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HomeMy WebLinkAbout09-9865 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 9865 PLUMBING PERMIT • 77:::2W1 ;41 Permit Number: 9865 Address: 5311 PARKER ST Permit Type: PLUMBING ZEPHYRHILLS, FL. Class of Work: PLUMBING /NEW Township: Range: Book: Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section: Square Feet: Subdivision: LINCOLN HEIGHTS Est. Value: Parcel Number: 12- 26 -21- 0280 - 00000 -0570 Improv. Cost: 200.00 17 _, Date Issued: 12/08/2009 Name: KENNEIY, KIMIERLY Total Fees: 52.50 Address: 5311 PARKER ST Amount Paid: 52.50 ZEPHYRHILLS, FL. 33542 Date Paid: 12/08/2009 Phone: (813)782 -6070 Work Desc: WATER HEATER CHANGE OUT 4151771;;; : -,F7:3zszyzazgit MAJOR PLUMBING LLC PLUMBING FEE 52.50 enal 1ST ROUGH PLUMB 2ND ROUGH PLUMB SEWER WATER FINAL p( cf (D9 REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection trips are necessary due to any one 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 4 0A 14 _ M tar /At. CONT CTOR PER OF log 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 Fax- 813 -780 -0021 Building Department n f .� q - S q� Date Received ,r — 3 -0q Phone Contact for Permitting _ a .5 . • / Owner's Nathe Yk> nQ 1( \V V. J27(U'1Qrky Owner Phone Number • 1 3 c (Q�`1 Owner's Address 5, � t �Q,Y\iNe Y 5-A- Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address 1 JOB ADDRESS 53 ' 1 -ar 1 \' e_r SA- LOT # 57 SUBDIVISION 1 1 nv QI IA NR.1 G PARCEL ID# Ia)ap a` A 01 ) V5 o (OI TAIRA) FROM PR PERTY TAX OTICE) J WORK PROPOSED NEW CONSTR [ ADD /ALT 1 SIGN n MOVE I I DEMOLISH INSTALL REPAIR PROPOSED USE I I SFR 1 1 COMM I 1 OTHER I TYPE OF CONSTRUCTION I 1 BLOCK _ 1 1 FRAME 1 STEEL 1 I }— OTHER DESCRIPTION OF WORK l 'a A ZXJ �— '\ ( 'Ck.v cf � x - —1 1_11 BUILDING SIZE SQ FOOTAGE d _ HEIGHT I 1 BUILDING $ VALUATION OF TOTAL CONSTRUCTION ELECTRICAL $ AMP SERVICE 1 1 PROGRESS ENERGY n W.R.E.C. PLUMBING $ 4 , DD 00 1 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 1 I GAS 1 1 ROOFING 1 1 SPECIALTY 11 OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES 1 ENO BUILDER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address I License # ELECTRICIAN COMPANY SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT I Y/ N I Address (-- License # 1 PLUMBER COMPANY (A Ur I Lwvkb,, : 2-1......C_../ 2-1......C_../ SIGNATURE /J � _11 �` REGISTERED FEE CURRENT I Y / N 1 Address oO50 kek(t_ 1 License# 't-tr f MECHANICAL COMPANY SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I Address License # OTHER COMPANY SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N I Address License # I 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. 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 $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 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 1 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 LENDER OR AN ATTORNEY IMPROVEMENTS OBEFORE FINANCING, CONSULT WITH YOUR UR L L RECORDING YOUR NOTICE O COMMENCEMENT. FLORIDA JURAT (F.S. 117.03) CONTRACTOR OWNER OR AGENT CO Sub Ns cribed and swo t. forme.) befo his Subscribed and sworn to (or affirmed) before me this �y by / by Who islare personally known to me Who is/are ersonall known to me or has /have produced identification. produced f personally . as identification. as Ification. ,�: ''� 1 ;51 '' _�. �';f!�'. Notary Public fiallit Notary Public -_ - - ion DD 7 Commission N. L L l - • = • Commission No ,; d NuTroyFaiokbuance9U0.99&7019 Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped 2009-10-26 13 : 02 (1854) 813-838-9008 Ins Sales/CGC1508417 P 2/5 , ...._ cn ---_ • a • . . 0 -4 0 r 0 cn -17 r• • ID ~ al ....1 IMMN 8 CA) CM g ag = = co 1.3 co • . 14 . 5 01 5r40c110c, to e u a a . 