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Home My WebLink About13-14252 � CITY OF ZEPHYRHILLS 5335-8TH STREET (sis)�so-oozo 14252 PLUMBING PERMIT Permit#:14252 Issued: 6/04/2013 Address: 5941 18TH 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: 650.00 Total Fees: . Subdivision: CITY OF ZEPHYRHILLS Amount Paid: 46.00 Date Paid: 6/04/20'is Parcel Number: 11-26-21-0010-04300-0030 Name: OWNER Name: SANDOVAL CARLOS SR& GRACIELA S Addr: Address: 5941 18TH ST ZEPHYRHILLS, FL Phone: Lic: Phone: (813)469-9704 Work Desc: SEWER LINE REPLACEMENT SEWERLINE 46.00 PLUMBING FEE 46.00 FINAL •� C� �-� 1 ,. REINSPECTION FEES: Reinspection fees will pfy with Florida Statute 553.80(2)(c)when extra inspection trips are necessary due to any one of the foliowing 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 fl 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 "Warning to owner: Your failure 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 attorney before recording your notice of commencement." 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 s�s-�eo-oozo City of Zephyrhills Permit Application Fax-813-7B0-0021 , Building Department Date Received J � _- Phone Contact for Permittin •b Owner's Name � L i C q p�c,� Owner Phone Number - Cj- �'`��j Owner's Address � �( 1� Owne�Phone Number (3 �6 - � (;(o Fee Simpie Titleholder Name �'^ Owner Phone Number Fee Simple Titleholder Address ;� JOB ADDRESS / `� ' �� `� �"' LOT# C� SUBDIVISION PARCEL ID# (OBTAINED FR�OM pROPERTY T�nce)DEMOLISH WORK PROPOSED NEw CoNSTR ADD/ALT [� SIGN INSTALL 8 REPAIR PROPOSED USE Q SFR Q COMM � OTHER TYPE OF CON3TRUCTION Q BLOCK Q FRAME � STEEL Q DE3CRIPTION OF WORK � � �.C�� BUILDING SIZE � 3Q FOOTAGE NEIGHT QBUILDING $ VALUATION OF TOTAL CONSTRUCTION QELECTRICAL �� AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. � ��' L QPLUMBING $ � QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION r�� QGAS Q ROOFING Q SPECIALTY �/ �� [_] OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES BUILDER COMPANY SIGNATURE , rtecis�Reo Y/ N FEE CURRE� Y/N Address License# -� ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURREP Y/N Address License# �_ . /'l PLUMBER C -- ` COMPANY �, ciC -�-� � �c�� SIGNATURE -_ �'�� -� REGISTERED Y/ N FEE CURREP Y/N Address License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� 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 construcGon, Minimum ten(10)working days after submittal date. Required onsite,Construction Pians,Stormwater Plans w/Silt Fence installed, Sanitary Fadlitles 8 1 dumpster;Stte Work Permit for subdivisionsAarge 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 subm(ttal date. Required onsite,Construction Plans,Stormwater Plans w/Siit Fence installed, Sanitary Facilities 8 1 dumpster.Site Work Permit for ali new proJects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. "*"PROPERTY SURVEY required for all NEW construcHon. Directions: Fill out applicatlon completely. Ovmer&Contractor sign back of application,notarized tf over 52500,a Notice of Commencement is requi►ed. (A/C upgrades over 57500) "" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notari2ed letter from owner authoazing same OVER THE COUNTER PERMITTING (Front of Application 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 more restrictive than County regulatfons. 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 contracto� are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the Pasco Counry 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 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 properiy licensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The 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 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 occupancy" or fina) power release. If the project does not invoive a certficate of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact fees a�e 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 "Fiorida 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'SlOWNER'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 Engineers-Seawalls, Docks, Navigable Watervvays. - 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 ce�tify 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 electricat 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 technical codes, nor shall issuance of a permit prevent the Building O�cial from the�eafter 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 the 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. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWtCE FOR�OR AN ATTORNEY BEFORE ECORDING YO u 'NOT CE OF C TAIN NNEME TG� CONSULT WITH YOUR LEN�ER F�pR}pra�.JURAT(F.S. 117.03) � -- "-- - - I„OR ( .. ^ �---__ _--° CONTRACY.[�, � ��''L!/L� ��5�"AG� ` Subscribed and swom to(or affirmed)before me ihis J�eia�nd s m or affirrr�d efor e s ;��(` bY j�=�--�-�bY x Who islare personally known to me or ha ave roduced Who Islare personally known to me or hasmave produced as ldentlflcatlon. as identlfication. �',t � �- � --_.____� � � . .� � i " Notary Public , ic :� •;:: Commiss�on#EE 140709 Commission No. Comml ' gqded'flxu7royFam N��'70t9 � ~ , Name of Notary ryped,Printed or stamped Name of Notary typed,prfnted or stamped DISCLOSi7RE S'►'A'�'*�•NT .FOR OWNER --C�-�'Y OF ZEPFiYRHSI�2�S BUILD2NG DEPARTMENT i�- // ^ � � �^� S, �d��--.-(� � `'� '�--•�---��- have read and fu1Zy understand and agree •to the provisions of �this instrument. The undersigned .states and affirms that he or she is desirous of constructing, renovating, adding to or reroofing his or her own domicile, •that he or she actually occupies, or wi11 occupy by said domicile, and same is n�t for •rent, lease or sale. That he or she shall comply vrith the following conditioas: 1. That the owner asid_he or she alone sha11 act as the builder for al1 phases of canstruction. . 2. That the owner will comply with all provisions of the City of Zephyrhills ordinances and codes pertinent to the build:iag. 3. That in the enerst various phases of construction are subcontracted, he will engage only properly licensed subcontsactors and will personal�y supervise such work. 4. That in the enent the Building Inspector shall re�+,;re correcti.ons to be made, the owner will assume full responsibility to insure •they are made, and upon campletion wi11 ca11 for a rain r,ectioa before proceeding with the building. 5. That the owner sha11 assume fu11 responsibility for the construction aad wi1Z not axpect_ supervisioa of his work f'rom the City of Zephyrhills Building Depar�ent. 6. That prior to final inspection aay additional fees, including reinspection fees, must be paid ia fu11. A written request from ttiis office sha11 constitute an official notice to pay acldi.tional f'ees. 7. That the owner sha11 comply with a11 City, State and Federal laws in regard to social security, workman's compensation, lien laws, etc. , where applicable, B. That the owner sha11 compZy with a11 the safety codes issued by the Florida 2ndustrial Com�i.ssioa. 9. State 1aw rern�ires cons�txuction to be done by liceased contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your prOpPSty, to act as your own contsactor with certain restsictions even though you do not have a license. You must provide direct onsite supervision o� the constructioa yovrsel£. You may build or improve a one-f'amily or two-family residence or a farm outbuilding. You may also build or improve a commercial bvilding, provided your costs do not exceed $25,000. The building or residence must be for your own use or occupancy. It may not be built or substantially improved for sale or lease. If you sell or lease a bvilding you have built or substasitially improved yourself within 1 year after the constructioa is complete, the laW Fri11 pres�e that you built or substaatially improved •if for sale or lease, which is a violation of this exempt�.on. You may not hire aa unlicensed person to act as your contsactor or to supervise people working on your building. It is your responsibility to make sure that people P�ployed by you have licenses re�,;red by state law and by county or municipal licensing ordinances. You may not delegate the responsibility for supervising work to a licensed contractor who is not licensed to perForm the mork beixig dnae. Any persoa working on your building who is not licensed must work uncler your direct supexvision and must be P�ployed by you, which meaas tha.t you must deduct F.I.C.A. and withholcling tax and provide workers' compensation for that amployee, all as prescribed by law. Your construction must comply with a11 applicable laws, orclissances, building codes, and zoning regulations. - a _ --- OWNER'S S= L ��` DATE �ji " "[" "�� ADDRESS -" PHONE ��S 1 PERMIT #