HomeMy WebLinkAbout20-917 6
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+ + �„ City of ZephyrhillsPERMIT°N.UMByER'�`
:.
5335 Eighth Street
Zephyrhills, FL 33542 _ BNR-000917-2020
r� r, Phone: (813)780-0020 Issue Date: 11/13/2020
Fax: (813)780-0021
Permit Type: Building New (Residential)
`,_ Property Number -. -.- S'r66t Address
8027 Broad Pointe Dr
Owne�lnformation Permitlnformation- Conttactor;lnformation .
Name: D R HORTON Permit Type:Building New(Residential) Contractor: D R HORTON INC
Class of Work:SFR Construct
Address: 12602 Telecom Dr Building Valuation:$104,000.00
TAMPA,FL 33637 Electrical Valuation:$6,800.00
Phone: (813)549-1968 Mechanical Valuation:$4,800.00
Plumbing Valuation:$7,200.00 L/J J/
Total Valuation:$122,800.00a7
Total Fees:$18,361.75
Amount Paid:$18,361.75 111
Date Paid:11/13/2020 1:24:20PM
,,.
P>t-o�ectpDesc�iptlonti ,
CONSTRUCT SINGLE FAMILY 1848 sq ft
Appli ation Fees' - v ,. .
School Impact Fee $8,328.00 SIF 1 percent Fee $83.28
Mechanical Plan Review Fee $32.00 Park Impact Fee-Single Family/Townhome $769.56
Building Permit Fee $550.00 Transportation Impact Fee $3,595.68
Address Fee $30.00 Electrical Permit Fee $74.00
Public Safety Impact Fee-Admin $26.35 Building Plan Review Fee $275.00
3/4 Water Meter Fee(Calc) $473.78 Sewer Connection Residential Fee $2,090.00
Mechanical Permit Fee $64.00 Plumbing Plan Review Fee $38.00
Electrical Plan Review Fee $37.00 Transportation Impact Fee-City $36.32
Plumbing Permit Fee $76.00 Water Connection Residential Fee $1,010.00
Driveway Fee $45.00 Irrigation 3/4 Meter(Calc) $473.78
Public Safety Impact Fee-Police $254.00
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
INSTR#2020176887 OR BK 1020OPG2980 Page I of I
10/21/2020 10:58 AM R6pt:2217616 Rao:10.00 DS:0.00 IT:0.00
Nikki Alvarez-Sowles,Esq.,Pasco County Clerk&Comptroller
Permit No. Parcel ID No 7-10 lsz> a I
NOTICE OF COMMENCEMENT
stata of__Florida County of_ -PaBrc)
THE UNDERSIGNED hereby gives notice that impravementWil be made to certain real property,and In accordance with Chapter713,Rorlda Statutes,
the following information is provided in this Notice of commencement
1. Description of Property: Parcel Identification No, of- OR 14tCk—
Street Address:
QoInLs,_-�&je 2eohynhlli�r
I & V
I General Description of Improvement New,Sing I e EaMily Residence
S. Omer 1111ormailon or Lessee information If the Lessee contracted for the Improvement:
D.R. HQrtQn, inc
Name
19EQ9 Tpla rnjarlyt- Ts pa
Address I city State
Interest in Property.. -Fee S1Mple.
Name of Fee Simple Titleholder.
(If differantfrom Owner listed above)
Address city State
4. Contractor. D.R. Horton, InQ
Name
12602 Tetecom IDelve Tam, 33537 FL
Address city State
Contractor's Telephone Noz
5. surety: -N/A
Name
Address City State
Amount of Bond! C NIA Telephone No.:
s. Lander: , N/A
Name
Address city state
Lander's,Telephone No.:
7. Persons w&Oln the State of Florida designated by the owner upon whom notion or other documents may be served as provided by
Section Florida Statutes:
David Dude
Name
12602 Telamm Drive Tam 33837 FL
Ad-dress city state
Telephone Number of Designated Person: 813-741D-9720
a. In addition to himself,iha owner designates NIA Of
to receive at copy of the Lierjor'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 Wit be one year from the date of recording unless a different date Is specified):
WARNING TO OWNER, ANY PAYMENTS MADE 13Y THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER71% PART J, 9eqrION7i3A3, FLORIDA STATUTES, AND CAN
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE
RECORDED AND P0872D 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 Rr--cc)Rr)Nr.YOUR NOTICE OF COMMENCEMENT.
