Loading...
HomeMy WebLinkAbout07-6352 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780-0020 DRIVEWAY PERMIT 6352 Permit Number: Permit Type: Class of Work: Proposed Use: Square Feet: Est. Value: Improv. Cost: Date Issued: Total Fees: Amount Paid: Date Paid: Work Desc: 6352 DRIVEWAY DRIVEWAY/NEW NOT APPLICABLE Address: 5336 5346 16 T ZEPHYRHILLS, FL. Township: Range: Book: Lot(s): Block: Section: Subdivision: CITY OF ZEPHYRHILLS Parcel Number: 11-26-21-0010-17200-0075 1,000.00 1/05/2007 70,00 70.00 1/05/2007 INSTALL NEW DRIVE WAY Name: GOLDNER, DANIEL Address: 5336/ 5346 16TH ST ZEPHYRHILLS, FL. 33542 Phone: 813 782-3901 ~\ nnla~ (0- '(5;- 07 I~ FINAL REINSPECTlON FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection trips are necessary due to anyone of the following reasons: a) wrong address b) condemned work resulting from faulty construction c) repairs or corrections not made when inspections called d) work not ready for inspection when called e) permit not posted on job site g) work not accessible. 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 permits required from other governmental entities such as water management, state agencies or federal agencies. The payment of inspection fees shall be made before any further permits will be issued to the person owning same "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." MUST BE 6" DEEP WITH WIRE MESH AT RIGHT OF WAY " ~~ CONTRACTOR PERM IT OFFI CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 81J-780-00fO City of Zephyrhills Permit Application Building Department ~1,.()' Fax-813-780-0W~?S 1/ Date Received u/'? 7Y,t-:J9tJ Owner Phone Number ~,J- Owner Phone Number I 11 g-- ??"2- - J q d ) OWner Phone Number I flJ -7 ii.. ~ 3 Cjo ) Owner's Name DESCRIPTION OF WORK E3 o o I , NEW CONSTR INSTALL SFR BLOCK I B D o , PARCELlD#II/p('?-,(/-t~~)/t' /? ,200 -00 ~~ (QBT AINED FROM PROPERTY TAX NOTICEI SIGN 0 MOVE 0 LOT # JOB ADDRESS SUBDIVISION PROPOSED USE TYPE OF CONSTRUCTION ADD/ALT REPAIR COMM FRAME o o o DEMOLISH WORK PROPOSED OTHER I STEEL 0 OTHER ( I I I ~UILDlNG SIZE I SQ FOOTAGE I HEIGHT I ........,...,........,..,...".........,...;........,......,........",.,...,',...,..".,',..,',..,......,..... J'.......,....,.,...,..........,.," D BUILDING 1$ /~ {lOti. d CJ I D ELECTRICAL 1$ I D PLUMBING 1$ I D MECHANICAL 1$ I o GAS D ROOFING D SPECIALTY 0 OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO 11111111111111111111111111111111111111111111111111111111111111111111 , 11111111111111111111111111111111111111111111111111111111111111111111111111111 :::1~~RE I I ~"<>~';.'::'~ I Y f N FEE "'ARENT Y f N I Address I License # I ELE., CTRICIAN I COMPANY I SIGNATURE . REGISTERED Y I. N . FEE CURRENT Y 1 N ~ I I I I ~'~~':TURE It) J1,A1 ; c::! f7 . a01A i;lft I ;~.';."= I Y f N FEE ""'RENT Y f N I Address I License # I 11111111111111111111111111111111111111' 111I111111111111111111111111111111111111 i 1111111 J 111111111111111111111111111111111111111111j 111111111111111 RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Sanitary Facilities & 1 dumpster AtJach (3) sets of Building Plans; (1) set of Energy Forms. Minimum ten (10) working days after submittal date. Required onslte, Construction Plans, Sanitary Facilities & 1 dumpster All commercial requirements must meet compliance. Attach (2) sets of Engineered Plans. ''''PROPERTY SURVEY required for all NEW construction. 1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111.1111111111111111111111111111111111111111111111111111 Directions: . . , Fill out applicatlon completely. Owner & Contractor sign back of application, notarized If oyer $2500, a Notice of Commencement Is required. (A/C upgrades over $5000) .., Agent (for the contractor) or Power of Attomey (for the owner) would be someone with notarized letter from owner authorizing OVER THE COUNTER PERMITTING (Front of Applicatlon Oniy) . Reroofs Sewers Service Upgrades AlC VALUATION OF TOTAL CONSTRUCTION AMP SERVICE D PROGRESS ENERGY D W,R.E.C VALUATION OF MECHANICAL INSTALLATION Address License # COMPANY REGISTERED PLUMBER SIGNATURE YI N FEE CURRENT Y/N Address License # MECHANICAL SIGNATURE COMPANY REGISTERED Y/N FEE CURRENT yrN Address License # COMMERCIAL SIGN PERMIT Driveways Fences 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. dee.d . 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 understate 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 hl;1shlred 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/UTII,.ITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Re,?overy 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 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 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 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 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 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 I must take to be in compliance. Such agencies Include but are not limited to: Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater 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 Services/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks, . US Environmental Protection Agency-Asbestos abatement. Federal Aviation Authority-Runways, i understand that the following restrictions apply to the use of fill: Use of fill Is not allowed In Flood Zone "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 "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 "An In connection with a permitted building using stem wall construction, I certify that flll.w1ll 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 affect adjacent properties, the owner may be cited for violating the conditions of the building permit i.ssued under the attached permit application, for lots less than one (1) acre which are elevated by fill, an engineered drainage plan is required. . . ' , . If I am the AGENT FOR THE OWNER, I.promise in good faith to inform the owner of the permitting conditions s~t forth In this affidavit prior to commencing construction. I understand that a s.eparate perm~t may ~e required for elect~lca.1 work, plumbing; signs, wells, pools, air conditioning, gas, or other !nstallatlons not speCifically 'n~'uded, in the applicatIon. A permit issued shall be construed to be a license to proceed With the work a~d not as authorr~y !o v'ol~te, cancel, alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the BUilding OffIcial from the~eaft~r 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 commen~ed within six months o.f permIt issuance, or if work authorrzed. by the permit is suspended or abandoned for a period of SIX (6) months after the time th~ work is commenced: An extenSion may be requested, in writing, from the Building Official for a period not to exceed nrn~ty (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 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 LE R OR AN A ORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT ,S. 1 7.0~) OWNER OR AGE Subscribed and swom to (or affi ad) before me this by Who Is/are personally known to me or has/have. produced as Identification; CONTRACTOR Subscribed and swom to (or affirmed) before me this . by Who Is/are personally known to me or has/have produced as Identification. Notary Public Notary Public Commission No. Commission No, Name of Notary typed. printed or stamped D:ISCLOS'DRE STATEMENT FOR OWNER CJ:.TY OF -ZEPRYRH:ILLS BUJ:LDJ:NG DEPARTMENT :I, MI;E'Lfl, /Jt') Ld/J1~r- . have read and ful~y understand and agree to the provisions of this instrument. The undersi~ed states and affirms that he or she is desirous of constructing, renov.ating, adding to or reroofing his or her own domicile;, that he or she actually occupies, or wi~l occupy by said. domicile, and same is not for rent, ~ease or sa~e. That he or she shall comply with the following conditions.: ~. That the owner and. he or she alone shall act .as the builder.for all phases of construction. 2. That the ownerwil~ comply with all provi,,!ions of the City of Zephyrhills ordinances and codes pertinent to .the building. 3.. That in the event various phases of constructi~n are subcontracted, he will engage only properly ~icensed subcontractors and will personally supervise such work.- 4. That .in the event the Building :Inspector shall require corrections to be made, the owner will assume full. .responsibili ty to insure they are made, . and upon completio:c: wili call for a reinspection before proceeding with the building. .5. That the oW:c.er shall assume full responsibi.~ity for the construction and will not expect supervision of his work from the City of ZephyrhillsBuilding - Department. 6. That prior to final inspection any additional fees, including reinspection fees, must be paid in full. A written request from this office.shall ,constitute- an officia~ notice. to pay additional fees. 7. That the owner shall comply with all City, State and Federal laws' in: regard to social aecuri ty ~ workman's compensation, lien laws, etc., where applicable. 8. That the owner shall comply with all the safety codes issued by. the Florida :Industrial Commission. - 9. State law requires construction to be done by licensed contractors. You have applied for a peDnit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor with certain restrictions even though you do not have a license. You: must provide direct onsite supervision of the construction yourself. You may build or improve .a one-family or two-family. residence or a farm outbuilding. You may also "build or improve a commercial building, provided your costs. do not exceed $25,000. The building .or residence. must be for your own use or occupancy.. :It may not be built or. substantially improved 'for sale or lease~ :If you s&ll.;or' lease. a building yoti _ have buil to.rsubstantial.ly impr.oved yourseifwi thi:e: l. year after the construction is complet~, the l.aw will presUme.tha:t you built: or substantially improved if for sale or lease, which is a. violation of this exemption. You may not hire an unlicens.ed person to act as your contractor or to supervise people working on your building. :It is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. You may not- delegate the responsibility for supervising work to a licensed contractor who is not licensed to perform the work being done. Any person working on your building who is not licensed must work under your direct supervision and must be employed by you, which means that you must .deduct F.I.C.A. and wj,thholding tax- and provide workers' compensation for that employee, all as prescribed by iaw. Your construct~onau c~ly with all appli-cable laws, ordinances, building codes, and zo:z:u.ng eguI t.J.ons. . . , OWNER'S SIGNA:. DATE ;r /.:?/o7 r ADDRESS :.2 :r~L. :E'BONB WJ:'l'NESS PERMIT .. #: OWNER EPIIYRHILLS BUILDING DEPARTHENT L /t JOB LOCATION PARCEL I.D.' # SHOW ALL EXISTING & PROPOSED STRUCTURES GIVING DIHENSIONS & SETBACKS. c , - f\ ~--~-:..-; ()O\ 0 - /(_Q(p..,~I- 0075 tto. 00 - /JFt ',(! I <-.J ~ or, \,"") "~..J ~.-........ ,~ ":, '>>,'", " UTILITY BUILDINGS MUST SHOW SIZE & FOUNDATION INFOR- MATION. (NOTE EXAMPLES 1 &~ - ! '---.." k-Ib~ I 01 . 1... i A ; ';1,' : ~ \ i\(.P {tf"~J [ . ~"(.. :--.' \.../ ... . ,,:::.,i ~{ ',( : ~ER'rY LINE FR STREET /tf Tit. ~r s 1. SETBACKS FOR Rl, R2 ZONING 60' 2. SETBACKS FOR R3 ZONING 60' 10' P E- R X 0 I 10' P S 10' 0 T S I E N D G 20' 1 0' 10' 10' EXISTING 10' PROPOSED 20'SGL FAM 30'DUPLEX 1 0' FRONT PROPERTY LINE FRONT PROPERTY LINE :PERMrr:~PPJ.:ICATION .........,............ ::::;;.' ",r::::: ..... ..... ". .... ... .... ," ... ... -.. . . . . .. ,. ". ',' , . r - . . ".. ',' ,M' o' .. ... p' "" .,.., ,..... ....... ...... ....... :::::::',. ..;:.::::: .. ~ .. . . .' . . . .. .. 1'.~~~2-:':"=.L~~C0:-:-~--.._'-= - .. - - ...:;. _'_'.. '.:~~~'-= ::. ,"'" _ ----.. -. -.-~T:l.l-~-::.._..- _~__.r~~ -._='F'="--: ',~ ~-~'~.-' .- . __._"~~\:.,~~~i:.,i;.;_....._-~...~--~..,._~_..._~ ~__.~f.~~~ .; {[)RDlEWAYiP.ERMR'.,A~~l![CAmON ~OONs;rRUcn:ON'WI7[HIN ~P.tJBI3C :RIGHtr~OF~WAY :AII information ~ be'filled-In completely .\CiW.of~phyrhills '5335 :SthStreet, 2ephyrhills,R33542 "Telephone .813.780.0000 Fax 813.780.0005 ~ ',CONTRACTOR: " ~~~, E-Mail: Fax: - ARCHITECT/ENGINEER: .Name: Address: StateUcense :It: . Firm Name: City: Phone: State: Cell: Zip: Fax: . Desc:riDtion of Proiect LENGTH OF DRIVEWAY /d.t.='l.WWTH OF DRIVEWAY ~ . EXCAVATION _DEPTH ~UNEARJFEEr .'CURB.ClIT'REQUIRED _YES _NO- CULVERTS.NEEDED ( )REINFORCED CONCRETE ( rCORRUGATED MATERIAL ( ) BOX OJLVERT ( ) OTHER (EXPLAIN) ::L OF DRIVEWAY RESIDENTIAL DRIVEWAY _COMMERaAL DRrVE)NAY _PUBUC ACCESS DRIVEWAY CONSTRUCTION MATERIAL _ASPHALT ~CONCRETE HEADWALL REOUIRED" _YES _NO ~,..,.'.'.'.'.....'.."J:..{1~..1,"..'.'.,.,.~"'.."....\....,. ~._. ...- .. ."fl. .. .:-: .. ,- _.-: ,..... .. .... '" -. .... .- ...' ".,' . ~ '., NOTICE TO APPUCANT: If actual work exceeds scope of this desaiption, additional pennits or drawings will be required. UTILITY LOCATIONS REOUIRED: CALL BEFORE YOU DIG: 1.800.432.4770 Page 1 of 3 ~--- __.. _, ."'" '. ,__,~___",___,___,___",,_,~'__'___"_"_'_~""__""_ .'_"__ ...._~_......e_...._..~..__ "......_'....._.....,.__.-..__.__,.._....,.... ..,... ~ .. .,...... .-..--.-.....---....."..- ;PERMIT 'APP.tICATION ~OF.F.ICE~USE!ONLY '_._._ _11l111I__'~at~jjl_~I_..l-.. .. .. . . nu .,. /::----.. . j~t...._,..w..........."'._~..,~...".,..~.".,..,.'"..,........,..,........."'. ... ... . .. .,.1 :-----:-._ ~ . Concrete (min. 6'') ( Y ) N "" ( -r....t..,' f''-' 6L.l (! 2. \. G ~-r of "'" A "( .'-- . Asphalt.Base (min. 6") . Y N -; I ~ N/A- . Asphalt (min. :1112') .y .N J - . Length (min. :19') 1 y, N '-l.l.{ I. _ OU ~ Width (10' min-20' rnax) 7y~) N \0' EXisting sidewalk. Y (N) - . New sidewalk. Y (N) . - ADA compliant. . .y N. ~/A ~ Expansion. material required. r y) N \...,./' ~ Contiguous parking pad. Y (<N ) . .- -- Triangular'flare (3'W x 7'L) ( Y ) N . '---"' Visibility triangle o.k.? rV) N " - ~ Side set bac:k (3' min.R.O.W.) I Y ) N . '-- . Plan Review Fee It: 1~1~'[ , t<;f'll . o-~ :It ..4R.6 7i ."t,4~s:r ..,>!6<<J .~ z. OP ~!f; ~~.~~ Date: l( S { t/>-r Page 3 of 3