HomeMy WebLinkAbout11-11670 CITY OF ZEPHYRHILLS
, 5335 - 8TH STREET
' (ss3)�so-oozo 11670
DRIVEWAY PERMIT
Permit Number: 11670 Address: 39712 MEADOWOOD LP
Permit Type: DRIVEWAY ZEPHYRHILLS, FL.
Class of Work: DRIVEWAY/NEW Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: MEADOWOOD ESTATES
Est. Value: Parcel Number: 13-26-21-0140-00000-0190
Improv. Cost: -�'�� ��
Date Issued: 3/22/2011 Name: BLOXSOM, ROSEMARIE
Total Fees: 40.00 Address: 39712 MEADOWOOD LP
Amount Paid: 40.00 ZEPHYRHILLS, FL. 33542
Date Paid: 3/22/2011 Phone: (813)325-4312
Work Desc: EXTENSION OF DRIVEWAY 37.5 X 7 CONCRETE
B& H CONSTRUCTION OF C NTRA (813)782-106� DRIVEWAY 40.00
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FINAL
REINSPECTION FEES: Reinspection fees wiil 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 wnstruction 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."
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CONTRACTOR PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
813-780-0020 City of Zephyrhiils Permit Application Fax-�313-780-0011
Building Department
Date Recelded phone Contact for Permittin —
Owner's Name t�'jt �� O Owner Phone Number
Owner's Address 3 � Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number �
Fee Simple Titleholder Address
JOB ADDRESS �RZ ( � {., LOT # �
SUBDIVISION , PARCEL ID# i3 aG a/-pi �/
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED B NEW CONSTR 8 ADD/ALT Q SIGN Q Q DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SFR Q COMM 0 OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q
DESCRIPTION OF WORK Q, �/"" x� �
BUILDING SIZE SQ FOOTAGE � HEIGHT ��
QBUILDING $�� GD � VALUATION OF TOTAL CONSTRUCTION
QELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C.
QPLUMBING $ �
QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
QGAS Q ROOFING Q SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO
BUILDER � COMPANY �� �'OYrS711tC�'l01')
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address yoas �p js ,f ,�Q„� ((, License # �-P�AS � 8 a —�
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/ N
Address License # �
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/ N FEE CURRE� Y/ N
Address License # �_
RESIDENTIAL Attach (2) Plot Plans; (2) sets of Bullding Pians; (1) set of Energy Forms; R-0-W Permit for new construction,.
Minimum ten (10) working days after submittal date. Required onsite, ConstrucUon Plans, Stormwater Plans w/ Sflt Fence installed,
Sanitary Facilitles 8 1 dumpster; Site Wor1c Permit for subdivisions/large projects
COMMERCIAL Attach (3) complete sets of Buiiding Plans plus a Life Safety Page; (1) set of Energy Fonns. R-O-W Permit for new construction.
Minimum ten (10) working days after submittal date. Required onsite, Constructian Pians, Stormwater Plans w/ Silt Fence instailed,
Sanitary Facilities 8 1 dumpster. Site Work Permit for all new projects. All commercial requi�ements must meet compliance
SIGN PERMIT Attach (2) sets of Engineered Plans.
""*PROPERTY SURVEY required for all NEW construcdon.
Directions:
Fill out application completely.
Owner 8� Confractor sign back of appilcatlon, notarized
If over 52500, a Notice of Commencement is required. (A/C 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 (Pront of AppUcation Only)
Reroofs if shingles Sewers Service Upgrades A/C Fences (PIoUSurvey/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 compiiance wfth 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 requfred 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
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 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 idenfified at the time of
permitting. It is further understovd 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 Wate�/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
constn.iction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that 1 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, WaterlWastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetfand Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health & RehabiHtative Services/Environmental Health Unit-Welis, Wastewater Treatment,
Septic Tanks.
- US Envi�onmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
I understand that the foilowing restrictions apply to the use of fill:
- Use of fill is not ailowed in Flood Zone "V" uniess expressly permitted.
- If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan add�essing 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 uA" 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 Iots 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 shatl 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 Offlcial for a period not to exceed ninety (90) days and will demonstrate
justiflable 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 LENDE R AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORfDA JURAT (F.S. 11 3) '
OWNER OR AGENT CONTRACTOR �
Subscribed and � o(or afflrmed b�e ore me thls Su cnbed and s to (or aflirmed) efore me this
� 2 z— 1� bY � i.on.G .t?�CS � Z 2-( � bY
Who (s/ar.e.pe�lb,cknown to me or ha ave pro uc Who is/are personally known to me or ha ave produced
as IdenHficatlon. ----- as idenBfication.
/ �'
'� � % � �'� Notary Public
� Notary Public �
i
Co ission .������ . Co on
?�` �` Commissi0n # EE 040520 *�`� �'__ Commissiat # EE 040520
'*� '� 14
Name of Not �� rl �� Name of Nota � ��,NtroyFrnMSUra��m�s
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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 0 Fax 813.780.0005
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PR07ECT 70B SITE: PROPERTY OWNER
Address: Name:
Unit #: o Address:3R7�a q o Unit: Lo� a
Parcel Identification Number: Ci State Zi �,,,tt
- � Phone: Fax:
CONTRACTOR:
Com n : �+-N�o �
Name: � �
Contractor's License #: 5�� 8 a- E-Mail: . CoM
Phone: $t3-�8 -I(� Cell: Fax: - S'- 5' �'
ARCHITEGT/ENGINEER:
Name: Firm Name:
Address: City: State: Zip:
State License #: Phone: Cell: Fax:
Descriotion of Proiect
TY 3�'� LENGTH OF DRNEWAY CULVERTS NEEDED
RESIDEM'IAL DRNEWAY �WIDTH OF DRNEWAY () REINFORCED CONCRETE
COMMERCIAL DRIVEWAY R.O.W. EXCAVATION () CORRUGATED MATERIAL
PUBLIC ACCESS DRNEWAY DEPTH LINEAR FEET () BOX CULVERT
( ) OTHER (IXPLAIN)
CONSTRUCTION MATERIAL CURB CUT REOUIRED
_�SPHALT YES NO
_�CONCREfE
HEADWALL REOUIRED? YES NO
NOTICE T�.APPLICANT: If actual work exceeds scope of this description, additional permits o� drawings
will be required.
UTILITY LOCATIONS REOUIRED: CALL BEFORE YOU DIG: 1.800.432.4770
Page i of 3
PERMIT APPLICATION �u V✓� 0�r� I.� n�i
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UTILITIES LOCATE CONFIRMATION NUMBER:
PROVIDE SKETCH IN THIS AREA, IF ADDITIONAL SPACE IS REQUIRED, ATTACH TO THIS
APPLICATION.
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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 Manuai and FDOT Design
Standards (If appliCable). (Public Works Design Manual online link: www.ci.zephyrhilis.fl.us/pub�ic_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 /
intertere with existing stormwater treatment and / or conveyance.
PROPERTY OWNERS: By signing this application: I certify that I have read and understand the owner/builder disclosure
statement. (please initial)
C�PeS�I ec.t�� p�.z.� ����,..o _�
Ap i nt Print Name Appli t Signature Date
� , �o ---- 3 �� -li
P r it Techn an Signature (or) Notary Signature Date
Applicant is () personall y kn�wn to me or produced as identification.
(type of identification)
Page 2 of 3
PERMIT APHLICATION
OFFICE USE ONLY
PUBLIC WORKS USE ONLY
Concrete (min. 6") Y N "��-t�.+.� N �2. p, W,
Asphalt Base (min. 6'� Y N
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Asphalt (min. 1�/z'� Y N
Length (min. 19� Y N �'7 , S
Width (10' min — 20' max) Y N �JoT To �jCC�Eb 20
Existing sidewalk. Y IV
New sidewalk. Y N
ADA compliant. y N N
Expansion material required. Y N 5 �,p D ��
Contiguous parking pad. Y N
Triangular flare (3'W x 7'L) Y N
Visibility triangle o.k.? N
Side set back (3' min. R.O.W.) Y N E/Lt���l'j �( (�S�C�a,�
Plan Review Fee
Additionai desai tion of work as def�ned b Publk WoMcs Dlrector and or nee:
• ,DR/VE s ALC �'ET /ST/NG 6�21iDF
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Permit application approved by: Date: /
Page 3 of 3
From:B&H CONSTRUCTION 03/18/2011 13:52 �137 P.003/003
PERMIT APPLICATION �I.� V ✓ Q� �� � ''r' � s
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UTLL�TIES LOCATE CONFIRMA'RON NUMBER:
PROVIDE SKETCH IN THIS AREA, IF ADDITIONAL SPACE IS REQUIRED, ATTACH TO THIS
APP�ICATION.
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AFF7DAVfT: Appllcation Is hereby mede to obbin a permft E� do work and installatlons as IndkaOed, I ce�tify that afl forepoinp
infamatlon is acausoe and tlwt all work witl aom0ly wRh ea applftsbk oodes. I unddstand tlxse cndes shall talie preccdenoe over all
aDP�ed aonstructton dowments, and issuanoe of thls pemM[ Is reNficatlon that I wiN notify the propert�► owner of fbrida lkn Lsw
req., F.S. 713. ,
The issuance of this permit does rpt ensure aumptlanoe with deed restrictior� and I understand tt�at addltlonal deed
�dions rnay apply �p this property.
All woric shall comply wkh the current Fbrida Quiidinp Code, publk WoMcs Dasipn Manusl and FDOT Desiqn
Standards (If applki6io). (Public Works Orsiyn Manual onik�e �nk: www.d.zephyrhiHs.fl.us/Pub�ic w�o�Ics.asP)
APPLICATION IS VOID UNLFSS SIGN� WITH pRppER IDENTIFIC�4TION AND WlTNESSEp BY A PERMIT
TECFINICIAN OR NOTARY PUBLIC.
NOTE: The City d ZaplryM�ills is not ►a�pondbla for n�ain0�nsnos er n�afr� of dri�rewars. Drirewsrs sinll no! NOK /
I�Eerlbne with az�dnp stsnnwsbr tnatnw�t and / or oonrsysnae.
PROPERTY OV1mIERS: By slgnirg thLs applltation: I cerUfy that I have c�ead �d understand the owner/builder �sdowre ..
��G (please iNtiat)
�r�S �t�L nd..� ..t� 3-/'�=!/
Idfnt Print Name Appl t SipnaWre pa�
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It Tecbn an Signahire �a) �ry �� ��
!►Dplicant is () Pasona�to me or produced as identiFcatlon.
(type of identlfication)
Psye 2 of 3
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Ptci wkhln a pudiio - ^ �
ngnnor.way
(dow r�vt repube a pertnit)
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B. E BACKS Driveways shall meet a minimum side yard setback of three
(3) feet within the public right-of-way. The driveway may be located closer than three
(3) feet to the property line, but only within the boundary of the homeowner's private
C. DRIVEWAY WIDTH The minimum width for a driveway shall be ten (10) feet and
the maximum width shall be twenty (20) feet. A parking pad no wider than (10) feet may be
installed contiguous to an approved driveway provided that the driveway, as it crosses the
property line, shall not exceed twenty (20) feet. (See figure 3.)
D. DRIVEWAY LENGTH The minimum length for a driveway shall be nineteen (19)
feet within the boundary of the homeowner's private property. This minimum length
requirement is necessary to prevent vehicles from overhanging into the public right-ofway. (See
figure 5.) Note: Circular driveways shall be prohibited unless approved by the Public Works
Director.
E. IMPERVIOUS SURFACE RATIO Impervious surface coverage is measured in
square feet and as a percentage of lot area. The maximum impervious surface ratio allowed
within the required front yard setback on a standard lot is forty-five (45) percent. The maximum
surface ratio allowed within the required front and street side yard setback on corner lots is
twenty-five (25) percent. Impervious surface calculations shall include any patios or walkways
that are not included on the proposed or revised driveway. (See figures 6& 7.)
F. TRIANGULAR FLARE Each driveway, when located within the public-right-of-
way shall contain triangular driveway flares at the intersection of the driveway and the public
roadway. Driveway triangular flares shall measure three (3) feet in width and seven (7) feet in
length (See figure 8.)
G. VISIBILITY TRIANGLE Driveways may encroach into the visibility triangle
within the public right-of-way, but driveways cannot be permitted within the visibility
H. PEDESTRIAN ROUTES If an existing designated pedestrian route (sidewalk)
intersects with a proposed or revised driveway, the driveway portion that aligns with the
pedestrian route / sidewalk shall be constructed to ADA standards and shall include an
expansion joint on both sides of the sidewalk. These expansion joints separate the sidewalk from
4