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Home My WebLink About15-16077� ' CITY OF ZEPHYRHILLS ' II 5335-8TH STREET �� (813)780-0020 16 7 DRIVEWAY PERMIT PERMIT INFORMATION - - - LOCATION INFORMATION Permit Number: 16077 Address: 5011 9TH ST HISTORIC 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: 11-26-21-0010-21100-0100 Improv. Cost: 1,800.00 OWNER INFORMATION Date Issued: 3/10/2015 Name: NAVARRO DANIEL & JENNIFER F Total Fees: 40.00 Address: 5011 9TH ST HISTORIC Amount Paid: 40:00 ZEPHYRHILLS, FL. 33542 Date Paid: 3/10/2015 Phone: . (813)629-0094 Work Desc: DRIVEWAY � � Z z �a/<w CONTRACTOR S - APPLICATION FEES � HOMEOWNER DRIVEWAY 40.00 � � � Ins ections Re uired � DR VEWAY FINAL REINSPECTION FEES: Reinspection fees will 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. i NOTICE: In addition to the re uirements of this ermit, there ma be additional restrictions a licable to this ro e that I� q P Y pP P P �Y 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 properly. If you intend to obtain financing,consult with your lender or an attorney before recording your notice of commencement." RACTOR PERMIT OFFI P MIT EXPI S IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 0t3�tOU'VVGV Gity of Zephyrhills Permit Application Fax813-�so-ooa� Building Department i i Date Raceiv�d � phone Cantact for Permittin Owner's Name �' ��,�yj �( �`��'� Owner Phone Number �r��'� t ��a�� Owner's Address �� !� �� e Y�NI(s 33� Owner Phona Number �� /��'�� Fee Simpie Titfehatder Name �!� � � Owner Phone Number ,",_ Fee Simple 3itlehotdar Address JOB ADDRESS ��1 ! � l�c C � v ��'jr ►'1 , 3�� LOT# �� SUBDIVISION �— � PARCEL ID# —'2��, ��`�� '�f r�c� " 61't�D 'i {OBTAINED FROM PROPERTY TAX NOTICE) ', WOftK PROPOSED e NEW CONSTR 8 ADD/ALT [_� SIGN Q Q DEMOLtSH ' INSTAtL REPAIR PROPOSED USE Q SFR Q COMM �� OTHER 7YPE OF CONSTRUCTiON Q BLOCK Q FRAME � STEEL Q ' DESCRIPTION OF WORK �c�v-��V r w�"1. BUILDING SIZE �r � SQ FOOTAGE�� HEIGHT �� - C��' $ ��'a � VALUATION OF TOTAI CONSTF2UCTION ' C]ELEC7R{GAL ($ — � AMP SERVICE �,] PROGRESS ENERGY [� W.R.E.C. � QPLUMBING �� b�� MECHANICAL $ VALUATIQN OF MECHANICAI.INSTALLATI4N OGAS Q ROOFING [� SPECIALTY �] OTHER FINISHED FLOOft EtEVATiONS �_y� FIOOD ZONE AREA QYES NO BUlI.DER COMPANY �t�� /11 GL LlR Y t� [? SIGNATURE RECa1S7ERED Y/ N h��cuftaen Y/N Address License# � � ELEC7RICIAN COMPANY SlGNATURE REGtSTERED Y/ N FEE CURRE� Y/N Address License# �� PLUMBER � COMPANY SIGNATURE REGiSTERED Y! N �cuRRe� Y!N Address License# �— � MECHANICAL COMPANY' SIGNATURE REGISTERED Y f N FEE CURRE� Y J iV ,_,�,_,,_,�_,_,_,_,, Address Lioense# �� i` � 07HER COMPANY S1GNA7URE REGISTERED Y i Ri FEE CURRER Y/N .., ,_.._.., Address Liaense# �' i � RESIDENTIAL Aftacfi(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W PermEt for new constrvctio�, Minlmum ten(10}working days aRer submittal date. Required onsita,Gonstruction Plans,Stormwater Plans wt Stit Fence instaited, Sanitary Facillties&1 dumpster;Site Work Permit for subdivisionsAarge pro�eats CdMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permft for new construcHon. Minimum ten(10a worktng days aftar submittal date. Required onslte,Gonstruction Plans,Stormwater Plans w!Sitt Fence fnstatied, Sanitary Facilities&1 dumpster.Stte Work Permit for aU new pro]ects.All commsrcial requlremertts must meet camptfance S�GN PERMMT Attach{2)sets of Engfneered Plans. - •"'PROPERTY SURVEY required for a!I NEW constn�ction. DTrections: Fitl out apptication completely. Owner&Contractor stgn back of appllcation,notarized If over�25Q0.a Notice of Cammencgment is requlred. {NC upgradss over 57500) " qgent(far the contractor}or Power of Attomey(for the owner}would be someone with�otarized letter from owner authorizing same , ._;, _., DVER THE COUNTER PERMITTlNG {FroM af Appiication Oniy} `' , K " ..' ' . Raroofs ff shingles Sewers Service Upgrades A!C :, °Fences,(PIaUSurveylFaotage} �. - . _. .�i 3 ; �. � � Qrlveways-Not over Counter If on publfc roadways.:needs t20W y . -. ; ^ . J...", 5�,4 , ..,, , .._ F�•,u �OTICE OF DEED RESTRICTIONS: The underslgned under.stands that this.p�cmit.may.be subJect to"deed" restrictions"�w vhlch may be.more restrictive:than County.regulatlons. �The underslgned assumes responsibility for compllance with any ipplicable deed restrictions. 1NLICENSED CONTRACTORS AP1D- CONTRACTOR RESPONSIBILITIES: If the owner has h(red a contractor or ;ontractors to undertake work, they may be required..to be:l(censed in accordance.with state.and•Iocal regulations. If the :ontractor is not licensed as required�by law, both the owner and contractor may be�cited for a misdemeanor violation inder state law. If the owner or intended contractor are uncertaln as to what Iicensing.requirements may apply for the ntended work, they are advised to contact the.Pasco County Building Inspectton Divtsion—Licensing Section at 727-847- 1009. Fu�thermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign �ortions of the "contractor Block° of thls application for which they wiil be responsible. if you� as.the owner sfgn as the ;ont�actor, that may be an indication that he Is not.properly licensed and Is not entitled to permitting privfleges fn Pasco �ounty. �RANSPORTATION-IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY�FEES: The undersigned understands hat Transportation Impact Fees and.Recourse Recove.ry.Fees may�apply�to.the construction of new buildings, change of ise in existing buildings, or.expans(on of existing'buildings, as specifled in Pasco County Ordinance number 89-07 and �0-07, as amended. The undersigned also understands, that such fees, as;may°be due,;wlll be identified at the time of �ermitting. It is iurther understood that Transportation Impact Fees and'Resource Recovery Fees must be paid prior to , •eceEVing a "certificate of occupancy" or flna{ power. release. :If the project,does not involve a certificate of occupancy or I �inal power release, the fees must be patd prior to permit issuance. Furthermore, ff:Pasco County Water/Sewer.Impact `ees are due, they must be-pald prlor to permit issuance-In accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW(Chapter 713� Florlda Statutes�as amended): If valuation of work is$2,500.00 or more, I �ertify that I, the applicant, have.been provlded w►ith a copy of the "Florida Construction Lien Law—Homeowner's Protectio� Guide" prepared by the Flor(da Department of Agric.ulture and Consumer Affairs. If the applicant is someone �ther than the"owne�', 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'S10WNER'S AFFIDAVIT: I cert;fy.that all the information in this.application is accurate and that all work will�be done in compliance with all_applicable laws regulating construction, zonfng and land development. Application is hereby made, to obtain .a permit to do_work. and installation as indicafed.. I certify that no work or Installation has commenced prior to fssuance of a permit and that.all work will be perFormed to meet standards of all laws �egulaking- construction, 'County and City codes, zoning regulations, and land development regulations-in the jurisdtction. I also ,certify that I u�derstand 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.,tn:.compliance. Such agencles include_but are.not limited to: - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,Water/Wastewater Treatment. � - Southwest Florida Wate� Management- District-Wells, Cypress. Bayheads; Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. � - Department of Health & Rehabilitative Services/Environmenfal Health Unit-Wells, Wastewater Treatment, ' Septtc Tanks. _ � - US Ernironmental Protection Agency-Asbestos abatement. - Federal Aviation Authority-Runways. ' I understand that the following,restNctions apply to the use of flIL•� - 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- (s understood that a drainage plan addressing a °compensating volume" wiil be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. - If,the fill material fs�to be used in Flood Zone "A" in�connectfon with.a permitted building using stem wall � construction, I certify that fill�.wlll:be used oniy.to.fill the area within the stem wall. - If'fill material is to be used in any area, 1 certify that use of such fill will not adversely affect adjacent properties. If use of flll is found to adversely:affect ad)acent�properties, the owne� may be c(ted for viofating th'e conditions of the building.permit issued under the attacfied permit application, for lots less than one (1) acre which are elevated by flll, an engtneered drainage.plan is required. , ff I am the AGENT FOR THE OWNER, I�promise in good fatth to inform the ownerof the permitting conditions set forth in this affidavit�prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbfng, signs, wells, pools, air cond(tioning,.gas, or other installations not specifically included-in the application. .A permit issued shall be constcued 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 Bulldfrig O#ficia!f�om thereafter 'I requiring a correction nf errors In.plans, construction or violations of any codes. Every permlt issued shalF become invalid I 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(8)months aftec the time the work is commenced. An extension may be reque'sted, in writing, from the Building,Officfal for a perfod not to.exceed ninety(90) days and will demonstrate '� justifiable cause for the extension�. If work ceases;for ninety(90)consecutive days,.th�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�PR�OPERTY. IF YO.U�INTEND'TO`OBTAIPI•FINANCING��CONSULT WITH OUR LENDE O AN A'�TORNEY� FORE�.RECO �DI G� OUR � C 'O � E CEMENT: FLORIDA JURAT�(F.S.1 T. - - —- OWNER OR AGENT � CONTRACTO Subscribed and swom r aHl ed)before me is Subscribed and'swom to(or a ed)�before m ts by �bY � Who is/are personally knovm to me or haslhave produced Who Is/are personally known to me or has/t�ave produced • as Identlflcatlon. as Idendflca0on. � , Notary Publtc _ � Notary Public Com s on ,,,�, Commis o o.��. -��'' °�= ' � �� :� Commissiori#FF 137073 :.: :,,= Commission#FF 137073 - Na o(Nota� � „p,,,,,,., �s�na�dnwrmyFdnlneurence806385�7019 Namevf o ry,,,, ,,,'pri N � �ren�aeoo.�e5aots I , y��^,F �w��i r`f5-�:. .uvmbn\ti-y PERMIT APPLICATION ;`'h'"`"`�� :;�.< i ( I DRIVEWAY PERMIT APPLICATI4N � CQNSTRUCTICIN INITHIN PUBLTC RIGMT-CiF-WAY Ali information must be filled-in completely Cit�r af Zephyrhills 5335 8"'Street, Zephyrhills, FL 33542 ( Telephane 813.780.00Q0 Fax 813J80.04Q5 Date.of appiicatian: � � � � Pracessed By:,;,;1: � ' - ., ,.Permit�#:` `� " •� . •�. ` • - . �'�''��5:. , , .. , - ` ,:, .. ' , , (g�yaseafof'staffu n!y) � �,`' , .:��-`. � ., _:, . .. . ; � � K[,(Gopy;to'Buifding,Departmerit.� . ..