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Home My WebLink About12-13641 CITY OF ZEPHYRHILLS 5335-8TH STREET (si3)�so-oozo 13641 PLUMBING PERMIT Permit#:13641 Issued: 11/26/2012 Address: 4755 19TH ST Permit Type: SEWERLINE REPLACEMENT ZEPHYRHILLS, FL. Class of Work: SEWERLINE REPLACEMENT Township: Range: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Sq. Feet: Est. Value: Book: Page: Cost: 3,865.00 Total Fees: 46.00 Subdivision: CITY OF ZEPHYRHILLS Amount Paid: 46.00 Date Paid: 11/26/2012 Parcel Number: 14-26-2100010-02600-0030 Name: THE DRAIN TEAM Name: DAHLBACK, DANIEL& GELONEK, BRITT Addr: P.O. BOX 531 2025 WILD ACRES RD Address: 4755 19TH ST LARGO, FLORIDA 33779 ZEPHYRHILLS, FL. 33542 Phone: (727)573-5400 Lic: Phone: (813)205-2397 Work Desc: REPLACE APPROX 100 FOOT OF SEWER LINE SEWERLINE 46.00 FINAL ,� . � J � ��` � � ' � ; J � � � ` ��. ______. �� 1C1 . : �5 REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80(2)(c)w en extra inspection trips are necessary due to any one of the following reasons: a)wrong address b) condemned work resulting from faulty�nstruction 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 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 "Warning to owner: Your failure to record a notice of aommencement may result in your paying twice for improvements to your properly. If you intend to obtain financing,consult with your lender or an attorney before recording your notice of commencement." Complete Plans, Specifications and Fee Must Accompany Application. 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OMECHANICAL $ VALUATION OF MECHANICAL INSTALLAT#�t�`'�� J�� OGAS Q ROOFING Q SPECIALTY � OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License t� �— EIECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# PLUMBER � COMPANY �.(� SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address o2�� ` \� , �� 3?j7? License# G�C �5� �a"� MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y J N Address License# �— OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# � RESIDENTIAL AtNach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, Minimum ten(10)woiicing days aRer submittal date. Requlred onsite,ConstrucGon Plans,Stonnwater Plans w/Silt Fence installed, Sanitary FacitlNes 8 1 dumpster;Site Work Permit for subdivisions/large projects COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set af Energy Forms.R-O-W Permit for new construction. Minimum ten(10)worlcing days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities 8 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 construcGon. Directlons Fill out application completely. Owner&Contractor sign back of application,notarized If over 52500,a Notice of Commencement is required. (A/C upgrades over s7500} '" 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 Applicatlon Only) Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurveylFootage) 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 mo�e 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 misdem�an�op 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 contractor or contractors, he is advised to have the contractor(s) sign portions of the "contractor Block" of this application for which they wilt 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 understan s that T�anspo�tation 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 "ce�tificate 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'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 performed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also ce�tify that I understand that the regulations of other govemment 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. Fede�al 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 fitl 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 violaling 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 a�davit 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 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 technncal onstruct on oalviolations of any cod sPrEverytpermit iss ed shall become inval d requiring a correction of errors m pla , unless the work authorized by suon d for'alser d of six(6)mhonths after the t me thetworkas commenced Anhexte sion the permit is suspended or aband P da s and will demonstrate may be requested, in writing, from the Building Official for a period not to exceed ninety (90) Y justffiabte cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned. WARNING TO OWNER: YOUR FAILUREOT�uR PROPERT1f.TIF YOU INTENDETO OBTA N F NANC NGTCONSULT PAYING TWICE FOR IMPROVEMENTS WITH YO R LENDER OR AN RNEY BEFORE R CORDING YOUR OTI E OF O N EM N . F FLORIDA JURAT(F.S. 117.0 ` _ CONTRACT OWNER OR AGENT Subscrlbed and swom to( ed)before me thls Subsctibed and sworn to( rmed)before me this by bY Who Is/are personally known to me or haslhave produced Who isja�e personally knov+m to me or has/have produced as identlfication. as Identlficatlon. Notary Public Notary Public Commission No. Commissfon No. Name of Notary typed�Prfnted or stamped Name of Notary typed,printed or stamped � iii�iiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiiii 2012203838 IIIIIIIIIIIIIII'II �ermit Na L[ � � �, __�-_/----- ° --------- r��Aa io r,a_�!��(9�1 _o��i b o�4�_��_C36 3 a NOTICE�F COMMENCEMENT stace ot County o'-----_---- THE UNQERSIGNED hereby pives notice thac improvement wil!be made to certain rea7 � '�'P f��n9��o�mation is q�or:ded in this No;ica d Ccxnmenyrey�ment: ( Y and:n accorda�ir.=wifti Chap:e�713,Fbrida Statwes, � OescreP6on of Propoiiy: Paroel Identification No._!�16n1Y�tNC'�' �!1 P�j, Q 71 � �0�3 D l�L°I'L�p(yf" l��S S SVeet Address: � �-�--�-2--P-�N-n--v�!'�n.:� f' ''��CC��1,,..,, 2. Generat Descriphon o!Improveme�t_.I'L�� Y'E �L.CI.,I�+ ` /��l�� -�--�-- � -` � G 0f� L ��C�?4'.,r�,�_ _ __--- - .. ..______ ---------__ — 3. Owner(nt��(inn ur�essee intortnation if tt�e Lessee contrac,ed fw the+mprovemerl �. ---... ___ 4� ��'t'�� -- � . �e..1�______..._._._____._.._.--_.------ .�_ .�� F•t°n i aad�s5 S�' Z��'�'�''`'� �\�.��J`��°`-'�L � .. t Interest in Property h (� �� 1 µ Sta;e ��e �• F ------------------.__ N�� Nafne of Fee Sin-ple TiGehMder pf CRforen;frcm Owner iis[ed atovu; � --"_---- - Ri p Addresa � - -----. • concracor• ' r„iv -------- Sr--- Ot ��__.Qea.._a_.__._�eei, _ • ,,A w�„P -- c , `_.__ . , . ��-7� __..----._.. _. �.__-l.. _#�'_s�S �� —��—s�.,LS.!_�� ~ Add�ess - --- � y� -��(� Ciry .� State ' 10 Contrac;or's Te.dephone No. �� 7 ". � 01 �. 5. Sure7y .._ ___ ' ---_ __.._._...----- C7 m~ - --- 'ame ---�----..,.. ..__._. .. "_-------_.___- ^ � Addross --- _._..---�---... _ V G4y �" m Ama,rrt of Bond: 3 State 'C � ' -- - Telephone No. 6. Lender�eeun�g _�inr��f"r��l O � .� �s _.___-- � L'Q � �1M ^-� � �� __' -, �.o.S��.� �__._�._ { -- �� - Adaress C,l�]LYtfJC7�.. .._.- _-- �I . � -�-_�..� L4 LenAxr's Telup�one No. ��3� Z,��► QL•� Str�te 7 Parsons wNhin the State of Florida designateU by!he ownnr upan whom naicea o•oiher doc�merts may be servod as prov�detl by Secfion 713.13�11(a)(7),Flonda Statutes: Name __ Addrms - - _ T�P�e Number ot Designa!ed Persmi. C�Ty ' i State _'..._._____..___.__ 1� D fi. !n addition to himseH.the oxmer deslgnaiec ' -�----i--�..-`--- ~ __,__ p\� - to roceive a --__----� �----��---- ��D capy cf ihe Lienar's Noace ps provided in SecUpn 7�3.13(1){b),Florida StaW.as, W\ � Telephone Number ot perspn or Entity'Jes+gnated by Owner. � o 8� ExpirrUUn date of Notice at Ccxrrmencernent a,e P ^ `- �N z ( �irattor date may not ba bofore tho com{;�etlur,ot r,onstnictmn and fira� � ��a,bul will be one year from thg date of recording uniess a diNerent cate;a spedfied): ��e^�to t'e �F+ LYARNING 70 OWNER; ANY PAYMENTS MAOE BY 7HE OWNER AFTER THE EXP�RATION l7F THE NOTIL'E OF CpMMENC..EMENT �� ARE CONS�DERED IMPROPER PAYMENTS UNDER CNAPTER 713, PART 1, SEC710N 713,13, FLORIUA STATUTES, AND CAN � � RESULT IN YOUR PAYING TYJICE FOR IMPROVEAIEN"S TO YOUR PROPERTY A N0710E OF C w � RECOR�7ED ANO POSTEO ON TNe JOB SiTE 9EFORt THE FtRST INSPECTION, IF YOU INTENp TO OB7�AlN FINA C NG,CONSUBT �3 WP�H YOUR LENDER OR AN ATTORNEY BEFORE C6MMEMCIhG WORK OR RECORDtNG YpUR NO'ilCE OF COMMENCEbtENT � D Under tn penalty o!perjury,I dedare that 7 have read?he torpg��n8�,a�ca ot commenceme n nf my knoydedqe and beliet. K'�'�II'Rs7F! -ts statad Merein are tn;e ta the best ~ � � n ST'ATE OF F�p��p � r COUNIY OF aqSCO _ O m �A x JnaWre o er w Lessee,ar Own s essee's Autho•ized �F+ Q° ONicerfDirector!PartnerlManeger n �y, o wri � �Sigcatorys T:UeiOTice ..-__�._` `---,— � � The foreyoing�nstnimen:was ac�nowiedgr./d 6Je�fo�r�e me this�da rf ' � LG(eCl�rir Y � i0�EY r) a'� ___.�Q.e.�.�--�Q�� r �-- - __� 1., as r -- ----.._.. .__�(�Yf�of ai:tnorily,o.g. olfica. stae,attomo y in'act j tor A -- ----._�i e ( rty pn Eeh If of wficm ins �nt wds e ute�,f)_ ParsanaNy Known Produced IdentiRcation❑ Notary Slgnature Type of Itlontifica[ion Prcxluced �'-"'�'-7--�---- Name(Print;_ .. /�{_,� • �.J ---l._L'F[ --"�vi-. �a<�i��Pi:�,,� JOYCE M.HATfIELD 'r+ ��s Notary Publk-State oi Florida ;�,� �;MY Comm.Expires Sep 30,2014 w�wateR�cwrwticacatimencemenfpc053ti548 ��nu�� C��1��3��,,s•2 ��'�l�. �-��, • ' 3TATE OF FLORIDA, COUNT'Y t�F F�q$�p � • � THIS IS TO CER7IFY THAT�HE Fi�R�G01NG IS A � �G TRUEANO CORRECT COPY OF TNE DOCUMENT • �1 ON FILE OR OF PUBLIC RECORD IN THIS OFFICE * ' �`�`►►'ea�,,y.t�• • WITNESS MY HAND ANQ OFFlCI L SEAL THIS ;,,4� � �r DAY OF �1 * � � pAU S. O'NEIL, CLER�OMPTROLLE� . ��' * R `�'qj� • � '� BY � ' OFje�pR1QP �-------_ -- �T��LERk ,