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