HomeMy WebLinkAbout17-18858 r,
� CITY OF ZEPHYRHILLS
5335-8TH STREET
(si3)�so-oozo 1 . 58
�- PLUMBING PERMIT
- PERMIT INFORMATION - LOCATION INFORMATION
Permit#:18858 Issued: 9/19/2017 Address: 39326 9TH AVE
Permit Type: SEWERLINE REPLACEMENT ZEPHYRHILLS, FL.
Class of Work: SEWERLINE REPLACEMENT Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 1,300.00 Total Fees: 46.00 Subdivision: SUNSET ESTATES
Amount Paid: 46.00 Date Paid: 9/19/2017 Parcel Number: 12-26-21-0300-00000-0370
CONTRACTOR INFORMATION O.WNER INFORMATION
Name: CHRIS BAHR PLUMBING Name: BARGER KEVIN J
Addr: 5729 GALL BLVD. Address: 39326 9TH AVE
ZEPHYRHILLS, FL. 33541 ZEPHYRHILLS FL 33542-4702
Phone: (813)782-2524 Lic: Phone:
Work Desc: SEW LINE REPLACEMENT
APPLICATION FEES °
SEWERLINE 46.00
INSPECTIONS REQUIRED
FINAL
` �
�
l�
l
\
�\�' �
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 properly 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.
�
CONTRACTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
i 813�?80-0020 City of Zephyrhills Permit Application Fax-s�saso-oo2�
Building Department
Date Received p�p���ontact for Permitting O j,,� 1 - `77 G`?�
1 �c.l f �y��
Owner`s Name V`4 �'t. (L Owner Phone Number O� 7�
Owner's Address C�q� � Owner Phone Number � �
Fee Simple Titleholder Name �- � Owner Phane Number �— �
. Fee Simple Titleholder Address
� JOB ACIDRESS � � �� U� LOT# �
!� SUBDtVtS10N �� � PARCEL ID#
,
i� (OBTAINED FROM PROPERTYTAXNOTICE)
1� YVORKFFROPOSED NEW CONSTR ADD/ALT � SIGM1i Q Q DEMflUSH
(g e INSTALL 8 REPAIR
PROPOSED USE Q 8Ff2 Q CtJMM [� OTHER
�� TYPE OF CONSTRUCTION Q BLOCK Q FRAME [_] STEEL Q
� -
i!t DESCRIPTION OF WORK ��UV�OC„ r G1� ��'_ � �
�I —
�� BUiLDING SIZE � SQ F007AGE� HEIGHT
1
,
�+ [�BUILDING �"> � VALUATION OF TOTAL CONSTRUCTION
I�
" QELECTRICAL $ AMP SERVICE � PR4GRES8 ENERGY Q W.R.E.C:
i;
�j
1!
�PLUN18iNG �� �
i
,,...,. � .....��
`' �MECHAN1CAl. � � VALUATION OF MECNAhlICA�INS7ALlATION
�
� �GAS Q ROOFING Q SPEClA�TY 0 OTHEFt
;
; FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA DYES NO
�
;� BUtLDER COMPANY
SIGNA7URE REGISTERED Y/ N FEE CURRE� Y/N
i
� Address
License# �
d
� ELECTRICIAN COMPANY
� SIGNATI.IRE _ REGIS7ERED Y/ N FEE CURRE� Y/N
� Address License# r— �
�� PLUMBER (�, COMPANY C1a! CIVS 9 u1+' �I.J 1*N G
SIGNATURE C REGIS7ERED Y/ N FEE CURRE� Y/N
� Address `�� c�GR � ��-U� �{-cc�(.� � License# �}�^C- ����j ���
, MECHANICAL COMPANY
i SIGNATURE REGISTERED Y J N FEE CURREI� Y/N
i
Address License# � �1
� OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
' Address License# � � �
�
- ,- -RESIDENTI.4L-----Attach{2}-Plot-P(ans;(2}sets-af Building-Plans;(1)set-of Energy Forms;-R-O-W-Permit-for-new-ca�rs•,ruction, -
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
� San3tary Facilities&1 dumpster,Site Work Permit for subdivisionsJlarge projects
� COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new consUvction.
Minimum ten(10)warking days after submittal date. Required onsite,Constructian Plans,Stormwater Plans w/Sllt Fence insta!led,
� Sanitary Facitities&1 dumpster.Site Work Permit for aIl new projects.A[I commercia(requirements rnust meef comptiance
SIGN PERMIT Attach(2)sets of Engineered Plans, � �
***'PROPERTY SURVEY required for all NEW construction.
Directions: "
' Fill out application completely.
Owner&Contractar sign back of apptfcation,notarized
If over$2500,a Notice of Commencement is ree�uired. (A/C upgrades over$?500) "
" Agent{for the contractor}ar Pawer of Attomey{for the awner}woutd be someone wtth natar+zed tetter fram owner authorizing same
OVER THE COUNTER pERMITTING (copy of contract required)`
Reroofs if shingles •�Sewers �-= �Senrice�Upgrades'i4(C;`"""'f;Fences{PloUSecrveylFootage}
ti;�.;-'..i;:'�:1.',:"=t, :�.:t; ,":.e..�"�. �;
Driveways-Not over Counter ifon public road'ways:.peeds ROW
� �,�s� .:�:� .. ..- ;:�'_ � _._ .
� . , , . _ a , , . • ,. ,
��
;
-a
NOTICE OF DEED RESTRICTI�NS: The undersigned understands fhat this permit may be subject ta"deed"restrictionsn
which may be more �estrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: , If the owner has hired a contractor or
contrac#ors to undeetake urork, they may be required ta be licensed En accordance virith s#ate and lacal regulations. If the
cantractor is not licensed as required by law, both the owner and cantractor may be cited far a misdemeanor violation
under state law. (f the owner or intended contrac#or are unceetain as to what licensing requirements may apply for the
intended work, they are advised to contact the Pasco County Buiiding Inspection Division—Licensing Secfion at 727-847-
8009. Furthermore, if the owner has hired a contractar or contractors, he is advised to have the contractor(s) sign
portians af the"cantractor Bbck" of this applicatian far which they will be responsible. 1f you, as the owner sign as tha
cantractor, that may be an indication that he is not properly licensed and is not entitled ta permitting privileges in Pasco
Gounty.
TRANSPORTAT(ON IMPACTNTILITIES 1MPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation lmpact Fees and Recourse Recavery Fees may apply to the construction of new buildings, change af
use in existing buildings, or expansion af existing buildings, as specified in Pasco Caunty Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
permitting. if is further understaod that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of accupancy" or final power release. If the project does not invalve a certificate of occupancy or
final pawer refease, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes,as amended): If valuation of wark is$2,500.00 or more, I
certify that I, the applicant, have been provided with a capy af the "Flarida Construction �ien �.aw—HameavMmer's
Pratection Guide" prepared by the Florida Department of Agricul#ure and Consumer Affairs. If the applicant is someone
other than the"owner", l ce�tify#hat 1 have abtained a copy af the above described dacument and promise in good faith ta
deliver it to the"owner" prior to commencement.
CQNTRACTOR'S/OWNER'S AFFIDAVlT: I certify that al) the information in this application is accurate and that all work
will be done in compliance with al( app(icable iaws regulating construction, zoning and Iand develapment. Application is
hereby made to obtain a permit to da work and installation as indicated. I certify that no work or installation has
commenced priar to issuance of a permit and that all work wiS1 be performed tQ meet standards af all laws regulating
construction, Caunty and City cades, zoning regulations, and land development regulations in th� jurisdiction. I alsa
ce�ti#y that 1 understand tha#the regulatians of other govemment agencies may apply to the intended work, and that it 9s
my responsi6ility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Department of Enviranmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
L`ands,WaterlWastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Wateccourses.
- Army Carps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department af Health 8� Rehabilitative ServiceslEnvironmental Health Unit-We!!s, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authorit}r-Runways.
I understand that the following restrictions apply to the use of fill:
- Use of fill is nat alloweti in Fload Zone"V" unless expressly permitted.
- If the fill material is to be used in Flood Zone "A", it is understoad that a drainage plan addressing a
"compensating valume" wifl be submitted at time of permitting which is prepared by a professianal engineer
(icensed by the State of Florida.
- If the fill material is to be used in Fload Zone "A" in connection with a permitted building using stem wall
cons#ruction, 1 certify that fill will be used only to fill the area vuithin the stem wall.
- If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fiN is found ta adversely affect adjacent properties, the owner may be cited for violating
the conditions of the,building permif issued under the attached permit appiicafion, for (a#s (ess #han one (1)
. acre which are elevated by fill, an engineered drainage plan is required.
tf i am the AGENT F�R THE OWNER, I promise in goad faith ta infarm the owner of the permitting conditians set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
p{umbing, signs, wells, paals, air conditianing, gas, or ather installations not specificalfiy 9ncluded in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to viotate, cancel, alter, or
set aside any pravisions of the technical codes, nor shall issuance of a permit prevent#he Building Official from thereafter
requiring a correcfion of errors in pians, construction or violations of any codes. Every permit issued shaii became invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
the permit is suspended ar abandaned far a period af six{6)months after the time#he wark is,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 far the extensian. If work ceases for ninety{90}cansecutive days,the job is cansidered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTlCE OF COMMENCEMENT MAY RESU�T IN YOUR
PAYiNG TWiCE FOR IMPROVEMENTS TO YOUR PRQPERTY. 1F YC}U tNTEND TO CIBTAIN FtNANC1NG, CCtNSULT _______
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR N ICE OF COMMENCEMENT. '
— --- _ _ . - __-- _ - �__ .._ -
-FLORIDAJURAT"(F:S:917.Q3} " - ---------- -- -
OWNER OR AGENT CONTRAC70R �
� "� �
Subscr'sbed and swam to(or affirmad}bsfore me this S bsc' d and swom o affirmed}before rr�e this �
bY ����Y
Who is/are personally known to me or haslhave produced ho i /a��personally known to me or has/have produced
as identifrcatian, as identification.
Notary Public ��'�(.0_��,,,.�L1 /�r���='.-�� Notary Public
Gommissian No. Com iss�an No. ��/(�f/�'-5��
���` G—�r�� (�.u��LR..,
Natrte of Notary typed,printed or stamped Name of Notary t�,..��, ��8�3RRl�(�C*��"'fi"'�"
,�,. �;- A Et,A
�+: ,,:Commission#GG Q45343
's"= �a<i EXpJtes NQV9tTtber 7�2424
� #".�$j�i�°ar BondedTlwTroyFaintnsurance808�385��018
\
/-