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A, City of Zephyrhills 1111111111101ERMIT NUMBER
Frio
5335 Eighth Street
Zephyrhills, FL 33542 BNR-000962-2020
Phone: (813)780-0020
Fax: (813)780-0021 Issue Date: 11N8/2o20
Permit Type: Building New (Residential)
Prope�,,rty Number Street Address
35 25 210150 01500 0090 17979 Broad Pointe Dr
Owner Information P,�ermit Information 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:$107,000.00
TAMPA,FL 33637 Electrical Valuation:$6,800.00
Phone: (813)549-1968 Mechanical Valuation:$7,200.00
Plumbing Valuation:$4,800.00
Total Valuation:$125,800.00 `
Total Fees:$18,384.25 `
Amount Paid:$18,384.25
Date Paid:11/18/2020 1:07:57PM
Project Description
CONSTRUCT SINGLE FAMILY 2,238 SQ FT-ZEPHYR LAKE
Application Fees
SIF 1 percent Fee $83.28 Driveway Fee $45.00
Park Impact Fee-Single Family/Townhome $769.56 Public Safety Impact Fee-Police $254.00
Building Permit Fee $565.00 Address Fee $30.00
Water Connection Residential Fee $1,010.00 Transportation Impact Fee $3,595.68
Irrigation 3/4 Meter(Cale) $473.78 Mechanical Plan Review Fee $38.00
Sewer Connection Residential Fee $2,090.00 Electrical Permit Fee $74.00
Public Safety Impact Fee-Admin $26.35 Plumbing Plan Review Fee $32.00
Electrical Plan Review Fee $37.00 School Impact Fee $8,328.00
Plumbing Permit Fee $64.00 Transportation Impact Fee-City $36.32
Mechanical Permit Fee $76.00 Building Plan Review Fee $282.50
3/4 Water Meter Fee(Cale) $473.78
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
'
-- \;ity ot-/ephyrhi\lsPermit Application Fax-813-780-0021
. Building Department
Date Received
Phone Contact for Permitting
Owner's Name Owner Phon Number
Owner Phone Number
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS
�
SUBDIVISION nD#
(03ThIINIED FROM PROPERTY TAX NOTICE)
WORK PROPOSED wewoommn ADo/ALT F--� SIGN F—� �—� DEMOLISH
Ef INSTALL i_] REPAIR
PROPOSED USE F--1 8FR � F—� COMM �--� OTHER
TYPE DFCONSTRUCTION [—��� BLOCK F-7 FRAME F---| 8TEEL F—�
BUILDING SIZE F_ SQ FOOTAGE HEIGHT
DESCRIPTION OF WORK I (A
=BU(LD|NG VALUATION oF TOTAL CONSTRUCTION '
=ELECTF8CAL AMP SERVICE F--� PROGRESS ENERGY F--1 VV.R.E.C.
| |PLUMB\NG
0-'
=MECHAN|CAL VALUATION OF MECHANICAL INSTALLATION » --
[--lGAS ROOFING �—l � SPECIALTY OTHER
OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY
SIGNATURE nsa/arsnEo ` psEcunREx
Address bZ002 a�eCDM Of— License# Ea c o,;ci,4,2ELECTRICIAN COMPANY
SIGNATURE nsG/mrEnEo ` psIEouRnEN — ��--�----
Addoen
PLUMBER OoMP/UVY
SIGNATURE nEG/onsnso
�
Address Unanse#
MECHANICAL J __i\k R
COMPANY
SIGNATURE nEu/STEnco
Address
OTHER COMPANY
SIGNATURE nsa/ar�aso --
FEE CURREN
A ddress License# I cc
RESIDENTIAL Attach(2)Plot Plans;
Minimum ten vu/working days after submittal date, Required onsite,Construction Plart�Stormwater Plans wl Slit Fence installed,
Sanitary Facilities G1dumpster Site Work Permit for subdivisions/large projects _} _
COMMERCIAL A��oh(2)comp�haeo�ofB�l�ng Plans plus aL�^ (1)set of Energy F��n,R,O-WFnrmIt for new construction.
Minimum ten(1O)working days after submittal date. Required onoihe.Construction Plans,8tormva�r Plans v/Silt Fence inataUod.
