HomeMy WebLinkAbout14-15742 CITY OF ZEP' YRHILLS
f' ' ' S335-8TH STREET
(813)780 0020 15742
PLUMBIN PERMIT
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Permit#:15742 Issued: 10/27/2014 Address: 5453 10TH STREET
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: 10/27/201 Parcel Number: 11-26-21-0010-11900-0070
= s' '�����^�CONTRi4CTOR�INFORMATIOIV � ����` "� ��`�Y��`OWNER.INFORMi4TION g� e'� ������
Name: DENNIS WILLIAMS INC/PLUMB CRAZY � � Name: MOREL JAMES I & JOYCE�E TRUST
Addr: P.O. BOX 3039 Address: 5914 WILSON DR
ZEPHYRHILLS,FL. 33539 ZEPHYRHILLS FL 33542-7927
Phone: (813)782-9520 Lic: Phone:
Work Desc: .�N-�TQi i nic�A/ CC\A/CD I IAIC �y'e ' ����.�.
� � ���y.. -,� . , .. .. . . : - . � APPLICATI N FEE _ __ , - � : .
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SEWERLINE 46.00
! �� - � INSPECTIONS REQUIRED
FINAL
�,
REINSPECTION FEES: Reinspection fees will comply wit Florida Statute 553.80 (2)(c)when extra inspection
trips are necessary due to any one of the following rea ons: a)wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not ade 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 ay be additional restrictions applicable to this properly that
may be found in the public records of this county, and there ay be additional permits required from other governmental
entities such as water management, tate agencies or federal agencies.
The payment of inspection fees shall be made before any urther permits will be issued to the person owning same
"Warning to owner: Your failure to record a notice of ommencement may result in your paying twice for
improvements to your property. If you intend to obta n financing,consult with your lender or an attorney
before recording your no ice of commencement."
Complete Plans, Specifications and Fee Must Accompany Appl cation. All work shall be performed in accordance with City
Codes and rdinances.
��J�V`.
CONTRACTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS THOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 OUR NOTICE REQUIRED
PROTECT CARD ROM WEATHER
s�s-�eo-oo2o City of ZephyrhillM Permit Application Fax-813-780-0021
Build(ng epartment
Date FTeceived ;� � �� Phone Contact for ermittin CJI� �lJ:� — q��
Ouvner's Name ��QS �� �� C+�— �'��� t Owner Phone Number
Ovuner's Address �'yS� ��h � Z"h���S��'�-�u a Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titieholder Address
JOB ADDRESS �'"��� ���h �Jti� �2.- `1� Y y 1�` S, �L 335U a LOT# ��
SUBDIVISION PARCEL I #
(OBTAINED FROM PROPERTY TAX NOTICE)
WORIC PROPOSED e NEW CONSTR B ADD/ALT � SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTIOM Q BLOCK Q FRAME 0 STEEL Q
DESCRIPTION OF WORK �'��TCL�� ��VJ 5�,��( �l��
BUILDING SIZE SQ FOOTAGE HEIGHT
QBUILDING $ VALUATION O TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVIC Q PROGRESS ENERGY Q W.R.E.C.
�PLUMBING $ ��,�.1'�r� ���
�{V lJ � 1�
OMECHANICAL $ VALUATION 0 MECHANICAL INSTALLATION
QGAS Q ROOFING Q SPECIAL 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD Z NE AREA QYES NO
BUILDER COM ANY
SIGfdATURE REGI ERED Y/ N FEE CURRE� Y/N
Address License#
ELECTRICIAP! COM ANY
SIGNATURE REGI RED Y/ N FEE CURRE� Y/N
Address License#
PLUMBER ���,,�,c_.Q� ��ti� COM AfVV � �Xl'(�IS �l�`lQ�.i�(�S < <(�C�
SIGNATURE REGI ERED N FEE CURRE� N
Address —�I��J 11��'GJ 1• Z�1�`S►��-- ����-` License# �����'1��LQ�t
MECHANICAL COM ANY
SIGfdATURE REGI TERED Y/ N FEE CURRE� Y/N
Address License#
OTHER ' CO PANY
SIGMATURE REGI TERED Y/ N FEE CURRE� Y/N
Address License#
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Pians;(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 Facllit(es 81 dumpster;Site Work Permit for su divisionsAarge projects
COMMERCIAL Attach(3)complete sets of Buildfng Plans plus a Life Sa ty Page;(1)set of Energy Forms.,R-O-W Permit for new construcNon.
Minfmum ten(10)working days after submittal date. Re uired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all ew projects.All commercial requirements must meet compliance
SIGN PERIMIT Attach(2)sets of Engineered Plans.
""'PROPERTY SURVEY required for all NEW construct on. -
Directions:
Fill out application completely.
Owner 8 Contractor sign back of application,notarized
If over 32500,a Notice of Commencement is required. (A/C upgra es over�7500)
" 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 Only) .. � � "°"'- � -•• �- -� -. _
Reroofs if shingles Sewers �Service Upgrades A/C �� Fences( lot/Survey/Footage) � • ` - ' - - • - •
, ., . ,' � -• . :. � , . �" - _ „ -. .
Driveways-Not over.`•Counter if on public�roadways::needs:ROW � �. , '- " ' � _ '
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i
NOTICE OF DEED FtESTRICTIONS: The undersigned understands that this permit may be subject to"deed°restiictions*
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILIYIES: 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 contractor are uncertain as to what licensing requirements may apply 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 will 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/UTILIYIES IMP�►C7'AND RESOURCE RECOVERY FEES: The undersigned understands
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 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.
CONSYRUCTION LIEIV L�►W(Chapter 7,13, 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 Gonstruction 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'S/OWNER'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, WateNWastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health 8 Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal 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 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 electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed tu 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 Buildirig Official from thereafter
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.
{NARNING TO OWNER: YOUR FAILURE TO RfECORD �1 NOTICE OF COMMENCE�IAENT eVIAY RESULT IN YOUR
PAYING 71iUICE FOR IiIAPROVEMEIVTS TO YOl1R PROPERTY. IF YOU IfVTEND TO OBTAIN FIN�►IVCING, CONSULT
_ InIITH YOUR LENDER OR AN�►TT'ORNEY BEFORE RECORDING YOUR NOTICE OF COMAAENCEnflENT.
FLORIDA JURAT(F.S.117.03) - - �� �_ - -- --
OWNER OR AGENT�� ��r D�'�'— `-'� - - ° CONTRACTOR - �� �-�" �'}�
Subscribed and sworn to� (or affir ed)before me thls Subscrlbed�and sworn to(o affirmed)before me this
by - bY
� Who is/are personally known to me or has/have produced Who is/are personally known to me or has/have produced
as Identlfica6on. as identifica6on.
� � � Notary Public
� Notary Public
""'•� JOEL E BACON Commiss o. •'���'��
Co slon •"�'�° +., • .'' ' �
_;. ;;: omm ssion FfF"t378 :±�;' �:� Commission#FF 137073
:�;. :;; Expires June 29,2018 �_�,: �= •
Name of Not ry" ' ,° �1�9 �'a Name of Notary typ , 'o��f� Feinlns�raneegpp3g5.�p�g