HomeMy WebLinkAbout17-18400 CITY OF ZEPHYRHILLS
, 5335-8TH STREET'
� (813)780-0020 �$ Q
PLUMBING PERMIT
PERMIT INFORMATION � LOCATION INFORMATION
Permit#:18400 Issued: 4/24/2017 Address: 5345 5TH ST
Permit Type: PLUMBING ZEPHYRHILLS, FL.
Class of Work: PLUMBING RENOVATIONS Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 500.00- Total Fees: 40.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 40.00 Date Paid: 4/24/2017 Parcel Number: 11-26-21-0010-09700-0075
• CONTRACTOR INFORMATION OWNER INFORMATION
Name: DENNIS WILLIAMS INC/PLUMB CRAZY Name: DOZIER TIM & CHRISTINE TRUST DOZ
Addr: P.O. BOX 3039 Address: PO BOX 2233
ZEPHYRHILLS, FL. 33539 ZEPHYRHILLS, FL. 33539-2233
Phone: (813)782-9520 Lic: Phone: (813)361-9198
Work Desc: RENOVATE PLUMB BATHROOM
• APPLICATION FEES
PLUMBING FEE 40.00
" � INSPECTIONS REQUIRED '
1ST ROUGH PLUMB
2ND ROUGH PLUMB
SEWER
WATER ��
FINAL /p
�/� e 1
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REINSPECTION FEES:(c)With respect to Reinspection fees will c ply 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 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.
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CONTRACTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-�so-ooxo City af Zephyrhills Permit Applic�tion Fax 813-780-0021
� _ Building department
Qats Fteceived phone-Canfact for Parini#�a ��� t�� — �—�t�
Owner's Na�e t � �h'�1'S C 1��.. �Zl�...t� Ow»gr Phone Numbsr vl J' �J��'"4���
Owner"s Address ���i� ����•�-��'^�'�h�,�S`� �"' Owner.Phona Num6er �� �
Fee Slmple Tikleholder Name �� � Owner Phone Number � I
, � _ .
Fee Simple Titleholder Address `
JOB ADDRE$� ��� ��� S� Z-2��1�I��f1l�`S,�i-�- LOT# �_,_� -
SUBD1VISiON �! . � P,ARCEI.ID# �����.D��^i � ���a � ����� !�
- _ (OBTAINED F.ROM PROPERTY,TAX NOTICE)
WORK PROPOSED NEW°CONSTR ADDlAIT C� SIGN' Q Q DEMOCISH
INSTALL � REPAIR '
PROPt}SEDrLISE Q SFR [� `CQMM ��] t?THEE2 ' T `
7YPE OF CONSTRUCTION Q ' BLOGK ' Q FRAME C] STEEL �Q
pESGitIPTIOPI OF WORK'' F Ch-��1 1'�U�..XY� '�-���-- , ' - '
BUtLD1�IG S12E �� � SQ FOOTAGE�. - ,,HEtGHT e�—_____,�
.�: ,,.
08Ut[.DING $ � � ...�,_ ,�:-._ . ..-
VALUATtON:�7F TOl'AL"CONSTRl7CTiON
QEl'ECTRICA� � ' � AMP SERVICE Q 'PROGFtESS'ENERGY Q V4t:R.E:C.
��PLUMBlNG _ .
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QMECFIAMCA� $ ' VA�UATlQt+I�F'Pi�ECHANICAI.INS'TAIL�►Tit?IV ¢-
�� �� �� � .
[�c�s � RooFiN� ,[� sFEci��.rar [� OTHEI2
FINISH�D FLOOR ELEVATIONS �� FLOOD ZONE AREA QYES. �NO
BUI�DER COMQ�ANY;� ;. � , . .
31GNATURE REGISTERED Y/ N �'EE CURREP Y/Nil�
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Addrs�s � .� ' '�° :�. Licen§e`#�'� ` �
EIECTRtC1AN,. ��GBMPANY= � x � ' � � _-.. .
SIGNATURE �` REGISTERED ' Y/ N FEE�CURREk�-' `tY/N `
Address - . _ ~LT .. Ucense�#_�;� ': I
��uM��� ;.� ��5:�,�1`�...��`' �'t'``�._ co�n�,a�nr , e.�'ltl����ti.���,ltic�"lS�.t�1C.. _
SIGNATURE _, _REGIS.TERED Y �N, :�FEE;CUFtRE� � Y N.. �
Addre�s �� ���h'`J� '�.� f�111�5,�"t- 3��� . , �. .�License.�# �.��.�- ��c��U�{�c� �._
NIECHAN1CAi:� " ., , C4MP�NY � _ :-,#Y .. . .._ . °
SIGNATURE - � � REGISTERED . Y,/ N . , _' FEE CURREP-� -. . Y/rN:
Addrss"s� .- _ Y = , � _ , � �. Cicense#~�. ..—.- _ � .
OTHER ' � - - � `� ';G06M,PANit - � .- • � ,� . _.
SIGNATURE =._- s ;`� ��' ` " REGI$TERED'� Y/ N.:.� `,FEe CURrtE� ' Y/N .
i4ddress` .i .�. . , . � - , . , Ucen's�#_� � ,
,�... .. ;' �(:zS-�',,.. �,:-,.:. �3.:.' • •
RESIDEN17At�:�--:Attaotij{2}nPtot.P-,latis;:(2)sefs af;Butlding Plaris;{4}sef of:�ite'rgy:Fo'r'ens;°FZ-O=W,Perinit for new'czonstructton,
-- --- - _ �<- Minimum;ten;(10);woricing,�ays;after.:submiftal d'ate.':Requl�ed onslte;CUnstructlon-Plans;Stonnwa4er Plans wr/5Ut Fence tnstaUed,
t��" Sanitar"yFacUttle's.;&y�1�dumpster-5lte°Wo�kcaPermit,#or=sutidivisionsllargeprojeofs,;.�,�`=..,;, ' • � ' ��� °�`
COMMERCIAl. Attach{3)cbmplete sefs'rof`Bullding Plans pias a Ctfe Safeiy Page:(1}se#of Ene�g}r Fonms.l2-O-W Petmi#fo�new cons#ruction,
Minimum ten(10)wo�lcing days after submittal date. Required onsite,Canstruckian Plans,Stormwater Plans w/SUt Fence installed,
Santtary Facllttles&1 dumpster.Site Work Parmit for all new proJects..All commarcial requlrements must meet compliance '
St�FI PERMIT Attacfi�{2}'sets ofEngiiieer,ed�Ptans.��;.__;._-..- ,,,�4; - ._ �
•"*PROP�RTY SURVEY reguired,for_all NEW oonstruction., �• - �
Direatlan�: . .�- ' ` '
Fill out applicaUon completely.
Uwner&Contrector sign back af appitcatton.notarized
if over S2S00,a NoNce af Commenaement is required. {A!C apgrades ovsr 57500)
' ^..Y tN?�,ai:F�3,'�,
"' Agent{far the`contractor)o�Power ofAttomey(far tFie bwner)wrould be�someone with�notarized letter fram owner authorizin�same
- .�r>
DVER'THE COUNTElZ PERMITTING�- -;..(Front*of Application•Ontyi}Y �'
Reroats if shingles Sewers ;� Service Upgrades.,A%C Fe�tces'(Plot/Survey/Foatage) �.
� �
, DNvswaya-Not over Counter.if on pubiic roadways..iieeds ROW; • �
n r ._,.',,,..,. ...-,.,,.v_. _ . _ ,,. _�� I
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NOTICE OF DEED RESTRICTIONS: The unders(gned;understands:th�t.thls;p�cmlt;may be,,subject to°d,eed".restrictlons"��._._,,...�:�.:�
which may be�:more�r.est�ictiveFtha�County=regulatCons: The°underslgned°"assumes��resp�nsibility for compilance wlthrvany ` ���V` `��
appNcable deed rest�ictlons. -.,-,.,:�' �o-..; . _ • � � , , . �. ,,_ ,. .�_ : �. ���
UNLICEMSED��CANTRAC'�OItS -AND CAN�RACTOR RES�ONSIBIL:ITIES: =°if�the��owner has`�hUed`��a-contractor or
contractors to undertake work;they may,be�r�quiced:.,to.<be-Ylfcerased in._accordance:with,state.and�local,regulations.:_�.If�the�=• - > �'
contractor ts-not llcensed as required�tiy law,;both the owner��nd contractorzm�y be°cited for"a�misdemeanor violation
under state law. If the ownen or Intended,contractor,are;uncertaln as to what Ilcensing,requlrement�M'may::apply��ifor:=tiie�� ° T -=
tntended work,"they are°advise�to contact th�Pasco County.Building::Inspection,Divislon--l:icenstng Section at 727-847-
8008. Funhermore, If the oinrner�has��hlr`"ed a coaitractor or contractors� he ts advtsed to have�the contractor(s)..sign„ . ,
