HomeMy WebLinkAbout06-5927
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CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
5927
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost: 4,800.00
Date Issued: 7/06/2006
Total Fees: (,
JJU l!-. 6
Amount Paid: .J'/...v lJ'
Date Paid: l tyj-
Work Desc: DEMO OF BURNT OUT MOBILE HOME
5927
DEMOLITION
636-DEMOLlTION
MOBILE HOME SUBDIVISION
Address: 38651 ROSE LN
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 02-26-21-0040-00BOO-0100
HA ELlN, DENNIS
38651 ROSE LN
ZEPHYRHILLS, FL. 33542
Phone:
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REINSPECTION 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 countyt and there may be additional permits required from other governmental
entities such as water managementt 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.
jL~ ~.
y CONTRA OR SIGNATURE PERMIT OFF I
CALL FOR INSPECTION - 8 HOUR NOnCE REQUIRED
PROTECT CARD FROM WEATHER
OWner's Name 0 e f1 ' S ~ (; ,/\
Owner's Address I .3 2 c.s; life J: e LC<-'1-t
Fee Simple Titleholder Namel () e'M 01\. .) HCf. "u ({ -1
Fee Simple Titleholder Address I, 3 C) J.. tl :)/e< </I j 5 f.
3 ~ b~ I
()C< K ~/ ~
B
PROPOSED USE D
TYPE OF CONSTRUCTION D
DESCRIPTION OF WORK I .oC-"'lO(;+'<./l &/ /.r-r J4rfA.tu1"J S'/fl;(.." ;;..-.(, "f~c'J".....u
BUILDING SIZE I I Q 10 . I SQ FOOTAGE I I HEIGHT I c> /l t' J 1r9/y
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1$ I
1$ I
1$ I
1$ I
D GAS D ROOFING D SPECIALTY D OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
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BUILDER ! '/;: ~ COMPANY L/cPSS eo1J.'/tJ.A.V'1 c, I
SIGNATURE ~. _ ~~ REGISTERED Y / N FEE CURRENT
V
Address License #
813-780-0020
Date Received
JOB ADDRESS
SUBDIVISION
WORK PROPOSED
D BUILDING
D ELECTRICAL
D PLUMBING
D MECHANICAL
City of Zephyrhills Permit Application
Building Department
Fax-813-780-0021
OWner Phone Number
Owner Phone Number I
Owner Phone Number I
R()s' ~-'1--f/ 2t!"/~'(/A..I(f" FL )354.2. - L'/m
I PARCEL ID#I OJ- ~ .2<:; -~ I - 00 '-to - C) c)~ 00 - C> ICJ c)
(OBTAINED FROM PROPERTY T~ N~':9
c=J ADD/ALT D SIGN 0 MOVE DEMOLISH
D REPAIR
D COMM D
D FRAME D
LOT #
/6 S 16
NEW CONSTR
INSTALL
SFR
BLOCK
OTHER I
STEEL 0
OTHER I
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
D
D
WRE,C.
PROGRESS ENERGY
VALUATION OF MECHANICAL INSTALLATION
ELECTRICIAN
SIGNATURE
COMPANY
REGISTERED
Y/N FEE CURRENT
License #
Y/N FEE CURRENT
License #
Y/N FEE CURRENT
License #
Y/N FEE CURRENT
Y/N
Address
PLUMBER
SIGNATURE
COMPANY
REGISTERED
Y/N
Address
MECHANICAL
SIGNATURE
COMPANY
REGISTERED
Y/N
Address
OTHER
SIGNATURE
COMPANY
REGISTERED
Y/N
License #
1I1111111111111I11111I1111111111I1111111I11I1111I1111111I11111111111111111111I111111I111111111111111111111111111II11I111111111I111
Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster
Attach (3) sets of Building Plans; (1) set of Energy Forms,
Minimum ten (10) working days after submittal date, Required onsite. Construction Plans, Sanitary Facilities & 1 dumpster
All commercial requirements must meet compliance.
Attach (2) sets of Engineered Plans.
....PROPERTY SURVEY required for all NEW construction.
111111111111111111111111111111111111111111111111111111111I1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111
Directions:
Fill out application completely,
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement is required. (AlC upgrades over $5000)
Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs Sewers Service Upgrades Ale
Address
111111111111111
RESIDENTIAL
COMMERCIAL
SIGN PERMIT
Driveways-Not over Counter if on public roadways..needs ROW
Fences (Plol/Survey/Footage)
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
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 Pasco County Building Inspection Division-Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law-Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the "owner", I certify 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.
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 performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other government 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 Protection-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.
US Environmental Protection Agency-Asbestos abatement.
Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
Use of fill is not allowed in Flood Zone "V" unless expressly permitted.
If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction, I certify that fill will be used only to fill the area within the stem wall.
If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. 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 codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is 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.
FLORIDA JURAT (F.S. 117.03)
CONTRACTOR
Subscribed and sworn to (or affirmed) before me this
by
Who is/are personally known to me or has/have produced
as Identification.
OWNER OR AGENT
Subscribed and sworn to (or affirmed) before me this
by
Who is/are personally known to me or hcislhave produced
as Identification.
Notary Public
Notary Public
Commission No.
Commission No,
Name of Notary typed, printed or stamped
Name of Notary typed, printed or stamped
Parcel Information for: 02-26-21-0040-00BOO-OI00 Card: 001
Page 1 of2
Search AQain Show Map Generalized Building Schematic Estimate Taxes
See Tax Collector Information - Current/Delinquent Taxes Frequently Asked Questions
ParcellD 02-26-21-0040-00BOO-0100 (Card: 001 of 001)
Classification 02 - Mobile Homes
Mailing Address Assessment (totals)
HAGELIN DENNIS R Ag Land $0
6302 MIDLAND ST Land $8,508
ZEPHYRHILLS, FL 335422739 Building $16,950
Physical Address Extra Features $501
38651 ROSE LN
ZEPHYRHILLS, FL 33542-2698 Total Assessment $25,959
legal Description (First 4 Lines) Save Our Homes $0
OAK PARK PB 3 PG 53 COMAT NW Taxable Value $25,959
COR OF BLOCK B TH WEST 20.00
FT FOR POB TH SOUTH 83.00 FT
TH EAST 82.00 FT TH NORTH
land Detail (Card: 001 of 001)
Line Use Description II Zoning I Units II Type I Price Cond Value
1 0200 MBL HM SUB II 00M2 16,806.00 " SF I 1.25 1.00 $8,508
Additional land Information
Acres I 0.16 I Tax Area 30ZH II Fema Code [~] Res Code IIoKPKLP1
I Building Information - Year Built 1973 USE 02 - Mobile Home (Card: 001 of 001) I
Ext Wall 1 Above Average Ext Wall 2 None
Roof Str Gable or Hip Roof Cov Rolled Composition
Int Wall 1 Plywood Panel Int Wall 2 None
Flooring 1 Cork or Vinyl Tile Flooring 2 Carpet
Fuel Electric Heat Forced Air - Ducted
AC None Baths 2.00
Line Description Sq. Feet I Repl. Cost New I
1 BAS 1,296 $42,962
2 UOA 194 $961
3 FCA 205 $1,359
4 I FST I 35 $530
Extra Features (Card: 001 of 001 )
. line Description Year Units I Value I
1 UDJJ::M 1961 1 I $81 I
2 CAC-4 1973 1 I $420 I
Sales History
Previous Owner SHETRAWSKI ANTHONY & THERESA
Year Month Book/Page ~I Amount I
1989 10 1848 / 1 738 I $20,000 I
1988 04 1700/0300 WD I $16,000 I
I 1988 I 02 1684/1550 I WD II $16,000 I
http://appraiser.pascogov.comlsearch/offline _tca.asp?Sec=02&Twn=26&Rng=21 &Sbb=OO... 7/6/2006
Parcel Information for: 02-26-21-0040-00BOO-0100 Card: 001
Page 2 of2
Search Again Show Map Generalized Building SchematiQ Estimate Taxes
See Tax Collector Information - Current/Delinquent Taxes Freouently Asked Questions
http://appraiser.pascogov.comlsearchloffline _ tca.asp?Sec=02&Twn=26&Rng=21 &Sbb=OO... 7/6/2006
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CES
CROSS ENVIRONMENTAL SERVICES. INe.
ENVIRONMENTAl & DEMOUTlON SERVICES
July 6th 2006
City of Zephyrhills
Phone # 813-714-0167
Fax # 813-780-0021
Subject:
Proposal for Demolition and Removal
Burnt Out Trailer Demo
38651 Rose Lane
Zephyrhills, FL.
CES Proposal No. 06-0796
Attn: Gene Brown,
Cross Environmental Services, Inc is pleased to submit our proposal for demolition and
removal of burnt out mobile home located at the above indicated address.
Per State Contract RFP-DOT-03/04-8117-EH. Statewide along the turnpike.
Demolition and removal services per contract. 1.7.1 mobile home, 4.0.2 outbuilding, 4.0.6
debris removal.
CES will supply all labor, materials, supplies, equipment, disposal and insurance to
complete the above scope of work for a total of.......................................................$4,800.00
This proposal is valid for 30 days.
By acceptance of this proposal the undersigned agrees to payment within 30 days after
completion of demolition work.
Sincerely,
QllLtA lJ-wuj ~
Chuck Gray
Vice President Demolition
Accepted by:
P.O. Box 1299 · Crystal Springs, FL 33524 · (813) 783-1688 · Fax (813) 788-9114
E-Mail: ces@crossenv.com · www.hazardremovaJ.com
TRANSACTION REPORT
JUL/06/2006/THU 11:09 AM
P.01/01
RECEIVER
97889114
TYPE/NOTE
OK
~
ECM 3036
07/ B6/.2ElB6 J. e: 413
8137825657
CROSS :DEMOLIUON 1:NC
PAGE Bl
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CES
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,:JUly. ~2006
. :Ci1y.of~byrhiUs
Phone-# 8t3~714-0167
~Fax # 813-780-0021
Slibjec;t:
:Proposa1:forDemoJitiOIl and "Removal
:Bumt'Out Trailer Dc:IDO
,3865:1 Rose.Lane .
Zepbyihills. :FL. . .
. CBS ;Propos81:<No. 06-0796
Attn: Gene Brown,
'Cross Environmental Services, Inc. is .pleased:to submit our,propos81 for 4enioJition.and
, remov81 of'btirnt out mobile home "located at the above iDdicatedaddress. . . ..
Per State ContractRFP-DOT-03/04-8U 7-EIi Statewide along the tumpi.ke.
Demolition aDd rem.Oval services per contract. 1.7.1 mobile home, 4.0.2 outbuildins, 4.0.6
debris removal.
-CES will supply .... Jabor, ..teriaIs, 81Ipplies, equipmellt, ~posal aDd iDs.ra..ce to
complete .the above Jc:~pe of work. for. a tutal of..~-~-_.._.~.............._...~._...S4,800.0D
This proposal isv8lid for 30 days.
Byacceptauce of this proposal the undersigned agrees to payment within 30 days after'
completion of demolition work. .. .
~1L)JhQ1j ~
Vice President Demolition
Accepted by:
A-~~
Sign and Date:. .
. . C.?1~F
Cc7 b~
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