HomeMy WebLinkAbout20-151 City of Zephyrhills PERMIT NUMBER
5335 Eighth Street
Zephyrhills, FL 33542 BNR-00 151-2020
Phone: (813)780-0020
ij
Fax: (813)780-0021 Issue ate: 07/16/2020
Permit Type: Building New (Residential)
Property'Number Street Address
35 25 210140 01000 0020 1 7741 Broad Pointe 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
Amount Paid:$0.00
Date Paid:7/17/2020 10:23:33AM
jProject Description
CONSTRUCT SINGLE FAMILY 1668 SQ FT
Application Fees
Transportation Impact Fee-City $36.32 Public Safety Impact Fee-Admin $26.35
3/4 Water Meter Fee(Calc) $473.78 Sewer Connection Residential Fee $2,090.00
Public Safety Impact Fee-Police $254.00 Mechanical Permit Fee $102.90
Water Connection Residential Fee $1,010.00 School Impact Fee $8,328.00
Park Impact Fee-Single Family/Townhome $769.56 Plumbing Permit Fee $147.00
Transportation Impact Fee $3,595.68 Building Permit Fee $1,074.60
Public Safety Impact Fee-Fire $273.00 Electrical Permit Fee $220.50
SIF 1 percent Fee $83.28 Irrigation 3/4 Meter(Calc) $473.78
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 653.80(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 OFFICEC)
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
INSTR#,2020084359OR BK10108 PG2138 Page 1 of 1
-
05/28/2020 10:02 AM Ropt 2165698'Rec:10.'00 DS:0.00 IT:0.00
Nikki Alvarez-Sowles,Esq.,-Pasco County Clerk&Comptroller
Permit No. Parcel 10 NO U C. ?irs
NOTICE OF COMMENCEMENT
State of Florida County of EjaSCQ
THE UNDERSIGNED hereby gives notice that Improvement will be made to certain real property,and in accordance with Chapter713,Florida Statutes,
the following information is provided In this Notice of Commencement
1. Description of Property. Parcel Identification No.LQZ61 f,(it A
Street S Address* r-r urPxA nVe by-, Zo ph1 V
,, 11:5:1 EL S!;M 0
. -
2. General Description of Improvement New Sincile Family Residence
3. Owner Irkformation or Lessee Information If the Lessee contracted for the improvement
D.R. Horton, Ine.
Name
198Q7 Tp_lt-nam nrivp- -Tnmpg 33637 _FL_
Address city State
Interest inProperty: FeG,91Mple
Name of Fee Simple Titleholder.
(If different from Owner listed above)
Address city State
4. Contractor. D.R. Orton. Inc
Telecom NaTe
12602. cQm DH.V,Q Tampa 33637 FL
Address CRY State
Contractor's Telephone No.:
5. surety: MIA
Name
Address City State
Amount of Bond: NIA- Telephone No.:
6. Lender . N/A
Name
Address City -state
Lender's Telephone No.:
7. Persons vifthln the State of Florida designated by the owner upon whom notices or other documents may be served as provided by
Section Florida Statutes:.
David Gude
Name
'12602 Telecom Drive Tampa 33637 FL
Address city state
Telephone Number of Designated Person: 13-740-W20
a. In addition to himself,the owner designates ' NIA Of
,to receive a copy ofthe Lienor's Notice as provided in SecllorL713.13(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 yea r from the date of recording unless a different date Is specified):
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE ExPjRATioN 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 70 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 ORAN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury,I declare that I have read the foregoing tloe commencement and that the facts stated therein are true to the best
of my knowledge and belief.
STATE OF FLORIDA
COUNTY OF PASCO
Sig Lure of Owner or Lessee,or Owners or Lessee's Authorized
Officer/Director/Partner/Manager
Assistant SecretaWID.R. HQrton, Inc
Signatory's Title/Offics
The foregoing instrument was acknowledged before me this'v ay of 2.0-Aoby
as Assistant Ser"istaLy, (type of authority,e.g.,officer,tusteeNitorney in fact)for
D.R. Horton. Inc (name of party.pn bePalf am ins entwas executed).
