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Home My WebLink About17-19047 ,. _ CITY OF ZEPHYRHILLS 5335-8TH STREET (sis)�so-oozo 19047 � � � DRIVEVI�AY PERMIT ' PERMIT INFORMATION LOCATION INFORMATION Permit Number: 19047 Address: 5513 8TH ST HISTORIC Permit Type: DRIVEWAY ZEPHYRHILLS, FL. Class of Work: DRIVEWAY/REPLACEMENT Township: Range: Book: Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section: Square Feet: Su6division: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-15300-0075 Improv. Cost: 3,000.00 OWNER INFORMATION Date Issued: 11/14/2017 Name: LONG DONALD C JR Total Fees: 40.00 Address: PO BOX 286 Amount Paid: 40.00 CRYSTAL SPRINGS FL 33524-0286 Date Paid: 11/14/2017 Phone: 813-927-2842 Work Desc: DRIVEWAY EXTENSION 20 X 27 CONTRACTOR S APPLICATION FEES HOMEOWNER DRIVEWAY 40.00 �� P V � Ins ections uired DRIVEWAY 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 performed in accordance with City Codes and Ordinances !%:��.� CONTRACTOR PERMIT OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER � a�s-�eaooao City af Zephyrhills Permit Application Fax-813-780-0021 _ . Building Degarkment - � t?ate Racelved `. Phone.Contact for Fermlttin :' � d.� r�u � � - , M �� Owner's Name 1 r��A r� �L oti Ow»er Phone Number . - , , ,_. „�,� . Owner's Address �� S� Owner Phane Number- f = / , Fee Simple�Titleholder Name ��Ar� L...D�� Owner Phone Numbe� �W � + Fee Simple iTltlehoider.Address - JOB ADDRESS �� LOT# �� SUBbiVISiON � . � PARCE4ID# � , , _ (OBTAINED F.R4M PROPERTY.T/1X NOTICE) W4RK PROPOSED �,;NE�nt CONSTR ADDIALT -� SiGN `Q �Q DEMOi.iSH �e: INSTALL � ; REPAIR RROPOSED:USE Q S�R- � 'CQIUIM `� Q •OTHER TYPE OF CONSTRUGTION' Q"� BLOCK ' Q FRAME �'� ,'STEEC Q DESCRIPTIQN OF WORK ` ¢ %� ��' x,,[. , , , . , ,,_. � , : �_� .�• BtlELDING 81ZE' � � 8Q FOOTAGE ' - . NEI,GHT ; QSUIGDING � �,I/(r��r 1�� -<.. ._,s.�. ,: =, . . . ' � VALUATION:bF TO'fAl CONSTRUC710N - f � , QEt;ECTRICAI $ AMP SERilICE Q �PFtO�FtESS Ei�IERGY Q Vtt:R.E:C. ; � � . QPLUM81Nt3 �. " . �' 3 ' [�MECNANIGAL ' $ � � VALUATlOF+1 OF MECHANICAL INSTAi.1:AT10N ? �� „ �.. ; ' , , ' QGAS Q RC}QFING :Q $PEGIAi.TY � OTHER� - FINISHED FLOOR ELEVATIQNS r�� FLOOD ZQNE AREA QYES. .:NO , , L � BUI�OER . CBMPANY� � ` '_' ' ' SIGNATURE REGISTERED Y/ N FEE CURREP Y/"N' ��i � , ,- Address Lic�nse#'� � ( E�EC7RICIAN. , 'COMPANY � . . � SIGNATURE � REGISTERED Y/ N �e cU�teK � �"Y/N '� ,,� , ,�, � � - � . �] ' Address `' " - ' , _. - License# � . 1 PLU(YIBER ' . - .COMPANY . ' ... SIGNATURE` � . ,REGISTERED . Y/�.N : ,FEE CURRE� Y/N. � , Address ' • � , `_fi'License,,# �. � ��: . . ,,r MECNAHtlCAt: ` , . ., COMPANY. � ' , � • - , SfGNATURE• ' �` REGISTERED ,` ,.Y,/.N FEE.CUWtEn;= Y:/�N� �" � r�., , . , Address' - ° , „� .�- -' ' „ . ' m . License#��`� � � . . . .. - � , , OTNEfi . . . " , . � � ,COMPEtNY ,. �,.>-,... �., . . . � ,,, - SIGNATURE `-• �'7 �� ' � '� �'REGISTERED� Y/ N.....; FEE CURRE� Y/N .; _ -� . . .:.... ..: . .... . . . ,, ,. �`'� �. Address •,`:-, , �_=.;• .�� , > Msa'" . ' Liceiiise#�1 � � ...; .. � ��;��" , . _ ,. .. .: . . . . . _ ,,._ ...... .,,.,. _ .;.. .�... _...�;_... .• .. RESIDEN'fFAi:', �Attach;{2):PlofP.lans;,;(2}sets-:ofsBuitdingrPlans;{.1)sefof=Energ}r>Fosms;R=t}=W"Perinitfiar new coi�s#rucUcn, . ,,., . ,. � -Minlmum�ten�(:10);working;d'a_ys'.after,",subriiitfal dake.x:R�qulred onslte;:ConstiucUon.-Flans,•Stormwafer"Plans w%SIIf Fence installed, � Sanitary FacillUes�&z;1t:dumpster=�Site•Woric€Permit#or subdivislons/lerge?proJects-_. .� � ` � � GOMMERCiA1,. Attach{3}corn'plste`sets of Buildiiig�Plaiis`plus a'l:ife Safety Page;{1}set of Energy Forms.R C?-W Permit for neuv constructlon, ' • Minimum ten(10)working days�after submittal date. Required onsite,ConstrucUon Plans,Stormwater Plans w/Silt Fence installed, Sanitary FaciliUes&7 dumpster.Site Wark Permit for all naw.projecfs:..AlI commercta!requlcements.must meet compliance S1�N PERMIT Attacti'{2}`sets cf EngtRee�d-Plans.,:�.:-=^-:�� . ,.� � - . . •`""PROPERTY SURVEY reguired,for_all�NEW canstrucUan.= - j - - - . _ _ - - _ Dlreettons: •� ._:. ., - _ ,, . FIII out applicatlon completely. i pwner&Contractor sign back of appllcaSon,notatized (f aver a2500,a Nctice of Commencement is required. (A/C upgrades over�7500j , � � •��.�7:�.: ' '" Agent(for the con6ractor)or`Powe"r ofAttoiney(for tFie owne�)would be someone with notarized letter from owner autho�izing same OVER 7HE COUNTER,PERM1'iTfNG.. _..-..(Front of-APPl�cation•Oniy}-- • � - .. _ . Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) drivewaya-Not aver Counter if an pubiia roadw'sys..needs ROW � � ( ' ;. _;; _t.., ;- NOTICE OF DEED RESTRICTIONS: The undersigned,undec8tands�;th�t;this°p�cmit,:may_.be;subJect to:"dee�"resUictlons"`;.. ,,,.��,. which may be:more`-'r.est�ictive�tfi��r Countyiregrilatfons:��TFie'underglgned"a§sumes'resp�insitiilt'ty�for' compliance`witH��any"� "`�"`�' appllcable.deed resMctlons. -.. ; ,� ,.._; �� .. ;` � ., , �_ .., :A �, -- :� - UNLICENSED�CONTRACTORS :AND CON�RACTOR RESPONSIBILITIES: =•If=tlie-�owner=hasY°hired��a�`contractor or contractors to undertake work, they may�,be�required.to-_be,llcensed in-accordance.with state�and�local_;regulatlons.:�.if�the�� r-°-�� contractor Is not liaensed=as'requlced`tiy law, bott��the owner and conUacto��may be�cited�for'a�misdemeanor violatlon under state law. If the owner or intended,contractor;;ere;uncertaln as to what Itcenstng.requlreRnents�may��apply�.�forNthe�-��- - ��" . , ;.. .. _,_.._ ,,.._.._ _.. _ _. .., intended"iniork, they are advised:fo coritact tF%e,Pasco.County;Butlding.inspection,Divlslon--Ltcens(ng Sectton et 727-947- 8009. FurtFiermore, �If the ovmer'tias�"hired�a conUactor�o�contracfors� he ts advised to have :the cont�actor(s),;sign , .,,-.,. -. .. portlons of the "conttactor.Block°.of.this.application_for.which they wilt be�r,esponslble:-.,If:you;:as:#he owner s(gn"as"tiie"` "�' � . . _ , _..._......�. z. contractor, that�may be an Indicatlon that`Fie-is�not:properiy Ilcensed�and�'Is"not erititled`to perinitting privlleges In Pas,co ., County. � � E._:��;. � , -.-� TRANSPORTATION_IMPACTIUTILI'TIES�IMPAC7�i4Nb�ItE�OUitCE RECOVERY�FEES:The undersigned-understands that Transportation Impact Feea:and.Reco.urse.Recove.ry_Fees may�;apply�to�the;construction.of new.buildtngs�?change='of"= '��=°-' use In exis8ng bulidings,�or:�expar�si�n��of��ezistin,g.;buildi�gs, as specifled.in Pasco County Ordinance number 89-07 and.. 90-07, as amended.,.;The underslgned also;understands, th�t�`such fees;°�as��maj�:be��.due;�.wllL.be idenfffied at the=timeyof`�` �� " permiBing. It is fu'rtlier understood that Tra�isp�o�tation Impact Fees and'�Resource:Recovery,Feesi mu�t be pald prior to I rece4vtng a_'certi�cate.-of�occupancy"=or�flnal�.power.Gelease:�:if�the.proJect::does�not Involve:a�cettfficafe of occupancy�or��-^�`��'-;" flnal power release;-the:;fees�mu§tkb�e�paid��p�lo�to,tpermit issuance. F�rthermore;if Pasco;�County�Water/Sewer�;impact -�: �� .,r. ..., . :�i.�. fees are due,they.must-be.pald:.prior..to,permit�issuance=ln_accordance.witfi�applloabie-Pasca��.County-�ordinances. • CONSTRUCTION"L"IEN`LAYV"(Chapter 713�Florlda`3tatutes�aa amended): (f valuatlon of work is$2,500.00.:tor more,:l :. ��; certify tFiat I, #he��applicant,-have_been .proylded:�with--a copy��of`the'��°Florida�°Construction� Llen :Lav�Homeowner's ' Protection Gutde" prepared by.the'Fioi�da Department�of Agriculture and Consumer,.Affairs. if the applicant is someone-��.,�,,_::�; other than th�"owne�", I certif�►.�that l�have,optained3a�'copy.of:the.aboya.des,cNbed docuti�ent�and,p.r.omise:in,goodrfaith-to . . �-�::s. delive�it to:.the�"ownec":pdor'.to:�commencement: ':� � ' , � ` ' �� . '- � = -- - . -- CONTRACTOR'S/OWNER'8 AFFIDAVIT: I.certliy4:tiiat,ail:,the,informetion:�ln�this applicatlon is accurate and that all work will�be done in compliance with all.appltcable laws regulating constructlon, zoning and��land°development. Appitcation,is ' hereby made to obtain::a.permit=;to;do._;worlrtiand�ihstallatlon as IndlCafed.�-=°I certify �that no work'or Installation Fias , commenced prio� to issuance of'a pemilt and that�.all�work will be pertormed�to meet.standards-of all laws �egula�ing- _ construction, County and City codes, zoning regulattans, and land development cegulatlons�in the,jurisdtction. I�al's,o. .� certify that I understand that the regulations of other government agencies may�apply�to the..intended work, and that It is my responsibility to identtfjr•what.actlons I must•take.to bedn:.compliance,..S.uch.agencles-include but�are..not Iimited to: ; � - Depertment of E�vironmental��Protectton-Cyp�ress:'Bayhead�, Wetland Areas and Envlronmentaliy Sensftive Lands�WatedWastewater Treatment. � - Southwest FloNda Water Management� :I�(strict-Weils; Cypress.� Bay.heads;- Wetland� Areas, Altering Watercourses. - � � - Army Cocps of Engineers-Seawalls,�ocks�Navigatile Waterways. - Department of;Health.;8. ReF�abilitative;,SerxiceslEnvironmental.Heaith �Unit Well.s,.�Wastewater-Treatment, °� - Septio Tanks:� _' � - �.- .. _, -, � - US Environmental Protection Agency-Asbestos abatement..4, _ ��•� - Federal Avlatlon�Authority,-Runways:� , -'- �� . � ` �{ I understand.that the..follawing.+restrictions�apply'fo�the us`e of flil:• - Use of fill Is not allowed In:Flood-,;Zone"V"unless expressly permitted. ` - if the=:flll°mate�fal"-is to be-useil:`in,•<flood-Zone. "A", tt Is understood that a drainage plan addresstng �a "compensating volume"wlll be submitted at#ime of.permitting which ts prepared by a professional engineer '�' • -- Iicensed bythe�tate cf_FloHda: �"� :�� _� ��" �� , . '- - If th�-flll material�°is�to�;be used In Flood �one 'A" in�connec�ion�wlth'�a�permitted building using stem wall , � conatniction,_I certifj►th.at fill.wall=b.e�used only.to fill the area within the�stem�wall: - - � if flll materlal��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 condlllons..of_the buildtng-.permit Is'sued�under tha attached,.