Sanitary Facilities c aa&� dumpat� GitnVVorkPanndfora||newpnNeda.A|iuommov�a|mq�h»mantsmumtmeotcomp|ianue
SIGN PERMIT Attach(2)sets of Engineered P|bnu.
°°°°PROPERTY SURVEY required for all NEW construction. '
Fill out application completely,
Owner&Contractor sign back of application,notarized
If over$25uo.a Notice of Commencement/srequired. (AIC upgrades over$75VO)
� Agent(for the contractor)nr Power nfAttorne�(for the owner)would be someone With notarized letter from owner authorizingsame
OVER THE COUNTER PERMITTING (copy of contract required)
Remofs if shingles 8ewes Service Upgrades A/C Fonoan(P|ot/Sumey/Footago)
Driveways-Not over Counter ifun public modvays.00ednROW
'
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NOTICE OF DEED RESTRICTIONS: The d understands that this permit may be subject to "dead" restrictions"
which may be more restrictive'than County ragu) tiona. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR E N
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, boih the owner and contracior may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what 111censing requirements may apply for the
intended work, they are advised to contact the Pasco County Building Insp�ction Division—Licensing,Section at 727-847-
8009. Furthermore, if the owner has hired a 1 ntractor or contractors, he is advised to have thb contractor(s) sign
CIO
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
TRANSPORTATION IMPACT/UTILI I IES IIV[t'AU.r 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 unde'rstands, that such fees, als 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 issOance in accordance with 6pplicable Pasco County ordinances.
CONSTRUCTION LIEN LAW (Chapter ^ Florida Statutes,as amended): valuation $2,500.00 or more,
certify t |, the applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guidu" prepared by the Florida D eDt of Agriculture and CoOaUrnar/#fni[g. If the applicant is someoneotherthontha"ovvner". | uerbfvthat | haveobta\nadoompyuftheabovedaocr|beddocurnentondpnom|saiDQoodfs|thto
deliver|tto the"ovvner" prior tocommencement. / �
CO0TFACTOITS/OWNER'SAFF\DAV(T: | certify that all the information fn this application |o accurate and that all work
will be done in compliance with all applicable |aWe regulating conetruction, 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
commenced prior to issuance of permit and that all work will be performed to meet standards of all laws regulating
construction, County and City codes, zoning re u|ntioOo, and land devel6pnOentregu|atioOa \O the jurisdiction. | also
certify that | undsn�ondthetthenygu(etionaofotherpbvernmentogenui�arnoyopp\ytotheintendadvvork. �ndthetitie
' �
my responsibility identify what | I must take tobeincompliance. Such agencies include but are not limited to:
- Department ofEnvironmental Protection-Cypress Bavheoda' VVatonU Areas and Environmentally Sensitive
Lands. VVoto»�VaetevvoterTroatnneDt.! '
- Southwest Florida Water Management District-Wells, Cypress Bayheads' Wet[-and A«ema' Altering
Watercourses.
- Army Corps of Engineers-Seawa[is, Docks, Nav\ggb|gVVota o.
- Deportment of Health 8 Rehabilitative Servimae/EnvironnleOba| Health Unit-Wells, Wastewater Treatment,
Septic Tanks. !
- UG Environmental Protection Agency-Asbestos eboternent.
- Federal Aviation Authority'Runvvays | /
| understand that the following restrictions apply to the use of fill: '
- Use of fill (o not allowed in Flood Zone W' unless expressly permitted.
- If the fill material is to be used in d Zone 'YY', it is understood that a drainage plan addressing a
"oonnpeneading volume" will be submitted at time of permitting which is prepared by a professional engineer
|ioeDGad by the State of Florida.
- If the fill material is to be used in Food Zone "/Y` in connection with a permitted building using stem vvoU
construction. ( certify that fill will be used only to fill the area vv|tHin the stem wall,
- If fill material is to be used in any'area, | certify that use of such fill will. not adversely affect adjacent
properties. If use of fill is found to adversely affect BcUeoeOt ri
pmrUen, the ownermay be cited for violating
the conditions of the building permit under the attached permit application, for lots |aes than one /1\
acre which are elevated by fill, aU engineered dnainogep|aniorequirad.
|f | a[nthe AGENT FOR THE OWNER, I promise,in good faith to inform the.owner of the permitting conditions set forth in
this affidavit prior to cuOnnnenojng construction. |�undenabaOd that ' permit may be required for electrical work,.
