HomeMy WebLinkAbout20-146 f
FIUUIUU City Of Z@phyrhlllS PERMIT NUMBER
5335 Eighth Street
Zephyrhills, FL 33542 BNR-000146-2020
fr, Phone: (813)780-0020
Fax: (813)780-0021 Issue Date: 07/1sp2o 0
Permit Type: Building New (Residential)
Property Number Street Address
35 25 21 0140 01000 0170 1 7748 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
Total Fees:$18,958.75 C
Amount Paid:$18,958.75
Date Paid:7/17/2020 10:23:33AM
Project Description
CONSTRUCT SINGLE FAMILY 1668 SQ FT
Application Fees
Public Safety Impact Fee-Fire $273.00 Plumbing Permit Fee $147.00
SIF 1 percent Fee $83.28 3/4 Water Meter Fee(Calc) $473.78
Building Permit Fee $1,074.60 Irrigation 3/4 Meter(Calc) $473.78
Sewer Connection Residential Fee $2,090.00 Water Connection Residential Fee $1,010.00
Electrical Permit Fee $220.50 Transportation Impact Fee-City $36.32
Public Safety Impact Fee-Admin $26.35 Park Impact Fee-Single Family/Townhome $769.56
Public Safety Impact Fee-Police $254.00 Transportation Impact Fee $3,595.68
School Impact Fee $8,328.00 Mechanical Permit Fee $102.90
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
INSTR#2020084354 OR 13K 10108 PG 2133 Page 1 of 1
0512812020 10:02 AM Rcpt 2165693 Rec:10.00 DS:0.00 IT:0.00
Nikki Alvarez-Sowles,Esq.,Pasco County Clerk&Comptroller
Permit No. Parcel ID No o')o0es C�;,-4h
NOTICE OF COMMENCEMENT
state of Florida County of PaSCO
THE UNDERSIGNED hereby gives notice that improvementwill be made to certain real property,and in accordance with Chapter713,Florida Statutes,
the following information is provided in this Notice of Commencement
I a
1. Description of Property: Parcel Identfficatlon No. 71)nl" rCr
Street Address' 2hial j�12 L,'L-J -%)r. ZQQkWrhd1&' ". t3!2o
2. General Description of Improvement.. New.Sin A Earnjiv Residenge
3. Owner Information or Lasses Information If the Lessee contracted for the improvement:
D.R. Horton,Inc
Name
19902 7plpnQm DrIyA Tqmpn 33637
Address city state
Interest In Property: Fpe simple
Name of Fee Simple Titleholder.
(if different from Owner listed above)
Address city state,
4. Contractor. D.R.-Horton, Inc
I Name.
_J2602 Toler= Drive'Address city TAmp:; 33637 State FL
Contractors Telephone No..
6. surety: .N/A
Name
Address City state
Amount of Bond: $--NIA Telephone No,:
S. Lender. N/A
Name
Address city state
Lenders 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 TeiecQm Drive Tampa 3363Z _3L
Address city State
Telephone Number of Designated Person: 81 3-740-W20
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(1)(b),Florida statutes.
Telephone Number of Person or Entity Designated by Owner.
9'. Expiration date of Notice of Commencement(the expiration date may not be before the completion of construction and final payment to the
contractor,but will be one year from the date of recording Unless a differsnt 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 forego] a f commencement and that the facts stated therein are true to the best
of my knowledge andbelief.
STATE OF FLORIDA
COUNTY OF PASCO
Sig tire or Lessee,or Owners or Lessees Authorized
-ol q Owner 5mer
01ficer/Difector/Partner/Manager
Assistant Secretallffi.R. Hodon, Inc
Signatory's Title/Office
The foregoing Instrument was acknowledged before me this of PZLj .20Z,. by._--r
as-AsBI-stant.Secretary (type of authority,e.g.,officer,trustee,attorney in fact)for
DA. Hortm., Inc (name of party onbe)7alf f am ir,�A�want was executed).
