HomeMy WebLinkAbout20-137 City CI Of Ze h rhilis PERMIT'NUMB ,,
�:.• p Y
5335 Eighth Street
Zephyrhills, FL 33542 BNR-000137 OZO
t' Phone: (813)780-0020
'r Fax: (813)780-0021
Issue Date: 07/1 /2020
S'
Permit Type: Building New (Residential)
Property,Number Street Address
35 25 210140 01000 0150 7764 Davie Ray Drive
Owner Information Permit Information Contractor information
Name: D R HORTON INC Permit Type:Building New(Residential) Contractor: D R HORTON
Class of Work:SFR Construct
Address: 12602 Telecom Dr Building Valuation:$104,000.00
TAMPA,FL 33637 Electrical Valuation:$6,800.00
Phone: (813)549-1968 Mechanical Valuation:$7,200.00
Plumbing Valuation:$5,000.00
Total Valuation:$123,000.00 17
Total Fees:$18,958.75
Amount Paid:$18,958.75 666
Date Paid:7/17/2020 10:23:33AM
Project Description
CONSTRUCT SINGLE FAMILY 1,668 SQ FT
Application Fees
Public Safety Impact Fee-Fire $273.00 Public Safety Impact Fee-Police $254.00
Irrigation 3/4 Meter(Calc) $473.78 Plumbing Permit Fee $147.00
Mechanical Permit Fee $102.90 SIF 1 percent Fee $83.28
Park Impact Fee-Single Family/Townhome $769.56 Water Connection Residential Fee $1,010.00
Electrical Permit Fee $220.50 Building Permit Fee $1,074.60
Public Safety Impact Fee-Admin $26.35 Transportation Impact Fee-City $36.32
Transportation Impact Fee $3,595.68 3/4 Water Meter Fee(Calc) $473.78
School Impact Fee $8,328.00 Sewer Connection Residential Fee $2,090.00
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.
CONTRACTOR SIGNATURE PE IT OFFICE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
Page I of 1
INSTR#2020084355OR BK10108. PG 2134
05/28/2020 10:02 AM Rcpt.2165694 Rec:10.00 DS-0.00 IT:0.00
Nikki Alvarez-Sowles, Esq.,Pasco County Clerk&Comptroller
Permit No. Parcel ID No
NOTICE OF COMMENCEMENT
state of Florida Countyof- PaSQQ
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-
1. Description of Property: Parcel Identification No.—LcA:j�-S _T�6 16- 7n lilt Lpzs j2Vc.,ze L/A
U
Street Address: I>asd C e4" -b�'— 2 0 (S,Jq S I .%Ij . , 412=t
2. General Description of Improvement New Single Family Residence
3. Owner Information or Lessee information if the Lessee contracted for the improvement
D.R. Horton, Inc
. Name
1281119 TAlernm nrivA Tsmpn a3637 -
Address city State
Interest In Property: Fee Simple
Name of Fee Simple Titleholder.
(If differard from owner listed above),
Address city state
4. Contractor D.R. Horton, Inc
Name
_12602 Telecom Drive TAmpA 336a7 FL
Address city state
Contractors Telephone No.:.
5. surety: _N/A
Name
Address city State
Amount of Bond: blIA Telephone No.:
8. 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 _EL_
Address TRy- state
Telephone Number of Designated Person: . 813-740-9720
8. In addition to himself,the owner designates NIA Of
-...to receive,a copy of the Lienor's Notice as provided in Section 713.13(t)(b),Florida Statutes.
Telephone Number of Person or Entity Designated by Owner.
g. Expiration date of Notice of Commencement(the expiration date may not be before the completion of construction and final payment to the
contractor,b6t 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 pedury fief
that I have read the foregoingLice f commencement and that the facts stated therein are true to the best
of my knowledge and belief.
