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Home My WebLink About15-16300 . �^� CITY OF ZEPHYRHILLS 5335-8TH STREET _ " (ss3)�so-oo20 � 6300 BUILDING PERMIT SINGLE FAMTLY RESIDENTIAI. PERMIT INFORMATION L.00AT�ON INFORMATION Permit#:16300 Issued: 8I0412015 Address: 36134 SHADY BLUFF �P �C?T#6 Permit Typ�: NEW SINGLE FAMILY DWELLING ZEPHYRHILLS, FL. Giass of Work: 141-NEViI C(�NST/SFR Tawnship: Range: Proposed Use: NOT APPLICABLE Lot(s): Btock: Section: Sq. Feet: Est, Value: Book: Page: Cost: 204,105.70 Total Fees: 11,149.45 Subdivision: SILVERADO Amount Paid: 11,149.45 Date Paid: 8/04/2015 Parcel Number: 04-26-21-Q06Q-00300-0060 CONTRA►CTOR 1NFORMATION OWNER INFORMATION Name: HIGHLAND HOMES Name: HIGHLAND HOLDINGS INC Addr: 3020 SQUTH F�ORIDA AVE SUITE 101 Address: 3020 S F�t}RIDA AVE STE 101 LAKELAND FL 33803 LAKELAND, FL 33803-405$ Phone: (863)619-71 Q3 Lic: Phone: 863}619-71 Q3 Work Desc: CONSTRUCT NEW SINGLE FAMILY 2003 SQ FT � ARPLICATION FEES SUI�DIN FEE 899. ELE RlCR FEE 14.43 PLUMBING E 120.45 MECHANICAL FEE 84.32 FIRE IMPACT FEE 273.Op POLIGE IMPACT FEE 254.00 PUBLlC SAFETY 5% 26.35 PARK FEEB SF 769.56 SCHOOL lMPACT FEE-sfr/140°to 4,828.Q0 SCHdOL IMPACT FEE-sfr/1°!0 4$.2$ TF2AFFiC IMPACT FEE 99°Io 3,595.68 TRAFFIC(MPACT FEE 1°l0 38.32 � ��, . �,,�,�,� � � � �� Lt,� � � ��I -ls Inspections Require F TER" 2NQ ROU H PLUlvi6 MIS� ULATIQN E!L!N FCtOTER BOND DUCTS 3NSULATED SEWER MISC. ROUGH EL.ECTRIC LINTEL MISC MISC. 1ST ROUGH PLUfVlB PRE-METER INSULATION WALL MiSC. DUCTS(NSTALLED WATER MISC DRIVEWAY PRE-SLAB SHEATHING MISC. MISC. CONSTF2UGTION POLE FRAIVfE M(SG. MISG. FtEINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when eactra inspection trips are necessary due ta any one of the following reasons: a)wrong address 6)condemned work resulting from faulty constructian c) repairs or corrections not made when inspections called d)work not ready for inspection when called e) perrnit not posted on job site� plans not at job site g)work not aceessibte. NOTlCE: 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 additianal permits required fram other gavernmenfial entities such as water management, state agencies or federal agencies. "1Narning ta owner: Yaur failure to recard a notice of commencement may resutt in your paying twice for impravem�nts to your property. If you intend to obtain financing, consult with your lender or an attorney befare recording your notice af commencement." Comptete Plans,Specifications and Must Accompany Apptication.All work shall be perPormed in accardance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.f1. _/j�/ `-„ ,� CONTRACTORS 51GNATURE PERMIT OFFI PERMIT EXPIRES IN 6 MONTHS WITH{)UT APPROVED INSPECTIO CALL FOR INSRECTION - 8 HOUR NOTICE REQUIRED PRCITECT CARD FRBM WEATHER � , 36134 Shady Bluff Lp- Highland Homes 2003 sqft o umn SQ. FEET PRICE MAIN OR LIVING: 2,003 $ 101.90 OTHER AREA UNDER ROOF: - $ 88.00 OTHER: - $ _ VALUATION $ 204,105.70 FEE SHEET $ 803.00 ADDRESS $ 40.00 DRIVEWAY $ 40.00 BUILDING: $ 899.06 ELECTRICAL: $ 214.43 PLUMBING: $ 120.45 MECHANICAL: $ 84.32 SUB-TOTAL $ 1,318.26 TOTAL $ 1,318.26 SEWER: na WATER: na IRRIGATION: $ - TOTAL: $ . WATER METER: na IRRIGATION METER $ - FIRE DEPARTMENT FEES PLANS TOTAL: INSPECTION TOTAL: PERMIT TOTAL , TOTAL: $ - na PUBLIC SAFETY IMPACT FEES POLICE $ 254.00 FIRE $ 273.00 5% $ 26.35 TOTAL: $ 553.35 SUB-TOTAL $ 1,871.61 PARK IMPACT FEES $ 769.56 SIF'S: $ 4,828.00 100.0% $ 4,828.00 1.0% $ 48.28 TOTAL: $ 4,876.28 T I F'S : a 3,632.00 99% $ 3,595.68 1% $ 36.32 TOTAL: $ 11,149.45 � -- -- - -� - ) ' ' ' �`I � IIIIIIINIIIIIINIII{III111111111111111111111111111111111111 2015053310 Prepared by and return to: Rept:1673112 Ree: 44.00 D. Scott South,Esq./dmd Ds: 0.00 IT: 0.00 SOUTH MILHAUSEN,P.A. 04/07/201� T. S. , Dptv Clerk ' 1000 Legion Place, Suite 1200 Orlando, Florida 32801 PfiULR S.0'NEIL,Ph.D.PpSCO GLERK & COMPTROLLER 04/07/2015��l��m P� A�� File 6482-1 OR BK �j ■� Permit No. Tax Folio No. 04-26-21-0060-00300-0060 NOTICE OF COMMENCEMENT � STATE OF FLORIDA COUNTY OF PASCO THE iJNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement: � 1. Description of Property: / SEE EXHIBIT"A"ATTACHED HERETO AND INCORPORATED HEREIN BY THIS REFERENCE. ; 2. General description of improvement: i , ' Construction of single family dwelling according to plans and specifications 3. Owner information: � (a) Name and Address: iHighland Holdings,Inc.,a Florida corporation i 3020 S. Florida Avenue, Suite 101 � Lakeland,Florida 33803 � ; � (b) Interest in property: Fee Simple i ' (c) Name and address of fee simple titleholder(if other tlian Owner): 4. Contractor(name and address): (a) Name and address: Highland Holdings, Inc., a Florida corporation 3020 S. Florida Avenue, Suite 101 Lakeland, Florida 33803 . - , � � OR BK 9172 P� 'T�1 � 2 of 5 (b) Phone number: 863-619-7103 (c) Fax number: 863-619-7995 ' 5. Surety Information: (a) Name and Address: N/A (b) Amount of Bond$N/A (c) Phone number:N/A (d) Fax Number:N/A 6. Lender Information: (a) Name and Address: Fidelity Bank 7807 Baymeadows Road E., Suite 200 Jacksonville,Florida 32256 Attn: DeeDee Barber (b) Phone number: (904)-996-1039 (c) Fax number: (904)-996-1040 - 7. Person within the State of Florida designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a) (7), Florida Statutes: (a) Name and address: N/A (b) Phone number:N/A (c) Fax number: N/A ' 8. In addition to himself or herself, Owner designates Dee Dee Barber of Fidelity Bank, 7807 Baymeadows Road E., Suite 200, Jacksonville, Florida 32256, to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (b), Florida Statutes: (a) Phone Number: (904)-996-1039 . (b) Fax Number: (904)-996-1040 , , ' OR BK �172 P� q 72 3 of 5 �' 9. Expiration date of Notice of Commencement (the expir tion date is one (1) year from the date of recording unless a different date is specified): f .U�7 WARNING TO OWNER:ANY PAYMENTS MADE BY THE OWNER AFTER THE 'I EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 7I3, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. HIGHLAND HOLDINGS, INC., a Florida corporation By: . s As its: President STATE OF FLORIDA ) ) SS. COUNTY OF� ) The foregoing instrument was acknowledged before me this 2nd day of April, 2015, by Robert J. Adams, as President of HIG LAND HOLDINGS, INC., a Florida corporation on behalf of said entity who either (a) is personally known to me or (b) has produced as identification. T .�� ' 'l OTARY PU L�C- Sta of Flgrida Print Name� � �� My Commission Expires: ��13�1� I ,��+''�:: F�uaa a�w�or, y:� r Mv cor�tissiau r��saas2 �•� EXPIRES;October 3,2018 '� ��°F,St BondedThruNaferyPohScUnAcnvrYcr; _ "_' i OR BK g 172 P� 473 4 of 5 Verification pursuant to Section 92.525,Florida Statutes: Under penalties of perjury,I declare that I have read the foregoing and that the facts stated in it are true to the best of my knowledge and belief. HIGHLAND HOLD GS, INC., a Florida corporation By: Ro �da As its: resident i � � i i i , I � I � I -- -�---- - --�— - - I � EXHIBIT"A" OR BK g 172 P� 474 5 of 5 Legal Description - - - Lot 6,Block 3,SILVERADO-PHASE 1A, according to the plat thereof as recorded in Plat � Book 61,Pages 71 through 75,Public Records of Pasco County,Florida. � i � i � I � � I i � � i ' I \� I � . / / / :_ . �- - � p�� , . � - �;. _ ��i:: �� -��--� ;-.� _ J :�-:,� 5�� _ ;,� ., . .a��, �`� —�-I� City of Zephyrhills � BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: ��,� � � ' �f'3'1`�� Date Received: ��j ��s Site: .-.�sP � J�7' � !'l�l1 ID�Gt l`�'"� Permit Type: Z j�(�� 1h (`� f�?a� �'�/n`� � , Approved w/no comments: ` Approved w/the below comments: ❑ Denied w/the below comments: ❑ I - � C� ' �� \ v�6.� �� C�,c S-C �—��' I This comment sheet shall be kept with the permit and/or plans. � . ��- � . , , � , �...� �-- Kalvin Switzer s Examiner Date Contractor and/or Homeowner �y� (Required when comments aze resent / P ) � II ;� I ' 1 �r� I � ! � I 1 �`1 i� ! i - .... ..... ...... .... .. ................................._.......,......... ... ._..... .. -� ... i,l �,�...;.... ;,:% �:I°�It1:C ::t:`?�;,�:i Y� , � � , ; � ;-,�:; . .. , .... :. . ... .::. _ , ,. . . . . , ._,,. ... ., . . . � � . � ; 1 ai.':.i;..),'•.��..,,. .. � ... .:,`� �:;::°.:>:. �-� �'f" ... .`..,. .ra � ,-•, , .: : ... . . ..:.... . .�. �.! •, .. � i.�� ,...,... , i �i!.. : .. • ., r�' '� ;...�1. . �'� s',,i•{ l,_l ' I..I{r � i��'�� i� � � �•s�i'��1�, � I 1��f1;1 ��.)':'� �::I'� �1" 'il•4 ! r i �..,r •:I._, .I•... , . ._.�._i..�� . s�.L .i: 3 :�:l. ..i .. .:., ..l ..I�Ii. . . . .,... ?..i�•....,.� l.��d{��....:i' ,:��•::lt:.i,:+;:: I � .i S�,,.. _ .._. .....�. �.%i�.n ��itx�t�:! ...i'�;'.;.i.1.! i � <.,- � :. , r��, � � ..,•, :f�.., ., f�•�_�.:��;�•�c.� ,::i�...:..°�t ,:I � , ._, �• :.i �.�a�� '(i' :I.�.:f��l,} f��i'� �•Yi '}:��.l:.l � . ._�...... � � . . �_ a. r.. . ::� � !.�1—r-- ':�.� !...4. l.,) :; (..:,�..I � . . . . , . . . i ' !' ..if i:••:i Y ''; _� � �. f �I � ,,�� l..�... ':i { �'�. �� ?�'� ��t.:-' .'•�(t'.:.�� , . .�... . . ,,�. � �, , ,) :.� ..� .,. . .{.. .f I ,..{ �3 .a3�t .�. 'I°I':, i�.,. �• . i:5 , • C�:.,.. . , S �7 � . . t.,{ i,', t , '�;?kl f;. �. ;-•�.��: i i.:� ,�:it:�1,.. ("ii� ... �i:R: �1;:1'.:I�':! t:.-rr�,t:i: i�'li: I��I tl��l�:%' il..�r:a3:h•I '„ , i,:}�.; „... .. . .. . ..... ''i ^.:' !:i: ';�:it_! .:;��'' ... .... �. , .. .. . . ... . . .,. � ... . .�. � <.�.,;c..s. , ?_;7 1.1, � � ..`ti`t��.� !;�.)f,I,1 � �� ,� � � . � �� .:;i.� �C c..;l:��:.',;} ';;�(t'j';:i?:;'...I ., y , .,' �';: i:i;:�;�;;:: ,i � ...1.� :11C� i t i. . � ., ... . .... �"�.:�i) ,: •ilt ! i.. ;t` 1 t..;. t �. � i ''.;•��' .:�`•` S,it ...s�,.� : . , . . . ....z. ..� � :.� ,. ,... � • � :. .. .0 i .l..l. ,:l.:l�:i ..��I.{..i'�..:1�..� • 36134 Shady Bluff Lp- Highland Homes 2003 sqft i o umn ', SQ. FEET PRICE MAIN OR LIVING: 2,003 $ 101.90 OTHER AREA UNDER ROOF: - $ 88.00 OTHER: - $ - VALUATION $ 204,105.70 FEE SHEET $ 803.00 ADDRESS $ 40.00 DRIVEWAY $ 40.00 BUILDING: $ 899.06 ELECTRICAL: $ 214.43 ' PLUMBING: $ 120.45 � MECHAiVICAL: $ 84.32 SUB-TOTAL $ 1,318.26 TOTAL $ 1,318.26 � SEWER: na WATER: na IRRIGATION: $ - TOTAL: $ - WATER METER: na IRRIGATION METER $ - FIRE DEPARTMENT FEES PLANS TOTAL: INSPECTION TOTAL: PERMIT TOTAL TOTAL: $ - na PUBLIC SAFETY IMPACT FEES POLICE $ 254.00 FIRE $ 273.00 5% $ 26.35 TOTAL: $ 553.35 SUB-TOTAL $ 1,871.61 PARK IMPACT FEES $ 769.56 SIF'S: $ 4,828.00 100.0% $ 4,828.00 1.0% $ 48.28 TOTAL: $ 4,876.28 T I F'S : $ 3,632.00 99% $ 3,595.68 1% $ 36.32 TOTAL: $ 11,149.45 � . 4 ♦ * r�'G1 . PERMIT APPLICATION �`� .—� _ � , _ DRIVEWAY PERMIT APPLICATION CONSTRUCTION WITHIN PUBLIC RIGHT-OF-WQ►Y All information must be filled-in completely City of Zephyrhills 5335 8"'Street, Zephyrhills, FL 33542 Telephone 813.780.0000 Fax 813.780.0005 -n'. F.., .k"t.:-.. , . .. . _ ' '.,}_ ' _ . "' ., . - .. _ - . ..- dDate of application::�.-. :��( : �P'riicessed�_B,y�, .� �; _ _ `�Permit.#:�_ - - _ � '. � . -� , . .. .. (y!aYa ��fort seonly) _. ' � . ,. � _ � `�Copy'to;Buildi'rig;Deparbnent � - � ` �oPy.to Fublic Wor:ks- n��{�} ;�`—�� _ ,t�-�l_. PRO]ECT )OB SITE: PROP TY OWNER Address: l. Name: Unit#: Address: Unit: � Parcel Identification Number: � Ci State Zi � n - Phone: 0 ax: CONTRACTOR: Coman : Name: Contractor's License #: `t E-Mail: Phone: — Cell: Fax: ARCHITECT/ENGINEER: Name:� � � ' � Firm Name: `� � ' Address: d i Ci : tate: � ( Zi : State License #: Phone: j- �(.(,��'3�ell: �— Fax: �, "� - U Descriotion of Project TYP OF DRNEWAY �,LENGTH OF DRIVEWAY CULVERTS NEEDED RESIDENTIAL DRNEWAY �_WIDTH OF DRIVEWAY ( )REINFORCED CONCRETE COMMERCIAL DRIVEWAY R.O.W. EXCAVATION ( )CORRUGATED MATERIAL PUBLIC ACCESS DRIVEWAY DEPTH LINEAR FEET ( )BOX CULVERT CONSTRUCTION MATEREAL CURB CUT RE UIRED ( )OTHER(EXPLAIN) ASPHALT YES NO �CONCREfE HEADWALL REOUIRED? YES �NO NOTICE TO APPLICANT: If actual work exceeds scope of this description,additional permits or drawings will be required. � UTILITY LOCATIONS REOUIRED: CALL BEFORE YOU DIG: 1.800.432.4770 Page 1 of 3 a J , °s- � , PEFtMIT APPLICATION UTILITIES LOCATE CONFIRMATION NUMBER: PROVIDE SKETCH IN THIS AREA, IF ADDITIONAL SPACE IS REQUIRED, ATTACH TO THIS APPLICATION. � ' / ��: Q/�. � AFFIDAVIT: Application is hereby made to obtain a permit to do work and installations as indicated. I certify that all foregoing information is accurate and that all work will comply with all applicable codes. I understand these codes shall take precedence over all approved construction documents,and issuance of this permit is verification that I wiil notify the property owner of Florida Lien Law req., F.S.713. , The issuance of this permit does not ensure compliance with deed restrictions and I understand that additional deed restrictions may apply to this property. All work shall 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.zephyrhills.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 2ephyrhills is not responsible for maintenance or repairs of driveways. Driveways shall not alter/ interfere with existing stormwater treatment and/or conveyance. PROPERTY OW By signing this application: I certify that I have read and understand the owner/builder disclosure state ent. (please initial) � �. � � \ � �,� �� i � Appl'cant Print Name ._ Appli ant ignature Date � P mi echnician Sig at re (or) Notary Signature Date Ap�' nt is( )personally known to me or produced as identification. (type of identification) Page 2 of 3 4 < �_ . � , PEIYMIT APPLICATION OFFICE USE ONLY �- . ., . - - - .. . .. . . _. - : . _- _ . : . _ .,_ : . ;.. ,. , � .. ._ , . NLY - . . _ . , . . ,;; ..- . ,. : ; PUBLIC'WORKS�U5E`.,0. , Concrete (min. 6'� Y N Asphalt Base (min. 6'� Y N Asphalt(min. 1�/z'� Y N Length (min. 19� Y N Width (10'min—20'max) Y N Existing sidewalk. Y N New sidewalk. Y N ADA compliant. Y N Expansion material required. 1' N Contiguous parking pad. Y Triangular flare (31N x 7'L) Y N Visibility triangle o.k.? Y N Side set back(3'min. R.O.W.) Y N Plan Review Fee . .;...._ �,i:.: - --' -,�:. , �: .. . . ....,,.,,'_ _,...n,r-._:.. .:: ..... ..r_":.. ' ' . . ._..... .. .....:r ....—'$�- .i,:.:. � +f 2 ��. -ti.K< .._:.._ .... ,i. ' _ �.. '�_ '_ _.Additional'�descri "tion;of=wock:as.=defined`b�';.Putilic:Works;Director.=andor.desi� nee::,, ,. '„_ ,__ . .� `� - -- cE�as� S�E �r�o�FS o�v SeETCy. � Permit application approved by: Date: Page 3 of 3 a . ° � PLOT PLAN LOT 6, SILVERADO SUB, BLK 3 P,B 1, PG 55 PASC❑ C❑UNTY, �L SCALE 1"= 20' 70,35' � � 0 � �o'—o" 22'—a ��2„ 35'-0' �� HAWTHORNE II � oo �S�� 5106° ��0� M ^� � 'L K p �+ I � � � �� D� , o �, � � � �0 0 ~ oa�r� ,�� °' �1 GARAGE o �I91, �� °' � , �aa�t 18'-0' �44 17'—� 4„ � ,l to'—o" 13'-4' � �� 16' WIDE� �i�� RIVEWAY 0 10' UTILITY N EASMENT ,9 ' � ,�� . �1 •1 C �` ,�1, 9 ,� .,. : .;: ;� PA�� CQIJNTY, FLO�IDA ��•� � � � ��aa � � •• �� Permit No, Date Permi�ted � �e �� !'�I�Gf/�'► _ Control# ' Builder Name/�Jwner Nam . . County Parcel No. � �2(p-2/-60(a- Ol� �XSO`�J� SubDiv: V�I��av • Address/Location �l��3� 01��c� u �" � `� �'6 . � Classification/Type of Usg �'� �m�1�(/ TRANSPORTATION IMPACT FEE � Rate: Sq �t Unit; z� ��3' Exempt � Yes [� No HoW Determined ' ' Impact Fee Amount $ 3(� 32�� Zone No. TAZ: . -� SCHOOL IMPACT FEE � Account (056) Single-Family Detached House Amount $ �', �7 (� . Z.� � (057) Mobile Home (058) Other Residentiai � 123) Collection Fee Exempt Yes [] No How Determined PARKS ANU RECR�ATION FEE � � Land Account Land Credit Land Total Recreation Account � Recreation Credit Recreatlon Total Zone � � . TOTAL AMOUNT $ -� 7� g, S� Exempt � Yes [] No How Determined LIBRARY FEE � � � � l.and Account �.and Credit Land Total. � Facility Account Faciljty Credit Facility Total . Exempt � Yes ❑ No How Determined � Total Amount RESOURCEFEE � ERU � � TOTALAMOUNT , , , � � Prepared By �� U� Checked Sy NO CERTIFICA7E OF OCCUPANCY WILL BE ISSUED OR �INAL INSPECTIQN PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE , BEEN PAID AIdD REC�IPTED FOR BY q CEIdT�tAL PERMITTING OFFICE.OF PASCO COUNTY Acknowledgement below does not Imply acceptance of concurrenGe,hut slmply recelpt of a copjr of this form,placing the building permit owne�on notice of this assassment and th�conditlons of payment for same. , . DATE R�CEIVEQ BY RECEIRT NO. DATE gY � --- > ' s�s-�so-ozoo City of Zephyrhills Permit Application Fax 813-780-0021 , � Building Department Date Received ��/� Phone Contact for (863)619-7103 x224 Permitting Owner's Name Highland Homes Owner Phone Number (863)619-7103 Owner's Address 3020 S.Florida Ave,Ste 101 Lakeland, FL 33803 Owner Phone Number 863 619-7103 IFee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address 6 JOB ADDRESS 36134 Shad Bluff Lp LOT# SUBDIVISION Silverado PARCEL ID# �'1✓ ". "l,Vl'sd,�"w�W�� (OBTAINED FROM PROPERTY TAX NOTICE) i�!`�1 i{l ��ilJ,?� WORK PROPOSED X� NEW CONSTR � ADD/ALT SIGN DEMOLISH PROPOSED USE X� SFR � COMM � OTHER TYPE OF CONSTRUCTION X�BLOCK X� FRAME � STEEL � DESCRIPTION OF WORK I � � l �( n' 1 58x35 2,003 BUILDING SIZE SQ FOOTAGE HEIGHT X BUILDING $90 ,135 VALUATION OF TOTAL CONSTRUCTION �ELECTRICAL $4,015 AMP SERVICE 200 ❑ PROGRESS ENERGY W.R.E.C. X❑PLUMBING $3,600 ��j�3� I E� X❑MECHANICAL $4,050 VALUATION OF MECHANICAL INSTALLATION �GAS X� ROOFING � SPECIALTY � OTHER FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA YES NO BUILDER COMPANY Highland Homes SIGNATURE .� ,.� REGISTERED f" Y/ N FEE CURRENT Y/)N i Address 3020 S. Florida Ave.,Ste 101, Lakeland, FI 33803 License# CGC058580 ELECTRICIAN COMPANY Fore Electric SIGNATURE � _\ REGISTERED Y/ N FEE CURRENT Y��N Address 2128 E. Edgewood Dr., Ste 301,Lakeland, FI 33803 License# EC0002618 PLUMBER COMPANY Hodge Plumbing , SIGNATURE REGISTERED Y N FEE CURRENT Y/,N Address 3216 North Galloway Rd.Lakeland, FI 33810 License# CFC044188 MECHANICAL COMPANY Schmitt, Inc. ,� SIGNATURE 1 -- REGISTERED Y/JV FEE CURRENT Y/N Address 17935 US Hwy 19 Hudson, FI 34669 License# CAC1815629 OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURRENT 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 Plans w/Silt Fence installed, Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects COMMERCIAL Attach(3)complete sets of Building 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 all new projects.All commercial requirements must meet compliance SIGN PERMIT Attach(2)sets of Engineered Plans. ****PROPERTY SURVEY required for all NEW construction. Directions: Fill out application completely Owner&Contractor sign back of application,notarized If over$2500,a Notice of Commencementis required. (AIC upgrades over$7500) "'"` Agent(for the contractor)or Power of Attorney(for the owener)would be someone with notarize letter from owner authorizing same OVER THE COUMTER PERMII'TIiVG (Front of the Application Only) Reroofs if shingles Sewers Service Upgrade A/C Fences(PoUSurvey/Footage) -T z " 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 IMPACT/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 Trarisportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a "certificate of occupanc�' 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'S/OWNER'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 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, 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: 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. FLORIDA JURAT(F.S. 117.0 . OWNER OR AGEN � CONTRACTOR Subscribed and sworn irmed)b fore me thisf Subscribed and s rn to(or a ed)before me this 4128115 by Brian Walsh _ 4/28/15 by Brian Walsh Who is/are personallv known to me or has/have produced Who is/are personallv known to me or has/have produced as identification. as identification. ; t �V ' r CYI ' J `� � i i Notary Public 1 �� Notary Public om ission No. , Co mission No. � Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped r/�++`'e+`"." ''`'' �pa'�o�a` Notary Pub�ic.St.:= ,;. `, ua =o�P�Y°�e� Notary Public State of Florida i°` � Jamie i .��nK°' . � . Jamie L Jenkins ' • < M Commissior" 5 '��oo-� My Commission EE073285 �p�OFF�OQA Ex p i r es 0 5 l'1�1 2i"' Oi F� Expires OS/21/2015 �.l.�jyw„y , PLOT PLAN L❑T 6, SILVERAD❑ SUB, BLK 3 P�B 1, PG 55 PASC❑ C❑UNTY, �L SCALE 1"= 20' I � 70,35' � � 0 � io'—o" z2'—a ��Z„ 35'-0° HAWfHORNE II o� � � M � �-+ I N � � O � '� O � O O . .-a .--� GARAGE o I Q� 10'-0" 13�-4° _ 18'-0° 44' 17'-� ��q„ 16' WIDE RIVEWAY 0 10' UTILITY N EASMENT ,98' . 0 � � N 36134 SHADY BLUFF L❑❑P NOU-7,2012 11:07 FROM:FAMILY PRESS 5638533377 T0:6197995 P.4�6 � � b � . � � � � � m � � � a. 0 1� o. ,.,... � �� .� ...�_ � � . Z � � � N � � m � VJ � . O � � � , � � • 1 � ( N X � - � � � m � -�� . .� : � � = ^ .... �... ` ..� � .�- � rr . �. . . � ; c � � � Single Family Dwelling Plan Review Comments 1. F.F.E. shall be a minimum of 8" above the road elevation and an engineered site plan. 2. Lots shall be graded to comply with R401.3 of the F.B.C. 3. Compaction test required if 24" or more of fill dirt is brought in at any one place. 4. Tie in survey required before pouring concrete. 5. Driveways require a R.O.W. use permit. A114 sides of driveway thru the sidewalk shall have expansion material. 6. All setbacks shall be met. 7. All property markers shall be uncovered and marked at time of first inspection. 8. All A.D.A. requirements shall be met. 9. No electric, plumbing,mechanical, or framing shall be covered without an inspection and approval first. 10. All Garages shall comply with section R309.2 of the F.B.C. (Fire Separation). 11. Appliances shall not be installed in a location where subject to mechanical damage unless protected by approved barriers. M303.4 of the F.B.0 12. Water heaters shall comply with section P607.3 of the .F.B.0 13. Foundation supports for A/C units shall be raised at least 3" above finished grade. M1308.1 14. Return air in all bedrooms. F.B.C. M1620.4 15. Smoke detectors are to be installed in accordance with R313.1 of the F.B.C. 16. All glazing requirements are to be in accordance with R308.4 of the F.B.C. 17. All means of egress are to be in accordance with R311 of the F.B.C. 18. "Green gypsum board" shall not be used as a backer in showers or tubs. R702.4.2 F.B.C. 19. Combination-type AFCI breakers are required at all locations requiring an AFCI type breaker. 20. Carbon monoxide alarms will be required in new construction that uses fossil-burning heating or appliances or an attached garage. They shall be installed in accordance with the F.B.C. 21. All plumbing,mechanical, and electrical shall be separate from unit to unit. This includes all underground plumbing and electric. 22. A112008 N.E.C. Codes will be enforced. 23. Tamper- Resistant Receptacles in accordance with 406.11 of the 2008 N.E.0 22. In accordance with the Land Development Code, lots shall be sodded before final at least 10 feet around the structure. F.F.E.-Finished Floor Elevation F.B.C- Florida Building Code(2010) R.O.W.-Right Of Way A.D.A.-Americans with Disabilities Act N.E.C.-National Electric Code(2008)