HomeMy WebLinkAbout03-2597
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CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
2597
Permit Number: 2597
Permit Type: DRIVEWAY
Class of Work: DRIVEWA Y/NEW
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost: 1,500.00
Date Issued: 12/24/2003
Total Fees: 40.00
Amount Paid: 40.00
Date Paid: 12/24/2003
Work Desc: DRIVEWAY 12 X 50
Address: 3806 LACOSTE ST
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): 147 Block: Section:
Subdivision: MAJESTIC OAKS
Parcel Number: 24-26-21-0030-0000-1460
Name: BEL-AIRE
Address: 3806 LACOSTE ST
ZEPHYRHILLS, FL. 33542
Phone:
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"-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
before recording your notice of commencement."
..---- Complete Plans, specifications and Fee Must Accompany Application.
______________________ All work shall be performed in__~ccordance with City Codes and Ordinances
MUST BE 6" DEEP WITH WIRE MESH AT RIGHT OF WAY
~
~ ~ ~
i ~-bL--~"-~ ..~--G-Q.&---"
tON CTOR PERMIT OFF-I
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542
813-780-0020 FAX: 813-780-0021 )>} I.., ~4J-"
DATE RECE lVED ~ (/ -'-
PHONE CONTACT FOR PERMITTING/h"5-'1119
OWNER'S NJ\ME~ ~ ~
JOB ADDRESSJoI- (q.-1 ?VOG? ~051L Sf-
IJEGAL DESCRIPTION: LOT (S) J 4-7 BLOCK SUBDIVISIONd24:it:5i..c
PP..RCEL ID # ;24--eJe,-,}-I--{XY50 --~ .-.L4(a:) (OBTAIN FROM PROPERTY
WORK PROPSED: ~ CONSTRUCTION 0 ADDITION DALTERATION D REPAIR
PHONE
2-1-11 LLS
;:::-,1-
O~I<S 1/'",
TAX NOTTCEL_
D INSTALL
Os I GN
o MOVE
o DEMOLISH
PROPOSED USE: DSGL FAMILY DWELLING
o COMl'1ERCIAL
OHUIJTI-FAMILY
o INDUSTRIAL
0# OF UNITS
OSWI:MMING POOL
o MOB I LE HOM]
o OTHER
DESCRIPTION OE' WORK
o RESTAURANT
f ~y 50
& HEM,'I'H DEPARTMENT APPROVIUJ
ili;UL~
SQUARE FOOTAGE ~ a-(f)
BUILDING SIZE
HEIGHT
RESIDEN'['IAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOR1vlS.
Cm~'1ERCIAL: ATTACH (3) SETS OF BUILDING PLro~S & (1) SET ENERGY FOffi'1S.
IE' SIGN PERtlIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY RE:QUIRED FOR ALL NEW CONSTRUCTION.
D ELECTRICAL
AMP SERVICE
o FLORIDA POWER
o
W.R.E.C.
r~.
!V
o BUILDING
PERMITS REQUESTED
) 5/)() ..00
VALUATION OF TOTAL CONSTRUCTION
$
o PLUMBING
o JvlECHANTCAL
$
VALUATION OF H~~CHANCIAL INSTALLATION
D OTHEh
o GAS
lJ ROOFING
[J SPECIALTY
TYPE OF CONSTRUCTION: 0 BLOCK
D FRAME
o STEEL
Ll O'l'HER
nNISHE~D FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE MEAD YES
D NO
~-_..'--------_._---------_._-_._----------_.---;-"-.'" ...----..-:--------... -. -..----.....-:-. .................. -------------------.----.--..----------:-.--.----
CO~C*OR>i.~~~'.t'ION
BUILDER
COMPANY
SIGNATURE
STATE CERT OR REGIS'!' #
*******************************~*****k****************************
ELECTRICIAN
COMPANY
SIGNATURE
STATE CERT OR REGIST #
.******************~************k*********************************
PLUNBER
COHPANY
SIGNATURE
STATE CERT OR REGIST #
***k**********~******~******~~*~**********************************
NECHANI CAL
COHPANY
SIGNATURE
STATE CERT OR REGIST #
OT""R (iJVJ~' eM* i Ufj;;~H_~'~**::::~:;iif;<:;:: ?;.;~
SrGNATURE~a~_____________ S'fATE CERT OR REGIST #_)-Ji.(?-~_S________._
JJASCo
t>q 777
A. NOTICE OF D8ED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictionsU which
may be more restrictive than City regulations. The undersigned assumes responsi"bili ty for
compliance with any applicable deed restrictions.
B. UNLICENSED CONTRACTORS 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, 813-780-0020.
Furthermore, if the owner has hired a contractor or contractors, he is advised to have the
contractor(s) sign portions of the "Contractor SectionsU of this application for which the
will be responsible. If you, as the owner signs as the contractor, you are indicating tha
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 i
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 AlvlENDED)
I certify that I, the applicant, have been provided with a copy of "florida's Construction
lien Law - Homeowner's Protection Guideu prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that the "ovmer", I cerify that I
have obtained a copy of the above described document and promise in good faith to deliver
it to the "o"mer" 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.
Application is hereby made to obtain a permit to do work and inst~llation 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, Cj.ty
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 t.
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 m~terial is to be used in Flood Zone "A" or "A,etc.u, it is
understood that a drainage plan addressing a "compensating volume" will be submitted which
tS 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 pravent 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 "ithin
six months of issuance, or if work authorized by the permit is suspended or abandoned for
period of six months after the time the work js 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 si}
month period, or the project will be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMt1ENCE~1ENT t'JAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULl
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
$2,500 DE DO NOT TO RECORD AND POST A ~COM~". _
~c,~~~-
SIGNATURE: CONTRACTOR
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____ day of
by
acknowledged
,20_
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 knov/n to me, or
(name of person acknOWledged)
C1ho 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 \'o/ho 0 did O:!id not ta ke an oa th
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typad, printed or stamped
Name typed, printed or stamped
~ CITY OF :EPHYRHILLS BUILDING DEPARTMENT
OWNBR . ~ -~ s=~
JOB LOCATION )01- ;'1-7 ~/)Go jAcoJk '5'(: ,
-;;l4--J.-lo -;)./- 6030 -<OoolbC) - /4-~D
PARCEL 1.0.' #
snow ALL EXISTItIG & PROPOSED STRUcruRES GJ. VING DIMENSIONS & SETBACKS.
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IV)
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UTILITY BUILDINGS
MUST SHOW SIZE &
FOUNDATION INFOR-
MATION.
(NOTE EXAMPLES 1 & 2 ) STREE'r
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'
FRONT PROPERTY LINE
~ I \ (YO'
--- l ~?r
'-
~ ~
~
~~ -\
,* ~
F~NT ~OP R'rY LINE
2. SETBACKS FOR R3 ZONING
60'
1 0' 1 0'
10'
10' EXISTING 10'
PROPOSED
20'SGL FAM 30 'DUPLEX
FRONT PROPERTY LINE
ROSCILLO CONCRETE & MASONRY INC.
OFFICE PHONE (800)797 -7450
CELL PHONE (813)695-9998
(~. :;2.3-D3
JOB LOCATION
/--o+- I 4i
vt\'\ier+-.'C OA-iCj.
BILL TO:
PROPOSAL DATE
ITEM QTY. PRICE EA. EXT. PRICE
)~5() ~A' 4.4.U-- } 5 DC) .CQc
(j
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I) /2/1 /1 b
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Total Cost
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