HomeMy WebLinkAbout14-15680 CITY OF ZEPHYRHILLS
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BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 15680 Address: 5021 1 ST ST
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: 10-26-21-0030-00000-0120
Improv. Cost: 8,600.00 OWNER INFORMATION
Date Issued: 9/25/2014 Name: STONE FAMILY TRUST
Total Fees: 75.00 Address: 39200 5TH AVE
Amount Paid: 75.00 ZEPHYRHILLS, FL. 33542
Date Paid: 9/25/2014 Phone: (813)782-1782
Work Desc: DEMOLITION SINGLE FAMILY HOM
CONTRACTOR S APPLICATION FEES.
CROSS ENVIRONMENTAL E VICES INC DEMOLITION 75.00
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Ins ections Re uired —
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REINSPECTION FEES: Reinspection fees will comply ith Florida Statute 553.80 (2)(c) when extra inspection
trips are necessary due to any one of the following re sons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections no made when inspections called d)work not ready for
inspection when called e) permit not posted on jo site fl plans not at job site g)work not accessible.
NOTICE: In addition to the requirements of this permit, ther may be additional restrictions applicable to this property that
may be found in the public records of this county, and ther may be additional permits required from other governmental
entities such as water manageme t, state agencies or federal agencies.
"Warning to owner: Your failure to record a notice f commencement may result in your paying twice for
improvements to your property. If you intend to ob in financing,consult with your lender or an attorney
before recording your otice of commencement."
Complete Plans, Specifications Must Accompany App ication. All work shall be performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
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ONTRACTOR SIGN TURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS ITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CAR FROM WEATHER
813-780-0020 City of Zephyrhills P I rmit Application Fax-813-780-0021
Building Dep rtment
Date Received Phone Contact for Per itting 813 783 _ 1688
�T1Ti—I—T-r
Owner's Name Mary&James Stone Trustees Owner Phone Number 813-997-5393
Owner's Address 39200 5th Avenue Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 5021 1 st Street LOT# 2�3,4
SUBDIVISION Zephyr Oasis pqRCEL ID# 10-26-21-0030-00000-0020
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR e ADD/ALT SIGN 0 � DEMOLISH
INSTALL REPAIR
PROPOSED USE � SFR Q COMM OTHER
TYPE OF-CC�ySTRUCTION-- 'Q- --BLOCK Q - FRAME - - --- STEEL -0 - - `- - - - ---"--- - -
DESCRIPTIOM OF WORK
COMPLETE DEMOLITION OF CO MERCIAL STRUCTURE
BUILDING SIZE ' SQ FOOTAGE 3300 HEIGHT
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�BUILDING $ VALUATION OF T TAL CONSTRUCTION
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DELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY 0 W.R.E.C.
OPLUMBING $ � `� � ('�
� `f �U
OMECHANICAL $ VALUATION OF M CHANICAL INSTALLATION
OGAS Q ROOFING Q SPECIALTY OTHER ����
FINISHED FLOOR ELEVATIONS FLOOD ZON AREA DYES NO
-�F�F�-�f-1-1--1-H�f--�HI--1-a-1--1�-H�-1--1-a-k�--�1--�1-1--�� I--F-�1--�1-1--�FI--FI-F-�--F-F-1-F-f-�-1-f-�f-1-H-i-1--f-
BUILDER COMPA Y
CROSS ENVIRONMENTAL SERVICES, INC
SIGNATURE REGISTER D Y/ N FEE CURRE� Y/N
Address P.O. BOX 1299, CRYSTAL SPRINGS, FL �icense# CGC062981
ELECTRICIAN COMPA Y
SIGNATURE REGISTER D Y/ N FEE CURRE� Y/N
Address License#
PLUMBER COMP Y
SIGNATURE REGISTER D Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL COMP Y
SIGNATURE REGISTER D Y/ N FEE CURRE� Y/N
Address License#
OTHER COMP Y
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
I
Address License#
' 111111111111111111111111111111111111111111111111I111111111111111111
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of En rgy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Require onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdiv�sions/Iarge projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety�age;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittai date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all nev�{projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
****PROPERTY SURVEY required for all NEW construction.
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Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500)
** Agent(for the contractor)or Power of Attomey(for the owner)would be so eone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plo Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned unders ands that this permit may be subject to"deed" restrictions"
which may be more restrictive than County regulations. The u dersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RES ONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be required to be lice sed 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 unc rtain as to what licensing requirements may apply for the
intended work, they are advised to contact the Pasco County uilding Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or ontractors, he is advised to have the contractor(s) sign
portions of the "contractor Block" of this application for which hey will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly li ensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RES URCE 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, a 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. I the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit iss ance. Furthermore, if Pasco County Water/Sewer Impact
fees are due, they must be paid prior to permit issuance in acc�rdance with applicable Pasco County ordinances.
� —CON�TRt1C'i'ION ttEN-L-AW-(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 co�y 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 t e above described document and promise in good faith to
deliver it to the �`owne�' prior to commencement.
CONTRACTOR'S/01NNER'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 onstruction, zoning and land development. Application is
hereby made to obtain a permit to do work and installatio as indicated. I certify that no work or installation has I
commenced prior to issuance of a permit and that all work ill be performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, an land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other govermm �t agencies may apply to the intended work, and that it is
my responsibility to identify what actions I must take to be in co pliance. 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 Distri t-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navig ble Waterways.
- Department of Health & Rehabilitative Services/ nvironmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos ab tement.
- Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fi I:
- Use of fill is not allowed in Flood Zone"V" unless xpressly 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 f 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 " " 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 certi that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely afFe t adjacent properties, the owner may be cited for violating
the conditions of the building permit issued unde the attached permit application, for lots less than one (1)
acre which are elevated by fill, an engineered drai age 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 hat a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other nstallations not specifically included in the application. A
permit issued shall be construed to be a license to proceed w th the work and not as authority to violate, cancel, alter, or
set aside any provisions of the technical codes, nor shall issu nce of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans, construction or violati ns of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced wit in six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six (6) onths after the time the work is commenced. An extension
may be requested, in writing, from the Building Official for a eriod not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety(9 ) 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 PROPER�Y. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECO DING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117.03) �
I OWNER OR AGENT CONTRACTOR ���- I
Subscribed and sworn to(or affirmed)before me this (S bsc��'!b,e sworn to r ffi�med) efore e t '
by a l ''�h /�by _ ���1'1
Who is/are personally known to me or has/have produced W o i / personally known to m or-faasN�ave-preduced
as identification. asideR't+#'+eatie�:
/ ���/
Notary Public � - C��1�v' ` Notary Public
Commission No. Comrpission No. f�l� Q�b .3 3 g
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� Name of Notary typed,printed or stamped Name of Notary typed,print ct�'r s�ar�5ed DEBR�i L WATSON
;�.��j� '- MY COMMISSION#FF088338
'•,`�;�'P:: rY
`•••?'oFn�..�� EXPIRES Februa 2,2018
(407)398-0153 FloridallotaryServiCe.com
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Permit No. Parcel ID No
NOTICE OF COMMENCEMENT
scace ot Florida councy or Pasco
THE UNDERSIGNED hereby gives notice that improvement will be made to certaln real property,an in accordance with Chapter 713,Florida Statutes,
the following information is provided in this Notice of Commencement:
1 Description of Property Parcel ldentification No. �0-26-21-0030-00000-0020
streetnddress: 5021 1st Street,Zephyrhills,FL 33542
2. General Description of Improvement Demolition of condemmed commercial str cture
3. Owner Information or Lessee infortnation if the Lessee contracted for the improvement:
Stone Family Trust,Mary and James Stone Trustee
39200 5th AvenuemB Zephyr ills FL
Address City State
Interest in Property OW�e�
Name of Fee Simple Titleholder. �_1`� � r � �
(If different from Owner listed above)
Address City State V e �
� convactor Cross Environmental Services,Inc �" F— `,r�
P.O BoxN'�9 Crystal Springs F� ��$� � y � � �
� �
Address City State �" � �^,� �,,, • �
Contracrors Telephone No. $13-783-1688 � ,s� �, - @,� �
. �. :�� � � �
5. Surety: M�' ' -r'^ ` `p, ��� 4�
Name ° �
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° B.':.
Address City State
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Amount of Bond: $ Telephon No. � e ���
6. Lender. hF � o �4�;.r"°
Name �
Address City State '
Lenders Telephone No..
7 Persons within the State of Florida designated by the owner upon whom notices or ther documents may be served as provided by (n z V � W �
, Section713.13(1)(a)(7),FloridaStaWtes: � � � � �� J_ U
� � O = J
Name aQU � JdQ,` �
� � � 2Q �""�:_ a I,
o �— w I— W
Address City State � � LLI.z � n-. - �
0 =_— J ��-
Telephone Num6er of Designated Person: O
�' LL � � — �
8. In addition to himsetf,the owner designates o{_ � _ � � � U
to receive a co of the Lienors Notice a o � a w � Y
py provided in Section 713.13(1)(b),Florida Statutes.
Telephone Num6er of Person or Entity Designated by Owner � Q � � O
S C.� U J
9. Expiration date of Notice of Commencement(the expiration date may not be before lhe ompletion of construction and final payment to the Gt �"" E- ._!
contractor,but will ba one year Vom lhe date of recording unless a different date is spec(fie ): � � U m 0 �
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPI TION OF THE NOTICE OF COMMENCEMENT o � � � Q O J
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SE TION 713.13, FLORIDA STATUTES, AND CAN = Q w
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY A NOTICE OF COMMENCEMENT MUST BE � � G O 0 Z
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF OU INTEND TO OBTAIN FINANCING,CONSULT � U U �
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECOR ING YOUR NOTICE OF COMMENCEMENT � (� p �
of myrknowledge andu6eliedeclare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best � � � J �
STATE OF FLORI�A � � �
COUNTY OF PASCO _ h�- 2 � z — Q }
a� �-- �-- O � a. m
Signalure of er or Lesse ,or Owners or Lessee's Authorized
OKcedDirectodPartnedMana er
Signatory's TIUe/Office I
The foregoing instrument was acknowle/dg�ed before me thi��day of� ,20�T by a ' ."`-� ''`��� d(����
C� as U!•W��� (type f authority,e.g.,o�cer,trustee,attomey in fact)for
...�'I uYle- �n'��1`q �lrtcS� (name f pa on behaif of whom slrument was executed).
Personally Known 0 OR Prod(u�ced IdeCntification� Notary Slgnature �� �-(2rp1�
Type of Identification P of duced"� 3 3�l Sq 1-�6 J� Name(Print) /...• � •
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/r.''`zt�!�: DEBRA L WATSON Rept:l 31660 Ree: 10.00 ,
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F,: j•; MY COMMISSION#FFOB8338
����4�gj �(pIRESFebruaryz•2o�s 09/25/ 4 T. Sline, Dpty Clerk
"���1 FloriCallolaryServlce.com
(a07)�'��� PqULq 5 0'NEIL,Ph D Pp5C0 CLERK B COMPTROLLER
09/25/ 4 10:31am 1 of 1
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