HomeMy WebLinkAbout19-21764 CITY OF ZEPHYRHILLS
5335-9TH STREET
(813)780-0020 21764
PLUMBING PERMIT
PERMIT INFORMATION 'LOCATION INFORMATION
Permit#:21764 Issued: 9/17/2019 Address: 6129 20TH 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: ZEPHYR BREEZE
Amount Paid: 51.00 Date Paid: 9/17/2019 Parcel Number: 02-26-21-0190-00000-0130
CONTRACTOR INFORMATION OWNER INFORMATION
Name: CHRIS BAHR PLUMBING Name: DAVID TK HAYES LLC
Addr: 5729 GALL BLVD. Address: 4824 16TH ST
ZEPHYRHILLS, FL. 33541 ZEPHYRHILLS, FL 33542-6018
Phone: (813)782-2524 Lic: Phone: 813-598-6981
Work Desc: REPAIR BACK END OF SEWERLINE
APPLICATION FEES -
SEWERLINE 51.00
INSPECTION$-REQUIRED
FINAL
REINSPECTION FEES:(c)With respect to Reinspection fees will comply i h 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 OFF19tir—
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 F
.......... .......EXX13333XIX .................rrrrrrrrr,..............
Owner't Name Owner Phone Number
Own ils,Aodress Owner Phone Number
Owner Phone Number
jos ADDRESS C)7L :57
-LOT#
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR ADDIALT SIGN DEMOLISH
INSTALL H REPAIR
PROPOSED USE 0 SFR Q COMM OTHER
TYPE OPCONSTRUCTION Q BLOCK 0 FRAME STEEL
DESCRIPTION OF WORK 1-1 A e_ Pei&Je Ike-RQC06-7
BUILDING SIZE SO FOOTAGE= HEIGHT
"4444444
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL 1$ AMP SERVICE DUKE ENERGY Q W.R.'E.C
=PLUMBING 1$ 9 k
,600
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION IT
=GAS Q ROOFING 0 SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
2 1 a 1 6 1 1 1 a 6"1 1 1 1 0 0 1 1 1 1 1 1 1 1+1 1 1 1 0 N 1 8 mi. I i I I i i i i i I i i i I i a i a V4 i i i i i
BUILDER COMPANY
SIGNATURE , REGISTERED CURREN N
Y/ N LIL__j
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN L11N J
Address License#
PLUMBER COMPANY 0� /tWK P449(hilk6
SIGNATURE
Xel REGISTERED Y_/ N FEE CURREN
Z ZOf Address 22L2 F-#,17( 9. 2- License# w6ym
MECHANICAL COMPANY
SIGNATURE REGISTERED FEE CURREN
Address License# F-
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License#
HHHH Hill,
RESIDENTIAL Attach Plot-Plains;(2)sets of Building'Plans;(1)set of Energy Forms;,R-wO-W Permit for new construction,
Minimum ten(10)working days after'sUbmittal date.,Required onsitb,Construction Plans,Stormwater Plansw/Silt Fence installed,
Sanitary Facilities&1 dumpster: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'.Ail 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 appIlcaG99,_npt@dzed,
If over$2500,a Notice-of Comihen"q"ie"prit,is required. (A/C upgrades over$7500)
Agent(for the contractor)or Powet O(Afiomoyffcir the,owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING::-,,'r cb py-O*f--contract required)
Reroofs if shingles, 5e"weiii,:i-i',t_-,-.Servliciii Up Fences(PlottSurveffootage)
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're frictions"
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 lice'nsed 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 I I for a misde.meanor 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 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 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(Chapter 713, 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 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: 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 perTit 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,Water/Wastewater7t6atmcint:
Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. ..
Department of Health & Rehabilitative SbiVi6o's'/Env"!'r'o'n'm-entciI Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
US Environmental Protection Agency-Asbestos ab;jt6rrleht.'
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 W"unless express'ly permitted.
If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating Oensating 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 c'onnection 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 maybe for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre.whichlare elev6ted.:by fill,*an engineered drainage plan is required.
If I am-the AGENTFOR THE OWNER, 1,prom- is"e' 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 requited 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,procee6w.ith,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 iri 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 FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE.RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA J U RAT(F 2
OWNE"R At'Ptdv'/
CONTRACTOR
rmedylyefore-m e-th
ID rn�or Subscribed and swornto(or a AM)before me this —b-0—Sdfibe an sw -6(- firmied)-lyefor"e-this—
-
by y
a or has/have produced Who is/are rsonallgno� me or has/have produced
c
Who is/are personally known-10-1m, s Identification.
as identification. 7" as identification.
Notary Public Notary Public
1 41
16
Commission No. Corn ir4l ion No.
0CMIlssion#GG 276467
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Name of Notary typed,printed or stamped Name of Notary typed, 12,2022
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