HomeMy WebLinkAbout20-22216 CITY OF ZEPHYRHILLS
5335-8TH STREET
` (813)780-0020 22216
BUILDING PERMIT
-.---PERMIT INFORMATION - LOCATION INFORMATION
Permit Number: 22216 Address: 5841 GALL BLVD
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: 11-26-21-0010-00900-0130
Improv. Cost: 500.00 OWNER INFORMATION
Date Issued: 1/02/2020 Name: PROVIDENCE BESA LLC
Total Fees: 100.00 Addre:,e:
s: 9603 ORANGE JASMINE WAY
Amount Paid: 100.00 TAMPA, FL. 33647-3020
Date Paid: 1/02/2020 Pho
Work Desc: DEMOLITION POLE
CONTRACTORS APPLICATION FEES
SUNSTATE ALUMINUM INC DEMOLITION 100.00
t
FINAL Ins ections Recquired
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 o the fee imposed for the initial inspection or
first reinspection,whichever is greater,for each iuch subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there maybe ad Jitional restrictions applicable to this property that
may be found in the public records of this county, and there may be adi Jitional permits required from other governmental
entities such as water management, state age icies or federal agencies.
"Warning to owner: Your failure to record a notice of commer cement may result in your paying twice for
improvements to your property. If you intend to obtain financ}ng,consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans, Specifications Must Accompany Application.Al work shall be performed in accordance with
City Codes and Ordinances. NO OCCUI 1ANCY BEFORE C.O.
NO OCCUPANCY BEFO 1E C.O.
R SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS-WITHOU APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR I IOTICE REQUIRED
PROTECT CARD FROM WEATHER
i
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
1
Date Received
Phone Contact for Permitting —
Owner's Name Owner Phone Number
Owner's Address Owner Phone Number
Owner Phone Number
JOB ADDRESS I � U LOT#
SUBDIVISION PARCEL ID# .
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK,PROPOSED R NEW CONSTR B ADD/ALT SIGN. _ = DEMOLISH
INSTALL: REPAIR
PROPOSED USE = SFR = COMM OTHER
TYPE,OF CONSTRUCTION = BLOCK = FRAME STEEL Q
DESCRIPTION OF WORK
BUILDING SIZEE SQ FOOTAGE HEIGHT
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = DUKE ENERGY 0 W.R.E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECH NICAL INSTALLATION
=GAS = ROOFING Q: ,,,SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOQZONE.ARE • =YES NO
-- - .
BUILDER _.----------- COMPANY �SL1�
SIGNATUR REGISTERED, Y/ N. FEE CURREN
Address' License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N" FEE CURREN Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURkEA' LILNLj
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:For s;-R-O-W Permit for new construction,
Minimum ten(10)working days'afters ubmiitafdate.'z kequired onsite Construction Plans,Stormwater Plans w/Silt-Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/la a projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a1ife Safety,Page;(1 set of Energy Forms.R-O-W Permit for new construction.
Minimum ten.(1.0)working,days.afiersubmittal date—Required onsite,Construction Plans,Stormwater Plans w/-Silt.Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new project .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$75 0)
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 (copyof-contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PlottSurvey/F(otage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersig ed understands that this permit may be subject to"deed"restrictions"
which may be more restrictive than County regulati ns. The undersigned assumes responsibility for compliance wilt) any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRA9 011 RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they maybe 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 inay-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 Paso County Building Inspection Divi§Ion—Lidensing Section at 727-847-
8009. Furthermore, if the owner-has hired a-cop tractor 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 no 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 Re overy-Fees.may apply to"the.construction of new buildings, change of
use in existing buildings, or expansion of existing ulldings, as specified in Pasco County Ordinance-number 89-07 and.
' �rjtands,-that -90-07, as amended. The undersigned also under such fees, as may be due, will be identified at the time of
permitting. It is further understood that Tr6nsporte tion..Impact.Fees and Resource Recovery Fees must be paid-prior to
receiving a "certificate of occupancy" or final-p6we- release. If the;project does not involve a certificate of-'bcdupai ncy 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,,Florlioa Statutes;as.amended): If valuation of work is$2,5.00.00 or more, I
certify that 1, the applicant, have been--providedl with a copy of-the, "Florida,Construction Lien Law—HoMeowner's
Protection Guide" prepared by the Florida Departm,entof Agriculture:and:Consumer Affairs.' If the apolicant?Is someone
other than the"owner", I certify that I have obtained a c6pyof the 666've'd6sicribed document and promise in good faith to
deliver into the"owner"prior to commencement
CONTRACTOR'S/OWNER'S AFFIDAVIT:A.,cE;rtif�that all.the information.inthis application is accurateand that,all work
will be done-in compliance with all applicable law "regulating
fing construction, zoning-and land d evelopment.-Application is
I n-
hereby made to obtain a permit to do work an Jzstallatio as"indicated. I certify that no work or installation has
commenced prior to issuance of a permit and th t all work will 'be performed-tio..-me'ek 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 othpr.government,agencies:rhayppp_fy-to-the,intended work, and that it is
my responsibility to identify what actions I must.tak to':be in compliance.- Such agencies includ6 but are not limited to:
Department of Environmental Protecti n-Cypress Bayheads, Wetland.Areas-and.-Environmentally Sensitive
...Lands,Water/Wastewatiar Treatment.
'Southwest Florida Water Manage ent District-ike,ii2s,, Cypeess, 'Bayheads, Wetland Areas, Altering
Watercourses.
Army Corps.of Engineers-Seawalls, 01 cks,�Navigi Waterways.
Department of Health & Servicosithvitonmen'rtal Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
US Envirdnm66tal'Prcitedtion Agency- sbestos-abatdrheft
Federal Aviation Auithority-kiinways.
I understand,.that the-following restrictions apply to,the,use,of fill:
Use of fill is not,allowed in Flood Zone"V"-Uhle'ss dko�es.sly,-permifted.
-""'A",--'i't' i's'understood that a drainage plan addressing a
If the ill material is to be used in food Zone
"compensating 1. .1 � Al be�subnll-volume" will be�subml ted.at time.,of-permitting-which-is prepared,-by a professional engineer
licensed by the State of Florida.
-fill materiaV.-is-,to.-be.used nection with a permitted building,using stem Wall,*
If the. in FI od Zo'ne A—in con
construction,,I,Ceriiqy that fill.will be us�d-only 1 16 If I.1,1th t e-ar,ea within the stem wall. .9
If fill material is to be,used in anyrea, I -certify that use of such fill will not adversely affect adjacent
O
properties..' If use,of fill.,Is found .to.adversely affect adjacent propertiesAhe owner may-be.-.cited for violating
the conditions of the building permit 1'�sued under.the attached permit application, for lots less than one (1)
-acre which are elevated,,lby,fill,-an engneered.'drainagq plan is required.
If I am.the AGENT FOR,THE OWNER,
WNER, I promise�n 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;:g si or other installations""not--'specifically included.in the-application. A
permit-issued shall be construed to be a license I proceed with:the work and not as authority to violate, cancel,-after, or
set aside any provisions of the'techhicalbodes, nir shall issuance.of a permit prevent the Building-Official from-thereafter
c any codes.- Every-permit issued shall become invalid
constructs
requiring a correction-of errors in plans, c ;tru If nor violations of
c)
unless the work authorized by such permit is co menced within_six months of.permit issuance, or if work authorized..by
the permit is suspended or abandoned for a p6do of six(6)months.after th6time the,work is commenced. Amextension
may be requested, in writing, from the Building fficial fora period not to exceed ninety(90) days and will demonstrate
justifiable cause for the extension. If work ceases,for ninety(90),donsebutive days,the job is considered abandoned.
WARNING TO-OWNER: YOUR FAILURE TO% ECORD,�A-NOTICE OF COMMENCEMENT MAY RESULT:IN YOUR.:
PAYING TWICE FOR IMPROVEMENTtTO-YO 11,1PROPERTY:-IFYOVINTENDTO'OBTAIN FINANCING,CON_ SULT'.".
WITH-YOURLENDER-OR AN ATTORNE*BIt . RE-RECORDING:YOUR-NOTICE OF-COMMENCEMENT.
FLORIDA JURAT(F.S.117.03)
OWNER-OR AGENT------- CONTRACTOR-
Subscribed and sworn to(or affirmed)before me this I Subscribed and sworn to(or affirmed)before me this
by by
Who Ware personally known tQ me or hasthave produced Who Is/are personally known to me or,hasthave 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