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CITY OF ZEPHYRHILLS <br /> 5335-8TH STREET <br /> (813)780-0020 19701 <br /> PLUMBING PERMIT <br /> PERMIT INFORMATION LOCATION INFORMATION <br /> Permit#:19701 Issued: 5/17/2018 Address: 39028 3RD AVE <br /> Permit Type: SEWERLINE REPLACEMENT ZEPHYRHILLS, FL. <br /> Class of Work: SEWERLINE REPLACEMENT Township: Range: <br /> Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s):. Block: Section: <br /> Sq. Feet: Est. Value: Book: Page: <br /> Cost: 2,423.00 Total Fees: 51.00 Subdivision: CITY OF ZEPHYRHILLS <br /> Amount Paid: 51.00 Date Paid: 5/17/2018 Parcel Number: 12-26-21-0010-00100-0080 <br /> CONTRACTOR INFORMATION OWNER INFORMATION <br /> Name: YOUR PLUMBER INC Name: SAMPSON, ANNA <br /> Addr: 5414 W CRENSHAW ST Address: 39028 3RD AVE <br /> TAMPA FL 33634 ZEPHYRHILLS, FL. 33542 <br /> Phone: (813)326-3728 Lic: Phone: <br /> Work Desc: REPLACE SEWER LINE FROM HOUSE TO TAP <br /> APPLICATION FEES <br /> SEWERLINE 51.00 <br /> e , f �% 11�- Af <br /> IN 0ECTIONS REQUIRED <br /> FINAL <br /> 1 <br /> REINSPECTION FEES:(c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the <br /> Vocal government shall impose a fee of four times the amount of the fee imposed for the initial inspection or <br /> first reinspection,whichever is greater,for each such subsequent reinspection. <br /> NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that <br /> may be found in the public records of this county, and there may be additional permits required from other governmental <br /> entities such as water management, state agencies or federal agencies. <br /> The payment of inspection fees shall be made before any further permits will be issued to the person owning same <br /> "Warning to owner: Your failure to record a notice of commencement may result in your paying twice for <br /> improvements to your property. If you intend to obtain financing, consult with your lender or an attorney <br /> before recording your notice of commencement." <br /> Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City <br /> Codes and Ordinances. <br /> Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City <br /> Codes and Ordinances. <br /> CTOR PER OFFI <br /> PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO <br /> CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED <br /> PROTECT CARD FROM WEATHER <br />