HomeMy WebLinkAbout15-16682 CITY OF ZEPHYRHILLS
5335-8TH STREEf'
. (sis)�so-aozo 16682
' PLUMBING PERMIT ;
` PERMIT INFORMATION � - LOCATION INFORMATION
Permit#:16682 Issued: 10/21/2015 Address: 37425 TEABERRY LP
Permit Type: PLUMBING ZEPHYRHILLS, FL.
Class of Work: PLUMBING/NEW Township: Range:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 10.00 Total Fees: 40.00 Subdivision: WEDGEWOOD MANOR
Amount Paid: 40.00 Date Paid: 10/21/2015 Parcel Number: 10-26-21-0120-00000-0220
� � CONTRACTOR INFORMATION � OWNER INFORMATION
Name: HOMEOWNER Name: DAVIDSON, RICHARD
Addr: Address: 37425 TEABERRY LP
ZEPHYRHILLS, FL. 33542
Phone: Lic: Phone: (813)780-2047
Work Desc: IRRIGATION METER
� - - APPLI'CATION FEES
PLUMBING FEE 40.00
- INSPECTIONS REQUIRED �
1ST ROUGH PLUMB
2ND ROUGH PLUMB � �
SEWER �
WATER
FINAL r�
� � - 26 .-tS
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REINSPECTION FEES:(c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,for each such subsequent reinspection.
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.
Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City
Codes and Ordinances.
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ONTRACTOR PER OFFI
PERMIT EXPIR IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED ��
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Bullding Depactment .
Dala.Received ( � �` � a�-j s Phone-Contact far PerntlttFn —
Owner'�Name �r . Owner Phane Number —'�5��,�J"�� '�
Owner's Address � a,s ( Owner Phone Number � �
Fee Simple'Citleholder Name Owner Phane Number � �
Fee Simple Titleholder Address
r--- L�
JOB ADDRESS LOT#
SUBDiVIS10N ����',.;�.t.i)�� PARCEL ID#
� (OBTAINBD FRdM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/AlT C� SIGiV� ['� [�] DEMOI.ISH
INSTALL REPAIR
PROPOSED�USE Q � SFR Q COMM � QTliER
TYPE OF CONSTRUCTION [� BLOCK ' Q FRAME Q STEEL Q
I ,j�
DE3CRIPTIQN OF WORK --»4��.. �� l� � IQ i N���"�
BU1LDtNG S12E �� �� SQ FOOTAGE HEIGHT C�.�
OB���"����' L� � VALUATION OF TOTAL CONSTRUCTION
,�., , �1
QEl.ECTRICAI �� AMP SERVICE Q PROGREBS ENERGY Q W.R.E.C.
P�UMBING $ c� �vt7 � � Crj�
�_,—,,, �b
QMECHANtGAI $ VA�t1ATIQN OF MECHANICAZ INSTALLATlOItt "[l
QGAS Q RQOFlNG [� SPECIAI.TY C� QTHER
FINISHED FLOOR ELEVATIONS �-� FL.00D ZONE AREA [�YES NO
BUIl.DER —..�. ,,,.��y�-�� T COMPANY
SIGNATURE �� �"���"r REGISTERED Y/ N EE CURRE� Y/
Address License# � �
ELEGTRlCIAt�1 COMPANY
SIGNATURE �' REC,,IS7ERED Y/ N FEE CURRE� Y/N
Address L(cense# � �
PLUMBER � � COMPAFIY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# � �
MECHANICAI. COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �� ��
OTFiER COtU�PANY
SIGNATURE REGISTERED Y/ N . FEE CURRE� Y/N
Addres� License# �— —�
t2ESIDENTiAt. Attach{2}Plof Plans;(2}sets ofBuilding P1ans;(1}set af Energy�Farms;R-O�W Permit for�sew canstructian,
Min(mum,ten.(-10),working'days after submittal date. Requlred onsite,Construction Plans;Stormwater Plans w/Silt Fence installed,
Sanifary FaclliUes:&1,dumpste�Site Work•Permit for subdivislansAarge'proJects
COMMEF2CtA[. Attach{3}comptete sets o#Bulldirig Plans plus a�ife Safety Page;{1)set af Energy Forms.R-O-W Permit fc�r new constri�cNan.
Minimum ten(10)working days afker submittal date. Required onsite,Gonstrucdan Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilides&1 dumpster.Site Work Psrrntt for all new proJects,All commerclal requfrements must meef compliance
SIGN PERMIT AttacF�{2}sets of Engineered Plans.: ��
"`""PROPERTY SURVEY requiPed for all NEW constructfan.
Dlreetlans: � ,
Fill out app�icadon completely. ' , ,•
Owner&Contractor stgn back of appl3caUon,notarized , .�.��
tf aver 32500,a Nottce of Commancement is reqnired. (AIG upgrades over 5758dj ' ` ��' �° � • �'' ' .
" Agent(for the cantractor)or Power of'Attomey(for the owner)would be someone with notarized letter from owner authorizing same . -X
aVER THE Ct.�UNTER PERMlTTING (Front of Applica�on Only) � . , _ - .;�"}:� � .' �
Reroafs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Faotage) �� , ,� �'.;.,,r�-:;;._s =' � s
�
�. . ' ... ` , �:�'' "Y
Driveways-Not over Counter if on pubiia roadways..needs ROW r '' ' ` `� � ' • �, ,. ` .,
OTICE OF QEED RESTRlCTIONS: The underslgned under�tandssth�t.this.p�rmtt.may be.subJeat to"desd"restrfctfons" � ° a
hich may be�more�rest�ic#ive-=th�n Caunty`r�gulatEons:�Tiie uni3ersigned'assumes��espi�nsitiility'for compiianoe wifh a'riy
aplicable deed rest�lctions. � •
NL{CENSED CONTRACTORS AND CQNTRACTOR RESf�ONS1B11:ITlES: -tf #iie-owner has hlt�ed a contract�r or
mtraclors to undertake work, they may be-required-,to;be;.11censed in accordance.with_state.and•local regulations. :IPthe
mtractor is not Ucensed as�requlred`6y taw, both°#he awner and oonUactor may tie-clted�for a�inlsdemeanor violatton
ider state law. If the owrner or Intended contra�to.r-�are;uncertain as to what licensing.requiremerits;may apply��for�.the
kended work, they are advised ta contact the Pasco Courtty Bullding'Inspection D(vislon—Ltcensing Sectian at 727-847-
I09. Furthermore, if the awner has hiPed a conttacCor� ot�con�ractors,- he Is acivised'to have the c:onfractor(s),.sign
�rtlo�s of the "conkractor Block" of thls appllcation for which they. wUl.be responsible.. If-you� as..the owner''stgn�as the
�ntractor, thak�ri�ay I�e an Iridication that he 4s not.propetly Acensed and ls not�entitled to permitting privlle;ges In Pasca
ounty. � . '
RANSPORTATION_IMP�►CT/UTILITIES�rMPACT ANb�RESOU�tCE RECOVERY•FEES. �The undersigned understands
�at Tcanspor#ation Impact Fees.and.Ftecourse Recove.ry:Fees may�:apply°#a:the cons#ruction of new buitdings�:change�cif
se in existing buildings,°ar,expansion:of-eiiis#in�g'�buildings� as speclfied.in P�sco County Ordinance number 89-07 and
�-07, as amended., The undecsigned also understandst thaE.such Tees.=,as�may�be�due,�wlll:be fderitlffed at the�time�of- .
Hrmitting. It is furitieT understaad that Transportatlon impact Fees and-Resource RecaVery'Fees must be pafd prior to
:aeiv(ng a "cerEificete of occupancy" ar flnal powew..relsase. .If the praJect_does,nc�t involve=a:.certlflcate af accupancy�or
�al pawer�elease; the fees must be patcf prlar ta,permit issuance. Fuxthermore;�ifi Pasco,County�{Nater/Sewar-�Impact
:es are due�they_must.be�pald�prior ta permit�-Issuance'In accordance wtth�applicabie Pa�sco�Caunty�a�tlinances.
�ANSTRtlCTIDN I.IEN�l,AVY(Chapter 793, Fio�da Statutes�a�amenc�edj: �f vatuatlon of work Is$2,500.00;ar more� 1
ertify that I, �he applicant, _have-been pravi.ded with.�a copy of the "Florida-Construction� Llen_L,aw.:Homeowner's
rotectian Guide" prepared by the Florida Depar,tment of Agrtc.ulture and ConsnmerAffaics. if the app!lcant is someone
ther than the�awner", t certif�r that I h�ve.obtained`a�copy.of the above..described�docur�ent-and.prar�ise ln.good faith to
eliver it to the"owner"�prior,to-cammencement:`� ' � - ,
;ONTRACTOR'SIQWNER'S A�PlDAVIT: 1.ce�..rtify:.#hat�alt,the it�formatlon in thls appltcatlan is accurate and fhat�11 wark
rill'be done in compliance with all�appitcable laws wegulating construction, zoning and land development. Application Is
ereby made to obtaln .a permit to do.�.worfc..and installatlon as indCCsted.= `i certifjr�that no work"or Instailation has
ommenced prior to fssuance of a permit"'anid'that'�all�work wiil be performed fo meet standards of aU laws regulating�
onst�uction, Coun#y and City cades, xoning regulatians, and (and development regulatlons�in the Jurlsdictlon. I al'so .
ertify that 1 uz�derstand that#he tegulatbns of other gavernment�ganc�es may�apply��ta the intended wor�, and #hat it is �'
�y respansibility to identify.wha#�r�ctior�s I must take:M berin:.corrMpllance: S.uch agencies include bu#-are not limited to:
- Departmeni of Er�virorime�ital�Priitectiori=Cypress.'Bayhead�; Vltetland Areas and Envtronmental[y Sensi#ive
Lands,WatedWastewater Treatment:
- Southwest Florida Water Management• �.DtsUict We!!s, Cypress.� Bayheads; Wetland Areas, Altering
Watercourses,
- Arrny Carps of Englneers-Seawalls, Docks, Navigable Waterways, �
- Department af Health & Rel�abilltathre Sen+IceslEnvironmental Flealth llnit Wells, Wastev�tater�Treatment,
Septic Tanks. � ` � _ �
- US Erniranmental Protection Agency-Asbestas aba#ement.
Federat Aviation Authority-Runways. . � , , ,
understand that the following.�restrictions-apply to the use of flll:�
- Use af fi11 is no#allawed in Flood.�2one"V"uniess expressfiy permttteci.
- if the fl0 mate�lal (s to be use'd:'In:'�Flood.Zone. °A", tt. is understaad that a drainage plan addressing a
"compensating volume" will be submitted a#time of permit#ing whiaM 3s prepared by a professtonal engfneer
iicensed by#he State of Fiorida:
- !f the flll material is to be used In Flood �one 'A° !n�connecfian wlth.a�permitted building using stem waq .
� constructian� 1 certify fhat#i!l�wi11=6e�used only.to.fill the atea within ttie stem,=waii.
- 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 fitl is found to adverse�y,�ffe�t adjacerat propert�es,.the owner may be clted for uloCating
the conditions of the building:permit issued•under the:at�ached`permik appllcatlon, for lats less than:one (1)
acre which are elevated�by f1!!,art engtneered drainage�lan!s requlred. .
°i am the AGENT FUR THE OV1fNER, l;:promise in good faith to inform the awner af-the.permitting canditians set forth in
iis affidavit prlar to comrriencing construction. I�understantl that a-separate permlt may be requ(red for electrical work,
�urnbing* signs, welts, poots; a€r condttlaNn9�-9�s,;or°othec ins#all�tlons not.spec�fcally Insluded�1n.tMe applicatton. .A ' ..
