HomeMy WebLinkAbout15-16317 CITY OF ZEPHYRHILLS
' 5335-STH STREET
� - (sispso-oo20 1631
DRIVEWAY PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 16317 Address: 38509 38515 9TH AVE
Permit Type: DRIVEWAY ZEPHYRHILLS, FL. '
Class of Work: DRIVEWAY/NEW Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-08600-0111
Improv. Cost: 1,800.00 OWNER INFORMATION
Date Issued: 5/28/2015 Name: LONG DONALD CLAYTON
Total Fees: 45.00 Address: PO BOX 286
Amount Paid: 45.00 CRYSTAL SPRINGS FL 33524-0286
Date Paid: 5/28/2015 Phone: (352)206-7653
�, Work Desc: INSTALL TWO DRIVEWAYS ( DUPLEX )
CONTRACTOR S APPLICATION FEES �
CAPSTONE CONSTRUCTION (352)206-7653 DRIVEWAY 45.00 �,
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Ins ections Re uired
DRIVEWAY
FINAL,��,rl_-- L,5
REINSPECTlON FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c)when e�ctra inspection
trips are necessary due to any one 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 properly 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."
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CON�.l�i4 OR PERMIT OFFI
PER T EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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PERMIT=/APP.LYCATION . =' ° -<'�� �'��
DRIVEWA�1(:PERMIT:AP.PLTCAlION
�CONSTRU.C'fION'WI'THTN<:P.11BL7C RIGHT.OF=WAY
All information must be-filled-in completely
• �City.of;Zephyrhilis
"5335�8"'Street,Zephyrhiils,�FL 33542
Telephone.813.780.0000 Fax 813.780.0005
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PR07ECT .70B'SIT�: °PROPERTY�OWNER
Addres ° — Name: O
Unit#• .� °'�v Address: �D. Unit:
Parcel Identificatio �Number: Ci .State .Zi ,, '
o/i! Phone: Fax: �
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�,CONTRACTOR: �
Com an : o�-J
Name:
Contractor's License#: �S'/ E-Mail: ✓ � �� i' �,�J � ,��,
�Phone• _ Ceil: Fax:
ARCHI'TECT/ENGINEER: . , �
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�Name: Firm Name:
Address: City: State: Zip:
State License#: Phone: Cell: Fax:
Descriotion of Project
TYPE OF DRNEWAY .�C�LENGTH OFDRNEWAY CULVERTS NEEDED
_�RESIDENTIAL DRNEWAY �„[�WID7N OF DRNEWAY ( )RQNFORCED CONCREfE.
COMMERCIAL DRIVEWAY R.O.W. EICCAVATION ( )CORRUGATED MATERIAL
PUBLIC ACCESS DRNEWAY DEP'TH LINEAR FEEf ( )BOX CULVERT
( )OTHER(DCPLAIN)
CONSTRUCTION MATERIAL CURB CUT REOUIRED
�PHALT YES NO
ONCREfE
HEADWALL REOUIRED? YES �NO
NOTICE TO APPLICANT: If actual work exceeds scope of this description,additional permits or drawings
will be required.
UTILITY LOCATIONS REOUIRED: CALL BEFORE YOU DIG: 1.800.432.4770
Page 1 of 3
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Concrete {rnin. 6`� Y N
Asphalt Base{min. 6"}
Asphalt{min. 1�/z'� Y 9�
Length (min. 19� Y N
Width{10'min—20'max} Y N
Exlsting sidewalk. N
�tew s�dewalk. Y N
ADA campl�ant. Y N
F�cpansion material requ�red. Y N S'�- ,y!
Contiguous parking pad. Y N
Triangular flare(3M1 x 7'�} Y N
Visibility triangie o.k.? Y N
Slde set back(3'min. R.O.W.) Y N
Pian Review�
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Permit application appraved by: Date:
Page 3 of 3
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$13-780-oa2a Ci#y of Zephyrhiils Permit Apptication Fax-a�saso-oa2�
Building Department
$
� Date Received -
Phone Contact for Permittin' ��,.�� ' — �n ��
pwner's Name'. ,' r✓ ';�', ` ' ..-: q'Ovirner�Phone Numtier;.. M�}��v�r
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Owner's Addreas` � �:Qwner�Phone Numtier` `� '�
.-,.: ��.:,
Fee Stmple Titlahoider.Name � �*Y AM1Owne,r�PhonehNum6er`'�-4 �
Fee Simple Titleholder Address
JOS ADDRESS r �� � r �� I.Q;# ���
SttBD{VISION � ` �� PARCEI�tD# ' — —Z -= U — ^ J
. (OBTAIMED FROM pROPERTY TAX Np710E)
WORK PROPQSED - e NEW GONSTR 8 >ADDtA�T` � SIGN� Q Q` DEMOLISH
INSTALL- . REPAIR
PROPQSEd USE� Q SPR Q CQMM Q OTHER
TYPE OF CONSTRUC"I`ION Q BLOCK' Q " FRAME Q STEEL Q.
DESCRiP'f10N�OF WORK � �) i V e i
BUILDING SIZE' � �, SQ FOOTAGE��_!��:, HEIG}IT �� -
QBUILCtING � VAL(1A710iV'OF 70TAL C�NSTRt1CT10N
. � � 00•oa � - - � .
QELEGTR1CAt. . �$ . � �AMP SERVICE Q� PROfiaRESS ENERGY �[� W.R.E.C.
�_
QPLUMBING �-----T� i�r� '�
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QMECHANICAL $ VALUATIC}N OF MECHANlGA�►NSTALLATlON
QGAS [� ROOFiNG, Q SPECIALTY � OTHER �(/'!U � (,,tiJ(f��j S
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FINISHED FLOOR ELEVATIONS FLQOD ZONE AREA [�YES NO
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BUI�DER �,,, CBMPANY � (/' 1 , t
SIGNATURE /' ' REGISTERED N �FEE CURRE� Y/N
Address Cice�se# � �
ELECTRICIAN. GOMPAElY - .
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address L•icerise#��y �
PI.UMBER . £OMFANY `
SIGNATURE ReGisTeREO. Y/ N. � FEE CuRREn�; Y/:N
Address `� � ,Ltcense# ( � �
MECHANlCAL ` COMPANY �,w �
SIGNATURE � � � � � "° aecisr�RE�� , ,Y/ N . F�E cuRR�n; . Y!N .
Address � - � � � , � ticense.#.� �
C}THER � ' `"° COMPANY � �
SIGNA7URE ' ' � - REGISTERED `� Y/ N FEE CURR�� Y J N.
Address. : ,, - . �. _ � -'Licehse#�� �
. , .. ; _.
liESIDENTlAL .��Fittach{2);i?1ot�Plans,'(2)'.sets�of:Builtling�Plans;{'I),setofEhergjrFarms;R-O=W�Perinitfornewcanstruc�an, - - ` -
, �Minimum ten;(�1q),-working day.s�after submittai:date:`Reguired:onsite,',Constniotian Rlans;SformwaterPlans w/Sflt Fence instaNed,
Sanikary Facil(ties&�1:;dumpster;•:SIte�lNork�Permit,forsubdivisions/large;projects ; �`- � ��� '
COMMEI2CIA4. Attach{3}corriplete'sets of Ballding°Plans'plus"a'l:ife'Safety Page;'(1)set of Energy Foims.#2-O-W Permit for new constructian.
