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Home My WebLink About11-11679 CITY OF ZEPHYRHILLS ,� 5335 - 8TH STREET " � � (ais)�so-oo20 11679 PLUMBING PERMIT Permit Number: 11679 Address: 39128 6TH AVE Permit Type: SEWERLINE REPLACEMENT ZEPHYRHILLS, FL. Class of Work: SEWERLINE REPLACEMENT Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 12-26-21-0030-00100-0250 Improv. Cost: 300.00 Date Issued: 3/23/2011 Name: JOHNSON BARBARA Total Fees: 46.00 Address: 39128 6TH AVE Amount Paid: 46.00 ZEPHYRHILLS, FL. 33542 Date Paid: 3/23/2011 Phone: Work Desc: SEWERLINE REPLACEMENT DAVE COMER PLUMBING SVCS INC SEWERLINE 46.00 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 CTOR PER OF I PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER a�s-7so-oo2o City of Zephyrhilis F'ermit Application rax-rsia-i�su-uu�� Building Department � Date Recei�led Phone Contact for Permittin �� '7 �� –�D�Z Owner's Name �'�� LJC��1 I�i�C3w Owner Phone Number Owner's Address J � Z- � b��' v �' �� Owner Phone Number Fee Simple Titleholder Name �,b?�/LG�y� �)OGf �SO�-�� Owner Phone Number —� Fee Simple Tltleholder Address JOB ADDRESS J! � 2 b � U•� ''/ /i' / C ls /� L-- LOT # � SUBDIVISION —� , PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED B NEW CONS7R 8 ADD/ALT � SIGN [� Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR � COMM � OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME Q STEEL Q DESCRIPTION OF WORK ��/� C./'Le D� �� C G/�� BUILDING SIZE SQ FOOTAGEC� HEIGHT QBUILDING $ � VALUATION OF TOTAL CONSTRUCTION QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. ��PLUMBING $ � �i QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION QGAS Q ROOFING Q SPECIALTY � OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N Address ` License # � —� ELECTRICIAN � COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y! N Address License # PLUMBER COMPANY `�'�'�� SIGNATURE REGISTERED �/ N FEE CURRE� N Address Llcense # � Z, � �/ MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N Address License �! OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N Address License # —� RESIDENTIA� Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-0-W Permit for new construction,. Minimum ten (10) working days after submittat date. Required onsite, ConstrucUon Plans, Stormwater Pians w/ Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects COMMERCIAL Attach (3) complete sets of Bullding Plans plus a Life Safety Page; (1) set of Energy Forms. R-O-W Permit for new construction. Minimum ten (10) worlcing days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary FaGliUes 8� 1 dumpster. Site Work Permlt for all new projects. All commercial requirements must meet compliance SIGN PERMIT Attach (2) sets of Engineered Plans. '"'"PROPERTY SURVEY required for all NEW construcdon. �„��„��.�� u.... � � a,.,.�i � a�.�� i �1aLr Directlons. Fill out application completely. Owner & Contractor sign back of application, notarized If over;2500, a Notice of Commencement is requlred. (AIC upgrades over s7500) *' Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from ovmer authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs if shingles Sewers Service Upgrades A/C Fences (PIot/Survey/Footage) Driveways-Not over Counter if on public roadways..�eeds ROW NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions" which may be more restrictive than Counry regulations. The undersigned assumes responsibility for compli'ance va�th 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. Fu�thermore, if Pasco Co�nty 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-Welis, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. - Department of Health 8 Rehabflitative 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 fili 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 wili 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 fili 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, weils, 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 Officiai 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 PAYI YO R R AN ATTORNEY RECORDING YOUR NOTI E OF COMMENCEMENT.' CONSULT WITH FLORIDA JURAT (F.S. 117.03) � �� v � ��`� OWNER OR AGENT CONTRACTOR Subscribed and swo � flirmed) re me this Subscribed and swom to (or affirmed) before me this by by Who is/are personally knovm to me or haslhave produced Who is/are person to me or hasa adenCrfication. as identlficaBon. _, Notary Public � + Notary Pubiic S M :f' l�,�,Nny LV Commissfo{� o.' � w�� Commission No. �. •, • � ' � , •,>`: x T Mrencag00 tµF, !