HomeMy WebLinkAbout14-15642 CITK OF ZEPHYRHILLS
• 5335-8T STREET
(si3ps�-oozo 15 2
PLUMBIN�i PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit#:15642 Issued: 1/22/2015 Address: 6645 NORTHLAKE DR
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: 11,987.00 Total Fees: 142.50 Subdivision: SILVER OAKS
Amount Paid: 142.50 Date Paid: 1/22/2015 Parcel Number: 03-26-21-0150-00000-0070
CONTRACTOR INFORMATION OWNER INFORMATION
Name: AMERICAN SOLAR ENERGY LLC Name: THOMPSON HELEN
Addr: 5109 MEADOWS END Address: 6645 NORTHLAKE DR
LAKELAND FL 33810 ZEPHYRHILLS FL 33542-0643
Phone: (863)859-7800 Lic: Phone:
Work Desc: INSTALL SOLAR HOTWATER HEATI G SYSTEM
APPLICA ION FEES
BUILDING FEE 142.50
INSPECTION REQUIRED
1ST ROUGH PLUMB ��
2ND ROUGH PLUMB �
SEWER
WATER
FINAL '3 - I �l
� � � � - �s�
�%�
REINSPECTION FEES: Reinspection fees will comply w th Florida Statute 553.80 (2)(c)when extra inspection
trips are necessary due to any one of the following re sons: a)wrong address b) condemned work resulting
from faulty construction c) repairs or corrections no made when inspections called d)work not ready for
inspection when called e) permit not posted on jo site� plans not a job site g) work not accessible.
NOTICE: In addition to the requirements of tliis permit, ther 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 managemen , state agencies or federal agencies.
The payment of inspection fees shall be made before an further permits will be issued to the person owning same
"Warning to owner: Your failure to record a notice f commencement may result in your paying twice for
improvements to your property. If you intend to ob in financing,consult with your lender or an attorney
before recording your n tice of commencement."
Complete Plans, Specifications and Fee Must Accompany A plication. All work shall be performed in accordance with City
Codes an Ordinances.
�
CONTRACTOR PER OFFI
' PERMIT EXPIRES IN 6 MONTHS ITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - HOUR NOTICE REQUIRED
PROTECT CAR FROM WEATHER
I
813-780-0020 City of Zephyrhi Is Permit Application Fax-813-7
Buildin Department � '
i�S,�L`;
Date Received �Z/'� Phone Contact f r Permittin ��� --
Ornrner's iName l{�p Obrner Phone Murnber O�^ 7f� e���
Ouvner's Alddress (:D � ls � Owmer 6'hone Rlumber
�ee Simple Titleholder fdame Ovuner Phone Idumber
Fee Sfmple Titleholder Address
JOB ADpRESS � �� a;� ~ � ' LO'F# �
SUBDI!lISIOM PARCE ID� ��� � -6(SG rpG�o - Oo�`�Q
� (08TAlIdED FROM PROPERTY TAX NOTICE)
HIlOR4i PROPOSED B NEW CoNSTR 8 ADD/AL 0 SIGN Q 0 DEMOLISH
INSTALL REPAIR
�ROPOSED U�E Q SFR . Q � COMM � OTHER
Tl(PE OF COtdSTRUCTIOfd Q BLOCK Q FRAME 0 STEEL Q
DESCREPTIOM OF VNORK �� o--F Lz� ' ,`j s
�
Bl➢ILDIf�G 51ZE �Q FOOYAGE�� 91EIGHT
OBUILDING $ VALUATION OF TOTAL CONSTRUCTIOfV
DELECTRICAL $ AMP SERVI E � PR�G�RF�SS ENERGY 0 W.R.E.C.
S 1���
PLUMBING $ // ���y � �
6 �
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � �`S�"� �
��p�l/
OGAS Q ROOFING Q SPECI LTY 0 OTHER � ����
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO � '�C���
Q ���
BUILDEPd CO PAMY
SlGfde4T7JRE RE ISTERED Y/ M FEE CURRE� Y/fV
e�ddress License#
ELECTRICIAN C iNiPA1dY
SIGtdATURE RE ISTERED Y/ N FEE CURRE� Y/N
Address License#
PLUMI�ER "/,� >C MIPAMY d-fG�-�'��'ir� �o�lEr �f iG'r
SIG(dATURE r 1 RE ISTERED Y/ N FEE CURRE� Y/
4lddress �d� CGUGa LJS ��`� ce! F ,3 �d License# C�yCGs��a 7
c
AliECHAMICAL C i�IPARlY
SIGIdATU�E RE ISTERED Y/ N FEE CURRE� Y/N
Address License#
OTHER C fiAPA1dY
SIGRlATURE RE ISTERED Y/ N FEE CURRE� Y I N
E►ddress License#
RESIDEfdT1AL 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. quired onsite, Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for ubdivisionsllarge projects
COMIINIERCIAL Attach(3)complete sets of Building Plans plus a Life afety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. equired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilit(es&1 dumpster.Site Work Permit for 11 new projects.Ail commercial requirements must meet compliance
SIGtd PERMIT Attach(2)sets of Engineered Pians.
"'"PROPERTY SURVEY required for all NEW cons ction.
Direc4lons:
Fill out applicatlon completely.
Ovmer&Contractor sign back of application,notarized
If over 5a500,a Notice of Commencement is required. (AJC upg ades over;T500)
'" Agent(for the contractor)or Power of Attomey(for the owner)would e someone wlth notarized letter from owner authorizing same
ONER THE COUMTER PERIdI1TTI1dG (Front of Appflcation Only)
Reroofs if shingles Sewers Service Upgrades A/C Fence (Plot/Survey/Footage)
DriveNrays-Not over Counter if on public roadways..needs ROW `
�
N07'6CE O� DE�D RE�'TRI�C"fYOFV�: l"he undersigned understands that this permit may be subject to"'deed"restrictions"'
which may be rrtore restrictive than Caunty regulatians. The undersigned assumes responsibility far compliance vtirith any
applicable deed restrictions.
llfdLlCEtd�ED CC?NTRACT't�IRS �►P!D CQlVT��7��t ��;SP�N�l�il.�YIE�: !f the owner has hired a contraator or
contracfors fo undertake r�vork, they may be required to be licensed in accordance with state and local regulations, if fhe
contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation
under state iavv. if the ovwner or intended can#rac#or are uncer#ain as to what licensing requirements may appiy for the
intended work, they are advised to contack the F'asco County Building Inspection Division--Licensing Section at 727-847-
8008, Furthermore, if the owner has hired a cont�acfor ar contt'actors, he is advised fo have the contractor{s} sign
portions of the "contractor Block" of #his application for which they wilf be responsibte. if you, as fhe owner sign as the
contracfor, that may be an indicatian that he is not properly licensed and is no# entitled to permitting privileges in Pasca
County. - .
7l�RISPORT'ATI(7PI I�iiPAC�'lllTil.�'TI�� Ififl�b��Y A�ID ���OI�RC� Rf�C01/ERY F�ES: The undersigned unders#ands
fhat Transportatian impact F�es ar�d Recourse Recovery Fees may apply to fhe constructian of new buildings, change of
use in existing buildings, or expansion of existing buildi�gs, as specified in Pasco County Ordinance number 89-Q7 and
9Q-07, as amended. The undersigned alsa understands, that such fees, as may be dus, wil! be identified at the time of
' permitting. It is further undersfood that Transpartafion Impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certi�cate of occupancy" or final pawer release. If the proj�ct does not involve a certificake of occupancy or
final power release, the fees must be paid prior ta permit issttance. Furthermore, if Pasco County WaterlSe�nrer Impact
fees are du�, they must be paid prior to permi4 issuance in accordance with applicable Pasco County ordinances.
�ONSTRIlCTIOPI �iEN L�UYV{Gha�st�e 79�, Fl�rid�ata�t����, as �mer�d�d}: lf valuation of v�rork is $2,500.Q0 or more, 1
certify that I, the applicant, have been provided dvith a copy af the "Florida Canstruc#ion Lien Law—Homeowner's
Protectian Guide"' prepared by the Florida Department of Agriculture and Consumer. Affairs. !f the applicant is someane
other than fhe"owner", I certify that I have obtained a copy of the above described document and promise in good faith ta
deliver it to the"owner"prior to commencement.
�QP17'RAC'TOR'�lO�il11VlE�'� �i(��1�?�VIT: 1 certify that all the informafion in this application is accurate and that a}I work
will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
hereby made to abtain a permit to do uvark and insta4(ation as indicated. I certify that no vuork or installation has
commenced priar to issuance of a permit and that ail work vvill be performed to meet standards of all laws regufating
construction, County and City codes, zoning regulations, and land development regulatians in the ;urisdiction. I also
certify that I unders#and that the r�gulafions of other government agenci�s may apply to the intended �vork, and that it is
my responsibility to identify what actions I must take ta be in compliance. Such agencies include but are not limited #a:
- Deparfinent of Environmental Protection-Cypress Bayheads, VV�fland Areas ar�d Enviranmenfially Sensitive
Lands, WaterNVastewater Treatment.
- 5outhvuest Fforida Water R(lanagement Districf-Wells, Cypress Bayheads, Wetland Areas, Altering
Wate�courses.
- Army Corps of Engineers-Seawalls, Docks, fVavigable Waterways.
- Depar#m�nt of Health & F2ehabili#ative ServiceslEnvironmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmentai Pratection Agency-Asbestas abatement.
- Federal Aviation Authority-Runways.
1 understand that the following restrictions apply to the use af fill;
- Use of fi(I is not aliowed in F{ood Zone"V" uniess express}y permitted.
- If the fill material is to be used in Fload Zone "A", if is understood that a drainage plan addressing a
"'cornpensating volume" vui11 be submitted af fime of permitfing v�rhich is prepareti by a professional engineer
licensed by the State of Florida.
- Ef the fiiE material is to be used in Flaod Zone "A" in connecfion with a permittecf building using stern wall
construction, I certify that fill will be used only to�II the area within the stem wall.
- !f fill material is to be used in any area, I certify that use of such fil) will not adversely affect adjacent
properties. If use of fill is faund to adversely affect acfjacent properties, fhe owner rnay be cited far violating
the conditions of the building permit issued under the attached permit application, far Iots less than one (1)
acre wh9ch are eEevateci by fill, an er�gineered drainage plan is required.
If I am the`4,CENT �Oi� 7H� OIiV�V�R, I promise in gvad faith to inform the owner of#he permitting conditions set forth in
this affidavit prior to commencing canstruction. 1 understand that a separate permit may be required far eEectrica! uvark,
pfumbing, 5igns, wells, pools, air canditianing, gas, ar oth�r insfaliations nof specifically included in fhe applicafion. A
permil issued shall be construed to be a license to proceed writh khe work and not as authority to violate, cancel, al#er, or
set aside any provisions of the technica) codes, nor shail issuance of a permif prevent the Building Officisl from thereaffer
requiring a correction c�f errors in plans, canstruc#ion ar violations of any codes. Every permit issued shall become invalid
uniess the work authorized by such permit is commenced writhin six months of perrnit issuance, or if uvork aufhorized by
#he permit is suspended or abandoned for a period of six(6) months after the time the work is cornmenced. f#n extension
may be requested, in r�rriting, fram the �uilding Official for a period not ta exceed nir�eEy {9Q) days and will demonstrate
jusfifiable cause for the extension. If vuork ceases for ninety(90)eonsecutive days, the job is considered abandoned.
}ii(AftR11�G 'Tt} �iWP7i��t: Y�lUI� ��i�UR� T� ��Gt7�� � �07'9Cg U� �C�MMENC�fl�l�F+1T iVIAY Ft�SUL'�' 1N YfltJ�2
f'�9��17 1 YY�L'� f O� IIYIrY'(VV�IVI�I�/1.y 1 V t oYJY't f�If4orGIS 9 1. �fF 1�4.1 �1�1�1\Y 1 V O��/'1�1� ��I�MI�`ill�\.71� �i�IV�UL..Y
�1tITH Y�U�i LEN�I��ClFt#��W�TY� ��C}(�� �2��C��tID�(�C�YOl9R-�9�'T���Q+F C{7►6l��ilEN�� T.
FLORIpA JURAT{F,S. 117.
01ii1ldE�t{}Ft A�GE ��1� ...--�-' GON'T�tACTO C�
Subscr(bed and sw_p ume e ore his Subscribed a d sworn to.(o ffjrmed)befare i
- -1 by 0� G� ! G�cc �-27- ,� c��
' ! re.personalEy known to me or has e prodUCed Wh �/ar ersQna�lly�npuvn ta me or haslhave roduced
as IdentificaBon. ��,���!l�r' �ce.c�- as identi�cation.
� � ,
Notary Public �- Nptary Public
Comml i $+�f"�'•., 'N Cammissi0 ������„ JACGtUE�;� ��OQ0520
�: ';�: Commission#EE 444520 `v_`9�' �«= C�mr O�mbet �,ifl�a
ia: - Ex � ti,�,�+�
Name o f�(��;,'�y'PeEh�ehn�r ytD• �-3esaota Name of N �• ,,, ,., �p
'
_ ---—___---
--_--�--- -
. _ .-•
� � " I Illlll Illll ININIiII lflll fIIN III118111I111f llllf IN11111 -
2014313307
P_mtit Y.a. ?a�cel ID Uo V,� ?�I,.���'��ji��✓ ��'G7�+'`a
�!OTICE OF OtUl�R�NGEt4�ENT
i
. � . . �Y �,s��?'�—
s��.or i–•f.ei r. ��.�,,_ c�:� or �"
THE�NDEFSIGNED becehy giv�natice fhat mpravemer�tia�!tr�ma !n c_na:n taa!prop=.ciy,and 3n a;zo.�u3ce 161'n C:capte:7S"s,Floiria 9c�iu�es.
Ifie toliov�ino iniormaL'an ts pco:sded in lhis Noti:=of Ccrnme -emeri:
�. Desuinilcn ot°rope :?arcel tden(ficaticn Ma. � """ �"
Strse;nddress: `'l a(`
2 Generat Cescrip4on d Improvemen+. � �� F �p�
� �
�..N tffn'
„ �. G mer(nEesmzsto.n._o.�r�-La-^s�sec inicrrrtaiiqr.it ihe Lessee contr� :d for.he im;,:c�zmenr. ���.,�
�s A�*�'`
! o
Col'o�.� �aor� c P •R r� C7 �
�dr8ss � , J ;iIY �i�t2 � 10
in:^ra5tir.Pta�ert}' �o A W
Q
Nsm.a c!Fce Simp!e TiUchalder. ��" �3„•,,,,��„�
{If dt(erent hom Ot:rer lisle abeve! � �.• (D
r 41
;.dc�2ss S, 5��.� Gty �Ia:G 4� 49••
Con�raanr. '�' �r
; " � �` .r ' d=l� ,��S .
;,ddrsss , � �`�lL— City 3�a:e ff ��
Cmnr�tic"s TMqPho^e':o.._..--. ._�.
K �
... SUt=,y: �,
;dzmr+ �p
'!
xddress Ciry SItiC x
.tm,oc:nc oi 8ond:5 Tei^phcne tJO..
G � Lendar. � .
� ;•lane �
i,aDrc5s Cily� Stet=_ m a
la��Yefs 7elephnne No.: a��„r
��.►D
7, Fersons ri�hin thc Sta;c af FteRdn desi�nate�G�ane a;n:upen r:�om ro�c:s c. olnar dncurnents rnay b.served zs pra�ided Uy �m
SeCiart 713.t3{1){.,'.(�a;Flor'da$IaW�os: . �
��..o
is Z
Name ' `�. m
Ly^�
(�a►_
:dJ:es� Cig� Sta:_� �a J
Teiephone Numhe�d Designaied?arsvn: �
�3 �
a. In tddittan lo himSel;.lhe c:.ale�.tsi in02ts a'_ N
*.o te:s^•e a c py et the Lienafs Natitc rs;.ra.ztcrl in Sectic�7 i3.13ttj(tr},�larida SYa*.e::es. �„�O
� � TvlOOhnne thumbcr-ct P_r>on ct£.:i±ry�e5fgtlateG bv pr;�es; � r
m
5. es�pirattcn tletc a;Nolic:of Cwum?ncemznt ttlie a;:eirzuon da��may nnt he h_fera Ihs complslion al cer.s;rucB4n'rd�n21 paym¢rt lo th_ ��
, , ccNrsqor,6ui^sll 6=�ne year ircm tl�e Ozte a(fec:rding uNes)a ai�fereni date LS:perJGzd): �Fa a>
' • l•:�AnN1MC 70 04vr�ERc 1.Nr o��_y?,tEhTS Sfh�E 5Y TkE O�=NcP,:,FTER TFiE EY.PIF.h71qN OF 7H'c NGT(CE OF CO�.itlf�kCcnfErlT � o
� ARc CGi4bi�EREO ItdrROPER PAYtdEl�S UtvD^R CH`Pi�R773, ?nRFS, SECTiOtv7i3.i3, PI.ORIDF. 5TnTUTES, nND Cn1 /� 3
�. RGSULT IM YOUR R.�YINCa'i1NiCE FOR ItAPRd�t.',cNT TO YOUR PRCP�RTY A NQTIC�4� COl.1.d£t�tCEbSENX S.tUSF 9=_ V� �
- R=COF.6ED AND°OS7ED OM?HE.tCB SiTE EEFORc THE FIR571IJSFECTIOAl, IF YpJ ItJTETJD TO 05i:J�J FIWA`CItd3,C�JNSU:7 � �
!:J17H YQUP.l.�(JG�R O.z^YM ATTQRPlE?�'EEFQF+.=C4.l:�E Clti�i^?4.°.K OR.°.cCOP.flt�7G YOU�t36T{C:OF CGF.St:t_A3C�::SEi�:�. o
r
Undar pea�it,r of psrjaR,i dedate ih3t 7 hnx rsod rY:c torzgufn �9:i:g of Cu�iit72!t[etitetit 2.h7 7h31 ihe t2«$5t0ted ihetein atE INe l0�h:heSl m
of mY:nov.icdae antl b_liaf. �ye1�� . �
L�
�T:.SE G=FLL�RIQ� �,�
�' C�U;n Or PASCC �..� ' l,�
'�Si na ur:of Os�mer r,�Lessee,or 0:�ers ar L see's Autha�zed
, 6f ceriCicaaortPcrtner;7.tanaaer
• ��J C..l,�i:!,(�
Si taysTiii_;Gtrcc
The fo�e�.y..a�ir:y`in`,��W�rtteai�:�s eci:na::letic h>[ore m:lhis��„day af 20��6y - �
�.°_��1Z_�'_(� a5 WhPi"'� 4eypaotaunwricy;e.9..dTicer.lcustee.2tiamcyi�lea}:CC _
(nam.e o!pa •an balialt nt ti•.:�crn ahst .•�as ca ).
2crsor.clty Ktio:•,1�CSR PtndikeA{d'enGftC8ti6 Q M�ary Signa:.rre
Yy+�,>ai td�ntifip�ian RreducC�� O��� tJ8 ne{°�tltj �
��70�o ~
��pv rva w�.
c iNEIiSSA MAE CAM�Rfl
�...._...,...�;
� i'i MY COMMIS$ItJN�FF1 t i215
. �ti j,r•
'�';orr„°°.�'Pf EXPiRES A,prit 8, 2018
�%aCa:aro;s!noiice:ammencemen!�rcA53D�B qQ7 389•0163 Flotld2tvota Serv�de•COm
� �
I
�TA�°E-�` `'��?REUA, COURl7!'�F��:r����s� �
THIS IS TC�C��iTIFY THATTHE FOREGOING IS�; yi���� ���e+
TRUE ANp CC�F'RECT COPY OF TME DOCUMENT �� ° ' e G��,
ON FILE 0� rF PUBLIC RECORD IN THIS OFFICE
WITNE �(41Y HAND AND L SEAL THIS �• �` � �, �
DAY 0F ... �%k , ' ,�y�•�,.,esr e
PA S 'NEIL, C ER MPTROLLER , � a I'1��� = °���` �
. � , o � �
BY DEPUTY CLERK '�' J
._ , � . a y8870 O
� ��
@�
...��,��E 0��O
l���'�, � _ _ -
��,.;.. � ' A t -� '� �
� F'z�a�*w' ��y�;i_ ,l'; _ -
<743FS. ��� �.�'.n� r's °� '-
,i.ri� u ��y� ,�:',: �' ./'� _ _ :� .�;,p,}��
��,.��{tY ; ..b _ . �-s..�:,
� �c � i�`� �A' r 7 ,�. s-e+� +r= License4CV-00566E7IFL
�'3^*�_� `� � � � �� ��'�>�s'�`� Keeping.You in Hot Vllatei
1�, � ��� � Keeps Us Out
_ 3.. Y,�'�-5
Americain �olur Energy; LLC `r�et�;�° .
. °,,� _
� SOLAR CONTRAGTORS = =�°��T"'""�----- =ru _�'='
��� �-�'� r.r�
Licensed%/nsured%Bonded - _- II��'
�v'"�_, - -
`Sb/a'imeansFieeEnerov . - :._..�__._._,___�-�.__��_���___--._
l�!` G��� �� � � - �U��GC.t(l � `�=
� 5 8 �i��c�
�F��rh� ��L 33��4�
RE: Permit Agent Authorization Form
I, Labron E. Taylor, Jr., a state certified solar co actor, License Number CVC056667,
hereby authorize the llowing to act as my agen (s)in obtaining permits in
r ,Florida.
Name of Agent Driver's License No.
r` �S`Q GGe c/(.¢� C11"` J�
STATE OF Florida
This letter contains the names and identific tion couiv�oF roLx
numbers of people that are authorized to pull pe its Sworn to or affirmed)and subscribed before me t6is_J ,
day of �� 20�by
in my name. This letter supersedes any previ usly
submitted letter(s) of authorization. This si ned �' �''� ��`
authorization will remain in effect until cancell d in �'rinted/I'yped Name of icense Holder Making Statement)
writing by the undersigned license holder. No PUBLIC
(Signature of Not
� _Donald Lossing
(License Holde Signature (Name of Notary Typed,Printed,or Stamped)
My Co �ssion expires:
vv. j�o �o �'
DONALD LOSSIfVG ,r �
NOTARY COMMISSION#FF58370 PersonallyKnown_X ORProducedIdentitication
Pueuc ��� c���mber 16,2017
STATE OF
FLORIDA BONDED THROUGH
RLI INSURANCE COMPANY (Type of Identification Produced)
5109 Meadows End • Lakeland, FL 338 0 • (863)-859-7800 s F� (863)-816-5426
C��{t , f
iM1��� '}!�ile�! � '
� •�
, y.
City of Zeph rhills
BUILDING PLAN REVI W COMMENTS
Contractor/Homeowner: �C�?, �-f'� �.�� �L�'" �'j'
� �
Date Received: - Z --�
site: (P� 1..to ��l�e..s��
�
Permit Type: �l��t.� ��'..�- S���V' �
Appraved w/no comme ts: Appraved w/the below co ents: ❑ Denied w/the below comments: ❑
�
. '
;
,t
,
This comment�eet aIi e k t with the permit andlor pl s.
i ` ~-- ���fi
, �
Kaivin S rtzer—Plans `iner Date Contractor and/or Hameowner
(Required when camments are present)