Under penalty of perjury,I declare that I have read the foregoingcommencement and that the facts stated therein are true to the best
of my knoWedge and belief.
STATE OF FLOR113A
COUNTY OF PASCOSig re of Owner ar Lessee,s, or Owner's or Lessee's Authorized
Officer/Direr-toriPartner/Manager
Aggsistant S9Qt8t9.ry/Q.R, Horton-, inn
Signatory's Title/Office `'
The foregoing Imtrurnentwas acknowledged before me this day of AC6CC,20 by
Assistant oretary (type of aukhorhy,e.g.,officer,:trustee, mayIn fact)for
DR. Horton, In —(namecrfpa mbwalf f am t executed).
rty ;=
Personalty Know 1A OR Produced Identification-0 Notary Signature "em
Type of Identification Produced Name(Print)
C;V% NQUIry Public state of Korlda
A . Michelle Mayes
pll My commizalon GG 067321
0-0, Bxpiras=1/2020
wpdata/bosinabrecommencement_pOOM048
INVOICE1111
FOR OF
BILLING CONTACT
DAVID GUDE
D R HORTON INC
12602 TELECOM DR
TAMPA, FL 33637
i
INVOICE NUMBER INVOICE DATE INVOICE DUE DATE INVOICE STATUS INVOICE DESCRIPTION
INV-00001838 11/05/2020 11/05/2020 Due NONE
REFERENCE NUMBER FEE NAME TOTAL
BNR-000917-2020 3/4 Water Meter Fee(Calc) $473.78
Address Fee $30.00
Building Permit Fee $550.00
Building Plan Review Fee $275.00
Driveway Fee $45.00
Electrical Permit Fee $74.00
Electrical Plan Review Fee $37.00
Irrigation 3/4 Meter(Calc) $473.78
Mechanical Permit Fee $64.00
Mechanical Plan Review Fee $32.00
Park Impact Fee-Single Family/Townhome $769.56
Plumbing Permit Fee $76.00
Plumbing Plan Review Fee $38.00
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
8027 Broad Pointe Dr Zephyrhills, FL 33542 SUB TOTAL $18,361.75
REMITTANCE INFORMATION TOTAL $18,361.75
City of Zephyrhills
5335 8th Street
Zephyrhills, FL 33542
November 05,2020 5335 8th Street,Zephyrhills,FL 33642 Page 1 of 1
}
— ---' Uityof Z8phVrhi\\S Permit Application Fa»8 3-78o-0o21
Building Department
Date Received
Phone Contact for Permitting
Owner's Name nc- Owner Phone Number
�,Tf_\CQbM 3?—owner Phone Number
Owner's Address _3J
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS
auBDPvm|ON
(OBfAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED ' mowoomsrn ADD/ALT �--� SIGN F--1 �—� DEMOLISH
ff
INSTALL |—\ REPAIR
PROPOSED USE �—� aFR F—� COMM F---| OTHER
TYPE OFCONSTRUCTION [-2— BLOCK [—� FRAME F--� STEEL,
DESCRIPTION OF WORK Zuni&_ _nnL_ *3--led Z- Sa4)
BUILDING '
EBU|LD|NG VALUATION OF TOTAL CONSTRUCTION
�—�EL��TRlCAL AMP F--� PROGRESS ENERGY [--1 YV.R.E.C.
�__'
=pLUNO\NG
F--lMECHAN|CAL VALUATION OF MECHANICAL\NSTALLATION
�--l8�8 [�� ROOFING' [�\ � SPECIALTY | | OTHER
����
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA [__]YED NO
BUILDER COMPANY
SIGNATURE neo/srEnso LYL_ N_ 'E=""x"=^ L_Y/N_�
xuumau ucnnav* wa
ELECTRICIAN COMPANY
G|a�A3URE REGISTEREDL�N- 'I p��nw� L�N �
Address &AIS4 SO4rA uoomoe*
PLUMBER COMPANY 105
SIGNATURE mss/aTsneo LYJ_N_ FsEoonxEN L11 NL_J
'
Address License#
n8Ec8Am\oAL noMPmvv
SIGNATURE neG/arsREo ` L_V LNL_I psEounRExv L_Y N__|
Address License#
OTHER COMPANY
SIGNATURE REGISTERED LY/ N FEEcunnEN LYIN_J
A ddress Linanae# I cc
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 wl Silt Fence installed,
Sanitary Facilities&1dumpabar;Site Work Permit for subdivisions/large projects
COMMERCIAL N�chp4completooetsnfBui\dingPlanopluooUfe8afatyPago;(1)outofEnergy F6-ms.)
R }4P ermit fvrn�mo construc
tion.
Minimum ten(1O)working days after submittal date. Required onsde.Construction Plans,Gho P\onov/Silt Fence installed,
Sanitary Facilities&I dumpster.Site Work Permit for all new projects.All commercial requirements must meet compliance
SIGN PERMIT Attach )sets of Engineered P\�na.
^^=PRDPEFTY SURVEY required for all NEW construction. -
Fill out application completely. .
Owner&Contractor sign back ofapp|inotion,nntorizmd
If over$z5oo.a Notice cf Commencement isrequired. (AIC upgrades over$750O)
� Agent(for the contractor)or Power nfAttcvna�(for the owner)Would be someone with nohsrizndletter from owner authorizing same
OVER THE COUNTER PERMITTING (copy nf contract required)
Remofs if shingles Sewers Service Upgrades A/C Foncea(P|ohSumey/Footagn)
Driveways-Not over Counter ifon public madvays..neodsROW '
/ .
NOTICE OF DEED RESTRICTIONS: The undersig ed 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. i
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 violat on
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for he
intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing.Section at 727-8 7-
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 1MPACT!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, as1may 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 IFlood 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 I 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 1 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 1N YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S. 1121.-� .�1��,
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to(or aff�foYore me this Subscribed and sworn to(or affirmed)before me this
b -D oU nR I 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
I
Commission No. Commission No.
`Jell �)0\G.r•i l N
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
�aY nv� Notary Public State of Florida ,
Sarah Katharine Pekarilk
:f' h (Ay Commission GG 023SOfi k
f *?� drtia Lxplro�08/22/2020
813-780-0020 City Of Zephyrhills Permit Application Fax s13-7s0-0I
Building Department
£ Date koc8)ved Phone Contact for Permitting
.. .,.4 P , .. .. .. ... ...
z Owner's.Name Owner Phone Number
t F; Owner's Address Owner Phone Number
Owner Phone Number
t
JOB ADDRESS' ..LOT# I�
SUBDIVISION 1866+,4•-• Cad- � ��L� PARCEL iD#
(OBTAINEINFROM,PRGP.ERTY TAx-Ab0nog)
-WORK PROPOSED NEW CONSTW ADD/ALT SIGN [� [� .'DEMOLISH
R
INSTALL 8 REPAIR
PROPOSED USE, Q SFR Q COMM 0 OTHER
TYPE OF CONSTRUCTION Q BLOCK FRAME STEEL [�
DESCRIPTION OF.WORK
BUILDING SIZE �^ SQ-FOOTAGS,= .HEIGHT
.44
i OSUiLDiNG $ VALUATION OF•TOTAL CONSTRUCTION'
1
Q,E4ECTRiCAL $ AMP'SERVICE DUKE ENERGY' 0 W.R.E,C.
QPLUMBiNG I$� ... � . •
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
=GAS ROOFING SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS RL0011"2-QNE'AREA AYES . NO
y..
BUILDER - COMPANY
SIGNATURE '' REGISTERED I Y/ N FEE CURREN
Address License# I
ELECTRICIAN. COMPANY
SIGNATURE REGISTERED' 'Y/•!N ' FEE Ct1RREn • ' •Y/.N
Address , .License
PLUMBER '� COMPANY
SIGNATURE REGISTERED. Y 7-N' FEE'CURREh
Address License.#
MECHANICAL . ;' .COMPANY a.
SIGNATURE` REGISTERED Y/ N FEE CURREN
Address License-#J,*
OTHER gQM.:.PANY
SIGNATURE R1 QC d,TEREDFEE,GURREh• •. Y`i,N:..
