HomeMy WebLinkAbout09-9266 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780 -0020 9266
DRIVEWAY PERMIT
-e M ; - 777
Permit Number: 9266 Address: 38833 5TH AVE
Permit Type: DRIVEWAY ZEPHYRHILLS, FL.
Class of Work: DRIVEWAY /REPLACEMENT Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number:
Improv. Cost: 700.00 _ A1
Date Issued: Name: ATKINS GROUP HOME INC
Total Fees: 35.00 Address: 38833 5TH AVE
Amount Paid: 35.00 ZEPHYRHILLS, FL. 33542
Date Paid: 6/19/2009 Phone:
Work Desc: DRIVEWAY REPLACEMENT
B & W CARRY -CRETE INC (813)788 -0815 DRIVEWAY 35.00
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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 failur to record a notice of commencement may result in your paying twice for
improvements to your prope . If you intend to obtain financing, consult with your lender or an attorney
before recording yo ti commencement."
6 je- Or 44 I. ",
CONTRACTOR PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO 1
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813 - 780 -0020 City of Zephyrhills Permit Application rax -o ii- 'ou -uuz
Building Department
Date Received Phone Contact for Permitting
Owner Phone Number
Owner's Name I
Owner Phone Number I
Owner's Address (
Fee Simple Titleholder Name)
Owner Phone Number I
Fee Simple Titleholder Address I I
1 LOT #
JOB ADDRESS
SUBDIVISION 1 I PARCEL ID #I
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR I I ADD /ALT 1 1 SIGN n MOVE 1 1 DEMOLISH
INSTALL REPAIR
PROPOSED USE 1
SFR 1 1 COMM 1 1 OTHER I
TYPE OF CONSTRUCTION 1 1 BLOCK 1 1 FRAME n STEEL n OTHER' I
DESCRIPTION OF WORK 1 I
BUILDING SIZE I I SQ FOOTAGE I I HEIGHT 1 I
BUILDING $ _ 7 VALUATION OF TOTAL CONSTRUCTION
1
ELECTRICAL $ AMP SERVICE 1 1 PROGRESS.ENtRGY 1 1 W.R.E.C.
1
r,. 1 /n 0 ,r
1 1 PLUMBING $ ( ,/
1
1 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLA N
ROOFING 1 SPE CIALTY 1 1 OTHER (
GAS 1 1 1 � �
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IVES 1 1NO
a
BUILDER / COMPANY t�
SIGNATURE / �" REGISTERED 1 Y / N 1 FEE CUR 60)(/y-
NT I Y / N
Address License #
ELECTRICIAN COMPANY
SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT 1 Y/ N 1
Address License # I
PLUMBER COMPANY
SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT I Y / N 1
Address 1 License #
MECHANICAL COMPANY
SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N 1
Address License # 1
OTHER COMPANY
SIGNATURE REGISTERED 1 Y/ N 1 FEE CURRENT I Y / N 1
Address I License #
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 & 1 dumpster; Site Work Permit for subdivisions /large projects
COMMERCIAL Attach (3) 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 & 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 IMPACT /UTILITIES 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'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, WaterlWastewater 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 that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
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 commenced within 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 the work is commenced. An extension
may be requested, in writing, from the Building Official for a period not to exceed ninety (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 LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT (F.S. 117.03)
OWNER OR AGENT CONTRACTOR
Subscribed and sworn
Subscribed and swom to (or affirmed) before me this m to (or affirmed) before me this
by b y
Who is /are personally known to me or has/have produced Who is /are personally known to me or has/have h Identification. 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
p f u ,,,,
4-1 3 5 ';
z
pERmrrAPPL7CATION -_
OR.TVEW PERMIT :APPLICkTION
CONSTRUCTION "wri:HTN ',PUBLIC :RIGHT—OF
All information mug be completely
- City.oflephyrhills
3335 8 Street,Zephyrhills, 'FL 33542
Telephone .813.780.00 Fax 813:780.0005
dy..
PROJECT JOB : - -PROPE'_;. OWNER
Address: Name: "
Unit #: Address: 3 ESel Unit:
Parcel Identification "Number: II- ISO -2E- t0( /q(oco-111 OCty, State, _Zip .‘
2--reL rt..1
Phone: ' Fax:
.CONTRACTOR:
Company: 1S kfTi-cs
Name: &erre_ (Ai `41Sd
Contractor's License #: oscial E-Mall:
-Phone: 3 8E- oS IV ceiv.W.- 9) ct Fax:
ARCHITECC/ENGINEER:
- Name: - Hrrn Name:
Address: City: State:
State License #: Phone: Cell: Fax:
Description of ProieCt
TYPE OF DRIVEWAY la LENGTH OF DRIVEWAY CULVERTS NEEDED
RESIDENTIAL DRIVEWAY CI WIDTH OF DRIVEWAY ( ) REINFORCED CONCRETE
X COMMERCIAL DRIVEWAY R.O.W. p-XCAVATION ( ) CORRUGATED MATERIAL
PUBLIC ACCESS DRIVEWAY 44'DEPTH LINEAR Ftti ( ) BOX CULVERT
( ) OTHER (E(PLAIN)
• - qo
CONSTRUCTION MATERIAL 4111 . • _ •
ASPHALT - NO
- N - CONCRETE
HEADWALL REOUIRED? YES NO
NOTICE TO APPLICANT: If actual work exceeds scope of this description, additional permits or drawings
will be required.
UTILITY LOCATIONS REOUIRED: CALL BEFORE YOU DIG: 1.800.432.4770
Page 1 of 3
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• ;PERMITAF1FLICATION
• 'UTIISIC/ESTOCATE CONFIRMATION - NUMBER:
MROVIDEISKETCH 21■1 THIS :AREA, IF ADDrao NAL 'SPACE IS 'REQ UIRED, :ATTACH TOTH'S
APPLICATION.
. .
•
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, •
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• _, .
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. 1 understand these codes shall take precedence over all
approved construction documents, and issuance of this permit is verffication thatl 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 applyto this property.
All work.shall comply with the current Florida Building Code, Public Works Design ,Manual and 'FDOT Design
Standards (If - applicable): (Public Works Design Manual online link: www.dz.ephyrhills.fl.us/public works.asp) ,
APPLICATION IS VOID UNLESS SIGNED WITH PROPER IDENTIFICKTION 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 stormwater treatment and / or conveyance.
PROPERTY OWNERS: By signing this application: I certify that I have r and understand the owner/bulider disclosure
statement (please initial) •
a.c-rc.-11 Li IseJ (.9 —■ - 7 1
I pp • nt 'AI t Name • Applicant Signature Data •
i 04
;
it Technici iir-ignature -
(or) Notary Signature 10 — • Date
Applicant is ( ) personally known to me or produced as icientlfication. •
• • (type of identification)
Page 2 of 3 .
. .
PERMIT APPLICATION
:OFFICErUSE {"ONLY
i L l,o 'ftt la , r
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r z -Y
M � a _
Concrete (min. 6 ") :
Asphalt Base (min. 6 ") Y N
Asphalt (min.1V /2 ` - Y N
Length (min.19')
Width (10' min -20' max)
N • $'ti l,vv u t_ W ID?*
Existing sidewalk. ggb
New sidewalk. Y
ADA compliant.
Expansion material required.
Contiguous parking pad. Y
Triangular (3'W x 7'L)
Visibility triangle o.k.?
Side set back (3' min. R.D.W.)
c C14&G6 wt.DTi "tb to /ltt?J c M..0 ' /1
3 I Te i At c.A at -1— 4R.ES
411 r01 .: 41 Permit application approved by: Date: l4 w N 7 c{
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Pasco County Parcel: 11- 26 -21- 0010 - 14600 - 0070 001 Page 1 of 2
Search Again Show Map Generalized Building Schematic Frequently Asked Questions Estimate Taxes
Other Parcel Cards: 1 1 2
Other Agency Data: Tax Collector School Board Supervisor of Elections
Data Current as Of: I Weekly Archive - Saturday, June 13, 2009 I
I Parcel ID I 11- 26 -21- 0010 - 14600 -0070 (Card: 001 of 002)
Classification 11 12 - Stores, Office, SFR
Mailing Address Property Value
ATKINS GROUP HOME INC Ag Land $0
38839 5TH AVE Land $67,803
ZEPHYRHILLS, FL 335424606 Building $177,751
Physical Address - See All 2 addresses (First Shown) Extra Features $1,535
38833 5TH AVE
ZEPHYRHILLS, FL 33542 Market Value $247,089
Legal Description (First 4 Lines) Assessed (Save Our Homes) $0
See Plat for this Subdivision .L"' Taxable Value $0
CITY OF ZEPHYRHILLS PB 1 PG 54
LOTS 7 THRU 13 INCL BLOCK 146
OR 4453 PG 632
Land Detail (Card: 001 of 002) I
I Line II Use °Descriptionll Zoning II Units II Type 11 Price II Condition II Value I
1 1200 STORE 00R2 7,000.00 SF $3.01 1.00 $21,070
COMB
2 1200 STORE 00R2 10,800.00 SF $1.82 1.00 $19,656
COMB
3 1209 STORE 00R2 1,700.00 SF $1.27 0.80 $1,727
COMB
4 0 0109 II SFR II 00R2 II 7,800.00 II SF II $3.25 II 1.00 II $25,350 I
I Additional Land Information I
Acres II 0.63 II Tax Area II 30ZH II FEMA Code II X IlCommerical Codell M5AVOZA I
I Building Information - Use 12 - Stores / Office SFR (Card: 001 of 002) I
Year Built 1952 Stories 1.0
Exterior Wall 1 Concrete Block Stucco Exterior Wall 2 Concrete or Cinder Block
Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle
Interior Wall 1 Plastered Interior Wall 2 None
Flooring 1 Hardwood Flooring 2 Carpet
Fuel Electric Heat Forced Air - Ducted
A/C Central Baths 2.0
I Line II Description I Sq. Feet II Repl. Cost New
1
11 BAS II 3,754 II $211,538
I 2 I I FOP II 18 0 $282
I Extra Features (Card: 001 of 002)
I Line II Description II Year II Units II Value
1 U CLFENCE I I 1974 II 600 II $212
I 2 I) FIRE PL I I 1955 II 1 II $540
Sales History
I Previous Owner I ATKINS CHARLES E III
Year I I Month I B /Page II Type II Amount
I 2000 I I 09 II 4453 / 0632 II WD 0 $170,000
http: / /www. appraiser. pascogov .com /search/parcel.aspx ?sec =11 &twn= 26 &rng =21 &sbb =0... 6/19/2009