HomeMy WebLinkAbout15-15937 CI OF ZEPHYRHILLS
5335-8TH STREET
:�� �sis��so-oo20 937
� DRI EWAY PERMIT
PERMIT INFORM�►TION � " LOCATION INFORMATION °
Permit Number: 15937 Address: 5050 16TH ST
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: 11-26-21-0010-21300-0310
Improv. Cost: 1,500.00 - OWNER INFORMATION
Date Issued: 1/22/2015 Name: ZOOK, AARON
Total Fees: 40.00 Address: 596 E MAIN ST
Amount Paid: 40.00 LEOLA, PA 17540-1924
Date Paid: 1/22/2015 Phone: (717)475-9528
Work Desc: DRIVEWAY 33' X 30 FT
CONTRACTOR S APPLICATION FEES
HOMEOWNER DRIVEWAY 40.00
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� Ins ections Re uired -
DR VE AY
FINAL � - � -�
REINSPECTION FEES: Reinspection fees will omply with Florida Statute 553.80 (2)(c)when extra inspection
trips are necessary due to any one of the fol owing reasons: a) wrong address b) condemned work resulting
from faulty construction c) repairs or corre ions not made when inspections called d)work not ready for
inspection when called e) pe mit not posted on job site g)work not accessible.
NOTICE: In addition to the requirements of this p rmit, 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 m nagement, 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 int nd to obtain financing,consult with your lender or an attorney
before recordi g your notice of commencement."
CON CTOR PERMIT OFFI
RMIT EXPIRES IN 6 M NTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPE TION - 8 HOUR NOTICE REQUIRED
PROTE T CARD FROM WEATHER
813-780-0020 City of Zephy hills Permit Applica#ian Fax-813-780-0021
Bui ding Department
Date Received " phone Contac far Permltting -
Ownsr's Name �(�/�/�-'� ��� Owner Phone Numl�er ��� �'�G" �.�;�
Owner'sAddress /G �= ��%`"/,4�n � �ac��l ,d )7��V �nerPhoneNumber �"�7 �7� "�"!-r��
Fee Simple Titleholder Name Owner Phone Number � �
Fee Simple Titleholder Address
JQB ADDRESS .�O�V ,�G s� /1 LOT# ��
SUBDIVISION � � PAFt EL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR 8 ADD LT � S{GM1! [� Q DEMOLISN
INSTALL REP IR
PROPOSEd USE Q SFR Q COIUI � Oi'HER
TYPE OF CONSTRUCTION Q BLOCK Q FRA E � STEEL Q
DESCRIPTION OF WORK � G V�GM/ / � �
BUILDING SiZE / f SQ FOOTACyE 3'� �� .ac� � HEIGHT � 7� �
[�BUiLDtNG $3�v� VALUATI N OF TOTAL CONSTRUCTION
QE�ECTRICA�. rs � AMP SE VtCE Q PROGRESS ENERGY Q W.R.E.C.
L
QPLUMBING �;6� 1
o L ��' ����9.��
MEGHANtCAt. $ VR�UATI �l OF MECHANlCA�INSTA�LATtON
QGAS Q RCtOFING Q SPE IA�TY � UTFiER
FINISHED FLOOR ELEVATIONS � � FLO D ZONE AREA QYES NQ
„'...„ , . ,_ ,,.....,,
BUtLDER OMPANY ���'�� �UG/ ``
SIGNATURE 7-- �� EGISTERED Y/ N FEE CURRE� Y/N
Address License# r� �
EI,ECTRICIAN � COMPANY
SIGNATURE ,, ,, ., REGISTERED Y/ N FE8 CURRE� Y/N
Address License# �� �
PLUM8ER � COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
Address License# �
MECHAlVtCAC COMPANY
SIGNATUF2E REGISTERED Y/ N FEE CURRE� Y/N
Address License# r' �
�THER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N
. Address License# �— �
2ESIDENTtA� Attach(2}Plo#Ptans;{2)sets of Bultding Plans;�1) et af Energy Forms;R-O-W Permit for new consfrucfion,
Minimum ten(10)warking days after submlttal date Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, _ _
Sanitary Facilities&1 dumpster,Site Wor1s Permit ior subdivi$ionsllarge proJects
;.OMMERCIAL A#tach{3)corrtplete sets of Buitding Pians pius a life Safefy Page;{t}set of Energy Forms.R-O-W Permit for new construction.
Minfmum ten(10)warking days'after submittal date� Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Sfte Work Permit far ait new projects.Aii commerc9al requirements must meef comptiance
�IGN P�RiVII'� Attach{2}sets af Engineered Plans. - - "
""PROPER'i'Y SURVEY required for all NEW con truction.
aireations:
Fill out application completely.
Owner&Contraotor sign back of appiication,notarized
If over 325d0,a Notice of Commencement Is required. (I41C pgrades over$7500)
" Agent(for the contraotor)or Power of Attomey(for the owner)wo Id be someone with notarized letter from owner authorizfng same
�VER TNE COUNTER PERMiTftNG (Front of Application Only)
2eroofs if shingles Sewers 5ervice Upgrades A/C Fe ces(PIoUSurvey/Footage)
BNveways-Not over Counter if on pubtic roadways..needs ROW
�
NO'TtCE t3E DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictior;s"
which may be mare restrictive than County regulations. The undersigned assumes responsibility for compliance wifh any
applicable deed restrictions.
UNLICENSED CONTW4CTORS AND COPfTR�4C'TOR �ESpONSIBll.l1'IES: If #he owner has hired a contrac#ar or
confractors to undertake work, #hey may be �equired #o be licensed in accardance with state and local regulations. If the
contractar is not licensed as required by law, both the owner and con#ractor may be cited for a misdemeanar violation
�nder state law. !f the owner ar intended cantracEor are unce�tain as to what ticensing requiremen#s may appiy for the
intended work, they are advised to contact the Pasco County Suitding (nspection Division—L€censing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contrac#or(s} sign
portions of the "contractor Block" of this applicatian for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication #hat he is nat properiy licensed and is not en#itled ta permitting privileges in Pasco
County.
TRANSRCIRTATICIN lMPAC'TiUTIl.ITlES lii�PJ�1CT'�ND R�50URC� R�COVERY FEE�: The undersigned understands
that Transpo�tation lmpact Fees and Recotarse Recovery Fees may appfy to the construc#ion of rtew buildings, change of
use in existing buildings, or expansion af existing buildings, as specified in Pasco County OrdPnance number 89-07 and
90-07, as amended. The undersigned also understands, that such fees, as may be due, wil! be identified at the time of
permitting. 1t is further understood that Transportafion Impact Fees and Resaurce Recovery Fees must be paid prior to
receiving a "certificate of accupancy" or finai power release. If the project does not involve a certificate af occupancy or
fina! pawer release, the fees must be pafd priar to permit issuance. Furthermore, if Pasco Counfy Water/Sewer impac#
fees are dtae, they must be paid priar to permit issuance In aecordance with applicable Pasco County orcfinances.
CONS`CRUCTION LlEIV LA1flf(Chapter 713, Elorida Statutes, as amend�d): If valuatEon of work is$2,500.00 ar more, i
certify #hat I, the applicant, have been provided with a copy of the "Florida Canstructian Lieri Law—HomeQwner's
Protection Guide" prepared by #he Ftorida Department af Agriculture and Consumer Affairs. If#he-app(icant is someane
ather than the°owner", 1 certify that I have obtained a copy of fhe abave described document and promise in good faith fo
deliver It to the°owner"prior to commencement.
CONTRACTQR"S!ClWNER'S A�FlQf�Vl't: t certify that alf the informatfon in this applicatian is accurate and that ail work
wil! be done in complia�ce with all applicable laws regulating constructian, zqn�ng and land development, Appiication is
hereby made to obtain a permit to do work and installation as indicated. I certify that no wack or 9nstallation has
c4mmenced priar ta issuance of a permit and that all work will be performed to meet standards of all laws regulating
consfruction, County and City codes, zoning regulafions, and land develapment reguiations in the jurisdiction. I also
certify#haf t understand that the regulations a#other government agencies may apply to the intended work, and that it is
my responsibility to identify what actions I must take ta be in compiiance. Such agencies inciude but are not iimited to:
- Department of Environmental Protection-Gypress Bayheads, We#land ,4reas and Envirortrr�entally Sensitive
Lands, WatedWastewrater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercaurses,
- Army Corps of Engineers-�eawails, Dacks, IVavigable Waterways.
- Department of Heafth $ Rehabili#ative Services/Environmental Nealth Unit-Welis, Wastewater Treatment,
Septic Tanks.
- US Environmental Protectian Agency-Asbestos abatement.
- Federal Aviatian Authority-Runways.
I understand#hat the following restrictions apply to the use of fil�:
- Use of fill is not atfowed in Fiood Zone"V"un(ess expressly permitted.
- ff the fifl r�ateria[ is ta be used in Flood Zone "A", it is understood that a drainage plan addressing a
"cornpensating valume" wiil be submitt�ed at time of permitting wrhich is prepared by a professiona! engineer
licensed by the State of Florida.
- lf the fill makerial is to be used in Flood Zone "A" in cannection vvi#h a permitted building using stem wall
construction, I certify that fill will be used only to fill the area within the stem wall.
- ff fill materiai is to be used in any area, 1 cerfify fhat use of such fiil wiil no# adverse(y affect adjacent
praperties. If use of fill is found to adversety affect adjacen# properties, the ownet may be cited for violating
the conditions o€the buiiding permit issued under the attached permit app(ication, for lots Esss than ane {1)
acre which are elevated by#iN, an engineered drainage plar�Is requlred.
!f! am the AG�NT FOR THE OVifNER, I promise in gaod faith to inform the owner of the permitting conditions set farkh in
this affidavit prior to commencing construction. 1 understand that a separate permit may be required for electrical wark,
plumbing, signs, wells, pools, air conditioning, gas, or other insta(iations not specifically inciuded in #he appiication. A
permit issued shall be canstrued to be a license to proceed wi#h the work and not as authority to,vioiate, cance(, alter, or
set aside any provisions of the technicai codes, nar shal( issuance of a permit preven#the Suilding C?�ciai from thereafter
requiring a correction of errors in plans, canstruction or violations of any codes. Every permit issued shalf become invalid
unless khe work authorized by such permit is commenced within six manths af permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six(6) manths after the time the work is commenced. An extension
may be requested, in writing, from the Building Official far a period not to exceed ninety (90) days and wilt demonsfrafe
justifiable cause for#he extension. If work ceases for ninety(90}cansecutive days,the job is considered abandoned.
WARNINC TO QWNER: YClUR FAlI.URE TQ RECQRQ A NQTtGE OE COMMENG�11f1ENT IVIP►Y �ESULT !N YOUR
F�f�Y1NG TYIPlCE"FOEt lI�IPR01fEM�P1T5T0 YCAIJR P'RDPtRTY:�IFY�f�-i�ITE�1D-TO-OBTA:IN"F1N�1NClN�;CiJNSULT'���-�
YYITH YOUR�ENDER OR�►IV�1,TTORNEY BEFORE RECORDING YOUR iVOTIGE OF COMMENCEIiflENT
FLORiQA JUi2A7(F.S. 117.03
---- - . __� ._____ � --- -
O1flfFlER OR f�1GE � m �' � COfdTf�ACTOR �
_ ._..u. ..._.._.._._._.
Subscribed and sw �(or a before me this 8ubscribed and swom ta(or affirmed)before me fhts
by b�
Who isfare personalty known to me or haslhave produced Who is/are personally known ta me or haslhave produced
as ldenkliication. as identification.
Notary Public hlotary Pubitc
Commissian No. Gommissfon No.
Name of Notary typed,printed or stamped Name of Notary typed,printed ar stamped
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-PERMIT=APPL7CATION •' ` � `=
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�.DRIVEWA�(:PERMIT:APPL�ICATION
�CONSTRUCTION�W : �HTN'P.UBL7C-RIGHT�OF=WAY �
All informati n must be�filled-in completely
' � <C ty�of-iZephyrhiils
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�5335.8 treet,Zephyrhills,�FL 33542
�Telephone.8i .780.0000 Fax 813.780.0005
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j PR07ECT .]OB�SIT�: PROPER �OWNER
! Address: 5oS / T.S��TiPee Name: �!�. G �
Unit#: � Address• b ./�,P� Unit: ��
Parcelldentification�Number: Ci State .Zi ,a � /7 p �
Phone:�i7-y�S-g.�"� Fax:
�_CONTRACTOR:
Com an : �
Name:
Contractor's License#: E-Mail:
Phone: Cell: Fax:
ARCHITECT/ENGINEER: _
�Name: Fir Name:
Address: Ci State: Zi
State License#: Ph ne: Cell: Fax:
escri tion of Pro'e
TYP OF DRIVEWAY a 3� NGTH OF DRIVEWAY CULVERTS NEEDED
RESIDENTIAL DRNEWAY 33 .� DTH OF DRNEWAY ( )REINFORCED CONCRETE
COMMERCL4L DRNEWAY R.O. . EXCAVATION ' ( )CORRUGATED MATERIAL
PUBLIC ACCESS DRNEWAY DEPTH LINEAR FEET ( )BOX NLVERT
( )OTHER(DCPLAIN) '
CONSTRUCTION MATERIAL CU CUT REOUIRED
ASPHALT �YES _�C NO
�CONCRETE-
HEADWALL REOUIRED? YES _�NO
NOTICE TO APPLICANT: If actuai work ex eeds scope of this description,additional permits or drawings
will be required.
UTILITY LOCATIONS RE U RED: CALL BEFORE YOU DIG: 1.800.432.4770
Page 1 of 3 ,
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�PERMIT APP,L2CATION .
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Concrete (min. 6'� Y N
�Asphalt�Base(min. 6'� Y "N
Asphalt(min.:i�/z'� Y �N
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Length (min.79� Y
Width (10'min—.ZO'max) Y
Existing sidewalk. Y
New sidewalk. Y
ADA com Iiant. Y
� Fxpansion materia( required. Y �
Cor►tiguaus parking pad. Y
Triangularflare(3`W x 7'L) Y N -
Visibifity triangle o.k.? � , �
Side set back(3'min. R.O.W.) Y N
Plan Review Fee
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Perrnit appl'catian approved by: Date:
Page 3 of 3
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w.o. n,o. 20�4-3 Section > 1, Townstiip 26 South, Racnge 2> �'ast I�
For: Aaron zook Pasco Count Ftorida ��
Ordered by: Mike Sweeney y,
Boundary Survey with Improvements
Date of Survey: Feb. 21, 2014
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3��7 � ����s��ar�s���) ���x,�s��u ��<�r
� Ca? � ���.��cr��� ���s
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� First Avenue �
— ..,
60' ' ht of Way — 20' Poving • o ° "S
O o O
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Edge of Pave nt � O`���9 � , O`���9 SCALE: 1" = 40�
F J �� •Q�' �'L•Q�
4 4��h Ct���e B � Water Meter Box y Oy0 0 �� ga E a S t �� la
k°� � Fire Hydrant E a s t (�s�m e d B e o�i n,g) � ��' �`�oQj 40' R 140.05' M��+°Q P 0�
osf 140 R 140.05' M) 3 5• ( ) ( ) 40' so'
� �OA � Frame and y 20.00�
�m Metal Shed a
oo.�
� �� o a.�'x3.8' �o.s' �i vw LOT 1 Legend
�N � Concrete Slab Concrete Slab L� „ ��UewA� �ip EI.R iound Iron Rod CONC. Cwicrete
N F.I.P. Found Iron R ASPH.
�p with Roof Over u'� F.C.Y. Found Concret�e Monume� MAS. M�non
c... `t c0 _' v� �-._.:.:�a.,�_ '. �,� p �Y
's � M �` � One Sto Frame n� �"� •.o''1 F.NRD. Found Na1& Disc FR. Frame
o m o� � ry c x . p . 0 �� S.I.R. Set 1/2'Uon Rod (PlS 4970) —� ��ne
a m o� � 15.9' S truc t ure � -� 31 � �o �'l.,�p S.N�D. Sei No�k Dislc(PLS 4970)
38.6'
0 o Z' r,o� „� (South Wall Gone) o ��j Lcq
� ta (R) Per al Deseription or Record Plat C.LF. Chain Link Feirce
a p, � "� , o BUILDING 0.2 , � � ro o F\�Q (C) Cokulaied W.F. Wire Fence
° N NORTH OF LO Ew. �' � G�Q � (M) Field Ileosured
ai a� 15.5' N 38.6' �:_..,._.�:.�.�.�m. '�
(�!) 3 W s'/.p BUILDING CORNER �40��R� 140.05'�M� ��t•
I o � 0.93' NORTH OF N.89'59�40'�IN. 5' � SURVEYOR'S NOTES: _
s � LOT IJNE � I � 7. No underground utilities or improvements hove been
� o, .., LpT 3� n � LOT 1r?j located except as noted.
� � � r�'�J N � � 2. No instruments of record reflecting easements, rights of
N (� p woy, and/or ownershipwere fumished to this surveyor except
� o � cD Q as shown.
� �( � 3. This survey was prepared without the benefit of a title
6 � O � N �Y p Q��`p0 SeOfCh. -
� `L �`ry69 ' L LOT �g p ���,h`6ot 4. Legol description from Mike Sweeney
� �1Ia+� / � `° F�o••ag`� LOT 4 5 be ng East (assumed d tum)orth Line of Block 213
��°Q� i� a LEGAL DESCRIPTION: Lots 31 and 32, Block 213 of the
i � __---•-----. _M �_
f �/ o. . CITY OF ZEPHYRHILLS, as recorded in Plat Book 1, Page 54,
, O`�o� Public Records of Pasco County, Florida
i 1�ti,�
F G Q0a CERTIFIED T0: Aaron Zook Not Valid Without the Signature
and the Original Roised Seal
, - of a Florida Licensed Surveyor
and Mapper.
David G. Armstrong, PLS
{ � + °
� .
David G. Armstrong, PLS �
7257 16th Street ! ' � f ' �i ' ' f ' I.
Zephyrhills. Fl 33540 ��"� C' l-� ���r � C' � � � �l Q � � " C]C�, � �"�. �. ���r.� _ .��., , Z 26/�'�
Ph: 813-782-0245 , � ��' ,�(,If�V�,,� �a��)IC��`�! ��±�r��; ��} fiJ� C+�V�CU(� �� f� ! ���U�>.�IGIICI! L!���,-��,c.�% �11�,!,i! ;�;it,� orida S� or's Reg'n. No. 4970