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17-18387
, a CITY OF ZEPHYRHILLS 5335-8TH STREET - (sis)�so-oozo 1 7 - , DRIVEWAY PERMIT � PERMIT INFORMATION LOCATION INFORMATION Permit Number: 18387 Address: 5505 4TH ST 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: 11-26-21-0010-06200-0010 Improv. Cost: OWNER INFORMATION Date Issued: 4/20/2017 Name: RELIABLE CONTACTING INC Total Fees: 40.00 Address: PO BOX 252 Amount Paid: 40.00 ZEPHYRHILLS, FL. 33539-0252 Date Paid: 4/20/2017 Phone: (813)714-4123 Work Desc: INSTALL DRIVEWAY 29 1/2 X 16.8 CONTRACTOR S APPLICATION FEES RELIABLE CONTRACTING INC (813)714-4123 DRIVEWAY 40.00 , � < n y �. � ��� � �, I� Ins ecti Re uired I DRIVEWA ' 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 properly 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 performed in accordance with City Codes and Ordinances �:J, - CONTRACTOR PERMIT OFFI PERMIT 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 Date Received ' , Phone Contact for Permitting � — Owner's Nam � i �1�d L o�'1�AC 1 -�'�/('i Owner Phone Plumber Owner's Address Owner Phone Number Fee Simple Titleholder Name � Owner Phone Number Fee Slmple Titleholder Address JOB ADDRESS SS�� �I� ST• LOT# � SUBDIVISION PARCEL ID# (OBTAIPIED FROM PROPERTY TAX NOTICE) WORK PROPOSED . NEW CONSTR ADD%ALT Q SIGN Q Q DEMOLISH e INSTALL B REPAIR PROPOSED USE. Q SFR Q COMM Q OTHER . TYPE'.OF CONSTRUCTION Q BLOCK • Q FRAME 0 STEEL Q � ,� / _ DESCRIFTION OF WORK Y �ri\rP41 ��'f }�� x J��' � �� BUILDING SIZE SQ FOOTAGE� HEIGHT •. QBUILDING $ VALUATION'OF TOTAL CONSTRUCTION �ELEC7'RICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. QPLUMBING $ � ���� QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION l QGAS Q ROOFING Q SPECIALTY Q OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO I BUILDER � COMPANY SIGNATURE � REGISTERED Y�/ N FEE CURRE� Y/N i Address `License# ' 'ELECTRICIAN. ; COMPANY , SIGNATURE REGISTERED Y/ N - FEE CURRE� Y/N. Address License# � <.. � PCUMBER.;. COMPANY- SIGNATURE =REGISTERED Y•/ N FEE CURRE� X/N � Address License# : , MECHANICAC" � , COMPANY - SIGNATURE'' REGISTERED ; Y/ N Fee cuwzEr _ Y/N Address-' • � � �� L-icense.# - �ar.:.t: .. ,: OTHER•'".?-.• - � COMPANY �'SIGNATURE::�.:: .� - - , ' - _ ' � REGisTeRE� _ Y/ N FEE CURREK Y/N - • ;.,,.. . . . �: Address�> - - � � License# -.,. .., . , ; -, . . ... , . �._ : , ;�`,�RESID'ENTIAL•�;;`�Atta:ch;.(2);PlofiPlans;{2.);sefs��of`Building-Plans;(1•)'set of-Ene:rgyForriis;R=0,-V1I Permit,;for new,construction, . , y,�„w�r-.,;,:�'-_:Minimum ten;(,10).working';.days afte�,submittal.date. Required onsite;Constr`uction-Plan's,'Stormvirater Plans w/Silt Fence installed, � � �� Sanitary,Faciflties;&<1,.dumpster;Site;,WorkPermit.foc;subdivisions/large.p�oJects- �` �� - �' . ;�..,, - -- --::.�COMMERCIAL Attachz(2)•corriplete sets of Bullding Plans plus a Life Safery Page;(1)set of Energy Fortns.R-O-W Permit for new�constniction. � - - Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, � SaNtary Facilities&.1 dumpster.Site,Work Permit"fo�•all�new projects.All commercial requirements must meetcompliance .YiSIGN�:PERiNIT "AtNacfi-(2)`sets of;Engineered'Flans:r� : � "'•*PROPERTY SURVEY required for.all.NEW construction.. � , '��Directions: _ �-- ..- .. ... _ `� `Fill-.out application completely. i� �'- Owner&Contractor sign:back of appl(cation,notarized _ lf over$2500;a Notice:of=Commencement is required. (A/C upgrades over$7500) '`" Agent:(for th'e-coM�actor)�or°Power ofAttomey(for'the owner)would tie someone with notarized letter from owner authorizing same k;:'OVER:THE COUNTER;PERMITTING:.... .,(copy_of_contract�required) ' � i�=Re�oofs�if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage) ' Driveways-Not over.Counter if on public roailways..rieeds ROW , _.._ ...u. �--�--�:.�..-�..,�.<� = .� . � � � ., __� _..-;;..: :;.�:.., NOTICE OF DEED RESTRICTIONS: The undersigned,understands,that,tktis,permit may be subjeet.to°;deed?'re,st�ictions"r,`�..:; which;,may�be rr�ore.r.estrictive:�#han County:regulations:�`The��undersigned assumes�:responsi'b�litjr°far comptiance witfi"any``";� applicable deed�restrictions. ���-:..'-.. ,;:-f=i.,;u° UNLtCEN$ED. CON.T:RACTORS AND' CC?NTRAGTOR RESPONSIBEGITIES:-> ;If-ttie�owiierthas�-tiired��a•r�contractar or : �. .. . contractors #o undertake work, they.,may.be,required,to be'licensed in accardance with.state and_local<,regulations�:�'If"tlie,°.};�;..Ly' •` , contractoc is-not licensed as required by"'law; both:the oinmer=and'�contractor=m'ay��tis Fcited��for�aa:�°mistiemeanor violation:� .'>; � ��. under state law. If the owner or intended�contractor are uncertain as to what (icensing•requicements.,may:aPply forF�the:�;:''`_�;.;_ 7:.. ..,,::�,:.�, ... ... _. intended wark,.they-are�advised to contacf the'Pasco County`Buildir�g Inspection�L1iv"is.ion � 3 .bv9 e� -. 1 +, , 3 e. � � ir , PEItMIT APPL��TIOW '�'{• ' r= .: - .:{`.: ' � D�RIVEUI�AY:PERMIT.AP.PL�ICAT:�ON � _. �C�MSTRUCT.lON�WITMTN:PUBL[C�RIGFIT=.O.F=VI�AY All Iriformation�be-filled-in completefy I � :Cityof:Zephyrhills '5335 S�'Street,Zephyrhflls,'FL 33542 Telephone.813.780.0000 Fax 813.780.0005 Y�N � _ '�: ;,�•`✓�. `'l.'"ij�_��'. �:Y� :t � :".�t'R'i��k� '-'^.��i;•�]-F:'I y ..4 ',.1.�5�.�:i�:��;� ���t�� ..Y.. - — V� :5.....�"'�:.:n:{':'�,�il' - ,'l...i::.:'_.'• -:L:'::':^ , is.n.y�` ;d•,� :`;ix?t'az;T �`��".:Ui4a �.4� ;4 =��::'��::Y.;i,;�•>:'n" .i::;'�:.,y. ..t�. ,v,iF '.�r, :t5.� - �r:... { ,F';:"�r�..f:X-.,. t.y�.c=,�'�� �iroe -r:,i...s:c,l. �a•,�i i - - - ra:::�� .,,: �i'Sc' :}: :r.�.= _ �t�„r' =v,,;_,... :+i�^.e: - .y.._�...... - ti}�=`� - -- :'3�, �.115L .ri�ih:•,-.et.e:-,. Yr.'.::`.•r - ',�`A'r,n•':ri ..v � "d� �'e, - .f. _�"'`.':e.� '%t.-T.-.,: :�:+'.L.� ::i:' - �:'t"., ��+�� -'.�.�-••,•"•"`*�^ - - •�- .w,...K=`:� .r 41j���'::.4 r...��A ' T:L�: � - -- ..t;� :l '''� ::}...'I:�'�i=.;,;�'� - %`I�'. _ 1 :L;� �I.' _ _ .R�.',=.:il::':�.'.� �'3•::•=':.,;.< :1 •!. :�f•.�s�:y�e�r:=�;.r.+;.e;�• _2":i:.':�:e r i}.•_ '��P;$Re'�ig'�t_ . .. Rb. �tmks,:.,, r�' .� 10'�._"- "PR07ECT JOB'SITE: •PROPERTY'OWWER Address: . SDS ' Name: e �R e oI� t '.t _ �ir_ , Unft#: � Address:� 0 2 Unit: ParcelIdentificatton Number. C State ZI Z h ; 53 Phone• I -71 Fax: i � ;CONTRACTOR: � . � • Com n : i� � ,� ' �. ; Name: Contractar's License#. C C 1 a. 7 � E-Mail: o ri 3 a ��. evv�'1 ' �Phone: �1.�F7ly-yJ�3 Cell: Fax: ` ARCHITECT/ENGINI�ER: � � � � f Name: Frm Name: Address: Gty: State• Zip• � a State License#: Phone: CeIL• Fax: ;'. . a Y f a �SC�p�Qfl��I'A�@`� € �'� d9'� `LENGiH OF DRNEWAY CULVERTS'NE�DED RESIDENTIAL DRNEWAY t�"WIpTH OF DRIVEWAY ( )REINFORCED CONCRETE � CbMMERCiAL DRIVEWAY R'�.�. DCCAVATAOAI ( )CORRUGATED MATERIAL � _PUBLIC ACCFSS DRIVEINAY y�DERiH LINEAR FEEC ( )BOX CULVERT r ( )Ol}1ER(DCPLAIN�_ P � CONSTRUCRARI MA1'ERIAL Ct9RB CUT REOUYRED �, ____.�SPHALT YES .�•'�NO --��hICREfE trEADwa«t�outr�n7 vEs •�'`�No ,. ; . 5, 5 NO'PI�E TO APPL4CAPIT: I�actual work e�toe�d�scop�of this de�riptlon,atlditional permits or dtawings � wftt be required. UTi�I�'Y LOCATIORJS REfZd9IRED: Ck1LL B�FORE YOU DIG: 1.800.432.4770 ' � Page 1 of 3 � a • ---.- "._.' ' — - ---- � % P k I � L M . � , . :� IPM�M`xd���r�a,f${�M� �➢�39.Y���L��a'f�����g�9dATT'%��9 61Y��7���: �A1��f�'�.��� P��tVIdA�S��'t��l R�! �P�S�S�A�iE�, ��l�iD�g'��&�t�l��P�i��Y�i �tt�t�B)a���'9, �'�'kl�C� ��i'��� A6�1�'�IC�a'6'Ifl��. !'C°� ,� /P'°it�Pd ; i 3 d � � � i 1 1 AFFIDAVIT: Application is here rnade ta a5tain a � by perm�t ta da�uorlc and ins411atior�s es indka�ed. I certiiy that aII faregoing information is accurake and that alt work wi(t comply wttfi atl apptir.�ble codes. I uncl�rstand these oodes shall take precedence aver alf approved construction documents,.and issuance of this.permft is verlHcation that Y will notify the property owner of Horida Lien Lauv r. req.,F.S.723. The issuanoe of this permft does not ensure complfance wiCh deed restrictions and I understand that additianal de�d k resfidivns rrtay appty ta thls property. , 114111 wcnrk sh�il aorrtply with the cxurent Flmrida BuildBng�de,�ubli�V1iorF€s De�1�n M�ntaa!�nd FD�T[�ign �#atsd�r+ds(ifapplic.�ble�. (Publie Warks�sign Manuat onllne 11nk:wvv�u.ci.zephyrhilLs.fl.us/pubi�c_warics.asp) � AppLIC�ATION IS lIOID I�NLESS SYGNED WITH PROPER ICIENTIF�C�1`fIC1N AND WITNESS�D BY A PERM�7' TECH�dI�IN OR NOT,4�kY PUBIIG � NOTE: The C�.jt of Z�phyrhills!s not r�pon�itr�e for main�n�a�ce or repa�ia�of t9rhret��y�. Drnreways shaDl reot�ltxr 1 �i in#erFere avi#h�acisting�orrnwater#a7eatment ar�ad/�r conv�yance. ; PROPERTY����s: 8y signing th(s appl(cati�n: T certffy that I have read and understand tfie owner/build�r disclosure statement. 1�' {please intt3a!} l�.effi..� r�` .R�,r'��; �s �rP ,i�ia� �. � �� p �/v��l 7 . Ap�licant Prant t�ame pplicarrx 5lgrrature Date i ; permit Te�nlcian Signature (or)tdotary Signa�ure pate i Appticant ts( )Personally known ta me or produced as Pdenti�cation, ' (4ype oP identificatian} ; ; P�ge 2 of 8 � y � t,: i �n '` ro ������������� J I fAF�I��dlSE�1d�L'�' . P19��.IC�P��QJ��.�NL1� � � Concret� (min.6`� Y N � I ; ! Asphalt Base(min. 6'� Y N ; Asphalt(min. 1�/�'� Y N . Length(min. 19� N Wldth (10'min—20'max) N ; Exisl�ng sidewalk, lf IV� , hVew sidewalk. Y N ADd1 compliant. Y N , Exp�nsion material requir�d. Y M Contiguous parking pad. Y N � "Priangular flare(3'!h!x 7'L) Y N � ilisibility triangle o.k.? N Side set back(3'min. R.Q,1N.) Y N Plan Review Fee . .�4�e�it�or�all.+d�i ,9��a��aff�cc�r.���.��es�� �aa�ata�����e+�c��a�.s��aD�i �o�: , � �'�E � �. s Permit�pplication approved b . bate: /� : � t������fi� f'. � . - " - _.. .. ,... . -- - -- ._. >,..._.t-..._...___,........ _ ,,.�. �_ _ .. ,.,.___..__� -. . �.- . � . _ ... �, _ ... _..._._._ _. �, . _.� .. . _.. ....,.. . . ._._�_ . . . ,�_ u_-.��. w_ _ ..x,_�. _.. , ._ . _ . �,�,f�.���� - . 1tv.��.�1►,y �t? �.� .L-b► 1`��� '���(��°` 4 ,� w .Ltror�� n'�t�'d`.3���y��1?��dS�'.L�+�t�S �'�; -�/�yyQ`,�- /Q viY.�j'�c::a't�:t 1`t� _ 'i(r/`�� y �.p,`;y.�. ��t:: - :'il�.� :GJ� -.:it.;�� ,� - _ , . - � M�a ',i .., _t.'a'1-� 'f:.:C;�:�,i..:.v'.� "k: . 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