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Home My WebLink About14-15799 ` CITY OF Z PHYRHILLS , 1 5335-8 H STREET �sis��o-0020 1�7 9 DRIVEWAY PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 15799 Address: 37748 WAVERLY AVE Permit Type: DRIVEWAY ZEPHYRHILLS, FL. _ Class of Work: DRIVEWAY/NEW Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: CITY OF ZEPHYRHILLS Est. Value: Parcel Number: 15-26-21-0020-00200-0210 Improv. Cost: 1,500.00 OWNER INFORMATION Date Issued: 11/26/2014 Name: CASTRO DAVID &MONT�RA NARCISA Total Fees: 40.00 Address: 37748 WAVERLY AVE Amount Paid: 40.00 ZEPHYRHILLS FL 33542-5548 Date Paid: 11/26/2014 Phone: 813-355-3407 Work Desc: INSTALL DRIVEWAY 12 X 46 CONTRACTOR S APPLICATION FEES ' HOMEOWNER DRIVEWAY 40.00 . , � i - Ins ections Re uired DRIVEWAY FINAL 1 Z ^ � - l=i��- �� REINSPECTION FEES: Reinspection fees will comply wi h Florida Statute 553.80 (2)(c) when e�ctra 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 managementJ 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 o commencement may result in your paying twice for improvements to your property. If you intend to obt�in financing,consult with your lender or an attorney before recording your notice of commencement." i �� l�� . . CONTRACTOR PERMIT OFFI PERMIT EXPIRES IN 6 MONTHS ITHOUT APPROVED INSPECTIO CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD ROM WEATHER _ • o , �f�-- , � i(-2�-c� �, . • � � pV( � i 6 1 '�a �u: .PERMIT=APPL7CA"i'ION = >�� Y::':D�1►�W�;:l':PEFZ(�i�:T.�►�P�.��;�F�N {��11l5TRflJ.��N�UI��ITN:P.UBE:F��i�G�-6�=�.F=1Ali4� i411�information must e-filled-in completely � :Cit3►.of:Z .phyrhills � �335:8�'Street,Ze hyrhills,:F.L�3542 Telephone.813.780.000 Fax 813.780.0005 ' +� twil• _.�ti':'a.i%�.—cx' "_ =s3 "i"` 'K..nst..'° '�<i_�T�y.....- " _ ' ��C�'.,0� I[L +.�: a ��PD' �I�B _...�_ _ � �:�.�y� '� _ �#�.�`'"'�y,,�i. .�. � P� "_� ,�c, ,.° �- ', . .=�a''�LiL111L-..,._ v. �„-....��tr.�.-,;..�,, q � •s- - l•+r��`i�E- Z�" ,jy. '1di� ; ,.. rya�� 'It5�0�}�F�� . -n - M . s' �.' -. y ��u.;'.�'�. .... ,., . . _� • �n . _ , ` . . ..,.�s _ ,t y,..,�� °• -" � .,.�_��.,� '. _:sBi�fldl.99��.. �"� �"-,�'-:��.��r'. :;��x� ��"��:�b h It -�u - ��: 'w:.�;8f'u �RY v .. " .,e.s� +Z.. 'T_07",�2� _ �;'�R n� �Pit07EC3 .JOB�SYT�. �°PR PER"{"�'OUVNER Address: 4 P�v�Lv 2 �v t Name: l� 1/ r �f f�� Unit#: � Address: 3 7 y c�►i L nit: . Parcel Identification�Number: � Ci State Zi �� '� I- ` Phone:�" ` �3 �l��'Fax: :�ONTRACTOR: � � Com an : Name: � Contractor's License#: E-Mail: -Phone: �Cell: Fax: ARCHITEC�/fNGINEER: � . �Name: ' Firm�Name: 'Address: _ � Ci State: Zi State License#: � Phone: Cell: Fax: Descri tio of Pro'ect - TYP OF DRIVEWAY �.�LENGTH OF�D WAY CULVERTS�NE�DED �RFSIDFM7AL DRIVEUJAY �'�WIDTH OF D WAY ( )RQNFORCED CONCRE�E. • COMMERQAL DRIVEWAY R.O.W. EXCAVATIOtN ( )CORRUGATED�MATERIAL PUBIIC ACCESS DRNEWAY DEPTH LINEAR FEEf ( ")BOX CULVERT C011tSTRUCTION MATERIAL CURB CUT RE IRED ( )OTM��N) ASPHALT YES NO �CONCREfE HEADWALL REOUIRED? YES � NO NOTICE TO APPL7CAfVT: If actual onrork exceeds scop of this description,additiona[permits or drawings �will be required. UTILITY LOCQ'['I011t5 REOUIRED: C LL BEFORE YOU DIG:�.800.43Z.4770 -f - > ; -�°� i Page of 3 . 1 i • � _ ' .— - /�. � ��PP�Y��'Q'�ON 4bFFICE fl� E !?Pf6.Y . _ . PU.BU[C iN4�.:_. . NSE-,QNLY Concrete (min. 6'� Y tV -�i-te u C��, T o'� t�}�4"{ Asphait Base{rrt�n. 6"} Y N Asphalt{min. i�lz'� Y N Length (min. i9`} N <{ Width {IO'min—20'max} Y N l 2 r Existing sidewalk. �' N hlew sicfewalk. Y ADA compliant. Y N � �cpans9on material required. N Carrtiguaus parking pad. Y N � Triangular flare{3Ml x 7`L) Y N V15II�tI1�}t tr1�13CJI2 O.�C.? Y N Side set back{3'min. R.O.W.