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Home My WebLink About13-14145 CITY OF ZEPHYRHILLS 5335-8TH SIREET ,,�-� (si3)�so-oo20 .fi�145 ' BUILDING PERMTT Permit Number: 14145 Address: C AVE COURT ST LIFT STATION #14 Permit Type: MISC ZEPHYRHILLS, FL. Class of Work: RIGHT-OF-WAY Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: Improv. Cost: Date Issued: 5/06/2013 Name: CITY OF ZEPHYRHILLS Total Fees: �� ,�,�c� Address: 5335 8TH ST Amount Paid: o ZEPHYRHILLS FL 33542 Date Paid: Phone: 813-780-0006 Work Desc: 14 X 20 CONCRETE DRIVEWAY FOR LS#14- PO#19613 �— � ' (�� / �_`, / � ,�` � FOOTER BOND DUCTS INSULATED SEWER MISC. ROUGH ELECTRIC LINTEL MISC MISC. 1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC. DUCTS INSTALLED WATER MISC DRIVEWAY PRE-SLAB SHEATHING MISC. MISC. CONSTRUCTION POLE FRAME MISC. MISC. REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80(2)(c)when extra inspection trips are neaessary due to any one of the following reasons: a)wrong address b)condemned work resulting from faulty construction c) repairs or oon�ections not made when inspections called d)work not ready for inspection when called e) permit not posted on job site t) plans not at 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. "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." Complete Plans, Specifications Must Accompany Application.Ali work shall be pertormed in accordance with Ci Codes and Ordinances. NO OCCUPANCY BEFO C.O. CONT TO GNATURE PERMIT OFFI R P T EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION 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 Permittin — Owner's Name � �� Owner Phone Number Owner's Address Owner Phone Number Fee Simple Titleholder Name Owner Phone Number � Fee Simple Titleholder Address JOB ADDRESS C �' �� ( LOT# � SUBDIVISION , PARCEL ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED e NEW CoNSTR 8 ADD/ALT 0 SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE Q SFR Q COMM � OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q DESCRIPTION OF WORK �v'P.�� e�� BUILDING SIZE SQ FOOTAGE�� HEIGHT OBUILDING $ VALUATION OF TOTAL CONSTRUCTION �ELECTRICAL $ AMP SERVICE � PROGRESS ENERGY � W.R.E.C. �PLUMBING $ OMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION �GAS Q ROOFING Q SPECIALTY 0 OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO BUILDER � R OMP RNo Y/6N`�`s EE CURRE� S6Y N SIGNATURE 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)wor{cing 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 insialled, Sanitary Facilities& 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance SIGN PERMIT Aitach(2)sets of Engineered Plans. '"`*PROPERTY SURVEY required for all NEW construction. Directions: Fill out application completely. Owner 8 Contractor sign back of application,notarized If over E2500,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 ovmer 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 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 complianca with any applicable deed restrictions. � UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILI'TIES: . If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with state and Iocal 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 appiy 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 IIVIPACT 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 Resource Recovery Fees must be paid prior to receiving a "certificate of occupancy" or final power release. If the project does not involve a certi�cate 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 "Florlda• Construction Lien Law—Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Corisumer 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'SlOWNER'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 atl 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 �egulations of other government agencies may appty 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 p[otection Agency-Asbestos abatement. - Federal Aviation Autho�ity-Runw�ys. I understand that the following restrictions apply to the use of fitl: - 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 fitl 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 issua��e 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 pe�mit 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) OVYNER OR AGENT CONTRACTOR __ Subscribed and sworn to(or affirmed)before me this Subscribecl and swom to(or af iedJ bef re e this by bY Who is/are personally known to me or has/have produced Who is/are personally known to me or have produced as identification. as identification. Notary Public � Notary Public =•' •� Commission#EE Commission No. Commj�si 20 � • BaMedTMui Fein 014 �' �+�ce�10-986-7079 Name of Notary typed,printed or stamped Name of Notary typed,printed or stampe Jacqueline Boges To: Shane LeBlanc Subject: driveway application Importance: High Shane have driveway application for a lift station from Morris & Associates job given by utilities dept. they are wanting to get this picked up by today if at all possible. C Ave & Court Street � ', �-�FCIC�� Jackie Boges (ext 3513) What Greater love can a man give...... ,�"�� S-�� P.:� � �-O .GV_ c�S� — �2� �� -L� - -; Li � t „�•;• ,i;, : < PERMIT�1PPLICATION � ''�`". ' h. DRIVEWAY PERM�T APPLICATION CONSTRUCTION WITHIN PUBLIC RIGHT-OF-WAY Ali information must be filled-in completely City of Zephyrhilis 5335 8"'Street, Zephyrhills, FL 33542 Telephone 813.780.0000 Fax 813.780.0005 Date of appl :� ,.{� Prooessed,BY� � + PaRnit#: �- � bo 8uildi (a+r aro�tor sMr we ) l� to Puwic WarlcS PR07ECT 70B SITE: PROPERTY OWN�R Address: Q �#- Name: j o � Unit#: L,;-� S- , � Address: `'► rt-. Unit: Parcel Identification Number: Ci State Zi `Z� ` �'L Phone: Fax: CONTRACTOR: Com n : U� Rf5 �F Name: � ,- . ; ntractor's License#: �-) � E-Mail: � ��S _� o� Phone: �' - d v3 Cell: - � - � � ARCHITE ENGINEER: c� � Name: Firm Name: ? Address: .� CitY' State• Zip. ,m State �cense #. Phone: Ceil: Fax: V � � �a�on of Proi �E OF DRNEWAY `1 LENGTH OF DRNEWAY CULVERTS NEEDED RESIDEMIAL DRNEWAY �WIDTH OF DRNEWAY ( )REINFORCED CONCRETE COMMERCIAL DRIVEWAY R.O.W. EXGVATION ( )CORRUGATED MATERIAL PU LIC ACCESS DRIVEWAY �r DEPTH LINEAR FEET ( )BOX CULVERT �(��U.4� ACcP.�J TL 2 CONSTR U�CTION MATE r �cji�y ( )�ER(�PWN) YES NO �� CONCRETE Z,F p�� HEADWALL REOUI ED? YES NO NOTICE TO APPLIC/II�T: If actual work exceeds scope of this description,sdditional permits or drawings will be requir�ed. �1TILTTY LOCATION&REn��ro� • CALL BEFORE YOU DIG: i.800.43Z.4f70 Page i of 3 PER.MI4 APPLICATION UTILITIES LOCATE CONFIRMATION NUMBER: PROVIDE SKETCH �N TF�I� AREA, IF ADDYTIOf�AL SPACE IS REQUIRED, ATTACF� TO TIiIS APPLICATION. �tBO� QNM�S�orJ Sou�T ei G'�p�-U �p��?. , � U �'� s�°^� `�XP�o��-r c J� ---- — � �� ,. ,� � - �,�E AFFIDAVIT: Application is hereby made to obtain a permit to do work and installations as indicated. I certify that all foregang information is aaurate and that all work will comply with ail applicable codes. I understand these codes shall take precedence over all approved rnnstruction documents,and issuance of this permit is verification that I wili notify the property owner of Fbrida Lien Law req., F.S. 713. The issuance of this permit does not ensure compliance with deed restrictions and I understand that additional deed restr�ictions 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 link: www.ci.zephyrhills.fl.us/public_works,asp) APPLICATIOIV IS VOID UNLESS SIGNED WITH PROPER IDENTIFICATION AND WITNESSED BY A PERMIT TECHNICL4N OR NOTARY PUBLIC. NOTE: The City of Zephyrhilla i�not responsible for maintenanoe or repairs of driveways. Drivewaya shall not�slter/ i��w�h ex�sti�y sburmwaber treadne�and/or aonveyance. PROPERTY OWN�i RS: By signing this application: I certify that I have read and understand the owner/builder disclosure stdtement.--`C�..- —(please initial) Vu �-- � f , �� 4��,��,5��C` C u�C-' ' (�j 5 ... � Applicant�nt Name Applicant Signature Date r�� \ 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 APPLLCATION OFFICE USE ONLY PUBLIC WORKS USE ONLY Concrete (min. 6'� Y N Asphalt Base (min. 6'� Y N Asphalt(min. 1�/z'� Y N Length (min. 19� Y N Width (10'min—20'max) Y N Existing sidewalk. Y N New sidewalk. Y N ADA compliant. Y N (J Expansion material required. Y N Contiguous parking pad. Y N� Triangular flare (31N x 7'L) Y N Visibility triangle o.k.? Y N Side set back(3'min. R.O.W.) Y N Plan Review Fee Additlonal descxi on of work as deAned Public Works Direcbor and or nea: Permit application approved by: Date: Page 3 of 3 ,4 �rR , '� ;� �� _ ' f'� � � �, � , �4 �,. � . ,�'o k, , � ' .r i� � � �• � `� , � . �(. c � � ��i''e+e ' r + ; �E � -.� 'r{"r,. w� t;. , � : , � �a � i . + � � +� ��' �s. �� . �� . � #� � �. � � � t -- j .. , , �� :� � � � r' , ��. { � ..�.. � �..:,.. �. . , ,;ti {-,.�?.� � _ ' r _ M,�f+,5.�,?:j� ., � ,v . —^'«.r/`�t,-j`�r�yJi7 � ,� � .^�" i!' �'�t-��} � , . � ,',. �' �„�•'�'� .; � � � , .,,�,'�, , .. .� . . ,' . ,l��; .. � ��j`��`, ��0.�,`r � � »- ; ! ' �r•:.,� E �M' , r «� r ��'�ri `"+. ' � �i �,a.�:�� y'.� ' '� � .� . , ,a^;�_ ,F i I. .�. .,' �`.� „.,,, t. .1 ,y^M• �, .:� R.... 7 � �' �}_ � �' _, y �'� ,l f,' ,�,`'y4;: ��"s � jl Y'�' A xi . ,t�' q� � ��' 'r:'��'�'d� Ai , ��.y, �4 r�„�;� � Y� ' �� R'�� •4 �'' ''•_ �'..',; 'i .At;�.: .,,� `',��}" � a,Z,. 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