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HomeMy WebLinkAbout08-7857 CITY OF ZEPHYRHILLS 5335-8TH STREET (813)780-0020 7857 DRIVEWAY PERMIT .. Permit Number: 7857 Address: 5843 12TH ST v5 Permit Type: DRIVEWAY ZEPHYRHILLS, FL. Class of Work: DRIVEWAY/NEW Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 11-26-21-0010-03700-0050 Improv. Cost: 800.00 Date Issued: 5/14/2008 Name: RICHARDS, BARBARA Total Fees: 35.00 Address: 5843 12TH ST Amount Paid: 35.00 ZEPHYRHILLS, FL. 33542 Date Paid: 5/14/2008 Phone: (813)479-7421 Work Desc: INSTALL NEW 10.6 X 30 DRIVEWAY HOMEOWNER DRIVEWAY 35.00 DRIVEWAY '` :, FINAL REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c)when extra inspection trips are necessary due to any one 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."L6 '1Ri,TRACTOR PERMIT OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 05-09-'08 14:20 FEOM-USAA 18005318669 T-033 P003/003 F-189 :PERMIT*"433 l'RON C S DRIVE WAY=P.ERM•IT:AP.PLZCATION CONSTRU!G' 'tON- _ s : WP.UBLICRIGHT-'Of-WAY .All•inl rmationmIat be-filled-in completely {'iCity.of2ephyrhll is • S I^, „ jf 5335:�'Street,Zephyfiills,'FL33542 —' -Telephone.813.780.0000 Fax 813.780.0005 �0 (� PROJECT JOBSTIE: S '•PROPERTY°OWNER • Address: 43 1L4 s l Name: o..r d S • Urdt*• • Address: -4 •�- Unit: • ParcelIdentiflWon'Number a .zip Z r :l 1 , 'Phone: X 13- ax: CONTRACTOR: Cornpanr Name: Corrtracb�t's Ucense#: E-Mail: -Phone: Cell: Fax: ARCItFf CTjENGINEER: Name: . Firm Name: • •Addn�s: City: State: Zip: • Sate license#: Phone: • Cell: Fax: • Descnntion of Proiect /LENGTH OF DRIVEWAY CULVERTS NEEDED DRIVEWAY ID' f p_WIDTH OF DRIVEWAY ( )REINFORCED CONCRETE • COMMERCIAL DRIVEWAY R.O.W. EXCAVATION ( )CORRUGATED MATERIAL. • _PUDUC ACCESS DRIVEWAY DEPTH LINEAR FEET ( )BOX CULVERT. • ( )OTHER(EXPLAIN) CUT • T �EOUI/O LcoNcRETE IEADWAIi REQUIRED' YES NO NOTICETO APPLICANT; If actual work exceeds scope of this description,additional permits or•drawings will be required. . UTILITY LOCATIONS�UIRED: CALL BEFORE YOU DIG;1.800.432.4770 Page 1 of 3 05-09-'08 14:20 FROM-USAA 18005318669 T-033 P002/003 F-190 . • �RERM .T• CAITON U1QES-L OCATF CONFIRMA71ON'NUMBER: _ PROaDKETCHThThISAREA,1FiADDI1TONALSPACE1S`REQUIRED,.A17 ACHTOTHIS 2 -K AFFIDAVIT: AppiratIon Ls'hereby made to obtain a permit bD do work and Instafations as lndkabed. I certify that all foregoing • Infix W lion Is amae a and that all work will comply with all applicable codes. I understand these codes shall rake precedence over all • approved cot uchon doainenfs,and issuance of this penult Is verification that'I will notify the property owner of Ronda Lien Law req.,FS.713. The rode of This permit does not ensure compliance with deed restrictions and I understand that additional deed. restrictions may applytn this property. Al woricshal!Lamely with Me cu"unt Florida Building Code,Public Works Design.Manual and-FOOT Design SAndas s•(If eppIkabda). (Pubic Works Design Manual online link:www.d.zephyrhllls tt.us/pubilkiwo ks.asp) APPLICATION IS VOID UNLESS SIGNED WITH PROPER IDENTIFICATION AND WITNESSED BY A PERMIT TECHNICIAN OR NOTARY PUBLIC. ND E: The a41 Of Z.,IkIaI1I is not easpohesahle for maintenance or.h1apalm of driveways. Driveways shall not alter I ehtoll ee with eocrng otormwaterbathwnt and/or conveyance. • PROPERTY By signing this application: I certify that I have read and understand the owner/builder disclosure smberrherht. (please Initial Applicant'Print Name npp scant Signature Date PendtTedmldan Slgnanire (or)Notary Signature Date Applicant is( )persor>aMy known to me or produced as Identification. (type of identification) Page2of3 05-09-'08 14:20 FBOM-USAA 18005318669 T-033 P002/003 F-190 P.ERMIT• PP.UCAITON '.I 1111MI5-IDCATECONRR 4ATION'NUMBER: PROVIDESICCHTNTHIS AREA,IF,BDDI'iwIONAL'SPACE IS'REQUIRED,.A17/KCHTOTHIS a . AFFIDAVIT: Application is'hereby made to obtain a permit to do work and installations as indicated. I certify