HomeMy WebLinkAbout09-8807 CITY OF ZEPHYRHILLS
5335-8TH STREET -_
(813)780-0020 ( 8807
PLUMBING PERMIT
Permit Number: 8807
Address: 37943 8TH AVE
Permit Type: PLUMBING ZEPHYRHILLS, FL.
Class of Work: PLUMBING RENOVATIONS Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 10-26-21-0010-09600-0011
Improv. Cost: s
Date Issued: 2/09/2009 Name: BURGESS, AMBER/WILLIAM
Total Fees: 35.00 Address: 37943 8TH AVE
Amount Paid: 35.00 ZEPHYRHILLS, FL. 33542
Date Paid: 2/09/2009 Phone:
Work Desc: HOT WATER HEATER REPLACEMENT
SELLARS PLUMBING & ELECTRIC PLUMBING FEE
35.00
1ST ROUGH PLUMB
2ND ROUGH PLUMB
SEWER
WATER
FINAL
REINSPECT ION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c)when extra inspection
trips are necessary due to any one 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
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 Fax-813-780-0021
Building Department
Date Received d Phone Contact for Permittingj I I--
Owner's Name z Owner Phone Number
) I
Owner's Address I 3 7 7/ 3 ' Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
r G
JOB ADDRESS 3'7 / Y3 0 u LOT# I
SUBDIVISION I PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT SIGN Q MOVE Q DEMOLISH
e INSTALL B Q REPAIR
PROPOSED USE Q SFR 0 COMM Q OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q OTHER
DESCRIPTION OF WORK f 2t / ca- L1
BUILDING SIZE I SQ FOOTAGE I HEIGHT
Ellilli BUILDING $ VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
PLUMBINGLIII $
MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
0 GAS Q ROOFING 0 SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES =NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N J FEE CURRENT I Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N
Address I License#
PLUMBER - � COMPANY ILG.a z /e ,« Z C C
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N
Address I License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N I FEE CURRENT I Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/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(3)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,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&I 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$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 A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
Oned understands that s may be whichNOTICE DEED RESTRICTIONS:aCounty regulations. The undersigned assum assumespermit
responsibility for compliance restrictions"
with any
which may be more
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 Oldiebe n identified at t8ece number 9 89-07
and
90-07, as amended. The undersigned also understands, that such fees, as may be due,
e 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 ail 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 flthe Ilowner may ot bey affect adjacent
cited for violating
properties. If use of fill is found to adversely affect adjacent properties,
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.
ons set forth in
If I am the AGENT FOR THE OWNER, I promise ln good understan that a separate faith
inform
ah ate permit may be eq 9e owner of the permitting red for conditielectr electrical work,
this affidavit prior to commencing construction in the
on. A
plumbing, d shall wells, str air oconditioning,b ce e to proceed gas, or er with the work and not ations not s authority to dviolate, cancel,palter, or
permit t a issued roi beprovisions
construed to
fter
set hide any correction
of of r the technin plans,
o stru ton oes, nor r violationsof any codes. the Building Official from
t issued shall become invalid
requiring a correction of errors in plans, conorized by
unless the work authorized by such permit is commenced of six mhin six onths after the t mmonths of pe thetworkas commenced. Ance, or if work auth
extension
the permit is suspended or abandoned for a period (6)
may be requested, in writing, from the Building Official ses �ninety(90)rconsecutive days, the job isiod not to exceed ninety Ocons de ed abandoned.demonstrate
justifiable cause for the extension. If work c
WARNING TO OWNER: YOUR FAILURE TO NOTICE
IF YOU INTTEND TO OBTAIN F NANCING CONSULT
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S. 117.03)
CONTRACTOR
OWNER OR AGENT Subscribed and sworn to(or affirmed)before me this
Subscribed and sworn to(or affirmed)before me this by
by Who is lace personally known to me or has/have produced
Who is/are personally known to me or has/have produced as identification.
as identification.
Notary Public
Notary Public
Commission No.
Commission No.
Name of Notary typed,Printed or stamped
Name of Notary typed,printed or stamped