HomeMy WebLinkAbout16-17854 CITY OF ZEPHYRHILLS
5335-8TH SiREET i
, � (sispso-oo20 17854 , I
' PLUMBING PERMIT
� �� PERMIT INFORMATION � � LOCATION INFORMATION
Permi�#:17854 Issued: 10/24/2016 Address: 5536 5TH ST
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Perrrdit T,ype: SEWERLINE REPLACEMENT ZEPHYRHILLS, FL.
Class of;'�IVork: SEWERLINE REPLACEMENT Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet�: Est. Value: Book: Page:
Cost: 1,500.00 Total Fees: 46.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 46.00 Date Paid: 10/24/2016 Parcel Number: 11-26-21-0010-05900-0130
� CONTRACTOR INFORMATION OWNER INFORMATION
Name: CHRIS BAHR PLUMBING Name: GREEN JASPER LLC
Addr: 5729 GALL BLVD. Address: 18122 CANAL POINTE ST
ZEPHYRHILLS, FL 33541 TAMPA FL 33647-3311
Phone: (813)782-2524 Lic: Phone: 813-493-1303
Work Desc: SEWERLINE REPLACEMENT
APPLICATION FEES
� SEWERLINE 46.00
INSPECTIONS R IRE
FINAL '
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REINSPECTION FEES:(c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local �overnment shall impose a fee of four times the amount of the fee imposed for the initial inspection or
I frst 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;
i 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,
I Codes and Ordinances. �
Compl'ete Plans, Specifications and Fee Must Accompany Application. All work shall be perFormed in accordance with City�
;� Codes and Ordinances.
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`� NTRACTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
'� CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
' � PROTECT CARD FROM WEATHER
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813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
, Building Departrnent i
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Date Rec�ive� , � _ - Phone,ContacEfor�Permittfn � — i
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Owner'a Name � e� r�'O�ir1'er Phone Number ( �
Owner's Address � O ��t.k '��bwner Phone Number .
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Fee Simple TIt1eHolder,Name Owner Phone Number ' �
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Fee Simple Titleholder Address -
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JOB ADDRESS p �K �T � lr�lS �C'� LOT# r.�
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SUBDIVISION PARCEL ID# ` '
, (OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED �NEW CONS7R ADD/ALT Q SIGN Q Q DEMOLISH
� .e. INSTALL B - • REPAIR
PROPOSED:U�ISE Q SFR Q COMM Q OTHER �
TYPE OF CONSTRUC170N � Q ' BLOCK ' 'Q FRAME � STEEL Q
DESCRIPTION OF WORK ��'� �h� e L� Yl. I
BUILDING SI2E � � � SQ FOOTAGE�, _ HEIGHT �
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QBUILDING $ VALUATION'OF�TOI'AL CONSTRUCTION � ` �
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QELECTRICAL $ - AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
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�]PL�MBING $ ,-�Q o,� ' �
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QMECHANICAL $ VALUATION OF;MECHANICAL INSTALLATION �
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QGAS Q ROOFING Q SPECIALTY, Q OTHER �
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES. NO
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BUILDER COMPANY �
SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N' �
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Addressi ' � � License#
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ELECTRICl/W; , COMPANY ' '
SIGNATURE� '� REGISTERED Y/ N FEE CURRE�� 'Y/N
AddfAss, UcenSB# �
PLUMBER �I , � �j� COMP.ANY � � /`l S '� . �V�IYJ �
SIGNATURE, '- G�G�Lsl� � : ,REGISTERED. Y./ N.: FEE CURRE�` ' '" Y/N. � ' '
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Address c� 7 C( �v �� c�( �Z License,# - �C� T�� .
MECHANICAL� �� � � . .' � C.OMPAMf _
SIGNATURE•i � " ' � REGISTERED Y,,/.N ,� FEE CURRE� Y/�N
Address.'. -',; , ,_.�. � , ,.,; ._ � ' ' � ` � ,
License#
OTHER ," - - - � _ ' : `,COIIAPANY_ � . �
SIGNATURE ;- • "' �� � ` � ' � ' � 'REGISTERED � 'Y/ N.. Fee cuR�n ' Y/N
Addressj� , . ^ , . , .%� ,. � � " License# ;
RESIDENTIAL;• �Attacfi'(2),PIotP,lans;�(2)sets�.of''B'ullding"Plans;(1)set of-Energy=Fortns;�R=O=W�Permit for new construcUon,
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� �� -Minimum�ten��1.0�worktn da, ;�after;subinittal dafe.•..R� 'uired onsite;�ConstriicBon�Flans;Stormwate'r'Plans w/SIIt Fence installed,
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�� �Sanitary-�FaGllUes,&, ,dumpster,,Site•Work;Pertnit#orsubdiyisionsllargeprojeots� �,.;,._;- _ ' � �
COMMERCI�L Attach(3)`complete sefs'of Buildtng Plans�plus a'Life Safety Page;(1)set of Energy Fortns.R-O-W Permit for new construcUon.
; Minimum ten(10)warkfng days after submittal date. Requlred onsite,ConsUuction Plans,StormwaYer.Plans w/Silt Fence installed,
j Sanitary Facilitles 8 1 dumpster.Site Work Permit for all new:projects:.All commercial requirements:must meet compllance- �
. SIGN PERMIT AttacFi(2)�sets ofEnginee[ed;Flans„�.���� ' .. •:;�. :;.-� '
i{ ""PROPERTYSURVEYrequiredfor.all.NEW_construcUon. ,.
Dlrectlons: i .- . � _ . _ ' �
Fill out appiicatlon wmpletely. ,
Owner 8i Contractor sign back of applicatlon,notarized
If over���500,a Notice of Commencement is requlred. (AIC upgrades over 57500) '
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" AgeM(for th�e i:ontraotor)or Power of Attoriiey(fo�tlie�owner)would be someone wlth notarized letter from owner authorizing same
�VER THE COUNTER:PERMITIING- --. �(Front-of-Applicatlon•Only)- - �
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Drtvewaya-Not over Counter if an public roadways..needs ROW ' �
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NOTiCE OF DEED RESTi31CTIONS: The undersigned und�rgtands�,th�t�thi�:p�rmif,may be.sub)ect to,"deed"restrlcttons"_: _. ,�.;
which may ti"e-more=restcicttve-th���County.��egr�latCons:"``The"underslgned`assumes�responsibiltty for'compliance iniith�any �
applicable_deed restcictions. - � , � , - --
�JNLICENSED CONTRACTORS AND CONTRACTOR RESPONSI�ILITIES:� ��ff-the�owner-has��hiretl��a`contractar or
contractors to undertake work, they may:b�.;cequired�to.;be,licensed ln,accordance.onrtth,state.and^local regulatlons:�.�IF the• = � �
contractor Is not Ilcensed as� requlred`tiy law, both the owner and�cont�actor=may be�cited for a�ml�dem�anor vtolatlon
under state law. If the owner or Intended�contr;acto� areluncerteln as to w6�at Ilcensing.requlre�nenfs �nay::apply'��for-the ��� �-
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tntended work, they are advlsed to cont�ct fhe�Pasco County Bullding'.Inspectlon.Divlslon-l:lcensing Section at 727-847-
8009. Furthermore, If the owner�has hired��a conUacfo� or confractors, he (s advised to have the contractor(s),,stgn,
portions of the "contractor Block° of thls application foc.which.they wtll be:resp.onslble.�_If you,:as.the oviinner�sign�a�"tlie � �
contractor, that tnay be an indication that'he is not.properly ilcensed"anil�is not entitied fo perrriftting�privileges fn Pasco
County. , �.-..== .__.
TRANSPORTA710PI�IAAPACTIUTILITiES�iMPACT�Afdb RESOUItCE 13@I��VERY�FEE�: �The und��signed understands
that Transportation Impact Fees and.Reco.urse.Recove.ry.Fees may:apply:to�tf�e constructlon,of new bulldings,;change of " � �
use in existing bulldings; or-,.expanslon��of�ezistin,g'�buildings, as specifled.(n Pasco County Ordinance number 89-07 and
90-07, as amended. .The undersigned also:understands, that:�such fees;,as,tnay��e:due;,will:�.be identified at the'time�of- � �-
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permitting. It Is furtfier understood that Tra�sportation Impacf Fees and�Resource R�codery'Fees:must be paid prior to
rece�ving a °cerfificate.of occupancy" or flnal•powerr�lease. :If the.proj�ct:.do�s_not;Involve:a=:certific�te of occupancy,-or�-'== `
flnal power release, the�fee� mu�t_be pald prior to;permit issuance. F,u�thermore;if Pasco,,County��lNater/Sewer�,lmpact :
fees are due,.they_..mustbe=pald.praor to permit_�Issuance�in accordance virltFi�applicable P��co�-County�orcitnances. �
CONSTRUCTION LIEN�LAW(Ch�pter 713, F.lorlda�t�tutea,as amended): If valuation of work is$2,500.00:cr more, I
certify that I, the applicant, have-been provided�with. a copy of the °Florida Construction� Llen..L"aw—Homeowner's
Protection Guide" prepared by.the Flo�ida Dep��tment of Agric.ulture and Consumer.Affairs. if the appllcant is sonneone .
other than the`owner", I certify.Qhat I;;have.ob.tained�a�copy of.the:abov�..deseribed clocument�and.ptoml�e�.in,good:faith to
deliver it to-the:`ownec":prioe�to•cornrnencem�nE:' � � - � .
COIVTRACTOlt'S/OVVN�R'�AFFADds►VIT: I.cert,ifjr;:that-ail�_the,inf.ormation.in�thl� applicatlon is accurat�and that ail v�rork
will'be done In compliance with all.applicable I�ws regulattng construction, �onfng and land�development. Application Is
hereby made to obtain .a permit:to ,do. .work;;,and installatlon �s IndlCated:- `I certify that no work�or Installation lias '
commenced pr(or to Issuance of a permiE-and that.all work will be pertormed to meet standards-of all laws regula�ing�
construction, County and City codes, zoning regulatians, and land development cegulations�tn the jurisdlction. I also " �
certify that I u�derstand that the regulatlons of other governmerot ag�ncies may�apply_to Qhe intended work, and that it is ,
my responsibility to identify.what,act(ons I must take:to be�in:.cvrrlpliance: Su�h agencies include but-are.not Iimlted to:
- Department of Erlvironmental�Protection=Cypr�ss.�Bayhead�, INeHand Areas and Environmentally Sensitive
Lands,WaterMlastewater Treatment.
- Southwest Flortda VNater Management .District-Welis;' Cypress.~Bayk�e�ds; Wetland Areas, Altering
Watercourses.
- Army Corps of EngPneers-�eawails, Docks, fdavigable Wateeway�.
- Department of ,Health:,& ReMabllftative,ServiceslEnvironment�0:Health Uo�it-Wells� Wasteutat�r�Tre�tment, - �
Se�tic Tanks:. � - ;
- US Environmental Protection Agency-Asbestos abatement.
Federal Aviatton:Aulhority;Runways. �
I understand that the follow�ng.restrlctions apply to tfie use of flll:•
- Use of flil is not allowed in:Flood;Zone"V"unless expressly permitted.
- If the .flll m�teri�l is to be used. in ;Flood �one. "R", It. is understood that a drainage pian addresstng a
°compensat(ng volume"will be submitted at tirne of�permitting wliich ts prepared by a professional engineer� �
Iicensed by�he.Stat�of Fiorlda:
- if ih� flil material is to:be used in Flood Zone 'A" (n�connec�ion�with�a pecmitted building using stem wali
� construction, I certifj►that fill:w111=b.e used only.to.fill the area within the stem�wall. -
- If fill mateelal is to be used in any area; i �certify that .us�. of such flil will not adversely affect adJacent
p�operties. If use of flll Is found.to adversely:�ffiect adJaeerit�propettfes,.the owner may be c(ted for viof�ting
the conditions.of the building,permit Issued under the.attached�permit a�ppllcation, for.lots-:iess than one (1)
acre which are elevated�by flll,an�ngineered drainage plan Is requtred. , .
If I am the AGENT FOR THE OV4atVER, I�promtse in good faith to inform the�owner of the permltting condit(ons set forth in
this affidavit��prfor to commer�cing const�uction. I understand that �-s�parate permlt m�y be requtred for electrical work, .
pluenbing, signs, welis,,pools;. air conditioning, .gas,�or othec Install�tions r�o�.specf fically included�in.the application. .A
permit lssued shall be consttued to be a�license to proceed uvtth tNe work and not-�s authoNty to,vlolate,'cancel; alter, or
set aside any provistons of tlie technical.codes;�nor shall issuance�of a.permit.prevent the Bulidirig Official from thereafter
requiring a correction af ercors in�plans; constrtictlon or violations of-any codes. Every permit Is§ued"sfial!become invalid
unless Qhe work authorized.by such perm(t.ls.commenced�virithin sfx m.onth� of�permit Issuanc�, or if work authorized by
the pe�mit is suspended or:abandoned�for.a;pertod of six f8)montt�s.aft�r.the tirne the�work is comm�nced. An extension
may be �equested, in wr(t9ng, from tFie�Bullding,Offlclal for a p�riod-not to.exceed ninety�(90) days ai�d vvill`demonstrate
justiti�bi�cause for:the�xten�ion, If work ceases.for ninety(90)cons.ecutive day.s�..the job�,is.considered aba�doned. "
M!/�ItNING TO OWNER: YOUR..FAILURE�TO..REC.ORD A.NOTICE O�••COMMENCEMEI�T.MFi4Y F�ESULT IRI YOUR
PAYING TWICE;FOR IMPROVEMENI�S TQ YAUR.PROPERTY. I�°YO.tJ;IPI`�EKI�TO��TAIN��FIN�CI�EING;'CONSULT
9NIT D O. AN ATTO NEI� FORE�,.�OR�1 G:' Ol! � � �� 'O � `,•. . E E . T.
FLORIDAJURA'�_(F.S:1A7.03) �� � ___ -- -
-t�vuN�R OR A(iENT ---- -- --- -- — -- --GONTRACTA ✓` .
Subsaibed and awom to(or aHirmed)betore me this Subscrlbed and'swom=to(ot nned� efore me tfit�� �
by �by - �
M►ho is/are personally known to.me or haslhave.produced Who.is/are peraonally knovm to me or has/have prnduced •
� as Identlflcatl4n. as Identlfica0on.
Notery Public Nofary Publlc
Commisslon No: Commisslon�No.
Name ot Rlotary typed,printed or stamped Plame of Notery typed,printed or stamped