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A 51 13" 2 cT i - a m D 0 a, m x 4 0 -I ri — -‹ -• "b- i " 4 m 2:1 atl 44 CD •••••00000100 -. ao 0 P (st co -4 "3 P wa .C... as■ %// 2009 -10 -27 10:41 (1854) 813- 838 -9008 Ins Sales /CGC1508417 P 1/5 SSZR135A L,OWE'S HOME CENTERS, INC. 7, }+F 1854 PAGE: L DATE: 10/27/09 7921 GALL BOULEVARD ORDERED FOR: KIMBERLY KENNEDY ZEPHYRHTLLS FL ADDRESS: 5311 PARKER ST PHONE: (813)838-9000 ZXPHYRHILLS FL 33542 PHONE: (813)782 -6070 VENDOR NAME: MAJOR PLLJMBTNG LLC CONTACT: ADDRESS: PIION (352) 585 -0899 BROOKSVIT..LE FL 34609 FAX: (352) 597 - 11'/3 PROJECT: 273726653 WATb:R HEATER INSTALL LOWES PO: 79715945 LOWES INVOICE: 83531 ASSOCIATE: ROBERT HARDMAN EST DELIVERY: 10/30/09 AR NUMBER: QTY ITEM ITEM DESCRIPTION BIN VEND_PRRT# COST EXT_COST 1 106170 BASIC LABOR WTRHTP -ELEC LE 190.00 8 190.00 FREIGHT $ 0.00 TOTAL, $ 190.00 9\ , . c \ i . 11 3 , ■ \ I P a.,00 \ s' ' < CNN! Q ->'. i . ' \' ( V 0 C( C"\ / \--). illic i ir h \II 1\a. 11.3 .1)*0 Irt i • ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 10/7/2009 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Buhl Insurance Agency Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 152698. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Tampa,'FL, 33684 - 2698 813 - 876 - 0057 INSURERS AFFORDING COVERAGE NAIC# INSURED MAJOR PLUMBING LLC INSURER A: OHIO CASUALTY / MONTGOMERY INS INSURER B: 6050 NODOC RD INSURER C: BROOKSVILLE, FL 34609 INSURER D: INSURER E COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. •INSR- ADD'L POLICY EFFECTIVE POLICY-EXPIRATION — LTR INSRD TYPEOFINSURANCE POLICY NUMBER DATE(MM/DD/YY) DATE(MMIDD/YY) LIMITS GENERAL LIABIUTY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGETO REM ED PREMISES (Ea occurence) $ 100.000 CLAIMSMADE X OCCUR MED EXP (Anyone person) $ 10,000 A BH053761688 10/16/08 10/16/10 PERSONAL &ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 X ( POLICY n YES FI LOC AUTOMOBILE LIABILITY X ANY AUTO (Ea accident) COMBINED SINGLE LIMIT $ 1,000,000 ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) A . X HIRED AUTOS BAA53761688 01/15/09 01/15/10 BODILY INJURY X NON -OWNEDAUTOS (Peraccdent) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY -EA ACCIDENT $ ANY AUTO EA ACC $ OTHER THAN AUTO ONLY: AGG $ EXCESS /UMBRELLA LIABILITY EACH OCCURRENCE $ 5,000,000 xI OCCUR LI CLAIMS MADE AGGREGATE $ 5,000,000 US053761688 07/02/09 07/02/10 $ A DEDUCTIBLE $ X RETENTION $ 10,000 $ WC STAT WORKERS COMPENSATIONAND TORYLIMIT S I O ETR - EMPLOYERS LIABILITY ANY PROPRIETOR/PARTNERIEXECUTNE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ IfyE CIIAL R OVISI r E.L. DISEASE - POLICY LIMIT $ S PEALP PROVISIONS 6elaw OTHER A DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS REFERENCE GENERAL LIABILITY COVERAGE: SUBJECT TO MASTER PAK PROVISIONS, CERTIFICATE HOLDER IS AN ADDITIONAL INSURED IF REQUIRED BY WRITTEN ARGEEMENT, INCLUDES WAIVER OF TRANSFER OF RIGHTS AGAINTS OTHERS AND THE POLICY IS PRIMARY CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION CITY OF ZEPHYRHILLS DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN BUILDING DEPARTMENT 5335 8TH STREET NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL ZEPHYRHILLS, FL 33542 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD25(2001/08) ©ACORD CORPORATION 1988 3 0M vP W{c/ +S J U P d U I Co a Ho f,f Cd if le4,,� � s- � vim' 74, N., ��a < e / v e . ` 4 - / h am -o c ,1 blc cfr- w k, VV1 O)/ ,e1 1 531 ,rI« 5 +. ALL WORK SHALL COMPLY WITH ALL PREVAILING CODES, FLORIDA BUILDING CODE, NATIONAL ELECTRIC CODE AND CITY OF ZEPHYRHILLS ORDINANCES ode ( ,r-Q(.11/ if711 /42-7-07 City of Zephyrhills BUILDING PLAN REVIEW COMMENTS ( , i ° L Date Received: — O 9 Site: Permit Type: '�� ZdateAc2/-e:Zi Approved wino comments:❑ Approved w /the below comments: Denied w /the below comments: ❑ 7 / i 8I a This comment sheet shall be kept with the permit and/or plans. ' 11 1 . � i 1111∎ ,A 1444 Kaly m Swi e Plans Examiner Date onfractor and/or Homeowner (Required when comments are present)