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rcnn�un' City of Zephyrhills PERMIT NUMBER
5335 Eighth Street
Zephyrhills, FL 33542 BGR-000427-2020
' Phone: (813)780-0020
' Fax: (813)780-0021 Issue Date: 07/22/2020
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Permit Type: Building General (Residential)
Property Number Street Address
11 26 21 0010 10700 0160 5642 16Th Street
Owner Information Permit Information Contractor Information
Name: ELI REEDY Permit Type:Building General(Residential) Contractor: SEALAN ER CONTRACTOF
Class of Work:Sewerline Replacement SERVICES INC
Address: 5642 16Th St Building Valuation:$0.00
ZEPHYRHILLS,FL 33542 Electrical Valuation:$0.00 /
Phone: (813)267-0220 Mechanical Valuation:$0.00
Plumbing Valuation:$2,200.00
Total Valuation:$2,200.00
Total Fees:$51.00
Amount Paid:$51.00
Date Paid:7/22/2020 11:26:28AM
Project Description
REPLACE 4'SEWER LINE
Application Fees
Sewerline Replacement Fee $51.00
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,for each subsequent reinspection.
Notice: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permit required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning to owner:Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans, Specifications add fee Must Accompany Application.All work shall be performed in
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CONTRACTOR SIGNATURE PE IT OFFICE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
/
813-780-0020 City of Zephyrhills Permit Application I!�p r l7' Fax-813-780-0021
Building Department
Date Received Phone Contact for Permitting -
Owner's Name J % 1. (�� �� Owner Phone Number
Owner's Address 5^(D r/A tLA 5 I4LS rL3 vI Owner Phone.Number
Fee Simple Titleholder Name I t�k C�` Owner Phone Number
Fee Simple Titleholder Address 61.g 1 /(p$r
JOB ADDRESS (o'/.2 1, 16� 3S-191-a— LOT#
SUBDIVISION PARCEL ID# C//
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK-PROPOSED e NEW.CONSTR e ADD/ALT = SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE = SFR 0 COMM = OTHER .
TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL =
DESCRIPTION OF WORK IAA V
BUILDING SIZE SQ FOOTAGE o HEIGHT
14
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY 0 W.R.E.C.
PLUMBING
O
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING 0. SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES ' NO;• :
. \
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N' CURRE� Y'./,,N :•; :,.
Address License#1-
ELECTRICIAN COMPANY
SIGNATURit REGISTERED I Y/ N, . . F.EE CURREA Y/N
Address License
RLUMBER COMPANY je / A��t2 L�ONy�Qi/ o�e c .Q✓i
SIGNATURE REGISTI RED Y/ N. FEE CURREN Y 7 N
Address 30��fim(r�e /�✓� . "License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N''' FEE CURREN ) /N
Address License#
OTHER COMPANY
SIGNATURE 1 REGISTERED Y/ N, FEE CURREN
t
Address License#
RESIDENTIAL Attach(2)Plot Plans;(2)sets;of'Building Plans;(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 for subdivisions/large projects
COMMERCIAL Attach(2)complete sets of Building 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 for all new:projects.All commercial requirements must meet compliance. ,
SIGN PERMIT Attach(2)sets of Engineered°Plans.
""PROPERTY.SURVEY'required for-all,NEW�construction:
'Directions: �,,�,' .
Fill out application completely.
Owner&Contractor sign:back of'application,notarized - -
If over$2500,a Notice of Commencement is-required.;,(N,C upgrades over$7500)
" Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizirig same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers "ge.,Vpgrades,A/C.---• Fences,(PlottSurvey/Footage)
Driveways-Not over Counter if on public roadways.:needs.ROW., .. "`"
NOTICE•OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to .'deed"restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the 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 maybe cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain.as to what.licensing'requirements may apply for the
intended work, they are advised to contact the Pasco County Building Inspection Division—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 Block" of this application for which they will be responsible. 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 IMPACT/UTILITIES IMPACT.AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation-impact Fees and Recourse Recovery Fees rriay'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 alsd-understafids, 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:final power release. If the project does not involve 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 LAW(Chapter 71%Florida Statutes,as amended): If valuation of work is$2,500.00 or more,.I
certify that 1, 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 Affairs. ,If the applicant is someone
other than-the"owner", I certify=thatl•have obtained a copy of the'above described document and promise in good faith to
deliver it to the"owner" prior to commencement.::.
CONTRACTOR'S/OWNER'S;AFFIDAVIT:":I.certiN.Jhat all.the,information in this application is accurate and that all work
will be done in compliance with all applicable.laws�regulating_.construction, zoning and land-development. Application is
hereby .made to obtain a permit to do wo`rk';arid installation as indicated'. 1.certify 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`CK -codes, zoning regulations;: and land.development regulations in the jurisdiction. I also
certify that.l•understandthat 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.agencies include but are not limited to:
Department of.•Environmental Protection-Cypress. Bayheads, Wetland Af 6as-and. Environmentally Sensitive
Lands,WaterMastewater Treatment.. .
- 'Southwest Florida Water Management District Wells, Cypress Bayheads, Wetland Areas, Altering
.Watercourses.
- Army Corps of Engineers-Seawalls; Docks, Navigabl' 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`Zon.e"W" unless expressly permitted.
If the-fill material is to be used in Flood Zone "A", it is understood that 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_thb 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..offill- is found to adversely affect adjacent properties, the owner may be cited for violating
_ the conditions:'.of;the building permit issued under the attached permit application, for lots less than one (1).
` acre which are..elevated by fill, an.eng'ineered drainage plan is required. _
If I'am th'e AGENT:FOR ThE-.OWNER, I promise in good faith to inform the;owner of the permitting conditions set forth in
this affidavit'prio�ao>eommencigg construction. I understand that a separate permit may be required for electrical work,
plumbing,�v.signs,Ivells;:pools; air conditioning, gas, or other installations not specifically included in the-application. A
permit.isaubd'shall.be.-construed:to.be a-license to,proceed with:the-work and not as authority to violate, cancel, alter,:or
set aside'any.provisions;of1he•:technical:codes, nor shall issuance•of�a permit prevent the Building Official from thereafter
requiring:a correction of-errors:-in-plans, construction or violationsof any codes. Every'permit issued shall become invalid
unless th'e-vvgek;authorized%by;,sucli:,permit is commenced within six months of permit issuance, or if work authorized-..by
the perm.it''is susp6hded or-abandoned for a period of six:(6)months after-the time the work is commenced. An extension
may be°Tequested, in writing,from.the_Building Official for a;period,-not to exceed ninety (90) days and will demonstrate
justifiable cause for_the.extension.,�`Ifvii'' ceases for ninety(90)consecutive.days,the job is considered abandoned.
WARNING TO.OWNER:.-.YOUR--FAILURE TO RECORD A NOTICE-OF COMMENCEMENT MAY RESULT'IN YOUR
PAYING`TWICE.FOR`IMPROVEMENT•S"TO YOUR-PROPERTY:`IF YOU`INTEND'TO'OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR'AkATTORNEY BEF_ORE-RECORDING,.YOUR:NOTICE�'OF COMMENCEMENT.
FLORIDA JURAT-(F:S. 117.03) '
OWNER OR AGENT CONTRACTOR
Subscribed and swom to-(orpf rme )before me is Subscribed and s o to;(or a rme before me this
� ,2�jby 'f by o�( �. �]�£e l@ rIC4B/li
o Is/are personally known to me Who i /are personally known to me
s i e i ion.
Notary
a Public ` Notary Public
rtlrq.na 5. ri!'Co• 7 <{'
mission No. �i 3 Q (� Co ission No. 43
Name of Name, f"'^', ^•t_��;ri,�,,nted or stain ed
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