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Home My WebLink About17-18938 CITY OF ZEPHYRHILLS - �"� 5335-8TH STREET (813)780-0020 18938 BUILDING PERMIT PERMIT INFORMATION - '-- • �� LOCATION INFORMATION Permit Number: 18938 Address: 5728 19TH 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 I Est. Value: Parcel Number: 11-26-21-0010-07800-0051 Improv. Cost: 5,000.00 OWNER INFORMATION Date Issued: 10/13/2017 Name: TILLETT DAVID SCOTT &DANAE JEANE Total Fees: 75.00 Address: 38836 OTIS ALLEN RD Amount Paid: 75.00 ZEPHYRHILLS FL 33540-3008 Date Paid: 10/13/2017 Phone: (813)469-8401 Work Desc: DEMOLITION EXISTING HOME 30 X 25 CONTRACTOR S APPLICATION FEES HOMEOWNER DEMOLITION 75.00 � 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 properly 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. � CONTRACTOR SIGNA URE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER c e�s-7so-oozo City of Zephyrhills Permit Application Fax-813-780-0021 „� :�.� Building Department >• I Date Received ` /� � ''� Phone Contact for Permittin � — �� I I 9 Owner's Name SCd� 1 `�1 (T Owner Phone Number v� — � — o u� Owner's Address �� s'�'G�'i� Owner Phone Number Fee Sir►iple Titleholder Name {�`,W V��y � �" e l�� t \ Owner Phone Number Fee Slmple Titleholder Address � +� ! �-�1 ' JOB ADDRESS S � �� '�T LOT# � ; ;; SUBDIVISION PARCEL ID# t,s ; (OBTAINED FROM PROPERTY TAX NOTICE) q`� WORK PROPOSED e NEW CONSTR e ADD/ALT 0 SIGN Q � DEMOLISH � INSTALL REPAIR �� PROPO�SED USE Q SFR ,. Q COMM � OTHER �{ TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q l j ( j DESCRIPTION OF WORK s �� c7 "T 4�`(�IF �� i� Y 3 /� �, BUILDING SIZE � p� SQ FOOTAGE � HEIGHT �j QBUILDING �f i1,n_� � VALUATION OF TOTAL CONSTRUCTION II ; �.1CJ, S ` �� QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C: � QPLUMBING $ r � �� I OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ';; i � ' 3� QGAS Q ROOFING Q SPECIALTY 0 OTHER ` �� i �� FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � . I t G : � � BUILDER COMPANY � SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N , 4 iAddress License# ELECTRICIAN COMPANY SIGNATURE ' REGISTERED Y/ N FEE CURRE� Y/N' , , Address � License# ° ( PLUMBER • COMPANY • ` SIGNATURE REGISTERED ' . Y/`N _ FEE CURRE� Y/�N �. � Address License#- . � � MECHANICAL , COMPAMY� - SIGNA'LURE REGISTERED Y/�N: ,� FEE CURREI� _ ,':Y:/N � � , ,, - Address � License# OTHER._ f � COMPANY SIGNATURE U� REGISTERED Y/ N FEE CURRE� Y/N. Address 5�� /'� � ��P � � License# �� - �-� . , . _ . . . . � ..� . _ : ., `�� RESIDENTIAL'� �Atta:cFi 2 Plot Plans; 2 sefs of'Buildin Plans; 1 set of Ener Forms;`R=O-W.Permit"for new construction, t ..�.) ... �� )' 9 � ) 9Y -, • Miriimum-ten.(:10)�.working days'aftersubmittal date. Required bnsite;-Constri�ction-Plans,Stormwater Plans viw/Silt Fence installed, Sanitary Facilities&1 dumpster;Site Work Pertnit for subdivisions/large projects � ��' COMMERCIAL Attach(2)complete sets of Building Plans plus 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,Construction.Plans,Stormwater Plans w/Silt.Fence installed, Sanitary Facilities'&1"dumpster.Site Work Permi4 for all�new projects.All commercial requirements must meet compliance . -.SIGN PERMIT Attach(2),sets of Engineered Plans. ,. '•"•PROP.EF27Y.SlJRVEY required for all NEW construction. Directions: Fill out application completely. Owner..&:Contractor sign back of application,notarized If over$2500.a Notice�of Commencement is required. (A/C upgrades over$7500) _ '* Agent(for the contractor)or-Power-of Attomey(for the owner)would be someone with notarized letter.from owner authorizing same -OVER THE COUNTER PERMITTING (copy of contract required) Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) � Driveways-Not over Counter if on public roadways..needs ROW � .*��, �;. IVOTICE OF DEED RESTRICTIONS: The 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 CONTRACTOIt RESPOfdSIBILITIES: If the owner has hired a contractor or contractors to 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'confractor 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 at.727-847- 8009. Furthermore, if the owner Has liir'ed a contractor�or contractors, he is �advised-to have the contractor(s) sign portions of the "contractor Block" of this�application for which theywill 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>pcivileges irr-Pasco= County. - � TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees-and Recourse Recovery Fees may apply to the construction of new buildings, change of use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number,89=07,and- 90-07, as amended. The:undersigned,also understands, that such fees, as may be due, will 6e�iclent�ed at the time of permitting. It is furthec.understood that Transportation�Impact Fees and Resoucce Recovery-Fees must be paid._pr'ior-�to.. receiving a "certificate of occupancy" or final power release. If the�project does not involve a certificate of occupancy or final power release, 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. � � - CONSTRUCTION LIEN LAW(Chapter 71�3, Florida Statutes, as amended): If valuation of work is$2,500.00 or m`ore, I certify that I, the applicant, have�been provided with a copy of tFie- "Florida Construction �Lien Law—Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is•someone other than the"owner", I certify that I"have obtained a copy of the above described documenf and promise in good faith to deliver it to the"owner"prior to commencemerit. � ' CONTRACTOR'S/OWNER'S AFFIDAVIT: �I certify that all the information in this application is accurate and that all;.work will be done in 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: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 understand that the regulations of other government agencies may apply to the intended work,..and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive L`ands,WaterNl/astewafeF Treatment. - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. � - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. ; - Department of Health & Rehabilitative 8ervices/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. � - US Environmental'Protection Agency-Asbestos abatement. ' - Federal Aviation Authority-Runways. � I understand that the following restrictions a.pply 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 inrhich 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. r 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, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A permit issued 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 Official from thereafter requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid unless the work 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 requested, in writing, from the Building Official for a period not to exceed ninety (90)-days and will demonstrate justifiable cause 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 COMMENCEMERIT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO,YOUR PROPERTY. IF YOU INTEND TO OBTAIN FIfdANCIMG, COIVSULT WITH YOUR LENDER OR AN ATTORNEY BEF.ORE RECORDING YOUR NOTICE OF COMMENCEMENT. ` FL.ORIDA JURAT(F.S.117.03) - - -`— - "--- -- — --- — OWNER OR AGENT COPITRACTOR Subscribed and swom to(or affirmed)before me this Subscribed and swom to(or affirmed)before me this by by i , Who Is/are personally known to me or has/have produced Who is/are personally known to me or has/have produced as identificatian. as identification. � " ' i Notary Public �``� Notary Publ'lc pwl��nq, ' ��uuy� Ci0R1 on N . .