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HomeMy WebLinkAbout09-9834 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 9834 BUILDING PERMIT Permit Number: 9834 Address: 6082 RIDG EWAY DRIVE Permit Type: ADDITION /ALTERATION ZEPHYRHILLS, FL. Class of Work: 434 - ADD /ALT RESIDENTIAL Township: Range: Book: Proposed Use: MOBILE HOME SUBDIVISION Lot(s): Block: Section: Square Feet: Subdivision: ZEPHYR RIDGE Est. Value: Parcel Number: Improv. Cost: 10,222.00 :, ai, ° 7 , Y ,' _ Date Issued: 12/02/2009 Name: CARPENTER, CHAD it JASON Total Fees: 127.50 Address: 6082 RIDGEWAY DRIVE Amount Paid: 127.50 ZEPHYRHILLS, FL 33542 Date Paid: 12/02/2009 Phone: Work Desc: CARPORT, SHED & CONCRETE DRIVEWAY it a : i :t€ `ii-- G Ps N BUILDIN 12 7.50 ` lZ 2_9,05 F• • E' 2 �U H PLUMB I U ISN ILIN FOOTER BOND DUCTS INSULATED SEWER MISC. ROUGH ELECTRIC LINTEL MISC MISC. 1ST ROUGH PLUMB PRE -METER INSULATION WALL MISC. DUCTS INSTALLED WATER MISC DRIVEWAY PRE -SLAB SHEATHING MISC. MISC. CONSTRUCTION POLE FRAME MISC. MISC. 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 f) plans not at 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 t . your property. If you intend to obtain financing, consult with your lender or an attorney before reco *your notice of commencement. " i PO '4I ; "_ 1 CONTRACTOR - , • URE PERMIT OFFI FR PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813 - 780 -0020 City of Zephyrhills Permit Application Fax- 813 -780 -0021 Building Department / ��� Date Received Phone Contact for Permitting 2/3 7 II( -- S3 1 A IIIIIlttIIIIIIIIIIII Owner's Name Qa f Ta/ C4gAikr Owner Phone Number a- Owner's Address 6 /2. 4 24 t y 4r . Owner Phone Number Fee Simple Titleholder Nam el `J Owner Phone Number Fee Simple Titleholder Address ✓I -/ ,` !. //, �/ (�(� JOB ADDRESS b ard- jet:e etu /)r. Zert4 �/c.LL� ! r . i'3S�°� LOT # / / SUBDIVISION Zephyr /`? jfe PARCEL ID# d...4 — 04 — did) ^ d — d WO (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED wA NEW CONSTR ADD /ALT 1 I SIGN 1 1 MOVE 1 1 DEMOLISH r INSTALL REPAIR PROPOSED USE I I SFR 1 1 COMM 1 I OTHER 1 I TYPE OF CONSTRUCTION I 1 BLOCK I I FRAME I I STEEL I 1 OTHER I I DESCRIPTION OF WORK C��r , kr/ 0 0/ 1 c tcu L.� _4(..." BUILDING SIZE lo. x la / SQ FOOTAGE g 762 HEIGHT ■ /Q BUILDING $ , b - A) .°° VALUATION OF TOTAL CONSTRUCTION I I ELECTRICAL $ AMP SERVICE N PRO ESS ENERGY I 1 W.R.E.C. I I PLUMBING $ l CO P I 1 MECHANICAL $ VALUATION OF MEC : NICAL INSTALLATION C n4 ' / / GAS I ROOFING 1 1 SPECIALTY 1 I OTHER V ito tu ( FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 'YES 1 INO _ \ � ` J� COMPANY C► K+ ,- //�/�(�- 7" �� al SIGNATURE 11-44-Y- REGISTERED [ Y/ N I FEE CURRENT I Y / N I Address 2'!!3 Ulk, Xi k ! / ' 3 Q License # ELECTRICIAN d COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address License # PLUMBER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address License # MECHANICAL COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address License # OTHER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address 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) 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 1, 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: 1 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, 1 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 OWNER OR AGENT ° �"` 14`�"' CONTRACTOR k- ubscrib d and sworn (or affir ed) efore me thls /3 y i( 1.443/4) a Subscr ed sworn to r med) b e e t is fieVeir-ser 0Y by y Who is /are ersonall known to me or has /have produced Who Is /are personally k - - nown to rpe or ha /have produced as identification. p as identification. -- Commission No. Notary Public --� Notary Public Commission >1.( NOTARY Pi1Rf. .ST/�$!)g mm Commission PUBLIC STATE OF FIARIDA Suzanne Bahr s. • �1 l 7 Sanne B ahr Name of Notary tyb Name of Notary typed, print t aission #DD 601110 �.,, ,,•• ores: OV. 15, 2010 •` Expires: NOV. 15, 2010 30NDED TNRU ATI.ANt1C BONDING CO., INC ' fii' ATLANTIC BONDING CO., INC iii , _.... City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: ( >i y . 77kn s A ri Date Received: /1 /13- D r Site: (v6 2 /QlG19£'GJGLy /�— Permit Type: ( y � `L■{ 9 _ 0( - Gt)ar / Z C/6 Approved wino comments: ❑ Approved w /the below comments: It Denied w /the below comments: ❑ ‘6 114 ( pr e( V e ( 4 -1' L ( 6( -ex n +�' � o 4 F.A.A4 J ,c., a.) a Lfi-t stiaSr_ 6_e_ y ptel -- 4 - j...it /yea : P This comment sheet shall b pt 'th the permit and/or plans. Kalvin Swi / (7e er — Plans aminer Date •ntractor n or Homeowner i (Required when comments are present) FIRST CLASS Er GatorTransport and Setup Construction Division IN BUSINESS SINCE 1998 hi I E + 9113 Wire Rd Zephryhills, FL 33540 Office #: (813) 783 -8383 Fax #: (813) 783 -2323 OFL -0554515 CR- CO58513 IH- 0000487 PROPOSAL AND CONTRACT Job: 42 Bill To: Interstate Homes,Keith Date: 11/10/2009 Address: 6082 Ridge way dr Owner Interstate Homes, City,State,Zi zephyrhills, Florida 33541 Home: (813) 782 -2276 Job Addr: 6082 Ridge way dr Work: zephyrhills, Florida 33541 Cell #: WE PROPOSE TO PROVIDE SERVICES AS PER THE TERMS AND CONDITIONS LISTED BELOW: To pour 12x97 concrete slab with 12x49 carport and 12x9 shed with 1 36x80 door and 1- shed window siding to match home. Two sets of four high steps with stoop and hand rail and horizontal siding vented to match home. Permits and plans included All of the above to be completed in a substantial and workmanlike manner according to standard practices for the Sum of Ten Thousand Two Hundred Twenty Two and 00 /100 DOLLARS $10,222.00 Payments to be made upon completion Any alteration or deviation from the above specification involving extra cost of materials or labor will only be executed upon written orders for same, and will become an extra charge over the sum mentioned in this contract. This includes also any additional requirements from the building department for inspections, documented price increases for materials or supplies while work is in progress or job related work not included on the original contract Received Date: RESPECTFULLY SUBMITTED BY LICENSE#: CR -C tlS' if any amount payable here under fs'not paid when due or declared due, this note may be placed in the hands of an attorney at law for collection and in that event the undersigned jointly and severally agree to pay all costs of collection including any responsible attorney's fees and court cost ACCEPTED: DATE: Page 1 of 2 6 -.e- r 1 - htiv r/ f "- lip _ .wit c . ,Comp.ny Name I.D. # 7c e t GUay/lig- Cs\L - 'bS %S7 3 License Holder's Name License #: 9 //3 GUS 40/ Address 7 p4 r itt} 4 PG 3,31541- To Whom It May Concern: Please be advised that Suzanne Bahr, Sharon Reeves, and Stacie Hartwig of Pasco Permit Service have my permission to sign and pick up permits for me until further written notice. Sincerely, Licen older Signature NOTARY STATE OF FLORIDA - COUNTY OF PASCO The foregoing instrument wks sworn o and subscribed before me this ,/,::.t%, day of ,) M jC ..., e , ..:119,97 . Personally known d or Produced identification .0 d1DIIH A Itit; ; MY COMMISSION 1 DD 783431 F EXPIRES: Apl 28, 2012 eo.a.anwnoanN*uftWei . / Commissioned Stamp ottary signatur- and Expiration Date State of Florida County of Pasco CITY OF / / / / BUILDING ZEPHYRHILLS DEPARTMENT OF ADDITION OR CORRECTION DO NOT REMOVE - ADDRESS DATE PERMIT , f 40 i s g 1y.eiick) x -0 Y (t 8 The following dditions or corrections s hall be made befordthe job THIS JOB HAS NOT BEEN COMPLETED. 9 I will be accepted. ( 1 �/ 1•'1 G� /� er A �v�' l r 400" 00 7 F:,f36 r R 3!I , 9 It is unlawful for any Carpenter, Contractor, Builder, or other persons, to AFTER CORRECTIONS RE MADE CALL cover or cause to be covered, any part of the work with flooring, lath, earth 780 )PECTION 20 -I or other material, until the proper inspector has had ample time to approve the installation. OFFICE HOURS 7:30 AM - 4:30 PM MON. -FRI. INSPECTOR CITY OF / / NOTICE" BUILDING ZEPHYRHILLS DEPARTMENT OF ADDITION OR CORRECTION DO NOT REMOVE _ ADDRESS DATE PERMIT* 4/0 §a ?l if it 10 2 -09 tea, THIS JOB HAS NOT BEEN COMPLETED. The following additions or corrections shall be mode before the job will be accepted. a LMi'r !he &AA fe fer /'6J ±)e , It is unlawful for any Carpenter, Contractor, Builder, or other persons, to AFTER CORRECTIONS ARE MAD CALL cover or cause to be covered, any part of the work with flooring, lath, earth or other material, until the proper inspector has had ample time to approve 780-0020 F R IN P C;f N the installation. OFFICE HOURS 7:30 AM - 5 PM MON. -FRI. INSPECTOR ■ / CITY OF / "NOTICE" / BUILDING DEPARTMENT OF ADDITION OR CORRECTION. DO NOT REMOVE ADDRESS n, i DATE PERMIT f &/ , 61,c1/4-4" k ''c( 1 k'c /) - _' re/ 7 K ;, ' he following additions or corrections shall be made before the job THIS JOB HAS NOT BEEN COMPLETE6. will be accepted. C.> I AciCk G me !LA T �-` k /tSi" i f�'1�r. '/'' )e( I I 3 pki-i- C, (met e • tki DeSr A Ma UCL{ l/I lh i 4'l -vl S q / 4r . -IL 1 ECAVLJ It is unlawful for any Carpenter, Contractor, Builder, or other persons, to AFTER CORRECTIONS ARE MADE CALL cover or cause to be covered, any part of the work with flooring, lath, earth or other material, until the proper inspector has had ample time to approve 780 -0020 FO RE-IN CTION the installation. OFFICE HOURS 7:30 AM - 5 PM MON. -FRI. INSPECTOR e --/ PERMITAPPLItATION i - \A 1 . DRIVEWAY ipERmrr .APPLICATION CONSTRU.CEION WITHIN P.UBLIC :R,IGHT-OF-MAY All information must be completely City_cifZephyrhills 3335 8 Street,Zephyrhills, 'FL 33542 - Telephone R13:780.0000 Fax 813:780.0005 "PRO3ECP ...10E - l:idress: 0 -'djfto it/l/ Name: 7 ' r Unit #: Address: 4)ot AL / ftiOgy, h'Untt: . Parcel Identification 'Number: City, State, _Zip 74/01.1ii f/ J3s1 2_ Phone: Fax: :CONTRACTOR: Company: C-44 0r 7 ,4 Name: V6-4.1-r Cu yi r Conra t r's License*: cm - Cas 7 E-Mail: -Phone: f/3) 7/ V 934 g *Cell: Fax: ARCHITECT/ENGINEER Name: - Firrn Name: 'Address: City: State: Zip: State License #: Phone: Cell: Fax: Descriation of Project T)DE OF DRIVEWAY LENGTH OF DRIVEWAY CULVERTS NEEDED V RESIDENTIAL DRIVEWAY J el WIDTH OF DRIVEWAY ( ) REINFORCED CONCRETE COMMERCIAL DRIVEWAY &L,1.LN. EXCAVATION ( ) CORRUGATED MATERIAL PUBLIC An DRIVEWAY DEPTH LINEAR 1-tt 1 ( ) BOX CULVERT ( ) OTHER (EXPLAIN) CONSTRUCTION MATERIAL CURB CUT REOUIRED ASPHALT YES NO CONCRETE HEADWALL REOUIRED? YES X NO NOTICE TO APPUCANT: If actual work exceeds scope of this description, additional permits or drawings will be required. UTILITY LOCATIONS REQUIRED: CALL BEFORE YOU DIG: 1.800A32.4770 Page 1 of 3 zPERMrrAPPLZCATION UTILTEIESILOCA'TE CONFIRMATION cPROVIDEISKETCH aim 'THIS !AREA, IF ADDrCUJNAL 'SPACE IS REQUIRED, •ATTACH 71:1THIS APP LICATIO N • • A406Z 5 • OL. "•c5 A • '` • • 1°_,StI>X14)44 ui/elcrimus(opLP-Ase) • )T A4* g. ee.. 17 L'? Cc-+,v -C4441 Car 4.>/ /7,00 >0 4i# 7ez/46 (Age • 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 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 woric.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.ci.zephyrhills.fLus/public worics.asp) APPLICATION IS VOID UNLESS SIGNED WITH PROPER IDENTIFICATION AND WITNESSED BY A PERMIT TECHNICIAN OR NOTARY PUBLIC. NOTE: The City of Zephyrhilis is not responsible for maintenance or repairs of driveways. Driveways shall not alter / interfere with existing stormvvater treatment and / or conveyance. • PROPER W ERE: By signing this - application: I certify that I have read and understand the owner/builder disclosure statement. - • (please initial) • afite.r • Cy ey I I- 30 -of Applicant Fyint Name App nt Signature • Date • Cu_ /464144)/f /1-30 - 09 Permit Technician Signature (or) Notary Signature Date • Applicant is ( ) personally known to me or produced • • as identification. • (type of identification) Page 2 of 3 _ _ PERMIT APPLICATION :OFFICE :USEfONL'•Y Concrete (min. • 6 ") N *kW, 6 " 714 tC w ( W Asphalt Base (min. 6 ") . Y N N /4 Asphalt (min. =1.-1/2") - Y N Length (min. "i9') fib N L Q To wbOe of PA E [ Width (10' min —20' max) dO N Existing sidewalk. U N Newsidewalk. N ADA compliant. l� N Expansion material required. C N Contiguous parking pad. Y Triangularflare (3'W x 7'L) ( .N Visibility triangle o.k.? N Side set back (3' min. R.O.W.) 3 N Plan Review Fee . i!rattCDiatla • S/DENt/ALK .m01 /5r 42:14 LbistPU4NT • S /DEh✓.�l GCE A!. 1 CONT/d/vcvf .MIi/EW, Pe • N /07 T 7 o P41NS/A o o(NT( SEE" SSE i . PA/rf/✓4y Cdi4l.� ,vor 4/TEp wiry ? F. 11`IiWEY•htJeE SIA9V14mtT . Permit application approved by: =or" Date: ii ► �. Page 3 of 3 - -.. - .4. • ' . , . . . . . . ., .. . . . , _ . . . ...,, ............ - . . ... . . 4 .... ,• ...............1 a ° ' . .. . 4 , ' ' r ..1 I 1 - . ' . . ...:- .,. . till . . i — 4 I _ -----'" i . . . . _ ,„... • ,- --- • i _ , .. - --. . • lig , _ . __ _ • . _— ----- . — A . " , , r , — 1 . . _ , : — 7 7 ''': : ^rr -- ' ' ,..,-... ' . ., ' ' I . . - - i • . .. ... . -- . . . . . , —__ .. . _ . . -- i - . . , . ' ... .. . _ , I . . , . .... . . .- .- . ..,' . +*$ . _ - . 4 ' 4 a. . • ...= •1 XI . .... . _t -4.. ..... ..... 