HomeMy WebLinkAbout07-6393
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
PLUMBING PERMIT
6393
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost: 3,575.00
Date Issued: 1/24/2007
Total Fees: 35.00
Amount Paid: 35.00
Date Paid: 1/24/2007 Phone:
Work Desc: ROUGH IN & INSTALLATION OF FIXT/SEW&WATER
6393
PLUMBING
PLUMBING RENOVATIONS
SINGLE FAMILY RESIDENTIAL
Address: 38614 2ND AVE HISTORIC
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-20600-0010
Name: CHRISTNER, CAROL
Address: 38614 2ND AV HISTORIC
ZEPHYRHILLS, FL
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1ST R U H PLUMB
2ND ROUGH PLUMB
SEWER
WATER
FINAL
REINSPECTlON FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection
trips are necessary due to anyone of the following reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspections called d) work not ready for
inspection when called e) permit not posted on job site f) plans not a job site g) work not accessible.
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."
ALL PLUM G SHALL REMAIN EXPOSED PRIOR TO INSPECTION
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CO TRACTOR PERMIT OFFI
CALL FOR INSPECTION _ 8 HOUR NOnCE REQUIRED ...
PROTECT CARD FROM WEATHER
813-7fiO-0020
City of Zephyrhills Permit Application
Building Department
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Owner"s Name ri StJr Cv CAr 0 J
Owner.s Address I ~~".. b J. 11',
Fee Simple Titleholder Namel
Owner Phone Number
Owner Phone Number [
Owner Phone Number I
Fee Simple Titleholder Address
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JOB ADDRESS
PARCEL ID#I
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(OBTAINED FROM PROPERTY TAX NOnCE)
SIGN D MOVE 0
LOT# I
PROPOSED USE
TYPE OF CONSTRUCTION
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INSTALL
SFR
BLOCK
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REPAIR
COMM
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WORK PROPOSED
OTHER I" h> \V"\ ~ '. N:~
STEEL 0 OTHER I
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DESCRIPTION OF WORK
BUILDING SIZE I I sa FOOTAGE I I HEIGHT I I
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1$ I
1$ I
1$ 31515.CC I
o MECHANICAL 1$ I
o GAS D ROOFING D SPECIALTY D OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
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=~RE I =.::.':: I Y I N FEE.......... Y I N I
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BUILDING
VALUATION OF TOTAL CONSTRUCTION
ELECTRICAL
AMP SERVICE
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PROGRESS ENERGY
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W.R.E.C.
PLUMBING
VALUATION OF MECHANICAL INSTALLATION
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Address
ELECTRICIAN I
SIGNATURE
License #
COMPANY
REGISTERED
Y/N
FEE CURRENT
Y/N
Address
License #
PLUMBER
SIGNATURE
FEE CURRENT
Address
License #
COMPANY
REGISTERED
MECHANICAL
SIGNATURE
Y/N
FEE CURRENT
Y/N
Address
License #
COMPANY
REGISTERED
OTHER
SIGNATURE
Y/N
FEE CURRENT
Y/N
Address
111111111111111
RESIDENTIAL
License #
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Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-Q-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 subdivlsionsllarge projects
Attach (3) 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,
Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance
Attach (2) sets of Engineered Plans.
....PROPERTY SURVEY required for all NEW construction.
COMMERCIAL
SIGN PERMIT
DI~~~ii~~~': . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . .. . . . . . . . .. . . . . . . . . . . . . .. . .. . . . . .. . . . . . . . . . .. . . . . . . . . . . .. . . . . .. . . .
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement Is required. (Ale upgrades over $5000)
.. 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 (Front of Application Only)
Reroofs Sewers Service Upgrades Ale Fences (Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
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tl..~~~~,~~EDRESTRICTIONS: The undersigned understands that this permit may b~ subjectto.9~e9';it~~tflqti(jH~k'iy
fj,'m,~M;q~,fJ1ore restrictive than County regulations. The undersigned assumes resp(jhsibilityfofbbm~lianGe.WHHi:i~Y,<"
qa"""'" 'r~strictions. , , ,.,.','.. " · ... ," ",..,xi .....i:.ir.::':?~ ',~
',I~':tiNTRACTORS AND qONTRACTOR RESPONSiBILITIES: If theoW{1er:basNr~#~c6Bfr~()tc)" hi;
ItW~~:dw~:;~~r.e~a6ybl~~~t~~ ~~:n:~ ~:~~:a~y~~;l~!~aJ~11Il~a~~II'\mn l~
'::~~ =~~~n~:~:';: ~n~~: ~:~~~:7n:S,:';~~~~~~::?~;~~\~I~~~flj~f\licf~
~e, if the owner has hired a contractor or contractors, he is advised fOhavetliecofjlra.91~r(s):3r
,",tractor' Block" of this application for which they will be responsible;, if you,ss f~eo,^,il~ris.igh~sm~ , 'r'
;'ay be an indication that he Is not properly licensed and is not entitled to pefmittihgprivile~e~.iniBas~o 'I
