HomeMy WebLinkAbout15-16726 CITY OF ZEPHI(RHiLLS 1
_ � 5335-8TH STREET
• (813)780-0020 16726
PLUMBING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit#:16726 Issued: 11/05/2015 Address: 36134 SHADY BLUFF LP LOT#6
Permit Type: PLUMBING ZEPHYRHILLS, FL.
Class of Work: PLUMBING/NEW Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 900.00 Total Fees: 40.00 Subdivision: SILVERADO
Amount Paid: 40.00 Date Paid: 11/05/2015 Parcel Number: 04-26-21-0060-00300-0060
CONTRACTOR INFORMATION OWNER INFORMATION
Name: JEFF RILEY IRRIGATION Name: HIGHLAND HOLDINGS INC
Addr: 5202 POEL RD. N. Address: 3020 S FLORIDA AVE STE 101
PLANT CITY,FL. 33565 LAKELAND, FL 33803-4058
Phone: (813)986-1450 Lic: Phone: (863)619-7103
Work Desc: IRRIGATION CONNECTION ONLY****'`***'`******* -
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APPLICATION FEES �
PLUMBING FEE 40.00 -
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INSPEC �10 R QUIRED
1ST ROUGH PLUMB
2ND ROUGH PLUMB
SEWER
WATER
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 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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CO RACT R PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
s�saao-oo2o City of Zephyrhills Permit Application Pax-813-780-0021
Buifding bepartment
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Date Received , S �� Phane Gantact for Permittin i� ��e� –U� ��
Owner's Name � �,C�I { d � Owner Phone Number
Owner's Address Owner Phone Number r� �
Fee Simple Titieholder Name �— �� Owner Phone Number � �
Fee Simple Titleholder Address
JOB ADDRESS �C,(� � � � �,(� '� LOT# �___�
SUBQIVISION PARCEL tD#
(OBTAINED FROM PROPERTY TAX N01'ICE)
WORK PROP03ED NEW CONSTR ADDIA�T 0 SIGN Q Q DEM4l.ISH
INS7ALL 8 REPAIR
PRQPOSEQ USE Q SFft Q COMM � ClTHEFt
TYPE OF CONSTRUCTION Q BLOCK ' Q FRAME Q STEEL Q
DESCRIPTION OF WORK �C�� � C.� � Y r 1 �,,.r O 1'1 �
BUIlDING SIZE �� ��SQ�OOTAGE�_] HEIGHT L��
QBUILDIIVG �$ .------� .�:.. _ -
�— UALUATtON`OF TOTAL COAFS7F2ltCTtfJh!
QELECTF21CAt. �� AN1P SERVIGE Q PRQGRESS ENERGY [� W.R.E.C.
�LUMBIIVG $� �� 0�
QMECHANICA� $ VALUATtQN OF MECHANIGAL tN8TA1.LATlON
�_�`.
QGAS Q ROQFING Q SPEGlALTY Q GTHER �
FINISHED FLOOR ELEVATIONS � � FLOOD ZONE AREA QYES NO �
BUi�DER CQMFANY
SiGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address Cicense.# � �
ELECTRICFAt+1 COMPANY
SIGNATURE ' REGISTERED Y I N FEE CURRE� Y/N
,. , „ ,, ...,_..,...„
Address E.icense# � �
Pi.UMBER � COMPANY
SIGNATURE FtE�iS7EREo Y/ N FEE CURRE� Y/N
Address License.# � �
MECHANIGAL COMPANIt �
SIGNATURE REGISTERED Y/ N FEE CURR6� Y/N �
Address t License# � I
OTHER r ��, �, _ COMPANY � �. �� �I�I�J Cl.,��I ,� '
SIGNATURE , ��'t-� REGISTERED Y/ N . F��cu ED N
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Addr@SS v�tJ� 6 I.iCBRSe�# � `�^� v 1 ���� !
FtESlDENTtAL Attach(2}Plof Plans;.(2}sets of'8uilding'Pians;(1}sst af Eriergy�Forms;R-Q-W Pertnit far new co�stnsction,
- -�- �_ _ _ Minimum,ten,(1.0}working;days aftet'submlttal date. Requlred onsite,Construction Ptans,Stormwater Pians w/Silt Fence instailed,
' Sanitary Faciliees&.1„dumpster,Site�Work�Rertnit for subdivislonsAarge pro)ects -
COMMERCIAL Attach(3)complete se[s of Buiicltrig Plans pius a Life�aie�r,�r y;('!)-�i-ag E�es�v.lF�cros._R_Q-W Permit tor new canstruction.
Minimum ten(10}waricing days after submittal date. Required onsite,Construction Pians,Stormwaker Plans wl 3ilt�=aic�;��staii�,---=-----__.- _ _
Sanitary Facilities&1 dumpster.Site Work Permit far all new proJects.All commercial requlrements must meet compliance �
SIGN PERMIT Attach(2)sets af Eiiglneered Rlans.._. � -� '
"`••PROPERTY SURVEY reguired far ail NEW consWctlon.
I
DlrectEans:
Ffll aut appllcaUon completely. -��
Owner&CanUactor sign back of applfcaUon,notarized .
1f over�'1500,a Notice of Commencement Is required. {AtC upgrade�over$T50Q)
'" Agent(for the contractor)or'Power of'Attorriey(fo�the�owner)would�be sameone with notarized letter from owner authorixing same
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OVER THE GOttNTER PERMITTIi+�G = "(�mnt of Appt'Icatian Oniy}•' °=-
Reroofs ff shingles 8ewers r Service�Upgrades ALC:� ., Fenaes(Plat/SurveylFootage)
Drtveways-Not over Gaunter if bn pulilicroatiways.,�eeds ROt�Y. ..':,
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NOTIGE OF DEED RESTRICTIONS: The underslgned,under�tands�.th�►t.thfs,pQrmit.may,be.subJecE;to"deed"restrlctlons" �
which may be,mote-rest�ictive-than County�regulations: �The�"underslgned'a§surr�es'responsltiillty fot'compilanae with any
applicable deed restrictions. . . � ' . � �
UNLlCENSED GONTRACTORS .AND CC�NTRACTOR RESPONStBIt�ITtES: ��tf ttie awner has �hired a`contraatar or
contractarsta undertakewark�.they may be;cgqut�ed.:to be�:!(aensed In accordanae.wtth state.and;local regufatlorts, lf�the �
contractor is nat licensed as requlced:�by law� both ths owner and contractor°rri�y be-�clted-for�a=rnlsdemeanor violation
under state law. if the awner nr intended contraetor•are�uncertaln as to what Ilcensing.requlre�nenf��may-appl.y.��for�the -
i�tended work, #hey are advised to cainfact#he Pasca Caunty Butliling�lnspecfion Divislon--Licensinug Sec#ion at 72?-84T-
8009. Fu�thermare, if the owner has hired a cantraato� or cor'ttractors. he is advised ta hsve the contractor(s} sign
pvrtfons of the "cont�tctor Block" of thls appltcatlan tor wh}ch they wlll be tesponslbte. !t you,-as.�he ovsiiier sfgii��as ttie
co�tractor, that�nay be an indication that he-is not.prope�ly liaensed and-is not enti8ed to permitti'ng privileges in Pasca
County. ; "
TRANSP"�RTATICIN IMPAGTtUTiLITiES 1MPACT�AND RESC�URCE RECOVERY�FEES:��The�unclersigned understands
that Transpor#atlon ImpacE Fees and.Recourse Recove.ry.Fees may�appiy:Eo�tite canstructian of new buitdings,.�change of
use fn existing buildings, or�expansion=of:ezistiri�=bulldings, as spec{fled.In Pasco Caunty Or'dinar�ce number 89-U7 and
90-07, as amended. The underslgned a#so;understands, that such fees,.as Ymay:be.dne;.w!ll:.be t�ieritlfied at the ttlrrie of' -
pe�rr�itt(ng. It is fu�tfier unders#ood that Tra�sportatfan Impacf Fees and�Resource Recoveiy'Fes�must be pald prior to
receiving a"ceniflcate-of occupanay" or flnal�power:release. :If�the_proj�ct;.does not involve,a certif(cate af accupancy, or -
finai pawer retease; the�fees mu�t be paid prior.#o permit Issuance. Fr�tthermote;1f Pasco.County�iNaterlSewer�lmpact �
fees are due,they.must-be,paid prtar to permit:-issuanae-tn accordance with appiiaable.Pasco�Count'y ordinances,
�CC►NSTRUCTlQN LlEN I.AW(Chapt+a�713, Fiartda Statutes�as amended): if valuatlon of work is$2,500.00 or more; 1 �
certify that !, �he. appltcant, have-been proVided with a�copy- of the °Florida� Construat4on� �leit Caw--Nomeowner's
Protectlon Guide" prepared by,tfie Flnrida Departmenf of Agr(culture and Consumer Affalrs. !f thei app!lcan# is someone
other ihan the°owner", I aerkify,that I�have.obtatned>a-copy;of.the:above..descrlbed tiqcurnent°and promise in.good;faith to .
