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Home My WebLink About14-15377 J CITY OF ZEPHYRHILLS s 5335-8TH STREET a (sispso-oo20 15 7 BUILDING PERMIT � �` - �` :".�s `'P..ERMIT=INFORMATION LOCATION INFORMATION �" " ° ,.�..�. 5� - - Permit Number: 15377 Address: 7050 GALL BLVD Permit Type: DEMOLITION ZEPHYRHILLS, FL. Class of Work: 636-DEMOLITION Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 35-25-21-0010-10500-0000 Improv. Cost: 28,800.00 OWNER 1NFORMATION . -`� ` Date Issued: 6/10/2014 Name: FL HOSPITAL ZEPHYRHILLS Total Fees: 75.00 Address: 7050 GALL BLVD Amount Paid: 75.00 ZEPHYRHILLS, FL. 33542 Date Paid: 6/10/2014 Phone: (813)783-6189 Work Desc: DEMO BABY DEPT RENOVATION � o,�- CONTRACTOR S ' APPLICATION FEES STEVENS CONSTRUCTION IN DEMOLITION 75.00 pG �� d� � � 9 \� V // / � Ins ections Re uired ° �° FINAL ! 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 attorney before recording your notice of commencement." Complete Plans, Specifications Must Accompany Application. All work shall be pertormed in accordance with City Codes d Ordinances. NO OCCUPANCY BEFO C.O. G CONT TOR SIGNATURE PERMIT OFFI R ERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION — 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-��Za City of Zephyrhilis PeRnit Application Fax-813-780-0021 ' Buiiding Deparhnent _ Date Received phone Contact for Pertn(tti ��J �� Z'2 3s �(�, Owner's Name �4�}Q�t�/� ��lTpi+ �.Ci� YR6�116�$► Owner Phone Number t7�� 88� � �L � Owners Address 'o� Ga�. L3�.vp. ?.�f't ��u. L Owner Phone Number g5�' 3�3`'�6�'� Fee Simple Titleholder Name Owner Phone Number � Fee Simple Titleholder Address JOBADDRESS �Yd��►�.L. �1.V�• �LPN Iehll�,r � 3a�� LOT# � SUBDII/ISION PARCEL IDq (OBTAIf�D FROM PROPER7Y TAX N0710E) WORK PROPOSED e NEW CONS7R B ADDlALT Q SIGN Q � DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM Q OTHER a TYPE OF CONSTRUCTION � BLOCK Q FRAME Q STEEL [� DESCWPTION OF WORK �'`�`Oh ri 'rQ7 �fL�'p1� � BUILDING SIZE SQ FOOTAGE� HEIGHT � OBUILDING $ �j� � VALUATION OF TOTAL CONSTRUCTION �r QELECTRICAL $ AMP SERVICE Q pROGRESS ENERGY Q W.R.E.C. OPLUMBING $ ! ,�y�, r . QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ��'w''�6�� UM� � QGAS Q ROOFING Q SPECIALTY Q OTHER ��3�� FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO � BUILDER � / COMPANY SIGNATURE r�cls�teo Y/ N F�cuw�En Y/N Address License� � ELECTRICIAN COMPANY SIGNAILRE �c�s�R� Y/N �cuR�n Y/N Address License# PLUMBER COMPANY SIGNATURE aEGIS�RED Y/ N F�cUw�n Y/N Address License# MECHANICAL COMPANY � SIGNATURE REGIS7ERED Y/ N FeE cuRaF1. Y/N Address License# OTHER COMPANY SIGNATURE REGISIERED Y/ N FEE CURREA Y/N Address License# IIIIIIIIIIIIIIIIIIIItt111111111111111111111111111111111111111111111 RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit fw new construction, Minimum ten(10)working days after submittal dete. Required onsite,Consduction Plans,Stortnwater Plans w/Silt Fence installed, Sanitary FaGNtles 8 7 dumpster;Sfte Work Permft tor subdivislons/large proJects COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Sefety Page;(1)set of Energy Fortns.R-O-W Pertnit for new cnnsWCtion. Minimum ten(10j woricing days efter submittal date. Required onsite,ConstrucNon Plans,Stormwater Plans w!Sfit Fence Installed, Sanitary Facilities&1 dumpster Site Work Pertnit far all new projects.All commerciai requirements must meet compiiance SIGN PERMIT Attach(2)sets of Engineered Plans. "'"PROPERTY SURVEY required for ali NEW construction. Directlons:• FII out applicadon completey. Owner&Coniractor sign back of application,notarized If over 52500,a Nodce oi Commencement Is required. (AIC upgrades over 57500) " Agent(for the contrador)ar Power oi Attomey(for the ovmer)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front ot Appltcetion Onry) Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurveylFootaga) 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" vJi�ich 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 conVactors 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 Divisior�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 entitied 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 retease. 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 WatedSewer 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'SIOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work will be done in compliance with ail 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 pertnit and that all work wiil be pertormed 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,WateNWastewater 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 ProtecGon Agency-Asbestos abatement. - Federal Aviation Authority-Runways. I understand that the following restrictions apply to the use of fiil: - 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 submiried 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 fiil 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 canditions 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 pian 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 OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT(F.S.117.03) OWNER OR AGENT COPITRACTOR Subscribed and swom to(or affirtned)before me this Subscribed and svrom to(or affirmed)before me this by by Who is/are personalty known to me or hasmave produced Who is/are personelly k�own to me or has/have produced as idenUflcatlon. as identifica6on. Notary Public Notary Public Commission No. Commission No. Name af Nolary typed,printed or stamped Name of Notary lyped,prinled or stamped I � � n � . + � � � �� CONS'T12UCTION City of Zephyrhills CONTRACTOR AUTHORIZED FORM PASCO COUNTY CONTRACTOR ID # STATE CERTIFIED LICENSE # CGC-057163 QUALIFIERS NAME Mark Stevens BUSINESS NAME Stevens Construction, Inc. I authorize the following individuals to sign for and obtain permits. **THIS AUTHORIZATION SUPERSEDES ALL PREVIOUS SUBMITTED AUTHORIZATIONS** Michael Roach Nikolas Dobbs Signature of qualifier: c� State of County of Sworn to s s ribed before this y �� :zo�"-"�p"4�, DENISE CASTANEDA "� � MY COMMISSION#FF014205 ;�..�� .oQ: :,...........�P; •a?eoFF.o,,.•• EXPIRES May 5,2017 ..�,» (407)396-0153 FlorldallotaryService.cam Notary Stamp here 6208 Whiskey Creek Drive * Fort Myers,FL 33919 * Phone: 239.936.9006 * F�239.936.9010 www.stevensconstructioninc.com Lic.#CGC057163