HomeMy WebLinkAbout07-6373
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6373
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:
6373
DEMOLITION
636-DEMOLlTION
SINGLE FAMILY RESIDENTIAL
Address: 5227 6TH ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-001 0-15500-0050
2,200.00
1/17/2007
75.00
75.00
1/17/2007
DEMOLITION OF SFR
Name: FIRST BAPTIST CHURCH OF ZEPHYRHI
Address: 5227 6TH ST
ZEPHYRHILLS, FL. 33542
Phone:
I
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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 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.
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./ "tt5NTRAC R SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020
Date Received
Owne". Address
Fee Simple TItleholder Name I
City of ZephyrhiUs Permit Application
BuUding Department
Fax-8t3-780-0021
Owner Phone Number
Owner Phone Number I
Fee Simple Titleholder Add.... I
15::1:17 ~+-h s+-
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JOB ADDRESS
SUBDIVISION
WORK PROPOSED
PROPOSED USE
TYPE OF CONSTRUCTION
DESCRIPTION OF WORK
BUILDING SIZE
CJ BUILDING
D ELECTRICAL
D PlUMBING
D MECHANICAl
D GAS
FINISHED FLOOR ELEVATIONS
BUILDER
SIGNATURE
Add....
ELECTRICIAN I
SIGNATURE
Add.... I
PLUMBER I
SIGNATURE ,
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LOT. I
E3
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D
NEW CONSTR
INSTAlL
SFR
BLOCK
OTHER I
STEEL 0
OTHER I
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1$ c2d.OO'~
1$
1$
1$
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HEIGHT I
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VAlUATION OF TOTAl CONSTRUCTION
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AMPSERVlCE
PROGRESS ENERGY
W.R.E.C.
VAlUATION OF MECHANICAL INSTAlLATION
SPECiAlTY D
FLOOD ZONE AREA
ROOFING
OTHER
DYES
c.GL:.
DNO
(9~29S-1
COMPANY
REGISTERED
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I Y I N I FEE CURRENT L!..!lL.J
license. I I
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FEE CURRENT
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Y/N
License .
COMPANY
REGISTERED
FEE CURRENT
L!..!lL.J
Y/N
Add....
MECHANICAL I
SIGNATURE ,
Add.... I
OTHER I
SIGNATURE
Add.... I
License .
COMPANY
REGISTERED
FEE CURRENT
L!..!lL.J
YI N
License .
COMPANY
REGISlERED
YI N
FEE CURRENT
L!..!lL.J
License .
RESIDENTIAL
COMMERCIAL
SIGN PERMIT
Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Fonns
Minimum ten (10) wor1dng days after submittal dale. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster
AItach (3) sets of BuilcfHlg Plans; (1) set of Energy Fonns.
MInimum ten (10) worlcing days after submittal date. Required onsile, Construction Plans, Sanitary Facili1ies & 1 dumpster
All commeroial requirements must meet compliance.
AItach (2) sets of Engineered Plans.
--PROPERTY SURVEY required for all NEW construction.
Direction.:
Fill out application complelely,
Owner & Contrador sign back of application, nolar1zed
If over $2600. a NotIce of ~t Is required. lAIC upgrades over $lIOOO)
Agent (for the contractor) or Power of AIlomey (for the owner) would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITnNG (Front of Application Only)
Reroofs Sewers Service Upgrades AlC Fences (PIoUSlllV8ylFootage)
Drlv_a~Not 0_ Counter If on public roadways..needs 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 wor!(, 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 proper1y 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 specifiect 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 wor!( 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'SlOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
will be done in compliance with aU 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.
1 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 "AB, 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 wiU 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, welts, 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 OfIiclal 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 wor!( 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.
Name<R~~'~
NOTARY PUBLIC. STATE OF FLOAI A
COMMISSION # DD223510
EXPIRES 06/27/2007
BONDED THRU 1_888-NDTARYl
Name of Nolaty typed, printed or slampad
KIMBERLY A. HILLEN
NOTARY PUBLIC. STATE OF FLORIDA
COMMISSION # DD223510
EXPIRES 06/2712007
BONDED THRU l.a88-NOTARYl
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Ernest Peoples
Zephyrhills, FI
Phone: (813)-782-2989
Subject:
Proposal tor Demolition and Removal of Old Frame House
6th Street, Zephyrhills, FI
Attn: Ernest Peoples
Cross Envirol)Dlental Services, Inc is pleased to submit our Proposal for the Demolition and Removal of Old
Frame House located at 6th Street, Zephyr hills, FI.
The following items are included in this proposal: #1 Demolish house and Disposal ofalJ debris. #2 Demolition
Pennit City of Zephyrhills.
T olal cost for the above scope of work ineludiug labor, equipment, and insurance will be....... ...$ ~ 200 .00
There are no other items included in this Proposal.
This proposal is valid for thirty (30) says.
The undersigned agrees to payment in full ten (10) days upon completion of Cross Envirol)Dlental Services, Ine
work. No retainage to be withheld.
Sincerely,
.,:-o>D
Accepted By:
Chuck Gray
e-n,~:h/ r1kp1~
p.o. Box 1299 · Crystal SPrfngs, FL 33524 . (813) 783-1688 . Fax (813) 788-9114
E-mail: crossenv@innet.com . WW\N h~?<H'rI..,",~~. ._. __