HomeMy WebLinkAbout19-22042 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 22042
BUILDING PERMIT
a. ''~• PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 22042 Address: 5339 4TH 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: 11-26-21-0010-09600-0040
Improv. Cost: 2,000.00 OWNER INFORMATION
Date Issued: 11/14/2019 Name: MONTEALEGRE, WILMAN &TABARES, S
Total Fees: 100.00 Address: 5339 4TH ST
Amount Paid: 100.00 ZEPHYRHILLS, FL 33542
Date Paid: 11/14/2019 Phone: 813-361-0628
Work_ Desc: DEMOLITION 700 SQ FT BUILDING IN REAR
CONTRACTORS . APPLICATION FEES'"
ORWIN RESTORATION AND CONSTRUCTI DEMOLITION 100.00
Ins ections Required
FINA
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.
CO RACTOR SIGNATURE PERMIT OFFIC9R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION — 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021
Building Department
Date Received Phone Contact for Permitting
........... .............. I........I.LL&U --- 1
Ownees Name Id1,60-1A t«c Owner Phone Number L31,3)36
Ownees Address PP Owner Phone Number
0 11&9-0 F L 3T10y Owner Phone Number
JOWADDRESS LOT a E:
SUBDIVISION PARCEL to# 00 0—07600- Mef
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEWCONSTRO ADDIALT SIGN DEMOLISH
E3 INSTALL REPAIR
PROPOSED USE 0 SFR = COMM OTHER
TYPE OF CONSTRUCTION BLOCK FRAME' STEEL
,
DESCRIPTION OF WORK I'D e-Pyt o sq
BUILDING SIZE SQ FOOTAGE HEIGHTi
=BUILDING J$e2 OWO VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL 1$ AMP SERVICE DUKE ENERGY Q W.R.E.C..
=PLUMBING $
=MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION
=GAS 0 ROOFING Q SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
HHHHH,HHI .. .................
BUILDER COMPANY
SIGNATURE REGISTERED Y1, N FEE CURREN YIN k
Address License#
ELECTRICIAN, COMPANY
SIGNATURE REGISTERED Y/ N FEECURREN
Address 77771, License#'
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ NT FEE CURREN
Address License# F
MECHANICAL COMPANY
SIGNATURE REGISTERED I Y/ N - 1 FEE CURREN
Address License J
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FF-EcuRREN
Address Licens6# F—
Niel
HHHH
RESIDENTIAL Attach(2)Plot Plans;m,setsof Building Plans;�(1)set.ofEngrgy Forms;RwO-W Permit,fornew'construction,
Minimum.ten s after submittal date.
Required onsite.Const ruction Plans,Stormwater Plans wl Silt Fence installed,
Sanitary Facilities&I 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.
IMW44"V WWWWWRil a a N!i Elm samilasssmal N 1 a NINNA NER 11 amorl 1 121611mill a a too a*5
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 owner)would be someone with notarized letter:from owner>authorlzlng,same
OVER THE COUNTER PERMITTING :,,,::,i-(cppy,of,,contract y�,feq I"e d)rvi
Sewers t/
Reroofs if shingles F nces(Plo Survey/Footage)
es'-A/C 6
Driveways-Not over Counter if.ompm.Oi ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that.this permit may be subject to"deed"restrictions"
which may be more restrictive than County rdg lations. 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 requ' ired to be licensed in accordance with state and local-regulations.' If the
contractor is not licensed as required by law, both the ownerr and contractor may be cited for a-misdemeanor violation
under state law. If the owner or intended contactor 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. i
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 expanslonof 6xisti g buildings, as specified in Pasco County Ordinance' number 89-07 and
90-07, as amended. The undersigned,also uterstands, that such fees, as may be due, will be identified at the time of
permitting. It is further understood:-'that"Transp,loftation Impact Fees and I Resource Recovery Fees must be paid.prior to
receiving a "certificate-of occupancy" or final power release. If the proj6dt.doesnot involve a certificate of occupancy or
final power release, the fees must-be paid prior to permit issuance. Fbrtherm6rer.if,Pasco CountyWater/Sewer Impact
fees are due,they must be paid,.prior to permit issuance in accordance With applica6le,Pasco County-ordinances.
CONSTRUCTION LIEN LAW(Chapler 713, Florida Statutes, as amendind): If v.aluation;of work is$2,5,00.,00 or more, I
certify that 1, the applicant, have been provided with a copy of the "Florida,,.Construdtion Lien Law—Homeowner's
Protection Guide" prepared by the Florida Deportment 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 Oohimencement,.
CONTRACTOR'S/OWNER'S AFFIDAVIT.--.I,c�rtify that.all the inform6tion-i6 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 an(� 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 Pro ection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatm nt.
Southwest Florida Water Management District-WbIls, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
Army Corps of Engineers-Seawalls,.Docks, Navigable Waterways.
Department of Health & Rehabilitative Serviceg/Environmental 'Health Unit-Wells, Wastewater Treatment,
Septic Tanks,
US Environmental Protection A cy-Asbestos abatement.
.--Fe-d.eral'AV!ition.Authority-Runw �S.
I understand that*the following restrictions apply to the use of fill:
Use,of.fill is,not allowed in Flood Zbne W"unless;exp' ressly 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 'mitted 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 I Flood Zone 'IAt'. 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 waft.
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 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 licen I se to proceed with the work and not as authority to violate;cancel, alter,,or
set aside any provisions ofthe technical code , nor shall lss6ahcei of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans, const uction or violations of any codes. Every-permit issued shallbecome invalid
unless the work authorized by such permit is;mmenced within six months of permit issuance, or if,work authorized by
the permit is suspended or,abandoned for a periodW six(%months after the time the work is commenced. An extension
may be requested, in writing, from the Building Official for a perlod•not 10 exceed ninety(90) days and will demonstrate
justifiable-caus.e-for-th-e._extension. If work ce;ses for ninety(90)-consecutive days,the.job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE T-9 RECORD A NOTICE OF COMMENCEMENT.MAY RESULT,IN YOUR
PAYING TWICE.FOR IMPROVEMENT OYOUR,PROPERTY. IF YOU:INX4 ND'T- O ATAUR FINANCING,-CONSULT
JO- ,M I ENT.
WITH YOUR LENDER QKR-AN NE(-tEFORE RECORDING YOUR Adi 9 COMMIENCE
FLORIDA JURAT(F.S.1
OWNER OR AGENT— CONTRACTOR
Subscribed and sworn to 6d efo me this Subscribed d 11600,;Wirmed)before me this
M!� I a "- 2�
Ire n ef(oirfias/have produced a� to me or has/have produced
Who is/are nally kn Who lsffa�(e rs nall
�� P I
as identification. as Identification.
Notary Public nl-/7pwe ra� Notary Public
Clzission6N) Comngf.n No _____ I
nDed ands
M
/a e rsEn'
Name of N ryA.�W Name of Notary typ pn or (NE BOGES
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Expires DeCerriti., s oecember it 2022
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BQ*d 1hru Troy Fain lr.sutance i
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