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Home My WebLink About07-7274 CITY OF ZEPHYRHILLS 5335 - 8TH STREET '(813)780-0020 BUILDING PERMIT 7274 7274 Permit Type: DEMOLITION Class of Work: 636-DEMOLlTION Proposed Use: NOT APPLICABLE Square Feet: Est. Value: Improv. Cost: 1,500.00 Date Issued: \"2- 5-0, Total Fees: Amount Paid: Date Paid: Work Desc: INTERIOR DEMO -NO FEE PER BB Address: 4828 8TH ST ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 14-26-21-0010-01900-0110 POWER ,CLEBURN 4828 8TH ST ZEPHYRHILLS, FL. 33542 Phone: 813376-5399 cJnJ C>~-OO ,:J C)'M pie 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." ~~ CONTRACTOR SIGNATURE PERMIT OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER ~@~~@u@&~~ 4317 W. Osborne Avenue Tampa, Florida 33614 Phone 813-882-4921 Fax 813-882-4925 Certified General Contractor Lawrence R. Clark CGC1508769 November 30,2007 City of Zephyrhill Building Dept. 8th Street Zephyrhills, FL 33542 RE: License #CGC-1508769 Please update your files with the following names of people other than myself who are authorized to sign for and pull permits under my license number shown above: Kate Drazy - Drivers License #D620-513-65-513-0 Dan Littrell- Drivers License #L364-161-57-2430 Glen Ouillette - Drivers License #0430-284-52-247-0 If you have any questions, or if you require any further information, please contact me. Since~~ /?~ LA~. CLARK, PRESIDENT Restoreall STATE OF FLORIDA, COUNTY OF HILLSBOROUGH subscribed~fore me this ..30 day of }JotJ .~~ UBLIC .P'~'~ SANDAAJIAH I!AMAN 200M<< ~'DD8643 " EXPHe:1tbMIy19.2009 ?'~~f\.(;~" IIaIdId TllnlIludgltNaySIMcH My Commission expires: z to ill c )>~2 r OJ N en c: 0)>)> Oc z or~ OUJ 0 m en Al-m )>- 0 .en en m2 ..,2 " UJGl - m lJ UJ OUJ I lJ 2UJ ~ - N Z a 0 g No 0 ." 0 CO(D ,. 6 0 0 co z m 00 F 0 00 0 =< m -j.l>>.o'- -j.l>>. o ~ in :r lJ G) en a en 0 m )>wOJ)J )>w 0 0 0 r 0 -; ~~)>OJ ~~ 0 ;u 0 ,. -0........,.........., m SO r c x en };~ (J) lJ -; )>~~z ,. ,. 0 OJ -; 0 I 6 m -nO(/)? WO z 0 z z -f m if> G) '(/)-j W(/) U> ;JJ ,. WOJa ~OJ lJ G) m m )> WO)J 0 0 0 .l>>.0 OJ 'ii ~)Jm )J c C in 0 >< .l>>.Z)> Z (f) G) iii m, m Z lJ :r 0 ;u )>' ;t> m 0 m 0 0 ;0 < < (f) SO z (f) en 0 m m m -j c -< ~ Z (') m --I -< m OJ 0 C - (J) ." z -f i:i m ~ (J) en (J) .., :r ~ U; 0 0; a >< m c: 0 G) ;JJ 0 5 OJ m m m 0 0 (J) r m ~~o -<w m "D )> , z --I >< 0>.. ;0""'-; m'fl> F;i~x =0 00 ..,00 :E r :r: r ~ m 0 < -i )> a .to. r ;0 6 ~ .., m p )J m m X Z :E ~lJ m :::)> ~ ;0 1'0- m ~o N' , en ow to ow --.,.l>>. (J) . .1'0 C W . .l>>. ;0 :r 0 . () . (D , 0 ;;5f N No> 0 ;0 (J) 0 0 0 Gl.., 0 0 mm 01 co N 01 " -->. 0 0 r 1'0 0 (5 .., z 1'0 co ~ 0 0 0 0 0 0 0 0 ~ STATE OF FLORIDA r:t: \~ DEPARTMENT OF BUSINESS AND PROFESSIONAL ~ CONSTRUCTION INDUSTRY LICENSING BOARD ~j 1940 NORTH MONROE STREET _""......;..' TALLAHASSEE FL 32399-0783 REGULATION (850) 487-1395 CLARK, LAWRENCE ROSS RESTOREALL 11612 WINDSORTON WAY TAMPA FL 33626 ('~f.l'" STATE OF FLORIDA AC# 2 cl7 4 ] i] '? ~~~DEPARTMENT OF BUSINESS AND ..... PROFESSIONAL REGULATION CGC1S08769 12/01/06 OOOOOOCl,OO CERTIFIED GENERAL qON~RACT~~ CLARK, LAWRENCE ROSS" .... .'