HomeMy WebLinkAbout20-463 I of fu City p Y; Ci of Ze h rhilis
PERMIT UMBER -
5335 Eighth Street
Zephyrhills, FL 33542 BNR-000463-2020
Phone: (813)780-0020 Issue Date: 09/17/2020
`. 1. Fax: (813)780-0021
Permit Type: Building New (Residential)
Property Number Street Address
35 25 21 0140 00800 0110 7966 Broad Pointe Drive
Owner Information°.,:.' Perm it.lrifor�matton .Contractor,lnformation-.
Name: D R HORTON Permit Type:Building New(Residential) Contractor: D R HORTON INC
Class of Work:SFR Construct
Address: 12602 Telecom Dr Building Valuation:$115,000.00
TAMPA,FL 33637 Electrical Valuation:$8,000.00
Phone: (813)549-1968 Mechanical Valuation:$9,500.00
Plumbing Valuation:$6,000.00 es e� a
Total Valuation:$138,500.00
Total Fees:$18,752.50
Amount Paid:$18,752.50
Date Paid:9/17/2020 1:02:48PM OZ14W Ili
Project Description: =°
CONSTRUCT SINGLE FAMILY 3,153 SQ FT
Application Fees
Electrical Permit Fee $80.00 SIF 1 percent Fee $83.28
Irrigation 3/4 Meter(Calc) $473.78 Address Fee $30.00
Sewer Connection Residential Fee $2,090.00 Electrical Plan Review Fee $40.00
Plumbing Plan Review Fee $35.00 Mechanical Permit Fee $87.50
Driveway Fee $45.00 School Impact Fee $8,328.00
Transportation Impact Fee $3,595.68 Park Impact Fee-Single Familyfrownhome $769.56
Public Safety Impact Fee-Fire $273.00 Public Safety Impact Fee-Admin $26.35
Transportation Impact Fee-City $36.32 Plumbing Permit Fee $70.00
Water Connection Residential Fee $1,010.00 Mechanical Plan Review Fee $43.75
Building Plan Review Fee $302.50 Public Safety Impact Fee-Police $254.00
3/4 Water Meter Fee(Calc) $473.78 Building Permit Fee $605.00
REINSPECTION FEES: (c)With respect to Reinspection fees will comply with Florida Statute 553.80(2)(c)the
local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or
first reinspection,whichever is greater,for each subsequent reinspection.
Notice: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that
may be found in the public records of this county, and there may be additional permit required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning to owner:Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans,Specifications add fee Must Accompany Application.All work shall be performed in
accordance with City Codes and Ordinances. NO OCCUPANCY BEFORE C.O.
NO OCCUPANCY BEFORE C.O.
CONTRACTOR SIGNATURE PE IT OFFICE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
INVOICE ,(INV-00000578)
FOR CITY 0,F.ZEPHYRHILLS
BILLING CONTACT
DAVID GUDE
D R HORTON INC
12602 TELECOM DR
TAMPA, FL 33637
INVOICE NUMBER INVOICE DATE INVOICE DUE DATE INVOICE STATUS INVOICE DESCRIPTION
INV-00000578 f 08/13/2020 08/13/2020 Due NONE
REFERENCE INUMBER FEE NAME TOTAL
BNR-000463-2020 3/4 Water Meter Fee(Cale) $473.78
Address Fee $30.00
Building Permit Fee $605.00
Building Plan Review Fee $302.50
Driveway Fee
$45.00
Electrical Permit Fee $80.00
Electrical Plan Review Fee $40.00
Irrigation 3/4 Meter(Cale) $473.78
Mechanical Permit Fee $87.50
Mechanical Plan Review Fee $43.76
Park Impact Fee-Single Family/Townhome $769.56
Plumbing Permit Fee $70.00
Plumbing Plan Review Fee $35.00
Public Safety Impact Fee-Admin- $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
7966 Br,-oad'P-i5inte=DriV,6-Zephyrhills`
SUB TOTAL $18,752.50
---------------------
REMITTANCE INFORMATION TOTAL $18,752.60
City of Zephyrhills
5335 8th Street
Zephyrhills, FL 33542
August 13,2020 5335 8th Street,Zephyrhills,FL 33542 Page 1 of 1
PASCO COUNTY Receipt Date: 04/11/2016
A D , BUILDING CONSTRUCTION SERVICES Receipt Number. 2015959
IS C' 8731 Citizens Drive
COUNTY FLORIDA:: Sub 230
Now Port Richey,FL 34654
727-847-8128
NOT A PERMIT
Paid Sy Check# CC Auth# CashlerlD Morkstation
Check 1233115 SLEBLANC BCCCP59L
Fee Description Amount Paid.
.-Impart Fee Residential Solid Waste Single Family 81.66
Total Payments: $61.80
Pavor Address Phone
DR Horton
City of Zophyrhilis Solid Waste
Address:7966 Broad Pointe Dr.
Parcel:35 25 210140 00800 0110
WWI*you will be paying your bill with Pas.C-mw aww1ria Qretwtlan Senior,the fidi amount oftwcreciit md. -&.zkreetNoT i"wnebew—tsimllwWd KFIt
m sr,z payrmntlemeeL
CfieckNumber 1233115
(.PASCO COUNTY BOARD OF COUNTY COYMMSION D I ate 01/19/21
7530 Little Road
'VRH Inc.Controlled Dhb—.—. ----Swb I of 1— 6914-
Po Invoice Number m6dv Lot# Lot Addr—eas '—Coat edief6gal De6c --Grose —DeductionEF Amount-Paid
-------- ---------- ------------- ------------- -------------
-------- --------------- ----- ---- --------- ------------------
79332001211W 39332 0012 7966 BROAD POINTS DRIVE 80/3*1 61.80 61.80
----------- ----------- -----------
61.00 61.80
myreports1f uportshIPASCOPRODIPASCOICustomer Receipt vif.rpt Print Date: 01/2012021 Page I of 1
~` Permit eFmit Application ������OO
,,te Received Phone Contact for Permitting
Owner'sName owner Phone Number
Owner'sAddresd 3S owner Phone Number
fee Simple Titleholder Name owner Phone Number
Fee Simple Titleholder Address-,
JOB ADDRESS E��wo broaal
Building Department
SUBDIVISION KD#
vvoRKPmoPQaEo/' waw CON sm ADD/ALT �--� SIGN F--� F--\ DEMOLISH
INSTALL [ ] REPAIR
PROPOSED USE [--1 aF� F—1 COMM [--� OTHER
TYPE OF CONSTRUCTION [—��' BLOCK [--1 FRAME �---1 8TEEL F--1
DESCRIPTION OF WORK F �Z -I IQ Za 6L4_nnL_ (:;--IJ Sa±
BUILDING SIZE SQ FOOTAGE P��1153,qf-HEIGHT
�-- 8�|L�|�G l
�--' VALUAT0NOF TOTAL CONSTRUCTION
[--�ELECTF0C�L AMP �--1 PROGRESS [--1 YY.R.E.C.
___-
/
=PLUMB|NG
=MECMANICA VALUATION OF MECHANICAL INSTALLATION
�—�
r-�� ---
GAS L�� F�OBNn SPECIALTY F--� OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
- - - - - - - - - - - - - - - - -
Bu<LoER COMPANY nc
SIGNATURE REGISTERED ' FEEcuRREN
Address Ucenno#
ELECTRICIAN COMPANY
ELECTRICIAN
SIGNATURE nEa/orEnEo ` FsEoonns^ —
Addmos
PLUMBER COMPANY
SIGNATURE F use/xrsxeo 'pesbuxnzN
.
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED �� ��
Address
OTHER COMPANY
nss/ars��o -
SIGNATURE rs—
Addmss Licenaa# I cc
x u u n n u x x x m e I u x x x x x m m u x u x`x x x a m 101 x x x D u V x x x x o u I I m
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/Slit Fence installed,
Sanitary Facilities&1 dumpater;Site Work Permit for subdivisions/large projects _) _
co Vx��s��� ' AUaohCg complete s�sof Building Plans plus aUfaSo��Page;(1)set ofEoe�yF��me.R'O�V� permit for new construction.
