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Home My WebLink About14-15076 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 1 5 PLUMBING PERMIT Permit#:15076 Issued: 3/11/2014 Address: 5537 12TH ST Permit Type: SEWERLINE REPLACEMENT ZEPHYRHILLS, FL. Class of Work: SEWERLINE REPLACEMENT Township: Range: Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section: Sq. Feet: Est. Value: Book: Page: Cost: 1,200.00 Total Fees: 46.00 Subdivision: CITY OF ZEPHYRHILLS Amount Paid: 46.00 Date Paid: 3/11/2014 Parcel Number: 11-26-21-0010-11700-0050 Name: HOMEOWNER Name: PARRISH, LEE Addr: Address: 5537 12TH ST ZEPHYRHILLS, FL. 33542 Phone: Lic: Phone: Work Desc: REPLACE SEWERLINE SEWERLINE 46.00 � FINAL � 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� plans not a 'ob 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 pertormed in accordance with City Codes and Ordinances. �, �.�. �� a�.�� 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 o�f Zephyrhills Permit Application Fax-813-780-0021 Building Department Dat�Received Phone Contact for Permitdn Owner's Name i..� � � �a �- r � ,. Owner Phone Number `a 3-� � '�� c Owner's Address � 'rj�"3� 2"�h C,�f�z--� pymer Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS �� LOT# SUBDIVISION PARCEL ID# (OBTAINED F�pROPERTY T�ncEl DEMOLISH WORK PROPOSED e NEW CONSTR ADD/ALT � SIGN INSTALL B REPAIR PROPOSED USE Q SFR Q COMM � OTHER TYPE OF CONSTRUCTION [� BLOCK Q FRAME C� STEEL Q DESCRIPTION OF WORK e, � e -,� �� o - � ' � � Cp� 'y BUILDING SIZE SQ FOOTAGE� HEIGHT �BUILDING $ '—' VALUATION OF TOTAL CONSTRUCTION QELECTRICAL $ AMP SERVICE [� PROGRESS ENERGY [� W.R.E.C. �PLUMBING $ � :��, D .� ��,5� �� QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION OGAS Q ROOFING Q SPECIALTY [—� OTHER FINISHED FLOOR ELEVATIONS f?� FLOOD ZONE AREA �YES NO (�� BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# EI.ECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# � � PLUMBER " COMPANY �O p�,,,,` SIGNATURE "�'` � �� REGISTERED Y/ N FEE CURRE� Y/N Address License# MECNANICAL 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)Piot 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 subdivlsionsAarge 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 consVuction. Directions: Fill out application completely. Ovmer 8 Contractor sign back of application,notarized w. If over i2500,a Notice of Commencement ts required. {AIC upgrades over a7500) 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 Application Oniy) Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW � DISCLOSL7RE S'�'n'�'*�!*� .FOR OW,NiER CITY OF .ZEPHYRH2L7,S BL722,D2D7G DEPARTb�NT _� have read and fu11y uxiderstand aad agree •to the provisions of �this instrument. The undersigned .states and a.ffirms that he or she is desirous of constructing, renonating, adding to or rer�ofing his or her own domicile, •that he or she actually occupies, or �i11 occupy by said domicile, and same is not for •sent, lease or sale. That he or she sha11 comply �.rirth the following conditions: 1• That 'the cwsier and_he or she alone sha11 act as the builder for a11 phases of construction. 2. That the owner wi11 comply with a11 provisions of the City of Zephyrhil'ls ordinances and codes pertinent to the buildirig, 3. That in the event various phases of constsziction are subcontracted, he will engage only �properly licensed subcontractors and will personally supervise such .work. 4• That in the avent the Hvildiag 2nspector sha11 re�,�re corrections to be made� �the owner vJi11 assume full responsibility to insure •they are made� and upon completion will ca13 for a rpi*+�ctioa before proceeding with the building. 5. That the owneZ' sha l 1 ass�e fu11 responsibility for the constrtactioa aad wi11 not axpect_ supervision of his work fram the City .of Zephyrhills Building DePart�ent. 6- That prior to final inspection aay additional fees, inclu��Tg rPIT��.�on faas, must be paid in fu11. A written raquast from ttiis office s�ia1.1 constitute an official notice ,to pay additional fess.. �• That the owner sha11 comply with a11 City, gtate and Federal laws in regard to social security, workman's compensation, lien laws, etc. , where applicable, B. That the owner shall comply with a11 the safety codes issued by the Florida Industrial Commissioa. 9. State 1aw re�,;res coastruction to be done by licensed contractors. You have applied for a pex�.it ur�der a� e�c�p�yon to that law. The exemption allows you, as the owner of Z,o� Pro��,� to act as your own contractor with certaia restrictions even though you do not have a license. You must provide direct onsite supervision of the construction yourself. You may build or improve a one-fa,ai.ily or two-fa�n;1�, residsace or a f'arm outbuilding, you may a�,so build os improve a commerci,al 7�++,;1d;�,q� p=ovided your costs do not exceed $25,000. The building or .residance must be for your own use or occupancy, It may not be built or substaatially improved for sale or lease. If you sel"1 or lease a building you have �++,;1t or sui�stantiall,y improved yourself �,rithin 1 year after the const-suction is complete, t2se la� wi11 presume •that you built or substantially astproved if for sale or lease, which is a violation of this exemption. You may not hire an „*+i;ceasQd person to act as your contractor or to supervise people �vorkinq on your buil.di,aq, It is your responsibility to make sure that people emplo�,ed b�, you have licenses re�,;red by state law and bY eeunty or municipal liceasing ordiaarices. You may not delegate the responsibility for supervising work to a licensed contractor who is not. licensed to pe�o� �e work beiag doae. Aa�, parson working on your buildinq who is aot licensed must work uricler 1ro„*- �=ect super�ri,sien and must be �Ployed by you, �„��,� means that you must deduct F.I.C.A. and withholdi.nq tax and provide wcrkers' compensation for that employee� a�Z as prescribed bg law. Your construction must comply with a11 applicable laws, ordinarices, buildiaq codes, and zoning regulations. OWNER'S SIQ�TURE a�.-c� � ��,s� DATE �DxEss �5-�7 �2_ %t-h G'f'r��-f + ?.o_ l� PHONE �_� �_ ��_�� W2TPTESS PERL�T #