HomeMy WebLinkAbout12-13484 � , CITY OF ZEPHYRHILLS
5335-8TH SIREET
(813)780-0020
13484
PLUMBING PERMIT
Permit#:13484 Issued: 9/25/2012 Address: 5342 16TH ST
Permit Type: PLUMBING ZEPHYRHILLS, FL.
Class of Work: SEWERLINE REPLACEMENT Township: Ran e:
Proposed Use: NOT APPLICABLE 9
Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 500.00 Total Fees: 46.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 46.00 Date Paid: 9/25/2012 Parcel Number: 11-26-21-0010-17200-0075
Name: LARRIE MEYER SERVICES INC Name: HOOKER, FRANK
Addr: 7349 LUMBERTON RD Address: 25678 INKWOOD PL
ZEPHYRHILLS,FL. 33540 WESLEY CHAPEL, FL 33544
Phone: (813)386-9624 Lic: RF0064861 Phone:
Work Desc: SEWER LINE REPLACEMENT
PLUMBING FEE 46.00
1ST ROUGH PLUMB
2ND ROUGH PLUMB
SEWER ��
WATER ��C
FINAL- � � � � S��.C��
r /
� /
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 2 c when extra ins
trips are necessary due to any one of the following reasons: a)wrong address b)condemned work resu�lt�'ng
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 ro
may be found in the public records of this county, and there may be additional P Perty that
entities such as water management, state agencies or federal agen'ceedsfrom other governmental
The payment of inspection fees shall be made before any further permits will be issued to the
"Warning to owner: Your failure to record a notice of commencement ma result in o��n owning same
improvements to your property, if you intend to obtain financing,consult with your ender�or an avttor ey
Complete Plans, Specifications and�Fee Mur st AArc�com y nu q ��ca�ion.�Al work s�ha'll be pertormed in accordan
� Y PP ce 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
���-�au-uuzu City ot[ephymiils Pe�mit Application ,��� ' �Lx-813-780-0021
�-�1� �� � uilding Department r-�r�� � C_41iYYu�z.�,
, ��� v�
Gate Rec6ived i'1 p . � -�n•,r.��,�
d� Phone Contact for Permittin ` �j � � �
Owner's Name `� . !f 1
Owner Phone Number
Owner's Addresa � � (
Owner Phone Number
Fee Simple Titleholder Name
Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS � ��
LOT* �
SUBDIVISION `� PARCEL IDM
VMORK PROP03ED B (OBTAINED FROM PROPERTY TAX NOTICE)
NEW CONS7R 8 ADD/ALT � SIGN [� � DEMOUSH
INSTALL REPAIR 1
PROPOSED USE �] SFR Q COMM � OTHER
TYPE OF CONSTRUCTION G
[�,] BLOCK Q FRAME C� STEEL ,
DESCRIPTION OF WORK ��� �"�� '� C�
.
BUILDING SIZE Sp FOOTAGE�
IGHT
OBUILDING $
VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE
� Q PROGRESS ENERGY [� W.R.E.C.
�'LUMBING a ��
��y
QMECHANICAL a VALUATION OF MECHANICAL INSTALLATION r
OGAS Q ROOFING Q SPECIALTY
C] OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA
QYES NO
BUILDER COMPANY
SIGNATURE
REGISTERED Y/ N FEE CURRE� Y/N
Addreas �
License#
ELECTRICIAN COMPANY
SIGNATURE
REGISTERED Y/ N FEE CURRE� Y/N
Address �
License# �—
PLUMBER � � COMPANY �� ,
SIGNATURE
REGISTERED Y/ N FEE CURRE� Y/N
Address �( �
License# t �
MECHANICAL COMPANY CC �U �- � �
SIGNATURE
REGISTERED Y/ N FEE CURRE� Y/N
Address
License#
OTNER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREh Y/N
Addreas
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 Fadlitles&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. Requlred onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Faciflties&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Pians.
'""'PROPERTY SURVEY required for all NEW constructlon.
DI►ecHons:
Fill out application compietely.
Owner&Contractor sign back of applicatlon,notarized
*• If over 52500,a Notice of Commencement Is requtred. {A/C upgrades over 57500)
Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Appllcatlon Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Oriveways-Not over Counter if on public roadways..need5 ROW
NOTICE OF DEED RESTRICTIONS: The unde lat9ons. The undersigned a's u est esponsibilbty for c mplianceStw th any
which may be more �estrictive than County regu
applicable deed restrictions.
UNLICENSED CONTRACTORS aND CONe�►ed t�o be icensedSlBac'coEdance th st te and local egulationrsc Ifrthe
contractors to undertake work, they may be q I for the
contractor is not licensed as required by law, bactorhare unce�ta n asnto what licensengte quo emm�i{S�my an�op yiolation
under state law. If the owner or intended contr
intended work, they are advised to contact the Pcontractor torBcolntracto sp he'�s advised ot 'have he contractor(s)S th
8009. Furthermore, if the owner has hi�ed a
portions of the "contractor Block° of thisa�heli san'ot prope�ly I censed'Iand is not enitHed t ypermittingepr v legesgn Pasco
contractor, that may be an indication th
County.
TRNNSPORTATION IMPACT/UTILITIES IMPAC7�ND R eeOmay ap ECoVh R�ns�Stion of neweb 9de gsnchange of
that Transportation impact Fees and Recourse Re rY
use in existing buildings, or expansion of existinerstand,s9that such fees,�asPmay be due, w Ildbe dentified at he-tme of
90-07, as amended. The undersigned also und
permitting. It is fu�ther understood that TranspoWe`�ele seaClf the projecRdoes no Rnvolve a certificatetof occ pancy o�
receiving a "ce�tificate of occupancy or final po WaterlSewer Impact
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County
fees are due, they must be paid P�'���ter 713,iFlo�ida Statutes ras am nided)p'I�valu ton of workt s $Z,i500 00 or more, I
CONSTRUCTION LIEN LAW(Chap of the "Florida Consuuction Lien Law—Homeowner's
certify that I, the applicant, have been provided with a copy
p�otection Guide" prepared by the Florida Depa�tment of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owner", I certify that I have obnt ned a copy of the above described document and promise in good faith to
deliver it to the"owner" prior to commenceme
CONTRACTOR'SIOWNER'S AFFIDAVIc ble Iawl s regulating consrtruction!zoning andc la d developmentn Appli a'tion is
will be done in compliance with all app
hereby made to obtai� a permit to dOn'W and that1alltwork will be perfoemed togmeettstandards of al) laws"aegulat ng
commenced prior to issuance of a per
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
ce�tify that I understand that the regulation ust take to be n complia9nce.i Such agencies inc ude but are n t�limi ed{o;it is
my responsibility to identify what actions I m ress Ba heads, Wetland A�eas and Environmentally Sensitive
- Department of Environmental Protection-Cyp Y
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 8� 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 use ubmitted at?me of permitting wh ch�s p eparedrby agprofe sionalreng neer
"compensating volume" wilt be s
licensed by the State of Florida.
If the fi�l material is to be used in Flood Zone "A" in connection with a permitted buitding using stem wa
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 s�e3fil�he�lowner mayrbe'cit d for v�olat ng
properties. If use of�II is found to adversely affect adjacent prope
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 AGEN7 FOR THE OWNER, I promise i nderstan1d that a�s pahat permit may be equ ed for'electrical work�,
this affidavit prior to commencing construction. I
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application.
permit issued shall be construed to be a license to shall ssua�ncehof a pe mitprevent thehBu Iding Officeal from therteafte�r
set aside any provisions of the technical codes, no
requiring a correction of errors in plans, co{Ss cOtmmenced within s zamonths of permi P suaince uo aif wolrk authorized by
unless the work authorized by such perm
the pe�mit is suspended or abandoned for a period of six(6) months after the time the work�S da s and will demonstrate
may be requested, in writing, ftom the Building Official for a9 e�con ecutive days,the j b(is�cons dered abandoned.
justifiable cause for the extension. If work ceases for ninety( ) �,
WARNING TO
OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMETO OBTA N'FINANCSNG CONSULT
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEN T ,
V111TH YOUR LENDER R AN TTOR Y B F E RE ORD Y U OT �
FLORIDA JURAT(F S. 117 03) ___ ______ �(� � �/�M�t..�
�� TRACTOR
OWNER OR AGEN7 Subs bed om to(or aiflrmed)b ore me this
Subscribed and swom to(or affirmed)before me thls � �' or haslhave produced
bY o Is/ar onally know!1
yyho isl ra e p re sonally known to me or has/have produced _ __-- - — as identlfiption,
as ldendficadon.
.'-'r—� r
'� - � - Notary Public
Notary Public -
Commission No.
Commission No. �S S�t��i1..'���'�
ed, rinted or stamped Name of No _ ._�►?��� ;ry 22,�L�ti�
Name of Notary tyP P f',�,:, r�o`' ���TroYF���6�-�5"7p19
* s,.^r,: .,�`..
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