HomeMy WebLinkAbout15-15907 CI OF ZEPH;!RHILLS
_ - 5335;�TH STREET
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PL MBING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit#:15907 Issued: 1/22 2015 � Address: 7919 MERCHANTVILLE CIR
.' Permit Type: PLUMBING ZEPHYRHILLS, FL.
Class of Work: PLUMBING/NEW Township: Range:
•• Proposed Use: SINGLE FAMILY RESIDENT AL Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 11,987.00 Total Fees: 142.50 Subdivision: CRESTVIEW HILLS
Amount Paid: 142.50 Date Paid: 1/2 /2015 Parcel Number: 35-25-21-0120-00000-0460
CONTRACTOR INFORMATION OWNER INFORMATION
Name: AMERICAN SOLAR ENERGY LLC Name: GOFF KIRSTIE L & JEFF
Addr: 5109 MEADOWS END Address: _7919 MERCHANTVILLE CIR
LAKELAND FL 33810 � ZEPHYRHILLS, FL. 33542
Phone: (863)859-7800 Lic: i Phone: (813)514=7214
I Work Desc: INSTALL SOLAR WATER H ATER�
PPLICATION FEES
PLUMBING FEE 142.50
INS ECTIONS REQUIRED '
1ST ROUGH PLUMB i
2ND ROUGH PLUMB �
SEWER I
WATER
FINAL � 1 � °�S
Z - l � - 1 S�
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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 fo lowing Ireasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corr ctions not made when inspections called d) work not ready for
inspection when called e) permit not p sted o i job site fi) plans not a job site g)work not accessible.
NOTICE:� In addition to the requirements of this ermit, there may be additional restrictions applicable to this property that
may be found in the public records of this coun , and there may be additional permits required from other governmental
entities such as water anagement, state agencies or federal agencies.
The payment of inspection fees shall be mad beforelany further permits will be issued to the person owning same
"Warning to owner: Your failure to recor a notice of commencement may result in your paying twice for
improvements to your property. If you in end to obtain financing,consult with your lender or an attorney
before recor ing you'r notice of commencement."
Complete Plans, Specifications and Fee Must Ac ompany Application. All work shall be performed in accordance with City
Codes and Ordinances.
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PEIZMIT EXPIRES IN 6 ONTHS WITHOUT APPROVED INSPECTIO
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CALL FOR INSP CTION - 8 HOUR NOTICE REQUIRED
PROT CT CARD FROM WEATHER
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City of ZephyrhiIis
BUILDING PLAN REVIEW CONIMENTS
ContractorlHomeowner: M��Ri A S o�a �n�£�ay
Date Received: 1 {� — � '�
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Site: 7�t'q ERCyAAJTV�r.�.� C r!L
Permit Type; ,�itSTA�i.. �a1.AA, � �TBR. CA ic�
Approved w/no comments: Approved w/t e below cornments: ❑ Denied wJthe below comments: D
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This comment sheet shall be kept with the permi ancUor plans.
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Ka1 �n r—Plans Examiner Dat Contractor andlor HQmeowner
{Required when comments are present}
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813-780-0020 City of Zep yrhills Permit Application Fax-813-780-0021
uilding Department
, ' �'�G�i5S� �ctl.�tc�c,-1
Date�'r�eceivecl // �(�� �` � _�`�C�,
� (� " � Phone Cont ct for Pe�mitting
Owner's Name '1--J- �� Owner Phone Number , � - � (02�
Owner's Address - � '�y� Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
.
Fee Simple Titleholder Address • "
JOBADDRESS C(� i `�- h�\� LOT# `��
SUBDIVISION (Z�tV��.1nj I�li P CEL ID#' �J -�S���-���C -C:�QC� �G�-tCfl C'i- -
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR A D/ALT ,0 SIGN 0 0 DEMOLISH
� INSTALL 8 R PAIR ,
PROPOSED USE 0 SFR Q C MM • 0 OTHER "
TYPE OF CONSTRUCTION Q BLOCK Q F ME �� STEEL �
DESCRIPTION OF WORK ��� �ol��- ��a� ct�C r� H -}-:K � S�"L'
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BUILDING SIZE SQ FOOTAGE HEIGHT
�BUILDING
VALU ION OF TOTAL CONSTRUCTION
DELECTRICAL $ AMP S RVICE 0 PROGRESS ENERGY 0 W.R.E.C.
�PLUMBING $J/( G r iy
!� l�s (
�MECHANICAL $ VALU TION OF MECHANICAL INSTALLATION s \��
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FINISH�ED FLOOR ELEVATION� ROOFING 0 F OOD ZO I E� OTHE�YES NO
BUILDER I � COMPANY
SIGNATURE ��-r`�n �°' �r ��r5� REGISTERED Y/ N FEE CURRE� Y/N
Address I License# C..�C4��c.o(�
ELECTRICIAN COMP I Y
SIGNATURE REGISTERED ' Y C N FEE CURRE� Y/N
Address I License#
PLUMBER f I I c COMPI �U�'r�C�✓L so(C�r- ��"C�
SIGNATURE - REGISTERED Y/ N FEE CURRE� Y/N
Address � � � � I License# C�VG���� 7
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address I License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
RESIDEMTIAL 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 d te. Requ'ired onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities 8�1 dumpster;Site Work Pe it for subdivisionsAarge projects
COMMERCIAL Attach(3)complete sets of Building Plans plus Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal d te. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Pe it for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW nstruction.
Directions: I
Fill out application completely. �
Owner&Contractor sign back of application,notarized i
If over$2500,a Notice of Commencement is required: (A/ upgrades over$7500) _ , _ , , , „ .
" Agent(for the contractor)or Power of Attomey(for,the owner) ould 6e.someone with notarized letter from owner authorizing same • � '
OVER THE COUNTER PERMITTING (Front of Application O�ily) `, i, � '
Reroofs if shingles Sewers Service U.p,gracles,:PJC�, ences,.(PIoUSurvey/Footage) '
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Driveways-Not over Counter if on public roadways..needs RO �
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NQTlCE OF DEED RESTRICTIONS: The undersigned understands that thts permit may be subject to°deed" restrictions" ~
which may be more restrictive than Caunty regula#ions. The undersigned assumes responsibility far compliance with any
applicable deed restrictions.
UIVLtCEMSED GGINTR�4C'TQRS AND CflNTRACTOR RESPONSiB1LIT1(ES: tf the awner has hired a con#ractar ar
contractors ta undertake work, they may be rsquired to be licensed in accordance with state and local regulatians. If the
contractor is not licensed as required by law; both the owner and contractor may be cited for a misdemeanor violation
under state iaw. if#he owner or infended contrackor are uncertain as to what licensing requirements may apply for the
intended work, they are advised to contact the Pasco Caunty Building Inspection Division—Licensing Seckion at 727-847-
8009. Fur#hermore, if the ornrner has hired a contractar c�r contracfors, he is advised to have fhe canfractor{s) sign
portions of the "conkractor Block" of this applicatian for which they will be responsible. If you, as the owner sign as the
contracfar, tha# may be an indicafian that he �s not properly licensed and is nat enti#led ta permitting priviJeges in Pasco
County,
'TFtAPISPOltTATlON IMPNC7lU7'ILITIES !lUIP'AC'C I0.iVD R�SOURCE RECQVERY FE�S: The undersigned understands
that Transpor#atian Impact Fees and Recourse Recovery Fees may appiy ta the construction af new buildings, change of
use in existing buildings, or expansion of existing buildings, as specftied in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also tanderstands, fhat such fees, as may be due, wi11 be identi�ied at#he time of
permitting. It is further understoad that Transportation Irr�pac# Fees and Resource Recavery Fees must be paid priar to
�eceiving a °certificate of accupancy" or finai power release. !f the project does not irtvoEve a certificate af occupancy or
finai power release, #he 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 Caunty ordinances.
Ct��1STRUCTION �IEN I.AW(Chapter 713, �larida Statutes� as amertded). if vaivafion of work is $2,500A0 ar more, 1
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protectian Guide" prepared by the F[orida Departrnent of Agriculture and Cansumec Affairs. If#he applicant is someone
other than the"owner", I certify that I have obtained a copy of the abave described document and pramise in good faith to
deliver it to the°owrter"priar to cotnmencement.
C�NTRACTQR'S/ClWNEF2'�A�FI�AVIT: i certify that a1i the information in this application is accurate and that all work
will be done in compMiance with all applicable laws regulating construction, zoning and land develapment. Application is
hereby made to ob#ain a perm'rf to do work artd instalEation as indicated. 1 cer#ify that no wark or instaliat'san has
commenced prior to issuance of a permit and that all work will be pertormed to meet standards of all laws regulating
construction, Gaunty and City codes, zoning regulations, and land development regu#ations in the jurtsdlcfion. 1 alsa
certif.y that i undersfand that the regulations of other government agencies may apply to the intended work, and that it is
my respansibility to identify what actions I must take ta be in compliance. Such agenciss include but are not limited to:
- Departmenf af Environmental Pratecfion-Cypress Sayheads, Wetland Areas and Environmentally Sensifive
Lands, WaterNVastewater Treatment.
- Soufhwrest Florida WaEer Management Dis#rict-We11s, Cypress Bayheads, Wetland Areas, Attering
Watercaurses.
- Army Corps of Engineers-Seawalls, Qocks, Navigable Water�nrays.
- Department of Health & Rehabiiitative ServiceslEnvironmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
1 understand that the foflowing rest�ictions apply to the use of f€11:�
- Use of fill is not alfowed in Flood Zone"V"unless expressly permitted.
- !f the fill materia! is to be used in Flood Zone "A", it is understood that a drainage plan acidressing a
"campensating votume" wiii be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
- If the fill material is #o be useci in Flood Zane °A" in connection wi#h a permifted building using stecn wall
canstruction, I certify that fill will be used only to fill the area within the stem uvall.
- !f fill materEal is #o be used in any area, 1 certify tttat use of such fill will not adverse[y affect adjacent
properties. If use of fill is found #o adversely affect adjacent properties, the owner may be cited for violating
the conditions of the building permit issued under the attached permi# application, for lats less than ane (1}
acre v�rhich are elevated by fiil, an engineered drainage plan is required.
If I am the AGENT FOIt THE OIAINER, I promise in good faith to inform the owner of the permitking canditians set forth in
this a#fidavit priar to eor�mencing construction. t understand that a sepatate permi# may be required for elecfrical wark,
plumbing, signs, wells, poals, air conditioning, gas, or other installations nat sp�cifically included in the applica#ion. A
permit issued shall be cQns#ruec! to be a license to proceed with the worlc and not as authority to.violate, cancel, alter, ar
set aside any provisions of the technical codes, nor sha(i issuance of a permit prevent the Building Official from thereafter
requiring a correction of errars in plans, construction or violations of any codes. Every permit issued shalt become invalid
unless the work authorized by such permit is commenced within six mon#hs of permif issuance, or if work authorized by
the permik is suspended or abandoned far a period of six(6) months after the time the work is commenced. An extension
may be requested, �n writing, from the Building Q€ftcial far a period not ta exceed ninety (90} days and will demonstrate
justifiable cause for the extension. If wrork ceases for nine#y(90)consecutive days, #he job is cansidered abandoned.
{iiiPiRNING TO OWPI�R: YOUi� �AiLURE TO RECORD P► FlCfTICE OF COMIIflENC�MEWT fiflAY itESULT IN 1rOUi2
P/�►YING.TWICE.F07�.IeVIPROVE.MEN7'S TO Yi�UR PROPERYY. IF YOU IN'TEN�J TO OBTAIN FINANCING, CCJNSULT
WITFi YOUR��NDER OFZ A�1 P►'1'T`ORN FORE�tECORDING YOi�R NfJT�E�F CO#U1�4ttE ENT.
FLORIDA JURAT(F
O1M1tNEft OR ENT COPlTRAC R
Subscribed and sworn o ar afftrme Is Subscribed swom to(or affirmed)be ore me is i
by by
Who islare personalty k�own to me or haslhave produced Who islare personally knawn to me flr has/have produced
as Idenk(fication. as idenkificatian.
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.•y OEL Nokary Public ' � �"�'� �� Notary Public
f.s :.= om ssiort#FF i37073 �"� ��
_� �4r Expires June 29,2018
Com '= Ex ires June 29 Com I s P.••
����f�fi�`�� 8ondedThmTtayFainlneurance600386-7Q79 �P��n�"
Name of Notary typed,printed or stamped' Name of Notary typed,printed or stamped
D I IIIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII I�III IIII IIII 1_
�� � J 2014185752
- PennH No. Parcel ID No_�\ ".C[��G l�(�'���J ��(3a00 ��'T�Q
NOT CE OF COMMENCEMENT
Stete ot i ���y��C�e
iHE UNDERSIGNED herehy gives noSce ihat Improvement be made to cettein reai property,and in aaordanc8 with Chapter 713,Fladda Stetutes,
Ihe follaving i�Aormation ts praviCed in tttis Notice M Concne nt
1. Desulptlon ot Property:Parcd Id ntificelan No. � � � �O -�p
StreetAddress: �C� I(.' `I O
2. General DesatpUon of Impmvement T— � I r ` CL[
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. 3. , Oxmer IMopnat(n or Lessee IMortnatlon If Ihe L e contradad i or the tmprovement: - �
n q Name '/-
1 � i r. � Z r���o___�___.��-v��- «C �3�a�`►U
Address o I Ci�� ' Slate `
Interest In PrapeAy: O d o-
Name of Fee Simple litleholder. I
Qf dd►erenl from er listed etiove)
4. CanVasGOr. �C�rc � � � �� Stale
[�9 tuame � I �l<r_�._,.�,J.. ���Fsl�'
Add�ess I Gry State "
Contracrots Telaphona No.: � — d F,.p�
►+�/f�1
5. S�uety. I N••�
Name I
ia m..
Address City Stete A��
Amount of Bond:S I Tetephone No.: w
8. Lender. " I m rJ+
• Nama � , �
3
, Adaress Ciry Stete - 7 �-+
LendefsTelaphane No.: I C ;i�
i. .. Q
7. Persons within the Stete of FloAda designated the owner upon whom nolices ar ather doaimeats may be served as pmvlded by W B••
SecUon 773.13(i)(a)(�,Flmida Statutes: i �
vom
Name 'O
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Address I City Slale �
Tetephone Number of�esignated Person: A
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8. In addition to himself,the owner designetes �{ 7C
t receiue a co�oi ihe Lienors No6ce av proWded In Sec9on 713.13(1xb),Flnrida Statutes.
Telephone NumDer W Persan ar Entdy Designeted Dy Ovmer: �
9. E�'vation date of NoBce of Commencemerd(Ihe iralion dete may not be befare the complelion of construdion and flna!paymeN lo lhe
� cantraaor,but witl be one year fmm 1he date of rdinp unlesv a a'fierent tlate is specified):
WARNING TO OWNER: ANY PAYMENTS MAD BY THE OWNER AFTER 7HE EXPIRATION OF THE NOTICE OF COMMENCEMENT F'D
ARE CONSIDERED IMPROPER PAYMENTS NDER CHAP.TER 773, PART 1, SECTION 713.13, FLORIDA STATUTES, AND CAN
RESULT IN YOUR PAYIN(3 T1MCE FOR IMP OVEMENTS TO YOUR PROPERTY. A N0710E OF COMMENCEMENT MUST BE ��a
RECORDED AND POSTED ON THE JOB SITE B FORE THE FIRST INSPEC710N IF YOU INTEND TO OBTAIN FINANCING,CONSULT ��N
, WITH YOUR LENDER OR AN ATTORNEY BEFO COMMENCING WORK OR CaRDING YOUR NOTICE OF COMMENCEMEN'f. ��,
Undet peneity M perjury,l deUare that I have read the faegoinp nadce c cement en Ihat Ihe f cts ed fh re We to the hest �~z
ot my knowtedge and belieF. I 'A
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STATE OF FLORIDA �O r
COUNTY OF PASCO I �N�
S M r Lessee,or or Authoriva
I dDf tcHPertnerlManager �"�p�i °�
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' StgnataNs dielOtBce r o
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The forepoing InsWment was adcnowledg before me Ihi � day o � 20`r hy_ C< <', /� ` � m
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(type of auU�ority.e.g..o�.hus trom er1)tar �f x
� � (neme haHofwhom' enl�i�wted). �f��..a°
Personelty Knam�Q$Produced IdeMi6ptlon�J Notary S(gnatu V, 3
Type at Identficatlon Produced i � Na�ne(P�inq � A
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�"' �' ""iq, MELISSA MAE CAMERON, , �
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t i• MY COMMISSION#FF 2018
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�TATE OF FI.ORIQA, CUUN7Y OF P�SCp �a�D�CB,q$
THIS IS TU CERTIFY THA7 Thi��OF2EGQ1NCa IS� ,�..`S ° ' s ��
TRUE AND GC�RRECT CQPY 4F THE GaCUNi�NT � . ��
ON FILE aR aF PUBLiC RECOR(� IN 3H1S OFFiGE G
WITNESS MY HAND AN QFF4ClAL SER+�TNI� '� ° ` ° �
__���Dt�Y t�F • 2 t7/ � , rr:Gox�,�r�r'.
PAU� S c�' IL, CLERK&COMPTROLL R �"'a�°:, •` �
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DEPUTY CLERK , d8 O ' �
BY �� . � 8� �
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