HomeMy WebLinkAbout20-140 D
FLUE11llH City Of Zephyrhills PERMIT NUMBER'
" 5335 Eighth Street
ems..
Zephyrhills, FL 33542 BNR-000140-2020
' Phone: (813)780-0020
. r(
Fax: (813)780-0021 Issue Date: 06/30/2020
Permit Type: Building New (Residential)
Property,Number. -Street Address
26 25 21 0140 00200 0010 8100 Wheat Stone Drive
Owner Information, Permit.lnformation Contractor Information"
Name: D R HORTON INC Permit Type:Building New(Residential) Contractor: D R HORTON INC
Class of Work:SFR Construct . 0
Address: 12602 Telecom Dr Building Valuation:$308,548.35
TAMPA,FL 33637 Electrical Valuation:$1.00
Mechanical Valuation:$1.00
Phone: (813)549-1968
Plumbing Valuation:$1.00 4
Total Valuation:$308,551.35
Total Fees:$19,866.25 /� B
Amount Paid:$19,866.25 !➢//
Date Paid:6/30/2020 3:13:45PM
Project Description
CONSTRUCT SINGLE FAMILY 2,739 SQ FT
Application Fees:
Mechanical Permit Fee $166.43 School Impact Fee $8,328.00
Sewer Connection Residential Fee $2,090.00 Building Permit Fee $1,691.69
Transportation Impact Fee $3,595.68 Electrical Permit Fee $356.63
Public Safety Impact Fee-Police $254.00 Public Safety Impact Fee-Fire $273.00
Park Impact Fee-Single Family/Townhome $769.56 Water Connection Residential Fee $1,010.00
Transportation Impact Fee-City $36.32 SIF 1 percent Fee $83.28
3/4 Water Meter Fee(Calc) $473.78 Public Safety Impact Fee-Admin $26.35
Plumbing Permit Fee $237.75 Irrigation 3/4 Meter(Calc) $473.78
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
D.R.Horton-8100 Wheat Store Dr.2,739 sqft
Column Es
SQ. FEET PRICE
MAIN OR LIVING: 2,739 $ 112.65 /
OTHER AREA UNDER ROOF: - $ 88.00
OTHER: - $
VALUATION $ 308,548.35
FEE SHEET $ 1,585.00
ADDRESS $ 30.00
DRIVEWAY1 $ 45.00
BUILDING: $ 1,691.70
ELECTRICAL: $ 356.63
PLUMBING: $ 237.75
MECHANICAL: $ 166.43
SUB-TOTAL $ 2,452.50
TOTAL $ 2,452.50
SEWER: $ 2,090.00
WATER: $ 1,010.00
IRRIGATION: $ -
TOTAL: $ 3,100.00
WATER METER: $ 473.78
IRRIGATION METER $ 473.78
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 $; 7,053.41
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: $ 19,866.25
l
PASCO COUNTY, FLORI®A , ,.
Permit No. 810
Date Permitted +',Z"— gO
�. Builder Name/Owner Name Control#
County Parcel No. _7 = � !�l m_Qb fit?-WfT) SubDiv:
i Address/Location
j
Classificationlrype of Use
TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit:
Exempt' ❑Yes ❑ No How Determined
Impact Fee Amount $. ?(P Zone No. TAZ:
SCHOOL IMPACT FEE
Account (056) Single-Family Detached House Amount $
(057) Mobile Home
(058) Other Residential
923) Collection Fee
Exempt [�Yes ❑No How Determined
i
PARKS AND RECREATION FEE
Land Account Land Credit Land Total
Recreation Account Recreation Credit Recreation Total
Zone TOTAL AMOUNT $ ' 7k sz;
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
—
RESOURCE FEE ERU
TOTAL AMOUNT
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 A CENTRAL PERMITTING OFFICE OF PASCO COUNTY
Acknowledgement below does not Imply acceptance of concurrence,but simply recelpt 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
INSTR#2020051971 OR BK 10076 PG228 Page 1 of 1
03/25/2020 01:04 PM Rcpt:2148174 Rec:10.00 DS:0.00 IT:0.00
Nikki Alvarez-Sowles,Esq., Pasco County Clerk&Comptroller
Permit No. Parcel ID No DID
NOTICE OF COMMENCEMENT
State of- Florida Countyof PaSCO
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real propwty,and in accordance with Chapter 713.Florida Statutes,
the following information is provided In this Notice of Commegcement:
