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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 ****************************************************************** 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. IP~ta r tEa _::: \.1130 I \.1124 F5r.160j 56 N8 I tFEP.28SE16 -5r2y1/E8 J L\.II12 J8 8AS.1182j N18 N1S--- S10 sr r'x/d~ r-E12 +-E16 FOA..84 \.116 N55Al::n N5 55 1 .1" "E12i \.114J FGR-400 N25 N25 I , .520 520 E16 ~El0," ',' ~ E19 ,Ell N1a ~. 1 tP /r~) ~ '\ ~ cY;!1C /34L \ ~~ \ ~~ \1' C) 0) t!., ( ( I' I \1 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') iii ~ c z: o Cl o a:: ,; ~ It '; NoelLE HONE SET-UP' reor (1&0' ) - - 0 50' - 8 III i III i! 'oJ 'oJ ~ 41 nl~'j e:xlatin. . .. .. .; '; . he 411 'i 50' ROAD NANE ROAD NANE - - g ~ 'oJ 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