HomeMy WebLinkAbout19-21924 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21924
DRIVEWAY PERMIT
PERMIT INFORMATION LOCATION INFORMATION.
Permit Number: 21924 Address: 38022 38026 38032 38030 12TH 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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-06000-0010
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
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
1�61\ITRACTOR PERMIT OFFIJFA
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
r i
PERMIT APPLICATION G„
DRIVEWAY PERMIT APPLICATION
CONSTRUCTION WITHIN PUBLI_ C RIGHT-OF-WAY Ott-)
All information must be filled-in completely
City of Zephyrhills
5335 0 Street, Zephyrhift FL 33542
Telephone 813.780.009-0 ' Fax 813.780.0005
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PROJECT 30B SITE: PROPERTY OWNER
-Address:' —3 D Z . 026 O. 8 Name: a ` 7 if
Unit#: Address:-,t4 j
Parcel Identification Number: . L714 City,-State,Zip
7 .
Phone: . F x:
CONTRACTOR:
Com an : -t M G cyou k Y\
. .Name: HfAAMh nLc�"- j
Contractor's.License#: -Mail: JAM
Phone: ell: l Fax.,
ARCHITECT.JENGINEER.
Name: Firm Name:
Address: City: State: Zip
State.Litense#: Phone: Cell: Fax:
Description.of Proiect
TYPE- DRIVEWAY �J LENGTH OF DRIVEWAY CULVERTS NEEDED
RESIDENTIAL DRIVEWAY WIDTH OF DRIVEWAY ( ')REINFORCED CONCRETE
COMMERCIAL DRIVEWAY R,O.W. EXCAVATION CORRUGATED MATERIAL
PUBLIC ACCESS DRIVEWAY DEPTH LINEAR'FEET ( )BOX CULVERT -
( )OTHER(EXPLAIN)
cokgEsucr M-ATERIAL . CURB CUT REQUIRED--
ASPHALT YES.
—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 REOUIRED: CALL BEFORE YOU DIG: 1.$00.432.4710.
Page 1 of 3
Page 1 of 1
14 Legend
Block 31 93
s Street(Labels)
Parcel(Lines)
Subdivision
Block 30 s (Boundaries and
Labels)
ROADS Ei Parcels
(Clickable Info)
90
docks
B�oskJ59 0 (Boundaries and
v�NOti a Labels)
IgSM�P Lot(Labels)
-- Lot(Lines)
11-26-21-0010 v'
TOWN UFtiZEPHY �m
P61f' �
y
2
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4
Block 60
18 S
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14 A
September 16,2019
IA� J8I01 Pasco County
PROPERTT.. /
:APPRAISER 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.
300Sz- 3W30
C-A-0Ss / 5
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iPT�IN 4S. iOG G2t
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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 co, 'ply 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.zephyrhills.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 0 : By signing this application: I certify that I have read.and understand the owner/builder disclosure.
statement., (please initial)
Applicant Print Name AppficaiAt 'gnature 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
y PERMIT APPLICATION
OFFICE USE ONLY
�V1tORKS,.USE:O L,r -
Concrete (min. 6') Y N
Asphalt Base(min. 61 y N AvLk 9:
Asphalt(min. VjYj ('.Y N
Length(min. 191 y N
Width(10'min 20'max) N
Misting sidewalk.. Y N
New sidewalk. Y N
ADA compliant. Y N (t5c�jii,C: .
Expansion material required. Y
Contiguous parking pad. Y N
Triangular flare(3'W x 71) Y N
Visibility triangle'o.k? Y' ) N
Side set back(3'min. R.O.W.) Y N
Plan Review Fee
'-�s:.'�.rf'" �°":�r;a -,- -•_�'sue-- 4:�-"-..�-s.^ - �:�s;. _ `_rs�� �..s.-_'a,:.�;;_ - - -�: a�°.•x�g.a�:"�.`fi^}�•:a:1;`Yi-x'e'+-y;:�
��Ad tton I des�►� t F t 4r•and `r�des� nee. :,�'".�;�. ;•;My,-.`
d a . c_ tron of ui►ork:asdef ned.b PubtNc,=Warks>D�recta .. ___� ! _-- _... �:: ;c..:
Permit application approved by: -- Date.
Page 3 of 3
&13-780-0020 City of Zephyrhilis Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permitting
XE03xrccanx=331EIECO3333= ........:1=. ..................rrrrrrrrrTT777TrrrrrrrrrTT7TM.....
Owner's Name Zan ka Owner Phone Number
Owner's Address J(O C T Owner.Phone Number
•Owner Phone Number
JOB ADDRESS D ' O3Z `-dl� ZVNKILOT'#
SUBDIVISION PARCEL ID#
(OBTAINEd FROM PROPERTY TAX NOTICE) -
WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = _ 'DEMOLISH,.
R INSTALL 8 REPAIR
PROPOSED USE- = SFR Comm 0 OTHER.
TYPE OF CONSTRUCTION = BLOCK 0 FRAME Q- STEEL 0
DESCRIPTIONOF WORK
BUILDING SIZEE __71 SQ FOOTAGE HEIGHT
=BUILDING $ VALUATION OF TOTAL CONSTRUCTION '
.=ELECTRICAL $ AMP SERVICE = DUKE ENERGY Q W.R.E.C.
=PLUMBING $ n /�
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION C (/
=GAS = ROOFING .Q SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS. FLOOD ZONE AREA: =YES NO
BUILDER COMPANY_ �� a'x,n rC C�
SIGNATURE REGISTERED Y/..N FEE CURREn LY/N
Address' �lyZ� Gt C( CGS weN License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N. FEE CURREN. Y/N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/"N FEE CURREN-
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/,N FEE CURREN
Address. :License.#"
OTHER COMPANY
SIGNATURE REGISTERED I Y/ N FEE CURREN _ Y/N
Address License#
RESIDENTIAL Attach(2)Plot'Plans;.(2)sets of Building Plans;(1).set.of Energy Forms;R-O-W-Permit for new constriction,,_
Minimum ten(10).•working�days•after submittal4ate Required onsite.Construction Plans;Sforrnwater 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/'SIIt'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 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 wlith.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 toipermitting privileges in Pasco
county.
TRANSPORTATION IMPACT/UTILITIlt6,1 IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees-and Recourse
urse 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.' Furthermore, if Pasco County Water/Sewer Impact
fees are due,-they must,be-paid.prior.to.permit issuance.in accordance with applicable PascoCounty ordinances.
CONSTRUCTION LIEN LAW(Chapter 713-Florida Staitutes, as:amendiad): Ifvaluation of work is,$2 500,00_or more,,I-
certify that 'l, 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 1-have obtained a copy of the above described document-and.promise-in good faith to
deliver it to-the"owner"prior to commencement.
CONTRACTORIS/,OWNER!S,,AEF,IDAVIT:_.Lcertify-that all the information-in this.,application is:accurate:and,.that.,allwork
will be done in compliance with all applicable Jaws 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 1:must take to be in compliance. Such agencies include but are not:11mited 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--Siarvices/Environmental Health Unit-Wells,,Wastewater Treatment,
Septic Tanks.
US Envirorim6ritalz Protection Agency-Asbestos abatement.
Fe'deral Aviation Authoeity-Runways..
I understand that the,;,following-,restrictions apply to.the use,of-fill.
Use of is not allowed in Flood-Zone W"unless expressly-permitted.
If the fill material-is to be used in Flood Zone."Kjt is understood that a.drainage,plan- ;.addressing a
"compensating volume" will be submitted at time of-permitting which1s 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,-1-certify that fill will be used only to.fill the,area withimthis,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..-.1f.use of fill.is-found to adverselyaffect adjacent-properties, the.ownermaybe cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one..(1),
acre which areelevated;by fill, an-engineered drainage plan is required.
If am the AGENT:FORT-HEOWNER, I promise in goodfalth-to-inform the.oWner of the Oist-mittirt§conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit,may be required for electrical..,work,
plum bingi- 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,,olr.
set aside any provisions of the,.f66hn'1cal:C'odps,, nor shall issuance of a.permit prevent the Building Official from thereafter,
requiring a correction'of--ertors in plans, construction or violations of any Codes7. '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 6f six(6)months after the time the work is commenced. An extension
may be-requested,-in.'writing,-from.-the Building.. fficial,fora period not to exceed ninety (90) days and will demonstrate
justifiable cause-for the extension. if work-ceases for ninety(90),consecutive daysi,the job abandoned'.
WARNING TO-OWNER: YOUR FAILURE TO. RECORDA,NOTICE.-OF COMMENCEMENT MAY RESULT IN YOUR
PAYING.-TWICEFORIMPROVEMENTS TOY-.O.UR-.1 PROPER-TYv AF Y- INTEND-INt-END-T.0:6"SrAIN-'FINANCIN"-�G,-"CONSULT-
WITH-YOUR LENDER OR'ANATTORNEY BEFORE RECORDING YOUR AOTICE.'OF'CO-MMENCEMENT.
FLORIDA JURAT(F.S.117.03)
OWNER OR AGENT'.' CONTRACTOR
subscribed 6nds;worn to(or affirmed)before me this Subschlied' an'd"Lswom to(or affirmed)before me.this
by"'
Who islare personally knownto me or has/have produced Who is/are personally known-t6jne,or has/have produced'
as identification. as identifIcAtiom'
Notary Public 'Notary Public,
Commission No. Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped