HomeMy WebLinkAbout20-357 F�UtitDH CI of Ze h rhills
�_. City p Y PERMIT NUMBER
5335 Eighth Street
Zephyrhills, FL 33542 BNR-000357-2020
Phone: (813)780-0020
Fax: (813)780-0021 Issue Date: 07/10/2020
Permit Type: Building New (Residential)
Property Number Street Address
26 25 21 0140 00200 0040 8132 Wheat Stone Dr
Owner Information Permit Information Contractor Information
Name: D R HORTON INC Permit Type:Building New(Residential) Contractor: D R HORTON INC
Class of Work:SFR Construct
Address: 12602 Telecom Dr Building Valuation:$106,000.00
TAMPA,FL 33637 Electrical Valuation:$7,000.00
Phone: (813)549-1968 Mechanical Valuation:$7,200.00
Plumbing Valuation:$4,500.00
Total Valuation:$124,700.00
Total Fees:$19,866.25
Amount Paid:$19,866.25
Date Paid:7/10/2020 2:07:05PM
Project Description
CONSTRUCT SINGLE FAMILY 2,739 SQ FT
Application Fees.
Transportation Impact Fee $3,595.68 Electrical Permit Fee $356.63
Park Impact Fee-Single Family/Townhome $769.56 Sewer Connection Residential Fee $2,090.00
Water Connection Residential Fee $1,010.00 SIF 1 percent Fee $83.28
Building Permit Fee $1,691.69 Public Safety Impact Fee-Fire $273.00
Plumbing Permit Fee $237.75 Mechanical Permit Fee $166.43
3/4 Water Meter Fee(Calc) $473.78 Public Safety Impact Fee-Admin $26.35
School Impact Fee $8,328.00 Public Safety Impact Fee-Police $254.00
Irrigation 3/4 Meter(Calc) $473.78 Transportation Impact Fee-City $36.32
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-8132 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
DRIVEWAY $ 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 `y
WATER: $ 1,010.00 �/ l �
IRRIGATION: $ - 1^
TOTAL: $ 3,100.00 v�
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
PASCO COUNTY FLORIDA
Permit No.
Date Permitted'
�.
t� ,Builder Name/Owner Name Control#
. County Parcel No. SubDiv:
Address/Location &3Z k -
Classiflcationfrype of Use e
TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit:
Exempt []Yes ❑ No How Determined
e
impact Fee Amount $. 3c�3 Zone No. TAM
t
E SCHOOL IMPACT FEE /
i Account (056) Single-Family Detached House Amount
(051) Mobile Home
(058) Other Residential
t 23) Collection Fee
x Exempt 6 Yes ❑No How Determined
PARKS ANDXRECREATION FEE
Land Account Land Credit Land Total
Recreation Account Recreation Credit Recreation Total
Zone TOTAL AMOUNT $ (v.�J:
Exempt ❑Yes ❑ No How Determined
LIBRARY FEE
Land Account Land Credit Land Total
Facility Account Facility Credit Facility Total
Exempt F1 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 conditlons of payment for same.
DATE RECEIVED BY
RECEIPT NO. DATE BY
INSTR#2020107042 OR BK 10131 PG3352 Page i of 1
07/06/2020 12:04 PM Rcpt:2178862 Rec: 10.00 DS:0.00 IT:0.00
Nikki Alvarez.Sowles,Esq.,Pasco County Clerk&CoMptroller
Permit No. Parcel IDNo-2-14--2-15-21- 0140- 00-20D.-- CMAO
NOTICE OF COMMENCEMENT
state of--..Florida county of Pasro
THE UNDERSIGNED hereby gives notice that improvement Wit be made to certain real property,and in accordance with Chapter 713,Florida Statutes,
the following Information is provided in this Notice of Commencement:
1. Description of Property: Parcel Identification No. c3k 7- -7..e fl�w y, L q3ho,
Street Address: -CL IL
-svonc re L. 33!S!A Q
Z General Description of Improvement New Single Family Residence
3. Owner Information or Lessee information if the Lessee contracted for the Improvement:
D.R. Horton. In&
. Name
12809 TWL--nam Drive Tampa -33Q3Z
Address city state
Interest in Property: , Fee Simple
Name of Fee Simple Titleholder.
(if different from owner listed above)
Address city state
4. Contractor. D.R. Horton, Inc
Name
12-602 Telecom Drive Tampa 3362Z FL
Address city State
Contradoes Telephone No.:
S. surety: NIA
Name
Address city state
Amount of Bond: N/A Telephone No.:
8. Lander N/A
Name
Address city State
Lender's Telephone No.:
7. Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by
Section 713.13(1)(a)(7),Florida Statutes*
David Dude
Name
1260.2 Telecom Drive Tammpa 331337 FL
Address city State
Telephone Number of Designated Person: 13-740-9UQ
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('%b)r 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 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 foregoingtice 6rce f Commencement and that the facts stated therein are true to the best
of my knowledge and b6)ief.
STATE OF FLORIDA
COUNTY OF PASCO
Sig re of owner or Lessee,or Owners or Lessee's Authorized
Officer/Diredor/PartnedManager
- Assistant-Se caret erv/D.R. Hgrton. Inc
Signatory's TR fflIe/Ooe
The foregoing Instrument was acknowledged before me this day of 2020 by
as-ASAistant gecretaEy. (type of authority,e.g.,officer,trustee,attorney in fact?for
DA H gdon. Inc (name of paMrty.pn bepalf f cmil m rdwase)mcuted).
Personally Knowri JA OR Produced Identification[I Notary Signature efomA
Type of Identification Produced Name(Print)
y40% Notary Public State of Florlde
Michelle Moyes
My cornrelvelon Go 05MI
IV 44, Expires 12f2112020
0%ihR
wpdatalbcs/noUomommencemerit_pcOS3048
INVOICE ,(INV-00000291)
FOR CITY OF ZEP "ILLS
ly
BILLING CONTACT
D R HORTON
12602 TELECOM DR
TAMPA, FL 33637
INVOICE NUMBER INVOICE DATE INVOICE DUE DATE INVOICE STATUS INVOICE DESCRIPTION
INV-00000291 07/10/2020 07/10/2020 Due NONE
REFERENCE NUMBER FEE NAME TOTAL
BNR-000154-2020 3/4 Water Meter Fee(Calc) $732.71
Address Fee $30.00
Building Permit Fee $560.00
Building Plan Review Fee $280.00
Driveway Fee $45.00
Electrical Permit Fee $75.00
Electrical Plan Review Fee $37.50
Irrigation 3/4 Meter(Cale) $473.78
Mechanical Permit Fee $76.00
Mechanical Plan Review Fe $38.00
Park Impact Fee-Single y Fam o nhome $769.56
am
Plumbing Permit Fee_' $62.50
Plumbing Plan Review Fee $31.25
Public Safety Impact Fee-Adm $26.35
Public Safety Impact Fee-Fire $273.00
Public Safety Impact Fee-Police $254.00
School Impact Fee $8,328.00
Sewer Connection Residential Fee $2,090.00
SIF 1 percent Fee $83.28
Transportation Impact Fee $3,595.68
Transportation Impact Fee-City $36.32
Water Connection Residential Fee $1,010.00
8132 Wheat Stone Drive Zephyrhills, FLORIDA 33540 SUB TOTAL $18,907.93
REMITTANCE INFORMATION TOTAL
City of Zephyrhills
5335 8th Street
Zephyrhills,FL 33542
July 10,2020 5335 8th Street,Zephyrhills,FL 33542 Page 1 of I
V
D
Q
i
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.W. use permit. A114 sides of driveway thra the sidewalk shall have
. .
expansion material.
6. All setbacks shall be met.
1. All.property markers shall be uncovered.and marked at time of first inspection.
8. All A.D.A.-requirements shall be.'met:
9. No electric,plumbing, mechanical, or framing shall be covered without an inspection.and .
approval first.
10. All Garages shall comply with section R302.6 of the E.B.C. (Fire Separation).
1.1. Appliances shall not be installed in a location where-subject to mechanical damage unless
protected by approved barriers. M303-4 of the F B.0
12. Water heaters shall comply with section P607.3 of the.F.B.C:
13. Foundation supports for A/C units:shall be raised at least 3" above finished grade. M 1308:1
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 glazingg requir"ents are to be iri accordance with R308.4.of the F.B.C:
17. All means of egress are to be in accordance with R311 of the F.B.C.
18. "Green gypsum board" shall 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-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.
J '
23. Tamper--Resistant Receptacles in accordance with 406.11 of the 201 G 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. R403.5,3Hot water.-pipe insulation.
