HomeMy WebLinkAbout19-22210 i
CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 22210 %
PLUMBING PER IT
PERMIT INFORMATION LOCATION INFORMATION
Permit#:22210 Issued: 12/30/2019 Address: 5513 18TH ST
Permit Type: PLUMBING ZEPHYRHILLS, FL.
Class of Work: PLUMBING/NEW Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 1,000.00 Total Fees: 45.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 45.00 Date Paid: 12/30/2019 Parce Number: 11-26-21-0010-14100-0060
CONTRACTOR INFORMATION, OWNER INFORMATION
Name: DENNIS WILLIAMS INC/PLUMB CRAZY Na e: PF ALLIANCE BORROWER LLC
Addr: 5108 17TH ST Addr ss: PO BOX 566
ZEPHYRHILLS, FL. 33539 ZEPHYRHILLS, FL 33542
Phone: (813)782-9520 Lic: Phone:
Work Desc: INSTALLATION SEWER LINE FOR HOME CONVERT TO DUPLEX
APPLICATION FEES
PLUMBING FEE 45.00
INSPECTIONS REQUIRED
1ST ROUGH PLUMB \
2ND ROUGH PLUMB
SEWER
WATER
FINAL
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 dditional restrictions applicable to this property that
may be-found in the public records of this county, and there may be alditional permits required from other governmental
entities such as water management, state ag�ncies or federal agencies.
The payment of inspection fees shall be made before any further p rmits will be issued to the person owning same
"Warning to owner: Your failure to record a notice of comme cement 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. I'll work shall be performed in accordance with City
Codes and Ordinanc .
Complete Plans, Specifications and Fee Must Accompany Application. II work shall be performed in accordance with City
Codes and Ordinance .
CONTRACTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUJI 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
z Building Department
Date Received Phone
"Contact forFermlt#lit " Ito� -� —"t of
Owner's Name Ow or Phone Number
Owner's Address Ow or Phone Number
Fee Simple Titleholder Name _771Ow or Phone Number
E
Fee Simple Titleholder Address
JOB ADDRESS �S Y1�{r h t t15, �=(. 33Sy a LOT#
SUBDIVISION PARCEL ID#
. OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW:CONSTR ADDIALT: � Q [� DEMOLISH
®: INSTALL REPAIR
PROPOSED;USE SFR Q COMM. C� THER
TYPE OF CONSTRUCTION Q BLOCK ' `[� FRAME _� ��] JIG
T N`'EFL .
DESCRIPTION OF WORK5���� It in c c t4
BUILDING-SIZE -1 � SQ.FOOTAGE= HEIGHT
[BUILDING VALUATION 60 TOTAL-CON TRUCTTION
QECECTRICAL Is AMP SERVICE Q PROGRESS ENERGY 0 W.R.E.C.
®PLUMBING $
[MECHANICAL le VALUATION OF MECHANICAL INSTALLATION
=GAS Q ROOFING SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I ]YES. NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License J77
ELECTRICIAN
SIGNATURE REGISTERED Y/ N I FEE:CURREh
Address License#,
PLUMBER.'. .. i~X�Lt-e- �C�.t St�v�- COMPANY
SIGNATURE REGISTERED N, :''.,FEE CURREN„ N:
Address '3{tom t� S'E z�Ah�fht{1S F-L- 335�1 �, License,#
MECHANICAL COMPANY
SIGNATURE REGISTERED., /.N. FEE"CURREh
Address
OTHER ;COMPANY
SIGNATURE. REGISTERED ' / N__ .FEE CURRM Y/N
Address License#;
RESIDENTIALn- _Attactr(2);PtotF?laa"s,.(2}sets:of>BulldingPlan"s''(1)'setaf•Energy-Forms;'Ft-0=WTPeimitfarnewtonsUvction,
;.
Minimum;tep°(10):working days:after`subnilttai'date.;Reequtred onsite;:Const�ucUow-ans;°Stortnwater Plans w/Sllt Fence installed,
Sanitary
' Faclllties&;.1 dunitpster,Site_WorkP„ermlt for sulidivisionsllargenprojcts > ;!;>
COMMERCIAL Attach(3)66inplete sefs of Building Plans pills a'Llfe Safety Page;(1)set of Energy Forts.R-OW Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Constr ction Plans,Storrnwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new,projects::All co mercial-requirements.must meet compliance
SIGN PERMIT Attach{2}"sets ofEngirieeredrt?lans.::. -::
""PROPERTY SURVEY required for all NEW—construction.
IT
Directions:
Fill out•applicatlon 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 cbntractor)ar'Power of Attorney•(for the owner)•wotild be someone with'notazed letter from owner authorizing same
OVER THE COUNTER-PERMITTING... - -.-(Front of-Application-Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage
Driveways-Net over Counter if on public roadways.*4 eds ROW
�r
i•
NOTICE OF DEED RESTRICTIONS: The;undersignedunderstands:,that.-tNs...pprmit may,be,suoject.to"deed",.restrictions".
which may be more testi ctive-tht�n County:regr%latlons.'The.undersigned assumes'responsitiillty for"compliance with any
applicable deed=restrictions.
UNLICENSED. CONTRACTORS.AND CONTRACTOR-RESPONSIBILITIES: 1f=the=owner°has--hlred"-a"contractor or
contractors to undertake work; they m'ay:.be requl ed:_to-be,licensed In.accordance.with:state-.and-local.regulations: lfthd
contractor, is not licensed-as required:,-by law,.both-the owner and:contractor.;-may'be-clidd for wmlademeanor violation
under state law. If the owner or Intended_contractor..are.:uncertaln,as to what licensing;requirements.mayr:apply:= or-the
Intended work;they are:advised to contact the Pat3co County-l3uflding`Inspection_Division--Llcensirig 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_appllcation..for_which.they,wilL.be,rasponsible- If-you;=•as:.the owner's fgn''as,the"
contractor, that irtay,tie an indication that;he-is"not'properly licensed and"is not"entitled to permitting privileges in Pasco
County.
