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Home My WebLink About06-6295 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 6295 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: DEMOLISH 6295 DEMOLITION 636-DEMOLlTION NOT APPLICABLE Address: 7750 GALL BLVD ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 35-25-21-0010-00500-0000 2,500.00 12/06/2006 75.00 Name: DAIRY, GORRS Address: 7750 GALL BLVD ZEPHYRHILLS, FL. 33542 Phone: 813458-1499 ,~ \.,0-, y\ (I~ D-1 \ ' <6' \&- 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 nWarning 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 you otice of commencement." NO OCCUPANCY BEFORE C.O. ~~ OR SIGNATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Date Received Owner's Name Owner's Address 7 I <)""D G,o LL ./5 L u f) Fee Simple Titleholder Namel Owner Phone Number Owner Phone Number I Owner Phone Number I LL-C 7. ~ FLIJ ") ~ )4 2- I LOT # I 5- 2-5"2--{- 0610 - Odi'01; - O()OQ (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D Fee Simple Titleholder Address 'let1hv"- ~ G/.J L.L I5l (.I D JOB ADDRESS 71s0 SUBDIVISION I B o o ADD/ALT REPAIR COMM FRAME PARCEL ID# WORK PROPOSED B D D LP~ tY1 Oi, 'rll ISQ FOOTAGE I PROPOSED USE TYPE OF CONSTRUCTION NEW CONSTR INSTALL SFR BLOCK D D D I D OTHER STEEL OTHER I DESCRIPTION OF WORK BUILDING SIZE 1$ ) J 5trO D ELECTRICAL 1$ D PLUMBING 1$ D MECHANICAL 1$ o GAS D FINISHED FLOOR ELEVATIONS I HEIGHT I AMP SERVICE VALUATION OF TOTAL CONSTRUCTION PROGRESS ENERGY BUILDING lJ'O o D WRE.C, VALUATION OF MECHANICAL INSTALLATION o I SPECIALTY D OTHER FLOOD ZONE AREA DYES DNO ROOFING 111"'111111....'11111'1111'...'111."....."111.'1"...".'.'1111..""....".'1....'..."111'...."'.111'.111".1'1111'.""".."'111"1111'111 BUILDER SIGNATURE COMPANY REGISTERED Address ELECTRICIAN SIGNATURE COMPANY REGISTERED Address PLUMBER SIGNATURE COMPANY REGISTERED Address MECHANICAL SIGNATURE COMPANY REGISTERED Address OTHER SIGNATURE Address Y/N FEE CURRENT License # YI N FEE CURRENT License # Y I N FEE CURRENT License # Y I N FEE CURRENT Y/N Y/N Y/N Y/N License # I ~,.t/ tfbp. t#/ /?J P ~ I N I FEE CURRENT License # I Y/N 111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I1 RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction. Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans wI Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects COMMERCIAL Attach (3) sets of Building Plans; (1) set of Energy Forms. R-O-W Permit for new construction. Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Storm water Plans wI Silt Fence installed, Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects, All commercial requirements must meet compliance SIGN PERMIT Attach (2) sets of Engineered Plans. ....PROPERTY SURVEY required for all NEW construction. 111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I1111111111111111111111 Directions: Fill out application completely, Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (A1C upgrades over $5000) Agent (for the contractor) or Power of Attorney (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 A1C Fences (PloVSurvey/Footage) Driveways-Not over Counter if on public roadwaysuneeds ROW 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, WaterlWastewater 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 "N, 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 "N 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 s.eparate perm~t. may ?e requir~d for elect~ica.1 work, plumbing, signs, wells, pools, air conditioning, gas, or other ~nstallatrons not speCifically In~luded. In the apphcatlon. A permit issued shall be construed to be a license to proce~d with the work a~d not as authorl~y !o vlol~t~, cancel, alter, or set aside any provisions of the technical codes, nor shall Issuance of a permit prevent the B~II.dlng OffiCial from the~eaft~r requiring a correction of errors in plans, c~n~truction or violat~o~s o~ any codes. Every ~ermlt Issued. shall become. Invah~ unless the work authorized by such permit IS commenced within SIX months of permit Issuance, or If work authonzed by the permit is suspended or abandoned for a period of six (6) mo~ths after the time th~ work is commenced: An extension may be requested, in writing, from the Building Official for a penod not t~ exceed n1n~ty ~90) da~s 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 NOT E COMMENCEMENT. FLORIDA JURAT (F.S, 117.03) OWNER OR AGENT Subscribed and sworn to (or affirmed) before me this by Who is/are personally known to me or has/have produced as identification. Notary Public Commission No, Commission No, Name of Notr.t!)d. printed Wo~@tland f:, . .. MY COMMISSION # 00268763 EXPIRES oc'{j.\ .. .',!< February 22. 2008 'lI,"~'" "'<J\'/ sOND,,, THR'.' T?OV f~IN INSUR~NCE, INC ~.irl,~F f"i.." Name of Notary typed. printed or stamped OCT 16 2006 2:45PM HP LASER.JEl ::t2UU p. 1 .~ ACORD... CERTIFICATE OF LIABILITY INSURANCE , DA l1llMlllDal'NVYI 1.0/16/2006 ItROOUCER (407) 838-3""'5 FAX (40?) 838-3460 THIS CERTIFICATE IS ISSUED AS A MATTER OF l"FORMAOON ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Lumbra Robin.on .04 A..ociat.. HOLDER. nns CERTIFICATE DOES NOT AMEND, EXTEND OR 498 S Lake Destiny Rd ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Orlando PL 32810 INSURERS AFFORDING COVERAGE NAIC , IN.URED INSURER"- J.... River na8urance Co 12203 Aoe Staffing, Inc. INSURER B: Scott.dale :IDIlu,X'.oCe U297 PO Box 570015 INSURERC: Saf.co 1NIl'IIUR n' AaCOKP IllCoraoratecl 103U Orl;mcio PL 32851-0015 INIUJ8FR E' THE POLICIES Of INSURAltCE L1STEO BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR 1l1E POLICY PERIOD INOICA'Tl:D. NO'M1THSTANDING ANY REQUIREMENT. TERM OR CONDITION OF AHY CONTIlACT OR OTHER DOCUMENT VMH RESPECT TO WI"IICH lHlS CERTIFICATE ~y BE ISSUED OR tMY PERTAIN. THE INSURANCE AFFORDED BY lHE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POlICIES, AGGREGATE LIMITS SHOVt'H MAY tfA,VE BEEN REDUCED BY PAID CLAIMS, IN~= TYIIE Of' IIISUMIIlCI! llouev NU"B." ~~~" P=,~ u.lTa Ll'ft ~"RAL