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Home My WebLink About08-5283 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 PLUMBING PERMIT 5283 ermit Number: Permit Type: Class of Work: Proposed Use: Square Feet: Est. Value: Improv. Cost: 3,325.00 Date Issued: 12/27/2005 Total Fees: 35.00 Amount Paid: 35.00 Date Paid: 12/27/2005 Phone: Work Desc: CHANGE OUT SINKS & ADD 2 HAND SINKS 5283 PLUMBING PLUMBING RENOVATIONS COMMERCIAL Address: 3781515TH AVE WEST ZEPHYRHILLS, FL. Township: Range: Lot(s): Block: Subdivision: N/A Parcel Number: 10-26-21-0600-00000-0010 Book: Section: Name: JOSEPH, JOSEPH Address: 37815 15TH AV WEST ZEPHYRHILLS FL !J c{/ y00 1 ST ROUGH PLUMB WATER REINSPECTlON FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Thirty-five dollars ($35.00) shall be made for each trip for each trade: (a) Wrong address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when inspection called (d) Work not ready for inspection when called (e) Permit not posted on job site (f) Plans not at job site (g) Work not accessible 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." Complete Plans, Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances ALL PLUMBING SHALL REMAIN EXPOSED PRIOR TO INSPECTION ~~ TOR PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOnCE REQUIRED . -- PROTECT CARD FROM WEATHER ~' '-'. -- . HarrisiServiceUnlil1tited,:1 nc'; P.O,'.Box:2304 Dade'Gity,FL33526 352-521-0707 813-788-0922 FAX (352) 518-0000 Quotation Quote Number: 1887 Quote Date: Dee 7, 2005 Quoted to: WELLSPRING ASSISTED LIVING FACILITY 37815 15TH AVE. WEST ZEPHYRHILLS, FL 33542 Page: 1 c --- I I Customer ID Good Thru Payment Terms I i I I WELLSPRING 1 I 61 0 6 L ---~.- Sales Rep De scri pti on INSTALL 2 COMPARTMENT SINK; EWORK WASTE & WATER ON 3 OMPARTMENT SINK; INSTALL HAND SINK WI WASTE & WATER; REPLUMB DRAIN ON DISH WASHER SINK; ELOCATE ICE AKER & INSTALL NEW WATER LINE; EPLACE PRE-RINSE FAUCET OTAL BID: u~it-I>ric~--r- Extension ~--1------ \ Quantity r--~--- I I I i Item 3 , 325 . 00' I I ACCEPTANCE Subtotal 3,325.00 Sales Tax Total 3,325.00: I>! TO FIT COMPANION 740 STANDARD ENVELOPE PRIN' ED IN LI~: '" A . CI~Y OF ZEPHYRHILLS PERMLT A~~~~~a~~v~ BUI:LDING DEPARTMENT 5335 8!fH st, Zephyrhills, FL 33542 813-780-0020 FAX: 813-780-0021 DATE RECEIVED /t2.. - -<? -0 )- PHONE GONTACT FOR PERMITTING OWNER'S NAME Wr;l.,l S~/~C' IIss, 5#FtJ JOB ADDRESS :3 7 j?/:r ISf/~ .1t/L hI';' C. MLI ~. PHONE ~/. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 10 * WORK PROPSED: 0 NEW CONSTRUCTION o SIGN PROPOSED USE: OSGL FAMILY DWELLING PcOMMERCIAL (OBTAIN FROM PROPERTY TAX NOTICEl o ADDITION ~ERATION o REPAIR o INSTALL o MOVE o DEMOLISH OMULTI-FAMILY o INDUSTRIAL 0. OF UNITS o SWIMMING POOL o MOBILE HOt' o OTHER c:J RESTAURANT & HEALTH DEPARTMENT APfROVAL DESCRIPTION OF WORK C#4vdr ~if S/.........-K'( v- 1'9 tJ /J d).. ~ S/of/KS 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 PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. ,/./ ,,' '~ :--:; ,) ED / ;(P/~7 PERMITS REQUEST '------~.:.::::::;:::.---- o BUILDING $ VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL ~-PLUMBING o MECHANICAL - '."'~~'-"""--'~-..., AMP SERVICE W.R~E.C., '\ ( . d&i:/ VALUATION OF MECHANCIAL INSTALLATIO~- o Progress Energy o ~ D GAS D ROOFING D SPECIALTY D OTHER TYPE OF CONSTRUCTION: D BLOCK D FRAME D STEEL D OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAO YES 0 NO ~'- -'-"'~-T ,- -- ~ - -, -------' - - - - -- - i- - ----~---- ,---- - - - -- - - - -' - -- -, -----7----- , I II r . - l I' I I . I 11 ,r , ' , I r _......,.....~~__,...,.~~~_--l.-____ ___ __ ________~ ~___~~_ ____~ -- ________~;l_~_~-~~~ BUILDER COMPANY SIGNATURE STATE CERT OR REGIST . ****************************************************************** ELECTRICIAN COMPANY SIGNATURE - STATE CERT OR REGIST # SIGNATURE *********************************************************** PLUMBER COMPAN~7( Q;~y~ tI'"."L..;-/ ~ c Fe; ~ S? "Il4 y.. STATE CERT OR REGIST # ****************************************************************** MECHANICAL COMPANY SIGNATURE STATE CERT OR REGIST # ***********************************.********~****~*************** OTHER COMPANY SIGNATURE STATE CERT OR REGIST i A. NOTIGE OF DEED RESTRICTIONS Tha undersigned understands that this p~rmit may be subject to ftde~d restrictions" which may be more restiictivethanCity regulatiohs. The undersigned assumes responsibility 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 contractor maybe cited for a misdemeanor 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 ftco:i1tractor Sections" of this application 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 indica~ion 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, the applicant, 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 ftowner", 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, , Appllqation 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 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 to be in compliance. Such agencies inolude 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 protectio~ Agency-Asbestos abatement I also certity that, if fill materIal is to be used in Flood Zone ftA" or ftA,etc.", it is understood that a drainage plan addressing a ftcompensating 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 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 tirne,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 NO E OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A 'iNOTI F COMMENCEMEN " SIGNATURE: OWNER OR AGENT CON RACTOR STATE OF FLORIDA ,"" ,;) .I /2....- 7 ' COUNTY OF ' ~7, ~ The foregoing instrument waEl~cknOwledged" ,- Before me, ,this 4-'Edai!: pf~ ~'e:, , 20 U b ' ".I,A.h"f ""'LL.A -9--- y (name of pers~n acknowledged) ~o is personally known to me, or STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this_____ day of by acknowledged , 2 u.:.- (name of person acknowledged) Dwho is personally known to me, 'or Dwho has produced (type and whoO did 0 did not of identification) take an oath, Signature of person taking acknowledgement Name typed, printed or stamped