HomeMy WebLinkAbout03-2495
. I
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
DRIVEWAY PERMIT
2495
1,800.00
11/07/2003
40.00
40.00
11/07/2003
18 X 90 CONCRETE DRIVEWAy
Address: 39038 9TH AVE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
I Parcel Number: 12-26-21-002A-02300-0010
I Name: HARTWIG, ROBERT ,
Address: 39038 9TH AVE I
ZEPHYRHILLS, FL. 33542 1
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Date Paid:
Work Desc:
2495
DRIVEWAY
DRIVEWAY/NEW
SINGLE FAMILY RESIDENTIAL
Phone:
f~J /1-7'-03 ((Lf
I ,
REINSPECTION FEES: When extra inspection-trips-are-n-ecessarydue to anyone of the following reasons, a
charge of Thirty-five dollars ($3S.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 (9) 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 inyour-payingfWTce 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
MUST BE 6" DEEP WITH WIRE MESH AT RIGHT OF WAY
-~."~.__..._-_.. ---_._--_.~_._------_.__.__._-------_._-_._--------_.- . . - _._._------_._~-~---_._----
/ /~- ~.
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CONTRACTOR PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8th Street, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021 / 12 I
DATE RECE IVED / /' /(.:..3
PLANS REVIEW FEEl
JOB ADDRESS
;~ ~p/Z-j Jt; /Z--.,L I Cj
,.,
3?o36 ~ 4v/C-.
PHONE 7f!);L - ? c,c0S-
OWNER'S NAME
LEGAL DESCRIPTION: LOT(S)
BLOCK
SUBDIVISION
PARCEL 10 # /2 - 2-G - z- I -DOOZ,q. _co L $c (':)-O&;C
(OBTAIN FROM PRO~Y TAX NOTICE)
WORK PROPSED: o NEW CONSTRUCT ION o ADDl TION o ALTERA'l' ION o REPAIR o INSTALL
DSIGN o MOVE 0 DEMOLISH
PROPOSED USE: ~GL FAMILY DWELLING OMULTI-FAMILY 0# OF UNITS o t10BILE HOME
DCOMMERCIAL o INDUSTRIAL o SWIMtlING POOL o OTHER
DESCRIPTION OF WORK
D RESTAURANT & HEALTH DEPARTMENT APPROVAL
I ~ X 1'0 I CtNtA2 r&k D V-, v.E- c.<..-/C '-)
BUILDING SIZE
SQUARE FOOTAGE
HEIGHT
RESIDENTIAL:
COMMERCIAL:
ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
._."~--~
VALUATION .OF
!
(
TOTAL CONSTRUCTlO~t...
~. L( 0; 5'.
o BUILDING
$
p~
/5oC)
I
PERMITS REQUESTED
o ELECTRICAL
AMP SERVICE
o FLORIDA POWER
o W.R.E"C.
o PLUMBING
o MECHANICAL
$
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
o NO
BUILDER ~
SJGNAl'IlRE~~i~~
COMPANY (!}tJfVG-t<-
STATE CERT OR REGIST #
CITY PROCESSING #
*************************************~*************k********~*****
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
ELECTRICIAN
******************************************************************
PLUMBER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
******************************************************************
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
MECHANICAL
****************************************************************~
Cm1PANY
STATE CERT OR REGIST #
CITY PROCESSING #
OTHER
SIGNATURE
********************************************_L********************
A. NOTI~~ 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 "LI-.h any applicable deed restrictions.
B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
If the OWller 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
vi0lation under state law. If the owner or intended contractor are uncertain as to what
licensinq requirements may apply for the intended work, they are advised to contact the
City of Zephyrhills Buildinq Department, 813-780-0020.
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 tllat he is not properly licensed and is
not entitled to permitting privileges in the City of Zephyrhills.
C. TRANSPORT1\TION IMP1\CT 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
liell 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 obtaitled a copy of the above described document and promise in good faith to deliver
L t to the "O\^lller" prior to conunencement.
E. CONTRJ\CTOR'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.
1\pplication is hereby made to obtain a permit to do work and installation as indicated. I
certify that no vlork 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
tile 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
Environmelltal Regulation-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment
.Soutllwest 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.
1\ permit issued shall be cOllstrued 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 FIN1\NCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
$2,500 IN V1\LUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
SIGNATURE: OWNER OR AGENT
SIGNATIJP.E: CONTBACTOR
STATE UF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _ day of
by
acknOldedged
, 20_
STATE OF FLORIDA
COUNTY OF
The foregojng instrument was
Before me this _day of
by
acknowledged
, 20
(name of person acknowledged)
Dwho is personally known to me, or
(name of person acknowledged)
Dvho is personally known to me, or
Dwho has produced
(type
and whoD did Ddid not
of identification)
take an oath.
Dwho has produced
(type of identification)
and who Ddid D:Iid not take an oath
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped