HomeMy WebLinkAbout06-5344
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
PLUMBING PERMIT
5344
Permit Number: 5344
Permit Type: PLUMBING
Class of Work: PLUMBING/NEW
Proposed Use: SINGLE FAMILY RESIDENTIAL
Square Feet:
Est. Value:
Improv. Cost: 650.00
Date Issued: 1/23/2006
Total Fees: 61.00
Amount Paid: 61.00
Date Paid: 1/23/2006
Work Desc: LANAI
Address: 3541 I E LOT 311
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot{s): Block: Section:
Subdivision: EMERALD POINTE
Parcel Number:
Name: EMERALD POINT
Address: 3541 PYRITE LOT 311
ZEPHYRHILLS, FL. 33542
Phone:
J ~o\.l
I. r-p\ op ,nt'
Y \ \ \\ V
1 ST ROUGH PLUMB
WATER
REINSPECTlON FEES: Reinspection fees will comply with Florida statute 553.80 (2)( c) when extra inspection
trips are necessary due to anyone of the following reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspections called d) work not ready for
inspection when called e) permit not posted on job site f) plans not a job site g) work not accessible.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
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."
ALL PLUMBING SHALL REMAIN EXPOSED PRIOR TO INSPECTION
~0u0 M~F1 . ~-~
CONTRAC OR- PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
5344
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:
5344
PLUMBING
PLUMBING/NEW
MOBILE HOME PARK
Address: 3425 PYRITE LOT 294
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: EMERALD POINTE
Parcel Number:
650.00
1/23/2006
61.00
61.00
1/23/2006
LANAI
Name: ETHIER, BERNIE
Address: 3425 PYRITE LOT 294
ZEPHYRHILLS, FL. 33542
Phone:
1 ST ROUGH PLUMB
WATER
2ND ROUGH PLUMB
FINAL
SEWER
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection
trips are necessary due to anyone of the following reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspections called d) work not ready for
inspection when called e) permit not posted on job site f) plans not a job site g) work not accessible.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
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."
ALL PLUMBING SHALL REMAIN EXPOSED PRIOR TO INSPECTION
. ~!"/- ~~
CONTRACTOR · PERMIT OFFI
CAL '~R INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CI~Y OF ZEPHYRHILLS PERMIT APPLICATION
BUI:LDING DEPARTMENT 5335 8TH st, Zephyrhills, FL 33542
I 813-780-0020 FAX: 813-780-0021 l'lDIDCP
~; ^~l \o...~ J DATE RECEIVED ~ --
.....)'~^:6 I ~ <:::{d PHONE CONTACT FOR PERMITTING '3 S Cp C1. (o6{4-
~.~
~q4 - ~y. ~~
LEGAL DESCRI PTION: LOT (S) Q. ~ Lf
BLOCK
~HONE
?~~
S BDIVISION
.2-~
JOB ADDRESS
WOVl
~
OWNER'S NAME
PARCEL 10 #
WORK PROPSED: ~EW CONSTRUCTION
Os I GN
/OBTAIN FROM PROPERTY , TAX NOTICE\
o ADDITION
o ALTERATION
o REPAIR
o INSTALL
o MOVE
o DEMOLISH
PROPOSED USE: OSGL FAMILY DWELLING
o COMMERCIAL
oMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOMI
o OTHER
DESCRIPTION OF WORK
~ RESTA~~NT & HEALTH DEPARTMENT APpROVAL
~
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 PERM~T ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
BlJILDrNG SHALL COMPLY WITH
ALL;~PUCABLEBUllDING
PERMIT S REQUESTED ELECTRICAL, PLUMBING ANn
MECHANICAL CODES.
VALMATION OF TOTAL CONSTRUCTION
$
o BUILDING
o ELECTRICAL
. PLUMBING
o MECHANICAL
AMP SERVICE
o Progress Energy 0
W.R.E.C.
$
~ cs-O~
VALUATION OF MECHANCIAL INSTALLATION
o OTHER
o GAS
o ROOFING
o SPECIALTY
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAO YES 0 NO
~ID~"~~'~~~~~:.i~~~~,~~~~~~~~[~:~~-~~. ~~~~~::_~=~=-~~- ~~_ _ __n ___ __ ~_ _~___~'_~~~~~~2~~::~~ll\,~
BUILDER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
******************************************************************
ELECTRICIAN
COMPANY
SIGNATURE
STATE CERT OR REGIST #
1 ~~
** * * * * * * * ** ** * * * * * * * * ** * * * * * * * * * *** ** * * * * * ** * * *** * ****~,****** ** * * *C:J I
SIGNATURE
~~.~
COMPANY y")J~ ~~,
STATE CERT OR REGIST # 0 0 CO Y ~Co r
PLUMBER
******************************************************~***********
MECHANICAL
COMPANY
SIGNATURE
STATE CERT OR REGIST *
*****************************************************************
OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
A. NOTIC,E OF DEED RESTRICTIONS
Th~ 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 i6cal 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 "Co~tractor Sections" of this ~pplication 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 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 indic~ted. 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 regu1atio~s 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 inolude 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 prooeed 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 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 COMMENCEMENT".
subject to "deed restrictions
undersigned assumes responsib
or
SIGNATURE: CONTRACTOR
SIGNATURE: OWNER OR AGENT
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
Owho has produced
(type
and whoO did 0 did not
of identification)
take an oath.
Dwho has produced
(type of identification)
and who 0 did [kiid not take an oath
Signature of person taking acknowledgment
Signature of person taking acknowledgement
Name typed, printed or stamped
Name typed, printed or stamped
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CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
PLUMBING PERMIT
5344
Permit Number: 5344
Permit Type: PLUMBING
Class of Work: PLUMBING/NEW
Proposed Use: MOBILE HOME PARK
Square Feet:
Est. Value:
Improv. Cost: 650.00
Date Issued: 1/23/2006
Total Fees: 61.00
Amount Paid: 61.00
Date Paid: 1/23/2006
Work Desc: LANAI
Address: 3425 PYRITE LOT 294
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: EMERALD POINTE
Parcel Number:
Name: ETHIER, BERNIE
Address: 3425 PYRITE l.OT 294
ZEPHYRHILLS, FL. 33542
Phone:
1ST ROUGH PLUMB
WATER
2ND ROUGH PLUMB
FINAL
SEWER
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)( c) when extra inspection
trips are necessary due to anyone of the following reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspections called d) work not ready for
inspection when called e) permit not posted on job site f) plans not a job site g) work not accessible.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
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."
ALL PLUMBING SHALL REMAIN EXPOSED PRIOR TO INSPECTION
~~~11 ~ ~~
CONTRACT R ~ - PERM IT OFFI
. LL FOR INSPECTION - 8 HOUR NOnCE REQUIRED
PROTECT CARD FROM WEATHER