HomeMy WebLinkAbout16-17196 r ,�
CITY OF ZEPHYRHILLS
5335-8TH STREET
' �si3��so-oozo 171
PLUMBING PERMIT
PERMIT INFORMATION . - °` LOCATION INFORMATION . -
Permit#:17196 Issued: 3/24/2016 Address: 5906 AVOCADO ST
Permit Type: PLUMBING ZEPHYRHILLS, FL.
Class of Work: ELECTRIC SERVICE REPLACEME T Township: Range: `
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 150.00 Total Fees: 40.00 Subdivision: COLONY HEIGHTS
Amount Paid: 40.00 Date Paid: 3/24/2016 Parcel Number: 12-26-21-0260-00400-0250
� CONTRACTOR INFORMATION - - � OWNER INFORMATION
Name: HOMEOWNER Name: RAMOS MOISES
Addr: Address: 5906 AVOCADO ST
ZEPHYRHILLS FL 33542-3843
. Phone: Lic: Phone: 813-715-2516
Work Desc: MOVING PLUMB LINE AND ELECTRIC FOR WASHER DRYER LOCATE TO GARAGE
' � APPLICATION FEES � - .
PLUMBING FEE 40.00
INSP NS EQUIRED � � ' -
1ST ROUGH PLUMB
2ND ROUGH PLUMB �
SEWER
W�In,nn r,,
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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 pertormed in accordance with City
Codes and Ordinances.
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CONTRAC O PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
, _ �
s��.�so•oozo City of Zephyrhills Permit Application Fax 813-780-()Q21
Building Department
Data Received_ � '�
Phone Gontact far Permlttin -
Owner's Name ��� �5�5 ��`�--S Owner Phone Number S ��� �.�j C� ��
� � ��
Qwner's Address ��{1 G (} Gi�"�O 3'3S' OwnerPhone Number '
i
Fee Simple Tltleholder.Name �� � Owner Phone Number �� �
�
Fee Stmple Titleholder Addres� °
JOB ADDRESS S�/a� ►"'r���-�' � � ' �'- ' ` *
S t""L ,,�-�S�2-- LOT#
f C._
SUBDIVIStBN b 3�S ��� �t S„ S�� � PAi2CEL ID#
(88TAINED FROM PROPSRTY TAX NdTICEj
WORK PROPOSED � NEw COHSTFt ADDtALT � S1GN Q Q DEMOLISH
' e INSTALL REPAIR
PROPOSED USE Q SFR [� COMM [,� OTNER
TYPE OF CONSTRUGTION [� BLOCK ' �Q FRAME [� STEEL CJ
DESCRIP710NOFWORK �C�.��._ Gtl�-3k;+� �r����= �Q. P� f �03-�' �-- (,{�s�� 11�1'
8UilDING SfZE � t SQ FQOTAGE ��v�� HEIGHT C�,�
09UILDlNG ��� VALUATtt)N`C1F TOTAL CONSTi2l1CTIdN
�QELECTRICAL � $ lJ ,. �,,,,�.,, RMP SERVICE Q PROGFtES5 ENERGY Q W.R.E.C.
�/
QPLUMBING � • $ � ��
r �� ��f��
�MECHANICAL $ VALUATIdN OF MECHANICAL INSTALLATION
C]GAS [� ROOFING [� SPECIALTY C] OTHER
FINISHED FLOOR ELEVATIQNS r�� FLOQD ZONE AREA [�YE5 NO
�
BUILDER �� ..__ �d'�P�9PAPIY
SIGNATiJRE REGISTERED Y/ N FEE CURREA Y/N
Add�ess License# � ��
ELECTRICI ���d ,�. COMPANY� ��iG/I�' '�C..�
StGNATURE ���� ' R�GISTERED / N FEE GURREA Y 1 N
�d«� �Ucense# �� �
;�CPLUMBER �, d�� ��,�I��-�t�„
�71��i� CQMPANY
SiGNATURE W REGI3TERED Y/ N FEE CURRE� Y!N
Address l.lcense# � �
MECHANICAL GOMPAMY
SIGNATURE REGISTERED Y,/ N FEE CURRE� Y/°N
Address I.icense# � "�
OTHER COMPANY
51GNA7URE REGISTERED Y/ N FEE CURRE� Y/N .
Address Ucense# �- �
RESIDENI"iAL AHach(2):Rlot P.lans;(2)sets.of Bulidiing,`Plans;(1)sef of E'nergy"^Forms;;R-0=W Perr'►rnit.for new.,construction,
Minimum�ten:(.10)working;days,aRer.subinittailiiate.�Required onsite,Constivcdan-Pians;�Stortnwater Plans w/Stlt Fence installed,
Sanilary Facllitles&:1;dumpste_r.,;Slte>Work:Petmit for sutitltv�stbns!large projects. "`-
COMMERCIAL Attach(3)compiete sets of Bullding Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new constructlon.
