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Home My WebLink About14-15753 CITY OF Z PHYRHILLS - _ � 5335-8�H STREET (si3) o-oozo 157 3 BUILDIN PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 15753 Address: 5050 16TH 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: 11-26-21-0010-21300-0310 Improv. Cost: 2,000.00 OWNER INFORMATION Date Issued: 10/31/2014 Name: ZOOK, AARON Total Fees: 75.00 Address: 596 E MAIN ST Amount Paid: 75.00 LEOLA, PA 17540-1924 Date Paid: 10/31/2014 Phone: (717)475-9528 Work Desc: DEMO SINGLE FAMILY CONTRACTOR S APPLICATION FEES JEFF DIXON CO STR CTI N CO I C DEM LITION 75.00 ��, ..,.---- �7�� d � \ � Ins ect�ons e u�red FINAL REINSPECTION FEES: Reinspection fees will comply wi h Florida Statute 553.80 (2)(c) when extra inspection trips are necessary due to any one of the following rea ons: a)wrong address b) condemned work resulting from faulty construction c) repairs or corrections not ade when inspections called d) work not ready for inspection when called e) permit not posted on job ite fi) plans not at job site g) work not accessible. NOTICE: In addition to the requirements of this permit, there ay be additional restrictions applicable to this properly that may be found in the public records of this county, and there ay be additional permits required from other governmental entities such as water management, tate agencies or federal agencies. "Warning to owner: Your failure to record a notice of ommencement may result in your paying twice for improvements to your property. If you intend to obta n financing,consult with your lender or an attorney before recording your no ce of commencement." Complete Plans,Specifications Must Accompany Applic tion.All work shall be pertormed in accordance with City Codes and Ordinances. N OCCUPANCY BEFO C.O. C CTOR SIGNATURE PERMIT OFFI R ERMIT EXPIRES IN 6 MONTHS W THOUT APPRAVED INSPECTION CALL FOR INSPECTION - 8 OUR NOTICE REQUIRED PROTECT CARD F OM WEATHER s�a-�so-Qazo Gity of Zephy�rhills Permit,4pplication Fax-813-780-0021 � Bui ding Department 3 iJ�ts Receivec� Phane Conta for Permitting !„�j �/"� __ �p yJ� Oasner"s tdame �f�D�1 ,�`pv� Owrner Phone fdurotber CEuuner's Address Ovva�er E'hane fdur�ber �� ee Sirttpte Tit(ehalder Mame � � �►ner�hane tdumber Fee Sien�te Titlehotder Address JO��Dt�R�SS �� T!�` .�� rPl�7`i lj S"' Y"� �a�# � suBOSd►sio� �,attc �.to� (OBTAIPIED F�PROPERTY TO nc�)�E��SH MlOEt6t P'ROP05ED e NEW CoNS7R ADD/ T [� 5lG�l INSTALL 8 FtEPAI �'ROPtJSED USE Q SFFt � COM� C� OTHER 'i"YPE OF CONSTRUCTIOM Q BLOCK � FRAM� �� STEEl. 0 `—� �}IESC�2l�'TIOtd OF MfOF�K �t-°/�}t� �l,$/�/c"�'ti G`�/�s'�. �u�a.os��s�z� ��7X.30 � s�a Foo-�e��e �'D s°� T t��i�H-r S�2�/ � �BUILDING $��7�� VALUATIQ OFTOiAt�CORISTRt7CT#OR� QELECTRICAL �- � AMP SERVI E � PROGRESS ENERGY [� W.R.E.G. QPLUMBING � � OMECHANICAI. �� VALUATIOM OF MECHAfVICAL INSTNLLATION QGAS Q ROOFING Q SPECI L7Y � OTHER FINISHEE?FtOQR ELEVATIONS (�—� FLOOD ZONE AREA QYES NO L ....,,. � , �aui�n�R ,� _.��.—. c� p�arav -J�fF ix�� vS/.s'r.�T�o�,�'•v�.. �IGk1AiTU1dE RE ISTERED Y/ N FEE CURRET� Y f IV Acldress 7`j�f�' /tS�f� �%,,,G.'e }� �P�/1S f License# � � �LEC�'RtClAtd � CO PAfdY Sid'si�A.TU62E _ rzs tSTERED Y J iV FEE CURRE� Y/N Addrpss l.lcense# �� P�l1M�EFt CtD PAtdY SiGtddlTUF2E REG 57ERED Y I N FEE CURRE� Y/N ��ctsess Ltcense# � � M��HAI�lC1�►�. C� P�tdY SIG�IATED�� REG STERED Y J N FEE CURftE� Y/IV Ac�dr�ss Llcense# �— � O�'liER Ti� CO PAMY SIGII�ATURE _ � REG STERED Y I N � FEE Ct1RREF Y I AI `' Addfess License# C� � � � RE51DEIdTlAL Attach(2)Plot Pla�s;(2)sets of Building Plans;(1)set f Energy Forms;R-O-W Permit fur new construction, Minimum fen{10)wotking days after submittal date. Re aired onsite,Construction Plans,Starmwater Plans w!SiEt Fence installed, Sanitary Facilities�1 dumpster;Site Work Permit for s bdivisions/large projects _ �t}t4�f�ERC1AL Attach(3)camplete sets of Build(ng P#ans plus a l.tfe Safety Page;(1 j sek of Energy Forms.R-O-W Permik fo�new conskruct(o�. Minimum ten(10}working days after submi##at date. Re� uired onsite,Canstructiott Plans,Stormwater Plans w!Silt Fence instailed, Sanitary Facilities&1 dumpster.Site Work Permit for al new projects.All commercial requirements must meet compliance �!G!��i2t4�IT Attach{2}sets of Engineesed Pians. '••*PROPER7Y SURVEY reqetired far ai(NEW canstruc ton. L�irections: Fiti aut application compietely. Owner 8 Contractor sign back of application,notarized 1f ouer�2500,a t�otice of Commencement is required. {E41�upgr c0es aver�7500) MA Agent(for the contractor)or Power af Attamey(fpr the owner)wouid b sameone with notarized letter from owner authorizing same i O'NER THE COUNTEEt PERMITTI[�� (Fran#af Application flnly) Reroofs if shingies Sewers Service Upgrades A/C� ' Fences tot/Sun+ey/Footage) � � ' ' _ � Drive�uays-Not over Gounter if on public faadways..needs ROW ' ' „ , - � , c �!�}�'�CfE pF �D�(E� RE��'�IC�'BI�PI�: The undersigned unders@ands that this permit rnay be subject to"deed" restrictions" which may be more restric#ive than Caunfy regulatians. The undersigned assurrtes respansibility for compEiance v�rifh any applicable deed restrictions. �iNL.1C��SED Ct�NT��TO�� N� C��3'�� SF'QR1�i�tL�Y'lf��: !f the owner has hired a contrackar or contractors to undertake�vork, they may be required to be (icensed in accordance vuith state and locafi regulations. If the contractor is r�ot licensed as required by lawr, balh the owner and contractor may be cited for a misdemeanor violation under stafe law. If fhe ou�ner or intended cvntractor are uncertain as to whaf licensing requirements may appEy for the intended work, they are advised to cantact the Pasco County Building Inspection I�ivision—Licensing Section at 727-847- 8009. Furthermore, if the arnrrter has hired a contractor or contractors, he is advised to have the cantractor�s} sign partions of the "con#ractor Block" of this applicatian for vuhich they vvili b� responsibie. tf you, as the ovuner sign as the � eonfractor, that may be an ind4cation that he is not properly licensed and is nof �ntitled to permitting privileges in Pasco County. T��pp��'�,Y�C��d ��fp,�CY�IITILi�'�E� ��1P�+C�'�+�6� f��C1U�C� R��COV'�RY��f��: The undersigned understands that Transpor#ation impact �ees and Ftecou�se F2ecovery Fees cnay apply to�fi�e construct3oe� af newr buildic�gs, change of use in existing buildings, or expansion of existing buildings, as specified in �'asco Caunty Ordinance number 89-07 and 90-Q7, as amended. The uridersigned also unders#ands, that such fees, as rnay be due, wi#I be identified at the time of permitting. It is further understood that Transpor#ation Impact Fees and Resource Recovery Fees must be paid pr'tar fo receiving a certificate of occupancy or final pov+rer release. (fi the project does not involve a certificate of occupanay or �� „ finai pauver reiease, the fees rnust be paid prior to permit issuance. Furfhermore, if Pasco Caunty 1�later/Seuver Impact fees are due, they rnust b� paid prior Qo permit issuance in accordance with applicable �'asco County ordinances. C��l�T62�C71��V l.I�N �.