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Home My WebLink About15-16444 i CITY OF ZEPHYRHILLS ,. 5335-8TH STREET ¢ (sis)�so-oozo 1644 BUILDING PERMIT � PERMIT INFORMATION I LOCATION INFORMATION Permit Number: 16444 Address: 5744 DOGWOOD ST Permit Type: IRRIGATION ZEPHYRHILLS, FL. Class of Work: PLUMBING/NEW Township: Range: Book: Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 12-26-21-0260-02000-1150 Improv. Cost: 500.00 OWNER INFORMATION Date Issued: 7/13/2015 Name: BREWER, MOLLY Total Fees: 672.18 Address: 5744 DOGWOOD ST Amount Paid: 672.18 ZEPHYRHILLS, FL. 33542 Date Paid: 7/13/2015 Phone: (813)810-0646 Work Desc: INSTALL IRRIGATION METER � CONTRACTOR S APPLICATION FEES HOMEOWNER IRRIGATION METER 457.18 IRRIGATION C NNECTION 175.00 PLUMBING FEE 40.00 � Ins ec ions Re uired PL MBING 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 correctio�s not made when inspections called d)work not ready for inspection when called e) permit not posted on job site f) plans not at job site g)work not accessible. NOTICE: In addition to the requirements of this permitl there may be additional restrictions applicable to this property that may be found in the public records of this county, andlthere 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 performed in accordance with City Codes and Ordinances. NO OCCUPANCY BEFO C.O. �1 O R SIGNATURE PERMIT OFFI R PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 1 � . DISCLOSIIRE STATEI��NT FOR OWNFR CITY OF ZEPHYRHILLS BIIILDING DBPARTN�NT I, ��l f�,{ �re�QT have read and fully uaderstand and agree to t e provisioas of this instrum' at. The undersigned states and affirms that he or she is deairous of constructiag, reaovatiag, addiag to or reroofiag his pr her own domicile, that he or she actually occupies, or will occupy by I said domicile, and same is aot for rent, lease or sale. That he or she sh411 comply with the followiag coaditions: 1. That the owaer and he or she alone hall act as the builder for all phases of � ' construction. 2. That the owner will comply with all provisioas of the City of Zephyrhills ordinaaces aad codes pertiaent to t e building. 3. That ia the event various phases oflconstruction are subcoatracted, he will eagage oaly properly liceased subcoatractors aad will personally eupervise such work. 4. That ia the event the Suilding Iaspiector shall require corrections to be made, the owaer will assume full respoasibility to iasure they are made, aad upon completion� will call for a reinspecl�tioa before proceediag with the building. � 5. That the owner shall assume full re�ponsibility for the coastructioa and will aot expect supervision of his work �from the City of Zephyrhills Buildiag Departmeat. 6. That prior to final inspection aay additional feea, includiag reinspection fees, must be paid in full. A writ�ten request from this office shall coastitute an official aotice to pa additioaal fees. 7. That the owner shall comply with all City, State aad Federal laws in regard to social security, workman's compensation, lien laws, etc. , where applicable. 8. That the owaer shall comply with all the safety codes iseued by the Florida ! Iadustrial Commission. 9. State law requires construction to e done by liceased contractors. You have applied for a permit under aa exemptioa to that law. The exemptioa allows you, as the owner of your property, to act as your owa coatractor with certaia restrictions evem though you do ao have a licease. You must provide direct onsite supervisioa of the coastruc a.oa youraelf. You may build or improve a oae-family or two-family residence�or a farm outbuildiag. You may also build or improve a commercial building, provided your costs do aot exceed $75,000. ' � The buildiag or resideace must be or your owa use or occupancy. It may not be built or substaatially improved for sale or lease. If you sell or lease a buildiag you have built or substan ially improved yourself within 1 year after the construction is complete, the aw will presume that you built or subetaatially improved if for sale or lease, which is a violatioa of this exemption. You may aot hire aa un iceased person to act as your contractor or to supervise people working on you� buildiag. It is your responsibility to make sure that people employed by you have liceases required by state law aad by couaty or muaicipal licensiag osdiaaaces. You may aot delegate the responsibility for supervising work to a licensed contractor who is aot liceased to perform the work beiag done. Aay person workiag on your buildiag v�ho is aot liceased must work uader� your direct supervision aad muat be employed by you, which means that you must deduct F.I.C.A. and withholding tax and provide workers' compensation or that employee, all as prescribed by law. Your constructioa m t co ly with all applicable laws, ordinances, building codes, and zoniag r la i s. � OWNER'S SIGNATURE DATE ` �3� ` � ADDRESS' I pxorrs '7�� -- lrL.U��/�g I WITNSSS PSRMIT # __.._ � 813-780-0020 City of Zephyrhilis Permit Applica#ion Fax-813-780-0021 Buildi�g bepartment � , � Date Reaeived Phone Contact for t�ermtttin C}wner'�Name �� ! u�2� Owner Phane Numbe� ��V ^� Owner's Address a Owner Phone Number �� a a lagl Fee Simple Titleholder Name Owner Phone Number � _� Fee Simple Titleholder Address JOB ADDRESS LOT# �� SUBDIVISION �� PARCE ID# (OBTAlNED FROM PROPERTY TsIC NOTICE) % WORK PROPpSED tdEW CONSTR ADD/AL� �'� SIGiV Q Q DEMOLISH INSTALL • REPAI PROPQSED USE Q SFR Q COMM � QTNER TYPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q. DESCRIPTION OF WORK � I � BUILDING SIZE �- � SQ.FOOTAGE HEIGHT C___�_� QBUiLpiNG I$ � VALUATION OF TOTAL CONSTRUCTION �� QELECTRiCAL �� AMP SERVI E Q PROGRESS EtVERGY Q W.R.E.C. �PLUMBING $(�'�� J ( �7 � �� QMECNANICAL $ VA�UATIO pF MECHANIGA�.INBTALLATlQN QGAS Q ROOFING Q SPEGI(�TY � OTHER • FINISh1ED FLOOR EI.EVATIONS FLOO�24NE AREA QYES. NO , BUiLDER �1 C MPANY SIGNATURE l RE 137ERED Y/ N FEE CURRE� Y/N � �4ddress Ltcense# �� ELECTRIClAN ' C MPANY SIGNATURE RE ISTERED Y/ IV FEE CURRE� Y/N Addre�s � Ltcense# �` � PLUMBER CQMPANY SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N I Addre�s License# �� MECHANIGAt. C I MP,ANY - SIGNATURE R GISTERED Y./ N FEE CURRE� Y/N Address� Licanse# � � OTNER C MPANY SIGNATURE R GISTERED Y/ N .. FEE CURRE� Y/N. Address License# � � RESIDENTi1�t; Attach{2)Plot Plans;(2}sets-of:Buitding'Plans;(1}set of Energy�Forms;R-O-W Petmlt far new construc4ian, Minimum,ten,(1.0),working"days,after.submittal date. Required ansite,Construction Plans,Stormwater Plans w/Silt Fenae installed, Sanitary�acillUes&�1 dumpster Site Work Permit for�subdivlsionsAarge.?proJects -. -- � COMMERCIAL Attach{3}aampterte�sefs of 8uilding Plans plus a l.ife Safety Page;{1}set o#Energy Forms.R-C}W Petmit for new construcUon. Min(mum ten(1Q)working days after submittal daks. Required ansite,Construation Plans,Stormwater Plans w/Silt Fence installed, Sanitary FacilfUes&1 dumpster.Site Work Permit for al)new proJects.Al)commercial requlrements must meet corripltance Sl�N PERMIT Attach(2}sets of"�ngineered Plans.u. �� ""'"PROPERTY SURVEY required for all NEW cqnstr�ction. Qicactians: Ffll out applicatian completely. Qwner&Gontractos sign back of appiica8on,naWrized if over�2500,a Notice af Commencement is required. (AtC upgrades over$7500) ,.. . .:.�,:-.••_ � ° ° ` ' � � .. �,....