HomeMy WebLinkAbout17-18559 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 18559
,
� - BUILDING PERMIT
� PERMIT INFORMATION -�- � LOCATION INFORMATION
Permit Number: 18559 Address: 5533 LAURA ST LOT 6
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: 12-26-21-002B-00500-0000
Improv. Cost: 1,800.00 OWNER INFORMATION
Date Issued: 6/07/2017 Name: SIXTH AVE LLC
Total Fees: 75.00 Address: 2 NORTH RIVERSIDE PLAZA#800
Amount Paid: 75.00 CHICAGO, IL. 60606
Date Paid: 6/07/2017 Phone: (813)679-5903
Work Desc: DEMOLITION & REMOVE MOBILE HOME
CONTRACTOR S APPLICATION FEES
MOBILE WORLD OF BREVARD INC DEMOLITION 75.00
��\
'�
�
,
Ins ections Re uired
FI A
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.
� � �-��o
C TRACTOR SIGNATURE PERMIT OFFI R
' PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
81�.�aa°°2° City of ZephyrhiUs Permit Application Fa�c$i3780-qp21
au7dutg.oepartmenc
Dat�ReceNed � P�vr phone Go�Ract for Pertnittln O�-� Q C�
` Ownsr's Name . �f Q. �{�� (j r�'1. Owemr Phorre Number . t7" !� '"'
Ownefs Address ����F Pho�Numi�r � �
Fee Simple liNeholder Name ' Owner Phone Number .
�� Fee Simple Tidehoider Addreaa
sasanot�ss. � �fft�W' �J�`. �� S tar� �
SUBAMSION �� '►� I�.�c�. p��.�� �z--z�.a�-oa�-�asno- oaoo
{08TRU7ED[ftOM PRt1FEt2TYTAX NOTtCE}
WORK PROPQSED NEYu CONSTIt ADDIALT � SIGN Q [�D MOLISH
I e lNSTALI. 8 REPAIR
PROPOSEQ USE � SFR Q COMM � OTFtER
iYPE OF COMSTRUCTIQN Q BLOCK Q FRAME C� STEEL ,�i
DESCRIPTION qF WORK G�c��i� ����
BU1t.D1Hii SCZE E- i�f7n'(��"+��] SG FOdTACsE�_�. HEtQFtF � ��.
C]BUILdING $ �.y�,y� ,�v�� VALUATIONOFTOTALCONSTRUCTIOIV
8 4'r1/*�"'i.]
QELECTR(CA4 �-� hM1fiP SERVICE Q PROGRE58 ENERGY �J W.R.EC.
QPLUMBtNG ��
QMECHiINiCAt �Y� VALURTIONOFMECHANICALlNSTALLA7IQtJ
QGAS Q ROOFING Q SPECIALTY � OTHER.
FINISHEDFCOORElEVATtflt35 FLOODZdNEAREA QYE3 PIO
.._. ....,, ...,,, � . r�-�,.�-� �
BUILDER COMPANY I a�.a,dfi a` c� (/�iQ �
SIGNATURE rx�GlwTer�n Y/ N �cuRRQ.ij,,Y!N
aaare68 lL,l � ro u��# {�13Jj��'-�
� ELEGTRtCtAN COMPANY � .
