HomeMy WebLinkAbout10-01345 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780 -0020 10345
PLUMBING PERMIT
ofT :Lc 17
Permit Number: 10345 Address: 4803 20TH ST
Permit Type: SEWERLINE REPLACEMENT ZEPHYRHILLS, FL.
Class of Work: SEWERLINE REPLACEMENT Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 14- 26 -21- 0010 - 02500 -0020
Improv. Cost: 2,400.00 �
Date Issued: 4/09/2010 Name: JEN RAY
Total Fees: 41.00 Address: 4803 20TH ST
Amount Paid: 41.00 ZEPHYRHILLS, FL 33542
Date Paid: 4/09/2010 Phone: (813)748 -5952
Work Desc: SEWERLINE REPLACEMENT FROM HOUSE TO TAP
THE DRAIN TEAM SEWERLINE 41 .00
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FINA 91 2
REINSPECTION 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
_ ■111r ! I 4i/�
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 X -813 -780 -0021
Building Department (f.'
Date Received 9- 9.. iv Phone Contact for Permitting 7 7 , - 7 3d b -- 0 7y
1 1 1 1 1 1 1 1 1 1 1'I I I I uiir
Owner's Name 4// COTdA Owner Phone Number /27 / ?. - 5 / v
Owner's Address 202 5 Gt/, `/ acnt. S /LL L�,fi >>/Owner Phone Number
/
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address J p
JOB ADDRESS Q 3 2 Dt S4 . LOT #
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD /ALT I 1 SIGN I 1 MOVE I I DEMOLISH
INSTALL REPAIR
PROPOSED USE I I SFR I I COMM I 1 OTHER I I
TYPE OF CONSTRUCTION I 1 BLOCK I I FRAME I I STEEL n OTHER I I
DESCRIPTION OF WORK /E1944/ it/E)- Ale % fli r cr d 11 f
BUILDING SIZE SQ FOOTAGE HEIGHT
BUILDING $ VALUATION OF TOTAL CONSTRUCTION
1 I ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY n W.R.E.0
PLUMBING $ zt ,,n
I I MECHANICAL $ 7 VALUATION OF MECHANICAL INSTALLATION
I I GAS I I ROOFING I 1 SPECIALTY I I OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES [NO
BUILDER COMPANY
SIGNATURE REGISTERED I Y/ N 1 1 FEE CURRENT I Y/ N I
Address License #
ELECTRICIAN COMPANY
SIGNATURE REGISTERED I Y/ N . 1 1 FEE CURRENT I Y/ N I
Address I License #
PLUMBER COMPANY 7- /- 7 -6r0i
SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N I
Address License # F. r- CO5 ?62 `%
MECHANICAL COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I
Address License # I
OTHER COMPANY
SIGNATURE REGISTERED I Y/ N I I FEE CURRENT I Y/ N I
Address License #
l
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 & 1 dumpster. Site Work Permit for all new projects. NI 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
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 occupanc" 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 Enginee 0- Seawalls, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services /Environmental Health Unit - Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Prot ction 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 separate permit may be required for electrical work,
plumbing, signs, wells, pools, air c nditioning, 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 he Building Official for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned.
e WARNING TO OWNER: YOUR 4kILURE 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 ATTbRNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT (F.S. 117.03) / _
i `
OWNER OR AGENT CONTRACTOR
Subs c�be and savor o affirmed) before me this pubs ribed and •m to (oraffirmed) before me this
7 t o by d <-.4 s Ff/¢r '7' — / byd' �.r �.�f �
Who i / are perso�Yally known to me or has/h9ve produced Who is /areppersonally known to me or has /have produced
Li Cet ge as identification. Li Us, SA--- as identification.
,6,iii' - , / , • , i : rc "Notary Public f 'G t c - / . 1 �� ``Q � �� Notary Public
' Commission DD 621833 ' ' w ` °4•= JACQUE IL NE BOGES
Com s r ;, ■ ' i . - . r r CommisS6n No. � , t Commission DD 621833
�' Expires December 12, 2010
9 endod Th ru T ray F Ins. UM I Ck 6100 .3tt4CrI n
.
Horsed Thru Troy Fain Insurance 800-385-7010
Name of Notary typed, printed or stamped j Name of Notary typed, printed or stamped
APR /09 /2010 /FRI 12:05 PM The Drain Team FAX No. 7275737638 P. 002
F A S T P R O F E S S I O N A L P L U M B I N G
P.O. Box 531, Largo, Florida 33779 (727) 573 -5400 Fax: (727) 573 -7638 Lic. # CF- CO57627
PLEASE UPDATE OUR FILE. THE FOLLOWING LIST OF PEOPLE ARE
AUTHORIZED TO PULL PERMITS FOR THE DRAIN TEAM INC. THIS NOTICE
SUPERCEDES ALL OTHERS. STATE LIC. # CF-0O57627
BALL, CHRISTOPHER B400- 104-71 -106 -0 FL
BERMUDEZ, FRANKJE B653- 240 -71 -170 -0 FL
CRAMPSIE, DAN C651- 167 -63 -063 -0 FL
DAWSON, DWAYNE D250- 163 -77 -136 -0 FL
ESTES, JAMES E232- 450 -79 -429 -0 FL
GANNON, MARCUS G550- 550 -84 -026 -0 FL
GARCIA, SIMON G620- 790 -80 -021 -0 FL
GILES, DAVID G420- 167 -57 -027 -0 FL
GURTLER, DANIEL G634- 163 -78 -148 -1 FL
HARRIS, WILLIAM H620- 925 -65 -343 -0 FL
LEWIS, JOHN L200- 476 -69 -284 -0 FL
MASON, KIRK M250- 501 -55 -132 -0 FL
NAPOLITANO, ANTONIO N143- 000 -88 -292 -0 FL
ODOM, WILLIAM 0350- 927 -61 -091 -0 FL
O'REILLY, ADAM 0640- 017 -88 -264 -0 FL
REECE, DELL R200- 176 -71- 406 -0 FL
STAUFFER, DAVE S316-179-73-230-0 FL
SZCZERBA, TOMASZ S610-819-80-457-0 FL
TARTAGLIA, JOSEPH T632- 481 -60- 466 -0 FL
WAGNER, SHAWN W256- 793 -77 -383 -0 FL
WAY, RAYMOND W000 -721 -69 -309 -0 FL
WOOD, RONNIE W300- 732 -60 -015-0 FL
NEIL CORELLA
PRESIDENT
S WORN TO AND SUBSCRIBED TO BEFORE ME THIS l DAY OF A )4 t 2010 BY
N �Q I ( ( e e. `` Mlfn a re► p 4 .1.X. OWN TO & E OR HAS
PRODUCED AS IDENTIFICATION AI W O DID (DID NOT) TAKE AN OATH.
�J �t�
4�� PN i PETER M. MACCIO NOTARY PUBLIC
$ 4 Notary PuONo -Stele tll Fl orida
E My Comm. EW reo 0ct 3, 2013
Commission,* DO 013146
Donded Thmegh 1Y1ioneinnerY
APR /09 /2010 /FRI 12:05 PM The Drain Team FAX No, 7275737638 P. 001
teems FAST PROFESSIONAL PLUMBING
UC. # CF-0O57627 P.0.80X 531, LARGO, FLORIDA 33779 (727) 573 -5400 Fax(727) 573 -7638
DATE:
To: k.i�a From: 7""t_
Fax: 0 - Ar !) coca Fax: 727.573 -7638
Phone: Phone: 727- 573 -5400 •
Re: Pages:
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04/11/2010 14:28 8139010595 OFFICE DEPOT PAGE 02/02
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