HomeMy WebLinkAbout16-17677 I
, „ CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 17677
BUILDING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit wumber: 17677 Address: 39209 7TH AVE
Permit Type: SLAB PERMIT ZEPHYRHILLS, FL.
Class vf Work: SLAB Township: Range: Book:
Propos�d Use: NOT APPLICABLE Lot(s): Block: Section:
Squa�e Feet: Subdivision: YINGLING ADDITION
Es�. Value: Parcel Number: 12-26-21-002A-01300-0020
Imprav. Cost: 7,500.00 OWNER INFORMATION
Date Issued: 8/26/2016 Name: OBERHOLTZER, WILLIAM
Total Fees: 112.50 Address: 39209 7TH AVE
Amo�nt Paid: 112.50 ZEPHYRHILLS, FL. 33542
Date Paid: 8/26/2016 Phone: (813)505-0645
Work Desc: SLAB 33 X 20 GARAGE PAD & DW 23 X 26
CONTRACTOR S APPLICATION FEES
PAUL D SCHAPER CONSTRUCTION INC BUILDING FEE 112.50
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Ins ections Re uired
FOOTER
SLAB �
FINAL �
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there maybe 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.
"Wa�ning 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 Must Accompany Application. All work shall be performed in accordance with
Ci Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
d
_ �
ONTRA OR SIGNATURE PERMIT OFFI R
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
Contrac or/Homeowner: ��/ �� ��7���
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Date Received: �� ���� •
Site: � 9__2� � f�J'�
Permit ype: (�I�� U ���
Approved w/no comments:❑ Approved w/the below comments: Denied w/the below comments: ❑
U` c� � � j/�t��i�� D 7" � �C
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This co ent sheet shall be kept with'the permit and/or plans.
,
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Kalvin S�vi� er 1 Examiner Date ontractor andlor omeowner
(Required when comments are present)
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' • ' '813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
, euilding Department
DateReceived �� 1� phoneContactforPermitting � -- �`
-rr�-rrr -----rri r� - I
Owner's Name { e,� � Owner Phone Num6er
Owner's Address �a�{ 1"'TCYe Owner Phone Number
i Fee Simple Titieholder Name Owner Phone Numher
Fee Simple Titleholder Address
J08ADDRESS �� ��-hAve L L�Yh�1 f�. 3vJ � LOT# �
SUBDIVISION PARCELID# I�"��Q.��l—�J2�- d�3�-'I.LJZ�
(OBTAINEO FROM PROPERN TAX NOTICE)
WORK PROPOSED � NEW CONS7R B ADD/ALT � SIGN Q � DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM � OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK ��O�ncre�e � la " ��,X � � �`�-�X2�1 ^ G!/fGi
, BUILDING SIZE SQ FOOTAGE� HEIGHT
�BUILDING $�C�y-�� VALUATION OF TOTAL CONSTRUCTION
J v�J
DELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C.
�PLUMBING $ � /�/ ^�
i ;n �
�MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �l
QGAS Q ROOFING Q SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA �YES NO
BUILDER �� S COMPANY `l.� I Yl�lUn I n
SIGNATURE � REGISTERED N FEECURRE� N
Address a-1-\�-�2� IJ��.�-c(�nl,`Yh1�1S r� l� License# L, v.�9 ��
ELECTRICIAN COMPANY
� SIGNATURE REGISTERED Y 1 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 CURREA Y/N
Address License#
1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Fortns;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(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-0-W Permit for new construction.
Minimum ten(10)working days after suhmittal date. Required onsi[e,Construction Plans,Stortnwater 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)seLs of Engineered Plans.
""PROPERTY SURVEY required for all NEW construction.
� Directions:•
Fill oul application completely.
Owner&Contractor sign back of application,notarized
If over 52500,a Notice of Commencement Is required. (AIC upgrades over$7500)
" Agent(for the conVactor)or Power of Attorhey(for the owner)would be someone with notarized letter from owner aulhorizing same
OVER THE COUNTER PERMITTING (copy of conVact required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(PIotlSurvey/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"contrector 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"owne�',I certify that I have obtained a copy of the above described document and promise in good fa�th to
deliver it to the"owne�'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 ali 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 nol limited to.
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,Water/1Nastewater 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 ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S.1 \,
� I
OWNER OR AGENT � CONTRACTOR
Subscribed and swom to(or affirm .before me Ihis Subscribed and sworn[o(or u ed)befqre me this
� �o � r a � .,
Wh isl re rsona known o me or has/have produced Who is/a personally kn wn to me or has/have produced
as identification. as identification.
