HomeMy WebLinkAbout05-4332
CITY OF ZEPHYRHILLS
533FS - 8TH STREET
(813)780.;OO20
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
4332
Permit Number: 4332 Issued: 6/03/2005
Permit Type: NEW SINGLE FAMILY DWELLING
Class of Work: 1 01-NEW CONST/SFR
Proposed Use: SINGLE FAMILY RESIDENTIAL
Sq. Feet: Est. Value:
Cost: 118,700.00 Total Fees: 8,017.20
Amount Paid: 8,017.20 Date Paid: 6/03/2005
Name: L NNAR HOMES INC
Addr: 600 N WESTSHORE BLVD. STE 900
TAMPA,FL. 33609
Phone: Lie:
Work Desc: NEW SINGLE FAMILY DWELLING
Address: 7524 MT. LAUREL DR
ZEPHYRHILLS. FL.
Township: Range:
Lot(s): Block: Section:
Book: Page:
Subdivision: CRESTVIEW HILLS
Parcel Number: 35-25-21-0120-00000-0113
LENNAR HOMES INC
7524 MT.LAUREL DR
ZEPHYRHILLS, FL. 33542
Phone:
LU
WATER CONNECTION RESIDENl
SCHOOL IMPACT FEE - 97.5%
WATER METER RES 3/4"
POLICE IMPACT FEE
RADON
o.
419.00
1,651.65
180.00
254.00
23.74
E
MECHANICAL FEE
TRAFFIC IMPACT FEE 1%
BUILDING FEE
PUBLIC SAFETY 5%
, 6.
80.65
15.88
865.50
26.35
E
SCHOOL IMPACT FEE 2.5%
TRAFFIC IMPACT FEE 99%
FIRE IMPACT FEE
PARK FEES SF
1 7.
42.35
1,572.12
273.00
769.56
low
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DUCTS INSTALLED PRE-SLAB CONSTRUCTION POLE 2ND ROUGH PLUMB
DUCTS INSULATED LINTEL PRE-METER WATER
SHEATHING FRAME MISC SEWER
MISC INSULATION WALL MISC MISC.
MISC. INSULATION CEILING MISC. MISC.
MISC. DRIVEWAY MISC. MISC.
REINSPEcnON 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."
NO OCCUPANCY BEFORE C.O.
NATURE PERM~
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(81~}780-0020
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
4332
Permit Number: 4332 Issued: 6/03/2005
Permit Type: NEW SINGLE FAMILY DWELLING
Class of Work: 101-NEW CONST/SFR
Proposed Use: SINGLE FAMILY RESIDENTIAL
Sq. Feet: Est. Value:
Cost: 118,700.00 Total Fees: 8,017.20
Amount Paid: 8,017.20 Date Paid: 6/03/2005
NG
WATER CONNECTION RESIDEN1
SCHOOL IMPACT FEE - 97.5%
WATER METER RES 3/4"
POLICE IMPACT FEE
RADON
E
MECHANICAL FEE
TRAFFIC IMPACT FEE 1%
BUILDING FEE
PUBLIC SAFETY 5%
I
SCHOOL IMPACT FEE 2.5%
TRAFFIC IMPACT FEE 99%
FIRE IMPACT FEE
PARK FEES SF
- ,,/-
h~
L 1 T
DUCTS INSTALLED CONSTRUCTION POLE 2ND ROUGH PLUMB
DUCTS INSULATED PRE-METER WATER
SHEATHING MISC SEWER
MISC MISC MISC.
MISC. MISC. MISC.
MISC. DRIVE A Y MISC. MISC.
REINSPECTION FEES: When e ra 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."
NO OCCUPANCY BEFORE C.O.
~~
ORS SIGNATURE PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
r
Lennar Homes
Lot #114
Mt. Laurel Dr.
SQ. FEET PRICE
MAIN OR LIVING: 2,374 $ 50.00
OTHER AREA UNDER ROOF: $ 50.00
OTHER: $ -
VALUATION $ 118,700.00
FEE SHEET $ 537.00
ADDRESS $ 30.00
DRIVEWAY $ 30.00
BUILDING: $ 865.50
CREDIT: $ -
BUILDING LESS CREDIT: $ 865.50
ELECTRICAL: $ 117.40
PLUMBING: $ 110.00
MECHANICAL: $ 80.65
SUB-TOTAL $ 1,173.5$-
( RADON: $ 374 /f
TOTAL $ 1,197.29
(/~
-----
SEWER: $ 1,616.00 /'
WATER: $ 419.00
IRRIGATION: $ -
TOTAL: $ 2,035.00
,
I
J
WATER METER:I $
IRRIGATION METER $
180~001
SUB-TOTAL $
3,412.29 ,
769.56V
PARK IMPACT FEEsj $
PUBLIC SAFETY IMPACT FEES
POLICE $
FIRE $
5% $
SIF'S: $ 1,694.00
97.5% $ 1,651.mr:
2.5% $ 42.35: v
TI F'S: $ 1,588.00 ~..
99% $ 1,572.12-
1% $ 15.88-
TOTAL: $ 8,017.20 1/
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PERFORMANCE BUSINESS PRODUCTS, INC. 813-719-8008 FAX 813-719-71119
WATER ACCT. NO.
CITY OF ZEPHYRHILLS
ZEPHYRHILLS, FLORIDA
5~~ 1<0;3
DATE
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OWNER/
RENTER
b",ovY
MAILING
SERVICE ADDRESS r-;S3o
SHUT OFF SERVICE 0
TURN ON SERVICE crY
INSTAll METER ~
READ METER 0
CHECK METER 0
OTHER 0
3J II
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WORK COMPLETED BY
& DATE COMPLETED
tvrr. ~ ~I
~ER
1-".. i
j{
o SEWER
o GARBAGE
~'TY
o OUT CITY
L No. OF UNITS
- DEPOSIT AMOUNT
- AMOUNT lAST BIU
~
_DATE
- MISC. CHARGE
ORDER TAKEN BY
x
Retain white form in office at all times,
Send pink & yellow forms to Water Service Depl.
Water Service Depl. to sign yellow form & return to office,
\
\
11111111111111111 II1I1 I11I1111I111II111I111I1I1I111111I11II1
2005111917
Rcpl:890702
OS: 0.00
06/06/05
Rec: 10.00
IT: 0.00
_____n_ Dpty Clerk
Pennit No.
NOTICE OF COMMENCEMENT
For the County of Pasco in the State of Florida
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real
property, and in accordance with Chapter 713, Florida Statutes, the following infonnation
is provided in this Notice of Commencement:
1. Description of Property: Parcel No.35/25/21'" O\ZG- CCOOO ....114()
SEC:35 ,TWP:25 ,RGE:21 /Block:\, Lot:Il'" Crestview Hills as recorded in Plat
Book 53 ,Page 124 of the Public Records of Pasco County.
JEO PITTMAN, PASCO COUNTY CLERK
(Legal Description of property and street address if available) 0~~0:~056404 ~G 1732
2. General Description of Improvement: Single Family Residence Dwelling Unit
3. Owner Information: Lennar Homes, Inc.
Address: 600 N. Westshore Blvd, Suite #900 City: Tampa State: FL Zip: 33609
Interest in Property: Fee Simple
Name of Fee Simple Titleholder: Same
4., Contractor: Name Lennar Homes, Inc.
Address: 600 N . Westshore Blvd Suite #900 City: Tampa State: FL Zip: 33609
5. Surety: Name N/A
Address: N/A
Amount of Bond: N/ A
6. Lender: Name N/A
Address: N/A
7. Persons within the state of Florida designated by Owner upon notices of other
documents may be served as provided by Section 713, 13( 1) (a) (7), Florida
Statues:
Name: Michael F. Southward
Address: 600 N. Westshore Blvd. Suite #900 City: Tampa State: FL Zip: 33609
8. In addition to himself, Owner designates
of
to receive a copy of the Lienor's Notice as provided
in Section 713.13 (1 ) (b), Florida Statues.
9. Expiration date of Notice of Commence
from the date of recording unl '1,1;jffe
Signature of Owner: l ~ '
nt: (the expiration date is 1 year
date is specified.)
Sworn to and subscrihed before me t lis 1
Notary PUbliC:~
_ day of g~~
,2005
My Commission Expires:__
,~I~'OV .lIo,._ Kimberl',' ;IV Daugelte
:. '2 My emOl" ~ion OD026612
';\~.~. .~,.~<J r~xpirps ~':';' "!mber '-1 (), 200[;
r.,.. f't'.. J ....- '--
PROPOSED
LOWEST FLOOR ELEVATIONS:
LIVING AREA: 131.00'
GARAGE AREA:
ELEVATIONS REFERENCED TO
NA TIONAL GEODETIC VERTICAL
DA TUM OF 1929. MEAN SEA
LEVEL= 00.00 FT.
DESCRIPTION:
LOT 114 MAP OR PLAT ENTITLED "CRESTVIEW HILLS", AS
RECORDED IN PLAT BOOK ___I PAGES ___ THROUGH ___I
OF THE PUBLIC RECORDS OF PASCO COUNTY. FLORIDA.
APPARENT FLOOD HAZARD ZONE: "X" COMMUNITY PANEL
PLOT PLAN
LOT '114
CRESTVIEW HILLS
PASCO COUNTY, FLORIDA,
PRELI~INARY DRAWING:
THIS PLAN IS FOR PERMITllNG PURPOSES
ONLY, NOT FOR CONSTRUCTION. VERIFY
ALL DIMENSIONS BEFORE ANY CONSTRUCTION,
LEGEND:
------- = PROPOSED DRAINAGE flOW
(00.00) = PROPOSED GRADE
E-OO.OO = EXISTING GRADE
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SKETCH ONLY
NOT A BOUNDARY SURVEY
SEe. 35
. TWP. 25 S, RNG.
21 E,
BEARING BASIS:
NORTHERLY LOT LINE OF LOT 114 BEING N 89"21'04" E
N
THIS SURVEY 15 SUBJECT TO ANY FACTS THAT
MAY BE DISCLOSED BY A FULL AND ACCURATE
TITLE SEARCH, ALSO SUBJECT TO SETBACKS,
EASEMENTS AND RESTRICTIONS OF RECORD,
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UNDERGROUND FOOTER, STEM WALL. AND
UNDERGROUND UTILITIES ARE NOT LOCATED OR
SHOWN,
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00 NOT SCALE THIS PRINT, DIMENSIONS AND
NOTES TAKE PREFERENCE.
DESCRIPTION NOT CONTAINING PLAT BOOK AND
PAGE INDICATES THAT PLAT IS IN
PRELIMINARY STAGE AND IS SUBJECT TO
CHANGE AND/OR REVISION,
CERTAIN DATA SHOWN HEREON BASED ON
ENGINEERING PLANS PROVIDED BY CLIENT,
. = 10' DRAINAGE & UTILITY EASBAENT
.. =, 5' DRAINAGE EASEMENT
LOT 115
01
LOT 110
'0":,\ (;)6\
-\,:::'),'0' \':::":P'_____ N 89'40'41" E
110.00'
----
1- - -~- - - - ~* - - - - -~[m1,~:~~w" 0
I I 0
I z_~ ~
*1 ip~g I
a~~t;i 0 I W
20,50' III .J III 00( I *
~:m'tl " ". ~ ~ ~ j ~ I * ~Ol
. g ~lx1l~~ I
. ~ ..~ D.. - ~ I 0
70' 2" 0
20,~0' '~_I_ _ _ _ _ _ ** _ _ _ _ _ ~ __",l~:'~::Jm if)
LOT 111
f7"'a f7",S ----- S 89'40'41" W
''''.r) '00)
110,00'
----
LOT 112
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LOT 113
tpC(P)
NOTES:
LOT GRADING TYPE = C
PROPOSED PAD ELEVATION =
FRONT SET BACK = 20'
SIDE SET BACK = 7,5'
REAR SETBACK = 15'
130_50'
LOT = 6710,lN-SQ. FT,
LIVING AREA 1826 SQ, FT,
ENTRY =~~_SQ. FT,
GARAGE =---2~SQ, FT.
COVERED LANAI - 95 SQ. FT.
~~~~ AREA :_~~ ~g: ~~:
CONC. DRIVE =-.JfL.__SQ. FT,
AIC & CONC PAD =_L-SQ, FT.
SIDEWALK =~__SQ. FT,
SIDE YARD SWALE - 1100 SQ. FT.
CONSERVATION AREA =~~__SQ. FT,
LOT OCCUPIED - 44 -"
AREA TO IRRAGA TE = _~L__-"
NO. 120230 0295 D EFFECTIVE DATE: 9/30/92
LEGEND:
(C)= CALCULATED DATA. (0)= DEED DATA. (M)= MEASURED DATA, (P)= PLAT DATA, t = CENTERLINE, A/C= AIR CONDITIONER. B/C= BACK OF CURB, C/S-
CONCRETE SLAB, CH= CHORD, CHB= CHORD BEARING, CLF= CHAIN LINK FENCE. CONC= CONCRETE, COV.= COVERED, E/P= EDGE OF PAVEMENT, ESM'T= EASEMENT,
F/C= FENCE CORNER, FCM= FOUND CONCRETE MONUMENT, FIP= FOUND IRON PIPE. FIR= FOUND IRON ROD, FNaD= FOUND NAIL 8 DISK, FPP= FOUND PINCHED
PIPE, LFE- LOWEST FLOOR ELEVATION. MAS, = MASONRY, OR= OFFICIAL RECORD BOOK. PB= PLAT BOOK. PCP= PERMANENT CONTROL POINT, PRM= PERMANENT
REFERENCE MONUMENT. R/W= RIGHT OF WAY. R= RADIUS. SIR=SET 1/2' IRON ROD 8 CAP No, 4493. SN8D= SET NAIL 8 DISK, TBM= TEMPORARY BENCHMARK.
U/P= UTILITY POLE, W/F= WOOD FENCE, (R) = RADIAL
Drawn By.
O!~
WA Y) (
JOHN R, BEACH & ASSOCIATES, INC.
SURVEYORS AND MAPPERS
911 WEST ST, PETERSBURG DRIVE
OLDSMAR. FLORIDA 34677
(813) 854-1276 FAX (813) 855-8370
JRB
NOT VALID WITHOUT THE SIGNATURE AND Date: PLOT PLAN 4/6/05 BB
THE ORIGINAL RAISED SEAL OF A FLORIDA
LICENSED SURVEYOR AND MAPPER
Revisions:
Square Feet:
6710,00 :l:
LENNAR
SMS
Checked By.
Scale:
2984
1"=30'
t-~_.
C4-IO~'07
DATE
LBH4493
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T'[j'f(:',L. (liYiOUN'f::
COMPNY ACCOUNT CENTER
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F"ASCO e~UNTY,,,
IH SUNCOAST HOMES IN
FLORIDA,
PAGE 132
1. m:+1.
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1"'1_" ~-Hom
III.J_U, '800 ASsodates, 100.
5344 Ninth Street
Zephyrhills, FL
33542
Transmittal
TEL 813 788 0400
FAX 813 782 4978
Date: April 27, 2006
Job Number: 049791001
Project Name: Crestview Hills - Lot Grades
To: Mr. Bill Burgess, Building Official
City of Zephyrhills
5335 8th Street
Zephyrhills, Florida 33540
We are sending these by
D U,S. Mail
D Other:
D Fed Ex
~ Hand Deliver
We are sending you
~ Attached
D Under separate cover via
the following items:
D Shop Drawings
D Prints/Plans
D Samples
D Specifications D Change Orders
~ Other:
Copies
1
Date
04/27/06
No.
