HomeMy WebLinkAbout06-5309
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
DRIVEWAY PERMIT
5309
Permit Num er: 5309
Permit Type: DRIVEWAY
Class of Work: 434-ADD/AL T RESIDENTIAL
Proposed Use: NOT APPLICABLE
Square Feet:
Est. Value:
Improv. Cost: 4,545.00
Date Issued: 1/10/2006
Total Fees: 35.00
Amount Paid: 35.00
Date Paid: 1/10/2006
Work Desc: ADD ON TO EXISTING DRIVEWAY
Address: 484417TH T
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 14-26-21-0010-02200-0140
Name: CHRIS ABBOTT
Address: 4844 17TH ST
ZEPHYRHILLS, FL. 33542
Phone:
f\f\ a9- 0 If
/ ~ ,Id/
y,0 \) ~
REINSPECTlON FEES: Reinspection fees will comply with Florida Statute 553.80 (2)( c) when extra inspection
trips are necessary due to anyone of the following reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspections called d) work not ready for
inspection when called e) permit not posted on job site g) work not accessible.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
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."
MUST BE 6" DEEP WITH WIRE MESH AT RIGHT OF WAY
k .~ .. ;JZ_~_~
) ~ ~
CO CTOR PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
CI~Y OF ZEPHYRHILLS PERMIT APPLICATION
I
BuiLDING DEPARTMENT 5335 8TH St, ZephYJ:"hills, FL 33542
I 813-780-~020 F"'I:""3=7B~:~~21 DA~~TD
. PHONE CONTACT FOR PERMITTING (&13)
C~VI!; h~bo+f-
JOB ADDRESS 4 tf LfL/ J 7 /-L. ..rf. 2~'rv~I/J FL.
LEGAL DESCRIPTION: LOT(S)~ BLOCK ~
\~-d..(o -d.-\-CD\O-O[)kn -0' ~ 0
7/ Lj ~ 5" 77 g
OWNER'S NAME
PHONE (fry 7/ tf ~ 9070
3'3~Y2
SUBDIVISION
PARCEL 10 #
(OBTAIN FROM PROPERTY.TAX NOTICE)
WORK PROPSED: 0 NEW CONSTRUCTION
DSIGN
~ADDITION
o MOVE
o ALTERATION
o REPAIR
o INSTALL
o DEMOLISH
PROPOSED USE:~GL FAMILY DWELLING
o COMMERCIAL
DMULTI-FAMILY
o INDUSTRIAL
0# OF UNITS
o SWIMMING POOL
o MOBILE HOME
o OTHER
9,RESTAURANT & HEAL;H DEPARTMENT APPROVAL
DESCRIPTION OF WORK .AJJ ON 10 ~'x;3h~ r:J>r~ue 0~r
BUILDING SIZE \(! - ~ a.../ I SQUARE FOOTAGE I~
HEIGHT
JD'
~ILDING
o ELECTRICAL
PERMITS REQUESTED
& (1) SET ENERGY FORMS.
FORMS. J
,Joe... _
W/c. L ~
Iolr>r. ~-\t'I L +v./ ~
{/Iot- ...JoL
}....,C!- -
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.
$
tj S-tjS: (1-0
VALUATION OF TOTAL CONSTRUCTION
AMP SERVICE
o Progress Energy 0
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 0 NO
BUILDER
SIGNATURE
******************************************************************
ELECTRICIAN
COMPANY
SIGNATURE
STATE CERT OR REGIST #
******************************************************************
PLUMBER
COMPANY
SIGNATURE
STATE CERT OR REGIST #
******************************************************************
MECHANICAL
COMPANY
SIGNATURE
STATE CERT OR REGIST #
*****************************************************************
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t
COMPAN~ '" ~ ,. - Pi 11 - _ _. .~
STATE C R.T ORREGIST # --t
. ." " f
L.. _. __.... ~ __... ~ ,
OTH
SIG
,'i'
<':~~.; v. .~..
A. NOT.ICE 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 contractors to undertake work, they may be required
to be licensed in accordance with state and focal 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 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".
QLaJU/
SIGNATURE: OWNER OR AGENT
----
STATE OF FLO~DA
COUNTY OF~~r~
The foregoing instrument was acknowledged
Before me this ~ day. of Dt'_L ,2Qa...'5
by cnciS+nP\V2C L A~D+t
(name of person acknowledged)
Owho is personally known to me, or
~ho has produced R..1)o('\ tDt1o.. br~v~fS L;c
(type of identification)
Wfctid not ta an oath.
owledgement
Na
. &~~~
SIGNATURE: CONT 'TOR
STATE OF FLORIDA~
COUNTY OF tl!,y<o
The foregoing instrument was acknowledged
Before me this ~day of ~ C ,20 Q.S"
by s.Q~~ \A'))'('\^
(name of person acknowledged)
C1ho is personally known to me, or
I)i{ who has producedSt or\ t\.a ~i .Jo,{S L; c.
(type of identification)
~id not take an oath
acknowledgment
i~-Sli.~
_ Mr CommIIIIon ExpiNI Jul14, 2009
... CommIIIIon. DO 450523
... ....------.CITY.OF-ZEPHyRuILLS BUILDING DEPARTHENT
OWNER C~\'\~ (\'bhJ\\-
JOB LOCATION 4 %4 Lj J 7 ti I~ ~ 7 c f h y (' h.JJ5 - [I
\'t -(}to- ~ \ -<:VI O-IJ;;JatJ{) - C;ILfO
3304~
PARCEL I. D . . ff
SHOW ALL EXISTING,. PROPOSED STRUC'l"UR&.tr'GIVING DIMENSIONS,. SETBACKS.
. -:.,: ~ ~
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UTILITY BUILDING
MUST SHOW SIZE &
FOUNDATION INFOR
MATION.
(~OTE EXAMPLES 1 & 2) STREET
1. SETBACKS FOR Rl, R2 ZONING
60'
10'
P E
R X
0 I
10' P S 10'
0. T 1 0'
S r
E N
D G
20'
FRONT PROPERTY LINE
2. SETBACKS FOR R3 ZONING
60'
10'
10' EXISTING 10'
PROPOSED
20'SGL FAM 30 'DUPLEX
1 0'
FRONT PROPERTY LINE
JOB INVOICE
TO
,)
DATE ORDERED
ATTENTION
MATERIAL
WORK ORDERED BY
DATE ORDERED
DATE COMPLETED
CUSTOMER APPROVAL
SIGNATURE
AUTHORIZED SIGNATU~/_
a' adams NC2817
MADE IN USA
STARTING DATE
TERMS
AMOUNT DESCRIPTION OF WORK
II!miII
TOTAL LABO
f1
TOTAL MATERIAL
~
.to
TOTAL MISCELLANEOUS,
SUBTOTAL
JOB INVOICE
TAX
GRAND TOTAlS ~ 'r
FLA. 1977 LAWS
F& 7.,'3.13
NOTICE OF COMMENCEMENT
SEMINOL.E FORM 408
(PREPARE IN DUPL.ICATE,
State of Florida }
County of \
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 dAh.,l in this NOTICE OF COMMENCEMENT.
Description of property ..
/ L-I J (, ~ I 00) (} o;l.. ~"CJo'
10'-'/0
-y' . . .. . . . . . .
.......... .... ...... ... ....0.0.0.0. .........0.0...... .................................
R
....... !:1.o.~.~/.... .(,?t~.. ~~. .., ~-::.i?h:t (.~.<~./.~..... .}~.([~.~......................................
General description of impro.vements .. !,j~ c.v J]y,'~C <-v &-'J . '1/" 1111111111111I111'1I11111111 1111I1111I11I11111111111I11I1111I
Owner. C ~ V' l'~ rf- "m ! ~(k.h. . e./. . e. . . 4.b.h.~t:-h. . . . . . . . . . . . . . . . .. . . . ~.~~~.~~~~~~. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. ,
Address . ~I 7r'it.-/ I. 7.1 l? S T Z. c ph."jyh.,TtS ... (~l.... J3S:~1 J.. .. .. .. ..... .. . .. .. .... .. .. .. .. ... .... ..
Owner's interest in site of the improvement. .
Fee Simple Title holder (if ether than owner,
Rcpt: 958368
os: 0.00
01/09/06
Rec: 10.00
IT: 0.00
Dpty Clerk
Name ............................................................................
JEO PITT"AN~ PASCO COUNTY CLERK
01/09/06 110: 11am 1 of 1
OR BK 6786 PG 1048
Contractor ..[) .<'_0';).. -:-. .~ ~'.t Jr.. .. C9.V,I.y.~ f. If.. .. . .. .. .. .. . .. .. .. .. .. .. .. . .. .. .. . . . . .. . . .. .. .. . .. . . . .. .. . . . .. .. . . .. . . .. . . .
AddreS: . ~. ~$"d.-s..... ~./(1.cd... .41/....... 7-.c(J.J..~/1"-l..,.ll.J.... P/....3 Js"';-/.~.................. . -.. ... ............ ...
Address ........................ ~ . . . . . . . . . . . . . . . . . . . . . . . - . . . . . . . . . . . . . . . . . . . . . . . . .
Surety (if any)
.0.............. .... ..... ....... ...... ................ ......... ........... ......... ...............................
Address ..'...............................0.................................................... Amount of bond $ . . . . . . . . . . . . . .
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 Seeti,
713.13 (1) (hI. Florida Statutes. (Fill in at Owner's option).
. Name ............... ~ . . . " .~.. .~_._--- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Of) 1 /"
Ad~ress ............................................................... ./\. . '. '.' .J. . . . . . . '.' ..it.....,.........'..... .. . .. . . .. . .. .. . - . . ..
THIS SPACE FOR RECORDER'S USE OIl!L.Y ( )! ./ r--() r: ;'-~)
. ' . ~.\!....-:.~.\...C&i,z.~c::y:.-.~..................
/100- /!i?-~5 - 3df-tJ Owner u0
Sworn to and subscribed before me this. . . . . r: . . . . . . . . . . . . . . . . . . . .
........................day of .. </8// () CY/~/I. . . . . . . . . . . . . . . . - . .~P~
.PD~ 01 ( ~o..,.
...~~.............. ..'........... ......................
otary Public
"~.,...-------
5~~~~~r:~~~