HomeMy WebLinkAbout12-12881 . l�
CITY OF ZEPHYRHILLS
5335-8TH STREET
(ai3)�so-oo20 12881
PLUMBING PERMIT
Permit#:12881 Issued: 3/09/2012 Address: 39117 5TH AVE
Permit Type: PLUMBING ZEPHYRHILLS, FL.
Class of Work: PLUMBING/NEW Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: Total Fees: 40.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 40.00 Date Paid: 3/09/2012 Parcel Number: 12-26-21-0030-00200-OOAO
Name: OWNER Name: TIDD, ANNA
Addr: Address: P.O. BOX 49
FISHERS LANDING, NY 13641-0049
Phone: Lic: Phone: (813)997-5205
Work Desc: PLUMBING FOR HOOK UP OF IRRIGATION METER
PLUMBING FEE 40.00
1ST ROUGH PLUMB
2ND ROUGH PLUMB
SEWER
WATER
FINAL -�?
J
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 'ob site
) g)work not acoessible.
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
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your properly. If you intend to obtain financing,consult witl�your lender or an attorney
before recording your notice of commencement."
Complete Plans, Specifications and Fee Must Accompany Application. All work shall be pertormed in accordance with City
Codes and Ordinances.
P/�
CONTRACTOR PER OFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
� '�'.
CI1Y OF ZEPHYRHILLS
UTILITIES WORK ORDER
WATER ACCOUNT NO.: DATE: Mar 9,2012
�
OWN ENTER/BUSINESS: � ' �/
���v CONTACT PERSON: �
� �.�.�
MAILING ADDRESS: � ,� ,�
PHONE NUMBER:
�f3� g y�-.�"�o_
\ L`5 5 � ����� , EMAIL ADDRESS:
C �� (!J / v . /` � J , ' .
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SERVICE ADDRESS: ,�C, �/�y _ — v_y �
� � �
SHUT OFF SERVICE ❑ �X WATER
TURN ON SERVICE � ❑ SEWER
INSTALL METER �] ❑ GARBAGE
READ ME7ER ❑ �IN CITY
CHECK MEfER � ❑ OUT CITY
OTHER �
DESCRIBE OTHER:
� i - � �
� NUMBER OF UNITS �� �p�g'L�.� �,�,�_ ;�
DEPOSIT AMOUNT ✓J'��+%�L � `�'�'I, .�'�� ����'lz���
`TN
AMOUNT LAST BILL �`�� 3 ~`=�� '
DATE � � � bD
(��r���l'/ • �"�� �
�j �U
MISC. CHARGE -�.j ��_,,�� �-,�� �� 7 ,
�� y� , a�� ��
METER: FULL
__ � �`�����---
IRRIGATION 3/4" a�l
�ye - �� -l?f
- • �
WORK COMPLETED BY&DATE ORDER TAKEN BY: ; � • --
COMPLETED ' r ��
h
ORDER GIVEN BY: � ��
Revised 9/2010
pasco County Parcel: 12-26-21-0030-00200-OOAO 001 Page 1 of 1
Data Current as Of: Weekly Archive - Saturday, March 03, 2012
Parcel ID 12-26-21-0030-00200-OOAO (Card: 001 of 001)
Classification 01 - Single Family
Mailing Address Property Value
TIDD ANNA Ag Land �p
PO BOX 49 �nd $14,217
17919 REEDS PT RD
FISHERS LANDING NY 13641-0049 Building $61,714
Physical Address Extra Features $928
39117 5TH AVE 7ust Value ;76,859
ZEPHYRHILLS FL 33542-7618 Assessed (Non-School Amendm t 1 � 76 859
. � �'� � ,
Leaal Descriotion (First 4 Lines) � -
See Plat for this Subdivision,�"
Taxable Value� � �76,859
ZEPHYR HEIGHTS PB 5 PG 50 C�
POR BEWERN PARK DESC AS COM �
AT SE COR OF LOT 5 BLOCK 2 TH �( � � � �� �1�
EAST 3.00 Ff FOR POB TH NOODG v V �
Land Detail (Card: 001 of 001)
Line Use Description Zoning Units Type Price Condition Value
�� 0100 SFR OORl 7,000.00 �F $1.91 1.00 $13,370
� 0100 SFR OOR1 3,137.00 � $0.27 1.00 $847
Additional Land Information
Acres 0.23 Tax Area ZH FEMA Code ��Residerrtial Code ZHL LP3
Buildina Information - Use 01 - Single Family Residential (Card: 001 of 001)
Year Built 1968 Stories 1.0
Exterior Wall i Concrete Block Stucco Exterior Wall 2 Concrete or Cinder Block
Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
Interior Wall i Drywall Interior Wall 2 None
Flooring i Carpet Flooring 2 None
Fuel Electric Heat Forced Air- Ducted
A/C Central Baths Z,p
Line Description Sq. Feet Repl. Cost New
1 � 448 $9,057
Z B� 1,464 $74,078
3 � 150 $3,795
4 Q 48 $607
Extra Features (Card: 001 of 001)
Line Description Year Units � Value
� 1 � D�� 1973 300 $236
� 2 5��� 2003 1 $692
Sales History
Previous Owner TILTON ALICE V
� Year Month Book/Page Type Amount
1987 08 � 1633/0293 WD $0
1968 12 0426/0103 WD $0
http://www.appraiser.pascogov.com/search/parcel.aspx?sec=12&twn=26&rng=21&sbb=00... 3/9/2012
e?�-�eo-oo2o City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received i � Phone Contact for Permittin �J3 � — ,f"Z,O �'
Owner's Name .Q,Q' "/0 Owner Phone Number
Owner's Address 0 �o X r'1 S h � �v • l✓ f36 Owner Phone Numbe►
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 3 �� S'� l.� LOT# �
SUBDIVISION � PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR B ADD/ALT � SIGN Q � DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK '� Z�e
BUILDING SIZE SQ FOOTAGE HEIGHT
QBUILDING $
VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C.
�PLUMBING $ p '�-�--
�]MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
[�GAS � ROOFING [� 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 �� �l\1 COMPANY
SIGNATURE �^��� ' REGISTERED Y/ F E CURRE� Y/N
Address License# �—
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# r—
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address
Llcense#
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy FoRns;R-O-W Permit for new construction,
Minimum ten(10)woricing days after submittal date. Required onsite,Construcdon Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities 8 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-0-W Permit for new consVuction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w!Silt Fence installed,
Sanitary Facilities 8 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
51GN PERMIT Attach(2)sets of Engineered Plans.
""'PROPERTY SURVEY required for all NEW construction.
Directions:
Fill out application completely.
Owner 8 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 Attomey(for the owner)would be someone with notarized letter from owner authorizing same
�VER THE COUNTER PERMITTING (Front of Application Only)
teroofs if shingles Sewers Service Upgrades A!C Fences(PlobSurvey/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
appiicable 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 Iicensed in accordance with state and loc�l 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 tb 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 IMPACTIUTILITIES 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, wiil 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 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.. �f 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'SIOWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that ali 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 instaAation 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. 1 also
certify that I understand that the regulations of other government agencies may apply to the intended wo'rk, 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 8 Rehabititative 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, f 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. ( 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 O�cial 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. tF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.�7.03) '
� OW�NE�R O AGENT� ` CONTRACTOR
and swo affirmed)befor me ls Subscribed and sworn to(or atflrmed)before me this
� by bY
o is/are perso wn to me or has/have produced Who Is/are personalty known to me or has/have produced
i� ' as Identlfication. as idenHficatlon.
_i
- � ' - i
/ � C� ��� Notary Public
Commission No. Commission No.
� Y � Name of Notary lyped,printed or stamped
Name ��
_� �a: Ex res February 22,2Q16
''���`'�` 9ondM Ttru T�oy FaM kairance 800�3857019