HomeMy WebLinkAbout20-1136 m r
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City of Zephyrhills PERMIT' NUMBER
: =t ' 5335 Eighth Street
fy . Zephyrhills, FL 33542 BGR-001136-2020
..: Phone: (813)780-0020
Fax: (813)780-0021 Issue Date: 11/30/2020
Permit Type: BuildingGeneral (Residential)
A5 ;,
Will: s,, �ProperfyNumber_ _ u Street Address
12 26 21 0030 00300 0130 15309 Beltram Drive
Ow a 1 o oration Permit lnformabon . `� Contractor Information
Name: DAVID HAYES Permit Type:Building General(Residential) Contractor: CHRIS BAHR PLUMBING
Class of Work:Sewerline Replacement
Address: 5309 Beltram Dr Building Valuation:$0.00
ZEPHYRHILLS,FL 33542-6018 Electrical Valuation:$0.00
Phone: (813)598-6981 Mechanical Valuation:$0.00
Plumbing Valuation:$2,499.00
Total Valuation:$2,499.00
Total Fees:$51.00
Amount Paid:$51.00 /
Date Paid:11/30/2020 9:59:03AM l
Project Description
SEWER LINE REPLACEMENT
Ap . canon Fees - BEEN=
-
Sewerline Replacement Fee a $51.00
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 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 permit required from other governmental
entities such as water management, state agencies or federal agencies.
"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 add fee Must Accompany Application.All work shall be performed in
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CONTRACTOR SIGNATURE PE IT OFFICE
PER IT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
M-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact.for Permitting
Owner's Name. G f Owner:Phone Number CU;��.'' ;"J� �J�•U.(, (
Owner's Andress 2 Y. S ( OwnerPhone Number'
Fee Simple Titleholder Name Owner Phone'Number
Fee Simple Titleholder Address
777
�eC,�� rJ
JOB ADDRESS 'LOT ,
SUBDIVISION PARCEL ID#;
(OBTAINED FROM-PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ::,; , ADD/ALT Q SIGN Q 0` DEMOLISH -
e ..INSTALL:. .e REPAIR •. . ...... .:....
PROPOSED USE Q SFR'" Q' COMM" ;.0 OTHER " <' '..,. _ "
.41
TYPE OF CONSTRUCTION' Q BLOCK 0 ' FRAME 0 _ "`STEEL "Q
DESCRIPTION OF WORK.
BUILDING SIZE-., .. SQ FOOTAGE. HEIGHT' :;1•;
=BUILDING $ VALUATION OF:TOTAL"CONSTRUCTION.
=ELECTRICAL $ AMP SERVICE Q - .PROGRESS ENERGY,. ;0 W.R:E.C.
=PLUMBING' $ "
=MECHANICAL $, VALUATION OF MECHANICAL INSTALLATION•"
=GAS = ROOFING 0 SPECIALTY-= • -OTHER,
FINISHED"FLOOR ELEVATIONS FLOOD ZONE AREA `"=YES NO
BUILDER COMPANY"
SIGNATURE -REGISTERED, ,Y'/ N ° -'`' FEE'CURREN-; "Y.•'/'N:'
"Address L•icense:# .",
ELECTRICIAN- COMPANY v
SIGNATURE REGISTERED Y/,%N °• x " `FEE-CURREt-,. '
;Address .License
PLUMBER COMPANY ..;. 4 • Gt l
SIGNATURE F� REGISTERED "Y':'/.'N: .. }FEE CURREh
Address. �.0V cl S /T License,#:' Z
MECHANICAL COMPANY.,
SIGNATURE. REGISTERED Y/_N. FEE,CURREA
Address License#.
OTHER COMPANY
SIGNATURE' REGISTERED F Y'T'N FEECURREk Y/N`
-Address -License`#.
