HomeMy WebLinkAbout15-16483 CITY OF ZEPHYRHILLS
• 5335-8TH STREET
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PLUMBING PERMIT
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PERMIT INFORMATION ' ' LOCATION INFORMATION �-
Permit#:16483 Issued: 8/03/2015 Address: 7254 GALL BLVD
Permit Type: PLUMBING I ZEPHYRHILLS, FL.
Class of Work: PLUMBING/NEW � Township: Range:
Proposed Use: NOT APPLICABLE ' Lot(s): Block: Section:
Sq. Feet: Es�. Value: � Book: Page:
Cost: 2,400.00 Total Fees: 40.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 40.00 Date Paid: 8/03/2015 Parcel Number: 35-25-21-0010-08800-0000
CONTRACTOR INFORMATION -I - OWNER INFORMATION
Name: OX CONSTRUCTION LLC i Name: -
Addr: PO BOX 3784 � Address: 7254 GALL BLVD ` �W'L'�'�
LAKELAND FL 33802-3784 � ZEPHYRHILLS, FL. 33542
Phone: (863)802-1121 Lic: i Phone: 813)782-9520
Work Desc: INSTALL GREASE TRAP � ��,�
- � APPLI ION ES � - �
PLUMBING FEE 40.00 I
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INSPECTIONS REQUIRED �
1ST ROUGH PLUMB i
2ND ROUGH PLUMB °
SEWER �
FINALR - '� � ���
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REINSPECTION FEES: Reinspection fees will comply with Florida ta te 553.80 (2)(c)when extra inspection
trips are necessary due to any one of the following reasons: a)wrong address b) condemned work resulting
from faulty construction c) repairs or correctio i s not made when inspections called d)work not ready for
inspection when called e) permit not posted on job site� plans not a job site g) work not accessible.
NOTICE: In addition to the requirements of this permit� there may be additional restrictions applicable to this property that
may be found in the public records of this county, and�there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
The payment of inspection fees shall be made bef Ire any further permits will be issued to the person owning same
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing,consult with your lender or an attorney
before recording y,our notice of commencement."
Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City
Codes and Ordinances.
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CONTRACTOR i PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
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CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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a»-�aaoozo City of Zephyrhills Permit Application Fax-si�-�saooz�
- Buiiding Department
Date Received ,�Z C Phane Contactfor Permitting l�"� �� �— � /
1 1 1 1 1 1 1 1 1 1 1 1 1
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Owners Name �+p'C �� ! Owner Phone Number ��o � � �
,,c / 'L� �` ' $!3 ?So �24g
Owner'sAddress W C.OhjSIT��DF.cIJ 5T/��� OwnerPhoneNumber
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Fee Slmple Titleholder Name ir �1��5 � Owner Phone Number
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Fee Simple Titleholder Address I
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JOB ADDRES3 Z S � ✓� I I �D 1VNI 2E �4 r l�1�(,s S LOT# �
SUBDIVISION ` PARC IL ID# SZ 5L� �I � $S� OOOD
(OBTAINED FROM PROPERTYTAX NO710E)
WORK PROPOSED e NEW CONSTR e ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM� 0 OTHER
TYPE OF CONSTRUC710N Q BLOCK Q FRAME 0 STEEL Q
DESCRIP710N OF WORK �i r�,�G � I.L-f�'ST��
BUILDINO SIZE SQ FOOTAGE� HEIGHT �
�BUILDING S VALUATIOrI OFTOTALCONSTRUCTION
QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C.
�PLUMBING Q �r�����' \b���
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QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
QGAS Q ROOFING Q SPECIALTY 0 , OTHER
FINISHED FLOOR ELEVATIONS FLOiD ZONE AR64 QYES NO
BUILDER •IOMPANY• ���?/�'"�'� �M���•
SIGNATURE �EGISTEREO Y N FEE CURREt� Y/N
Address I License#
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ELECTRICIAN COMPANY
SIGNATURE REG�STE32m Y/ N FEECURREn Y!N
Address I License#
PLUMBER r_ /�, / I OMPANY �/Jl Ory,�fv�GTI(�A� COMQ�N
SIGNATURE T �v �� GISrE�t� Y N FEE CURREA Y/N
Address � r/i�� � I /� License#
MECHANICAL I OMPANY
SIGNATURE �REGISiERED Y/ N FEE CURRE� Y/N
Address I License#
OTHER COMPANY �
SIGNATURE REGISTERED Y/ N �E cuR�h Y/N
Address I License#
IIf11I111111111111I1111I1I1t1111I1I�11111I111t1I1111I1111f1111IIIfI1
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fartns;R-O-W Pertnit for new construction,
Minimum ten(10)worldng days after submittal date� Required onsite,ConsUuclion Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facili6es 81 dumpster,Site Wark Permit for subdivisionsAarge projects
COMMERCIAL Attach(3)complete sets of Building Plans plus a Li�e SaTety Page;(1)set of Energy Forms.R-O-W Pertnit for new construdion.