Insulation for hot.water pipe with a minimum thermal resistance (R-value) of R-3 shall.be applied to the
following: . .
eiping:3/<inch (1.9.1-mm)and larger in nominal diameter.
Piping.serving more than.one dwelling unit.
Piping located outside the conditioned space:.
Piping from the water heater to.a distribution manifold,,
Piping:located under a floor slab.
Buried in piping.
Supply and return piping in recirculation systems other than demand recirculation systems.
25. Blower door test shall be provided before C.O.
26.A copy of the' energy cacls shall be_with permit at all times-
27. Copt/of final'insulation report shall be provided ivith permit before finab-
28 No fence,pool or screen enclosure -is issued withihispermit
F.F.E.-Finished Floor Elevation
F.B.C- Florida Building Code 6t'Edition
R.O.W.--Right of Way
A.D.A.=Americans with Disabilities Act N.E.C.-National Electric Code (2016)
uny of"Gephyrhills Permit Application Fax 813-780-0021
Building Department
Date Received 5l�q�tG�ltxin� ('hb+ �i1•C��
Phone Contact for Permitting —
Owner's Name Owner Phone Number q�
Owner's Address +J►" 33 Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS Z 5 �'V '3 3 LOT# �1
SUBDIVISION" ��r ��ARCEL ID# S'- -0( 0 -oU L ` Go p
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT SIGN 0 0 DEMOLISH
E� INSTALL E REPAIR
PROPOSED USE SFR 0 COMM L� OTHER
TYPE OF CONSTRUCTION E:2- BLOCK Q FRAME STEEL 0 r,�
DESCRIPTION OF WORK 5;iA V - a S
BUILDING SIZE SQ FOOTAGE iPi � HEIGHT
I all fly Mr
"BU.ILDING 0
`0,� VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ w U AMP SERVICE 0 PROGRESS ENERGY W.R,E.C.
l� -1
=PLUMBING $
=MECHANICAL $ ,j VALUATION:OF.MECHANiCAL INSTALLATION
=GAS "( ROOFING SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS . r FLOOD ZONE AREA =YES NO
+o
BUILDER ft COMPANY C=
SIGNATURE l-� REGISTERED Y/ N FEE CURREN Y/N
Address ., License# ( bra .DTI
=_LECTIZICIAN,, COMPANY
SIGNATURE REGISTERED / N' FEE CURREN J Y/N I
tt
Address 3 License# G o cl sa t��
SLUMBER COMPANY 1�J Jtnt'R
3IGNATURE REGISTERED Y/ N FEE URREN /N
Address G 3f a .�Ab�C' h � ��.f S'-Q. l0ot) �{a� 3 a{ t License# CF
MECHANICAL _ COMPANY +f S
iIGNATURE REGISTERED VVN , FEE CURREN Y i N
Address J U License# CA ccs n' w
OTHER COMPANY r U rl� CSt`i
SIGNATURE REGISTERED Y/ N I FEE CURREN Y/N
Address [, .� t'o License# cc
III.IIIIlII.IIIIiIIIiiIillill"1I � 1tllllll" IIIIIIIIIIIIIIIIIiIIIiiiI.iilll
tESIDENTIAL 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/Siit 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-d-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.&I 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.
)Irections:
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500)
Agent(for the contractor)or.Power of Attorney(for the owner)would be someone with notarized letter from owner authorizing same
IVER THE COUNTER PERMITTING (copy of contract required)
;eroofs 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 thb contractor(s) sign
portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is ion
properly.]icensed and is not entitled to permitting privileges in Pasco
County.
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended.. The undersigned also understands, that such fees, as may be due, will be identified at the time of
permitting. It is further understood that Transportation Impact Fees'and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or
final power.release, the fees must be paid prior, to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I
certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the"owner", I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owner" prior to commencement.;
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit ands that all work will be performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is
my responsibility to identify what actions I.-must take to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands, Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways.
I understand that the following restrictions apply to the use of fill:
Use of fill is not allowed in Flood Zone"V" unless expressly permitted.
If the fill material is to be used din Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
licensed by the State of Florida.
If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall
construction, I certify that fill will be used only to fill the area within the stem wall.
