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CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813}780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
2447
Permit Number: 2447 Issued: 10/23/2003
Permit Type: GENERAL BUILDING PERMIT
Class of Work: DRIVEWAY/NEW
Proposed Use: NOT APPLICABLE
Sq. Feet: Est. Value: I
Cost: 1,533.00 Total Fees: 40.001
Amount Paid: 40.00 Date Paid: 10/23/20031
Address: 3944 QUAKER RIDGE
ZEPHYRHILLS, FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: MAJESTIC OAKS
Parcel Number:
Name: ROSCILLO, BENEDETTO P.
Addr: 24076 RAGAN DRIVE
BROOKSVILLE, FL 34601
Phone: (800)797-7450 , __ Lie:
Work Desc: 12 X 50 DRIVEWAY
MAJESTIC OAKS
3944 QUAKER RIDGE
ZEPHYRHILLS, FL. 33542
Phone:
F R
PRE-SLAB CONSTRUCTION POLE 2ND ROUGH PLUMB DUCTS INSULATED
LINTEL PRE-METER WATER FINAL MECHANICAL
FRAME MISC SEWER MISC
INSULATION WALL I MISC MISC. MISC.
INSULATION ~EILlNG I MISC. MISC. MISC.
_~RI~:IJVA YV J 0 - 3 0 - 0 3 eUf rtfAAlsc. ___ MISC. __ I FIRE DE~T. 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 paYrn_ent of inspection fees shall be made before5lny further permits will be issued to the p~~on 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 you~_ notice of commencement."
NO OCCUPANCY BEFORE C.O.
~-
~C~URE--- - PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERMIT APPLICATION
:aUI LDINQ PBJ?ARTMBlNT 533 5 ~ l:h S'l'RBlBl'r ZBlI?HYRHILI.S I FL 33540
PhoneI813~780-q020 FaxI813-780-D021
DA'nl RBOJnVSlD __ _____.~...~.___
PI,ANS RBlVIJilW 1S1S1________--___
m/NBJR'S NAHE /~~ ~ PHONE rOl<I'1'AC'~~=v.25~~ff
,JOB ar'J'E ADDRESS__~~ ~4--.cl.~~-.--~d~-.~ C frJlItS-& a~~ 1(/,.,). __________
LElllAL DIllSCRIP'rIOlh LOT (S) .!It/X )~__ BI,OCK _____ SlJBIHVISJON /!!.~'G-.. t:Pf.k f R.(v
I?ARCEL In #___~_-:-a- (.._~/ - 90"50 _ ~O::/ (_OBTA.~)~%M I?R_~I?BlR'l1:__~A)( _~n'I:l~lllJ)__
WORK I?ROPSBlD I ~(!ONS'J'RtJQTION [J ADDITION o AUI'ElRATJON [J REPAIR [J mS'I'M.I,
[JSIGN
o MOVE
o DElMOl,ISH
I?ROj;lllSHlD {JSHlI rJSGIl, FAMlhV DWELLING
o MtJI.'1'I - FAMILY
0# OF UNITS
[] MOB r I IE liOMIll
~~
rJ Cot~MIlIRC 1AI,
o INDUSTRIAlJ
OSWItiJMUlG pom,
D RESTAURANT & HEAl/l'H lJEPARTMElNT APPROVAL
DIlJ8CRIJ?TION OF HORK _--L!;l SC'~
Bun,DINO SIZE
---____ SQUARE FOOTAGE __.J.rf/'beJ ~ HElHUi'I' ..._____.__
AT'I'ACH (2) PllOT I?I"AllS & (J) SETS OF BtJU,iJING PLANS & (1) SElT B1NElRQY li'ClRMB,
A'l"l'A<'lH (3) SElTS OF BUIIJDING PLAN8 & (1) SElT ENElRGY FORMS,
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRtJCTION.
RBIS IDBJUTIAL I
COMMBlReIAJ" I
C) I3l1ILDH1G
F BlRb11 l' S RBlQIlJIfiT >>ill
L-.h '5 '3 ,eO __ VALUATION OF TOTAL CONS'!'RUC'l'ION
Ll BlI.,IllC'l'RlCAIr
AMI? /3ElRVICEl
o FLORIDA POWHlR
rl W,FLB,fl,
o PLUMBING
o 1'1IllUHIUUCAIJ
$-_.
VALUATION OF MECHANCIAIJ INSTAI,LA'l'ION
o liAS
fJ ROOP'ING
[J SPIWIAL'fY
o OTHER
'l'\fPEl OF CONSTRUCTION I LJ BLOCK
o FRANEl
o STEJEllJ
n OTHER
F'llUSHlllil FU)OR ElIJEVATIONS
IS PROlJEC'r IN In,oon ZONEI ARElA 0 YBlS IJ NO
:au ILn III It
CDt~I?ANY _________
STA'I'Bl ClilRT OR REGIBT # ~.____'____.____~______
CITY PROCESSING #
_._--..._~-----------.._-_....
81GNA'rURE
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IllI,IOTRICIAlt
Cm1PANY___
STATE CElRT OR RElGIST #
CITY PROCESSING #
8] GlH\'ruREJ __._'_______,__________~
._._-'~---..- ---_.~_._-_.----,..-
--.-.-.---.-....---,--..----.-
i,*****,****,***,****"**"*,**,*****",,,*,,,*,,********.,,*,***,
PLUMBER.
CO(vIPANY--- _______..__,_._.__
BTA1'EJ CElRT OR f(ElGIST If _____._____________
CITY PROCESSING #
SWNA'l'IJREl
8HH1ATtJRE
****'*****'***'*****'**'******'**'*******************~*****"'****
(!OlvJPANY____.____________~____"_~_
STATE CElR'r OR REGIS'!, # _____~______.__________
CI'I'Y PROCESSING #
MBlOHANICAIJ
****************'**'**********'*'*****~*******.******''*t*****'**
OT... Qv,~~hU40 L- -- ~~~~:N~E(.j{;~~G~';T [Z r::Ftk~:~Z~-,--
SHmA'f'URllit2' ~ t:'~ CITY PROCESSING # .'. --~---;-'----d__--..L_.f.:.._____
'--, - - --.---- .~_:_6r.~____P:{;Q~______..__ ___~
******'*'******"*'***************'***********'********'***'*****
/
&-/ SIGNATURE:
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 contaot 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/Wastewater Treatment
*Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas,
Altering Watercourses
*Ar~ Corps of Engineers-Seawalls, Docks, Navigable Waterways
wepartment 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 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 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 '1'0 RECORD AND POST A "NOTICE OF COMMENCEMENT".
~~~
SIGNATURE: CONTRACTOR
-----
STATE OF FI.ORIDA
COUNTY OF
The foregoing instrument was
Before me this _ day of
by
acknowledged
19_
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
Dwho has produced
(type
and whoD did Ddid not
(name of person acknowledged)
[1ho is personally known to me, or
of identification)
take an oath.
Dwho 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
'-
-'-"'---"'-'-~
~_...._._--_.,'-----
J_
ROSCILLO CONCRETE & MASONRY INC.
OFFICE PHONE (800)797-7450
CELL PHONE (813)695-9998
I () . )- "? 'D7
JOB LOCATION /.. Dj-
75
/h It/C-#-I'-L- ~S'
BILL TO:
p1W-p6S~
.fO -
Cuv
PROPOSAL DATE
~I'
ITEM QTY. PRICE EA. EXT. PRICE
}d-~~ DA~I ILy~341tV
LvI w.: /1(.. V
I V
~ I..,JD~ ~() ,00
I u
~ /L.A-Cf-t;, t... fA It/ILA. ~.61'"'l
I2A ;- f) /p~~ '<
V
.
Total Cost
lz;J33.oo ~
()W>'LV1, S iy,-1Jld ~
, .. :ITY. '. O~~~::~II1.LS BUILDING DKPARntENT
&L--Cv '-" ' _.. "
JOB LOCATIONJq 4-4- D. (jf4)r~ (2;c1yf)~ r~ (f}1tjt!fI:c..
PARCEL LD.' t# - ;1-4_- ;r.(, -- ?.j - 60]0 -00000 - J:7-/O
OWNER
O~dC\ -e0
SHON ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIORS & SETBACKS.
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UTILITY BUILDINGS
MUST SHOW SIZE &
FOUNDATION INFOR-
MATION.
FRONT
(NOTE EXAMPLES 1 & 2)
STREET
1. SETBACKS FOR Rl, R2 ZONING
60'
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'
FROR'I' PROPBRTY LIRK
FRORT PROPERTY LINE