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HomeMy WebLinkAbout18-21124 CITY OF ZEPHYRHILLS ' 5335-8TH STREET (813)780-0020 21124 PLUMBING PERMIT PERMIT INFORMATION "LOCATION;' FORMATION' Permit#:21124 Issued: 4/16/2019 Address: 6015 10TH ST Permit Type: SEWERLINE REPLACEMENT ZEPHYRHILLS, FL. Class of Work: SEWERLINE REPLACEMENT Township: Range: Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section: Sq. Feet: Est. Value: Book: Page: Cost: 930.00 Total Fees: 51.00 Subdivision: CITY OF ZEPHYRHILLS Amount Paid: 51.00 Date Paid: 4/16/2019 Parcel Number: 02-26-21-0080-00100-0260 CONTRACTOR INFORMATION. :'. OWNER INFORMATION, Name: CARR CONTRACTING SVCS INC Name: BINGHAM MATTHEW JAMES Addr: 3310 DRUM RD Address: 37601 MEADOW OAK WAY ZEPHYRHILLS, FL. 33541 ZEPHYRHILLS, FL. 33541-4258 Phone: (813)629-4961 Lic: Phone: 813-629-4961 Work Desc: SEWER LINE REPLACEMENT APPLICATION FEES SEWERLINE 51.00 INSPECTIONS REQUIRED, FINAL 1 � 1 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 - 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 O l3 jq Owner's Name tiPi� IJ'� Owner Phone Number 11f, 3�FK� Owner's Address 31 0,k W Owner Phone Number Fee Simple Titleholder Name Irk' tittqkaw, Owner Phone Number Fee Simple Titleholder Address 3-16 Nk 141 2 141ld 1. ry S Ili JOB ADDRESS S 13#& ( ��`� 3 Y+ LOT# SUBDIVISION I S G 4 J PARCEL ID#18�1— 0'SO" D;:' '0 - (OBTAINED FROM PROPERTY TAXNOTICE) WORK PROPOSED R NEW CONSTR 8 ADD/ALT = SIGN = = DEMOLISH INSTALL REPAIR PROPOSED USE = SFR = COMM = OTHER lSeWft 9e191&CvTtZ�F TYPE OF CONSTRUCTION QQ BLOCK Q FRAME Q STEEL = DESCRIPTION OF WORK �pe Sa kcrvs e Ac,IN BUILDING SIZE SQ FOOTAGE 1 3'- HEIGHT =BUILDING $ VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C. ES2fPLUMBING $ qO- =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION =GAS = ROOFING 0 SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER COMPANY SIGNATURE REGISTERED Y/ N_J FEE CURREN Y/N Address License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# PLUMBER COMPANY rf— 1. h GT A y forV'16-5 SIGNATURE REGISTERED / N FEE CURREN N Address 3 q33`'� 1/0 ro(0 License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address License# RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(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 installed, Sanitary Facilities&1_dumpster;Site Work Permit for subdivisions/large projects COMMERCIAL Attach(2)complete sets of Building Plar.is 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 installed, Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. ""PROPERTY SURVEY required for all NEW construction. Directions: + Fill out application completely. Owner&Contractor sign back of application,notarized If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500) " Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (copy of contract required) Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW y , 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 with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired. a contractor or contractors to undertake work, they may be required to be licensed in accordance-with state and_local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor 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 owner has hired a contractor or contractors, he is advised to have the contractor(s) sign 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 andr 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`also-'understands, that such fees, as may be 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 "certificate 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 Water/Sewer Impact fees are due, they must be paid prior to'permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW(Chapter713, Florida Statutes, as amended): If valuation of work is$2,500.00 or more, I certify that 1, 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. If the applicant is someone other than the"owner", I certify that 1 have obtained a copy of the above described document and promise1n good faith to deliver it to the"owner' prior to commencement. CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify 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. I 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:.. DepartmIent of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,WaterMastewater 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 Services/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 filF 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, -1 certify that use of such till 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, or 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)consecuttve_days,-the job_is_considered_abandoned 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 COPIMENCEMENT. FLORIDA JURAT(F.S.117.03) OWNER OR AGENT CONTRACTOR '44�'���� Subscribed and sworn to(or affirmed)before me this S b crib d and sworn to(or affirmed)before me this by n-��1-by Who is/are personally known to me or has/have produced Who is/are personally known to me or has/have produced 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 ��x s ✓�j k� ,, tit a ~^1 X r+` r M 13 1 .t 1: r��� n RICK SCOTT;..GOVERNOR, JONATHAN ZACHENI,SECRETARY. Florida SPATE O.F.FL_ORI DA D:EPART.MENT O:F�'BUSI-N S R FESSIONAL��REGU'I ATION CONSTR.U'C N: f� ; E s� �G� -OMD THE PLUMBIG14RA ® e :U`NDER THEY �s. PROV;I ` = Et4OFI T 'UTES ; . :EXPIRATIO' 1' T°31,2020 Always-verify licenses online'at"MyF.loridaLicens`e.com Do'..not:alt&,this document-in,an ' form. This%is'.you.r. license: It is unlawful:for ariyone.otherthan the licenseeao use this document.. / tip• - �<,:; - .,i':. Co e kfte y p. n d bj ct to:Fto'r ila'S4atutes,a`ncFt'a co;Count�/,Ordlganceg .Iss�J hce:doe o �.y�1[ S S '1.30 11=. I%. coiiipliarYce yinth zonfn �or;othec;laws ':T s":re u ce pt'm st bg osted con§"icuous lace af' usi pss:': •`• ,' '' �. :;.: e •�• . a !l „/,yi /�,•- l�l ': _:f-.�:' ''f i5' Jam`.H\,Y. 3./Y :.4.e rt : fir„ �n, " - y. :\•ro/•;r. •-act`:'>' _:_,;'i<;s:.F,: '.r::7's,:..-` a, rY �t. E f�<5�11� °ACCOUNT PE 6 15 NE ../",'-:'.i:•�••. �`/� ,v:., y,. ,.Y= ✓ GENE d''GONTRAC7'ffl SIC GODS 15 / ".', ✓; .0 S;CATFaE:1�ENSE I:'? a;j, �, y-'�,..,ff S�✓.:l`)., `.."��,x^ ./+a^rd. Y.. Val `�`�,, ��"`�: K::,{:.,: .- f: F`Y n ,\t s" . ARRQrAV GA R''� ANT R .CO RA I t�: ER'S VICE � S r ti 1 r` CA ON°�DDRE$5�..` x:, 1: x / /< 'f j OR- 39� �,D 13' y" L /. � Q. - FGr •ZEPHYRNILL 2ZEHY R ILLS -, yr•�, i �•v DATE IP 1 / 20- / 18�" �✓1 u y- r ———————————————————————————————————————————————————————————————————————————— — Dear Business Owner: Your 2019 Pasco County Business Tax Receipt is printed above. Pleased' lease detach the receipt and display it in a place that is visible to the public and available for inspection. The Pasco County Business Tax Receipt is in addition to any other license or certificate that may be required by law and does not signify compliance with zoning, health, or regulatory requirements.The Pasco County Business Tax Receipt is non-regulatory and is not meant to be a certification of the holder's ability to perform the service for which it is registered. i, Business Tax Receipts expire September 30th.Annual renewals are mailed in June to the address of record at that time. Please contact our office if there are any changes to your business name,ownership, physical address, or closing of your business. I Thank you for allowing us to serve you! MIKE FASANO PASCO COUNTY TAX COLLECTOR EAST PASCO GOVERNMENT CENTER WEST PASCO GOVERNMENT CENTER TAX COLLECTOR BUILDING DADE CITY NEW PORT RICHEY GULF HARBORS CENTRAL PASCO GOVERNMENT CENTER COMPARK 75 BUSINESS PARK LAND O'LAKES WESLEY CHAPEL CALL CENTER:MONDAY-FRIDAY 8:30 AM-5:00 PM (352)521-4338 • (727)847-8032 • (813)235-6076 i - 'ass'• yr r, P , 5 - , ,. . h,. Issu d. ursu ansu e t to;F o AES �Xp11es`Se jiJ`� b�l;30t F ,.'.' e p ant d bj a, / rlda Matures acidf}?�a�,$�c:CcuntyO�dlnarice F Issua�icedoes not c®r�Ifiy-, ,, ,.„•...-, ,.; ,..-<.;. ..,.,a. : w ,�'..-:..�f , �-.., ;;;gin�:.3 com liance'withzonin orothec Iawe This recei t"P19F be`"o ted`cons`icuous -in aoe:at-[usirieesc Y.Y`1'• a•fk "�'z' n.�:,t.F'. ry.. I10E.V ACCOU T:#: r:.8618fi: �PE;QF�g SHIN :% •,'�, .,"����:,: 1, bi•; .;�.� ; ,,, ,,",.;< "7. F,c+ y�- ✓� -/: ,V E.S " F�rx,�.F��'!a.. PL€� B iIG.0 NfiRA ' OF 6, W `.� -Yi'%+,.•' x"i%:'f r,. y������.�cc ,;:1"i.;'. ,,� /.+l J J-• -� •Q.1;9 'Ci'r S ate.,"✓ /:-�cs 4 •t .yam'.$.�.'� ,�t,, /. ./. - - .�,;,.-1.%;';,%�:_. > `\. :{ , •' '-� • ' •-S Ci CQDE tr:o ;S,A ECICENSE RID. / > >O NE+#�(Ql1AL 1?1lING .OWN r> i Y %i y k a CARR;CONTRAOTING-SERVICE 393�4•NORD L LN,,,:'y��::+.z _ .,�•<`��-, 39334 OR ,r Y t�tlil:l�F!^ZEP!'IY :-`:3.'i,5,•42, rt.:.:'';i:.., f, s , lY!. SJ.. F , .._ �.,,..,. ,.: ., , :. ., ,r.,, .�••„ '`r �,j� 08/2MOW;, . 152c0Q35d2��f::3 .:s _,... ,,i., -. .; ,. ,. , ,. ,,.., y <.,ram.✓.,.'r'�"� �'i�',,, - -.✓ ;:\•:.,-y ;°i'z 1.3:':i .r ..y,•,,........._.._.....-.........,..... .a.+..._.a,<,. e,w,-,.......>_Y..,.......�. ..,_.._...."'-.,,. .._-_.'.s.r...:.... ....:.1::1.:...v:'.' ::::{.:, ...-.�5... ,:.3�., iP'v, Dear Business Owner: - I Your 2019 Pasco County Business Tax Receipt is printed above. Please detach the receipt and display it in a place that is visible to the public and available for inspection. The Pasco County Business Tax Receipt is in addition to any other license or certificate that may be required by law and does not signify compliance with zoning, health, or regulatory requirements.The Pasco County Business Tax Receipt is non-regulatory and is not meant to be a certification of the holder's ability to perform the service for which it is registered. Business Tax Receipts expire September 30th. Annual renewals are mailed in June to the address of record at that time. Please contact our office if there are any changes to your business name,ownership, physical address, or closing of your business. Thank you for allowing us to serve you! MIKE FASANO PASCO COUNTY TAX COLLECTOR I EAST PASCO GOVERNMENT CENTER WEST PASCO GOVERNMENT CENTER TAX COLLECTOR BUILDING DADE CITY NEW PORT RICHEY GULF HARBORS CENTRAL PASCO GOVERNMENT CENTER COMPARK 75 BUSINESS PARK LAND O'LAKES WESLEY CHAPEL CALL CENTER:MONDAY-FRIDAY 8:30 AM-5:00 PM (352)521-4338 a (727)847-8032 • (813)235-6076 JIMMY PATRONIS CHIEF FINANICAL OFFICER STATE OF FLORIDA DEPARTMENT OF.FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION **CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS'COMPENSATION LAW CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers'Compensation law. EFFECTIVE DATE: 3/4/2019 EXPIRATION DATE: 3/3/2021 PERSON: DAVID CARR EMAIL: CARRCONSTRUCTORS AOL.COM FEIN: 203645197 BUSINESS NAME AND ADDRESS: CARR CONTRACTING SERVICES INC I 39334 NORDEL LANE ZEPHYRHILLS, FL 33542 SCOPE OF BUSINESS OR TRADE: I Contractor-Project Manager, Construction Executive, Construction Manager or Construction Superintendent IMPORTANT:Pursuant to Chapter 440.05(14),F.S.,an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter.Pursuant to Chapter 440.05(12),F.S.,Certificates of election to be exempt...apply only within the scope of the business or trade listed on the notice of election to be exempt.Pursuant to Chapter 440.05(13),F.S.,Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if,at any time after the filing of the notice or the issuance of the certificate,the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate.The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS?(850)413-1609