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HomeMy WebLinkAbout09-9033 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 9033 BUILDING PERMIT Permit Number: 9033 Address: 5009 20TH ST Permit Type: IRRIGATION ZEPHYRHILLS, FL. Class of Work: IRRIGATION Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11- 26 -21- 0010 - 21600 -0131 Improv. Cost: 2,500.00 Date Issued: 4/17/2009 Name: KEENE, EMILY Total Fees: 521.00 Address: 5009 20TH ST Amount Paid: 521.00 ZEPHYRHILLS, FL. 33542 Date Paid: 4/17/2009 Phone: (813)782 -9772 Work D esc: INSTALLATION OF IRRIGATION SYSTEM HOMEOWNER IRRIGATION METER 220.00 IRRIGATION CONNECTION 266.00 PLUMBING FEE f:171 x _? dd r`, ..f;... c� � �.:< � �� R•d 3a� .�'� n �'' �,: ,.. ; ;: ' � $ s � '^'rah 4 s PLUMBING 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 at 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." or :% "4L- --. L IL • CONT ' SIGNATURE PERMIT OFFI RMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813 - 780 -0020 City of Zephyrhills Permit Application „� Fax -813- 780 -0021 Budding Department Date Received Phone Contact for Permitting -- �' Owner's Name 1 K &G 7) e Owner Phone Number sr 3 - r � g 62 - Owner's Address 5 00 / O 7 ” t � J ms-! .e Owner Phone Number ; 3 - I g o` v 77.1 Fee Simple Titleholder Namel elm ) Zv Kee -' E Owner Phone Number g 1 3 - '7 8,7 —q Fee Simple Titleholder Address 50 O °f c - O7f7 ST K EET JOB ADDRESS 5 00 _I Q O TG7 S T R-E E T LOT # SUBDIVISION / v A PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD /ALT El SIGN I MOVE I 1 DEMOLISH INSTALL REPAIR PROPOSED USE 1 I SFR 1 1 COMM I 1 OTHER 1 1 TYPE OF CONSTRUCTION I BLOCK I 1 FRAME I 1 STEEL I OTHER I 1 DESCRIPTION OF WORK a- i G ATi ON S y5 eW-) BUILDING SIZE SQ FOOTAGE HEIGHT I I BUILDING $ VALUATION OF TOTAL CONSTRUCTION 1 I ELECTRICAL $ AMP SERVICE F PROGRESS ENERGY I1 W.R.E.C. 1 I PLUMBING $ I I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION I I GAS n ROOFING 1 1 SPECIALTY I I OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA I IYES 1 BUILDER �� COMPANY /`ft) fl1 e (.O Yl er SIGNATURE � � f "`� f REGISTERED I Y/ N FEE CURRENT I Y/ N Address License # ELECTRICIAN COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address License # PLUMBER COMPANY SIGNATURE REGISTERED I Y / N I FEE CURRENT I Y/ N I Address I License # I MECHANICAL COMPANY SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N I Address License # OTHER COMPANY SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y / N 1 Address I 1 License # 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 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 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 TWICE R OR AN ATTORNEY FINANCING, ATTORNEY WITH YOUR LENDER BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. E FLORIDA JURAT (F.S. 117.03) OWNER OR AGENT CONTRACTOR Subscribed and sworn to (or affirmed) before me this Subscribed and sworn to (or affirmed) before me this by by Who is /are personally known to me or has/have produced Who is /are personally known to me or has /have produced as identification. as identification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed, printed rinted or stamped Name of Notary typed, printed or stamped L-_-:A55,„ PERFORMANCE BUSINESS PRODUCTS, INC. 813- 719 -8008 FAX 813- 719 -7919 CITY OF ZEPHYRHILLS ZEPHYRHILLS, FLORIDA - WATER ACCT. NO. DATE 1-17-og ' � OWNER / RENTER Efri,t1,1 r i MAILING 500 -/ 2 e- 7� y rh. C(s q-L 3 s'{ SERVICE ADDRESS E00 9 / SHUT OFF SERVICE ❑ WATER r ❑ SEWER TURN ON SERVICE INSTALL METER ❑ GARBAGE FI IN CITY READ METER ❑ CHECK METER ❑ ❑ OUT CITY No. OF UNITS OTHER ❑ DEPOSIT AMOUNT AMOUNT LAST BILL 3/ 4 I rift - a DATE MISC. CHARGE • METER: full irrigation WORK COMPLETED BY ORDER TAKEN BY & DATE COMPLETED ( 4.1 ER GIVEN BY Retain white form in office at all times. Send pink & yellow forms to Water Service Dept. f4/11Ali Water Service Dept. to sign yellow form & return to office. From: Eileen To: RED CAP Date: 4/23/2009 Time: 11:45.36 AM Page 1 of 1 CERTIFICATE OF LIABILITY INSURANCE OP tE D Eli RE DATE(MM /DD/YYYY) DCA -1 04/23/09 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER dF INFORMATION MORROW INSURANCE GROUP ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE LENORA C. OLNEY /A196064 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 16606 NORTH DALE MABRY HIGHWAY ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. CARROLLWOOD FL 33618 Phone: 813- 963 -1669 Fax:813- 961 -3743 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURERA. OLD DOMINION INSURANCE CO 40231 PLUMING SOLUTIONS OF TAMPA INSURER B: SAFECO INSURANCE COMPANY 24740 BAY, INC. DBA RED CAP PLUMBING INSURER C ASSOCIATION INSURANCE COMPANY 11240 PO BOX 341467 INSURER D TAMPA FL 33694 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 AULYL POLICY EFFECTIVE ll POLICY EXPIRATION LTR NSRC TYPE OF INSURANCE POLICY NUMBER DATE (MMIDDtYYYY) I DATE (MM/DDIYYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1000000 UMH IU A X COMMERCIAL GENERAL LIABILITY MPG590153 07/03/08 07/03/09 PR (Ea Ht occ rence) $ 500000 CLAIMS MADE X OCCUR MED EXP (Any one person) $ 10000 X CONTRACTUAL LIAB PERSONAL & ADV INJURY $ 1000000 GENERAL AGGREGATE $ 2000000 GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS - COMP/OP AGG $ 2000000 X POLICY PRO- JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT B X I ANY AUTO 25CC22849510 07/03/08 07/03/09 (Ea accident) $ 500000 ALL OWNED AUTOS BODILY INJURY '. $ SCHEDULED AUTOS Per person) X HIRED AUTOS BODILY INJURY X NON -OWNED AUTOS Per accident) PROPERTY DAMAGE accident) GARAGE LIABILnY AUTO ONLY - EA ACCIDENT $ ANY AUTO EA ACC $ OTHER THAN AUTO ONLY : AGG $ EXCESS / UMBRELLA LIABILITY 'EACH OCCURRENCE $ IOCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE RETENTION $ $ WORKERS COMPENSATION WC bIMI GR- AND EMPLOYERS' LIABILITY Y / N TORY LIMITS S ER C PROPRIET B /PAR R /EXECUTIVE WCV050111700 07/03/08 07/03/09 E. EACH ACCIDENT $ 500000 (Mandatory in NH) E L. DISEASE - EA EMPLOYEE $ 500000 f yes, describe under SPECIAL PROVISIONS below E L. DISEASE - POLICY LIMIT $ 500000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT! SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION CITYZEP DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL CITY OF ZEPHYRHILLS IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR FAX 813 780 0021 REPRESENTATIVES. CONTRACTOR LICENSING BOARD 5335 8TH ST. RUTH ED REPRES (ZEPHYRHILLS FL 33542 ACORD 25 (2009101) ©1 8-20 9 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD /MR' VOW L as �I P.O. Box 341467 Tampa, FL 33694 Tel: 813- 963 -3056 * Fax: 813- 963 -3016 PERMIT AGENT AUTHORIZATION I, J OKo o_o-on , Tasdbot hereby authorize the following to act as my agent(s) in obtaining permits in the ( �� phr�'� �� I ifs Name o Agent Drivers License # C pi Ce_00 -ae i F6S3• nhl. n This letter supercedes any previously submitted letter(s) of authorization. This letter is to remain in effect, unless cancelled in writing, by the undersigned. STATE OF FLORIDA COUNTY OF thiSI304C+ Sworn to (or affirmed)and subscribed before me this0) , day of 20ca b _kNi} )._) l - ,itn u) () Notary Public Personally known or produced identification + SUSAN MARIE ARMIGER t _ * MY COMMISSION # DD 678695 EXPIRES: May 28, 2011 It eoF FLOSS') Bonded Thru Budget Notary Services AC# J ' a 7' 2 STATE bF<FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD SEQ#L0807290138 DATE BATCH NUMBER LICENSE NBR 07/29/2008 080063343 CFC1425669„ The PLUMBING CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter r 8S1 FS Expiration date: AUG 31, 2010 FERRANTE GENNARO, JOHN EMILE PLUMBING SOLUTIONS OF TAMPA BAY, INC 15614 WALDEN AVENUE TAMPA FL 33618 CHARLIE CRIST CHUCK DRAGO GOVERNOR INTERIM SECRETARY DISPLAY AS REQUIRED BY LAW 2008 -2009 HILLSBOROUGH COUNTY BUSINESS TAX RECEIPT EXPIRES 9 - - 2009 FOLIO NO FACILITIES OR MACHINES ROOMS l SEATS I EMPLOYEES 0 0 0 1 RENEWAL 114131.0000 OCC CODE BUSINESS TYPE H WASTE TAX 090.020 PLUMBING CONTRACTOR SURCHARGE 40.00 18.00 BUSINESS 811 E 131ST AVE LOCATION TAMPA 33612 NAME FERRANTE GENNARO JOHN EMILE MAILING PLUMBING SOLUTIONS OF TAMPA BAY INC ADDRESS P 0 BOX 341467 TAMPA FL 33694 - 1467 BUSINESS TAX RECEIPT DOUG BELDEN TAX COLLECTOR PAID -27219 -85 HAS HEREBY PAID A PRIVILEGE TAX TO ENGAGE 813- 635 -5200 09 / 02 /2008 "* 58.00 'HIS E5ECOMES A TAX RECEIPT WHEN VALIDATED. IN BUSINESS PROFESSION. OR OCCUPATION SPECIFIED HEREON