HomeMy WebLinkAbout07-6736
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6736
Permit Number: 6736
Permit Type: COMMERCIAL
Class of Work: ADD/AL T COMMERCIAL
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid: Phone:
Work Desc: LIFTING EXISTING CEILING AND RELOCATING ELECTRICAL 3 JUNCTION BOXES
1,500.00
Address: 5240 GALL BL
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-15300-0260
95.00
E
PRATTS ELECTRIC INC
~, (" \"1 c..\.Q (1
~,~-Ol
~~
.,. ~ ""_. ."",,1\'+
SJ &" lAl JV\.r -. v
f00t..-V
DUCTS INSTALLED
DUCTS INSULATED
PRE-METER
FRAME
MISC
INSULATION WALL
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.
INSULATION CEILING
FIRE DEPT, FINAL
ELECTRICAL FINAL
BUILDING FINAL
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.
~~
CONTRACTOR SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED - .
PROTECT CARD FROM WEATHER
813-780-0020
City of Zephyrhills Permit Application
Building Department
j,f~13to
Fax-813-780-0021
d}
_ \r\~\.'
e,v'
Date Received
Owner's Name
~s~..1
ROb er+s-
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
Owner's Address
Fee Simple Titleholder Namel Y V (:> '" "'t::
1$ I
i5DO.aD .
1$ I
1$ I
D MECHANICAL 1$ I
D GAS D ROOFING D SPECIALTY D OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
111111111111111111111111~'-71111111111111111111111111111111111111111111t~ ~flllllll: ",'111'111111'1'11'111111111"11111111111111111111111111111
BUILDER I ~ - - I COMPANY I Co """---..e":-C,I'e.", \ {o""C.{"~+~ . I
SIGNATURE ,/[. / ~ REGISTERED 1(!.PN I FEE CURRENT r Y/N
Address I I License # I I
f:':>
~ COMPANY ~~ ~ \ec-\r\ ~ I
REGISTERED I (!jJ N I FEE CURRENT I~ I
e (' 15()D/ 82-6 I
I
I
I
I
I
I
JOB ADDRESS
SUBDIVISION
WORK PROPOSED
PROPOSED USE
TYPE OF CONSTRUCTION
DESCRIPTION OF WORK
BUILDING SIZE
D
BUILDING
D
D
ELECTRICAL
PLUMBING
ELECTRICIAN
SIGNATURE
Address
PLUMBER
SIGNATURE
~L
B
D
D
I
B
w
D
~ - '.
G
~\ ~ F"l-
PARCEL ID#I ,\ - ~-,;Ll- 00,0- is:~o -- Cbt~ ()
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE D
LOT #
D
D
D
NEW CONSTR
INSTALL
SFR
BLOCK
ADD/AL T
REPAIR
COMM
FRAME
DEMOLISH
OTHER I
STEEL D
OTHER I
t Q l CK'a.-1- ~
AMP SERVICE
D
Ins QIYY\..il.
\r1"~hLA-.
PROGRESS ENERGY D W.R.E.C,
F Irr. -1x:.>l?S ()'J,. ()EJ@O evw
N c::>c- ~cf)
Con,()"") . Cern . ~~o. 6D
VALUATION OF TOTAL CONSTRUCTION
VALUATION OF MECHANICAL INSTALLATION
w
License #
~Je.....
COMPANY
REGISTERED
Y/N
Y/N
FEE CURRENT
Address
License #
MECHAN(CAL
SIGNATURE
COMPANY
REGISTERED
Y/N
FEE CURRENT
Y/N
Address
License #
OTHER
SIGNATURE
COMPANY
REGISTERED
Y I N
Y/N
FEE CURRENT
License #
1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111
Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Pennit 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
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, Stonnwater Plans wI Silt Fence installed,
Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance
Attach (2) sets of Engineered Plans.
....PROPERTY SURVEY required for all NEW construction.
Address
""11""""1
RESIDENTIAL
COMMERCIAL
SIGN PERMIT
jji~~~ti~~~': ' . . , , , . . . . , . . . , , . . , , , , . . . , , , , . . , , , , . , . . , , , . . . , , . . , , . . . , , , . . . . . , , , . . , , , . . . . . . . . . . , , , . . , , . , , , , . , . . . . . , . , , , , , , , . . , , , , , , , , , , , , , , . , , . , , , , , . .
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 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-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 "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 Officia~ for a period not t~ exceed nin~ty (.90) da~s and will demonstrate
justifiable cause for the extension. If work ceases for mnety (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. 117.0 /J
O'''R'I~R OR AGENT _ CONTRACTOR X----'- 72 ~
Sub.scrib~ and s""9Q1 (or rmed) before me this Su~c~i~Fd and swo~ to (or affirm7d) before me ~_ ' '-1"
S/.?'-fIOt by~ \(\~n.u d'l B::l..d ~(./'(Y'"\CL0 '1{L 5~L07 by Ie- VvU..ld"~ fu "Ii .-1.D~~' .J4C.....
Who is/are personally known to me or haslhave produced WlLo is/are personal y known to me or nas/h~ve p~odu~ed
bA \)V' -J i2- Ll ~ as identification. ~ 1).a..u fI I t 0........... as Identification.
~,. ,~ ~ Notary Public
Commission ~ Kare L Mill
i9~,' ....' II. er
::t :~ Commission
Name of No . . , ~29.2010
IoMH TIlI~ ~'III , '_"'0, In. 899-_7919
~. u~~
Notary Public
Commission No.
Name of Notary typ
_ .....'Ill"
---~--------.-...__.-._.~"..._.,._,..,..".._."
'11111111111 1111I11111111/111/111111111I111111/1/111 "'1111/
2007090351
Rcpt:1102068
OS: 0.00
OS/24/07
Rec: 10.00
IT: 0.00
Dpty Clerk
. -____....".._.__M_.,_....._...~______..-__.,.-~~_____..___.__.._..
NOTICE<OFtOOl\1MENCElVIENT
Stateof 'F\o'r \ ~ ~ County of ~C\.So.o
THE-tJNDERSIGNED hereby gives notice thatimprovemen~ will ~e~de to ce~ reai p~operty.
and in accordance with. Chapter 713,Flori~ S~tutes, the folloWIng informatIon IS provIded ill
this Notice of Commencement: '
L Description of Property: Parcel No, 1\ - d..6~ 'AI - 00 I u -I S :',DD ~ 0 -;}.Io b
-l\~-ts Y\.,,~ S'd-YG ~l\ t5\\)c ~~r~:l\sl 't:-L
(Legal description of the property and street address if avail,able)
2. General Description ofIrnprovement eosrna.-t,~t
.. .
JEO PITTMAN, PASCO COUNTY CLERK
OS/24/07 11: Slam 1 of 1
OR BK 7510 PG 779
1Snb-u--1S
City Th.dt. ~ t':J.
3. Owner Information: Name '{ Vaf\n~
Address ?'3d...'3~ S\. '1 L>L ~
Interest in Property: 0 to ,J f:;~
Name of Fee Simple Titleholder:
(If other than owner)
, .. S~ t-.L 53S~-:S
Address
Aontractor:Name Co~'M.Od~..\~l
Address l{?'WCt!l ~S \-0 ~~ ~\.
City
~ 1'1 ~-lp\:s r" t.,
City~SVJ.u\
State~ ~
80 L 0 l
State___
5. Surety:Name
Address
Amount of Bo:iJ.d: $
City,
. State
6. Lenci~:r;)N~~
Address
8. In addition to himself, Owner designates
of ' 'to receive a copy of the Lienor's Notice as .
provided in Section 713.13 (1) (b), Florida Statutes. ,
9. Expiration date of Notice of Commencement (the expiration date is 1 year from the date
of recording unless a different date is specified.) .
..
;;;~~o ~
C;~C/) >- ~
~~~0<( ~ ~
~~ is Q.
0:;:)' ~
~8~' I;g' 1-,'
j;olt ~ u
I-~O r 0:
<(~U)I-N
<( 0 :J:..... X....J .....
CU 1-0+- <( 0
-(f)~~g~ ~
"0 a: <( Ii: 8 0 ....J
ll.w 0:<(
...J ot;8 C3
lL. lL. ~ ~ w u::
lL.O~ii:~"'"
O~~8~~
Wz i:!a a: <(-
.....::> <..... 0
~O !:!;lo;;r:
(f) u !:'~ ~
City
State
7. Persons within the State of Florida designated by Owner upon whom notices or other
documents maybe served as provided by Section 713.13 (1) (a) (7), Florida Statut~..:::
Name
Address
City
State_~
Signature of Owner:
"'-;;.. '"
,..-
( ~, I t. (. < >" 1,,-:'7
Sworn to and subscribed before me this ;A I .S. r
Notary Public: JitU_ t<..,-".
day of
(\ \..( j,/'
I1/1Y
I '
My Commission Expires:
?C9305304B/A
".20 O' (.
