HomeMy WebLinkAbout17-17074 CITY OF ZEPHYRHILLS
v , � 5335-8TH STREET
_;,� .�,� (sis)�so-oo20 17074
►� gUILDING PERMIT SINGLE FAMILY RESIDENTIAL
PERMIT INFORMATION LOCATION INFORMATION
' Permit#:17074 Issued: 6/28/2017 Address: 6270 SILVERADO RANCH BLVD
' Permit Type: GENERAL BUILDING PERMIT ZEPHYRHILLS, FL. �
Class of Work: 434-ADD/ALT RESIDENTIAL Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 644,792.10 Total Fees: 6,125.51 Subdivision: SILVERADO
Amount Paid: 6,125.51 Date Paid: 6/28/2017 Parcel Number: 04-26-21-0010-03900-0000 �
CONTRACTOR INFORMATION OWNER INFORMATION
Name: CORNERSTONE SOLUTIONS Name: DUNE FL LAND I SUB LLC
Addr: 14620 BELLAMY BROTHERS BLVD Address: 2502 N ROCKY POINT DR STE 1050
� DADE CITY, FL. 33525 TAMPA, FL. 33607-5995
Phone: (866)617-2235 Lic: Phone: (863)619-7103
Work Desc: CONSTRUCT CLUBHOUSE AMENITY CENTER 4,605 SQ FT- reinstate 1 time
APPLICATION FEES
BUILDING FEE 2,097.56 ELECTRICAL FEE 214 43 PLUMBING FEE 296.70
, MECHANICAL FEE 207.69 FIRE PLAN REVIEW FEES 276.30 POLICE IMPACT FEE 750.62
FIRE IMPACT FEE 796.66 PUBLIC SAFETY 5% 77.36 BUILDING FEE 1,408.19
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Ins ections e uired
FOOTER 2ND ROUGH PLUMB MIS IN ULATION CEILING
FOOTER BOND DUCTS INSULATED SEWER MISC.
ROUGH ELECTRIC LINTEL MISC MISC.
1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC. '
DUCTS INSTALLED WATER MISC DRIVEWAY
PRE-SLAB SHEATHING MISC. MISC.
CONSTRUCTION POLE FRAME MISC. MISC.
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.REINSPECTION FEES: ' I
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this properly that I
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 I�,
improvements to your property. If you intend to obtain financing, consult with your lender or an attorney; '
before recording your notice of commencement." � � I
Complete Plans,Specifications and Must Accompany Application. All work shall be performed in accordance I
with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O. j
NO OCCUPANCY BEFORE C.O. �
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CO TRACTORS SIGNATURE PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO �
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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, ` CITY OF ZEPHYRHILLS
� y " -.�,' 5335-8TH STREET
, �sia)�so-oozo 17074
• BUILDING PERMIT SYNGLE FAMILY RESIDENTIAL �
PERMtT INFORMATION LOCATION INFORMATION
Permit#:17074 Issued: 2/23/2016 Address: 6270 SILVERADO RANCH BLVD
Permit Type: GENERAL BUILDING PERMIT ZEPHYRHILLS, FL. �
Class of Work: 434 ADD/ALT RESiDENTIAL Township: Range: � �
Proposed Use: NOT APPLICABLE Lot(s): Block: Section: �
Sq. Feet: Est.Value: Book: Page:
Cost: 644,792.10 Total Fees: 4,717.32 Subdivision: SILVERADO
Amount Paid: 4,717.32 Date Paid: 2/23/2016 Parcel Number: 04-26-21-0010-03900-0000
CONTRACTOR INFORMAT[ON " OWNER INFORMATlON �
Name: CORNERSTONE SOLUTIONS Name: DUNE FL LAND I SUB LLC ;
Addr: 14620 BELLAMY BROTHERS BLVD Address: 2502 N ROCKY POINT DR STE 9050 �
DADE CITY FL 33525 TAMPA FL 33607-5995 j
Phone: (866 617-2235 Lic: Phone: 863-619-7103
Work Desc: CONSTRUCT CLUBHOUSE AMENITY CENTER 4,605 SQ FT
APPLICATION FEES '
FE 2, . R C .43 PL B E 29 . '
MECHANICAL FEE 207.69 FIRE PLAN REVIEW FEES 276.30 POLiCE IMPACT FEE 750.62;
F1RE IMPACT FEE 796.66 PUBLIC SAFETY 5% 77.36
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Ins ections Re uired � !
TE 2 ROU P
FOOTER BOND DUCTS INSULATED SEWER MISC. j
ROUGH ELECTRIC LINTEL MISC MISC.� i
1ST ROUGH PLUMB PRE-METER INSULATION WALL MISC. I
DUC7S INSTALLED WATER MISC DRIVEWAY i
• PRE-SLAB SHEATHING MISC. MISC.
CONSTRUCTION POLE FRAME MISC. MISC. I
REINSPECTtON 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 feeimposed for the initial inspection or '
first reinspection,whichever is greater,for each such subsequent reinspection.REINSPECTION FEES: '�
NOTICE: In addition to the requirements of this permit,there may be 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 govemmental �'
entities such as water management,state agencies or federal agencies.
"Warning to owner: Your fai[ure 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 attorrtey
before recording your notice of commencement."
Complete Pians,Specifications and Must Accompany Application.All work shall be performed in accordance i
with Ci Codes and Ordinances. NO OCCUPANCY BEFORE C.O. i
NO OCCUPANCY BEFORE C.O. !
TRAC S SIGNATURE PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
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Jacq�eline'it3oges
From: � Jose Canez(City of Zephyrhills Support)<support@zephyrhillsfl.zendesk.com>
Sent: Wednesday, June 13, 2018 10:32 AM
To: Jacqueline Boges
Subject: [FATHOM] Re: 6270 Silverado Ranch bp#17074
##- Please type your reply above this line -##
Your request (#219986) has been solved. TO REOPEN THIS REQUEST, reply to this email or click the link below: �
https://zephyrhillsfl.zendesk.com/hc/requests/219986
r- -
; ' Jose Canez (City of Zephyrhills Support )
i -
`� --�� -� J��i� 13, 7�31 AM MST
Per Jacqueline contacting CC this request has been cancelled.
Best Regards, �
Jose C. � FATHOM Support
� �.-� , Jacqueline Boges
, - - ,
' - Jun 7 3, 5 35 AM MST
water meter only installation for 6270 Silverado Ranch bp#1 7074 this is for the clubhouse and
for swimming pool receive water service from Pasco County.
Tl�is email is a service from City of Zephyrhills Support .
1
,
Jacqr�eline�oges �
From: ' City of Zephyrhills Support�support@zephyrhillsfl.zendesk.com>
Sent: Wednesday,June 13, 2018 8:35 AM
To: Jacqueline Bages
5ubject: [Request received] 6270 Silverado Ranch bp#17074 ;
##- P}ease type you�- repiy above this line -##
Hella Jacqueline Boges, -
�
We are warking to resolve your request promptly d wil kee yo d d. One f ur Support Analysts will keep
you updated on the progress af your request.