SfGNATURE a�tsrEam T�Y!ci �cutta� YlN
Address Lit�nse#�^ �
PLUMBER � � COMPANY
SIGNATURE � REGISiEREO � FEE CURREt� Y/N
Address license#� �
MECNAHiCAL COlN�APtY � �
StGNATURE � REGISrEt�a Y/M �CUitRR� Y/N
Addre&s 1lcense#�� �
OTHER � � �GIStEr�n Y/N rg WRREn Y/N �
SIGrIA7URE
Address Ucense#� I
� ri� � i � � � i� i � � i � � � � iri � i � � � � � � i � � r � � � r � ��r � � � i � � � � � � � � � ri �� r� �i � � � i
RESSDEFiStfit. Attach{2}Ptai Ptans,(2}sets o/Suitffng Ftans;{t}se#af Energy Faans;E2-O-W Permit for new coashuciinn,
Minimum ten(tp}workirrg days aKer submittat date.Required onsite,Construc5on Pians,Siiannwater Pians wJ S�lt Fence insYaIIed,
Sanitery Facil�ies&t dumpster,Site Worfc Pecmitfor subdivisionsll�arge projscts
COMMERClpL Attach{2)complete sets riFBuitdng Ple�c;plus a Life Safety Pege;(1}set af Energ}r Forms.R-13-W Permft for new construcCibrt_
Mintmum ten{18}v�rkiru,}days afret suDmittat date. 32eqnired otrsite,CansWcfian Plar�s,Stormwater Pta�wt Siit Fenc�InsffitEed,
Sanilary FaciliGes&1 dumpster.Site Wodc Permit fo�all new proje�cts.AII oommeroial requirements must meet compiiance
SIGN PERMIT Attach(2)sels nf Engineered Plans. `
""PROPERTY StJRVEY required for atl HEW consttutdEon.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
orracdons: • , • , • , •• • , �,• ,
F7I out appfication comptetety.
O+rmmer 8 CartraGkor sign baqc a#apptication.natarized
if over f250D,a NoBee of Commencemeat is reqstired. (AtC upgrades over i7�4}
" Agent(far ihe cor�ractor)or Power ofAttomey(for the owner)vmuld be someone wifh natari¢ed leiber from owner authaiting sa�rre
OVER iHE COUHTER PERM17TiN6 {r�py af con#ract�equtred}
Reroofs if shingles Sewers Service Upgrades NC Fences(PtoNSurvcylFootage)
Drfv+eways=Maf over Couriter ff an public raadways_needs ROW
f t�TF?TICE OF QEED RES7RlCTtONS: The undersigned onders#ands that this permii may be subject io deed'restrictians'
which may be more sesbit�re than County regula6ons. The undetsigned assvm�,s responss"bTs#y for compt'sance ui�fh any
8ppliq6ie deed restrictions:
U[+tUC�MSED�pAtTR/1CTORS AND COAfTRACIOR EtESPOi+18lBIL[71ES: If fhe awner has hired a contractpr or
coc�tracto�ta nndertake work,itrey may bs r�quited fa be 1'rcens�i itt accordance wifi3 sta#e asid tacai tegt�ta#ior�s_ �'tt►e
conlractor is nat licerised as requRed by Iaw,bnth the awner a�td contraetor may be ated tor a misdemeanor viotation
under state law. if the owner or intended contractor are uncertairr as to what licensing requiremetns may appty fnr the
intended work,titey are�Hvised to caniact 1he Fasca Cannty Buiiding Inspection p'nitssson—�f.icensing Sec&an at 727-847
8009. Furt6ermore, if the owner has hired a cantractar or contaractors, t►e is advised ta have the conirac�or(s}sign
portions of the"rt»ntractar Bloc�"of this aQpfication for whlch they witl be respons�le. If you,as the rnrmer sigrt as the
co»tractor,ihat may be an"rn�caGaa fFiat he is not praperfy licensed and is aaf enFitled fo permiE6ng priv�'teges in Fasca
County.
TRANSPORTA710N 9MPACTIU7ILITIES IMPAGT ANU DiESOURCE RECOVERY PEES: '1"he undersigned understands
� lhat TranspostatIon tsspact Fees and Recou�se Recovery�ees may appty to the cnnstruction of new bnild�ngs,change of
use in e '�sfing bul�ngs,ar e�ansior�ot'e�6ng bw'lrbngs.as speci�ed in Fasco Conn#y E7rclinance number 89-0?ancf
', 90-07,es amended. The undersigned also understands,lf►aE such tees,as may be due,Snn'fi be identified at the time of
i pertnitting. tt is further nnderstood that Transporta6on fmpact Fees and Resource Recovery Fees must be paid prior to
reaeiving a cer3if"cate+af oecopancy'ar finai pawer release_ !f the psoject does not imroive a ceriificate of occ�panay or
� final power retease;the fees musk be paid priar fa permit issuance. Furthermore,if Pasco County IKatedSewer impact
i feesare due,they musthe paid prior ta permit issuance in accordance w�Jt applipble Pascn County ardinasrces.