} Y (V Pian Review Fee . . . ..,,. ,. . ,.. . . . ..: . . rt .... _... ._ . _. ... a.._ . _.�., .. .. . . .......:...: . Ad�i�ai�al:desc�i tian_af:wot�t�:as di�fined�b ;P.tititic Wo.. :Director:�ed;or die,se r�ee:_ - _ = �"�� ?"'�i Clr�'l� 7r�/G �P %�i� v ,�3' 1 � Permit application approved by: Date: ��g� � f� PEE8.�6IT A�P�IIC/@4�Of� lD'TILITIES L�C/@TE CONFIitt�/iTYON IVU �Et�: PitOVYDE SKETCF6 ERl '�BiY� IR,ttEA, IF/ADDIIT�OI�B/A� S��LCE IS l�EQI�IF�E�, l61'TACFI �O �fBIS �PPi.YC�TI01�. f� a� Y � � << < < � � j2 � ` --3 `� ` � � I � � 1 � � � 7� l � _�- � i t° � l S ' ` , . � ----�-.,__—_____ __, __ � � � , ��r �� AFFIDAVIT: Application is hereby made to obtain a permit to do work and installations as indicated. I cettify that all foregoing information is accurate and that all work will comply with all applicabl codes. I understand these rndes shall take precedence over all approved construction documents,and issuance of this permit is verifi� tion that I will notify the property owner of Florida Lien Law req., F.S. 713. The issuance of this permit does not ensure compliance wit deed restrictions and I understand that additional deed restrictions may appl to this properly. �lO wock shall cor�ply with the cu�rent FloPid� Building ode, Public Work�Design N@anual and FDOT Design Stae�dard�(if applicablC). (Public Works Design Manu I online link:www.ci.zephyrhills.fl.us/public works.asp) APPLICATION IS VOID UNLESS SIGNED WITH PROPE IDENTIFICATION AND WITNESSED BY A PERMIT TECHNICIAN OR N TARY PUBLIC. Pi0'�E: The City of Zephyrhills is not responsible for mainben nce or repairs of driveway�. Driveways shall not alter/ interfere witl�existing stormwater reatrnent and/or convey�nce. PROPERTY OWNERS: By signing this application: I certify that I have read and understand the owner/builder disclosure statement. (please initial) D � v �� C �. S �� ' �.�;� � � � y - � �f Applicant Print Name Applicant Signatur Date Permit Technician Signature (or)Notary Signature Date Applicant is( )personally known to me or produced as identification. . (type of iden ification) P�ge 2 f� c�s°�°� � y � l��'� }�� ' _ �'� ?� f'Y1 -- d� �� S N�d� 5` � "� `�' �' � �Z� AR�;�i _ _ �� y — � — — — _ �� ' �� ,��+ � , � Z c �� /� 1 � [/ �� ^./ �J! � � �� rv --•,.�---�--^ 7� � �� r� � �� 6 ; .°�,.� ,� � �� _ -_. ,,1�,�1 �r� r�' � ( � 'd ] � � Y �2 A � r � i ��" k � � 1�X /W�MlOfOR01N�aW � �m�s �nsts�a �vt�s �, �s �z� s � r �J Y {N � a . d + � * � . � ,' 'y� A ..�� ' #• �4��`_�,t."�� Y�`�T��~:_�� 9 � �, e�l�'t��t�� 7i9u�-u1. .PN4r+tr1 V?�.r�i!:y' � _ � � � � .�r ' l t / �• { y; r ? x '� '� 'la�, tL ,�+ 1 � a�•�A `.� 4IY � tip'}.y E.. • � .� �R ..�a•tik't,�� J i ,� ��,'�. i / , � I' J + � � ! °�'. � ; (S�P�,S �� , � 5�� '�� , L- '� i£ �::�:�:j �, � -�; f : � 4�'� % . � � i � � � � � � e . : . : , . , . . . , ' DISCL4SURE ST NT .E'OR C7W2�R C2TY OF ZEPEiYRHZT.�LS SL7II.DZNG DEP�Pt'.P _ �"��/^�'�� l%`��' have read and fully tsnd�rstand and , agsee •to the provisions af �this instrumen . .The undc-+ssigned .states and af��.rms tha'� h or she is desi.zous o� constructi.mg, renovatizig, adding ta or �eroofing his or het own domicile, •that he or she aatually ocrzupies, or wi1.2 occupy by said domics:ler and same is not fos •resxt, lease or sa1e. That he or she sha1. comply wi-th the followi.iig condi-�.ons: 1. Th�.t the o�mer aud_he or she a�.one sh � 1 act as the builder for aI1 phases of � cnnststiation. - 2. Tha� the owzxer wi1.1 coa�ply with ala: p avisians of �t�e City of Zephyrhills ord�.nanaes axad aodes pestisiesit to the l�ruilds.rig. 3. fih�� in the even� vasious phases o� nstsezction are suboaaitractad, he will. engage anly �prop�sly licensed subcon actors and wil]. personal�y supervise sueh work. A. '1`hat in the event, the Hvi3.ding �Inspe to�c shaZl rec�".re casrec�,ons to be made, � the owner will assume full responsx.L'lity to insure •they ase made, and upon cample�.on wa.I.l ca13 �'or a reinspea `on betare psoceeding wi�h �se building. 