HomeMy WebLinkAbout03-2599
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
DRIVEWAY PERMIT
2599
Permit Number: 2599
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: 39919 COG HILL LOOP
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): 118 Block: Section:
Subdivision: MAJESTIC OAKS
Parcel Number:
Name: BEL-AIRE SALES
Address: 39919 COG HILL LOOP
ZEPHYRHILLS, FL. 33542
Phone:
.?-'f." I'" /30/03 rlf10
suJo rr ~ ~ tU1
~____ I
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..-----~.---
________~________~work shall ~_performed in accordance with City Codes and Ordinances
MUST BE 6" DEEP WITH WIRE MESH AT RIGHT OF WAY
-- -
/~~~~~/~~ ~M~
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
ROSCILLO CONCRETE & MASONRY INC.
OFFICE PHONE (800)797-7450
CELL PHONE (813)695-9998
Bll..L TO:
PROPOSAL DATE
JOB LOCATION
;. Of //7
~4.(RSf~ cJ4/C) ,L/~,
ld . ~ ~-c)3
ITEM QTY. PRICE EA. EXT. PRICE
/r.J ./ ~ .~ ~;'-~ /00 -00
-
/J _/7 ~
fb: /;'~~ ~ /-'
Total Cost 'A j..~..4.A'<.~: ...- ~
"
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPAR~~NT 5335 8~H St, Zephyrhills, FL 33542
813-780-0020 FAX:813-780-0021
DATE RECEIVED
PHONE CONTACT FOR PERMITTING
OWNER'S N>Mf]ft a;. ~.
JOB ADDRESS '379)Cj Cr 4~ krot-
LEGAL DESCRIPTION: LorI' (S) I/?
PJ.IJ<.CEL ID # -2t...,;;lto-c;.I-f>O ~D -ca:soO'-
WORK PROPSED: ~CONSTRUCTION o ADDITION
PHONE &:15- '179J>'
"2-- #~~
SUBDIVISION 1r{1J~h<- (jiHCS .elu.
0750 (OBTAIN mOM PROPERTY TAX NOTICE l
BLOCK
OALTERA'l'ION
o REPAIR
D INSTALL
D SIGN
D MOVE
o DEMOLISH
PROPOSED USE: DSGL FAMILY DWELLING
D COMt1ERCIAL
DMULT I - FAMILY
0# OF UNITS
o SWIMMING POOL
o MOB HE HON!
o OTHER
o INDUSTRIAL
DESCRIPTION Ot' WORK
CJ RES'fAURANT & HEALTH DEPARTME:NT APPROVAl,
/~,K 50
"
D'1 / ~<-
6::)0
HEIGHT
BUILDING SIZE
SQUARE FOOTAGE
o BUILDING
PERMITS REQUESTED
/ ~CJO .c:;0
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY
C011J."lERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
IE' SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
$
VALUATION OF TO'rAL CONSTRUCTION
o ELECTRICAL
AMP SERVICE
o FLORIDA POWER
o W.R.E.C.
o PLUMBING
o MECHANICAL
$------ VALUATION OF NECHANCIAL INSTALLATION
o GAS
o ROOFING
rJ SPECIAL'fY
o O'l'HEf.
TYPE OF CONSTRUCTION: D BLOCK.
o FRANE
D S'rEEL
[] OTHER
FINISHED HOOR ELEVlI_'l'IONS
IS PROJECT IN FLOOD ZONE: AREAD YES
o NO
r--.------.---.--------------~-----. .... .;~.~.---;:-;:;.
CONTAACTOI{"j~~~tcION
._~-~---_.~-_..~.~-_._...._~~.,---~----_....-----~-~
BUILDER
CONPANY
SIGNATURE
STATE CERT OR REGIST #
*********~*********************~********~**************~**********
ELECTRICIAN
COMPANY
SIGHATURE
STATE CERT OR REGIST #
***************~**************************************************
PLUMBER
COr1PANY
~-""----'-~-'-----_._."
S IGNA'rURE
STATE CER'I' OR REGIST #
l'4ECHANIC'.AL
********~*****~**************~*~**~*******************************
COMPANY
SIGNATURE
STATE CERT OR REGIST # _.
*****************************************************************
OTHER ~~h C&?1 r.4...-9C""',,=- COMPANY ~C/h:, C(171c..e~k
SIGNATU " ~~~ 1 ~- STATE CER'T OR REGIS'l' n..~~=~/;<_,":__._~._
a- />?5LO JI= 0'1777
A. NOTICE Of OEED RESTRICTIONS
The undersigned understands that this permit may be subject to udeed restrictionsN which
may be more restrictive than City regulations. The undersigned assumes responsibility 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 requirec
to be licensed in accordance with state and local regulations. If the contractor is not
licensed as required by law, both the owner alld 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 SectionsN 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 i
not entitled to permitting privileges in the City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES ANC 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 GuideN 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" 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, 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 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 "AN or "A,etc.N, it is
understood that a drainage plan addressing a "compensating volume" will be submitted \-Ihicb
is prepared by a professional engineer registered in the State of Florida prior to permit
l::;::;uance.
A permit isslJed 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 \vork authorized by the permit is suspended or abandoned for
period of six months after the time the l'>1ork 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 ATTO BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
$2,500 IN VALUE DO NO ~ED ECORD AND POST A uNOTTCE OF COMMENCEMENT"
~NER OR
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____ day of
by
acknowledged
, 2~
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _day of
by
acknowledged
, 20_
(name of person acknowledged)
Owho is personally known to me, or
(name of person acknowledged)
C1ho is personally known to me, or
Owho has produced
(type
and whoO did 0 did not
of identification)
take an oath.
Owho has produced
(type of identification
and who Odid 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