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Home My WebLink About11-12531 CITY OF ZEPHYRHILLS , 5335 - 8TH STREET . � (sis)�so-oo20 12531 BUILDING PERMIT Permit Number: 12531 Address: 7050 GALL BLVD Permit Type: DEMOLITION ZEPHYRHILLS, FL.;: Class of Work: 636-DEMOLITION Township: Range: Book: Proposed Use: MEDICAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 30-26-20-0000-00200-0010 Improv. Cost: 15,000.00 Date Issued: 11/14/2011 Name: FL HOSPITAL OF ZEPHYRHILLS Total Fees: 75.00 Address: 7050 GALL BLVD Amount Paid: 75.00 ZEPHYRHILLS, FL. 33542 Date Paid: 11/14/2011 Phone: (813)783-6189 Work Desc: DEMOLISH ANG. LAB INTERIOR NON STRUCTURAL n�� /�--� (/lS � �� P �� REINSPECTION 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) woiic 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. "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." Complete Plans, Specifications Must Accompany Application. All work shall be pertormed in accordance with Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O. CONTRACTOR SI NATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER � � � w ; N • O m � � � o �.L,' o ' �r ' � 1�i j a HW i � au � � � � ! �� o �� ! ra H �� { � H W� � j P;Q� � i �� zz � o+� ; mZ �i �w �i Q WU � ❑ r"`H m � O� � ��+ � i �J A H �i � � �I LL �i � . � i L1J � � � � � u_ i I W H � � Q� �C °1 �- ! � HO fZ � �.,� '� i � �H � w c �; G�1v o, � a� cn � "� w �t+ v �' � I F�a �' Cl� rl � 7-1 N M C7H �. � mc � H Z U U U N z� �' �O H C7 � ! �c� a � � �+ ,� H Q a�+ o�, �A � � o E�+ �� 0 3 E� a' N �a o� c�w �n w r--► a w .�, � a °'i z�'-� ai zHw Uo ' a o v� � � ; � �: � o � ozH� wa � � a 3 a� ho�oz a� c - , °-,�. o� o � w� x o � �� wo �� wa ° W N.�•r1 AAaoNW x� � �rV-. � � 'c� � � O O � p � � � V, �, o C7'Li ia � � . c� rx �, v� a � a� a� -� � ' � � � � X ' � ° E-+ Z ;� W ! � ' 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department )ate Received Phone Contact for Permittln � l 0 – g � ?vvner's Name � 0 , '� � � Y ��Z � �, � L Owner Phone Number � � b � � � hvner's Address 5 O t 'v� Owner Phone Number � =ee Simple Titleholder Name Owner Phone Number �— =ee Simple Titleholder Address lOB ADDRESS � O � v�. � L LOT # � 3UBDIVISION C�'�T � �,-� �p�� PARCEL ID# �" � `� f7 � `� I O a � �� Od (OBTAINED FROM PROPERTY TAX NOTICE) JVORK PROPOSED B NEW CONSTR B ADD/ALT � SIGN Q � DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM 0 OTHER fYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q DESCRIPTION OF WORK � � �; l � `" l>v� �.0 �-� '� BUILDING SIZE �---� SQ FOOTAGE 1��J HEIGHT �BUILDING $ t5 O �� VALUATION OF TOTAL CONSTRUCTION � QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. OPLUMBING $ � �� QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � QGAS Q ROOFING Q SPECIALTY � OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � BUILDER �1 C'� COMPANY C � ~ C, SIGNATURE �� REGISTERED Y/ FEE CURRE� Y/ N Address �",�` �, � ` � �f, L License # ^� � �� ELECTRICIAN � COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N Address License # PLUMBER COMPANY 51GNATURE REGISTERED Y/ N FEE CURRE� Y/ N Address Ucense # MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N Address License # OTHER � COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N Address License # �— RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy FoRns; R-0-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 subdivisionsflarge 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 onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilitles & 1 dumpster. Site Vltork Permit for all new projects. All commercial requirements must meet compliance 31GN PERMIT Attach (2) sets of Engineered Plans. """PROPERTY SURVEY required for all NEW consUuction. Directions: Fill out application completely. Owner & Contractor sign back of application, notarized If over 52500, a Notice of Commencement is required. (A/C upgrades over 57500) " Agent (for the contractor) or Power of Attomey (for the owner) would be someone ' me DVER THE COUNTER PERMITTING (Front of Application Only) ,. T�� -� ��a �eroofs if shingles Sewers Service Upgrades A!C Fences (PIoUSurv�y� �'�� sros ,rt�� an�,a .,�,o�,� • . Driveways-Not over Counter if on public roadways..needs ROW � st►S�� 0� r�� '�'rtl�M rMiM 111111r 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 responsibitity for complianc� 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/UTILITIE3 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 flnal power release. If the project does not involve a certficate of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, ff 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, Florfda 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 ATfairs. 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" p�ior to commencement. CONTRACTOR'S/OWNER'S AFFIDAVIT: i certify that all the information in this applicatfon 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 identffy 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 8 Rehabilitative Services/Environmental Heatth Unit-Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. Federal Aviation Authority-Runways. I understand that the following restrictions appiy 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 pian 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 fiil will be used only to fill the area within the stem wail. 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 appiication, for lots less than one (1) acre which are elevated by flll, 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 electrica� work, plumbing, signs, wells, poofs, air conditioning, gas, or other installations not specifically 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 tech ans � onstruct on oa of any cod sP permit issued shall become inval d requiring a coRection of errors in pl , unless the work authorized by suc ne d e for ' a iS e od of six (6) m after t e t m the co�mme ced An sion the permit is suspended or aband P may be requested, in writing, from thVee� k'ceases�forininety (90) nsecutive days, the job is� ons de ed blandonedstra e justifiable cause for the extension. If � WARNING TO OWNER: YOUR FAI � OUR PROPERT1f. YOU INTE M TO OBTAIN F NANC NG, CONSULT PAYING TWICE FOR IMP OV MEN S WITH YOUR LENDER O N TT EY BEFORE RECORDING YOU TI OF C�O� EN ENT. ,, , , � FLORIDA JURAT (F.S. 1i� �I ' , CONTRACTOR OWN R aR ACiENT , ` g„bs bed a d em be re me this g� and swo �( afHrtned) b �� , b � �° Who isl ersonally own to e or haslhave produced o i persona own to me or has/have produced as identificat(on. as ldentlfica8on. � �� y IM{l4d36r`/ � ry ,�,�,� �ii Notary Public /' Publlc • �i o'` ••��SSIQ�y � � e � ��S C •� � y Commission No. �� N . • � Commtsslon No. ��T ' _ �� p 012 Name of Notary tYPed. Pf$t�dor s ��457 � o` Name of Notary typ ��. � O,a• �5; �., � 9,� ?�'a BOnded th�� o �� • O�'� �� '�.� '.ubli �U �d�;:O��i �\�. � �'� �i��s� 9aai'''�� NOV, 14. 2011 4:03PM RODDA CONSTRUCTION N0. 9530 P. 2 C1TY ��` �,,�iC��4lV'EJ 201'-2072 BUSINESS TAX REGElP7' Busineas Tax Oif'ice� 228 5 Measachusetta Ave„ Lakelend, FL 33804 THIS BU81N $S TAX R�CEIPT EXPIR S SEPTEM �R 3 Q12 RECEIPTI�LQ: 0198') Account Num6er: 1205483 � � � � Workers: 49 PROFESSIONAL FIRM O��ICE 18558 1 Square Footage; 10900 G�NERAL CON'1'RACTOR - CLAS$ A 4601 2 F�; 860,58 tl , a�o e r��HUaNO oa TI1is bwlnew fex rouipl doex ne► PenMl lhe hMaer a oaarefe m violaiion ef arry CNy IMw, �nance or rog�sUa► My eh4r+9Q �+ i� Io�hOn 0� OWnYrifi�p MU61 bB NpPfovetl by tl14 Cib s45�n!!� YYx RODDA CONSTRUCTION INC Reaelvt scet�on sub�e� �o unmp reaulaions. TMe 6u�r�s Reee�pt doea net mneUlut� �n �n�►wma�l approvat or JOMN itODDA, OWNER dleeppor�� a the holdKx skitl or oampolcnce o� oi tha 250 � HIGHIAND DR compUanee or noncompwanoe a ihv la�ea v1�th ou+er kwe, LAKEIAIVD� Fl. 33803•3856 ^ �� /J ` � 4r� RECEIPT MUS7 BE GONSPfCUOUSLY DISPLAYER IN YOUR PI110E OF BUSINESS VAtID ONLY WHEN SIGNED ��,.. ��i/ a fA,},a''• '�" �!� r.�♦�,�. "^�.. S�y,�..'(:"!!'w;.:f"�a'_�y'� �>+N.1Ct4.Yr'e' ' �+. t. .� • 7( Y" ' :1��. �.,,"'iC ��('�l�ti' �� '�ST' 4 {,� L9:. Y�J'�� ;l ti��p+ �R q o r �^•: ..�Zp�." C '1' ' Xr.',S� '�'�':" 'n71;' 4 t ' , 3�'' '7i. r• +. � 5` �' �, L ` ' , . � wCy (p� r "f.�=T .��" !N:' ' �r i,, Sri•.., .t. T: � y .ir't � ��t 'FF ,y �N. 4A�.� ( � + �K �1t JJ � � �2" K�' 4t �R :Y ` � ;4' Y'•' t7F� � �S� V ^i f s . 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