�r��`ABdTMU ra/fsll Name of Notary typed, printed or stamped Name of Notary , o� s amped Pasco County Parcel: 12-26-21-0030-00100-0250 001 Page 1 of 1 Data Current as Ofc � Weekly Archive - Saturday, March 19, 2011 Parcel ID 12-26-21-0030-00100-0250 (Card: 001 of 001) Classification O1 - Single Family Mailing Address Property Value JOHNSON BARBARA J Ag Land $0 39128 6TH AVE Land $13,370 ZEPHYRHILLS FL 33542-4529 Building $35,949 Physical Address Extra Features $1,596 39128 6TH AVE ZEPHYRHILLS FL 33542-4529 Market Value �50,915 Assessed (Save Our Homes) $50,915 Le9a1 Description (First 4 Lines) Homestead 196.031 -$25,000 Non-School Additional Homestead Exemption - $915 See Plat for this Subdivision ,�"' CITY OF ZEPHYRHILLS PB 5 PG 50 Non-School Taxable Value $24,500 LOT 25 BLOCK 1 School District Taxable Value $25,415 OR 4337 PG 495 Warning: A significant taxable value increase may occur when sold. Click here for details and info. regarding the posting of exemptions. Land Detail (Card: 001 of 001) Line Use Description Zoning Units Type Price Condition Value �1 0100 SFR OORl 7,000.00 SF $1.91 1.00 $13,370 Additional Land Information Acres 0.16 Tax Area 3 ZH FEMA Code � Residential Code ZHLGLP3 Buildina Information - Use 01 - Single Family Residential (Card: 001 of 001) Year Built 1963 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 Drywall Interior Wall 2 None Flooring 1 Terrazzo Monolithic Flooring 2 Carpet Fuel Electric Heat Forced Air - Ducted A/C Central Baths 1.0 Line Description Sq. Feet Repl. Cost New 1 BAS 936 $47,904 2 UEP 195 $5,016 3 FCP �— 221 $2,815 Extra Features (Card: 001 of 001) Line Description Year Units Value r � DWSWC � 1973 340 � $281 2 � 1973� 1,040 $367 3 UDU-M 1983 1 $232 4 UDU-M 2004 � 1 �— $716 Sales History Previous Owner AUSMUS EVERETT & EDNA & Year Month Book/Page Type Amount 2000 03 4337 / 0495 WD $54,000 1991 � 03 � 1997 / 0820 PR $35,000 1978 08 0961 / 1606 $27,000 http://appraiser.pascogov.com/search/parcel.aspx?sec=12&twn=26&rng=21 &sbb=0030&b... 3/23/2011 MAR/23/2011/WED 10:49 AM �OMEGYS INSUkANCE FAX No,727 528 0626 P.001/001 ACO � CERTIFICATE OF LIABILITY INSURANCE 3/23/2011 ' `�� THIS CERTiFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTiFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATiVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CER7IFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BE7WEEN THE ISSUING INSURER�S), AUTHORIZED REPRESENTA7IVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certiflcate holder is an ADDI'iIONAL INSURED, the poHcy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certiflcate does not confer rights to the certiflcate holder in Iieu of such endorsement s. PRODUCER � ME: R2bECCd Sengaroun CO�S Insurance Corner NC No E:�727� 521-21�� F AC No: (�Z��528-0626 Florida Contractor Insurance App� Oae Beach Drive S. E. Ste. 230 PROWCER A0034650 CUSTOMER ID i. saiat Petersbur EZ 33701 INSURER(S�AFFORDING COVERAGE NAIC i INSURED INSURERA NOr�l Poiate Casualt INSURER B Dave Camer Pl�binq Services Iac irisur�RC. PO Box 55 INSURERD. INSURER E Crystal Spriaqs EZ 33524 �N,qURERF. COVERAGES CERTIFICATE NUMBER:10/il GL REVISION NUMBER: THIS IS TO CERTIFY THAT 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 WfTH RESPECT TO VNiICH 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. LIMRS SHOWN MAYHAVE BEEN REDUCED BY PAID CLAIMS �� TYPE OF INSURANCE POLICY NUMBER MM! ICY EFF MM� I��1P LIMITS GENERAL LIABILITY EACH OCCURRENCE $ SOO � OO X COMMERCIAL GENERAL LlA81LITY PREMISES Ea ocxurrence $ ZOO , OO A CLAIMS-MADE X� OCCUR 093000009 /3/2010 /3/2011 MED EXP (Any one person� $ 5, 00 PERSONAL & ADV INJURY $ 5OO � OO 6ENERAI AGGREGATE $ 1� OOO � OO GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $ 1� OOO � OO X POLICY PR � LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea acadent) ANY AUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per eccidenq $ SCHEDULED AUTOS PROPERTY DAMAGE $ HIRED AUTOS (Per acadent) NON-OWNED AUTOS $ $ UMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION VvC STATU- OTH- AND EMPLOYERS' LIABILITY Y/ N ANY PROPRIETORIPARTNERIF�ECUTIVE E L EACH ACCIDENT $ OFFICERfMEMBER EXCLUDED? � N�A (Mandalory in NH) E L OISEASE - EA EMPLOYE $ Ifyes,descnbe under DESCRIPTION OF OPERATIONS below E L DISEASE - POLICY LIMIT $ DESCPoPTION OF OPERATIONS! LOCATIONS f VEHICLES (Attaeh ACORD 101, Addttlonal Rsmarks Sehedule, it more spacs is rsquired) CERTIFICATE HOIDER CANCELLATION SMOULD ANY OF TME ABOVE DEBCRIBED POLICIEB BE CANCELLED BEFORE TNE EXPIRATION DATE 7HEREOF, NOTICE WI�L BE DELIVERED IN C1t3( Of Zephyrhills ACCORDANCE WITIi THE POLICY PROVISIONS. 813-780-0021 AUTFIORIZED REPRESENfATIVE �TC11r10�S��R