•�1�N�P�'�'� J.qriQV� C Rl ISSI O. '� ti �y� �°��n#�'F�� _;�• `� Ex�Iresen°n#FF 150422 , Name of Notary type , r� � � Name of Notary typ or �9droy F��Ineuranco6op.�g5.7018 _ � r8y F91h Id�AraAEB @�8��d8�9016 �I �j"- � �� i IIIIII IIIII11111�11111IIIII IIIII IIIII IIIII IIIII IIIII Illi IlN�-\ 2017164249 Pertnft No. i �� Percel ID No 11-�-�,d•ba� - o7g�-Lbs! ;N� �+ e� , Oo m.. � NOTICE OF COMMENCEME �• �` Stateof �Q�f�.B� Co�mlyof ��W I r�+�N � I J � THE UNDERSIGNED hereby givas notlee fhet Improvement will be made to certafn real property,and In eaordence wlth Chapler 713,Fbrida Sfatules, � � w fhe fo0owing informaHon Is provided In this Notice of Commencement ,'r L V . 1. Deswiptlon oi Properiy: Percel Identifieatfon No.�` �F � �NS �i+ y �K.7� � . S�atA��: ,57 � s�.,�ti-�- z� �c k;(� � � s � ��,� 2. GeneralDescriptionotlmorovementX/ �B�,DIi'i`�� d.GQ KlS7�tA�. TLL�NE 3B� ' � m r. I 'o-�� 3. Owner ation or Lessee InformaUon(f the Lessea contreeted for the 6�rovemeM�O r� B lJ�V�' T 1 �K m I n �3 "�� Ze��l�ttc��(5 � �e aaa�g f�l,�)IA. � � � � � IMereslin Property: � 1 - Neme of Fee Sunple Titleholder. - ._ pf different from Oxmer Iided above) a. cn�ior.�kViS C.c�N.��4C`t i�4�. ��r s�te � 3�p "�'�as�►ec� d�nar,� . � C�'�v ,�� A,I3, N 3 S _ �m� � Contradots Te phone No.: 0 1 I� �I z — , ty:_/V�I� � �� 5. Sure D Name � O\rc- I �~D Address CIb Sfate � ��n Amourd of Band: Telephune No.: + �� I �m. 6. Lender: f/1�v� Name • \ir I�W T Address CitY State �A7 0 Lenders Telephone No: i'�N �~D 7. Persons withln tl�e Sfate of Florida destgnated 6y the oxmer upon whom noUces er olher doam�eMs may be served es providad by ' 3 � Secpo�7�13.13(1)(ej(7),Florida Statutes: � o N V ��' � L7 f+r m � O � � .N»,w �� m� s� �- Telephone Number of Designeted Person: I�n+3 8. In edmtlon to MrnseH,the owner designetes �f i�- �_ �M � �� o to roceive a copy otthe Lienors NoNce as provided in Sedlon 713.13(1)(h),Florida&fatutes. � r Telephone Number ot Person or EMlty Desfgnated by O;mer; �_ �, 9. E�itation date of Notlw of Cammencert�eM(tha e�iraUon dale may not be Defae the compkSon of coratrudfon end finel parnem la the / . coritrador,but vnU be one year hmn the date of reeordmp wless a dif(erent date(s spea6ed): WARNING TO OWNER AN1'PAYMENTS MADE BY THE OWNER AFTER THE D�IRA710N OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1. SEC710N 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING iWICE FOR IMPROVEMENTS TO YOUR PROPER7Y, A NOTICE OF COMMENCEMENT MUST BE • RECORDED AND POSTED ON THE JOB SITE BEFORE TFg FIRST INSPECTION. IF YOU INTEND TO 08TAIN FINANCING.CONSULT WfTH YOUR LENDER OR AN ATTORNEY HEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEIIf�Nf. Under penalty of perjury,l declare Shatl ha�e read the fwe0oing no ce af commencement end that the fads sfated fherein are We to the best of my knowkdge and beQef. STATE OF FLORIDA COUNTY OF PASCO nahrre of er ar Lessee,or OwneYs or 's Aulhorized OtficedDUeaalPeMedManager • �1 Signetoy 'ilUe/ORr� The fore,gi�ng��eM wes admowkdged before me fhts�dey oi��j�,J y0�by ��Vl �WV-�' T�� (rype of euthotily,e.g.,officer,trustee,aComey in tad)far (n paAy an bel�af whom t eM was emwMd). P aDy Kn O�Produced IdentificaUnn❑ Natery SlgneWre �� Type af IdeMH'ieation Produced Name(PriM) Q �. (� C�u - � i u., , t�irya;, JACQUELINE BOGES :� :: Commission#FF 150422 =�`�a: Expires December 12,2018 wpdat81bc3/nOtiC6camm¢Ilcement pcU53048 ��pFn�' Bond�dTwTmyf�ntnwnnn80D385.7p1g �� M �,��9Cd�. �4� 0 STATE OF FLaRIDA,COUi�TY�F PAS�O ��' �;, ��o� THIS IS T0�CERTiFY THAT THE FOREGOING IS A m�3"� � ,, � TRUE AND CORRCCT CQPY OF THE DOCUMENT � :;��, �- �� ', � ON FILE OR OF PUBLIG RECORD IN THIS OFFIC a I�yo��e 7nux . W�TN R Y HANDAND OF ICI SEALTHIS =`'�'"'�� AYOF 2 O � ' �x' � �� PA LA S O'NEIL, GLERK&COMPTROL� � . y$g7 ,J �' BY � DEPUTY CLERK a�'3',��F,�Q�`oP