HomeMy WebLinkAbout15-16160 /�/
; ; , , " CITY OF ZEPHYRHILLS �
`' ;, 5335-8TH STREET
�.- .:; � �ais��so-oo20 16 0
PLUMBING PERMIT .
, PERMIT INFORMATION LOCATION INFORMATION
Permit#:16160 Issued: 4/09/2015 Address: 38300 11TH AVE
Permit Type: PLUMBING ZEPHYRHILLS, FL.
Class of Work: PLUMBING/NEW Township: Range:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 2,000.00 Total Fees: 75.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 75.00 Date Paid: 4/09/2015 Parcel Number: 11-26-21-0010-06600-0011
CONTRACTOR INFORMATION OWNER INFORMATION
Name: BENNETT SEPTIC SERVICE INC Name: ARGIRIS CHRISTOS
Addr: 3732 PATE RD Address: PO BOX 224
ZEPHYRHILLS, FL 33541 MOOSE PASS AK 99631-0224
Phone: (813)782-6822 Lic: SR0921109 Phone: 813-479-3666
Work Desc: INSTALL GREASETRAP
APPLICATION FEES
PLUMBING FEE 45.00 CONTRACTOR CERTIFICATE 30.00
INSPECTIONS QUIRED
1ST ROUGH PLUMB
2ND ROUGH PLUMB
SEWER
WATER -
FINAL �
�
�
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 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 corrections not made when inspections called d)work not ready for
inspection vvhen called e) permit not posted on job site f) plans not a job site g) work not ac�essible.
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 before 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 your notice of commencement."
Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City
Codes and Ordinances.
CONTRACTOR PER OFFI
PERMIT EXPIRES IN 6 MOIVTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
� // �
813,�so=oozo City of Zephyrhills Permit Application Fax-813-780-0021
, Building Department
, ' _ '
Date ReceivecL- : i ~ Phone Contact for Permitting — �
Owner's Name � �' � Owner Phone Number � 1 rJ���
Owner's Address 1 Owner Phone Number �1 � ()
Fee Simple Titleholder Name �C '� Owner Phone Number ���. / � � \� �
Fee Simple Titleholder Address �.O� �
JOB ADDRESS � � ( � � LOT# l � 3�
SUBDIVISION l;�� 0 F ��' S PARCEL ID# �` ��`�`"D61� —��� �d—00/�
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT � SIGN Q Q DEMOLISH
e INSTALL B REPAIR
PROPOSED USE Q SFR Q COMM 0 OTHER Y�l�¢- �/!�
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK
BUILDING SIZE SQ FOOTAGE� HEIGHT
�BUILDING $ VALUATION OF TOTAL CONSTRUCTION
DELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C.
OPLUMBING $ � 00
QMECHANICAL $ , VALUATION OF MECHANICAL INSTALLATION
QGAS Q ROOFING Q SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
esUlLDtI— - --- - - - - -
- -- — COMPANY— -. _- -- --- - -- - --—-- - - ----
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
@LECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y J N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
�,�
ildress License#
OTHER � COMPANY � �� �C�.�f/J(,(/, nC�
SIGNATURE REGISTERED Y/ N EE CURRE� Y/N
Address . Q � .f ��,� ,��� License# sr�o9a���
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(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 81 dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL 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 8�1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW construction. •
Directions:
rill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (A/C upgrades 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(PIoUSurvey/Footage) � _ ,
Driveways.-Not over Counter if on public roadways..needs:ROW
�
t�0'TlCE OF D�ED RESTRlCTlONS: The undersigned understands t�at this pe�mit may be subject to°deec�res�rictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for campliance wi#h any
applicable deed restrictions.
UN�.ICENSED CtJNTRACTCIRS AND CONTRACTC�R l�ESPONSIBI�.ITIES: Ef the ownsf 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 whaf 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 ar contractors, he is advised to haye the contractor{s} sign
portions of the "contrac#or Block" of this application for which they will be responsible:�.If you, as the owner sign as the
cont�ac#or, that may be an indication that he is not properiy licensed and is naE entltied to permitting privileges in Pasca
County. _ " - � _ _ ,
Yt2ANSPORTATION IMPAC77UTIL.ITIE� IMP,AC7 AND RESOURCE RI�COVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may appiy to the construction of neuv buildings, change of
use in existing buildings, or expansion af existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands, that such fe�s, as may be due, will be identified at the time of
permitting. It is further understood that Transportatian Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" oc fina! power �eleass. !f the proJect does not irno{ve a aertificate of occupancy or
final power retease, the fees must be paid prior to permif issuance. Furfhermore, if Pasco County WaterfSewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco Caunty ordinances.
CQNSTRUC'TlQN LIEN L.1�►V11(Chapter T13, Fla+rida Skatute�,�s ��nendecf): If valuation.of,�work is$2,500.00 or more, 1
ce�tify that I, the applicant, have been provided with a copy of th� "Florida Canstructiori Lien` l.aw—Homeawner's
Pcotectian Guide° prepared by the Florida Department of Agricutture and Cansumer Affairs. lf the appiicant is satneone,
other than#he°awner", I cerkify that I have obtained a copy of the abov� described dacument and promise in good faith fo '
deliver it to the"owner"prior#o commencement.
CONTF�ACTOR'S/OtiVN�R'S AF�I�AVlT: I eertify that aA the information in fhis appiication is accurate and #hat a14 work
will'be done in compliance with all applicable laws regulating constructian, zaning and land development. Application is
hereby made to abtain a permit to do work artd� instatlation as indicated. 1 certify that no r�rork or instaltation has
commenced priar to issuance of a permit and that ali work will be performed to meet skandards of ali laws regulating
construction, County and City codes, zoning regulations, and iand development regulations in the jurisdiction. t alsa
certify tha# I understand thaf the regulatians of ather government agencies may apply to fhe infended work, and that if is
my responsibility to identify what actions I must take to be in compllance. Such agencies include but are not limited to:
- Deparfinent of �nvironmental Pratection-Cypress Sayheads, Wetland Areas and Environmentally Sensitive
Lands, Waker/Wastewater Treatment.
- Southwest Florida Water Management Dis#rict-Wells, Cypress Bayheads, Wetland Areas; Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Neaith & Rehabilitative ServicesJEnvironmenfal Nealth Unit-Wells, Wastewater Treatment,
Septic Tanks.
_"----- _ -U�' �ii±�ii t'3i ti7ifu'gitcai [-��viv''4iit'ii r°�i.'f,��ii��F-�St3�'S:t�iB=.��"iat8ii'i2fti:--�—___.-�_._.>_��...__.�-_....-_ -. ___.__ .._.__. _ _,_._ . _
- Federal Aviation Autharity-Runways. _
1 understand that fhe#ollawing restrictians appiy to the use af flli:�
- Use of fill is not allowed in Flood Zane"V"uniess expressly permitted.
- If the fill material is to be used in Fload Zone "A", it is understood that a drainage plan addressing a
"compensating votume" will be submitfed at time af perrnitting whic#��is��prepared by a p�afessional engineer
licensed by the State of Florida. ' �
- l# the fill material is to be used in Flood Zone °A" in cannection with a permitted buitding using s#em wail
construction, I certify that fill will be used only ta fill the area within the stem wall.
- If ftl! material is to be used in any arsa, ! certify that use af such fill wil! not adversely affect adjacent
properties. If use of fiH is found ta adverseiy affect adjacen# properties, the owner may be cifed for viotating
the conditians of the building permit issued under the attached permit application, for lots less than one (1)
acre which are e(evated by fi11, an engineerecf drainage p}a�is required.
If I am the AGEPIT FOit TH� OWfVER, I promise in good faith to inform the awner of the permitting canditions set farth in
this affidavit priar ta commencing canstruction. t understand that a separate permit may be required for etecErical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations nat specifically included in fhe application. A
permit issued shall be construed to be..a license to proceed with the work and not as authority ta.violate, cancel, alte�, or,
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Buildirig��cial from thereafter�
requiring a correction of errors ln plans, canstruction ar violations of any codes. Every permit issued shall become invalid
unless #he woric au#horized by such.permit is corr�menced wifhin six months of perm9t �ssuance, or if work autharized by
the permit is sJspended or abandoned far a period of six(6) months after the time the work is commenced. An extension'
may be requssted, in writing, from the Building O�cial for a period not to exceed ninety {9Q) days and will demonstrate
justifiable cause for the extension. If work ceases for ninefy(90)cansecutive days, #he job is considered abandoned.
1WARNlNG TO i7WN�R: YOU12 �AILUR� TO RECORD A NOTIC� O� COtVIMENC�NIENT iVIAY RESUL.T 1R! YOUR
PAYING T1IVICE FOR IMPROVEfVIENTS 70 YOUR PROP'ER7'Y. IF YOU INTEND TO OBTAIN FINANCING� CONSUL.T
IfiIIITH YOUR LEND R OR AN ATT'ORN�Y��F4RE REGqRDINC YC1 t�TiG�4F CCIRUIMENGEl1�ENT.
, FLORIDA JURAT(F. . 11 03)
OW1NEtt OR AGEN CQP}TRACTOR �
ubscrl ed and swor�-�q�( r affirmed b fore me thls Sub c be .and s or o(or affirmed)befa e e this
„�j � /S` by !/tJI�J�2Gt��O D D� �S/S by �D�'J/1,���O e� �l
o stare or haslhave produced W a islare oersonaSlv known Ea me or haslhave praducecf
as IdentlticaUon, as iden6fication.
�QIA _�.r1 ����r Notary Public �.r�'* �.�h�ri�'�� Notary Public
.+W
• Commisslon No. r P ,���aa Commission No.
} �^ SuSan Ann lavaAee ;a��Y pUOG� Notary Public State of Florld�
` �� , Q , Susan Ann�av I
Name of Notary typed, rl �Fstafl�e�s o�i2z�zo�s Name of Notary typed,pri ��., p�;i Commiesion EE 218188
'+r::F�<� Exp�res 0 7/2212 0 1 6
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UTILITIES DEPARTMENT Date: 5/13/2015 Type of Work:
1NASTEWATER DIUISION. Originator: Sewer Repairs(57) Contractor Inspections(Si3)
MAINTENANCE WORK ORDER Equipment/Location Name: sewer extensions(S3) Customer Complaints(St5)
Type Work Order Number Ciean Llnes(S9) WWfP Operations(S2)
S3 Los ChiCO'S Camera Llnes(S91) WNtTP Repairs(S2)
LIS Maintenance(S51 -S562) Utility Locates(S70)
Description of problem/work: �a�iy us cnecks(sso) Manholes(S71)
US Malntenance{S51-5562) Equip O&M!Clean(S14)
Install new service for grease trap addition at restaurant. nnownrveadeat LIS(S500) Miscellaneous(S100)
MowlWeedeat WiNTP(S502) Water Division Work(S12)
Tralning&Education(S101) Other Dept.Work(S122)
Meetings 8 Administration{S001)
Safety Meetings 8�Duties(S119)
East Pasco Water Coalltlon Work(5222)
Supervisor's Section: Priority: Craft:
Approval to open: Initials Date �� �1 Emergency �tilities Dept
Wastewater Supervisor � #2 Routine �- Other City Dept �
or Foreman � ,y'�3 project � Contractor
Worker's Section:
Employee Name # Date Hours Description of what was done:
Employee 1 @$25 Hr $
Employee 2@$25 Hr 8 V1lork yet to be completed.
Employee 3 @$25 Hr $
Parts/supplies used: Equipment used:
$s�� Description Quantity Description # Date Hours
Tap Sad Tee Fernco 6"@$30 1 Excavator @$10a Hr 4
PVC 200 Pipe @$2.50 Ft 10 Box Blade @ S1oo Hr 2 '
Pickup 1 @$20 Hr 8
$55 Pickup 2 @$20 Hr 8
$920
,
�
TO�aI Equip.GOSt: $920.00 I certify that the work was accomplished
Total Labor Cost: $sOQ.QO in accordance with FDEP Florida Admin.
TOtal P&ItS COSts $55.00 Codes,Dept.Standards and to the best of '
TOtal W.O.COSt:��1,575,00 my abilities: Signature •
Closeout: Supervisor to complete: `;
Approvals to close work order Initlals Date Completed `� Routine WE HAVE AN UNLIMITEO
Wastewater Supervisor or Foreman job New Installation OPPORTUNITY j
Dfrector of Utilities was: � Rebulld/Repair TO IMPROVE THE QUALITY
OF ANYTH�NG i
`` /���y1 Q V�,��� q,lt00 C@� i
Build:1.2 1�'`[�(�� � Return thls form to Thomas Shotts(or close-out and filing wFren�omplate. Sapt�2
✓
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� 3T32 PATE RD.. � � /' Z� I S � I
• ZEpHyRHILLS,FL 33541 ' DATE � !
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LOOK FOR FPAU0.DETERflING FEATURES INCLUUING TNE SECUPRY Sp11ARE AND NEAT-HEACTIVE INK.OETAILS ON BACK. .
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Jacqueline Boges
From: Jacqueline Boges
Sent: Wednesday, July 22, 2015 9:13 AM
To: Mike Perry
Subject: 38300 11TH AVE
Good morning Mike,
The los Chico's restaurant has paid the connection impact fee fee for the 2"d tap to be done. Please schedule.
Thank you
Jackie Boges-SCSS
813-780-0020 ext 3513
5335 8th St.
Zephyrhills, FI 33542
"Character is what you are in the dark." Dwight L. Moody
PLEASE NOTE: Florida has a very broad public records law Electronic communications regarding most City of ZephyrUills business are public records and available
upon request. Yow�e-mail communications may therefore be subject to public disclosure.If you received this message in en•or,please do not read,foiward,copy,etc.
and delete immediately
1
, . •
Jacqueline Boges
From: Jacqueline Boges
Sent: Thursday, May 14, 2015 8:58 AM
To: 'ASHLEE FRANKLIN'
Subject: invoice for tap in grease trap
Attachments: los chicos.pdf
Good morning per our telephone call I have attached the invoice for the billing given by utility dept to tap into
sewer.
If you have any additional questions please direct to John Bostic @ 813-780-0008.
Thank you �
Jackie Boges-SCSS
813-780-0020 ext 3513
5335 8th St.
Zephyrhills, FI 33542
"Character is what you are in the dark." Dwight L. Moody
PLEASE A�OTE: Florida has a very broad public records law Electronic communications regarding most City of Zephyrl�ilis business are public records and available
upon request. Your e-mail commimications may U�erefore be subject to public disclosure.If you received this message in error,please do not read,foiward,copy,etc.
and delete immediately
1
� UTILITIES DEPARTMENT ,a Date: 5/13/2015 Type of Work:
WASTEWATER DIVISION Originator: � Sewer Repairs(S1) Contractor Inspections(S13)
MAINTENANCE WORK ORDER Equipment/Location Name: Sewer extensions(S3) Customer Comp�aints(S75)
Type Work Order Number Clean Lines(S9) WWTP Operations(S2)
S3 Los Chico's Camera Lines(S91) WWTP Repairs(S2)
L/S Maintenance(S51-S562) Utility Locates(S10)
Description of problem/work: �a�iy us cnecks(sso) mannoies(s���
L/S Maintenance(S51-S562) Equip O&M I Clean(S14)
Install new service for grease trap addition at restaurant. Mow/Weedeat us�ssoo� Miscellaneous(S100)
� Mow/Weedeat WWTP(S502) Water Division Work(S12)
Training&Education(S101) Other Dept.Work(S122)
Meetings&Administration(S001)
Safety Meetings&Duties(S119)
East Pasco Water Coalition Work(S222)
Supervisor's Section: � Priority: � , Craft:
Approval to open: Initials Date r #1 Emergency tilities Dept
Wastewater Supervisor . r' #2 Routine r' Other City Dept
or Fbreman
j ,j/#k3 Project � Contractor
Worker's Section:
Employee Name # Date Hours Description of what was done:
Employee 1 @$25 Hr $
Employee 2@$25 Hr g Work yet to be completed.
Employee 3 @$25 Hr $
Parts!supplies used: Equipment used:
$600 Description Quantity Description # Date Hours
Tap Sad Tee Fernco 6"@$30 1 Excavator @$100 Hr 4
PVC 200 Pipe @$2.50 Ft 10 Box Blade @$100 Hr 2
Pickup 1 @$20 Hr 8
$55 Pickup 2 @$20 Hr 8
$920
Total Equip.COSt: $920.�0 I certify that the work was accomplished
Total Labor`Cost: �6��.0�� in accordance with FDEP Florida Admin.
Total Parts Cost: $55.�0 Codes,Dept.Standards and to the best of
TOt81 W.O.,COSt: $1,575:00 my abilities: Signature
Closeout: Supervisor to complete:
Approvals to close work order: Initials Date Completed r Routine WE HAVE AN UNLIMITED :
Wastewater Supervisor or Foreman job r New Installation OPPORTUNITY
Director of Utilities was: � Rebuild/Repair , TO IMPROVE THE QUALITY
OF ANYTHING
� a r((ln Q✓���0.J�d0�C0�
Bulld:1.2 � (�C-9 Return this form to Thomas Shotts for close-out and filing when complete. Sept 12