HomeMy WebLinkAbout15-15961 CI OF ZEPHY�HILLS
. � 5335-3TH STREET
(si3)�so-oozo 1596
PL MBING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit#:15961 Issued: 1/29 015 Address: 7951 MERCHANTVILLE CIR
Permit Type: PLUMBING ZEPHYRHILLS, FL.
Class of Work: PLUMBING/NEW Township: Range:
Proposed Use: SINGLE FAMILY RESIDENTI L Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 2,900.00 Total Fees: 75.00 Subdivision: CRESTVIEW HILLS
Amount Paid: 75.00 Date Paid: 1/2 /2015 Parcel Number: 35-25-21-0120-00000-0530
CONTRACTOR INFORMATION OWNER INFORMATIOfd
Name: AMERICAN SOLAR ENERGY LLC Name: HIERONS, JOHN & SALLY JO
Addr: 5109 MEADOWS END Address: 7951 MERCHANTVILLE CIR
LAKELAND FL 33810 ZEPHYRHILLS, FL. 33542
Phone: (863)859-7800 Lic: Phone: (813)715-0868
Work Desc: INSTALL SOLAR HEATER F R POOL
A PLICATION FEES
PLUMBING FEE 75.00
INS ECTIONS REQUIRED
1ST ROUGH PLUMB / _ -
2ND ROUGH PLUMB �
SEWER r� �(� /�
WATER I- U
FINAL � - 2� �l S� �i
� �
� ��C� �l S
�r .
c� ��
REINSPECTION FEES: Reinspection fees will omply with Florida Statute 553.80 (2)(c) when extra inspection
trips are necessary due to any one of the foll wing reasons: a)wrong address b) condemned work resulting
from faulty construction c) repairs or corre ions not made when inspections called d)work not ready for
inspection when called e) permit not po ed on job site f) plans not a job site g) work not accessible.
NOTICE: In addition to the requirements of this p rmit, 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 m nagement, 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 notice of commencement may result in your paying twice for
improvements to your property. If you int nd to obtain financing,consult with your lender or an attorney
before recordi g your notice of commencement."
Complete Plans, Specifications and Fee Must Acc mpany Application. All work shall be performed in accordance with City
odes and Ordinances.
- CONTRACTOR PER OFFI
PERMIT EXPIRES IN 6 M NTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPE ION - 8 HOUR NOTICE REQUIRED
PROTE T CARD FROM WEATHER
, � ,
r"�
♦
4 �
� �,,,,.. ...
City af Zephyrhills
BUILD G PLAN REVIEW COMMENTS
ContractarlHomeowner: �l�tE ICAlIJ d1.VlR E��R 6�
Date Received: � ~ ;�� - 1 �
�
Site: 7q +Nt�RC'HANT'VtL = �j�
Permit Type: '.J.rNSTA�. �aLA�t �oa�- ��,4,r��� T�M
Appraved wJno comments: Approved w the below comments: ❑ Denied wlthe belaW comments: ❑
�
This comment sheet shall be kept with the permit andlor plans.
_ /�
Kalvin S itzer Plans Examiner Dat Contractor andlor Homeowner
{Required when comments aze present}
813-780-Q020 Ciiy of Zephy hills Permit Application Fax-813-780-0021
Bui ing Department
Date Received �'"' �� _l,� p}�ane Contac for Permitting � 02 � - ����
Owner's Name hl� 2►21 Owner Phone Number ��3'".��.�a���
Owner's Address / � /"'lL'rL.Y�n.~-�-V i«�- Owner Phone Number r �
Fee Simple Tltleholder Name Owner Phone Number �� �
Fee Simple Titlehalder Address -
J48 ADDRESS `��� rG�s�'�-Y'<<� • LOT# �.5
sue��vrs�oH L.,�S�--vtet�,i N�7(�� P/t.R ELtD# �=°2�-°�` I -�l�G - c��oc�� =c�S'3� - - -- -
' (097AINED FROM PROPERTY TAX NOTICE)
WORK PROPOSEQ e NEW CONSTR 8 ADd! LT � ,StGN Q Q dEMO�ISN
INSTALL REP IR
PROPOSED USE � SFR Q GOM � QTNER
TYPE OF CONSTRUCTION Q BLOCK Q FRA E [� STEEL Q
DESCRtPTiON QF WORK -�-tn,�-al� =���r' �o� � -�� -�cIS�Cf.�{
BUILDlNG SiZE �� � SQ FOOTAGE HEIGHT ��_�
QBUiLD1NG �3� VALUATI N OF TOTAL CONSTRUCTION
QELECTRICAL �>_----� AMP SE ICE � PROGF2ES5 ENEF2GY Q W.R.E.C.