��� 1�19W V�.t'�1"'l. YUL�Jv��urary Public � 1�/l• lJ�-�---� Notary Public
Co mission No. Commission No. � G 3 S 1
�� o t d rinted or stam ed Name of No 'nte r
'_ ���Y CPOMIMISSIOPrI�1 F;236573 �,�•� �'�`P��IN M ROBINSON '
':,,���.�,,•� EXPIRES June 02,2019 '" MY COMMISSION si Fr236573
,�a;�xc.c,�3 FkMitl.rVu:a�y5u•.r«.��„ �-.;�o, EXPIRES June 02,2019
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2016129031 �
� ' NOTICE OF COMMENCEMENT � �
State of FLORIDA County of PASCO
Property Identification No: 12-26-21-002A-01300-0020
TH�U..NDERSIGNED here.by gives notiae.that improv.ement.will be.made.to.c.eztain.real pzoperty,and in
accordance with Section 713 of the Florida State Statutes,the following information is provided in this Notice of
Commencement:
1. Description of property(legal description): •
YINGLING'S ADDITION TO ZEPHYRHILLS PB 2 PG 16 SOUTH 160 FT OF TRACT 13 LESS o�o c�i►n
EAST 109 FT THEREOF OR 7482 PG 11250R 7845 PG 638 � �
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o�m..
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Street Address 39209 7`h Avenue Zephyrhills,FL 33542 �m�
2. General Description of Improvement:Concrete Driveway and Concrete Garage Pad � m
3.Owner Information or Lessee information if the Lessee contracted for the improvement m �-'
a)Name and address: William Oberoltzer 39209 7th Avenue Zephyrhills, FL 33542 3��
b)Name and address of fee simple titleholdec(if other than owner):N/A o m n
c)Interest in property:Owner �m,�
� �m
4.Contractor: Paul Schaper, 8949 Gall Blvd.,Zephyrhills,FL 33541—Ph:(813)782-0920,Fax:(813)715-4875 � m
5. Surety: Bauer&Associates, ]2210 Highway 301 N.,Dade City,FL 33525-$5,000 bond �
x
6. Lender: Name/Address: N/A
7. Identity of person within the State of Florida designated by owncr upon whom notices or other documents may
be served as provided by Section 713.13(1)(a)(7),Florida Statures: :
a) Name and address: N/A
b) Telephone No.: Fax No.
(opt)
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8. In addition-to�himself,�owner designates the following person�to-receive a copy of the Lienor's Notice as �°�°�
provided in Section 713.13(1)(b),Florida Statutes: 70�N
Paul Schaper,8949 Gall Blvd,Zephyrhills,FL 3354: —Ph:(813)782-0920—Fax: (813)715-4875 �N o
�z
9. Expiration date of Notice of Commencement(ti�e expiration date is one year from the date of recording unless a �°'�
different date is specified): �w 7
�N o
WARNING TO OWNER: ANY PAYNIENTS NIADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF ��n
COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART I,SECTION 713.13,FLORIDA' , 3 0
STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.A NOTICE OF �
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION.IF YOU �r'm
INTEND TO OBTAIN FINANCING,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR �
RECORDING YOUR NOTICE OF COMMENCEMENT. �N�,c�
STATE OF FLORIDA �~3
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COUNTY OF PASCO w '-'
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Signature o ner or wner's Autho ' ed OfficerlDirectodPartner/Manager A
X (r�'�LL,Z'� a�3 �L��{
Print Name
The foregoing instrument was acknowledged before me this g day of I�LczvS�i' ,20�,by '
�rJiu�od.,� �B�t�-to►.-'1ZXL.as pWN�., (type of authority,e.g.officer,trustee, �
attorney in fact)for �U.�AM F�.1�loV'f'�£� (name of party on behalf of whom instrument
was executed).
�-�t����= �---�_
Personally Known OR Produced Identification C Notary Signa� �
Type of Identification Produced FL ���5 i.ic.�E
� KIY6ERLY J.REESE
��� �:
?�.!„'Y'`' AAV COMI�{tSStON 1�FF939131
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E%P1RES NovarriGer 29,2019
{10T1�06�015� FbrlmMoarySancO.tan
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���,�F U� F[_QRIDA, C�UN7Y OF PASCO �� e � A �'(o
THIS IS TCi CFf�TlFY THAT THE FOREGOING IS A � s�+
TRUE ANG�CORRECT CflPY OF THE DOCUMENT �l ' �"` '• •' �
ON FILE OF�8F PVQUG�'ECORD W THIS OFFICE � e �rnr���de�"15�' '
WITNES�,fVIY HAND AND FFICIAL EAL THIS � . s •., �
��DAY OF 2 L�� � � ��'` 'f"��
pAULA .OSNEIL,CLERKr COMPTROLL E R m���- �'"'� .�
• � , ��'�I � .
