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Home My WebLink About03-2499 '-. CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 PLUMBING PERMIT 2499 Permit Number: 2499 Permit Type: PLUMBING Class of Work: PLUMBING/NEW Proposed Use: NOT APPLICABLE Square Feet: Est. Value: Improv. Cost: Date Issued: 11/10/2003 Total Fees: 41.00 Amount Paid: 41.00 Date Paid: 11/10/2003 --Work Desc: SEWERLlNE-- Address: ERIDOT LANE "3'fl{ g ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: EMERALD POINTE Parcel Number: :- Name: MCCORMICK, GERALD Address: a5M PERI DOT LANE ZEPHYRHILLS, FL. 33542 Phone: WILLIAMS (INDIVIDUAL) SEWERLlNE 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 recorda-notice of commencement mayresult in your paying twice for : improvements to your property. If you intend to obtain financing, consult with your lender or an attorney i before recording your notice of commencement." i------------------- "____" nu__ "_" ~__"___n__ __ __ ------------ I Complete Plans, Specifications and Fee Must Accompany Application. I All work shall be performed in accordance with City Codes and Ordinances i-- --- - --------------------------- -"" ----------------------------"-------- ---------- I _ ~!_~PLl~~1I:sING SHA_~L_REMAIN E~P9~I;D_ ~~OR T~ ~NSPECTION 'CJ~ J~w~__ . ~ CONTRACTOR PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CI'l'Y '>F ZHll?HYRIU,Ill.,S PBlRMl'l'APPld:CA'l'[ON BU.tI,lJH1<l tlllll?J\R'rMBlN'l' 5335 8th 8'rRBlBJ'r ZIllPH'iRnn,I,S, Fl,;Hi40 PhOnaIB13-780-nO~O FaX1813-180 0021 lJA'n RJll<JBltVllIn PI,MIEl Rt!lVIBlW P'JllIli (I\'IIIIllR I 8 IIM1IiJ I,Bl(mL IlH1SC!HTlJ'1'lUIII IJO'1'(8) '~'\'':_'~~~~~____m,,_.._u _'U','"'_''' P!IONIll (!n/.I'l'IWI' L~d.i/3L~'~~~'::L""\\~~\~~~) ~~,>\~,l~, ,TOB 8 ITEI 1\t1/J\U!1BS SIDCII( 811Bll IV Ul] nil PflR(!PlI, W /I (nBTl\IlI F'Rot1 PFWPP.11l"'V '['1\X NO'!' Tr'rn) WIRK PROl?SHlI'1 I HIRlN r'()NA'l'RI1r~TIOII [J l\rHH'l'I(j[.1 U 1\ l,'t'l1JHA1' ]f)1.1 II RFiIPlI IF 1~1\r,T, [J 13 WII [J 1'10 VEl [J lJl<JWJI,J811 PRIWlJAFJI1 TleE:1 L]s(~I, F1\!.lU,Y DNEJL,I,Jll(~ [J t1tJt,'1' r . P'1\I11 II Y [J # UF Ulll/I'S U SIHr.ltHI'Ir.~ POOl, L11~oalI, Rl lIor~RJ I.J rlTIIRlR r J (lot/lHElR(! fA r, [J UlDUS'l'IU M, IlBl9r,'RJP'l'rm1 (lEi' l'7URK r.:.::J R Bl8 'I' A tJ!U\ IT!' & It El 1\ 1/1'11 [J El p.1\ R 'n1 III N '1' 1\ P P IH JV 1\I I .-S~_ .-._. ~__u__ _._ _~_ .__.____.__..~. _ 8Uu,num ~ 1 ZIl1 .'L _._ _....._~_~...__.,.....____..... --'._._______. _.. SOUl\PE1 FOU'f'A(3E1 IlFlH1I1'f' RI!J8 H1P.11T'I'IJ\f, t (!Of1MBllH!IJ\I'l 1\'I"l'I\CIl (;:!) !?rD'1' PI.1\118 ,F. (:2) SElTS OF F.HJII,!lINtJ PI,AHA & (1.) 8EJ'r 'flJl1t!lRnV F'I1Rf.1A / 1\'I"l'l\.(11l (J) Aili'l'S UP' ButLIJUIG PLANS &, (1) SEl'I' E1NElR(~Y P'ORr~8. PROPll1HTY SlIIW1!lY RElQUIRElD FOR l\I.JL NEW C!om.l'l'RUL''l'HlN. k' >>JRM ~ T LR l1lQUlll S T >>'10 L1 811 J},IIJNr~ $ VM,lJATION OF' 'rOTTl1, (~OH8'fR(J(!'I'rmT I J IlJJ,'1)(~TR1(!J\11 ~~BnTl.il ANP $HlRVWEl fJ FI,rHunA pnVlI11R IJ W,R,'flJ,[!, U HHIC!Il1\NH!1\I, $. "--..- V1\J,[JJ\TION UF tlJe:CH1\H(~ rAr, 1I18'1'1\1,1,1\'1'TOI-1 LI (31\8 [I ROOF' HlG LI F.lPIll(tIAI,'l'Y I] 01'HEJR ']'YPliJ uP' tI0l'T8TRtltlTIDN I [OJ l3Wr.'K [] FRI\H81 I] STElElI, [J 01'III1lR P'JlH8H!1J1l F.'f,UOR rnf,ElV1\'l'IOHS _. __4_ _ __"_~_ ._._..~_.. ____ IS I=IROdElU't' HI F.'L(){)[) 7.nt1EJ lIRE1ACl YBlF-l L1 Nt) l\tht.IJP1~ . . . c _.. _....____~_____.~._.._ _....__. ."-_._.___.-.... _. CnrIJPTlNY..... ,_. '--,., S'f'}\'f'Bl C FJR'l' OR RF.JrH S'I' # C I'l'Y PRClC81I3S ItM # E:l Jr~ll 1\ TlIH E1 "'**~****.*****'*********'*A.'***********.****.**'*'*""I""", lIJt.llltl'rRHlrA1f COrlPI\NY S'I'A'l'El ('ElR1' OR R81('HA'l' II (~T'rY PROCE188Jlm jj A W!l1\TlHUJJ _'h .. , * · * * * .. * , * * .. * , * * , A. * , * * ." * * * . . * , ... * * * * I 1.\ .. I * * * * * * * k * * * * * , * . . * .. * , , * . * HI!I(!Itl\lfWM I A****'*,****,*************,****"****~**,**,*******,****'***1****,. (!rJr'.IPl\lly3;::>~,~~....~ L,-\)S~\~~s"3:\~~, ~ STl\'l'E1 (:mR'[' un RffiGIR'r # ~~,r;...,\4d.<;~\:)?l...u. CITY !?P.OCE18AH1I1 # u..l9do.,___ _, hh.." :::::::~n~l h:l~ _L~._..~ ._.