Personally Known CR Qa Produced identification 0 Notary Signature.ef
Type of Identification Produced Name(Print)
Notary public Stft of Florida
Michelle Mayes
My Commission GG 057321
% Expires 112J211/2020 -
wpdata/bos/noUceoommencemenLKq53M
. PASCO COUNTY, FLORIDA
Permit No.
Date Permitted 2fa-ZaZc�
Builder Name/Owner Name E Control#'
i County Parcel No. 35-Z's-y- 0 Jyp-.-O/DDp--,P� SubDIv:
Address/Location 17 / A--40dt 7'W)le
4 Classiflcatlon£i'ype of Used
TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit:
fExempt ❑Yes ❑ No How Determined
# Impact Fee Amount $. .31032,6b Zone No. TAZ:
f,
SCHOOL IMPACT FEE
Account (056) Single-Family Detached House Amount $ 2-8
i (057) Mobile Home
! (058) Other Residential
} 123) Collection Fee
Exempt [ Yes ❑No How Determined
PARKS AND RECREATION FEE-
Land Account Land Credit Land Total
Recreation Account Recreation Credit Recreation Total
Zone TOTAL AMOUNT $ rI
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 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
-_ --__ Lity of Zephyrhills Permit Application Fax-813-780-0021
Building Department
Date Received sbea4ci�o+ne � C-0M
Phone Contact for Permitting -
Owner's Name Owner Phone Number q{o
Owner's Address �— J Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS o 3 LOT#
SUBDIVISION V- Y S�ARCEL ID# 3S' � Z ONO o106b 0 l
(OBTAINED FROM PROP TY TAX NOTICE)
WORK PROPOSED NEW CONSTR F7 ADD/ALT SIGN = DEMOLISH
INSTALL REPAIR .
PROPOSED USE SFR 0 COMM lJ OTHER
TYPE OF CONSTRUCTION ' BLOCK Q FRAME STEEL [�
DESCRIPTION OF WORK 1 rsdt "S
BUILDING SIZE SQ FOOTAGE 1`Mv-S1 f1F HEIGHT
=BlJlLDING $ VALUATION OF TOTAL CONSTRUCTION
Ivy
=ELECTRICAL $ � AMP SERVICE 0 PROGRESS ENERGY = W.R.E.C.
=PLUMBING $
=MECHANICAL $ � VALUATION OF MECHANICAL INSTALLATION
=GAS ROOFING 0 SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA DYES NO
BUILDER / COMPANY C
SIGNATURE REGISTERED .Y/ N FEE CURREN
� Y/N
Address License# i( .(4 ,�9 C&2
ELECTRICIAN COMPANY
SIGNATURE --- REGISTERED / N FEE CURREN Y I N
Address IS OQ 3 License# C, o 6
PLUMBER COMPANY
SIGNATURE .-''► � REGISTERED Y/ N F5ETCURREN 7IN
-Address. �.3ya b C h �� SJ-2 1}a s1 t License# CP CJ�Z 3- )3
MECHANICAL /( COMPANY i r S
SIGNATURE REGISTERED /'N FEE CURREN Y I N
Address J`t�.� f v ' License# GCS 33 W
OTHER / COMPANY
SIGNATURE -' REGISTERED Y/ N I FEE CURREN Y/N
Address G 3 License# I.c` 1.3 ��
ILLLLIIiilllllllLlli.lILILII ! !tllllllllllillllilllillill ! lillllillll
RESIDENTIAL Attach(2)Plot Plans;'(2)sets of Building Plans;(1)set of Energy Forms;R-O-W.Permit for new construction,
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans-w/Silt Fence installed,
Sanitary Facilities&1 dumpster;Site Work Permit for subdivisions/large projects
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new construction.
Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requirements must meet.compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
*''**PROPERTY SURVEY required for all NEW construction.
! 1 { 1 lei T..■ • r ■ • ■ ■ r ■ ■ • r r r ■ ■ r ■ ■ ■ r ■ ■ -r r ■ a r r r r ■ r r ■ ■ r r r r r r ■ ■ ■ ■ ■ ■ ■ ■ r r ■ ■ ■ ■ r ■ i
Directions.
Fill out application completely.
