HomeMy WebLinkAbout15-16757 CITY OF ZEPHYRHILLS
, : -' S335-8TH STREET ��
(sis)�so-oozo 16757 '�
PLUMBING PERMIT �
PERMIT INFORMATION LOCATION INFORMATION. -
Permit#:16757 Issued: 11/18/2015 Address: 38735 6TH AVE
Permit Type: SEWERLINE REPLACEMENT ZEPHYRHILLS, FL.
' Class of Work: SEWERLINE REPLACEMENT Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
i Sq. Feet: Est. Value: Book: Page:
Cost: 1,000.00 Total Fees: 46.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 46.00 Date Paid: 11/18/2015 Parcel Number: 11-26-21-0010-14000-0120
CONTRACTOR�INFORMATION� OWNER INFORMATION
Name: DENNIS WILLIAMS INC/PLUMB CRAZY Name: LASETER MATTHEW
� Addr: P.O. BOX 3039 Address: 38735 6TH AVE
ZEPHYRHILLS,FL. 33539 ZEPHYRHILLS, FL. 33542 '
Phone: (813)782-9520 Lic: Phone: (423)596-3310
Work Desc: SEWERLINE REPLACEMENT
APPLICATION FEES
SEWERLINE 46.00
� INSPECTIONS REQUIRED
FINAL �
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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 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 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 pertormed 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.
1..�����V
�—�� CONTRACTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-78ao020 City af Zephyrhilis Permit Application Fax$13-780-Op21
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� Buftding Department
pate Etacelved C�. �� ��� - ' �'�' �
Phone-Contact forPermttting
Owner's Name �� �� ��'�..�r Ownar Phone Numbar ���-' �-.�'4�Y� ^--�.>>�
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Owner"s Address ��� J� � 1� ��.��.. Owner Phone Number
Fee Slmple Tltleholder Name � � Owner Phone Number � �
Fee Stmple Tltleholder Address
JOB ADDRESS P�XJ 1 J� C.Q�n T'L�"� �2.P�� 1�I'l l��'S,�I_.. ��"���c�. LOT# ��
susaivis�oN � � PARCEL ID# � �' �ll� �c�1 — C�p t� -- i�C.�-�O I c�C�
`� (OBTAINED FROM PROPERTY TAX NOTICE)
W4RK PROPOSED NEttu CONSTR AdD/ALfi � SIGN Q 0 DEMOLiSH
INSTALL 8 REPAIR
PROPOSED USE Q SFR Q COMM C� OTHER
TYPE OF CONSTRUGTION Q BLOCK " Q FRAME C] STEEL Q
DESCRtPT{ON OF WORK t � ` � � S{.'.,.�,r \�'(��
BUIIDlNG SIZE �_.. � St�FOOTAGE C� HEIGHT [`�
OBUIt,D1NG � � VALUAT(ON��O�TOTAL CON3TRUCTION
C]E�ECTRICAl. $ AMP SERVICE Q PR4GRES5 ENEFiGY Q W.R.E.C.
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Pl,UMBING $-
l���.Oc.."`�.
QMECHANtCAL �� VALUATIQN QF MEGHANICA[.INSTALIATlOt�t
Q�� Q ROQFlNG � SPEC1Ai:'IY [� t1THER
FINISHED FLOOR ELEVATIONS �� FI.00D ZONE AREA QYE$ NO
Btltl.DER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURFtE� Y/N
Address Cicense# r ��
�LECi'RICIAHi COMPANY
SIGNATURE � REGISTERED Y/ N FEE CURF2E� Y/N
Address Ucense# �i � I
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PLUNIBER �1'l,'�.,�.�—�-�-s`-r-`�.' COMPANY �-��1`� lh�ll�lC�.`��ti 1►'1c_..-
SIGNA7URE REGISTERED N FEE CURRE� Y N
Addrass ���dV �� S'� �.'�1.tt�'S E�-- ��5�'{ License# r��-�-- ��C.�S tU�ot � i
i
MECHANICAC CQMPANY
SiGNATURE REGISTERED Y/ N FEE CURRE� Y/N
, Address License# �� �
OTHER COMPANY
SIGNA7URE REGIS7HRED Y/ N . FEE CURRE� Y/N
Address License# �_ �
RESlDENTIAL Attach{2j Plot Plans;{2}sets.af.BiiltilingPlans;{1)sefaf�nergy Forms;R-O-W Perinit far nevu constructton,
. Mintmum�ten-(a.0).warking-days-after-submlttal-date:-Requlretl onalte,-Constructlan-Plans;StormwaterPlans w/•Bflt Fence-Installed,-----�
Sanitary FacillUes&1.dumpste.r,Site Work•Pertnit far subdiVisionsAarge proJects
COMMERC1Ai. Attach{3}aimplete sets of Suilding Plans plus a l.ife Safety Page;(1}se#of Enargyr Fartns.R-O-W Permit for new canstruc�tion.
Minimum ten(10)waricing days after submiktal date. Required onsite,ConsUucdon Plans,Stormwater Plans w!Silt Fencer installed,
Sanitary Facilt8es&1 dumpster.Site Work Permit far all new proJects.AU cammeraai requlrements must mest complfance
SIGN PERMIT Attacti{2)sets of EngEneered Plans. � �
"'"PROPER7'1'SUR1/EY required for all NEW constructlon.
� Dlrectlotts:
F(II out applicaUon completely.
Owner&Contractor stgn back of applicatlnn,notatized
tf ov�r 52500,a Natice of Comrnencement is required. {A/C upgrades over 37500)
'" Agent(for the contractor)or Power of Attomey'(for,tFie'owner)�would be someone with notarized letter from owner authori2ing same
t�VER 7HE COUNTER PERMITTiNG . (Frbnt of l4pplication,Oniy):�
Reroofs(f shingles Sewers Service Upgrades.A/C Fences;(PIoUSurvey/Footage)
Drivewaya-Not over Counter if on publio roadways:n�e2is ROW��_• =�.
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NOTiCE OF D�ED RESTRICTIONS: The u�ders(gned under.�tands that this:penm(t.maybe.subject to"deed"restrictlons"
which may be>more restrlct(ve=than County�egulations. �The undersigned assurries responsibtltty for�compliance with any
appAcable deed restrictions.
UNLIC�NSED COIVTRACTORS AIdD CONTRACTOR RESPONSIBILITIES: �If the owner has hlred a contractor or
contractors to undertake work, they may be required.,to be licensed In.accordance.w(th state.and•local regulations. If the
cantractor ts not flcensed as requlred"by law, both the owner and contraotor�may b� ciQed for a misdemeanor violation
under state law. If the owrner or Intended�contraetor are uncertaln as Qo wihat Ilcensing.requlremer�ts may apply�for the
intended work, they are advised to contact the Pasco County Building Inspectlon Divislon—Licensing Section at 727-847-
8009. Furthermore, ff the owner has hired a contracQor or contractors, he Is advised to have the contr�ctor(s) sign
portlons of the "contractor Block" of this appllcatlon for which they will be responsible. If you, as.fhe owrier stgn as the
contractor, that may be an indication that he is not.properly Iicensed and is not entftled to permitting privileges in Pasco
County.
'Q'RANSPORTATION_IMPACTIUTILITIES�IMPACT AND�ItESOURG@ RECOVERY FEES: The underslgned understands
that Transportation Impact Fees and.Recourse Recove.ry.Fees may�apply to the construction of new buildings, change of
use in existing buildings, or.expansion=of�existin;g'�bulldings, as spec(fled.in Pasco County Ordlnance number 89-01 and
90-07, as amended. The understgned also understands, that.such fees,.as�may be�.due,,:will be identlfied at the time of
permitting. It Is further understood that Transportation Impact Fees an.d Resource Recovery'Fees must be pafd prior to
receiving a "certificate of occupancy" or flnal-powec-release. :I��the project does.not fnvoive.a certiflcate of occupancy or
final power release; the fees enust be pa(d prior to permit issuance. Furtheemoee;ff Pasco County�lNater/Sewer Impact
fees are due, they,must be-pald prior to permiE-issuance-In accordance with applicable Pasco County.ordinances. �
COfdSTFtUCTION LIEN-LAW(Chapter 713� Florlda Statutea, �s amended): If valuatlon of work is�2,500.00 or rnore, I
certify that I, the applicant, have-been provlded with a copy of the �Florida Construction Llen .Lav�Homeowner's
Protection Guide� prepared by the Florida Department of Agrlc.ulture and ConsumerA�fairs. If the appl(cant is sonneone
other than the"owner", I certif�+that I have:.obtained a copy of the.above..described docurnent�and.promise in.good faith to
deliver it to the°owner"-prior to•commencement: �
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify.that all the information in this appl(cation is accurate and that all work
wrill�be done in compliance with ali applicable�laws regulating construction, zon(ng and land developrrtent. Application Is
hereby made to obtain .a permit to do. wro�lc and installation as Indlcated: 'I certify-tFiat no work or Installation has
commenced prior to fssuance of�a perm(t and that.all work vufll be pertorm�d to meet standards of all laws �egulating-
constructlon, County and City codes, zoning regulatio.ns, and land development regulat(ons-in the jurisdiction. I also
certify that I understand that the regulations of other government agenc(es m�y�apply�to the Intended work, and that it is
my responsibility to identify.what.actions I must take.to be,in.conlpllance. Such agencles include but are.not Iimited to:
- Department of Envlronmental Protection-Cypress."Bayheads, Wetland Areas and Environmentally Sensitive
Lands,WatedWastewater Treatment.
