HomeMy WebLinkAbout18-19335 .- � CITY OF ZEPHYRHILLS �
5335-8TH STREET
(szs)�so-oaza 19 35
P�UMBING PERMIT
� � PERMIT INFORIVIATIC7N ` � �� ' LOCATION INF�.IRMATION
Permit#.19335 Issued: 2/211201$ Address: 5010 9TH ST HISTORIC
Permit Type: PLUMBING ZEPHYRHILLS, FL.
Ciass of Work: PLUMBlNG/NEW Township: Range: '
Proposed Use: NOT APPLICABLE Lot(s): Block: Section: �
Sq. Feet: Est.Value: Book: Rage: ,
Cost: 500.00 Total Fees: 45A0 Subdivision: C(TY OF ZEPNYRHlLLS
Amount Paid: 45.00 Date Paid: 2/21/2018 Parcel Number: 11-26-21-001p-21200-0070 '
CflNTRACT{}R INFOi2N1ATIClh1 f�WNER INFORMAT[QN
Name: PIPE PROS INC Name: STARR MOTORSPORTS INC
Addr: 702 E. REYNO�DS ST Address: 9878 VINA CT '
PLANT CITY, FL.. 33563 CHULUOTA, FL. 32766-8899
Phone: 813)752-8549 Lic: Phone: (407)256-2209
Wark Desc: (RRIGATION CONNECTION
APPLlCATION FEES
�Lu�sir��F�E a�.oa
INSPECTIONS UtRE -
1ST ROUGH PLUMB ,
2ND ROUGH PLUMB ` �
SEWER Y }/ �
WATER_._�p�,�.�_ ' �
FINAL
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REINSPECT'ION FEES:(c)With respect ta Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local gaverrtmenfi shali impose a fee of foar fiimes the amount of the fee impased for the initial irtspection or
first reinspection,whichever is greater,for each such subsequent reinspection.
NOTICE: In additian to the requirements of this permit, there may be additional restrictions applicable to this property that
may 6e faund in the public recards af this caunty, 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 awning same
"Warning to owner: Your failare to record a natice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing,consult wi#h your lender or an attorney
before recording your notice of commencement."
Complete Plans, Specifications and Fee Must Accompany Application. All work shall be pertormed in accordance with City
Codes and Ordinances. '
Complete P(ans, Specifications and Fee Must Accompany Application. A11 work sha(I 6e performed in accordance with City�
Cades and Ordinances. ;
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GQNTRACTOR PER {�FF1
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPRCIVED INSPECTIO
CALI. FOR INSPECTION - S HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
a��-�aaoozo City of Zephyrhills Permit Application Fax-813-780-0021 '
' ' Building Department
Date Recelved Phone ConWct for Permitting �� — �
Owner's Name � Owner Phone Number ` '"—\"'l�0"
Owners Address Ct � \S v Owner Phone Number
Fee Sfmpie Titleholder Name Owner Phone Number
Fee Simple Titleholder Address �
JOBADDRESS C��V � `. ' �' LOT# �
SUBDIVISION PARCEL IDl�
(OBTAINED FROM PROPERTYTAX NOTICE)
WORK PROPOSED e NEW CONSTR 8 ADD/ALT 0 SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM Q OTHER ,
TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q
DESCRIPTION OF WORK ��-7 �� ^� �
BUILDING SIZE SQ FOOTAGE HEIGHT �
QBUILDING $ VALUATION OF TOTAL CONSTRUCTION �
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ ,�
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION i
QGAS Q ROOFING Q SPECIALTY Q OTHER ,
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
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IBUILDER COMPANY ;
SIGNATURE REGISTERED Y/ N FEE CURRE� Y I N �
i
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address License#
PLUMBER COMPANY � Q� �OS
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
� �
Address '� License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address License# �
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address L(cense#
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIItlllll I
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit for new construction, ,
Minimum ten(10)woricing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, �
Sanitary Facilities&1 dumpster;Site Work Pertnit for subdivisions/larpe projects �
COMMERCIAL Attach(2)complete sets of Building Plans plus a LiTe Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster Site Work Permit for all new projecls.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY requlred for all NEW construction.
Directlons:•
Fill out application completely. �
Owner 8 Contractor sign back of application,notarized
� If over$2500,a Notice of Commencement is required. (A/C upgredes 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 contrect required) �
Reroofs if shingles Sewers Senrice Upgrades A/C Fences(PIoUSurvey/Footage) �
DNveways-Not over Counter if on public roadways..needs ROW !
r y
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
which may be more restrictive 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
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 conVactor may be cited for a misdemeanor violation
under state law. If the owner or intended conVactor 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 contrectors, 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
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands I
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 I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. If the appiicant 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 ali 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 responsibiiity to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentaliy Sensitive
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 Services/Environmental 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 expressly permitted.
- If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan 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 fiIl material is to be used in any area, I certify that use of such fiil 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 commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. 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
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT i
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDAJURAT(F.S 03) ,
OWNER OR AGENo �� CONTRACTG�iilr-���
Subscribed and swo¢1 to(or affirmed)be�fo['e m is ^Subscrib@d and s om ta or a irtned)before me this
� [7� \�/ b�.l S �� pt I�51 s�bY 1
Who islare�pe nally known me o heslhave produced Who islare person v known to r ha ave�duced
��er:�.^.aL'cr. as idendficaUon.
� Notary Public Notary Public
Commission No. - Commission No. ��.. -
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N rI��af ta typ�,�u t�+��pgpJ#F F96' Name of Notary p� , t ,�r�R,eQ��Vr
,z. U2� 2020
;'9•...•o-� EXPIRES February 23,2020 :,y. �o; EXP�RES Fepr y 23
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FloridaNO:a•yServ�ce con• Flondarlo:a'ySen�ca�on'
�4C7 y 398-0�53 IAC71398-0:53
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