Minimum ten(1O)working days after submittal date. Required onude.Construction Plans,Stormwater P\mnav/Silt Fence installed,
Sanitary Facilities&1 dumpster.Site Work Permit for all new projects.All commercial requir6ments"must meet compliance
SIGN PERMIT Attach(2)sets of Engineered P|bno.
°"PROPERTY SURVEY required for all NEW construction.
.
Fill out application completely.
Owner&Contractor sign back nf application,notarized
If over*25n0,a Notice of Commencement mrequired. (AJC upgrades over*75VU)
� Agent(for the contractor)or Power of Attorne�(for the owner)would be someone with notarized letterfrom owner authorizing' same
OVER THE COUNTER PERMITTING (copy of contract required)
Roroofs if shingles Sewers Service Upgrades A/C Fanoem(P|ubtSumey/Fontago)
Driveways-Not over Counter ifun public madvayn'naedoROW
'
NOTICE OF DEED RESTRICTIONS: The undersigned underatandethatthiapermitnneybeoubjeotto "deed" reatrictiona"
which may be more reathcfive'than County rngulot�ma. The undersigned nseun�eareepomdbUM � compliance with any
app||cob|edeadreathoUona.
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 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 at727'847-
8OU9. Fudharrnona, if the owner has hired a contractor or coDtruotors, 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]icensed and is not entitled to permitting privileges in Pasco
County. /
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The unde' ra|gnedunderstands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the stnuot| of new'buildings, change of
use in existing bui|d|ngs, or expansion of existing bui|d/ngo, as specified in Pasco C|ountyDrdinanoeinumber 89~07and
AO-O7' aeamended. The undersigned also understands, that such fees, as may be due, will be identifie'd at the time of
permitting. It is further understood that Transportation Impact Fmoa'and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power release, If the project does not involve o certificate of occupancy or
final power.release, the fees must be paid prior to permit \oauonoo. Fuhbmnnone, if p0000 County VVater/Sevv*� ImpactfeeoaradueJheymUatbepoidprimrtoperm|tiaouance |nocoordmnuevv\tho |ivab|ePaaooCountyordinanoee.
CONSTRUCTION LIEN LAW (Chapter 713. Florida Statutes, aeomanded): |f valuation of work ia $2`SO8.00ormore, |
certify that i, the applicant, have been provided with a copy of the "Florida Construction Lien Law�—Homaovvn.er'a
Protection Guido" prepared by the Florida Department of Agriculture and
iOoDournar Affairs. �the applicant is someoneotherth8nthe"ovvne�. ioa�Uythst | h8veobha|nedacopyoftheaboved�smibeddoournantaOdpnonnise|ngondfa|thio
deliver itto the "ovvnar" prior tocommencement.
CONTR/\CTOF!S/QWNEF!S AFFIDAVIT: | certify that all the information in this application is accurate and that all work
will be done in compliance with all applicable |avvo regulating construction, zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. | certify that no work or installation has
ooDl[noOced prior to issuance of o permit and that all work Will be performed to n0eo1 standards of all |swvo regulating
construction, County and City codes, zoning regulations, and land development regulations iO the jurisdiction. | also � -
cedifvthed \ understand that the regulations of other government agencies may apply to the intended work, 'and that it is
my responsibility to identify what actions | must take tobeincompliance. Such agencies include but are not limited to:
- Department ofEnvironmental Protection-Cypress Bayheada' Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida Water Management Distriut-Wells, Cypress Bayheoda, VVat|and Areaa, Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health & Rehabilitative Servioeo/Envinonmental Health Unit4WeUa, Wastewater Treatment,
Septic Tanks.
- UG Environmental Protection Agency-Asbestos abatement.
- Federal Aviation Authohtv-Runvvoya.
| understand that the following restrictions apply tothe use of fill: '
' Use of fill |o not allowed |n Flood Zone'V`unless expressly permitted,
- If the fill material is to be used in Flood Zone "A', it is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
|ioeOood by the State of Florida.
- If the fill nOeter\@| is to be used in Flood Zone "/Y' in uoDDenUOO with e permitted building using stem vv8\|
coOaboction, i certify that fill will be used only to fill the area within the stem wall.
