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��COR SIGNATURE PE IT OFFICE
PERMIT
r EXPIRES
.: * MONTHS WITHOUT APPROVED INSPECTION
PROTECTCALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
CARD FROM WEATHER
PASCO COUNTY, FLORIDA
Permit No. rt
Date Permitted
-4 �-
Builder Name/owner Name Control #
County Parcel No. 36- 2- 5 z A Q SubDiv:
Address/Location
Classification/Type of Us@
TRANSPORTATION IMPACT FEE Rate: S q F t Unite
Exempt El dos E] No How Determined
Impoct Fee Amount Zone No. TAZ:
Account (056) Single -Family Detached House Amount
(057) Mobile Home
(058) Other Residential
23) Collection Fee
Exempt Yes
ONO How Determined
p K �nD —RECR—EATIO—NFEE.
d Ac t L
n and Credit . Land Total
----------
Recreation Account Recreation Credit
Recreation Total
Zone TOTAL AMOUNT $
Exempt El Yes []No How Determined.
Land Account
Land Credit Land T.ota*l
Chocked By
Acknowledgembent beuildinglow does not Imply acceptan of
ce concurrence, but simply receipt Of -a copy of Ws form, placing
the permit Owner on notice Of this assessment and the conditions Of Mflrient for same.
AT
RECEIV_ED_8_Y___--
RECEIPT NO - -------- . DATE BY
1, F.F.E, shall be a mininium of 8" above the road elevation and an engineered site plan.
2, Lots shall be gTaded to comply with R401 .3 of the F,B,C.
3, Compaction test required if 24- or more of fill dirt is brought in at any one place.
4, Tie in survey required before POUring concrete.
5, Dtiveways require a R,O.W. use permit, All 4 sides of dnveway thru the sidewalk shall have
exparision material.
6, All setbacks shall be met,
7. All property markers shall be uncovered and rnark-ed at time of first inspection.
8. All A, ,A, requirennents shall be met.
9. No electric, plumbing, tnechanical, or framing shall be covered without an inspection and
approval first.
M All Garages shall comply with section 1 302.6 of the KB.C, (Fire Separation).
11. Appliances shall riot be installed in a location where suject to mechanical daura unless
protected ley ,,approved batTiers, M303.4 of the F.B,C
12, Water heaters shall comply with section P607.3 of the F.B,C.
13. Foundation supports for AI/C units shall be raised at least 3" above finished grade. M1308
14. Return air in all bedrooms. F.B.C. M 1620.4
15, Smoke detectors are to be installed in accordance with R313,1 of the F.B.Cl
16� All glazing requirements are to be in accordance with R308A of the F.B,C,
IT All reams of egress are to be in accordance with R311 of the F,B,C,
18, "Green gypsum board" shall not be LISLA as a backer in showers or tubs, R702.4.2 F.B.C,
19. Combinatron-typA, e M breakers areequ required at all locations requiring an AFC e-r I type break,
,
20. Carbon monoxide alarms will be required in new construction that uses fossil-bMing heating
or appliances or an attached garage, They shall be installed in accordance with the F.B.C.
21 z All plumbing, mechanical, and electrical shall be separate from unit to unit. This includes all
underground plumbing and electric,
22, All 2015 N,E,C, Codes will be enforced,
0
23. Tamper- Resistant Receptacles in accordance with 406,11 of the 2016 N.E.0
24. In accordance with the Land Developnient Code, lots shall be sodded before final at least 10
feet around the structure,
25. R403.5.3Hot water pipe insulation
Insulation for hot water pipe with a minimum thernial resistance (R-value) of R-3 shall be applied to the
following:
Piping V, inch (19,1 mm) and larger in nominal diameter,
Piping sensing more than one dwelling unit,
Piping located outside the conditioned space,
Piping from the water heater to a distribution manifold.
Piping located under a floor slab.
Buried in piping.
Supply and return piping in recirculation systems other than demand recirculation systems,
25. Blower door test shall be provided before C.O.
26. all tinies.
2 Z I . erntit be ore ' iaL
26t,
F.F.E.-Finished Floor Elevation
F.B.C- Florida Building Code 6' Edition
R.O.W.-Right of Way
A.D.A.- Americans with Disabilities Act N.E.C.- National Electric Code (2016)
PERMIT APPLICATION
DRIVEWAY PERMIT APPLICATION
CONSTRUCTION WITHIN PUBLIC RIGHT-OF-WAV
All information "U be flifed-fn completely
Cltv of Zephyrhills
5335 81" Street, Zephyrhills, FL 33542
Telephone 813,780.0000 Fax 813.780.0005
PROJE!WJO8 SITE.
7- -, Inn- MI;
CIO k t: I ov-f--r L I Name:
L4 I Address.
Parcel ldentlfjcatlor Number: �sz,�2- i b t bo Cp I ()SI t j City, Sta — te. A
CONTRACTOR.'
ARCHITEPTIENGINEEP,;
TYPE =—
WY
RESIDEN:DRIVE
WAY
COMMERCIAL DRIVEWAY
PUBLIC ACCESS DRIVEWAY
CONSTRUCTION —MATERIAL
ASPHALT
�:—CONCRETE
Descrintion of Prolect
'32-51, LENGTH OF DRIVEWAY
tjz�_� WIDTH OF DRIVEWAY
R.O.W. EXCAVATION
-----PEPTH -LINEAR FEET
YES No
CURB CUT REQUIRED
YES N.0
,9t_7LVERTSNJEEDED
REINFORCED CONCRETE
CORRUGATED MATERIAL
)BOX CULVERT
) OTHER. (EXPLAIN)_
NO—TICE TO —APPILICAND If actual work exceeds scope of this description, additional permits or drawings
will be required.
UIXLIIYIQGAIIQN�jR UTRJ�L1m CALL BEFORE YOU DIG: 1-800.4j2.4770
Page I of 3
OTILITIES LOCATE CONFIRMATION NUMBER.
PROVIDE SKETCH -IN THIS AREA, IF ADDITIONAL SPACE IS REQUIRED, ATTACH TO THIS
APPLXCATION.
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 over all
approved construction 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 property.
All work shall comply with the current Florida Building Code, Public Works Design Manual and FOOT Design
Standards (if applicable). (Public Works Design Manual online link: www,ci.zephyrhills.fl.us/publfQ--works. asp)
APPLICATIONJS VOID UNLESS SIGNED WITH PROPER IDENTIFICATION AND WITNESSED BYA PERMIT
TECHNICIAN OR NOTARY PUBLIC.
NOTE.- The City of Zephyrhilfs Is not responsible for maintenance or repairs of driveways. Driveways shall not after
interfere with existing stormwater treatment and 1 or conveyance.
PROPERTY OVINERS: By signing this application. I c rtify that I have read and understand the owner/builder disclosure
statement;,!!!2jjo��(please initial)
_V_ A-2—
:;9Signature Date
Applicant Print Name Ap licant
Peit Technician Signature (or) Notary Signature Date
Applicant is personally known to me or produced as identification.
(type of identification)
OFFICE USE ONLY
Concrete (min.
Y
N
Asphalt Base (min. 6'-"))
Y
N
Asphalt (min. MWO
Y
N
Length
Existing sidewalk.
Y
N
New sidewalk.
Y
N
required.Expansion materiai
Y
N
Contiguous parking pad.
Y
N
Visibility triangle o.k.?
Y
N
Side set back (Y min, R.O.W.)
Y
N
Plan Review Fee
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