TRANSPORTATION,IMPACTIUTILITIES AND RESOURCE RECOVERY.. .,-,FEES:,The undersigned-understands .
that Transportation Impact Fees:and.Recourse Recovery.Fees.rray:apply::to the construction,of new.bulldings, change-'of{-"
use in existing buildings; or:::expansion:.of"existii<ig'tulldings; as specified.in Pasco County Ordinance number 89-07 and.
90-07, as amended.•_.:The undersigned also::understands, that'such fees;�asmV.;be':due;:wlll:,,be identified at the=tirne'of
permitting. It Is further,undenstood that Transportation Impact'.Fees and°:Resource,'Recovery Fees_must be paid prior to
receiving a%ertificate of occupancy" or final-power;release., :lf>the.project•.:does.not-involve-a:certfficate of occupancy..aril
final power-release;,tl e�'.fees mU§t'be paid-.prior to._permit Issuance. Furthermore, If:Pasco,County Nllater/Sewer.Impact
fees are due;_they,must-be:paid:prior to,permitrl§suance'.ln.accordance with:appllcable Pasco-County ordinances.
CONSTRUCTION'LIEN`LAW'(Chapter 713, Florlda Statutes,as amended): If valuation of work is$2,500.00_.ormore I
certify that .I, the applicant.,:-have•-been provided--'with:-a=copy,of:-the:,-"Florida-Constructlon--'Lien.-Law-Homeowner's
Protection Gulden 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�d�iddpyof,the above.rfescribed-4'— rent;and.promise;in.good:faith.to
. :.
deliver It to:the'owner"-'.piior`to�'dornmencement '
CONTRACTOWSIOWNER'S AFFIDAVIT: I.certlk-,thet�ali:,tho Informatlon]mthis 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,Ao work;and t 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 m eat..standards-of all laws regutating-�
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,acHons 1 must•take.to,be,in:.coMpllance:.,Such.agencies-Include but-are.not Ilmked to:.
Department of Environmental,,P btbdtion=Cypress.'Bayheads; 1Nf3tland Areas.and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
Southwest Florida Water Management- =Distridi Wells;' -Cypress.'Bayheads; Wetland Areas, Altering
Watercourses.
Army Corps of Engineers=Seawalls;'Docks, Navigable Waterways.
Department. of;;Health:'4,:Rehabilitative Services/Environmental,.Health Unit-Wells,.;Wastewater.=Treatment,
Septic Tanks:.`
US Environmental Protection Agency-Asbestos-abatement:-: -- — - -- --- - - - ---
-Federal Aviation Authorlty-Runways:
I understand that the foliciQh qisstrictions apply-to the use of fill:-
Use of fill is not allowed in Floo-d'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 6Upermitting which is prepared by a professional engineer-
licensed by-the State of Fiorida:
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; 1 certify that .use of°such Al will.not adversely affect adjacent
properties. If use of fill is.found.to adversely.,effect'adlidbri-properties,.the owner may be cited for.violating.
the conditions.of the building Issueatrider ttie.'attached:permit:application,-.foc=..lots-less:than`one (1)
acre which-are elevated%by fill;ao engineered drainage plan Is required:.
If I am the AGENT FOR THE OWNER, I;promise In goodfaith to Inform the owner of•the permitting conditions set forth in
this affidavit'prior to'commencing construction. I understand that aaeparate permit may be required for electrical work, -
plumbing,,signs, wells,,pools;. air conditioning,.gals;.or:other Intl;talleHons not.specifically included-In.the application. .A
permit Issued shall be construed to be,a-licenso to`proceed with the.work and not as:.authority:ao..violate,.'cancel, alter, or
set aside any provisions of the.technical.codes; nor shall issuance,of a.permit.prevent the Bulidirig Official from thereafter
requiring a correction_of errors In-Plans,construction,or violations of-any codes: Every.perntit issued shall become Invalid
unless the work authorized:by such permit.-Is commenced,within sfx..months of permit Issuance, or If work authorized by
the permit Is suspended=or..abandoned:for:a period,of:six(8)-montFis:after:the time the,work is commenced.-An extension
maybe requested, In writing;from.th 'Building,Officlal fora period-not to exceed ninety--(90).days and=will-demonstrate
--justifiable=cause-fibuthe extension:-If-work-ceases.for ninety.(90)-consecutive day.q;.th�job.is-considered-abandoned.
WARNING TO OWNER: YOUR.FAILURE,.TO.,REC.ORD A,NOTICE.:OF:,COMMENCEMENT NIAY-,RESULT'IN:YOUR
PAYING TWICE;.FOR IMPROVEMENTS•Tfl;YOUR".PROPER7Y.�lP-YO.U,INTEND TO`OBTAIN•FINANEING;'CONSULT
WITH YOUR LENDER OR AN ATTORNEY�IEFORELRECORDING YOUR'�NOTIOE"OF�Of M N_ EtIMENT'-
FLORIDA JURAT(F41.17.03).. ,:.. ,,..
OWNER OR AGENT CONTRACTOR
Subscribed and swam to(or affirmed)before me this Subscribed and'svmrn to(o 'affirmed)*beford me thi§
by -by
Who Is/are personally known tome ar:has/have produced. Who.is/are personallyknown--to.me or has/have-pmduced
as Identifcaton. as Identification.
Notary Public Notary Public.
Commission No:` Commisslon.No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped