HomeMy WebLinkAbout05-5190
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
5190
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
5190
DEMOLITION
636-DEMOLlTION
SINGLE FAMILY RESIDENTIAL
Address: 5100 3RD ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
Name: SHEILA HOFFER
Address: 5100 3RD ST
ZEPHYRHILLS, FL. 33542
11/28/2005
75.00
75.00
11/28/2005 Phone:
DEMOLITION OF SINGLE FAMILY DWELLING
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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
"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 and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances
NO OCCUPANCY BEFORE C.O.
. ~-.
SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
APPLICATION FOR PERMIT
CITY OF ZBPRYRBILLS
BUILDING DEPAR'l'MBNT
DATE RECBIVBD
PLANS RBVIBW FEE
OWNER'S NAME (~h~ h.. N-~
JOB ADDRESSS" OD3f!.OS+.
LEGAL DESCRIPTION: LOT (S) J / BLOCK d. (.0
PARCEL ID # /l)OID/IP?JOOt0D4D
PHONE(B/~)1f3 ~ Oq&t-}
SUBDIVISION
~N FROM PROPERTY TAX NOTICEl
WORK PROPSED: []NEW CONSTRUCTION [] ADDITION []ALTERATION [] REPAIR o INSTALL
~GN [] MOVE )<(. DJl:MOLI SH
PROPOSED USE: SGL FAMILY DWELLING []MULTI - FAMI L Y []# OF UNITS [] MOBILE HOME
[] COMMERCIAL o INDUSTRIAL o SWIMMING POOL [] OTHER
D RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK[)C. (Y)Q..c~/C-LC/t-l. sf'D
BUILDING SIZE
SQUARE FOOTAGE
HEIGHT
RESIDENTIAL:
COMMERCIAL:
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REQUESTED
o BUILDING
$
VALUATION OF TOTAL CONSTRUCTION
[] ELECTRICAL
AMP SERVICE
[] FLORIDA POWER
o W.R.E.C.
[] PLUMBING
[] MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
[] GAS
[] ROOFING
[] SPECIALTY
,[] 7R
~RAME
[] STEEL
[] OTHER
TYPE OF CONSTRUCTION: 0 B!-OCK
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREA[] YES
o NO
BUILDER
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
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BLECTRICIAN
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
I
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PLUMBER
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
** * ********,*** * ****** ****** ** ********** * ** ** ** **** ***** ** * * * * *****
MJ:CHANICAL
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
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OTHER
~~C.6!&F
COMPANY CtDSS r;;Vi(~01 ~.
STATE CERT OR REGIST # C('7 QC(o 2- qg j
CITY PROCESSING #
SIGNATURE
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CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to ~deed restrictionsH which
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, 813-788-6611.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
contractor(s) sign portions of the ~Contractor SectionsH 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 indication 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 GuideH prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that the ~ownerH, I cerify that I
have obtained a copy of the above described document and promise in good faith to deliver
it to the ~ownerH 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.
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 perfoDmed 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 ~AH or ~A,etc.H, it is
understood that a drainage plan addressing a ~compensating volumeH 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
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A ~NOTICE F COMMENCEMENTH.
SIGNATURE: OWNER OR AGENT
,-
ackI,lowledged
, 19_
STATE OF FLORIDA
COUNTY OF
The foregoing i
Before th's
by
~hO
7CLDW
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _ day of
by
ment was~owled~~ A"'C::
't. of , ' CI:'9 ~
'3
(name of person acknowledged)
is personally known to me, or
(name of person acknowledged)
Dwho is personally known to me, or
o who has produced
(type
and whoD did Ddid not
o who has
of identification)
take an oath.
gnature ~&B 5SA>,IHIt!l.~lqing acknowledgment
NOTARY PUBLIC, STATE OF FLORIDA
COMMISSION # 00223510
~IRCr;: 9il21t:JO07
Name typ E~ilIJl__01M11 stamped
Signature of person taking acknowledgement
Name typed, printed or stamped
'~. NOV-23-05 WED II: 33 AM
11/1G/2aaS 88:85 8137825657
FAX NO.
CROSS DEMOLITION INC
..
..
CES
~~-=w
November 16tl, 2005
,Florida Living Tru5t
Phone #: 813.782.0869
Fax #: 813-783-9451
Subject:
Proposal for Demolition and Removal
Sheila Haifet Demo
381485111 Ave
Zephyrllll1s, FL
CES Proposal No. 05~ 1053
Al1n: Brandy Hunter,
Cross Envit'onnlental Services. Inc is pl~ to submit our proposal for the demolitioD
and removal of. one brick house and funndation located at the above indicatM. addresll.
This proposal indudE:!s locates, demolition permit. and utility disconnects.
, _7
{
'l'here are )),0 other itl:Dls included in this proposal. ~'
Tbe total COllt f()t' the above scope of work Indad..g. labor, cJiSf)C)Sa~ material,
~CJ a lpmea t and "sanace will be............. ............ ........~............... ........ H....... ..--.....54.200.00
By acceptance of this proposal the unde{Sjgned ~$ tQ payment upon completion of the job. If
all amounts dUe!: to CBS aild not paid within 30 days wHI bear an interest rate of eighteen (18%)
~t until paid.
Slnoerely,
Jcm ~UL fCfd9-J
Tim Sparks .
Project Manager
re- flt-r/f
P.O. Sox 1 ~99 . Crystal Springs, FL 33524 . (813) 7e3~' 668 . Fax (813) 788-9114
E-Mail: ces@crossenv.CQm · WMV.hEUardremoval.oom
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