HomeMy WebLinkAbout03-2107
- I
I
!
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
PLUMBING PERMIT
2107
Permit Number: 2107
Permit Type: SEWERLlNE REPLACEMENT
Class of Work: SEWERLlNE REPLACEMENT
Proposed Use: MOBILE HOME PARK
Square Feet:
Est. Value:
Improv. Cost:
Date Issued: 5/29/2003
Total Fees: 41,00
Amount Paid: 41,00
Date Paid: 5/29/2003
Work Desc: SEWERLlNE
Address: 3520 PERIDOT LN
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: EMERALD POINTE
Parcel Number:
I
L
EMERALD POINT
3520 PERIDOT LN,
ZEPHYRHILLS, FL. 33542
Phone:
i
I I
I I
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
_!Jef~re recording your notice of commencement."
Complete Plans, Specifications and Fee Must Accompany Application.
1----- ALL p~~':::~~ ~':~1~:'::~::O':~~~ .;~ OI~;;~CTION
-_..._~.._--~- .-.~-~-
_r'\:\~~ ~~
~ CONTRACTOR PER~ OF~ "-
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CI'l'Y OF ZHlPHYRHIIll'..S PHlRM:t:'l'APPld:C!A'l'ION
BtJUllJIN(~ nlllI?M~,'rMrnN'l' 53315 8th 8'l'RBlBJ'r ZlllPH'lIUI.tI,tJS, P'l,3Hl40
l?h0t1~1813-780..0,020 h'~1813..'18{)'0021 . . . /
lJA'rJll RROllltVllm _.ill'i. "-.
PJJT\lUI R!IlVIIlIW P'l3Ill1., _o.L'
uNNJlJFti S l1M11;J_.........~~~d~~.3 ~\.~...m...m_m ''''___._.. PHONI1l (~rH-I')'1\r~'I'
,108 !3!'1'B1 1\l1!JRElS8..~Sd-c::J.~.~ ..5L~'.,-~~~_L~~-._.~.~._~(I"3.
IJ81r11\tJ I1Alsr.lltlp.'l'lUllr 1,0'I'(8)
BUK'l(
SIIEllllV lfl] Oil
,- ---, --. '""-, - ----.-, -~-_..-
Pl\Rr!F111 W 1/... ~_.'i-::.f!ft ~_q{/-..OOf{~={/tcq{J,! :-cdf3t!.____
HrH~ K PROPS Fllll, [HlmN "ONS'I'Rl1,~'I' TOIl
(nB'r1\HI F'Rm,1 PROI?Elfl.'J'V 'l'lII( NOTf('fl1)
[J J\IlIH'I'ICH.1
U 1\ L'l'I1lR '\/1'1 flll
[ I RAIPA tR
~T1\rlll
[.113 WIT
P.RIWORFlIl USEll l~ P'1\f.1T.I,Y fJWElllrJll1r~
[J ~10VEl
[J tJHJWJI, r 81/
[J tHJt,')' r, F AlH I, Y
[lit UF lHH'I'S
II !10RlI,ill ,wr~1lJ
U rJ'I'IIRlR
[OJ r!Ot1t'IBlRr! J1\ t,
[J UtDtJS')'R!l\.TJ
[J 8tH 1,IMntr~ POUTJ
11BJSCRJP'l'WN OF l'IIJIlK
[=1 IHIEl'I'AUIU\l-1T t, ItBlAUl'II lJRltJM.THElH'I' !\PPIHl\Il\T,
._~_,L~~ .\_~~'-'_L___'.'.' _..
B!JtJ,TlII\m fllZEl
.'.....-_..._-~-...__.."...._---_. . -'-'~-_._-- --.
80U1\P.E1 FOO'l'Amr.
liE! WFl'r
RillS TlJRlH'I'tAr'1
(;r.J~1MBlIH!tJ\f11
l\'I"I'1\CIl (2) PUJ'I' PI~1\1l8 ;N (2) SEl'rS OF BtJII,lJINlJ PI.Ai'TA & (J.) SEI'I' JI1HI!JRny F.'ntH-18,
J\'I"l'1\Ht (j l rjj;j'I'S UF BUtI,fJUIG PLANS & (.1) SEl'1' ElNIllIW'l P'oRt~S,
rmoPI1lIn'Y SURV1llY REJc;.UIRElD FOR MJL HEW C!Ol~,rj'I'Ruc'rrOH,
.. ,._--..~ '--'-'_._..,-->._-~
~mRM~TS__RmOUB~Tmo
l:1 Bin J,III Nq
$ VATJTlATJON OF '1'0'1' A I, I~OH(:l'rRlJr!'I'TotT
-. - - ...,. ._--_."--'~-.._-_.-._---.._. -.. ~
L1 BlLI!l(!'I'!l 1. U1\l,
[~,tH18nH~
-_. _..~...... .----.-...-.. -.._,
M1P S R1RV I (JEl
[J
FT.r1PlfH\ pnl'lElR.
L1
VI, R, F1I, (!,
U HBIC!II1\NH'ATJ
$.
- '-_.~-_. __ _.._ _u__,____ __ '.
Vl\J,U1\TION UP' I'1BlCHl\H(~ fl\f, H18'l'l\J,IJl\'I'HlI-T
f.J (J1I8
f.J R[JOF IlHJ
r J SPHlr'tAI,'I'Y
I] OTHER
'I'YPaJ UP' t!l11>l8'I'RtIr!'rIDNI [OJ BI,()r'K
[J FRTlHElJ
[] STB1I11L
[J O'I'IIFJR
F'J N lSHIlJll rnUOR I!lTJElV1\'I'rOHS
----.- ...--..-- "'~"--'-----
J S I?Rn,IElU'I' HT noun 7.011131 1\~H1A [J YR!8 [1 He)
8duuP.l~
A WIII\'I'liUEl
Cnt1PANY _ .. . ___'.
S'I'I\'I'Bl CPJR'l' OR fU1CnS'1' #I..
CITY I?RO(!F,S9I1Jr~ #
~"***~*~~**.******.**********~*************************I**~***I***
lilr,llICl'J'RHJ:TAl1
AI (~II1\TlJRPJ ....
.." "'--..-.---..--- '-"-.----."
,,- _. _.. -. -__'_"_n___..___
COI1P1\NY ,,,___ .... __ '" .._
ST1\TI!l C'ElRT OR REWHA'l' It
C~I'I'Y PRUCE88Hlr~ 1I
* * * I * * * I< * * * * .' I * * :I- * t. * * * * -I: * * * * * * * * * * " * " * * .~ * * * * * -I: * * * * * I * * I * * * * * " * * * * *
PJ,UMBIlJR C~Or'IP1\II~~~...S.L..~~~\~3\~~~~.
8)'HlI\'I'II." ~U~=:'.L~__ ~;'~~" P~~~~R~~'l~.~)R'[' n <:...~-~ \Y~S"'<;Yd..
~*****II****************************'***I*".*****I****1*'*'11*"**.
MRI(!JUHfI (JM I
-,...--. -.- .~....._~..- -'~""---'____."_"'~h_' __'_'__"'__""_ .. _.__.....____.. __.._____
C!O!>-1PANY"_____h".__..__.. ..
81'1\'l'El (!l11flT OR R FIG t 8'[' It
CITY PR(J('ElSSIHr~ t/
S WH1\'l'IH1Bl
*1****"*'***********111***'*****************************'*******
o'rlllDR
,uu_~__~ _...... __, _.__ .___...____ ''''''_'_,.,_, ____.._..___. ._..~_..__._________.._._~.
r!nr:IP1\HY
S'l'1\'I'Fl r'F.iRT-(lR-RE~T 8'1' "n ....
(Try PP.()CFlRSmq it
A UHIJ\'l'l1R H1
. ..- ..-----..~-.,...~-_.._----. ....-.---..----.-.'---.---- -, ---.-----~__...._,,_.~u_.
