HomeMy WebLinkAbout03-2071
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
PLUMBING PERMIT
2071
ermit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
2071
SEWERLlNE REPLACEMENT
SEWERLlNE REPLACEMENT
MOBILE HOME PARK
5/16/2003
41.00
41.00
5/15/2003
SEWERLlNE
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ress: 5 2 RIDO
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 24-26-21-0060-0000-0
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Name: EMERALD POINT
Address: 3532 PERI DOT LN.
ZEPHYRHILLS, FL. 33542
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Phone:
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REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Thirty-five dollars ($35.00) shall be made for each trip for each trade:
(a) Wrong address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when
inspection called (d) Work not ready for inspection when called
(e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible
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
_~__ ALL PLl~M~NG SHALL REMAIN EXPOSED PRIOR TO INSPECTION--
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CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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CONDITIONS OF PEru~IT AFFIDAVIT
A. NOnCE OF DEED RES'l'RIC'l'IONS
The undersigned understands that this permit may be subject to "deed restrictions" which
may be more restrictive than City regulations. 'l'he undersigned aSl3umes responsibili.ty tor
compliance with any applicable deed restrictions.
B. UNLICENSED CONTRAC'l'ORS AND CONTRAC'rOR RESPONSIBILITIES
It the ovnler lias hired a contractor or contractors to undertake work, they may be required
to be licensed in accordance with state and local regulations. If the contractor is not
licensed as required by law, both the ovmer and contractor may be cited for a misdemeanor
violation under state law. If the owner or intended contractor are uncertain as to V~lat
licensing requirements may apply for the intended work, they are advised to contact the
City of Zephyrhills Building Department, 813-788-6611.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
contractor(s) sign portions of the "Contractor Sections" of this application for whicll they
will be responsible. If you, as the owner signs as the contractor, you are indicating that
you, rather than the contractor, are responsible for the work. If the contractor wislles
you to sign as contractor that may be an indication that he is not properly licensed and is
not entitled to permitting privileges in the City of :.'.ephyrhills.
C. 'l'RANSPOR'rA'rION IMPACT li'EES AND UTILITY CONNECTION FEES
D. CONSTRUCTUION LIEN LAW (CHAP'fER 713, .FLORIDA S'l'A'rUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Construction
lien Law - Homeowner's Protection Guide" prepared by the Inorida Department of Agdculture
and Consumer Affairs. If the applicant is someone other that the "ovmer", I cerify that I
have obtained a copy of the above described document and promise in good faith to deliver
it to the "owner." prior to conuuencement.
E. CON'rRACTOR' S/OWNER' S AI!'FIDAVI'r
I certify that all the information in this application is accurate and that all work will
be done in compliance Hith 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 Hork or installation has conunenced prior to issuance of a permit and that
all work will be performed to meet standards of all laws regulating construction, City
codes, zoning regulations, and land development regulations in the jurisdiction. 1 also
certify that I understand that the regulations of other governmental agencies may apply to
the intended work, and that it is my responsibility to identify what actions I Uillst take to
be in compliance. Such agencies include but are not limited to: *Department of
Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater 'rreatment
*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
Altering Watercourses
*Army Corps of Engineers-SeaHalls, Docks, Navigable Waterways
*Department of Health & Rehabilitative Services, Environmental Health Unit-Wells,
Wastewater Treatment, Septic Tanks
*U.5. Environmental Protection Agency-Asbestos abatement
I also certify that, if fill material is to be used in Flood Zone "A" or "A,etc.", it is
understood that a drainage plan addressing a "compensating volume" Hill be submitted which
is prepared by a professional engineer registered in the State of Florida prior to permit
issuance.
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 tile technical codes,
nor shall issuance of a permit prevent the Building Official from thereafter. requiring a
correction of errors in plans, constructi.on, or violations of any code. Every permit
issued shall become invalid unless the work authorized by.such permit is cOllunenced within
six montl1l:l of issuance, or if work authorized by the permit is suspended or abandoned for a
period of six months after the time the work is commenced. One 90 day extension of time
may be allowed tor the permit with fee charge of $15.00. The extension shall be requested
in vniting to the Building Official. An approved inspection must be logged dining each sil(
month period, or the project will be considered abandoned.
WARNING '1'0 OWNER: YOUR FAILURE TO RECORD A NO'l'ICE OF COMMENCEMEN'l' MAY RESUW' IN YOUR
PAYING TWICE FOR IMPROVEMEN'l'S 'l'0 YOUR PROPERTY. IE' YOU INTEND '1'0 OB'rAIN If'INANCING, CONSULT
WITH YOUR LENDER OR AN AT'l'ORNEY BElmRE RECORDING YOUR NOnCE OF COMMENCEMENT. JOBS UNDER
$2,500 IN VALUE DO NO'l' NEED '1'0 RECORD AND POST A "NOTICE OF COMMENCEMEN'fll.
SIGNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
acknovlledged
, 19_
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _day of
by
STATE OE' FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _ day of
by
acknowledged
19
(name of person acknowledged)
o who is personally known to me, or
(name of person acknowledged)
[1ho is personally known to me, or
o who has produced
(type
and whoD did Odid not
of identification)
take an oath.
Dwho has produced
(type of identification)
and who Ddid Dhd not take an oath
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
-
Name typed, pri.nted or. stamped