HomeMy WebLinkAbout19-21206 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21206
i DRIVEWAY PERMIT
PERMIT INFORMATION LOCATIORINFORMATION
Permit Number: 21206 Address: 5554 11TH 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: 11-26-21-0010-10400-0150
Improv. Cost: 2,300.00 OWNER INFORMATION
Date Issued: 5/13/2019 Name: BROWN, VICTORIA
Total Fees: 45.00 Address: 5554 11 TH ST
Amount Paid: 45.00 ZEPHYRHILLS, FL. 33542
Date Paid: 5/13/2019 Phone: 813-614-1247
Work Desc: INSTALLATION DW 16 FT X 40 FT
CONTRACTORS APPLICATION FEES
HOMEOWNER DRIVEWAY 45.00
Insibections 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 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
C NTRACTOR 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 one Contact for Permitting ,
......I... .. ......... ............. rrrrrm .......I.......
Owndr's Name HOC IAWCdnler P)one Number �� !i � /
Owner's Address Owner Phone Number
lor— Owner Phone Number
0 4
JOB ADDRESS e-&7, LOT#
SUBDIVISION PARCELID#1
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR e ADD/ALT SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR COMM OTHER
TYPE OF CONSTRUCTION 0 BLOCK Q FRAME 0 STEEL
DESCRIPTION OF WORK
BUILDING SIZE SQ FOOTAGE HEIGHT 1
=BUILDING VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE DUKE ENERGY 0 W.R.E.C.
=PLUMBING $
=MECHANICAL r— VALUATION OF MECHANICAL INSTALLATION
=GAS Q ROOFING Q SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER 6� COMPANY
SIGNATURE 111�� REGISTERED Yl N FEE CURREN Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN LILN_j
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y!N
Address License# I
HHH!H I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I i++ I I I I I I I I M I I I I m I I I I I I I f f I I I I I I I I
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(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,
Sanitary Facilities&1 dumpster,Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(2)complete sets of Building 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/Si,It Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
****PROPERTY SURVEY required for all NEW construction.
Directions:
.......................
"
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500)
Agent(for the cont.ractor).or-Power.ofAfforney(for the owrier).,would be someone with notarized letter from owner authorizing same
OVER THE COUNTER'PERMITTING.-:,
dbpy of contract
Service Upgrades A/C , ",.'-Fences(Plot/Survey/Footage)
Reroofs if shingles Sewers
Driveways-Not aver CouAf6r if on odblier"oadways'..ne"edg.ROW
NOTICE OF DEED : The undersigned understands that this permit may baou�ect o / restrictions"
which be reo��t�athan County nagu�Uona. The undersigned assumesresponsibility' for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired o contractor or
contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. |fthd
contractor is not licensed as required by |avv both the mvvnar and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may.apply for the
intended work, they are advised 0o contact the Pasco County Building-Inspection Division—Licensing Section at 727-847-
8009. Fudhermone, if the owner has hired a contractor or nontraohora, he is advised to have the contractor(s) sign
portions of the "contractor B|ooh^ of this,app|� U application for which they be responsible. If you, as the emmor sign' 'm the
contractor, that may be an indication that he is not property licensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersign/ d understands
that Transportation xv
�tion |mpoot �a�mond �e�ouro� �mcov�ry ��mommyop�|ytmthmcmnatnuc�ionofnmbudinga. changeof
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
8O-O7. asamended. The undersigned also understands, that such fees, as may be due, will be identified at the time of
permitting. |tis further understood that Transportation Impact Fees and Resource Fees must be paid prior bm
receiving o "cmrtUioohm of occupancy" or final power ra(aome. If the project does not involve a certificate of occupancy or
final power ne|eaao, the fees must be.paid prior to permit issuance. Furthermono, if paaom Cmunb/VVater/Semer Impact
fees are due,they must bopaid-prior ho permit issuance in accordance with applicable PancoCPuntyondinenoea.
�o° mSTRUCnuON LIEN LAW(Chapter 713, FYwMda Statutes, asemnended): |f valuation of work io $2.5DO.00or more, |
certify that |, the applicant,-have been provided
- with o copy of the "Florida Construction Lien Law—Homeowner's
Probaotion (3uide^ praponadbytheRoridaOmportmentofAmricu|tunaondCdnmumerAfairs. If the applicant iasomeone
other than the"owner", I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owner prior bncommencement.
