HomeMy WebLinkAbout11-11736 CITY OF ZEPHYRHILLS /
5335 - 8TH STREET �
, (sis)�so-oozo 11736
BUILDING PERMIT
Permit Number: 11736 Address: 5610 6TH ST
Permit Type: DEMOLITION ZEPHYRHILLS, FL.
Class of Work: 636-DEMOLITION Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number:
Improv. Cost: 25.00
Date Issued: 4/05/2011 Name: PHILLIP, TODD 8 DAVIS STEPHANIE
Total Fees: 75.00 Address: 5610 6TH ST
Amount Paid: 75.00 . ZEPHYRHILLS FL 33542
Date Paid: 4/05/2011 +► Phone: (352)476-0019
Work Desc: DEMOLITION ONLY
I N 75.
�
I f
. `�
A �
REINSPEC'RON FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection
trips are necessary due to any one 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 � 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."
ONTRACT �, SIGNATURE PERMIT OFFI R
,
PER T EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Prepared by and return to
Sharon B. Sumner
Premium Title, Inc.
14150 Sixth Street
Dade City, FL 33525
352-567-5658
File Number• 11-028
Will Call No
[Space Above This Line For Recording Da[a]
Special Warranty Deed
This Special Warranty Deed made this Sth day of April, 2011 between First National Bank of Pasco, a National
Banking organization whose post office address is 13315 US Highway 301, Dade City, FL 33525, grantor, and Phillip
Todd Janca, a single man and Stephanie Janca Davis, a single woman, as Joint Tenants With Rights of Survivorship
and Not as Tenants in Common whose post office address is 4044 Red Fox Court, Wesley Chapel, FL 33543, grantee•
(Whenever used herein the terms grantor and grantee include all [he parties to this instrument and the heirs, legal representatives, and assigns of individuals,
and the successors and assigns of corporations, trusts and trustees)
Witnesseth, that said grantor, for and in consideration of the sum TEN AND NO/100 DOLLARS ($10.00) and other good
and valuable considerations to said grantor in hand paid by said grantee, the receipt whereof is hereby acknowledged, has
granted, bargained, and sold to the said grantee, and grantee's heirs and ass�gns forever, the following described (and, situate,
lying and being �n Pasco County, Florida, to-wit:
Lots 18, 19, and 20, Block 58, Town of Zephyrhills, according to the map or plat thereof as recorded
in Plat Book 1, Page 54, Public Records of Pasco County, Florida.
Parcel Identification Number: 11-26-21-0010-05800-0180
Together with all the tenements, hereditaments and appurtenances thereto belonging or in anywise appertaining.
To Have and to Hold, the same in fee simple forever
And the grantor hereby covenants with said grantee that the grantor is lawfully seized of said land in fee simple, that the
grantor has good right and lawful authority to sell and convey said land, that said land is free of all encumbrances except taxes
accruing subsequent to December 31, 2010; that the grantor hereby fully warrants the title to said land and w�ll defend the
same against the lawful claims of all persons cla�ming by, through or under grantor, but against none other
In Witness Whereof grantor has hereunto set grantor's hand and seal the day and year first above written.
DoubleTimea9
Signed, seafed and delivered in our presence�
First N' 1 Bank of Pasco a Nati nal Banking
orga ' a o )
/
By� �
itness Name� � William H Cloyd, Senior ic President
(Corporate Seal)
. �
�—Q—,�..�
itness ame. 1 � �12,/►'Jfr iti�
State of Florida
County of Pasco
The foregoing instrument was acknowledged before me this Sth day of April, 201 I by William H Cloyd, Senior Vice
President of First National Bank of Pasco, a National Banking organization, on behalf of the corporation He is personally
known to me
[Notary Seal) ���� g �� Nota Public
Hoi�ry rw�losaos d �odae
QqtM�bn x DD 9o2t32
�7119�p» Printed Name•
9o�do0 tlwu 1
My Commission Expires
Specia! Wcrrranty Deed - Page 2 DoubleTime�
813-780-0020 City of Zephyrhills Nermit Application Fax-tfl:i-7tiU-oU11
Building Department
Date RgR:eiv�Ed ' Phone Contact for Parmittin -
Owner's Name Y � � C �Q � p Q Owner Phone Number �� -`� �� -� �
Owner's Address �C� � � � h � � Owner Phone Number �� `J �U�' �
Fee Simple Titleholder Name � Owner Phone Number
Fee Simple Titlehoider Address
JOB ADDRESS � LOT # �
SUBDIVISION , PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR 8 ADD/ALT Q SIGN Q [� DEMOLISH .
INSTALL REPAIR
PROPOSED USE Q SFR � COMM Q OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK "
BUILDING SIZE � SQ FOOTAGE �� HEIGHT
�BUILDING $ �-- bi VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
OGAS Q ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY C}
SIGNATURE 'w� REGISTERED Y/ N FEE CURRE� Y/ N
Address � �(� �j ' � � License # �
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y! N FEE CURRE� Y/ N
Address License # �
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N �
Address License # �
MECHANICAL � COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address Ucense # �
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address License # �
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Buildfng Plans; (1) set of Energy Forms; R-O-W Permit for new construction,.
Minimum ten (10) wortcing days after submittal date. Required onsite, ConstrucUon Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilities � 1 dumpster; Site Work Permit for subdlvisionsllarge 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 constructio�.
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facllitles & 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 canstrucUon.
Directions:
Fill out application completely.
Owner & Confractor sign back of application, notarized
If over $2500, a Notioe of Commencement is required. (A/C upgrades over sT500)
"" Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authortzing same
OVER THE COUNTER PERMITTING (Front of AppUcation Only)
Reroofs if shingles Sewers Senrice Upgrades A/C 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 Counry regulations. The undersigned assumes responsibility for complian�e witf� 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 wiil 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 ident�ed 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 Co�nty 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 ail work will be performed to meet standards of all laws regulating
constn�ction, 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 �anks.
- 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 installations not speci�cally included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate, 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 the work is commenced. An extension
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days 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
WITH YO R O AN ATTORNEY ECORDING YOUR OT CE OF COMMENCEMENT.' CONSULT
FLORIDA JURAT (F.S. .03)
OWNER OR AGENT �' r`ti-l- CONTRACTOR
S bscribed and swo t r affirmed) b e thls Subsc�bed and swo r aftir�ned) be �i�G�t
S-/ / by j"1Gin i� c�v � S t�-f'� I( by . hGr�
Who is/are personally known to me or haslhave produced Who Is/are �erso�n�a t me or ha as identificat ontl
���Se as idendficatlon.
� � - `
� =' � (� ' Notary Public � � � Notary Public
i
Com i sion o. *� �M ���� # EE 040520 r�.
Com ss • �
, ti�t�c. JACQUELINE 9UGEu ` ''�p,,.,;,n,�. � BadedThuTmyfainMaranee86'J38S7019 �
r+� . . •, -c„n � : - . ,
Name of ,', ,� l�BO�IMb@�d2, 2C ��� ' Name of Notary typed, p n e or s ampe
�„� mndea nw rmv Fain �nsorx;F ��x:< �.
�.�c:+.a:�s;. _