HomeMy WebLinkAbout06-5539
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
PLUMBING PERMIT
5539
Permit Number: 5539
Permit Type: SEWERLlNE REPLACEMENT
Class of Work: SEWERLlNE REPLACEMENT
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost:
Date Issued: 3/08/2006
Total Fees: 41.00
Amount Paid: 41.00
Date Paid: 3/09/2006
Work Desc: INSTALL SEWER
Address: 3544 URMALlNE L
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: EMERALD POINTE
Parcel Number: 24-26-21-0080-00000-2660
Name: MARTIN, FRED
Address: 3544 TOURNALlME LOT 266
ZEPHYRHILLS, FL. 33542
Phone:
/ ~\(\ \~
'{ \f'"11 V
FINAL
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
ie" .. ~_.
CTOR PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CIjI'Y OF A!i.l!i.l:'n1.~n..L.L.I.L.IU ... ......--- - --- ---
BUIILDING DEPARTMENT 5335 82:H st, Zephyrhills, FL 33542
.813-780-0020 FAX:B13-780-0021
DATE RECE IVED
PHONE GONTACT FOR PERMITTING 81~-1&l-q5:)O
OWNER'S NAME keC Mo.,ct', r
PHONE 0\0 -'lB~ -q5~D
fJ'(\uo..\d 'Vn\nt .
JOB ADDRESS ~5L\y \ Cll (" ('(\0...-\ \ (\ e .J
''"'\.l-lo
LEGAL DESCRIPTION: LOT(S) ~~__
PARCEL ID * ~L..\ ~ ~\o- )J _ 00'60 --(:fXJOD - 2.~f.oO (OBTAIN FROM PROPERTY. TAX NOTICEl
WORK PROPSED: ONEW CONSTRUCTION 0 ADDITION o ALTERATION 0 REPAIR 1)1 INSTALL
BLOCK
SUBDIVISION
DSIGN
o MOVE
o DEMOLISH
PROPOSED USE: OSGL FAMILY DWELLING
o COMMERCIAL
OMULTI-FAMILY
o INDUSTRIAL
Oft OF UNITS
o SWIMMING POOL
o MOBILE HO~
o OTHER
c:J RESTAURANT & HEALTH DEPARTMENT APrROVAL
DESCRIPTION OF WORK \(\~ta \ \ 'S-€..-L0{f"
BUILDING SIZE
SQUARE FOOTAGE
HEIGHT
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
IF SIGN PERM~T ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
PERMITS REQUESTED
o BUILDING
$
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
~ PLUMBING
o MECHANICAL
AMP SERVICE
o Progress Energy 0
W.R.E.C.
$
VALUATION OF'MECHANCIAL INSTALLATION
o GAS
o ROOFING
o SPECIALTY
o OTHER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAO YES 0 NO
~~ '~-~-=-I~-'__-~~-=-=~~~_~~~~_____~[=~~ _' I , -==_-=-:-~=I~~_~~~___~n_:~_,-.~-~~,~
BUILDER
COMPANY
SIGNATURE
STATE CERT OR REGIST i
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ELECTRICIAN
COMPANY
SIGNATURE
-
STATE CERT OR REGIST *
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SIGNATURE ~~ '>J... tlJ..t~q-.
COMPANY\)U\,,\~ W\ \ ham""> rnc
STATE CERT OR REGIST it C~L 1L\~5( oO~
PLUMBER
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MECHANICAL
COMPANY
SIGNATURE
STATE CERT OR REGIST it
***********************************.********~********************
OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST i
A.' NOTI~E OF DEED RESTRICTIONS
The. undersigned understands that this permit may be subject to "deed restrictions" which
may bernore restrictive. than' City regulations. The undersigned assumes responsi~ilit~ for
compliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the owner. has hired a contractor or contr~Ftors 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 contractormay"be cited for a misdemea~or
violation under s1:i.ate law. If the owner or intended contractor are uncertain as to what
lice!nsing requirements may apply for the intended w'ork, 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 "Gohtractor. Sections" of this ~pplicatiori for which they
will be tesponsible. It ydu,.as ~he owner signs as the contractor,ydu 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.. TRANSPORTATIbN IMPACT FEES AND UTILITY CONNECTI.ON FEES
D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STA~tiTES,. AS AMENDED)
I certify that I, the applicant, hay~ b.een provided with a copy 'of "Florida's Construction
lien Law _ Homeowner's.Protection Guide" prepared by the Florida Department ot Agriculture
and Consumer Affairs. If the applicant is someone other that the "owner"; I cerify that I
have obtained a copy of the above de.scribed document and promise in good faith to deliver
it to the "ownerif 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 instaliation as indicated. I
certify that no work or installation hasconunenced prior to issuance of a permit and that
all work wiil 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
be in compliance. Such agencies include but a~e not limited to: *Department of
Environmental Regulation-Cypress Bayheads, wetiand 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 protectiori Agency-Asbestos abatemen~
I also certity that, if fill material is to be used in Floqd Zone "A" or "A, etc.", it is I
understood that a drainage plan addre.siug a"'compensa.ting volume" will be subtnlHed which i
is prepared by a proiessional e~ineer registerOd in the state of Florl~ prior to pe~t .
. ~
J.ssuance.
A permit issued shall.be.construedto be a licen.e to proceed with the work and not as
authority to violate, ,cancel, alter, or set aside any provisions df 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 pe~t
issued shall become invalid unless the work authorized by such pe~t is commenced within
si~ months of issuance, or if work authorized by the permit is suspended or abandonod for'~
period uf six months after thO time. the work is cummenced, One 90 day extension of time
may be allowed for the permit with fee charge of $~5.00. The oxtonsion shall be requeste~:
in writing to.the Building Official. An approved 1nspection must be .logged during each S1X
month period, or the project will be considered abandoned. . .
WARNING TO OWNER' YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT HAY RESULT IN YOUR .
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. Ir yOU INTEND TO.UBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNUER
$2, 500 IN VALUE DO NOT NEED TO RECORD .AND POST A "NOTICE OF COMMENCEMENT".
SIGNATURE: CONTRACTOR
SIGNATURE: OWNER OR AGENT
ackndwledged
, 2 0..:.-
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
Before ms. this ~day of ", 20_
by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _ day of
by
(name' of person acknowledged)
o who is personally known to me, . or
(name of persor acknowledged)
[1ho is personally known to me, or
o who has produced
(type
and wlioO did 0 did not
of identification)
take an oath.
o who has produced
(type of identification)
and who Odid O:I.idnot take an oath
signature of person taking acknowledgment
s~gnature of person taking a~knowledgement
"
Name typed, printed or stamped
Name typed, printed or stamped