BY i ��� , �' DEPUTY CLERK c��a ����
'�°����� �
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� �,��,G ,SC�,��'�1�, Constructian,- inc.
� •� � 8949 Gall Boulevard, Zephyrhills, FI 33541
! PH: (8�13) 782-0920 & (352) 567-8580 Fax: �813),715-4875 _
STATE CERTIFIED BUILDING AND ROOFING CONTRACTOR #CB-0059817 and #CC-0058134
SERVING FLORIDA'S FINEST HOIVIES & BUSINESSES SINCE 1976
www.schaperconstruction.com .
�
� - CONSTRUCTION PROPOSAL
, Dat : August 8, 2016 Phone: 813-505-0645 Fax:
Na e: Bill and Kathy Oberholtzer Contact: wjoberholtzer@yahoo.com
Ad � ress: 39209 7th Ave
Cit� Zephyrhiils State Fl Zip 33542
We hereby propose to supply materials and labor as neees�ary to:
Re idence Concrete Drive and New Gara e Pad
• Engineering as Provided By Owner and Permitting Included
• Under Ground Research and "Call Before You Dig" Processes
• Remove Existing Organic Vegetation
• Relocate Mail box to Approved New Location
� � All Concrete Will Be 3000 Psi Residential Fibre Mesh Cement
o Edge and Finish to Light Broom Fi�r�sl�
• Cut or Trowel Control Joints at Standard Locations
• Remove Forms, Trash Removed,Rake Perimeter into Existing Grades �
1. Drive Pad 33' x 20' Widened and Thickened at City Right of Way I',
2. Garage Pad According to Engineering Provided by Bennett Building Systems I
a. 23' g 26' Finished Pad ' � '
b. Remove )Existing 12' x 33' Drive and Di�pose
c. Install Fill And Grade To Existing (Soci Ready)
TO L DRIVE PAD: $3,100.00 '
TOTAL G , .
DEMO EXISTING SLAB: $1,300.00 � _
COMPLETE PACKAGE: $7,500.00
In'ludes: Clean up of our work, supervision, all workers are fully covered bv Worker's
Co�n ensation and General Liabili Insurance. ,
Sc aper Construction Will Warrantee Our Workmanship And Basic Buildin�Materials For 1
Years(Manufactured P�-oducts And Fixtures Are Warranted By 1Vlanufacturers)(No Warranty
A�ailable For Fixed Glass) And Issue Any Manufacturers Warrantee On All Fixtures Effective
Frbm Installation Date,After Full Payment For All Work Or Services.
O erholter Slabs . Page� of 2
S .
� � � �� � �xE Constructi�n � Inc.
.� SC .� �2 ,
a Construction Proposal continued . . .
O r quote does not include: Surveys or As-Builts, Irrigation or Sod Work
OR ANY WORK NOT SPECIFICALLY MENTIONED ABOVE. ,
NO'�'E: OUR QUOTE DOES NOT INCLUDE CORRECTION OF ANY EXISTING
DE ICIENCIES, REPAIRS REQUIRED DUE TO HIDDEN DAMAGE, OR UPGRADES
RE UIRED BY GOVERNING AGENCIES.
ANY CHANGES OR ADDITIONAL WORK REQUESTED WILL REQUIRE A
WRITTEN AND SIGNED CHANGE ORDER.
• CHANGE ORDERS WILL BE PAID FQR IN FULL AT SIGNING.
