HomeMy WebLinkAbout20-1162 a
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+tur+ City of ZephyrhillsIIIIIIIIIII&ERRMIT NUMBER
5335 Eighth Street
Zephyrhills, FL 33542 BGR-001162-2020
Phone: 813 780-0020
y Fax: (813) 780-0021 Issue Date:
Permit Type: Building General (Residential
Property Number Street Address
14 26 21 0010 00500 0030 4939 16Th Street
Owner Information Permit Information DTn-t F,ac t 6 ra Information
Name: JOHN&GWEN COMPTON Permit Type:Building General(Residential) Contractor: B & H CONSTRUCTION OF
Class of Work:Driveway CENTRAL FL. INC.
Address: 4939 16Th St Building Valuation:
ZEPHYRHILLS,FL 33542 Electrical Valuation:
Phone: (813)782-8137 Mechanical Valuation:
Plumbing Valuation:
Total Valuation:$0.00
Total Fees:$45.00
Amount Paid:$45.00
Date Paid:12/22/2020 9:14:23AM
Project Description
DW 37 X 18
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.
L*y*—r-
�4; CONTRACTOR SIGNATURE PE 7MIT OFFICE
,T EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
PERMIT APPLICATION
DRIVEWAY PERMIT.APPLICATION..
CONSTRUCTION WITHIN.PUBLIC RIGHT-OF-WAY-All Information us e filled-in completely
City of � Its
Zephyrhi
.5335 a Street,Zephyrhllls,:FL 33542
Telephone 813.780.0000.- Fax 819.780.0005. .
Dette of.appitcation: Prooessedy(Ifw Wei e,
�CoPY'to'Buildln9 DeDeRment :: �CflPY_h .011c Works
cWruseonry)'
-PR03ECT 30B SITE: . . . PROPERTY OWNER
Address:4638 1eln street
Name:Compton,John Men.A Gvweo N. :
Unit#: .: : Addresscas3t�1sthstreei Unit:'
Pamel:IdahUfi atlon Number: 1446-21=0010a05110 OdW Cl :Sthtej Zip Zephymols.F133rAg
Phone:.:B%7e2-e137. Fax:
CONTRACTOR:
Company:B d H Cnnsenaton w CaimW'Pio U[ne
Name:Grey Bmbe
Contractor's License.*: Cecosriei E-Mails :Per wflj;Gwmonst ctlonyccyin
Phone: .B,a�ez-,oea Cell:: Fax: .
ARCHITECT/ENGINEER:
Name:'D&mwsmn,px. Firm Namec'.FeoPiaa: ftswvm.,1m.
Address:am Abbottsm,o,once ua t-idf City: zeFft au'.: .
State Fl Zip aasaz
State Ucense#: Phone:w3408-W'M Fax:
pescriptlon of Proiect
TYPE OF DRIVEWAY - ar .LENGTH OF DRIVEWAY CULVERTS NEEDED
X RESIDENTIAL DRIVEWAY :' Ly WIDTH OF DRIVEWAY ( )REINFORCED CONCRETE
COMMERCIAL DRMVIIAY.. K.O.W. EXCAVATION (. )CORRUdATED MATEWAL
. PUBLIC ACCESS DRIVEWAY DEPTH LINEAR FEET ( YBOx CULVERT
( )OTHER(EXPLAIN). -
CONWRUMON MATERIAL CURB CUT REQUIRED -
_MPHALT
CONCRETE
HEADWALL REQUIRED? YES X NO
NOTICE TO APPLICANT: If actual work exceeds scope of.his description,additlonal permits or drawings
Will be required.
UTILITY LOCATIONS REQUIRED: CALL BEFORE YOU DIG: 1.800.432.4770
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PERMIT APPLICATION-
UTILITIES LOCATE CONFIRMATION NUMBER: 338000700
PROVIDE.SKETCH IN THIS AREA, IF ADDITI0111AL SPACE.IS REQUIRED,ATTACH TO_THIS.
APPLICATION.
AFFIDAVIT'.A licatlon.ls hereby made to obtaln a pp permit to.do work"and installations as indicated:.I certify that all foregoing.
information is accurate and that all work will comply with.all appliablebbiles:"I understand these:codes shallbke precedence overallapproved construction documents,and Issuance of this permit.is verificadon.that I will notify the preperty owner_of Florida Lien Law-
req:;F.S.713. :'
:The issuance-of this permit does not ensure.campliaiue with deed.restrictions and I.understand that-additional deed ,
restrictions may epply to this:property:
Alll:work'shali contply:with the current Florida Building Code,Public Works Design.Manual and FDOT Design
Standards(if applicable). (Public Works Design Manual online Ilnk:yMW d,zephyrhills.Fl:us/publfq_works.asp)_
APPLICATION IS VOID UNLESS SIGNED:WI111.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 storimwater treatment and I or conveyance.
PROPERTY OWNERS: .By signing this application:: I.c fy:that I have read and understand the owner/builder disdosure
___statement: (Please Initial)
9 U; " . !2 3/2D.
Gre Beebe:
Applicant Print Name A011cant SI drd Date'
fa 3�20
rmit Technidan Signature ' (or):N Signature'.. Daeb
Applicant-is personally:kgown to me or produced as identification:. . .. .
{type of identification).
-A
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PERMIT APPLICATION
OFFICE USE ONLY
PUBLIC WORKS USE ONLY
Concrete min..6' y N
Asphalt Base(min..6'1 Y N :.
iV
Asphalt(min. 11/z... . Y N -
Length(mim 19) Y ) N
IfVidth(10'roin-.20.'max) N
Existing sidewalk.
New sidewalk. Y N :. :.
ADA compliant.. : .. Y . .:N .
Expansion rdaterial'required, .: Y N. At
Contiguous parking pad.
Triangular flare(3'W x TL) : . N '[. S 1 D.ES
Visibility triangle
Side set back(Y min. R.O.W.) : Y N. ..
Plan Revi6W,Fee.
Additional ilescri Ltion 4 work as defined b; :Public-Works.Director and or desi nee::- -
Permit application approved by:-_. ;: Date:
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