HomeMy WebLinkAbout16-17685 ' � . CITY OF ZEPHYRHILLS
r ' S335-8TH STREET
; (si3)�so-oozo 17685
' PLUMBING PERMIT
� PERMIT INFORMATION � .LOCATION INFORMATION '
Permi�#:17685 Issued: 8/23/2016 Address: 6330 HUNTINGTON DR
Permi�� Type: PLUMBING ZEPHYRHILLS, FL.
Class of Work: PLUMBING RENOVATIONS Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 700.00 Total Fees: 60.00 Subdivision: SILVER OAKS
Amount Paid: 60.00 Date Paid: 8/23/2016 Parcel Number: 03-26-21-0120-00000-0940
CONTRACTOR INFORMATION OWNER INFORMATION
Name: SELLARS PLUMBING & ELECTRIC LLC Name: COLLINS, JEFFREY& DIANA
Addr: � 38836 9TH AVE. Address: 63.30 HUNTINGTON DR
ZEPHYRHILLS, FL 33540 ZEPHYHRILLS FL 33542
� Phone,: Lic: RF 0036194 Phone: (813)838-1689
Work Desc: WATER HEATER REPLACEMENT '�
; APPLICATION FEES
PLUMBING FEE 60.00
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I INSP IONS E UIRED
1ST ROUGH PLUMB �
2ND ROl'JGH PLUMB
SEWER I ,
WATER ,I � L r�
FINAL I �
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REIN�PECTION FEES:(c)With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c)the
local��overnment 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.
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Tlie 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."
Comilete 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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'i CONTRACTOR _ PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR�INSPECTION - 8 HOUR NOTICE REQUIRED
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PROTECT CARD FROM WEATHER
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4 ALL�1lORK SMAP.L COMPLY WCl7°i
� PREVAiLihIC�CODE�
4 FLORIQA�UtLL�tNG CODE,
' NATlC►i�AL EIECi't3t��OQE.4ttdD
' CiTY OF��PI�YYRFili.1.S ORDINAN�ES
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s�aaeo-oo2o City of Zephyrhills Permit Application Fax-813-780-0021
i • Building Department
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Date Receiv I d r
i Phone Contact for Permitting • _ ,
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Owner's Ida�me �-� h��Ri' �c7 L` �N S Owner Phone Number 8�3 `�'�3
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Owner's Adc]ress � 3 3 a r7'c. r✓ /�u %a a 1�� Owner Phone Number I I
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Fee Simple Yitleholder Name Owrner Phone Number '
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Fee Simple Titleholder Address
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JOB ADDRE� S !�j�v �� N�`i s� .v J12 LOT#
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SUBDIVISIOPI PARCEL ID# �3-a�`�!- � /2a y bb 6 a0 � t�9¢o
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e , NEW CONSTR 8 ADD/ALT 0 SIGN Q � Q DEMOLISH
INSTALL REPAIR
PROP.OSED,IUSE Q SFR Q COMM 0 OTHER
TYPE'OF CONSTRUCTION Q BLOCK - Q FRANIE 0 STEEL Q
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DESCRIPTION OF WORK ��=� I✓��!z �' sw �/$i¢71'.+r� ,
BUIL'"DING SIZE SQ FOOTAGE� HEIGHT
� QBUILDING $ VALUATION`O�TOTAL CONS'PRUCTION
QELECTRIC $ � AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. ,
�PLUMBI $ �v v . O J , � r�.
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QMECHANICAL VALUATION OF MECHANICAL INSTALLATION
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QGAS Q ROOFING Q SPECIALTY 0 OTHER
FINISHED F,LOOR ELEVATIONS FLOOD ZONE AREA DYES NO
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BUILDER � COMPANY
SIGPlATUREi REGISTERED Y/ N . FEE CURRE� Y/N
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Address License#
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ELECTRICIAN COMPANY � �
SIGPIATURE ' REGISTERED Y/ N FEE CURRE� Y/N
Address License# � '
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PLUMBER � /�! COMPANY -SILL�vz� I,9 E % r'� �
SIGNATURE' �� `'L REGISTERED Y/ N � FEE CURRE� Y/N
_ Address .3���� ��S R-u►= 2-%fi�/> License#
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MECHANICAL COMPANY
SIGNATURE' ' REGISTERED � Y/ N FEE CURRE� Y/N
Addr'ess • ' License#
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A7HER `I COMPANY
SIGNATURE` � : REGISTERED Y/ N FEE CURRE� Y/N
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Address - - License#
"RESIDENT,IAL :-. Attaoh,(2).PIoY Plans;(2)sets of Building�Plans;(1)set of�Energy Forms;R,O-W Permit.for new construction, �
. � ; � Minimum;ten;(,10)working`.days aftersubmittal date. Required onsite;Construction Plans,Storinuvater Plans w/Silt Fence installed, i
; Sanitary,F.acilities:&:,1�dumpster;Site 1Nork Permit for sutidivisions/large projects
COMMERCIAI: Attach'(2)`complete sets of Building Plans'plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
i Minim�m ten(10)working days after submittal date. Required_onsite,Construction Plans,Stormwater.Plans w/_Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit fo�all new projects.All commercial requirements must meet compliance. �
SIGN'PERMIT Attach(2)sets of:Engineered Plans. '
i1 *"*"PROPERTY SURVEY required for aII:NEW:construction. �
Di'rections: �', �_ �
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (A1C upgrades over$7500)
'" Agent(for the�cont�actor)or Power of,'Attomey(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE.COUNTER RERMITTING �"`�"'(copy of;contract"required),.-"��`'
Reroofs if shingles Sewers '' Senrice Upgrades,,A/C, • ,'Fences,(PIoUSurvey/Footage)
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Drlveways-Not over Counter;�if on.public roadwa'ys..needs ROW�. ' ,;
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NOTICE OF DEED RESTRtCTtt3NS: The undersigned understands.that.this,permit may be subject to"deed" restrictions" �
which�maybe more r.estrictive than County regulations, The�undersigned assumes`�espansitiilifyfbr�corripiianae with`any` �
applicable deed restrictions. , �t �,
UNUCENSED CONTRACTORS AND CONTRACTOR RESPONSIBlLITIES: !f the owner has hired a contractor or
contractors to undertake work, they may be required to be licensed in accordance with state and lacal.regulatians: If the
contractar is not iicensed as required by"iaw, bofh-the owner and�contractor rriay�be cited for a mi'sde,meanor violation
under state law. If the owner or intended contractor are uncertain as to what ticensing requirements•may-.appty�for tfie
intended work, they are advised to coritact the Pasco Courity Building lnspection�Division=Licensing 5ec#ion at�727-847-
8009. Furthermore, if the owner has hired a contractor or cantractors, he is advised to :have the contractor{s) sign .
portions of the "contractar Block" of this application for which they will be responsible. !f you, as tl�e owrier sign as thie '
contractor, that may be an indication that he is not properly licensed and is not entitled to permitting�privileges in Pasca
Caunty. - . .
TRANSPORTATit?N IMPACTLUTIltT1ES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation lmpact Fees and Recaurse Recavery Fess rnay.apply ta the constructian of new buiidings, cfiange�of��- �
use in existing buildings, or expansion of.existing buildings, as specified in Pasca Coun#y Qrdinance number 89-07-and � ,
90-07, as amended. The unde'rsigned also understands, that such fees, as may be-due, will tie identified at;the time of ° .
permitting. it is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior ta i
receiving a "certificate of occupancy" or final pawer release. If the project does not involve a certificate of occapancy�.or � ��
fina! pawer release, the fees must be paid prior ta permit issuance. Furthermore, if Pasco County Water/Sewer Impac#
fees are dus, they must be paid prior to pe�mit issuartce in accordance with appficable Pasco County ordinances.
