HomeMy WebLinkAbout17-18609 %
CITY OF ZEPHYRHILLS i
5335-8TH STREET
� � (sis)�so-oozo 18609
PLUMBING PERMIT
� - - PERMIT INFORMATION - � LOCATION INFORMATION
Permit#:18609 Issued: 6/27/2017 Address: 38122 12TH AVE �
, 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: 1,800.00 Total Fees: 80.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 80.00 Date Paid: 6/28/2017 Parcel Number: 11-26-21-0010-05800-0210
CONTRACTOR INFORMATION' OWNER INFORMATION
Name: CHRIS BAHR PLUMBING Name: JONES ARLENE �
Addr: 5729 GALL BLVD. Address: 38122 12TH AVE i
ZEPHYRHILLS, FL. 33541 ZEPHYRHILLS, FL. 33542
Phone: (813)782-2524 Lic: Phone: 813-479-8700 ;
Work Desc: WASHING MACHINE HOOK UP W/ ELECTRIC !
APPLICATION FEES
PLUMBING FEE 40.00 ELECTRICAL FEE 40.00 ;
I
I
INSPECTI E D '
1ST ROUGH PLUMB - i
2ND ROUGH PLUMB I
SEWER I
WATER � ,
FINAL �
� � ,
REINSPECTION FEES:(c)With respect to Reinspection fees will co ply with Florida Statute 553.80 (2)(c)the
local government shall impose a fee of four times the amount he 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 thati�
ma be found in the ublic records of this coun and there ma be additional ermits re uired from other overnmental ;
Y P tY� Y p Q 9 ,
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."
I 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.
I
�
C RACTOR PER OFFI �
:,
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER '
I
CITY OF ZEPHYRHILLS
5335-8TH STREEi'
, � (ais)�so-oo20 18609
PI.UMBINC PERMIT !
PERMIT INFORMATICIN, LOCATION INFORMATION I
Permit#.18609 Issued: 612712017 Address: 38122 12TH AVE I
Permit Type: PLUMBING ZEPHYRHILLS, FL. i
Class of Work: PLUMBING/NEW Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
5q. Feet: Est. Value: Book: Page: �
Cost: 1,800.00 Total Fees: 40.Q0 Subdivision: CITY OF ZEPHYRHILLS �
Amount Paid: 40.00 Date Paid: 6/27/2017 Parcel Number: 11-26-21-001Q-05800-0210 �
C4NTRACTOR INFORMATION OWNER INFORMATIt3N
Name; CHRIS BAHR PLUMBING Name: JONES ARLENE
Addr: 5729 GA�� BLVD. Address: 38322 12TH AVE
ZEPHYRHILLS, FL. 33541 ZEPHYRHILLS, FL. 33542
Phane: (813)782-2524 Lic: Phone: 8'!3-479-8700 �
1Nark Desc: WASHING MACHiNE HOOK UP
APPLlCATION FEES
P�UNIBING FEE 40.00
INSPECT NS 1 ED �
1ST ROUGH PLUMB
2ND ROUGH PLUMB
SEWER �
WATER �
FINAL 1
.���
REINSPECTION FEES:(c)With respect to Reinspeckion fees will comp y with Flarida Statute 553.80 (2)(c)the
loca!government shatl �mpose a fee af four fiimes fihe amount of the fee imposed far the initial inspectian or;
first reinspection,whichever is greater,far each such subsequent reinspection. �
NQTICE: In additian to the reGuirements of this permit,there may be additianal restrictians applicable ta fihis property that,
may be found in the public records of this county, and there may be additiana( permits required from other governmental i
entities such as water management, state agencies or federal agencies. �
i
The payment of inspection fees shall be made before any further permits will be issued ta the person awning same �
"UVarning to owner: Your failure ta record a notice af cammencement may result in your paying twice for
improvements ta your property. If you intend ta abtain financing,consult wifih yaur lender ar an attorney
before recording yaur natice of commencement."
Complete Plans, Specifications and Fee Musfi Accompany Application. All work shall be performed in accordance with City '
Codes and Ordinances.
Complete Plans, Specificatians and Fee Must Accompany Appiication. AI(wark shal( be performed in accordance with City
Codes and Ordinances. �
I
CONTRACTOR PER tJFFI '
PERMIT EXPIRES IN 6 M4NTHS WITHOUT APPRQVED INSPECTIO
CALL FOR INSPECTION - 8 HBUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER .
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department .
; - .
