HomeMy WebLinkAbout20-340 D
City of Zephyrhills PERMIT NUMBER
- 5335 Eighth Street
Zephyrhills, FL 33542 BGR-000340-2020
Phone: (813)780-0020
Fax: (813)780-0021 Issue Date: 07/06/2020
Permit Type: Building General (Residential)
Property. Number Street Address
12 26 21 0030 00300 0120 5315 Beltram Dr
Owner Information Permit Information Contractor Information
Name: KEITH&JASMINE HARDY& Permit Type:Building General(Residential) Contractor: KEITH&JASMINE HARDY 8
MARIANO HARDY Class of Work:Driveway MARIANO HARDY
Address: 5315 Beltram Dr Building Valuation:
ZEPHYRHILLS 33542 Electrical Valuation:
Phone: Mechanical Valuation:
Plumbing Valuation:
Total Valuation:$0.00
Total Fees:$45.00
Amount Paid:$45.00
Date Paid:7/6/2020 10:06:34AM
Project Description
DRIVE WAY 59LX10W
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.
CONTRACTOR SIGNATURE PE IT OFFICE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City Of Zephyr'hillS Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contaot for Permitting
! 2
Owner's Name 11 �1�714AKI) Owner.Phone,Number. gd �� /� `��l✓
Ownee-s3Address �3� !L YL` (-�� Owner.Phone:Number
Fee Simple TiddholderName- OwneuPhone=Number
Fee Simple Titleholder Address
JAB ADDRESS .SR �/► LOT#
SUBDIVISION- PARCEL,ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORKPROPOSED . NEW.CONSTR .. ADD/ALT SIGN Q Q DEMOLISH
e INSTALL REPAIR
PROPOSED USE 0 SFR' 0 'COMM, OTHER .
TYPE OF-CONSTRUCTION = BLOCK Q'' FRAME STEEL ' Q
DESCRIPTION OF WORK FN &W )1 K W I r r7`r
BUILDING SIZE . SO FOOTAGE HEIGHT-].
=BUILDING $ ,00,00 1 VALUAT ION OF TOTAL CONSTRUCTION,
=ELECTRICAL-,. $ (v AMP SERVICE Q,. - .PROGRESS-ENERGY Q W.R.E.C.
=PLUMBING. ($
=MECHANICAL $�- VALUATION OF MECHANICAL INSTALLATION
=GAS 0 ROOFING [�-. .SPECIALTY:,. OTHER -.
FINISHED•FLOOR ELEVATIONS ,FL'OOD.ZONE AREA =YES''^,
BUILDER r COMPANY � 9, . 4'✓'7/°«i , .; se:;..
SIGNATURE REGISTERED-
Address o Iacense# I
COMPANY
ELECTRICIAN
- -- -
SIGNATURk REGISTERED Y/.N;.; _�;},FEE,CURREh
Address `License'# I
RLUMBER COMPANY :.,.
SIGNATURE REGISTERED Y% N:'°. "'' `'FEE'CURkEn'
Address 'Ilcense# I
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/. WJJ FEECURR�Eh
Address �License# (
:I
OTHER. .• ,• COMPANY
�IGNATURE REGISTERED. Y/,N: ::FEE CURREh Y/N
Address License,#
RESIDENTIAL AWch.,(2).Plot.Plans;•,(2),§!ets>of,Puilding:Plans;,,(1),.set,,of;;Energy,Fo►mt ;:R-0,0Temlit for:newconstruction,
_ Minimum ten(10)working days'after submittal date. Required'onsite ConsWction'Plans-,Stormwater Plans-w/Slit Fence,installed,,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a LifeSefety;Page;.(1)set of Energy Forms.R-O-W Permit for new construction-.,
Minimum ten(10)working;days,aftersubmittatdate.,Required onsite,Construction Plans,:Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&A dumpster.Site Work Permit-Jor all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach(2)sets•of'Engineered"Plans:
'•"PROPERTY,SURVEY.rgqulred 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 COUNTERPERMITTING (copy of contract-required)
Reroofs if shingles Sewers Service'Upgrades A/C Fences`(PIoUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
NOTiCEOF DEED RESTRICTIONS: The undersigned understands that this permit may be,sgbjOdito"deed"restrictions"
which maybe more restrictive than'County regulations. The undersigned assumes responsibility for'Whipliance with any
applicable deed restrictions. ,
UNLICENSED CONTRACTORS AND"CONTRACTOR'RESPONSIBILITIES: 'If tile owner'`has ,hied:a ctantractor°.:or
contractors.to undertake work,-they maybe requiired-to=be licensed..irt accordance with-state--and locai reguiations:: ff the
contractor is not licensed as required by law, both the owner and-contractor�may`be-cifed for o,misdemeanor violation
under state,law. . If the owner or intendedycontractor are uncertain as to,what:,licensing:requlrements,may apply#or-the< '•}
intended work;'they are advised to�contact the'Pasco County Building Inspection-Division==Licensing Section'at 727-8477
8009.' .Furthermore,'if the..owner has.hired a.contractor or,'contractors, he is.advised to.!lave the::Icontractor(s),sign
portions of the°contractor:Block" of this.application.for whiich.: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,lmpact.Fees,-and:Recourse;Recovery-Fees may apply to the construction-of-new-buildings;.change
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-'si.163,ees, as may be due, will be,ldentified.at the tfine,of. . - -
permitting. It is further understood'that`Tr."orlspdrta#ion Impact fees and.Resource Recovery Fees must be pall prior to
receiving a "certificate of occupancy" or:final.power release..-:lf.the°,project does..riot,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>ta.,perniit>issuance in.accordance'with ap' icable Pasco County ordinances. .'
CONSTRUCTION LIEN,LAWS(Chanter-713:Florlda`Statutes,as amended):, If valuation;of work is$2,500'.0p or,more, I
certify that 1;"the applicant; have :been provided-with-ei�copy-of�the ."Florida-Construction._Lien;=Law--Homeowner's
Protection .Guide' prepared by-the Floride,Department of Agriculture and•Consumer Affairs, If the applicant,;is'.someone.
other.than the"owrier.";1 certify:alit,.]'-have:ot�faiiied"a,copybf�th,e abdve:describe'd'document.andpromise in:-good�fafth to
deliver it-.to the"owner'prior to commencement..,
CONTRACTOR'SIOW"NER'S AFPiD*AVIT:`-!',cei�tf.: That-aA,the:.,;infarmation�in this a Iiceition',is.accurate;and:that.all'-work,"
will be done in coinpliancewith afi>:appliceibi&: ws=regulatinrgrconstruction;.zoning:and-land•development. Appiicat in is
hereby.made .to obtain a. permit to-do vvorky:9 i�s#allation-'os::°indicated: I-certify•that no work:or installation' has
commenced_Prior:to,.issuarice,of,a:permit;and that:;all°work:will.be-performed to meet,stenderds:of all Jaws.regulating
construction;?County:,andtCifyoodes; zoning regulations;:.and Ian"developmenf.regulations in the.jurisdiction. :4-also
certify thet:l,•under,.stand<<:that=the regulations of other.2governmeht agencies may Tapply to-the:intended work;and:that it is.
my.responelbility:to`'id'rifify,what actions I must`take.�to b'e in eoniplianots.: Such:.agencies:inclucle`butare not,limited:•ta:=
'Depar rhent'of:Environmental Protection-Cypress Bayheatls,`°Wetland:Areas-.and:Environmentally Sensitive
:Land"gterMastewater:Treatment:,,:,
- Southwest Florida Water Management. Distnct-!NeiIs, Cypress Bayheads, Wetland, Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,:Docks,,NavigabieW aterways:
Departient of Health & Rehab_flifative Services/Environmenta61,Health"Unit-W61ls; Wastewater Treatment;., -
:Septic.Tanks.
US`Bnvironmental:Protection Agency=Asbestos:abatement.
Federal AviM!on Authority Runways:
l.unders_tand-that the following;,restrictions,applywto,,the,use of;fill:
- Use offili��s nof_allowed'irtFlood�:Zone:"V''.unless expressly permitted. .. .
- if the".fill material •!s to be used in Flood Zone`W,''.it is understood that a`drainage` plan-addressing a
"eompen_sating,volume"`will-be submitted at time of-perrhitting_-which is prepared.by-a,professional engineer
licensed by of Florida.
-If-the.fill, aterW:1s;to:be:,used'_in,,Flood,Zone "A °in connection:with a permitted building using:�stem,vall
constructiorx si-`certify,that`fili wl11:be-.used�only to-`fU'the.area,With In'the,stem.wa11.
If fill. material-is:to be..:used in any area, i certify that use of such fill wlfl not adversely'affect adjacent
propeflies :af_:u :of~fill.>fs.found.to adversely affect�adjacen( roperties, the-owner:may-be cited for violating
the coriditions'of the bullding'permit issued under. the.attaci ed permit application; for'lots less than one (1)
acre wtchYorelevateci;,by fill,'an_engineered dra'inageplan is required.
2 t..t•
If l am tltes-AOEN _-*J5WTi,ikr0ltltl�ER, 1 promise`in good-faithld,`;16f. the owner:of the permitting conditions-:set forth:iri
this:affitlaUft prior.>t0�:eoiti Mending Construction. I understand;that a:separate permit may be required foc electcical.work,
plum#fin ins,-ltilel`Is pdd.W,ali.,c nditibning, gas,or other.installations:not specifically:included ln.:,the application. 'A
permit'iss t 1`shafil a^cotisfrued to:be a,license to,proceed w,;IthATyj a>worit and not.as authority to violate;cancel, alter,,Pr
set asitle�siliy°pri v sioi's°,of fhe;:tech'riical canes, nor shall'issuonce%.'f�a-.permit prevent.the Building Official from:.th'ereafter;,.
requiring.�a��i+ei#ion�of ertorsxfn=;plans;construction or violatlonsaof-,any-codes">Every-permit issued:shaN become invalid
unless tt'g.wyorl autho'f'i ed=;1by-such?permit,fs commenced,within six,months of,.permit issuance,:or.if work authorized�by,
the permit ts`suspeciced"or'fi6andonedxfos a.period of`six{6)months:after,the timv'the work is,commenced..Ar _extension
may.be=.requeste'd; in';writirt'g.;nfrom,lhd;:B:uilding Official,for.woorfod`motto exceed ninety(90)-days and Will,demonstrate
justifiable cause for.;thd`extension.^elf work.ceases:--for riinety(90)"consecutive.days,the.job is considered.abandoned.
WARNING TO.;OWNER:;.,�YO,UR FAILURE�TO..RECORD-ArNOTICE;OF-,.CO,MMENCEMENT,.MAY.RESULT1N.YOUR
PAYING TU1tIGE-`t OlR IllffpftC}1fI=IVl1E ITS'>T`}'1lOt R`PRt pl=ltT1�:= 11=�'1(OUrit TENt`T 1' I "ALN°FINANCING;CdNSUL - .
WITH:YOUR tt=NDER.OR AN`ATV,T11 F Y.BL ORL,tRECCtiRDIN'G YC)UL NCi'fiOE1 F COIViMENCEMENT.`.
FLORIDA JU T(F:S.9 T7:OS)' ---
OWNEWOR AGENT ,J � _ CONTRAC,.0W G �' -
Subscd6d�andswo 0 660ftned)before me-this Sub'sci•itietltart8'swom to(or•'affinn befo me this.
;� 14 is� b t to r ,c��4,Y ll
1 1 l
Who is/are personally knovim to me or has/have produced Who Is/are personally known to me°orrhas ave prod c d'.'
asidentifioation. asldentitioation..
Notary Public Notary.Pubiia
Commission No. Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or-stamped
:PERMrT-.APP.LTCATION `
' F
® eOAfAMPRERM ITAPPUCa'i ON
+CON •U.CTION WITHIN PUBLIC RZGI T�-O.F=WAY
All lnfnrmation-m=-be-fllled-in completely
City.off2ephyrhills
•5335 ie Street,Zephyrhills,'FL 33542
Telephone 813.780.0000 Fax 813.780.0005
Y .H IiC3ElOf1:F`r it - i:r,i ;r.'i�t "t rr i=yip s,:;.::
in`;`r,
:[' r:_ _ .;i__ fix:. c •1. .:t.. _ -;-d�
• �ihner�t:��:•�";'.`.:=. ___ r� ����•�e:- - d.-5?i?� _ - ::e-.�: - -- �'ii'_•:::r�Co P.Citilic;`arls��:J -
AY.�bQ3 W.. ..•r_, ,,
Pit®7ECT' JOB;STYE: •PROPERTY.,OWNER
Address: 531 E - e_Almn1 DK, Name: K=l 1 IA
Unit#: I Address: 5I _ . e" i LZ R4 Unit:
Parcel 1dendfir2tion'Numbe'r: g state zf� 535beia
Phone: Fax:
g�-c�sa-�13
-,CONTACTOR.
Company: PTO :� k Ll—FF �I:PUIC�I;
Name:Contractor's Ucense#: E-Mall:
Phone• Cell• Fax:
ARCHrmdT/ENGINEER:
Vane: Firm Name:
Address: City State: 7jp•
State License#: Phone: Cell: Fax:
IDescripfion of Proiect
TYPE OF DRIVEWAY 41q,LENGTH OF DRIVEWAY CULVERTSWEEDED
RESIDENTIAL DRIVEWAY ,(_WIDTH OF DRIVEWAY ( )REINFORCED CONCRETE.
COMMERCIAL DRIVEWAY RC+•W EXCAV O1N ( )CORRUGATED MATERIAL
PUBLIC ACCESS DRIVEWAY T//DEPTH- LINEAR FEET ( )BOX CULVERT
. ( )OTHER(EXPLAIN)
GOt15TRUCTION MATERIAL CURLS CUT REQUIRED
_ASPHALT YES 7)C—ND
NCRETE
HEAD-WALL 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
I ..
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lo- `ILITY EASEMENT
———--——————�———---———————- —
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S. 00.23'.30- E. 7 .0"
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50' PLATTED R/W 20' ASPHALT
A BELTRAM RIVE
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GF-4�F- As Eg(,,;-rlf06
AAOIS-t C'010VEY
6 k Vk W kk-C 66t,
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 shah take precedence over all
approved construction documents,and issuance of this permit is verification that I will notify the property owner or Florlde Uen law
req.,F.S.713.
The issuance of this permit does not ensure compliance with deed restrictlons and I understand#at additional deed
restrictions may apply to this property.
All work shall comply with the Cirnen Florida Building Code,Public Works Design Manual and FDOT Design
Standards(if applicable). (Public Works Design Manual online link:www.drephyrhglsfl.us/pubDc—woft.asp)
APPLICATION IS VOID UNLESS SIGNED WITH PROPER IDENTIFICATION AND WITNESSED BY A PERMIT
TECHNICL4N OR NOTARY PUBLIC.
NOTE: The City of Zephyrlrigs Is not responsible for maintenance or repairs of drive n ys. Driveways stall not after/
Interfere with existing M arnrwater treatment and/or conveyanoe.
PROPERTY OWNp By signing this application: I certify that I have read and understand the owrrer/builder disclosure
statement. KU R (please inniap ?
Applicant Print Name Applicant Signature v Clete
PermItTechnidan Signature (or)Notary Signature Data
Applicant is( )personally known to me or produced as Identification.
(type of identification)
Page 2 of 3
` PERMIT APPLICATION
OFFICE USE ONLY
Concrete (min.6') Y N
Asphalt Base(min.6") Y N
Asphalt(min. fiAll Y N
Length(min. 19D Y) N
Width(10'min—20'max) Y N
Existing sidewalk. Y N
New sidewalk. Y N
ADA compliant, Y N u
Expansion material required. Y N ik:( EDGE Of-, CJ
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
d HbonaE &cea :to+n.: vtiio it as a �e i`la' fiub9ic:l i®e1t>s i ctior..aeid old 5 s""'.7 µ °
G 2^b t ND7 `o / _ . ON
hDA 3' xOLL ut_142 L62
Permit application approved by. Date: z 3U L 2
Page 3 of 3