- If fill msdeho| is to be used in any area, | certify that use of such fill vv|||' nnt adversely affect od|ooeOt
properties. If use of fill is found to adversely affect ecUonent proporUes, the owner may be cited for Yio|sUOQ
the conditions of the building permit issued under the attached permit application, for lots |aem 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 oo[nnleOoing construction, \ understand that separate permit may be required for electrical vvork,
p\urnbing, signs, wells, pools, air conditioning, gao, 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\oao the work authorized by such permit is commenced vvith\D'a|x 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 vvrit|ng, from the Building Official for e period not to exceed ninety (QO) 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.
OWNER oR AGENT CONTRACTOR
Subscribed and sworn to(or affir ed)bqfore me this Subscribed and sworn to(or affirmed)before me this
by 7DEQ V —by
Who is/are personally known to me or has/have produce Who islare personally kno\�n to me or has1have produced
as identi i as identification.
-- Public NotaryPub|iu
C_
Commission No. Commission No.
813-780-0020 City of Zephyrhilis Permit Application Fax 813.780-0021
Building Department
Date Received :] .Phone Contact for Permitting
, _ . .. .. ,
: Owner's.Name Owner Phone Number
' Owners Address Owner Phone,Number
Owner Phone Number
�I. .JOB ADDRESS:
_.LOT# UOL
SUBDIVISION,' rGc3'� � PARCELID#
° (OB.TAINEDkROM.PROPER'rK TAX,NOTIRF
•WORK PROPOSED NE•W�CONST11 ADD/ALT '[� SIGN Q ';.DEMOLISH'
.e INSTALL 8 REPAIR
PROPOSED USE. Q SFR Q COMM OTHER
TYPE OF CONSTRUCTION Q BLOCK Q FRAME STEEL Q
DESCRIPTION OF.WORT(
.BUILDING SIZE SQ•FOOTAGE:= HEIGHT 1.
j =BUILDING $ VALUATION OF'TOTAL CONSTRUCTION'
i
=•ELECTRICAL rr$ AMP'SERVICE DUKE ENERGY' 0 W.R.E.C.
=PLUMBING �—_�� . • .
=MECHANICAL �$ -� VALUATION OF MECHANICAL INSTALLATION
=GAS 0 ROOFING 0. _ SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOAD:ZONE'AREA =YES . NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN ,
Address License# i
ELECTRICIAN- COMPANY
SIGNATURE -REGISTERED' • "Y/,:N FEE CURREN
Address . License#
PLUMBER' COMPANY �^
SIGNATURE I`- - REGISTERED• Y%-N FEE-CURREN
Address License.# F
MECHANICAL -COMPANY,
SIGNATURE' REGISTERED Y/ N FEE CURREN Y/'N.
r
Address License,#' "��
OTHER COMPANY
SIGNATURE REGISTERED Y%.•N,,:. :.. FEE,CURREt.•
.Address .License#
. t Y . . .. '', '. a .. 4 ': ,. '.` ; "''
RESIDENTIAL Attach(2}P(ot;Pl'ans;.(2 s@tsofBuiliii g'Pl ff
aris;,.(1),s'etofEhetgy;Forms;'R�i3=WRermit;fornew;construction,,
Mtntrhum teri(1'0.}Warning:'days'a€tek stibrri`tttai i3ateH`Req'tiirei onsite;'Cdnstr'�ction Plans,8torcriv✓afer Plans w!S it i=ence installed,
Sanitary:Fapilities&j:•dumpsterf,Site Wdrk.;Permit-f6r�Obdivitions/igrg6-proj"ects-
COMMERCIAL Attach(2)compiete,sets-o_.f.;Bu;lding Planswplus a l:ifei,$afety:Page;(1:)'set'of Energy•Foams.R-0=W Permit for.:new cohstruction.
Minimum ten(40);wgrkingvgayq aft4pylybMittal•date.,E3epu)r ,•gnsite;Construcfion•Rtansti Stormwater.Plans�•w/Silt'Fence•install6d,
Sanitary Fadil tres&1 du'm4tec.Site'Work'4r'inif for al!'new projects.All commercial.requ'irements must meet compliance
SIGN PERMIT Attach(2),sets q.f i;ngipeere,'d,Plans'.