Mlnlmum ten(10)working days after submittal date. Requlred onsfte,ConsWctlon Plans,Stortnwater Plans w/Silt Fence Installed,
Sanitary FaGlities&1 dumpster.Site Wor1c Permit for all new prajects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets af Engineered Plans.
""PROPER7Y SURVEY required far all NEW construction.
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Direclions:• • • • • • • • • • • • • • • • • • • • • • • I
Fill out applicatfon completely.
Owner&ConVactor sign back of application,notarized
It over 52500,a Notice of Commencement Is required. (A/C i pgrades over$7500)
" Agent(for the contractor)or Power of Attomey(for the ovmer)woi Id 6e sameone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Onty)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage)
Drlveways-Noi over Counter if on public roadways..needs ROW
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PIOTICE OF DEED RESTI2ICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions"
� which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
• applicable deed restricUons. i
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contracfor or
contractors to undertake work,they may be required to be Iicensed in accordance with state and local regulations. If ihe
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 appiy 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 fias 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 wfll be responslble. If you, as the owner sign as the
contractor, that may be an indication that he is not properiy licensed and is not entitled to permitting privileges in Pasco
County. I
TRANSPORTATION IMPACTIUTILITIES IMPACT 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 Ithat 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 WatedSewer Impact
fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713,Florlda 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",I certify that I have obtained a copy of the above described document and promise in go�d faith to
deliver it to the"owner"prior to commencement. �
CONTRACTOR'SIOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that ail work
wiil be dane in compliance with alllapplicabie 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
construclion, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
� certify that I understand thai the regulations of otFier government agencies may apply to the intended work,and that it is
my responsibiliry 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, Vlletland Areas and Environmentally Sensitive
Lands,WatedWastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
- Department of Healthl 8 Rehabilitative Services/Environmental Health Unit-Weils, Wastewater Treatment,
Septic Tanks.
- US Environmental Protectlon Agency-Asbestos abatement.
Federal Aviation Authority-Runways.
I understand that the following rest�ictions 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 conneciion with a permiited building using stem wall
construction,I certify that fill will be used only to fili the area within the stem wail.
- If fill material is to be used in any area, 1 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 fssued 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 commencingl 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 to 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
lhe permit is suspended or abandoned for a period of six(6)months after the time the work is commenced. An extension
may be requesled, in writing,from the Building Official for a period not to exceed ninety(90)days and will demonstrate
justifiable cause for the extensioni If work ceases for ninety(90)consecutive days,the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117.03) �n
ONMER OR AGENT CONTRACTOR� `�Q���ll� Q- ��
Subsalbed and swom to(or affirmed)beiore me this Subscribed and b�om to( aftirmed) efore me this
by
Who islare personally known to me or hasRiave produced Who Islare s ally known to me o has/have produced
as Identlficadon. as Identlfication.
INotary Publlc olary Public
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I :�:.::,,.; ,iC�EL E.BACON
Commisslon No. Commis r� .
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I .�a� �r: Ex ires June 2
Name oi Notary typed,printed or stamped Name f t��,-q(i�prin�fsx�rtu�n Insuranee 80a3B5-)07H
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P R E C A S L cc�"wriamo a�.n
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13365 SOUTHERN PRECAST DR. ALA HUA �'l.. 32615
{�ss���—�o�� FAX {386}462'�7ot
1,250 �GALLON 6'x 9' x 4'4-1�2'� l.b. �H--20� GREASE INTERCEPTOR
1.) CQNCRETE 5500 psi C� 2$ DAYS 5.) 4"� / 6"� INLET & OUTLET ASTM APPROVED GASKETS
2.} ftE1NFORC�NG GRADE 60 6.) CONCRE� JOINT SEA�ER "EVERGRIP 990" {OR EQl1AL)
3.) WALLS & BASE 6" THICK, TOP 6" THICK, 7.) (2) 24" ACCESS OPENINGS IN TOP
BAFFLE 3" THICK 8.} AIR SPACE OF 29� {flR 42fi GA��.ONS)
4.) APPROXIMAIE WEIGHTS: 9.) (2) USF 1117BL RING AND CQVER LABELED
80iTOM V11�IGNT: 15,560 Ibs. {3.89 cy) "GREASE TRAP" {{�R EQUAL}
TQP WEIGHT: 5,572 Ibs. (1.39 cy)
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, • 1,250 GALLON 6'x 9' x 4'-4— 1�2" I.D. (H-20) GREASE INTERCEPTOR
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