HomeMy WebLinkAbout12-13214 —�
• CITY OF ZEPHYRHILLS ��'
5335-8TH STREET
(813)780-0020 13214
PLUMBING PERMIT
Permit#:13214 Issued: 7/18/2012 Address: 525417TH ST
Permit Type: PLUMBING ZEPHYRHILLS, FL.
Class of Work: PLUMBING RENOVATIONS Township: Range:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: page;
Cost: 744.40 Total Fees: 60.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 60.00 Date Paid: 7/18/2012 Parcel Number: 11-26-21-0010-17800-0160
Name: NORTH COUNTY PLUMBING Name: TYLER, KENNETH & JOHNNIE
Addr: 9056 NORTH MILITARY TRL STE I Address: 5254 17TH ST
PALM BEACH GARDENS FL 33410 ZEPHYRHILLS, FL. 33542
Phone: (561 625-9414 Lic: Phone: (813)782-9092
Work Desc: REPLACE 40 GAL ELECTRIC WATER HEATER
PLUMBING FEE 60.00
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
trips are necessary due bo any one of the following reasons: a)wrong address b)oondemned 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 pos6ed on job site� plans not a job site g)work not acoessible.
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 pertormed 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
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Budding Department
� Date Received i w �� -- ^�/(f
Phone Contact for Permitting ��� `� T
.7_i__�__f
Owner's Name V '(,'(��Q.� Q,� � •n�'a.9o9a
Owner Phone Number
Owner's Address � 1� • Owner Phone Number �� � �
Fee Simple Titleholder Name Owner Phone Number ��
Fee Simple Titleholder Address �
JOB ADDRESS S O�� I� \ • LOT# C�
SUBDIVISION Ow� Z � 1,) ppRCEL ID# I � p(\p��'C��I� '+7�QO "a�p0
� (OBTAINED FR�OM PROPERTY TA�ncEl DEMOLISH
WORK PROPOSED B NEW CONSTR e ADD/ALT SIGN
INSTALL REPAIR
PROPOSED USE � SFR � COMM � OTHER -�
NPE OFCONSTRUCTION � BLOCK � FRAME � STEEL � �-�
DESCRIPTION OF WORK �'�"t�� y U ,t..�Q�L, w��� ,�
BUILOING SIZE SQ FOOTAGE HEIGHT ��
�BUILDING $
VALUATION OF TOTAL CONSTRUCTION
�ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY CI W R E C
�PLUMBING $��� 'Ih
.,�� � l ��Z l�
�MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION y�
GAS ��
0 0 ROOFING � SPECIALTY � OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO
BUILDER � COMPANY • • • •�
SIGNATURE REGISTERED Y/ N FEE CURRE� -��
Y/N
Address
License# �
ELECTRICIAN COMPANY �
SIGNATURE RECisrEREO Y/ N FEE cuRaEn Y/N ��
Address
License# �
PLUMBER � COMPANY I�II�� W��� U'(Y'� I�
SIGNATURE REGISTERED Y N FEE CURREf. Y/N
Address '1' 1V � License# W (p�3d
MECHANICAL COMPANY �
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address
license# �
OTHER COMPANY �
SIGNATURE REGISTERED Y/ N FEE CURREn Y/N �
Address
License# �
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1
RESIDENTIAL Attach(2)plot Plans;(2)sets of Building Plans,(1)set of Energy Forms;R-0-W Permd for new construchon,
Minimum ten(10)working days afler submittal date. Requued onsite,Construchon Plans,Stormwater Plans w/Silt F�=nce installed,
Sanitary Facihties 8 1 dumpster Site Work Permit for subdroiswnsllarge 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(70)workmg days afler submittal date Reqwred onsite Construchon Plans,Stormwater Plans w/Silt Fence mstalled,
Sanrtary Factlihes&1 dumpster Sde Work Permit for all new pro�ects All commercial reqwrements must meet compliance
SIGN PERMIT At�ach(2)sets of Engineered Plans.
""PROPERTY SURVEY requued for all NEW construclion
Directions:•
Fill out application completely
Owner&Contractor sign back of apphcahon,notanzed
If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500)
" Agen�(for the contractor)or Power of Attorney(for the owner)would be someone wrth notanzed letter from owner authonzing same
OVER 7HE COUNTER PERMITTING (Front of Application Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIOVSurvey/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 misd'emeanor 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 Bwiding 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 Biock"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 rwmber 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 mu:st be paid prior to
receiving a "certificate of occupancy'or final power release. If the project does not invoive a certificatf: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 appiicable 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 appdicant is someone
other than the"owner" I certify that I have obtained a copy of the above described document and promi;;e in good faith to
deliver it to the"owner"prior to commencement
CONTRACTOR'SlOWNER'S AFFIDAVIT I certify that all the information in this app�ication is accurate and that ali 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 wifl be performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the�urisdiction. 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 Environrrientally Sensitive
Lands,Water/Wastewater Treatment
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altenng
Watercourses
- Army Corps of Engineers-Seawalls,Docks,Navigable Waterways.
- Department of Health 8 Rehabilitative Services/Environmental Health Unit-Wells, Wastevvater Treatment,
Septic Tanks.
- US Environmentai 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 materiai 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 m any area, I certify that use of such fi�l 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 le�ss than one (1)
acre which are elevated by fill,an engineered drainage plan is reqwred
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting condi�ions 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 commencecl. An extension
may be requested, in writing, from the Building Official for a period not to exceed ninety(90) days and v✓ill demonstrate
�ustifiable 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 ESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY IF YOU INTEND TO OBTAI CING,CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF CEMENT.
FLORIDA JURAT(F.S 117.03)
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to(or aKrmed)before me this
b b rib and swQ�(�,t,o,(�r ffirmed)befor me tpis
Y � ��bv r�!��'f\.N �41�.15 a►
Who is/are personally known to me or has/have produced Who is/are personally known to me o as/ha produced
as idenhficahon
as identifcaUOn.
Notary Pubhc , �//1�1 Notary Pubhc
Commission No
C m ission No
Name of Notary typed,printed or stamped Name of Nota ed, nnted or stamped `Jti`�;,0 9f,,—��vt@LANIE JOHNSON
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;�. .�:, Notary Public-State of Florida
_•: ; •;: My Comm. Expires Apr 20,2015
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9056 North Military Trail—Suite I
Palm Beach Gardens,FL 33410
561-625-9414—800-323-0263—Fax—561-625-8717
WWW.NorthCountyPlumbing.Org
Thursday, June 21, 2012
Attention: City of Zephyrhills-Building Division
I, Anthony Agrusa, do hereby authorize Jeremiah Moeller to sign for and/or pick
up, drop off any permits for The City of Zephyrhills.
Thank you,
Anthony Agrusa
President
6�'
Signed this � � day of ���2012
Notary Public
`�2o;'R'r'�"�fioc' MELANIE JOHNSON
, Notary Public-State of Florida
: . . -
:'. + •c My Comm.Expires Apr 20,2015
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- r P, Commission#EE 74567
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: ` ���,v�n,��„t� w ,
1'V�
Date Received: �j— u�. ( Z
Site: ��c�'�� I G� ��
Permit Type: l�-���`e -�rUP C�• (.��`FP�t-� ��
Approved w/no comments:❑ Approved w/the below comments: � Denied w/the below comments: ❑
r � � � l Cc� � � � � � t� C
This comment sh et shall be kept with the permit and/or plans.
� , - - _ �
l � .�7 /
� ��-
Kalvin 'tzer-Plans Examiner Date
ntractor and/or Homeowner
_ (Required when comments are present)