HomeMy WebLinkAbout14-15669 `x CITY OF ZEP YRHILLS
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5335-8TH REET
(sis)�so oozo 15669
PLUMBIN PERMIT
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Permit#:15669 Issued: 9/18/2014 Address: 5716 9TH 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: 500.00 Total Fees: 46.00 Subdivision: CITY OF ZEPHYRHILLS
' Amount Paid: 46.00 Date Paid: 9/18/2014 Parcel Number: 11-26-21-0010-05500-0160
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W��.CO'NTR-ACd�OR INF�ORMATION�- '" � �`�_;','�'W,°��'�OWNER,INF&O,RIVIA�TIO.N���:;�.�:�::.;;::'� �:�&
Name: DENNIS WILLIAMS INC 4 Name: HANSON, THEODORE
Addr: P.O. BOX 3039 Address: 5716 9TH ST
ZEPHYRHILLS,FL. 33539 ZEPHYRHILLS, FL. 33542
Phone: (813)782-9520 Lic: Phone:
Work Desc: SEWAR LINE REPLACEMENT
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SEWERLINE 46.00
�°r� " ' °INSPECTION REQUIRED ' ° � -
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FINAL
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REINSPECTION FEES: Reinspection fees will comply ith Florida Statute 553.80 (2)(c) when extra inspection
trips are necessary due to any one of the following re sons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections no made when inspections called d) work not ready for
inspection when called e) permit not posted on j b site f) plans not a job site g) work not accessible.
NOTICE: In addition to the requirements of this permit, ther may be additional restrictions applicable to this property that
may be found in the public records of this county, and ther may be additional permits required from other governmental
entities such as water manageme t, state agencies or federal agencies.
The payment of inspection fees shall be made before a y further permits will be issued to the person owning same
"Warning to owner: Your failure to record a notice f commencement may result in your paying twice for
improvements to your property. If you intend to ob in financing,consult with your lender or an attorney
before recording your otice of commencement."
Complete Plans, Specifications and Fee Must Accompany A plication. All work shall be performed in accordance with City
Codes an� Ordinances.
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' � CONTRACTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CAR FROM WEATHER
; s�saeo-oo20 • City of Zephyrhill Permit Application Fax-813-780-0021
, *"' Building epartment
IDate Received [ � C � n
�`1 Phone Contact for ermittin �l� �`�a -- �l���
Owner's fdame I �e- ��� TT�-'n��--� Owner Phone fdumber
Owner's Address ��1� `'1T� �� Z'1'\\��`� ��l puvner Phone Idumber
Fee Simple Titleholder Mame Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS � 1 1� "l � �� �� �f�,l. i(1'\ ��5 F�- �J�`l a- LOT# �
SUBDIVISIOtd PARCEL I # � 1 ��� ��1'wl v-��W `�� `,Q�
(OBTAINED FROAA PROPERTY TAX NOTICE)
WOR6f PROPOSED � NEW CONSTR 8 ADD/ALT [� SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE - Q SFR Q COMM [� OTHER
�1/PE OF CONSTRUCTIOM Q BLOCK Q FRAME � STEEL Q
� DESCRIPTIOId OF!lVOR6f ��e-� ~`��'�- (`-�C..p` C�.(���'�
BUILDItdG SIZE SQ FOOTAGE HEIGHT
QBUILDING $ VALUATION O TOTAL CONSTRUCTION
ELECT A
Q RIC L $ AMP SERVICE 0 PROGRESS ENERGY W.R.E.C.
�
�PLUMBING $ � � � �r�{
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QMECHANICAL $ VALUATION O MECHANICAL INSTALLATION °' �
OGAS Q ROOFING Q SPECIAL � OTHER
FINISHED FLOOR ELEVATIONS FLOOD Z NE AREA �YES NO
BUILDER COM APIY
SIGidATURE REGIS ERED Y/ N FEE CURRE� Y/N
Address - License#
ELECTRICIAN COM AfdY
SIGIdATURE REGI RED Y/ N FEE CURRE� Y/N
Address License# �
PLURflBER � W`''�'�"� COIIA AMY 'e-{�'�\5 1����\0.°�1S , I n�.
SIGfdATURE REGI TERED Y N FEE CURRE� N
Ac9dress �'J1l�J �`��� S� Z�'1\��5���-- ?J��-` License# c� �y a���a
IViECHARIICAL CO PANY
SIGRIATURE REGI TERED Y/ N FEE CURRE� Y/N
Address License#
OTHEPt CO P611dY
SIGRlAYURE REGI TERED Y/ N FEE CURRE� Y/N
Address License#
RESIDEtdTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set o Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Re uired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
- ---� - - - Sanitary Facflities&=1-dumpster;Site Work-Permitior su divisionsAarge projects � - --�- -- - - �- — - �-- -
COMii�iERCIAL Attach(3)complete sets of Building Plans plus a Life Sa�ety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Re uired onsite,Construction Plans,Stormwater Pians w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for alllnew proJects.All commercial requirements must meet compliance
SIGR1 PERMIT Attach(2)sets of Engineered Plans. �
"""PROPERTY SURVEY required for all NEW construc�lon.
Directions:
I Fill out application completely.
Owner&Contractor sign back of appiication,notarized
If over$2500,a Notice of Commencement is required. {A/C upgr des over 57500)
`" Agent(for the contractor)or'Power of A�torney(for the owner)'voould b someone with notarized letter-from owner�authorizing same �• ,- . '
O!/E9t THE COUNTER PERMITTING - .(Front of Applica4ion:Or(ly) � - � • �
Reroofs if shingles Sewers Seniice Upgrad'es A/C:: ,'Fences QIoUSurvey/Footage) ' , �� `
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Driveways-Not over Counter if on putilib�oadways..needs ROW
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NOTICE OF DEED RESTRICTIONS:` The undersigned understands that this permit may be subject to"deed" restrictions" s
, which may be more restrictive than County regulations. The undersigned assumes �esponsibility for campEiance with arty
applicable deed restrictions.
UNLICENSED Gt�NTRACTUltS AND CC►NTl�ACTCiR RE5PON5181L1'TI�S: If the owner has hired a cantractor or
�, confractors fo undertake work, they may be required to be licensed in accordance with state and locai reguiations. If the
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under stafe taw. If the owner or intended contractor are unce�tain as to what licensing requirements may apply far the
intended wark, they are advised to cantact the Pasco County Building Inspectian Division—Licensing Section at 727-847-
8009. Fur#hermore, if the owner has hired a contractor ar contracfors, he is advised fo have the cantractor(s} sign
portions of the "cantrackor Black" of this applicakion for which they will be responsible. If you, as the owner sign as the
contractor, #hat may be an indication-that he is not properly licensed and is not entitled to permitting privileges in Pasco
Coun#y, '
"TRANSPORTATION IMPACTIUTIUTIES INAPAC'�AND RESOURCE RECOVERY F�ES: The undersigned understands
that Transportation }mpact Fees and Recourse Recovery Fees may apply to the construc#ion af new buildirigs, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-OT and
90-07, as amended. The undersigned aiso understands, Ehat such fees, as may be due, will be identified at the time of
permit#ing. It is further understood that Transpartafion fmpact Fees and Resource Recovery Fees must be paid prior to
receiving a °ce�tificate of occupancy" or final pawer release. If the project does not involve a certificate of occupancy or
fina! power release, #he fees must be paid prior ta permit issuance. Furthermore, if Pasca County Wa#erlSewer lmpact
fees are due, they must be paid prior to permit issuance in accordance with appiicable Pasco County ordinances.
CONSTRUCTION �I�N l.P►1�1(Chapt�r�13, Flarida Statutes, as amended): If valuation af v�rork is$2,500.00 ar more, f
certify that I, the applicant, have been provided with a copy of the °Florida Construction Lien Law—Homeowner's
Protectian Guide" prepared by the Florida Department of Agricutture and Cansumer Affairs. !f the appiicant is someone
other than #he"owner", 1 certify thaf I have obfained a copy af the above described dacument and promise in good faifh to
deliver it to the"owner"prior to commencement.