CONS3RUG itON t1F.N l.1aW{Chapter 793,Flarida S#attztes.�s 8snended}: !t valuatiori ot worlt is$2,540.Q0 or more,!
certify that t, the applicant, have been provided with a copy of the "Flortda Canstrucfrort Lien Law--Fiomeowners
Protec6an Guide'prepared by the Florida Department of Agriculture and Consumet Atfairs. if the app�icaM is sorneone
i o#her than fhe"ownet',i cert's[[y tt►at!have obtaineti a copy ofi the abave descri6et3 dacument and promise tn good faith ta
deliver it fo the"av+ne�'piforto c;ommsnGEtriettt
CONTRACTOR'S/OWNE'Ft S A�FItDAVTt': [certify ihat eGU ffie information in fhis applicalion is accurate and ihat all work
w�ft he dane in campiiance wiUi att app&c�ble lavvs regulating canstruction,zaning and land developmer� Appfcation is
he�bp made fo obfain a permit ta do work and instatlafion as indicaYed. E cerFs�r that r�o wotK or irsstallaiia[� t�as
commeqced prior to issuance qf a perrnit and that all watk wiil be performed ta meet standards af a0 laws regutatfig
consUvction,Gounty aqd City codes,zoning regulaUons, and land development regula�ons in the Jurisdction. 1 aisa
certiiy tha#F undersfand#sat#he tegnlations af afher govetnment agencies�+ay aPpi}'to the int�nded wrork,and ttu�!it ss
my responsb�i [o identify what aclians 1 must take to be in comptiance. Such agenaes inGude but are nai limiied Co;
- Deparlment of F�vRanmental ProteGtion-Cypress Bayheads,WeUand Areas and F�vironmental(y Sensitive
Cand�WatetNVastewaterTreatmen#.
i - Sauthwest Ftorida Water tsrtanagement p'�d Wetts, Cypress Bayheads, We#and Areas, Attering
Waterwurses.
- Asmy Corps af Engineers-Seawatis,Docks,Navigable Watenvays.
- Departmettt oi Neatth � Rehabifita�ve SeruicestErrvironmenfat Health Etnit Welts, Wastewater Treatment,
Septic Tanks.
- US Environmentat Protection Agency Asbestos abatemenL
- FederaT AviaGon Auihority-Ftunways.
1 understand that Ute tallovring restrictions apply to the use offilL•
- Use of fill is not al(owed in Ftood Zane"V'unless expressty perm[tted.
- !f Ute �!i materiat ts to be used in Fksod Zone"A.it ss understood fhat a drainage pfan addressing a
'cornpensating volume'wiA be su6mitted at time of pertnitting whicM is prepared by a professiarrai engineer
ticensed by lhe State of Florida_
- IP ttte fi�materiat is fo be used in Ftoad Zane"A in r�nnedlon with a gerrttifted building using siem waR
consUuctian,i cedify that filt wt�l be used onty to fitl the area�vithin the s#em wati.
