HomeMy WebLinkAbout18-19389 CITY OF ZEPHYRHILLS
- ' S335-8TH STREET
(ai3)�8o-0020 19389
PLUMBING PERMIT
� PERMIT INFORMATION� LOCATION�INFORMATION
Permit#:19389 Issued: 2/28/2018 Address: 38520 NAOMI AVE SEE NOTES
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: 800.00 Total Fees: 51.00 Subdivision: OAK PARK
Amount Paid: 51.00 Date Paid: 2/28/2018 Parcel Number: 02-26-21-0050-00000-0120
CONTRACTOR INFORMATION OWNER iNFORMATION
Name: LOPEZ PLUMBING INC Name: LAND TRUST NO 19352 GORDON NIKOL
Addr: 1601 W. HAMILTON AVE Address: PO BOX 2452
TAMPA FL 33604 LUTZ, FL. 33548-2452
Phone: (813)787-1272 Lic: Phone:
Work Desc: REPLACE SEWERLINE
APPLICATION FEES -
SEWERLINE 51.00
P TIONS REQUIRED
FINAL �
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 properly. 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
_ __...:.;�—��_-
s7�3-7sa-�oza City of�ephyrhilEs Perrnit Applic�tion _ _FaX ss��-7�-aoa,
• Building Department �
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Date Receivec9 � 3 � � _ ? a �
. �.Phone Cbntact for-Permitting � �
Owner's Plame �C�"�� < <''�"' Owner Phone Numb�r �
Owner's Address . ' Owrner Phone Number � �
Fee Simple�Titlehotder Mame ��� � Owner`Phone Number� �- �
Fae Simple��'itleholder Addr.ess -
;
JOB ADDRESS ' � � C�� �''1- �_ �=�...... � '`n� 3 `'�-�� �
su�atuisio� � � p,a,�c��:i� �
! (OBTAINED FROM PROPERTY TA7(NOTICE)
WOR4S PROP08�D e ., IVEY+1 CONSTR 8- ADD/AI.T � 3fGR1 � Q DSMOLISH
INSTALL '•REPAfR
PRO!?OSED,.USE. Q_ SFR Q 'COMM C� OTHER �
7YPE':�F CONSTRUCTION [� BLOCK - Q `FRAME � STEEC [�.
� �. i� � -
DESGRiFTi�QN OF WORK `l �^~`�� �' t�"-� O�� �� ���
BUILCIItdG 5l2E � � SQ FOOTAGE C„� N51GliT ��_
OBUIl.DING �& � VALLtAT10N`OF TO'fAL CONSTRIJCT.ION -
3
E�ECTRIGAL �� AMP SERVICE Q PRQGRESS Et+lERGY Q W.R.E.C.
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Pt�UMB{NG $
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QMEGHAN1CfCL $ � -� VALUATION OF MEGHANICAL INSTALLATION
�
Q,GAS Q; ROQFlfVG [�J. SPEClAI.TY � OTMER •
FINISHED FLOOR ELEVATIONS �� FLOOD 20NE AREA QYES NO
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Btlit,DE�d : CO�ftPA1dY
SIGWA►TUR� REGISTERED Y'Y N _' FeE CUR�n Y�/N - - - � ,-"�
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i . �Address �l.icense,# � �
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",;ElEC�TF2i,Gii4Al. ;:., GO�iiPANY •
�r..`SIGN�TURE REGISTEREp Y/ N• �FEE°CURRE� . " Y/N.
. Addrass ` - Ltcense# � '� �
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�:��un�s��.;� � co���Y�, � L.��,�'� ,�?. -
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,ri� SIGN�7'UF3E ' ""`��� REGISTERED Y I 'N � " .FEE CURRE� Y/
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Address t1�1 �l��,�'"�� }$-^'"`.-s' l.lcen"se#,C L.,�` �.. I '{ �� ��
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`_'-MEGIiA1VIGJ�l: f - �OMPANY , .
