HomeMy WebLinkAbout03-2028
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
2028
Perml urn er:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Is.sued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
ddress: 5723
ZEPHYRHILLS, FL.
Township: 26 Range: 21 Book:
Lot(s): 7 & 8 Block: 80 Section: 11
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-10010-08000-007
i;;;;;:I:,/ '1.....!~Jl'II~~III!I" PI;;.
I' Name: ALLEN,CASSANDRA
Address: 5723 18TH ST
I ZEPHYRHILLS, FL. 33542
Phone:
DEMOLITION - 1 STORY CB SINGLE FAMILY DWELLING W/OUTBUILDING
2028
DEMOLITION
636-DEMOLlTION
SINGLE FAMILY RESIDENTIAL
4,658.00
4/28/2003
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REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Thirty-Five Dollars ($35.00) shall be made for each trip for each trade:
(a) Wrong address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when
inspection called (d) Work not ready for inspection when called
(e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
-"Wa'rning 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 and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances
--------------:--.-.---- NO OCCUPANCY BEFORE C.O.
--- ._---~-_.., ----------..---.--
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~~ TRACTOR SIGNA RE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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CONDITIONS OF PERHIT AF'FIDAVr'r
A. NOTICE OF DEED RESTRICTIONS
'l'he under:;igned understands that this pennit Hlay be subject to "deed restrictions" wldch
may be more restrictive than City regulations. The undersigned assumes responsibility for
compliance with any applicable deed restrictions.
B. UNLICENSED COi'lTRAC'l'ORS AND CON'l'RACTOR RESPONSIBII,ITIES
If the ovmer 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 a:; required by lavi, both the ovmer cmd contractor may be cited for a misdeml;;:C:lnor
violation undt::r stale laH. If the o\mer or intended contractor au" lUlGt:::rtain as to Vo/hat
licensing requirements may apply for the intended work, they are advised to contact tile
City of Zephyrhills Building Department, 813-788-6611.
Furthermore, if the ovmer has hit'ed a contractor or contractors, he is C:ldvised to have the
contractor(s) sign portions of the "Contractor Sections" of this application for whicll they
will be responsible. If you, as the OHner signs as the contractor, you are indicating that
you, rather than the contractor, are responsible for the work. If the contractor vdshes
you to sign as contractor that may be an indication that he is not properly licensed and is
not entitled to permitting privileges in the City of ~ephyrh1l1s.
C. 'l'RANSPOR'l'A'fION IMPACT lfEES AND UTILI'I'Y CONNECTION FEES
D. CONSTRUCTUION LIEN LAW (CHAP'rER '713, r'LORIDA STA'fUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "florida's Construction
lien Law - Homeowner's Protection Guide" prepared by the h'lorida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that the "oVo/ner", I cerify that I
Ilave obtained a copy of the above described document and promise in good faith to deliver
it to the "oVo/ner" prior to conunencement.
E. CONTRACTOR' S/OWNER' S AFFIDAVl'r
I certify that all the information in this application is accurate and thC:lt all work will
be done in compliance "lith all applicable laws regulating construction, zoning, and land
development.
Application is hereby made to obtain a permit to do work and installation as indicated. r
certify that no Hork or installation has conooenced prior to issuance of a permit and that
all work will be performed to meet standards of all laws regulating construction, City
codes, zoning regulations, and land development regulations in the jurisdiction. 1 also
certify that I understand that the regulations of other governmental agencies Hlay apply to
the intended Hod" and that it is my responsibility to 1dentify what action::; I must t.akt::: to
be in compliance. Such agencies include but are not limited to: *Depar:tment of
~nvironmental Regulation-Cypress Bayheads, Wetland Areas and Environmelltally Sensitive
Lands, Water/WasteHater Treatment
*Southwe:;t Florida Water Management District-Wells, Cypress Bayheads, WetlC:lnd Areas,
Altering Watercourses
*Army Corps of Engineers-Seawalls, Docks, Navigable Waterways
'Department of Health I< Rehabilitative Services, Environmental Health Unit-Wells,
Wastewater Tr~atment, Septic Tanks
*U.S. Environmental Protection Agency-Asbestos abatement
I also certify that, if fill material is to be used in Flood Zone "A" or "A,elc.", it is
understood that a dr:ai.nage plan addressing a "compensating volume" Hil.l be submitted which
is prepared by a professional engineer registered in the State of Florida prior to permit
is.::iuance.