Best Regards,
FATH�M Suppart Team ,,
TQ ADD ADDITIONAL COMMENTS re ! to this email ar c[ick t e (ink f . : ��
, PY �
https://zephyrhillsfl.zendesk.com/hc/reguests/2 i9986
� � Jacqueline Boges
`--�� - ' Jun 1 3, 5.35 AM NYST
water meter only installation for 6270 Silverado Ranch bp#17074 this is for the clubhause and�
for swimming poal reeeive water service from Pasco County. ;
�
This emai! is a service from City of Zephyrhiils 5upport .
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SQ.FEET PRICE �
MAIN OR LfVING: 4,605 $ 140.02
OTHER AREA UNDER ROOF: - $ 88.00
OTHER: - $ -
VALUATION $ 644,792.10 _
FEE SHEET $ 1,975.00
ADDRESS
DRIVEWAY '
BUILDING: $ 2,014.50
ELECTRICAL: $ 444.38
PLUM8ING: $ 296.25 I
MECHANICAL: $ 207.38
SUB T07AL $ 2,962.50
TOTAL $ 2.962.50 I
SEWER:
WATER:
IRRIGATION: $ -
TOTAL: $ - ,
WATER MEi'ER;
IRRIGATION METER $ -
FlRE DEPARTMENT FEES
PLANS TOTAL: $ 276.30
iNSPECTION TOTAL:
PERMIT TOTAL
TOTAL: $ 276.30
PUBLIC SAFETY IMPACT FEE3
POLICE $ 750.62
FIRE $ 796.86
5% $ 77.36
TOTAL: $ 1.624.84
SUB-TOTAL $ 4,863.44 ,
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PARK(MP'ACT FEES
SIF'S: I
100.0% $ -
1.0% $ -
TOTAL: $ -
TIF'S:
' 99% $ -
1°/a $ -
TOTAL: $ 4,863.44
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. . I 2016007962
' Pertnit No. Parcel ID No
04-26-21-0010-03900-0000
Rcpt:1741085 Rec: 10.00
r NOTICE OF COMMENCEMENT � DS: 0.00 IT: 0.00 � I
st�taor Florida Co„n►yoi Pasco � 01/15/2016 L. K. , Dpty Clerk
THE UNDERSIGNED hereby gives noUce thffi Improvement will be made lo certaln real prnperty,and'm accordance vufth Chapter773,Flodde Statutes,
Ihe follovuing Infortnadon la provided tn this Notice of Commeneemenl• '
1 Descdpuon ot P�oparty: Pareel�dentification No. U4-26-21-0010-03900-0000 '
Street Add�ess: �(.iZ IO ���l rr�Ci4(� "�� 7��v,.17 �Z.�Q��1�{��lis � �i 35�I_
2. General Description of Improvement tlmenity Center Club House.Pool and Hazdscape Features
3. Ovmer Info�atlon or Lessee Info[metlon If the Lessee canhacted for ihe lmprovement 511verado Commuaity Developmeat Dishlct
Name ���PA �
2502 N ROCKX POINT DR STE 1050
aaa� c�ry • s►�e
Inmres►inPmperty: Owner PqULA S o'NEIL,Ph D PR5C0 CLERK & COMPTROLLEF
NemeofFeeSimpleTitlehofder. � 01/15/2016d^0�2�4�m 1 1956
ptddterentiromoxmerllstedebava) _ \ OR BK '�j� PG
a. Conh-�ador._Comerstone 5olutions Group ctty s� ��
Nama �
14620 Bellam�Brothers Blvd Dade C:ify FL
Address ' Clty 2�/— 3tate
Cantraclofs TNephone No.: 86fr617-2235 �✓-��b
5, Surety:
Name i
Address City Stete
AmouM of Bond: $ Telephone No.,
6. Lender
Name
Address CIty Stale -
Lendera Telephone No_ ,
7 Persans wilhln the State of Floride designated by the owner upon whom notices or other documerds may be served as provlded by �
Seetion 713.13(1)(a)(n,Florida StaWtes:
Name
Address ' City State
Telephone Number of Designated Persan:
8. In addltlon to hlmseB,lhe owner designates of
to recelve a copy of the Lienots Notice as provided ln Secdon 713.13(1)(b),Florlda Statutes.
Telephane Number of Person or Enlity Designeted by Owner
9. Expiration dete of Notice oi Commencement(ihe e�uation date may not be before lhe compietion of eonstruetion and final paymerrt lo tt�e
contractor,but will ba one year from the date of mwrding unless a dffferent dste Is specifiedr
WARNWG TO OWt�R ANY PAYMENTS MADE BY THE OWNER AFfER THE FJ�IRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERE� IMPROPER PAYMENTS 11NDER CHAPTER713, PAR71, SEC'CION713.13, 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 INTENO TO OBTAIN FIPlANCING,CONSULT
WITIi YOUR'LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDRJG YOIJR NOTICE OF GOMMENCEMENT
Under penalty of perJury,I deeiare that I have read the foregoing notice of commencemeM and that the facts stated therein are true to the best
of my knowledge and belief. '�/.�%%�� '
STATE OF FLORI�A � ,
COUNTY OF PASCA
Signature of Ovmer or Lessee,or Ovmers or Lessee's Author¢ed
Oftice�dD+iLrectodPartnedMamager _
�i/f�ll��l�u�/I �o�i��� f�!OP�`r/(dJ�V
. Signatoys'fitlrJOfiice r �
The faregoing InsWmeN was aclmowledp�d b1enfore me lhis�ay of��2`��'�-���Qj�'►�0�by ��wY[Q�t �ti.I.IJ"U' �- �
' as �Wa.�rm�,��l ` (type af authorily,e.g.,otfioer,trustea,ettamey In tad)for
�� �' (nem o( arty on behalf ot whom Instntment was executed). �
Personally Kno � Produced Identificalion❑ Notary Signature e'�A,� �,,n, �
Type of Identifica on Produced htame(Print) l..�W� �'w •'�M
/4'i1Y n�,,..
/� �n�� TR[Ct�4 iV10p�VEY
�Fy��1�� MY COMMISSIO
�, . � N#FF153818
�.?0�4,,,,�'„�� EXPIRES August 24,2pye
(40�3B8•0183 Fldrldallot� �yN��,com
wpdatalbcs/noticecammencemanl�c053 •
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SSATE OF F�.ORfDA,COUNTf OF PASCO ��
THIS IS TO C�RTiFY THAT TNE FOREGOING IS A g ' ,��► ,
TRUE AND CORRECT COPY OF THE DOCUMENT
ON FILE OR OF PUBLIC RECORD IN THIS OFFICE � � r �octz+'er+�r � �
WITNES MY HAND AND OFFICIAL SEAL7HI � ' i�s
_�_DAY OF
G;� ��� . �
PAULA S_O'NEIL, LERK&COV PTROLLER � • p�87 �
BY ,. 1 _ /L.�( DEPUTY CLERK ����F�1.���
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� � ADDRESSING DEPARTMENT
GIS/ADDRESSING
PASCO COUNTY GOVT. CENTER �
� 8731 CITIZENS DRIVE, SUITE 310 ;
� ` NEW PORT RICHEY, �L 34654 �
, � � Phone: (727) 815-7154
http://pas coco u ntyfl.net/
January 11, 2016
Welcome from the Pasco County Addressing Staff,
Please be advised that the following address has been assigned:
Address NumbeNRoadway Name: 6270 Silverado Ranch Blvd.
