HomeMy WebLinkAbout20-844 u
F City p Y-H CI of Ze h rhills PERMI T NSMBE=R
5335 Eighth Street
Y.. Zephyrhills, FL 33542 BNR-000844-2020
Phone: (813)780-0020
> Fax: (813)780-0021 Issue Date: 10/29/2020
Permit Type: Building New (Residential)
.rope]ty Number, „ T .- Street Adclr�ess
04 26 210120 00000 0550 16467 Bradford Woods Drive
$. ,Ownerinformationv ,,,; Permit;lnformation Contractor Information = _
Name: PULTE HOME COMPANY LLC Permit Type:Building New(Residential) Contractor: PULTE HOME COMPANY
Class of Work:SFR Construct LLC
Address: 2662 Falkenburg S Rd Building Valuation:$154,859.46
RIVERVIEW,FL 33578 Electrical Valuation:$7,325.00
Phone: (813)964-5182 Mechanical Valuation:$6,640.00
Plumbing Valuation:$6,087.00 / Y
Total Valuation:$174,911.46
Total Fees:$14,070.68
Amount Paid:$14,070.68 Z
Date Paid:10/29/2020 9:04:50AM
Project Descriptton4 CONSTRUCT SINGLE FAMILY 3,670 SQ FT
3/4 Water Meter Fee(Calc) $473.78u SIF 1 percent Fee $83.28
Mechanical Permit Fee $73.20 Irrigation 3/4 Meter(Calc) $473.78
Water Connection Residential Fee $1,010.00 Electrical Permit Fee $76.62
Mechanical Plan Review Fee $36.60 Building Permit Fee $804.30
Address Fee $30.00 Driveway Fee $45.00
Plumbing Plan Review Fee $35.22 Sewer Connection Residential Fee $2,090.00
Plumbing Permit Fee $70.44 School Impact Fee $8,328.00
Building Plan Review Fee $402.15 Electrical Plan Review Fee $38.31
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 subsequent reinspection.
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 permit 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 add fee 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.
A aLw4%ts-r-
CONTRACTOR SIGNATURE PE IT OFFICE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
:d/ Y
�W.
i4rY
'PASCO COUNTY, FLORIDA
V
Permit No.
/ Date Permitted el�
'Builder Name/Owner Name �l L Control#' "
County Parcel No. SubDiv: } �
�3f--
AddresslLocatlon 96 7 Ciassifloationrrype of Us@ c5 le
TRANSPORTATION IMPACT FEE ' Rate: S4-Ft Unit:
Exempt Q Yes [3 No Now Determined
Impact Fee Amount 4 Zone No. TAZ:
SCHOOL IMPACT FEE
Account (O58) Single-Family Detached House Amount $
(057) Mobile.Home
1 (058) Other Residential
123) Collection Fee
Exempt (�Yes . Q No How Determined
PARKS AND,RECREATION FEE
Land Ad6bunt Land Credit Land Total
Recreation Account Recreation Credit Recreation Total
Zone TOTAL AMOUNT $ 7& ,
Exempt ❑Yes ❑No How Determined
LIBRARY FEE `M
Land Account Land Credit Land Total
Facility Account Facility Credit Facility Total
Exempt ❑Yes No How Determined , Total Amount
RESOURCE FEE ERU
TOTAL AMOUNT
Prepared By Checked By
NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL.INSPECTION
PERFORMED UNTIL THE TOTAL AMOUNTS LtSTED'HAVE
BEEN PAID',AND
RECEIPTED FOR 13Y A CENTRAL'PERM ftNO OFFICE-OF PASCO COUNTY
Acknoydedgement below does nothnply acceptance of concurrence,but simply receipt of a copy of this form,placing
the building permlt owns-on notice of this assesarnent and the condWons of payment for same.
DATE RECEIVED BY
RECEIPT NO. DATE BY
INVOICE1111 . '
FOR OF
BILLING CONTACT
JODY SALTER
PULTE HOME COMPANY LLC
2662 FALKENBURG S RD
RIVERVIEW, FL 33578
INVOICE NUMBER INVOICE DATE INVOICE DUE DATE INVOICE STATUS INVOICE DESCRIPTION
INV-00001692 10/24/2020 10/24/2020 Invoiced, Past Due NONE
REFERENCE NUMBER FEE NAME TOTAL
BNR-000844-2020 3/4 Water Meter Fee(Calc) $473.78
Address Fee $30.00
Building Permit Fee ,L ip'�� $804.30
Building Plan Review Fee $402.15
Driveway Fee $45.00
Electrical Permit Fee / �-� $76.62
Electrical Plan Review Fee l $38.31
Irrigation 3/4 Meter(Calc) QQ $473.78
Mechanical Permit Fee $73.20
Mechanical Plan Review Fee $36.60
Plumbing Permit Fee ' $70.44
Plumbing Plan Review Fee U' $35.22
School Impact Fee $8,328.00
Sewer Connection Residential Fee $2,090.00
SIF 1 percent Fee $83.28
Water Connection Residential Fee $1,010.00
6467 Bradford Woods Drive Zephyrhills, FLORIDA 33542 SUB TOTAL $14,070.68
REMITTANCE INFORMATION TOTAL $14,070.68
City of Zephyrhills
5335 8th Street
Zephyrhills, FL 33542
October 26,2020 5335 8th Street,Zephyrhills,FL 33542 Page 1 of 1
Building Department
late Received Phone Contact for Pennitting
)wner's Name Rt l+( I}U f11L Go )G[.II L L,� Owner Phone Number ��—"1�� •J I'J
)wner's Address �l<(lZ S' FCt l4ti bur 0, ►Jirbl l" L Owner Phone Number
:ee Simple Titleholder Name /f v Owner Phone Number
'ee Simple Titleholder Address !A
1013 ADDRESS f `7 /Jj G�f/( D� L G/��/r s �i✓" LOT# r�
SUBDIVISION �(,�„ILS� PARCEL ID# "-2&-?Il
(OBTAINED FROM PROPERTY TAX NOTICE)
NORK PROPOSED NEW CONSTR ADD/ALT SIGN = Q DEMOLISH
® INSTALL R
REPAIR
IROPOSED USE ® SFR 0 COMM. C] OTHER
YPE OF CONSTRUCTION �C `-BLOCK' Q FRAME rSTEEL [�
)ESCRIPTION OF WORK �W �av n i l �G�1 n �C/'GL�yI t
WILDING SIZE •°�j J1 ��� - __4 l Il
O SQ FOOTAGE HEIGHT �. ' 5 .
=BUILDING. $ /" VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE PROGRESS ENERGY 0 W"R.E.C.
�13a5,pC�
=PLUMBING $ ULx
=MECHANICA! $ VALUATION OF MECHANICAL INSTALLATION J
=GAS ROOFING = SPECIALTY OTHER II �
=1NISHED FLOOR ELEVATIONS /--/ FLOOD ZONE AREA OYES NO
3UILDER COMPANY u�ac_ _61"( i mom
SIGNATURE `` REGISTERED Y/ N FEE CURREN Y/N
Address Me/I/owy A lF,3 License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREP Y/N
Address t3 1 h lCL / a, a/,K, t_ r
, II License�# Ec���37�J
?LUMBER COMPANY V�. / � -, -��1
SIGNATURE ,l REGISTERED Y/ N FEE CURREN
Address 3/33di 3 �jlJ(1u iFL-347Y License# C- �a7a -7-7
MECHANICAL COMPANY g&111_1�6 /7lP W dl�&111214z �I
SIGNATURE REGISTERED Y/ N FEE CURREN LKLN
b(/3/7Gnt6Y1 f9Ul� GYStr1,F(� 3r,1�(�-7
Address License % /!23 2-y
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OTHER COMPANY 61 A/Ins-90 �a_Id
SIGNATURE ZQ REGISTERED Y/ N FEE CURREN Y/N�—
Address �193i�rvin ot) a) a,3 License#
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RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W.Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Sto_rmwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for.subdivisionsllarge projects
COMMERCIAL 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(10)working 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.
****PROPERTY SURVEY required for all NEW construction.
INITIEN _■—■_■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ • ■ ■ ■ n ■ ■
Directions:
-Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500)
Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW /
PLOT PLAN
DESCRIPTION:(AS FURNISHED)
LOT 55, OAKS OF PASCO
AS RECORDED IN PLAT BOOK 80, PAGE(S) 113-118, OF THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA.
ON LOT CALCULATIONS
LOT 5,750 SQ. FT.
LIVING AREA 1,651 So. FT.
GARAGE a 416 SQ. FT.
ENTRY 100 So. FT.
LANAI = 260 S0. FT.
PATIO = 0 So. FT.
DRIVEWAY 328 So. FT.
A/C PAD v 9 SO' FT.
WALKWAY = 30 SO. FT.
IMPERVIOUS = 49%
2794. So. FT.
SOD = 2,956 SO. FT. a
OFF LOT CALCULATIONS
RIGHT OF WAY 400 SO. FT.
DRIVE APRON - 57 SO. FT. z
PUBLIC S/W - 250 SO. FT. 1" = 30•
SOD - 93 SO. FT. GRAPTOT H�I SCE^
AREA = 6,150 SO. FT. 0 15 30
DRIVEWAY - 385 SQ. FT.
SIDEWALK - 280 SQ. FT.
SOD - 3.049 SQ. FT.
1.7
171
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FlNISNED FLOC DR 02 20.5 _; K1� '�>v
c>iAI m�ICR g! ELEVATON�91.26 4's.a ' ::';:m,� I y
OD rri
64.67 20.5' O n
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PREPARED FOR:
BUILDING SETBACKS
FRONT: 20•
REAR: 10
SIDE: 5•
SIDE STREET: 15• LEGEND:
NOTES: —•—•— BUILDING SETBACK LINE PI POINT OF INTERSECTION
PL POINT OF CURVATURE
1. PROPOSED ELEVATIONS SHOWN HEREON ARE BASED —-— CENTERLINE PT POINT of TANGENCY
ON THE APPROVED ENGINEERING PLANS PREPARED —__ RIGHT OF WAY LINE RP RADIUS POINT
BY CORNELISON ENGINEERING&DESIGN INC. XtltIX PROPOSED ELEVATION PRC POINT OFF REVERSEOCURRVATURE
2. ELEVATIONS ARE BASED ON NAVD 1988 J 7PCPYP TYPICAL
DATUM. PROPOSED DRAINAGE FLOW CS CONCRETE SLAB
THIS PLOT PLAN IS INTENDED FOR PERMITTING PURPOSES CONCRETE (C) PER PLAT
ONLY. THIS IS NOT INTENDED FOR THE CONSTRUCTION OF PB CALCULATED
THE PROPOSED STRUCTURE. THE CONTRACTOR AND/OR A/C AIR CONDITIONER prs PLAT BOOK
OWNER ARE REQUIRED TO VERIFY ALL SETBACKS,BUILDING S/W SIDEWALK SO.FT. SQUARE FEET
DIMENSIONS, AND LAYOUT SHOWN HEREON PRIOR TO ANY F.E.M.A.FEDERAL EMERGENCY MANAGEMENT AGENCY
CONSTRUCTION. F.LR.M. FLOOD INSURANCE RATE MAP
NAVD NORTH AMERICAN VERTICAL DATUM
THIS IS NOT A SURVEY SEE oRANARTAARGE�wEASEMENT
THIS IS A PLOT PLAN ONLY UE UTILITY EASEMENT
BLOOD NOTE: I HAVE EXAMINED THE FLR.M.MAP NO.121DICD289F SURVEYOR NOTES:
LA"PR
9/26/20I4 AND FOUND THE SUBJECT PROPERTY APPEARS TO UE 1. THE SURVEYOR HAS NOT ABSTRACTED THE
Y IN ZONE'X'&'Ar.ZONE'X',AREAS DETERMINED TO BE LAND SHOWN HEREON FOR EASEMENTS,RIGHT
THE 0.2><ANNUAL CHANCE ROODPWN.ZONE'AE' AREAS
ED TO BE SPECIAL FLOOD HAZARD AREAS SUBJECT 40 OF WAY,RESTRICTIONS OF RECORD WHICH
ON BY THE UL ANNUAL CHANCE FLOOD EVENT.BASE FLOOD MAY AFFECT THE TITLE OR USE OF THE LAND.
GUDNS DETERMINED 1D BE 885•.THE SURVEYOR MAKES NO
'5NI
IS AS TO THE ABOVE INFORMATION.PLEASE CONTACT THE 2. NO UNDERGROUND IMPROVEMENTS HAVE BEEN
.M.A AGENT FOR VERIFICATION. LOCATED EXCEPT AS SHOWN.
deOWNO; 'DOD HEREON EINE BASED ON THE R PLA. OF 3. NOT VALID WITHOUT THE AUTHENTIC
GODS ORIYE BONG N041744W,PER PLAT. ELECTRONIC SIGNATURE AND THE AUTHENTIC
ELECTRONIC SEAL OF A FLORIDA LICENSED
DATE)` REVISED:, M E F?I CAN SURVEYOR AND MAPPER.
U F?V EY 1 N G a9m�g^e'� �""�" ^
:PTO FEET �vvv,w b by.) WSdVED BY;\,� a MAPPING INC.CERTIFICATION OF AUTHORIZATION NUMBER LB16393arc �. 1911P�107 55 3191 MAGUIRE BOULEVARD,SUITE 200 `•' f� . . ` THE
1 ORLANDO,FLORIDA 32B03 ' Adbe Ao,t wnwrc tt.a23 FIRM
BN RIAB. (407)426-7979 ^„ DALE
1 PLOT PLAN 09 03 2020 JIG WWW.AMERICANSURVEYINGANDMAPPING.COM JAMES W. BOLEMAN PSM#6485
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Single Family Dwelling
Plan Review Comments
1. FF.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 ii 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 thm 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).
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 FAIC:
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.- M1620.4
15. Smoke detectors are to be installed in accordance with R313.1 of the F.B.C.
16. All gl:aaing reguir"eiits are to be in accordance with R308.4 of the F.B.C:
17. All means of e� „ess are to be in accor
dance'rdance with R311 of the F.B.C.
18. '.'Green gypsum board" shall riot 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-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.
22. All 2016 N.E.C. Codes will be enforced.
d
21 Tamper- Resistant Receptacles in accordance with 406.11 of the 2016 ME.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 V.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 mbri foid.,
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 proviided before C.O:
26.A coon of the enemy cacls shafl be with permit at all times'
27. Coon of f nal insulation"reyort shaft be provided ivith permit before r1naL
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)
LILY UI'Z-UPFIyIn1115 r'ermll mpipICauon rax-oIa-/ou-uuzI
Building Department f
Date Received Phone Contact for Permitting
Owner's Name 1 tom? ,� Owner Phone Number J '
Owner's Address ?�� v1 / r j G Owner Phone Number
33'a��5
Fee Simple Titleholder Name Owner Phone Number —�
Fee Simple Titleholder Address
JOB ADDRESS6941L&
O G' Z - ?/ L /�'/ LOT# - r l�
SUBDIVISION : 1 PARCEL ID#
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED R NEW CONSTR R
ADD/ALT SIGN DEMOLISH
INSTALL REPAIR
PROPOSED USE 0 SFR 0 Comm �� OTHER
TYPE OF CONSTRUCTION 0 BLOCK FRAME 0 -STEEL
DESCRIPTION OF WORK
,BUILDING SIZE D 1 /�7 p r� SQ FOOTAGE[� HEIGHT 1�j2�2��
>L OL C&AL>L
=BUILDING VALUATION OF TOTAL CONSTRUCTION
[ELECTRICAL 1$ AMP SERVICE 0 PROGRESS ENERGY W.R.E.C.
