The URL can be used to link to this page

Home My WebLink About14-15630 CITY OF ZE HYRHILLS 5335-8T STREET - � (si3)�s -oo2a � � 30 DRIVEWA PERMIT PERMIT INFORMATION LOCATION INFORMATION �� Permit Number: 15630 Address: 38148 KELLY LYNN CT � Permit Type: DRIVEWAY ZEPHYRHILLS, FL. Class of Work: DRIVEWAY/NEW Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CHARLESTON OAKS Est. Value: Parcel iVumber: 02-26-21-0280-00000-0020 ' Improv. Cost: 4,100.00 OWNER INFORMATION Date Issued: 9/09/2014 Name: BAGGETT JUDSON & LINDA Total Fees: 40.00 Address: 38148 KELLY LYNN CT Amount Paid: 40.00 ZEPHYRHILLS FL 33542 Date Paid: 9/09/201 • � Phone: (813)9.97-3343 Work Desc: EXTINSION T W "18,6 X 16,8" "1 ,6 X 25,8" CONTRACTOR S APPLICATION FEES TREBOUR, ERNEST (813)782-2744 DRIVEWAY NEW RES. 40.00 I�� F �r�A� � -��-i � � �. � �� Ins ection Re uired DRIVEWAY R.O.W. INSP REINSPECTION FEES: Reinspection fees will comply ith Florida Statute 553.80 (2)(c)when extra inspection trips are necessary due to any one of the following re sons: a) wrong address b) condemned work resulting from faulty construction c) repairs or corrections no made when inspections called d) work not ready for inspection when called e) permit not p sted on job site g)work not accessible. NOTICE: In addition to the requirements of this permit, ther may be additional restrictions applicable to this property.that may be found in the public records of this county, and ther may be additional permits required from other governmental entities such as water manageme , state agencies or federal agencies. The payment of inspection fees shall be made before an further permits will be issued to the person owning same "Warning to owner: Your failure to record a notice f commencement may result in your paying twice for improvements to your property. If you intend to ob in financing, consult with your lender or an attorney before recording your otice of commencement." �7'�L.,��- ��-�-- � CONTRACTOR PERMIT OFFI PERMIT EXPIRES IN 6 MONTHS ITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - HOUR NOTICE REQUIRED PROTECT CAR FROM WEATHER iiiiiii�iii iiiiiiiiiiiuiiiiiiiiioiiiiiiiiiiiiiiiiiiiiiui 20141 2864 Rept;l6 1524 Ree: 10.00 ' DS; 0.0 IT: 0.00 09/24/1 T. Sline, Dp4.y Clerk PermitNO. '••I Sf0 30 ParcellDNO Z'� Z�o'2�� ( O ZQ NOTICE OF COMMENCEMENT Slale o( ��IL��A' County of � . � W THE UNDERSIGNED hereby gives notice thal improvement will ba made to certain real property,and in a cordance with Chapter 713,Florida Statutes, � the following i�fortnation is provided in this Notice of Commencement: o� .A 1 Description of Properly: Parcel Identification No. � �.?i 1� O"?i$�� d CO"�� O a �� t(8' 1 E � Street Address: ° oe.��M 2. General Description of Improvement �� w 0`_, U � p H a U 3. Owner Infartnation or Lessee infortnation if tfie Lessee conlracled tor lhe improvement: a EQ� �U :a� L"'�� 38I y 8' �l�'eiro Lu n�,U Gf Z �, �,,,:1,(�s � �r►� Address City State Z� Inlerest in Property: o.a+Y N\m Name of Fee Simple Titleholder. Sf {�.► Q N� 3 8.�y� (�C(V (If diNerent fr�orry Owner lisled above) � t 3 �� .