HomeMy WebLinkAbout03-2453
[ .
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
PLUMBING PERMIT
2453
Permit Number: 2453
Permit Type: PLUMBING
Class of Work: PLUMBING/NEW
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost:
Date Issued: 10/27/2003
Total Fees: 41.00
Amount Paid: 41.00
Date Paid: 10/27/2003
Work Desc: SEWERLlNE
Address: 3507 TOURMALINE DR
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: EMERALD POINTE RV RESORT
Parcel Number:
EMARLD POINT
3507 TOURMALINE DR
ZEPHYRHILLS, FL. 33542
~
Phone:
1 ST ROUGH PLUMB
WATER
2ND ROUGH PLUMB
FINAL
. __ _ I.. . i___
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Thirty-five dollars ($35.00) shall be made for each trip for each trade:
(a) Wrong address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when
inspection called (d) Work not ready for inspection when called
(e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
:_ _~~~re recording your notice of commencement."
i Complete Plans, Specifications and Fee Must Accompany Application.
_ __ All workshall be perform_~ in accordance~ith City Codes and Ordinances __
ALL PLUMBING SHALL REMAIN EXPOSED PRIOR TO INSPECTION
: ~ m
CONTRACTOR PERM IT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
~i-~- -
(~:r'l'Y' opt 7lEl?HYRUUlLS PElRMl'l'APPld:C!A'l'lON
BlJ.trllJING llFllI?AR'l'MElN'l' 5B!'i ath S'l'RIl1B1'l' \!'1l1l?H'XRHn,I,f~, fII3,11i40
PhoneI813-780-U020 'axI813.1RO 0021
IJA'n RlllOt!lIVllln
I'?I,MH:1 tHllVI!llW !110ft .
(INllRlR is IlM1P.J ;; mJJ ~ .' +
~.----.~-"... --_.-_.._.,,_.._"...-_....~~-.. "...~..._..__.,..
,TOB St'l'E! 1\l'tJ\U1IS8~$~~u"'1" ~-"'Dk....__
P!iONI11 (~(n,'ll'l\( "I'
C~~'.~S\a (~~~u~~~~\~)
1,B1rJ1\L IlR1Smn P'l' n)1t I liYt' (S)
B U Je' K
,911Bl) I.V IA 1 ()11
PAR(!Pll, [J\ II (nBTlUll F'Rnt,1 PFWPBJIl'.I'V 't'1I)( NO'I' Will)
NrIR.R PRO\?AI1lJJ I (JNB1N r'ON8'1'RU(~'rI01J
r:J 1\ IlLH 'I' Hj[,l
U 1\ L'I'RJR1\il' Ull,l
! I RRIP1\ tR
IJ..}..11uh' 1\ r J T I
[J 8 rnll
[) t10VEl
[] lJ!iJWJI,J811
P.RrW08flJIl liBEl I llS(~l, p'1\t,nLY DWEll,r,JW~
nt1tJL'I't, FAIHI,'i
[1# nF mll'I'S
[J (lCHilHIllR(' J1\ I,
[] UlDtJS'l'RTlU,
L] 8NntMUtr~ POUT..
I) 110R 11, Rl !lol1Rl
IJ ()TllfIIR
I_I IH1F.l'J'AUn1\H'1' t, HElAU1'II tlRJP1\R'n1IllN'l' l\PPflnVl\f,
IJEl8CRIP'l'lnN OF' l'1UHK -_l~s.\_~~~(:)s'-__,__~___~~~,~_~ '___
BUtT.JlUm ~ 1 ZBl
.' ...~- -.--.----....-....------. . -.-- ------ --_. ._..
SOU1\P.E1 FO()'r'Am~:
IIEl I ml'r
Rille HJFllfT'I'IM,I
(!Or1MElIH!tAT'1
1\'I"I'1\C!H (;:1) PUJ'!' PT.A\TS t, (2) SEl'1'S OF BtJII,lHNI] PI,1\HA F-. (1.) BElT RHHlJRrJY Fl1RI,1S,
A'I"ll1\(!H (j) Ai1i'rS OF BUtLJJUJr.3 PLANS e! (1.) 8El'I' ENEJROY FORI18,
PROPll1t~'l'Y StTlWlllY RElCJt1IRllIlJ FOR l\LT-I HEN C!OITS1'RlIC'rHJH,
l'mRH;tT~_itEOQl!lST1f!O
LI EIlI T ,un/!~
$
VIH,lTATIOl'l OF 'l'OTAlJ C0H13'fRIH1'I'TotT
LJ ElT,IlJI!'T'Rl C!1\I ,
~H18nlrl
----.. __'_0-_.."';' A11P 8ElRVr(~El
!J FT,rlRHH\ pOWF.1n
L1 N,R,F1,(!,
U l,lRiC!II1\NH!1\r,
$"
------- Vl\T,uI\TION UF HRlCH1\UI! rl\T, 1.l1S't'1\ f,IJ/\'I' TrJI'T
LI (JA 8
[1 RUOP'TU(J
r I ElPEl(!TAI1'l'Y
l] OTHElR
'I'YP1il UP' C'UI,18'I'RtH!'I'HJN I LI E!,()C!K
U FRM18l
[] STEJRlJ,
[] 01'IIRlR
fl'I N rBl/l1J1) F'f,()OP I1lTJF.1V1\TIONB
IS PRo,JrnCT IN F'UH)[) ZOIHlI 1\flHU'\[] YfllA
rJ NiJ
E'lttrrJm~lt:t
. . ,
- '~.--".-'----"-"-'- --- - ~_._- ---~- ....-
Cnt1p.1\HY '___,..
S 'I' I\'I' ill C; PJR'l' 0 R R El(~ Ul'I' It
CITY I?R()('resSJlt(~ #
R I mll\'!'linRl
It '" * * * ~. * * I, 01- 0\- * '" '" ,* '" * * * * 0\- * * * * * '" * /< *. 0\- * '" * * * 0\- * 0\- * * 0\- * 0\- * * 0\- * * * * * * * * * * * * * * 0\- * *, * /<
tlJf.!llCl'J'RHJUn
13 WIT1\l'lHU1J _..
r~orl P 1\ N '(
a'rAT!!) ('ElR1' OR REllns')' 1I
Cl'!'Y PR()CE1,gBJN(~ #
*. I< 0\- 0\- * * 0\- -I< 0\- 0\- * 0\- *, 0\- 0\- 0\- 0\- I< * 0\- * * " * ". 0\- 0\- 0\- * * * " 0\- '" 0\- * * * * i, * 0\- I' 0\- 0\- * * r ,,< * * I, * * /< * /<' I< * '* '" 0\- * '" 0\- *
PI ,tJHB I!IR
S IIHll\'l.'tmFI~_/J~,.I~_..
I!(JJ,IPl\IIY1:>~~~"_~_L~\}S~~~,~.s:>~\~~\~~ '
STl\Tffi (:EJRT UR RFJGIR'1' It ~"fS_\4~~~~~.._
Cl'I'Y PllnCE18ATNI1 #-19,;>9____.__ '_'._..
MRH,!HJ\1tWM,
A*********************o\-oI-o\-*****************************************
_....._~---.....-..... ..----...-----. ....----.--
(!ulqPANY______._...__.,.____ _
81'1\'1'El r!R\fl.T OR RI1Jr1tAT It
(!lTV PP'(JCElssntl~ It
S llnlA't'f lIHil
*********************'*******************************************
{1'rllFIJR
. u_______.__.__ ..u._.-....~..__._,..,..'__.n.._.. _.,_. ~._____ ..__.,_._____"___._..~_
(~CJI.'I P 1\(.1 Y
--.------ - -------..---
S'l'l\'I'Fl r,'F.1R'1' UR, RE1(HR'T' tI
('ITY PROC!E18SINQ #
A tIHIJ\'I'lJRRI
.,._~. 4~_____.___....__~__"_ ......__ .".___.......____ _,_. __"._.~__..___._.., _.___.__
*it**************************************************************
CONDITIONS OF PERllfIT AFFIDAVI'I'
A. NOTICE OF DEED RESTRICTIONS
'l'he undersigned understands that tlno pennit way be subject to "deed restrictions" which
way lJe more restrictive than City H:guJations. The undersigned assumes re:;ponsJbility tor
compliance with any appli.cable deed restrict.:ions.
