HomeMy WebLinkAbout03-2602
rC-
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813}780-0020
DRIVEWAY PERMIT
2602
Permit Number: 2602
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: 39907 COG HILL LOOP
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): 115 Block: Section:
Subdivision: MAJESTIC OAKS
Parcel Number:
Name: BEL-AIR SALES
Address: 39907 COG HILL LOOP
ZEPHYRHILLS, FL. 33542
Phone:
ROSCILLO, BENEDETTO P.
(800)797-7450
DRIVEWAY
40.00
. l ! I H
REINSPECTlON 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 accordance with City Codes and Ordinances
MUST BE 6" DEEP WITH WIRE MESH AT RIGHT OF WAY
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/"~-' ~'-'l. ~?c<: c: -,C.r:_ __ -
~'CONTRACTOR PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
o c~~ OF ~E~IIYRHILI.S BUILDING DEPARTHENT
jU} -~ C~
JOB LOCATION )t?r 1'5 37"907 r-~ 4~..l /.~
~1---J-~- ;:) /- 00';0 -a>Q:bo- ~ ~o
OWNER
PARCEL I.D.' ff
snow ALL EXISTING & PROFOSED STRUCTURES GIVING DIMENSIONS & SETBACKS.
46/
UTILITY BUILDINGS
MUST SHOW SIZE &
FOUNDATION INFOR-
MATION.
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I \i FR~T PROPE TY LINE
go"
(NOTE EXAMPLES 1 & 2)
STREE'I'
1. SETBACKS FOR Rl, R2 ZONING
60'
"
c.. .
SETBACKS FOR R3 ZONING
60'
10'
P E-
R X
0 I
10' P S 10'
0 T
S I
E N
D G
20'
1 0'
10'
10' EXISTING 10'
PROPOSED
20'SGL FAM 30 ' DUPLEX
1 0'
FRONT PROPERTY LIRE
FRORT PROPERTY LINE
ROSCILLO CONCRETE & MASONRY INC.
OFFICE PHONE (800)797-7450
CELL PHONE (813)695-9998
[d-..if3.o3
JOB LOCATION
l--oJ- /15
/JJ /I;e~'L C)/}-JeS'.
BILL TO:
PROPOSAL DATE
ITEM
QTY.
PRICE EA.
EXT. PRICE
J.Jx~
~ /LJP -
/ S06. 00
Total Cost
J60(),OD
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CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542
B13-7BO-0020 FAX:B13-7BO-0021
DATE RECE IVED
PHONE CONTACT FOR PERMITTING
O"NER'S NAME ale -a;. ~ PHONE {/f5-%r
JOB ADDRESS 3 '1107 Co? ~// /~c>p 2- t:-fh;.LS
LEGAL DESCRIPTION: LOT (8) / /6 BLOCK SUBDIVISIONt?J~hc.-t.J/.J-1\0 ~/~.
PARCEL ID # ;;;;. 4 -,d.-G -~/ - 0 07o--cooaJ -('")7/faRTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: ~ONSTRUCTION o ADDITION o AL'rERATI ON o REPAIR o INSTALL
OSIGN o MOVE 0 DEMOLISH
PROPOSED USE: OSGL FAMILY DWELLING OMULT I - FAMIL Y 0# OF UNITS o MOBILE HOME
o COMMERCIAL o INDUSTRIAL o SWIMMING POOL o OTHER
DESCRIPTION OF WORK
o RESTAURANT & HEALTH DEPARTMENT APPROVAL
/O<(~~ 4/2)t/~
,
SQUARE FOOTAGE ~
RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.
IF SIGN PERMIT ONLY (2) SETS OF' ENGINEERED PLANS REQUIRED.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
BUILDING SIZE
HEIGHT
VALUATION OF TOTAL CONSTRUCTION
o BUILDING.
$ /,~OO- tP 0
.
PERMITS REQUESTED
o ELECTRICAl"
AMP SERVICE
o FLORIDA POWER
o W.R.E.C.
o PLUMBING
D MECHANICAL
$
VALUATION OF MECHANCIAL INSTALLATION
D GAS
D ROOFING
o SPECIALTY
o O'l'HER
TYPE OF CONSTRUCTION: 0 BLOCK
D FRAME
D STEEL
o OTHER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES D NO
---------.---------.--------.------------
,
BUILDER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
******************************************************************
ELECTRICIAN
COMPANY
SIGNATURE
STATE CERT OR REGIST #
****************************'****"*******************************
PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
************"*******************'**********************'*********
MECHANICAL
COMPANY
SIGNATURE
STATE CERT OR REGIST #
OT.ER e?M~'?;;::~" ...., 'H''':::~:~<':;/.,''C:~~
STGNAT~~~/ STATE eERT OR REGIST # ~-q~'<,,>
) /~o. ~77
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictionsn which
may be more restrictive tllan 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 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 ~ortions of .the "Contractor SectionsN 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 that he is not properly licensed and is
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 AMENDED)
I certify that I, the applicant, have been provided with a copy of "Florida's Construction
lien Law - Homeowner's Protection Guide" prepared by the Florida Department of Agriculture
and Consumer Affairs. If the applicant is someone other that the "ownerN, I cerify that 1
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 installation 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 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 UAN or UA,etc.N, it is
understood that a drainage plan addressing a ucompensating volumeN will be submitted which
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 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 >,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 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 FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER
$2,500 E DO NOT ORD AND POST A "NOTICE OF COMMENCEMENTN.
~"' ~~~
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF
The foregoing instrument was acknowledged The foregoing instrument was acknowledged
Before me this _ day of 20_ Before me this _day of , 20
by by
(name of person acknowledged)
Owho is personally known to me, or
(name of person acknowledged)
[1ho is personally known to me, or
of identification)
take an oath.
Owho has produced
(type of identification)
and who Odid O:iid not take an oath
Owho has produced
(type
and whoO did 0 did not
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped