HomeMy WebLinkAbout16-16571 CITY OF ZEPHYRHILLS
% � 5335-8TH STREET
(si3)�so-oozo 16571
PLUMBING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit#:16571 Issued: 9/08/2015 Address: 6848 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: 950.00 Total Fees: 40.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 40.00 Date Paid: 9/08/2015 Parcel Number: 02-26-21-0010-00900-0020
CONTRACTOR INFORMATION OWNER INFORMATION
Name: CHRIS BAHR PLUMBING Name: ZEPHYRHILLS CINEMA 10
Addr: 5729 GALL BLVD. Address: 6848 GALL BLVD
ZEPHYRHILLS, FL 33541 ZEPHYRHILLS, FL. 33542
Phone: (813)782-2524 Lic: Phone: (813)782-2222
Work Desc: GREASE TRAP
APPLICATION FEES
PLUMBING FEE 40.00
INSPECTIONS REQUIRED
1ST ROUGH PLUMB
2ND ROUGH PLUMB (� �o
SEWER `j
WATER
FINAL � � I �
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 properly 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 EXPIRES 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-OQ21
,, �,. Building Qepartment
Date Reaelved Phane-Cont�ct for Permtttin —
Owner's Name �rG2 el�c� f b Owner Phane Number C������
Owner's Address Gt, L Owner Phone Number �� �
Fee Simple Titleholder Name � � Owner Phone Number � �
Fee Simple Titleholder Address
J08 AbDRESS �.(.1� U LOT# �„��
i
SUBD1ViSiON PA#tCE1.ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORit PROP{}SED NEW CONSTR A[)DIALT � S1GN Q Q DEMOi.tSH {i
e INSTALI. 8 REPAIR �
PROPOSED USE Q SFt2 [� C{aMM � OTHEi2 �
TYPE OF CONSTRUCTION Q BLOCK " Q FRAME � STEEi. Q
DESCRIPTION OF WORK P
BUILDlWG SFZE � � SQ F007"AGE�� HEtGHT ��
�B�«'d���' Iw ' � VAItlATIO(�OF TOTAL CONSTRUCTION
r�J
QE�ECTRICAI � � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.G.
�PLUMBINC'a $ Cj r�,�,¢,,,�' r/�`
l .�� `_ `�
QMECHANICAL $ VAIUATlON C}F MECHANICAt.INSTRLLAi'1{afV J��,�
.��
QGAS Q ROOFlNG Q SPECiA�TY �� OTHER
FINISHED FLOOR ELEVATIONS �� F�.00D ZONE AREA [�YEB NO
BUtL0Ei2 COMPANY �
SIGtdATURE REGI$TERED Y/ fV FEE CURRE� Y/N
Addre�s License# �� �
EIECTRICIAN C4MPANY
SIGNATURE �' REGISTERED Y/ N FEE CUFtRE� Y/N
Address Llcense# � �
�°+ �/� � },, 4 /�
PCUMBER ,U��'�� C4MPA[�Y t..- �G.f S `� �'tlJt tV t�
SIGNATURE REGI3TERED Y/ N FEE CURRE� Y/N
j tj � � � �
tWdre�s �X t (,�� �" � License# �fi'� l�„� .�lZ
MECHANICAL CQMPAl+lY
SIGNATURE REGIS'fERED Y/ N FEE CURRE� Y/N
Addiess LlcenSe# �� �
07HER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address L1ce»se# �� �
RESIDENTIAL A#tach{2}Ptot Plans;(2)sets-af'Building'Plarts;{1}set oF Energy Farms;R-O-W Permlt far new coostruotian,
Minlmum ten(10)vuorking'days after_subrriittal date. Required onsite,Constructiqn Plans,Stormwater Plans w!Siit Fence installed, �
Sanitary FaciliUes&�1,,dumpster Sfte Work•Rertnit for subdiVisipnsAarge projects
� GOMNtERCtAL Attach(3�complete sets of Bullcling Plans,plus a t,tfe Safeiy Page;(1}set of Energy Forms.R-q W Permit far new canstruction.
Minimum ken(10)working days after submlttal date. Required ansite,Canstruction Plans,Stormwater F'lans w/Silt Fence installed,
5anitary Facilities 8�1�dumpster.Site Work Pertnit for all new proJeots.All commerciai requlrements must meet compllance
SIGN PERMFT Attach�{2}sists of Engineered Plans:
'"""PROPERTY SURVEY required for all NEW c;qnstructlan.
D1[BGtIOnB:
Fill out applicatlon completely. �� , s`�<y ��� ~h' � ° ''� . '� .
Qwnar&Gontra�tar stgn laack of applicatian,notatizad, � ,� ! = �, �
if over�25d0,a t�aNce oE Commencement is.require�I. {AtG upgr�+�e�over�7500) .�_--_- , , -___. � ' ._ �j _�`". '
" Agent(for tiie cbntractor)or Power of Attomey(far the owner)would be someone with notarized letter from owner authorizing same� ,
O1t�R TEiE GOUNTER PERMiTTIRIG {Front af Applicattion On1Y), � v:.- ,.,, ::L-. ,,_.:.,,:.. ,:.,- -�.0._ < < �``,
Reroofs If shingles Sewers-- �' 'Service.Upgrade§-�A/C,,,��� .,�Fences(PIoUSurvey/Footage) ;� ,�,,•;p ; - „ ` �
y :;,_�.!;•..: ;,}'j� ;:, „':;' � , ;s �_',i 4 ' � - ,.�r,• ., ,.-_�� _ .iiM1 -i
driveways-Nat over Couiriter tf'on"pubtla roailway's.'aeecl's ROVi%, « , ,_ �, .. ,.. ,,x-� _ - . ,_
it._ „, i. , � ;;._ »,r.
' , .-. -n.. n_.�c... ..,r.:...r. •cx+,t.', «wwn r.r<.».��� ...�_ .s.. .: ... �..�>..�.. ._ ._ .w,a_.n a.ari
�- _�
NOTiCE OF DEED RESTRICTIONS: The undersigned under.gtands°�that this.,pQrmit.may_be_subject to"deed" restrictlons"
which may be�more�restcictive=than County:r+egulatlons: �7Fie undersigned assumes responsibility for`compliance with any
applicable deed restricttons. .. • -
UNLICENSED CONTRACTORS .AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be-:ce.qul�ed...to tie:licensed in accordance.with state.and•local regulations. If the
contractor fs not Ifcensed as requlred�.tiy law, both the owner and contractor�inay be-cited�for�a-misdemeanor violation
under state law. If the owner or intended.�contractor-are_uncertain as to what Iicensing.requlrements may�apply:for the
intended work, they are advised to contact the.Pasco County Buildfng Inspection Divisior9—Licensing�Section at 727-847-
8009. Furthermore, If the owner "has ht"red a contractor o� contractors, he Is advised to have the contractor(s),,,sign
portions of the "contractor Block" of this applicatlon for_wh(ch they wlll be r.espvnsible. If.you, as.fhe owner slgn as the i
contractor, that inay be an indication that�he is not�.properly Iicensed and is not entitied to permitting privileges in Pasco
County.
TRI�IINSPORTATION..IMPACTIUTILITIES•IMPAC7 ANb�RESOURCE RECOVERY FEES:�The undersigned understands
that Transportation Impact Fees and Recourse Recove.ry.Fees may�applyto�the constructlon of new bulldings,�change of '
use in existing buildings, or.expansion.of�`existin,g`buildings, a§ specffied.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 fdentified at the time of
permitting. It is further understood that Transportation impact Fees and�Resource Recovery`Fees must be paid prior to
receFving a °certificate.of occupancy" or flnal powec:release. :If the project does not involve.a certificate of occupancy. or
final power release, the fees mu�t be paid prior to permit issuance. Ft��thermore;if Pasco,County�Water/Sewer:Impact
fees are due, they must be.pald 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 Llen_.Lav�Homeowner's
Protection Guide" prepared by the Florida Department of Agric.ulture and ConsumerAffairs. if the appl(cant Is someone
other than the"owne�", I certify that I have.obtained=a copy.of:the above..described docurnent°and:promise In,good faith to
deliver it to.the°owne�prio�•:to�cornmencements '
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify#hat-all the,information in this appllcation 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 obtatn .a permit to do work,,and installation as indlcafed.- `I certify that no work.or Installatton has
commenced prior to Issuance of a permit and�that`all work will be pertormed to meet standards of all laws regulating-
construction, County,and City codes, zoning regulatCo.ns, and land development tegulations-in the jurisdlction. I also
certify that I und�rstand that the regulations of other government agencies may apply to the intended work, and that it is
my responsibility to Identffy,what.actions 1 must take.to be,ln:.corr�pllance: Such agencles include but are.not Iimited to:
- Department of �nvironmental Protection-Cypress.'Bayheads; IMetland Areas and Environmentally Sensitive
Lands,WatedWastewater Treatment.
- Southwest Florida Water Management ..District-Wells, Cypress.��Bayheads�, Wetland Areas, Altering
Watercourses.
- Army Corps of Engtneers�Seawalls, Docks, Navtgable Waterways.
- Department of Health�'8 ReMabll(tative.Services/Environmenfal Health Unit Weils, Wastewater�Treatment,
Septic Tanks. � � _
- US Environmental Protection Agency-Asbestos abatement.
- Federal Avlatlon Authority-Runways:
I understand that the following.restrlctlons apply to the use of flll:�
- Use of fill is not allowed in Flood Zone"V"unless-expressly permitted.
- If the fill materfal is to be used.:'In;;Flood Zone "A", (t. is understood that a drainage plan addressing a
°compensating volume" will be submitted at time of petmltting which is prepared by a profess(onal engineer
licensed by the State of Florlda. �
- If the fill materia) Is to be used in Flood Zone °A° (n�connectfon�with'.a permitted building using stem wall
� construction, I certify that fill�:will=b.e used only.to.fill the area w(thin the stem�wall.
- If flll materlal is to be used in any area, I certify that .use of such flll will not adversely affect adjacent
properties. If use of flll Is found to adversely:�ffect adJacent propertles,.the owner may be cited for violating
the condifions of the buflding,permit Issued under the atEached permit applicatfon, for lots less than one (1)
� acre which are elevated by flll,a�r 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 conditfons set forth tn
this affidavit�prior to commencing constructlon. I understand thet a�separate permit may be requlred for electrical work,
plumbing, signs, wells, pools; alr conditioning, .gas, or other installattons not.spec�fically included�in.the application. .A
permit issued shall be construed to be a Iicense to�p�oceed with the work and not as authority to.violate,-cancel; alter, or
set aslde any provisions of the technical.codes; nor shall issuance�of a.permit.prevent the Bufldirig O#iicial from thereafter
requiring a correction nf errors in.plans, construction or violatlons of any codes. Every permit Issued shail-become invalid
unless the work authorized.by such permit:�(s.commenced�within six months of permlt issuance, or if work authorized by
the permit is suspended ar.abandoned for a.period of six f8)months.after the time the�work fs commenced. An extensfon
may be requested, in wrriting, from the Building,Official for a period not to exceed ninety�(90) days a�d will demonstrate
justifiable cause for.the extension�. If work cease��for ninety(90)cons.ecutive days�..the job is considered aba�doned.
.�. - I
WARNING TO OWNER: YOUR.FAILURE TO..RECORD.A NOTIGE;OF�COMMENCEMENT�NtAY'RESULT IN YOUR
—PAYING_7WI.CE�FOR IMPROVEMENTS_TO YOUR:PROPERTY. IF�.YO.U�IN�E�D'TO OBTAIN�FINtANC1NG,�CONSULT
1fY17H YOUR LE. D O AN ATTORNEY 8 FORE�RECO �� G:�YOUR' O �C -`OF • � E -~- -- - - �� - f
FLORIDA JURA�(F.S.1.17.03) '
OWNER OR AOEN7 CONTRACTOR
Subsciibed and swom ta(or afflrmed)before m�this Subscrlbed'and's � (or� edf befo me'tFiis
by •by
Who Is/are personally known to.me or has/haye produced Who Is/are personally knovm•to me or has/have�prodi�ced • -
as Identlflcatlon. as tdentlBpUon.
otary Publlc _ Notary Publlc
Com sfon No. Commis on o.
.�``'i�,!P�'% JOEL E.BACON ,•••��.Y etY••., JOEL E.BACON
Name oI Nota t�pe :edmmefasiQ�eM1FF 137073 Name o otary type ,�rl aesf�i�ion#FF 137073
:�• �a: Expires June 29,201 S :; �a: Expires June 29,2018
OP•`� p��
''J��Rd��,.• Bmided Thm Troy Fdn Inswence 800.385-70f 9 '�'�.,P���t°�`� Brnded Tlw Troy Fain Insurence 800-385•7079