HomeMy WebLinkAbout20-953 L, D
Q
Cityof Ze h
p Y rhills
PERMIT NUMBER
5335 Eighth Street
Zephyrhills, FL 33542 BNR-000953-2020
Phone: (813)_780-0020
F% Fax: (813)780-0021 Issue Date: 11/18/2020
Permit Type: Building New (Residential)
Prop_ery Number Street Address
35 25 210150 01500 0100 7967 Broad Pointe Dr
Owner Information W=jo WWP,_,"e_rmit 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:$115,000.00
TAMPA,FL 33637 Electrical Valuation:$8,000.00 r
Phone: (813)549-1968 Mechanical Valuation:$6,000.00
Plumbing Valuation:$9,500.00
Total Valuation:$138,500.00
Total Fees:$18,479.50 /
Amount Paid:$18,479.50 f
Date Paid:11/18/2020 1:09:59PM
Project Description
CONSTRUCT SINGLE FAMILY 3,085 SQ FT-ZEPHYR LAKE
Application Fees ,4
Plumbing Permit Fee $87.50 Park Impact Fee-Single Family/Townhome $769.56
Mechanical Plan Review Fee $35.00 Water Connection Residential Fee $1,010.00
Sewer Connection Residential Fee $2,090.00 Building Permit Fee $605.00
Driveway Fee $45.00 Electrical Plan Review Fee $40.00
Mechanical Permit Fee $70.00 Address Fee $30.00
Public Safety Impact Fee-Admin $26.35 Transportation Impact Fee-City $36.32
Plumbing Plan Review Fee $43.75 3/4 Water Meter Fee(Calc) $473.78
Public Safety Impact Fee-Police $254.00 SIF 1 percent Fee $83.28
Building Plan Review Fee $302.50 Irrigation 3/4 Meter(Calc) $473.78
Electrical Permit Fee $80.00 Transportation Impact Fee $3,595.68
School Impact Fee $8,328.00
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.
_7��� M
CONTRACTOR SIGNATURE PE IT OFFICE
PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
RECEIPT 11 : • 1 1
• ' CITY OF
BILLING CONTACT
DAVID GUDE
D R HORTON INC
12602 Telecom Dr
Tampa, FI 33637 j
Payment Date: 11/18/2020
Reference Number Fee Name Transaction Type Payment Method Amount Paid
BNR-000953-2020 3/4 Water Meter Fee(Calc) Fee Payment Check $473.78
#1200487
Address Fee Fee Payment Check $30.00
#1200487
Building Permit Fee Fee Payment Check $605.00
#1200487
Building Plan Review Fee Fee Payment Check $302.50
#1200487
Driveway Fee Fee Payment Check $45.00
#1200487
Electrical Permit Fee Fee Payment Check $80.00
#1200487
Electrical Plan Review Fee Fee Payment Check $40.00
#1200487
Irrigation 3/4 Meter(Calc) Fee Payment Check $473.78
#1200487
Mechanical Permit Fee Fee Payment Check $70.00
#1200487
Mechanical Plan Review Fee Fee Payment Check $35.00
#1200487
Park Impact Fee-Single Family/Townhome Fee Payment Check $769.56
#1200487
Plumbing Permit Fee Fee Payment Check $87.50
#1200487
Plumbing Plan Review Fee Fee Payment Check $43.75
#1200487
Public Safety Impact Fee-Admin Fee Payment Check $26.35
#1200487
Public Safety Impact Fee-Police Fee Payment Check $254.00
#1200487
School Impact Fee Fee Payment Check $8,328.00
#1200487
Sewer Connection Residential Fee Fee Payment Check $2,090.00
#1200487
SIF 1 percent Fee Fee Payment Check $83.28
#1200487
Transportation Impact Fee Fee Payment Check $3,595.68
#1200487
Transportation Impact Fee-City Fee Payment Check $36.32
#1200487
Water Connection Residential Fee Fee Payment Check $1,010.00
#1200487
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
7967 Broad Pointe Dr Zephyrhills, FL 33542 SUB TOTAL $18,479.50
TOTAL $18,479.50
November 18,2020 5335 8th Street,Zephyrhills,FL 33542 Page 2 of 2
uity of /ephyrhills Permit Application Fax-81 3-780-0021
Building Department
Date Received F Phone Contact for Permitting
Owner's Name Owner Phone
a Number 9a
Owner's Address 343�Owner Phone Number F
Fee Simple Titleholder Name Owner Phone Number
Fee Simple Titleholder Address
JOB ADDRESS (.4- Sveo-8 Pot Sj (L *33 LOT#
SUBDIVISION ll Da 0�Ava -4's-i ARC 6fST) C--,JS-Q& 0106
(OBTAINED FROM PROPERTY TAX NOTICE)
WORK PROPOSED NEW CONSTR ADD/ALT SIGN DEMOLISH
INSTALL 8 REPAIR
PROPOSED USE 0 SFR 0 COMM OTHER
TYPE OF CONSTRUCTION BLOCK Q FRAME STEEL F
DESCRIPTION OF WORK W Ifq U , I Q
\J
BUILDING SIZE SQ FOOTAGE HEIGHT
=BUILDING $I VALUATION OF TOTAL CONSTRUCTION,Li!,Ej
=ELECTRICAL $ AMP SERVICE PROGRESS ENERGY W.R.F.C.
=PLUMBING
is
=MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION
opt
GAS ROOFING Q SPECIALTY 0 OTHER
FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA =YES NO
BUILDER COMPANY ut�:hn nc
SIGNATURE REGISTERED FEE CURREN Y/N
Address 7 License#
7
ELECTRICIAN 7
COMPANY
SIGNATURE -5�m(�o (771.rq4�,e
—1 REGISTERED Y/ N_ "I' FEE CURREN /N
Address 51A'T_ &ALk4 5&-;WA 21-k� 1 License kj o b �
PLUMBER ct COMPANY
SIGNATURE F,q REGISTERED Y/ N I 'FEEICURREN L_11N _J
Address lom 46 b[d License J CF C 14 Z 3- )3 3`-
MECHANICAL COMPANY , Ri r
SIGNATURE REGISTERED VVN FEE CURREN Y/N
Address D:,Sl\2Y License# FCA US 33-W
OTHER COMPANY ly-flA hc &
SIGNATURE REGISTERED Y/ N FEE CURREN Y/N
Address License# 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&I dumpster;Site Work Permit for subdivisions/large projects I
COMMERCIAL Attach(2)complete sets of Building Plans plus a Life Safety Page;(1)set of Energy F6i•m__S_'.R-0-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&1 dumpster.Site Work Permit for all new projects.All commercial requirements'must meet compliance
SIGN PERMIT Attach(2)sets of Engineered Plans.
""PROPERTY SURVEY required for all NEW construction,
Directions, - - - - - - - - - - - - - - -
Fill out application completely.
Owner&Contractor sign back of application,notarized
If over$2500,a Notice of Commencement is required. (A/C upgrades over$7500)
Agent(for the contractor)or Power of Attorney(for the owner)would be someone With notarized letter from owner authorizing' Same
OVER THE COUNTER PERMITTING (copy of contract required)
Reroofs if shingles Sewers Service Upgrades A/C Fences(Plot/Survey/Footage)
Driveways-Not over Counter if on public roadways..needs ROW
| '
NOTICE OF DEED RESTRICTIONS: The undersi ned understands that this permit may be subject to"deed" restricilons"
which may be more restrictive'than County regulations. The undersigned assumes responsibility for compliance with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors*to undertake work, they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as.required by law, both the owner and contractor may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the
intended work, they are advised to contact the Pasco County Building Inspection Division—Licensing.Section at 727-847-
8009. Furthermore, if the owner has hired a c6 ntractor or contractors, �e is advised to have thb contractor(s) sign
I .1ble. If you, as the owner sign as the
portions of the "contractor Block" of this application for which they will be responsl
contractor, that may be an indication that he is not properly]icensed and is� not entitled to permitting privileges in Pasco
County. I
TRANSPORTATION IMPACTIUTILITIES IMPAC I ANU 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�stands, 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 WaterlSewer Impact
fees are due,they must oo paid prior to permit iss6ance 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 1, the applicant, have been provided with a copy of the "Fl6rida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and i Cbnsumer 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 certliy 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 an� installation as indicated. I certify that no work or installation has
commended prior to issuance of a permit and that all work will be perfort' ed 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. Sdch agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
Lands,WaterA/Vastewater Treatment..
