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Home My WebLink About08-7616 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 7616 Permit Number: Permit Type: Class of Work: Proposed Use: Square Feet: Est. Value: Improv. Cost: Date Issued: Total Fees: 75.00 Amount Paid: 75.00 Date Paid: 3/13/2008 Work Desc: INTERIOR WALL DEMOLITION ONLY 7616 DEMOLITION 636-DEMOLlTION NOT APPLICABLE Address: 5131 ALL LVD ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 1,200.00 Name: BUTTERFIELD WAYNE COOPER Address: 38930 BUTTERFIELD LN ZEPHYRHILLS, FL. 33542 Phone: 863 409-6422 cJ~r"'}r11 ,u;1q~6f( (jt'A 6 /J f -IF' . lP'cIu r t/ I q Ib~ 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 bMore recording your notice of commencement." ~NATURE PERMIT OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER ~13-780-0020 City of Zephyrhills Permit Application /l.,(( I _ Building Department \.(J lP Fax-813-780-0021 Date Received Owner Phone Number Owner Phone Nu~ber I Owner Phone Number I Owner's Name Owner's Address 2 1OI~ Wl/ fl. 31R I'; I Fee Simple Titleholder Name LOT # JOB ADDRESS SUBDIVISION PARCEL 10#1 (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE CJ DEMOLISH ..I tVf E: ~o r2. 'DE('f1o~T, 0 ~ I I I OTHER WORK PROPOSED E3 PROPOSED USE . D TYPE OF CONSTRUCTION D DESCRIPTION OF WORK I ING SIZE I ~ 5'D 1$ I~CD 1$ 1$ 1$ D FINISHED FLOOR ELEVATIO~S I NEW CONSTR INSTALL SFR BLOCK CJ D o FRAME. . D STEEL D :J;v.. bv; crY" ~ 0' ~ +. ~V1 s. I SO FOOTAGE I I HEIGHT I . E3 D. ADD/ALT REPAIR COMM OTHER I ()~ L~ D ROOFING I I I I D I AMP SERVICE o PROGRESS ENERGY D W.R.E.C. BUILDING VALUATION OF TOTAL CONSTRUCTION D o. o ELECTRICAL PLUMBING MECHANICAL VALUATION OF MECHANICAL INSTALLATION GAS SPECIALTY D FLOOD ZONE AREA OTHER DYES DNO BUILDER COMPANY '\ t>~ ~\{4tJ f Wk (LfJ A ri" ~ /rL l,..c SIGNATURE REGISTERED FEE CURRENT Y/N Addres.s 1..2\ Sf $ov-it.t~'(V\ . CJ~{c., L-.t'\A... ~~ (41IAJ ft.1 License # Cq.C I C;oq2..1 s-t ELECTRICIAN I I COMPANY I SIGNATURE REGISTERED I Y/N FEE CURRENT Y/N Address I License # I PLUMBER I COMPANY I SIGNATURE REGISTERED Y/N FEE CURRENT Y/N Address I License # I MECHANICAL I COMPANY I SIGNATURE REGISTERED Y/N FEE CURRENT Y/N Address I License # I OTHER I COMPANY I SIGNATURE REGISTERED YI N FEE CURRENT Y/N Address I License # I 111111111111111111111111111111111111111111111111111' 1111111111111111111111'" 111111111111' 1111111111111111111111111111111111' 111111111111111111111 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 subdivlsionsllarge projects COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new construction. Minimum ten (10) working days after submittal date. Required onslte, 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 SIGN PERMIT Attach (2) sets of Engineered Plans. ""PROPERTY SURVEY required for all NEW construction. 111111111111111111111111111111111111111111111111111111111111111111111111111111 i 111111111111111111111111111111111111111111 i 111111111 i i II i III1I11111 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 cqntractor) 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 (Plol/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 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?IUded, in the application. A permit issued shall be construed to be a license to proce~d With the work a~d not as authont,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 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) mon.ths after the time th~ work is commenced: An extension may be requested, in writing, from the Building Officia~ for a penod 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 T R PROPERTY. IF YOU I D TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN A RN Y B RE RECORDING YOUR C NCEMENT. FLORIDA JURAT (F.S. 117.03) OWNER OR AGENT S~bScrlbed and sworn to (or affirme before me this ;. ~ I :g~B by 'P:-\\P IN fl14TGI Who"js/are personally known to m or has/have produced LJ~~ as Identification. CONTRACTOR Subscribed and sworn to (or affirmed) b~this .3-/.3-0fJ by fS'\=>r.,v J Who is/are personally known to me or has/have produced t { u _.. _ as identification. "("";;"'" JACQUE~INE BOGES if: ~i:~;~ commiSSIon 0013 62~~010 Notary Public ~.' ..'9.:si \::Xpne:> De~"':"'a00-ai5-1QIQ Commi;~16iI',~'~ aon<ladThNTrovFam .,~.~;'.;:'!f,;?, ,IAr.QIIEL.I~IE BOCCe .: ~ 'r*~ Commission DO 621833 Commission No.":_ ;'..']:W Fvpir.." D9~eA'lBer 12, 2018 . "io!,~ y..' Bonded Thru Troy Fain Insurance 800-385-7019 Notary Public Name of Notary typed. printed or stamped Name of Notary typed. printed or stamped Local county business taxes are used by the Polk County Board of County Commilisioners to support Central Florida Development Council of Polk County (CFDC) initiatives, activities and programs. THANK YOU FOR SUPPORTING ECONOMIC DEVELOPMENT I-.~~ I Polk County Businesses are at the center of everything! For more on economic development in Polk County visit: www.CFDC.org YOU'RE IN POLK'S BUSINESS DIRECTORY! By purchasing a Polk County local business tax receipt, your business is automatically Included in the Central Florida Development Council's business directory. To access the CFDC Polk Business Directory, visit: 'I:l ..:a tii.9. ~ ,~.. www.PolkTaxes.com dt. ::1IJ~DC.org Q....l'1l'il... Vln('J llIlO' 00t"'. \D. t'""i ~~~e "'''':lI~~csf6 Vlto.ltl.lto.l l<J:<l IMPERIAL POLK COUNTY LOCAL~lJ1I~ESS TAX RECEIPT o o EXPIRE(lt 9970002287 2151 SOUTHERN OAKS LN 44 . LAKELAND . IN . IN CITY PATEL, alPIN N 9/3012008 CLAS~ LOCATION: B .-'~' .. 1 !'i LICENse I I'CCT 1/ OWNER: ... 230000 .. .L'rD.CONSTAUCTION 230150 CONTaACTOA GENERAL SOUTHEAST OESIGN INTERNATIONAL INC 21S1 SOUTHERN OAKS LN LAKELAND, FL 33813-0000 ElUS TAX TYPIi; lIASE YAX: AENEWAI. 66.00 AODLFEE; ...~.cne6: TOTAL: 55.00 _1'J=-".II']')IlI~."..:..:.~.]