HomeMy WebLinkAbout14-14929 ' , � � CITY OF ZEPHYRHILLS
5335-STH STREET
(si3)�so-oo20 14929
DRIVEWAY PERMIT
Permit Number: 14929 Address: 5604 18TH ST
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: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-11200-0180
Improv. Cost: 1,200.00
Date Issued: 1/27/2014 Name: GRAHAM FAMILY TRUST
Total Fees: 45.00 Address: 1002 MILL ST
Amount Paid: 45.00 EAST JORDAN MI 49727
Date Paid: 1/27/2014 Phone:
Work Desc: 18' x 35' CONCRETE DRIVEWAY
�HOMEOWNER DRIVEWAY 45.00
/ -
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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 fauity construction c) repairs or wrrections 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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CONTRACT PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
s�s-��o-oozQ City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received �� � /� __ �
Phone Contact for Permittin ;`, �/
Owner's Name YL,� Owner Phone Number
Owner's Address ! �� Ow�er Phone Number
Fee Simple Titleholder Name Owner Phone Number —�
Fee Simpie Titleholder Addresa
JOB ADORESS � ` LOT# ��
SUBDIVISION PARCEL ID# /' � p Q" �- `
(OBTAINED FO pROPERTY TO ncE>DEMOLISH
1NORK PROP03ED e NEW CONSTR 8 ADD/ALT � SIGN
INSTALL REPAIR
�ROPOSED USE Q SFR Q COMM �� OTHER
TXPE OF CONSTRUCTION Q BLOCK Q FRAME �] STEEL �]
DESCRIPTION OF WORK � � � � � �
BUILDING SIZE SQ FOOTAGE� HEIGHT r
BUILDING I$ —� VALUATION OF TOTAL CONSTRUCTION
�_
QELECTRICAL $ AMP SERVICE � PRO SS ENERGY � V1�.R.E.C.
i
QPLUMBING $ �/ ��/���
L�
QMECHANICAL $ VALUATION OF MECHANICAL INST LATIO
OGAS 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 L(cense#
MECHANICAL COMPANY
SIGNATURE _ REGISTERED Y/ N FEE CURRE� Y/N
Address License# �
OTHER COMPANY
SIGNATURE REGISTEREO 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 submittal date. Required onsite,Construction Plans,Stormwater Pians w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivislonsAarge pro)ects
COMMERCIAL Attach(3)complete sets of Build(ng 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&1 dumpster.Site Work Permit for ali new projects.All commercial requirements must meet compiiance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""'PROPERTY SURVEY required for all NEW consUuction.
Directions:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over;2500,a Notice of Commencement is required. (AIC upgrades over s7500)
" 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(PfoUSurvey/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 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 IMPACTIUTILITIES 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 ce�t�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, 1
certify that I, the applicant, have been provided with a copy of the "Florida Consttuction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Departme�t 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 ServiceslEnvironmental 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: �fOUR 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. 1 .0 )
OWNER OR AGENT � CONTRACTOR �y u'"`"'"_ '.�
Subsc�ibed and � rmed)bef , Subscribed an _to r affirmed efore this
j�,��-/�" by
Who isl personaIly k�r wn to me or has/have produced ho s a� person nown to me or haslhadentlficat on.
�����,U �J Ji as Idendfication. � �� �'
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'�` � ` Notary Public
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Commiss ���E�-�� �O M""�,'.��� BO BIE S.SWETLAND
;'�4 :.; Commission#EE 140709 ���Y-� �m
Name of Na ��
Tluu Troy Fan Ireu 800-3857019 . ., Baded 7ku 7roy Fain I�urance 8003�7079
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P.ERMIT=APPL7CATION -
iDRIVEWAY:PERM�T AP,PE.I�ATION
�COI�S"t'RUC��N'1f�IY1'MTN:P.UBl�C=RIGHf-O.F=Wi4Y
All information must be�filled-in compfetely
� -,Cit�r-of:Zephyrhills
"5335.B�'Street,_Zephyrhllls,:FL�33542
Telephone.8.13J80.0000 Fax 813.780.0005
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�PRO�ECT .]OB�SITE: '•PROPERTY'OWNER
Address: bo `� 5� - i/ Name: � ,
�Unit#: Address: lvo�/ / T Unit: .
Parcel Identification Number: Ci State Zi ' � k S�y
Phone: 3 d o7.�Z Fax:
______-------... ...__ ,
:CONTRA�1'OR:
Com an :
Name: ���'1� 1
Contractor's License#: F-Maii:
-Phone: �Cell: Fax:
ARCHITECT/ENGINEER: .
