The URL can be used to link to this page

Home My WebLink About12-12728 CITY OF ZEPHYRHILLS 5335-8TH SfREET - ' ' , (8i3)�so-oo20 12728 PLUMBING PERMIT Permit#:12728 Issued: 1/25/2012 Address: 6610 STADIUM DR 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: 1,986.00 Total Fees: 43.50 Subdivision: CITY OF ZEPHYRHILLS Amount Paid: 43.50 Date Paid: 1/25/2012 Parcel Number: 02-26-21-0016-00000-0010 Name: ALPAUGH PLUMBING & SUPPLY OF TAMI Name: DA VITA INC Addr: 9002 N NEBRASKA AVE Address: 6610 STADIUM DR TAMPA FL 33604 ZEPHYRHILLS, FL. 33542 Phone: (813)933-3838 Lic: Phone: (813)788-4887 Work Desc: INSTALLATION BACKFLOW IN MECHANICAL ROOM PLUMBING FEE 43.50 1ST ROUGH PLUMB 2ND ROUGH PIUMB SEWER _ � WATER FINAL � ,`� �=2� C 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� 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,aonsult 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. ----., ON CTOR PER OF I RMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER sis-�ao-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 Building Department ` Date Received -rrr r-r-r ^ Phone Contact for Permittin ' -- Owners Name !-��V 1 T Q Owner Phone Number N l� Owner's Address Owner Phone Number 1� � � Fee Simple Titleholder Name Owner Phone Number � �' � Fee Simple Titleholder Address � JOB ADDRESS �OIG+)O �S�G�j YYl VY� �. �'� . 35�� LOT# [� susowisioN PARCEL ID# �2 2[o ZI OC�1 B OOK�O L� IO (OBTAINED FROM PROPER7V 7A%NOTICE) WORK PROPOSED e NEw CONSTR e ADD/ALT � SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM � OTHER � TVPE OF CONSTRUCTION � BLOCK Q FRAME � STEEL Q �-� DESCRIPTIONOFWORK F IAi�n�s� s �ns�ail bacl�lo►�, (�1 m C�1QY11CA� Yn[�rn� BUILDING SIZE S�FOOTAGE� HEIGHT � �BUILDING $ VALUATION OF TOTAL CONSTRUCTION �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY � W R.E.C. �PLUMBING $ �^� /,� �j L QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �GAS � ROOFING Q SPECIALTY � OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO BUILDER COMPANY SIGNATURE aecisTeaeo Y/ N FEE CURRE� Y/N Address License# � ELECTRICIAN COMPANY � SIGNATURE RECisrEaEO Y! N FEECUaREn Y/N Address License# � PLUMBER COMPANY Alaaunh P►umb�►�a ��I�ApD�� am(�, 1n� SIGNATURE REGISTERED Y I FEE CURRE� Y/N � � Address �-�(QOZ 1`� �V� 1'� T�Vej License# `�C(��-� MECHANICAL COMPANY � SIGNATURE RECisrEREO Y! N FEE cuaREn Y/N Address License# -� OTHER � COMPANY � SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address � License# IIIIIII1111111111111111111111111111t11111111i1111111111111111111111 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!Sdt Fe�ce installed, Sanitary Facihties&1 dumpster,Srte Work Permit for subdrvisions/large pro�ects 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 Mmimum ten(10)working days after submittal date. Required onsite,Conslruction Plans,Stormwater Plans w!Stlt Fence installed, Sanitary Facilities&1 dumpster Site Work Permit for all new projects.All commercial requirements must meet compli�ance SIGN PERMIT Attach(2)sets of Engineered Plans. '"`"PROPERTY SURVEY reqwred for all NEW construction. D�rections.• Fill out application completely Owner&Contractor sign back of application,notanzed If over$2500,a Notice of Commencement is required. (A/C upgrades over 57500) " Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner author¢ing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs if shingles Sewers Service Upgrades A/C Fences(PIOUSurvey/FOOtage) Driveways-NOt over Counter if on public roadways..needs ROW From� 01/20/2012 15:15 #712 P 0011001 NdTICE 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. UNLIOENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a wntrector or co�t�actors to undeAake work,they may be required to be licensed in accordance with state and local regulations. If the conhactor Is not licensed as required by law, both the owner and conhactor 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 ir�tended work,they are advised to contact the Pasco County Buflding 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 applicatlon 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 privBeges fn Pasco County. TRANSPORTATION IMPACTfUTILITIE3IMPACT AND RESOURCE RECUVERY FEES: The undersigned understands that Tranaportation Impact Fees and Recourse Re�very Fees may apply to the conahuction of new buildings,change of use in exist(ng bulldings, or expansion of exfsHng buildings,as spedfied 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 identffied at the time of permitting. It is further understood that Transportatlon Impact Fees and Resource Recovery Fees must be paid prior to receiving a"certfficate of occupancy"or flnal power release. If the proJect does not invoive a.certficate of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, ff Pasco County Water/Sewer Impact fees are due,they must be paid prior to permit issuance in accordance with appl'�cable Pasco Counly ordinances. CON3TRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended): ff valuation of work is 52,500.00 or more,I certify that I, the applicant, have been provided with a copy of the 'Florida Construction Lien Law—Homeowne�'s Protectlon Guide'prepared by the Florlda Department oi Agriculture and Consumer Affairs. If the applicant is someone other than the`owner,I certtfy 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'SIOYVNER'3 AFFIDAVIT: I certify that all the ir►formation in this appifcat(on is accurate and that all work will be done in compliance with all applicable laws regulating constn�ction,zoning and land development. Application is hereby made to obtain a permit to do work and installatfon as ind�ated. 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 constiuction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify lhat I understand that the�egulations of other govemment agencies may apply to the intended work,and that it is my responsibility to identfFy what actlons I must take to be in compliance. Such agencfes include but are not limited to• - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Ernironmentally Sensitive Lands,WatedWastewater Treetment. - Southwest Fiorida Water Management Dishict-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. - Federel Aviation Authority-Runways. I understand that lhe following resbrictions apply to the use of ffll: - Use of flll is not allowed in Flood Zone"V°unless expressly permitted. - If the fill material is to be used in F{ood 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 Ifcensed by the State of Florida. - If fhe fill material is lo be used in Flood Zone"A" in connection with a permitted building using stem wall construcHon,I certify that flll will be used only to fill the area within the stem wall, - If fill mate�ial is to be used in any area, 1 certify that use of such fill will not adversely affect adjacent properties. If.use of fill is found to adversely affect adjacent properttes,the owner may be cited for violating the condiNons of the building pertnit issued under the attached permit application,for Iots less than one(1) acxe which are elevated by fill,an engineered drainage plan is requlred. If 1 am the AGENT FOR THE OWNER,t promise in good faith to inform the owner of the permitting condiUons set forth in this affidavit prior to commencing canstruction. I understand that a separate pertnit may be required for elechical work, plumbing, signs, welis, pools, air co�ditioning, gas, or other i�stallations not specifically included in the application. A permit issued shall be construed to be a Iicense to proceed w(th the work and not as authority to violate,cancel,alter,or set aside a►ry provisions of the technicai codes,nor shall issuance of a permit prevent the Building Official from thereafter requiring a coRection of errors in plans,conshuction or violatrons of any codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of pe►mit issuance,or if work authorized by the permit is suspended or abandoned for a period of six(8)months after the time the work fs commenced. An extensian may be requested, in writing,from the Building Olficial for a period not to exceed ninety(90)days and wiil demonshate JustiBable cause for tfie extension. If work ceases for ninety(9d)consecutive days,the job Is considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR �' PAYING T1MCE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT �� Y U N E O TT N EFORE RECO YOU O N MENT. �►� FLORIDA JURAT(F.S.117.03) 8 Y i� �ag OWNER OR ACiENT CONTRACTO , �� Subsdibed arM swom to(or atfirtned)beforo me this Subsc�ibed end rmed me by �� Who is/are personally known to me or hasfiave produced VNw Is/s araonally known e w has/have prod � � � as fdentlflca8on. as identlfication. ��V Notary PubNc Notary Public Commission No, mission No. � ' G= Name of Notary lyped,printed w stamped ame o/Notary lyped,printed or sqmped Y1 F � ,�. � � s+"� '� �ip y U !..) �7 � r� r�� r ;s eV 6,, -, t+ � s. a ' ^ ww` O ('Y�� .1 � S � � � �"i C? �+ ��.K�y � L � ..i�� •1��4 :,* • 5.►'y �� - �r � •uea.�"'� O1/13/2012 13:12 FA% 8137833551 DAVITA ZEPHYRHILLS 1�001/001 AI.PIA�IJ�H 1►LilMQINti i SU�LY �►v O!T�MP1� INC. � f�"j'O►�+a�� ` s0Q3 N.N.brssk�Awn�. `_ T�n1P�.�NrWs�iO4 �� Nip�b�wrdh (i13�l:�3.'iai llA� (,'f3y��-441� s�� 1AAMIM.�1�111l�11p11r111�.aM1 ==-- 1/12/2012 Oavfta Davita Z�hryhilis�IF4068 PO Box 2037 6610 Stadium Dm�e Tacoma,Washington 96401 Zephyrfiills,FL 33542 DOMESTIC BACKFLOW INSTALLATIONS AT MECHANICAL ROOM 1 -Furnish and i�stall a 1"Wilkins RP 975-XL beckflow tiad to ownera existing water lines in mechanical room Parmit Certify backfbw NOTE: The materials and labor from the unsuccesaful repair on August 13,2011 have been included in this estimate NOTE: All work to be done during non business hours ' NOTE: We are not responsible for the wo�lcing condition of owners plumbing nart installed or repaired by us. Sales Tax .� We pmpose to furnish labor and material-complete in accordance with above specifications,and subject to conditions found on both sides of this agreement,for the sum of: dollars $1,986.00 Payment to b�made as follows: Net 30 Days ACCl3PTED:7be abo►e priea.speciJisd and cordlqonr are mH.�/'aerory and on ��lly submitted, henby occep�d. You me owhorised ro eb ebe work as speelnsd Pay,r,eni r�Abs ALPAUGH PLUMBING&SUPPLY OF TAMPA INC. nu�de as oytlined above and or revarx afde. Dqu ajAccspwnce �/ �/� �+�� By . - I.IG!CFC019139 By 'S NOTE:ThN propowl m�y be wil6drawn 6y aa ff a�t accephd witMi�30 dars �