-Address
License#
RESIDENTIAL Attach-2 Plot'PI31 2. sets•of° ul di Paris;, t 4 '
{ ) ;.{ a, i fig:�1 i)set of.Eraecgyr arms;'R40A '`Pem it for pew,construction,,, +
==Milzitnum.teri-{1:t?)-Working.'da}+s affek submfffai?date?'Required onsite;bdns�r'§ctiori Plans,Siorrai>iva(er Plans=in+%Slit Fence installed,
Sanitary:Fapilities 8,lydumpsterf Sife Wdrk.Permit�fbr�subdivi'signs/large•prdjects'
COMMERCIAL Attach(2).complete,sets-of,;Building•Plans;pius'a=Life,•�afety.•,Page;(1:)'.set'of Energy-.Forms.R O=W Permit fer-new construction.
Minimum ten(10);Wgrkingacay�a#pr sybui[ttal•date..Requkee,dppnsite;Construction.Plansj,Stormwater,Pians-*•w/Silt'Fence••instailed,
Sanitary Fadilltles&1 durdpsfer.Stte'Work Periniffor Wf'new projects.All commercial.requirements must meet compliance
SIGN PERMIT Attach(9),set$.gf Engiaeered;'Plans:
****PROPERTY 5U'FkVEY'required for all'NEW construction.
----------------------------------
Directions:
Fill out application completely.
Owner:,&:Contactor slgn,back af,.alppiicatioo,notarized
'If over$25dd,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�RERMITTING • (copy;of,contract,required) .
.,
Reroofs If stiingles 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•accorda,ce 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 Pascoli 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•subh fees, as may due, will.be.ideritified 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 riot involve a.certificate of occupancy or
final power release, the fees must be paid prior to permit issuance. -Furthermore,'.if Pasoo County Water/Sewer Impact
fees are due,they-must be paid prior to.pprr'nitissuance in accordancewith applicabl'e•Pasco County ordinances.
CONSTRUCTION.LIEN LAW(Chapter 71.3.,-Floridl Statutes; as amended.): Ifvaluation 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.applicant is some
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`AFFID"A'VIT: 1 certify�hat.all the.information in this,application.is accurate and that all-work
will be done in compliance with all applicable laws regulating•construction;zoning-and1and development.. Application is
hereby made to -obtain a permit to,do work•-arid installation 'as indicated: I certify that no work or.installation has
commenced prior to issuance of a.permit and that all or 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: o ern nt 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
1-ands,WaterMlastewater Treatment.
Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areasti Altering
Watercourses.
Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
Department,of..Health &Aeha'bilitative. Services/Environmental Health Unit=Wells, Wastewater Treatment,
Septic Tanksti
US.Environmental,Protection-,Agency-Asbestos.abatement.
Federal Aviation Authoelty-Runways. I'
I understand•thafthe following restrictions.apply•to•the-use of fill:
Use of fill is not allowed in Flood Zone"IV"unloss-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.;in Flood Zone "A" in connectiowi 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-applioation. 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 Hof 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 JMPROVEMENTS TO'YOU R•PROPERTY.. IF'YO .114T.PEND TO'O TAIN FINANCING, CONSULT
WITH-•YOUR LEND.ER.OR AN ATTORNEY'BEFOkE RECO:RDIN;'.G.YOUR,.NO'ricr=.OF-COM.MENCEM.ENT.
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
I
Commission No. Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
PLOT PLAN
DESCRIPTICN:(AS FURNISHED)
LOT 5, BLOCK 15, ZEPHYR LAKES SUBDIVISION PHASE 2D
AS RECORDED IN PLAT BOOK 82, PAGE(S) 62-64,' OF THE PUBLIC RECORDS OF PASCO COUNTY, FLORIDA.
ON LOT CALCULATIONS
LOT = 5,927 SQ. Fr.
LIVING AREA = 1,402 SO. FT.
GARAGE = 424 SQ. FT.
ENTRY = 16 SQ. Fr.
LANAI = 0 SO. FT.
PATIO = 80 SO,
FT.
DRIVEWAY — 409 so* Fr.
A/C PAD = 12 so. Fr.
WALKWAY — 27 SO. FT.
IMPERVIOUS = 40%
= 2370 SQ. FT.
SOD — 3,557 SQ. FT.
OFF LOT CALCULATIONS
RIGHT OF WAY = 587 SO. FT.
DRIVE APRON = 133 SO. Fr. z
PUBLIC S/W = 245 SQ. FT. :�A?0,
= 209 SO. FT.SOD 1" 30'
GRAPHIL§E&E
TOTALS ;4",v
AREA 6 15 30
= 542 SQ. FT.
