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Home My WebLink About13-14336 CITY OF ZEPHYRHILLS 5335-8TH STREET (sis)�so-oo20 14336 DRIVEWAY PERMIT Permit Number: 14336 Address: 38746 VULCAN CIR LOT 14 Permit Type: DRIVEWAY ZEPHYRHILLS, FL. Class of Work: DRIVEWAY/NEW Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: VILLAGE GROVE Est. Value: Parcel Number: 02-26-21-001c-00000-0140 Improv. Cost: Date Issued: 7/03/2013 Name: GRANGER, DAVID & DIANE &TRST Total Fees: 40.00 Address: 3517 E 510 N Amount Paid: 40.00 WARSAW IN 46582 Date Paid: 7/03/2013 Phone: 813-210-4368 Work Desc: DRIVEWAY ONTO PUBLIC R-O-W OWNER DRIVEWAY 40.00 � � l 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 counry, 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 properly. If you intend to obtain financing,consult with your lender or an attorney before recording your notice of commencement." A� � �G�� Z-� LZ C` CONTRACTOR PERMIT OFFI PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER � PERMIT APPL'ICATION �r • � `'x �j �� J DRIVEWAY:PERMIT APPLICATIO �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 �t,�et'�f�p}�Ibc�Dtt:: - _ ' . rProoe�ie�d ::�;:...-..___. �,..�,:.-....-r-- '�Fe�aiit�#:= , . , � ��{/ r��.., ..: _� . �:_. �� . '�I'.., .".' ': .�::Fr�'s�: .. t ,. _: , - ±- , . . _ .. ._ • i(�(3yt�lD'1b1=f�f�l�z'� ,. '; �:. .1 :., _. _,�. :._- _. ' � .� � "�Gt1}�'W`Br��►g'i�►Y'l�tiietit: - .• . ;, ' ' - �•QiCppy:te3�.R�ijtili�;lMar�; � . PR07ECT .70B`SITE: PROPERTY OWNER Address: Name: ;-,. ,. Unit#: Address: .�7 � Parcel Identification Number: Ci State Zi 'Z� — Phone: F x: CONT CTOR: Com o Name• �� Con r s Li nse#: ' E-Mail: Phone� � Ceil: - Fax: -7 ARCHITECT/ENGINEER: , Name: Firm Name: Address: City: State: Zip• State License#: Phone: Cell: Fax: Descriu�ion of Proiect TYPE OF DRIVEWAY ,�_LENGTH OF DRNEWAY CULVERTS NEEDED ✓�ESIDENTIAL DRIVEWAY �'�WIDTH OF DRNEWAY ( )REINFORCED CONCRETE CAMMERQAL DRIVEWAY r�.o.w• EXCAVATION ( )CORRUGATED MATERIAL PUBLIC ACCESS DRIVEWAY DEPTH LINEAR FEEf ( )BOX CULVERT CONSTRUCTION MATERIAL CURB CUT OUI ED O OTHER(DCPLATN) ASPHALT YES �NO �NCRETE HEADWALL REOUIRED? YES ./� NOTICE TO APPLICANT: If actual work exaeeds scope of this description, additional permii�s or drawings will be required. UTILITY LOCATIONS REOUI D: CALL BEFORE YOU DIG: 1.800.432.4770 Page 1 of 3 .PERMIT APPL2CAT.ION UTILITIES_LOCATE CONFIRMATION NUMBER: =PROVIDE:SKETCH TN"THIS�AREA,:IF ADDItIONAL SPACE 25 REQUIRED, ATTACH TO-THIS APPLICAT.ION. AFFIDAVIf: Application is hereby made to obtain a pertnit b�do work and installations as indipted. I certify that all foregoing information is accurate and that ail work will comply with all applicable codes. I understand these rndes shall take preoedence 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 PDOT Design Standards(if applicable). (Public Works Design Manual online link:www.a.zephyrhills.fl.us/public woHcs.asp) APPLICATION IS VOID UNLESS SIGNED WITH PROPER IDENTIFICATION AND WITNESSED BY A PERMIT TECHNIQAN OR NOTARY PUBLIC. NOTE: The City of Zephyrhills is not responsible for maintenance or repairs of driveways. Driveways shall not atter/ interfere with existing sbormwaber treatment and/or conveyanoe, PROPERTY OW.-N�E.� By signing this appiication: I certify that I have read and derstand the owner/builder disclosure statement.�,��(please initiat) � � / A ` - �`{ ' L�l�� Applicant Print Name Applicant Signature Date Permit Technician Signature (or)Notary Signature Date Applicant is( ) personally known to me or produced as identification. (type of iderrtification) Page 2 of 3 ` PERMIT APPLICATION OFFICE USE ONLY �PUBLT+C�WORKS�USf=�NLY Concrete (min. 6'� Y N Asphatt Base(min. 6'� Y N Asphalt(min.l�/z'� Y N Length (min. 19� Y N a � Width (10'min—20'max) N 2 � Existing sidewalk. Y N New sidewalk. Y N ADA compliant. Y N N Expansion material required. N �-� ED P�t1�E �rJT Contiguous parking pad. Y N Triangular flare(31N x 7'L) Y N _ Visibility triangle o.k.? N Side set back(3'min. R.O.W.) Y N Plan Review Fee .Arddttiar.