HomeMy WebLinkAbout21-1454 0
rCuEiun City of Zephyrhills PERMIT NUMBER
x-= 5335 Eighth Street
Zephyrhills, FL 33542 BNR-001464-2021
Phone: (813)780-0020
Fax: (813)780-0021 Issue Date: 02/15/2021
Permit Type: Building New (Residential)
Property Number Street Address
04 26 21 0120 00000 0720 6275 Bradford Woods Drive
Owner Information Permit Information Contractor Information
Name: PULTE HOME COMPANY LLC Permit Type:Building New(Residential) Contractor: PULTE HOME COMPANY
Class of Work:SFR Construct LLC
Address: 2662 Falkenburg S Rd Building Valuation:$114,122.00
RIVERVIEW,FL 33578 Electrical Valuation:$4,971.00
Phone: (813)964-5182 Mechanical Valuation:$4,402.00
Plumbing Valuation:$5,147.00
Total Valuation:$128,642.00
Total Fees:$14,004.01 /
Amount Paid:$14,004.01
Date Paid:3/25/2021 8:39:41AM
Project Description
CONSTRUCT SINGLE FAMILY 2,349 SQ FT
Application Fees
Public Safety Impact Fee-Police $254.00 Mechanical Permit Fee $62.01
School Impact Fee $8,328.00 Driveway Fee $45.00
Building Plan Review Fee $300.30 Building Permit Fee $600.61
Address Fee $30.00 Water Connection Residential Fee $1,010.00
Sewer Connection Residential Fee $2,090.00 SIF 1 percent Fee $83.28
Mechanical Plan Review Fee $31.00 3/4 Water Meter Fee(Calc) $473.78
Plumbing Plan Review Fee $32.87 Electrical Plan Review Fee $32.43
Electrical Permit Fee $64.86 Irrigation 3/4 Meter(Calc) $473.78
Public Safety Impact Fee-Admin $26.35 Plumbing Permit Fee $65.74
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.
CT RR NATURE PE IT OFFICE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
INSTR#2021021429 OR BK 10270 PG 2241 Page 1 of 1
02f02/2021 11:16 AM Rapt:2255905 Rea:10.00 DS:0.00 IT:0.00
Nikki AlvarezSowles,Esq.,Pasco County Clerk&Comptroller
Permit No. Parcel IDNo 04-26-21-0120-00000-0720
NOTICE OF COMMENCEMENT
State of Florida County of Pasco
THE UNDERSIGNED hereby gives notice that Improvement will 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. LOT 0720 BLK 00000 Oaks of Pasco
Street Address: 6275 Bradford Woods Drive,Zephyrhills,FL,33542
2. General Description of Improvement New Construction-Single Family to include any construction of home.
Pool.screen enclosure,deck irrigation water,sewer,and ALL other improvements
3. Owner Information or Lessee information if the Lessee contracted for the improvement:
Pulte Home Company,LLC
2662 S.Falke"Zerg Road Riverview FL
Address City State
Interest in Property: Fee Simple
Name of Fee Simple Titleholder:
Qf different from Owner listed above)
Address City State
4. Contractor. Pulte Home Company,LLC
2662 9eFelkenburg Road Riverview FL
Address City State
Contractor's Telephone No.: 813-964-5115
6. Surety: N/A
Name
Address City State
Amount of Bond: $ Telephone No.:
6. Lender. N/A
Name
Address City State
Lenders Telephone No.:
7. Persons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by
Section 713.13(1)(a)(7),Florida Statutes:
N/A
Name
Address City State
Telephone Number of Designated Person:
B. In addition to himself,the ownerdesignates N/A of_
to receive a copy of the Llenor•s Notice as provided in Section 713.13(1)(b),Florida Statutes.
Telephone Number of Person or Entity Designated by Owner.
9. Expiration date of Notice of Commencement(the expiration date may not be before the completion of construction and final payment to the
contractor,but will be one year from the date of recording unless a 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 PROPIkRTY. A NOTICts 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,1 declare that I have read the foregoing notice of commencement and that the facts state erein a true to the best
of my knowledge and belief.
STATE OF FLORIDA
COUNTY OF PASCO
Slgnatutt o r Lessee,or s or Lessee's Authorized
OfficerAX etor/Partner/Manager
Division VP of Finan e
Signatory's Tltte/Offire
The foregoing Instrument was acknowledged before me this -1-day of February.2021,by Matthew Hurd
as Attorney in Fact It&of authority,e.g.,officer,trustee,attorney in fact)for
Pulte Home Company.LLC (name of p behalf of�4hom in rument was�ex?ecrut�ed).
Personally Known®Og Produced Identification 0 Notary Signature Z zzt
Type of Identifcatlon Produced Name(Prim) Patricia Burchett
095
EfrG8651,21123e Itaurance
wpdata/bcs/noticecommencement pc063048
INVOICE1111
• ' CITY OP MPHYRRILLS
BILLING CONTACT
JODY SALTER
PULTE HOME COMPANY LLC w "
2662 FALKENBURG S RD
RIVERVIEW, FL 33578
INVOICE NUMBER INVOICE DATE INVOICE DUE DATE INVOICE STATUS INVOICE DESCRIPTION
INV-00002838 1 03/15/2021 03/15/2021 Due NONE
REFERENCE NUMBER FEE NAME TOTAL
BNR-001454-2021 3/4 Water Meter Fee(Calc) $473.78
Address Fee $30.00
Building Permit Fee $600.61
Building Plan Review Fee $300.30
Driveway Fee $45.00
Electrical Permit Fee $64.86
Electrical Plan Review Fee $32.43
Irrigation 3/4 Meter(Calc) $473.78
Mechanical Permit Fee $62.01
Mechanical Plan Review Fee $31.00
Plumbing Permit Fee $65.74
Plumbing Plan Review Fee $32.87
Public Safety Impact Fee-Admin $26.35
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
Water Connection Residential Fee $1,010.00
6275 Bradford Woods Drive Zephyrhills, FL 33542 SUBTOTAL $14,004.01
REMITTANCE INFORMATION TOTAL $14,004.01
City of Zephyrhills
5335 8th Street
Zephyrhills, FL 33542
i
5335 8th Street,Zephyrhills,FL 33542
;f PASCO COUNTY, FLORIDA
Permit No.
Date Permitted ?W
'Builder Name/Owner Name PA1.14 Control#
County Parcel No. 04 4 2-( 0 LO D=D Z 2---t SubDiv:
Address/Location 2—7 �1
Classification/Type of Use 5 J
TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: 2,3 t
Exempt ❑Yes C] No How Determined
Impact Fee Amount _ Zone No. TAZ:
SCHOOL IMPACT FEE
Account (056) Single-Family Detached House Amount $
(057) Mobile Home
(058) Other Residential
123) Collection Fee
r Exempt �Yes Q No How Determined
t. PARKS AND RECREATION FEE'
€ Land Account Land Credit Land Total
(F.
! Recreation Account Recreation Credit Recreation Total
t
t Zone TOTAL AMOUNT $ (+t? 54
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 bullding permit owner.on notice of this assessment and the conditions of payment for some.
DATE RECEIVED BY i
RECEIPT NO. DATE BY
J t
Building Department
;te Received /l r-),,—`�
Phone Contact for Permitting
wner's Name Ra c 4o fl'l C N M )G(.il c, (,.L Owner Phone Number 6 10 `1 •✓ (ej
wner's Address �ll(<?Z S' r�1 Il l���r G 1 I iV fib)f2(� L Owner Phone Number
m Simple Titleholder Name /A Owner Phone Number
:e Simple Titleholder Address WA
06 ADDRESS LOT#
USDIVtSION Fo(;ics PARCEL ID# Oq-Ot 419 —RI
(OBTAINED FROM PROPERTY TAX NOTICE)
IORK PROPOSED ® NEW CONSTR 8 ADDIALT SIGN [] �] DEMOLISH
INSTALL REPAIR
ROPOSED USE 0 SFR. = COMM OTHER
fPE OF CONSTRUCTION RJ BLOCK FRAME STEEL 0
ESCRIPTION OF WORK
UILDING SIZE -row SQ FOOTAGE HEIGHT CN = = __
BUILDING $ _ -- 4� VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL AMP SERVICE -�P/ROOGRESS ENERGY Q W.R.E.C.
=PLUMBING J$ t DD
=MECHANICAL $ r1 OD VALUATION OF MECHANICAL INSTALLATION
oC
=GAS = ROOFING 0 SPECIALTY = OTHER �(R
1NISHED FLOOR ELEVATIONS FLOOD ZONE AREA OYES N0
WILDER COMPANY
,IGNATURELUI-I
REGISTERED Y/ N FEE CURREN Y/N
Address �I a0�r/1 S T4.lket197.Eaq ��;tle wl r t-,339VI License# 1 616c,a
ELECTRICIAN COMPANY
SGNATURE REGISTERED Y/ N FEE CURREN Y/N
i�' Z 1 I1 tCG 10/1(4r� a/Y Z, L
Address License,#-1��� 3 ` )
N
SLUMBER COMPANY v I'/
SIGNATURE p REGISTERED Y FEE CURREN Y/`N
Address 3/33�/� 37� �l GJrla`& '
,F�3 W6 License# � ��'?a 7a-7-7
MECHANICAL COMPANY /IDLS
SIGNATURE REGISTERED Y/ N._J FEE CURREN Y I N
.Address HVI� G�SL�1,F(� 3 c:j(4a l License# F d A( tg 3 iz) I
OTHER COMPANY 61�"coew aL C'
SIGNATURE p, REGISTERED Y/ N FEE CURREN Y I N
Address /'i93J�/Y//n A- Ply). Xf /c/7 "�IC�,3 License#
QAeAeA .Awes ® e.>IeeeuAA >< eArr 'aeesll< aoea >teeAnaeaA >I >< >leeA >I >< eooea9e9teeee >E" aeoe'
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.Eriergy 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.
Directions:
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
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
PLOT PLAN
DESCRIPTION:(AS FURNISHED)
LOT 72, OAKS OF PASCO
AS RECORDED IN PLAT BOOK 80, PAGE(S) 113-118, OF THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA.
ON LOT CALCULATIONS
LOT = 5,750 SO. FT.
LIVING AREA = 1,662 SQ. FT.
GARAGE = 463 SQ. FT.
ENTRY = 25 SQ. FT.
LANAI 199 SQ. FT.
PATIO 0 SQ. FT.
DRIVEWAY = 360 SQ. FT.
A/C PAD = 9 SO, FT.
WALKWAY = 35 SQ. FT.
IMPERVIOUS = 48%
= 2753 SO. FT.
SOD = 2,997 SQ. FT.
OFF LOT CALCULATIONS
RIGHT OF WAY 386 SQ. FT.
DRIVE APRON *57 SQ. FT. C,
PUBLIC S/W = 250 SQ. FT.
SOD = 79 SQ. FT. ill 30,
TOTALS GRAPHIC SCALE
AREA = 6,136 SQ. FT. .0 15 30
DRIVEWAY = 417 SO. FT.
SIDEWALK = 285 SQ. FT.
SOD = 3,076 SQ, FT.
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PREPARED FOR:
_j
p Ito u r,'YtJ
BUILDING SETBACKS
FRONT- 20'
REAR: 10,
SIDE: 5'
SIDE STREET: 15'
NOTES:
1. PROPOSED ELEVATIONS SHOWN HEREON ARE BASED
ON'THE APPROVED ENGINEERING PLANS PREPARED LEGEND:
BY CORNELISON ENGINEERING & DESIGN 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
SETBACKS ARE LESS THAN 7.50 FEET, A RIGHT OF WAY LINE RP RADIUS POINT
MINIMUM 1 5.00 FOOT ODE DRAINAGE AND PRC POINT OF REVERSE CURVATURE
ACCESS EASEMENT IS REQUIRED PER PASCO
PROPOSED ELEVATION PCP PERMANENT CONTROL POINT
TYP TYPICAL
COUNTY LAND DEVELOPMENT CODE. PROPOSED DRAINAGE FLOW CS CONCRETE SLAB
(P) PER PLAT
THIS PLOT PLAN IS INTENDED FOR*PERMITTING PURPOSES CONCRETE (C) CALCULATED
ONLY. THIS IS NOT INTENDED FOR THE CONSTRUC11ON OF A/C AIR CONDITIONER FB 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
E,M,& FEDERAL EMERGENCY MANAGEMENT AGENCY
DIMENSIONS, AND LAYOUT SHOWN HEREON PRIOR TO ANY F�:LFLM. FLOOD INSURANCE RATE MAP
CONSTRUCTION. NAVD NORTH AMERICAN VERTICAL DATUM
SSE SANITARY SEWER EASEMENT
THIS IS NOTA SURVEY DE DRAINAGE EASEMENT
THIS IS A PLOT PLAN ONLY UE UTILITY EASEMENT
FLOOD NOTE: I HAVE EXAMINED THE F.I.R.M. MAP NO. 12101CO289F SURVEYOR NOTES:
DATED 09/26/2014 AND FOUND THE SUBJECT PROPERTY APPEARS TO UE 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 O.2X ANNUAL CHANCE FLOODPLAIN.ZONE'AE' AREAS
DETERMINED TO BE SPECIAL FLOOD HAZARD AREAS SU13JECT sI`6 OF WAY, RESTRICTIONS OF RECORD WHICH
INUNDATION BY THE IX ANNUAL CHANCE FLOOD EVENT, BASE FLOOD MAY AFFECT THE.TITLE OR USE OF THE LAND.
ELEVATIONS DETERMINED TO BE 88.5'. THE SURVEYOR MAKES.NO
GUARANTEES AS TO THE ABOVE INFORMATION.PLEASE CONTACT THE 2. NO UNDERGROUND IMPROVEMENTS HAVE BEEN
LOCAL F.E.M.A.AGENT FOR VERIFICATION. LOCATED EXCEPT AS SHOWN.
BEARING BASIS:BEARINGS SHOWN HEREON ARE BASED ON THE CENTERLINE OF 3. NOT VALID WITHOUT'THE AUTHENTIC
A5M. ELECTRONIC SIGNATURE AND THE AUTHENTIC
BRADFORD WOODS DRIVE BEING N07'06'48"E, PER PLAT.
ELECTRONIC SEAL OF A FLORIDA LICENSED
REVISED: SURVEYOR AND MAPPER.
(FIELD DATE:) 4S U RV a-Ir I N G
,- ..k. f'Digitally signed byJamesW Boleman
1" 30 FEET D1Mc-lJ5,st-fI.dda,I--Odand.,
SCALE:
y��AMERICANSURVEYING&MAPPING�
MAPPING INC. INC.,cn-jamesimouleman,
JB
APPROVED BY. CERTIFICATION"OF AUTHORIZATION NUMBER LB#6393 Date:2021.01.04 161709-05'00' FOR
3191 MAGUIRE BOULEVARD, SUITE 200
Adobe Acrobat wislon,11.0.23 THE
JOB NO. 191105 LOT 72_ ORLANDO, FLORIDA 32803 FIRM
(407) 426-7979 - —
DATE
DRAWN BY. DSB PLOT PLAN 12/30/2020 JG WWW.AMERICANSURVE'aNGANDMAPPING.COM JAMES W. BOLEMAN PSM# 6485
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F- 5335 Eighth Street-Zephyrhills,Florida 3 3 542-43 1 2 .
(813)780-0000-Fax (813) 180-0005
GENE WHITFIELD June 13 2018
Mayor ,
Mr.David Waronker
CITY COUNCIL 1420 Celebration Blvd., Suite 200
LANCE A.SMITH Celebration,FL 34747
Council President
Dear Mr.Waronker,
KENNETH M.BURGESS,JR.
Vice President City of Zephyrhills Ordinance 1003-08, Section 12, Paragraph 5, provides that
planned unit developments (PUD) approved prior to September 3% 1988 are
CHARLES E.PROCTOR exempt from paying transportation impact fees unless_ amended to permit
additional development that would generate traffic.
W.ALAN KNIGHT
The Silver Oaks PUD was approved on its third and final reading.on January 11,
JODI WILKESON 1988, and therefore is exempt from paying transportation impact fees as stipulated
in Ordinance 100308 provided the original permitted number of dwelling units
remains the same. According to Todd Vande Berg, city planner,those numbers
within the Silver Oaks PUD have remained constant.
STEVEN F.SPINA
City Manager
Therefore,the Oaks at Pasco is exempt from paying these fees.A copy of
LORI L.HILLMAN Ordinance 1003-08-is provided for your information.The exemption and credits
City Clerk,CMc section is located on page 10.
MATTHEW E.MAGGARD Sincerely,
City Attorney
Steven F, Spina,PhD
City Manager
cc: Todd Vande Berg, City Planner
Bill Burgess,Building Official
Matthew E. Maggard, City Attorney
Building Department
Date Received
Phone Contact for Permitting
Owner's Name' Owner Phone Number
Owner's Address 1;�f��' ;r.%o j:J'• Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address / / f
711-
JOB ADDRESS ✓/ -.( t Ji�� (`� .. �� l'�d/� H z "/ �LOT#
I f
i
SUBDIVISION !i f PARCEL ID# �'l��a
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED e NEW CONSTR R
ADD/ALT L� SIGN = DEMOLISH
INSTALL REPAIR
PROPOSED USE SFR 0 COMM OTHER
TYPE OF CONSTRUCTION BLOCK F__] FRAME I� STEEL
DESCRIPTION OF WORK �`` AV /(,.C/ o A-1-1 62•�•
BUILDING SIZE ((� / SQ FOOTAGE p7�7 HEIGHT
BUILDING $ n� VALUATION OF TOTAL CONSTRUCTION
=ELECTRICAL $ / O� AMP SERVICE = PROGRESS ENERGY = W.R.E.C.
=PLUMBING $ 06
=MECHANICAL Is y�� VALUATION OF MECHANICAL INSTALLATION
=GAS = ROOFING 0 SPECIALTY = OTHER
FINISHED FLOOR ELEVATIONS /�� FLOOD ZONE AREA =YES NO
BUILDER COMPANY If
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address License#
ELECTRICIAN COMPANY
SIGNATURE. REGISTERED Y/N FEE CURREN Y/.N
Address License#
PLUMBER COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN YIN:
Address License#
MECHANICAL COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address. �) License#
OTHER COMPANY
SIGNATURE REGISTERED Y/N FEE CURREN Y/N
Address t) (/�� o, License# ��J
8sl: ttfl.flOgRQ .H8 � 188 . Lrfttt' ii5110 £rOn.gF# l� � l$ ttlgg513 €� tt8@5ttsi3tta €t.t
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.
r _
Directions:
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
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
ounuury veNarunent
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 IMPACTIUTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings,change of use in existing buildings,or
expansion of existing 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 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 apply to 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 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
FLORIDA JURAT(F.S. 117.03)
OWNER OR AGENT CONTRACTOR
Subscribed and swot�o or affirmed) efore me this Subscribed and swom or Affirmed)before me this
4all X2/ by ✓ ? /!L� LU?i!/10lIS�� ,lOn202,1 by 7Cl/L� utZ�e2DlJ5lGC`
Who is/are personally known to me or has/have produced Whorls/are personally.known tome or has/have produced
as identification. as identification.
9 ary Public x/ Notary Public
Com is ' n No. Commis i o. (71 �Lp S <
Name of Notary typed,printe or stamped Name of Notary typed,printe or stamped
PATRICIA KFAiEff
PATRICIA BURQHETT My COMMISSION#6=171
My COMMISSION#GG365171 B(PIRES:AUG 13,2023
MIRES:AUG 13,2023 a, 'Bonded through 1st State insurance
Bonded through 1st State Insurance