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Home My WebLink About10-10461 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 10461 DRIVEWAY PERMIT 71 zrg ® _£ Permit Number: 10461 Address: 39037 6TH AVE Permit Type: DRIVEWAY ZEPHYRHILLS, FL. Class of Work: DRIVEWAY /NEW Township: Range: Book: Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 12- 26- 21 -002A- 00200 -0020 Improv. Cost: 500.00 4` g a F § -. - W x ENE, .Ti .ft Date Issued: 5/12/2010 Name: DOMINGUEZ, ABEL & MARTIN DANNA Total Fees: 35.00 Address: 39037 6TH AVE Amount Paid: 35.00 ZEPHYRHILLS, FL. 33542 Date Paid: 5/12/2010 Phone: (813)469 -4808 Work Desc: EXPANSION TO EXISTING DRIVE WAY 36.7 X 17.8 E ; v, r RI € a add 3sy °$� a HOMEOWNER DRIVEWAY 35.00 �.3_ y. z `d•I �a �:. % ,a 4.. #' W # 6,. . i ti. > M'.'. A # ✓` ' g f ": • RIVEWAY 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." ' % C NTRACTOR PERMIT OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 I4OUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813 - 780 -0020 City of Zephyrhills Permit Application Fax 81 780 - 0021 Building Department 4 16€(6( / Date Received Phone Contact for Permitting – Owner's Name 1j 111M1 ■ Owner Phone Number L3 q0O Owner's Address 3703 y 6 Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address / y �, JOB ADDRESS Vn (V 1 03 ?- � "` AAA- LOT # SUBDIVISION PARCEL ID#1 (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD /ALT n SIGN n MOVE n DEMOLISH INSTALL REPAIR PROPOSED USE n SFR 1 1 COMM n OTHER 1 TYPE OF CONSTRUCTION 1 1 BLOCK �' I 1 FRAME I 1 STEEL n ` OTHER 1 DESCRIPTION OF WORK L_ _ 36'-q l IN - 1 7 " e / (v '7L cum ' i e - BUILDING SIZE SQ FOOTAGE HEIGHT 1 I BUILDING $ ¢' S 00 VALUATION OF TOTAL CONSTRUCTION ELECTRICAL $ --1 AMP SERVICE I f PROGRESS ENERGY n W.R.E.C, F PLUMBING $ I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION 11 GAS 11 ROOFING 1 1 SPECIALTY n OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IYES nNO BUILDER �;/ COMPANY 711 0 Uvi9 Y SIGNATURE '7 REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address 1 License # ELECTRICIAN COMPANY SIGNATURE REGISTERED 1 Y / N I FEE CURRENT 1 Y/ N 1 Address License # PLUMBER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N 1 Address License # I MECHANICAL COMPANY SIGNATURE REGISTERED 1 Y/ N I FEE CURRENT I Y/ N 1 Address I License # OTHER COMPANY SIGNATURE REGISTERED I Y/ N 1 FEE CURRENT I Y/ N 1 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 "Teed" 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, 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 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. 1117.0 OWNER OR AGENT 1 i l CONTRACTOR /�` Subscribed and sworn] (9r 7medl be ore methis Subscribed and sworn to r a rm d) before me kt_y's - byeX 7i ) -/1ly1 Gf� ()-t t� by � A 6 d 2 / o rvi In Who is /are personally known to me or has/have p duced Who is /are personally known to me or has /have produced as identification. (; • . as identification. t' Notary Public L ' Notary Public Y «a = , ` *, : ,� JACtir ELINE BOGES •% Commis i` • , • Commission DD 621833 commis.i No. , 'n� * Commission DD 621833 s.: • • • . _ 3.:. - oQ , ; Expir es December 12, 2010 ,� . q %'`�,' •, s' %wed Thru Troy Fern Insurance 800.385.7013 , F Bonded Thai Troy Fain in ."ro ) 000 905 -70 Name of Notary typed, printed or stamped Name of Notary typed, printed or stamped • DISCLOSURE STATEMENT NT .FOR OWNER CITY OFZEPHYRUILIX BUILDING DEPARTMENT have read and fu11y 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 s t, a ii 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 c =11 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 Zephyrbills 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 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 $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 sell or lease a building you have built or substantially improved yourself witl 1 year after the construction is complete, the law will presume that you 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 requiTed 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 workers' compensation for that employee, all as prescribed by law. Your construction must comply with all applicable laws, ordinances, building codes, and zoning regulations. n / /2"//d • OWNER'S SIGNATURE C - - DATE V ! ADDRESS 6 p PHONE (V2,) - y k WITNESS PERMIT # • • Pasco County Parcel: 12- 26- 21 -002A- 00200 -0020 001 Page 1 of 1 Data Current as Of: Weekly Archive - Saturday, May 08, 2010 Parcel ID 12- 26- 21 -002A- 00200 -0020 (Card: 001 of 001) Classification I 01 - Single Family Mailing Address Final 2009 Value DOMINGUEZ ABEL & Ag Land $0 MARTIN DANNA Land $22,393 39309 6TH AVE Building $75,645 ZEPHYRHILLS FL 33542 -5834 Physical Address Extra Features $2,598 39037 6TH AVE Market Value $100,636 ZEPHYRHILLS FL 33542 Assessed (Save Our Homes) $91,988 Homestead 196.031 - $25,000 Legal Description (First 4 Lines) Non- School Additional Homestead Exemption - $25,000 ZEPHYRHILLS COLONY COMPANY LANDS AKA YINGLINGS ADDITION Non - School Taxable Value $41,988 PB 2 PG 16 TR 2 LESS THE E School District Taxable Value $66,988 120.00 FT THEREOF Warning: A significant taxable value increase may occur when sold. Click here for details and info. regarding the posting of exemptions. Land Detail (Card: 001 of 001) Line II Use IlDescriptionll Zoning II Units II Type II Price II Condition II Value 1 1I 0100 II SFR II 00R2 II 7,500.00 II SF II $2.43 0 1.00 II $18,225 I I 2 II 0100 II SFR II 00R2 II 9,924.00 II SF II $0.42 II 1.00 II $4,168 I I Additional Land Information I Acres I 0.44 II Tax Area 0 3OZH II FEMA Code II X OResidential Codell ZHLGLP2 1 Building Information - Use 01 - Single Family Residential (Card: 001 of 001) I Year Built 2003 Stories 1.0 Exterior Wall 1 Concrete Block Stucco Exterior Wall 2 None Roof Structure Gable or Hip Roof Cover Asphalt or Composition Shingle Interior Wall 1 Drywall Interior Wall 2 None Flooring 1 Carpet Flooring 2 None Fuel Electric Heat Forced Air - Ducted A/C Central Baths 2.0 I Line II Description I Sq. Feet II Repl. Cost New I 1 II BAS II 1,010 II $69,114 I 2 II FOA II 240 II $4,106 I 3 II FGR II 253 II $6,911 I 4 0 FOP II 20 11 $342 Extra Features (Card: 001 of 001) Line II Description I Year II Units II Value 1 II UDG I 1930 II 312 0 $374 2 II DWSWC 1 2003 II 315 II $638 3 II CLFENCE I 2004 II 1,500 II $1,586 Sales History Previous Owner 1 RYMAN CONSTRUCTION INC Year II Month I Book /Page II Type II Amount 2003 II 07 1 5476 / 0854 II WD I $20,000 2003 I 04 I 5304 / 1722 II WD 0 $20,000 1989 II 03 I 1789 / 0588 (I WD II $15,000 I http : / /appraiser.pascogov. com/ search /parcel. aspx ?sec =12 &twn= 26 &rng=21 &sbb= 002A &... 5/12/2010 cot) 371 --9? 2 Jacqueline Boges From: Jacqueline Boges Sent: Friday, May 07, 2010 1:53 PM To: Shane LeBlanc Subject: DRIVE WAY APPLICATION GREETING SHANE, THERE WAS DRIVE WAY APPLICATION PLACED IN YOUR BOX ON APRIL 26 AND WE HAVE NOT RECEIVED IT BACK FOR PERMITTING. DO YOU STILL HAVE THIS APPLICATION IT IS FOR ABEL DOMINQUEZ @ 39037 6 AVE? Jackie Boges Code Support Specialist ext. 35 r 1 ^ 1 51/6/10 (D33 /6)-ril 1 • : PERMIT-APPLICATION DRIVEWAY PERMIT APPLICATION CONSTRUCTION WITHIN :PUBLIC :RIGHT OF =WAY All information t be- fIlled_:n completely ;City ofZephyrhills 5335 8t 'Street,2ephyrhills, -FL 33542 Telephone 8 13.780.0000 Fax 8 13.780.0005 ' s rv� K - • U PROJECT _ �.. L h i 7OBtSITE: PROPERTY OWNER Address: Unit #: Parcel Identification Number: Address:37 /o (404,A/01- Unit: — 0Oi bC� —dO0 C StateZi• r-. - . t) Phone: 9/3 - 3 .55 -// -5 Fax: CONTRACTOR: Com. - : jn : if) — , „ /T Name: , L Contractor's License*: -Phone: /3 — ,3 / - _5" Cell: "41e . 1Fax: Fax: ARCHITECT /ENGINEER: Name: I ; ". 4 - Firm Name: Address: CI State: Zi • State License #: Phone: Cell: Fax: union of Proi RESIDENTIAL DRIVEWAY 5f � ' LENGTH OF DRIVEWAY x,44 V ' COMMERCIAL DRIVEWAY Z>�WIDTH OF DRIVEWAY NEED D PUBLIC ACCESS DRIVEWAY'•' �EXCAVA ON ( ) REINFORCED CONCRETE [2_DEPTH ?6 LINEAR FEET ( ) BO )BOX CULVERT MATERIAL CONSTRLr_??nN ( CLVERT ASPHALT y SUt� BUT En11TQRM1 ( ) OTHER (EXPLAIN) CONCRETE �� 4,49 I A�J1S Y� NO HEADWA 'Q ntrIRFQz YES ZNO NOTICE TO APP If actual work exceeds scope of this descri will be required, ption, additional permits or drawings UTILITY LOCATIONS R UIRED CALL BEFORE YOU DIG: 1.800.432.4770 Page 1 of 3 -PERMITAPPLICATION DRIVEWAY:PERMIT:APPLICATION CONSTRUCTION WITHIN 1PUBLIC :RIGHT-OF-WAY 'All information must be completely • City_orZephyrhills 1 3335 8 th.Street,2eph - Telephone 813380.0000 Fax 813.780.0005 - .---- - - - - - '.- --' ' '''' ' + -,..Z"`" -- 7,1 ,7?; \l'I. * I) ...-1 ' fill• _:,'-' r : JOBSITE: f -PROPERTY Address: '-- 4 ,71 , e , 7-e-r ,-- Name: 2 AIMED • A ' A • . z_ Unit #: Address: 390 ? 07,4a, Parcel Identification Number: CitYrState, - _et---4/1/1 A Phone: CONTRACTOR: Company: Name: Contractor's License #: E-Mall: -Phone: tell: Fax: ARCHITECT/ENGINEER: - Name: • Firm Name: 'Address: • City: • State: Zip: State License #: Phone: Cell: • Fax: ..1; • ; • 1 •j Pro' - TYPE OFDRIVEWAY X RESIDENTIAL DRIVEWAY WIDTH OF DRIVEWAY ( ) REINFORCED COMMERCIAL DRIVEWAY (z„,"----------------" - 91 R' i LENGTH OF DRIVEWAY-- 1 5 - t-ae 3 z i . & W. EXCAVATION CULVERTS NEEDED CONCRETE ( ) CORRUGATED MATERIAL - P1: 1 ' • B • EWA 5C_Ak _LINEAR FEET ( ) BOX CULVERT ( ) OTHER (EXPLAIN) ( 0 - u: am_ • N MA - ,: CURB CUT REQUIRED kk„.. • ASPHALT - YES NO *SONE-REM , HEADWALL REOLIII,' _YES 0 ,-- NOTICE TO APPLICANT: If actual work exceeds scope of this description, additional permits or drawings will be required. • UTILITY LOCATIONS REQUIRED: CALL BEFORE YOU DIG: 1.808.431.4770 Page 1 of 3 CITY OF / 'NOTICE" / BUILDING ZEPHYRHILLS DEPARTMENT OF ADDITION OR CORRECTION DO NOT REMOVE ADDRESS DATE PERMIT f zn 6 -4,- /a /0 Sri/ THIS JOB HAS NOT BEEN COMPLETED. The following additions or corrections shall be made before the job will be accepted. r /, / / 4 0 t 1 2 . 1 f r � / /''cf7- 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 780 -0020 FOR RE -INSP CTI or other material, until the proper inspector has had ample time to approve the installation. OFFICE HOURS 7:30 AM - 5 PM MON. -FRI. INSPECTOR