--: . Agent(far the contracfor�or Power of Attomey(far'the awner)wauld be someane with�otarized letter from owner authbriifng'same,,,� DVER THE GOUNTBR PERMITTiNG (Front of Appiicatlon O�ty} ' , �., . ,,,. "„ f Reroofs if shingles Sewers Service Upgrades A/C Fenc (PIoUSurvey/Footage) ;, � :, � � .. "' ,.s: _�•w, �,.._ ..... s.. -�•,_r -,. dr)vewaya-Not aver Counter if on public roadways..needs ROW i y NOTICE OF DEED RESTRICTtONS: The undersigned under�tands<.that.this,.p�rmit may be.subJecfi to,"deed"_restrlcttons" which may be,more-r.est�ictive.than County�+egulations. �The undersigned�-assumes responsibility for�compitance with any applicable deed rest�ictions. � , � . . UNLICENSED CONTRACTORS .AND CONTRACTOR RESPONSIBILITIES: if the owner-has hired a conhactor or contractors to undertake work, they may be required..to be Ilcensed In accordance.with state.and•local regulatlons. �If the contractor is not Iicensed as requlred-by law, both the owner and cont�actor�mey be-ci4ed-for�a-misdemeanor violation under state law. if the owner or Intended contractor�are uncertaln as to what Iicensing.requireRnents;may appiy.for-the intended work, they are advised to contact the Pasco County Bullding"In"spectlon Division—L•tcensing Section at 727-847- 8009. Furthermore, If the owner has hlred a contractor o� 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'-'stgn"as'the contractor, that inay be an indication that�he is not.properly Iicensed and Is not entitied'to permitting p�ivileges in Pasco �, County. ; � TRANSPORTA710N IMPACTIUTILITIES IMPACt'ANb-RESOUitCE RECOVERY�FEES:The undersigned understands ; �' that Transportatfon Impact Fees and.Recourse Recove.ry.Fees may��apply�to:the'construction of new buiidings,.�change of ; use in existing buildings, or�expansidn:.of�}ezistin�`6uildings� as speclfled.in Pasco County Ordinance number 89-07 and 90-07, as amended. The undetsigned also understands, that.such fees�-as�may be�due,:.will,be identlfied at the�`�time of ; permitting. tt is further understood that Transportation Impact Fees and Resource Recovery`Fees must be paid prior to receiving a "certificate of occupancy" or flnal powec-.release. :If the project does not tnvolve a certificate of occupancy.o� � final powe� release, the fees rrwst be paid prlor to permit Issuance. Ft�rthermore;�ff:Pasco County�Water/Sewer-Impact fees are due, they�must be�pald prior to permit-Issuance-in accordance with appilcable Pasco�County ordinances, I CONSTRUCTION LIEN LAW(Chapter T13� Flor�da Statutes�as amended): If valuation of wrork is$2,500.00 or more, I � certify that I, #he applicant, have-been provided with a copy of the "Florida Construction Lien Law=Homeowner's Protection Guide" prepared by the Florida Department of Agric.ulture 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°owne�"prior to�commencement: � CONTRACTOR'SIOWNER'S AFFIDAVIT: I ce�tlfy that all the Inf.ormation In this appllcatlon is accurate and that all work w111�be done in compliance with all.applicable laws regulating constructlon, zontng and:land development. Application Is hereby made to obtain .a permit to do work and installation as Indlcafed.. °I certify that no wark:or Installation has commenced prior to Issuance of a permit and that.ali work will be performed to meet standards of all laws �egulating� construction, County and City codes, zoning regulations, and land development regulations-in the jurlsdtction. I al'so certify that I understand that the regulations of othe�government agencies may apply�to the intended work, and that it is I my responsibility to identify�what actions I must take.to be,In:.corrlpliance. S.uch agencles include but are.not limited to: - Depa�tment of E�vironmental Protection=Cypress. Bayhead�, 1lVetland Areas and Environmentally Sens(tive Lands,WaterMlastewater Treatment. - Southwest Florida Wate� Management .District Wells, Cypress. Bay.heads, Wetland Areas, Altering Watercourses. II - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. ' - Department of Health'& ReY�abilitative ServlceslEnvironmental Health Unit-Wells� Wastewater Treatment, Septic Tanks. � . - US Environmental Protection Agency-Asbestos abatement. , -. � - Federal Avlatton Authority-Runways. � . I understand that the following.restrictlons apply to the use of flll:� -�� - 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", ft 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�connec�ion�with.a permltted building using stem wall � construction, I ce�tify that fill�:wlll�be used only.to.fill the area within the stem•wail. - If fill material is to be used In any area, I certify that .use of such flll will not adversely affect adJacent p�operties. If use of flll is found to adversely�ffect adJacent properties,.the owner may be cited for v(olating the conditions of the building,permit issued under the at�ached permit applicatlon, for lots less than one (1) � acre which are elevated by flll,a�engtneered drainage pian Is requtred. • If I am the AGENT FOR THE OWNER, I,�promise in good faith to inform the owner of-the permitting conditlons set forth In this a�davtt�prior to commencing const�uction. I understand thet a-separate permit may be requlred for elecMcal work, plumbing, signs, wells, pools; air conditioning, .gas, or other Installations not.spec�ically included�in.the application. .A permit Issued shall be construed to be a�iicense to p�oceed with the work and not as�author(ty to.vlolate� cancel, alter, or set asfde any provistons of the technical codes, nor shall (ssuance�of a permit.pcevent the Bulldirig Official f�om thereafter requfring a correction af errors In-plans�, constructlon or vlolations of any codes. Every permit Issued shall become invalid unless the work authorized.by such permit��is-commenced•wtthtn siX months of permit issuance, or if work authorized by the permit is suspended or.abandoned for a:period of six{8)montFis.after the tirne the�wowk is commenced. An extension may be requested, in wrriting, from the Building,Official for a period�not to ex�eed ninety�(90) days and will demonstrate justifiable cause for:the extension�. If work ceases for nfnety(90)cons.ecutive:days�.th�job�is consldered aba►�doned. WARNING TO OWNER: YOUi�.FAILURE TO.RECORD A NOTIGE OF COMMENCEMENT NFAY�RESULT IIV YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR•PR�OPERTY. IF°YO.U�Ifd��'Eh1D''TO'OBTAIN�FIIeFANCING,�CONSULT �W17H YOd! --l.�k� .�Q _�-ATTORNEY�B FORE� ECO � G:� OU ' �� '.O ' °' � E E ENT� FLORIDA JURA'�(F.S.. 17. ) - . _ -�_�_ ____— -- --- - ---_,– -_ --- -- -- — OWNER OR A(iEN CONTRACTaR�J Subscribed an o d) r e this Subscribed and'swom Zo(or affirtnedpbefore me tFils - / �by� Z� �- Who is/are pers to.me or aslhaye produced Who Is/are personal yJcnown�M me or has/have�produced as IdentlBcatlon. as IdendficaUon. Public _ Notary Public ,;�ati • s��.4 � ELINE OGES • Comm�I �;� �k: dmmission Commission No. =;� ,g: p res ecember 12,2018 � P;��t Bandad ihm Tray Faln Insurenoa 8 - Name of Notary typed,p n e Name of Notary typed,pdnled or stamped � \1 µ • � Print Form � � CITY OF ZEPHYRHILLS UTILITIES WORK ORDER I� WATER ACCOUNT NO.: DATE: Jul 13,2015 OWNER/RENTER/BUSINESS:Molly Brewer CONTACT PERSON: Gary MAILING ADDRESS: 5744 Dogwood St PHONE NUMBER: 727-642-2129 Zephyrhills FL 33542 EMAIL ADDRESS: SERVICE ADDRESS: 5744 Dogwood St SHUT OFF SERVICE ❑ ❑ WATER TURN ON SERVICE ❑ ❑ SEWER INSTALL METER ❑X ❑ GARBAGE READ MEfER ❑ ❑X IN CITY CHECK MEfER ❑ ❑ OUT CITY OTHER ❑ DESCRIBE OTHER: 3/4 i�rigation meter NUMBER OF UNITS DEPOSIT AMOUNT AMOUNT LAST BILL DA I MISC. CHARGE � • METER: FULL IRRIGATION 3/4 I WORK COMPLETED BY&DATE ORDER TAKEN BY: Jackie Boges COMPLEfED ORDER GIVEN BY: Revised 9/2010