Date Recelved . � Phone•Contact for Permittln � � O 1
Owner's Name l�e J O Owner Phon�Number �( — 1 7 I'��� �
Owner's Address �V I ��-- I(�� Owner Phone Number-
J * i
Fee Simple Tltleholder.Name 0/�t� / S z� ��'l. Owner Phone Number � �
Fee S(mple Titleholder Addresa �O 7� , fiu � � , � � � �``�. �
JOB ADDRESS O � � ��� S T LOT# � i
SUBDIVISIOPI PARCEL.ID# ' ' I
� (OBTAINED F.ROM PROPERTY,TAX NOTICE) �
WORK PROPOSED �.NEW CONSTR' ADD/ALT Q SIGN Q Q DEMOUSH '
�-B, INSTALL B .REPAIR ••, '
PROPOSED�USE � Q SFR. Q -COMM Q OTHER � �
TYPE OF CONSTRUCTION Q� � 'BLOCK " Q FRAME � Q ,STEEL" 'Q �
- �� , � /� // //
DESCRIPTIONOFWORK' , � /�,. I (=f"t(��l' /(L'��` DI1 � � s't � p � I
. �
BUILDING SI2E'' � � �'SQ'FOOTAGE�, - . HEIGHT�, li
QBUILDING $ VALUATION'OF TOTAL�CONSTRUCTION
QELECTRICAL $ ' AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. '
�PLUMBING $ oc� � '
��
QMECHANICAL . $ VALUATION OF MECHANICAL INSTALLATION
- i
QGAS Q ROOFING Q SPECIALTY Q OTHER - �
FIfVISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES. NO I
- i
BUILDER COMPANY�`
SIGNATURE REGISTERED Y/ N 'FEE CURREA Y/N
� i
Addre�s ' � � Liaense# - ,
i
ELECTRICIAN; ; � - y`=coMP,�„r �w N�P�
SIGNATURE � REGISTERED Y/ N FEE CURRE� ' Y/N
' I „ y ,
Addre'ss ' �� ,.- License.# �
PLUMBER'_ - COMPANY �S ;; . ���- �.C/�Yj`LU N�
SIGNATURE'` � - � , REGIS.TERED,. � Y.l.N. . ; FEE CURREA. :; Y•/N � I
Address t� 7 (..�Gt' � U ��r 4'�5 � License.# 02 � I
,�. . � , , , .�
MECHANICAL' ' " " . COM,PANY. • -, �
SIGNATURE � �- ' � REGISTERED , Y./ N . ,_ FeE CurtREn Y./�N �
' �Y'l`' � . ... ,.. . �
Address' .�_ �''� � - � � . =��° _ .- . , ' - , ' ` License#� ',
: ; , . .� ,
OTHER .= . - ` _ � � . ;COMPANY' .., .. ., � I
;,.,--„ ,;>_., , ;.
SIGNATURE' �;• " • '' �REGISTERED� ' Y/'N..r ' FeE cuR�� Y/N �
Address '�f`�� .. -y � , " - � Cioense#: � - -
!' ' " " ' '� . .`tj,::,. ' -. ,5v.._�.,:cr '. ' a ., _
RESIDEN'iIAL:t,.�.;Attacfi°(2);P:,lot Plans;.:(2)sef`s-of�Buil'dingi Rlans;`(1)set;of.Energy;Fortq's;.R=0-W'Per`rriif for new,construction, � � .,
� ;-,.,:, -. ;-:.,_, .
; ;�,:Minimum;ten;(;I.0);worfcingsdags,after,submiftal"date::Requlred onsite;::Constii�cdon-Plans;Stormwater Plans w/Silt'Fence installed,
� ' Sanitary Facllttles 8�1 dumpster,3lta�WorkrP;ermftfor sutidivisionsAarge.proJects_ `..-,,:'�.,• _ � � �. '• - -—
�COMMERCIAL Attach(3)oomplste'seCs of Building Plans plus a'Life S'afety Page;(1)set of Energ�y Forms.R-O-W Permit fo�new canstruction.
Minimum ten(10)v+rorking days after submittal date. Requtred onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilides&1 dumpster.Site Work Permit for all new�projecfs::All commercfal requlrements must meet compUance '
�SIGN PERMI7 AttacF9"(2)"sets of�Engirieer,ed�Plans::. •:-= 7 �.•; :� � .•- � ' `
••••PROPERTY SURVEY reguired for,all NEW construcUon.. .,.
