HomeMy WebLinkAbout17-18283 CITY OF ZEPHYRHILLS
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�sis��sa-oo2o 18283
PLUMBING PERMIT
PERMIT INFORMATION � LOCATION INFORMATION
Permit#:18283 Issued: 3/20/2017 Address: 6151 12TH ST
Permit Type: SEWERLINE REPLACEMENT ZEPHYRHILLS, FL.
Class of Work: SEWERLINE REPLACEMENT Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 950.00 Total Fees: 46.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 46.00 Date Paid: 3/20/2017 Parcel Number: 02-26-21-0080-00200-0020
CONTRACTOR INFORMATION OWNER INFORMATION
Name: OWNER Name: FIRST CHURCH OF NAZARENE
Addr: Address: 6151 12TH ST
ZEPHYRHILLS, FL. 33542
Phone: Lic: Phone: (813)782-7032
Work Desc: REPLACEMENT SEWER LINE
APPLICATION FEES
SEWERLINE 46.00
INSPECTIONS REQUIRED
FINAL
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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.
CONTRA PER OFFI
PERMIT XPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021
• Building Department
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Date Received .. phone Contact for Permittin -
g.:.
Owner's Name C_ p �� 2 �� Owner Phone Number f��,5�-r T/ '�,O %
Owner's Address l0�.� ,Z� s� Z'� /r (l�/�!1/ Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Addcess
JOB ADDRESS J�r/►,r LOT# �
SUBDIVISION � PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED .. NEW CONSTR ADD/ALT Q SIGN Q Q DEMOLISH
B INSTALL EP I ,
PROP.,OSED USE Q SFR COMM � OTHER —
TYPE`OF CONSTRUCTION Q BLOCK - Q FRAME 0 STEEL Q
w�
DESCRIPTION OF WORK L� S �� L �
BUILDING SIZE SQ FOOTAGE� HEIGHT �
QBUILDING $ ��--� � VALUATIOtV'OF TOTAL CONSTRIJCTION
.
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
OPLUMBING $
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
�GAS Q ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER � COMPANY
SIGNATURE REGISTERED Y�/ N FEE CURRE� Y/N
Address 6(S/ �%� License#
'ELECTRI,CIAN COMPANY�
_ SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address` - License# �
1. '�.r
PCIiMBER.; COMPANY
-'SIGNATURE REGISTERED Y�/. N� ` FEE CURRE� Y/N
Address. � License#' .
- .MECHANICAC COMPANY
"'SIGNATURE" REGISTERED , Y/ N , FEE CURRE� Y/N �
Add�ess��' ` � License.#
;.�;;,. , . . . ,
OTHER".�^` ` - ' � COMPANY
-° SIGNATURE�> >� - Re��sTErteo Y/N FEE CURREK Y/N
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Address� � - - � • - '� ' License#
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'�"�;RESIDENTIAL�,�•`;`Attacli�;(2):;PIot=P.lans;`(2).setsof`Building�Rlans;(1�)`set'of�Energy,For'riis;B'=O;W Permitfornew,construction,
�4�<�,�r,s�.,�--,:Minimumr:ten;;(1Q);workingzdays'afte�,§utiinittal�iiate.�Required onsite;Con"struction Plans,"Stormwater'Plans w/Silt Fence installed,
`'` � � Sanitary,F�acilities;8�;�1.,dumpster_Sife;Work Permitfor:;subdivisions/large'projects� '-' � � -
�1�:GOMMERCIAL Attach(2)complete`sets`of Building Plans plus a Life Safery Page;(1)set of Ene�gy Forms.R-O-W Pertnif for new construction.
- ' - Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stortnwater Plans w/Silt Fence installed,
Sanitary Facilides 8:1 dumpster.,Site Wor�C Permiffo�all new-projects.All commercial requirements,must meet compliance
r'..:$IGN`PERMIT �Attach(2)'sets of,Engineered"Plans:�: �= • �
•"""PROPERTY SURVEY required for.all;NEW construction.. .
-C;�'�- �
;Di�ections: tt ,..., .. -, ,.
.�' -�Fill<out application completely.
-Owner:&Contra�tor sign back of appllcation,notarized
, if oven$2500,a Notice•of Commencement is requlred. (AIC upgrades over$7500) ,
.,..;- ..
;" AgenY(for�th{e�conVactor)orPowerof`Attomey(for'tFie ovirner)would be someone with notarized letter from owner authorizing same
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�;OVER.THE COUNTER�PERMIT,TING, .:- (copy of-contract-required) �
"�Reroofs�if sfiingles Sewers Service Upgrades A!C Fences(PIoUSurvey/Footage) � .
� Driveways-Not over Counter if on-publidroadways.:n'eeds.ROW=.:.. �- _-- .. ., .,�-__ n -� ."-"":_.-�---"�--_.
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