"""*PROPERTY S.U'RVE'i'•'required for all'NEW cbristruction.
Directions.
Fill out application completely.
Ownar..&Contractor slgn.back of appiicatlpn,notarized
'If over$2500;a Notice of'Comrinencement 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
OVER.THE COUNTER<P..ERMITTING • (cop.•of•contract.re_quiied)
Reroofs if shingfes 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 w_ ith:.state and local regulations. 'if the
contractor is not licensed as required by law, both the owner and contractor:may tie,cited fora 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 IMPACTAND: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,*thtitsuch 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 occbpancy 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 accordancewith applicable.Pasco County.ordinances.
CONSTRUCTION.LIEN LAW(Chapter 71.3,-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]'and 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 a.permit and that all work will be.performed to meet standards of all laws regulating
construction, County and City codes-, zoning-regulations, .and,land development regulations in the jurisdiction. I also
certify. that I understand that the regulations of other:government agencies may apply to the•intended work, and that it is
my responsibility to identify what actions I musttake to be•in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,Water/Wastewater Treatment.
- Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas; Altering
Watercourses.
- Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
- Department of Health &:.-Rehabilitative Services/Environmental Health Unit=Wells, Wastewater Treatment,
Septic Tanks.
- US.Environmental lProtection•Agency-Asbestos.abatement.
- Federal Aviation Authority-;Runways.
I understand.that*the following restrict-ions.applyto•the-use offilk
- Use of fill is not'all'owed 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 for 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'.INTkD TO'09TAIN FINANCING,.CONSULT
WITH-YOUR.LENDER.OR AN ATTORNEY-BEFORE RECO:RDIN:G.YOURNOTICE.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 11, BLOCK 8, 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.
Curve Table PRIVA7ERACT 'Cy
Curve p Length Radius Delta Chord Bearing Chord LANDSCAPE AREA FLOOD ZONE "AE"
_ EL=85.1
C1 40.60' 112.50' 20'40'34' N52'01'06'W 40.38'
C2 28.03' 980.DD' 1'38'19" S79'50'26'E 28.03' g0't / 2 Ali
C3 118.29' 87.50' 77'27'16' N38'08'46'W 109.48'
C4 53.75' 87.50' 3511'35' N59'16'37-W 52.90. _ 0• (q"9L
CS 1 64.54' 1 87.50' 42'15'41- N2D'32'59-W 63.09'
q�Fq GRAPHIC SCALE
OT \ �? Emm
0 15 30
O,p4//Jy0L 8 \ 2X' FLOOD ZONE "X"
GO k >
C \
e '0 8 / I 89.8
6 / i
FLOOD ZONE "AE" 2 a 11Al
�(/ / I \
00
1 /• q�j , APPROXIMATE
FO B. DELINEATION LINE
MAP FROM FEMA.
r •: .::.: 60. %v ip1Y
`lg •., CO p• /• `a FLOOD ZONE 'AE"
436 F,y.P�,o a //� 5 `�' EL=85.1
\ r '
0.
PRC
88.50
\ ON LOT CALCULATIONS
SO• pO i,�i� LOT = 8,350 SQ. FT.
q� g�� LIVING AREA = 1,104 SQ. FT.
GARAGE = 437 SO. FT.
APi ENTRY = 111 SO. FT.
LANAI = 0 SO. FT.
Lq�T
'q70Sp O L \ DRIVEWAY = 440 SQ. FT.
A/C PAD = 12 SQ. FT.
WALKWAY 0
PREPARED FOR: ��� �� IMPERVIOUS = 27% SQ. Fr.
= 2214 SQ. FT.
z
R•HORIDN'I s SOD = 6,136 SQ. FT.
pp `� OFF LOT CALCULATIONS
Cf'�GGit aLiLfG1C O--
RIGHT OF WAY = 461 SQ. FT.
BUILDING SETBACKS ikn 40,1 DRIVE APRON = 1 SQ. FT.
PUBLIC 5/W = 19898 SQ. FT.
FRONT: 22' SOD = 129 SQ. FT.
GARAGE: 27' TOTALS
REAR: 13' AREA = 81811 SQ. FT.
