HomeMy WebLinkAbout17-18190 1
CITY OF ZEPHYRHILLS
5335-8TH STREET '
� � �sis��so-oo20 18190
DRIVEWAY PERMIT /
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 18190 Address: 5409 GALL BLVD
Permit Type: DRIVEWAY ZEPHYRHILLS, FL. �
' Class of Work: DRIVEWAY/NEW Township: Range: Book:
Proposed Use: COMMERCIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est.Value: Parcel Number: 11-26-21-0010-12200-0010
Improv. Cost: 1,900.00 OWNER INFORMATION
Date Issued: 2/28/2017 Name: ZPH REI LLC
Total Fees: 40.00 Address: 232 PEDRO ST
Amount Paid: 40.00 VENICE FL 34285-2322
Date Paid: 2/28/2017 Phone: 941-685-9328
Work Desc: CONSTRUCT DRIVEWAY 66 X 12 CONCRETE
CONTRACTOR S APPLICATION FEES
OWNER DRIVEWAY 40.00
�
J
ns ections Re uired
DRIVEWAY 2'
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 property. 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 erformed in accordance with City Codes and Ordinances
CONT R PERMIT OFFI
MIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
• ' Building Department
J �
Date Received
�Phone Contact for Permitting –
v� / �7� � /� Owner Phone Number /7� — �
Owner's Name �
Owner's Address ;�j2 � lPD -�J�i � Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS ��L� ���� � LOT# �
SUBDIVISION PARCEL ID#
(OBTAINED FROiN PROPERTY TAX NOTICE)
WORK PROPOSED e . NEW CONSTR e ADD/ALT Q SIGN Q � Q DEMOLISH
INSTALL REPi41R
PROPOSED USE Q SFR Q COMM Q OTHER :
I TYPE`OF CONSTRUCTION Q BLOCK �- Q FRAME. Q STEEL Q
DESCRIPTION OF WORK `1 .�.c�i/ � � / Z--
BUILDING SIZE SQ FOOTAGE�� , HEIGHT �
BUILDING $ I G��QF �� VALUATION'OF TOTAL CONSTRUCTION
/
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $
OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION ����L
��'' l
QGAS Q ROOFING Q SPECIALTY Q OTHER �1;1f�
VI
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address �Cicense,# �
'ELEC,T:RI,CIAN , COMPANY ' -
SIGNATURE REGISTERED Y/ N ' FEE CURRE� Y/N.
' Address License# �
,F` "
P.LUMBER,. • COMPANY
SIGNATURE REGISTERED- ;' Y.-/�N:� .'� :FEE CURRE� � Y/N
Address �License#� :
. , ,� -
MECHANICAL � COMPANY
SIGNATURE� � ' REGISTERED ; Y/ N FeE:Cuw3En Y/N '
Add�e'ss�= �• � ` License_#
;c:_ .� .
. OTHER� �'. - � " � COMPANY
°:`=SIGNATURE�:>,•� • REGISTERED Y/N FEE CURREK Y/N
' :;. . � ' . '
Address„� - � " • � Lioense#
��RESID.ENTIAL��;; `Attacfi,,(2)�;Plof'Plans;`'(2);setsof�Building`Plans;(1•)`setofEne�gy,For'"ms;R�O-W P.errriit.forn.e_,w.construction,
;�;�,;�_�;:.<,��Q-aMinimum�ten�(1Q);working;daysiafter�submittal�date.�Required onsite;Con`struction Plans,'Stoimwater Plans w/S11t Fence installed,
�; ,
i.-. �Sanitary;FaciliGes.&�4lydumpster;:Site:.Wor,k Permit foc`subdivisions/large'projects�.- °
;��.:;COMMERCIAL Attach`(2)'complete'sets of'Buildirig'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,
;iz`: Sanitary Facilities 81 dumpster.,Site Work Permit fo�-�all.new projects.All commercial requirements must meet compliance
„.-rSIGN:PEP2MIT "Attacfi'(2)sets_.of�;Engineered Plans:t� ,, ,. - -
�`� ""PROPERTY SURVEY,required for aII,NEW.construcUon:
S�` '
�"':Diiections: . .. . , .. �
� '" Fill;out application completely.
- Ouvner'&Contractor sign back of application,notarized . -. - . , . _ �, ,r
;-'- If over$2500;a Notice of Commencement is required. (A/C upgrades over$7500) , - ? � � ' "' ,
._ ., .,. :,: .
Y.,.. . ..Y�;,:,, .
•, Agent(for�4li'e�cont�actor)•o��Potnrer of Attortiey;(for;tfie owner)would'.be someone with notarized,letter from�owner auttiorizing same�, �._
-. - :�.__ , ` � � , � �
;..`�:OVER�:tHE COUNTER PERMITTING>�'_;.: �i(i;opy of confract reyuired)� ;, ' � •. , `„ " "�
'::Re�oof§if shingles Sewers ;"Ser`v1ce�Upgrades A!C Fences(Plot/Survey/Footage) � � -�- �. .n - - . F, .�_,..�,
� Driveways-Not over Counter`if�on"pu61'ic roadways..neeils ROW � �
---___ � .�,_,.����.�;�.:��
� � �.
NOTtCE O�DEED RESTR[CTI�NS: The undersigned understands�that this,permit may.be subject4ta"deed"_r.estrictions°'v�" �
t� .,.;:».�..:_:,• ::�., _:,:.,s;; ,�d� _ , •r••^•.�-t�L
which_,may�6e.moce:r,estrictive.�than;Catarity cegulations.-��The:undersigned��:assvmes`cesponsibitity�far�"eomptrance iivith any`` '...
applicabte cleed restrictiarts. - �a,:<.:zt;� . ,�::�;r
UNLICENSED._CONTRACTORS AND COTVTRAC70R RESPONai�lLlTlES: �!f-#tie�awiier�has•�iired��a•�'contractor ar
cantractors to undertake work, they may be required ta be�licensed in accordance with.state and'local;r,_egulations�:.h=.lf.�tlie:��-�-�-
contractar is.nat iicensed•as required by`taw, �batii�-the owraer.and'°eontracfar�rriay�=tie��cited�=for:a�'�misdemeanor viblation:� ;�
under state 1aw. �If the owner ar intended.co�ntractoc are uncertain as to what iicensing reqnir.ements:,may capply��f.or;;tlie:-��'��-��;
,.Skr`:1'F_.t
intended�rork, they are�advised to canfact ttie"Pasco Courtty'8uilciing tnspectiari`Divisioii�Licensing Section af 727-84T- ' ��
8009. Furthermore, if the owner has hired�a conttactor or cant"ractors, he�is advised to;lihave the,contractor(s.)�,sign �F,..;-; i
portians of the "contractor Black" of this applicatian for.which they wiA be respans'rble: :lf,you,,as`ythe��owner`sigri as��ft�e`�'�'�;�
contractoc, that may be an indication that he is not praperly licensedanil"is�no�t'entitled-to permittirig privileges,in;Pasco.,_,,-�;� .
County. - - . ' ° :;,�-r�<... � .� ;,
,.,,
TRANSPORTATION lMPACT/UTILfTlES.tMPACT AND RESOURCE RECOVERY FEES:��Tiie unde�signed under.stand's � ,`�� ;
{ �. _.� �_�.., ,�-�,.r.:.,
that Transportatian Impact Fees and Recoucse Recavery Fees.may,appty ta:the constructivn of riew.buildings, cFiangeiof�`-�r,;:, ,
use in existing buildings, or:expansion+of,.existing�buildir�gs, as specified in Pasco County�rdinance number 89-07=an.'d, `=i ,�
90-07, as amended. The undersigned also understands, that such fees, as�may-b.e..due, will�tie�itlentified"�trtlie=�#iiTie�of����.';' -
permitting. It is further understoad that Transportation Impact Fees�and Resource`�Recovery. Fees must be paid prior to �s; ;
receiving a "certifrcate of oc�upancy" or finai;power release. tf the project does not-invoive a cerkificate of occupancy;or�,•=-� `; '
ftnal power release, the fees must be paid prior to permit issuance. Furtiiermore, if,Pasco Coun#y WrateclSewer�-lmpact'•�;��; ; ,
fees are due,.they must be paid prior to permit issuance in accordance with applica6(e Pasco.Caunty ordinances. `
CONSTRUCTIONIIEN�LAVIf{Chapter 743,Plorida Statutes,as amended}: 1f vafuation af wock is$2,50.0.00.or mor.e,�.i:.-;.,:A, ..
certify that I, the applicant, have been provided with a copy of�the "Florida Cocas#ructian.�L:ien Law=Homeowne�'s ���µ ,
Protection Guide" prepared�by the Florida Department of Agricultur.e and Consumer Affairs. !f the applicant�is.someone,M..
other than the"awner", i:certify that i have o6tained a copy of the above d`escri6ed�document and promise•in goo.d`-faitti-to�,,`�'
deliver:it#a the.`yawne�'.prior-fo commencement. �
CONTRACTOR'SlOWNER'S A�FIDAVlT: I.certify that ali the informatian in this application is accura#e and thaf all"work
wiQ be done in camp}iance with all applicable�laws regulating construciiart, zoning-and land�devetapment. Application,is
hereby made to. obtain_a .permit ta do:.work and installation as indicated. 1 certify that no �work ar:insta!lation�°has
commenced prior to issuarrce of a p.ermif and�that all work will be performec! topmeet-standards of a!I laws regulating
construction, County and Cify codes, zoning regulations, and land development regulations in:the jurisdiction: I°also � �
certify that ( understand that fhe regu(ations of other government agencies may apply to the intended work, and that it is �
my respansibility to idenfify wha#actions I must take to be in compliance. Such agencies inctude.bu#are not limi#ed�,to:
- Department of Environmen#al �Pi�o#ection-Cyp�ess Bayheads, Wetland Areas and Environmen#ally Sensitive '
Lands,WaterMJastewater Treatment.
- Southwest Florida Wa#er Management District-Wells, Cypress Bayheads, Wetland Areas, Aftering
Watercourses. �
- Army Corps of Engineers-Seawails, Docks;Navigable VlJaterways,
- DeparEment af Health & Rehabifitative Services/Environmentat Meaith Unit Wells, Wastewater Treatment,
Sepxic�Tanks. �
- US Environmenta!Protection Agency-Asbestos abatement. , _.
- Federal Aviation:Autharity-Runways.
I understand that=;th'e following:.restricfions apply to the use of fill:
- Use af fitt is not ailowed in Fiood Zone"Va untess expressly permifted.
- if the .fil! material is to be used in Flaod Zone "A", it is understood that a drainage plan addressing a
"compensating valume" wi!! be submitted at time of permifting which is prepared by a professionai engineer �
licensed by the 5tate of Florida.
- If the �II material is to be used in Flaod Zane "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 fi1F inaterial is tfl be used in any area, I certify that use af such�fip will not adversely a�Fect adjacent
properties. If use of frif is€ound ta adversely affect adjacent properties, the owner may be ci#ed for violating
the sondi#�ons of the building perntit:issued under the atfached permit.app(ication, far lots iess fhan ane (1} '
acre which are elevated by fill,an engineered drainage plan is requitad.
If I am the AGENT FOR THE OWNER,.I promise in gaod faith to inform the owner of-#he permitting condi#ions set forth in •
this affidavit priar fo cammencing construction. 1 understand that a separate permit may be required for electrical work,
ptumbing, signs, we11s, paots, air conditioning, gas, or otfier�installations not specifically included in the application. A.r ; �
permit issued shall'be construed to be a ficense,to proceed with the work and not as autharity to violate, cancel, alter, or
set aside any provisions of the technicat codes, nor shall issuance af a permit prevent the Building Clfficiat from thereafter
requiring a correctian of errors in plans, constructian or violations of any codas. Every permit issued shalt beeame invalid
unless the work authorized by such permit is commenced within six months of permit issuance, or if work autharized by
the permit is suspended or abandoned for.a period�of.six(6)manths after the time the wark i�c`ommenced. An extension
may be reguesteii, in writing, from tFie Buiidirig Officiai far a period.not #o exceed riinety (90) days and will demonstrate
jtasti�able cause for the extension. ;!f wark ceases for ninety{90}consecutive days,the job is cansidered abandoned.
- t
WAl2NING TO OWNER: YQUR.PAILURE,TO RECORD.A.NQTICE OF GOMMENCEMENT MAY RESULT tN Yt}UR ;
PAYING TWICE'FOR IMPROVEMENTS.TO YOUR..PROPERTI(.- IF YOU>lNTEND�TO.OBTAIN'.FINANGING,CQNSULT __�_
WiTH YDUR`L`�NDER OR i4N�A �RNEY BEFORE RECURDiNG YOUR-MOTICE=�OF� O NCEMEN'T.�~� � ;
-—- _FLORIDA JURAT(F.S�117.03}- - - ;
�
OWN�ROR AGENT CONTRACTO �
Subscribed and swom affirmed 8ubsoribed and swo o before me th � ��
b ._..�----:=�,--- �.._..by:,„..v�w '
Who islare�rsanally nawn t� or has/have produced Who Is/ar�.a nally kn to me or has/have produced
��„_„_ _.-- as 3de»tification. as Identifica�on.
i� � �
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I. ',,,,�D.,,,, JA o ary P blic '��1�-�~ Notary Publlc
Cammis lan;�to. '�'� N'�'� CQmmission#FF 150422 � � ,f,,,�Y a,,..,_ .
. Comm&si n N �t� Y JAGQUELINE GES
� ;�,� .�e�; Expires e � ;.; ;.: omm ssion
��^��"'*�°°�7Dt9 :;;� ;4*: Expires December 12,20T8
'•��°�� EamiedlZwTmY s+n
Name of Notary pe iVame of Nota �tf�� nte PI'"�"�"��'70l9
SECTION 11 , TOWNSHIP 26 SOUTH, RANGE 21 � EAST o
9g No�° PASCO COUNTY, FLORIDA � M `° I
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� � �'o --�/1— DENOTES LINE NOT TO SCALE ; � o
� � x DE 0 � M �-
N TES CHAIN LINK FENCE ,
t Qr.`�'�� �•�- DENOTES EDGE OF ASPHALT , � � '
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ad R�`', o 00, F ,R�• `f �
�6$�`` �,��g�� No�O �� �;, DESCRIPTION •
� .. LOTS 1 TO 6 INCLUSIVE, BLOCK 122, TOWN OF ZEPHYRHILLS, A
q�59,��„� � G � N PDLAT IB OKC1�PAGE 54, OF HE PUBL CE RE�C R SEC�ORDED ',
�N►`�t N 6 �,� �,: '', � � PASCO COUNIY, FLORIDA. � �,
�'�f P���s ���Qr / aJ; •+ �<<
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� + �oo, , ��NN-� � ��0 NOTES
Fp, c.A • ` G 1. THIS MAP REPRESENTS A BOUNDARY SURVEY. FlXED IMPROVEMENTS LOCATED.
W / ae � �
2. NOT VALID WITHOUT THE SIGNATURE AND THE ORIGINAL RAISED SEAL OF A FLORIDA LICENSED SURVEYOR
���y�5 �aN't t� '$ ��C�� AND MAPPER. ADDITIONS OR DELETIONS TO SURVEY MAPS OR REPORTS BY OTHER THAN THE SIGNING
A // �t 1 �pt S � �� 3. NORAPPARENT SURFACE ENCROA HM MSUEXCEPTEASCSHOWN FIEREONE UND RGROU D ENCRO�ACHMENTS OR
:..• (� UTILITIES (IF ANY) NOT LOCATED IN CONJUNCTION WRH THIS SURVEY. �
!.�. .!•^, 4. DESCRIPTION SHOWN HEREON FURNISHED BY PREMIUM TITLE, INC. '
:�'•�•"' ' �o / �iS � .��' �� 5. BEARINGS SHOWN HEREON ARE BASED ON ASSUMED DATUM AND REFERENCED TO THE WESTERLY R/W LINE
..` .�:, ' � 6 3 X O
� �+, N,t c� 0 OF U.S. HIGHWAY 301 AS BEARING S. 25'01'32" E.
�o J �,�` �t � '�p�p, g 6. THIS SURVEY PREPARED WITHOUT THE BENEFIT OF A TITLE COMMITMENT. THIS SURVEYOR NOT RESPONSIBLE
FOR EASEMENTS, ADDITIONAL RIGHTS–OF–WAYS OR OTHER ENCUMBRANCES OF RECORD NOT
� ��l'r ' `� FURNISHED TO THIS OFFlCE. , '
� m '•, / ._/ ., ",� Q. 7. ANY REPRODUCTION OR DISTRIBUTION OF THIS SURVEY MAP OR REPORT WITHOUT THE EXPRESS
"� (t� NG Qw . •;• '0 WRIITEN CONSENT OF SIMMONS & BEALL, INC. IS STRICTLY PROHIBffED. THIS SURVEY MAP OR
��� � S��\�O\ t 5 '.: '� AND OR �THE SIGN NG P RTY SSUMES� NO RESPONSIBILIIYEST0AA0DR OENA�PART ES�FOR ITSEUNAUTHORIZED '
�,�P�,y�°9 �s ' � , usE� s
M � � . , 1�R`�� 8. FENCE LOCATIONS MAY BE ENLARGED FOR CLARITY AND MAY NOT BE TO SCALE.
� $ � 40 'O ��:•�Na� . 9. THE LAND SHOWN HEREON APPEARS TO BE LOCATED IN FLOOD ZONE 'X" ACCORDING TO FLOOD
�< � �n2 �t .. � INSURANCE RATE MAP COMMUNIiY PANEL N0. 12101C–0456F, DATED 09/26/2014.
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O G � � '�� bos . � . F � . 6p�y8 �- ! G E L GE D (
,� o , � (D) — Deed or Description S I M M O N S & B EA LL, i N C. ,
� L a,� A � 'F - ,1�99`L, - �$. ��N� CM — Concrete Monument SURVEYING & MAPPING
� va 'o s� �� POB — PoinE of Beginnfng _
� � G O: p ,p P.C.P. — Pertnanen t Con t r o l Po i rt t
�� ��• P.R.M.— Permanent Refeience Monument
a °d o ' �N`�'��`F . eJ\� ' J e; G R/�M — R(ght of Way P.O. BOX 1297
� �0� PNG �e� � � yi„ RRS. — Raflroad Spike D 36739 S.R. 52 �+
- �N uN \ NdcD — Noli and Dis k �
NG ,����'FD• � (C) — Computed Dato DADE CIN, FLORIDA 33526 y
�' p �,K�'`P 9s1��Q P.C. — Potnt ot Curvature ��• � F.( 3535) 567 — 0048
� o� P.T. — Polnt of Ton en A7C ( 2 ) 567 — 0675
� G �'p� N 9 � LB NUMBER 6382 '
�C� G IP. — Iron Pi (F — Field Dota
`aS� � eV��'(�S QS'Z�1,� (P) — Plot � Ih� — !ron Rod Date or survey : 05-19-2016 Drawn by : MWB
5�b.�gti �� � m `6• �1� FD. — Found �E — Center Line
, N o l ` , S. — Set R) — Radial Dote of Plat : O�J—ZO—ZO'I B Checked by : B�IIIS �
^ PREPARED BY � w AC — Air Conditionar NR — Non Radial �ob Number : O.�O'I J—'I sneet : ONE OF ONE I�
::
���o• MAURICE W. BEALL REVISIONS ERTIFIEp TO:ZpH REI LLC, A FLORIDA UMRED W181LITY COMPAN`f
: 's�� Professional Surveyor �'
c,�� �. Florida Registration Number 4281' BRANCH BANKING •& TRUST COIVIPANY ��
l� �J ,�'�9p1 NOT vALID UNLESS IMPRINTED WITH.RAISED SEAL PREMIUM .TITLE, INC.
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