HomeMy WebLinkAbout15-15910 C! UF Z�PHYRHILLS
3�:�-8TH S7REET
, � (813}780-0020 15 1�}
PL MBING PERMIT
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� •PERMIT INFORMATIQN • ? LOCQTION INFORMATION �
Permit#:15914 Issued: 1/13 2015 Address: 5942 13TH ST
Permit Type: SEWERLlNE REPLACEMEN � ZEPHYRNILLS, FL.
Class of Work: SEWERLINE REPLACEMEN Township: Range:
Proposed Use: NOT APPLICABLE Lot(s}: Block: Sec#ion:
Sq. Feet: Est.Value: � Book: Page:
Cost: 700.00 Total Fees 46:00 Subdivisian: C{TY C?F ZEPHYRHILLS
Amount Paid: 46.40 Date Paid: 1!1 /2015 Parcel Number: 11-26-21-Q010-02000-012Q
CONTRACTQR INFORMATIt3N I OWNER INFORMATION
Name: DENNIS WILLlAMS INClPLUMB C Y Name: APOLLO ACC�UISTION AND DEVELOPM N
Addr: P.O. BOX 3039 , Address: 5001 GRAINARY AVE
ZEPHYRHILLS,FL. 33539 TAMPA FL 33624-2020
Phone: (813)782-9520 Lic: Phone: 813-453-1950
Work Desc: SEWER L1NE REPLACEME T (
� ` PPL°ICATIC?N FEES �
SEiNERLINE 46.Q0 •
!NS ECTIONS REQUIRED
FINAL - -
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REINSPECTION FEES: Reinspection fees will comply)with Florida Statute 553.80 (2)(c)when e�ctra inspec#ion �
trips are necessary due to any one of the fo lowing reasons: a)wrong address b)candemnad work resulting
from faulty construcEion c) repairs or corr ctions nat made when inspections catled d}work not ready for
inspection when calied e) permit nat po ed onl jab site f� plans not a job site g}work not accessible.
NOTICE: In addition to the requirements af this ermit,tHere may be addit9onaf restrictions applicable to this property that
may be found in the public records of this coun , and there may be additiana! permits required from other governmental
enfiities such as water anagement, state agencies ar federal agencies.
The payment of inspection fees shall be mad before�any further permits wi(I be issued to the persan owning same
"Warning to owner: Your failure to recor a notice of commencement may result in your paying twice for
improvemen#s to your property. If you in end�to obtain financing,consult with yaur tender ar an attorney
before record ng your natice of commencement."
Camplete Fians, Specifications and Fee Must Ac ompany�Applicatian.Afl work shal! be performed in accordance with City
Codes and Ordinances.
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f����t (Q,t/iiL,�t/ �l�-�'L'"'�r' �
° CONTRACTOR � PER OFFI
PERMTT EXPIRES IN 6 I�NTHS WITHOUT APPROVED TNSPECTIO
CALL FOR INSPE ION - 8 HQUR NCITICE REQUIRED
PRQT CT CARD �ROM WEATHER
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, $�a-7�o-ooza City af Z phyrhills Permit Application Fax-813-780-0421
Buiiding Depariment
Ciate Received ' ('� r� ^�
� `� �� Phane on#act for Permitfin �,1�� t�t11 -�F��
oeuner's 1�ame al1c� Ac Lt t S-�io � Lcc.
+'�S ��-��-� �-s��) Owner P'hone Cdumber
Obvner's Address � C-�t�„�C�C��' (at�- K��'Y1(14, L ��j(¢a� pyy�er Phone Number �— ���
Fee Simpte Titleholder Name �—� r i Qwner Phone Number �� ^ ��
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Fee Simple"Tittehaider Address
JOB A1C►DRESS �1�� t�� �1• Z S r'4i� ��Sy�. LOT# ��
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SUBDlVlSIdN � � PARCEL ID# l�" r�0-c�� 'C�C7l l��~�c�.�' U�c�..�
___—_.�_ ,_..- ' - -- -� ---- ---� - ---- —_ _�_--= -' -- - � _ —___-_
� � f (OBTAINED FROM PROPERTY 7AX N0710E)
WoRK PROPOSED � r��w coNSTa 8 ADD/ALT [_] SIGN [� [r] DEMOLISH
tNSTALL REPAIRj n
PROPQSED U3E Q SFR Q Gt�;;AN►; y � OTHER
7YPE OF GONSTRUCTIOI� [� BLOCK Q FRAME� C� STEEL Q
L1�SCRi�T10N OF WORK ��--��(� ,l'�`Q-- � ' `,C�C„('C�'�.,.��
BtdlLDING SIZE �� � SQ FOOTAG ; � tiE1GHT C�_ �
QBUILDING ($ � V LUATfON OF TOTAL CONSTF2UGT40N
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[�]ELECTRICAL ($— � A P SERVICE 0 PROGRESS ENERGY Q W.R.E.C.
