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HomeMy WebLinkAbout15-16386 CITY OF ZEPHYRHILLS . , 5335-8TH STREET .� � �sis)�so-oo20 16.386 v DRIVEWAY PEIZMIT ,�` " PERMIT INFORMATION LOCATION INFORMATION ,� Permit Number: 16386 Address: 38039 OLD 5TH AVE ! Permit Type: DRIVEWAY ZEPHYRHILLS, FL. Class of Work: ADD/ALT COMMERCIAL Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-15900-0060 Improv. Cost: 2,000.00 OWNER INFORMATION Date Issued: 6/22/2015 Name: OLD 5TH INVESTMENTS LLC Total Fees: 67.50 Address: 4445 GREEN POND RD Amount Paid: 67.50 POLK CITY FL 33868-9625 Date Paid: 6/22/2015 Phone: 813-788-7835 Work Desc: REPLACE EXISTING DRIVEWAY W/ADA RAMP ' COIdTRACTOR S APPLICATIOfV FEES ACE ALUMINUM & CONSTRUCTION (813)782-261 BUILDING FEE 67.50 \n ,f � � - Ins ections Re uired DRIVEWAY - FINAL REENSPECTION FEES: Reinspection fees vvill comply with Florida Statute 553.80 (2)(c)when extra 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. NOTlCE: 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." �' � `- C RACTOR PERMIT OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR IIVSPECTION - 8 HOUR NOTICE REQUIRED � PROTECT CARD FROM WEATHEIt � . � � 3—� ������ '�,a .�,� � 4t' _. }2 .na., �rFf, PERMIT APPLICATION � �`"��� DRIVEWAY PERMIT APPLICATION CONSTRUCTION WITHIN PUBLI� RiG�IT-OF-WAY All information must be filled-in completely � City of Zephyrhilis ,2'�'l�,r��� 5335 8�'Street,"Zephyrhilis, FL 33542 � � I Telephone 813.780.0000 Fax 813.780.0005 �' , . .., , . ..�. . _ Dateofapplication: �22= Processed;By:?,>' � �� - Permit:#: " '(s�ai'a, :r«�ir�±r�' ' � ' � f63�J� . ._.�, ;�,..:,,.,,;: %�AY.�guiltling Depeitrrient-.: � `- - •�CARY to-PUbI�Works. . , PRO�EC7' 706 SITE: PROPERTtf OWNER ' Address:38039 Old 5th Avenue Name:.OId.5th Investments,LLC Unit#: N/A Address: �a5 Green Pond Road Unit: Parcel Identification Number: 11-26-21-0010-15900-0060 Ci State Z Polk City,FL 33868 Phone: 863-430-3641 Fax: N!A CONTitACTOR: Companv Name: Cantractor's License.#: E-Mail:. Phone: Cell:. Fax: ARCHITECT/ENGINEER: Name: Craip L. Cornelison,P.E. Firm Name:. Comelison Enuineerin4&Desiqn,lnc. Address: 38039 Old 5th Avenue City:Zephyrhills State: FL Zip: 33542 State License#: 55433 Phone: 8.13-788-7835 Cell: Fax: 813-788-Z062 ' Descria#ion of Proiect � 30. TYPE OF DRiVEWAY LENGTH OF oruvEwAY_ Existing CULVERTS NEEDED RES]DENTIAL DRIVEWAY 3_�WIDTH OF DRNEWAY EXISt111g { )REINFORCED CONCRETE X COMMERCIAL DRIVEWAY a•°•w• EXCAVATION O CORRUGATED MATERIAL ' PUBLIC ACCESS DRNEWAY 60� OEPTH 3�� CINEAR FEEf { )BOX CULVERT {X)OTHER(EXPLAIN)N/A CONSTRUCT�ON MATERIAL �URB CUT REOUIRED . ASPHALT v�s �rdo Existing �coNCr�re 11EADWAL�REOUIRED? YE5 �_NO NATICE TO APPL.ICANT: If actual work exceeds scope of this description,additional permits or drawings will be required. UTILITY LOCATIONS R�OUIRED: CALL BEFORf YOU DIG: 1.800.432.4770 Page 1 of 3 i 4 � I PERMIT APPLICpTIOM OFFYCE USE ONLY PUBLIC WCiRKS USE ONLY Concr.ete min. 6'� Y N Asphelt Base{min.6"} 'f N 1�J Asphalt(mir�. i�Ja"} Y N Length{min. 39'} Y iV Wicith{30'min—20'max} Y N Exis�ng sidewalk. Y N New sidewalk. Y N ADA campliant, Y N Expansion materia!cequired. Y N , Contiguaus parking pad. Y t� Triangular flare(31N x 7`L Y 1� � �{ �1 ' Visib311ty#riang[e o.k,? Y N , Side set back(3'rr�ln.R.O,W.) Y �! � Plan Review Fee I Additianat descri tian af wark as siefined b Pu6lic Warks Director and or desi� nee. �� � � SE�"�1o?"�"S o e���� Permit appiication approved by: Oate: ? �1 Page3of3 . , PERMIT APPLICATION �, i i UTILITIES LOCATE CONFIRMATIOIV NUMBER:. PROVIDE SKETCH IN THIS AREA, IF ADDITIONAL SPACE IS REQUIRED,ATTACH TO THIS APPLICAYION. See attached Plan AFFIDAVIT: Applicatfon is hereby made to obtain a permit to do work and installations as indicated. I certify that all fore�oing informadon is accurate and that all work will comply with all applicable codes. I understand these codes shall take precedence over all approved construction documents,and issuance of this permit is verificatiori that I will notify the property owrier.of Florida Lien Law req.,F.S.713: The issuance of this permit does not ensure compiiance with deed restrictions and I understand that additional deed restriction's may apply to this property. Ali work shail comply with the curreret Florida Building Code, Public Works Design Manual and FDOT Design Standards(if applicable). {Public Works Design Manua)online link:www.a.zephyrhiils:fl.us/public works.asp) APPLICATION IS VOID UNLESS SIGNED WITH PROPER IDENTIFICATION AND WITNESSED BY A PERMIT TECHNICIAN OR NOTARY PUBLIC. NOTE: The City of Zephyrhills is not responsible for maintenance or repairs of driveways. Driveways shall not alter/ interfere with existing stormwater treatment and/or oonveyance. PROPER7Y OWNERS: By signing this application: I cer' t ve read and understand the owner/builder disclosure statement. (please initial) Craig L. Come i�son �� /� Old 5th Investments. LLC Applicant Print Name Appl' ignature Date Permit Technician Signature (or)Notary Signature Date Applicant is( )personally known to me or p�oduced as idehtification. (type of identification) Page 2 of 3 �� Qs � , , PR � G�� `,O• o%,'p , �RY1F P • y �� �� � , ',� ', � � �,�� ...�.� ,�a'���-�' c�� aa LE �� ��o����� �,.,�<� ,� � , � GEND �E����, i �ag�9� lF� � �' ��A� REMOVE E%ISTING � § `�� I _�� A ��•E 65�� ' �` � �y� w�iri coNCRe��E 5 ' "" REMOVE EXISTING PAVEMENT �,$p �� / ASPHALT CONCRETE g 5 ( / ) REMOVE EXISTING N 6 ��''�, i� \ �� � � CONCRETE PAVERS " Z n (��� � ,` ' TIE INTO EXISTING ? 2 � . ' ''Z�� �. ' ` ASPHALT y � NW Corner ;'' _ ��•l{� �� �` ��'����\�` REPAIR/SEALCOAT EXISTING � � LOT 8 2g � � , ` , �:,..; `\\�:. ASPHALT Z ¢ � �osty�\`l �.t �� `(�, -,_, ���� � �v o+ :\.• �,\. �: w� � , ' � � ,, C.n�'. 'i ; ��:,c. o• �Wa. W �" � 1, �' ,!��(1�T,IN6 t±ONC. � ' . z w � .� 1-1 1 «..-. _ _�.� `.Gi�IVEWAY "' � •� .. Y� , o � ' r�--°��� - ''., � ',s " � .� PROPOSED CONCRETE �d s y �Not �' . - i ���1. I �, Z � I � lncluded � i: _ . -.i',L, , • ` �, � � i �. - , � i � r,- �Cc+rc -- \`'�s: l� ` � y '� .��c: =f1� , °f_ o � ��� a � i. V4 ❑ .:1: � ' y � \\ O � w II� g •� '`, - z� �--�-"�_' ,�.-�;.;.JI'.i_� ,•.j'.... '�'� �'_�1� �' tli� �(n . p , f 6 i, '� CONSTRUCT H.C. �`�- IR6CONSTRUCT P'an-?r\�p. � •�� � � � � ' RAMP N1TH 1:12 N --CONCREYE�LANDING � i - � w � 'i e �� SLOPE ,�� , � � _ __ `�,� _ � EXISTING HANDICAP PARKING CONDITIONS " ° �, � .-�o � -- \ o y O� ',_� _. _ .__--�.�.�'�..pr.r. �J J ' � �, � � :��_-a+---° 12J2' �y-i:��v �'� � . `, ._ �� �� � � i � � �' • •\� � Fn-rv REMOVE AND , -" "- Y� ..�i � �� � REPLACE EXISTING \ `� �n1Y$�$�9 �i e ���'������ � �, CONCRETE ENTRY � 1� �' � .,.,�5;� • �b�� � ��'� EXISTING HANDICAP � n� . . �c, ,:� �,• " '' SIGN (TO BE - --' � 5 s y �':.�\: � , ;��, RELOCATED) ' ' ",. REINSTALL H.0. SIGN , ��S�\\ �+ •�`- '' � ----- � - �. , � n� , ' 5.,.7.� f�,�, � '��f.l., ' -- # w �'� EXISTING ASPHALT a � EXISTIN6 CONC. ,o� � ,__- . ' � r-- � 4 (TO REMAIN) '� � ,` :,�'�- �•� -- �- REMAIN s n ----�-- - .'-`. ' 39 ) , S 31 51 49 W 500 ( ) _ 12.12� TO ( ~_�' •i` � g € ------- .r `5�86'�C:, :•W`, 85. F . � F r', _ -. -- � g RE�NSTALL CONCRETE' - � � ���t',' 2 ' '�. .. \� �. .'i.l. _ _ _- - �- � tl WHEELSTOPS ' - - - -- \�```,`,� '-- ----- � ... 4g 6 �, � € - -�'-- -'--��ri� 4:..' h ;'.. :�:..or� � � , � �a RE-STRIPE ':1 �y ';j+ N PARKING AREA �,.� '°--_--"_ � € INSTALL H.C. SYMBOL O LD 5TH AVEN U E EXISTING ASPHALT _--__—__ _ _ •-" —�, ., 4 (TO REMAIN) '•��',' ''' " � APPLY A SEAL REMOVE CONCRETE � _.. . � � —s--`- --�--�-�-----�----- �- ---� COAT TO EXISTING NMEELSTOPS , --.----_-- § ASPHALT (TO BE RELOCATED AND - � . . _.- ---'-" '- 44 .� Y _ _RElNS7ALLEDJ � HANDCAPxMARKWG g� � � ° E OLD 5TH AVENUE g � � - -.-- -�-- -- �.,� { --------- - -'-''-' -�_;-,_ �„ ��� orm> d � s�t xtu�n ' C0� / I � I �- ���E �LU 1���[.l�� � �:�-N ST.�IJ�T l���l LL� '� ��� o �926�lIRPORT RD ZEPHYRHILLS,FL 33�42 PH#Si3-7S2-2616 FA�#S13 7S3—I804 - �'(�.�� o��� d -� . _�,�,� ���`� . � �� �ti� � ����� `itie� C..���r�� , � �(.,(/l4 ( �I u rn � 1 �IL2f�-�` 9 p�(yYl 1�1_5 � � ��G.(�'� � S 1 c�h �r 1�i�� c,t� l � � ( I �Y C�-�( � .—� ����s ��� � - .S- � � ^"l � � � �-�'3� j �f - 3� i �— � �a^ ���J``� _ c� � CD N rh'r�LTG i� . S��hed. `-Hn�s o�.�`� � �u-�ne! a�(� b �.i C�t,r Cla,� �t y � � S��.a-�e.�. `���a' Q-_ ` "� � 1� �.a- l � � 5 ,p� Notery PuWic Sinte of Florida ;F Marc.la A Comelison � My Commission FF 034267 ��n� E�cpins08/1112017 � srsaao-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 - Building Department Date Received Phone Contact for Permitting — Owner's Name Craig Cornelison Owner Phone Number 813-788-7835 oW�ers aaa�ess 4445 Green Pond Road, Polk Clty FL 33 68 owner Pnone Number Fee Simple Titleholder Name Old 5th Investments, LLC Owner Phone Number Fee Simple Titleholder Address 4445 Green Pond Road, Polk Clty FL 33868 JOB ADDRESS 38039 Old 5th Avenue, Zephyrhills, FL 33542 � LOT# SUBDIVISION PARCEL ID# 11-26-21-0010-159-00-0060 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e NEW CONSTR e ADD/ALT � SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM � OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL � DESCRIPTION OF WORK Remove replace existing asphalt driveway and noncompliant ADA ramp BUILDING SIZE SQ FOOTAGE� HEIGHT �BUILDING $ ���O VALUATION OF TOTAL CONSTRUCTION QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. OPLUMBING $ �� ��� „p�� (�- ���, QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ���a.�r��]/��,{J,� � r v"�4% QGAS Q ROOFING Q SPECIALTY � OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO 1111111111111111111111111111111111111111111111111111111111111111111 BUILDER ._ �F '� J� COMPANY SIGNATURE l(� � REGISTERED / N FEE CURRE� Y/N Address License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N Address License# . . . . . . . . . . . . . . . RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)'set of Energy Forms;R-O-W Permit for new construction, Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster;Site Work Pertnit for subdivisions/large projects COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, _ Sanitary Facilities&1 dumpster Site Work Permit for all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. *"'PROPERTY SURVEY required for all NEW construction. Directions: Fill out application completely. Owner 8 Contractor sign back of application,notarized If over$2500,a Notice of Commencement is required. (AIC upgrades over$7500) " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) Driveways-Not over Counter if on public roadways..needs ROW NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed" restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. 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 Pasco County Building Inspection Division—Licensing Section at 727-847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and 90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended): If valuation of work is$2,500.00 or more, I certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the"owner', I certify 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. 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. Application 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, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other government 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 Protection-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. - US Environmental Protection Agency-Asbestos abatement. - Federal Aviation Authority-Runways. I understand that the following restrictions apply to the use of fill: - Use of fill is not allowed in Flood Zone"V" unless expressly permitted. - If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a , "compensating volume" will be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. - If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall construction, I certify that fill will be used only to fill the area within the stem wall. - If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating the conditions of the building permit issued under the attached permit application, for lots less than one (1) acre which are elevated by fill, an engineered drainage plan is required. If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. 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 codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by the permit is suspended or abandoned for a period of six(6)months after the time the work is commenced. An extension may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate justifiable cause for the extension. If work ceases for ninety(90)consecutive days,the job is 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 ATT EY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT(F.S.117.03) OWf3ER OR AGENTCrai Ff1 CONTRACTOR Subscribed and sworn to(or affirm ore me this Subscribed and sworn to(or affirmed)before me this by by Who is/are personally known to me or has/have produced Who Is/are personally known to me or has/have produced as ldentification. as identification. G'/'`+ Nota Public Notary Public ry ,.�����„ Co . J Commission No. =*� �:.� Commission#FF 137073 :;: �o:= N e '� tyQas�ftt�Lif1 . �' � Name of Notary typed,printed or stamped surence 7019 i