HomeMy WebLinkAbout18-19513 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 19513
BUILDING PERMIT
PERMIT INFORMATION °- = - = LOCATION INFORMATION -
Permit Number: 19513 Address: 5603 5601 6TH 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: 11-26-21-0010-05900-0080
Improv. Cost: OWNER INFORMATION
Date Issued: 4/02/2018 Name: HOFFER, SHEILA
Total Fees: 100.00 Address: 36741 LAUREL OAKS LN
Amount Paid: 100.00 DADE CITY FL 33525-8593
Date Paid: 4/02/2018 Phone:
Work Desc: DEMOLITION DUPLEX 1,989 SQ FT
CONTRACTORS APPLICATION FEES
HOMEOWNER DEMOLITION 100.00
40
Ins ections Required
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 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 performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CONTRACTOR SIGNATU PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
s10-nru-Uuzu L;Ity OT Lepnyrnills vermit Application rax-a is-ion-wc i
Building Department
Date Received �Q f� ;.Phone'C:ontact:for,Permitting.,, Z-
Owner's Name N ei la— /t. . O�FP� Owner Phone Number
Owner's Address lO/4 urn O4) 2) e L� Owner Phone Number
Fee Simplilitleholder Name OWner`Phone Number
Fee SlmpleTitleholder Address
ii
JOB ADDRESS �S1vD�:SG O.� G S7� �j rdJ� /�s' F� LOT#
SUBDIVISION: I PARCEL ID#.
(OBTAINED FROM PROPERTY:TAX NOTICE), . .
WORK PROPOSED NEW CONSTR' ADD/ALT Q' SIGN Q Q' DEMOLISH
f; e INSTALL e 'REPAIR
PROPOSED:USE = SFR 0 COMM 0. OTHER
TYPE'`OFCOPISTRUCTION� 0' BLOCK 0.. FRAME , STEEL Q. j
DESCRIPTION OF WORK " eola
BUILDINGi31ZE, Sl1`FOOTAGE HEIGHT ,. '
:,:r
=BUILDING $
VAL.UATION•OF TOTAL CONSTRUCTION
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ELECTRICAL $ AMP SERVICE :PROGRESS'ENERGY W.R.E.C.
=PLUMBING . $
=f1AECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
i
= AS = ROOFING: Q SPECIALTY. OTHER
i
FINISHED)FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
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,BUILDER o; COMPANY
SIGNATURE REGISTERED Y'/ N FEE CURREN Y/N
Address "License:#
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,.;:`ELEC.•T.,RICI%tN. COMPANY .
SIGNATURE° REGISTERED Y/ N FEE>CtiRREN , ., Y/N.
i.
Addr®ss License:#
=P.LURABERi COlWPAFIY_ .:.:
'REGISTERED': Y.-/"N. FEE CURREK - Y/.NJ'
Address License,#;
MECHANICAL: COMPANY
SIGNATURE' REGISTERED I Y F N FEE:CURREN: .: Y/i •.
AddressY%:°: ' jeense.#'
zOTHER�``��..:•;..:'�':; .. ,. ;COflflPANY: _,
ONAUR�,;y'.:, REGISTERED Y/N FEE CURREN Y/:N
Addr®ss.;•._ Ltoense#'
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ORES DE TI`
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N AL., Attachi'2,.,Rlet Plan"s'";'2,'seas?:o(Buildin`:Plans' 1 set'of Ene Fo s�R-O<V11 Po ' It 'r�new,consiiiiction,
_ '?°.:.�.. ..r:�.). -ag..�. ,�,�•. _�y,�_._:rm ,-..�,�,y�;tt':� :g'C'3i..ti:. � -�';ly -
?; , ,;.;•; <:�;.,gMinirnurr stan;(1,Q) or)dng days aftetsuf iri'itfal date:'aRegfaired"onsite;Constnictiorr~Plaos,'StormwaterPlsns w/°Silt Fence:instilled;'
" Sanit$ryk'FaciliUes,�&14dumpste,SigkWork Fe�mit#orsybdivisions%large projects
'-''QD AMERGIAL Attacti,-.(-2)•complete'sets'ofBullding Plansph- 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, .
SanitaryFacilities&:1 dum ster.Site Work Permit for alhnewi=projects.All commercial requirements-must meet-compliance-
ass`, ..:. _ -
,SION PERMIT "Attach(2j set"s q ,E 9irieered,i?lans:t._sr:"; :.;
****PROP reguired'for:aILNEW construction._
. ..:.. ....
4..r:.. .,, .. ..
:,Llirectlon's::
Filiout application completely.
'Owner&=Contractor:stgn:backofappiibation,notarized
!a`' 'lf:over'$2500;.a NotiOe:of Commencement.is required. (A!C upgrades over$7500)
., Agent.(for Co
would tie someone with notarized letter from owner authorizing same
?OVER:THEOUN7ER'PERMITTL�IG:..:.; Co
ofcontract required):
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Rer4ofs:ifstiin les S®veers: Servlo6U re
des A/C Fences Plot/Surve /Foots e
Driveway s-Not over Counter if on ubli&M—idwa s:needs`.ROIN^
ECTICINS:',:The undersi ned;.understands:.#kiatthis'' ermit:ma ,be:supje-,t to:4deed°-restrictions::,
NOTICE.OF:DEED•:RESTR 9.. 4P� F.Y L.
,.r •Fa^'-rs - .•,u it ..y='a .•..4f•r;. :a- .^.�y:S;S'.:"s'..''2
f_.: :<wtth::an:
s-umes res-'o siblli"'-for:com .!lance.
which ii�ay:°taesmorelrestr�ctNe;-than,•Contjffeguiat'iors.-•Theucitleirstgrted'a s p .n _tY . R-
applica6t6,deed restrictions:
C ` R RESP:o�aSIMLITI�s < :if t#a=o ri er tias't iretl',a ix ntractor'-or
UNLI ,CENSE �CON1`R"AC'TO RS AND'CONT A TO
contractors,to undertake-work,•. ,�r� ;,•,�,'3 tid ui:r5ddk.ltb b3 licensedi:in;ac:c tor_dan:c e.-:.th-st•'d.i.vte.a'Cn+:d_-Joc
contractor:is:riot'.ftensed,as reu b6ttfl-the-owne r-'and'e6ftcor *b as,4i r_e gulations :'FF'th'e ="�•`M.,
cifed�for=ta i isd i eanor•vloli�t or:. .: ;,
under state taw. if the owner.cir`.'intendeo conteactbr•.are;uncertain as:.ta.•what>licensing'requi�em`entsrjinayw..
intended:worlcr_the.::are=advlsed:to contact,€he t?ascatCounty"8uitdrg=lispecfion=D�vlsion:;::islcensitg.:Section:at:72.784:7=
Y
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8009: :Fui#hermore; if the owner,,has'°hired`a'corttfactar or contractors, he is advised fo ahavevtherv:con#ragfof}(s;}
portions,of.the"contractor:-Block°,.of this::applicattort.for;which:they'::Imli:be'..tbspansible tf%you as�tl a tiowner s'ign;;as
contractor, that-may be an indidi tlon,th, -he�is not*property'*,Ili•ensed`and-it not entifled to permitting pi•3vLLegesirr�Pasca k
County.
TRANSPORTAT,ION•IMPACTNTI LIT IES IMPACT AN RLESOURCE.RECOVERY"FEES:"The undersigned understands;:,.::
that Transportation Impact'Fees-and;Recourse"Recovery Fe:es'rnay'appiy to the.construction-.of new:;buii.dings,:changeof`'=:-` '- _i
use in existing'btiildings,for expansion:oi existing tiuitdings,,,as specified in Pasco County Ordinance number 89 07;and
90-07, as amended. The-undersigned:also urt'der`:stands, that such fees, as rrtay be due;.will be.Identified at't'the�Cline oft: k
permitting. =tf is-further understood that;Transportation'Impact-trees.-and Resource�Rfto-Very:Fees must be pald..pi:io to•
receiving a.-"certificate.of-occupancy.°or.:final:power release.:If the,pioject.does not:inv�aive a°certi_ficate of:oceupartcy or fat_ f
final- over celiaase,"the:fees:`rriust be.;paid'.prior to:;pernit issuance .:Furthermdre,.lfPasco County Wjater�Sewerlmpat��` :
P .
fees are-due,:they_;must be_paid,prior to:p�armit'isstiance Ln accordance with applicable.Pasco Catanty ordinances.
CONSTRt1CTit?N'IEN LA1iU(Chapter71'3,Florida Statutes,as amended):..if valuation..of work.is'$2,.500:00.oX:.n ore r; =
certify that t, the applicant, hays _provided with a.copy:,of•.:the :NFlonda Cons#rucfion::Iaen.;Latn�Homeowners
Protection Guide" prepare°d''by'the Florida Department of Agriculture and Consumer:Affairs. lf.the..appltcantis someone
3 55'
other than the"owner";:!.cefify thatl:,have•obtained.'a.copy.of the above'descrfibed;;documbnt rand'�rornise=it#.good:faift
deliver.tt,to`fFie>' +ne w'pnor,ta:cahimencem.-an .
CONTRACTOWSIOWNER'S AFFIDAVIT '1,certify>thdfall:the information in this..application is accurate and'that alf work
will be done in compliance with eill. ppli.acable'laws regulating construction,-zoning-and-land-development. Applicatiori,is _
hereby:made to-.obtain;.a:::pir`mit.ft3 :dv;:rtiork-and:installatiom,as"f.indicated. 1,certify that no work or':instaitation �fias
commenced pdor'to,issuan'ce of*a' permit and-that all work will be performed to:meet�,standardsof all laws regulating
construction, County and City codes, zoning regulations, and land development-regulations-in'.,the jurisdiction:`
certify that I understand that the regulations of other government agencies may apply to the:intended work, and that�Ii:is
my responsibility to identify what actions'l must.,take,W be in'compliancei Such-agencies Inctude:but are niatJlmited-to#
r _ ,.:
,Department of Environi Rital,"ProtectionCypress Bayheads- 'Wetland Areas"and 'Environmentally Sensitive 1;
Lands,WaterMlastewater Treatment. '
Southwest Florida Water Management District Welts,• Cypress .Bayheads, Wetland. Areas, -Altering
Watercourses.
Army Corps of Engineers=Seawalls, Docks--Navigable Waterways.
Department_,of.Heaith.,A&.Rehatiilitative;$erviees/Environmental:=klealthi-:Unit-Wells,:Wastewater:Treatment,
.Se ptieTanks:.. . "
US Environmental Protection Agency-Asbe_stos.abatement. {
Federal.Avtation;Autho #y-Runways,
;- lib
I understand that-the;following:restricttons apply to the use of fill:
Use of felt Is not,;a(lowed in-Flood Zone"V" unless expressly permitted.
-if the-fill:matenat"`�Ls-to be used in. Flood Zone "A", it is understood that a-drainage plan addressing I.a
"compensatingttvoiume°will be submitted.at time-of permitting which is prepared by a professional engineer-':'
.licensed:by:theStateof Florida.
If the fill"materiakl(s:to;be:used-in Flood Zone "A" in connection with a permitted building using stem,1411
construction;I.certifythatfiii will be used only to fill the area within fhe.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-offill.is:found,to.adverselyaffect-adjacent properties, the owner maybe cited for violating.
. .. .. .. ,
the conditions:'of�he'`:"bOilcling;peftit::issued under,the attached::permit:;application;for1ots•less'•than one�(1}
acre whit;Fi are elevated.by fill,an engineered drainage plan is required. f
If I am the AGENT-FOR THE=.01itINER t-promise-in-good_faith'to inform the-:awrier:of.the:permitting'conditions set forth in
this affidavit •commencing consfri" tion:`:7:understand,that,axsepatate permit.may be required for electrical.work, . -.
plumbing, signs, wells;,pools;,air-conditioning:;gos;.or•othertiss`t-a119tions not specifically.included.in the application.;
permit issued-shaN'be construed,fo be a license-ta.proceed'with:the.:work:and-not"as authority#o•violate"cancel,atter,tor
set aside any provisions-of'the technical:codes, nor shall issuance of.a permit prevent the.Building Official from:thereafter'
a
requiring a correction ofi.errors:;Lnypfans construction.or-violations ofanycodes:==Every-permit issued`stialt`become invaiit!
unless the work authorized by such permit.ls commenced.within;six;months of permit issuance, or if work authorized fib}-
the permit is-suspended,.or abondonedforta,,penod,iof six(6).months after the time.th' work is commenced,,_An.extension
may be requested, in writing,,_from.th'e BulldiA Official'for a period:not tt%`e�iaeed'ninety(90}days and�wlll demonstrate_ .
justifiable cause for.the extension..Jf work ceases for nine 90 consecutive days,-the,job is considered abandoned. ';
WARNING TO OWNER>,_ Yt?11R> A i-URE:;PTO•RECORD A.NO.TIC.E',OE:C.OMMENCEMENT MAY:RESULT-IN YOU",R
PAYING,TWICE'f;OR;Il0?.-01fEMEN'i' �'�C1 YOt R PROPERTY..`IF XO.-JNTE14101.760BTAi MIN 4rTC1NG CONSUt.T 1j?
WITH"Y UR''CENLaER OR -N'ATTORNEY BEFORE RECOttCIING'YOUR°'NOTI ai COIVIMENCEIiIIENt ;' I '
DAJRT(F: :. ..
MEOAGENT :. CONTRACTOFLORi A
- - - — —--
Subscribed and'swo a ed).befo e*mduced
Subscribed and sbwom to or ffiml ')before thi
Who is/are personally known tome or he Who is/are personally-.nown toinwor has/have produced. `
as Identification.' as identification.
Notary" Public Notary Public
Commission No, Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,printed.or stamped
DISCLOSURE STATEMENT FOR OWNER
CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
have read and fully understand and
agree to the provisions of this instrument. ;
The undersigned states and affirms that he or she is desirous of constructing,
renovating, adding to or reroofing his or her own domicile, 'that he or she
actually occupies, or will occupy by said domicile, and same is not for
rent, lease or sale. That he or she shall comply with the following conditions:
1. That the owner and he or she alone shall act as the builder for all phases of
construction.
2. That the owner will comply with all provisions of the City of Zephyrhills
ordinances and codes pertinent to the building..
3. That in the event various phases of construction are subcontracted, he will
engage only properly licensed subcontractors and will personally supervise
such work.
4. That in the event the Building Inspector shall require corrections to be made,
the owner will assume full responsibility to insure they are made, and upon
completion will call for a reinspection before proceeding with the building.
5. That the owner shall assume full responsibility for the construction and will
not expect supervision of his work from the City of Zephyrhills Building
Department.
6. That prior to final inspection any additional fees, including reinspection
fees, must be paid in full. A written request from this office shall
constitute an official notice to pay additional fees.
7. That the owner shall comply with all City, State and Federal laws in regard to
social security, workman's compensation, lien laws, etc. , where applicable.
8. That the owner shall comply with all the safety codes issued by the Florida
Industrial Commission.
9. State law requires construction to be done by licensed contractors. You have
applied for a permit under an exemption to that law. The exemption allows
you, as the owner of your property, to act as your own contractor with certain
restrictions even though you do not have a license. You must provide direct
onsite supervision of the construction yourself. You may build or improve a
one-family or two-family residence or a farm outbuilding. You may also build
or improve a commercial building, provided your costs do not exceed $75,000.
The building or residence must be for your own use or occupancy. It may not
be built or substantially improved for sale or lease. If you sell or lease a
building you have built or substantially improved yourself within 1 year after
the construction is complete, the law will presume that you built or
substantially improved if for sale or lease, which is a violation of this
exemption. . You may not hire an unlicensed person to act as your contractor or
to supervise people working on your building. It is your responsibility to
make sure that people employed by you have licenses required by state law and
by county or municipal licensing ordinances. You may not delegate the
responsibility for supervising work to a licensed contractor who is not
licensed to perform the work being done. Any person working on your building
who is not licensed must work under your direct supervision and must be
employed by you, which means that you must deduct F.I.C.A. and withholding tax
and provide workers' compensation for that employee, all as prescribed by law.
Your construction must comply with all applicable laws, ordinances, building s
codes, and zoning reg
OWNER'S SI//GNNATURE _DATE
ADDRESS,3�p/�
PHONE
WITNESS PERMIT #