CONTRACTOR'S/OWN ER,SAFFKDAVUT: I certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construction, zoning.and land development. Application is
hereby made to obtain e permit to do work and installation as indicated. | certify that no work or installation has
commenced prior to issuance of permit and that all vm>Nk will be performed to meet standards of all |mxms negb|aUng
oonsdruction. County and City codes, zoning naQu|odiono' and land development regulations in the jurisdiction. | also
certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is
my responsibility bo identify what actions / must take tobmincompliance. Such agencies include but are not limited to:
' ^ Deportment�of�Envinonmanfa| Protection-Cypress Bayhmode. Welland Areas and Environmentally Sensitive
Lands,VVo��r8Naatexs*hsrTreatment.
- Southwest Florida VVobar Management []intriot4WaUa' Cypress Boyhmada, Wetland Araaa, Altering
Watercourses.
- Army Corps ofEnginaers-SeamaUe' Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-WeUm, VVastmvvotar TnomdmanL
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
| understand that the following restrictions apply bo the use offill: '
- Use of fill io not allowed in Flood Zone W"unless expressly permitted.
- |f the fill material is to be used in Flood Zone ^A"' it is understood that a drainage plan addressing a
^oonnpmnmo1ing volume" will be submitted at time of permitting which is prepared by professional engineer
licensed by the State ofFlorida.
- If the fill material is to be used in Flood Zone ^A" in connection with o permitted building using stem vxoU
construction, |certify that fill will be used only tm fill the area within the stem wall.
' If fill material is to be used in any area, l certify that use of such fill will not adversely affect mNmoerd
properties. If use of fill is found to adversely affect adjacent pnopert|ao, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan imrequired.
If I amn the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. l understand that o separate permit may be required for electrical work,
p|umnbing, aiQos, mx*|s, pools, air conditioning, Qae, or other installations not specifically included in the application. /\
permit issued shall be construed tobe a license to proceed with the work and not as authority to violate, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
unless the xvmrh authorized by such permit is commenced within six months of permit iosuanoe, or if work authorized by
the permit is suspended or abandoned for a period of six(6)months after the time the work is commenced. An extension
may be requested, in vmiUn0, from the Building Official for a period not to exceed ninety (3O) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. YOU INTEND TO OBTAIN FINANCING, CONSULT
PERMITAPPOCATION
DRIVEWAY PERMIT.APPUCA1- 30N
=NSTRUC73ON•WITHIN;PUBL-IC RIGH'!'•-OF-WAY
NI InformaUo6 MLs5t be filled-ln completely
CCity.of.2ephyrhllls-
'S335 8B1 Street Zephyrhlils,FL 3.3542
Telephone 813.780.0000 Fax 813.780.0005
(Datoofappileitloni ;' Procseil'By7 ( oPerinit,#e:,
;�Co�/.tu.Buldl` Dc itrtknt_ pytplod)UcWorks
:PROJECT 3OB'SITE: -�4f I�% r" PROPERTYTOWNER.
Address r C/ <,� > ' r'e? - '� Name: —
Unit#: , 4 '► S, Z.Address: -5-• �l✓it ol;;.�Unit
ParcelIdentlBarUon fiumbtr. Cit State ZI -
L _
:CONTRACTOR:
:CcmaanY:
Name
ContriicWs Umnse#: E-Mall:
Phone: Cell: Fax:-
ARCHOEMENGINEER:
Name. Firm Name:
Address: CItV: State Zip:
State Ucmm#:. Phone:. Cell: Fax:-
DescrirAlon
r-
Q LENGTH Or-DRIVEWAY CULVERTS'NEETH D
AESMEBTIA1 DRIVEWAY /v WIDTH B OF DRIVEWAY ( )MNFORaD ETE
_=MMERCILL DRIVEWAY. FLO. .. EXCAVATION ( )CORRUGATED MATEFUAL
AO=DRIVEWAY _DM _LINEAR FEE r ( )BOX aXVIRtT .
