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HomeMy WebLinkAbout06-5489 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 5489 Permit Number: 5489 Permit Type: DEMOLITION Class of Work: 636-DEMOLlTION Proposed Use: SINGLE FAMILY RESIDENTIAL Square Feet: Est. Value: Improv. Cost: 3,700.00 Date Issued: 2/23/2006 Total Fees: 75.00 Amount Paid: 75.00 Date Paid: 2/24/2006 Work Desc: DEMO TO SFR Address: 5844 23RD ST ZEPHYRHILLS, FL. Township: Range: Book: Lot{s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 12-26-21-0000-02300-0000 Name: HUMPHREYS, MORRIS Address: 5844 23RD ST ZEPHYRHILLS, FL. 33542 Phone: ~p~v 9/\ ~ REINSPECTlON FEES: Reinspection fees will comply with Florida Statute 553.80 (2)( c) when extra inspection trips are necessary due to anyone of the following reasons: a) wrong address b) condemned work resulting from faulty construction c) repairs or corrections not made when inspections 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. NOTICE: In addition to the requirements of this permit, there may be 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. 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." ~ NO OCCUPANCY BEFORE C.O. ~ ,-' r~-~ ' ~O - 'G\<rL PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CI~Y OF ZEPHYRHILLS PERMLT A~~~~~A~~U~ BUnDING DEPARTMENT 5335 8TH st, Zephyrhills, Fl. 33542 813-780-0020 FAX: 813-780-0021 DA~rE RECEIVED 2;?5 -010 PHONE GONTACT FOR PERMITTING OWNER'S NAME ~ MO ( ( ('j t:;8cf<+ tf lA-"^~tA ((1 23 c.E- 5>7r<:~ f PHONg ?~ j .-/~gg Zc lAy I'"JJ/Is ;=-L " JOB ADDRESS LEGAL DESCRIPTION: LOT(S) BLOCK PARCEL ID # -1 t.... 1.,-b - 2A - 0000 - 0 t 30tJ SUBDIVISION CJ~C?AIN FROM PROPERTY,TAX NOTICE) WORK PROPSED: [)NEW CONSTRUCTION [) ADDITION [)ALTERATION [) REPAIR o INSTALL Os I GN o MOVE ...A.-oEMOLISH PROPOSED USE: [)SGL FAMILY DWELLING [)MULTI-FAMILY 0# OF UNITS [) MOBILE HOt' [) COMMERCIAL [) INDUSTRIAL [) SWIMMING POOL [) OTHER ~~ESTAURANT &, HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK ~ ~ (:-f (0 r-/ . BUILDING SIZE t'7 0 D SQUARE FOOTAGE . HEIGHT \ -b \ RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. IF SIGN PERM~T ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REQUESTED [) BUILDING $ '?/J GD ,l;<D VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL AMP SERVICE 0 Progress Energy 0 W.R.E.C. o PLUMBING [) MECHANICAL $ VALUATION OF'MECHANCIAL INSTALLATION [) GAS [) ROOFING [) SPECIALTY [) OTHER TYPE OF CONSTRUCTION: [) BLOCK [) FRAME [) STEEL [) OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAO YES 0 NO COMPANY C'O'SS STATE CERT OR REGIST # ******************************************************* ELECTRICIAN COMPANY SIGNATURE , STATE CERT OR REGIST # ****************************************************************** PLUMBER COMPANY SIGNATURE STATE CERT OR REGIST i ****************************************************************** MECHANICAL COMPANY SIGNATURE STATE CERT OR REGIST i *************************************************~*************** OTHER COMPANY SIGNATURE STATE CERT OR REGIST i A.' NOTIGE OF DEED RESTRICTIONS Th~ undersigned understands that this permit may be subject to "deed restrictions" which may be more restrictive than City regulations. The undersigned assumes responsib~lity for compliance with any applicable deed restrictions; B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the ~wner has hired a contractor or contr~Ftors to undertake work, 'they may be required to be 11censed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor maibe 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 "Gohtractor Sections" of this ~pplication for which they will be responsible. If you, as the owner signs as the contractor, ydu 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 STArUTES,AS AMENDED) I certify that I, the applicant, haye 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 appl.icant 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 wiil be performed to meet standards of all laws regulating construction, City codes, zoning regulations, and land developmerit 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 inolude but are not limited to: *Department of Environmental Regulation-Cypress Bayheads, Wetiand 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 certity that, if fill material is to be used in Flood Zone "A" or "A, etc.", it is understood that a drainage plan addressing a;:'compensa,ting 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 prooeed 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 la period of six months after the time. the work is commenced. One 90 day extension of time may be allowed for the permit with fse 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 00 NOT NEED TO RECORD AND POST A "NOTICE DE. COM NjENT". SIGNATURE: OWNER OR AGENT SIGNATU CONTRACTOR acknowledged , 2 0..:.