T � TAL PRICE: � 7,500.00
TE S OF PAYMENT: 20% at Acceptance $1,500.00, 30% at lst Pour$2,250.00, 30% at Second
pour$2,250.00, Balance at Completion
(Price is valid for thirty(30)days)
I accept the above price and terms. You are au�horized to begin work,
SI NED:•� < Date:� 8-j�--��y,�
Owner or ner's Representative
SI NED: P�ul ��li�p�r ' I?at�; August $, 2Q 1�
Schaper Construction, Inc. Representative
Y U THE BUYER ACCORDING T'O FEDERAL LAW MAY CANCEL THIS
T NSACTION ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY
AF ER THE�DATE OF THIS TRANSACTION. EARNEST EXPENDITURES OCCURRED BY
T CONTRACTOR PRIOR TO CANCELLATION MAY BE DEDUCTED FROM MONEYS
T BE RETURNED TO THE BUYER.
y{'y_
Oberholter Slabs . Page 2 of2
., �ASE 1�AII,ANCHORAGE OPTIOlotS FOI�LO�V AND HIGH W�1D SPEEDS
ItdSTALL 1/2'x5' EXPANSIOY INSTP.LL t/2'x5' E%PA�lSION
' ' ' AtiCHOR THROl1GY. BASE RAIL P.NCHOR THR�UGH HASc RAIL
-W4/F O4 FIBERGLASS WITHIN 6' �F EACH WVF OR FIBERGLASS WITHIN 6' OF EACH
F[HERS PGST FIBERS POST '
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_ � � ` - � � � . < <� , f
� ., � GRADc ' '- . e GRALE
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— —� i - — ,— � =- --
'__'-_ ,� � - I �_ ,i
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N!N[NL'M 2 3/4' -"_ - � L — MINiMUM 2 3/5' —
EMBEDNEYT Q _ __ EFIB�D�!ENT i ' ` �` I I : -
RYPJ - I i. - - r ' (TYPJ _ _ � _� f :-
I — _'- -_ i_—' . I — __ __ —
?t�NCiLIT IC C�NCRETE F�OT[NG — - _ - MONOLITH?C CONCRETE FGOTING -, — I i
(3000 PS MW.) REINFORCE➢ — -- -- C3007 PS? MINJ REINFGRCE� �-
WtTH C2) K4's CGNT[hLJOUS --� VITH C�) KS's C�Yi[NJ�US - -T - -
�'-�" 5 S/8' I'-0' S 5/d'
CONCRETE M�N�LITHIC SLAB CDNCRETE SLAB BASE
3A BASE RAIL ANCH�RAGE 3B RAIL ANCHORAGE
SCALE: NTS SCP.LE NTS
1•tINI41UM ANCHt7R EDGE DISTP.NCE IS 6 3/4' hilNi�tUh1 P.NCH�7R EDGE DISTANCE IS 6 3/4'.
�EIiTEIgAL, IVO`I'ES
�
CONQRETE:
CO�VCRQTE SNALL HAVc A MINiP1UM SFECIFI�D C�M?�=SS1Vc 2• �aSH�ts
STRENC�TH ❑F 3,000 PSI AI 28 DAYS.
COVER ❑VER REINF�RCING STEEL: � e�i�� sie� nca��_r_� Fc<<
� TGP GF^ASPHPii iHRGUGH 'fHE BASE RAIL AND
F�R F[�UNDATI�7NS, MiUL�lU��1 CONCRET� COVER ❑VER REIN�GRCING ?av�M_r�r ee s_cua� ra Avcr,�a EYE VlTH
G�GUVD SU�-A�_ _� P I/Z' DiAkcTER THR7UGH 6�LT
BARS HP.LL B= PER ACI-3!B: ��L__ '
3 LVC ES IN F�U�VDATI�NS WHERE THE CGNCRETE IS CAST AGAINST y�u
AND P RMAN=NTLY. IN C�tiTACT WITH THE EP.RTH ❑R EX?DSED t❑ --- � --- --- ---- -- - -- --- -- __ _
THE E RTH OR WEATHER, AND 1 1/2 INCNES ELSEWHERt. =-:" ____ — -"- - --- — � -- -- — —
REI FORCING STEEL� -_- —_------, =_-- --__ ---=._=: -_--= _- _-_
THE TUR�D�W�,' R�INFpRCING STEEL SHALL B_ ASTM A615 GRA7E - - - `- '"-- '-- -'" -"'
6D. TH SLAB REIN��RCE�•1�NT SHALL H= WELDED WIRE FABRIC — -� - -- - ---- � _
h1EETi G ASTu A185 QR FIB�RGLASS FiB�R REINF�RCEM�NT � -- ' --. � � ---
REI F�RCEMENT MAY BE BENT IN THE
SHOP OR THE FIELD PROVIDED� Ts c���i�;ucus
HASE RAIL
1. REI �QP.CEMcNT IS BENT COLD_
2. TH DIAM�TER ❑F THE BEND, MEASURcD ❑N TH= IVSiDE GF THE
BA IS N�T LESS THAN SIX-BAR DIAMETERS. ceus�E HELIX EYE a�cr+�R��I
3: REI�IFL�RCEMENT PARTIALLY EMBEDDED IN C�NCRETE SHALL NOT (SEE N�TES BELQW) i-�
BE IFIELD BcNT
HELIX ANCH�R N�TES�
1. F�R VERY DENSE AND/GR CEMENTED SA�JDS, CGARSE GRAVEL GROUND BASE HELIX ANCH�RAGE
AN� COBBLES, CALICHE, PREL�ADED SILTS AND CLAYS USE MINIMUM
(2) 4' HELICES WITH NINIMUM 30 INCH EM3EDMENT �� SCALE N7S (CAN BE L1SE➢ F�R ASPHALT)
2. F�(� CORAL USE h1iNiMUM (?) 4' HEL?CES WITH hiIhIMUM 30 INCH
EI-0BEDMENT.
