HomeMy WebLinkAbout20-22444 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 22444
PLUMBING PERMIT
"PERMIT INFORMATION _' LOCATION�INFORMATIOW'
Permit#:22444 Issued: 2/06/2020 Address: 5446 9TH ST
Permit Type: PLUMBING ZEPHYRHILLS, FL.
Class of Work: PLUMBING RENOVATIONS 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: 2/06/2020 Parcel Number: 11-26-21-0010-11900-0170
CONTRACTOR INFORMATION OWNER.IN FORMATION
Name: HOMEOWNER Name: BACON, JOEL E
Addr: Address: 5446 9TH ST
ZEPHYRHILLS, FL 33542
Phone: Lic: Phone: (352)999-0243
Work Desc: REPLACE ALL GALVANIZED PLUMBING
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 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.
CO O PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780a0020 City of Zephyrhills Permit Application Fax-813-78"021
Building Department
Date'Rec`elved' p p OO ?
Phone,C.ontact;for.Perrnittin �2 _ - [
_ :,pwner'ssName. 01=1..~: a. >3
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T r:.;,Owner.s ddress Y .6.,, f C, 1
A Owner Phone: )umlier
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TYPE-OF CONSRUOTION' 0 BLOCK FRAME''' -
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,,•DESCRIPTION,b"F-*0RK; .1\2 i Cc e l G u t�: �;2�' ) P'l
BUILDING•SIZE S4.FOOTAGE•
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OSUIL'DING:' $':
} VALUATION;OF=TOTAL;CONSTRUCTON
ELECTRICAL $. ::AMP'SERVICE DUKEENERGY�'
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,PLUMBING
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION'
=GAS Q" "ROOFING-. ,[�: _ .SPECIALTY:...,' ,.OTHER:--
44
44
D,�«',
fINISHED'FLOOR>ELEVATfONS': : ~'-_aPL=00EZONEAR�A"- '"" AYES ^`"`NO"
BUILDER COMPANY:
SIGNATURE ",REGis�ERED - - :?Y'/eN' FEE:CURREterr:': '.t f�Y•%: =�i
1Y,,
Address Uqense'#;
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ELECTRICIAN COMPANY:
SIGNATURE REGISTERED' :FEE-CURRE�: - t`Y;'`/.'N:i
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Address Vc�ense•.#,` -
:
I?LUMBEit COMPANY' -0r�4 t O'�a3111 AI 2-
SIGNATURE ReGIST'iiEh " aY=/=`N': :;':EEE',CURRE ?: r! 'Y`%;N��
MECHANICAL "COMPANY'
SIGNATURE^• REGISTERED Y°Z''N5 - •`FEe-CURREN'r11; - a rt i
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Address,., aacerise>.#
OTHER::;
SIGNATURF.
:Address: Ucense#s;
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RESIGENTIAC+'± AAttah' .filot=fJens< Y'Sets°tif" IIdi"`i?[ n'ss,;1: t..f:E,eM//�V�/ ��nn "fo A.. .,:';;. H'.
r�.� - „-,( .,•D"Y:",T!. �i ti'�d ,\.�. •�•7n7�k. _ �;.�.= 'i�1'•:1'�FL...,- ij';4)j r'b':'.L,:t•.,.,f-,. `•t '1Yi�(:'::":i-f:.•:
riVilnitntirtiten'{1r0)f�Jortiing days:;efterst�tirh`ihalate'#.R$gire(i,ons"te ConstAiotion Plans'S�ormvateEPlarisiltfence;iDstallsd ;
O '"{�
Sanitary:Facilities: :cdumpster;Site.Wotk"!?emtitf8r-sutidi�iisibn3/levepriojects " -
COMMERCIAL Attach,"(2)°compietesets of;6,Uilding;PlBosepfus arLife S,afery�;Pagec('1)'set°of!EnergyForms;,R-OV Peniiit:fo'!new,constructton.,...-
Mlnlrrigm`ten;(1:0)woiliing da ,afte ks ba fttal;d to Regr red gnsite Construction wlor Stormwatert 'tans w/SIIt;Fence�n'stalled,•::
Santtaryfaclllees&1 ilunfps .Sle�lllork Permit for all new;projects:Alt oommercial requirements must meet compliance
SIGN PERMIT' ' AttacFi(2)�sets,of,Engineeied.;Plans
••"PROPER;TY,SIjRVEIf`regutred fgr'airNtW.cbristruotion>
Directions:
Fill out application'completely.
Ownb'�'&-Con..uya._ctorsign;pactc:of application,.notarizel
F .1.r. I -
-if over;2Sa0.a:.Notl6,e of do'mmenc®msht.is r®quUed. .(A/C.upgrsdea.over$7500)
•• Agent_(for:thezcontracto►)"or.'Power..:of>Attomey;(forthe oWner):would`tie:someone.vWth notat.ized-letter from:bWhdr,,authoiitlhg same:
OVER:TF)E:000NTER:PERMITTING,., ,,..(ca�y;;Ofcontrac(,required);.
Reroofs if sliingtes Sewers Senrioe Upgrades ;4%C Fenbes`(Plot/Survey/Footage)
Driveways-Not over Counter if-on"public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The underslgnedzunderdtands that this permit-may be subject to"deed"restrictions"
which-may_be.=more:�estr.Ictive�than4C-ountyregulations. The undersignedrassumes--responsibilitvfot",compliance witk,.any
applicable deed redtrk tions: ` .
UNL-iCEN:SEDs'aCON7RACTORS• AND�CONTRACTORl=RESp+6" di-00 t&.4`if fhe°"fthdf�itias'Hired"a` cont"ractor or
contiactors to undertake work,;.#heY:lrlay;be,{requiredrto be licensed in:aecor ance:lnrltli<sta e.yand local regulations':Af the
•.contractor,,is-notlicerased.as required by law, both the ownerand°=bciihtractor may'be7citdd-:`for"a:misdemeanor violation
under state law. if the owner.;ard:intended..contrractor.are uncertain as:towhat:llcensing.requirements:may�apply=for the
µintended:-work;..they are-advised to contact the Pasco=County,Buiiding--lria-pection"Dividioh"=ticensing Section at'727-847-
8009. Furthermore,. if the owner- has. hlre.0ga,contractor or contractors,,,he' is adltised.to. have the contractor(s) sign
port!ons-af-the--"contractor:Block",.of,this.application for.which.they.will;be.responsible.•.:.If you, as the.owner sign as the
contractor;that may be anlndication that'he is not properly licensed'and is not entitled.-to-permitting privileges in Pasco
County.
..
-'TRANSPORTATION IMPACT/UTiLITIES�IMPACT-AND.'RESDURC,..E RECOVERYFEES: The undersigned.,unders�tands
--.that,-Transportation lmpactPFees and Recourse;Recovery Fees may apply to,-the�construcfon-* new buildings, change of
lose°iui ezistir'rfg-tiriild'mgs;'•orexpansion'of'ezlsfng buildings, as specified In Pasco County Ordinance-number 89-07 and
9007,, as-aMended....T,he..undersignedralso.ur derstands :that isuch fees, as may::be dwe; will=be.:identified gat'tl ett ire of
permitting. It is fuitherYcinders#otttthaii5portafion:impact-Fees,and Resource Recovery Fees must be-paid,prior to
receilrirlgsar°certificete of.occupa�ny`<'or finalpower.release:k.ilfthe pr4jecE�does�=notinvo(ve;:a certificafeaf"'o'ccuipancy or
final:power release, the fees.must be paid prior to permit issuance. '>_6rthermoro if Pa'saorCounty Water/Sewer Impact
fees are:due;.-theyimust-.be,.-paid,prior to pett�it:issuance in accordance with applicabre:Paisc Countyordinandes-
CONSTI UCTIbN LIEN'LAW(CNapter:713 fFlorldl Statutes;as orimore,
certify that-:I:##a applicant,::have een pfouided:-with a�.copy of lorldaµCanstrudOn-Lien Law—Homeowner's
-Protection Guide" prepared by the Florida'-:D:epartment of Agriculture-an'd:Consumer'Affalis.€:If-thp,4ppilcantJs4someoire
..other-thanlhe"owner"; t-.ref'ko.,Ittat<1_.,17iavdrobtalne'd-•a-copX of,tl*e�atia ie de' cribedadocuirie f an&promise in good faith to
deliver,it to the"owns*r":prior to comet. pq ent. ;
CONY CTOR'.S/OIIIIN 'F..F1P `1(1� �'
Rl r ;:, t om; �rf :;;i,certify,<.#hat;all tille,lr for rat!}o�nfjn-this.ap�plicat oil;.is:aCcurate:;an.d;:thptMalf work
wilt'big done in compliance Mir-aft applicable laws regulating�construction zoning•,and land�deuetopmen#,.Application is
hereby made to obtain a permit tQ`��'c1cSs}w2 rk aridly;l; s`tdilI 124`hA" indicated+ I certify`that no work or. installation has
commenced.prior to issuance of a.-permit:and.:#hat all work will be.performed--to..riaeet:s`t6hdards of all_laws regulating
constructioniZounty ands;Cif cod s`:zonitlgA regulations, and lai ii'=development reguiations' in the'jutisdictibriv• i also
certify that I understand that the�regulations of other::government.'agenclestt»ayapplyktq-the-'intended work, and.:that it is
my responsibility..to Identify what actions:l musttake.to:be.in compliance. Such►agencies incli ne but aremot',limited_to:
Department of Environmel;ltal•Protection-Cypress Bayheads,�Wetiand.-Are'as:.and�Environmentally Sensitive
-Lands,Water/Waste%aerk. tment,.
Southwest Florida Water iVlanagement DistrictVelis, Cypress .Bayheads, '.Wetland Areas, "Altering
Watercourses.
Army Corps-of Engineers-S:eiwaiis;:Docks;:,Nav!§able•Waterways. °
Department of-pHealthyAVIR h`abilitative�Servides/,Environm'en#al Health Unit=Wells;=�WasCewater :Treatm°ent,
Septic Tanks.
US Eh Vitdn m eFa 110ANAgeney=Asbestbs-abatement:
- °Federal Aiiiatii�n AutFioritj/-'#�tii4�i'rays: - _ ._ . _. ..
understand.-that.tineJoliowipg,.restriot bits apply to:.#he use of�dii: -
w,
., `L ' `.� plo°lid orte"V"unle'ss':-exprssly,permitted :.;:: ...
Use_'Of.'flll:rls rlOtselfOwk't)I to ,
if"'tire-f!)l.�rnatiOlal .is to.be-used in flood Zone 'A',',' it is understood that a drainage plan addressing a
compensating uolu ,pe4subm fled aYitimeF'of permitt o ;4lrh1ch;isrp.prepared#:1 yHa.pro_fessional'engineer
licensed by Elie State of Ftotida.
If,the fill:rnatertaL_is:#o.kbeoil, d:«in�Flood.Zone °`,'"`'in connection with a permitted building using stem„uyaIL
;xy } x• .
construction,.1,certlfj'that iilliiri i�l�t a°ui;ed only;to.,f!'i the.area�virithi►a tlaexstem;.w tll:, . :.
If fill:material is to,.,.be._used-In,.any-area, I,certlfy'that use.of-such`.fiil-will not adversely affect=.adjacent
propertles:-.If, ise,of."fill: s found:.to.aduersely affect7,adjaceA,'VPtopelties;,.#fie�otvraertimay:be_clted for violating
the conditions of the building permit issued undgr,the attached permit application,for lots less than.one.
acre:;which>are,»elevatedrby-,fili,- engineered':era rage plan'is required.
if Lam.the.AGENT', t?R_-T;H �OWNER,`Fprom'ise in good'faitihto.lnforrriM#herowner:a #lie permittitag>conditions set forth in
this affdavk.prior to commencing.construction. I understand.thM a separate,permit maybe.required for electrical work,
plumbing;.Ksigns;swells;::pools alr•conditioning;�gas.,,or other installations-riot=specifically-'4ncluded--•!n•-the.�appllcation. A
permit issued;shall be.`construed.#o be a.license to proceed•iwlthµth&.work.and novas authority toMolate,cancel •:alter;,,or,..
set-aside�any,"pro,lsipns-of�the,technical'codes..nor'shall.,issuance of'a permit°prevent.the;Building Official from•thereafte0.
requirlilg a-correction of errortt*in plans,construction or vlolations=of any codes. Every=perm issued°stiall=become invalid
unless.the•wark:authorized.bysuch:ipermit is comment:ed.within:six months.of of. -ork,authoY4bdity
the-permit`is-suspen'ded"or abandoned'for`a'peifod'af.six(6)months after•the airiie the:work is commenced • An-extension
may be-requested, in writing,.from.the.:Building•.Official-forMa�<pariod not to exceed ninety(90)days and wlll,demonstrate'-
just�able,cause.for;the.,extension: ifwork.ceases°for•ninety4{JO)`cOnsecutiVe.days,-'the-.job"is.considered:abandoned: `
WARNINGJ..O�AJWN.ER:wwYOUR''FAILURE TO;RECORD:AUNOTiCF-•,OF-iCOMMEN�EMENT�MAY;RES,U.LT`IN YOUR
— PAYINC�t[W10E FOR l9VFPR�DVEMEN`tS TiO YpURy1PFtOF'Et#'O:Y 'iF�l�"Ol INTEND';700Y/iN�FIN,iANtrlNd;C01 $t�LT;•.
