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Home My WebLink About10-11072 CITY OF ZEPHYRHILLS 5335 - 8TH STREET (813)780 -0020 11072 DRIVEWAYPERMIT Permit Number: 11072 Address: 6127 1 9TH ST 'Permit Type: DRIVEWAY ZEPHYRHILLS, FL. Class of Work: DRIVEWAY /REPLACEMENT Township: Range: Book: Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section: Square Feet: Subdivision: ZEPHYR BREEZE Est. Value: Parcel Number: 02-26-21-0190-00000-0360 Improv. Cost: 2,200.00 r te; Date Issued: 10/22/2010 Name: DUNN, ROBIN & BRUCE Total Fees: 50.00 Address: 6127 19TH ST Amount Paid: 50.00 ZEPHYRHILLS, FL. 33542 Date Paid: 10/22/2010 Phone: (813)715 -4751 Work Desc: REMOVE & REPLACE EXISTING DRIVEWAY 14 X 19 ,s� HOMEOWNER DRIVEWAY . <.a` , :�' u �� - . HOM 50.00 6tk.' FINAL l _26 14 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 u • your p • . - rty. If you intend to obtain financing, consult with your lender or an attorney before record' g your Ia.- of commencement." / Alffirg.WWww—/ i '4 — l CONTRACTOR PERMIT OFF! - PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER s {'��* f PERMIT = APPLICATION m TM DRIVEWAY PERMIT :APPLTCAT:ION ICONSTRU:CIION `WITTHIN PUBLIC :RIGHT-OF-MAY All information must be -in completely City of:2ephyrhills 5335 :8 ' Street,Zephyrhllls, *FL 33542 Telephone 8.13 78 000 1 Fax 813J80.0005 - ': - 'PROJECT JOBjSITE: 1 PROPER A ' • VINE •4 Address: G/ 7 /? '445? Name: / s r 'fi i t Unit #: Addr� -. . , 44 Unit: - — - Parcel Identification 'Number: C State Zi• 0 0�1� .�9Wr Phone: fig -1/ 9 Fax: :CONTRACTOR: Com•an : -f.. 7F- , 3 p4/ 0- — Name: T � Contractor's License #: E -Mail: - Phone: ge/3 - ,395 - 4/ d/ Cell: '13 - 7i 41 3 Ter, Fax: 0 /3 — 3f'.5 - ( ARCHITECT /ENGINEER: Name: N /q Finn Name: Address: City: State: Zip: State License #: Phone: Cell: Fax: Description of Proiecii TYPE OF DRIVEWAY i'f LENGTH OF DRIVEWAY k , ` P° CULVERTS' NEEDED It RESIDENTIAL DRIVEWAY ti WIDTH OF DRIVEWAY " (.k) REINFORCED CONCRETE. COMMERCIAL DRIVEWAY R.O.W. EXCAVATION () CORRUGATED MATERIAL PUBLIC Af rFSS DRIVEWAY DEPTH LINEAR FEET ( ) BOX CULVERT ( ) OTHER (EXPLAIN) CONSTRUCTION MATERIAL CURB CUT REQUIRED ASPHALT YES k NO .. CONCRETE HEADWALL REQUIRED? YES )(NO 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: 1.800.432.4770 Page 1 of 3 i . • ;PERMIT APPi ICATION • 'UIILTQESIXICATE :CONFIRMA "NUMBER: cP ROOD ESICErC H ZIWTHIS AREA, IF TADDITID NAL 'SPACE ZS 'REQUIRED,:ATTACH TOITHIS APP.LZCATLON. .14 t f r /_ • • Fx rn"1 AP ) SotNT • • p v.e.Iiiio • 0 . (3o .Ctpar . • • S i4i� id L le - m�X Gloss sue, a/ • • :!otoc' „ ge m f .... C4- . . • • � i �dr 4 ` '' t . P• /CUT *VD N!%u Toin rc A y � it IPi d • .. . - • ,P AFFIDAVIT: Application is hereby made to obthin 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 documen sand issuance of this permit is veriftcation thatT will notify the property owner of Rorida Lien Law . req., F.S. 713. • • . T issuance of permit does not ensure compliance•wlth deed .restrictions and I understand that.addttional deed. - • restrictions may applyto this property. . All workshall comply with the current Florida Building Code, Public Works Desiign.Manual and'PDOT Design • Standards-Of applicable). (Public Works Design Manual online linic worlcs.asp) . • APPLICATION IS VOID UNLESS SIGNED WITH PROPER IDENTIFICATION AND WITNESSED BY A PERMIT TECHNICIAN OR"NOTARY PUBLIC. - • NOTE: The city of Zephyrhllis is not responsible for maintenance or repairs of driveways. Driveways shall not alter / • interfere with existing stonnwater treatment and / or conveyance. PROPERTY 0 :. By signing this appiicatio • that I have read and understand the owner /builder disclosure statement " • (please initial) • NW- in . A •GCS -� id/A0//d - • h-IO�► n v Da APpl- + 'Print Name plicant Signature . • i ,` I ' Name Date P - , - n Signature O (or) Notary Signature • known to me or produced C -- as identMcation. Applicant () personally (type of identification) Page 2 -of 3 :PERMIT 'APPLICATION ORFICE "•USE {:ONLrY ` 'ti-'. 1-0-A;,, :4 € ^"' .. '} 4 •. . S IR to tl tV. , 4 67 . `i i 0 �t, r ;.: ar 4 7.� * 4is 4-4, . . '' ''F') . ,3� 4Y :,..e T4'''"":4:` 'kn b k ... ' 4 . .. .. - . S A Concrete (min. 6 ") gp N w (Ti4 (A./ le. 1G4-T or Gu14 ", Asphalt•ase (min. 6 ") Y N U74_ Asphalt (min.1) /2 ") Y N Length (min. 19') ciIEI) N Width (10' min -20' max) / Y l N Existin• sidewalk. N k Pu4CE 41/4 CROSS SLo •F a °.. Newsidewalk.> N ADA compliant. (1) N Expansion material required. Y N Contiguous parking pad. Y N Triangularflare (3'W x 7'L).N >e 2 Visibility triangle o.k.? Q N . Side set back (3' min. R.O.W.) 5 N Plan Review Fee ,,� P�ll��i+crcra� es%ats `ne'awn �'�rit>ie� ` .'�'bIt�c�N,ic" tadmr"go'Il>"esiln `:' "�� ,,, 4 Z P Z' F X494/ /oU So�iy 7 t� D.0 /.¢VE.�GiEi 4,VL Qb TW C /AEC Oi 7Z S/9E/4/4 -clei 1 (2 3 f X 7 , 7 - 2 14436O((4Q -4QES . O K- Permit application approved by: '�'' --zs %NC 11111110s`1 .. -. 2 l IC7r I is Page3of3 Pasco County Parcel: 02- 26 -21- 0190- 00000 -0360 001 Page 1 of 2 Data Current as Of: Weekly Archive - Wednesday, October 13, 2010 Parcel ID 02 26 - 21- 0190 - 00000 -0360 (Card: 001 of 001) Classification 01 - Single Family Mailing Address Property Value DUNN ROBIN D & BRUCE U Ag Land $0 6127 19TH ST Land $18,312 ZEPHYRHILLS FL 33542 -2707 Physical Address Building $58,309 6127 19TH ST Extra Features $20,221 ZEPHYRHILLS FL 33542 -2708 Market Value $96,842 Assessed (Save Our Homes) $96,842 Legal Description (First 4 Lines) Homestead 196.031 - $25 000 Non - School Additional Homestead Exemption - $25,000 See Plat for this Subdivision ,1*" ZEPHYR BREEZE SUB Non - School Taxable Value $46,842 PB 14 PGS 141 -142 LOT 36 School District Taxable Value $71,842 OR 5253 PG 1598 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) J Line Use Description Zoning Units Type Price I Condition I Value 1 I 0100 SFR 00R2 7,536.00 SF 1 $2.43 1.00 II I$18 31 2 Additional Land Information Acres 0.17 Tax Area 30ZH FEMA Code X Residential Code ZEBZLP1 Building Information - Use 01 - Single Family Residential (Card: 001 of 001) Year Built 1977 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 Drywall Interior Wall 2 None Flooring 1 Carpet Flooring 2 None Fuel Electric Neat Forced Air - Ducted A/C Central Baths 2.0 Line Description Sq. Feet Repl. Cost New 1 BAS 1,012 $57,613 I 2 1I FEA II 240 11 $9,564 I 3 FGR 336 - — 4 $7,629 FOP I 42 J $626 Extra Features (Card: 001 of 001) __J Line Description j Year Units Value I I 1 Il DWSWC 1 1977 11 680 _ $519 1 L______ ______IL SHED 11 1989 1 280 $1,726 1 3 CON PTO 1989 120 $176 4 FDA 1996 240 $474 5 FDG 1 2006 1 576 $17,326 Sales History 1 Previous Owner I MITCHELL BRENDA E Year Month Book /Page Type Amount 2003 02 5253 / 1598 WD $85,000 2002 10 5110 / 1277 WD $0 _ 1992 04 3009 / 1876 WD $0 http: / /appraiser.pascogov.co n/ search /parcel.aspx ?sec= 02 &twn= 26 &rng =21 &sbb= 0190 &... 10/21/2010 :DISCLOSURE` STATEMENT FOR 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 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 prescribe. : • aw. Your construction must comply with all applicable laws, ordinances, building es, and oning .e. lations. . OWNER'S SIG 't��... , ij _ L DATE /4a /` ADDRESS 4 ��i�jlL �ri - e PHONE J9'�l5- is WITNESS PERMIT I /Masterforms /OwnersAmdavit/Nov07 Cm Jacqueline Boges To: Shane LeBlanc Subject: drive way application Hello Shane Placed in your box a drive way application for 6127 19 ST. Thanks Jackie Boges Code Support Specialist ext. 3513 1 4. .' lik ii 14,•,' ,—. fl, ' 1F g i e € S 1 « f` A ` 1 § 1 1 + 1.4 1 t L 14 F i 1 ik . \ . ; ,..� ti1 cl i Y • t ' . . .:4:2\:. l'.4111 .: '‘‘ . ,111t11110111111111141/4 figall. 1 ' , 'I/ 1411' , ■ ',. v . 76- . : ... ' 0-...11.— N 4 r t 1 i , A , ..,,,:..\:...........,....n.....,I.,.‘.... . 813 -780 -0020 City of Zephyrhills Permit Application Fax -813- 780 -0021 Building Department l r 1 / Date Received ' 9 a _ v 1/ Phone Contact for Permitting Owner's Name fr4e - / A , Owner Phone Number IM Owner's Address (t j a 9 /91 i Owner Phone Number Fee Simple Titleholder Name . I I I Owner Phone Number Fee Simple Titleholder Address I JOB ADDRESS 1 i/ 4/a 7 /7 6a 7-' 1 LOT # I SUBDIVISION oh /A2 2 Z & 1 REEL ID# �1 / v U �' (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED I I N NEW CONSTR I I REPAIR SIGN n DEMOLISH PROPOSED USE I I SFR 1-7 7 COMM I I OTHER I TYPE OF CONSTRUCTION I I BLOCK [1 FRAME I I STEEL 1 I I I DESCRIPTION OF WORK I etepoile,d. ke /)Ii9/I /I 04fs1i ii- Oio BUILDING SIZE I I SQ FOOTAGE' 1 HEIGHT I I / BUILDING I$ 'Add. OF. VALUATION 6YAL CONSTRUCTION (ELECTRICAL AMP SERVICE I I PROGRESS ENERGY I $ I I 1 W.R.E.C. 1 (PLUMBING 1$ I I IMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION I (GAS I 1 ROOFING I SPECIALTY I I OTHER FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA I (YES NO BUILDER i �A j • SIGNATURE COMPANY _ ,,� .• / % ' i " � '� l_� / — REGISTERED - '` 1 EE CURREN Y / N + Address I ‘ 1 License # I �36 44 I ELECTRICIAN I I SIGNATURE I COMPANY I REGISTERED I Y/ N I FEE CURREN I Y/ N I Address I License # I I PLUMBER I I SIGNATURE I COMPANY I REGISTERED I Y/ N I FEE CURREI I Y 1N1 I Address I I License # I MECHANICAL I I SIGNATURE I COMPANY 1 REGISTERED I Y/ N I FEE CURREN I Y/ N I Address I 1 License # I I OTHER COMPANY I I SIGNATURE REGISTERED I Y/ N I FEE CURREN I Y/ N I Address I License # I I 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 $7500) ** 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 if shingles Sewers Service Upgrades A/C Fences (Plot/Survey /Footage) Driveways -Not over Counter if on public roadways..needs ROW which NOTICE may DEED RESTRICTIONS: be more restrictive than County undersigned regulations. ulatiions. The undersigned this es responsibility for compliance t with n any which my applicable deed restrictions. UNLICENSED. CONTRACoTOR b required ed be licensed accodance with state and local regulations. If contractors to undertake w Y contractor s not lic the owner n r o in� law, both uncertain as to what licensing requirements may violaion for the under state law. If the owner or Division— i intended wor r mo y are the oow ne r has contact hired Pasco Couny contractor t or B contractors, he is advised to have the contractor(s) sign 8009. Furthemore, if the wr has portions of tha " may contractor Block" oft that he is not props ly licensed il and is ent to you, as vilegesgn Pasco contractor, that may County. TRANSPORTATION IMPA Fees a Recovery R Fees O may apply RECOVERY FEES: The construction of new g d e ngs n c d hange of that Transportation Impact 9 0- in e a mg buildings, or dersig end alsox buildings, underst understands, that such fees, in es, Pasco County be due, will be identified at the time of 90 -07, as amended. The undersign 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 clue, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as a a " Flo rida : I v Const on on work $ ,500.00 or more, I certify that I, the applicant, have been provided with a copy of 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. will be done in complian c e with all applicable ble laws regulating construction, zoning and land development. Application is w mpliane wh all ap ation has hereby made obtain a permit to do permit and installation as indicated. I certy will be performed to meet of all laws ng commenced prior to issuance of a p construction, County and City codes, zoning regulations, and land development in the jurisdiction. I also my r that I understand that the nsi I must take to ben compliance. apply Such agencies include but are n t limi ed t es may De it is my responsibility to identify what - Department of Environmental actions ronmental Protection - Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment. Bayheads, Wetland Areas, Altering - Southwest Florida Water Management District - Wells, Cyp ress Y 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 be used in Flood Zone submitted at time of permitting which understood s prepared rby addressing a engineer "compensating volume" will 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. properties. roes If is to ail used in to any dversely properties, fill affect adjacent the will owner may be cited for violating properties. If.use of fill is found to adversely 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. ons If I am the AGENT FOR THE OWNER, I promise in understand thatnaoseparat owner of the permit may be ieq 9 ed for i electr c fo work rth this affidavit prior to commencing construction. I lication plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the app , cancel, er, or permit issued shall be construed to be a licensenor shall a sua a permie work prevent the Official from ther requiring aside any pin of the technical codes, re q uiring a correction of errors in plans, construction or violations within six a months of permit permit issued aif work autho by q unless the work authorized by such permit is commenc ed the permit is suspended or abandoned for a period Official fo6a pelted hs after not to nety days and will demonstrate may be requested, in writing, from the Building consecutive days, the job is considered abandoned. justifiable cause for the extension. If work ceases for ninety (90) NER: YOUR FAILURE TO RECORD A NOTICE OF COMM N MET FINANCING, IN YOUR PAYING TWIC E FOR WARNING OW , • ROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TWICE WITH YOUR LE s R O' AN ATT•ALEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT • .S. 117.03 "IF 4. - �c ONTRACTOR OWNER OR A'• ENT , _ .re me this Subscribed and swam to (or affirmed) before me this Subscribed any ' r ed by jt_ _ Who i e p by ;� . �, VIII_ ____../- Who Is /are rsonally known to me or has/have produced LSp— as identification. Who is/are per shall k .wn to m as i ntlflcation r Notary Public / 414gAiblic -- Commission No. Commis it , e — „ it gol s !•, 4= Commission DD 734406 P Name of - , , 2012 Name of Notary typed, printed or stamped ' , ' „ � 'Bonded Thu Troy Fain Insurance 7019