HomeMy WebLinkAbout18-20065 CITY OF ZEPHYRHILLS
+ 5335-8TH STREET '
(813)780-0020 20065
PLUMBING PERMIT
PERMIT INFORMATION:=. LOCATION INFORMATION
Permit#:20065 Issued: 8/06/2018 Address: 5123 9TH 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: 2,000.00 Total Fees: 51.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 51.00 Date Paid: 8/06/2018 Parcel Number: 11-26-21-0010-19300-0110
CONTRACTOR INFORMATION OWNER INFORMATION
Name: MASSEY PLUMBING INC Name: KENNEDY, ROGER & NANCY
Addr: 13820 5TH ST Address: 38601 FERM CIRCLE
DADE CITY, FL. 33525 ZEPHYRHILLS, FL. 33542
Phone: (352)206-4149 Lic: Phone: (813)783-1268
Work Desc: REPLACE SEWERLINE
APPLICATION FEES -
SEWERLINE 51.00
FINAL INSPECTIONS EQUIRED/
l
REINSPECTION FEES:(c)With respect to Reinspection fees will comoly 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.
C NTRACTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021
Building Department
Date Received Phone Contact for Permitting 1(
=MM= ............
Owner's Name . ............... Owner Phone Number
Owner's Address 4e4w( CIV Owner Phone Number
Fee Simple1litleholder Na I me -17 Owner Phone Number
Fee Simplei'Titleholder Address
JOB ADDRESS LOT#
I - P
SUBDIVISION F PARCEL ID91 fl- 7-6 2-1- o
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADDIALT DEMOLISH
INSTALL 8 REPAIR
PROPOSED USE SFR Q COMM OTHER I
TYPE OF CONSTRUCTION BLOCK FRAME 0 STEEL
DESCRIPTION OF WORK IL(IA-&
-BUILDING SQ FOOTAGE LISIZE HEIGHT
...........
BUILDING $
VALUATION OF-TOTAL CONSTRUCTION
-=ELECTRICAL 1$ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
PLUMBING
1$^ r
[MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
x0oce
=GAS Q ROOFING Q SPECIALTY OTHER
FINISHED FLOORELEVATIONS 1�� FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREh L_ILLN
Address License
ELECTRICIAN COMPANY
SIGNATURE' 'REGISTERED FEE CYRREI,
Address License#
PLUMBER' COMPANY
SIGNATURE -OEGISTERED, / FEECURqEK Y/N J
Address Llcense*l��Cr /YT/ 32-9 .
MECHANICAL COMPANY—
SIGNATURE, 'REGISTERED I. Y/ N FEE-CURREN Ly N
Address License
OTHER.:, COMPANY -1
'SIGNATURE, REGISTERED Y.=/ N FEE CURREI,
Address License# F
.......... .....................
1.),setof Ene
bAL Attach Plot F,fans;,(2)s6ts.ot Building Plans rgy Forms; -W Permit for newconstruction'
Minimum'ie6(i6)''w"o'r"ki'n'g"da'y-6after"sidbmittal'-d?ate. Required onsite,Constructlo"n.Plansi'Stormwater Plans I w/'Sllt*Fence installed,
Sanitary Facilities&I dumpster,Site Work Permit for subdivisioins/large projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Llfe.Safety.Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Mirilmurn'ten(19).workingdays ifter subrniffil,dat6..,.!ReqLuired,.onsite,Construction Plans,,Stormwater Plans w/Slit Fence Installed,
Sanitary Facilities I,dumpster.Site WorkPermit for all new projects.All commercial requirements must rn I eat compliance
SIGN PERMIT -Atiich(2)':Sbts;of,.Ehdihdeied.Plans.
-
****PROPERT-Y. :SURVEY required for all NEW construction.
Directions*
Fill,out application completely.
Owner&'Contfactor.sIgn-back of.application,-notarized
If aver$2500,a Notice of,Commencement is required. (AfC upgrades over$7500)
Agent'(for the contractor).or.Power of Afforney'(for the owner)would be someone with notarized letter from owner authorizing same
OVER,TNE,00UNTERPERMITTING -(copy of contract required)
Reroofs if shingles Sewers Service,Upgrades A/C ' Fences(PlottSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
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:wfth:any:, .,.
applicable.deed.restrictions: ": .. r:
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: if the.-owner has hired'a.contractor or
contractors-to;undertake work;Jhey may be•required`to be licensed in accordance with,state:and local regulations If thie
contractor is not licensed as required'by,law, both the Owner and:contractor may be cited for-a miscl, eanor violation
under state law. If the owner or intended'contractor 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*ownerhas hlred,"a contractor or-contractors,. he.is-advised to have the''cohtra'ctor(s)'Sibn
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
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.olso,understands, that such fees, as maybe 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 "dertificate 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 WatedSewer impact
fees are due,they-must be paid prior to permit Issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN.LAW(Chapter-7,13,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. )f the applicant 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"< [certify that a!1 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. 1 certify that no work or installation 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. i 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 Environmental Protection-Cypress Bayheads, Wetland Areas- and Environmentally Sensitive
Lands,WaterM(astewater-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 SerWices/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 fill material is 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 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, ar
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 FOK IMPROVEMENTS TO YOUR`PROPERTY:`IF YOU INTEND`TO.OBTAIN FINANCING;CONSULT
WITH YOUR LENDER OR AN ATTORNEY.BEFORE RECORDING'YOUR.NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117.03) --_ -- _ - - - - - -
rOo
OWNER OR AGENT CONTRACTOR _,
Subscribed arid sworn to(or affirmed)before me this Subscribed and swo o ad)b for s
by by' C
Who is/are personally known to me or has/have produced Who Ware personally knoft to me or as/have produceO
as identification. as Identification. `
Notary Public Notary Public
Commission No. Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped