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FF U' F ufl City Of ZephyrhillS P-ER
MIT NUMBE x .
5335 Eighth Street '` f.a R .'
Zephyrhills, FL 33542 BGR-000610-2020
Phone: (813)780-0020
:�y r Fax: (813)780-0021 Issue Date: 08/05/2020
• r;.
Permit Type: Building General (Residential)
Property Number StreefAddress:
14 26 210010 00400 0040 4935 17Th St
-Owner Information-.'. Permit Information. Contrractor Information` ..
Name: ASHLEY ROWELL Permit Type:Building General(Residential)
Contractor:A TO Z CONTRACTING&
Class of Work:Sewerline Replacement PLUMB INC
Address: 4935 17Th St Building Valuation:$0.00
ZEPHYRHILLS,FL 33542 Electrical Valuation:$0.00 i a
Phone: (813)468-1579 Mechanical Valuation:$0.00 /
Plumbing Valuation:$2,400.00 ny
Total Valuation:$2,400.00 U 6
Total Fees:$51.00 /
Amount Paid:$51.00
Date Paid:8/5/2020 10:58:11AM
Project-Description
SEWERLINE REPLACED
ApplicationFees
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 Fax-813-780-0021
Building Department
Date Received ( S Z�Z� Phone Contact for Permitting n— ,,//�O�i
Owner's Name Owner Phone Number T
81� /,S
Owner's Address S 7 S Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 7 3 LOT#
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH
R INSTALL B REPAIR
PROPOSED USE = SFR 0 COMM = OTHER
TYPE OF CONSTRUCTION = BLOC,K, / 0 FRAME = STEEL =
DESCRIPTION OF WORK 5f X;?Svz/i Y)e_"
BUILDING SIZE SQ FOOTAGE HEIGHT
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY Q W.R.E.C.
EEIPLUMBING $- d ®®
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING 0 SPECIALTY = OTHER l
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATUR9 REGISTERED Y/ N FEE CURREN Y/N
Address �j /L'iicense#
PLUMBER COMPANY �" �`� /
:SIGNATURE REGISTERED Y/ N FEE CURREN I Y/N Address I License# 2 79
2-Z—
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address F77 License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address I 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..,(A/C upgrades over$7500)
" Agent(for the contractor)or Power of.Attorney.(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING- (coo y'of contract Irequired)
Reroofs if shingles Sewers' Service Upgrades,,A/C. f. Fences(Plot/Survey/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-may be 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.may 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 also understands, 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 713, 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.. 'lf the applicant is someone
other than the "owner", I certify that I 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 certify that 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 work and installation as indicated. I 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 City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that 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 Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
Army Corps.of Engineers-Seawalls, Docks, Navigable 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.Zone"V"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 the 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, 1-:certify that. use of such fill will not adversely affect adjacent
properties. If use of fill is found to adversely affect:'adjacent properties, .the owner may be cited for violating
the conditions of the building..permit 1ssued'.underthe.,attached permit application, for lots less than one (1)
acre which are elevated by-fill, an.engineered drainage-,plan"is required.
If I am the AGENT FOR THE OWNER, I promise in.goodfaith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required:for electrical work,
plumbing; signs, wells,pools, air conditioning,.gas, or other installations not specifically included in the application. A
permit issued 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 of the technical codes, nor shall issuance of a permit prevent the Building.Official from-thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every•permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six(6)months after the time the work is commenced: An extension
may,be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO-.RECORD 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_ATT_ORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.-
FLORIDA __ _
JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTO
Subscribed and sworn to(or affirmed)before me this S scribed an m o to(or affirmed)b ore me this
by .s Zd W by
Who is/are ersonall known to me or has/have produced ho is/sir a on�11 known to me or has/have produced
p y as identification. t�7rp AMV !. tet 49 as idenfication.
Notary Public ANotary Public
Commission No. Commis
#i .
JACQUELINE BOGES
Name of Notary typed,printed or stamped Name of Notary Expires December 12,2022
Bonded Thru Troy Fain lnsuraaoe aoo•38,&7o19
A-to Z Contracting.& lkm i=, Inc
The Leak_Mast a-
406 Hahne Rd**Jackson lle, Fl '32221.
aiazotjax vah0® 0M
904 0007090
A-' ust�03 2020'
Pe'i mitting office
Brc tt Thornas of A'to Z Contracting and Plumbingluc
CF 1.427822
A thorizes the following people to Pull Permits:,arid Pay_for., iein in your County
Zephyyrhills.Building,Department tluy a period of'g/3/2020 to 913/2020
Eri Sadl'rn
Gle Mason.
i ature
Swore to and Subscribed before me:
Thi, day:of August 2020
My Comm'. sign Expires
(Notary signature)
SEAN HA READER
Notary Pubii -State of Florida
Personally known.k or Produce Identification Gore l = 0199327
My Commisslon Tres Mar 9,2022