�aii,de�cri 'on of�woc�c as�def3ned P�biic 1KI.or�s Di�r�a�d�or desi nee: Permit application approved by: te; 3 uL Page3of3 +�ENTATIVE TR�ATMENT TO NEW C.VNaiRU�.��..�.. REFER TO TNE PLORIDa pww��v�, .....-�, .---•„ . TNAT MA1' BE CON9IDERED A HAZARDOU9 LO� 51.00� 51.00' O O p o+ a l'6° 12'b° 43�6" �� b� � SNED � ro � PROP09ED g GARAGE O p GARPORT MOBILE NOME � � � � � a � 10'O" 31'O" 10�O" '� � ! � 0. ��1� � ��` i �� ! � ,�. 2D� ., W __.. � � N> ' J U � � r g�7 . � . 51.00� ULCAN CIRCLE_ _ _ _ _ _ _ _ _ _ _ s�twcvr F �8� 517E PLA �° . zo�o° 3�x � EXP9Nti$N� �`lu'E A� 'T2c�nslc�aa �'�41lEM�uT -��v�,w•�Y M.�S-r n-caTC�t �x.iSr�N6 �ruaa��(?oz� cipEC� �j�i.�D�S h►JD N�T c►J7ERFtQE �� i t-4C CoN vE�A-NCE �F S?'�kw�v��4Tt�2, �ER GARRIES NO LIASILITY INBURANCE AND THEREFORE � DEPEND DE8IGNER FROM ALI. GLAIMB, L088E6 AND NEY FEEB) ARI8ING OUT OF OR REBULTING FROM THE 'H AITEMPT TO PROVIDE ERROR FREE GONBTRUGtION UR TNE DE8IGNER WILL NOT BE LIABLE FOR G06T OF l • DISCLOS S't'n'►'F'�•NT .FOR OW1dER �'\ CITY OF ZEP SI�I+S BIIITrDSNG DEPARTMENT = r C�� _�if/, have read and fu11y understand arid agrae •to the provisions o ins ent. The undersigned states and affirms that he or she is desirous of const=ucting, renovating, adding to or reroofing his or her own domicile, •that he or she actually occupies, or wi11 occupy by said domiczle, and same is not for •rent, lease or sale. That he or she shall comply with the fo3.lowing conditions: 1. That the os•mer and-he or she alone sha11 act as the builder for a11 phases of construction. - 2. That the owner will comply with a1l provisions of the City of' Zephyrhil'ls ordinances and codes pErti.nent to the building. 3. That in the enent vasicus phases of construction ase subcontracted, he will engage only properly liceased subcontractors and will personally supervise such work. 4. Z`hat in the event the Suilding Znspector sha11 re?,;re corrections to be made, �he owner wi11 assume full responsibility to insure •they are made, and upon co�pletion will ca11 for a rpi*+-�ctioa before proceeding with the building. 5. That the ownar sha11 assume fu11 responsibility for the constr�action and wi11 not expect_ supervisiosi of his work from the City of' Zephyrhills Buildi.ng Department. 6. That prior to final inspection any addi.tional fees, including reinspection fees, must be paid ia fu11. A writtan request from t_h.is office shall constitute an official notice -to pay additioria.l f'ees. 7. That the owner shall co�ply with a11 City, State and Federal laws in regard to social security, workmari's compensatioa, lien laws, etc. , where applicable. 8. That the owner sha11 comply vrith all the safety codes issued by the Elorida Industrial Commission. 9. 5tate 1aw rem,;Tes constxziction to be done by licensed contractors. You have applied for a pexmit undes an exemption to that law. The exemption allows you, as the owner o£ your property, to act as your own contractor vrith ce*�+=;*+ restsictions even though you do not have a license. You must provide direct onsite supervision of the construction yovrself. You may build or improve a one-family or two-fami.ly residence or a farm outbuildiag. You may also build or improve a commerci.al bvilding, provided your costs do not exceed $25,000, The building or residence must be for yovr own use or occupancy. It may not be built or substaatially improved for sale or lease. 2f you se1:l or lease a building you bave built or substaatially improved yoursplf within 1 year after the constsuction is complete, the la�v wi11 presume that you .built or substantf.alZy improved •if for sale or lease, which is a violation of this exP�FJtioa. You may not hire an unlicexisad person to act as yovr contractor or to supervise people working on your building. 2t is your responsibility to make sure that people e�ployed by you have licenses rez,;red by state law and by county or murii.cipal liceasing orclinaaces. You may not delegate the responsibility for supervisi.ng work to a licensed contractor who is not licensed to perform the �oork being dnae. Ariy person working on your building who is not licensed must work uncler Irour direct supervision and must be Employed by you, which means that you must deduct F.I.C.A. and withholding tax and provide worlcers' compensation for that employee, all as prescribed by law. Your construction must comply with a11 applicahle laws, rdiiaances, building codes, and zoning regu.latio OWNER'S S 2 GNATL7RE �� `�" ADDRESS PHONE � � W2TNESS PERMIT # / a�s-�ao-oozo City of Zephyrhills Permit Application Fax-813-780-0021 ' Building Department Date Received hone Contact for Permittln 3 '`-� ��(� Owner's Name � Owner Phone Number , 1 �Owner's Address _ Owner Phone Number Fee Simple Titleholder Name Owner Phone Number � Fee 3imple Titleholder Address JOB ADDRESS LOT# C� SUBDIVISION PARCEL ID# (OBT/UNED FROM PROPERTY TAX NOTICE) WORK PROP03ED e NEW CONSTR 8 ADD/ALT C� 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 ` IZE 3Q FOOTAGE HEIGHT BUILDING S` � o.--p�— VALUATION OF TOTAL CONSTRUCTION �ELECTRICAL $ AMP SERVICE Q PROGRESS ENERGY Q W.R.E.C. QPLUMBING $ QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION QGAS Q ROOFING Q SPECIALTY � OTHER FIN�SHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO BUILDER � COMPANY SIGNATURE REGISTERED Y/ 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 Ucense# —� 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)woiicing days after submittal date. Requlred onsite,Construction Plans,Stormwater Plans w/Silt Fence i�stalled, Sanitary Fadfltles 8 1 dumpster;Site Work Permit for subdivisionsAarge projects COMMERCIAL Attach(3)complete sets of Bullding Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Pem►it for new construction. Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Si�t Fence installed, Sanitary Faciflties&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. ""PROPERTY SURVEY required for all NEW construcUon. Directlons: Fill out application completely. Owner&Contractor sign back of application,notarized If over 52500,a Notice of Commencement fa requlred. (A!C upgradea over sT500) '" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notaN2ed letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of AppUcation Only) Reroofs if shingles Sewers Service Upgrades A/C Fences(Plof/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 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 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 cantact 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 buiidings, 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. 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, 1 certify that I, the applicant, have been provided with a copy of the "Fiorida 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 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 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 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 wilt 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 O�cial 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: YOVEMENfTSTO YOUR PROP RT1f.TIF YOU INTE DETO OBTA N FI�NANC NG CONSULT PAYING TWICE FOR IMPRO WITH YOUR L NDER R AN ATTORNE EFORE RE ORD G YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT(F.S. 11 .0 OWNER OR AGE ` • CONTRACTOR a�� Subscrlbed and rn (or affi be e thls Subscrlbed and swom to(or atflrmed)before me this by o is ave pro uc d - Who I nally knovm to me or hasRiave produced as Identlficatlo . as identl8cation. ��, " , � � � Notary Public u 'c ;�►� ��- ion#EE 140709 Commission No. Com °* �� . .� Bonded TMu Troy Faki Ma►ance 80�`�'7019 ed, rinted or stamped Name of Notary typed,printed or stamped Name o otary typ P