C4NTRAGTOR'S10WNER'S AF�IDAVIT: 1 cartify that a41 the informatian in#his appltcafion is accurafe and that all worEc
will be done in campliance with all applicable laws regulating constructian, zoning and land develapment. Application is
hereby mac#e to abtain a pern-Eit to do wark and installation as indicated. 1 certify that na vuork ar insta4lation has
commenced privr to issuance of a permit and that atl work will be performed to meet standards of all laws regulating
construckion, County and City codes, zoning regulations, and land development regulations in the jurisdictian. I also
certify that 1 undersfand that fhe regulations of ather government agencies may appiy ta the intended work, and that it is
my responsibility ta identify whaf actians I must take to be in campliance. Such agencies include but are not limited to:
- Department of Environmental Protecfion-Cypress Bayheads, Wef4and Aceas and Enviranmentally Sensitive
Lands, Water/Wastewater Trea#menk.
- Sau#hwest Flarida Water Management District-WeEls, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
� - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways:`"
- Depar#ment of Health & Rehabilitative Services/Enuironmental Health Unit-Welfs, Wastewater Treatment,
5eptic Tanks.
- US Environmental Protectian Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
1 understand that the#ollowing restrictians apply�ta the use of fi41;
- Use of fili is not aliawed in Fioad 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 valume" wi11 be submitfed at fime of permifting which is prepared by a professional engineer
licensed by the State of Florida.
- If the fill material is ta be used in Flood Zone "A" 'sn connection with a permitted building using stem wall
construction, I certify tha#fill will be used only to fill the area within the stem wall.
- !f fitl materia! is to be used in any area, 1 cerkify that use of such fi!! will not adversely affect adjacent
properties. if use of fitl is found to adversely affect adjacent proper#ies, the owner may be cited for vialating
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 pian is required. -
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of#he permitting conditions set farth in
this a#fidavit priar to commencing construct9an. I understand that a separate permit may be requlred for e(ectrica! work,
plumbing, signs, wells, pools; air canditianing, gas, ar other installations nof specificaliy inciuded in fhe applicatian. A
permit issued shal! be construed to be a license to proceed wfth the work and not as authority to.violate, cancel, alter, or
set aside any provisions vf the#echnical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans, construction or violatians of any codes. Every permit issued shall become invalid
t orizecf b such ermit is commenced within sPx months of erm'st issuance ar if warlc authorized b
unless the work au h . Y
Y P P
the permit is suspended or abandoned for a periad of six(6) months after the time the work is commenced. An extension
may be reques#ed, in wri#ing, fram the Building Q�cial far a period not ta exceed ninety (90) days and will demonstrate
jusfifiable cause for the extension. If work ceases for ninety(9d)consecutive days, fhe job is considered abandoned.
WARtVING TO OWNER: YOUR FAiE.URE �U �t�CORD A NQTICE OF CUMNEENC�MENT NIAY RESU[.T IN YtaUR
I PAYING TWICE �'OR IfYIPROVEINENTS TO YOUR PROPER7Y. IF YOU INTEND TO OBYAIN FIN�►iUCING, CONSUL7'
WITFI YQUR LENDER QR AN A�ORNEY��FOR�RECQ�RDIN�YOUR NO'TIGE O�COM14fiEhlCE�iENT.
FLORIDA JURAT(F.S. 117.03)
OWN�12 OR AGEE2T,����If E.�� �'�'�''�• CON7E211CTOR����4��t.,.f �i��^
Subscribed and swom to(o a irmed)before me this Subscribed and sworn to(or a�rmed)before me this
by by
Who istare personally known to me or has/have produced Who Eslare personally nown to rrze or haslhave praduced
s 1denUfica#ion. _as identifica6on.
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E�E, - ublic •�" p���, Notary Public
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