CONS1RUCftOIV MATERIAL CURB CUT REOU1ttED ( ) �
---AlS7M'T YES _NO
+�%Q3TrO'1ETE
HEADWALL REOUFRM -YES -N
NOT CE TO APPLICANT: If actial work exceeds scope of this description,adddlonal permits or drawings
will be required.
UTILITY LOCATIONS REQUIREDi CALL BEFORE YOU DIm i so0A32A770
Page 1 of 3
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SURVEY ABBAEMTMNS
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r ommuoow •!ao�atoum
fl ♦talta►ar•aw
•tev+ratrutw� p mrmoa SCAM • 17 = 90'
J
DESCRIPTION:
LOTS 15 AND 16,AND THE SOUTH 20 FEET OF LOT 17,BLOCK 104,
YRffi CITY OF 29PHL.LS(FORMERLY TOWN OF ZEPHYRHILIS.),
ACCORDING TO THE MAP OR PL►T THEREOF AS RECORDED IN
PUT BOOK 1.PAGE S4,OF THE PUBLIC RECORDS 0£PASCO COUNTY.
FLORIDA
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BAY LAND
SURVEYING „ wool
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alislGTEa,NRfaRVAmRea/nN MIY.�Arr.■r.ngtrttrwpatMar
"Mormoko" 611sfASPAIfIGB m rww.tr4trar •r .rwewnww
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i VAIAkYTRIDAOIDJCY,LLC
iIOf.UTY NATIONAL Tfp.¢INSIINANCE CO. P**9 7V4MS-1T3<i �J �,_(�/ .?/8•�p
YAM 71 404660 mmff aAM WJM!a!
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Parking Pad
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Min.101cot
Max.70 teet
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1 1
1 1
fa �
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1 1
PUBLIC STREET FigUrrr"
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PERMIT APPLICATION
OFFICE USE ONLY
>PUBLIMOMUISFORLY
Cona+ete min.6 Y N
Mltalt min.61) Y N �.
AsPhalt Qnln.2% Y N ' '
IN
tantfi m61.19 :N
Wkith(10'm!n-24'max} N
bM2g sidewalk.
i --
j New sidewalk Y ;
1 ADA cofnplianL Y N PO AA,
1
Expansion materta!mgWred. Y - N
1 -
Cardi uous dd d.
Triangular flare 3W x 71 Y` :N
VWWlity Mangle o.k? Y N
- 1
Side set back(3'min.P.O.W.) Y:, N
Plan Review Fee -
%1dt!lddiiiil;det�ii` it;; :iAiacicas`d`eiyned :pUbllcWoiltsDi _�ainiloi'dsai'rieee ';':• - _ ,
t
Permit a nation ap0mved Date
Page 3 of 3
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SECIIOTI // TOWNSHIP'2M RANGE a/E-
SURVEY ABBREVIATIONS
W- AM CDA CHORD DISTAM M EE^aEVAUON OUL-OYBtFFAD UMMY UNE R3.-RPSmEICE WLYm ViESMY
A/C•.AR ODNDFTIOKM OON6-OONCREM ELY.-MSFE1LY O.R$-OFFI=RECORD BOOK RNC-ILIUM WLI:r WIR64
AWN.-AU)MINU4 gS-ODNOtEIESLM Eq.-ENCLOSURE PC-POW OFQ1RVAlUE 114W.-RfQFT-0RWAY *rHDREORLESS(Orpknormk=)
AVE.-A=` CDR-ODRNM EDP.-EDMOFPAVEM@tr PA-POOL EQUIP OR S.-BDUni •-11133M
DIP4BRICKFAV ODV.-OWERED ESMT.-FABABA' Pd.-PODII'OFINIERSSMICIN SCIL-SQI�� UMINNARM
IV.VD.-H ULINARtS cr..Cow FND.-FOUND PIT.-WANrElt SE:-SLRON �-SiSOF WHERFI�IN
Wi .-BOUNDARD
