HomeMy WebLinkAbout19-21923 CITY OF ZEPHYRHILLS
' 5335-STH STREET
(813)780-0020 21923
DRIVEWAY PERMIT
'PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21923 Address: 5531 5519 5527 5523 4TH 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=21-0010-06100-0020
Improv. Cost: OWNER INFORMATION .
Date Issued: 10/16/2019 Name: ZANIOS, CHRIS JR
Total Fees: 45.00 Address: 5611 1 ST ST APT 13
Amount Paid: 45.00 ZEPHYRHILLS, FL 33542-3345
Date Paid: 10/16/2019 Phone: 813-782-4866
Work Desc: DRIVEWAY 35 FT X 10 FT
CONTRACTORS APPLICATION FEES
HEATH MCCARTHY PAVING LLC (813)463-6882 DRIVEWAY 45.00
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
10-07
CONTRACTOR PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIOlt
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
C Mt
PERMIT APPLICATION
DRIVEWAY PERMIT APPLICATION
CONSTRUCTION WITHIN PUBLIC RIGHT-OF-WAY
All information must be filled-in completely
City of Zephyrhilis
5335 8t'Street,Zephyrhills, FL 33542
Telephone.811780.0000 Fax 813.780.0005
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"'�` Permit#• '�'
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PROJECT .IOB SITE: PROPERTY O NER
Unit#: Address: Unit:
Parcel Identification Number: city,State zip 3
Phone: J0 12 jEe&aax:
CONTRACTOR:
company: — V tZn
-Name:
Contractor's License.#:
Phone: Cell: F
ARCHITECT/ENGINEERc _
Name: . Firm Name:
Address: City: State: Zip:
State License#: Phone: :Cell: Fax:
Destfttion of Protect
TYPE O DRIVEWAY 3 LENGTH OF DRIVEWAY CULVERTS NEEDED'
' _ ESIDENTIALDRIVEWAYWIDTH OF DRIVEWAY ( )REINFORCED CONCRETE
COMMERCIAL DRIVEWAY R:O EXCAVATION { }CORRUGATED MATERIAL .
PUBLIC ACCESS DRIVEWAY DEPTH LINEAR FEET ( )BOX CULVERT
( )OTHER(EXPLAIN) ,
CONSjw CTION MATERIAL CURB CUT REQYjRE_D—
,ASt HALT YES _eENO
CONCRETE
HEADWALL REQUIRED? YES NO
NOTICE TO APPLICANT: If actual work exceeds scope of this description,additional permits or drawings
wilt be required.
UTILITY-LOCATIONS REQUIRED: CALL BEFORE YOU DIG: 1.800.432.4770
Page 1 of 3
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PERMIT APPLICATION
UTILITIES LOCATE CONFIRMATION:NUMBER:
PROVIDE SKETCH IN THIS AREA, IF ADDITIONAL SPACE IS REQUIRED, ATTACH TO THIS
APPLICATION.
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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 overall .
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 ohline'link:www.ci.zephyrhilis.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 11 E By signing this application: I certify that I-have read and understand the owner/builder disclosure
statement. (please initial)
Applicant Print Name- Applic nt ignature 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
PERMIT APPLICATION
OFFICE USE ONLY
1-;4mb--.�,..,; . .
Concrete (min6") Y N
Asphalt Base(min. el Y N t
Asphalt(rain. 11l2'1 - N
Length_(min. 191 Y.- N -
Width(10'min=20'max) N
Existing sidewalk. Y N
New sidewalk:- Y: . N: ..
ADA cornpllant. Y .) N s t I✓w (,K
BOanslon material required. Y
:Contiguous parking pad. Y - . N-)
Triangular flare(3'W x TL) Y N }C o.Tl Si DES
Visibility triangle o.k:?. Y N
Side set back(Y min. R.O.W.), N
Pian.Review Fee,
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Permitapplication'approved by: Date: . (..
