HomeMy WebLinkAbout07-6401
CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780-0020
DRIVEWAY PERMIT
6401
Permit Number:
Permit Type:
Class of Work:
Proposed Use:
Square Feet:
Est. Value:
Improv. Cost:
Date Issued:
Total Fees: 35.00
Amount Paid: 35.00
Date Paid: 1/29/2007 Phone:
Work Desc: CONCRETE DRIVEWAY & PARKING AREA
6401
DRIVEWAY
DRIVEWAY/NEW
NOT APPLICABLE
Address: 38314 AV B
ZEPHYRHILLS, FL.
Township: Range: Book:
Lot(s): Block: Section:
Subdivision: CITY OF ZEPHYRHILLS
Parcel Number: 14-26-21-0010-03500-0160
2,000.00
,
Name: LAI, MAY LING
Address: 3831tAVE B
ZEPHYRHILLS, FL. 33542
SANDY DEVELOPMENT
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C{' {\ j/ \LY
FINAL
REINSPEcnON 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
c~ ~ ~ ~ ~~
CONTRAC OR PERMIT OFFI
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020
City of Zephyrhills Permit Application
Building Department
Fax-81 :Hllu-uu;.n
Date Received
OWner's Address
Fee Simple Titleholder Namel
OWner Phone Number
Owner Phone Number I~ ~ /3'- :5 J 5'-' 36! "2-
OWner Phone Number I
Owner's Name
Fee Simple Titleholder Address
I
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LOT# I
JOB ADDRESS
WORK PROPOSED
NEW CONSTR
INSTALL
SFR
BLOCK
ADD/AL T
REPAIR
COMM
FRAME
PARCELID#I lit - 2(,--:11- (JCJ/O- 0 3<;'~() -0('0
(OBTAINED FROM PROPERTY TAX NOTICE)
D SIGN 0 MOVE D DEMOLISH
D
D
OTHER I
STEEL 0
SUBDIVISION
PROPOSED USE
TYPE OF CONSTRUCTION
OTHER
DESCRIPTION OF WORK
BUILDING SIZE I I HEIGHT I
111111111111111111111111111'11111111111111111111111111111111111111111111111111111111111111111111111'1111111I11111I1111I1111I111111I11111111I111111
0 BUILDING 1$ ')b!JeJ~ I VALUATION OF TOTAL CONSTRUCTION
0 ELECTRICAL 1$ I AMP SERVICE 0 PROGRESS ENERGY D W.R.E.C.
0 PLUMBING 1$ I
D MECHANICAL 1$ I VALUATION OF MECHANICAL INSTALLATION
D GAS D ROOFING CJ SPECIALTY D OTHER
FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
Address
License # I (l6C ~O/ cJc;:L3
BUILDER
SIGNATURE
ELECTRICIAN
SiGNATURE
PLUMBER
SIGNATURE
Y/N FEE CURRENT
License #
YI N FEE CURRENT
License #
Y/N FEE CURRENT
License #
Y/N FEE CURRENT
Y/N
Address
COMPANY
REGISTERED
Y/N
Address
MECHANICAL
SIGNATURE
COMPANY
REGISTERED
Y/N
Address
OTHER
SIGNATURE
COMPANY
REGISTERED
Y/N
Address
111111111111111
RESIDENTIAL
License #
1111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111111
Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new conslruction,
Minimum ten (10) working days after submittal date. Required onslle, Conslruction Plans, Stormwater Plans wI Silt Fence Installed,
Sanitary Facilities & 1 dumpster; Site Work Permit for subdivlsions/large projects
Attach (3) sets of Building Plans; (1) set of Energy Forms. R-O-W Permit for new conslruction.
Minimum ten (10) working days after submittal date. Required onsite, Conslruction Plans, Stormwater Plans wI Silt Fence Installed,
Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance
Attach (2) sets of Engineered Plans.
....PROPERTY SURVEY required for all NEW conslruction.
COMMERCIAL
SIGN PERMIT
DI~~~tj~~~'=, . , , .. . , , . . , , I I .. I I I I I . I . I . .. . I I . I I I I . I . I I I . I . , , I . I , . .. I I . . . , I .. . I I . I I I , . I I , , , .. . I ~ ' , , . I I .. . . .. .. I .. . I I , I I I I I . .. .. . I .. I I . I I . I I , , , . .. . I ,
Fill out application completely.
Owner & Contractor sign back of application, notarized
If over $2500, a Notice of Commencement is required. (Ale upgrades over $5000)
.. 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 (Front of Application Only)
Reroofs Sewers Service Upgrades AlC Fences (Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
J
i
I,.> '.' . . . ..' .' ..' ,...,., ..,... ,i<
:i?~, "'1.9~.~Fr~~ED RESTRICTIONS: The undersigned understands that this permit may b~ slJbjectto"d~edtt~s.tri~ti9nslii
.",D;;w.icH.ijjaY'~~W?re restrictive than County regulations. The undersigned assumes responsibility forb(jIN3Ii~nbe~Wm~~y :.,'.'
. "l'e.strictions. .., .' ... .'. <:"';:'i':
;;Q~TRACTORS AND qONTRACTOR RESPONSIBILITIES: Ifthe(j~!1ef: :has. hjfM,a9(;h.tf~gl(jf(oi,),"i"j;!i'jj
qeftake work, they may be required to be licensed in accordance.Witbst~.te~iJ9J~calf~gWi'tH6n~i.t.lf\~~::;:t'
OJicensed as requIred by. law, both the owner and contractor maybe9it~afqf.~hii#d~rn~~~~rz~lql~HoB. ,;
),j{ the owner or intended contractor are uncertain as to what 1igeiisih9t~~wt~rn~~l~'rn~~'appIY.if~~ilij~,\i .
J}'.: are advised to contact the Pasco County Building InspectionDiVisio~UC~nsiBg?~9tiohaL!2t.84i" /1
" if the owner has hired a cohtractor or contractors, he is.advise~ ;,tb ,h~ve' the'~6htfabtlJr(s)slg~"(
',Bntractor Block" of this application for which they will be responsible.. Ifyou;asthe()wi)ersi~Q ~.s tilEr
;.;ay be an indication that. he is not properly licensed and is not entitled to permitting privileges iii PascO ,'I
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Qduhty, ........,....:>
..rtA~sp()R.,... '"ION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned uhderstands
;):th~ttr~Qs,,'<ii: -n Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
,~~~irli.e~i~'< ,)ldings, orexpansion of existing buildings, as specified in Pasco County Ordinance number89-07 and
,iPOr07,~s~ffi,..~~. The undersigned al!!lo understands, tha.t such fees, as may be due, will be identified at the time of
~eth1iUihg.iltls,fufther understood that 1;ransportation Impact Fees and Resource Recovery Fees must be paid prior to
, re?elving s"t:,ate of occupancy" or ~nal power release. If the project does not involve a certificate of occupancy or
fin~1 power rei.. .e,the fees must be paId prior to permit issuance. Furthermore, If Pasco County Water/Sewer Impact
fe~s are due,t~!=lymust 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 "A" 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 affect adjacent properties, the owner may be 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 plan is 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 ~hat a s.eparate perm~t. may ?e requir~d for elect~ica.1 work,
plumbing, signs, wells, pools, air conditioning, gas, or other ~nstallatlons not speCifically 1n~luded. In the application. A
permit issued shall be construed to be a license to proceed With the work a~d not as authorl~y !o VIO'~t~, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the B~II.dmg OffiCial from the~eaft~r
requiring a correction of errors in plans, construction or violat~o~s o! any codes. Everr permit Issued. shall become. invalid
unless the work authorized by such permit is commenced wlthm 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 th~ work is commenced: An extension
may be requested, in writing, from the Building Official for a period not t~ exceed n1n~ty ~90) da~s 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 LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT (F.S. 117.03)
,.,
I::;:~?." "
:',{:
CONTRACTOR
Subscribed and sworn to (or affirmed) before me this
by
Who Is/are personally known to me or has/have produced
as Identification.
OWNER OR AGENT
Subscribed and sworn to (or affi""ed) before me this
by
Who Islare 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
Name of Notary typed, printed or stamped
:PERMIT;APRIJ:CAlION
'~:~~~~,~::X:C~:2~:~:~'~ ..:~~"t:-'~=~~_c~""___";
nRIVEWA.Y ;PERMrr.,APP~CAnON
~CONSJRUcn:ON~wrrHIN ;P.tJBllC :RIGHir....OF..:WAY
:A11 information~. be-flllecHn completely
.{City.of~phyrhills
-5335 :Sthstreet, :Zephyrhills,.R '33542
Telephone ,813.780.0000. Fax 813.780.0005
''cONTRACTOR:
ARCHITECT IENGINEER:
Name: ~
Address:
StateUcense :It:
. Firm Name:
CIty:
Phone:
State:
Cell:
Zip:
Fax:
DescriDtion of Proiect
:JL> LENGTH OF DRIVEWAY
2Q...;WIDTH OF DRIVEWAY
&QJ!!l,. EXCAVATION ..
2Q...DEPTH ~UNEARFEET
'cURBcUT'RE~
_YES . . 0
CULVERTS NEEDED
( ) REINFORCED CONCRETE
( )'CORRUGATED MATERIAL
( ) BOX QJLVERT
( ) OTHER (EXPLAIN)
~
TYPE OF DRIVEWAY
~DENTIAL DRIVEWAY
_COMMEROAL DRIVEWAY
_PUBUC ACCESS DRIVEWAY
CONSTRUcnON MATERIAL.
ASPHALT
V'tONCRETE
HEADWALL REOUIRED? _YES L--N6',
.NonCE TO APPUCANT: If actual work exceeds scope of this description, additional permits or drawings
will be required.