/ |
p\unnbing, aigna, vveUe, pools, air oonditioning, gae, or other installations not specifically included in the application. A
permit issued ahoU be construed to be o license to prooeadwith the work and not as authorUxtoviolate, cancel, alter, or
set aside any provisions nf the technical'code nor shall issuance ofo permit preventtheBui|diOgOff|o|a\frOFntherasfter
requiring m correction of errors in plans, construction or violations of any oo�eo. Every permit issued shall become invalid
unless the work authorized by such permit is cor�nnonoadwithiD'GiXDloO of permit issuance, orif work authorized by
the permit iasuspended or abandoned for a periodsix (0) months after the time the work iacommenced. An extension
may berequested, \n writing, from the BUi|ding |a| fo[ eperiod not O\Detv 0\ days and will demonstrate
justifiable cauSe for the extension. If work ceasesifor ninety(go) consecutive days, the job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE
r^*Y/mx, .vv,CE FOR IMPROVEMENTS TO YOUR o-----
WITH-YOUR-LENDER OR AN--ATTORNEY l3EF6RE_REC6kQfNb--y6'Q R'NOTICE OF COMMENCEMENT.
OWNER OR AGENT CONTRACTOR
Subscribed and sworn to(or affir ed)bQfore, me this Subscribed and sworn tb, (or affirmed)before me this
...—by jeanno muhPIZ —by
Who islare personally known to me or has/have produced Who islare personally knox�n to me or has/have produced
as identification. as identification.
Commission No. | Commission No.
Name of Notary typed,printed or stamped | Name of Notary typed,brinted or stamped
n��w �
.-_ '
� t.
Sam'/
|
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RECEIPT 11 ii 1 1
• ' CITY OF
BILLING CONTACT
DAVID GUDE f
D R HORTON INC
12602 Telecom Dr
Tampa, FI 33637 4 A
i
Payment Date: 11/18/2020
Reference Number Fee Name Transaction Type Payment Method Amount Paid
BNR-000952-2020 3/4 Water Meter Fee(Calc) Fee Payment Check $473.78
#1200489
Address Fee Fee Payment Check $30.00
#1200489
Building Permit Fee Fee Payment Check $565.00
#1200489
Building Plan Review Fee Fee Payment Check $282.50
#1200489
Driveway Fee Fee Payment Check $45.00
#1200489
Electrical Permit Fee Fee Payment Check $74.00
#1200489
Electrical Plan Review Fee Fee Payment Check $37.00
#1200489
Irrigation 3/4 Meter(Calc) Fee Payment Check $473.78
#1200489
Mechanical Permit Fee Fee Payment Check $76.00
#1200489
Mechanical Plan Review Fee Fee Payment Check $38.00
#1200489
Park Impact Fee-Single Family/Townhome Fee Payment Check $769.56
#1200489
Plumbing Permit Fee Fee Payment Check $64.00
#1200489
Plumbing Plan Review Fee Fee Payment Check $32.00
#1200489
Public Safety Impact Fee-Admin Fee Payment Check $26.35
#1200489
Public Safety Impact Fee-Police Fee Payment Check $254.00
#1200489
School Impact Fee Fee Payment Check $8,328.00
#1200489
Sewer Connection Residential Fee Fee Payment Check $2,090.00
#1200489
SIF 1 percent Fee Fee Payment Check $83.28
#1200489
Transportation Impact Fee Fee Payment Check $3,595.68
#1200489
Transportation Impact Fee-City Fee Payment Check $36.32
#1200489
Water Connection Residential Fee Fee Payment Check $1,010.00
#1200489
November 18,2020 5335 8th Street,Zephyrhills,FL 33542 Page 1 of 2
RECEIPT 11 : : 1 1
Payment Date: 11/18/2020
Reference Number Fee Name Transaction Type Payment Method Amount Paid
7979 Broad Pointe Dr Zephyrhills, FL 33542 SUB TOTAL $18,384.26
TOTAL $18,384.25
November 18,2020 5335 8th Street,Zephyrhills,FL 33542 Page 2 of 2
E
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Single Family Dwelling
Plan Review Comments
1. F.F.E. shall be a minimum of 8" above the road elevatiori and an engineered_ site plan.
2: Lots shall be graded to.comply with,R401.3 of the F.B.C:
I 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 niarkers shall be uncovered and marked at time of first inspection.
8. All A.D.A.requirerrients 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 ofthe RB.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. M1308:1. .
14: Return air in all bedrooms. F.B.C. M1620.4
1.5. 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 riot be used as a backer in showers or tubs. R702:4.2 F.B.C.
19. Combiniation-type AFCI breakers are.req.uired at all locations requiring an AFCI.type breaker.
20. Carbon monoxide alarms will be required in new construction that uses fossil-burniing 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.
v
23. Tamper- Resistant Recept as 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 'with a' minimum thermal resistance (R.-value) of R-3 shall be applied to the
following:
Piping y/ inch (1.9:1 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 proviided before C.O:
26. A copy of the enemy_cacls shall be with permit at all times
27. Copu of rnal insulation reo6it shall be provided ivith permit before rtnab
28. No fence, pool or screen enclosure .is issued with This Permit'
F.F.E.-Finished Floor Elevation
F.B.C-Florida Building Code 6t'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-813-780.00.
Building Department
s Data Received Prone Contact for Permitting
Owner's-Name Owner Phone Number
' Qwnees Address Owner Phone Number
Owner Phone Number
�i. .JOB ADDRESS' LOT# EK:
I
SUBDIVISiON _ _
�ate (&-wf�4� PARCEL 1D#
1.
(OBTAiNED1!FR0iWPROPER Y TAX.Nf2T IdEJ.
WORK PROPOSED NEW CON$TR ADD/ALT SIGN :�. Q DEMOLISH'
e INSTALL 8 REPAIR
PROPOSED USE. 0 SFR Q COMM OTHER
'TYPE OF CONSTRUCTION BLOCK Q FRAME STEEL Q
DESCRIPTION OF.WORK
.BUILDING SIZE SQ-FOOTAGE.;= ••HEIGHT •�� ..
( =BUILDING $ VALUATION OF-ITOTAL CONSTRUCTION'
r ,
Q,EL'ECTRICAL s AMP'SERViCE 0 DUKE ENERGY W.R.E,C.
=PLUMBING
=MECHANICAL VALUATION OF MECHANICAL INSTALLATION
=GAS Q ROOFING SPEGI, I Y F__1 OTHER
FINISHED FLOOR ELEVATIONS '%FLO.W.ZONE'AREA ��.YES . NO
..t ,4 e
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N I FEE CURREN Y•%N
Address License# F �
ELECTRICIAN. COMPANY
SIGNATURE REGISTERED' Y/'.'N ' FEECl1RRE� ' ' 'YCN
Address . 'License#.
PLUMBER — COMPANY
SIGNATURE ° - r" ,REGISTERED. Y 7 N FEE•CURREh
Address License.#
y
MECHANICAL ..•;' COMPANY ,.
SIGNATURE` REGISTERED Y/ N I FEE CURREN
Address W.Cense,#f
OTHER COMPANY
SIGNATURE REGISTERED Y%.•N,;,., 7. FEE CURREN• .• Y J,N:..
Address License# �
RESIDENTIAL Attach-(2)'PIdtP.i'an ;.(2'Eetsof` u3[dirlg.Piarcs.;,"(1).seq.ofrieCgy,dorms;'R01NPemtiit,for new:construction
�Minimtym:ten{70');Working:`d''ays affeF subrr f l date."Re uiced onsite;`Go`nstr`c�ctiofii'Pi'ens,St6m3Ja{er 1316h's_v l Siit Fence installed,
Sanitary:Facilitles kAAumpsterl;Safe Wdr'k,�Perrnit-for',subdivisions/iarge-prdjects'
COMMERCIAL Attach(22)(omplete,sets•of,,Buildigg•Plansiplus•a�Life;:�afgty�Page;{1:)'.set of Energy,Forms.R-CC Permit fdr:new construction.
Minimum ten(1.0)twgrkingudayp after.,submittal-date.,l3egtjlrgj1 nsite;ConStruction•i'(ans4;Stormwater,Plani:w/Silt'Fence-Instalietl,
Sanitary Fadiliti'es&1 durripsfer,bite IlVork Permit for all`new projects.Alfcommercial.requirements must meet compliance
SIGN PERMIT Attach(g)-sets.of EngiP,eered,"Plans:
****PROPERTY$U''FtVEY.'required for ail'NEW construction.
Directions:
Fill out application completely.
Owner,&:Contractor sign.back of.,appjieation,notarized
'if over s25d0,a Notice of_Commencement is required. (VC-upgrades,ov®r$7500)
** Agent(for the contractor)or.Power..of•Attorney:(for the owner}.would be someone:with notarized•letter from-owner authorizing same
OVER THE.COUNTER=PERMITTING - (cgpy;•of•coritractrequired)
Reroofs if shingles Sewers Service Upgra'des�A/C Fences(PlottSurvey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
II
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. i
UNLICENSED CONTRACTORS AND- CONTRACT OR 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. "lf the
contractor is not licensed as required by law, bothijthe owner and contractor:may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing Section at 727-847-
8009. Furthermore, if the owner'has. hired a contractor•or contractors, he- is advised to. have the contractor(s) sign
portions of the "contractor Block" of this.applicatlo4 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 of entitled.to-permitting-privileges in Pasco
County. I�
TRANSPORTATION IMPACT/UTILITIES IMPAC-I ND: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
90-01, as amended. The undersigned also-uriderstarift,that-such fees, as may due, will be identified at the time of
permitting. It is further understood,that Transportation.Impact.. es and Resiource 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.parmit,issuance in accordance with applicable.Pasco County-ordinances.
CONSTRUCTION-LIEN LAW(Chapter 71.3.,-Florida Statutes, as amended.)!: If valuation of work is$2,.5.00.00 or more,I
certify that 1, the applicant, have' been-provided.ijwith a-copy'of the "Florida'Construction-Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture-and:Consumer.Affairs. If-the.applican:t is someone.
other than the"owner", I certify that d have obtained 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;AFFIDA'VIT: Lcertify',that•all the.information in this.application-is accurate and that all.-work
will be done in compliance with all,applicable laws regulating-construction;'zonin'g and ian'd• development.: Application is
hereby made to obtain a permit' . -,do work, acid j'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-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 mvst.take'to be•in compliance. Such agencies include but are not limited to:
Department of Environmental Protection-Cypress Bayheads, Wetiand 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 &.'.-Reha'bilitative Services/Environmental Health Unit=Wells, Wastewater Treatment,
Septic Tanks. 'I
US.Environmental Pro.tectionmAg'ency-Asbestos.abatement.
Federal Aviation Authority-Runways.
I understand•tfiat•the following restr`ictions.app'Ly to file use of fill:
- Use of fill is not-allowed in Flood Zone'j,U"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 submitt°ed 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.Jn Flood Zone "A" in connectio with a permitted building using stem wall
construction, I certify that fill will be used only to fill the area"Withi.n 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 isisued under-the attached •berm.it 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 itl good'faith to inform-the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I ynderstand.that a separat2 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 l shall-issuance of a perm;t 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 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 demonstFate.
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 FORJM'PROVEMENTS TO-YOUR-PROPERTY..10 YW INTEND I"O'OBTAIN FINANCING,'CONSULT
WITH,-YOUP.LEN_DF-R.OR AN ATTORNEY'Bepokr RECO:RDIN.G.YOUR 40f.10E.OF-COM.MENCEM.ENT.
FLORIDA JURAT'(F.S.117.03)
OWNER OR AGENT i' 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.-
II .
Notary Public_ Notary Public
Commission No. Commission No.
Name of Notary typed,printed or stamped Name of Notary typed,printed or stamped
I .
PLOT PLAN
DESCRIPTION:(AS FURNISHED)
LOT 9, ,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 = 1,672 SO. Fr.
GARAGE = 432 SQ. FT.
ENTRY = 38 SO. FT.
LANAI = 96 SQ. Fr.
PATIO = 0 SO. FT.
DRIVEWAY = 409 SQ. FT.
A/C PAD = 12 SO. FT.
WALKWAY = 28 SO. Fr.
IMPERVIOUS = 45% *
2687 SQ. Fr. PRO soft/?PAD
SOD 3,240 SQ. Fr. 2tgli 6z P9/Af
OFF LOT CALCULATIONS LAk�?VATC PPIV
Uab,Q7 ON
W
R GHT OF WAY PEAT'A, 2A
866�' 28 IOV p A), iz
DRIVE APRON = 133 SO. FT. p rR 80. , 4A NAS-s
p
SQ. FT, Q
SOD 209 SO. FT. cy� J7 1" 30'
�Vj�
PUBUC S/W 245 op
jr
TOTALS ppoAf4 7YON r 1/ WAY C4
"t
AREA 6,514 SO. FT. 0 '15 30
DRIVEWAY = 542 SQ. Fr.
SIDEWALK = 273 SO. FT. —7-1
SOD 3.4-49 SO. Fr% ON` c P,
All 7..
M- 4zi
10.
•
--h a 01
LOT q
etock 1
OP
0.1 PR
If If ED jo. /If L07- 10
z-, at Ock 1,5
If I
Id
If
-A 0.
If!-. LOT 9 If/
St---
If
4927
DAOC4 SQ. 1134
Gr
Curve Table
Curvet Length Radluo Delta Chord Bowing Chord
U,
p?1
A! YA cr C6 49.18' 1200.00' 2'205,V S72SYIrE 49.15'
PREPARED FOR: Z—ep� ga,/U,C—D 10 /N Cb
'R 1A/cRA1J%j APE Ap, C7 53.90' 1315.W 2'20!5,V S72'SX127E 53.89'
IN' PIA 7-1A-S S Gr p, 'rA
:24 CS 305.44! 11175.00' 14'V38' 569'25'36'E 304.58'
8601C I Z& SION PHASE
86 PAE�A NA,,;r
P4—A . J7 C9 247.76 1175.00P 12"53" S68'01'13'E 247,30]
BUILDING SETBACKS I C10 1-57.68! 11175.00'1 2'48!45* 1 E I 57.BW
FRONT. 20:
GARAGE., 25
REAR- 15'
s 5.
SIDE
DE STREET. 15'
LEGEND:
NOTES:
1. PROPOSED ELEVATIONS SHOWN HEREON ARE BUILDING SETBACK LINE PI PC POINT OF CURVATURE POINT OF INTERSECTION
BASED ON THE APPROVED ENGINEERING PLANS CENTERLINE PT POINT OF TANGENCY
PREPARED BY HAMILTON ENGINEERING & RP RADIUS POINT
SURVEYING INC. RIGHT OF WAY LINE RP
POINT OF REVERSE CURVATURE
2. ELEVATIONS ARE BASED ON NAVD 1988 PROPOSED ELEVATION PCP PERMENT CONTROL POINT
DATUM. TYP TYPICALAN
PROPOSED DRAINAGE FLOW CS CONCRETE SLAB
(P) PER PLAT
THIS PLOT PLAN IS INTENDED FOR PERMITTING PURPOSES CONCRETE CALCULATED
ONLY. THIS IS NOT INTENDED FOR THE CONSTRUCTION OF 9) PAGES
LAT BOOK
THE PROPOSED STRUCTURE. THE CONTRACTOR AND/OR A/C AIR CONDITIONER PGS PAGES
OWNER ARE REQUIRED TO VERIFY ALL SETBACKS, BUILDING S/w SIDEWALK SO.Fr. SQUARE FEET
F.E.M.A. FEDERAL EMERGENCY MANAGEMENT AGENCY
DIMENSIONS, AND LAYOUT SHOWN HEREON PRIOR TO ANY F.I.R.M. FLOOD INSURANCE RATE MAP
NAVD NORTH AMERICAN VERTICAL DATUM
CONSTRUCTION. 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 LIE UTILITY EASEMENT(PUBLIC)
FLOOD NOTE: SURVEYOR NOTES:
I HAVE EXAMINED THE 171R.M.MAP NO.12101CO293F.DATED 1. THE SURVEYOR HAS NOT ABSTRACTED THE
09/26/2014,AND FOUND THE SUBJECT PROPERTY APPEARS 70 UE 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.
FLOOD EMT.BASE FLOOD ELEVATIONS DETERMINED TO BE S&I.THE
SURVEYOR MAKES No GUARANTEES AS TO THE ABOVE INFORMATION. 2, NO UNDERGROUND IMPROVEMENTS HAVE BEEN
PLEASE 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 VAUD WITHOUT THE AUTHENTIC
OF LOT 9.BLOCK 15 BEING SI5'S8'21*W.PER PLAT. ELECTRONIC SIGNATURE AND THE AUTHENTIC
ELECTRONIC SEAL OF A FLORIDA LICENSED
REVISED: AMERICAN SURVEYING SURVEYOR AND MAPPER.
(FIELD DATE:) & MAPPING, INC.
SCALE: I*—30 FEET
APPROVED BY: ja :ran01C—J�YVBd�m
• �IAMER.N SURVEYING&MAPPING.
—1zjbd--9--P--t-- FOR
200831 LOT 9,BLOCK Datr.ZDWZ&240�5 0BLOCKTHE
JOB NO. 15 3191 Maguire Blvd,Suite 200.Orlando,FL 3280 FIRM
DRAWN BY. DSB 407-426�7970 JAMES W. BOLEMAN PSMI# 6485 DATE
-1 PLOT PLAN OB/2012020 in americansurveVingandmappinq-.com
PASCO COUNTY, FLORIDA
Permit No. :
Date Permitted
Builder Name/Owner Name Control W .
County Parcel No. Z./if/V oo SW 00/' SuJ�bDiv:
Address/Locaflon _7_ 7q (hit Ah
r
CiasstflcatioNType of Use r
TRANSPORTATION IMPACT FEE Rate: Sci.Ft Unit:,—,;'
Exempt ❑Yes ❑•No How Determined
Impact Fee Amount Zone No. TAM
SCHOOL IMPACT FEE
Account (056) Single-Family Detached House Amount $ — �
(05?) Mobile Home 1
(058) Other Residential '
23) Collectlon Fee
:Exempt 6 Yes .❑-No How Determined
'PARKS'AND RECREATION FEE
Land Account Land Credit Land Total
Recreation Account Recreation Credit - -Recreation Total
Zone TOTAL AMOUNT $7 sz- .
Exempt ❑Yes [3 No How Dete-imined
I
I LIBRARY FEE
Land Account Land Credit Land Total
Facility Account Facility Credit Facility Total ,
Exempt ❑Yes ❑ No How Determined Total Amount'
RESOURCE FEE ERU'
TOTAL AMOUNT
Prepared By ^ Checked By
NO CERTIFICATE OF OCCUPANCY,WILL BE:ISSUED OR_FINAL INSPECTION
PERFORMED UNTIL THE TOTAL'MOljNTS:LISTED HAVE
BEEN:PAID AND. .
RECEIPTED FOR BY A CENTRAL PERMITTING OFFICE.OF PASCO COUNTY
Acknowledgement below does not Imply acceptance of concurrence,but simply;recelpt,of a copy of this form,placing
the building permit owner on noda of this assessment and'tha'cohdigons of pgmeht for seine.
DATE RECEIVED"BY
RECEIPT NO. DATE BY
PASCO COUNTY Receipt Date: 03/25/2021
BUILDING CONSTRUCTION SERVICES Receipt Number. 2030911
8731 Citizens Drive
COUNTY FLORIDA Suite 230
nxt:ra SPA[T\.MIPA r PIAM& New Port Richey,FL 34654
727-847-8126
* NOT A PERMIT **
Paid By Check# CC Aulh# Cashier ID Workstation
Check 1270778 SLEBLANC BCCCP59L
Fee Description Amount Paid.
Impact Fee Residential Solid Waste Single Family 50.22
Total Payments: $50.22
Pavor Address Phone
DR Horton
Comments:
City of Zephyrhills Solid Waste
Address:7979 Broad Pointe Drive
Parcel ID:35 25 210150 01500 0090
While you will be piyl4 your bill whir Pasco County Building Comtructlan Servlces,the full amount of the credit card or—heck fees,NOT shown above,F.collected by First
Bllling paymentsemkes.
L/
Cheek Number 1270778
PASCO COUNTY BOARD OF COUNTY COMMISSION Date 03/25/21
7530 Little Road
DRH Inc.Controlled Disb stub 1 of 1 691487
Po Numb Invoice Number SubdV Lot# Lot Address Cost Cde Legal Deac Gross Deductions Amount Paid
393320185IMP 39332 0185 7979 BROAD POINTS DRIVE 82/62 150.22 50.22
___;______ ___________ ___________
50.22 50.22
myreports/reportsUproduction/PASCOICustomerReceipt vlfrpt Print Date: 03/25/2021 Page 1 of 1