HomeMy WebLinkAbout17-18794 CITY OF ZEPHYRHILLS
5335-8TH STREET
(sis)�so-oozo 18794
PLUMBING PERMIT
PERMIT INFORfUTATION LOCATION INFORMATION
Permit#:18794 Issued: 8/23/2017 Address: 6245 SILVER OAKS DR
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: 850.00 Total Fees: 40.00 Subdivision: SILVER OAKS
Amount Paid: 40.00 Date Paid: 8/23/2017 Parcel Number: 03-26-21-012A-00000-1140
CONTRACTOR INFORMATION OWNER INFORMATION
Name: CHRIS BAHR PLUMBING Name: GACZEWSKI, JIM
Addr: 5729 GALL BLVD. Address: 6245 SILVER OAKS DR
ZEPHYRHILLS, FL. 33541 ZEPHYRHILLS, FL. 33542
Phone: (813)782-2524 Lic: Phone: (813)782-7965
Work Desc: CHANGE FROM TUB TO SHOWER
APPLICATION FEES
PLUMBING FEE 40.00
INSPECT NS UIRED
1ST ROUGH PLUMB
2ND ROUGH PLUMB
SEWER �
WATER /� �
FINAL �� I � f
/
REINSPECTION FEES:(c)With respect to Reinspection fees wi omply 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 pertormed in accordance with City
Codes and Ordinances.
CONTRACTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
\
;s��-�saooao City of Zephyrhills Permit Application Fax-813-780-4021
BuElding Departrnent .
Received �
1� ' ^ Phone�Castifact�far Permiitf(n '
�wner`s Name � • Gt e � � �1� �`,(.� 4wner Phane Number �' `7 �""' ,�,
Ownar's Address �f l...U� 4/ Owner Phane Number �� ��
Fee Slmple TItleFiolder Name �� ��-� ' Owner Phone Numbe� � �
Fee Slmple Tltleholder Address
JOB ADDRESS i sl_(l � LOT# ��
SUBDIWSIQN c)!�U�� C�t�S � PARCEI.ID# - ,
- . (OBTAINED F.RdM.PROPERTYTAX NQTICE)
WORK PROPt}SED. NEW CONSTR ADD/ALT � S1GN' 'Q [� DEMQLISH
e. INSTALL 8 .REPAIR
PROPOSED.USE , Q SFR Q COMM � OTNEF2
TYPE OF CdNSTRUCTION Q` �•BLOCK " Q FRAME [� STEEC 'Q
s ��/} -
DESCRIPTION OF WORK•' /Z e Gvt. (�Q,� '�j C'x(Jt�/`
BUILDING SIZE � T�'$Q'FOd7AGE�� > ;HEI,f3HT���„ �
�������`�'' • ��. VALUATION�OF`TOTAL CfONSTRUCTION '
�.�J
QE�ECTRICAi. �� AMP$ERt/ICE, Q PROGRESS Eh1ERGY [� W.R.E.C. „
�Pl.UMBlNC� ,� _. ��(/- �.
QMEGHANICAL $ VALpATtON OF,MECHAtVICA�INSTA�1.,4i'IOtV
��..��'.
QGAS Q E200FING Q SPECIAI.TY [� OTtiER
FINI$HED FLOOR ELEVATIONS r�� F1.00D ZONE AREA �]YE3 1 NO
L
BUIGpER COMPANY� � � '
SIGNATURE REC�ISTERED Y/ N ��E CUR�n ` Y/N' .
Addre�a � Lir,ense#'� � �
EIEGTRlCIAi+l: ,.;, , - ;'COMPANY ' -
SIGNATURE � REC,ISTERED Y/ N FEE CURREK°� ` ��-Y/N
Address ' , . „ - License;#.� - ��
PLUMBER'_ , COMP,At�IY � , CJi{/�tl f�^t� �t.{.,J� .
SIGNATURE=' � � � r � , ,REGISTE�RED , Y./s.N: ., .;FEECURRE� '" Y>/N.c,
A�daress �7i�.. 17a�GL '_ �-�� i+S �`"� License.,# . � "�';r�..26��:� �.
MECMR[iiiCAl: ' "' . . . . CC?MPANY , • ,
SIGNATURE ' � • - ' ' ' `
REGISTEEtED Y_/ 1V + FEE CURRE�. Y/�N , ,
Addrsas: ,` . ... .. .:.. .. .. . . � , - ' ` Licsnse#��� . , � .
OTHER ?� . . ,.., . , .._ . � t=COMPANY' � , _ .