1 Description of Property: Parcel Identificabon No. IL �Q ' I al 0(14- i) ?&=�% r Lal"s *PK� I A.
Street Address: IRMO W,�J�v SA-Dne-r- - "
I�N�V-C- 7. riaAs.EL '5*554Q)
2. General Description of irriprovement NE w Singe Family Residence
3. Owner Information or Lessee information if the Lessee contracted for the improvement
D.R. Horton, 113p,
Name
19SQ9 Talpr-nm Ddye Tamp,3 33637 El
Address city State
Interest in Property. Fee SiMI21P-
Name of Fee Simple Titleholder:
(if different from Omer listed above)
Address city State
4. contractor. DR, Horton, Inc
. Name
12602 Telecom DriveTamp.; 33637 FL
Address city state
Contractor's Telephone No.:
51 surety: NIA
Name
Address city State
Amount of Bond: N/A Telephone No.:
6. Lander. N/A
Name
Address CRY 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)M,Florida Statutes:
David Gude
Name
12602 Telecom Drive, Tampa 33637 FL
Address city state
Telephone Number of Designated Person: 813-740-9720
8. In addition to himself,the owner designates N/A - of
toreceive a copy of the Llenor's Notice as provided in Section 713.13(t)(b),Florida Statutes.
Telephone Number of Person or Entity Designated by Owner.
9. Expiration date of Notice of Commencement(the expiration date may not be before the completion of construction and trial payment to the
contractor,but wilt 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 IbQ�Icep commencement and that the facts stated therein are true to the best
of my knowledge and belief.
STATE OF FLORIDA
COUNTY OF PASCO
S sture Owner
Sig ure Owner or Lessee,or Owner's or Lessee's Authorized
Officer/Director/Partner/Manager
Assistant Secretary/D.R. Horton, Inc
Signatory's Title/Office
)S day ONWC�The foregoing Instrument was acknowledged before me thls.Q 204p by.
as Assistant Secretary (type of authority,e.g.,officer,trustee,attorney in fact)for
D.R. Horton. Inc (Lame of party on behalf of whom Instrument was lixecuted).
Personally Known M OR Produced Identification 171 Notary Signature
Type of identification Produced Name(Print)
J)ANA ANNE NAGKTIN
Notary public-State at Florida
Commission#GG 010660
2,2020
()ANA A 1,N1 NADG
pub State""()(Ida
'31 Ft
G 010660
2
My Comm.Expires Jul 1.2.
wpdatchcolnotrecommencement_pcOS3048
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Single Family Dwelling
Plan Review Comments
1. F.RE: shall be a minimum of 8" above the road elevation and an engineered site plan.
2. Lots shall be graded to comply with R401.3 of the F.B.C.
3: Compaction test required if 24" or more of fill dirt is brought in at any one place.
4: Tie in survey required before pouring concrete.
5: Driveways require.a R.O.W. use permit: All 4 sides of driveway thru the sidewalk shall have
expansion material.
6. .All setbacks shall be met.
7. All 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;tnec,hanical,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 R.B.C:
13. Foundation supports for AX units shall be raised at least 3" above finished grade. M1308A
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.
10. Combination-type AM breakers are required at all locations requiring an AM type breaker.
20. Carbon monokide alarms will be required in.new construction that uses fossil-burning heating
or appliances or an attached garage.' They shall be installed in accordance with the F.B.C:
21. All plumbing, mechanical, and electrical shall be separate from unit to unit: This includes all
underground plumbing and electric.
21 All 2016. ME.C. Codes will be enforced.
23. Tamper- Resistant.Receptacles in accordance with 406.4 1 of the 2o 161 N.E.
24. In accordance with the Land Development Code,lots shall be sod_ ded before final at least 10
feet around the structure.
25 .R403.5.3Hot water pipe insulation.
Ins.ulati.on for'hot.Water'pipe With.a minimum thermal resistance (R-value) of R-3 shall be applied-to the
foliowing:-
Piping�1, inch (19.1 mm)and larger,in:nominal.diameter..
Piping.serving more than;one dwelling'unit:
Piping located outside the conditioned space:
Piping from the water heater to.a distribution manifold:,
Piping:located under a floor slab:
Buried in piping,'
Supply and return piping in recirculation systems other than demand recirculation systems-.
25:Blower'door test shall be provided before C.O:
26.A copy of the energy cacls shall be:with permit at all times
27.. Copy of final insulation report shall�be provided with Permit before fnab
28.No fence, pool onscreen enclosure :is issued with this permit
F.F.E.-Finished Floor Elevation
F.B.C=Florida Building Code 6"'Edition
R.O.W.-Right of Way
A.D.A.-Americans with Disabilities Act. N.E.C.-National Electric.Code(2016) .
silty Ot'Gephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received ��u" rWo'*'`c`�M
Phone Contact for Permitting
Owher's Name Owner Phone Number - � (A
Owner's Address J� Owner.Phone Number
Fee-Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS O LOT#
SUBDIVISION - Q V `- ;�ARCEL ID# Z� ^��' Z t3' 6D ZM__-
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED. NEW CONSTR F7 ADD/ALT u SIGN = = DEMOLISH
INSTALL REPAIR
PROPOSED USE Q SPR 0 Comm OTHER
TYPE OF CONSTRUCTION BLOCK FRAME STEEL
DESCRIPTION OF WORK W 1 eAffi
`S
BUILDING SIZE SQ FOOTAGE $ HEIGHT F____�
=BUILDING $ q Qt_ VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ AMP SERVICE = PROGRESS ENERGY W.R.E.C,
=PLUMBING $
Q(3=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
GAS ROOFING 0 SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA OYES NO
BUILDER /� COMPANY Inc.
5I.GNATURE V' REGISTERED Y 1 N FEE CU(RRREN� Y 1 N
Address License#
ELECTRICIAN � COMPANY
SIGNATURE REGISTERED I Y/ N FEE CUR/R—EP I Y/N .
Address (}(� 3 License
SLUMBER COMPANY 5U M Ji+1
SIGNATURE REGISTERED Y I N FEE URREN L N
Address 3�� b C�}Eh W SJ-f 10M 46 6 License# cF n 1 Z - 13 T .
MECHANICAL COMPANY
31GNATLlRE REGISTERED VVN l FEE CURREN Y/N
Address J`�o�. License# C-U 33 W
)THER COMPANY
iIGNATURE REGISTERED Y/ N FEE CURREN Y/N
-.Address License# cc II
III:IIIIIIIIIIi,illlillllllilll' IIIIlIIIIIIlIIIIIIIIIIIIIiIIIiII.-I1111
ZESIDENTIAL 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 Pians.wi Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects.
;OMMERCIAL 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 wl Sllt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
iIGN PERMIT Attach(2)sets of Engineered Plans.
****PROPERTY SURVEY required for all NEW construction.
ilrections:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (AIC upgrades aver$7500)
ti Agent-.(for the contractor)or Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same
)VER THE COUNTER PERMITTING (copy of contract required)
:eroofs if shingles Sewers Service Upgrades AIC Fences(Plot/Survey/Footage)
Driveways-Not over Counter if.on public roadways..needs ROW
-
NOTICE CF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed" restrictions"
which may ba more restrictive than Couqtyregulations. The undersigned aoeumeareoponoibi|ityforounnp|ioncevvithany
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired u contractor or
oontraotora.toundedakevvork` theymoybaraqukedtobe |ioenaedinaouondonoovithotuteand |uoo| ragu|abone. If the
contractor is not licensed as.required by |ovv, 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 Div|oion--Licenain{iSeobu� ot727'847-
8009. Furthermore, if the owner has hired a ooO1[aoto[ or contractors, he is advised to have the contractor(s) sign
portiopo of the "contractor 0nok' of this application for which they vvi||be responsible. If you, as the owner sign as the
contraotor, that may be an indication that he is not prop edy1|oenaed and in not entitled to parnn|tbnQ privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undemignedunderstands
that Tranmpor�dionImpact Fees and ��ecouraeFleomvoryFees may apply to the oona�uctimnof new buildings, change of
use in exisdng buUdingo, or expansion of existing buildings, as specified in Pasco County Oniinanoe'nunnber 88-07 and
90-07. as amended. The undersigned also- understands, that such fees, as may be due, will be.identified et the time of
permitting. |tiafurtharunderabbod.thatTiansportotion |rnpactFeeo'andResourueRecoveryFeaanouofbepa|dpriorto
receiving o "certificate of occupancy" or final power release. If the `ect does not involve auer�fCuteofoocupanoy'pr
final povverrelease, 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, amernended>: |f valuation of work is $2.5OO.00ormore, |
certify that |` the eppUcent, have been provided with a copy of the "Florida Construction Lien,Law—Homeowner's
Protecdon Guide" prepared by the Florida Department of Agriculture and.Consumer Affairs. If the applicant ia someone
other than the "owner", | certify that | have obtained a copy of the above described document and promise in goodfalth to
deliver itto the"ovvner"prior tocommencement. '
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 laws regulating oonabu:Uon, 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 a permit and that all work will be performed to meet standards of all |avva 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 it is
nl�roaponsibUityboidnnt�/vvhot actions i��uet take bobaiDcompliance. Such agencies indudebut are not|\mitedto:
Department ufEnvironmental Protection-Cypress Bayhoada, Wetland Areas and Environmentally Sensitive
LaDds,VVuter/WastgYveierT[eatOnant.
' Southwest Florida Water Management D|atr|ot4WeUa' Cypress Bayheada, Wetland Areas, Altering
Watercourses.
' - Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health Q Rehabilitative Serv\cea/Envinonmental Health Unit4Wo||s, Wastewater treatment,
Septic Tanks.
' UB Environmental Protection Agency-Asbestos abatement.
- Federal Aviation AuthorUx-Flunvvayn.
| understand that the following restrictions apply to the use offill: '
- Use of fill ia not allowed iO Flood Zona,''V^' unless expressly permitted,
- If the fill nnabaha| 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 thefiU material is to be used in F|ood ZoOe'"A. in connection with a permitted -bui\diOg using stem vVe||
construction, | certify that fill will be used only to fill the area within the stem wall.
- If fill material in to be used in any area, i certify that use of such fill-will: not adversely ufh*Pt adjacent
properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
the conditions ofthe bui|ding permit issued under the attached permit application, for'|ota (aes than one (I)--
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. | understand that a separate permit may be required for electrical vvork,
p|UrnUiDg, aigDa, vveUe, pools, air conditioning, gas, or other iOabaUot|ono not epecd5on||y included in the application. A
permit issued shall be construed to be o license to proceed with the work and not as authority to vio|ote, cancel, a\ter, or
set as ide any provisions of the technical'codes, no*r 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
un|aaa the work authorized by such permit is commenced within aix months of permit isauaOoe, 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 o period not to exceed ninety /90\ day and will demonstrate
justifiable cau'se for the extension. If work ceases for ninety(90) consecutive days, the job is considered abandoned.
WARNING TO OVVNGFl: 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 O `AGENT CONTRACTOR
Subscribed and sworn to(or affir ed)b for�me this Subscribed and sworn to(or affirmed)before me this
by
Wh IJZTSOPMIJ�known to me or has/have produced Who is/are personally kno\�n to me or has/have produced
as identificaflon. as identification.
'
Notary Public Notary
`
Public
Commission No, Commission No.
'
Name~Notary yr~~ printed or stamped
LL
OLLY
State of Florida-Notary Public
My Commission Expires
July-12, 20227
��'��
813-780-0020
City of Zephyrhills Permit Application Fax-813-780-0021
Building Department
i
Date Received Phone Contact for Permittin
Owner's.Mama Owner Phone Number
,.,.vpwneeS Address Owner Phone.Number
Owner Phone Number
- d
JOB ADDRESS' -.LOT# Z�
SUBDIVISION Pat p 'L 1A � PARCEL ID#
(08TAINED'=0R0M.PR0PERTY TAX
NOTICE):
WDRK PROPOSED NEW-CONSTR ADD/ALT SIGN DEMOLISH'
R INSTALL El. REPAIR
PROPOSED USE, 0 SFR Q . COMM �_ OTHER
TYPE OF CONSTRUCTION Q BLOCK 0' FRAME ' STEEL 0
i
DESCRIPTION OF WORK
j
BUILDING. , GE; , .HEIGHT
f SIZE SQ•FOO'rA �
n13UILDING $ VALUATION OF`TOTAL CONSTRUCTION'
i
,
=ELECTRICAL $ AMP'SERViCE Q DUKE ENERGY' 0 KR:E.C.
=PLUMBING $'
=MECHANICAL $• VALUATION OF MECHANICAL INSTALLATION
=GAS Q ROOFING Q SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS -fL'OOD20NE AREA. [ YES . NO
BUILDER COMPANY
SIGNATURE REGISTERED I Y/ N FEE CURREN . Y•/N
Address License# �-
ELECTRICIAN COMPANY
SIGNATURE REGISTERED' Y"/"'N FEE CURREN
Address , License# +'
PLUMBER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN 'Y'/N"'
Address. License# �-
MECHANICAL .:, _.COMPANY ,..
SIGNATURE': REGISTERED Y/ N FEE CURREN Y/-'N "
71 Address;. License#.
OTHER COMPANY
SIGNATURE REGISTERED "Y/, N,,,.; .. FEE CURRE.N:_ L
Address License#
RESIDENTIAL Attactf(Z)-PIotPfans,(2)=sets"'of Bplii9irig'Pl ris;.(!).set.ofEhergyFowns;``k-'bw tit'0ermItforneW:ponstruction,
r M!nii iumlten-(16)•working:days"afEeesub6(ttai" ater�-kii4dired'onsite;-Cohstr`ucU66 Plans; ti6m4water Plans-4 Silt Fence installed,
Sanitary-Facilities kt-dumpster„Site,Work�PermlEfdr subdiv!slons/large�prdjects
COMMERCIAL Attach(2)complete,sets af:Buiiding Plans,plus-:a�Life;$afety,Page;{1:).set of Energy•Farms.R-OV Permit focnew.constructlon.
Minimum ten:(1.0)warking,daigs aftersubmitta(dote;Required onsite;Construction.Plens�Stonnwater Plans=w/SilYFence installed;
Sanitary Facilities&1 dumpster.Sife iNdrk'Perintt for a!I'new projects.All commerclalrequirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered:Plans.
""""PROPERTY.S..URVE-Y required for all'NEW;ooristruction.
QXQ
Directions:
Fill out application completely.
Owner.&:Contactor sign.
back of application,notarized
'if over$2500,a Notice of'Camrriencement is required. (A/C upgrades.over$7500)
' ,r..
Agent(for the contractor.)or Power of;Attorney,•(for the owner)would be someone with notarized-letter from owner authorizing same
OVER THE COUNTER,P.SRMITTING •- (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
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 contractormay 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:fmay apply to the-construction of-new buildings, change of
use in existing-buildings, or expansion of'ezisting buildings, as specified in Pasco County Ordinance number.89-07 and
90-07,, as amended. The.undersigned_also._understands; tha'Usuch fees, as may-be-due,-will-be identified at'thb'tine of
permitting. It is further understood thatTransportation.Impact Fees and Resource Recovery Fees must be paid.prior to "
receiving.a="certificate of occupancy°'.or final power.r_elease. ,If-the project:does.nofinvolve 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 71 ,+Iorida Statutes;°as:amended): If,valuation of work is$2500.00 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:l;have obtained a copy of-the above described docurrient and promise in good faith to
deliver it to the"owner":prior to commencement.
CONTRACTOR'S/OWNER'S`AFFIDAVIT;,,.I'.certify that,all,tlWJhformation,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. 1 also
certify that I understand that the regulations of other.government agencies may apply-to the Jntended work, and that it is
my responsibility to identify what actions:) 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,WaterM/astewater,:Treatment.
Southwest Florida Water Management District-Wells, Cypress Bayheads, _'Wetland Areas, Altering
Watercourses.
Army Corps of Engineers-Seawalls, Docks, Navigable Waterways,
Department offi=:Health ;&- Rehabilitative Services/Environmental Health Unit=Wells,Wastewater Treatment,
Septic Tanks.
US,Environmental Protection:Agency=Asbestos abatement.
Federal'Aviat[on Authority=Runways.
understand that:the.,following,restrictions::apply.,to the use of-fill:
Use of fill.is notallowed"in Flood'Zone V'-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_,whk h 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'41i.be used only to fiil::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 fll..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")
are which are elevated by-fill;-aaengineered 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,Officialfor 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.AF YOU,1N7END.TO OBTAIN`FINANCING,CONSULT
WITH`YOUR LENDER-OR AN ATTORNEY`BEFOREAECORDING 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
4
• PLOT PLAN
DESCRIPTION:(AS FURNISHED)
LOT 1, BLOCK 2, ZEPHYR LAKES SUBDIVISION PHASES 1A, 2A, 213, AND 4A
'AS RECORDED IN PLAT BOOK 80, PAGE(S) 37-48, OF THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA.
KNEAT
1 , `�De PRl q�OR DRIVEHr
I ` F WAY
CfTI
NW11
7.
CS
Par
_ CVo o
cv
3U.-
f. j5i GRAPHIC SCALE
0 1 rd7 pkJ .i:.; 0 15 30
CIF
� ..:Zr3 ::
Zap,J
ge . 4.> CO
�a ! �� %
I /
W co
W 1 P l
N o I o PROP
GAF m4r Ave l
SOT
BLOCK 2
1 28.7' � 3x
LET..':_: �re.3. ly
' N , BLOCK 2 p Zap• ; ^a��
. pp4 S� ^ �" ON LOT CALCULATIONS
9966 DRAINAGE TYPE A �" / �` LIVING AREA = 2,034 SQ. FT.
GARAGE = 458 SQ. FT.
\ / ENTRY = 25 SQ. FT.
LANAI = 218 SQ. FT.
\ g61 ENTRY SLAB = 23 SQ. FT.
LA DRIVEWAY = 437 SQ. FT.
I)S A A EA A/C PAD = 12 SQ. FT.
(PfjjVWALKWAY = 36 SO. FT.
IMPERVIOUS = 29%
= 3243 SO. FT.
SOD = 7,761 SO. FT.
Curve Table OFF LOT CALCULATIONS
PREPARED FOR: RIGHT OF WAY = 2991 SO. FT.
Curve Length Radlue Delta, Chord Booting cl,ara
DRIVE APRON = 152 SQ. FT.
C1 74.28' 1161.00' 339'53' S74.38'54'E 74.25' PUBLIC S/W 1213 SQ. F.
y��dbd/i �T!°' 40.92' 25.00 9347' 3T36 O8' N56' 'E 36.50' SOD = 1,626 SQ. FT.
"imFl�`LGC�S� C2 ' TOTALS
C3 3.65' 25.00' 821'21' N053322'E 3.64' AREA = 13.995 SO. FT.
BUILDING SETBACKS C4 8&10• 1040.00' 4.41'17• S75'24.53•E 85.07' DRIVEWAY = 9 SO. FT.
SIDEWALK = 12 1249 SO SQ.
FT.
FRONT: 22 C5 291.16' 1186.00' 14103'58- N73-IN59-W 290.43' SOD = 9.387 SO. FT.
