HomeMy WebLinkAbout17-18804 CITY OF ZEPHYRHILLS
` 5335-8TH STREET
� (813)780-0020 18804
BUILDING PERMIT
PERMIT INFORMATION �� LOCATION INFORMATION
Permit Number: 18804 Address: 5603 EUGENE DR
Permit Type: DEMOLITION � � ZEPHYRHILLS, FL.
Class of Work: 636-DEMOLITION Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: SIXTH AVE
Est. Value: Parcel Number: 12-26-21-002B-00500-0000
Improv. Cost: OWNER INFORMATION
Date Issued: 8/25/2017 Name: SIXTH AVENUE LLC
Total Fees: 150.00 Address: 2 N RIVERSIDE PLZ STE 800
Amount Paid: 150.00 CHICAGO, IL 60606-2682
Date Paid: 8/25/2017 Phone:
Work Desc: DEMOLITION TRAILOR DOUBLE PERMIT WORKING WITHOUT PERMIT
CONTRACTOR S . APPLICATION FEES
AMERICAN TECHNOLOGIES INC DEMOLITION 75.00
AFTER THE FACT 75.00
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C' Ins ections Re uired
FINAL -' -
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 properly. 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.
ATURE 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 Zephyrhilis Permit Application Far•813-780-0027
• Building Depanmeni '
Date Received PlYone Contact for Permitting ( �
� r� � � � � � _._Ll.1J_L_ � � ri � �_ . _ J_t
7 �7
Owner's Name � `�'� � Owner Phone Number ��� et��� S
Ownar's Address ��/ 0� �/U �s�'C D��� Owner Phonc Num6cr
x Fee Simplc Titleholdcr Namo � Owner Phone Numbcr
XFee Slrnplc Tlticholdcr Address �—
JOB ADDRESS 56�3 � '�NP p��� z�h /��J�/�f �'�� LOT# �
SUBDIVISIOtJ PARCEL IDp
106TAIHED FftOM PROPERTY TAx NOTIGE�
WORK.PROPOSED e NEVJCONSTqB ADDIAIT � 31GN Q I �cy� DEMOLISH
INSTALL REPAIR T
PROPOSED USE Q SFR O COMM 0 OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q
DESCRIPTION OF WORK I,�ErNU B�T S/"T�•
BUILDING SIZE S�FOOTAGE� NEIGHT �
QBUILDING 5 VALUATION OF TOTAL CONSTRUCTION
�ELECTRICAL S AMPSERVICE Q PROGRESSENERGY Q W.R.E.C.
OPLUMBWG $ ' j, r/y����
�ij'�(J
QMECHANICA� $ VALUATION OF MECHANICAL INSTALLATION � �•
�GAS Q ROO�ING Q SP[CIALTY � OTHER
FINISIIED FLOOR ELEVkT10NS FLOUD ZONE l�REA QYES NO
BIIILDER COMPANY T� �� ,S�/c'i�U�'V
SIGNA7URE REGISTERFD Y/ N FEECURRE� Y!N
Address � Svn.JT� S/ Liconse# G.(� �SZ I6
ELECTRICIAN COMPANY
SIGNATURE REGISTEREO Y! N FEECURR[� Y!N
Address Licensa p
PLUMBER COMPANY
SIGNATURE REG7STERED Y.! N r[C-CURRL� Y I N
Address license i!
MECHAN�CAL � CO�dPANY
S�GNATURE REGISTERED Y 1 N FEE CURR[� Y/N
Address License tJ
OTHER COMPANY
SIGNATURE Her,isrflaeo Y 1 N FcE CURRE� Y!N
Address License r!
� i � � � � � � i � � � � iii � i � i � � ie � � i � � i � i � i � � i � ii � iii � ii � � oi � i � � i � � � � i � ii � i �
RESIDBNTIAL Attach.(2)Plot Plans:(2)sets of f3uilding PlOns;�1 y set of Enerc�y Forms;R-O-W Perrrdl for new cons�ruction,
Minimum le�(7D)working days afler submiital data. Required onsi�e.Construction Plans,Stormaraler Plans w/S�II Fence inslalled.
Sanitary Facililies 8�dumpster;Site Work Permit for subdlvisionsAarge projer,ts
COMMERCIAL Atiach(2)complele sels of Buitding Plans plus a life Safery Pape;(1�set ot Energy Forms.R-O-W Pormil(or netH�conslruclion.
69inimum ien(90)working days afler suhmillal dale. Required onsile;Constructian'Plans,Srortnwa�er Plans w/'Silt Fence installed,
Sanilary Facililies&t dumpster.Site Work Permit for all new projects.All'commorcial raquiremenls must meet compbance
SIGN PERMIT AnaGi(2)sets of Engineored Plans.
'•"PROPERTY SURVEY requlred for all NEW conslruclion.
Oirections:
Fill oul applicafion complet�ly.
Owner 8 Conlractor sign back ol application,notarized
If over 52500,a Notica of Commencement Is required. (NC upyrades over 57500)
" Agen[(for Ihe contractor)or Potver of Atlomey(tor the ovmer)would be someone wilh notarized leller(rnm owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract requiredJ
Reroots if shingles Sewers Service U�>yr�des AIC Fence:s(Plol/Swveyifootaye)
Driveways•Noi over Counler i(on puhlir.ro:�dways..needs ROtN
I
� NOTICE OF DEED RESTRICTIONS: Tlie undersigned understands that this permit may be subject to"deed"restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be required to be�icensed in accordance with state and local regulations. If the
contractor is not licensed as required by lavd both the owner and contractor may be cited for a misdeme2nor violation
under slale law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work,they are advised to contact the Pasco County Building inspection Division—Licensing Section al 727-847-
8069. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
poRions of Ihe"contractor Block" of this application for which ihey will be responsible. I(you, as the owner sigri as lhe
contractor,that may be an indication that he is not properly licensed and is nol enlitled lo permilting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES. The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to lhe construction.of hew buildings,cfiange of
use in.existing buildings, or expansion of existing buildings, as specified in Pasco Counry Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, thal such (ees,as may be due, will be iclenlified al the time o(
permitting. It is further understood thaf Transportation Irtipact Fees and Resource Recovery Fees musl be paid prior to
receiving a "certificate of occupancy'`or final power release. If the project does not invol�e a ceitificate of occupancy or
final power release, the fees musl be paid prior lo permit issuance. Fu�thermore, if Pasco County Water/Sewer Impact
(ees,are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is 52,500.00 or more, I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide"prepared by the Florida Department-of Ayriculture and Consumer Affairs. If�tha applicant is sameone
other than lhe"owner", I certify that I have oblained a copy of lhe above described document and promise in good faith to
deliver it to lhe"owner"prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify thal all the information in Ihis application is accurate and that all work
will be done in compliance wilh all applicable laws regulating construction,zoning and land developmenl. Application is
hereby made to obtain a permil to do work and installation as indicated. I certify that no worii or installalion has
commenced prior to issuance of a permit and lhat all work will be performed to meet standards of all laws regulating �
construction, Counly and City codes, zoning regulalions, and land developmen[ regulations in the jurisdiction. I also
certify thai-I undersland that the regulations of other yovernmenl agencies may apply lo the inlended work, and that il is
my responsibility to idenlify what aclions I musl take to be in compliance. Such-agencies include bul are noClimited to:
- Department of Environmenlal Protection-Cypress Bayheads, Wetland.Areas and Environmentally Sensitive
Lands.WaterM/astewater Treatment.
- � - Southwest Florida Wafer Management District-Welis, Cypress Bayheads, Wetland Areas, Altering
- Watercourses.
.��`�-. Army Corps of Engineers-Seawalis,Docks,Navigable Watenriays.
"�' Departmenl of Heallh & Rehabilitative Services/Environmental Healih Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Aulhority-Runways.
I understand lhat the following restrictions�apply to llie use of fill:
- Use o(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"wiil be submitted at time of permilting whicli is prepared by a professionai engineer
licensed by the State of Florida,
- I(the (ill material is to be used in flood Zone "A" in connection with a permilted building using sfem wall
construction,I ceriify that fili will be used only to fill the area within the stem wall.
- If till material is to be used in any area, I certify that use of such fill will not adversely affect adjacenl
properties. If use o(fill is found to adversely af(ect adjacent properties, ihe owner may be cited for viotating
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 AGENT FOR THE OWNER, I promise iri good faith to infom�the owner of l}ie permitting conditions set forth in
this affidavit prior to commencing conslruction. I undersland that a separate permil may be required for eleclrical work,
plumbing, signs, wells, pools, air conditioning, gas, nr other installations not specifically included in the application. A
permit issued shall be construed lo be a license to proceed with the work and nol as authority to violate, cancel, alter,or
set aside any provisions of the technieal codes,no�shall issuance of a permiLprevent the Building Official from thereafter
requiring a correction o(errors in plans,construclion or violations of any codes. Every Permit issued shall become invalid
unless the work aulhorized by such.permit is commenced within six months of permit issuance,or if work aulhorized by
the permit is suspended or abandoned for a period o(six(6)monlhs after the.time the work is commenced. An exlension
may be requested, in writing, from the Building O(ficial for a period not to exceed ninely(90)days and will derr�onstrate
justifiable cause for the extension. I(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 TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO O IN FINANCING,_CONSULT
WITH YOUR LENDER OR AN ATTORNEY 6EFORE RECORDING YOUR NOTICE MMENCEMENT.
FLORIDA JURAT(F.S,117.03) ,
OWNER OR AGENT CONTRACTOR �T�'�+�r�" ��
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SubstribeU and sw rn, �or Ifirmr 1rinIt,o,,r�m0 tb_�y; SUbsuibed and sworn lo{a affirmed)beforo me this
bV��-��2.���vv4�G{-(! hY
Wiia ls/are persenaqv kn,tivn to me nr has:have picducnd Who islare personally known to me or hasihave produced
�"-`'�'�— '—'—"—�as idrantifir�don. as idanhfication.
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s 1�✓ Nolary Public Nolary Public
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Commission No. r� . � - Commission No.
.Sc.c Se"e.w L--� l \f�c:v c�
Name of Noiary � �ir ame of Notary typetl.printed or slamped
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;�; '.: MY COMMISSION N FF 925682-
'�,'a: EXPIRES:October 12,2019
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AMERlCAN TECHNOi0G1fS,ING
210 W Baywood Ave, Orange, CA. 92865
(714) 283-9990 Office (714) 283-9995 Fax
8/18/2017
City of Zephyrhills—Building Department
5335 8th Street,Zephyrhiils, FL 33542
Re: Authorization to sign/pull permits for American Technologies Inc.
� To whom it may concern:
This letter is an authorization forJoaquin Merida sign/pick up permits on behalf ofJeff Moore from
American Technologies Inc.
Jeff Moore,
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�
Executive Vice President
American Technologies Inc.
Subscribed and sworn to before me this � �1 day of , 20��.
�'�)� Notary Public
My Commission Expires: 6 � d�'�� l r ��� ��DBYARS��
Notary Public-Arizone
MARICOPA COUNTY
. My Commission Expires
MARCH 7, 2020
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• ' 2017135244
permil No. %�Parcxl ID No_(�J��f/�/�DoP�./_0��.._ —`�"'�
. � NOTICE OF COMMENCEMENT
Slate ot fr/������ _ Countyul 1 �w
THE UNDERSIGNED hereby gives rrotice thai improUemem wiq be mado to cenain rc�l property,and in accordance wilh Cl�ap�er 713,Floritla Siatutes,
tha followlnp infomfation is pravided in this Notice of Ccunmencemem:
1. DaSCription ol Property. Partcl Idanli(icadon No.
StreelAddress: � r/� �! �� 5y2.
2. General Desuiption nl Imnrovement ����� 0� 'f��� •
3. Qw�er form�'on oi Less a infortnatlon i�lhe l�ssee conlractCd�or the impmvement:
i L�L� '
'' O " ` � ��- � �lG!iCf�c.' .1^� �Q
Address City f� Slale ��
Inlerest in PropeAy:• Qi�
Name of Fce Simplc Tillelioldcr.