74. .:,, . __. - - — . . r . •_. . .,,, - • .•#°' , t,. , .47 , • . - , . . . ..."... 1 1 , ... - _ . v " ■ a > J . . � ~ / T • • • • • • • • • Jacqueline Boges From: Jacqueline Boges Sent: Monday, November 30, 2009 11:57 AM To: Shane LeBlanc Subject: ' DRIVE WAY PERMIT IN YOUR BOX Shane placed in your box a application for a drive way for 6082 Ridge way drive. Thanks Jackie Boges Code Support Specialist ext. 3513 PERMIT APPLICATION DRIVEWAY PERMIT APPLICATION =CONSTRUCTION -WITHIN PUBLIC RIGHT-OF-WAY All information must be -in completely City. of:ZephyrhiIIs 5335 8 Street,Zephyrhills, :FL 33542 Telephone 813.780.0000 Fax 813.780.0005 Y new ^%z'.-sa� raaw. i�r �� I� ��' 13i� { :e� 5� s z,; 1 � .. �, Y -S s `rz- ��t�" ;� ��� ..�...�.: x:, ` r k o lth h blykr k�l� J : r u. � c r, J€{. e .l�G�''" =°1� u � H t &r .;ti � . . _ e_ — PROIECT JOB`SITE: PROPERTY' OWN ER Address: d o w Dr/1e Name: CA T 1 ' i/r Unit #: Address: 6Of6/_ �� � f J � / : 33SYa- Parcel Identification Number: City, State, Zip Z Phone: Fax: CONTRACTOR: Company: G- 4-&19p - tilm RCf Name: 7 64.t.r eyr Contra is Li ense #: L K- C d 51513 E -Mail: Phone : /3) 7/y 93 Si Cell: Fax: ARCHITECT /ENGINEER: Name: Firm Name: Address: City: State: Zip: State License #: Phone: Cell: Fax: Description of Project TY,PE / OF DRIVEWAY g LENGTH OF DRIVEWAY CULVERTS NEEDED RESIDENTIAL DRIVEWAY d- WIDTH OF DRIVEWAY ( ) REINFORCED CONCRETE COMMERCIAL DRIVEWAY R.O.W. EXCAVATION ( ) CORRUGATED MATERIAL PUBLIC ACCESS DRIVEWAY DEPTH LINEAR FEET ( ) OTHER LVERT CONSTRUCTION MATERIAL CURB CUT REOUIRED ASPHALT YES NO CONCRETE HEADWALL REQUIRED? YES X 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 I. of3 tPERMX T:APP.L'ICATION UTILMES'_LOCATE'CONF.IRMATION "NUMBER: :P. ROVIDE'.SKETCH IN 'THIS AREA, IF ADDITIONAL 'SPACE IS 'REQUIRED, ATTACH TO'THIS APPLICATION. /- SotIV An* .CR.05s 96 / Cc-e S4&. Car w,/ &(AWS/l.N/ iltlf reg /#4. (86: AFFIDAVIT: Application is hereby made to obtain a permit to do work and installations as indicated. I certify that,ail 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 verification that' 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 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 Zink: www.ci.zephyrhllis.fi.us/public_worics.asp) APPLICATION IS V.OID UNLESS SIGNED WITH PROPER IDENTIFICATION AND WITNESSED BY A PERMIT TECHNICIAN OR NOTARY PUBLIC. NOTE: The City of Zephyrhiils is not responsible for maintenance or repairs of driveways. Driveways shall not alter / interfere with existing stormwater treatment and / or conveyance. PROPER W F ERS: By signing this application: I certify that I have read and understand the owner /builder disclosure statement • • (please initial) Cu Ej /Le r //- 3D -D9 Applicant P 'nt Name App nt Signature Date Cu- 11(1/1_540/ f / / -JO - a1� Permit Technician Signature (or) Notary Signature Date Applicant is ( ) personally known to me or produced as identification. (type of identification) Page 2 of 3 PERMIT APPLICATION = OFFICE:USE -ONLY . ( o ` ` 1111(4 .. .. �' Concrete (min. 6 ") N 6 " T'14 IC IC W tTlh( L) R .O• W, Asphalt Base (min. 6 ") Y N Asphalt (min.11/2 ") Y N /1/4.Vik Length (rnin.19') () N EDGE of Pa aEt Width (10' min —..20' max) N 12/ Existing sidewalk. N New sidewalk. (2) N ADA compliant. (1 N Expansion material required. CY > N Contiguous parking pad. Y Triangular flare (3'W x 7'L) N Visibility triangle o.k.? J) N Side set back (3' min. R.O.W.) N Plan Review Fee l�I�i��C'�r=rp�anf�nio��C��as'� .ulf�l�c�Ninr�`f�s"t��r s� n • uT 7 '0 J> • 3 ANT. • S/DEvv/ALK 4w5r /r 4D4 Cb *4)4 oe0CS SLOPE �% • • $if V GK r Co/VTiNVoof .MIVO✓4 PEDESTe .✓ ,Qa r <o /NCL.VOi p2I6 �S�pti yS, i) O /NTl Cu" SL'ETCL! • PA /VEA/A' Ci/AGL- oVor /v7e k//T// ?lfF 07,(4/EYoweE ar- S7Aeottai L7e, s 1 � I. qv' Date: �� ► i, Permit application approved by: Page 3 of 3 a_4 074 1111111 Hill 1111111111h illh ill 111111111111111111111111IIII 2009169359 • Rcpt:1275216 Rec: 10.00 DS: 0.00 IT:0.00 11/24/09 ------ .------ - - Dpty C1erk PAULA . O'NEIL, PASCO CLERK COMPTROLLER NOTICE OF COMMENCEMENT 11/24/09 It 2t5 2� I ER 1 27 OR BK Permit No. Property Identification No. C — el4 — 02- `—(JI3C)—Gate THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Section 713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCEMENT. 1. Description of property (legal description :) /- /i; �6 4 Po 7t Ldp ity d�z 39fr fro /yd/ a) Street Address: & dig #-C �� '' • - P' a ' 2. General description of improvements: <S 4j £ a4 dry t Mci-e - 3. Owner Information / - / ,, , �/ / / a) Name and address: C! a �4CM C cL/) & Jr 6 d/&- e_ili y OP_ c_, /"'�(le . b) Name and address of fee simple titleholder (if other than owner) •/ v R c) Interest in property ontractor Information / / , • / � a)Nameandaddress: � (��/' �il f ■I><ly Fax .Gsce � l?a.? �lJLte .Cod /ry , � b) Telephone No.: Fax No. (Opt.) 7 J 77• jis 5. Surety Information . a) Name and address: b) Amount of Bond: _ c) Telephone No.: Fax No. (Opt.) 6. Lender a) Name and address: Phone No. 7. Identity of person within the State of Florida designated by owner upon whom notices or other documents may be served: a) Name and address: , ,, b) Telephone No.: Fax No. (Opt.) 8. In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13(1) (b), Florida Statutes: a) Name and address: b) Telephone No.: Fax No. (Opt.) 9. Expiration date of Notice of Commencement (the expiration date is one year from the date of recording unless a different date is Specified): WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMF,p10EMENT. STATE OF FLORIDA ,, '' COUNTY OF PASCO / — '" 01. 14/1 Signature of Owner or wn r's Auth rized Officer/Director/Partner /Manager Or Print e Naa , me ` e /l/ The foregoing inst u nt was acknowledged before me a this 0 2 / 6/ day of noe �/'- , 20 it , by cifJ as f (type of authority, e.g. officer, trustee, attorney in fact) for - 1 0/' cf f i )L (L_)p (name of pa:-ty on behalf of whom 'nstrument was exe uted). Personally Known I/ OR Produced Identification Notary Signature /J Type of Identification Produced Name (print) cJ /Qe' G4r)7&/l y Verification pursuant to Section 92.525, Florida Statutes. Under penalties .f perjury, I declare that I have read the foregoing and that the facts stated in it are true to the best of my knowledge and belief, �- r : . attire o atural Person Signing FORMS /NOC,rvsd2007 • NOTARY PUBLIC -STATE OF FLORIDA ,., Stacie Hartwig Commission # DD926164 • 1 vm. • 'a, Expires: OCT. 16, 2013 BONDED TIM ATLANTIC BONDIItG CO, INC . -STATE OF FLORIDA, COUNTY OF PASCO :4 TRIStS TO CERTIFY THAT THE FOREGOING IS A / , ,``: T a , ‘1 D CORRECT COPY OF THE DOCUMENT / � s° " a. OR OF PUBLIC RECORD IN THIS OFFICE � � ' , " t y TA : p MY HAND AN FFI IAL SEAL THl f s br 2 �.* a i�',i._ DAY OF +�MPTROL.' “,7 -4 o: , •'NEI . CLERK &. QCt . 4 - K F /4zG.C._/4 P/A✓� G/22: g 8 pkaP � n 0 E .� Q l N �' ' /6 a f 1 n; ti .ti C %� C , Florida Building Code Online Page 1 of 2 infiaMn - it .: •t c .. _.. a x, . _ r:xR oCANCNE ABDUTDCA vCAn ityRAM Took BCIS Home Log In User Registration Hot Topics Submit Surcharge Stets & Facts Publications FBC Staff BCIS Site Map Links Search a " Product Approval I { P w '-' USER: Public User i CQmmu €ty Affa - Product Approval Menu > Product or Application Search > Application List > Application Detail FL # FL161 -R3 ' ry Application Type Revision Code Version 2007 it Application Status Approved Comments a � t Archived Product Manufacturer Custom Window Systems, Inc. Address /Phone /Email 1900 SW 44th Avenue Ocala, FL 34474 (352) 368-6922 Ext 207 mlafevre @cws.cc Authorized Signature Michael LaFevre mlafevre @cws.cc Technical Representative Michael LaFevre ## Address /Phone /Email 1900 SW 44th Avenue Ocala, FL 34474 (352) 368-6922 Ext 207 MLaFevre@cws.cc Quality Assurance Representative Ralph Emminger ## Address /Phone /Email 1900 SW 44th Avenue Custom Window Systems, Inc. Ocala, FL 34474 (352) 368-6922 Ext 208 Ralph @cws.cc Category Exterior Doors Subcategory Swinging Exterior Door Assemblies Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer Evaluation Report - Hardcopy Received Florida Engineer or Architect Name who Roberto Lomas developed the Evaluation Report Florida License PE -62514 Quality Assurance Entity Keystone Certifications, Inc. Quality Assurance Contract Expiration Date 12/31/2010 Validated By Steven M. Urich, PE Validation Checklist - Hardcopy Received Certificate of Independence FL161 R3 COI 511038 (Eval Rep Guardian Door).odf Referenced Standard and Year (of Standard) Standard Year ANSI /AAMA /WDMA 101/IS2 -97 1997 Equivalence of Product Standards httn://fl oridabuil ding .ora/nr/nr ann dtl. asnx? naram= wGEVXOwtDawf4nuAXh1045csM... 6/11/2009 Florida Building Code Online Page 2 of 2 Certified By Sections from the Code • Product Approval Method Method 1 Option D Date Submitted 03/04/2009 Date Validated 05/05/2009 Date Pending FBC Approval 05/11/2009 Date Approved 06/09/2009 Summary of Products IFL # 'Model, Number or Name IlDescription li 161.1 Guardian Hinged Door Guardian Hinged Door w/ Glazed Insert (Operable or Fixed). Limits of Use Installation Instructions Approved for use in HVHZ: No FL161 R3 II CWS -176B (Guardian Door).pdf Approved for use outside HVHZ: Yes Verified By: Roberto Lomas 62514 Impact Resistant: No Created by Independent Third Party: Yes Design Pressure: +40/ -40 Evaluation Reports Other: Not for use in HVHZ. Primarily used with Screen FL161 R3 AE 511038A (Eval Rep Guardian Door).pdf Rooms. Created by Independent Third Party: Yes 161.2 Guardian Hinged Door IjGuardian Hinged Door w/ Solid Core. Limits of Use Installation Instructions Approved for use in HVHZ: No FL161 R3 II CWS -242A (Guardian Door no glass).pdf Approved for use outside HVHZ: Yes Verified By: Roberto Lomas 62514 Impact Resistant: No Created by