HomeMy WebLinkAbout11-11668 CITY OF ZEPHYRHILLS ,,.
5335 - 8TH STREET �
_ � (sis)�so-oo20 11668
DRIVEWAY PERMIT
Permit Number: 11668 Address: 4534 EAGLE RANCH DR LOT 21
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: EAGLE RANCH
Est. Value: 130,000.00 Parcel Number: 14-26-21-0170-00000-0210
Improv. Cost: 600.00
Date Issued: 3/18/2011 Name: KENNON ALLEN
Total Fees: 40.00 Address: 4534 EAGLE RANCH DR
Amount Paid: 40.00 ZEPHYRHILLS, FL. 33542
Date Paid: 3/18/2011 Phone: (813)479-5402
Work Desc: DRIVE WIDEN 7 X 38 & 17 X35 BOTH SIDES
HOMEOWNER DRIVEWAY 40.00
�
FINAL -
� `
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when e�ctra 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."
�/��.—
� CONTRACTOR PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
, . ��� � �- i�-�i
a`.k% 1�J -
PERMIT APPLICATION " � F (�-- j �jp Q /ti'
L
(� ,
`:'
DRIVEWAY PERMIT APPLICATION
CONSTRUCTION WITHIN PUBLIC RIGHT-OF-WAY
All information m i be filled-in completely
City of Zephyrhilis
5335 8"' Street, Zephyrhills, FL 33542
Telephone 813.780.0000 Fax 813.780.0005
�abeof ��" —� � ���►�.," ! , ���4
cv�r �
��PY to Bt�ildi'i�g �nerit �i't.�,Pi71�C Wbr�Cs
PR07ECT 70B S E: PROPERTY OWNER
Address: t --"l ' � Name: r�/
Unit #: Address• nit:
Parcel Identification Number: Ci State Zi �— ,��✓�'`/%Z
Phone � � ax:
.�
CONTRACTOR:
Company:
Name:
Contractor's License #: E-Mail:
Phone: Cell: Fax:
ARCMITECT/ENGINEER:
Name: Firm Name:
Address: City: State: Zip:
State License #: Phone: Cell: Fax:
Descriotion of Proiect
TY �� LENGTH OF DRNEWAY I, �� CULVERTS NEEDED
ESIDEMIAL DRNEWAY �� WIDTH OF DRIVEWAY �� () REINFORCED CONCREfE
COMMERCIAL DRIVEWAY R•O•W EXCAVATION () CORRUGATED MATERIAL
PUBLiC ACCESS DRIVEWAY DEPTH LTNEAR FEEf O BOX CULVERT
( ) OTHER (IXPLAIN)
CONSTRUCTION MATERIAL CURB CUT REOUIRED
ASPHALT YES NO
�CONCREfE
HEADWALL REOUIRED? 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 i of 3
o � _ , i �
, , � ��r ¢ r
�� �w
a�
A y 1Vld SIHl .�0 1Mtld tl lON �
�� o w �
�� �' • � • 138,30' ��
rn,�o•
�1 �
� a6 Iz c
� � �f �
q � �\ , r -''' Iy `r
� `.( N I W °-
O ` --�� °' �
� �
r a
�1. Q� \��\ 0 Q � $T��� f `: �� N l
� Z Z - 8 � �, I �" ( V
� ^
1� Q W a ��\ �_ „a' N �� 3 ��� / �
� o W ��� ° �,,�" •' � � C 8 !��J
V �; � \ ,..'��,,� �
� N � \ � - � � �
�j �- •6' � ;� s; Gp �
�
� e o �'� \ '; ,: z
`�1 � �� 5 �` ~ � ' � (
] Q ���,�,� � " ° .� ; ` � - _3 10 ��
�L W � ,�3 0 . ., �-� .-� ,..
�( _~ � � Q W ti f'� . .. :. ._�/�.`', . - N
N , � a 1����� .:- '.�:,��.R� -
_ / yJ Z T "`� ' =��� 1� �:,.
¢ Q � `? ���:..,:.:�.����"': _�,;�,<._
J }F�:! , i : ` .z,.
