The URL can be used to link to this page

Home My WebLink About05-4161 CITY OF ZEPHYRHILLS 5335 - STHSTREEI / . (~35j80-0020 :? DRlvavAY PERMIT Permit Number: 4161 Permit Type: DRIVEWAY Class of Work: DRIVEWAY/NEW Proposed Use: NOT APPLICABLE Square Feet: Est. Value: Improv. Cost: Date Issued: Total Fees: Amount Paid: Date Paid: Work Desc: Address: 5442 9TH ST ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 11-26-21-0010-11900-0150 250.00 4/28/2005 35.00 35.00 4/28/2005 DRIVEWAY Name: JASON MOSS Address: 5442 9TH ST. ZEPHYRHILLS, FL. 33542 Phone: HOMEOWNER 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 - ~-~ ONTRACTOR PERMIT OFF I CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CITY OF ZJ:!il:'.t1~~n.J..u.u.... ... ...----- BUILDING DEPARTMENT 5335 8TH st, ZephyrhillS, FL 33542 813-780-0020 FAX: 813-780-0021 DATE RECEIVED PHONE CONTACT FOR PEBMITTING t3G 11 q l.l21- ".-, OWNER'S NAME ~,~/tBni L JOB ADDRESS =e;r4L qth Urffi \~t'eJ PHONE S\317CU! 2 7 LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION (OBTAIN FROM PROPERTY TAX NOTICE) .u. ") (~:::P~~C~~ WORK PROPSED: ~NEW CONSTRUCTION o SIGN PROPOSED USE: ~SGL FAMILY DWELLING o COMMERCIAL o ADDITION o MOVE o ALTERATION o REPAIR o INSTALL o DEMOLISH DMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOl-' o OTHER c=J RESTAURANT & HEALTH DEPARTMENT AP~ROVAL DESCRIPTION OF WORK ~ement i[)( i veW&f ------ BUILDING SIZE SQUARE FOOTAGE HEIGHT ~' BUILDING o ELECTRICAL $ V'.' /;fj)~ VALUATION OF & (1) SET ENERGY FORMS. FORMS. ,,//--'-'-"~"\ ..., ....-', \ :.~'>>'" ~ \ /' t{ I b I (! -/" / TOTAL CONSTRUCTION ----- RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. PROPERTY SURVEY REQUIRED FOR ALL ,NEW CONSTRUCTION. PERMITS REQUESTED AMP SERVICE o Progress Energy o W.R.E.C. o PLUMBING o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIALTY o OTHER TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE AREAD YES o NO SIGNATURE lcJfJ'1lIP f<<;JJ STATE CERT OR REGIST # BUILDER ****************************************************************** COMPANY ELECTRICIAN SIGNATURE STATE CERT OR REGIST # ****************************************************************** COMPANY PLUMBER SIGNATURE STATE CERT OR REGIST # ****************************************************************** COMPANY MECHANICAL SIGNATURE STATE CERT OR REGIST # ***************************************************************** OTHER COMPANY SIGNATURE STATE CERT OR REGIST # A. NOTI~E OF DEED RESTRICTIONS Th~ 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 appiicable 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 dwner 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, ydu 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, haye 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. Appliqation 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 psrformed 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 , :[ also certify that, ,if fill material is to be used in Flood Zone "A" or "A, etc.", i't 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 techni~al 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 titne,.the work is commenced. One 90 d~y extension of t~me may be allowed for the permit with fee charge of $15.00. The extens~on shall b7 requeste~ in writing to 'the Building Official. An approved inspection must be logged dur~ng each s~x month eriod, or the project will be considered abandoned. , WARNIN~ TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT ,MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS ~O YOUR PROPERTY. IF YOU INTEND TO OBTAIN FI~ANC~~~S g~~~~LT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCE~EN . $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT. SIGNATURE: CONTRACTOR SIGNATURE: OWNER OR AGENT acknowledged , 2CL- 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_ (name' of person acknowledged) Owho is personally known to me, 'or (name of person acknowledged) C1ho is personally known to me, or o who has produced (type of identification) and whod did Odid not take an oath. o who has produced ' (type of identification) and who Odid [}:iid not take an oath f person taking acknowledgment Signature 0 Signature of person taking acknowledgement Name typed, printed or stamped Name typed, printed or stamped