HomeMy WebLinkAbout19-21810 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21810
LP/NATURAL-GAS PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21810 Address: 37333 PICKETT'S MILL AVE
Permit Type: LP/NATURAL GAS ZEPHYRHILLS, FL.
Class of Work: FIRE-LP/NATURAL GAS Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: SILVER OAKS VILLAGE
Est. Value: Parcel Number: 03-26-21-0200-00000-0050
Improv. Cost: 1,474.00 -OWNER INFORMATION
Date Issued: 9/30/2019 Name: DLUGOZIMA, DANIEL & LINDA
Total Fees: 125.00 Address: 37333 PICKETTS MILL AVE
Amount Paid: 125.00 ZEPHYRHILLS, FL. 33542
Date Paid: 9/30/2019 Phone: 727-433-0295
Work Desc: INSTALLATION GAS LINE FOR WATER HEATER
CONTRACTORS APPLICATION FEES
MEARES PLUMBING ING GASFEE 50.00 FIRE INSPECTION FEES 25.00
FIRE PLAN REVIEW FEES 50.00
FIRE SITE INSPECTION-Final Ins ections Required
Chapter 633, Florida Statutes,authorizes the City to charge and collect user fees to pay for the costs of fire
prevention and protection related activities such as inspections, plan review,administrative fees,and other
costs related to the aforementioned.
Complete Plans, Specifications and Fee Must Accompany Application. Commencement of work without written approval of
the Fire Department's Fire Marshal or required permits or opening up for commercial activity without an approved final
inspection shall be charged double permit fee per day of operation or a minimum of$100.00, whichever is greater. All
work shall be performed in accordance with City Codes and Ordinances.
"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 COMME ENT "
0!�W— twj�� -
CONTRACTOR SIGNATURE PERMIT OFFIC
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOURS NOTICE REQUIRED
ZEPHYRHILLS FIRE RESCUE DEPT- 813-780-0041
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received ' Phone Contact for Permitting
Owners Name ryA IUA A- Owner Phone Number V L
Owner's Address , Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 9c / V LI I
!!ffi� / yL�OT#
SUBDIVISION i V O G —PARCEL ID#�J'J�l��!'2��-01.b�'6DO�c�—60
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR' ADDIALT = SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR Q COMM = OTHER
TYPE OF CONSTRUCTION nBLOCK 0 FRAME 0 STEEL =
DESCRIPTION OF WORK Il{�i al;d` 6fl,lw/&t cs �US EQl midi Of MW
BUILDING SIZE SQ FOOTAGE= HEIGHT L
TITrITITrTI"TITITrITITrTI"ITITrITITrITrTrITITrI"1"ITrIT t'A l,, n/I\ I.1 }�I !�n nS
BUILDING $ VALUATION OF TOTAL CONSTRUCTION
Yt ®CCtXiEs'i {
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY = W.R.E.C.JD�r/`►061--�1',+n aL �,1�v
PLUMBING $
YV f UUU(%1... `v I vl (JT �,11
=MECHANIC/A�L $ VALUATION OF MECHANICAL INSTALLATION (c)
GAS I`/ IJ Q ROOFING Q SPECIALTY 0 OTHER / Vv lL
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
. ..-ram..-r..-��..-r... ...r...ram..- .-.-.-. .....-ram..-ram.-- .... . . . . .-..-.-..- ... .-...+-..........r: •:- ... . .... .... .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . i+ . . .
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN LKLN
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License#
PLUMBER __ =COMPA IUPfNY C
SIGNATURE REGISTERED / N FEE CURREN
+Y/N
Address I cl�v� C S License# —I ' 01
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address F License#
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
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,Slormwater Plans w/Silt Fence installed,
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;
...rLI--I-I--1-1-I..t-I.a..l_t.-b-L-1-HI.-FI--��1-.1-1..1..4�f.�1-1..1-1--tit-I--�4-�t-I--�I-1.-,^.�1...6�1..�1--�1-1-LI..I�I�f.J-.i..i��
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
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
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"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 a 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 licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. 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 contractors, he is advised to have the contractor(s) sign
portions of the"contractor Block"of this application for which they will be responsible. If you, as the owner sign as the
contractor,that may be 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 to the construction of new buildings,change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also understands,that such fees, as may be due,will be identified at the time of
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a"certificate of occupancy"or final power release. If the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer 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): If valuation of work is$2,500.00 or more,I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide"prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is 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 it to the"owner'prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: I 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 do work and installation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other government agencies may apply to the intended work, 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 of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
Use of fill is not allowed in Flood Zone"V'unless expressly permitted.
If the fill material is to be used in 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 a professional engineer
licensed by the State of Florida.
If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
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, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties,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,an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, 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 a 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 requested, in writing,from the Building Official for a period not to exceed ninety(90)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 OBTAIN FINANCING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTOR
subscribed and swom to(or affirmed)before me this Subscribed and swornjQ(or affirmed)before me this
by _117- by )) n'Sra 4900,110
Who is/are personally known to me or hasthave produced is/a(��p@@rs��onal known to me or has/have produced
as identification. (/���/e L Ir as identification.
Notary Public Notary Public
Commission No. Commission No. `
1C� h O ti� v
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
;;':� •., CARLOS MALDONADO
Commission#GG 346275
Expires June 18,2023.
Bonded Thru Troy Fain Insurance 800-385-7019
Meares Plumbing,Inc. Estimate
14525 Shady Job
Spring Hill,FL 34610 Estimate Date Q/18/2O19
727'863-8815
State License:CF'CO57439
--- Billing Address-- --- Job Address
DLUGOZ|K4A,DANNY DLUGOZ|K4A,DANNY
37333Picketts Mill Avenue 3733] Picketts Mill Avenue
ZephyrhiUs,FL33S42USA ZephyrhiUs,FL33S42USA
Estimate Details
Rinnmi tonWessprogrann
Tecotank|essRinno/ RLg4
Includes: tankless, 50' of gas and/or water piping, disposal of existing heater, cap existing vent,
Excludes: electrical outlet, gas line bonding, venting, attic and/or crawl space piping, drywo||/b|ockrepair,
�*diontnnoyexpehencaco|dwatorsandwiching, and |ackofhotwmtertohighefficiencyapp|iancex'**
Ti 3/4"galvanized g gpnagemaU exposed and terminate in garage. Heater to be
kung on |n�r|orwa||withinh' of existing outlet and approximately 10'from existing electric water heater. Will need to run
tota[of2O' uf3/4"water lines from existing heater totanNess.
'Going tocomplete in one trip***
Task# Description Quantity Your Price Your Total
yWisc 0NNA|RL94TANKLESS WATER HEATER 1.00 $80080 $800.00
L]R R.Purchase Plumbing Permit.Two years parts and labor warranty 180 $212.00 $212.00
TECOTERIVIVENT Exterior termination for Rinnai Tankless Water Heater. Includes install of 1 ft. 1.00 $25080 $2SO.00
venting through wall toexpose. Additional venting required isseparate.
` L3S S.Provide Standard Access .Two years parts and labor warranty 1.00 $212.00 $212.00
Sub-Total $1.47480
Tax $0.00
Total $1,474.00
I.. .
I
i I I t 1 i �--_...! 1 _ i ---I- _'-_-� I --I--'---- - -- ��-���' �i_L�_��1_>•-S �'�_l._I__tI�_. r�Ic-.-�----�
I -
D I i I 1 -Z6---p;H*y Chi�,C_L15_,_'
- ------ --. -----J---'-- - - --- -- ---- -- -,- - - -- - -
-I I---- ;
i
I ! I TMI
1 f
:
.I_.._. I �I I _J--
�k._.-..! -I-._.- _!-__�__. I -
, I ,
COIVIP'LY I-
-
i I I NF S A AN WITI-�_ I
' � f
-- _ ---1
-- -'- - ; - ---;- - -A - - - r AND---' --- -'- I--I - i I -----_ . -I- --- ------.. - ------- .- ODE _ND S
f_C_! _I I
1..- -i--- -_L_.
I �
r
I I
_ ��-
..,..r........,�+
OFIZE �..../
--- l --� -�Y-- --- ' --r R ? S I -
I
1-MY
I
I6
--! .- ' -�--
y
'
II � ____.------�----�-----J--------I _i__i..-------__1------ I I- �____---._..--------- ---�- _..-_I-------I--_ __.J___� ._ -----I-----� ------1-_.-�----___�____�---
t •
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: ,- )0yrJ
Date Received: ?lZqb
Site: 37 ) C Xe
Permit Type: I0, ini L, j2c
Approved w/no comments:W Approved w/the below comments: ❑ Denied w/the below comments: ❑
This comment sheet shall be kept with the permit and/or plans.
in wi er—Plans Examiner D e Contractor and/or Homeowner
�,,�, (Required when comments are present)
877-8634
141umbing
a re S FAX: 727-863
www.mearesplumbii
14525 Shady H
Spring Hill, FL
State License C
COMMERCIAL RESIDENTIAL
The
fe ffigmeares.plL
lumber®
LF-TO:CITY OF ZEPHYRHILLS,BUILDING DEPARTMENT DATE:9/18/2019
ATTN:PERMITTING
RE:AUTHORIZATION LETTER
DEAR PERMITTING,
PLEASE ALLOW THE FOLLOWING PEOPLE TO PULL PERMITS ON OUR BEHALF,PEOPLE LISTED BELOW SHOULD BE ON FILE.
PLEASE ALLOW THE FOLLOWING PEOPLE TO PULL PERMITS ON OUR BEHALF:
NAME: LICENSE#:
STEPHEN MEARES M620-793-53-344-0
MICHAELT.MEARES M620-558-85-212-0
MARYELLEN MEARES M620-585-63-622-0
JANINE MEARES M620-432-87-588-0
DOUGLAS MOORE M600-170-63-214-0
CRYSTAL BRADY B630-112-85-877-0
CHRIS COOLIDGE C432-113-73-304-0
JAMES COOLIDGE C432-447-70-307-0
GERALD BAKER B260-298-84-376-0
EDWARD JACOBSEN J212-230-71-129-0
DENISE MOORE M600-168-64-687-0
THANK YOU OR YOU ANTICIPATED HELP IN THIS MATTER.PLEASE CONTACT THIS OFFICE SHOULD YOU NEED ANY ADDITIONAL INFORMATION
TO COMPLETE IS REQUEST.
SINCERELY,
STEPHEN MIC AEL ARES
PRESIDENT
STATE LIC#CFC-057439
SWORN TO AND SUBSCRIBED BEFORE ME THIS 2019MM-
NOTARYHOM
IS PERSONALLY KNOWN TO ME.
BRENDA L.EDDYtary Public-State of Flori aCommission r GG 101716 7,2021
y Comm.ExpirestuntayAssdedlhrouahNadonalNotaryAszr.
NOTARY PRINTED,TYPED,OR STAMPED