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Home My WebLink About04-3109 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 PLUMBING PERMIT 3109 Permit Number: Permit Type: Class of Work: Proposed Use: Square Feet: Est. Value: Improv. Cost: Date Issued: 5/25/2004 Name: COOK Total Fees: 52.50 Address: 3528 TOURMALINE Amount Paid: 52.50 ZEPHYRHILLS, FL. 33542 I------:o~~ 6:~~~LU~g~~~~6 LANAI----~-~hon~-------__________ 3109 PLUMBING PLUMBING/NEW RV PARK Address: 3528 TOURMALINE DR:- ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: EMERALD POINTE RV RESORT Parcel Number: I. 1 ST ROUGH PLUMB WATER [2ND ROUGH PLUMB . FINAL PtEtNSPEctION FEES:. When extra InsPection trips-are necessary due to Jy one of the following rea.ons;-a-- I 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 .Jh~payment of inspectiC?r1J~~hall b~mad~~_~s>re~n'lfurt~~r...f>ermits w!l!...b~issued to.!~e person owning same "Warning to owner: Your failure to record a notice of commencement may result in your paying twicelof- -- improvements to your property. If you intend to obtain financing, consult with your lender or an attorney __t)~fort!Jecor~!!Ig yOIJ.....notice oJ cO'!ll!le~cemel!!-.".__._____________ _._ ______ .. ... _.. ..._ Complete Plans, Specifications and Fee Must Accompany Applicatlon.- . - - - --- -- -- ----.- -- -----~~ w~~~shCl'!...b~eerf()rmedJ!l_~<:co~<!a~.~-"^'Jt:~.fity _Code~nd..Qr~~nan~~s__ _______ u_ ALL PLUMBING SHALL REMAIN EXPOSED PRIOR TO INSPECTION ----- ____ .____ _.____n'____ ________.____.___________.__ ___'.______...._______.____ ___ __________________________.________________._________._ __ __ .________...__.____.__ K_~{g&~~/{--- ~MITOFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER A .- ~ - - 6'6 -- ~~~ v ..,J 2i8 211 ~J II~ ~ f .1;1 !!jiI5 Iii I~..~ 'I ;-v CO 0"1 a ..... o --.....j ~ :''J "Y",7:-, " \...... ~ "_.~",~':a. ........._~.-____ "-'~...." ~'U::', ,~;C C::1:5, ?L.C?-+A 3liIL:Ii' ':~CE. \IA....CJ'i -\L ;:: ;:~ ("CDj:; "'.' )" -- ' ....~._-' - _.~.. -,.~-~~:- T' -",'-,:':;i;!1 .........../. r~P'-<'V"'~'"' ., R:r'J.l" . 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',.,.; ..-4~.J L~ APPLICATION FOR PBmaT CITY 01' ZBPIIYRBILLS BUILDDlG DBPARDmNT DAD RBCBZVBD PLARS RBVl:BW I'BB PASCO PERMIT SERVICE l-S~- <a.jltl -7'&91.{ OWNER'S NAME -.R ,'c-har"'d COO k JOB ADDRESS ,~5;{ 'is IOu...r-VV\a..[ iV)e.., Dr'. PHONE LEGAL DESCRIPTION: LOT (S) ::2 70 BLOCK SUBDIVISION E: muald Point PARCEL ID # ~t.f- ;)f,-:J-l-D0'60--0000D ~ 270 (OBTAIN FROM PROPERTY TAX NOTICE) WORK PROPSED: ~NEW CONSTRUCTION DSIGN o ADDITION OALTERATION o REPAIR o INSTALL o MOVE o DEMOLISH PROPOSED USE: ~SGL FAMILY DWELLING o COMMERCIAL DMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER o RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK 'P\ L<..-~\~ tvr La...~~ BUILDING SIZE I ~ x.. 3?- SQUARE FOOTAGE ,~<64- 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 ~~ ~-II_I_ __~ 52.> o BUILDING $ VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL AMP SERVICE 0 FLORIDA POWER 0 W.R.E.C. ~ PLUMBING o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIALTY 0 OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAO YES 0 NO BUZLDBR COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ****************************************************************** BLBCmICZAR COMPANY. STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ****************************************************************** PLUMBER ~~ YYl COMPANY Larr"e.. t1:e.~er ?l~i~ STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE MBCBARXCAL **********~************ ****************************************** COMPANY. STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** 0'l'IIBR COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE OF DEED RESTRICTIONS The undersigned understands that 1:h:Ls pel:mi.t 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 owne~ h~s 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 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 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 Guiden prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other that the "ownern, I cerify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "ownern 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 "An or "A,etc.n, 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 ipvalid 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 COMMENCEMENTn. SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this ---pay of by STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _ day of . by acknowledged acknowledged , (name of person acknowledged) [Jwho is personally known to me, or (name of person acknowledged) [1ho is personally known to me, or o who has produced (type and who[Jdid Ddid not of identification) take an oath. o who has produced (type of identification) and who [Jdid [plid not take an oath Signature of person taking acknowledgment Signature of person taking acknowledgement Name typed, printed or stamped Name typed, printed or stamped