HomeMy WebLinkAbout20-517 ..P
FlOfflllfl City of Zephyrhills PERMIT NUMBER
5335 Eighth Street
Zephyrhills, FL 33542
BGR-000517-2020
Phone: (813)780-0020
Fax: (813)780-0021 Issue Date: 08/13/2020
Permit Type: Building General (Residential)
Property Number- Street Address
14 26 21 0010 03500 0070 4733 5Th Street
Owner Information, Permit Information Contractor Information
Name: JOSEPH&ANNA PASTRANA Permit Type:Building General(Residential) Contractor: HOMEOWNER
Class of Work:Driveway
Address: 4733 5Th St Building Valuation:
ZEPHYRHILLS,FL 33542 Electrical Valuation:
Phone: (813)997-4776 Mechanical Valuation:
Plumbing Valuation:
Total Valuation:$0.00
Total Fees:$45.00
Amount Paid:$45.00
Date Paid:8/13/2020 3:56:48PM
Project Description
INSTALLATION DW 40 FT X 20 FT
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 Zephyrhills Permit Application Fax 813-780-0021
Building DepartmentA'/
Date Received Phone Contact for Permitting V
p C• G• -]
Owner's Name S-j o%n C Owner Phone Number
Owner's Address ?S3 '-:7" Str c+ Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS 3 3 ��� LOT#
SUBDIVISION PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT = SIGN = = DEMOLISH
R INSTALL e REPAIR .
PROPOSED USE = SFR 0 COMM = OTHER
TYPE OF CONSTRUCTION Q 11 BLOCK 0 FRAME = STEEL =
DESCRIPTION OF WORK �U �(1R� (Z:Q? 1'6' Coll <•c.-4•t. �`J� �3-�' �eX•Z�
BUILDING SIZE SQ FOOTAGE HEIGHT
iffiffiiiIiiow
=BUILDING $ j .�C�C VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ I AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
=PLUMBING $
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING 0 SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address ' License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address License#
PLUMBER COMPANY
-SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN
Address I License#
OTHER COMPANY
SIGNATURE REGISTERED 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 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 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/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&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (AfC 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 A1C , 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 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 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
ing 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 releasei 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 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 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 to the"owner", prior to commencement.
CONTRACTOR'S/OWNER'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. 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 limited to:
- Department of Environmental Protection-Cypress Baybeads, Wetland Areas and Environmentally Sensitive
Lands,WaterMastewater 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 §ervices/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
US Environmental Protection Agency-Asbestos abatement.
Federal Aviation Authority-Runways.
I understand-thbfthe following restrictions a0ply'lo,the use of fill:
- Use of fill is not allowed in Flood Zone'V'unless expresslypermitted.
- 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 "K 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 any area, I certify that use of such fill will not adversely affect adjacent
properties. If use of fill is found to-adversely effect'adjacent properties, the owner maybe 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 planis 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 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 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: YOUR.FAILURE TO%RECORDA,NOTICE.OF COMMENCEMENT-MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTSTOYOUR.PROPERTY. IF:YOU INTEND TO OBTAIN FINANCING,CONSULT
WITH YOUR LENDER Q&AN ATTORNEY BEFORE RECORDING YOUR NOTICE.OF COMMENCEMENT.
FLORIDA JURAT(F.S. 117
OWNERAGENT CONTRACTO
OR Subscribed and?Swo 0 or affirmed)before me this Subscribed a omtD(or affirmed)before me this
w
h h
to me or/ar Y W—p—wn
Who is/3 pe fly known to me or has/have produced Who is/a ersonarnrT to me or has/have produced
.1
as identification. as identification.
V
)7 Notary Public f— glD Notary Public
Commission No. Commission No.
Name of Notary
typed,printed or str, ry Name of Notary typed,printed or stamped
C CARLOS MALDONADO ARLOS MALDONADO
Commission#GG 346275
JL Commission#GG346275
Expires June 18,2023023 Expires June 18,2023
W-' Bonded Thro Troy Fain Insurance 800.385-7019
PERMIT APPLICATION
:DRIVEt�l:A'X:P.ERM: ; :R ,PLICIKTIQ[
=CONSTRUMON 1N►ITHXN�-.USLIC=ttIGHT"-O.F-�i AY
All infb'Ration,=-b"lled-ln completely
77
:City.of:Z+e ftrhills
53350 Street,ZephyrhlUs,'EL 33542
Tele0one.813?80.0000 Fax 813.780«0005 .
'atieiaTa' !Glf1011:- "�"� ' vvw'Ef dSi�%"tT.: rf:�ti:a�ia'=`- ie,il,�s+.,. y :;lilir••.r,: _ yt,
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L- f fe:-v i ::Zi..:ys•.�,. +i.ri�"tL'•.: _ .1: —'S�:t:1
AyB�i♦1 11�,,,,1,�� ' ..f:.] .'y J..0 ]i:.•...Yt'-'.i.ti-�:[t�'.'
ePaiimeiit:,PR03EC-r.30BSWIM �PROPERTY'OWNER .
Address Name: oS1 �' _ .. s►c�;ri :SIC
-Unit*:' . : Address: :. = c
Parcel Identtficadan Nulr►tier:..
State Zi
Phone: t3 c " ' . Fait:
;CONTRACTOR;
CoMpany: -
Name:
'Conhactors U etise E-Mill: .
Phone: Faxi.
ARCHITECT/ENGINEER;
Name: Firm Name:
'Addrm:: .. . .
:City: :State: ziac
State License#c Phone: Cell::. Fax:.
pescription'of Project
1 '
TYPEOF Jymmy LENNGTM OFDRIVEWAY CULVERTS'NEEDED
RESIDENTIAL DRIVEWAY _ WID7N.OF DRIVEWAY . . I")REINFORCE6CONCREi'E-
CbMMERCiALDRIVEWAY. M.W. MMAM ON , ( )ComuGATED MATERIAL
PUBLIC-Access DRIVEWAY --DEPTH. _UNEAR FEET ( )BOX CULVERT
cONFINU-0114 F+IMITER3tAl CURB CUT REO ( )OTHER�ocaLArn)
_;ASPHALT :--YES
�j,,;CONCRETE
HEADWA .REOIiE= YES --?2—NO
NONCE TO APPL'iCANTI If actual work xceeds soope'of this description,Additianal perrtnits bt drawings
Vill be'regaired«
UTILITY LOCATIONS REQUIRED: CALL BEFORE YOU DIG.'LOOOA32A77O
Page 1 of 3
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PERMIT'APPUCATIOtd
OFFICE USE ONLY
Concrete.(min.6) Y N
AsphalE Base(min..6) Y . N.
Asphalt(min:1,W) Y fJ
length(min..:19) Y N
Width(10'min NY max)'
Bdsting sidewalk, Y .:
New sidewalk: :
ADA compliant Y . N
Py panslon material required. N
Contiguous parking pad." Y N
Triangular flare(3'W x 71) : N
-Visibility triangle o.k.? v. N
Side set back(Y-min.-R.O.W.) Y. : N
Plan Review Fee
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Permit application approved b ..;. Date:
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