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Home My WebLink About07-7021 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 PLUMBING PERMIT 7021 Permit Number: Permit Type: Class of Work: Proposed Use: Square Feet: Est. Value: Improv. Cost: Date Issued: Total Fees: Amount Paid: Date Paid: Work Desc: 7021 SEWERLlNE REPLACEMENT SEWERLlNE REPLACEMENT NOT APPLICABLE Address: 4755 19T ST ZEPHYRHILLS, FL. Township: Range: Book: Lot{s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 14-26-2100010-02600-0030 1,000.00 41.00 41.00 9/13/2007 REPLACE SEWERLlNE Name: DAHLBACK, DANIEL& GELONEK, BRITT Address: 4755 19TH ST ZEPHYRHILLS, FL. 33542 Phone: 813205-2397 ~~~ q( '4{CJ7 ~ FINAL REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)( c) when extra inspection trips are necessary due to anyone of the following reasons: a) wrong address b) condemned work resulting from faulty construction c) repairs or corrections not made when inspections called d) work not ready for inspection when called e) permit not posted on job site f) plans not a job site g) work not accessible. 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 Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances ~L5Jc j~ CONTRACT R PER OF I PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813-780-0020 Date Received Owner's Name City ot Lepnyrnllls t"'ermll I-\PPlllji:1l1UII Building Department . -.. - . - . - - - - - . j Owner Phone Number Owner Phone Number I Owner Phone Number I Fee Simple Titleholder Address I I '-f I 5 5 J, q -It sf. I (fJ(j)t~j flf'lst JOB ADDRESS SUBDIVISION WORK PROPOSED PROPOSED USE TYPE OF CONSTRUCTION DESCRIPTION OF WORK PARCELID#I/4. J~ -J/~ b olD- b2(gOD -DO ?>O (OBTAINED FROM PROPERTY TAX NOTICE) o SIGN D MOVE 0 DEMOLISH o o 8 o o I replare ADD/ALT REPAIR COMM FRAME I E1 D D seWer II~G BUILDING SIZE I I ,sa FOOTAGE I HEIGHT I 111..'...;....................,............\.1............................................,..................................................,.... NEW CONSTR INSTALL SFR BLOCK 0 BUILDING 0 ELECTRICAL 0 PLUMBING 0 MECHANICAL LOT # OTHER STEEL I D OTHER I VALUATION OF TOTAL CONSTRUCTION D PROGRESS ENERGY D W.R.E.C, AMP SERVICE VALUATION OF MECHANICAL INSTALLATION 1$ 1$ 1$ Ij on D 1$ o GAS D ROOFING 0 SPECIALTY D OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES ONO 111'11'111'1"'1"""11""'11"1"'1'11"111'11"'""'11"":1111"1"1"1"1""'1'1'11'1"1"1"1"1111"11"'11""'111"111'11'11"1111111' BUILDER SIGNATURE COMPANY REGISTERED COMPANY REGISTERED Address PLUMBER SIGNATURE Address MECHANICAL I SIGNATURE Address I ' OTHER I SIGNATURE Address I COMPANY REGISTERED COMPANY REGISTERED Y/N FEE CURRENT YIN License # Y / N FEE CURRENT Y/N License # I I~o+o .7\bO fQR. I Y/ N I FEE CURRENT I Y/N I License # I C Fe... It{ J-" II ~ Y/N FEE CURRENT Y/N License # Y / N Y/N FEE CURRENT License # 11111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111 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 onslte. Construction Plans, Stormwater Plans w/ Silt Fence Installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects COMMERCIAL Attach (3) 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 wi 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. 11111111111111111111111111111111111111111111111111111111111I111111111111111111111111111111111111111111111I1111111111 i 1I11111111111I11I11II11111111 Directions: Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500. a Notice of Commencement is required. (AlC upgrades over $5000) 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 (Front of Application Only) Reroofs Sewers Service Upgrades Ale Fences (PloUSurvey/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 und.ertake 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 violatioh ~nder state law. If the own.er 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 Sedion at 727-847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sigh 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 o,f hew buildings, change of use in existing buildings, or expansion of existing buildings, as specified in Pasco Colinty Ordinance humber 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 I, the applicant, have been provided with a copy of the "Florida Construction Lien LaW-Homeowner'!!; Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If 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 Waterw~lYs. 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 "N, 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 "N in connection With a permitted bUilding uSing stem wall construction, I certify that fill will be used only to fill the area within the stemw,all. . .. If fill material is to be used in any area, I certify that use of such fill Will hot adversely. affect a?Jac?nt properties. If use of fill is found to adversely affect adjacent properti~s, the.ow.n~r may be Cited fo~ 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 engineered drainage plan is required. ., . . . . '. If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner ~f the permlttln~ conditions s~t forth In this affidavit prior to commencing construction. I understand that a s.eparate perm~t may ?e reqUlr~d for elect~lca.1 ~ork, lumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically In~luded.1n the application. A Permit issued shall be construed to be a license to proceed with the work a~d not as authorl~y ~o vlol~t~, c,ancel, alter,or ~et aside any provisions of the technical codes, nor shall issuance of a permit prevent the B~II.dlng OffiCial from the~eaft~d re uiring a correction of errors in plans, construction or violations o~ any codes., Every ~ermlt Issued. shall become. Invall . i th work authorized by such permit Is commenced within SIX months of permit Issuance, or If work authorized. by ~ne eS:rmi~ is suspended or abandoned for a period of six (6) months after the time th~ work is commenced: An extensIon ma: be requested, in writing, from the Building Official for a period not t~ exceed nrn~ty ~90) daYJ and Will demonstrate justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the Job IS consl e~ed abandoned. ~:~=~~~EO:'~EI~P:g~:e~~~~~ ~~i~~~gE~~TI~~g~ 1~~N~E~~~;:JN~~~wrd~N~Y:t.~ WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEME T. FLORIDA JURAT (F.S.. JJ.17 1J .03). ~ . n f .l\. ~ },O /1 Q k . CONTRACTOR C, ~~ OWNER OR AGENI--C, tv', (.,f /l:> . d d t ( armed) beforE\ me this 9Ut>scribe<<!,.and sworn to (or affirmed) before me thfs ~~J2~~I~,/n ~;oKI~b~t I ~. Sh oj,< p-L 7-/5-()( by -K'rn},~rlb A- :~o~ duced WhOiS/a[;perSOnaIlYknownto~eorhas/haveprOdUCed Who Is/are personally known t me or as av pro 'c as Identification. lA~ as Identification. 'U-r'- Notary Public . i1>.:.:if.~:rv.,~., JACQ~E~INE BOGES Commlsslo o. -<l>E Ceffiml5SIOil 00 6211133 '~i',,,,,li.'f,~ Expires December 12, 2010 Name of Notary typed, ;J~i~ ;;~i~~"'pecl"""'._.'''"O MO'~~IUI.