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Home My WebLink About05-5089 1'1" CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 DRIVEWAY PERMIT 5089 Permit Number: 5089 Permit Type: DRIVEWAY Class of Work: DRIVEWAY/NEW Proposed Use: SINGLE FAMILY R SIDENTIAL Square Feet: Est. Value: Improv. Cost: 4,955.00 Date Issued: 11/01/2005 Total Fees: 52.50 Amount Paid: 52.50 Date Paid: 11/01/2005 Work Desc: DRIVWA Y Address: 39031 3RD AVE ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: Name: WILLIAM WARREN Address: 39031 3RD AVE ZEPHYRHILLS, FL. 33542 Phone: \, \\\ ~ \ . REINSPECTlON FEES: When extra in pection trips are necessary due to anyone of the following reasons, a charge of Thirty-five dollars ($35.00) shall be made for each trip for each trade: (a) Wrong address (b) Condemned work r,sulting from faulty construction (c) Repairs or corrections not made when inspection called (d) Work not ready for i ~ion when called (e) Permit not posted on job site (f) Plan not at job site (g) Work not accessible The payment of inspection fees shall be e before any further permits will be issued to the person owning same "Warning to owner: Your failure to ord a notice of commencement may result in your paying twice for improvements to your property. If y intend to obtain financing, consult with your lender or an attorney before recording your notice of com cement." Complete Plan ,!Specifications and Fee Must Accompany Application. All work shall be rformed in accordance with City Codes and Ordinances MUST BE 6" EP WITH WIRE MESH AT RIGHT OF WAY /r? CONTRA ~M~ CALL FOR I SPECTION - 8 HOUR NOTICE REQUIRED P bTECT CARD FROM WEATHER II' ROSCILLO CON'CRETE & MASONRY INCe OFFI E PHONE (300)797-7450 eEL PHONE (313)695-9993 BILL TO: ,~'-'7~ + 0 ; '1 v 4('1 SS..00 / c/ /- y/& <5 JOB LOCATION ]. l C' ~$ l (h .'~.;l ~ ITEM QTY. PRICE EA. EXTo PRICE I I ---r' Ir-:l1tL ,or -+ 6/L I, :, !' ~.._-----,~ j 4'155.00 I' .. ,- ~ ~ ~ " ~ ~ Ii II I I : I I ! ~ J \' ! ! i 1: j . J ~. i --J' i T i I I I , 1 I I \ Total Cost I ! I 4--q5S~DO -= ()1v'YuA )irn-f'~~~ ~ ~ > '" ~ g :~ / .... (j; ''0 ., It. ~ ,:r.: "'0 .P. ::,. ~, ~, c~ r:n ~ < ~ ~ ~ < ~ Q ~ Z ~ 0 ~ ~ 0 ~ 4' Chainlink Fence a a 6'WoodFence ,--oHW- Overhead Wire ------ Platted Easement OHW II" lFnd Irdn Rod io o Fnd Capped Iron Rod S 89039'33" E 80.00' M East 80' R OHW OHW OHW W :.. o M :.. on M ~ I,,~:~w'::"l ~ .t~~:~} ~ I~:~ I.... -1 ! I::"'~: "1\ .... :<11 ~ ~--,... "'~:1 ~ ~~> :~~~'- ::e ~<.14.3'~~ $ 1"'1",.:",..;: j t., ~:,'~~..,,""~ :."':~ :'. ~". ...' z ~~~:.~~~ r,;:..~:::~:.;r.:::A ~;:.t,,::~-4 I.~~*..~.j.~~. t F-i .~:.~~~~r:~~~ .:~ ~ t~~~. ~~~ ~~:'~::~ ~ :::;~.,.:,., '~:.i'1 f.;~~ ;.:>" ;.:"':~:1 ~..., ~".:. 'l'o",~ ?~~~;;~~~ rn 0 0 0 - 9.9' ~ ~ tr.l - 13.4' ~ ~ ~ ; :~ ..- .> ''0 '(Q tIJ .> r.r: 8 ''0 ~ .~ :1' - <> ~ C.:O og ~...' ~ 13.7' hLL WOH.l(~rlALL\...viYu-LY WITH PREVAlLINOCODFS,FLORIDAB : ING CODE.. NATIONAL ELECI'RlCCODE CITY OF ZEPHYRliILLSORDINAN West 80' (R) Fnd Capped Iron Rod Mailbox ..p" iL N -.i - )1..Jl11r(H~ ... ....(20'AsphaltRoadway :-SO'RigbtofWllYbyRecord)- _.... -.-0' ..... " BOUNDARY SURVEY" prepared by: JOHN TROELSTRUP LAND SURVEYIN 3111 S. KINGS AVENUE BRANDON, FLORIDA 33511 813 477-1872 H ://WWW.JTI.S.US 1><1 Water GateValve $0 Utility Pole . Found Capped Iron Ro .A Set Capped Iron Rod #5 46 " tl CITY OF ZEPHYRHILLS PERMIT APPLICAT.lU~ ~ ) BUILDING DEP NT 5335 8TH st, Zephyrhills, FL 33542 .' bel V;J. 8 3-780-0020 FAX: 813-780-0021 DATE RECEIVED. /0-;:2)/....$ PHONE CONTACT FOR PERMITTING ?