3. F�R MEDIUM DENSE COARSE SP.UDS, SANDY GRAVELS, VERY
ST FF SILTS, AND CLAYS L1SE MINIMUM (2) 4' HELICES WITH ����l�
Mi IMUM 30 INCH EMBEDMENT �O�pYi� S. ��1D0�'e
4 F❑ LODSE T❑ MEDIUM DENSE SANDS, FIRM TO STI�F CLAYS AND �� �`�' ••••°•. "� �A
SI�TS AL�UVIP.L FILL USE h1INIh1UM C2) 6' HELICES 41ITH MINIHUM 50 ``,��,��•�\Ci�NS�Oi��AAi
INQH EMBEDMENT. . • •� �
� No 5�717 �
�
5. FOS VERY ��SE T❑ McDiUM ➢ENSE SANDS, FIRM T❑ STIFFER � :
CL YS AND SILTS, ALLUVIAL FILL USE MINIMUM (2) 8' HELICES =� � a
W1iH MiN?fqUN 6D INCH EMHEDMENT � � � ���
p /s'//l-;�t�
�:—/S7ATE OF e��:
���As�s�� �R 1�p=�a=e`,�
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MOORE AND ASSOCIATES DRAVN BY: JRS BENIYETT BUILDING SYSTEMS,LLC
- EN ERING AND CONSULTIlVG� INC. CHECKED BY: PDH ENCLOSED BUII.DIlVG
THIS OOCUIENT IS TFE PR�QRiY � I�2E AND�SSOCI�rES, InC. TEE pROJECT MGR= VSM DATE= 10-20-15 SCALE= NTS JOB N0� 15123S
uHnuTtiORIZED REPR�WCTida,COPv1HG,OR OTt�ERVISE USE OF Tti15 DOCUEHT IS
STRICTLY�PRQHIBITED�ul➢ANY It�iRINGE�ENT TtEREUPW R�Y BE SUBJE[T TO
LEGa� �CTIOta. CLIENT: BBS SHT. 8 nvc. No- SK-3 REV� 6
., �
C�8. 23/2��1F 11 '3A F4iS i�?jii�i�jiip'3
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P RMIT APPLiC/ATION
DRIVEIA�A PERMIT APPLICATIot�
�t1N�TRUCTICgi� M�IV PUBLIC RIGMT-�P-�IV�#V
Afl informa fon must be fl!!ed-tn comptetely
ICy OP ZephyrPtllfs '
• 5335 8�' treet, Zephyrhllis, Fl 33542 �
Telephone 8 3,780.OQQ0 Fax 813.780.Oa05 ,
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REtQ7ECT ]OB SITE: PRQPERTY 4WNI�R
A ress: I Name' i li •
Un t#: � i � Address. Unit:
Pa' I Ident�ftcation Number;F - - - ci State zt y, . ' �r.� :�
Phone: �$-5a a Fax: •
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Co t�act�vrS Licer�e�: (�CC! ! I E-Mail:
Ph�ne: 3-"�1�- Cell: �- FaX: ,�
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A CHITECT/ENGIW�ER: � �
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Na e: E 5 Fir Namc;l� w. � -�`
A :1 G St,�te; �� Zi :
5 t�e Litense�; Pho Ceil: Fax: - � -3
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�bscrinNon af Pt��t , .