GoJi'ilV;
,."ftAN~.i "heN IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned uhderstands
, tb~ttratls tion Impact Fees and Recourse Recovery Fees may apply to the construction of new buiidings, change of
:;H~~i.llexis.,., ,;buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
'r" ,:pptOnl:lS,~i'f1~p~~~: The uhdersigned al~o understands, that such fees, as may be due, will be identi~ed at the time of
,R~trnifting:I~,<i,~,~lJrther understood thatT;ransportation Impact Fees and Resource Recovery Fees must be paid prior to
regelvingail9~~ific:ate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
finfil power rel~~~e, the fees must be paId prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fe~s are due",l~~xmust be paid prior to p~rmit 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 "N 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 ~f the permittin~ conditions s~t forth in
this affidavit prior to commencing construction. I understand ~hat a s.eparate perm~t. may ~e reqUlr~d for elect~lca.' work,
plumbing, signs, wells, pools, air conditioning, gas, or other Installations not speCifically 1n~luded.1n the application. A
permit issued shall be construed to be a license to proceed with the work a~d not as authorl~y !o v'ol~t~, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the B~II.dlng OffiCial from the~eaft~r
requiring a correction of errors in plans, construction or violat~o~s o~ any codes. Every ~ermlt Issued. shall become, invalid
unless the work authorized by such permit is commenced Within SIX months o.f permit Issu~nce, or If work authOrized. by
the permit is suspended or abandoned for a period of six (6) months after the time th~ work IS commenced: An extension
may be requested, in writing, from the Building Official for a period not t~ exceed nrn~ty (,90) dars 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)
CONTRACTOR
Subscribed and sworn to (or affirmed) before me this
by
Who Is/are personally known to me or has/have produced
as identification.
OWNER OR AGENT
Subscribed and sworn to (or affirmed) before me this
by
Who Is/are personally known to me or haslhave produced
as Identification.
Notary Public
Notary Public
Commission No.
Commission No.
Name of Notary typed, printed or stamped
Name of Notary typed. printed or stamped
Arthur A. Schleman Plumbing Co., Inc.
P.o. Box 17213
Tampa, Florida 33682
(813) 971-7619
CFC041721
City of Zephyrhills
5335 8th Street
Zephyrhills, Fl 33542
January 24, 2007
AUTHORIZATION OF REPRESENTATIVE TO PROCESS AND OBTAIN PERMITS
I, Leslie Schleman, contractor license holder #CFC04l721, hereby authorize the following to act as my
agent in obtaining permits in the City of Zephyrhills;
Mike Lilly DL# L400-552-49-271-0
Tad Thaxton DL# T235-298-62-40l-0
Angie Duval DL #0140-013-68-631-0
DELETION OF REPRESENT A TIVE
Please remove Amanda Witt at this time, as a representative.
This authorization is to remain in effect, unless cancelled by me in writing.
t.J~jj~~
teliee ScMeman, License Ho der
~~~ ~-~
Patricia Curtis:Notary
~~y",~ PATRICIA CURTI8
~ ~,.. MY COMMISSION (I D0492910
"~OFr..'t>~ EXPIRES: Nov. 21, 2009
(407) 398-0153 Acrida NolaIy SeMce.com
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NOTICE OF COMMENCEMENT
'.Stateof S\),(""', (\~ Countyofry~S.~
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,
and in accordance with Chapter 713, Florida Statutes, the following information is provided in
this Notice of Commencement:
1. Description of Property: Parcel No. \'\.... ~ \0 - ~ \ - t)'\:)\ ~ .- d:~\o~ - D\)\ "'0
3~\..p\~ ~~ ~ ~"'y'~~~ ~\,
(Legal description of the property and street address if available)
2. General Description of Improvement ~ ~ 11111111111111I1111111111111I1111111111111111111111111111111
2007014631
R3.
Owner Information: Name ~\i::)'" U~R\S"'~
Address \.,pU\'\ '\\\i..r~\.. ~~~ ~ City ~'JV
Interest in Property: (j\t...::)".v
c;: ~'S~1
State,L ~
Rcpl : 1068270 Rec: 10. 00
os: 0.00 IT: 0.00
01/25/07 Dpty Clerk
Name of Fee Simple Titleholder:
(If other than owner)
Address City State
4. Contractor:Name lAR~ CA.~\S~~./ (~~~
Address
City
State
Amount of Bond: $ JEO PITTMAN, PASCO COUNTY CLERK
01/25/07 03: 00F'm 1 of 1
6. Lender: Name J..-~ ~ "":J \:)~, OR BK 7362 PG 654
Address ~~'\ 'v:) \~(r...\~.ll~ ?'L ~~~ ~~f," \<...~ Stat~'-- '33~~~~
7. Persons within the State of Florida designated by Owner upon whom notices or other
documents may be served as provided by Section 713.13 (1) (a) (7), Florida Statutes:
Name
Address
City
State
8. In addition to himself, Owner designates
of . to receive a copy of the Lienor's Notice as
provided in Section 713.13 (1) (b), Florida Statutes.
9. Expiration date of Notice of Commencement (the expiration date is 1 year from the date
of recording unless a different date is specified.)
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