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HomeMy WebLinkAbout11-12605 � CITY OF ZEPHYRHILLS ' S335 - 8TH STREET �sis��so-oozo 12605 BUILDING PERMIT Permit Number: 12605 Address: 38401 12TH AVE Permit Type: DEMOLITION ZEPHYRHILLS, FL. Class of Work: 636-DEMOLITION Township: Range: Book: Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-03500-0081 Improv. Cost: 2,916.00 Date Issued: 12/08/2011 Name: MOORE, JOSEPH E. Total Fees: 75.00 Address: 38401 12TH AVE Amount Paid: 75.00 ZEPHYRHILLS, FL. 33542 Date Paid: 12/08/2011 Phone: Work Desc: DEMOLITION OF FRAME SINGLE FAMILY DWELLING - 1,000 SQ FT 5. /' ; `j'� �� � ` � N U �-�t e`�'n �Ur a �S�D 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) 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. "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 attomey before recording your notice of wmmencement." Complete Plans, Specifications Must Accompany Application. All work shall be pertormed in accordance with Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O. � CONTRACT R SIG URE PERMIT OFFI R PERMIT PIRES 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 Fax-813-780-0021 , Building Department Date Received � �� Phone Contact for Permittln Owner's Name Y�/1 ��� � i Y I Owner Phone Number Owner's Address �� � �� /� � Owner Phone Number Fee Simple Titleholder Name Owner Phone Number � Fee Simple Titleholder Address JOB ADDRESS �U "IU I I Z� / 1 V'��� U e -e 1 1 � ( �S LOT # 0 d I O SUBDIVISION PARCEL ID# � � - 2 � - � � � � � � � �� � �b � ( (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e NEW CONSTR e ADD/ALT Q SIGN Q MOVE � DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR � COMM Q OTHER TYPE OF CONSTRUCTION Q BLOCK � FRAME Q STEEL Q OTHER DESCRIPTION OF WORK � _/-C�TY�,� t� � �� �i�af/Nu� � �I BUILDING SIZE SQ FOOTAGE G G HEIGHT BUILDING $ VALUATION OF TOTAL CONSTRUCTION Q ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C, �,. � PLUMBING $ � / /)1 _ �� o<<e Q MECHANICAL $ VALUATION OF MECHANICAL INSTALLATI Q GAS � ROOFING 0 SPECIALTY Q OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES ONO BUILDER � � COMPANY � V" S�� � SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N Address License # �- ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N Address License # PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N Address License # MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N Address License # OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N Address License # RESIDENTIAL Attach (2) Plot Plans; (2) sets of Buflding 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 wl Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects COMMERCIAL 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 8 1 dumpster. Site Wo►ic 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. Dlrections: Fill out application completely. Owner & Contractor sign back of application, notarized If over 32500, a Notice of Commencement is required. (A/C upgrades over s5000) " Agent (for the �or�ractor� or Power of Attorr�ey�(for the ownerJ would be someone with notari�e�tt�r frAm owner authorizing same OVER THE COUN�R PERiNITTING (Front of Application O y ly) Reroofs Sewers Service Upgrades A� Fences (PIoUSurvey/F�t�g�) � Driveways-No over �aunter�if on public roadways: �eds �W `` � > -. •: ., , : :� , �I,» .,rr •. �w ` �w�"'�+�"" �,"'w�►""+o'�, +r.-� NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictiGns" w ich may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any ap�lic�ble deed restrictions. U LIC�NS�D CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: if the owner has hired a contrac�or or co�tractors to undertake work, they may be required to be licensed in accordance with state and local tegulations. If the Co�tractor is hot licensed as required by law, both the owner and contractor may be cited for a misdemeahor Violation under state Caw: If the owner or intended contractor are uncertain as to what licensing requirements may appfy for the int;�nded woFk; they are advised to contact the Pasco County Building Inspection Division—Licensing S�ction at 7�7-$47- 80�9. FuFt�ietmore, if the owner has hired a contractor or contractors, he is advised to have the co►�tractor(s) sign po�tions of �he �contractor Block" of this application for which they will be responsible. If you, as the owner sign as the cot�tractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. TF�ANSPOR�'ATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands thfit T�anspo�tation Impact Fees and Recourse Recovery Fees may apply to the construction of new buiidings, change of us�e in existi�ig 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 identi�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 County Water/Sewer Impact fees are due, they must be paid prior to permit issuance in accordance with applicabte 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 ce�tify 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 ce�tify 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. - , "U�S Environrnehtal, Pratee�i0n Agency-Asbestos abatement. Federal Aviatiori 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 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 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 PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER O AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT (F.S. 11 . 3 � , CONTRACTOR �" OWNER OR AGENT / g c' and sw r d befor tl7i� I �/) Q,;� Sups�cr b and swe ffl befor e thf ` b � `�r� b y Who s/ ersonally known t me or haslhave u ed C�� � I known to e or ha roduced c � � Notary Public tary ublic Commi ioR �� KIMBERLY A. Commis on No ,` �ti P � y Y P KIMBEHLY A. HILLEN :�o� ���,% otary PuGlic - State ot florld� � r°� ��: Notar - � f � % Name .� p n�����E 96377 Name of Nota N ��zpires Jun 27, 2015 "; �: Commiasion #� EE 96377 .� �''��,°,°,�� d''� Bonded TINapA N� �ol�ry �� '��'��°� �;:�'' Bonded ihro�h N�tion�lllot�ry Assn. Pasco Counh� Parcel. 11-2(-2]-00]0-03500-0041 00] Page 1 of 1 Data Current as Of: Weekly Archive - Saturday, December 03, 2011 � ID 11-26-21-0010-03500-0081 (Card: 001 of 001) Classification 01 - Single Family Mailing Address Property Value MOORE JOSEPH E Ag Land �p 38401 12TH AVE Land $12,191 ZEPHYRHILLS FL 33542-3743 Building $13,855 Physical Address Extra Features $493 38401 12TH AVE ZEPHYRHILLS FL 33542-3744 Just Value $26,539 Le4al Descriution (First 4 Lines) Assessed (Non-School Amendment 1) $26,539 See Plat for this Subdivision �`" Taxable Value $26,539 CITY OF ZEPHYRHILLS PB 1 PG 54 EAST71.00FfOFLOTS89&10 BLOCK 35 OR 5712 PG 841 Land Detail (Card: 001 of 001) Line Use Description Zoning Units Type Price Condition Value �� 0100 SFR OOR2 4,200.00 SF $2.72 1.00 $11,424 �_� 0100 SFR OOR2 2,190.00 SF $0.35 1.00 $767 Additional Land Information Acr,es 0 15 Tax Area 30ZH FEMA Code � Residential Code ZHLHLP2 Buildin4 Information - Use O1 - Single Family Residential (Card: 001 of 001) Year Built 1950 Stories 1.0 Exterior Wall i Average Exterior Wall 2 None Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle Interior Wall i Drywall Interior Wall 2 None Flooring 1 Pine or Soft Wood Flooring 2 None Fuel Gas Heat Convection A/� Window Unit Baths 1.0 Line Description Sq. Feet Repl. Cost New 1 BAS 684 $26,744 Z UOP 40 $235 3 FE P 80 $ 2,190 Extra Features (Card: 001 of 001) Line Description Year Units Value 1 DCFENCE 2002 660 $493 Sales History Previous Owner PARK POINTE INVESTMENTS LLC Year Month Book/Page Type Amount 2004 01 5712 / 0841 WD $48,900 2003 O1 5192 / 0622 WD $35,000 1985 10 1450 / 1290 WD $0 http://appraisecpascogov.com/search/parceLaspx?sec=11 &twn=26&rng=21 &sbb=0010&bIk=03500&Iot=0081 12/8/2011 9051 ,4c'Q CERTIFICATE OF LIABILITY INSURANCE DATE(MMfDD/YYYI� 10/27/2011 THIS CERTIFICATE IS ISSUEb AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGNTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES gELOW. TIiIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEPI THE ISSUING INSURER(S), AUTHORIZED :PRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. ��JIPORTANT: If the certiflcate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certiflcate holder in lieu of such endorsement(s). PRODUCER N�E C Certficate Department Commercial Lines -(813) 639-3000 aoN a .(g13) 639-3000 a� No : (813) 639-71 SO Wells Fargo Insurance Services USA, Inc. Ap clw.certrequest@welisfargo.com 2502 N. Rocky Point Drive, Suite 400 INSURER S AFFORDING COVERAGE NAIC �F Tampa, FL 33607 �NSURERA: Nautilus Insurance Company 17370 �NSURED iNSUReR s: Great Divide Insurance Company 25224 Cross Environmental Services, Inc. �NSUrtertc: P. O. Box 1299 INSURER D : INSURER E : Crystal Springs, FL 33524 INSURER F: COVERAGES CERTIFICATE NUMBER• 3441799 REVISION NUMBER• See betow THIS IS TO CERTIFY THAT 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 TNIS 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. LIMITS SNOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ��7R TYPE OF INSURANCE AD L S pOLICY NUAABER MM�/Dp EFF MM�/ � LIMITS A GENERALLIABILITY ECP0150718013 11/1/2011 ��/1/2Q�2 �CHOCCURRENGE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY pREM SES Ea occurrence $ 100,000 CLAIMSMADE � OCCUR gl / PD Combined MED EXP (My one person) $ 5,000 X Max. Agg. Per Policy PERSONAL 8 ADV INJURY $ 1,000,000 um�c S�o,000,000 $5,000 Ded Per Claim GENERALAGGREGATE $ 2,D00,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPlOP AGG $ 2,000,000 POLICY X PRa LOC g AUTOMOBILE LIABILITY BAP150717913 11/1/2011 11/1/2012 EOM�B SINGLE LIMIT �,000,000 X ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per acadent) $ X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE AUTOS Peracadent $ x Basic PIP - $1 $ A UMBRELLALIAB X occuR FFX150718113 11/1/2011 11/1/2012 �CHOCCURRENCE g �,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $ 1,000,000 DED x RETENTION $ 10,000 $ B AND EMPLOYERS' LIABI Y/ N WCA150903612 3/1 /2011 3/1 /2012 X WC STATU- OTH- ANY PROPRIETOR/PARTNERIEXECUTIb'E OFFICER/MEMBER EXCLUDED? � N! A E.L. EACH ACCIDENT $ 1.000,000 (Mandatory in NH) E.L. DISEASE - EA EMPLOYE $ 1,00O,OOD If yes, desaibe under DESCRIPTION OF OPERATIONS be�aw E.L. DISEASE - POLICY LIMIT $ 1,OD0,000 A Contractors PolluUon Liab ECP0150718013 11/1/2011 11l1/2012 g�,000 Each Pallution CondiGon/$2,OOO $5,000 Ded. Each Claim Mold Limit $�,000,00a$z,000,000 w/$5,000 Ded. DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additlonal Remarks Schedule, If more space Is requ(red) RE:MM- The City of Zephyrhills is included as additional insured with respect to general liability. CERTIFICATE HOLDER CANCELLATION City of Zephyrhills SHOULD ANY OF THE ABOVE DESCRIBED POLICIES QE CANCELLED BEFORE ��35 - 8th Street THE EXPiRAT10N DATE THEREOF, NOTICE WILL BE DELIVERED IN hyl'hllls, FL 33542 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRE5ENTATIVE /'� C�((tAM� / ,C' �"•vT The ACORD name and logo are registered marks of ACORD �O 1988 ACORD CORPORATION. All rights reserved. P�.��CJ �CJU3�TT�Y Bt� SI�T�SS T�� F�C�IPT `�(�11=1� Issuec! pursuant and subject to Statutes and Pasco Cosaniy Ordinances, issuance daes noi certi#y carnpliance with zoning or ather 9aws. Thys rece��t rrrust be pasted co�spicuausiy �n piace af busine$s. Expires September 30. N1�ke Olsor� ACCQUFIT N0� Q07647 T.� ���,�,�,�T�R TYPE �F BtISINE5S� SIC CODE� 1522 �� -- - - tiENERAL CtINTRACTOR F:1.�'�C'f� t't)t:'\ Tl" f� I.C}R t DA r'��sr,�;�., LdCATiON ABDRESS� CROSS ENVIRONNIENTAL SfRYICES I.� �r �, �. 39546 FIG AVE PO BOX 1294 ZEPHYRMILtS CRYSTAL SPGS FL 33524-1299 i �, �'�.?�„��`,.•' DATE RECEIPT AMOUNT .... 07/29�11 608434 207.50 ����IIr�t11•�t111�fi•��•••Pn�6•i��•��tll��l��lria�li��1���1� •' . � � � � CES � CROSS ENVIRONMENTAlSERVICES. INC ENVIRONMENTAL & DEMOLITION SERVICES Power of Attorney / Agent Letter I, Clyde A. B�ston, President of Cross Environmental Services, Inc., hereby appoint and designate tl�e following to act as agent for the purpose of doing business, and obtaining any and all l�censes, permits and payments required for the City of Zephyrhills. Charles L. Grav Jnn Everett de . Biston S�vorn and subscr�bed before th�s_�(� day of � � 201 1 ,.�������., � KIMBEliLY A. HILLEN ;��"�� P � ° `�=. Nobry Puplic - St�t� of FIafA� ' •� My Comm. Expins Jwi 27. 20/S �M �d'.� Con�niiaion +� EE 96317 `\A �''�•° �� �Y`�� 8ond�d TluorOh lqtlew tlofry A�. �V ota Public Commission Expires P.O. Box 1299 • Crystal Springs, FL 33524 •(813) 783-1688 • Fax (813) 788-9114 E-Mail: ces@crossenv.com • www.crossenv.com I ACi'+� e � r _, �a� @� ;,;� �� .� S�;.E QF F�ORtDA, �� I , � , ,., �_ o-� . , ; � .. . , ,. -_ . , _� ... :� : , :, ,f ,�-� .� -E-,�:. S ° { .. 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F s ��- � � ' � _ r ��' .`:'.'.. _., �. ! CRYSTAL SPRINGS FL 33�524 ' � -� . " ' i `�. r , � ' , r " „ � , , _ : °^ "' �::` ".: ,.,; '�:: i.� � �.. C�=Cil"�+ . "" . � ,. r ,�._ ' ` " _ � 4 h c ,°�` � , - ' a _ „ .. — — �. r � ' .: ' �OVERN{?R - i - ` _ =' °` . 9 � ' { �$�", ,�,I� ..���- �,�, . � � . , ., � -; �TI� .��' RE�' �:;�-,;;?` � �.: : DIS'�lAY'AS REQUIREI� B'Y LAVif _ �= �:' '�^::: ``;:'`� , .,. _ _ . , -. ,�. Pasco Counri� Building Schematic Page 1 of 1 Generalized Building Schematic 11-26-21-0010-03500-0081 Card 001 s 14 10 FEF 10 6 y $ 8 g �/�S 24 z � 26 8 5 (lOP 5 8 Pasco County Property Appraiser Page Layout Modified: 10/4/2010 3:18:46 PM The Local Time Is: 12/8/2011 10:25:40 AM http://appraisecpascogov com/search/traverse/traverse.aspx?sec=11&twn=26&mg=21&sbb=0010&b1k=03500&Iot=0081&showcazds=001 12/8/201 I