STATE OF FLORIDA A
COUNTY OF PASCO
Sig re oT Owner or Lessee.or Owneft or Lessees Authorized
Officer/Director/Partner/Manager
Assistant SecretaWD.R. HodQn. Inc
Signatory's Title/Office
The foregoing Instrument was acknowledged before me this.in-Er day of-�20&by
As Assigglant SecretalEy (type of authority,e.g.,officer,trustee,attorney in fact)for
—D.R. Hgftn, Inc (name of party on be alf f orn In m nt was executed}.
Personally Known IR Q_R_Produced Identification E3 Notary Signature.
Type of Identification Produced Name(Print)
NEE--W;& Nabwy Public State of F)Drida
Michelle Moyes
6
mycomflasionG 057rul
Expires 121211202
A A A OSA
ommenoement_pcOS3048
wpdatalbos/noticec
i
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PASCO COUNTY, FLORIDA
4 Permit No.
' - - Date Permitted - 7rd
I 9
Builder Name/Owner Name t e- Control#' j
County Parcel No. g_,q_25-2j_` &_ bj0DV p jS"n SubDiv: 170/vir4A
t
Address/Location J t°
Classification/Type of Use
TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: I 'tP '
k
G
Exempt ❑jles ❑ No How Determined
F ,.
. impact Fee Amount $. Zone No. TAZ:
t
SCHOOLIMPACT'FEE
Account (056) Single-Family Detached House Amount $ TLC
(057) Mobile Home
(058) Other Residential
4 23) Collection Fee
Exempt dyes No How Determined
PARKS AND RECREATION FEE-
Land Account Land Credit Land Total
Recreation Account Recreation Credit Recreation
nn7Tottaal
Zone TOTAL AMOUNT $ !�1•`�E?
Exempt ❑Yes ❑ No How Determined
LIBRARY FEE
Land Account Land Credit Land Total
Facility Account Facility Credit Facility Total
Exempt ❑ Yes ❑ No How Determined Total Amount/ p--l"
RESOURCE FEE ERU
TOTAL AMOUNT
Prepared By r 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 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
I
lox
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.
I 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 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.R3Q2.6 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 iri 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 riot be used as a backer in showers or tubs.R702:4.2 F.B.C. .
19: Combiriatiori-type AFCI breakers are required at all locations requiring an AFCI type breaker.
20. Carbon monoxide alarms will be,required iri 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:
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 tie-applied to the
following:.
Piping.31.inch (1.9.1 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 coov of the-energy cacls shall be with permit at all times
27.. Copy of final insulation report shall be provided with permit before fna�
28. No fence,pool or scr.een enclosure as issued with:this permit
F.F.E.-Finished Floor Elevation
F.B.C-Florida Building Code 6 h Edition
R.O.W.-Right of Way
A.D.A.-Americans with Disabilities Act N.E.C.-National Electric Code (2016)
�»����2
— \��yot�ephV[h\\\S Permit Application � ov�v�/
� Building Department
/
Date Received Phone Contact for Permitting
ow er's m Owner Phone
Owner's Name Number
3S Owner Phone Number
Owner's Address
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
auaoK/mxOm ��^uCELm# CASC
(OBTAINEb FROM PROPERTY TAX NOTICE)
WORK PROPOSED mawcomsTn F7 ADD0\LT F--� SIGN F--1 �—� DEMOLISH
E�' INSTALL �_� REPAIR
PROPOSED USE F--1 aFm �—� COMM F--� OTHER
TYPE OF CONSTRUCTION F-2— BLOOK �—1 FRAME F---� GTEELBUILDING SIZE �--1
________ _
=BU|Uz|NG VALUATION OF TOTAL CONSTRUCTION
�--|ELE�TR\��L AMP [---1 PROGR��GENE�GY F—� YV.R.E.C.
���
=PLUMB|NG
co
�--|�ECH�Nk�� MECHANICAL���
=GA8 F-_� 'ROOFING- [—� � GPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS CJ Za FLOOD ZONE AREA [--lYEG NO
au|UosR COMPANY
SIGNATURE nso/oTsneo L�LL�L_]' pssc«Rns^ L_I/N_J
Address License#
ELECTRICIAN COMPANY
SIGNATURE «so/orEnso yi_N_]- FstounnEx
Address Uuonsn#
PLUMBER coMpamY
SIGNATURE Reo/srenso �_yi_�_1 �pssICuRnsN i'y`UN_J
Address License
MECHANICAL COMPANY
SIGNATURE neo\brsnsu FEE cmnns^V
Address
OTHER COMP ANY lr(tck
SIGNATURE REGISTERED FEEconRE^
'
Address Licenoa#
RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Permit for new construction,
Minimum ten(1U)working days after submittal date. Required ona|ba.Construction P)mns,,Gtonnvater Plans v/8Ut Fence installed,
Sanitary FaciiiMea81dumpytec Site YVnrkPermit for subdivioinnv8arUopn4acts _) .
COMMERCIAL Atfach(2)complete sets of Building Plans plus a Life Safety Page;(1)set uf Energy F6ims.F-O�Y Permit for new 'cmnotrmobon.
Minimum ten(1n)working days after submittal date. Required onsito.Construction Plans,Gtomnvws�r Plans wVgi|t Fence in�a{|od.
Sanitary FaciUboo@1dumpuho�Site YVorkPermit for eUnew pn4e�s./A|ommmen�a|naqui�manta must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
****PROPERTY SURVEY required for all NEW onnsbuoUon. -
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over*25oo'o Notice of Commencement imrequired. (AIC upgrades over$75OO)
~° Agent(for the contractor)oc Power nfAUome�(for the owner)would bo someone with notarized letter hnmpymerauth
_yhzi- ,same
OVER THE COUNTER PE8MDTNG �opyofoon�a�required)
Rnmofs if shingles Sewers Service Upgrades A/C 'Fences(P
Driveways-Not over Counter ifon public modvays'needoROW
�
�
.
NOTICE OFDEED 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 |avv, both the owner and contractor nl�y bo nibyd for o misdemeanor violationunderotate |*xw. |f the owner or intended con�adorare unco�ainoato what licensing | quirernentnrnayapp\yfortho
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 contreotona, he is advised to have thb 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 heia notproper|yj|cansed and in not entitled to permitting privileges in Pasco
County. '
TRANSPORTATION lDOpACTIDT|L|T|ES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Pema may apply to the construction of new buUdinge, change of
use in existing bui|dingm, or expansion of existing bui|dinge, 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 Feea'and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power release. If the project does not involve o certificate of occupancy or
final power.release, the fees must be paid prior to permit issuance. Fuhbennona, if poaoo {}uuntyVVeter/Bewver 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, anaruendad): |f valuation of work in$2.5DU.O0ormore, |
certify that \, the appUoont, 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|tto the"owner" prior to oomnnanmarnont.
CONTRACTOR'S/Q\0NERISAFFIDAVIT: I certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable |nvva regulating construction, zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. \ certify that no work or installation has
commenced prior to issuance of e 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. | also
certify that \ understand that the regulations of other government agencies may apply to the intended work,
'nd that itio
my responsibility to identify vvhatactions lrnunt take tobeincompliance. Such agencies iO�udebut are not||rnitedto:
- Department ofEnvironmental Protection-Cypress 8oyheods. Wetland Areas and Environmentally Sensitive
LeOda.VVatan«WoatevvoterT[eatmeOt.
- Southwest Florida Water Management District-Wells, Cypress Baybeado, Wetland Areas, Altering
Watercourses.
- Army Corps ofEnQineers'Seavvo||s. Docks, Navigable Waterways.
- Department of Health & Rehabilitative Gen/imsm/Envinonmenba{ Health Unit-We||a, Wastewater Treatment,
Septic Tanks.
- UG Environmental Protection Agency-Asbestos abatement. �
- Federal Aviation Authodty-Runvvaye.
| understand that the following restrictions apply to the use offill: '
- Use of fill is not allowed |n 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 o
"cnrOpeDeed|ng volume" will be submitted at time of permitting which is prepared by o professional engineer
licensed by the State of Florida.
- If the fill material is to be used in Flood Zone "/<' in connection with e permitted building using stem vva\|
constnuotion, 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 vvi|l� not adversely affect ocUauant
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 |eaa than one (1)
acre which are elevated by fill, on 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. | understand that a separate permit may be required for electrical work,
p)urnbing, signa, vvaUs, poo|s, air cnndYOon|ng, gos, 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 iaSuanoe, 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 naqueotnd, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
justifiable oau'se for the extension, If work ceases for ninety(90)consecutive days, the job is considered abandoned.
.
WARNING TO OWNER: YOUR FAILURE TO RECORD '& 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.
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to(or affiSped)bqfore me this Subscribed and sworn to(or affirmed)before me this
Who is/are personally known to me or has/have produced Who islare personally knov�n to me or has/have produced
as identification. as identification,
Notary Public Notary Public
Commission No. tl� Commission No.
e Name of Notary typed,printed or stamped
State of Florida-Notary Public
0,f My Commission Expire]Js
��
813.780-0020 City of Zephyrhilis Permit Application Fax 813-780-002'
Building Department
d •
Date Received
.Phone Contact for Permitting
Owner's.Name > Owner Phone Number
.,',-,..Owners Address Owner Phone-Number
Owner Phone Number
JOB ADDRESS` LOT# S
�. SUBDIVISION ( PARCEL iD#
(OBTAINED;EROM.PROP.ER:;TAX',NQ nCE)
:WORK PROPOSED NE%C0N$TR' 4DD/ALT• � SIGN �. 0 ';DEMOLISH'
e INSTALL 8 REPAIR
PROPOSED USE Q SFR 0 COMM. OTHER
TYPE OF CONSTRUCTION BLOCK CJ FRAME ' [ ] STEEL Q
DESCRIPTION OF.WORK
BUILDING SIZE .� SQ•FOOTAGE,= :HEIGHT.
} WWII 44+W4444
=BUILDING $ VALUATION OF'TOTAL CONSTRUCTION'
i =.ELECTRICAL $ AMP'SERVICE Q DUKE ENERGY' 0 W.R.E.C.
=PLUMBING ����•,
=MECHANICAL $ VAL•UATION OF MECHANICAL INSTALLATION
=GAS 0 ROOFING 0, SPECIALLY OTHER
FINISHED FLOOR ELEVATIONS ,FLOOia:ZONE AREA �YES NO
BUILDER COMPANY
SIGNATURE REGISTERED Y 1 N FEE CU�R'RREN
Address License#
r
ELECTRICIAN- COMPANY
SIGNATURE •REGiSTERtb* 'Y'/':N " FEE CURREt Y J N
Address . 'License :!
PLUMBER '� COMPANY G (~
SIGNATURE REGISTERED, Y7-N FEE CURREh
Address License.# '
MECHANICAL .:; -COMPANY ,.
SIGNATURE REGISTERED Y/ N I FEE CURREN Y!'N• .
Address Licensp'#..��
OTHER CQMPANY
SIGNATURE REGISTERED Y/.•N,,:•. •• FEE,CU(R'REM1'•
.Address License# i. .
RESIDENTIAL" Attach-( )=Plot'Plaris;{2)'aets bf`Bullding"P�aris;..(1);set:of Ene[gy_Forms;:R Orllif Pemii forttew�construction,. .
Minimum•ten-{�10).Working`.'days aftet'subntifta!`ilate.`Ftetjiiireci onsite;'Gbnsttt9ctloh Plan s,"S ormiarater Plans. Silt Fe"
installed,
Sanitary:Facilities&;1Aumpster,Site Work.,Perrwit-forsubdiv!Wons/latge-prdibets
COMMERCIAL Attach(2).complete,sets.g.f._Building'Plans;plus'•a.4Life$afety',P.age;(1:)'.set'of=Energy:Forms.R-CrW Permit fdr,:new construction.
Minimum ten f t 0),yvarking;d ys�a(t r ubrattla!date;.t eq'uirteti=pnsite;Constcuctian-Riar}S.,Starmwater.Ptans'w/Silt`Fence installed,
Sanitary FadiI' &1 durripst6N.SIfe'(tVdrli Perm{ffar atl'new projects.All commerciaLrequirements must meet compliance
SIGN PERMIT Attach(2,),'sets.of Engineered:Rlans:
''"PROPERT'Y•S.UkVC Y.'requifeb for all'NEW construction.
,..t•,..
Directions:
Fill out application completely.
Ownei.&:Contractor sign.back of,.application,notarized
Mover$All a Notice of�.Commencernent is requlred. (A/C upgrades.over$7500)
Agent(for the contractor.)or.Power.of Attorney,(for the owner)would be someonerwith notarized=ietter from•owner authorizing same
OVER THE COUNTER•P.EI&1M1 TING (cgpy;of'codtract,required)
Reroofs if sfiiingles 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 applicable.Pasco County ordinances.
CONSTRUCTIOWL-IEN LAW(Chapter 71.3;.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-the-applicant is someone
other than the"owner", I certify that.1 have obtained a copy of the-above'descriibed document and promise in good faith to
deliver it to the"owner".prior to commencement.
CONTRACTOR'SIOWNEWS;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 d`o 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 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,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 &:Reha'bilitative Services/Environmental Health Unit=Wells, Wastewater Treatment,
Septic Tanks
US Environmental.Protection-,.Agency",Asbestos.abatement.
Federal Aviation Authority-Punways.
I understand.that'the following restrictions.apply-to-the-use of,fill:
- Use of fill is not-alibwed in Flood'Zone W"uhless•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 Js 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.'. ]P YW-INT- NIb 1`O'OBTK1N FINANCING, CONSULT
WITH-YOURLEN.DER.OR AN ATTORNEY:BEF.ORE RECORDING-.YOUR.NOTICE.OF-COMMENCEMENT.
FLORIDA 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 is/are 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
PLOT PLAN
DESCRIPTION:(AS FURNISHED)
LOT 15, 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.
ON LOT CALCULATIONS
LOT = 4,600 SO. FT.
LIVING AREA = 1.405 SQ. FT.
GARAGE = 243 SQ. FT.
ENTRY = 20 SQ. FT.
LANAI = 0 SQ. FT.
PATIO — 80 SQ. FT.
DRIVEWAY = 392 SQ. FT.
Una Table A/C PAD' = 12 SQ. FT.
WALKWAY = 37 SQ. FT.
Una/ Olrectlon Lamath IMPERVIOUS = 48%
= 2189 SQ: FT.
L1 NOO'3V52'E 40.00' SOD = 2.411 SQ. FT.
OFF LOT CALCULATIONS
RIGHT OF,WAY = 520 SQ. FT.
DRIVE APRON = 152 SQ. FT. z
PUBLIC S/W — 200 SQ. FT. 1" = 30'
SOD = 168 SQ. FT. GRAPHIC SCALE
TOTALS 15 30
AREA = 5,120 SQ. FT.
DRIVEWAY = 544 SQ. FT.
SIDEWALK = 237 SQ. FT.
SOD = 2,579 SQ. FT.
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PREPARED FOR: m m
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BUILDING SETBACKS
FRONT: 20'
GARAGE: 25'
REAR: 15'
SIDE: 5'
SIDE STREET: 15'
NOTES:
1. PROPOSED ELEVATIONS SHOWN HEREON ARE BASED
ON THE APPROVED ENGINEERING PLANS PREPARED LEGEND:
BY HAMILTON ENGINEERING & SURVEYING INC..