�ermit Issued shall be construed to be a license to-proceed with tFie work and not as:authority to.violate,�cancel, alter, or
et aside any provisions of the techn[cal codes; nor sha8 Issuance�of�a..permft.prevent the Buftclitig Q#Ticie!from thereafker
bquiring a correctlon af errors in plans�, caristruction or vialattons of any codes. Every permit issued shall become invaiid ;
�nless the work authorized.by such permPt�ls.commenced�withtn s(x_rrionths of permlt Issuancer or if work authorized by �
�e petmit is suspended�or.abandoned.foc a:period ofs�{H)�mont�i�`after the tirne the�wark ts commenced. An extension '
�ay be requested, in writing� from the:Ruilding,Officfal for a perlod`not to exceed ninety�(90) days a�d willttdemonstrate
-�stlfE�hle-c�use-for-the-extensia�.-If-work ceases_for nfnety(9�}consec�tive=da��,.th l�ol��€s-co�sidered-abandon�d: -- -----------
YARNING TO OWNER: YOUI�.FAILURE�TO.,REC.ORD:A,NC17lGE OF•CQMM�NCEMEl�T IIftAY°RESUl,T IN YOUR
tAY1WC TWiGE FQR tMPRO1►EMENT�-TO YQUR PR{3PERTY«�IF°Yt)t7�IN��'E�itD'T��C4BTAtN�FtN-ANEING;�ONSU�T .
VIT Y UR ND .O. N OR ��B FO '� - CO �� G.� OU � �� 'OF °� CE ;
�.o�aa.ru�►r�F.s,t� esp . , ,
►WNER dR AOENT _,,t� COPITRACTAR
ubscrtbed arx!svuom to mred) et re me s Subscribed arui'suvom to{ot afflrmed)�betote me'ttii�
bY •�+Y
Uiia ls/are personally known to.me o has/have produced Who Is/are p.ersonallyknown•to me or haa/have produced
as, dentlflcetlon, e as ide»tl�caUon.
t.r Nntary Pub11c . Notary PublEc
;om slon No. Camm4sslon No.
�.s'*`.'r"t�'��f, JOEL E.BACON �- �
�=q•• �:
lame o[ � c�� a� � Nams of Nolary typed,printed or skamped
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��'A„A��'�,�.' 8onded Ttxu 7my Fein inswance 800385�7059
t � r � <,;PCIFIt`FOf't11:„�f
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CITY aF ZEPHYRHILLS
UTILIfTES WORK ORDER
�
WATER ACCOUNT NO.: DATE: �� ��- Z� � � S
b
OWNER/RENTER/BUSINESS: �/��I1 f G �(C��'G./�`� CONTACT PERSON: "
MAII�NG ADQRESS: � t� PHONE NUMBER: 'jt(,�/''��} -����1��
A l 7Er�!�-
=��� f�i ��
EMAI[.ADDRESS: J� `1� ` "
( (�
SERVICE ADDRESS: 3 7 Y2,5 f �A(;t RI�Y �•p j �� �
SHUT OFF SERVICE "� ❑ WATER
TURN ON SERVICE ❑ ❑ SE1lilER
INSTALL METER ❑ ❑ GARBAGE
READ MEfER ❑ �IN CI1Y
CHECK METER ❑ ❑ QUT CITY �
OTHER ❑
DESCRIBE OTHER: „�1� ��„R I �' A TI O!V
NUMBER OF UNITS
DEPOSIT AMOUNT
AMOUNT LAST BILL
DATE
MISC. CHARGE
METER: FULL
IIRRIGATION 3�y �
WflRK COMP�ETED BY&DATE flRDER TAKEN BY: ��e� ��3�C`�
COMPLETED
ORDER GIVEN BY�/ ��
Revised 9/2010