HomeMy WebLinkAbout21-1697 • T m
r 90111n City of Zephyrhills PERMIT NUMBER
5335 Eighth Street
Zephyrhills, FL 33542 BNR-001697-2021
`= Phone: (813)780-0020
t . Fax: (813)780-0021 Issue Date: 04/15/2021
Permit Type: Building New (Residential)
Property Number Street Address
35 25 21 0160 01100 0310 7645 Broad Pointe 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:$110,000.00
TAMPA,FL 33637 Electrical Valuation:$7,000.00
Phone: (813)549-1968 Mechanical Valuation:$6,000.00
Plumbing Valuation:$8,000.00
Total Valuation:$131,000.00
Total Fees:$18,423.25
Amount Paid:$18,423.25 L
Date Paid:4/15/2021 2:47:51 PM
Project Description
CONSTRUCT SINGLE FAMILY 2,447 SQ FT
Application Fees
Sewer Connection Residential Fee $2,090.00 Mechanical Plan Review Fee $35.00
Building Plan Review Fee $290.00 Electrical Plan Review Fee $37.50
Driveway Fee $45.00 Irrigation 3/4 Meter(Calc) $473.78
Plumbing Permit Fee $80.00 3/4 Water Meter Fee(Calc) $473.78
Address Fee $30.00 Public Safety Impact Fee-Admin $26.35
Electrical Permit Fee $75.00 Plumbing Plan Review Fee $40.00
Public Safety Impact Fee-Police $254.00 Water Connection Residential Fee $1,010.00
Transportation Impact Fee $3,595.68 Building Permit Fee $580.00
Park Impact Fee-Single Familylrownhome $769.56 School Impact Fee $8,328.00
SIF 1 percent Fee $83.28 Transportation Impact Fee-City $36.32
Mechanical Permit Fee $70.00
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
INVOICE1111 1 :
• ' •
BILLING CONTACT
DAVID GLIDE '
D R HORTON INC "
12602 TELECOM DR
TAMPA, FL 33637
INVOICE NUMBER INVOICE DATE INVOICE DUE DATE INVOICE STATUS INVOICE DESCRIPTION
INV-00003085 04/10/2021 04/10/2021 Invoiced, Past Due NONE
REFERENCE NUMBER FEE NAME TOTAL
BNR-001697-2021 3/4 Water Meter Fee(Calc) $473.78
Address Fee $30.00
Building Permit Fee $580.00
Building Plan Review Fee $290.00
Driveway Fee $45.00
Electrical Permit Fee $75.00
Electrical Plan Review Fee $37.50
Irrigation 3/4 Meter(Calc) $473.78
Mechanical Permit Fee $70.00
Mechanical Plan Review Fee $35.00
Park Impact Fee-Single Family/Townhome $769.56
Plumbing Permit Fee $80.00
Plumbing Plan Review Fee $40.00
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
Transportation Impact Fee $3,595.68
Transportation Impact Fee-City $36.32
Water Connection Residential Fee $1,010.00
7645 Broad Pointe Dr Zephyrhills, FL 33540 SUB TOTAL $18,423.25
REMITTANCE INFORMATION TOTAL $18,423.25
City of Zephyrhills
5335 8th Street
Zephyrhills, FL 33542
April 13,2021 ---'�m5335 8th Street,Zephyrhills,FL 33542 Page 1 of 1
INSTR#2021054607ORBK10303 PG3148 Page 1 of I
03/19/2021 11:35 AM Ropt:2275224 Rec:10.00 DS:0.00 IT:0.00
Nikki Alvarez-Sowles,Esq.,Pasco County Clerk&Comptroller
Permit No. ParcelIDNo
NOTICE OF COMMENCEMENT
State of- Florida County of, ID-aSdo
THE UNDERSIGNED hereby gives notice that Improvementwill be made to certain real property,and in accordance with Chapter 713,Florida Statutes,
the following Information Is provldedJn this Notice of Commencement
1. Description of Properly: P arcei Identification Na. Z9 9 j ONA AAQ 41) 94"1 C'4/
StreetAddress: .7—&45 Bzeo,66 Zlpey,-brZ DzzL&
2. General Description of Improvement- New Single Family Residence
3. Owner Information or Lessee information If the Lessee contracted forthe Improvement
D.R. HodQn, inns
Nam12R09 Tplamm nriypi Tampa :536-37
Address City state
Interest In Property: --Fee Sirnp1p,
Name of Fee Simple Titleholder.
