HomeMy WebLinkAbout19-20735 CITY OF ZEPHYRHILLS
71 5335-8TH STREET
r (813)780-0020 735
PLUMBING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit#:20735 Issued: 1/28/2019 Address: 5248 KING ST
Permit 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: 1,200.00 Total Fees: 75.00 Subdivision: LINCOLN HEIGHTS
Amount Paid: 75.00 Date Paid: 1/28/2019 Parcel Number: 12-26-21-0280-00000-0540 j
CONTRACTOR INFORMATION OWNER INFORMATION
Name: ROTO ROOTER SERVICES COMPANY Name: CCAROMA INVESTMENTS LLC
Addr: 5020 TAMPA W BLVD Address: 7106 FLOUNDER DR
TAMPA FL 33634 TAMPA FL 3617-8411
Phone: (813)889-8430 Lic: Phone: 813-410-0452
Work Desc: REPLACE WATER HEATER
APPLICATION FEES
PLUMBING FEE 75.00
I
C '
INSPEqIONS REQUIRED
1ST ROUGH PLUMB
2ND ROUGH PLUMB ^ �j
SEWER i 11 l
WATER j
FINAL
i
I
I
i
j
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 j
"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 Cityl
Codes and Ordinances.
Complete Plans, Specificatio and Fee Must Accompany Application. All work shall be performed in accordance with City;
Codes and Ordinances.
I
I
j
CON CTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
I
i
813-780-0020 City of Zephyrhills.Permit Application Fax-813-780-0021
Building Department
� I
Date Received Pho a Contact for Permitting
Owner's Name /Z�S�/�e �v�' �L2�I®(v /� Owner Phone Number
Owner's Address ��vv Owner Phone Number
I
i
Owner Phone Number
JOB ADDRESS 6 2e �i {�' !f �Z LOT#
co c a6 eP/-v�o -06 oZ - v.t"ela
SUBDIVISION � N /� 2k PARCEL ID# � I
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED R
NEW CONSTR R ADD/ALT = SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR 0 COMM [ ] OTHER /
—776
TYPE OF CONSTRUCTION = BLOCK 0 FRAME /= STEEL Qo /
DESCRIPTION OF WORK
BUILDING SIZE F SQ FOOTAGE HEIGHT
=BUILDING $� VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = DUKE ENERGY = W.R.E.C.
=PLUMBING $ j
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION *X-V
=GAS = ROOFING 0 • SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
W
V"
BUILDER UCOMPANY ! 44 V`;w1Clf ul
SIGNATURE REGISTERED Y/ N FEE CURRE� /JY/N l
Address Me � 17 !� v� License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
I
- I
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
i
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN LILN
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
RESIDENTIAL Attach(2)Plot'Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,----I---- - -
Sanitary Facilities.&1.dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1.dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
****PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500)
" Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same
I
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
I
I
NOTICE OF DEED : The undersigned understands that this permit may be subjectto"deed"restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired m contractor or
contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the
contractor is not ||oenmad an required by law, both the owner and contractor may be cited fora misdemeanor violation
under state |ovv. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or cnntnactorm, he is advised to have the contractor(s) sign
portions of the "contractor B|ooh^ of this application for which they will be responsible. If you, on the owner sign as the
oontnactor, that maybe an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply bo the construction of new bui|d|ngn, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
QO-D7. asamended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
permitting. |tio further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power no|maee. If the project does not involve a certificate of occupancy or
final power re|emoe, the fees must be paid prior to permit issuance. Furthermore, if Pasco CountyVVatmr/Soxvmr Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended): |f valuation of work io $2.00O.ODormore, |
certify that |, the opp|ioant, have been provided with g copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. |f the applicant k* someone
other than the"owner", I certify that I have obtained a copy of the above described document and promise in good faith to
deliver itbn the^ovvner~prior hocommencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: | certify that all the information in this application is accurate and that all 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 du work and installation as indicated. | certify that no work or installation has
commenced prior to issuance of permit and that all work will be performed to moot standards of all |ovvo regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. | also
certify that | understand that the regulations of other government agencies may apply to the intended vvork, and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but-are not limited to:
- Department ofEnvironmental Protection-Cypress Bayheado, VVat|ond Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida VVa1mr Management District-Wells, Cypress Boyhaadn, VVeUond Areas, Altering
Watercourses.
- Army Corps ofEngineeno-SeaxvaUn. Docks, Navigable Waterways.
' Department of Health & Rehabilitative Services/Environmental Health Unit-WmUs, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authohb+Runxvoys.
l understand that the following restrictions apply tothe use offill:
- Use of fill ia not allowed in Flood Zone ^V~unless expressly permitted.
- If the fill material is to be used /n Flood Zone ^A". it is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by professional engineer
licensed bv the State ofFlorida.
- |f the fill material is to be used in Flood Zone ^A" in connection with a permitted building using stem xvaU
construction, I certify that fill will be used only to fill the area within the stem wall.
- If fill material is to be used in any area, | certify that use of such 0( will not adversely affect acUooant
properties. If use of fill is found to adversely affect adjacent propodios, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill, on engineered drainage plan is required.
If| amthe AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior hn commencing construction. | understand that a separate permit may be required for electrical work,
p>umbing, aigno, vveUs, poo|o, air conditioning, gao, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of permit prevent the Building Official from thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
unless 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)months after the time the work is commenced. An extension
may be pequashed, in mxiUng, from the Building Official for period not to exceed ninety (QO) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the job is considered abandoned.
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_qBTAIN FINANCING, ONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING-YOUR--NOTJCeOF)COMME
FLORIDA JURAr(F.G.117.03)
OWNER OR AGENT
thig-
Subscribed and sworn to(or affirmed)before me this Subscribed and wornWrnl)Vr
Who is/are personally known to me or has/have produced Who is/are personally known to me or hasihave produced
as identification. as identification.
-Notary Public NotaryPublm
Commission No. Commission No.
� I
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: 44 A,
Date Received: Z o,
Site: Z� �
Permit Type:
Approved w/no commeno Approved w/the below comments: Denied w/the below comments: ❑
I
i
i
This comment sheet shall be'kept with the permit and/or plans.
VanHomeowner
JAN 2 82019
Kaly n w' er—Plans Examiner Date ontract
(Required when comments are present)
i
I
I
i
I
Roto-Rooter Services Company
5020 Tampa West Blvd.
Tampa FL. 33634
PLUMBING & 813-889-8430
WATT R CILEANUP
August 2,2018
i
To whom it may concern,
I, Ross Bellovin,State of Florida Certified Plumbing Contractor#CFC1429911, do herby authorize
Timothy Horwath,Chad Little, and Charles Kruse,Sean Pettit to obtain and receive permits in my name
and under my license. This document will replace all previous letters of authorization and should be
considered the only valid representation of actual authorized permitted signers for Roto-Rooter Services
Company in Tampa, Florida.
Ross Bellovin State of Florida Contractor License#CFC1429911 Plumbing Qualifier Roto-Rooter Services
Company,Tampa, Florida.
State of Florida
I certify,swear and affirm the above information to be true and correct.
Signed: Date:
Printed Name:
The foregoing instrument was acknowledged before me this day of 14%�go ,2018,
identification or is personally known to me.
Signature of Notary
I
MtnrY ••, SHARONK,TALLADIRA
_�. .*= MY COMMISSION 0 GG 197402
�'•.""; �P`.•� EXPIRES: 19,2022
BondedlhuNoaiyPubWUr�darnk�ro
(Seal) Print,Type or Stamp Commission
I