Owner&'Contractor sign back of application,notarized
If over$2500,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 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 DF DEED RESTRICTIONS: The undersigned understands that this permit may be subject bo"daad" 'restrictions"
which may bo 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 may be cited for o misdemeanor violation
under abate law. If the owner or intended contractor are undertoin 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, Furthermoro, if the owner has hired a contractor or coDtrocto[u, he is advised to have thb contractor(s) sign
portions of the "contractor 8|odk' of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may ba an indication that heis notpropady]|oenaed 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 tothe construction of new buUdings, change of
use in existing bu||d|nQs, or expansion of existing buUdingo, as specified in Pasco County Ordinance number 80'O7 and
90'07. as amended. The undersigned also undarat8nda, that such fees, as may be due. will be identified at the time of
permitting. It is further understood that Transportation Impact Fees'ond Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power release, |f the project doeonotiOvo\voanerbfceteofocnupanuyor
final power, release, the fees must be paid prior to permit issuance. Furthermore, if Pasco CountyVVeter/Sevvar Impact
fees are due,they must ba paid prior topermit issuance |n accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW (Chapter 713' Florida Statutes, aoornondad): |f valuation of work ia $2.5OU.0Oor more, |
certify that |, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida [}nportnoant of Agriculture and
iCnnsUnner Affairs, If the applicant is someoneotherthanthe"uvvner'. \ oert�/that| hoveobtoinadacopyoftheobovedeacribeddooumentandpronl(nainQoodfoithto
deliver itto the"ovvner"prior tucommencement.
CONTR\CTQR'S/OWNERIS AFFIDAVIT: | certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable \ovve regulating construction, zoning and land development. Application is
hereby made to obtain o 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 \swm 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, 'and that � im
nny responsibility hoident�/vvhetaoUuno | nnust take bobeinuompUanoo. Such agencies include but are not Urnitedto:
- Department ofEnvironmental Protection-Cypress Bsyheode. Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheada, VYettand Areaa, Altering
Watercourses.
- Army Corps ofEngineera'SeavvaUe, Docks, Navigable VVctenwoyo�
' Department of Health & Rehabilitative Services/Environmental Health Un\t4We||a, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority^RWmwayo.
| understand that the following restrictions apply to the use of fill: '
- Use of fill \a not allowed in Flood Zone"\y' unless expressly permitted.
- If the fill [noteha| is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
"oonlpnnmating 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 Flood Zone ''/Y' in connection with a permitted building using stem vvo||
construction, | 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 mffaot adjacent properties, the owner may be cited for violating
the conditions ofthobuUd|ng permit issued under the attached permit application, for |nta less than one (1)
acre which are elevated by fill, an engineered drainage plan iorequired.
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\urnbing, signs, vve||a' poo!s, air conditioning, gaa, 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
un|Bea the work authorized by such permit is commenced within-six months of permit isouonce, 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 requeoted, in writing, from the Building Official for e period not to aXoaad ninety (80) days and will demonstrate
justifiable cause for the extension. If work Ceases for ninety(90)consecutive days, the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD ANOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
uvvmEmuuAuEm/ Com/Rxc/u Subscribed and sworn to(or afflAped)IbRfor�me this Subscribed and sworn to(or affirmed)before me this
Who is/are personally known to me or has/have produced Who is/are personally knov�n to me or has/have produced
� as identification.
Public Public
Commission No. Commission No.
813-7e0-0020 City of Zephyrhills Permit Application Fax 813-Teo-0021
Building Department
Date Received .Phone Contact for Permitting
Ownees.Name Owner Phone Number
` '.' Owner`s Address Owner Phone Number
Owner Phone Number L
{. .JOB ADDRESS' LOT# �"
I
1
SUBDIVISION h PARCEL ID#
(oI3TAINED',FROM.Pk0PERTYTAX,rdC,10E)
i WORK PROPOSED NEW CONSTR ADDlALT U SIGN �. 0 "DEMOLISH
e INSTALL 8 REPAIR
PROPOSED USE. Q SFR Q COMM OTHER
TYPE OF CONSTRUCTION = BLOCK FRAME STEEL [�
DESCRIPTION OF WORK
.BUILDING SIZE SQ-FOOTAGE;= .HEIGHT
I =BUILDING $ VALUATION OF'TOTAL CONSTRUCTION
=ELECTRICAL 1$ AMP'SERVICE Q DUKE ENERGY' Q W.R.E.C.
=PLUMBING $`
=MECHANICAL {$ VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING Q; SPECIALTY F--1 OTHER
FINISHED FLOOR ELEVATIONS FLO.OD.ZONE'AREA [=YES . NO
BUILDER COMPANY
SIGNATURE REGISTERED Y! N FEE CURREN
Address License#
ELECTRICIAN, COMPANY
SIGNATURE REGISTERED' Y/'!N FEE CURREi
Address . License# .� I
PLUMBER 'f COMPANY
SIGNATURE �` REGISTERED- = Y7-N FEECURRER
Address License.# F-
MECHANICAL COMPANY z.
SIGNATURE` REGISTERED Y/ N J FEE CURREN
Address License,#T 1
OTHER COIIIIPANY
SIGNATURE REGISTERED Y/.N,.:•:..• FEE,CURRE�: Y..i/.N,=- �'j
Address License#14,
i
i'
RESIDENTIAL Attach`(2}plot.P(ans;.{2}--setsaf`Builiii�n°g'Plans;..(1).setlofEnergyForms;'R=( W'Rerrrii-for new,cgnstruction,.
„Mitfiirum--ten.(4'0),. rkind.."days-'a`fteF subrrifttai-date:'RegUired onsite;`ConstrMction Plans,Storniwater Plans:w!Silt Fence installed,
Sanitary:Facilities 8t4tdumpsterf Site Work:.Permit-forsutidivisions/large-prdjLcts'
COMMERCIAL Attach(2)complete.sets•of.,Building•Plans,-plus•a�Life;Safety:Page,(1):seYof:Energy.Fo'rms.R-O-W Permit for:new construction.
Minimum ten(10);wgrking;dayq after:gubmItta(0ptq..l equtred dnsite;Construction-Pfans;Stormwater Plans'w/Siit'Fence-InstaWd,
Sanitary Facilities&1 dumriiter.Site Work'f ermlf for alf'new projects.All commercial.requirements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered:Plans'.
" S•"'PROPERTY U'RVEY'required for all'NEW construction.
Directions:
Fill out application completely.
Owner:,&:Contractor sign.back of,.application,notarized
'If over$2d00,a Notice of m6 Comence'ment Is required. (A/C upgrades.over$7500)
" Agent(for the contractor,)or.Power•of Attorney:ffor the owner).would be someone.,With notarized-letter from-owner authorizing same
OVER THE COUNTER PEMlTTING - {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 Transportation.Impact.Fees and Resource Recovery Fees must be paid-prior to
receiving a "certificate of.occupancy" or final power release. If-the project does not involve a certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. -Furthermore,'.if Pasco County Water/Sewer Impact
fees are due, they-must be paid prior to-permit,issuance in accordance with applicable Pasco.County-ordinances.
CONSTRUCTION.LIEN LAW(Chapter 743;Florida Statutes-,as amended): 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.I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owner".prior to commencement.
CONTRACTOR'S/OWNER'S;AFFID_ AVIT: 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;'zonin'g and eland development.: Application is
hereby made to obtain a permit to-tl'o°worli-and installati6ril"as indicated: I certify that no work or. installation has
commenced prior to issuance of a.permit and that all work will be.performed to meet standards of all laws regulating
construction, County and'•City•codes•, zoning-regulations, .and'land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other:government agencies may apply to the intended work, and that it is
my responsibility to identify what actions I must take to be,in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater,Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls,.Docks, Navigable Waterways.
- Department of Health &,-Rehabilitative Services/Environmental Health Unit=Wells, Wastewater Treatment,
Septic Tanks,
- US Environmental,Protection-Agency-Asbestos.abatement.
Federal Aviation Authority:Runways.
I understand.that'the following restrictions.applyto-the-useoffill:
- Use of fill is not'allowed in Flood Zone W"unless•-expressly permitted.
- If the fill material is to be used in Flood Zone "A", it is understood-that a drainage plan addressing a
"compensating volume"--'will be-submitted at time of.permitting:which is prepared by a professional engineer
licensed by the State of Florida.
