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Home My WebLink About07-6716 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 6716 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: 6716 DEMOLITION 636-DEMOLlTION SINGLE FAMILY RESIDENTIAL Address: 5203 17 T ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 11-26-21-0010-19600-0070 5/16/2007 75.00 75.00 5/16/2007 Phone: DEMOLITION OF FIRE DESTROYED SFR HOLQUIN, NICK & DILLY, RI 5203 17TH ST ZEPHYRHILLS, FL. 33542 Q\~- ~ ~C;.~~ ~Q..J-n~~ ~ '(1(08 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 recorda 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. fl~ ( ~~ CONTRACTOR IG URE 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 Owner's Address U E- :Jf.Jr\J -:;()S Owner Phone Number rL-c C)? ,- c' 'V:l I..;J/.J.'J I Owner Phone Number Owner Phone Number I Date Received Owner's Name Fee Simph~ Titleholder Address :rosr i I JOB ADDRESS LOT # SUBDIVISION l\-~~ -d\ _60\6. \qL,oo.U07~' (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR INSTALL SFR BLOCK SIGN D MOVE .r;81 DEMOLISH PROPOSED USE TYPE OF CONSTRUCTION OTHER I DESCRIPTION OF WORK BUILDING SIZE HEIGHT I TrI"IIIIIIIIIIIIIIIIIIIIIIIIIIIIII"""'IIIIIIIII"I'111111111'1111111111111111111111111111111111111111111'111111'1111111111111111110'111"11111 0 BUILDING 1$ 0 ELECTRICAL 1$ 0 PLUMBING 1$ 0 MECHANICAL 1$ D GAS D ROOFING I I I I D I AMP SERVICE D PROGRESS ENERGY D W.R.E.C_ VALUATION OF TOTAL CONSTRUCTION VALUATION OF MECHANICAL INSTALLATION FINISHED FLOOR ELEVATIONS I 1111111111111111111111111111111 ~I~IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII111111111111111111111111111111111111111111111111111111I1111111 :~~~~~RE!. At _ ~~~:-.......:~ ID'f~';1 ""'JR"", Y I N Address . License # ELECTRICIAN I COMPANY SIGNATURE . REGISTERED Y / N FEE CURRENT Address I PLUMBER I SIGNATURE I SPECIALTY D FLOOD ZONE AREA OTHER DYES ~NO Y/N License # COMPANY REGISTERED Y/ N FEE CURRENT Y/N COMMERCIAL Address MECHANICAL I SIGNATURE . Address I OTHER I SIGNATURE Address I License # 11111111111I111111111111111111111111111111111I11111111111I11111111111111111111111111111I111111111111111II11111111111111111111111111111111111111111 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 w/ 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, Stormwater Plans w/ 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. License # COMPANY REGISTERED Y/ N FEE CURRENT Y/N License # COMPANY REGISTERED Y / N FEE CURRENT Y/N SIGN PERMIT iii~~~ti~~~I: I I I I I I I I I I . I . I I I I I . . . I I I I I I I I I . . I I I I I I I . . I . . . I I I . I . I I . . I I . I . I I I . . . I I I . I . I I . I . . . I . I . . . I I . . . . . . I . I I . . I . I I I . . . . . I I I I I I I I . I I . . . I I I I I I I I I . . . Fill out application completely. Owner ,!!o. Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (Ale 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 AlC 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, 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 separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other ~nstallations not specifically in~luded. in the application. 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 BUilding OffiCial from the~eaft~r requiring a correction of errors in plans, construction or violat~o~s o! any codes. Every ~ermit 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 th~ work is commenced., An extension may be requested, in writing, from the Building Official for a period 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 NOTI E OF COM NCEMENT. FLORIDAJURAT(F.S.117.0 1'- / OWNER OR AGENT 0'YMI Subscribed and sworn to (or affirmed) before Is 5/' u..{t>l by \ <1 . Who IS/are personally known to me or h ave produced Co-.su.o \) Q u rL Uc.. as Identification. c-r-~ ,.\ ~ Notary Public ~ ("~,~~ "' Notary Public CommiSSion No .,,,lOl1 IL l- N.'II ... .<~t;!Zf...*"aren .... III er f~ "<<E Commission # 0 Name of Notary typed, prin , PE<<pires October 29, 2010 , 'Wot:\ BondO<l Troy FOln .Inluronce, Ine 8OO.38So7019 Commission No. DISCLOSURE STATEMENT FOR OWNER o ' en" OF ZE':.HYRHII.LS BUILDING DEPAR-.." A d ( /lo~1./V have read and;fu1.1.y to the provisions of this instrument. :I, agree understand and The undersigned states and affirms that he or she is desirous of constructing, renovating, adding to or reroofing his or her own domici1.e, that he or she actua1.1.y occupies, or wi~1. occupy by said domici1.e, and same is not for rent, ~ease or sa1.e. That he or she sha1.1. comp1.y with.thefo1.1.owing conditions: 1. That the owner and he or she a1.one sha1.1. act as the bui1.der ';for a1.1. phases of construction. 