- STATE OF FLORIDA COUNTY OF The foregoing instrument was Before m~ this _____day of by STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____ day of by acknowledged '-, 20_ (name of person acknowledged) o who is personally known to me, 'or (name of persor acknowledged) [1ho is personally known to me, or o who has produced (type and wnoO did 0 did not of identification) take an oath. o who has produced (type of identification) and who [] did Diid not take an oath Signature of person taking acknowledgment Signature of person taking acknowledgement Name typed, printed or stamped Name typed, printed or stamped FLA, 1877 Ll.>YS liS '713.13 SEMINOLE FORM 408 NOTICE OF CO'MMEN.CEMENT ~:~~t:fo~lorida , } I~R~P.ARE IN DU~~ICA~E' ~~~~~I!IJ~!~IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII The undersigned hereby informs all concerned that improvements will be made tD certain real property, and in accordance with section 713.13 of the Florida Statutes, the'follo'wing information is stated in thi.s NOTICE OF COMMENCEMENT, Description of property .~..~.J. ~.'. . of. :.~w.....l.l~. ..(Q.b::'~'~s. ..l.J.tj.. pf..Nl!.-?. ,.r..1. ~ ..~'t~......... ..' ~L ..P.'(.. ??~.'7.~.. :P.0...3......... ..................... ~'. .~'....... ~......... ~~~l~.:~2380 R~~~ ~~0:0 02/23/06 ___ Dpty Clerk . . .. . , . . . . . . , . . . . . . . . . . 0-' . . ! . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . "0 . . . ... . . . . . . . . . . . . . . . . . ~ . . . . . . . '. . . . . , . . . "0 . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . General description of improvements O~X):\ .Ol0~~Q-Y.\-;-. .<04'") , . . S.F fZ . . . . . . . . . . . . . , . . . , . . , . . . , . . . . . . '.' . .. Owner (r)m!.\~).. ,N.(,...~.p.~~~.-9.-:~;............",.......... .'............,..................,.......... Address .~.,.D.,. ~..~~.2.....~..... ....... ......~......)':..f].. .:3.3,5.39. ........., ........ ...... . owner:s interest in site of the im~rovement .~. .~.~.~....,... JED PITTMAN PASCO COUNTY CLE~K ::~:;~PI~ ~(lir7: :~ ~h.~'. ~~~ . ~~~~.'}...... ., . . . .... ............. ..:... .. ... . . .. . .. .~~~.0~~~1~~. . ~G.. ,~~.i . Address ......;..................................................................,............."....................,.......... R Cont,acto,6:w.M.. WI)J&QCO.-Q.A\.-~. S:in.~; I J.2.~g ..."...................... . Address ,p" .P.:. .B~9'X. ..i~.q.~.... Cr:~.<J;.+~.I.....S'.r-r. !~~:~$.. .F!-:-. i.. .3.~3.5:a..~\... ...'.......... ... . Surety (if any) .. ~ .1. A-:-. , . .'. ...... . . . ..... . . . .,. .. . . . ... . . . :..... ... . ...... .. . .., , . . . .. . ... . , .. .... . . . . .. , . .. . . . ,., , . ..... .. . .. . Address .:..........,...........................,...............................:....,............ Amount of bond S .. . . . . . . . . . . . . . Any person making a loan for the construction' of the improvements: Name :....&1.. (A:... .'. . . . , . ....... . . . .... . . ....... .. . . .... . . . .... ~ . . . .. ..... .. ... . . , .. . . .. . . . .. . . . . . . ........ . . ..... . ... .. ..... Address ...............,...........................,.........;.................. ..... . .. . . , . . , . . . . . . . . . . . ..... . . ... . . ... .. . . . . . .. . . Per;on within the State of Florida designated by owner upon whom notices or other documents may be served: Name..... ..N/.fr:. ... .........;.. ..... ........:....... .:....... ........ ....... .... ,..... ........: ........... .............. Address .."....,. .'. . . . , . . . . . . .. . ... . . .. . . . . . . . . . . . . . . .. . . . . . . . . .. .. . . . ... . ... .. , , .. . , . , ... . , . , , . , , . . . . , . . . . . . . .. ,. .. . . . , , , . . . . . In addition to himself, owne,r designates the following person to receive a copy of the Lienor's Notice as provided in Sectio'1...'/ 713.13 (1) (h), Florida Statutes. (Fill in at Owner's option). 'V' ,Nam.e : ,1::-.1. Jfr.. _,. ....~~~._______ .....'..: ........ ..,..... .........,' ....' ,: ,."".,. ,..... '." ,.... ,...,.. .... "...' ,\ Address,..,.,.".... '...."..., ,.................,.."..,............~. ,. ..".,.,.,......".,.,.,....." ,. c.,.,..,. .'.""...,. THIS SPACE FOP. RI;CORDER'S USE OIl!LY ~ '. , .' .' ................,............ ............................... ner Swom.o and.ubmlbedbefo,e 7" ..&((1...,....... ........ , CJ lit - _~(fj.J. .................~......d,ay 0 r: ..:.. ~ LV{" ~~.""""""" ,. " ....;l-!!r....::.;.... ( ..:/ .Un.. .l. .. t -; ..,..... KlMBERL:Y A:HII:.I:.EI'I" .. . .. " . /' N otary p~ PUBLIC. STATE OF FLORIDA , COMMISSION # 00223510: EXPIRES 06/27/2007 BONDED THRU 1-886-NOTARY1