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Home My WebLink About03-2564 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 PLUMBING PERMIT 2564 Permit Number: Permit Type: Class of Work: Proposed Use: Square Feet: Est. Value: Improv. Cost: Date Issued: Total Fees: Amount Paid: Date Paid: Work Desc: 2564 PLUMBING PLUMBING/NEW MOBILE HOME SUBDIVISION Address: 3543 TOURMALINE DR ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: EMERALD POINTE Parcel Number: 12/11/2003 45.00 45.00 12/11/2003 PLUMBING TO LAN I Name: EMERALD POINT Address: 3543 TOURMALINE DR ZEPHYRHILLS, FL. 33542 Phone: HOMEOWNER , PLUMBING FEE 45.00 1 ST R U WATER I . ! 'I ! 1 I __~~ '_ ... L .. IREINSPECTION 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." -------~~ Complete Plans, Spedficationsand Fee Must Accompany Application. 'n _ _____________AII wor~_~hall be performed in accordance with City Codes and Ordinances _____ . ___ , ALL PLUMBING SHALL REMAIN EXPOSED PRIOR TO INSPECTION ~~'!n~ ~. CONTRACTOR PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER MINNEAPOLIS 900 GLiENWOOD AVENUE MINNEAPOU5, MN 55405 (612)374-3444 1-8C)0.623.7168 FAX (612)374-8550 ~,.. ~~'" ., ";"'-- ,---" ''"\.~/ '. \. $fi i). .:t.'-;~ ....' - ~,;,'I"~-, <1: -! i,4 ';;".J ;:::;-' '-' ........: ...--" -.,"'+-..,- -~'~l'- ~)(....,. 8, '"' ,-I -.... . -""""\" I .~ . 1 -+ ....(! /) <::>1 l' ~l ri .~< .:1 ,,-<,.j ~ .~I ~- ~,. ,~ ;.- "'--... / "J ------------ \ .~ ~\ . .I~ . .~\ . ....--. I _.1--- FARGO 1562 40TH STREET NW FARGO, ND 58102 (701)282-8488 1-a00.548-7855 FAX(701)282-8588 (:.'I"..S.I"( \...'f ;fp;)'-UJ~fz~i:- t/C D ( fc,;:.(4llf7-/~"-~W"-0. -7:: 0,) ,,1.'S:~ EAU CLAIRE, WI 2645 HARLEM 5AU CLAIRE, WI 54702 1.ass.a34-3489 FAX (715) 834-3489 '-:--., ;:<, .-:J 4(' . - . i'" .'~ (' .'. . {"?l' VV t,. _ ............"H'" \.!.t!'L, ..........~ . - 16IJ:;}t...'" / ,p, f^- ' 11~<"""'- .~ ~ ~ , , -.:A ~ ST. CLOUD "0201.lNCOL;I,I AVENUE SAUK RAPt.DS, MN 56379 (320)251-5995 1-000-216-4831 FAX(320)255-1787 .\... 'T" , ". ',<-- '-... ".....;.-. " --\- " Y ~ /1/'''''<; t ....~l\~:dc!.i~, -' ---.\'~ 11" . ~ ., 1'\ __ :'.... ..., - /J-#,4(, - .', r- J ;:~__~.-:;> -.I i ",- -~""","-j'~ ~ .-i:"" r-; .~~~ ~. - -...... , -' --, .....,.. , ..... ~'J\, ,-- '?l '~..' \/' r~- r" r::::;I--1 ;:\, i I j c,.... -- t. . I .' '\ OSSEO 105 BROADWAY WEST OSSEO, MN 55369 (763) 425-6688 l . ,) .. ... -', ~,v1 'i?/ . f', . '. L, . 'I I'" "J ;.... t v J --...I ; .1 '-__~".'" ~t~'!-~~':-- ~f -;"'II ..........;. ':............... " '1.1 .,~ ROCHESTER 4525 HIGHWAY 63 NORTH ROCHESTER, MN 55906 !507)252-8765 1-800 588 2609 FAX(507)252-0798 CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 813-780-0020 FAX:813-780-0021 DATE RECE IVED ------- PHONE CONTACT FOR PERMITTING PHONE bl2 -, (6- () 2-02- SUBDIVISION (QB.TAIN FRO!:LPROPERTY TAX NOTICE) PROPOSED USE: DSGL FAMILY DWELLING o C:OMMERC IAL o ADDITION DALTERA.TION o REPAIR o INSTALL DMOVE 0 DEMOLISH DMULTI-FAMILY D# OF UNITS D MOB ILE HOME o INDUSTRIAL o SWH1MING POOL o OTHER BUILDING SIZE CJ RESTAURANT & HEALTH DEPARTMENT APPROVAL -Y lu tv\. \::, \ ~q .-('-D La 1'\ \ \ SQUARE FOOTAGE DESCRIPTION OF WORK HEIGHT RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. I ^\'~~ nLlri-- (r;;.N en=- P0-JYv1~/1 Jj L; /l)III J/ f7 ~ 10 M 5 I\J -1'ST/rCClc.{J 'Lu uP rL ti /'V_ PERMITS REQUESTED & (1) SET ENERGY FORMS. FORl1S . L/~L () D BUILDING $ VALUATION OF TOTAL CONSTRUCTION o ELECTRICA.L AMP SERVICE D FLORIDA POWER o W.R.E.C. ~BING o MECHANICAL $ VALUATION OF MECHANCIA.L INSTALLATION o GAS o ROOFING o SPECIALTY D OTHER TYPE OF CONSTRUCTION: D BLOCK D FRAME o STEEL D OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES D NO L.____._ _, CONTRAC'1'OR....SECTtON ..--...-. -..-----, ...- . .-.. -.. .-.-....--___.._._ ________... .1 .."..- -~-- '~'--""._----'-,- ..._.__..~-- .__.~-----~-_..,-"._.._-------,----------~._--,_.._._---------,---- -..".. - ~.~.- BUILDER COMPANY SIGNATURE STATE CERT OR REGIST # ********************************************************,,********* ELECTRICIAN COMPANY SIGNA.TURE STATE CERT OR REG 1ST # ~., PLUMBER ~,ff..C-, . SIGNATURE n~ ****************************************************************** COMPANY +!/Y7 {]U-/~ STATE CERT OR REGIST # ****************************************************************** MECHAN I C.AL COMPANY SIGNATURE STATE CERT OR REGIST # ********************************************+*************.~****** OTHER COMPANY SIGNATURE STATE CERT OR REGIST # A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to "deed restrictions" wtlich 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, 813-780-0020. 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 work. If the contractor wishes you to sign as contractor that may be an indica~ion 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: *Departmenl 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 Unlt-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 permlt 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 pernlit issued shall become invalid unless the work authorized by such permit is cormnenced 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 RESOLT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSUI.T 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 COMMENCEt1ENT". SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _ day of by acknowledged , 20_ STATE OF' FLORIDA COUNTY OF The foregoing instrument was Before me this _day of by acknovJJ edged , 20 (name of person acknowledged) Owho is personally known to me, or (name of person acknowledged) Dvho 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 vlho Ddid O:Jid not take an oath Signature of person taking acknowledgement Signature of person taking ac;knOlvledgment Name typed, printed or stamped Name typed, printed or stamped