LlA8lUTT ~ $ 1,000,000 ~ 3MMERC&I.l QeNl!'RAL LIA8IlIl'f S 50,000 A - ClANS IlilAOE ~ OCCUR 4:1.000105548 6/24/2006 6/24/2007 MEO EXP iMv _~..tonl $ excluded. PERSONAl & ADV INJURY S 1,000,000 - OI:NERAL AGGREGf.TE S 2,000,000 -iiA~nLlMfTrtPiR: PROOlJt'T!l-COMP/OPAGG $ Inc:lulSec! X POLICY i ':?i lOC C ~UTOIlIOBILE UJlIiIlLl'lY 01CH11552310 04/11/2006 Ot/11/2007 COMII..EO SINGLE LIIiIT ~ ANY AUTO (E8~tl $ 1,000,000 f-- AU. CMM:D AUTOS BOOlL V INJURY SCHEDULED AUTOS c.... 1*1011) S ~ I-- HIRED AUTOS BOOIL Y INJURY NON-QWNEO AUTOS (f'w' -="""'\1 $ I-- PROPERTY DAMAGE $ (.... lICdcla'1l) RftAGE UAIIlLlTV AUTO ONLY - SA ACCIDENT . ANY AUfO OTHER TtlN/ SA ACe $ AUTO ONLY: AGG $ IXCUlJUAa"1UA uAalJTV 3,000,000 ~- Oe<:UR 0 CLAIMS ~DE E $ AGGREGf.'Tt; S 3,000,000 $ B M OEDUCTI8~ XLSOOUl102 6/2t/2006 6/24/2007 $ X I'leTEMTIOtf S 10,000 S D WQlIUCIiQ c:o.IiNlIAllON AND xl ~~If'JHs I I~ liMllLOYEM' UAIIUTY ANY PRQPRiETOM'AAltERIEXECU11VE E,L, EACH ACCIOENT . 1,000,000 OffIOI!I'VMEMBER EXCLUO&:O? WCV7062128 1/1/2006 1/1/2007 E,L, DISEASE .I!A EM'lOYEE $ . y... dellCrfOe uroer 1,000,000 SPEC&I.l PROvISIQH8 t..1ow E.l, DISEASE. POLICY UNtT . 1,000,000 OTHER Dl!ICRIIPT1QN Of OPIRATIONIILOl;ATlO~CL.UlllONS AooaD IIY IiNDClltIIMINTI8..1C1AL I'IWVlIIOHI JOB: LoxahatC:hee WW'flI - rreedaa Deao1ition. TWn day. notice of cencellat10n tor non payaant ot prea1ua appli... COVERAGES CERTIFICATE HOLDER CANCELLATION IHOULO AHY OF THE ~lIOVE DUClUIIl!D POUCID BE C:"IlCEU-ID "'O~I THE IXPItATlON DAn TNiUO', ntE IIIUIIIG IN.unR WILL l!:IlDCl\VgK 10 MAIL !!- DAYI WI'lITTEN NOTICE TO TH!! CIlmPlCATE HOlDER.....D 10 THS LIFT, auT 'ALlMIi TO DO so SHALL IM'OIINO 08UOATlON OR UAaUTY tw "NY KIIlP UI'Olt THe lllau ..... AHII11I OR .....ENTAllVI!.. AUTHORIZI!D IW'IUtIUlTATlVI . _./ Nelly Alfonso/NELL Y ~.....,.,.. ACORD %1 12001'Oij--- Freedom Demolition 14446 th St. Dade City, FL 33523 (352) 567-2722 (352) 567-6922 FAX To Whom It May Concern: November 21,2006 . I Rick Slavik, president of Freedom Demolition, give permission to Ron P. Shultz to sign on my behalf, in order to acquire Pasco County Demolition permits. ;lfYJL Rick Slavik S~ED AND SWORN to before me by the said Kld<( J/ti;, k. this.? I day of ~" . 2006, to certify which witness my hand and seal of office. ,.~~~tWt"" J C5~-:Ca Ric.h $'~....'(j(". 'DD302984 ::~....@, ".'f,'~ C(;!71~TLiSS10n ;.;":.~:J..j)E.~)es: March 24, 2008 ~:1'k.. ...~<ifi~ 1 gM3<0-S161 "iF OF ~';"" Aaron Notary . vv- ;) ""II\\'\ ~~ ~l-- No Public ..... :" '''.' ---- I...... !:::~ 0:-; ~ ..6.-1 1] ; ::;rri '1) Q: ;;i~ ~ i. .~ ~.rr2~ ,}.:. ' .Po' :~ .~~ ;f ::" "?1 . . .. ::) : \..-ill u ~.......J ..f 1. ~ ,~:r."'fTl ;...;, ><....i : r'=: ~d-; ~j t' r ::;.'~, ~<r-.r' II ,--, , 1m ',- ,,' N.J-~ '~~ I~": ~'''"' ~-~'::" "~ ,-.R:;....., LC:- 's... rJ) "11 -; ~6jJ .:::. m ~1J:i.rri .,J;,)OCi ZxO :j :3: !-J=-" Z ..." t:;;i l-< -l.J lTi 0+-,3 ,-, -' r i-; -! !-.i f'"'"; Z '""" ~' i.=.i .,., r' u) uJ f~ -" ..j O- j f-L .... ..0 4.... 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