HomeMy WebLinkAbout16-17148 � i CITY OF ZEPHYRHILLS
I 5335-8TH STREET
�sis��so-oozo 171,.48
PLUMBING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit#:17148 Issued: 3/10/2016 Address: 5518 7TH ST •
Permit Type: SEWERLINE REPLACEMENT ZEPHYRHILLS, FL.
Class of Work: SEWERLINE REPLACEMENT Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 700.00 Total Fees: 46.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 46.00 Date Paid: 3/10/2016 Parcel Number: 11-26-21-0010-08900-0160
CONTRACTOR INFORMATION OWNER INFORMATION
Name: DENNIS WILLIAMS INC/PLUMB CRAZY Name: A&B VENTURES LLC
Addr: P.O. BOX 3039 Address: 5518 7TH ST
ZEPHYRHILLS,FL. 33539 ZEPHYRHILLS, FL. 33542
Phone: (813)782-9520 Lic: Phone: (813)779-8895
Work Desc: SEWERLINE REPLACEMENT
APPLICATION FEES
SEWERLINE 46.00
INSPECTIONS REQUIRED
FINAL
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1 ,
REINSPECTION FEES:(c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this properly 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.
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
"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 and Fee Must Accompany Application. All work shall be perFormed in accordance with City
Codes and Ordinances.
� Complete Plans, Specifications and Fee Must Accompany APplication. All work shall be perFormed in accordance with City
Codes and Ordinances.
�`��hC�� �,�..�v.�;� ,
� CONTRACTOR PER OFFI �
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
� �� s;�aso-ooza City of Zephyrhills Permit Application Fax 813-780-0021
8uilding Department
Qate Reseived '��- � • "Phone�Coo#�cffor Permltting, !�� ��`�-' •
4wner's Name � V Q-\ i�-��S ���. �nrner Phone Number
Owner'sAddress ��IV ��� � • Zh�`\� OwnerPhoneNurinber � �
Fee Slmple Tltleholder Name � � Owner Phone Number � �
�
Fee$imple Titleholder Address '
JOB ADDRESS �_���� ��h �� �'�-t' �f��,�,�.`J �-�-- '�J3��� LOT# L�
SUBDIV�S�ON �— � PARCEL ID# , ` �-c��-�}��`C���`��C�{��
(OBTAINED FR4M PROPERTY TAX NOTICE)
WORK PROPQSED � NEw CONSTR ADDIALT Q SiGfit Q Q DEMOI.ISH
INSTALL R�PAIR
PROP4SED t)SE Q SFR Q CAMM [� OTHER
TYPE QF CONSTRUCTION Q BLOCK ' Q FRAME 0 STEEL. [�
DESCRIPTION OF WORK ` ��.t..�`e-'(� �Vl�� �l.r-C,���-�"�
BUILDiNG 812f r� � SQ FOOTAGE��� HEIGHT C____,�,�
�8���'����'' $ , I VALUATION CIF TOl'AL CONSTRl1CTiON
.J
QE CTRICAI. � � AMP SERVICE Q FROGRESS ENERGY Q W.R.E.C. �
P�u�s��� $,-�Gt� c�� � �1��
OMECHANICAL $ VF►�UATtON OF MECHAN1GAl INSTR�LATION `t '
OGAS Q FtOQFINfa Q SPECIALTY �� OTHER � F f f �/
FINISHED FLOOR ELEVATIQNS FLOOD ZONE AREA QYES. NO �%Y�l �
BUiLDER COMPANY
SIGNATURE REGI3TERED Y/ N FEE CURRE� Y/N
Address Llcense# �� I
ECECTRtC1AN COMp/W}(
SIGNATURE '� REGISTERED Y/ N FEE CURREA Y/N
Address - License# � �
�t1�5 c.���11�cx.c�`t1S t 111C, c�..cY�S� 1 t�C..�
SIG AT URE '� COMpAt+iY ��1� �t�`ti C...
REGISTERED Y/ N FEE CURRE� Y N
Address J�� {���5�. ��tl�l LllS �'�. ����o� License# �,����,t��JtD�o��
MECHAi�i[CAt. COMPANY
SIGNATURE REGISTERED Y,/ N FEE CURRE� Y/N .
Addre�s � License# � �
OTHEfi COMPANY
- SIGNATURE ' REGISTERED Y/ N . FEE CURRE� Y•/�N
Address � �tcense# �— ��
RESlDEMTIAI. Attach{2)P1ot P.lans;�{2)sets:of:Buitding'Rlans;(1}set of Energy�Farms;R-O-W Peririit for naw construction,
Minimum,ten,(1.0)working d"ays after subrrilttal ilate. Required onsite,�Constiuction Plans;°Stormwater Plans w/Silt Fence installed,
�Sanitary Facilides&1 clumpster Site Wot1c Rermit for subdivisionsAarge proJects �, . � � _ _
� GQABi�EFtC1A[. Attach{3}compliefe sefs of Bu3ldtrig P1aris plus a l.lfe Safe#y Page;{1)set af Energy Fotms.R-C�W Permit#or new construct�on.
Mlnimum ten(10)working days after submithal date. Required onsite,Construckian Plans,Stormwater Plans w/Silt Fence installed,
Sanlfary Facilides&"1 dumpster.Site Work Pertnit tor all new projeots;All commercial requlrements must meet compllance
S1�N PERMIT Attacti'{2)'sets af Englsieered�P.lans.°- .
"`"PROPERTY SURVEY required for all NEW canstruction.
Dlrections: .
Fiil out applicatlon completely.
Owner&Contractor sign back.of appficatfon,noiarized
If over$2500,a Notice of Comm�ncernent is�requlred. (A/C upgrades ovef�7500)
'" Agent(fpr the ccintractor)or Powe�of Attamey(far ihe owner)would be�someane with notarized letter from owner autharizing same
dVER THE COUN7ER PERMITTtFiG' ,,' (Fr6nt.of-Appticatian Oniy}
Reroafs if shingles Sewers '�SerSice Upgraiies A/C � Fences(Plot/Survey/Foatage)
Drlvewaya-Not over Counter tf bn putiitc roadways..needs ROW a �
y : =
NOTICE OF DEED RESTRICTIONS: The undersigned undergtands��th�t this,peemlt.may.be:subJect to"deed"restrictions" � ,
which may be.more-�r.est�ictive.�th�n County:+�egulat(ons: �The=underslgned'`as'sumes�esponsibtltty for`compliance with�'any
appqcable deed reshictions. . • � .
UNLICENSED._CONTRACTORS -AND CONTRACTOR RESPONSI�ILITIES: �=If the owner has htred a conhactor or �
contracto"rs to undertake work, they may.be req,uired�to�be licensed In_accordance.with state.and•local regulations. If�the
contractor_is not.ifcensed as cequlced.-by law, both°the owner and-cont�aoto�=may be-cited for�a-misdemeanor violatton
under state law. If the owner or intended:contractor�ar,e.uncertain as to what Iicensing requireKnents';may�,apply�_for�th'e �-
intended work, they are advised to contact tFie Pa§co County Buiiding"Inspection�Division—Ltcensing Section at 727-847-
8009. Furthermore, tf the owner has'hlFed a confracfor o� contracfors, he ts advised to have the contractor(s). slgn i
portions of the "contractor Block° of thls application for whtch, they will.be r.esponsible. If you, as..the owner'sign�as fhe
contractor, that may be-an indication fhat�he is not.properly�flcensed and is not entitled to permitting privileges in Pasco
County. - • ' •
TRANSPORTATION:IMPACT1U71LITIES=IMPAC'�ANb�RESOURCE RECOVERY�FEES:�The undereigned�unde�stands '
that Transpo�tatbn Impact Fees and.Recourse Recove.ry.Fees may�apply�.to�the construction of new.bulldings,.change�of - I
use in existing build(ngs;�-or�expansion:of;existin,g:�6uildings, as speclfled in Pascq County Ordinance number 89-01 and
90-07, as amended.,, The undetsigned also understands, that:�such fees,�.as,tnay be�.due;.:wfll.:be identified at the�time of �
permitting. tt Is furtfier understood that Transportatlon ImpacC Fees and�Resource Reco�ery'Fees must be pald prior to '
receiving a "certiflcate-of=occupancy" or flnal power�release. :Ifthe proJect�;does:not(nvolve:a:certiflcate of occupancy-o"r
final power release, the�#ees mu�t be paid prior to permR Issuance. Fu�thermore;�if Pasco County�Water/Sewec�impact , ,
fees are due, they must be�paid prior to permit�issuance-in.accordance witH applicable Pasco�County ordinances.
CONSTRUCTION LIEN LAW�(Cfiapter T13� Florltla St�tutes�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� Llerr_L'aw—Homeowne�'s
Protectfon Guide" prepared by the Florida Department�of Agrlc.ulture and ConsumerAffairs. If the appllcant is someone
other than the"ow�er", I certify that I�have.obtained�a-copy.of the above..described docur�ent°and.promise�in,good�faith to
deliver it to the"owner"prioc:toscommencement. � • �
CONTRACTOR'S/OWNER'S AF�IDAVIT: I cer�t,ify that all the..information in thl.s application is accurate and that all work
will'be done in compliance with all appUcable'laws regulating construction. zoning and�land-development. Appltcation is
hereby made to obtain .a permit to do_work::.and installatlon as indlcafed:-�; °I cenify that no work�or Installation has
commenced prior to issuance of a permit and that.all work will be pertormed to meet standards of all laws regulating-
construction, County and City codes, zoning regulatians, and land development regulatlons-in the�jurisdfction.. I aiso
certify that I understand that the regulations of other government agenc(es may�apply�to the intended work, and that it is
my responsib(lity to Identify�what.actPons I must take.to be<tn:.corr�pliance: Such agenoles Include but-are:not Ilmited to:
- Department of Ehvironmentai�Protection-Cypress Bayheads, Wetland Areas�and Env(ronmentally Sensitive
Lands, Water/Wastewater Treatment.
- Southwest Fiorida Water Management: .District-Wells, Cypress.��Bayheads; Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawails, Docks, Navigable Waterways.
- Department of Health 8 ReMabil(tative Services/Environmenfal Health Unit-Wells� Wastewater•Treatment,
Septic Tanks. ,
- US Environmental Protection Agency-Asbestos abatement.
- Federal Avlatlon Authority-Runways.
I unde�stand that the following,rest�ictlons apply to the use of flll:�
- Use of flll ls not allowed in Flood Zone°V"unless expressly permitted.
- If the fill materfal is to be used: in ;Flvod Zone "A", it. (s understood that a drainage plan address(ng a
"compensating volume" wiil be submitted at�ime of permitt(ng which is prepared by a professional engineer
Iicensed by the,,State-of�Florida:
- If the fill materia).Is to be used in Flood Zone 'A" (n�connection�wlth.a�pecmitted buiiding using stem wall
construction, I certify that fill:virlll:b.e used only.to fill the area within the stem wall.
- If flll materi"al is to be used in any area, i certify that use. of such flll will not adversely affect adjacent
properties. If use of flll is found to adversely.affect adJacent�properties, the owner may be cited for violating
the conditions of tFie"building_permit issued under the attached permit application, for:lots less than one (1)
acre whlch are elevated�by flll,an engtneered dralnage plan is required. - . _
If I am the AGENT FOR THE OWNER, I�promise In good faith to inform the-owner of�the permitting condittons set forth in
this affidavit prior to commencing construatlon. I understand that a;separate permlt may be requlred for electrtcal work,
plumbing, signs, wells, pools, air condittoning,.gas,'or othec Install�tlons nol.spec�flcally inclu�ied�in the appiication. .A
permft Issued shall be construed to be a'Iicense to p�oceed with the work and not as:authority to,violate, cancel, alter, or �
set aside any provislons of the techn(cal codes; nor shall issuance�of a.permit.pcevent the Bulldirig O#�icial from thereafter �
requiring a correctlon nf enors In_plans, con§fruction or violatlons of any codes.. Every permit Issued shall become invalid
unless the work authorized.by such permit:�s-commenced•within sfx months of permlt issuance. or If work authorized by
the pe�mit is suspended or abandoned foca.period of�six�f8)�montF�s:after the time the�wot`k is commenced. An extension
may be requested, in wciting,.from the Building,Official for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for.the extension. If work ceas�es.for ninety(90)cons.ecutive:day.s�..the Job is considered aba�doned.
VIiARNING TO OWNER; YOUR.FAILURE�TO..REC.QItD.A NOTIGE OF-COMMENCEMENT<NtAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS-TO YOUI�:PROPERTY.�IF�YO.U�IN�END�"TQ�OBTAIN�FIPtAt�CING;�CONSULT
WITH YOUR LEND�R OR AN ATTORNEY��FO'RE�RECOR�ING YOUR��NO'TICE`OF��OMIVI�NCENfE�T�� __ -_ _ _ __
- FLO�Il7T1'JUIZAfi(F.5..117.03)= _ - - ; �
OWNER OR AOENT �'����""""Y� CONTRACTOR I�� 105��� ��
Subscrlbad and swam to(or aflirmed)before me this Subscribe - nd'swom to( r afflrmed)�before me th(5
bY ��/Or�� •bY
Who Is/are personally knovm to-me or has/have.produced Who is/are p.er��own to me or has/have-produced. •
as IdentlOcatlon. < as Identlfloa0on.
Notery Public J � Notary Public
Commisslon No. Commissi�n o.
'*�� yes:= Commission#F�G 042
Name of Notary typed,printed ar stamped Name of Notary type " o,'s @�1 ecem er 12,2018
''�R�i�4�'' Bonded Thru Ttoy Feln Insurance 800385-7019