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Home My WebLink About06-5839 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 PLUMBING PERMIT 5839 Permit Number: 5839 Permit Type: PLUMBING Class of Work: PLUMBING RENOVATIONS Proposed Use: SINGLE FAMILY RESIDENTIAL Square Feet: Est. Value: Improv. Cost: Date Issued: 5/30/2006 Total Fees: 35.00 Amount Paid: 35.00 Date Paid: 5/30/2006 Work Desc: INSTALL SEWER Address: 4743 17TH ST ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 14-26-21-0010-02800-0050 Name: BUCKHEN,MS Address: 4743 17TH ST ZEPHYRHILLS, FL. 33542 Phone: , , .~~\D\f (0' ,&1>\ ~ 1 ST ROUGH PLUMB WATER 2ND OUGH PLUMB FINAL 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 \" j' Jt ~-~ '0.u~ ,~/',( ____ ~ CONTRACTOR PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CI~Y OF ZEPHYRHILLS PERMLT A~~~~~AT~Uft BUIiLDING DEPARTMENT 5335 8~ St, Zephyrhills, FL 33542 813-780-0020 FAX: 813-780-0021 DATE RECEIVED PHONE c;ONTACT FOR PERMITTING er3-73J.- 9S.;w OWNER'S NAME ffi""J .~c1)"til JOB ADDRESS '41 ~ ~ )'1 \-h st. PHONE e\~.qq1- Y<-1 r'J7 LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 10 *' IL\- z.~ ..;ll- 00\0- Dd'>SOD. 0050 (OBTAIN FROM PROPERTY,TAX NOTICEl WORK PROPSED: 0 NEW CONSTRUCTION 0 ADDITION OALTERATION 0 REPAIR )t INSTALL DSIGN PROPOSED USE: OSGL FAMILY DWELLING o COMMERCIAL o MOVE o DEMOLISH OMULTI-FAMILY o INDUSTRIAL Ot OF UNITS o SWIMMING POOL o MOBILE Hm o OTHER c:J RESTAURANT & HEALTH DEPARTMENT APrROVAL DESCRIPTION OF WORK , n~\ ~ s.~ e...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 FLOO~ ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES 0 NO ,.,.,r-..,~..r-Tr--,.........,..,... _., __ - ~~_-.---__~......_. ., ___ - - .. _ ,___ ~~~~_~~~~_ __ _______~_ _ ~ __ _ _ __ __ _ __ __ ~ ",___ ~___..__.,,_,_~-_-,.,_ L~,~_'~_._~" --~--'--_~n_________L____~_~____._. __ __ __L___.:._.'----_~~_ ". I'> BUILDER COMPANY SIGNATURE STATE CERT OR REGIST t ****************************************************************** ELECTRICIAN COMPANY SIGNATURE - STATE CERT OR REGIST i ****************************************************************** PLUMBER SIGNATURE _~ f,~ COMPANY ~-e.nf\\~ W\, \ IQl/l5 .r::~ STATE CERT OR REG 1ST *' c..rc... 1'4-~5 (PO~ ****************************************************************** MECHANICAL COMPANY SIGNATURE STATE CERT OR REGIST *' ********************************************~****;*************** OTHER COMPANY SIGNATURE STATE CERT OR REGIST i A. NOTI~E OF DEED RESTRICTIONS Th. und.rsign.d understands that this permit may b. subj.ch to "d.ed r.stdctions" which may b. mar. r.strictiv.tbanCity r.gulations. Th. und.rsign.d assum.s r.sponsibliity Lor compliance with any applicable deed restrictions. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSiBILITIES If the own.rhas hir.d a contractor or contr~ptors to und.rtak. work; .th.y may b. r.quir.d to be licensed in accordance with state and iocal regulations. If the contractor is not lic.ns.d as r.quir.d by law, both tho own.r and contractor may. b. cit.d for a misd.m.anor violation und.r stat. law. If tho own.r or int.nd.d contractor are unc.rtain as to wbat lic.nsing r.quir.m.nts may applY for the int.nd.d work, th.y ar. advis.d to contact the City of Zephyrhills Building Department, 813-780-0020. Furtb.rmor., if tho own.r has hir.d a contractor or contractors, h. is advis.d to hav. tho contractor(s) sign pOJtions of tho "Coritractor s.ctions" of this .pplication for ~icb th.y will b. responsibl.. If you,.,s ~h. o~.r signs as tho contractor, yoU ar. indicating that you, rather than the contractor, are responsible for the work. Jf the contractor wish.s 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 CONNECTI.ON FEES D. CONSTRUCTUION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, tbe applicant, hav. been provided with a copy of "Florida's construction lien "aw _ Hom.owner's.protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone otber that the "owner", I cerify tbat 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 c.rtify that all tho information in this application is accurat. and that all work will b. done in complianc. with all applicable laws r.gulating construction, zoning, and land development. . Appli~ation is h.reby made to obtain a p.rmit to do work and instaliation as indic.t.d. I certify that no work or installation has commenced prior to issuahc. of a p.rmit and that all work wiil b. performed to m..t standards of all laws r.gulating construction, city cod.s, zoning r.gulations, and land d.velopm.rit r.gul.tioris in the jurisdiction. I also c.rtify that Iund.rstand tbat tho r.gulations of oth.r gov.rnm.ntal ag.nci.s may apply to tho int.nd.d work, and that it is my r.sponsibility to idehtify what actions I must tak. to b. in complianc.. Such ag.nci.s includ. but ar. not limit.d to: *Department of Environmental Regulation-Cypress Bayheads, weti.nd 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 wbich is prepared by a professional engineer registered in the State of Florida prior to permit issuance. A permit issued shall.beconstrued 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 errors in plans, cons~ruction, 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 autborized by tbe permit is suspended or abandoned for 'a period of six months after the tiroe.the work is commenced. One 90 day extension of time may be allowed for the permit witb fee cbarge 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 YDOR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. It YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER DR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JDM UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT". SIGNATURE: CONTRACTOR SIGNATURE: OWNER OR AGENT a'cknowledged , 2~ 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) C1ho is personally known to me, or (name' of person acknowledged) Dwho is personally known to me, 'or Dwho has produced (type and wrioD did D did not of identification) take an oath. D who has produced (type of identification) and. who 0 did [}:I.id not take an oath Signature of person taking acknowledgment Signature of person taking acknowledgement Name typed, printed or stamped Name typed, printed or stamped