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Home My WebLink About06-6268 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 6268 Permit Number: Permit Type: Class of Work: Proposed Use: Square Feet: Est. Value: Improv. Cost: Date Issued: Total Fees: Amount Paid: Date Paid: Work Desc: 6268 SEWERLlNE REPLACEMENT SEWERLlNE REPLACEMENT NOT APPLICABLE Address: 5323 23RD ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 12-26-21-0030-00600-0150 50.00 11/30/2006 52.50 52.50 11/30/2006 CHANGE SEWER LINE Name: KLlNER, JIM Address: 5323 23RD ST ZEPHYRHILLS, FL. 33542 Phone: HOMEOWNER PLUMBING FEE 52.50 ! /O~ .\. ~() /\3 (,~ ~ \l REINSPEcrION FEES: Reinspection fees will comply with Florida statute 553.80 (2)( c) when extra inspection trips are necessary due to anyone of the following reasons: a) wrong address b) condemned work resulting from faulty construction c) repairs or corrections not made when inspections called d) work not ready for inspection when called e) permit not posted on job site f) plans not a job site g) work not accessible. 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." ALL PLUMBING SHALL REMAIN EXPOSED PRIOR TO INSPECTION !-,~ 4~ ~~ r 'CONTRACTOR PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED . PROTECT CARD FROM WEATHER CITY OF ZEPIIYRHILLS BUILDING DEPARTHENT OWNER Jr 171 k h~er JOB LOCATION 5 -:3 2- -) 7. .) ref ~ /2-2(;,.. 2/-603o.-00&do- 6/S'O PARCEL I.D.' # SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIHEHSIOHS & SETBACKS. UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. (NOTE :e:XAMPLES 1 & 2 ) STREET 1. SETBACKS FOR Rl, R2 ZONING 60' 10' P E R X 0 I 10' P S 10' Q T S I E N D G 20' FRONT PROPERTY LINE BUILDING SHALL COMPLY WITH ALL APPLICABLE BUILDING, ELECfRICAL, PLUMBING AND MECHANICAL COD-r, l-uA'I lrl S"f)-Ll CL.~ e~'lS _-__________ .~-~Yth- .~, I C oPt'-. (}l\ Tttft S-, i ......... ~tt~rJ~/t~~ ---------------,;--. t . '<Ii . ~~ I ... \{, L. I ~/ ~~ A1-. 1D .'J . ~ "" .~ ~, ~ FRONT PROPERTY LI~E I 2. SETBACKS FOR R3 ZONING 60' 1 0' 1 0' 10' 10' EXISTING 10' PROPOSED 20'SGL FAM 30 ' DUPLEX FRONT PROPERTY LINE DJ:SCLOSURE STATEMENT P'OR OWNER CJ:TY OF -ZEPRYIUD:LLS BUJ:LDDlG DEPARTMENT ~ // ///0 J:, _ 1/~fvr7 c-:.> >:7 IT /IFt/ c:X have read and fuJ.J.y understand and agree to the provisf'o:c.s of th:i.s instrument. The undersigned states and affirms that he or she:i.s desirous of constructing, renovating, adding to or reroofing h:i.s or her own dom:i.ci~e~, that he or she actua~~y occupies, or w:i.~~ occupy by .said dom:i.ciJ.e, and same is not for rent, J.ease or sa~e. That he or she sha~J. comp~ywith the fo~~owing conditions.: J. . That the owner and he or she a~one shaJ.J. act as the buiJ.der .for a~J. phases of.. construction. 2. That the owner wi~J. compJ.y with aJ.J. provisions of the City of Zephy:rh:i.l~s ordinances and codes pertinent to 'the building. 3. That in the event various phases of construction are subcontracted, he will engage onJ.y properly J.icensed subcontractors and wiJ.l persona~~y supervise such work.. 4. That in the event the BuiJ.ding J:nspector shall requ:i.re corrections to be made, the owner wiJ.J. assume fuJ.l respons:i.biJ.ity to insure they are made, and upon completion w:i.J.i ca~J. for a reinspect:i.on before proceeding with the building. 5. That the oWner shall assume fu~J. respons:i.biJ.ity for the construction and will not expect supervision of h:i.s Work from the City of Zephy:rh:i.lls Building Department. 6. That prior to final inspection any additional fees, inc~uding reinspection fees, must be pa:i.d in fuJ.J.. A w:ri tten request from this office shall . constitute. an officiaJ. notice,to pay add:i.tiona~ fees. 7. That the owner shall comply with a~l City, State and Federa~ laws. in: regard to social security~ workman's compensation, lien laws, etc., where app~icable. 8. That the owner shall comply w:i.th a~l the safety codes issued by the Florida J:ndustria~ Comm:i.ssion. . 9. State ~aw requires construction to be done by ~icensed contractors. You have applied for a pe%:mit under an exemption to that law. The exemption a~lows you, as the owner of your property, to act as your own contractor with certain restrictions even though you do not have a ~icense. You must provide direct onsite supervision of the construction yourse~f. You may bui~d or improve .a one-fam:i.~y or two-fam:i.~y residence or a farm outbuilding. You may a~so'build or improve a commercial building, providedyou:r costs do not exceed $25,000. The bui~ding or residence must be for your own use or occupancy. J:t may not be bui~t or sUbstantia~J.y improved .:Eor sa~e or ~ease. J:f you s&ll;or" lease a bu:i.