HomeMy WebLinkAbout20-1132 City of Zephyrhills . , PERMIT"NUMBER=
5335 Eighth Street µ
7-7
Zephyrhills, Fl-33542 BGR-001132- 20
'r Phone: (813)780-0020
Fax: (813)780-0021 Issue Date: 11/ /2020
Permit Type: Building General (Residential)
: Pr�operty.Number Street AddressrM
�.,
03 26 21 0130 00000 0440 16082 Ridgeway Drive
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n; � Ownerinformation,.. ,, ,, Permit;I nformationContractorinformation
Name: ROBERT ANDERSON&JOANNE Permit Type:Building General(Residential) Contractor: HOMEOWNER
GLIDDEN ANDERSON&GLIDDEN Class of Work:Driveway
Address: 6082 Ridgeway Dr Building Valuation:
ZEPHYRHILLS,FL 33542 Electrical Valuation:
Phone: (207)441-5210 Mechanical Valuation: �!y
Plumbing Valuation:
Total Valuation:$0.00
Total Fees:$45.00
Amount Paid:$45.00
Date Paid:11/24/2020 2:21:57PM
e`s3rV
i t ions P ectD
DW 45 FT X 11 FT
AppllcationFees
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.
aai dL/,� aj6:W*),1-M
CONTRACTOR SIGNATURE PE IT OFFICE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-760-0020 City of Zephyrhills Permit Application Fax-813=780-0021
Building Department
to Received Phone Contact.for,Permitting —
Owner's'Name. t :0 j' tOwner'Phone°Number 4+
ra
Owner's Address; OwnerPhone•Numberr
Fee Simple Titleholdir Nam® Owner Phone Number,_ -
Fee Simple Titleholder Address
JOB.ADDRESS LOTIP
,#V
SUBDIVISION :- _a„PARCEL ID# ' ..,-:. ;•- '. ,s
,.
IOBTAINED FROM:P,ROPERTY.TAX.NOTICE)
WORKP.,ROPOSED -NSTALLSTR.0:,,':�ADD/ALT 0. 'SIGN ,:;_ ..Q ,DEMOLISH :<'
LJ REPAIR
PROPOSED USE° 0 'ISFR " 0'` COMM ' _ .OTHER;•.
TYPE-OF CONSTRUCTION; BL'OCIC F RAME' STEEL'
�•.
DESCRIPTION OF.W,ORI X yS
BUILDING•SIZE SQFOOTAGE HEIGHT
� .
-' <% •.:• ; '`-. .::. ::..:. . :. . ". ,� - . , - ^. .,.
::VALUATION.OF':TOTAL°CONSTRUCTION
=ELECTRICAL $. ,'AMP:SERVICE ", :PROGRESS ENERGY ` ' •. W.R:E.C,:,
=PLUMBING
=MECHANICAL $.: VALUATION OF,MEGHANICAL INSTALLATION
19
=GAS Q ROOFING 0= SPECIALTY = OTHER„
FINISHED'FLOOR ELEVATIONS FLOOD _
ZONE AREA YES NO
BUILDER �/' COMPANY-!-,
SIGNATU REGISTERED %Y•/-:N FEE CURREKi;
Address F License*
ELECTRICIAN COMPANY
SIGNATURE , .REGISTERED' `FEE':CURREN:I _''
Address :. • " r License.#: -•
PLUMBER COMPANY
SIGNATURE , REGISTERED ` Y:/."N: F,EE;GURRE� ::Y/'tN'.^ .;: ; •;
Address i License,#
MECHANICAL COMPANY.
SIGNATURE REGISTERED I Y/_N.. FEE,CURRE! .:Y%N:.:'.
-------------
Address License
OTHER ,•,' COMPANY
SIGNATURE REGISTERED— '` Y`11' '.'�-` FEE CURREV.'
Addre License#'..:... a RESIDENTIAL At6611`(2);P4Plans;"(2)•setsofBuiidi'ng131ans;(1:).setof Energy;Fonns RHO=VV-Ferin It,
or new:constnicbon,_,,e;,;
Minimum ten(10).working days'aftersubmittaPdate.:Required onsite;Construction Plans,StormwaterPlans.,*/,Silt Fencd�installed;.
Sanitary Facilities&1 dumpster;Site Work Permit_;;for.subdivisionsngrge'projects
COMMERCIAL Attach(2)"complete sets of;Building_P..lans;plus a-Life:Safety',;Page;'(1)set of Energy Forms:•R-O-W,Permit.for„new:construction •.'
Minimum ten(16)working'daysafte�submittal.date.''Required`on§ite,'Construction Plans;Stormwate Plan`s,'.w/Silf�Fence`installed,.
Sanitay Facilities"&9 dumpster,,.Site Work P, r.*!_.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.
JIM
Directions:
Fill out:application completely.
Owner&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:•requlred)
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 n ay'be'rriore-restrictive than,County-regulations. The undersigned assumes'responsibilityfor-compliance with any__
applicable.deed,restrictions. -. ,
UNLICENSED"'CONTRACTORS`'AND2'CONTRAC dk3 �RESPCINSIBiLITIES if°the owner:'has hired a~:contractor:°Or
contractors to undertake work,.they;.may�besequired�to belicensed in,accordance.with state and local regulatioh!"ta,If the.: .
contractor-is-not licensed-as required by law, both the owner-and-contractor-may-beM cited-for a misdemeanor viola#ion
under state 1aw.,_,,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-Division4--Licensing Section at 727-847-
8009. Furthermore, if the owner.has.i 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
TRANSPORTATION,.IMPACTIUTILITIES.IMPACT ANDD,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'O"rdinance number 89-07-and
90=07,.as amended.. The undersigned.also-understands,,that::such 4des,.as.may.be:due,will..be.identifred,at-the4ime>of-:
permitting. It is further;under"sfoo&that'Transportation.Impact fees and Resource'Recovery Fees must be paid.prior to
receiving aCcertificate of.occupancy"=or final power release. Ifthe-sproject,does=not%involve a certificate-of:accupancy�!or",-,
final power release;-the fees must be paid prior to permit issuance:--Furthermore;-IVPasco County Water/Sewer Impact
feeiwidue;they rriiist be pain p_ribeto permit,-issuance in accordanc&with:applicable,-Pasco County,ordinances,...: . o
CONSTaUCTtON i 1EN-t:AW:(Chapter 7,13;(Florida Statutes;as.amend0d):3 if valuation of work is$2,500,00-or.more,-L,
certify that:I, ..the-applicant,,-have...been<<provided .with:.a`copy .of.-the-'Florida .Construction:,Lien Law Homeowner's
Protection Guide"prepared by the Florida Department of-Agriculture:and Consumer.Affairs: If 1he applicant.is someone
other than-the owner",I;certify'that"l,have•obtained-a-copy:ofthe-above,described-documentand,promise in,good''faith to
deliver it to-the"owner".prior to
commencement.ement.
CONTRACTOR"$/OWNER'S:AFFIDAVIT; cer tify that ail the-inormation in:#his,application-is_accurate�and,i. alt'ait work
w n ' d lwil! be done-in compliance with-allapplicati construction, zonigananddopmAppicaion-is hereby made to obtain a .permit to do work}wand=)installation-:as,indicated. , 1 -certify that no-work or lnsfallatiort--has
commenced prior to. issuance of a.permit and that all work will'be performed-to-meet,standards of all laws regulating i
construction, County an'd=City catles,-xoning,regulations, and.land-:development regulations in,the jurlsdiction_ :..:1 also A
certify-that I understand'.that the regulations of other:government-agencies mayapply_to.the intended work,.and-that it is
my responsibility to identify what actions l must.take.to:be in-compliance. Such--a encles include.but'are not.iimited.to:
Department of Environmental Protection-Cypress Bayheads; Wetland Areas and-Environmentally Sensitive
Lands,Water/Wastewater,.Treatment.
Southwest Florida Water Management District-Welisr' Cypress -Bayheads, Wetland Areas," -Altering
Watercourses.
Army Corps-of Engineers-Seawalls;:Docks, Navigable Waterways.
Department of Health &`•Rehabilitative Sorvices/Env!ronmental--Health'-tlnit=Wells, Wastewater.Treatment,.,,
Septic Tanks. `
-. US Environmentat.P;rotect on Agency As bestos..abatement..
-Federal Aviation-Authority-Runways:
t understand-that the following restrictions appiy,#o the use.,of fill:-
- Use?of fill�is not aI16W6d<in:;Fiood2one"°V":unless:;expressly permitted.
-if-the-fill-«material is -to-be used in flood Zone."A°, it-Is--understood that`a.-drainage,plan•addressing a
"comp„ensating.voiume":t,wiltl?be.subM!tted at time of permitting which-is_prePared by a professional engineer
licensed,bytheZtatwof Florida:
If-the fill material is10 be-used-.In flood Zoneq!,X',�in-connection with a permitted building.using-stem-,wAli.
construction;I certifyth''atifill w lf;bes idcfonly to=fill-the:.area within the stem Wall.
'if fill-material is*to ;be used' in any;area; t-certify--that--use-of~such fill wil not adversely-affect adjacent
properties- lUuse,of fill-is°found.to adversely,affect:.adjacerlt„properties,#he,•owner may:be-ci#ed.for violating,
the conditions of the'building:peemiUissued-ulider:1he-attachetl'permlt"application; for lots`less,than one (1)
acre:which-are..elevated by°fill,: n:engirteer•.ec!_dralt age;plari'istequtred.