-. RESTOREALL IS CERTIFIED under the provisions of ch.4B9FS. Expiration date, AUG 31, 200B L0612010070G DETACH HERE . AC# 2 9 74 30 7 STATE OF FLORIDA :DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION .. CONSTRUCTION INDUSTRY LICENSING BOARD SEQ#L06120100706 : . LICENSE NBR 12.:;01:2006 0..00000000 CGC1508769 r:rJ:J.eGENgRAL CONTRACTOR Named. below IS CERTIFIED Unde:rthe provisions of Chapter 489 FS. Expiration date: AUG 31, 2008 GLA~~,LAWt<ENCEROSS RESTQREALU: 6201'JOHNS ROAD #11 TAMPA FL 33634 DISPLAY AS REQUIRED BY LAW SIMONE MARSTILLER SECRETARY J$B eUSH GOVERNOR ACORD CERTIFICATE OF LIABILITY INSURANCE I DATE (MMIODIYYYY) TM 12/03/2007 PRODUCER (813)752-4155 FAX (813) 752-7681 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Poppell Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 503 W. Martin Luther King Blvd HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR AL TER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P. O. Drawer QQ Plant City, FL 33563-5217 INSURERS AFFORDING COVERAGE NAIC# INSURED JRBL Inc. INSURER A Southern-Owners Insurance 10190 DBA: Restorea 11 INSURER B Progressive Express Ins Comp 10193 4317 W Osborne Ave II,SURER C Auto-Owners Insurance 18988 Tampa, FL 33614 II,SURER D Zenith Insurance Co 054 INSURER E 12/4/2007 4:21 PM FROM: Fax Poppell Insurance Inc. TO: 8824925 PAGE: 001 OF 002 COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE Pg~f~ ~XJb~~N LIMITS LTR NSRC DATE (MM/DDIYYl GENERAL lIABllIlY 2067563205 09/27/2007 09/27/2008 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY g~~~~~~F~E~-~-7,~oncp I $ 100,000 I CLAIMS MADE [8] OCCUR MED EXP (I'ny one person) $ 100,000 A PERSONAl" ADV INJURY $ 1, 000, ooe - GENERAl AGGREGATE $ 2,000,000 - GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS COMP/OP AGG $ 2,000,000 I n PRO- nLOC POLICY ,IECT AUTOMOBILE lIABILllY 037039300 09/27/2007 09/27/2008 COMBINED :3INGLE LIMIT - (Ea aCCident! $ ANY AUTO 1,000,000 - ALL OWNED AUTOS BODIL Y INJURY - $ X SCHEDULED AUTOS (Per person) B X HIRED AUTOS BODIL Y INJURY - $ X NON-OWNED AUTOS (Per accldenl) I-- I-- PROPERTY DAMAGE $ (Per aCCldenl) GARAGE L1ABILllY AUTO ONL Y EA ACCIDENT $ R ANY AUTO OTHER THA~I EA ACC $ AUTO ONL Y AGG $ EXCESSlUMBRELLA LIABILITY 4402302401 09/27/2007 09/27/2008 EACH OCCURRENCE $ 2,000,000 tKJ OCCUR D CLAIMS MADE AGGREGATE $ 2,000,000 C $ R DEDUCTIBLE $ RETENTION $ 10,000 $ WORKERS COMPENSATION AND Z066946802 02/01/2007 02/01/2008 X I WC STATU- I X IOTH- TORY LIMITS ER EMPLOYERS' LIABILITY 1,000,000 D ANY PROPRIETOR/PARTNER/EXECUTIVE E L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? E.L DISEASE: - EA EMPLOYEE $ 1,000,Ooe II yes. describe under I,OOO,Ooe SPECIAL PROVISIONS below E.L DISEASE - POLICY LIMIT $ OTHER TIENYI0l209-017 12/31/2006 12/31/2007 $ 1,000,000 Per Pollution Occ ~ontractors Pollution Liability Claims Made $ 1,000,000 Aggregate Limit $ 10,000 Deductible each Occ. DESCRIPTION OF OPERATIONS/ LOCATIONS /VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS awrence ClarkLIC#CGCI508769 ertificate holder included as additional insured with respects to General 1 iabil ity City of Zephyrhills-Building Department 533 58th Zephyrhills, FL 33542 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE J;iV~ 1.1_....1.. n-.___" 'tt..'TrTA 813-780-0020 Date Received Owner's Name City of Zephyrhills Permit Application Building Department Fax-813-780-0021 e r~ C- e u g-l"5'Y. ?ep),rj1)drt o Owner's Address I if ff'Z % Fee Simple Titleholder Namel Owner Phone Number Owner Phone Number I Owner Phone Number I Fee Simple Titleholder Address I Cf!z.-<g JOB ADDRESS SUBDIVISION WORK PROPOSED PROPOSED USE TYPE OF CONSTRUCTION DESCRIPTION OF WORK BUILDING SIZE B D D I~~D I --?:-e I B D D FRAME i flJ-tert'!r[J/ SQ FOOTAGE I J :S' ~ ~ LOT # f4.-U-<J.I-o - 0 (OBTAINED FROM PROPERTY TAX NOTICE) D SIGN D MOVE D DEMOLISH D OTHER I D STEEL D OTHER I ADD/AL T REPAIR COMM NEW CONSTR INSTALL SFR BLOCK HEIGHT I VALUATION OF TOTAL CONSTRUCTION 111 . III , 'II 111 , , 1111 , , , . III , , I III r . . I 1111 , .. I II , 111 , ~ IIII , I I 111111111 . . . I11II , , III . . III , 1111 , 11111 , 1111111111 , 1111 , . III1 . III , I . 