that all foregoing Irforiradon is accurate and that all work will comply with all applicable codes. I understand these codes shall take precedence over all apparel aor buIon doasnents,,and issuance of this permit is verihotion that'I will notify the property owner of Florida t bn Law req.,F.S.713. The issuance of this permf does not ensure compliance with deed restrictions and I understand.that additional deed. restrictions may apply to this property. • Al coo& hall comply with the arrant Florida Building Code,Public Works Design,Manual and-FDOT Design Stsnda,ds•(Ifappljcabie). (Public Works Design Manual online link.www.d.zephyrhillsfl.us/publlr`works.asp) APPLICATION IS VOID UNLESS SIGNED WITH PROPER IDENTIFICATION AND WITNESSED BY A PERMIT TECHNICIAN OR NOTARY PUBLIC. NOTE: The Cty ofZophy Ulis is not responsible for maintenance or.repaim of driveways. Driveways shall not alter/ fare with eodstin9 st wrnwater treatment and I or conveyance. PROPERTY By signing this application: I certify that I have read and understand the owner/builder dlsdosure stzrbement � Z (please Initial • .4 [ j4 q p . App scant Signature pa - . Permit edxddan / - �5 (or)Notary Signature De App5rant Is( )personalty known to me or produced as Identification. (type of identification) • Page 2 of 3 05-@9- 0814:20 FROM-USAA 18@05318669 T-033 P0@2/0@3 F-189 PERMIT APPL2CAIMON ;OFFICE USEOONEY Concretie (min..6") Y •N Asphalt'Base(min. 6") Y N Asphalt(min.lwh".) :Y N Length(min.X9') Y N Width(10'min-20'max) Y N 6dsting sidewalk Y New.sidewalk. . Y N ADA nt 'Y ' N Expansion matierial required. Y 'N contiguousparldngpad. Y 'N Triangularflare(3'W x 71) ' Y .N Visibility thane o.k.? Y N Side set bad*(3'min. R.O.W,) Y N Plan Review Fee . . Permit application approved by: Date: Page 3 of 3 813-780-0020 City of Zephyrhills Permit Application '71)� ) Fax-813-780-0021 Building Department 4fr Date Received S^( D' Phone Contact for Permitting ( I __ Owner's Name j ,.. 2 \ Owner Phone Number j 13 •- 1 Owner's Address S�� }— 3 + Owner Phone Number i 3 - l fl Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address JOB ADDRESS i r L V Z LOT# II SUBDIVISION I PARCEL ID# II" 4 Z1-06 (0-03 7ôo- Oo5b (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD/ALT Q SIGN Q MOVE 0 DEMOLISH INSTALL e REPAIR PROPOSED USE SFR 0 COMM Q OTHER TYPE OF CONSTRUCTION BLOCK 0 FRAME [ ] STEEL Q OTHER DESCRIPTION OF WORK o (p 36 Con 2 W BUILDING SIZE I SQ FOOTAGE I HEIGHT Q BUILDING o$ �, VALUATION OF TOTAL CONSTRUCTION Q ELECTRICAL $ AMP SERVICE IjJ PROGRESS ENERGY Q W.R.E.C. LIII PLUMBING $ Q MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION Q GAS Q ROOFING SPECIALTY Q OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES ONO BUILDER COMPANY b(Y,\e W e. SIGNATUREnZ .L. REGISTERED I Y/ N I FEE CURRENT I Y/N Address J License# ELECTRICIAN COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N Address License# PLUMBER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N Address I License# MECHANICAL COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N Address License# OTHER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/N Address j License# lIIIIIIIIuIIIIuuIIIIIuuIIIIuuII RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&I dumpster;Site Work Permit for subdivisions/large projects COMMERCIAL Attach(3)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction. Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster.Site Work Permit 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. Directions: Fill out application completely. Owner&Contractor sign back of application,notarized If over$2500,a Notice of commencement is required. (A/C 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 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 may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed 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 under state 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 has 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 County. TRANSPORTATION IMPACTIUTILITIES IMPACT AND 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 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'SIOWNER'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, truction�s I e iunderstan faith d that inform separate permit may be req i ed for conditions electr cal work, this affidavit prior to commencing co plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application.permit e work r, or t a issued shall beio construed codes, nor shall issuanceto be a license to proceed with of a permit prevent th not as e Building Officority to. ial from ther, cancel, eafter set aside any provisions of the technical unless a correction of errors y in lan isrcotmmen ed violations within six any months of permit issuance, or issued if work authorized by unless the work authorized by such permit the permit is suspended or g, from the Build r a period riOffic al for a period not to exceedr the time tn ninety days and will demonstrate may be requested, in writing, from 9 \ justifiable cause for the extension. If work ceases for ninety(90)consecutive days, the job is considered abandoned. WARNING TO OWNER: YOUR FAILURE O TO RECORD A YOUR PROPERTY.NOTICE PAYING TWICE FOR IMPROVEMENTS T IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT FLORIDA JURAT 117.43) CONTRACTOR OWNER OR AGEN to m this Subscribed and sw m to(or affirme b re me this SE'S '© an b�v�c�rn eg �S to(or affirme ) Ins Is/ a personally known to me or has/have produced identification. Who is/ re son known to me has/have produced I � � as identification. Lt � as Notary Public C U GES Notary Public BOLES '� Dace 2016 0. *= Commission D Expires er 12, Commissio p, res ecember 12,2010 Com I sin= Bonded Thru hey Fain Ineuance 800-3 Name of Notary tyed,printed or stamped Name of Notary typed,printed or stamped • :DISCLOSURE-STATEMENTFOR•OWNER CITY OF.ZEPHYRHILLS•=BUILDING DEPARTMENT I, have read and -fully understand and ..agree to the provisions of this instrument. The undersigned states and affirms that he or she is desirous of constructing,renovating, adding to or reroofing his or her.own domicile,-that he or she,actually occupies, or will occupy by. said domicile, and same is not for rent, lease or sale. That he or she shall comply with the following conditions: 1. That.the owner and he or she alone shall act as the builder-for all phases of construction. 2. That the-owner will comply with all provisions of the. City of Zephyrhills ordinances and.codes pertinent to the building. 3. That-in the:event various phases of construction are subcontracted, he will engage only properly licensed 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 'responsibility -to insure'.they.are made,.and upon completion will call for a reinspection before proceeding with the.building. . . 5. That the owner shall assume full responsibility for the construction and will not expect supervision of his work from the City of Zephyrhills Building 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 official notice to pay additional fees. 7. That the owner shall comply with all City, State and Federal laws in regard to social security, 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 permit 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 $75,000. The building. or residence -must-be for your own -use or occupancy.' It may not be built or substantially improved if for sale or lease, which is a violation of this exemption. You may not hire an unlicensed 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 withholding tax and provide-worker's compensation for that employee, all as prescribed,by law. 'Your'construction must comply with all applicable laws, .ordinances, building codes, and zoning regulations. . OWNER'S SIGN TUBE � DATE ADDRESS _l ,_ PHONE. l _ _ y2) WITNESS PERMIT UMaste fon s/OwnersAf6davit/Nov07