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HomeMy WebLinkAbout19-21922 i CITY OF ZEPHYRHILLS k 5335-8TH STREET (813)780-0020 21922 DRIVEWAY PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 21922 Address: 38007 38011 11 TH AVE Permit Type: DRIVEWAY ZEPHYRHILLS, FL. Class of Work: DRIVEWAY/NEW Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: SHAW LAKE RIDGE Est. Value: Parcel Number: 11-26-21-0010-06100-0000 Improv. Cost: 8,000.00 OWNER INFORMATION Date Issued: 10/16/2019 -Name: ZANIOS, CHRIS JR Total Fees: 75.00 Address: 5611 1 ST ST APT 13 Amount Paid: 75.00 ZEPHYRHILLS FL 33542 Date Paid: 10/16/2019 Phone: 813-997-5017 Work Desc: DRIVEWAY 35 FT X 10 FT CONTRACTORS APPLICATION FEES HEATH MCCARTHY PAVING LLC (813)463-6882 DRIVEWAY 45.00 CONTRACTOR CERTIFICATE 30.00 1 Ins ections Required 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 INSTR#2019213639 OR BK 10023 PG 2848 Page 1 of 1 12/17/2019 01:44 PM Rcpt:2118005 Rec: 10.00 DS:0.00 IT:0.00 Nikki Alvarez-Sowles,Esq.,Pasco County Clerk&Comptroller NOTT -E/OF C 2- O)VOVIENCEMENT Permit No. L q 1- ^z I q 2_� C-1 Q 2-q Property Identification No.� I ?-,r,,2` 0010'�00 0000 THE UNDERSIGNED hereby give informs you that the improvement will be made to certain real property,and in accordance with Section 713.13 of the Florida Statutes,the following information b provided in this NOTICE OF COMMENCEMENT. I.Description of property(kgal daerlptlon) a)Street Address: 2.0catml description of improvements: ci ✓t?-) 3.Owner Tnlormation a)Name and address: CY`�t S 11w Ste l l 15 +11 1 F f`nt�is F& 33542, b)Name and address of fee simple titleholder(if other than owner) �— a)Interest in prop" 4.Contractor Information (� 1 a)Name and address: =Ho 6 sa r►u lI.�LZ ct�C(Q k�l b)Telephone No.: t Fax No.`(Opt.) 5.Surety Tnfortnation a)Name and address_: b)Amotmt of Bond: c)Telephone No.: Fax No.(Opt.) ti.Lender a)Name and address: Phone No. 7.Identity of person wi&*the State of Florida designated by owner upon whom notices or other documents maybe served: a)flame and address: b)Telephone No.: Fax No.(Opt) 8.1n addition to himself,owner designates the following person to receive a copy of the Lienor's Notice is provided in Section 713.13(1)(b),Florida Statutes: a)Name and address: b)Telephone No.: c ' .Fax No.(Opt.) 9.Expimtion date of Notice of Commencement(the expiradon date is one year from the date of recording unless a diffetent date is specified)• WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED 1WROPER PAYMENTS UNDER CHAPTER 713.PART 1,SECTION 713.13. FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING,CONSULT YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF CO NCEMENT. STA're OF FWMDA COUMV OF PASCO S a a +oWt;inr/Pam�lmaga The fore ping instrum ackngwledged before me this day of ��by �Co as autha e.g.of5ea,trustee,attorney in fact)for (n behalf ame of party on beh of who m was executed oaally Known OR Produced Identification_ Notary Sipature r Type of Identification Produced L •Neme(print) Q G e.l r n2 - Verification pursuant to Section 92.525,I7orida Statutes.Under penalties of perjury;l.deelare that I have read the foregoing and_that the facts stated in It are true to the best of my knowledge and belief:. Sip�ws orNeNN Penoa Sipina Aeovo FORMSMOCAsd F7 Cemmw 11M#06276M o� Eom Deew6bet U. �8p0,S84701e • •''�iii��: 8udedTNYTtofYala Wc TAT 0" "r ti O�II)A,COUNTY OF PAW') THIS IGOING ILA S TO CE TlFY THAIT COPYHOFFTHE EDOCUMENT • G TRUE AND CO ON FILE OR OF PUBLIC RECORD IN THIS OFFICE ND 1�1p OFFICIAL SEAL-THIS _.. «, WIT �Y HA 2 0� rnsth � r DAY OF _- � CLERK&COM TROLLER u. ' DEPUTY CLERK E PERMIT APPLICATION - � DRIVEWAY PERMIT APPLICATION CONSTRUCTION WITHIN PUBLIC RIGHT-OF-WAY All information must be filled-incompletely City of Zephyrhills 53358. Street, Zpphyrhills, FL 33542 Telephone 813.78 nQ.0000 Fax,813,780.0005 ss:cr�r^�r-P/nA`MW+r ,=z• Permitp;#�Pr ocessed r q_ rr xs PRO3ECT/30B SITE: PROPERTY OWNER Address:%M*7 50 C t Name: unit# . 2, A Address: r Unit: Parcel Identification Number: City,State Zi afz �. Phone: ax: CONTRACTOR:. ,Company: w6e� Name: a, Contractor's License #: Mail: ck-\cI. l C Phone: celf.A k 21 Lj�; 67qqt2 fax: ARCHITECT/ENGINEER Name: Firm Name: Address: City: State: Zip: State License.#: .. Phone: Cell: Fax: Description of Proiect TYPE OF DRIVEWAY � LENGTH OF DRIVEWAY CULVERTS NEEDED _LLRESIDENTiAL DRIVEWAY DTH OF DRIVEWAY ( )REINFORCED CONCRETE COMMERCIAL DRIVEWAY R.O.W. EXCAVATION_ ( )CORRUGATED MATERIAL PUBLIC ACCESS DRIVEWAY DEPTH LINEAR FEET ( )BOX CULVERT C )OTHER(EXPLAIN) CONST CTION MATERIAL CURB CUT REOUISM L-IKSPHALT. YES NO CONCRETE 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 Page 1 of 1 Legend Street(Labels) tc --- Parcel(Lines) Subdivision (Boundaries and =7, Block s01S Labels) ouR.WN� Parcels (Clickalile Info) 816cks t4 (Boundaries and Labels) Lot(Labels) :.ram N e' Lot(Lines) N Brock 61 1 64 10-26-21.0090 • HIL4 pL4NY C�b4�uMY P6 1 PG 55 y �T�e-zl-0oao f T(A{IYN OF�ZEPHYRHILLS P,B 1'PG 54 �E oADs 1 Block•62 2 ROADS 11THAVENUE �' s 4 SePterinber 96;zoos Pasco County 1OI iM !Y PROPERTY VAP'P"RMSEN N 0 - -20 40 " '80 Feet http://gis.pascopa.com/arcgis/rest/directories/arcgisoutput/Utilities/PrintingTools_GPServe... 9/16/2019 PERMIT APPLICATION UTILITIES LOCATE.CONFIRMATION NUMBER: PROVIDE SKETCH IN THIS.AREA,IF ADDITIONAL SPACE IS REQUIRED, ATTACH TO THIS APPLICATION. i-' G1 )c,S ---------------------- 0ftuy� CSR� to e �✓1 — i � AFFIDAVIT: Application is he reby.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.zepliyrhills.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 By signing this application: I certify that I have read and understand the owner/builder disclosure statem nt. (please initial) Applicant Print Name Applicant Si attire 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 Q PERMIT APPLICATION OFFICE USE ONLY _"i-':z.,, - _ _n_ ^_..ai;'•. -�:r...._;.ti,-,..- �-r... :-.tea`. ...v�...•�..,.._ _.^�v.�,.r-��•-_.:m .,� ,Y'-:Y>s ,,:�_:.rr_�:'s..� - - - -- - Concrete (min. 6'1 Y N Asphalt Base(min. 6'1 Y N Asphalt(min. 11/2') Y N r Length (min. 191 N Width(10'min—20'max) Y) , N Existing sidewalk. Y N New.sidewalk. Y N ADA.compliant. Y N Expansion material required. Y _N - Contiguous parking pad. Y N Triangular flare(3'W x 71) rY N 3 X �gTbE Sl`bES Visibility triangle.o.k.?, 'Y N Side setback(3'min. R.O.W.) Y N Plan Review Fee ;�lddit�onal�descr� tronofyyork4as:,defn�ed�b P�util�cwW,ork_s D�rectorandsor;��lesi nee.:�;:_-3F:� ��'�;;��;�-,1==F:�;��: �.,;.��Y;; Permit application approved by: Date: (-�tq Page 3 of 3 813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021 Building Department o Date Received Phone.Contact for Permitting {— V J �t� Owner's Name I �� Owner Phone.Number Owner's Address S . `� l 3 Owner Phone Number Owner Phone Number JOB ADDRESS 3<yOO,-r""' 6 1 4i\ AV-e- LOT•# SUBDIVISION PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED R NEW CONSTR B ADD/ALT = SIGN = 0 DEMOLISH, INSTALL REPAIR PROPOSED USE.- 0. SF.R COMM = OTHER. TYPE OF CONSTRUCTION = BLOCK Q FRAME 0• STEEL = DESCRIPTION;OF WORK h�l 1 g BUILDING SIZE SQ FOOTAGE® HEIGHT =BUILDING $ 0� VALUATION OF TOTAL CONSTRUCTION ...=ELECTRICAL $ v(J AMP SERVICE Q DUKE ENERGY Q W.R.E.C. =PLUMBING $ =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION =GAS = ROOFING Q SPECIALTY = OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO BUILDER COMPANY eF Qv(V1 SIGNATURE f REGISTERED Y/.N FEE CURREN Y/N .. Address' ( L Li 21 �WIQ l q �1O(J CT ly License# ELECTRICIAN COMPANY SIGNATURE REGISTERED I Y/ R FEE CURREN Address 'License# PLUMBER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREh " Y/N Address License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/.:N FEE CURREN •..Y'/•N Address•. License.# OTHER COMPANY E__ SIGNATURE REGISTERED Y/ N_J FEE CURREN Address License#- 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 aflersubmittal date:_-Required onsite;Construction Plans,Stomiv+iater'Plans w/Siit 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/'Silt Fence installed,' . Sanitary Facilities&1'dumpster.Site Work Permit for ail'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. (AIC upgrades over$7500) Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (copy of contract required) Reroofs if shingles Sewers Service Upgrades A/C ' "Fences(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 contractor or contractors-to undertake work, they maybe 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 toypermifting privileges in Pasco County. TRANSPORT,ATION,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 und.ersigned.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 7131,.Florida-Steitutes, as amendisd): If.valuation of work is$2,500.0.0:or-more,.1 certify that 1, 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 applicantt is%someone: other than the"owner", l,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. CONTRAC-TORIS/OWNERIS,:AFFIDAVIT:-J certify that all the information in this..application is-accurate and.-thatall-work will be done in compliance with all applicable-laws regulating construction, zoning and land-development;..Application 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 laws regulating construction, County and 'City codes, zoning regulations- 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 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,WaterMastewaterTreatment. - 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-Wellsf,-Wastewater Treatment, Septic Tanks. US Environmental Protection Agency7Asbettos abatement. Federal Aviation A.uthority-Runways. I understand that the following restrictions.apply to-the use-of;fill: -Use zoffill is not allowed in Flood Zone"V"unless expressly-permitted. If the fill material is to be e used,; in Flood Zone, "K, 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.withimthe,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,(!) acre which are elevated by-fill,an engineered drainage plan is required. If 1 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 installation& 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;after,-;or.- set aside any provisions of theiec­hnical 'codes' n' fr or shall issuance of a permit prevent the Building.0 Icial from 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 a period of six(6)months after the time the work is commenced. 'An extension may be requested,-in writing,_from,the Building Officiallor 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 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. WITHYOUR LENDER OR_AN_ATTORNEY.BE0ORE REC'ORDING.YOUR.-kOTICE.-OF-io0mmENCEMENT. FLORIDA JURAT(F.S.117.03) OWNER OR AGENT CONTRACTOR Sutii6ribed''and sworn to,(or affirmed)before me this' Subscribed andsWorn to(or affirmed)before me,this by­­ 'by - Who is/are personally known,4o me or has/have produced Who is/are personally known,to me-or h6s/havd produced as identification. asidentification. Notary Public Notary Public Commission No. Commission No. Name of Notary typed,printed or stamped Name of Notary typed,printed-or.stamped