=PLUMBING 1$
=MECHANICAL VALUATION OF MECHANICAL INSTALLATION
=GAS 0 ROOFING Q SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS p � FLOOD ZONE AREA =YES NO
BUILDER COMPANY ;f
SIGNATURE REGISTERED Y/N FEE CURREN
Address License#
ELECTRICIAN COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address .License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address License#
OTHER COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address License# S -�J
t;Qtlt.tt all ul.lttl.v ltt.l ;€ttlttt attlta1111212 -gavial
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(10)working days after submittal date.Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL 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(10)working 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.
****PROPERTY SURVEY required for all NEW construction.
Directions,
Fill out application completely.
Owner&Contractor sign back of application, notarized
If over$2500,a Notice of.Commencement is required.(A/C upgrades over$7500)
** Agent(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers - Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
- --r J......- . -.....-. .rr.._�_._..
Building Department
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—Licbrising 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 applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW(Chapter 713,Florida Statutes,as amended):If valuation of work is$2,600.00 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"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/OWNER'S AFFIDAVIT: I 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 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. 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
must take to be in compliance.Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater 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 apply to the use of fill:
- Use of fill is not allowed in Flood Zone W" 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 within 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. IF YOU INTEND TO OBT IN FINANCING, CONSULT
FLORIDA JURAT(F.S. 117.01
OWNER OR AGENT CONTRACTOR
/y Subscribed and swo to(o med) efore me this Subscribed and sworn tw(or a r" ec efor me this
7 E by i 7(�by ( � 4 t�=Lr/L!/?/�I/�lL�%✓
W',js/are personally known to me or has/have produced Wh is/are personally.known to me or has/have produced
as identification. �— _ as identification.
144b�VI124Z Notary Public Notary Public
Com s i n No. / Com i is No. 6. 6 5&. ; l //
Na e o otae ,printed or stamped Na a of Notary typed,panted or stamped ry typ
=thmugh
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PATRICIA BURCHETT
13,2023MY COMMISSIOM#GG365171
State Insurance EXPIRES:AUG 13,2023
through 1st State Insurance
PLOT PLAN
DESCRIPTION:(AS FURNISHED)
LOT 55, OAKS OF PASCO
AS RECORDED IN PLAT BOOK 80, PAGE(S) 113-118, OF THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA.
ON LOT CALCULATIONS
LOT = 5,750 SQ. FT.
LIVING AREA = 1.651 SQ. FT.
GARAGE = 416 SQ. FT.
ENTRY = 100 SQ. FT.
LANAI = 260 SQ. FT.
PATIO = 0 SQ. FT.
DRIVEWAY = 328 SQ. FT.
A/C PAD = 9 SQ. FT.
WALKWAY = 30 SQ. FT.
IMPERVIOUS = 49%
= 2794 SQ. FT.
SOD = 2,956 SQ. FT, v
OFF LOT CALCULATIONS
RIGHT OF WAY = 400 SQ. FT.
DRIVE APRON = 57 SQ. FT. z
PUBLIC S/W = 250 SQ. FT. 1" = 30'
SOD = 93 SQ. FT. GRAPHIC SCALE
TOTALS 0 15 30
AREA = 6,150 SQ. FT.
DRIVEWAY = 385 SQ. FT.
SIDEWALK = 280 SQ. FT.
SOD = 3,049 SQ. FT.
