HomeMy WebLinkAbout17-18069 ��
� CITY OF ZEPHYRHILLS
5335-8TH STREET
� (si3)�8o-oozo 18069
� i
� PLUMBING PERMIT �
PERMIT INFORMATION LOCATION INFORMATION
Permit�:18069 Issued: 1/11/2017 Address: 5330 23RD ST
Permit �Type: SEWERLINE REPLACEMENT ZEPHYRHILLS, FL. ',
Class of Work: SEWERLINE REPLACEMENT Township: Range: '�
Pro os�ed Use: NOT APPLICABLE Lot s : Block: Section: I
p ,, � � ) ,
Sq. Feet: _ Est. Value: Book: Page: �i
Cost: 1,500.00 Total Fees: 46.00 Subdivision: ZEPHYR HEIGHTS i
Amoun„ Paid: 46.00 Date Paid: 1/11/2017 Parcel Number: 12-26-21-0040-00500-0140 '
CONTRACTOR INFORMATION OWNER INFORMATION �
Name: HARRIS SERVICES UNLIMITED Name: KENNEDY, ROGER & NANCY
Addr: 15752 HWY 301 N Address: 38601 FERM CIRCLE
DADE CITY, FL 33526 ZEPHYRHILLS, FL. 33542
Phone: (352)521-0707 Lic: Phone: (813)783-1268
Wokk Desc: SEWER LINE REPLACEMENT
I APPLICATION FEES
SEWERLINE 46.00
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INSPECTIONS REQUIRED
FINAL II r
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REIN5PECTION 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° 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
"WarIning to owner: Your failure to record a notice of commencement may result in your paying twice for
imprbvements to your property. If you intend to obtain financing,consult with your lender or an attorney �
I� before recording your notice of commencement."
Comp'ete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City
I Codes and Ordinances.
Comp'ete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City
'I Codes and Ordinances.
II
ONTRACTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO �
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED '�
PROTECT CARD FROM WEATHER �
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H�R�IS�SERVECE UNLTID. INC ,
`P O Box 23 �4 � � ��
� Sales Order Number. 011917-03
Dade�ity, F!� 33526
I Sales Order Date: Jan 11,2017
I 5hip By: Jan 11,2017
I Page: '!
Voice: 352-521-0707
Fax: 352-518-OQQQ r� �'�' �p 2/ 'a0 �¢l� � t�� 5 �� ����
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NANCY KE! NEpY NANCY KENNEDY
533023RD�ST. 533023RD ST.
ZEPHYRHI�LS, FL 33540 ZEPHYRHILLS, FL 33540
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KE�lNEDY-RIANGY 813-392-4386
-_' ; �,Cu °tom�"r;.Contact' ' � - ::SFiipping'Method - �a = . : `Payrinent.Terin"s�, . . -
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Airbarne C.O.D.
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" -G2uari#itjr�- ,Item -. � � .' _ _ -,Descr�eptior� � - � -iJiiit Pr�ce_=`� ` ; =:Arriaunt;- _
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JET LINE
''QUC?TEQ$40Q*
WEDNESDAY 2:30
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S�btotal 0.00
Sales Tax
Fre ig ht 0.00
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70TA1:ORDER AMOUNT� -- ��, �� . - .� -_ � ' � � =„ O.QO`.
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a�s 7so-oozo City of Zephyrhills Permit Application Fax-813-780-0021
- Building Department
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Date Receiveld Phone Contact for Permltting —
Owner's Na Ile /�' �� �,(l�f/G� Owner Phone Number
Owner'sAdd'ess �3 � �3 �� S� OwnerPhoneNumber
�
Fee Slmple�tleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRE�S �3 3� Z� RD s/ ' LOT# �
� SUBDIVISION PARCEL ID# �� � �- � a��'a dOS�� ���a
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED .. NEW.CONSTR ADD/ALT Q SIGN Q Q DEMOLISH
e INSTALL e REPAIR
PROP,OSED I SE � Q SFR Q COMM 0 OTHER
TYPE'.OF CO STRUCTION Q BLOCK -• Q FRAME 0 STEEL Q
DESCRIPTIO OF WORK � S/��� L���-
- �
BUILDING SI�E SQ FOOTAGE� HEIGHT •
. I.
QBU LDING $ VALUATION'OF TOTAL CONSTRUCTION
EL�CTRICAL $ AMP SERVICE PROGRESS ENERGY W.R.E.C.
0 II 0 �
.. L� MBING $ /SO� � ��
. ���
OM CHANICAL $ VALUATION OF MECHANICAL INSTALLATION �
Q,G.S Q ROOFING Q SPECIALTY Q OTHER ���
FINISHED F�OOR ELEVATIONS FLOOD ZONE AREA DYES NO
BUILDER COMPANY �
SIGNATURE REGISTERED Y�/ N FEE CURRE�. Y/N
Addres� License#
"'ELECTRI,CI. COM PANY
.-SIGNATURE REGISTERED Y/ N �FEE CURRE� Y/N
� Addres � - License# � "
_ ,.c�,. ' .S.E�N/G� ��li� ..jst�
PCUMBER.;, COMPANY- . ��.l,s
-'SIGNATURE. REGISTERED , Y/'N FEE CURRE� � � Y/N
Addres ��SZ �'S 3�� �� ��9 dF G 1� r� -License# : � �S'�]��/
� MECHANIC��'' ` COMPANY
SIGNATUREi � REGISTERED ; Y/ N , FEE CURRE� , Y/N
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Ad'ilres =�' I:icense.#
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,.,.OTHER�� °` ' " COMPANY
'�`'SIGNATUR_ :;,�, .• _ - - ' REGISTERED Y/.N_ FEE CURREK Y/N
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�-RESIDENTI ;::;';Attacfi;(2)':Plot'P.lans;;(2)�sefs�of�Buildirig Plans;'(1•)�setof�EnergyForriis;R=,O=W Permitfornew.construction,.
_ 4..�3,`;�,,;`:;Minimum:ten�(�10);wqrking;days;aftec�submittal•ilate.,Requi�ed onsite;'Constructlon Plans,`Stormu"vater Plans w/Silt Fence installed,
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���= "`� � �� ��Sarntary..;Facilibes 8��11dumpster;_Site:,Wor,k Permit-for.,sutidivisions/large.p'rojects �
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=:�:COMMERCIAL Attacti��(2)`complefe`sets'of Buildirig Plan§�plu's 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 FaciliUes'&'1 dumpster.Site Work Permit"fo�all-new projects.All commercial requirements must meet compliance
-:<SIGN-PERM T ""'Atfaoh(2)sets;:of;Engineered;Plansa,� .. ��
�R1IRPROPERT-Y SURVEY[equired for,.aII.NEW construcUon.-
�`=,Direotions: I =,:.;:i•�, ... ..
- - :.� �Eill out�pplication completely.�P��
. �Owner.�Contra�tor sign back of application,notarized
'If:over�2500;a Notice of Commencement is required. (A/C upgrades over$7500)
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+�"'� Agent("rth'e•cont�actorporRower of Attomey'(for'tli'e owner)would be someone with notarized letter from owner authorizing same
�`:'OVER T,HE'COUNTER;,,,P�ERMITTING> _-. _(copy.of.contract required) ' `" �
�_:�R'e�oofs.if:sfi�ngles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Drtvewllys-Not overCounter if on public roadways..rieeds ROW �
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NOTICE OF DEED RESTRtCTif3NS: The undersigned,.undgcstands�that this;permit mayrb,e.:subject to�deed;;restrictions�,_,,�;�:`
which�may:be mare�r.estrietive:�than�Cawnty�regulations:�'�Tfae~unden�igned��assum�es'responsEbility';for'compliancewith�any
applicable deed rsstrictions.. ; �,����_: ��'�:;,°�, s<� °
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• UNLICENSED. CQNTRACTORS A�iD CONTRACTOR RESPONSIBtLiTtES:� if�the-oviiner�has�;hireds.a;:contractor,oc _ -°,
contractors to undertake work, they„may�:be reguired to be�ticensed in acaordance with state_and�local�regula�ions:..�'lf,�tt;ie�;�:"�;.�.:
contractor is�nat licensed-as required��y-'law, botti:the awi�ec=and'contcacfoi�=may<�be�cited for.a rriisdemeanor,violatian� ;;;'
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under state law. if the owner or intended..contractor are'uncertain as #a what.licensing�requirei�rients:�may�appiy..#or;��the':.='��,?
- �.�,:;w.,,� .,...��: �: -- a
intended wark, they.are�advised to coritact ttie'Fasco County"B'uifding inspection'Division_==�Licensing Section at 727=847= ,
8QOS. Furthermore, if the owner has hired`a cont�actor or contracfors, he�is advised to;M�have the contcactar(s);.s,ign,n,�;r;
, ,,n.,,.., .>�,:..,.�o.�s,,a.r;,_; ;.`3,_;.:_;�".-.
portions af the "contractor Block" of this.application,:for which.they will be resp.ons�ble:-:-lf ybu,_as`rttie�o�rrier sign;'as:.:ttie='`��:°,°,�
contractor., that may be an indreation that he is not propetly licensed�anct�is not entrtied to permitting privifeges �n Pasco t,�
County. ; -,- _. - .. .. , _' � _;_a;
TRANSPORTATlON tMPACT/UTiLIT1ES.IMPACT AND RESOURCE RECOVERY FEES:�The underslgned under.stands �;;�:��
, k:-:.,.r,r -:-<.....,.,,
that Tr�nsportatiori lmpac#Fees and Recourse-Recovery F�es.°may,apply to,the;construction.of,-newbui.l.cl�ngs;.ctiange,of�.-u,:!
use in existing buildings,:,or expansion�.of,;:existi�ig�buildings, as specified in Pasco County Ordinance number 89`�4T.arid� `;��
90-07, as amended. The•undersigned afso'ur�derstands, #hat such.,#ees,�as�may=be.due, wilf�'6e:ider�tified�at��ftie��:time;.ofs����r;;�
�..._.�.
permitting. !t is further understoad that Transpor#ation Impacf:Fees:and Resource=Recovery Fees�must be.paid'prior`#o A��
receiving a "certificate of occupancy" or:finai.,power celease. !f the.project does not,inuolve a"cerEificate of aecupaiicy;cit>`��%�*r}=�
final power release, the fees must be-:paid prior,to pecr»it issuance..:Furttierrriore,,.if Pasco:County W;ateriSewer,-=lmpact;.P;,�����
fees are due,they.must.be.paid prior=to.permit�issuance in°accordance with'applica6ie�Pasco�County ordinances. .�
COMSTRUCTiON�LiEN�1:�itN(Chapter 713;�Florida Statutes,.as amended): If valuation of woik is$2,500.00;or more;.:i„p.:� �
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certify that,l, fhe applicant,..have .been��provided with-a,-copy;of„tFie "Florida Construc#ion.��L�en.�_l.aw-Flomepwnec's �
Protectian Guide" preparetl by"tfi�e Florida Depa�tment of Agriculture and Consumer Atfairs. if the applicant is,someqne.�,�,
other than the"awner",;I;ce,rtify...#hat.L:have obtained a copy of the above d'escritied`documenf;,and promise4in.goa,d';faith'to.'��:`,;„,':
defiver it#o the:`;owner".�prior#o,��coiiirriencement:�� ` �' � � �
CONTRACTOR'S10WNER'S AFFIDAUIT�:..,,1='certify that all�the infarmation 'rn#his application is accurate and'that all'work �
wal! be done in compliance with all applicable'laws regufating construction, zaning-and iand�devetopment. Application;is �
hereby made to obtain;,a,,permit �ta �.cla;_Awork=and instaiiation;as ;indicated. I certify thaf no lwork or installation'-.has
commenced prior- to issuance ofi a pe�mit and-that all work will be perFormed ta_meet-standards of a!! laws regulating
canstruction, County and City codes, zoning regulatians, and land development"reguiations�in.the j�risdiction: i.°also #
certify that ! understand that the regulations of other government agencies may apply to the interided work, and that it is .�
my responsibifity ta identify what actions i must#ake to be in compliance._ Such agencies include,but are not:limited.,to: , >!