If I am•the AGENT FOR_THE;OWNER, l'promise:;Ih--000d.'faith'-to informahe owner.of the permitting conditions se#forth in
this affidavit prior to commencing construction. i understaridthat a''separate permit.may be`required":for Electrical work,
plumbing; signsi.,weUs,apools; Air'conditioning;.gas,-or.other:�iristailations•not-specifically.included.-in,the:applicatlonc °A
permit issued shall be construed to be a license toproceed with the work.and'not as authority to violate,cancel,_alter, or
set aslde-any-provlsions:of the technical.codes; nor_shall issuarice.of:a permit prevent the Building Official from thereafter
requiring-a correction ou6nors,in plans, construction or violei lons;of.any-codes-Every,perrriit-issued,shall,becomeinvalid
unless the work authorized by such..permit iscommenced withiwsix months of,permit issuance, or-if work authorized by
the;,permit,ivsuspended zor-abandoned_�for a.period-.of six(6)months-after, -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}worktceases for ninety(90):consecutive days,the.job is considered abandoned.
WARNING.TOO YOUR FAILURE TO':RECORD..A-NOTICE-OF-COMMENCEMENT---.MAYRESULT:aN.YOUR
PAYIN.0r7tNICE FOR',!MPROUEMENTS TO YQ.UR:'PROP..ERTY.,.,;IF�YOUaNT ,Dr,10 OBT-A1NWFfNAN01NO;aCON$ULT
WITH-YOUR LENDER'OR ANAATTORNEY=BEFORE RECORDiN:.G Ult WT-tCE OF�_COMMENCEIYNENT.
FLORiDA:JURAT(F,SA 17.03).,..
OWNER;OR AGENT CONTRACTOR
Subscdbed.and swom;to•(or..affimtie¢).before me.this Subscribedand.;Z_m to,(or.afrimiad),before me.this
by. . ;
who is/are personally kncr;4h to'm's'ot`hasfiave-produced"' Who is/are'peisonaliy known Wme.orl as/have.produced,'"
as identification. as`ider�tificatidn.
Notary Public Notary-Public.,
Commission No. CommissionVo.:.,
Name of Notary typed,printed or stamped Name of Notary typed;<printed.or stamped
.n
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:PEP'16ff APPlICA7TON
. ............
DRIVEWAY P.ERM,:T.AP.PL,CA'RQN
sCONSTR-UCTION ITHIN-PUBLIC RIGHT—OF-WAY,
Ali Information must be-filled-In completely
SCity.of-Zephyrhills
-5335 St'.Street,Zephyrhills,.A 33542
'Telephone.813 780:0000 Fax 813.780.0005
'PR03ECT J0BjSITE: ---PROPERTY'O ER
Address: 2 Z77 Name:
Unit#.: Address: 9 iv A r Unit:
Parcel Identification-Number: Ci State z - t a b 3 5/
Phone: 74�1 ,Z/a Fax:
:CONTRACTOR:
Company:
Name:
Contractor's License#: E-Mail:
_Phone: Cell: Fax:
ARCHITECT/ENGINEER:
-Name: Firm Name:
Address: City: State: Zip:
State License#: Phone: Cell: Fax:
Description of Proll
OF DRIVEWAY `1`i� a
T�' LENGTH OF-DRIVEWAY CUlV,ERTS NEEDED -
RESIDENTIAL DRIVEWAY WIDTH OF DRIVEWAY ( )REINFORCED CONCRETE.
COMMERCIAL DRIVEWAY R.O.W. 01CAMATION ( )CORRUGATED MATERIAL
PUBLIC ACCESS DRIVEWAY DEPTH, __ IINEAR FEET ( }BOX CULVERT
OTH -
CONSTRUCTION MATERIAL CURB CUT REQUIRED ( ) ER(EXPLAIN)
,ASPHALT YES . NO
4/ CONCRETE
HEADWA!!RE IRED? YES NO
.NOTICE TO APPLICANT:.If actual work exceeds scope of this description,additional permits or drawings
-will be required.
UTILITY LOCAT16NS REQUIRED: CALL BEFORE YOU DIG: 1.800.432.4770.
Page 1 of 3
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- ' PERMIT APPLICATION
.n
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 alLforegoing
information-is.accurate"and that -all work.will comply,with all applicable codes..I understand these codes shall take precedence over all
approved constriction 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 properly.
All.work shell 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.iephyrhills.fi.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 Ze h rhills.is not res responsible for maintenance or re airs of driveways. Driveways shall not:alter
• Py, P p ' y . y
interfere,with wdsting stormwatertreatrnent and I or conveyance: . '
PROPERTY OWNERS!' By,signing this application: I:certify that I have.read:and understand the owner/builder disclosure
statement. (please initial}
Applicant Print Name Applicant Signature Date
Permit Technician Signature (or)Notary Signature Date
Applicant is( }personally known to the or produced as.identification.
(type of identification) '
Page 2 of 3
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MKrFAPPUCATION
.. amcE USE ONLY. .. .. .
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