HomeMy WebLinkAbout19-21496 CITY OF ZEPHYRHILLS
5335-STH STREET
y (813)780-0020 21496
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
PERMIT INFORMATION LOCATION INFORMATION
Permit#:21496 Issued: 7/12/2019 Address: 7005 SILVERADO RANCH BLVD
Permit Type: NEW SINGLE FAMILY DWELLING ZEPHYRHILLS, FL.
Class of Work: 101-NEW CONST/SFR Township: Range:
Proposed Use: NOT APPLICABLE Lot(s): Block: Section:
Sq. Feet: Est. Value: Book: Page:
Cost: 355,185.45 Total Fees: 15,565.19 Subdivision: SILVERADO
Amount Paid: 15,565.19 Date Paid: 7/12/2019 Parcel Number: 05-26-21-0100-00600-0570
CONTRACTOR INFORMATION OWNER INFORMATION
Name: DR HORTON INC Name: DR HORTON INC
Addr: 12602 TELECOM DR Address: 12602 TELECOM DR
TAMPA, FL. 33637 TAMPA, FL 33637
Phone: Lic: Phone: 813-549-1968
Work Desc: CONSTRUCT SINGLE FAMILY 3,153 SQ FT
APPLICATION FEES
PLUMBING FEE 273.00 ELECTRICAL FEE 409.50 MECHANICAL FEE 191.10
SCHOOL IMPACT FEE-sfr/1% 77.28 SCHOOL IMPACT FEE-sfr/100% 7,728.00 TRAFFIC IMPACT FEE 1% 36.32
TRAFFIC IMPACT FEE 99% 3,595.68 BUILDING FEE 1,931.40 POLICE IMPACT FEE 254.00
FIRE IMPACT FEE 273.00 PUBLIC SAFETY 5% 26.35 PARK FEES SF 769.56
V
Ins ection R uired
FOOTER 2ND ROUGH PLUMB ISC INSULATI N FILING
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:
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there 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 property. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans, Specifications and 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.
D 7�� &-- f"�*
CONTRACTORS SIGNATURE PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIO
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
D.R. Horton-7030 Silverado Ranch Blvd:3,085 sqft
--Column ts
SO. FEET PRICE
MAIN OR LIVING: 3,085 $ 112.65
OTHER AREA UNDER ROOF: - $ 88.00
OTHER: - $ -
VALUATION $ 347,525.25
FEE SHEET $ 1,780.00
ADDRESS $ 30.00
DRIVEWAY $ 45.00
BUILDING: $ 1,890.60
ELECTRICAL: $ 400.50
PLUMBING: $ 267.00
MECHANICAL: $ 186.90
SUB-TOTAL $ 2,745.00
TOTAL $ 2,745.00
SEWER:
WATER:
IRRIGATION: $ -
TOTAL: $ -
WATER METER:
IRRIGATION METER $ -
FIRE DEPARTMENT FEES
PLANS TOTAL:
INSPECTION TOTAL:
PERMIT TOTAL
TOTAL: $ -
PUBLIC SAFETY IMPACT FEES
POLICE $ 254.00
FIRE $ 273.00
5% $ 26.35
TOTAL: $ 553.35
SUB-TOTAL $ 3,298.35
PARK IMPACT FEES $ 769.56
SIF'S: $ 7,728.00
100.0% $ 7,728.00
1.0% $ 77.28
TOTAL: $ 7,805.28
T I F'S: $ 3,632.00
99% $ 3,595.68
1% $ 36.32
TOTAL: $ 15,505.19
INSTR#2019112900 OR BK9933PG2378 Page 1 of 1
07/0312019 02:30 PM Rcpt.2069390 Rao:10.00 DS:0.00 IT:0.00
Nikki Alvarez-Sowles, Esq.,Pasco County Clerk&Comptroller,ad Interim
Permit No. -.-'Parcel ID No -&10-QX Oslo
NOTICE OF COMMENCEMENT
-State of Florida' County of PaSCO
THE UNDERSIGNED hereby gives notice that improvement 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
I Description of Property, Parcel Identification No.Lca--5-1 eLl Cxcx LQ Si WeA02AQ FbaS& q fill
Street Address'jnr)F AytmucL Rax)cjo L-NAxld -7P,off r1&,\As E 3 NZ41
2., General Description of Improvement New Single Family Residence
3. Owner Information or Lessee Information if the Lessee contracted for the improvement
DR-Horton. Inc
NameI 2A02 Tp-lpt-nm F'Irivp- Tampa 33637 1=1
Address city State
Interest in Property: -Fee Simple
Name of Fee Simple Titleholder:
(if different from Owner listed above)
Address city State
4. Contractor: D.R. Horton, Inc
Name Tampa 3637 FL
12602 Telecom Drive
Address city State
Contractor's Telephone NO.:
5. Surety: N/A
Name
Address city State
Amount of Bond: $ NIA Telephone No.:
6- Lender. NIA
Name
Address city State
Lender's Telephone No.:
7. Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by
Section 713.1 3(1)(a)(7),Florida Statutes:
David Guide
Name
12602 Telecom Ddye Tampa 33637 FL
Address city state
Telephone Number of Designated Person: 813-740-9720
S. In addition to himself,the mner designates NZA - Of
to receive a copy of the Uenors Notice as provided in Section 713.13(t)(b),Florida Statutes.
Telephone Number of Person or Entity Designated by Owner.
9. Expiration date of Notice of Commencement(the expiration date may not be before the completion of construction and final payment to the
contractor,but will be one year from the date of recording unless a different date is specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART 1, 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.
Under penalty of perjury,I declare that I have read the foregoing notice of commencement and that the facts stated therein are true to the best
of my knowledge and belief.
STATE OF FLORIDA
COUNTY OF PASCO
Signature of owner or Lessee,or Owner's or Lessees Authorized
Offioer/Director/Partner/Manager
Assistant SecretaWDR. HortQn. Inc
0&.► Signatory's TitlefOlfice
The foregoing instrument was acknowledged before me this_QjQday 04&0r�,ET 200,by 1-0 �71j t,
as Assistant SecretaU (type of authority,e.g.,officer,trustee,aftomey In fact)for
D.R.-Horton. Inc (name of party on behalf of w_jlom instrument was executed).
Personally Known QR Produced Identification M Notary Signature
Type of Identification Produced Name(Print)
D A A AN
NE NAG1N TIN
Notary Public-State Of Florida
rid
a
Commission #GG 010660
My Comm.Expires Ju1 12.2020"W 4P W
wpdatalbcs/noticecomr4encement_pc853048
PASCO COUNTY, FLORIDA
Permit No. �f 7
Date Permitted '7-
Builder Name/Owner Name Co k,f Tel C-,, Control
County Parcel No. ZOO-2-t— 0/00 60 2 002-0 Yj0SubDlv: lvrah
Address/Location -7,030 d7hMiTh kWa 6 WD
Classification/Type of Use
V
TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: 3j
Exempt n'Yes E] No How Determined
impact Fee Amount Zone No. TAZ:
SCHOOL IMPACT FEE
Account (056) Single-Family Detached House Amount $
(057) Mobile Home
(058) Other Residential
23) Collection Fee
Exempt �Yes n No How Determined
PARKS AND RECREATION FEE
Land Account Land Credit Land Total
Recreation Account Recreation Credit -Recreation Total
Zone TOTAL AMOUNT $
Exempt ❑Yes ❑ No How Determined
LIBRARY FEE
Land Account Land Credit Land Total
Facility Account Facility Credit Facility Total
Exempt F1 Yes n No How Determined Total Amount
RESOURCE FEE ERU
TOTAL AMOUNT
Prepared By f Checked By
v
NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION
PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE
' BEEN PAID AND
RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY
Acknowledgement below does not Imply acceptance of concurrence,but simply receipt of a copy of this form,placing
the building permit owner on notice of this assessment and the conditions of payment for same.
DATE RECEIVED BY
RECEIPT NO. DATE BY
D
Q
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. All 4 sides of driveway thru the sidewalk shall have
expansion material.
6. All setbacks shall be met.
1. 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 R302.6 of the F.B.-C. (Fire Separation).
1.1. 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.C:
13.- Foundation supports for A/.0 units-shall be raised at least 3" above finished grade. M1308.1
14.. Return air in all bedrooms: F.B.C. M1620.14
1.5. 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 AM 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.
21 All 2016 N.E.C. Codes will be enforced.
}} i
23. Tamper-Resistant.Receptacles in accordance with 406.11 of the 2016 N.E.0
24. In accordance with the Land Development Code, lots shall be sodded before final_at least 10
feet around the structure.
25. R403.5.3Hot water.pipe insulation
Insulation for hot water'pipe with a minimum thermal resistance (R-value) of R-3.shall be applied to the
following:
Piping 314 inch (19.1 mm)and larger in nominal diameter.
Piping,serving more than one dwelling unit.
Piping located outside'the conditioned space..
Piping-from the water heaterto.a distribution manifold.,
Piping located under a floor slab.
Buried in piping.
Supply and return piping in recirculation systems other than demand recirculation systems.
25: Blower door test shall be provided before C.O.
26. A copy ofthe enerQy cacls shall be with permit at all times.
27 Copy of final.insulation report shall be provided with permit before final
28. No fence,pool or screen enclosure Is issued with.this vermin
F.F.E.-Finished Floor Elevation
F.B.C- Florida Building Code 6a'Edition'
R.O.W.-Right of Way.
A.D.A.-Americans with Disabilities Act N.E.C.-National Electric Code (2016)
PLOT PLAN PT
DESCRIPTION:(AS FURNISHED)
LOT 57, BLOCK 6, SILVERADO RANCH SUBDIVISION PHASES 7, 9B, 11A & 11B
AS RECORDED IN PLAT BOOK 77, PAGE(S) 79-86, OF THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA.
Curve Table I
I v�
Curve+ Length Radlua Delta Chord Bearing Chord I m
Cl 50.42' 214OLOW 121'00• SO4.46.44'E 50.42' I I LOT 58 >�
c2 soXi34' 21DILOO 13szo9• so42o'33'E so7.10 I i BLOCK 6 1 8
C3 250.16' 2100.00' 649'31' S00.49.14•E 250.01' (REFERENCE BEARING I I zz
C4 259.16• 21001 702.36• SO7'45.18'E 256A1• (NON—RADIAL) n) �� 1" = 30'
rn I S87-24 28 E ► �? I I GRAPHIC SCE
153.83 N872428•W 0 15 3o
PREPARED FOR: I b I 1 s'O&AE 16 ===* co
N 4os6
" I � 42.67' 1 m
t'6GCd'f L44 I isa to *m a.... - a v CD
LI.I Z W I I� W of,1,� I i O�
BUILDING SETBACKS ' ' I �' _ o to � <��
�^ a nO
I Y Q � rD
FRONT: 22m ERm M �' I O O F obi 1 d i m .�O
REAR: 15' U7 I I m�Z M "� ��me� �20 o�D�
SS p � ;';I'; D �D ON LOT CALCULATIONS
SIDE 5' (50' LOTS) I as M I o a= < = 7848 S .
7.5' (55' do 60' WIDTH LOTS) I ag I I f Z LOT — Q FT
$ '.;..
(V y I m s'.ary:.:: ;::;, ;:',:,, v C) LIVING AREA = 1,104 SQ. FT.
SIDE STREET: 15 = I o O I < `� GARAGE = 437 SQ. FT.
NOTES: Z B9.1 4O•r 1.. ENTRY = 111 SQ. FT.
29.5
5'DhAE 1`r — � LANAI = 0 S0. FT.
1. ELEVATIONS SHOWN ARE PER LOT GRADING p . , „ N r-- I PATIO = 80 SQ. FT.
2. ELEVATIONS ARE BASED ON PLANS PROVIDED BY THE UNAVD 1988 I � NB(NON—RADIAL) W 160.29r DRIVEWAY = 614 SQ. FT.
DATUM. I I I A/C PAD — 12 SQ. FT.
3. FOR ALL LOTS WHERE SIDE—YARD �q� 1 I WALKWAY = 29 SQ. FT.
1
SETBACKS ARE LESS THAN FEET, A IMPERVIOUS — 30%2387 SQ. FT.I LOT 56
MINIMUN 5.00 FOOT WIDE DRAINAGE AND ACCESS EASEMENT IS REQUIRED PER PASCO I BLOCK 6 I SOD = 5,461 S0. FT.
1
COUNTY LAND DEVELOPMENT CODE. OFF LOT CALCULATIONSRIGHT OF WAY = 1240 SQ. FT.
THIS PLOT PLAN IS INTENDED FOR PERMITTING PURPOSES DRIVE APRON = 201 SQ. FT.
ONLY. THIS IS NOT INTENDED FOR THE CONSTRUCTION OF PUBLIC S/W = 243 SO. FT.
THE PROPOSED HOUSE. REFER TO HOUSE PLAN AND SOD — 796 SO. FT.
OPTION UST FOR CONSTRUCTION. ALL BUILDING SET BACK TOTALS
UNES SHOWN HEREON IS PER DATA FURNISHED BY CUENT AREA = 9,088 SQ. FT.
AND IS FOR INFORMATIONAL PURPOSES ONLY. DRIVEWAY = 815 SO. FT.
THIS IS NOT A SURVEY IN SIDEWALK = 272 SO. FT.
THIS IS A PLOT PLAN ONLY SOD = 6.257 SO. FT.
FLOOD NOTE: SURVEYOR NOTES:
I EXA
MINED AMINED THE F.I.R.M.MAP NO.12101Co2BBF, LEGEND: 1. THE SURVEYOR HAS NOT ABSTRACTED THE
DATED SEPTEMBER 26.2014,AND FOUND THE SUBJECT PROPERTY LAND SHOWN HEREON FOR EASEMENTS, RIGHT
APPEARS TO UE IN ZONE')X',AREAS DETERMINED TO BE OUTSIDE THE — BUILDING SETBACK LINE PI POINT OF INTERSECTION OF WAY, RESTRICTIONS OF RECORD WHICH
0.2X ANNUAL CHANCE FLOODPLAIN. THE SURVEYOR MAKES NO PC POINT OF CURVATURE MAY AFFECT THE TITLE OR USE OF THE LAND.
GUARANTEES AS TO THE ABOVE INFORMATION. PLEASE CONTACT THE ——— CENTERUNE PT POINT OF TANGENCY
LOCAL F.E.M.A. AGENT FOR VEF6FlCATION. —— — FIGHT OF WAY LINE RP RADIUS POINT 2. NO UNDERGROUND IMPROVEMENTS HAVE BEEN
PRC POINT OF REVERSE CURVATURE LOCATED EXCEPT AS SHOWN.
BEARING BASIS: PROPOSED ELEVATION POC POINT OF COMPOUND CURVATURE
BEARINGS SHOWN HEREON ARE BASED ON THE NORTHERLY LINE OF TYP TYPICAL 3. NOT VALID WITHOUT THE AUTHENTIC
LOT 57. BLOCK 6 BEING S6724.2B'E;PER PLAT. PROPOSED DRAINAGE FLOW CS CONCRETE SLAB A!5hftELECTRONIC SIGNATURE AND THE AUTHENTIC
CONCRETE (C) CALCULATED A fMM E IR I C A ICI SURVEYX ELECTRONIC AN MAPPER FLORIDASEAL OF A LICENSED
(FIELD DATE:) REVISED: PB PUT BOOK
A/C AIR CONDITIONER uiw Digitally signed byJim Boleman P S PAGES U R \/E YI N G
SCALE: 1' 30 FEET S/W SIDEWALK SO. FT SOUARE FEET 9�, +�':;H" ON:cn=Jim Boleman,
F.E.M.A. FEDERAL EMERGENCY MANAGEMENT AGENCY cS-I A P P I N G INC.I N C3f'' e""�` o=pping,anSurveying&
APPROVED BY: 'B F.I.R.M. FLOOD INSURANCE RATE MAP f'' �,e,�`' Mapping,ou,
NAVD NORTH AMERICAN VERTICAL DATUM '• -'
i8D820 LOT 57, NGVD NATIONAL GEODETIC VERTICAL DATUM CERTIFICATION OF AUTHORIZATION NUMBER LB/8393 $'F f?eF email=Jboleman@asmcorporate.FOR
BLOCK B Ddd1E DRAINAGE dt UTILITY EASEMENT 3191 MAGUIRE BOULEVARD. SUITE 200 p com,c=US THE
JOB NO. ORLANDO, FLORIDA 32803 •tea'J' Date:2019.012416:0400-05'00'FIRM
POE PRIVATE DRAINAGE EASEMENT
DRAWN BY: DSB PUE PUBLIC UTILITY EASEMENT (407) 426-7979 DATE
PLOT PLAN t 4 19 RMB D&AE DRAINAGE U4 ACCESS EASEMENT WWW.AMERICANSURVEYINGANDMAPPING.COM JAMES W. BOLEMAN PSM# 6405
1
t '
PASCO COUNTY, FLORIDA
Permit No, ' 21V
Date Permitted - 24
Builder Name/Owner Name �/ �L'�'�� Control# I
County Parcel No. 2./_Q/op-()6&&a_6S 76 S_ubbDiv: 's
Address/Location "7 n5
i
! Classification/Type of Use S t Yticf ie ,
i
TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: l �c>
Exempt ❑Yes ❑ No How Determined
j Impact Fee Amount $.31 Zone No. TAZ:
SCHOOL IMPACT FEE
Account (056) Single-Family Detached House Amount $
(057) Mobile Home
(058) Other Residential
123) Collection Fee
Exempt n Yes Q No How Determined `
i
PARKS AND RECREATION FEE
Land Account Land Credit Land Total
Recreation Account Recreation Credit 'Recreation Total
Zone TOTAL AMOUNT $ 7
Exempt ❑ Yes ❑ No HowQetermined
I
LIBRARY FEE
Land Account Land Credit Land Total
Facility Account Facility Credit Facility Total
Exempt ❑Yes ❑ No How Determined Total Amount;.
RESOURCE FEE ERU
TOTAL AMOUNT
i
Prepared By d Checked By
NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION
PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE 1
. BEEN PAID AND
RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE OF PASCO COUNTY
Acknowledgement below does not Imply acceptance of concurrence,but simply receipt of a copy of this form,placing
the building permit owner on notice of this assessment and the conditions of payment for same.
DATE RECEIVED BY
RECEIPT NO. DATE BY
K
e'13-780-0020 City of Zephyrhilis Permit Application Fax=a1a-Tao-0021
Building Department
Date Received
Phone Contact for Permitting
{
Owner's Name c ,- �- Owner Phone Number
•Owner's Address � �� �e 1'P j" ' r� T ,�6t 54,52.W, ner Phone Number C_
Fee Simple Titlehoider,Name ��G ,r�. _---1 Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS j l( .Q j^ ' LOT# -
SUBDIVISION PARCEL iD#.
(OBTAINED FROM PROPERTY TAX NOTICE) '
WORK PROPOSED NEW CONSTR SIGN 0 0 -DEMOLISH
INSTALL 8 ADD/ALT REPAIR
PROPOSED USE F9"' SFR COMM OTHER
,TYPE OF CONSTRUCTION BLOCK . FRAME STEEL
DESCRIPTION OF WORK (1 1 4rf
BUiLDING.SIZE SQ FOOTAGE= HEIGHT
Y-'1-re-a- -a- - ~a-u-a���^e^e�-�a^s�e-rr�-6--sr-sOI � &"c'�a-�a'�r-6sp � 1-1
=BUiLDiNG $ 3 VALUATION OF TOTAL CONSTRUCTION
�ELECTRiCAL $- a� a AMP SERVICE 0 PROGRESS ENERGY W.RiC.