Dlrectlona: :°�t���'` ', � �
Fill out applicaUon completely.
Owner&Contractor sign back of appllcaGon,notarized �
If over 52500,a Notfce of Commencement Is requfred. (AIC upgrades over ST500)
" �,...t.�.:.
" /\qent(for tFie cantractor)'or'Power of Attomey(for tFie owner)would be�someone with notarized letter from owner authorizing same
DVER'TNECOUNTER:P..ERMITTING ---:-(Front�of-AppllcaUon-Only)- �- - � �
Reroofs if shingles Sewers Service Upgrades A/C Fences(PlodSurvey/Footage) ,_
Drivewaya-Not over Counter if on public roaduvays:.needs ROW �
� f
� �
' , . ._�_. ._ . ,:
NOTICE aF DEED RESTRICTIONS: The.u�de�rstgned_under�tands=:t#t�trthls;.p�cmJt,maysbe:sub�eat_to;"deed";restr�ct�ons" '�_., _�
_, . >., , . �:
whlch may`tie�:more�.resUictive�than�Courity<��+agulatCcns::�Ther��under"s)gn�d�=assurtnes'respon'sitiility'for catiiipflance with��any �"��
appticable deed�resMcttons. :,,4,.r��=.,�.; ,,:_._ � _ ' ' -- . _. _,. ._ ; : � .__� .. ,_.u�:�
UNLtCENSED �COMTRACTORS :At�D CONTRACTCIR�RESPONStBICITiE$: �ff-ttie°auvner�hasr�hired��a-`i�inhac#or or
, . .,,
contractors to undertake work�they may:be,r,eiqulred=.to�be,;licens.ed.in-:accordance.with,state�.and�local;regulations:�•If the ��� �'�"'�
contractor=ts not tEcensed �s�requlced`6y law,,both#he ovmer arii3=eonf`r'actoT#�msy #e�°cited�f�r�a'`mtsdemeanor vlala�on
urider state law. If the owner or Interided;,;contr;actor•ere.uncertaln as to what'Ilcensing;requirements�`may�apply`��for=tiie�=�r�� =- �`°�;
Intended wrirk,they are�sifvlseif to cori#�ct tfie'Pasco'County,Buitding'inspection,D�iisfan--Licensing Seation at 727-847-
8008. Furttiermwe, tf the owrier tias`�hired'a�cvnUactor iir coritractors, he Is acivlsed #a have �the contractor(s);r:sign, ,s ,, y,,
portlons of the °contrector 81ock° of.this.application..for,whloh.they will.be;.�esponsible.,.If.nyou,:as=:the ownerysign'as the`'` " F`. '
contractor, #hat�may.,be an Indicatlon that�'fie~Is not'prope�iy`license���ntl'Is'iiot-entt#�ed"fii permitting ptiulleges in Pasco
, _ � ,,.,_,_,.��, :,:,,.
COU11h/. ` K .
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TRANSPQRTATION=IMPACTNTIL:ITIES�rt�PAC'�AND-RESQURCE RECOVERY=�PEES."The underslgned undersfands
that Transportakion Impact�ees and.Reca.urse Recovery:Fees niay;apply�:,to�the_construction.of.new bulldings,�change��of'�9�'=`'��`��'��
use In exisNng buqdings, or�,eicpar�si��-of�}ezlstin�g�buildings, as specifled.in Pa�co Counly Ordinance number 89-07 and.
90-07, as amended.r.�The undetsigned atso;understands, ftiat�such fees;:;as��tttay:tie�:dne;jwitl:fbe ideritifled at ti�e-ttime=of��°��:``�' `
permitting. It is itirther understood that Transpo�tatian Impact'�Fees anif�Resource�Reco�ery��Fees..must be paid prinr to
rece�vtng,a.°cerEiflcafe..of occupancy"or final�power,release: :4�-ths.pro��cc�:doers;ri6t Involveta�:cert�ii:ate of occupancy°o�;..t�,�;�;',`;'
final power-rele�se;,the:fees mu�t'�e"pald;prlor to..permit issuance. Fut�thermare,'�if Pasc�,Counly�lNaater/Sewer.:impact � ::������
.. �,
fees are due�.they must.be�patd:.piioc#o.perml!-Issu�nce:ln.a�corclance:witF�:appltcabl�Pasco'�County ortllnances. •
CONSTRUCTtC1N-CIEN`LAW'(Cti�pter 715� Flarida Statut�s,es amende�i): {f vatuation of work is$2,500.OQ;or�mare,.l . :;;�,�.
certify that I, the. applicant,-have.been .provided �with-a-copy=of the� "Flo�ida� Construction� Llen "Lav�Homeowner's
Protsctton Guide" prepared by, tlie Fio�lda Departmen#�of Agt�cuEture and Consumer.;Affairs. 1f the appltcant Is sameone ,,;-� ;•�:;;
other than the°owner", I cerklfy�that;,l�h�ve obtalned`a�'copy.nf:the:abvve..desc�lbed��document�and;promise;in,good;�f�ith•.to �, . . ,.
deliver it to.lhe:"owner"�'piior'�to�commecicemeritr' � � .. : . . .
CONTRACTOR'S/OWNER'S AFFIDAViT: i.ceit�iy::#li;at-aii.#he,inf.ormation:in�thia applicatlan is accurate,and that�II work
will'be done in compliance with all.applicabfe lavirs regulating constructlon� zoning and��land deyelopment. Applicatlon is
hereby made to obtain..a permi#�,to:do:wa�fc�;and��lnsta#lation as indtCefed:..--.-�I ce�tKjt that no wark=°or instatlation �ias
commenced prlar to Issuance of'a pern�iE`"and that:all work will be performed�to meet standards-of all laws regulating�
constructtan, Gounty and City code�, zonEng regulatiQns, and land devetopment regi�lations�ln the Jurisdtction:- fi:ai'so.,
certlfy tha# I understand that the r�gulatians of athe�gov�rnment agencies may�apply�to the intended work, and that it is
my�esponsibi#ity to ldentlfy�what.ac8ons I must�take:to,be<In:.compliar�ce,�S,uch;agencles tr�alude but=are.not limited to: � � -
- Depa�#men# of �t�vironmental=�Protection'=Cyp�A98.'B8yI188d'���WeNand Areas and Env(ronmentally Sensittve
Lands,WateNWastewater Treatment. � �
- Sou#hwest Ftortda Wate� Management:�:Dis#rict 1Nells, Cyptess.c�Bay.head�;- Wetiand� Areas, Attering
Watercourses. . - - , ,
- Army Corps of Englneers�Seawails,'Dacks,lVavlgable Waterways.
• Department of,Heatth.:8 Rehabltitaflve„ServiceslEnvironmen#al Heaith Unit Welis�.Wastewater�Treatment, �
SeptiaTanks:. "� : . ' -- - - �
- US Envlronmental Protec#ion Ager►cy-Asbestos abatemen#.,.
Federal Avlatlon-Authorlty=Runways:� �
!understand.thaE the..foHowirig;restrlctions ap�ly'to the use af fl1E:•
- Use of fill is not allowed tn:Floqd;Zone"V"unless expressly permitted.
- if the flll� material-ts to be used..'in.:flood�Zone. "A", (t ts understood that a dra(nage plan addressing a
°compe�sating volume"will be submttted at#ime of:permittJng wEitch is prepared by a professionai engineer - �
Iicensed by.#he�tate of�f.lotida: ; ,
- 1f#h� filf msiterlal-ts.to be used In Flood �one `A" In4 connet�ion�vir1#h:a permltted buitdi�g us3ng stem wraii
constructior�, I ce�ify.that fill�.�►11t=be used only�to.flll the area wlthin�the�ste�n�wall. '
- It fl!! materlal Is to be used in any area; 1 �cettlty t�tat .use. of'such f111 wlH not adversely affect adjacenf
properties. If use af fill is foqnd,to adversety..�ffect adjaeent��properties,.ths owner may be atted far viorating,
the candltPo�s„of the bwilding:permit is"sued�under tlie°attached.�armit appl(catlon;fa�:lots less�than:one (1)
acre whFch ar�eleivated��tiy flll�a�t errgMeered dra�lnage plan Is required.
If i am the AGENT FOR THE OIMNER, It.promise In goad faith to infarm the owner of-the permitting condftlons set forth In
this affidavlk-prtor to commeracing canstructian. 1 un�erstand thst aTseparate petmit rnay be reqalred for electrlcal wock,
plumbing,..signs� wetis, paois;, alr canditioning,...g�s,r qr otiier insfall�tions no1.spec�i�ally inciuded�in.the application. .A
permit Issued shall be aonstrued to'be'a�Ili;ense'-to-'pr+aceed wlth tFie rwork and not�as:euthoNty-to,vlolate,•aancel, after, or
set aside any prov[sions ofthe technlca#-c�rde�;�nar shalt tssaance�of a.permlt.pr.event th�Bultdirig O�fcta)from thereafter �
�equir(ng a correction af ercors in�;plans;-constnictlon.or.violatlons of�any codes. Eve•ry�.permtt=tssued"shaQ become invalid
unless the work authorized.by such permit��is.ca�nmenced�within sGc months of permlt issuance, ar!f ivark author3zed by
the permif is suspended�or;abandoned-foc:a�:period;of�s�C;(H)months:after the;time the�work�ls conimen�ed. An extensio� �
may be requested� in writing,;:from.the,Bupding,Official�for a period.not-to�xceed��niriety�(9Q)-days and�wlll�demonstrate
�us##�able cause for.fhe e�ensio�: If wcrk ceas�s:for r�ir�ety{9�}cons.ecutive�day.s,..the job:is consfdered aba�tdoned.
WARNING TO CIWNER: YCiUR._�AIl.lJRE..-TOa:R�ECClRD.A.:i�tQTIGE:OF:�COMMENC�ME�T,II�AY-RESU�T#N°YOUR `
PAYING TWiCE;;FOR,-IMPF,tOVEMENTS�.TfU;:YOUE�:PRCC�PERTY:'�I��YO.tIx1�ITErVD�TQ`'�OBTAIN�FIPtA1�EtNG; C.ONSil1LT
VY1�l� --Y �,� _ �c„ n�Q� �_!� �- C! .� �- 1�.��� �Q� a �:; 43L `"" - =^, " `��.�.a..�,.:: __ ._ . ..__ __
FlORIDA JURA�;{F.S:1.1T.03j - - .-
OWN�R OR AOENT , CONTRAGTO '-
Subsoribed and sw�m to(or ei4irmedj before me thls Subsctibad and' m��a(ot nnedpbetore me'tiitg
by �by. .,
Who Is/are pe►sonaliy known to.me.or;haslhave produced . Who.fs/are persanalry known�to me;or heslhave praduced • .
ae Id'entl�ca8on } as tden�ffca�an.
Notery Pubilc . Notary Public
Cammisston Na:� Commtsslon�Na.
� Mame af lVotary lYP��P�ntsd or stampad Neme af Notaty typed,pdnted or s#amped
LIC�f CFC1426482 • • � I� "�'���
��� --: Service Order/Invoice AM
� Time ��
� � � ,Cliris ��ah�_ Flu�nbing Date � , ��Z , �� �
' _ __. ,���'��' Phone#: 'gl�' (,,�—�C''1' g 700
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� Cell# �
5729 GALL BLVD. •ZEPHYRHILLS, FL 33542- Work# �
cbahrplumb1 @gmail.com i
Name. A t`I�Nt, JpI�4..g Bill To�
Address: 3'g �2 2 �Z � IQv2 Address:
cityist�zip. �eob,,�,,�h�l�s �� 336u2 cityisvzip�
Customer Contact: Phone#
Service Plumber�
Preliminary Job Description. L�OOk l�L ��Ob "SP.�-�'J �'�� `�'O insd�v.�� �2.�..1
LJo�� �i�4.� �o� f71t-O�i n r 2 � �-.lAS in�,,r-S
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S'S 40 �� 5ir ?.�IM��VL�11�
' Qty Code ' Description Unit Price Total
Sub Total �
Plumbers Notes:
Tax �
Balance
Due
• Paid By�
Cash�
Check:
Credit Auth.# �
I WARRANTY INFORMATION' All f118t6f181S, parts and Ihaveauthorirytoordertheworkoutlinedabovewhichhasbeensatisfactorycompleted.lagreethatSellerretainstiUetoequipmenU
equipment are warranted by the manufacturers� O� materials furnished until final payment is made. If paymenl is nol made as ag�eed,Seller can remove said equipmenl!
� materials at Seller's expense.Any damage resulting from said removal shall not be responsibility oi Seller.NET 30 DAYS.
SUPPII@fS'writtenwarrantyonly.AlllaborperformedbyChris A 1 1/2% SERVICE CHARGE WILL BE ADDED MONTHLY TO ALL UNPAID BALANCES OVER 30 DAYS
Bahr Plumbing is warranted for Chris Bahr NO REFUNDS.
Plumbing makes no other warranties, express or implied,
and its agents or technicians are not authorized to make
any such warranties on behalf of Chris Bahr Plumbing
Customer Signature Date