�'`SIGNi�TURE''-� `'�� ' � ' " ' REGI3TERED „ Y/"N FEE CURREh Y/N ,� ,
�ddr`e����� _ , , license.# { . . � -
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•;.OTHE��:...'°,:-, :. _ � . � � - � `�t�MPANY -
"�"�`SIGNI�TURE f��r:_:;� ' _ " " '' 'REGISTERED Y/N. FEE CURREK Y/N , ,
�fo _'_..tzj5�.. �. . y . i. - .<;.. „ - . , . . , . � � .. � � �
�zy: C'�tr s '�� .r . «
�,: Addres�,_:.,_ - � �a¢.� - . �L:icense#
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$��;RESIDENTt�t:�;�� ��Atfach;;2;;PIot:Plan's=�:2�:�efs°of 8uildiri ��?larisi�1i�:sef'of�Enetgy,Farrtis��R:O:W Perrrilt�foc newr.constniction,�
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' � .-:;';-,.�;::L.�.w.NliNmu �he °�1.q,;workin''f�da�:s�afte�:"s;utiimiitala:date.`=Requi�ed�onsite;TCoristiu`ckion`Plans;Sto"rimwater Planswr/Siit Fence instailed,
�`a= "4'..�. :i�.; ..� t�(,....)a .�9d Y.. , . . , . . . . , .
_ ��" ���Sanitary;l=�acitities3&rss1�dumpstec;.Sitet�,W,ork�Rermit.fo�;si�tidivisions/la`rge':proJects.'.�- .. ._ _ -
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`�•.':GOfl?f1V0ERC1A1. Attact►�(2)�cotnplete sets of`Builiiirig=Plans ptiis a tife�Safet}i Page;{1}set of Energy Forms.R•t�-W Permit for`new cons#ract�on.
"� � Minimum ten(10)working days after submittal date. Required ansite,Construction Plans,Stormwater Plans w/SiR Fence.installed,
_``"°' Sanitary FacaHties&1-dumpsterN Site Wc,�c Permit foi-�it�new.p'r.ojects.All commercial requirements must meet compliance
'`�::Si,GNr:P�Ri1flIT "fitfacfi j��j"sets;af;Eiigi►ieererlxl?lans;:�= _ .Y.-. , , � -
��n""'`� ' """*PROPER'fY S�IRVEY_requiredMfor,all,NEW constructlon:. ,
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::Di�e�tfqns: :�.: ;�M,.,,x„�. -, ,
' ''�Fill<out=application completely.
:�= Osnmer`�Cantractocstgn.back a#appllcation,notar+zed
_��' �I�.aver:$2500;.a Notic�-of:Corromencemenf(s required. (AlC upgrades over$7900) _
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Agen#�{for ttie�carit�actor)t.or.Power ofi��ttomey(for'the owner)would`tie"sonieane with notarized letter fram owner authorizing same
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=`�;OVER;;YHE'GOUNTER,�PERMITTIWG,� , .(coPy.•af.:contract:required) ` ' ` ' �
�`�Rerpofs:if stiingles Sewers Service Upgrades A/C Fences(PIot/Survey/Faotage)
��: � . .
. [Dr7vewr�ys-Not over Counier ifon�public roadways::ne'eds'RQV1/ _
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-resfnctions-.�.
NOTICE�aF DEED RESTRiCTIQ�IS:� The undecsigne,d,:undecstands��tt�at;this;permit maybe:subject:to:�:.deed�s,..F u�.:•
whichr:may�:be�morear.estrictive�tha�i"G.ounty'<regu(ations ,�`'The•undersigitietl�ssui�ie�responsiliitity�for�compHani��wEth any=rt�""`yi
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applicable.deed ces#rictiorts. _. .�; ...-,. ,,_ � _.....�:---.��-.x ..�.,;,.:....- -....: ��:��.:, .
UPILICEMSEd';��ONTRA►C"FORS, AND CONTRACTOi2 i2ESP4NSiBi�IT1ES:-��if-�tFie�owr�er=Fias`'iiirecf'"a'::eontractor or �
cantractors�to undertakeWwark�, tii`ey-:may;be.re.quirgd�to be£licensed�in accordance_with..state,anrc�.�oc.atkregulat�ons��•;�If;#t�ier�`==:��`
contractor is=not_-licensed>as�r�quired by'lauv; botti.�the ovimer'-arid°'�coritractor��may be��c�t�d���`or a misder�ileanor violat�on� ;' ;
under state law. !f the owner or.�intended:;co�teac,to,r..are-uncertain as to wMat,ticensing�_reqrairemen��i;i�na}��:�appi���for�#he�:�='���' �
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intended workr.they:are-adviseci`�to cantact the"Fasc6_Caunty'B"rtifding:lnspection;Division ,Licensing S.ection-af 727-84:7- �� -
8009. Furthermore, if the owner has£°fii��ii�a�corit�actor or contractors, he�is advised to`+have„tlie=.contractar�(s)��sign.h;_s;,k,Ya .,
porkions of the "contractor Block" of this-applica6on.far which.they wiA_be:resp.onsible.:��If.y,ou,:,as'';tihe"`OU1►�l�lf$��n�.as_>.the� ��� ;__
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contrac�ar, that.rnay 6e an �n�tication�that he��is*not properly�licensed�antl���s not entifled`�to permitticng privifeges,,irr�yPas�ar,;,��,n ,;
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County. � . , :^ ..
