HomeMy WebLinkAbout18-19535 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020: 1735
PLUMBING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit#:19535 Issued: 4109/2018 Address: 4804 9TH ST
Permit Type: PLUMBING ZEPHYRHILLS, FL.
Class of Work: PLUMBING RENOVATIONS To Winship: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est.Value: Book: Page:
Cost: 1,046.71 Total Fees: 50.00 Subdivision: MOORES FIRST ADDITION
-Amount Paid: 50.00 Date Paid: 4/09/2018 Parcel Number: 14-26-21-0010-02900-0150
CONTRACTOR INFORMATION OWNER INFORMATION
Name: HOMEOWNER Name: ARSENAULT DAVID
Addr: Address: 4804 9TH ST
ZEPHYRHILLS FL 33542-6052
Phone: Lic: Phone: 813-606-8277
Work Desc: INSTALLATION MACERATING TOILET
APPLICATION FEES
PLUMBING FEE 50.00
JINSPECTIONS,REQUIRED
1ST ROUGH PLUMB
2ND ROUGH PLUMB
SEWER
WATER
FINAL f, -I C,/
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.
CONTRACTOR _PERNrrr0_FfF19tr0�
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO&/
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
u1a-1aU-UUzu C;Ity OT L,epnyrnilis Hermit Application rax-a,s-raU-w�i
Building Department
Date Reg— F
ceived.......w Phone Contact'forPermittin
.......
Owner's Name Owner Phone Number - -
Owner's Address f,5 33 �`� ;Owner'Phone Number
Fee Simple,Titleholder Name.' ._-Dow) �, Owner'Phone Number
Fee Simplel Titleholder AAddress '1 O c3 e ' ls. CL 3 5
JOB ADDRESS f S+ �-e l ' �� LOT# / ��1_ b )Cp
SUBDIVISION PYlaDr -I S� PARCEL ID#. 4"o? 6-A- DO 1 D-O a9 Da - 0 1 35Q
(OBTAINED FROM PROPERTYTAX NOTICE)
WORK PROPOSED NEW CONSTR' ADD/ALT 0' SIGN 0 Q DEMOLISH
R
INSTALL a REPAIR
.PROP..OSED,USE. Q SFR 0 "COMM 0 OTHER
TYPE`OF CONSTRUCTION 0 ' BLOCK - Q. FRAME Q STEEL Q
1 yti r CC')<l5t n9
DESCRIPTION OF WORK d I J� !' I aC el-' t �I D t fvID�S
4 _
'BUILDING`SIZE SQ FOOTAGE=• HEIGHT
QB;1UILDING $ VALUATION*OF TOTAL CONSTRUCTION
L:IELECTRICAL $ AMP SERVICE 0. PROGRESS ENERGY . [] W.R.E.C.
1
PLUMBING $ /D
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
GAS Q ROOFING 0 SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
L
BUILDER COMPANY
SIGNATURE REGISTERED Y/ FEE CURREN
i
Address License'#
ELECTRICIAN. COMPANY
SIGNATURE REGISTERED Y/ N FEE-CURREN YIN.
Address 'License#
PLUMBER. COMPANY:,..
SIGNia►TURE J REGISTERED Y./ N .'' .FEE CURREN LILN
Address License#;
MECHANId AL COOMPANY...
"SIGNATURE'' REGISTERED Y/'N FEE:CURREK. , Y/N
A Iesis,*, License.#
_COMPANY
'.SIGNATUREr,.t..;'z':: :. Y/':N FEE CURREK Y/N REGISTERED
IDENTIAL":::-:7Attacl':"3),M '-,P,lans 2'sets+ofBiifidir "Flans; 1 rsefof Enel Forms;R;O=? .Pe[mitfor new,constiuction.
. :i. -,.7.sN b Minimum,;;teri(;10)wo king?:days`aftetsutirFlittal date:'Required'orisite`Construction~Plans;StormwaterPlans vid Silt Fence installed,
s,.
..-,i..,
Sanita:;Facilities&1_idum star;,Sitie;:Work Rermit:forsutidivisions/lar
st:OMMERCIAL Attdc144 )`complete`§ets of'BUilding Plans-plus a Life 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.lnstalled,
Sanitary umpster.Slte Work Pennitfoi�all;new`projects.All commercial requirements must meet compliance
SIGNPERMIT "i4ttacfi'O sets oEnginee�edl?l
.. ins,:t..
...._
****PROPERTY SURVEY re,ulred for„aII,NEWconstruction •• '
-----------------------------------------
<Fill:o."utapplieation completely.`
_ Owner&Contractor sign,back of application,notarized
If over.$250ka Notice.ofCommencement Is required. (A/C upgrades over$7500)
iAgent,(for`the'contractor)=or-Power•:of-Aftomey'(fdr'the owner)would-Ee someone with notarized letter from owner authorizing same
='iOVER.THE COUNTERPERMLTJING._ (copy-ofcontr•act.required)
u",Rero'ofs'if.sfiingles Sewers. Service Upgrades A/C Fences(Plot/Survey/Footage)
'Driveways-Not^over Counter if on public roadways:rieeds ROW'
TIONS: .The undersi ned.understands:_that,this,:permit:may,.be;subject to�!deedi'rests ctiens";,fie.,;..