Description
Certification Letter for Lot No. 113
These are transmitted as checked below:
~ For your use D Approved as submitted D Resubmit
D As requested D Approved as noted D Submit
D For review and comment D Returned for corrections , D Return
D Copies for approval
D Copies for distribution
D Corrected prints
Remarks:
Please call should you have any questions. Thank you.
Copy to: Leon", HODre', Inc. S'gned ~ #
. AI" Hulbert Y' . - -
H:\049791001 - Crestview Lot Grades\LENNAR Lot Grades\Mar 06\042706 COZ trs,doc
-~=~
Kimley-Horn
and Associates, Inc.
April 27, 2006
Mr. Bill Burgess
Building Official
City of Zephyrhills
5335 8th Street
Zephyrhills, Florida 33540
Re:
(eo( ~\\ '.
Lfs32..
Crestview Hills - Lot 113
Address - 7524 Mt. Laurel Dr.
Dear Mr. Burgess:
I have reviewed the As-Built Survey of the lot grading for the subject lot and find
it in substantial conformance with the Lot Grading Plan previously approved by
the City.
If you have any questions, please do not hesitate to contact me at (813) 788-0400.
Sincerely,
KIMLEY-HORN AND ASSOCIATES, INC.
~11/
Stuart M. Rogers, P.E.
Senior Project Manager
SMR:bas
Attachment
cc: Lennar Homes, Inc,
H:I04979100J - Crestview Lot GradeslLENNAR Lot Gradesl042706 Lot J l3.doc99
.
TEL 813 788 0400
FAX 813 782 4978
.
5344 Ninth Street
Zephyrhills, Florida
33542
FINAL BOUNDARY SURVEY
LOT 113
CRESTVIEW HILLS
PASCO COUNTY, FLORIDA.
SEe, 35
BEARING BASIS;
NORTHERL Y LOT LINE OF LOT 113 BEING N 89'21'04" E
;,- SI~,~1,~) N 89' 0'41" ~ (P&M) 110.00'
. . . . . . . . . . . \ (
6,9' 0,1' : in ** 1:<5.6) ""
;" r- ----< ~ - - - -2-5'X2,S-- - - - - -r 1:2'
~ ~ . ;::; 20,2' V1N P 69,3' ,') ... '1'9,5"1'
1'","'0 ~ d, ~ ;. . ". (1<6:S) \.'~"', '" I ,;"
. :2: a::: r, w.1 - ,.,.j ," 0
~ 13 "?,, ~ ~>, 1 '-:~ 0,' r r-:
o ~,~. ~ '; .~~ 'I" ~. M1 ASSTOONRRYY 7,7' + \~o/'I I ~
- ~ L~NAI ~
RESIDENCE I:: ~
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LOT 113 :; C/S-A/C I
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REVIEWED BY
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. . S 89'16'10" W (P&M) 84,82'
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2' CONC CURB-E/P
I (24' PAVEMENT)
N ~'~~ECHANfMLLEr-CIRCLEI35'18'
($O'R/W)
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CURVE DATA (P&C)
RADIUS ARC LENGTH
25,00' 39-45'
DELTA ANGLE
90'24'31"
CHORD LENGTH CHORD EARING
35-48' N 45'31' 4' W
DESCRIPTION: :
LOT 113 MAP OR PLAT ENTITLED "CRESlVIEW HILLS", AS IRECORDED IN PLAT BOOK
PAGES 124 THROUGH 129, OF THE PUBLIC RECORDS OF PASCO COUNTY. FLORIDA.
, TWP,
25 S, RNG,
21 E,
THIS SURVEY IS SUBJECT TO ANY FACTS THAT
MAY BE DISCLOSED BY A FULL AND ACCURATE
TITLE SEARCH, ALSO SUBJECT TO SETBACKS,
EASEMENTS AND RESTRICTIONS OF RECORD,
UNDEllGROUND FOOTER, STEM WALL, AND
UNDERGROUND UTILITIES ARE NOT LOCATED OR
SHOWN,
DO NOT SCALE THIS PRINT, DIMENSIONS AND
NOTES TAKE PREFERENCE.
DESCRIPTION NOT CONTAINING PLAT BOOK AND
PAGE INDICATES THAT PLAT IS IN
PRELIMINARY STAGE AND IS SUBJECT TO
CHANGE AND/OR REVISION,
CERTAIN DATA SHOWN HEREON BASED ON
ENGINEERING PLANS PROVIDED BY CLIENT,
STRUCTURE TIES SHOWN HEREON ARE DERIVED
DURING CONSTRUCTION AND MAY VARY UPON
COMPLETION, (FORM BOARDS, FOUNDATION, OR
STEM WALLS)
. = 10' DRAINAGE & UTILITY EASEMENT
.. = 5' DRAINAGE EASEMENT
LOT 111
(1:<.,9)
0,3
FIR 1/2"
#4493
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LOT 112
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FIR 1/2"
#4493
4: CONC WALK
cO '0
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53,
LOWEST FLOOR ELEVATIONS:
LIVING AREA: 126,85'
GARAGE AREA: 126,57'
ELEVA nONS REFERENCED TO
NA TIONAL GEODETIC VERTICA
DATUM OF 1929. MEAN SEA
LEVEL= 00.00 FT,
APPARENT FLOOD HAZARD ZONE: Y' COMMUNITY ANEL NO, 120230 0295 D EFFECTIVE DATE: 9/30/92
LEGEND: I
(C)= CALCULATED DATA, (0)= DEED DATA, (M)= MEASURED DATA, (P)= PL,T DATA, ~ = CENTERLINE. A/C= AIR CONDITIONER, B/C= BACK OF CURB, C/S=
CONCRETE SLAB, CH= CHORD, CHB= CHORD BEARING, CLF= CHAIN LINK FENCE, CONC= CONCRETE, COV,= COVERED, E/P. EDGE OF PAVEMENT, ESM'T= EASEMENT,
F/C= FENCE CORNER. FCM= FOUND CONCRETE MONUMENT, FIP= FOUND IR N PIPE, FIR= FOUND IRON ROD, FN&D= FOUND NAIL B DISK. FPP= FOUND PINCHED
PIPE, LFE= LOWEST FLOOR ELEVATION, MAS,= MASONRY, OR= OFFICIAL RE ORD BOOK, PB= PLAT BOOK, PCP= PERMANENT CONTROL POINT. PRM= PERMANENT
REFERENCE MONUMENT, R/W= RIGHT OF WAY, R= RAOIUS, SIR=SET 1/2" IRON ROD B CAP No, 4493, SNBD= SET NAIL a DISK, TBM= TEMPORARY BENCHMARK,
U/P= UTILITY POLE, W/F= WOOD FENCE, (R) = RADIAL
JOHN R. BEACH Be ASSOCIATES. INC. Drown y. Square Feel: 8386,76 :l: LENNAR
O!~ SMS
SURVEYORS AND MAPPERS Checke By.
911 WEST ST, PETERSBURG DRIVE
OLDSMAR, FLORIDA 34677 JRB
WAY (813) 854-1276 FAX (813) 855-8370 Scale;
1"=30'
NOT VALlO WITHOUT THE SIGNATURE AND Dole of Survey.