"Name: � �(/v�v� Firm Name:
Address: City: State: Zip:
State License#: Ph�ne: Celf: Fax: _
Descriution of Proiect
TYPE OF DRIVEWAY �,_LENGTH OF DRNEWAY CUL:VERTS NEEDED
_�RESIDENTIAL DRIVEWAY f�_WIDTH OF DRIVEWAY ( )REINF�RCED CONCRETE
COMMERCIAL DRIVEWAY R•O•W EXCAVATION ( )CORRUGATED MATERIAL
PUBLIC ACCESS DRNEWAY DEPfH LINEAR FEET O BOX CULVERT
( )OTHER(DCPLAIN)
CONSTRUCTION MATERIAL CURB CUT U
ASPHALT YES NO
f CONCRETE
HEADWALL REOUIRED? YES NO
NOTICE TO APPLICANT: If actual work exceeds scope of this description,additional permits or drawings
wilt be required.
UTZLITY LOCATIONS REOUIRED: CALL BEFORE YOU DIG: 1.500.432.4770
Page 1 of 3
� PERMIT APPIICATION
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 � s �
Width (10'min—20'max) N �
Existing sidewalk. Y N
New sidewalk. Y N
ADA compliant. Y N +�
Expansion material required. Y N
Contiguous parking pad. Y N
Triangular fla�e (3'W x 7'L) Y N
Visibility triangle o.k.? N
Side set back(3'min. R.O.W.) Y N
Plan Review Fee
Addltional desa�i tion of work as defined b Public WoMcs Director and or desi nee:
E�e L'aN�itio �t/ 0 S,eETC� —
Permit application approved by: Date:
Page 3 of 3
PER.MIT APPLICATION
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. 1 certify that ali foregoing
information is accurete and that all work will comply with all appiicable 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 dces not ensure compliance with deed restrictions and I understand that additional deed
restrictions may apply to this property.
All work shail 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,zephyrhilis.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 maintenance or repairs of driveways. Driveways shail not alter/
interfere with euisting stormwater treatme�rt and/or conveyance.
PROPER7Y OWNERS: By signing this application: I certify that I have ead and understand the owner/builder disclosure
Stdtement. (please initial)
i� T(J!/1/1 ( 9 j-C � l�r� ✓ ���1'� �G!/� � � - z 3 1�
Applicant Print 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
Map - Pasco County Property Appraiser Page 1 of 1
Pasco County, Florida Section 11, Township 26, Range 21, 0.6 miles NE of Zephyrhills
Mike Wells � �
�
Pasco County Propertv Appraiser ,on 120 ,
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TH.AVENU TH.AVEIVU
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MapID# 19851253/4422
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11-26-21-0010-11200-0180 � Pasco County Property Appraiser Page 1 of 1
Mike Wells Pasco County Property Appraiser
Data Current as Of: Weekly Archive - Saturday, January 18, 2014
ParcelID 11-26-21-0010-11200-0180 (Card: 001 of001)
Classification 01 - Single Family
Mailing Address Property Value
GRAHAM FAMILY TRUST Ag Land �p
GRAHAM T E &GRAHAM K G TTEES Land
1002 MILL ST $15,120
EAST JORDAN MI 49727-9719 Building $34,165
Physical Address Extra Features $7,132
5604 18TH ST
ZEPHYRHILLS FL 33542
Leaal Descrintion (First 4 Lines) 7ust Value $56,417
See Plat for this Subdivision Assessed (Non-School Amendment 1) $56,417
CITY OF ZEPHYRHILLS PB 1 PG 54
LOTS 18 & 19 BLK 112
OR 8539 PG 2625 Taxable Value $56,417
OR 8641 PG 870
7urisdiction
Citv of Zeohvrhills
Land Detail (Card: 001 of 001)
Line Use Description Zoning Units Type Price Condition Value
1 0100 SFR OOR2 8,400.00 SF $1.80 1.00 $15,120
Additional Land Information
Acres 0.19 Tax Area .30ZH FEMA X Residential Code ZHLHLP2
Code
Buildina Information - Use O1 - Single Family Residential (Card: 001 of 001)
Year Built 1955 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 1 Plastered Interior Wall 2 None
Flooring 1 Carpet Flooring 2 None
Fuel Electric Heat Forced Air - Ducted
A/C Central Baths 1.0
Line Description Sq. Feet Repl. Cost New
1 BAS 1,100 $44,220
2 FST 100 $2,010
3 FOP 30 $322
4 FOA 228 $2,291
5 FEA 192 $5,387
Extra Features (Card: 001 of 001)
Line Description Year Units Value
1 DWSWC 1955 222 $92
2 UDG 2012 468 $5,901
3 CON PTO 1955 2,761 $1,139
Sales Historv- See All 5 sal s
Previous Owner: GRAHAM KATHRYN G
Month/Year Book/Page Type DOR Condition Amount
Code
Qu it
12/2011 8641 / 0870 Claim l i Improved $0
Deed
04/2011 8539 / 2625 �Narranty 12 Improved $28,000
- Deed
10/2010 8433 / 1731 Certificate 12 Improved $0
of Title
http://www.appraiser.pascogov.com/search/parcel.aspx?parce1=2126110010112000180 1/24/2014