�..J� ('/{ ��- � a m �. W �� Y Address �-�� 2 �S� � c�ry Stale Q z U J � � Contractor � �� J 3�I6 daNam�/`P��4 Paa.d �L Z �. .3 3 S y� � U Z�O �Q J } -�r Address (� -7 /,p/ Cily Slate � — U U� J � F' Coniraclor's Telephone No.. I��3� /�`�`7 d� � �� = Q N � p�.., � 0 {— W � W � 5. Surely: � � 2 z J �G Name Address Cily Stata {�— O Lt- LY U O Amount of Bond: S Telephone No.: �� O Y 6. Lender. Narne ' V�d U [_]� � z w Address Cily State �� —1 Q � Lenders Tele hone No. � } E� m � � V p �� a 2 O J 7 Persons within the Slate of Florida designated by lhe owner upon whom notices or other ocuments may be served as provided by �}t� � ,� = Q W Seclion 713.13(1)(a)(7),Florida Stalutes: ' �, �� u � p z It..�J U � � � Name ' � � p i'� B— Z � � � Address ' City Slate "�'�'� J W J g Telephone Num6er of Designated Person: � � � z F�� B. In addition to himselt,lhe ownet designales of_ �''r � � � a m to receive a copy o(the Lienors Notice as provi ed in Sedion 713.13(1)(b),Florida Statutes. TeleDhone Numher ol Person or Entity Designated 6y Owner: 9. Expiration date of Notice of Commencement(the expiration date may not be before lhe compl lon o(construct(on and final paymenl to the � conlractor,but tvill be one year Gom lhe date of recording unless a diHerent date is specified): �e� � WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATI OF THE NOTICE OF COMMENCEMENT � p � e � ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAP7ER 713, PART 1, SECTION 13.13, FLORIDA STATUTES, AND CAN . RESULT IN YOUR PAYING TWICE FOR tMPROVEMENTS TO YOUR PROPERTY. A OTICE OF COMMENCEMENT MUST BE @� �� RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU I TEND TO OBTAIN FINANCING,CONSULT -x. � WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENC�NG WORK�OR RECORDING OUR NOTICE OF COMMENCEMENT � ,`�y :Q�� . Under penalry of perjury,I declare that I have read lhe faregoing notice of commencement and t at the fads stated therein are true to the besf ',„'� � Q� of my knowledge and beliet. " �' �p � Y��' �' ao e�. STATE�OF FLORIDA °°�� ` u - �^' ° �$ COUNTYOFPASCO �` � a ' -'i�'�/��,, � S na re of pwner or Les ,o O ne s or lessee's Autharized � �,,.� a . �, O er/ ireclo�/Partner/M e �� eSignatory's TillelOKce �0�� The foregoing inslrume�l vias acknowledged before me this�Tday of��Dlc'.VY1�L;�Sy ^^ � �� ' � ,� Oc�ner �-,— as (type of aul ority,e.g.,officer,lruslee,atlomey fn facl)for (name of arty on b halt o w m Instrument was executed). Personaliy Known OR Produced Identifieallon❑ Notary Slgnature Type of Identificalion Produced Mame(Print) � �a � +�;,,,., DEANAKTYNER :� ��' �. r MY COMMISSIIXJ 1 Ff 036533 A` EXPIRES:Juty 17,2017 ��jjr�''p¢'�� 8onded7lwNoW'PudieUndanvrE�n wpdatalbcs/no�icecommencemenl_pc053048 • I ��saso-oozo City of Zephyrhill Permit Application Fax-813-780-0021 - �:,Y��• Building Department � 1 �Received Phone Contact fo Permitting -- ' s /� c, Owner's Name ��l�s� /J F�-�r-�G � Owner Phone Number p �.3 "'9 9� 3.�tr� Owner's Address ��ya �� N �� Owner Phone Number ' Fee Simple Titleholder Mame �/ ��,y-f.� C�� Owner Phone Number Fee Simple Titleholder Address �d�SG'a? �S • �°� JOB ADDRESS J�r`lOY� �C�aI 1..� B.1 ��: LOT# � SUBDIVISION c�//a",�(, �S�p�J �1�'1�--,C� PARCEL D# O 2 �2�"' ZI °• O Z�O — D C9��(� '°'C��C! (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CoNSTR ADD/ALT Q SIGN Q Q DEMOLISH B INSTALL 8 REPAIR P6tOPOSED USE Q SFR Q COMM � OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME 0 STEEL Q DESCRIPTION OF WORK BUILDING SIZE SQ FOOTAGE HEIGHT QBUILDING $ VALUATION F TOTAL CONSTRUCTION QELECTRICAL $ AMP SERVIC Q PROGRESS ENERGY Q W.R.E.C. OPLUMBING $ �� QMECHANICAL $ VALUATION F MECHANICAL INSTALLATION � `�� QGAS Q ROOFING Q SPECIA � OTHER FINISHED FLOOR ELEVATIONS FLOOD ONE AREA QYES NO BUILDER CO PANY SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N Address License# ELECTRICIAN CO PAMY SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N Address License# PLUMBER CO PAIdY SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N , Address License# MECHANICAL CO PANY SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N Address License# OTHER CO PANY SIGNATURE REGI TERED Y/ N FEE CURRE� Y/N Address License# RESID�NTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set o Energy Forms;R-O-W Permit for new construction, Minimum ten(10)working days after submittal date. Re uired onsite,Construction Plans,Stormwater Plans w/Silt Fence instailed, Sanitary Facifltfes&1 dumpster;Site Work Permit for su divisions/large projects _____COMMERCIAL- __Attach-(3)complete sets of Building Plans plus a Life Saf ty Page;(1)set of Energy Forms.R-O-W Permit for new construction. Minimum ten(10)working days after submittal date. Re uired onsite,Construction Plans,Stonnwate�Plans w/Silt Fence`installeif, — � Sanitary Facilities&1 dumpster.Site Work Permit for all ew proJects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. ""PROPERTY SURVEY required for all NEW constructl n. Directlons: Fill ouf appiication completely. Owner 8 Contractor sign back of application,notarized If over�2500,a Notice of Commeneement Is requlred. (A/C upgra es over b7500) " Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same OVER THE COURlTER PERMITTING (Front of Application Only) Reroofs if shingles Sewers Service Upgrades A/C Fences( lot/Survey/Footage) Driveways-Not over Counter if on pubiic roadways..needs ROW � . , � ' i � NOTICE O� DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions" which may be mor� restrictive than County.regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRi4CTORS AND CONTRA►CTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake vuork, 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 IMPAC'T/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 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, 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'SIOWIdER'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, WaterNVastewater 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. - 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, t 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 applicat,ion, 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 OInINEft, 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 _ justi�able cause for the extension. If work