Independent Third Party: Yes Design Pressure: +40/ -40 Evaluation Reports Other: Not for use in HVHZ. Primarily used with Screen FL161 R3 AE 511050A (Eval Rep Guardian Door no Rooms. glass).pdf Created by Independent Third Party: Yes Back Next DCA Administration Department of Community Affairs Florida Building Code Online Codes and Standards 2555 Shumard Oak Boulevard Tallahassee, Florida 32399 -2100 (850) 487 -1824, Fax (850) 414 -8436 © 2000 -2005 The State of Florida. All rights reserved. Copyright and Disclaimer Product Approval Accepts: I I� eChxY.I El BObbr APPROVE httn: / /floridahuilding.org /nr /nr ann dtl .asnx ?naram= wGEVXOwtDawf4ngAXh 1045csM -.. 6/11/2009 21Ia z Egi2Wg r Is m a mT � � 2PwSw0 .. m��� r; a z0 5 - cigg - — M . ~ Cl MX 6.+ A m -- 0 m • T o g m ilisi • oP P • ' m a x Z • . . ..er _ --- M. __ ■ X 1 ± i 1 :1-11:1 s. Z Z Z1 zzR m ° : m m il n g T� m m p � rn cn 9a w N m— .gg is m � m 2 D V p ° G r f . 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Address /Phone /Email 1900 SW 44th Avenue Ocala, FL 34474 (352) 368-6922 Ext 207 mlafevre©cws.cc Authorized Signature Michael LaFevre mlafevre @cws.cc Technical Representative Michael LaFevre ## Address /Phone /Email 1900 SW 44th Avenue Ocala, FL 34474 (352) 368-6922 Ext 207 MLaFevre©cws.cc Quality Assurance Representative Ralph Emminger ## Address /Phone /Email 1900 SW 44th Avenue Custom Window Systems, Inc. Ocala, FL 34474 (352) 368-6922 Ext 208 Ralph @cws.cc Category Windows Subcategory Single Hung Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer Evaluation Report - Hardcopy Received Florida Engineer or Architect Name who developed Roberto Lomas the Evaluation Report Florida License PE -62514 Quality Assurance Entity Keystone Certifications, Inc. Quality Assurance Contract Expiration Date 12/31/2010 Validated By Steven M. Urich, PE Validation Checklist - Hardcopy Received Certificate of Independence FL163 R2 COI 510510A (Eng Eval Rep SH- 3500).odf Referenced Standard and Year (of Standard) Standard Year ANSI /AAMA /WDMA 101/IS2 -97 1997 Equivalence of Product Standards Certified By Sections from the Code 1 of 2 3/4/2009 9:53 AM Florida Building Code Online http:// floridabuilding. org/ pr/ pr _app_dtl.aspx ?param= wGEVXQwt... Product Approval Method Method 1 Option D Date Submitted 11/10/2008 Date Validated 11/10/2008 Date Pending FBC Approval 11/14/2008 Date Approved 12 /10/2008 Summary of Products FL # Model, Number or Name Description 163.1 3500 Single Hung 3500 Single Hung Limits of Use Installation Instructions Approved for use in HVHZ: No FL163 R2 II CWS -268A (SH- 3500).pdf Approved for use outside HVHZ: Yes Verified By: Roberto Lomas 62514 Impact Resistant: No Created by Independent Third Party: Yes Design Pressure: N/A Evaluation Reports Other: 3500 Single Hung Equal Lite H -050 55x91; 3500 FL163 R2 AE 510510A (Eng Eval Rep SH- 3500).odf Single Hung Oriel H -C45 55x91 Created by Independent Third Party: Yes Back I Nextl DCA Administration Department of Community Affairs Florida Building Code Online Codes and Standards 2555 Shumard Oak Boulevard Tallahassee, Florida 32399 -2100 (850) 487 -1824, Fax (850) 414 -8436 © 2000 -2005 The State of Florida. All rights reserved. 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