HomeMy WebLinkAbout05-4951
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CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
4951
Permit Number: 4951
Permit Type: DEMOLITION
Class of Work: 636-DEMOLlTION
Proposed Use: SINGLE FAMILY RESIDENTIAL
Square Feet:
Est. Value:
Improv. Cost:
Date Issued: 9/26/2005
Total Fees: 35.00
Amount Paid: 35.00
Date Paid: 9/26/2005
Work Desc: DEMOLITION OF U
Address: 5153 17TH ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
Name: RICHARD DILLY
Address: 5153 17TH ST
ZEPHYRHILLS, FL. 33542
Phone:
REINSPEcnON FEES: When extra in .on 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 i spection when called
(e) Permit not posted on job site (f) Plan not at job site (g) Work not accessible
The payment of inspection fees shall be m de before any further permits will be issued to the person owning same
"Warning to owner: Your failure to rd a notice of commencement may result in your paying twice for
improvements to your property. If y u intend to obtain financing, consult with your lender or an attorney
before recording your notice of com ncement."
Complete Plan , Specifications and Fee Must Accompany Application.
All work shall be rformed in accordance with City Codes and Ordinances
o OCCUPANCY BEFORE C.O.
~~
PERMIT OFFI
sPECTION - 8 HOUR NOTICE REQUIRED
OTECT CARD FROM WEATHER
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o TRACTOR SIGNATURE
CALL FOR I
P
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CITY O~ ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542~. .
813-780-0020 FAX: 813-780-0021 Q d /l ())
DATE RECE IWD /) ]
PHONE CONTACT FOR PERMITTING
OWNER'S NAME
FLDs11 J:
JOB ADDRESS
I
LEGAL DESCRIPTION: LOT(S)~ BLOCK SUBDIVISION
PARCEL ID # 11-J.f::,-JI-()Olf-ICj600- O/(}() (OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: ONEW CONSTRUC1ION 0 ADDITION oALTERATION 0 REPAIR 0 INSTALL
oSIGN ! 0 MOVE ~EMOLISH
PROPOSED USE:~GL FAMILY DWbLLING oMULTI-FAMILY 0# OF UNITS 0 MOBILE HOME
o COMMERCIAL 0 INDUSTRIAL 0 SWIMMING POOL 0 OTHER
BUILDING SIZE
c:J R1~TAURAN~ ,& HEALTH DEPARTMENT APPROVAL
O~ ~() 'Y\ )N un crt y P-ofrf\
I
!
6L(~
HEIGHT ~
SQUARE FOOTAGE
t2l1 U~VL~)
o BUILDING
PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
OF BUILDING PLANS & (1) SET ENERGY FORMS.
OF ENGINEERED PLANS REQUIRED.
REQUIRED FOR ALL NEW CONSTRUCTION.
t) ~6GT {~N of ~. (::)NL>{ B'0 ~LUtN1!-fWi) h'-UL wq./L fE-'Wt-/i) T)
.4:"1L 1 ,- .. .~ I . PERMITS REQUESTED
1'--" f~().jPl1l;lrJ crJ-h~<;tz:- l.~o N~T ~~~ ~ '--
$ VALUATION OF ~OTAL CONSTRUCTION ~ .
RESIDENTIAL: ATTACH (2) PLOT
COMMERCIAL: ATTACH (3) SETS
IF SIGN PERMIT ONLY (2) SET
PROPERTY SURVEY
o ELECTRICAL
AMP SERVICE
o Progress Energy 0
W.R.E.C.
o PLUMBING
I
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I
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o ROOFING 0 SPECIALTt
TYPE OF CONSTRUCTION: 0 BLOCK I
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FINISHED FLOOR ELEVATIONS ~
$
VALUATION OF MECHANCIAL INSTALLATION
o MECHANICAL
o GAS
o OTHER
o FRAME
o STEEL
o OTHER
IS PROJECT IN FLOOD ZONE AREAO YES
o NO
BUILDER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
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ELECTRICIAN
COMPANY
SIGNATURE
!
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I STATE CERT OR REGIST #
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PLUMBER
SIGNATURE
MECHANICAL
SIGNATURE
STATE CERT OR REGIST #
**************** ************************************************
OTHER COMPANY
SIGNATURE STATE CERT OR REGIST #
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictions" whicfi
may be more restrictive than city regulations. The undersigned assumes responsibility for
compliance with any applicable deed restrictions.
B. 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
city of Zephyrhills Building Department, 813-780-0020.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
contractor(s) sign po~tions of the "Contractor Sections" of this application for which they
will be responsible. If you, as the owner signs as the contractor, you are indicating that
you, rather than the contractor, are responsible for the work. If the contractor wishes
you to sign as contractor that may be an indica~ion that he is not properly licensed and is
not entitled to permitting privileges in the City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, 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 Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that the "owner", I cerify 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.
E. 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.
Appli~ation 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, City
codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other governmental 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 Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment
*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
*U.S. Environmental Protection Agency-Asbestos abatement
I also certify that, if fill material is to be used in Flood Zone "A" or "A, etc.", it is
understood that a drainage plan addressing a "compensating volume" will be submitted which
is prepared by a professional engineer registered in the State of Florida prior to permit
issuance.
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 code. Every permit
issued shall become invalid unless the work authorized by such permit is commenced within
six months of issuance, or if work authorized by the permit is suspended or abandoned for'a
period of six months after the time the work is commenced. One 90 day extension of time
may be allowed for the permit with fee charge of $15.00. The extension shall be requested
in writing to the Building Official. An approved inspection must be logged during each six
month period, or the project will be 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. JOBS UNDER
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
SIGNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
Before me this _ day of , 2G..-
by
(name of person acknowledged)
Dwho is personally known to me, or
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____day of
by
acknowledged
, 20
(name of person acknowledged)
C1ho is personally known to me, or
o who has produced
(type
and whoo did 0 did not
of identification)
take an oath.
owho has produced
(type of identification)
and who Ddid Odid not take an oath
Signature of person taking acknowledgment
Signature of person taking acknowledgement
Name typed, printed or stamped
Name typed, printed or stamped
I I
.
DATE: 09/23/05 PASCO COUNTY PROPERTY APPRAISER
o N - L I N E PAR C E L P R I N T 0 U T
16:23:57
PARCEL-ID: 11 26 21 0010 19600 0100
SC TP RG SUB BLOCK LOT
PARENT:
NOTES: COMB 1-196-7.5 !W/THIS
NAME: DILLY RICHARD A &
/ADDR HOLQUIN BRIAN M
FSl19 CODE:
PREV OWNER: BAY AREA PROP~RTIES
STREET ADDRESS: 5153 '17TH
TYPE:
STATUS: A
DLA: 062905
TRACK: 033004
CLASS: 01
LETTER CD-
OWNER CHG-
DATE-SPLIT: 081699/EDS
T/C
1770 WILLOW ST
SAN JOSE
GROUP INC
ST
CA 951255235
ZEPHYRHILLS, FL
VALUE & TAX INFO:
LAND AG:
-MRKT: 17437
BLDG: 15462
XFOB:
E X E! M P T ION I N F 0: SOH HX APP
NUM Cp H W D V T PCT HX-OVRIDE YEAR DATE S YR
*,* NO EXEMPTION(S) ON FILE **
--------------------
APPR:
SOH:
EXMT:
32899
--------------------
--------------------
TXBL: 32899
ACRES: .22
AREA: 30ZH
LOTS:
CHG:
DENIAL TYPE:
AUTOMATIC RECEIPT DATE:
HX VAL:
MKT CHG HX:
MC LAND HX:
PHYS HX:
o
o
o
o
NON-HX:
NON-HX:
NON-HX:
NON-HX:
32899
6037
420
15751-
PRIOR YR VALUE:
PRIOR YEAR MKT:
MKT DIFFERENCE:
PRIOR HX VALUE:
PRIOR HX PCT:
PRIOR NON HX:
42193
42193
o
o
42193
JALES-AMT S ALE S:
YEAR MON BOOK PAGE INST XFER QUAL ST LIFE I/V TOI
1999 01 4083 1542 17500 PR I M
1999 01 4090 0386 PR CD I M
1999 07 4189 1604 46000 WD I M
2005 01 6222 1811 38000 NO I M
2005 05 6415 0525 53000 WD I M
L iE GAL DES C RIP T ION:
ASSESSED IN ISECTION 11, TOWNSHIP 26 SOUTH, RANGE 21 EAST,
PASCO COUNTY, FLORIDA
TOWN OF ZEPHYRHIL~S PB 1 PG 54
OR 6415 PG 525 '
LOTS 10 & 11 BLOCK 196
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agree
') .
1\ I ct\
to the
DISCLOSURE STATEMENT FOR OWNER
CITY OF ZEPBYRHILLS BUILDING DEPARTMENT
-~\:{ II / have read and fully understand and
proviSions of I this instrument.
The undersigned states and I affirms that he or she is desirous of constructing,
renovating, adding to or r~roofing his or her own domicile" that he or she
actually occupies, or will .loccuPY by said domicile, and same is not for
rent, lease or sale. That he or she sl1a.ll comply with the following conditions:
1. That the owner and he ~r she alone shall act as the builder for all phases of
construction. !
2. That the owner will CO~lY with all provisions of the City of Zephyrhills
ordinances and codes pe tinent to the building.
3. That in the event vario s phases of construction are subcontracted, he will
engage only properly li ensed subcontractors and will personally supervise
such work.
4. That in the event the B
the owner will assume f
completion will call fo
5. That the owner shall as
not expect supervision
Department.
6. That prior to
fees, must be
constitute an official
7. That the owner shall
social security, wor
8. That the owner shall co
Industrial Commission.
9. State law requires cons ruction to be done by licensed contractors. You have
applied for a permit un er an exemption to that law. The exemption allows
you, as the owner of yo property, to act as your own contractor with certain
restrictions even thoug you do not have a license. You must provide direct
onsite supervision of t e construction yourself. You may build or impr~ve a
one-family or two-famil residence or a farm outbuilding. You may also build
or improve a commercial building, provided your costs do not exceed $25,000.
The building ,or residen e must be for your own use or occupancy. It may not
be built or substantiall 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 comp ete, the law will presume that you built or
substantially improved i for sale or lease, which is a violation of this
exemption. You may not ire an unlicensed person to act as your contractor or
to supervise people work"ng on your building. It is your responsibility to
make sure that people loyed by you have licenses required by state law and
by county or municipal l'censing ordinances. You may not delegate the
responsibility for supe ising work to a licensed contractor who is not
licensed to perform the ork 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 m ans that you must deduct F.I.C.A. and withholding tax
and provide workers' co en~ation for that employee, all as prescribed by law.
Your construction must,cly with all applicable laws, ordinances, building
codes, and zoning regyl~j;ons.'
,! / ? r
i.1) ;" DATE l.{~~, /~) I .
ilding Inspector shall require corrections to be made,
11 responsibility to insure they are made, and upon
a reinspection before proceeding with the building.
ume full responsibility for the construction and will
f his work from the City of Zephyrhills Building
additional fees, including reinspection
11. A written request from this office shall
otice.. to pay additional fees.
ly with all City, State and Federal laws in regard
's compensation, lien laws, etc., where applicable.
ly with all the safety codes issued by the Florida
to
OWNER'S SIGNATURE
ADDRESS
PHONE
WITNESS
PERMIT #