HomeMy WebLinkAbout11-11836 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
` (sis)�so-oozo 11836
PLUMBING PERMIT
Permit Number: 11836 Address: 38533 NORTH AVE
Permit Type: PLUMBING ZEPHYRHILLS, FL.
Class of Work: PLUMBING/NEW Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 02-26-21-0050-00000-0110
Improv. Cost: 500.00
Date Issued: 5/02/2011 Name: DELANEY, PAUL & BARBARA
Total Fees: 40.00 Address: 38533 NORTH AVE
Amount Paid: 40.00 ZEPHYRHILLS, FL. 33542
Date Paid: 5/02/2011 Phone: (813)788-4529
Work Desc: HOOK UP 2' KITCHEN SINK DRAIN TO 4' SEWER
DENNIS WILLIAMS INC PLUMBING FEE 40.00
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1 ST ROUGH PLUMB
2ND ROUGH PLUMB
SEWER
WATER
FINAL - —
REINSPECTION FEES: Reinspection fees wiil comply with Florida Statute 553.80 (2)(c) when e�ctra 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 � 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 properly 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 Ciry 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 Fax-813-780-0021
Building Department
Date Rect�ived Phone Contact for Permitting ��� ��j� __ ����
Owner's Name �U(l� � T�C`�(
Owner Phone Number
Owner's Address Owner Phone Number �
Fee Simple Titleholder Name Owner Phone Number �—
Fee Simple Titleholder Address
JOBADDRESS 3�53�1�1 ��.� '� `'�Yh�4�5 �'�— 3�Su"� LOT# ��
SUBDIVISION PARCEL ID# C�� " o1lD -� ���U' C�C�CX� "C�L ( lJ
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW CONSTR B ADD/ALT Q SIGN Q MOVE � DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR � COMM Q OTHER
TYPE OF CONSTRUCTION BLOCK 0 FRAME 0 STEEL � OTHER
DESCRIPTION OF WORK i�C70`\l p)� (���,a(t �j1'�V� ��(0.�� - b y� St'�-�(
BUILDING SIZE SQ FOOTAGE HEIGHT
� BUILDING $
VALUATION OF TOTAL CONSTRUCTION
� ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.0
[� PLUMBING $ � r �..�,�� � � � �
IJIJ �
� MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
0 GAS 0 ROOFING � SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS � � FLOOD ZONE AREA DYES QNO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N
Address C Lice�se # �
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N
Address License # �
PLUMBER �`�,���� �`, n COMPANY 1 -�� - �1�5 �-• � I(�C,
SIGNATURE �� � v'-'v`�� REGISTERED N FEE CURRENT N
Address •�, 1( ?yp3�t Z �-�- 3353� License# ��������ppp1
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/ N
Address License # —�
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT 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 8 1 dumpster; Site Work Permit for subdivisionsllarge 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. All commercial requirements must meet compliance
SIGN PERMIT Attach (2) sets of Engineered Plans.
"'"PROPERTY SURVEY required for all NEW construction.
Directlons:
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 (PIoUSurvey/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" restrict»ons"
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 contrac or or
contractors to undertake work, they may be required to be licensed in accordance with state and Iocal regulations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdem�anPp yiolation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements ma a I 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 cvntractor or contractors, he is advised to have the contractor(s) sign
portions of the "contractor Biock" 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 IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: 7he undersigned understan s
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing buildings, or expansio� 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, Fiorida 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 t have obtained a copy of the above described document and promise in good faith to
deliver it to the "owner" prior to commencement.
CONTRACTOR'SIOWNER'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 pertormed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land developmen pp y ulations in the jurisdiction I also
certify that I understand that the regulations of other government agencies ma a I 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-Seawalts, 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 �II 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 OWNE � R �truction! S I derstand that permit may be equ'�ired for I electr c I�work,
t h i s a ff i d a v i t p r i o r t o c o m m e n c m g
plumbing, signs, wells, pools, air conditioning, gas, or other ins ta l ta tions no t s p e c i f i c a l l y i n c l u d e d i n t h e a p p l i c a t i o n.
permit issue d s ha l l be con s true echn cal c shall iss a a pe mitp event the ilding O ff cea l from t her
set aside any provisions of the
requiring a correction of errors in plan ermit isrcommencedlwithin six months of perm t pss a or�if work authorized by
unless the work authorized by such p
the permit is suspended or aba�om the Build ng cial fosa per'od no to ed nety days and will demo strate
may be requested, in writing, f
the ob is considered abandone .
justifiable cause for the extension. If work ceases for ninety (90) consecutive days, )
WARNING TO OWNER: YOUR FAILUREOT� UR PROP RTY TIF YOU INT TO BTAIN NANCING CONSULT
PAYING TWICE FOR IMPROVEMENTS T
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT (F.S. 117.03) / `���.��we � �
C�NTRACTOR �`A �'
OWNER OR AGENT Subscribed and sworn to (or affirmed) before me this �
Subscribed and swom to (or affirmed) before me thfs by
bY Who Is p rsonally known to me or haslhave produced
Who is%are personally known to me or has/have produced as identification.
as Identlfication.
Notary Public
Notary Public
Commission No.
Commission No.
Name of Notary typed, printed or stamped
Name of Notary typed, printed or stamped