__...~_'._H._ _.. "__'''~''_''~'~_~' ...., ..__ ...._ ____. "".__" ______...____..._..__ ___ l!oIv!PANY.._._ '''._ . ,__.,_ STl\TEl C'I11RT OH REl(H8T II (~11'Y PROC'&18Snrll II A H~t11\'I'lIrtl:1l *I**********'********"****I******I***~**I**'*******,*1'*'*"'**** D'rUIlIFl . -. _._._._----._-"_..~-_._----. .... .-.- -...._~- ..'------ - -, ~--.--_____...._ _.__.~u__ (~()I.IPI\!lY S'l'l\TFl CI11R1'-UR-RE1r1'rAT"W'- ('lTY ppr)CmSSINr:.l II , .+._--~-_._~. ...... -.--..-.....--.-.- .. ~-._.-. ~.~.__..._.__._. '..__. -""'---'--~_._,,-- A r(HI1I'1'IJRH1 ******"*'**'*"'**"*****'********************************'***** CONDI'l'lONS OF PE:RNIT AF'FIDAVI'r A. NO'l'lCE OF' DEED RES'I'RICTIONS 'l'he undersigned understands that thi::; pennit Inay be subject to "deed restrictions" wldeh Utay iJe more l:estrictive than Cityn:glllations. The undersigned assumes re::;ponsibility for compliance with any applicable deed restrictions. B. UNLICENSED COi-.jTRAC'l'ORS AND CONTAAc'rOR RESPONSIBILI'l'IES If the O~ler lias 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 ao:; required by lavJ, both tile oHner and contractor may be cited for a misdelllec::lnor violation under state law. If the owner or intended contractor are \Ulc=rtain as to what licensing requirements may apply for the intended work, they are advised to contact tIle City of Zephyrhilll:> Building Department, 813-788-6611. Furthermore, if the ovmer has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "Contractor Sections" of this application tor whicll 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 vdshes you to sigll as contractor that may be an indication that he is not properly licensed and is not entitled to penni tting privileges in the City of Zephyrh111s. C. 'l'RANSPOR'rA'l'ION IMPACT v'EES AND UTILITY CONNEC'I'ION FEES D. CONSTRUCTUION LIEN LAW (CHAP'rER 713, FLORIDA S'fA'fUTES, AS AMENDED) I certify that I, the applicant, have been provided with a copy of "Florida's Construction 1 ien LaH - Homeowner's Protection Guide" prepared by the l!'lorida Department of Agdclll.ture and Consumer Affairs. If the applicant is someone other that the "o~mer", I cerifythat 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 AlfFIDAVI'r I certify tllat all the information in this application is accurate and that all work will be done in compliance 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 Hork or in::;tallation 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 jurisdi.ctioll. 1 also certify that I understand that the regulations of other governmental agencies Hlay apply to the intended work, and that it is my responsibility to identify what aclionl::i I must takl:: to be in compliance. Such agencies include but are not Umi led to: ~'Depal.tment of F:;nvironmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally St:;nsitivt:: Lands, Water/WasttMater Treatment *Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses *Anny Corps of Engilleers-SeaHalls, Docks, Navigable WaterVlays *Department of Health & Rehabilitative Services, Environmental Healtll Unit-Wells, Wastewater Tr~atment, Septic Tanks *U.:::>. Environmental Protecti.on Agellcy-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" vJill be submitted which is pr:epared by a professional eng.ineer registered in the State of Florida pd or: to penni t is::iuanc,,,,. A peunit isslIed shall b"" construed to be a license to proceed Hith the Hork j;l.nd not as authority to violate, cancel, alter, or: set aside any provisions of tlie technical codel:i, nor 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 becoIlle invalid unless the Hark authorized by such permit is conunenaed within six month::1 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 corrunenced. One 90 day extension of time lIlay be alloY/ed for the penni t with fee charge of $15.00. 'rhe extension shall be requested in ~Jri ting to the Building Official. An approved inspection must be logged dlu:ing each six month period, or the project Hill be considered abandoned. ~'1ARNING '1'0 OWNER: YOUH E'AlLURE TO RECORD A NonCE OF COI'1MENCEMEN'I' MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMEN'l'S TO YOUR PROPERTY. n' YOU INTEND '1'0 OB'rAIN IfINANCING, CONSULT WITH YOUR LENDER OR AN A'l"1'ORNEY BEI!'ORE RECORDING YOUR NO'rICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED '1'0 RECORD AND pos'r A "NOTICE OF COMMENCEMEN'r". SIGNATURE: CONTRACTOR SIGNATURE: OWNER OR AGEN'I' S'l'ATE OF FLOHIDA COUN'rY 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 acknoVlledged 19~ acknowledged 19 (name of person acknowledged) o who is personally known to me, or (name of person acknowledged) C1ho is personally known to me, or Dwho has produced (type and VJhoD did Ddid not of identification) take an oath. Dwho has produced (type of idenUficaU Oil) and vJho Ddid []did not take an Oath Signature of person taking acknowledgement Signature of person taking acknowlddgment - Name typed, printed or stampt::d Name typed, printed or stamped APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT DATE RECEIVED PLANS REVIEW FEE JOB ADDRESS ~~~"~~~~', PHONE OWNER'S NAME L~ cll/~ ~~~~\ ~~\.~ LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # WORK PROPSED: DNEW CONSTRUCTION o ADDITION (OBTAIN FROM PROPERTY TAX NOTICE) o ALTERATI ON 0 REPAIR ~L DSIGN o MOVE o DEMOLI SH PROPOSED USE: DSGL FAMILY DWELLING o COMMERCIAL DMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBI LE HOME o OTHER D RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRI PTION OF WORK "--- -::.." ':U..\...)..St "-- BUILDING SIZE SQUARE FOOTAGE HEIGHT RESIDENTIAL: COMMERCIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. PERMITS REQUESTED o BUILDING $ VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL AMP SERVICE o FLORIDA POWER o W.R.E.C. ~LUMBING o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIALTY o OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES o NO BUILDER SIGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # ****************************************************************** ELECTRICIAN COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ****************************************************************** PLUMBER SIGNATURE ~~ " J.W~ COMPAN~~ ~';:,,:e, L -~~,,~~<, "'\>- ~,~~ STATE CERT OR REGIST # ~...S~'':'"'' \l/~S<O\)~ CITY PROCESSING # 14J 0 ***********~****************************************************** MECHANICAL COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** OTHER COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** " '. CONDITIONS OF PERMIT AFFIDAVIT 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 with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR 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 owner 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 vlhich 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. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTUION 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", 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 commencement. E. CONTRACTOR'S/OWNER'S AFFIDAVIT 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 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-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 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, 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 commenced 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 commenced. 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 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. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A ~NOTICE OF COMMENCEMENT". SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _ day of by acknowledged , ]. 9_ STATE OF FLORIDA COUNTY OF The foregoing instrument was aCKnowledged Before me this _day of-----------, 19 ~ by _..._.__ __ (name of person acknowledged) C1ho is personally known to me, or (name of person acknowledged) Dwho is personally known to me, or Dwho has produced (type and whoD did Ddid not of identification) take an oath. Dwho has produced (type of identification) and who Ddid D:iid not take an oath Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped