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Home My WebLink About19-21775 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 21775 BUILDING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 21775 Address: 5449 12TH 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: 11-26-21-0010-13800-0080 Improv. Cost: 12,000.00 OWNER INFORMATION Date Issued: 9/18/2019 Name: POTWIN ANTHONY& CHARLENE DALE Total Fees: 100.00 Address: 5549 12TH ST Amount Paid: 100.00 ZEPHYRHILLS, FL. 3542 Date Paid: 9/18/2019 Phone: (813)862-7305 Work Desc: DEMOLITION 12,000 SQ FT SINGLE FAMILY W/ ENCLOSED CARPORT CONTRACTORS APPLICATION FEES HOMEOWNER DEMOLITION 100.00 Ins tions 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. Vuj k &--, ONTRACTOR Sl NATURE PERMIT OFF16VR PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER INSTR#2019159544 OR BK 9975 PG 7Z3 Page 1 of 1 • 09/18/2019 12:42 PM Rcpt:2091703 Rec: 10.00 IDS:0.00 IT:0.00 Nikki Alvarez-Sowles,Esq.,Pasco County Clerk&Comptroller NOTICE OF COMMENCEMENT Permit No. 15 Property Identification No. { " ab V 41^60 16-`3 d W— V O ON THE UNDERSIGNED hereby give firms you that the improvement will be made to certain real property,and in accordance with Section 713.13 of the Florida Statutes,the following information is pro, ded in this NOTICE OF COIV MEN NT. I.Description of property(le �1 tco a)Street Address: 2 ea I description of improvement ' 1 Molf-Q— f 3.Owner ) Ntme i n as GR e (�t ,Cry �— a Neme and address: yy��Vfi��i n,�L�.—� + b)Name and address of fee simplettdeholder(if other then owner) e)Interest in property 4.Contracmr Information c a)Name and address: b)Telephone No.: Fax No.(Opt.) 5.Surety Information a)Name and address: b)Amount of Bond: c)Telephone No.: Fax No.(Opt.) 6.Lender a)Name and address: Phbne No. 7.Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served: a)Name and address: CJ • b)Telephone No.: Fax No.(Opt.) 8.In addition to himself owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13(I)(b),Florida Statutes: n e a)Name and address: b)Telephoae No.: Tax No.(Opt) 9.Expimdon date of Notice of Commencement(the expiration date Is one year from the date of recording unless a different date. specified): a, " - v- WARNING TO OWNER. ANY'PAYMENTS MADE BY TBE OWNER AFTER THE EXPIRATION OF THE NOTICE O �� • � COMm[ENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART I,SECTION 713.13, FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. � A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. Z U W W U STATE OF FLORNA 4A, O S2 W FL J COUrfI Y OF PASCO S ofOwner Owner's �pamerR�teeager U (7 = J U fFTZO J p YrintNeme O� 0 H W N W 'I'� fore8q�g in Was acimOwledgpy(before me T4 U day of e VA 20, by O Q 1 l�o.�f lQ►ti i't y1�1 a3.� �'uu�y Vl 1L�( (type ofauthorhy,e.g.ofacer,trustee.attorney .} LL U OU in fed)for a of party on behalf of om executed). Z W Z = 00 L) Personally Known—OR Produced Identification Notary Signahue Q O LLp `yL- . L. '/ 2 U U Z Type of Identification Produced �- Name(print) �T.w p""�` LL LL W m U Verification pursuant to Section 92.525,Florida Statutes.Under penalties of perjury.I declare that I have read the foregoing and that OJ w Er LL = O the facts stated in it are true to the best of my knowledge and belieE UO UQ tY � Ot— z0 LU Sign hn ofNabjW Fw on Sig Wag Abovo LU rn Q J W FORYSMOCrA10001 ~ (n W LL Z CARLOS MALDONADO 1=— z0 m r■; ;.= Commission#GG 346276 Via` Expires June 18,2023 '• pr f; M&d ft Toy Fain Intaraaea 00 as-7m 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received Phone Contact for Permitting — Owner's Name Owner Phone Number U v� Owner's:Address Owner Phone Number ElIt Owner Phone Number JOB ADDRESS �` �— lls �J L! LOT# SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED R NEW CONSTR R ADD/ALT = SIGN = DEMOLISH INSTALL REPAIR PROPOSED USE = SFR 0 COMM = OTHER TYPE-OF',CONSTRUCTION = BLOCK = FRAME = STEEL DESCRIPTION OF WORK DU11 :2 00 S v e BUILDING SIZE r SQ FOOTAGE HEIGHT =BUILDING $ VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ AMP SERVICE [�] DUKE ENERGY = W.R<E.C. =PLUMBING $ =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION =GAS = ROOFING = SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER COMPANY r SIGNATURE , REGISTERED Y/ N . EE CURREK Address License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Address License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Address License# RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(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 