HomeMy WebLinkAbout17-18494 CITY OF ZEPHYRHILLS
5335-8TH STREET
� , (sispso-oozo 18494j'l
DRIVEWAY PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 18494 Address: 5721 10TH ST
Permit Type: DRIVEWAY ZEPHYRHILLS, FL. �
Class of Work: DRIVEWAY/REPLACEMENT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-05500-0060
Improv. Cost: 5,760.00 OWNER INFORMATION
Date Issued: 5/17/2017 Name: WILKS, MICHAEL & ROBIN
Total Fees: 40.00 Address: 5721 10TH ST
Amount Paid: - 40.00 ZEPHYRHILLS, FL. 33542
Date Paid: 5/17/2017 Phone:
Work Desc: REPLACE 23 X 33 DW
CONTRACTOR S APPLICATION FEES
BOBBY E. HILTON CONST INC (813)997-0515 DRIVEWAY 40.00
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, Ins c s Re uired
DRIVE AY �
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 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 properly. If you intend to obtain financing, consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans, Specifications and Fee Must Accompany Application.
All work shall be pertormed in accordance with City Codes and Ordinances
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' CONTRA OR PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHEIZ
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PEttMITAPPLiG47ION �'� `-�1="�`' \ `
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�RIdEVNAY PEEt1�9TT APP�ICATI0�9 '
COtVSTRUCTEON VIfITHIIN P�JBLIC RIGH'P-OF-WAY �
Alf information must I�e filled-in campletely � ,�, �-�� ;
City of Zeph�vrhills (; (�'' �
5335 8�'Street,Zephyrhills, FL 3354Z ��"�� '
Telephone 813.780.�QQ0 Fax 813.780.0005 ,
Daba of applicadon: �-1 f-(7 --Procassed 6]►�:,)r �- ��•~ Permi!#: - -
corar erea ror 5�atf mdv)
❑Copy to Baildfng Departrrient - �qpy bo Public Works �-r�� .
�R03ECTJ]OB SITE: PROPERTY OtMNER �
Address: ,-�' -- S-('. Name• -
' - c" ��;tra �!J'�� .S
Unft#; - _ Address: 7 1 1� v�. Unit:
Parcel Identlfcadon Number: Ci State ZI Gc�h ' (�}�1� � ',
_ �— oib—'ot� p r,�o�p—�55�c� — 0�6� - -Phone•�l�� 1� y j Fax�
CONTRAGTOR: -
Cornpariy: 2� Cc,�fi "f.'C, � ; -
, Name• ,� , , - -.,� N �� - - _ --
_ Contractor's Lice�e#:���*-j-��5 E=Mail: i Qi �
�hane:cai��� _��o l���Cell:�S)��-�"�7-v�t$ -Fax:_ �'"z:-Ttt;Cz��te -z.�-,.��ru T. ---
, IORCHITECT/ENGINEEFt: � - - ,
Name; Frm Name: �
Address: _ G : 5�ate: �to; -
, _State License#: P_hone: Cell: Fax:
Aescription of Pro't� '
�-.�—�EP�I1L'LE�AY �LENGfH pF DRIVEWAY CL�LYERTS NEEhFn
_f�RESI�EKTIAL DRIVEVJAY �!_WIDTH OP DRNEWpY { )RQNFORCC�D CONCRETE �
,_COMMERQAL DRNEWAY R.O.W. EXCpVATION '
PUBLIC ACCESS DRNEWAY }�?DEPTH ��'�LINFAR FEET � ��RRUGATED MATERIAL
( )BOX CULVEiiT
�ONSTRUCTION MATE i�� CURB CUT REOUI � )�ER(D(PLAIN) ;
PHALT _YES NO
CONCRE7E
I��DWALL REOUTRED� y� �Np
NOTiCE T P �; Yf actual work ex�eds scope of this description,addltional permits or dravrings �
wil9 i�e required, _ .
UTIL�TY L�CATIONS REOUIRED• C�ILL BEF�RE YOU DIG: 1.800:Y432.477Q ,
Page t of 3
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Oin�,uA 1 H,�YL:iVH Ilt~IIVI
� � UTIt.ITtES LO�ARP C�NFIRMA'fION i�t1MB�ER: ,
, PROVIDE SKETCH IIV THIS AREA, I��1DDITIOIVAL SI�ACE IS t�EQUIRED,AT'1"ACfi TQ THIS
, APPLICATION.