- Southwest Florida Water Manage�,nent District-Wells, Cypress Bayheads, Wetland Areas, Altering
' Army Corps ofEng|n8ers'GeavveUe, Docks, Navigable Waterways.
- Department of Health & Rehabilitative 8ervioan/EnvironrOentei\ Health Unit-Wells, Wastewater Treatment,
Septic Tanks, '
- oetoaobatenneOt.
- Federal |
| understand that the following restrictions apply to the use offill: i '
' Use of fill |s not allowed in Flood Zone"\r unless expressly permitted.
' If the fill material is to be used in Flood Zone "N., it is uO�arabzod that a drainage plan addressing a
"connpenooUng volume" will be submitted at time of permitting 'which is prepared by professional engineer
licensed bv the State ofFlorida. � y
- If the fill material is to be used in FI10od Zone "N' in connection with e permitted building using stem vvQ\|
construction, | certify that fill will be used only to fill the area vv|thintheoternvvaU.
- If fill material 'is to be used in any 'area, I certify that use of such
| will, not adverselyaffect adjacent
properties. If use of fill is found to adversely affect adjacent pr�;operties, 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 separa I te 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 com�menced withiwsix 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 dfficial for a period not to 6xceed 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 R,ECORD A NOTICE OF POMMENCEMENT 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.
OWNERORAGENT— CONTRACTOR
Subscribed and sworn to(or affi[med)bqfore, me this Subscribed and sworn to(or affirmed)before me this
Who x*uv personally known o"=o .=""a,=produced / Who^==~personally ~~ '~^~~ has/have
produced
as identification. as Identification.
Notary
Public ' Notary Public
Commission No. | Commission No.
_ .
Name—Notary typed,_ ,—_-- stamped_ . Name of Notary typed,printed
/ .
| |
� uomn Peharl | /
14 � \
um221°20 �
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Single Family Dwelling
Plan Review Comments
1. F.RE...shall be a minimum of 8" above the road elevation and an engineered site plan.
.2. 'Lots shall be graded to'coriiply 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 thra the sidewalk shall have
expansion material.
6. All setbacks shall be met.
7. All property markers shall be uncovered and marked at time:of first inspection.
8: All A.D.A. requirements shall be met:
9-. No electric,.plumbing;mechanical,or framing shall be covered without an inspection and
approval first.
10:.All Garages shall comply with section R302.6 of the F.B.-C. (Fire Separation):
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 F.B.C:
13. Foundation supports for A/C units.shall be raised at least 3" above finished grade. M1.308:1 .
14. Return air in all bedrooms. F.B:C. M1620.4
15. Smoke detectors are to be installed in accordance with R313.1 of the F.B.C.
16. All glazing requirements are to be in accordance with R308:4 of the F.B:C.
17. All means.of egress are.to be in accordance with R311 of the F.B.C.
18. "Green gyp um board" shall not be used as a backer in showers or tubs. R702.4.2 F.B.C.
19. Combination-type AM.breakers are required at all locations requiring an AM.type breaker.
20. Carbon nionokide.alarm-s will be re4uired in new construction that.iises 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:C
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.tie applied to the
following:
Piping:3/: 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 provided-before' C.O:
26. A copy of the energy cacls shall be with permit at all times-
27 Copy of fthal.insulation:retiort shall be provided with permit before rInaL
28. No fence, pool or screen-enclosure :is issued with ahis 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
r Date Received Phone Contact for Permitting
Ownees.Name Owner Phone Number
k{ :.* •Owner`s Address Owner Phone Number
Owner Phone Number
JOB ADDRESS, LOT# .ttS
SUBDIVISION 'y- PARCELID#
1' (OBT M.P.
AINED:FROR Ri OPE CAX,N i Wi):
l -WQRKPROPOSED e- NEW,CONSTR, ADD/ALT `[� SIGN [�. ''DEMOLISH'INSTALL 8 REPAIR
PROPOSED USE. SFR Q COMM OTHER ..
TYPE OF CONSTRUCTION 0 BLOCK FRAME STEEL Q
DESCRIPTION OF.WORK
BUILDING SIZE 1 •SQ•FOOTAGE: :HEIGHT 'I
( =BUILDING VALUATION OF"i`O7AL CONSTRUCTION'
[=ELECTRICAL $ AMP'SERVICE DUKE ENERGY W.R.E.C.
. OPLUMBlNG
=MECHANICAL �$ � VALUATION OR.MECHANICAL INSTALLATION
=GAS 0 ROOFING SPECIALTY OTHER
FINISHED FLOOR ELEVATIONS FLOAD�Z0NE-AR5A =YES . NO
•#: if
BUILDER COMPANY
SIGNATURE REGISTERED Y/ N FEE CURREN., Y•/'N
Address License# �� I
ELECTRICIAN, COMPANY
SIGNATURE REGISTERED.
Y/':N FEE CORRE�
Address . License
PLUMBER COMPANY c"W ,S-
SIGNATURE �, REGISTERED. Y 7:N' FEE•CURREN " ,,,Y./N._
Address License.# �
MECHANICAL COMPANY
SIGNATURE' REGISTERED Y/ N FEE CURREN
r
Address License•#..F �
OTHER COMPANY
SIGNATURE REG)STERED 'Y'/,•N,,..., FEE,CURREt`• .. Y'I,N;,.
.Address License#
RESIDENTIAL Attach-{2)`Pia#P.i'an ;.(2`sefs'gf°F:uildirjg Plans;, }'.s'et,bfgi*g For ns;'R 0�1N Perriit•fornew:canstruction,,
wMinimum:teri-{1.0)..working clays aftet'sublt fatal d `ta t`Reauirec!onsite;`Go�nstr tioh Plans,StdrmOdfef Plans w%Siit Fence insfalled,
Sanitary,Facliitles k1dumpster.,Slfe Walk;Permit-*ford.abdivisions/iarge•prdjects'
COMMERCIAL Attach(2)complete,sets•of�Buildi(�g,Plans plw .w.LifeiSafety,Page;'(1:)'.set'of:Energy.Forms,R O=W Permit for.-new construction.
Minimum ten(9q);wgrking�day�s;afte�subrxiittai,date.,13egtj ,gdtOnsite;Construction-R.lansy.Stormwater,Rlans�w/SiitFence••instailed,
-Sanitary Facilities&1 doipster.Site W6M Permit for ail new projects.All commercial.requirements must meet compliance
SIGN PERMIT Attach(2,)'sets.of Enginared"Plans:
****PROI*tRTY SU'f iltf-. quited for air NEW cb6struction.
Direc#ions.
Fill out application completely.
Owner,.&,:Contracttor sign.baek of ai,placation,notarized
'If over$25�0,a Notice of rmwincement is required. (A/C upgrades.over$7500)
** Agent(for the contractor,)or Power..of.Attorney(for the owner).wouid be someone,with notarized-letter from-owner authorizing'same
OVER THE.COUNTEPAtEIIMITTING • {capyof'coritractrequired}
Reroofs if shingles Sewers Service Upgra'desi 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 perm-it-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. 1f the
contractor is not licensed as required by law, both Ithe owner and contracto 1: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 Inspect'on'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 lfor which they will be' responsible. If you, as the-owner sign as the
contractor, that may be an indication that he is not 1properly 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 89-01 and
90-07, as amended. The undersigned also.,understands,-that•,such fees, as may due; will.be identified at the time of
permitting. It is further understood,that Transportat on.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 1 ermit issuance. -Further Pasco County WaterlSewer Impact
fees are due, they-must be paid prior to.permif issua I ce in accordance.with applicable-Pasco County ordinances.
CONSTRUCTION.LIEN LAVA(Chapter 71,3., Florida Statutes; as am.ended)j If valuation of work is$2,.5.00.00 or more, I
certify that 1, the applicant, have been provided.with a.copy of the "Florida'Construction .Lien Law,Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture-and:Co>jsumerAffairs, 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/OWNER'S-AFFIDAVIT: 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;zonln'g and,•lan'd• 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. Suc�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 &'.'Reha'bilitative�'Services/Environmental Health Unit=Wells, Wastewater Treatment,
Septic Tanks.
ental- US.Environm 1ProtectiomAgency-Asbestos.abatement.
Federal Aviation AuthorityiRunways.
I understand.that'the following restrictions.applyto•the•use of-fill:
Use of fill is not-allowed in Flood Zone"V"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:which -is prepared by a•professional engineer
licensed by the.State of Florida. �
If the fill material is to,be used.;in Flood Zone "A" in connection with a permitted building using stem wall
construction, I certify that fill will be used,only to fill the area-Within the stem wall.
If fill•material is to be used in any area, I certify that use.of such.fill will not adversely affect• adjacent
properties. If use of fill is found to adversely affect,adjacent:properties, the,owner may be cited for violating
the conditions of the building permit issued under-the attached .perm.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 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,"canceii-after, 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 period of six (6) months.after-the time the.work is commenced. •An extension
maybe 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 fo'r.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'Y'OU.IN#ND 1"O'O TAIN FINANCI•NG,'CONSULT
WITH--YOUk LEN.DER.OR AN ATTORNEY-BEFORE 118CORIJIN:G.YOUR.NOTICE.OF•COMMENCEM.ENT.
FLORIDA JURAT'(F.S. 117.03)
OWNER OR AGENT — CONTRACTOR 7 -
Subscribed and sworn to(or affirmed)before me this Subscribed and sworn to(or affirmed)before me this
by by I -
Who is/are personally known to me or has/have produced Who is/are personallyknown to me or has/have produced
P Y
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
"h
PLOT PLAN
DESCRIPTION:(AS FURNISHED)
LOT 10, 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.
PRC
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11' — 30'� ppHI
H�C SCALE
0 15 30
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OT 9 ^ \ \
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/ LOT 10
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7 / �Paiio' BLOCK 15
11.192 SO.FTE a I I I
V/ DRAINAGE T I I I
\•� � •� it —'' S p6c''E I ��8 56 �' l I
' I I
6.30��,NGI
P,rvq� gCT p SRE v+cE LOT 11
'NYR LA SAW q�E f qR fq BLOCK 15
SU IrAS & Curve Table
p4AT BD KA8P4�28 f�`'IV�ASe i a-37 C, a9rve r 1200!00' r4aus t�s' s7as2aag Chord
sego
Line Table C2 84.49' 82.50' 772716' N38*W46'W 78.20'
Line 0 Direction Length C3 2229' 1315.00' OW17' S7432'48'E 22.29'
Lt N0034'52'E 17.34' C4 305.44' 1175.00' 14MX38'I S697V38'E 304.58'
C5 247.76' 1175.00- 12V4'53' S8SMI'13•E 247.30'
PREPARED FOR: I2 Noo34•Sz•E 4.7e'
CB 1 57.68' 1175.00' 2'48'45' I 528'027E 57.68'
11 ilmoRiDN'wmod
omp&0f� ' LEGEND:
•—•—
BUILDING SETBACKS ON LOT CALCULATIONS — BUILDING SETBACK LINE
_—
LOT — 11,192 SO. FT. CENTERUNE
FRONT: 20 LIVING AREA = 1.104 SO. FT. ———— RIGHT OF WAY LINE
GARAGE: 25' GARAGE = 437 SO. FT. PROPOSED ELEVATION
REAR: 15' ENTRY = 43 SO. FT.SIDE: 5' LANAI — 0 S0. FT. PROPOSED DRAINAGE FLOW
SIDE STREET: 15' PATIO = 80 SO. FT. ;_:.;:°: CONCRETE
DRIVEWAY = 410 SO. FT. A/C AIR CONDITIONER
NOTES: A/C PAD = 12 So. FT. S/W SIDEWALK
1. PROPOSED ELEVATIONS SHOWN HEREON ARE WALKWAY = 30 SO. FT. PI POINT OF INTERSECTION
BASED ON THE APPROVED ENGINEERING PLANS IMPERVIOUS = 19% PC POINT OF CURVATURE
PREPARED BY HAMILTON ENGINEERING & = 2116 SQ. FT. RP POINT FWNTGENCY
SURVEYING INC. SOD = 9,076 SO. FT. PRC POINT OF REVERSE CURVATURE
2. ELEVATIONS ARE BASED ON NAVD 1988 OFF LOT CALCULATIONS PCP PERMANENT CONTROL POINT
DATUM. RIGHT OF WAY = 2023 SO. FT. TYP TYPICAL
DRIVE APRON — 133 SO. FT. CS CONCRETE SLAB
THIS PLOT PLAN IS INTENDED FOR PERMITTING PURPOSES PUBLIC S/W = 820 So. FT. �C) PER
ALLCuuTED
ONLY. THIS IS NOT INTENDED FOR THE CONSTRUCTION OF SOD = 1,070 SO. FT. PB PLAT BOOK
THE PROPOSED STRUCTURE. THE CONTRACTOR AND/OR TOTALS PGS PAGES
OWNER ARE REQUIRED TO VERIFY ALL SETBACKS, BUILDING AREA = 13,215 SO. FT. SO'Fr' SQUARE FEET
F.E.M.A. FEDERAL EMERGENCY MANAGEMENT AGENCY
DIMENSIONS, AND LAYOUT SHOWN HEREON PRIOR TO ANY DRIVEWAY — 543 SO. FT. F.I.R.M. FLOOD INSURANCE RATE MAP
CONSTRUCTION. SIDEWALK — 850 SO. FT. DA&UE VD NORTH
�&IUTI UTILITY ERACSB04 DATUM
THIS IS NOT A SURVEY SOD = 10,146 SQ. FT. D&AE DRAINAGE&ACCESS EASEMENT
DE DRAINAGE EASEMENT(PRIVATE)
THIS IS A PLOT PLAN ONLY UE UTILITY EASEMENT(PUBLIC)
TOOON OTE: SURVEYOR NOTES:
HAVE E IAMINED THE F.I.R.M. MAP NO. 1210100293F. DATED 1. THE SURVEYOR HAS NOT ABSTRACTED THE
09/261,2014.AND FOUND THE SUBJECT PROPERTY APPEARS TO UE IN LAND SHOWN HEREON FOR EASEMENTS, RIGHT
ZONE AE'.DENOTES AREAS DETERMINED TO BE SPECIAL FLOOD HAZARD OF WAY, RESTRICTIONS OF RECORD WHICH
AREAS SUBJECT TO INUNDATION BY THE 1R ANNUAL CHANCE FLOOD MAY AFFECT THE TITLE OR USE OF THE LAND.