Permit 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 Permit for all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. . ****PROPERTY SURVEY 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 Attorney(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (copy of contract required) Reroofs if shingles - Upgrades ( Y 9 )Sewers Service U rades A/C Fences Plot/Surve /Foots a Driveways-Not over Counter if'on public roadways..needs ROW NOTICE 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 CONTRACTOR RESPONSIBILITIES: 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 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 at 727-847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised-.to have the contractor(s) sign portions of the "contractor Block" of this-application for which they will 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 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 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 be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior 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 713, Florida Statutes,-as:amended): If valuation of work is$2,500.00 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 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 document and promise in good faith to deliver it to the"owner"prior to commencement. 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 Lands,WateNWastewater Treatrhent: - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls, Docks,Navigable'Waterways. - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. - - US Environmental Protection Agency-Asbestos abatement: - Federal Aviation Authority-Runways. I understand that the following restrictions apply to the use of fill: Use of fill is not allowed in Flood Zone W"unless expressly permitted. If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a 'Icompensating volume" will be submitted at time of permitting which 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. If I am-the AGENTFOR 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 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. . FLORIDA JURAT(F.S 17.03) JJ � l�,c� O t CONTRACTOR / OWNER OR AGENT- " ubs ri ad andbYu@rq to(or affirmed)b e fna thi, Subscribed and sworn to(or affirmed)be ore a this QF9 r�I by —- Whp rs re p�gsonally kno n to.�me or has/have pro�c uce Wh is/ar ersonally known to me or has/have produced {-1. 23Y e Y S�iCl►+ltas identification. Y-AVI Y. S I 17p 1• ,( as identification. Notary Public Notary Public Commission No. Commission No. V C IMA Name of Nota Name of Notary typed,printed or st mped +.'- •., CARLOS MALDONADO Commission#GG 346275 ""' CARLOS MALDONADO Expires June 18,2023 F Commission#GG 346275 "•.�;oi F;°°' Bonded Thru TroyFaln Insurance 800-385-7019 �. <= _o; Expires June 18,2023 Banded Th.Troy Fain Insurance 800-385-7019 Page 1 of 2 Pasco County ,�t1 p�N 1a 1 2 Block 39 16 N O 3 1• � 15 4 J N� 1t N 14 a 5 -Block 13d 13 17 �� 6 11-26 TOWN OF ZEP.HYRUNLLS PG'54 15 t t 14 _ Block 13d 10 13 12 6 P1y13E ROADS Biock149 1 September 18,2019 1:564 0 0 0.01 0.02 n11 S ieet(Labels) 0 0.01 0.01 0.02!m Lct(Lines) Lot(Labels) Blod:s(Boundaries and Labels) Parcels(Clid:able Into) https://sampleserver6.arcgisonline.com/arcgis/rest/directories/arcgisoutputfUtilities/Printin... 9/18/2019 Pasr,o County Property Appraiser Page I of 1 Generalized Building Schematic 28 "-20 32 U STOO 20 F S.T01'. -20 2 FEA03 22 23 2$ 4 2D e gA96.1, 4Q S . 4.o 4-. http://search.pascgpa.com/sketch.aspx?pid=273241&bid=273241 9/18/2019 Legal Description 1 11-26-21-0010-13800-0080 1 Pasco County Property Appraiser Page 1 of 1 Legal Description 11-26-21-001043800-0080 Assessed in Section 11, Township 26 South, Range 21 East of Pasco County, Florida ZH MB 1 PG 54 LOTS 5 6 7 & 8 BLOCK 138 OR 673 PG 54 OR 8454 PG 1603 Please be advised that our legal descriptions are forassessment purposes only, and are not intended for use in legal conveyances http://search.pascopa.com/parcel-legal.aspx?parcel=2126110010138000080&cache=False 9/18/2019 • DISCLOSURE STATEMENT FOR OWNER CI OF ZEPHYRHILLS BUILDING DEPARTMENT I, "I')k, C\ have read and fully understand and agree o 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. S. 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 I 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 codes, and zoning regulations. OWNER'S S AT titer. DATE ADDRESS PHONE - WITNESS PERMIT #