HomeMy WebLinkAbout14-15632 � -J ` ' CITY OF ZEP YRHILLS .r•'�
. ' 5335-8TH STREET ,/�
�sis)�s -002o a�5632
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DRIVEWA PERMIT �
'��� °� 4 �P,ERMIT INFORMATION LOCATION INFORMATION�-... �
rvPermit Number: 15632 Address: 5146 20TH STREET
Permit Type: DRIVEWAY ZEPHYRHILLS, FL.
Class of Work: DRIVEWAY/NEW Township: Range: Book:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Square Feet: Subdivision: PINE CREST M.H.P.
Est. Value: Parcel Number: 12-26-21-0010-00100-0040
Improv. Cost: 2,400.00 OWNER INFORMATION ` �� ' �
Date Issued: 9/09/2014 Name: WHITE WILMA JO
Total Fees: 40.00 Address: 5146 20TH ST
Amount Paid: 40.00 ZEPHYRHILLS FL 33542-5218
Date Paid: 9/09/2014 Phone: 813-782-2254
Work Desc: EXTENSION OF EXISTING DW 60' X 10'
CONTRACTOR S APPLICATION FEES
TREBOUR, ERNEST (813)782-2744 RIVEWAY 40.00
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Ins ections e uired
DRIVEWAY
FINAL
REINSPECTION FEES: Reinspection fees will comply wi h 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 not 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, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there ay 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 an further permits will be issued to the person owning same
"Warning to owner: Your failure to record a notice o commencement may result in your paying twice for
improvements to your properly. If you intend to obt in financing,consult with your lender or an attorney
before recording your n tice of commencement."
�� ��
CONTRACTOR PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS ITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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Lot 4, Block 1, PINECREST SUBDIVISION, � — — — — — —�— —�—°��— ` ''0� GENERAL NOTE;
FD. � 0.3� 142.50"P 142.$1� M. 8935'S6"M.*
accordiJZg to the Plat the�•eof, as recorded in Plat Book �/z`%P i n �r.�co�sc�n
�. zJ n�carossrrow
5, Page .i5, of the Public Records of Pasco County, 25�0� NOT /NCLUDED ��2 �R OR07H6tRECOA �
3) !/NDHiGROUADA
Florida. �--
PER PLA T � No�'��s ,
61 ONLY l?S/BLEENG
Community Number: 120230 Panel:0460 n NomErmac�no� I
BJ D/MSYS/ONSSHOY
Suffix:D F.I.R.M.Date:9/30/92 Flood Zone:�' ?, sNaw,v. ',
„s�," F�ceow�mtstm i
Fzeld WoYk: 7/3/01 Completed: 7/5/0] �b� �vano,vsiFSHc
11/ Brlviii+0.inr.-�',�.� ..
lH67FBY CET771FY 71IqT.
Certified To J REPRESFMARO/JOfASU,
Cynthia Buzry, Arnerican Home Title Insurance, Inc.; � ',
Commonwealth Land Title Insurance, Inc.; Suncoast s��,�
G4RC M/GWQ�
• Schools Federal Credit Union, its successo�•s and/or
assigns.
src,�o
oon�rs c.eruac
Property Address
5146 20th Sh•eet
sicn��
ep yrhills,Florida 33540 NoEACUa,w '
Survey Number. 0-81171 n�rssuavFrrswramm�
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Notes•
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:PERMIT'APP.�CATION =�'�
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:DRIVEWAI(:PER IT:AP.PLICA;PIOIV
�CONSTitU�ION�UVITMT bp.UB�C-RIGFiT�O.F=WAY
All information must be-filled-in completely
• zCity.of-; _phyrhills
"5335�8�'Street,Z phyrFiills,'FL�3542
Telephone.8i3.780.0 00 Fax 813.780.0005
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':PROJEC'P .JO��SITE: 'PRO�ER7Y�OWNER
Address: 5 G//� �; �'� ,c`:` Name: �, , r�;2,�- �rs ��1/, ,�-�-�
Unit#: � Address ��J�f��- ��)� j� e) ±� Unit: -
Parcel Identification Number: .� °-,� � -..;: � ���1� - Ci State Zi
6-� r�, � ��c��r,°� Phone• � Z.2�5`� Fax:
' ��COIVTRAC'TOR:
Corn an �fc.�.c',-6_ �� �=;�r.�:��M�r��.-� ;f�. �.�
Name• ,�.-r f��,� �� � �s .
Contractor's License#: a-� # ,���. ���5 U� !.r�-� r?�, �.� .:� E-Mail:
�Phone: �`.35 �4�- I '�F``� �Cell;'�1.-j? �i`f-�3�1 �,:� Fax:
ARCHaTECT/ENGINEER: _
�Name: Firm Name:
Address: Ci State: Zi
State.License#: Phone: Cell: Fax:
Desc ' ti n of Pro'ect
TYPE OF DRIVEWO.Y �o��LPNGTH OFDRNEWAY CULVERTS NEEDED
_RESIDENTL4L DRNEWAY !�WIDTH OF RNEWAY ( )RIINFORCED CONCRETE
COMMERQAL DRNEWAY R.O.W. �EXCAVA'L'ION ( )CORRUGATED MATERIAL
PUBLIC ACCESS DRNEWAY �DEPrH � LIN�EAR FEET ( )BOX CULVERT ,
( )OTHER(IXPLAIN)
CONSTRUCTION MATERIAL CURB CUT RE UI D
ASPHALT YES NO
� CONCRETE
HEADWALL REOUIRED? YES �!� NO
NOTICE TO APPLICANT: Iff actual work exceeds sco e of this description,aciditional permits or drawings
wilt be required.
U�'ILETY LOCATIONS ttEOUIRED: ALL BEFORE YOU DIC:1.800.432.4770
Pag 1 of 3
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PERI�IIT'APPLICATION -
, oFF�c��u �oN�:Y
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�`p.'. .,y;.. ;:+:`,'• - . . - ';g.�:;>�..�"'�'�-' - ''ry;,r`< — - •G't';,;":9,'.
,., _ >',..� . <}.f;;°�� - - �.zPUBLTC:�itV;OR �USE�t3N�Y. ;.
Concrete (min. 6'� Y N
�Asphalt Base(min. 6'� Y N
Asphait(min.l�lz'7 Y N
Length (min. 19� Y N
Width (10'min—.20'max) Y N
Existing sidewaik. Y N
New sidewalk. Y N
ADA�compliant. Y N
Expansion material required. Y N
Contiguous parking pad. Y N
Triangular flare(3'W x 7'L) Y N � -
Visibility triangle o.k.? Y N
Side set back(3'min. R.O.W.) Y N
Plan Review Fee
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:zAti�i�itiortail�=ilescr� tian�of;wairksas:defined;,ti'.'aP.ublie�,� oiriFSaDirector�and�ar=desi nee.�•,:�a y.�s,:.^s�t==�.c;�-��.<�-;}:--,�--... .,
��, u�scd�, l�o � EStG�f 6`�4�J C 2e�c.�2 bea �u�R-`ES �2�
O�tblZ�� {:£CorEK�t�+t}l� Ccr?oJSct�EC�!- tON OF E4 �113Ti UDVS R+�L'e F''/;Da
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Permit applicatian appraved by; Qate:
Pa e3of3
_. �
'_ ,...•,-.
_ .��saeo-ao2o City of Zephyrhiil� Permit Appiication Fax-s�a-�so-oo2� � �-
• i1� " , Bulldin Department
. • -
. ` . ' ` ' , °� .
_y Date Re�eived � Phone Contaat fo permitting -- v 4f
Owner's Name ,�! A,. ,.,�a � i e- Qwner Phone Number gl� 7 8'�l.' 2�..45'
Owner's Address S���O �D �� �"1'- Owner Phone Number �,�$13� � �-�"� ��l 7 1` ��l �
Fee Simpie Titiehoider Name � Gt, �o e.. Owner Phone Number �� �
f
Fee Simple TttleholderAddress --'Sf'��' �oth S� 1
' JOB ADDRESS LOT# L t 1
suso�v�s�ou 1�,'n e.C Y�s-� � PARCEL D# 1�-a� -2!--oo /a- o 0 1 oa-oo�Z�
(OBTAINED FROM PROPERTY TAX NO710E)
1tVORlC PROPOSED NEW CONSTR ADD1Al.T � SIGN Q Q DEMOLtSN
INSTALI 8 REPAIR
PROPQSED USE Q SFR Q COMM � OTNER
TYPE OF CONSTRUCTION Q BLOCK. Q FRAME � STEEL Q
DESCRtPT10N OP WORK � 6 U
BUC[.DitdC,SIZE �—�� SQ FOOTAGE HEtGHT C��
�BUILQING $ � VALUATION O TOTAL CONSTF2UCTiCiN
QELECTF2lGAL ���---�� AMP SERVIC Q PROGRESS ENERGY Q W.R.E.C.