�...._....,__..._ ;
PLUMBING $ ;
�lC�,� , � `��,t�
QMECHANICAL $ V LUATIONI OF MECHAMCAL INSTAL�ATION
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�]GAS [� ROOFING Q SPECIALTY � OTHEF2
FINISHED FLOOR ELEVATIONS FLOOD)ZONE AFtEA QYES NO
BUILDER COMPANY
SIGNA7URE REGISTERED Y/ N FEE CURRE� Y/N
Address � ; �icense#
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ELECTRIClAN - COMPANY
SIGMATURE � REGISTERED Y/ N FEE CURRE� Y/N
Address ' I l.icense# �— ����
PLUM�ER ' `Jy���3i � �? ig ,,�•�^ , G I MPANY n'�,�5 �1``l�j,(�,�j, t C1C_...
SIGNATURE l.L��[r ��T��J� —' ! � REGISTERED Y N FEE CURRE� Y RI
Address 51(��J ,�"t�h S� ��t�1�5 4 Z. �'j�y c�� �.�cense# ��-�.�����c�a �
M�CHANICAL � COMPANY
SIGIdATURE ! REGISTERED Y/ N FEE CURRE� Y/N
address � I L4cense# �� �:�
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OTHER ' COMPANY
S(GIdA7'URE REGISTEREQ Y J IV FEE CtTftREA Y/N
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Address � � License# r— � �
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RE5IDENTIAL Attach(2)Plot Plans;(2)sets of Building PI ns;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submi tai date. Required ansite,GanstrucUon Pians,SEormwa#er Pians wi Siit Fence instatied,
San�tary Faciiltles�1 dumpster,Site Wor4c ermit for subdivisions(large proJects
GOMMERCIAL Aktach(3)complete sets of Build(ng Plans lus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submi tal date. Required onsite,Construction Plans,Stormwater Pians w/Sitt Fence instalied,
Sanitary Facltitles&1 dumpster.Sate WarK Permit far ati new pra}ects.AIE commerc�al requirements must meet campliance
SIGR}PERMlT Attach{2)sets of Engineered Plans.
*""PROPERTY SURVEY required for atl N W cbnstruction.
Directlons: � �
Fiil out application completely. �
Owner&Contraokor sign back of applica#ion,notarized �
If over E2500,a Notice af Cammencement fs reqaired. {A/C upgrades over�7'500)
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"* Agent(for the contractor)ar Pawer of Attomey{for the o er)would be sameone wlth notarized lerier'frorrm owner authorizing.same ,
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ONER 7HE GC}l3NTER PERMlT('!NG {Fcont.of.�AppBcati n.Qnly);.;,: . , , ., , ' _ , _ ,
Reroofs if shingles Sewers `! Service',Upgrades�A/C : ' ;Fences(Plok/Survey/Footage) � , �
�riveways-Not over Countsr if.an pu6lic r6adrvays..need F20W� l i � "- " - -. �,-.- � �•��.. ._.. :__,„_. .
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NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed" restrictians" ' '
which may be more restrictive fhan Caunty regulations. The undersigned assumes responsibility for corrtpliance with any
applicable deed restrictions.
UNLICENSED Ct�NTR�CTaRS AND C�NTRACTOE2 FZESPONSfBILiYIES: if the owner has hired a cantractor or
contractors #o undertake work, they may be required ta 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. !f the owner ar intended contractar are uncerfain as ta whaf licensing requiremen#s may apply far the
intended wark, they are advised to contack the Pasco County Building Inspection Division—Licensing Section at 727-847-
80Q9. Fuethermare, if the awc�er has hlred a contractor or con#ractors, he is advised ta have the contractar{s} sign
portians of the "contractar Black" of this application for which they will be responsible. If you, as the owner sign as fhe
contractor, thaE may be an indication that he is not properly licensed��,�nd is not entitled to permi#ting privileges in Pasca
County. �' �
'TRAIVSPORTATION IMPACTIUTILIYIES IMPAC'�'AND RESOURCE RECOV�RY FEES: The undersigned understands
that Transportatian impact Fees and Recourse Recavery Fees may apply fo the canstructian of new bu9ldings, change of
use in existing buiidings, or expansian of existing buiidings, as specified in Pasco Caunty Ordinance number �9-07 and
90-07, as amended. The undersigned also understands, tha#such fees, as may be due, wii! be identified at the time of
permitting. ik is further understood thaf Transpvrtafion Impact Fees and Resource Recovery Fees must be paid prior to
' receiving a °certi�cate of occupancy" or final power release. if�he pr�ect does not involve a certificate of occupancy or
frnal power retease, the fees must be paid prior to perm�t issuanee. `�urthermore, if Pasca County UVaterlSewer Impact
�� fees are due, they must be paid prior to permit issuance in accordance wi#h applicable F'asca County ordinances.
