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Home My WebLink About03-2154 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 PLUMBING PERMIT 2154 Permit Number: 2154 Permit Type: PLUMBING Class of Work: PLUMBING/NEW Proposed Use: COMMERCIAL Square Feet: Est. Value: Improv. Cost: Date Issued: 6/16/2003 Total Fees: 35,00 Amount Paid: 35.00 Date Paid: 6/16/2003 Work Desc: GAS LINES Address: 6815 GALL BLVD ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: Name: QUALITY INN Address: 6815 GALL BLVD ZEPHYRHILLS, FL. 33542 Phone: - 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 before recording your notice of commencement." Complete Plans, Specifications and Fee Must Accompany Application, - - - -- - - __ ~I work shall be performed in accordance with City Codes and Ordinances ALL PLUMBING SHALL REMAIN EXPOSED PRIOR TO INSPECTION------ ~ CTOR / PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 0, CITY OF ZEPHYRHILLS PERMIT APPLICATION aUILDING DEPAR~~N~ 5335 8th Street, Zephyrhills, FL 33542 813-780-0020 FAX:813-780-0021 DATE RECE lVED PLANS REVIEW FEE OWNER'S NAME :S-A~ r;'6/~ 1-:~Brf3~v~) T'N~ ,JOB ADDRESS ( ) ~ It \ \ 5 PHON\~ '10 '1- q'tOb ,"33 Lf ;t LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 10 # WORK PROPSED: ONEW CONSTRUCTION (OBTAIN FROM PROPF,R.IY TAX NOTICE) o ADDITION OALTERATION o REPAIR o INSTALL Os IGN o t"lOVE o DE~10LISH PROPOSED USE: OSGL FAMILY DWF,LLH1G 'Rlcm1MERCIAL Or1ULTT - FAttJILY 01 NDUSTRIAL 0# OF UNITS o SWIMI'lING POOL o ~10BILE HOME o OTHER CJ RESTAURANT & HF,ALTH DEPARTt1ENT APPROVAL DESCRIPTION OF WORK C? 'A S L ~ (I,) f BUILDING SIZE SQUARE FOOTAGE HEIGHT RESIDENTIAL: COM~1ERCIAL : ATTACH (2) t'LOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORtvJ.S. ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REQUESTED 0 BUILDING .S 0 ELECTRICAL J&J PLUMBING 3f ~ o MECIIAtHCAL $ VALUATION OF TOTAL CONSTRUCTION AMP SERVICE o FLORIDA POWER o W,R.E.C, VALUATION OF MECHANCIAL INSTALLATION o Gl\S o ROOF'ItlG o SPECIALTY o OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAt1E o STEEL o OTHER nNIS!l8D FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAO YES o NO aUILDER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ******k**************~**********~+****~***********'k*************** ELECTRICI1\N SIGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # **********************+k********k~***k***+*********************k** SIGNATURF; COtvlPANY STATE CERT OR REGIST # CITY PROC:ESSING # 7)eu 11 ,. 5> WI'I!I~ J PLUMBER ME CH1\N I CJ\L ~*********************~***************~* cm1PANY STATE CERT OR REGIST # CITY PROCESSING . SIGNATURE *****~*k**********************************************~********** OTHER Cm'JPANY STATE CERT OR REGIST # CITY PROCESSING # ~***************************k********}******* COliDITIONS Of' PERl'IfIT AFFIDAVIT A. NO'l'ICE~ O~' DEED RESTRICTIONS The undersigned understands that this permit may bt= subject 1:0 "deed restrictions" which m~y be more restrictive than City regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. B. UNLICENSED C'oNTRACTORS AND CON'l'RAC'I'OR RESPONSIBILITIES If the owner has hired a contractor or contractors to \lndertake work, they may be required to be licensed in accordance with st~te and local regulatlons. If the contractor is not licensed as required by law, both the o~mer and contractor' may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what 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 which 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 wishes 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 Zephyrhills. C. 'rRANSPORTA'rrON I MPAC'l' FEES AND UTILI'!'Y CONNECTION FEES D. CONSTRUCTUION LIEN LMJ (CHAP'I'ER 713, FLORIDA STATU'rES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction li€::n LaH - Homeowner's Protection Guide'! prepared by the ~'lorida Department of Agriculture and Consumer Affairs. If the applicant is someone other that the "o~mer", 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 connencement. E. CONTRACTOR' S/OWNER' S AFFIDAVr'I' I certify that all the information in this application is accurate and that all work will be done in cm~liance 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 Hark or i,nstallation has commenced prior to issuance of a permit and that all ~wrk ~Jill be performed to meet standards of all laws regulating construction, City codes, zoning regulations, and land development regulati0ns in the jurisdlction. I also certify that I understand that the regulations of other governmental agencies rnay apply to the intended work, 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: *Department of Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater 'X'reatment *Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses *Army Corps of Engineers-Seawalls, Docks, Navigable Waterways *Department of Health & Rehabilitative Services, Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks *U.S. 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" will be submitted which is prepared by a professional engineer tegistered 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 the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction, or violations of any code. Every permit issued shall become invalid unless the work authorized by such permit is coum~nced within six months 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 cOTIUllenced. One 90 day extension of time may be allowed for the permit with fee charge of $15.00.. The extension shall be requested in writing to the Building Official. An approved inspection must be logged during each six month period, or the project will be considered abandoned. WARNING TO OWNER; YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESUI.'l' IN YOUR PAYING TWICE FOR U1PROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OB'l'AIN nNANCING, CONSUl/X' WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED '1'0 RECORD AND POST A "NOTICE OF COMMENCEMEN'l'''. SIGNATURE: OWNER OR AGENT SIGNATURE; CONTRACTOR acknowledged 2Q_ S'l'A'I'E OF FLORIDA COUNTY OF 'rhe foregoing instrument was acknowleqged Before me this _day of. , lO ~ by (name of person ackno~dedged) 01ho is personally known to me, ox:' STATE OE' nORIDA COUNTY OF The foregoing instrument was Before me this _ day of by_ (name of person acknowledged) Dwho is personally known to me, or of identification) take an oath. Dwho has produced (type of identification) and Hho Ddid DUd not take em oath Dwho has produced (type and whoD did Ddid not Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped