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Home My WebLink About04-3716 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 DRIVEWAY PERMIT 3716 Permit Number: 3716 Permit Type: DRIVEWAY Class of Work: DRIVEWAY/NEW Proposed Use: NOT APPLICABLE Square Feet: Est. Value: Improv. Cost: 1,200.00 Date Issued: 12/29/2004 Total Fees: 40.00 Amount Paid: 40.00 Date Paid: 12/29/2004 Work Desc: DRIVEWAYS TO DUPLEX Address: 38419/ 38421 13TH AVE ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: Phone: 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. All work shall be performed in accordance with City Codes and Ordinances MUST BE 6" DEEP WITH WIRE MESH AT RIGHT OF WAY _ '1Z_~ - ~ CONTRACTOR PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NonCE REQUIRED PROTECT CARD FROM WEATHER APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT /;2 -;;2?~ n/I DATE RECEIVED L!. ::z::. PLANS REVJ:EW FEE OWNER'S NAME G . L. STf2{~ '3.r' If I dj /3l? If-~ I , (~I ..,', 'UC -) ) f '-r( OV \...:-lU I' ~::> ( Ie. l./ L-.{ PHONE (g13 ) 7g~ -9VlI-2.-- JOB ADDRESS 13TH A'V~~ LEGAL DESCRIPTION: LOT(S) BLOCK PARCEL ID # SUBDIVISION WORK PROPSED: [JNEW CONSTRUCTION (OBTAIN FROM PROPERTY TAX NOTICF.1 [JADDITION [JALTERATION [J REPAIR ;gj INSTALL [J SIGN [J MOVE [J DEMOLISH PROPOSED USE: [JSGL FAMILY DWELLING [J COMMERCIAL [JMULTI - FAMI L Y [J INDUSTRIAL ~# OF UNITS [J SWIMMING POOL o MOBILE HOME [J OTHER DESCRIPTION OF WORK c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL 1 -1.''''1 C\C),,-, li'{/~,TAU- .~, IS Xa- U121V0fi'f5 -To vUr-L.qL BUILDING SIZE SQUARE FOOTAGE HEIGHT RESIDENTIAL: COMMERCIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. J,;lD 0 PERMITS REQUESTED ~ 111& [J BUILDING [J ELECTRICAL $ VALUATION OF TOTAL CONSTRUCTION AMP SERVICE [J FLORIDA POWER [J W.R.E.C. [J PLUMBING [J MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION [J GAS [J ROOFING [J SPECIALTY pi! OTHER [J FRAME D STEEL [J OTHER TYPE OF CONSTRUCTION: [J BLOCK FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREA[J YES 0 NO '~~C:.'.". BUILDER tj 0~ ... -'-~' --.". <:. ,/.., / - -:.~- tI <- LL-L( i (7\ / 7 / ... )~ ****************************************************************** COMPANY G L .s TdG:.. e-ODSI, STATE CERT OR REGIST # Q,B'-C02.:Z...(3Cl CITY PROCESSING # ~O$ v~ -1- \; 'J c ')0' SIGNATURE ELECTRICIAN SIGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # ****************************************************************** PLUMBER COMPANy STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE MECHANICAL **********~******************************************************* COMPANY STATE CERT OR REGIST # CITY PROCESSING # SIGNATURE ***************************************************************** OTHER SIGNATURE COMPANY STATE CERT OR REGIST # CITY PROCESSING # ***************************************************************** CONDITIONS OF PERMIT AFFIDAVIT 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 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, 813-788-6611. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions 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 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 ~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 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 ~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". fj ~ i; _0..,1u. VI ." --.. SIGNATURE: OWNER R __ GEN:_.~ ~" \4- . . u-/L6L vi 'P~'. SIGNATURE: CONTRACTOR STATE OF FLOp:J~ D COUNTY OF C The foregoing inst~ument was acknowledge~C/o~ Before me this ~ day of~.eCember, ~~ by TJe br-- fA . V-e..... ~ (name of person acknowledged) ~who is personally known to me, or STATE OF FLORIDA COUNTY OF The foregoing instrument ~ acknowledged Befor.:J) t. his ~~ oflX{'e~be,,;"l-9.;)OC'-l by F hro. v~ (name of person acknowledged) ~o is personally known to me, or 1>aJ' c.. D and who Sdid 'YatIULU-. D who has produced (type of identification) ~id not take an oath 4 JOu.nbCLfl. and who~ did ~Gl1L D who has produced (type of identification) Ddid not take an oath. A fun Co/) ~~ Palnoa A Dunbar . ~ . My CommiSSion 00364488 '\.'"0, ',./ Expires October 20. 2008 Signature of person taking acknowledgment ~-fy/cli;c IJ Uunbar Name typed, printed or stamped o..,s'!f ~ Palnoa A Dunbar ~ J . My CommiSSion 00364488 '\'J"I EXPires October 20. 2008 Signature of person taking acknowledgement ~1('1i1 A DU0bCtr Name typed, printed or stamped DATE: /tl- c:2 7- 0 $/ , CITY OF ZEPHYRHILLS - BUILDING DEPARTMENT RIGHT-OF-WAY USE PERMIT PERMIT# 3rJ/? No coostruction under ground or above ground of any facility IbaII be aceomplUhed on any City RIghts of Way without written approval from die City Building Department Any applkation for approval of consh1lction operations on any City owned Rlghtl of Way IbaII fumUh a detaIled drawing showing the complete scope of the propoled work In triplicate to the ofllee of the Building Oft'klal for approval prior to the commencement of any work. A copy of thil permit il to be kept readily available at the life of the work at all times. PARCEL LD. ## CITY ROAD 13~ /?Ve. DATE / ~ /~7IfJt/ I LOCATION (Legal DeICription) : Permisllon is hereby granted to for the constnaction and maintenance of of ~J.-} V1i:...w ;4'f ~ lubject to the following conditions: 1. The construction and malnfenance of IUch utility IbaII not Interfere with the property and rightl of a prior occupant 2. AU work IbaII be done In keeping with the ltandardl of the City Streetl Department and under the IUpervision of the City Building Offtcial, who wili be notified at least one day prior to commencement of coostruction. 3. AU materlals and equipment IbaII be lubject to Inspection by the City BuDding Oft'k1aL 4. During consh1lction alllafety regulations of the Department of Transportation IbaII be obllerved and the City lball be reUeved of aU responsibility from damage of any nature arising from this permit Subject to the lame terml and conditions, the permit holder may take luch Ialety measurel, Including placing and display of caution ligm, lU It may deem neceslary In conduct of construction and maintenance work hereunder. It is the responsibility of die permittee to place, maintain, and lupervise aU traffic control and devicel. 5. All private and all City properly IbaII be reltored to its original conditionlU far lU pnetic:alln the opinion of the City Building Oft'k1aL 6. AU underground Crolling Installatlom IbaII be laid at luch depth lU may be lpecifled by the City Building OfticIaL 7. The lketch covering the details of this Installation IbaII be made a part of this permit TbiI permit is granted with the undentandlng that the applicant has notifted aU other utility usen In the area covered by the permit and takel full relponslbility for any damage lneurred by prior Installations lU a result of his operations in order that they may .ale guard their intereltl. 8. It is exprellly .tipulated that this permit is a llceme for permisllve UIIe only and that the placing of facilide. upon pubUc property punuant to this permit IbaII not operate to create or to velt any property right In laid holder. 9. Whenever the City decidel to further exploit the City RIght. of Way, any or all.ald pole., wire., pipe., cableJ, or other facilitie. and appurtenancel authorized hereunder, IbaII be immediately removed from .ald RIghts of Way, or relet or reiocated thereon lU required by the City Building Oft'klal at the expeme of the holder of tbiJ permit 10. The holder .baII.ave and keep the City harmlell from any and aU damageJ, Clalml, or lnJurie. that may occur by relUon of the CODItruction, maintenance, and operation of laid facility, 11. The holder IbaII complete the requelted work within day. or this permit lball become null and void. In the event the work requelted is not completed upon the expiration date of tbiJ permit, the City IbaII have the right to complete luch work and to charge the holder of the permit for aU co.ts Incurred in completing .ald work. 12. The holder .ball polt a ClUh or lurety bond with the City Manager In the IWD ofs dolIan to guarantee perfOI'lllllDCe of the obllgatioDl herein, and to guarantee maintenance of the right-of-way described herein for a period of one (1) year following completion of the requelted IDJtaUation. In the event a lurety bond is pOlted, the lurety bond .ball be made payable to the City and .ba11 obligate the .urety to hold the City harmlellln the event the holder of this permit mould fall to meet any of its obligations hereunder. The bond .ball abo indemnify die City for aU court co.ts and reasonable attomey'. fee. In the event legal action is required to colleet on laid bond. 13. The permittee IbaII have a 24 hour emergency contact name and number Jilted below. SUBMITrED BY: (permittee)//' ~h V 0~ Signature & Title C5/- p, C C rf...-G Ie.. a _ L _ $. Tt:::YC (! 0 0 '!; 7 Addrell 37,,~/ fm Ai ~~J-/'iR..t:J((.c.J.. rL ~3&lfL C r/~) 7ed- J1lLVd Phone APPROVED BY: :::~~~ Date:_ ~w:- ~~i~ :p/ fl. ~t~) ;vw- ~-r) City Manager Date: '. /V/Cr7 JUee:Ps ?t je 5&( euvr-' c~/. (!)-f-- p rOf05ec/ Worle. ,;( eecl k 7 ~/~ - L~U~~p~ ... P u C- (JiYLr2-- ~ ALced M" f-u4( ~ )' <" c- '[