HomeMy WebLinkAbout17-18059 il
I CITY OF ZEPHYRHILLS
„ � � 5335-8TH STREET
� (813)780-0020 1805 /
BUILDING PERMIT �
I .
I PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 18059 Address: 5806 18TH ST
Permit Type: IRRIGATION ZEPHYRHILLS, FL.
Class�of Work: IRRIGATION Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Es�t. Value: Parcel Number: 11-26-21-0010-07600-0150
Improv. Cost: 300.00 OWNER INFORMATION
Date�lllssued: 1/06/2017 Name: WILLIAMS FAMILY LIVING TRUST WIL
Total Fees: 688.78 Address: 5806 18TH ST
Amount Paid: 688.78 ZEPHYRHILLS, FL. 33542
D °te Paid: 1/06/2017 Phone: 813-748-2353
Wo�k Desc: INSTALLATION IRRIGATION METER
CONTRACTOR S APPLICATION FEES
HOMEOWNER IRRIGATION METER 473.78
IRRIGATION CONNECTION 175.00
PLUMBING FEE 40.00
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Ins ections Re uired
PL MBING'FINA
REINSP�ECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local givernment 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.
NOTlCE: In addition to the requirements of this permit, there maybe 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.
"Warn�ing 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."
Comple e Plans, Specifications Must Accompany Application.All work shall be performed in accordance with
� City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
� NO OCCUPANCY BEFORE C.O.
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C�ONTRACTOR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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8131aso-oozo City of Zephyrhills Permit Application Fax-813-780-0021
" Building Department
Date Received �7 � , 2 ^ ��-�_
il — 1 — � � �Phone Contact for Permitting � ►J /
�Owner's Namle � � < < S Owner Phone Number
�Owner's Add ess � • �Z� ��7�`Oil�rner Phone Number
Fee Simple T tleholder Name Owner Phone Number
Fee Simple T tleholder Address
JOB ADDRESS LOT# �
SUBDIVISIO PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE) �
WORK PROPOSED e '� WSTALLSTR 8 �REPi41R � SIGN Q � DEMOLISH
PROPOSED USE Q SFR Q COMM Q OTHER
TYPE:OF CO STRUCTION Q BLOCK •• Q FRAME 0 STEEL Q
DESCRIPTION OF WORK � � ��1 �-�—�.�
BUILDING"SIZE SQFOOTAGE� HEIGHT • �
OBUI�DING $ VALUATION'OF TOTAL CONSTRUCTION
QEI:ECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
,�j OPLU BIiVG $ ��� � ��
v� /
� G, �
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
Q,GASI Q ROOFING Q SPECIALTY 0 Ol'HER 'Z 21 V
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER • COMPANY
SIGNATURE REGISTERED Y'/ N FEE CURRE�. Y%N I
Address License# I
ELECTRI,GIAN , COMPANY
SIGNATURE REGISTERED Y/ N �FEE CURREI� � Y/N
Address License# �
PCUMBER.,., � �'� COMPAfdY�` '
� . , ....._ �.,l5� � � . c�C��-`c � �1
SIGNATURE •REGISTERED , Y/'N: FEE CURRE� � Y/N
, Address Licerise#' �
` MECHANICAL' � _ COMPANY
SIGNATUREx' ' � REGISTERED Y/ N - �: , FEE CURRE� Y•/N
Ad"tl�ess�'° ' ' � License.#,
.—.,'4',;�r• .._ � . . .
;�.OTHER�� ""` `COMPAWY .
'`81GNATURE��>;, � .�• � - ' �riE�ISTEReo Y/ .N FEE CURREK Y/N
i�9`.':1�, ar , . 1.,,. � .. , . ..
�Address*� _ - _ - � ' ' License# �
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%.;:-,RESIDENTIAL;;�� `Attacfi;(2);<Plot'Plan's;'?(2�)�sets'of`Building�Plans;(1�)°set"of�Energy'Forrris R=,0=V11.Fermftfornew.constructlon,, ,
, �; , � Minimum;ten�(;10)workirlg;days:after subrriittal�8ate.•Requi�e8'onsite;Con`struct�on Plans Stormvirater Plans w/Silt Fence installed,
- � � `�� ��tSarntary,Facilities,8,-:1,dumpste,r-,Site WorkPermitfor..subdivisionsAarge�p�ojeots� ' = I
'���:C.OMMERCIAL Attach�(2)�complefe'sets of'Building Plans plu's a Life Safery Page;(1)set of Energy Forms.R-O-W Permitfor new constructlon.
- Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w!Silt Fence installed,
Sanitary FacilfUes&1 dumpster..Site Work Permit"fo�•all-new projects.All commercial requirements must meet compliance
��"-'SIGN:PERMIT "-Attaclir(2jsets�of:,Engineered.Plans:��:. <.•: �
*""PROPERTY SURVEY,reGuired for.�a11,NEW.construcUon..
'-;;, . II
-��Di�ections: :r;:;��•.,..,- ., ..- '
.�Ftll_out�appllcation completely.
�O.virner,& �ntraotor sign'back of application,notarized
'1'f over,$2590;a Notice of Commencement is required. (AIC upgrades over$7500)
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"'� AgenY(for�e contractor)�orPower of'Attomey(for ttie ovmer)would tie someone with notarized letter from owner authorizing same I
';;OVER.THE COUNTER�PERMITTING ..._ .(copy-.of-contract�required) '' "
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-Reroofs 1f sliingles Sewers = Service Upgrades EVC Fences(PIot/Survey/Footage)
..,,., ,
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Drtveways= ot over Counter if on public"roadways..needs ROW
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NOTICE OF DEED RESTRICTIONS: The undersigned„understands.that.this;permit may be subjeet to:"deed".restrictions�; .;,;�
� .. : . _ . _ .a.,..�...,�.� ..;,.,:..�: ,....; . x � �
which..may..be.�mare�:r.estrictive::than,�Goun#yregulatians:�The�urider�igned'"assumes"respbnsitiility�`'for compHance=with any t�
applicabte cleed res#rictians. .' .. .... ., � :`"��':.`<.:"�:"_'`"
>.. .,::...,_. ;
UNL:ICENSED� CONTRACT�RS AND" Ct?NTRACTOR RESPt}NSIBILITIES:`- =1f�•tFie'�oiiurisr��has�hired-�a;:cor�#ractor or „ �
contractors ta under#ake work; they„may be cegUired.'to be:licensed in accordance with state an�d_.:Iocalzregulations::�:=1f.'tt;ie��k`�-�
„{_ n . ,
contractor is not Acensed-as requi�ed'by'law; botti-the awner�and"eo�tractor�may�=6e cited�for-�a��Ym'isdemeanor violafion� �;
under sfate law. If the owner or intendeid,.contractoc are uncertain as to what licensing requirements,;rmay��apply:#or:�the;�?;�,j,�
,. .v,�:;�.:�.,,.� � �, �
intended wock,.they.are�advised to confacf tfiie'Pasco Counry`Building�inspection'D'iv'ision�=Cicensing,�Section af�727=847- _;,
8009. Furthermore, if the owner has�hired`�a cdntractar ar contractors, he is advised to;�;have tli,e confractar(s,}.,:sign,-..;;;,;
..�,...,='i,�,:�,-::. ,,,., .,
po�tions of the "contractor Block'" of this appiicatian;for which_they-wlil be_r.esponsibie.-=lfyouu, as:tlie�:awner'sign:as�'.ttie� �:_ ::i
contractor, that may 6e an indication that�he is not properly licensed and`i""s nat'entitled��to permitting privilege�.,in Pascb_,,�.:.,.�
County. � _. _ .:: �. _ _ ., � ::�:,:_V.�,,.�r,�..±:1
TRANSPORTATtON-IMPACTLUT1LITtES�IMPACT AND RESOURCE RECOVERY FEES:�The undersigned undecs#ands;-�� ":j
� that Transportation Impact Fees and Recau'rse Rec,overy Fe.es,•may.appiy to,the construction of.new:bui(dings, c}iange;of�'�=:��;�
use in exis#ing buifdings,,or=expansioct.of..exi:sting buildings, as specified in Pasco County 4rdinance number 89=07 ariii °'�i
,_,.,�._,:
90-07, as amended. T;he�undersigned alsa understands, that such fees,,as'may.,be.due, will"'tie�identified�at-ttie�:tirne:�of4{=.�t-���
permitting. �It is further�understaod #hat Transportation Impac# Fees:and Resource FRecovery.Fees must be paid.prior to e:;
receiving a certificate of accupancy or final,power release. If the project does not.invalve a certificate of occupancy�:o��'�:=�},_i
final ower release,,the fees-must b.e.paid prior to ermit issuance.,_�Furtfiermore,-
p p if Pasco Gaunty W;ater•lSewer;�lmpact�,,;4 „
fees are due,they,must be paid prior to permit issuance in accordance with�applica6le Pasca:Caunty ardinances. ` �
CONSTRUCTlON t�IEN-EAVIt{Chapter 743, florida Stafutes,as amended): If valuatian of work is$2,500.00:.or.mt�re;�i�_�;;,, ;
certify that I, the applicant, have -been..provided with a copy;�of,the "Flarida Construction.,.:Lien Lai�Homeowner�'st ,�;
Protection Guide° preparetl tiy ttie�Flo"rida Department of Agriculture and Consumef_Affairs. !f the applicant�is.som�one;g � .
