HomeMy WebLinkAbout17-18108 :
CITY OF ZEPHYRHILLS
,. 5335-8TH STREEf �
- {813}780-0020 18108
Pl.UMBING PERMIT . �
PERMIT INFORMATION LOCATION INF4RMATION
Permit#:18108 Issued. '[13112017 Address: 5208 16TH ST
Permit Type: PLUMBING ZEPHYRHILLS, FL.
Class of Work: ELECTRICAL MISC Township: Range:
Proposed Use: NOT APPL(CABLE Lot(s): Block: Section:
Sq. Feet: Est.Value: Book: Page:
Cost: 54.00 Total Fees: 40.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 40.Op Date Paid: 1/31/2017 Parcel Number: 11-26-21-0010-19600-0160
C4NTRACTOR INFQRMATIUN 01NNER INFORMATtON
Name: HOMEOWNER Name: LOYA HENRY
Addr: Address: 5208 16TH ST
ZEPHYRHILLS, FL. 33542
Phone: Lic: Phone: (863}370-0569
Work Desc: INSTALLATiON WATER L(NE AND 20 AMP BOX FOR WASHER/DRYER
APPLICATlCIN FEES
PLUNIBING FEE 40.Od
INSPECTIONS REQUIRED
1ST ROUGH PLUMB
2ND ROUGH PLUMB
SEWER
�
WATER
FINAL
.� o-��
�
REINSPECTION FEES:(c)With respect to Reinspection fees wN comply with Flarida Statute 553.80 (2)(c)the
locai gavernrnent shaf! impase a fee of four times the arnount of the fee impased for the initial inspection ar
frst reinspecfiion,whichever is greater,for each such subsequent reinspection.
NQTICE: In addition to the requirements of this permit, there may be additiona! restrictians applicabfe to this property that
may be faund in the pub(ic records of fihis caunty, and there may be additional permits required from other governmenta(
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 ta record a notice af corrtmencement may resutt in your paying twice for
impravements to your property. If you intend to obtain financing, consult with your lender or an attorney
befare recording your natice af commencement."
Comp(ete Plans, Specifications and Fee Must Accompany Apptication, All wark shall be performed in accordance with City
Codes and Ordinances.
Camplete Plans, Specifications and Fee Must Accampany Applieation. AI(wark shall be performed in accordance with City
Codes and Ordinances.
� ��
CONTRACTOR PERI OFF!
PERMIT EXPIRES IN 6 MONTH$ WITHOUT APPROVED INSPECTIO
CAL� F8R INSPECTION - 8 HOUR NOTICE RE{1UIRED
PROTECT CARD FROM WEATHER
a�3-7so-aaaa C�ty of Zephyrhilis Permit r�pplica#ion Fax-813-780-0021
•• Building Department
Date F�eceived a ?j ��- Phone ConYact for Permittin -
S�"
Owner's Name Owner Phone Number
Owner's Address � �b Owner.PF►one Number �! �
Fee Sirnple Titleholder Name � � Owner Phone Number � ! 1.
Fee Simple Titlehofder Address
J08 ADDEtESS LOT# �
SUBDlVlBlON � �� PARCEL ID#
(OBTAtNEp PRQM PROFERTY TAX NOTICE}
WORK PROPOSED � e .. NEW CONSTR 8 ADD/ALT [� SIGN Q [� DEMGILISH
IRISTALL F2EAAIR
PROP.,OSED USE C] SFR Q GOM(V� [� OTHER .
TYPE"OF CONSTRUC`TION Q BLOCK �- Q FRAME � STEE1. Q �
�
DESGRiPTiON OF WORK � � l'� � � � ' L
BUlLDltdG SlZE � � SQ POQTAGE��_,� HEIGHT �
[�BUILDING $ /� VALUATION'OF TOTAL CONSTRUCTION
jf—�
�ELECTRICAL ($ —'_-_� RMP SERVICE Q PFtOGRESS ENERGY [� W.R.E.C.
, �— .
