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Home My WebLink About15-16678 / � � " CITY OF ZEPHYRHILLS 5335-8TH STREET (sis)�so-oo2a 16• 8 PLUMBING PERMIT PERMIT INFORMATION LOCATION 1NFORMATION Permit#:16678 Issued: 10/16/2015 Address: 5349 4TH ST Permit Type: SEWERLINE REPLACEMENT ZEPHYRHILLS, FL. Class of Work: SEWERLINE REPLACEMENT Township: Range: Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section: Sq. Feet: Est. Value: Book: Page: Cost: 1,800.00 Total Fees: 46.00 Subdivision: CITY OF ZEPHYRHILLS Amount Paid: 46.00 Date Paid: 10/16/2015 Parcel Number: 11-26-21-0010-09600-0010 CONTRACTOR INFORMATION � OWNER.INFORMATION Name: HARRIS SERVICES UNLIMITED Name: CLUEY L, LINDA Addr: 15752 HWY 301 N Address: 5349 4TH ST DADE CITY, FL 33526 ZEPHYRHILLS, FL. 33542 Phone: (352)521-0707 Lic: Phone: (352)424-5552 , Work Desc: SEWERLINE REPLACEMENT - APPLICATION FEES SEWERLINE 46.00 INSPECTIONS REQUIRED FINAL r ' � � � ll� � � 1� �� REINSPECTION FEES:(c)With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c)the local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or first reinspection,whichever is greater,for each such subsequent reinspection. 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 Application. All work shall be performed in accordance with City Codes and Ordinances. Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. � C NTRACTOR PER OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER }., ; � HARRIS SERVICE UNLTD., INC �� P O Box 2304 Dade City, FL 33526 Sales Order Number: 090915-03 Sales Order Date: Sep 10,2015 Ship By: Sep 10,2015 Page: 1 Voice: 352-521-0707 Fax: 352-518-0000 o. . _ ' . , ,4,;a;.y,� � __- -- _- ;.:Sfii To: . - �� _ - - --- _ - p. LI NDA CLU EY LI NDA CLU EY 5349 4TH ST. 40715 OSTEEN ZEPHYRHILLS, FL DADE CITY, FL 33523 - � - � - -Cus.tomer_ID- -- ` -� - w P0"�Numbe� .� - ;= � �- - - , =.:Sales Rep,Name�---'- CL UEY 813-223-3657 � t .- �. ��.� � ,,: CustomerContacf ' " � �.�Sfiipping.Method� `" � _ - • = - Payment Terms�- ' =�`�" � - - Airborne Net 10 Days - �Quantit - . .. ._- Item.;�..°,�� - - . - � . .. - . _. , , - � - - - .- � - .:- .Y :: °:,� .�.° '..� . ,�� .�;- _ criptiorr , Umt Pnce '�Amount es _ . _-.. .. , � . .. , .- . . . . TOILET NEEDS NEW GUTS CELL: 352-424-5552 *''NEED TWO SERVICE TECHS PRESENT _ � � (� 0 � 5 , �- � � .�'� �� -° f � � c � �� Subtotal 0.00 Sales Tax Fre ig ht 0.00 'TOTAL'`rORDER�ANiOUNT-,<: _ ' = . - , , . . - - - - - 0:00 . ___._ , ,�c��a-�ao-oozo City af Zephyrhills Permit Application Fax-813-780-OQ21 Y BuElding Department . Da#e Racelved phone-Cantactfar PermitEin — Qwaef'�Name ��fl.a Gf r' Owner Phoae Number � �^ 22 3— �� Owner's Address ,1 .Y�q �� Owner Phone Number �� "�2-� ��2- Fee Simple Titleholder Name �� Owner Phane Number �— � Fee 5lmple Titleholder Address JOB ADDRESS �3� �"t�� ' LOT# �__� SUBDIVISION �— � PARCEL ID# / 1 ' ��''� �� ' b0/p -D�b vQ "�7(�j� (OBTAINED PROM PROPERTY TAX NOTICE) WORK PROAOSED NEW CONSTR ADD/ALT [,� SIGN [� Q DEMOI.ISH e INSTALL 8 F2EPAIR PROPOSED.USE Q � SFR Q COMM � OTHER TYPE QF CONSTRUCTION Q BLOCK ' Q FRAME C� STEEL Q DE3CRIPTION OF WORK �i�/ �� .!