HomeMy WebLinkAbout17-19104 , ; � CITY OF ZEPHYRHILLS
•� � 5335-8TH STREET
(si3)�so-oo20 19104
PLUMBING PERMIT
- - PERMIT INFORMATION LOCATION INFORMATION . -
Permit#:19104 Issued: 12/04/2017 Address: 7906 MERCHANTVILLE CIR
Permit Type: PLUMBING ZEPHYRHILLS, FL.
Class of Work: PLUMBING RENOVATIONS Township: Range:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 30.00 Total Fees: 60.00 Subdivision: CRESTVIEW HILLS
Amount Paid: 60.00 Date Paid: 12/04/2017 Parcel Number: 35-25-21-0120-00000-1370
CONTRACTOR INFORMATION OWNER INFORMATION
Name: HOMEOWNER Name: CARTER TERRY
Addr: Address: 7906 MERCHANTVILLE CIR
ZEPHYRHILLS, FL. 33540-2073
Phone: Lic: Phone: (813)377-9822
Work Desc: REPLACE ELECTRIC WATER HEATER
APPLICATION EES
PLUMBING FEE 60.00
�
INSPE TIONS 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 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 pertormed 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.
, J
NTRACTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
8�3-780-00,20 City of Zephyrhills Permit Application FaX-B�a-�aaao2�
, v BuElding department '�
Rate Receiqed — �'� .- Phone=Cac�tact for PerniitE�n ' -
Qwner's Name + r�rr` t_G�w-�G�"" . Owner Pho»e Number /J�".�T�'"^ l�.�2-
Owner's Address. ���� �r'Gl�t�rvc ty'�(le G/r' Owner Phane Number �— „�
Fee�Simple fTItleHolder Name �� � Owner Phane Number '�— �
E
Fee Simple 3Tltleholder Address
I JOB ADDRESS ���� ��E''" �v4�ir�lf� G�/" LOT# �✓�7
SUBDiViSlON �rGS�1/!�'� !7�`t j„� PARCEL ID# � �
� (OBTAINED F.ROM.PROPERTY.TAX NOTICE)
WORK PRQPt}SED NEW COt�iSTR°-. ADQIAlT [� S1GN Q ° �Q DEMOGISH
` . �•8. INSTALL 8 , REPAIR • -
i PROPQBED�USE � � , � � SPR- Q GOMM `'� OTHER .. , .
�� TYPE OF CQNSTRUCTION [y� BLOCK " [� FRAME [� STEEL "Q�"
i DESCRIPTION OF WORK . R� l��e ITo� �,,l��e/�' ���`�� -
�Uli.D1NG SIZE' - ' � SQ FOOTAGE '18�t� ; HEi,GMT �____,:�� ,
� � ::
_. • ..�., . .-
QBUILOINC''' �$ � VALUATION`O�F TOTAL-CONSTRUCTION
L„___„ „ r_�
QELECTRICAL � .� AMP SERttICE Q PROGRESS ENEftGY Q W.R.E:C.
f � � .
Q��.�M����7 '.�� - � v�J
� ° , � ' � , l �1� �
, QMECHA[VIGAI $ VALUATlQN OF MECHAi+31GAL tNSTRLLATION �
i � ,
QG�S Q 12QOF{NG .Q $PECIAI.TY Q OTHER 3
FINISHED F�LOOR ELEVATIQNS ��� FLOOD 20NE AREA QYES NO . ,
i
BUIE.DER � COMPANY� ' - - ` `
SIGNATURE REGISTERED Y/ N ' �FeE cuRrtEn ' Y/N�
Address � � �License# � �
j , . � '
ELEC7RICIAN . - =C'OMPAFiY .
SIGNATURE � REGISTERED Y/ N F�cuRRe�`• '' 'Y/N '
Address . � • , , _.'LEcense#�� 1
4 v
PLUN6BER ? '��'"'..�L�,�� - COtWPANIf � � 1 �'lm�'�,.�,r.rJC�t S.�" _
SIGNATURE ' �?�'" ;. _REGISTERED.. � Y/�.N� „ .�FEE cu�ten_ �." Y l N. _ �
Addres� . '_ _ . . . �license# � -. , .� _
. . ,
MECHANtGAl: � � �pMp%�! : � ,_ _ _ • .