� CONSTRUCTION LIEN LAW(Chapter 713, Fla�ida Statutes,as amended}: !f valuation qf work is$2,5QQ.OQ or mace, (;;
� certify that I, #he applicant, have been provided with a copy of the "Florida Canstructian Lien Law—Homeowner's
� Pratection Guide" prepared by the F(arida Department of Agriculture and Consumer Affairs. !f the applicant�is someone
other than the"owner", t certify that t have obtained a copy of the above described document and promise in.good faith to
delivet it to the"awner"priar ta commencement. � '
CONTRACTQR'S/OWNER'S AFFIDAVIT: 1 certify that al!the information in this application is accurate and that alt 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. 1 certify that no wark or installation has !
commenced prior to issuance of a permit and that all work will be pe�formed to meet standards of al! laws regulating
construction, County and Cify codes, zoning reguiations, and land development regulations in the jurisdiction. I also
certify that 1 understand.that the regulatians of other government agencies may apply�to the infended work, and that it is '�
my responsibility to identify wtia#actions I must take#a be in campliance. Such agencies include but are not lim'rted to:
- Department of Environmenta! Protection-Cypress Bayheads, Wetland Areas and Enviranmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Fiorida Water Management District-Wells, Cypness Bayheads, Wetland Areas, Altering
Wa#ercourses. ,
- Army Corps of Engineers-Seawa{Is, Dacks, Navigable Waterways.
- Department of Health � Rehabi(itative ServiceslEnviranmentaf Health Unit Weiis, Wastewater Trea#ment,
5ept+c.7anks.
� - US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fiil:
� - Use af fll is noC atlowed in Flood Zone"V"unless expressly permifted. -
- !f the fill ma#erial is to be used in Flood Zane "A", it is understood that a drainage ptan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a prafessianal engineer
licensed by the State of Florida.
- (f the fill ma#erial is to be used in Flood Zone "A" in cannection with a permitted building using stem wall
constructian, i certify that fill wifi be used anly to fill the area within the stem wall.
- ff fiil materiaE is to .be used in any area, ( certify that use� of such ftll wili not adversely affect adjacent
properties. If use of fiH is found to adversely affect adjacent properties, the owner may be cited for violating �
the conditians of the building permlt issued under the at#ached permit.application, far lots fess than one {1)
acre which are elevated by fill, an engineered drainage plan is required.
If I am #he AGENT FOR THE OWNER, I pramise in good faith to inform the owner of the permitting conditians set for#h in t
this affidavit prior ta commencing construcfion. t unders#and that a separate permit may be required for electrical work,
plumbing, signs, weils, paals, air conditioning, gas, or other�iristallations not specificaliy included in the application. A - '
permEt issued shall be construed ta be a license to proceed with the work and no#as autharity to violate, cancet, ai#er, or
set aside any provisions af the technical codes, nor sha!! issuance af a permit prevent the Building C3fficiai from thereafter
requiring a carrectian of errors in plans, construction or violations of any codes. Euery permit issued shall become invafid
uniess 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) manths after the time the wark is �ommenced. An eactensian
may be requested, in writ�ng, from the Buildirig Official for a period nat#o exceed r�inety (90) days and witl demonstrate
justi�able cause for the extension. !f work ceases far ninety{90)consecutive days,the jab is considered abandaned.
WARNING TO OWNER� YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YlaUR
PAYtNG TWICE�FOR IMPROVEMENTS TO YQUR PROPERTY. IF YOU•INTEND-TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTBRNEY BEF�RE RECORDING YOUR NOTICE UF COMMENCEMENT. '
FL4RIDR,fURAT(F.S.117.03) �_ �'_
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. __UV4rN�R..OR-�4fiENT-- ---_—_ .__ .. ____-._ .. ---_ GONTRACTOR G.x.-�: -�u.R/'` �
Subscribed and swom to{or aificmed}before me thls Subscribed and swam to{oc afftrmed}tiefore me this E
by '
Who is/are personally known to me or has/have produced ' Who is/are p a0y kn,_w to me ar has/have produced
as Identification. as identiftca6on.
Notary Public Notary Puhlia
Gommissfon No. Co m' ian �
.ev�4., JAC
�:: Cammissian#FF 150422
Name of Natary typed,printed or stamped - Name of Rtota �' f��i�� � �� �
�!�„p i�F;°.`" Bondod Thm iroy Fain Insuranee 800.385�7019