HomeMy WebLinkAbout04-2616
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CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
2616
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued: 1/06/2004
Total Fees: 49.00
Amount Paid: 49.00
Date Paid: 1/06/2004 I Phone:
Work Oesc: PLUMBING FOR STORAGE & UTILITY ROOM
2616
PLUMBING
PLUMBING/NEW
NOT APPLICABLE
Address: 3505 PYRITE DR
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s):302 Block: Section:
Subdivision: EMERALD POINTE
Parcel Number: 24-26-24-0050-00000-3020
Name: CARTER, CHARLIE
Address: 3505 PYRITE DR
ZEPHYRHILLS, FL. 33542
MEYER PLUMBING(LARRIE MEYER)
PLUMBING FEE
49.00
c!~'3
1 ST ROUGH PLUMB
WATER
- . - . .---
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 ins~ion fe~s shall be made before any further permits will be issued to the p~rson owning same
i "Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
I improvements to your property. If you intend to obtain financing, consult with your lender or an attorney
l- before _':9Cording your notice of commencement."
Complete Plans, Specifications and Fee Must Accompany Application. ~----~ -
~~___ - -- - ~_== ALL P~('~~f~~ ~':1~~~~~~:~~~~~~~~i~~~~~ a;~ O:~;;~~IO-N___=-=~=-~
~
PERMIT OFFI
OR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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APPLICATION I'OIl PBRMIT
CITY 01' ZBPBYRRILLS
BUILDIBG DBPAll'.l'HD1'.r
:trfer
r /' k- J)r.
:.. ?:!2.-
lJ.-OIJ6tY)- 30;1.0
a5iJ5'
SUBDIVISION 5YProid f6lfl~
DAB RBCBIVBD
PLaRS DVI_ I'BB
PASCO PERMIT SERVICE
813-788-5314
PHONE ,~ <6&&- ~;).y - 7 <Jl..f ~
/ c2/1/o 3
BLOCK
(OBTAIN FROM PROPERTY TAX NOTICE}
)N
o ADDITION
o MOVE
DALTERATION
o REPAIR
o INSTALL
o DEMOLISH
['LING
[JMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
o COMMERCIAL
o RESTAURANT & HEALTH DEPARTMENT APPROVAL
BUILDING SIZE
I
/:A '13~
SQUARE
HEIGHT
DESCRIPTION OF WORK
RESIDENTIAL:
COMMERCIAL:
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
ATTACH f3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REQUESTED
o BUILDING
o ELECTRICAL
UPLUMBING
o MECHANICAL
$
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
o FLORIDA POWER
o
$
VALUATION
DGAS
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 0 NO
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BUZLDD
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
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JILlICTJUCDUI
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
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SIGNATURE
~~~
***********~******************************************************
COMPANY' L 0. r (' 1 'e..- {V1 e y ~ ("'
STATE CERT OR REGIST #
CITY PROCESSING # 13 "
Pll-thtbl'~
PLUIiIBBR
HBCBAIIXCAL
COMPANY-
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
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0TIDDl
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
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CONDITIONS 0~ PERMIT AFFIDAVI~
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this peJ::mit may be ~:ub:i'e,c:t: 1:0 "deed restrictions" which
may be more restrictive than City requlat:io;[ls. Thl:! Llndl:!u;:Lqned assumes responsibility for
compliance with any applicable deed restrictit:>ns.
B. UNLICENSED CONTRACTORS AND CONTRACTOH R~SE'ONSI]U(,['rIE:~i
If the owner has hired a contractor or cc.nt.l:actors tel "cUldE!r;:iike work, they may be required
to be licensed in accordance with state and local J:egu.Lati.onI3. If the contractor is not
licensed as required by law, both the owner and contra.::tor lRay be cited for a misdemeanor
violation under state law. If the owner or intended c<:mtral::tor are uncertain as to what
licensing requirements may apply for the in1i:ended 'ofork" they are advised to contact the
City of Zephyrhills Building Department, 81:3-788-6611.
Furthermore, if the owner has hired a contractor or c:ontr.:1c1:ors, he is advised to have the
contractor (s) sign portions of the "Contrac1:or Sections" ,jf this application for which thel
will be responsible. If you, as the owner signs as the cQn1:ractor, you are indicating that
you, rather than the contractor, are respon::lible for the work. If the contractor wishes
you to sign as contractor that may be an indication that he is not properly licensed and i!
not entitled to permitting privileges in thl:! 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 .:1 (:opy of "Florida's Construction
lien Law - Homeowner's Protection Guide" prl!pared by the :rlorida Department of Agriculture
and Consumer Affairs. If the applicant is :3omeone 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 penrnlt to do work .:lnd installation as indicated. I
certify that no work or installation has cormnenced prior 1to issuance of a permit and that
all work will be performed to meet standardu of all laws :r:equlating construction, City
codes, zoning regulations, and land developr~ent regulations in the jurisdiction. I also
certify that I understand that the requlations of other gc:>vernmental agencies may apply to
the intended work, and that it is my respon:3ibility to identify what actions I must take tc
be in compliance. Such agencies include bu1: are not limited to: *Department of
Environmental Regulation-Cypress Bayheads, lfetland Areas i:lnd Environmentally Sensitive
Lands, Water/Wastewater Treatment
*Southwest Florida Water Management Distric1:-Wells, Cypre:3s Bayheads, Wetland Areas,
Altering Watercourses
*Army Corps of Engineers-Seawalls, Docks, Nilvigable Waterways
*Department of Health & Rehabilitative Services, Environml~ntal Health Unit-Wells,
Wastewater Treatment, Septic Tanks
*U. S. Environmental Protection Agency-Asbes1:os abatement
I also certify that, if fill material is to be used in Flc:>od Zone "A" or "A, etc.", it is
understood that a drainage plan addressing a "compensatinc;J volume" will be submitted which
is prepared by a professional engineer regil3tered in the State of Florida prior to permit
issuance.
A peDnit 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 Offic:i.al from thereafter requiring a
correction of errors in plans, construction,. or violations of any code. Every permit
issued shall become ipvalid unless the work authorized by such permit is commenced within
six months of issuance, or if work authoriz4:!d by the permit is suspended or abandoned for a
period of six months after the time the work is conmenced. One 90 day extension of time
may be allowed for the permit with fee charqe 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
,
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _day of
by
acknowledged
acknowledged
,
(name of person acknowledged)
o who is personally known to me, or
o who has produced
( type
and whoDdid Ddid not
(name of person acknowledged)
[1ho is personally known to me, or
of identification)
take an oath.
o who has produced
(type of identification)
and who Ddid [):lid not take an oath
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
.'
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