B. UNLICENSED COI>lTRAC'l'ORS AND CON'l'AACTOR Rh:SPONSIBILI'l'IES
I t the owner lias hit-ed a contractor or contl-actor::; to undertake work, they may be l:equir...d
to be licen::;ed j,n accordance l-li\:11 state and local regulation:>. If the contractor i:; not
licensed al> requiu:d by laYI, both t1,e mmer and contractor may be cited for' a lllisdelllecHlOr
violation under state law. If the O\wer or intended contractor are lUlcet.tain as to \.hat
licensing requiremi;:nts may apply for the intended work, they ari;: advised to contact the
City of Zephydlills Building Department, 813-788-6611.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
contractor (13) sign portions of t,he "Contractor Section::;" of this application tor ..hich tlH::y
will be responsible. If you, as the owner ::;igns as the contractor, you are indicating th~t
you, rather than the contractor, are responsible for the work. If the contractor ..islles
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 t'.ephyrhills.
C. 'l'RANSPOR'l'A'I'lON U1PAC'l' J.i'EES AND UTILITY CONNECTION FEES
D. CONSTRUCTUION LIEN LAW (CHAP'rER 713, InORIDA S'l'A'rllTES, AS AMENDED)
I certity 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", I cerify that I
llave obtained a copy of the above described document and promise in good faith to deliver
it to the "o\'>/rlE':.I:'" prior to conunencement,
E. CONTRACTOR' S/OWNER' S AFFIDAVI'I'
I certify that all the information in this application is accurate and that all work will
be done in compliance ..ith all applicable laws regulating construction, zoning, and land
devt:;lopmeut,
Application is hereby madi;: to obtain a permit to do Hork and install<ltion <IS iudicated. I
certify that no vlOrk or installation has conanenced prior to issuance of a permit aud that
all work will be performed to meet standards of all laws regulating constrllction, City
code::;, zoning regulation::;, 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 i::; my responsibility to identify what actions I 1l1Ust take to
be in compliance. Such agencies include but are not limited to: *Department of
~nvironmental Regulation-Cypress Bayhead::;, Wetland Areas and Environmelltally Sensitive
Lands, Water/Wastewater Treatment
*Southwest Florida Water Management District-Well::;, Cypress Bayheads, Wetland Areas,
Altering Watercourses
"Army Corps of Engilleers-SeaHall::;, Dock::;, Navigable Watervlays
*Department of Health & Rehabilitative Service.., Environmental Health Unit-Wells,
Wastewater Treatment, Septic Tanks
*U.~. ~nvironmental Protection Agency-Asbestos abatement
I al:;o certify that, if fill material is to be used in Flood Zone "A" or "A, etc.", it is
understood that a drai.nage plan addressing a "compensating volume" will be submitted which
i.s prepared by a profes::;ional engineer registered in the State of Florida prior to permit
iSl:iuance.
A permi.t is.::lued shall be construed to be a license to proceed with the work and not a::;
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, construction, or violation~ of any code. Every permit
issued ::;hall become invalid unless the work authoriZed by such permit is CO"~enced within
six month::> of issuance, or if work authorized by the permit is suspended or abandoned for a
pbriod ot si,x month::> <lfter the time the work is corranenced. One 90 day extension of time:
Iliay be allowed for the: permit with tee charge of $15.00. The extension shall be requested
i,n vniting to the Building Official. An approved inspection must be logged during each six
month period, or the project ..ill be considered abandoned.
WARlHNG TO OWNER: 'tOUR E'AILURE TO RECORD A NOTICE OF COMMENCEMEN'l' MAY RESUW' IN YOUR
PAYING 'l'WICE FOR IMPROVEMEN'l'S '1'0 YOUR PROPERTY. IF' YOU IN'l'END '1'0 OB'rAIN FINANCING, CONSUL'l'
WI'l'H YOUR LENDER OR AN A'r'l'ORNEY BElfORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
:?2,500 IN VALlIE DO NO'l' NEED '1'0 RECORD AND POST A "NO'rICE OF COMMENCEMEN'r".
SIGNATURE: OWNER OR AGEN'I'
SIGNATURE: CONTRACTOR
STATE OF FLORIDA
COUNTY Of
The foregoing instrument was
Before me this _ day of
by
a cknovll edged
., 19__._
STATE OF FLORIDA
COUNTY OF
The foregoing instrument Was acknowledged
Before me this __day of---, 19
by
(name of person acknowledged)
Olho is personally known to me, or
(name of person acknowledged)
o who i::; personally known to me, or
Owho has produced
(type
and vlhoD did Ddid not
of identification)
take an oath.
o who has produced
(type of identificatiou)
and \lho Ddid [}::.lid not take an oath
Signature of person taking acknowledgement
Signature ot peraon taking aclmoviledgment:
Name typed, printed or st~mped
Name t'lP.::d, printed or stamped