HomeMy WebLinkAbout04-2868
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
DRIVEWAY PERMIT
2868
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees:
Amount Paid:
Da~ Paid:
Wor Desc:
2868
DRIVEWAY
DRIVEWAY/NEW
NOT APPLICABLE
Address: 38843 SOUTH AVE
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 11-26-21-0010-21400-0140
200.00
3/25/2004 Name: RAY DANIELS
35.00 Address: 38843 SOUTH AVE
35.00 ZEPHYRHILLS, FL. 33542
3/25/2004_ ____~__~~one: ___________~~____
DRIVEWAY ADDITION 2' X 30'
I
------------ --------~----~------------- ---------------~----------------
REINSpeC1l0N 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:
I (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
---''-Warnlng to owner: Your fail u re- to recorda notice of commencementmay result ir"-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 ancrFee-Must Accompany.,4.ppHcation. ----- ------
_ __~I'^'o~k s~a.'!.E~ perf~,"-~~_ i.n aCS.Qrd9_nce with City Co~es and Ordinan~E:!~_______
-, ~~J6" DEEP JlVITHWI~SH AT ~~""AY' _ _ ___
k1iA:4C~TRACTOR -- - --- ---PERMITOFFI
I CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
~ PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS PERMIT APPLICATION
BUILDING DEPARTMENT 5335 8th Street, Zephyrhills, FL 33542
813-780-0020 FAX:813-780-0021
DATE RECE lVED .3. ~ ):-6 l(
PLANS REVIEW FEE
OWNER'S NAME ~ '(>.."\1 ~ 10 {' f {.s. ·
I ~
JOB ADDRESS '< ~8ll -~ S 00'1 g A tJ {'
PHONE d'r~ -,(3 CJdSc(
Z-h.\Ik. I{ 3)S-1(~
J
LEGAL DESCRIPTION: LOT(S)
BLOCK
PARCEL ID # / I'-~t, '-d.-/-QCJJ..lJ - /J.../'-( 00-0) L/o
.
SUBDIVISION
(OBTAIN FROM PROPERTY TAX NOTICEl
WORK PROPSED: ONEW CONSTRUCTION
OSIGN
PROPOSED USE: ~ FAMILY DWELLING
OCdMMERCIAL
ld1\DDITION
o MOVE
o ALTERATION
o REPAIR
o INSTALL
o DEMOLISH
OMULTI - FAMILY
o INDUSTRIAL
0# OF UNITS
OSWIMMING POOL
o MOBILE HOME
o OTHER
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
CODC'v<(~~JE' ~cfo//+/~)J ~ ,IX 301
SQUARE FOOT~qE ,/66 Sr/J - HEIGHT
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.
PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION.
DESCRIPTION OF WORK
BUILDING SIZE
o BUILDING
$
&l'
~OO.
PERMITS REQUESTED
VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
o PLUMBING
o MECHANICAL
o GAS. 0 ROOFING
$
VALUATION OF
~~
[J~~~.;,~
/' / &g
MECHANCIAL INSTAL~~ ;1g
AMP SERVICE 0
FLORIDA POWER
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
o OTHER
o SPECIALTY' [] OTHER
FINI$HED FLOOR ELEVATIONS
.
IS PROJECT IN FLOOD ZONE AREAO YES 0 NO
BUILDER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
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ELECTRICIAN
SIGNATURE
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
******************************************************************
PLUMBER
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
MECHAAIfZ:AL
******************************************************************
COMPANY
STATE CERT OR REGIST #
CITY PROCESSING #
SIGNATURE
i
OTHER" I~ 19~'
SIGNAtURE ~ ~~-D
/' pe--- . .~:". -
. ". ,
# *************~*~*****************************************~*******
*****************************************************************
COMPANY
STATE CERT OR REGIST #
CITY PROCESSI~G #
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 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 wo-rk, they may be required
to be licensed in accorda;ce with state and local regulations. I'f' 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 po~tions 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 work. If the contractor wishes
you to sign as contractor that may be an indica~ion 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 som~one 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 "own~r" 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 ~ntendedwork, 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-Welis, 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, etc.", it is
understood that a drainage plan addressing a "compensating volume" 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 within
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 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
SIGNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
acknowledged
, 20-
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____day of
by
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was
Before me this _____ day of
by
acknowledged
, 20
Dwho has produced
(type of identification)
and whoO did Odid not take an oath.
tname of person acknowledged)
C1ho is personally known to me, or
Owho has produced
(type of identificationl
and who Odid [}jid not take an oath
(name of person acknowledged)
Owho is personally known to me, or
Signature of person taking acknowledgement
Signature of person taking acknowledgment
Name typed, printed or stamped
Name typed, printed or stamped
S J 'I'R PI.AN
(RESIDENTIAL USE ONLY)
PARCEL I. D.
. .
DATE:
SEC
TWP
RNG
LOT
SUBD
BLOCK
All rlr~wlnaq qhAll be drawn to scale or fully dimensioned for all parcels.
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NA11ES) ADJACEN'!' TO THE PROf~n. INVIL;^T~ Tlil!; ::ilL,!!:, YUR t' AND NAME OF HOBILE; SUCH A~
12 I X 60 I. 1981. FLEETWOOD.
ALL "EASEMENTS", "PROPERTY LINES", "RIGHT-OF-WAY", and "JURISDICTIONAL LINES" must bl
shown on all site plans.
DO NOT ENCROACH INTO ANY EASEMENT WITH A STRUCTURE.
HOU'E CON'TRUCTION
reor (.0')
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ROAD NANE ROAD NANE
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ROAD NANE
PL
PROPERTY LINE
R/W ... RrGIlT-OF-W^Y
o = TREE
APPROVKD SIn PLAN HUST RE POSTED AT JOB LOCATICIf.
NOTICE OF DKKD USTRICTICIt "
nus PKRKIT may be subject to 't'J>eed RutrlctlotU1lt wbich are liar. rutrictive thm Count
rlligulatiotUl. Tbe permit holder asSUII8JI ru~ibility for c~lianc.. with any appl1c&bl
deled rutrictiotl8.,
. .
sl~e05:a!
PC95035005/A