HomeMy WebLinkAbout03-2598
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
DRIVEWAY PERMIT
2598
Permit Number: 2598
Permit Type: DRIVEWAY
Class of Work: DRIVEWAY/NEW
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost: 1,500.00
Date Issued: 12/29/2003
Total Fees: 40.00
Amount Paid: 40.00
Date Paid: 12/29/2003
Work Desc: DRIVEWAY 12 X 50
Address: 39843 COG HILL LOOP
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): 111 Block: Section:
Subdivision: MAJESTIC OAKS
Parcel Number:
Name: BELAIRE SALES
Address: 39839 COG HILL LP
ZEPHYRHILLS, FL. 33540
Phone:
~o
i
I REINSPECTlON FEES: wL extra inspection trips are necessaoy due to anyone of tile following reasons,- a
I :harge 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 (g) Work not accessible
The payment of inspection fees shall be made before any further permits will be issued to the person owning same
"Warrung 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.
_____n_____~1I wo~k shall be performed in accordance with City Codes and Ordinances
MUST BE 6" DEEP WITH WIRE MESH AT RIGHT OF WAY
u____...._______._.. ~~ .~__
~
~/) -g~ ----
~TRACTOR PERMIT OFFI
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 RECE lVED --
PHONE CONTACT FOR PERMITTING
OWNeR'S NAME0.p..--f ~ (~ PHONE tAL)- mr
JOB ADDRESS 3Wtf-'3 C ~ t0~,L~ ~-1'7,.:;
LEGAL DESCRIP'l'ION: LO'l' (5) / I / BLOCK ___ SUBDIVISION/11~eJf-~ O1-,cS
PJ..RCEL ID # c;./!-d-{,-;)-/ -WgD-t:<::;(Xx)-6 75"0 (OBTAIN FROM PfWPERTY TAX NOTICE)
WORK PROPSED: ~ONSTRUCTION 0 ADDITION DALTERATION
o REPAIR
D INSTALL
Os I GN
o MOVE
D DEMOLISH
PROPOSED USE: DSGL F~iILY DWELLING
o COMMERCIAL
DMULTI-F~HLY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOH!
o OTHER
DESCRIPTION OF WORK
o Rf<.~STAURANT & HEALTH
r ~ X 5<::::>
DEPARTMENT APPROVAl,
~/J~
FOOTAGE ~
HEIGHT
BUILDING SIZE
SQUARE
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COl1HERCIAI,: ATTACH (3) SETS DE' BUIIoDING PLANS & (1) SET ENERGY FORMS.
IE' SIGN PERMIT ONLY (2) SETS OF' ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
o BUILDING
PERMITS REQUESTED
J ~D - &J -'2- VALUATION OF TOTAL CONSTRUCTION
)
$
----------
o ELEcrRlCAL
AMP SERVICE
o FLORIDA POWER
o W.R.E.C.
o PLUMBING
o MECHANICAL
$
o GAS
o ROOFING
[) SPECIALTY
VALUATION OF MECHANCIAL INSTALLATION
D O'I'HEF
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
FINISHED F'LOOR El.EVATIONS
IS PROJECl' IN FLOOD ZONE AREAD YES 0 NO
r----. -----..-.-.-------.-.----.--.-----.---.~-c__. ---::c-----::-~.._.-.-.-.u.-.~=........ .... ----..---..-----.---.-----.----.------.-.----.
CON'rRA.CTOR')<;~~~t,rION . . .
BUILDER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
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ELECTRICIAN
COMPANY
S I GloJ"ATUR E
STATE CERT OR REGIST #
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PLUMBER
COHPANY
SIGNATURE;
STATE CERT OR REGIST #
k*********~********************~**********************************
MECHANICAL
COMPANY
SIGNATURE
STATE CERT OR REGIST #
OTHER C~"C;; ;;;;;;;~ "~~."~::::~~;~. '*?;;;~A'-de
~
SIGNA'I'URE .
'. . ~__ STATE CERT OR
HEGIS'l' # '-7-HL(r r-
-,--~.__.._-,..._----.~-_..,--------.."._._.
jJ/?)COr 6777"]
A. NOTICE OF DEED RESTRICTIONE
The undersigned understands that this permit may be subject to "deed restrictionsU which
may be more restrictive than City regulations. The undersigned assumes responsibility fOJ
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 requirec
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 thE
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 j
not entJ.tled 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 Constructior
lien Law - Homeowner's Protection GuideU prepared by the Florida Department of AgriculturE
and Consumer Affairs. If the applicant is someone other that the "owneru, I cerify that]
have obtained a copy of the above described document and promise in good faith to deliver
it to the "OI^!I1er" prior to commencement.
E. CONTRl\CTOR' S/OWNER' S AfFIDAVIT
I certify that all the information in this application is
be done in compliance "lith all applicable laws regulating
development.
Application is hereby made to obtain a permit to do work and inst~llation as indicated.
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 tc
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 material is to be used in Flood Zone "AN or "A,etc.u, it is
understood that a drainage plan addressing a "compensating volumeN "Iill be $1,1\:Jmitt~Q r!higf:
1S 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
a1lthority to violate, cancel, alter, or set aside any provisions of the technical codes,
nor sllall 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 'Nork authorized by such permit is commenced within
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 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 si
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, CONSUL
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
,S~u;;:POST2~~
C SIGNATURE: OWNER OR AGENT SIGNATURE: CmJTRACTOR
accurate and that all work will
construction, zoning, and land
I
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged
Before me this _ day of , 20_
by
(name of person acknowledged)
Owho is personally known to me, or
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _day of
by
acknowledged
20
(name of person acknowledged)
aho is personally known to me, or
Owho has produced
(type
and whoO did 0 did not
of identification)
take an oath.
o v-Iho has produced
(type of identification:
and \",ho Odid [)did not take an oath
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
OWNER
JOB LOCATION jG~ //~
CITY OF ZEPHYRHILLS BUILDING DEPARTMENT
~.eJ2 - Q;..,. ~)~
PARCEL I. D.' It
:3 C; '8-~3 C"~ 4~ /.OOfi.-./
;;Ltf -J(;. .~~ I -0056 '-00000 -~)~
SIIOW ALL EXISTUIG & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS_
4-0
UTILITY BUILDINGS
MUST SHOW SIZE &
FOUNDATION INFOR-
MATION.
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I eil'ONT \ROPER'ry LINE
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(NOTE EXAMPLES 1 & 2) STREE'r
1. 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 LINK
2. SETBACKS FOR R3 ZONING
60'
10'
10' EXISTING la'
PROPOSED
20'SGL FAM 30 'DUPLEX
1 A'
FRONT PROPERTY LINE
ROSCILLO CONCRETE & MASONRY INC.
OFFICE PHONE (800)797-7450
CELL PHONE (813)695-9998
BILL TO:
PROPOSAL DATE
JOB LOCATION
JoT.. )1 t
)l/) AJeJ'4 ~'c. ClA--KS' /210.
I J.;)3.D3
ITEM QTY. PRICE EA. EXT. PRICE
)Jv~ f:J 1;~~ L 560..CC,)
U
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( ) /}/l /
ttY~~c.L:..h 'L,/~
- "V""~ ...."'t.-J
Total Cost
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