.;,:. . ,...-_, -. _
SIGNATURE � '"� ' ' REGI$TERED ` ..Y,/.N, �F�E cu�n..: Y/�N
Address' , � • • . , : _ ` � ' - _ - . ;Cicense# �. �
OTFiER ( � '��C014(IPANX ,. ; . ` �
SiGNATURE ' - - - ' " �` ` ` �rtEGl'87EiiE� ' ' Y/ N;.. 'FEE CURFtE� Y/N
Address� . ° Llcense# � � �� `
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RESFDEN'�AL:,;^ Atta'cti"(2j„Plot<Plaiis;_(2}sets�of'8uilcfing�lans,�{i)sef of-Energp�ForrrWs;.AR;O=W'Perr_�lt for-�ew constructEbn, .
�ti ,, �;�. Minimum�ten�(;10)zworking;days�after�submlttai-date:�.Repuired onsife;:ConstiucNon=Pians;"Stormwater=Pians W%Silt'Fence instatled,
�" ��SanitaryFacdliUes�&��1�,dumpste_r,�Site-Work;.P,ermitforsubdiVisionsAarge',proJects;•.;'.. -�- '� " � ' ` ' ' '
- -GOP�II+�ERGIAR. Attach{3)•ebsiipiete�sets'of Bulidfng Plaos pius a'�ife Safefy Page;{'1}set af EsiergyFar'ms.R-O-W Pesmit far new canstsu�tton.
Minimum ten(10)wo�ictng days afker submittal date. Requlred onsite,ConstrucUan Pians,Stormwater Plans w/Silt Fence installed,
Sanitary Facilidas&1 dumpster.Sfte Work Permit for all new:proJi�cts:All commercial requlraments.must meet complia�ce � �
SlGN PERMIT Attac;�{2)'se�of Englnee�;ed=Plasis:;,-.:;-., �, , � . �
`•"'PROPERTY SURVEY required for.all IVEW constructian.. -
Dlreetians: , .. ; ., .
Fill out applicatlan completely. ,
Owner 8 Gontractor stgn back of applicat[on,nota�ized ,
tf avar a2500.a Notice of Commencemerit is required. (AtC apgradea over�7500)
�' rir, "
' " Agent(for the iwntractor)or Powe�of Aktbmey'(for the owner)would be someone with natarized letter from owner authorizing same
4VER THE�COtiNTER,PERMITFFNG. ..._..{Front-of-+4PPIIcation{}nly}- ` " ,
Reroofs If shingles Sewers Service Upgrades A/C Fences(PlodSurvey/Foa#age)
Orivaways-tVot aver Gounter�f on public roadways..needs ROW � �
�
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. .. . .,. • � _ . . . :.�...:.::...:.:,.,;: .h:.��..,....�..-,.::�._ ..,�..;.. �:.. .. - _,. •.��-�.�:��.,��� .:���.. ,:: . � ,. .:.-, �;:.
NOTICE OF DEEQ REST.RICTIONSf The underslgt�ecf,undet�tr�nds�ath�#s#hl�;p�rmlt=may.be:sub�ect.to:,.deed...restrfctions"�._._. _._
which majr�be>more�restrlctNe:�t#a��°Cauiitjr•�regulatfons:'�TFie�uNdecsigned�assume�'responsibllity<#or�compllance wltfi any��` � � �
applicable desd-restrlctions. � .....:...:::.:� ,,.. . � , __ , _ _ _ .. � ..� . . --�
UNLtCENSED°CONTRACTORS �AND CON�RACTOR RESPON3tB1LITtES:� -=t#-ttte��ovmer has-�hlced���a�`contractvr or
i contractors to undertake work,.they may,b,e;reiquired�.to.�be:llc�nsed ln_accordance.with state.and,�local.regulations���If�khe�� -�' � -
C contractor ts�not licensed-as�-requlced'6y lavir, bath #he cnnmer and con#ractor-=tiiary�be�ctted�fw�a=misdemeanor vlalatian
under state law. if#he owner ar Intended:.cs�ntra�,tor;are;.uncertaln as to what Ilcen�ing:requiremen#s;may}�apply�.��for=the� �=� � -'�"
. . ,..,..„
intended woik�they are�sdvlsed fo coritact the.Pasco Caunty Bulliling'InspecElon,Dlylslon--!_iaansing 3eation aE 727-847-
� 8008. Furtliermore, tf the ainrner��tias�titTeicl`a ciin'hacto�`or confractors, he is acivised to have �the cantractar(s),.sign. ,
� pnrtions of the."contractar.Block`" of:thls._applicatlan_fo_r..which.they. wIQ.be.-r.esp.onsible.� If you, as=#he oitine�'stgn''a§`�the�
_ _ . _ . � _.,. W.,_.��.
cont�actar, that�r»ay..be an Ind€cation #hat`Fie'is no#properly liaensed�anc!`�Isyriat ent�eil"to perr�ii�ing privlleges 1n Pasco . . .
County. ` �. . , ;,:,., ;, ,_ .
TRANSPQRTATIC�N=IMPACTNTlUTlES�(MPAC'fi�AND��tE�tIURCE RECQVERX�PEEg:"The und"ei�igcied'ur�@erstands
ihat Transportetion lmpac#Fees end.Reco.ucse Recavery.Fees may�;appty�Yta�ti�e construction of new.b.ulldings,�change'of'�' `'°` �'=
use in existing buildl�gs,�or:�exp�r�si�n��of.eiiisfi�i�=bulldings� as speclfled.tn Pasco County O�Ilnance number 89-07 and,
8Q-�7� as amended.,�;�'he undetslgned atso:understands, #1i�t�such fees;_�as��rrtay;;b�•...dae;=will;�tie Identifted a#theatime':of� .. _x.. �
permitting. It Is fuY'tlie��understaod that Transporkation Impaot�Fees and,Resourae:Recovery�Fees..mu'st be pald prior to �
fece�vfng-a"certificate=ot�occ.�pancy"�ortlnal�power_..release:-:4�=the proj�ct.:does:.tiot i�volve<a;cert�Ei:a#e of occupancy oc��-:=:,�, ' ;
flnal power.-release;;the�;fees-mu�t tie"paid",prlor ta:permit Issuance. F��thermore;�If PascowCaunty"INater/Sewer,<�Impact �- �a� �-° '
feesaredue,.they.must-be-pald:.p�lor�o.permit.iss�it�nce�in.accardancewlth-appltcatite:Pasco'.County��orilinances. •
CONSTRUCTION'I:IEN"I:AV{►{C118pt8t 713�EIONd�St8#Ut88�as amen�i�d): if vatua�on of work is$2,500.00:or more, i� � �=,<<
certify that I, �he. applicant,-haae.,been-.provided:�with~a-copy-of:the�"_Flor(da-��onstructton��Lien .Law--Homeowne�'s '
Protectton Gulde" prepar�d by the Fioi�da Depe�kmen#;o#Agrtculture and Consumer.:Aff�ir's. 1##he sppiicant Is someone .<<:�
ather than th�"owne�', 1 certifji.,th�t J;;h�ve.obtalne'd;a eopy.of..the,above..rfescritied�;docu�ent;and;promise�,ln<goad:.faith to , .
, .,..
deliver It to:.ttie.'owner":.p�iocrto=°c�mmencemerit:-'�, �_:; , _ . - ,
CONTRACTtiR'S/OWNER'�ARFiDAVIT: I.certify�;th�t�.ali�the�ir�formatidn�:in•thi�appilcatton is accurate and that ali work
will'be done in compliance with all.appltcable laws regulating canstructlon, xontng and:land�development. Appitcation is
hereby made tc� obtain .a.permit:�to�:do.:wa��`k4and;lnstallallon as indt�eted:�:..::1. cectify #hat no work=:or installatton has
aommenced pr'tor to Issuance of�a perr'ritt"and that�.all work wll) be pertormed�ta meet standards of�all laws regulaking� ,
construction, Gounty and Gity cndes, zoning �egulatfQns� and land devebpment cegtslatlons�ln the Jurisdtc#iort. I�:ai'so _ �
certify that I u�derstand that the regutattons of other gov�rnment agencles may�apply�to the intended work, and that it is �
my responslbility ta identify�what.actions i must take:to betln:.contplla�ce:..Such:agencles!nclude but=a�e.not{Imfted ta: ; j
- Department af�E�viranmental�Pro#ectiotrCypress`Bayhead�,�V�teHand Area� and Ernrironmentally Sensi#ive , I
I.ands,WateNWastewater Treatment. ,_ '
- Southwes# Ftorlda Water Management ;Dfstrlc�Welts; Cyptess. 8syheads; `Wettand Areas� AI#e�ing,
Watercaurses. - ' �
- Army Corps af EnginaersSeawalls,Doc#cs,Navlgable Waterways. ,
- Department of,Heaith:'.& ReE�ab�litaflve ;Services/Emrironmental�.Health Unit Wetis� Wastevwater�Treatment,'
Septic T�enKs.. � ` " ,.. _ , _. . - ` �
- US Envlronmenfal Pm#ectlon Agency-Asbestos aba#emen#. _ ;
Federal Avlat(on�Authorl,ty=Rurnvays,�� ,; '
!understand thaE the.followang;rostrlEtlons apply to tlie use of flll:• '
' - Use of fitl is not allowed in:�Flood-2one"V"untess expressly pemnitted. { �
- if the:fill �mate�lal-Is��to�`tie useds In��Flood-Zone. °A", '(t is understood that a dralnage plan addresstng ai
pcompensating volume"w111 be submltted a##ime afypermifttr�g wh�ch Is prapared by a professianai engineer�.
� Iicensed by"the State of'Florida: � ° � � �- . ;
- 'If the flll materlaf Is'to�be�used In Ftc�od �orte 'A" It��connec�ion�wlth�s��erm�tted bui#ding ustng sfem wa1l�
� construction, I certify that flll:�rall.b.e>used only.to flll#he area wlthln the�s#em�walL
- if flA material�is to be used in any area, 1 �csrtify that .use. af;such fll! wlll not adve�sely aP�ect adJacent;
properties. If,use of fill is#at�nd�.to adverseEy:�ffect�d)a�:ent��prttperties�.the owner may be cited for uiorating�
the cond�ions�of_the buildtng:perniit issued�u�der the attached,��ermit application;:for_lots�.less�than:one (1)�
acre w�itch�re elevated�6y flll,anr engltteer�d dralnage pla�t�1�requlred. . . i
If I am the.AGENT FOR THE OIMNER; I;promise l,n,good f.atth#o inform the awner of�•the permitting aondftlons set forth In;
thls affidavit'prlor to aomrnencing conshvction. I und.ers�land thst a�separake permlt may be required for electrlcal work,��
plumbing,.signs,welis,,pools;.atr conditloning�.gas, or other. tnstailitions not.spec�icatty included�in.fhe�apptication. �A;
permit issued shail be cortshued to be�a�Iicense toYp�oceed wtth tNe work and,not as:authoNty�to,violate;'cancel� alter, ar� .
set aside eiiy'provlsttins of the.tecti�itcal c�ades;�nor shalt tssuance�of a.permlt.pcevent the Bultdirig Oiflctal from thetea#ter�
requlring a correction af errors In.plans,consti�uction,or vlalatlons of any codes:�.Every��p�ermtt lssued'sfiall become invalld;
unless the wark suthorized.by such permlt.•Is.commencedwithln sF�c,mo�ths of perml#issuanae, ar Ef work aathorized by!
� #he permiE is suspendad�or,:a6andoned;.f,or s;period;of�six�f8)�manti�s:aRer the time the�wa�k�is commenced.. An extenslo�i
may be requested,.ln writing�.fram.tFie:'Budding.Otflcia'I-far a perlod'::not.to exceed'-ntnetjr�(90)"days a�d wiA demonstr�tel.
�ust�iable'cause for.�#he extenslon: If wark.ceas+�s:for nlnepr.{90}cons.acutive:day.sr..th��ob��s constdered aba�doned. '
Y11ARNlNG TQ OWNEl�: YOUR..FAILURE--7t1=.RE,GOttD,A;.MO�'IGE:OF=•COMMENGEMEI►�T�.NFAY�RESULT IN YOURI �
PAYfNC TW{C,E;:FOR:IMPROVEMEN:fi$•TO:YDUi�:PRt�3PERTY:�1F°YOU�Ii�"�Efi1D5T�'�OBTAtN�=FINI�wEtN6;'C4NSULT; I
IT . D O: N� � O • FO.�+�� OR�1 �� OU ' : ,�_C "OF�rCONA1�lENCE�NfEN`�_—'='--.-.---�- ' --- = 4
-�:oRa�Aat����F.s:��T:oa�_ _ -- - . -__. . , t �. - � �
f�./� �
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4WNER OR AGE�y�7�� �""�,-�-��� ,,,� CONTRAC _,� ' �
Subst�ibed and swam ed)befiore tne lhts Subscxlb and' ot a�frmed}�befcit+e nte'ttii� s
by y... . .. i
Who Islare personally kncwn to.me or:,hasfiave produced Who.ls/�re:p. lyknown,to;me or_has!lhave�produced • � .
as tdentlRcaBPo. � • as idenNl3caHon. -
� ,
� Note Pubitc _ � Nota Pubiic �
, ry ry
Commtss4on No.`� Coinnnbsion.No, ;
,
Name at Nctaty typed,pttnted cr stamped Name oi Natary typed,p�tnted ar stamped
_�;.
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DISCLOSIIRE STATSMENT FOR OWNF'R
CITY OF ZEPHYRHILLS BIIILDING DEPARTMENT
I, �ry C,���,o� have read and fully understaad and
agree to e provisions of this instrument.
The undersigned states and affirms that he or she is desirous of coastructing,
reaovating, addiag to or reroofing his or her owa domicile, that he or she
actually occupies, or will occupy by said domicile, and same is not for
reat, lease or sale. That he or she shall comply with the following conditioas:
1. That the owaer and he or she aloae ahall act as the builder for all phases, of
coastructioa. �
2. That the owner will comply with all provisions of the City of Zephyrhills
ordinaaces and codes pertinent to the building.
3. That in the eveat various phases of coastructioa are subcontracted, he will
engage only properly licensed subcontractors and wi,ll personally supervise
such work.
4. That in the eveat the Buildiag Inspector shall require correctioas to be made,
the owner will assume full responsibility to iasure they are made, aad upon
completion will call for a reinspectioa before proceediag with the buildiag.
5. That the owner shall assume full respoasibility for the construction aad will
not expect supervisioa of his work from the City of Zephyrhills Buildiag
Department.
6. That prior to final inspection any additional fees, iacluding reinspection
' fees, must be paid in full. A writtea request from this office shall
coastitute an official notice to pay additioaal fees.
7. That the owner shall comply with all City, State and Federal laws in regard to
social security, workman's compensation, lien laws, etc. , where applicable.
I 8. That the owaer shall comply with all the safety codes issued by the Florida
Industrial Commissioa.
9. State law requires constructioa to be done by liceased contractors. You have
applied for a permit under aa exemption 'to that law. The exemption allows
you, as the owner of your property, to act as your own contractor with certain
restrictions even though you do not have a licease. You must provide direct
oasite supervision of the constructioa yourself. You may build or improve a
oae-family or two-family resideace or a farm outbuildiag. You may also build
or improve a commercial buildiag, provided your costs do aot exceed $75,000.
The building or residence must be for your own use or occupancy. It may aot
I be built or substantially improved for sale or lease. If you sell or lease a
building you have built or substantially improved yourself withia 1 year after-
the coastructioa is complete, the law will presume that you built or
substantially improved if for sale or lease, which is a violation of this
exemption. You may aot hire an unlicensed persoa to act as your contractor or
to supervise people working oa your buildiag. It is your respoasibility to
make sure that people employed by you have liceases required by atate law and
by county or muaicipal licensiag ordiaances. You may aot delegate the
responsibility for supervisiag work to a licensed contractor who is not
licensed to perform the work being done. Any person working on your buildiag
who is aot liceased must work under your direct supervisioa aad must be
. employed by you, which means that you must deduct F.I.C.A. aad withholding tax
and provide workers' compensation for that employee, all as prescribed by law.
Your construction must comply with all applicable laws, ordinaaces, buildiag
codes, and zoning regulations.
OWNER�S SIGNATURE�� _ DATE Il �Z ! �
ADDRESS D(� �'LcrG e c��
PHONS �/3 �77 9822.
WITNESS PERMIT #
I
�LL W�fZ�SM��:.����LY t�VVlTfi P���,�ILIN�
� ' / CODES f�I.CRiDq�UlLDIiVG CODE,
��-a r l� c �o `�Cl,�!iL N/�7'IOPdAL�L�C7
A�D THE ClTY RfC COpE,
ORD!(�q���� ����P'�Y�HILLS
f��
C TM E�1/DATE � /��
z5�' h o s� PLAN EF ZEPF�YR
. �—
� �MIN�R
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��7.Ps�S ti�� ����� �v����• 6 d.., ��t�u�.� C�� (���L�'
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City of Zephyrhills
BUIL�?ING PL,AN REVIEW COR/Ili�ENTS
ContractorlHomeowner: �� rt -�
Date Received: � (— 2 2.-� /"�
s�t�: - � �`�(� �M,���t-�-v�rll�._...
Pennit Type: _ ��{'���� i°l.fC..-TY�C l/��-�r��%��
Approved wlno coxnments;❑ Approved w/the below comunents: C�- Denied w/the below comments: ❑
.� "� �--� � . �1
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his camment sheet shall be kept with the permit andlor plans.
���E�`' ��?�,--��5 � --- _
�� � �
itzer—Plans Examiner Date Contr dJor Homeowner
(R �red when cominents are present)