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Permit Number: 2527 Issued: 11/24/2003
Permit Type: GENERAL BUILDING PERMIT
Class of Work: DRIVEWAY/NEW
Proposed Use: RV PARK
Sq. Feet: Est. Value:
I Cost: 1,583.00 Total Fees: 40.001
I Amount Paid: 40.00 Date Paid: 11/24/20031
CITY OF ZEPHYRHlllS
5335 - 8TH STREET
(813)780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
2527
Address: 39532 AUGUSTA NATIONAL DR
ZEPHYRHILLS, FL.
Township: Range:
lot(s): 16 Block: Section:
Book: Page:
Subdivision: MAJESTIC OAKS
Parcel Number:
Name: ROSCILLO, BENEDETTO P.
Addr: 24076 RAGAN DRIVE
BROOKSVILLE, FL 34601
Phone: (800)797-7450 Lic:
Work Desc: Drivewa
MAJESTIC AKS
39532 AUGUSTA NATIONAL DR
ZEPHYRHILLS, FL. 33542
Phone:
PRE-SLAB{/ I. _ z>= 0 3 /I ! CONSTRUCTION POLE 2ND ROUGH PLUMB DUCTS INSULATED
LINTEL I' PRE-METER WATER FINAL MECHANICAL
FRAME MISC SEWER MISC
INSULATION WALL MISC MISC. MISC.
INSULATION CEILING MISC. MISC. MISC.
~RIVEWAY 1/ II/v;'.. (J '? lJ.ilt_ MISC. , MISC. FIRE DEPT. F~~AL
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 commencemenf 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 commen_c::~ment."
1___ . NOOCCUPANCYBEFOREC.O.~
~L~
I ONTRACTOFfs SIGNATURE PERMIT OFF I
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8th st, Zephyrhills, FL 33542
813-780-0020 FAX:813-780-0021
DATE RECEIVED
PLANS REVIEW FEE
OWNER'S NAME ~~ ~ PHONE 675"-999r
,
JOB ADDRESS '3 753~ /)Q?vr-A }/-t/~ ,0." < (' n,r,d~ t!)~KS 1l).J .
LEGAL DESCRIPTION: LOT(S) /L" BLOCK SUBDIVISION
PARCEL ID # ~-~{, -(;}j- &>O~e:;J - ~OO - /~/O (OBTAIN FROlvJ PROPERTY TAX NOTICE)
WORK PROPSED: DNEW CONSTRUCTION
o ADDITION
DALTERATION
o REPAIR
o INSTALL
o SIGN
o MOVE
o DEMOLISH
PROPOSED USE: DSGL FAMILY DWELLING
DCOMMERCIAL
DMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
DESCRIPTION OF WORK
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
/~X5o ~Lur,q- /~J#2~S-
SQUARE FOOTAGE k,,;LO
HEIGHT
BUILDING SIZE
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.
0 BUILDING
0 ELECTRICAL
0 PLUMBING
0 MECHANICAL
0 GAS o ROOFING
$
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
o FLORIDA POWER
o W.R.E.C.
$
VALUATION OF MECHANCIAL INSTALL1\TION
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
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
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ELECTRICIAN
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
******************************************************************
PLUMBER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
******************************************************************
MECHANICAL
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
*****************************************************************
OTHER~ It.(_:f~ 4rn-l/liqL~
SIGNATURE
COMPANyJ(?r8{1{ -; 0 Crrno.,7 ~ ,
STATE CERT OR REGIST # Pt45"c:o Co- OoCl'717
CITY PROCESSING # ..., J-I. S j.
~ - ILL rvC~-<
*******************************************************k*+*******
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 aSSUlnes responsibility for
compliance with any applicable deed restrictions.
B. UNLICENSED COHTRACTORS AND CONTRACTOR RESPONSIBILITIES
I f the ovmer has hired a contractor or contractors to undertake vwrk, they may be requi red
to be licensed in accordance \'1i th state and local regulations. I f the contractor is /lot
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, 813-780-0020.
Furthermore, if the owner has hired a contractor or contractors, he is advised to IJave 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 I'JOrk. If the conLractor Irlishes
you to sign as contractor that may be an indicat;ion that he is not properly Jlcensed ancJ is
not entitled to permitting privileges in the City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTUION J,IEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Constructiorl
lien Law - Homeowner's Protection Guide" prepared by the Florida Departmellt of Agriculture
and Consumer Affairs. If Lhe applicant is someone other that the "owner", I cerify Lhat 1
have obtained a copy of the above described document and promise in good faith to dell.ver
it to the "olrmer" prior to commencement.
E. CONTRACTOR'S/OWNER'S AFFIDAVIT
I certify that all the information in this application is accurate and tlJat all work will
be done in compliance with all applicable laws regulating construction, zoning, alld land
development.
Application is hereby made to obtain a permit to do work and installation as illdicated. I
certify that no vJOrk 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 juriscJiction. [also
certify that I understand that the regulations of other governmental agencies may apply to
the intencJed work, and that it is my responsibility to identify what actiorls 1 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
*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,elc.", it .is
understood that a drainage plan addressing a "compensating volume" will be submitted "'/hich
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 arId not as
authority to violate, cancel, alter, or set aside any provisions of ttle technical codes,
nor shall issuance of a permit prevent the Building Official from ttlereafter requiring a
correction of errors in plans, construction, or violatio~s of any code. Every permit
issued shall become invalid unless the work authorized by such permit is commenced v,ithin
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 exterlsion of time
may be allo\'led for the permit \dth fee charge of $15.00. The extension shall be requested
in writing to the Building Official. An approved inspection must be logged during each six
month period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A tl0TICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN F1NANCING, CONSULT
WITH YOUR LENDER OR All ATTORNEY BEFORE RECORDING YOUR 110TICE OF CO[vJ[vjENCEMENT. JOBS UNDER
~'U~~CORD AND POST!\ ~:~
~;~~~WNER OR AGENT SIGNATURE: C01TRACTOR
STATE OF FLORIDA
COUln'Y OF
The foregoing instrument was
Before me this _ day of
by
acknowleuged
, 2rL-
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _day of-
by
acknowledged
20
(name of person acknowledged)
o who is personally knOl'ln to me, or
(name of person acknowledged)
O,ho is personally knovm to me, or
of identification)
take an oath.
o who has produced .____
(type of .iclellt.ificat:.ion)
and l'Iho 0 did [].iid not t: a ke arl oa t: 11
Signature of person taking acknOl'lledgement
Signature of person taking acknOl'lledgmerd
Name typed, printed or stamped
llame typed, prilltecJ or stamped
ROSCILLO CONCRETE & MASONRY INC.
OFFICE PHONE (800)797-7450
CELL PHONE (813)695-9998
BILL TO: PROPOSAL DATE
/k _~r //';;>4.03
S-~~
JOB LOCATION ~or 1(.,
3 ~ S3d-- F\~1f1rfQ A1~IOJJ.
DA.
ITEM QTY. PRICE EA. EXT. PRICE
r Jb/I~~ ~~Ar~_ l
I~S ~ trlulI~"'~ ,'5 / ")3~~oo
V 'v
-r 1I2/IK 10 J<.. LNbU- k 006.0t)
/JlJAiI..; ~ 5&:>.00
, v
Total Cost / 58'3,0'0
~ .
_~fl$-L. <C
OWNER
CITY OF ZEPIIYRHILLS BUILDING
~ -~ S'~
DEPARTMENT
( mrVos-l';c. OI4'KS- #0)
3Cj 53~ /lt1(')S"-I~ ;Lhfr(p,~ ~ r
d--- q.. -J-.6 - c;;J / - Oei? () - 00000 - / d /0
,
c- r-//~ S
JOB LOCATION
PARCEL I. D . . It
snow ALL EXISTUIG & PROPOSED STRUC'l"URES GIVING DIHENSIONS & SETBACKS.
4-D
\.).J
~
);)...1
~J
r ~
il \J\
0'
d~
~ r
{;.>r
UTILITY BUILDINGS
MUST SHOW SIZE &
FOUNDATION INFOR-
MATION.
(NOTE EXAMPLES 1 & 2 ) STREE'r
l. SETBACKS FOR RI, R2 ZONING
60'
10'
P E
R X
0 I
10' p S 10'
0 T 1 0'
S I
E N
D G
20'
FRONT PROPERTY LINE
ER'rY LINE
..
L.
SETBACKS FOR R3 ZONING
60'
,--
la'
10' EXISTING 10'
1 ~o
PROPOSED
20'SGL PAM 30'DUPLEX
FRONT PROPERTY LINE