CIA-
= 6,514 SO. FT.
DRIVEWAY
SIDEWALK = 272 SO. Fr. IP
c,
SOD = 3.766 SQ. FT. 4,*
0.,
7 7
10,
Cb 0
40;p.
w
or
ct)
ICV %,V
AR.J.0,
0' 4071
&4 6
oc�
40p
PREPARED FOR: A Curve Table
I
Curve III Length Radlum Delta Chord Bearing Chord
13-11-111011W ci 49.18' 11200.W r&W SS379`3rE 49.18'
,C
Iq -24011� 144�" C2 53.90- [1315.00- 2*20'5,V N8329'38*W 53.89'
a.1 Wo !N r4
0*- .4 niRRV*, 03 30&44!J-1175.OD' 14ZV38' SS975`38*E 3"58'
BUILDING SETBACKS &6 !4 0* C4 55.12- 11175.00- 2-41-17" S83*19'25E 55.12'
FRONT' 20:
GARAGE 25• 250.32'T1175.00' 1212'21' 57W46'14"E 249."
REAR: 15'
SIDE: 5'
SIDE STREET: 15'
LEGEND:
NOTES: P POINT OF INTERSECTION
1. PROPOSED ELEVATIONS SHOWN HEREON ARE BUILDING SETBACK LINE PC POINT OF CURVATURE
BASED ON THE APPROVED ENGINEERING PLANS CENTERLINE PT POINT OF TANGENCY
PREPARED BY HAMILTON ENGINEERING & RP RADIUS POINT
SURVEYING INC.
RIGHT OF WAY LINE PRC POINT OF REVERSE CURVATURE
P PM
2. ELEVATIONS ARE BASED ON NAVD 1988 PROPOSED ELEVATION TYPCP TYPERICALANENT CONTROL POINT
DATUM. CS CONCRETE SLAB
PROPOSED DRAINAGE FLOW P) PER PLAT
THIS PLOT PLAN IS INTENDED FOR PERMITTING'PURPOSES CONCRETE ic) CALCULATED
ONLY. THIS IS NOT INTENDED FOR THE CONSTRUCTION OF PS PLAT BOOK
AIR CONDITIONER PGs
THE PROPOSED STRUCTURE. THE CONTRACTOR AND/OR A/C SIDEWALK SO. PAGES
Fr. SQUARE FEET
OWNER ARE REQUIRED TO VERIFY ALL SETBACKS. BUILDING S/W F.EM.A. FEDERAL EMERGENCY MANAGEMENT AGENCY
DIMENSIONS. AND LAYOUT SHOWN HEREON PRIOR TO ANY F.I.R.M. FLOOD INSURANCE RATE MAP
CONSTRUCTION. NAVD NORTH AMERICAN VERTICAL DATUM
D&UE DRAINAGE&UTILITY EASEMENT
THIS IS NOT A SURVEY D&AE DRAINAGE&ACCESS EASEMENT
DE DRAINAGE EASEMENT(PRIVATE)
THIS IS A PLOT PLAN ONLY UE UTILITY EASEMENT(PUBLIC)
FLOOD NOTE: SURVEYOR NOTES:
I HAVE EXAMINED THE F.I.R.M.MAP NO.11210100293F,DATED 1. THE SURVEYOR HAS NOT ABSTRACTED THE
09/26/2014,AND FOUND THE SUBJECT PROPERTY APPEARS 70 LIE IN LAND SHOWN HEREON FOR EASEMENTS. RIGHT
ZONE-AV, DEN070 AREAS DETERMINED TO BE SPECIAL FLOOD HAZARD OF WAY, RESTRICTIONS OF RECORD WHICH
AREAS SUBJECT TO INUNDATION BY THE 1X ANNUAL CHANCE FLOOD' MAY AFFECT THE TITLE OR USE OF THE LAND.
EVENT,BASE FLOW ELEVATIONS DETERMINED TO BE 85.1.THE SURVEYOR
MAKES NO GUARANTEES AS TO THE ABOVE INFORMATION-PLEASE 2. NO UNDERGROUND IMPROVEMENTS HAVE BEEN
CONTACT THE LOCAL F.E.M.A. AGENT FOR VERIFICATION; LOCATED EXCEPT AS SHOWN.