WITH,YOUR,IENDER,OR iLTORN iECtt2DIN:GY.OURO'i 1C QP.3C.OiVINIIN"LENIENT.
FLORIDA,V0RAT T.'s: 03) , . r. . ,
,.
OWNER;OR AGENT 'GQNTRiACTOR`
S sc betl:and sworn o imed)! . reenidithis 'Su cri d:and swo" tir°aft reted•ti'" `r®`me this
ho re perso a nown to me or hasthave produced Who i tare pars kno or a ays`produced
e as r ficatton. � ��as�idenflfibatiiiri: •
Notary Public ::Notary.K"ibllc:v
Commission No. ,. Commission No.
Name of Notary typed,printed or dtampeFd :Name of;Nota yAyped,pfinted�or�stainped
;;,y�, •. CARLOSMALDONADO '�'
�; yrb; CARLOSMALDONADO
t> *:Commission#GO 346275 a� ''•.
� Po Expires June 18,2023 ;#Commission#GO 34fi275
w ° Ex ifes June 18.2023
R• BondedThruTroyFainlnsaranrs8003857019 +��` gor*d1WTroy Fain Insurance
600.3g5d019
DISCLOSURE STATEMENT FOR OWNER
CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
k3acoA have read and fully understand and
;agree to the provisions of this instrument.
The undersigned states and affirms that he or she is desirous of constructing,
renovating, adding to or reroofing his or her own domicile, that he or she
actually occupies, or will occupy by said domicile, and same in not for
-rent, lease or sale. That he or she shall comply with the following conditions:
1. That the owner and he or she alone shall act as the builder for all phases of
construction.
2. That the owner will comply with all provisions of the City of Zephyrhills
ordinances and codes pertinent, to the building.
3. That in the event various phases of construction are subcontracted, he will•
engage only properly licensed subcontractors and will personally supervise
such work.
4. That in the event the Building Inspector shall require corrections to be made,
the owner will assume full responsibility to insure they are made, and upon
completion will call for a reinspection before proceeding with the building.
5. That the owner shall assume full responsibility for the construction and will
not expect supervision of his work from the City of Zephyrhills Building
Department.
6. That prior to final inspection any additional fees, including reinspection
fees, must be paid in full. A written request from this office shall
-constitute an official notice to pay additional fees.
7. That the owner shall comply with all City, State and Federal laws in regard to
social security, workman's compensation, lien laws, etc. , where applicable.
8. That the owner shall comply with all the safety codes issued by the Florida
industrial Commission.
9. State law requires construction to be done by licensed contractors. You have
applied for a permit under an exemption to that law. The exemption allows
you, as the owner of your property,
operty, to act as your own contractor with certain
restrictions even though you do not have a license. You must provide direct
onsite supervision of the construction yourself. You may build o3pimprove a
one-family or two-family residence or a farm outbuilding. You maj- alio build
or improve a commercial building, provided your costs do not exceed $75,000.
The building or residence must be for your own use or occupancy. It may not
be built or substantially improved for sale or lease. If you sell or lease a
building you have built or substantially improved yourself within I year after
the construction is complete, the law will presume that you built or
substantially improved if for sale or lease, which is a violation of this
exemption. You may not hire an unlicensed person to act as your contractor or
to supervise people working on your building. it is your responsibility to
make sure that people employed by you have licenses required by state law and
by county or municipal licensing ordinances. You may not delegate the
responsibility for supervising work to a licensed contractor who is not
licensed to perform the work being done. Any person working on your building
who is not licensed must work under your direct supervision and must be
employed by you, which means that you must deduct F.I.C.A. and withholding tax
and provide workers' compensation for that employee, all as prescribed by law.
Your construction must comply with all applicable laws, ordinances, building
codes, and zoning r at* 0.
OWNER'S SIGNATURE �=r DATE 2oZ6
ADDRESS rYq 6 FL_ 317jqn-
PNONE R.V9 Ck
WITNESS PERMIT #