HomeMy WebLinkAbout09-9993 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780 -0020 9993
PLUMBING PERMIT
4...
Permit Number: 9993 Address: 4801 AIRPORT RD STE 209
Permit Type: PLUMBING ZEPHYRHILLS, FL.
Class of Work: PLUMBING RENOVATIONS Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: ZEPHYR ESTATES
Est. Value: Parcel Number: 13- 26 -21- 0130 - 00200 -2090
Improv. Cost: 345.58
Date Issued: 1/20/2010 Name: BROUGHMAN, WILLIAM T & JEAN JOIN
Total Fees: 52.50 Address: 4801 AIRPORT RD STE #209
Amount Paid: 52.50 ZEPHYRHILLS, FL. 33542
Date Paid: 1/15/2010 Phone: (813)780 -6766
Work Desc: INSTALL WATER HEATER
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MAJOR PLUMBING LLC PLUMBING FEE 52.50
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7t .. ' ',`'` ,. . a a '� ' N
1 ST ROUGH PLUMB
2ND ROUGH PLUMB
SEWER
WATER
FINAL I —tiZ L(�
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
CONT CTOR 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 �) ( I - Fax -813- 780 -0021
Building Department
Date Received Phone Contact for Permitting WM • A --
Owner's Name i V 1 1 ti am eY bl-11 r \ A n Owner Phone Number S f 3 7 L0741)/4,
Owner's Address y.Sb1 4 r r1- yZ c► FF a ltfi Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address I
JOB ADDRESS C\,, I � l P /1 r l DI + �` LOT #
SUBDIVISION [Zephyr 1J, -�a - en PARCEL ID# /3 —OCI D' c1 - 0130- (YWO - �( U
r /// (OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR �; ADD /ALT n SIGN n MOVE n DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR 1 COMM n OTHER I I
TYPE OF CONSTRUCTION Q BLOCK A LT FRAME n STEEL n OTHER I I
DESCRIPTION OF WORK A.A. A.A.1i_ ,_ . / - A l r ' I i / M /` f
BUILDING SIZE SQ FOOTAGE 1 HEIGHT
n BUILDING $ VALUATION OF TOTAL CONSTRUCTION
I ELECTRICAL $ AMP SERVICE n PROGRESS ENERGY n W.R.E.C.
Mir PLUMBING $ s r , S1 . s G
F MECHANICAL $ `� VALUATION OF MECHANICAL INSTALLATION
Ti GAS I ROOFING n SPECIALTY n OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 7YES ITNO
BUILDER COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I
Address 1 License # I I
ELECTRICIAN COMPANY
SIGNATURE REGISTreR ) 1 Y/ N I FEE CURRENT I Y/ N I
Address 4 ; , V \6 License #
PLUMBER 1 1 1 / i f yo, ! ,, //�'� / � COMPANY R SIGNATURE cc � � � z' 1 REGISTERED c CUR
LW � AN / 1-1-6—
Address Q )5D _ - - _ — _( /I _ _ _ . )L 1 g U J License #
MECHANICAL COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N I
Address 1 License #
OTHER COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I
Address 1 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 Attomey (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 NC Fences (Plot/Survey /Footage)
Driveways -Not over Counter if on public roadways..needs ROW
NOVICE 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 Tess 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 ATTOR Y BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT (F.S 7.13)
OWNER OR AGE I / 1 AL ma / s 1_,_ CONTRACTOR ( Anil L A......
Subscribed and o . �' •re me this Subscribed and t (or affirm d) b�(�e a this
by 1 , - ► - Ma by t f i t /VI U r)
Who is/are persona ...wn to me or has/have produced Who is/are personally known to me or ha ave produced
as identification. as identification.
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.� - dig.•• r_..,I . ti Notary Public to Public
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com; 4 a ....u. -: Al OD 621833 Commis ri. CommisshnDD 6
_ •.- + Expires - H++��.. a - Expires December 12, 2010
Name 1 Jr4.' type., : .. r stamped Name of Notary t 6 or sf°d '" trn "1"1"*"""'"" eeQ,10671)18
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: r� () r / (�4� ,� e- C�
Date Received: -A5-1D
lQ
Site: 0/ A//)://-7Z- STF 2 O Y
Permit Type: 2 sy Na4__
Approved wino comments: 1 Approved w /the below comments: ❑ Denied w /the below comments: ❑
This comment sheet shall be kept with the permit and/or plans.
Kalvi Switzer — s Examiner Date Contractor and/or Homeowner
(Required when comments are present)
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780 -0020 9993
PLUMBING PERMIT
Permit Number: 9993 Address: 4801 AIRPORT RD STE 209
Permit Type: PLUMBING ZEPHYRHILLS, FL.
Class of Work: PLUMBING RENOVATIONS Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: ZEPHYR ESTATES
Est. Value: Parcel Number: 13 26 - 0130 - 00200 - 2090
Improv. Cost: 345.58 ma °a — _Y7s ` : 9 ;
Date Issued: Name: BR WILLIAM T & JEAN JOIN
Total Fees: 52.50 Address: 4801 AIRPORT RD STE #209
Amount Paid: ZEPHYRHILLS, FL. 33542
Date Paid: Phone: (813)780 - 6766
Work Desc: INSTALL WATER HEATER
MAJOR PLUMBING LLC PLUMBING FEE 52.50
41
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cen:Cai V fre ,„ , N,
viYI
a tit
�a e
1ST ROUGH PLUMB
2ND ROUGH PLUMB
SEWER
WATER
FINAL
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
_ 44'
CONTRACTOR PER OFFI S
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO ►
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Pasco County Parcel: 13- 26 -21- 0130 - 00200 -2090 001 Page 1 of 2
Search Again Map Generalized Building Schematic Frequently Asked Questions Estimate Taxes
Other Agency Data: Tax Collector School Board Supervisor of Elections
Data Current as Of: Weekly Archive - Saturday, January 09, 2010
Parcel ID 13- 26 -21- 0130 - 00200 -2090 (Card: 001 of 001)
Classification 11 04 - Condominium
Mailing Address Property Value
BROUGHMAN WILLIAM T & JEAN !‘ Ag Land $0
JOINT REVOCABLE LIVING TRUST \1 Land $4,536
BROUGHMAN W T & J TRUSTEES Building $57,645
4801 AIRPORT RD #209
ZEPHYRHILLS, FL 335425286 Extra Features $0
Physical Address Market Value $62,181
4801 AIRPORT RD209 Assessed (Save Our Homes) $0
ZEPHYRHILLS, FL 33542 -5201
Legal Description (First 4 Lines) Taxable Value $62,181
See Plat for this Subdivision .`
ZEPHYR ESTATES EAST CONDO PB
13 PG 132 APT 209 BLDG 2
& COMMON ELEMENTS
OR 5515 PG 200
I Land Detail (Card: 001 of 001)
I Line II Use IlDescriptionll Zoning II Units II Type II Price II Condition II Value
1 1 II 0400 0 CONDO 0 00R4 II 1.00 II UT II $4,536.00 II 1.00 II $4,536
Additional Land Information
I Acres 0 0.00 I Tax Area II 30ZH II FEMA Code II X ()Residential Codell 4FXD
Building Information - Use 04 - Condominium (Card: 001 of 001)
Year Built 1975 Stories 1.0
Exterior Wall 1 Concrete or Cinder Block Exterior Wall 2 None
Roof Structure Irregular Roof Cover Built -Up Tar and Gravel
Interior Wall 1 Drywall Interior Wall 2 None
Flooring 1 Cork or Vinyl Tile Flooring 2 Carpet
Fuel Electric Neat Forced Air - Ducted
A/C Central Baths 2.0
Line II Description I Sq. Feet Repl. Cost New
I 1 1 BAS II 897 $0
I 2 11 FSP
1 63
3 II FOP I 120
1111 $0
II $0
Extra Features (Card: 001 of 001)
Line II Description II Year 0 Units 11 Value
1 11 FOP II 1975 I 120 II $486
2 I ) FSP I
II 1975 I) 63 $638
3 CONDO 1975 I) 1 II $56,521
4 II CARPORT II 1985 II 1 II $
Sales History
Previous Owner I1 BROUGHMAN WILLIAM T & JEAN
Year I Month II Book /Page II Type II Amount
2003 I) 08 II 5515 / 0200 11 QC 11 50
2001 II 03 4564 / 1571 II WD 0 $55,000
http: / /appraiser.pascogov. com/ search /parcel. aspx ?sec =13 &twn= 26 &rng=21 & sbb= 013 0 &b... 1/13/2010
_.. _? 0 -01 -06 11:40 (1854) 813- 838 -9008 Ins Sales /CGC1508417 p 1/5 °
SSZR135A LOWE'S HONE CENTERS, INC. ZPF 1854
PAGE: 1 DATE: 01/06/10 7921 GALL BOULEVARD
ZEPHYRHIT,T,S FL
ORDERED FOR: WILT,IAM BROUGHMAN PHONE: (813)838 -9000
ADDRESS: 4801 AIRPORT RD
ZEPIIRYIIILLS FL 33542 PHONE: (813)780 -6766
VENDOR NAME: MAJOR PLUMATNC, TJC CONTACT:
ADDRESS: 6050 NODOC ROAD PHONE: (352) 585 -0899
BROOKSSVILLE FL 34609 FAX: (352)597 1173
PROJECT: 278467064 WATERHEATERINSTALL
LOWES PO: 83713658 LOWES INVO))CR: 86709 ASSOCIATE: WAYNE GRIFFIN
EST DELIVERY: 01/07/10 AR NUMBER;
QTY ITEM ITEM DESCRIPTION BIN VEND_PART# COST EXT_COST
1 106169 LAB INST WTRHTR - ADDL /GUSTO 55.58 55.58
M WORM
1 106170 BASIC LABOR WTRHTR -ELEC LE 190.00 190.00
SS75GAL
1 106182 LAB INST WTRHTR- CRAWL SPAC 50.00 50.00
E
1 106185 LAB TNST WTRHTR-RXPANSTON 50.00 50.00
TANK
FREIGHT $ 0.00
TOTAL $ 345.58
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