,.. .,y . rr. :,
other than the"owner�,'I.certify.that.l�have obtained a copy of#he above�de"scribed'd"ocument and pr.omise=in good:;faith`'to ,.,;, ;
deliver.i#.to the;';owne�':pciar;fo-comrneneem;ent�:�� � ` ` ' - '
CONTRACTOR'SI�IVUNER'S AFFIDAVIT:,. I:certify_that ail the infocmation in this application is accurate and that all�work
wilf be done in compliance wifh att app(icable laws regu(afing canstru�tion, zaning�and land-development. Applicafion is
hereby made to. abtain;.a,_perm�t,.to:do„worfc-and installatiorn:as•�indicated. i certify thaf no�work or instaltation-x has
comrnenced prior fo issuance of a perrriit and ttiat all work wil! be perf'ormed io.meet-standarcls of a!1 laws regulatirtg
construction, County and City codes, zoning regulations, and land development�regulations in=the jurisdiction: � ! also �
certify that I unders#and that the regulations,af other government agencies may apply to the intended wark, and that ik is �,
my responsibiiity#o identify what actions 1 must take to be in compiiance. Such agencies include but are not-limited.to:
- ,Department of Environmental:Protec#ian-Cypress Baylieads, Wet(and Areas and Environmentaily Sensitive -
�ands,WatedWastewate�TreatEnent. r
- Southwest Florida Water Managemen# Dis#rict Wells, Cypress .Bayheads, Wetland Areas, Attering �
Watercourses, �i
- Army Co�ps of Engineers-5eawalls, Docks, Navigable 1Naterways.
- Department of Heaith 8 Rehatiilitative ServiceslEnvironmental Health Uni#-Wells, Wastewater,Treatment, -,
Septic Tank"s. � �
- US Environmerital Protection Agency-Asbestos abatement. � ,� �
- Federal Aviation Authority-Runways.
I understand that�the.following restrictions apply to the use of fill:
- Use af fil(is not allowed in Flo,ad Zone"V" unless expressly permitted.
- tf the fiil material is to be used in. Flaod Zane "A", it is understood that a drainage plan addressing a
"compensa#ing volume°will be submitted at time of permitting which is prepared by a professianal engineer �
licensed by the State o#Florida. r '
- !f the fill material is to be used!in Flood Zone "A" in cc�nnection with a permitted buitding using stem wali
construction, I cerkify that fill will be used only to fill the area within the.s#ern wall.
- (f fill material is to -be used ln ,_any area, I certify that use of such fill will not adversely afifect adjacent
praperties. If use af fill is found�to adverseiy affect adjacent properties, the awner may be cited for violating •
the conditions of�the building peimit.issued under the attached permit.applicafian, for lots iess than ane (1) �
acre whiah are elevated by ffl,an engfneered drainage plan is requi"red.
If I am the AGEN7 FOR THE.UWN�R;,I•promise in good faith ta inform the avuner of the permitting canditions set for#h in
this afFidavi# prior to commencing cons#ruction. I understand that a separate permit may be required for electrlcal.work, ''
plumbing, signs, we(Is, pools, air conditioning, gas, .or other installations not specifically included in the application: A. .. ,
permit issued shalt`be`canstrued to�6e a ticense-to proceed wifh the wark and nat as authori.ty.#o violate; cancel, alter, or
set aside any provisions of ttie technical cades, nar sha11 issuance of a permit prevent the Buitding afficia(from theceafter
requiring a correction of errors in plans,'construction or violations of any cades. Every permiC issued shali become invatid
unless the work authorized by such permit Rs commenced within six months of permit �ssuance, or if work authorized by
the permit is suspended.or abandaned far.a��period�.of sbc(6) months after the time the work i�°commenced. An extension.
may be requested, in writing, from the Building•Officia( for a period not to exceed ninety(90) days and will demonstrate �
justifrabte cause for the extension. if work ceases for ninety(90)consecutive days,the job is considered abandoned.
WARNlNG TO OWNER: YOUR FAlLURE TO RECORD,A.NOTlCE t?F CQMMENGEMENT�MAY RESUCT EN YOUR
PAYING TWICE FOR IMPROVEMENTS.;TQ YOUR;RRIJPERTY.. IF YQU�INTEND�TO�QBTAIN�FIN/�NCING.CONSULT
� WITH YO!UR�L'ENDER OR AN ATTORNEY BEFORE RECORDING YQl1E�` •TICE OIFICOMdlAENCEMENT,-- - --"
FtORiDA Jt1RAT(F.S.1'17:03) c
OWNER OR AGENT � CONTRACTOR � _C J �� � ' ��VC �1.CWc�
Sabscribed and swom to(or a{�rtned}tiefore me this Subscribed and swo (or affirmed)be re me this „.�
by by�-P:�tA � ' C-.� \ ,��t'���
Who is/are personally known ta me or has/have produced � Who�' re pg�[�on�Ily knovy�,ko me or has/have produced
� astdenBficatlon. � �L— �.,NCIL+��"5�•C��.escS� asidentlflcaUon.
�
Notary Pubtic ' f� - tVotary Public
Commisslon No. � Commi si No.
, . k.<.�.,t
�'"�'� ,IAC
Name of Natary typed,printed or stamped Name of Nofary typeil,pri� d'�o"t_�p�ion#FF 150A22
, t= ,,::�K�y:�: Expires December 12,20f8
� b ':��;�;,°°�'� I3o�tled Thru iruy Fain Insurance 80p;185-7p19
La�+mp�vaw
DISCLOSII1tE STATSMENT FOR Oi�NER
CITY OF ZSPHYRHTLLS BIIILDING DBPARTl�NT
I, la�ve read aad fully ,�aex8��a aad
agree to the pxovisiaas of this �.astrumea�.
The�vadersigued etates aad affirms that he or she is desirous af coastructiag,
reaovating, addiag to or reroofiag �Si�a ar her owa domicile, that he or ehe
' ac��a21y accupies, ar wil1. occupy by said domicile, aad s�me is not far
xeati, lease or sale. That he ar she shall comply s,ta.th the falla�,riag aaaditious:
1. !Tha� the owaer aad he or she alone sha11 aet as the bu3lder far a11 phases af
i� oa�truction.
2. i�Tha� the owaer will camply with alI provisioas of the City of Zephyrhills
Prdsaaaees aa,d cod�s pertiaent to the buiZr�iag.
3. That ia the eveat vazious phase� of cons�ruation ere stYbcaatracted, he wi2l
eugage only propexly liceased subcoatrac�oss aa.d will personally superv3se '�
auch work.
4. ��hat ia the event the Su3.lding Iaapectar eha11. require corrections to b� made,
the owaer will aseume fuZl respaasibility ta inaure they are made, aad upoa
c�ompletion wi11 ea11 for � reiaapection before proceediag w3.th the bitildiag.
5. T�?iat the owaer eh�ll aesume full reBpoa�ibili�y for the caastsuetion aad wil2
nat expect supervieiaa oE his wark fzom the Ci.ty o� Zephyrh311s Suildiag
D�epartmeat. , {
6. T�t prior to fiaal inspectioa aay additional fees, iacludfag reiaspect3oa
f�es, must be paid ia �u12. �l. t�ritten xequest fram this affice sh�.Zl
coastitute aa official aotiae ta gay additioaal fees.
7. Tb.�t the owaer sha11 camply with all City, State aad Federal laws ia regard �o
soaial security, warkman's compensation, lien laws, etc. , whete appliaable.
8. T�at the own�r eha11 comply with aIl the safety codes i�sued by the F].orida
Za%duatrial Commissioa.
9. St�ate law re�+,�res coastrue�ioa to be dane b�► licensed contractors. Yau have
�p�l3.ed tor a perm3t uader an exea►ptioa ta th�.t las,r. The exemption allows
yoi�, ae the owaer af your proper�y, to act as your owa contractor with aertaia
re�i�trictions evea �haugh you do not have a licease. You mus� provic3e direct
oa��i�e supervisi.aa o£ the coaetructa.a�n yourselt. Yau may 'build or imgrove a
ane-faraily or two-fami.ly resa.dence ar a fasm outbuil8ing. Ycu may also build
ar`limprove a commexcial bv.ilding, provided �our aosts do aot exceed $75,OQQ.
The build3.ag os residenae mnst be for your owa use or ocaugancy. It may aot
be ��built ar substas�tially improved �or sale ar leaee. It you aell ar lease a
bu3��ldiag you have bui3t or svbstaatially impxoved yaurself wi.thia 1 year after
thelcaastxv.ction is eomp3ete, the law vrili gresvme that you built os
sub��taaGiallg 3mproved if fox sale or lease, whiel� is a violatioa o� this
ex�mptiaa. You may aot hire aa unlicen�ed peraon to act as your costtractor or
�o Buperviee people workiag an your builcIlirsg. It ie your ses,poaeibility to
mak�� sure that g�eaple emgloyed by you have Iiceases required by state law aad
by �ounty as muaicipa2 Ziceasiag ordiaaaces. You may aot de3egate the
respatis3bility far eupervisiag work to a 13c�ased coatraetar wha is �at
liceaeed to perfasm the woxk b�iag done. Aay persoa workiag on your buildixig
whollis aot 13ceased must wark uader your direct supervision aand must be
emp �oyed by you, wh3.ch meaas that yau must deduct F.I.C.A. aad withholding �aac
and � �covide vaarkers' csompensation faz that �mployee, aIl as prescribed by law.
Yov,x�coastruction must eomply with �11 applic�Ze laws, ordiaaaces, buildia�
code , and zaaiag r lations. .
otar�Rt s s=�xAmv� '``�� �7� DATE � 'G� ` 1 �
�n�ss �— � r s ° ��t� t�s , -��.... �3�Y�►
PHOtaS — '
i�TI�BI SS PERMIT #
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Jacqueline Boges
From:l TQ Randolph (FATHOM)<support@gwfathom.zendesk.com>
Sent: Wednesday, January 11, 2017 1:47 PM
To: Jacqueline Boges
Subject: [FATHOM] Re: new irrigation meter install
##- PII ase type your reply above this line -##
Your relquest (#110753) has been solved. TO REOPEN THIS REQUEST, reply to this email or click the link below:
https:/�awfathom.zendesk.com/hc/requests/110753
� TQ Randolph (FATHOM)
- -' Jan 1 1, 1 1 :46 AM MST i
� �
COMPLETE. 890774 - 2464509, SO #542842. THANKS. I �
/ ��
Best Regards, �
TQ� FATHOM Su �
pport
� Jacqueline Boges
--�--� ' Jan 1 1 , 1 1 :34 AM MST
Was a work done for meter to be installed?
Jackie Boges
813-780-0020 ext 351 3
"A rule I have had for years is: to treat the Lord Jesus Christ as a personal friend. His is not a
creed, a mere doctrine, but it is He Himself we have." Dwight L. Moody
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Jacql�eline Boges
From: FATHOM <support@gwfathom.zendesk.com>
Sent: Friday, January 6, 2017 8:19 AM
To: Jacqueline Boges
Subject: [Request received] new irrigation meter install
##- PI ase type your reply above this line -##
�
Hello Jacqueline Boges,
We arq working to resolve your request promptly and will keep you updated. One of our Support Analyst will keep you
update�d on the progress of your request.
Best Regards,
FATHO Support Team
TO AD�� ADDITIONAL COMMENTS, reply to this email or click the link below:
https:/�%qwfathom.zendesk.com/hc/requests/110753
... .. ... ...
' )acqueline Boges
,__� 1
��� �' Jan 6, G:1 9 A� M5T
need new irrigation meter single family home residence
This e ail is a service from FATHOM.
1