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HomeMy WebLinkAbout15-15953 CI OF ZEPHYRHILLS .: . - 5335-8TH STREET ,_ _ . � �sis)�so-oozo 159 3 . ' PL MBING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit#:15953 Issued: 1/27 2015 Address: 5722 19TH ST ' Permit Type: SEWERLINE REPLACEMEN ZEPHYRHILLS, FL. Class of Work: SEWERLINE REPLACEMEN Township: Range: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: , Sq. Feet: Est. Value: Book: Page: Cost: 3,500.00 Total Fees: 46.00 Subdivision: CITY OF ZEPWYRHILLS Amount Paid: 46.00 Date Paid: 1/2 /2015 Parcel Number: 11-26-21-0010-07800-0070 CONTRACTOR INFORMATION OWNER INFORMATION Name: THE DRAIN TEAM Name: STOSH JAMES NICHOLAS Addr: P.O. BOX 531 2025 WILD ACRES RD Address: 5722 19TH ST LARGO, FLORIDA 33779 ZEPHYRHILLS FL 33542-4437 Phone: (727)573-5400 Lic: Phone: 813-629-6175 Work Desc: SEWERLINE REPLACED A PLICATION FEES SEWERLINE 46.00 INSP CTIONS REQUIRED FINAL , ����- �. � r ;' REINSPECTION FEES: Reinspection fees will c mply with Florida Statute 553.80 (2)(c)when extra inspection trips are necessa�y due to any one of the foll ing reasons: a)wrong address b) condemned work resulting ' from faulty construction c) repairs or corre ions not made when inspections called d) work not ready for , inspection when called e) permit not post d on job site� plans not a job site g) work not accessible. � NOTICE: In addition to the requirements of this per it, there may be additional restrictions applicable to this properly that may be found in the public records of this.county, nd there may be additional permits required from other governmental entities such as water ma agement, state agencies or federal agencies. ' The a ment of ins ection fees shall be made b fore an further ermits will be issued to the erson ownin same PY P Y p P 9 �I "Warning to owner: Your failure to record a notice of commencement may result in your paying twice for improvements to your property. If you inten to obtain financing, consult with your lender or an attorney ', before recordin your notice of commencement." Complete Plans, Specifications and Fee Must Acco pany Application. All work shall be performed in accordance with City C des and Ordinances. , _ CONT CTOR PER OFFI PERMIT EXPIRES IN 6 MO THS WITHOUT APPROVED INSPECTIO CALL FOR INSPECT ON - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER � a�aaso-oozo City of Zephy hills Permit Application Fax-813-780-0021 Bu ding Department � Date Receivetl Phone Conta t for Permitting — Owner's Name �� Owner Phone Number Owner's Address z j'"f�� ��• Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address i JOB ADDRESS 7oZ o� �� S�, LOT# � I'i SUBDIVISION PAR EL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e NEW CONSTR B ADD LT 0 SIGN Q Q DEMOLISH INSTALL REP IR PROPOSED USE Q SFR Q COM 0 OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRA E 0 STEEL Q DESCRIPTION OF WORK �(,l)� IG�C�Q e BUILDING SIZE SQ FOOTAGE HEIGHT OBUILDING $ VALUATI N OF TOTAL CONSTRUCTION QELECTRICAL $ AMP SE VICE Q PROGRESS ENERGY W.R.E.C. � PLUMBING $ �� 3���� QMECHANICAL $ VALUATI N OF MECHANICAL INSTALLATION QGAS Q ROOFING Q SPE IALTY Q OTHER I FINISHED FLOOR ELEVATIONS FLO D ZONE AREA QYES NO �IBUILDER OMPANY SIGNATURE EGISTERED Y/ N FEE CURRE� Y/N Address License# I ELECTRICIAN OMPANY I SIGNATURE EGISTERED Y/ N FEE CURRE� Y/N Address License# ' PLUMBER OMPANY I I `'� l�L�t t� I'�C� jh OL , SIGNATURE EGISTERED Y/ N FEE CURRE� N Address c�U�S (N��� �'o l�s '�-'�+ License# MECHANICAL OMPANY 51GNATURE EGISTERED Y/ N FEE CURRE� Y/N Address License# �THER OMPANY 51GNATURE EGISTERED Y/ N FEE CURRE� Y/N Address License# �ESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1) et 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, Sanftary Facilities&1 dumpster;Site Work Permit f r subdivisionsflarge projects �OMMERCIAL Attach(3)complete sets of Building Plans plus a Lif Safety Page;(1)set of Energy Forms.R-O-W Permit far new construction. - Minimum ten(10)working days'after submittal date. Required onsfte,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster.Site Work Permit f r all new projects.All commercial requirements must meet compliance �IGN PERMIT Attach(2)sets of Engineered Plaris. ""'PROPERTY SURVEY required for all NEW con truction. )irections: F(II out application completely. Owner&Contractor sign back of applfcatfon,notarized , If over$2500,a Notice of Commencement is required. (A/C u grades over 57500) ' Agent(for the contractor)or Power of Attomey(for the owner)wou d be someone with notarized letter from owner authorizing same )VER THE COUNTER PERMITTING `(Front of Application Only) � teroofs if shingles Sewers Service,Upgrades; NC,; Fen es(PIoUSurvey/Footage) � � • Driveways-Not over Counter if on public roadways..needs ROW '� - NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restri�ctions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any` applicabte deed restrictions. UNLICENSED CONTRACTORS AND CONTRAC'TOR RESPONSIBILITIES: 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. TftANSPORTATION IMPACT/UTILITIES IMPACT AIVD 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. CONSTRUCTION LIEN LAV11(Chapter 713, 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 Construction 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", 1 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 AF�IDAVIT: 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 � ce�tify 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, Water/Wastewater Treatment. - Southwest Florida Water Nlanagement District-Wells, Cypress Bayheads, Wetland Areas, Altering '` Watercourses. � - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. - Department of Health 8 Rehabilitative Services/Environmental Flealth 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�II 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 Iots less than one (1) acre which are elevated by fill, an engineered drainage plan is required. If I am the AGENT FOR THE OWIVER, 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 b�e construed to be a license to proceed with the work and not as authority to.violate, cancel, alter, or set aside any provisi�ns of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter � re uirin a correction of errors in lans, construction or violations of any codes. Every permit issued shall become invalid I q 9 P unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by I 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. WARNING TO OWNER: YOUR F�1ILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUFZ PAYING T1�IICE FOR IMPROVEflAENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FIN�►NCIfVG, CONSULY WIITii YOUR�LEiVDER"Oit�►W-F►'P'i'ORNEIf�EFOR� �ECORDING YOIiFt NOTICE OF COIIAIVIENCEiYiENY. FLORIDA JURAT(F.S.117.03) � OWNER OR AGENT CONTRACTO Subscribed and sworn to(or affirmed)before me this Subscrlbed an w t�(or affirmed)befp re me this by �Z�-/� by 1 �\ � �l C►u�-S Who islare personally known to me or haslhave produced Who Is/are p�er�onally. pwn�pr5�e or has/have produced as ldentlficatlon. ��(`��,Yi'lG� 1�� d-i�cY� as Identification. Notary Public f Notary Public ;�Y AYe�� JACQUELINE B ES Commisslon No. Co ion �;g' ��= ;;;�, �; Expires December 12,2p1g Name of Notary typed,printed or stamped Name of Not ���� �asao�s i , . , � �� � Illllllllllllillllllllflllllllllllllllilllllilllllllllllllll � . 