HomeMy WebLinkAbout14-15169 CITY OF ZEPHYRHILLS
5335-8TH STREET
, _ (813)780-0020 �69
PLUMBING PERMIT
Permit#:15169 Issued: 4/09/2014 Address: 39104 3RD AVE
Permit Type: SEWERLINE REPLACEMENT ZEPHYRHILLS, FL.
Class of Work: SEWERLINE REPLACEMENT Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 200.00 Total Fees: 46.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 46.00 Date Paid: 4/09/2014 Parcel Number: 12-26-21-0010-00200-0110
Name: HOMEOWNER Name: VOLLSTEDT TIMOTHY J & LINDA
Addr: Address: 39104 3RD AVE
ZEPHYRHILLS, FL. 33542
Phone: Lic: Phone: (309)531-8931
Work Desc: REPLACE SEWER LINE
SEWERLINE 46.00
FINAL
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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 performed in accordance with City
Codes and Ordinances.
� ` �f
CO RACTOR PER OFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
s,�-��u-vuzra City flf Zephyrhilis Permit Application Fax-813-780-0021
Building Department
Date Received
» Phone Contact for Permittin --
Owner's Name � j l ' r � Owner Phone Number �Q q - - `�3
Owners Address 3� (, Q `"� � � 6'i-'V'�'_ Owner Phone Number
Fee Simple Titleholdcr Name Owner Phone Number —�
Fee Simple Titleholder Address
JOB ADDRESS S� �� LOT f! �
SUBDIVISION —� PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONS7R ADD/ALT � SIGN Q Q DEMOLISH
INSTALI REPA�R
PROPOSED USE SFR COMM � OTHER ' ,,,,..c,,r °, ,,� ,r.
TYPE OF CONSTRUCTION BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK �-�� c�� I' .��J w e,,� �^C"o�� � �2�p��� ��(,�-.l����
BUILDING SIZE SQ FOOTAGE � �-O +� HEIGHT � ( �
QBUILDING S VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY � W.R.E.C.
QPLUMBING a p t
� -
QMECHANICAL a VALUATION OF MECHANICAL INSTALLATION
QGAS Q ROOFING Q SPECIALTY Q 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# � �
PLUIIABER COMPANY � '/ � +����'�`--'
SIGNATURE ��v�—� , U REGISTERED Y/ N FEE 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 License# r
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)worlcing days aRer submittai date. Requlred onsite,Conshuction Plans,Stormwater Plans w/Silt Fence i�stalled,
Sanitary Facllities&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)woricing days after submittal date. Requfred onsite,Construction Plans,Stormwater Plans w/Sfit Fence installed,
Sanitary Facilities 8�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 consVuction.
Directions:
Fill out application completely.
Owner&Co�tractor sign back of appiication,notarized
If over 52500,a Notice of Commencement is required. (AIC upgrades over 57500)
"• 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 (Frontof Appiication Only)
Reroofs ii shingles Sewers Service Upgrades A/C Fences(PIoUSurveylFootage)
Driveways-Not over Counter if on public roadways..needs ROW