]PLUMBING $.
l =MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION i i^� - V"
rGAS E: ROOFING 0 SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS /f.�, FLOOD ZONE AREA DYES NO
-6-1C-rP-�-�-8-'I�i-�-G�➢-Ir-B--G-6-£-➢-li--�-�-8-�-8-�E-�-8--�-�-"��"--2���P��& 8 �'��B=,�2�,��a�6•�-E�
. BUILDER - . COMPANY %I Jx �a 1r�s� '; 4-es
SIGNATURE - REGISTERED Y/ N FEE CURREN Y(N
Address /c� G�v� / ~ �2"{�.�^i ,2� r )Grp a �. License# �:✓ �=E CJ fv 1
r
i;LE CIRICIA(1 f COMPANY C� �1?C n`? � F� {=C-7 tom,
SIGNATURE REGISTERED Y( N FEE CURREN Y/N
Address 8"fi. � t P`ry/rm�°" �✓`-1' License# FEdJ c
PLUMBER t"r� `�*� tl COMPANY
-SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address fcc r mi�l2�r� License#
MECHANICAL {^ COMPANY &/%fa `
SIGNATURE 5C'' """ --"-•"REGISTERE6 Y// N FEE CURREN Y/N
License# CA o,�5
Address '�a'� !`;f a,y„- f c<• i' 52�
OTHER - -� _r.,..�.------- COMPANY ��,�F�' ,. ..: t f<'�.:�T ,•��!.�7`-f,F"�-T' .
SIGNATURE' �" REGISTERED Y/ N FEE CURREN Y/N /
Address1" /ti(" ?% C License# r i
! 1lll. ! ➢ 1 ! ! ! ! !. ! ! ! ! ! :; l ➢- ➢ ! ! ! ! ! ! ! ! ! ! ! ! ! ➢ l ➢ ➢ l ➢ E ➢ ! ! ! ! ! ➢ ! ! .Ili ➢ ➢ ➢- ➢ l ➢ B ➢ @8H6 ,fl � ➢
RESIDENTIAL Attach (2)Plot Plan>; (2)sets of Building Plans; (1)set of Energy Forms; R-O-W Permit'for new construction,
fMinimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Slit-Fence installed,
Sanitary Facilities 1, 1 dumpster;Site Work•Permit for"subdivisions/large projects
COMMERCIAL Attach (2)comple!i. Sets of Building Plans plus a Life Safety Page;.(1)set of Energy Forms. R-O-W Permit for new construction.
Minimum ten(10)t.xk{ng,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,
i *""PROPERTY'Sl.r•tVEY required for all NEW construction,
-..e➢..!Directions:,':�-➢-&.➢.�-4..�,..➢.-l.-d.:.A.,.;.�8-!!v&-?>•.�5-8�-'bo.l.-�-.B-b.-1-806-g.�-B�-E-�-➢�&� 4��➢.�E..�9®➢
Fill out application completely.
Owner$ Contractor sign back of i.)plication,notarized
If over$2500,a Notice of Comri:.:mcement is required. (A/C upgrades over$7500)
** 1 Agent(for the contractor)or Pow,_-of Attorney(for the owner)would be someone with notarized letter from owner authorizing Same
OVER THE COUNTER PERMITTING . (copy of contract required)
Rerdofs if shingles Sewers ;;ervice Upgrades A/C Fences(Plot/Survey/Footage)
4 Driveways-Not over Counter if on Dublic roadways..needs ROW
. \
N OTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" rostrictions"I.
which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictio
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 violationi
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 In spectio ri'Division—Lice�ri sing Section at,727-847-1.
` ovvo Furthermore, if the owner has hired" a contractor" or contractors,~ he is advised-to have the ------' -
portions of the "contractor Block" of this application for which they will be responsible. If you, as the.owner sign as thel,
' contractor,_- -_ --~ b an indication that he is not properly
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned.understands!
that Transportation Impact Fees and Recourse Recovery Fees may apply to the constructionof new buildings, change
use in existing buildings, or expansion of existing .buildings, as specified in Pasco County Ordinance number 89-07 and!;..
90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of;
permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees.must be paid prior to
receiving a "certificate of occupancy" or final power release. If the projectdoesnot involve.a certificate'of occupancy or.,
final power
fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. t
CONSTRUCTiON LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of\q.ork is $2,500.bo or more, 1�,
certify that 1, the applicant, have been provided with a copy of the "Florida Construction- Lien Law—Homeowners
Protection Guide" prepared by the Florida Department of Agriculture.and Consumer Affairs. If the applicant is someonei
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. I - . i
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work!
will be d one in compliance with all applicable laws regulating construction, zoning and,land development. Application isl,
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
co'nstruction, County and City codes; zoning regu'lations, and land development regulations.in the jurisdiction. I also,
certify that | understand that the regulations oTotner government agencies may apply to the x/u,//deu vvu/^' and that it /
n?/responsibility to identify what actions | must take tobeincompliance. Such agencies include but are not limited toz I �
� Department of Environmental Protection-Cypress Bayheade. VVetiend Areas and SensitiviJ
Water/Wastewater Treatment.
Southwest Florida Water Management Diatrict-We||s, Cypress- Bayheods, Wetland Areas,, Altering
Watercourses.
� rpa of Engineers-Seawalls, Docks. Navigable Waterways.
' Department0fHeabh & RehabUba1iveSen/ioes/Emvironmante| HeobhUnit-VVa)s. VVustnvvaturTrea1mont'. � '
Septic Tanks. ` �
' US-Environmental Protection Agency-Asbestos abatement. '
' Federal Aviation Authority'Runwayo.
' ( understand that the following restrictions apply to the use offill: �'
Use of fill ka hot 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 drainageplan addressing
compensating volume" vjU'ba submitted ad time nf permitting which Jsprapared.bv apr8fesa|onaiengineer
'
licensed by the State ofFlorida. _
' If the OU material is to be used in Flood Zone 7\ in connection with a,pennitted, bui|ding us|ngsternvvall '
construction, | certify that fill w ill bo used only bo fill the area within thastemwall. � '
If fill nnatehe| 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 violatin6
the conditions of the building permit issued under the attachad.penmit aooUcahon, for lots,less than one U\
` acre which are elevated by fill, on engineered drainage plan is required, '
If | am the AGENT FOR THE OWNER, { promise in good faith to inform the owner of the permitting conditions '
ththaffidavita� �vaffidavitprior to commencing construction. | understand that a separate permit may be.required for electrical work;,
plumbing, signs wells, pools, air conditioning, other installations ot specifically included in theO ati
permit issued shall be consffued 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^^ ~od^~' nor shall issuance ~ a permit prevent the B""="u uxum/from u,e/puue
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 b�
the permit ia suspended or abandoned for a period,of six KDrnor' hoa��rthe-�ma the miork |ncornmenoed. An
-extension
may be requested, in writing, from the Building �ic\�| for a period not to exceed ninety (SO) 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
PANT�/l[����0�{ IMPROVEMENTS TO YOUR PROPERTY. IF INTEND OBT�lya �|N��NCJNC� C�[]0�U '
� {�
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMI�NT.
OWNER OR AGENI CONTRACTOR
Subscribed an'd sworn to (or affirm6d)before me this
Subscribed and sworn to(or affi.rmed)before me this
- by by
,,.o,is/are personally known o"=m .m=.umowwuuxoo . Who is/are pprsonmly known mmomhas/have produced .
, as identification. as identification.
'
' �^
`~ Notary� _-_ /
/7
�nmm�umn Commission
wameofNotary typed printed or stamped Name ofNotary typed,printed or /
'
`
Michelle Moyes
' |
' My Commission GG 057321
' !
.
D.R. Horton-7005 Silverado Ranch Blvd:3,153 sqft
t;olumn
SO.FEET PRICE
MAIN OR LIVING: 3,153 $ 112.65
R AREA UNDER ROOF: - $ 88.00
>'0,: C-
=` 'OTHER: - $
5.9.5G'S`� i:.y .T
1 5 .5 0.5 �:1. -.: . VALUATION '$ 355,185.45
FEE:SHEET $ 1,820.00
C ADDRESS $ 30.00
.:r v DRIVEWAY $ 45.00
- BUILDING: $ 1,931.40
ELECTRICAL: :$, 409.50
PLUMBING: $ 273.00
MECHANICAL: -$ 191.10
SUB-TOTAL $ 2,805.00
•V
TOTAL $ 2,805.00 O
SEWER:
WATER:
IRRIGATION: $ -
TOTAL: $
WATER METER:
IRRIGATION METER $ -
FIRE DEPARTMENT FEES
PLANS TOTAL:
INSPECTION TOTAL:
PERMIT TOTAL
TOTAL: $
PUBLIC SAFETY IMPACT FEES
POLICE $ 254.00
FIRE $ 273.00
5% $ 26.35
TOTAL: $ 553.35
SUB-TOTAL $ 3,358.35
PARK IMPACT FEES $ 769.56
SIF'S: $ 7,728.00
100.0% $ 7,728.00
1.0% $ 77.28
TOTAL: $ 7,805.28
•T I F'S: $ 3,632.00
99% $ 3,595.68
1% $ 36.32
TOTAL: $ 15,565.19
CITY OF / / BUILDING
ZEPHYRHILLSNOTICE
DEPARTMENT
OF ADDITION OR CORRECTION
D • NOT REMOVE
ADDRESS DATE PERMIT#.
7mc,�- 5400-ailb (;�" qllc9fe7� -
THIS JOB HAS NOT BEEN COMPLETED. The following additions or corrections shall be made before the job
will be accepted.
Iwo-
It is unlawfpl for any Carpenter,Contractor,Builder,or other persons,to AFTER CORRECTIONS ARE MADE CALL
cover or cause to be covered,any part of the work with flooring,lath,earth 780-0020 FOR E-IN CTION
or other material,until the proper inspector has had ample time to approve
the installation.
OFFICE HOURS 7:30AM-4:30 PM MON.-FRI. INSPECTOR
CITY OF " NOTICE "
/ / BUILDING
ZEPHYRHILLS DEPARTMENT
OF ADDITION OR CORRECTION
D • NOT REMOVE
ADDRESS DATE PERMIT f
7a 2 r S,fV2P1 /
THIS JOB HAS NOT BEEN COMPLETED. The following additions or corrections shall be made before the job
will be accepted.
& -6
Iry
�6
It is unlawful for any Carpenter,Contractor,Builder,or other persons,to AFTER CORRECTIONS ARE MADE CALL
cover or cause to be covered,any part of the work with flooring,lath,earth 780-0020 FOR RE-INSPECTION
or other material,until the proper inspector has had ample time to approve 0�1
the installation.OFFICE HOURS 7:30AM-4:30 PM MON.-FRI. INSPECTOR
n',
_ PASCO COUNTY Receipt Date: 4/11/2016 12:191
BUILDING CONSTRUCTION SERVICES Receipt Number 1802100
PAS 8731 Citizens Drive
COUNTY Rom Suite 230
OP34 SPACES.V,nw+nrr Putcts. New Port Richey,FL 34654
727-847-8126
** NOT A PERMIT **
Paid By Check# CC Auth# Cashier Workstation
Check 092053 SLEBLANC BCCCP06W
Fee Description Amt Paid
Impact Fee Residential Solid Waste Single Family 12.74
Total Payments: 12.74
Pao Address phone
DR Horton,Inc. 1341 Horton Circle
Arlington TX 76011
Comments;
City of Zephyrhills Solid Waste
7005 Silverado Ranch Blvd.
05 26 210100 00600 0570
While you will be paying your bill with Pasco County Building kbnstructtan Services,the lute amount of the cradit card or"heck fees,NOT'fawn above,Is collected by First
Billing payment services.
i
I
I
myroportsl eportsllPASCOPROD/PASCO/Customer Receipt vld.rpt Print Date: 10/21I2019 Page 1 of 1