HomeMy WebLinkAbout20-22680 CITY OF ZEPHYRHILLS
5335-8TH STREET
„ (813)780-0020 22680
BUILDING PERMIT SINGLE FAMILY RESIDENTIAL
PERMIT INFORMATION = LOCATION;INFORMATION' 3 ' :
Permit#:22680 Issued: 3/26/2020 Address: 7773 BROAD POINTE DR
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: 187,900.20 Total Fees: 18,958.75 Subdivision: ZEPHYR LAKES
Amount Paid: 18,958.75 Date Paid: 3/26/2020 Parcel Number: 35-25-21-0140-01000-0060
-CONTRACTOR INFORMATION OWNEWINFORMATION
Name: DR HORTON INC Name: DR HORTON INC
Addr: 12602 TELECOM DR Address: 12602 TELECOM DR
TAMPA, FL. 33637 TAMPA, FL 33637
Phone: (813)549-1968 Lic: Phone: 813-549-1968
Work Desc: CONSTRUCT SINGLE FAMILY 1,668 SQ FT
APPLICATION FEES {
P MBING FEE 147.00 ELECTRICAL FEE 220.50 MECHANICAL FEE 102.90
SCHOOL IMPACT FEE-sfr/1% 83.28 SCHOOL IMPACT FEE-sfr/100% 8,328.00 TRAFFIC IMPACT FEE 1% 36.32
TRAFFIC IMPACT FEE 99% 3,595.68 BUILDING FEE 1,074.60 POLICE IMPACT FEE 254.00
FIRE IMPACT FEE 273.00 PUBLIC SAFETY 5% 26.35 PARK FEES SF 769.56
WATER CONNECTION RESIDENT 1,010.00 SEWER CONNECTION RESIDEW 2,090.00 WATER METER RES 3/4" 473.78
IRRIGATION METER 473.78
_L "
QW
Ins`ections Required
FO TER 2ND ROUGH PLUMB I INSULATION CEILIN
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.
CONTRACTORS SIGNATURE PERMIT OFFI
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTIOff
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
OR BK 1 0056 PG 3143 Page 2 of 2
Permit No. Parcel lDNo
NOTICE OF COMMENCEMENT
State of Flotida County of PaSQQ
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and in accordance with Chapter713,Florida Statutes,
the following information is provided In this Notice of Commencement:
1. Description of Property: Parcel Identificaftn No. -pn\c:5U6. 10 Ke .1 -e,-
StrastAddT .. 1—o jQb,,4rjru-tks.FL 3,7-51si-C)
2. General Description of Improvement New Sin-aieFamily Residence
3. Owner Information or Lessee Information If the Lessee contracted for the improvement:
D.R.-HortaIj. Inc
Name
19809 T-elp-nnm ()TiVFI Tampa 33637
Address CRY State
Interest in Prop". Fee Simple
Name of Fee Simple Titleholder.
(if different from Owner listed above)
Address city State
4. Contractor. D.R. HOrton, InG
126,2 Telecom Drive TaMPA 33637 FL
Address city State
Contractor's,Telephone No.:
5. surety: -NLA
Name
Address city State
Amount of Bond. $.. NtA Telephone No.:
6. Lender. N/A
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
126Q2 Telecom Qdme- Tampa 33631 FL
Address city state
Telephone Number of Designated Person; -.8 13-740-9720
8. In addition to himself,the owner designates N/A of
to receive a copy of the Lienot's Notice as provided in Becton 713.13(1)(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
oT commencement and that the facts stated therein are true to the best
of my knowledge and belief.
STATE OF FLORIDA
COUNTY OF PASCO
Sign; or Lessee's Authorized
OfficerlDirectoriPartner/Manager
- Assistant Sacretandl).R. Horton, Inc
Signatoryls'rdlelOffice
Ick
The foregoing Instrument was acknowledged before me this t I Clay of 20?.gby
s-Assistant sqprretaL)f (type of authority,e.g.,officer,trustee,attomey in fact)for
—D.R. Horton. Inc (n-
ame of party on behalf of whom Instrument was executed).
V
Personally Known X OR Produced Identification[3 Notary Signature
Type of Identification Produced Name(Print)
DANA ANNE NAGHTIN
clt i.-O. Florida t
Notary Public-State of Flo
I ..ru
Commission#GG 010660
0, Expires Julmy comm.Expires J 12,2a20
wpdata/bosinotleecommencement pc053048
I
PASCO COUNTY, FLORIDA
P�r(r►it No. 2-24 g
l Date PWnitte
EF Builder Name/Owner Name Control W
Counly Pa(caI No.35—2-S'24~/fib 140-0 Zf�-00&D SubDiv: ,— �
Addresa/Location 3 & a�
Ciassiflcallonfrype of Usip $tom e_
TRANSPORTATION IMPACT FEE Rate: Sy.Ft Unit
Exempt ❑Yes ❑No How Determined '
Impact Fee Amount s, 3 I l//0 3 Z Zone No. TAZ: fi
SCHOOL IMPACT FEE +
Account (066) Single-Famlly Detached House Amount $ g 4111 L 1 ;
(057) Mobile Home
(055) Other Residential ;
123) Collection Fee
! Exempt Yes ❑No How Determined
PARKS AND RECREATION FEE i
Land Account Land Credit Land Total fl
!
Recreation Account Recreation Credit :Recreation Total w
Zone TOTAL AMOUNT $ 761-.S1
• I
Exempt ❑Yes ❑No How Determined
LIBRARY FEE
Land account Land Credit Land Total i
Faclllty.Acodunt Facility Credit Facility Total
Exempt ❑Yes ❑No How Determined Total Amou� i
RESOURCE FEE , ERU
TOTALAMOUNT
Prepared By Checked By
NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION
PERFORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE
BEEN PAID AND
RECEIPTED FOR BY ACENTRAL PERMITnNe OFFICEOF PASCO COUNTY
Acknowiedyement below does not bnpty acceptance of concurrence,but eimpty receipt of copy of No fomr,placlne
the bull ft puM owner on notice of this assessment and the condlllow of payment for same.
DATE RECEIVED BY
RECEIPT NO. DATE BY
D.R. Horton-7773 Broad Pointe Dr:1,668 sqft
Column Es
SQ. FEET PRICE
MAIN OR LIVING: 1,668 $ 112.65
OTHER AREA UNDER ROOF: - $ 88.00
OTHER: - $ -
VALUATION $ 187,900.20
FEE SHEET $ 980.00
ADDRESS $ 30.00
DRIVEWAY $ 45.00
BUILDING: $ 1,074.60
ELECTRICAL: $ 220.50
PLUMBING: $ 147.00
MECHANICAL: $ 102.90
SUB-TOTAL $ 1,545.00
TOTAL $ 1,545.00
SEWER: $ 2,090.00
WATER: $ 1,010.00
IRRIGATION: $ -
TOTAL: $ 3,100.00
WATER METER: $ 473.78 R(�
IRRIGATION METER $ 473.78 b
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 $ 6,145.91
PARK IMPACT FEES $ 769.56
SIF'S: $ 8,328.00
100.0% $ 8,328.00
1.0% $ 83.28
TOTAL: $ 8,411.28
T I F'S : $ 3,632.00
99% $ 3,595.68
1% $ 36.32
TOTAL: $ 189958.75
L
D.
Q'
t
Single Family Dwelling
Plan Review Comments
L. 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. Alt setbacks shall be met.
7 All property markers shall be uncovered and marked at time of first-inspection.
8: All A.D.A."requirements shall.be met.
9: No electric,plumbing;mechanical, or framing shall be covered with an inspection and
.
approval first.
10: All Garages shall comply with section R302:6 of the F.B:G. (Fire Separation).:
.. ._
1.1. Appliances shall not be installed in a location where subject.to mechancal damage unless
protected by approved barriers. M303:4 of the RRC
12. water heaters shall comply with section P607.3 ofthe F.&C.
13. Foundation supports for A/C units shall.b.e rdised at least 3" above finished grade. M1308:1
14. Return air in.all bedrooms. F.B:C. M1620:4
15. Smoke detectors are to be.installed in accordance with.R313:1 of.the.F.B.C.
16.All glazing requirements are to be in accordance with R308.4,of the F.B.C.
17. All means.of egress are to be in accordance with R311 of the F.B.C..
18. "Green.gypsum board"shall not be used as a backer in showers or tubs. R702.4;2 F.B.C.
19: Combination-type AFCI breakers are required at-all locations requiring an AFCI type breaker.
20. Carbon monoxide alarms will be required in new construction that uses fossil-burning heating
or appliances or an attached garage. They shall be installed iii accordance with the ERG
21. All plumbing,mechanical; and electrical shall be separate from unit to unit: This includes all
underground:plumbing and.electric.
22: 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:.R403.5.3Hof water pipe insulation,
lnsulation for.ho_ t water pipe with a minimum thermal resistance (R-value) of R-3.shall. be applied to the
follovuin
9:
Piping 3j; 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 cony of the energy ca_&shall be with perniit at all times
27.. Conn of Thal.insulation:ieoi rt shall be provided with permit hefore flnaL
28. No fence, pool onscreen enclosure :is issued with-this permit
F.F.E.-Finished Floor Elevation
F.B.C- Florida Building Code Oh Edition
R.O.W.-Right of Way
A.D.A.=Americans with Disabilities Act N.E.C.-National Electric.Code(2016)
`
"='""-V"/» (��vof��ohvrhU\� F�e[Dl�/\oo\\o�UDn � pa�a1n�no*oz1
Building Department
Date Received cc�m
Phone Contact for Permitting ( I —
Owner's Addressi Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS
euBDm|a|oN |o#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED woyoomsm *oo�LT � � a\GN � l F � DEMOL|SM
E�-'
INSTALL F_] REPAIR
PROPOSED USE [--1 oFR �—1 COMM [--� OTHER
TYPE oFCONSTRUCTION F—�� BLOCK F—� FRAME �--1 STEEL
DESCRIPTION OF WORK F i_�;w V--ged
BUILDING SIZE SQ FOOTAGE 0- HEIGHT
=BUILDING VALUATION OF TOTAL CONSTRUCTION
=PLUMa|NG
Po
=MECHA0kCAL VALUATION OF MECHANICAL|NSTALLATON
=GAG R��P|N� F—� SPECIALTY OTHER
OTHER
FINISHED FLOOR ELEVATIONS ib FLOOD ZONE AREA =YEG NO
eUILoEm COMPANY
SIGNATURE esa/oTsnso ` pssconnEN
Address
=_LECTR|C/AN COMPANY
SIGNATURE nEaImTenso Y1 N I` FEEounmEN. --
xgmrem /
3LuM8ER COMPANY
3mN/g'uRE nso/STsnEo
xdunmno 10M 4A License#
wsoKAN1oAL COMPANY
3'|mN/grURE nea/STEnso
Address
)THER ���PANY
;|GNATUFE n�o/�snso �—
� FEE CURREN
Adummn License#
x x x x 1. 1 u`u n n x x1yV
ZEGODENTUA- Attach(2)Plot Plans;'(2)sets of Building Plans;'(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(1n)working days after submittal date, Required nnsi\a.CunotrumUon Plans,800nn:mtor Plans v/Slit Fence inst$\od.
Sanitary Facilities G 1 dumpmter;Site Work Permit for aubdivisionn0arga projects _)
/OMM6RCu\L Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(1O)working days after submittal date. Required onaita.Construction Plans,Stormwater P|mnsy/Silt Fence installed,
Sanitary Fad|itiao81 dumpster.Site Work Permit for all new projects.All commercial requirements*must meet compliance
UGNPERM\T Attach(2)sets nf Engineered Pl�na
°**°PROPERTY'SURVEY required for all NEW construction. '
- - - - - - - - - - - - - - -
Fill out application completely,
ownnr&Contractor sign back of application,notarized
n over$2so0,a Notice qf Commencement isrequired. yVC upgrades over$75OO>
^ Agent(for the contractor)or Power of Attorne�(for the owner)would be someone With notarized letter from owner authorizing same
>VERTHE COUNTER PERMITTING (copy qil contract required)
�roofs if shingles Sewers _ Sonic6_-Ul5grodem A/C Fomcem(F;oKSuwey/Footago)
Driveways-Not over Counter ifon public modvnayn.naaduROW
NOTICE OF DEED : The undersigned understands that this permit may bn subject to"deed restrictions"
which may be more restrictive than County regulations. The undersigned assumes responsibility for compUohcevviff!any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors.to undertake work, they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as.required by iovv, both the owner and contractor n!ay be cited fore misdemeanor violation
under state law. If the nvvnar or intended contractor are uncertain as to what licensing requirements may apply for the
intended work,they are advised to contact the Pasco County Building Inspection Division—Licensing,Section at 727-847-
8009. Furthermore, if the owner has hired o contractor or controoboro, he is advised to have the contractor(s) sign
portions of the "contractor B|uoh" of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may baon indication that he |a notpnopady]ioanaed and is not entitled to permitting privileges in Pasco
County. ,
TRANSPORTATION |K8P&CDUTlL[T(EG IMPACT AND RESOURCE RECOVERY FEES'- The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new bui|dings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89'07 and
90-07' as amended. The undersigned also undaratende, that such feaa, as may be due, will be identified at the time of
permitting. It iafurther understood that Transportation Impact Feeu'and Resource Recovery Fees must be paid prior to
receiving o "certificate of occupancy" or final power release. If the project duaa not involve o certificate of occupancy or
final povverre|eaae, the fees must be paid prior to permit issuance. Furthermore, if Pasco CountyVVatar/Sevver 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, ao amended): If valuation of work ia$2.5OO.00ormore, |
certify that |, the app|imant, have been provided with m 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", | certify that | have obtained a copy of the above described document and promise in good faith to
deliver ltto the"ovvner" prior to commencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: | certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable \axve regulating oonotnuotion, zoning and )and development. Application is
hereby made to obtain m permit to do work and installation as indicated, | oarUfv that no work or installation has
commenced prior to issuance of permit and that all work will be performed to meet standards of all |@wn regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. | also
certify that | understand that the regulations of other government agencies may apply to the intended vvorh` and that it is
nny responsibility to identify what actions | must take hubeincompliance. Such agencies include but are not limited to:
- Department ofEnvironmental Protection-Cypress Beyheade, Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment,
- Southwest Florida Water Management District-Wells, Cypress Bayheada, Wetland Areao, Altering
YVotercounaom.
- Army Corps ofEnginaaro-SaavmaUo, Docks, Navigable Waterways.
- Department of Health Q Rehabilitative Services/Environmental Health Unit-VVa||a' Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runvvaya.
( understand that the following restrictions apply 0o the use offill: '
' Use of fill ia not allowed iO Flood Zone"\y' unless expressly permitted.
' |f the fill no8taho| is to be used in Rood Zone 'A", it is understood that a drainage plan addressing a
/ "compensating volume" will be submitted at time of permitting which is prepared by o professional engineer
\\Canaad bv the State ofFlorida.
' If the fill nnatB,is| is to be used in Flood Zone "A" in connection with a permitted building using stem 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, | msrUfv that use of such fill will. not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
thucond|tionsofthe.buiN\ngpermitiaeundunderthaatbuohedpennitopp|ioatoO' for |obs |esothaoone /1\
acre which are elevated by fill, an engineered drainage plan isrequired.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. | understand that a separate permit may be required for electrical vvorh^
p|umb|Og, a|gna, vve||a, poo|a, air conditioniOg, gee, or other installations not specifically included in the application. A
permit issued aho\| be construed to be a license to proceed With the work and not as authority to vio|ate, canne|, alter, or
set aside any provisions of the technical'oodes, nor nhn|| issuance of e 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
un|000 the work authorized by such permit is commenced within aix months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six(6) months after the time the work is commenced. An extension
may be requested, in writing, from the Building Official for period not to exceed ninety (00) 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 ANOTICE 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.
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to(or affl d)b f e me this Subscribed and sworn to(or affirmed)before me this
by 7PeAMR 11=2= by
Who is/are personally known to me or has/have produced Who is/are personally knov�n to me or has/have produced
as identification. as identification.
Notary Public Notary Public
Commission.,. -__ Commission No,
813-780-0020 City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received
' Phone Contact for Permitting
Ownees.N•ame Owner Phone Number
;::..:Owner's Address Owner Phone.Number
Owner Phone Number
p
+. JOB ADDRESS,' ..LOT# ` v
SUBDIVISION PARCEL ID#
(OBTAINED'.FROM<P.ROP.ERTY TAXAOTICE).
WORK PROPOSED NEWZ0N$TR ADD/ALT SIGN [� [ ;DEMOLISH'
e INSTALL 8. REPAIR
PROPOSED USE = SFR 0 COMM OTHER
TYPE OF CONSTRUCTION = BLOCK Q FRAME STEEL 0
DESCRIPTION OF WORK 71
.BUILDING SIZE SQ•FOOTAGE;[.�� :HEIGHT :
=BUILDING $ VALUATION OF'TOTAL CONSTRUCTION
=ELECTRICAL AMP'SERVICE 0 DUKE ENERGY' = W.R:E.C.
=PLUMBlNG —7•
=MECHANICAL ff$ VALUATION OF MECHANICAL INSTALLATION
=GAS ROOFING [ ] SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD-ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN . Y•!N
Address License# I
ELECTRICIAN COMPANY
SIGNATURE REGISTERED' Y,/%N FEE CURREN L.,Y X N
Address . License# i
PLUMBER '� COMPANY
SIGNATURE •REGISTERED. Y/ N FEE CURREN
Address F License.#
MECHANICAL .::;' -COMPANY s.
SIGNATURE' REGISTERED_ Y! N FEE CURREN
. _ r
Address License-#],
OTHER COMPANY
SIGNATURE REGISTERED Y7.N,,.•::.. FEE CURREN. -• Y..'/;N;•,
Address License#
RESIDENTIAL Aktacti{2}=Piot'Plaris;(2)`5ets of`�ulidirig:Plaris;.ji),set of EnergXpForms;'R=O=W ,emjit for new_construc8on,.
M!H'iihum•ten•(10).working:`days'aftet submifta�dates``R64dired onsite;'Consti ction Plans,56rn4wafef PIBns:w/Slit Fence installed,
Sanitary:Facilities k-J...dumpster;Slte Work:.Perrhit�for'subdivi'lions/large-prdjects,
COMMERCIAL Attach(2-)complete,sets•of.Bulidfng•Piansiplus•a:Life,•Safety�,Page;'(1t).set oft Energy Forms.R-0=W Permit for,:new cohstruction.
Minimum ten(10),wgrking,day�s=aftersubmittal date.,Requiredtonsite;Construction Plarjsti Stormwater Plans w/Silt'Fence installed,
Sanitary Facilitr6s&1 Perm(f for all'new projects.All commercial.requirements must meet compliance
SIGN PERMIT Attach(2),sets of Engineered,Plans.
""PROPERTY-SUM-Y. 'requited for all'NEW cbristruction.
Directions:
Fill out application completely.
Owner.&-Contractor sign.back of.application,notarized
Move a25bu,a Notice af'Comlimncement is required, (AIC upgrades over$7500)
" Agent(for the contractor)or.Power of Attomey:(for the owner}.would be someone.with notarized-lefter from-owner authorizing'same
OVER THE COUNTER:P..ERMITTING -• (oopy;•of•contrect,requ!•red)
Reroofs 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 be more restrictive than County regulations. The undersigned assumes responsibility for compliance.with any
applicable deed restrictions. '
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES:" If the owner has hired a contractor or
contractors to undertake work, they may be required to be licensed in-accordance with:.state and local regulations. If the
contractor is not licensed as required by law, both the owner and contractor=may be cited for a-misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner has hired a contractor or contractors,.he is advised to. have the contractor(s) sign
portions of the "contractor Block" of this.application for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled.to-permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT.AND:RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees:may apply to the.construction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco'County Ordinance number 89-07 and
90-07, as amended. The undersigned also_understands,,that,such fees, as may be due, will be identified at the time of
permitting. It is further understood,'that Transportation.Impact.Fees and Resource Recovery Fees must be paid.prior to
receiving a "certificate of.occupancy" or final-power release. If.the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. -Furthermore,'.if Pasco County Water/Sewer Impact
fees are due, they.must be paid prior to permit,issuance in accordance with appl!cable.Pasco.County ordinances.
CONSTRUCTION-LIEN LAW(Chapter 7.1.3;-Florida Statutes,as amended): If valuation of work is$2,5.00.00 or more, 1
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-theapplicant•s; someone
other than the"owner", I certify that I have obtained a copy of the-above described document and promise in good faith to
deliver it to the"owner".prior to commencement.
CONTRACTOR'S/OWNEW&AFFIDAVIT:. (.certify that.all the,information in this.application.is accurate and that all.-work
will be done in compliance with all applicable laws regulating construction;'zoning and land'development.. Application is
hereby made to obtain a permit to-'d6 work-and installatidii las indicated: I certify that no work or. installation has
commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
construction, County and"City•codes; zoning.regulations, .and land'development regulations in the jurisdiction. I also
certify that I understand that the regulations of other:government agencies may apply to the intended work, and that it is
my responsibility to identify what actions I musttake to'be-in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,WaterMastewater,Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas; Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of .Health &"Rehabilitative Services/Environmental Health Unit=Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental-.Protection Agency-Asbestos.abatement.
- Federal Aviation Authority-Runways.
I understand.that*the.following restrictions.applyto-the-use of-fill:
- Use of fill is not-allowed in Flood Zone"V"unless-expressly permitted.-
- If the fill material is to be used in Flood Zone "A", it is understood-that a drainage plan addressing a
"compensating volume"will be submitted at time of-permitting which is prepared by a professional engineer
licensed by the State of Florida.
- If the fill material is to be used.;in Flood Zone "A" in connection with a permitted building using stem wall
construction, I certify that fill will be used only to fill'the area,witbin the.stem wall.
- If fill-material is to be used in any area, I certify that use.of such.fill will not adversely affect. adjacent
properties. If use of fill is found.to adversely affect adjacent;properties, the,owner may be.cited for violating
the conditions of the building permit issued under-the attached permit application, for lots less than one (1)
acre which are elevated-by fill, an engineered drainage.plan'is required.
If I am the AGENT FOR THE OWNER, I promise in good'faith to inform-the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand-that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the-application. A
permit issued"shall be construed to be a license to proceed with the work and not as authority to.violate,cancel.,..alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every-permit issued shall become invalid
unless the work authorized by such permit is commenced within six months of:permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six(6)months after-the time the.work is commenced. An extension
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will.demonstrate
justifiable cause for the extension. If work ceases for.ninety(90)'consecutive days,the job is considered abandoned.
WARNING TO.OWNER: YOUR FAILURE TO RECORD-A NOTICE:OF COMMENCEMENT-MAY RESULT'IN YOUR
PAYING TWICE FOR:IMPROVEMENTS TO-YOUR-PROPERTY. IP YOU-INTEND TO'OBTAINFINANCING, CONSULT
WITHYOUR LENDER.OR AN ATTORNEYBEFORE RECdRDIN:.G YOURNOTICE-OF COMMENCEMENT.
FLORMA JURAT(F.S.117.03)
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to(or affirmed)before me this Subscribed and sworn to(or affirmed)before me this
by by
Who is/are personally known to me or has/have produced Who Ware-personally.known to me or has/have produced
as identification. as identification.
