HomeMy WebLinkAbout20-218 `v.
City of Zephyrhills PERMIT NUMBER
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�- 5335 Eighth Street
Zephyrhills, FL 33542 BGR-000218-2020
Phone: (813)780-0020
j` Fax: (813)780-0021 Issue Date: 06/09/2020
Permit Type: Building General (Residential)
Property Number Street Address
11 26 21 0010 18400 0040 5203 8Th Street
Owner Information Permit Information Contractor Information
Name: JUANITA EILAND Permit Type:Building General(Residential) Contractor: JUANITA EILAND
Class of Work:Driveway
Address: 5203 8Th St Building Valuation:
ZEPHYRHILLS,FL 33542 Electrical Valuation:
Phone: (802)505-0159 Mechanical Valuation: V
Plumbing Valuation: 7 J1
Total Valuation:$0.00 //f(/�/
Total Fees:$45.00 /
Amount Paid:$45.00
Date Paid:6/9/2020 10:42:48AM
Project Description
DRIVEWAY RENOVATE 65 X 7
Application Fees
Driveway Fee $45.00
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 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 permit required from other governmental
entities such as water management, state agencies or federal agencies.
"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 add fee Must Accompany Application.All work shall be performed in
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
coNMCTOR SIGNA PE IT OFFICE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
:PERMIT-APP.LICAT1OiV '
DRIVEWAI( PERM.IT:AP,PL.ICATION
CONSTRUCTION WITHIN:PUBLIC=RIGHT--O.F=WAY
All Information-mu be-filled-in completely
:City.of2ephyrhilis
'5335:e Street,Zephyrhiils,-F.L 33542
7elephone.813.780.0000 Fax 813.780.0005
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VR03ECT -70B{SITE: -PROPERTY'OWNER
Address: 3 Qt1i Name: 6119 1vr i 9 C/4N.0
Unit#: Address: 6'06 3 57- Unit:
Parcel Identification Number: State -zip Z,'g 0 �1�5 F4
Q®!0 -/ 0 0-06y 0 'Phone: 02-0-5-6 I Fax:
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',CONTRACTOR:
Company: A'GMMINtvw u'e'(iiR ,tf 664I - m joao2 ;
Name: r v
Contractor's License 11 D If It / E-Mail:
Phone: a I 5a 7 Q 1,9 W 'Cell: Fax:
ARCHITECT/ENGINEER:
Name: Firm Name:
Address: City:! State: Zip:
State License#: Phone: Cell: Fax,
Description of Proiect
s
TYPE OF DRIVEWAY 5 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
CONSTRUCTION MATERIAL CURB CUT REQUIRED ( )OTHER(EXPLAIN)
ASPHALT 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
:e
PtRwr APPLICATION
UTILITIES LOCATE CONFIRMATION NUMBER-
PROVIDE SKETCH IN THIS AREA, IF ADDITIONAL SPACE I5 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 Uen Law
rpq.,F.S:713. '. .
Tile issuance of this permit does not ensure compliance vuith deed restrictions and I understand that additional deed
restrictions may apply to this property.
Ali!vsarlr shall carmply�*itih the current Florida Bt�Il�ding Cede,Public Works Design Manual and FDOT Design
Standards(if aPplitoblejo (public Works Design Manual online link:www.ci.zephyrhills.fi.usjpubtic—works.asp).
APPLICATION IS VOID UNLESS SIGNED W]TH PROPER IDENTIFICATION AND WITNESSED BY A PERMIT,
TECHNICIAN OR NOTARY PUBLIC.
NOTE, The City oUephyrhllis is riot responsible for niaintenaincs' or repairs of driveways. Driveways shall,not alder
interfere.with.existing stormwrater treatn'oant and(or conveyance:
PROPERTY OWNERS: By signing this application: I ceitify that I have read and understand the owner/bulider disclosure
statement. (please initial)
.r
Appl cant Print Name ppl cant;Signature pate
Permit Technician Signature (or)Notary Signature Date
Applicant Is( }personally known_to me or produced as identification.
(type of Identification)
Page 2 of a.
PERMIT APPUCATION
OOFICE.USE ONLY
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Lyi(.
Concrete :(min.60) Y N ;. 6`r ` X OF WAT
Asphalt Base(min. 60) Y N ; ..
Asphalt(min.11W). y N
Length.{min: 19'} . N
,Width(10'ruin—20'max) Y_ : N NLiN C 0 (/v("
Existing sidewalk. Y
New"sidewalk. Y N
ADA compliant: Y � N
Expansion material required. ("Y.. N.
Contiguous parking pad:
Triangular flare{3'vu x 71)
Visibility triangle o.k.?. Y N
Side setback(3j min: R.O.W. N
.Plan Review Fee
1.
J .. iibotiaiLs�eia o` imrrrl- ,.
S.kETC�{..'
• . 1
Permit application approved,b . pate: tLv N.
Page;.3 bf 3
"JUALt. f = )U
011 30' 60'
p
F.I.P. 2.25' Diameter
S.I.R. Witness Comer LOT 3
No 10 Cap Vi us
0.37' S.. 0.09' E. of Fence Ends 0.1' N., 0.2' W.
Comer — Falls in Conc.
-U E S. 89*53'08" 84.00' (C
I S. 89*5356" E. 84.15' (M�
Fence Foundation�\ i
15.4'
LOT 4 0 A'C-rpo
IN a21.1
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LOT 3 5 E c"
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LOT 6 39.V
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C' AIC Unit CM
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S. 89*53'01" E 55.93' (C)
S. 89*54'56" E 55.99' M
cc
�E, 00 F�.1�.R�1��t 1142 with ID Cap
F.I.R. I/ with ID Cap — Fencee—Pow
1 1
L01 XB 107' 0.9' 1.9 N.6 C=�
-40 C�) - - _.:
LOT 7
L —1 ¢ Uj U,
�..—ems —
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N io is Concre Toa
LOT 8 C)
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S.I.R.
N.N. 89*52'56" W. 139.93 89(C) '5256' W. 139.89' (M) 140' (R)
LOT 9
—F.I.R. 1/2' with ID Cap
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N. 89*53'16" W. 299.88' (C)
THIRD AVENUE F.C.M. 4" Dia-��
No ID Disk
REVISED 4/13/12 Corrected Typo on address from 5208 to 5203 & added building ties.
31009 Pasco Road Phoe:(352)
John Walsh, Professional_Surve or& Mapper San Antonio, Florida 33576 Fax:n (352)5883680588-3680
Certificate of authorization number LS 6061 BOUNDARY SURVEY
Not valid without the signature and the original raised seal Client: Juanita C. Eiland
of a Florida licensed surveyor and mapper. Work order number: W12-0401
Date of Survey: 4/10/12
Additions or deletions to this survey map-or report by other than the Certified To: Juanita C. Eiland
signing party prohibited without written consent of the signing party.
John Walsh, P.S.M.
5 PAC r-� 2 FOP, UNA-rUFC- 5r-;:A-
PACE SECTION I I 5E�r 4
TOWNSHIP 26 S. RANGE 21 E.
OF -.2 . PASCO COUNTY, FLORIDA Florida Surveyor's Registration No. 6061
1
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received1nnnMMrrTTrrM I J.,Phone Conte pt for Permitting -
Owner's Name gl1R> v r'- o 5�� '' Owner Phone Number �sbtu �d dl
Owner's Address czac> d Owner Phone Number
Fee Simple Titleholder Name. Owner.Phone Number
�ry
Fee Simple Titleholder Address
JOB ADDRESS ��� 4 LOT#
SUBDIVISION PARCEL 0 D/o 00- d O`T o
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW.CONSTR ADD/ALT, 0 SIGN DEMOLISH
e INSTALL REPAIR
PROPOSED USE Q . SFR Q COMM Q OTHER
TYPE OF CONSTRUCTION BLOCK Q FRAME STEEL Q °
DESCRIPTION OF WORK � �
BUILDING SIZE SQ FOOTAGE= HEIGHT]
"BUILDING VALUATION OF TOTAL CONSTRUCTION
r�_700
=ELECTRICAL 1$ AMP.SERVICE Q PROGRESS ENERGY t %}0 W.R.E.C.
=PLUMBING
[MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION r
=GAS Q ROOFING Q SPECIALTY Q OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
f,
BUILDER O PANY
SIGNATURE •REGISTERED Y/ N FEE CURREA Y[N
Address License# �
ELECTRICIAN. COMPANY
SIGNATURE` REGISTERED. Y/ N FEE CURREN, Y/'N
Address - License# i
PLUMBER COMPANY
SIGNATURE REGISTERED Y'/ N FEE CURREN LXLN.
Address License,#
MECHANICAL COMPANY
SIGNATURE REGISTERED YX'N FEE CURREN LILN
Address License#
OTHER COMPANY,
SIGNATURE REGISTERED I Y/ N FEE CURREN
Address License# F
RESIDENTIAL Attach(2)Plot:Plans;,(2)seu of Buiidfng:Plans;,(1)set;of Energy.Forms;;R-O-W-Permlt for new.construction,
Minimum ten(10)working days*after subnlitWFdate. Required;onsite,Constriction Plans,Stormwa(er 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)mbrkin9 days after'submittal date:,`Reguired.onsite,Coristruction•Plans;_Stormwatbr:Plans.w/Silt Fence installed,
Sanitary..Faclirldes&�1=dumpster.Site Work Permit for all new projects.All,commercial requirements must meet compliance
SIGN PERMIT Attach(2)setsof Engineered.Plans:
""PROPERTY SURVEY required for all NEW-construction.
'Directions:
Fill out application completely.
Ownert 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(Pict/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTICE'OF DEED RESTRICTIONS: The undersigned understands that this t!permit may be subject to"d-Ped"-restrictions"
which may;be more restrictive than County regulations. The undersigned assumes responsibility for compliancdwith 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. ]f the
contractor is not licensed as,required by law,.both the owner and'contractor maybe 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-applyto-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. TheL 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. ]f 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 issomeone:
other than the"owner",I certify-that I have obtained a copy of the above describeddocument and promise in good faith to
deliver it to the"owner" prior to commencement. , it
CONTRACTOR'SIOWNER'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. Application is
hereby made to obtain a permit to do work- and installation as-indicated.1 1: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 limitedto:
- Department of"Environmental Protection-Cypress Bayheads, We, 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,:,)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.AGENTFOR`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 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 for a.period of six,(6)months after Ahe 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- Y—,RESULT IN YOUR- - -
PAYING.TWICE:FOR=IMPROVEMENTS'TO-YOUW"PROPERTY. IF YOU INTEND` O'OBTAIN:FINANCING,'CONSULT
WITH YOUR LENDER.OR'AN ATTORNEY'BEFORE:RECORDING'.YOUR"NOTICE'OF'COMMENCEMENT:
FLORIDA JURAT'(F.S .03)
OWNER OR AG TF. Pei CONTRACT
Subscribed°andswdmo(or afflrmed)be r me is Subscribed and orro(eraffinned) a rem ` is
b — �— by I Who is/are personally known to me or has ave pro Who is/are personally nown to me or has/have produced
as identification. as identification.
Notary Public Notary.Public
Commission No. Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or.stamped.
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