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HomeMy WebLinkAbout08-7818 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT 7818 Permit Number: Permit Type: Class of Work: Proposed Use: Square Feet: Est. Value: Improv. Cost: 10,000.00 Date Issued: 5/01/2008 Total Fees: 75.00 Amount Paid: 75.00 Date Paid: 5/01/2008 Work Desc: DEMO INTERIOR, WINDOWS, DOORS 7818 DEMOLITION 636-DEMOLlTION NOT APPLICABLE Address: 5313 8TH ST ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 11-26-21-0010-15300-0075 HUDGIN , D EW BEN 5313 8TH ST ZEPHYRHILLS, FL Phone: rWM;i- + 8l0q . ( vcdkJ. 40, ;~.or ~d,r{;~ -tv ~ J.~ ~ -- [o~cf lJtu, ~o~f. 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." ~~- ONTRAC 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's Name J-\UD6IN~ I 'j)~ fD€.JJ Owner'sAddress I ~8453 FlfW Avt. Fee Simple Titleholder Namel Fee Simple Titleholder Address JOB ADDRESS 5~1~ 8'!14 sr. J lEP"W(2.~IlJ....r: R,. 335"4'2- 4~IZ LOT# I 'f I PARCELID#IIl-Z'--ZI-OOIO-/S30::>-OC':l5"(C,o.f,O: 001 OFOQI) I (OBTAINED FROM PROPERTY TAX NOTICE) D ADD/ALT D SIGN D MOVE [8] -"P' DEMOLISH D REPAIR J~TEJ/.'o(LI/iI/,.J)o1.(J ~ COMM D OTHER I I D FRAME D STEEL D OTHER I I I SUBDIVISION B PROPOSED USE D TYPE OF CONSTRUCTION D DESCRIPTION OF WORK I DEIM J,.J"'~~ i fl,f./N)lJA{. of W'"/)O~I f Sctt!s . BUILDING SIZE 12.<9'.''';( 56'- 0'1 I SQ FOOTAGE I 1,2. '1. ~ I HEIGHT : 12./ I . I I I . . . I I I , , . r 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 . . . . . . . . . . 1'6,~ .f1o D ELECTRICAL 1$ D PLUMBING 1$ D MECHANICAL 1$ D GAS c=J FINISHED FLOOR ELEVATIONS I WORK PROPOSED NEW CONSTR INSTALL SFR BLOCK ~ ROOFING I I I I D I AMP SERVICE D PROGRESS ENERGY D W.R.E.C. BUILDING VALUATION OF TOTAL CONSTRUCTION VALUATION OF MECHANICAL INSTALLATION SPECIALTY D FLOOD ZONE AREA OTHER DYES DNO ""1'1....11111"""""...11...11...'1'1"....'1","11"'11"1""111,.,'1"""""""'...""""1'"...111.11.......'111.."'."""'1"'1 ~~~~~RE I ~ li. at Address I )3Ols N .Thfeon-.. fhjU:.w~ ELECTRICIAN I SIGNATURE V Address I PLUMBER I SIGNATURE Address I I ~~ TfttU1ACt FL I I COMPANY REGISTERED COMPANY REGISTERED COMPANY REGISTERED MECHANICAL SIGNATURE COMPANY REGISTERED Address OTHER SIGNATURE COMPANY REGISTERED Address 1111I1111111111 111I111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 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 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 onsile, 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 SIGN PERMIT Attach (2) sets of Engineered Plans. ....PROPERTY SURVEY required for all NEW construction. 1I1111111111111111111111111I1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 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 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 'oontractor 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: 1 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 filt 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 filt. 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 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 th~ work is commenced: An extension may be requested, in writing, from the Building Official 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 ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT (F.S. 117.03) CONTRACTOR Subscribed and swom to (or affirmed) before me this by Who is/are personally known to me or has/have produced as Identification. Notary Public Notary Public Commission No. Name of Notary typed. printed or stamped Name of Notary typed, printed or stamped M. E. Wilson Co., Inc. 300 W. Platt St. Ste 200 Tampa, FL 33606 confirm net USA Insurance Certificate Experts City of Zephyrhills Building Dept. 5335 8th Street Zephyrhills, FL 33542 USA This document was brought to you by CertificatesNow. If you have questions regarding the content of this document, please contact the Producer/Agent listed on the certificate of insurance or the Insured listed on the notice of cancellation/reinstatement. To find out how you can send and receive all of your certificates of insurance either by email, high speed fax or standard mail, email customercare@confirmnet.com. or visit our website at www.confirmnet.com cc: The data included in this notice and in the attached document is confidential to ConfirmNet and the party responsible for bringing you this information. Powered By CertificatesNow TM ACORDTJI CERTIFICATE OF LIABILITY INSURANCE r DATE (MMlDDNYVY) 04/11/08 PRODUCER 1-813-229-8021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION M. E. Wilson Co. , Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 300 W. Platt St. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Ste 200 Tampa, FL 33606 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Westfield Ins Co 24112 The Diaz/Fritz Group, Inc.; dba Diaz Fritz Isabel and Delvis H. Diaz INSURER B: Amerisure Mut Ins Co 23396 13075 Telecom Parkway North INSURER C: Temple Terrace, FL 33637-0926 INSURER D: INSURER E: 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. I~~ r:.~~~ POLICY Nl MBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS A ~NERAL LIABILITY CMM3581749 01/01/08 01/01/09 EACH OCCURRENCE $1,000,000 DAMAGE,~9tENTED X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurence' $150,000 I CLAIMS MADE 0 OCCUR MED EXP (Anyone person) $10,000 X Contractual Liability PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $2,000,000 ~'L AGGRErilE LIMIT APnS PER: PRODUCTS - COMPIOP AGG $2,000,000 POLICY X~~R,: LOC A ~TOMOBILE LIABILITY CMM3581749 01/01/08 01/01/09 COMBINED SINGLE LIMIT $1,000,000 X ANY AUTO (Ea accident) - ALL OWNED AUTOS BODILY INJURY - $ SCHEDULED AUTOS (Per person) - X HIRED AUTOS f-- BODILY INJURY $ X NON-OWNED AUTOS (Per accident) f-- f-- PROPERTY DAMAGE $ (Per accident) RAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ ~ESSlUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR 0 CLAIMS MADE AGGREGATE $ $ ==i DEDUCTIBLE $ RETENTION $ $ B WORKERS COMPENSATION AND WC200573405 01/01/08 01/01/09 X I WC~T:UN~ I TOJ~- EMPLOYERS' LIABILITY $1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $1,000,000 ~~~~f!:~~~~~!S'lONS below E.L. DISEASE - POLICY LIMIT $1,000,000 OTHER DESCRIPTION OF OPERATIONS 1 LOCATIONS/VEHICLES/ EXCLUSIONS ADDED BY ENDORSEMENT /SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Zephyr hills Building Dept. DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 5335 8th Street IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. Zephyrhills, FL 33542 AUTHORIZED REPRESENTATIVE ~...g ~ USA ACORD 25 (2001/08) MS003 8521805 @ ACORD CORPORATION 1988 51 ATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 (850) 487-1395 DIAZ, DELVIS H THE DIAZ/FRITZ GROUP INC 13075-A TELECOM PARKWAY NORTH TEMPLE TERRACE FL 33637 Q~\'~ ;) ~ U &-I/U ~.(.~..:i~i . -'." ,- -'.. -. Cc,;(::.032S,$,.p 08/19106 .O~~.01Qc~~~~. '~4~_~~i -- ,:;'.= "'iJ1~I~t.JI~~f~ DETACH HERE \'iA.C#~9 "'l~*2 8~ C~~"~7' .'.' .. ~~ '-=:"-S"t~tE;;S;F'FlORIDA~ ,_.,0 """,1., ~~{f ~[I~I~ ~lifpllsil!li- C~&~~~B~~:~Z~J:t:~l~:1 :- """~~":;. -.:.,:'!::.;~>::- ";:.:2:1 -': ~_- - - '--- "''':->~> ",I":::'q'~I, 11;IL:\..:',::;:~t~I,r' ~::.):(~.\~~;. 489 FS. . - - , .- --~., .---,. '-- ..:-~ ,_. . .-, .-.= '. -' .:"0' .-'- '__' _':--0-'-"'- -_~. '..:_ __-. ~,__'-_~_~'7- .- - ____ ~h~jIA~~'~2:~L ~ts~~:s" ,.- 'THE DIAZ/FRITZ"'GROUP I:NC 13075-A TELECOM PARKWAY N T~P~ETERR:aCE;-lF~i3 3,6.3~" h ,,,. [-"1: ", ~ _ JE13"BtJSH:.... GOVERNOR , ..' SIMOh ~:ILt{R;:;.:fr SECRETARY - .