(if different from Owner listed above)
Address city State
4. contractor. Q.R. Horton, Inc
Name
12602 Telecom Drive Tampa 33637 FL
Address CRY state
Contractor's Telephone No.,
5. surety; NIA-
-Name
Address City State
Amount of Bond: $. N/A Telephone No.:
51 Lender. NIA
Name
Address City 1 State
Lender's Telephone No.;
7. Persons within the State of Florida designated by the owner upon whbm notices or other documents may be served as provided by
Section 713.13(1)(a)(7),Florida Statutes:
David Gude
Name
12502 Tplecom Drive T-ampa 33637 FL
dress city State
Telephone Number of Designated Person: 813-740-9720
B. In adifflon to himself,the owner designates NIA of
to receive aCopy of the Llenoes Notice as provibedin Seatlon 713.13(i)(b),Florida Statutes.
Telephone Number of Person or Entity Designated by Owner:
s. Expiration date of Notice of Commancemarit(the expiration date may not be before the completion of construction and trial payment to the
contractor,but will be one year from the.date of recording unless a different date is specified):
WARNING 70 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 POSTE0*bN THE JOB 817E 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 pejury,I declare that I have read the foregoing otIce Commencement and that the facts stated therein are true to the best
of my knowledge and belief, ?f
STATE OF FLORIDA
COUNTY OF PASCO
5:2 lure�Ofer or Lessee,or Ownees or Lessee's Authorized
Officer/Di rector/Partner/Manager
Assistant Sscreter41QA Hartan. 1i
Signatory's Title/Office
The foregoing instrument was acknowledged before me this jj&_d ay of bG,c 20 Zj-,by
as Assistant Secre U (We of authority,e.g.,officer,trustee,attorney In fact)for
DR, Horton, InG (name of pa F on hal of whom jr4rument was executed).
Personally Known R Pa Produced Identification rl Notary Slianatu:
Type of identification Produced Name(Print)
Notary Public State of Florida
Michelle Mayes
My Commission HK W6897
oFris Expires 121=2024
wpdata/bcs/noUcecornmencementScO53G4B
city ofZ8phY[hUia Permit Application Fax-a 3-78n-0O21'
BuUdingDlepaitment
`
Date Received 3-1 Z— Phone Contact for Permitting
Owner's Name Owner Phone Number 9(,
�--ownerpbooeNumher
`
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
'
JOB ADDRESS
'
auaom1SmN m#
' (OBTAINED FROM PROPERTY TAX NOTICE)
~
WORK PROPOSED NEW CONSTR ��� �� SIGN �� �� DEMOLISH
\NnTALL R
REPAIR
PROPOSED USE �--1 SFR 71 Comm F--1 OTHER �
TYPE 0FCONSTRUCTION F-��' BLOCK F-� FRAME �--� STEEL [--1
DESCRIPTION WORK ffi
BUILDING SIZE SQ FOOTAGE HEIGHT
E?TBUILDING VALUATION OF TOTAL CONSTRUCTION
�--��iLECTR��L AMP F--� PROGRESS ENERGY [--1 YY.R£.C.
[=PLUMB\No
-_~�~
�~ |�EC�AN��AL LUAT|ONOF�E�HAN\�AL\NGT�LLAT|ON
����
�--| F�
GA8 ~l ROOFING* F--| SPECIALTY OTHER
0THBR
---- --- -��
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YEG No
BUILDER COMPANY
SIGNATURE neo/orsnso L_2 /_N_ rEEcu^:E* L_Y/N_�
AuUmsn License#
ELECTRICIAN CoMpxmr
SIGNATURE nso|STEmEo LYl_N_� pssoonns^ L_l�1��
Address
PLUMBER COMPANY
SIGNATURE nsoIaTsneo L��_�_J psEounms^ L� /NL�
Address License#
MECHANICAL ���P�N�
SIGNATUREREGISTERED ` L��� Fssoon�N» L�N �
Address License#
OTHER COMPANY
SIGNATURE ReG\srsnso LY/_N_ pssuunnsN L_Y/NL_1
ccAddress Qw Uoenao#
nxxxxx � x � xm'xmxxx � xmx111111111111JxxxxxuxuxuxmxKxIxmxm111111 111n' xxoxxnI
RESIDENTIAL Attach;D Plot Plans�(2)sets of Building Plans;(1)set of Energy Forms; R-O-W Permit for new uonstmctinn. '
Minimum ten(1O)working days after submittal date. Required onsite,Construction Plan�Stormwater Plans wl Slit Fence Installed,
Sanitary Facilities&1 dumpoher;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,O4N Permit for new Construction.
Minimum ten(10)working days after submittal date. Required ono|tn.Construction Plans,8ho Plans v/8Ut Fence installed,
Sanitary Facilities&I dumpster.Site Work Permit for all new projects.All commercial requirbment5 must meet compliance
SIGN PERMIT Attach(2)sets cf Engineered Plans.
. **°PRoPERTY SURVEY required for all NEW construction. '
Fill out application completely.
Owner&Contractor sign back nfmppUcotion.notarized
If over$usoo'a Notice ofCunomennemootinrequired. (NC upgrades over$75V0)
�
Agent(for the contractor)or Power of Attorne�(for the owner)would be someone with notarized letter from owner authorizing same
OVER THE COUNTER PERMITTING (copy ofcontract required)
R:mofsifshingles Sewers Service Upgrades A/C Fenmas(P|oVSuney/Footm8e)
-
ohve,vays'Nntovor Counter ifon public modways..nnnds RoYy '
/ '
NOTICE OF DEED RESTRICTIONS: The undersigned understands thotth\nparmitmaybeeuNectto "deed" reathctio' '
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 tounde�akevvork. they nnaybe required tobe licensed \n accordance vvithstate and local regulations. If the
contractor i� not licensed as.required by |aw, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are underlain as to what \ioanaing 'requirements may apply for the
intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing.Section at 727-847-
8009. Furtharmore, if the owner has hired a contractor o[ 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 ovvno[ sign as the
contractor, that may be an indication that ha |s notpropar|y]\cenaad and is not entitled to permitting privileges \n Pasco
County, '
TRANSPORTATION |MPACT8UTTL[T|ES IMPACT AND RESOURCE RECOVERY FEES,: The undemignedunderstands
that Transportation Impact Fees and Recourse Recovery Fees may apply tothe construction of new bui\dinge, change of
use in existing buildings, or expansion of existing buUdingm, as specified in Pasco County Ordinance number 89'07 and
90-07. as amended. The undersigned also uDderstanda, that such fees, as may be due, will be identified at the time of
permitting. It is further understood that Transportation Impact Feee'ond 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 CoVntyVVater/Sevver 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, asarnended): If valuation of work ia$2,5OO.UOormore, \
certify that \, the eppUcant, 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|tto the"ovvner'' prior tocommencement.
CONTRACTOR'S/OWNER'S AFFIDAVIT: | oordfv that all the information in this application is accurate and that o|| 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, \ certify that no work or installation has
oonnnnenoad prior to issuance of permit and that all work will be performed to meet standards of all \ewa regulating
construction, County and City oodea, zoning regulations, and land development regulations in the jurisdiction. \ also
certify that \ understand that the regulations of other government agencies may apply to the intended work, 'and that it is
my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
- Department ofEnvironmental Protection-Cypress Bayheada. Wetland Areas and Environmentally Sensitive
` Lands,Water/Wastewater Treatment,
- Southwest Florida VVabyr Management D|str|ct-VVe||e, Cypress Bayheodo' VVmUond Areas, AJtar\hg
Watercourses;
- Army Corps ofEngineers'GaavvaUe. Docks, Navigable Waterways.
' Department of Health & Rehabilitative Services/Environmental Health Unit4We||a, Wastewater Treatment.
/` Septic Tanks.
- US Environmental Protection Agency-Asbestos abatement.
- Federal Aviation/\uthority'Runvvaya.
| understand that the following restrictions apply to the use offill: '
' Use of fill ia not allowed in 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
licensed by the State ofFlorida. `
- If the fill material is to be used in Flood Zone 'YY' in connection with a permitted building using nhonn vva\|
construction, } certify that fill will be used only to fill the area within the stem wall.
- if fill material is to be used in any area, | certify that use of such fill vvi|!' not adversely effect adjacent
` properties. If use of fill is found to adversely offoot adjacent prope[tiea, the uvvnar may be cited for violating
the conditions of the building permit issued under the attached permit app|icotinn, for lots less than one (1)
` acre which are elevated by fill, on engineered drainage plan |Srequired.
If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. | understand that separate permit may be required for electrical work,
plumbing, signa, vve||u, poo{b, air cond|tioning. Qaa, or other installations not specifically included in the application. A
permit issued shall be construed tobea license to proceed with the work and not aoauthorityto violate, cancel, alter, or
act aside any provisions of the technical'codea. nor shall issuance ofa permit prevent thoBuilding Official from thereafter
requiring o 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 vvith(D'e(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 requeahed, in writing, from the Building Official for a period not to exceed ninety (00) days and will demonstrate
justifiable cause for the extnnsion. 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 wRAGENT CONTRACTOR
Subscribed and sworn to(or aff Ured)b for�me this Subscribed and.sworn~(or affirmed)before^~this
by
MC IL
IsLare Rgrs _knQwnAc e or has/have produced Who is/are personally lknov�n to me or has/have produced
as identification. as identification.
Notary
PublicPublic�
Commission No. Commission No.
Name of Notary typed,printed
D
Q '
'yak
r.
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. All 4 sides of driveway thru the sidewalk shall have
expansion material.
6. All setbacks shall be met.
T. 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 cornply with section P607.3 of the F.B.C.
13. Foundation supports forAX 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 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 riot 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 re - an AM 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 ofthe 2o16 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. R403.5.3Hot water pipe insulation.
Insulation for hot water pipe with'a minimum thermal resistance (R-value) of R-3 shall be applied to the
following:
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 floorslab:
Buried in piping.
Supply and retum 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 Copy of final insulation report shall-be provided with permit before rinal
28. No fence,pool or screen enclosure :is issued ivith:this permit.-
F.F.E.-Finished Floor Elevation,
F.B.C-Florida Building Code Oh Edition
R.O.W.-Right of Way
A.D.A.-Americans with Disabilities Act N.E.C.-National Electric Code (2016)
813-780-0020 City Of Zephyrhills,Permit Application! Fax-813-780-002
Building Department'
f
Date Received Phone Contact for Permittin -
-
_ . _. , ., . . ._
Owner's.Name Owner Phone Number
.-Owner's Address Owner Phone Number,
�- Owner Phone Number
k
�'. .JOB ADDRESS' 7lv�iS` /3�d1l3D � /�2i v Zia --fi�iAG h ._•33S40 _LOT# 3/
SUBDIVISION C =Cart PARCEL iD#
• (OBTAINED EROM:P.RQP,ERTY T.'AX,NOTiCE),
.WORK PROPOSED NEW CONSTR ADD/AhT SIGN = [� :,DEMOLISH
R
INSTALL 8 REPAIR
PROPOSED USE. SFR 0 COMM OTHER
TYPE OF CONSTRUCTION BLOCK 0 FRAME STEEL
-DESCRIPTION OF.WORK
BUILDING SIZE I SQ-FOOTAGE; :HEIGHT •C4 •,
=BUILDING $ VALUATION OF'TOTAL CONSTRUCTION'
! =,EL'ECTRICAL ]$ AMP'SERVICE 0 DUKE ENERGY' W,R.E'.C.
G'=PLUMBIN $`
]MECHANICAL r$ VALUATION OF MECHANICAL INSTALLATION
=GAS C] ROOFING Q SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS C FL-O. CD.ZQNE•AREA DYES , NO
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN •Y•/•N
Addresss License
ELECTRICIAN- COMPANY
SIGNATURE .REGISTERED' Y/':N FEE CURREM1 Y/.N
Address . License i�l
PLUMBER COMPANY
SIGNATURE �` --' REGISTERED. Y 7-N' FEE•OURREM1
Address License.#
M.ECHANI.CAL .,;' COMPANY
SIGN•'Ai'URE` REGISTERED Y/ N FEE CURREN
Address License-#.,��
OTHER CQM;PANX
SIGNATURE REGISTERED Y:/rN, :; , FEECURREM1•
-Address .License##
RESIDENTIAL Attac4i'{2)=Plat RlanS;.{2�'sets of l3ui{di g:Plans;.((((�)'.selt.bf rier:[n7y•Forms;'R Oa'W':Permit•for neW,construction„
` !r •:n•S s .. :,Y.n• * ,. -.t,•a• ��� Tan c'•l._ ,
=.Mii�imiim,ten( 0)-Working'd'"ays aft F subri ittal°date: RedUired 6nsite;'Const&tioh Plans,StormwaEer Plans.' Slit Fence installed,
Sanitary:Facilities cit,I;dumpster;,Site W6tk.•Permit•f6r,subdivisions/large-prdjects•
COMMERCIAL Attach(2).coniplete,sets-of.;Building-Piansipills•aeLife;;$afety Page;(1)'set'o6Energy.Forms.R-0=W Permitfor.nawcohstruction,
Minimum ten(10);wgrking dRyq,a�fter,subm'Itt...date.,}�egU,ir6q--dnsite;Constructiom, .tpsi,Starmwater Piansv/Silt`Fence••installed,
Sanitary Facilities&1 dumater.Seta CNork i'ermit for ail new projects.All oommercial.requlrements must meet compliance
SIGN PERMIT Attach( )sets.qf E'ng11,p.retl;'RIe ns*.
*'PROP'ERTY$.U'RVEY•'required for all'NEW cotistruction.
Directions:
Fill out
application
applca tio n completely.
Owner&:Cointractor sign,back of�ppllcation,notarized
'Ifaver$2'd0',alloticebf.Commencementisr'e4pire d. (A(C upgrades over$7500)
Agent(for the contractor.)or.Power-of•Attorney,{for the owner).would be someone!wlth notarized-letter from-owner authorizing same
OVER'I'HE•COUNTER.,PERMITiTING - (copy;of=ntract.requlyed)
Reroofs if stiingles Sewers Service IJpgra'des%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 RESPONSIWLIT1ES:' 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 contra.ctors•, he- is advised to. have the oontractor(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 als.o.,understands•,•that•subh fees, as may 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. 'Furth ermore,'•if Pasco County 'Water/Sewer Impact
fees are due, they-must be paid prior to.portnit issuance in accordance with applicable.Pasco County.ordinances.
CONSTRUCTION.LIEN LAW(Chapter 7.1.3,-Florida Statutes, as am.ended•): If valuation of work is $2,.5.00.00 or more, I
certify that 1, 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, 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/OWN;ER'S;AFFIDAVIT: (,certify that,all the lnformation in this.application-is accurate and that all-work
will be done in compliance with all applicable laws regulating.constructi.on;'zonin'g and*.land development., Application is
hereby made to obtain a permit' to-do work, alld 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-code s-, 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-Soawalls, Docks, Navigable Waterways.
- Department of :Health $,'Rehabilitative Services/Environmental Health Unit=Wells, Wastewater Treatment,
Septic Tanks,
US,Environmental:Pro.te.ctionAgency-Asbestos.abatement.
- Federal Aviation Authority-runways.
I understand.that•the following restrictions.app'lyto-the•use of-fill:
- Use of fill is not allowed in flood Zone W"uhless•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:whioh -is prepared by.a professional engineer
licensed by the.State of Florida.
- If the fill material is to be used Jn Flood Zone "A" in connection with a permitted building using stem wall
construction, I certify that fill will be used only to fill the area within the stem wall.
- If fill• material is to be used in any area, I certify that use .of such.fill will not adversely affect. adjacent
properties. If use of fill is found.to adversely affect adjacoht.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.invaiid
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.. IP'YbU.IN7.EN;D T'O'opTA1N FINANCING,-CONSULT
WITH•-YOUI7.LEND:ER.OR AN ATTORNEY'BEFORE DECO.'RDIN:G.YOU R.NOTICE.OF-COMIIhEN:CEMENT.
