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Home My WebLink About06-5635 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 PLUMBING PERMIT 5635 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: 5635 PLUMBING IRRIGATION NOT APPLICABLE Address: 5023 17TH ST ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 11-26-21-0010-21300-0110 200.00 4/03/2006 35.00 35.00 4/04/2006 Phone: PLUMBING FOR IRRIGATION/RECLAIM WATER , Name: MARSH, LOUIS Address: 5023 17TH ST ZEPHYRHILLS, FL. 33542 Iv J {\ v}O~ y~ ~\ 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 corTections 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 /! /' ;JZ_~ ~/t~l" ~- CONTRACTOR PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CI~Y OF ZEPHYRHILLS PERMLT A~~~~~A~~U~ BUnDING DEPARTMENT 5335 8~H st, Zephyrhills, FL 33542 813-780-0020 FAX: 813-780-0021 DATE RECEIVED L\ f? 10<0 PHONE CONTACT FOR PERMITTING OWNER'S NAME ,~. l,) ,~... \ {\' u.. ." PHONE f)"3 - .~" :<. - ;;. vI ~ y JOB ADDRESS t; (J ',), r.~ . ;,.;' \ " l !) ~ -,. < " ) ~\,\ . ~" . ',) LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # \\ -rl.~-d \- f)O\t:>- &\300 - 0 \ \ 0 (OBTAIN FROM PROPERTY.TAX NOTICE) WORK PROPSED: []NEW CONSTRUCTION o ADDITION o ALTERATION o REPAIR I2rINSTALL o SIGN o MOVE 0 DEMOLISH PROPOSED USE: OSGL FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS o MOBILE HOt-' o COMMERCIAL o INDUSTRIAL o SWIMMING POOL 12I0THER c:J RESTAURANT & HEALTH DEPARTMENT APfROVAL Plumb" iI~ ~e..0--.'J -\0 ~-5\<:~\Q - (!cmn ~ecJcliO\ ~ DESCRIPTION OF WORK j}.\)\) 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 D BUILDING $ ::)00 I (::X:) VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL ~ PLUMBING o MECHA~ICAL AMP SERVICE D Progress Energy D 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 '~lr~I--"..-...--t-..~,.. __ _ _ ___..______ ~,_~ _ ~._.. _ _ . ,~_ ~__~,..............~~_~_____ ---~--~ ~ - .. - -- - -.. ---.. -, ~._~- --,.."e-r;-"""'" I,,' , i I' I:' , I , I,. ,I:' .T"I ,I il L"_~.-.:.....~- ____.-..:......~_..'_,~.___'_ ___._.__L___~---,-, _ --~-~~~~-~~ "'. [', SIGNATURE ..~ COMPANY t-! 0 ...11\.. e Ou..; y\. ~ -R- BUILDER STATE CERT OR REGIST # ****************************************************************** ELECTRICIAN COMPANY SIGNATURE - STATE CERT OR REGIST # ****************************************************************** PLUMBER COMPANY SIGNATURE STATE CERT OR REGIST # ****************************************************************** MECHANICAL COMPANY SIGNATURE STATE CERT OR REGIST # ***************************************************************** 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 be more restrictive than City regulations. The undersigned assumes responsibility for compliance with any appiicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner, has hired a contractor or contrq~tors to undertake workr 'they may be required to be licensed in accordance with state and local regulations. If the contractor is nO,t 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 contractorsr he is advised to have the contractor (13) sign po~tions of the "Gohtractor 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 applicantr hay~ 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. CONTRACTORrS/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. ' , Appliqation 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 wiil be performed to meet standards of all laws regulating construction, City codes, zoning regulations, and land developmerit 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 td be in compliance. Such agencies include but are 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 Protection Agency-Asbestos abatement I also certi~y that, if fill material is to be used in Flood Zone "A" or "A, etc.", it is understood that a drainage plan addressing a;~'compensa,ting 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 codesr 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 la 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 VAL~J DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". f /., ----f. i~ 1. /'''----,. SIGNATURE: OWNER OR AGENT SIGNATURE: CONTRACTOR acknowledged , 2~ STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged Before me, this ~day of " 20_ by (name of persor acknowledged) C1ho is personally known to me, or 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 mer' or of identification) take an oath. Owho has produced (type of identification) and who Ddid [}:iid not take an oath Signature of person taking acknowledgment Signature of person ta.king acknowledgement Name typedr printed or stamped Name typed, printed or stamped DISCLOSURE STATEMENT FOR OWNER CJ:.TY OF ZEPHYRBILLS BUJ:LDJ:NG DEPARTMENT I, l.c '^ '.. ~{Y\ '^ .,. c:;. k.. have read and fully understand and agree to the provisions of this instrument. The undersigned states and affi%IIIS that he or she is desirous of constructing, renovating, adding to or reroofing his or her own domicile~, that he or she actually occupies, or will occupy by said domicile, and same is not for rent, lease or sale. That he or she shall comply with the following conditions,: 1. That the owner and he or she alone shall act as the builder for all phases of.. construction. 2. That the owner will comply with all provisions of the City of Zephyrhills ordinances and codes pertinent to "the building. 3. That in the event various phases of construction are subcontracted, he will engage only properly licensed subcontractors and will personally supervise such work." 4. That in the event the Building Inspector shall require corrections to be made, the owner will assume full responsibility to insure they are made, and upon completion wili call for a reinspection before proceeding with the building. 5 . That the oWner shall assume full responsibi'li ty for the construction and will not expect supervision of his work from the City of Zephyrhills Building Department. 6. That prior to final inspection any additional fees, including reinspection fees, must be paid in full. A written request from this office shall ,constitute' an official notice. to pay additional fees. 7. That the owner shall comply with all City, State and Federal laws'in regard to social security, workman's compensation, lien laws, etc., where applicable. 8. That the owner shall comply with all the safety codes issued by the Florida Industrial Commission_ 9. State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor with certain, restrictions even though you do not have a license_ You must provide direct onsite supervision of the construction yourself. You may build or imprC?Ve ,a one-family or two-family residence or a far.m outbuilding. You may also build or improve a commercial building, provided your costs do not exceed $25,000. The building or residence must be for your own use or occupancy. It may not be built or sUbstantially improved:for sale or lease. If you se.ll;or' lease a building you have built or substantially improved yourself within 1 year after the constr'\1ction is complete, the law will presume"th&t: you built or substantially improved if for sale or lease, which is a. violation of this exemption_ You may not hire an unlicensed person to act as your contractor or to supervise people worJcing on your building. It is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. You may not delegate the responsibility for supervising work to a licensed contractor who is not licensed to perform the work being done. Any person working on your building who is not licensed must work under your direct supervision and must be employed by you, which means that you must deduct F.I.C.A. and withholding tax and provide workers' compensation for that employee, all as prescribed by iaw_ Your construction must comply with all applicable laws, ordinances, building codes, and zoni:c.g regulat:ons. ~ OWNER'S SIGNATURE ~~ ....". DATE '1/3/6(; .r ADDRESS I I :EtHONE WJ:TNESS PERKI:T # CITY OF ZEPHYRHILLS BUILDING DEPARTMENT OWNER JOB LOCATION PARCEL I.D.' # SIIOW ALL EXISTING & PROPOSED STRUCTUR~' -GIVING ,DIMENSIONS & SETBACKS. C~ ~--- --------------- - !/ li i! .r;" , _.., I' +: f}, - .__._-~.- ~ -_~._,_____--,./v _/ UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. (NOTE EXAMPLES 1 & 2) STREET 1. SETBACKS FOR Rl, R2 ZONING GOt 10' P E R X 0 I 10' P S 10' 0 T S I E N D G 20' FRONT PROPERTY LINE FRONT PROPERTY LINE '/'I' 2. SETBACKS FOR R3 ZONING GO' 1 0' 1 0' 10' 10' EXISTING 10' PROPOSED I 20'SGL FAM 30 'DUPLEX FRONT PROPERTY LINE ~