HomeMy WebLinkAbout10-10778 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780 -0020 10778
PLUMBING PERMIT
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Permit Number: 10778 Address:4912 16TH ST
PermitType: SEWERLINE REPLACEMENT ZEPHYRHILLS, FL.
Class of Work: SEWERLINE REPLACEMENT Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 14- 26 -21- 0010 - 00400 -0090
Improv. Cost: 2,350.00
Date Issued: 7/29/2010 Name: SMITH, MYROJEAN & GROVER
Total Fees: 41.00 Address: 4912 16TH ST
Amount Paid: 41.00 ZEPHYRHILLS, FL. 33542
Date Paid: 7/29/2010 Phone: (352)250 -0006
Work Desc: REPLACE SEWERLINE 60FT
THE DRAIN TEAM SEWE 41.00
C
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.
All work shall be performed in accordance with City Codes and Ordinances
46P-
CO NTRACTO - - PER OFFI • =
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO ►`�
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813- 780 -C'20 City of Zephyrhills Permit Application Fax -813- 780 -0021
Building Department
Date Received 7 q
/O ] j A Phone Contact for Permitting 3 3 5 -- 3 t
Owner's Name G re e "v^ "3 , 44 T "` Owner Phone Number 35 -- a5 - 0000 6
Owner's Address ('l e l 1 LA - Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 1 4 0 1 ' — ) b `>.4- 7epVttir IN\ Il5 LOT #
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD /ALT 1 1 SIGN I I n DEMOLISH
INSTALL REPAIR
PROPOSED USE Pc1 SFR Ti COMM OTHER I
TYPE OF CONSTRUCTION I I BLOCK n FRAME I I STEEL 1 1 1
DESCRIPTION OF WORK R2c POpre 60 i-r-e tl .5eLA)°1r p� " -ere rvt \\ct z • 4b4
BUILDING SIZE 5'44 '- 'F k% ■ 1'l SQ FOOTAGE HEIGHT
I BULLDING $ VALUATION OF TOTAL CONSTRUCTION
1 (ELECTRICAL $ AMP SERVICE I I PROGRESS ENERGY I 1 W.R.E.C.
IX PLUMBING $ 3 5--Oe m
I IMECHANICAL $ C/ VALUATION OF MECHANICAL INSTALLATION
I GAS I 1 ROOFING f I SPECIALTY I I OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 (YES NO
BUILDER COMPANY
SIGNATURE REGISTERED 1 Y/ N I FEE CURREN I Y/ N I
Address License #
ELECTRICIAN COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N
Address T-))_ (1 License #
PLUMBER �. � ���� COMPANY f �'1 tJ Y' I ✓l \ e W ^"^
SIGNATURE - � .--" REGISTERED r Y / N I FEE CURREN I Y/ N I
Address 11 5'41 :• Q j R 1 1 -1?-,0 j=L License #
MECHANICAL COMPANY
SIGNATURE REGISTERED I Y/ N J FEE CURREN I Y/ N I
Address License #
OTHER COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y / N I
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 $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 (Front of Application Only)
Reroofs if shingles 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 YOUR , 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 swom 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 Identification. as identification.
Notary Public
Notary Public
Commission No. Commission No.
typed, ranted or stamped Name of Notary typed, printed or stamped
Name of Notary typ p
Pasco County Parcel: 14-26-21-0010-00400-0090 001 Page 1 of 1
Data Current as Of: 1 Weekly Archive - Saturday, July 24, .2010
Parcel ID I 14 26 -21- 0010 - 00400 -0090 (Card: 001 of 001)
Classification I 01 - Single Family
Mailing Address Property Value
SMITH MYROJEAN & GROVER Ag Land $0
PO BOX 511 Land $11,220
BUSHNELL FL 33513 -0029 Building
Physical Address $32,5 $0
Extra Features $0
4912 16TH ST
ZEPHYRHILLS FL 33542 -6016 Market Value $43,751
Assessed (Save Our Homes) $43,751
Legal Description (First 4 Lines) Homestead 196.031 - $25,000
MOORES FIRST ADDITION Non - School Additional Homestead Exemption - $0
PB 1 PG 57
LOT 9 BLOCK 4 Taxable Value $18,751
OR 3328 PG 1623 & Warning: A significant taxable value increase may occur when sold.
Click here for details and info. regarding the posting of exemptions.
1 Land Detail (Card: 001 of 001)
1
Line 11 Use I Description I Zoning 11 Units II Type II Price H Condition II Value I
I 1 II 0100 II SFR II 00R3 p 6,600.00 11 SF II $1.70 II 1.00 II $11,220 I
Additional Land Information
I Acres II 0.15 11 Tax Area U 30ZH II FEMA Code II X (Residential Codell ZHLGLP7
I Building Information - Use 01 - Single Family Residential (Card: 001 of 001) I
Year Built 1947 Stories 1.0
Exterior Wall 1 Asbestos Shingle Exterior Wall 2 None
Roof Structure Gable or Hip Roof Cover Min Roof(Corr. or Sh M)
Interior Wall 1 Drywall Interior Wall 2 None
Flooring 1 Pine or Soft Wood Flooring 2 None
Fuel Electric Heat Forced Air - Ducted
A/C Central Baths 1.0
Line Il Description ii Sg95 I Repl. Cost New I
BAS I 2 I) FEP II 352 II $36,053 I
I 3 l I UOP II 210 U $9,336
I 4 p UST 0 252 II $1,214 I
II $3,833 I
Extra Features (Card: 001 of 001)
Line II Description II Year 11 Units II Value I
No Extra Features
1 Sales History
I Previous Owner
II SMITH MYROJEAN
Year II Month I Book /Page II Type II Amount I
I 2006
1 1 1 1
11 7 256 / 0886 II QC II $0
I 1994
11 08 II 3328 / 1623 II 2 II $0
I 1986 I 05 I 1806 / 0648
2c I $o
•
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