�ermit applicatlon;,for:,lots�less.than.one (1) acre which are elevated�tiy flll; a�t engineered dralnage plan Is requtred. • . . •� If I am the AGENT FOR,THE OYVNER;.I�.promise In.good falth to inform the owner of-the permitt(ng condttlons set forth In this aftidavtt-prior�to commer�cing conatruction. I understand that�a=aeparate perm(t may be requtred for elecMcaf work, , , ,�,: _.... plumbing,_signs, wells, pools;. alr condtttoning,�.gas��or other ins#all�tions not.speclflaally Included�in.the�application. .A , permit issued shalf be const(ued to`be�a�license'�to'prviceed with ftie_v�iork and:not-as:authoNty:to.vlolate,�:cancel, alter, or , set aside any�provisions of the.technical codes;�nor shall tssuance�of a.permit.prevent the Bulidlrig Offictal from thereafter ' requirin.g a correction�af errors:in;.,plans, constnictlon._or violaQons of-any codes. Every�pistmlt lssued�§fiall�become invalid unless the work authoriied.by such perrt�it:•Is.commenced•within.s�c.;months of�permlt Issuance. or if work authorized by the permit is suspended or�:aba�doned•�for.a;period;of�six:EB)�monftis�:aRer;the;tirne the�work�is commenced. An extenslon , may be requested� tn writing,,from.tfie Building,Oiflciai for a period.�not•-to exceed�ninety�(90)`�days a�d�-will�demonstrafe � justifiable cause for.the extension: If wock ceas�s:for ninety(90)cons.ecutive�day.s�..the Job,is considered abandoned. WARNING TO OWNER: YOUR..FAILURE..TQ,REC.ORD>A::MOTIGE:OF��COMMENCEMENT:MFAY-RESULT:IN=°YOUR _ PAYINGTWICEf;FOR�iMPROVEMENTS-.TO;YO,UR�:PROPERTY:�,IF°YO.U�IN'�END:�TO��OBTAIN�FINAI�EiNG;'C:ONSULT _ WIT U �� . D -0_ A �TTORAI� F�DR �,.�ECOI� fa�� OU s � ,��- �„• � E T. .: , FLORIDA JURA�;(F.S:117 � ..:'�, � � .;., , ° ; , - - - � -----� � OWNER OR AOENT ��. CONTRAGTO /� ' �Su cribed and swom afli ed)befo e m Is Subscribed and'swom- aflirtned�b` tFil� by .��0 C �i�� !1-lS-!7 ...by... avg/ � .��,>� ' Wfio islare parsona knovm to.me or hasJhave p►oduced' •VYho.ls/ re p. rsanally,known�ta.me or haslhave:produced • �L.��l�i.r.�� ae IdenBflcatlpn. ��l�r G�c��, as Identlflcation. - Notery Publlc . Notary Public Commisslon No: Commisalon.No. Name of Notary typed,pHnted or stamped Name of Notary typed,printed or atamped . � �� i ., . � _ � I►ISCI.OSURE ST.A.TEE�N�' FOR OiVREIt •t ' CZTY OF ZBPHYR$ILLS BIIILDING DEPARTP�IdT �, ' h�v� read aad fu11y �aerst�a aad agree to the provisions af thie instrument. The uadersigaed states aad affirms th�t he o= she is deairous of conetructiag, r�aavatiag, addiag to o= reroaf3ag his as her oyaa domieile, that h� os she actually oecupies, or will occupy by gaid domicile, aad sasne i$ no� for rent, lease cr sale. That h� ar she sh�11 comply with the foZlawfag coaditians: 1. That the or�mer aad he or she aloae sh�ll act as the buildes for all y�hases of aonBtructian. � 2. Tb.at the owner will. comply �rrith all provisiaas of the Cit}► of Zephy=hi3Zs osdiasaees aad codes pertineat to the buildia$. 