Minimum#en(1b)working day�after submlttal date. Required onsite,Constnuctian Plans,Stormwater Plans w/Silt Fence installed,
Sanitary FaciliNes&1 dumpster.Stte Work.Permit for all new:projects.All cammerdat requirements mvst mest compttance
SIGN PERMIT Attach'(2)"sets of Engineered�Rlans.� � °-o� '
"*'PROPERTY SURVEY reyulred for aIl NEW construcBan.
Directlans:
Fiit out epplica8on completety.
Owner 8 Contractor stgn back af appllcation,natarized
If av�r 5250Q.a Notice af Cammencement is required. {AtC upgrades over�7500}
" Agent{for the contrac'tor)ar Power of Attomey(fo�ttte owner)would be someone with notarized tetter from awner authartztng same
DVER THE CQUNTER-PERMITTlNG- (Front of Appllcatlon Only} _ _ � - - '; ; , � , .
Reroofs tf shtngles Sewers � Seryice Upgrades A/C Fences(PIot/Survey/Footage) ' . " "
Driveways-Not over Counter if on pubifc roadways..needs f2QW ,
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NA710E OF DEED RESTRICTIONS: �he undersigned�understandsithat.this.p�r:mit.may be.subJect_to,"a�ea"restricttons"
which may be:�more.-rest�ictive:�th�Fl Gounty�regulatlons. �The'u'n'd�rsigned�'assumes=responslbiltty for�compitance viiith"any
appflcable deed restrictions.
UNLICEPISED CONTRAC�ORS .AND .CONTRACTOR RESPONSIBILITIES: If the owner h�s -hired a contractar or
coMractors fo undertake work, they may be;r.e,quired:to:,be,�licensed In.accoedance.with-�tate.and•local regulations. If the
contractor ts not:iicensed as required"by law; both the owner and-contraeto��may be-clted�for�a misdemeanor vtolation
under state law. If Qhe owner or intended�contractor.:are•uncertaln es to what Iicensing.requlrements may apply-�for the
intended work, they are advised to contact the Pasco County Bulldin8 Inspectlon Divislon—Llcensfng�Sectton at 727-�47-
8009. Furthermore, (f the owner has hired a contrac4or o� contractors, he is advised to have the contractor(s), slgn
portions of the "contractor Block" of this apptbation for_which they wii! be respoeaslble. if.you, as.,the owner'sign as the
contractor, that may be�an indicatfon that he�is not�.properly Iicensed and-is not entitled to pemiitting privileges fn Pasco
County.
TRANSPORTATION IMP�►CTIUTILITIES�IMPAC�'ANb-RESOIIitCE RECOVEltY�FEES: �The undersigned�understands
that Transportatfon Impact Fees and.Recour�e Reeove.ry.Fees may�apply��.to.tf�e construction of new bulldings, change•of
use in existing buildings;•or.expansion�-of�exi�tin�'�buildings, as sp�c(fled.in Pasco County Ordinance number 89-07 and
90-07, as amended.,_The undersigned �Iso,understands, tha�t.such fe�s,�as�may be�due;;�will:�tie identified at the�tim�°of
permit�ing. It is funHer understood that Traasportation.Impact Fees and�Resource Recov.ery�'Fees:.must be paid prior to
receiving a "certiflcate.of occupancy'" or flnab-p�wer�release. :If the project does:not(nvolve:a certificafe of occupancy or
flnal po�rer release; the fees mu�t be paid prlor to permit Is�uance. Ft�tthermoe,e;�if Pasco County Water/Sewer Impact
fees are due, they�must be-pald.prior to permit-Issuance=in accordance with applicable Pasco�County ardinances.
CONS1'RUC'TIOPI LIEPI'I.AW(Ch�pter 713, FlorJda Statutes�as amendealj: if valuatlon of work is�2,500.00tor more, i
certify that I, #he applic�nt, h�ve-been provided with a copy of the "Florida�-Constructton Llen Law—Homeowner's
Protectlon Guide" prepared by the Florida D�partment of Agriculture and ConsumerAffairs. If the appllcant is someone
other than the"ow�er�, I certify that l�have.obtainedta copy.of.the above..described docui�ent°and.p.r.or�ise In,good faith to
deliver It to the'owne�'•prior.�to�cornmencement:
COPIT�ICTOR'S/OVIINER'S AF�IDAVIT: I.ce'rtify�that all the Information.9n�thls application is accurate and that all work
will'be done in compllance wifh all appUcable laws regulating construction, zoning and�land development. Appltcation is
hereby reiade to obtain .a permi! to .do. vuork.and InsQallation as Indtcefed:�- 'I certifjr that no work or Installatlon has
commenced prior to Issuance of a permit and that.all work will be perfor�ed to meet standards of all laws regulating-
construction, County and City codes, zoning regulatians, and land development regulattons�in the jurisdlction. I also
certify that I understand that the r�gulations of other government agencies may�apply�to the intended work� and that it is
my respmn��biliQy to iden�9��what.act(ons I must take M be�in�.coralpliance: S.uch agencles Include but-are not Ilmited to:
- Departrnenf of E�vironment�i Protection-Cypress.�Bayhead�; INetland Areas and Envlronmentally Sensitive
Lands, WatedWastewater Treatm�nt.