2 . That .the owner wi'1.1. comp1.y with a1.1. provisions of the City of Zephyrhi1.1.s ordinances ~d codes pertinent to the bui1.ding. 3. That in the event various phases of construction are subcontracted, he wi1.1. engage on1.y proper1.y ~icensed subcontractors and wi1.1. persona1.1.y supervise such work. 4. That in the event the Bui1.ding :Inspector sha1.1. require corrections to be made, the owner wi1.1. assumefu1.1. responsibi1.ity to insure they are made, and upon comp1.etion wi1.1. ca1.1. ;for a reinspection before proceeding with the bui1.ding. 5. That the owner sha1.1. assumefu1.~responsibi~ity ;for the construction and wi1.1. not expect supervision of his work ;from the City of Zephyrhills Bui1.ding Department. 6. That prior tofina1. inspection any additiona1. fees, inc1.uding reinspection fees, must be paid infu1.1.. A wri.tten request from this office shal.1. constitute an official. notice to pay additiona1. fees. 7. That the owner sha1.1. comp1.y witha1.1. City, State and Federa1. ~aws in regard to socia1. security, workman's compensation, 1.ien 1.aws, etc., where app1.icab1.e. 8. That the owner sha1.1. comp1.y with a1.1. the safety codes issued by the F1.orida Industria1. Commission. 9. State ~aw requires construction to be done by 1.icensed contractors. You have app1.ied for a permit under an exemption to that 1.aw. The exemption a1.1.ows you, as the owner of your property, to act as your own contractor with certain restrictions even though you do not have a ~icense. You must provide direct onsite supervision of the construction yourse1.f. You may bui1.d or improve a one-fami1.y or two-fami1.y residence or a farm outbui1.ding. You may a1.so bui1.d or improve a commercial. bui1.ding, provided your costs do not exceed $25,000. The bui~ding or residence must be for your own use or occupancy. It may not bebui1.t or substantial.1.y improved ;for sa1.e or 1.ease. If you se1.1. or 1.ease a bui1.ding you have bui1.t or substantia1.1.y improved yourse1.f within 1 year after the construction is comp1.ete, the 1.aw wi~1. presume that you bui1.t or substantia1.1.y improved if for sa1.e or 1.ease, which is a vio1.ation of this exemption. You may not hire an un1.icensed person to act as your contractor or to supervise peop1.e working on your bui1.ding. It is your responsibi1.i ty to make sure that peop1.e emp1.oyed by you have 1.icenses required by state ~aw and by county or municipa1. 1.icensing ordinances. You may not de1.egate the responsibi1.ity for supervising work to a 1.icensed contractor who is not 1.icensed to perform the work being done. Any person working on your bui1.ding who is not 1.icensed must work under your direct supervision and must be emp1.oyed by you, which means that you must deduct F.I.C.A. and withho1.ding tax and provide workers' compensation for that emp1.oyee, a1.l. as prescribed by 1.aw. Your construction must comp1.y with a1.1. app1.icab1.e 1.aws, ordin~ane , bui1.ding codes, and zoning requ~a ,; ons. i DA~ ~J/?r7 OWNER'S ....... 10/ ADDRESS I JJ-' :E'HONE WITNESS PERMIT # Parcel Information for: 11-26-21-0010-19600-0070 Card: 001 Page 1 of2 Search Again Show Map Generalized Buildinq Schematic Estimate Taxes See Tax Collector Information - Current/Delinquent Taxes Frequently Asked Questions ParcellD 11-26-21-0010-19600-0070 (Card: 001 of 001) Classification 01 - Single Family Mailing Address Assessment (totals) HOLQUIN NICK JR & Ag Land $0 DILL Y RICHARD A Land $40,950 1568 MERIDIAN AVE Building $9,631 SAN JOSE, CA 951255319 Extra Features $67 Physical Address 520317 TH ST Total Assessment $50,648 ZEPHYRHILLS, FL 33542-5038 Save Our Homes $0 Legal DescriDtion (First 4 Lines) CITY OF ZEPHYRHILLS PB 1 PG 54 Taxable Value $50,648 LOT 7-9 BLOCK 196 OR 7045 PG 1954 I Land Detail (Card: 001 of 001 ) I Line II Use II Description i Zoning I' unS Type Price I Cond , Value I 1 II 0100 II SFR II 00R2 112,60 SF I 5.26 I 1.00 I $66,2~ Additional Land Information Acres" 0.29 1/ Tax Area I 30ZH I Fema Code IT I Res Code IIZHLHLP21 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 Cov Asphalt or Composition Shingle Int Wall 1 Drywall Int Wall 2 None Flooring 1 Asphalt Tile Flooring 2 None Fuel Gas Heat Convection AC Window Unit Baths 1.00 I Line II Description II Sq. Feet II Rept Cost New I 1 BAS 1,056 $45,281 2 FSP 192 $2,873 . : Extra Features (Card: 001 of 001) I Line II Description I Year I Units I( Value I 1 IJOV:M 1985 I 1 II $67 I Sales History Previous Owner HALDEMAN RICHARD W & JANET N Year Month Book I Page I Type II Amount I 2006 06 7045 / 1954 WD $60,000 I 1982 I 1175 / 0542 - $0 I 1975 I 0794 / 1405 - $0 Search Aqain Show Map Generalized Building Schematic Estimate Taxes http://appraiser.pascogov.com/searchloffline _tca.asp?Sec= 11 &Twn=26&Rng=21 &Sbb=O... 5/1612007