~ding yotihave bui~t orsubstantial~y improved yourse~f w:i.thin: 1 year after the construction is complete, the law wi~~ presume.thAt you built or substantia~J.y improved if for sa~e or lease, wh:i.ch is a. vio~ation of this exemption. You may not h:i.re an unJ.icensed person to act as your contractor or to supervise peop~e working on your bui~d:i.ng. J:t is your respo:c.s:i.bili ty to make sure that peop~e employed by you have licenses required by state law and by county or mun.icipaJ. licensing ordinances. You may not delegate the respons:i.bi~ity for supervising work to a licensed contractor who is not ~icen.sed to perform the work being done. Any person working on your building who is not licensed must work under your d.:i.rect supervision and must be employed by you, which means that you must deduct F.J:.C.A. and rlthholding tax: and provide workers' compensation for that employee, all as prescribed by iaw. Your construction must comp~y w:i.th al~ app~icable laws, ordinances, building codes, and zoning re.5PUat. '-ons. /P'. . OWNER'S SJ:GNATURE 1~<-<7 4~~ DATE /f/Ol/J;?c;?c90~,5' ADDRESS tf7 . / PHONE W:t'l'NESS PERMJ:T # 813-780-0020 . Date Received 111111111111 Owner's Name City of Zephyrhills Permit Application Building Department Fax-813-780-0021 .~ ~~.If13 !:1Kr"~1 Owner Phone Number Owner Phone Number I Owner Phone Number I Owner's Address Fee Simple Titleholder Namel JOB ADDRESS SUBDIVISION WORK PROPOSED PROPOSED USE TYPE OF CONSTRUCTION DESCRIPTION OF WORK BUILDING SIZE c? -5 Rei B D D I C/;,f-/V( I 93 (VJ I t=j. D D ~cw c~ SQ FOOTAGE I ~f:e( PARCELlD#1 /1- U-2J-003o -OlJ(POO -0/5lJ (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE D LOT # ADD/ALl REPAIR COMM FRAME D D D Fee Simple Titleholder Address I 1-57/3 I NEW CONSTR INSTALL SFR BLOCK DEMOLISH OTHER I STEEL D OTHER I J I?d (p HEIGHT I 11..........11..1111...........111....11.........1111....................11..........11.........................111111.....11...1111...11.11.11111 VALUATION OF TOTAL CONSTRUCTION 1$ 1$ 1$ 50 d. c;?C/ 1$ D GAS D ROOFING FINISHED FLOOR ELEVATIONS I D BUILDING D ELECTRICAL D PLUMBING D MECHANICAL D I AMP SERVICE D D W.R.E.C. PROGRESS ENERGY VALUATION OF MECHANICAL INSTALLATION SPECIAL TV D OTHER FLOOD ZONE AREA DYES DNO 1""""'111111111"'11'11"""1111"1111111111111111'11"'1""1111""'111"11"""1111111'1111111"'"""'111"""""1'1"111111111""" BUILDER SIGNATURI: COMPANY REGISTERED . FEE CURRENT Y/N Y/N Address ELECTRICIAN I SIGNA TURI: . Address I License # COMPANY REGISTERED Y/N Y I N FEE CURRENT License # PLUMBER SIGNATURE ;/ /Z? f.. ~/ C:-1'< Address MECHANICAL I SIGNATURE Address I ~I~HN~~URE: I Address I ~e I Y I N I Cc.e-"'~ FEE CURRENT I Y I N License # COMPANY REGISTERED Y I N FEE CURRENT Y/N License # COMPANY REGISTERED Y I N FEE CURRENT Y/N License # I11111I11111111111111111I1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 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 wi Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisionsllarge projects COMMERCIAL Attach (3) 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 wi 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. 1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I11111111111111I11I111111111 Directions: Fill out application completely. Owner /~ Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (AlC upgrades over $5000) 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 (Front of Application Only) Reroofs Sewers Service Upgrades NC Fences (PloVSurvey/Footage) Drivew:lys-Not over Counter if on public roadways..needs ROW 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 RESPONSIBILITIES: 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 properly licensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: Theundersigned 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 I, 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 permit 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/Wastewater 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 Services/Environmental Heaith 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 thah 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 Officia~ for a period not t~ exceed nin~ty (.90) da~s and will demonstrate justifiable cause for the extension. If work ceases for mnety (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 JURAT (F.S. 117;.03) OWNER OR AGENT 1r.~crll~ and swor ~or affirmed) be ore me this 1\ 30 010 by ~ A. k:::1 ,(lev Who islare personally known to me or haslhave produced OhIO l)Y--hJQ.N'; L.\(,@f"'<. as identification. CONTRACTOR Subscribed and sworn to (or affirmed) before me this by Who islare personally known to me or haslhave produced as Identification. ~~ Notary Public Commission No. Commission No. Name of Notary typ , Name of Notary typed. printed or stamped