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Home My WebLink About16-17946 II ` �i CITY OF ZEPHYRHILLS ;�,R �, 5335—8TH STREET (sis)�so-oozo 946 �� PLUMBING PERMIT C� i PERMIT INFORMATION ' - -LOCATION INFORMATION � Permit#:17946 Issued: 11/21/2016 Address: 39523 QUARTZ DR PermitlType: SEWERLINE REPLACEMENT ZEPHYRHILLS FL Class of Work: SEWERLINE REPLACEMENT Township: Range: Propo�ed Use: NOT APPLICABLE Lot(s): Block: Section: Sq. Fe�et: Est.Value: Book: Page: � Cost: � 900.00 Total Fees: 46.00 Subdivision: EMERALD POINTE RV RESORT Amount Paid: 46.00 Date Paid: 11/21/2016 Parcel Number: 24-26-21-0040-00000-1590 'f CONTRACTOR IfdFORMATION� - OWNER INFORMATION � Name: HOMEOWNER Name: GRIFFIN VANCE & GAY ; Addr: Address: 39523 QUARTZ DR ZEPHYRHILLS FL 33540-7433 Phone� Lic: Phone: 724-372-8885 Work Desc: SEWERLINE REPLACEMENT � ;, � - APPUCATION FEES � � SEWERLINE 46.00 ii ' INSPECTIONS REQUIRED - � FINAL n ' �� `� � ��, � �� 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 properly that � may b�e found in the public records of this county, and there may be additional permits required from other governmental 1 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 "Wa�ning to owner: Your failure to record a notice of commencement may result in your paying twice for; impr�vements to your property. If you intend to obtain financing,consult with your lender or an attorney; � before recording your notice of commencement." , Comp ete 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 Cityi � Codes and Ordinances. , � i � �, , r i Q�L� i CON CTOR PER OFFI P MIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER � ii �I _ , �� I � , I� u ,, - �i R / � �3111� �_U[= � 1.()T IMPE2()VFMF'.�iT ` E'[ .i��l [ 1 " �6� G.5�7 . E:'Vif�RALI� P()I'.\��E: E3t).�k[) ( )E� I)IKt:C'"l�()RS .4PPROV�;[) Hti'�.�„� - [).1 I��:_ 3 I ;� ,I �� ,; PROPERTI�' FV'AL['.aTIO'.�t ('()N[':ViITTEE �, , ; . l / l :'�PPR()VF:I) E�l' ------ �- . ��_I)�'��l'f:: � 7`"�t� ,, �� F°?�PIRATI()'� t��'��I�t�:: �-�,S'�� . ,i .� [�+SPF('"I�fU'.� H�': I)ATF: � ----- - ;i f�1'�AL 1?�SPf:C'TI()'� E31�' : - ---- f)�TF: �, ,, _ , � � �, .- �� : .� !PLEASE RETL'R'� Tt) l.OT [ MPRnVE'.VIENT COMMITTEE �i ,� , ,� �; . , i• . • :,,;::��-, .... .. :i _•,�. '� � �.� � - i. i I ' " � 813;ieo-oozo City of Zephyrhills Permit Application Fax-813-780-0021 ; ' , jl • Building Department p Date Received �f/a� � Phone Contact for Permitting • r �� – C) OO � Owner's Namll / �. 'e �/P� /�f Owner Phone Number � Q /� I Owner's Address � ��,� Nfv. � . �iC Owner Phone Number j I Fee Simple Titleholder Name Owner Phone Number I I , I Fee Simple Titleholder Address JOB ADDRESS ��V �� dC�Z LOT# � SUBDIVISIOId - C�ffl�� J//l,/ � PARCEL ID# �"�` �`�' `�'" �a��-DODOD.�',��0 � � (08TAINED FROM PROPERTY TAX NOTICE) � WORK PROPOSED B NEW CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH INSTALL REPAIR � , PROPOSED USE Q SFR Q COMM � OTHER TYPE OF CONSTRUCTION Q BLOCK - Q FRAME 0 STEEL Q � DESCRIPTION OF WORK /(� S��U I � BUILDING SIiZE SQ FOOTAGE� HEIGHT ' i N QBUILDING $ (�0�, aO VALUATION OF TOTAL CONSTRUCTION I 7 QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. � QPLI�JMBING $ � (�� t^� �-C QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION � QGAI Q ROOFING SPECIALTY OTHER i 0 0 FINISHED FLIOOR ELEVATIONS FLOOD ZONE AREA QYES NO I � I BUILDER � °– COMPANY �ClJ/,V� I ' SIGNATURE ('�+�- . REGISTERED Y/ N FEE CURRE�. Y/N , Addressl License# ELECTRICIAN COM PANY SIGWATURE� REGISTERED Y/ N FEE CURRE� Y/N Address Cicense# � PLUMBER. COMPANY SIGNATURE REGISTERED Y�/ N ' FEE CURRE� � Y/N Address� " License# i MECHANICAL COMPANY � . SIGNATURE REGISTERED � Y/,N FEE CURRE� Y/N . - �. _ . Address _-L-icens,e# � - ,�: � .. , ., O'THER'� ' �, COMPANY SIGNATURE;; REGISTERED , Y/_N-, . FEE CURRE�' , Y./N � Address _ ` - License# RESIDENTIAL Attach(2).Plof P.lans;(2)sets of Building=Plans;(1)'set of�Energy Forms;ft,0-W Permit for new:construction, �; ,; Minimum.:ten(:10)working'.8ays aftecsubmittal date. 