detiver it to the"awnec"�prioc�to>commencemerit: ' ' " �
CflNTRACTOR'StOWNER'S AFFIDAVIT: i aertify that ali#he-Informatlon In#hi�application is ac�urate and that ali work
will�be dane in compllance wlth aA apptfcable laws �egul�iting construc#lon� zoning and•land-development. Appiicafton is
hereby made, to obtatn .a permit to do. worlc:and Installation as Indtcated. °I certlijr�that no work or InstafEation has
commenced prlar to issuance'of a�permit and that.all work will be pertormed to meet standard� of a!! laws regulating•
cov�struction, County and City codes, zaning regula#ions, and land development r.egulattons�in the jurisd(ction. ( a!'sa
eertify thaE 1 understand that the regulafians of ather govemment agencles may�apply�to the lntended work, and that it is
my respansfbility to Identify�what.actfons 1 must take to be•in:.cattlpliance: S.uch agencies-include but�are.nat limited#o:
- Depactment of E�vironmental Protectton-Eypress:Bayhead�, We#tand Areas and Enviranrrtentally Sensitive
Lands�Water/Wastewater Treatment, � �
- Southwest Florida Wate� Management� Distric#-Wells, Cypress. Bay.heads; Wetland Areas, Altering
Watercourses. '
- Arrny Corps af Engineers-�eawatis,Docks, iVavigabie Waterways. �
- _ Depanment of Heaith � Rehabilitathre ServfeesiErnironmentai Nealth Urtit Wet[s� Wastewater,Trea#ment,
Septic TanKs� " � .
- US Environmental�Protectlon Agency-Asbestos abatement, �
- Federal Avlatlon Authority-Runways. '
t understand ffiat fhe following:restrictions appiy to#he use of fill:� ;
- Use af f!1 is not atlowed in Ffood Zane"V"unless expressty permitted.
- If the fil! materisl��is to be ased_!n-�Flflod Zone "A", it. #s understood that-a drain�ge plan addressEng a
"compensat(ng volume" will be subm!#ted at time of permftting whlch is prepared by � prafessfonai englneer
Iicensed by the 5tate-of�Florida: ,
- If the filt ma#er1a)_is�to be used in Flood Zbne °A° in=connectton�with��a �ermitted b�ildtng using stem waU
� construction, I cettify that fltt�wiil:b.e used only.to fill the area within the stem:wall, ;
- if fili materiai Is to be used in any ar�a, t �certify that use of sucti`fili wiN not adversety affect adJacent
properties. If use of�iR is found to adversely:�ffect adJacent properties,.the awner may be ci#ed far vialating
� the oond4#ions of#he buiiding:perm#t issued under fhe:at�ctied permlt appiicatlon, fo�lots iess than one {1)
acre whtch are elevated by flll,an engtneered dralnage plan Is�equired. � . .
if i am the AGENT FOR THE OVIINER; I,�promise In good faith#o Inform#he owner of�the permitting conditlons set forth in
thls a#fidavit�prior tv commencing constructfon: I"under§tand that a:separate pertnit may be requiired for eieatriaal wark,
, ,m..
plumbing, sigt�s, welfs, poals;, air conditloning, .gas� or other Insfalt�tions no�.speci�cally include��in.the appticatian. .A
permit Issued sh�li be construsd ta be�a'ltcense to�,proceed wlth the vsrork and not as:authorlty#o,vlalate, cancel, al#er, or `
set aslde any pravtsions of the technical.codes;�nor shall issuance'�af a.permlt_pcevent ths-Bulldiri�C?ft1cla!from thereaiter
requiring a correctian af errors In plans, constructlan or violatlons of any codes. Every piermlt Issued shall become invalid
untess the waric av#horized.by such permif�is-cammenced�within six m.onths of permlt issuance, or If work authorized by
the pe�mlt ts-suspended or.abandoned for a:periad of six(�)monttis.after the tima the�work ts commenced. An extension
may be requested� In writing, f�om the Bullding,0�#clal for a period-not to exseed nlneEy�(90) da�s and wi11 demonstrate
justifiable cause for.the extenslon: If work ce�ses:for ninety{90)cons.ecutive:days�..th�jab��s cons6dered abandaned.
IMARNiNG TO aWNER: YOUR FAILURE�TO..REGORD,I�I.NOTIGE;OF-COMMENCEMEI�T�MAY°RESUl:T lN�YOUR
PAYtNG TWiCE;FOR iMPRQVEMENTS TO•YO►UR PROPERTY.;:iF�YO.U��INTEKID�`Tf]�OBTAIN�FII�FANCING;'CONSULT_.__
W!T YOUR END O. A A7TORNEY ORE= ECtaR� Es'�; - R� S! = � � � �EtiMENT�_=, _
FI.ORIDA JURAfi(F.S,1.1�03j_ - _ . �
OWNER OR At3E�l���h���� , � CONTRAGTO
Su crl ed n s or ' rYned� efor me,this Subs b d and'swo -#a ar a ed)� Bil�
by i S •by �
Wfia personally known ta.me or h sthave produ , Who ts are personally kt►own ta me o aslhave p d
as Identlflcatlon, as lden caBon.
a
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IVotery Publtc 1 . Notary Publfc
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u „"",,, JACQUELINE E�
CommissVon No.` Comr�lss n N � Y�VYe�r�
'k"
;�,: :,<_ Expites December 12,2018
Name of Idot2�ry tyR�d�Printer!or stamped Name of Nota '.�eihte
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