RESIDENTIAL Attach'(2)P16tPlans.(2)sets,of Building;,Plans;(A ,i�4)s ' nergy-Fdrffie-R=O.=W Permit foi new'cons'tnictiori�
Minimum ten(10).woeking.days after submittal date. Required onsite,Construction Plans,Stormwater Plans•vi%/-Silt Fenc-61nstalled'
Sanitary Facilities&1 dumpster,Site Work Permit rfor;subdivisions/large projects
COMMERCIAL Attach(2)complete,sets of BuIIding Plans plus a Life:Safety`Page;'(1)set of Energy Forms.,R-O-W Permit-for new•constnktion.°
Minimum ten(10)working"days after•submittal-date. Requirea.onsite,'Construction Plans,Stormwate Plans:w/"SIIfFence,installedr.
Sanitary Facilities"&i dumpster:,Site;Wo&:Permit for all,new projects.All commercial.,requirements_must meet compliance
SIGN PERMIT Attach(2)sets.of"E,ggered 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 !ewers.___.,SePACe.Upgrades_:A/C_ -. Fences(Plot/Survey/Footage)
Driv®ways-Not over Counter if on pulillc,roadways;,needs ROW4
NOTICE OF DEED RESTRICTIONS: The undersigned understands that-this permit-maybe subject to"deed"restrictions"
which may•be•more"restrictive than'Courityregulations. The undersigned assumes responsibility for compliance with any
applicable wdeed.restrictions; _ . _.
UNi ICENSED"CONTRACTORS"AND'GBNTRACTOR' RESPONSIBFLfT1ES '`tf #he-°owner�fias hlred`=a°,dontrae,tor_`or
contractors to undertake work, theymayibe:required4o betlicensed in•accordance.with state and local regulations..,If the,
contractor is-not ilcensed-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,>,forethe..--
intendedwork, they-are-advised to contact the Pasco County,Building inspection-Division•"Licensing.Section at 727--847-
8009. Furthermore,.,if the owner::has..hired:ia:contractor;or contractors, he is advised to have the:.contr..actor(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�permit,ing privileges in Pasco
County:
TRANSPORTATION-
..
tMPACTiUTILiT1ES.IMPACT AND-,RESOURCE:-RECOVERY FEES: The undersigned.understands
that Transportation Impact Fees-and-Recourse.-Recovery Fee s-mayapplyto-the-construction-of.new_buildings, change of
use in eAking.6uildings, or expansion ofexisting buildings, as specified:i6"Pasco'County"Ordinance number 89-07.and
90=0.7,..as amended. The undersigned also_-understands,•tfiat:.siioh,fees,.as.may_be:due.,will.be identified•at the{time of.
permitting. It is further-UndersCoodTthat`Transp'ortation.linpact Feesand Resource Recovery Fees must be paid prior to
receiving w: certlficate of.occupancy"tiorfinal power release. if:the--project tIo'es=not�involve a certificate.of:occupancyor,• .
final power release, the:fees-must be paid prior to permit issuance -Furthermore,;.iVPasco County Water/Sewer Impact
fees:a�e;.due;they=must'be.paRid prior to permit:issuance in accordance:with;applicable:-Pasco County ordinances..,
CONSTkUCTIQN°1 iEN LAW:(Chapter713; Florida Statutes,assamend40-,, 1f valuation of work is-$2,5.00.00,.or.more,,I..
certify.:ahat.:-I,:..the applicant,..-have...been-provided-with-:a`,copy.of,.the ."Florida-Constructio'n-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:l.have,obtained a-copy-of;the-above�described-documentand;promise;in,good'faith to"'
deliver it to the°owner"prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT;.4`6ertify that ail:the-information in.tliis application is_accurate•:and�that alfwork
will pe done,in compliance with-all applicable, regulating construction;honing:and-land-development:`"Application'is
hereby made to obtain a permit to do,-work)-and--==installation-as�=indicated. : I certify that nw-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
constriction, County art City codes,.:zoning,.regulations, and land-;development regulations in the jurisdiction::.14-.T also
certify-that I understand:that the regulations of other:government agencies�may_appiy_to the-intended work, and-that it is
my responsibility.to identify what actions]must take.to-be in compliance. Such agencies include,but are not.ltmited,to:
Department of Environmental Protection-Cypress Bayheads; Wetland Areas and Environmentally Sensitive
Lands,,Water/Wastewater Treatment. a
Southwest Florida Water''Managenierit District Wells; Cypress Bayheads, WetlandAreas•; 'Altering
Watercourses.