BEARING BASIS:
BEARINGS SHOWN HEREON ARE BASED ON THE SOUTHEASTERLY LINE 3. NOT VALID WITHOUT THE AUTHENTICELECTRONIC SIGNATURE AND THE AUTHENTIC
OF LOT S.BLOCK 15 BEING S2519`57W,PER PLAT. ELECTRONIC SEAL OF A FLORIDA LICENSED
REVISED: AMERICAN SURVEYING SURVEYOR AND MAPPER.
(FIELD DATE:) MAPPING, INC. : "
scALE. ,
1"— 30 FEET DN:,-US,shFlorfda,[=Odmd.,
—AMERICAN SURVEYING 8,MAPPING,
APPROVED BY: • INCm--Jaw%WBoImn,
• FOR
2DD331 LOT 5.BLOCKoaaar THE
JOB NO, 15 3191 Maguire Blvd,Suite 200.Orlando,FL 32803 FIRM
DSB 407.426-7979 JAMES W. BOLEMAN PSM# 6485 DATE
I DRAWN BY. I ameTicansurveyingandma i
PLOT PLAN 08120/2M JG pp qXom
F—_._.
PASCO COUNTY, FLORIDA
�� .
Permit No. ,
Date Permitted a-�
Builder Name/Owner Name UfN-4� Control#' "
County Parcel No. 3 5 2-5 2/ i9 tS_1 l>1S&)QVS0 SubDIv:
Address/Location 50?L2 YV
Classification/Type of USg
TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit, 5
Exempt ❑fifes [] No Haw Determined
Impact Fee Amount $.3t(P Zone No. TAZ:
K
. SCHOOL IMPACT FEE
€ Account (056) 'Single-Famliy Detached House Amount $
(057) Moblle Horne ---r—
i (058) Other Residential
23) Collection Fee
` Exempt d Yes. Q No How Determined
PARKS AND RECREATION FEE-
Land Account Land Credit Land Total
Recreation Account Recreation Credit Recreation Total
Zone � TOTAL AMOUNT $ '-2 61,
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—j!!�r—.
RESOURCEVEE ERU '
TOTAL AMOUNT
Prepared By t Checked By
NO CERTIFICATE OF..00CUPANCY WILL_13E ISSUEI?OR,FINAL;INSPECTION
PERFORMED UNTIL T1'E:1OTAL AMOQNTS;LISTED HAVE
BEEN:PAID•ANG
RECEIPTED FOR BY A CENTRAL' RMitnNe OFFICE.OF PASCO COUNTV
Ackaydedgement betow does not Imply acceptance of ooncurrence,but simply receipt of a copy of this farm.placing
the biAding pamiit oww on'notice of this-asses and tho'cooditlons of payment for Same.
DATE RECEIVED BY
RECEIPT NO. DATE BY
D
Q
� w
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.
7: All property markers shall be uncovered,and marked at time of first inspection.
8: All A:D.A' requirements shall-be.met:
R. No electric,.plumbing;mechanical,or framing shall be covered without an inspection and .
approval first. .
10.. All Garages shall comply with section R302.6 of the F.B.C. (Fire Separation):
11. Appliances,shall not be installed in a location:where subject to mechanical damage unless
protected by approved barriers. M303;4 of the F.B.0
12. Water heaters shall.comply with section P607.3 of the E.B.C.
13. Foundation supports for AX units shall b:e raised at least 3" above finished grade. M1308:1 .. "
14:.Returri air in all bedrooms. F.B:C. M1620:4
1.5. Smoke detectors.are to be installed in accordance with R3.13:1 of the F.B.C.
16:All glazing requirements are to be iri accordance with R308.4 of the F.B.0
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 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 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-. R4015.3Hot 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 31;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:
Pipi
ng.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 beffore C.O:
26.A copy of the enemy:cacls shall be:with permit at all times
27. Copt/of rnal.insulation reoort shall-be provided with permit before final
28. No ence,-pool or'screen enclosure :is issued with.thispermi .
F.F.E.-Finished Floor Elevation
RB.0 Florida Building Code 6 b Edition
R.O.W.--Right of Way
A.D.A.=Americans with Disabilities Act N.E.C.-National Electric.Code(2016)