- If the fill material is to be used Jn 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, 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 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. 10-Y66INTEND TO'OBTAIN FINANCING,CONSULT
WITHYOUR.LENDER.OR AN ATTORNEY BEFORE 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 islare 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
DESCRIP,TION:(AS FURNISHED)
LOT 2, BLOCK 10, ZEPHYR LAKES SUBDIVISION PHASES 1A, 2A, 2B, AND 4A
AS RECORDED IN PLAT BOOK 80, PAGE(S) 37-48, OF THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA.
PI
Una Table
Una III DlreetlDri Length
L1 S003V52-W 40.00'
CO w; a
m i LOT 3 I �i
BLOCK 10 I m 1" = 30'
GR APHIC
96ry 9s �I� 0 15 30
_.-.-. S89'25'08"E 115.00'
5' D&AE — I �-
_
>;
La — —
J 28.0''-- --- — -- 54.7'
O Y O itoi
Ld O •IWzW ;�;: , e �j73ve �g o6;:�I:,•` y''�:"
^f'stow' aFy
O 8.0 W
� g bSD ZL—V p 0 123n ��OmO aOo o z : QO
to ---------
tri 5' D&AE i y z m N
_,
N89'25'08"W 115. 00' N89'25'08'W �3<
9sA aJ�jO� 25.00' bm
I Ig�
o LOT 1 N
FU I BLOCKi10 I I
00
m
ON LOT CALCULATIONS _------PI
-----_
LOT = 4.600 SQ. FT PLAT BOUNDARY
LIVING AREA = 1,405 SO. FT.
GARAGE = 243 SQ. Fr.
ENTRY = 20 SO. FT.
LANAI = 0 SO. FT.
PATIO = 80 SO. FT.
DRIVEWAY = 416 SQ. FT.
A/C PAD = 12 SQ. FT.
WALKWAY = 37 SQ. FT.
IMPERVIOUS ! = 489E
= 2213 SO. FT.
SOD = 2,387 SO. FT.
OFF LOT CALCULATIONS
RIGHT OF WAY = 480 SQ. FT.
DRIVE APRON = 133 SO. FT.
PREPARED FOR: PUBLIC S/W = 200 SQ. FT.
�■�y�pg' n,e, SOD = 147 SO. FT.
HIM►41� N a, TOTALS
of"d GdA't LFffii [S AREA = 5,080 SO. FT.
DRIVEWAY — 549 SO. FT.
BUILDING SETBACKS SIDEWALK — 237 SQ. FT.
SOD = 2,534 SQ. Fr.
FRONT: 22'
GARAGE: 27'
REAR: 15'
SIDE: 5'
SIDE STREET: 15'
NOTES: LEGEND:
1. PROPOSED ELEVATIONS SHOWN HEREON ARE — BUILDING SETBACK LINE PI POINT OF INTERSECTION
BASED ON THE APPROVED ENGINEERING PLANS PC PONT OF CURVATURE
PREPARED BY HAMILTON ENGINEERING & —— — CENTERLINE PT POINT OF TANGENCY
SURVEYING INC.. ——— — RIGHT OF WAY LINE RP RADIUS POINT
2 PRC POINT OF REVERSE CURVATURE
ELEVATIONS ARE BASED ON NAVD 1988 XX PROPOSED ELEVATION PCP PERMANENT CONTROL POINT
DATUM. TYP TYPICAL
PROPOSED DRAINAGE FLOW CS CONCRETE SLAB
THIS PLOT PLAN IS INTENDED FOR PERMITTING PURPOSES r:': CONCRETE (P) PER PLAT
CALCULATED
ONLY. THIS IS NOT INTENDED FOR THE CONSTRUCTION OF (C)
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.E.M.A. FEDERAL EMERGENCY MANAGEMENT AGENCY
CONSTRUCTION. F.I.R.M. FLOOD INSURANCE RATE MAP
NAVD NORTH AMERICAN VERTICAL DATUM
THIS IS NOT A SURVEY D&UE DRAINAGE&UTILITY EASEMENT
DE DRAINAGE EASEMENT(PUBLIC)
RAIN
THIS IS A PLOT PLAN ONLY LIE EASEMENT(PUBLIC)
DdcAE DRAIN
DRAINAGE&ACCESS EASEMENT
FLOOD NOTE: SURVEYOR NOTES:
I HAVE EXAMINED THE F.I.R.M. MAP NO. 12101CO293F, 1. THE SURVEYOR HAS NOT ABSTRACTED THE
DATED 09/26/2014, AND FOUND THE SUBJECT PROPERTY LAND SHOWN HEREON FOR EASEMENTS, RIGHT
APPEARS TO LIE IN ZONE 'X', AREAS DETERMINED TO BE OF WAY, RESTRICTIONS OF RECORD WHICH
OUTSIDE THE 0.2R ANNUAL CHANCE FLOODPLAIN. THE MAY AFFECT THE TITLE OR USE OF THE LAND.
SURVEYOR MAKES NO GUARANTEES AS TO THE ABOVE 2. NO UNDERGROUND IMPROVEMENTS HAVE BEEN
INFORMATION. PLEASE CONTACT THE LOCAL F.E.M.A.AGENT FOR VERIFICATION. LOCATED EXCEPT AS SHOWN.
A5PA
BEARING BASIS: 3. NOT VALID WITHOUT THE AUTHENTIC
BEARINGS MOWN HEREON ARE BASED ON THE CENTERUNE OF BROAD ELECTRONIC SIGNATURE AND THE AUTHENTIC
POINTE DRIVE BEING SO034'52'W PER PLAT. A M E R 1 C ,N ELECTRONIC SEAL OF A FLORIDA LICENSED
(FIELD DATE:) REVISED: SURVEYOR AND MAPPER.
SCALE
,'=30 FEET S U RV II-= I N G DIgnally SIpedbylamesWOolem,
$e MAPPING INC.
DN:e u5,,_nenaa.waaaaP
j�j o=AMERICAN SURVEYING&
APPROVED BY: JB
s-' MAPPING.INC,m.1—W Rd—,
CERTIFICATION OF AUTHORIZATION NUMBER LB/6393 �= ft eman-iboI manaalmea,Pa,atewm FOR
190901 LOT 2, BLOCK 10 3191 MAGUIRE BOULEVARD, SUITE 200 Date:]020Z5.15143350-04'00' THE
JOB NO. ORLANDO. FLORIDA 32803 FIRM
DRAWN BY. DSB 02 PLAN CHANGE 05/11/20 GO (407) 426-7979W DATE
PLOT PLAN 09-20-19 ZA WWAMERICANSURVEYINGANDMAPPING.COM JAMES W. BOLEMAN PSM# 64.85
-r _7
PASCO COUNTY Receipt Date: 04111/2016
BUILDING CONSTRUCTION SERVICES. Receipt Number: 1997707
PASC'k/- 8731 Citizens Drive
COUNTY FLORIDA Suite 230
Opr:N SiAcEs.411PRAyr PIACES. New Port Richey,FL 34654
727-847-8126
NOT A PERMIT
Paid By Check# CC Auth# Cashier ID Workstation
Check 1185336 SLEBLANC BCCCP29W
Fee Description Amount Paid
Impact Fee Residential Solid Waste Single Family 13.07
Total Payments: $13.01
Pavor Address Phone
DR Horton
Comments:
City of Zephyr.hills Solid Waste
Address:7741 Broad Pointe Drive
Parcel ID:
3525 210140 01000 0020
While you will be paying your bill with Pasco County Building Construction Services,the full amount of the credit card or a-checkfees,NOT shown above,is collected by First
Billing payment services.
myreportslreportslIPASCOPRODIPASCOICustomer Receipt v1f rpt Print Date: 10/20/2020 Page 1 of 1
CITY OF " " BUILDING
ZEPHYRHILLSNOTICE DEPARTMENT
OF ADDITION OR CORRECTION
. • NOT REMOVE
ADDRESS DATE PERMIT#
THIS JOB HAS NOT BEEN COMPLETED. The following additions or corrections shall be made before the job
will be accepted.
BD �h C6U /
.It is unlawful for any Carpenter,Contractor,Builder,or other persons,to AFTER CORRECTIONS ARE MADE CALL
cover or cause to be covered,any part of the work with flooring,lath,earth
or other material,until the proper inspector has had ample time to approve 780-0020 FO RE-I PECTION
t"he installation.
OFFICE HOURS 8:00 AM-4:30 PM MON.-FRI. INSPECTOR