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13-13916
� CITY OF ZEPHYRHILLS 5335-8TH STREET (sis)�so-oo20 13916 DRIVEWAY PERMIT Permit Number: 13916 Address: 5802 12TH ST 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: 11-26-21-0010-05200-0130 Improv. Cost: Date Issued: 2/21/2013 Name: WOOD, HOLLY L Total Fees: 40.00 Address: 5802 12TH ST Amount Paid: 40.00 • ZEPHYRHILLS, FL. 33542 Date Paid: 2/21/2013 Phone: (813)778-6143 Work Desc: DRIVEWAY WITH APRON ENCROACHING ONTO R-O-W HOMEOWNER DRIVEWAY 40.00 ���� � _ .. ; 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 re recording your notice of commencement." � C N C 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 Zephyrhills Permit Application Fax-813-780-0021 Building Department Date Received � �_� � ^ �� phone Contact for Pe ttin �j 2�� _��1 ' Owner's Name l �/�l� . Owner Phone Number Owner's Address � 2 1��h Owner Phone Number —� Fee Simple Titleholder Name Owner Phone Number �— Fee Simple Titleholder Address JOBADDRESS �C.7`.� L. fi� � LOT�! ��� SUBDIVISION � PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e NEW CONSTR B ADD/ALT �� SIGN Q [� DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM � OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q DESCRIPTION OF WORK lN�� l.��Y��C�� T ��� �-� BUILDING SIZE SGl FOOTAGE�� HEIGHT QBUILDING $ � � � VALUATION OF TOTAL CONSTRUCTION QELECTRICAL $ AMP SERVICE � PROGRESS ENERGY Q W.R.E.C. QPLUMBING $ 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# � 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 Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction, Minimum ten(10)working days after submlttal date. Requlred onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilitfes&1 dumpster;Site Work Permit for subdivlsionsAarge projects COMMERCIAL Attach(3)complete sets af Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new consUuction. Minimum te�(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilitles&1 dumpster.Slte Work Permit for all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Eng(neered Plans. •""PROPERTY SURVEY required for all NEW construction. Directions: Fill out applicaGon completely. Owner&Contractor sign back of application,notarized If over 52500,a Notice of Commencement is requlred. (A/C upgrades over;7500) •' 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 Application Only) Reroofs if shingles Sewers Service Upgrades A/C Fences(PIoUSurvey/Footage) � Driveways-Not over Counter i(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 fo�compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBtLIT1ES: 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 Resou�ce 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'SIOWNER'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 ce�tify 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. Fede�al Aviation Authority-Runways. I understand that the following restrictions apply to the use of ffll: 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 filf 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 a�davit 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 conside�ed abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR ROVEMENTS`TO YOUR PROPERTY. IF YOU INTEND TO OBTAlN FINANCING, CONSULT WITH YOUR L D N ATTORNEY O RECORDING YOU TI E OF CO M E NT. FLORIDA JURAT(F.S.11 03 � OWNER OR AGE " �`�'� CONTRACTOR Subscribed and s a affl ed efore m, ,is , Subscribed and s or a m ) e r e this ����Tby � . by �.,�� yyho i�sona� kno t me or has/have produced Who�T��� � , or a as ide dfication. �� �,� � as IdentlficaUon. ` .,.�1 � ✓� '� ' ' ` , Ublic � Notary Public ,��"""N•., �� Commission No. D Comm :;,� i�ion#EE 1407p9 �#���'a ;.: Name of Notary typ � �,�� 16 Name �� �o�s ���o " ��� � - -- ' -- --- --J- --���C1TY�OF ZEPHYRHILLS- BUILDING DEPARTMENT RIGHT-OF-WAY USE PERMIT DATE: � � � t� � z�' � � PERM(T#: No constructlon under ground or above ground of any facility shail be accomplished on any City Rights of Way without written approval from the City Building Department. Any application for approval of construction operations on any City owned Rights of Way shail fumish a detailed drawing showing the complete scope of the proposed work in triplicate to the office of the Building Official for approval prior to the commencement of any work. A copy of this pertnit is to be kept readfly available at the site of the work at all times. PARCEL ID#: � i �- ��C„ -20 -�'f��i C� rU.--'��-c� --�''-t`�'ITY ROAD i Z``` ��' LOCATION (Legal Description): t} hC�' C_ � Z fi� ��' �N �?���/i i�"� , � � � �'� � � � L( 2 Permission is hereby granted to of For the construction and maintenance of: Subject to the following conditions: 1. The construction and maiMenance of such u�lity shail not intertere with the property and rights of a prior occupant. 2. All work shali be done in keeping with the standards of the City Streets Departrnent and under the supervision of the Cfty Building Official,who will be notlfied at least one day prior to commencemeM of construdion. 3. All materials and equipment shail be subject to inspection by the Ci1y Building Official. 4. During construction all safety regulations of the Department of Transportation shall be observed and the City shall be relieved of all responsibilily from damage of any nature arising from this permit Subject to the same terms and conditlons,the pertnit holder may take such safety measures, inGuding plaang and display of caution signs,as it may deem necessary in conduct of construction and maintenance work hereunder. It is the responsibilily of the permittee to???? 5. All private and all City property shali be restored to its original condition as far as practical in the opinion of the City Bullding Official. 6. All underground crossing instaliations shall be laid at such depth as may be specified by the Gty Building Official. 7. The sketch covering the details of this instaliation shall be made a part of this permit This permit is granted wRh the understanding that the applicant has notified all other utllity users in the area covered by the permft and takes full responsibfiity for any damage incurred by prior installations as a result of his operations in ortier that they may safe guard their interests. 8. tt is expressly stipulated that this pertnit is a license for permissive use only and that the piaang of faalities upon public property pursuant to this pertnit shall not operate to create or to vest arry properiy right in said holder. 9. Whenever the City decides to further expioit the City Rights of Way, any or all said poles, wires, pipes, pbles, or other facilities and appurtenances authorized hereunder, shall be immediatety removed from said Rights of Way, or reset or relocated thereon as required by the Gty Building OFficial at the expense of the holder of this perm�. 10. The holder shall save and keep tt�e City harmless from any and ail damages, claims, or injuries that may occur by reason of the construction, maintenance,and operation of said fadlity. 11. The holder shali complete the requested work within days or this pertnit shail become null and void. In the event the work requested is not completed upon the expiration date of this permit,the City shall have the right to complete such work and to charge the holder of the pertnit for all costs incurred in completed said work. 12. The holder shall post a psh or surety bond wfth the City Manager in the sum of$ dollars to guarantee perfortnance of the obligabons herein, and to guarantee maintenance of the right-of-way desc,�ibed herein for a period of one (1)year following completion of the requested installation. In the event a surety bond is posted,the surety bond shall be made payable to the City and shall obligate the surety to hold the City harmless in the event the holder of this pertnit should fail to meet any of its obligations hereunder. The bond shall also indemniiy the City for all court costs and reasonable.attomeys fees in the event legal action is required to collect on said bond. SUBMITTED BY: //(�-, r, C./ (PERMIITEE) ��>"-C� t��t�.�� � �� �` "�I�/ / � �'f�`" � ' � �� � �������� Signature&Title r z-� ! (�c��,:� !,� Address (S�-' � Z �`�` �'�` 2.P�v�h,�C � 5 �i ��S`�'� APPROVED BY: �E �', c{ � ND'��, CITY OF ZEPHYRHILLS Building Official Date Utilities Supenrisor Date Pubiic Works Date ZL�B l 2 City Manager Date � � � � � s c � l � �� ' .17 �$ � , ;� r � 4•N >t� W � ���� ��e �'� � ,� � � � a� �� � — �U _ � � � ..� a . � z � ����i � � �� ;''� .. � � �$ s �~ "� 9 N g •«.. �� o � � a °�a.r � �a �# �}� � � ���: �� �' ~� �' , � �Z��q � � ��� �• ;�� "�;_' � ��� � b .. � � d.p����, 2 �� �i. � � � 3 t5 . .� �`y � � n � •„�e v� ?+ � ������ �T�$ .° � � �� ad; � . . �! � � 8 ��� ,$� � *� _ � �� ����� 3 /1� ��«��R � �` �� 1_��� ���� - �� � � '�' ��� �V � { �j �\ ` �� � � � � � � , w Q �� !�'���r��� . �e �. n�'� � Z��B� � ��g�� ����# �`� �s�: � � . � •4 � � ��� � �i� � '� �'"'�''• �`� *p � p �r� i��, � � . � �� � �� � (� �"��6 i 1�1• ��� �: � ,�� � �' � m °� �� � ��� ai �l���������. � ��� �� � ���, ct � � .: d .i i d i ti r � ��� � �sv��� i � � � �.�^ � $ .'� " � '��� , ��k�/ �� � / /� , � r� '� 'i� �p- � 4� � +� �p. 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