HomeMy WebLinkAbout11-12601 CITY OF ZEPHYRHILLS
� ^ 5335 - 8TH STREET �
(sis)�so-oo20 12601
PLUMBING PERMIT
Permit #:12601 Issued: 12/09/2011 Address: 39640 MEADOWOOD LP
Permit Type: PLUMBING ZEPHYRHILLS, FL.
Class of Work: PLUMBING RENOVATIONS Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 240.00 Total Fees: 60.00 Subdivision: MEADOWOOD ESTATES
Amount Paid: 60.00 Date Paid: 12/09/2011 Parcel Number: 13-26-21-0140-00000-0950
Name: MAJOR PLUMBING LLC Name: NORMAN, JANICE MARIE
Addr: 6050 NODOC RD Address: PO BOX 755
BROOKSVILLE FL 34609 ZEPHYRHILLS FL 33539
Phone: (352)556-4029 Lic: Phone: 8139972773
Work Desc: REPLACE ELECTRIC WATER HEATER
PLUMBING FEE 60.00
1 ` v �
�
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 t) 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
"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."
Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City
Codes and Ordinances.
,
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CONTRAC OR PER OFI
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
Date Received / -- �l L S� J S�Q _ f� �� �
✓� "� Phone Contact for Permittln .:
Owner's Name Owner Phone Number `7 �
Owner's Address � � Owner Phone Number
Fee Simple Titieholder Name � Owner Phone Number _-�
Fee Simple Titleholder Address
JOB ADDRESS \ � LOT # �S
SUBDIVISION �-2 , PARCEL ID# p� �
BTA1 ED FROM OPERTYTAX OTICE)
WORK PROPOSED B NEW CONSTR � ADD/ALT [� SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME [� STEEL Q
DESCRIPTION OF WORK `�i �Q� � i � �
BUILDING SIZE SQ FOOTAGE �� HEIGHT
�BUILDING $ VALUATION OF TOTAL CONSTRUCTION
�ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C.
�PLUMBING $ 1 r ; � �
�ly ��L �D �
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
QGAS Q ROOFING Q SPECIALTY [� OTHER
FINISHED FLOOR ELEVATIONS �� FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address ' License #
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address License #
PLUMBER , r � � � COMPANY � �-- I.- � �
SIGNATUR � REGISTERED Y N FEE CURRE� Y N
Address D� �� � 5 License # � (
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address Ucense #
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address License # -�
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Bullding 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 8 1 dumpster; Site Work Permit for subdivisions/large projects
COMMERCIAL Attach (3) complete sets of Buliding 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 8 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance
SIGN PERMiT Attach (2) sets of Engineered Plans.
"«" SURVEY required for all NEW construcBon.
Oi�ections:
Fill out application completely.
Owner 8 Contractor sign back of application, notarized
If over 52500, a Notice of Commencement is requlred. (A/C upgrades over 57500)
"" 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 Applicadon Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences (Plot/SurveylFootage)
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, ff 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 property 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 applicabie 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.
- tf the �II material is to be used in Flood Zone "A� in connection with a permitted building using stem wall
constn,iction, 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 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 BEFORE RECORDING YOUR NOTICE OF OMMENCEMENT.
FLORIDA JURAT (F.S.�I`�7, 3) -
OWNER OR AGEl�? I' ? L' � / CONTRACTO � �
Subs b and m to rmed) efo t ts� Subscri ed nd swo o fflrm ) b e this
bY � V�h G���� � tf �• %'�-�-�---�
o( are personally known o me or has ave uced o a�� onall�n� to me or ha aseden ficati na
as IdentlficaHon.