�1fi�{Ci�a��r�'�3, �Ic��ic��tr�t�e��, a� a�etr�er�d�e!): If valuation af work is $2,500A0 or more, 9 cerfify #hat I, the applicant, have been provided vvith a copy oi the "Florida Construction Lien Lav�r—Hameowner's Protection Guide" prepared by the Ftorida Department of Agriculture and Gonsumer pffairs. lf the appiicant is someone afher than ihe"owner", 1 certify#hat t hav�obtained a copy of the above describeci document and promise in gaod faith to deliver it to the"owner" prior to commencement. CQ�VT��CT�}F2'SIt9��R'��1��1�it�V1�': � certify that a1l the information in this application is accurate and that all uvork will be done in compliance with all applicable lavus regulating constructian, zoning and land development. Applicatian is hereby made fa obtain a permit ta do uvark ancf 9nstallatian as ind9cated. ! certEfy that no work ar installatian has commenced prior to issuance of a permit and that all work wiil be performed to rneet standards of ali lawvs reguia�ing construckion, County and Ciky codes, zoning regulations, and land development regulations in the jurisdiction. ! also certify #hat 1 understand that fhe regulations af ather gov�rnmer�t agencies may apply to the intended vvark, and that it is my responsibility to identify what actians I must take to be in campliance. Such agencies include but are not limited to� - Depa�tment af Enviranmenfal Pratection-Cypress �ayheads, V�1�tiand Areas and Environrnen#ally Sensitive Lands, VVat�rMlas#ewater Trea#menf. - Southvtres4 �forida Wat�r �anag�m�e�t Distric4-V1(el{s, Cypress Bayheads, Wetland Areas, Altering Watercaurses. - Army Corps of Engineers-Seawralls, C7ocks, Navigable Vilateruvays. - Deparfinent of Health & F2ehabilitative Services/�nvieonrrtental Health Unit-Vttells, Was�evtrater Treatment, Septic Tanks. - US EnvEronmenfal Protectian Agency-Asbestos abatem�nt. - �'ederal Avi�tion Authori#y-Runways. ! understand that the follavuing restrictivns apply to the use af fill: - Use of fill is no#allaweci i� Fload Zone"V"unless expressiy permitted. - If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a "compensating vatume" vuill be submitted at fime of permiEtin� which is prepared by a professional engineer licensed by�he State of Florida. - If the �II material is to be used in Flood Zone "A" in connection uvith a permiEted building using stem vvall construction, I certify tF�at fill will be used only to fill the area wi#hin �h�sfem wall. - !f fill material is to be used in any area, ! certify that use of such fi!! will not adversely affect adjacent properties. If use of fill is founci to advers�ly affect adjacent properties, the avvner may be cited for viala#ing fhe conditions of the building permit issued under the attached permit applicatian, for lots less than one (1) acre which are elavated by fi(I, an engir��ered drai�tage pian is requir�cf. If I am the Af�ENT �OR 1fH� �DV`!!�➢f��, I promise in good faith to infarm the owmer of the permitting conditions set forth in this affidavit prior to comrnenc'sng construction. O undersfand that a separate permit may be required for electricaE work, plumbing, signs, wells, pools, air canditioning, gas, or other insta(la#ions not specificatly inciuded in the application. A permit issued shall be construed to b� a license to proceed with the work and not as authority to.violate, cancel, alter, or set aside any provisions of the fechnical codes, nor shal! issuance af a perm'tf prevenf the Building Ufficia!from thereafter