�1T '
� � � o � ���,.�_��.�_- ,,�. _.�;, ,
� ° _ _ � . � :_�,��,:. .: :,�„ ; -k� _
_' ^ ,�` - - . �. `. . `, - - 't r .`;-,.. `
; s�.�t.�,.� . °� ; :�;��
� '� .esAa:[3 �'c- _ ; ; i 9,
� t ' . �rJ:.,.�.
.Y.�
CL. q �.� :'C'� � �� --- _ .. -:�-- - ;: = _ ?�t�T�� � - ;
�}+ y ��,�- �� �: �.�. ;_. ;:
A ` ,^ \\ �� u � ?! - � Q��� t, � - t'y . . , �,�T� �
,Y � � ` T. _� :a- _
` ^ • �'� L :'z� ::F`,, , � �_
L 4 nN •`� ��} ' '� , r
�`+ \/u� '��.-�O{:.-iJ� i _.. ::
� . �:': `.'" i �'p,:F= _ . � -
�1 -�:; ��.,:� '� ,
3 - w_ �d� �` . �
�.; �
G <_�'!• "' _ -
t-. _ =.���i
a, _ �
�
� , � ': -
� �,
y ��
�
L
PERMIT APPLICATION
UTILITIES LOCATE CONFIRMATION NUMBER:
PROVIDE SKETCH IN THIS AREA, IF ADDITIONAL SPACE IS REQUIRED, ATTACH TO THIS
APPLICATION.
�' �
,Q `�� �
l� `
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 properly.
All work shall comply with the current Florida Building Code, Public Works Design Manual and FDOT Design
Stilndards (if appliCable). (Public Works Design Manual online link: 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 mair�tenance or repairs of driveways. Driveways shall not alter /
interfere witl� existing stonnwater treatmeM and / or conveyance.
PROPERTY OWNERS: By signing this application: I certify that I have read and understand the owner/builder disclosure
statement. (please initial)
, /�--"��- /�f/.��. t���� _ l 7 m�� �r //
Appfi nt int Name Applicant Signature Date
�..�- , �..ti �-- l7-� �
P r it Tech an 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'� Y N �� -�H ,� t,�,
Asphalt Base (min. 6'� Y N
Asphalt (min. 1�/z'� Y N
Length (min. 19� Y N
Width (10' min — 20' max) 1' N `( '7o E� ' W µtN R, �O. W
Existing sidewalk. Y N
New sidewalk. Y N
ADA compliant. Y N
Expansion material required. N
Contiguous parking pad. Y N
Triangular flare (3'W x 7'L) Y N
Visibility triangle o.k.? Y N
Side set back (3' min. R.O.W.) N
Plan Review Fee
Additlonal desai on of worlc as defined Publk Works Direcbor snd or desi nee:
Permit application approved by: Date: �
Page 3 of 3
Pasco County Parcel: 14-26-21-0170-00000-0210 001 Page 1 of 1
Data Current as of: Weekly Archive - Saturday, March 12, 2011
Parcel ID 14-26-21-0170-00000-0210 (Card: 001 of 001)
Classification O1 - Single Family
Mailing Address Property Value
KENNON ALLEN L Ag Land $0
4534 EAGLE RANCH DR Land $21,181
ZEPHYRHILLS FL 33542-7189 Building $75,464
Physical Address extra Features $1,157
4534 EAGLE RANCH DR
ZEPHYRHILLS FL 33542-7189 Market Value ;97,802
Assessed (Save Our Homes) $97,802
Le4al DeSCriDtiOn (First 4 Lines) Homestead 196.031 -$25,000
See Plat for this Subdivision ,�" Non-School Additional Homestead Exemption -$25,000
EAGLE RANCH SUBDIVISION
PB 56 PG 124 Non-School Taxable Value ;42,802
LOT 21 School District Taxable Value #67,802
OR 8129 PG 1040 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 Use Description Zoning Units Type Price Condition Value
�1 0100 SFR OOR4 6,000.00 SF $3.45 1.00 $20,700
�2 0100 SFR OOR4 1,504.00 SF $0.32 1.00 $481
Additional Land Information
Acres 0.17 Tax Area 30ZH FEMA Code � Residential Code EGRNLPI
Buildinq Information - Use 01 - Single Family Residential (Card: 001 of 001)
Year Built 2006 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 i Drywall Interior Wall 2 None
Flooring 1 Carpet Flooring 2 None
Fuel Electric Heat Forced Air - Ducted
A/C Central Baths 2.0
Line Description Sq. Feet Repl. Cost New
1 BA� 1,066 $69,876
2 FOP 90 $1, 508
3 FGR � 260 $6,817
Extra Features (Card: 001 of 001)
Line� Description Year Units Value
1 DWSWC 2006 284 $586
2 � CLFENCE 2007 352 $571
Sales History
Previous Owner RYCZEK CASIMIR J& GLORIA
Year � Month Book/Page Type Amount �
2009 07 8129 / 1040 WD $103,000
2007 02 7427 / 0409 WD $0
2006 06 � 7036 / 0024 W D $169,000
http://appraiser.pascogov.com/search/parcel.aspx?sec=14&twn=26&rng=21 &sbb=0170&b... 3/18/2011
a�s-7so-oozo City of Zephyrhills i'ermit Applicatio � rax-tsis-i�su-uuzi
Building Department ( �/n � �'
�E'
Date Received Phone Contact for Permittin —
Owner's Name H �L /�G"" � Owner Phone Number
Owner's Address '7�� -` C% v1. �" � Owner Phone Number �
Fee Simple Titleholder Name Owner Phone Number
Fee Simpie Titleholder Address
JOB ADDRESS �� LOT # �
SUBDIVISION � .G c �' \ , PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED � � NEW CONSTR ADD/ALT 0 SIGN [� �] DEMOLISH
� INSTALL � REPAIR
PROPOSED USE �] SFR Q COMM [� OTHER -P i!l
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK � �/� / , X � I 7 �� � �
BUILDING SIZE �—� SQ FOOTAGE �� HEIGHT
�B171CDING $ /' VALUATION OF TOTAL CONSTRUCTION
!(�
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
OPLUMBING �
OMECHANICAL �� VALUATION OF MECHANICAL INSTALLATION
QGAS Q ROOFING Q SPECIALTY [� OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER COMPANY � /��'� ����
SIGNATURE � ' REGISTERED Y/ N FEE CURRE� Y/ N
Address ' License # �
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address License # I
PLUMBER COMPANY
SiGNATURE REGISTERED Y! N FEE CURRE� Y/ N
Address License # �—
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address License # �.
OTHER COMPANY
SIGNATURE REGISTERED Y I N FEE CURRE� Y/ N
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, Constructlon Plans, Stormwater Plans w/ Silt Fence installed,
Sanitary Facilides & 1 dumpster; Site Wor1c 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 8 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compUance
SIGN PERMIT Attach (2) sets of Engineered Plans.
"""PROPERTY SURVEY requlred for all NEW construction.
Directlons:
Fill out application completely.
Owner 8 Confractor sign back of application, notariied
If over s2500, a Notice of Commencement is required. (AIC upgrades over 57500)
*' Agent (for the contractor) or Power of Attomey (for the owner} would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (Front of AppUcation Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences (Plot/Survey/Footage)
Driveways-Not over Counter if on pubUc 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 fs 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 Biock" 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
Counry.
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 buiidings, 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. Fu�thermore, if Pasco County Water/Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicabie 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: I certify that all the information in this application is accurate and that all work
wiil 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 ail 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 complfance. 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. 117.03)
OWNER OR AGENT -'.C�'� � CONTRACTOl� C'� �
Subscribed and �wo,m tq (o aflirtned) b f e me this Subscribed and swo to (Ar� rmed) befo e e this
b� f�y� L.� �-e,.�m-�_ by� l?Y�-`� �-cr�avB,�L
Who Is/are personally known to me or has/have produced Who Is/are personally known to me or haslhave produced
as IdenUficatlon. as identificaUon.
�<,.,s,���, �..�' '
G• � �lota ubllc Notary Public
�; :� �G�n►missia► �}2o r ��� -. � "`_ ��tIEUNE �OGES
Commission N:� ^k= D60BII'�k 2014 Commission I�o: �.,- �`� OG
', � F • ��, o�aoem.T+or�M _ . o' ';r_:a �"� . �(�It'&! Deo�mb�r 12, 2014
. 4 . �B9
Name of Notary typed, printed or stamped Name of Notary ,