If fill material is to be used in any area, I certify that use of such fill will, not adversely affect adjacent
properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit islcommenced within-six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six(6) months after the time the work is commenced. An extension
may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety(90) consecutive days, the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S. 117[./�
OWNER OR AGENT ��/) ��� _ CONTRACTOR
Subscribed and sworn to or afPir ed b fore me this Subscribed and sworn to(or affirmed)before me this
by `\rlk U by
Who! e psmorla�known tome or has/have produced Who is/are personally known to me or has/have produced
as identification. as identification.
I
Notary Public Notary Public
Commission No. Commission No.
d Name of Notary typed,printed or stamped
JACOUELINE�MARIEJOLLY
State of Florida-Notary Public
Commission # GG 237955
My Commission Expires
July 12, 2022
813-780-0020 City of Zephyrhills Permit Application Fax s13-780-0021
Building Department
bats Received Phone Contact for Permitting
' _. . ..
Owner's.Name Owner Phone Number
` .,Owner's Address Owner Phone Number
Owner Phone Number
�4
(. .JOB ADDRESS' --LOT# Z-
SUBDIVISION ,, !trg h PARCEL ID#
(013.TAINEW0ROM.P.ROP.ERTY TAX,NOTICE)>
WORK PROPOSED NE•W CONSTR' ADD/ALT =J SIGN = Q ,DEMOLISH'
e INSTALL 8 REPAIR
PROPOSED USE. 0 SFR = COMM C�. OTHER
TYPE OF CONSTRUCTION BLOCK Q FRAME ' STEEL =
DESCRIPTION OF.WORK
BUILDING SIZE SO-FOOTAGE.= HEIGHT '�__
=BUILDING $ VALUATION OFTOTAL CONSTRUCTION'
's
4 =ELECTRICAL AMP'SERViCE = DUKE ENERGY' 0 W.R.E.C.
=PLUMBING
=MECHANICAL VALUATION OF MECHANICAL INSTALLATION
=GAS 0 ROOFING 0_ SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS •.FLO.OW�ZONE'AREA =YES . NO
,
BUILDER COMPANY
SIGNATURE -' REGISTERED Y/ N _J FEE CURREN
Address License# F
ELECTRICIAN• COMPANY
SIGNATURE REGISTERED' Y V'N ' FEE Ct1RREh
Address . License# �—
PLUMBER 'f COMPANY
SIGNATURE ,REGISTERED Y%-N I FEE CU(R�'REh'•
Address License.# I�
MECHANICAL -COMPANY
SIGNATURE` REGISTERED Y/ N FEE CURREN
Address License#.r 1
OTHER COMPANY
SIGNATURE REGISTERED Y7.N, FEE CURREh•
Address
.. ,.. :,
. .License#
ft
x
RESIDENTIAL Attach`0-1piotPians;.(2)`8etsof"Buiiding-Piafis;,(1)'.setlofEher y.Forms;R=OWPermi;J6rnew;construction,:,
Mlf'simum�t664. 10),working:days after submittal-,,date:'Re tiled onsite;'Cbnsiritatiorl Plans,Stidm4 ier Pians"wl Silt Fence installed,
Sanitary:Facilities&;1:dumpsteruSite Work:Permit4drsubdiviWons/large-prdjeCts
COMMERCIAL Attach(2)complete,sets-of..,Building-Plans plus•a,Lifi:,5pfetIA:page,(1).set of�Energy.Fo'r_ms.R-O-W Permit fdr,new construction.
Minimum ten.(10)yporking,days aftersubrriittaidate..Required onsite;Construction.P(ansti Stormwater,Plans w!Silt Fence installed,
Sanitary Fadii 14 &1 dun o&i.Sft Work Permif for all"new projects.All commerclal.re'qulrements must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans'.
****PROPERTY$.UFtil y requited for all'NEW construction.
d f�
Dirac#tone.
Fill out application completely.
Owner,&:Contractor sign.back of application,notarized
'if over$250d,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 notanzed•letter from-owner authorizing same
OVER THE COUNTER!P..ERMITTING - (copy,�ofCo6traot 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- wilt 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.poweer 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 7.1.3,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;AFFIDAVIT: Lcertify 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 and1and development.. Application is
hereby made to obtain a permit to,'do-work-arid installation 'as indicated: I certify that no work or. installation has
commenced prior to issuance of afpermit and that all work will be.performed to meet standards of all laws regulating
construction, County and City codes, zoning-regulations, .and"land development regulations in the jurisdiction. I also
certify that I understand that the regulations of other:government agencies may apply to the intended work, and that it is
my responsibility to identify what actions I musttake to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater-Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas; Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health &,Rehabilitative Services/Environmental Health Unit=Wells, Wastewater Treatment,
Septic Tanks.
