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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 - - - S bs nbed and sw CT OWNER OR T or a re this S bs nRbed and s ---. c afiirmfd b "rem is by �GLJ :by 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. - &I y Notary' Public Notary Public , Com Is on C lesion 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 %;;"••'p`' '�7„oc'F�0.P` Banded Th,u Troy F' ,pF ,.•` Bonded ThM Tray Fain insurance 900 385.7019 Yam insurance 800,M.70t9 t ` 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 #