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08-8255
CITY OF ZEPHYRHILLS 5335-8TH STREET • (813)780-0020 8255 PLUMBING PERMIT Permit Number: 8255 Address: 5324 16TH ST Permit Type: PLUMBING ZEPHYRHILLS, FL. Class of Work: PLUMBING RENOVATIONS Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-17200-0170 Improv. Cost: 4,300.00 Date Issued: 8/26/2008 Name: JOHNSON, WILLIAM OTIS Total Fees: 55.00 Address: 5324 16TH ST Amount Paid: 55.00 ZEPHYRHILLS, FL. 33542 Date Paid: 8/26/2008 Phone: (813)780-6143 Work Desc: PLUMB RENOVATIONS OF ENTIRE HOME/REPLACEMENT WATER HEATER DRAIN DOCTORS INC PLUMBING FEE 55.00 Yom'' l000 1ST ROUGH PLUMB 2ND ROUGH PLUMB SEWER WATER FINAL REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection trips are necessary due to any one 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. ork shall be performed in accordance with City Codes and Ordinances CONTRACTOR PERMT1OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER Pasco County Parcel: 11-26-21-0010-17200-0170 001 Page 1 of 2 Search Again Show Map Generalized Building Schematic Estimate Taxes Frequently Asked Questions Other Agency Data: Tax Collector School Board Supervisor of Elections Data Current as Of: Weekly Archive - Saturday, August 23, 2008 Parcel ID 11-26-21-0010-17200-0170 (Card: 001 of 001) Classification 01 - Single Family Mailing Address Property Value JOHNSON WILLIAM OTIS & Ag Land $0 LAURIE LYNN Land $36,824 5324 16TH ST Building $76,499 ZEPHYRHILLS, FL 335425060 Physical Address Extra Features $351 5324 16TH ST Market Value $113,674 ZEPHYRHILLS, FL 33542-5060 Assessed (Save Our Homes) $111,995 Homestead 196.031 - $25,000 Legal Description (First 4 Lines) Non-School Additional Homestead Exemption - $25,000 TOWN OF ZEPHYRHILLS PB 1 PG 54 Non-School Taxable Value $61,995 ALL OF LOT 17 &LOT 18 LESS School District Taxable Value $86,995 NORTH 11.00 FT THEREOF BLOCK Warning: A significant taxable value increase 172 may occur when sold. Click here for details and info, regarding the posting of exemptions. Land Detail (Card: 001 of 001) Line Use IlDescriptionhl Zoning Units Type Price Condition Value* 1 0100 SFR 00R2 6,860.00 SFII $5.26 1.00 $36,084 ��=_6_1_60 II SFR 00R2 1,138.00 II $0.65 1.00 $740 Additional Land Information Acres 0.18 Tax Area II II FEMA Code II X liResidential Codell ZHLHLP2 Building Information - Use 01 - Single Family Residential (Card: 001 of 001) Year Built 1965 Stories 1.0 Exterior Wall 1 Concrete or Cinder Block Exterior Wall 2 None Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle Interior Wall 1 Plastered Interior Wall 2 Plywood Panel Flooring 1 Carpet Flooring 2 None Fuel Electric Heat Forced Air- Ducted A/C Central Baths 2.0 Line Description Sq. Feet Repl. Cost New 1 FOP — 11 570 $9,950 2 ,UST 110 $3,062 3 FOP 125 $2,157 4 BAS 1,309 $91,080 Extra Features (Card: 001 of 001) Line Description Year Units Value 1 DWSWC 1973 120 $113 2 FIRE PL 1973 IJ 1 $238 Sales History Previous Owner CHADWELL ROBT V&ELEANOR Year Book/Page Type Amount 2005 -� 01 6425/ 1538 WD $150,000 http://appraiser.pascogov.com/search/parcel.aspx?sec=11&twn=26&rng=21&sbb=0010&b... 8/26/2008 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received Ti Phone Contact for Permitting 8/5j 77J �9 7/ ' Owner's Name L� /�� `C^�S o �u��L4 Owner Phone Number g( 3 <O 3 Owner's Address cJ3 l Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address / �� JOB ADDRESS 3 / s7� G 1.-- L `� // LOT# SUBDIVISION PARCEL ID '/ -2 - ;z/- O O/D- / 7,2-00-- O/^T O (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR B ADD/ALT SIGN = MOVE = DEMOLISH B INSTALL REPAIR PROPOSED USE SFR = COMM = OTHER F -III TYPE OF CONSTRUCTION 0[� BLOCK = FRAME E STEEL = OTHER DESCRIPTION OF WORK , / tYl�t�e � G� Cr '¢ BUILDING SIZE SQ FOOTAGE l c3 HEIGHT Elil BUILDING $ VALUATION OF TOTAL CONSTRUCTION = ELECTRICAL Is AMP SERVICE = PROGRESS ENERGY Q W.R.E.C. PLUMBING $ 3 O0 = MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION Ellil GAS = ROOFING = SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES LINO BUILDER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT Y/N Address I License# ELECTRICIAN COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N Address I License# PLUMBER COMPANY SIGNATURE > ,REGISTERED R Y/ N FEE CURRENT Y/N Address J�DC� W �iti� �l ��G 7" T License# �C ��� MECHANICAL COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N Address I License# I OTHER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I 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(3)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$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 A/C 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 I, 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 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, I 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 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 