- US Environmental!Protection,Agency-Asbestos.abatement.
Federal Aviation Authority-;Runways.
I understand-that'the.following restrictions.apply.tol�the-use of�fill:
- Use of fill.is not'allowed in Flood Zone 'W unless-expressly permitted.-
If the fill material is to be used in Flood Zone "A", it is understood-that a drainage plan addressing a
"compensating volume"-will be submitted at time of.permitting which is prepared by a professional engineer
licensed by the State of Florida.
If the fill material is to be used.;in Flood Zone "A" in connection with a permitted building using stem wall
construction, I certify that fill'will be used only to fill the area within the.stem wall.
If fill.material is to be used in any area, I certify that use.of such.fill will not adversely affect adjacent
properties. If use of fill is found.to adversely affect-adjacent:properties, the,owner may be.cited for violating
the conditions of the building permit issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan'is required.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform-the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I 'understand.that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the_-application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to-violate, cancel;-.alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from-thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become.invalid
unless the work authorized by such permit is.commenced within six months of.permit issuance, or if work authorized-by
the permit is suspended or abandoned 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 RECORD-A NOTICE.OF COMMENCEMENT.MAY RESULT,IN YOUR
PAYING TWICE FOR.IMPROVEMENTS TO'YOUR PROPERTY..I0-YOU`1NTEND To,iniO INFINANCING,CONSULT
WITKYOUWLENDER.OR AN ATTORNEY BEFORE-RECORDING.YOUR-NOVICE.OF COMMENCEMENT.
FLORIDA JURAT-(F.S.117.03)
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to(or affirmed)before me this Subscribed and sworn to(or affirmed)before me this
by by
Who is/are personally known to me or has/have produced Who is/are personally known to me or has/have produced
as identification. as identification.
Notary Public Notary Public
Commission No. Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
PLOT PLAN
DESCRIPTION:(AS FURNISHED)
LOT 4, BLOCK 2, 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.
S0 �Fq T ST
°F PRit� RcH OR��
N / T Op
93 1Yq\ iz
as /
/ -•t: GRAPHIC SCALE
�.r��•�m �"��'(yf: 0 1 so
NOT O
406,
C9 to
40T i a
e�0
N
pj' ON LOT CALCULATIONS
'2 LOT = 6,059 SO. FT.
LIVING AREA = 2,034 SO. FT.
GARAGE = 458 SO. FT.
LANAI — 218 SO. FT.
o /h 4Q ENTRY SLAB = 23 SO. FT.
T DRIVEWAY = 406 SO. FT.
3ger e(OCk3 A/C PAD = 12 SO. FT.
=S2. 2 WALKWAY = 36 SQ. FT.
76,J. m•:•i;;;'., 3• 3 IMPERVIOUS = 53%
u mil •. t — 3215 SO. FT.
SOD = 2,844 SQ. FT.
o h O OFF LOT CALCULATIONS
'V 4O� -� 00 RIGHT OF WAY = 680 SO. FT.
� DRIVE�0 4\' Z PUBLIC AS/WN = 2611 SQ. FT.
B
O S9 s k 2 N SOD = 267 SQ. FT.
co TOTALS
C? AREA = 6,739 SO. FT.
a DRIVEWAY = 558 SO. FT.
(,VO•S,gCT 9O SIDEWALK = 297 so. Fr.
CPR�4Vj't4 2 \ SOD = 3,111 S0. FT.
Curve Table
Curve+ Length Radius Delta Chord Bearing Chord
PREPARED FOR: Line Table C1 23.91' 1161.00' 11648' S66'4Y24'E 23.91'
i Une 0 Direction Length
D•1l•HOIUONOI,� L1 EN65-25'3.B*W
E 28.19' C2 39.91' to4o.o0' 2'11'S6' N8871'38'W 39.91'
FBCSf"4CC!'F 31€/ �° C3 291.16' 1188.00' 14'03'58' N73'13'59'W 290.43'
L2 9.73'
C4 288.74' 1188.00' 1253'10' N73'49'23'W 288.17'
BUILDING SETBACKS C5 24.42' I188.00' I10`48' N66'47.24•W 24.43'
FRONT: 20'
GARAGE: 25'
REAR: 15'
SIDE: 5'
SIDE STREET: 15'
NOTES:
LEGEND:
1. PROPOSED ELEVATIONS SHOWN HEREON ARE — BUILDING SETBACK UNE 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
2. ELEVATIONS ARE BASED ON NAVD 1980 XX.XX PROPOSED ELEVATION PRC POINT OF REVERSE CURVATURE
PCP PERMANENT CONTROL POINT
DATUM. TYP TYPICAL
PROPOSED DRAINAGE FLOW CS CONCRETE SLAB
THIS PLOT PLAN IS INTENDED FOR PERMITTING PURPOSES (P) PER PLAT
'ir::'i. CONCRETE (C) CALCULATED
ONLY. THIS IS NOT INTENDED FOR THE CONSTRUCTION OF 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 SQ. FT. SQUARE FEET
DIMENSIONS, AND LAYOUT SHOWN HEREON PRIOR TO ANY F.E.M.A. FEDERAL EMERGENCY MANAGEMENT AGENCY
CONSTRUCTION. F.I.R.M. FLOOD INSURANCE RATE MAP
NAVD NORTH AMERICAN VERTICAL DATUM
THIS IS NOT A SURVEY DEAF DRAINAGE EASEMENT 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. 12161CO293F. 1. THE SURVEYOR HAS NOT ABSTRACTED THE
DATED 09/26/2014, AND FOUND THE SUB,ECT PROPERTY APPEARS TO LAND SHOWN HEREON FOR EASEMENTS, RIGHT
LIE IN ZONE'X', AREAS DETERMINED TO BE OUTSIDE THE 0.2X 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 REM.A. AGENT
FOR VERIFICATION. 2. NO UNDERGROUND IMPROVEMENTS HAVE BEEN
BEARING BASIS: LOCATED EXCEPT AS SHOWN.
A5hA
BEARINGS SHOWN HEREON ARE BASED ON THE NORTHWESTERLY LINE 3. NOT VALID WITHOUT THE AUTHENTIC
OF LOT 4 BLOCK 2 BEING N2237'12-E,PER PLAT. ELECTRONIC SIGNATURE AND THE AUTHENTIC
A M E F�1 CAN ELECTRONIC SEAL OF A FLORIDA LICENSED
REVISED: SURVEYOR AND MAPPER.
(FIELD DATE:) S U F2N/FEE NO'I N G Digitally signed by James W.
SCALE: 1'- 30 FEET +.::':a e Boleman
$e MAPPING INC- 't DN:cn=James W.Boleman,
APPROVED BY: 'a
�'o=American Surveying&Mapping,
�'�
CERTIFICATION OF AUTHORIZATION NUMBER LB#6393 a nc,ou="
%'•.,�dn.,�:m�.?a email�boleman@asmcorpate.com FOR
aoe No. 19090E LOT 4, BLOCK 2 319E ORGE BOULEVARD, SUITE LANDO, FLORIDA 32803 2a0 $ .-US THE
Date:2020.02.2616.1033-05'00' FIRM
DRAWN Br: RMB PLOT PLAN 02-28-20 JSO (WWW.AMERICANSURVEYINGANDMAPPING.COM JAMES W. BOLEMAN PSM# 6485 DAB
PASCO COUNTY Receipt Date: 04/11./2016
CONSTRUCTION SERVICES Receipt Number. 1997699
pAs C BUILDING 8731 Citizens Drive
COUNTY FLORi*DA Suite 230
OPEN SpAcEs.IIBRAvr 11tAcEs. New Port Richey,FL 34654
727-647-8126
NOT A PERMIT
Paid By Check# CC Auth# Cashier ID Workstation
Check 1185332 SLEBLANC BCCCP29W
Fee Description Amount Paid
Impact Fee Residential Solid Waste Single Family 13.07
Total Payments: $13.07
Pavor Address Phone
DR Horton
Comments:
City of Zephyrhills Solid Waste
Address:8132 Wheat Stone Drive
Parcel ID:
26 25 210140 00200 0040
While youwIll 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.
myreportslrepoifsllPASCOPRODIPASCOICustomer Receipt v1frpt Print Date: 10/2012020 Page 1 of 1