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Home My WebLink About16-17588 , _ _ . CITY OF ZEPHYRHILLS ' 5335-8TH STREET (si3)�so-oo20 7588 PLUMBING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit#:17588 Issued: 7/20/2016 Address: 6751 GALL BLVD 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: 1,600.00 Total Fees: 45.00 Subdivision: CITY OF ZEPHYRHILLS Amount Paid: 45.00 Date Paid: 7/20/2016 Parcel Number: 03-26-21-0010-03200-0010 CONTRACTOR INFORMATION OWNER INFORMATION Name: TRI-CARE SERVICES INC Name: GALL BOULEVARD HEALTH PARK INC Addr: 6740 BLUFF MEADOW CT Address: 4121 HIGHLAND PARK CIR WESLEY CHAPEL FL 33545 LUTZ FL 33558-5314 Phone: (727)546-2059 Lic: Phone: Work Desc: INSTALL 2 NEW HAND SINKS APPLICATION FEES PLUMBING FEE 45.00 INSPECTIONS RE IR D 1ST ROUGH PLUMB 2ND ROUGH PLUMB SEWER WATER � FINAL / j� / � r l 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 aud Ordinances. � � ,�� .- - /� CON CTOR �f PER OFFI PERMIT EXPII�ES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 City of Zephyrhilis Permit App(ication Fax-813-780-0021 . � Building Department Date Received �— j„}�-^ �� phone Contact for Permitting -- Owner's Name C.�`R LL. �J�,�'�� Y.ZG.' f� ..�+�� Owner Phone Numbet Qwner`s Address ) wLf�Q 7p -d-L--3.3"S Owner Fhone Number �! � Fee Simple Titleholder Name �! � Owner Phone Number �� Fee Simple Titleholder Address JOB ADDRESS (G� � �* ui y4�/�1�//�" cGL� ` S` L4T# � SUBDiVtS10N �� PARCEL td# {QBTA[NED FROM PROPERTY TAX NOTtCE) WQRK PROPOSED e NEW CQNSTR 8 ADDlALT � SlGN C] 0 DEMO�ISH INSTALL REPAIR PROPOSED USE 0 SFR Q COMM C� OTNER TYPE OF CONSTRUCTION 0 BLOCK Q FRAME C� STEEL � DESCRIPTION OF WORK D � �� 5��-� BUiLDING SIZE � � SQ FOOTAGE�� HEIGHT �_—� �BU��DlNG IS��/'� VALUATION OF TOTAL CONSTRUCTIQN L � �ELECTE2ICRL r$ ,,/�_,.� � Afv1P SERVICE � PROGRESS ENERGY Q W.Ft.E.G. ///�f [�PLUMBWG �! $ /� .1- �1 � !o �� J� OMECHANlCAL $ VALUATlON OF MECNANlCAL 1NSTALLATIal� ��,,�'" OGAS ROOFlNG Q SPECIALTY � �THER C FINlSHEQ FLOOR E�EVATIONS r�� FLOCJD ZQNE AREA DYES Rt0 L BUtIDER COMPAPtY SIGHATURE REGISTERED Y/ N FEE CURREA Y 1 N Address License# �i � E�ECTRIGIAM CdMPANY SlGIVATURE Re�iSTEa Y 1 N FEE cURRE� Y 1 N Address License# � i� . PLUMBER C ANY �f~ -C 2�.-J�hrJrc£5 �,1�G� « SlGNATURE � REGIS7ERE4 Y/ N FE&CURREt� Y 1 N Address License# C..-t-C i�,�'�`�' �� MECHANIGAL COMPANY SIGt�A7URE REGfSTERED Y! N FEE GURREP Y J N Address License# � '� OTHER � � COMPANY SIGNATURE f2EGISTERED Y! N FEE GURRES� Y J IV Address License# � �� REStDE1dT1At. Attach{2}Piat Pians;(2}sets of Buiiding Pians;('f)set of Energy Forms;R-O-W Permit for new cansfruction, Minimum ten(10)working days after submittal date. Required onsite,Canstruction Plans,Skormwater Plans w!Silt Fence installed, Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects GOMMERCIAL Attach{2}complete sets of Building Pians pius a Life Safety Page;{1}set of Energy Forms.R-Q-W Permit for new construction. � Minimum ten(10)working days after submittal date. Required onsite,Ganstruction Pians,Starmwater Ptans wi Siit Fence instalied, Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance SIGA!FERMtT Attach(2)sefs of Engineered Plans. ***'PROPERTY SURVEY required for ail NEW canstructian. � Directions: ` � �il1 out application eompfetely. Owner&Contractor sign back of appfication,notarized � if over$250Q a Notice of Commencement is required. (,A/C upgrades over$7500) *' Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (copy of contract required) Reroofs if shingles Sewers Service Upgrades A!C Fences{PIotlSurvey/Foo#age} 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" restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UMLICENSED 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 Iocal 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. 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 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 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 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 certify 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 Management District-Wells, Cypress Bayheads, Wetland 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 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 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 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 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 Building O�cial 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. 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 OB N FIN CI , CONSULT WITH YOUR LENDER OR AN A ORN Y EF E RECORDING YOUR NO OF E __FLORIDA_JURAT_(F.S. 11-7 03- — - — - - ---- = - — -——-- - " �" - -- � OWNER OR AGE CONTRACTOR Subscribed and sworn o(or affirm d) ore me thi Subscribed and sworn to(or affirmed)before e this by by Who is/are personally known to me or has/have produced Who i re rs��n�all�knp�✓n to me or has/have produced as identification. � ��G'kY��3 U�.�� as identification. Notary Public Notary Public Commission No. Com s on No „�„„„� Name of Notary typed,printed or stamped Name of Nota ,�:t�(�� F 150422 ;�; �o�= Expires December 12,2018 ��p��t\�'`�, Bondad Thru T�oy Fe�Ins�ance BW�3&5•7019 Tri-�are 5en+3ces snc. Qlurx�bing and Gas C�C057462 Sam 1�/atson 2-�5 x 15 tavatorie5 both sfnks. 6751��II Blvd Ze�;�yrhdlls Florida Aor Admattance valve's � rg`'�� . �,,'�� '��,,a��.. 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'�6e lnto existing sanetary line �� ' 2 inch p.v.c.schedule 44 � � � Bay Front Health, Dade City Florida , Dr. Kiss Office 6751 Gall Blvd, Zephyrhills Parcel ID 03-26-21-0010-03200-0010 � existing bathroom � . � 6'10" .t. � � . x � , rt � . � � W rn ¢* w s - � i o I � � N � 00 � _ � , � � � � t� � � fD � • n � �, � o � � I I �. w � � Existing Room i �' ° � 11'2" � Existing Roo � new vanity and sinks , . . • �Y�' \�1 L- �. -�-=-==�� 6740 Biuff Meadow Ct ��. \� ;� �a ��=:�� Wesley Chapel FL 33545 ;�-�=� ��-��"`�' , 727-546-2059 � ��°�"��`�� 813-780-6526 (fax� P�um�iYL� GL�2d�+�us www.tricareservicesinc.com July 20, 2016 City af Zephyrhilis Buildin�Department 5335 8 Street Zephyrhi!!s FL 33542 Authorized people to sign/pick up permits Samuel E.Watsan Jr Ke11y A.Watson Thank you�%� ��,,�-r �_ \... amue(Watson Vice President � Tri-Care Services, lnc. 6740 Bluff Meadow Ct Wesley Chapel FL 33545 ��G,,,�. 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