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
• 1 '
PERMIT APPLICATION ;-n�• T In
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•5
.y Z
DRIVEWAY PERMIT APPLICATION
CONSTRUCTION WITHIN PUBLIC-RIGHT-OF-WAY
All information must be filled-in completely
City of Zephyrhilis
5335 8t'Street, Zephyrhills, FL 33542
Telephone 813.780.0000 Fax 813.780.0005
PROJECT/JOB SITE: PROPERTY OWNER
Address: Qrlo �in/7� 'rw� Zt,�G �isrtc6 Name: P & Wo,-4on �n
Unit#: ..3/ " 'v Address: 1 *? d • '7-r Unit:
Parcel Identification Number: City, State Zip
3✓-ZSGl-O/�O-p /{o -03/a + - Phone:
' �C��l-""1-G�,u ��J C�J`�"�' �G.:..�T7c� �y,+�'�� 1•'��,,�CJ f"`1 �l�.. �i C�'/�"? '
CONTRACTOR:
Company:_
Name: 0) i—e-
Contractor`sLicense #: C_ CC3, E-Mail: Cc,,y�
Phone: Y 13. Cell: Fax:
ARCHITECT/ENGINEER:
Name: A tom- i2e -5- ,1-1%, Firm Name:
Address: State: FL__ Zip:
State License #: Phone: Fax:
Description of Project
DRIVEWAY LENGTH OF DRIVEWAY CULVERTS NEEDED
TM ,,,,,,,,RESIDENTIAL DRIVEWAY WIDTH OF DRIVEWAY ( }REINFORCED CONCRETE
COMMERCIAL DRIVEWAY R.O.W. EXCAVATION O CORRUGATED MATERIAL
PUBLIC ACCESS DRIVEWAY DEPTH LINEAR FEET ( )BOX CULVERT
{ }OTHER(EXPLAIN)
CONSTRUCTION MATERIAL CURB CUT REQUIRED
PHALT YES NO
CONCRETE
HEADWALL REQUIRED? YES NO
NOTICE TO APPLICANT: If actual;work exceeds scope of this description, additional permits or drawings
will be required.
UTILITY LOCATIONS REQUIRED: CALL BEFORE YOU DIG: 1.800.452.4770
Page 1 of 3
PERMIT APPLICATION
UTILITIES LOCATE CONFIRMATION NUMBER:
PROVIDE SKETCH•IN THIS AREA, IF ADDITIONAL SPACE IS REQUIRED, ATTACH TO THIS
APPLICATION.
AFFIDAVIT: Application is hereby made to obtain a permit to do work and installations as indicated. I certify that all foregoing
information is accurate and that all work will comply with all applicable codes. I understand these codes shall take precedence over all
approved construction documents, and issuance of this permit is verification that I will notify the property owner of Florida Lien Law"
req.,F.S.713.
The issuance of this permit does not ensure compliance with deed restrictions and I understand that additional deed
restrictions may apply to this property.
All work shall comply with the current Florida Building Code, Public Works Design Manual and FDOT Design
Standards(if applicable). (Public Works Design Manual online link: www.ci.zephyrhills.fl.us/publ,ic—works.asp)
APPLICATION.IS VOID UNLESS SIGNED WITH PROPER IDENTIFICATION AND WITNESSED BY A PERMIT
TECHNICIAN OR NOTARY PUBLIC.
NOTE: The City of Zephyrhilis is not responsible for maintenance or repairs of driveways. Driveways shall not alter-1
interfere with existing stormwater treatment and/or conveyance.
PROPERTY OWNERS: By signing this application: I certify that I have read and understand the owner/builder disclosure
statement. (please initial)
Applicant Print Name Applicant Signature Date
Permit Technician Signature (or) Notary Signature Date
Applicant is( )personally known to me or produced as identification.