- A Department of Enviranmental Protection=C.ypress Bayheads, Wetland Areas and Environmeritally Sensit�ve ;
Lands,Wa#er/Wastewater 7reatment. ^.
- Southwest Florida Water 6Vlanagement District Wells, Cypress Bayheads, Wetland Areas, Altering R
Watercourses. �� ' �
- Army Corps af Engineers-Seawalls, Dacks, Navigable 1Naterways.
- Qepartment of Health $ Rehabil�#ative Services/Environmenta! .Health Unit Weffs, Wastewater Treatment, ;
Sep#ic_Tanks. I � -
- US Enviranmen#ai Pratection Agency-Asbestos abatement. <�� �
- Federal Aviation Authority-Runways. �
( understand that.the.followingrestricfians apply to the use of fi!!:
- - Use of fil!is not allowed in Flood Z'one"V'uniess expressiy permitted.
- If the f�ll material is to be used {in. Flood Zone "A", it is understood that a drainage plan addressing a �
"compensating votume° will be submitted at time of permitting which is prepared by a professional engineer �
licensed by the State of Florida. I �
- !f the fill material is to be used in Flaod Zane "A" in cannectian with a permitted building using s#em wall
canstruction, I ceriify that fill�wift bel used only fo fiit the area within the stem wall.
- if fiil materiai is to :be used in ,a'ny:area, t certify that use of such�fill will nof adversely affect adjacent
_. _ • properties. If use of fiA is faund ta,adversely affect adjacent properties, the owne�may be cited for violating -
the conditions of the building permit.issued under the attached-permit application, for�tots less than one {1.) `
acre which are elevated by fii(, an engineered drainage p(an is requi�ed. � . �
If t am the�AGENT FOR THE OWNER, I promise in good faith to inform the owner af.the permitting canditrans set forth in E
this affida�it prior to commencing construction.;=I understar�d that a separate perm9t may be required far electricai.work„ s
plumbing, signs, wells, pools, air conditianing,�gas, .or other installations not specificaliy inctuded in the application: A ` -e .
permit issued shaihbe canstrued to�be a license to proceed with the work and not as authority to violate, cancel, alter, or
se#aside any provisions of the'technical codes, nor shall issuance of a permik prevenf the Building Official from ther.ea€ter `
requiring a correction of errors in plans,<construlction or violatians of�any codes. Every permit issued shali beaome invalid
unless the work authorized by such permit is c'ommenced vuithin six months of permit issuance, or if work authorized by
ttie permit is suspended.or abandoned for a period.;of six(6}mon#hs after fhe time the work i�°commenced. An extension� ,
may be requested, in`writing, fram the Building�fJfficial for a period.not to exceed ninety {90) days and-will demonstrate
justifiabte cause for the extension, If work ceases for ninety(90)consecutive days,the jab is cc�nsidered abandaned.
WARNING-TQ QWNER: YOUR FAiLURE,T„O RECORD_A.NOTICE OF GOMMENCEMENT MAY RESULT iN YOUR
PAYiNG TWICE FOR iMPR1�VEMENTS,,TO YO,UR:RROpERTY. IF YOU,INT TO�OBTAIN•<FtNANCING,GOLVSU�.-.'�-r --- --=--
WiTH Y�Uf2'LENDER OR i4N AT70RNEY_�EFO�F:RE�QRDR�G�09� _ � iCE iQ��GQNINlENCEMEMT:
__ ---FLORdDA JURAT(F:S:T97:03) ! - � "'
OWNEtt OR AGENT � CONTRAC �
Subscribed and swom to(or affirmed)tiefore me this '�� Subsc�i6e d swo to o affi ed be ore me this �
� by � by��,� �����`�
Who is/are personally known to me or haslhave produced ` Wha islare personally known to me or haslhave produced
' as idenHficatlon. � ', as identificat�on.
� Notary Pubfic ' Notary Pubtic
Cammission No. � Commission No.
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Name of No#ary typed,printed or stamped Name of Notary typed,priated or stamped
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