/S4 tj 5 - 999}. OWNER'S NAME lj..}, II ,ct,."., 'q /1.../-.<' n PHONE J;...., JOB ADDRESS 3 ~ I cvz,.<. 2-( ~ /. '//5" A. LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL 10 # l- -;)&-2 j- 000- c>~'jot.- 00 WORK PROPSED: 0 NEW CONSTRUCTION IQ--1rom:TION OALTERATION o REPAIR OSIGN PROPOSED USE: OSGL FAMILY o COMMERCIAL DWELLI~G o MOVE o DEMOLISH OMULTI - FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL DESCRIPTION OF WORK c=J RESTA RANT & HEALTH DEPARTMENT APPROVAL /6t10 b"'~c? ~~ ~~i BUILDING SIZE SQUARE FOOTAGE HE:IGHT RESIDENTIAL: ATTACH (2) PLOT PL COMMERCIAL: ATTACH (3) SETS OF IF SIGN PERMIT ONLY (2) SETS 0 PROPERTY SURVEY RE NS & (2) SETS OF BUILDING PLANS BUILDING PLANS & (1) SET ENERGY ENGINEERED PLANS REQUIRED. UIRED FOR ALL NEW CONSTRUCTION. & (1) SET FORMS. o BUILDING PERMITS REQUESTED $ VALUATION OF TOTAL CONSTRUCTION o ELECTRICAL I A~P SERVICE o Progress Energy 0 o PLUMBING o MECHANICAL $ VALUATION OF MECHANCIAL INSTALLATION o GAS o ROOFING o SPECIALTY o OTHER I 0 FRAME o STEEL o OTHER TYPE OF CONSTRUCTION: 0 BLOCK FINISHED FLOOR ELEVATIONS IS PROJECT IN FLOOD ZONE ARE:AO Y BUILDER COMPANY SIGNATURE STATE CERT OR REGIST # ******************* ********************************************* ELECTRICIAN COMPANY SIGNATURE STATE CERT OR REGIST # ******************* ********************************************* PLUMBER COMPANY SIGNATURE STATE CERT OR REGIST # ******************* ********************************************* MECHANICAL COMPANY SIGNATURE STATE CERT OR REGIST # OTHER ******************* ********************************************f COMPANY ~)-cI'/lc r~ . STATE CERT OR REGIST #~X() etJ. OCr ~ C.,.1 '-Z..R r A. NOTICE OF DEED RESTRICTIONS The undersigned understands that this permit may be subject to "deed restrictio~s" 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, 813-780-0020. 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 ~pplication for which they will be responsible. If you, as the owner signs as the contractor, you are indicating that Y9u~ rather than the contractor, are responsible for the work. If the contractor wishes youJto 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 conunencement. 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. Appli~ation is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has conunenced 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 conunenced 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 conunenced. One 90 d~y extension of time may be allowed for the permit with fee charge of $~5.00. ,The extens~on shall b7 requeste~ in writing to'the Building Official. An approved ~nspect~on must be logged dur~ng each s~x 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". '7. ./~ ---~. ~~' ~ ..,....'/ #' A/''/ .~ r ,/~_/ . ~ /(<~~~_ :/ <~~ /I..c. . ~IGNATURE: OWNER OR AGENT ~SIGNATURE: c6NTRACTOR acknowledged , 2~ 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) [1ho is personally known to me, or o who has produced (type of identification) and whoO did Odid not take an oath. Owho has produced (type of identification) and who Odid [}::lid not take an oath Signature of person taking acknowledgment Signature of person taking acknowledgement Name typed, printed or stamped Name typed, printed or stamped II" SEMINOLE FORM 408 . ' Stat~ of Florida IPREPARE IN DUPLICA~E) 1111I11111111I1111I111111111111I111111111I11111111111I111111 County of ~ } \ 2005231124 The undersigned hereby informs all co oerned that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statut s. the following information is stated in this NOTICE OF COMMENCEMENT. Description of propertyl.