Minimum ten(10)working days after submtttai date. Required onsfte,Constructtan Pians,Stortnwater Plans w/Silt Fence instaited,
Sanitary Facilities&1 dumpster.Site Work Permit for all new:proJects:Al4commercial requirements must meet compBance
SIGN PERMiT Attach{2)seis af Er�gineered�Plans.. :_ ' - � - . `
""PROPER7Y SURVEY requirecl for�all NEW constructian. ,
5lrections: , � -
Fill aut-applicatlon completely. ,
Owner 8 Cantractor sign back of epplicatian,notatized
If over�2500.a Nottce of Cammencement is required. (A!C upgradas ovsr��500}
" Agent(for khe'contracto�)�or'Rower af Attomey(forthe-owner)would�be sorrieone with notarized letter finm owner authorizing same
3VER THE CQUNTER�:PERMITt'tNG_. .___...{Front.of.Appticafion..Only). �
2eroofs if shingles Sewers Service Upgrades A/C Fences(PIaUSurvey/Footage)
Qriveways-Not over Caunter!f on publ[c r+oadi+vays::needs'ROW � �
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NOTICE OF DEED RESTRiCTIt3NS: The undersigned understands that this,p�rmit may be subject to"deed°restrictions"
which may be=more.restrictive.than County Pegutatiohs. 'The undersigned assumes responsibUity for compliance with any
appllcable deed rest�ictlons. - _., . �
UNLlCENSED CQNTRACTORS AND.'CONTRACTC�R RESpONS1�ilITiES: if �he owner has hired a cantractor or
contraotors to undaFtake work, khey may be required.ta be;licensed in accardance.with stafe-and•local regulations, If the
contracto� is not iicensed.as required by law, both the owner and contractor may be c(ted for a misdameanor vlolatlon
unde� state law. If the owner or intended contractar are wncenaln as to what licensing.requirements may appty°far the
intended work, they are advised to contact the-Pasco County Butlding inspectlan Dlvisfon—lit±ensing_Sectian at 727-847-
8009. Furthermore, If the owrner has tilred .a contractar or contractors, he is acivised to have the contractor(s) sign
portions af the "contractar 81ack" v#this appticatian far whtch they wili be responslble. If you, as.the awner sign as the
contractar, that may be an indication that he� is not.property Ilcensed and Is not entitled fo permit#ing privileges In Pasco
County,
TRANSPORTATION IMPACT/UT�LIT4ES!l�I�PACT AND RESC?URCE RECQVERY°FEES:�The undersigned understands
that Transportatton Impact Fees and Recaurse RecoVe.ry Fees may appty fo the consfruction of new bulldings, change of
use in existing buiidings, ar expansion..of�ezistirig�buildings, as specifled in PascQ Caun#y Ordinance number 89-Q7 and
90-07, as amended. The undetsigned also understands,.that such fees,..as,may�be due;,,w!!!;be identified at the time of
permlkttng. It is further'understood that Transportation lmpact_F�es_and:Resource��ec�v�ry-�Fe�s--erqust=b�-peid-prior�ta---�-
Y�- v rece�v�i�g a Bce�tifica e o�-occupancy° or tinai power.celease. :{f the;project,,does not invoive a cert�icate of occupancy or
finai pawer reiease; the feas must be paid�prior to permif issuance. Fu�thermore;iE.Pasca-County WaterlSewer Impact
fees are due, they must be-pald prior to,perrrolf,lssuanee-In accordance wlth;app!lcable:Pasco County ordlnances.
CONSTRUCTION LIEN l..AW(Chapter 793, Flai�da Statutes,as amended): !f valuation of work is$2,50d.00 or more, I
certify that 1, the._appllcant, have. been-provlded wi#h a capy--af the °Florida Construction Lien._Law—Homeowner's
Protectfon Guide" prepared by tlie Fiarida D�partmen# of Agricuttu�e and Consumer Affairs., If the appticant[s someone
ather than the°owner", I certify#h�t I have.obtained�a copy;of the abave.described ilocum�nt°and.promtse En.good faith ta
deiiver it to the�°owne�"�prior-to=commenceme�nt: �
GONTRACT4R'S/QWNER'3 AFFlDAVIT: 1 ce�ti,fy that ail�,the fnformation.in�this appiication is accurate and that ail wark
wil!'be cfone in compliance with al! appticabie taws reguiating cans#rucfion, zoning and land deyelopment. Applicatian is
hereby made to obtain .a permit to do work.and Instaliation as tndicated. :1 certfty that no work or Instatlat{on has
cammenced prior to issuance af a permit and that.all wark will be performed ta mest standards of.al} laws regula�ing-
construckion, Caunty and Gity codes, zorting regutatfans, and #and deveiapment reguiations�in�the jurisdicfion. _i al'so
certify that 1 understand that the regulatians �f ather gavernment agenciss may apply;to the intended work, and tha#it is
my responsibility#o identify wha#.actions�I must t�ke to be,ln:.compliance. Such agencEes.include but are.not tfmited ta:
- Depactmen# of E�rvironmental Pr�tection-Cypress Bayheads, Wetland Areas and Environmentatiy Sensitive
La�ds,WaterNVastewa#er Treatment.
- Southwest Fiarida Water Mar�agement- Distric#-Wetis� Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Enginee�s=Seawalls, Docks� Navigaqle Waterways.
- Department of Health & Ret�abi➢itative Services/EnvironmenCat Heaith Unit Welis, Wastewater Treatment,
Septic Tanks: � _ _ _
- US Environmen#al Protectiar�Age�rcy-Asbestos abatement. ;., •
Federal:l�viatlon Authority=Runways.
1 understand that the fotlowing,restrictions apply to the use of flll:�
- Use of fill is not aitowed in Fiood�ane"V"uniess expressiy permitted.
- if the fiit material-is to b.e_used in :Fload Zone "A°, It. ts understoad that a drainage plan addressing a
°compensating volume" will be submitted at#ime af per.mltting which fs prepared by a professional engfneer
licensed by the 5�tate-of�Florlda: ,
- !f the fill material is:ta be used in Ffood Zone "A" in�connection�with.a pecmitted building�using skem wall
� construction, i certify that fiil.wiil:be�used only to fiMt the area within.the.stem.walL .,
- if fll materlal Is-tv be� used In�any�areat !� certify that use.of suah fll! w11! not adve�sely affect ad)acent
properties. If use of fi!! is found to adverseiy�affect adjaEent properties,.the owner may�e cited far viatating
the conditions af�tiie buiiding�.permit isswed:under the attacfied permit applicatian,.for:lots less_than.one {1)
acr�which are elevated�by fllt, an.engineered dralnage.plan is required.
tf I am the AGENT FOR THE OWNER, t;promise�In good faith to I�form the��owner;of=the permltting..canditions�.set forth tn
this a�davit prlor to oommencing coristcttctiori: 1'ttntlerstand that a.separate parmit may be required for etectricai work,
piumbing, signs, weils,,,pools;.:air.conditianing,..gas,.ac;ofher,�i'nsta8ations,not spec�fically'included in.#he appiication. .A
permit issued sitaH be eanstived�to be�a�license#o.proceed with the,wo,rk;and.,not:as:authoeity°to:�violate;.eancel, alter, or
set aside any provisions of ttie�tecfinlcai�codes; nor,shal! issuance of a pe�mit prevent th�e Build[rig O�lcia!ftom tfiereafter
requiring a correctioa.af�rrots in-plans,,-cons#fiictiort:or violatfans of`any cpdes:° Every-peTmit[ssued shatl�becorrie invaiid
unless the work authorized by such permEt.is-commeneed�witfifn s�C,months af permit issusnce, or if work authorized by
the.pet�mit is.suspended.or abandoned-for-a pePiod of sGc(8)�months after;the time the wark is commenced. An ex#ension
may be-requested, ln.writing,,from the.°Building.Qfficial for a perlod�not.to exceed��ninety(94}"days�a�id�wi!l-demonstrate
Justifiable cause far the extension. If work ceasesFfoc nfnety(90)cons.ecutive:days,.the job is cansidered abandoned.
; F.. ,, .
WARNING Tt) aWNERc� YaUR:FAILURE..TAy RECORD A;N.OTIGE,.OF_..COMII�ENCEMENT�MAY-{RE3ULT�lN�YUUR
� PAYINGTWICE;FOR,;IMPRQVEMENTS-TO.Y�UR:PROPER7Y:��IF.YOU�lNTENt�T ClBTAlN�:FINANCING,�CONSULT
` Wl7N YQUR ND C! ATFOR EY C?. E�R C � G YO NO �C �O ` �'�� E �EM N �
FLQRIDA JURR'F(F:S::A:17: � � - � � . � . `° . �` , � , ,
_OWNER'C!R ACiENT ' =CONTRAGTO / /C/= � ,;��.,�
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Subscrlbed and swom!o(or aflirmedj befor is Subscribed snd`swam to(or affi efare m '_ i _
�Y :�yy;:'.=.rca,...,� ; :'. :._<=:H.,-,:,��: -
Who ls/are personally known to.me.or-hasfltave;produced, . �Wha:isiare.p.ersonai{y knowmta.me:or-has/hav raduced:'• -
' 'as ltlenGflcatlori. as tdentificaUon.
Natary Public Nafary Pubttc
. ..-.�y.;.:�.m�a.� - , ' • . �� µlr,ly94�� } ,. ; ,
Go sfo lYc���,,'� _.�,,� �. � Comnt� st �: Commission#FF 137Q73
s�a :�; a_ xp�res un � .
if, ��i:irrY'F�.�7�7`3 - -!,�',�P�.°i��• 9ondedlhntSto}Feinlnsurattco800.3857Pt8�
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Name of N + ., ;,,;, ;p�t!�,4��rr��tam�.. eoo3esaoti� Nam of N �P or s mpe . �
"'+�CW�Y YJC���
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