{II dilferent Irom Owner listed above)
Address � � T �`f L�,a f��� Cily Slate
4. Contractor: 1 TU
�3i�i S�n.�t4� ST Ta•�na. �L
Address � Ciry �, Slate
ConlrecWrs Telephone No.:. �I� aY!' ���
5. Surety: `
Name
Address City Slate
Amoun�of Bond: 5 Tclephone No.:
6. Lender:
Name
Address City State
lender's Telephona No.:
� 7 Persons within lhe Slate of Floridn dosfgnaled by Ihe o«ner u�n whon� notices o�olher documems may he served os provided by
Seclion 713.1�(1)(aK7),Florlda Statutes:ti /�—�,A/ ` _��
/1/7/ eL/y�i�.1YY>(
`�aN �{✓I�'" � \
NamC , ���
s�oa ��c:e;ru��,4��- l09 I'a�r�. � 33lao9.
Aadress /���\ ��r�� �I��' Statc
Tcicphone Number of Desgnated Person:� J p` «J �`f
B. In addilion to himsel(,lhe otmer designou:s °�—
lo recuivo a copy of the Litno�s Nolicci as provided in S�clion 773.13(1)(bj,Ftorida Slalutes.
TeleA��ne Number of Pe�son or Enlily Uesic�naled by Owner:.
9. Expiralion date o(Notice of Cammencemenl(the exniralion date m�y not be beture Ihe canplelion af canstrudiun and linal paynnent tu the
controclor bul wlll be onc�ycar from the dalo ol rccwding unloss a difleront datc is speclfied)t
WARNING TO OYVNER; ANY PAYfAENTS b1ADE BY THE OV�NEF2 AFTER THE EXPIRATION OP THE NO710E OF COMMENCEh1ENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 7t3, PART t, SECTION 71�.13. FLORIOA STATUTES. AND CAN
RESUIT IN YOUR PAYING iWIGE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT AAUST BE
RECOR�ED AND POSTED ON THE JOB SITE BEFORE 7'HE FIRST INSPECTION. IF YOU INTEND Tp aHTAIN FINANCING,CONSULT
• tiNITH YOUR LENDER OR AN ATTORhEY BEFORE COA4MENCING WORK OR RECORDING YOUR IVOTICE OF COMMENCEMEN7
� Under penalry of perjury.I deGare Ihat I have re�d ihe loregoing notice of commencemenl arW Uial tbe fact�etated lherein are truc�o the best
II of my knovAedc�e and belief.
� STATE OF.FLORIDA ,j�`L S�G�OLC G��
COUNTY OF PMBSG /y
, Si�nolura o �hw��r Or Lc5.4ed,r�'OwltO�s o�L045�8'S AUlhOrizCd
RCFit:1890210 R6C: 10.00 OfficerlDirector!PartnedA9onager
DS: 0.00 IT: 0.00 �v�
08/23/2017 J. R. , Dpty Clerk s�q �ory'sTiUe!Ulliee
The faregoing instmment was ar,knowledged b�:lare mr.Ihis�day o� .z��.��y G
as itYpc of aulhori:y,e.g. o(ficor,t�ustec,attorncy in I Gj(nr
' (name ol pa �bchalf o1 whom Instru •e ecuted).
Persona�ly Kiwwn R Ptoduced Idenlificatlorl❑ Nolary Sig� ure � '
Typc o�Idantificaiion Produced Namc(Printy��_y
�''",'�",, SU9JW L KOWAL
PfiULFi S.0'NE IL,Ph D.PpSCO CLERK B COMPTROLLER '���' MY CpMMISSION I FF 925882
08/25/201 :3 m 1 f 1 >�,�:a: EXpIRES:October 12,2019
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�°� ' �o THIS IS TG G�RTIFY TH,A�THE FOREGOING IS A
� ° � TRUE ANQ Cf�RRECT COPY OF THE DOCUMENT
��. r""�''�*" �� �, * ON FILE OR OF PUBLIC RECORD IN THIS OFFICE ��
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�r � P ��� ��:�r�� PAU A S O'NEIL, CLERK COMPTROLLER
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