HomeMy WebLinkAbout17-18817 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 � 817
` ' BUILDING PERMIT
PERMIT INFORMATION `W -- -- LOCATION INFORMATION `� � -
Permit Number: 18817 Address: 5041 8TH ST i
Permit Type: ACCESSORY BLDG. ZEPHYRHILLS, FL.
Class of Work: SHED INSTALLATION Township: Range: Book:
Proposed Use: SINGLE FAMILY RESIDENTIAL Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est. Value: Parcel Number: 11-26-21-0010-20700-0060
Improv. Cost: 2,161.97 OWNER INFORMATION
Date Issued: 8/28/2017 Name: JAMES KATHRYN
Total Fees: - 75.00 Address: 5041 8TH ST
Amount Paid: 75.00 ZEPHYRHILLS FL 33542-2133
Date Paid: 8/28/2017 Phone: 813-727-8869
Work Desc: INSTALLATION SHED 12 X 20
CONTRACTOR S APPLICATION FEES
HOMEOWNER BUILDING FEE 75.00
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Ins ections Re uired
FRAME
SHEATHING
FINAL
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,for each such subsequent reinspection.
NOTICE: In addition to the requirements of this permit, there maybe additional restrictions applicable to this properly 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 management, state agencies or federal agencies.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your properly. If you intend to obtain financing,consult with your lender or an attorney
� before recording your notice of commencement."
Complete Plans,Specifications Must Accompany Application. All work shall be performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
�
, OR S ATUR PERMIT OFFI R
PERMIT EXP IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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City of Zephyrhills I�
' BUILDING PLAN REVIEW COMMENTS
Contractor/Homeowner: -}h r �, . �,S
Date Received: �I � I I � '
Site: �lL I g-�'h S�
Permit Type: �j' h�Q ,
Approved w/no comments:❑ A roved w/the below comments: Denied w/the be
PP low comments: ❑
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This comment sheet shall be kept with the permit and/or lans.
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�` . cer Date on eowner
/��� �E� � eq ired when comments are pres .
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' . DISCLOSURB sxAx�rr �o� ar�x
� CITY OF ZSPHYRHILLS BUILDSI�G DSPARR�NT
I, � �`�����.� have read aad fu22y uaderstand aad
agree to the provisioas a€ this iastz�smeat.
The underaigned states aad affirms that he or she 3.s d�airous of caastructiag,
reaovatiag, addiag to ar reroo�iag h9,s or her owm domicile, that he ar she
setually occupies, or will accupy by said domicile, aad same is aot tor ,
reat, lease os sale. That he ar she shmll comply with the fallowiag coaditians:
1. That the awmer aad he ox she aloae shall aat as the builc3er for all phases of
construction. � �
� 2. R'liat the awner s,aill camply with a11 provisiou� of the City of Zephyrhille �
ordiaaac�s aad eodes pe�tiaent to -the buiZdiag. '
3. That ia the evea� var3ous phases af coastruc�tiaa ar� subcantractec�, he wi21
eagage aaly properly liceased SVbCO#1��SCtOr6 aad wi13 pessoaai.ly sup�rvig�
such work.
4. Tha� 3.a the ev�at the 8uildiag Ia�pector sha11 require correctians to be made, I
the owaex will assvme ful.I respoaeibility to in�sure they are made, and upan 1,
eomp3etion will caZl far a reinspectiaa before pgoceedi.ag `oith the buildiag.
5. That the owuex shall assume fnll res,paas3.bility far l:h� coastruetian sad wiZ2
not escpect superv3sioa of' his work from th� C3tg of Zephyrh332s Bu3lc3ing
Departmeat.
6. Tha� g�rios ta �inal insp�ctioa aay add'it3oaal fees, iacludiag reinspection
fees, mu�at be p;aid ia £ull. A written request �rom this affice shal�.
� coa�titute aa o�ficial natice to pay additica�si fees.
� 7. That the ovoraer ahall comgly with a11 City, State aad Feaer�.l laws in segard �a
Isacial security, workman�s aompeasation, lien lacvs, et�. , where applicabie.
t �. That the owaer shall ecmply saith all the safety codes issued by the Florida
IIn.duetrial Commissioa.
� 9. State 1as�,r requires constructian to be done by 2icea�ed cosstractors. You have
applied for a perrnit uad�r aa ex�mptioa to �hat law. Th� �acempt3.an allov�s
you, as the o�aaer of yaur property, to act as yonr own cozltractor with aerta3.n
' restrictians ev�u thaugh you do �no� have a license. You must provide d3rect
�, onsi�e sup�rvis3.on of the coastruc�ian youre�elf. You may k�uild or 3mprove a
�� oae-f�aily or two-family residence or a farm outbuildiag. You may also build
� or improve �3. ComlRtex'c3.�1 btiildi7�igr provided your casts da aot exaeed $75,000.
The buildiag ar residenae must be fos yous� at�a u�e or accupaacg. =t may not
�I be built or substaatially improved for sale or lease. 2f you s�ll or 1.ease a
� buildiac� you have built or subataati�lly improved yourself withia 1 year after
! the canstz�uction is camplete, �he I.aw �ill preasune that you built or
�� substaatiall.y impraved if foz sale or l��se, whiclz is a vialatiaa o£ thie
exemptioa. You may aot hir� aa ualic�naed peraoa to act aa yaur coatsaatar or
to supervise people workiag cn your buildiug. It is your respotis3bility to
� make sur� that people employed by you have liceases required by state la�v aad
by acvaty ox mvaie3pa3 3.icensiag ordiaances. You may aot delegate the
xespansib3lity for supexvi�iag work to a lieeaseci eoatractor who zs aot
licenaed to pexform the worls bea.ug doa�. Any persoa workiag oa your bui3ding
who is anot licensed muet �,rark under yaur direct eu�ervision aad must be
------- - e�2�ed_by�ou� w��sneaaa_.that_3.�must-ded�c-�-g��:C-.�-�ad�rith3�:c3-ciing-t�c------ ----- -- --
and pravide warkers' compeasation for that employee, alI as preecribed by law.
Yaur construatioa must eomp3.y with al3 app3icable Iav�s, ort�iaaaaes, build3ag
codes, aad zoaiag re 1 t'oas.
OWNEF2'S SIGNATURE - DATE Q i `Jr �
ADDRESS i
PHONE ' -
i�AITNESS �BRMIT # .
�
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813-780-0020 City of Zephyrhills Permit Application Fax 813-780-0021
Building Departrnent _
Date Re�elyed � y ' ; �,Phone.Contact:fae:Permiltln � - '
Owner'a Name ' � • �IM Owner Phone Numbee O I lQ,
Owner's Address � � � ' Owoer Phone.Number• '
Fee Slmple.TltleNolderName � � Owner Phone Number ��
. ^.,.-s. � _
Fee Simple Titleholder Address - �
JOB ADDi2ESS J — {�t �V �j , LOT# �
SUBDIVISIOFI PI�CEL�ID# .� • �
- , , (OBYAINED F.ROM.PROPERT1f,TAX NOTICE)
WIORK PROPOSED =�NEW CONSTR . ADD/ALT �]� SIGN' "Q Q DEMOLISH
, . 8; INSTALL� � ..-REPAIR
PROPOSED�.U$� � , Q - SFR. [� COMM . Q �OTHER ' �
TYPE OF CONSTRUCTION^�� �O` �a•'BLOCK r Q� FRAME ' '� 'STEEL' '� � � ,
DESCRIPTION OF WORK' '+. � S�'��D I ZF Z��T-
BUILDING�SIZE�` � � �"SQ'FOOTAGE�, ,H,EI.GIiT� .�
.,� = -
QBUILDING $ 2 � � VALUATION�:bF`TOTAL-CONSTRUCTION^` - � I
.
Q ELECTRICAL $ - AMP SERVICE. � ' Q' "PROGRESS ENERGY Q W:R.E.C.
QPLUMBING • $ - ��� �O���
QMECHANIGAL' . $ � ' � 'VALUATION'O�MECHANI.C/�GINSTALLATION:
��S [� ROOFING ;Q; � SFECIAL'iY;;O,_ ,:OTIiER�, r
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QY�S. ,NO
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BUILDER COMPANY�` � ` -"- �'
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31GNATURE REGISTERED Y/ N . �`:�FEE CURitE�' ° Y/�N' � �
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Address ;_ , . • : �:� -. ;Ltcensei#' ' •
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ELECTRICIA1d_ - . . • • S'•COMPANY ":- ;r, ;_� ' - .
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SIGNATURE � ,�GISTERe� Y/ N �E:Gu�Kr:{ 'f' _�'Y/'N' - '� . ` � -
Address` .., . ... , , . .. , _ - . :. ..- ., _ , �a,. ., License,#�•; . , �, . �. ,
_ . . . . . - .�-�.�;;
PLUMBER�' � ,: , • , ,C.OMPANY � ;': :�,:. ' ' ;"_ ,- ,� ° ' ,
SIGPIATURE'' �'=` . ' . . _ .. ` `REGIS.T.ERED ' ,X./,.N:•: �,,,,Y;FEECURRE�,,` - �.Y:-/,N. �
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Address , � .. � . ,,. , ..r . ., �Llceiise�#� _ ,. : �. � � I�
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MECHANICAI:` :. ... • , � _ , : ' COMPANY � -. -.i . , � ,..:.. ,-�; -�, ;�� , .
SIGNATUREL . '-�-? " ;`,�. " . , , , - - " . � REGI$TERED , Y,/,N ,'.s�FEE'CURRE�.;., °Y./N..,: ,.
,.. ; . . , . „.. .... . . ,. � .. . _. ,.: . .
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Addresa:'�..- � • , '-`: , .z:. .. _ , . , , , � .oy, } • _.. , , �. , , ,
Ltcense#'
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OTHER ,.r,... ' , .. _, .� _ ',COM,PANY,.- , , .. . - �:.:_ -` .. .
SIGNATURE•. u ';;- �-�� ::_�•, -�. . , - -_ :r':. , - ,.:i - .. •t� - �3 .. . , .. . _
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:�. ;�.. . _, , ,: • , . ��cisrer�n.. Y/ N:..'..' ��e cu�n��. Y%N.
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l�df�$$ 'i�,(` :s °��.ia° �` �'t, ai^• - ''�. . . .�L�CeflSe ., �: a . t ,
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�RESIDENTIAL' -Attach*2 PCot�Plan , •, . . �.v" . ,.�,.`:�. .� „��.,.��.:�, .�._,.. :•_�-w :::.�._.,: ,,,F,,.� _:. :,... .
_ .__ .(_)d 's;�(2)set's=of.:Buildirigi:Plan"s;`(.1)'s`et'of.Energy=Forms;R=O=W�Permitfo�new•con`struodon,
�.,�r. ,a.;.�.�.. �,.. ,=r.a�.,. -;.. ,..,, . .
;-y�_y�;�Mflnimum��ten..(�1,0)�wo�tng;da�ys�after;sgbmitfal:d"ete.':..R'equired onsite;;GonstnicdonrPlans',Stonnwater=Plans w%Silt Fence installeii,
Sanitary Facilides�&t1}�dur,r�pster.,Site�.,W,orkEPermit;for•subtliyislons/lerge:projects'w;�=b�,ir�}, �":.:-;n;'_. ,� • `� '�ia •
COiHFJIERCl/!L Attach 3''com`IeCe'�sets'of`Bulldtn'"Plans``lus a`�Life Safe����Pa e;"1 sef of Ene Forms.R-O-W Permit for new�consUuction.•' .
. � ) P 9 P tY 9 � ) � � �'9Y
Minimum ten(10)working days after submittal date. Required onsite,ConsUucUon Plans,Stortnwater Plans w/Silt Fence Instalted,
Sanitary Facilttles 8 1 durropster.Stte Work Permlt for all newiproJ�Cts::.All commerclal requlrements_must meet campllence��"� '
SIGNPERMI7 Attach'(2)sefsofEngCne@[edrPlaps:�,::��,�xf,'>a�:-:;:_ ,s�;;.r .. _ :.� �- ' � � - �
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"'•PROPERTY SURVEY�eyulred for all.NEW construcUon.. _.. . ._. . •- -
- - `�-
jDlfectiOnB: _.,.:���;+....,��. ._ .. . • -
Flil out applicaUon completely.
Owner 8 Contractor sign back of applfcaUon,notaAzed
If over$2500,a,Notice of Commencement Ia required. (A!C up�rade�over�T500)
,,,..,.„.;� , :_:
.. �1'a����:�:;>a _.. _ .
Agent(for the contractor)or PoweP of Attoiiiey(for the owner)�would be someone with notarized letter from owner authoriaing same :
OVER�THE COUN.T.ER:P.:ERMITTING�•�-•�-;-(Front�of•Applicatlon-0nly)--�- ' � - ` � ,
Reroofs If shingles Sewrers Service Upgrades A/C Fences(PIot/Survey/Footage)
.._._._. ._.,-- —�._ __.. -- --- ,... ..._ . _.. – . , .: � ,.-,c ._. .. ;,Yi:'a':
Drivewaya-Not over Counter if on public roadvrays.:rieeds�ROW �� � ,r _.-<- .-
.ra:..t.suseers.c.ad.-.r.:�_.:..s.;.w. . ....:. ... .� •, ,.Zb�•o~n..n:s:.-xW..,s..r•:krma::.J,e.....,;.
1'" ]ii.� ,1 1' 1 ."^ti � .. .} �i - ��.'1���'Ji::�i,�.};.�'1
� _I.�:,l -�. 61 ��i::�,Jl'_._.. ;r ��:_i-t ..
� FF;�,�:° .i:)rJ::n�i�:t� uP,i i . . _ �r <.3J�(�}.;' i'rI�;n��i'':�il'?"7%
r.fi� .'1 ..i11�i�C r.'.l':_ ..�. . � -,.... .�1 ,�:};liij7:i:�. ,. ' ,��`, '
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. .-r9 A�..t'a.i.ii..3.._,-.t.cfl.5.,v. �:.._. .- ,t .. - N i..nm A�T'u'[•,a� -vu.. ..�...._ . i
NOTICE AF DEED RES.,T.RiCTtQ�S: The.und¢�r�lgn�d!under�tands�;tl��t. � ` ,. ..-�. � �'� . ,�_,�,w.;w3,=y�;,�
#th���;p�cm f;.may,:be�sub��ct fo:� ee,d"r+ast�ctiati's"'�.�.�...
..�_.. ..... ',iv� :'rT',`...A...�..e.§�,r....,+�:.,-:;�:�y�;)r c.7'.,1`v��n .C�':.r`�. �.i r!%.i:: ts...4'r.•. ' r.!"::.".Ig;`..x�., a'. _ i Lrw:i.°M:'i�w�'�
, _ . .. � �� "� W�.,i�;.' ,+u,sw
which may�`:b�=mol�e=re`sttictive`.t#ie��rG'vun�y?ri�g�f�t�cns:�:�Tlie��un°der:�ilgne.d{�asaumea��'�eepons�'tiility=:fotvcomplianc�:;wlth=any
�ppllcable:deed:restribtlon�. " :::A+_�.,,<�:,:,,�w;`¢- . - _ ' " - _ . .y - �_,.� ., .,.w s
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UFti.t�ENSED�:CONTRACTORS;�J�Nb .Ci�iN�RACTOR�RESPQNSI�IEiT1�S:����ff=tiiee���owner'��hasµliii�ii"a�`.c�r'i,tractar or
contracfors.to•undertake ti►ork�:ttiey.mayib,e,�reqirljre:tl:_to<i�i��ltcensed-lit<.accai�danaa:v�ritl�:state�.and;iocal'��gulati,ons:�p;�if�the`�=.°- ���pa�§":g
.,� ,�r ..,,z�._�.-�w. .
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contractor=ts�•t�o#��Qc�nse�l-��a���requEi�e%t:;tiy lavir,��it#lr=th��oNm�r��a.�;:cor�atr�c#ar��may��lie�'clted�.for�'a`�rti1�ilyerrieanor�vt�lation
under state law. if the awner.or Intended;e�c+�ntr�i,�torzere�r�nce�atn:as:to�.wh�t�Iicensing.�equlreRn�nts;�meyr�app�y`=��f6r�'fi�ie��:��_������4-�"�
lntend�d"iNork,�tftey ar�eilvlsei!'t�"co�itact�. �,. �<�y�,.�.•�- , .: �_ . , �.. -,,,:�.., ..
