HomeMy WebLinkAbout16-17356 CITY OF ZEPHYRHILLS
: . 5335-8TH STREET
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PLUMBING PERMIT
PERMIT INFORMATION - LOCATION INFORMATION
Permit#:17356 Issued: 5/18/2016 Address: 6807 OAKCREST WAY
Permit Type: PLUMBING ZEPHYRHILLS, FL. i ,
Class of Work: PLUMBING RENOVATIONS Township: Range:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
� Cost: 10,000.00 Total Fees: 187.50 Subdivision: OAKCREST
� Amount Paid: 187.50 Date Paid: 5/18/2016 Parcel Number: 02-26-21-0250-00000-0030
�� CONTRACTOR INFORMATION OWNER INFORMATION �
Name: AMERICAN SOLAR ENERGY LLC Name: WISMER MELVIN JACOB JR
Addr: 5109 MEADOWS END Address: 6807 OAKCREST WAY
LAKELAND FL 33810 ZEPHYRHILLS, FL. 33542
Phone: (863)859-7800 Lic: Phone: 813-782-7328
Work Desc: INSTALLATION OF SOLAR WATER HEATER &ATTIC SOLAR FAN
APPLICATION FEES `
PLUMBING FEE 127.50 PLUMBING FEE 60.00
� INSPECTIONS REQUIRED -
1ST ROUGH PLUMB 7
2ND ROUGH PLUMB '
SEWER
WATER �� �
FINAL ��
(� 1% '
1
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.
,
CTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
s�saso-oozo City of Zephyrhills Permit Application Fax-81& oz�
.
� , Building Department �
Date Received �j [���
�`�� Phone Contact for Permlttin — �UCJ(J
Owner's Name � 'f � �I�11 fGr Own one Numbe �,�`��
Owner's Address � � Q�+.►3.-�eV 1 ��. Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS �U�1 V[A.W{G7C W � �h�11S ,�� 3�ya LOT# �
SUBDIVISION �C��-J� �W PARCEL ID# Z'2��Z���2�JC�'G(�(�)UV�GO�JD I
(OBTAINED FROM PROPERTY TAX NOTIGE) �II
WORK PROPOSED e NEW CONSTR� ADD/ALT � SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM 0 OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q I
DESCRIPTION OF WORK ���� ��J� / �� �fi SYS�m �r K!l •""G
BUILDING SIZE SQ FOOTAGE `�• / HEIGHT �
�BUILDING $ VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
I Y.IPLUMBING $ I„ �D �`�3� \ /L!� // �yti�Cl��
�rtz� � G �� ��
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
/
QGAS Q ROOFING Q SPECIALTY 0 OTHER /� C I� _ �
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO !� %�"jt% ��/�
lJ
.
BUILDER , - l � COMPANY ��II,W � �I/l�`��
SIGNATURE REGISTERED Y N FEE CURRE� Y/N `
Address C/ W y �0� ��3 License# `��+ISG�� ` ` '�
ELECTRICIAN COMPANY � ��
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
PLUMBER 6 COMPANY (l.W TJ�V'� L�
SIGNATURE REGISTERED N FEECURRE� Y!N
Address W(�[�.A G� � �) License# �ilS���L�
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIt111I11I1111i1I111t11111t11111II111
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pertnit for new construclion,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed;
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pertnit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.Ail commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEV✓construction.
Directions:•
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over E2500,a Notice of Commencement 1s requlred. (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 (copy of contract required)
I Reroofs if shingles Sewers Service Upgrades AIC Fences(PlotlSurvey/Footage)
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.
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 properly licensed and is not entitled to permitting privileges in Pasco
I County
TRANSPORTATION IMPACTIUTILITIES 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 pertormed 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-Welis, 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 addressinc� 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 cert' that fill will be used onl to fill the area within the stem wall.
, �Y Y
- 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 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.
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 C MENCEMENT.
FLORIDA JURAT(F.S.117.03) ^/
OWNER OR AGENT CONTRACTOR "
Subscribed and swom to(or affirmed)before me this Subscribed and swo n o or ed) e me this
by by
Who islare personaily known to me or has/have produced Who is/are personally known to me or has/have produced
, as iden6fica6on. as identification.
Notary Public i (�C_— Notary Public
Commission No. Com issi No.
' Name of Notary typed,printed or stamped Name of Nota ty ' d o��LINE BOGES
' ;+: '.= Commission#FF 150422
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: ���e�1 C�OZ �C�/Q� �'l�
Date Received: �'���
Site: . �p �0 �] �a-�CC.r�s� lN�
Permit Type: � �/ �
Approved w/no comments�] Approved w/the below comments: ❑ Denied w/the below comments: ❑
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. �
This comment sheet shall be kept with the permit and/or plans.
� ��/7�
Kalvin witz ans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
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Permit Agent Authorization Form
I, Labron E. Taylor, Jr., a state certified solar contractor, License Number CVC056667,
Hereby authorize the following to act as my agent(s) in obtaining permits in
, Florida.
Name ofAgent Driver's License No.
l�.rr „ng Z52-5 1 - l-- lv- 1 '
c� c�n�11P�( O - � 1 - o
i �.5�. - 4 - $S- Z�-o
STATE OF Florida
This letter contains the names and identification - couNTY oF
numbers of people that aI'e authorized to pul-1 Sworn to(or affirmed)and subscribed before me this��
permits in my name. This letter supersedes any- aay or ,zo �� ny
previously submitted letter(s) of authorization. mn �u r /:
TIliS signed authorization will remain Iri effect (printed/I'yped Name of License older Making Statement)
until cancelled in writing by the undersigned RY PUB
license holder.
i ature of otary)
L� ���d
(Name of Notary Typed,Printed,or Stamped) �
(Lice se Holde' Signatur My Commission ezpires: '
,�b. �1�.a4�
;�+!"''•��� JEI�NIFER L ELIN�OD Personally Known_X_OR Produced Identification
'• '" MY COMMISSION#FF958822
'� • ' �I���ary 11.2020
�aai�s98�o�s� FleneeNore .com (Type of IdentificaHon Produced)
3604 Waterfield Pkwy, Suite 101 • Lakeland, FL 33803 • (863)-859-7800 •
Fax (863)-816-5426
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Permit No. Parcel ID No �G�`����+���v�a��b��'�^"
NOTICE OF COMMENCEMENT
�NA
State of ����� County o( ��c�� �..�
THE UNDERSIGNED hereby gives notice that improvemenl will be made to certain real property,and in aaordance with Chapter 713,Florida Statutes, (O m••
the following infortnalion is provided in this Notice of Commencemen• �y �� ~
1. Descriplion of Property: Parcel Identification No.02'��Q"��—�aV � m m Ol
StreetAddress:�OInU 1 l!�"1'���7` N�A� �fiTlT y�����— J'��/�` � �''
2. General DescripUon of Improvement- � ,4t 1 ����, bG S�CJt� � wrt 1 G� m w �
1Y CT1 l�� t)�rl�l�'1 � S�L/aL'� fY'(//ci �N/� 3�I.�
3. Owner Infortnalion or Lessee information iF the Lessee contrectetl for the improvement: ` �� �
M��v�N ��is�-t�R- vm° �
�m�
I e�b� G.�IL�(Z.Fa�_ �h).4'y ����'I Ll� (- '� m m
Address City State n m
�.. �
Interest in Property:�OG�O '
Nama of Fee Simple TiUeholder. �
(It diBerenl from Owner listed above)
Address ������ �b��� ��E�y «��� State
4. Contrador.
� ��`f IA�'%�TCf��iEl�D �y S7�ID� �$�-�7-f4'N� �l
2 G �T c� s�a�a
Cont2dor's Telephone No.��0�7` L7h����W ry
v
5. Surety: (�ft a
Name p�r
��a
Address City State (�O N
Amount o(8ond: $ Telephone No.: �N o
m z
6. Lender. ~m
Name ���
wm v
Address City Slate (p�'
Lenders Telephone No. �.p�
��
7 Persons within lhe State of Florida designated by the ovmer upon whom notices or other documents may be served as provided by 3 �
Section 713.13(1)(a)(7),Florida SWtutes: o
� Name �~m
A
�
Address City State �-�q o°
Telephone Num6er ot Designated Person: ��.+o
3
, 8. In addiGon ro himself,the ovmer designetes ot_ w �
fo receive a copy of the Lienors Notice as provided in Section 713.13(7)(b),Ftorida Statules. ��D �
Telephone Num6ar ot Persan or Entity Designated by Owner. T
9. Expiration date of Notice of Commencement(lhe expirelion date may not he before[he completion of construction and final payment to the
conVador,but will be one year from the dale af recording unless a difterent date is specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFfER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, SECTION T13.13, FLORIDA STATUTES, AND GAN
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of pe�jury,I dedare that I hava read the toregofng notice of commencement and that the facls stated therein are true to the best
of my knovAedge and belief.
STATE OF FLORIDA `/��]„� ��(�,��
COUNTY OF PASCO X •V\
��'Signalure of Owner or Lessee,or Ownefs ar Lessee's Authorized
OKcer(Director/Partner/Ma nagar
6Wt�E�
Signatory's Tille/OHice
The toregofng InsWment was acknowledged before me this�day of ,20��by�yQ�/LY� �l.s►'K.��
�T
as � of authority,e.g.,oKcer,trustee,atto in fa for
' ' ' - � (name of part on bahalf om InsW e s exe ed)
Personally Known 0 O�F Prvduced Identification� Notary Signa
Type ol ldentifica[ion ProducedDfiJ.GfS �1C1�f1�6Q Name(Prinl)
:��+••`�'�;: JENMIfER L EI�WOOD
� ;�z IMY CQA/YISSIWI�FF�54822
EXPfRES F�bniary 11.2020
1�/1�.b137 .eo�,
wpd ata/bcslnoticecommencement,pc053048
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,��➢�. 1��j S��j�pr F�ORIDA,COUNT`(OF FASCO
�,'�� ` ��G �HIS IS TG GFRTIFY THAT THE FOREGOING IS A
dj . ,��► TRUE ANDR��PUBLIC RECORDHN THIS OFFICE
. ON FILE 0
* ' Fn fjo�flVe�rust � * WIT E MY HAND A D OFFICIAL SEA2 THIS
� O:.••;•., ' � DAY OF TROL�
� -=��f-=�—�NEIL,CLE OMP
pAULA S O ,
•� ' EPUTY CLERK
* . y887 i BY � � ,
s���oF►�.�����
SITE PLAt�?DRA.WING FOR BUILDING PERMIT
Note: Please accurately show and locate the fallowing:
�. Size ofproperty
2, Al!streets bounding y�ur property
3. All proposed andiar existing imp;ovements
(bailding and/or structures)
4, Setbaeks for the proposed izngrovement
5. All wells and septic tanks �
NORTfT
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