The URL can be used to link to this page

Home My WebLink About03-2084 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 BUILDING PERMIT SINGLE FAMILY RESIDENTIAL 2084 Permit Number: Permit Type: Class of Work: Proposed Use: Sq, Feet: Cost: Amount Paid: 2084 Issued: 5/21/2003 I GENERAL BUILDING PERMIT DRIVEWAY/NEW MOBILE HOME PARK Est. Value: Total Fees: Date Paid: Address: 39839 COG HILL LP ZEPHYRHILLS, FL. Township: Range: Lot(s): Block: Section: Book: Page: Subdivision: MAJESTIC OAKS Parcel Number: 24-26-21-0000-00100-0090 Lie: DRIVEWAY - j BELAIRE SALES 39839 COG HILL LP ZEPHYRHILLS, FL. 33540 Phone: ~ ~ PRE-SLAB!) CONSTRUCTION POLE 2ND ROUGH PLUMB DUCTS INSULATED LINTEL PRE-METER WATER FINAL MECHANICAL FRAME MISC SEWER MISC INSULATION WALL MISC MISC. MISC. INSULATION C~ILlNG MISC. MISC. I MISC. DRIVEWAY b../S~oo11-rO 3 n.z1l7 MISC. MISC. : FIRE DEPT. FINAL REINSPECTION 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 _!?afore recording your notice of commencement, n NO OCCUPANCY BEFORE C.O. -~~~1ffNSPECTION - 8 HOUR NOTICE ~~-- PROTECT CARD FROM WEATHER CITY OF ZEPHYRHILLS PERMIT APPLICATION BUII,DING DBPARTMBlNT 5335 ~th S'l'RBlEl'l' ZBlPHYRHILI,S, Fl, 33540 Phone.S13"780-Q020 FaxIS13-7S0-0021 DA'.rBl RBOIllIVlIID ~?.~__._q ~._.____ PI,ANS RBlVIJIIW Ji'Jil!ll_______.___ O\'lNElR I S HANEl ~.P-::..~~~_~_______ PHONEl CON'l'A(~'t~1.tte9~.:.1~ ,JOB BI'j'El ADDREl88_"l_J1L7>~!:,,6~ ,,(//:7/ ~o.9..J'1e----_n_-AJ4~;c .QA-K"J J?_(2~ _.________ LEGAL nElSCRl fi'TIDlh LOT (8) _-LL 0 _ BI,QCK ____ SUBDIVI S ION PARCElJ In #~1:d~ - 2):Q0C!2..::col 6O-.:..12et:10 (OBTAIN B'ROM I?ROJilElR'l'1[ TAX NO'I'WHl) ---.--.-------.-..---..--.....-.-.--...--...... WORK PROJ:lSBlD I lJNEW CONS'rR{1C~'rION [J AODI1'ION o A UrElRNrIOH o DEMOI,ISII o R&1PAIR ) o INS'l'M,I, [J SIGN [J MOVE PRO!:>I1SED USE I llsm, FAMII?i DWELLING o MtJI/1' I - FAMn,y 0# OF {lNI'l'S (] MOBII,lil UOMBI (JCOMMBlRCIAI, o INDUS'l'RIAJJ o S~nMMING POOl, [1 OTIlIllR BtJU,TlINO SIZE D RESTAURANT & HEAl/l'H DEPARTMENT APPROVAL - (?d)1Cli d-~__~vetpl9if /~'.o____ SQUARE FOO'rAGE _J'?6 lHiJSCRIPTION OF \10RK lHillQU'r ..----.----..........- RES WBlNTIAL I A'l"I'ACH (;a) PLOT PI"AllS & (;a) SETS OF BUU,DING PLANS & (1) SElT BjNIiIR01f FORMS. COJ>1MBlRCIAIJ I A'I"l'AC1H (J) BElTS OF BUILDING PLANS & (1) SET ENElHlY FORMS. PROPERTY SURVEY RBlQUIRBlD FOR ALL NBlW CONSTRUCTION. iiRMITS ~EQUma1ED [J B I II Lll f l'lf3 $ ~ 7 I C> "'b (e:" VALUATlON o It' TeJ'l'Al, CONs'rRUC'I'ION rJ BlLBlC'I'RWAI, ---__ AMI? f.jERVICEJ o FUlRIDA POWER n W.lLHl.fl, o pl,mlJBING o I1EJCHA1'HCAIJ $ VALUATION OF MEC'HANCIAI, INS'l'AI~LA'I'ION o (jAB [J ROOFING [J SI?BlOIAl/rY o OTHER TI[Pjjl OF CON8'I'RUC'l'lON I [] BLOCK o FRANE [J STElElL [J OTHER FINISHHln Fl.OOR ELEVATIONS I S PROd Elc'r IN r'L,oon ZONE AREA 0 YEllS 0 NO BUI LDn CDrIJPANY __.. STA'I'BI CElR'l' OR REGIST # _,____._______ CITY PROCESSING # _ --------_._---~~-.....-- S J IJNATlJRIil ****.***.*.......*..****....**.*.....***.****..*********...*.**... !l1J,BlCTRICIAH CDtIJPANY___ STATE CERT OR REGIST # CITY PROCESSING # 81 GNA'l'UREJ __.________________________ .--.-------------.-.....---...- *************..*..*.****.***.....*******.****************...***... iLUMBiIIR ----~---_._- COMPANY -____u_______._ STATE CHlRT OR REGrST # _____________.___ CITY PROCESSING # BWNA'l'IlRBJ --------------...