�tie���Pas�co:Coe�nty�8uifding�Inspeictton,;Dtvlslo�l:.[censing.Section at�T27-8�47
. ,�� �,Hu.._:-.,,;� w.�t,. - F ...� � - r.��:
8009. Furkfiermore,��If�#he own�r'ti�s"tii�ieid�a�.ccihlrecto� or���cori�act�rs� he�is���dvised to have rthe cantracto�r(s)��si�n�;�,.,a�r,�,
portians,of the�"cantcackac,Biock' of.;this�appiicatl�n:.tor:which�:.lhey.�ntil�,�b.e..r>e.sponsible.��:Ifry_ou;�as�;the ovun�r�s��gn�es�`the"�' " �� � �
. . _ . .. .µ. , . :.. ,��x_... �.. �. � E... - ...,�-
_, ..N_... ._ . .. _ :_ , ...A f. . _
contrac#or;ttiat�ma�y b� an Indic�tioui:th�t`Iie`=#s�'nat:�rope�ly"11ce�sed"and"I���taf'en�tle�'�+sa-pertnittftig pr�}leges ln Pasca
C�V��. i� . ' . � <i:;�r�k'r.5�.":'2:�'`w'v
TF�N��ORTl�TIttN=1MPAGTlUTlLITlES�-f��lkG7�AiE1Cl-1�ES�klItCE REGOVEEtY=�FEES:�'T�te untlersf�i�e�unders#ands
that Transportation Impact Fe+as:and.Reco.urse Recovet�,r,Fees may�:app1yw�to�t�e'�construction:o'f_new bulldln8s��change�of"�z�"��`�''���
us� in eXisting bufidirtgs;"o�.exparisit�n��of��i�ilsli�i�7t�ulldings;�as specffted.tn Pasco County Or`dinance number 89-47 and:
,�:_.�
�0-07, as amendeds;;;<;Tkr�a ur�dei�lgned alsa;�u�idenstands; t�ia�,�;such fee�;;;t�s�may�;��-.dtte;;�wi1F{=be�dent�ied at the��time�af'��:�='�=£.��
permitting. It Is fu�rth�r understood that T�i�gp'ortatlon Imp�af Fees artd�'i�esou��Recoiiery�Fees`:must be pald prlar to
receEving.a»cerft�icate:-of�.occupency"�ar�=flnel��r��ele�se.:"':Ifathe.project:;�loes;ha�Ilavolve:�a}:c�erti�cate af occuparicy�orf���'��Y-���Y�
finai power.releas�;:�th�e�..�ees-:mu�r�be►`peid��p�i��to;permit Issuan'ce. F�Xther�rnore��fF:Pasco;;Counljr`.1I4►ater/Sewer..�lmpact�-. ,.s:��
; . 3;...�,�, .
:�:�_.
fees are due;,they<must be�pattl pslor�o,.pernnit�Is�,U�nc���n,accordana,a wttt�::appflcabte:Pasco�:�ounty oidlnances. •
CON��tlCTiON�t;i�N'�1.�►v6►tCtiepter��3, F1or�tla St�ot�etc�,�am�nd��): if valuallon of work is���500.00�arlmore;,�i:� �,. _:;�;r
certify ttiat ,I+ the�:applicant�;:-have;.been, provlded°��with. a��=copy°`of-�the�:°�Iorida-�Constructton,�Lienn,:La�omeowner's
Pratectiocu Guide" prepar�sd by,='fFie F1��da D�pa�r�er�f�of Ag�tcul#�� and Con,s,c�m�r;,,Affalr`s. If the sppllcant is„sameane::;:..,, •.;:-,;
other than#he"owner", I aert � h� `" �: � � ,'�} '�' � '� �- _ .., ,
Ify�t t°I�tt�ye;ot��iheds'a eoPY:ot#he��abnve:�deacrll�ed��'ociui�ent'�rand�P�i�iis.e;,ln-�good::faith:to, ���
d�tiver!t`to:,tFie_�"owrier"pirloc`�ta�co`rnmeiicei»i�nt�'`;,; - ` ` ., . .� . . _ " - . . . ._ . _.
�ONTRACTOR'�/OWNER'�AfFIDAVIT: I.cectity;;tt:ia#>.all��#he��inf.ormatton:;l��tl�ls applicatlon is �ccurat�.�nd that-all�wark
will'b�done in compllanae wfth all.appllcable laa�s regulating constructlon� zoning anid;�,land°clevelopm'�nt. ApplCcatlon!s .
hereby made=ta�obt�ln.:a.petm#ta�ta-�do�;�rrof�k��and:'<t�istallstian �s indi�ete.i�:�<a=1=cett�fy tltat no virortr°or installatlon t�as -
oammenced p�lor to Iss�i�nce af`:a permit"and #hat�:all work wlll be pertormed�ta meet:standardsx�of��all I�ws regula�ing-
construcQiaa�, County and G�#y c�d�s, zoning regula�ans� and tat�d develapmertt r�gi�ila�onss ln E1ie ju�isdtctlori.'�=`1�ra1'so-� ,
ce�lfy that 0 undersCarad that th�r�gula�tlons of dther government agencles may�apply.:#a.the�.lntended Ework, and that It Is :
my responsibill�r to Iden#ify�wha#.actlons-I�must_take;:,to b�;;lr��cor�pllar�,ca:��St��hYager�cfesTtncl�tide�bu#-�are:nat limtted�ta....„. �
- Depar`tment of Environmentaf>'_Protection=Gypre`s''�:"�ayhead�, V�le�and Areae and Envlronmen#aily Sensttive �
Lands,WaterMlastewater Treatment. ..,_. , - - :.
, �:.�:-� - .,.� ...., a {
- Soe�#hwest Ftortda �dater Managemen�:�:�Is�1c#.Wet1`s; Cyptes.s.�� 8ey�eaii�; �Wetland Areas, Atterin� �
Watercourses. ;3r�, .,...��ti� =�� .� ; . ,.._ , , . - , , , _,
- Army Corps of Engineers�Seawalls;'Docks�Mavfg�ble Wsterway�. • .
- Department;�of-:Heaith,:w&;,Ret�abliitsflveu;Seri►,lces/Erntitont�ental,F�ealth�Uhit VVeitsi:�Wast�water��Treatmer�t; �
Septic-Tanks r_.,. �, ., -. _ . , .. ._-" �.._ � .. _, ,. ..
- US Envlronment�l Pmt�tion Age�r-A�bestas aba#eme,M: , . �
�ederal Avlatlon,:Aulhorlty�#�unways;y � , `
!understand that�the:fofloinr�rtg;�restt�lcdons apply ta tFie�ase of fllf:�
- �Use of fill is not alfdwed in.iFioodsZone"V"unless expressly pemnitted.
- If the.y�ll"°miaterlal=�ls�:�to:'be usetl:'In::Flood��vne. "A", It Is underetbod that"� dratnage plan addressing a
"compe�tsating volume"wiil.be submitted at#ime ofhpermitting wh�ch is prepar�d by a professianai engineer ," ".�'
Ilcensetl.tiy'the�fa#e�of:Flottda: �. � " ..,, ,,. .. . -
- !#th� flIF�natertal':ts°'to:be;cus_�d In Flood �iane 'A" ink connection�w1Eh:a�ermtfted bt�itdl�tg using s#em wall, -
� conatruatton�wl�certify;th�t fill:�rlll:b:e,.used only.to,.flll the are,��wlthln�the�s�#em�wall: • �
- If fl!! mateilal'.1� to be u�ed In any.ar�a; 1 �eertlfy that .use. of:su�h fltl w111 no! adverse� �ffect adJacenf .
praperttes, .if.use:;of.fill is,found to ad`r,erseFy.;,��ect aa�a�e�at��pr�pertie��.the�ovvner may be cl#ed for�to��ttng. -
the condl#tons:.of:the bulld�tcig�pernilt l�sued:u�der ttie'attactied,_�ecmlt�applHcatlon��for;lc�ts�le"ss�'tiian°�one �1)
acre wi�ic�i�'re elev�teai`�#iy fllt;.��t.engMeered dr�Mag�plan Is roqulred. • ..
IP I�m the.Af3ENT,FOR•�TME::OYVNER,;.14.prori�fse ln,,gaod;,f.alth to tnform�'th��ownec of th�permitting canditlans set forth In
thts affidavtt`p�lor fo coimmerioing constructtan. 1 uriderstarid that:a=separetei�penmit may be requfred for electrical wack� - ._ .
�.�,
plumbing,,signs, wells�.:poofsi.air.condiflaning;�:gas,�:or;_ati�eT Insiteil�tii�ns na1�spea�tc�tly lncluded-in.the�appiication. .A -
� �.., i _� :,,.,,. z
permit Issued shall be con�trued to`b'e,a`Ilcense�to��roceed wltF�"tNe:�a�io�k and:notyas.authoHtynto;vlalate,.�ra�ncel,�alter� ar
se�aslde s�jr provlsldns of the`tectinlcal.cade�;;nor shall fssu�nce�of a.pecmit:pr.e�rent t�xe Bultdtrig Ctl�tdatfrom theceaft+ar �
requlrin,g a conectlqn�af rerrors ln-�plans;�con�i'ivctlon..or,.vlolatlon�of-any�codes:"�very�p�►nntt=�l.ssued'sfialF�tiecome�invalld
urtless #he work authorizei��by such permlt:�Es-commenEed�wlth}n.s�c.�morxths ef�permlt Issuance. or if wark aufharized by
,. :,
#he pennit is suspended:or;sbandoned,*for;a;period,of;six;f8)��monfi�s_eRer:the-ttrne.the�wor�k�i�commenced.. An extenslan�
may be� requested, ln..wdtln`g;�from,{Fie.;Butlding,Offlctel-for� peirlod'�not.to�ex�eed'�nlrtiet�rr(90)�=tlay§ ei�d4v�rlll�'�demanstrate
Just�iable�cause for:�#h��xfension. If work ce�s�es:for nlnety.{90}c�ns.ecutive�day.�,..Ehe�ob�is.considered aba�doned. .
'Yt�A�dt1�G TO QTAtN�R: YOU��FAil.R�lRE:TC�.R�CQRD:A��QT�iGE:�F4CQMME�14�lME�-,Al�AY#:RESU�T-IN�Y011Et .
PAYINCs TWIC.E,FOR��iM,P'ROVEM�N'�'S•.T:O,Y�Ui.�:P�tO�'ERTY.�:'�I��:YOU,1�':fEWD�T0c�8TA1N"FiNil�1�E1N�;�CON9UkT
WIT D �O� �1f+� O F�' �, R�1 '+- - _ .. . �
FI.OR#DAJURA'��(F .:. �. ¢ _ .._., ...:...::: . .. ��;-,_- ..�w�_...- .>�,_...:�.,,�.,�� _.<. - --- — - — --- _
OVNNER pR AO�NT ` �C�WTRAGTA - �
3u,�scrt ed and swo Stibst�# ed artd`swa +�aftf rb �15� �
�i..1.1�,-`�—by ._. � �5 '�� .,.by... . .• ., ,.,
Wlio Is(are � na y knawn to.m�. ,.:haslhave,produced , Who:ls/ re p.ersonally.Jmc�m� #teaalhav,s.��roduced. �•
fJ/�/t��� h:t G�f�k'i�s td�ri��'s�tlpn. � ��-5��� as tdenU�ca�an.
_�'��,�,� ����.�;sC� ,,, ��Notary Pubilc . 7��-'�i�J/�� ��f.ld-�-r�• ! Natary Publlc
C misslon No: Com�G�slon hla,.,��" �'" . �.(��t�5�G�
/ �� -�
Name of No t ed,printed or stamp Name of t�t�atary typed,ptiM�d or af�mp
` �,y"t��':���'% /bhEBRAELAIN�f �{/�aF ��'. `"'� DEBRAELAINERUFFELL
:a;'�'S U��:M1✓����SS1dj}!f L7L7 � ' u O,.:Yp(m/��.
_•; ,,. 0 5343 =�' �� _Cammission#GG 0453d3 -
:;;;�P�:Expires M1lovember 7,2020 ;;�a�=Expires November 7,2020 � .
� •, �' ''�;;„;;°�'' Bonded Thru Troy Faln Insurance 80a385�7p19 ''EO�,,,�,°.` 6ondad Thru Troy Fain Insurance 800�38&1019
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LEGEND: Fnd. S'24'13'55"E-125.04'(M) 125'(P) SECTION 11 TOWNSHIP 26 SOUTH RANGE 2� EAST i
CALnCALWLATED DA7A 5/8"I.R. (BAS1S OF BEARING) �
CCR�CER11flE0 CORNER RECORD ! (No in� •: BOUNDARY SURVEY
C�M.eCONCRETE MONUMENT / � ' �
CONC.oCONCRETE LZ U� �' �
;� DoPER DESCRIPTION N 24•zs'i�^w—�zs.ez'(M) �z5�(P) p,�E� �no�el <' �, . � r. c
DB�DEED BOOK d • • • � ;
ELEVrELEVATION �,n /2��M� .•Fnd rN ' . : ;
COMMISSION OF HILLS�OROUGHnC UNTY ��,�0 � ,'' (NovIID.� � O, • � �� � � ; t
FND. • FOUND e556 � ,:2 p '!� (
I.P. � IRON PIPE � Lot 5 � ' N '� 9 � � t
I.R. �IRON ROD Fnd.S/8"I.R. Block Hi, � N� �.� � i
M�MEASURED DATA (No ID) 207 °n�P°d ��' � �rr �
NAVD�VERTICALMDATUM 1�`P, u� '�'3rn � ,5� on�' � �P �'�� I
NGVDmNAiIONAL GEODETIC �$1�,� �e�c0 � y C�� � �� lP� (
VERTICAL DATUM !_ ��9' V�µ 5 5(ORi i a�� � ',
OH= OVERHEAD N ����j���� G�`n Lot 6 oN�pN�-°. � �o ��� (ASSUMED)
ORmOFFICIAL RECORD 65 � Block �' ��1�' � O. 9ifl r
P � PER PLAT N '1• �0; � 207 / �ES\0 �1 � ar' � � .