- Southwest Florida Water Mar+agement: .:District-Wells, Cyprass.�"Bay.heads; Wetiand Areas, Altering
Watercours�s.
- Army Corps of Engtneers-Seawalls, Docks, Navig�ble Waterways.
- D�partment of 9iealth & ReMabl84ative Seniices/Environmental Flealth lJnit Well.s, Waste.water�Treatment,
Septic Tanks: � ,
- US Environmental Protection Agency-Asbestos abatement. __ _ _ _ _ _
- F����d��viaif�n P,u4�o�t9y-�unw�ys.
1 under�tand that the following;restrictions apply to the ase of flll:�
- Use of flil is not allowed in Flood Zone"V"unless expressly permEtted.
- If the fill m�terfa9 Is to be used: in.�Flood Zone. "A°, It. is und�rstood tha�t a drainage plan addressing a
°compen�ating volume" will be submitted at#irme of permftting avhich is prepared by a professional engineer
Ifcensed by the.�tate�of�Florida: .
- If the fili materlal is to be used in Flood Zone °A" in�connection�wlth:a�pecmltted building using stem wall
� construction, I certify that fiill:wlll:�b.e used only.to.fill the area within the��tem•wall.
- If flll material ls �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 adverse�y.�ffect adJacent�properties,.the owner may be'ctted for violating
the condl#ions of the"building,permit issued under the at�ached permit.application, for:lots I�ss than one (1)
acre which are elevated�by flil, an engineered drainage plan Is required. .
If I am the AGENT FOR THE 01fl�Rl�R, I;promise In good faith to inform the owner of�the permitting condftlons set forth In
this affidavit"prior to commencing construction. I understand that a#separate permit may be requtred for electrical work,
plumbing, signs, wells, pools, afr condttionfng,.gas, or othec installations not•speciflcelly inclu�ied-In.the application. .A
permit Issved shall be constn�ed to be��Iicensa to proceed with the work and not as authoNty to.viol�te, cancel, alter, or
set asfde �ny provislons of the.technical.codes;�nor shali issuance�of a.permlt.prevent the Bulldirig O#ficial from thereafter
requiring a correction.af e�rors in.pians;construct9on or violatlons of any cod�s. Every perm(t issued shall become invalid
unless the work authorizad.by such permit:�ls_commenced•within sUt months of permit issuance, or if work authorized by
the permit is suspended or.abandoned for a�:period of six E8)�rr�onths..after the time the�work ts commenced. An extension
may be requested, in writing, from the Building;Offlciai for a perlod not to.exceed ninety(90) days and will demonstrate
justi€iabie�ause for.the extension�. If wrork ceaseS:for nlne�r(90)cons.ecutive:day.s�..the job�is conside�ed aba�doned.
WARNING YO OWNER: YOUR..F141LURE TO..RECORD.A MOTIGE AF-COMMENCEMEt�T:NtAY RESULT IN�YOUR
PAYING TWICE FO��IMPROVEMEN.TS�TO1FOUt��:PR�PEI�1Y.-IF�YO.tlaI1V��END^T��OBTAIN��FIN�AI�EING;'C�NSLILT
WITFi YOUR LENDEOt10R AI�°A7TORNE1f�EFO'RE1RECOR�IwG�YOU��Cd�T1���`OF'��E4Al11yENC�Nd N�T.
FLORIDA JURA�(F.S:1_17.03) � ' �
OWPYEFtORA(3ENT""//� �� CONTRACTOR �`� /I�r/Q
Subscxlbed and swo to or�ffl ed)bef ine ihis Subsctlb�gd 8nd's �n to(Ar a�rm��efor�rtl,�!ifi
3-Z- - �b by�1M� I S'�S 1 � Wl O � —3 2Y�/,�i .by:_1_. ��/v T s'c'S r�"t V►�o S
Wlio s/are,per�onally known to.me or�haslhave produced Who ls/�re�ersonai kn v4m to me or#�aslhave-produced •
�i.. V 2�l��/•cen�. as Identlflcatlon. 1=C.+ ru I.�YS�c��S-�- as Idend�catlon.
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�� ' G��� � Notery Public . !"/ � ��-2 Notary Public
Com/In s on No Comrt�i� n No. ^��Y',PLO��•' .
;;��"g�e���., JACQUELINE BOGES ;� '��_ Commission#r�� �0422
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Name ot Notary.'ty�i, r�,e�y�(� ber 12 .1 Name ot Not�ry .ed�r-pj��dd�o�laPpp,�1F;� „�.;,,�e�„Q�85•7019
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;s�;,,�� oy Fain Insurente 800.3gg.7019