Notary Public Notary Public
Commission No. Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
s� .
PLOT PLAN
DESCRIPTION:(AS FURNISHED)
LOT 6, BLOCK 10, ZEPHYR LAKES SUBDIVISION PHASES 1A. 2A, 2B, AND 4A
AS RECORDED IN PLAT BOOK 80, PAGE(S) 37-48, OF THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA.
PI
Line Table
Una 0 Direction Length
LI S003V52'W 40.DO.
— rCVz 3
IC)
J o LOT 7 I 25
BLOCK 10 I I m 1" = 30'
I h I HIC SCALE
9hry 9 GRAP
2oe 0 15 30
_.—.—. S89'25'08"E 115.00' cs <
5' D&AE ---1°=> I ..
W — —28.0'' — -- -----------
54.7' �34.3'
0,0
5.0dK ' II Z
o O UQV �UQ n-E >.123'n
O m
10.
�u�i S' D&AE n� -- z
9� N8925'08"W 115.00' Lo
N8975'OB'W �3<
I �Nh °° �m
s�
o I LOT 5 I m) tn
BLOCK 10 I nl
00
m
PI
ON LOT CALCULATIONS FLAT BOUNDARY
LOT — 4.600 SO. FT.
LIVING AREA = 1,405 SO. FT
GARAGE — 243 So. FT.
ENTRY = 20 S0. FT.
LANAI = 0 SQ. FT.
PATIO = 80 S0. FT.
DRIVEWAY = 216 So. FT.
A/C PAD = 12 SQ. FT.
WALKWAY = 46 SO. FT.
IMPERVIOUS = 44%
= 2022 SQ. FT
SOD = 2,578 SQ. FT.
OFF LOT CALCULATIONS
RIGHT OF WAY = 480 SQ. FT.
DRIVE APRON = 77 SQ. FT.
PREPARED.FOR: PUBLIC S/W = 200 SQ. FT.
`' --- SOD = 203 SQ. FT.
11-11-1#ORMN' TOTALS
f+LCGi:% ds t?6 AREA = 5,080 SO. FT.
DRIVEWAY — 293 SO. FT.
BUILDING SETBACKS SIDEWALK = 246 SO. FT.
SOD = 2,781 SQ. FT.
FRONT: 20'
GARAGE: 25'
REAR: 15'
SIDE: 5'
SIDE STREET: 15'
NOTES: LEGEND:
1. PROPOSED ELEVATIONS SHOWN HEREON ARE — — BUILDING SETBACK LINE PI POINT OF INTERSECTION
BASED ON THE APPROVED ENGINEERING PLANS PC POINT OF CURVATURE
PREPARED BY HAMILTON ENGINEERING & — — CENTERLINE PT POINT OF TANGENCY
RIGHT OF WAY LINE RP RADIUS POINT
SURVEYING INC.. PRC POINT OF REVERSE CURVATURE
2. ELEVATIONS ARE BASED ON NAVD 1988 XX•%� PROPOSED ELEVATION
PCP PERMANENT CONTROL POINT
DATUM. TYP TYPICAL
==> PROPOSED DRAINAGE FLOW CS CONCRETE SLAB
THIS PLOT PLAN IS INTENDED FOR PERMITTING PURPOSES ;::::: CONCRETE PERcPLLAATTED
ONLY. THIS IS NOT INTENDED FOR THE CONSTRUCTION OF A/c AIR CONDITIONER (C PLAT BOOK
THE PROPOSED STRUCTURE. THE CONTRACTOR AND/OR PGS PAGES
OWNER ARE REQUIRED TO VERIFY ALL SETBACKS, BUILDING S/W SIDEWALK SQ. FT. SQUARE FEET
DIMENSIONS, AND LAYOUT SHOWN HEREON PRIOR TO ANY F.E.M.A. FEDERAL EMERGENCY MANAGEMENT AGENCY
CONSTRUCTION. F.I.R.M. FLOOD INSURANCE RATE MAP
NAVD NORTH AMERICAN VERTICAL DATUM
THIS IS NOT A SURVEY D&UE DRAINAGE&UTILITY EASEMENT
DE DRAINAGE EASEMENT(PUBLIC)
THIS IS A PLOT PLAN ONLY UE UTILITY EASEMENT(PUBLIC)
D&AE DRAINAGE&ACCESS EASEMENT
FLOOD NOTE: SURVEYOR NOTES: '
I HAVE EXAMINED THE F.I.R.M. MAP NO. 12101CO293F, 1. THE SURVEYOR HAS NOT ABSTRACTED THE
DATED 09/26/2014. AND FOUND THE SUBJECT PROPERTY LAND SHOWN HEREON FOR EASEMENTS, RIGHT
APPEARS TO LIE IN ZONE "X", AREAS DETERMINED TO BE OF WAY, RESTRICTIONS OF RECORD WHICH
OUTSIDE THE 0.2% ANNUAL CHANCE FLOODPLAIN. THE MAY AFFECT THE TITLE OR USE OF THE LAND.
