HomeMy WebLinkAbout14-15677' � CITY OF Z PHYRHILLS
� � 5335-8 H STREET
(813)7 0-0020 677
�I
PLUMBI G PERMIT
. ,. ., . _. ,::
� �'� �PERMIT INFORMATION � LOCATION INFORMATION
Permit#:15677 Issued: 9/24/2014 Address: 39507 8TH AVE
Permit Type: PLUMBING ZEPHYRHILLS, FL.
Class of Work: PLUMBING/NEW Township: Range:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 50.00 Total Fees: 40.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 40.00 Date Paid: 9/24/2014 Parcel Number: 12-26-21-0310-00000-0620
, __.,_ __-
"�CONTRACTOR INFORMATION -OWNER INF.ORMATION . � � ° - -
Name: HOMEOWNER Name: DONAHUE, VIVIAN
Addr: Address: 39507 8TH AVE
ZEPHYRHILLS, FL. 33542
Phone: Lic: Phone: (813)355-3006
Work Desc: INSTALLATION IRRIGATION METE
` � APPLICA ION FEES �
PLUMBING FEE 40.00
INSPECTIO S RE �IIRED
1ST ROUGH PLUMB
2ND ROUGH PLUMB
SEWER
WATER
FINAL �` 'J
�
i 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 r asons: a)wrong address b) condemned work resulting
from faulty construction c) repairs or corrections n made when inspections called d) work not ready for
inspection when called e) permit not posted on j b site� plans not a job site g)work not accessible.
NOTICE: In addition to the requirements of this permit, the may be additional restrictions applicable to this property that
' e a iti nal ermits re uired from other overnmental
may be found in the public records of this county, and ther may b dd o p q g
entities such as water manageme t, state agencies or federal agencies.
The payment of inspection fees shall be made before a 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.
,�,. �a�
' CONTRACTOR PER OFFI
��I PERMIT EXPIRES IN 6 MONTHS ITHOUT APPROVED INSPECTIO
, CALL FOR INSPECTION - HOUR NOTICE REQUIRED
PROTECT CAR FROM WEATHER
� n2sc�os� S NT .E"OR OW2�R
; c=.�' a� z�p�z�z�s �� ��P�z�rrr
i _ --
� =t �,,,��� {1 � have r�ad an.d fu1.1y uziderstand and
� agree •ta the provisions o£ •thi.s instrumen .
i .The undessigned .states and aff�.rms that h car she is desi.zous of constxuctingr
renovatizig, addirig ta or s�eroating his or her own domicile, •that he or she '
, aetuall.y occupi�s, or wi12 oacupY by said domica:le, and same is not �as
' •rent, lease or sale. That he or she shal aompl.y wi-th the fo�.l.owiiig condi-�.i.ons:
� 1. R'hat the awner and.he or she a:Lane s � 1 act as -the builder for aI1 phases of
' const'suction. -
2. R`ha� t�e awner w3:�.1 aozaply with al�: p avisians o�' �the City of Zephyshil'ls
ordinances and cades pestine�t to the bu:i.Idirig.
3. That in the eveszt vasious phases o�' c ns'truction are subaaatracted, he wi11
Ellgage oz�.y �properly I.icensed subcon actors and will parsanal�.y supervise
such wark. ,
�. �ha-t� in the event the BuiZding =nspea or shall rezT;�se carrec�.ions to be made,
the ownes will assume full responsibi a.ty ta iasure •they ase saade, and upon
aompZ�ti.on wa.li call fcr a re;n�eati u befare proceeding with the buildYng.
� 5. That the owner sYla3.1 assume ful.l resp asibi3.i� for the aozistructioa axid wz.�.l
xiot expeat_ superv�.siori of his work fr the City .of Sephyxhills Building
Depast�ent.
6. That pri,or to firYal. irispection any a "�ional fees, .i.rlcltx3i.ng reinspection
feas, must be paid ia �u11. A writt s+equest fsam �a.is affice s�a11
constitute an offa.cial not,ice -�o pay i3itio�al �aes..
7. That the ownes sha11 comply with al]. 't.y, Sfiate and Fede�al laws ia regard to
socza3 secur�.ty, work�nrs compensati n., lie'a laws, etc. , where applicable.
B. That the owner sh�1.1 comply with aZ1 e safe.ty �ode� issued by the Flarida
� Indtsstra.al Goas�issian.
9. Sta�.e 1aw requires corsstrt,�etioa to 3a done by licensed contraators. You have
agplieii �or a permit under an ��p 'ea to �hat law. The exemptiozx allows
you, as the r�wnes of your progerty, c act as your owz�. carttractor vrith cert�.in
restricti,ons even though yau do no'G ve a 1.icense. You must .provide direc�.
onas.te supe�-srision a�' the coastruc�. n yourself. You may bvild ar �rave a
one--fami�.y ar twa-family resideace a a farm ou�builcling. You may also build
� ar �saprave a cama�ercial buildi�tag, p� vided yaur costs do not eacaeed $25,000.
, The building or residence•must be �o yc�ur own use or occugartey. ,It may nat
be bui.l.�t or substantially �.�psaved � r sale or lease. If you se1:l or lease a
bu3.lding you have bui�.t or substazx�. 3y improved yaurseZf wi�h�.a 3. yeas af�er
the constructi.on is complete, �he ],.a w:i.l1 presvme •t3xat you .built or
subs�taritial2Y impsovad �if for sale a leas�, w3hich is 'a vi.olat.ian of �sa.s
exemptioxz. You may aot h3.re arl va3.i esxsed pErsor�. to act as your anntracto= or
', to supe�vise peopl.e working on your 'lding. It is your responsibili:ty to
' . mak.e sure th�t people P�played by yo have I.icer.►ses xez,;red by state law and
by coun�y o= muns.cipal liceasizzg or ces. Yau may not. delegate the
r�spcns3,bilit.y fos superv�.sing work1 a 13.aensc3d cantractor who is no�.
licensed to perform �h,e work bez.ng n�, Arxy pc.rson worki.ng on yaur bxtildixig
who is aot la.can�ed must vror}c uacl�x ous di�ec�t supervisiatz ar�d must be
employect by you, which meaas that yo must deduct �'.I.C.A.. and withYiolding talc
and provide workers' co�asa'�.on �o ttxat emplayee, a11 as p�esc�ibed by law.
Your cozistsz=ction must compZy with 1 agpl3.cablc 1a^r�ts, ax�cUssances, building
codes, axid zoning re ati.ons.
� OWNER'S SIGIIA'PUFE � DAfiE / •�'� 1
ADDRESS ��O � 5 ' S7''� '
BFiC1NE �i
W2TNE5S ' PERM2T #
I
e�s-�ao-oozo , City of Zeph rhilis Permit Application Fax-813-780-0021
B ilding Departmenf
- .. . .
Date Received Phone.Conta t for Permitting � '__
i . � ,,l ,
Ou�rner s Idam� � �� �i 1 V �f�1 (J � O�rreer�hone Mtamber
Owner's Address � �Q� O� l�� ���1 ��Owner Phone Mumber gJ�� ����J rjl
Fee Simple Titleholder fdame Oarner Phone Rlumber
Eee Simple Titleholder Address '
JO�ADDRESS � �_1 �G� �� �}���. L U 1 r. � 1 S �--Z- .�35 � LOT# ��
SUBDINISIOId PAR EL ID#
(OBTAINED FROM PROPERTY TAX NOTICE) �
WORGZ PROPOSED e NEW CONSTR 8 ADD LT �� SIGN Q Q DEMOLISH
INSTALL REP IR
PROPOSED U5E Q SFR Q COM �� OTHER
TVPE OF COIdSTRUCTIOM Q BLOCK Q FRA E � STEEL Q
� DlE5CR9PTIOM OF NbORI( i n 5 A 11� 6�'J G ��'f� A�� �'��-P�IL_,
BUILDIRIG SIZE SQ FOOTAGE HEIGHT
QBUILDING $ VALUATI N OF TOTAL CONSTRUCTIOM
QELECTRICAL $ AMP SER ICE 0 PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ � ob ���f�A�� �
� �/
QMECHANICAL $ VALUATI N OF MECHANICAL INSTALLATION /'� �
�
QGAS Q ROOFING Q SPE IALTY � OTHER
FINISHED FLOOR ELEVATIONS FLO D ZONE AREA QYES IVO
BUILDER OMPANY
SIGMA�LURE EGISTERED Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAM OMPAIdY
SIGIdATl1RE EGISTERED Y/ N FEE CURRE� Y/(J
Address License#
PLUMIBER � � OMP�►fdY -
SIGId41�TURE EGISTERED Y/ N FEE CURRE� Y/I�
dlctdress License#
MECHAIdICAL OMPANV -
SIGMATURE EGISTERED Y/ N FEE CURRE� Y/N .
