HomeMy WebLinkAbout08-7628
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
PLUMBING PERMIT
7628
Permit Number: 7628
Permit Type: PLUMBING
Class of Work: PLUMBING/NEW
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost: 250.00
Date Issued: 3/14/2008
Total Fees: 35.00
Amount Paid: 35.00
Date Paid: 3/14/2008
Work Desc: INSTALL NEW SEWER LINE
Address: 38651 TARR L T#41
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: COUNTRY OAKS
Parcel Number: 35-25-21-0010-11500_0000
COUN K V PARK
38651 TARR DR L T#41
ZEPHYRHILLS, FL. 33542
Phone: 813 788-1205
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1 T OU H LUMB
2ND ROUGH PLUMB
SEWER
WATER
FINAL
REIN5PEcnON FEES: Relnspection fees will comply with FlOl"ida statute 553.80 (2)(c) when exba inspection
bips are necessary due to anyone of the follOWing reasons: a) wrong address b) condemned _ resulting
from faulty constructlon c) repairs or conectlons not made when Inspections called d) work not ready for
in_on when called e) """,,it not posted on job site f) plans not a job site g) _ not accessible.
NOTICE: In addition to the requirements of this pennit there may be addillonal restrictions applicable to this property that
may be found in the public records of this county, and there may be additional pennils 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 pennits 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
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CONTRACTOR PER OF I
PERMIT EXPIRES 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
'''/ (p ~13-780-0021
Date Received
Owner's Name
Owner's Address 3t" ~ I
Fee Simple Titleholder Namel
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2 -J:f,I/ J335'~6 LOTti I L// I
PARCEL 10#/ 35- 2-5- 2{ -.06 (0 - UScYo~ DbOD I
(OBTAINED FROM PROPERTY TAX NOnCE)
SIGN D MOVE D
Owner Phone Number
Owner Phone Number I
Owner Phone Number I
JOB ADDRESS
Fee Simple Titleholder Address 1
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SUBDIVISION .
WORK PROPOSED
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NEW CONSTR
INSTALL
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ADD/ALT
REPAIR
COMM
FRAME
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DEMOLISH
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BUILDING SIZE I .' I SQ FOOTAGE / . I HEIGHT I . . - I
. '. , . . . , . . . . r . . r . . . . . . . I . . . . . . ~ . . . . . . . . . , ' . , I . . . . . . . , . . . . . . . . . . . ; , . , . . . . , . , . . . . . . . . , . . . . . , . , . . . . . . . . . ,: . . . . . . . . . . . . . . . . . . , . . . . . . . . . . , . . . . I ' . , . . . , , . I
o BUILDING 1$ I VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL 1$ I AMP SERVICE 0 PROGRESS ENERGY
o PLUMBING 1$ I
o MECHANICAL 1$ / VALUATION OF MECHANICAL INSTALLATION
o GAS D ROOFING 0 SPECIALTY D OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
, , I ' , 1111 . . III , . , I " r . , . II r . I . , r . '\ ':., 1/ . , . , . . , . , I . II . '11 r II . . r I , , . , " , , '1111/ . . , . , I . I r I . . II' . I . , I . . I ' . I' .. . . . . . r . . , I . . , . . , . . r . , I . . , I . . . I .. . , .. 'II
:~~~~RE I m~ Ja(/ I ~::.:.."': I y,qItJ~",OR'", Y/N I
Addres.s I License # I I
ELECT~IC.IAN I COMPANY 1
SIGNATURE _ REGISTERED -, Y / N FEE CURRENT Y / N
Address I License # I
:::::r'i.':.e I ~~=~ Y I N ",""OR"" Y I N I
Address / License # I
MECHANICAL I.. COMPANY I
SIGNATURE _ REGISTERED Y / N FEE CURRENT Y / N
Address I License # I
OTHER ( COMPANY I
SIGNATURE _ REGISTERED Y / N FEE CURRENT Y / N
Address I I ' License # I
11111111111 , 11111111111111111111 , 11111111111111111111111.1111111111 111,.111111 111/1111111111,1,1111.,,1,,111111,,1111111 " 1111111111111111 111111111
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 onslte, Construction Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facililles & 1 dumpster; Site Work Permit for subdivislonsllarge projects
COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safely Page; (1) set of Energy Forms. R-O-W Permit for neW construcllon.
Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence Installed,
Sanitary FacUlties & 1 dumpster. Site Work Permit for ail new projects. Ail commercial requirements must meet compliance
SIGN PERMIT Attach (2) sets of Engineered Plans.'
....PROPERTY SURVEY required for all NEW construction.
1/11111111111111111111111111111111111111111111.1111111I111111I1I1I1I1I111111111111111111111111111II11111111111111111111111 i 11//111 , I i j j Ii I1I1 j J 111I
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 cqntraclor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
JVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs Sewers Service Upgrades AlC Fences (Plol/Survey/Footage)
PROPOSED USE
TYPE OF CONSTRUCTION
OTHER
STEEL
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OTHER I
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DESCRIPTION OF WORK
D
W.R.E.C.
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' restriotlons'
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance wtth any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBilITIES: If the owner has hired a contraclor or
contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If Ihe
contraclor is not licensed as required by law, both the owner and contractor may be ciled for a misdemeanor violation
under state law. If the owner or Intended contraclor are uncertain as to what licensing requirements may apply for the
intended work, they are advised 10 contact the Pasco County Building Inspection Division-Licensing Section at 727-'347-
8009. Furthennore, If the owner has hired a contractor or contracturs. he is advised to have the contractor(s) sign
portions of the "contractor Biock" of thts application for which they will be responsible. If you, as the owner sign as the
conlractor, that may be an indication that he is not properly licensed and is not entilled to permitling privileges in Pasco
County.
TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may appty 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, Ihat 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 10
receiving a 'certificale 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 permil issuance. Furthermore, II PasCO County Waler/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, Ftorlda Statutes, as amended): If valuation of work is $2,500.00 or more, I
certlly thai I, the applicant, have baen providad wtth a copy of the 'Flortda Construction Lien Law-Homeowner's
Prolection Guide" prepared by the Flortda Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the 'owner", I certlly that I have obtained a copy of Ihe above described document and promise in good faith 10
deliver it to the "owner" prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certlly that all the information In this application is accurate and that all work
will be done in compliance wRh all applicable laws regulating conslruction, zoning and land development. Application is
hereby made to obtain a permit to do work and instaliatlon as indicated. I cartlly that no work or installation has
commenced prior to issuance of a permit and thai all work wl1l be performed to meet standards of all laws regulating
construclion, County and City codes, zoning regulalions, and land development regulalions In the jurisdiction. I also
certlly that I understand that the regulations of other government agencies may apply to the intended work, and that it is
my responsibility 10 identlly what actions I must take to be in compliance. Such agencies include but are not limited io:
Department of Environmental Protection-Cypress Bayhaads, Wetland Neas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Neas, Altering
Watercourses.
Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
Department of Health & Rehabilitative Services/Environmental Health UnR-Wells, Wastewaler 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 tha flll malartal 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 tha flll 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 flll material Is to be used in any area, I certlly that use of such flll will not adversaly affect adjacent
properties. If use of fill Is found to adversaly affect adjacent properties, the owner may be cited for violating
tha conditions of the building permil issued under the attached permR application, for lots iess 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 parmilling 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 Ihe 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 asida 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 permil issued shall become invalid
unless the work authorized by such permit is commenced within six monlhs of permit issuance, or II work authorized by
the penn it Is suspended or abandoned for a period of six (6) months after the time the work is commenced: An extension
may be raquested, in wrtting, from the Building Offtcial for a period not to exceed ninety (90) days and Will demonstrale
justifiable cause for tha 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) ('.
oWNER OR AGENT ;.;~ CONTRACTOR
s"""".....nd .wom \0 (or amrm'" .,ore ma thO ,"Osaibed and """'" ID (or affinned) bafore me thl,
q~/~_D~ by by
Who "'are P8lSO",,'W known ID m. or ha""" produced Who '~are pers<>",'W """"" \0 me or ha,.,.,e prod",""
, as Identification. as identification.
Notary Public
Notary Public
commIssion No.
Name of Notary typed, printed or stamped
Name of Notary typed. printed or stamped
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PERFORMANCE BUSINESS PRODUCTS, INC. 813-719-8008 FAX 813-719-7919
CITY OF ZEPHYRHILLS
ZEPHYRHILLS, FLORIDA
WATER ACCT. NO.
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SERVICE ADDRESS 1... {) 'I-"f/;=" 1- {
MAILING
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SHUT OFF SERVICE 0
TURN ON SERVICE ~
INSTALL METER aV'
READ METER 0
CHECK METER 0
OTHER 0
~TER
o SEWER
o GARBAGE
~CITY
o OUT CITY
----1-- No. OF UNrrS
3ft{- /Yle1e,- ~
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- DEPOSIT AMOUNT
- AMOUNT LAST BILL
_DATE
- MISC. CHARGE
METER: full
irrigation
WORK COMPLETED BY
& DATE COMPLETED
ORDER TAKEN 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.