HomeMy WebLinkAbout15-16834 CITY OF ZEPHYRHILLS
� � 5335-8TH STREET
(si3��so-oozo 16834
PLUMBING PERMIT
PERMIT INFORMATION -LOCATION INFORMATION �
Permit#:16834 Issued: 12/15/2015 Address: 36145 SHADY BLUFF LP LT 9
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: 12/15/2015 Parcel Number: 04-26-21-0060-00200-0090
CONTRACTOR INFORMATION OWNER INFORMATION
Name: JEFF RILEY IRRIGATION Name: HIGHLAND HOLDINGS INC 36145
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 CONNECT ONLY**'"*
APPLICATION FEES
PLUMBING FEE 40.00
' � - INSPECTIONS REQUIRED "
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 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 pertormed in accordance with City
Codes and Ordinances.
Complete Plans, Specifications and Fee Must Accompany Application. All work shall be pertormed in accordance with City
Codes and Ordinances.
N CTO PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
�
813-78Q-0020 City of Zephyrhills Permit Application Fax-813aeaoo2�
� Buitding Qepartment
� Date Received � �� � ° Phane�Cantact for�Percriittin �� – ��`-' !
Owner's Name f Q 't �-� Owner Phons Number
�—�.
Owner's Address Owner Phone Number� -
Fee Simple Tltleholder Name � � ' Owner Phone Number �— �
� Fee 3lmple Titleholder Addresa
� JOB AbDRESS C�1`1� � LOT# ��
SUBDiViSiON P.ARCEL ID# �`
(pBTAINED F.ROM PROPERTIGTAX NOTICE)
, WORK PROPQ$ED- Y NEW CONSTR . ADptAIT � SIGiV` Q `[� pEMC?LISN
' INSTALL -REPi41R
PROPOSED:USE Q"� SFR• Q �CC1MM Q C?THER '
1YPE QF CONSTRUC110N Q 'BLOCK `" Q FRAME � �] 87EEC Q
DESCRIpTION OF WORK - �Y� �
� Bt711D1A1G S[ZE � - � � SQ FOOTA4iE MEIGHT ����
„ .
QBUII.DING $ '`''� .�.... .�,_.. ...,v., ._..� _
�11 I VALUATiON:OF 30TA1.'CONSTRUCTION
„ ' ._.....J '
QELECTRIGAI. �$ ' � AMP SEF2VICE Q FROGRESS ENERGY Q W.R.E.C.
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� �UMBlNG $(?F1� �(�}� "
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') QMECNANICAE, �� VALOATlON OF MECHANICAI.IN3TAI.LATION �
QGAS Q ROOFI{�tG :Q SPECIALSY; Q C?TFiER
FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA [�YES NO
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` BUF�DER COMP74t�IY� - , .
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address � License#'r'� �
, . „ .
ElEC7RiC1AN: =COMPANY - .
SIGNATURE �' REGIS7ERED Y/ N FEE CURRE��' '��Y/N'
i Addresa , , � . License# ' : / . � t �
� P�UMBER ' COMP.:ANY . , ,
�
', SIGNATURE' " ' ; REGIS.7ERED Y./,.N�, _hEE cuRRE��� , Y•/N.
� , _ , � � . � .
IAddress ` . License# �- ^t� .
� MEGHANICAL` � COMPANY � . ,
I SIGNATURE� ` '" � REcis7�Reo � Y/N �E Cu�n Y�/:N �
i Address`: _ �� . , _ _ . « _. � � L`icense#�� � -
�` t�'fHER , ;GaMPANY � �� � �_ �.� O
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� 81GNATURE "'Y'- . '( ` "REGISTEREn Y/ N;. � FEE CU , � Y N ,
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AdBress ;.� ��r��,•{� -�C�-�� - , � - . Licenae#' C� � � ��.3���
RESIDENTIAi:�t.. �Attac#i`(2j,;P..lo#�Rlans;:(2}se#s:of:Bullding�Plans;(1}ssfof�Energy�Fain►s;'R�W Peirnl#fot new canstruc�on,
;�:Minimum:ten,(10),working;days;after„subml.ttal'dat"e.� Requlred onslte,�ConstnicUon�Flans;Stormwater'Pians w/SIIt Fence installeii,
_,. :..�. _.., ._ . ,
Y �Sanitary Facillyes;&a-1,dumpster°Site Work;Permit#ar subdtvislonsllarge pr6jects .:_ � _ __
COMMERCIA[. Attach{3}compfete sets�of Saltiltrig!'lans'plus a�!lferSafaty Page;(1}set of Energy Forms.R-O-W Permit for new canstructton.
Mintmum ten(10)working days after submittal date. Required onsike,ConsUucUon Plans,Stortnwater Plans w/Silt Fence installed,
Santtary FactliUes&1 dumpster.Slte Work PermiR for all ttew.:proJects:All commerGal requlrements.must meet compliance
51GN PERMIT Attacti{2j sets ofEngineeted=.Pians..,:-,-�T: . . _- . - - , . �
' ""PROPERTY SURVEY required for ail,NEW constructlbn.
� Dtrectlon�: . ..�_ , -
Fill out applicatlon compietely.
Owner 8 Contractor stgn back of appllca@an,notadzed
if over�2800,a Ftotics af Commencement is requlred. {A►C upgrades over ST500) _
,,.t.;,, -,�..�;.,;'.,_ . .._ , - .
Mk Agent(for tlie contractor)"or Powe�of Attorimey(fo�the owner)would be�someone wlth notarized letter from oymer�autho�izing�same�•�= ��•,: ..•
, : � ,� �. , , ,..
CIVERTHECDUNTER.FERMITi1NG-• - �(Frontof�Applicatlon-Onlyj-- " � �, • -, „ �
Reroofs If shingles Sewers Service Upgrades A!C Fences(PIoUSurvey/Footage) , � ��,�; . . . ; , „
_ _ ._. - -+ , .
Drivewaya-Not over Counter if on publia roadwa}+�..�eeds ROW ° �-- _��•� � - -� � -- ' :••�I
� }
NOTICE OF DEED RESTRICTION�: The undersigned understands.;th�t�this,'.p�rmit,may.be,sub)e.ct.to,"deed,",restrictlons°: . F^-
which may tie,more.restflctive�th��t County-�negr�latfons:'�The�unde'rsigned�nassumes'responsibiltty'for coinpUance'with any' `-�
applicable deed=resMctions. ,.-. ,, :: _ •-- �- ._ � . _. - `' " �
UNLICENSED�-CONTRACTORS AND CONTRACTOR RESPONSI�ILITIES: =1f-the owner'has hired' a contractvr or
cont�actors to undertake work, they m�ay:be.r,equired::to.:be;llcensed ln�accordance:with state:and�local:.i�gulations: �If°the•.� ' •- �
contractor�is-noE licensed,as�requlred'6y law, both the owner and�oontracto���may�be��clted�for a�misd�smeanor violatlon
under state law. If the owner or Intended;;contra�or�are,uncertain as to what Iicensing.requireRnents.�Qnay�epply ior:�the - -
intended"work�tliey are advised to iiontact tFie-Pasco County Bullding`InsPeatton,Dlvision-l:icensing�Soction at 727-847-
8009. Furthermore� If the owner'has'Filred a cont�acto� or contractors, he is advlsed to have �the �contractor(s),,sign
..:. ,,�...�_. ,_.-,,,. , . .
portfons of the "contractor Block" of..this application for which.,they.will,�be-.responslble. =If.you; as:the owner sign�as°'the '
cont�actor, that tnay�be an indicatfon that'he�1s noY"properly licensed'�and"is not�entiNed to pemiitting paivlleges in Pasco
County. - - n,,,..R,
TRANSPORTATION•IMPACTIUTILITIES�I�IIPAC7��AI�b RESOUItCE.RECOVERY�FEES:�The undersigned uhderstands �
that Transportation Impact Feas�and.Reco.urse Recove.ry.Fees may�-applyv-to�ti�e_constructlon,of new buildtngs�Jchange''of"- ` •� �
use in existing buiidings; or�ezpar�slon��-of��ezisfin��buildings, as speclfled.in Pesco County O�dinance number 89-07 and ;
e0-O7, as amended.,,..The undersigned also.understands, thait�such fees;;as,may__�e�::due;�will��tie.fdentilled at the�time�ofi a =°� �
permitting. It Is fu"rtlier understood that Tra�sp�ortation Impacf Fees and�Resource;Recovery;Fees,.must be paid prior to �
receivtng-a 'certiflcate��_of occupancy"�or��flnai•�power;release.�:lf�the project;does�:not involve�a�.certfficata of occupancy�or��=���`�' ''
flnal power release;__the fees mu�t tie paid,p�ior to,permit Issuan�ce. Ftikthermore;ff:Pasco.,County`1N�terlSewer:lmpact :• . . ;
fees are due�.they.must:be,,paid-prior�o.permit-lssuance;�n.accordance wltF�appllcatile.Pasco'_County�o�dinances. •
COtdSTItUCTIOId"LIEN'LAW�(Chaptar 713� FlorJda Statut�s�as amended): If valuaHon of work is$2,500.00;or•more;.I� „
certify that I, .�he.-applicant,. have„been ,provided•�with a=copy�of the�"Florida� �onstruction� Lien °Law—Homeowner's
Protection Guide" prepared by,the Flori'da Department of Agrfcultqre and Consum�r;Aifairs. if the appeicant Is someone , -,
. „
other than the°owner", I certifjr that l,;have.obtained�a'°copy.of the;abovs.desc�ib"ed`tlocuri�ent�and.ptoml��;ln;good failh.to _:;
deliver it to=ihe'owrie�"':p�ior to�commencemenE:" "� ` '� � � - � �
CONTRACTOR'SIOWNER'S AFFIDAVIT: I.ce�tity;,tti�t-all..th�,information,in°thi�applicatlon is accurat�.and that all work '
will'be done in compli�nce with all applicable laws regulating construction, zoning and�land developme�nt. Appltcation Is
hereby made to obtain .a .pecmit;,Co-,do..:_w,..o�lc,;and�installatlon as indl�afed:-�:-�1� certify that no work�or Installation has
commenced prior to I'ssuance of'a perrriif"and that.all work will be pertormed�to meet standards of all laws regulating-
constructton, County and City codes� zoning regulatians� and land development cegulations�in the:juPlsdtction.� I al'so
certify that I understand that the regulations of othe��government agencies may�apply�to the_Intended work, and that it is
my responsibility to identifjr•what.actions I must�take:to be,in�comp�lar�cs., S.uch agencles include but�are.not Iimited to: � ;
_ - Department of�Er�v(ronmental�Protectton-Cypress. Bayfiead�, Wedand Areas and Envtronmentally Sensttive ;
Lands�WateNlNastewater Treatment. . ,. y �
- Southwest Florida Water Management :I�tstrict Wells, Cypress. Bayheads; Wetland Areas, Alter�ng �
�
Watercourses. ' '
- Army Corps of Engineers-Seawalls,"Docks, Navigable Waterways. ;
- Department of,.Health;�8 Ret�abllltative Services/Envttonmen#al.-Health Unit-Wells, WasteuYater-Treatment,
Septic Tanks:. � � , : '
- US Environmental Protection Agency-Asbestos abatement.
