HomeMy WebLinkAbout20-919 ' e
City of Zephyrhills PERMIT NUMBER
s'' tiz 5335 Eighth Street
Zephyrhills, FL 33542 BNR-000919-2020
Phone: (813)780-0020 Issue Date: 11/05/2020
}� Fax: (813)780-0021
Permit Type: Building New (Residential)
Property Numbers $tr�eet Address
35 25 21 0150 01500 0080 7991 Broad Pointe Dr
Permit.lnformaton. Contractor Information '
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:$105,000.00
TAMPA,FL 33637 Electrical Valuation:$7,000.00
Phone: (813)549-1968 Mechanical Valuation:$7,500.00
Plumbing Valuation:$5,000.00 /J
Total Valuation:$124,500.00 b/ �I
Total Fees:$18,374.50
Amount Paid:$18,374.50 �
Date Paid:11/5/2020 1:45:28PM
P oJect Description;
CONSTRUCT SINGLE FAMILY 2,362 SO FT
Application Fees
Park Impact Fee-Single Family/Townhome $769.56 Sewer Connection Residential Fee $2,090.00
Plumbing Plan Review Fee $32.50 Transportation Impact Fee $3,595.68
Electrical Permit Fee $75.00 3/4 Water Meter Fee(Galt) $473.78
Building Permit Fee $555.00 Plumbing Permit Fee $65.00
Transportation Impact Fee-City $36.32 SIF 1 percent Fee $83.28
Driveway Fee $45.00 Mechanical Plan Review Fee $38.75
Public Safety Impact Fee-Admin $26.35 Water Connection Residential Fee $1,010.00
Electrical Plan Review Fee $37.50 School Impact Fee $8,328.00
Mechanical Permit Fee $77.50 Address Fee $30.00
Irrigation 3/4 Meter(Calc) $473.78 Public Safety Impact Fee-Police $254.00
Building Plan Review Fee $277.50
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 properly. 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.
D a1Q9L4y*_r-
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#2020176892ORBK10200PG2985 page, of,
10121/2020 10:58 AM Rept.2217621 Rec:10.00 DS:0.00 IT:0.00
Nikki Alvarez-Sowles,Esq.,Pasco County Clerk&Comptroller
Permit No. Parcel ID No S,5715 ?4 0(c;Z>o Q- j
NOTICE OF COUMF-NCSMF.NT
state of. Florida County of_ Paso
THE UNDERSIGNED hereby gives notice that improvement will be made to certain real property,and In accordance with Chapter 713,Florida Statutes,
the following Information is provided in this Notice of Commencement:
1. Description of Property- Parcel Identification No.
-+99 1 '3ro
-Street Address:
2, General Description of Improvement_N m_Single FaMfly Residence
S. Owner Information or Lessee information if the Lessee contracted for the improvement-
-DR. HaTton, Ino
I Name
19RD'9 'rmlamrn Mrbytz_ Tqmpiq. 33637
Address city State
Interest in Property: Fee Simple
Name of Fee Simple Titleholder:
(If dtfferentfrom Owner Ilste4 above)
Address city state
4. contractor D.R. Horton, 10c
12 _ Telecom Name
-elecpm Delve Tamp;; Pi-
Address city state
Contractors Telephone No.:
S. Surety, NIA
Name
Address city state
Amount of Bond: NIA Telephone No.:
s. Lendar., , N/A
Name
Address city State
Lender's Telephone No..
7. Per-sons within the State of Florida designated by the owner upon whom notices or other documents may be served as provided by
Section 713.13(1)(a)(7),Florida Statutes:
David-GLide
Name
1202 7LelecQm Drive Tampa 33637 FL
Address city State
Telephone Number of Designated Person: 813740-E720
a. In addition to himself,ihe owner designates NIA of
receive a copy of the Lienors Notice as provided in Becton 713.13(1)(b),Florida Statutes.
Telephone Number of Person or Entity Designated by Owner.
9. F-viration date of Notice of Commencement(the explration date may not be before the completion of construction and final payment to the
contractor,butwill be one year from-the date of recording unless a different date Is specified),
WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE N0710E OF COMMENCEMENT
ARE CONSIDERED IMPROPER PAYMENTS UNDER C14APTER713 PART i, 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 70 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
commencement and that the facts stated therein are true to the best
of my knowledge and belief.
STATE OF FLORIDA
COUNTY OF PASCO
Lessee,SIg afore o Owner or or Owner's or Lessee's Authoritzed
Of icerlDirectorlPartner/Manager
AssiBignt Saorstarv/D.R. Viodo, Ino
Signatory's Title/Office
The foregoing Instrument was acknowledged before me this liLl-day Of ic ;2o 7.0 by
as Asalstant Bagretar.� I � (type of authority,e.g.,office0rustea.attorney Iniad)for
D.R. Hgrtgn, ino (name of party.inbe alf.f am ins mntwasexecuted).
Personally Known 1A Qa Produced Identification 0 Notary Signature E
Type of Identification Produced Name{Print)
row n Notary Public State of Florida
_j Michelle Moyes
xf My Commlasion GG 057321
0p Expires 12MA12020
wpdatsibcs/ncUcecommp-ncemenkSc053048
' --' uity OfZaohYyh\\\g Permit Application Fax-8 3-780-002
Building Department
`
Date Received hone Contact for Permitting
. . . . . . . I 7117_1�L_�l I 1111111111111-1-A all III & I a I I
Owner's Name )nc- Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS LOT# 9/LAS'
SUBDIVISION
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH
INSTALL R REPAIR
PROPOSED USE SFR COMM OTHER
TYPE OF CONSTRUCTION BLOCK FRAME STEEL
BUILDING SIZE SQ FOOTAGE HEIGHT
�--lBV|����
�—� v�LUATONOFTOT�LonwsT�usnom
=ELECTRCA' ' AMP SERVICE F---\ PROGRE8GENERGY [--\ W,R'E��
=PLUMB\NG
�—l�E�A—��
OF � �
�__^ VALUATION — —_— �
°
=GAS r�� ROOFING �—l � SPECIALTY OTHER
OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =Yss NO
8u}uzER COMPANY
SIGNATURE nEa/orsneo L�L�_�_� rEEou«^E^
Address License#
ELECTRICIAN CoMp/wN,
SIGNATURE nea)orsnsu L_lI_N_ Fescunnex L_l/l��
Address 32Rk. i License*
PLUMBER COMPANY
SIGNATURE nso/orsnEo LY/_N } peEnunmsN L71NL�
.
Address Uc�ue#
MECHANICAL COMPANYGim0AJU8E -0 Reo/STEeso ` L Y/*N_ I Fssoupne^» L_Y1N_|
Address License#
I CA US 33
OTHER coMpAmr
SIGNATURE Y_LN_J pssounRs^ L_2INL1
Address License#
cc-
RESIDENTIAL Attach(2)Plot Plano|(2)sets of Building Plans;(1)set of Energy Forms;R-Q-W Permit for new construction,
Minimum ten(10 working days after submittal date. Required onaite.Construction Plans,Stunnvetnr Plans wV Silt Fence Installed,
Sanitary Faci\itisn&1dumps\or;Site VVorkPermit for subdivisions/large po �4e� } `
COMMERCIAL A�aohU400mp\�oa�sofB�\d\ng Plans plus oU�Sa��Page;(1)s,�ofEne�yFo��_o,R'O4N Permit for new construction.
Minimum ten(18)working days after submittal date. Required onohe`Construction Plans,8tannwmter Plans vl q8t Fence installed,
OandoD/Faci|itias&1dumpater.GihsYVorkPnnnitfbroUna*pnojedo.AJ\oommnnds|naquirbmantsmuntmeotcnmpUanco
SIGN PERMIT Attach(2)sets of Engineered P|anx.
°~^°PROPERTY SURVEY required for all NEW construction. '
Fill out appUcatinncompletely.
Ownor&Contractor sign back nf application,notarized
If over$25no,*Notice of Commencement isrequired. (AC upgrades over$75VO)
�
Agent(foxUh000nbaotor)orpnvercf/ttornm�(foxthonnnohwou|dbenomeonowithnohahzad|attorfrnmownorauthndz|ngaeme
OVER THE COUNTER PERMITTING (copy uf contract required)
Remofs if shingles Sewers Service Upgrades A/C Fenneo(P|oVSumey/Footage)
'
Driveways-Not over Counter ifon public madvayn..nwedoROW '
!
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 violat on
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 727-8 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 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 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 H I 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 maybe cited for violating
the conditions of the building permit)issued under the attached permit application, for lots less than one (1)
acre which are elevated by fill, an engineered drainage plan is required.
If I am the AGENT FOR THE OWNER, I promise)in good faith to inform the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I, understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A
permit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel, alter, or
set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid
unless the work authorized by such permit is commenced within-six months of permit issuance, or if work authorized by
the permit is suspended or abandoned for a period of six(6) months after the time the work is commenced. An extension
may be requested, in writing, from the Building Official for a period not to'exceed ninety (90) days and will demonstrate
justifiable cause for the extension. If work ceases for ninety(90) consecutive days, the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF'COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
FLORIDA JURAT(F.S. 117.03
OWNER OR AGENT ��� CONTRACTOR
Subscribed and sworn to(or affir ed)b fore me this Subscribed and sworn to(or affirmed)before me this
bye �Q�1C� 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.
I
Notary Public Notary Public
Commission No. Commission No.
� n cmxclx Leh
Name of Notary typed,printed or stamped Name of Notary typed;printed or stamped
�aY�v8 NotarY Public State of Flcrd
Sarah Katharine Pekarik
023396
N c�z,r.. a my Ccmmissian GG ;
roFf � Explree.08/2212020
D
Q
1 •
Single Family. Dwelling
Plan Review Comments
-1. RRE; 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 bo.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):.
11. Appliances shall not.be installed in a location where subject to mechanical damage unless
protected by approved barriers. M303:4 of the FB.0
12. Water heaters shall comply with section P607.3.of the RIIC:
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 bf 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 RM I of the RB.C:.
18.""Green:gypsum,board" shall not be used as a backer in showers or tubs.R702.4:2 RB_.C.
10. Combination-type AFCI.breakers are required at all locations requiring an AFCI.type breaker.
20. Carbon monoxide alarms will be required in new construction that uses fossil-burning heating.
or appliances or an attached garage.' They shall be installed in accordance-with the F.B.C.
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. R403.5.3Hotwater.pipe insulation
Insulation-for hot water pipe with a minimum thermal resistance (R-value) of R-3 shall.be applied to the
following:- .
Piping:1.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 beater 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. Bllower.door test shall be provided before C.O..
.2.6.A copy of the energy cacls'shall be'.with permit at all times
27.. Copt/of final-insulation report shall be provided with permit before fnaL
28.No fence,pool onscreen enclosure :is issued with:this permit
F.F.E.-Finished Floor Elevation
RB.C-:Florida Building Code 6a'Edition'
R.O.W.:-Right of Way
A.D:A.-Americans with Disabilities Act N.E.C.-National Electric Code(2016)
813-780-0020 City Of Zephyrhilis Permit Application Fax 813-Tao-OI
Building Department
Date Received Phone Contact for Permittin
• •. - r.G.. . .. , .. .. ... ... .
Owner's.Name Owner Phone Number
•Owner's Address Owner Phone Number
Owner Phone Number. —�
JOB ADDRESS'
..LOT#
SUBDIviStON k��o� k. [— par ?PRb"-1, � PARCEL ID#
V (OBTAINED FROM.P.ROP.ERtY TAX 140TICIE)•:
-WORK PROPOSED Nf W=CON§TR ADD/ALT �� SIGN [� [� 'DEMOLISH'
R INSTALL 8 REPAIR
PROPOSED USE. SFR Q COMM OTHER A
TYPE OF CONSTRUCTION Q BLOCK 0 FRAME STEEL
DES.CRIPT.ION OF.WORK
.BUILDING SIZE SQ-FOOTAGE-,= HEIGHT
j =BUILDING VALUATION OF'TOTAL CONSTRUCTION'
I
=,EL'ECTRICAL •s AMP'SERVICE Q DUKE ENERGY' Q W.R.E.C.
]PLUMBING $`
=MECHANICAL $— VALUATION OF MECHANICAL INSTALLATION
OCAS ROOFING [�] SPEQ,AL � OTHER
FINISHED FLOOR ELEVATIONS '•.FLO..W.*ZONE'AREA =YES . NO
BUILDER COMPANY
SIGNATURE REGISTERED I Y/ N I FEE CURREK •Y•/'N
Address License# !
ELECTRICIAN" COMPANY
SIGNATURE -REGISTERED' Y/:N ' FEE CORREf
Address . License#-F {
PLUMBERS r^' COMPANY
SIGNATURE -- ,REGISTERED. Y7:N' FEE"CURREA
Address License.# r' A
MECHANICAL .r;" COMPANY s.
SIGNATURE' REGISTERED Y/ N FEE CURREN
Address License, •.F
OTHER COMPANY
SIGNATURE REQSTERED 'Y/.•Rt,,,,: ,•• FEE,CURREN•
-Address License#
RESIDENTIAL Attach-(2}=PlofPl ra ;.{2j'setSof'f ul�diitg:Ptans;.�1j,se�tofEne[g}� arms;'RHO;V�I!?egltfor�new,construction,,
�Mlh*Imttim�tdn:(40)-- rkirig:`days dftii su`brt'(fftat°dat .'Requifetl onsite;`Gonstri'�G'i Plans,Siarm,i'dldFPlans.r 1 Siit Fence insiabd,
Sanitary:Faoilities&,i1Aumpster Site Wdik..Permitfisr'sUbdiviWons/ierge•prdfects'
COMMERCIAL Attach(2)slomplete,sets of,Bujidi(tg glans pills a�Llfei;$afety.Page;(1:)'.se#'af Energy.Fotms.R-OrW Permit fornew cohstruction.
Minimum ten(10);workingae(ay rafft r:suh i(tiai,date..R,.e p rgd pnsite;Construction.Rlanss;Stormwater•Plans•wl Slit'Fence••installed,
Sanitary Fadiiitres&1 dUtdl slier.Site Work'Permit for a0 new projects.All commercial.requirements must meet compliance
SIGN PERMIT Attach(9)•sets.gf) nglneered;l?lens:
*'-*PROPERTY SLTAW;•'regyired for ail'NEW construction.
Directions:
Fill out application completely.
Owner.&,:Contrector sign.back af.,�pp(ication,notarized
'If over$2500,a Notice af:Commertcement is required. (A/C upgrades over$7500)
" Agent(for the contractor.)or.Power.of.Attorney,#for the owner).would be someone;with notanzed•tetter from-owner authorizing same
OVER THE.COUNTER'MXRMITTING • (Cgpy;'of'contract•required)
Reroofs If shingles Sewers Service Upgrades-AIC Fences(Plot/Survey/Footage)
Driveways-Not over Counter If on public roadways..needs ROW
n
NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit-may be subject to "deed" restrictions"
which may be more restrictive than County regulatiorj's. The undersigned•assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND, CONTRACTOR RESPONSIBtLITIES:I' If the owner has hired a contractor or
contractors to undertake work, they may be required Ito 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 Divis.ibn—Licensing Section at 727-847-
8009. Furthermore, if the owner has. hired a contractor-or contractors, he-its advised to. have the contractor(s) sign
portions of the "contractor Block" of this.application for which they will be responsible. If you, as the.owner sign as the
contractor, that may be an indication that he is not properly licensed and is not entitled-to-permitting-privileges in Pasco
County.
TRANSPORTATION IMPACTIUTILITIES IMPACT•AND:RESOURCE RECOVERY FEES: The undersigned understands
that Transportation Impact Fees and Recourse Recovery Fees.may apply to the.construction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
90-07, as amended. The undersigned also..understand's�,-that•,such 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. -Furthermore,'-If Pasco County Water/Sewer Impact
fees are due,they-must be paid prior to-permit issuance in accordance with ap III icabl'e•Pasco County.ordinances.
CONSTRUCTIOWLIEN LAIN(Chapter 7.1.3,-Florida Statutes; as amended.):; If valuation of work is $2,.5.00.00 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•1 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: I.certify that'all the,in,formation in t his,application.is accurate and that all-work
will be done in compliance with all applicable laws regulating.construction;'zonin'g and land development.. Application is
hereby made to obtain a permit to'd'o work-arid installation 'as indicated: ; I certify that no work or. installation has
commenced prior to issuance of a.permit and that, all work will be.performed to meet standards of all laws regulating
construction, County and 'City-codes', zoning-regulations, .and,land development regulations in the jurisdiction. I also
certify. that I understand that the regulations of other:government agencies may apply to the intended work, and that it is
my responsibility to identify what actions I must.take Ito•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, Do I ks, Navigable Waterways.
- Department of .Health &'.Reha'bilitative Services/Environmental Health Unit=Wells, Wastewater Treatment,
Septic Tanks.
- US.Environmental�ProtectiornAgency-Asbestos.abatement.