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AFFIDAYII`: Appliration is hereby made ba obtain a permit ta do work and installetions as indiceted. I certify that ali foregalrtg
infarmation is accuretE and that all work wiil comply'wtth a(I applicable codes. I understand these codes shall take preeedence over afl
approved cvr►structbn dotuments,and IssuanCe of tfi�s permit Is verificatian that I will natify the property owner of Florida Lien Law
� req.�F.S. 7i3.
� The issuance oF tfits perm(t does nat ensure cdnrpllance wlth dead�esttictions and I undersmnd that add�tiana!deed
' restrictions may apply to this properiy,
1�11 worEc shall compfy with the current Florida Bullding Cade,Public Wcrks Resign Manaaa!�nd FDOT Resign �
St8rldalyds(if�ppliCc�ble). (Publlc Warks Design Manual online I(nk: www,d.zephyrhffls.fl.LLs/publIc works.asp}
APPLiCATION IS VQIC1 UNLESS SIGNEp W17'M PFtOpER TD�N7TFICA"T'ION AND WITNESSEQ gY A PERMT3"
'TECHNICI�qN 4R NOTARY PUBLIC.
N�'CE: The City of Zephyrhilis is nat resppnsible for maintanance or r��irs of drfveways. 1DriveYvays shat!not atter/ ,
interFere u►ith existing stotmwater treatment and/or oonveyanc�e.
PROPER7Y OWN�RS; By signing this appHcation: I certf�y that I have raad and understand the owner/bullder dl�closure
statement. �please tnitlan ,
App#icant Print 1Vame Appltcant Signature Date
Permtt 7echniciart Sigtrature� (or)fV�tary Sign�tu��e � � Date
Applicant is( )personally known to me or produced i as identificatlan. �
ttYAe of Identifica6on)
Page 2 of 3 �
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the driaeway in the event of repairs or replaceffient of the sidewalk.
�.DRIVEWAY MATERIALS The portion of the driveway located within the public
right-of-way shall be consttucted of concrete or asphalt Any other type of material shall be
approved by the Public Works Director.Concrete driveways shall be a minimum of six(6)
inches in depth.Asphalt driveways sha11 include a lime rock base no less than six(6)inches in
depth and the asphalt shall be a minimum thickness of one-and-one-half(1-1/2'�inches in
depth.
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FU�IGS"fi�E7 FfC�'l.q�?�
B.SIDE SET BACI�S Driveways shall meet a minimum side yard setback ofthree
{3}feet within the public right-of•way.T'�e driveway may be located cioser than�ree
(3)fee e praperty lane,but only within the boundary of the homeowner's private
C. V4�AY WIATH The miaimum width for a dciveway shall be ten{lU}f�eet and
the m ' width shall be twenty.(�Oa�'ee�A p�rki�pg pa,d nQ:v4!ide_r.than(10)£eet maybe
u�s�alled�co;�tiguous tg�n�ipproved driveway pravided that the drivevvay,as it crosses the - ----
property line,sha11 not exceed twenty(20)fee�.(See figure 3.}
D.�►RNEWAY LENGTS�e minimunn length fo�r a driveway shall.6e nineteeen(19}
feet witl�in the boundary of the homeowner's private property,This minimum length
requir+ement is necessary to prevent vehicles fram overhauging inta the putalic right-ofway.(See
figt�re 5.}Note:Circul�r driveways shall be prohibited unless appraved by the Public Works
Director.
E.�PERVIdIIS SI:TRFACE RATIU Impervious surface coverage is measureci in
square feet and as a percentage of lot area.The maximwn impervious swrface ratio allawed
within the required front yard setback on a standard lot is foriy-five(45}parcent.T6e malcimum
surface ratio allawed within the required front and street side yazd setback on carner lats is
twenty-five(25}percen�Impervious s�uface calc�ulati�ns shall inc�ude�any patios or waikways
that are not included on the pmposed or r�vised dciveway. (See figures 6&7.) �
T.TRIAt�'GITLAR FLARI�Each driveway,when located within the public-right-of-
way shall contain triarigular driveway�flares at the intersection of tha driveway sud the public
roadway.Driveway briangular,flares sha11 measnre tlyree{3)feet in w�dth aud seven(?�feet in _
�length(Ses figure 8.) ..' :. - ''', ..__
G.YISIECII.ITY TRIANGL�Driv�ways may encroach into the visibility triangle
� ��n e pu ic ng -o-way, ut veways cannot be pernutted within the visibility �
H.PEDESTRiAN RQUTES If an exisring designated gedestrian route(sidewalk) _
intersect�with a praposed or reuised driveway,the driveway portion that aIigns with the
� pedestrian.route/aidewalk shall be cc�nstructed to ADA standards and shall include an
e�ausion joint on bc3th sides ofthe sidewalk.These expansian joints separa#e tlxe sidewaik frci3n-
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, PER�IIT APPLICATION
UTILITIES LOCATE CONFIRMATION NUMBER:
PROVIDE SKETCH IN THIS AREA, IF ADDITIONAL SPACE IS REQUIRED, ATTACH TO THIS
APPLICATION.
j'e� �,�Ac���
AFFIDAVIT: Application is hereby made to obtain a permit to do work and installations as indicated. I certify that all foregoing II
information is accurate and that all work will comply with all applicable codes. I understand these codes shall take precedence over all I
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 responsibie 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.
(type of identification)
Page 2 of 3
_ � .
I
813-780-002� City of Zephyrhilis Permit Appiication Fax B13-780.0021
- 8u3lding Deparkment
, � '
Date Received Phane Gontact for Permittin �j� � — C3c��.'�,�
Owner's Name ! I! � � ���!N J►` � Owner Phone Numbar ���—3�c�"'�o�5.�
Oxrner"s Address �7°2"l ��Q S��-'�e� Owner Phone Number � ' �
Fee 8lmple Tltleholder Name �_ I Owner Phane Number � _ - �
Fee Simple 1'Itleholder Address
JOB ADDRESS ��d�I c7f' �» LOT# C�
� StJBDIY1StON PARCELID# f�` oZ.�`o�-/~G'c-�]o �-- C'iS�'�� Gc��aG' ,
' . , {OBTAINED FRpM PROPERTY TAX NOTlCE)
W�FtiC PitOPtJSED NEW CaNSTR ADD/Al.T � S1GN Q Q DEMOL,ISH
"e INSTALL � REPAIR ,
PROPQSEd.USE [� 3FR • [� GOtUIM �� dTliER
TYPE OF CONSTRIJCTION Q BLOCK ' [� FRAME �� STEEI. Q
t I
DESCF2{PTION OF WORK cjL�' O�'r�1.X� 3�1 �21�1?.N ��*I' `
( BU1lDlN�.S12E �� � SQ FOOTAGE��..� HEIGHT ��� � -
QB������fi`' � s`�,�G', �� VALUATION OF TOTAL CONSi`RUCTION
�� �
QELECTR1CAl �� AMP SERVICE . [� PRt3GRESS ENERGY Q W.R.E.C.
�]PLUMBtNG $ ` ,
��„ �_ .
OMECHANlCAI ' . �� VA�CtATtON OF MECHANICAL 11+lSTAL�,4TIC}N
�]GAS Q RQOFiNG Q SPECIA�TY �� Ol'HfiF2 �
FINISHED FLOOR ELEVATfONS �r__-�� FLOOD ZQNE AREA QYES NO
i
BtltL,DER ,� �'' � COMPEWY ���� �ti��.N �t����Y}ot� �NG- -
SIGNATURE � '' REGIS7'ERED Y/ FEE CURRE� ' Y/N � �
Address �jj �{o� G�15 �j�eN R�° Z�}�ii1 License# ���a 7,��0�� �
ELECTRICIAN � COMPANY
SIGNATURE � , ' �' REGI$TERED Y/ N �e cuttt�en � Y/N
Address License# � �
P�UMB�R � . COMPIWY
SIGNATURE REGISTERED Y/ N F�cuRRen Y/N
Addr�ss License# � �
MECHIoWtCAE. COMpANY �
SIGNATURE � REGISTEReo Y/ N �CUR�n Y/N
add�ess - License# � � � (
OTHER � COMPAl+tY ' "
SIGNATURE REGISTERED Y/ N �e cuRttEn ' Y/N
Address LEcense# � �
RESlDENT1Al. AtkBch{2}Ptot Plans;{2)sets of Buitdtng Plans;(1)set of Ensrgy Farms;R-O-W Permit for new conshuction,
Minlmum ten(10)working,days:after submittal date. Repuired onsite,Construct#on Plans,Stormwater pians w/Siit Fence installed,
Sanitary Faeilities&�1.dumpste'r,Site Work Permit for subdfvisionsAarge proJects _ _ �
COMMERC#AL Attach{3}compiete sets of Bu3ldirig Plans pins a 1:[fe Safety Page;{1)set af Energy Fatms.R-O W Fertnit for new consbuctFon. �
M(nimum ten(10)workfng days after submittal daRe. Required onsite,CansUucNon Plans,Stormwater Plans w/Silt Fence instelled,
Sanitary Facilitles t�1 dumpster.Site Wark Permtt for all new proJects.Ali commercial requirements must meet compliance _
S1GN PERMIT, Attach{2}sets t�#Engineered Plans. , " � �
•`""PROPERTY SURVEY'required for all NEW constructian.
Dlreatlans: '
Fill out applica8cn completely.
Owner&Contractar sign back of applfcaUon.notarized
{f over�,2500,a Notice af Commencement is required. {AtC upgrades ave�57540) i
" Agent(for the cantractor)or Power of Attamey(fbr the owner)wouid be someone with notarized letter from owner authorizing same �
OVER'iliE GOUN7�R PERMITTiNG (Front of AppitcaUon:Only}--, •��
Reroafs if shingles Sewers - �Service'Upg�ades.A/C : Fences(PIoUSurvey/FoptBge)
� , ;
Drtveways-Not over Caunter if on publlc roaduvays..needs F20W �
_ . , ,- __ , .__-- -• -, ._
• - , i
tdOT10E OF DEED RESTRICTIONS: The undersigned under.�tands°.th�t this.p�rmit'.may.be.subJect to"deed"resVictions"
which may be�more r.esnlctive thart County regulat(ons. �l'he undersigned assumes responsibflity for compliance with any
applicable deed�estrict(ons. - •
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 regulatlons. If the
contractor ts not licensed as required by law, both the owner and contractor may be cited�for a mtsdemeanor violation
under state Iaw., If the owner or tntended�contractor�are�uncertain as to.what licensing.requirements may apply�for the
intended work,.they are advised to contact the Pasco County Bulld(ng Inspection Division—Licensing Section at 727-847-
8008. Furthermore, If the owner has hired a contractor vr contractors� he ts advised to have the_ contracto�(s)�sign -
porHons of the "co�tractor Block° of this applicatlon for which they wfll be.responsibie. If-you� as.#he-owner sign as the
contractor, tfiat tnay be an indication that�he fs not.propeMy Ilcensed and Is not entit{ed to permitting privileges in Pasco
Caunty. ' '
TRANSPORTATION IMPACTIUTILITIES IMRAC7 ANb�RESOURCE RECOVERY�FEES: T�he undersigned understands
_ that Transportation Impact Feas and.Recourse Recove.ry.Fees may.apply to�the construction of new buildtngs, change of
use in existing buildings; or-expansion of�exi§tiri� 6uildings, as specifled.in Pascv County Ordinance,number 89-07 and
90-07, as amended. �he undersigned also understaads, that such fees� as mayr be�due�,-wi11 be identifled at the time of
permitting. it Is further understood that Transportation impact Fees and�Resource Recovery Fees must be paid prior to
rece�ving a °certificate of occupancy" or flnal power. release.. :f�the project.does not invoive�a certiflcate of occupancy or
final power release� the fees mu�t be paid prior to permit Issuance. Fur.thermore,��i�.Pasco.County Water/Sewer Impact
fees are due,-they must"be�paid prlor to permiE�issuance-In accordance with�applicable Pasco�County ordinances. �
CONSTRUCTION LIEN LAW(Chapter T13� Florlda Statutes�a� amended�:,If valuation of work is$2,500:00 or more. i
certify that I, the appllcant, have-been provtded with a copy of the "Flarida Construction�:Lien Law—Hoineowner's
Protectlon Guide" prepared by the Florida Department�of Agric.ulture and Consumer Affairs. If the applicant is someone
other than the"owner", I certifyr that I h�ve.:obtafned a copy;of the above.described�focument°and.promise tn,good faith to�
deliver It to the°owne�'prior to�commencement. � �
CONTRACTOR'S/OWNER'3 AFFIDAVIT: I ceitify tiiat all th�information In thts applicatton is accurate.and that all work
will�be done in compliance wlth ali appiicable laws regulating construction� zoning and land devetopment. Application Is
hereby made to obtain .a.pe�mit to do work,and Installation as indicafed.•� 'I cerlifjr that no work or installation has
commenced prior to issuance of a permit and that.all work will be perto�med to meet standards of all laws �egulating-
construction, County and City codes, zoning regulatians, and land development cegulatlons in the jurlsdtction. i aiso
certify that I u�derstand that the regulations of other government agencies may�apply�to the intended wark, and that it is
my responsibility to identlfy.what.actions 1 must take.to be�in:.compliance: S.uch agencies.include but are.not Iimfted to:
- Department of Environmental Protection-Cypress.Bayheads, Wetland Areas and Environmentally Sensitfve
l.ands,WaterMlastewater Treatment.
- Southwest Florida Water Management DlsUict-Weils, Cypres.s.���Bayheads; Wetland Areas, Alteri�g
Watercourses. _
- Army Corps of Engineers-Seawails, Docks, Navigatile Waterways. . -
- Department of. Health�8 ReMabllitative Services/Environmenfal Health Unit Wells, Wastewater Treatment,
_ Septic Tanks. . -- -- - � _--- --- -- --
- US Environmental Protection Agency-Asbestos abatement. � �
- Federal Aviation Authority-Runways. � .--
1 understand that the following.restrictions apply to the use of flll:• � -
- Use of flil is not allowed in Flood Zone°V"unless expressly permltted.
- If the fill m�terfal is to be used in.�flood Zone "A", (t. is understood that a drainage plan addresstng, a
"compensating volume" will be.submltted at time of pecmitting which fs prepared by a professional eng(neer
licensed by#he State of Florida: _ �- --
- If ihe flll materla) is to be used in Flood Zone °A" In>connection�with:a permitted building using stem wail
-: construction, i ceMify that flII:w111=b.e used_only.to fill the area within�the�stem:wali. - �
- If fill material Is to be used In .any area, I �certify that .use. of such flll will not adversely affect adJacent
properties. if use of flll is found to adversely,�ffect adjaEent�properties�_the owner may be clted for violating
the conditions of the bufld(ng,permlt Issued under the attached permit appl(cation� for lots less than one (1)
acre which are elevated�by flll;an engineered drainage pian is required. . _ .
If 1 am the AGENT FOR THE OWNER, I;promtse in good falth to inform the owner of the permitttng conditions set forth in
this affidavtt�prlor to commencing constructlon. I understand that.a-separate permlt may be requtred for electrical work,� ,
plumbing, signs, wells, pools;�al� conditfoning,.gas, or other Install�Nons no�,speclficelly inclu�led-in.the application. .A
permit issued shail be constcued.to be a Itcense to�p�oceed with the work and not as:authority to.violate, cancel, aite�, or
set aside any provisions of the techn(cal codes;�nor shali issuance of a.permit.prevent the Buildirig O�ictal from thereafter
requirtng a correction nf errors in.plans, construction or violatlons of any codes. Every permit Issued shall 6ecome invalid
un{ess the work authorized.by such permit:�is-commenced�wtthin six months of permit issuance� or if work authorized by
the permlt is suspended�or.abandoned for a perfod af�six(6)montF�s.after the time the�work�ts commenced._An extensbn
may be requested� in writing, f�om the Building.Official for a period not to exceed n(nety(90) days a�d will demonstrate
justi�able cause tor the extension: If work ceases for nlnety(90)cons.ecutive day.s...th`Job�is conside�ed abandoned.
WARNING TO OWNER: YOUR.FAILURE�TO.RECORQ A NOTIGE.�F COMMENCEMENT-MAY RESUL-T IN YOUR
PAYING TWICE FOR�IMRROVEMENTS TOXOUit PR�PERTY. IF�YO.EI�INTEEI�ID�:TO'OBTAIN•FIPFANCING;'CONSULT
WITH YOUR LE. DE O A�F A�'TORNEY BEFORE�REC- G�� O � b �C �:OF ��' CE NT�--- - - --
FLORIDA JURAT�(F.S..t17.03) - _ --. "' � i/''�� � '�
OWNER OR AGENT CONTRAGTO
Subscrlbad and suom to(or aiflrmed)before me this Subscribed�and'sarom=to(or edpbeiare this
by � ��� _ .
Who is/a�e personally known to.me or haslhave produced Who Is/are ersonelly knawn• me or hes/have produced
as Identlflcatlon. as IdentlflcaUon.
. ,
Notery Publtc . �/CXr�L Plotary Pu611c
Commisslon No:`' Commi slon �
YP��4
,g��"• JACQUELINE BOGES
'e. r;a��:
Name oF Notary typed,printed or stamped Name of No �,c;. P� r ece er 12,2018
��P„,�;°`'��, BondedThru
iroy Fein Insuwnce 800.3gg.7p�g