Federal�.Avlatlon:Authority-Runways�� '
I understand that the folloiwing:�eswlctlons apply'to the use of flil:• �
- Use of flll Is not allowed In:Flood;Zone"V"unless expressly perm(tted. �
- If the =flll materlal-"is to'be used_ In �flood Zone. "A", It- is understood that a dralnage pls�n addressing a
"compensating volume" will be subml.tted at tlme of:petmitt)ng which is prepared by a professional englneer
Ilcensed by'the State of`Flo�da: , �. �� � . - �
- �If ihe fill material�is to-be�used In Flood �one 'A" In�connection�with�a�permitted bullding using stem wall
� construction, I certify that fUl�:w111=b.ePused only.to flll the area within�the stem�wall:
- � If flll material is to be used In any area; I�6ertify t#�at .use. of such flll wiil not adversely� affect ad)acent
properties. If use of flll Is.found to adversely:�ffect adJacent�properties�.the owner may be cited for violating
the condflions._of the building�.perniit.Issued.under the_�attached�ermit �pplicatlon;for lots�.s�ss.than.one (1)
acre which are elevated�by f111,a�englneered dralnag�plan is�required.
If I am the/s►GENT FOR THE-0IMNER, I�.promise In.good fatth to Inforra the owner of�the permitting condftlons set forth in
this aKdavtt'prtor to commencing constructlon. "I understand that_a�separate permlt may be requtred fo�elecMcal'work, �
_.4....�.�s_
plumbing,..signs,.wells,.pools;. alr condttioning,-.gqs, or otMec Install�tlons not�spec�ically inclu�ed tn.th� application. .A « �
permit Issued §hall be construed to be�a�Iicense�to proceed with`tNe_work and�not-as:authocity to..vialate,`cancel. alter, or
set aside any-provisions of the.techn(cal.codes;�nor shall issuance�of a.permit.prevent the Bulldirig Offici�l from thereafter
requlring a conection Qf,eRors In.plans;consCruction or violatlons of�any codes. @very��p'ermlt=lssued sfiall�become invalid
unless the work authorized.by such permit:�ts.commenced•within sf�c months of�permlt issuance� or If wo�k authorized by
the permit is suspended oc.abar�doned•for.a;period�of�six�)�montf�s.aRer the,time�the�work�is commen�ed. An extension
may be requested, tn writing, f�om the.�Building,Officlal for a period.�not to exceed=ninety�(90)=�days a�d wrill demonstrate
justifiable cause for;the extension. If work ceases�for ninety(90)cons.ecutive�days...th�)ob�is consldered aibandoned: -
WARNING TO OWNER: YO.UR..FAILURE�TCl,R�EC.OltD A.MOTIGE.OF•COMMENCEMEMT NFAY RE�ULT IN�YOUR
PAYING 7WICE:FOR.IMPROVEMEN�S�TiJ YO.UR::PR�PERTY:��IF°YO.U�I�V�'Et�ID:TO'�OBTAIN��FINAI�EfNG,'CONSULT _ _ _
WITH YOUR LEL�D�R�OR-e4(V�-ATTORRlEY�BEFOR��13-ECS�R�IN�:;YnU�'L�°�LCE'OFrC°IWI�IEPIC �PIT' �
FLORIDA JURA�(F:S:1.1 T 3� - � � � ' -
OWNER OR AOENT CONTRAGTOR
Subscribed and " M before thls Subsctlbed and'swom�to(ot aftirmed)�before me�ttit$. �
.by... -
Who i e pe►sonaliy novm to.me or haa/h�ve produced Who.ls/are persanellyknown•to me or healhave.�prodi�ced • •
� ae Id'entlBcatl4n. as IdentlflcaUon.
Notery Publlc . Notary Publlc
�� .
Com sl '�.�;-., ,IAC UELINE@ GES CommisslonNo._ _ _. _ . •
;;;' �'.;. •:R_ Cc:nmission#FF '
:�: `�—:r° Fxoires December 12,2018
Name of ,pNnteid��drs[ari�eieeoa3esaois Name of Nolary typed,prinled or stamped