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C_ � / Publlc ��
� Notary Public
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Commission No. Commissio �
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SSZR135A LUW4�,'S HUME C'ENTH,RS, INC. ZPI' 1854
PAG� : 1 D�TE : 11 / 2 9/ 11 7 9 21 GAI,L BOU7 EVl�FtD
ZEPHYRHILLS FL
ORnERED FOR= ,��ICE NORMAN PHUNE: (813)83s-9000
ADDiZESS= 39b40 M�1IDUWOnD LOdP
ZEPHYKIiILLS �'L 3354� PbIQNE: (813)997-2773
V�.NUOR NAMr:_ M1�7UR ��LTTNfl3ING LLC CONTI�CT:
nDDRFSS: 6050 NOUOC RUAn PHOi�TE: (3S2)556-4b29
tiROORSVILLE Fi. 34b0� FAX= (352)59'7-1173
l�R(�J�CT: 33£3425471 REBILL WATER HEA'I'ER IATSTAL,L
LQWES PU: 12150219E3 LOWES INVOICE: 82979 ASSOCZAT�: WAYNE GRIFHII3
ES7' DFL.IVERY : U 1% 01 / 00 AR 1�iUMRER:
Q'1'Y ITEM T'PEM DESC.R'fPTION RIN VELM_PARTIF COST RXT_CUS'7'
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1 106170 T�ABpR TU 1.f�TSTALL WATER xEA 190-OU 190.00
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�'REIGFiT $ 0.00
TOTAL $ "L40.00
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SSZR73SA LOWE'S HOMF, CENTEHS, INC. ZYF 185.4
p�Vg 2 DATE: 11/29/11 7921 GIiLL BOCILE;VARD
ZEPIiYRHILLS FL
ORDF.RED FOR: u'ANICE NQItMAiV PHONE: (813)838-9000
AI�nRESS: 39690 MEAI�OWOOD L�QP
ZEYHYRIIILLS FL 33547. PHONE: (813)947-2773
VENDUR NAME : MAJ OR PLT3Mf31NG LLC CONTACT :
A1�'uRESS: b050 NODOC ROAn L�HONE: i352)556-4U29
ARQQKSVILLE I'L 34609 FAX: (352)597-1173
PROJRCT: 338425471 REBILL WATER HEA`t'r.:R INSTAI,�,
LOWb:S PO: 121507.199 LUWRS INVOICE: 8'L980 ASSOCIA'�`E: W1�YNE CRifiFIN
EST DSLIVF.RY: 01/01/UO AR NUM13�R:
QTY 1TEM ITEM DESCRIPTION $1N VEN17_PART# CUST EXT._COST
1 154374 F'F.RMIT F'FRMIT 78.00 78.00
FREIGHT $ 0.00
TpTAL a 78.00
-���`��� CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY)
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THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S►, AUTHORIZED
REPRESENTAT7VE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subjec[ to
the tertns and conditions of the policy, certain policies may require an endorsement. AsWtement on this certificate does not confer rights to the
ceRificate holder in lieu of such endorsement(s�.
PRODUCER
NAME.
Buhl Insurance Agency Inc. a° No, EX,: 813-876-0057 �ac, No> 813-877-8540
P.O. Box 152698. nooRess ktramer@buhlinsure.com
Tampa, FL, 33684-2698 INSURER(S) AFFORDING COVERAGE NAIC#
INSURER A OHIO CASUALTY INSURANCE CO
INSURED �JOR PLUMBING LLC INSURER B �RICAN FIRE AND CASUALTY
INSURER C FCBS�I FUND
6050 NODOC RD INSURER D
BROOECSVILLE, FL 34609 INSURER E
INSURER F
COVERAGES CERTIFICATENUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED NOTWITHSTANDING ANY RE�UIREMENT, TERM OR CONDITION OF ANY CONTR,4CT OR OTHER DOCUMENT WITH RESPECT TO WI-IICH 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
I�TR TYPE OF INSURANCE INSR S NND POLICY NUMBER
(MMlDD/YYYY) (MMlDD/YYYY) LIMITS
GENERAL LIABILITY
EACH OCCURRENCE $ 1 OOO OOO
�( COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence) $ �.00 OOO
I CLAIMSMADE �I OCCUR MED EXP(Anyoneperson) $ lO OOO
A BH053761688 10/16/11 10/16/1 PERSONALBADVINJURY $ 1 QQQ QOQ
GENERAL AGGREGATE $ 2� OOO � OOO
GEN'L AGGREGATE LIMITAPPLIESPER PRODUCTS -COMPIOPAGG $ 2 OOO OOO
POLICY X PR � LOC
JECT g
AUTOMOBILE LIABILITY
Ea acadent g 1� 0 � �� � � 0
x I ANYAUTO BODILY INJURY (Per person) $
ALLOWNED SCHEDULED BAA53761688 O1/15/11 O1/15/12
AUTOS AUTOS BODILY INJURY Per acadent $
B ( )
NON-OWNED PROPERTY DAMAGE
X HIRED AUTOS X
AUTOS (Per acadent) $
$
x UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 3� OOO � OOO
A EXCESSLIAB CLAIMSMADE US053761688 1��16�11 1��16�12
AGGREGATE $ 3� OOO � OOO
DED RETENTION $ 1,O OOO $
WORKERS COMPENSATION WC STATU- OTH-
AND EMPLOYERS' LIABILITY Y � N X TORY LIMITS ER
ANV PROPRIETORlPARTNER/EXECUTIVE N � A 47073 04/27/11 04/27/12 EL EACHACCIDENT $ 1
C OFFICER/MEMBER EXCLUDED� � � OOO � OOO
(Mandatory inNH) E L DISEASE- EAEMPLOYEE $ 1. � OOO � OOO
Ifyes, tlescribe under
DESCRIPTION OF OPERATIONS below EL DISEASE-POLICV LIMIT $ 1 OOO OOO
A SURETY BOND 5037323 10/23/10 10/23/12 $5, 000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101 Additional RemarksSchedule, if morespace is required)
REFERENCE GENERAL LIABILITY COVERAGE: SUBJECT TO MASTER PAR 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
CITY OF ZEPHYRHILLS
BUILDING DEPARTMENT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
5335 STH STREET ACCORDANCE WITH THE POLICY PROVISIONS.
ZEPHYRHII�LS, FL 33542
AUTHORIZED REPRESENTATIVE
!�;/.n� /raa�.
�O 1988-2010 ACORDCORPORATION.AII rights reserved.
ACORD25 (2010105) The ACORD name and logo are registered marks of ACORD
Pasco County Parcel: 13-26-21-0140-00000-0950 001 Page 1 of 2
uata Current as Of: Weekly Archive - Saturday, December 03, 2011
� Parcel ID 13-26-21-0140-00000-0950 (Card: 001 of 001)
Classification O1 - Single Family
Mailing Address Property Value
NORMAN JANICE MARIE Ag Land �p
PO BOX 755 ��d $13,891
ZEPHYRHILLS FL 33539-0755 Building $55,094
Physical Address Extra Features $2,376
39640 MEADOWOOD LP
ZEPHYRHILLS FL 33542-6715 7ust Value �71,361
Assessed (Save Our Homes) $71,361
Leaal Descri�tion (First a �ines) Homestead 196.031 -$25,000
Non-School Additional Homestead Exemption - $21,361
See Plat for this Subdivision �'°'
MEADOWOOD ESTATES Non-School Taxable Value �25,000
PB 15 PG 106 LOT 95 School District Taxable Value ;46,361
OR 4159 PG 133 Warning: A significant taxable value increase may occur when sold.
Click here for details and info. regarding the posting of exemptions.
Land Detail (Card: 001 of 001)
Line Use Description Zoning Units Type Price Condition Value
� 0100 SFR OOR2 8,000.00 SF $1.70 1.00 $13,600
�� 0100 SFR OOR2 1,120.00 SF $0.26 1.00 $291
Additional Land Information
Acres 0.21 Tax Area 30ZH FEMA Code � Residential Code ZHLGLPS
Buildina Information - Use O1 - Single Family Residential (Card: 001 of 001)
Year Built 1987 Stories 1.0
Exterior Wall 1 Cedar or Redwood Siding Exterior Wall 2 Concrete or Cinder Block
Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
Interior Wall i Drywall Interior Wall 2 None
Fiooring 1 Cork or Vinyl Tile Flooring 2 Carpet
Fuel Electric Neat Forced Air - Ducted
A/C Central Baths 2.0
Line Description Sq. Feet Repl. Cost New
1 -�� BAS � 1,110 $58,719
� 2 FSA 216 $4,020
3 � FGR 312 $6,613
4 F�P 36 $476
Extra Features (Card: 001 of 001)
Line Description Year Units Value
1 CLFENCE 1987 760 $268
2 FIRE PL 1987 � 1 $960
r 3 � DWC 1987 410 $554
4 DCFENCE 2001 1,590 $594
Sales History
Previous Owner CARVALHO SHERRY L
Year Month Book/Page Type �
1999 05 4159 / 0133 WD $69,000
1991 � � 2031 / 0008 WD $52,000
1987 O1 1576 / 0470 WD $9,200
http://appraiser.pascogov. com/search/parcel.aspx?sec=13 &twn=26&rng=21 &sbb=0140&b... 12/7/2011
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City of Zephyrhills
BUII,DING PLAN REVIEW COMMENTS
/ �� �� ° � f�./�.�
Contrac r/Homeowner: _
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Date Received: �-
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Site: � ' '
Permit Type: / �
Approved w/no comments: � Approved w/the below comments: ❑ Denied w/the below comments: ❑
This co t sheet s be kept with the permit and/or plans.
���/�
Kal ' Switz — Plans Examiner Date Contractor and/or Homeowner
(Required when comments are present)
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