HomeMy WebLinkAbout07-6935
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT
6935
Permit umber:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
6935
DEMOLITION
636-DEMOLlTION
MEDICAL
Address: 7221 DAIR D
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 35-25-21-0010-10300-0010
6,200.00
8/08/2007
75.00
75.00
8/08/2007
DEMO OF 50x60 BUILDING
Name:
Address:
Phone:
/';J,cJ
(f1~-'2rf-01
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."
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ONTRACTOR SIGNATURE PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
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 Phone Number
Owner Phone Number I
Owner Phone Number I
Owner's Name
Owner's Address
Fee Simple Titleholder Namel
JOB ADDRESS
Fee Simple Titleholder Address I
: 70101/ rn:tly kdJ.
LOT #
SUBDIVISION
PARCEL 10#1
WORK PROPOSED
NEW CONSTR
INSTALL
SFR
BLOCK
I
B
D
D
D
D
D
OTHER
STEEL
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D
B
PROPOSED USE D
TYPE OF CONSTRUCTION D
DESCRIPTION OF WORK /--0{? VY"I G
BUILDING SIZE I SQ FOOTAGE I HEIGHT I
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ADD/AL T
REPAIR
COMM
FRAME
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(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE 00
DEMOLISH
OTHER I
MECHANICAL
SIGNATURE
I$~d 00 a7
1$
1$
1$
D GAS D ROOFING D SPECIALTY D OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
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COMPANY 14~~ e;;A:?M,qct--~~ (~4<JJ';"~~'l ~'CJt::!. I
REGISTERED t Y I N I FEE CU _ Y I N--.J
License # I I
I
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D BUILDING
D ELECTRICAL
D PLUMBING
D MECHANICAL
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
D
PROGRESS ENERGY
D
W.R.E.C.
VALUATION OF MECHANICAL INSTALLATION
~::;~~~~RE ~E ~ 2c.cLL/
Address l10'od D4k.CL)On,..O LJd,'v5_
ELECTRICIAN I
SIGNATURE .
COMPANY
REGISTERED
Y I N FEE CURRENT
License #
Y/N FEE CURRENT
License #
YI N FEE CURRENT
License #
Y I N FEE CURRENT
Y/N
Address
PLUMBER
SIGNATURE
COMPANY
REGISTERED
Y/N
Address
COMPANY
REGISTERED
Y/N
Address
OTHER
SIGNATURE
COMPANY
REGISTERED
Y/N
COMMERCIAL
Address License #
1I11111111111111111111111111111111111I111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111
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 sUbdivisionsllarge 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 on site, Construction Plans, Stormwater 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.
SIGN PERMIT
Dl~~~tj~~~': . , , . . . . , , . . . , , . . , , . . . . . , . . . , , . , . . . , . . . . . , . . . . , , . . . , , . . . . , . . . . , . . . . . . , . . . . . , , , . . , , , . . . . , , , , . . , . , , , . , , , . . . . . , , , , , . . . . . . . . . . . . . . . . , , , . . , . .
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. 1 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 separale permll 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 proce~ wrth the wort< and not as authorily!O vlolete, cancel, alter. or
set aside any provisions of the technical codes, nor shall.ssuance of a perm.t prevent the BUlldmg OffICial from the~ea1ler
requiring a correction of errors in pians, construction or vioiations of any codes. Every permit Issued shall become mvalid
unless the work authorized by such permit is commenced within six months of permit issuance, or II 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 nlnely \90) days and will demonstrate
justifiable cause for the extension. If wort< ceases for ninely (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 LEND OR ATTO EY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT (F.S. 1].03)
CONTRACTO
S scrib d and swom to ofaffl~ed) before me this ".' .\ \ -
. by (ax \ <I d ( , ., ""- ",..c c:s~ ("~ \ ?il 'f\ C;.\UL..A-
Who Is are personally known to me or has/have produced
cyL 1:)17"'"\ v L\ (0 ~ as identification.
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Notary Public
commission No.
Name of Notary typed, p
~~,"''''~~" Karen L.
Name of Notary typedi . . . ~ssion # 00609664
~~.. ~~ Expires October 29, 2010
I l~"-........ _ ,... , ",...."'.,... 1IIlQoJlIto101.
----,,_.--~...."...-~--_....
State of
NOTICE OF COMMENCEMENT
l~tLt , County of ([h,5c/)
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,
and In accordance with Chapter 713, Florida Statutes, the following information is provided in
this Notice of Commencement:
::? ,-- -
I. Description of Property: Parcel No. ,.A? - d 'J -,.) I - //1') J () ~ / // :r,,; // -0010
/ \. 0
(Le aI description of the property and street address if available)
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-- 2007134986
3. OwnerInformation: Name ~iA J-k.y:> -<~jQ.h,'/J. 5
Address 71? 70 6F1 u.. /} I. v,(2 City .2- dz L , State nA. ~~:l.
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R'
5. Surety: Name
Address
Amount of Bond: $
6. Lender: Name
Address
City
State
Rcpt : 1120539 Rec: 10.00
DS: 0.00 IT: 0.00
08/08/07 Dpty Clerk
City
State
7. Persons within the State of Florida designated by Owner upon whom notices or other
documents may be served as provided by Section 713.13 (1) (a) (7), Flonda Statutes:
Name
City
State
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 Notiee of C~mmenceme"!t (the expiration date is 1 year from the date
of recording unless a dtfferent aate IS specIfIed.) JED PITT"AN. PASco COUNTY CLERK
08/08/07 02: 262: 1 of 1
OR BK 759:) PG 1678
Signature of Owner:
Sworn to and subscribed before e this 6.yk.. day of t2 ~u..c:J:
Notary Publi~: ,x1~
My Commission EXPires:~~ S~:':L~~B~~I~."
PC93053048/A ",,,~AIlY P1.NaIory~~
1-101).. 4 ~
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