HomeMy WebLinkAbout21-3243City —of e p
5335 Eighth Street
Zephyrhills, FIL 33542
Phone: (813) 780-0020
Fax: (813) 780-0021
BGR-003243-2021
Issue Date: 11/22/2021
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.
a r -
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.
--[A
CONTRA611`ATURE PE VIT OFFICEU
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
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 Recell''i I!] Phone Contact for Permittl
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=BUILDING 1$ J VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL LIs AMP SERVICE PROGRESS ENERGY W.R.E.C.
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=MECHANICAL 1$ H
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=GAS ROOFING E] SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS a_._
FLOOD ZONE AREA =YES NO
COMPANY E
BUILDER REGISTERED YIN FEE �',..REN
SIGNATURE
Address License #E=====
ELECTRICIAN COMPANY
SIGNATURE REGISTERED YIN FEE CURREN YIN
Address License #
PLUMBER COMPANY
IN
SIGNATURE REGISTERED ZqkEL CURREN IN
Address License #
MECHANICAL COMPANY
SIGNATURE REGISTERED YIN J IETr.RRE.
Address License#
OTHER COMPANY
SIGNATURE REGISTERED ;;;; �rEr LIRRENY ! N��
Address License #
RESIDENTIAL Attach (2) Plot Plans; (2) sets of 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 w/ 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, Stounwater Plans wl 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 $T500)
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 Fences (Plot/Survey/Footage)
Driveways -Not over Counter if on public madways-needs ROW
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to 'deed' restrictions" which may be more restrictive
than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILME& If the owner has hired a 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 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 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 property licensed and is
not entitled to permitting privileges In Pasco County.
TRANSPORTATION IMPACTILITILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of now buildings, change of use in existing buildings, or
expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and 9007, 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 we* is $2,600,00 or more, I certify that 1, the applicant,
have been provided with a copy of the "Florida Construction Lien Low--Homemaner'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'SIOWNER'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 permit and that all work will be performed to meet standards of all
Is" 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, WaterMastewater Treatment.
Southwest Florida Water Management District -Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
Army Corps of Engineers -Seawalls, Docks, Navigable Waterways.
Department of Health & Rehabilitative ServiceslEnvironmental Health Unit -Wells, Wastewater Treatment,
Septic Tanks.
US Environmental Protection Agency -Asbestos abatement.
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 '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 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 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, 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 may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
If I am the 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. I understand that a separate permit may be required 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 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 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 Gauss for the extension. If work ceases for ninety (90) consecutive days, the job is considered
abandoned,
OWNER ORAGENT�471,,,,�',A;414 "V�gee �' CON ACTOR
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Subscribed and swo fflfl1m.__J0_ is, Subscribed and
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4 1 1
job #120895218: Repipe/Sewer Install in Zephyrhills P ID
Priority 2 Job Part install Protection Plan up to 2 System Crews: installed 2 years ago (2)
0 RECEIVED qp PRIORITY CAMPAIGN BUSINESS UNIT
IV1312021 05:09 PM Normal Scott Jacobson Plumbing Install, Misc
PROJECT HOMEOWNER IS ANYONE IN THE HOME IS THE HOME FOR SALE?
#120895746 Yes SICK OR CURRENTLY— No
No
SERVICE LOCATION
o Robin Crews Protection Plan upto2 System
38410 18th Avenue
Zephyrhitts, I'T 33542 USA
(863) 832-2258 X *
Is robinmcrews@gmail.com
0 Property Data Beta
BILL TO
Robin Crews Protection Plan up to 2 System 2 N/C
38410 18th Avenue
ZephyrhitLs, FL 33542 USA
(863) 832-2258 10 *
0 robinmcrews@gmaiL,com
INVOICE
Pending (#120895218)
13 INVOICE SIGNATURE
Required
*% job Status
0 DONE 3 BOOKED
In Progress
- - - - ----------
Job Notifications
JOB SUMMARY E
11122 AM*CPP*CALL PRIOR TO ARRIVAL.* Need to return to do a Repipe 2,5 bathroom home with recirculating pump -
Scott J. Sold - total
Timesheets
-$9661 - Customer is financing through Service Financial. -Wants to add a drain tine for washer and dishwasher*
NEED TO TAKE PIS FOR INSPECTION:
RI I Austin N
OUTSIDE OF HOME SHOWING ADDRESS
ALL ACCESS PANELS SHOWING ALL ANGEL STOPS INSTALLED
Dispatched 38m
Working 18m Ongoing
Scheduled Appointments (EST) 3
#120895218-1 Working 101`3
M START DATE (A) ARRIVAL WINDOW
Monday, Nov 22,2021 8:00 AM - 12:00 PM
I Austin N - 3 Eric Lorenzen
Working Scheduled
#120895218-2 Scheduled 2of3
M START DATE q ARRIVAL WINDOW
Tuesday, Nov 23, 2021 8:00 AM - 12:00 PM
1 Austin N , I Bryson G
Scheduled Scheduled
#120895218-3 Scheduled 1of3
M START DATE a ARRIVAL WINDOW
Wednesday, Nov 24,2021 8:00 AM - 12:00 PM
as 1 Austin N � I Bryson G -
Scheduled Scheduled
Photos and Videos
no attached photos and videos
Recurring Service Events
5/13/2022 AC Tune Up & Cleaning
11/13/2022 Plumbing Ins & WH Flush
Add Appointment V Edit
Confirmed Dispatch - / :
(D STARTTIME (D END TIME 01 DURATION
8:00 AM 4:20 PM 8 HR 20 min
Confirmed Assign - / .
(D STARTTIME (D END TIME O DURATION
8:00 AM 4:20 PM 8 HR 20 min
Assign - / :
(D STARTTIME (D ENDTIME 0, DURATION
8:00 AM 4:20 PM 8 FIR 20 min
Mark ,Is,omJpMte
Mark as complete
Dispatched 38m
Working 18m
TOTAL 56m