Zephyrhills, FL 33541
Parcel: 04 26 21 0010 03900 0000
"*PLEASE NOTE: IF THfS ADDRESS IS FOR A CORNER LOT, OR IF THE SITE
PLAN CHANGES AT A LATER DATE, THE ADDRESS IS SUBJECT TO CHANGE. IT ';
IS YOUR RESPONSIBILITY TO PROVIDE ADDITIONAL COPIES OF THIS RECEIPT ; '
WHEN NECESSARY.
If you have any questions regarding your address, please feel free to contact me at:
(727) 815-7154.
Sincerely, �
�a�ZUaP�a�
Pam Walton �
Addressing/GIS Analyst �
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Garnerstone�
constrnc#ion Division
14620 Bellamy Brothers Boulevard Dade City,Florida 33525 ($66a 617-2235 fax(866�929-6498 www.comerstonesolutlansgroup.com
August 3,2015
City of Zephyrhills
Bualding Depariment
5335 8�Street
Zephyrhills,FL 33542
RE: Cantractor Certificate Requirement
Authorizations
Please be advised•that I,Eric Meister,President of Hardscapes 2,Inc.hereby authoriz�s the followuag
employees to sign/pick up permits:
Mark Whitaker
B. Shane Byrd
John Steele �
If you have any questions regarding this autharization,please iet me know.
Thank you, �
Enc eister
Presiden�
Hardscapes 2,Tn.c.
d/b/a Cornerstone Salutions Graup
14620 Bellamy Brothers Blvd.
Dade City,FL 33525
emeister(a�cornerstonesolutionsgroup.cbrn
Phone: 866.617.223 S
Faac: 866-929-699$
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, � 813-780-0020 City of Zephyrhills Permit Application F��»-�eo-0oz�
, BuildfnB Department
� DateReceived PhoneContactforPermittin 8� 617 - 2235
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Owners Name Metro Develo ment Grou Owner Phone Number (813)288-8078
Owner's Address �North Rocky Polnt Dr..SuRe 1050,Tampa,FL 33607 Owner Phone Number
Fee Simpfe T[tleholder Nama DUNE R LANQ I SUB LLC Owner Phone Number
FeeSimpleTitleholderAddress 2502 N ROCKY POINT DR STE 1050,TAMPA FL 33607-5995
JOB ADDRESS BZ�O S7verado Ranch Btvd.Zephyrhllis,FL 33541 LO7# �
sueomsioH S1lverado pAFtCEL10# �"26-21-0010-03900-0000
(OBT/UNEf7 FROM PROPERTYTAX N0710E)
_ WORK PROPOSED e NEW CONS7R B ADD/ALT � SIGN Q Q DEMOLISH -
INSTALL REPAIR
PROPOSED USE Q SFR � COMM Q OTHER
TYPE OFCONSTRUC710N � BLOCK Q FRAME 0 STEEL Q
DESCRIPTION OF WORK Amenity Center Club H
BUILDING SIZE Singie Story Sq FOOTAG 4,605 HEIGHT 3��'3�
QBUILDING S 600,000 VALUATIONOFTOTALCONSTRUCTION
QEI.ECTRICAL $ 90,000 �P SERVICE Q PROGRESS ENERGY Q W.R.E.C.
Q PLUMBING � 30,000 n V �'7D r /
QMECHANICAL S 60,000 VALUATION OF MECHANICAL INSTALLATION ��V�`"'
�c�,s , [�] ROOFING � sPEcin��v � OTHER �
FINISHED FLOOR ELEVAnONS � FLOOD ZONE AREA QYES NO ��
-.-+-,�F�i.i.•. . .�„r,�:-;-�� •.�-r7�i-
BUILDER — COMPANY Comerstone Solutions Group
SIGNATURE REGISTERED Y/N FEECURREN Y!N
nadress 14 0 ellamy Bros.Blvd,Dade City,FL 33525 ��„Se� CGC1 b15492
���� Mand Electric Inc.
ELECTRICIAN ��(/�'___ /C COMPANY
SIGNA7LJRE REGISTERED Y 1 N F�CurtREN Y/N
Address 1809 Bella I.argo Lane.Tampa FL 33618 ���8� EC13004396
PLUMBER COMPANY �P�e Plumbing
SIGNATURE RE�IsiEaEn Y/ N �cUwtE[J Y/N
pddress 8 13 Gunn Highway.Odessa FL 33556 �ce�e� CFC57035
MECHANICAL , COMPANY One Stop Cooling&Heating
SIGNA7URE REGISTERED Y/N FEE CURREN Y/N
Aaaress 72 5 Sandcove Ct Ste#1 Winter Park FL 32792 ucense� CAC032444
onieR COMPANY
SIGNATURE aEcisiEr� Y/N F�cuaa� Y/N
Address License#
Illtll [ IIIIltltlltllilllllll [ IIIIIi1111tI11111111I111I1111111II1i11
RESIpENT1AL Attach(2)Plot Plans;(2)sets of Bulldfng Plans;(1)set af Energy Fortns;R-0-W Pertnit far new construdion,
Minimum ten(10)working days after submlttal date. Requtred onsRe,Construction Plans,Stormwater Plans w/Siit Fence installed,
Santtary Facflities&1 dumpster,Sile Work Pertnit tor subdfirislonsAarge projects
COMMERCIAL Attach(3)compiete sets of Building Plans plus a Lffe Safety Page;(i)set of Enerpy Forms.R-O-W Pertni[for new consWction.
Minimum ten(70)working days after Submltlal dete. Requlred onsite,ConsWctlon Plans,Stortnwater Plans w/S�7t Fence insialled,
Sanitary Fadlilies&1 dumpster Site Work Permft for all new proJects.All commercial requfremeMs must meet compiiance
3IGN PERMIT Atlach(2)sets ot Enginee2d Plans.
""PROPERIY SURVEY required for all NEW canstruction.
OirecUons�_��F��� �� �
Fill out application completely
Owner&Contractor sign back of appilptian,noterized
IT over$2500,a Notice of Commencement Is required. (A!C upgrades over$7500)
" Agent(for the contractor)or Power of Attomey(for the owne�)would be someone wlth nofarized letter from owner authorizing same
OVER THE COUNTER PERMI'f'fING (Fmr�t of Applicalion ONy)
Remofs ifshingles Sewers Service Upgrades A/C Fences(PIoVSurvey/Footage)
Drfvaways-Not over Counter if an pubi(c roadways..needs ROW
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NO'TiCE OF DEED RESTRICTIONS: The undersigned understands that this permft may be subject'to°deed°restrictions° �
which may be more restrictive than County regulations. The undersigned assumes responsibiiity for compliance with any '
applicable deed restrictions. '
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a conVactor or i
contractors to undertake work,they may be required to ba Ilcensed in accordance with state and local regulations. If the �
contractor is not I(censed as required by law,both the owner and contractor may be cited for a misdemeanor violation i
under state law If the owner ar intended contractor are uncertain as to what licensing requirements may apply for the i
intended work,they are advised to contact the Pasco County Building Inspection Divisiorr–Licensing Section at 727-847- l
8009 Furthermore, if the owner has hired a contractor or contractors, he is advisad to have the contractor(s) sign I
portions of the°contractor Block°of this application for which they will be responsible. If you,as the owner sign as the
conVactor,that may be an indication that he is not properly licensed and is not entitied to pertnitting pri+rileges in Pasco i
County. �
TRANSPORTATION IMPACTNTILITIES 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 existlng buildings,as spec�ed in Pasco County Ordinance number 89-07 and
90-07,as amended. The undersigned also understands,that such fees,as may be due,wiil be identified at the time of
permitting It is further understood that Transportation Impact Fees and Resource Recovery Fees must be pald prior to �
rece(ving a"certificate of oc:cupancy°or final power release If the proJect does not involve a cerfificate of occupancy or ;
final power release,the fees must be paid prior to permit issuance Furthermore,if Pasco Counry WateNSewer Impact
fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 773,Flo�ida Statutes,as amended): If valuation of work is$2,50D.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°owne�',I certify that I have obtained a copy of the above described document and promise in good fa'ith to
deliver it to fhe"owne�'prior to commencement
CONTRACTOR'S/OWNER'S AFFIDAVIT. I certiiy that all the information fn 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. l also
certify that I understand that the regulations of other govemment 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,WeUand Areas and Environmentally Sensitive
Lands,Water/WastewffierTreatment.
- Southwest Florida Water Management District-Welis, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,Docks,Navigable Watervvays. ,
- Department of Health & Rehabilitative Services/Environmental Heaith Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Bnvironmentai Protection Agency-As6estos abatement. '
- Faderal 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 expressiy permitted �
- If the flil material is to be used in Flood Zone °A", it is understood that a drainage plan addressing a �
°compensaUng volume"will be submitted at Ume of permitting whfch is prepared by a professional engineer �
licensed by the State of Fiorida, i
- If the fill material is to be used in Flood Zone°A°in connection with a permitted building using stam wall i
construction,I certify that fill will be used only to fill the area within the stem walf
- !f fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent i
properties. If use of fill is found to adversely affect adjacent properties,the owner may be cited for violating i
the conditions of the building permit issued under the attached pertnit application,for lots less than one(1) �
acre which are e[evated by fill,an engineered drainage plan is required. i
If I am the AGENT FOR THE OWNER,I promise in good faith to infortn the owner of the pertnitting conditions set forth in
this affidavit prior to wmmencing constructlon. I understand that a separate permit may be required for eleotrical work, i
plumbing,signs,wells,pools, air condRioning, gas,or other installations not speclfically included in the application. A i
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 issuan�e of a permit prevent the Building Official from thereafter �
requiring a corcection of errors in plans,construction or violations of any codes. Every permit issued shall become invalid i
unless the work authorued 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 aiter the time the work is commenced. An extension
may be requested,1n 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. �
I
WARNING TO OWNER: YOUR FAILURE TO RECORD A PfOTlCE OF COMMENCEMENT MAY RESULT IN YOUR �
PAYING TWICE FOR tMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING,CONSULT �
WITH YOUR LENDER OR AN ATfORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMEM.
FLORIDA JURAT(F.S.117.03 I
OWNER OR AGENT CONTRACT
Subscri6ed and swo d)before me this Subscribed a i,td o ore me this I
2/3/16 by Gr Parra 2/3/16 by ran Porra I I
UVho ts/are personally known to me or hasthave produced Who is/are personally knawn to me or has/have produced i
as(dentification. as idenflflcation. '
I
c � ��ry Publlc / Notery Pu611c
mmission No. Ca missfon No. ,
Name of Notary typed,printed or sfamped Name of Nohary typed,prtntetl or stamped
Jitir•, MARIE RENEE RENO �f"••, MARIE RENEE RENO
_�• �� _--'�,e�� � Commission#FE 176i86
:., ;._ CommGssbn#FF 176186 ;gi - Explr�Nwember27,2018
� ExpitesNovetnber27,2018 +;7y� M ��,,,�„�F.mu��o�as7a�9
''r���.' BYdad7NUTryFin�8DA1�7019
" � i
;
r� . � eity of zephyrhi]ls
� ' BUILI7ING PLA1�1 REVTEW COMl1�NTS �
, • ;
. ,
�� �;
ContractorlHomeowner: ��� �'"��'� ``
\
Date Received: �`� �'�"'�� � `,
Site: ��G"t'�r�'s�� I �
�����: � !��?1�--��-'
�
Approved w/no comments:❑ Approved wlthe belaw cornments: ❑ Denied wl�he below ccyymments: ❑
� ,
I �
� �
' � �
� � i
I
� �I
', Tbis camment sheet sha11 be kept wifih the permit and/or plans. �,
� ,
, ,
—B�}dYag�i�i-- Date Contractar andJor Homeowner '
� � . � �,��y,t`,�,�'„/`, (Required when comments are present) 1
�y.v, �-z�- f
,
i
I
i I
I
, ' . ' 6270 Silverado Ranch Bivd-Clubhouse Center 4,605 sq ft-
' Cornerstone Solution Contractor '
i
ou
SQ.FEET PRICE
MAIN OR LIVING: 4,605 $ 140.02 �
OTHER AREA UNDER ROOF: - $ 88.00 �
�
OTHER: _ - $ -
VALUATION $ 644,792.10 '
_ �
FEE SHEET $ 1,978.00
� ADDRESS $ 40.00
DRIVEWAY $ 40.00
, BUILDING: $ 2,097.56
ELECTRICAL: $ 214.43 �
PLUMBING: $ 296.70
MECHANICAL: $ 207.69 I
� SUB-TOTAL $ 2,816.38 I
_ TOTAL $ 2,816.38 �
SEW ER: county
' WATER: county
IRRIGATION: $ -
TOTAL: $ - �
�
WATER METER: county
IRRIGATION METER $ - ,
FIRE DEPARTMENT FEES
PLANS TOTAL: $ 276.30 � �
INSPECTION TOTAL: �
PERMIT TOTAL �
TOTAL: $ 276.30
i
PUBLIC SAFETY IMPACT FEES i
POLICE $ 750.62 �
FIRE $ 796.66 ,
5% $ 77.36
� TOTAL: $ 1,624.64
SUB-TOTAL $ 4,717.32 �
PARK IMPACT FEES Na I
SIF'S: n/a
100.0% $ -
1.0% $ -
TOTAL: $ -
TIF`S• n/a
99%•$ -
1% $ -
TOTAL: $ 4,717.32
i° ' �
i . •
�QAQjE��of�� °'��.4 NOTICE OF INTENT
�
��� �' �'��'� , NPDES GENERIC PERMIT FOR STORMWATER
� 4
FI.O �A DIS CHARGE FROM LARGE AND SMALL �
_ _ _ _ _ _ _ _ _ _ _ CONSTRUCTION ACTIVITIES ;
(RULE 62-621.300(4), F.A.C.)
