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HomeMy WebLinkAbout04-2693 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 PLUMBING PERMIT 2693 Permit Number: 2693 Permit Type: PLUMBING Class of Work: PLUMBING/NEW Proposed Use: MOBILE HOME PARK Square Feet: Est. Value: . Improv. Cost: I Date Issued: 1/30/2004 Total Fees: 41.00 Amount Paid: 41,00 . Date Paid: 1/30/2004 Work: Desc: SEWERLlNE Address: 3437 PYRITE DR ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): 297 Block: Section: Subdivision: EMERALD POINTE Parcel Number: Name: EMERALD POINT Address: 3437 PYRITE ZEPHYRHILLS, FL. 33542 Phone: 1 ST ROUGH PLUMB WATER I ' - ~--~-~-~__~~l ~ '_~~____~ REINsPECTlON 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 "Warningtoowner: 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. n ---~"'-------~-~tomplete Plans, Specifications and--Fee Must Accompany Application. --------.------- --~.._- All work shall be performed in accordance with City Codes and Ordinances ---All': PLUMBING SHALL REMAIN EXPOSED PRIOR TO INSPEcTION------- ---- ---- '.______n___._______., ------....--------~'_.~____._._..._______~___.____ ________....__n..___ ~ C t CTOR~ - ~MITOFFI CALL FOR ~PECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER - CITY OF ZEPHYAHILLS IINOTICE" OF ADD.ITION OR CORRECTION BUILDING DEPARTMENT DO NOT REMOVE I ADDRESS 0 . fATi PERMIT "" I ~ ~ J1 ryr,-k> Dr. 2(1'0'1 2'1] THIS JOB HAS NOT BEEN COMPLETED. T~e following additiqns or corrections shall be made before the job will be accepted. - , . C It is unlawful for any Carpenter, Contractor, Builder, or other persons, to cover or cause to be covered, any part of the worX with flooring, lath, earth or other material, until the proper inspector has had ample time to approve the installation, OFFICE HOURS 7:30 AM - 5 PM MON,-FRI. AFTER CORRECTIONS ARE MADE CALL 780~i(iJR RE-INS~ON INSPECTOR jL t) I ~ ('. , i "I, ""\ I ~ CITY OF ZEPHYRHILLS PERMIT APPLICATION BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 813-780-0020 FAX: 813-780-0021 DATE RECEIVED (I,%( I ' PHONE CONTACT FOR PERMITTING OWNER'S NAME JOB ADDRESS ~ 4;?>'t \> J~~ '>l LEGAL DESCRIPTION: LOT(S) PHONE L~\ 'd..'11 t=...~,~~~~ ~~,~~ BLOCK SUBDIVISION PARCEL ID # (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPSED: [JNEW CONSTRUCTION [JADDITION [JALTERATION [J DEMOLISH [J REPAIR ~ALL Os I GN [JMOVE PROPOSED USE: [JSGL FAMILY DWELLING [] COMMERC IAL [JMULTI-FAMILY [] INDUSTRIAL 0# OF UNITS [] SWIMMING POOL [J MOBILE HOME [] OTHER o RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK ~ ~ ~ to, ... ~ 1'--.... BUILDING SIZE SQUARE FOOTAGE 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. & (1) SET ENERGY FORMS. FORMS. ~ ?-~i? PERMITS REQUESTED [] BUILDING $ VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL AMP SERVICE [J FLORIDA POWER o W.R.E.C. ~UMBING o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION [J GAS [J ROOFING o SPECIALTY [J 01'HER TYPE OF CONSTRUCTION: [] BLOCK o FRAl1E [] STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREA[J YES [] NO BUILDER COMPANY SIGNATURE STATE CERT OR REGIST # ****************A************************************************* ELECTRICIAN COMPANY SIGNATURE STATE CERT OR REGIST # ****************************************************************** PLUMBER ~ f)- SIGNATURE O~ J-_ lU& Qy ~, COMPANYn~~;","~ \ _ ~\\\(\.~.;~\\~~\~ STATE CERT OR REGIST # ~~~ \ (/~:; <:O<:::):J... MECHANICAL ****************~************************************************* COMPANY SIGNATURE STATE CERT OR REGIST # ***************************************************************** OTHER COMPANY SIGNATURE Sl'ATE CERT OR REGIST # ----------._-~--- ----- A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be may be more restrictive than City regulations. The compliance with any applicable deed restrictj.ons, 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 tlley 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 be done in compliance with all applicable laws regulating development. Application is hereby made to obtain a permit to do work and installation as indicated. 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 ext.ension of t.ime 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 Cm1MENCE~1ENT 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". subject to "deed restrictions" ~vhich~ undersigned assumes responsibility for accurate and that all work will construction, zoning, and land I SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR d'.::k.lluwle<.lye<.l , 20_ STATE OF FLORIDA COUNTY OF The foregoing inst.rument was Before me this _day of by STATE OF FLORIDA COUNTY OF Before me this _ day of by acknmoJledgecJ , 20 Ttle foregoing instrume11t was (name of person acknowledged) Owho is personally known to me, or (name of person acknowledged) Qho is personally known t.o me, or of identification) take an oath. Owho has produced (type of identification) and who 0 did D:.lid not t.a ke an oath Dwho has produced (type and whoO did 0 did not. Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, print.ed or stamped