SIDE: 5' I DRIVEWAY = 574 SQ. FT.
SIDE STREET: 15'
SIDEWALK = 228 SQ. FT.
PT SOD = 6,265 SQ. FT.
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 POINT OF CURVATURE
3. FOR ALL LOTS WHERE SIDE-YARD - - - CENTERUNE PT POINT OF TANGENCY
RIGHT OF WAY LINE RP RADIUS POINT
SETBACKS ARE LESS THAN 7.50 FEET, A — — PRC POINT OF REVERSE CURVATURE
MINIMUM 5.00 FOOT WIDE DRAINAGE AND / PROPOSED ELEVATION PCP PERMANENT CONTROL POINT
ACCESS EASEMENT IS REQUIRED PER PASCO TYP TYPICAL
COUNTY LAND DEVELOPMENT CODE. PROPOSED DRAINAGE FLOW CS CONCRETE SLAB
(P) PER PLAT
THIS PLOT PLAN IS INTENDED FOR PERMITTING PURPOSES 0 CONCRETE (C) CALCULATED
PLAT
ONLY. THIS IS NOT INTENDED FOR THE CONSTRUCTION OF A/C AIR CONDITIONER FIGS PAGES BOOK
THE PROPOSED STRUCTURE. THE CONTRACTOR AND/OR S/W SIDEWALK SO. FT. SQUARE FEET
OWNER ARE REQUIRED TO VERIFY ALL SETBACKS, BUILDING (A) PER AFFIDAVIT F.E.M.A. FEDERAL EMERGENCY MANAGEMENT AGENCY
DIMENSIONS, AND LAYOUT SHOWN HEREON PRIOR TO ANY F.I.R.M. FLOOD INSURANCE RATE MAP
CONSTRUCTION. NAVD NORTH AMERICAN VERTICAL DATUM
D&AE DRAINAGE&ACCESS EASEMENT(PUBLIC)
THIS IS NOT A SURVEY LIE UTIUITY NAGE EASEMENT(PUBLIC)PUBLIC)
THIS IS A PLOT PLAN ONLY w&LE WALL&LANDSCAPE EASENT(PRIVATE)
FLOOD NOTE., I HAVE EXAMINED THE F.I.R.M. MAP NO. 12101CO293F, SURVEYOR NOTES:
DATED 0912612014,AND FOUND THE SUBJECT PROPERTY APPEARS TO LIE 1. THE SURVEYOR HAS NOT ABSTRACTED THE
PARTIALLY IN ZONE'X&AE'. ZONE'X',AREAS DETERMINED TO BE LAND SHOWN HEREON FOR EASEMENTS, RIGHT
OUTSIDE THE 0.2%ANNUAL CHANCE FLOODPLAIN. ZONE'AE',DENOTES OF WAY, RESTRICTIONS OF RECORD WHICH
AREAS DETERMINED TO BE SPECIAL FLOOD HAZARD AREAS SUBJECT TO MAY AFFECT THE TITLE OR USE OF THE LAND.
INUNDATION BY THE 1R ANNUAL CHANCE FLOOD EVENT, BASE FLOOD
ELEVATIONS DETERMINED TO BE 85.1. THE SURVEYOR MAKES NO
GUARANTEES AS TO THE ABOVE INFORMATION.PLEASE CONTACT THE LOCAL 2. NO UNDERGROUND IMPROVEMENTS HAVE BEEN
F.E.M.A. AGENT FOR VERIFICATION. LOCATED EXCEPT AS SHOWN.
BEARING BASIS:
BEARINGS SHOWN HEREON ARE BASED ON THE NORTHWESTERLY LINE A5hR 3. NOT VALID WITHOUT THE AUTHENTIC
OF LOT 11. BLOCK 8 BEING N27'38'37'E, PER PLAT, ELECTRONIC SIGNATURE AND THE AUTHENTIC
^ ELECTRONIC SEAL OF A FLORIDA LICENSED
REVISED: A M E C A N FR I SURVEYOR AND MAPPER.
