HomeMy WebLinkAbout16-17464 , CITY OF ZEPHYRHILLS
5335-8TH STREET /'
' r - � (sis)�so-oozo 174
PLUMBING PERMIT
� PERMIT INFORMATION � � LOCATION INFORMATION
Permit#:17464 Issued: 6/15/2016 Address: 37212 NEUKOM AVE LOT 295
Permit Type: PLUMBING ZEPHYRHILLS, FL.
Class of Work:� PLUMBING RENOVATIONS Township: Range:
Proposed Use: MOBILE HOME SUBDIVISION Lot(s): Block: Section:
Sq. Feet: Est. Value: Book:- Page:
Cost: 645.23 Total Fees: 60.00 Subdivision: GRAND HORIZONS
Amount Paid: 60.00 Date Paid: 6/15/2016 Parcel Number: 34-25-21-0180-00000-2950
CONTRACTOR INFORMATION " OWNER INFORMATION `
Name: WISE GUYS PLUMBING INC Name: SHACKEWYE, CHARLES/ANNMARIE
Addr: 10387 CARROLLWOOD LN #303 Address: 9950 EMERALD COAST PKWY#D7
TAMPA FL 33618 MIRAMAR BEACH, FL 32550
Phone: (813)968-4357 Lic: Phone: (850)650-7263
Work Desc: REPLACE ELECTRIC WATER HEATER
APPLICATION FEES - �
PLUMBING FEE 60.00
• INSPECTIONS UIRED
1ST ROUGH PLUMB
2ND ROUGH PLUMB
SEWER .�/�
WATER �1 �
FINAL � � ��
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 amo'unt 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.
NTRACTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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City of Zephyrhills
BUILI�INf�PZ�AN REVIEW CON[�tIENTS
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Contractor/Homeawner: /,�2. �Ce
Date Received: �-�—l�, .
Site: . �? �1,� /V�,,K.GiZ�t ��1� .
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Permit Type: �� � �
.A.pproved w/no comuments:O Approved w/the below comments: L� Denied wlthe below comments: O
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Tbuis comment sheet shall be kept with the pennit andlor plans.
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Kalvin wi —Plans Examiner Date Contr andlor Homeowner
'� (R uired when camments are present)
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, .t s�aasaoozo City of Zephyrhills Permit Application Fax-813-780-0021
- , - �uilding Department
. Dato Recelved phone Contact for Pormittin 3 3
, Owners Name �}r Owner Phone Number �
3�a�a r�•
Owners Address t,(,j �}�/t, Owner Phone Number � �$pZ �0��
Fee Slmple TiUeholder Name Owner Phone Number
Fea Slmple TiUeholder Addrass
JOB ADDRESS o� L-V K�M = E I LOT# �
SUBDIVISION � PARCEL ID#
(OBTAINED FROM PROPERTV TAX NOTICE)
WORK PROPOSED B NEW CONSTR B ADD/ALT � SIGN Q Q DEMOLISH
INSTALI REPAIR
PROPOSED USE Q SFR, Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q
DESCRIPTION OF WORK �E fRC`'�I'1A�_T Z.1�.T�L+. (�(�-� �� ,
BUILDING SIZE SQ FOOTAGE� HEIGHT ��
QBUILDING $ VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
�PLUMBING $ � �z
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
QGAS Q ROOFING Q SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO
BUILDER � COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREA Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
PLUMBER ,//s� �Q J COMPANY � S UIh�/h 1/7C •
'�P SIGNATURE `C/r��� REGISTERED Y/ N F CURRE� Y/N
"�� Address ?V•�ip a7� T f� 3.� License# y f
MECHANICAL COMPANY —�
SIGNATURE REGISTERED Y/ N FEE CURRE� Y J N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREh Y/N
Address License k
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RESIDENTIAL Attach(2)Plot Plens;(2)sets of Building Plans;(1)set of Energy Fortns;R-0.W Pertnit for new consUuction,
Minimum ten(10)worldnp days after submittal date. Required onsite,Constructlon Plans,Stormwater Plans w/Siit Fence installed,
Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisionsllarge projects
COMMERCIAL Attach(3)complete sels of Building Plans plus a Life Safety Page;(1)sei of Energy Fortns.R-O-W Permil for new construdion.
Minimum ten(10)warking days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence instalied,
Sanitary Facilities&1 dumpster Site Work Pertnit for all new projects.All commercial requirements must meet wmpliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for ail NEW construdion.
Directlons;•
Fill out applicadon completety
Owner 8 Contrador sign back of application,notarized
If over 52500,a Notice of Commeneement Is required. (AIC upgrades over S7b00)
" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized lerier from owner authorizing same
OVER THE COUNTER PERMITTING (Front of Application Only)
Reroofs if shingies Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage)
Driveways-Nol over Counter if on public roadwrays..needs ROW �
I � NOTICE OF DEED RESTRICTIONS: 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 compfiance with any
applicable deed restrictions.
� UNLICENSED CONTRACTORS AND CONTRACTOR 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 properiy licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES 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 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 LAW(Chapter 713,Florida Statutes,as amended): If valuation of work is$2,500.00 or more,I
ce�tify that I, the applicant, have been provided with a copy of the "Florida Consiruction 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 good faith to
deliver it to the"owner"prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT. I certify that all the information in this application is accurate and that all work �
will be done in compliance with all appiicable laws regulating construction,zoning and land development. Application is
hereby made to obtain a permit to do work and instalfation 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
I certiTy that I understand that the regulations of other govemment 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,WatedWastewater Treatment.
- Southwest Florida Water Management District-Weils, Cypress Bayheads, Welland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health 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 tliat 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 Fforida.
- 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 fitl 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 wiil 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 issued 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 permiriing conditions set forth in
this affidavit prior to commencing construc8on. I understand that a separate permit may be required for electricai work,
plumbing, signs, welis, pools, air conditioning, gas, or other installations not specifically inGuded in the application. A
permit issued shail 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 sha�l issuance of a permit prevent the Building 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
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. 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 INTEND TO OBTAIN FINANCIIdG,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JUR.4T(F.S.117.03)
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OWNER OR AGENT G��/f�� � CONTRACTOR ���J ! �
Syb�'6ed and swo r affirmed)befgre me this Subs�,q�nd �,.�,�(or a ry�ef_o_re�e�,is
G. �l bY .�1ti� Gv!LL. �{ S�"" �/.3��`�C... C.cJ/SL•'
Who islare pe nowr�o me or hasfiave produced Who�p onalty known to me or hesfiave produced
as iden'tificetion. as ident�cation.
/
:iQ��:'•!v,�: DARLENAM.MOORE
qt�g8�ubli ,blic
Comm� 9� �a; EXPIRES:November 4,2018 Co mission No. k%''-"�"
•Rf�t�•' ��„'.�y�Y�. DpR M
Name of Notary typed,printed or stamped Name of Notary t ,o ri a Sta��A �F��19
o' XPIRES:November4,2018
��%9f�,��, Bonded ThN Notary Pubfic Unden�iters
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