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Home My WebLink About07-6696 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 PLUMBING PERMIT 6696 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: 6696 PLUMBING IRRIGATION SINGLE FAMILY RESIDENTIAL Address: 37739 14TH AVE ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 10-26-21-0600-00000-0220 500.00 5/10/2007 390.00 390.00 5/10/2007 INSTALL IRRIGATION SYSTEM Name: HAMPTON,SHANE Address: 37739 14TH AVE ZEPHYRHILLS, FL. 33542 Phone: 813 393-7533 PLUMBING EE IRRIGATION METER IRRIGATION CONNECTION .6) . > 01 (to 6,?fY\~ 1 ST OUGH PLUMB 2ND ROUGH PLUMB WATER FINAL REINSPEcnON 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 ~ ~~ ~. CON TOR PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhills Permit Application Building Department Fax-813-780-0021 Owner's Address Fee Simple Titleholder Namel Owner Phone Number Owner Phone Number I Owner Phone Number I Date Received Owner's Name Fee Simple Titleholder Address I 13> 773i I / Cf I.... "4"'e- JOB ADDRESS PARCEL ID#I I LOT # \0 - 2~ ~ 21 - 0 CoOO. OCCOO~ odOlOl (OBTAINED FROM PROPERTY TAX NOTICE) SIGN D MOVE 0 E3 PROPOSED USE D TYPE OF CONSTRUCTION D DESCRtPTION OF WORK 1:{;0 ~ " )(/ Vl ./l-rhr BUILDING SIZE I I sa FOOTAGE I I HEIGHT I I 111"II'llln'II'IIPII'I"II'IIIIIIII'I'III'IIIIIIII'111'1111'11111'11'11111"1'11'111:'11'1"1'11'11'111'11'111111111'1111111111'1'11'11111'11111 D BUILDING 1$ ~Oc..7 I D ELECTRICAL 1$ I o PLUMBING 1$ I D MECHANICAL 1$ I o GAS D ROOFING 0 SPECIALTY 0 OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO IIIIIIIIIIIII\IIII\IIIIIIIIIIIIIIIIIIIIIIIII!IIIIIIIII1111111111111111111111111111111111111111111\111111111111111111111111111111111111111111111111 NEW CONSTR INSTALL SFR BLOCK I B o o ADO/ALT REPAIR COMM FRAME o o o DEMOLISH SUBDIVISION WORK PROPOSED OTHER STEEL I o OTHER I VALUATION OF TOTAL CONSTRUCTION AMP SERVICE o PROGRESS ENERGY D W.RE.C, VALUATION OF MECHANICAL INSTALLATION BUILDER ! ~'~ SIGNATURE : -_ ~ - c '" Address ~c:.. OC--n-er- Y / N I FEE CURRENT Y/N COMPANY REGISTERED License # ELECTRICIAN SIGNATURE COMPANY REGISTERED Y / N FEE CURRENT License # Y/N FEE CURRENT License # Y / N FEE CURRENT License # Y/ N FEE CURRENT Y/N Address PLUMBER SIGNATURE COMPANY REGISTERED Y/N Address MECHANICAL SIGNATURE COMPANY REGISTERED Y/N Address OTHER SIGNATURE COMPANY REGISTERED Y/N Address License # 111111111111111\11111111111111111111111111111111111111I11111111111111111111111I11111111111111111111111111111111II1111111111I1111111111111111111111 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/ Sill Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large 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 w/ 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. Dl~~~i:i~~~': I , , , , . , , , , . , , , , , . , , . , . , , . , , , , , , , , . , , , , , , , , , , , , , , , , . , , , , , , , , , , , , , , , , , , . , , , , , , , , , , , . ~ ' , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , 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 AlC Fences (PloUSurvey/Footage) Driveways-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: The undersigned 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 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 properti~s, the.ow.ner 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 ~hat a s.eparate perm~t. may ?e requir~d for elect~ica.1 work, plumbing, signs, wells, pools, air conditioning, gas, or other Installations not speCifically ,"?Iuded. In the application. A permit issued shall be construed to be a license to proceed with the work a~d not as authon~y !o vlol~t~, cancel, alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the B~II.d,"g OffiCial from the~eaft~r requiring a correction of errors in plans, construction or violations of any codes. Every ~ermlt Issued. shall become. Invalid unless the work authorized by such permit is commenced within six months o.f permit Issu~nce, or If work authorized. by the permit is suspended or abandoned for a period of six (6) months after the time th~ work IS commenced: An extension may be requested, in writing, from the Building Official for a period not t~ exceed n1n~ty ~90) da~s and Will demonstrate justifiable cause for the extension. If work ceases for ninety (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. 11J:,O~ ? J OWNERORAGENT~ ~scrjbed and swo"l"li""to (or ~~d~ be re me this ':5!1012, by ~&nP Id \1::a ~ Who Is/are personally known to me or has/have pro uced H \)(20 R.. L-l c... as Identification. ~~............. cl~l.o.Q.'L""" Commlsslot',.tU1"" u ,,9..~~.~ naf'en l. Miller .'''t "<>:'C ml~ :.: :.- om S! 99664 Name of . ~ 2010 " If." Bonded TI<>y FIin . Insurance, Inc ~J85.7019 Notary Public a-~ c-4~ \..~ Notary Public Commission No. c; r' ( (" " ) (') n o (; :() E:3 n ~ PERFORMANCE BUSINESS PROOUCTS. INC. 813-719-8008 FAX 813-719-711111 CITY OF ZEPHYRHILLS ZEPHVRHILLS, FLORIDA. WATER ACCT. NO. DATE b-iO-07 ,------- , OWNER/ RENTER 5~e.... Havn~ MAILING 311~ ~e.ph~ rh; \ \~ SERVICE ADDRESS '0 77~~ 14-+'h ,~ ~ F<- -S~J5Y2- ~e SHUT OFF SERVICE D . ~ "- TURN ON SERVICE ~ -. INSTALL METER ~ ~~- READ METER D CHECK METER D OTHER D ~TER D SEWER D GARBAGE ~ CITY D OUT CITY ----L- No. OF UNI1S _ DEPOSIT AMOUNT 3/411 :r~.3~~ m-l2..-kr ?erm~..\- lo 10 q (.? _ AMOUNT LAST BILL _ DATE _ MISC. CHARGE WORK COMPLETED BY & DATE COMPLETED ORDER TAKEN BY ORDER GIVEN BY Retain white form in office at all times. Send pink & yellow forms to Water Service Dept. Water Service Dept. to sign yellow form & return to office. . ti1 ~~ ~\\o\ DISCLOSURE STATEMENT FOR OWNER CITY OF ZEPHYRHILLS BUILDING DEPARTMENT :I. . <: h" nC lk ":i,)"J'l have read and fully understand and agree to the provisi s 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 domici1e, that he or she actua11y occupies, or wi~1 occupy by said domici1e, and same is not for rent, 1ease or sa1e. That he or she sha11 comp1y with .thefo11owing conditions: 1. That the owner and he or she a10ne sha11 act as the bui1derfor a11 phases of construction. 2 . That the owner wi'11 comp1y with a11 provisions of the City of Zephyrhi11s ordinances ~d codes pertinent to .the bui1ding. 3. That in the event various phases of construction are subcontracted, he wi11 engage on1y proper1y ~icensed subcontractors and wi11 persona11y supervise such work. 4. That in the event the Bui1ding Inspector sha11 require corrections' to be made, the owner wi11 assumefu11 responsibi1ity to insure they are made, and upon comp1etion wi11 ca11 zor a reinspection before proceeding with the bui1ding. 5. That the owner sha11 assumeful.:1 responsibi~i ty for the construction and wi11 not expect supervision of his work from the City of Zephyrhills Bui1ding Department. 6. That prior tofina1 inspection any additiona1 fees, inc1uding reinspection fees, must be paid in fu11. A wri:tten request from this office sha11 constitute an officia1 notice to pay additiona1 fees. 7. That the owner sha11 comp1y wi tha11 City, State and Federa1 1aws in regard to socia1 security, workman's compensation, 1ien 1aws, etc., where app1icab1e. 8. That the owner sha11 comp1y with a11 the safety codes issued by the F10rida Industria1 Commission. 9. State 1aw requires construction to be done by 1icensed contractors. You have app1ied for a permit under an exemption to that 1aw. The exemption a110ws you, as the owner of your property, to act as your own contractor with certain restrictions even though you do not have a 1icense. You must provide direct onsite supervision of the construction yourse1f. You may bui1d or improve a one-fami1y or two-fami1y residence or a farm outbui1ding. You may a1so bui1d or improve a commercia1 bui1ding, provided your costs do not exceed $25,000. The bui1ding or residence must be for your own use or occupancy. It may not bebui1t or substantia11y improved for sa1e or 1ease. If you se11 or 1ease a bui1ding you have bui1t or substantia11y improved yourse1f within 1 year after the construction is comp1ete, the 1aw wi11 presume that you bui1t or substantia11y improved if for sa1e or 1ease, which is a vio1ation of this exemption. You may not hire an un1icensed person to act as your contractor or to supervise peop1e working on your bui1ding. It is your responsibi1ity to make sure that peop1e emp10yed by you have 1icenses required by state ~aw and by county or municipa1 1icensing ordinances. You may not de1egate the responsibi1ity for supervising work to a 1icensed contractor who is not 1icensed to perform the work being done. Any person working on your bui1ding who is not 1icensed must work under your direct supervision and must be emp10yed by you, which means that you must deduct F.I.C.A. and withho1ding tax and provide workers' compensation for that emp1oyee, a11 as prescribed by 1aw. Your construction must comp1y with a11 app1icab1e 1aws, ordinances, bui1ding QWNECOdeRs: sansdI~:::: ~regu1:' n~~~ _~U_ ~~ DM'E 7' /0 Z<r:? ADDRESS 377 '~'i d - /"., /1 c:/ '> ?~~ PHONE 'i/~" ,,<~ ~ 7\-") 3 WITNESS PERMIT #