BNDY.-BOIJNpNR1l DR'-DRIVE M.-MEASURED POB..POIIJTOFBBGQIt@i0 SLK-SOUFF19tLY '.FFDI'WIBl1®81FiSIFY1Q:5
C-CAlaulm DRAL-DRADumRETF3mwARB& MA.F.-MORE OR LESS PRG-FaNTOFRBVERSECLRY2 7RAF:i.-7RA►SFOR t ..INMVfiMt INDLR'AN=
4 CBn13im DA0.W.-DRAINAGE RAlff4W-WAY N.-NORTH PRM.-FENANNrRGEREYQMOFUMW TINP.-TOINNSW
CB.-CHaRD BEARINGE-Msr NLY.-NORINMY R.-ROM TV.-TOM
Elm.ELILI C O/A-OVER ALL RAD.-RADIUS W.-WEST
LEGEND REVISIONS 20, 2D' 4D
■sErooaat�e MoctuFevr 0 FOUND IRON Roo
■Fo=cDNOtErEMoNuwff ♦ SE'TNA.AD®t04164
•su 1/Y ataI ROD Ls.P 4164 A Fauwwn SCALE 1" = 20'
DESCRIPTION:
LOTS 15 AND 16,AND THE SOUTH 20 FEET OF LOT 17,BLOCK 104, cn
CITY OF ZEPHYRHILLS(FORMERLY TOWN OF ZEPHYRHILLS),
ACCORDING TO THE MAP OR PLAT THEREOF AS RECORDED IN
PLAT BOOK 1,PAGE 54,OF THE PUBLIC RECORDS OF PASCO COUNTY,
FLORIDA
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Nt� t3evetlorts sMxm thts ore tresed on NatfaFel Geodetic vetlmi Datum. NO7>r Above gourd YnpDvenertts rFaDBnc buUM avec+args here not beet btebed elmept as
WM 0*M dhmvft stated UM perty dmoWm sham htF m Was prodded by dent shorn hereon
f�Wdayourlerooep rid ko orrop hxb tp ebudefbrl,nave not been bated NOM This awry ryas pFrpered wRhoutthe betetR d a tab 'arid nay be wAdectbo eesernaM
NOltr Thb flood d&Wr* tlon b based On the Hood baueom Rape +and n and/rotes d read
MertapmterdAWAXY. Thb datumbatlan does not h*thetthe vefd-nd y t�TE: Prior to aaFFatrFFdloFlend/«Fdion o an old nfleod mFle note.the 6uGdiFp daparhnent
Lv1a a rrfJ net be flee from ProPerW show be mrMu�ed for vedttmtlarr dfiood zor►s,
1ba ft or dampe. Property in a tpedei fbW hazard NOFE The p aperty shown uaw may be aFpbd tote Flies,rapdaUon%ordinances wail
lam May be aarmpee by a fbod IFS"than that predicted on the Fd.R.M.or from aiurlsdfdbns d low state and/«fiederal agencies.The rapkements dsald
cal dmir"a l i kv rot shown an the map.This depanimtbn does not aeda rUl%repRiatlorts,adtnmans and/a the imb d saws rlsdRlbns am notaboRm
YabM On the pat dthts mq wy,a uw drm'or arty agft ere thereof,fa any here^Luiess stated otherwism
dmtepe that regim from rel m on ft deternt#m m.
DATE DATE OFORAWiNG BAY LAND BOUI�JIRIFS�AVE,T: ,4
7-/ -/ / v"XOauaaN MM, 19- 4z
`ERTI�EDT SURVEYING t itbem'theftftnadtheor�be''Mad ad
Drava ida uaensed atrveyor end LDapper,M aw/
OBtf> =*M OFAUINORIIAT=la$410 �b to deamats tD arvey. ra aMy tad Y nby oth.
Additlaos«dddForFs fo srvey mega«Repots fly other
VICTORIA BROWN 615+A SPRINGER DR. than the skFft�«parties m prc'-- wihat witten
GALAXY TOLEAGENAGESERVICES,LLC. PMRICHEY,RORIDA 34W8 WM1�FtOftheso"party«ppppppr SL
GALAXY TITLE AGENCY,LLC
FIDELITY NATIONAL TITLE INSURANCE CO. PHONE : 727-$45-573$ ��•fv/
FAX : 7274M,30SB
MOBIL : 727-243-6660 Dow K.PREVOT SURVEYORAND MAPPER *4934