HomeMy WebLinkAbout21-1598 0
v. a"
City Ze h
t�/ of p y rhills
PERMIT NUMBER
- 5335 Eighth Street
Zephyrhills, FL 33542 BGR-001698-2021
Phone: (813)780-0020
Fax: (813)780-0021 Issue Date: 03/01/2021
Permit Type: Building General (Residential)
Property Number Street Address
14 26 210010 01300 0010 38250 A Avenue
Owner Information . Permit Information Contractor Information
Name: SOUTH PASCO HEALTH CARE Permit Type:Building General(Residential) Contractor: SEALANDER CONTRACTOF
PROPERTIES INC Class of Work:Plumbing SERVICES INC
Address: 485 N Keller Rd STE 250 Building Valuation:$0.00
MAITLAND,FL 32751 Electrical Valuation:$0.00
Phone: (813)782-5508 Mechanical Valuation:$0.00
Plumbing Valuation:$59,189.00
Total Valuation:$59,189.00
Total Fees:$335.94
Amount Paid:$335.94
Date Paid:3/1/2021 11:59:49AM
Project Description
INSTALLATION 2 GREASE TRAPS
Application Fees
Plumbing Permit Fee $335.94
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,for each subsequent reinspection.
Notice: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permit required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning to owner:Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans,Specifications add fee Must Accompany Application.All work shall be performed in
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CONTRACTOR SIGNATURE PE VIT OFFICE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
81:34,9 o02o City:ofxZephyrhills�;Permit�Applibatiorn Fax-813-780 0021:,
BulldingµDepartment=
Date Received Phone Contact for Permitting .� 7 —
/7 Owner's>Name,,R .$ t`� 1 JL bei
Owrier•P!i'opa Num
_
f Ow er.Rhone:Nutriben, %3
Ownees Addressi ;7 • f,�7.' It
V.
Fee Simple TitleholderlName Owiieepfi, l eNumtier
_Y ar. ...-.. 1.
Fee Simple"TitlefjolderAddiess�''.f `^' '' &,v, a �
JOB ADDREW,; 7: K�C.�J:G7. `,t:r _ ; LOT#. ;a..
SUBDIVISION ...r, '` . .PARCEL`ID#'
WORK PROPpSEQ ; 'NEUII'CONSTR" ::`.ADD/ALl ' ���:' 'SIGN,- DEMOLISH •-
�' srle`'.c' INSTALL''•.:F,B" . REPAIR' ..
. 6
PROPOSED USE':'._t r., i'a t SFRI COMM... .. OTHER; _
o a .. :, :rt
TYPE OF>CONSTRygTI01,1:� , BLOCK a a; ,FRAME"„
r-:
_ ...:,r y
DESCRIPTION'�OF WORK'^' `" -SGias �ll�u�'' , .� / F..
a
BUILDING SIZE SC1 FOOTAGE° � HEIG'H7
OBUILDING $ ✓ 40 VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL�= $ Et::.`77 �1 ;,AMi?,SSRVICI=; ._ROGRESS;ENERGY,(;,Q. W.R.E.C.
0'.
1:21PLUMBING
=MECHANICAL =$ VALUATION OF MECHANICAL'IKSTALL,ATION
{ .t w 4d
:RQOFINGf�-Q „SPECIALTY . ;OTHER_.._
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES�: : No
■ r ■ ■ ■ • ■ r .rr, n■�i■.,■ri:■,.Ir..�;.r: .r.r..■,:■'r .■.■•... .■, r:.r.r 'r. ■, r.■ ■- r ■ r
BUILDER ..:.. : sr,+::=COMPANlf3 ir7WA
.5
SIGNATURE' ,, ` %!, `1 ,'! '1' � REGISTERED.; - to,.rlY./'Nv,:. FEE,C.URREM..
Address ._ License# ( _
ELECTRICIAN' ;4 .�,.r COMPANY e.
SIGNATURE fiEdisrEriEn Y/"N" FEE`cl1RREn
Addhiss
PLUMBER COMPANY Woo&1it
SIGNATURE ?.Yr '+ •REGISTERED,..= 1(/_.N. . FEE CURREP- Y/N
Address
Llcerise'#`'' �i�.'��/, ''�y/ `b i.'