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PREPARED FOR: � � C17
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BUILDING SETBACKS
FRONT: 20'
REAR: 10'
SIDE: 5'
SIDE STREET: 15'
LEGEND:
NOTES: — BUILDING SETBACK LINE PI POINT OF INTERSECTION
PC POINT OF CURVATURE
1. PROPOSED ELEVATIONS SHOWN HEREON ARE BASED - CENTERLINE PT POINT OF TANGENCY
ON THE APPROVED'ENGINEERING PLANS PREPARED — - - — RIGHT OF WAY LINE RP RADIUS POINT
BY CORNELISON ENGINEERING & DESIGN INC. PRC POINT OF REVERSE-CURVATURE
2. ELEVATIONS ARE BASED ON NAVD 1988 PROPOSED ELEVATION PCP PERMANENT CONTROL POINT "
DATUM. TYP TYPICAL
PROPOSED DRAINAGE FLOW CS CONCRETE SLAB
THIS PLOT PLAN IS INTENDED FOR PERMITTING PURPOSES CONCRETE (P) CALCULATED
PLAT
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
SANITY SER EA
THIS IS NOT A SURVEY DEE DRAINAGE EASEMENTSEMENT
THIS IS A PLOT PLAN ONLY UE UTILITY EASEMENT
FLOOD NOTE: I HAVE EXAMINED THE F.I.R.M. MAP NO. 12101CO289F SURVEYOR NOTES:
DATED 09/26/2014 AND FOUND THE SUBJECT PROPERTY APPEARS TO LIE 1. THE SURVEYOR HAS NOT ABSTRACTED THE
PARTIALLY IN ZONE"X" &"AE". ZONE"X", AREAS DETERMINED TO BE LAND SHOWN HEREON FOR EASEMENTS, RIGHT
OUTSIDE
TO BE SPECIAL FLOOD HAZARDPAREASZSSUUBJECT"YOREAS OF WAY, RESTRICTIONS OF RECORD WHICH
INUNDATION BY THE 1%ANNUAL CHANCE FLOOD EVENT, BASE FLOOD MAY AFFECT THE TITLE OR USE OF THE LAND.
ELEVATIONS DETERMINED TO BE B8.5'. THE SURVEYOR MAKES NO
GUARANTEES AS TO THE ABOVE INFORMATION. PLEASE CONTACT THE 2. NO UNDERGROUND IMPROVEMENTS HAVE BEEN
LOCAL F.E.M.A. AGENT FOR VERIFICATION. LOCATED EXCEPT AS SHOWN.
BEARING BASIS:
BEARINGS SHOWN HEREON ARE BASED ON THE CENTERLINE OF A5M 3. NOT VALID WITHOUT THE AUTHENTIC '
BRADFORD WOODS DRIVE BEING N0417'44"W, PER PLAT. ELECTRONIC SIGNATURE AND THE AUTHENTIC
A M I� FR 1 CAN ELECTRONIC SEAL OF'A FLORIDA LICENSED
REVISED: SURVEYOR AND MAPPER.
(FIELD DATE:) Digitally signed by James W Boleman
S U,F ZV EY 1 N G ;,� o DN: US,st=Florida l=Orlando,
SCALE: 1" = 30 FEET �a�s,.�;•'H•.,��
aMAPPING INC. -- •.£ o=AMERICAN SURVEYING&
APPROVED BY: JIB ��sMxe l �MAPPING,INC,rn=lamesW
CERTIFICATION OF AUTHORIZATION'NUMBER LB#6393 �� s�re"F fff 111� Boleman,
3191 MAGUIRE BOULEVARD, SUITE 200 '''• x� email=jboteman@asmcorpmate.comFOR
JOB NO. 191105 LOT 55 ORLANDO, FLORIDA 32803 Date:2020.09.091134:24-"00' THE
(407) 426-7979 Adobe Acrobat version:11.023 FIRM
DRAWN BY: RMB PLOT PLAN 09 03 2020 JG WWW,AMERICANSURVEYINGANDMAPPING.COM JAMES W. BOLEMAN PSM# 6485 DATE