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HomeMy WebLinkAbout19-20915 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 20915 DRIVEWAY PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 20915 Address: 39114 7TH AVE Permit Type: DRIVEWAY ZEPHYRHILLS, FL. Class of Work: DRIVEWAY/NEW Township: Range: Book: Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section: Square Feet: Subdivision: YINGLING ADDITION Est. Value: Parcel Number: 12-26-21-002A-01000-0010 Improv. Cost: 5,000.00 OWNER INFORMATION Date Issued: 3/04/2019 Name: LONG, DONALD & NANCY Total Fees: 45.00 Address: PO BOX 286 Amount Paid: 45.00 CRYSTAL SPRINGS FL 33524-0286 Date Paid: 3/04/2019 Phone: 813-927-2842 Work Desc: DRIVEWAY 23 FT X 127 FT CONTRACTORS APPLICATION FEES HOMEOWNER DRIVEWAY 45.00 1� DRIVEWAY .Ins ections Required 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 CONTRACT R PERMIT OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIOlf CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER PERMIT APPLICATION DRIVEWAY PERMIT'APPLICATION CONSTRUCTION WITHIN PUBLIC RIGHT-CAP-WAY All information us be filled-in completely City of Zephyrhills' 5395,8�'Street,Zephyrhills, FL 33542 Telephone 813.780.0000 Fax 813.780.0005 Date,gfapplYcafidn: Prooesseii 8y` . ... PemiYt;#: . ' TgtO,arm tar st�S sue onN}" - Citbpy tOOB Idin :De arfriieiit,_ . 9 P (]Copy3o'P1j*.Works " PROJECT 30B SITE: PROPERTY OWNER Address: Gtr Name: o�t>y '�o�✓ Unit:#: Address: . 0. " Unit: Parcel Identification Number: City,State,Z e y7r3 FG: i35`f z Phone / a2,?YJ Fax: CONTRACTOR: Company: Name. Contractor's'License#: E-Mail: Phone: Cell: Fax: ARCHrf ECT/ENGIMlEER: Name: Firm Name: Address: City: state: Zlp: State License#: Phone: Cell: Fax:: Description of Project TYPE OF DRIVEWAY . /3VO-LENGTH OF,DRIVEWAY CULVERTS NEEDED LRESIDEM7A,L DRIVEWAY =ffWIDTH OF DRIVEWAY ( )REINFCikCED CONCRETE -COMMERCIAL DRIVEWAY F3 O.W. EXCAVATION ( )CORRUGATED MATERIAL PUBLIC ACCESS DRIVEWAY DEPTH LINEAR FEET ( )BOX CULVERT _ fl3t1STRUGTION MATERIAL CURB CUT REQUIRED ( }DER(EXPLAIN) C ____ASPHALT YES NO -JeCfCONCRETE HEADWALL REQUIRED? YES NO NOTICE TO APPLICANT: If actual work exceeds scope of this description,additional permits.or drawings: Will be required. UTILITY LOCATIONS REQUIRED: CALL BEFORE YOU DIG: 1.800.432.4770 Page 1 of 3 iI , PERMIT APPLICATION OFFICE USE ONLY 'PUBLIC WORKS USE ONLY.: Coricrete. � N . : Asphalt Base(min. 6'j. Y N QIA Asphalt(min:.1'1i"). Y : N . ..: Length(mh-191 Y_ N. Wldth(10'min--20'.Max) N rtil 47 '' IV i E)lstirtg sidetaraik: Y._ "N New.sldewalk.: Y (.:N ADA compllant. .: Y N: Expansion material required.;. Y N .Contiguous-parking pad. . . Y: .- Triangular flare(3'W x 71L) Y N S Visibility triangle.ok,?. Y N . Side set bads(Y min:R.O:W.) Y N Plan Revleviw Fee. Addltional''descri tion bf.Work as defined-b�Public,Works.Director.and.ar deli'"near 'Fermit application-approved y: Page 3 of 3 PERMIT APPLICATION - UTILITIES LOCATE CONFIRMATION NUMBER: PROVIDE SKETCH IN THIS AREA, IF ADDITIONAL SPACE IS REQUIRED,ATTACH TO THIS APPLICATION. . a V' el 2� ft, fill 391�yrG;uS r 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 wdrk 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.1 will notify the property owner of Fiorlda Len Lew 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 compty.wtth the current Florida.Building Code,,Pubilo Works Design Manual and FID Design Standards(if applicable). (Public Works Design Manual online link:www.a.zephyrfmllls.fl.us/public_works.asp) APPLICATION IS VOID UNLESS SIGNED WITH PROPER IDENTIFICATION AND WITNESSED BY A PERMrr TECHNICIAN OR NOTARY PUBLIC NOTE: The City of Zephyihllls is not responsible for maintenance or repairs of driveways.. Driveways snail not alter-j Interfere with'ex-luting stormwater treatment and J or conveyance. PROPERTY OWNERS: By signing this application: I certify that I have read and understand the owner/builder disclosure statement. _(please Initial) -21 Applicant PrintName* Applicant Signature Date Pdrmit Technician Slgnature (or)Notary Signature Date Applicant is( )personally known to me or produced. as Identitication. (type of Identification) Page 2 of 3 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department DaVe Received Phone' hone Contact for Permitting ........... ...I I..... ........ Owner's Name D C L01V C11 Owner Phone Number �27-;7,2,7 Owner's Addressl 3qll 711 Owner Phone Number Owner Phone Number JOB ADDRESS LOT# SUBDIVISION PARCELID#[ (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR F;;T ADD/ALT SIGN DEMOLISH e INSTALL REPAIR PROPOSED USE Q SFR Q COMM 0 OTHER TYPE OF CONSTRUCTION BLOCK FRAME STEEL DESCRIPTION OF WORK 1.21,7111 BUILDING SIZE SQ FOOTAGE HEIGHT ©'BUILDING VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL 1$ AMP SERVICE DUKE ENERGY Q W.R.E.C. =PLUMBING 1$ [MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION =GAS ROOFING SPECIALTY = OTHER 4 V f FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Address License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/ N FEE CURREI, Address License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN L_y LN_J Address I License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/ N FEE CURREI` LY/N Address License# OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREI, Lyj N__J Address License# I !!!!!Hill !HHHHHHH1+ 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&I 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 wl Silt 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.ls.required:_(A10 upgrades over$7500) Agent(for the contractor)or Power of-;ktfori ie (for Would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING -,(copy.of.contract iipq�uired�.i S 1� .1 ;-., Reroofs if shingles a I U`­�'d`1X(C-`.-`;'I-, nces pgrARqS111 (Plot/Survey/Footage) Driveways-Not over Counter if on public roadways..needs ROW NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a c ntractor or contractors to-undertake work, they may be required to be licensed in accordance with state and local regulations. If the contractor'is not licensed as required by law, both the owner 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 to contact the Pasco County Building Inspection Division—Licensing Section at 727-847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings change of use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number, 89-07 and 90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County;Water/Sewer Impact fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes, as amended): If valuation of work is$2,500.00 or more, I certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone 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 to commencement. CONTRACTOR'S/OWNER'S AFFIDAVIT: 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. ARplication is hereby made to obtain a permit to do work 'and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all law regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other government agencies may apply to the intended work, a that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include but'are not limited to: - Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands,Water/Wastewater Treatment. - Southwest Florida Water Management District-Wells, Cypress`- Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways. - Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency-Asbestos abatement. - Federal Aviation Authority-Runways. I understand that the following restrictions apply to the use of fill: - Use of fill is not allowed in Flood Zone W" unless expressly permitted. - If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a "compensating volume" will be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. - If the fill material is to be used in Flood Zone "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 fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent properties. If use of fill is found to adversely affect adjacent properties, 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 is required. If I am 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. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A permit issued shall be construed to be 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 front thereafter requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of permit issuance, 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 writing, from the Building Official for a period not to exceed ninety (90) 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. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT(F.S. 117.03) OWNER OR AGENT DO 11r101/� C Low(r J Z CONTRACTOR�G% Subscribed and swo o(or i before me this Subscribed and swor to r affi e¢)belnre r}iethA by W -If-( b dwA y/ C— Lo Who is/are personally known to me or has/have produced Who is/are rsori'a nown to me or has/have produced as identification. as identification. Notary Public Notary Public Commission No. Commission o. Commas M 9 GG 276457 Name of Notary typed,printed or stamped Name of No 44ri d2,2022 i t„°.'8oiidedltiru7rppfatnlnsuran�8C0.18570i9