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17-19172
i CITY OF ZEPHYRHILLS � � ' r'~ • 5335-8TH STREET , (sis��so-oo20 19�1�72 r DRIVEOflIAY PERMIT �� � PERMIT INFORMATION - - � LOCATION INFORMATION Permit Number: 19172 - Address: 39041 PARK DR Permit Type: DRIVEWAY ZEPHYRHILLS, FL. Class of Work: DRIVEWAY/REPLACEMENT Township: Range: Book: Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 12-26-21-0030-00100-0050 � Improv. Cost: 2,500.00 OWNER INFORMATION Date Issued: 1/04/2018 Name: BRIDGES, DAVID Total Fees: 45.00 Address: 39041 PARK DR Amount Paid: 45.00 ZEPHYRHILLS, FL. 33542 Date Paid: 1/04/2018 Phone: (813)215-1177 Work Desc: DRIVE WAY EXPANSION 60 X21 CONTRACTOR S APPLICATION FEES HOMEOWNER DRIVEWAY 45.00 � � �,G`C' � � l' � � Ins ections Re 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 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 wo shall be performed in accordance with City Codes and Ordinances % � � ONT TOR PERMIT OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER L I 813-780-0020 City af Zephyrhills Permit Application Fax 813-780-OQ21 '� Building DepBttmeftt ''a� Date Received �Phone:Gaetact far�Parntiittln — Owner's Name N9�, . � 'lJ � Owner Phane Number Owner's Addres� —7 �i2- � ,J..] 3'� � ��Owner Phone Number � � , Fee Simple Tltleholder Name � • � Owner Phane Number �— � Fee Slmple�itlehotder Addres� JOB AdDRESS � '�� `� � J��`Y LOT# �� SUBDiV1StON � 1 ` PAFtCEI.tD# j � , , , � , (OBTAINED FRdM.PROPERTYTAX NOTICE� WORK PROPt}SED � NEW CONscR ADDIAi.T -C,� SIG1V" [� ° Q QEM0I:ISH S B- INSTAL.L. 8•.' -REPAIR - PROPQSED llSE � Q SFB- Q 'COMM Q OTHER ', , � . TYPE OF CONSTRU6TION = Q BLOCK " [� FRAME � STEEL � ' i . � � ' t�/ ,} { DESGRiP710N OF WORK� ' � Y1J I�� ``U'��1 . G � ; � • � ������"' BUII.DtPiG SlZE SQ FOdTAGE�_��_ ; .H GFIT�� � � � - ��X QBUli.DING � �'1. �J")� VAItlATIOtd�'tO`F`TO'i'ALCOIVSTRUCTION h ;r _ . ( ' l� ll QELECTRiCAI $ " ` AMP SERVlCE �Q �PROGRESS ENERGY � Q "W:R.E:C. � �.. . • � [�P�UMSING •'{�'�. � - � ��,. ' I . ,. , C] f _ ' YALURTlQNtOF;N1ECHANtCALlfVSTALLATltON- MECHAIVICAL $ ' � � ��.����, �„ �� " . QGAS Q ROOFING ;Q SPECIALTY �. >_ OTHER� • - FINISHED F'.LQOR ELEVATIONS FI.00D ZONE AREA [�Y�S ,NO � � � � , - � .. , , , �- . ' - - r�• � i � Bu����� ; �/�' coiu�Ria�ra: „ - . ���� ,1U�- , - � - SiGNATIJRE G/ REGISTERED Y/ PI FEE CURRE ' " Y/'N� _ � � �_— . 1 Addrass � -Cicense# � � ; � . ; . , ELECTRlCIAN� , ' . CG1MPAt�Y ' SIGNATURE � REGISTERED Y/ N FEE CURRE��� ` �"Y/N � �ddre�� x � ` - , •• � .. License#.1. �. -. - , � f . . .Gi �_ . . , � , PLUNIBER '4 ` � . �COMPANY: _ e',. ' ' SIGNATURE' � _REGISTERED. . , X./,,N,� . £FEE CURREN_ Y;�/N: - ` Addr@�s ` - S,, �, i 1.• " '":�ECB;tSS:#f�> - 5 � ..�, f _ .. . , _ . .., 'f, - ' � .. � ' � _ ' MECHAAItC"l�t: � . . � ' GOMPANY, ;�.<, . . - . . . , . SIGNATiiR� `•` , � , � "r REC�,ISTERED,. .Y:/.N.. FEE`CURREA:,� Yt/�N. � � ; . . ..,– _ , °• , .. �,,,:i.�, ;. , ., , . � - - r � . . > ... - ,.:., :�.. „ . „ �.; .. _ � . . $� . . , .,., � .. . - . _ _.„ � _ . :=w_. Addre� � ' : °' �." � - , , . v " flicense#� : . , -. , .. . — .. - ,. � -. . e , � _ OTFiEEL �� . . _ . . ,- - .� �OMPAHY'rv , - � , - , SIGf�ATURE -� Ye •� ' • "' "� REGI�$TERED` Y/ N:..3 FEE CURRE� Y/,N ;k „r� :�< . . . '., '... ' - . . . . - . _ ,. r0.ddre� ,:. ., .,._ . : ,_, , ,.. ` , . • ,. � ,,. . � ,.. . , . ..... � , ,r, ;. > � - ; -�. x �Iceitse# � �`--.. RESlRENTIJ41: ; Atta:ch 2 Ptot�P,tans��.2 si3fsof=Buit�fn''�F'larts�'t1 'sefafErie'� Fafnts��'Ft=O-W+P'siir%itfc�rnewycooshvctio ,p - �. � � v,�.. .As.,, � ,._..,. :,, ,..�,' ' �{..)=- _- ,�( )"..,., , 9�, � .t ) �93r,'.,,, .- . �� .:n�,.: �, , . �.>_�'Mlnimum�,ten�(;1.0)kworicingydays,�,_after;"sutimlEEal d'aCe.�Requlred onsiEe;�4onstRictlon=Rtans'rStormwater Plans'w/SI�t Fence lnstalled, ' .__� �. �Santtary Facllfyes,;&:1,;dumpster;SItB�:WorkxP;,ermit�#or,sutidivislans/lafge4projects,�_='�:<r ' - . � - COflIIIMEt�ClAL Attach{3j=cainplete sets'of Bulliling Plans p1u§"a�tfe"Safety'Page;�(1}set of Energy Farms.R O-W Permit+#or new cans#ruiKion. � _ _MPnimum ten(10)working days after submltMal date. Re'quired onslte,CanstrucUan Plans,Stormwater Ptans w/Sllt Fence installed, � Sanitary FaclliHes 8�1,dumpster.Slte Wark Permlt for all new:proJects..All commercial,requl[ements_must meet compllance .StGN 1�ERM1T Attac�{2)sefs of�iig�rieered=',Platis:t� ;��. . ��_ .., , „ ° - . .«««PROPERTY SURVEY ._-_ -- -_.__.._�._.re9ulredforall,NEWconstructlon._ .,... Dlrec#lon�: . _ . � � ., Ftll out applicadon completely. Owner&Contrackor slgn hack of appllcadlon,notarized If over�t500,a Notice af Cammencemea#ts required. {AtC upgrades over 57500j ��.�_.;�;:,�>. '* Agent(far the-contractor)or'Pow�r of Attomey(fur�the�owner)would be'someone with notarized letter frum owner authorizing same �VER THE COUNTER,PERMII'11NG __..(Front of-Application Onty)- .�- _``� : ,. Reroofs If shingles Sewers Service Upgrades A✓G Fences(PlodSurvey/Footage) - �' - . ,_ . -: ..,. privewaya-Nat over Caunter if on pubiia roadways..iieed"s F2aW IVQTICE QF QEEQ RESTRICTIONS: Ttie understgned.unders�tands°:�th�t,,thls.°P�r<mif:may be.subjecfi,.#a"�eed"reuUictions";�" . . . , .. �... : . _ ...._... :.,.-, ..... .__,.. z,� � -ta � which may.:tie�mor`ear.estirtcttve`>•th���County�inag�lat(ons:a�The�under"�slgned.assumes'responsibility�for"cotirip0ance=with�any Y�' " ` """ appllcable desd��e�trictlons. � ,.-�.._ r; _;...,. �, -. .� '� • " , .�:.. ,, r-.. UNtiCENSED�°CONTRACTflRS-,At�D CQNTRACTOR RE�PQNSi�iLIT1ES:=��tf�the°�owner-hasF�hiced�:a"corttractar or contractors to undertake work, theyrtmey;be;required-ita.be Itcensed Ir�accordance,with�state.and�local,cegulatlons.,-1fFthe-��' f{'��° ,_��...,;:...<u z_•., . ,..,.a . ._ . contractor�Is-nat tEcens+e�f;as-�requlretl`by law, tioth the o�nmer a�d}contractar�may�beAci#ed�fiir���=misd;eineanar violatton under state law. If the awner or Intended:,contr;actor:,are;cuncertaln,as to what Itcensing.requiremer�ts.ama ��a �C��for�tiae`�� �>_•��F ..�„�,.....,�. Y pPY lntended wark,ttiey,a�e aclvlsea�to contact the.Pasao County Butidliig:;lnspec#ton Qlvlslori,-l.Icensing Se�tton at 727-847- 8009. Fu'rtFier`mcire, if#he owner`'has��fiired�a con�rac#oT'or contri�ctois, he is �dvt�ed to have ;the conhactor(s),,slgn§ _ , , portians of ther..cantcacta� Black...,of.thiswappiicatinn:.for,whichµ,they will,.,be:«responsible.- If.yau;_as #he ovvrier sign'a`s`th'e° ` ` _ _ ...�..._._.. con#factor; thaf_�rtay°be an indicatloe�-that`he"is`not':properiy Ilce�serd�ar�ifulsp`no#entitleil to permlt#liig privlleges In Pasc� County. " � � . : . � , . . ,_ .. .. �.. .�:_:.3�. , �_, ., _. _ _ .,.., . - . .• ,. TRANSPORTATIONa1MPACT/UT1I:ITIES�C�'lRAC'�ANC�ItESOU1tCE RECOVERY�PEES.�The�undecsl�ried unde�#ands that Transportation tmpaaf Fees and.Recourse.Recovery.�ees rtisy;appiy:4ta the construction�of ne,w...buil�ings;5ahange'�of��� "��� �` . . use In existing bulldings,=oc-:eXpar�sl�r'r:of�.ei�Istin�.�bWldings, as speaffied.in P�sco County Ordinance n�umber 89-07 and 90-07, as amended�.�Th� undetslgned aiso;�underst�nds, fhat°such fees;;,as��may;;be::due;�>w.i1F.>�e ident�l�d at#he.°time�of-:k.� ��='• `,: , r� �.,�..,, permitt(ng. It is fu'rthe�unders`tootl that Tr�`�isporkation ImpacY Fees and�Reaource.Reco�ery�Fees.,mu's# be paid prbr fo rsce�ving-a"cer#If�cate..of occup�ancy"�.or�flnai��paw,e,r�release:-,���ti�e.projec#._.does;no�It�voive�a��cert�icafe of accupancy-o���"':���='�'��.-' . w, .. . , �... finat power�release;�,tlie;1'ees:mu�t��be'paid;pelor#o;,permft Issuiance. Ft��t�iermare�ff.Pasco;County�`WaterlSewer;lmpact = :y��:-�� � ,...,�.., . ...�. , , „��.. ,,. fees are tlue,;.they�must;be=pald:pr'i'.or#a.permit�Issuance:in,accordance,:witl�r.appltcable�Pasao�:County�ordinances. � ! CONSTRUCTION`�lEN I.AItV jCh�pter T13�f.(or�ida Statut��,as amendedj: tf.vaivallon of uvork is�2,500.00.or.-more;�1� � =��s:.� certify tHat I, #he.�applicant;:-.heve;:been-.providetl��with�-a �copy°,of�the�'Florida�°Constnic.Non�'Llen:L�v�—Homeowrner's � Protectlon Cuide" prep�red by;tlie'�lor�da Qeps�rtment;of�g�tcult�re and Gonsum�r:kffalr�. If#he appll�ant Is so'meone; :, � _. ,,... other than#he"owner", I certify�,.that:,l�h�ve.;o�.�ined�aTc'apy;of.#he;ab�ve:.riescribeid'�docuiment,a�d;p,r..or�is�.ln;good':faith.to . « '- � deliver It to:�the."owner":.p%�ot�ta coriimeticement ';° '" `� � � :. ,,, _ `.� ., ...,_ ", � ,.� CONTRACTOR'Sl�WNER'S AFFtDAViT: t. _cei#ify,;that:atl�;the��inf.ormation:,tn�thl� applicatlon is accurate.�nd tha#all wa�k will'be done in campliance with all.appltcable laws regulating constructlon, zoning and��land��devetopment. AppiCcatton„Is hereby m�de to abtatn .a perm�t,,#o,�do+�:worlc;=,artd finstallafior� as Ind{�ted.....,:1. certify that no woric=�or instatlatiai► ha5` . commenced prior to I"s`suance of a pemilf and that�:all work wlll be pertormed to meet,standards�af all laws regula�ing- cons�vct�on, Gounty and C�ty codes� zoning regutatia�ns, and land devebpment r.egttlaf�ons�in Etie�Jt;utsd�c##on, 1�=also _ certify that 1 uaderstand that the regulatfons of other�gavernment agenctes may�apply�to the,Intended worlc, and that tt is my responsibllity to Identtfy•whak,acttans 1 me�st-take.to be5ln:.carqpliance.,.�uch�agencles Ir�ciude buk�are.nat limitect to: i r- _ ,.,:. ,t . - Department of E�tvironmentat�Pi�tecttari=Cypress.°Bayheads, Wefl�and Areas and E�vtronmentally'Sensitiv'e Lands�WaterlWastewate�Treatment. � � .. • � - Sauti�west Ftorida Wa#er Managemen# .Dfstr#c#-iNeits; G'yptess. Bay.�eads;� Vllet�and° Areas, Altecing Watercourses. . - Army Carps of En�ineers-Seawalls,Docks, �lavigable Waterways. ` - Depar#ment of Healtfi;:.8,RehablBtafi�±e;.;Ser:viceslErtvitonmental:,Neeith Unit Weli.s, I�astev�tera Treatment, � Se�tic Tanks: �, . . - . - � ` , - US Environmen#al Pco#ec�on Agency Asbestos abatem�nt::,.- � - Federal:Av,lat(on_Authori,ty,Runwaysr:��.:;�,.., _ .� • !understand.that.thetfollowing;restrictlons appty fo"the�use of flit: - Use of fill is not alla�nred in�Ffood,tZone"V"unless expressly permtfted.. � - . If'the:flll�'matehal�is"to-�`be�-used:1n-:Flood -Zone. °A". It is understood�that a drainage plaa� addresstng a �'co�npensaEing valume°will be submitted at ttme of�fpermitttng wfitch is prepared by a professiana) engineer - � Iicensed by�#he State"of%Fio�ida:: . ,-'� ' � :;-, ;=� ; - !f the fill materlaf'Is t�•be�used tn Flood �one `A" tt��connec�Eon�virlth�a�rermltted bnliding asirt� stem u�ra!! _ � _ construction, t certify;.th.akffil:i�lli:b.e-used oniy.to#ill the area withtn�the�stem=walL � , - if fll!'materla!Y Is�to 6e used lit:at�y area; 1 �cenity that .use af such t18 w!!! not adversely affeat adjacent properties. i�use,of fill,.fis..foundmto.ad.versely��ffec#adja�enfi<pr�pertles,.the awner may be ctted for�lol'a#ing ' ' the�condi#i�ns..of.�the"butldingrt:perrrilt.is"sued;under the�attached�:permlt gppllcatiam-.for_:lats��le�s�.than:�one (1;) acre virlifcli si�e`elevate��tiyr�fllt,a�t englneer�ed dr�ln�age'ptan i�requlred. . �� � � If I am the.A6ENT.FOR THE:OIMNER; f.promise In good falth#o Inform the�owner of�the permltNng condmans set forth In this aftidadlk`prior�to�coirimeracing construotto�t. i u�a�r�t��a tn�t e<s�parake petmlt rrtay be requtred for efectrlca!�rork, . ,:a,,.�.,;.,.�-< - plumbing�:signs�_weits,,,poots;,.atr,conditiontng,.ga�s, or o#her. finstall�i#toris nal�spec�t�liy inciuded-in.the apptication. .A permit Issuetl shall be.construed;to tiie^a�ltcense'�to��proceed wlth�tNe�work.and not°as:authoNty:to:.vlolate;.�cancel, alter, o;r set aslde eny=provisions of t�ie#�cti�Ecal.cade�;�nar shall lssuance.�ot a.permit.preven#tt�e Bulldirig O#ficial from theceaf�er � , ,, r..-,,, � requtring a conectian nf errors4ln�plans,,constructlan..or vlolatlons of-any�codes: -�very�.p�ermit�lssued=shall•become�invalfd unless the work aaithorized by such permtt:�ls_commenced•wlthin sGx,qmonths of pe�tnit tssaance, or iF work authorized by the permit is.suspended ar;ebar�doned;�f,or:a;perlod;�of�six<f�)�mnn'tTis,afteri the ttm�the�wa�k�ts commen�ed. An e�ctensian may be requested, In wirltliig,�firom,tFie:;Bullding.Offlctal far a perlod::not.to.exceed��nlnety�(90)�days a�d wlMl�demonstrste justlflable cause for:�#he extensior� If wor,k ceas+ss:for nlnety.{90j cons.ecutive dayr.�w..t�re)ob�is_considered aba�doned. r= , ,,. . ,, ,. -..... z ..;. y..,, .... ,..; . . , ,; . - - , wARNING 1"Ct oWNER: YOU�;.FA1�IJRE�TQ.R�.C.QRD:Ak�lt��dGE.:oEs�CQMM�NEEME�T,�1iAY�RE�UE:T IN YOU}� � PAYING TWICE,�'OR�iMPROVEMEN'fiS,Tt7!:;YOUR�::PROPER.7Y:��.IF�.YO.U�IfV'FE�ID�TO'WBTAIN�FINNwE1NG;'C.ONSUL'� WIT U AN� O N FO. Ct� �OR�1 f�'� �U - � E ., ` '--�#:ORti2F�iJt�Ri��=(F.�:.1.'#;:03}-- � .�...., _,.... .�, _� __ _:v�=_ n __`. __�_ .___ �___-- . � OWNER OR AOI?NT=. � CONTRAC'�Olt'-. - ' ' Subscrtbed aru!swom!a(or�tlirnted}before me thls Stibscrlbed'aryd`swam M(ot afflrtnedpbefdte rrte'ttii� . by .ay... Who Islare parsanally knovm to.me or has/have.produced Who.ls/are p.ersonally.acnown•.tu.me.or hasR�ave�produced • � �" 'as td'en�ftca@on. ' ss�den��ca0on. -- . Notery Publlc . � � Ndtary Publlc Commiss4an No:'` GomR��slan.No, , . Name of Motary typed,pt#nted or stamped Nama tsf Nofary iyped,prlMed ar stamped ..�,5. .-- - — - � i � y ��` .. � • /A u :t:i1��+t�� , ., .tR r,� ' PERMlT APPLtCATlON QRIVEINAY PERNIIT APPLIGATION CQNSTRUCTIt}N INITHIN PUBLIC RtGHT-OF-WAY AN Information must be filled-fn compfetely Ci#y af Zephyrhilts � 5335 8=h Street, Zephyrhilis, FL 33542 � Telephone 8�3.780.0000 Fax 813.780.0005 ; Date of application: Procassed By: Permit #: � , (gray area#or aiaff ase naty} � ❑Copy to Building Department OCtipy to'Public Works � k � PR4dEC /JQB S..1TE: PROPERTY OWNER j� Address; a 9n,� Name; U x2 �' Unit #: 3 Address:� .� !$,(nit: � i, I Parcet identificatian Ntimber. Ci ,State,Zi ' 2�' '7 F , ?; Phone• ����/ Fax: , � r i �. � CONTRACTOR: � � � Cornpany: ; , Name: , Contractar's License #: E-Mail: � „ Phone: Cell: F�: � ,� , $ ARCH lTECT/EN�G I NEER: ;: � ' Narne: � Firm Name: Address: City: State: Zip: g� State ucense #: Phone: " Cell: Fax: �� d', {f" f• Description af Praiect �' �° TYPE OF Dfi1VEWAY �b�LENG7H�F pRIVEWAY CULVERTS NEEDED i` �_RESIDENTiAL pRiVEWAY `„�WID7H OF DRIVEWAY O REINFORCED CONCRETE i; CdMMERCEAt.DRiVEWAY $;O•W- EXCAVATION { )CORRUGATED MATERIAL � PUBLIC ACCESS RRlVEWAY DEPTH L[NEAR FEET ( )80X CUI.VERT `' t` CON�T�iUCTtbN MATERIAL CURB CUT REOUIRED ( ) OTHER(EXPLAIN} �f ASi'HALT YES _�NO a. �CUNCRETE NEADWALL RE UlRED? YES NO � , � - � NQTICE T4 ARP�.tCANT: !f ac#ua1 work exr.eeds scope of this descr�ption,additional permits or drawings { � will be reqteired. ° � S U?ILITY I.00ATIUNS RE+t�UtREd� CAtL B�Ft�RE Y4U DiG: 1.B00.432.47T0 i' i ;. � = Pag� 1 af 3 {y 6 a M s: y � ` y :�., �t�,�8��1��'�,�°�,t�dR.��l SHF����������,� [�U��:1�=�`����R���.{��1�� ' - - - r . . , . ', . . Goncret� (m6n. 6"} Y N Asp�aEf ��se {min. 6") Y N ! � � . , Asphaat (min. 1 Iz"} Y N ; Eengt� �rr�it�. �9'} N t , P UUadfih {9 tD' min —20' �ax) Y fV. ` � ., �. f - � Existing sideuvatk. Y N ` 4 � �ew sidevua0�. Y ADA com�ib�n�. Y N 7� ' � Expansi�n materiai required. Y N � Cmnti�uous par�ing pad. Y �i > ;. Triangui�r flare (3'U�x 7'L) Y N }: Visibillty tri�ngte o.�.? iV , . Fr S(de se�b�c6� (3'min. R.0,41V.) Y N : ; u;. Pl�n Review Fee - . r ��8�a�6�m��a�.d���tu "�i�i�i�ft.ee�,a�e�.��,��ff����f•b �PatB�B���'#'�a�8���i���k�e:��rtd�t:c���"v 'e���a._:- i ... _ f; ;° � � o �S OF� S F; i ;:. _ t' � �. 1 P�rmit�pplic�t6on �ppr�ved bY: C.,E C �'. �a�e: 'ShN t , �;. � �: �, ����� ��� � �- .. 6 :.�;� � � � �- , � - -. _- ;� � � ; i . . - . � � _ ; � ; ; .. ; � � ; : ; � . � � � , r � - - - - } ; .- ; . � ' P � ' 1 I {-�--„�.-�._..,m,,., � � j - ' � � 5 t'pE` ��"'t' ; t , ._ . , , (�,k.�. llh.tll3� �t � ; , , s , ; . r . . � � �+��'�� Ex�S�'++�; � . , .... . __���.�,� r�_:�M,�;�3�.,-_ m . .� � �'�� ��'�° t--� �'� - `��t t�L11 � 3t� .� r � �4���Q ��Q� , C9°Z� �.c�� �'����1'j I�� � +t� �� -s���u-r _ �bG� ol� f�' wt,�� , � � � 4 ,..., ,,. �r— ... _ ._ _.___ _ ...._ . � --- __. _ ----_ __`;'��:;� � ��_. �".�.� �:�?s�: �� ���r .��