Federal Aviation Authority-
Runways.
I understand•that*the following restrictions.applyto•the•use of-fill:
Use of fill is not allowed in Flood Zone"U"uniess,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 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 areavithinI the stem wall.
If fill•material is to be used in any area, I certify that use.of i 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 plarils 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 separat6 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 tol 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.
I
WARNJNG TO.OWNER: YOUR FAILURE TO RECORD.A NOTICE OF COMMENCEMENT.MAY RESULT'IN YOUR
PAYING TWICE FORJMPROVEMENTS TO'YOUR•PROPERTY.. IF'YWINTM TO'OBTAIN FINANCING, CONSULT
WITH-YOUI2.LEND.ER.OR AN ATTORNEY'BEFOkE KSCCf.P.DIN:G YOUR'.NOTI.CE.OF-COM.MaigcEMENT.
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
I#ASCO COUNTY, FLORIDA
1 ,d
Permlt No. �r
Date Permitted VZdo
Builder Name/Owner Name kD. lin Control 0'
County Parcel No. 3S 2-6 2-1 11 In 0(3b0 006a SubDIv: -26 �#"i
Address/Location rvic A k D1t,
Ciassification/Type of Use r t
TRANSPORTATION IMPACT FEE . Rate: Sq.Ft Unit: 2l 36
Exempt ❑Yes []No How Determined
r
Impact Fee Amount . 3, �. Zone No. TAZ,
SCHOOL.IMPACT FEE /
Account (056) Single-Family Detached House Amount $ {t r �5
i (057) ,Mobile:home
t (056) Other Residential
123) Collection Fee
Exempt [ Yes. Q No How Determined
PARKS"AND RECREATION FEE
Land Account Land Credit hand Total
Recreation Account Recreation Credit Recreation Total.
Zone TOTAL AMOUNT $ ,7tMD9i ,.
Exempt [�Yes []No How Determined
LIBRAR)(FEE
Land Account Land-Credit Land Total
Facility Account Facility Credit Facility Total
Exempt ❑Yes n No How Determined Total Amount i 'r
RESOURCE FEE . ERU
TOTAL AMOUNT
Prepared By. Checked By
NO CERTIFICATE_OF OCCUPANCY WILL-BE ISSUED.,,OR FINAL 14SPECTION
PERFORMEi2 ClNTIR TFIE,"?i07AL AMCt NTS LISTED kAVE
BEEN,PAID.AND
RECEIPTED FOR BY A CENTRAL PEIt thNG OFFICE-OF PASCO COUNTY
Ackrfowiedgement below does rid-imply acceptance of concurrence,butsinply receipt of a 000V of this form,placing
the bullding psimit owner.in notice of We essessmerit and the conditions of paymentfor same:
DATE RECEIVED BY
RECEIPT NO. DATE BY
PLOT PLAN
DESCRIPTION:(AS FURNISHED)
LOT 8, 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. FT.
LIVING AREA = 1.828 SQ. FT.
GARAGE = 430 SQ' FT.
ENTRY = 16 SQ. FT.
LANAI = 88 SQ. FT.
PATIO = 0• SQ. FT.
DRIVEWAY — 409 SQ. FT.
A/C'PAD = 12 SQ. FT.
WALKWAY — 28 SQ. FT. SpeRQ'4�
IMPERVIOUS = 47X SQ. FT. PRO I�NyROf PR/P0/N��.
14 CS
RIGHT OF WAYOFF LOT �nONS 5876 S0. FT. p44T OK 6 BD'S/Op/wAY
DRIVE APRON = 133 SO. FT. R1�W44�
pA F 37 yAsf
PUBLIC S/W — 245 SO. FT.
SOD = 209 SO. FT. Cf C3 1" = 30'
TOTALS \` I GRC SCE
AREA = 6,514 S0. FT. 0 15 30
DRIVEWAY = 542 SQ. FT. \ ZON£q + /
SIDEWALK = 273 SQ. FT.
SOD = 3.325 SQ. FT. /
/�N PRC
Uz
N �1 \
@`OCT , Ca 4' r40, OrR0.161 A[AFS q.ED
k �S J �3' AlAP
p / 3 ZON£AE
dp
PcIv,4_00'? cof
T
3ger " �q @ROCK Isesi
Op � 'pis ?sr � rr.0• /
^ /-• to;, As
492,
/ ^ Curve Table
pR/V � C? If8g� Curve III Length Radius Delta Chord Bearing Chord
P�LAM PREPARED FOR: �N> RAH NA ECb CI 49.18' 1200.00' 2z0'54• S701r1B•E 49.18'
p�T/q FS e p f A C, ¢ .` C2 53.90' 1315.00' 220'54• S7032'18•E 53.89'
D'Ii'H011N' so ysi
SZc3f"'KGF:= l%t Ok 8p l'A f 3j yAsf C4 199.60, 1175.00' 9'43'59'" S6830'46-E 199.3o
C5 105.64' 1175.00' 599'39- S74'17'35'E 105.8
BUILDING SETBACKS
FRONT: 20'
GARAGE: 25'
REAR: 15'
SIDE: 5'
SIDE STREET: 15'
NOTES: LEGEND:
1. PROPOSED ELEVATIONS SHOWN HEREON ARE —•—•— BUILDING SETBACK LINE PI POINT OF INTERSECTION
BASED ON THE APPROVED ENGINEERING PLANS PC POINT OF CURVATURE
PREPARED BY HAMILTON ENGINEERING & CENTERLINE RP RADIUS POINT�CY
SURVEYING INC. ———— RIGHT OF WAY LINE PRC POINT OF REVERSE CURVATURE
2 ELEVATIONS ARE BASED ON NAVD 198B PROPOSED ELEVATION iPCPP �ICNENT CONTROL POINT
DATUM. CS CONCRETE SLAB
PROPOSED DRAINAGE FLOW (P) PER PLAT
THIS PLOT PLAN IS INTENDED FOR PERMITTING PURPOSES ,::.,: CONCRETE (C) CALCULATED
ONLY. THIS IS NOT INTENDED FOR THE CONSTRUCTION OF PB PLAT BOOK
THE PROPOSED STRUCTURE. THE CONTRACTOR AND/OR A/C AIR CONDITIONER PCs PAGES
OWNER ARE REQUIRED TO VERIFY ALL SETBACKS. BUILDING S/B SIDEWALK SO.FL SQUARE FED
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.1210100293F,DATED 1. THE SURVEYOR HAS NOT ABSTRACTED THE
09/26/2014,AND FOUND THE SUBJECT PROPERTY APPEARS TO LIE IN LAND SHOWN HEREON FOR EASEMENTS, RIGHT
ZONES'x'&'AE.DENOTES AREAS DETERMINED TO BE SPECIAL FLOOD OF WAY, RESTRICTIONS OF RECORD WHICH
HAZARD AREAS SUBJECT TO INUNDATION BY THE 1X ANNUAL CHANCE MAY AFFECT THE TITLE OR USE OF THE LAND.
FLOW EVENT;BASE FLOOD ELEVATIONS DETERMINED TO BE 85.1.THE
SURVEYOR MAKES NO GUARANTEES AS TO THE ABOVE INFORMATION. 2. NO UNDERGROUND IMPROVEMENTS HAVE BEEN
PLEASE CONTACT THE LOCAL F.EM.A.AGENT FOR VERIFICATION. LOCATED EXCEPT AS SHOWN.
BEARING BASIS:
BEARINGS SHOWN HEREON ARE BASED ON THE SOUTHEASTERLY LINE 3. NOT VALID WITHOUT THE AUTHENTIC
OF LOT B.BLOCK 15 BEING S1817'15'W,PER PLAT. ELECTRONIC SIGNATURE AND THE AUTHENTIC
ELECTRONIC SEAL OF A FLORIDA LICENSED
(FIELD DATE:) REVISED: AMERICAN SURVEYING SURVEYOR AND MAPPER.
SCALE: 1•—30 FEET & MAPPING' INC. 4;11,4"!,L� DN:ir-US'rt=b tlaaro�WBdofeman
,—AMERICANSURVEYING&
MAPPING,INC, JamesW
JB
APPROVED BY: / • :1 .L?
200831 L07 BeBLOCK ';'+." emaiboieman@asmcorpomte.mm FOR
NO, 15 3191 Maguire Blvd,Suite 200.Orlando,FL 32803 Daee:xoiD.oa.�aoasxss-aaoo RM
DRAWN er: Dse 407-•i?5 7979 DAMES W. BOLEMAN PSM 6485 DATE
PLOT PLAN oe 20 202o JG americansurve in andma in .com #