Personally y Known OR Produced Identification Q Notary Signature
Type of Identificallon Produced Name(Print)
Notary Public State OtYforldn
Michele Moyes .
My Comm%elon GO 057321
Expires 12121120M -
wpdatalbesinoUcecommencemenLpC053048
PASCO COUNTY, FLORIDA
Permlt No.
Date Permitted 17
-
�Builder Name/Owner Name Control#
i
l County Parce!No. 76 SubDiv:�obo- }
Address/Location71
� .
Classification/Type of Use
I TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: tv
4
Exempt ❑Yes [1 No How Determined
Impact Fee Amount Zone No. TAZ:
SCHOOL IMPACT FEE
Account (056) Single-Family Detached House Amount $ 1
(057) Mobile Home
(058) Other Residential
123) ''Collection Fee
Exempt Yes [l No How Determined
PARKS AND RECREATION FEE-
Land Account Land Credit Land Total
Recreation Account Recreation Credit Recreation Total
Zone TOTAL AMOUNT $ 7 toy �b
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 BEJSSUED'OR.F.INAL INSPECTION
PERPORMED UNTIL THE TOTAL AMOUNTS LISTED HAVE
BEEN PAID AND
RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE-OF PASCO COUNTY
Ackn*edgement 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 condillons of payment for some.
DATE, RECEIVED BY
RECEIPT NO. DATE BY
D
i�
r
Single Family Dwelling
Plan Review Comments
1. F:F.E shall be a minimum of 8" above the road elevation and an engineered site plan.
2: Lots shall be graded to comply with R401:3 of the F.B.C.
3: Compaction test required if 24"or more of fill:dirt is brought in at any.one.place.
4: Tie in survey required-before.pouring'concrete.
5: Driveways require.a R.O.M. use permit: All 4 sides of driveway thru the sidewalk shall have
ekpansion 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 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.approyed barriers. M303.4 of the F.B.0
12. Water heaters shall.com 1Y with section P607.3 of the F.B.C;: .
P
13:'Foundation supports for A/C units shall be raised at least 3" above finished grade. M1'308.:1- .
14. Return air in all bedrooms. F.B.C. M1620:4
15. Smoke.detectors are to be installed in accordance with R313:1 of the F.B.C.
16: All glazing require tints are to be in accordance with R308.4 of the F.B.C:
17. All means of egress are.to-be in accordance with R311 of the F.B.C.
18.'"Green gypsum,board" shall not be used as a backer in showers or tubs.R702:4:2 F.B.C.
19:.Combination-type AFCI-breakers are.required at all locations requiring an AFCI.type breaker.
20.'Carbon monoxide alarms will.be required in new construction that uses fossil-burning heating
or appliances or an attached garage. They shall be installed 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:C
24. In accordance with_the Land Development Code, lots:shall be sodded before-final at least.10
feet around the structure.
25:.R403.'5.3Ho(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:3/4 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:waterheaterto a'distribution manifold:.
Piping.located under.a floor slab:
Bbriied 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 conk ofthe enerzu:cacls shall be:with permit at all times
27 Co&of riinal.insulation-report shall be provided ivith Permit before fnaL
28. No fence, pool or screen enclosure .is issued with:thin 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)
city of Z_ephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received Phone Contact for Permitting I
I I I I I I I V-F I I
--
Owner's Name C_ Owner Phone Number
--Owner Phone Number
Owner'sAddressl _1437
Fee Simple Titleholder Name F \;_axs Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS LOT#
SUBDIVISION EL ID# 7-1;;7 Z 1 6 1 q0 00C,
(OBTAINED FROM PROPS RTYTAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT U SIGN DEMOLISH
INSTALL 8 REPAIR
PROPOSED USE SFR COMM OTHER
TYPE OF CONSTRUCTION E:2— BLOCK FRAME STEEL
DESCRIPTION OF WORK ' IQ Zo Je '&J 7- Saffi
J
BUILDING SIZE S' Q FOOTAGE '1406 -eHEIGHT
. . . .
=BUILDING M7 VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL AMP SERVICE PROGRESS ENERGY W.R.E.C.
=PLUMBING
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
]GAS ROOFING' SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO
. . . . . . . . . . .
BUILDER COMPANY nc
SIGNATURE ff� REGISTERED FEE CURREN Y/N
Address b2(1)D2 Te)ff=_br_ -7414-A License# 1 CZ16,039C422
ELECTRICIAN COMPANY -�4mrlo Plec4i4,Ir
SIGNATURE REGISTERED N_ ' FEE CURREN /N
Address 54-1%VS_ &AN aw" 3 License#
PLUMBER COMPANY St�: R I(J tfl
SIGNATURE J REGISTERED Y/ N 'FEE IOURREN N
Address (ISID H01616h RW 4S_klom �wi 3 License#
MECHANICAL COMPANY oit� '\P
S�Isl— , �
SIGNATURE -,.......... REGISTERED YI*N FEE CURREN\J
Address 4- LhL�A Qt6m --wm License# Z�Z_(,33 9
I
OTHER COMPANY ly-(tck H_CNA-,1c1
SIGNATURE " REGISTERED Y1 N I FEE CURREN Y/N
Address 3 tp License# I CC-
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 wl Slit Fence Installed,
Sanitary Facilities&I 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 F6iM___S*'.R-O-WPenTilt for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans W/Silt Fenceinstalled,
Sanitary Facilities&I 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 ail NEW construction.
V 1 2 a
Directions- 464
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 qwKerauthbr1z1n9.Sam1� -
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
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 aaaumeareopons|bi|ityforoonnp||onm*vvithany
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors
*to undertake vvork. they nnaybe required tobe licensed ln accordance vvithstate and local regulations. If the
contractor is not licensed as.required by \ovv, both the owner and contractor may be cited for e misdemeanor violation
under abate 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 contnactoro, he is advised to have thb contractor(s) sign
portions of the "contractor B|o&' of this application for which they will be responsible. If you, as the owner sign as the
oonbactor, that may be an indication that heie notpropedy]\oenoed and is not entitled to permitting privileges in Pasco
County. '
TRANSPORTATION IMPACTIUTILITIES 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 buUdinga, as specified in Pasco County Ordinance number 89-07 and
90-07. an amended. The undersigned also undarabsnda, that such foao, as may be due, will be identified ot the time of
permitting. It is further understood that Transportation Impact Feeo'and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power m»\ooaa. If the project does not involve a certificate of occupancy or
final power.release, the fees must be paid prior to permit issuance. Furtharmora, if paaom 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, aaarnendad): \f valuation of work ia $2,5OO.DOor more, |
certify that |' the applicant, have been provided with o copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and
'CoDaucner/\Mairo. If the applicant is someone
rthoO the"owner", \ certify that \ have obtained a copy of the above described document and promise in good faith to
deliver itho the"ovvne/' 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 |swxa regulating oonstrucUon, zoning and land development. Application is
hereby mode 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 !evvm 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
n�yreoponaibi|hvtoident�vvvhat8o�ona | rnuet take tobeiDuompUanoo. Such agencies include but are not Unnitedto:
- Department of Environmental Protection-Cypress Beyheade' Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida Water Management Diotrict4NaUa, Cypress Bayheads, Wetland Areas, Altering
Watercourses. '
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health Q Rehabilitative 8arvioee/Environmental Health Unit4We||a, Wastewater Treatment,
Septic Tanks.
- UG Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Flumways.
| understand that the following restrictions apply to the use of fill: ~
- Use of fill is not allowed in Flood Zone"\y'unless expressly permitted.
- If the fill nnotehol 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 o professional engineer
licensed by the State ofFlorida.
- If the fill material is to be used in Rood Zone "/(' in connection with a permitted building using stem vva||
construction, | certify that fill will be used only bz fill the area within the stem wall.
- If fill rnabgda\ is to be used in any area, ( 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'cond(tione of the ' ui|d(ng permit issued under the attached permit application, for lots less 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 ba required for electrical work,
p|urnbing, signs, vve||a, pools, air oonditioning, goo, 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. Eve[y,pernoit issued shall become invalid
unless the work authorized by such permit is commenced VYithin'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 e period not to exceed ninety (90) days and will demonstrate
justifiable ceu'ao 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 T0 YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
OWNER uuAGENT cum/xAC/u Subscribed and sworn to(or aff iW ed)b fore me this Subscribed and sworn to(or affirmed)before me this
Who islare personally known to me or has/have produced Who is/are personally kno\�n to me or has/have produced
as identification. as identification,
Notary Public
Notary Public
Commission No. - Commission No.
813-780-0020 City of Zephyrhills Permit Application Fax 813-Tao-002
„ Building Department
Date Received
Phone Contact for Permitting
Ownees'.Name Owner Phone Number
Y.
F:.,.Owners Address Owner Phone•Number
Owner Phone Number-
JOB ADDRESS` •.LOT# (�
SUBDIVISION PARCEL ID#
(OBTAINEDFROM.RROP.ERTYTAX.N Icq,
WORK PROPOSED NECONSTil ADD/ALT [� SIGN* C] ( DEMOLISH'
W�
INSTALL 8 REPAIR
PROPOSED USE Q SFR 0 COMM C�• OTHER
TYPE OF CONS?RUtTION BLOCK 0 FRAME C] STEEL Q
DESCRIPTION OF.WORK
BUILDING SIZE •� SQ•FOOTAGE.,= :HEIGHT,
F
j =BUILDING $ VALUATION OF'TOTAL"CONSTRUCTION,
=.ELECTRICAL '1$ AMP'SERVICE 0 DUKE ENERGY' = W.R;E.C.
=PLUMBING $`
=MECHANICAL $• VALUATION,OF MECHANICAL INSTALLATION
=GAS 0 ROOFING 0; SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS -,BLOOD-ZONE AREA L�]YES' NO
BUILDER COMPANY
SIGNATURE REGISTERED Y i N FEE CURREN . Y/N
Address 7 License# F -
ELECTRICIAN- COMPANY
SIGNATURE REGISTERED. 'Y'/':N FEE CURRE!,
Address , License# ^�
PLUMBER 'j` COMPANY
SIGNATURE - REGIS FERED Y7-N FEE CU(RF�2Et•`
Address License.# I
MECHANICAL ,.; -COMPANY s.
SIGNATURE„ REGISTERED Y/ N I FEE CURREN Y PN
Address License
OTHER GQMPANY
SIGNATURE REGISTERED Y�.lV,,,, ,.. FEE,CURREt •
Address. License#
4
RESIDENTIAL" Attacir(2j'Plot'P.lags;(2)-$0s of Building:Piarifs;,.(1:)';s"et of Ene!<gy-Porms-'4--0*PermI(#'cir new_c.,nstruction,. .
Minimum•teri<(d0).ihiorking.'d"ays'afteir`submittafilate,'Requi�er onsite;`Gonstrtict+on Plans,Stormi�"ra(er'Plans w%Siit Felice insfalled,
Sanitary:Facillties k4; dumpster,Site Work+Permit=for,tflbd!vi'sions/taige•projects
COMMERCIAL Attach(Z)complete,sets of..Bulldirag Plans-plus asLifei, afLety6P.age;'(1:)'.set'oflEnergy;Fo'rms.R 0=W Permit fdr:new canstruatlan.
Minimum ten.(1Q)workingpd ys aftersubrriftta!date;.Requ)red,-pnslte;Constructlon•.R)arassS!ormwater Plans w/Sllt'Fenee installed,
Sanitary Fadilit+es&1 dunipster.5lte'V ork Periniffor a'If`new projects.Alf commerclaisequirements must meet compliance
SIGN PERMIT Attach(2),sets of Engineered:Plansr
"*"*PROPERTY,SU'F2VE'Y•'required for all'NEW codstruction.
,..
Directions:
Fill out application completely.
Own6r,8 Contractor sign.back of•application,notarized
'if over$250t),a Notice of`Commencement Is required. (AIC 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.AERMITTING - (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 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 Trartsportation.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 LAUD(Chapter 7.1.3;-Florida Statutes- as ameheled): If valuation of work is$2,5.00.00 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.1 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�ProtectionAgency=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"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.-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-adjacerit;properties, the,owner may.be cited for violating
the conditions of the building permit issued under-the attached perm.1t application, for lots less than one (1)
acre-which are elevated-by fill, an engineered drainage plants 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, canceli,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 fora 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 RECORDD-A NOTICE OF COMMENCEMENT-MAY RESULT,INYOUR
PAYING TWICE FOR-IMPROVEMENTS TO'YOUR-PROPERTY.. IF`YW-INTEND TO'OBTAIN FINANCING,'CONSULT
WITH--YOUI2._LEN.DER.0I1 AN ATTORNEY:BEFORE REC0RIJIN:G.YOUR'NOTICE.OF-COMMEN.CEMENT.
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
f
PLOT PLAN
DESCRIPTION:(AS FURNISHED)
LOT 17, 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 SO. FT.
GARAGE = 243 S0. FT.
ENTRY = 20 SQ. FT.
LANAI = 0 SO. FT.
PAT10 = 80 SO. FT.
DRIVEWAY =-392 SQ. FT.
Line Table A/C PAD = 12 SO. FT.
WALKWAY i = 37 SQ. FT.
Une/ DUeetlon Length IMPERVIOUS = 48%
2189 SQ. FT.
L1 N0094'5YE 40.00' SOD = 2.411 SQ. FT, a
.OFF LOT CALCULATIONS
RIGHT OF'.WAY = 520 SQ. FT.
DRIVE APRON = 152 SO. FT. z
PUBLIC S/W = 200 SO. FT. 1" = 30'
SOD = 168 SO. FT. GRAPHIC SCALE
TOTALS 15 30
AREA = 5.120 SO. FT.
DRIVEWAY = 544 SO. FT.
SIDEWALK' = 237 SQ. FT.
SOD = 2,579 SO. FT.
U
a
O p
Y Y
U
I I OJ OJ I OJ O
m m
a5892'52b00' S89'25'08"E 115.00'
3 n I$ I 28' - — 5'D&AE
3 —
— —
Q 2 ¢ Il e :: •a::1I;i :;: 8 54.7'
O
D ii O cV ILaw 86 t, C4
5.0 a LnO
Vmi JKEYSTONE CFINISHED FLOOR $ N i'F:': o II— U N u
O 00 U
ELEVATI IO Oo 0123',. �
Ix o -' O: J
o 25.5' — — 620' 27.5 N
3 � W - 5'D&AE rd
to 68 N89'25'08"W 115.00'
F I a6
I4Tj i 000 I �O
0 U
00 �0
PREPARED FOR: a m m
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 BY HAMILTON ENGINEERING & LEGEND:
SURVEYING INC..