3. That ixc the eveat variaus phas�s of ean�tructioa are subcantracted, he �viZZ engage only gsropexly Zicensed subcontrac�ors �ad wi�.l per�aaally superviae ` such work. � 4. That ia the eveat the Suildia.g Iaag►ectar ehaZ1 require correetions to be made, f the owaes tvill assume full reeponsibil�.ty ta iasure they �ze made, aad upoa j compl�tioa will call fot a reiaspectioa before praceediagr xitla the buildiag. ; 5. That the owaes sha21 as�uzde fuZ3 respoaagibility for tha constructioa and wi1Z � not expect supervi�sion of his raosk �rom the City af Zephyxhills SuiZdiag ` 77epartaiemmt. � 6. That pxiar to �iaal iaspectioa aay additioaal fees, iaaludiag xeiaspectioa i fees, muat be paid ia fu3.1. A writtea r�quest from f:his of�ice shall � coa�tstute aa af�iaial nat3ce to pay ac�itioaa3 fees. 7. That the awaer shal]. eomply with all Citg, State aad Federai lavas ia segard to sociaZ security, workmaa's eomperssation, lien Zawa, ete. , where applicable. 8. Tbat the ovaaer shall comply t,rith all the safety cades issue8 by the Fl.oric� Industrial Commisaiaa. 9. State law requires eonstruction to be doae by liceaBed caatr�ctors. You have applied for a permit uac�er as exemptioa to �hat law. Th� exemptioa allaws you, as the ovaner a� your property, to act as your awa contsactar with eexfisia zestrictioas even though you da aot have a licease. You must provide direct onsite supervision of the coaetruetioa y�ourself. Yau may build or iaeprave a one-fsm;i.Iy ar two-famfZy resideace or a f�rm outbu3ldiag. Yau may also build or impsov� a commercial buildiag, pravided your aoets do aot �,xcead $75,000. � The buiZdiag or xes3.deac� must be for your own uee or oocupaacy. Zt may nat I be b�iZt or substaatially improved for $aie oz lease. If you sell or lease a 3 bui3diag you have built or stabstaat3a11y 3mproved yaurselt withia 2 year �ft�r � _ the caustruction is complete: the l�w will gresume that you built or � substaatially improved a.f fo= sale cr lease, which is � vialatiaa oiE thf$ � exemption. Yau sn�y aot i�ire aa ualiceased persan to act ae your caatractoac or ' to supezv3.ee peaple warkiag aa yaur buildiag, Tt is yous respoas3bility to � make sure that g�eople employed by yott h�v� licenses requir�d by state -law aad � by couaty or muaicipa3 Iic+ensiag ardia�aes. You may aot deZegate the =: i respoasibility far supervising vaork ta a liceneed aontractor �ho is not � liceneed ta pexfarm the wark bea.ag done. Aay persaa working on gour buildiag who is aot liceased muet work uader your ciixect �upervi�ion aad mt�.st be � __ _. ea�loyed_by.xou� wh��h.��as._�ha��•�ou-must-dect�xQ�-I�.-�-:�:�:-�ad--wit3r�:�2-ciiag-ta�c_. ._.