HomeMy WebLinkAbout17-19061 J,.
CITY OF ZEPHYRHILLS
' ' S335-8TH STREET /
(sis)�so-oo20 19061
PLflMBING PERMIT . °
PERMIT INFORMATION LOCATION INFORMATION
Permit#:19061 Issued: 11/16/2017 Address: 5442 9TH ST � a�
Permit Type: PLUMBING _ ZEPHYRHILLS, FL. �f
Class of Work: PLUMBING RENOVATIONS Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 2,500.00 Total Fees: 40.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 40.00 Date Paid: 11/16/2017 Parcel Number: 11-26-21-0010-11900-0150
CONTRACTOR INFORMATION OWNER INFORMATION
Name: SIGNATURE PLUMBING INC Name: MOSS, JASON
Addr: 5609 ADAMO DRIVE UNIT C Address: 5442 9TH ST
TAMPA FL 33619 ZEPHYRHILLS, FL. 33542
Phone: (813)381-1136 Lic: Phone: (813)743-8732
Work Desc: REPLACE GALVANIZED PIPING W/ PVC PIPING ENTIRE HOME
APPLICATION FEES
PLUMBING FEE 40.00
INSPECTIONS REQUIRED
1ST ROUGH PLUMB
2ND ROUGH PLUMB
SEWER i��
WATER ` �
FINAL �� �
.�Ic��
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 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
� � I�r��estors ���e �,S���Cement ,�ervices Inc.
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Dute:No�vea�nbe� l3, 20.�7 '
Tot{cl �zuj�zhet• of ptiges: 1
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TO. Caly v�f Ze��1iy�litl'ls {J«ckre�l�l�. D�ept.) ,
�A�813�78d-QQ21 I
.F'R().M: Jani�Init I
SUB.��C�': 5442 9t1i ,���eet, �epl'i�Y�ii�`rs, �� 33542
MEjS`S`A�.E:
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' • Building Department
Date Received Phone ContactforPermittin
Owner's Name J � fr1 Owner Phone Number
Owner's Address "1 1 C.. ��� J��tr�'t' Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Slmple Tltleholder Address �
JOB ADDRESS �Z �� c����@�t LOT# �
SUBDIVISION PARCELID# I�'Z��Z`�'VO��'/I—(Ob'�r5 �
(OBTAINED FROM PROPEkTY TAX NOTIGE)
WORK PROPOSED e NEW CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
�TYPE�OF GONS7RUCTION Q 9LOCK Q FRRI�flE � STC-EL Q
DESCRIPTIONOFWORK ,C G Z'� � �P t► W 'F�� Su�p'�/�
� 4
BUILDING SIZE SQ FOOTAGE� HEIGHT
QBUILDING $ VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
�PLUMBING $ � �g��I
Y
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
QGAS Q ROOFING Q SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER Cp�pq�yy
SfGN/k'il{RE REGISPEREO � i'lu.. '; x�eu[m�n :,f fry- -. ' .
Address License ,� t
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y I N FEE CURRE� Y/N
Address License#
PLUMBER � /) COMPANY
SIGNATURE L/ �� REGISTERED Y/ N FEE CURRE� Y/N
Address (,'` �'t V'� License# �C � 3
MECHANICAL COMPANY �� � y' / �7 '
SIGNATURE REGISTERED N FEE CURRE� Y!N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y I N FEE CURRE� Y/N
Address Licens�3t�
1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;R-O-W Pertnit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence Installed,
Sanitary Facilities&1 dumpster•,Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Fortns.R-O-W Pertnit for new construction.
Minimum ten(10)working days after submittal date. Required onsi[e,Construction Plans,Stormwater Plans w/Silt Fence instalied,
Sanitary Facilities$1 dumpster Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW construction.
Directlons:•
Fill,nut.app;iaation compietefy:
`�Owner'&Contractor sign track oi application,notaYized
If over y2500,a Notice of Commencement Is requlred. (A/C upgrades over$7500)
`• Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plof/Survey/Footage)
� Driveways-Not over Counter if on public roadways..needs ROW
I,1
� • PdO i iGE GF DEEQ�ttES'f"R1Gi ION5: The:undersigned understands<that this:permit may be:subject to"deed"restnctions°-`
which may be more restrictive tfian 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
contractors to undertake work,they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign
portions of the"contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
�Conrtty.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County 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. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a"certificate of occupancy"or final power release. If the project does not involve a certificate of occupancy or
final power release,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 work is$2,500.00 or more,I
certify that.1, the�applicant, have:been provided with a,c�p�t of the."Florida �onstrustion Lien tava—liomsowner'�
Profectlon OuCde"prepared 5y tFie Ftorida Department of Agr'rculture and Consumer Affalrs. If the appticanY is someone
other than the"owner",I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owner'prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construction,zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work will be pertormed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Department.oi Environmental Protection-Cypress Bayheads,�1rUetiand xlreas,and Environmental}y.5ensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
- Department of Health & Rehabilitative ServiceslEnvironmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
- Use of.fill is not.allowed in Flood Zone"V"unless exQressly permitted. _ .. _ .. _ .
- l#,the �el�matedal:is to be nsed�in �loodr Zone "A', i# is anderstoo�:fkra�a d�airtage plair addressing• a
"compensating volume"will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
- If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction,I certify that fill will be used only to fill the area within 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 fill is found to adversely affect adjacent properties, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application,for lots less than one (1)
acre which are elevated by fill,an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER,I promise in good faith to inform the owner of the permitting conditions set forth in
this„affidavit prior.to caminencing cortstrucEion, f-�nderstand-that:a.separate Fermit may be requir�d for:electrical�,vork,
plumfiing, §Igns, wetls, poots, air�conditiorifng, gas, or other'(nstallaftons not specificaiiy vnoluded in the applfcaflon. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel,alter,or
set aside any provisions of the technical codes,nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans,construction or violations of any codes. Every permit issued shall become 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 or abandoned for a period of six(6)months after the time the work 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 for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYWG 7itY10E FOit I1fiPR0'YENiEiVTS;TCJ YOUR FROFERTIF': IF1'�OU Ii�TE�niu 70 OBTAIN'Fihli�AiCIPIGi GOFJSUL'T
WITH YOUR LEIYDER OR AM1f ATTORNEY BEFORE RECORDMG"YOUR NOTICE OF COMIfIIEN�EMENi`.
FLORIDA JURAT(F.S.117.03)
OWNERORAGENT CONTRACTOR �iG}ZtUC�C �IUmbr•'1P �
Subscribed and swom to(or affirmed)before me this Su scnb d and swo�(or affirmed),befo g me this �,,� /
by �'�by `��i C,�'!C.g� ��.Q Yl Y! �l�LO
Who islare personally known to me or haslhave produced Who is/are personally cnown to me or has/have produce
as identification. ��p ka.��n ot.iti as identification.
Notary Public F/or�•4� � �/ �(/S�OYOC/4�Notary Public
Commission No. Commission No. ��9.U 2�Z 7
Name of Notary typed,printed or stamped Nam of otary typed,printe or stamp , ,���
.SF,E'���= �gRI►�fYlCCOAAAS
;�, •': MY COMMISSION#FF202827
%. 4. . EXPIRES Februery 24,2019
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