2. ELEVATIONS ARE BASED ON NAVD 1988 —. — BUILDING SETBACK LINE PI POINT OF INTERSECTION
DATUM. PC PONT OF CURVATURE
3. FOR ALL LOTS WHERE SIDE—YARD SETBACKS ——— CENTERLINE PT POINT OF TANGENCY
ARE LESS THAN 7.50 FEET, A MINIMUM 5.00 — ——— RIGHT OF WAY LINE RP RADIUS POINT
FOOT WIDE DRAINAGE & ACCESS EASEMENT IS PRC POINT OF REVERSE CURVATURE
)CLO PROPOSED ELEVATION PCP PERMANENT CONTROL POINT
HEREBY CREATED ON ALL SIDE LOT LINES, TYP TYPICAL
UNLESS OTHERWISE NOTED. PROPOSED DRAINAGE FLOW CS CONCRETE SLAB
THIS PLOT PLAN IS INTENDED FOR PERMITTING PURPOSES EEO CONCRETE (P) PERCAL PLAT
ONLY. THIS IS NOT INTENDED FOR THE CONSTRUCTION OF � (G)
A/C AIR CONDITIONER PB PLAT BOOK
THE PROPOSED STRUCTURE. THE CONTRACTOR AND/OR 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.EM.A. FEDERAL EMERGENCY MANAGEMENT AGENCY
CONSTRUCTION. F.I.R.M. FLOOD INSURANCE RATE MAP
NAVD NORM AMERICAN VERTICAL DATUM
DRAINAGE&UTILITY
THIS IS NOT A SURVEY DE UE DRAINAGE ASEME TASEMENT
THIS IS A PLOT PLAN ONLY UE UTILITY EASEMENT(PUBLIC)
D&.AE DRAINAGE&ACCESS EASEMENT FOR MAINTENANCE EASEMENT
FLOOD NOTE: SURVEYOR NOTES:
I HAVE EXAMINED THE F.I.R.M. MAP NO. 12101CO293F, 1. THE SURVEYOR HAS NOT ABSTRACTED THE
DATED 09/26/2014.AND FOUND THE SUBJECT PROPERTY 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 FLOODPLNN, 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 CENTERLINE OF DAME A5PA 3. NOT VALID WITHOUT THE AUTHENTIC
RAY DRIVE BEING NDOZV52'E,PER PLAT. ELECTRONIC SIGNATURE AND THE AUTHENTIC
ELECTRONIC SEAL OF A FLORIDA LICENSED
REVISED: A M E R I CA N SURVEYOR AND MAPPER.
(FIELD DATE:) S U R V E Y I N G
SCALE' 1'— 30 FEET Qom;;:: A:l Digitally signed byJamesW Boleman
'ter,`' "'e�f-,%- - DN:r-US,sCRorida.kOdando,
MAPPING INC. F t w (2' -AMEWUNSUfNEYING&MAPPING,
APPROVED BY: '� t om. �INC, Jamesw Boleman,
CERTIFICATION OF AUTHORIZATION NUMBER LB16393 %'A"" a,+a ernadAboleman@asmcorpofatexom FOR
100901 LOT 17, BLOCK 10 3191 MAGUIRE BOULEVARD, SUITE 200 r, Date zoxo.os.tttoma4-o4W THE
JOB NO. ORLANDO, FLORIDA 32803 FIRM
DRAWN BY: RMB WWW.AMERIC SUR
PLOT PLAN 05-04-2020 JSO VEYINGANDMAPPING.COM JAMES W. BOLEMAN PSM# 6485 DATE
PASCO COUNTY Receipt Date: 04111/2016
BUILDING CONSTRUCTION SERVICES Receipt Number: 1907751
PAS C`4 8731 Citkens Drive
COUNTY FLORIDA Suite 230
OPEN SPACES.111BRANT PIACES. New Port Richey,FL 34654
727-847-8126
NOT A PERMIT
Paid By Check# CC Auth# Cashier ID Workstation
Check 1185339 SLEBLANC 8CCCP29W
Fee Description Amount Paid
Impact Fee Residential Solid Waste Single Family 13;07
Total Payments: $13.07
Pavor Address Phone
DR T Horton
Comments•
City of Zephyrhills Solid Waste
Address:7748 Davie Ray Drive
Parcel ID:
35 25 210140 01000 0170
While you will be paying your bill with Pasco County Building Construction Services,the full amount of the credit card or e-check fees,NOT shown above,Is collected by First
Billing payment services.
myreportslreportslIPASCOPRODIPASCOICustomer Receipt v1f.rpt Print Date: 10120/2020 Page 1 of 1