~.-:-:. .~.'" .~. . :.J.~. .O.QOP :-:-:... <>.3.~.90~.... OQ.l? .Q..............,............. I , I NOTICE OF COMMENCEMENT FLA, 1977 LIIWS FS 713,13 .. ............ _....._..... ......... ......0..........0. ..-............................. Rec: 10.00 IT: 0.00 ____ Dpty Clerk Rcpt: 938136 DS: 0.00 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11/01/05 G I d ., f' t Ie " II ~ ,0.., ;",' <<. c..I "'I~ en era eSCrlptlon o. Improvemen s ........................................:J . . . . ... . . . , . . .).&. . . ... . . . . 'd' . . . . . , , . . . . Owner. .~//!. ~.~ nl...... .~U.~. ..~.~t.1... .~... 4+h.lc~~V.~,.. ....... A.~.~..."......,........ \ . Address... 39.Q~.1........ .3. .......,. .q.Y~......7. ~)t.~t~i,t.\"S., .'~).,....... .? }.S+~.... Owner's interest in site of the improveme t . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . , . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fee Simple Title holder (if other than 0 nler) Name .. ..... ............................ .... ...... .......... ............,........ JED PITTMANA PASCO COUNTY CLERK 11/01/05 1la: 24am 1 of 1 OR BK 6669 PG 1164 R Address ........................ '. . . . . . . . . . . . . . . . . . . . . . . . " . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . , . . . . . . . . , , , . . . . . . . . . . . . . . . , . , . . . . . . . . . Contractor .~.~ !.'/.!.~..... .Cr..... .~'.~.~ .-1:-:<:...........................................,..........,.,....,...,....... Address . .~~.+O.-7. ~.... ....... . ..91.V.an.... .''Y,. ....... ~.<v.kSVi.L(C.,. .Ft... .~4(QQ,L...... Surety (if any) ..... .~.J~ Sf~.4....I()... -.... .rs-.'-!.v:?~.i(j..... e ~~;J-""""""""""""""""""""" Address................................ ........................................,........... .Amount of bond $ . f(C!~.tJ. :.-:~. Any person making a loan for the cons ruction of the improvements: Name, .,. ...... .... ..... ............ .... ... ....................... ............................................................. Address ........,............,...,...... ............................. -. .. . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . , , . . . . , . , , . . . . . . . .. Person within the State of Florida desi nated by owner upon whom notices or other documents may be served: Name .......,....................,..... ...................,..................,.......,....., ,..,...........,.....,...,........ Address .......................,.................................................,.....,.....,... ..,..........,.....,.".,...., In addition to himself, owner designate the following person to receive a copy of the Lienor's Notice as provided in SectiolL 0.... 0 713.13 (1) (h), Florida Statutes. (Fill in at Owner's option), / Name "......,...... ~."., .~u '~','_'.oU ----- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. ..... Address T~'I'S' ~~~~~ .;~R.~~~.~~~.~~.~. ~~.~ ..~~~ .. .. .. .. .. .. .. .. "~;;" .. . ~.. . .. . .. '," .. ...~ ' j .. ":-~,;l"~' ,," .~.. .. ,," , :~ ' - . ................. ~,(A.Cv./.~ Owner Sworn to and subscribed before me this.... Is. '.r,., ..............~~....~.............;J~~fS- Notary Public SHIRDEN K. DEL corro ,ii MY COMMISSION # DO 315896 ", i EXPIRES: June 26. 2008 Bonded Thru Notary Public Undenvril... .......,";.:,.......:..,..f".....:v.......,>)Oo"""'"... _.. "FN K DEL COTT.O :' , . "';" # DO 315896 :.~/, ,',;LSJum 26 2008 '~iif.I~~" bon08d Thru Nutary Publtc IJnderw;,ters