CONSTRUCTEON I.IEN E.A1tV{Chapter 713, Florlda Statutes,as amended}: Ef valuation of wark is$2,500.Q0 ar more, 1
certify that I, the applicant, have been provided with a capjr of the "Florida Construction Lien Law—Hameowner's
, Protection Guide" prepared by the Florida Depar#ment of Agriculture and Consumer Affairs. (f the applicant is sameone
other than the"owner", I certify#hat I have obtained a copy of the above described dacument and promise in good faith to
deliver it to the°owner"prior to commencement.
CaNTRACTOR'S/t}WNER'S AFFICIAVIT: 1 certify that all fhe inforrnation in fhis application is accurate and thaf all work
will be done in compliance with all applicable laws regulating construction, zoning and land develapment. Application is
hereby made to obtaRn a perr�it to da wark and installation as indicated. 1 certify that no work or installation has
commenced prior to issuance of a permit and that all work wilt be performed to meet sfandards of all Iaws regulating
construckion, County and City codes, zon9ng regulatians, and land development regulations in the jurisdiction. I also
cerfify thaf I understand thaf the regulations of other government ageneies may appiy ta fhe intended work, and that if is
my responsibility to identify what actions I must take to be in compliance. Such agencies include 6ut are not limited ta:
- Departmenf of EnvironmentaE Protection-Cypress Bayheads, Wetland Areas and Enuironmentally Sensitive
Lands, WaterMlas#ewater Treatment.
- Southwest Flarida Water Management District-WeEls, Cypress Bayheads, Wetland Areas, AI#ering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. .
- Deparfinent of HealtFt & Rehabilitative Services/Enviranmentat Flealtfii Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environment�� �'rotecti�n Agency-Asbestos aba#ement.
- Federal Avia#ion Authority-Runways.
1 understand that the fallowing resErictions apply to the use of fill;
- Use of fiil is not aliowed in Flood Zone"V°unless expressly permitted.
- If the fill material is to be used in Flood Zone °A", it is unders#ood that a drainage plan addressing a
"compensating volume� will be submitted af time of permifting vuhich is prepared by a professional engirieer
licensed by#he State of Florida.
- If fhe fill ma#erial is to be used in Flood Zane "A" in connection with a permifted building using stem wal4
construction, I cer#ify tha#filf will be used only to�II fhe area within the sfem wall.
- If fill material is to be used in any area, I certify that use of such fil) will not adversely affect adjacent
properties. (f use of fill is found to adversely affect adjacent properties, tha owner may be cifed for vialating
' the conditions of the building permik issued under the attached permit applicatian, far lots less than one (1)
� acre which are elevated by fill, an engineered drairtage plan is required.
If I am the AGEN'T FOR THE OVIINER, I promise in gaod faith to inform the owner of the permitting conditions set forth in
this aifidavit prior to comrnencing construction. 1 understand that a separate permik may be required for electrical work,
plumbing, signs, wel(s, pools, air conditioning, gas, or other installations not specificaliy inciuded in the appiication, A
permi# issued shall be construed to be a license to procesd with the work and not as authority to,violate, cancel, alter, or
set aside any provisions of the#echnical cades, nor shal! issuance of a permff prevent fhe Building O�cial fram thereafter
requiring a correction of errors in plans, construction or violatians af any codes. Every permi# issued shall become invalid
+unless the work authorixed by such permit 'ss 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 requssted, in writing, from the Building Official for a period not ta exceed ninety (90) days and wi!! demonstrate
jusfifiabie cause for fhe extension. (f work ceases for ninety(90}consecutive days, the job is considered abandoned.
WARNING TO OWNER: YOUR �AILURE TO RECORD A NQTICE aF COMIVIENCEMENT �tiAY RESULT 1N YC1U1�
P'AYING TWICE F'OR IfVIPROVEnIIENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
V111T}�I�YOU�t CEhICt��-OR�►N ATTQRN�Y��FC1RE�ECORDlNG YOiJR NC?TI�E t�F CC?MEttlENCEMEfl1T.- -
FLORIDA JURAT(F.B.117.03)
OWI�IER OR AGENT -J CONTRACTOR;�'����-�A� t...R1��''.�'
Subsc�ibed and swom t� irmed)before me tht� Subscrlbed and swom to(or affirmed)before me fhis
�y by
Who islare personally kttown to me or ttaslhave pradnced Who islare personatly known to me or haslhave produced
as idendficaBon. as identi�catJon.
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No ry Public � Notary Public
1 ��+�� Commf si =tit"�'ft�'=_ '����-E.BAC4N
Co mi slo �. «- Commission�#FF 1370�3 . an . ,
'y � �= g���FainlnxuanceeDO+�'�1��9 � �'a,: Expires June 29,2098
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Name of Notary typed,printed or stamped Name of No '� �,`
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