TRANSPORTATION tMPACT1:UTiLi't'iES�iIVlPACT AND i2ESOt1RC� RECOVERY"FEES: The undersigned understands ,.��_ �:,�
that Transportatian impact Fees and Recourse Recpvery Fees may:apply ta:the constru�tion.o,f.r n�w;bui.l.dings, cha"'�i'gegof���;':;�; ���
use in existing buildirigs,�orFexpansion of:exis#ing`Guildings, as specified irt Pasca Count}r tardinance number 89=07 and, :':t :r;;
80-07, as amended: The�undersigned=also.ynder.stands, that such:#ees, as:may�b.e�due;�wiif���;identi�ed�af���fiiie��ime�:of��j�'��; f_`a
permitting. =1f is further understood fhat Transportation Impact�Fees:�and Resource�=Recovery:.Fees=must be paid prior to �� `;
receiving a "certifica#e af occupancy° or fin�l,power release. !f the.:pr.ojec#does not involve.a certificate of oecupancy.�oc`�=�=�r�;;° ���
final;pov9rer rele.ase;,the�fees.rriust�be;paid,priar.to permit issuance..;,:Furtfiermore,.if Pasco County W�a�er/Se�er�:;impacf:��::��"; �
fees are due,:they,must.be_.paid,_priar to,perm�t:isstaance in�accardance with�appiicable Fasco County ordinances. �
�ClNSTRUCTiON�Li�1� LA11�(Chapter T13;Fto"rida Sta#utes,as amended): _If valuation of wor:k is$2,50QC?0_o�.�nore,�l.�,#-
certify that l, the �applicant, have been°provided with�a copy�.of=-the`="Floricla C:ons#ruetion='L:ien :l.aw=Hartieowner's��' „
Prote�tidn Guide" prepared bythe�Flarida Department af Rgriculture and�Consumer-Affairs. If#he app(icant�is,som�one,, ; ,
other than the"awner",;i certifiy.#hat31:have obtained a copy of the:above°descri6etlrdocumenf"and,;promise��in..good�:faitli:to s..;
,.. ��< . . _ . .
deliver it;fo°t�ie"own�r�`prior:ta�.comme��rcement:� } �� �
C�NTRACTQR'S%OWNER'S AFFIDAVlT:;�=l5,c'ertify��#nat`alG�fli+e infor:.rrtation in this apptication �s accurate and�ftiat ali'uvark
wrl! b�done in cor�tpliance with afi applicabie�laws regulating cons#ruction, zaning and iand�,development. Application is
fiereby rnade to obtain•,a:�.permit�;�tq��do,;:vvork-and.�installation as��indicatecl; 1`aertify fhat no,wark or,ir�stallation� ha's -
commenced prior to issuance of a p.�rmit and�that all work will be perta�med ta:meet standards�af al! fa�nrs regulating
construc#ion, County and Giiy codes, zoning regufatians, and land develapment regufations�"in��the jurisdiatian: �«I°�also �f?
certify that 1 understand that the regu{ations af other government agencies may apply.to fhe.intended work, and that it is , ;
rny responsibiiity#o identify what actions I:must,stakerto_be�,;m;compliance..F Such.agencies�include butare not,limifed;>to:' . ` '
,;�.
- _ ,Depactment af Envirorimentat``Rroxecfian-Cypress Baytieads; Wetland Rreas and Environmenta!!y Sensifive
Lands,Wa#erMlastewrater Treatment. � { �'"
- Southwest Florida Water Manag�ment District-Wells, Cypress .Bayheads, We#land Areas, Alter'ing �~#
. :y�,
: ;;:
Watercaurses. - ' � ;�.
- Army Corps of Engineers-SeawaUs,Docks; Navigable Waterways. € , ;;,,
� - Depar,kment:.,of Health�,:8� RehabilEta#iv.e -Serrrices/En�iranmental_:Heal#h:-.Unit-Wells,'Wastevu�ater.Trea#meht; =,£4
� Septie=Tanks. . , �
- - USEnvironmentalAcotectionAgency-Asbestos.abatement. ___ _ _ . _ ; �� -
- - -- - -���Federal Aviation;Authority-Runway,s.- " � t
!understand that:the:fo!lowing�rss#r�c#ians apply€o the use af fi1l:
- Use of fiH is not;allovue.d in F.lood Zane"V"uniess expressiy permifted. "
- ff the fill�material :is to be used in_ Flood Zone "A", it is understood th�t a�drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professiona! 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
constructian, 1 c�rtify,.tha#:fifl witl be used oNy to fitl the area within the stem wall. _ �f
- tf fili material'is to -6e used in any area, I certify that use of such�fill wi#1 not adversely a�fect adjacent
properkies. If use af fi!! is fournd to adver.se{y affect�a�tjacent properties, the owner may be cited for vioiating. .
the contl�tPons of:the.`building permif:issued under the attached.petmit..aPplication, for lots less=than one (1.) '
, acre whtch are elevated�by fill, an engineered drainage plan.is-requi�ed. t � � ' � ;�'°„
tf 1 am#he AGENT FOR THE OWHER;I rpromise in good faith to inforrn the owner of-the�permitting cond'rtians set forth`in � y:��;
this affiilavit priar fo commencing consEfi:iction. 1 unders#and that a.sepa�ate permit may be required far electrica( wa�k,. "
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plumbfng, signs, wells, poals, air.,,conditioning,.gas,..ar othe� instalfations not specificaliy included in fhe application: �A.,, _; ��.;
permit issued shalfY�ie construed fo�tie a iicense''to.proceed vyith the work and not as authority=to violate, cancel,.alter,!or ��;,
set aside any provisions�of the"tech�ical codes, nor shaq issuance of a permit prevent the Building O�aial from thereafter ���3
requiring a correction>of�ecrorsrin-�plartsr;:construction.o,r uiolations of any cades:-Every permif issued�sliafi'beeame invaiid :�:;
unless the work authorized by such permit is cammerieed within six,months af permit issuance, ar if work authanzed`by� ;i
the permit is suspended-.or abandoned for,a period�;af six(6}monfhs after the time the work i�commenced,�An eactension � t,;
may be requested, in vurifing,`from�ffie Buiidir�g�O�ciat for a period.not to exceed�riinety(90)days and virill clenionstrate �;�;
justifiable cause for the extension. .lf.wor-k ceases for ninety(90}consecutive days,the job is considered abandaned: ; `:i
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'�klARNfiV�G"TC?�41NNER;�`Y4UR;r�Ai.LURE,�T",O;,RECQRD�A.iVOTiCE OF�COIVI�MEN�EMENT MAY��RESUL•T !N�YOUR� .�,�,
PAYiI�fG TWiCE;'FOR,t�Ih120V`EiH[�1�'1'S�,'�Q YOUR:�PRGPERTY.�iF YOUsIN�E�dD��TO�t?BTAlN�FIIdANCING;Cl?IdSULT F;
V��T'H YOUR tENC1ER OI�AN A'ITORNEY B�FCIRE`REC.ORDlNG YOUR`NC?TICEjQ�°.CQMaVlEN�Et!ll�f��------ -----
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FLORIDA JURAT(F.S.11.7.03) ,. � � � � - -_ _�_ -v. .
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. __.________- ._,.._,._
PJ1�iFiER OR ACaENT -. C4EITRACTOR ./� �•_ _ '"1"'- ,.
Subscribed and swom to{or aHirmed)befare me thls Sub 'be nd swom {ar affirmetl}be this --
bY aY �'21drL.L,� L-w- �_..c_�.lZ-.i
Who ls/are personally known to me or haslhave,produced o I ersonalf��t�cr has�uced , ,
as IdentiflcaBon. �,�� �� as Identl�ca�an. �
. ,
` ' ;
Notary' Public Notary Publia ;
Commisslon No. C mmtssfon No. ��7 c-! �
Y� � U
Name of Natary typed,p�n#ed or stamped. Name of Notary typed,printed or stamped
...tar�+A��..
, i�*Y�•"•, C}E$RA ELAINE Rl1FFELE,
'� � ;� ��',_Commfissian#GG 0453d3 .
;,; . • ;4;:Expires Navember 7,202d
""%��"`� 9ondedihruT Faininsurance DO-3 7
n,,;$ �Y 8 85-O18