ceases for ninety(90)consecutive days, the job is considered abandoned. � 1AIARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY FtESULT IN YOUR PAYING TWICE FOR InAPROVEMENTS TO YOUR PROPERTI(. IF YOU INTEND TO OBTAIN FINANCING, CONSULY Vi117H YOUR LENDER OR lo►N ATTORNEY BE�ORE FtECORDING YOUR NOTICE OF COMMENCEfYlENT. FLORIDA JURAT(F:S. 117.03) OWNER OFt AGENT CONTRACTOR Subscrtbed and swom to(or a�rmed)before me thls Subscrlbed and swom to(or affirmed)before me this � by by i Who Is/are personally known to me or haslhave produced Who Is/are personally known to me or has/have produced as idenUflcaGon. as identification. Notary Public Notary Public Commisslon No. Commission No. Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped ` _ _... "' ' ..e__.,.. ..-... _ , .... . .. .... ...�.- ..... w�_......«�-.-�._ ,.�-----^^�^°-^..�,^'.,^°°^t"I'," _ �. . � '. Y ' �' -�..___'""'_ ' ._'_"""_'_�__ _ . "' ,_ . .. .. - _ ' ' ' _ �_ ' - ..,. ��. � , � . 15� _ ' ' _" ^ _ __..'_ ._ ....__'—_"_.�.._.. -...__..-.-_.__--..�._ 4 ' ,� . , +��r .L�'��.��°"a:wr�;', il � . � � _... ;�: _ ; S��'. .2, �'�''P. ' �� _�� , ,' ,26'S � RNC. s _ � R , ;.,, � ; . .2>E � �� f �,��j, � - PA S�'D �'0 UN�'�' � . �, �: -�� , _ ,;; , FL DRII3A . �:��,� �� ; ;, ,,, � � 4 I' � ' � t . �� ' � � ,41 {,. � . .q$�� '�� i � 'yV S 11 ,. • ; � � ,' , I�' , � /,,/�� ba.. . , y\;� j, �ir�/�� I �' . � . , , "}� \, � " i (}r , i � ' ' , �.�y.�� 2 � ;��+ '�tj t * . �Ft . S � � i �.�1 . , , ` . '9i . ��f I,� � ��`�} � ` 'r : I - � - � , � . ;;c�'� � �, ,S ° , :' �� C�� SCALE: 1' - 30' � , " " 'I i ,�l '.i ._. ` ,,.I , �� 3Q' 64' �. ;�E,<.I:e , �,1 � i ` � �' 'v;' �`; ' ;`'' _ , '.};r ., ,� . ' � .f , ' i'. z�.I 4 _./3 _ � �:,. � ;�•#j'�11 � ; . , ,,,' 'r?�`� i� , `� � . .� , � . �-�;�`f��tif--:n �,��.�,��1�'�'�'�'D� ` , � , - � . ;j` .i�� , , . . � � �':�:} TRACT2�3 IN��3GZT�N� T�(?WN�26�O �` � � `< : ti►TT�RANQB21 BA�T,A�R8L'ORtABD INFLATBOOK�1, � , .t ;.; �i PA(�B SS,OF THB PUHLICRBC'ORDS OPPA�CX�COUNTY ��DA.L&��TSE�:BA�T 15 FEB',�"�'�gpg ' �.,,;�,,�,''�; ��VlN�iANB�A3�B��IVTF+QR iJ'T�G]I7��VBRA►NDA�R.�}��B�UTH 1S FBBT Tf�g�g r .'� � �,.;� <' �>.1 -� G'Q�1Vq•AIIVNII�IC�4.H CRB,� ,L, I' 3 . :��<��' gA ,11�� . - - a ...°,'�yyP'�'�t�:�` ! � � =` d,, i 1 � + ' '.�,.�la��" � • � .v �".�^ 1� . � Fd� q :,; _ �'�.e� PERMI7'APPL'ICATI4EV :.DitIVEWAY:PERM T.APPLICATI�N �CC?NSTRUCTION�WITHIN: UBL�IC RIGH:T-OF-IIVAY All informatian must b filled-in completely ;City of,Ze hyrhiiis - "5335 8"'Street,Zep yrhills,'FL 33542 Telephone.8i3.78Q.000 Fa�c 8�.3.780.Q005 _ - - .:4i�' ;;ti�'�"" „`:Ge - " -- _.},.:'.i. " _ fL�ate�cf:�a '7icataioii:�,'z {,Pr(ocesseii� �.,:xs., ~�`�;':�;;�`"��peirnii�r#�.'�`° .f:�: ,P.F ��:: n .B'if_ .�: - - ifi .�_'� «.FS, .-:4S>� �S�;�i ;.�..:.:.�:. r<.E' - _ ^_„i�s:'y�:i�z`... 'yl " �'a-;'� 'i:'�_ti'.�, "75 �Y,£� - �:.3:` ,�, a.Ci.�':ri':'- >'d., ° _ " •r�', - _ �,� iaie�i`r :ise'unS� - - - � - - ��. :{9raY - - n�. Y �='s:. �:tc - `t _ E�i t,:o - - tr::> -- z; :,,;rN - - - - - � :,�� .�°.:.;{c:tii:,'�:"i;r<`�� - - - _ '�?'� _ - �'I�f�� 't6iptlj'.1)IGKVYrO, °-Bu �-n:e;a-:. ;� ,:�.` �s�.`�;==` - it1'' 11xTi��ttt �r�°'` ,t. ;: :;CI�o12Ya;tb ,9� P e �><,r�. .� .PY� �".�._ PR{.13ECT .�4�`SITE. PROPERTY 41lViHER Address: ..�S'd � �.r�:..► t� �_� ,r�r� �� ame: .� �d: h.� a'�a;a.. ._t°;�` Unit#: � ddress: ��f Y� c�k�l,��,�Jnit: Parcel Identification Number: �Z - Z G —� j —��c� i .State .Zi , . `.�e�s .� f. ��S � �€"��.'s"�c� -- �� "� hone: Fax: CiDN'8"RAC7'OR: L�m �� . �f'—l.v.}`�....... �� ,�d+xJ/�.__ ��'� a•-s .,t k.. � �,r Name: ��y��rr..�, r��J, 'E c��=� Contractor's License#:��1�� Y��,�;�_�;:f ;�� ;�:��..s`�� E-Mai3; Phone: ,.'�°- Cell: ;��'�sr� «' `x-�,r�� Fax: JARCHI7'ECT/ENGINEER: . Name: Firm Name: Address: Ci : State: Zi : State License#: Phone: Ce1l: Fax; . . �fescri tio af Pro"ect TYPE OF DRIVEW„AY �� tENGfFi OF D EWAY CULV�RTS NEEDED ,�__RESIpENTIAL DRNEWAY �B� -��WIDTH OF D EWAY (. )REINFORCED CONCRETE Cor�MERCLat DR�vEWAY RA.W. EXGAVATIt1N { }CORRU�ATEd MA'iERIAI. PUBLIC ACCESS DRNEWAY � �frfH ^� LiNEAR FEEf ( )BQX CULVERT • ( )OTHER(EXPLAIN) �01ti4STRlJCTI�N MATEP2]tAL CURB CUT R IRED ASPHALT YES NO �CONCREiE HEADWAI.L REOUIRED? YES �� NO �.�..�� «.,.�,,. . .... . .,. 9 • �:;.;; � : .;��.:... [�O`PYCE TO APPf�CANT: �f acte�a!wark eacce'ects.se��`e�f this,�+¢e�riptiar�,additiana! perrttits or drawings wila be re�quired. 5 , c.' _ . ::t� .,, , .,-,,"..., � � ',, •W*kn...��.:4'�0..v�i.oMU°�DeF� t!'C�LI"TY 1.4�ATId�NS�it�C�tfiRfE�e' C.L BEFt.�F�E YQt9 DIG: �..84Q.432.4770 Page 1 af 3 � :PEitMIF'APPI:YCATI�N -��P.I�E:lU E<ONL`Y . ::_:�,. ,...��,...-...�.•- -_--�.:�:TM�::- ...... .......>. .,...,:: r -- -- - y=;�. :,,a. .�?=a L .�z,. .;, �? .:�tr � x�r,niw .w VVV .u,w,�a� � �ac.- +�;;swi4}=L,'k��'�s"�,i.<:r-�,�.:--� -ry.�'�.'S�=.::,:^_ '`j '� ��r73,,^�-•:.,£r� �.:,'��*�'t�Y;z'.,.;« �� :;s_i:i y:P�R'e.�y/■�� `.� �y y�,,�� :^i-...^ :r� ,•;�``s:y.��°.. ''r-, x;�, -r3; �iC"�.�...X.+: «2 y�Lz`v i...�, ? ..'SLY` L�:id'r.GT'�".:�i E.°...'.:R�K1/�Lli��yi/L�� c1�iiSl.1 ��-'vt��.�3�t;:`r,. �j�,� ..�itwiu �:.�;'h.c..,. �::st.a ��"� S .�.,�...,,L!,y!:5.{.."C^.!_:.'�'f° t' 'L.�, , ��._>.�w.,- ,.�.'.. .. ..-.. . ....:_..... : � - --�t�;..Tcz' ' _ �r.x.;t;•�.�. ,.':rR.,;ri�;ir'",:-;< <a,.s'�^,'�.��', � j;u :. .... ,. . .... .. .., . _ . .. ...,._. .. .. . :.. � !S'�.YS'.`. ; Concreke {min. 6'� Y N �� Asphalt�Base(min. 6'� Y �N ( i Asphalt{min.1�/z� - -Y l� I Length {min.�.9'� Y N � Width (10'min—.20'max) Y N E�c4sting sidewafk. Y N, New sldewafk. Y N ADA campffant. Y 1� � Expansian materia! required. Y 1V • Contiguous parwng pad. Y 4� � Triangular�lare(3'W x 7'L) Y !V - Visibtllty triangle a.k.? Y N Side set back(3'min. 4t.0.W.) Y N Pian Review Fee . . ,-.. �,, �s�H.� _ ..._ .,.:��>. r.,:, _..� ,_ �;,,. :.,.�-,. .......� -= .a.n ..--r-;t . _ ., g .. _.�k:.:...�...tzNr^:�,_ .:r;._ �,� . . .. .. - ._ - . ,r.^b��.i •�'..w..:.,a:�, w,�...._�,.. ..„ ::.,..y,:_,_ � ..� '�'."�.Rx ; ..�. "iS."`!G'e'e.j.a,f�,,�."'�'`•:��:'w ..:�w.,..:.,.....,.w�.._.-, , .. -...;e�,:at s t�aou��d�cr� #�m�n�a'��vu.ar�c�s��ft�e�i� =i��'"tic� -rks > rec�Eoi-,�ain�i�at��l�si ,•��;��=��:��_.��,.-`_.�:�.{-._,.�:�-.�F =CC LY.L/ttl Gaz�tl�c'� !S � ! 7_"' /2U�FI, t7l�'t YEIi/'� _ � � c/ Lr �✓ �" v Permit appll,cation appraved.by: Date; Pag 3 af 3