SIGNATURE- , •. ":� ' • �" • •' " ' ° ' � ~�REGISTEREp' ' Y/ N:-... ` '=FEE CURRE� YY N
Address . ,�,,_ . . - - , �Cicerise# � � .� .`
RESlDENi1A1:�`; A�kaeti`(2}vplot;Plan's;>(2}sets:'of{Biillil3ng�Plans;{1.}:et o�:Eiiergyr;€oims;�}3A�W'Reririlt fnr new construction, _ � ` - ' '
� - �.� Mlnimum:,tem(1.0);worktng`days�after;submittaldake:<;R:equlred�onsite;'Canstnicdan:Plans;Stormwa'terPlans:w%Silf'Fence.inst�lled, � _
� '�_�Sanitary Eacillties;s��3du�i�ter.;sic@,wo�:Permit tor sutidivislons!large;Rrojects;=�=_�.�c.. �, --� , �,,?,'.:.:�-_ ," _ - . °
`-COMMERClAt. Attech.{3}•coinplete sets`6f Buililtiig`Plaits ptus a tlfe Safiety`}'age;('1}.§et of°Energy Fcrms.R O-Y+1 Permit far new.construoHon.r�� `.
� Minimum ten(10)working days afker submittal dake. Requlred onsite,Construotion Plans,Stormwater Plans w/Silt Fence installed,
Sanlfary.Facilitles•8�:4 dumpster.Stte Work Permk for ail new proJects:.All commerciai requfremen�mustmeet compitanca%" �� • -
SIGN PERMI'i' A#tai�{2)sefs 6f'Engtneer.ed%Plans:, . .. � .' :� ,., - - . - " °' �=` , ,�:',, .,,,,', .
,.:,. .. s
""•PROPERTY BURVEY required for aII.NEW_constructian. . , _ .. - - - ' - --
Direcflons: ..:_.°;- , . _ . , . . :, _. . .._ . �..
Ftll out appllcadon completely.
6?wner&C;onUactoc slgn back of.apgifcatton,no�rized
if over�2500,a Notice of Commencement is required. (A/C upgrades over ST50d) , '
-:.
.:_ „:.:,:. �-. � ..: ,. .._ .. �. -
.,. :.�,....,.�:��.:� _ ... ,. .. .,,,..
'• Agenh(for the contractar)or"P"o'we�of Attomey(tu�tfie�ownerj iwould be someone with notarizad letter from owner autho�izing same ,
: ....x.i _ :f�.,_._>;,..:. .�
DVER TIiE CCiUNTER P-ERMi1'T'iNt3-• --- •(Front of�Applica#ion On{y}�-��--•
;. ,. _. . .. -
Reroafs if s6ingles Sewers Service Upgrades A/G Fences(Piot/Survey/Footage)
_.__.., ,......__. _,___ .. ._. .. . � , -• - � . � .N; _ -
Drivewaya-Not aver Counter if on pubiic roadways:.needs ROW .
- J
- _ --�.`�
NCITICE OF D�ED RESTi31CTIONS: The undecslgned.unders�tands��;th�t,this:n.p�rmtt�:m�y:be.subjecfi$toy"ae�a"restrictian5"-_�..�};:,,��r,
which may be;more�re�'stficttve-th�n-CquntSr<�regul'atCons:��`The:u`�decslgned-=assur`ries�resp�nsibiitiy''far complianc�►witli any ' "'
appiicabte deed reshictions. ,r. ,�. _ . �. - . � •:�:� ��•�._.;:µ�_
UNLICEf�SEDa`.Ct?N7RA�TORS tANQ CUNT7".;�.� �. .,,., .� ... .. ...__ . .. ,,.....k _...,.._, ;
,
�RACTOR�RESPONSIBI�ITI�S:� �!fi°the Hoavner has�'�htred�a�:cont�ractor ar
contractors:to undertake wo�k;,they may;be.>rerqulr�ed;Eo.;be..11censed ln�accordance.wlth�state.and:tocai�regula#lo�ns�=.lfrthe°', ' _ �
,.,,.,,�;.�:.�.:. n
contractor�ls�not�ltcensed�as�•requlred�tiy law� tiott���the owner and-�contractor°�may�be��clted for a misdemeanor violatfon
under stete law. If the awner ar Intended;;contrat�tor.ri�arel,unce�rtaln as�to what Ilcenaing,re,qulrements,�may-=apply:;�fon�tfia'' -��� ta°:
intended iniork, tFiey aFe:�adv#sed�ci contact the;.�Pasco�Caunty-Buildin;g�Inspection�Dtvision--Licensing 8ecfion at 727-847-
8009. ��urttiermore, �i# the owner'i�as�t�iro�'�a�contfactor or �ontractafs. he T� �clvised to hsve z#he contractoKs)<,sl9n.
; portlons of the�"cont�ctor 81ock°.of.thlsa.ap►pllcatlon for;whlch..they.-wllt-.be.,:r.esponslble:�.!f:y,�u,-=as-:fhe o`wiier`sfgn"�s�'tlie ��,- � � ,
contractar� that�may�be an Indicatton"that'Fie`'ts not prope�ly�llcensed�ar►d�'Is�`not`entitled'to permltt!'ng privlleg+as In Pasco _
County. . . ��.�.:;:� ,. _ �..
TiZANSPORTA'f1CtN�:1MPACTiUTILITiES�11{ARAC'�ANb-RESCIUI2CE RECOVERY°�EES:y�The unde�signed�undersfands
that Transpartatio�lmpact Fees and.Reco.urse.Recovery.Fees;may5�ppiya}to�ti�e,construc#ian of new.b.ulldings;:change•:�of"�=."�'s� ��'
use in exlsting buSldl�gs,^�or�_ezp�r�si��-=cif.�existi�i����ullilings, as spec.�fied:lr� P�st� County Ordlnanca number 89-07 and_:
90-07� as amended, ;:Th� underslgned alsa:.underst�tnds� thaE�such fe.e�;-.as�tnay;'be�jdue;;�wlll.5be tdentified at the°tlme5jofr�=. °Y-4'� `;
�.,�...
permltting. It I� furfher understood that Tra�sporkatlan Impact Fe�es•anrt`°�Resourcet�Recover�i�Feesh.mu�t be pald prlor ta
receiving a_"cert�icate°-of occupancy"or flnal�-power,reiease:;�':If�the,proJ�ct�wdoes�not involveza�:certffic�te af accupancy=o��.:=:4:�;•�'���
final power retesse;:the;fees-mu�t,''be�paid.,p�ior#o�permit issusnce. Fc��tktermore;��ff:Fascon County�lNaterlSewer-;Impact � . .
fees at�e due,.2t,iey:must:be�paEd;.pr�or_�o.permit,issuance..inua+ixordance_witi�;applicatife<Pasuro'•.Caunty ardinances. •
CONSTRUCTlON'ClEN�t:i4V91��Chsgt�r 713,Florti�a Statut�s�a�arnendec!); !f valuallon of work ls$2,500.OQ:orr more,.:l� � _4.=:
cartify that .!, ,�he appltcant,.�he�e;,b�en-provlded �wtth��-a::copy�nf°the�;"Florlda:::�rins#ttictlort� L-`ten:�Law -liomeowner's
Pratection Guide" prepared by'ttie"Flb�lda Department;of Agrlc.ulture and Consumet.:.Affair`s. If the applicant ts someone,-< =.:«�.�
other ihan the"nwner", i certify;that�l.;=h`��e:obtained�a�-eopy;of,#he'r�bova�des.crl�e'�;docuriaent�and`:p.r..o�itse�,ln,good:faith..ta. ._ .. �..
deiiver it to:.the"awner"z:p'rior.to.coinmencemen#:�'�'� -" ` - � . - -- ' - � - . .,.
C4MTRACT+OR'SlOWiaER•S AEFIDAVlT: 1.ce�ti[y:,tfi�t>sll..#he�;lnformation:lra�thi�.appltaatian is accurat�and tha#ail wnrk
w!!I'be done in complJance wlth a!!.�ppltcab�le I�inrs�ri�gulating cons#ruc#lon� apning and;�tand devefopment. Appiicatlon fs
hereby made:tn abtaln_a.permit�.to.�do:,worl�;.�,�na���;s�uat�on as cr�ata���a;��.�:!- cert�that no work�o� Instatlation f4as
commenced prlor to Mssuance'of:a perriiif``antl that`.all work wUl be�performed to meet.sk�ndards:-of:all laws regula�ing,
constcuction, Caunty and City codes, zoNng regutatlans� and iand deveiopment cegulatlons�tn the�-jurisdlctton. I`�al'so � �
certify that I ufiderstand#hat the regulatian�of other gavemment agencles may��ppfiy�#o the.Jntended worlc, and that it is
my responsiblfity#o fdentify�what.actions 1 must take.#o be�in..cott'1pli��ce:,.S.uch agencies�inctude-but=are_.not timited ta:.
- Depanment of E�lulronmerital'Piotectto�Cypress:'Bayt►ead�; UVetfand l�reas and Erniranmentaliy Sensitive
L.andsy W�ter/Was#ewater Treatment. `
- Southwest Florlda Water Managemen� .District-1Nells, Cypress.�+Bay�eads;- Wetland Areas, Altering
Watercourses.
- Army Corps af EngMeersSeawalls�Docks, Navigabie Waterways.
- Department o_f,.Health'�,Ret�abilttativ.e $ervlces/Environmental F�eatth Uitit Welts�.Wastewater�•Treafinent,
Septic Tar�lis:. ' ' _ �
- US Envlronmental Protectlon Agency-Asbestos abatement... °
Fede�al Avlatton Authorlty-,Runweys: � �
I understand that the hillowing:�restirictlons apply to-the use of flll:
- Use of�iil is not aifovved in�!Flood�Zone"V"untess sxpressiy permitted.
- If the :filf makerlaf-Is ti� `be usei!=`In.�;�lood Zorte. "10.", it ts understoad that a dtainage plan addressing a
°compensating volum�"wlll be submltted at time nf:permlfting wlilch is prepared by a professiana! engineer
Ilcensed by the�tate af�Flo�lda � � , �
- If ihe till materlai�is to be=used in Fiood Zone "A" irr cannec�lon�wl#h�a �errriltted�buildi►�g using stem wall
' construcfian, I ce�tify,that f�i:uV�ll.b.e�used onty.to fiil the area within�#he�stetn�vuall: ,
- tf filt meteriat is to be osed' in �any area, F.cc�ntfy that .use. af°such fit! witl not adversely affect adjacent
propertles, If use of_flll I�..foqnd:to adversely.�#fec#adJa�+a�ak�propertfesi,the awner may be cited far viblating .
i the�condl#ions.;:of the buildtcig:permtt-!s'sued�under the�attached,.�ermlt �ppltcatlon,.for:lots�°.less-than:one (1}
ac�e whicii are elevat'ed`tiy fJlt,an,er�g(neered dralnage plan.ls requlred. •
If I am the AGENT�OR•THE�OVV�NER;,I�promieie 1n gaod falth#0 lnform the owner of�the�permttttng condltlans set farth tn
fhis �ffidavit priar to�c+oimmeiacing canstrucNan. 1 unilers#and thet a�separate permit may be requtred for eiecMcai work,
plumbing, signs, welfs,:poofs;:atr.cor,tdittonfng�.9a�s��-or. othet instail�tlons noE.spec#ttcally include+d-in.the applicaticn. .A _
permlt lssusd shall be construed ta'be�a'llcense�to�proceed wlth ttie wotk ani!not�as�.suthorltyw#o,.vlolate.'cancel; al#er, or
set aside any-provisions af tlie teahntcal.cod�s; nor shall Issuance�of a.permtt.prevent the 8upolrig Clfftctelfrom thereafter
{ ,, ... . .
requirin.g a.carrectian c�f errors;ln;plans; canstructtan orvlalattons of-any codes.°.Every°p�ermlt�lssued�sfiall•becr�me invalid
uMess the work autharizeif.by such permit:is.commenced•within sGc..months of permit issuance� or If work authorized by
the perm4t is.suspendsd-or..:abandoned;#or a;perlod�,of six,f�)�inar�s.after..the time the�wark�Is commenced. An extension
may be requested� In writln9;��f�om.'tFie>Bullding.Offlalel for a perlod�nat_#o-exi�eed��nliisty=(�0)�days a�id-vuill'demonstrate
justNiable cause for.the e�tenslon�. (f work_ceas�s.for nineiy(90)cons.ecutive:day.sr..#h��ab�is�constdered aba�do�ed. �
.: .:- .. ..,. . . , ,., � ,
WARNING TO C3WNEIR: Yt�UR..FAILURE�T�.,.REC.QRD�A:N:Q�'iCE�:OF:�COMIVIENCCME�'T;NFAY�RESULT=IN�YOUR
� �'�1YdMt�TVYfCE;FC►R:tMPRCJVEMEN'�'S�T;O;YE1�1Fi::P�PERTY:�IF YO��i�t'�DiT��`�Td41N=FINAN�i1�lE;;CONSUILT
tAPt1' .-- . � -�=�'----� - - — .�.E;. - � +��� c��P "� �?��� .< - � � . . . . _
FLORIDA JURA�'(F:S:1 . - - .. �.,` , . :;,.` - . ,
OWNER OR AtiEhT - COMTRAGTD
Subscrtbad and svwm (ar e �fore me thls Subscdbed and'swom=M t atflrme ��b�fore me Qil� .
by ..by...,. -. ; .
Who Islate pecsonally knrnm to.me_or:ha�ve.proc�crced Who,lsJare p.ersonally ks�ov�r►.ta tne or hasfiave:txaduced •
' ` as Id"entlflcatlori." as IdentlflcaQon.
Not�atry Publia . Notary Pubtic
Cammtsslon No: Comnnlsslon�No.
Name ot Not�ry iyped,printed or stamped Name of Notary typed,printed or stamped