HomeMy WebLinkAbout14-15766 CITY OF ZEP YRHILLS
5335-8TH REET
�_ (813)780 0020 157
z
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 15766 Address: 38329 15TH AVE
Permit Type: DEMOLITION ZEPHYRHILLS, FL.
Class of Work: 636-DEMOLITION Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Biock: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcei Number: 11-26-21-0010-00500-0051
Improv. Cost: OWNER INFORMATION
Date Issued: 11/06/2014 Name: WELLS FARGO BANK NA
Total Fees: 75.00 Address: 38329 15TH AVE
Amount Paid: 75.00 ZEPHYRHILLS, FL. 33542
Date Paid: 11/06/2014 Phone:
Work Desc: DEMO 1480' SQFT
CONTRACTOR S APPLICATION FEES
MAGNUM DEMOLIT ON DEMOLITION 75.00
���"��� �/ II-2o-��
��S�faS �'
�
DA
� C
�
ll- �� I.
Ins ections Re re
FINAL
REINSPECTION FEES: Reinspection fees will comply w th 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 fi) 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 there may be additional permits required from other governmental
entities such as water managemen , 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 n tice of commencement."
Complete Plans,Specifications Must Accompany Appl cation.All work shall be pertormed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O.
VI a,� -
CONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS ITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - HOUR NOTICE REQUIRED
PROTECT CAR FROM WEATHER
i . . . .
; .
, 613-780-0020 City of Zephyrhills ermit Application � FaX-ai�-�eaoozi
' � � Building De artment
Date Recelved phone Contact for Pe Itting
Owners Name ��:�-4-� �t���-G ��m���� Ownar Phone Number l?j J`^�7��"�r��
�,. • �SA-
, Owners Address �� t3 s r�.�-r .���. CF� s�,� Owner Phone Numhe�
Fee Simpte TiUeholder Name Owner Phone Number
Fee Simple Titleholder Address
JOBADDRESS J$��'/ I��� �y� LOT# �
SUBDIVISION ' PARCEL ID# � �c�'�"'"r7-�^!�flJ 0'^'O L�,�OL�^^ b A.�� ,
(OBTAINEO FROM PHOPERTY TAX NOTICE)
WORKPROPOSED NewcoNSTR ADD/ALT Q SIGN Q q DEMOLISH
e INSTALL e REPAIR
PROPOSED USE Q SFR Q COMM Q OTHER
TYPE OF CONSTRUCTIO�F Q BLOCK Q FRAME Q STEEL Q
DESCRIPTION OP WORK C/���J L���� � ��� �,A�1°��'�+��Si.' f 'f 0� S Qr�
BUILDING SI2E SQ FOOTAGE � `��. HEIGHT �
�-rrr-errrr
�BUILDING $ S��p'O VALUATION OF OTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ - �r �
QMECHANICAL $ VALUATION OF ECHANICALINSTALLATION � b
�` <
OGAS Q ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZO E AREA QYES NO
BUILDER COMP NY
SIGNATURE • ttecisT ED Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAN COMP NY
SIGNATURE REGIST RED Y/ N FEE CURREA Y/N
Address License Yt
PLUMBER COMP NY
SIGNATURE REGIST RED Y/N FEE CURREA Y/N
Address License#
MECHANICAL COMP NY �
SIGNATURE REGIST RED Y/ N FEE CURREA Y/N
Address License#
OTHER COMP NY ���H� ��'���yl���
� SIGNATURE � REGI3T flEO N FEEC�RREt� N
Atldress l 7�-!� •.�'�RIAi� 7�,!i7 L ��^"*� FL �"js"g'g License# � C "—��7 �
IIIIIIIIIIIIillllllllllllllltlllllllllllllltllllllllllllllillllllll
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of nergy Forms;R-O-W Permft for new conslruction, ' � �
Minimum ten(10)working deys after suhmittal date. Reyu red onsite,Construction Plans,Slamtwater Plans w!Silt Fence Installed,
I� SaMtary Facilities 8 1 dumpster,Sile Work Permit for sub ivisionsAarge projecls
, COMMERCIAL Altach(3)complete sets af Building Plans plus a Life Safe Page;(1)set of Energy Forms.R-0-W Pennit for new construGlon.
' Minimum len(10)working days after submitlal date. Requ red onsite,Conswction Plans,Slortnwater Plans w/Silt Fence installed,
Sanitary FaGllties&1 dumpster.Site Work Pertnit for all n w proJects.All commercfel requfrements must meet comptiance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY requlred for all NEW construdlo .
� Dlrections:• '�
� Fill out applicalion completely
Owner&Contractor sign back of applicatlon,notarized
If over$2500,a Nodce of Commencemen[is required. (AIC upgrod s over 57500)
" Agent(for the wntractor)or Power ot Attomey(far the owner)would be meone with notarized letter fiom owner aulhorizing same
OVER THE COUNTER PERMITTING (Front of Application Onty)
Reroofs if shingles Sewers Service Upgrades AIC Fences(P oVSurvey/Footage)
, Driveways-Not over Counter if on public roadways..needs ROW
� .
�
; , .
NOTICE OF DEED RESTRICTIONS: The undersigned unde stands that this permit may be subject to"deed°restrictions"
' which may be more restrictive than County regula8ons. The ndersigned assumes responsibiiity for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RE PONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work,they may be required to be li ensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the own r and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended conVactor are un ertain 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 o contractors, he is advised to have the contractor(s) sign
portions of the"contractor Block"of this application for whic they will be responsible. If you, as the owner sign as the
contractor,that may be an indication that he is not properly icensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RE OURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fe s 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,th t such fees, as may be due,will be identified at the time of
permitting. It is further understood that Transportation Impa t 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
flnal power release,the fees must be paid prior to permit is uance. Furthermore, if Pasco County Water/Sewer Impact
fees are due,they must be paid prior to permit issuance in a rdance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713,Florida Statut s,as amended): If valuation of work is$2,500.00 or more,I
certify that I, lhe applicant, have been provided with a py of the "Florida Construction Lien Law—liomeowner's
Protection Guide"prepared by the Florida Department of A riculture and Consumer Affairs. If the applicant is someone
other than the"ewner",I certify that I have obtained a copy o the above described document and promise in good faiih to
deliver it to the"owne�'prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT� I certify that all t e information in this appiication is accurate and that all work
will be done in compliance with all applicable laws regulatin construction,zoning and land development. Application is
hereby made to obtain a permit to do work and installati n as indicated. I certify that no work or installation has
commenced prlor to issuance of a permit and that all wor will be performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, nd land development regulations in the jurisdiction. I also
' certify that I understand that the regulations of other govern ent agencies may apply to the intended work,and that it is
my responsibility to identify what aciions I must take to be in ompliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypre s Bayheads, Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment:
- Southwest Florida Water Management Dis ict-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalis,Docks,Navi able Waterways.
- Department of Health & Rehabflitative Servi s/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos batement.
- Federal Aviation Authority-Runways.
' I understand that the following restrictions apply to the use o fill:
- Use of fill is not allowed in Flood Zone"V°unles expressly permitted.
- If the fill material is to be used in Flood Zo e "A", it is understood that a drainage plan addressing a
"compensating volume"will be submitted at tim 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 II the area within the stem wall.
- If fili material is to be used in any area, I c rtify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely a ect adjacent properties,the owner may be cited for violating
the conditions of the building permit issued un er the attached permit application,for lots less than one(1)
acre which are elevated by fill,an engineered d fnage plan is required.
If I am the AGENT FOR THE OWNER,I promise in good fa th to inform the owner of the permitling conditions set forth in -
this affidavit prior to commencing construction. I understa d that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or oth r 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 is uance of a permit prevent the Building O�cial from thereafter
v—rGquiring a correction of errors in plans,co�struction or viol tions of any codes. Every permit issued shail become invalid '
unless the work authorized by such permit is commenced ithin six monlhs 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 euilding Official for 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 NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
� o PAYING TWICE FOR IMPROVEMENTS TO YOUR PROP RTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
�—a WITH YOUR LENDER OR AN ATTORNEY BEFORE REC RDING YOUR NOTICE OF COMMEMCEMENT.
� FLORIDAJURAT(F.S.11 3) pVL`%V --� �—
OWNER OR AGENT C NTRACTOR �
�� �uhsuib� n bswor o(or a i med)be me th�� ��Su scribed and s m to r a�rmed)before this �1 ����,�l,
y /n n T
� Wh�Islare personally known to nT or hasfiave produced Islare ersonally Imown o me or has/h ve produced
� as identificaUon. as identification.
9����LY`"+'�L� (1 Natary Pubiic ` Notary Public
�
C mission No ' Co missian No. ��' j�ZZ.1��
' rwk ' 1 ✓� ,}-
Na Ne e of ary typed,pnnted or stamped
' �,' My Commission Expires NOTARY Puauc
October 29,2017 STATE OF FLORIDA
� Cornm#FF122109
9 Exptres 8/3/2018
i iiiiii iiiii�uii iiiii iiiii iiiii iii�i iiiii iiiii iiiii iiii iiii
� 2014176833 ,
� � .
Rcpt:1640461 Rec: 10.00
DS: 0.00 IT: 0.00
� Permit Number ___ _µ _
li/06/14 E. Munguia, Dpty Cle�k
I Parcel ID Number »-zs-2i-aoto-ooeoo-oos� _ _
PRULR S 0'NEIL,Ph D PASCO CLERK & COMPTROLLER
I N O T 1 C E O F C O M M E N C E M E N Y 11/06/14 01:24 m 1 of 1
i State of Florida ' OR BK g1�8 P� 1429
; County of Pinellas �—�—
' THE UNDERSIGNED hereby gives notice that improvements will be ma e to certain real propert}r,and in accordance with Section 713.13 of the
i Florida Statutes,the following information is provided in this NOTICE OF C MMENGEMEM.
, 1.Description of property(legal description): Town of Zephyrhills PB PG54 Block 5 Exc E 40 ft 8 W 75 ft thereof OR 9078 PG 715
a)Street(%ob)Addfess: 38329 15th Avenue,Zephyrhfils ^� �� ��� ^
, —_.__ --____-- --------_._...�.._____..._ --___.—_......__.
� 2.Generai descfiption of improvemen[s: Demolition of a one story fr me house
--------..__._�__..------------._...__._.-------------------------•---- ..�_�—_._ -----------
3.Owner Information or Lessee information if the Lessee contracted f r the improvement:
a)Name and address: Wells Fargo Bank NA 20U B Street Suite 3 0,Santa Rosa,CA 95401-8532 ,
b)Name and address of fee simple titleholder(if different than Ovuner I s;ed above)` �^� !� '�� u
cy Interest in property: ow�er�^__W _�_ �_`_ ' �� � ' __` u� �_!
4.ConVactor Informatian
a)Name and address: Magnum DemoliGon for Innovalive Homes Remodeling LLC 3304 W Alline Ave,T'ampa,FL 33611
b)Telephone No.: 813-938-1818 Fax No.:(optional) ____�� � u
, S.Surety(if applicable,a copy of the payment bond is adached) . ��---��-----
a)Name and address: � '
b)1'elephohe No.: _.—.—. .--._.__ __ . .. — ---------_.__._._..._�
c)Amaunt o(Bond: S •-- �'- .--_ ___ __..__._.
_..�___._.__...____._._____�..._�__�._.`________..._____..�_�_ --_...__..
6.Lender
a)Name and address: � ' ' "' ' ' '
-•,-•-•• ---_ — ....�......__._��_...__.�._._�_ ___--•-------._.._.... _
b)Telephone No.: �"" ' � '
7.Persons within the State of Florida designated by Owner upon wh notices or other documents may be served as provided by Section
713_13(1)(a)7.,Florida Statutes:
a)Name and address:
----.__ __ � __�__..—•---..�_..__._ _��__._. -•---_��.______.
b)Telephone No,: �_�_ � �_T_ , Fax No.:{op6onal) _� ^
' 8.a.ln addition to himself or herself,Owner designates _ _ _ of ___._ __ T� � .__
to receive a copy�of the Lienor's Notice as provided in Section 713,13(1)(b),Florida Slafutes.
b)Phone Number of Person br entity designated by Owner:
9:Expiration date of notice of commencement(the expiration date ma:not be before.the complet(on of construction and final payment to the
contractor,but will be 1 year from the date of recordin unless a djff.e'r nt date is s ecified�� � � ,20 � _ _ ^
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OVIINER A ER THE EXPIRATION OF THE OTiCE OF COMMENCEMEN�ARE ;
CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713;PART ,SECTION 713.13,FLORiDA STATl1TES,AND CAN RESULT IN YOUR j
PAYING TINICE FOR IMPROVEMENTS TO YOUR PROPERTY.A NO ICE OF COMfV1ENCEMENT MUST 6E RECORDED 11ND POSTED ON ;
� THE JOB SITE BEFORE THE FIRST INSPECTION, IF YOU.INTEN TO OBTAIIV FINANCING, CONSULT WITN YOUR LENDER OR AN �
�ATTORNEY BEFORE COMMEMCING WORK OR RECORDING YOUR OTICE OF.COMMENCEMENT. i
Under penalty of perjury,I decla e that I have read fhe foregaing notice of mmencement and that the facts stated(j�g� p.��e true to the best of my .
knowled nd be�lef. W�,tl11�C1`I
�BRADI.EY
�_ _._._`_ ��entloanDocument�on
(Sig ature of Owner or'Lessee,or er's or Lessee's(Aulhorized OfficerlDireclodPa edManager) —(�nnt Name and Provide Signatar�s'TillefOffice) � � �T��
The fore,going insVument was acknowledged before me this __� day of !_dC�+�--- ,20 L�`_��_
by __.,�rGY.D� l�/�f,�---�T as ._�/ L {type oiautfiority,�e.y.otrcer,Wstee,attnmey in fact)
__.__....... ,_,.. .__ .._.�._. _�____...__-------.-
for / � ,a �' G,n
----._ ._ !.�__l-v��.---------.__.__.___ �.�-- ---�°�----------__�.• __._._..__.._�__......_....�.
Name of Pe�p n) � �/ (type otauthority,...e.g.ofticer,trustee,attomey.in fact)
for __�� p V� L �/Y�• ^__� (na e of party on behalf of whom instrumeni was executed). -
Personally Koown �P oduced ID ❑ � • '
Typa of ID ^ �_ __ Notary Signature _
� ' name _.__�i����r/��f��°—'� � ..__ .___
. MATTHEW MAGEN � -------___........._.
' �`'� `� Commission Number 755526
" �' My Commission Expires
October 29,2017
, �
I
S3ATE�� ���1RlDA, CQI��lTY uN P:���l�
THIS IS i G CrRTIFY TH/�T THE FOR�GOING IS r1 ��$p0�@�,��
TRUE AND CORRECT CQPY QF THE DOCU�AEI�T ,��► � � „,. � �'�
ON FILE OR 4F PUBLIC REC�RD In!THI5(7i=FiCE ��°_ �:� `���
WITNE NY HAND D OF�ICi L SEALTNIS ti.,�,fl; s
r •,y;� .;,,• , � a1
f DAY OF �� � m �;�;.�� c: �.
PAUL S. CLERK OIVIPTRGi_L�i�< '�G,��t'►v��, �
I 4 . Yxirt • {�
� �' •
�. :,.a�
BY _ - _ _ OEPUTY CLERt< � ���..��� 1.,�� . s�
� ' 188� �
' ��,?^r:� Q �
�"��F FLO��A�
�I
Nov 0614 02:18p Magnum Demolition 813-2603725 p.1
�.�P�IUM DEMOrL,ITIOi� � � �13-- ��o� Db�-j
_� .
. , . . . . . _ , . _ -
� O�ober��r'2Df4'. ' ' � � � � . ' � . : : - . . -
, ��.�. �if�!o�°�e�F�prhill's: , � . � .. , . . . � �� . � - - � .
. • � ;B.ua�d�� De ._p,�f�.en� .. � . - . . , � , � . . � � � . �- ; . .
� ��i.. ���_.- . . ., . . -
. � � �:��3�5��:.:.�t�et . � � -� . . .� . ' . . _ - . - , � �
� �� . � � ��?�ph�'�(Is;�:�L.3�a.�2�-- .. .. . .. .- . � � - � ..- � - : - . . � ,
. , - ;, � : � � . � - � • � • � - ,� '. . . - - �� . .- . . �- -
� . � _ . :l , . � . ... , . . . � � � . - � � _ . � . �� �-
•. ..`j:. ;,.:• 1, ...�Y1..,.. ;., •�'' . : '� ' ' � . . . - ., -
.. •- � -=�;�e�r;;�i�;;�Qrization#or Pas.00'Courit� Li�ense'#L:DE�094���. - . _ � . . _ , . ..
;:`;;;: . . . . !. . , . . . ; . ... _ ,__ �- _ . . .; �
��.��'�° : ���: - _ � - . . � .. . . . . . . - � : . - :., .. .
.'. .•-ti ,'�y. � r•�lY.•��.' _ . � � . ... . . •� . , ..}" -` _ -.
MY'�+ ��� a�� . _ '.S- � _ .t.
- �4t''. '�.S,YM1��7j�.:'� � .:1�i:.•,': .
'(. '..f�t i�V.. - :i�::i�T�
�.l' `.^.�'t�' �:5�4'�'•'.
- .r,::: ''i:;;.c:::�i"•: - ^ r:_,=•y .`a• ..
'1i�" �f•� - r:�:i.::', s•', j. .F:. ... . .
' ' .^i . ..
:'
f -
�� ���;�},.
'� ir.0�- ..5 !
e':"���L#�= 94-�'�°�e:�in1�� rs�ns:. �' ��r�:'�
;-.L°. :'�;. ,..� �.� ��� .�SE:.,. .:�k7.... # � . r..Y�:� ._:�.. �.�:f�_
«�•,.T„1!.�r� ���t.�";� : i:4:�i?:'i��.:,, `i,... 1:�'� v: �) �i'�::.
.:k". .'9' -�C _ _ .it - ��i'c,( ,f�e�^i::��`•'r,'.�ry.���'�y,.}�.�•..��
,a•' �;x. ;,r�: -�tiF" -,.r:.._ . _ ;:3:_c:�,:..r,.r,'.;.. �.-: _ ;'<�a�:?;
ni..•?.Y �'�'}l�4v61�.!'1:�1i::•�'��1t�i�/a�r''v���+. - a1,-..r-^��•�w..�:%m``i:�• " ;!,
j°.'y ._'F.�a✓.�Y%=�.:�1[:_v_��..s..:l::� .1..
:�rrm c � � ._ ....:.4Q,�:;.a'":' ,.�.:• .Y: C:4..L" "
�p��} (q��y�� y /�7��y y � f� iv: ^•:,Ki'�i
'�s y�5:�`� .�'�. ��, '.�.1 �f' 1,1 .�;.'.'.:1' :�'t.�;.t:..r• .•:.�'c,�'."''� ..�7...":e- •+"O�i%Y�S a:.A. .��.. ,�•.. ��tii:+:;.
.,�'' S. a"i�:��. .;5;-(., .!"!7. .:�"�.'k57"..=?.i,.�.J�17`R:.i.�:..•.ti:,•�{::;'r'.:.'�:�% v:v..�- �'v:i, t...n,�7/ `4..:�'"�4;•;,R, c�,>.�c.r :.;.:' '•�.0
��i;;�;vi..� •t: ,.��f,�4,, .`�f^��,•.k,,, nt� y,� .a.. ..Y-�ry.�i,::..es,..-x.._., ..r-:`....ly:�:t.:.:r• � ':�..� �.z'G'.u.•„-r:.:.r _ �T,sr'• "x
+��,�. t.c,�3�'�., .:�'i, s'v 7v*r.�. .r±'a,c.��"�;.<tl'.;:ir:' �Sv,'•�A?'yc ,:t�^..y�`.:Y=1v-r. .�,ry ' •v �.,• �wt,G ;.-.+, � 7-- 7�rL5,•.=�,i^y��,;4�''.�. "Y� _
:r?�:•��n^.�r�i:..s��4i=. .r'i e �.s.:o�'k'f�.'a,. :.y v..x:.�.::...'t-y`Ua:e:.:.`s.�,'�77.-'y".T�.Y'�:;i?"'i:',°.-.'x`.?�?r��.,�i�$P.1�����":��i�J!:`��J����`!".�i:F+'�t l:�ll,�yl�'.E?:S:'�{��.. .
<:p - s.a�:•i• .r:'.V° !-Y`s;i�x�:. < - _ - �Fa •c.>�::° :.,r: ' .i r.v�yyT:�.,'• .
^:i�~ ..sras:'."���...�•L,....t�:� :i�..,. %:4�YY�i�%.iri:::ti=::.?ii:�"s:'�rk.xtc':,�i�' :-1,.. ;;'r:�;��ib..Y35���'is�iam7arr.t;�'��$w?!�a:.1'Cifi;?�..:�,.y.-�..:t.ivl,�f�';.:.,��;`
�.r..e�i::�x.�s.ta�ee�nwawnr.�+na�.atv�.ri.i�:'-�ie.�i•-,:,•.. •, s n..,n.:�:-:..::.�vtrz..',c:%�-...::•.[en:e¢n!raasvr�as+�.*r:!arirc+^�
!4.c..�,•'d.•.a:rairYrr.6�Yri�[riF:....b�.' -snK!�•:avm�+-,s^.-t-��.:a'1�"�`.P•_snx+�:�n�r•.�o:i,..,..},.
�- .
_ 'C4,�:�T��:.� �`�Y:.
....u:•l..L .::.
..�...-.+iGw ��'��1 � . B " .5 ".T � yy7�{ U,�'`:4 'l+� f.M1 .y 1:aiG" [+.' -L.:S^SV°�4�Y '4tv`lPub� £+'�'�Cts
!..i��el�f'.1.:.� .d � `l.{.{.� � l�' 1/dY x�w .n[C+�' W 5µ. t J '1M1��.%.���',��.i%:•. '
s�}k-c�!«� �: �L;iF.;�i:}+�.zt�y.�:'�4'���ci�.,;i'i?l�.S�a 1s'tNi�fi tF�i�. n' SW{�bw»�+-•� � ,w�+' 4:,,.K���s'�,: q!,'li`�F'�� �"^ :n l.:r�::'
�4{•2.E'���a�,�'4.'�-.��8•. :,.i_wF;�;� �fc�a .,�',��'.��.:�'w,3•.:,� o'e.,,,�a� ��?'"� ''�� '��.-w�''w�' ��.�-- �` �^'1``''
r-�al.- �r,� i t"3a��.1" vl�.'�2` F � P�. .:�1..:'%2-. Y� �i'� ic� '�. � Y 7.��'..��... .��'��iiH���'�:.Li.,.�;..'...,..
^]va '.t'. �Y:`^h wlf�"r n� .. .. 'r.Y 't' I" �'.Ja'1"�. J�. i
';n;_:.,�' :i.�„"+ kr.t.r. _r ,,r:� 'r-� �y;y.�• ;•��� yr.,�?JcK� ��,t�;�;���..,.a �r, �+- poc -;;a.�,';;,u� k?s^.;.: •i:�.��. .,., �
. {..� .�� vx,��,a��_��3=''":S6,r:.� ��r:3�i,�.�-�.. „y,� �,. {Y'?i;•,.��=?�;,n-'�f.s.'�vi'�h�,�U;.�.,;j�.:Jx::•c•�ii::�+���y7!F�,n �,.� ;,,.r�,..;,s':4.::`�:f.`�'-.��`•,i'�1r+ ;�n�':i�!'-
•S:.•'�c"L�f.'1}1; �S� !� y. .ZY•^'�+.. :3sT�,:n;�r•.4�.�''F -r:c,.'c :Y:r,�%� .�.w••-..4 '� � C.' ��,..�+i��;ql .d,., � C �� .
� �t' � .:s�t• ��, o�.:'... �s�::•':��.�.�.• �r.YY' �:e..�i..Br[.: ..M4. '�J'I'yfyfA't°;�•Fy. �3�."�j-i� _ ��Grs„=�` -
, ♦�!��(:,�y!.. -�.C��7 .:J!.�.�� .S: S`y�:,����.Pl.. %1��..,r•�;f:r:,1,��1`•'v✓{ �t� rti,:�k�.t" ,r.r:�. ,:�'
>{oiS:}•°c.��s.�_�v',',�;��� ! '�• u'::��'�z T�.�rK��;��,;�.5�^ � . �-.r„z:-.,.�..�-,
.��a�� � j .0 i6C•+••'•�� \y�v:':> .�' �4Y: .;,;e•.C:.f,'3�'••i:. :'J�'� ...ni'.; ' ._("'s�si;,::yiY.• r J • 'n,' !• tii
�iy t'A• ,+� ,r..'r,-r�:u ,ti:,f�. -o-�.i ���,� ..L��: �9Lr�!1yw�c��..l�i�••.: .�:N���i'^!f���,� ♦'F' A � d��f�
��y.�F'� �:t' _ ?��Y:c,F'.�.h'' _ . ..i.; _x.,: = _y: ..cC,"-;i.t�' .'•r::��-�°.=-
:`.• n5:.- :rC'S� �'':..>,:.a,.,,,; <'�-�; �.�''.Y` _ a a^:•. �• f��'
,;,�' �..�... ",E. r_ '`�1;, r.�:°=..
tir _�y,�+(�', +.;c��t�� ,y .7;.�;.. ;�; _ `::T(w�o: �'�"'.�.�,�• ;..
�}:�" s 1•�Vl - - �i�:• .:'J:. .,�.y Tti y-...�.. ��
'1 'vf/�. kC' -� -iT
.vC�r. [..1k�:�f A �+Y� .��.i���.u::�"'�I' �f ] � ��"N
.lu.' t1E„-Lt��• ':F•. +Y'�,n,';: ;w�``i�,`� '�u..uv A.�. :lia"��,••:�1, :`i�.�j, ':y4'Ir�,.�'�.
.r' r� y �r.3,�<'0e n=r..':...,w.. .;.:. s.,i�r<s .r.y+.i�!�. � +' ,.s,:ar
�i{.'i, 9a �'-',' k'SF'� ;'z,;� �. d�l'j�t . ,i;-
.�i� '•n,' K
�Tf:�',
� � - •s.'
�i�
.�
- P. y� .a•.
�� - w
dr :4.` �€,
:�.., ��•`' r.�. ..�7
-�.:
�t a�.,
',�.��
:•�°�:;:
?ri� ,. ,�.
� �E�_
�!X' f.Y '�
t'
:'��
�r :�� -q
��§�:
'N:7� 7
rt• y�
�.. 3:
.Y_ ���a,�:
i�i�~ -�
i r"� �.. ...�.�:t..... ..r:��
Y` l '�u rt^"�,` ::�:� �
v,f y - ^,`);�t ,.�•°i:c'i:�,i;'
nU ,.� +.�.,
+,1.F:
(ii;< ,,1. .�k�«
� n��;w
.i'=::+.
,}�i� ,'j' .,�
:,r�: .l-•.:.
i.:-k,- �
;�E!}�y;e ,�, :�1.
+, -�sr n.�.
.Y*�!'" �S�65.. .. . �!t'•: C� .1
r..9"� f .�
.,.�i:�' J3,.
� ,�`.. �_�' - �,:�:=:..
_�x� ��:�z�;. - z..-.
-� • ", �. ,. :,:t� ;:<;:._ .�.,
a `C• ii"' �'`-'n" •°.-+�-.'��- +).`. -
.� ,�.. '��;f„' `- !rL ;��` '.:f�� - '.::5 ^.'.'�-l:i...� ,YYo ,:.'k,,..;.:.
'�; � ;�y .1.Ca Y�C+?s=, i.i:' - Lq::L;; �-, 3�c.
-!.', t ^`i.r -,t '� '�' -
!?_, :.;,. :a`':' •4;���C_ ,r,:^�o.::;,::
.� �tn - ^">t--'r:� - :.�.,1,:�:; ,P�=' �iu,"�.•y ,y,�,
s-� v .'.4i�»:: ..y4!� .':.d��t. .n :•�"IE•..r.7 :::T..*K� •n.�.,,.��. -
��',�� ����.'Yi�c<;.'k,..:�•,�.�!s ..��: .�4`�'' r;n• , ��iq:�.��+':+. .ib�t�Sg.� ;.r.
- - - - _ _ `-=`�. ��-_0..�
.���
-
,^.,
�'N L�.
V�.. - ar-�.
`7 x•
-`,.',a. .;a.-:�.
`ti� ~'3�ti�+
f ��S+h�. r:�C:`�s:Y :;t... y�'ay._ '��! Ji�. :�.''r.'.i{�.:::•i_
.+S'a•..i°'J
�-^7 - . ... r •��:+.�.i.,r�•�i'��r•-.�3. y� ���r. �
.b.+ !. �..4.:....•'4y"`M1 ���'+' �'Ti.�� �� �' 'V•'
�'� i ,�i:y'`�i� , .
.r �„�^ c�:";..,•
���4�� �.%1"' '�:�;h:�t. r ..:.yC•:�,'... •iG,'s" � _ �� •ti: 'C• •�t_:
4 f� 1 9;'.L,: ...c....::'. .t� -��,� sCfi.'r.{:.
.�{ •} { .ti.2� �-s.4 _: . t`rit::�u �'ti"t. l� .'
yy, ,YL•,v,'_•�•: i YV�"V,F• '� > { ::'l;.Y�:
�•'�' 4:��` 'l• Kv����i��tiia�R.,�f�;�'��,,7b� y
`T`..",��'i�'�.�.[i'���.�.'a��,.' w��r:'t�'`°'C�'t'Yr;!.f'.''� n..0 �.:'_;].i'�:�..+..r�9 � � .:
� .:;r.�r�..�srs:fi�n;�s-.�,;.. :u:-''•"•'£��'�r�-' V ' S " L�FS�
'�''4 .: ��';i:5. -+,.. x
a .,i -'..fi�� %F a.�.� ,`'�G�.''_."�r'-'��,c4aE.� f"'•es.'ii r'� �4 � �i
. ��f�r,���.�r ,fi,r. ��y.; ,�:'F^y" �t
-.�1�i!�� R`'�'�•.�F`""'a'ryk<.,•...'Y3�y�-µ�(��`=��'"'�`�� �`= '�., .
.'�i'�l ^ .SF:.:G��`?1JI�. ..Y�'C�.;;i•��.,-�F�'��V����' 6q. I �
�f�. �..r�y '�e-' ai,;TrLf�*.(;y� .,�., ...F."J•s-`=�w,�,�%3l� � 'd""%i� .L�. A
1��e.�'�i.a F.y, k�,�,'r 'rQ;v?t�:.'�
'���:R,:.;�•Y�,v;,�h�7�n'•x„7'�%',.q �.�:'���`� '_F:.�.:
�c *�.., i7�t1 �:.1.
,�'•
��
4 t;
Nov 201402:52p Magnum Demolition 813-2603725 p.1
V
•,..:..
�Li`•..: ." �'. ... ..
Allagnum Demolition ..�__
Z720 Surrey Trail
Wimauma, FL 33598
Phone: 813-938-1$18 � .:: ,. .��: ,
z-�,..
FACSIMILE TRANSMITTAL
To: C�ty of Zephyrhills ax#: 813-7$0-0021
Attn• Jackie
From: John Varrati ax#: 813-260-3725
Pages: 2 ate: November 20, 2414
Re: Contractor Asbestos Notification Sta ement - 38329 15'b Avenue
Attached is the compieted Contrac or Asbestos Motification State�nent for
Permit #I5766 for the project loca ed at 38329 152h Avenue. Please contact
me at 813-938-1818 if you need any further information.
�
�
Nov 2014 02:52p Magnum Demolifion 813-2603725 p.2
• a CITY Q ?�PHYRHr[�LS
( �� Flfii(gA n�.'Z Of .p�Z'@ WSt4°Z'rJ
�v�
Bui ding aepartment
' S33S Eighth S et�Zephyrhills,FZorida 33542�312
(813 7 0-0020 �Fax(8l3 780-0021
W.A."Biil"H�urgess
Diractor of Building
licensing&Zoning
Contractor .�sbesfos N tification Statement
Per Flarida Bailcl�n Code 105. Asbestos. Tlie enfo cin a shall nire each buildin ermit for �
ti�e demolitiqn or renovation of an existin stcucttcre ta ontain an asbestos natificatian statement which
indzcates the owner's or o ator's ansi`bili to ca I with the rovisions of Section 4�i9.003
Flozida Seafutes and to no tiie De rtment of En 'ronme�atal Prntectio�n of his or her intetttions ta
rena.ove asbesta wheB a ticabie in aceord�nce wi state d federal]aw.
469.Q43 L3lcense Reqnired—
' 1. No peison may conduct aa asbestos ey,develog az�operation and maiu�enance plan,
�� or monitor and evatuate asbestas abate ent unless bra.ined and licensed as an asbestos
eonsultant as requimd by this chapter.
2.(a) No person may pnepare asbestos aba ent specificarions unless trained and licensed as
an asl�estos consultant as rec��ired hy 's chapter.
(b) Any peraon engaged in the business o asbestos�xaveys priar to October 1, 1987,who
3�as baen certifie@ by the Deparirnent Labnr and Employment Security as a certified
asbestas sxuve�ar and wbo izas compli d vviith the training requirements of S.
469.013(1)(b),maY provid�e survey se 'ces as descnbed in S.255.553(1},(2)and{3).
`Fhe Depar�nent of Labor and Emplo ent Security may,by nile,es#ablish vio�ations,
disciplinary praoedures,and penalties or+certified asbestas surveyors.
3. No person may conduct asbestos abat ent work uwless Iicensed by the departrnent
under this chaptez as an asbestos contr ctor,exeept as otherwise provided in this chapier,
I certify that I have read and understand and will camp y with the provisions of this asbestos notiScation
staterue�t and that I wi[�camply with all state and ferl reg;alations pertaining to asbestos,
a�a� ��"n?'Z�
i e Hdlder/Co�ztraetor Signature Date
�jAR�A i� �"��-�N � i Z 9 �
License fiolder/Contractor Printed Narne Liceuse Nuznber
3�3 2 9 r s t�. �v�. �� �a�,���.s �� a3s�2- �s�s�r
Address ofConstruefiion Site
� � 5���
P�rnnit Number