(type of identification)
Page 2 of 3
PERMIT APPLICATION
OFFICE USE ONLY
IPUkIC WORKS.USE ONLY
Concrete (min. 6')r Y N
Asphalt Base (min. 6') Y N
Asphalt(min. 11/2') Y N
Length (min. 190 Y N
Width (10'min—20'max) Y N
Existing sidewalk. Y N
New sidewalk. Y N
ADA compliant. Y N
Expansion material required. Y N
Contiguous parking pad. Y N
Triangular flare (3'W x 71) Y N
Visibility triangle o.k.? Y N
Side set back(3'min. R.O.W.) Y N
Plan Review Fee
Additional descril'tion of work as defined lb Public Works Director and or designee:
Permit application approved by: Date:
Page 3 of 3
y
PLOT PLAN
DESCRIPTION:(AS FURNISHED)
LOT 31, BLOCK 11, ZEPHYR LAKES SUBDIVISION PHASE 4D
AS RECORDED IN PLAT BOOK 84, PAGE(S) 82-84, OF THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA.
LOT 3 LOT 2 LOT 1
BLOCK 11 BLOCK 11 BLOCK 11
S89'53'26"E
40.00' o
— — —•— Z
LOT 31 r
BLOCK 11 �APHIC SSE0 15 30
A&MM FLfOIIU7 "llO
� U7
PATIO
16 , A/C
5.2' 5.2'
29.7' '
LOT 30 29.07'
BLOCK 11 - Iyy Illgyyy LOT 32
a PROPOSED 3EFB o BLOCK 11
ROBIE'H'
Win FINISHED FLOOR 'a
ELEVATION=98.00'c o rt)
o0
1M co
� � O
O O
O COVERED N
ZII ENTRY II Llne Table
'IWI 9.7' �
' '� 20.0' S•2, Line IIIDireet n ength L
L1 NB9'53'26-W 40.00'
io Tn in
vi ui vi
—N•--,N ` N—
l�R
4 Ello0
CENTERLINE OF I to
to N
PI /t RIGHT OF WAY 410.00' - 1_- 41.53' _4 PC -
`/—•�'�YI�- S89'53'26'E 451.53' `�+
(REFERENCE BEARING)
BROAD POINTE DRIVE
PREPARED FOR: TRACT 'A'
50' WIDE PRIVATE RIGHT OF WAY LEGEND:
D•R•HORl11N'r
{St^.Cr't �ygCxT —•—•— BUILDING SETBACK LINE
CENTERUNE
BUILDING SETBACKS — ——— RIGHT OF WAY LINE
FRONT: 20 ON LOT CALCULATIONS PROPOSED ELEVATION
GARAGE: 25' LOT = 4,600 SO. FT. PROPOSED DRAINAGE FLOW
REAR: 15' LIVING AREA = 1,048 SQ. FT. r.M,;1
SIDE: 5' GARAGE = 403 SQ. FT. CONCRETE
SIDE STREET: 15' ENTRY = 32 SQ. FT. A/C AIR CONDITIONER
LANAI = 0 SO. FT. DtrAE
PATIO = 80 SQ. FT. S/W SIDEWALK
NOTES: DRIVEWAY - 408 SO. FT. PI POINT OF INTERSECTION
1. PROPOSED ELEVATIONS SHOWN HEREON ARE A/C PAD = 12 SO. FT. PC POINT OF CURVATURE
BASED ON THE APPROVED ENGINEERING PLANS WALKWAY = 31 SO. FT. PT POINT OF TANGENCY
PREPARED BY HAMILTON ENGINEERING do "IMPERVIOUS = 44% RP RADIUS POINT
SURVEYING INC.. = 2014 SO. FT. PRO POINT OF REVERSE CURVATURE
PCP PERMANENT CONTROL POINT
2, ELEVATIONS ARE BASED ON NAVD 1988 SOD = 2,586 SQ. FT. TYP TYPICAL
DATUM. OFF LOT CALCULATIONS CS CONCRETE SLAB
RIGHT OF WAY = 520 SO. FT. (P) PER PLAT
THIS PLOT PLAN IS INTENDED FOR PERMITTING PURPOSES DRIVE APRON = 0 SO. FT. (C PLAT BOOK
ONLY. THIS IS NOT INTENDED FOR THE CONSTRUCTION OF PUBLIC S/W - 200 SQ. FT. PGS PAGES
THE PROPOSED STRUCTURE. THE CONTRACTOR AND/OR SOD = 320 SO. FT. SQ. FT. SQUARE FEET
OWNER ARE REQUIRED TO VERIFY ALL SETBACKS, BUILDING TOTALS F.E.M.A. FEDERAL EMERGENCY MANAGEMENT AGENCY
F.I.R.M. FLOOD INSURANCE RATE MAP
DIMENSIONS, AND LAYOUT SHOWN HEREON PRIOR TO ANY
AREA = 5,120 SO. FT. NAVD NORTH AMERICAN VERTICAL DATUM
CONSTRUCTION. DRIVEWAY = 408 SQ. FT. D&UE DRAINAGE do UTILITY EASEMENT
DE DRAINAGE ENT(PUBLIC)
THIS IS NOT A SURVEY SIDEWALK = 231 SO. FT. PDE DPRIVATE RAIN GEE EASEMENT
SOD = 2,906 SQ. FT. LIE UTILITY EASEMENT(PUBLIC)
THIS IS A PLOT PLAN ONLY PLE PRIVATE LANDSCAPE EASEMENT
FLOOD NOTE: I HAVE EXAMINED THE F.I.R.M.MAP NO.121D1CO293F, SURVEYOR NOTES:
DATED 09/26/2014,AND FOUND THE SUBJECT PROPERTY APPEARS TO 1. THE SURVEYOR HAS NOT ABSTRACTED THE
LIE IN ZONE X7 AREAS DETERMINED TO BE OUTSIDE THE 0.2x ANNUAL LAND SHOWN HEREON FOR EASEMENTS, RIGHT
CHANCE FLOODPWN. .THE SURVEYOR MAKES NO GUARANTEES AS TO THE OF WAY, RESTRICTIONS OF RECORD WHICH
VERIFICATION.
INFORMATION.PLEASE CONTACT THE LOCAL F.EM.A AGENT FOR MAY AFFECT THE TITLE OR USE OF THE LAND.
2. NO UNDERGROUND IMPROVEMENTS HAVE BEEN
BEARING BASIS: LOCATED EXCEPT AS SHOWN.
BEARINGS SHOWN HEREON ARE BASED ON THE CENTERUNE OF BROAD 3. NOT VALID WITHOUT THE AUTHENTIC
POINTE DRIVE BEING S89SN28'E,PER PLAT. 85 ELECTRONIC SIGNATURE AND THE AUTHENTIC
py ELECTRONIC SEAL OF A FLORIDA LICENSED
(FIELD DATE) REVISED: AMERICAN SURVEYING SURVEYOR AND MAPPER.
SCALE: 1' —30 FEET MAPPING, INC. �as°roiM, a� Digitally signed by James W Boleman
r,d•' :i i'F `a III II I• DoM Florida,l=Orando,
SURVEYING&MAP PING,
APPROVED BY: JB INC cn=JamesWBoleman,
•nor.1 •c email=jboleman@asmcorporatexem FOR
210118 LOT 31,BLOCK 11 ' ' ,.:•+'` "Date:2021.02121295:1a05'o0' THE
JOB NO. 3191 Maguire Blvd,Suite 200,Orlando,FL 32$03 ~`""�'' Adobe Acrobat version:11.013 FIRM
DRAWN BY.. DSB 1ADD REC 02 19 2021 AAM 407.426.7979 -
PLOT PLAN 01 15 202t JG americanstirve 'nnandma in .corn JAMES W. BOLEMAN PSM# 6485 DATE
D
r
Q
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.O.W. use permit: All 4 sides of driveway thru the sidewalk shall have
expansion material.
6. All setbacks shall ben et.
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 s.hall.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 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 reguiririg 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.
21 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: R403.5.3Hot water-pipe insulation
Insulation for hot water pipe withh-a minimum thermal resistance (R-.value) of.R-3 shall be applied to the
following:
Piping 51,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 energV'cacls shall be-with permit at all tines:
27. Copy of-fnal insulation retiort shall be provided with permit before final
28:No fence, pool or screen enclosure :is issued witkthis.perntit.-
F.F.E.-Finished Floor Elevation
F.B.C-Florida Building Code 6"'Edition
R.O.W.-Right of Way
A.D.A.-Americans with Disabilities Act N.E.C.-National Electric.Code (2016)