(FIELD DATE:) U R V E Y I N G
'.,Digitally si9n¢d 6y lamesW eoleman
SCALE: 1'= 30 FEET os"'•iv;•;aa.^ DN:c=US.st=Flarida,l--0dando,
8CM A P P I N G I N C. z' o,. o=AMEBICAN 9UBVEYING&
APPROVED BY: JB MAPPING,INC"cn=JamesW
CERTIFICATION OF AUTHORIZATION NUMBER UB#6393 ••
.+'+' emaiHboleman@asmcorporate.com FOR
3191 MAGUIRE BOULEVARD, SUITE 200 "7an:;:�•`' Date:2020.08.1208:1934-04'00 THE
JOB NO. 190901 LOT 11, BLOCK 8 ORLANDO, FLORIDA 32803 FIRM
DRAWN BY: DSB WWW.AMERICANSUR
PLOT PLAN 06 10 2020 JG VEYINGANDMAPPING.COM JAMES W. BOLEMAN PSM# 6485 DATE
t
f
PASCO COUNTY, FLORIDA` �
Permit No. 7 10
Date Permitted - ~-
-Builder Name/Owner Name Control# '
County Parcel No,3�-5-2-J-21-01�o-000-01/6 SubDiv:
Address/Locatlon t i Ott OY`
Classification/Type of Us() r4L
TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: l5, -
Exempt ❑Yes Q No How Determined
x
Impact Fee Amount Zone No. TAZ:
SCHOOL IMPACT FEE
( Account (056) Single-Family Detached House Amount $
' (057) Mobile Home r
I (058) Other Residential
123) Collection Fee
Exempt [ Yes - Q No How Determined
PARKS AND RECREATION FEE-
Land Account Land Credit Land Total
Recreation Account Recreation Credit Recreation Total
Zone TOTAL AMOUNT $ ts4
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 Amouav '— _
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 dose.not Imply acceptance of concurrence,but simply-racelpt of a copy of thle form,placing the bulkiing,gai nIt owner.on notice of this assessment and the conditions of payment for same.
DATE RECEIVED BY
RECEIPT NO. DATE BY
i
Q° 1
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.OM. use permit: All 4 sides of driveway thru 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 F.B.C. (Fire Separation).
11. Appliances shall not be installed in a location where subject to mechanical damage unless
protected by approved barriers. M303.4 of the F.B.0
12. water heaters shall comply with section P607.3 of the E.B.C.
13. Foundation.supports for A/C units shall be raised at least 3" above finished grade. M1308.:1
14. Return air in all bedrooms. F.B..C. M1620.4
15. Smoke detectors.are to be installed in accordance with R313:1 of the F.B.C.
16. All glazing requirements are to be in:accordance with R308.4 of the F.B.C:
17. All means of egress are to be in accordance with R311 of the F.B.C..
18. "Green gypsum.board" shall not be used as a backer in showers or tubs.R702.-4:2 F.B.C.
10. Combination-type 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:
2.1. All plumbing,mechanical,- and electrical shall'be separate from unit to unit. This includes all
underground plumbing and electric.
22. All 2016 N.E.C. Codes will be enforced.
23. Tamper- Resistant Receptacles in accordance with 406.11 of the 2016 N.E.0
24. In accordance with the Land Development Code,lots shall.be sodded before final at least 10
feet around the structure.
25.-R403.5.3Hof water pipe insulation.
Insulation for'hot Water pipe With'a minimum thermal resistance (R-value) of R-3 shall- be-applied to the
followin
Piping /<inch (19.1 mm)and larger in nominal diameter.
Piping,serving more than.one dwelling unit.
Piping located.outside the conditioned space..
Piping-from the water heater to a distribution manifold.
.Piping.located under a floor slab.-
Buried in piping,
'Supply and return piping in recirculation systems other than demand recirculation systems.
25:Blower door test shall be provided Before C.O:
26. A copy of the enemy cacls shall be with permit at all times.
27. Copy of final.insulation report shall be provided with perk:it before r1nat .
2.8. No fence,pool or screen enclosure :is issued with:this permit.
F.F.E.-Finished Floor Elevation
RB.C-.Florida Building Code 6a'Edition
R.O.W:-Right of Way
' A.D.A.-Americans with Disabilities Act N.E.C.-National Electric Code (2016)