THE ORIGINAL RAISED SEAL OF A FLORIDA
LICENSED SURVEYOR AND MAPPER
, Revisions; STEM WALL TIE-IN 11/16/05 WWW, FOUNDATION
FINAL 4/24/0 DJB
TIE-IN 12/9/d5 WWW
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, CITY OF ZEPHYRHILLS PERMIT APPLICATION
(\ n 0"" BrW,NG DEP~~[_~:o:;;~i'81i5ior!'~o12;S' ::::::'VED ~
I : ~ t UL Ir-- L AI ~Hd C~T FOR PERMITTING jJf10 l;ve~y
!.LnfJar Y-bflLlS. LM6
ml. 7liff'.LJ"Y
LEGAL DESCRIPTION, LOT IS) I . BLOCK 9? SUBDIVISION WMVUvJ
PARCEL I~ # 3S8S" ~ ;)1- p':>- llL/
PHONE
813 -9j,Jfr'd~31
OWNER'S NAME
JOB ADDRESS.-!J 530
(OBTAIN FROM PROPERTY TAX NOTICE)
WORK PROPSED: j2g NEW CONSTRUCTION
o ADDITION
OALTERATION
o REPAIR
o INSTALL
o SIGN
o MOVE
o DEMOLISH
PROPOSED USE: riSGL FAMILY DWELLING
o COMMERCIAL
OMULTI - FAMIL Y
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL
DESCRIPTION OE' WORK L.SI 0 S&
BUILDING SIZE ~
UaN/~, ~.(/fl~J-
SQUARE FO TAGE ~l37 L/ \
HEIGHT
~f\--
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
~LECTRICAL
~LUMBING
~ECHANICAL $ ~~ VALUATION OF MECHANCIAL INSTALLATION
o GAS .AROOFING 0 SPECIALTY 0 OTHER
TYPE OF CONSTRUCTION: g"'BLOCK 0 FRAME
FINISHED FLOOR ELEVATIONS J?~)/,J()
\\
$
PERMITS REQUESTED
1~/t)~[) VALUATION OF TOTAL CONSTRUCTION
~ AMP SERVICE
o Progress Energy ~
W.R.E.C.
o STEEL
o OTHER
IS PROJECT IN FLOOD ZONE AREAO YES
)fNO
SIGNATURE
STATE CERT OR REGIST #
:5
Cl3c t)1&&9~
BUILDER
COMPANY
****************************************************"*************
SIGNATURE
1/rL
tJ)tULtflc
COMPANY &J1(){JJ1. ~.-;'
STATE CERT OR REGIST # 00/3/3 .V-
ELECTRICIAN
******************************************************************
SIGNATURE
~
JtUL.1:fb
. ~
COMPANY ~-I-
STATE CERT OR REGIST # CFGOL/d 99 f
PLUMBER
SIGNATURE
********************************************7r,*****,*1*************
~ COMPANY .1[. L~rzpl).JAI J()'~
[/1<.. ;.J)fLU,~ STATE CERT OR REGIST # Cite LJ5/J 4/0
1
H H:/{*:*;** *** *~~*,*~=** * ***~~~;:~: *(i * *~*~~**~i-
~ ill ~ STATE CERT OR REGIST * I/Cil !,.-() /3
MECHANICAL
SIGNATURE
OTHER
A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be
may be more restrictive than City regulations. The
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 requited
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
]i,censing 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 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 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 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 t.O 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: OUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT
PAYING TWICE FOR VEMENTS TO YOUR PROPERTY. IF YOU INTEND T 0
WITH YOUR LENDE ATTORNEY BEFORE RECORDING YOUR NOTICE OE
$2,500 IN VALUE EED TO RECORD AND POST A "NOTICE OF CO
subject to "deed restrictions" which
undersigned assumes responsibility for
SIGNATURE:
ESULT IN YOUR
FINANCING, CONSULT
M NT. JOBS UNDER
SIGNATURE:
~~~~~y O~F FLORI DA .dJilP~<JJUlCJ~
The foregoing ins ument was ack owl edged ~
Before me th' da of , 2~
by
/ (name of person
~who is personally
STATE OF FLORIDA
(name of person ackno
is personally known to me, or
o who has produced
(type
o did not
o who has produced
(type of identification)
and WhO~ ~id not take an oath
, Jfl-/d, .A(~/~'
Signature of person taking acknowledgment
Name type in e 0 s amped
, . My Commission 00026612
~or-p.r:l Expires September 10, 2005
Name typed, printed or stamped
~..,..y ~ Kimberly Kay Daugette
. ~ ; My Commission 00026612
~..."i' Expires September 10, 2005