portfons of the:.".contractor Block" of this_application.for_.which,they,will.�,be.r.esponslble:-. If you;.•as,#he owner��§ign°�'as the - '
contractor, that�may be an indication that'iie'is'not.properly Iicensed��ao�d`"�is;not�entitled to perniittin'g privilege's in Pasco
County. ' -� .�";:'_ ` ,.',
TR�►NSPORTATION.:IMPI4CTIUTILITIES-IMPAC7 AN�R@SAURCE RECOVERY�FEES:'The undersignedTunderstands ���
that Transportatio� Impact Fees and.Reco.urse Recovery.Fees may..�.apply��to:the.construction of new bulidings,.�change`of���" ''�'��r- i
use In existing buildings; or.,.exp�rtisi�n��of�ezistin;g:.bulldings,as specifled.in Pasco County Ordinance number 89-07 and- 'i
90-07, as amended.,_,The undersigned also:understands, thaE:`such fees;�,as�may;tie:due;;w(II:>be tdentified at ther'time�of-� ���=• `1 I
permitting. It is furtFier understood that Tra�sportatlon Impact Fees and'�Resource;Rec`odery�Fees:mu�t be paid prior to '
,..,.
receiving-a °cerEfficate,of-occupancy" or flnal�powerrelease;° :If�the.proj�ct.:does.not Involve�a��.certificate of occupancy o�.'������='�= ���
final power relea�e;��tlie-:fees-mu�t�tie"paid,prior to ypermit Is'suance. Fu�thermore;�if:Pasco,County�Water/Sewecaimpact _ :: -
fees are due,they..must:be-:pald.priorto.pecmit�-lssuance�.in.accocdancewitFr:appllcatite.Pasco�-.Countji�`ordinances. •
CO(VSTRUCTION LIEN"LAVII(Cli�pter 713� Florlda�tatute�,a�amended): If valuatlon of work is�2,500.00>or•more�.)- :�::�a:� I
certify that -I, �he. applicant;--have.been provided �with4a=copy of the "Florida� Constructton:-'LIen:Law=hlomeowner's
Protection Gutde" prepared by ttie'Florida Department�of Agric.ulture and Consumer:Affaics. If the appltcant is someone,:. - : ,�
other than the"owner",,I certifjr>that i:h�ve:�obtained;a'=copy,of.thefabove..des,c�ibed_�focurt�ent:and.pr.o,,mise��in,good::faith�to . ,, , �,
deliver It to_the.'ownec"�.pi�or.�ta�commencement�"' " � � � ' � ` �" = ` ' � , , ��
CONTRACTOR'S/OWNIER'3 AFFIDAVIT: I.cert�fy�.ttiat:all..the:;inf.ormatiqn:ln•this application is accurate and that all work
will'be done in compliance with all appltcable�laws regulating construction, zontng and��land°development. Applicatlon is
hereby made_to,obtain�.a.permit:�to:do_:work:.,and�:installatlon as indtCateda�.-°I�certffy that no work�:or Installatton Fias' �
commenced pr(or to Issuanc� of`a pe�miE""and that':all �vork will be pertormed to meet_standards-of all laws regula�ing-
construction, Coun�y and City codes, zoning regulatiQns, and tand d�velopment regulatlon"s�in the��jurisdtctton:- I�:al'so
certify that I understand that the regulattons of othergovernment agencies may�apply�to the intended work, and that it is �
my responsibility to identiiy.what.actions I must�take to be,In:.corr�pllance.,;S.uch:agencies inciude but��are.not Iimited to: � •�
- Department of Er�v(ronmental:°Proteotion'-Cypress`��ayhead�� Wefland Areas and Erntronmentally Sensittve
Lands,Water/Wast�water Treatment. -
- �outhwest Florida Water Management��:I�istrict-lNells; 'Cypress.'�Bayheads,- Wetland Areas, Altering
Watercourses. .. � - • �
- � Army Corps of Engineers-Seawalls,�Docks, Navigable Waterways.
- Department:of,Health.:&��Relaabiflt�tive;Ser,vices/Environmental�.Health Unit Wells� Wastewater�Treatrnent,
Septic Tanks:..v". `. " � . ` .
- US Envi�onmental Protection Agency-Asbestos abat�ment. �. ,
Federal Avtatlon.,Authocity,Runways. � � � , . �
-I understand that the:follow�ng;restrictions apply to tfie use of flIL• �
- Use of flll Is not allowed in:Flood:Zone"V"unless expressly permitted,.
- If the :flil� materfaF is �to�b.e used: in �Flood Zone. "A�, f� Is understood�that a dra(nage,plan addresstng a
"compensating volume" will be submitted at time of:petmiftJng which Is prepared by a professional engineer �� �
Iicensed bythe State of Florida: - _�� ,f ,•>� • . .
- If ih� flll materia).ts to be used in Flood Zone 'A" in�connec�ion�witN�a°��ermitted buildir�g using stem wall
, construction, i cert(fy,.that flll�wall.b.e used only.to fill the area.within�the�stefn�walL• _
- if fill materiai is to be used in any ;area; F�certify that use. of;such yflll will not adversely affec4 adJacent
propertfes: If use of flli,is found,to adversely:�ffect adJs�Eent�properties,.the owner may be cited for violating
the condflions,of_the building�;perrrilt•is'su�d'under tNe'attaahed_permit;application,:for��lots�.less than'=one (1)
acre whicfi-are�elevated`by flit;art engineer•ed drainagemplan fs required. . ,
If I am the AGENT FOR THE OWPIER, Itprom,ise In.good faith to inform-the o�nrner of the permitting condRlor�s set forth in
this a�davtt�prfor to commencing construction. I under"st�nd thet a�separate permit may be requtred for electrical work, .
plumbing, signs, wells,:pools,_ alr conditioning,.gas, or.othe� Install�itl�ns noE•spec�ftcally included-tn.the application. .A , -
permit Issued shall be construed to-be�a�Iicense'-.to-`proceed with'tFie�work and not�as:authotity�to:violate,cancel, alter, or
set aside any-provistons of the technical cades; nor shall Issuance of a.permtt.prevent the Bulidirig O�flcial from thereafter
requtrin.g a correction.af�_ercors in.plans; consfniction.or vlolatlons ofany codes: Every-p�ermttvissued sFialf tiecome�invalid
unless the work authorized:by�uch permit:�is.commenced•withln sGc.m.onths of permit lssuance. or tf work authorized by
the permit is suspended�or.aba�doned�for.a:period of six(8)montfis:after the tirne the�work�is commenced. An extension
may be requested, in writing;:-from.tFie:Building,Official for a period-�not to-exceed�ninety'(90)>days a�d-will demonstrate
justifiable'cause ior.the extenslon�. If wo[k ceas�s-for ninety(90)cons.ecutive�days�..the Job:is.considered aba�doned. �
VNARMIRIG TO O{NNER: YOUR�FAILURE::TA...REC.ORD,A:,MOTIGE:OF.�COMMENCEMENT-.MAY�RESULT�IN�YOUR
PA71MG TWICE;I=AR IMPROVEMEN7'S�TO:YO.UR::PROPER-TY�I�,YOU_tINT�1�7'A:��'�lM�1�11�►t�ElldS�;'C.�N�ULY- �--
�-- -41�CTFi�'��R��E�iD�R-�r�AP���nRNE'1f�E�OR�iR�COR�I�IG��YOURr�tOTIC�"OF�COMI{�ENC�E(Il'IENT� .
FLORIDA JURA��(F.S:177.03} .. .. `_ ,: ,:. , ; .:�.. , - . � . _._., .. . ... ,�
OWNER OR A(iENT}�x.t�1�U��: ��""` CONTRACTOR 1���� �i��
Subscribed and swom to(or a rmed)before me this Subscribed and' ot afflrmedpbefore me ffit$ ,
by • •
Wtio Isfare personally knovm to.me or haslhaye produced Who.ls/ p.eraonelly�known� me:or has/heve�produced- �
as Identlflcetlon. � as Identlfica0on. •
Notery Publlc , � �GC(�I'� '
Notary Publlc
Commisslon No: m ssio .N .
' *5,�• PYB�;.� Commission#FF 150422
Name of Notary typed,p�lnted or stamped Name of Notary - �tl t� �f�em er ,
� P.
�'���),oF�°�`� Bonded Th�u Troy Fain Incurane�800�385�7019
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