HomeMy WebLinkAbout06-5830
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
PLUMBING PERMIT
5830
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued: 5/25/2006
Total Fees: 35.00
Amount Paid: 35.00
Date Paid: 5/26/2006 Phone:
Work Desc: ROUGH-IN 1 BATHROOM THRU FIXTURES STE 3
5830
PLUMBING
PLUMBING/NEW
COMMERCIAL
Address: 6440 12TH S EET
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 02-26-21-0060-00COO-0010
~ ,,..iI'\( D
llI- \1J))6l.R
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
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, \ CON CTOR PERMIT OFFI
\~C ~ CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED - . -
PROTECT CARD FROM WEATHER
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CIrry OF :6.1!iJ:'n.I..t'-n.1..&.I.&.I~ .. ........-- - --- ---
BUIILDING DEPARTMENT 5335 B~H st, Zephyrhills, FL 33542
813-780-0020 FAX:B13-7BO-0021
DATE RECEIVED
PHONE CONTACT FOR PERMITTING
OWNER'S NAME
L ~~~~~:> ?<::~J\~ .."",J.. \( ,,~, PHONE
~~~~; ~_,~~ sy - \d~ ~\..7~~S
JOB ADDRESS
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL 10 #
WORK PROPSED: []NEW CONSTRUCTION
o SIGN
o ADDITION
(OBTAIN FROM PROPERTY.TAX NOTICEl
o ALTERATION 0 REPAIR ~TALL
o MOVE
o DEMOLISH
PHOPOSED DSE'~ILY DWELLING
COMMERCIAL
OMOLTI -FAMILY
o INDUSTRIAL
Of OF UNITS
o SWIMMING POOL
o MOBILE HO~
o OTHER
c:J RESTAURANT & HEALTH DEPARTMENT AP~ROVAL
DESCRIPTION OF WORK ~C'l\\.~..\~ \ -~~~'\ ~~"\.~~,, ~~~\\.1'\"h
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
~MBING
AMP SERVICE
o Progress Energy 0
W.R.E.C.
o MECHAl'IICAL
$
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
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BUILDER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
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ELECTRICIAN
COMPANY
SIGNATURE
STATE CERT OR REGIST #
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PLUMBER
COMPAN~~~~}.e;, \~~\.n~'!!::,.:s ~~~
STATE CERT OR REGIST It ~ ~~ \ l..t~$:.\cC\:l
SIGNATURE
******************************************************
MECHANICAL
COMPANY
SIGNATURE
STATE CERT OR REGIST #
***********************************~********~****i***************
OTHER
COMPANY
SIGNATURE
STATE CERT OR REGIST i
A.' NOTI~E OF DEED RESTRICTIONS
Tha undersigned understands that this permit may be subject to "deed restrictions" whJch
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 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 contractor may" be cited for a misdemean:or
violation under s~ate 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 ~pplication for which they
will be responsible. If you,..as the owner signs as the contractor, 'you are indicating thab
you~ rather than the contractor, are responsible for the work. .If the contractor wishes
you to sign as contract?r that may be an indication that he is not properiy'licensed and is
not entitled to permitting privileges in the city of Zephyrhills.
C.. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTI.ON FEES
D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES,: AS AMENDED)
I certify that I, the applicant, haye b.een provided with a copy'of "Florida's Construction
lien Daw _ Homeowner's.protection ~uide" prepared by the Florida Department or 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, zoningt and land
I development. . .
Appli~ation is hereby made to obtain a permit to do work and instaliation 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 development regulations in the jurisdiction. I also
certify that I understand that the regulations of other governmental ageocles may apply to i
the intended work, and that it is my responsibility to identify what actions I must take td
be in compliance. Such agencies inolude but are not limited to, *Departmeut of I
Environmental Regulation-Cyprese 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 abatemen~
I also certity that, if fIll material le'to be used in Flood Zone "~ or "A,etc.", ~ is ,
understood that a drainage plan adelreSsing a'~'compensating volume" will be submitted which i
is prepared by a protessional engineer registered in the State of Florida prior to permit i
. ~
~ssuance.
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 codes,
nor shall issuarice of a permit prevent the Building Official from thereafter requiring a
correction of errore in plane, construction, or violations of any code. Every permit
issued shall become invalid unless the work authorized by such permit ie commenced within !
six months of issuance, or if work authorized by the permit ie suspended or abandoned for'~
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 ehall berequeste~:
in writing to 'the Building Officiel. An approved inepection must be logged during each su
month period, or the project will be considered ?bandoned. . .
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,UBTAIN FINANCING, CONSULT
WITH YOUR LENDgR 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
acknowledged
, 2<L-
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
Before me. this ~day of 'J 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 whoO did 0 did not
of identification)
take an oath.
o who has produced
(type of identification)
and who Odid Giid not take an oath
signature of person taking acknowledgment
Signature of person taking acknowledgement
"
Name typed, printed or stamped
Name typed, printed or stamped