Address License#
OTHER OMPANY
SIGMATIlRE ` � e�isreRe� Y/ M FEE CURRE� Y/N
Address License#
FtESIDEfdTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)s t of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days aRer submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facllities 8�1 dumpster;Site Work Permit fo subdivisions/large projects
i CORAMERCIAL 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 fo all new projects.All commercial requirements must meet compliance
SIGR!PERAAIT Attach(2)sets of Engineered Plans.
••"PROPERTY SURVEY required for all NEW cons uctlon.
Directfons: '
Fill aut appiication completely.
Owner&Contractor sign back of application,notarized
!f over 52500,a Motice of Commencement(s required. (A/C up rades over�7500)
"" Agent(for the contractor)or Power of Attomey(for the owner)woul be someone writh notarized letter from owner authorizing same
O!/ER THE COUNTER PERRAITTING (Front of Application Only)
Reroofs if shingles Sewers Senrice Upgrades A/C Fenc s(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
e'
; NOT'IC� O� C1EEI� RES'T�ICYIOId�: The undersigned understands that this permit may be subject to°deed" restrictions"
I which may be mare restricfive than Caunty reguEatians. The undersigned assumes responsibitity for compliance vu'sth any
� applicable deed restrictions.
' t�NL.iCfE1VS�D �QP�Ti�tAC7��� �►ND �{)A1YRA�:�'�� f�i�Sl�Ot��!l�fL@YI��: !f the owner has hired a contractor or
', contractors ta undertake vvork, #hey may be required fo be iicensed in accordance with state and lacal regulations. If the
cankractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state lavv. if the awner ar intended contrac�or are uncertain as to what lice�sing requirements may apply for the
intended work, they are advised to contacf the Pasco Caunty Building Inspection Division—Licensing Section at 727-847-
80(}9. Fur�hermore, if the a�nrner has hired a confractor or contractars, he is advised ta have the contractor{s} sign
portions of the "contractor Block" of this application for which they will be respansible. If you, as the owner sign as khe
contractor, that may be an indication that he is nof properly {icensed and is not entitled to permit#ing privileges in Pasco
County.
T�►N��O�t�'A�IOPJ Ii1��,�CYIU'�ILI�'IfE� lfl���C�'�1N� ����ll9�Cf� �t�GtJ!l�12Y���5: 1"he undersigned understands
that Transpor#ation Impact F�es and Recourse Recovery Fees may apply to the cansfruction of newr buildings, change of
use in existing buildings, or expansian of existing buildings, as sPecified in Pasco Cpunty Ordinance number 89-07 and
90-Q7, as amended. The undersigned also unders4ands, that such fe�s, as may be due, uvill be identified at the time of
permilting. It is further understood thaf TPansportation lmpac# Fees and Resource Recovety Fees must be paid priar to
receiving a "certificate of occupancy" ar fina! power r�lease. !f the project does not involve a cerkificate af occupancy or
final porrver release, the fees musf b� paid priar to permit issuance. �urthermare, if F'asco Gaunty WaterlSewer Impact
fees are du�, they rnust be paid prior to permit issuance in accardance with applicable I�asco County ordinances,
Cf�IVST#�l1CTlt}N L1��9 �.�1iit�Cha�Q�r 7'�3, Flor@d��t��ut��, �s �m�ndec�): Ef va]uation af�nrork is$2,500.00 or mare, t
certify that I, the applicant, have be�n provided with a copy of #he "Florida Constructian Lien Law—Homeouvner's
F'rotection Guide" prepared by the Flarida Department of�0.griculture and Consumer Affairs. If the applicant is sameone
other than the °OWf1�P", I certify that 1 have ob#ained a copy of the above described document and promise in goad faith to
deliver it to the"owner" prior to commencement.
Gf}!V'T�d�C'CO�'S1C3Vit�9iE�'��IF�liD�il11�: 1 certify that all the information in this application 'ts accurafe and fhat a11 work
v+iill�be done in compliance with all applicable laws regulating construction, zoning and land development. Applicatian is
her�by made ta ab#ain a permit ta da �nrork and installation as indica#ed. { cerfify that no work or installatiact has
cammenced prior #a issuance of a permit and th�t ail v�rork will be performed fo meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
eertify thaf I understand �haf the regulations of other government agenei�s may apply to the intended wark, and that it is
my responsibility to identify whet actions I must take fo be in compliance. Such agencies include bu#are not limited to:
- Department of Enviranmental Pratection-Cypress �ayheads, Wetland Areas and Environmentally Sensifive
Lands, Water/Wastewater 7reatment.
- �outhwest Florida Water Management District-VVells, Cypress �ayheads, V1/e#land Areas, Altering
Watercourses.
- Army Corps of Engineers-Sea+rvalls, Docks, PVavigable VIlaternrays.
- E?epartment of Hea#fh � Rehabilitative Services/�nr�iranmental Ftealth Unit-We11s, Vtlastewater 7reatment,
�eptic Tanks.
- US Environmental Prafectior��4gency-Asbestos abat�ment.
- Federal Avia#ion Authority-Runways.
R understand that the following rsstrictions apply to the use af fill:
- Use of fill is not aliawed in Fiood Zone"V"unless expressly permitted.
- If the �II material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume° vviil be submitted at time of permifting uvhich is prepared by a professiana! engineer
licensed by the State of Florida.
- If fhe fill material is to be used in Flood �one "A" in connection with a permitted building using stem vual{
construction, I certify thak fill will be used only to fill the area within the stem wall.
- !f frll material is to be used in any area, 9 certify that use af such fill writ! nat adversely affect adjacent
properties. If use of fill is found to advers�iy affect adjacent properties, the owner may be ci#ed for viola#ing
lhe conditions of the building permit issued under the attached permit applicatian, for lots less than one (1)
acre wrhich are eleva#ed by ftll, art engineered drainage pSan is required.
If I am the AGIEPIT IFOR�'Ffl� Ll1�li�l�l�, I promis� in good faith to inform the owner of#he permitting conditions set forth in
, this afficfavit prior to commencing construction. i und�rstand that a separate pe�mit may be required for electrical vvork,
plumbing, signs, wells, poofs, air conditioning, gas, or other insfallafions not specifically included in fhe application. A
permit issued shall be construed to be a license to proceed with the +ntork and not as authori#y to vialate, cancel, alter, or
set aside any provisians af the technica! codes, nar shall issuance of a permif prevent the 8uilding (Jfficia!frvm thereafter
requiring a correction of errors in plans, construction or violations of any codes. �very permi# issued shall become invalid
unfess the r�rork authorized by such permit is commenced �nri#hin six rryonths of permi# issuance, or if�nrork aufhorized by
the permit is suspended or abandoned for a period of six(6) months after khe time the work is commenced. An extension
may be requesEed, in v�rriting, from the Building QfFicial far a period not to exceed ninety (90) days and wil! demonstrate
jusfifiab�e cause for fhe extension. If work ceases for ninefy(9p)consecutive days, the job is considered abandoned.
1�tA�td1Fl� TC9 Q11�1N�i4: Y�tJ�t i��iLUR� T� �Z����D � �OTlC� ��' Ct}�i�H�1VC�i�,LWT ��lY �F�SUL7' !�1 Yt3U�
�d�YlfdC TVIPYC� �CIR IfVi�'ROV�WI�1��'S T'(7 YOI�I� �'fi�0�'ER7'Y. IfF YOU IP17�fND YC� 0�7AIN fFIPI�►�VCIPIG, �COFI�IJ�.Y
t�U'i��-f Y�ll�t l..�NID�R Ql���Y�1'li��il�#��`f f�1E���� �2��E��ID1�6{C��t#�F R�Q�'�C�Cl����4i���G��iE�Y.
FLORIDA JURAT(F.S. 117 03)
Ot�tRlEft OF2 AGERIT COP1'TF�AC�'QF2
Subscribed and swom to(or aftirmed)before me this 5ubscribed and sworn ta(or affirmed)before me this
� bY by
Who islare personally known to me ar haslhave praduced Wha Istare personally knowm ta me or haslhave produced
as Identificatian. as identificakion.
i
i
PJotary Public Notary Public
Commisslon No.
Commission Na.
Name oC Notary typed,printed or stamped IVame of Notary typed,printed or stamped