HomeMy WebLinkAbout05-4586
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
PLUMBING PERMIT
4586
Permit Number: 4586
Permit Type: PLUMBING
Class of Work: PLUMBING/NEW
Proposed Use: RV PARK
Square Feet:
Est. Value:
Improv. Cost:
Date Issued: 7/06/2005
Total Fees: 41.00
Amount Paid: 41.00
Date Paid: 7/06/2005
Work Desc: SEWERLlNE
Address: 39553 CYPRESS P
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: MAJESTIC OAKS
Parcel Number:
Name: MAJESTIC OAKS LLC
Address: 39553 CYPRESS POINT LN
ZEPHYRHILLS, FL. 33542
Phone:
2ND ROUGH PLUMB
FINAL
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. n
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
~~
CON RACTOR PERM IT OFFI
, CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OJ!' LaJ!iJ:'n~.t\n.l..LI.L1~ .1;.&.:.1............... u_________~_
BUILDING DEPARTMENT 5335 8~H st, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021
DATE RECEIVED
PHONE CONTACT FOR PERMITTING 61~-1Ba -9SJO
OWNER' S NAME~\c.V\ \\.k,')('f,Y\Y"'op PHONE 61~-18~-15/8
JOB ADDRESS '~~ 55~ C~ypye~S ~O\(\,. l.o.f\e-
LEGAL DESCRIPTION: LOT (S) (1 L\ BLOCK SUBDIVISION
WORK PROPS ED: 0 NEW CONSTRUCTION
o ADDITION
(OBTAIN FROM PROPERTY TAX NOTICE \
o ALTERATION [J REPAIR 'r;i INSTALL
PARCEL ID #
DSIGN
o MOVE
o DEMOLISH
PROPOSED USE: DSGL FAMILY DWELLING
o COMMERCIAL
DMULTI-FAMILY
o INDUSTRIAL
0# OF UNI'rS
o SWIMMING POOL
o MOBILE HOMI
o OTHER
D RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OF WORK I Y\ Sto.-\ \ S~0 u
BUILDING SIZE
SQUARE FOOTAGE
HEIGHT
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REQUESTED
o BUILDING
$
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
q( PLUtJJBING
o MECHANICAL
AMP SERVICE
o Progress Energy 0
W.R.E.C.
$
VALUATION OF MECHANCIAL INSTALLATION
o GAS
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
BUILDER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
******************************************************************
ELECTRICIAN
COMPANY
SIGNATURE
STATE CERT OR REGIST #
******************************************************************
PLUMBER
COMPANY W4\(\\ S L. tA...), \ \ \ 0-((\5
STATE CERT OR REGIST # C\=c.. lLf~5toOd.
SIGNATURE ~~ d' F/~
******************************************************************
MECHANICAL
COMPANY
SIGNATURE
STATE CERT OR REGIST #
*****************************************************************
OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
A. NOTI~E OF DEED RESTRICTIONS
The undersigned understands that this permit 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 owner has hired a contractor or contractors to undertake work, 'they may be required
to be licensed in accordance with state and iocal 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. II you, as the owner signs as the contractor, you are indi9ating 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 conunencement.
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 conunenced 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 bf 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 i~
understood that a drainage plan addressing a "compensating volume" wil~ be s~bmitted wh~ch
is prepared by a professional engineer registered in the State of Flor~da pr~or to perm~t
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 prov~s~ons of the techn~cal,c~des,
nor shall issuance of a permit prevent the Building Official from thereafter requ~r~ng a
correction of errors in plans, construction, or violations of any code: Every perm~~ ,
issued shall become invalid unless the work authorized bY,su~h permit ~s conunenced w~th~n \
six months of issuance, or if work authorized by the perm~t ~s suspended or a?andoned,for ,a
eriod of six months after the time the work is conunenced. One 90 d~y extens~on of t~me
~a be allowed for the permit with fee charge of $15.00. The extens~on shall b~ requeste~
inYwriting to 'the Building Official. An approved inspection must be logged dur~ng each s~x
month eriod or the project will be considered abandoned. .
WARNIN~ TO O~NER. YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
=~i~N~o~:I~~N~~'~=P~~~~~E~OB~~:eP~~~~~i~G ~;u~O~o~~~~N~FT~O~~~~~~C~~;s ~~~~LT
$2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT.
SIGNATURE: CONTRACTOR
SIGNATURE: OWNER OR AGENT
acknowledged
, 2U--
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)
Ckho is personally known to me, or
Owho has produced
(type of identification)
and whoO did Odid not take an oath.
o who has produced ,
(type of identificat~on)
and who Odid D:iid not take an oath
Signature of person taking acknowledgment
Signature of person taking acknowledgement
Name typed, printed or stamped
Name typed, printed or stamped