PCP m PERMANENY CONTROL PU!NT et / �}5� i ' � � �
REF�REFERENCEEGINNING � � Shed ,6• � ;, ���� O�v� �O, y 0 ��J 30 60 '
Fnd.1/2"�I.R Cap � � p C -o
SHW�SEA ONAL HIGH WAIER �t \9���Oa� t!'lZC,� , Stoe � ��`a d '� /,a,�'o �o � 1��=30� r
��n� .
a
S/W=SIDEWALK �O 106 f�°�'�(n9 s•e i � i;
SWFWMD=SOUTHWEST FLORIDA 2 � �� � � ,� � �'
WA7ER MANAGEMENT DISTF2ICT i ' � Qoot / � P,`
. � 3�
�'• Block �'/\ 16 X � /`� � FLOOD CERTIFICATION � F�
o� u� 207 � � a. �\ /� ' B 1/z° I. SUBJECT PARCFI LIES N 20NE x !;
Co (2696� pp 7��p2qi,�Qy�ryCY MANACEMENT +�
O� �� - / �/l ' LCihnk n� ACENCY(FEA1A).FLOW INSURANCE RA7E � :,:
NO'I'ES: •o/ Block �'� , � FC�c� , MAP(FlRM): RF}EFi TO CAMNUNITY PANEL ' '! I
�� a�yC1 r, 207 � � / Lot 9 j �� 120235 0456F t
1)Refer to Official Record Book 9039,Page 983,of the �� � �o�� poj k � ,�a.d•�p� ao a� Pnr+a 456 oF 50� � �;
Public Records of Pasco County,Florida. .��$� � �o � Qo�e � $�l�`? �`'�, pA� 9-26-2014 p ''
2)Underground or overhead improvements,unless noted, ��V;t, � � go�. �o „�.�3 9' ; s, 4�
not measured. ��-��Ga 4 �; 65gG�� � J ➢ ,
�'��a tg,.�y�o'O �5�• `� Lot 10
�b'G���s�t�QQ.`2` o� Block y � '-�
�p.���(;�,�. r` 207 • Fnd.4"X4"CM ;
�.t�v�+.\OG'��`'�✓� (No ID) F �1
�r(�,�1^���D��'�t'a� (�'�C � ���! 1 "I.P. '' f �� $, �.y
_`���m���,C+��°� � �Ql� \ No lo) � P�fEN CERTII�IED TO: fl
�GO'C��.�.a.�F°aG�' �' �` ELQ°- � �5 `r
,�Pa� \�@��������� � I KATHRYN L.JAMES k ?'
e�Q� �� � ,�- Unless it bears the signature ana the original raised seal of A MORTGAGE ASSURANCE,INC. ''
��� �� Flotida Licenaed Surveyor and Mapper,this drawing,aketch, AMERICAN HOME TITLE OF TAMPA BAY,INC. S `�
�\ �• plat or map is for informational putposes only and is not valid. OLD REPUBLIC NATIONAL TTTLE INSURANCE COMPANY % ��
Q�`�
�i i i
LEGALD�SCRIPTiON: REVISI�N CERTIFICATI,ON �������c� �' ;;
DATE JOB N0. DESGRIPTION FB FG T}iIS IS TO CFRfIFY THAT A SURVEY OF THE P80VE 205�ingsl�ip�s[6s,�ssite 1�
I,OY9 6�7,8 and 9 Block 207,of ZEPHYRffiLLS�BCCOfd1II SO�1C II18 Of DESCRIBED PROPFRIY WAS MADE UNDER MY SUPERVISION �.(�.�zlb5,�h, -' ;-�
, S P � AND TIiAT iHE SKETCH HEREON IS A TRUE AND'AC6URATE '
Plat thereof as recorded in Plat Book 1 Pa e s 54,of the Public Records of . �(1miDs 3 3 5 48-1165 , �• !
� . g �� REPRESEMATION THEREOF AND TfiAT SAID SURVEY MEEfS • 813 949-22U4' �7
+ 6/72/17 1st Avenuq/2nd Avenue �iD='�� )
P8SC0�.'011llly�FIOSIaB. : • ' • ' � 7HE STANDARDS OF PRACTICE!S SET FORTH BY THE �':s(B33)'949-336U �' �
�: " • � , fLORIDA BOARD OF PROFESSIONAL SURVEYORS AND 61APPERS I
' ' L ' IN SECTION 6J-17.062 OF THE FLORIDA ADMINISTRATNE COpE, JAMES ii • �
� ; +
. ` � PURSUANT TO SECTION 472.027, Fl.ORIDA STAMfS, f� , ;
, �, - " _ . - �` an�: 5-9-2017 �RawN: JMH � E i
' " JOHNNY�C�r�� sc��: 1"=30' �oe � 17-111 �� ; �
� PROFESSIONAL LAND SURVEYDR N0. 2698 • CHK. �HF F•e• 454 P�• 48 r ,�
�� . i
. • �, �i ' �, '