- Southwest Florid� Water Management .District-W�IIs, Cypress��B�yheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigabie Waterways.
- Department of FEealth & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septtc Tanks. ,
- US Environmental Protectlon Agency-Asbestos abatement.
- Federal Avlation Authority-Runways.
I understand that the following:restrlctions apply to the use of flll:�
- Use of fill Is not allowed in Flood Zone°V"uniess expressly permitted.
- If the fill material is 4o be used.'in �Flaod Zone "A", it. is understood that a drainage plan addressing a
°compensating volume" will be submitted at time of permitting which (s prepared by a professional engineer
Iicensed by the State of Florida.
- If ihe fill material is to be used In Flood Zone °A" in�connection wlth�a permitted building using stem wail
construction, I ce�tify that fill.wlll-be used only.4o#ill the area within the�stem•wall.
- If fill material is to be used in any area, 1 certify that .use. of such fill will not adversely affect adjacent
properties. If use of flll is found to adversely.�ffect ad)acent properties,.ths owner may be cited for violating
the conditions of the building:permit issued under the.att�ched,permit��pplication, for.lots less than one (1)
acre which are elevated by fllt, an englneered dralnage plan is required. , .
If I am the AGENT FOR THE OWIVER, I,�promtse tn good faith to Inform the owner of the'pe�mitting conditions set forth In
this affidavit�prtor to commencing construction. I understand that`a-=-separate permtt may be required for electrical work,
plumbing, signs, wells, pools; air conditioning, .gas, or other ins#allations not spec�flcally included�in.the application. .A
permit Issued shall be constn.ied to be a Itcense to-p�oceed evith the work and not as authority to.viola,te,cancel, alter, or
set asfde any provisions of the technical codes;�nor shall tssuance�of a permit.prevent the Bulidirig O#iic(al from thereafter
requiring�correction af errors in:plans, construction or vlolations of any codes. Every permit Issued shall become invalid
unless the work authorized by such permit�is-co�menced•withtn sfx months of permlt issuance, or if work authorized by
the permit is suspended or abandoned for a period of§ix(8)months.after the time the�wowk ts commenced. An extension
may be requested, in writing, from the Building,Official for a period not to exceed ninety(90) days and will demonstrate
justifiable cause for.the extension. If work ceases.for ninety(90)consecutive days..th�)ob�is considered abandoned.
YVARNING TO OWIdER: YOUR F�1ILURE�TO..RECARD A �lOTIGE OF COMMENCENIEMT PVIAY RESUlT tN YOUR
P/�YIMG'1WICE FOR IMPROVEIIfIEl�I�S TO YOUR;Pl3�OP�RTYe !E YO.U�EldTERID'TO�OB��+lN�FIPt/�NCMG,�CON3UL'P
WITM YOUR L�NDER�OR AN�1TTOItNEY�BEFORE�RECOR�ING�YOUR'�RfOTICE`OF COMMENC�EIVIENT�
FLORIDA JURA�(F.S.1.17.03) _ , � -
OWNER OR AOENT_ � �.�-��r CORITRACTOFt�I�11Q.�� �r ,t rv
Subscrlbed an b�wom to(or afliRned)before me this Subscribe�nd'bswom M(or afflrmed)�before me thifi ,
Who Islare personally known lo.me or haslhave prvduced Who Is/a erso a knovm to me or haslhave produced •
as Identlflc�tlon. as Idendflca0on.
Notary Publlc � �U=r-t�`-e � Notary Publlc
CommisslonNo:' Commis !�1_ :='��°ya;•, �ACQUELINEB S
_w: ih=
- :;; Expires Decemb�r 12.2�•i8
:8�J:;S-l019
Name oI Notary typed,printed or stamped Name of Nol ry'ly `' d