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HomeMy WebLinkAbout21-1480 City of Zephyrhilis PERMIT NUMBER 5335 Eighth Street Zephyrhills, FL 33542 BNR-001480-2021 Phone: (813)780-0020 Fax: (813)780-0021 Issue Date: Permit Type: Building New (Residential) Property Number. Street Address 04 26 210120 00000 0220 6220 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:$154,859.00 RIVERVIEW,FL 33578 Electrical Valuation:$7,325.00 Phone: (813)964-5182 Mechanical Valuation:$6,640.00 Plumbing Valuation:$6,087.00 Total Valuation:$174,911.00 Total Fees:$14,351.03 Amount Paid:$14,351.03 Date Paid:3/25/2021 8:39:41AM jProject Description CONSTRUCT SINGLE FAMILY 3,603 SID FT OAK OF PASCO Application Fees Sl F 1 percent Fee $83.28 Public Safety Impact Fee-Admin $26.35 Mechanical Permit Fee $73.20 Driveway Fee $45.00 School Impact Fee $8,328.00 Building Plan Review Fee $402.15 Electrical Plan Review Fee $38.31 Irrigation 3/4 Meter(Calc) $473.78 3/4 Water Meter Fee(Calc) $473.78 Public Safety Impact Fee-Police $254.00 Water Connection Residential Fee $1,010.00 Electrical Permit Fee $76.62 Address Fee $30.00 Plumbing Plan Review Fee $35.22 Sewer Connection Residential Fee $2,090.00 Building Permit Fee $804.30 Mechanical Plan Review Fee $36.60 Plumbing Permit Fee $70.44 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. 2A CONTRACTOR SIGNATURE PE IT OFFICEO PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER INVOICE1111 .2872) • ' • BILLING CONTACT JODY SALTER PULTE HOME COMPANY LLC 2662 FALKENBURG S RD RIVERVIEW, FL 33578 INVOICE NUMBER INVOICE DATE INVOICE DUE DATE INVOICE STATUS INVOICE DESCRIPTION INV-00002872 03/18/2021 03/18/2021 Due NONE REFERENCE NUMBER FEE NAME TOTAL BNR-001480-2021 3/4 Water Meter Fee(Calc) $473.78 Address Fee $30.00 Building Permit Fee $804.30 Building Plan Review Fee $402.15 Driveway Fee $45.00 Electrical Permit Fee $76.62 Electrical Plan Review Fee $38.31 Irrigation 3/4 Meter(Calc) $473.78 Mechanical Permit Fee $73.20 Mechanical Plan Review Fee $36.60 Plumbing Permit Fee $70.44 Plumbing Plan Review Fee $35.22 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 6220 Bradford Woods Drive Zephyrhills, FL 33542 SUB TOTAL $14,351.03 REMITTANCE INFORMATION TOTAL $14,351.03 City of Zephyrhills 5335 8th Street Zephyrhills, FL 33542 March 18,2021 5335 8th Street,Zephyrhills,FL 33642 Page 1 of 1 L y PASCO COUNTY, FLORIDA Permit No. � Date Permitted Z-A- Z ~Builder Name/Owner Name Control#' County Parcel No. t)f Zfe LED 4006000 ZZ-0 SubDiv: OdkS i q Address/Location z 7­0 by- �$ ClassiflcationfType of Use TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: Exempt ❑fifes ❑ No How Determined Impact Fee Amount $. Zone No, TAZ: SCHOOL IMPACT FEE Account (056) Single-Family Detached House Amount $ (057) Mobile Home (056) Other Residential d 23) Collection Fee Exempt Yes ❑No How Determined PARKS AND RECREATION FEE- Land Account Land Credit Land Total Recreation Account Recreation Credit Recreation Total i 7 p Zone TOTAL AMOUNT $ Exempt ❑Yes ❑ No How Determined i LIBRARY FEE Land Account Land Credit Land Total Facility Account Facility Credit Facility Total t: Exempt ❑ Yes ❑ No How Determined Total Amount= RESOURCE FEE ERU TOTAL AMOUNT Prepared By t Checked By NO CERTIFICATE OF OCCUPANCY.WILL BE ISSUED OR FINAL INSPECTION PERFORMED UNTIL THE TOTAL AMOVNTS LISTED HAVE BEEN,PAID AND RECEIPTED FOR.BY A CENTRALPERMITTIN©OFFICE-OF PASCO COUNTY Acknowledgement below does not Imply acceptance of concurrence,but simply receipt of a copy of this form,placing n the building permit owner.on notice of this assessment and the conditions of payment for same. DATE RECEIVED BY RECEIPT NO. DATE BY INSTR#2021021979 OR BK 10271 PG 128 Page 1 of 1 02102/2021 03:08 PM Rcpt 2256114 Rec:10.00 OS:0.00 IT:0.00 Nikki Alvarez-Sowles,Esq.,Pasco County Clerk&Comptroller Permit No, Parcel ID No 04-26-21-0120-00000-0220 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 Identigoatlon No. LOT 0220 BLK 00000 Oaks of Pasco Streetaddress: 6220 Bradford Woods Drive,Zephyrhills,FL,33542 2. General Description of improvement New COnstruction-Single Family to include any conctrnction of home. Pool screen enclosure deck irrigation water,sewer,and ALL other improvements. 3. Owner information or Lessee information if the Lessee cantracted for the improvement Pulte Home Company LLC 2662 S.Falke",Ttrg Road Riverview FL Address City State Interest in Property: Fee Simple Name of Fee Simple Titleholder: (If different from Owner listed above) Address City State 4. Contractor Pulte Home Company,LLC 2662 9.%Ikenburs Road Riverview FL Address City State Contractor's Telephone No.: 813-964-5115 5. Surety: N/A Name Address City State Amount of Bond: $ Telephone No.: S. Lender. N/A Name Address City State Lender's Telephone No.: 7. Persons within.the State of Florida designated by the owner upon wham 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: 8. In addition to himself,the owner designates N/A of_ to receive a copy of the Llences 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 constrvetion and final payment to the contractor,but will be one year from the date of recording unless a different date is speed): 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 foregoing notice of commencement and that the facts state rein a true to the best of my knowledge and belief. STATE OF FLORIDA i COUNTY OF PASCO Slgnatu r Lessee,or s or Lessee's Authorized Off ctor/PaRnadManager Division VP ofFinan te Signatory's Thle/Office The foregoing insMrment was acknowledged before me this 1 day of February.20 21 by Matthew Hurd as Attoogy in Fact n4c.o uthority.e.g.,officer,bustee,attomey in fact)for —Pulte Home Company,LLC (name of=.e omin rument was exeecutted). Personally Known El OR Produced Identification 0 Notary Signature 'c-rGriL.� Type of Identification Produced Name(Print) Patricia Burchett pA1RICLASURCHErr atY 4ommsiCN 112 171 pp(p1RE8:AUG 13,2023 ,,,� 8onayp auougt 1sl6ute Imutanc9 wpdata/bcs/noticecommencement pcp53048 PLOT PLAN DESCRIPTICIN:(AS FURNISHED) LOT 22, 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 = 5,973 SQ. FT. LIVING AREA = 1,651 SQ. FT. GARAGE = 416 SQ. FT. ENTRY = 33 SQ. FT. LANAI = 260 SQ. FT. PATIO = 0 SQ. FT. DRIVEWAY = 328 SO. FT. A/C PAD = 9 SQ. FT. WALKWAY = 30 SQ. FT. IMPERVIOUS = 46% a = 2727 SQ. FT. SOD = 3.246 SQ. FT. o OFF LOT CALCULATIONS Z RIGHT OF WAY = 394 SQ. FT. 1" = 30'- DRIVE APRON = 57 SQ. FT. GRAPHIC SCALE PUBLIC S/W = 250 SQ. FT. 0 15 30 SOD = 87 SQ. FT. TOTALS AREA = 6,367 SQ. FT. DRIVEWAY = 385 SQ. FT. SIDEWALK = 280 SQ. FT. SOD = 3,333 SQ. FT. 0 I 0 WI-a J U Z J Mw W9 I N CL F / a°z I 0/ 8g 90 9g S88'10'03"E / 118.65' 2p Qs w Q 3 roo? OII26.5' oUi o 48.7' n —33.6' (n p3��-- Zw oa l 'Lf) ,'.,..:.:`'L'•;.;.'.i:, i �>- rr�ya o y g-a^ O 0 w= o� L p I _ � O a �a. + UW)w z: o UJO aw a O�� wM so 20.5' I �dQ<. wa Q6. wF .Nw CD IS > �w b 10.0•,. Lda H Of �' d• n N 54.7' . m I u o 44.9 .O W � NN .� 881003 Or 2000'. I B9a2 / N88'10'03"W 120.29' goys e�bry PREPARED FOR: k a e /` 0 Q�44t 2ru { o�ir�l �4� o BUILDING SETBACKS I'LL 4 FRONT: 20' �1' REAR: 10' SIDE: 5' SIDE STREET: 15' LEGEND: NOTES: — BUILDING SETBACK LINE PI POINT OF INTERSECTION PC POINT OF CURVATURE 1. PROPOSED ELEVATIONS SHOWN HEREON ARE BASED - CENTERLINE PT PONT OF TANGENCY ON THE APPROVED ENGINEERING PLANS PREPARED — - - — RIGHT OF WAY LINE RP RADIUS POINT BY CORNELISON ENGINEERING & DESIGN INC. PRC POINT OF REVERSE CURVATURE 2. ELEVATIONS ARE BASED ON NAVD 1988 PROPOSED ELEVATION PCP PERMANENT CONTROL POINT DATUM. TYP TYPICAL PROPOSED DRAINAGE FLOW CS CONCRETE SLAB THIS PLOT PLAN IS INTENDED FOR PERMITTING PURPOSES CONCRETE (P) PER PLAT ONLY. THIS IS NOT INTENDED FOR THE CONSTRUCTION OF (C) CALCULATEDPB PLAT BOOK THE PROPOSED STRUCTURE. THE CONTRACTOR AND/OR A/C AIR CONDITIONER PGS PAGES OWNER ARE REQUIRED TO VERIFY ALL SETBACKS, BUILDING S/W SIDEWALK SO. FT. SQUARE FEET DIMENSIONS, AND LAYOUT SHOWN HEREON PRIOR TO ANY F.E.M.A. FEDERAL EMERGENCY MANAGEMENT AGENCY CONSTRUCTION. F.I.R.M. FLOOD INSURANCE RATE MAP NAVD NORTH AMERICAN VERTICAL DATUM THIS IS NOT A SURVEY DE SANITARY SEWER DRAINAGE EASEMENT EVENT THIS IS A PLOT PLAN ONLY UE UTILITY EASEMENT FLOOD NOTE: I HAVE EXAMINED THE F.I.R.M. MAP NO. 12101CO452F SURVEYOR NOTES: DATED 09/26/2014 AND FOUND THE SUBJECT PROPERTY APPEARS TO LIE 1.. THE SURVEYOR HAS NOT ABSTRACTED THE PARTIALLY-IN,ZONE"X" as'AE". ZONE"X', AREAS DETERMINED TO BE LAND SHOWN HEREON FOR EASEMENTS, RIGHT OUTSIDE ETO BE.SPECIAL FLOOD HAZARDPAREASZSUBJECT T AREAS OF WAY, RESTRICTIONS OF RECORD WHICH INUNDATION BY THE 1%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. A5MLOCATED EXCEPT AS SHOWN. BEARING BASIS: BEARINGS SHOWN HEREON ARE BASED ON THE CENTERUNE OF 3. NOT VALID WITHOUT THE AUTHENTIC BRADFORD WOODS DRIVE BEING NOI'49'57"E, PER PLAT. ELECTRONIC SIGNATURE AND THE AUTHENTIC (FIELD DATE:) REVISED' A M E R 1 CAN SURVEYOR ICANDAMAPPER FLORIDA LICENSED SURVI—= ING ov a, SCALE: 1" = 30 FEET B .tLLraN arc Il Digitally signed by James W Bateman s'�;�•'••.°: 4 DN:c=U5,st=Florida,l=Orlando, $c MAPPING INC. •` -AMERICAN SURVEYING&MAPPIN APPROVED BY: J6 �"'° ,�Mr—cn=h—W Boleman, ,I, CERTIFICATION OF AUTHORIZATION NUMBER LB//6393 n '•s, email=jboleman�asmcorporaterr 3191 MAGUIRE BOULEVARD, SUITE 200 g Fl-00.1DA:�e t-1 Date:2021.01.201538:26-05'0� ,_ JOB No. 191105 LOT 22 ORLANDO, FLORIDA 32803 '!"ay p ; J Adobe Acrobatyersion:11.0." 0P DRAWN BY: RMB WWW.AMERICANSURVE'rINCANDMAPPING.COM JAMES A BOLEMAN PSM# 6485 PLOT PLAN 01 14 2021 JG ° STY OF EP Y-RH ILLS: City 5335 Eighth Street°Zephyrhills,Florida 33542-4312 (813)180-0000 a Fax (813)780-0005 GENE WHITFIELD June 13,2018 Mayor CITY COUNCIL Mr.David Waronker 1420 Celebration Blvd., Suite 200 LANCE A_SMITH Celebration,FL 34747 Council President Dear Mr.Waronker, KENNETH M.BURGESS,JR VieePresident City of ZephyrhillsOrdinance 1003-08, Section 12, Paragraph 5, provides that planned unit developments (PUD) approved prior to September 30, 1988 are CHARLES E.PROCTOR exempt from paying transportation impact fees unless amended to permit additional development that would generate traffic. W.ALAN KNTGjHT The Silver Oaks PUD was approved on its third and final reading on January 11, JODI WILKES N 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. MATrxEw E.MAGGARD Sincerely, City Attorney Steven F, Spina,PhD City Manager cc: Todd Vande Berg, City Planner Bill Burgess,Building Official Matthew E.haggard,City Attorney to Received r� Phone Contact for Permitting U IL 11 n__11 9 a a a u U 11 vner's Name pit.)•�c 401T)-c N r )(1.1)`. Owner Phone Number - II 1' vner's Address c"b:Z`4' ��-1�L�11�jGtj�' J ( 1V��+r)Ii�.tD L Owner Phone Number !e Simple Titleholder Name T/A Owner Phone Number e Simple Titleholder Address !A 16 ADDRESS �/ �Vu ��il l�/�l�ISJ 61 LOT# t13D1v1Slo1V 07, Q ��"SC'U PARCEL ID# 041 -Ulo`o-avoo - (OBTAINED FROM PROPERTY TAX NOTICE) ORK PROPOSED e NEW CONSTR 8 ADD/ALT 'SIGN DEMOLISH INSTALL REPAIR ZOPOSED USE ® SFR. 0 COMM u OTHER !PE OF CONSTRUCTION Z ' BLOCK 0 FRAME STEEL Q ESCRIPTION OF WORK G�. �"�() ! (:�G" SIB (C 1-"aAl/ UILDiNGSIZE U /� �/ l SQFOOTAGEfyl/ HEIGHT =BUILDING $ VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ ry a7,� pn AMP SERVICE PROGRESS ENERGY W.R.E.C. l JvJ (1 EtJVLIL6 2..I)6CC�L 0 PLUMBING $ /)('=10 =MECHANICAL $ { [ / /1()o VALUATION OF MECHANICAL INSTALLATION / - =GAS = ROOFING 0 SPECIALTY = OTHER ;INISHED FLOOR ELEVATIONS J FLOOD ZONE AREA AYES NO 1-11 ally WILDER COMPANY l� � �f[ 4" eC. C.,•rl�1wx1I ; GLC� 3GNATURE REGISTERED Y/ N FEE CURREN Y/N .Address �rG��i/��� � ll��Gl�' �, /�GC�I�Lr3�J� ` License# �lJ��u��' •t�f� ELECTRICIAN COMPANY c.1r64 HGNATURE REGISTERED Y/ N F FEE CURREN Y/N Address License# 5, 5-LUMSER COMPANY >IGNATURE REGISTERED YIN FEE CURREN Address 313.r3/y� ?�T �j G jr�( CGr,FL 31�7 J{. License SIGNATURE MECHANICAL COMPANY Ifl�� 706 REGISTERED LYLN J FEE CURREN Y/N .(� LP&7 License# ? Address OTHER COMPANY SIGNATURE REGISTERED Y/ N FEE CURREN Y/N Address l�J�Gi//� l �G'} k/t !G/7Gc al 3 License# TO/Tg� 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 Fomtis.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 hack 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 D 4 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. .51 Driveways require.a R.O.W. use permit: All 4 sides of driveway thru the sidewalk shall have expansion material. 6. All setbacks shall be met. 7. All property markers shall be uncovered.and marked at time-of first inspection. 8: All A.D.A.requirements shall.be met. 9: No electric,.plumbing;mechanical, or.framing shall be:covered without an inspection.and . approval first: 10. All Garages shall comply with section R302.6 of the F.B.-C. (Fire Separation): 1.1. Appliances shall.notbe.installed_in a location where subject to mechanical damageunless 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 AX units:shall be raised at leas_t 3" above finished grade. M1308A. 14. Return air in all bedrooms: RB: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. 19. Combination-type AFCI breakers are required at all locations requiring an AFCI type breaker. 20. Carbon monoxide alarms will be required in new construction that uses fossil-burning heating or appliances or an attached garage. They shall.be installed in accordance with the'F.B.C: 21. All plumbing, mechanical, and electrical shall be separate from unit to unit: This includes all underground plumbing and electric. 22. All 2016 N.E.C. Codes will be enforced: 23. Tamper-Resistant,Receptacles in accordance with 406.11 6fthe 2016 ME 24. Ili accordance with the Land Development Code,loss.shall be sodded before final at least 10 - feet around the structure. .25.'R403.5.3Hot water pipe insulation. insulation for a hot water pipe with minimum thermal resistance (R-value) of R-3 shallI be applied_to the following:', :: Piping j/ 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 cony of the-enemy cacls shall be:with permit at all limes 27, Copu of Ahatinsuladon report-shall be provided with hermit before fnaL 28 No fence.pool or'screen enclosure is issued with-this permit F.F.E.-Finished Floor Elevation F.B.C- Florida Building Code 6 h Edition R.O.W.-Right of Way A.D.A.-Americans with Disabilities Act N.E.C.-National Electric Code (2016). . Building Department Date Received Phone Contact for Permitting aasaitaaa rk !IQUld � _ Owner's Name n Y .�` U�/�c �4• �." Owner Phone Number l� Owner's Address /: 'in l f ) G Owner Phone Number Fee Simple Titleholder Name / Owner Phone Number Fee Simple Titleholder Address /V A JOB ADDRESS. �l(�r�) T .L" G� �� lf, .. �i ( / ��� �J LOT# . �1 SUBDIVISION /�./G•G ! " (� PARCEL.ID# (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED R NEW CONSTR e ADD/ALT 0 SIGN Q Q DEMOLISH INSTALL REPAIR PROPOSED USE. 0 SFR Q COMMA OTHER TYPE OF CONSTRUCTION Q BLOC-K, 0 FRAME STEEL-` Q DESCRIPTION OF WORK ' / � § I YU BUILDING SIZE SQ FOOTAGE HEIGHT =BUILDING $�y—il(� VALUATION OF TOTAL CONSTRUCTION =ELECTRICAL $ �y AMP SERVICE PROGRESS ENERGY Q W.R.E.C. =PLUMBING is ./ C/7 ��/� 4dMI =MECHANICAL $ IC VALUATION VALUATION OF MECHANICAL INSTALLATION (l`J i w =GAS Q ROOFING Q SPECIALTY OTHER FINISHED FLOOR ELEVATIONS / FLOOD ZONE AREA =YES NO BUILDER COMPANY 1 It SIGNATURE REGISTERED Y/N FEE CURREN Y/N Address License# ELECTRICIAN COMPANY SIGNATURE REGISTERED Y/N FEE CURREN Y/N Address i License# PLUMBER COMPANY SIGNATURE REGISTERED Y/N FEE CURREN Address License# MECHANICAL COMPANY SIGNATURE REGISTERED Y/N FEE CURREN Y/N Address License# OTHER II COMPANY SIGNATURE 1 REGISTERED Y/N FEE CURREN �Y/N Address V�� !I , � License# e989.1.0091Q1€.9a@11g8v €IgagT@@6@@@ gg@agglialiggl t@1r' -a@@ agr@agagaurtz8e131f@@-1 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. - - - - - - - - - - - - - - 42-`_-Itea- - - - - - - - - - - - - - - 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 NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to"deed"restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under.state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign ' portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and 90-07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a "certificate of occupancy" or final power release. if the project does not involve a certificate of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County"Water/Sewer Impact fees are due,they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW(Chapter 713, Florida Statutes,as amended): If valuation of workIls$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. CONTRACTOWSIOWNER'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 IMPRO NTS TO YOUR PROPERTY. IF YOU INTEND O IN FINANCING, CONSULT WITH YOUR LENDER O ORNEY BEFORE RECORDING YOUR NOTIC OMMENCEMENT. FLORIDA JURAT(F.S.117.03) OWNER OR AGENT CONTRACTOR Subscribed and swoA to(or affirmed)) ore mg this S 4scribed and sworn or a rmed)befq;erme this / by �. 1 � j�r/I/�U��G V p,is are personally known tome or haslhave produced ,l ft is/a personally down tonne or has/have produced as identification. f identification. /We/U�—NotaryPubli, Notary Public Cni on No.o _ Commis i No. o J 7/ NarKe of PWMTrypeu, Iniedor��s�__a��nrrppe Name of Notary typed,printed or stamped PAIRICIA BURCFIEtT W COMMISSION#GG365171 PATRICIA BURCHM EXPIRES:AUG 13.2023 � MY coMMISSiON#GG365171 Banded thmugh 1st State Insurance EXPIRES:Atli 13.2023 a Bonded through tat State krsurance