HomeMy WebLinkAbout03-2165
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
PLUMBING PERMIT
2165
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued: 6/19/2003
Total Fees: 45.00
Amount Paid: 45.00
Date Paid: 6/18/2003 ,Phone:
Work Desc: ROUGH PLUMB FOR VANITY,TOILET AND SHOWER
2165
PLUMBING
PLUMBING/NEW
MOBILE HOME PARK
Address: 39602 AMETHYST WAY
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: EMERALD POINTE
Parcel Number:
Name: MCKISSIC ALLEN
Address: 39602 AMETHYST WAY
ZEPHYRHILLS, FL. 33542
2ND ROUGH PLUMB
FINAL
I 1 ST ROUGH PLUMB
WATER
i
!
REINSPECTION FEES: When extra i~spection 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 PLUMBING SHALL REMAIN EXPOSED PRIOR TO INSPECTION
i-~P_~~ ~~
' . - C:NT~-- PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERMIT APPLICATION
aUILDING DEPAR1~NT 5335 8th Street, Zephyrhills, FL 33542
813-780-0020 FJ.\X:813-780-0021
DATE RECEIVED-----
PLANS REVIEW FEE
OWNER'S "^"!jJt/l ~ ~
,JOB ADDRESS __ ___~ 2.. _~ -;/z. ---=--
PHONb/l ;5,) 1:r:' 5~
LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION
PARCEL ID # 2.!L ,- 2-i ~ 1,- CJ l!J?c7 -~tf 2- .6'.)~O~8.IN FROM PROPEB.1~OTICE)
WORK PROF.'SED: 0 NEW CONSTRUCT ION
OsrGt,j
o ADDITION OALTERATION o REPAIR o INSTl\LL
o t10VE 0 DEHOLISII
OHULTI-F'AmLY 0# OF UNITS o HOBILE Hm1E
o INDUSTRIAL o SWIHtlING POOL o OTHER
PROPOSED USE: OSGL FI\MILY Dv.1ELLING
OCOMMERCII\L
D RESTAURANT I:" IIE~II?>H DEPARTt1EtlT ~R~YfL J ~
DE"CelP'rION OF WOeK ~~ V~ ~ ~ ~~
BUILDING SIZE II/ ,XI Z SQUARE FOOTAGiZ.- 2-0 HEIGH~ (} "
RF.S I DENTIAL:
COMMERCIAL:
I\TTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
ATTl\CH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REQUESTED
0 BUILDING
0 EIJEC'l'RICl\L
0 PLUMBING
0 MECHANICAL
.$
VALUATION OF TOTAL CONSTRUCTION
At.'lP SERVICE
o FLORIDA POWER
o W.R.E.C.
$
VI\LUATION OF MECHANCII\L INSTI\LLATION
o GI\S
o ROOF'HIG
o SPECII\LTY
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRA1.1E
o STEEL
o OTHER
1r) r 08/'3
rINISHF:fJ FWOR ELEVATIOtlS
IS PROJE:CT IN FLOOD ZONE: I\RE:A 0 YES
o NO
BUILDER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNI\TURE
******~*************k**~******~+~++***~***************************
ELECTRICIAN
COtvlPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SJGNI\'J:URE
***k**************~*********~********+*************************k**
PLUMBER if9~
SIGNI\Tr~b
....
CotJ!PANY
STATE CERT OR REGIST #
CITY PROCESSING #
MECHANICAL
*****'k**+***************~******~+*******************************~*
Cm1PANY
STATE CERT OR REGIST #
CITY PROC~SSING #
SIGNI\TURE
*****~***********************************************************
OTHER
cm/1FANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE:
*************************************k********~*******~***'*******
CONDI'rIONS OF' PERl'lIT AFFIDAVIT
A. NorrICE OF DEED RES'rRIC'l'IONS
'rhe undersigned understands that this permit may be subject to "deed restrictions" which
m~y be more restrictive than City regulations. The undersigned a~sumes responsibility for
compliance Ivi th any appl! cable deed res trictions.
B. UNLICENSED d)NTRACTORS AND CON'I'RAC'l'OR RESPONSIBILITIES
If the owner has 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 ol-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. 'l'RANSPOR'rA'rrON I MPAC'l' FEES AND U'rILI'I'Y CONNECTION FEES
D. CONS'I'RUCTUION LIEN LAW (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
lien Law - Homeowner's Protection Guide<< prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that the \\o~mer", I carify that I
have obtained a copy of the above described document and promise in good faith to deliver
it to the "owner" prior to conunencement.
E. CONTRACTOR' S/OWNER' S AFFIDAVI'r
I certify that all the information in this application is accurate and that all work will
be done in cm~liance with 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 work or installation has commenced 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 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 Treatment
.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" will be 1mbmitted 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 t~o proceed with the Hark and not as
authority to violate, cancel, alter, or set aside any provisions of the techllicCtI codel:l,
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 cOllunenced 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 1s conunenced. 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 co~sidered abandoned.
WARl~Il~G TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IJvlPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND '1'0 OB'l'AIN nNANCING, CONSULT
WITH YOUR LENDER OR ~~ 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: CONTRACTOR
SIGNATURE: OWNER OR AGENT
STATE OF I!'LORIDA
COUNTY OF--
The foregoing instrument was
Before me this _ day of
by.
acknowledged
2Q_
S'l'ATE OF FLORIDA
COUNTY OF
'l'he foregoing instrument Has acknowle~ed
Before me this _day of , )_
by
(name of person acknowledged)
DJho is personally known to me, or
(name of person acknowledged)
Dwho is personally kno\~i to me, or
Dwho has produced
(type
and whoD did Ddid not
of identification)
take an oath.
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped