HomeMy WebLinkAbout13-14851 . , CITY OF ZEPHYRHILLS
5335-8TH STREET
(si3)�so-oozo 14851
PLUMBING PERMIT
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Permit#:14851 Issued: 12/26/2013 Address: 4629 WISTERIA DR LT 18
Permit Type: PLUMBING ZEPHYRHILLS, FL.
Class of Work: PLUMBING/NEW Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 600.00 Total Fees: 40.00 Subdivision: WHISPERING OAKS
Amount Paid: 40.00 Date Paid: 12/26/201 Parcel Number: 15-26-21-0160-00000-0180
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�Name: BAY AREA PLUMBING INC Name: JAHN, TAMRA
Addr: P.O. BOX 13218 Address: 4629 WISTERIA DR LT 18
TAMPA FL 33681 ZEPHYRHILLS, FL. 33542
Phone: (813)620-0044 Lic: Phone: (813)783-4283
Work Desc: REPLACE SHOWER PAN & DRAIN
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L MBING FEE 40.00 "
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2ND ROUGH PLUMB
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REINSPECTION FEES: Reinspection fees will co ply with Florida Statute 3.80(2)(c)when extra inspection
trips are necessary due to any one of the followi reasons: a) wrong address b)condemned work resulting
from faulty construction c) repairs or corrections no ions 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 Apptjcation. All work shall be performed in acrnrdance with City
r Codes and Ordinances.
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CONTRACTOR PER OF 1
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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RPSIDENTGtL Auau�(?J Plo[P1anm(�.J seu ot 6nllding Plana;;Q set ot IIneryy Pmms:R-O•W hsnn9 for naw coustructloa,
� Min:mum teis[iGj avorking dqys ah�r submtttwl dwte. Requirxd unstt�,Cuua4vclioh Plans.Storm}vatar Pans wf Slie Fents installsd,
� S"unhny Pncilkies&1 dumpsttr,SYtw W orlc PrtrmR fo:subdWislonajlarg�pro�stia
� COMMF.RCIA6 A+wch(Y)eompiosr sax oE BuUding Pluns plus a Ufc 3afoEy Pagr�(t)xec of Finergy Po�ns.R-O-W Parmtz for now oons�n�ction.
Minimum ten{16)work0ig daya eftrr subudKxl dab. Requtred anefte,Constnsetlon P1ana.Stormwnre�Plaias wf S0:Fonca instaAed.
Snnfinry FxcO:Lior&t ciumpater.Si:s 4Vozk Permli(or aU navr pro{ecta.Nf commarcial rayuiroments must meat compl:ence
- SSGN PSRMl7 Adacl+(3J�ete of Engmusrpd P1ans.
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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 entitied 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 "ce�tificate 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 "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'SIOWNER'S AFFIDAVIT: I ce�tify that all the information in this application is accurate and that all work
wil� 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 8� Rehabilitative Services/Environmental Health Unit-Wel�s, 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�II 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 lice�se 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 O�cial 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 job is considered abandoned.
WARNING TO OWNER: YDUR 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 CO ENCEM NT. "
FLORIDA JURAT�F_S. 117.03) �
OWNER O AGEN � ONTRACYQR <
Subscrlbe nd suverrf to(or affirmed)before me this Subscribed and s affirm )be this . ,
by by � (�
Who is/are personally known to me or has/have produced Who is/are ersqnally.1�1�n to me or has/have produced
as idendficaBon. �,L- �—� ,L as identification.
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Notary Public � oe�" �� �6'� � Notary Public
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Commission No. Commissi n PfoALOb6 33#uotssiwwo� ;'� �•:
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Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
�.`! / ,�Y� -� ,.�:t ,,.�n•'�n'�n+^� -.�-°'?�-70�nn�.
813-780-0020 r;' � C� [.Pi-J. .,:� -�"r :ln��.. c .. . _
=�,��i�lin:i Di�p�rtiient
Date Received Phone Coritact fi:�r P��rmittin�i� I� _� --
miraan=��m�m'�i xi�r
Owner's Name _ �_.__� '����er I'hc��e Wumber
— — -----�
Owner's Address ___._� ���ner Nhe�ne Number
� Owne�r Phoirte Number �
Fee Simple Titleholder Name � _____J
Fee Simple Titleholder Address _— _ _—
JOB ADDRESS - -- LOT# ��
SUBDIVI510N � PARCEL�D#C_
(OESTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEw CONSTR 8 ADD/ALT � SI��N Q Q DEMOUSH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OIfHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 Sl'EEL Q
DESCRIPTION OF WORK
BUILDING SIZE SD FOOTAGE C� HEIGHT
�BUILDING $ VALUATION OF TOTAL CONSTRUCTION
�ELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
�GAS 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 COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y I N
License#
Address
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
License# �
Address -
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,Constructfon 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 Buiiding Pians 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 Permft for all new projects.Ali commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
`•"'PROPERTY SURVEY required for all NEW consWction.
Directions:
Fill out application completely.
Owner&Contractor sign back of appBcation,notarized
If over 52500,a Notice of Commencement is requfred. (AIC upgrades over 57500)
" Agent(for the contractor)or Power of Attomey(for the ovmer)would be someone with notarized letter from ovmer authorizing same
OVER THE COUNTER PERMITTING (Front of AppHcatlon Oniy)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
l2/ZQ/2p13 .1�:02. FAX 813 267 7899 BAY AREA PLUMBING
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