A permit issued shC:lll be construed to be a license to proceed with the Hork and not as
authority to violate, cancel, alter, or set aside any provision::; of the technical codel:i,
nor shall issuance of a perm1t prevent the Building Official from thereafter reqlliring a
correction of errors in plans, construct!on, or violations of any code. Every permit
i::;slled shall become invalid unless the work authorized by such per'mit is cOllunenced within
six montll':;; of issuance, or if work authorized by the permit is suspended or abandoned for a
period of ai.x monthl:l after: the time the work is conooenced. One 90 day e.ctension of t1me
may be allowed for the permit with fee cllarge of $15.00. The extension shall be requested
in vniting to the Buil.ding Official. An approved inspection must be logged during each six
month period, or the pt'oject Hill be consi.dered abandoned.
~~ARNING '1'0 OWNER: YOUR E'AILURE '1'0 RECORD A NO'l'ICE OF COMMENCEMEN'l' MAY RESUW' IN YOUR
PAYING 'l'WICE FOR IMPROVElvlEN'l'S '1'0 YOUR PROPERTY. It' YOU INTEND 'L'O OBTAIN FINANCING, cONSUL'I'
WITH YOUR LENDER OR AN A'rTORNEY BEr'ORE RECORDING YOUR NO'fICE OF COMMENCEMENT. JOBS UNDER
$2,500 IN VALUE DO NO'I' NEED '1'0 RECORD AND POST A "NOnCE OF COMMENCEMEN'f".
SIGNATURE: OWNER OR AGEN'I'
SIGNATURE: CONTRACTOR
acknovl1edged
19_
STA'l'E OF FLORIDA
COUNTY OF
The foregoi.ng instrument was
8e.co.le lilt:: tills _uay of
by
S'fATE OF FLORIDA
COUNTY OF
The foregoing instrument was
BefoLe IIlE:: lili::. _ Liay o[
by
acknowledged
., 19
(name of person acknowledged)
o who is personally known to me, or
(name of person acknowledged)
[1ho is personally known to me, or
of identification)
take an oatll.
Dwho has produced
(type of identifiGatiou)
and vJho Ddid []Jid not take e:lll oath
o who has produced
(type
and vJhoD did Ddid not
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
-
Name typed, printed or stamped
PROPOSAL
CROSS CONS'TRUCOON COMPANY, INC.
PO lOX 710&
WESLEY CHAPELr FLORIDA 33!.~-.o101
PHONE: (813) 173-4191
FAX: (813) 973-43.8
To:
Ills
>It ~ Mt11!!iStJmM.r!s For.
We propdse to furnish all skilled labor, material, equipment, license, insurance, and permits necessary
for the ccJ1lplete demolition of the above referenced project.
# ITEM QUANTITY
1.3.1 : One-sto concrete block 1410 sf
4.1.1 ! Foote slabs less than 6" 1520 sf
4.3 Outbuildin 80 sf
4.11 ; Debris removal 10 tDns
4.13.3 Plumber 5 hrs
4.14 Tire removal 10 tires
4.15 Wet demolition 1410 sf
TOTAL COST
2 044.50
1 520.00
76.00
SO.OO
165.00
50.00
352.50
TOTAL
CE:
658.00
We ~ toFunrlsh"""1/Id l.ItJDr~ fn~ 6MrfJ Abel... ~2S For the Sum at:
FOUR THoUSAND SIX HUNDRED FlFTYMEIGHT DOLLARS AND 00/100.................$4,658.00
Pi1ymenc to bt1 _~
UPON PLETION AND ACCEPTANCE
AI ~ IS to />> _ $lIl!'CIII!lt All ~ to bt1 t:Dmp/l!ted '" i1 ~
f18m1f!r ~ to stMItI1Jn1 /X1IdJa1s. Any /IItm1tJDn or ~ ftr1m .rIJt1W
~ /1JIOMrg /!IdnI CQG WIll 1>> exI!CUta1 only UIJ(JI1 orrItfIS MItf will beaJme ""
stra dIirrge mer iIIfd ~ II>> l!StlmMe. All ~ I::iDntb~Jt upon ~
~ or dfI/iIys ~ t1tJr (Df1bul ~ to C6ITy ~ irlIm;Ido, ;md otIIt1r
~~ OUr.~~I'UIJ)f~by~~
II1SfIr.1nal.
ACrEPrANCE ~
The i1I1twe ~~ lIT1lI aJfIdIt10ns .- RItIsfiIdDry iIIId 8fe hM!Jby
~ YDU ire iIIIIIKldIied to lID _ MOT as ~ PlIymM7t will be n1iIde .,
outlined oJbg~
: MARK L. ROBERTS - PROJECT MANAGER
AI.1thcr1zJMJ
NotJe." ThI$ pt'(JpDtIM may be wIIhdrawn If I1Qt ~ witII.1O days.
MXEPTl:D BY:
yft~s
~ n!tun7 "". signed Qrlg/fIIIi to 0aIf 0JnsIruc:Ji0n ~y, Jnc.
~d'~~: