HomeMy WebLinkAbout08-8150
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
PLUMBING PERMIT
8150
Permit Number: 8150
Permit Type: PLUMBING
Class of Work: PLUMBING RENOVATIONS
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost: 2,450.00
Date Issued: 8/07/2008
Total Fees: 45.00
Amount Paid: 45.00
Date Paid: 8/07/2008 Phone:
Work Desc: REPLACE WATER LINES THROUGHOUT HOME
Address: 6134 9TH ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 02-26-21-0160-00200-0050
Name: GREENAWALT, ANDREW R
Address: 6134 9TH ST
ZEPHYRHILLS, FL. 33542
(f)\uQ
o~os
8"0
1 T ROUGH 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
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be performed in accordance with City Codes and Ordinances
RACTOR PER OF I
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020
City of Zephyrhills Permit Application
Building Department
..
Date Received
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Owner's Name
Owner's Address
Fee Simple Titleholder Namel
Fee Simple Titleholder Address
JOB ADDRESS
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LOT #
PARCEL ID#I
SUBDIVISION
(OBTAINED FROM PROPERTY TAX NOTICE)
SIGN D MOVE D
DEMOLISH
DESCRIPTION OF WORK
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NEW CONSTR
INSTALL
SFR
BLOCK
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ADD/ALT
REPAIR
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FRAME
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I HEIGHT I
WORK PROPOSED
PROPOSED USE
TYPE OF CONSTRUCTION
BUILDING SIZE
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D BUILDING 1$ I VALUATION OF TOTAL CONSTRUCTION
D ELECTRICAL 1$ I AMP SERVICE D PROGRESS ENERGY D W.R.E.C.
P
PLUMBING 1$ .;1(..15 0 , c. c I
D MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION
D GAS D ROOFING D SPECIALTY D OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
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BUILDER
SIGNATURE
COMPANY
REGISTERED Y/N FEE CURRENT Y/N
License #
COMPANY
REGISTERED I Y/N FEE CURRENT Y/N
License #
Address
Address
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I T I..\E bt2A \ ~ '\ (:-;\0A
I Y / N I FEE CURRENT I Y / N I
License # P-F'Q...0057c.. 2.. '1
PLUMBER
SIGNATURE
MECHANICAL
SIGNATURE
COMPANY
REGISTERED
Y/N
FEE CURRENT
Y/N
Address
License #
OTHER
SIGNATURE
COMPANY
REGISTERED
Y / N
FEE CURRENT
Y/N
Address
License #
1111111I1111111 111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111I11111111I11I111
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,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects
COMMERCIAL Attach (3) 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.
11111111111111I1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111IIIIIIIIIIIIIIIIIIIIillllllllllllllli
Directions:
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement is required. (AlC upgrades over $5000)
Agent (for the cqntractor) 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 A1C 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 respansibility for compliance with any
applicable deed restrictians. ' .'
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor ar
cantractors to. undertake work, they may be required to. be licensed in accardance with state and local regulatians. If the
contractor is nat licensed as required by law, bath the owner and contractar may be cited for a misdemeanor vialation
under state law. If the awner ar intended contractor are uncertain as to what licensing requirements may apply for the
intended work, they are advised to contact the Pasco Caunty Building Inspectian Divisian-Licensing Section at 727-847-
8009. Furthermore, if the awner has hired a cantractor or contractors, he is advised to. have the contractar(s) sign
portions of the "contractar Block" of this application for which they will be respansible. If you, as the awner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to. permitting privileges in Pasco.
Caunty.
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 af
use in existing buildings, ar 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 understaad that Transportation Impact Fees and Resource Recovery Fees must be paid priar to
receiving a "certificate of accupancy" or final power release. If the project does nat invalve a certificate of accupancy or
final power release, the fees must be paid priar 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. Caunty ardinances.
CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of wark is $2,500.00 or more, I
certify that I, the applicant, have been provided with a copy af the "Flarida Construction Lien Law-Homeowner's
Protection Guide" prepared by the Flarida 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 gaod faith to
deliver it to. the "awner" prior to cammencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: 'certify that all the informatian in this applicatian is accurate and that all wark
will be done in campliance with all applicable laws regulating construction, zaning and land develapment. Application is
hereby made to. obtain a permit to. do work and installation as indicated. I certify that no work or installation has
commenced priar to issuance of a permit and that all wark will be performed to meet standards of all laws regulating
constructian, County and City cades, zaning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of ather gavernment agencies may apply to the intended wark, and that it is
my responsibility to identify what actions I must take to. be in campliance. Such agencies include but are not limited to.:
Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
Southwest Flarida 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 Fload 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
"campensating volume" will be submitted at time af permitting which is prepared by a professional engineer
licensed by the State of Flarida.
If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction, , 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
praperties. 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 applicatian, far 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, 1 promise in good faith to infarm the awner of the permitting conditions set farth in
this affidavit prior to commencing canstruction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or ather installations not specifically included in the applicatian. A
permit issued shall be construed to be a license to. proceed with the wark and not as authority to. vialate, cancel, alter, or
set aside any pravisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correctian of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
unless the work autharized by such permit is commenced within six months of permit issuance, ar 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 extensian
may be requested, in writing, fram the Building Officia~ for a periad not t~ exceed nin~ty (,90) da~s and will demonstrate
justifiable cause for the extension. If work ceases for mnety (90) cansecutlve days, the\.Job IS considered abandaned.
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. ~7.0 (l A
OWNER OR AGEN / CONTRACTOR .~ .
subs~be~d swo~ to (or affirme efore me this ~ubWibed and s mJto (or affirme efore me thiS
e., ts- ~by L' l1-~rO 6' by '_D~>l-\.v..'ll.. ,,'AM? 5
Who Is/are peJ]'nn~lly known to me or has/have produced Who is/are per!i~nown to me or haslh~ve p~odu?ed
as Identification. as Identification.
Notary Public
AUG-05-2008 TUE 11 :21 AM
p, 003
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WHITE - CUSTOMER YELLOW - AA'slSAlES
AUG-05-2008 TUE 11:21 AM
p. 002
rile -~ F A S T PRO F E S S 'ON A L PL U M BIN G
~"'II .
..sam.... P.O. Box 531, Largo, Florida 33779 (727) 573-5400 Fax: (727) 573-7638 Lie. # CF-C057627
PLEASE UPDATE OUR FILE. TIm FOLLOWING LIST OF PEOPLE ARE
AUTHORIZED TO PULL PERMITS FOR nm DRAIN TEAM INC. THIS NOTICE
SUPERCEDES ALL OTHERS. STATE LIC. # CF-C057627
BALL,CHRISTOPHER
CIAMPA, MICHAEL
CRAMPSIE, DAN
DENHAM, TORY
FLEURY. ALAN
GANNON, MARCUS
JAMES, JOSHUA
JOHANESSEN, JOlIN
JOHNSON, T J
LEWIS, JOHN
MARES PEDRO
MCGHAN, JON
NAPOLITANO, ANTONIO
ODOM, WILLIAM
PENNINGTON, RON
PROUTY, JOHN
TARTAGLIA, JOSEPH
B400- 1 04-71-1 06-0 FL
C510-541-68-064-0 FL
C651-167-63-063-0 FL
D550-818-68-430-0 FL
F460-0OS-67-214-0 FL
G550-550-84-026-0 FL
]520-425-82-305-0 ~
J525-467-70-309-0 FL
J525-810-81-127-0 FL
1200-476-69-284-0 FL
M620-660-69-408-0 FL
M250-432-61-4640FL
N143-000-88-292-0 FL
0350-927-61-091-0 FL
P552-732-68-304-0 FL
P630-462-77-375-0 FL
T632-481-60-466-0 FL
.~
NEIL CORELLA
PRESIDENT
SWO~\TOr~ SUBSCRIBED TO BEfORE ME THIS l2. DA Y OF~U1 2008 BY
l,J,q, .......oU\r...- ~~~J\l"..W,. TO ....""HAS
PRODUCED AS ,,-- _ ~ _--'"0 DID (DID NOT) TAKE AN OATIl.
NOTARY PUBLIC
AUG-05-2008 TUE 11 :21 AM
p, 001
rhe _e~~ FAST PROFESS/ONAL PLUMBING
~; e' "a:-','~ P.O. Box 17596, Clearwater, Florida 33762 (727) 573-5400 Fax: (727) 573-7638 Lie. # CF-G057627
.' , J~
. ItElE'Tlo'
FAX
I DATE ? jrj!tJg
NUMBER OF PAGES !NCt. COVER
To:5/y !l~l'hJI(rhllls FROM: /mClJ(
FAX# gI3-'7&.C)~
PHONE #
'if)7573-Si'()o
cc:
FAX#-
727-573-7638
I_UR~-~-FOR YOUR~ -:REP:Y ASAP _PLEASE COMMENT I
ylJ/CY)se~ (J('6C!~~S.
/
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ACORD.. CERTIFICATE OF LIABILITY I,NSURANCE o:i:: PI' I DAn IMMlDDIYVVY)
D IN-l 08/06/08
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
HElwSOme ADc1 "'aci.ates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND OR
325 N. Belcher Rd" 2nd Fl ALTER THE COVERAGE APFORDED BY THE PQUelES BELOW.
Clearwater FL 33765
Phone: 727-726-4989 Fax: 727-210-4448 INSURERS AFFORDING COVERAGE NAIC'
INSURED INSURER A: Nv ....tual rnauran"" COlIoroomr 23787
INSlIAER B:
THE t>AAm TEAM INSURER C:
FAX 727.573.7639
P. O. BOX 531 " ..
LARGO FL 33779 INSURER 0:
INSURER E:
COVERAGES
THE POLICies O~ lNSUAANCe liSTED BELOW HAVE BEEN l$SUED TO THE INSUREO NAMEO ABove FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
IWY REQUIREMEHT, TERM OR COHDmON OF ANY CONTRACT OR OTHe~ DOCU~ENT WJTl.l RESPECT TO WHICfi THIS CERTIFICATe MAV Be 18SUED OR
MAY PERTAIN, T~ INSURANCE AFFORDED SY THE POLICIES DESCRIBED HEREIN IS sUllJeC'r TO ALL THE TERMS, EXCLIJSJOIllSAND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN ~'i' HAVE BEEN REDUCED BV"'AIO CLAIMS.
- TVJIE Ol" IN$URANCE POLICY NUMBER ~I~ UMlT8
GENERAL LIA8lUTV EACH OCCURRENCE 1 1,000,000
r--
A X eOMMlmCIAL GENERAlllA8lLITY 77PR71.93163001 ,05/16/08 05/16/09 PReMiSES'{S~\ 1100,000
I CLAIMS MADE ~ OCCUR MED EXP (Any _~) $ 5,000
PERSONAL & ADV INJURY 11 000 000
- $2,000,000
GENERAL AGGReGATE
- $ 1,000,000
GEN'L AOGRE04TE LIMIT APPLIES peR: PRODUCTS. COMPIO'" AGO
Ixl POLICY r""f j~g;: n LOC
AUTClIIOGlLE LlA8lLITY COMBINEO'SINGLE LIMIT
I-- $
Nl'( AUTO (E;" -=CIVnt)
-
ALL OWNED AUTOS BODILY INJURY
- .
SCHEDULED AUTOS (P8I' person)
I--
HIREO A\JTOS BOOll Y INJURY
I-- $
NQN.OWNEtl A\JTOS (Per ,...;d9nl)
-
PROPERTY OANAGe S
(Pet 8C:idetlt)
GAMGE LIA8Il./TY AUTO ONLY - EA ACCIOE;NT I
q A~ AUTO OTHER ~1oN EAACC S
AUTO ONLy: AOO 1
EXCUMlMIREUA LIAIIlUTY EACH OCCURRENCE S
tJ 'OCCUR 0 CLAIMS MADE< AGGREGATE .
S
~ OEDuCTlflLE S
RETENTION S $
WOIU<EIt8 COMPENaAlJON AND lTORV L1U1TS I IVeR
EMPLOYERI'LIA8ILITY E.L. EACH ACCIDENT S
Atf'i' PROPRIETORlPARTNER/EXeCUTIVE AI; m:PNUIoD CBRTrPlCAft
OFFlCERlMSABER exCLUDED? E.... DISEASE. EA EMPLOYEE .
11 k,ea. C18IC1l1le WlCl8r E.L. DISEASE - POLICY UMIT I
S CIAL ~OV'SlONS below
OTH!lt
DliSCRlPTlON OF Ol'I!ftATION$I LOCATtOHaI VliHlCI.E8 f EXCI.USIONS ADDeD BY ENOORlWIIiNT f SPECIAL PROIfISlON8
CERTIFICATE HOLDER
CITY OF ZEPHYaHrLLS
FAX 813.780.0021
5335 8TH SmEET
ZEPHYRHILLS FL 33542
CANCELLATION
ZEPRRYH SHOULD ANY ~ THE A80\f& PE8CR1I1&D JIOUCIU 8E CANCELLED 8&FORE lNl! Dill""
DATE nwtl!~, THl! ..UINO 1N8UR&R WlU.IND~VO" TO MAIL ~ DAYS WItrTTEH
NOllCE TO THe Cl!ImfIlCA1'& "OUlIiR NAIlED TO THE LEFt. BUT FAlWRIi TO DO $0 SHALL
IlIPOIlI! NO 0sL.IGA~ OR LlAllLITY 01' IUIY KIND UI'ON Tttl: INCUftSIt, ITa AGENq OR
RlPRIi8&NTATIVES..
AUTHO "
ACORD 25 (2001108)
~ ACORD CORPORAnON 1988