QPl.UMB1NG $� , �o a �
�MEGHANIGAI $ � VAl.UATI N QF MECHANtCAL INSTA�LA7IQN 1�� ��
� ` (� (,�
QGAS Q ROOFING Q SPE tAtTY [� OTHER � �jd Il �`�r`
FINISHED FLOOR ELEVATIONS FLO D ZONE AREA QYES NO P���� 1
y ��`�
Bu��aER o�P�r
SIGNATURE EGISTERED Y/ N FEE GURRE� Y/N
Address License# �- `�
ELECTRICIAN OMPANY
SIC.yNATURE ,,,,, EGISTERED Y/ N FEE CURRE� Y/N
Address L,icense# �- �
V ,/}
PLUMBER �.... � OMPANY t'i�.r•C�n ��at- ��Gs"',S �
SIGNATURE EGISTEfiED Y/ N ' FE6 CURRE� Y/N
Address �icense# �VCG,�"�'�,�� �
MECMANIGAL OMPANY
51GNATURE EGISTERED Y/ N FEE CURRE� Y/N
Address License# � �
DTHER OMPANY
51GNA7URE EGISTERED Y/ N FEE CURRE� Y/N
Address I.icense# �i �
�ESIDEN'TiAL Attaoh(2)Piot Pians;{2)seLs of Building Plans;(1} et of Energy Fonns;R-O-W Permit far new constrvction,
Minimum ten(1d}working days after submittat date. Ftequired onsite,Construction Plans,Stormwater Plans w!Silt Fence installed,
Sanitary Facil(tles&1 dumpster;Site Work Pennit f r subdivisiansAarge projeots
�ONIMERCIAI Aftach{3}camplete sets of Buitding Plans plus a Lif Safety Page;{1}set of Energy Forms.R-O-W Permit for new constructton.
Minimum ten(10}working days'after submittal date. Required onsite,Construction Plans,Starmwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Pe�nit r all new proJects.All commercial requirements must meet compliance
5lGN PERMIT Attach{2)sets af Eng3»eered Plans.
'*"PROPERTY SURVEY required for all NEW con truction.
}Ireat�ans:
Fill out appiication completely.
Owner 8 Contractor sign back of application,notarized
if aver;62504,a Natice af Cvmmenaement fs required. {AJG u grades over$T500j
' Agent(for the contractor)or Power of Attomey(for the owner)wou be someane with notarized letter from owner authorizing same
}VER THE GOUNTER PERM17'TING {Frant of Application Only}
2eroofs if shingles Sewers Servlce Upgrades AJC Fen es(PIoUSurvey/Footage)
Drtveways-Not over Counter(f on public roadways..needs ROW
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit rnay be subject to°deed°restrictions"
which may be more restrictive than County regulations. The undersigned assumes r�;sponsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTOR� AND COWTRAC'TOR RESPOIVSIBILITIES: If tFve 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 licen�ing requirements may apply for the
intended work, they are advised to contact the Pasco County Building Inspection Divi:�ion—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 th�y will be responsibl�e. 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 IMPAC7/UTILITIES IAflPACT'AND RESOURCE RECOVERY FIcES: The undersigned understands
that T�ansportation 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 "certificate of occupancy" or�nal power release: If�e project does not iinvolve 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 LAI�I(Chapter 713, Florida Statutes, as amended): If valu��tion 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�ffairs. If the applicant is someone
other than the"owner", I certify that I have obtained a copy of the above described doc:ument and promise in good faith to
deliver it to the"owner" prior to commencement.
COIVTI2ACTOR'SIOV11NEit'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construction, zoning an�d land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certiiy 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 agenci�s include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Aneas 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 tFiat 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, tFue owner may be cited for violating
the conditions of the building permit issued under the attached permit ap�plication, 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 specific��lly included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as �wthority to.violate, cancel, alter, or
set aside any provisions of the techhical codes, nor shall issuance of a permit prevent�he 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 Official for a period not to exceed nine�ty (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: YOUR FAILUI2E TO RECORD A NOTICE OF COMMENGEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEflAENTS TO YOUR PROPEIZTY. IF YOIJ IN�END TO OBTAIN FIN�►NCING, CONSULY
1NITH YOUR LEWDER-O�@ Q,N-ArTYORNEY BEFORE FtECOFtDING YOUIZ NOTICE 01=COMM EMENT.
FLORIDA JURAT(F.S. .
OWNER OR AGENT ,�� CONTRACTOR
Subscribed and sworn to(or affirmed)before me this Subscribed and sworn to(or affirmed)before me this
by bY
Who islare personally known to me or has/have produced Who Is/are personally known to me or has/have produced
as IdentlficaUon. _as identlfica6on.
Notary Public Notary Public
Commisslon No. Commission No. •
Name of Notary typed,printed or stamped Name of Notary typed,printed or stam�ped
��
j
� _ - � � � � ����i�����«��i��i«�«���«i«��«�����«�i��Eii�����i�E���
2015010842
P�miiiNo. aarrxllDNoS�,LGZ�.��'� al�f� '���-�'��k�{} �
t /fq
o-s�c�ar c�+�n�ersca�w�r�r �
Sleteof �- Cauntgol F �-� �.�_ I
TtiE UtiDERSlGNED tiereby ga�es�tutice ittai imAtotie sr.�ti:s�t Ce made to certai�rea!propeny.and in a:cr.danx t:i�u Giepter Tf3.Flo�da 8t2�uses. !
ibe tatla::+ng intorma:ion is pm�ided tss this No:i:e af Ca mencemenC
t. Oasedp�bna4Property:Parr.e114entUicaticn a.�,� � "' �J �
strcei,�aa=ess: ' ._�i r - � - r' - ! 4�a
3. Cienerzl Cescription cf Improvc ienl � � �`� r�' f'LL-•'c J''•'"' • •
.�
1. Cnvner Infa ation ar Less' intartna�lar.if Ih 4essec wntraaed tor�ne impmvemem:
NJ:ISO .rr'I�i '
l �L"':._ ,.�� f t' � Staia `iji
� Address ' �ny 1
lnteresl tn Pmptny: O G% .
Ft:ms etFca uimpie Titi4hotdcr.�' �Vf ty
pf d:tteren 7rpm O�•:ae�lio.aa aboval N" �
;.daress ��':{, _t��-�'y � Etax �m�
� a. Ganira:tor. ' ' ' 41 pt
m�_�` ' •���� .�t.� • i lQ �m cn
Ii,dtlrnss '�l/'/ Ciry S�aie 111 �
. Cns�tmctnr'5TMeDhcvia":a: �� ���",J �� 7C [A
5. Sur�sy. .�. _ .._.
� Narrte ' `
�-1.'�
! AfldfP.55 Ci11• $�r�IC ' @
Rrraunl of 8and: 5 TeteplixnQ tJO.: .���
t�'�1•►
6. Lafl:tar: __ �_._ — 'C �19
`�ame A 6i
Adtltess V��— Ciy Stats � G�"J
tCadets TnlepJtcr�e:No: _.�._. �
�
7. Farsans v.iihsn n,a Sta;e oi Flodda desic nstek bp n u u:•m�:r upen:•:mm�ratice5 cr otner documems riny bF serv�d as prm7Aed hy
Seulmti 773.59[�)(:�;.!?i.Flnrida Sfa:u�os: ' • ,
Mame ..._ —^ —
hsS:tress '-' City _—•_._ Sfa;'s
Tntephone Nu:nh_r oSOcsignafad Persuo:�_..__�� _,..,.. -
� 8, tn 3tldilir.+�to IurnseS:.111211�A1ElA:5��I1�7Sd �_ .._. -�'-- �D
�c
, _t��::Cena n co�s�•ot tht tieitGr`S:.atice r.s f:at:CeL*3n SecSiGn i 13.1?iS}tb).Flctida Statcvs. �N D
7elenhone tdumber ef Perxon ar E.�tity G^i�natei by Gv,r.er. �w N
3. c�iratian dete o:Nptice uf Cmunse�teai�5t lsite a�;�F.tian date�uay nnt tse beicre stie c�n:pletian at consirutt3os�ar.d�mII1 paynf='ot W ihe• �
��2
centrodor,dut ti:411 be ane year trcnt the d tp Cf rec.^.rdinr unl=ss a ailferent daro is speciGed): `��m
Y2hRNING 70 OLNnER: kl�Y PAYf.7Eh S hfADE 6Y 7N.c GYMER nFTcR THe E%PIRATION UF TH=N^vTICE OF CG1.1ta.s4Cc11ENT
�,i�/�r
.tiHc C4NSt0ERE� {t:lPR4PEP.�PAYt. Nia UtJDE� CHAP7cRi1J. AART f. SEC?IQN7i3.S3, FLORIDA STATU7ES. ANL1 Cny �L4 v
R�SUl.T tPI Y4Ue:PAYSNG�t44CE F R It3PROVE:{C,yTS TO YOt3F? PROP�RN. A NOTtC=�� CObS6t£NCEA4Et.tT L.itlSi Bc N�
* R°CORDED khtD POSTED CtJ 7HF J6 Sii�3EFONE�Hc fiR5T II�SP�C i(4:7. iF YOU 3N'+E.L'D i O OS'!"ASW�iNt1hClNu,COhlSUL'i �" o
4VITH 1'OUR lE1JCER Or'.AN.4TtQRt.c B�FCRE�:l)SSPI.EA!CItvG t-10�K QF.RcCORDIMG YOUR NGTIG°Of CQF.�'dE�iCcL}E0.r,� •p�
rD
UaCCr penaiFj af perjary,l declaro lh�:}h va fectl Ux-lnrag�ing n :ice u/w?ll,fencem nl anU UiaUhe�ects slnte��herear ere I�ve io�he��es� �, �
bf my Kno�daUao nntt b:i3d. • � + � P
Si:.fE OF�LCIRIDR ' A� j i%4� • �1-►m
� C011P1TY qF PASCO ' .., ._..`
--s._.r�= �~:s.natura nt�3.mer��L ,a:O::�er's tir less^e's Auiherix.d �
��t�ifie:ar/DirpctnUPartn�rtbt&aager Q
C";��' �.r 1"" „_ �r�
S:}�tOtyE fl24C��1GCb 3
J a
� �yt���[ � -�swac.�c-i+-F�--�L���t-LL��� ''D
The(oregairg in;lrument,•res eckna:.tedc�d1 a'etor ma Ih�sq.,�„tl>Y y'� ' /.Y0�_6y r°-
qg�W!�(. ,r '_�'�'�� (lyPe Oi 2u0tG11YS'.C.g..offlCEf.INS .^u�t0f110Y 111�8C3}:O[ r
._ {t4nti:8 bf(f.l�`a' ^If p!l•-+fi ..ti:(ri»rti V1.�5 4k8Siila^�7. �
Persor.aiiy K�mr.:t I.�, r?R P��tliked IdcN7iCatioo t�lo:.r�Si�neture �
�
Tvne oi identi�icatioa Praduce� N�.m°. �nnt '
�cG��' `r sa��P. t°' �__...��;:.�',.L ,r.�:�.__.__�._
c
...�+-..�.-�"' .
, r.=o.►e�•"��;�.,M�L.ISSA MAE CAMER4t3
� t.i •� MY Gt)MMlSStON#FF111215
wadata�o:slno�ice:ammznccme��t�c653pa8 t'.'�'i���r �XP1R�S Api'{!8,20'18 '
•��;OP rt`,'•••' service,com
� j ta�7�398-0163 FlorldeNotary
� �-
�����
S�`�T��S�FL��I�i.A,C�4�4��"Y���4�C� �,� _ ; . � ��
7N15!S 1�C?CERTlFY TNA71'HE FC?REGOiNG IS A �'w`'�' ��� �
TRUE AND CORRECT COPY�F THE DOCUMENT y��, , .��
ON FILE C3R OF PUBL{C RtCORD (N THIS OFFiCE
WITNES���¢AY HANQ A OFFI�IAL SEAL TNIS s
,/ � rn G�,:r�lve�icrr • '�
���"'6�AY OF li���'� 2.L��� �
PAULA�O= EiL, C RK&'COMPTROLLER � •
�� �
'� 1887 •�`
BY DEPUTY CLERK '.
��q�'�F�1.0�'��� i