HomeMy WebLinkAbout19-21743 CITY OF ZEPHYRHILLS
5335-8TH STREET
(813)780-0020 21743
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
PERMIT INFORMATION LOCATION INFORMATION
Permit#:21743 Issued: 9/11/2019 Address: 7055 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: 266,079.30 Total Fees: 14,897.69 Subdivision: SILVERADO
Amount Paid: 14,897.69 Date Paid: 9/11/2019 Parcel Number: 05-26-21-0100-00600-0620
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 2,362 SQ FT
APPLICATION FEES
PLUMBING FEE 206.25 ELECTRICAL FEE 309.38 MECHANICAL FEE 144.38
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 1,477.49 PARK FEES SF 769.56
POLICE IMPACT FEE 254.00 FIRE IMPACT FEE 273.00 PUBLIC SAFETY 5% 26.35
Ins ections.Re uired
FOOTER 2ND ROUGH PLUMB MISC INSULATION 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:
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.
C610TAACTORS SIGNATURE PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIOlf
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
D.R. Horton-7055 Silverado Ranch Blvd:2,362 sqft
Column ts
SQ. FEET PRICE
MAIN OR LIVING: 2,362 $ 112.65
OTHER AREA UNDER ROOF: - $ 88.00
OTHER: - $ -
VALUATION $ 266,079.30
FEE SHEET $ 1,375.00
ADDRESS $ 30.00
DRIVEWAY $ 45.00
BUILDING: $ 1,477.50
ELECTRICAL: $ 309.38
PLUMBING: $ 206.25
MECHANICAL: $ 144.38
SUB-TOTAL $ 2,137.50
TOTAL $ 2,137.50
,'SEWER: -
A WATER:
/IRRIGATION: $ -
j TOTAL: $ -
WATER METER:
IRRIGATION METER $ -
FIRE DEPARTMENT FEES
PLANS TOTAL:
INSPECTION TOTAL:
PERMIT TOTAL
TOTAL: $ -
PU ICSAFETY4MPACT FEES
POLICE $ 254.00
FIRE $ 273.00
5% $ 26.35
TOTAL: $ 553.35
SUB-TOTAL $ 2,690.85
PARK IMPACT FEES $ 769.56
SIF'S: $ 7,728.00
00.0% $ 7,728.00
1.0% $ 77.28
TOTAL: $ 7,805.28
T I 4is-;0
3,632.00
3,595.68
36.32
TOTAL: $ 14,897.69
INSTR#2019151172 OR BK 9968 PG 1519 Page 1 of 1
09/05/2019 05:26 PM Rcpt:2087785 Rec:10.00 DS:0.00 IT:0.00
Nikki Alvarez Sowles,Esq.,Pasco County Clerk&Comptroller
Permit No. Parcel ID No ^�b^ — — ♦�O(O(� `��'
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 Commg{nce,,m,,eint ;� }� !�fi
1. Description of Property: Parcel Identification No.0 T ilk C7 cl< �^O7 i��/•2("r.e^I. ` 13Q . `-e t1=J
Street Address: i V�COLD CUV1t �11 ibkVC1 L.e j^h,��5 EL �� ff l
2, General Description of Improvement New Single Family Residence
3. Owner Information or Lessee information if the Lessee contracted for the improvement:
R Horton, Inc
Name
12809 Talennm []rives Tampa 33637
Address City State
Interest in Property: Fpp- Imple
Name of Fee Simple Titleholder.
(tf different from Owner listed above)
Address City State
4. Contractor, D.R. Horton- 1nr,
Name
9202 Telecom Ddye Tarnpa 33637 FL
Address City State
Contractor's Telephone No.:
5. Surety: NIA
Name
Address City State
Amount of Band: $ N/A 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 713.13(1)(a)(7),Florida Statutes:
David Gude
Name
12602 Telecom Drive Tampa 33637 -fl_
Address City-T state
Telephone Number of Designated Person: 813-740-9720
8. In addition to himself,the owner designates N/A of
to receive a copy of the Uenor's 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 ncommencement and that the facts stated therein are true to the best
of my knowledge and bebef.
STATE OF FLORIDA
COUNTY OF PASCO
Signature of Owner or Lessee,or C7wners or Lessee's Authorized
Officer/ irector/Partner/Manager
Assistant SecretgEWD.R. Horton, Inc
Signatory's Title/Offloe
The foregoing instrument was acknowledged before me this::day Z—Ak@n620 jn by
as Assistant Serata[y (type of authority,e.g.,officer,trustee attomey In fact)for
D.R. Horton, Inc name of party on behalf of whom Instrument was executed).
Personally Known C4 OR Produced Identification❑ Notary SignatureQ`VN
Type of Identification Produced Name(Print)
,�.�oi►RY v����r QANA ANNE NA6NTlN
Notary Public-state of Florida
Commission#GG 010660
My Comcn_Expires Jul 12,2020
wpdatatbes/ncticecommencemerrtpc053048
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.
7. All.proper'y.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).
11. Appliances shall not be installed in a location where subject to mechanical damage unless
protected by approved barriers. M303.4 of the F.B.0
12. Water heaters shall comply with section P607.3 of the F.B.C..
13. Foundation supports for A/C units shall be raised at least 3" above finished grade. M1308.:1
14. Return air in all bedrooms. F.B.C. Ml620.4
15. Smoke detectors are to be installed in accordance with R313.1 of the F.B.C.
16. All glazing requirements are to be in' accordance with R368A 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.
10. Combination-type AFCI breakers are required at all locations requiring an AFCI type breaker.
20. Carbon monoxide alarms will be required in new construction that uses fossil-butmng 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.
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. R401'5.3Hof water pipe insulation
Insulation for hot vuater. 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 heater to.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 of the enery cacls shall be with permit at all tin:es
27. Copy offnal insulation�reportshafl be provided with permit before rinaf
28. No fence,pool or'screen enclosure :is issued with ahis perinit.
F.F.E.-Finished Floor Elevation
F.B.C-.Florida Building Code 0"Edition
R.O.W.-Right of Way
A.D.A.-Americans with Disabilities Act N.E.C.-National Electric Code (2016)
PASCO COUNTY, FLORIDA
Pilrmlt No.
Date Pa mltted
Builder Name/Owner Nam Control#'
County Parcel No. IDS-26-2-1"0 1 Cam-W-gQMb SubDiv:_
Pa/L t
AddresslLocallon Z 51 i
Classificabon/rype of Usg a
TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: r
Exempt ❑Yes []No How Determined
1 Impact Fee Amount $. �{ ✓ v Zone No. TAZ:
! SCHOOL IMPACT FEE 0,!n 25
Account (056) Single-Family Detached House Amount $
(057) Mobile Home
(058) Other Residential
23) Collection Fee
.Exempt d Yes No How Determined
PARKS AND RECREATION FEE
Land Account Land Credit Land Total
Recreation Account Recreation Credit Recreation Total
Zone TOTAL AMOUNT $ 76 2°v k
Exempt ❑Yes ❑No How Determined
LIBRARY FEE
Land Account Land Credit Land Total j
Facility.Account Facility Credit Facility Total
Exempt ❑Yes ❑No How Determined Total Amour t I.
RESOURCE FEE ERU
TOTAL AMOUNT
Prepared By ` Checked By
NO CERTIFICATE CCOCCUPANCY 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 dose not Imply acceptance of concurrence,but simply recolpt of a copy of this form,placing
the building permit owner an notice of this assessment and the conditions of payment for same.
DATE RECEIVED BY
RECEIPT NO. DATE BY
,
f PASCO COUNTY Receipt Date: 04/11/2016
PAC � BUILDING CONSTRUCTION SERVICES Receipt Number. 1925663
J 8731 Citizens Drive
COUNTY FLORIDA Suite 230
Orr3v Srt m.Kgimrvr I'mm. New Port Richey, FL 34654
727-847-8126
** NOT A PERMIT **
Paid By Chec # CC Auth# Cashier D Workstation
Check 1036516 RFIKAR BCCCP35W
Fee Descriotion Amount Paid
Impact Fee Residential Solid Waste Single Family 63.00
Total Payments: $63.00
Pavor Address Phone
DRH,DEANNE 12602 TELECOM DR
TEMPLE TERRACE FL 33637
Comments:
f Z 217W
05 26 210100 00600 0620
7055 SILVERADO RANCH BL,ZH
while you will be pavbv your blllwith Pasco County Bulldin Construction Services,the full amount of the credit card or echedc fees,Nar shown above,Is collected by First
Billing payrnent services.
myreporis/reports//PASCOPROD/PASCO/Customer Receipt vlf rpt Print Date: 01/17/2020 Page 1 of 1
• PLOT PLAN
DESCRIPTION:(AS FURNISHED)
LOT 62, BLOCK 6, SILVERADO RANCH SUBDIVISION PHASES 7, 9B, 11A AND 11B
AS RECORDED IN PLAT BOOK 77, PAGE(S) 79-86, OF THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA.
ON LOT CALCULATIONS
LOT = 6,971 SQ. FT.
LIVING AREA = 1,828 SQ. FT.
Line Table GARAGE = 430 SQ. FT.
Line y Direction Length ENTRY = 16 SQ. FT.
LANAI = 88 SQ. FT.
L1 S02-35.32-W 0.46' PATIO = 0 SQ. FT.
DRIVEWAY = 497 SQ. FT.
A/C PAD = 12 SQ. FT.
Curve Table WALKWAY = 28 SQ. FT.
Curve III Length Radius Delta Chord Bearing Chord IMPERVIOUS = 42%
= 2899 SO. FT.
Cl 49.54' 2140.00' 1'19'35' S01'55'44'W 49.54' SOD = 4,072 SQ. FT.
C2 508.34' 2100.00' 13'52'09' 5042 OFF LOT CALCULATIONS0'33'E 507.10' _
RIGHT OF WAY = 1300 SQ. FT. 1" = 30'
C3 458.80' 2100.00' 12'31'03" SD5v1'O6"E 457.88' DRIVE APRON = 199 SQ. FT. GRAPHIC SCALE
C4 49.54' 2100.00' 121'06' S01'54'59'W 49.54' PUBLIC S/W = 246 SQ. FT.
SOD = 855 SQ. FT. 0 15 30
TOTALS
AREA = 8,271 SQ. FT.
DRIVEWAY = 696 SQ. FT.
SIDEWALK = 274 SQ. FT.
SOD = 4,927 SQ. FT.
I LOT 63
BLOCK 6 I
I i I =3 ry �
S87.24'2812E
I b N 139.23'
z a I O I 59.1' N 5' D&AE � iv PC
8gW I Fg 59.7'p �' 205'
o a i a LC) I m < 59.67' =::> -:1t"' ,.:. _
�QQz cm, W I (O H w i. io n'd z y.:�8 0Q' c a �oI wooc>>QzNy,� �a: .�•'...
i1
; "
W
N y Ja 10Y ry
i0
0.0.. p
= o a} 01 a 4.7
o$ M 1:w0 T Ur
4.7-O p Q3
p
.6 5'D&AE 21,0'—_ I 0 p
N87'24'28"W N '___
e !p (NON-RADIAL) 139.80 --- ,•-N87'24'28•W ---� W 00
40.01, to
II LOT 61 I 1
BLOCK 6
PREPARED FOR:
D-RNOMON-0-7-0 V
BUILDING SETBACKS
FRONT: 20' PI
REAR: 15'
SIDE: 5' (50' LOTS)
7.5' (55' & 60' WIDTH LOTS)
SIDE STREET: 15'
NOTES:
1. ELEVATIONS SHOWN ARE PER LOT GRADING LEGEND:
PLANS PROVIDED BY THE CLIENT.
2. ELEVATIONS ARE BASED ON NAVD 1988 — BUILDING SETBACK UNE PI POINT OF INTERSECTION
DATUM. PC POINT OF CURVATURE
3. FOR ALL LOTS WHERE SIDE—YARD — CENTERUNE PT POINT OF TANGENCY
SETBACKS ARE LESS THAN 7.50 FEET, A RIGHT OF WAY UNE RP RADIUS POINT
PRC POINT OF REVERSE CURVATURE
MINIMUM 5.00 FOOT WIDE DRAINAGE AND PROPOSED ELEVATION
PCC POINT OF COMPOUND CURVATURE
ACCESS EASEMENT IS REQUIRED PER PASCO pRoposED DRAINAGE Flow cs CONCRETE SLAB
COUNTY LAND DEVELOPMENT CODE.
R PLAT
THIS PLOT PLAN IS INTENDED FOR PERMITTING PURPOSES 0 CONCRETE (C) CALCULATED
ONLY. THIS IS NOT INTENDED FOR THE CONSTRUCTION OF A/C AIR CONDITIONER PB PLAT BOOK
THE PROPOSED HOUSE. REFER TO HOUSE PLAN AND S/W SIDEWALK PGS PAGES
OPTION LIST FOR CONSTRUCTION. ALL BUILDING SET BACK SO. FT. SQUARE FEET
D&AE DRAINAGE&ACCESS EASEMENT F.E.M.A. FEDERAL EMERGENCY MANAGEMENT AGENCY
LINES SHOWN HEREON IS PER DATA FURNISHED BY CLIENT F.I.R.M. FLOOD INSURANCE RATE MAP
AND IS FOR INFORMATIONAL PURPOSES ONLY, NAVD NORTH AMERICAN VERTICAL DATUM
NGVD NATIONAL GEODETIC VER71CAL DATUM
THIS IS NOT A SURVEY D&UE DRAINAGE&UTILITY EASEMENT
POE PRIVATE DRAINAGE EASEMENT
THIS IS A PLOT PLAN ONLY PUE PUBLIC UTILITY EASEMENT
FLOOD NOTE: SURVEYOR NOTES:
I HAVE EXAMINED THE F.I.R.M.MAP NO. 121O1CO288F, 1. THE SURVEYOR HAS NOT ABSTRACTED THE
DATED SEPTEMBER 26. 2014. AND FOUND THE SUBJECT PROPERTY LAND SHOWN HEREON FOR EASEMENTS, RIGHT
APPEARS TO LIE IN ZONE"X',AREAS DETERMINED TO BE OUTSIDE THE OF WAY, RESTRICTIONS OF RECORD WHICH
0.29 ANNUAL CHANCE FLOODPLAIN. THE SURVEYOR MAKES NO MAY AFFECT THE TITLE OR USE OF THE LAND.
GUARANTEES AS TO THE ABOVE INFORMATION. PLEASE CONTACT THE
LOCAL F.EM.A. AGENT FOR VERIFICATION. 2. NO UNDERGROUND IMPROVEMENTS HAVE BEEN
LOCATED EXCEPT AS SHOWN.
BEARING BASIS:
BEARINGS SHOWN HEREON ARE BASED ON THE NORTHERLY UNE OF A5hA 3. NOT VAUD WITHOUT THE AUTHENTIC
LOT 62, BLOCK 6 BEING S8724'28'E, PER PLAT. ELECTRONIC SIGNATURE AND THE AUTHENTIC
A M E R I C A N ELECTRONIC SEAL OF A FLORIDA LICENSED
(FIELD DATE:) REVISED: SURVEYOR AND MAPPER.
SU R V E Y I N G nm Digitallysigned b8cleman, Boleman
1'= 30 FEES 1. x`...'.V a 41 DN:cn=James W.Baleman,
SCALE: a�s:�..A.••.;
8eM A P P I N G INC. a� „o=American Surveying&Mapping,
APPROVED BY: J95 f� �naxs j ,�tl�Inc,ou=HB,
CERTIFICATION OF AUTHORIZATION NUMBER LB#6393 °; na c f5s��243 email=lboleman@azmcorporate.com,
FO
18082D LOT 62, 3191 MAGUIRE BOULEVARD, SUITE 200 ','••".:°"°:;y ���too odando,Fl THE
JOB NO. BLOCK 6 ORLANDO. FLORIDA 32803 aQR � Date:2a19WAI16:4333-04.00• FIRM
DRAWN BY: DSB WWW.AMERICANSUR
PLOT PLAN 03-12-19 KJW VEYINGANDMAPPING.COM JAMES W. BOLEMAN PSM# 6485 DATE
M' V4GV City of Zephyehills Permit Application Fax-813-780-0021
Building Department
Date Received
Phone Contact for Permitting -
-T I-I-C-i-ITr- {�
Owner's Name ;» t. Owner Phone Number �� : J
Owner's Address 4-59Owner Phone Number
Fee Simple Titleholder Name �- r Y�• Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESSCj_ U'�ri 6GrA LOT# 2
SUBDIVISION PARCEL ID# � r�
(OBTAINED FROM PROPERTY TAX NOTICE) '
WORK PROPOSED EJ" NEW CONSTR 8ADD/ALT 0 SiGN 0 DEMOLISH
IN STALL REPAIR
PROPOSED USE F_9_ SFR COMM OTHER
TYPE OF CONSTRUCTION . �/` BLOCK FRAME ] STEEL 0
DESCRIPTION OF WORK � J 4 t � '3`a� �,�C to cs
BUILDING SiZE SQ FOOTAGE - W7_r HEIGHTr'�-r>r-rr"�"r"r'>:-s-'rt-t-r-r'r�t�rrr�r-R-ra-r^r-r'rc-t-
=BUILDING $
VALUATION OF TOTAL CONSTRUCTION
DELECTRICAL $, a�® AMP SERVICE 0 PROGRESS ENERGY W.R.E.C.
=PLUMBING $ lit
i
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS ROOFING [� SPECIALTY I^� OTHER
FINISHED FLOOR ELEVATIONS U FLOOD ZONE AREA [ YES NO
•4-�E-1-4-4-1-6--6--t--i-'i-1•-C-C-1''--C-i`-➢-C-i-C--i-&l C-:-C--C-�i-:-Fif-i-i-:�-�-'�-:-:-�fr=e-➢-C-*-:-3-i--8-6-6�c-8 u.-$-1-�:-.)�'P.'�-"�7-4-i-•i-�-
BUILDER fC ..�.�-=-'� COMPANY
BiGNATURE REGISTERED Y( N FEE CURREIt Y/N
Address %coC�vJ /-c�/r%o License#
=L ECTRiCIAN Cl-/3,�, , ,/'� -•- COMPANY
31ONATURE 1 REGISTERED Y/ N FEE CURREN Y/N
Address ' 'f �4 k� License# 1 ar �
'LUMBER COMPANY
31GNATuRE REGISTERED Y/ N FEE CURREN Y/N
Address � .. rrt r �J41-O CIE License# a re 0 V/-2�� r` .
AECHANiCAL COMPANY
3IGNAI°URE f,�` .. '""�'''" ^^~ - ----REGISTERED I Y/( N FEE CURREN Y/N
AddressG1 �►�Eo fi��a•� "cac.tli ' )(` License#
)THER �~ _ COMPANY
iiGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address ��-_ � y'rr 1 License# F i
I11111111ti1111i1tliIillltiiliiltiiliiilitiliiillillllllliili11111
IESIDENTIAL Attach(2)Plot Piar•;; (2)sets of Building Plans; (1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten (10)v:orking days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt.Fence installed,
Sanitary Facilities F� 1 dumpster;Site Work*Permit for subdivisions/large projects
,OMMERCiAL Attach (2)compiett 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 )rking days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities G 1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
;IGN PERMIT Attach (2)sets of E igineered Plans.
V**PROPERTY'SI!,RVEY required for all NEW construction.
I-.1-.E-f-A..6...i..i...i...4.i...1--1--I-M-#.:bs:.•..F..6..1-.1G-1-S-f-I�t-1.-8...1.-i..i�i-k 7-i..B..i�6...b-I-t�-E-i-�•.eel-•i..�-•�•�-> ..6�.-�@�B-4..Ovb..�.�..a..
lirections:
Fill out application completely.
Owner� Contractor sign back of.;)placation,notarized
If over$2500,a Notice of Comwimcemerit Is required. (A/C upgrades Over$7500)
Agent(for the-contractor)or Pow(;, of Attorney(for the owner)would be�someone with notarized letter from owner authorizing same
1VER THE COUNTER PERMITTING (copy of contract required)
eroofs•if shingles • Sewers • .service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
.
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to "deed" restrictions",
which may bm more restrictive than County regulations. The undersigned assumes responsibility for oorrtpUanme,with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR F{ESPONSlB|LU'IGS: |f the owner has hired a contractor o,
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 |uw, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended-contractor are uncertain as to what licensing requirements may apply for the
intended \mn[k, they are advised to contact the Pasco County Building Inspection Division—Licensing Section Ed727-847-
` 8009. Furthermore, if the owner has hired a contractor or oon1raotona, he is advised to have the contractor(s) sig.ri
portions of the "contractor 8|ook^ of this application for which they will be responsible. ifyou. aa the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled to parmitt|ng privileges.in Pasco
County,
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned.understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing buUdingo, or expansion of existing buildings, as specified in Pasco County Ordinance number 89'07 and
80'07, 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/'cert|ficeteof occupancy" or final power release. |f the project does not involve a certificate of occupancy or
final power na|eaae, the faaa must be paid prior to permit iesuanoe. Furthermore, if Pasoo�County VVo1or/Gevver Impact
fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended)* If valuation of Work is $2.500.00 or more, |
certify that \, the applicant, have been provided with a copy of the "Florida Construction- Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture.and Consumer Affairs. If the applicant is someone
other than the"owner", I certify that I have obtained a copy of the above described document and promise in good faith to
deliver itto the^ovvna/' prior tocommencement.
CONTRACTOR'S/OWGER'SAFFIDAVIT: lbertify that all the information in this application is accurate and that all work
will be done in compliance with all applicable |mwa regulating oonotruntimn, zoning and.land development. Application is
hereby made to obtain a permit to do work and installation as indicated. | oadifv that no work or installation has
commenced prior to issuance of permit and that all work will be performed to meet standards of all laws regulatingconstruction. County and City codes; zoning regulations, and land development regulations. in the jurisdiction. | also
certify that I understand that the regulations of'other government agencies may apply to the intended work, and that it is
my responsibility to identify what actions \ must take tobeincompliance. Such agencies include but are not limited to:
' Department ofEnvironmental Protection-Cypress Bayhoads` VVet|and Areas and Environmentally Sensitive
[ands.VVotor/Na��evvcderTnectnnonL
' Southwest Florida VVsder Management Oistrint'VVa||o' Cypress BaYheads, Wetland Areas, Altering
Watercourses.
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- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-VVe|hs, Wastewater Treatment,..
Septic Tanks.
- US-Environmental Protection Agency-Asbestos abatement.
' Federal Aviation Authorhy-Runvvaye.
| understand that the following restrictions apply 1n the use offill:
- Use of fill is not allowed in Flood Zone"V" unless expressly permitted.
- |f the fill material is to be used in F|ood Zone 'A". it is understood that a drainage plan addressing a
"oonnpeneoting volume" will be submitted at time of permitting vvh|oh is prepared by e prVfeabiona| engineer
licensed bythe State ofFlorida.
- If the fill material is to be used in Flood Zone "A" in connection with a permitted building using ota0 vva||
construction, I certify that fill will be used only to fill the area within the-stem wall.
- If fill material is to be used in any area. | certify that use of such fill w||\ not adversely affect adjacent
. properties, If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (i)
acre which are elevated by fill, an engineered drainage plan is required.
'if | a0 the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. | understand that a separate permit may be.required for electricalwork,plumbing, signs, we||s, pools, air conditioning, gas,,or other installations not specifically included in the application. &
permit issued shall be construed to be a license to proceed with-the work and not as authority to vio|ate, oanoe|, e|tor, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors-in plans, construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of permit iaauanoe, or if work authorized by
the pernnbiSnuGpenU8dor abandoned for a period,of six AG\ months after the time the Work |ocommenced. An extension
may be requested, in vVrit|ng, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
� justifiable cause for the extension. If work ceases for ninety (90) consecutive days,the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD 8 NOTICE OF COMMENCEMENT MAY.RESULT IN YOUR,
PAYING TWICE FOR IMPROVEMENTS T0 YOUR PROPERTY. IF YOU INTEND TO OBTAIN FlNA0K�0G, CO08QLT
WITH YOUR LENDER OR AN ATTORNEY BEFORE 14ECORDING YOUR NOTICE OF COMMENCEMENT:
OWNER OR AGENT CONTRACTOR
Subscribed and sw n to(or affirmed)before me this Subscribed and.sworn to(or affirmed)before me this
by
Who is/are personally known`""="' "=v"=~ap"""=d Who is/are personally known mmeo,has/have produced
identification. as identification. '
Notary
puUKo Notary Public `
`
oummissmn No. Commission
Name of
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printed
Notary. typed,--_or stamped_ _ _Name—Notary typed,printed_ stamped .
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