HomeMy WebLinkAbout18-19719 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 19719' ''I
PLUMBING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit#:19719 Issued: 5/22/2018 Address: 5313 19TH ST
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: 2,300.00 Total Fees: 51.00 Subdivision: ZEPHYRHILLS COLONY
Amount Paid: 51.00 Date Paid: 5/22/2018 Parcel Number: 11-26-21-0010-17700-0010
CONTRACTOR INFORMATION OWNER INFORMATION
Name: BO PIPPIN PLUMBING LLC Name: CROSBY BOBBIE J TRUST CROSBY BO
Addr: 18454 POSSUM TROT Address: PO BOX 789
DADE CITY, FL. 33523 ZEPHYRHILLS FL 33539-0789
Phone: (813)997-4458 Lic: ;Phone: 813-842-3460
Work Desc: REPLACE SEWER LINE
APPLICATION FEES
SEWERLINE 51.00
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FINAL
IN9PECTIONS EQUI E
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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 PER OFFI
!� PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - B HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021
Building Department
r.
Date Received
Phone Contact4or Permitting-
Owner's Name MO J2b d s. Owner Phone Number
Owner's Address ( C " > Owner Phone Number
Fee Simple;Titleholder Name o Owner Phone Number
Fee Simple;Titleholder Address ('
JOB ADDRESS ✓ LOT#
SUBDIVISION- PARCEL-ID#
(OBTAINED FROM PROPERTY.TAX NOTICE)
WORK PROPOSED EWCONSTR SIGN :0 Q DEMOLISH
REPAIR
t
PROPOSED;USE. SFR 0 COMM 0 OTHER
TYPEOF CONSTRUCTION BLOCK 0 FRAME. STEEL
DESCRIPTION OF WORK L�j� "
BUILDIiNG SIZE SQ FOOTAGE HEIGHT
�.
=BUILDING $ VALUATION'OF TOTAL CONSTRUCTION
G
=E,LECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C.
LUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
4 •'
=PAS = ROOFING Q SPECIALTY. = OTHER \\\
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
:.BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE cuRRFn
Address License#
:.`ELECTRI,CIAN., COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREn,'
Address' License# J r
PLUMBER.,. �� ` 'COMPANY': :. .O
SIGNATURE REGISTERED Y-/ N:-: :FEE CURREN '1YIN, -
Address sfu�"� %v.�- License#; . , l 1
MECHANICAL COMPANY.
SIGNATURE'" `f?` REGISTERED I Y/ N I FEE CURREn L.Y/N
Address .:: : License.#
.OTHER:; :•,COMPANY
'.;-='SIGNATURES;.r;,a,r;':. -.. `' " REGISTERED Y/.N FEE CURREN Y/N
`.L'icense#
.:RESIDENTIAL` kRlofP.lans'2 sets of;Buildin -Plans 1 set'of Ener"`Forms;R=Q-V1I:Permit fornew.coostri�ction,'
..,r.,;-atMinimum>ten,(;10)vyoik ng;:days aftersutirriittal;date:':=Required onsite;'Gonstru'ctlon'Planb,_StorinwaterPlans /Silt Feince.installed,
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Sanita; Facilities.&v1;.dumpster rSife:W.ork Permit for subdiVlsions/large ro ects.:°,
C:OMMERCIi4L Attacli��t2�)�cdmplete`sets ofBuilding°Plans plus'a Life Safety Page;(1)set of Energy Fonns.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 WO[k Permit fortall--new`projects:All commercial requirements must meet compliance
'SIGN` ER PMIT -,Attaoh"(27"s`"ets.of.Engineered Plans;i;
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PROPERTY SURVEY requlred for-aILNEW„constructlon.-
;Direcoons: -
Ill out;application completely.
Owner&Contractorsigmback.of application,notarized
If-over;$2500;,a Notice.of:Commencement Is required. (A/C upgrades over$7500)
"'•' ..AgenY(t6rttier6ohtf6dtbr),orPower,of Attomey`(fdr the owner)wouldSe someone with notarized letter from owner authorizing same
''zOVER THE COUNT_ER,PERMITpINO:,-».:. .(copy..of contract-sequired)
Rerpofs:ifaFiingles Sewers .Service Upgrades A/C Fences;(Plot/Survey/Footage)
'Driveways-Not over Counter If on;public:roadways:needs`ROW-
NOTICE OF DEED RESTRICTIONS:- The undersi ned=understands:that;this permit_may,be.;subje. " ._ i 'h g• ctto.:,,deedt:restnc#an`s.'
s` ri ' assarries re otisiEiCi' -for•.conn iianceywiti`.ari
which:may-_be::more<restrlctive=than.County:regulaiiors .Tie un er ig ed p .. tY . p y"
applicable deed restrictions.
UNLICENSED'':CONTRACTORS ANb CONTRACTOR RESPONSIBILITIES If`the=owrtier 'has„ hired'a'>`contractor or
contractors to undertake work;they,:may;be:re..quired°to,belllcensed in accordance with
contractor-is.nof.1'rcensed=as:.required by law; ootr=the owner`-and.'contraetor may'bea cited far a misderneanor.Violatian.
under state law. If the owner or intended:,coif#rector.are uncertain as,to what:licensing;requirememtsi>imayfappiy fio ytiie.-- :y
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intended work :they advised#o conta6tthe Pascq County'i3 riidir g;lnspectiort Dwision==Licensing Section if 7=847-
8009. Furthermore, 'if the owner has °hired aµ ccintractor or contractors, he is advised to;have,the contractor,{s„) sign
portions of the "contractor Block"of this application;;far-whichahey.will:be responsible._:If you,:as,the.;owner sign.:as.:thi, `
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contractor, that.may bean indication that he is not properl* "Ade:nsed and is not entitled to permitting privilegesIt
County.