2015012201 �, t Rcpt:1656296 Rec: 10.00 DS: 0.00 IT: 0.00 ��s � Na7TIC OF COMMENCEMENT 01/27/2015 D. W. , Dpty C 1 erk Permit No. , -��_2�,�[,p 1 Property Identification No. � � � b THE UNDERSIGNED hereby gives notice that improve ents will be made to certain real roperty,and in accordance with Section 713.13 of the Florida Statutes,the following information's provided in the NOTICE OF COMMENCEMENT. 1. Description ofproperty(/egal description:) ��1 �� � s� {S'f l o� �0'�5 7t$ �o� 78 a) Street Address: '�'`i" S' ' "��� ' 2. General description of improvements �' ��- �� •�' , 3. Owner Information /A • . ST s > > a) Name and address: tA/� � b) Name and address of fee simple ritleholder(if o er th�n owner) ��ZZ 'T ' S%• -' l c) Interest in properiy 3� � �4. Contractor Information p f a) Name and address• 'n 'rf�-�.ce Wti� �O 5 !.0�`1 c� 6�i-C�•e� /e °�_ • !�'' � 7 3'.�?Z� b) Telephone No.: - S 73-- �Z"D __ Fax No.(Opt.) 5. Surety Information a) Name and address• • b� AmountofBond: Pau�a s.o'NEIL,Ph D PASCO CLERK 8 COMPTROLLER c) TelephoneNo.: FaxNo.(Opt.)_01/27/�015 i1:54am 1 of 1 ' 6. Lender OR BK gl�g PG 3857 a) Name and address: - - 7. Idenrity of person within the State of Florida design ed by owner upon whom notices or other documents may be served; . a) Name and address: b) Telephone No.: Fax No.(Opt.) 8. In addition to himself,owner designates the followi g pers�n to receive a copy of the Lienor's I�?otice as provided in Section 713.13(1)(b),Florida Statutes: a) Name and address: b) Telephone No.: Fax No.(Opt.) 9. Expiration date of Notice of Commencement(the e iration date is one year from the date of recording unless a different date is specified): WARNING TO OWNER:ANY PAYIV�NTS MADE BY THE OWNER AFTER THE EXPIRATTON OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROP R PAYMENTS UIVDER CHAPTER 713,PART 1,SECTION 713.13, FLORIDA STATUTES AND CAN RESULT IIV YO PAYING TWICE FOR IPROVEMENTS TO YOUR PROPERTY.A � NOTICE OF COMMENCEMENT MU5T BE REC ED AND POSTED ON THE JOB SITE BEFORE THE FIRST ' INSPECTION.IF YOU INTEND TO OBTAIN FIN CING,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDIIVG YOU N TI�E OF C MMENCEMENT i STATE OF FLORIDA COUNTY OF PASCO � � S� tu OF Owner or Qwner's Authorized OfficedDirecwr/Psrtner/Managw __��u-e s � 3%os�/ " , �;�t N�� � T'he foregoing instrument was aclrnowledged before me this day oF �74►^� ,20�by T���� /l�• ��"S� I � (type of authori e.g.officer,trustee,attomey in fact)for n e of pariy an behalf of whom instrumen uted). Personally Known OR Produced Identification�, Notary Signature Type of Identification Produced � �� Name(print) s�O� �/'`�� � Verification pursuant to Secrion 92.525,Florida Statutes.Und penalties of perjury,I declare that I have read the foregoing and that the facts stated in it are true to the best of my knowledge and belief. FORMS/NOC.rvad2007 � � SfguweofN�aaalPefsonSiyninQAbave , ,�� '�, Not�ry PubWc,Sm`ro ofFlorida . � ' � �.' Commieslon/FF 28998 I My a0mm.expires June 46,2017 _ I � � � - •. , � r � I >((� F�p;�^ ����s�z,���k�� �5���... �'.r eR`��;e1PJt°l�GQZD9'ti f Y �J� rt"aJ�� , �+, S• d ,�'.......� � ¢ y ma' '1��iIS IS TO Gcr�T!�Y?ril�T THE FO�CGOI�!G fS A ���'u�e,,,�' ''t ���� -��,u���1vD GOi?���T�GPY OF THE���OFF CE �• � � ; ON FiLE CJ:�F PUBLIC RtCdRQ IIV TH,� 4,F ,�., ', .� W N�S�NI�;HAi�1DAN� ��i�CIALSEALTHIS �j �,z�,U�t 4 � �� 2 .� '�' �' � Fn catf . � �:,_ ., c"d `'. �. �DAY OF '"= r-�. CLERK& OM TROL� ` a, �`�., . '� PAULA S O NEIL, � - � :. �., � �D���UTY CLERK ,� � . $8�� �Q, BY �—__ `�.,}�'.a���.�0����°�'