1111111 " , I 111 ,. III 1$ 1S"60p dLJ 1$ 1$ 1$ DGAS D FINISHED FLOOR ELEVATIONS I """""""""""~"'c""""""""""""'"""""""""""""""""""""",",""""""""""",,,""," ~~~~~RE I "e ~ I ~~~::~~ I f?;,~~O':~R,.1*'N I Address I Y:5/7 uJ v 'D-E13DR;J AU 7~,o.l1) rL License # ICGL:-(Z)"t>Z3 7671 ELECTRICIAN I I COMPANY I I SIGNATURE . REGISTERED Y / N FEE CURRENT Y / N Address I License # I :~::~~E I ~~~r;:.~~ Y I N FEE CURRENT Y I N I I I I I I D BUILDING D ELECTRICAL D PLUMBING D MECHANICAL Address ROOFING I I I I D I DNO D D W.R.E.C. PROGRESS ENERGY AMP SERVICE VALUATION OF MECHANICAL INSTALLATION SPECIALTY D FLOOD ZONE AREA OTHER DYES License # MECHANICAL SIGNATURE COMPANY REGISTERED Y/N Y / N FEE CURRENT Address License # OTHER SIGNATURE COMPANY REGISTERED Y/N Y/ N FEE CURRENT License # 1111I111I1111111111111111111111111111111111I111111111I111111111111I111II11111111111II111111111II11111111I1111111111111111111111111 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. Address 111111111111111 RESIDENTIAL COMMERCIAL SIGN PERMIT Dl~~~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 AlC Fences (Plot/Survey/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 workJ 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. FurthermoreJ 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 buildingsJ 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 IJ 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-SeawallsJ 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 propertiesJ 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, gasJ or other installations not specifically included in the application. A permit issued shall be construed to be a license to proce~d with the work a~d not as authori~y !o violat~J cancel, alter, or set aside any provisions of the technical codesJ nor shall Issuance of a permit prevent the BUilding OffiCial from thereafter 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 IssuanceJ 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 writingJ from the Building Officia~ for a period not t~ exceed mn~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 ATT9RNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT (F.S. 117 3 OWNER OR AGENT Subscribed and sworn 0 or affirmed) b re llJe th /7-. C;; -G7 by e. e Who is/are personallY known to me or as/have produced l.iC O.....::.R. ~.".t...r as identification. ~.eP"" ~~ Nota",P,b'" Co mis~1 o. . :W/~.<t!lV'f~~, JAG,OUEL,'NE BOGES ~.:L.--.-:"; Comm~e Name' , . .... '. ~~(jjl'ff.i,~o ..,clf..r~~"" Bondod Thl'lJ troy roaih Inswhllnce aOo.3I36-1019 CONTRACTOR Subscribed and sworn to (or affirmed) before me this by Who is/are personally known to me or has/have produced as identification. Notary Public Commission No. Name of Notary typed, printed or stamped File Edit PrInt UlIlty Setup WIndow Help 'Y-llllfropertyl!!fiscl Ln:pectionsl flleS I Contractorsl81lachrnanlS I 8PPlicalion: I fermit Number: I 7274 P_lYPe: IDEMO <DEMOLITION )Q!ork Type: ~636-DEMOLlTION .t;ClmtrType: ~NOT APf'LlCABLE ~: 11.50100 QesCr$llion: IINTERIOR DEMO .NO FEE PER B8 ~ppliClll'lt 1 RESTOREALL [)~e*pplied: j 12105/2007 Dale !ssued: "'ll1Z/ll512007 I =eel fur: jJ8 f-xpires: 1610212008 ComPleted: I ;. Cbeck Inspections 1 Sub PermilslI OK ] [ Cancel ] I ",. ~::C:."'= ~!l;:"":;~~:*il I 7274 [ QUllIy I He:se+ DCierJI i[ Insert li Change U Delete I Reset View 1I'll$pactiom ][ Fees n ConullclClfsl1 Receipts I I Sl.O Pell"'ls ] '. ~/G;::tef I Close Jl Help r Date PeimitiSWllC( t>>=, , 'if start ::::cuLII.uf '''1 r ~ .... 'x,.up3~"n,lli..~", f p 'r~rrr;\pn'.& ,.. p,,-, :''<.Jr<r ';'c .t<JEt. ,IH""l 13:o3PM