TRANSPORTATION-IMPACTtUTILITIES IMPACT AND RESOURCE RECOVERY FEES: 'The undersigned understands_. . .e
that Transportation Impact Fees and Recourse Recovery Fees'may:apply. to the construction:.of-new:.buildings,.,dha�ge of-'
use in existing bulldings,=orexpansion-of exlstirtg'buildings, as specified In Pasco County Ordinance number�w`&,arid-
90-07, as amended: The°undersigned also.understands,.#hat such:.fees,.as::rnay:b e.due;'will"'$ .Identified`
permitting. It is further understood that Transportation impact Fees:and Resource,,Re'covery,Fees must be paid prior to 5;
receiving:a-:"certificate-of occupancy" or final.power,release. If the:project.does not involve;a'certificate of occupancy dr- -•' F.
final.,power release;;the>fees.must:be-,paid-prior.to permit,issuance,._.;FurthermomJf,::Pasco.County W_a#edSewer.zlmpact.:: `
fees are due,-they must;be_paid.prior to-permit'issuance:in,accordarice wiW.applicable..Pasco County,oid1riances.
C0NSTRU&16'N LIEN=LAtltf(Chapter 718;Florida Statutes,as amended): If valuation of work is$2,5.00 t)OvoT:more; l..
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certify that 1,.the-applicant, have been_;provided with--a.copy.:,of.the "Florida Construction'Lien .Lawr=Homeowner's
Protection Guide" prepared-by the`Florida Department of Agriculture and Consumer•Affairs. If the applicant:is:•someoner-
other than the"owner",;I eerti that'Lhave obtained'a copy of the,above-described;'document-:and-promise=in good;fa tf°°ao._.. _
fY.. ...... ..... ...._-...... .. ,. .'
deliverit#o`t4ie"owner':Oh r;6-dommencement:'
CONTRACTOWSIOWNER'S AFFIDAVIT::=:;i<:certifyr 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. '! certify that no work or-instaildtl6n has
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 in-the jurisdiction: f°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 of Environmeritai''Protection=Cypress Bayiieads, Wetland Areas and Environmentally Sensitive
Lands,WaterNMastewater Treatment.
Southwest Florida Water Management District-Wells, Cypress .Bay- heads, Wetland Areas, Altering
Watercourses. y
Army Carps of Engineers-'Seawalls, Docks; Navigable Waterways.
Department;.of-Health.,,&,:Rehabilitative Services/Environmental::.Health=.Unit-Wells, Wastewater.Treatment!
US Environmental Protection Agency-Asbestos abatement.
Federal Aviation•;Authority-Runways.
I understand that•;ttie:followingrestrlctions apply to the use of fill:
Use of fill*is.not;allowed in Flood Zone V'unless expressly permitted. z ;
If the fii!:°material*:is to be used..in- Flood Zone "A", it is understood that a drainage plan addressing al
"compensating volume" will be-submitted at time of permitting which is prepared by a professional engineer' s
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 walls
construction, 1..certify1hat fill will-be used only to fill the area within the stem wall.
If fill- materiai•ls to-:be used in any area, I certify that use of such-fill will not adversely affect adjacenti
properties. If use of fill-Is found.to adversely affect:adjacent properties, the owner may be cited for violating'
.the canditi'ons of�the:°building_permit slued under:he attached..permit.application, for.lots Iess•than one (1);
acre which are elevated by fill,an engineered drainage plan is required.
If I am the AGENT FOR:THE OWNER,-:f,promise in-•good faith to inform the-owner of•the•permitting,conditions set forth in
this affidavit prior -commencing construction: .!-understand that,a.separate permit may be required for electrical.work,
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plumbing,•signs, wells,.-poois,:air..conditioning;.gas.::.or other°installations not specifically included in the application. A;:.
permit issued shall-. ,construed to tie a Ii ' '- _to.proceed with`the work.and•not asauthority to violate,.cancel, alter, or { i
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.1h-plans',donstruction•or violations of anycddes.;_&erypermit issued-shall-beeortie invalid': ;
unless the work authorized*by such permit is commenced within.six,months of permit issuance, or if work authorized by ; !
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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 toexceed ninety (90)-days and will demonstrate 1
justifiable cause f6r.the extension. if,work ceases for ninety(90)consecutive days,the job is considered abandoned.
ARNING`TO.OWNER; YOUR.,:;F,AiL..-U.RE,TO-,REC,O.!t A NOTICE.OF COMMENCEMENT MAY RESULT IN YOUR -
AYING=TWICE,FORJIVI 2 MNTSaTQYOUR IYQ NTEND'TO~ { ' FINANCING:'CONSULT
ITH YOUR'LENDER ORANATTORNEY BEFORE'RECORDiNG YOUR"NOTIC -CO ENCEMENT: '
LORIOA.JURAT.(F.S.117.03),- . --. - - :- _ =�._,.,:-._. .'• ...- - -- — — —
VHNER OR AGENT CONTRACTOR
ubscribed and sworn to(or affirmed)before me this Sybscribed d swo to r affirmed}:be re me this
ho is/are personally known to me or has/have produced Whoyar ersonall kRQ"to me:or ha ave produced
:as identification. t.-, t1R�S.L1 Ce^S-Q— as identification. 0 3'
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Notary' Public _ .t.R Notary Publi ., CD x` '
mmission No. Commi io No, L D N
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me of Notary typed,printed or stamped Name of Note °ant
�x.n,0.Q\ rayKFanin � f 9-9018
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