- ---:.....~ ,=.~~ DISPLAY AS REQUIRED BY LAW April 11, 2008 City of Zephyrhill 5335 8th Street Zephyrhills, FL 33542 Attn: Bldg Dept. DIAZ FRITZ ISABEL GENERAL CONTRACTORS RE: Permitting Department - Pulling Permits List for 2008 Dear Building Department: The Diaz/Fritz Group, Inc. does hereby authorize the following people to pull permits on its behalf Scott Isabel David Fritz John Nelson Tom Connella Tod Whitworth Mike Smith Lisa Sharpsteen Stan Peters Chris Lucas Todd Nicholson Chris Y ousko 121411765382 FL F632178530930 FL N425465533650 FL C540218643420 FL W363803632300 FL S530544810440 FL S612532697060 FL P362791483710 FL L220101760020 FL N242810763910 FL Y200101571340 FL Driver License # George Sosa Wyelon Hilton Richard Wanat Cliff Childress Henri Laari Thomas Raab Judith Murray Peter Murray Janice Johnson Michael Crabtree Roland E. Wood S200300671010 FL H435899823040 FL W530745600680 FL C436103603300 FL L600321734530 FL R100835840950 FL M600423458320 FL M600661450951FL J525421515830 FL C613 544821280 FL W3007257137630 FL If there is additional information needed, please feel free to contact Holly Calhoun of our office. Thank you. Sincerely, DIAZ FRITZ ISABEL A division of The Diaz/Fritz Group, Inc. Delvis H Diaz CEO DHDIh Sworn to and subscribed before me this 11 th day of April 2008 Personally Known. ~,\\\\\lIII/IIIIIII. ~",\ \.'l RAE C4/11//.'. *' ()'v ....... (,,~ ~ $ ~...O~\.I.\SSI04,"... VCe:~ ~ .'~ \J ~",ary 2$ ~.'. "t- ~ - l~4.~ ~~~~ i. . 0 en. _ -z: ...... :*= - ~ #DD 503521 i $" ~~.?-: ..~~ .~':l}. .."'''YAo~d.dtnru ~\.,,,,.' 9'!~ ~ ..0/.... lIblle Unde~.. ~A..C5~. ~v6'1 ....... 1(' ~ '/II//c, STAle () ~\".... 1111'''''''\1\\\\\ STATE OF FLORIDA County of Hills borough Notary Pu Tel: 813-254-0072 . Fax: 813-254-1822 . 13075 Telecom Parkway North, Temple Terrace, FL 33637 www.diazfritz.com . CGC032980 z '" I C ,. rn rn Z I m m rn ;;U Ul Hi ." -< ;;U ." !i\ ,. m 0 rn ,. 5 ~ .z <: o ;= ;;u i!l o m () .... () ,. c x ." .... ~ 0 o m z z Ul Gl ." ,. m Gl () m 'ii m o :I: m ;;u m o z to C en - z m en en -I :r> >< :;0 m (") m - \J -I .... :x Ui C llJ 0 m C 8 G) ;;: OJ m m <Jl r- )>~ 0 .... '" m ~o,_Z ::OW-1 m<f'> fJ~:x ~g8 ~ F m m z n < -i )> 0 5 ;:c )> .... m o 0"'0 en)> ~6 i\3' o~ OW -...J-...J .0 :r-:l (J'l, en en g(J'l )>;;:z 0)>)> ~E~ mZ UlGl Ul -i~OO mwOJ- s:~)>~ "'O(J'lOo hl)>:i>m -i-iNr mm"TI~ ;;or;;oen m_ ;;o()-iI )>ON ~S:G) 01"'0;;0 r^O w$C w.=("'O OJ - wzz -...J n -i I m S:-...J "'O(J'l r m-i -im mr ;;Om ;;on )>0 nS: m"'O W^ ~~ -...Jz o ;;0 -i I G) m z OJ m C ;;0 en )> Z r m n en o en z -f -i -< ;;0 "'C )> m n -i o ;;0 (f) c ;O:r ~(") O~~ g~~.... m m .I::- 0> (}'J o ....0 s;g o ~ en o o o 0 to n o n o n ~ 0 o c m N o o ...., , N o ~O ~CX) =i mI or ;;u r ~(f) 2co ~o Ul::o o 0 C G) ~I ~(') UlO C Z -t -< CO o C (f) Z fflm ~(f) UlU) ~ ::0 m () m '" m -t is: ;!1 ~ m Ul o .... o ;;0 m z m ~ r m >< :2 ;0 m en (0 I W o I N o o QO ." o r o Z o Sign Your Card This card is non-transferable and is revocable for cause. ----------------------.--------------------- The contractor listed hereon will be held responsible for all permits issued under this card. If this card is lost or stolen, notify the Hillsborough County Contractor Licensing Team immediately at (813) 635-7308/7309. Your card must must be renewed prior to the expiration date shown on t r nt. -lEG> ificate of Competency CERTIFIED GENERAL CONTRACTOR Rillsborough County, Florida NO PERMIT UNTIL STATE REGISTERED,IF APPLICABLE CGC032980 ~~\~ 09/30/2008 Certificate No:lff Expiration Date Issue To: DIAZ DELVIS H Dba: DIAZ FRITZ GROUP INC Workers'Comp. 01/01/2007 +. '- '- + ------------------------------------- ot valid unless signed: .----------------------------------------------- 4tlL9$ ~ Issuing Officer .