NOTICE QF DEED,RESTRtC ... • r,•9::� :, ;,:.,. .�.. ,t � � �Y< ...`,.
which;may be'i more restricfive_thari Caurity::rtguiat'ions =,h undersigned'assumes responslbitityfor,cornpita,h: with any
a livable deed restrictions. n"
UNi,ILENSED'.-.CONTRACTORS,ANIY CONTRACTOR RESP:ONSIBiLITIES:" If>the-owner iias-ilre"d:u'r ec►ntractor,or
contractors to undertake work;th`e :ma.-be;,requiredao be=licensed:in accordance:with, tateand'local:reguiationsr: lfthe�:
Y Y, . ....,. ,
contractor.,is�not'licensed as.required:'by."law;'botK-the oWner•-and"cont�actor.may bes-cited fbrla=misdemeanor.violation
under state law. 'If the owner or.:intended:contractor are,uncertain asAo.what:licensing',requirementst,may,apply for tFie s '='
intended worki_they:are advisbfld contact the Pasco County Building lnspecfivn.Division-=L censing,S:ectian at 727=847
8009. Furthermore, 'if the owner tias'=liire, a`contractor or contractors, he'is advised to:'haue the:.,contractor(s;}:;sign
ontractor:Block -of this a , licationfor-which•the. -wlU:be responsible.:;if�you;as`:the''ownersig'ri
portions of the c ppW " . ,: :,Y-..,,. ,. .... _ _
contractor;that May an indiaatiori that he�is riot properly`licensed and is not entitled`to permitting priivileges,mYPasco;._
TRANSPORTATION-tMPACTIUTILiTIES-.,.IMP AND RESOURCE RECOVERY FEES:-The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees mayapply tothe construction_of,new,.buildings,.-clan`geof` `=,'
use in existing'buildings;=.ar exj?ansion of;:existing buildings, as specified in Pasco County Ordinance number1g;,474hd,
90-07, as amended:. They undersigned,_also understands,that such,fees, as may`oe:due, wilF Identified4trti a=:iirrie
permitting. 1t is furtherunderstood that Transportation Impact Fees;and Resource`Recovery:Fees must be paid.prior`to ry
receiving a:"certificate of occupancy"•or final.power release. ' If the project.does not involve'a certificate of occupancy ei>-
final power reiease;,the-fees:rhust be:,paid prior to permit issuance...;Furthermore,,if.Pasco County.Water/SewersR;tmpact=s-.
fees are due,Ahey must;be paid prior to-permit issuance imaiccordance with'applicable,:Pasco Cor�nty ordinances.
CONSTk0dTiON`I�f1EN Ai W(Chapter 113,-Florida Statutes,as amended): If valuation of work is$2,5.,0.0;00,or:rriote;ki ::>1_
certify that ], 'the'applicant, have been_-provided with-a.copy;..of.-the "Florida- Construction'L'=ien Lait_Homeowner's
Protection Guide prepared`by-the Florida Department of Agriculture and Consumer:Affairs. if the applicant:isr som0one,,
other than the"owner", 1 certify-:that .,have obtained'a copy of the above'described'document-and-..pro"'se-iri ggpd'fa
deliver it,to'ttie!`owner"prior fo commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT t certify,that'ail.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•deve- lopment. Application.is
hereby made to:.obtain..a;.permit:..to.=do.,work' and. installation..as.indicated. �1,certify that no work or':instaliatlon%Chas
- commenced prior to issuance of a permit and"that all work will be performed to.meet.standards-of all laws regulating
construction,-County-and City codes, zoning regulations, and land development'regulations-'iri-the jurisdiction: - 1_talso
certify thaf I understand that the regulations of other government agencies may apply to the intended work, and that Jt is .i
my responsibility to identify what actions-I must.take to be in compliance.Such agencies include:buti are not aimiteddo:i
Department of.Environmental%'Protection--CypressBayheads, Wetland Areas and Environmentally Sensitive
Lands,:WaterMastewater Treatment.
Southwest Florida Water Management District-Wells, Cypress Bay- heads,. Wetland Areas, ::Altering
Watercourses.
Army Corps of EngirieersSeawalls, Docks' Navigable Waterways.
Department of.Health,.,A Rehabilitative. Services/Envir.onmental:•,Health,.Unit Wells, Wastewater.Treatment,
SePticTanks... .. _
US Environmental Protection Agency-Asbestos.abatement. .�
Federal Aviation;Authorlty-Runways., Y
I understand that3he::folfowing'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 iri 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':Stataof 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: ill will be used only to fill the area within the stem wall. ....
If fill material it,--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 condibt)ns.'ofr.the 6dilding,permit issued under1heattached.permit.application, for.lots•less'than one'(1)
acre which-areelevated'byfill.an engineered drainage plan is required.
If I am the AGENTfOR THE OWNER;,.,[-promise ln.good faith to inform the.owner of-the•permitting•conditions set forth in `r
this affidavit prior to commencingconstruction: .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 shalt*be construed tii be'a'license ta.proceed with:the work:and not as authority to violate, cancel, alter,€or
set aside any provisions 6fthe-16chnical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of,.errors�in plans ry!Doristruction.or:violations of'any-codes. Every perrnit issued shali`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)M nths after the time the work is c&nmenced. 'An extension ,
may be requested, in wriiting,.from.the Buildirig�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 OWNEfR: YOUR';;FAJLU.RE:.O.,RECORD:-A.NOTICE-.OF COMMENCEMENT MAY RESULT IN:YOUR
;� .�. a ... a"
PAYING.TWICE;'FOR-,JMPI20VEME..PITSPTO,YQUR:PRQPI:RTY.;.'IF:YOU:NN' END�TO OB��'ANN<<FINAN�NGNNG :CONSULT
WITH'YOUR'LENDER OIL AN ATTORNEY t3EFORE.REC.ORDING'YOUR`-NOTICE OF-COMM NCEAIIENT::
FLORiDAJURAT(F. .1, 3j - - -
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OWNER OR T or a re this S bs nRbed and s ---.
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Who is/are ersonally U wn to me or has/have,produced Who.i e p on Uy known to me or has ave produced.
it tr�a's identification. �c R S'a-—t.�identification. -
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Notary' Public Notary Public ,
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Name of Nota RYA p stabimr�t$toW#�F 150422 Name of Na Ey; �� rArs§��� 150422
Expires December 12,2018 *'. rt� Expires December 12,2018
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,pF ,.•` Bonded ThM Tray Fain insurance 900 385.7019 Yam insurance 800,M.70t9
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` DISCLOSURE STATEMENT FOR OWNER
CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
I, ��1J� �1CA�A S�. have read and fully understand and
agree to the provisions of this instrument. i
The undersigned states and affirms that he or she is desirous of constructing,
renovating, adding to or reroofing his or her own domicile, that he or she
actually occupies, or will occupy by said domicile, and same is not for
rent, lease or sale. That he or she shall comply with the following cond}tions:
1. That the owner and he or she alone shall act as the builder for all phases of
construction.
2. That the owner will comply with all provisions of the City of Zephyrhills
ordinances and codes pertinent to the building.
3. That in the event various phases of construction are subcontracted, he will
engage only properly licensed subcontractors and will personally supervise
such work.
4. That in the event the Building Inspector shall require corrections to be made,
the owner will assume full responsibility to insure they are made, and upon
completion will call for a reinspection before proceeding with the building.
5. That the owner shall assume full responsibility for the construction and will
not expect supervision of his work from the City of Zephyrhills Building
Department.
6. That prior to final inspection any additional fees, including reinspection
fees, must be paid in full. A written request from this office shall
constitute an official notice .to pay additional fees.
7. That the owner shall comply with all City, State and Federal laws in regard to
social security, workman's compensation, lien laws, etc. , where applicable.
8. That the owner shall comply with all the safety codes issued by the Florida
Industrial Commission.
9. State law requires construction to be done by licensed contractors. You have
applied for a permit under an exemption to that law. The exemption allows
you, as the owner of your property, to act as your own contractor with certain
restrictions even though you do not have a license. You must provide direct
onsite supervision of the construction yourself. You may build or improve a -
one-family or two-family residence or a farm outbuilding. You may also build
or improve a commercial building, provided your costs do not exceed $75,000.
The building or residence must be for your own use or occupancy. It may not
be built or substantially improved for sale or lease. , ,If you sell. or lease--a -- --
building you have--built or substantially improved yourself within 1 year after
the construction is complete, the law will presume .that you built or
substantially improved if for sale or lease, which is a violation of this
exemption. . You may not hire an unlicensed person to act as your contractor or
to supervise people working on your building. It is your responsibility to
make sure that people employed by you have licenses required by state law and
by county or municipal licensing ordinances. You may not delegate the
responsibility for supervising work to a licensed contractor who is not
licensed to perform the work being done. Any person working on your building
who is not licensed must work under your direct supervision and must be
employed by you, which means that you must deduct F.I.C.A. and withholding tax
and provide workers' compensation for that employee, all as prescribed by law.
Your construction must comply with all applicable laws, ordinances, building
codes, and zoning regulat' ns.
OWNER'S SIGNATURE 176L. - DATE — 1�
ADDRESSp i
PHONE 8
WITNESS PERMIT #