,.Yt"A', F
., )"^'~~ ran Jones
, : !: v.Hi " ISS/OO 00547761
'., '.:'"."',,. EXe!!8S June 29 2010
.'.! It.' 80nClelJ Tr(N Fain '~n$Urane.,I~ 800.385-7019
,..
t ~
c
't '~ ~
ere j
~ -; d .2
tP E U"
~ ~ ct'~ 'f
j i ~ ~
'3 fu-~ Q
Qd'~.Q 1
'~ ~ '3 s j
~ ~~1~
-v ['" _~
fJ L0~\f)
'2 - ,
~ : "\...
...
-~
I'~
Date Received
Building Department
Owner's Name
D
BUILDING
~"",d
Ro~ e..-\-s-
5+~ f ~ G\..~L
R\II~ Z~I.- ,.l'\~\~ rl- ' I . LOU I
I PARCEL 10#1 \I - .;;;).b-.;l(- OOiD-I~ - Cblt.. "
(OBTAINED FllOM PllOPERTY TAX NOTICE)
SIGN 0 MOVE 0
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
JOB ADDRESS
Owner's Address
Fee Simple Titleholder Namel Y V co '" t'"\e
Fee Simple Titleholder Address b3~33
15~t.lO G,.,\\
I
SUBDIVISION
WORK PROPOSED
DEMOLISH
PROPOSED USE
TYPE OF CONSTRUCTION
DESCRIPTION OF WORK
BUILDING SIZE
1$ 15cO.OV I
1$ I
1$ I
1$ I
D GAS 0 ROOFING D SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
11II1111II1 I 111111I1 I II '; I; 11111I I III I I I 111I111 I I I 1111111111I111111I1 'd;~ ~"IIIIIII ~ 11.11111111111111111111111111111111 I 1111I1111111111 I 11I111 I I
BUILDER I ~ I COMPANY ICo~"-C-l'"",\ (O~~ . I
SIGNATURE /[ , ./ t- ______ REGISTERED I(!J> N I FEE CURRENT c:...r.Ll!..J
Address I I License # I I
(":":>
.. COMPANY
REGISTERED
ELECTRICAL
AMP SERVICE
D
Ins~
h' CjY\.LA-
PROGRESS ENERGY D W.R.E.C,
F/I')1-1)ces ()'+ need. evc.i.:
N6c..~d)
Ccrr,m . &ro . ~alc. 6'D
VALUATION OF TOTAL CONSTRUCTION
D
D
D
PLUMBING
MECHANICAL
VALUATION OF MECHANICAL INSTALLATION
Address
ELECTRICIAN
SIGNATURE
COMMERCIAL
Address
MECHANICAL I
SIGNATURE ,
Address I
OTHER j
SIGNATURE
Address I License #
II I II I III I I I11II1111111111I1111II1111 I 111111I111I111111 I 111'11'1'1111" I I1I111I111111111111111111I1111I1111111111I1I1 I 1II11111 I 111111II1111III111I
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Enargy Forms; R-O-W Pannit for new construction,
Minimum ten (10) working days after submIttal date. Required onslte, Construction Plans, StolTl1water Plans w/ Slit Fence installed,
Sanitary Facilities & 1 dumpster; Site Work Pennlt for subdivtsfonsllarge projects
Attach (3) sets of BuildIng Plans; (1) set of Energy Forms. R-O-W Permit for new construction.
Minimum len (10) working days efter submIttal dale. Required onsile, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanllery Facilities & 1 dumpster. Site Work Pennlt for all new projects. All commercial requirements must meet compliance
AlIach (2) sets of Engineered Plans.
---PROPERTY SURVEY required for all NEW construction.
COMPANY
REGISTERED Y/ N FEE CURRENT L...r.L.!::LJ
License #
COMPANY
REGISTERED Y / N FEE CURRENT L...r.L.!::LJ
License #
COMPANY
REGISTERED Y/ N FEE CURRENT L...r.L.!::LJ
I
I
I
I
I
I
PLUMBER
SIGNATURE
SIGN PERMIT
DI;';'~ii~~~; .. .. , .. ... ....,.......... ..., .. .. .. .. .
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 leller from owner authorizing same
'OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs Sewers ,. Seivlce Upgrades AlC
.....
....
..........
. . . . . . . . . ~ . .
.0. .........
............
....
....
.......
Fences (Plol/Survey/Footage)
Driveways-Not over Counter ifon public roadways.,ngedS ROW
l! ~~
,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. II 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 actlom; t 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, Weiland Areas, Altering
Watercourses.
Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
Department of Health & Rehabilitative Services/Environmental Heallh 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 "YO 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~ob 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. 117.0 4
ay"IIiA ml.+.GENT - CONTRACTOR ~ T7 ~
Subllcriblld and s"!9Q1 (or rmed) before me this Su,~b,d and SWO!llto (or affirmed) before me thiS,
SJi7-'flo, by =.13. \ {\~ Al ~a. ,t ~GIY'Y'\"'-"J 'S{L ~ "7 by...l': I ('..Y'G...o.....& ~.c "'thQl'(''OQl...,,:;;8C...
"Yho Is/are personally known to me or hasJhave produced WbP Is/are personally known to me or slhave produced
fi?A \)" -.l j2. Ll c.. as IdenUficaUon. ~ 1)<2..U.o I, I ~ as IdentfllcaUon.
...~.
~."
Notary Public
Name of Notary
Parcel Information for: 11-26-21-0010-15300-0260 Card: 001
Page 1 of2
$~9[~!:Lt~g5'lJIJ Show Map Generalized BuildinQ Schematic Estimate Taxes
Other Parcel Cards: 1 I .2
See Tax Collector Information - Current/Delinauent Taxes
The online search system is currently unavailable. Information displayed below is from a weekly archive, SOH and Taxable amounts
may not reflect current values.
ParcellD 11-26-21-0010-15300-0260 (Card: 001 of002)
Classification 25 - Service Shops Non-Automotive
Mailing Address Assessment (totals)
ROBERTS YVONNE C REV L1V TR Ag Land $0
ROBERTS YVONNE C TRUSTEE Land $230,000
33233 SAINT JOE RD Building $107,148
DADE CITY, FL 335257849 Extra Features $7,932
Physical Address See All 3 addresses
5232 GALL BLVD Total Assessment $345,080
ZEPHYRHILLS33542 Save Our Homes $0
Legal Description (First 4 Lines)
CITY OF ZEPHYRHILLS PB 1 PG 54 Taxable Value $345,080
PART OF ABANDONED RR DESC AS
A STRIP OF LAND 200.00 FT WIDE
100,00 FT WIDE ON EACH SIDE
Land Detail (Card: 001 of 002)
Line Use Description Zoning Units I Type I Price I Cond f Value I
1 2500 SRVC SHOPS 00C2 11,000.00 SF ~ 1 I $88,0001
2 2500 SRVC SHOPS 00C2 39,000,00 SF 3.00 1 1$117,0001
3 2500 SRVC SHOPS 00C2 10,000,00 SF I 2.50 II 1 II $25,0001
Additional Land Information
Acres " 1.38 " Tax Area " 30ZH "Fema Code " X " Comm Code II CMAJ2AH I
Buildino Information - Year Built 1956 USE 17 - Offices (One Story) (Card: 001 of 002)
Ext Wall 1 Concrete or Cinder Block Ext Wall 2 None
Roof Str Flat Roof Cov Built-Up Tar and Gravel
Int Wall 1 Plastered Int Wall 2 None
Flooring 1 Terrazzo Epoxy Strip Flooring 2 None
Fuel Electric Heat Forced Air - Ducted
AC Central Baths 2.00
Line Description I Sq. Feet I Repl. Cost New
1 BAS 788 $53,584
2 FOP 16 $340
Extra Features (Card: 001 of 002)
Line Description Year Units Value
1 PAV ASP 1978 21,500 $4354
I 2 ~ CLFENCE BitBI 960 II $338 I
3 CANOPY 1 ,440 $3240
1978
Sales History
Previous Owner " ROBERTS YVONNE C
http://appraiser.pascogov.comlsearchloffline.asp?Sec=ll &Twn=26&Rng=21 &Sbb=OOl 0... 5/29/2007
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner:
Corn~ CrFn('O 0-5
5 -~Y-6,
Date Received:
Site:
5d ~ () GCSLQ...Q... (0 ( od
C\\("es (JlU-D)
Permit Type: QQ.JY\Cil. \CL.-\-(~.L)
Approved wino comments: 0 Approved withe below comments: ~ Denied withe below comments: 0
BUILDING SHALL COMPLY WITH
ALL APPLICABLE BUILDING,
ELECTRICAL, PLUMBING AND
MECftffNICAL CODES.
(]
flU- ~~i-
ttJc..w))CN6 1t--r4J
GOii':> ~ 5-r-~fMj)5 <"l~ ()6:-
Y'F6- '5t1F6'Ff :::cTp$\)
&1' L, m ( ~..JJrL
!)
~~_C-6-J IIi-- fi' ~ MJI\41}1L Itffru \/ftL
IS)\) ~
IJil~Jl ~ ,?fl.Kk,T
.. , ..
This comment sheet shall be kept with the permit and/or plans..
f71
uilding Official
'1
Date
Contractor and/or Homeowner
(Required when comments are present)