HomeMy WebLinkAbout11-11458 CITY OF ZEPHYRHILLS
5335 - 8TH STREET
(813)780 -0020 11458
DRIVEWAY PERMIT
Permit Number: 11458 Address: 5055 AIRPORT RD
Permit Type: DRIVEWAY ZEPHYRHILLS, FL.
Class of Work: DRIVEWAY /NEW Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 12- 26 -21- 0000 - 04900 -0070
Improv. Cost:
Date Issued: Name: CITY OF ZEPHYRHILLS
Total Fees: 30.00 Address: 5335 8TH ST
Amount Paid: ZEPHYRHILLS, FL. 33542
Date Paid: Phone: (813)752 -4188
Work Desc: DRIVEWAY CONCRETE 71 X 12
CLIFFORD WOOD LLC (813)426 -2760 DRIVEWAY 30.00
/
DC
FINAL
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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."
6 e.fe-- 441, .
CONTRACTOR PERMIT OFFI '-
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
•
PERMIT APPLICATION
DRIVEWAY PERMIT APPLICATION
CONSTRUCTION WITHIN PUBLIC RIGHT -OF -WAY
All information must be filled -in completely
City of Zephyrhills
5335 8"' Street, Zephyrhills, FL 33542
Telephone 813.780.0000 Fax 813.780.0005
A
Oliwto-000 ;4„
PROJECT/30B SIT PROPERTY OWNER
Address: - o ,5 ft: ,rP?r t �t Name: C°J' 5 ns
Unit #: Address: Unit:
Parcel Identification Number: City, State, Zip
Phone: Fax:
CONTRACTOR:
:
Com an ,, (!�9 ,70 I I1 C
Name: y c �Q (.O &
Contractor's License #: C C /5 B6-46, E -Mail:
Phone: Cell: Pp - 477q Fax:
ARCHITECT /ENGINEER:
Name: Firm Name:
Address: City: State: Zip:
State License #: Phone: CeII: Fax:
Description of Proiect
TYPE OF DRIVEWAY 7 ( LENGTH OF DRIVEWAY CULVERTS NEEDED
___,RESIDENTIAL DRIVEWAY / a WIDTH OF DRIVEWAY ( ) REINFORCED CONCRETE
✓ COMMERCIAL DRIVEWAY R.O W. EXCAVATION ( ) CORRUGATED MATERIAL
PUBLIC ACCESS DRIVEWAY (p DEPTH LINEAR FEET ( ) BOX CULVERT
( ) OTHER (EXPLAIN)
CONSTRUCTION MATERIAL CURB CUT OUIg,Fb
ASPHALT YES / ENO
/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
PERMIT APPLICATION
UTILITIES LOCATE CONFIRMATION NUMBER:
PROVIDE SKETCH IN THIS AREA, IF ADDITIONAL SPACE IS REQUIRED, ATTACH TO THIS
APPLICATION. --�"
Ce( l ( VK C k i --(
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 that I 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 to 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. zephyrhills .fl.us /public_works.asp)
APPLICATION IS VOID UNLESS SIGNED WITH PROPER IDENTIFICATION 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 read and A derstand the owner /builder disclosure
statement. // (please initial) / 0 / R /
L/C k 1 ) 1 Applicant Print Name Applican nature Date
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
PUBLIC WORKS USE ONLY
Concrete (min. 6 ") 000 N w/ Ww M -F, her C &- Cot-{r4 -foi-�
Asphalt Base (min. 6 ") Y N
Asphalt (min. 1 ") Y N
Length (min. 19') N
Width (10' min — 20' max) Y� N 12
Existing sidewalk. Y
New sidewalk. Y C
ADA compliant. Y N ►� /A
Expansion material required. (2) N AT AGE ci prt'lEMEiaT C P.'o wy uMe
Contiguous parking pad. Y
Triangular flare (3W x 7'L) l N '5' x V3 1
Visibility triangle o.k.? N
Side set back (3' min. R.O.W.) dr. N
Plan Review Fee
1 Additional description of work as defined by Public Works Director and or designee; I
- TuvEtr -rrirc c sT&tatio/0 C M'4 t ST)1 6 S)
SA E OF ?4V MEDT w,/ 8c2 F?CPANS(oll.) 5a
1 M£T &'A4-)T2.I4 C to R a S rTE l 26/(
Permit application approved by: ■-•■■ ' ate: 4 j ff
Page 3 of 3
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