__ ._ --- -- -- j and provide worlcers' compensation for that employee, all ae prescribed by 1aw. ; Your conBtructiors must camply with all appli.ca�sle lases, ord3.aaucee, building j codes, and zaniag regu a� ; � OTrtINER'S 3T6NATURE � �''� DATE �/ ! � j � , i � �va�ss � ` � psoia�a. t I WITNSSS PERMIT # �°t�°""__�`C�,i PERWIIT APPLICATION � "��'��'�� DRIVEWAY PERMIT APPLICATION CONSTRUCTION WITHIN PUBLIC RIGHT-OF-WAY All information must be filled-in completely City of Zephyrhills 5335 8"'Street, Zephyrhills, FL 33542 Telephone 813.780.0000 Fax 813.780.0005 �Date of application: Processed By: Permit#: � � (gray area for staff use only) ' ❑Copy to Building Department ❑Copy to Public Works ' I PRO]ECT/ OB SITE: PROPERTY OWNER �� -9��y� Address: S ' � /�' Name: C/,� LO�r/� ,7�✓�' Unit#: Address: "' �F4 S Unit: Parcel Identification Number: Ci State Zi Z � �/ L Phone: � � -� �Fax: CONTRACTOR: Company: �t3a� �Lj/�/BG �� Name: Contractor's License #: E-Mail: Phone: Cell: Fax: ARCHITECT/ENGINEER: �;� Name: Firm Name: Address: City: State: Zip: State License #: Phone: Cell: Fax: � Descriation of Proiect TYPEA�DRNEWAY ;�LENGTH OF DRNEWAY CULVERTS NEEDED ' RESIDENTIAL DRIVEWAY �WIDTH OF DRNEWAY ( )REINFORCED CONCREfE COMMERCIAL DRIVEWAY R.O.W. EXCAVATION ( )CORRUGATED MATERIAL PUBLiC ACCESS DRNEWAY DEPTH 11NEAR FEET ( )BOX CULVERT ( )OTHER(IXPLAIN) CONSTRUCTION MATERIAL CURB CUT REOUIRED A�PHALT YES NO �ONCREfE HEADWALL REOUIRED? YES NO NOTICE TO APPLICANT: If actual work exceeds scope of this description,additional permits or drawings � will be required. UTILITY LOCATIONS REOUIRED: CALL BEFORE YOU DIG: 1.800.432.4770 Page 1 of 3 � PERMIT APPLICATION UTILITIES LOCATE CONFIRMATION NUMBER: PROVIDE SKETCH IN THIS AREA, IF ADDITIONAL SPACE IS REQUIRED, ATTACH TO THIS APPLICATION. ' • ��3y �``� � ` �v�s��- �x�Sfl�- C�^��e ,� �� U �i��., � �� - � � `x `� � � '"�� ! t' � � �n�Gr�,l� a.n , -�.� �. � "�' N�ui _ �h a O� �" ! coNc�� v� �i�2 ��(!c� S��1� . � � b 1�� - 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 O E • By signing this application: I certify that I have read and understand the owner/builder disclosure statement. (please initial) �Ofr/b//� �`/f�✓� �d,J � �GL i /� �.� �� 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 1 �y order of the Building Of�icial: �ViCC�a�A. �urgess All �uilding, plu�nbing, electrical and rnechani�al work shall cease at the belo�nr r�entioned proper�ty. a�d��: ��/3 f�{' `� s J Date: ,/� - i � � '� � Code Enforcement Of�icer: R- � ., Contact the Zephyrhiil� �uilding Departrr�ent 533:5 - 8th Street �13-780�-0020 �� , ,.�...E?:i:L, PERMIT ARPLICATiON �l�;_ '^ � �•`~-+.- DRIVEWAY PERMIT APPLICATI0111 CONSTRUC7ION WITNIN PUBLIC RIGHT-OF-WAY All Informatlon�i be fllled-In oomplebe(y C'�ty of Zephyrhills 5335 8�'Stree�Z.ephytfiills,R 33542 Te{ep1�1e 813.760.4000 Fdx 813.780.�5 'Dabo of appllotlorc Prooessed BY+ PermR�R: (g�ey��ea m.amR we mh') ��W�Y to Bulldlm�Deper6�t 17GaPY Lo PubCc Waks PR07EGT OB SITE: PROPERTY OWNER � - .Z7��yoZ /1ddre�: ` ' Name: la.. La✓� �ie Unit�: Addr�s: ' � Unl� Paroel IdentlHcatlon Number. � 5i�� ,� Phone: / -.7 y�F�c: CONTRACTOR: Companv: �r ��1�ry6C Name• Contractot's LJcense�: E-Mali: Phone: Ce1L• Fax: ARCHITECT/ENGINEER: Name: FlIm Name; A(�I�C55: CiLY' S�Fi7tC' ZJp' State Lioense#: Phone: Oeefl: Fex: Descriotion of P►ofe TYPE O�DR�?NJAY �S / _LENGTH OF DR[VtINAY CULVERTS PoIEBpED " R�B�T7AL DRNEWAY ._J[_WlDTH OF DRNEVYAY ( )pmy��pp�� _COMMQ2QAL DRIVEWAY �t„o•w, p(CAVATIQN ( )OORRUGATED MA7ERTAL .�UBLIC A�DRIVEWAY _PFPi}i _LINEAR FEET ( )BDX CIJLVERT CURB Q1T REOUIRED � y��IX��- �� _YES _NO H�DWALL RFOLlIIL j yg �p NOTtCE TO APPLIca►Nf: If actual work e�oceeds soope oP this deseriptlon,additional permits or drawings wlll be requir�. 4TILITY LOCATIONS�OLlIRED• CALL BEFORE YOU DIG:1.800.432A770 Page i of 3 PERMIT APPLICATlON UTILIIIES LOCATE CONFIRMAT10Ff NUMBER: PROVIDE SI�TCH IN THIS AREA,IF ADDITiONAL SPACE IS REQUIRED,A7TACH TO TNIS APPLICATION. • 3s�3y 9�� w�- �'��Sfi�� o,�Ue � �� b � �� v� � 16• -f- �, � x � � � �uew � �� NCca c. � � lo� "� �ou�o�� -F�,t��S�r� Si l�W�f(/� �i�U/n!f ��iJ�W p2��Y C �9 5" ¢� L C�a-cr� Sc�.S� L� 6 � �,,c� '� 1 r saw�rt'vcrs�AG flt�q' AFFiDAV1T': Appltratlon Ls hereby made co obtatn a�rtnh bo do wwk and I�tatlatlons as Indicabed. I aertlfy that ail foregofng Mfam�don is acarate and tl�at all woik wfll comply with all appffcabfe aodes. I wders�nd these oodes�ail tal�prea�ience over all aPP�d aons�uctfon dacurt�ents,and issvance of thls pertnR Is veiflmt�n that I wlll notlfy the property owneroF Rorida Llai law req.,F.S.713. 7T�tssuance of thls permft does rat ensure complyrroe witli deed r�estiicilons and I understand that addl�onal deed restridions may apply bo th(s property. All woHc shall eomply wFth the current Flodda Bufldinp Code,public Works De4tgn Manual and FDOT DesPgn Standerds(if applicable). (Public Works pesign Manual onUne Ilnk:m�uw.dzephyfiii�.fl,us/publle_works.asp) APPLICATION IS VOID UNLESS SlGN�W17'F�PROPER IDENTIFICATION AND WlTNESSED BY A PERMIT TEAifVIQAN QR NOTARY PUBLIG NOTEe The dty p}7.ephyrhlfis Ic not ree{wnalble for ma(Menenoe or repai�e of drPveWays, prlrewaye�ap ttot el�v/ Inberfere wkh mdatlnp stomiwaDer treatment and/or oorneyanp. PROPERTY O � By�gning tltls appllcatlon: I oertify that I have read and understand the owner/lwild�dlsdosure statemerrt. (ptease Inroap �Oh/1J//� ��ft-/ �rle// JR. / �.� � Appikant PrIM Name' Appli�nt Signadrte Da6e P�mlt Technldan Signatwe (or)Notary Signature p� Applicant fs( )pesonally Imown tn me or pmduced as Identifkatlon. (h�of Idmtlflcatlon) Page 2 of 3 PERMIT APPLICAIION OFFICE USE OMLY PUBLiC WORKS USE ONLY � Concrete min.6 Y N • Asphalt Base(min.6� y � AsphaR(min,l�h� Y N Length(m1n.19� ` N Wldth 10'mtn-20'max} Y N ExLsting sidewalk 'Y N New sldewalk Y N ADA compllant - ry Fxpansian matertal required. Y N Contlguous parWng Y N Triangular flare(31N x 7'L) Y N ' Vlstbil0.y triangle o.k.7 N Side set back(3'mfn.R,O.W,) ry Plan Revlew Fee Addidonai descri tion of work ae deflned Pu61(e Works Director and.or.desi nee: � G C �� Permit a pllcatlon ap ved by: Date• � Page 3 of 3 � � - - � Jacqueline Boges From: Jacqueline Boges I Sent: Monday, November 13, 2017 11:24 AM To: Shane LeBlanc Subject: dw 5513 8th st Attachments: dw 9th ave.pdf Shane this homeowner has already begun doing the DW he was stopped by code see attachment located at 5513 8th st. Thank you Sir... r - �"� �; �. ��-. "'��f��'� � � . :� s� -:.�• � �_.,."- - �4�.,,�:°i dack�c Bogcs _-- - -'--•:-.. r-.,' 813-780-0020 cxt 3513 "A rule I have had for years is.to treat the Lord Jesus Christ as a personal friend. His is not a creed, a mere doctrine, but it is He Himself we have"Dwight L. Moody Florida has a very broad public records law. 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