SURVEYOR MAKES NO GUARANTEES AS TO THE ABOVE 2. NO UNDERGROUND IMPROVEMENTS HAVE BEEN
INFORMATION. PLEASE CONTACT THE LOCAL F.E.M.A.AGENT FOR VERIFICATION. LOCATED EXCEPT AS SHOWN.
BEARING BASIS: 3. NOT VALID WITHOUT THE AUTHENTIC
BEARINGS SHOWN HEREON ARE BASED ON THE CENTERUNE OF BROAD ELECTRONIC SIGNATURE AND THE AUTHENTIC
POINTE DRIVE BEING S0034'52"W PER PLAT. A M E R 1 CA N ELECTRONIC SEAL OF A FLORIDA LICENSED
(FIELD DATE:) REVISED: SURVEYOR AND MAPPER.
SURVEYING Dowµ
SCALE: 1"- 30 FEET y::....v
4& MAPPING INC_ o °"" "'ri w.eo ,o
�.•� oxm=ume,w.edeman.cameura�
APPROVED BY: `B CERTIFICATION OF AUTHORIZATION NUMBER LB#6393 _ t erse"""" s oma «n=us
3191 MAGUIRE BOULEVARD, SUITE 200 s°a oarzoivos1a,55zssoanrc FOR
190901 LOT 6,BLOCK 10 + "- THE
JOB NO. ORLANDO, FLORIDA 32803 '�,m¢�`oa FIRM
(407) 426-7979 DRAWN BY: D59 PLOT PLAN 09-20-19 ZA �AMERICANSURVEYINGANDMAPPING.COM JAMES W. BOLEMAN PSM# 6485 DATE
OASC600'UNTY ftbbl t Date*' 04/,11/20i
p A RUIL:DING"cON3'C1 Wli6 SE_RV166 .Receipt Number: :1972077
Gitiiens ClriVe
:C_DUN IY :FL0RIDA Suita.123,0:
Ch F�.Stxcx3.d=hrr'I'i�r�s.. Now'Po[t RiGh@y�:FL 34654
727-W-W6
Paid Bv. Ghecli C- C Mth fit; `cashier iD Work atatiom
Check 1127103 :SLEBLANC BCCCP20W
Fee Lieacrintion AmouniNid
Irtipact,Fee:Residentjal S&Idwasto.Singto Family 31:1t3
Total Payments; $31:16
Favor aaresa: hone
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Citjr rif-Zephyrh111s::Sottd�Vllaste,
Address:'7773Broaid Poirite,Dive
Perce1;3s 25:71''0144 01000-0 460.
While you will tiepayingyourW with Piico'CouiityBuildlitConstruitlonScrvlyoY,thefull`nmou�tof;thgcrsAiTEaidprtcheckmte nofshoignAcmIscohot*dbyRnE
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mMportslreporisIPASCOPRODlPASCOICustomerReceiptv1frpt Print Date: 071W/2020 Page 1 of 1
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