UTIUTY LOCATIONS REOUIRED: CALL BEFORE YOU DIG: 1.800.432.4770
Page'1 of 3
---
iP.ERMrT:APPl:ICAT.ION
~UT.IlI[IES~l.'OCATE 'CONF.IRMATION'NUMBER:
,PROV.IDESKETCH lIN 'THIS/AREA,:IF ,ADDIT.IONAL 'SPACE:IS:REQUIRED,ATrACH TOTHIS
;AP.POCA'1:ION.
~~~
.
AFFIDAVIT: Application is hereby made to obtain a permit to do work and installations as indicated. 1 certify that all foregoing
information is accurate and that all work will comply with all applicable codes. 1 understand these codes shall take prececlence over all
approved construction documents, and issuance of this permit is verification thatI Will notify the property owner of Rorida Uen Law
~q~~7D. .
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 CXJmp~y with the current Florida Building Code, Public Works Design . Manual and 'FOOT Design
Standards (If applicable). (public WorksDesjgn Manual online link: www.d.zephyrhIlIs.f1.us/publicworks.asp)
APPLlcA1l0N IS VOID UNLESS SIGNED WITH PROPER IDENTIFICATION AND WITNESSED BY A PERMIT
TECHNlOAN OR NOTARY PUBLlC.
NOTE: The City of Zephyrhills is not responsible for maintenance or repairs of driveways. Driveways shall not alter I
interfere with existing stDrmwat:er treatment and I or conveyance.
PROPERTY OWNERS: By signing this application: I certify at I have read and nd the owner/buIlder disdosure
statement. . C ,~, (please initial)
~~;./rf '. Iv/-r' . ;/t:<Jf' ~~.-7
Applicant Print Name . ~ .' / . .-f
. '....
.~
Permit Technidan Signature
(or) Notary Signature
t r? '-tIc::. 7
Date
Applicant is ( ) personally knoWn to me or produced
as identification.
(type of identification) ,
Page 2 of 3
;PERMn' 'APPlJ:CATION
~OF.F.ICE!USE(ONLY
'._~"_~Ol~.._~~._"ltIlI"lIII}
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-
'Concrete (min. 6") (Y, N M \ tJ. h" IAII -rUI A) P..JgL.(~ t<..O.w .
, \....-...--'"
, Asphalt Base (min. 6") Y N)
~ ~/A
Asphalt (min. :11J2'j .y N ~ . .
Length (min. 1.9') ~I -0 r( ( Y ) N I: ~. NOTE
-
Width (10' min-.20' max) Ct.-oY -0" (y') N
f
EXisting sidewalk. y(1J")
---
-
New sidewalk. Y (N)
ADA compliant ' y N" U/4 w.J \~'JJ fV&1.4!. e.C).J.D.
-
Expansion material required. (Y) N
--
.....
Contiguous parking pad. . Y ('N )
-
-
Triangular'flare (3'W x 7'L) ('y) N -
-
Visibility triangle o.k.? (V)N
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Side set back (3' min. RO.W.) rV) N
'--",
Plan Review Fee
{NI\-G~"
Permit apprcation approved by:
Date:
Page 3 of 3
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Parcel Information for: 14-26-21-0010-03500-0160 Card: 001
Page 1 of 1
$.~~J.GhAg~lin Show M@. Building Schematic Unavailable Estimate Taxes
See Tax Collector Information - CurrenUDelinquent Taxes
The online search system is currently unavailable. Information displayed below is from a weekly archive. SOH and Taxable amounts
may not reflect current values.
I ParcellD II 14-26-21-0010-03500-0160 (Card: 001 of 001) I
I Classification " 00 - Vacant Residential I
Mailing Address Assessment (totals)
LAI MAY LING Ag Land $0
304 MULBERRY ST 6R Land $19,140
NEW YORK, NY 100122737 Building $0
Physical Address See All 2 addresses Extra Features $0
3831~ B AVE
ZEPHYRHILLS33542 Total Assessment $19,140
Legal Description (First 4 Lines) Save Our Homes $0
MOORES AD PB 1 PG 57 LOT 16 Taxable Value $19,140
BLK 35
OR 7006 PG 908
Land Detail (Card: 001 of 001)
Line II Use II Description I Zoning Units Type Price ~ond val~1
I 1 II 0100 II SFR I 00R3 6,600.00 SF 2.90 1 $19,
Additional Land Information
cres /I 0.15 Tax Area II 30ZH "Fema Code " - I Res Code IIZHLGLP7
I Building Information I
I Unimproved Parcel 0 I
Extra Features
No Extra Features
! Sales History I
Previous Owner BACMAR PROPERTIES INC
Year Month Book I Page Type F Amount
2006 05 7006/0908 WD $200,000 /I
2004 05 5881/1635 WD II $12,000 I
1983 12 I 1332 /1 732 I PR :::1 $0
$~~n:;hAg;:'!Lo Show Map Building Schematic Unavailable Estimate Taxes
See Tax Collector Information - CurrenUDelinquent Taxes
http://appraiser.pascogov.com/search!offline.asp?Sec=14&Twn=26&Rng=21&Sbb=00 1 0... 1/29/2007