HomeMy WebLinkAbout04-3296
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
PLUMBING PERMIT
3296
Permit Number: 3296
Permit Type: PLUMBING
Class of Work: PLUMBING/NEW
Proposed Use: RV PARK
Square Feet:
Est. Value:
Improv. Cost:
Date Issued: 8/10/2004
Total Fees: 49.00
Amount Paid: 49.00
Date Paid: 8/10/2004
Work Desc: PLUMBING TO LANAI
Address: 3442 OURMALlNE DR
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: EMERALD POINTE RV RESORT
Parcel Number:
Name: CLIFFORD & VIVIAN KIRK
Address: 3442 TOURMALINE DR
ZEPHYRHILLS, FL. 33542
Phone:
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 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, 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
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CONTRACT PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
APPLICATION FOR. PBmaT
CIn 01' ZBPBYRIIILLS
BUl:LDDtG DBPARDO!:N'1'
JOB ADDRESS
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PASCO PERMIT SERVICE
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OWNER'S NAME
PHONE
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SUBDIVISION f/llt} rtL lei fotl.-I ICy
lOB'I'ATN FROM PROPERTY TAX Nrffftl</lr
LEGAL DESCRIPTION: LOT(S) .~f /
.) 'f-c). ~; .' J / - o() J'()- o(X)()o - cJ f / r)
BLOCK
PARCEL ID #
WORK PROPSED: ~NEW CONSTRUCTION
b~IGN
o ADDITION
o ALTERATION
o REPAIR
o INSTALL
o MOVE
o DEMOLISH
PROPOSED USE:~SGL FAMILY DWELLING
o COMMERCIAL
OMULTI - FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
DESCRIPTION OF WORK
o RESTAURANT & HEALTH DEPARTMENT APPROVAL
/())'t'3r:J.. Ltill.a.1
1~X-3bL
SQUARE FOOTAGE
if ~'1 r/
HEIGHT
BUILDING SIZE
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.
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PERMITS REQUESTED
,. BUILDING
o ELECTRICAL
rt PLUMBING
o MECHANICAL
$
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
o FLORIDA POWER
o W.R.E.C.
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
AFAAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAO YES 0 NO
BUl:LDBll
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
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BLBC'.ftUCl:AN
COMPANY:
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
PLUMBBR.
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'0 COMPANY .
f - ~ STATE CERT OR REGIST #
'- ~ , , \~ CITY PROCESSING #
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SIGNATURE
HBCllARXCAL
COMPANY.
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
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OTIIJ:R.
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
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CONDITIONS OF PERMIT AFFIDAVIT
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this pel:mit may be subject to "deed restrictionsH which
may be more restrictive than City regulations. The undersigned assumes responsibility for
compliance with any applicable deed restl:ictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOH RESPONSIBIJ.ITIES
If the owne~ ha,s hired a contractor or contractors to undertake work, they Jl\ay 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.
Further.more, if the owner has hired a contractor or contractors, he is advised to have the
contractor(s) sign portions of the "Contractor SectionsN 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 aocument 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 perfor.med 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
*Ar.my 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.
~'J Ii. C ~l )r,~ / L-
SIGNATURE: OWNER Oli/AGENT
SIGNATURE: CONTRACTOR
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
Before me this _day of
by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
Before me this _ day of ,
by
(name of person acknowledged)
o who is personally known to me, or
Owho has produced
(type of identification)
and whoOdid Odid not take an oath.
(name of person acknowledged)
[1ho is personally known to me, or
o who has produced
(type of identification)
and who Odid Olid not take an oath
Signature of person taking acknowledgment
Signature of person taking acknowledgement
Name typed, printed or stamped
Name typed, printed or stamped