5. Tha� the owner sha11 assum,e fu].1 re onsibility for �he ccanst�ucti.on and wi11 not expeat_ suparvisiasr of �iis wor3c f o�n the City .af Zephyshills Buildi.zsg Depart�ea�t. . 5. Tha�. pra,or to fizzal inspeation aay a 'tion�.l fees, �.nclucling reinspect.ion fees, must be pai.d in fu11.. A writt request fsom tY�.s off'ice shall constitute an official notice to pay acid.iti.onal tees.. 7. �hat the own�r sha1Z cgm,�aly wa.th aZl City, Stat� and �`edez-a1 laws 3.n regard ta social secux�.ity, workman's compensa 'on, �.i�n laws, etc. , where appliaable. B. That the owner sha11 camp�.y with aZ1 the safe.ty codes issued by the Florida. Industra.al Commission. 9. State 1aw rernTires coristruction to b done by licensed cozYtractors. You have applieci �or a pezmit under an �cemg cn to ttiat law. �he �emption allows you, as the ownes of yous property� o act as yaur ovra coritractor with cer�in restric�tions even t�ough you da na� ve a �..icens�. You must .prov�.de direct onsi.te supervisioa of the const-sucti n yourself. You may buiZd or improve a one--family or two-famti,ly sesidence o a fasm. outbuilding. Yau may alsa bua.ld - ar s.mprov� a comza�scial buildi.zzg, pr vic�ed your aasts do nat exceed $25,000. , The building or residence mus� be �o your awn use or occuparxcy, .2t may nat be buil.� or substazit�.ally �p�ovad f r sale or lease. If you sel:l ar 1.ease a 2�uilding you hav�e l�u�„Zt or sut�istasx#.a. lY improved yousself within 1 yeas a�'ter the ccnstruatian is ao�plete, the 1a w:ill presume •that you _built ar substan�al2y issproved if far sale a leas�, wha.ch is a vialat.ion of this P�Ce�,aption. You may not tis.re azi unli �nsed persorl t� act as your contracto� or to supervise pecple worki.zig on your 'lding'. It is youz resgons3bility to . make sure that people P�Faloyed by yo have ].icezises se?„red by s�ate law and by couriity or municipal lic�si.zzg or ' ces. You may not delegate the responsi�ility for supervisi.ng wor3c o a licensed cozstractor who is nat. 1ic�enseci to p�rfarm the wark b�ing n�. Arsy passon working oa your build3.ng _ who is riot 1.ice.as�d zau.st wor3c v.ridrs aus diz�et supesvi$z.on arsd must be P�ployed by you, which meaas �hat yo must deduct F.I.C.P.. ar�d withholding tax and provide workers' compeasa�.nn fo �hat emplayee, all as pxescribed by 1aw. Yotzz canstruation must comply with 1 agpZicable laws, ordin�nces, buiZding codes, ax�d zoning =egulations. ` r q ) '�. �- 1 � OWNER'S SIGTIATUF�,E D 'L'E (� l. ^' ADI7RES5 '� �( �' (�,/" .c, � Q. FFiGNE ! W�TL+�88 � �� PE12Z2I'� # . 8�a-�8o-0020 - City of Zephyrhills ermit Application Fax-813-780-0021 Building De artment Date Received Phone Contact for Pe itting — Owner's Name { ` e �-/��v Owner Phone Number � i 3 "J��-3�� rner's Address 3 7�� /�!i-a L ��'`� Owner Phone Number � Fee Simple Titleholder Name Owner Phone Number � Fee Simple Titleholder Address JOB ADDRESS ��7 ,�v � � �"�y`� ' �v{ Z P %�' �<y�f l G 33�Y LOT# � : - - SUBDIVISION "" PARCEL ID# ___�_,__,____ _ _ _f__ _ __ _ __ (OBTAINED FROM PROPERTY TAX NOTICE) HYORK PROPOSED � NEW CoNSTR' ADD/ALT SIGN Q Qy SDEMOLISH ~~ � � 'B- INSTALL 8 REPAIR PROPOSED USE � Q SFR Q COMM OTHER TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL Q DESCRIPTION OF WORK �'/v j/'� Gv �-L, C Z,t X� LE G _ �e�'vl C!/'.c• f' BUILDING SIZE ' SQ FOOTAGE� HEIGHT " QBUILDING $ I �� J VALUATION OF T TAL CONSTRUCTION QELECTRICAL $ AMP SERVICE -, Q PROGRESS ENERGY Q - W.R.E.C. OPLUMBING $ v��f 9 _ � � 7 � � QMECHANICAL $ � VALUATION OF M CHANICAL INSTALLATION QGAS Q ROOFWG Q SPECIALTY OTHER ' FINISHED FLOOR ELEVATIONS FLOOD ZON AREA QYES NO - BUILDER - �� COMPA Y , SIGNATURE REGISTER D Y/ N FEE CURRE� Y/N Address " License# ELECTRICIAN COMPA Y SIGNATURE REGISTER D Y/ N FEE CURRE� Y/N Address - License# PLUMBER ' � COMPA Y SIGNATURE REGISTER D Y/ N FEE.CURRE� Y/N Address License# MECHANICAL COMPA Y SIGNATURE REGISTER D Y/ N FEE CURRE� Y/N Address. � ' License# OTHER COMPA Y SIGNATURE Re�isreR � Y/.N. FEE CURRE� Y/N Address License# RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Ene gy Forms;R-O-W Permit for new construction, ' Minimum ten(10)working days after submlttal date. Require onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities 8�1 dumpster;Site Work PeRnit for subdivf ionsAarge projects COMMERCIAL Attach(3)complete sets of Buildfng Plans plus a Life Safety age;(1)set of Energy Forms.R-O-W Permit for new construction. Minimum ten(10)working days after submittal date. Require onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster.Site Work Permit for all new roJects.All commercial requirements must meet.compliance . SIGN PERMIT Attach(2)sets of Engineered Plans. � ""PROPERTY SURVEY required for all NEW construcUon. . Directions: , � Fill out application completely. - � Owner&Contractor sign back of application,notarized , If over 52500,a Notice of Commencement ts required. (AIC upgrades ver;7500) "' f\qent(for the contractor)or Power of Attomey(for the owner)would�be som one with notarized letter from owner authorizing same . OVER THE COUNTER PERMITTING (Front of Application Only) ,, � � � - - _� , - Reroofs if shingles Sewers � Service Upgrades A/C �- Fences.(PIoU urvey/Footage) ; r -' '_ �� ," .' .. , ..! ... _ � . ,. „' ' - . Driveways-Not over Counter if ompu6lic roatlways..needs,ROW - � . , � . �, � " !' � .. � �.- :, ,. - . „ : . - ,_ _. � _ � L _ 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 CONTFZACTOR 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 wrhat 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 wrhich 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 unde�signed 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 r�ust be paid prior to receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate af 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'S/OlNNER'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 I 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 pertormed 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 otFier 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 8 Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment, Septic Tanks. ''., - US Environmental Protection Agency-Nsbestos 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. I - 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 Buildirig 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: YOUR FAILURE TO RECORD /4 NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE �OR IMPROVEMENTS TO YOUIZ 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) n ��,�.,,� '�'�,�� L�C ` OWNER OR AGE ��-�'"—" �' " "'� CONTRACTOFi� �'�'v - - `"--- Subscribed and swor to(or affi ed)before me thls S scrl ed d swom to(or affirme )before me this � �2��r bY.. wv,��'��s f� �-2 � e,+� � a�,�� c� �.,sT� Who Islare p rsona k own to me or haslhave produced Who Is/arepe�rsonall knp�vn to me or has/have produced rs i S�ss ldentlfication. l�L+ c[�cf�1.�r5 I�L��,�as identlfication. �� otary Public . �'Q-- Notary Public „�,,,,,, � Com s •�y, y J QUELINE�UG� 0520 Com io �: ;�_ ��m��Z� •�� , JACQUELINE BOGES . � Fa�i,�,,,�,�,eo,�as.,a�g =*� �.= Commission#EE 040520 ••o,•• � Name of - Name of No �; Pr�n'�� r , ' ,, �pd��°•• BondedThr�TioyFsinlnwr2nee80a385-7019 l