida Statutes,as amended): If valuatian of woric is$2;50q.00.or more;�in�:,�r <
certify that '!, the applicant, have .been provided with a copy-of the "Fiarida Construction Lien .Law--Homeowner`s�
Protection Guide» prepa�ed by the Fiorida Department of Agriculture and Cansumer Affairs. !f the applicant�is someon.e,,..
: ,:._....,,,,,
other than the°owne�", I�certify that I have obtained a copy of the aboue d`escribetl�documenf and pramise-�n goo.d`:faith��to, ,,.
deliver.it,to the';owner"._praoc;#o commerieement �
CQNTRACTOR'SfC?WNER'S AFFIDAVIT::�,1.cerfify tha#all#he infacmation in this application is accurate and that all�work
wiH be done in compiiance with ail applicable`laws regulating construction, zoning:and land�development. Applsca#(on is
hereby made ta obtain a _permit to da,work �and installatPon.as :indicated. ! c�rtify that no wark or 9nsta8ation-has
commencetl prior-.to issuance of a permit and�that ail work wi!! be performed .to_meet-standards of alt laws regulating
consfruction, Caunty and City codes, zoning cegula#ions, and land development regulatians in:the jurisdiction: 1°also ,
certify that i understand tha#the regu(ations of other govemment agencies may-apply to the lnterided work, and that it 9s
my responsibility to identify what acttons I must take to be in compliance. Such agencies include but are not fimited.ta: '
- :Department of Environmental:Protection-Cypress Baytieads, Wetland Areas and Environmen#ally Sensi#ive '
Lands,WaterM/astew�#er Trea#ment. �
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses. -
- Army Carps of Engirieers-Seawa!!s, Docks; Navigable Waten�vays. ,
- Department of Health & Rehabifitative ServicesJEnvironmentai Health Uhit Wells, Wastewater Treatrnen#,
Sepxic:-Tanks.
- US Environmental Protection Agency-Asbestos abatement. , , , .
- Federal Aviatian-Authority-Runways.
!understand that<the faltawing:,restrictians apply ta the use of,fiil:
- Use of fill is not allowed in Ftopd Zone°V" unless expressly permitted.
- If the .fiil material is ta be used in Flood Zone uA", it is understood that a-drainage pfan addressing a
°compensating volume" will be submitted at time af permitting which is prepared by a prafessianal engineer �
licensed by ttte State of Flarida. �
- if #he fill material is to be used in Flood Zone "A" in connection with a permitEed building using stem wa(I
construction, I cerfify that fill will be used only to fil!the area within the.stem wall.
- If �U material is-to be used Jn any area, ! certify that use of such�fill wii( no# adversety a�Fect adjacent
propert�es. If use of fiii is found to adversely affect adjacent properties, the awner may be cited for violating
the eanditions of the buitding permit issued under the attached permit.application, for lots fess than one (1)
acre which are elevated b"p fill,an engineered drainage plan is requited.
If I am the AGENT FQR THE OWNER,.1 pramise in good faith ta inform the owner of-the permitting conditions set forth in
this affidavit.priar to carnrnencing construction. I understand that a separate permlt may be required for electrical work,. '
piumbing, signs, wetis, paols, air conditioning, gas, or other insta!lations not specifically incfuded in the appfication. A.
permit issued shall�be construed to�be a license to proceed with the wor-k and naE as authority to vioiate, cancei, a(te�, or �
set aside any provisians of ttie'technical codes, nar shati issuance of a permit prevent the Building Official from thereafter
requiring a correction of errocs ir�plans, constructian ar violations of any codes. �Every permit issued shal! become invalid
untess the wark autharized by such permit is commenced within six months of perrnit issuance, or if wark authorixed by
the permif is suspended or abandaned for a period..of si�c(6)months after the time the vuork is commenced. An extension
may be requested, in'writing, from the Suifdirig O�cia! for a period.not ta exceed ninety(90} tlays and�wil( demonstrate
justifiable cause for#he extensfon. !f work ceases far ninety(90}consecufive days,the job is considered abandaned.
WARNING TO OWNER: YOUR�FAILURE TO RECORD A.NOTlCE t?F COMMENCEMENT MAY RESULT IN YOUR ;
PAYING TWIC�'FOR lMPROUEMENTS:'�C?YOUR PROREBTY. IF YOU:INTEND=TO�C1BTAiN:FINANCING, CONSULT
WlTH YOUR'LENDEFt QR'�AN A?'CORN�II-��F+�?�E-l3��d3F�Di�4G Yt�UR-�ttAT9�E"�D�'+�O�lt�hi�N�E1VIEIVT. __.
-""FCORlDA JURAT(F.S.117.03} � ` i
QWNER OR AGEN7 CONTRACTBR
Subscribed and swom to{or affirmed)before me thts Subscribed and swom to(or affirmed)before me this � �
�y bY
Who islar�personally known to me or hasthave produced � � Wha is/are personally known to me or haslhave produced
asldentificaSon. �� .• as idenUflcaUon.
1
i4otary Public ' Notary PubBc
Commisston No. Commission M1to.
Name of Notary typed,printed ar stamped Name of No#ary typed,printed or stamped
._ - �
Prepared bv and return to:
Jeanie Germain
Premium Title,Inc.
14150 6th Street
Dade City,FL 33525
352-567-5658
File Number: 17-017
Sales Price-$47,000.00
[Space Above This Line For Recording Data]
Warranty Deed
Th1s Wa1'ranty Deed made this 24th day of February,2017 between John Paul Jones as Trustee of the Land Trust
No. 721675516 whose post office address is Post O�ce Box 669, Zephyrhills, FL 33539-0669, grantor, and Oak Crest,
LLC, a Florida limited liability company whose post office address is Post Office Boz 753, Zephyrhills, FL 33539,
grantee:
(Whenever used herein the terms "grantor" and "gantee" include all the parties to this insVument and the heirs, legal representatives, and assigns of
individuals,and the successors and assigns of corporations,trusts and trustees)
W1tIIesseth, that said grantor, for and in consideration of the sum of TEN AND NO/100 DOLLARS ($10.00) and other
good and valuable considerations to said grantor in hand paid by said grantee,the receipt whereof is hereby aclmowledged,
has granted, bargained, and sold to the said grantee, and grantee's heirs and assigns forever, the following described land,
situate, lying and being in Pasco County,Florida to-wit:
BEGIN AT THE NORTHEAST CORNER OF TRACT 30, SECTION 2, TOWNSHIP 26 SOUTH,
RANGE 21 EAST AS THE SAME IS NUMBERED AND SHOWN ON THE MAP OR PLAT OF
THE ZEPHYRHII,LS COLONY COMPANY LANDS AS THE SAME AS RECORDED IN THE
PUBLIC RECORDS OF PASCO COUNTY, FLORIDA; THENCE WEST 200 FEET, SOUTH 100
FEET, THENCE EAST 200 FEET, THENCE NORTH 100 FEET, TO THE POINT OF
BEGINI�IING.
Parcel Identification Number: 02-26-21-0010-03000-0040
Together with all the tenements,hereditaments and appurtenances thereto belonging or in anywise appertaining.
To Have and to Hold,the same in fee simple forever.
And the grantor hereby covenants with said grantee that the grantor is lawfully seized of said land in fee simple; that the
grantor has good right and lawful authority to sell and convey said land;that the grantor hereby fully warrants the title to said
land and will defend the same against the lawful claims of all persons whomsoever; and that said land is free of all
encumbrances, except taxes and special assessments accruing subsequent to December 31, 2016, zoning and/or restrictions
imposed by governmental authority, and easements, restrictions, and reservations of record, if any, however, this reference
shall not serve to reimpose the same.
DoubleTime�
In Witness Whereof,grantor has hereunto set grantor's hand and seal the day and year first above written.
Signed ed and delivered in our presence: ,
�-Q� I
Witne s ame: d�„ ,,,,�,,,,y.�� J Jones,T stee
- � �n -c
/Y�"l�.�/.�
itness e: �@..n;e �� �
, State of Florida
County of Pasco
The foregoing instrument�vvas aclaiowledged before me this o�� day of February, 2017 by John Jones, who L]is
personally lrnown or[�as produced a Florida driver's license as identification.
� � � �I
[Notary Seal] Notary Pub 'c, State of Florida I
Printed Name: �
,�.;;�y;ye,,,, JEANIE GERMAIN My Commission Expires:
?�, `��_ MY COMMISSION#GG 035894
:s:�'fi: EXPIRES:Oclober 16,2020
'':;cP f�Rc�'� Bondod Thrv Notery Publk Undenvrifers
���,,,
I
Warranry Deed-Page 2 DoubieTime�
J
Elect�-onic Articles of Organization L16000228293
FILED 8:00 AM
For December 19, 2016
Florida Limited Liability Company sec. of state
tchang
Article I
The name of the Limited Liability Company is:
CREST OAK,LLC
Article II
The street address of the principal off'ice of the Lunited Liability Company is:
38642 EVELYN LN
ZEPHYRHILLS, FL. US 33542
T'he mailing address of the Limited Liability Company is: ,
P.O. 753
ZEPHYHILLS, FL. US 33539
Article III
Other provisions, if any:
RESIDENTIAL RENTALS. ,
Article IV
The name and Florida street address of the registered agent is:
' JAMES M WILSON
38642 EVELYN LN
ZEPHYRHILLS, FL. 33542
Having been named as registered agent and to accept service of process for the above stated limited
liability company at the place designated in this certificate, I hereby accept the a�pointment as registered
agent and agree to act ui tius capaciiy. I further agree to comply wrth the provisions of all staiutes
relatin�to the proper and complete performance of my duties, and I am familiar with and accept the
obligahons of my position as registered agent.
Registered Agent Signature: JAMES MARION WILSON
1
Article V L16000228293
The name and address of person(s) autliorized to manage LLC: DeCembe�9 2016
Title: MGR Sec. O f S t a te
JAMES M WILSON tchang
38642 EVELYN LN
ZEPHYRHILLS, FL. 33542
Article VI
The effective date for this Limited Liability Company shall be:
O 1/02/2017
Signature of inember or an authorized representative
Electronic Signature: JAMES MARION WILSON
I am the member or authorized representative submitting these Articles of Organization and affirm that the
, facts stated herein are true. I am aware that false information submitted in a document to the De�artment
of State constitutes a third degree felony as provided for in s.817.1�55, F.S. I understand the requ�rement to
file an annual report between January 1 st and May 1 st in the calendar year following formation of the LLC
and every year fliereafter to maintain"active" sta,tus.