- If fill material is tb be used in any area, I cer6ty that use of such fill witl not adversety af"rect adjacerrt
properties. If use oP�f1 is tound to adversely afFect adjecertt properfies,the awner may be cited far viofatir�g
the cortdtiotts af the bulding pertnit issued nnder fhe attached perrnit appIicafion,for Iats te�thart ane(4}
acre which are elevated by fitl,an enginee�d drainag�plan is reqnired_
tf!am the AGEt4T FOR'iNE t3UUPfER,1 promise in goa8 faith to inform ihe owner of the permitfing cond'�ons se#farfh in
this aftidavit prior to commenang canstruction. 1 understand that a separa#e permit may be reqtrired far�ledricai wark,
plumbing,signs,well�,pools, air condiRioning, gas,or other inskallations not specifically inctuded in the applica6on. A
pertnR issued shall be c�nstrusd to be�license to proceed with the work and npi as authority to viDlata,cancel,atter,or
sei aside any prc�vss"tons of the technical cades,nar shalt issuaace oF a perm�prsvent!he 8us'tding t}€€sciat fra�rs thst'ea(ter
requiring a cortectiort of eaors in plans,construc0on or violatians of arry codes. Eirery permit issved shaU become irnra6�
untess ihe woric autha►ryzed by such perrnit is commenced��thin six montt►s of permit issuance,ar if work authorized by
the perm`sf is suspended ar abandoned for a persod o�six{&J manths after the tsme the work is cornmenced. Ast exUension
may be requested,in wri6ng,from the Buitding O�ciat iar a pedod not fo exceet3 ninety{90)days and witi demnnstrafe
� justifiable cause for 1he extensian. !f work ceases ior ninety(SO)consecutive days,ihe job is consideted abandoned.
WARNtNG TO OW�fER: Yt3UR FAILtfRE TO REGORD A td07tC�OF CUNlM�t�ICEM�NT!d(AY RESt�LT Ji�i YQl1R
PAYIi�G 71MCE FOR IMPROV TO YOUR PROPERTY. IF YQU 1 p TO OSTAIN FINANCING,CdHSIfLT
WtTH YOURl.ENd fC�RA11 'iT NEII SEFURERECORDING YO OF COfVIMEk110EMEFiT_
FL�Rlt3AdURA7{F 17 )' ...._
OWNER ORACi, ' �HTR�'� —
u ibed a� tq(or a�`�rm`qdJ ro r m�_��� and s� r or a�nn )befar Cdw �
G ZO t� t�ac�.cat" 6U S t'
VYho islare�a�,na�,knewn fn ma ar tk3s/Aave praduced are rsonatty to mo m h raduca�i
as�tlBtlUflt�d0Y1. n Fption.
�i�'%'=��'�`f4otaryPub�c o�F"�g�Y��
� ���.,�.
���n�. ni n Pto_
�
` ���uup� .
�.��.ar au'!., Name bf �.p �d stur�p Namo of No lypad,�nled or slam
r,�' .`�.-, Natary Fubtie-State ot Florida t�Y.�uai, JAGKIC FQRSYfN
' : _ Commission�GG 041972 �°�` e'•`' pAY COMM}SSiON�FF 1bs315
',�'��,��L�,�+,° My Comm.Expires Oct 2B,202p * '� �;�,'�IRES:October 15,2018
�aF,,,,a� $flntlediF�rouyhH2tiDfl1lN022TyAsSl1: ��eoFv49���e EafeedThr+�BudgetKotasYServi�es
- — �
J
I .
1vloblle World of ��ev��� ��e , 3� ���,,�
3737 N. US Hwy 1
� Cacoa,FI.32927
' 321-638-3662 Demolition office ,
321-638-0395 fax
5/31/17
I,John Hoskin,give Frank Buzzo permission to sign for and pick up permits for Mobile Worid of
Brevard.
Sincerely,
John Noskin � '
< —� � —�~�
��1��� `� ��TC' ��'C— � V�1�r� �—�Cc��-�!�
-st-In� S S�'h a�� c� �'t�i�� '7.�1.`� �-e SS
�T��11� ��o� �--o �.�,�. .
�
��
2��;��:we�% JACKIE FORSYTH
,� � * MY COMMISSION#FF 158315
EXPIRES;Ociober 15,2018
��qTFOF F�p4��e Bonded Thru Budget Notary Servlces
� , r