QPLUMBING �-� �
[�MECtiAN1CAL $ VALUATION OF NiECHANICAL INSTALlATION
� r �� °
Q;GAS Q ROfJFtNG Q SPECIALTY [� OTHER
FINISFiED FLOOR ELEVATIONS � FLOOD ZONE AREA DYES NO
•BUILDEit ✓ COMPAh1Y
SIGNATURE REGISTEREp Y"J N FEE CURREfi Y%IV
Address � License.# { �
� :ELEGTRI,CIAN COIIAPANY
:.,SiGNATUFtE REGISTERED Y I N FEE CURRE� Y I N.
Address Ltcense# � "�
=,.°• • - .
Pl:UIVlBE#t.,, , COiUlPANY� �
�SIGNATUREs� REGISTERED Y�I`N FEE CURRE� Y/N
_ Address, License#`�---�
.MEG}iAldlCAL' � CONIPANY
� SIGNATURE'' " ReG�sr�REo , Y I Pl FEE CURRE� Y/N �
Aiid�ess-�- � � ' License# � �
��;#r�. - ... . �—
=..OTHER'= ''--:r 44' ` C,OMPANY "
:`�'SIGNA7't1RE;3-:�°:.: ..+ - """ ' ' REGISTERED Y I.N FEE CURRE�' Y/N
�Address;� � , , . ° , _ Llceiise# � � �
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"<'-.RESlpENT1AL,=<,�'`A ctiy 2.`�Plof',P.l`ans�'2'sets<o��Buildin Plans; 1•`set of�Ene FoRns;R=0-V11 Permit,for new,constcuction
'� , ,.�:�„� ) ,� )° 9' � )
_ w,.. r9Y'. �
x-> ��+���� �°Minimum;tepL(,iQ)'working'sc�ays�afte�sutimittal:clate."Requireil`onsite;Construction Plans,`Stormti+ater Plans wl Silt Fence instalied, -
:.. .c '��w."Yu'.4..�.2;�+.�+."�• . .. . , z.
�-,,u<. ,,. Sanitary.LFac�lities�&xl�dumpste�;;'Si#eiWor,kPetmit#orsitbdivisionsl(arge.prajects - �'.� � �
:COMlI�ERGIAL Attach�(2)`complete sets ofBuilding Plans plus a Life Sa#ety Page;{1)set of Energy Fortns.R-O-W Permit for new canstruction.
' - Minimum ten(10)working days after submittal date, Required onsite,Construction Plans,Stormwater Pians w!Sitt Fence instailed,.
;�`.< Santtary Faciiities&7 dumpster;Site:Work Permit foT�ali�new projecfs..All commercial requirements must meet compiiance
r.�_..
;::=�SIGN:FERMIT At#acti"(2)sets;qf;Engineered Fi�ns::�� .. _� ,
^"�� "*"PROpERTY SUR1%EY required,for a11:NEW construction.
�"'. .
;.>.�._;_ - .._...��.... ._._�.__ -
�.JE'.. ' ' _ _
;aIT@Ct�Qt1S: .. :. ' .
- `, Fi8?out appllcatlon completely.
�': `Owne�_&Contractar sign 6ack of application,notarized
If baer-$2300;a Aiotice.af:Gammencemer�t is raquired. (AIG etpgrades aver$T500} ,
�='*•` Agent'(for'�the�confractbr)°orPower�ofiAttomey{for"tEie avurte�}would tie someone with nota�ed,letter from awner autharizing same
<;�xt,1VEt2'.THE�CdUNTER�PERM17TtNG. (copy..af:cantract-.requlredj '�� �+."-:` -- - -
'"�Re�oofs_ff stiingies � Sewers Secvice Up�rades A!C Fences(PlotlSurvey/Faotage)
� Driveways-Not over Gaunter if on public-roadways:.needs RUW �
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�NOTICE.OF'DEEd RESTRICTIONS: 1"he undersigned unders,tands,that this;permit may be subject to°tde;ed"�rest�ictio.ns"�y��k :
f. :. :•:.: ,. , #..�,�..:.....,;. ..r.�,�-.,,
aivhich;rriay be.more=restricti,ve;=than,Courity r.egulations The;unde�sigiied•jassur�ies�-responsi�th#y fior compliance•irv�th any"`°,.
applica6ledeed"restrictions. ' ���r�y�.'�:�-';t-,'=�s.`
UNlICENSED._Ct?NTRACTORS AND CC?NTRACTOR RESPONSIBIL-tT1E3: if-#he�awner°�has�hired'��a��confractar.or
contractorsµto undertake work, they,m.ay:;be required'to be licensed i�n accordance with.state and:local_regulatians�.=-'lfi�the.:��'�-;i
contractor.is=not licensed-as required'by'law, botfi the ovirner:and ca"nt`racfor�may�=be�cited,�fo��a�m►sdeirieanorviolation -
under state (aw. If the owner or intended;contractac are irncertain as to what.licensing requirer;iients:;may�appiy:�:f.or��the=f'��'��
intended wark, they=are,advised to contacf�tlie Pasco County'Buildin'g'Inspection"Diyision=Cicensing Section at 727.=847=
_ ,., ����
8049. Furtherrnare, if #he owner-has`fiired:�a con#�actor or contractors, he��is advised to}have the contractor{s.}.:s,igi�:�z�,s},
portians of the "contractar Block" of this application__for which they will be resp.onsible. :If::you, as"`tFie�owne�sign,as�the� '�`~.�,
contractoc, that may be an indication thaf he-is nat properly licensed anit is not enti#led�to permitting p�ivileges`in`SPasca,F,;ry;_�
, County. � . - -. ' rk,
TRANSPORTATIO�N-IMPACTIUTILITIES IMPACT AND RES4URCE RECOVERY FEES: The untlersigned understands :`Y''
�:�� :�-�.�.,.,.,�4.:
that Transpor#a#ian impact Fees and Recourse Recovery Fees may,appty#o the cons#ruc#�on af new_buRt.elings, cFiange�'ofy`�f'.:n�
use in�existing buildings,;or�expansion-ofi:existing buifdings, as specified in Pasco County Ordinance number 89-0Z`.an;d ' ,:; I
90-07, as amended. The�undersigned aiso understands, that such fees, asymay:;be.due, wilE':t�e;ident�ed�at=t�ie�t�ti�rie-�ofti�F�;.�
permitting. �It is further understood that Transportation Impact�Fees�and Resource•lRecovery F.ees must be paid pcior"to
receiving a °certificate of occupancy."�ar final,power release. If the project does not involve a ce�tificate of occupaney:�or�;�a��."J:
final povuer release,.the fees must be.paid prior ta permit issuance. :FurtFiermare, if Pasco Caun#y W,ater!$ewerrlmp,�act:-°,.�� �
fees are due, tfiey must be paid,prior to permlt issuance in accardance with�applicable Pasco Coun#y ordinances. � �� '
'� CONSTRUCTION�l�IEN��:AW(Chapter T13;Ftor�da Statutes,as amended}: If valuation af work is$2,500.00.or-rrior,,e;<,1�.--,. ,
��..� ..�
certify that 'I, the applicant, have been provided with a copy..of the "Florida Constcuction.-Lien Law--=Homeowner's
Protection Guide° prepared by the Florida Department af Agriculture and Consurner Affairs. If the appficant�is..someone>,.,, �
.�.
other than the"owner",i certify that i.have obtained a copy of the above described document and pramisein good'.faitii�t'o .,..
� deliver,it.to the.�owner';._prior�,to commencement. � . , `
CONTRACTOR'SIOWNER'S AFFtDAVtT: I.certify;that ail the inforr�tation in this application is accucate and that all�vuork
will be done in compliance with all applicable'laws regulating construction, zoning and land-development. Application is
here6y made to ab#ain,a .permit_.ta�do:.:work�and installatian as�irtdicated, i certi�y thaf no work or.instailation-has ,
commencerl prior to issuance of a p.ermit and�that all work will be performed ta.meet standards of all laws regulating
construetion, County and City codes, zoning regulations, and land development-regulations in.the jurisdiG#ion. I:�also
certify that I understand that the reguiations af other government agencies may apply to the interided work, and that it is ;
my responsibility to iden#ify what actions I must take to be in compliance. Such agencies include.but are not:limited,to: '
- ,.Department of Enviranmental Protectian-Cypress BayFieads; Wetland Areas and Enviranmeritally Sensi#ive '
Lands,WaterNUastewater Treatment. ' `
- Sauthwest Fiorida Water Management District Welis, Cypress Bapheads, Wetland Areas, Altering �
Watercourses. � � •
- Army Corps af Engineers-Seawalls, Docks, Navigable Waterways.
- Deparkmenf of Healfh & Rehabititative ServiceslEnvironmental .Health tJnit tNells, W.as.tewater Treatment,
Septic°Tanks. �
- US Environmental Pratec#ion Agency-Asbestas abatement. �
- Federal Aviation-Authority-Runways.
!understand that�.the#ollowing restricfions apply ta the use af fi4l:
- Use of fitt is nat allowed in Fiood Zane"V"unless express{y permitted.
- If the fill material is to be used in. Flood Zone "A", it is understaod that a drainage plan addressing a
� "corrtpensating volume"wil! be submitted at time of permitting which is prepared by a pra#essional eng�neer "
licensed by the State of Florida.
- if the fr!! materfat is to be used in Flood Zane "A" in connection viriith a permitted buifding using stem wall
, construction, I certify fhat fill witl be used onty to fill the area within the stem walL
- If fill material is to be used in any area,. ! ce�tify that use af such-fill witl not adversely affect adjacent �
properties. If use of�11 is found to adversely affect-adjacent properties, the awner may be cited for vialating
the conditions of the building permif issued under the attached pernnit.application, for lots less than one (1) '
acre which�re elevaEed by fill,an engineered drainage plan is requ�red.
If I am the AGENT FOR THE OWNER,-I promise in good faith to infarm the owner of-the permitting�condi#ions set forth in `
this affidavit.prior to cammencing constructEon. 1 understand that a sepacate permit may be required for electrica! work,. {
plumbing, signs, weils, paois, air conditioning; gas, or other insfatlations not specifically included in fhe apptication. A. . �;;�:�
permit issued shall'be construed to"be a license to.proceed with the work and not as�authocity to violate. cancel, altert or
set aside any provisions of the`technical codes, nar shall issuance of a permi#prevent the Building t)fficial from thereaf#er
requiring a carrection of errors in plans, constructian or violations of any codes. Every permit issued shall become invalid ,
unless #he wo�k autharized by such perrnii Is commenced within six months of perrnit issuance, or�f uvork authot�zed by <
#he permit is suspended.ar abandoned for.a period..of.six(6}monfhs after the time the wark is commenced. An extension
� may be requested, in writing, f'ram the Building Officia! for a period not to exceed ninety{90) days and'-wi!! demanstrate '
justifiable cause for the extension. If work ceases for nine#y{90}consecutive days,the job is considered abandaned.
WARNING TO QWNER: YOUR.PAl1.URE.TQ REC..O,.RD.,A NOTtCE OF COMMENCEMENT MAY RESULT 1N�YOUR
PAYING TWICE FOR IMPROVEMENT$TO YOUR:PROPERTY...IF.YOU:.INTEND�TO,OBTAIN`FINANCING, CONSULT ��
- -- lfNlT-�1 YQlJl�LE[�DElZ O�'3=�ld�ATTOIEt�lEY BEFClRE RE�CORCD!!�G YQUlZ�IC}T!C@�����i49M�yCE�fENT. - _V'�_...._—`
FL4RIDA SURA1`(F.S.117.03} '
( OWNER OR AGENT CONTRACTOR
3ubscrlbed and swam to(ar aftitmed)beinre me thls Subscribed and swam to(or affirmedj before me this -
bY �Y
Who is/are personally known to me or has/have produced ` Who islare personatly known to me or haslhave produced
as Iden�#'ica�on. as iden�ficatlan.
Notary' Public Notary Public
Comm€sslon No. Comm3ssian No.
tVame of Notary typed,pfinted or s#amped Name af Notary typed,pr�nted ar stamped
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