..;(tll.l:: __',,_ooq;r _____:._ __ "__ ,___ THIS POLK COUNTY LOCAL BUSINESS TAX RECEIPT MUST BE CONSPICUOUSLY DISPLAYED AT THE BUSINESS LOCATION 0000005500 0000005500 000000000004b~S4 1001 9 ACORD.. CERTIFICATE OF LIABILITY INSURANCE O:o'/h:gJ I OAT~~M/7;~ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMAll0N ONLY AND CONFERS NO RIGHTS UPON THE CERnFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW. PROOUCE~ Wi~11ams-Hess Xnsuranee 1617 E. Ga~ Road Lakeland FL 33801 Phon8:B63-682-5195 Fax:B63-686-3051 INSUREO INSURERS AFFORDING COVERAGE INsU~ A: BANKERS INS CO. INSURER B: INSURIifl C; INSURER D: INSURER E: NAlC# Southeast Design Znternational Xnc 1045 Colony Park Drive Lakeland FL 33813 COVERAGES 'THE POLICIES OF INSURANCE USTeD BELoW HAV! BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE I"OUCY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONOmDN OF ANY CONTRACT OR OTHI!R DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAy BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFOADED BY THE roUCIEs DESCA/BED HEREIN IS SUllJECT TO ALL THE TERMS. exclUSIONS AND CONDmoNS OF SUCH PDLICIES. AGGREGATE LIMITS SIotOWN .....y HAVE ElEEN REDUceo BY PAID CLAIMS. ~'i~i: TYPE 0" INSURANCE POLICV NUMIII!R iJ":-iti ilfiiiPolY'ii DATE IMMlllDIVTI' LIMITS GENERAL LlA8lUTV EACH OCCURRENCE S 300,000 I-- A r-!- COMMERCIAL GliNERAL LIAElIUTY 09-0420000142-3-00 07/24/07 07/24/08 PREMises In oecurencs) $ 50 .000 n CLAIMS MADE ~ OCCUR MED I;lCP (^"y lll1e pBllonJ $ EXCLUDED X $1000 Deci Liab. PEI'ISONAL 'ADV INJURY $ 300 .000 r-- $ 600 , 000 GiNERAL I\GGREGATc I-- GEN'LAGG~n I.IMIT n PER: PRODUCTS-COMAOPAGG $ 300,000 Xl POLICY ~l9;: LOC ~O"'OlllU! UASIUTY COMBINeD SINGLe LIMIT S ANY AUTO (Ee ac:ddenll - AlL OWNED AUTOS 900lL Y INJURY - (Per pelllon) S - SCHEDULED AUTOS MIRED AUTOS eoDIL Y INJURV t-- (PBl' ecctdent) S I- NON-OWNED ,lUTQS I-- PROPERTY DAMAGE $ (PeP IICCIdent) GARAGE UAl:IILtTY AUTO ONLY. eA ACCIDENT $ =i ANY AU'rO OTHER TJoIAN EA ACe S AUTO ONLY; AGG S EXCesS/UMBRELLA LIABILITY EACH OCCURReNCE. S ~ OCCUR 0 CLAIMS MADE AGGAEGATE $ S =i OEDUCTlIlLE $ RETENTION $ $ WORKERSCoMPENSAnONAND hiiRv"LIMtrs I IUER" EMPLOYERS" LIABlUTV E.L EACH ACCIDENT $ ANY PROPRIETORlPIIRTNERIl!X1!CUTIVE OFFICERlftlEMBER EXCl..UDeO? i.l.. OISI!!IISE . EA EMP'LOVEE S ~c~!~v':ID'6~S below c.L. DISEASE. POLICY LIMIT $ OTHER DBSCRPTlON 0" OPERATIONS I LOCATIONS I VEHICLES' EXCLUSIONS ADDED BV ENDORSEMIiNT I SPeCIAL PROVISIONS CERTIFICATE HOLDER C~ty of Zephyrhil~s 813-780-0021 5335 81:b S~eet Zephyrhills F.L 33540 CANCELLAnON CZTYZEP SHOULD ANY OF THE ABOVE DESCRIBED poLIcIES liE CANCELLEIl BEFORE THE EXPIRATION bATe THEREOF, THE ISSUING IN!lURER WILL ENDEAVOR TO MAlL ~ DAVS WRITTEN NOTICE TO THE CERTIFICATE WOLDER NAIlED TO THE LEFT. BUT FAILURE TO DO so sHALL IMPOSE NO OaUGATION OR lJABlUTY 0" ANY KIND UPON TNE INSURER. ITS AQENTS OR REPReseNTATM!S. AUTHORIZED ReP"ISENTATIVE /) D. Ho~~. aworth - A121729 Y' C5l ACOR ACORD 25 (2001/08) WIlD 'd 190E989E98 'ON Xijj SNI SS3H-SWijIllIM Wij 90:60 OHL 800Z-El-~ijW