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Home My WebLink About07-6990 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 PLUMBING PERMIT 6990 Permit Number: 6990 Permit Type: PLUMBING Class of Work: PLUMBING RENOVATIONS Proposed Use: SINGLE FAMILY RESIDENTIAL Square Feet: Est. Value: Improv. Cost: Date Issued: Total Fees: Amount Paid: Date Paid: Work Desc: 500.00 8/31/2007 52.50 52.50 8/31/2007 NEW WATER HEATER Address: 39223 3RD AVE ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 12-26-21-0030-00500-0080 LEG , HILLlP 39223 3RD AVE ZEPHYRHILLS, FL. 33542 Phone: h~0--~d q -ll--tn/ f(l2.Nv 1ST U H PLUMB 2ND ROUGH PLUMB SEWER WATER FINAL REINSPECTION 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 Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances C NTRACT PER OFFI PERMIT EX IRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO 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 Date Received Owner Phone Number Owner Phone Number I Owner Phone Number I /' Owner's Name ./ JOB ADDRESS I I I )M cuv-e-/ I LOT # I I I PARCELlD#1 I 'do. -d-~- ~\ - 0030 -bD5o-z:> -0080 I (OBTAINED FROM PROPERTY TAX NOTICE) o NEW CONSTR c=l ADD/AL T D SIGN D MOVE 0 D INSTALL D REPAIR PROPOSED USE 0 SFR D COMM D OTHER I TYPE OF CONSTRUCTION D BLOCK D FRAME D STEEL D OTHER I /::::~~~::OFWORK I ~~OOT;EL~/ r::f~V 111111111111111111111111111111111111111111111111111"1"111111111111111111111'1111'1111111111111111'1"1111''1"111111111111111111""'11111111111 D BUILDING ./ 1$ }~ -d ~ D ELECTRICAL 1$ I D PLUMBING 1$ I D MECHANICAL 1$ I D GAS D ROOFING D SPECIALTY 0 OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO 1111111111111111I111II111111111111I1111I11111II1111I111II111111111I11111111111I11111I1111111111111111III1II111111111I111111II111111111111111111111 k'l~~~//'/?t:2/} /?~~. I COMPANY I)~ O-r:~~ /yV?/~~ J-'(..~ REGISTERED Y/ N FEE CURRENT T Y/N- I Address License # I I Fee Simple Titleholder Name /' Owner's Address Fee Simple Titleholder Address I 13i ;.} c,5 I SUBDIVISION WORK PROPOSED DEMOLISH VALUATION OF TOTAL CONSTRUCTION AMP SERVICE D PROGRESS ENERGY D W.R.E.C. VALUATION OF MECHANICAL INSTALLATION BUILDER SIGNATURE ELECTRICIAN SIGNATURE COMPANY REGISTERED Y / N FEE CURRENT Y/N Address License # Y / N FEE CURRENT License # Y/ N FEE CURRENT License # Y/ N FEE CURRENT PLUMBER SIGNATURE COMPANY REGISTERED YIN Address MECHANICAL SIGNATURE COMPANY REGISTERED Y/N Address OTHER SIGNATURE COMPANY REGISTERED YIN Address License # 1II111111111111111111I1I11111II1111I1II1111I1111I11111II11111111111111111111111111I11111II1111111111111II111111111I11I1111II111I1I111I1111I1111111 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 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. Di~~~ti~~~I: I I I I I . . . . I . I . . I I . I . I . I I I I . I I . I . I . I I . I I I . I . I . I I I . I . I I . I I I . I . . I . . . . . . I I I I . . I . I . I I . I . . . . . . . . I . I . . I I I . . . . . . I . I I I . . . I I I I I I . . I I I I I I I I I I I I I 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 NC Fences (PloUSurvey/Footage) Driveways-Not over Counter if on publlcroadwaysooneeds 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 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 s.eparate perm~t. may ?e requir~d for elect~ica.1 work, plumbing, signs, wells, pools, air conditioning, gas, or other ~nstallatlons not speCifically In?luded. In the application. A permit issued shall be construed to be a license to proce~d With the work a~d not as authorlo/ ~o. vlolat~, cancel, alter, or set aside any provisions of the technical codes, nor shall Issuance of a permit prevent the B~II~1n9 OffiCial from the~eaft~r requiring a correction of errors in plans, construction or violat~o~s o! 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.)ob 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) V' I'" OWNER OR AGENT rf2 ~upscriped and swo to, (or affirmed) be e me this TI21(,...o7 by hI' - C e vy!J.o Is/are personally known t me or has/ha oduc -b _ 1> ~-.1 e U. ~ as identification. ~,~ <::.,-.~ Notary Public Commission No.,,~.!~ Karen L ""mAr .'~' -'. - 0609664 {!i "~ commission # 0 Name of Nota ~-<>--'\ "" 6-- ~d,..~ ~, Notary Public Commission No. , o.ln" ~10" Name of Notary typed. prln _ ~ :*_ ebmmission # 00609664 ~~.. .