2 ELEVATIONS ARE BASED ON NAVD 1988
DATUM. — — •— BUILDING SETBACK LINE PI POINT OF INTERSECTION
PC POINT OF CURVATURE
3. FOR ALL LOTS WHERE SIDE—YARD SETBACKS ARE — CENTERUNE PT POINT OF TANGENCY
LESS THAN 7.50 FEET, A MINIMUM 5.00 FOOT WIDE ——_ — RIGHT OF WAY UNE RP RADIUS POINT
DRAINAGE & ACCESS EASEMENT IS HEREBY CREATED XXYx PRO POINT OF REVERSE CURVATURE
ON ALL SIDE LOT LINES, UNLESS OTHERWISE NOTED. PROPOSED ELEVATION PCP PERMANENT CONTROL POINT
TYP TYPICAL
PROPOSED DRAINAGE FLOW CS CONCRETE SLAB
THIS PLOT PLAN IS INTENDED FOR PERMITTING PURPOSES ::'°: CONCRETE (P) PERCPLAATED
ONLY. THIS IS NOT INTENDED FOR THE CONSTRUCTION OF 0 (C)
THE PROPOSED STRUCTURE. THE CONTRACTOR AND/OR A/C AIR CONDITIONER PCs PAGES OOK
OWNER ARE REQUIRED TO VERIFY ALL SETBACKS, BUILDING S/'H SIDEWALK SO. 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
DRAINAGE&UTILITY
THIS IS NOT A SURVEY DEUE DRAINAGE EASEMENTEASEM)ENT
UE UTILITY THIS IS A PLOT PLAN ONLY D&AE DRAINAGE&ACCESS EASEMENT FOR MAINTENANCE EASEMENT
FLOOD NOTE: SURVEYOR NOTES:
I HAVE ET(AMINED THE F.I.R.M. MAP NO. 1210100293F, 1. THE SURVEYOR HAS NOT ABSTRACTED THE
DAIED 09/26/2014, AND FOUND THE SUBJECT PROPERTY APPEARS TO LAND SHOWN HEREON FOR EASEMENTS, RIGHT
UE IN ZONE'X', AREAS DETERMINED TO BE OU73DE THE 0.2R ANNUAL OF WAY, RESTRICTIONS OF RECORD WHICH
CHANCE FLOODPLAIN.THE SURVEYOR MAKES NO GUARANTEES AS TO MAY AFFECT THE TITLE OR USE OF THE LAND.
THE ABOVE INFORMATION. PLEASE CONTACT THE LOCAL F.E.M.A. AGENT
FOR VERIFICATION. 2. NO UNDERGROUND IMPROVEMENTS HAVE BEEN
BEARING BASIS: LOCATED EXCEPT AS SHOWN.
A!5hA
BEARINGS SHOWN HEREON ARE BASED ON THE CENTERUNE OF DAME 3. NOT VALID WITHOUT THE AUTHENTIC
RAY DRIVE BEING N003452'E,PER PLAT. ELECTRONIC SIGNATURE AND THE AUTHENTIC
A E=FZ M I 1 CAN ELECTRONIC SEAL OF A FLORIDA LICENSED
(FIELD DATE:) REVISED: SURVEYOR AND MAPPER.
SU RV EY 1 N G A�,o .Digitally signed bylamesWBoleman
SCALE: 1' 30 FE7T DN:c US,st=Florida,l=Orland%
,& MAPPING INC. ''' ~�vS AMERCANSURVEYING&
F_� MAPPING,INC,—JamesW
APPROVED BY: CERTIFICATION OF AUTHORIZATION NUMBER LB16393 Beeman,.
3191 MAGUIRE BOULEVARD, SUITE 2DO ;. email=)boleman@asmmrporate.mmFOR
JOB No. 190901 LOT 15, BLOCK 10 ORLANDO, FLORIDA 32803 " Date:2020.05.11100723-04.00' THE
FIRM
(407) 426-7979
DRAWN BY: RMB PLOT PLAN OS G4 2020 GO W WW.AMERICANSURVEYINGANDMAPPING.COM JAMES W. BOLEMAN PSM# 6485 DATE
1