�`'- � ��Gopy�to=Fu6lic�.uVork's � � � PRQ�ECT/3 B SITE: PROP RTY O ER Address: Name: � Address: D! Unit: � ParcelIdentification Umber: Ci State i � �- 5 •t - �. Phone I Fax: � � �� CONTRACTOR: Com an : N Name: l . 0.V � l'� Cantractor's License #: /ac� E-Mail; �(lGV- • p � ( . Phone: i 2,. - �4 Ce11: 3 9 7-2a� Fax: ARCHITECTJENGINEER: �� Name: Firm Name: Address: City: State: Zip: State�icense #: Phone: Ce31: Fax: Description of Proieck r 't'XPE QF DRIVEWAY �� LENGTFi OF DRNEWAY CULVERTS NEEDED �RESIDENIIAL DRNEWAY 2_�WIdTH OF DRNEWAY ( )REINFORCED CONCRE?E COMMERCIAL DRIYEWAY R.O.W. EXCAYATIO(�i ( )CORRUGATED MATEF2IAL PUBLIC ACCESS DRNEWAY DEPTH LINEAR FEET ( )BOX CULVERT ( )OTHER(IXPLAIN) CO[dSTRUCi`ION MATEitIA� CURB CUT REOtJIRED A�,$PHALT YE$ ,�NO _�CONCREfE HEADWALL REOUIRED? YES _�NO � NOTICE TO APP�.ICANT: If actua!wark exceeds scope of this description,additianal permits ar drawings , ; ; witl be required. ` ' ' 4 UTILI'i'Y LOCATIONS REQUIRED: CALl.BEFORE YOU DIG: 1.80Q.432.4770 � 1 � .< s � ; Page 1 of 3 t � . ,.PERMfT AP.PLICATION UTILITIES LOCATE CONFIRMATION NUMBER: PROVIDE SKETCH IN THIS AREA, IF ADDITIONAL SPACE IS REQUIRED, ATTACH TO THIS APPLICATION. s �i f( ' � �� ' czv...e��..�� o �.m s � `� s 1�-o V`� ! � � � � $ j � � - �er � � j , ; � �� .�__ � �w � ' � � � ��C'� i �E ��i' ar ; �, � � _,: __� _�__� � � r ��r � � { ` � � ►��Vi� �� IC � � ��gE� �cP41JS�DN �0�N� . .'�� . ��i/�/Ul/�_ I ' ; Az �� o�P�ty�� -� °� _, - � i l 3'x� � �� r' . , � � `� ( � T��4v6UGae Fu4d� ' `' 2 Z I ��.,_.�-.,,.�,.,..,.�.. � .r�'4a z�,4.S�p�S> :.�..�.�..,..�_:-.�. - _ j ._._....��___._..d��- �_._._��-��`�T�..�.P..._.__ .�..�� b AFFIDAVIT: Application is hereby made to obtain a permit to do work and installations as indicated. I certify that all foregoing information 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 verification that I will notify the property owner of Florida Lien Law req., F.S. 713. The issuance of this permit does not ensure compliance with deed restrictions and I understand that additional deed restrictions may apply to this property. All work shall comply with the current Florida Building Code, Public Works Design Manual and FDOT Design Standards (if applicable). (Public Works Design Manual online link: www.ci.zephyrhills.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 conveyance. PROPERTY OWNERS: By signing this application: I certify that I have read and understand the owner/builder disclosure statement. (please initial) Applicant Print Name Applicant Signature Date � Permit Technician Signature (or) Notary Signature Date � Applicant is( ) personally known to me or produced as identification. l ; (type of identification) � Page 2 of 3 l � � , l 1 I 6 °=PERMIT APPLICATION OFFICE USE ONLY " ' PUBLIC WORKS USE.ONLY ' ` � Concrete (min. 6'� Y N i Asphalt Base(min. 6'� Y N I � Asphalt(min. 1�/z'� Y N � Length (min. 19� Y N i I Width (10'min —20'max) Y N �a � � ��I I� Existing sidewalk. Y N I New sidewalk. Y N ADA compliant. Y N ,� Expansion material required. Y N Contiguous parking pad. Y N Triangular flare (31N x 7'L) Y N Visibility triangle o.k.? Y N Side set back(3'min. R.O.W.) Y N Plan Review Fee Additional descri tion of work as defined b Public Works Director and or desi nee: � a� T�ei �uG vc � .�'X 7 S/�£S ' � ��sP s/Z�V �NT T E !�� 1 Permit application approved by: Date: M 21 S Page 3 of 3 � � � : � ' �ISCLOStJRE S2°.�►TEMENT .E'OR C7L�TI�R CITX OF ZEBFiXRFiZTjLS HUILDING DEPARTMENT ±�',,t I, � �v��Q.,-� r�(�aJ'c��'�� have read ax�d fu31y und�rstand and agsee �ta the pro�risicas o£ �tha.s instrument. .The undersigzied .states and af�'�.rms tha� he or. she is desirous of canstsucti�ag, resxovat�.ag, adding to or xerociing his ar her awn do�a.icile, that he or she actually occupies, ox wi11 occupy by sai.d domica:le, and same is sxot foz •rent, lease or sa1e. Tha� he ar she sha11 compZy wi-th the follow�,'sag cana.itions: 4 1. That the os�mer and_he or s7ae alone sha11. ac� as -�.he builder far all phases af cons#-sractian. . 2. Tha� the owner will caucply with al1 provisioas a� �the City of Zephyrhills i ordixsances azid codes perti.szeat to t"i�e building. , 3. That in the event various phases of ccnstruction are suboantsacted, he wi11 eagage axxl.y •prop�sly 1.icesised subcontractors and will persQnal�y superva.se � such .work. 4. Tha~t in �he event the Huilding 2nspecta� shall re�+,;ze co�crecti.ons to be made, th� ownes will assum� fu1Z responsibility to irssure •they aze made, aad upan co�apletion will calZ f'or a reissspection before proceeding with the building. 5. That the ovmes sha11 ass�ote fu11 responsibility for the coxistruc�.�a and wi1.1 nat expect_ sup�sv=.siozi af his work frcm the Ci�y' .o� Zephysh-i11s Bus.ldin�g " Departm�stt. 5. R*�sa� priar to fira�l inspeatian aay acidi�.i.anal fees, z.r�cludsng reinspectian fees, must be pai.d in -fu11. A wri�ten �equest fzom this office sha1l constitute asi oft'icial notice to pay aclditioxaal �'ees.. _ 7. fihat the own�r shaZ1 camp2y wi#:h a21 Cit.y, 3tate and �'edes'as3 Za.ws �..n regard to soca.al secar,3,.ty, workman's compensation, liexr la�as, etc. , where applicable. , B. 2�hat the owner shs11 compZy wi�h aZl the sa£e.ty codaS issued by the F1�orida Industsial Gammi.ssion. ; 9. State 1aw requires construction to ]ae dane by lic+ensed centractors. You have appliei3 �or a permit umder an esce�gtian to t�at law. �'he �emption alla+ws you, as the awaex� of your prop�sty, to act as your owa cont=sactor vrith certaia restsic�.cns even though you do not h�v� a la.ce�sse. You must .pravide d3rec� onsite supexvisiox7. of the cons�truction yovrself. You may build or improve a oae--fami.ly or two-family resideaae ar a fasm outbuildiag. 1*au may also build Qr 3.mprave a commercial bv,�.,Iding, psovided your costs do zaot e.acoeed $2�,OOD. , The bui].ding or resid�ce•must be �ar yavr ovm use or occupancy. .It may not b� bui3t or substa.ati.aS2� i�aproved for sale or lease. If yau sel:l or 3+ease a bvilding you have built or substan�.ally imFaSCOVed yoursel� within 1 yeas after the anns#-suc�.i.aa a.s acampl�te, �he 3aar w:il1 pxesivae•t�at you bzu.lt or su�st�rit3.al.Zy impsoved •if for sale ar leaser which is 'a violation of this EX�:mptioxi. Xou may not hire an unli.cen�ed pe.rson to act a's yovs ec�nntractor or to sup�svise people mczking an your bui3.ding. I� is your responsibility to make sure that people c�mplayed by you have licenses rec�,;zed by state law arscl by courity or municipal licensing ordinaaaes. Yau may not de3egate the , responsibility f'ox supervisiag work to a licexised contt-aa'tor who is not. licesised to perfosm th�e work b�a.ug donE.. Ax�.y p�son workisig osx yotzt ba3.�.ldizig wha is aat lio�sad mss.st wor3� ss�cl�s you:� c3i�ect supervision azid must be P�ployed by you, which meax�.s that ycru must deduc�. F.I,C.A. and vrith'tiold3.xig t�ax , and prov�.de wor7cers' aa�sation for that eacpZoye�, a13 as p=esetib�d by 2aw. Yous� construation mus�k comply with a11 appla.cable laws, ordiz�sices, building codes, axzd zana.ng re 'oas. OWNER'S SIGt17�TURE r DA'1'E ` D "' (v ADDRESS �P 1 �'�" r �j� PHONE W2�'2HEBS � ' PERM�T # ��(?��