Army Corps of Engineers-Seawaiis :Dockst Navigable'Waterways.
Department of Health & •Rehabilitative Services/Ehvir..onmental--Health,Atlnit-Wells, Wastewater.Treatment,;
Septic Tanks. , b
US Environmentai PrkotectionAgency.Asbestos.abatement.,.
Federal Aviation Authority-Runways:
I understand•thatthe following restrictions appiyto-the use.of,,filt:
- Use?ofrfilVis not allowed inlood Zone"°V":uniess.expressiypermifted.
•Itthefill° material-is to be used.in Flood Zone '-'A", it- is- understood 1hat"a drainage<<plan addressing a
°compensating-vplume--.w1II-+be.submlfted at time,of permitting which_-is»prepared by a professional-engineer
licens'ed,bythe'State of Florida-.-
If-the fill material is to be.used,in. Flood Zone.,I"A",in connection with a permitted building using stern wall.;
-construction; I certify tkat fill.wilt;be=,i ssc(�onty.to fill the iarea,',within.the stem_•waii.
'If fill-material is-to ibe used-in.any-:area, 1•-certif' :that-use of such fill- wil[-not adversely-affect adjacent
properties._ If:use.of fill"is=found:to:,adversely.affect::adjacent.,,proportle.s,,.the owner may:be cited,for violating,
the conditions of the buildir%g:-pefmit"iss:rted:grider'the tttadhed-permit'application, for lots,lessh'than one (1')
-acre:which..ar_e_elevvated by#ilt,on,engit eereii:drairiage;plar"is required.
If I am-the AGENT,FOR_THE,:OWNER, I promise.:in:-.good•faith-to ihform;the owner0.the,permitting.conditions set forth-yin-.
this afridavit priorto`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,spec�cally.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:shali-is`sua666:of a permit prevent the Building Official from thereafter,
requiring_a correction�of"errors`,in plans, construction or violations:of.anycodes: 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 per mit�:is�suspended-or=abandoned-fora-period.ofsix(6)m6nths-after.-the:,time..the;work,is commenced:.:�An extension
may be requested; in writing, from the Building Official fora period not.to exceed ninety(90) days and will demonstrate,
justiriable'cause for=the`extension:� if work;ceases forninety:.(90).consecutive days;the.job is considered abandoned.
WARNING.TO AOWNER: YOUR°FAILURE TO':RECORD.A NOTICE-OF COMMENCEMENT`:MAY RESULT::IN.YOUR
PAY-1N.G..TINICE:4F.OR"�IMPROVEMENTS TO:YtJ.UR PROPERTY•,:,.;IFYOU,k1NTt ND,:TO:!:OSTAIN`FINANCING;;.CONSULT.....
BEF ROWITHYOUR LENDER OR:A A ORN O tCE. F OMMEi EMENT.b Y
FLORIDA.JURAT.(F.S: 0 .° '
OWNER OR AGENT — ... . - CON
TRAC,TOR .. k It.
Subscribed and su�om_to{or..a;i ed1beforome.this. .Subscribed and-s vorn to(or �mied}.before n►e:this'
by by
who is/are persoQly known to me;or'has/haJe produced"' Who UZ 'pets a Iy known eme;&'has/have produced,
as Identification. Identification.
Notary Public Notary-Public.:
Commission No. 'Commission:No. -
O q Vt,� C7 ,
Name of Notary typed,printed or stamped Name of Notary4ype&.0rinted.or sta .ped
CARLOS MALDONADO
f ;Commission#GG$46276
Expires June 18,2023
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