requiring a correction of errors in plans, constructian or violations of�ny cades. Every permik issued shall become invalid �nless the work authorized by such permit is commenced within six months o�permit issuance, or if work authorized by the permit is suspended or abandoned for a periad of six(6) months after the time the tn�ork is commenced. An extension may be reques#ed, in v+rriting, from the Building (7fficial for a period not to exceed nine4y (90) days and vuil! demonstrate justifiable cause for the extensian. If vvork ceases_for ninefy(90)consecutive days, fhe job is__considered abandoned. �if�Ridl�d� T't3 �1�ilil9��: Yf.1tJ� ��L�� Y� {�(c��RD � R90T��#E Qi� ��ii�E�l��9T ��Y R�SUL7' 1�I �t�i�� .��l�IK� T-li111C� IFCbR Y�fIB'9�OV�i�i�GU7��'�1�OlJ� f�I�.�DfP�RYY. ��(OlJ 9RlYI�P1D TIC1 O�li',d�l�l f�IPIl�►�ICOW(y, GOR��IU�.�' lf�1�H 'Y'�iU�tt��iV�}�R�1�2�l#Y��C)�23��1(1��438�fE�fE�C?�tYJ�f��'Y�l��I��'�G��F��6ifd6��6�C�6��1T. -- FI.ORIDA JURAT(F.S. 117.03) awe��o��r �o��rtt�c � Subscriped and sworn to(or affirmed)before me this Subsc�lbe and swom to( r ed)befot'e me this by y_ Wha islare personally known to me or haslhave produced Wha lslare persanally known fa me or haslhave praduced as Identificatian. as identifiaation. Notary Publlc Notary Public � Commission Na. �Comm si o�;��. *�� := Commission#F�137473 Name o(Notary typed,printed ar stamped Name of ,�, B,,,i eo�y.lo�a ( � � ' t�ITX U. ZEP��E�TL�,L� .o � � "Gi af Pure Water" Buil ing Department � � 5335 Eighth Str et•Zeghyrhills,Florida 33542-43I2 �ai3 �a -oa2o•��(ai��so-aozi W.A."Bill"Burgess Director of Building Licensing&Zoning Contr�c�e�r Asbestos I�o 'fication Statement I'er Fiarida Buiidin Code 105.9 Asbestos. 'I'he enfor ' a ene shall r uire each huildin ennit for the demolition.or renovation of an existin structure to c ntain an asbestos notificatian staxement which indicates the owner's ar o erator's res onsibili to com l wi#h the avisions af Section 469A03 Florida Statutes and to noti the De arimen�of En ' nmenta�Protection af his or her intemtions to remove asbestos wl�em a lic�bl in accorc�ance wi st�te�nd federat Iaw. 469.Q03 I.icense Reqzairedl— 1. No person may canduct an asbestos surv y,develop an aperation and maintenance glan, or monitor and evaluate asbestos abatem nt unless trained and Iicensed as an asbestos consultant as required by this chapter. 2.(�� No person rnay prepare asbestas abatem nt specificarions unless trained and licensed as an asbestas consultant as reqnired by thi chagter. (b) Any person engaged in the business of as estos surveys prior ta October 1, 1987,who has been eertified by the Department of bor and Employment Security as a certified asbestos suxveyrnc and who has complied 'th the training requirements of S, 469.013(1)(b),may provide suzvey servi es as described in S.255.553(1),(2)and(3}. The Department of Labor and Emplaym t Security may,by rule,estabiish violations, disciplinary procedures,and penalties for certified asbestos surveyors. 3. No person may canduct asbestos abatem t work unless]icensed by tlle department under this chapter as an asbestos contract r,except as ath+erwise prvvided in tliis chapter. I certify that I have read and understand and will comply 'th the provisions af this asbestos notification statement and that I will comply with all state and federal egulatians pertaining to asbestos. ��.�� Licen e Contractor Signature Date � e �� t�a J� Lieense Holder(Contractor Printed Name License Number �� J� �� Address of Cpnstruction Site l � Pezmit Number