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 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. FLORIDA JURAT(F.S. 117.03) OWNER OR AGENT CONTRACTOR Subscribed and sworn to(or affirmed)before me this Subscribed and sworn to(or affirmed)before me this by by Who is/are personally known to me or has/have produced Who is/are personally known to me or has/have produced as as identification. identification. Notary Notary Public Public Commission No. Commission No. Name Name of Notary typed,printed or stamped of Notary typed,printed or stamped ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) PRODUCER 07/02/2008 785-592-5711 I THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION OPTIMA INSURANCE SERVICES I ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE PO BOX 29351I HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1400 BATTLEGROUND 214 A ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. GREENSBORO NC 27429 INSURERS AFFORDING COVERAGE NAIC/ INSURED - ENSURER A. BRIDGEFIELD CASUALTY INS.CO. DRAIN DOCTORS, INC INSURERB 5008 W LINEBAUGH AVE INSURER C TAMPA, FL 33624 INSURER D. INSURER E COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.EXCLUSIONS AND CONDITIONS OF SUCH POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADO'L -- _._..- POLICY NUMBER POLICY EFFECflVE POLICY TION UNITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DMAGETORENTED ?REMISES(Esoaurence)_ $ CLAIMS MADE OCCUR MED EXP(Any one person) $ PERSONALSADVINJURY E GENERAL AGGREGATE $ GENL AGGREGATE LIMP APPLIES PER PRODUCTS,COMPfOP AGO S POLICY LOC PRO, AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Es accident) E I ALL OWNED AUTOS BODILYINJURY SCHEDULED AUTOS (Per person) S HIREDAUTOS BODILYIWJRY NON,O NNED AUTOS (Per acw"t� PROPERTY DAMAGE (Per accident) GARAGE LIABILITY AUTO ONLY EAACCIOENT E ANY AUTO EA ACC S OTHER THAN AUTO ONLY AGO S EXCEBSIUMBRELLA LIABILITY EACH OCCURRENCE E OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE E RETENTION $ $ WORKERS COMPENSATION AND WC S7A?W OTN, A EMPLOYERS LIABILITY 0196-40658 7/15/2008 7/15/2009 X TORY LIMITS ER ANY PROPRIETOR,PARTNERJEXECUTVE E L.EACH ACCIDENT S 1.000,000 OFFICERJMEMSER EXCLUDED'+ If yoS,desnfb.under E.L DISEASE EA EMPLOYEE $ 1,000,QQ0 SPECIAL PROVISIONS Debw E.L DISEASE,POLICY LIMIT S 1000000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS)VEHICLES f EXCLUSIO NS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION [NOTICE HOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION ATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN CITY OF ZEPHYRHILLS TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SMALL 5335 8TH STREET POSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR ZEPHYRHILLS. FL 33542 EPRIESENTATIVES. FAX 813-780-0005 AUTHORQEDREPRE$ENTA ark Van Dom ACORD 2 5 120 01108) v t AC D C TION 1988 ACORDc. CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 02/29/2008 PRODUCER 941 423 9086 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION GREGOIRE FAMILY INSURANCE INC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND EXTEND OR 1435 COLLINGSWOOD BLVD., UNIT G ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PORT CHARLOTTE,FL 33948 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA: NORTH POINTE INSURANCE CO. DRAIN DOCTORS INC INSURER B: PROGRESSIVE EXPRESS 5008 W LINEBAUGH AVE,SUITE 54 INSURER C: TAMPA FL 33624 INSURER D: I INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR D' POLICY EFFECTIVE POLICY EXPIRATION POLICY NUMBERDATE(MI&ifltl/YY1 LIMITS GENERAL LIABILITY 2094118859 03-01-2008 03-01-2009 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES lEa occurencel $ 100,000 CLAIMS MADE O OCCUR MED EXP Any one person $ 5,000 PERSONAL&ADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY PRa LOC AUTOMOBILE LIABILITY 06315638-0 03-01-2008 03-01-2009 COMBINED SINGLE LIMIT - ANY AUTO (Ea accident) $ 500,000 ALL OWNEDAUTOS BODILY INJURY X SCHEDULED AUTOS (Per person) $ INCL HIREDAUTOS BODILYIN $ INCL X NON-OWNED AUTOS (Peracddentlnt) X 1000 DED COMP X 5000 DED COLL PROPERTY DAMAGE $ INCL (Peraccident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHERTHAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 11111 OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE a RETENTION $ $ WORKERS COMPENSATION AND WCSTATU- 0TH- EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT I$ OTHER DESCRIPTION OF OPERATIONS!LOCATIONS/VEHICLES!EXCLUSIONS ADDED BY ENDORSEMENT!SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION CITY OF ZE PHYRH ILLS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN 5335 8TH STREET NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL ZEPHYRHILLS,I LLS, FL 33542 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR FAX: 813-780-0005 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE �l ACORD 25(2001/08) ©j/-AC FORD CORPORATION 1988