~"#.:: Expires October 29,2010 n' lonGIecI Trow FI'n. Inlwrlnoe, InQ 1OO-aa~7019 DISCLOSURE STATEMENT FOR OWNER OF ZEPHYRHILLS BUILDING DEPARTMENT have read and fu1.1.y understand and sinstrument. The undersigned states renovating, adding to actua1.1.y occupies, or rent, 1.ease or sa1.e. and affirms that he or she is desirous of constructing, or reroofing his or her own domici1.e, that he or she wi 1. 1. occupy by said domici1.e, and same is not for That he or she sha1.1. comp1.y with the fo1.1.owing conditions: 1. That the owner and he or she a1.one sha1.1. act as the bui1.der for a1.1. phases of construction. That the owner wi 1. 1. comp1.y with a1.1. provisions of the City of Zephyrhil1.s ordinances and codes pertinent to the bui1.ding. That in the event various phases of construction are subcontracted, he wi1.1. engage on1.y proper1.y licensed subcontractors and wi1.1. persona1.1.y supervise such work. That in the event the Bui1.ding Inspector sha1.1. require corrections to be made, the owner wi1.1. assume fu1.1. responsibi1.i ty to insure they are made, and upon comp1.etion wi1.1. ca1.1. for a reinspection before proceeding with the bui1.ding. That the owner sha1.1. assume fu1.1. responsibi1.ity for the construction and wi1.1. not expect supervision of his work from the City of Zephyrhi1.1.s Bui1.ding Department. That prior to fina1. inspection any additiona1. fees, inc1.uding reinspection fees, must be paid in fu1.1.. A written request from this office sha1.1. constitute an officia1. notice to pay additiona1. fees. That the owner sha1.1. comp1.y with a1.1. City, State and Federa1. 1.aws in regard to socia1. security, workman's compensation, 1.ien 1.aws, etc., where app1.icab1.e. That the owner sha1.1. comp1.y with a1.1. the safety codes issued by the F1.orida Industria1. Commission. State 1.aw requires construction to be done by 1.icensed contractors. You have app1.ied for a permit under an exemption to that 1.aw. The exemption a1.1.ows you, as the owner of your property, to act as your own contractor with certain restrictions even though you do not have a 1.icense. You must provide direct onsite supervision of the construction yourse1.f. You may bui1.d or improve a one-fami1.y or two-fami1.y residence or a farm outbui1.ding. You may a1.so bui1.d or improve a commercia1. bui1.ding, provided your costs do not exceed $25,000. The bui1.ding or residence must be for your own use or occupancy. It may not be bui1.t or substantia1.1.y improved for sa1.e or 1.ease. If you se1.1. or 1.ease a bui1.ding you have bui1.t or substantia1.1.y improved yourse1.f within 1 year after the construction is comp1.ete, the 1.aw wi1.1. presume that you bui1.t or substantia1.1.y improved if for sa1.e or 1.ease, which is a vio1.ation of this exemption. You may not hire an un1.icensed person to act as your contractor or to supervise peop1.e working on your bui1.ding. It is your responsibi1.ity to make sure that peop1.e emp1.oyed by you have 1.icenses required by state 1.aw and by county or municipa1. 1.icensing ordinances. You may not de1.egate the responsibi1.ity for supervising work to a 1.icensed contractor who is not 1.icensed to perform the work being done. Any person working on your bui1.ding who is not 1.icensed must work under your direct supervision and must be emp1.oyed by you, which means that you must deduct F.I.C.A. and withho1.ding tax and provide workers' compensation for that emp1.oyee, a1.1. as prescribed by 1.aw. Your construction must comp1.y with a1.1. app1.icab1.e 1.aws, ordinances, bui1.ding codes, and zoning requlati~s. ~~ 2. 3. 4. 5. 6. 7. 8. 9. OWNER'S SIGNATURE ADDRESS PHONE 1-~f-{) 7 DATE WITNESS PERMIT # City ofZephyrhills BUILDING PLAN REVIEW COIv.IMENTS Date Received: . , . Q\e:,'s <?-31-D7 , ~?7 '?:> '3..c.\,~ J,..) ~ ,Weo~ !b:::....... A=~w/the below =menml Denied wIthe below comments: ',0 'ContractorlHomeowner: Site: , Permit Type: ApProved wino co~ents:D .Ct ~ V\. 5. , h " ((fl-;{vL' tn,; ~ +- be. I~S +~JI-er.l be kept with the permit and/or plans. ~,/:) 1-07 Date e prescmt) ALL WORK SHALL COMPLY WITH ALL PREVAILING CODES, FLORIDA BUILDTI;3 CODE, NATIONAL ELECTRIC CODE AN'J cr:'Y OF ZEPHYRHILLs ORDINANG:S ReVIEW DATE ~ - J/- 0) CITY OF lEPHYRHILLS PLANS !:::XAMINER I{- S- <