13'
REAR: '
GARAGE: CB 154.21'1 1186.OD' 727'00' N7632'28W 154.11'
SIDE: 5' C7 138.95' 1188.00' 636'58' N6930'29W 136.87'
SIDE STREET: 15'
LEGEND:
NOTES:
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 & — — CENTERUNE PT POINT OF TANGENCY
SURVEYING INC.. ———— RIGHT OF WAY LINE RP RADIUS POINT
PRC POINT OF REVERSE CURVATURE
2. ELEVATIONS ARE BASED ON NAVD 198E PROPOSED ELEVATION PCP PERMANENT CONTROL POINT
DATUM. TYP TYPICAL
PROPOSED DRAINAGE FLOW CS CONCRETE SLAB
THIS PLOT PLAN IS INTENDED FOR PERMITTING PURPOSES ;::::: CONCRETE �Pj PEcuuTED
ONLY. THIS IS NOT INTENDED FOR THE CONSTRUCTION OF PB PLAT BOOK
THE PROPOSED STRUCTURE. THE CONTRACTOR AND/OR A/C AIR CONDITIONER PGS PAGES
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.I.R.M. FLOOD INSURANCE RATE MAP
NAVD NORTH AMERICAN VERTICAL DATUM
D&AE DRAINAGE&ACCESS EASEMENT
THIS IS NOT A SURVEY DE DRAINAGE EASEMENT
THIS IS A PLOT PLAN ONLY UE UTILITY EASEMENT(PUBLIC)
FLOOD NOTE: SURVEYOR NOTES:
I HAVE EXAMINED THE F.I.R.M. MAP NO. 12101CO293F, 1. THE SURVEYOR HAS NOT ABSTRACTED THE
DATED 09/26/20K AND FOUND THE SUBJECT PROPERTY APPEARS TO LAND SHOWN HEREON FOR EASEMENTS, RIGHT
UE IN ZONE'X',AREAS DETERMINED TO BE OUTSIDE THE 0.2%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
LOCATED EXCEPT AS SHOWN.
BEARING BASIS:
BEARINGS SHOWN HEREON ARE BASED ON THE SOUTEASTERLY UNE OF A5hR 3. NOT VALID WITHOUT THE AUTHENTIC
LOT 1 BLOCK 2 BEING S17'11'02'W, PER PLAT. ELECTRONIC SIGNATURE AND THE AUTHENTIC
(FIELD DATE:) REVISED:
A M E F21 CAN SURVEYOR ANDAMAPPER FLORIDA LICENSED
r— 3D FEET SURVEYING .;L IYsgn by amen
SCALE: '� Dual signed J w.Boieman
SXt MAPPING INC. °"" :_ DN:—James W.Boleman,-Am.fl—
q Surveying&Mapping.1—ou=HB,
APPROVED BY: '� Gam: '---emal6Jbo1,man@asmcospztecom,
CERTIFICATION OF AUTHORIZATION NUMBER LBJ6393 e' rus . FOR
3191 MAGUIRE BOULEVARD, SUITE 200 a�'y. Data.2020.02 616D952-05'00'
JOB NO. 190901 LOT 1,BLOCK 2 ORLANDO. FLORIDA 32803 °0�a�•�•r' THE
FIRM
(407) 426-7979
DRAWN BY: RMB PLOT PLAN 02-26-20 JSO WWW.AMERICANSURVEYINGANDMAPPING.COM JAMES W. BOLEMAN PSM# 6485 DATE
t PASCO COUNTY Receipt Date: 04/11/2016
PAs BUILDING CONSTRUCTION SERVICES Receipt Number: 1990s63
8731 Citizens Drive
COUNTY FLORIDA Suite 230
Oilw SpAers.Ihoeavr Ptncrs. New Port Richey,FL 34654
727447-8126
** NOT A PERMIT **
Paid By Check# CC Auth# Cashier ID Workstation
Check 1169802 RFIKAR BCCGP35W
Fee Description Amount Paid
Impact Fee Residential Solid Waste Single Family 17.99
Total Payments: $17.99
Pavor Address Phone
D R HORTON,Deanne 12602 TELECOM DR
TEMPLE TERRACE
Comments:
ZH 140
26-25-21-0140 00200-0010 /� CA�, ,�p ShTAP-
While you will be paying your bill with Pasco County BulldlnsConstructbl h Services,the full lamount`otttthe credit card or.-check has,NOT shown above,Is collected by First
ellling payment services.
myreports/reports//PASCOPROD/PASCO/Customer Receipt vff.rpt Print Dale: 09/23/2020 Page 1 of 1