HomeMy WebLinkAbout19-21660 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21660
PLUMBING PERMIT
PERMIT INFORMATION - LOCATION INFORMATION
Permit#:21660 Issued: 8/19/2019 Address: 5437 19TH ST
Permit Type: PLUMBING ZEPHYRHILLS, FL.
Class of Work: PLUMBING RENOVATIONS Township: Range:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Sq. Feet: Est.Value: Book: Page:
Cost: 5,200.00 Total Fees: 70.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 70.00 Date Paid: 8/19/2019 Parcel Number: 11-26-21-0010-14500-0030
CONTRACTOR INFORMATION. OWNER INFORMATION
Name: ROTO ROOTER SERVICES COMPANY Name: BETTIS, JEFFERY& KIMBERLY
Addr: 5020 TAMPA W BLVD Address: 5437 19TH ST
TAMPA FL 33634 ZEPHYRHILLS, FL. 33542
Phone: (813)889-8430 Lic: Phone: 813-364-3408
Work Desc: REPLACEMENT WATER LINES
APPLICATION FEES -
PLUMBING FEE 70.00
INSPECTION REQUIRED
1ST ROUGH PLUMB
2ND ROUGH PLUMB
SEWER
WATER
FINAL
REINSPECTION FEES:(c)With respect to Reinspection fees will comply with Florida Statute SS3.80 (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
INSTR#2019139747 OR BK 9958 PG 190 Page 1 of 1
08/19/2019 08:43 AM Rcpt:2082415 Rec: 10.00 DS:0.00 IT:0.00
Nikki Alvarez-Sowles, Esq.,Pasco County Clerk&Comptroller
Permit NO, PareollDNo
NOTICE OF COMMENCEMENT
state of �l� County of
THE UNDERSIGNED hereby pfvoa notice that Improvement will be made to certain real property,and in accordance vddh Cheptor 713,Florida Sfabrtos,
the following Information Is provided In thle Notice of
1. Descrpkn of Property. Parcel IdsnRficatlon Now 1<r<yGp�/�dy/
Short Address; �jyS�f1114a.�j��r-,�j3J
2. General Description of Imprwemerd /�C.,/ -
,rs+�s�,aE�P.�,G
3. Own-errIInfoorrmalatCion or Lessee information(f the Leases contracted for the Improvement
Address City State
Intarad In ProporW.
Name of For Simple Tetlaholdar.
Of different from Owner listed above)
4. Address �OlIJ—/�11�T�%Z� t'�J• City state
Address cay State
contractors Tatephonno No.: /l ✓ U 7`��
5. Slaw Name
Address City state
Amount of Bend:S,11�d1 Telephone No.:
6. Lender /—/t
Name
Address City State
Lender's Telephone No.:
T. Poma;wfthin ft State of Fludda designated by the owner upon whom notices or olhor documents may be carved as provided by
Section 713 )(a�.Flodd s Staartes:
Name�(f
Addres3 City Stets
Telephorw Number of DeWpated Person:
6. In adddlon to hImsatf,o,e owner de3ipnate3 N of
to reealve a copy of the Llenors Notice as pmvkled in Section 713.13(1xb),Flodde Statutes.
Telephone Number of Pervoi or Entity Des%nated by Owner.
9. Expiration date of Notice of commencement(the WItation date may not be before the completion of � artd 1 Payment to the
contractor.but YAU be one year from the date of recording unless a df7farord date Is spactaedr
WARNING TO OWNER ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713. PART 1. SECTION 713.13. FLORIDA STATUTES, AND CAN
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
REGARDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under psreky of par)ury,I declare that 1 have mad the foregoing notice of comma net d a facts stated the best
CHAD FREDERICK LITTLE
Daiotery Public-State of Florida
Canmissfon K GG 301957 a or owners or Lone's Authortzed
or n My Comm.Expires Feb 14,2023 /INanager
•lorded thr&*National Notary Assn.
8hnatoyc ritia101fice
The fomgoirq Inatrunard was aclmowls/edd before �is day cf�dj by V�ZrW7l A-6-5 r
as a fKJL (hype of auttwc tyj%j9cfficer.trustee,attorney In fact)for
(rxame of om Instrument vras exrawbad).
892�
PersonaRy Knower O AA ProducejdId/may tiion��/ Notary Slpnatua
Type of Identification Produced/dI t w V&-10 Name(Print)
wpdaWbeshr 053046
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STATE OF FLORIDA, COUNTY OF PASCO
Q� THIS IS TO CERTIFY THAT THE FOREGOING IS A
TRUE AND CORRECT COPY OF THE DOCUMENT
ON FILE_OR OF PUBLIC RECORD IN THIS OFFICE
InGa�Zyr 7, !WDA
AND OFFICIAL SEAL THIS
"utY OF 2 _
} CLER COMPTROLLER
O r
r887
• BY DEPUTY CLERK
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Receved
I Phone Contact for Permitting F( ?/3 7 40 i dr C)
rrTTTTTM�......LLI.......===.. .......... ......
Owner's Name Owner Phone Number
Owner's Address l-3yv �lwrl Owner Phone Number
Owner Phone Number
JOB ADDRESS LOT#
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONISTRR ADD/ALT SIGN DEMOLISH
e INSTALL REPAIR
PROPOSED USE Q SFR Q COMM OTHER
TYPE OF CONSTRUCTION tQ BLOCK Q FRAME STEEL
DESCRIPTION OF WORK
BUILDING SIZE F_ SQ FOOTAGE HEIGHT
BUILDING 1$ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL 1$ AMP SERVICE DUKE ENERGY Q W.R.E.C.
U�IPLUMBING I$
=MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION
=GAS Q ROOFING Q SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO
....................
BUILDER COMPANY
SIGNATURE . REGISTERED Y/ N FEE CURREN LKLN
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN L_YI_N J
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
_L N_j
Address oAo �Jl License#AAAV
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License# F
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN L_YI_N_j
Address License# I
I I!I I I I I I I I I I I I i I I I I I I I m I I I I I 1 2 111111 1 111111 f I I I 1 6 1 11 11111 i I ff I I I I I I I I I I I I I+
RESIDENTIAL Attach(2)Plot Plans;(2)sets of i 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 wl Silt Fence installed,
Sanitary Facilitles-SAI-clumpster;'Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(2)complete sets 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 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 Fen6es(Plot/SurveylFootage)
Driveways-Not over Counter if on public roa4ways..9eeds.RdW:,
NOTICE OF DEED The undersigned understands that this permit may ba subject 0o^dmmd^restrictions"
which may om more restrictive tkan'Countyrebu|oUonm. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: |f the owner has hired e 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 |oxv both the owner and contractor may bmbitad for a misdemeanor violation
under state |mvv. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work, they are advised hmcontact the Pasco County Building Inspection Division—Licensing Section nt727c847-
8008. Furtharmona, if the owner has hired a contractor or contraotoro, he is advised to have the uontnyotm��> sign
portions of the "contractor B|moK" 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 VMNPACTIUTULUTUESIMPACT AND RESOURCE RECOVERY FE�S: The undersigned unde�ando
that Tnsna �ation |mpaotFaaeamdReoouroeRanovaryFaeamayopp|ytmtbeoonmtrucdionmfnawbui|dinge. ohangmof
use |n existing buildings, or expansion of existing buildings, ao specified in Pasco County Ordinance number 89-07and
9O'O7. asamended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
permitting. /tis further understood that Transportation Impact Fees and Resource Recovery Fees must bepaid prior to
receiving a ^oertifinateof occupancy" or final power release. If the project dwannod |nvo|veauerthDcab* ofoocupanoy.or
final power na|eaea, the fees must be paid prior to permit issuance. Furthmrmore, if Pasco CounhyVVatar/Sevmar Impact
fees are due, they must be paid prior bm permit issuance in accordance with applicable PasomCountyunjinonmea.
CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes,-as amended): |f valuation of work im$2.500.00ormore, |
certify that |. the applicant, have been provided with m copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. |f the applicant imsomeone
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 tocommencement.
CONTRACTOR'S/OWN ER'S AFFIDAVIT: | 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 o permit to du work and installation as indicated. | certify that no work or installation has
commenced prior to issuance of permit and that all work will be performed to meet standards of all |avvm regulating
construction, County and City codes, zoning regulations, and land development neQu|obono in the jurisdiction. | also
certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is
mmV responsibility tm identify what actions | must take hobeincompliance. Such agencies include but are not limited to:
- Department mfEnvironmental Protection-Cypress Bayheada, VVaUond Areas and Environmentally Sensitive
Lands,VVatenMmmtavmaterTreatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheade, VV«t|oVd Areem, Altering
VVabancouromm.
- Army Corps of Engineers-Seawalls, Donhm. Navigable Waterways.
- Deportment of Health & Rehabilitative Services/Environmental Health Un|t4WmUs, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authohb+Runvva .
| underatandthatthafoUovvngrootriotionsnpp|yhotheuoemffiU: '
' Use of fill ianot allowed in Flood Zone^V'unless expressly permitted.
- If the fill material is to be used in Flood 3bnm "A", 'it is understood that m drainage plan addressing a
"compensating volume" will be submitted at time mf permitting which is prepared by professional engineer
licensed by the State ofFlorida. '
If the fill material in to be used in Flood Zone ^A" in connection with m permitted building using stem vvoU
construction, |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, y certify that use of such fill will not adversely affect adjacent
properties. If use of fill in found to adversely affect adjacent prmpmdies, the owner may be cited for violating
the conditions of the building,permitissued undmrthe attached permit application, for lots less than one (1)
acre which are elevated by fill, ah engineered drainage plan iarequired.
If I arnthe 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. | understand that a separate.permit may be required for a|mctdca| xvork,
plumbing, signs, mwa|s' pon|o, air conditimning. Qoe, or other installations not specifically included in the application. A
permit issued shall be construed tobe 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
un|nee the work authorized by such permit is commenced within six months of permit iasuonom, 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 vxhting, from the Building Qff1oia| fora period not to exceed n|nmty(9O) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the job is considered abandoned.
-WITH_YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR P0TP0e0FCO E EMENT.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT ESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU!=N OPT�Al VFINNCING,CONSULT
'
OWNER OR AGENT CONTRACTO�/,'
identification.Subscribed and sworn to(or affirmed)before me this Subscri a n irirto(or affiftned)before me this
Who isFar6—personally known to me or has/have produced 1?/arpOersonally knpwn to me or has/hpz_produ_ced
as .
—Notary Public Notary Public
Commission No.