HomeMy WebLinkAbout03-2261
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
PLUMBING PERMIT
2261
Permit Number: 2261
Permit Type: PLUMBING
Class of Work: PLUMBING/NEW
Proposed Use: COMMERCIAL
Square Feet:
Est. Value:
Improv. Cost:
Date Issued: 7/29/2003
Total Fees: 35.00
Amount Paid: 35.00
Date Paid: 7/29/2003 I
Work Desc: TIEING INTO SEWER CONNECTION
Address: 5554 GALL BLVD
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
CENTURY CAR WASH
5554 GALL BLVD
ZEPHYRHILLS, FL. 33542
Phone:
1 ST ROUGH PLUMB
WATER
'I 2ND ROUGH PLUMB
,FINAL
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
Th~_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 perform~ in accordance with City Codes and Ordinances
ALL PLUMBING SHALL REMAIN EXPOSED PRIOR TO INSPECTION
---.-----..-..----------..-----.------ -
~'J',~ ~
T~~~c~~ - . PERMITOFFI
CALL OR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8th Street, Zephyrhills, FL 33542
813-780-0020 FAX:813-780-0021
DATE RECEIVED--___
PLANS REVIEW FEE
OWNER'S NAME T R. W/lTTS' ('/Ii? ),<//15/1 ~NC .
JOB ADDRESS 5'554- c7ALL BL VZ) (' CC/./lZI,.€V e/lR.
])I'IVIO /l,eP1STRpN't;'
PHONE '782 -c 7/7
W/ls,t/ )
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL ID #
LD.aT1HN FROM PROPER'tL1'AK.. NOTICEl
WORK PROPSED: Or,lEW CONSTRUCTIOll
o ADD IT ION
o ALTERATION
o REPAIR
o INSTALL
OSIGN
o !.10VE
o DEt10LISH
SewER. TIC /N
PROPOSED USE: OSGL FAtHLY DWELLING
~
COMMERCIAL
OMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWH1MING POOL
o t10BILE HOME
DOTIIER
D RESTAURANT & HEALTH DEPAR'l'[1ENT APPROVAL
DESCRIPTION OF WORK IfE /.-<ITO sew,:,/? f'lx/,</crt7/0,,(/ TO lJE 'pROV/OEl? C'AI tnt 57: BY ~
BUILDING SIZE
SQUARE FOOTAGE
HEIGH'l' ___
RESIDENTIAL:
Cm1t1ERC rAL :
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDHIG PLANS & (1) SET ~~NERGY F'ORMS.
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTJOl,I.
PERMITS REQUESTED
o BUILDING
$
VALUATION OF TOTAL C01JSTRUCTION
o ELECTRICAL
-------
M1P SERVICE
o
FLORIDA POWER
o
W.R.E.C.
[2( PLUMBING
o MECHAtlICAL
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF' COtlSTRUCT ION: 0 BLOCK
o FRA!1E
o STEEL
o OTHER
FItnSHED FLOOR ELEVATIONS
I S PROJECT I N FLOOD ZONE ARE:A 0 YES
o NO
BUILDER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
**~*********************~************************k******~*********
ELECTRICIAN
SIGtJATURE
COt'1PA1JY
STATE CERT OR REGIST #
CITY PROCESSING #
******************************************************************
PLUMBER
~ .~~
SIGNATURE . ~ tY '..-::::
Cm1PANy--p~H'\;-s (,.J: ( { I <>'VW\S
STATE CERT OR REGIST #
CITY PROCESSING #
MECHANICAL
******************************************************************
cm1PAHY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGtlATURE
*****************************************************A**k********
OTHER
S J GNJI.TURE
Cm1PANY
STATE CERT OR REGIST #
CITY PROCESSING #
*******************~**********~***************************~******
A, NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictions" which
may be more restrictive than City regulations, The undersigned assumes responsibility for
compliance \'1ith any applicable deed restrictions,
B. UNLICF~NSED CONTRACTORS AtID CONTRACTOR RESPONSIBILITIE,S
If the owner has hired a contractor or contractors to undertake work, they may be required
to be Ucensed in accordance \'1ith state and local regulations, If the contractor is not
licensed as required by law, both the owner and contractor may be cited for a misdemeaIlor
violation under state law. If the owner or intended contractor are uncertain as to what
licensillg requirements may apply for the intended work, they are advised to contact the
Ci ty of Zephyrhi 11 s Building Department, 813-780-0020,
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 \-Iork, If the contractor wishes
you to sign as contractor that may be an indication that he is not properly licellsed and is
not entitled to permitting privileges in the City of Zephyrhills.
C, TRANSPORTATION ItvlPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTUWN LIEN LAW (CHAPTER 713, FLORIDA STATUTES, 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 "owner", T cerify that I
have obtained a copy of tile above described document and promise in good faith to deliver
it to the "owner" prior to commencement.
E. CONTRACTOR' S/OWNER' S AFFIDAVIT
I certify that all the information in this application is accurate and tllat all work will
be done in compliance 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 \'1ork 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 tllat 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-Seawalls, Docks, Navigable Waterways
*Department of Health & Rellabilitative Services, Environmental Health Unit-Wells,
Waste~'1ater 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,ete,", it is
understood that a drainage plan addressing a "compensating volume" vJill be submil:ted \'Jhich
is prepared hy a professional engineer registered in the State of Florida prior to permit
issuance.
A penni t issued shall be construed to be a licerise to proceed \'1ith the work and not as
authority to violate, canoel, alter, or set aside any provisions of the technical codes,
nor shall issuance of a permit prevent the Building Official from thereafter reql1iring 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 commenced within
six montlls of issuance, or if work authorized by the permit is suspended or ahandoned for a
period of six months after the time the I-rork is commenced. One 90 day extension of time
may be allm-/ed for the permit with fee charge of $15,00, The extension shall be requested
in vJdting to the Building Official, An approved inspection must be logged during each six
month period, or the proj ect \'1ill be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A 110TICE OF COMl'1ENCEt'1ENT ['lAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY, IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORl'lEY BEFORE RECORDING YOUR 110TICE OF COtvltvlENCEMENT, ,JOBS UllDER
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "tlOTICE OF COMMENCEMENT",
SIGNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
STATE OF' FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _ day of
by
STATE OF' FLORIDA
COUNTY OF
The foregoing instrument was
Before me this ___day of
by
acknowledged
20_
acknowledged
, 20
(name of person acknowledged)
o who is personally knOlm to me, or
(name of person acknowledged)
Olho is personally known to me, or
Owho has produced
(type
and \'1hoO did 0 did not
-
of identification)
take an oath,
o who has produced
(type of identification)
and \\fho Odid O.HcI not take an oath
Signature of person taking ackno"rledgement
Signature of person taking ackno\'Jledgment
Name typed, printed or stamped
Name typed, printed or stan~ed