QPLUMSIN� $ ��� ��'�/
QMECHANICAL $ VALUATION Q MECHANtCAL tNSTA�tAT10N J�(,�
�GAS Q ROOFING Q SPEClAl. � OTNEf2
FINISHED FLOOR ELEVA710NS �—� FLOOD Z ME AREA QYES NO
BUI�.RE12 COM ANY
SIGNATURE REGIS ERED Y/ N FEE CURRE� Y/N
Address License# �i �1
ELECTRtC1AN COM ANY
SIGNATURE a�cis R�o Y/ N FEE CURRE� Y/N
Address License# � �
PLtIMBER � COM ANY
SIGNATURE REGIS ERED Y/ N FEE CURRE� Y/N
Address License# �` �
MECHANtGA! � COM ANY
SIGNATURE �� REGIS ERED Y/ N FEE CURRE� Y/N
II Address License# � �
O`FHER - CQM ANY
SIGNATURE REGIS ERED Y/ N FE6 CURRE� Y/N
Address �icense# � �
RESIDENTlAL Attach{2}Plot Pians;{2}sets of Buiiding Plans,('1}set of nergy Farms;R-O-W Permit for r�ew construc6on,
Minimum ten(10)working days after submitta�date. Req ired onsite,Con'struction Plans,Stormwater Pians w/Siit Fence insta�led,
Sanitary Facilities&1 dumpster;Site Work Permit for sub ivisions/large projects
COMiNERCtA�-- Attach{3}corrtplate sets of Build(ng Plans plus a tife Saf ty.Page;(1)set of Energy Forms.F2-O-W Permit for new constcuction�
Minimum ten(10)working days after submittal date. Req fred onsite,Construction Plans,Stormwater Plans wl Silt Fence installed,
Sanitary Facilities 8 1 dumpster.Site Work Permit for all�ew projects.All commercial requirements must meet compliance
StGN PERMIT Attach(2}sets of Engineered Plans.
""'PROPERI'Y SURVEY required for all NEW constructi n.
Directlons:
Fill out application completely.
Oumer&Contracfor sign back of application,notarized
E tf aver;2500,a Not�ae of Commenaement Is required. (AJC upgrad s over�TSQd)
" Agent(far the contractar)or Power of Attomey(for the owner)would be omeone with notarized letter from owner authorizing same
OVER 7HE COUNTER FERMITTING {Pront af Apptication Oniy}
Reroofs if shingles Sewers Service Upgrades A/C Fences(P oUSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs F2t3W
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NOTICE O�DEED RES'TRICTIONS: The undersigned understands that this permit may�6e�subject to"deed" restrictior�s" � ' `
which may be more restrictive than County reguEations. The unciersigned assumes responsibility.for carrtpliance with any '
applicable deed restrictions:
UNLiCENSED CQNTl�ACTOR5 RND CONTRACTUR RESPQNSlBtLITiES: Ef the owner has hired a contractor or
contractors ta underfake work, they may be required ta be licensed in accordance with state and local regulations. If fhe
contraetor is ndt licensed as fequired by law, both the owner and contractor may be cited for'a misdemeanar violation
under sfate iaw. if the owner ar intended contractor are uncertain as to what licensing requirements may appty for the
intended wark, they are advised to contac#the Pasco County Building Inspection Division=Licensing Section at 727-847-
80Q9. Fu�thermore, if the owner has hired a contractar or contractors, he is advised to have the cantracfor(s) sign
portians of the "contractar Black" of this application for which they will be r'espcinsible. If you, as the awner sign as the
contractor, that may be an indication that he is not praperly 1lcensed and is not entitled to permitting privileges in Pasco
County.
� TRANSPORTATION IMPACTIUTILITIES IMPAC'T AND RESOURCE RECOVERY FEES: The undersigned understands
� #hat Transpartation Impac# Fees and Recau�se Recovery Fees may apply ta the constructian of new.bu3ldings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco Caunty Ordinance number 89-07 and
90-Q7, as amended. The undersigned also understands, thaE such fees, as may be due, wiii be identified at the time of
permitting. It is further understood that Transpartation Impact Fees and Resource Recovery Fees must be paid prior to
� receiving a "'cerkificate of occupancy" or final power release. 1#the projeot does not involve a certificate of oacupancy or
( fina} power retease, tha fees must be paici prior to permit issuance. Fu�fhermore, if Paseo County WaterlSewer tmpact
, fees are due, they must be paid prior to permit issuance in accordance wi#h applicable Pasca County ordinances.
.� CONSTRUCTIaN �IEId L.AW(Chaptee 713, �laric�a Statntes, as atrtended): If valuation o#work is$2,500.00 ar more, I
�° certify that I, the applicant, have been provided wikh a copy of the "Florida Construction Lien Law—Homeowner's
Prot�ction Guide° prepared by the Fiorida Department of Agricuiture and Consumer Affairs. !f the appiicant is someone
other than #he"owner°, i cerfify fhat I have obtained a capy of the above described documen#and promise in good faith to
deliver it to the"owner"prior to commencement. �
CONTRAGTOR'S/OWNER'S AFFIpAVIT: ( ce�tify that ait the infarmafion in this applicatian is accurate and that alt work
will�be done in campliance with all applicable laws regulating constructian, zoning and land develapment. Applicakion is
hereby made to obtain a perrnit ta do woric and instalfafion as indicated. 1 certify that no work ar installatian has
commenced prior to issuance of a permit and #hat all work will be performed to meet standards of all laws regulating
construclion, Caunty and City code�, zoning regulatians, and land development regulations in the jurisdiction. I alsa
certify #hat ( understand thaf the regulatians of ather government agencies may apply to fhe intended work, and fhat if is
my responsibility#o identify what ac#ians 1 must take to be in compliance. Such agencies.include but are not limited to:
- Department of Environmental Protectian-Cypress Bayheads, Wetland Areas and Enviranmen#ally Sensitive
Lands, WateNWastewater Treatment.
- Sauthwest Florida -Water Management District-Wells, Cypress Bayheads, We#land Areas, Altering
Watercourses. °
- Army Corps of Engineers-Seawa!!s, Docks, Navigable Waterways.
- Depar#meRt of Health & Rehabilitative Services/Environmentat Health Unit-Welis, Wastewater Treatment,
Septic Tanks.
- US Envifar�mental Pro#ection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
1 understand that the fallowing restrictians apply to Ehe use.of fill;�
- Use of filt is not allawed in Flood Zone"V"unless expressly permitted.
- !f the .fi!! materia! is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"campensating vaiume" will be submffted af time of permitting which is preparec3 by a professiona3 engineer
licensed by the State of Florida. .
- 1f #he fill material is to be used in Flood Zone "A° in connectian with a permifted building usRng stem waEl
construction, I certify that fill will be used only to�II the area within the stem wall.
- !f fl! material is to be used in any area, I certify that use of such fill wi!! not adversely affeet adjacent
properties. ff use of fill is found fo adversely affecf adjacent properties, the owner may be cited far viaiating
the conditions of the building permi# issued under the attached permit applica#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 OWNER, I promise in gaod faith to inform the owner of khe permitting conditions set forth in
this affidavik priar to commencing construcfion. 1 understand that a�separate perrr�it may be required for etectrical work,
plumbing, signs, wells, pools, air conditioning, gas, or ofher installations nof specifically inctuded in fhe applicatian. 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 provis'rons af the techrtical codes, nor shail issuance of a permit prevent fhe Building Official from thereafter
requiring a correction of errors in plans, canstruction or violatians of any codes. Every permit issued shall became invalid
uniess the.work authorszed by such permif is commet�ced wifhin six months of permlt issuance, or if work au#horized by
#he permit is suspended or abandoned for a period of six(6) months after the time the work is commenced. An extension
tnay be requested, in writing, from the Building Officia! for a periad nat ta exceed ninety (9Q) days anc! wilE demaristrate
justifiable cause far the extension. If work ceases for ninefy(90)consecutive days, the job is considered abandaned.
WAi2NiNis Tt3 QWNER: YQUR FAilURE T� RECCIRD A NOTICE OF COMMENCEMENT MAY RESULT iN YOUR
__._PAYIN_G_T_WICE FOR IiVIPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN�FINANCING, CONSUL.T
Wt�N YOUF2 LEND�R 4Et AN A�OE�NEIf'B��C�RE 4�ECCt�i��N�Y04i�-�'it9T3��-�31��C�D9UI�Ffi3���V1EMT_-- - --- - _ _
FLORIDA JURAT(F.S. 117.03)
OWN�R OR AGENT CONTRACTOEt �
Subscribed and swom to(or a�rmed)before me this Subscribed and swom to(or affirmed)before me this
by by
Who istare personally known to me or haslhave produced Wha#slare personally known to rne or haslhave produced
as idenUficaUon. as identifica6on.
Notary Publfc Notary Public
Commission No. . Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
� -- _