HomeMy WebLinkAbout14-15249 � CITY OF ZEPHYRHILLS
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PLUMBING PERMIT �
PERMIT INFORMATION LOCATION INFORMATION
Permit#:15249 Issued: 5/06/2014 Address: 38921 5TH 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: 500.00 Total Fees: 46.00 Subdivision: CITY OF ZEPHYRHILLS
Amount Paid: 46.00 Date Paid: 5/06/2014 Parcel Number: 11-26-21-0010-14500-0070
CONTRACTOR INFORMATION OWNER INFORMATION
Name: DENNIS WILLIAMS INC Name: SWAIN, TERRY& DIAN •
Addr: P.O. BOX 3039 Address: 38921 5TH AVE
ZEPHYRHILLS,FL. 33539 ZEPHYRHILLS, FL. 33542
Phone: (813)782-9520 Lic: Phone: (813)842-1943
Work Desc: SEWERLINE REPLACEMENT
APPLICATION FEES
SEWERLINE 46.00
�
, INSPECT S'REQUIRED
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 fi) 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 properly 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.
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CONTRACTOR PER OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received �� Phone Contact for Permitting V�� ��� — ���v
Owner's Name 1�'���- ���Qn�— ��'L'�-�n Owner Phone Number
Oumer's Address �lJ"1�1 ��h , _`�!� Owner Phone Number
Fee Slmple Titleholder Name Owner Phone Number
Fee Simple Titieholder Address
JOB ADDRESS ,j�'"�O�1 ��h + `v�— �R- h�-�f h���5, ��-- ��J�� LOT# �
SUBDIVISION PARCEL ID# l \ -�-a1 C�I O—r�-15cx� --Uv��
(OBTAINED FROM PROPERTY TAX NOTICE)
INORK PROPOSED B NEW CoNSTR� ADD/ALT 0 SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM 0 OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q
DESCRIPTION OF WORK ��lA�'�.'T �l��-- �e-- 1OlC��e-�\
BUILDING SIZE � SQ FOOTAGE� HEIGHT
QBUILDING $ VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
�PLUMBING $-_
�oc�-oc� [S���.
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
GAS ROOFING SPECIALTY OTHER � � "��
� 0 0 0 �
FINISHED FLOOR ELEVA710NS FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N `
Address License#
ELECTRICIAN COMPANY
SIGMATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
PLUMBER ��(�.,j�AA� `� COMPANY ���� w��`����5� 1'n�
SIGNATURE REGISTERED Y N FEE CURRE� N
Address "�J1�� ��� �t �"`1��15� F� ��ya' License# 1.���1L,��lJ�'��
AAECHANICAL COMPANY
SIGNATURE ReGlsreRe� Y/ N FEE CURRE� Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License#
RESIDIENTIAL 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 Facllities&1 dumpster;Site Work Permit for subdivisionsAarge projects
COMAAERCIAL Attach(3)complete sets of Buiiding 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 constructlon.
Directlons:
Fill out application completely. �
Owner&ConUactor sign back of application,notarized
If over 52500,a Notice of Commencement is requlred. (AIC upgrades over;T500)
•" 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 , ..Seivice Upgrades'•A/C;:.'��';Fences(Plot/Survey/Footage)
Driveways-Not over Counter if,on public,roadways,.needs:ROW ;�'
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