HomeMy WebLinkAbout05-5123
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
DRIVEWAY PERMIT
5123
Permit Number: 5123
Permit Type: DRIVEWAY
Class of Work: DRIVEWAY/NEW
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost: 1,750.00
Date Issued: 11/10/2005
Total Fees: 40.00
Amount Paid: 40.00
Date Paid: 11/10/2005
Work Desc: DRIVEWAY INSTALL-DUPLEX
Address: 38955/ 38957 C A V
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number:
ASSOS JIM
38955/38957 C A V
ZEPHYRHILLS, FL. 33542
Phone: 813727-1827
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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
E 6" DEEP WITH WIRE MESH AT RIGHT OF WAY
~~
CONTRACTOR- PERMIT OFF I
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CI~Y OF ZEPHYRHILLS PERMIT APPLICATION
BUIiLDING DEPARTMENT 5335 8~H St, Zephyrhills, FL 33542
I 813-780-0020 FAX: 813-780-0021 --UJ I ~
, _ DAT~ RECEIVED t 10 0'7
i 'Pu^-jL.f~ Co..uJ.. ,,('+leA tE.
i PHONE CONTACT FOR PERMITTING 13) 7 (8 - 87~3
OWNER'S NAME '-:5 \ r<\ ~ SS05
JOB ADDRESS ,]RqSS- C AtE- 'i- 3g/~7
PHONE (81?') 7).7- If; 7
c f(\L ~~l~ FI- 3J.s?/z-
;;J.S' SUBDIVISION~ Ll~,'h
(OBTAIN FROM PROPERTY TAX NOTICE)
LEGAL DESCRIPTION: LOT (S).{ ~ tJ 7 BLOCK
PARCEL ID * ----1i-~lo~J\- (X)\()--OJS'{X)- CV70
WORK PROPSED: L,NEW CONSTRUCTION
g-ADDITION
DALTERATION
o REPAIR
[Z}fNSTALL
o SIGN 0 MOVE 0 DEMOLISH
PROPOSED USE: DSGL FAMILY DWELLING ~TI-FAMILY ~* OF UNITS
o COMMERCIAL 0 INDUSTRIAL 0 SWIMMING POOL
o MOBILE HOME
o OTHER
BUILDING SIZE
c=J RESTAURANT & HEALTH DEPARTMENT APPROVAL
QX/S \ r'\J (')r \VL iAJc..y'S
SQUARE FOOTAGE 1(11 ~/okl
HEIGHT
/(J I
DESCRIPTION OF WORK
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 REQUI~D FOR ALL NEW CONSTRUCTION.
~ILDING
t' PERMITS REQUESTED
$~ 7:;-0 . tlO VALUATION OF TOTAL CONSTRUCTION
o ELECTRICAL
o PLUMBING
o MECHANICAL
AMP SERVICE
o Progress Energy 0
W.R.E.C.
o GAS
o ROOFING
o SPECIALTY
VALUATION OF MECHANCIAL INSTALLATION
~THER
$
TYPE OF CONSTRUCTION: 0 BLOCK
o FRAME
o STEEL
~THER
FINISHED FLOOR ELEVATIONS
IS PROJECT IN FLOOD ZONE AREAD YES r.;( NO
SIGNATURE
.~~v,
COMPAN;Du(\.-t<,t-<... Cz,Y\.CfA..- -L ~c....
STATE CERT OR REGIST * C-Re. - ) 30t 8.;2 1 Y
BUILDER
******************************************************************
ELECTRICIAN
COMPANY
SIGNATURE
STATE CERT OR REGIST *
******************************************************************
PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
******************************************************************
MECHANICAL
COMPANY
SIGNATURE
STATE CERT OR REGIST #
*****************************************************************
OTHER
SIGNA URE'::"
COMPANY
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A. NOTICE OF DEED RESTRICTIONS
The undersigned understands that this permit may be subject to "deed restrictions" whic~
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 contr~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 po~tions 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.
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 OUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF CO MENCEMENT. JOBS UNDER
$2,50 IN VALUE DO NOT NEED TO RECORD AND POST A "NO MMI!:N
SIGNATURE: CONTRACTOR
SIGN
STATE OF FLORIDA
COUNTY OF \'G.'SQ...u
The foregoing instrument was acknowledged
Before me this q""" day of ~\oU , 2Q.QS
by ~1I'V>..<2~ (""., en 75DS
(name of person acknowledged)
Owho is personally known to me, or
STATE OF FLORIDA
COUNTY OF -=?a<S0 0
The foregoing instrument watlacknoWledged
Before me this q +h. day of I DOeMbel 200 '5
by 1D~\(\ ~f' (Dl\ir,~
(name of person acknowledged)
C1ho is personally known to me, or
Uh:ilio
has produced \==~. \). L .
(type of identification)
~d no ta n oath.
a....rho has produced ~L
(type
ld
D.L.
of identification)
ake an oath
.t~:putIl!:.._~
.:
Bl Mr COlI..liIIIon ExpIres Mer 5. 2009
.1lt,,':I~~ Comn1IuIon' DO 426315
JENNIFER L. GREEN
t: petcIlIIYlNIIC~~ec
lMr CommilIIiOn ExpIres-MaY 5. '2009
..~fI . CommilIIiOn.D0426315
'1..""
Parcel Information for: 14-26-21-0010-02500-0070 Card: 001
Page 1 of2
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Parcel 10 14-26-21-0010-02500-0070 (Card: 001 of 001)
Classification 08 - Multi-Family - Less than 5 units
Mailing Address Assessment (totals)
CASSOS JAMES G & DEBORAH L Ag Land $0
19701 MORDEN BLUSH DR Land $11,755
LUTZ, FL 335589089 Building $41,647
Physical Address See All 2 addresses Extra Features $0
38955 CAVE
ZEPHYRHILLS33542 Total Assessment $53,402
legal Description (First 4 Lines) Save Our Homes $0
MOORES ADDITION PB 1 PG 57 Taxable Value $53,402
E1/2 LOTS 6 & 7 BLOCK 25
OR 6303 PG 1568
land Detail (Card: 001 of 001 )
Line Use II Description ~ning I Units I Type I Price Cond Value
I 01 I 08~ MULTI FAMT OR3 116,028.00 I SF I 1.95 1 $11,755
Additional land Information
Acre 0.14 II Tax Area II 30ZH II Fema Code Iwl Res Code IIZHLGLP71
Building Information - Year Built 1982 USE 08 - Multi Family (4 or less Units per Building)
(Card: 001 of 001)
Ext Wall 1 Concrete or Cinder Block Ext Wall 2 Concrete Block Stucco
Roof Str Gable or Hip Roof Cov Asphalt or Composition Shingle
Int Wall 1 Drywall Int Wall 2 None
Flooring 1 Cork or Vinyl Tile Flooring 2 Carpet
Fuel Electric Heat Forced Air - Ducted
AC Central Baths 1.00
I line I Description Sq. Feet I Repl. Cost New I
I 01 I BAS 1,040 $60,871
I 02 I FOP 112 $1,288
Extra Features
No Extra Features
Sales History
Previous Owner LEWIS GLADYS REVOCABLE TRUST
Year Month Book / Page Type I Amount I
2005 03 6303 / 1568 WD $80,000
2000 07 I 4402 / 0650 I WD $0
I 1997 II 07 II 3784 / 0010 I WD $0
http://www.appraiser.pascogov.com!search!offline.asp?sec=14&twn=26&rng=21&sbb=0...11/1 012005
JOB INVOICE
DATE ORDERED
ORDER TAKEN BY
TO
CUSTOMER ORDER #
ADDRESS
ATTENTION
oJ -} P,Y} ~Jc... f 77
LABOR HRS.
C;-Lj &, /1-"r /.?)
N'.
[)
I I ul ~
'W(}.(YlAI" 'H 0.1 C{()C ~eo (.D{)(.,re--f-2
WORK ORDERED BY
TOTAL LABOR f,8'd- Iso
TOTAL MATERIALS 190 !bt:
:
TOTAL MISCELLANEOUS 77 b-z:
,
SUBTOTAL ~
TAX ,
:-
GRAND TOTAL i7S-o ! ()U
DATE ORDERED
DATE COMPLETED
CUSTOMER APPROVAL
SIGNATURE
a,'Bdams NC2817
MADE IN USA
ICE