EVENT,BASE FLOOD ELEVATIONS DETERMINED TO BE 85.1.THE SURVEYOF
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 'A5M 3. NOT VAUD WITHOUT THE AUTHENTIC
OF LOT 10.BLOCK 15 BEING s7630'o7•W.PER PLAT. ELECTRONIC SIGNATURE AND THE AUTHENTIC
ELECTRONIC SEAL OF A FLORIDA LICENSED
(FIELD DATE:) REVISED: AMERICAN SURVEYING SURVEYOR AND MAPPER.
& MAPPING INC
SCALE: 1' 30 FEET ! • S�• DN:GUSgrno�aa1—oia eaman
' e -AMEIIICANSUVMNG&MAPPING.
APPROVED BY:
� • IaNC.c„=lames W BakmaM1
200831 LOT 10. BLOCKr aoro ;Ft riw=lhokmaneasmco Ponee.mm FOR
Al"gis4..:r, Da W.'2020M14082255.04•W THE
JOB NO, 15 3191 Maguire Blvd,Suite 200,Orlando,FL 32803 FIRM
DRAWN BY; DSB 407-426.7979 DAIS
PLOT PLAN 08 20 2020 JC ameticansurve in andma in .COm JAMES W. BOLEMAN PSM# 6485
PASCO COUNTY, FLORIDA
Permit No. 9171j
Date Permitted J) Z2�7
{ Builder Name/Owner Name ` ^ Control#' .
County Parcel No, 55 ?5 Zr a r-Sa b 6() SubDiv:
Address/Location
Classificationr ype of Use S-4 AA /10
TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: ,, UB,
Exempt Yes ❑•No How Determined
Impact Fee Amount Zone No. TAZ:
SCHOOL IMPACT FEE
Account (658) Single-Family Detached House Amount $ � Z
(057) Mobile Home
(058) Other Residential
23) Collisctlon 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 $2 6-&z
Exempt ❑Yes 0 No How Determined+
F
LIBRARY FEE '
Land Account Land Credit Land Total
Facility Account Facility Credit Facility Total
Exempt ❑Yes No How Determined Total Amo
RESOURCETEE ERU
TOTAL AMOUNT
Prepared By Checked,By
NO CERTIFICATE OF OCCUPANCY WILL BE ISSUED OR FINAL INSPECTION
PERFORMED UNTIL THE:TOTAL AMOUNTS.OSTED HAVE
BEEN PAID AND
RECEIPTED FOR BY A CENTRAL PERMITTIN06 OFFICE.OF PASCO COUNTY
Acknowledgement below does not imply acceptance of concurrence;but simply receipt of a copy:of this fdnn,placing .
the building permit owner on notica of We assessment and the coridlllons of payment for as'Me.
DATE RECEIVED SY
RECEIPT NO. DATE BY
PAPASCO COUNTY Receipt Date: 06/24/2021
S a BUILDING CONSTRUCTION SERVICES Receipt Number: 2053213
8731 Citizens Drive
COUNTY FLORIDA Suite 230
OPEN SPACES.Vrexnnrr PLACES. New Port Richey,FL 34654
727-847-8126
** NOT A PERMIT **
Paid By Check# CC Auth# Cashier ID Workstation
Check 1316294 RRICHTER BCCCP53L
Fee Description Amount Paid
Impact Fee Residential Solid Waste Single Family 35.26
Total Payments: $35.26
l I
Pavor Address Phone
DR Horton
Comments:
City of Zephryhills-Solid Waste
7967 Broad Pointe Dr
35 25 210150 01500 0100
While you will be paying your bill with Pasco County Building Construction Services,the full amount of the credit card or a-check fees,NOT shown above,is collected by First
Billing payment services.
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myreports/reports//production/PASCO/Customer Receipt vlfrpt Print Date: 06/24/2021 Page 1 of 1