You must submit this completed Notice of Intent(NOI)form to the Department to get coverage under the Generic Permit for
Stormwater Discharge from Large and Small Consiruction Activities provided in subsection 62-621.300(4),F.A.C. The
Generic Permit document[DEP Document 62-621.300(4)(a)]tells you what construction activity qualifies for coverage,how
you obtain and terminate coverage,what you must do to minimize poIlution from your construction site,and what conditions
apply to your project to use the generic permit. You must submit the appropriate generic permit fee, as specified in
paragraph 62-4.050(4)(d),F.A.C.,with this NOI Form to obtain permit coverage. You must read and understand the
requirements of the generic permit document and the attached instructions before completing this NOI form. Please print
or type information in the appropriate areas below.
For construction activities also requiring an Individual Environmental Resource Permit(ERP),under Chapter 62-
330,F.A.C.:
If your construction activities are already authorized by a valid Individual ERP issued by the Denartment,Water
Mana�ement District or a Delegated Local Government, you may also eiect to use this NOI form to provide the
required notice of commencement of construction, in Iieu of Form 62-330.350(1) ("Construction Commencement
Notice").
Do you wish to also provide notice of commencement of construction activities authorized under an Individual ERP
permit throagh the use of this form? ❑Yes ❑No
I. IDENTIFICATION NUMBER:
A.Facility ID(if renewing coverage): FLR20AK26-002
B.ERP Pemut Nvmber*(if applicable):
C.ERP Permitting Agency(if applicable):
*Tf the ERP permit authorizes phased construction,please also indicate which phase.
II. STORMWATER POLLUTFON PREVENTION PLAN(SWPPP)DEVELOPED AND READY TO BE
IMPLEMENTED: �Yes ❑No
*If No,you mav not submit your NOI at this time.
III. APPLICANT INFORMATION:
i
A. OperatorName: The Keamey Campanies '
*BRP Permittee Name(if different than"Operator"),if applicable: B.Operator Status: p
C.Address: 9625 Wes Kearney Way
D.City: Rivarview E.State: FL F.Zip Code: 33578 0506
G.Responsible Authority: Brian Seeger '
I
Pa e 1 of 6 I
g
DEP Form 62-621.300(4)(b)
Effective Date: 02/10/2015
. ,
_� , •
H.Responsible Authority's Phone No.: (813)927-2006 �
I_Responsible Authority's Fax No.:
J.Responsible Authority's E-mail Address: seeger@thekeameycompanies.com
N. PROJECTISTTE LOCATION INFORMATION:
A.Project Name: Sitverado Ranch Subdivision Phases 2,3&4
�
B.Project Address/Location: Eiland Blvd&Silverado Ranch Blvd
C.City: Zephyrhills D.State: FL E.Zip Code: 33541
F.County: Pasco G.Latitude: 28 � 14 ' 56 " Longitude: -8 ° 13 ' 7 "
H.Is the site located on Indian Country Lands? ❑Yes �No I.Water Management District: SWFWMD
J.Project Contact:Brian Seeger
K.Project ContacYs Phone No.: (813)379-3830
L.Project Contact's Fax No.: (813)421-6022
M.Project Contact's E-mail Address: seeger@thekeameycompanies.corn
N.Additional E-mail correspondence,optional: SSpurlock@thekearneycompanies.com
V. PROJECT/SITE ACTIVITY INFORMATION:
A.indicate whether the ■
❑Large Construction(Project wilI disturb 5 or more acres of land,Fee$400)
project�is Large or Small '
Construction(check only �SmaIl Construction(Project wiIl disturb between 1 and 4.99 acres of land,Fee$250)
one):
B Approximate total area of land disturbance from commencement through completion of construction: �•28 acres
C.SWPPP Location: ❑Address in Part III above �Address in Part N above ❑Other address(specify below)
D.SW�'PP Address:
E.City: F.State: G.Zip Code:
H.ConstructionPeriod: I StartDate: 04/27/2o1s CompletionDate: 10/31/2016
VI. DEWATERING INFORMATION:
A. Will dewatering operations be performed as part of the construction activities? ❑ No ❑ Yes -
If es,com lete below.If no,ski this art and o to Part VII.
B. Is the project site currently identifted as contaminated,or is there a site within 500 feet of the
dewatering project identified as contaminated by a DEP or EPA cleanup/restoration program?You
may use the Quick Link to DEP's Contaminafion Locator Map(CLiVn and DEP's InstiturionaI
' Controls Registry(ICR)Web Viewer to determine cleanup restoration status.You may access the
CLM at:h J/weba s.de .state.fl.us/De Clnu /welcome.do or
Page 2 of 6
� DEP Form 62-621300(4)(b)
EffecNve Date: 02/10l2015
t -- I
I� . ',
http://ca.dep.state.fl.us/mapdirect/?focus=contamIocator.The ICR may be accessed at:
http://wwvS.dep.state.fl.us/waste/categories/brownfceIds/pages/ICR.him,or � ,
http:!/cadep.state.fl.us/mapdirecd?focus=icr i �
❑ YES Continue to VI.C,below. � j �
❑ NO Continue to Part VII. � �
; �
� i
C. Has the site been remediated? � �
� i
❑ YES Continue to Part VII. �
❑ NO Continue to VI.D,below.
D. Are the pollutants of concern(i.e.contamination)present in ground water at the dewatering project site at
concenirations equal to or exceeding the surface water criteria in Rule 62-302.530?
❑ YES Dewatering activities do not qualify for coverage under this generic permit. However,the site may qualify for
coverage under Rule 62-621.300(1),F.A.C.,or under an individual wastewater permit on the appropriate form listed in �
Rule 62-620.910,F.A.C.
❑NO Continue to Part VII.
VII. DISCHARGE INFORMATION:
A.MS4 Operator Name(if applicable):
B.Receiving Water Name: HILLSBOROUGH RIVER
VIII.CERTIFICATION l:
, I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that qualified personnel properly gather and evaluate the information
submitted. Based on my inquiry of the person or persons who manage the system or those persons directly responsible for
gathering the information,the information submitted is,to the best of my lmowledge and belief,true,accurate and
complete. I am aware that there are significant penalties for submitting false infortnation,including the possibility of fine '
and imprisonment for knowing violations.
If providing norice of commencement of construction as required by an Individual Environmental Resource Permit,I aIso
certify that I am authorized by the Permittee(identified in Part III.A.,above),to commence construction activities
authorized by the ERP Pertnit(identified in Part I.B.,above).
Responsible Authority Name and Officia[Title(Type or Print):
Brian Seeger,Senior Project Manager
$r��,yv$p,p,�,p,�� April 25,2016
Responsible Authority Signature: Date Signed:
� �Signatory requirements are contained in Rule 62-620.305,F.A.C.
� Page 3 of 6
DEP Fortn 62-621300(4)(b)
Effective Date: 02/IO/2015
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' INSTRUCTIONS—DEP FORM 62-621.300(4)(b) ;
NOTICE O�INTENT(NOI)TO USE GENERIC PERMIT FOR STORMWATER DISCHARGE�ROM LARGE ,
AND SMALL CONSTRUCTION ACTIVITIES ;
Who Must File an NOI: i
�
You must file the NOI and obtain coverage under the Construction Generic Permit if you dischazge stormwater associated i
I with Iarge or small construction activities to surface waters of the State,including thmugh a Municipa]Separate Storm i
Sewer System(MS4),http://www.dep.state.fl.us/water/stormwater/npdes/docs/alI_ms4_by_county.pdf. ;
�
Where to File NOI:
The Department encourages the electronic submission of NOIs using the Department's Interactive Notice of Intent(iNOI) ,
avaiIable at http://www.fldepportal.com/gol. NOIs also may be submitted by paper copy to the following address:
NPDES StormwaterNotices Center,MS#3585 '
Florida Department of Environmental Protection
2600 Blair Stone Road �
TalIahassee,Florida 32399-2400 i
Permit Fee: II
Permit fees for large and small construction activities to be covered under the generic permit are specified in paragraph 62- �I
4.050(4)(d),F.A.C.and available on our http://www.dep.state.fl.us/water/stormwater/npdes/fees.htm. You must submit the
appropriate generic permit fee(either for large 5+acres$400 or small 1-4.99 acres$250 construction activities)with the I
� completed NOI to obtain coverage under the generic permit. Generic permit coverage will not be granted without �
payment of the appropriate permit fee.
, If the NOI is submitted electronically,the permit fee must be paid on-line by credit card or check. If the NOI is submitted , '
' using a paper copy,the permit fee must be paid by either check or money order made payable to. "Florida Department of
Environmental Protection".
' Part I—Identification Number: ,
If you are renewing coverage,please enter the projecYs DEP idemification number(generic permit coverage number)if �
lmown. If this is a new project without an ID number then Ieave this item blank.If you know your ERP Permit Number or ,
ERP Permitting Agency(if applicable}please identify it here,if not then leave these items blank. �
!
' Part II—Stormwater Pollution Prevention Plan(SWPPP)Completed:
Check the box to indicate whether you have completed your Stormwater Pollution Prevenfion Plan. You must complete your
�� SWPPP attd be ready to implement it before submitting your NOI. !
i
Part III—Applicant Information: ;
� Item A.; Provide the legal name of the person,firm,contractor,public organization or other legal entity that owns or �
' operates the construction activity described in this NOI. The operator is the legal entity that has authority to control those '
' activities at the project necessary to ensure compGance with the terms and conditions of the generic permit.
, �
tem B.: Enter the appropriate one Ietter code from the Iist beiow to indicate the legal status of the operator: �
F=Federal;S=State;P=Private;M=Public other than federal or state;O=Other
� )
�
Items C.—F.: Provide the complete mailing address of the operator,including city,state and zip code. '
i
Page 4 of 6
DEP Form 62-62 1 3 00(4){b)
Effective Date: 02/10I10I5 �
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,f � ,. � � � i
_ a
Items G.—J.: Provid'e the name,telephone and fax number(including area code)and E-mail address of the person �
i
authorized to submit this NOI on behaIf of the operator(e.g.,Jane Smith,President of Smith Construction Company on
behalf of the operator,Smith Construction Company;John Doe,Public Works Director on behalf of the operator,City of
Townsville;etc.). This should be the same person as indicated in the certificarion in Part VI. '
Part IV—ProjecUSite Location Information: I
Items A.—E.: Enter the official or legal name and complete street address,including city,state and zip code of the project. �
Do not provide a P.O.Box number as the street address. If it lacks a street address,describe the project site location(e.g., '
intersection of State Road 1 and Smith Street).
Item F.: Enter the county in which the project is located. �
I
I
, Item G.: Enter the latitude and longitude,in degrees-minutes-seconds format,of the approximate center of the project. �
�
Item H.: Indicate whether the project is located on Indian Country Lands. If the project is located on Indian Lands you �
� may not use this generic pecmit. Instead,you must apply to the http:J/cfpub.epa.gov/npdes/stormwater/const.cfin(EPA)for �
coverage. �
Item I.: Enter the appropriate five or six letter code from the list below to indicate the
http://www.dep.state.fl.us/secretary/watman/default.htm in which yoar project is located: i
NWFWIVID=Northwest FIorida Water Management District I
SRWMD =Suwannee River Water Management District
SFWMD =South Florida Water Management District , �
SWFWMD=Southwest Florida Water Management District '
SJRWMD =5�John's River Water Management District I,
Items J.—M.: Bnter the name,telephone and fax number(including area code)and E-mail address of the project contact �
person. The project contact is the person who is thoroughly familiar with the project,the facts reported in this NOI and
who can be contacted by the Department if necessary. �
Item N.:Enter additional E-mail correspondence as needed to receive perniit reIated documentation.(Optional) i
i
Part V—ProjecdSite Activity Information: '
Item A.:Check the appropriate box to indicate whether the project involves large construction activity or small construction I
acrivity. Check one box only. i
�
"Large Construction Activity"means construction acrivity resulting in the disturbance of five(5)or more acres of total]and i
area. Large construction activity also ineludes the disturbance of less than five aeres of total land area that is part of a ,
larger common plan of deveIopment or sale such as a subdivision that will ultimately disturb five acres or more.
i
"Small Construction Activity"means construction activity resulting in the distvrbance of equal to or greater than one(1)
acre and Iess than five(5)acres of total land azea. Small construction acrivity also includes the disturbance of less than one �
acre oftotal land azea that is part of a lazger common plan of development or sale that will ultimately disturb equal to or ;
greater than one acre and less than five acres.
Item B.:Provide the approximate total area of land disturbance,in acres,that the project wilI invoIve from commencement �
of construction through completion: �
i
Items C.-G.: Indicate the location where the Stormwater Pollution Prevenrion Plan(SWPPP)can be viewed. Provide the j
address where the SWPPP can be viewed if other than as provided in Parts II or III of the NOI. Note that to be eligible for �
coverage under the generic permit,the SWPPP must have been prepared prior to filing this NOL �
Item H.: Enter the estimated construction start and completion dates in the MM/DD/YY format.
Page 5 of 6
DEP Fonn 62-621,300(4)(b)
Effective Date: 02/10J2015
i
, � ' � ;
• The K�amey�ornpanies, L�G. i
• STOR9Vl WAYER 6�O�.L.UT(Ol�PREi/EiVT'l0(�PL.A[� '
iNSPECTI0�1 � � ''
DATE: '3 2,`a1 ZZ�G+ INSPECT,E'D BY: .� ��..� /��
PROJECT: �SIL.VG1�Zm,1�Of? \(�1l,9C16'�. WEATXER: dt��.,., �
� ) , I
Nofs:An Inspection mast be conducted within forty-efgM(48)hours of'/i'or greater rain event
i '
Number of Days Since Last Ra[nfall Amourrt of Last Rainfal[ Inches ' � I
I
A-S70RM WA7FJ�POLLUTfON PREVEMTION PLAN������� � �
7 Does tJ�e project haee an appro Perm" e o) ' �
If No ContacEed J �- ^--' ��'�to aecure copy of permit �
2!s the erasion and sedlment control systam Installed as shown fhe approved pla (Yes ) �
• If No What ateps need to be t�ken to cart'ed the condiHon? �
; �
, 3 Is erosion being contrnlled on tbe sita? o) �
, , [f No What problems were noted7
VJhat'steps were taken to correct the situation?
4 Is sediment being contalned on the site�a�/ No)
If No What problems were noted?
What steps were telcen to correctthe situation?
i
b Is the potent3ai forturhidty tn adJacent streamslwetlands minimize .(Yes)1 0} i
lf No What problems were noted? �
I
I
What steps were taken to correot the situation? I
I
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�
ftecommended Changes tothe SWPPP: i
• I
1
I
Reason for Changes: +
� �
I �
� B•INSPEC170N OF INSTALLEb FACI�ITt�S I
1 SiIE Fence ._�No AcHon Required,_Requlres Repair,_Requires Replacemerrt �
Location(s) �
i
i �
2 Sediment Bas3ns /AcUon Requtred, Requires Repair,_Requires Replacement ;
LAraUon(s) �
3 Check Dams �o Action Required,_Requires Repair,_Requires Raplacement ;
ILocatlon(s) I
1
� I
4 Dewatering No Adion Required, Raqulras Rapa[r,_Requires Replacement I
Lacation(s) �
I
// i
$Other �! No Actlon Requtred,_Requires Repafr,_}�aquires Raplacemerrt ;
' Loption(s) .
i
i � \.�.���';� �� � �O7 ��lk� i
� Sfgnature!Date .
I
I
1
__ i
," � i
• 'B'B��&�ea�ru��C�ra�qs�avies, ��.C.
� ��T�ff���6A�'1�9'��O1L1�.9.9TI�� I�1'�Ei6��1`Q'B�h�9 PB..Aalr� '
➢�5������� I �
� !
� , I , �I
AATB: IIVSPEC7�D6Y: �S`�����t��.��� I i I
PRwEcr: ��L�7e1Zl��n wFarri�R: �.� �
�
1Vote:An inspection must be conduct,ed withtn forty.etght(48)hours af'/:"or greater rain evenf
I
Numbar of Days Stnce Last Rainfall \l��. Amount of Last Ralnfall 3�j _ Inches ' �
�_�� i
A-STORM WATER POLLUTION PREVEM'IOM PLA�S
1 poes the pro)ect ha�e an approved Permit? es)! o)
If Plo Corrtacted to seoure copy of pertniE
2 1s the eroslon and sediment controf system instaped as shawn on the approved plans? es)/ o)
If No Whatsteps need to be taken to correctthe�nd�lon7
3!s eroston being controlled on fhe si ? es o)
If No What problems wete noted?
What steps were taken m correct the sRua�onT
4 1s sedfinent being contained on th tfe? es ! o)
If Ffo What p�oblems were qot
Whst steps were taken to corzect the sftuation7
j 6 Is the poterttial forturbidty fn adjacentstreamslwe4lands minimized (Yes (No)
If No What problems were noted7 �
IWhet steps were taken to correct the situe�on? �
Recommanded Changes to tha SWPPP: �
Reason for Changes: �
i
B-INSPECTION OF INSTALLEa FACILITIES '
1 S1lt Fence �t�lo Action Required,_Requtres Repair,_Requlres Replacement
Locaflon(s) j
2 Sedlment Baslns _sLNo Actlon Required, Requires Repair,_Requires Replacement
Locatlon(s) �
3 Check Dams �No Action Requlred,,_,Requlres Repair,_Requires Rep�acement
Locallon(s)
�II 4 Aewatering ,_, o Aatlon Required, Requifes Repai,_Requires Replacement '
i ,
I Locetion(s) —
6 Other o Action Requlrad,_Requires Repatr,_Requires Fteplacement
I.ocation(s)
,
♦ C S ''G 1 Zti�'��(�
Signalure/Dais
i
. . �
. . . � �
� 'V'B�e Kea���}�C�r�pa��a�s,d..1L�a ;
� �'Y'mHa�V9�419/�T�9�P�L��9�'006� �i�k�9�9�`V&�6�8�P�9
�
• ➢6�SB���'T'90�1 �
. i
( � �
DAT�: tJ INSPECTED BY.• ��t� - `"`S� . I
� I
����� �
PROJECT: WEATHER: .C• �
i
Note:An inspection mqst be conducted within forty-eiqErt(48)hours of'/a"or greater rafi evenf �
f�umber of Days Since LasY Rafnfall '�Amount oP Last Rairtfall �[nchea ' •
i
A-STORM WATER POLLUTION PREVEM'IOIV PLAN ! �
4 Does fhe project have an approved ermit s)/ )
If Na Corstacted � S to secure copy of pertnit
2 Is the erosion an8 sediment control system installed as shown on the appraved plans (Yes)1 a) �
[f t�o What steps need to be tsken Yo correct the condition?
3 Is eroslon befng confrolled on the sIEe? (A!o)
if No What problems wec�noted?
What steps were taken to oorrect the situatlon7
4 Is sediment be(ng contained on fhe site es o)
If No What problems were noted?
I
I What steps were taken to correctthe situation?
5 Is the pote�ttiai forturhidfy in adjacent streamslwetlands miniriitzed? •es)/ o)
!f Mo What problems were noted7 '
VJhat steps We�e taken to correct the s'ituation? � ,
� '
Reoommended Changes to the SWPPP: ,
i
i
ReasonforChanges:
� B-1N8PPCTION OF 1NSTALLED FACILITIES ;
� o �
1 SIIt Fence _No Actlon Required,_Requires Repair,JRequires 12eplac,.ment ,
Locatfon(s) �
2 Sediment Baslns _._,No Action Required,_Requires Repafr,,_,Requlres Repiacemerrt �
I.ocatian(s)
3 Check Dams �No Aokion Required,_Requires Repair, Requires Replacement
Location(s) ;
4 Dewatering =TIo Action Requlred,_Requires Repair,`�tequires Replacemerrt ;
Location(s) ,
$Other _No Actlon Requlred,�Requires Repair,_Raquires Replacement ,
Looatlon{s)
, .� �t-�t � 3 Z
� Signature/Date
- .-- -: --- . �----� I
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)ATE: � �� /6 1NSPECTED BY• _r0��//�1�-1 I
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�ROJECT: S1`iiti�r�p WEATHER: ��,�,�
date:An Inspection must be conducted within forty-eight(48)hours of'/i'or greater rain event
i
dumber of Days Stnee Last Rainfali k ev Amount of Last Rainfall / Inches I
1-STORM WATER POLLUTION PREVENTION PLAN j
1 Does the project have an approved Pertnit (Y (No) �
If No Contaded to secure copy of pertnit I
2 Is the eroslon and sediment coirtroi system inatalled as shown on the approved plansT Yes (Pdo) '
If No 1Nhat steps need to be taken to correct the conditlon7 '
3 Is erosfon 6eing confrolled on the site? e�!(No)
if No What problems were noted7
What steps were taken to correct the situation7 �
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4 Is sediment befng contained on tha slte7�Y��e.�(N°) ,
if PIo What problems were noted? �
' What steps were teken to correct the situation? '
I
b Is the poten8al forturbldty in adJacentstreamslweUands minim¢ed7 Yes (iVo)
if No What problems were noted? �
What steps were taken to correct the situation? I
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Recommended Changes to fhe SWPPP: j
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ReasonforChanges: �
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B-INSPECT[ON OF INSTALLEQ FACILITIES I
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1 Slit Fence o Acdon Required,_Requires Repai�,_Requires Replacement I
' Locatlon(s) ' I
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' 2 Seditfient Basins _No Acbon Required,,_Requires Repair,_Requires Replacement i
' Location(s) �
' 3 Check Dams _No Action Required,_Requires Repair,,_Requlres Replacement '
I
Location(s) i
4 Dewatering �JNo Action Required;_Requires Repair,_Requires Replacement i
I
Location(s) �
I
I 5 Other ,_No Actlon Required,_Requires Repair,_Requires Replacemerrt �
Location(s) �
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Signatu Date •
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, . '��e &Ce��u�� ��mp��i�ta�s, ��.C. +
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7ATE: . ���,6 IIVSPPCTED BY: � v^'��d I
�ROJECT.• .5'r/Ve�•o�o WEATHE'R: �.�a�' I
Vote:An inspection must 6e conducted wtthin forty-eight(48)hours of'/s"or greater raln event �
i
Vumber of Days Stnce Last Ralnfall �'%��- Atnount of Last Rainfall /� Inches ' j
4-STORM WATER POLLUTION PREVENTfOiV PL.AN I �
1 Does the project have an approved Perm (Ye )/(No) j �
If PSo Contacted to secure copy of permit. � '
i
2 1s the eroslon and sediment controf system installed as shown on the approved plans?�(Plo) '
If Mo What steps need to be taken to correct the condition? �
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3 Is eroslon being controlled on the slte (Yes /(No) ,
ff No What problems were n e ? �
What steps were taken to correct the situation7 ,
4 Is sediment being contained on the site�/(No) �
� !f No What prohlems were noted?
Wtiat steps were taken to correct the situation?
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5 Is the potentiai for turbldty In adjacent streams/weUands min[mized (Yes) (No) �
I If Ido What problems were noted7 '
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, What steps were taken to correct the sftuation7 i
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Recommended Changes to the SWPPP:
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Reason for Changes: i
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B-1NSPECTIOiV OF INSTALLED FACILITIES �
1 Slit Fence �' No Action Required,_Requires Ftepalr,_Requires Repiacement �
Location(s) ;
I
2 Seditfient Basins _ do Action Requlred,_Requlres Repair,_Requires Replacement ,
Locatlon(s) '
3 Check Dams y No Action Required,_Requires Repair,_Requires Replacement '
I
LOC2fI0Ii(5)
4 Dewatering �Action Requlred,_Requires Repair,_Requires Replacement �
LocaUon(s)
5 Other _No Action Requlred,^Requires Repair,,_Raquires Replacement �
Location(s)
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SI natu !Date
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7ATE: � �I IIVSPECTED BY: 0��l�f'�9' i
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'ROJECT: .�ilaer/J��o WEATHER: � I
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dote:An Inspectlon must be conducted within forty-eight(48)hours of'/s'or greater rafn event , i
Vumber of pays Since Last Rainiail .v/•6- Amount of Last Ralnfall X� Inches
_��__.
4-STORM WATER POLLUTION PREVENTIOM PLAN '
1 Does the projeot have an approved Permit es) (ido) - �
If No Contacted to secure copy of permit �
2 Is the erosion and sedlmenf control sysfem instailed as shown on the approved plans? es) (IVo) I
If No What steps need to be taken to correct the condition?
3 Is eroslon being controlled on the sife? �!(Mo)
, If No What problems were noted? '
VJhat steps were taken to correct the situation? .
4 Is sediment heing contained on the stte (Yes (No) � ,
lf No What problems were note 7 .
� i
What steps were taken to correct the situation?
� 5 Is the potential forturbidty in adjacentstreams/weUands minlmized (Yes) o) '
!f IVo What problems were noted7 1
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' What steps were taken to correct the s'ttuation? �
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' ' Recommended Changes to the SWPPP: ' � j
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ReasonforChanges: I
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' 6-INSPECTION OF INSTALLED FACiLITIES I
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1 Siit Fence No Action Required,i'Requires Repair,_Requires Rep(acement
', Loc�tion(s) /�,a.oNi� .vee.de.4 :s�.�o.� �i+lv�.t� '
�
2 Sediment Basins No Action Required,_Requires Repair,_Requires Repiacement '
i
Location(s) ,
3 Check Dams °' No Action Required,_Requires Repair,_Requires Replacement �
�
' Location(s) �
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' 4 Dewatering _No Actlon Required,_Requires Repair,_Requires Replacemenf �
�
Location(s) �
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5 Other =No Action Required, Requires Repair,_Requires Replacement • '
Locetion(s)
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Slg ture ate
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�ROJECT: .�i�u2�.B� WEATHER: ,� �CO � �
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. dote:An InspecUon must be conducted wlth[n forty-eight{48)hours of'/d'or greater raln event
I dumber of Days Since Last Rainfall ��g- Amount of Last Rainfafi �inches i
�-STORM WATER POLLUTIOfd PREVENTIOM PLAN '
7 Does the project have an approved Permi (Yes)!(fVo) . ;
If Mo Contaded to seoura copy of permit.
2 Is the erosion and sediment control system installed as ahown on the approved pians (Yes (No)
If No What steps need to be teken to corzect the condition7
3 Is erosion being controlled on the s[te (Yes)1 No)
If No What problems were no
What steps were taken to correct the situatlon7 .
4 Is sediment being contained on the s3te�(Yes o)
If No What problems were note37
' What steps were taken to correct the situation7
5 Is fhe potentlai for turbidty in adjacen't streams/wetlands minlmized?(Yes i(No) Y
if Plo What problems were noted7 �
� What steps were taken to correct the sltuaUon? i
�
Recommended Changes to the SWPPP: •
ReasonforChanges: � ,
B-IfdSPECT101V OF INSTALLED FACILITIES ,
1 Silt Fence _ o Action Required,_Requires Repair,_Requires Replacement '
Location(s) ,Q,��,o.�r t,ue.�e ro�i,ole��ld ;
2 5ediment Basins _ o Action Required,_Requires Repair,_Requires Replacement �
Location(s) �
3 Check Dams " _No Action Required,_Requires Repair,_Requires Replacement ,
' • Location(s) �
4 Dewatering � No Action Required,�Requires Repair,,_Requires Replacement
Location(s)
I5 Other _No Action Requfred,_Requires Rapair,_Requires Replacement
i Location(s)
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Si natu I Da4e
- , 5335 - 8TH STREET
_ �. .
- (813)780-0020
�
f CERTIFICATE OF OCCUPANCY
Address: 6270 SILVERADO RANCH BLVD Owner: DUNE FL LAND I SUB LLC
ZEPHYRHILLS, FL. 2502 N ROCKY POINT DR STE 1050
Subdiv: SILVERADO TAMPA, FL. 33607-5995
Parcel: 04-26-21-0010-03900-0000 Work Type: 434-ADD/ALT RESIDENTIAL
Construction Type: NOT APPLICABLE ❑ Sprinklers
Use Classification: NOT APPLICABLE
Permit Number: 17074
Date: 8/24/2018
/G'C-W'�.
ISS �D BY: BUILDI OFFICIAL :
WATER MUST BE CHANGED OVER WITHIN 10 D�4YS OF ISSUANCE
GARBAGE DEPOSIT MUST BE APPLIED FOR PRIOR TO ISSUANCE
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