'Requiretl�onsite�Construction Plans,Stormwater Plans w/Silt Fence installed, � � ,� �� Sanita,ry Facilities&�1�.dumpster;Sife Work Permit for subdivisions/large projects. - COMMERCIAL Attach(2)`complete sets of BuilBing Plans 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 Permit forall new projects.All commercial requirements�must meet compliance i SIGPI PERMI� i4ttach(2)sets of.EngineerecJ Plans. � ""PROPERTY SURVEY required for aII.NEW construction. i ___� . _. _ I Di�ections: ,:: -. � I Fill out application completely. ; , Owner 8��Contractor sign back of.application,notarized i If over$2500;a Motice of Commencement is required. (A/C upgrades over$7500) " Agent(fo�tHe contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same ��OVER THE COUPITER P.,ERMITTING (copy of contract required) Re�oofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) Drivewai s-Not over Counter if on public roadways..need's ROW � � I --- II– —.._. _ _� ��,-,�-�--.--.�.W:�� ,-�. :- , Nt3TtCE OF DE�D RESTRICTIBNS: The undersigned understands that#his,.permit.may be subject to"deed"resfrictions"'`��` which may;be more.restrictive:than Caunty ceguiations. The�undersigned assumes��esponsibility�.#o�compliance with`any' `� applicable deec!�estrictions. _ �: .� UNLICENSED CQNTIt�►CTORS AND CONTRACTOR RESP.QNSlBILlTIES: Ef the owrter has hired-a'contractar ar cant�actors to undertake work, they may be required to be licensed in accoxdance with state.and loca! rec�ulations. If the� cantractar is not licensed as required tiy law, both the owner and cont�actor rriay��be cited=for�:a misderrueanor vialation under state law. If the awner ar intended contractar are uncertain as fo what licensing requirements.�msiy_:apply.for-:thef-� intended wock,they are,advised ta confact`the Pasco Caurity Boiiding Inspection"Divisibn-=Licensing Sect�on at 727=847- � 80Q9. Furthermore, if the owner has hired a contractar or cantractors, he is advised to �have the cantractor(s) sign;, portians of the "contractor Block" of this applica#ion for which they.w�ll be respansible. !€you, as°ttie ovir��er sign as��ttie �, contractor, that may be an indication that he is not properly licensed and is not entitied ta perrziitting�pri'vileges in Pasco Caunty. _ . � - • TRANSPORTATICJN tMPACTLUTtLIT1ES IMPACT AND RESt3URCE RECOVERY FEES: 7he undersigne:d understands that Trartsportation impact Fees and Recourse Recovery Fees may,appty to the construction of new.buildimgs, charige ofi�-'�'' ,'` use in existing buildings, or expansion of existing buildings, as speci�ed in Pasco County Ordinance nurr�ber 89-07 and 90-07, as amended. The undersigned also understands, that such fees, as may be due, wiEl k�e identifie� at:t�ie�time�of� � permitting. It is further understood that Transportatian Impact Fees and Resource�Recovery Fees must E�e paid prior ta receiving a "certificate of occupancy� or final power release. If the,project does not involve a certifica#e of occupancy-or. -� _ final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Watee!Sewer.-Impact; fees are dus,they must be paid pr�or to permit issuarrce in accordance with appticable Pa�co County ordinances. CONSTRUGTION lIEN LAW(Ghapter 713, Flarida Statutes,as amended): If valuation of wark is$2,50t).00.ar mare, i,. ., certify that I, the applicant, have been provided with a copy of -the "Florida Canstruction l:ien L.aw--Hameowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. !f the applicant�is someone other than the`bwner", I certify that I have obtained a capy of the above described document and promise�in good`fait{i to deliver it to the"awner"prior to commencement. CONTRACTOR'S/OWNER'S AFFIDAViT: I certify that all,the information in this application is accurate an�d�that ali work wil! be done in compliance with all applicable laws regulating cons#ruction, zaning and tand development. Application is hereby made to abtain a permit to da work and installation as indicated. ! certify that na wark or installatiai�t has commenced prior to issuance of a permit and that all work wil! be pertormed to meet standards of a!I laws regula#ing construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I alsa certify that i understand tha#the regulations of other government agencies may apply to the intended work� and that it is my�espansibility to identify what actions t must take to be in compliance. Such agencies inciude bu#are not limi#ed to: � - DeparEment of Ernironmental Protec#ion-Cypress 8ayheads, Wetlarrd Areas and Environmentally Sensitive Lands,WaterM/astewater Treatment. - Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Ar�,as, Altering Watercourses. - Army Carps af Engineers-Seawalls, Dacks, Navigable Waterways. - Department of Heaith 8� Rehabilitative ServicesJEnvironmental Health Unit-Weils, Wastewate:r,Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos abatemenE. - Federal Aviation Autharity-Runways. 1 understa�d that the following restricfions apply fo the use of fill: - Use of filt is not aliawed in Flaod Zone"V"unless expressly permifted. - !f the fil! material is to be used in Flood Zone "A", it is understaod that a drainage p(an �addressing a °compensating volume" will be submi#ted at time of permitting which is prepared by a professio�nal engineer � licensed by the State of Florida. - If the fill ma#erial is to be used in Flood Zone "A" in connectian with a permitted building usiizg stem wall construction, 1 certify that fill will be used only to fill the area within the stem wall. - if fiH �materiai is to .be used in any area, I certify that use af such-fill will not adversely affect adjacent properties. tf use of fifi is faund to adverse(y affect adjacen# praperties, the owner may be cited for vialating the conditions of the building permit issued under the attached permit application, for iots less than ane (9} , 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 infarm the owner of the permitting canditions set forth in this affidavit prior to commencing construction. I understand that a separate permit may be required for ele�c#rica! work, plumbing, signs, welts, paols, air conditioning, gas, ar�other installations not specifically included in the application. A ", permit issued sha(P be cans#rued to be a iicense#a proceed with the work and not as autharity to vialate, carucel, alter, or , set aside any provisions o€the technicaf codes, nar shall issuance af a permit prevent the Building Official from thereafter requiring a correction of errors in plans, canstruction or violations of any codes. Evecy perrr�ii issued shali beczome invalid unless the work authorized by such permit is commenced within six months 4f permit issuance, or if work a�athorized by #he permit is suspended or abandoned for a period..of six(6) manths after the time the work is commenced. F�n extensian _� � �_� �rnay�e cequested,_ir�wri#ing,-from-the-Buiiding-Official-far-a�periad nat-to-exceed=riinety-(90)days anii williiemonstrate � justifiable cause for the extensian. if work ceases for ninety(90)cansecutive days,the job is considered abandoned. WARNING TO OWNER: YOUR FAILURE TQ RECORD A NOTICE OF COMMENGEMENT MAY RESULT !N YOUR pAYING TWICE FQR IMRROVEMENTS TO YQUR.PROPERTY..IF YOU<INTEND-TO�CIBTAlN FINANGING, CONSULT {NITH YOUR L`ENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. F�Of2IDA JURAT{F.S.117.03} OWNER OR AGENT��;� - CONTRAC70R�� -:�.. Subscri6ed and swom to{ar affirmed} ore me this Subscribed and swom ta tor affirmed efore me this byfP1/�l7l��l'�+l f'��`�.A� �Y.II�.'cG= `� _ • ._ /Jjl � Who islare personal�y known to me or has/have produced ` Wha is/are personally known to me or has/have produced as identification. as identtfication. , Natary Public No#ary Publlc Cammission No. Commission No. Name of Notary typed,pdnted ar stamped Name of Notary#yped,printed ar stamped