MECHANICAL COMPANY
SIGNATURE , tREGISfEREP., Y-/.N ,:•`FEE-CURRE�;
Address _ _,4lc9r1SA#4
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN LILN
Addres's _,,> , :: ,c:a r,, ,a License#f .,
1 �:�::'t,i !yl /:1?f-� -1`t,-1:t uAl i t 1.1,-1 �.�. -� 1 1 I I I I 1 , ! 1 1('11.,,�af.e1..,(
RESIDENTIAL /attach('2f ill6i Plans;(2)sets of Building,Plans;(1)set of Energy Forms;W04fPermit for new-construction,
111'lirilinum,,ten(10)worklrig days after_submittal date. Required onsite,Construction Plans;Stormwater Plans w/Silt Fence installed,
-Sanitary Facilities&1:dumpster,Sste:Wi3ticPermit far:subdW6lansAarge prdject
COMMERCIAL Attach(2Nffpletw-sets'of Building Plans plus a Life Safety Page;(1)set of Eri, rgy Forms:R-O-W Permit for new construatlon.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plaiis,'StorfriwaterPlans w/,Silt Fence installed,
sanitary Facilities&1 dumoster.Site Work Permit for all new projects.Ail commercial requirements must meet compliance
8i3480=0'02'0 • Ci Of�Ze `hy�hillsr Permit.A ' licatioii Fax-81;3;y80?QU2;i;+;
' p Y- PR
BOIldingZopartment
'DEED RESTRICTIONS:The;undeWgn`'ed understands that``this�pdrmIt maybe sutijeci'to"'de;&"ies6ki"s"wliicli ......more restrictive
than CountyreguiaUi k.-TAe-6nder§igngd assumesresponsibility.�fo_r,.compliance with any applicable deed,restrictions.
UNLICENSED''CONTRACTORS=AhD`'.CONTRACTOR RESPONSIBILITIES::If the,owner has hind a.contractor•or.contractors-to•undertake work;they
may be required,.tolbe licensed in accordance.with state,and local regulations.If the contractor is not Itcensed:asTegutred by law;;tiotli'the owner and
contractor.niay be W1 cited;for.a Ynisdemeanor violation'unde."'r sta6w;lfthe owner or contractor are uncertain
intended contracton as;to what licensing-regyi[ements<
may apply for the Intended'work,they aIre!advised to contact the Pasco County BuOding•Inspechon Di4ision—Licenstng•Seaie 72VIM7=ti009.
Furthermore,1f the owner has hired a contractor;or,contractors,,he.is;advised-to have the contractors)sign,ppitlans.of the'"contractor Block"of this;
application:for which.they wtll'be•responsible.*tf you;as.the owner'slgn as the cori"ctor;.thatmay=be an tndlcation-that he isinot propei(yi llcenseil'and is ' "`
not entitled'to'pemiittirig 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'theconstruction of new§utldin'gs;-cliange°of..use(n eitistirig`tiuildin s,or
expansion of eAsting buildings,as specified in Pasco County Ordinance number 69-07 and'gM7.,=as amended:The undo[signed"also understands;.that
such:fees,-as•may.bedue;Wll;be identified atthe_time of.permitting.;Itlsfiilt erunderstood thatTransportation ImpactFees`and Resource Recovery,„.._•
Fees;rnustbe paid prior to receiving a-"cerfificate of'occupanW-,orfinal;power release.If the project,does=riotlnvolve.a,c-d' licate of;occupancy,or,finaF
power release,the fees must be paid.prior to permit issuance.Furthermore;;if.-Pasco:County.Watee/Sewer Impact fees are due;they must betpaid.prior
to permit issuance,In-accor.. 6idance;with applicable Pasco;County:ordinances;'
CONSTRUCTION LIEN,LAW(C ter'7'13;Florida Statutes;as amended):lf.valuation of.workis$2;500.00,or.mo*I certtty.that;'the.appllcant,
have,been provided.wIth.a cwpy?of'the"Florida Construction;Lien Law'='Norrreowneets Protection:Guide",,prepared.;bk the"Mode'Department of,- ;
Agriculture and:Consumer Affairs.If the applicant is someone other tii'an'the"owner:,,,l.cert(fythat'I have obt'6rj'a'copy,of.the above described
do curnentand,prom Ise 4n•good faith to deiiverdt.to.the"owner."prior to,00mmencement.
CONTRACTOR'S/OWNER'S:AFFIDAVIT:'.Ccertify<that all tFtie tnformatiori'In'this apblication is"accurate and the all work;wiil!be.done in compltance,with
alfapplloalile'laws•regulating'constru'c0 ,Toning:and"land;development(Application Is,hei6by:M646 to obtalKe permit to:do`work'ind,,Installation as ., .
f"
indicated::I:certify that:no-work:or.installation,has;cot>imenced prior to issuance of a permit and that ail work'Mll.be,performed`to meetstaridatds of all`
:.. ,
Iaws.,regulating construction,County and City codes,zoning regulations,'and land developmght;' gula$ons'fit'the jurisdldfioh't also.;cetfify"that l
understand aat.the,regul. - of other government:agencies may apply,to the Intended Work,and that it is my responsibility to identifjrwhatactions,.l.
must take to be in compliance.Such,agencles'fndude but are not lim(tedto: • =- u _._
Department of Environmental Protection-Cypress Bayheads,;.Wetland Areas and Environmentaly:Sensitive -
Lands;Water/1Nastewatet-Xtdatment.
Southwest. Florida Water Management Districtmells, Cypress.-t Bayhdods;>-Wetlah&,'Areas Altering-
Watercourses.
- , ArmyCorps of Engineers-Seawalls,.,Docks; Navigable Waterways.
Department'of'Heal'fh''&=iRehabilitaWe Services%Environmental Health Unit-Mlls,.-Wastewateri.Treatfnent,'
... ,
Septic Tanks.
US Environmental Protection"Agency-Asbestos abatement.
Federal.Aviation Authority-Runways.
I understand that the following restrictions applyto,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 "ttiat`a drainage plan addressing a
"compensating volume" will:be submitted at:tim'e'ofipermitting Which!&s prepared by"a.professional'erigineer,
licensed by the State of Florida.
If the fill material is to be used Iii Flood Zone °A"'in connection..with..sippermitted building,using stem wall
co_nstruction;'I,certify:�that,:fill-.vtiill b.e,used=only:to;fill--,the,area.,.withinaliestem,:wall.,,;.:.;.:;,, ,..�:. ,
If fill material-is' to ,lie'used"in'"any area;.I--certify that use of such.-filhWill�not-;adversely-affect:,a'di cent
properties-If.use.of:fill.is_fqund to adveeselyaffect adjacerit properties,•the•owner-maybe cifed:for.violating ar.;
the conditions oFthe Building;per nit;,issued'un'der�`the'attached:permit.:application; for lots less than one (1)•;,,:
acre.which are elevated by fill;..an engineered dralnage•plan:is required.
if I am the AGENTTORTHE.O.WNER,l promise in,good,fatth to inform.the',owner.of the.permitting conditions.set.forth In this.affidavit priocto
commencing,cons.truction:'l'uiiderstand'thata separate permitmay be requlred,for electricalswok-,-plumtiingj*signs,-wells;:pools;,.aircondittoning,"gas,�or
other installations not=specifically included in the-application:-Apermit issued shall:be construed'to tie'a license to'proceed with-thewo and rotas
authority to'iriolate;'cancel,,alter;or set`aside any."provisions,ofructi the technical codes;-nor shall.issuance of a;permitprevent the Building;Offidaf fnorri "
thereafter,requiring,a`correctlon:oferrors in plans;,constdn•or vioiations'ofanycodes.Every permit•issued,shalLbecome;invalid unless�the_woik.: ' '_
authorized by such:permit'is cormhencedWthin slz months of.'permit issuance;or i#wo-Ir c•.autfioriz id'by'tt9e'peFrntt is susperided'or.abantlorted.for a
Y eq-:- T. .. .,
period:of-sik,(6)months'afterthe time.the work,ts'contmenced.An extenslon;ma ,be,r nested;in writing,.from tHe;Buildtng Official fora;period not to,;:•,
exceed ninety"'(90)`days arid willAtmorittrate•justifiable cause.for the extension.If work ceases for nlnety.Z90j conseautive:dajis;the dWis considered
abandoned.
WARNING TO:.OWNER:YO�UR'FAILURE"TO~RECORD''KW&ICErOF;.COMMEN.CEMENTnAY.,RES.ULIT IN"YO.UIR``'"'
PAYING'TWICE FOR IMPROVEM.,ENT&TO.YOUR'PROPERTY: IFYOU.'INTEND-TOO:BTAIN FINANCING;CONSULT
FLORIDA JURAT(F.S.117.03
�'5AA
pp-� f� - RACTOOWNER OR AGE CONT.
o(oraf ) ore Subscj` d.and Subscribed'and'swom,to"(or affifmed)b re e-thisE
Uyr�l4i b /nn.e Lczk byCAEL -9 (0 0 SA RA
Who is/are rs Ily known to me or hasli,ave roduced Who Is/are pe naliy'known�to�me'0 as/have�prodUced::.
as identification. �=Z as identification.
LA.
Notary Public taryftblic,_,
Commission N RI L BELLUSO Commission No. s�_" LUSO -
GERRI:L LIE
�- rotary Public-State o a� �!" , r-
,�_ .'.'' Commission GG 169054 Commissior.#GG 169054
Name of Note dt7tste9tl ':Name of Notary,typedffftW oeed:hroughNaSo"a'NoaryAssn:`
Bcnded:hroagh Naiona'Naary Assn.
G
INSTR#2021039951 OR BK 10289 PG 640 Page 1 of 1
03/01/2021 10:46 AM Rcpt:2266751 Rec:10.00 DS:0.00 IT:0.00
Nikki AlyarezSowles Esq..Pasco County Clerk&Comptroller
N017CE OF.COAMENCEIVIENT
Permit No. !,
Property Identification No.h n6?j6 67 L 0Q,ea—9 woo COY
THE UNDERSIGNED hereby give inform you that the improvement will be made to certain real property:and in acoordence with
Section 713:13 of t.ha Florida Statates,the following information 1s ided prov in this NO"CL O/F1 COMMENCEMENT.
I Mescription afpmraty(legal dmcc*don:) i � ,S �t¢6 /�,�� QI
a)Sheet Address: .do9 .0 Al' A t1gZ42_(U "y.d-: S gQog f j Isla
2,Genaral description of' rov meats:
3.Owner Information
's)Name and address:
b)Natire and eddiets of fee " pie titleholder(if other then owner)
c)IAterest•iri.Prop�Y �
4.Cophaetorinformition �� �6 = f-,o rAr_ A;
ajNaipze and address:
b)Telephone No.: Fax No.(Opt)
S.Surety fibs tIon
a)Name,and address:
b)Amount of Hdad:
c)Telepbaae N6 Fax No.(Opt)
6.I:ender
a)Name and ad
Phow N6.{
7.Identity of person wilb�the State of Florida designated by owner.upon whom noHees or other documem may be served:
a)Name and address
b)Telephone No.: Fax No.(Opt.)
S:In addition to hiiaself,-owner destgaa iIhe following person to receive a copy of the Lienor's Notice as provided In Section
'713.13(1)(b),Florida Statutes: �+
a)Name andaddress:c
b)Telephonm No.: ti' Fax No.(Opt)
9.Expiration date of Notice of Commencement(the expiration date is one'ydar from the date of recording unless a different date is
specified):
WARNING TO OWNER* ANYVAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE
COMMENCEMENT ARE CONSIDERED IMPRORER PAYMENU UNDER MAPTER 713,PART I,SECTION 713.13
FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPER ,
A NOTICE OF COMMENCEMENT MUST BE RECORDED'AND POSTED ON THE JOB SITE BEFORE THE FIRS
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT YOUR LENDER OR AN ATTORNEY,BEIEO 4 +'
COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. `' T
SPATEOFI+LORIDA "� 'fia :4"J✓s•} 'P"✓ ~ may
COUMV OF PASCO
S of or ces OAicu/DizomdPaummmescr
fore Ing instrument was arlmo edged bAm mr.N,ra .I day of C '20�by �[�w M20 �., � 3 �(D V d
o
4 no war' e8 : '�is iucl er r e S ( of arnhority,e g olHcer,trnetee, o y m a y <9
in fact)for_;� o � auc.�.a, �A N••a s!j Tame of party on bobalf of w m inshvmedt D
Personally Known_OR Produced Identification✓ Notary Si CD a � o � °rt
Cn o a c) M
rl O O r
Type of Identification Produced 'L L_ Name(print) L- 1Z t 164S f o a 0 0 s 10
a. a �+
Verification pursuant to Section 92S,Florida Statufea.Under penalties ofpedury,I declare that I have reed the foregoing and t _ Q
.54 CR C
the facts stated in it ere hue to the best of m lmowled a and elief, �. o,
c� v . Qm
"Y""•., GERRI L BELLUSO 3 am
o p
Notary Public-Stake at Floridabf?huww Fawn slillimAtiove - v 0) o V
rotusatogn mmr ; U••=: Commission#GG 169054 co Q N —
t.ra 7x•`bly Comm,Expires Jan 24.2022 o m CD m y;
gonad mmggh NaSona.No:MAssn. 3 •' N
n '»
� O
GENERAL DESIGN NOTES:
I. STRENGTHDESIGNMMODIN ACCORDANCE WITH MIN..)
ACI318.
6° 8'-8" g" 2 CONCRETE C IVESTRENGMAT
DAYS=MW PSI01%
5'-10" 2'-8" 3. PRECAST RATED FOR H820 LIVE LOAD W1011PACTIAW.AASHTD
�= SPECIFICATION
,n 4. DESK F1U.RANM=6'(iMT03'(M
S. Q;N=WATMTABI.EASSUAMIP-TOROWGRADE IFDESIGN
870 i (TYPOOF�3)G
I(EMTONOiIFYOLDCIl4TLEPRECASTUPON REVIE
KO
BBOF
TFBS SUBALRTAL
to Zo
- - - _ - 8. RBNFORCEMIM•
I I I-I -CARBONSTEiiDBEBARB AMA815,
I I I I �v-SOKSI(NH1).
L — — — — — — — -1 24"0 OPENING 7. MNT SEALANT(AS DETAM AND NOTED INDRAMNGSKEREM
(TfP OF 2) -CS-102CONSEALBUiYLRUBSERSEATANT(OREQUiV.)
4., LAW.ASTN C880 FEB.SPEC.SS-S410.
TYP 1 8. PRECAST DESIGN DOES KOT INCLUDE ANYLATERAL OR
SURCHARGE LOADS RMOMER BUMNGS OR FOUNDATIONS
ADJACWTO THIS STRUCTURE THISSTRUCTURESHALLBE
PLAN VIEW KEPFAUININUMOF11 RATIO AWAYFROM DIM FOOTeMOR
SCALE:1/4"=V-0" FOUNDATIONS.
NOTES TO CONTRACTOR:
1. PLEASE VE MALLSIZES,LOCATIONS,AND ELEVATION OF
OPENIN 8.
2. THECONTRACTORSHALLBERFSPONSIBLETORPROPER
— — — — — — T — — COORDWATION70ENSI ETHATANADEQUATEBEARINO
SURFACEIS PROVIOFO(I.E LEVEL AND CDMPACTE D)PBt
o IN8*0LET I 14%" ICI —OUTLET PRO.IECTSPC-CIFICAiIONSANDDRAWING3,.
`~oi I II I 3. AFT[R PIPES ARE INSTMM a BLOCKOUTS.ALLANNLBAR
SPACESSHALL BEFILOWTLHAi KOFWPIACONCRETE,
nMM THE UNDE3RSIDEOFUPPERSECTiON FOR FULL
0 o Sn THU(NESSOFVAULT.WALL
4"-11' H — m 4. CONTRACTORTO RESPONSIBLE FORTHEFOLLOINM
WATER DEFiH IHI I v, _OINB�OA��SAMPIAGn3,
GRAYWATER ONLY.BLACI(WATER SHALL BECARRIED
BYSEPARATESOESEIhM
J -FLLIh1T aEmWATERPRIORT0°SGRT4lR
. OFSY5TBLL
} VIEW A GROUT ALL AROUND
BOTH SIDES BY OTHERS
SCALE:1/4"=T-0"
J
- "PER
r
WEIGHTS
Brox
3F TOP 9,80 2.42
36"BASE 10,2ou 2.52
` La a BAFFLE 0 0,33
TOTAL 1 21,350
f ILIOldcastle Precast'
=UmMm TIDGfwi=
`'~•. rMoomomisIIEWi65dNCF0lOG8"E fRRaOaGffimM.
8B0R®fatilliO®QSY,IIIOIIW LMQf 6EIIgD QiMt/1®C/
TO71EMOM i"CFail"f1EU�11E\'Nf161P6iG47�OF01CC/JIIEWtHY.Bf fd:
OOPMImROfl{FaIIGSOERiB'A"f[ClLLBCNaR�i4®
1,000 GAL.GREASE TRAP
SUMMALLAYOUT
4'-870T-M m VAULT
CUNW R
REVISIONS
RN DATE BY MM amovMMOMM ByUKAWM
1UTA8
" 1000GTFtquay IODATE 1 OF 8
D