/�'[v S��L'"L'�� i/r/'� BUILDING SIZE �— � SG!FOOTAGE�� HEIGHT C� � QBUiLDING r6_� VALUATION OF TOTAL CONSTRUCTION L QELECTRI�AL � � AMP SERViCE Q PROGRESS ENERGY Q W.R.E.C. QP�tiM81NG oCJ ,(a'So��? $ ,l�'�� QMECHANICAt. $ VALUATtON OF MECHANICAL tNSTAE.lAT10N ��_��; QGAS Q ROOFING Q SPECIAl�TY C� OTHER FINISHED FLOOR EI.EVATIONS �`--__� F1.00D ZONE AREA QYES NO BUtLDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREA Y/N Address License# � � ELECTRIC1AFt COMPANY SIGNATURE �' REGISTERED Y/ N FEE CURRE� Y/N Address License# � � PLUNIBER 1'� f�"S �R-�ILr Gt�p �'"it-�, COMPANY f" Srz�,Q t/!�� f�J/��fj .,�''vl' SIGNATURE � �. REGtSTERED Y/ N FEE CURRE� Y/N Address License# �G ��7�1�'�f� MECHANICAt» COMPANY SIGNA7URE REGISTERED Y/ N FEE CURRE� Y/N Addres� Licanse# � � OTNER COMPAI�lY SIGNATURE REGI$TERED Y/ N FEE CURRE� Y/N Addre�s � License# �— � RESIDENTIAt: Attach{2}Plot'Plans;.(2)sets of Buitding Plans;{1}set of Energy^Forms;R-O-W Permit for new construction, Minimum�,ten.(1.0),working�days,after submittal date. Requlred onsite,Cbnstructlon-Plans,Stormwater Plans w/Sllt Fence installed, Sanita'ry Faciltties�&�.,1.dumpster,_Site Work Permitforsubdivisfons!large.projects COMM�RCIAI. At#ach{3}camplete sets of Buililing Plans plus a l,ife Safety Page;(1}set of Energy Farrns.R-O W Permit#or new construction. Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence installed, Sanitary FaclliUes&1 dumpster.Sfte Wark Permit far ail new proJects.Aii commercial requirements must meei compElance SIGN PERMIT At#ach(2)sets of Erigineered Plans. , � •«""PROPERTY SURVEY required for all NEW conshuction. . Dlrec#ions: ' ' � , Fili out applicaUon completely. . • � � Owner&Contractor sfgn back of appllcation,natar#zed `', k�.� ' ' ` if ovsr�2500,a Notice af Commencement is required. (A/C upgrades over�750q) _ - , M " Agent(for the contractor)'or Power of Attcmep`(farthe owner)would be someone.with notadzed letter froin`owrier authorizing,same , 7: .. , DVER THE COUNTER.PERMITTING y` (Front of Apphca�on Oniy),,.�,�;""`,;,, � � � � ' �• . ,,.� , ' „ . ' Reroofs if shin les Sewers Service U rades.,A/C`' Fences°PIoUSurve /Foota e - ' � '.,. .. � , ,P9 - .. -, ., � Y 9 )<,, ,. - _ '� _ , Drivewaya-Not aver Counter if on publfc roadways.:needs.ROW • � , � ` � � �-� �• < = -' . ' ,_. . ,. ,. , "'� OT10E OF DEED RESTRlCT14NS: The undersigned under�tands�,that.th(s:p�r:mit.may be.subJect to,"deed"restrlctlons" hich may be�more�rest�[ctiveKtha�n Caunty>reg�latiotis:�Ttie'u�dersigned ass�i�e's'respoi�sitiilityfor�cpmpliance�with any �plicable deed�restriotions, rv . NLICENSED CONTRACTORS -AND �CONTRACTOR RESP�NStBIIlTIES:- Ef �he aw+r�er�ha��lii��a�can#ractor or rntractors to undertake work, they may be r�qutred::to.�be;Ilcensed in accordance.with:state.and•local regulations. If khe mtraator Is not licensed as�.requlred"by law� both�the owner and-contiactor`�rriay be•citeci-for a inlsdemeanor vlolatian zder state I�w. If#he owner or interided=,contrac#ar are.uncartain as to whaE ticensing.requirements may.rappty.>�or.ti�e tended work, they a�re advised ta contact the Pasco Courlty Bulldtng"Inspection Dlvislon---Licensfng�Sectian at 727-847- �09, Furthe�rmore, 'if the owr�er has�hiret3 a contracto� �o�cciiitrac#ors. he is ac{irEsed ta have the con#ractof{s}_ sign �rtions of the "contractor Block° of thts application for whtch they wilt.be.responsibie.. If you, as.:the owner�'sign�as the �ntractor, that�may be an Indication that he is�not.properly 8censed and!s not entitled'to pettriitting privlleges ln Pasco ounty. . . , RANSPORTpTION.IMPACTIUTILITIES IMpAC'�ANb�RESOURCE REC01/ERY�FEES:�The undersigned understands �aE Transporta#lon Impact Fees.and.Rec�.uese Recove.ry.Fees m�ip�_apply-ta:the cons#ruc�an af new�bui_Idings,�change ci€= . �e in existing buildings, or:expansion::of-�existirig',buildings,�as speclfied.in Pascq County Ordlnance number 89-07 and a-47, as amended..,The underslgned also,understands, th�t suah fees,,as�may��e�due„=wi3t:�tie Identlf3ed at the�time�af armitting. it is furtiier understood that Transportation impact Fees and Resource Reco�ery�Fees:must be paid prlor to ' �ceiving a "certificate_of occupancy" ar flnal power.�.release. :If�the proJect:does,not Involueaa..certiflcats of occupancy a� na# pawer release; the fees mu�t be pald pclor to permit issuance. F��thermore;-�if Pasca County�lNaterJSewar�impact :es are due, they must be•paid prior ta permit-lssuance�ln accord�nce.with applicable_Pasco'�County a�dinances. :tJNSTRU�TlaN Ll�N�LAW{Cfiapter 715,�lor�da Statutes,as amend�d}: If vatuat�on of wark is$2,50Q.00.-•ar more� ! . ertify that i, the appiican#, have-been provlded with: a copy of the "Florida-Constructton'.Lien L:aw:Homeawner's rotection Guide" prepared by ttie Florida Deparfinent of Agrlculture and ConsumerAffairs. _tf the applicant is someone ther than th�"owner�, t certifjr that t have.:abtainedTa�copy;of.the,above..des.crtbed docur�ent-and.p.r.omise in,good faith to eliver it to.the°owner"�priar�to�commencemerit:` " . , ;t?NTRACTOR'S10WNER'S AFP[DAVIT: 1 ceitify;#hat a11 tfi�s Inf.arma#tan In thi.s appllc�tton�s accurate ancf that ai1 work rill be done in complfance with all appl(cable laws regulating construction, zpning and_land development. Application Is ereby made te obtaln .a permit,to-do..wotk,;and •Installation as lndl+Gafed:• `I cert#fy-�that no wark or Instailatton ha�s ommenced prior ta issuance of a permi#`°and that':all work witl be performed�to meet standards of aii laws regulating onstruction, County 'and City codes, zoning regulatiQns� and land.develapment cegulations�i� the Jurlsd(ction. ( al'so ertify that 1 uaderstand #tta#the t'egt�latlons t�f other gavet�nment agencies may-apply�to the Mtended wark„ and that it is �y respans(bllity to identify.what.�cttons I must take;to be,ln:.corrlpllance: S.uch agencies Include but are.not Iimtted to: - Department af Envlronmentai-Protecfiori=Cypress.'Bayheacfs� Vltefland Areas and Enviranmen#ally Sensitive Lands,WaterlWastewater Tr.eatment. ' . . - Sauthwest Florida Waker Management .district-WeUs, Cypress. Bayheads; Wetiand Areas� A#tering - Watercourses. - Army Corps of�ngineers-Seawalls, Docks, Navigable 1Naterways. - Department of Health� 8 Ret�abllitathre ServlceslEnvitonmerital Neal#h 11nit We1ts, Wastewater Tteatment, . Sep�tc Tanks. _ - US Envlronmental Protectlon Agency-Asbestas abatemsnt. - Federai Aviatton_Autharity,-Rurnnrays. understand that the following�rest�lctlons apply to#he use of flll:• - Use af fit#is no#allawed in Fload Zone"V"unless expressly permitted. - If the flll materfal is to be us`ed. In.:Flood. Zone °A", tt. is understoad that•a drainage plan addressing a "compensaEing vofume" wili be subr�ttted at t�me ot'permlttEng_which ts prepared by a professional engineer ticensed by#he State of Flarida. , � - lf ihe fill material.is to be used in Flood Zbne 'A" in�connec�fon with.a �ecmitted butlding using stem wal! ' canstrue#ion, l certify that till�w�l#;be used anly.to fill the area wlthin�the�stem�walt. - if fiil materlal is to be used� irt any area, I �certify that .use. of such fill will not adversely affect adjacent prop�rties, E#use o#fl!1 is foand to acivers�ly:�ffect ad�seent properties,.#he owner'may be cf#ed for vlolating the condi#ions of the building:permit Issued under the'attached permit applicatlon, for lats less-than.one (1) acre which are elevated�by ilil;an englneered dralnage plan Is required. � ` . '!am the AGENT`�OR TNE OWNER, I;�romise In good f�ith ta iiiform the�awner of the.permit#ing canditians set farth In iis affidavtt prio�to commencing construction. I undersfand that a-separate permlt may be required for el�ctrical work, r lumbingf signs, weifs, poots, alr condlt�oNng,.gas� or-otl�er Ms#alla�ons_na� speclftcalEy included in.#he application, .A � �srmit Issued shail be cons#rued to be� iicense to proceed with ttie~work and not as authority to.violate,cancel, alter,.ar ` � et aside any provistons of the technlcal.codes; nor shall issuance�af a.permtt.pceven#the Bulldlrig 0�lcta!from thereafter , �quirEng a carrection�#errors In plans,cans#t�uction ar viatatEons of any codes. Every permit issued shatl become invalid ; : �nless the work authariied.by such permit-Is.co�nmencea��with(n sfx months of pe�rnit issuance, or if work authorized by ;.; �re permtf is susper�dad or.abandoned far a.period of§�C{�}months.after the tlme.the�wot'k��s commenced. An eactens�on ` �ay be requested, in writing, from the Building.Official for a period:not to ex�eed ninety�(90) days and will°�demonstrate � ; -��t��bie-caa��-f�r.the exk��asio�:-if work��ases:for n6ne 90 �on�ecu#Ive-d� -th��t��is-co�tside�ed-aba�doned:� _._� Y<_ �v�$ ) w�r.: � a VARNING TO OWNER: YOUR.FAILURE�TO.�RECORD.A.NQTIGE O�•CC�MMBNCEMEMT MAY�RESULT IN YOUR }A1tING TWICE FQR lMPR01%EMEMTS TO.YOU�;PR{�PER'iY. �1�°YOt1Y1N'fE�D'TQ'G1BTA�tN�Fit3tA`i[�CING;�CC#NSUI.T VITH Y U ND IV�A OR ' • 8 FO. �� ECO � �� OU � _ �C `O ' °' C ' EN ' � �.oR�oa auwar tF.s.��a � - . � . . ►WNER 4R AOE G�YJ,�% CQNTRACTO � ubscrlbed and to(or afli e � e#ore me this S�ibscrlbed sn swom-to(or tmtad efore me'ttils. 5Y �Y Jlia is/are personally knawn to.me or has/have produced Who.ls/are p.ersonallyknavm to me or has/have•produced • as entlflcatlon. asidenBflcaUon. / �ry Publtc . Notary PubSEc �ammisslon o, mmisal o. :''��`�'p�°"' Commissian#FF 137473 ,;�;:o�Byr YY JOEI. • #�F i37b73 =*: '"` 018 .�R Q. mission lame of Notaty typed�P�ItltBd - ' F��nsurznce800.305•701(�J e of Nota ty'�ie y�{��e�ti ' � F F 0.�,' 8ondsd'(UNSro�! '4+ ��{ptifSllSaN%e -�8570t9 P.,,a,•, � :+ oQ� SandsdShiuTr�J ,,...�....�....+. r''%�a:,;�•�,,,,�....•�""•..�..