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HomeMy WebLinkAbout10-11340 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 11340 PLUMBING PERMIT Permit Number: 11340 MMIMMIllidress: 38620 LANSING AVE Permit Type: PLUMBING ZEPHYRHILLS, FL. Class of Work: PLUMBING RENOVATIONS Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: SLEEPY HOLLOW MHSUB DIV Est. Value: Parcel Number: 0 2 - 26 -21- 0260- 04500 -0000 Improv. Cost: Date Issued: 12/17/2010 Name: SLEEPY HOLLOW Total Fees: 40.00 Address: 38620 LANSING AVE Amount Paid: 40.00 ZEPHYRHILLS, FL. 33542 Date Paid: 12/17/2010 Phone: Work Desc: PER STATE REPAIRS BACK THE WAY THEY WERE FOR THE POOL 7 j/t 44 OWNER PLUMBING FEE 40.00 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 are necessary due to any one of the following reasons: a) wrong address b) condemned work resulting n 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 I J TRACTOR PER OF I PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO � CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813- 78o -uozu Uity oT Lepnyrnllis rermit Application 2 0 rax oIriou -uuc I Building Department ( , -' 1 Date Received Phone Contact for Permittin • — }} - � ' ( C LL) � , �� b 1 - � 53---1)11 � Owner's Name )1 I » C �� � I �'� � � �� *- Owner Phone Numbe c Owner's Address _2's(7 6 LOk n c3 i it( A C 0 7-€0-,,,,\ h , 1 j S Owner Phone Number 1 Fee Simple Titleholder Name . Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS 13 La 1\ 1 1 A 0 n) k I I& FL a3 5 42 LOT # I I SUBDIVISION ( Set ) 1161 , PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED I I NEW CONSTR pj ADD /ALT I I SIGN n n DEMOLISH INSTALL EN REPAIR PROPOSED USE n SFR COMM I I OTHER I I TYPE OF CONSTRUCTION n BLOCK p FRAME I I STEEL n DESCRIPTION OF WORK 1 P C 0 1 f 5 y f T[. ( p rs - Ra- 51,kk- 0 ,;+ g , 'e- 4r iteiks BUILDING SIZE I I SQ FOOTAGE' 1 HEIGHT I M vii runic; ck I VALUATION OF TOTAL CONSTRUCTION nELECTRICAL $ I AMP SERVICE ' n PROGRESS ENERGY n W.R.E.C. r7PLUMBING MECHANICAL I$ I VALUATION OF MECHANICAL INSTALLATION nGAS n ROOFING Q SPECIALTY I I OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA nYES NO BUILDER I COMPANY I SIGNATURE I REGISTERED Y / N FEE I I CURREN I Y N I Address I License # I I ELECTRICIAN I COMPANY I SIGNATURE I REGISTERED I I Y / N I FEE CURREN I Y/ N I Address I License # I PLUMBER I COMPANY I SIGNATURE I REGISTERED Y / N FE CU I J RREN I Y/ N I Address I I License # I MECHANICAL I COMPANY I SIGNATURE I REGISTERED I I �(/ N I FEE CURREN I Y/ N I Address I I I / License # I OTHER � COMPANY IIV //0/)040 /no 6d � f n SIGNATURE I I TERED REG I Y/ N . 1 FEE cuRREn I Y/ N I Address l / S L a X15 i 'sK j Atil - z �CJ1 -1} / i t' /)s 4_ I License # 1 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 ;7500) ** 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 if shingles 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, 1 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. forth in If i affidavit the AGENT FOR THE OWNER, in good faith to permit may be required for conditions electr ca this affi l work, this davit prior to commencing construction. I understand that a plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. set aside an y p i s io construed co ns of the tech nical codes, nor shall proceed issuance of a permit prevent the Building violate, Official from thereafter set asde any proviio unless the a cor he wor k aut of errorhorized by s u clans, h permit is within six any months of permit issuance, or issued if work authorized by unless tk auty sc the permit is suspended or abandoned for Official for a period not to exceed the ninety may (90) days and will demonstrate may be requesteded, , in in writing, from the B B justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMM N O MEAN F NT RELT CONSULT YOUR PAY TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT (F.S. 117.03) CONTRACTOR I i _ / ' Aire OWNER OR AGENT Subscribed and s (or ed) ,R me thi o Subscribed and sworn to (or affirmed) before me this by g - by Who i slurs 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 or stamped Name of Notary typed, printed or stamped DEC -17 -2010 12:14P FROM:SMITH POOL SLPPLIES 8137823911 TO:7837681 P.1 • SMITH POOL SUPPLIES INC. 37824 SKY RIDGE CIRCLE DADE CITY, FL. 33525 SLEEPY HOLLOW 3R615 LANSING AVE. ZEPHYRHILLS, FL. 33540 To Whom It May Concern: This letter is to verify that there is no charge for the repairs at Sleepy Hollow for the permit being issued. doi ( e'o r rvii)40-mer m SMITH POOL SUPPLIES, INC. Invoice 37824 SKY RIDGE CIRCLE DADE CITY, FL 33525 DATE ! INVOICE* 813 -782 -5381 11/3/2010 124901 BILL TO 1lOLLOW 38615 LANSING AVE. GIiP11YR1)tLl S. FI, 33540 • SALT SYSTEM I STI MATE � PE o. cvvc)*0 Ctk ' O , r \ , TERMS DUE DATE Due 13y IS1f1-1 12/15/2010 • SERVICED OTY DESCRIPTION � RATE AMOUNT 11/3/2010 1 16 I3AGS OF SALT. DIG 229 CCI5 AUTOPILOT 2.64)0.00 MANIFtH I) 2,600.()0'f • 1 LABOR Saki rim 400 400.00 7.00% 182.00 £ I A' r: C w i `t 174. Q.DC• 4 I I or %ev. cwr■ IAs e **IA/ Ow* 42,1 p e.4-r c, I • • • • • ' I Total 63.182.00 T • - J TGIn1 1^AI •A1 T TL•••A• 1 L.TA MT-, 1 NV+ ... WI 1 1 1 1 TI 4• • 1 IA \/ 1 I/•1!•• • M ATI'] - f I". /.A\ 1 ("' . 7 `J c - Z ''` -� s r. , y L � . '' c. C d U ,� t co \ 5 - ■;:i r ._,\ 1: " . _ ..-:,‘ A ....o L IA ANA q ' ? L .n L 11 1 ' a C :-'► ' S ■ c. 2 7 - ti s /_-- -- —\ - S S v M b) � , y 0 0 m w co 0 PJ b li ■ ct C VD Cu C-c o - _ a 0 �� '' N J o a S ti_ z.. a 0 B 1 ' (z a, N 0 L �--' c .' .1 - 0 (- c. \ 0' Z C"1 �\ co 0 0 cn Q- rr H c C G '✓` y c H. T ----.:N. 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