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�LHVG"f}i OF DRYVEWAY ��ii ycoT,e ueen�n :
RESIDEN7IAL DRIVEINAY �' VN�D'TN OF ORIVEINAY ( )REiNPpR[ED CONCRETE '�
coM�ERau.D�v�roaY �g�'1,� ( )CORRUGATED MATERIAL ,'
PUBIIC ACCESS dRIVEWAY � �3' LfNEAR FEET ( )BOX CUIVERT r;
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_���Y ���� ,
CONCRE�E '
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YES �NO
NQ1fICE_ APPLIC�N4: Tf'eetaal work e� ds seope of this dersuiption,addPtlon�l ponr�i��r drawtnqr .
will be raqulrod. �
CALL BEFOR�YOU DIC,: 1.�00.43Z.4774
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PE 1T qppL,ICATION
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UTILIT�ES LCICATE C�FDFIRl�4 TIUN NUMBER: i
PR VZDE SKETCH IN 7'HI�ARE,A, IF mQ MOPIAL SPACE xS RE+�UIRED, ATTACN TC� TMI� �
AP,l.ZCATZON. �
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AFFlC3AttIT: A�rpllcaGon ls hereby m�de oa obtain a p to do�iroric and irutallations es Ind{caaed. I teRlfy thdt dll FtSregoirs�
inf�rrr�atlon Is accurate�nd that ali woric wtl(comply wltil all dpplic�ble cOdes� I understand ches�codes shail rak,e preo�denca aver ell
apprc�+ed tofiStruCtion documents,arn1►ssuence of tt�is p rmlt is veri8cation that F wtf!notlfy ihe property owner af Flar4da Lsen l,aw
req.,�.5.?23,
lssua�oe of this permlt do�not ensur�com (lanoe wlth deed restrlct�iorts and I unriecstand that adcllt#ana!deed +E
r+�stMctto rn�Y�PPh'�o this praperty. ,
A!! ' rk sliel0 cotr�pt�w!!!►the turrent Flotl Bulidlrt�Cade,PuWtc vltorks[}aaign l+oene�!+�nd FOC)T Design �,
8tettd�t+�Is(if app!"rcebfe). (�Pubilc V�lc�rk� as1�n Mar�ual online link:www.cl.¢ephyrhlits.fl.usJPublic_waric�.asp7 ;;
A PLICATIQN I5 YOIQ UNLESS SIGI�ED H PR4PER IDENTFFICATIdN ANO 1NTfNESS�D 8Y A PERM�"T' �
TECt�lt�I N aR NOTARY PUBLIC.
!, N E: Tbe Clty of Zs�bylfilll�ts nat�+aspas�lble r maln�aneQ or rep�irs af+drive�rays. Orhreway�c eheit�ot alLor j .
i inbetfidre�r{th enciedr►Q s rtnwatet bro�tment gnd j or vamre�►+��ce.
� PROP lY : By 5igning khis appllcatlon: aett(fy th�t I have read�nd undersC�nd the owner/bullder d�closure ..
stafi� snt.��������(please mitsal} i
,
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', AAi�" t�t Prtnt Narrre ,0.ppit n �awre ae ;�
' � 0�c�8 �_ .
¢ermi Techr�cian 5lqnaazre (or) ry 9�gn re Da� .�
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1�P#IcanL Is�ersanatiy kfaown tfl Rt�or pr�duced 8s kd 14A'�tlRtlll M�O�lN$OIaE
type of identification} ;`' •O= MY CEiiVIriAi88tON�t�Z36573
F•XPtR�S JLnr 0�'.Z019 ,{
Pa�e 2 of 3 .+trisan�t�e� � a,o.sa� �°
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I���.[�1%T APp9.I�A`i'���!
�F��4CE USE 0�1L9'
�
P€��LgC���USE�t��.�
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Concrete (min. 6'� Y N
�
Asphalt Base(min. 6'� Y N
�
Asphal,t(min. 1�/z'� Y N �
�
Lengtf�(min. 19� Y N
� �
Width (10'min—20'max) Y IV
�
� Existing sidewalk. Y N
�
New sidewaik. Y N
I
ADA compiiant. Y N 1-)
�
Expansjon material required. Y N
�
Contigt5ous parking pad. Y N
�
Triang�lar flare{3`W x 7'L) Y N
VisibiGhf r fiangie o.k.? N
�
, Side set back(3'min. R.O.W.) Y N
� ..
Plan Re,�riew Fee �
I .
Addat��na!d+�i ssa��a��ai�as�e�ie�ed� �eEtli�Mtt�r�ss l3ir�c�r�rtcf m�a�es n�: ,
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Permit application approved b • Date:
Page 3�f 3 .
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