---.. HileJHANI CAr, ********************.*.*******************************'*'k*'*'*,*, COIVlI?ANY ______________..__________________.._____.__ STATE r'ER'r OR REGIS'!' # ______________.______ CI'I'Y PROCESSIHG # SHHlATllRE OTH." L1o!YC'<~ - c (/)0 c4ft 5LA1" ruJoe'{ .:z.<- SWl1ATURHJ ~ _ /7. ~-.1 - ~~------_._---- ****.**********.******.***************~***************.********** ********************.*.*.**.**************************,***.**..** COlvlPAN\' ---......___M_.____ ~~~~lD P~~~~8~~N~ID~IST # ~ ~JJ..~..____ --.;L~-2~HL!=-.~________ CONDITIONS OF PERMIT AFFIDAVIT A. NOTICE 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 applicable deed restrictions. B. UNLICENSED CONTRAC'l'ORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors 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 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, 813-788-6611. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "Contractor 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 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 applicant, have 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" pd.or 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. Application 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 will 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 to be in compliance. Such agencies include but are not limited to: *Department of Environmental Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewacer 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 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 conunenced within six months of issuance, or if work authorized by the permit is suspended or abandoned for a 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 VALUE DO NOT NEED 'ro RECORD AND POST A "NOTICE OF COMMENCEMENT". ~_ IZr&~ SIGN TUREI OWNER OR AGENT SIGNATURE: CONTRACTOR acknowledged 19_ 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 19 (name of person acknowledged) Dwho is personally known to me, or (name of person acknowledged) C1ho is personally known to me, or o who has produced (type and whoD did Odid not of identification) take an oath. Owho has produced (type of identification) and who Ddid DUd not take an oath Signature of person taking acknowledgement Signature of person taking acknowledgment Name typed, printed or stamped Name typed, printed or stamped ~ i- CITY OF ZKPHYRHIlaLS BUILDING DEPAR"l'HENT OWNER p??JL-~ ~ -_ JOB LOCATION ?91?Y7 G7 ~h- ,J6~ C~f'< 0..,...)" dv ~ .;;1 4 -~ ~ ;;;tl- tjcoo - 0<7100- ndUJ PARCEL I.D." It SHOW ALL EXISTUIG & PROPOSED STRUCt"URES GIVING DDtKNSIONS & SETBACKS. M' r--- ~ Q'1 )\..) ....... ~ ~. ' ~ ~I i ~ ~ \...: . jl ) it; / ~ to ~ c;y UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION, LINE 1 (NOTE EXAMPLES 1 & 2) STREET 1, SETBACKS FOR Rl, R2 ZONING 6-0 ' 10' P E- R X 0 I 10' P S 10' 0 T S I E N D G 20' 2. SETBACKS FOR R3 ZONING 60' 1 0' 10' 10' EXISTING 10' PROPOSED 20'SGL FAM 30 'DUPLEX 1 0' FROIIT PROPERTY L.DJE FRORT PROPB1lTY LINE ROSCILLO CONCRETE & MASONRY INC. OFFICE PHONE (800)797-7450 CELL PHONE (813)695-9998 ITEM PROPOSAL DATE JOB LOCATION ) ()j / ) D -5/;) 0, 6~ Ivt~j eff/c O/:)~,- "JdFIl77 C~/)I )~;U QTY. PRICE EA. EXT. PRICE BILL TO: /2L -a, .- )'i X> <> I -,lIl',t, ,.~::~:,' ..ci:-'..... ~d-D.cC> ~ oCJ ? /l. . L ~ 40'00 401/6 C Total Cost ;)7) D,oo {)LvVJ~fL Sf)'" _'~ V~ .~