HomeMy WebLinkAbout14-15110 � � CITY OF ZEPHYRHILLS �`"
' S335-8TH STREET
(sis)�so-oo20 1 10
PLUMBING PERMIT
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Permit#:15110 Issued: 3/21/2014 Address: 4755 16TH ST
Permit Type: SEWERLINE REPLACEMENT ZEPHYRHILLS, FL.
Class of Work: SEWERLINE REPLACEMENT Township: Range:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: page;
Cost: 7,000.00 Total Fees: 46.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 46.00 Date Paid: 3/21/2014 Parcel Number: 14-26-21-0010-02900-0020
Name: ABOVE & BEYOND PLUMBING & ROOTEF Name: BRANSCUM KAREN
Addr: 3414 W ROGERS AVE Address: 4755 16TH ST
TAMPA FL 33611 ZEPHYRHILLS, FL. 33542
Phone: (813)963-1580 Lic: Ph ne: 813)690-0919
Work Desc: REPLACE SEWERLINE ���vl � � c r :�
SEWERLINE 46.00
FINAL , y
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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� 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
"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."
Complete Plans, Specifications and Fee Must Accompany Application. All work shall be pertormed in accordance with City
Codes and Ordinances.
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CONTRA OR PER OF I
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-78Q-002".1 City of Zephyrhiils Permit Application Fax-813-780-0021
Building Department
Date Receiv�d
Phone Contact for Permittin __
Owner's Name �� '�� ��- N ��� v' ' r� pWner Phone Number �« �' Q
Ovmer's Address�-�.S S �� �� S'�
l Ovmer Phone Number
Fee Simple Titleholder Name Owner Phone Number �
Fee Simple Titleholder Address
JOB ADDRESS �✓ / r LOT# ��
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT � SIGN Q Q DEMOLISH
INSTALL B REPAIR
PROPOSED USE Q SFR Q COMM �� OTHER
TYPE OF CON3TRUCTION Q BLOCK Q FRAME 0 STEEL Q
DESCRIPTION OF WORK � (,P�� S'E wE(L L(t..l� -�'�O Vvt �Q v S� �l T� �
BUILDING SIZE w� ��� '�' �� k(��'��- D��(N C::
SQ FOOTAGE� HEIGHT -..J
QBUILDING $ �
VALUATION OF TOTAL CONSTRUCTION
DELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C.
�PLUMBING $ ���,�6
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
OGAS 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 R�oU�: � �a�11'� QsG-u�.6fN6 5. �,ar('�� I rf
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address S l �- �0 6 EYL,S l� � ��rM Q , License#
3�Gtt
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �
RESIDENTIAL Attach(2)Piot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days aRer submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities 8 1 dumpster;Site Work Permit for subdivisionsflarge 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 compNance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW constructlon.
Directions:
Fill out application completely.
Ovmer&Contractor sign back of application,notarized
If over i2500,a Notice of Commencement is required. (AIC upgrades over:TS00)
" Agent(for the contractor)or Power of Attomey(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(PIot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
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2014046069
Rcpt:1591392 Rec: 10.00
i � NOTICE OF COMMENCEMENT DS: 0.00 I T: 0.00
PermitNo.I� I � 03/26/14 E. Munguia, Dpty Clerk
Property Identification Na ` 7 ' �b ! Z I ' ��� � - Q Z �Q Q— � � Z- �
THE LJNDERSIGNED hereby gives notice that improvements will be made to certain real property,and in accordance with Section
713.13 of the Florida Statutes,the following information is provided in the NOTICE OF COMMENCEMENT.
1. Description of property(legal description:)
a) Street Address: y�.S—.Sj /G T�f ,�T Z F P.(F Y 2 � /� P"�` �z�4�y
2. General description of improvements�CPLAL� ,SE c,.3 E2 C-!NE �IQD M �0 Us"E
S�Nr1EcZ� oNS' To c�T�! `rAp
3. Owner Information
a) Name and address:__K A�N �(l.�} (J�G l�h'1 �("j S,� !6Ti�' a�T
b) Name and address of fee simple titleholder(if other than owner)
c) Interest in property
R 4. ContractorInformation '3 �� �,,��
a) Name and address: b0 J� $ �N� CUM f� B. o �;12 1 IV t p � � �3 3��
b) Telephone No.: [� - 0!" 0 55 o Fax No.(Ont.l
5. Surety Information � � �
a) Name and address: 1.�b(`1 �
b) Amount of Bond:
c) Telephone No.: Fax No.(Opt.)
6. Lender
a) Name and address:
7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served;
a) Name and address:
b) Telephone No.: Fax No.(Opt.)
8. In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.13(1)(b),Florida Statutes:
a) Name and address:
b) Telephone No.: Fax No.(Opt.)
9. Expiration date of Notice of Commencement(the expiration date is one year from the date of recording unless a different date is
specifiea�: V:3� L y- 1� 20� �
WARNING TO OWNER:ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART 1,SECTION 713.13,
FLORIDA STATUTES AND CAN RESULT IN YOUR PAYING TWICE FOR IPROVEMENTS TO YOUR PROPERTY.A
NOTICE OF COD�III�NCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION.IF YOU INTEND TO OBTAIN FINANCING,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE
COMMENCING WORK OR RECORDING YOU NOTICE OF COMMENCEMENT.
STATE OF FLORIDA
COUNTY OF PASCO 'j�l/�-
Si re OF Owner or Owner's Authorized OfScer/Director/Parmer/Manager
� � ��j �sC/�/ �iy(
Print Name
The fo;e�oing in ent was aclmowledged before me this���day of ��c� ,20� �►",by
�G re.it �i4n-SC'-i-C%^ as (type of authority,e.g.officer,trustee,attomey in fact)for
(name of party on behalf of who ' strument was executed).
Personally Known_OR Produced Identification_ Notary Signature � i -
TypeofldentificationProduced T L p�/��ae�'4�1�- Name(print) !�(�(1!1`� � �
Verification pursuant to Section 92.525,Florida Statutes.Under penalties of p�j't3ry�*, gc az� ��E foreg g and that the facts stated
in it are true to the best of my knowledge and belief. :i4`"�`;; �mmission#EE 040520
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FORMS/NOC.rvsd2007 a. „ � j��peC9rt1b9r 12,2014
Sigunve of ' •6�gm8g�N11Eiblu m!
PRULA S.0'NEIL,Ph.D.PRSCO CLERK 8� COMPTROLLER
03/26/14 1�2�lp� iPG°;����
OR BK ' 1 L