Page 3 of 3
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
` Building Department
Date Received Phone Contact for Permitting
Owner's Nam Owner Phone NumberL-
Owner's Address !�6 l C4 �6_ Owner.Phone Number
Owner Phone Number
JOB ADDRESS °— 5 S I - 5 S n— M3 LOT'#
SUBDIVISION_ PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = 0 e DEMOLISH
R INSTALL 8 REPAIR
PROPOSED USE = SFR Q COMM = OTHER.
TYPE OF CONSTRUCTION = BLOCK 0 FRAME = STEEL . Q
DESCRIPTION-OF WORK ee TT
BUILDING SIZE SQ FOOTAGE J v HEIGHT
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE 0 DUKE ENERGY Q W.R.E.C.
=PLUMBING $
=MECHANICAL VALUATION OF MECHANICAL INSTALLATION
s
=GAS = ROOFING 0 SPECIALTY = OTHER
FINISHED'FLOOR ELEVATIONS.
FLOOD ZONE AREA,. =YES NO
BUILDER COMPANY FkKWX U7 \'
SIGNATURE REGISTERED Y/:N FEE CURREI% /N .,
Address' F License#
ELECTRICIAN COMPANY
SIGNATURE F REGISTERED I Y% N:J FEE CURREh Y/N
Address "License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/"'N FEE'CURREh LLLN
Address License#
MECHANICAL COMPANY SIGNATURE' REGISTERED Y/•.N: FEE CURRE� Y`hN
Address License#,..
OTHER, COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREI Y/N
Address License#,
RESIDENTIAL Attach(2)Plot Plans;,(2)sets of Building Plans;(1)-set,of.Ener"gy 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 subdivisionsAarge 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. Requited onsite,Construction Plans,Stormwater.Plans w/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-4 Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (A/C 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 may-'be required to be licensed in accordance with.state and local regulations.- If the
contractor is not licensed asrequired 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-r--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.
TRANSPORT,AT.ION.IMPACTIUTILITIES 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 pflor to permit issuance.uance. 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 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 applicantisrsom.eone(,
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'&:AFFIDAVIT: Tcertify 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 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. I- 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 1:must take to be in compliance. Such agencies include but are not'limitedl:.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,'W6stewater Treatment;
Septic Tanks.
US Environmental-Protection Agency-Asbestos abatement.
Federal Aviation Authority-Runways.,
I under6tand.that theJollowing-restrictions apply to.the use-of,fill:
Use-offill is not allowed in Flood Zone"V"unless expressly permitted.
If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
.1compensati%-Molume" 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 withinthe 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-propertl6s, the owner may-be cited for violating
the conditions of the building permit issued under,.the attached permit application, for lots less than one (I)
acre which are elevated,by-fill, an engineered drainage plan is required.
If.1-am-the AGENT t FOR-T-HE-OWNER, I promise in good faith-to-inform the owner of-the g permittin conditions set forth in
permitting
this affidavit prior to commencing construction. I understand that a separate permit.may be required for electrica[.work,
plumbing,-signs,--wells, pools,--air-conditioning,-gas,-or other installations not zpecifically 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 from thereafter--
requiring a correction-of-errors in plans, construction or violations of any codes'.-Every permit issued-shall become!rival-id
-unless.-the work.authorized-by--sdch-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.
WA RNING-TO-OWNER:- YOUR FAILURE TO. RECORD,A NOTICE,OF COMMENCEMENT,MAY RESULT IN. YOUR
PAYING TWICE FORIMPROVEMENT9 TO YOUlk'PROPERTY. IF YOU,INTEND
TOOSTAIN FINANCING;CONSULT'
WITH-YOUR LENDER'OR'.AN.ATTORNEY BEFORE RECORDING YOUR:NOTICE.*OF`-COMMENCEMENT.
T.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT'. CONTRACTOR
Subscribed'and twom to(or affirmed)before me"this subscribed a-ndiworn to(or"61firfiled)before me this
by by
Who is/are personally knownto me or has/have produced Who is/are personally known tome or hais/have produced
as identification. as'identification:
Notary Public V.Notary Public,-
Commission No. Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped