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HomeMy WebLinkAbout07-6452 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 6452 Permit Number: 6452 Permit Type: DEMOLITION Class of Work: 636-DEMOLlTION Proposed Use: CHURCH Square Feet: Est. Value: Improv. Cost: Date Issued: Total Fees: Amount Paid: Date Paid: Work Desc: Address: 5630 21 T STREET ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 2,200.00 75.00 75.00 2/12/2007 DEMOLISH A BUILDING .- ~~ . /1) '\ ~10 1/ 1ft ~ REINSPEcnON 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. ~.4/ ~~ CONTRACTOR SIGNATURE PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ..- PROTECT CARD FROM WEATHER Date Received ? /17.../67 ~\.r {;VI(J I {t. tJ-€fh"'l 2/J/. >1- Fax-813-780-0021 *~~tJV 813-780-Q020 City of Zephyrhills Permit Application Building Department Owner's Name Owner's Address I ~ t > 0 Fee Simple Titleholder Namel C/...uc?' 2. - ;('//~ Owner Phone Number Owner Phone Number I Owner Phone Number I Fee Simple Titleholder Address JOB ADDRESS ~t> 0 21 sf <; I- "7 - /-//Ir I PARCELID#I/2. -Ub -2,1-002-0- 6120{) -0970 (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE 0 LOT # I B D D ~6 6~:'Ji;;_ BUILDING SIZE I I SQ FOOTAGE r I HEIGHT I lTT"fTTT"mTllllll , , III , , . . III . I1II , , I . III , , , , I . . III , IIIII , , , I11II . III , , I , I11II , . IIII . I1I1II . I , 11 . IIII , , , 11I1I , , IIIII , I I11I . IIIII , IIIII r , . III r I , I II SUBDIVISION WORK PROPOSED NEW CONSTR INSTALL ADD/AL T REPAIR D D D DEMdLlSH DESCRIPTION OF WORK E3 D D I ~15i'f/'" SFR BLOCK COMM FRAME OTHER STEEL I D PROPOSED USE TYPE OF CONSTRUCTION OTHER I 1$ ~ 2 0 0 I D ELECTRICAL 1$ I D PLUMBING 1$ I D MECHANICAL 1$ I D GAS D ROOFING D SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I 1 FLOOD ZONE AREA DYES DNO 1111111111111111111'111111111111111111111111111111111111111111111111111111I11111I111111I111111111111111I11111111111111111I111111111111111I111111111 BUILDER ~ ~~ // COMPANY V1>~ ~;I./f SIGNATURE ;:c./~' ~P/ REGISTERED FEE CURRENT D BUILDING VALUATION OF TOTAL CONSTRUCTION AMP SERVICE D PROGRESS ENERGY D W.R.E.C, VALUATION OF MECHANICAL INSTALLATION License # Y/N FEE CURRENT License # Y/N FEE CURRENT License # YI N FEE CURRENT License # Y/N FEE CURRENT Address ELECTRICIAN SIGNATURE COMPANY REGISTERED Y/N Address PLUMBER SIGNATURE COMPANY REGISTERED Y/N Address MECHANICAL SIGNATURE COMPANY REGISTERED Y/N Address OTHER SIGNATURE COMPANY REGISTERED Y/N License # 1111II11111111I111111111111II1111111111I1111I11111111111111I11111I11111111111I1111111111111111111111I111I111111111111111111I11I11I 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 ali NEW construction. I1111111111I11I11I1II1111111I1I111111111111I111111111111111I111111I111111II111111I11111I1111111111111I1111111111111111I1111111I1111111111111111111 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 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 NC Address 111111111111111 RESIDENTIAL COMMERCIAL SIGN PERMIT Fences (PloUSurvey/Footage) Driveways-Not over 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 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-Homeowne(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 ~hat a s~parate perm~t. may ?e requir~d for elect~ica.1 work, plumbing, signs, wells, pools, air conditioning, gas, or other Installations not specifically 1n?luded. In the application. A permit issued shall be construed to be a license to proceed with the work a~d not as authon~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, construction or violat~o~s o! any codes. Every ~ermlt Issued. shall become. Invalid unless the work authorized by such permit is commenced Within SIX months o.f permit Issu~nce, or If work authorized. by the permit is suspended or abandoned for a period of six (6) months after the time th~ work IS commenced: An extension may be requested, in writing, from the Building Officia~ for a period not t~ exceed nln~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 NOTICE OF COMMENCEMENT. FLORIDA JURAT (F.S. 117.03) ~//// ,/ CONTRACTOR A-iJ' ~~/,/ OWNER OR AGENT - Subscribed and sworn to (or affirmed) before me this Subscribed and sworn)Q (or affirm ) before e this by 2-/2-07 by (Ile Who is/are personally known to me or has/have produced Whq..,[s/are persol)lilly known me or has/hav roduced as identification. ~\-.cl or L (~~ as Identification. Notary Public Notary Public Commission No. Name of Notary typed, printed or stamped ~ ~~ 088 ~~"C CONSTRUCTION S'f; 25221 State Road 54 West Lutz, Florida 33559 Office: (813) 907-1013 Fax: (813) 907-0297 CITY OF ZEPHYRHILLS TO WHOM IT MAY CONCERN, PLEASE BE ADVISED KRISTOPHER HOWELL (DRIVERS LICENSE (#H400- 516-82-110-0) IS GRANTED THE AUTHORITY OF ACTING AGENT FOR ETHAN T. LILLIBRIDGE (LICENSE #CGC1505176), AND CROSS CONSTRUCTION IN MATTERS INVOLVING PERMITTING. SINCEREL Y, ) PROJECT MANAGER UCTION SWORN TO AND SUBSCRIBED BEFORE ME THIS 12th DAY OF FEBRUARY, 2007. MY COMMISSION EXPIRES: 8/24/2010 ;ij!.i it! 1i ,'~;/"";~Im.ra James NOTARY PUBLIC STATE OF FLORIDA PASCO COUNTY ~".'( .'. ", Comml..lon'# 00574915 X PERSONALLY 'KNOWN TO ME.' ....;~:~7;: ",~Ei(f1itIlAYgust 24.2010 - ...ll .".;wI'....',....~lllC, 8lJO.385.71119 Parcel hlformation for: 12-26-21-0020-01200-0970 Card: 001 Page 1 of2 S~:::lrGh~g~jD Show Map Generalized BuildinQ Schematic Estimate Taxes See Tax Collector Information - CurrenUDelinquent Taxes fr~ql,J~ntIY_~s!s~gQlJe$HQD$ bE5E 12-26-21-0020-01200-0970 (Card: 001 of 001) 01 - Single Family Mailing Address Assessment (totals) OUR SAVIOR LUTHERAN CHURCH Ag Land $0 OF ZEPHYRHILLS INC Land $28,886 5626 20TH ST Building $60,646 ZEPHYRHILLS, FL 335424441 Extra Features $597 Physical Address 5630 21 ST ST Total Assessment $90,129 ZEPHYRHILLS, FL 33542-4553 Save Our Homes $0 Legal Description (First 4 Lines) YINGLING'S ADDITION TO ZEPHYR- Taxable Value $90,129 HILLS PB 2 PG 16 SOUTH 4.60 FT OF LOT 34 AND ALL OF LOTS 35 THRU 37 AND LOT 38 LESS Land Detail (Card: 001 of 001) I Line II Use I Description Zoning Units Type I Price II Cond I Valu I 1 II 0100 I SFR 00R2 7,000.00 I SF II 2.85 II 1.00 I $19,9 I 2 II 0100 I SFR 00R2 22,340.00 SF I .40 II 1.00 I $8,936 Additional Land Information Acres II 0.67 Tax Area 30ZH II Fema Code II X II Res Code IIZHLGLP31 Building Information - Year Built 1945 USE 01 - Single Family Residential (Card: 001 of 001) Ext Wall 1 Average Ext Wall 2 None Roof Str Gable or Hip Roof COy Asphalt or Composition Shingle Int Wall 1 Plastered Int Wall 2 None Flooring 1 Pine or Soft Wood Flooring 2 Carpet Fuel Oil Heat Convection AC None Baths 2.00 I Line I Description Sq. Feet Repl. Cost New 1 UOP 96 $1,021 2 BAS 900 $65,664 3 FSP 380 I $9,704 I 4 FEP 144 II $7,369 I 5 UDC I 480 $5,253 6 UDU 336 $7,369 7 FUS 540 $35,459 Extra Features (Card: 001 of 001) Line Description I Year II Units I Value 1 DWSWC I 1945 II 133 II $50 I 2 I UDU-M I~I 1 II $512 I 3 I SHED I 1945 I 1 II $35 I Sales History I . II . http://appraiser.pascogov.comlsearch/ offline _ tca.asp?Sec= 12&Twn=26&Rng=21 &Sbb=O... 2/12/2007 ~ ~fif.) O~ ~v 8 COJ\tSTRUCTION Sf,~ 25221 State Road 54 West Lutz, Florida 33559 Office: (813) 907-1013 Fax: (813) 907-0297 CITY OF ZEPHYRHILLS TO WHOM IT MAY CONCERN, PLEASE BE ADVISED KRISTOPHER HOWELL (DRIVERS LICENSE (#H400- 516-82-110-0) IS GRANTED THE AUTHORITY OF ACTING AGENT FOR ETHAN T. LILLIBRIDGE (LICENSE #CGC1505176), AND CROSS CONSTRUCTION IN MATTERS INVOLVING PERMITTING. PROJECT MANAGER UCTION SWORN TO AND SUBSCRIBED BEFORE ME THIS 12th DAY OF FEBRUARY, 2007. LQ;m('l41 ~/Yi1JfJ TAMARA JAME' ,'f ", , f~~\ . 'f~~.r8 James NOTARY PUBLIC, STATE OF FLORIDA, PASCO COUNTY ~;r J~ 9on:t",lu,on# 00574915 x PERSONALLY KNOWN TO ME.').; ,,,"::~p~~t~AugU8t 24,2010 . . -fl;i'''''''''~lnc. ~7018 MY COMMISSION EXPIRES: 8/24/2010