HomeMy WebLinkAbout19-22025 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 22025
DRIVEWAY PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 22025 Address: 5808 8TH 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: 11-26-21-0010-02500-0160
Improv. Cost: 2,500.00 OWNER INFORMATION
Date Issued: 11/06/2019 Name: SISCO, EARL &TARA
Total Fees: 45.00 Address: 5808 8TH ST
Amount Paid: 45.00 ZEPHYRHILLS, FL. 33542
Date Paid: 11/06/2019 Phone: 813-401-0057
Work Desc: DRIVEWAY 50 FT X 12 FT MOVE TO BE UP AGAINST HOME
CONTRACTORS APPLICATION FEES
HOMEOWNER DRIVEWAY 45.00
�G
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
ONTRACTOR PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIOlt
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
PERMIT APPLICATION
}
DRIVEWAY PERMIT APPLICATION
CONSTRUCTION WITHIN PUBLIC RIGHT-OF-WAY
(i All information must be filled-In completely
City of 4poyrhills
Q� 5335 861 Street,Zephyrhills, FL 33542
Telephone 813.780.00OOA Fax 813.780.0005
a"
Date.. 'IicaEio_n.. Processeai`B :> iA Pem #:.
- Y -
_
x
�D'e rtiiiie - tti .ub cWiit#ss=
- - .0Bai1
PR03ECT/30B SITE: PROPERTY OWNER
Address: d Name: ,t t, S,L Sc o
_
Unit#: Address: �-A Unit:
Parcel Identification Numl3er. �7- - � Ci. Stat :ZI.: �t -T 1 2.
Phone: : o 66 - 'Fax:
CONTRACTOR:
Company:
Name: Zi
Contractor's License#: E-Mail:
Phone: Cell: Fax:
ARCHITECT/ENGINEER:
Name: Firm Name: _
Address: City. State: Zso
State license#: Phone: Cell: Fax:
Description of Project
TYPE OF DRIVEWAY S�� LENGTH OF DRIVEWAY CULVERTS NEEDED,
.!�,_RESIDENML DRIVEWAY VZ=WIDTH OF DRIVEWAY (K)REINFORCED CONCRETE
COMMERCIAL DRIVEWAY R O.W. EXCAVATION ( )CORRUGATED MATERIAL
PUBLIC ACCESS DRIVEWAY ( DEPTH LINEAR FEET ( )BOX CULVERT
CONSTRUCTION MATERIAL �IJi CURB UIRED ( }OTHER(EXPLAIN)
ASPHALT YES NO
CONCRETE 10
Xt—
HIEADWALL REQUIRED? YES NO
JJOTICE TO APPLICANT: If actual work exceeds scope of this description,additional permits or drawings
will be required.
-UTILITY LOCATIONS REQUIRED: CALL BEFORE YOU DIG: 1400.432.4770
Page 1 of 3
41
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PERMIT APPLICATION
UTILITIES LOCATE CONFIRMATION NUMBER:
PROVIDE SKETCH IN THIS AREA, IF ADDITIONAL SPACE IS REQUIRED,ATTACH TO THIS
APPLICATION.
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 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/publiq_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.
PROPERTYS: By signing this application: I certify tha ave read and understand the owner/builder disclosure
statement. (please initial)
S�sel
Applicant Print Name Applicant signature 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
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received
TT'1-rrTT7"rT3'r1�_ MTTT� -Phone Contact for Permitting
.................
Owner's Name FA ?,\ C (2) 1 Owner Phone Number qC) C)C)'!7
Owner's Addressc)9) z-)-k- I Owner Phone Number
Owner Phone Number
JOB ADDRESS LOT#
SUBDIVISION PARCELID#F_
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONISTRR ADD/ALT SIGN DEMOLISH
e INSTALL REPAIR
PROPOSED USE = SFR = COMM OTHER
TYPE OF CONSTRUCTION = BLOCK Q FRAME STEEL
DESCRIPTION OF WORK LQ� 4 7v 6 (2-
BUILDING SIZE SQ FOOTAGE / J HEIGHT
...........
ItIBUILDING -9 __(T_1 VALUATION OF TOTAL CONSTRUCTION
$
=ELECTRICAL 1$ AMP SERVICE DUKE ENERGY 0 W.R.E.C.
=PLUMBING 1$ _1
=MECHANICAL 1$ VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING Q SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY rJ
SIGNATURE REGISTERED N I FEE CURREN Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address 7 License# F_
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED FEE CURREN L_X1 N J
Address License# F—
OTHER COMPANY
SIGNATURE REGISTERED Y/ N_ FEE CURREN
Address License# F
H+F 4 1 111111111111111 111111 11111111 1111111111111 M I I I I I I I I I I I I I I 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&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&I 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.
1d-1f1'-'_�""1;: -1�'P_','. "l—'...�� __
Owner&Contractor sign ba '6 app Jcqtion,,nptanz60'
If over$2500,a Notic4 of CommenqQ#ient isrequ (A16:upjrades over$7500)
Agent(for the contractor)or Powerf be someone with notarized lettet a t from-dWrier:authort;rig s o Attorney(for,�_.
4 i,
OVER THE COUNTER reqUieed)
ry
_0blJrade-'iiWC` Fences(Plot/Survey/Foo ' 1P
Reroofs if shingles Sewers ""'94 ta9
Driveways-Not over Counter if on public roadways..needs ROW
I' "deed"restrictions"
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to d
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 as required by law, bdth 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: Af 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 tathe"owner" prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: I ce ify 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 I must take to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Proteection-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 & Rehabilit tive Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agengy-Asbestos abatement.
- Federal Aviation Authority-Runways. ,
I understand that-the following restrictions apply t&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 a ly 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 linstallations not specifically included in the application. A
permit issued shall be construed to be a licens 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, constriction 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: YOU FAILURE T� RECORD A'NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPR MENTS TO YOUR PROPERTY. IF YOU INTEND TO OBT N FINANCING, CONSULT
WITH YOUR LENDER ATTORNEY BEFORE RECORDING YOUR NO C MENCEMENT.
FLORIDA JURADF.S.1
OWNER OR AGEN T CONTRACTOkkel-
24b crib d and swgtn to(or irme b f e this Subscribed and swom to(o rme before phi 1
( by �y c / by d . CV
Who islace personally known�to me or has/have produced Whq�ore CaC
�pe�sona kknown to or has/have produced
(� .L]p�1�ersb,(y_ Le as identification. T__u �e� e�LS� as identification.
'Notary Public
JACQUELINE BOGES
Commission N =+q'A"v Commissi `+Alo ;.:CommissIm#GG 276457
b` Expires December 1Z 2M
=Expires December 12,2022 ' f„°` Bonded Ttw hay Fain lnsurnnce 800.38�7019
Name of Notary , 'd" n Name of i
PERMIT APPLICATION
OFFICE USE ONLY
Concrete (min.6") Y N -r G — p
Asphalt Base(min. 6`). Y N . .
Asphalt.(min. 11/2') _ Y_ N .
Length(min. 191 Y N
Width(10'min—20'max) N
Existing sidewalk. Y. N. .
New.sidewalk. . Y
ADA compliant. N
Expansion material required. Y N Q 5cD OF .516CWAL4-
Contiguous parking pad. Y
Triangular flare(31N x 71) Y N . S( E
Visibility triangle o.k.? Y N
Side set back(3'min. R.O.W.) N
Plan Review Fee
Additionol�descri tiro®f woPk.as,:ilefrtied b .Public°W®ice-Dre oe aind`or.desi nee:::
A4 M u M 710- 1 G k - CA- e (4t
Or rop-.. T
se X 1 i
Permit application approved lbyz. Date:
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