HomeMy WebLinkAbout12-13117 • CITY OF ZEPHYRHILLS
5335-8TH STREET
(sis)�so-oo20 13117
PLUMBING PERMIT
Permit#:13117 Issued: 5/31/2012 Address: 5250 19TH ST
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: 1,125.00 Total Fees: 62.50 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 62.50 Date Paid: 5/31/2012 Parcel Number: 11-26-21-0010-17600-0050
Name: ARTHUR A. SCHLEMAN PLUMBING CO. IP Name: HONEY BADGER ENTERPRISES
Addr: P.O. BOX 17213 Address: 5250 19TH ST
TAMPA,FL. 33682-7213 ZEPHYRHILLS, FL. 33542
Phone: (813)971-7619 Lic: Phone: 813-758-6611
Work Desc: REPLACE ELECTRIC WATER HEATER FROM INSIDE/OUTSIDE PLUMB WASHER
PLUMBING FEE 62.50
1ST ROUGH PLUMB
2ND ROUGH PLUMB
WATER � � � � '���t l i�1� ,��i��
FINAL_��2-l 'l� - , }� f�U� � �
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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,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.
CONTRACTOR PER OF I �
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
s�3-7so-oozo City of Zephyrhills Permit Application
rax-a»-i�u-uv��
Building Department
Date Received Z9 � Phone Contact for Permittin vr� ! – °' "
� • Owner Phone Number �' !J�'�v(
owner•s Name 336Z�
Owner's Address � � � �GL/�i Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number�
Fee Simple Titleholder Address
JOB ADDRESS ��� /( � ' /�-f/ Y`„�/'�/�� ����` LOT# �
SUBDIVISION �— PARCEL ID# ?/ r�D��Dl�6oaDa5o _
(OBTAINED PROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR e ADD/ALT Q SIGN Q MOVE Q DEMOLISH
INSTALL REPAIR
PROPOSED USE [� SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION L] BLOCK Q FRAME [� STEEL Q OTHER
DESCRIPTION OF WORK ` Q�� S C'�QI���I f�����' waf�r ��.� � U
l � , �l �� � <ircf�
BUILDING SIZE S(3 FOOTAGE �„t��
Q BUILDING $ VALUATION OF TOTAL CONSTRUCTION
Q ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
� PLUMBING $ /� /�j'o D�
( ( J
Q MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
Q GAS Q ROOFING [� SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS � FLOOD ZONE AREA QYES QNO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N
Address Llcense# �— �
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N
Address License# �
PLUMBER �� COMPANY /l/ � ' G�� � �� l
SIGNATURE �" • REGISTERED Y FEE CURRENT Y N
Address Q �� �7�e Gl/�� Q /"�- �96o License# _ ( �
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N
Address License# �—
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRENT Y/N
Address Ucense#
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,ConstrucBon Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;S(te Work Permit for subdivisionsflarge projects
COMMERCIAL Attach(3)sets of Building Plans;(1)set of Energy Fortns.R-O-W Permit for new construction.
Minimum ten(10)working days after submittai date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities 8 1 dumpster.Site Work Permit for all new projects.Ail 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 appiication,notarized
If over;2500,a Notice of Commencement is required. (A/C upgrades over s5000)
'* Agent(for the contractor)or Power of Attomey(for the owner)wouid be someone with notarized letter from owner aukhorizing same
OVER THE COUNTER PERMI7TING (Front of Application Only)
Reroofs Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on pubUc roadways..needs ROW
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N u TICE�dF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed" F�'st�ictiofis"'
'vii ich m�y tie more restrictive than Cvunty regulations. The undersigned assumes responsibility for�ompli�iice V1ii�li a�i�_,, :
ap� iicable�l�ed testrictions. �
��; U L�C�NS�D CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner i�as hired � coh�rao�o� o�',��,, !
' co�tracto�� �b �hde�take work, they may be required to be licensed in acco�dance witli stafe and local Fe�ulatibh� "I��h� +'
� 4ti +�'`1.+..•
.. „�o tta�t6r is;`;�iot.licensed as required by law, both the owner and contractor may be cited #or � ini"sd�m�ai�or.viol�Ewtt =
V° un er �tat�;;�a1i'ir If the owner or intended contractvr are uncertain as to what licensing ,'requi'remen�s ma� app���o�E�i� .� ''t
: �nt�riiied�vo�rk; they are advised to contact the Pasco County Building Inspection Division=Licen�ing Section at��7=��7= i
, $0��. FLir��ieFfnore, if the owner has hired a contractor or contractors, he is advised to have the coi���ac4c�r��) �i�fi,'° ;
,. � pot�io►is of���.,econtractor Block" of this application for which they wiil be responsible. If you, a"s �he owner sigri as Ihe �
' �: :.,
�.- co�t�acEoi�,,t}�at:inay be an indication that he is not properly licensed and is hot entitled to permitting pPivileges in Pasco I
' '' Cdun'ty:. .:.:�.'w. �
'�TF�AFiSPOit�'�►TION IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned uhderstands �
th�at Tr�n'spo�ta�ioii Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change o� !
_ Us�e in existiF�g_bili�dings, or �xpansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90,-07; as amet�ded: The undersigned al'so unde�stands, that such fees, as may be due, will be identifed at the time of
pe�mitting: �t i5 fu�ther understooc� that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "cettificate 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 $2,500.00 or more, I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owher", I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owner" prior to commencement.
CONTRACTOR'$/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that afl 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 Iots 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 techn�cs Iconstruct onsorlviolations of any codesPrEverytperm t iss ed shall become inval d
requiring a correction of errors m pla ,
unless the work authorized by sucned for�als er od of six(6) mhonths after the t meethetwork is commenced Anhextension
t h e p e r m i t i s s u s p e n d e d o r a b a n d o P
may be requested, in writing, from theork ce'a es�or'ninety(0)rcon ecutive days, the job is Oco n s�de e d ba lndoned s t r ate
j u s t i f i a b l e c a u s e f o r t h e e x t e n s i o n. I f w
WARNING TO O W N E R: Y O U R F A I L U RE YOUR PROPERT1f.TIF YOU INTEND TO BT A I N FI�N A N C N G, C O N S ULT
PAYING TWICE FOR IMPROVEMENTS TO
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S. 117.03) `����' _-- )
L«" CONTRACTOR
OWNER OR AGEN Sub ribe nd swom o(or affiRned1 b�fore me this
� Sub rib and swo to o � e ) efore me this V�by—,��s iu�.s�'irh/1`ri/l�r�
V�bY o Is! re personally known to me or has/have produced
o Is re personal y known to me or has/have produced = as identification.
�— as Identification.
? ~�� � ���� Notary Public
�� ,, „ ��� Notary Public
--� � � � Commission No. pATRICIA QUILI.�N
Commission No.
;�,'..�':�: PATRICIA GIUILLEN
Name of Notary typed,printe ; , �Xp�RES November 21,2013
Name of Notary � �"������'��
EXPIRES November 21,2013 (407)398-Oiv FloridaNOtaryServ�e,com
',� � `�� .S�NMA.GOn�
(�07)398-01�'• Florldallote
05/29/2012 15 41 So4ao r. UV4/UU4
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
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Contractor/Homeowner: {%%1'L G�,�
Date Received: 5 � 2 q� � Z
Site: Lj�`Z�U f�"� S�
Permit Type: //Up�t-�t-e:`� �(�� '� (�� �f�L./1-���� �'l,b�'. �i'�Yl l�LlT�vuC
��� �� �ns, G�. , ��ct�j�1 c�Mb�� �J r�S�.�.
Approved w/no comments:❑ Approved w/ e below co ents: � Denied w/the below comments: ❑
� 1��, ���(s ':✓!'14 �Tti�
This comment sheet shall be kept with the permit and/or plans.
.�'� �� _ _ -
�' . � �5 /'�_ �. S� ��v,s���
Kalvir�`Switzer-. rs Examiner Date Contractor and/or Hom owner
'� (Required when comments are present)