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HomeMy WebLinkAbout05-5104 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 DRIVEWAY PERMIT 5104 Permit Number: 5104 Permit Type: DRIVEWAY Class of Work: DRIVEWAY/NEW Proposed Use: SINGLE FAMILY RESIDENTIAL Square Feet: Est. Value: Improv. Cost: 5,700.00 Date Issued: 11/03/2005 Total Fees: 60.00 Amount Paid: 60.00 Date Paid: 11/03/2005 Work Desc: DRIVEWAY Address: 5949 10TH ST ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: Name: ROBERT HIMMINGWAY Address: 5949 10TH ST ZEPHYRHILLS, FL. 33542 Phone: /;i\J, \J REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Thirty-five dollars ($3S.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 . ~-~ C OR PERMIT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER CI~Y OF ZEPHYRHILLS PERMIT APPLICATION BUI:LDING DEPARTMENT 5335 8TH St, Zephyrhills, FL 33542 I 813-780-0020 FAX: 813-780-0021 I I DATE RECEIVED II. ~/tJS f:7I:#N H~ PHONE CONTACT FOR PERMITTING~-d06-5;l7~ ::E::RE~O~~;;M~fJ::li4 PHONE 613-713-60"/ LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION PARCEL ID # i/-d-..b-~/ -(JOIO -()(j!::60-('JOI / (OBTAIN FROM PROPERTY.TAX NOTICE) WORK PROPSED: 0 NEW CONSTRUCTION DSIGN PROPOSED USE: DSGL FAMILY DWELLING o COMMERCIAL o ADDITION o ALTERATION o REPAIR o INSTALL o MOVE o DEMOLISH DMULTI-FAMILY o INDUSTRIAL 0# OF UNITS o SWIMMING POOL o MOBILE HOME o OTHER c:J RESTAURANT & HEALTH DEPARTMENT APPROVAL DESCRIPTION OF WORK Dr j"Y'e.wPr}' BUILDING SIZE SQUARE FOOTAGE 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. IF SIGN PERMIT ONLY (2) SETS OF ENGINEERED PLANS REQUIRED. PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. o GAS o ROOFING PERMITS REQUESTED ~S{o{ $ 5700 VALUATION OF TOTAL CONSTRUCTION -~ J AMP SERVICE 0 Progress Energy 0 .C. C OF NO $ VALUATION MECHANCIAL INSTALLATION o SPECIALTY 0 OTHER o BUILDING o ELECTRICAL o PLUMBING o MECHANICAL TYPE OF CONSTRUCTION: 0 BLOCK o FRAME o STEEL o OTHER FINISHED FLOOR ELEVATIONS I S PROJECT IN FLOOD ZONE AREA 0 YES 0 NO BUILDER COMPANY SIGNATURE STATE CERT OR REGIST # ****************************************************************** ELECTRICIAN COMPANY SIGNATURE STATE CERT OR REGIST # ****************************************************************** PLUMBER COMPANY SIGNATURE STATE CERT OR REGIST # ****************************************************************** ,,"CHANlCAL J. COMPANY <(ft." Q..(1fuA4:t/1. CnrroUt 14J<4t a:f- SIGNATURE ~ .. /i).LC~ STATE CERT OR REGIST i ~ ,g' o D ~ *****************************************************************r~~ OTHER COMPANY SIGNATURE STATE CERT OR REGIST # 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 contra.ctors 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 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 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 "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. Appli~ation 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 $2,500 IN VALUE D NOT NEEO TO RECORD AND POST A "N~;~ SIGNATURE: CONTRACTOR acknowledged , 20_ STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____day of by STATE OF FLORIDA COUNTY OF The foregoing instrument was Before me this _____ day of by acknowledged ,20_ (name of person acknowledged) Dwho is personally known to me, or (name of person acknowledged) C1ho is personally known to me, or Dwho has produced (type and wrioD did D did not of identification) take an oath. D who has produced (type of identification) and who Odid [}:iid not take an oath Signature of person taking acknowledgment Signature of person taking acknowledgement Name typed, printed or stamped Name typed, printed or stamped CrJNTrAc/ ~1~ ~ ~-I-L.c. (?'5$-- 56?- ILl5?) tuft- r:;g/'1f P/K!l2O I~ 0~~~ ~ ~;?co "*f~ .. 3c>()() u::s+:~ ~~ ~ ~ j '\ n~ ~~~ ~ -..(T ~~-Y~A' J ;1 I- ~ 6><6"/ ~ ~~~d/V6//~ ~~~~, ~~~.-k~1 ~ ~ /0' To/Ol/ 0\- O~ J ?Z1 /)/-'5 r 0~11 ~Cl ~:/7~ ~ Y.~;J.700 J66 f)Dr;fe:;$t% 5'1Lf.q 10 S"/ Z-~\ ~ LJ(},,^M'tJJAj~ /0 /o~ ~..~4~~/6S CITY OF ZEPIIYRHILLS BUILDING DEPARTHENT OWNER JOB LOCATION PARCEL I.D.' # SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIMENSIONS & SETBACKS. UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. FRONT PROPERTY LINE (NOTE EXAMPLES 1 & 2) STREET 1. SETBACKS FOR Rl, R2 ZONING 60' 2. SETBACKS FOR R3 ZONING 60' 10' P E- R X 0 I 10' P S 10' o. T S I E N D G 20' 1 0' 10' 10' EXISTING 10' PROPOSED 20'SGL FAM 30'DUPLEX 1 0' FRONT PROPERTY LINE FRONT PROPERTY LINE CITY OF ZEPHYRHILLS BUILDING DEPARTMENT owimi j:(oBerc tll~M';1WA?1 f?eAnrfT . JaB LaCATIaN. 5Cjt19 . /1)_--,-- /1-3..6 -{)./-OC1 II) - (J/J).'6 /1t/j) - /l,/"l/ J PARCEL I. D. . # . r..;L----6LLL. ~ SHOH ALL EXISTING & PROPOSED STRUCTURES GIVING DIHENSIONS & SETBACKS. (NaTE EXAMPLES 1 & 2) , . o!flI~" 19.'fi1'P((P" -- .~~ ^()Y t::XP I I , "0 110 t6e.... \ ~ '- '1 ~-=- l-~~ ~.t /#'f. jJ fJlJ.- VyLf)1 !"1j4U- S LI~~}ALL IlfJiV\ 1 UTILITY BUILDINGS MUST SHaw SIZE & FaUNDATIaN INFaR- MATION. 1. SETBACKS FaR Rl,R2 ZaNING 60' 2 . SETBACKS FaR R3 60' II 2. 0'''' ~ Y I) lMJ."'''' zaNIN~'l~ ....~ '?R,l~~\\\ STREET 10' p E R X a I 10' P S 10' 0. T S I E N D G 1 0' 10' 10' EXISTING 10' PROPOSED 20'SGL FAM 30 'DUPLEX 1 0' 20' FRONT PROPERTY LIRE FRONT PROPERTY LINE FLA. 1977 LAWS ~S 7,13,13 SEMINOLE FORM 408 NOTICE OF COMMENCEMENT ~::~t:f o~IOrjda } CPR~PARE IN DUPLICATE' ~~~~~ll~~!~111111111II11111I1II111I11111I111I111I1 The undersigned hereby informs all concerned that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statutes. the following information is stated in this NOTICE OF COMMENCEMENT, Description of property .Il. -::~ .-:.~/~. O.O/Q.-. .ootctl. -:::(X)/ /... Rcpl: 940380 jq Ll \ .b S "\". OS: 0.00 .. ..2.... ... ... ....... .t.D.'~...........: ... .... ...... ..........~.................. ~.~/~7/05 . .~~.9.~.\\ ~\.\~\\s...~............. .3.~. .S. .~A............................................... _ ~ r General description of improveme~ts .... ~.~ .':-:-?. . . ... ~ .q...\~. .C;;. . . . .~.~.. .. . . . .. . . .. . . . . .. . . . . ... .. . .. Owner. . . . . .. . .. . . . .. . . . . . . . . . .. .. :.. .. . . . . . .. . ... .. . . . . . . . . . . . . . .. . . .. .. .. . . . .. . .., . JEO PITTMAN PASCO 11/07/05 01: 44pm fOUN~~ C~ERK Address ............................................................................ OR BK 6682 PG 1481 Owner's interest in site of the improvem~~.f2. ~~........................................... Fee Simple Title holder (if ether than owner) . Rec: 10.00 IT: 0.00 Dpty Clerk Rme ... Z ~r>~:r.: .L+. ~t'Y.\ .I(\.'ii>?~.. .............................,..................................... Address.... .?~... ~(.~.. .~...~. 9 .~.~.... ?~. ...... ~.~!: :-:l.~. ~\.\.I.~t .~... .-f.~........... .......... Contractor... .Ptt/:J.i~ (.... ffl!P.$O.N... .CD.N~r~.. .CoM~#.. .4-:<~......................... Address. .3.76.1tJ..... co.let:1B:t.!... A-.I/<-:...... OfJtD~... .c.try..FJA..,. p,.3Ji?5............... Surety (if any)~ 8..:5.15. /jO~~g7!.?......R .d. .J.mA-.CO.,... .{,roO.,,:'1J.s ~ ~qa~)...... Address .~.OJ' ~c,<.. .feo.r/fJ.).:b.~.. b./6/:l. -:- 3}.6.?............. .Amount of bond $ .~ lJ..C!.LJ.. Any person making a loan for the construction of the improvements: Name .... .............................. ........... ..... ............................ ... ........ ......... ............... .... ...... Address ......................................................................................................................... Person within the State of Florida designated by owner upon whom notices or other documents may be served: Name .. ............... ............. ...... ... ...... ............... .................. ..... .., ....... ........ ..... .... .............. Address ........................................................................................................................ In addition to himself. owner designates the following person to receive a copy of the Lienor's Notice as provided in Sectio'1.../ 713.13 (1) (hI. Florida Statutes. (Fill in at Owner's option). / Name ............... ~...., .~.<U~."'_"".__"""""""""""""""""""""'" ....... Address T~I~'~~~~~'F'~~'~~~'~~~'~~'~'~~'~~'~~~""""""'" '~"\\" T.........,,; i' t..~....._........... .~,....... ~. ~T~'G S~rtr"nd subsc,;be1 ~fO~ me 'h;s ... . . . . . . .. . . . . . . . . . . . .. . .. . .. . { ~.:m...... o'NiV ....... .~.~~. Public t :...::~::I1'1J.?f.~ DAWN NEWsoME . ~~:.~.::l MY COMMISSION I' DO 243726 ij '~':~"o"~,, EXPIRES: Augusr 30 2007 b~~~rtded Thru NOlary Public U/ide"rwriters -.....~~....