HomeMy WebLinkAbout03-2454
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
PLUMBING PERMIT
2454
Permit Number: 2454
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: 3515 TOURMALINE DR
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: EMERALD POINTE RV RESORT
Parcel Number:
Name: EMARLD POINT
Address: 3515 TOURMALINE DR
ZEPHYRHILLS, FL. 33542
Phone:
1 ST ROUGH PLUMB
WATER
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
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."
___~p-____-m Complete Plans, Specifications and Fee Must Accompany Application~n_----~---
1---- -------- -ALL-P[~V::;~~ ~J:~~~~Ai:r~~~~~~~i;~~~ a;~ o~~~;~e~.rION--- --
---.--------.---... ---"",'--'.' --,~'---'--'- ----------------.--..- --.---------------
1- ~!Jfc1::'----- - ~MIT OFF!
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY' OP' ZHlPUYRHlldJS PE1RMI'l'1\PPld:CA'l'ION
BUII,lHNtl nBlI?J\R'rMElN'l' 53315 ath S'rRJ!1BJ'r ZllIJ?H'i'RUn.rJB, Fl. 331;40
Phone 1813 -780" O,ll20 'a~e t 813 ..'7 80, 002l
IlA'rJlI RIll<J1UVl!In
PI,M1S RlllVII!lW rlll(:."':",':-
I )\'lHP'IR' S llM1Ill.._.._([~ ~4____.. ___ __'... __ _" _. ___, _ .. _ PllrJtTF.l (~{)N'l'1\f!'!' _ ___ , ," _ _ ..
,TOB ST'l'BJ AllIJ~H188 ~S.\S -Y~~~_...__L<::J\:11=--cl.S~__ _~~~~~\~
l,l31n1\lJ llB.1F.H!HTP'l'lnlll LOT(S)
BUK'I(
Stf8rJJV181r>11
PJ\RC!EllII III II
(nBT1\1\1 F'Pot,1 PRnI?ElIl'l''l '['1\ X NO'!' WJl1)
W1RK E'fIOI?AJ1lIJ I UNl!lt'l "()N8'l'RllfYrTOII
[] J\nLH'1' IOU
LJ l\L'l'R\R1\1:'JrlU
[ 1 RIlIPl-\ tI1
1~'I'l\T,I,
fJ s mil
[) t10V!:!l
[J DHJWJI,I811
P.FHWnAFill USEII llsq], FA[.llLY DWElL,I,} 11G
[JIHJ!,'I't, P'1\!1U,Y
[J UOt/1HP.1RI.! JAI I
[J HmUS'l'Rt1U,
[J# OF mll'l'S
[]SNIMMutq pourJ
[ ] WlRlI.Fl IIW1Rl
LJ rl'rIlI!1R
o tUI8'I'AtJltAI'1'l' & HElAUl'1I llRlP.J\lt'l'tiI!lH'l' 1\ PPIHlV AI,
)JElEH!RJP'l'rnH OF I'JrJHK ,""I.s~~~~~~__~~~~3...."~'~~",______ ,.
8unfln)r~ Fll?lEl
SQUI\P.E1 FOD'r'AGE1
Rt!JS T tJRlll'I'IJ\ I ,I
1.!r.J~1MBlIH!Il\f, I
1\'I"I'nCII (d) PI,oT P!~l\l1Fl ~ (2) BElTS OF 8m! ,IHNll PI,1\H8 & (I) REJ'I' F.nmRny F11R1,1S,
A'I"l'1\('1l (3l REI'I'S OF RlJtLIJUlrJ punls & (1) 8El'I' ENEJRnV FORt/IS,
PP.uP\11H'I'Y SlIIWlllV REl~J.tJlRElD FOR TILL, NElN c!OHS'I'RIJC'I'IOI~.
~m~~T~RmQti~~TiO
r:J BlI fT ,lIT N(~
$ -, -,- __ '.. ....._w....'__,
Vl\l,lIATlON OP' 'rOTAI, [~()NI3'fRI}(~'I'Tml
L1 BlJ,I!l(~TR1(!AI,
~,lHiB Hlr3
AHP 9ElRVI(~El
f]
FII)RJ:tI1\ prH'l1i1n
1'..1
~1 ' R , Fl , I.! .
U l,lEiUIl1\JIlC'1\IJ
$,
V1\T,Ul\TION UF t1R:CH1\I'W 11\1, lIfATI\!,I,/\'I'HIN
L1 !.HI 8
[I Rr)OFIlW
U r:lPElr!tAI,'l'Y
[] OTHER
'l'YP!iJ OF C'UI-181RtH!'rWN I L] BLDl.'K
[J FRI\I~BJ
[] STE1mr,
[J O'I'IIFlR
F.fIU SHFJtl FI,(JOlt El TJEl VA 'I' LOI-TS
IS PRO,tECT HI F.'J.uun 7,OIHlJ ARI!1I'\("I vms
r.J WJ
al'rr,llP.1~
. , ,
-_.~'-_.__.._-'--~-".__._. - -- -- ._~----_...
Cnt1Pl\NY., _ _______...., ___""__
8'1'1\'['81 CFJR'l' OR RElC1 t 8'1' 11.
CITY PROCE18SIH~ 11
fll mll\TtiHEl
*'****************"***'*'*'*'**'***'*"A***"**"A'"'*""*'*"*
IlIt,fIl(1'l'RHJrAU
A WI 11\'1'1 Hl.P.l __,
CrJI1PANY
STl\TE e'ER1' OR REIn AT it
(~t'I'Y PRoCE8811m II
· · * * * >, , * , * * * , , * * * * , * · * · , Ie * * , * * * * * , * * * * " ,~ * * * * 'k * * , * * , * * , * * *. * * * , * * , . *
Py,UMBBlR
9Wlll\'l.'I In 0 '- J (A....) () r. ..
R1~. __~"-...".~,_. ..u___._.__
~. '- . \ ~ ~ ~\ \ "
(lrJ!'IP1\Ny~Sl~~~"::>._L_ WI\. ..~~~, \ \>....m..~\""~
STATEl (;HlR1' UR PElGUl'r II rs....~\(.[;;;rs~~~_
C!J'l'Y P.ROCEl8AH1() 11_-.'n ICfe...C:...
MRI(!IIIUt! eM,
~**,.**********'********'*'***'*'**'*******'*.***'**'**"."."".
.. .--". ...-_.. ._. _,.. ..___.__.__._ 'n ,,'., . _ _ _~. '. ___~_'_"""'" _ ___.._.__".__. ___..__ .___
(\J!',1PANY, ,__.. _____'______,
ST1\'l'E1 r'P.1tl,T OF REJrHAT #
CITY PRUC'E1SSnIQ #
S UU1l\'l'lIttEl
"*"'*.,"",.,**""'*'*"*""""'*'*"""""*""*"'*"*'
n'rHlDEl
..._~"..c" ~4' ..._.....:...__r_._......u~_.~.._.~_______.__..'~._.H__.. _.__._..___
(~ClI,1Pl\HV
------ -------- .-
S'l'l\'I'F1 r,'FlR'!' UR, REHHA'I' #
('l'I'Y PROCFlFlS INr3 #
A [Qll1\'l'lIRHI
t*'*'*'****'**""*'****'*********'*'*'"",**,*,,******1'.'**'"
CONfJIrrIONS OF PERNIT AFFIDAVI'r
A. NOTICE OF DEED RESTRICTIONS
'I'he undeJ:signed undeJ:stands that thiti permit may be subject to "deed restrictions" which
filay be moL';:: I:estricti VI: than Ci ty regu.l a tions . The undersigned atisurnes retiponsJbili ty foL'
compliance with any, applicabJ e deed restl:ictions.
B. UNLICENSED COI'iTRAC'l'ORS ANT) CON'l'MCTOR RESPONSIBILI'l'IES
1 f the ovmer has hired a contractor or contrClctors to undertake work, they mClY be I:equired
to be licensed in accordance witll state and local regulations. If the contractor iti not
licensed a:; required by .laVi, both the OvUlel' and contractor may be cited for a lIlisdemeculOr
violation under state lavl. If the owner OL' intended contractoJ: are IHlc=rtClill as to what
licensing J:equiJ:ements may apply for the intended work, they are advised to contact tile
City of Zephyrhills Building Department, 813-788-6611.
Furthermore, if the ovmer has hired a contractor or contractors, he is adviSed to have the
contractoJ:(s) sign portions of the "Contractor Sections" of this C1pplication tor 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 wislles
you to sign as contractor that may be an indication that he is not properly licensed and is
not entitled to permitting pri,vileges in the City of <:'.ephyrhi.lls.
C. 'l'RANSPOR'rATION H1PACT I."EES AND UTILITY CONNECTION FEES
D. CONSTRUCTUION LIEN LAW (CHAP'rER 713, FLORIDA STA'fUTES, 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 l!'lorida Department of Agri cul ture
and Consumer Affairs. If the applicant is someone other that the "owner", I cerify that I
have obtained a copy of the above described document and promise in good faitll to deliver
it to the "OHner"" prior to cOllunencement.
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 compliance with all applicable laws regulating construction, zoning, and land
development.
Application is hereby made to obtain a permit to do Hark and installation as indicated. I
certi ty that no Hark or intitallation has cOlTunenced prior to issuance of a permi t and that
all Hork will be performed to meet standards of all laws regUlating construction, City
codes, zoning regulations, and land development regulations in the jurisdiction. 1 also
certify that I understand that the regulations of other gqvermnental agencies Hlay apply to
the intended vwrk, and that it 1s my responsibility to identify v~hat action::; I must take to
be in compliance. Such agencies include but are not limited to: ~'DepaI:tment of
I!:nvironmental RegUlation-Cypress Bayheads, Wetland Areas and Environmentally St:::nsitive
Lands, Water/Wastewater Treatment
*Southwest FloL'ida Water Management Di~trict-Wells, Cypress Bayheads, Wetland Areas,
Altering Watercourses
"'Army Corps of Engineers-SeaHalls, Docks, NaVigable Waterways
kDepartment of Health &. Rehabilitative Services, Environmental Health Unit-WelLs,
Watitewater 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 dr"ainage plan addressing a "compensating volume" Hill be submitted 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 to proceed with the work and not as
authority to violate, cancel, alter, or set aside any provisions of the technical codes,
110r 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 permit
issued shall become invalid unless the work authorized by such per'mit is cOllunenced within
six months of i::lsuance, or if work authorized by the permit is suspended or abandoned for a
per'iod of six months after the time the work is conunenced. One 90 day extension of time
may be allowed tor the permit Hith fee charge of $15.00. The extension shall be requested
in vniti,ng to the Building Official. An approved inspection must be Jogged during each six
month peJ:iod, or the pr'oject Hill be considered abandoned.
WARNING TO OWNER: YOlJH E'AILORE TO HECORD A NOTICE OF COlvJMENCEMEN'l' MAY RESUUl' IN YOUR
PAYING TWICE FOR IMPROVEIvIEN'l'S '1'0 YOUR PROPERTY. U' YOU INTEND '1'0 OB'rAIN b'INANCING, CONSULT
WITH YOUR LENDER OR AN AT'l'ORNEY BEb'ORE RECORDING YOUR NO'nCE OF COMMENCEMENT. JOBS UNDER
$2,500 IN VALUE DO NO'l' NEED '1'0 RECORD AND POST A "NOTICE OF COMMENCE!I1ENT".
SIGNATURE: OWNER OR AGEN'I'
SIGNATURE: CONTRACTOR
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this __ day of
by
ackno\rlledged
19_
STATE OF FLORIDA
COUNTY OF'
The foregoing instrument was
Before me this __day of
by
(name of person acknowledged)
o who is peL'sonally known to me, or
acknowledged
19
(name of person acknoHledged)
o/ho is personally known to me, or
Dwho has produced
(type
and vlhol] did Odid not
of identification)
take an oath.
Dwho has produced
(type of identification)
and vlho Odid ['}:lid not take all oath
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, pri nted or stamped
Name typed, printed or stamped