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Home My WebLink About05-4084 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 PLUMBING PERMIT 4084 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: 4084 PLUMBING PLUMBING/NEW RV PARK Address: 3422 TOURMALINE DR ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: EMERALD POINTE RV RESORT Parcel Number: 4/12/2005 64.50 64.50 4/12/2005 Phone: UNDERGROUND PLUMBING & CONDUIT FOR ELEC. FOR FUTURE PAT & BERNIE ETHIER Address: 3422 TOURMALINE DR ZEPHYRHILLS, FL. 33542 HOMEOWNER 1 ST ROUGH PLUMB WATER 2ND ROUGH PLUMB FINAL SEWER 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 "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 + 4/t!lUi~' e~ ~ CONTRACTOR PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 'L, ~ ') ~ -~ / v-...., '(9 ~'"> ~ ':7<!' ~ ~ ~ ....., v ~ ~ ~ ~ '~"" \:: \--.- ~ 'I) \I ~ ('.<.t' \; ... ~ ';""'~ .,. \ ~ ~ ~~ ~ '..\ ~ t\ ~ ",,\ ~ ...... ~ ~ 1'}. '(' ~~ ~ ) I>.~ ~0~~_ .--" r.'~ ('/'" ~~ ;> , ~~ 1\ (,.~ ~ '" ,~ ~~V~iJ ~ ~~ .>- \ T \t ~.~:, ~ ~, ~. f\\~~ U..Jj ~ 'cr-l\.. ( \ -r L-- ~I,J~ ,,\ ~ ~ E:i''- ~ ~ '01 \l 0 tl L.- -\ . :4prJ'S '" \ ~ rS' Y--\ !'C-) Q /(.. J,;;> n/'p II. 13 ~_ ' 'tV v)1/~el<.. 7 . I 1,.;/,/ I. "I 7 h, - I .n/IJ V iT ~6" /I" ~ 41" jv c.-T eo , ' . ff. ,^L If 5LI:' 0 .L.-j -i. JIV 6 l -fl / -+ 'LJ /IN &:;- '-.. 1,,"1' G: j5t.cc;/;.I,r f(j/v~ ~ li/s: tvl1,-,LS :...><v /t. :; '~~ "';:>.. '\"> ~ (' r: ----..." cD :\ . t-' \~~ ~\l --~- 011~/'\ f\~ fbll'" ~ \) ~ ./ c:. u A. /C? ~ -;:;:- -,- :~ J.,jE :S--;7" A -e: -C!--'"/ -- t:;:>//<M ::> =-- If I\J ') , .~\- - } ~ "9 U --.-...... .,.:. .f .s... .... i>'(" <CJ' It.::..._'''....,,~.. ;-""'"_ CITY OF ZEPHYRHILLS PEKMJ. '.1" .arr.LU..\..o.n..&. ~'"'~. BUILDING DEPARTMENT 5335 8TH st, ZephyrhillS, FL 33542 813-780-0020 FAX: 813-780-0021 01 G(I ~ DATE RECEIVED r--L/--O\L- ~ PHONE CONTACT FOR PERMITTING 5'~A C OWNER' S NAME~ I -r g ~ /(,y i e L -r /{ /~ ,.I(! JOB ADDRESS JY',;?~' ;r;c.},(/YlI4L //1// LEGAL DESCRIPTION: LOT (S) :2. j~"' BLOCK PHONE g/3. ;> 7? JS'9"L5 SUBDIVIsIoNt[MeItAL..!}' A/~I Lv (OBTAIN FROM PROPERTY,TAX NOTICE) o ADDITION o ALTERATION o REPAIR o INSTALL OSIGN PROPOSED USE: OSGL FAMILY DWELLING o COMMERCIAL o MOVE o DEMOLISH (2-:..[ . L.- 01' OMULTI - FAMILY o INDUSTRIAL O. OF UNITS o SWIMMING POOL o MOBILE HOMl ~THER c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL . .- DESCRIPTION OF WORK t/11/~t!'1J... ~ tf. Ct:/ # /bt/.#'!~/ A/ I Y' E.1... ~ ~-7~ J~+!'--- e toN.h JJ I' BUILDING SIZE Itx.32...' SQUARE FOOTAGE J~Y. HEIGHT//,e-/'"" o BUILDING $ VALUATION OF FORMS. RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY. FORMS. IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS PROPERTY SURVEY REQUIRED FOR ALL NEW PERMITS REQUESTE Ji/f ELECTRICAL \~ ~ PLUMBING /" o MECHANICAL $ AMP SERVICE o progres s Energy j:r W. R. E . C . -4> (g '-t ) SXJ VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIALTY o OTHER ~RAME o STEEL o OTHER TYPE OF CONSTRUCTION: 0 BLOCK FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAo YES 0 NO BUILDER COMPANY SIGNATURE a~ STATE CERT OR REGIST # ****************************************************************** SIGNATURE ~ COMPANY ELECTRICIAN 6cV-IdA-. STATE CERT OR REGIST # ****************************************************************** SIGNATURE ,A COMPANY PLUMBER tJrLbr~ STATE CERT OR REGIST # ****************************************************************** MECHANICAL COMPANY SIGNATURE STATE CERT OR REGIST # ~. ***** ********....******************************************** .,:' ~/..4/ COMPANY I " STATE CERT OR REGIST # OTHER SIGNATURE A. NOTIC,E OF DEED RESTRICTIONS The undersigned understands that this permit may be may be more restrictive than City regulations. The 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 po+,tions 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. Appli~ation 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 w0rk, 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 certity 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 proc~e~ with the work a?d not as authority to violate, cancel, alter, or set aside any p:o~lslons of the technlcal.c~des, nor shall issuance of a permit prevent the Building Offlclal from thereafter requlr~ng a correction of errors in plans, construction, or violations of any c~de. Every perml~ , issued shall become invalid unless the work authorized by such permlt is commenced wlthln six months of issuance, or if work authorized by the permit is suspended or a~andoned.for \a period of six months after the t1tne,the work is commenced. One 90 d~y extenslon of tlme may be allowed for the permit with fee charge of $15.00. The extenslon shall b~ requeste~ in writing to 'the Building Official. An approved inspection must be logged durlng each SlX 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 L ER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2, 500 IN E 00 NOT NEED TO RECORD AND POST A "NOT~EMENT'" SIGNAf6RE: CONTRACTOR subject to "deed restrictions" which undersigned assumes responsibility for SI acknowledged , 20_ 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 , 20_ (name of person acknowledged) Owho is personally known to me, or (name of person acknowledged) C1ho is personally known to me, or o who has produced (type of identification) and wnoO did Odid not take an oath. o who has produced (type of identification) and who Odid []did not take an oath Signature of person taking acknowledgment Signature of person taking acknowledgement Name typed, printed or stamped Name typed, printed or stamped