*1******************************************************1'.*'**1*
CONDITIONS OF PERMIT AFFIDAVI'P
A, NOTICE OF DEED RESTRICTIONS
'l"he undersigned understands that thio:; permit llIay be subject to "deed restrictions" which
Utay lJe mort: .J.:estrictivo= than City r:egulations. 'l'he unde.J.:signE:d a:o:oumes re:oponsibility for
compliance vd th any applicabl t: deE:d restrictions,
B, UNLICENSED COi~TRAC'1'ORS AND CONTRACTOR RESPONSIBILITIES
If the OHl1o=r has hired a contractor: or contractors to undertake Hark, they may be r:'equired
to be licensed in accordance with state and local regulations, If the contractor is not
licensed al;; required by lav~, both the OHner and contractor may be cited for a misdellleanor
violation under state law, If the owner or intended contractor are uncertain as to ,dlat
licensing requirements may apply for the intended work, they are advised to contact tIle
City of Zephyrhills Building Department, 813-788-6611,
Furthermore, if the o,mer has hir:ed a contractor or contractors, he is advised to }1Clve the
contractor{s} sign portions of thE: "Contractor Sections" of this application tor whicll th~y
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 1s
not entitled to permitting privileges in the City of l.ephyrhills.
C, '1'RANSPOR'l'A'rION H1PACT IfEES AND UTILI'!'Y CONNECTION FEES
D, CONSTRUCTUION LIEN LAW {CHAPTER 713, nORIDA STA'fUTES, AS AMENDED}
I certify that I, the applicant, have been provided with a copy of "Florida's Construction
lien LaH - HomeoHner's Protection Guide" prepared by the l!'lorida Department of Agriculture
i:tnd Consumer Affairs. If the applicant is someone other that the "o,merfl, I cerify that I
have obtained a copy of the above described document and promise in good faith to deliver
it to the "own"H'" prior to conunencement,
E. CONTRACTOR' S/OWNER' S Aji'FIDAVI"P
I certify that all the information in this application is accurate and that all Hork Hill
be done in compliance ./ith all applicable laHs regulating construction, zoning, and land
d~velopmellt.
Application is hereby made to obtain a permlt to do Hork and installation as indicated. I
certify that no vlOrk or installation has cOlllmenced 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, I also
certify that I understand that the regulations of other governmental agencies may apply to
the intended 'lOrk, and that it is my responsibility to identify what actions I must take to
be in compliance, Such agencies include but are not limited to: ~'Depal-tment of
~nvironmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Land~, Wate~/Wastewater Treatment
*Southwe~t Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
Altering Watercourses
*Army Corps of Engiueers-Seawalls, Docks, Navigable Waterways
*Department of Health & Rehabilitative Services, Environmental Health Unit-Wells,
WasteHater Treatment, Septic Tanks
*U,9, 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 pe~mit
issuance,
A permit isslled shall be construed to be a license to proceed with the Hork and not as
authority to violate, caucel, alter, or:" set aside auy provisions of the technical codes,
nor shall issuance of a permit prevent the Building Official from thereafter requiring a
correction of errors in plans, construct~on, or violations of any code. Every perlnit
issued shall become invalid unless the work authorized by such permit is conunenced within
aiK months of issuance, or if work authorized by the permit is suspended or abandoned for a
period of siK months after the time the work is commenced. One 90 day extension of time
may be alloHed for the permit with fee charge of $15,00. '1'he extension shall bo; requested
in vniting to tho; Building Official, An approved inspection must be Jogged during each six
month period, or the project will be considered abandoned.
~'lARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMEN'1' MAY RESUW' IN YOUR
PAYING TWICE FOR IMPROVEMEN'l'S '1"0 YOUR PROPERTY. If YOU INTEND TO OB'rAIN ji'INANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEfORE RECORDING YOUR NOTICE OF COMMENCEMENT, ,JOBS UNDER
$2,500 IN VALUE DO 1'10'1' NEED "1'0 RECORD AND POST A "NOTICE OF COMMENCEMEN"f".
SIGNATURE: OWNER OR AGEI'J'I'
SIGNATURE: CONTRACTOR
acknovlledged
19_
STATE OF FLORIDA
COUNTY OF'
The foregoing instrument was acknoHledged
Before me this _day of---, 19
by
{name of person acknowledged}
C1ho is personally known to me, or
STA'rE OF FLORIDA
COUNTY OF
The foregoing instrument Has
Before me this _ day of
by
(name of person acknowledged)
Dwho is personally knoHn to me, or
of identification)
take an oath.
OHho has produced
{type of identificatiou}
and Hbo 0 did [J:li d not ta ke an oa th
o who has produced
{type
and "hoD did Odid not
Signature of person taking acknoHledgement
Signature of person taking acknoHledgment
Name typed, printed or stamped
Name typed, printed or" stamped